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HomeMy WebLinkAbout026-1121-12-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 600326 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 3062402 Permit Holder's Name City Village Township Parcel Tax No: Oevering Homes LLC TOWN OF RICHMOND 026-1121-12-000 CST BM Elev: nsp. BM lev BM Description: t~ t 1-- Section/Town/Range/Map No: 05.30.18.727 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ~a CAPACITY STATION BS HI FS ELEV. i Septic ~~nn y~ 'tip Benchmark N J t"t'"Gv T`t F; ( /d100 A ~ ~ ~ /bZ ~d/. !o Dosing All. BM C' 7 66 oo F 6j.~ C ~ Bldg. Sewer A' • 7 Holding St/Ht Inlet y ~Z` 2 7v a TANK SETBACK INFORMATION St/Ht Outlet TANK TO W PIL W LL BLDG. ent t Air Intake ROAD Dt Inlet Septic 33 Dt Bottom y ( 3 ~C 1 r Dosing j / Header/Man. 2 . 77 Aeration Dist. Pipe y • b A6 , el- I - , u/ Holding Bot. System Z • Q 7,7y IZ" PUMP/SIPHON INFORMATION Final Grade V ~ • ~ C?9 ~ Manufacturer / Demand St Cover 1 _ e GPM/~ Al'7 17-71" Model Number 2S0 IV 3.% 474-79 TDH Lift Friction oss System Hea TDH t /6'( . Forcemain Len th Dia..2 it Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. yi;p PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S 11*~ SETBACK SYSTEM TO P L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type stem: ' 8 J j A A UNIT d e N + Model Number: DISTRIBUTION SYSTEM Header/Manifol rt Distribution Tr- I x Hole Size x Hole Spacin V Air In k Pipe(s) Length___(__ Dia 1+ Length Dia Spacing / X -47 I SOIL COVER x Pressure Systems Only xx Mound Or At- rado Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded 1xx Mulched Bed/Trench Center • -7 Bed/Trench Edges Topsoil 1 No Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 'S -7/4 Inspection #2: Location: 1702 107TH ST ` (ib v4/A, [J - i / 19 r" • //rr Q'jti 1.) Alt BM Description = 2.) Bldg sewer length = 37 Sa^~OLi -amount of cover ~ 1 A- N.rR.. 1r I - yyy~~~ Plan revision Required? Yes No L5 Use other side for additional information. Date Insepctor' ignature Cert. No. SBD-6710 (R.3/97) 280=SERIES 112 hp Submersible EtfluentlSump Pumps The Liberty 280-Series provides a cost effective "mid- Performance Curve: 280-Series range" pump for on-site waste water systems, liquid p 35 i + + + + 12 waste j t 11 cat ons that require higher head heavy-duty or more f ow. um I,_ Designed around Liberty's unique "Unl-Body" casting, 30- ; 9 the 280-Series will provide years of reliable performance. + t 44 25 I-~ t-1418 (D Cn All Models Feature: 20 t a 1-t 6 t _f a~ • Vortex style impeller permitting passage of solids (z 1 - - r { - ___-5 _ 1 up 416 to stainless steel rotor shaft 0 3 • 5 }1 I2 Permanent) lubricated upper and lower ball bearin g J NT- • Epoxy powder coat finish 0 1 0 • All fasteners - corrosion-resistant stainless steel 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 • 1'/2" Discharge U.S. Gallons Per Minute • Stainless steel bottom screen - easily removable 0 38 78 114 156 • Maximum fluid temperature: 140'F. Liters Per Minu 280-Series Cord Lengths Dimensional Data: Model 10' _25'(-2) 35'(-3) 50'(-5) Weight: 29 lbs. 280 Standard Optional - Optional Optional Height: 13" 281 Standard Optional Optional Optional Major Width: 10" (model 287) 283 Standard Optional Optional N/A Minimum Sump Diameters: 287 Standard Optional N/A N/A --J- - Model 281, 283...14" 10' cord length standard on all models. For optional lengths, Model 287 VMF...10" add "-4-3 or -5" suffix to model number. Example: for model 280 with 35' cord, order 280-3 Factory switch Model 281, 283 Model 287 settings VMF Motor Specifications Turn on level 13" 9.51- 112 hp 60 Hz 3450 RPM Turn off