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HomeMy WebLinkAbout018-1075-20-350 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600286 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, S. 15.04 (1)(m)] 3025187 Permit Holder's Name: City Village Township Parcel Tax No: MIKE BARON TOWN OF HAMMOND 018-1075-20-350 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 34.29.17.527A-35 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding 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 Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length IDia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. T uid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution Ix Hole Size Ix Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: *1844 60TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes ❑ No ❑ Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) I 2s1 q CEIVD Safety and Buildings Division j i~ D = K 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, Wl 53707-7162 ~,3 S ul 2BD d State Transaction Number In accordance with SPS 383.21(2), Wi Code, slnbnussioi,,._ 028 TASKSCO mit /~t104 is required prior to obtaining a sanitary permit Note: Application forms for stave tl'to Project Address (if " Brent than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be usc...__ oses m accordance with the Privacy Law, s. 15.04(1) m), Stars. f L Application Information - Please Print All Info Property Owner's Name , - Parcel # ^7 Property Owner's Mailing Address Property Location `I ' -7 S 7 -35 j V ; I Govt Lot C, Zip Code Phone Number 1/4, Section pe of Banding (check all that apply Lot # ly Dwelling -Number of Bedroo Subdivision Name J~(/ ~ Block . ❑ Public/Commercial - Describe Use al: ❑ City of ❑ State owned - Describe u re CSM Number Vol Z 11 Village of f 57 933 Ift 5~a3 wmof III. Type of Permit: (Check only one box on I fete line B if applicable) A. _ tw ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B- ❑ Permit Renewal ❑ Permit Revision El Change of PSumber I ❑ Permit Transfer to New List loos Permit Number and Date Issued Before Expiration Owner ~l^ 7^ V IV. Type of POWT'S S stem/Com onent/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil d < 24 in. of suitable soil / ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain] / V. Dis rsal/Treat (ent Area Information: c, J Design flow (gpd) Design Soil Applicati gpdsf) Dispersal Area Required Dispersal Area proposed 000~ System E evation~ VL Tank Info Capacity in Total 4 of Manufacturer Gallons Gallons Units 0 New Tadca Existing Tanks t a; y d H m e rn in i' 5 Septic or Holding Tank Dosing Chamber -00 VII. Responsibility Stateme 1, the undersigned, ass. esponsibility fo installation of the POWTS shown on the attached plans. Pl ~ber's Nam~t~ Plumb gnature MP/MPRS Number Business Phone N ber~ carte-' lrl Plumber's Address (Street, City; State, Zip oe ?'r-, all VIII County/Department Use Only Approved Q.Hisapprcue~ t ~ermitFep~ DateLs~~ ssumg. Signature -'"easoo for Denial l//Lwi ,?J e IX Conditions ► W,jpproval . e t ~6~ 1s uM';!ri Cell "lust ell kk'~c `t it Urira per gwzge ent plan n, c, liae 1 Jv tt ri:i~ Ir- . Z, All ~lb~iracfW.Uwr-an,s mUs,t Le : rt..r : ~tN-~.+ a `G i n as perrnkrb s c4o6f 7 efrw Attach to complete plans for the system and submit to the ounty only on paper not less than 8 in x I1 inches in sin A bil ,o. a~_ ~o Sa y CS SBD-6348 (R. 11/11) .Z k4- -5 System PLOT PLAN PROJECT Mike Baron ADDRESS 1564 97th Ave Hammond Wi 54016 SE 1/4 SW 114S 34 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 96.8' 1.8' sand lift! DATE 1;0/31/17 BEDROOM 3 r CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND X00( 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 steel fence post ASSUME 'ELEVATION 100° Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Grading is to be done to divert run-off away from system Pro 3 Scale = 1/4" = 10' Bedroom House 2 Acre Lot B-1 B-2 Huffcutt Combo Tank 96 B.M.