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HomeMy WebLinkAbout018-1096-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) ^ 597438 GENERAL INFORMATION State Plan ID No:" / / IV 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: OEVERING HOMES TOWN OF HAMMOND 018-1096-10-000 CST BM Elev: Insp. BM Elev: BM Description i Section/Town/Range/Map No: if , 09.29.17.785 TANK INFORMATION Y ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic 141 " ' Benchmark Dosing Pik 5' i Alt. BM Aeration Bldg. Sewer ; / j) } Holding St/ t Inlet !'7 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing_ Header/fir- /rte ~ 60- Aeration Dist. Pipe ono Ho ding Bot. System V Final Grade PUMP/SIPHON INFORMATION ' Manufacturer Demand St Cover Model Number ( J y ~a# TDH Li ry . s Frilon Loss System Hea - VDH Ft Forcemain Lengtllllr - Dia., t Dist. to Well 6 SOIL ABSORPTION SYSTEM BED/TRENCH Width f J ee No. Of enches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS` 6 d/ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Nurr*br/ DISTRIBUTI® SYSTEM; ' Header/M t Distributio A j x Hole Size,. 7x Hole Spacing Vent to Air Intake Pipe(s) I L r Length Dia Length/ Dia ! Spacing t 1 lf..l i SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r Depth Over xx Depth of xx Seeded/Sodded xx M ched Bed/Trench Ce ter Bed/Trench Edges j~ Topsoil i 1 . Yes 0 No " -YYes No r COM NT (Include code discrepencies, persons present, etc.) Inspection #1:' O/ V ZO aip,spection #2: Location: 1718 109TH AVE PLO" -4 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = J Plan revision Required? Yes No ~ t s Use other side for additional informatid'n. SBD-6710 (R.3/97) Date Insepctor's Signature Cent No. Ohl -ad t-7 71 F r€1 "'t ~ , Safety and Buildings Division C~ %0 1 `v,, < 8 t 201 W. Washington Ave,, P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, W 53707-7162 x F, i gin, INM W37 ^s State Transaction Number in acLto"fdance with SPS 383.21(2), Wis. Adm. Code, submission 01 `C11 ^ °ntal unit V ( 1 is required prior to obtaining a sanitary permit Note: Application forms for start A to Project Address (if different than mailing s) the Departmcmt of Safety and Professional Servies. Personal information you provide may _ G .1 / purposes in accordance with the Privacy Law, s. 15.Ci4(1)(m), Stats. 4 / ^ 7/,7 L Application Information - Please Print All Information Property Owner's Name Parcel # Property Owner's Mailing Address g~ property Location 0q, 17. 7 5 :~11_L 3 Govt. Lot City, State r, Zip Code Phone Number Zl? T,22,14, Section ~ , ~ ~ ~lc e} T.t'-t N; R-.C _ orw H. Type of Building (check all that apply) Lot # Subdivi an are 2 Family Dwellin;-Number of Bedrooms Q Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number Village of f~C'[ownof t' III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 7 A. cw System Replacement System Q Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) o ) R. ❑ Permit Renewal El Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner q9 7 rV. Type of POWTS System/Component/Device: Check all that apply) Q ? Ion-Pressurized 1n-Ground Q Pressurized in-Ground D At-Grade Q Mound > 24 it of suitable soil Q Motmd < 24 in. of le soil Q Holding Tank Q Other Dispersal Component (explain)- ❑ Pretreatment Device (explain) V. Dis rsalfTreat eut Area Information: 1 Des' Flow (gpd) Design Soil Application ds Dispersal Area Re e3 s 19 Dispersal Area Pro (s System Eievatio> - Tank Info Capacity in Total #,of Manufacturer Gallons _ Gallons Units New Tanks Es'st'n Tznks • o 2 a°'i a m g 1 1r+ a` U G , Septic or Holding Tank Dosing Chamber s' / I VII. Responsibility State t- I the undersigned, responsibility for installation of the POWTS shown on the attached plans. ,AQe Pitmmbs is Name (Pript) Pl s ignature MP/MPRS Number Business Phone Nurp z/z Pltmrber's (Street, City, State, Zip Co icL VIII. C unty/Deartment Use Only _ 77 roved I t Permit Fee I Da Issued Issuing . ignan re PP kP rven Reason for Denial 7~ ' A CoadtIAlasons for Disapproval g J rd 4b C 1 t8f`k,Eifltitl"l@*tl J y~ tii~sper .,i cell rlttist aA Elsr±i:CeP3' Pc to a \ _ _ b~ rK~rJ I~Q~~ as per ;management plan pt c, ndecl by plumber. ~Owlurt+ 2. 