level 7" 4.0" Oil filled, thermally protected (PSC) Permanent Split Capacitor The Model 283 features a fully adjustable wide-angle float. Differential 8.0 amps (115V) adjustments can be made easily by tethering the float to the dis- charge pipe or other mounting point. Vertical float model 287 is not adjustable. Model 280 _ Model 281 Model 283 - Model 287 Manual, Wide angle Wide angle VMF-Series 4T,~, o sw itch float switch float switch Vertical mag- with quick- with series netic float for disconnect (piggy-back) smaller pits - plug will operate in a 10" diameter sump SSPWA S c us Certified Specifications are subject to change without notice. Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839 www.libertypumps.com Copyright © Liberty Pumps, Inc. 2017 All rights reserved. LLIT 2000 R05/17 { County 2~I ~ ~ V E ~ Safety and Buildings Division - / 201 W. Washington Ave,, P.O. Box 7162 rani ;.t tart' Permit Number (to be filled in by Co-) 11 Madison, W1 53707-7162 FEB 16 2018 lo(~3ZC~ AL" y St. t r State Transaction Number In accordaa ~}nSTiStBBBk31 subr r Pe TNGK96AB03VFC ~t t~E~,"C~-- is required noroo a sanitary permit Note: Application fortes for state-own= .1., . _ - d to Project Address (if different than trailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary oses in accordance with the Priy~a Law, s. 15. 1 m , Stats. L Application Information - Please Print All Information o /0 { fl, Property Owner's Name Parcel # Property Owner's Mail dress Property Location /rie 3o l v -7~i1 Govt Lot Ctry, state Zip Code Phone Number ) (_1(.J '/y Section II. pe of Building (check all that apply) Lot # T Z N; R E W r-2 Fmnily Dwelling -Number of Bcdroo _ Subdivision Name 64 Bloom ❑ Public/Commercial - Describe Use ~ ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of '>r..'57 )<Town of t j III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ~ A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only 11:2 Other Modification to Existing S -=--v ystem (explain) B- 171 Permit Renewal ❑ Permit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Issued Before Expiration Owner IV. T ype of POWTS System/Component/Device: Check all that a 1 ---I ❑ Non-Pressurized In-Ground El Pressurized In-Ground 11 At-Grade d > 24 in of suitable soil 11 Mound < 24 in- of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatmen (explain) V. Dispersal/Treat nt Area Information: Deli Flow (gpd) Design Soil Application f) Dispersal Area Requir (sf) Dispersal Area Pr d (sf) System Elevation ' $ VL Tank Info Capacity in To # of Manufacturer Gallons Gallons Units ° New Tanks Existing Tasks m J m .a m inn 1 t° / 1 U rn v~ C~ Septic or Holding Tank Dosing Chamber i VII. Responsibility Statemen the undersigned, ay%i ponsibility for installation of the POWTS shown on the attached plans. PI 's Name (Print) Pl s afore MPMIPRS.Number Business Phone Number Plumber's Address (Street, City, Sffi ; Zip VDI un /De artment Use Only proved Disapprov Permits Fee Date sued Issuing . Signature veer Given Reason for Denial $ / IX Conditi ikons for Disapproval ` 1. eptn tw*, crrlt st, )ate- erwi 3' v ;l t~p.1~ M AeA.J <lililt2t 'ai C!•fl ! !l1St do 1?i0 ! fi+c 91XE`.` qr~ ors per,star.3gemen! plan prorioed by plu nce;. ~v►~VSK- 2. M aelbw,* recta wAnerrs moist Le r. rt wt as per t la c4d.: i ~ rd,ranrt:=. Attacb to complete plans for the system and submit w the County only paper not less than g if., 111 inch in X , sue, SBD-6398 (R. 11/11) System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 SE 1/4S 5 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.0' DATE 2/5/18 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property i ~ Lime Property Line Scale = 1/4" = 10' 1 AcreLot Area 15' below system Deep chisel plowing is to be 107th st. is to remain done to break up platy undisturbed structure in upper horizon 96' 96.5' 97' B-3 97.5' 2% Slope ❑ Pro 3 Bedroom House 0 HuffcutttCombo ~nk 31. Grading is to be done to ❑ ❑ B -1 divert run-off away from B-2 system B . M . 