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HomeMy WebLinkAbout040-1288-30-000 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for seconda State Plan ID No: ` t secondary purposes [Privacy Law, s.15.04 (1)(m)]\VI Permit Holder's Name: I PAUL POLINSKE City village Township Parcel Tax No CST BM Elev: TOWN OF TROY 040Insp. BM Elev: BM Description: L K. ~ Section/Town/Range/MTANK INFORMATION J'3TYPE ELEVATION DATA MANUFACg!,RkP(yJ CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing IL ~ S V ~,b~•~ ~Uv'~ CDA44b PVMQ •S h" Alt. BM PeeFetieft Bldg. Sewer ble ing j 21 1 S t Inlet S1/H1 Outlet TANK SETBACK INFORMATION c h a ins I TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ~ r 01 Dt Bottom Dosin He an. ~1 Aeration r ~l Dist. Pipe (rte I Holding 9$, Y7 • 8 Bot. System .O .o q PUMP/SIPHON INFORMATION l Final Grade l Manufacturer 2,~s ~o► Q Demand _ St Cover 8 Model Number GPM~L Icy,, C/8 T 31 TDH Lift /1-15 Friction Lo System Head TD It Ft Forcemain Lengt 0 Dia-07 r1 Dist. to Well ~ r SOIL ABSORPTION SYSTEM N BED/TRENCH Width r Len th DIMENSIONS i No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Dept SETBACK SYSTEM TO P/L BLDG WELL I INFORMATION LAKE/ EAM LEACHING Manufactur r • I T e Of System: . ! f I (o , CHAMBER OR 11 - UNIT M el Numb DISTRIBUTION SYSTEM r ~ He Manifold Q Distribution Pipe(s) x Hole Size x Hole Spacing Vept to Air Intake Dia Length D'a Spacing OIL COVER v Depth Over ' V` x A s Only xx Mound Or At-Grade Systems Only Bed Trench Center V Depth Over xx De th of Bed/Trench Edges p xx Seeded/Sodded xx Mulched / Topsoil COMMENTS: (Include code discrepencies, person present, etc. Inspection 41: Inspection #2: Location: 368 INDIGO TRL n N n o 1X 45-=// 1.) Alt BM Description Jima (oV~ `~j,T•~~ 2.) Bldg sewer length = amount of cover = ~5 ~ Liz' o Covey Over PI1 Plan revision Required? 0 Yes No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No . 1 ti 1 d.NTA/E 1.T-.. ounty ~ ' ECEIVED Safety and Buildings Division ( a; j FS. $ 201 W. Washington Ave., P.O. Box 7162 n it aryPermit Number (to be filled in by Co.) f; AUG 1 b 7 71 Madison, WI 53707-7162 COUNTY , 11~ Q ,OMMUNI erlll it L State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submissicvZGGBX1 DPBY1 E is required prior to obtaining a sanitary permit. Note: Application forms for state • . - -owned POWTS are submitt ed t ojec Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for second purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. 1. A lication Information - Please Print All Inform Property Owner's Name i> Parcel # Property Owner's Mailing Address Property Location City, State Govt. Lot Zip Code Phone Number "I 7 Y4, / /4, Section 71 circle on ll. Type of Building (check all that apply) Lot # T N; R -p-or XI or 2 Family Dwelling - Number of Bedrooms Subdivision Name Olt Block # j ❑ Public/Commercial - Describe Use ~374 i ~~V ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of I P yj I~ /-7/t Town of 7WL i' Ill. Type of Permit: (Check only ne box on line A. Complete line B if applicable) I~ New System L1 Replacement System El Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision 11 Number and Dale Issued Change of Plumber El Permit Transfer to New List Previous Permit Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) Non-Press rized In-crowd ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil C Li Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) i V. Dis ersal/Treat It Area Information: Design Flow (gpd) Design Soil Application Rate dsf) Dispersal Area Required s % r s ti (f) Dispersal Arroposed (s System Elevation ~ y L Tank Info Capacity in Total # of J Gallons Manufacturer Gallons Units New Tanks Existing Tanks i C +y U N tJ V w ~e 1 w aU v wC7 I Septic or Holding Tank Dosing Chamber 111. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumbers Name (Print) Plumber's ature / MP/Iv~ r Business Phone Number 4 _,3 Plumber's Address (Street, City, State, Zip Code) Vill oun /De artment Use Onl -RICO Approved appro Permit Fee Date Issue Issuing A Signature ner Given Reason for Denial ~O IX. Condi4l!Il&TW$tReasons fof Disapproval 1 •I;eptr, tank; efflUt tt t1KW nil / ulspert:u cell gust all a *?,ij1cts ! r~,tanta,- F sea)=,* rwtmenS plan tideri by plumber. 2 AN -iietb~rik fRt';ill'BCiQttwS must be maintzirEd t<.irt:d el 'ovt ? J\ 5 y ats AW vpkfd)m cod, NminanCtt3. ! 1 Attach to complete plans for the system and submit to t ounty on y on paper not less than a is x 1 inches in size SBD-6398 (R. 11/11 ) z f 'S c Page vaer Legid K~ esc ion ~r r r (except where Apo~p f~ted) Backh P/7 Nc u-5 ~i~ ` Z.SO AcPcS ll a 67 ~iJ~1r a ? t?S lL ~G\ ~SiftK~1A d40- z~$_3d- None Scttc u CF 13 s t ~a „ --sue n >2Sr Ff{CM 'Tf iJl( ~~QS '~uv~C~~ k3l XO tA, i t3b~~sic) k,;", nr, C, J Rom /9 up I ~ ~r +K.v) 90, 1 ~0VtOr~+D r rr rf 1v7r ocaao: i .JN?J{c.,0 rl.~IL SOS-' ..r. ~/D ~:R Bny~ G-~~yIIV.VTJ_ ~io c : r ALA PACE 1 OF 5 In-Ground Dosed-Gravity Index & Cover Sheet Component Manual Design References: Version 2. 0, SSD-10705-P (N.01/01, R. 10/12) 1 of 5 Index & Cover Sheet 2 o 5 Plat Plan 3 of 5 Dispersal Area Cross-Section & Plan View Pg4 of 5 Pump Tank Specifications of 5 Management Plan Attach en Enclosures: Pump Curve POWTS Application for Review Filter Secs Soil Evaluation Report & Site Map Infiltrator Specs Septic Tank Maintenance Report Tank Specs Warranty Deed Project Name Description Owner Name(s): PAUL R. POLINSKE Phone: 651 - 274 _ 5409 Owner Address: 600 uinnell Avenue N., Lakeland, Mil Zip: 55048 Project Address: 368 Indigo Trail, Hudson Govt. Lot: na NW 1/4 of NE 1/4, Section 31 T 28 l~-R 19 E ❑or W Township: Trey County: St. Croix Project Parcel ID : 040 - 1288 . 60 - 000 Designer Information Designer Name: Mary Jo Huppert Phone: 715 _ 426 _ 1775 Designer Address: 28497 icing Arthur's Court, Danbury, Wl zip: e `~p'~ sPf~ktrj 1 -nisi#: hollisterdesignoutlook.crr€INV License Number: 1859 - 007 9Y P 1-r MA14YJ0 iiu7PIT Remarks: 6AWER FALL Pumping required: USE 8" infiltrators; 12" cover Signature: j,/ 07 - C3ate. 29, 2017 Or' snal signature require n each submitted copy. Plot plate Page _:r r'i R _ 1 S 1"=4® Logal Description except where noted) r ' Backkoe pit r t - PI Alin usr=r, '?s~.. ~_'iJ!r'. ~'C'?