HomeMy WebLinkAbout018-2007-24-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan I D No 600276
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:
NICHOLAS MAKER TOWN OF HAMMOND 018-2007-24-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
05.29.17.963
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTUREf~n T CAPACITY STATION BS HI FS ELEV.
Septic . 4 Benchmark
14- J_1 -11, 1 1~ ~
t r. .7.4 /4z' /ors.
q `"t Alt. BM
Aeration Bldg. Sewer c~
Moidirl
q. St/Ht Inlet ^
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic
Dt Bottom
Dosi - Header/Man.
Aeration Dist. Pipe -7
V
Holding Bot. System
PUMP/SIPHON INFORMATION Final Grade ]
/f~
Manufacturer Demand St Cover
GPM ' •
Model Number ] I,
TDH Lij-)_~ FrictiortiLQa§ System Head TD Ft
Forcemain Length,,
, Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Li id Depth
DIMENSIONS r
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer,____"_..
INFORMATION CHAMBER OR
Type Of System:: / A
UNIT Model Number:
ti•
DISTRIBUTION SYSTEM
Header/Manifold
Distribution ^ x HoleSiDe x Hole Spacin VeOM Air r e
I I#
1 Pipe(s) s
Length ` Dia Length , Dia Spacing i/
SOIL COVER x Pressure Systems Only xx Mound Or At- de Systems Only
Depth Over Depth Over 1XX Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
Yes No Yes L] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1Z 5 17 In ction #2:
Location: 1660 115TH AVE OUT
1.) Alt BM Description I~-
2.) Bldg sewer length = C t °,t Ca v f (:t
- amount of cover
per ~t ~ti. r T
Plan revision Required? ❑ Yes ❑ No ( r
Use other side for additional information.
Date Insepctor's Signa u Cert. No.
SBD-6710 (R.3/97)
I,
54 ao
County r
S Safety and Buildings Division
<~fl K "EC p„IV 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
r~ Nladi W1 70 - 162
~L NOV 1 2J H1GFN1 l~~rsz7~
ST. ~rr~-- 3`~GFQ 1 T ~ Traction Number
once w~ V , sion of this form to the appropriate gor. nit
C
Oc~
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POe sd to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal infonttalion you provide may WT S used ar ubmitte
for sewn
_REposes in accordance with the Privacy Law, s. 15. 1) m), Stats.
L Application Information - Please Print All Infor o C/
Property Owner's e
~ Parcel #
L) ick 00 C9
Prop Owner's Mailing Address Property Location !~S,
- -I -4L
i-7
I,.Lt- IV LA-' Govt Lot
City, State Zip Code I Phone Number /
Section
le ne
II. Type of Building (check all that appl T. N; R rrcE
OT 2 Family Dwelling-Number of Bedr -2:1 M Subdivision Name
ok I B
0 Public/Commercial-Describe Use
0 City of
❑ State Owned - Describe Use CSM Number 0 Village of
Town of
49 "Ir 57
C
Iii. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A.
l ew System 0 Replacement S stem
Y ❑ Treatnient/Holding Tank Reptaceruent Only 0 Other Modification to Exitd g System (explain)
$ ❑ Permit Renewal ❑ Permit Revision Cl Change of?lumber ❑ Permit Transfer to New List Previous Permit NumbeDate Issued
Before Expiration Owner
IV Type ofPOWTS S stem/Com onent/Device: Check all that a 1 _ r 5
17 Non-Pressurized In-Ground 0 Pressurized In-Ground 0 At-Grade _ 4tt),md > 24 im of suitable soil 0 Mound < 24 in. of suitable soil
0 Holding Tank 0 Other Dispersal Component (explain) 5etreaunent Device (explain) /
V. Dis rsal/Trea ent Area Information:
Design Flow (gpd) Design Soil Ap licati dsf) Dispersal Area Required' D' ~ al Arrp Propo ~ System Elevation
VI Tank Info Capacity in Total # of Manufacnaer
Gallons Gallons Units a
New Tankc Existing Tank
t t ~ o 2 ~ a m ~
U vi o V) t- (.5
$eptEC or HOldmg Tank
Dosing Chamber
VII. Itesponsibifity tement- I, the undersigned, • u e responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name ) PI Signature MP/MPRS Number Business Phone Number
Z C~ 71.