170th Ave ~9 DIVISION OF INDUSTRY SERVICES 0 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 3l ! s Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~O ssION, Sw Scott Walker, Governor Laura Gutierrez, Secretary February 13, 2018 , CUST ID No. 226900 ATTN: POWTS Inspector t Ag." 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: 02/13/2020 Identification Numbers Transaction ID No. 3062402 SITE: Site ID No. 846579 Oevering Homes Please refer to both identification numbers, 1702 107TH St above, in all correspondence with the agency. Town of Richmond St Croix County SW1/4, SE1/4, S5, T30N, R18W FOR: Description: Mound System Q Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1747701 Maintenance required; 450 GPD Flow rate; 30 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 SHAUN R BIRD Page 2 2/13/2018 f • 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 servicinsz 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 fi•agments, 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 aZg 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, Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. SHAUN R BIRD Pagge 2 2/13/2018 • 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 yaa is I ocated. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizin2 to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available fnr nrnper treatment Tf no other site is available trees in the hasal area of the mniinrl mnQt he rift off r-_ 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 Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal. WiSMART code: 7633 (920)492-2214, Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 2/517 Owner:Oevering Homes Location: SW1/4 SE1/4 S5 T30 N,R18W 1702 107th St. Richmond 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: So' Test Shaun Bird Signature License nu b r226900 ~CEIVE Page 1 of 9 9 08 2018 iNa..'' jS a RY SERVICES r System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 SE 1/4S 5 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.0' DATE 2/5/18 BEDROOM 3 ✓ CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION loo' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property Line 1 Acre Lot Property Line Scale = 1/4" = 10' Area 15' below system Deep chisel plowing is to be 107th st. is to remain done to break up platy undisturbed structure in upper horizon 96' 96.5' 97' B-3 97.5' 2% Slope ❑ Pro 3 Bedroom House Huffcutt Combo Tank Grading is to be done to ❑ ❑ B -1 divert run-off away from B-2 system B . M . * 170th Ave Mound System Cross Section and Plan View 77 Dimension Feet 7 77.7 7 A g_ a B 5 J I - e D I YYYhK•\•Yh•hK•\•vY\K•M•MKKK eI 17 _ h.h•Yh•\•M•Y •hK Y1KK•M•h.h•U.h.\KK•YYhK•, hK h hK h \K \K h•h•YVYh. Y\•h•\KK Y ' E 1 I r•JYY•f•f•JN•J•J•fYN•JHY•fN.Jti••My~•f J•J. J f !•J•J•J•fY•fN.JMNN•J•f•J•J•f•f•J•f•f•J•t• - _ 4 h•\• •M••fyfy~tijYYh••ftifyftirY.~fY\J~~hY•\J~1:f1•J~JY.JJ•J•J J•f•JMM•l•NN h~1K• •YYh•h•Yh•YY\•YY4K• K•Yh.M.h.:KK.\.:•h-YYhKK•\.y~~'~~p ' I JN•fNK•h Yh•~YYY•'YJy~YMYhKiy\f1.'~h~h•1MM•4v~Y~S•~'Y YJti~ti,hlSµh J• h•h A I- ~JW~ Xh•~J.JK~Y~~h•~h,4•h~•~K•fhfti Y• L~.YfhN•\fK~tiK•tidyi~l.ti~ti1K••.