~',T-r t~.?•.ii~~:'.t1.._f~ Z,,SO AC.]PiC } 1{ nrbN~ a -rT24it L_ tG\•~ S'r~K~1~ ~ ~~f0- ~ zZ$-30- CDa ~~r 7~ i3 rcn~ GF l fi"r" G $Gep0 ~ PdtDE CGS' by C ID ~L( >255F PjgaA A TIAA) i I "L ~r Q(J J, { n t'li. 7~`' FKCM DRfl~NrV~Lf ~N'iPN 71 f Oz; t` 5'SS v 3b , 5iC) 1Jj ~•$hOr, p J 1•- N F` O_ i )`J r fk r~ Site Location i s~~` 1'',~Xrs~ l~t~c)-'n,;rf_ TN~JM1E:o 1?zf~it_ - ~p71 .,.Na':Rgc~v~ G-kau,v~~ _ c.i rZ~z~ ,J d G~ PAGE 3OF5 C, LdJ Lu a~ a~ f_>v x P QZ o O ` °n a c ~.J mU 17- -0 o } a c 2 16 L z c N 7 ~ 03 LLJ Z _ M ® U 6 _ ~r7 4.^-5c ci m U) Z ® P" i x n a CL e v m J ii d r Rt SCL a- (o CL R- iA A o (,O Nit in F-a) 11 m I a pf` or O - 1 v U n > (1 . 6 k 6., 2 f M t c~ r w' eL us a, i C i W x C I 4 s_ a.- r m E a ° m cB o I I w a 0~ > ti. W O o ~ m Z (D Co L~ P I t l w N 0 co O 2 m U m i i ~ ~ ~ ~ cn c a ) m L11 a a co -61 Q z a + 4, 11 t" -ar 1 -411 3 x i Center Structural Column Quic'M Pius Standard LP 'harnber Quick4 Plus A I-in-One Periscope Quick4 Plus End - caP Quick4 Plus Ati rn-One Endcap Tine Quick4 Plus Standard Lover Pro ile {LP} Chamber offers maximum strength through its four center structural columns. This chamber can be installed in a 35-inch-wide trench. It is shorter in height than infiltrators other Standard model chambers, allowing for shalimver installation. Like the original line of Quick4 chambers, it offers advanced contouring capabiiibj with its Contour Sep+ivel Cori rtec ion7,: t;:/ ICh permits IQ-decree tUms, right and left. 1111 is also available in four-toot IencgU-is to provide optimal ins-tallai on flexibilifif. The Quick,4 Pius All-in-One and Quick4 Plus Endcaps are available with this chamber and provide increased flexibility in system design and configurations. t~ 111 ~.r ~ 8m~~.:° a6._C C4° +°'qy. ~ 7 '°js r, r } u j((~~ 4 . r t y ✓ ~ ~ g x Low profile design makes this chamber ideal for shallow applications Reduce imported fill n y ceded for cap a;7d fill systems 4- Oil Center structural columns offer superior strength - f ~ Advanced contouring connections Latching mechanism allows for quick installation l -y w`1 a d f,e f x Four-foot chamber lengths are easy to handle and install ' f 1Y , ~P May be used at either end of achamber row for an inletloutiat or can Ng be installed mid-trench ,x P Mid-trench y# 4 _1~8 1A7, connection feature allows center feed inletting of chamber rows ~ Center feed connection allows f systems or east installation of serial distribution Variable pipe connection options allow for side x end or top inietting Piping drill points are set for gravif f or pressure pipe r Simple, flat design Allows installation of a pipe from the end only Piping drill points are set for gravity or pressure i e d p p _gff r' r w 4; t _-48" - 'i (EFFECTIVE LENGTH) i INVERT 3.X _ 8^ J g. # F~ P 717.4" tVERT 9" r ; a I 8 ` ~ ~1rrt L r .[.v .r ..n 22 ff~1J4 ! R'_€rz_~. ,37rIi cm, _ 6 u~'~.isi,~ess Par!< Roar; ~ P Did -O. Box 768 19SJ.5 77, 0rookCT 05577.7001 -r d.CO-. S C J ! J - _ Qa anJ G~~ .s 'iir n 1r._tletn'r . t°' ur r-o- •ed S.c..._... 'a,. irr :re:r•CO. Confou' S+ + adc. is C ^ri_CI f n 1! ~Cr SyS:C.^.S In a r.; c; •>,r InCt rat.