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HomeMy WebLinkAbout018-2007-25-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600285 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 3025164 Permit Holder's Name: City Village Township Parcel Tax No: LUCAS & HEATHER FORSETH TOWN OF HAMMOND 018-2007-25-000 CST BM Elev: JInsp. BM Elev: IBM Description: Section/Town/Range/Map No: 05.29.17.964 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. I Aeration Dist. Pipe Holding Bot. System III 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. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR T Model Number: DISTRIBUTION SYSTEM Hader/Manifold Distribution x Hole Size Ix Hole Spacing Vent to Air Intake Pipe(s) Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of r7odded 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: 1168 167TH ST 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information. L~_IL Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) RECE11V 7- Vol County s Safe and Buildings Division 2<18 2 $ Jul 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 u= NOuc DEVELOPMENT CDUNP 60 Zg 5 Sanitary Permit A 2BDD284ASKSCO staw"'c"' Number in accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to tra.0mv E.,._.-___ :30 J(,oq is required prior to obtaining a sanitary permit Note: Application forms for state-owned POW'l'S are submitted to Project AdEess (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondarl purposes in accordance with the Privacy Law, s. 15. 1 m , Stats. I U~ !ll~~~ L Application Information - Please Print Al Information Property N e Luc'dub Parcel # v Prope /Owner's Mailing Address Property Location O L) : q I 7. lr I Govt Lot _ r C' , State Zip Code Phone Number 1/., Section o Al, 4"'1415n r+ -Ccircie II. ype of Buil 1ng (check all that apply) Family Dwelling-Number of Bedrooms Subdivision Name ❑ Public/Commercial - Describe Use r __1 ❑ City of ❑ State Owmed - Describe US/ CSM Number own of of C - J 7 #1a✓ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) I.A. A' System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Pre ioUS Permit Number and Date Issued B. / ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ED Permit Transfer to New Before Expiration Owner A3 Is IV. Type ofPOWTS System/Component/Device: (Check all that apply ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil o; nd < 24 in. of suitable soil ❑ Holding Tank ❑ other Dispersal Component exptam) ❑ Pretreatment Device (explain) J V. Dis rsal/Trea eat Area Inform . n: Design Flow (gpd) Design Soil App ' on Rat4bdsf) Dispersal Area Req - (s Dispersal Pro s System Elevation O'Lk VL Tank Info Capacity in jGallts' # of Manufacturer Gallons Units ° U New Tanks Existing Tanta / 4t t o ?3 a m y h/ ir /N•4r 16 U yr v~ i C Septic or Holding Tank t 1 J Dosing Chamber VII. Responsibifity Stater t- I, the undersign me responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) er' Sitatwe MP/1vIPR~S/Number Business Phone Number rn 74 Plumbetr's Address (Street, City ;`Statel 'p Code) VIII ounty/De artmentUse Only 17 pproved tsapprove permit Fee Date sued Issuing A t Signature r eason for Denial S • ' 21 / DL Condit) t►g, R pproval 1 / /etl ul5lxr-sd cell ryust ell be s~,'~I _s ! rnz,i~ 3' I~'~~ I~~af l at per rear. emen! plan p!a naer by plumbe?. n)% i 1 _ /r 1 per *)10rAAq c4dz J zrdSltAxti. r Attach to complete plans for the system and submit to County only paper not less than 8 m2 z 11 inches in`sizee SBD-6398 (R. 11/11) C.L I GrMi f ! . System PLOT PLAN PROJECT Luke Forseth ADDRESS 1168167th st. Hammond Wi 54015 SW 1/4 NE 1/4S 5 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 105.5 1.7' sand lift! 10/29/17 BEDROOM 3 DATE. 