•ti 4 ~•JJ .:I I - ~,N•M•fN•fV•l•f•JMN•J•f•J•t.fNNY.JNW.J•J.JN•J•f•JN'J'J•f• G 'a W I Z• H f I I. K , 1 ► K 1 B Z ~-I Slo Z % i L 17-1 = Topsoil = ASTM C-33 Clean aggregate = 4 in. sch. 40 pvc F I Cap Material sand fill 1/2 to 21/z in. dia 0 observation pipe H Geotextile G Fabric :w J 4 N F , \ J•JYN Y f hi•KJ•N•J~ m ni•r wJ•f•+•J•f-J.J• - D E Plowed Surface _J Ft Contour Slope Direction ~y 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, from free e mo` nd is seeded and mulched to promote vegetative growth, limit erosion and protect observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07 lgj Page 3 of Pressure Lateral Layout Two Laterals - End Manifold Threaded Cleanout Lateral Turn-up Plug Manifold M t' L Long 4 Sweep Force Main / 90 / Bend r ' 040 Distribution etwork S ecifications Fpipeowith re System Construction Lateral Diameter Z_ In. 7 onstructed of Schedule 40 PVC Manifold Diameter Z In. In. s are drilled perpendicular to Orifice Diameter In X Orifice S acin a sharp drill bit and face down. L ateral Ft.ps terminate with a threaded M ifold Length) Ft. and are enclosed in a 6-8 inch Force Main Diameter tIn diameter lawn sprinkler valve box accessible Force Main Len from finished grade. Grade • • • • • • 'd 6-8 Inch Lawn Sprinkler Valve Box Page of 03/0519) sepc-D ose ank Cross Section And Pump Performance Specifications T Tank Metarer del 2-- M:: Number Tank i Numbez Manu~r /i 5 Alum Total Tank Capacity Alarm Model Number' Max. Burg Depth ' Switch Type s -Feet Total DynamicHead Filter Manu~acttuer Elevation Head Filter Model Nunabes ? Prom's 3 Network Loss Minimum Pump ~erkmnance Required Farce Main. boss GPI j , Ft TDH Total. tV o.tlet Manhole Wm r Above Grade With Manhole Min. 4r Above Grade g Device Locking Duce. Inlet Manhole SecuQely Moulted vith < 6" Below Gri de Seated Watertight vVesl-p~f l Junction Bcx Finished Grade i ~ i Vent Min. 12" Disconnect Above Grade Means With Vert Cap „ . Outlet Fitter inlet Baffle e Switch s weep en85 ti : > Hole Tank VohlMe GP B Dimension Inches Volume Gal. (reserve) A' Off Elevation C (atanu) B ; 2. ~'-Ft _ Bottom vat (dose) C on .•y (dead) D Ft < > : : ' Total 3 v and -back Oi ~>a:Isai; ,:~>s•~>a>:~a'a a::a <'a>rr : r.. a a , . filled in accordance with the 'STALLATION: The septicldose tank manufacturer may not GENERAL jprM Maximum depth of bury as. by iocicbtS~ (lock) 9 exposed aj vets to grade have. an. ewe devi fittings, and manufacturer's product. be exceeded bout pf 14 PTOV• Manhole co approved material, come to the tok 'k ~t installed. Piping at the inlet and outlet is of . Jr Sch. 4t3 PVC to bridge the tank Joyedwb. or The € M ~ $ s 300 and Comm 16.23. laid on stable soil to prevent setter Ce ~p as 'NEC- excavation and the.sloeve.ts sealed wawdght• .Eleetri:Oal... page of 2-1 02J05 11 TOTAL DYNAMIC IsE40/CAPACITY PER VIINUTE HEAD CAPACIT EFFLUENT AND DEWATERING Y CURVE ~ I MODEL i 52 MODEL 152/153 153 Feet 1 Meters Go!- Liters Gal. ,Liters 50 5 1.5 69 251 77 291 231 70 265 153 10 3.1 61 53 201 61 231 4.6 12 40 152 i5 167 52 197 0 2p 6.1 I 44 25 7.6 34 129 42 159 z 125 30 30 9.1 1 23 87 33 ; 8 I _ 8 35 f _ ' 11 2 li 20 i 40 12.2 j a t 11.6m) 44.0 Ft. (':3.4m) o Lock Voive: j 38.0 H D1i50a I 10 p 20 p 60 80 100 6 GALLONS I a 5/9-rI LITERS 0 80 160 240 320 - 3 27/32-1'- FLOW PER MINUTE I 3 27/32 I CONSULT FACTORY FOR SPECIAL APPLICATIONS ® 3 27/32 • Timed dosing panels available, lied with ! Eiearicaw alternators, for duplex systems, are available and supp j an alarm- • Variable level control switches are available for controlling single phase systems. , • Double piggyback variable level float switches are available for variable i I level long and short cycle controls. i • Sealed Qwik-Box available for outdoor installations. See FM1420. i I ! i • Over 130°F. (54°C,) special quotation required. 