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HomeMy WebLinkAbout040-1324-28-000 disconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 597428 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Permit Holder's Name: City Village Township Parcel Tax No KERNON BAST TOWN OF TROY 040-1324-28-000 CST BM Elev: Insp. BM Elev: JBM te i ptionSection/Town/Range/Map No Ps ~'t V" 1 01.28.19.2183 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic tx I' Benchmark Alt. BM [erat,o nBldg. Sewer `!~r q6u , ! olding St/Ht Inlet St/Ht Outlet _ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Nen to Air Intake ROAD Dt I I Septic ' s } y , Jet Dt Bottqut + Dosing Header/Man. qo. Aeration Dist. Pipe -11 I V_ Holding Bot. System mo. t' PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover n GPM Model Number _ TDH Lift Friction Loss System Head TDH Ft _ Forcemain 1 Len th Dia. Dist. to well :1 c - - - SOIL ABSORPTION SYSTEM BED/TRENCH Width r Le ?th No Of Trenches PIT DIMENSIONS No. Of Pits Insid a Liquid DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION r CHAMBER OR r.i Type Of System: r s r UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold t: Distribution ix Hole Size Ix Hole Spacing Vent Air Intake Pipe(s) Length_ Dia Length Dia ! Spacing c_ 1n~1-I j SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 1), x Depth of 7d/Sadded / xx Mulched BedlTrench Center 'O ` ~ Bed Trench Edges Topsoil / es No es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 V Inspection #2: Location: 579 GERMAN CT yy'' 1.) Alt BM Description 2.) Bldg sewer length = 7 4 - amount of cover = tr 1 Plan revision Required? El Yes No Use other side for additional information. Z17 ✓ + ~~~CP Date Cert. No. SBD-6710 (R.3/97) industr•- S;:E- tees Di-ision County 14- I' 'phtnoion Ave - ' f ox 62 Sani,anr Permit Number (to be 1'tlled in b} co.) Oop, za 1C►~ qkoxY, NX7VCCVKKP ~7y NJ6 OV" State Tracts tctior. ~du er in, - rm it Dip, it i In accordance xvith SPS 83.? l(2), Wk- Adm Code, submission of this form to isle aomogria o -tyre n.1 unit is required p inr to uhr4tnira a sanitary JrKmit Note Application forms Yo .ta.i-oiwttcr POi{-I'S are stthmnled to i'~ect Address (if different titan mailing address) the Department of Safety and Pro essional Services, Persons! information yttu provide clay be used for sleantla 7 9 ` ptuposes in accordance v th the Pri acv, La' s IS.P i(7 pin), Stets I_1. -Application inform2tion - 'lease ?r€nt Ali I rrea£°io ! L~ E/~~Ye4+d G oaa d' Property :)tamer's N== er Farce! n 40- 1324 " a8 - 000 s___ gig. w. atg3 - Propen-y Owner's Nlailma Address Property Location ~ i I v0I'i. LJt ` 5-72 I 'r CM State Zip Code ; Phone umber fl er NO l', sectieil / ~ tcirc!e one i .i~%t~ _ (~8 l9 ar H. Type of Buiicsirtk (steek all that' nPp!y) ~ Lot ~ l i . Sttbd1i751fln1:ame K!or2Fatmh! Dwelling-Nuntherofi3edrooms 7 / fsrArr® I 6k C Fi'dalt,.raa! .r711 110liciCommrrcial - Jesc,-ibc Use i L iet-o; ale, G CS?vf ?