P ber's Address (Street, City, State, p
IVIM County/De artment Use On}
Permit Fee Date sued
Pproved tsapproved Issuing t Signature
_v ReasonforDenial ~LiA •°e' /5 I7
DL Condi i o t aso a royal - l f~
! r, , rr~ pp C tHowD 1 A. S I o~1 t
UiSl~2t ,cell !"tU32 all be Sr?f01C8S ! rrlF ~•C t~l
3sper mar3Sernen'. plan praiided by plw fiber. alne, (,..J/PA.A V _
2. AA Eck rec,%iret:•lemn muakbu maj- *Ors4 r•~we~'~. ` °
as per 11wlkxlbhe mde 1 CMinanot3.
Attach to complete plans for the s}stem ar:d submit to the County only ou paper not less than 8 to x 11 inches, in size
SBD-6398 (R. 11/11)
System PLOT PLAN
PROJECT Nicholas Maker ADDRESS 521 Lulu Lane Roberts Wi 54023
SW 1/4 NE 1/4S 5 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 109.5' 10/17/17
DATE BEDROOM 3
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND 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
AL BENCHMARK V.R. Top strraep-iron alv ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE (DWELL *H.R.P. same as benchmark
~.M.*
424' Property Line
12% Slope Area 15' below system 1.5 Arce Lot
5 is to remain
undisturbed
Scale = 1/4" = 10'
B-3
B- Well is to meet all WDNR setbacks
~1S
1.9.64 Pro 3
44)w Bedroom
B _ House
Grading is to be done to divert Huffcutt Combo Tank
run-off away from system
Tank is to be properly bedded and provided with
lockdown covers with approved warning labels
115th Ave
ati n~Nr DIVISION OF INDUSTRY SERVICES
mss' on 2331 SAN LUIS PL STE 150
GREEN BAY WI 54304-5211
Contact Through Relay
l~
/ http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
~0~Z'ssio
Scott Walker, Governor
Laura Gutierrez, Secretary
November 09, 2017 Rx`1
CUST ID No. 226900 ATTN: POWTS Inspector
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: 11/09/2019 Identification Numbers
Transaction ID No. 3021613
SITE: Site ID No. 844543
Nicholas Maker Please refer to both identification numbers,
1660 115TH Ave above, in all correspondence with the agency.
Town of Hammond
St Croix County
SWIA, NE1/4, S5, T29N, R17W
FOR:
Description: Mound System (3 Bedrooms - New Construction)
Object Type: POWTS Component Manual Regulated Object ID No.: 1735535
Maintenance required; 450 GPD Flow rate; 27 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 11/9/2017
• 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 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. 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 $ 250.00
1 ter, vllle r &eo- 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
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
SHAUN R BIRD Page 2 11/9/2017
• 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 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. Any changes may result in pump resizing 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/op eration.
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
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
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
r 715-246-4516
Date: 10/1717
Owner:Nicholas Maker
Location: SW1/4 NE1/4 S5 T29 N,R17W 1660 115th 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 Co(itigency plan
9. Filter SpecificatiCcross on
Attachments: Soil Shaun Bird
Signatu re
License 4be'r'
226900
; iVED
Page 1 of 9
~.)GT 19 201
INDUSTRY SERVICES
System PLOT PLAN
PROJECT Nicholas Maker ADDRESS 521 Lulu Lane Roberts Wi 54023
SW 1/4 NE 1/4S 5 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 109.5' 10/17/17 3
DATE BEDROOM
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 survey iron ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
B.M.*
424' Property Line
12% Slope Area 15' below system 1.5 Arce Lot
is to remain
08.5
undisturbed Scale = 1/4" = 10'
B-3
B-
Well is to meet all WDNR setbacks
105' Pro 3
107' Bedroom
House
B 11 0 9'
Grading is to be done to divert Huffcutt Combo Tank
run-off away from system
Tank is to be properly bedded and provided with
lockdown covers with approved warning labels
115th Ave
Mound System Cross Section; and Plan View
77 7:7
% Dimension Feet
A A
g
r _ -
r
V •M1•M1•YL•YM1•M1•M1•L•M1•M1•vL.M1.L.M1.Y1•M1• L.