12 1/s ( I 1571153 Series I Control Selection i 1/8 152153 ttODELS I Model Volts Ph Mode S Sun ex Du lx I 11 SK2D6+ 8.5 1 2 or 3 N152 115 1 Non Atrb 8.5 Includ 152 2 115 1 ed 2 or 3 852 230 ? Non 4.3 1 2or3 15 E1 2 or3 BE152 230 Auto 4.3 Indo-'ed 2or3 SELECTIOHGUIDE N153 115 ? Non 10.5 1 back variable level float 19.5 Inciu''ed 2 or 3 BN153 115 ? Auto 5.3 1 2 or 3 ~ 1. Single i>i99Yba~ variable level fiat switch or double Pig.. EP1 1 Non 5.3 Included 2or3 switch. Refer toFM0477. 153 BE153 230 ? Auto 2. See FM0712 for correct model of Electrical Alternator E -Pak. duplex (3} p CAUTION a qualified 3. variable level control switch 10-0225 used as a control aclivator, specify All installation of controls, protection devices and wiring should be done All eiedricaI and safety codes should be followed including OSHA} or (4) float system. recent licensed Nriionaionallcian. Etectic Code (NEC) andthe occupational Safety and Health Ark RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AWL TO: P.O. Box 16347 t ersof. . Louisville, KY 40256-0347 SMP TO: 3649 Cane Run Road Q~aurr PAPS s,N /~73~9 Louisville, KY 40211-1961 ~Q 0 1504 778.2731.1(600) 928-PUMP _ FAX (502) 774 http J/wwwzoe/l er. corn PUM/~ 1"O: -3624 © Copyright 2000 Zoeller Co. All rights reserved. ~ a~q 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of SYSTEM SPECIFICATIONS i FILONFORMATION Septic Tank Capacity al NA' Owner Permit Septic Tank Manufacturer NA Effluent Filter Manufacturer 0 NA DESIGN PARAMETERS Number of Bedrooms NA Effluent Filter Model ❑ I~tA Number of Commercial Units NA Pump Tank Capacity ~ t7 al 0 NA Estimated flow (average) d Pump Tank Manufacturer ❑ NA Pump Manufacturer ` Design flow (peak), (Estimated x 1.5) TJ aUd 13 NA ump Model /JrZ- I Ud /ft~ P NA Soll Application Rate Influent/Effluent Quality Monthly average' Pretreatment Unit ❑ SandlGrdvel Filter ❑ Peat Flfter Fats, Oil & Grease (FOG) 530 mg1L ❑ Mechanical Aeration Q Wetland Biochemical Oxygen Demand (BOD6) 5220 mg/L 0 Disinfection 0 Other. Total Suspended Solids (TSS) 5150 m /L Manufacturer Pretreated Effluent Quality O NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) 530 mg/L ground (gravity) 0 In-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 0 At-grade -"wnd ❑ Drip-line D Other. Fecal Coliform (geometric mean) 510` cfu1100m1 Y inch diameter Values typical for domestic (non-commercial) wastewater end Maximum Effluent Particle Size a 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 ar(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume At least once every O j4jear(s) (Maximum 3 yrs.) Inspect dispersal cell(s) Clean effluent filter At least once every , 0 months r(s) Inspect pump, pump controls & alarm At least once every 20 months ear(s) 0 NA ❑ NA Flush laterals and pressure test At least once every month r(s) odw. At least once every 0 months 0 Year(s) NA ogler: At least once every 0 months 0 year(s) NA MAINTENANCE INSTRUCTIONS licenses or Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following g lic tnse Septage certifications: Master Plumber, Master Plumber Restricted Sewer. POWTS Inspeclp , broken Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any rnssing or hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check check the efflurneb k up levels or ponding of effluent on the ground surface. The dispersal cell(s) shall be visuaty inspect~ to chin of effluent on the in the observation pipes and to check for any ponding of effluent on the ground surface. The po g ground surface may indicate a failing condition and requires the immediate notification of the local regulatory aufOrity. 