^.- rs $,.c .Cir rE,, gZry~ t 1'ns lnr. C~ 2 -,a ,nf!rrafit ; ...mnr' la;:q,atc-S. 'Sta.~s inc. ~...°!ns rr_ ?r rr:ad hr U A. In-group Dosed-Gravity Management Plan PAGE 4 0F-At; IMPORTANT: The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered PCWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Disnersaf Area 0 eratina Limits: Design Flow= - gpd; BOD$ 5 220 mgL-1; TSS 5 150 rngL"; FOG S 30 mgUl Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e_ odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank ls) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Slats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent fiiterfs) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Phone: Local government unit Local government unit address: 4 I\--:->0 ; ZIP: Any detective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan in the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Ali r_ ~1 K f{~ The PL-625 filter is ideal for grease trap applications. 'The 1/32" filtration has been shown to reduce fats, oils, and grease (FOG) by as much as 60% to 98%t The filter may be used in onsite wastewater systems that requixe a fuser level of TSS removal. Whatever the application, Polylok has the filter for voui Rated for 8,000 GPD (gallons per day). 625 linear feet of 1/32" filtration. Alarm Switch Accepts 4" and ti" SCHD 40 pipe. g (Optional) 8000 GP ` Built in gas deflector. ' ~`r-- Extcnsiu Acceju 1" I'Vle Automatic shut-off ball when filter is removed. n Handle Alarm accessibility. Accepts PVC extension handle. 10,000 GP~ Ideal for residential and commercial waste flows up to 8,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 625 Linear Pt. ofl/32" 2. Remove the tank cover and pump tank if necessary. Filtration Slots 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a SCAccep 4" I IT ~ & 6" PoIylok Extend & Lok or piece of pipe to center filter. SCI IT) ~o pipe 4. Insert the PL-625 fitter into its housing. 5. Replace and secure the septic tank cover. the PL-625 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. Gas Deflector 1. Locate the outlet of the septic tank. 2, Remove tank cover and Automatic pump tank if necessary. Shut--Off Ball 3. Do not use plumbing when fitter is removed. ~4. Pull PL-625 cartridge out of the housing, 5. Hose off filter over the septic tank. Make sure all a t solids fall back into septic tank- 6. Insert the fitter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7_ Replace and secure septic tank- cover. PoIylok,/_abel & Best filters accept Easily installs the SmartFilter,& switch and alarm. into existing tanks. SOCKET ACCEPTS FLOAT S"ATTCN ~y _d L t~s 10.23 ACCEPTS r sCHD 40 - - a . -25.0 cm 1 FOR HANDLEEXTENIM _ -v 6.24 7031 r'd;~t 15$cm 275a v 620 OF 1132 SLOTS 1 - s)_a 5.47 16.4 cm ,T 9.57 ; ( 24.3 Cm - SOCKFTADCEPTS 606 BALL RistiROO - - 1 7 7+ E ~I 154 ~ ~ -U _ O k ~P lK, AL_ 4 HER -7 715 i c it E I [lUm E € € EE 2244 570crn7 K ]r 'I 1902 _ _483cm) ~f H re ~Al POLnaK PL-625 FILTER CAR TRIDGE - - 525cm7 - PART NO. - 3014125 MATERIAL -POLYPROPYLENE L 1 COLOR -GREENS TOTAL FILTRATION- 620" OF 1J32" SLOTS (1.60 sq-%) x .5 - t = F (189 METERS OF_88MM SLOTSX1486.5 sq_cm TOTAL FILTER SURFACE-9.58 SQ.FT. (8903.76 sq. an) ) -t PUMP PERFORMANCE CURVE w PUMP PERFORMANCE CURVE PUMP PERFORMANCE CURVE SUMP / EFFLUENT MODELS LL EFFLUENT MODELS 74 3/8",112"83/4" SOLID PASSING CAPACITY 3/8". 