r•rY•f•r•f•rYW M1YVL.M1.YY1•YL•L.YYL.YL
Y WYYY ! M•r. r rv~f NYKMY rir~NLJ l.J•~J.r.11 j: • : ' L./
A r YY M1•b YY YYYS M1.M1.L L•M1•V
^r•r'r'r'` Y~11 M1W1Y~J.fMJY•r• r~ rYM1'~:K~~••L'L'YLMi•L•L•YL•YL.YL.ti.L.L.1••
M1•L•YM1•L L•L•YL•YM1. JMr.JY.r.r.JM1.J.rMJ•J•Jw•JY M1•M1•M1 L
7''~
L•M1 ti'YLftifYY1•L•YL•M1•YL.L•L.L.YYYYL.L.YL. M
•yLrYM1•M1 1~41~.\.1rYti Yrt YYY1•rY ~YY4tiJ.Lµ.L:LM.L.~L.y M~Ml.1.J.JY•1.JYMM1J. L.L•L.L•LY
1J
r •1~ J1 Yw•YJL~.Lr ~~"L. Y. YLJWMr.rYW.r Y.J.rYYY•/w.hrY•FI~J.• J~ JYYM1.M1•L.LJ .JY•.hL.L~Y ,~R
W Yti r•YVL.YYYYYYYYM1•L L Y.y~Y~ .L L M1.L. •r•1•rMJLYL•L.YYM1hJY•/Yw ' F
YVY•r•rMf•f•fY•JY YMJ•f•.I~f•Y}JM.r~.ryy.YY.r.rW
40
r
S'
it
A
H
V.
I
- I
r
r- -
K
- _ L
-
K B - Z
L 40 Slope 00
-1 = Topsoil = ASTM C-33 Y = Clean aggregate = 4 in. sch. 40 pvc
LCap Material sand fill YY' %2 to 2 %2 in. dia. observation pipe
L•YY
Geotextile G H
Fabric
ti•Y ~.y:vM1%M1:L:y.1
L. ~.J.J•JY•l K•
YYyK•Jy LY4 F
FfY K.
NAY •J•JYY•J. G/
JYY ti•V•ti••.•YM1 L. M _
` Plowed Surface
G28 ~ J 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 1/4 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 sa nd 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
4 Threaded
Cleanout
Lateral Turn-up Plug
Manifold
M
X
L / Long
Force Main Sweep
90
Bend
Distribution Ne ark Specifications Pressure System Construction
Lateral Diameter Z.- In.
Manifold Diameter In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter 3 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. cleanout plug and are enclosed in a 6-8 inch
Force Main Diameter In. diameter lawn sprinkler valve box accessible
Force Main Length Ft. from finished grade.
• • • Grade •
6-8 Inch Lawn
Sprinkler Valve
Box
I ~
Page of
03/05 lgj
Septic-Dose Tank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacturer
Tank Model Number Pump Model Number S Z
01 6
Total Tank Capacity 3 Alarm Nftmu actL=
Max. Bury Depth ~ Alarm Model Number G--r/
Switch Type /fit l C
Filter Total Dynamic Head (TDH) -Feet
Filter Model Number ~ ZZZ Elevation Head
pistil[ Pressure L
Network Loss /
Minimum P p f erfol3 m= Required Force Main Loss
GPIvL Ft TDH Total
outlet Manhole Mm. 4" Above Grade With Manhole Min. 4" Above Grade
Locking Device. Inlet Manhole With Locking Device
< 6" Below Grade Sealed Watertight Securely Mounted
Weather-proof
Junction Box
'WAN wo Finished Grade .