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 Scale = 1/4" = 10' 155' Property Line 2 acre lot Well is to meet all WDNR setbacks Grading is to be done to divert run-off away from system Pro 3 Bedroom House Huffcutt Combo Tank B-2 167th st. Area 15' below system is to ❑ remain undisturbed 0 B-3 6% Slope B. M. 423' Property Line B - 1 103' 120' 103.8'104' r X' 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 R~~Zssiort w~ Scott Walker, Governor Laura Gutierrez, Secretary ,_J 'Ili November 20, 2017 jr ',AFET ESSIGNIAL 31 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: 11/20/2019 Identification Numbers Transaction ID No. 3025164 SITE: Site ID No. 844783 Luke Forseth Please refer to both identification numbers, 1168 167TH St above, in all correspondence with the agency. Town of Hammond St Croix County SW1/4, NEIA, S5, T29N, R17W FOR: Description: Mound System (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1736811 Maintenance required; 450_GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/O1, 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 r SHAUN R BIRD Page 2 11/20/2017 • 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 servicine 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 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 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm SHAUN R BIRD Page 2 11/20/2017 • 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. Anv 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 ~C available for proper treatment. if nv other site i$ arailuN e, it ees in the basal area of -he hound must ve 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 I Cover Page Shaun Bird !g) Bird Plumbing Inc., 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 10/2717 Owner:Luke Foresth Location: SW1/4 NE1/4 S5 T29 N,R17W 1168 167th St. 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 number 2 69 Page 1 of 9 ilOV 01 ZC!±'4~1SRY' SERVICES I, System PLOT PLAN --PROJECT Luke Forseth ADDRESS 1168 167th st. Hammond Wi 54015 SW 1/4 NE 1/4S 5 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 105.5' 1.7' sand lift! 10/29/17 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 Scale = 1/4" = 10' 155' Property Line 2 acre lot Well is to meet all WDNR setbacks Grading is to be done to divert run-off away from system Pro 3 Bedroom House Huffcutt Combo Tank B-2 167th st. Area 15' below system is to ❑ remain undisturbed B-3 6% Slope B. M. 423' Property Line B-10 103' 120' 103.8'104' I i Mound System Cross Section and Plan View _r Dimension Feet B ~s 1 I D 4 fµhYL•Y1.1.1KK•1KK.YI.YIK.YY1•L•L•YYYY1•L•1•L•Y..LKK.L.I.YYLK• .•Y1 fY•fYYYYYYYYYY.fi.fY.f•f•fY•f•fY•.••f.f.f.f.f.f.f.fY.fW.f.fY.f.NL E A I L••.•1.1K•LK.YYL.L•M1•YLK•Y1.1.1KKKK.1•LK.1.1•YL•1.1.1.1.1 t` •NY'•hf•MtYY•f•fYY.N.N•N•fY•fY•NW f.hf•f•f f•f•f.f YY1•L .YYYYIKK-n•1K•Y1.1.YY1.5••.•1.1.YL• .L.Y1.1.L.L.LK +~.~~r`~}?R~ f.•f•fLJYY•f•fY•f•fY•NY.MYYY.f•hl.f.f•fYY.hhhhf•f.f•f :fYY•f•N KK.YLK.1.1.1.'.K• l1 fY•YYKMY.f1K••1 M~1KK•1.YtiftifLK•Y1. •f•..•~hN.h I hhhhfYYYYYY. VYY••.•11.1•MhN.1•YY•L•L•YYLK.YI~YWYYYLK.IKKK:YtiK.YL~L~y ti tifti•1K:L~Y4~4f•hf~Y hM f FI Y•f•.`.fNfY.f.f.NYY•f•t•fY•JYy.fYY.hhhf.f•f•hfY. F 1q/1 W 40 G e I I_. H r i I I F:. -I J 1 -3 - K T.4 1 7' 1- L K- .91 7 B 1 Z L 40 Slope I; =Topsoil = ASTM C-33 w"hY1 = Clean aggregate = 4 in. sch. 40 pvc i 4 _ Cap Material sand fill 1/2 to 2 1/2 in. dia. observation pipe Geotextile G H Fabric LKY .f.f.W1 F D..rt D E Ft Contour Plowed Surface 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 6 inches and se cared in place with rebar or a closet flange. 