1/2" & 314" SOLIDS PASSING CAPACITY 42 53; 55 1 MODEL 48 X159 72 76 98 137/139 140/4140 151 152 153 4 191 Feet I Meters I Gal. Liters Gal. Liters Gal. j Lifers Gal. Lders Gal. Liter-~ Gal. Liters Gal- Lifers Gal. .Liters Gal. Liters I Gai. 13 5 1.5 29 110 43 1 163 38 144 50 189 72 273 993 352 86 ❑ters 326 50 189 69 261 1 17 291 10 3.1 22 6"s 34 129 1 30 114 40 151 61 231 79 299 80 [ 303 45 170 fit 231 70 265 3 12 15 4.6 10 38 19 72 14 53 30 ! 114 45 170 1 64 242 1 73 1 276 38 144 53 201 61 1 231 12 20 6 i - - _ _ 17 64 25 95 36 136 66 250 29 110 44 167 52 1 197 3 11 186 25 1 o_fij 8 30 1 59 223 I 16 1 61 1 34 129 42 1 159 ales 30 1 I 1 40 12.2 - 1 49 I 185 - - 23 87 33 1 125 . 28 1 106 - - - - 11 42 60 18.3 32 10 70 21.3 80 1 24.4 - - - - - - - - - - - - - - - - 1 - - 3 0 I - _ 90 27.e . - _ _ _ I - I - - - lOD 30.5 95- I 110 33.5 2 90 120 1 36.6 - - - - - I - 1 - - - - - 1 _ - - - I - - - i30 I _ - - - - 2 85 Shut-off Head : 18ftI5Sm1I 9.25 R 5.9m1 18 ~ I.am 0 1 ft(^„ I I 25 ft.(7.6m1 23 ft.(7.Omi 26 ft.(7.9m) SO R(15.2m' 30 ft.19.im1 I 38 ft.11 1.6m! ! 44 ft.f13.4mi 2 89 165 4165 75 i 0 22 70 16, 161/4161 163/4163 165/4165 185/4185 186/4186 { 188/4188 1 189/4189 191 4163 2 cal u1e al. Leers 1 Gai- 1 Mars cal. wars ca,. 1 Leers II . Gel. ' 0 549 u;Ers 100 61 231 58 220 145 145 549 549 746 548 45 17 60 I I .3 35375 2 6 61` 231 231 fit 231 58 220 140 1 530 14C 530 45 170 418 I 85 22 60 227 61 231 - - 58 220 734 507 735 511 45 17C i 41fi1 119 65 I 78 299 1 59 1 223 60 227 - - 58 220 128 484 131 496 45 170 I 1 140 70 265 I 216 59 223 - - S8 220 122 462 1 125 47 45 170 4140 62 235 50 55 206 s 58 11 220 8., 322 1 56 I 22D 116 ~I 43o . 120 454 45 170 188 45 170 46 1 172 5., 206 70 285 58 220 104 394 10c _ 1 413 45 170 1 88 45 41 20 76 33 125 50 186 S1 193 5B 220 90 341 97 367 45 170 15 57 39 148 32 721 58 220 71 269 85 322 0.5 770 12 2., 8r 34 52 152 197 51 193 fi., 26'I 45 170 153 I I 16 3e 1 as I n6 I 26 ~ 1 ' I - Ofi I S' 193 45 I 770 35 1 IT1 - I 1 116 117 2 8 34 729 45 1 170 157 - - - 6 80 0 - 17 IA 40 I 151 30 185 15 30 114 4185 - - - - - 20 76 I I _ I 36 20 56 Rf171m1 i 86 tL 9 (20.1m1 89 tt.0-4m1 73 R(2263m) 714 ft-(343m1 I 91 101.7.) I 1101L133.5m 137 1 Rf41 1 .8m 6 1, III I 009922 1 ` I ®CAUTION Model 185/4185 should not be subjected to 3 48 72153.55176 t37 less than 30 feet TDH. 5 ,SBI 0 139 NOTE: For Pump Performance on Model 112, Industrial column GALLONS 11 10 z 30 40 50 60 70 eo so too 110 7i0 ,3o ido 150 explosion proof pump, see FM0219. LITEF25 0 80 160 240 320 00 480 560 FLOW PER MINUTE w1 SEWAGE AND MODEL 211 264 266 267 268 270/4270 287J4282 28414284 29214292 29314293 29414294 295/4295 w DEWATERING 1~ 141 80 24 I 7s 22-; = - - - - - - - - - - - - - - - 7 - o - e z - ,5 41 20 a - I z,. 60 I 1 sn~~x , s.N~ sns.