+auntmer ~ ~ffage of I ❑ State 0-- iced - Describe- Use - I i1CTo«n zi Y te0 3'.__~.,._~ III. Type or Psrratt, (-Check only one l3ox on line,",. ota o ete lino B i npplicabie) 3. g ' a ! I rv Neu Systern { u Replacement System aun~tt jai iitt, last Repiacem nt C}ttl_t' q Oilier iviadificttion to Existing Juste tt (explain) List Previous Permit Number and Date Issued B. ❑ Verntit Re:tettttl ~ 10 Permit Revision ! U C':artte of Piumbcr Permit Transfer to `eo.° 1 t :3ti:forc' c::Q iratiiltt ~ { Chtrrer ~ a Jl ~ l ~ it. Tyj2c or P0%V' 'S SfsternlComporiend e4ace: (c-he-ll. ti Clan an 1:T, Noll-pressur-6: = kr-C:round D Prdssurized int tstoLnd L4 At-tirade Mound ?'4 im e 'suitable snit 0 z ioUnd <_4 tr- of stiitaIlk soil ❑ : loldins'rant Ll prher Dispersal timparieE t l,e:pla3r'I F: Prerreatmert Device (explain) - V. is ersal(5 rent ient gear nfot'rt4aVon: l Dcsi,n Floc, (~pd1 1 Design Soil , ppitcetion Igpdsf I P.isar sal arze Required (st) ; Dispers-i Area Proposed is System Elevation C5 p I 5'i. ?'link [i1 3o ~ - ..aaaci?y- All Toga I T of 'vlanutac[Uref u ^ Y jj CBSIGSts l L;aitOnS 1 cinits t { s ~ '-t ~ ( ~ r l I ties T:;r;:s t £tirstina ?:;rr',<: 9 i ' i ~1~W~,y. J I W r r , ~ j •--i Scptirc,r~_..., i > bN ~ I ~SG) ~ G~fES G~c.✓cadF~' @~. I~cS(atlflfiit3itit:' SLaLerncrlt- I, thr undersigned, assurnc responsibiiiil' for iastalfation of Fite PC3L':"S~i sfioti'n ar fltc attacl3ed p3ans, j } Pitnriber's i4asne f Point) ~ _ ~ Plutr,hcr's Sif , re s•,fP7 ~m?tber ~ Business Phone h!ttmber I 6 ~ c~ .-^a." J..a ~`r j ,tea ~~~a✓a f 1 P!tuttbt t s address (Street, Cit}, State,. Lip Cade? .+`~m?d 9° /rya J r `J~ /.191`./ls' t.T 7:s t s r Tel ourttylpD rtment Use Orlx' _ Permit Fee Date e Issuing of Si2natute w3son tor, n t t ti i ~tk EX. Con, 4. ~t ~S4fIiAl~'r4t5 pprce ir; all VL $ Uls~cell must all be set Ices! tiro Ong j as per ihar;ayemen! plan pra nderi by p l?e: L4j 2. AN ft,.f k recta; -t :enrs must rte r a:rtr it Ed as per AKWbl?I c,tidr: ! crdlna,1081. ,tY.3rh to cumpiete pL.tns for the sy54esn and svbm to [Lc Co [y uohon ~prr mat Sess :°taa $ i,' Y t 1 inches ir[ s'r.'c ~ w~o`~ r6",J j eax~ . R. tb;`!l t 4-b ~ T 64 (N\ ~ Z J l tws 10f i o I ; b s e~ O i 1 i 1~ ti ~ I • ~14 "t - `~I i• ~ e .e1 p N v- r 'kl ~ f' J J T L/ d / C R~G,/W J ` ;=°1 e,,OAP .4 4L ss~c Lon+sraatar/ar- 1-,u lei teu,rtJ mNFS slOu.Yt'' u~afcswT 4) 1 xyel!, ' 12M, =ats: eui`? 'L i,`4a';}g : t~0 TT~.{IlJOff+Q ~6-W* f ( ~j ~7.Q~'/TfORJ woll W~_ ..ESto~_T. ~uvG ~cr- e s -emu;: t~.'ts~s ~7': .~J /\/~/9 ~C bIGL ~~L~i S` l~F `J➢~_i ?~Cf': ./iP0' s' C~.7Y - - - +s.?.. v sue. iii.:, .mL..~i~'?.'Or.!.." 6lt ..z~a,~I M° f~'~s F. ~ L 1 ..L.. i D-10' - - ~~1~1ltiai'~ j-ill.! L,ei, : f~ ~ ~~:1~1~.;`}~t;(''~i~~ s`_.'~~t'`~#~ ~i ~?~-'~~_'=r i~31~'` . ~ "D RAYING t}(NG i lOT Try SCALE _ ~'A' HC,i E RISER COVER - :`?r`IIiL :7r'v3~`F ;7j Cc (B}? 