10/071gj Page of Pressure Lateral Layout Two Laterals - End Manifold Threaded Cleanout Lateral Turn-up Plug Manifold M X l L Long Force Main Sweep 90 Bend a fe l Distribution Network Specifications Pressure System Construction Lateral Diameter Z In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 311, 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 Force Main Length Ft. from finished grade. Grade 6-8 Inch Lawn Sprinkler Valve Box Page of , 03/051gj 4 Septic'-Dose Wank Cross Section And Pump Performance Specifications Tank Msnufactures Pump Mangy +J' Z Tank Model Number Pump Model Number Total Tank Capacity i7t~U Alarm Main Max. Bury Depth Alarm Mo" Number Switch Type ~ G (MM Filter Manufacturer Total Dynamic Head -Feet Filter Niodsl Number j Elevation Head . Distal Fr~''e Net%ork Loss Ivimimum Pump ~eifonma= Required Force Main Loss Gp Ft TDH Total Outlet Manhole M= V Above Grade With Manhole Min. 4" Above Grade Locitmg Device. Inlet Manhole With I:ocacing Device < 6r Below Grade Sealed Watertight Securely Mounted Wedhas-proof ~ Junction Sox . a 4% moo r G r r s r is r Vent Min. 12" Disconnect Above Grade Means With Vert Cap > ► > > . Y<>`• Y ►`a :i 1 t' .y.;:;>>t~,>: y'► aa`►`s i s >`i .1tt•`> ;J outlet Filter - - ~nlet Baf#le inlet • A '/4" Switch So ngs and keserve Weep Tank Vohmae = S_ GPI Hole B Dimension Inches Volume Gal. (reserve} A: -2, L Of Elevation C (sum) B ; 2 Bottom (dose) C Cy D Elevation i- I W7) Total >ca:,f, atsf~>~>~Y~a Y~Y~i~ ~>~Yaai ,><a: t>d a~ aff~ ~>ia:•i l>aai>: a't i• >a>a•, a , i a `'a c>c t t and -back ~ in accordance with the The, dose .tank is bedded and man r may not -ft GENERAL Il~ISTI LLAT'YDN: ~a depth of bey. As, sperm by d ock} manufacttuer's product :approval ~ ye locidng be exceeded without Manhole covers exposed to grade have to an tine etank wMl. fittings, and the inlet and outlet is of approved material, 4», qp PVC to bridge the tank ju~ piping at thseUding or saw- The . €orce main is sie ved IM& .360 and Comm Is-U. laid on stable soil prevent waxartight..Eled~cd -GM lies excavation and the -sift". is sealed. o 02105 I,i TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING ^ Ln MODEL. 152/153 MODEL 152 153 i W W W M ti 50 Feet Meters Got. Liters i Gal. Liters 5 t .5 1 69 251 77 291 153 t0 3.i g1 23t 70 265 12 40 152 15 4.6 53 201 61 231 20 .I 6.1 1 44 167 52 197 30 25 7.6 34 129 42 159 30 9.1 1 23 87 I 33 125 1 z 8 35 ?OJ ~ 1 ; 22 85 20 i 40 12.2 11 42 j L^ck 'chive 138.0 Fi. (1 1.6m)144.0 Ft. (?3.4m) 41 - - oiasw 10 0 100 20 40 60 80 GALLONS 5 1/a LITERS 0 80 160 240 320 - 3 27/32 1---`-te4 5/84 FLOW PER MINUTE i 3 27!32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ 3 27/32 • Timed dosing panels available. j • Electrical alternators, 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 -r---- i I level long and short cycle controls. • Seated Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. I I I 12 1118 1541153 Series Control Selection 152f153 M00cl Du Is% I 5 1/8 Model Volts-Ph Mode e Sim ex i N152 115 1 Non 8.5 1 2 or 3 _-ioeti BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N753 115 1 Nm 10.5 1 2ot3 10.5 Included or 3 SELECTION GUIDE BN153 1 t5 1 Auto E153 2.30 , t 5.3 1 2 or 3 1. Single piggyback variable level float switch or double Pg9Yhack variable level float Non . 2 SE153 230 1 Auto 5.3 enduded 2 or 3 switch. Refer to FM0477. o CatJT1oN 2. See FM0712 for correct model of Electrical Alternator E-Pak (3) All installation of controls, protection devices and wrong should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex licensed elecuician. As eledtical and safety codes should be followed including the most Or (4) float system. recent National Electric Code (NEC) and the occupational Safety and Heab Act (OSHA) RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAR 70: P.O. BOX 16347 Louisville, KY 40256.0347 ManulactuMsof.. SHIP T0: 3649 Cane Run Road llT' pP~ S,vcf /.939 a `~Q ® Louisville, KY 40211-1961 L ~ PULP !O. (502) n8'2731.1(B00) 928-PUMP FAX (502) 774-3624 httpJ/www.zmUer.com © Copyright 2000 Zoeller Co. All rights reserved. l~ 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page-,of FILE NFORMATION SYSTEM SPECIFICATIONS I Fowner Septic Tank Capacity al 0 NA Pemtit Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Filter Manufacturer 0 NA Number of Bedrooms E3 NA Effluent Fitter Model 0 NA Number of Commercial Units JJ.NA Pump Tank Capacity 3 tJ al 0 NA Estimated flow (average) 2.