~ zns ,aic I I 5 0 8 I 009904 'm _ I 55 I I 16J I I S2 50 ~ I ~ I I I i I z I I iA- AF I 0 1 O ~ 40 I' i I 1 r- - I 1 I z_ PUMP PERFORMANCE i CURVE I I i 1 1 1 30 I I SEW I AGE MODELS ' I I 8- 1 I 1 I 1 25 I I 1 11 I 2 S®L 266 ~ B< ~ ~ ~ IDS PASSING _7G I I CAPACITY '!zel i j ' 61 ' 20 r 1~ ~ i II I I , a_I I I 1G I I I I zl I 1 I I I 7 I I 264 I 11 ACA UTION 1 4 I~~c 292 a I I 2 l 0 I I I I I, _94, _..5 Model 293/4293 snould not be subjected to less than 15 feet TDH. 10 20 30 40 50 610 710 80 910 100 110 120 130 140 ^ 50 1 60 170 180 190 20G 210 220 23 GALLONS LITERS 80 160 24G 320 400 480 560 640 720 800 FLOW PER MINUTE © Copyright 2003 Zoelier Co. All rights reserved. 6 PAGE-4-OF 5 GRAVITY-DOSED SEPTIC 1 PUMP TANK SPECIFICATIONS a.0 vent Pipe (No Scale) >1u tt from Building Electrical must comply with 12' Min. or 2.0 R above SAS 316 and NEC 300 Established Rnod Elevation Extend manhole riser as necessary, (typica!) Weatherproof Approved Junction Box IMPORTANT: Vent Cap Approved Locking Label Manhole with blaming La label Attached Anchor tank(s) as necessary (typical) pursuant to SPS 383.43(8)(g) Car,dut 4' Min- or 2.0 ft above Estab&shed Flood Elevation _ (typical) Finished Grade / Ai tight Seal ` ' ' f Cate Valve I fit/ *Quick Disconnect CAPACITIES @ Z ZI{ gain Depth (in) Volume (gal) watertight Plug I A Z4.5 5qlt. S ~ Min. Depth = Z , in 2.0 (below trostline) A _ Watertight Gasket [C] 7 D,. Alarm t7 1-77 . qz g _ an 1PUMP-OFF Pump Tank Liquid Level = in Pump Off ELEVATION = 3, b- 9•=ft Valvek Force Main Diameter = ,2- D INSIDE BOTTOM in concrete Bak ELEVATION 60 {t Force Main Length = ~Ift 3' Approved Bedding Material Beneath Tank Important: Bury force main below frost line or insulate as necessary pursuant to SPS 382.30(11)(c), W.A.C. [C] Total Dose Volume TDV = 17t, X54 gaUdose 77. Sy -i. -try- = 7D.- ~14 ~s -3 0 L(<_ 0.2X design flow- NO DRAINBAGK wt check valve) zo) `U x f f Z • ~L Vertical Lift = ft ,SS (O $L D m; A,, vi t c H EA 0 PUMP TANK: SEPTIC TANKS: Volume = - gal Total Volume = l t gal Manufacturer. Manufacturer(s): Pump Manufacturer, 4f~c, e ~-P Pump Model: Install approved effluent filter at the septic tank outlet (See attached pump curve.) Immedlately upstream of the pump tank inlet. Controls/Alarm Manufacturer: " f?(-lf; Filter Manufacturer: fit; ~y ~fK ControfslAairm Model: ALC-K Float switches cantainin rnercu re rohibited. Filter Model: `~2:~ 9~1~8-5~~--OtD8 OLO -WP 1A3?1 fl t11R 3tYO F fA 'mm mom of mH sn 9E[k7At ~no~- "wf1Mb►W ot1d3S o\ 2~'1-OQ8/tX3Zid'~4A ~ r' \ vi a W- Z tilt' 0 la Or f- -JtAJ t- < 0 N CC Z 32i P IL CY fu a- M w 1-- :3 13R t.- LL .mow _IX Ow G Q ~Ul +.a ZZ F o:m Q Z W C4 0 Qg¢J J 2 C.~ ~ O ~ ~ @ 1'' 1Z- N ~ ~ w m d :WC 0 Cal A U) 4, 4= Cc OD LL. Qa~M~~p~ ,N O ?1/80 S Y v n U- f z U) $ C9 0 f/g fn lal t~i N, w W> Q U Q a a c r~i. a p 1- i ¢ va < cq Q Fin vi' a r -0 Z C> 00 ..A"t) 16!-l MR USI win 0;= Lta 41:: 17 In nl-Z:3ww ea O F w F to v -x 4 E.J ~X Rai Z o a z oa U m -a z V i 2 v a z e6~ . 0 : g SYD $ r <W do d N ~ U s CL? U) En V n _Utr do W x038 ate w .96 .~S Q Y z 2 ~t3/.W 2CTV5'5T s04°7 1'44.5'w 58.28 _ 58.58 o D l I I - - - - w I C11 414.55 52°48'29' N1 7`15'19.5w 368.70 382.OB O X51 b C12 ~ 167.00 59°21'34' N20°31'52wW 165.38 173.01 m % /IS/ 1 ~ i CWot 2 167.00 03°4747'. N07'15'01.5 E . 