4 Vent pipe €I~:IP L! !.A,i, T: {Sii743e ground Surface ck'=2j ira r -7a d 'rpi m.chrorta?lfi(S} j f -as nacess2rv r t lEilitaie(s} far praoer drainage) ~f ( Builaiinc L;su;rr: tc SPS 333.43(8)(- 91); Nim'. or 2-01 abov-= 1 iit°pt~I; 1 1 =iCprA:=_ E:de^.d i t huts r2 81-JiLDING STEVVER i S (per ELECT MCAL 1 i ` t~IC'tzot~~ i3©' ! # {typi~;j ~is \ MUZ! _orrpiy rL, i SAS 3l6 ar,6 A:tL 30G i tin. or 2e :i above 1 i ( t~--- _ - stabiL:?=3 cl~~a ESB'!aiiGn f` 1 , ~j d j `r - ~1 i i ?ANIHG`ic LE 11r + Ia id, I, ;ZANHGUE- L :min BOTTOM OF flML-E-r tj t . ..........t..... - rt*:- t rte; { ~/lij~JflJliYf~flJlliJ l ! /z Yjj~dr/./JJ/i R c lil/f j lJlijJir%f o 1 ldtit=? { ( >i G. i i~ f jr/-:.J/Jf,/1lcPP C'-iY;%/lfi lr•/~:, r Ji.%/~r~ jrii 3. :rL09 i 011; FLOIJ is 81 NLE3 P!PE 1 FILTERED ° - - f fib FL4lat tits iEv = i1 ;_F, L & rd 91 S EIR t EFFLUENT ;Ire or bsr+7a} APPROVED 1 REQUIRED Mi'.t1LE A16 1 - l 1 1iv11~it,ttP. ~ OF SCSI N ALE 3EDi~ NG EBE EAT. T ANK t PUMP rao j ! t`!Ti l-itJii+1'OdtlCN I i titr F C1 I ,VII st! aotl.irer G `l a~ ,p je ss' Dt (E aily y.ras atPr flow, -0 ~ iYU Jt•?. ilciPuil1D fan;, rnode! 5-4 Mumber,91f=daily doses S. 3 .9 1 :=furl=,, ,menufacturvr r~iltYeav~ . larm 71 ode! number 7-1j,,Vc Fcrcemain volume 1Y. 7 r Actuai dose voiurne (gallon:.) £LPi°.d~Jl_ re of IOat switch P i Effluent pump Inanufacturer Z -0r.4 E~ Effl gent pump rncuei ?dumber PUMP 7.,, W CAPAC1 i user,e above alarm 34 inches - :Y*-1 gallons ! 11i§Pd1 i} r' porno disc harga rate (Oi'M) dO Q Alarm kat above Or oat A inches 32.2 o alleris (i.•) OnfOff iioai measurmeni ~_inClfes 1?9 alinrls (B~ Oi ; disc butiv^ . laterall 4,o~ 2 Off float above tank bottot* _~Lliiches = Z2 gallcins (A) ySte,m head (disial pressure X 1.3 feet, iANK t7IMFISIONS > ?L+i:i? CHAMBER VEMCIGATIONS ~rictinn less in the fd,rcemain d x.o~ = rr ISS Width 86 Tc7iai ~ynadllie Head;`!-DN) _ 7-I _ Length Liquid depil•` GailonS ;per inch J IC t-IEADIFLQVV1 7 T QTAL D`fNA1A PUivtP PERFORMANCE CURVE PER MINUTE MODEL 15111521153 EFFLUENT AND DEWATERING u ! Y _ _ I MODEL 51 152 153 " 6 s l ;g_ l- Meters iGal ___l_ o t C~ - 7+ L26E S z td _ - ( ~ 1a3 + ..v1 i 170 + a-_1 • 3s- is 1 61 ~2 } k IS7 52 s~ ,t { l ? 25 o , o34 iG p ( a2 23 p-87 ~~33 _125 20- 85 C7 z tp 1 - _ Shut-i1HP,ad. 30 ,;.(q.tm7 "a5 lc(,t.6m n_(',~~m1 I ~ l Model 151 Models 1521 153 10 _ 3{7 ,19 50 80 7f1 &ti 40 itW + G~ 2 Oi-55ES ..a. l - I 3 7 at ~ - 37,8 Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. Variable level control sv>rtiches are available for controlling single phase systems. i _ - Double piggyback variable level float switches are available _ for variable level long and short cycle controls. - Sealed Qvrik-Box available for outdoor installations. See - - 1 Fit1'i420. - - 1 , • Over 1307 (54°C) special quotation requires. 