'All is+elbe<ik`rec;i+ mmens Must be t:,aint; ir.Ed 1 1~.lr+ol~ W~ a.7r'~ o . as per aiCtlblts -0A,-* I crdinancs3. Attach to complete plans for the ststem and submit the County only on paper not less Sun g 1rz z 11 inehes in sin Gtr. f A, '4at-e f' SBD-6398 (R. I I/ 11) tx~ Lit J~,~ ~ System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 1/4 NW 1/4S 9 IT 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 100.7' DATE 7/11/17 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 MOUND )00( SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1" iron pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H,R,P, same as benchmark B•M- B-1 Property Line 100' 99.7' 9 9 ~ B-2 Grading is to be done to divert run-off away from system 4% Slope B - 3 Huffcutt Combo Tank i 1 Well is to meet Area 15' below system is to' all WDNR remain undisturbed setbacks Pro 3 Bedroom House Tank is to be properly bedded and provided with lockdown covers with approved warning labels Property Line 109th Ave Property Line ti AxTr F DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov A \'~r~Fissro* ~t~ i Scott Walker, Governor Laura Gutidrrez, Secretary August 03, 2017 CUST ID No. 226900 ATTN.; POWTS Inspector t . ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/03/2019 Identification Numbers Transaction ID No. 2978735 SITE: Site ID No. 841278 Oevering Homes Please refer to both identification numbers, 1718 109TH Ave above, in all correspondence with the agency. Town of Hammond St Croix County NW1/4, NWI/4, S9, T29N, R17W Lot: 10, Subdivision: Pheasant Ridge FOR: Description: Mound System (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1720834 Maintenance required; 450 GPD Flow rate; 34 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the 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. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, 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 8/3/2017 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • 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 servicingpad is located 2. The bottom of the tank is located more than 150 feet horizontally from where the servicimZ pad is located • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required S 250.00 _&ea/ 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 Wyment S code: 1. 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm titn.vanderleest ct)wisconsin.gov SHAUN R BIRD Page 2 8/3/2017 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(l)(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. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizin2 to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered. to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 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.vanderleest@wisconsin.gov II Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 7/11/17 Owner:Oevering Homes Location: NW1/4 NW1/4 S9 T29 N,R17W 1718 109th Ave Hammond Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Specifications and cross section Attachments: Soil Test Shaun Bird Signature License numbe 26900 20Page 1 of 9 .)t 14 ~ ~iRY SERV C,E System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 1/4 NW 1/4S 9 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 100.7' DATE 7/11/17 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1" iron pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B.M.* B-1 Property Line 100, 99.7' 99, B-2 Grading is to be done to divert run-off away from system 4% Slope B-3 Huffcutt Combo Tank Well is to meet Area 15' below system is to all WDNR remain undisturbed setbacks Pro 3 Bedroom House Tank is to be properly bedded and provided with lockdown covers with approved warning labels Property Line 109th Ave Property Line Mound System Cross Section and Plan View - Dimension Feet . J 1 B r 1 D 1 M1r~rr~rr~r 1: .j~1•:f: rh flr\14~ti~l:i.