Vest Min. 12" Disconnect
Above CYrade Means
With Vat Cap
NIN
Outlet Filter _y
Wet Baffle -
~:apacitY Weep
Switch Settings and Reserve
Tank Volume = GPI Hole
B
.
Dimension: Inches Volume Gal.
(reserve) A > 6
X- Off Elevation C
alarm) B : 2 : 0 • ; <
Ft ► Bottom
< (dose) C , S 7,
> l D Elevation
(dead) D 3 S Ft
Total
faf••i 1<t<<ttt<s, <<s•a << t <..t<• < <s. s.a<t<aatt: •<< fsf:tit<<t't <•:t <i~t t<<<e <i s<t,t< < •
>t>~f i t><•: <>t•s t>a :>fy:<t:: i i:t>t>t>a>:i i>:.>t>:i>t>::i i t>i ti>ti::'i t>::.ti ::>i:t>: s:t,>i < i : i <>:::s :i i:i:Ss:s•i i::<>t•
in accordance with the
GENERAL VWALLA' ON: The. sepnc/dose tank is bedded and .back filled i
. .the manufacturer may not
manufacturer's produet.approval specifications. Maximum depth . of bury -as . speciftd by
(padlock)
be exceeded p ppmval to grade have an. Bf0e10 locking device t fit (pand
without or . , Manhole covers exposed inlet and outlet is of approved material, mneded to the tank with water
installed. Piping at the The for= main is sleeved with 4" Such. 40 PVC to bridge the tank
laid on stable soil to p ment sung or .sag , - lies viiihNEC.300 and Comm 16.28.
excavation and the .sleeve, is sealed watertight- Electical :see vice comp
02105 LI
TOTAL DYNAMIC r:EAD/CAPACITY
PER MINUTE
HEAD CAPACITY CURVE EFFLUENT AND DEWATERING
v1 MODEL 152/153 MODEL I 152 153
cc. Wt5
50 Feet Meters Gol. Liters I Col. , Liters
5 1.5 I 69 251 77 291
153
10 3.1 bl 231 I 70 26
12 40 1'62 15 4.6 53 201 61 231
20 i 6,11 1 44 167 ` 52 197
_ 25 7.6 34 129 42 159
30
125
Q 30 9.1 1 23 87 i 33
8 1
} 3` 72 55
Q r V I
20 40 12.2 ; 1 11 I 42
Lock Valve X38.0 Ft. (11.6m)I=Ft, 010
1 0
20 4 6,0 80 100 I
GALLONS 8 1/1I
--.~yl-~-~ 5/8-~
LITERS 0 80 160 240 320 3 27/32 l
FLOW PER MINUTE
3 27,/32
CONSULT FACTORY FOR SPECIAL APPLICATIONS
® i 3 27/32
• Timed dosing panels available. I L
• Electrical altemators, 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. { j
• Sealed Qwik-Box available for outdoor installations. See FM1420. I j
• Over 130°F. (54°C.) special quotation required. 1
12 1/8
1521153 Series ! 1
MODELS control Selection ! f LPG I I
~ ~/8
152!153 ~
Model Volts- Pb td~? Sim ex Du lex I I
N152 115 1 Non 8.5 1 2 or 3 SK20e4
BN152 115 1 Aura 8.5 Included 2 or 3
E152 730 1 Non 4.3 1 2 or 3
SE152 230 1 Auto 43 Included 2 or 3
N153 115 1 Non 10.5 1 2or3 SELECTION GUIDE
BN153 115 1 Auto 10.5 Inclu•.ied 2o(3 bads 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 FM0477.
n cAUTlort 1 See FM0712 for correct model of Electrical Aitemator E-Pak.