* 95' B-3 Well is to meet all WDNR setbacks 3% Slope 94' Area 15' below system is to remain undisturbed 0 Property Line Easement to 60th Ave Property Line RT DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay P http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~O~ZSSro:l~ w~ Scott Walker, Governor Laura Gutierrez, Secretary November 21, 2017 i s s 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: 11/21/2019 Identification Numbers Transaction ID No. 3025187 SITE: Site ID No. 844802 Mike Baron Please refer to both identification numbers, 1844 60TH Ave above, in all correspondence with the agency. Town of Hammond St Croix County SE1/4, SWIA, S34, T29N, R17W FOR: Description: Mound System (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1736888 Maintenance required; 450 GPD Flow rate; 15 in Soil minimum depth to limiting factor from orillinal grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.O1/01, 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 SHAUN R BIRD Page 2 11/21/2017 • 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(I)(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 resizinjj 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, Tim Vander Leest Please Include a Copy With Your Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm SHAUN R BIRD Page 2 11/21/2017 • 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/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 stars 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 rJ w _&ev~ This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov 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 715-246-4516 C Date: 10/3117 Owner:Mke Baron Location: SE1/4 SW1/4 S34 T29 N,R17W 1844 60th 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 4nd cr ss section Attachments: Soil Test! Shaun Bird Signature 4 License number 2600 RECEwF-O Page 1 of 9 NOV 0 6 2017 l lp~!STR~ SERVICES System PLOT PLAN PROJECT Mike Baron ADDRESS 1564 97th Ave Hammond Wi 54016 SE 1/4 SW 1/4s 34 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 96.8' 1.8' sand lift! 10/31/17 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 steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Grading is to be done to divert run-off away from system Pro 3 Bedroom Scale = 1/4" = 10' House 2 Acre Lot B-1 B-2 Huffcutt Combo Tank 96 B.M." 95' B-3 Well is to meet all WDNR setbacks 3% Slope 94, Area 15' below system is to remain undisturbed Property Line Easement to 60th Ave Property Line 0 Mound System Cross Section and Plan View Dimension Feet t c - A g t - J ~t 7 B r i , : D \ •L•\ 1 \h L L Y\•L YL•4L4LL•\•Y•L•L L L•\•\•Y L YY •\•YYL••.••.• - J hN J4YJW E Y•N• f •fY•fY•f YYYYYYYY4L•L•L•Y f•r•J• N f J hJYY fY•JWY hhJ A ' L L L K•L•Y\•\•\•\•\•Y YY 44YYYY - •f•f4YV\•fYYYYY•NY•f•f•NWhfY•lYYYY•f•NY•f•f•J•f f• Y•f•N Y• •L•Y YL+.•4\••••YYY4YL•M•L•L•L•L•YL,L•\•\•Y4W\•Y\•Y\NYL•YY WY fY•fYYY•f.f•f•J•hf•f•N.f.NW.J.fY.N.JYY.f•f.f.JW.f.hf.f JYYY• .I L•L•\•YbYYL•L•L•L•YL•YLK•L•µfY•L•L.L•L•LN•L•L.YYYL~ L.YY YYYYY - - Ti ~•fLM~•LI~JLY~fYYfyf•NY+••f.fYY•NY.JY.f•f•N ~MLf•f•JYY• •L•LMYL••.•YYYYYL•L.L.YYL•Y4YY1•YLK.YL•'L•L•YLJNti•1•L:Y'.:L:ti•YYYLK•L~4•L•L•YL•YL F J (~J W .f•.•YY.hMWY•N•f.NNf•f•fY•JY•hf•hJ•JYW.fY•l•J•f•hhN.J•f•f+f•f.fM. - G H J D J K i W i~ K B i Z L Slope % - ' = Topsoil = ASTM C-33 Y f = Clean aggregate = 4 in. sch. 40 pvc fYJY4 Cap Material sand fill 1/2 to 2 %2 in. dia. 0 observation pipe Geotextile G H Fabric h YY hN.N. Y~! Y.hhJ ;YY f . ,E D 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 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 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 E inches and secured in place with rebar or a closet flange. 10/07 lgj Page of I Pressure Lateral Layout Two Laterals - End Manifold Threaded Cleanout Lateral Turn-up Plug Manifold M X \ L Long Force Main / Sweep 0 Bend e ~--Q r Distribution Ne ork Specifications Pressure System Construction Lateral Diameter Z In. Manifold Diameter Z In. Laterals are constructed of Schedule 40 PVC Orifice Diameter .l 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. In. diameter lawn sprinkler valve box accessible Ft. from finished grade. Force Main Length Grade 6-8 Inch Lawn Sprinkler Valve Box ~ V Page of 03105 lgj i Septic-Dose I Tank Cross Section And Pump Performance Specifications Tank Mangy Pump Mangy Number 1 Pump Model Number L Task Model am (0 G G Total Tank Capacity C 6 - Alarm S 5 Bury ' i Alarm Model Numbest Q L V Dep& Max. e Switch Type e-~JHEUodcdl anufactures Total Dynamic Head (TDH) - Feet Number , Head Distat Pressure 3 L Network Loss Minimum PUMP ~etformauce Required Force Main. Loss , GPM Ft TDH Total S, go- - Outlet Manhole N&L 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole WO g Device < b" Below Grade Sealed Wateitiaht Securely Mounted Wea*cr ~f Junction Box Fii is Grade a --i Vent Mm. 12" Disconnect Above Grade Mews With Vent Cap :X. t. t. puttet Filter-~...y - inlet r.