~ti:ti~l:ti:ti~ti:tirir\:ti:1:1:1.L.M1.M1. :•,.,...f•f.f.,.,.,.,.f.,.f.,.f.f.,.f.f.f.,.f.f.f.f:,.:.r.....:.;.r.r.r.r.r.r,,M1 E •L•M1•M1•M1•M1•M1•M1•L•L•YM1•L•M1•M1•M1•M1•M1•L•M1•L•. L L L L M1 M1 L M1 L M1 f.,.,.f.f.f.f., :r.r.f.f.,.f.f.f.f•f.f.f.f.,.f.f.f.f.f.f.f.f.f.f.f.f.f.,.f •M1•L•M1•L•L•M1•M1•L•M1•L•L•M1• - r.: M1.M1.M1.M1.M1.M1.M1.M1.L.L.M1.M1.M1.M1.M1.M1.M1. A . ~rL •fY.f.f.f.f.f.f.f.f: 1 / f M1.L.L.L.M1.M1. S.S. M1.M1.L.M1.M1rM1.ti:y:ti~~,:4~ fti~4:1.1 1•M1•M1•M1 1?1~ti~1:ti:ti~1:ti:1:M1.M1•M1.L. F 1 W 40 I, 1 G 1 S H I' I I r< f 1 I J t K i L W 10 K--T B 1 Z L Slope % 1- -1 = Topsoil = ASTM C-33 Clean aggregate = 4 in. sch. 40 pvc Cap Material sand fill /2 to 2 /2 in. dia. observation pipe L -.j Geotextile G H Fabric F Ft D :.E t Plowed Surface Ft Contour Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a'/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07 lgj Page of Pressure Lateral Layout Two Laterals - End Manifold 'T'hreaded Cleanout Lateral Turn-up Plug Manifold M X L - Long Force Main I Al Sweep 90 Bend Distribution etwork S ecifications Pressure System Construction Lateral Diameter In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter a In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) In. the pipe with a sharp drill bit and face down. L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded M Manifold Length) Ft. ceanout plug and are enclosed in a 6-8 inch Force Main Diameter off' In, diameter lawn sprinkler valve box accessible Force Main Length p Ft. from finished grade. Grade 6-8 Inch Lawn Sprinkler Valve Box Page of 03/051gj Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number Pump Model Number L Total Tank Capacity ; Alarm Maaufacduer 1!. ` Max. Bury Depth Alarm Model Number C_ t,-- Switch Type /f2~t'~l~ /LiG Filter Manufacturer Total Dynamic Head (MM - Feet Filter Model Number j Elevation Head Distal Pressure Network Loss F Minimum Pump Performance Required Force Main Loss GPM % Ft TDH Total outlet Manhole Min' 4" Above Grade With Locking Deciice. Inlet Manhole Manhole Min. 4" Above Grade With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted Weather--proof Junction Box r Finished Grade 71P Vent Min. 12" Disconnect Above Grade Means ' With Vent Cap OWet Filter Inlet :inlet Baffle - A CapaCilY 'A" • Switch Settings and Reserve I Weep Tank Volume = ZS- GPI Hole Dimension: Inches Volume Gal. $ (reserve) A . 7 C (alarm) B : 2 . Off levation Ft IX ; (dose) Bottom (dead) DC a > . D Elev •on > Ft Total _7 >:r.: <>< ~i?. ,<s , s . , > > , a a > o a s r r a`a , r > a a r r > > a a > > r . . > > , > r a•>`r;>•✓ < . i : <>a><>a':<i> 'a>ai> i>< i•<r: <><><•<> a<><'<•a><><•<•a°<>• :s aa.<<<<,<<<<a<a<a aaa<<a <<<a ar,><<. <aa <<< <<.<>< GENERAL Il~ISTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maxiffium depth of bury as specified by the manufacturer may not be exceeded without pttor approval. Manhole covers exposed to grade have an. of fc ive locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the . sleeve is sealed watertight. , Electrical .ser complies with NEC 300 and Comm 16.2:3. vice Paged Of 02105 L) TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING , 53 f MODEL 152/153 ~ i MODEL i t 52 w 50 Feet 1 t4eters Go!. i Liters I Got. I Liters 5 1.5 1 69 261 77 291 153 3 61 I 231 j 70 265 10 . i 1 12 40 152 15 4.6 53 201 61 231 q 20 .i 61 1 44 167 52 197 i ~ 30 25 I 7.6 34 129 ~ 42 i t 59 ; a 8 30 9. t 1 23 87 ' 33 125 0 35 ? r' - 1 - - 22 85 J ~ 20 I 1 i I 42 < 40 12.2 1 I I 3.0 (11.6m)44A Ft. 11.4r~ LocK Voiv2: 3 1 ; 4 10 ci4soa I ` i 0 20 60 80 100 GALLONS 6 1/4 LITERS 0 80 160 240 320 - 3 27/32 I 1 a 5/8--1~ FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. J OO 3 27/32 s 1 • Electrical alternators, for duplex systems, are available and supplied with I an alarm. 