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. ants, and any The servicing of effluent fitters, m nical or pressurized POWTS components, pretreaaipmme~ POW TS Maintainer. other maintenance or monitoring at' s of 12 months or.less shall be performed by A servlcp report shall be provided to the local regulatory authority within 10 days of completion of any service event START UP AND OPERATION products or other For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting p chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high coaeetatrations 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 the presence of painting Products or other chemlcais thElt For new construction, prior to use of the POWTS check treatme tank(are detected have the contents of the 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. tanks maY fill above normal highwater levels. When power is the restored thore excess `"discharge to will will nit. Duu~g power' ble outages pump result in backup r P Septage Servicing operator prior to to restore restoring power normal to this discharged this the situation dispersal have cell(the s) in one contents of large the dose, a pump p tank removed the moved cell(s) by y a and way To avoid this th effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls levels within the pump tank. the area within Do not drive or park veld over tanks and dispersal cells. are not drive or park over, or otherwise disturb or compact, 15 feel down slope of any mound o at-grade and gong the die of the POWTG pe Reduction or elimination of the followirxJ from the wastewater steam may improve the performance Pro drain ral antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapere disinfectants; fat; n foundation (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; paints g Pd Pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanentiy ta n out 33, Wisconsin Poll Admire a raters ll b Codee to insure that the system is props y and safety abandoned In compliance with chapter m • 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 sell, gravel or another inert solid material. CONTINGENCY PORN a code compfi.prrt If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled result in the nH setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement must area comply will in comply with the e e led for a new soil and site evaluation to establish a suitable replacement area. Replacement systems effect at that time. C] A suitable replacement area ias a last resort dto replace the ue to setback an POWTSm~tions. Barring advances in POWTS technologN a holding tank may - The site has not been evaluated to Identify a al lteNe replacement area. Upon failure of the POWTS a soil and b inevaai d0on Must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may a last resat 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 / 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 F A TREATMENT TANK UNDER ANY M HE DIFflCULT OR MPlIRCUMTNCES. DEATH MAY RESULT. RESCUE O~ A ENTER A SEPTIC, PUMP OR OTHER PERSON FROM THE INTERIOR ADDITIONAL COMMENTS - POWTS INSTALLER POWTS MAINTAINER Name Name ~-4 Phone Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Name _ o / E Phone 74 2 ~6- Phone )J - > O U This document was dratted in compliance with chapter SOS 383.22(2)(bX1)(d)$(f) and 383.54(1), (2) & (3), Wisconsin AdminrstratiVe Code. U v N P i i c d. f I cf) a (ii .o - m y O P n i I i( 6 / 4 8 a CO `m E C C m O Q N H Q c i co 3 'c:r Q t- s U 0 0 LU I- C) N I I %,oue n5 o o I 1.034 ACRES (n z :1.005 ACRES I I 45,033 SQ. FT.: 43,789 SQ. FT. ~I Certifi, i I I I I I 489,55'31"E 204.54' NB9'55'31 "E 20.20' I S89'55'31 "W 249.38' i l I I N ,I I I I W 'r. 13 100' 1 25 ACRES 1.038 1.013 ACRES NOTE: LOTS 1 T ~ A r 45,210 SQ. FT. 1.015 ACRES \ 44,124 SQ. FT. I 44,221 SQ. FT. 0~ ; i0 n 589'55'31 "W 2 0.20' r ~pfi• I S89,51-31 "W 252.22' :S L._.