3. Variable level control switch 10-0225 used as a control activator, specify duplex (3)
All installation
afety devices and should be followed including the most Or (4) float system.
electr aWetric cian. AD controls, electrical and protection safety
license
retest 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 TO: P.O. BOX 16347
Louisville, KY 40256-0347
SHIP TO: 3649 Cane Run Road
`Q Louisville, KY 40211-1961 Q /TY ~/lAfPS J/NCf sap
(502) 778-2731.1(800) 926-PUMP
FAX (502) 774-3624
htgo://wwwzoe//ercom
0 Copyright 2000 Zoeller Co. All rights reserved.
1 POVVTS OWNER'S MANUAL & MANAGEMENT PLAN Page_ of
FILEINFORMATION SYSTEM SPECIFICATIONS
Owner CC Septic Tank Capacity al ❑ ,NA
Permit Septic Tank Manufacturer
T
DESIGN PARAMETERS Effluent Filter Manufacturer NA
❑ NA Effluent Filter Model ❑ NA
Number of Bedrooms
Number of Commercial Units NA Pump Tank capacity at ❑ NA
Estimated flow (average) gal/day Pump Tank Manufacturer
day Manufacturer NA
Design flow (peak), (Estimated x 1.5) l~ aV P
Soil Application Rate 1,7 gd /ft2 Pump Model O NA
Influent/Effluent Quality Monthly average' Pretreatment Unit
Fats, Oil & Grease (FOG) S30 mg/- ❑ Sand/Gr4vel Filter ` 0 Peat Filter
Biochemical Oxygen Demand (BOD5) g20 mg/L O Mechanical Aeration Q Wetland
Total Suspended Solids (TSS) 5150 /L 0 Disinfection
Manufacturer
Pretreated Effluent Quality A Monthly average- Dispersal Cell(s)
Biochemical Oxygen Demand (BODS) 530 mg/L 0 In-ground (gravity) 0 In-ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L 0 At-grade ~ and
Fecal Coliform (geometric mean) 5104 dull 00m1 0 Driine 0 Other.
Maximum Effluent Particle Size Y. inch diameter vanes typical for domestic (non-oomrnenciaq wastewater and
septic tank effluent
values typical for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every 1-2 0 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 months ear(s) (Maximum 3 yrs.)
Clean effluent filter At least once every ello months ear(s)
Inspect pimp, pump controls 8 alarm At least once every 0 months ear(s) ❑ NA
Rush laterals and pressure test At least once every 0 months ear(s) 0 NA
At least once every 0 months 0 year(s) 0 NA
OW
tither: At least once every 0 months O year(s) 0 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 Restrictgd Sewer, POWTS Inspector, POWTS Maintainer, Septage
Ser(riclng Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken
hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up
or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels
in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of-effluent on the
ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third 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, m nical or pressurized POWTS components, pretreattment components, and any
other maintenance or monitoring at' als of 12 months or less shall be performed by a certified POWTS Maintainer.
A servicg 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 paintigg products or other
chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high conc< ations are
detected have the contents of the tank(s) removed by a septage servicing operator prior to use-
page of
START UP AND OPERATION (s) for time presence of painting products or other chemicals thElt
For new construction, prior to use of the POWTS check treatment tanketcted have the contents of thO
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations
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. ble
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess vastawater yy
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge effluent. will bl the
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
within the pump tank. the area within
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 We of the POWT$:
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain
(sump pump) water; fruit and vegetable peelings; gasoline, grease; herbicides; meat scraps; medications; oil; painting products;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propI
and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:.
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliont
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requioed
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the no3d
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule$ in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologl/ 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 evaluation
m uit
be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as
a last 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
_14 . 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 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 POINTS MAINTAINER
Name Name
Phone
-
Phone
21
SEPTAGE SERVICING OPERATOR P PER LOCAL REGULATO Y AUTHORITY
E Name Name
f
Phone J i Phone -7j A714
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(t) and 383.54(1), (2) & (3), Wisconsin Adsninistradve Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer C 1 c i'r~
Property Addresi
t~ ( ,sly ~onirig (Verification reciwited from Plannng & Zt far new conshuction.)