7- T- 1, _ - - ' SKI, 8K2nra 15 111521153 ,MODELS Control Selection Model _ Vans-Ph Bode Amps simplex Duplex N15 115 1 Nonce 56 F 25,3 eN+51 i4 t Auto act Included 2 or 3 E151 r 230 N109 12 1 2 or 3 I BE15+1 _ 2W Auto_ 32 , in iuu,.d 2ar3_ "Easy assembly° N152 11S 1 n 8.5 1 20t3 (pump 3 discharge pipe 3M152' 116 Auto $ 5 Inctwed 2 0 3 rd included.; E152 2s0 Nan 2ar3 - - n 6E752 _ 2 2,n'} _ Auto__' 43 Inciuc c 2ar3 N153 1+5 + Non 105 1 2or3 ti B5at53. 11! Auto 735 1 nct dew 3~~ ,ter 453 23C i N n 53 1 2 or f = ¢ E153 23 S Auto 5.3 In f a 20r-3 c Single piggyback variable level float switch or do ubie piggyback variable level (:oat switch. Refer to Ftvt0477. Reduces potential clogging by debris. Replaces rocks or bricks under the pump. 2. See F'r2f0?12 or correct model of Electrical Afiemator E-Pak. Made of durable, noncorrosive ABS. 3. Variable level control switch 10-0743 used as a con,ral activator, spacros duplex Raises pump 2" off bottom of basin. ,31 or (4) 11oat system. Provides the ability to raise intake by adding sections of 11,z' or 2" PVC piping. W CAUTION Attaches securely to pump. Accommodates sump, dewaiering and effluent applications. NOTE: Make sure float is free from obstruction. For unusual conditions a reseri ve safety (actor is engineered into the design of evei,; Zoeller pump. r rj:>j t .ji i Co, AS r'sghis rsser!. ,-j. `~~.ry:-g• ??~~.~~r, t:.+`~ -^:,."'-1~~. box ~p r~'~* •._;i ;t x,;,y~.~1r.. 2•a..%I`` ~ .7 ,~s',9 'J ~'~~~r»~_.,j TS ( v?.sie e 1"-XIVAIX 4'1AjStc O„~s7$ocrra.J } ~e° c £an~Cagaci v t Jf ~"Q / gal F~ Z~z 1 °i Colt i Septic-, xan7k_yi anu ficFarrei ( rlE$Ef<' L Oe,dlP. C 311A Fie i N:urnber of bedrooms Clog d!3edroom' ( •Cr!' 'rT2U::diF f=ilter Ct%itYtle; 4 ,~gf'-`/~a~ L''' ~r'^ . itiumbeno l ..rron,dnsrcial Units ! Pump Ta- 0 Capacity ? r ,fO gal i N,A v a 1' 1 f Dump Tank 1'danufhcturer ? y~/ESEQ GG.1G2, J I~rf StiFilBle~i flO1, (2Ver$~8; :Xoo gahdl&v I I GDEL sE.~ ESni72ctdrt'a 1*(NA i Design flow (DWIF): 45rii112LGd 1.5 1 4100 Soil Application Rate ' it j I Pump ?Mudd i ljJr~ ~ F~ ~ I I 12 1 1 ! PreireaineptUnit ( 64 -NI ~ lnf luent'EFu0nt Qualit i? j '`l ) ~ itionthly Average l 1~tt, gYej Filter L; - t Peat Filter d , C, Snadar-a, 3"atS. Oil c°i crease tj c 230 mgl tiiacllanical t.a#i z V'! 4~ie#l~i I iOCil23n7C2i Oxygen DeiT}81d (Bt;?Dg) I G !Tl i ( l- Disinfection 0 Other T anal Suspended Solids (T SS) ; s'vianuiacsurer: Model: ( < 150 rnglL, Soil absod-ption Comoonent (1? i`!A') I Pretreated EiiluentQualirl (l% itir\) ~lanYhi ~~eraee 1 I?aanund (3ressudized) g?n-ground (gavit}) Biochemical Cx3gen Demand (b L',) it?g lv i r' as_o ade - Iviaund To,a i Suspended Solids (TSS1 R I NO i1?vf L 1 1 E d}-SFne l~J f lci_ ; Fecal Colt -o.m (acometric dIli zn) y ! j ' Tank boY Bottom to Service Pa ~ [t_- ' /a? :SIC, J CIciLE d t~i}Inl i`: it1Ca_ DdSi%ilc 1, "1Horizontal Distance Tank(s) to Sersice Pad: ! I Vld:iiii'tufl ~1-.tFUcIdt Particle Size ; adU inch diameter L s~z_sa Jn `lJ.'S tUM ~e:. 