&Tn gpVdZay Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) Ij aV Pump Manufacturer v ID NA Sop Application Rate gal/`d:a /ft2 Pump Model 0 )IA Influent/Effluent Quality Monthly average' Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg/L 0 Sand/Gr4vel Filter 0 Peat Filter Biochemical Oxygen Demand (BODJ - mg/L O Mechanical Aeration O Wetland 20 Total Suspended Solids (TSS) 5150 m /L 0 Disinfection 0 Other. Manufacturer Pretreated Effluent Quality ;P(N_A Monthly average" Dispersal CMI(s) Biiochemical Oxygen Demand (BODs) 530 mg/L 0 In-ground (gravity) 0 jn-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 0 At-grade and Fecal Coliform (geometric mean) 510` cfu1100ml 0 Drip-line 0 Other. Maximum Effluent Particle Size K inch diameter a Values typical for domestic ( rcfal) 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 0 months ear(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 0 months ear(s) (Maximum 3 yrs.) Clean effluent filter At least once every ///1111 months ear(s) Inspect pump. pump controls & alarm At least once every ~ 0 months " ear(s) 0 NA Flush laterals and pressure test At least once every 0 months year(s) 0 NA Other ? At least once every 0 months 0 year(s) 0 NA other At least once every 0 months 0 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 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 (X) 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 11'3, Wisconsin Administrative Code. The servicing of effluent filters, m nicat or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at " s 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 presenceof paintM products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concegtrations are detected have the contents of the tank(s) removed by 'a septage servicing operator prior to use_ - • 0_~ 9 Page of START UP AND OPERATION ce of painting products or other chemicals th£It For new construction, prior to use of the POWTS check treatment tank{s} for the presence detected have the contents of the may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are 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. "'ill bye During power outages pump tanks may fig above normal highwater tevels. When power in is the restored backup or ttre surface excess discwastewater harge of will nl discharged to the dispersal cell(s) in one large dose,' overloading the cell(s) and may result prior to restoring power to the To avoid this situation have the contents of the pump tank removed by a Septage Servicing operator p 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. the fife of the POWT~: Reduction or elimination of the following from the wastewater strum may improve the performance and prolong cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sumoti baby wipes: a (sump pump) water; fruit it and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting Produc* pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT shall be taker/ to insure that the system is propejiy When the POWTS fails andlor is permanently taken out of service the following steps and safety abandoned to compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • AH 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 shah 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 compriprit replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systgrn. The replacement area should be protected from dkM tbsnce 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 ~ehrot~en for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN 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 ~ r> evstallealua0on as must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may a last resort to replace the failed POWTS. Mound and at-grade soli absorption systems may be reconstructed in place following removal of the biomat at the ft fiitrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <NVARNiNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NAT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Ot A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDi71ONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ~c~ r 777] 1 . Naa-a _ Phone j L f Pho6 r J SEPTAGE SERVICING OPERATOR (PLW PER LOCAL REGULATORY AUTHO Name Name Phone ~J Phone 1J ~J This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. s N ! P P 1 Y t l Y :~Y b O cq O P L, W S t i,. < Y... t1.1 5 i 4 a i U o c c m i a Q- h ~ v ~ 8 o Q a Q U Z a a N " o I I 80' TEMPORARY 2 r CUL-DE-SAC / 71902 5.F. \ EASEMENT. TO 23 BE REMOVED I \ /y 1.65 Ac. UPN IWES WESTERLY 113623 S.F. G~1~ QQ 1g IEXENSION OF 2.61 Ac. - o/; \ \2•\ / G`L~'~1" G AWE =1076.00'1 -IKUADWAY- j.~HR8}O</ p I I N \ \ \22 6 / / cZ J ,3Q~ v 26 X,c 69891 S.F. 31 Im C\~ \ \ .N 1.60 Ac. 82454 S.F. 00 S6 (ry/ 1.89 Ac. IN ~N~ \ \ \ \iy N 84'40'477' W 425.82' VI: "Z~ocps /,o 03 / J 66514 S. F. B.M. TOP OF 3/4" 1 N V / \ / / / ^ 32 IRON PIN ELEVATION \ L' \ \ 66. 1.53 Ac. / v R7 79961 S.F. , / r`") 1080 .58' V \ ~ ~ \ / \ \SJ• QJ r O1 \ \01 O \\c)0 a \ ~3" / / O J O I 1.84 Ac. Iv o \ \ \ \ ct(/ \ \w\~3 0 / I l it \ \ \ Cl \ \ \ \ \6 \ 11 / L N 82_21 33" W 459.01'- I~ -9 co-, IQ C, 24 1 S.F. J 72161 S.F. / N I Ac. \ ~o \ \ Ac. r J <ti 33 - I \~`9d \ \ I lZ / cV X205, 88149 S. F. w~ 2.02 Ac. iy / S`6s w \l I l I 2 ~o D F \ \8 2J. 3 / co 72244 S. F. \ \~283116g•'~ / J l 34 \ -J - - 1.66 Ac. 66474 S.F. I S 89'26'33" W 230.23' /C) 1.53 Ac. \ 288\ ~1/ / \ 7 / 77 / i~ EAST-WEST 1/4 SECTION LII / o 17 QN 7s. N 6\ \ \ fx~~j / 68909 S.F. ~C) s~46„ 708\ 1.58 Ac. a~ 83• / ~w 336 9 I~ o Lo 01 A. TOP OF 3/4" DN PIN 4.34' ELEVATION 35 - QI 9 16 66591 S. F. ST. CROIX COUN 1-y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property L I , (Verifcafio~n .a~.~ required from Planning & Zoning Department for nevi on ) City/State - Parcel Identification Nut-Aber j 00 0 LEGAL DESCRIPTION Property IDcatioij LJ V- , t/q , Sec. 6 , T aN RL JW, Town of Subdivision Lot # d7 ^f Certified Survey Map # , Vc Kluane , Page # Warranty Deed # Volume Page # Spec house Yes no Lot line` identifiable 09) SYSTEM MAINTENANCE AND OWNER CE [CATION ImpWer use and mainit mance of your septic system could result in its premature failure to handle wastes. Proper mainbemance consists of pumping out the septic tank every three years or sooner, it needed, by a licensed pumper What put into the system can affect the f inction of the septic tank as a treatment stage in the was tie disposal system you responsibilities are specified in §ComnL 93.52(1) and in Chapter 12 - St. Croix County Sanitary OrdinanOwner maintenance ce. The property owner agrees to submit to St Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, joumeymm plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. v-e, the uader=gaed 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 trust 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 this foian are true to the best of my/our knowledge. Uwe am/are, the owner(s) of the Property described above, by virtme of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ILI SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this apphcation a mated wurdnty deed from the Register of Deeds 0face and a copy of the certified survey map if reference is made in the warranty deed. (REV. OU5) S1017s IM 'CINOWW` H "1S HIL91 8911 Erma ~,~L- G8 I{ 1 .L f 111 I I ~ Q mill H EE ;ar n3wwosa b I ~ I I ~ I I 1 a i I Y I r I II VV V r ~ ® $ ~ I I I I I ~ II I I I ~ } i it i 3 1 a " f ~4 a gs ?R\: I 4 I a ~ ~ III I I' I 6 . H ~ Z. 1„ III I I I ~ I IIII, y { I _ III II s s I e II I 3 Z a I I Ii I o E I I ~ ~ ~ ~ ' s I 'I I I I R ~ I a I I 0 IIII I I I I ~i ' I I fl ~ II I I I I III ill 3 ' ~~I III ~ ~ Ld eo 3~1 - " 3Q 1 GIO~'S IM 'f]NOWW VH '19 HiL91 99(! 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