- Inlet Baftte A . 1/i < Switch Sett{ W and Reserve 'r:• Weep Tank Volume = GPI ; N. Hole Volume Gal. Dimension Inches (reserve) A -T Off Elevation C • ; alarm) B : 2 . 3 0 . . ( 3? 7 Ft (dose) C , s 7• - Bottom D Elevati Total .Z- 3 •:.:•:::a <sa <ss <sa<s ~:•{ids asatalaa«a:a <<.a sa<< a•:<:<><'::a>.•i>s:i : <~::i>a>i:i a•t~t•<'t•<:i s::.•::t't:>i:: t'a . t < < t in aGdaisce with the GENERAL INSTAU ATION: The .septic/dose tank is bedded and bacd..c. fi. i die m mu rer may not manufacturer's pwd%rA a;*Wal specifications. Maximum depth of bury as, Spy. device (padlock) W.Jdag val. Manhole covers exposed to Wade have. an eta be exceeded without P~ fro approved material, cAnnected to ft. teak with ~t fittings, and wed, Piping at d inl and ourtlet is of » " 40 PVC to bridge the tank The form msui is; shaved wrttt . 1b.2S. or, . laid on stable soil to prevent settling sag- l~ withNW-300 and Comm excavation and the.sleove.is sealed :gseFVice Of . 02J05 IJ TOTAL DYNAMIC yEADXAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING Ln MODEL 152/153 MODEL i 152 153 w r - w w ,y ~ w 50 Feet Meters Goi. Liters 1 Gal. , Liters 153 5 1.5 I 69 261 77 291 40 152 10 3.i 61 231 70 265 12 15 4.6 53 201 61 231 20 .I 6.1 I 44 167 52 197 v 30 25 7.6 34 129 42 t54 Z 8 30 ( 9.1 I 23 87 33 125 i 2 85 20 i 11 42 0 40 12.2 r- i 4 I Lock Voive: 138.0 FI. (11.6m) 44.0 Ft. (1. 14-n) i-- - 10 0145M ! I ~ ! I o 20 4 60 80 100 ! GALLONS 6 i/4 LITERS 0 80 160 240 320 - 3 27/32 1 s 5/8--4 i i FLOW PER MINUTE i 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS i Tinned dosing panels available. ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with I L an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable -T level long and short cycle controls. I • Sealed Wk-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. t 1521153 Series 12 ;1 /8 - L i 152H53 MODELS Control Selection I i l l I Model Volts- Ph !lode s S ex Du lex i 5 1/8 N152 115 1 Nan 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 f _L E152 230 1 Non 4.3 1 2 or 3 SE152 230 Auto 4.3 Indu;e i 2 or 3 N153 115 1 Non 10'5 1 2 or 3 SELECTION GUIDE BN153 115 1 Auto 10.5 Inciu ded 2 or 3 E153 230 . 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. D CAU710N 2. See FM0712 for correct model of Electrical Alternator E-Pak. Alt 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 or (4) float System. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA} RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Louisville. KY 40256-0347 Afanulactrrersof.. FA. SNIP T0: 3649 Cane Run Road c v Louisville, KY 40211-1961 QllaL/77 P/Ml+9 ,.vGE EMU (504 778-2731.1 (800) 928-PUMP PL/MP !!l. FAX (504 7743624 http;//wwwzoeUer.com © Copyright 2000 Zoeller Co. All rights reserved. 6 0 -r- 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_ of i FILONFORMATION SYSTEM SPECIFICATIONS Owner ` Septic Tank Capacity VZ)-o aI ❑ NA Permit Septic Tank Manufacturer O NA DESIGN PARAMETERS Effluent Filter Manufacturer k 0 NA Number of Bedrooms p NA Effluent Filter Model p IAA Number of Commercial Units Pump Tank Capacity 7j al ❑ NA Estimated flow (average) UO galldliy Pump Tank Manufacturer NA galiday Pump Manufacturer O NA Design flow (peak), (Estimated x 1.5) Soil Application Rate ~u ai/d fiF Pump Model jj Z ❑ NA InfiuenUEftluent Quality Monthly average' Pretreatment Unit Fats, 00 & Grease (FOG) S30 mg/t. O Sand/Gruvel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) Q20 mg/L ❑ Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 m /L G Disinfection ❑ Other. Manufacturer ' Pretreated Effluent Quality ❑NA Monthly average" Dispersal Cell(s) B'lodternical Oxygen Demand (BOD5) 530 mg/L ❑ In-ground (gravity) ❑)n-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade AS-Mound Fecal Collfotm (geometric mean) 510` cfu/100m1 ❑ Dri ire Other. Maximum Effluent Particle Size YB inch diameter Values typical for domestic (non commercial) 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 c _3"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 