City/State Parcel Identification Nulaber Q 1 ~ cy)
LEGAL DESCRIPTION
Property Locations Y- JJ E t/4 , Sec. D , T Z .(N R_1_2W, Town of t
rn
Subdivision `
.Lot #
CertMed Survey Map #
Volume Page #
Warranty Deed # -T~ 6 1 , Volume , Page #
Spec house Yes no Lot line` identifiable
SYSTEM MAINTENANCE AND OWNER CERTEFICATION
Improper use and maimenance of your septic system could result in its premature faihau to handle wastes. Proper
trunitenance consists of pumping out the septic tank every three years or sooner, it 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 in Chapter 12 - St Croix County Sanitary Ordinance.
The property owner agrees to submit to St Croix County Planning & ,Zoning Department a certification fob signed by the
owner and by a master plumber, journeymen plumber, resbdoted 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 titan 1/3 full of sludge.
I/we, the undersigmd 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 retuned to the St Croix County Planning &
Zoning Department within 30 days of the tlmee year expiration date.
Uwe certify, that all its on foam are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by vnof a deed recorded am Register of Deeds Office.
Number of bedroom-
SIGMA PLICANT(S}
DATE
***Any information that is misrepresented may result in the swiitary permit being revoked by the Plaiming & Zoning Departmem.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
refi mme is made in the warranty deed.
(REV. 08/05)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of
Division of safety and Buildings
- in accordance 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 L
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. Reviewed ~ L Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property owner Property Location
n J E (or
Govt. Lot - 1 /4r 114 S ~T C7(/ N ' R W
ai Lot # . Block # Subd. me or CSM#
Property Mailing Address v;,e
j'zJ Nearest Ro
~y State y Zip Code Phone Number ❑ City ❑ Village Town ar I`
Cr iw _7~yy
GPD
Code derived design flow rate
New Construction Us Residential / Number of bedrooms
❑ Replacement ❑ Public or commercial - Describe:
Flood Plain elevation if applicable .fv / ft.
Parent material T ,
General comments I
and recommendations:
Boring # n Boring
ate
Pit Ground surface elev. ~ ~ 'Z ft. Depth to limiting factor C~ in. Soil lPic
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gin. Munsell Qu. Sz. Cont. Color
Gr. Sz. Sh. `Eff#1 2
G l~
c
1~o
ILL
D
122-
a Boring # Boring
Pit Ground surface elev. Depth to limiting factor - in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff
'Eff#1 `Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
C'D
2o_2~
Effluent #1 BOD > 30 < 220 mg/L and TSS >30:< 150 mg/L ' Effluent #2 = SOD 30 mg/L and TSS < 30 mg/L
CST Number
CST Name (Please Print) Signa ST Numb
Bird Plumbing, Inc. Shaun Bird 226900
Number
Date Evaluation Conducted Telep
Address ~ c/ 715-246-4516
1008 192nd Ave, New Richmond, WI 54017 - ~'0
Parcel ID # Page ~ of
Property Owner _
Boring #
411 Boring Ground surface elev. !Slit. Depth to limiting factor in Soil lication Rate
Pit
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
'Eff#1 `Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
C~j'~3 r3/y 5imct
E 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
Boring # Boring Ground surface elev. ft. Depth to limiting fador in.
❑ Pit soil lication Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots .EGPD/fPE
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
' Effluent #1 = BODE > 30 < 220 mg/L and TSS >30:< 150 mgA- ` Effluent #2 = BOD5 < 30 mg/L 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.
seo-8330 (t.6=)
Soil Test Plot Plan
Project Name P.C. Collova Bldrs. Inc. Shaun i
Address P.O. Box 489
Somerset Wi 54025
CSC 1C #226900
Lot 24 Subdivision Farm View Ridge Date 50/04
SW 1/4 NE 1/4S 5 T 29 N/R17 W Township Hammond
Boring Q Well PL Property Line ounty ST. CROIX
BM or VRP Assume Elevation 100 ft. Top f 0
System Elevation 109.5' *HRpSame as Benchmark
Alternate Benchmark Top of 1/2" Pipe @ 100.2'
B.M.
B.M. 424' Property Line
144'
Property
Line l~
§j"ope
B-2 45' B-320'
0'
70'
B-1 7
Pro Town Road
Scale is 1" = 40'
unless otherwise
noted