1 • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable -r level long and short cycle controls. 1 • Sealed Qwik-Box available for outdoor installations. See FM1420. 1 • Over 130°F. (54°C.) special quotation required. I~ I ~ ,z t/5 -11 MODELS t- rl''t 1521153 Series Control Selection 1521153 I' ~ ~ 5 t/o I Model Volis•Ph Mode s Sim lex Du lex N152 115 1 Non 6.5 1 2 or 3 1 _L { sKZOSa BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 SE152 230 Auto 4.3 Inclined 2 or "t N153 115 1 Non 10.5 t 2or3 SELECTION GUIDE BNt53 115 1 Aura 10.5 Inclu7ed 2 or 3 E153 I Non 2or 3 1. Single piggyback variable level float switch or double piggyback variable level float 230 5.3 1 SE153 230 1 Auto 5.3 included 2 or 3 switch. Refer to FM0477. & CAUTION 2. See FM0712 for correct model of Electrical Aftemator E-Pak. All 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) licensed electrician. All electrical and safety codes should be followed including the most of (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. MAIL T0: P.O. BOX 16347 Louisville, KY 40256-0347 Manufachxersof.. Z SHIP TO: 3649 Cane Run Road p Q ® Louisville, KY 40211-1961 QlLaUTYPoM~$ l~NCE ~~3c/ (502) 778-2731.1(800) 928-PUMP la FAX (502) T74-3624 httpJ/www.zaeller.com 0 Copyright 200Koeller Co.( 1 rights reserved. 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page--_of FILEINFORMATION SYSTEM SPECIFICATIONS i Owner Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units Pump Tank Capacity 3 0 al ❑ NA Estimated flow (average) ' aVda Pump Tank Manufacturer NA I Design flow (peak), (Estimated x 1.5) aVd Pump Manufacturer ❑ NA Soil Application Rate al/da fle Pump Model ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit A Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Grgvel Filter ❑ Peat Fitter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality A Monthly average" Dispersal Cell(s) round (pressurized) Biochemical Oxygen Demand (BOD5) 530 mg/L ❑ In-ground (gravity) ❑ Ell Total Suspended Solids (TSS) 530 mg/L ❑ At-grade nd ❑ er. Fecal Coliform (geometric mean) 510` cfu/100m1 ❑ Drip-line aximum Effluent Particle Size Y inch diameter Values typical for domestic (non-commercial) wastewater and M septic tank effluent Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months ar(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume Inspect dispersal cell(s) At least once every ❑ monthsear(s) (Maximum 3 yrs.) Clean effluent filteEcontroEls& At least once every ❑ months ❑ year(s) Inspect pump, pualarm At least once every ~j ❑ months r(s) ❑ NA Flush laterals and pressure test At least once every 30 months r(s) ❑ NA Other: At least once every ❑ months ❑ year(s) NA Other At least once every ❑ months ❑ year(s) NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cep(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mnlcal or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servlq! report shall be provided to the local regulatory authority within 10 days of completion of any service event START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a s!~ tage servicing operator prior to use. Page of have therco iten1tces ~oftth4r START UP AND OPERATION or othe For new construction, prior to use of the POWTS check treatment ) if hiyh concentrations are deter products may impede the treatment process and/or damage the dispersal cell(s). 