ar(s) (Maximum 3 yrs.) Clean effluent filter At least once every u ❑ months ear(s) Inspect pump, pump controls & alarm At least once every ❑ months year(s) ❑ NA Flush lat6rals and pressure test At least once every ❑ months I~GTar(s) ❑ NA Othec 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 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 (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 1 T3, Wisconsin Administrative Code. The servicing of effluent filters, m nx~l or pressurized POWTS components, pretreatfinent components, and any other maintenance or monitoring aet~ of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event 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 conoeatrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of 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 thElt may impede the treatment process and/or damage the dispersal c:ell(s). If high concentrations are detected have the contents of thp, tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above j normal highwater levels. When power is restored the excess wastewater will ble discharged to the dispersal cell(s) In one large dos% overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the 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. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 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 life of the POWF$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; tat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produc**. pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system is propety 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 property 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 falls and cannot be repaired the following measures have been, or must be taken, to provide a code comph*A replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systeim. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the neled for a now &A and site evaluation to establish a suitable replacement area. Replacement systems must comply with the lutes in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitabo ns. Barring advances in POWTS technologK a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to Identity a suitable replacement area. Upon failure of the POWTS a soil and site evaluaoon must 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.. `f K,Mound and a4rade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. 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 POVYTS MAINTAINER E Name Name - Phone ) 6 f 11j el Phone SEPTAGE SERVICING OPERATOR P PER LOCAL REGULATORY AUTHORITY Name Name To r-- © 12400 j Phone Phone j-- 2.1, A I 71 1 L/ S6- Ell This document was drafted in =Mllance with chapter SPS 383.22(2)(tbX1)(d)&(t and 383.54(1), (2) & (3), Wisconsin Administrative Code. ~ 1 gfs N A A n i„ i i , F ~~}4tl ii d i" CIE] O ~ J f L) mph U_. ( a EO t m j a a N m h H V B DC O. ~ Q U Q Co c a O 9 S, ~ C tit N ST. CROIX COUNYY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 1 Owner/Buyer i Marling .Address S~ l / PropatY - Y F (V tion required from planning & Zoning D for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION' c~ r Property Location ..J C. %4 , a 1/4 , Sec. Y , T / N R_a_W Town of nr Subdivision . Lot # Certified Survey Map # _ Volume a- 3 Page # 5 Warranty Deed # Volume Page # Spec house y no Lot line identifiable yes no SYSTEM ~NANCE AND OWNER CERTIFICATION ImpWw use and maintenance of your septic system could result in its premature faihare to handle wastes. Proper m the aintenance consists of pumping out the septic tank every three years or sooner, it needed, by a licensed pumper. What you pat into system can affect tine fiction of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in Womm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submi# to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a roaster plumber, jomaeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewat less than e 1/3 fitil of r diqxnal system is in proper operating condition and/or (2) after inspection and pumping (if necessary}, the septic tank is sludge. Vwe, 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 Depaat5tuout within 30 days of the tbree year expiration date. I/we certify that all