1W C14 rod re,• Qtwex f! ~.e4 E!lArr 6C5 N ..ic-= atlo-n coil Dispersal End Ca;, (Dispersai t n i i E-11S,- cr Z J = ii l7~IG3zi~JFs amxii = r ea, e L;lid 1'J =`n Units or To'tai L en2th C i S r n-chl s l 46 "IlfrYAKAS l bsorption Systerns" Publication 9_6 (SS-V Ivl2 ivdaIlual~ j 0-Desi~rgr of"'Pressure Dislribu ton -Nev.vorks for Septic 'ank-Soi r" M "!CC -Flo tecl Vround Component ivianaal" Ver'sio'? 1.2 p -EzFlo4:• iviounc Coinporient IvIanual" ;%ersion'1'20121107 El SBD - 1Qe°i7=1 ? f:R.:112) "Amt-Grade Component Wilanual 'Jttn5g Pressure Dis =ibutio-l" "Version 2.0 SB - G DSO- (I*d_{f IN d ) 'In Ground Sail bsorption Con?S aonent d'Jauual' Version 2.0 0 SSD - 10691-T CINI_OLMID, ^1,Iou}sis CEtiitri-oi2cili i~vja 1uall: 'Version 2-0 M SBD - 10657-P (lR,e,'99) "Drip-line l 'tttent Disz}os::l Co itp ;dtent' la,ual" j ID SBD -107,06-P (N-01 /0!', "Pressure Distribuiio-? Component w-fanual" %e lion 2.0 E 0 Other - i 11-IMPi nspeci t DIE(S). inspect dispers? cell(s), clean t11=er iI least Once 1? 13 montlis V +R,3 yeas ❑ Other - Si,SpZC£ vuTr p pump controls, alarm, preuearineri unit I i t62"l C?iiCr ever- _ 1 S'e -7-1 months f Flush and oressurs ms--, laterals Ina least IIIIce e-VeT: L_: 71RO31VIS I_1 _ Ir a 19 _~A 0 R -J!' APITD u F _ ° sor nee.' cons-r '-boon prior tU usz of the f ti v..)TS check t"-eali lent tank(s) for he pr saace O`] painting products or other chemicals ihw niny ;-mpede the trrzatment process ancdoi damaSe the 6ispersal ceill, tE hix13 concerara:ions s--,e detected have the contents of the anlc(s} removed by a septage Se,- tcdn,, oper To'e' -:e' or to Use. Sys£ar_- stn _ - . p Ss r S 'J J 'a?GZa $s}i2 Lo: t~i.til5. St Zs t---"'z., -i•I.? 3. The properq, Oemer is responsible for :lie opac atdon cad malnteenarice of ilie s0,0"'I S, ails s==lil?lissiora OI -n;.gLh-.d repa'iis. The fjL'eanu :dild E!L 2 r Ci" idic avast, wcrier streBIi? i ? aye. t thp p"ertr 5?°ic'.ncc and 10-no t? ' of your Pf.',A73. The itiSeF118iton of +a2~'-S;a'diii~ ap;Ei aces and iixtti ez aiong t: rith promptrepah oT leaks reduces i11e t astevvate volLFme. A Ise he ` rhle or 1'mste (tarn water so elzv s, Cii rl dn0?T3? Lrnit5. Other ciea» t eatment devices :?n -foundation chains should ae discha gge to tale around surface vil?enever possible- tote: his does rdoi include IZ2ndv j' '%:aste. T lids System is designed i0 handle dont siic strength ~d1i=eY'~2i~i'; hov~,ever the dispersal of food "based greases and oils,-vege±ab[aifi Lit peels and seeds, bones, and food solids such as those produced by a garbage dispas-ai should be ---niizmi=d. Toi?ef Jssuc is the ojily paper titan should be. discharged ir-ta the system. Otl- non-b+oaegradaole itsrits suer as baby tripes: Tampons, sanita, j napkins condoms, cigarette butts, dei4ial floss, and corn swabs Ehoutd not enter the sjstemi1. Chemicals such ass pe+io3eurn products, *Pi, Pat . of