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. . When restored power the During power outages pump tanks may fail above onormal verloading the cell(s)land may result in the rack p or surface _ischarg ao effluennt discharged the dispersal cell(s) in one large dose, the o~n~g to restoring es(e peal levels To avoid this is situation have the contents of the pump tank removed by a Septage Servicing effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating pump within the pump tank. compact, the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or comps 15 feet down slope of any mound or at-grade soil absorption area. and Reduction or elimination of the following from the wastewater ste rgs Spdenth pert odiap s; d sinprolong t fallife ; fof the oOn drag antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; (sump pump) water; fruit and vegetable peelings softener gasoline; grease; herbicides; meat scraps; medications; oil; painting producils; pesticides; sanitary napkins; tampons; and water so 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 propetiy and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • Ail 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 compliion replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption requ yst ed The replacement area should be protected from disturbance and compaction and should not be infringed upon setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the erlen for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ru i effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology/ a olding 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 evaluation m performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a resort to replace the failed POWTS. >9~Mousrce. d and at-grade soil absorption systems may be reconstructed in piece following removal of the biomat at the infiltrative 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 NOT ENTER A SEPTIC, PUMP OR OTHER TANK MAY 13E DIFFICULT CULT OR CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A ADDITIONAL COMMENTS " POWTS INSTALLER POWTS MAINTAINER E Name ' Name Phone Phone j SEPTAGE SERVICING OPERATOR PU ER LOCAL REGULATORY AUTHORITY Name Name , / 171 / i Phone _ --1 , _ Phone This document was dratted in compliance with chapter SPS 383.22(2)(b)(1)(d)&.(f) and 383,54(1), (2) & (3), Wisconsin Administrative Code. 1 l' la `W ii N y n 1lfil X14 ~i 1 1 t.ihl~ i I m Qom; a Q , N O a k Q co v Q 3 Z O ~ a U N r- i i 1 i e ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ,r~ OWNERSHIP CERTIFICATION ]FORM Owner/Buyer C/eJ L~ J Mailing Addres /LB GIGO ~L / ' Property Addres - (Verification required from Planning & Corung Department r ew construction.) City/State Parcel Identification Number l(~ LEGAL DESCRIPTION Property 1n Location Y a 4, SCC. , T Z, N R"W, Town of E /iy Subdivision /'7 '"--j Lot # . Certified Survey Map # Vohtme Page # Warranty Deed # Volume . Page # Spec house yes no 110t lines identiftabk yes no SYSTEM MAINTENANCE AND OWNEg CERr IHCATION 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. twee 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 specified in §Comm. 83.52(1) and iu Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning owner and by a master plumber, journeyman Plumber, restricted plumber o &li Zoning puDepartment mper ve a certification form, signed by the fying 'wastewater disposal system is in proper operating condition and/or (2) after inspection per pin (if that a the on -site less than 3 /3 full of shrdge. and pumping (if necessary), the septic tank is I/we, 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on form 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 w uriy deed recorded in Register of Deeds Office. Number of bedrooms IGNA OF APPLICANT(S~ - DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & `Coming 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. 08/05) ! 08. 14' S54° 59' 54* E N84°22' 34`W S6q° S _ 230.41' ° 9 s/ •F LOT O' 4 h 3 Q-- p R' /9p 3 9~W N T9 0 -`Q Iva, 1.90 A 4 Mj 9/, 82,716 N LOT 8 1.51 ACRES LOT 12 65,863 SO. FT. 1.61 ACRES 70, 292 60. FT. ti LOT ' s 6° HWE 1070' co /6' n LFE 1072' 1.52 ACRES 2 o ^7 66,232 SO. FT. a ^ 6 T6' 355. 3y, 15r : ; 04 ° 53' _ M 93. 63, ° 37•.39 . 9Q ~0 2 0 1466 ` ~ 1 L OT to) o ' E ` ' 2 v 1.54 AC N ° 53 O I --q o - N 66,906 SO. FT. 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