statements on ibis f are true to the best of my/our knowledge. Properly described above, by virtue of a 1/we am/are the owner(s) of the deed recorded in Register of Deeds Office. Number of,b LLL Y A I /t~Clf CANT(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 if afemnce is made in the the warranty decd. (REV. 08/05) 4Wa p~~b~i dal N Z N m~ c s o '",o O six i'~'>ra p F- (e ° ~ L cWi yQ° 'x~3E~~~ I ~ p Q b' ~ O S~~ ffi;~~yybgJ~° a W I U a~ N MEN U- I I II a °R W a., ZN JJ ~ 4 m i i -es ~•~7 s i 4 I ~ I 7u.e., sias'wi xov.ai ;I ; E 7 I ~ f(D I Jr I O 1 1 ; Iy I ~ - I r ~Y b y¢ 3 I I I ZY I I I b ® § - - - - - - - - - - - - - - - - - - - - S 1 O I I I b --J 1 b ry ~ I Mi I I I'I _I q I I I L J L J r- I E lb I b I w _ ® a°ze~sxwiuxvsl I I b i I I : I>`ryc • ___A _a w¢iW Wa ~06L y o n ~4 do$ da a € 4Xa 1 (D g O H 1 N J _ J co U to o aD f F =F~ m Z Q lH LL w z_ a n II N J a, aw r`w 30 0 oQZ I c'~ x3: I x m Q I - p g °a r- - 4 + i I n. 9 cc I I ~.A~•.f,: I • 6 i I I G I I QggJ - - e y 9 4 y~l I x~: b SS _ - - - - - - - - - - I e I I xP.S ~.y, I rv~ve o..n on 77 ~miwl wv.a»:u`a I INK c~a s n a : W§ RECEIVED 488ZC4GOCFR7E Wisconsin Department of Commerce i IUN REPORT Page of Division of Safety N@qin66201/ in accordance with Comm 85, Wis. Adm. Code ST aCxXMA6TXiss CO1n~ Attach than 8 1/2 x 11 inches in size. Plan must induce, co o ~ I reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. r 1 Please print all information. Review Date Personal information you provide may tie used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner a Property Location al. I L Z(-! Govt. Lot ~r 4j(, 1/4 S 3~T N R ?E (o W Property Owners Mailing Address Lot Block # Subd. M# -74-11 1 '/j 1611 9-4 State , Zip Code / Phone Number C' Village Town earest R d rJ tin. (0`~;~ ►.F~~ New Construction U e-OResidenYial / Number of bedrooms Code derived design flow rate GPD ❑ Replacement or commercial -Des a Parent material C Flood Plain eleva n,' f a cable ft. General comments ' I C Sj and recommendations, i ) L r„ System Type rte! t' I,.r 1 System Elevation 61 t FT] Boring Boring Bon # j P to Ground surface elev. 4 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -d7- OLS/44 A- 15 10 Boring ,v ❑ Boring pit Ground surface elev. ft. Depth to limiting factor 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 Z yC- -3 /a i Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 1 ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ture CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number V ` 715-246-4516 1432 120th St, New Richmond, WI 5401 Property Owner _ Parcel ID # Page of ❑ Boring Boring # F-31 1~ 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 Z-- 843 s, 1 'Ablk /0 AS-3 o F-1 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 factor in. ❑ Pit Soil Application Rate Horizon 7epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 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. sBD8330 (8.6/00) Property Owner _ Parcel ID # Page of Boring #E] FN B°""g 8 L3 Pit Ground surface elev. ~ ft. Depth to Ikniting factor in- Sod Rate Horizon Depth Dominant Color Redox Description Texture SUucture Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 '092 Cr 4 b It f-Ir 16 , 1W - f~, ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. FGPDff Application Rate Horizon Depth Dominant Color Redox Description Texture StrucWre Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 ❑ I3onng Boring # ❑ Pit Ground surface elev. ft. Depth to lirniti ng factor rL Rate Soll Application Horizon -epth Dominant Color Redox Description. Texture Stricture Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EfW1 'Eff#2 • Effluent #1 = BODS > 30 < 220 nxyl. and TSS >30 1150 mg& ' Effkmt #2 = BOOS 130 mgll. and TSS 30 nglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R6100) an Soil Test Plot Ph Project Name Mike Baron Sh n Bjrd Address 1564 97th Ave ' fr t- Hammond Wi 54016 CSTM #226900 r Lot 6 Subdivision Date 10/31/17 SE 1 /4 S W 1 /4S 34 T 29 N/R17 W Township Hammond F1 Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of steel fence post System Elevation 96.8' *H R PSame as Benchmark Scale is 1" = 40' unless otherwise noted Scale = 1/4" = 10' 2 Acre Lot B-1 B-2 ❑ ❑ 96' ,;~k B.M.* 95' B-3 3% Slope 94' Property Line Easement to 60th Ave Property Line