11.08 11.08 00 U1 N \ \ l I 1 1 I OLmot 1 167.00 55°33'47' N22-25'45.5 W 155.68 161.95 to sl I LOT 2 1 z C13 40.00 128°46'02' S65 24'20'W 72.14 89.90 14, 'E / v ~7 1 I \ l~ ~l 2.680 ACRES 1 OUTLOT I TO BE CONVEYED ALONG WITH LOT 1 n• ,c: 8 I \ 1 1 , I (116,749 SQ, FT.) OUTLOT 2 TO BE CONVEYED ALONG WITH LOT 2 1 OUTLOT 3 TO BE CONVEYED TO ADJOINING OWNER O m NOTE, BUILDING DEVELOPMENT IS PROHIBITED ON j , \ \ 11 II-- I THESE OUTLOTS IN ACCORDANCE WITH 17.09 OF THE ST, CROIX COUNTY ZONING CODE, d Oa \ Y s4szez3"E --j UNPL TrED LANDS 2 a \~8'52'E 334.38' N89050'O2"W 775.91' m 1\ 2'\\ sv\' 'Up, 185.81' ,q276.13' \ ~ 2B\ O 180.87' \2p Eys'4yti FF \ - -7 r \ \ I I I STORM V / \I / I RETENTION `~>t \ \ LOT 3 / / 1 I H.W.L. _ 06 b N\ 2.50(ACR_E_S r / II 1 rn I (108,900 SO. FT.) / w I I m\ / / LOT 4 1 1 LOT 2 2.501 ACRES 2.507 AC e \ (108,945 SO. FT.) ,n \ (109,225S, \\~~X as - ------------D \ cy Al' \ c> - - - - - - N89°39'41'E 663.00' -889°36'41'W 663.00'- DER 31 - `.O~ - . - N89°39'41 LOT 6 0~~ 6 r 2.506 ACRES EMENTS 1 (109,147 SQ. FT.) / N \ I 0 1 N Ile- RIED CA BLES ARE T❑ BE PLACED SUCH THAT THE INSTALLATION °I- ANY SURVEY STAKE, OR OBSTRUCT VISION ALONG ANY LOT ' o-l f LINE. THE DISTURBANCE OF A SURVEY STAKE BY ANYONE IS A iECTION 236.32 OF WISCONSIN STATUTES. UTILITY EASEMENTS C I MIN FFE Q~O~'/ FORTH ARE FOR THE USE OF PUBLIC BODIES AND PRIVATE tJ+ ° I 835'0 CS HAVING THE RIGHT TO SERVE THE AREA. i -I fff/ / Z - STORM WATER RETENTION J Q~ p AREA H.W.L. = 833.0. -TOWN ON THIS MAP (PLAT) IS SUBJECT TO STATE COUNTY. AND - ° '6633' . """"""°°"'•"..361:05, ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer - ,41,eC ( SKI Mailing Address 00 6aum%,&tt. AV€._ 1.A, ~ K,Fc~ _NO; .ilia ` 5 p Property Addreka V ):AH)(ao ` KA(t! H u pSOA (Verification required from planning & Zoning Department for e construction.) City/State Parcel Identification Number CIO ~z '-3tD-Deb LEGAL DESCRIPTION Property Location NW 2/ Sec. 3't T Z-!3 N R.~W, Town of -~Y Subdivision Plat: &-zs Xait L-V i Lot # Certified Survey Map Volume Page # Warranty Deed # - (before 2007)Volunze Page Spec house Dyeswo Lot lines identifiableXyesllno SYSTEM MAINTEI\rANCE 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 three years or sooner, if 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 waste disposal system. Owner maintenance responsibilities are specifiedin §SPS. 3$3:52(1) and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned. have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services 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 Department within 30 da s of the three year expiration date. Uwe certify that all statements on this f m are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warran deed recorded in Register of Deeds Office. Number of bedrooms o SIGNATME OF AppLICANT(S) DATE 'Any information that is misrepresented may 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 Office and a copy of the certified survey map if reference is made in the warranty deed (REV. 04/1Z)