-._.-.-. FT.~ f_._._._._.J 12 I I 331.70' \ -W ' ` 11 f.102'ACRES... r:l . 26 1 1 1 33' 33~~ I N 48,010 SQ. FT. I 1.002 ACRES c%4 ioo : NCI o o I 43,659 SO. FT. r QNI I I II Lo1 1 - _ __.__.__.J I L_.__ _T.-T~ - 2c 889'55'31 "W 327.53 170TH AVENUE OF THESEI/4 N89.55'31"E1306.77' S89'55.31"W 2613.54' UNPLATTED LANDS RADIUS DELTA ANGLE CHORD DIRECTION CHORD LENGTH ARC LENGTH TANGENTS 233.00' 42'07'39" N 21'08'18.5" W 167.48' 171.32' N 00.04'29" W N 42'12.08" W 167.00' 42'07'39" N 21'08'18.5" W 120.04' 122.79' N 42'12'08" W N 00'04'29" W 30.00' 45'04'10" N 22'27'36" E 61,32' 62.93' N 00'04'29" W N 44.59'41" E 30.00' 270'08'20" S 89'55'31" W 113.00' 377.19' N 44'59'41"E S 45'08'39" E 30.00' 73'30'16" N 0814'33" E 95.74' 102.63' N 44'59'41"E N 28'30'35" W an nn' 7011R'S7" N 68'10'03.5" W 102.11' 110.75' N 28'30'35"W S 72'10'28" W ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 69eue '1{-, Mailing Address - Property. Jr i~ J ~ ~Y j - (Verification required from Planning & Zoning D nt for new construction.) City/State Parcel Identification Number 600 LEGAL DESCRIPTION . Property Locatiop ( T LON R - 117 /4 , SeC. w, Town of Subdivision i - Certffed Survey Map # - - Lot # Volume Page # Warranty Deed # - - U 4 , Volume - Page # Spec house yes no Lot lines identiftabl Dyes no SYSEM MAINTENANCE AND O` Mr,.K CERTIFICATION "Vroper use and maintenance of your septic. system could result in its premature failure to ha maintenance consists of pumping out the the system can affect the function of the s h#° tank every three years or sooner, if needed, by a licensed handle wastes. Proper responsibilities are specified in Co § mm. 83-52(l) tank as a treatment stage in the waste disposal s peer What you put into .52(1) and in Chapter 12 - St. Croix Co system. Owner maintenance p unty Sarri The property owner agrees to submit to St. Croix owner and by a roaster plumber, journeyman County Planning & Zoning Department wastewater disposal system is in ro °p~aPlumber, restricted plumber or a licensed a certification form, signed by the less than 113 full of sludge. p condition and/or (2) after inspection an ar verifying that (1) the on-site pumping (if necessary), the septic tank is I/we, the undersigned have read the above requirements and agree to standards set forth, herein, as set by the DePartM of maintain the Private sewage disposal system with the Certification stating that your. se ticsystem 'Commerce and the Department of Natural Resources, State of Wisconsin. P has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner property described above, by virtue of a w anty deed recorded in Register of Deeds Office. (s) of the Number of bedrooms ~TGNAT OF APPLICANT(S) vas % DATE Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & boning D artme Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified surve n if reference is made in the warranty deed, y map if (REV. 08/05) N Q Q le I p O ~ ~6=~~~~ ~ ~ $ o ~ U ez ~"g~ 8 OI Ly 0 S. o Ski 1ILLIE as zy; JJ J Q lilt <I @ ~ 33 ga UZ ~d m I e 1: r____ ________________1 I $ y ~y I e I 1I I ~ I I I ICI 1 1 I I I I I I I I I I 1 1 n I I C I I 1 I = I I I 1 aoze. camuuwo~.~ I t I ii 1 I 4 ~ I S I~ 1 _ S I 1 1~ I~ I £ i~ 1 1 i, I I I I R I I 1 I i 1 I I 1 I I I I I I I I I I 1 I I I I I _ 4 I I - I I I I _ 1 - 1 I f I a s I 1 I I _ I 1_ I~ I 1 I _ ______________I,,1 _ I I I 1 11 I I 1 I _ I I A I I 11 I I 1 Ik I~ i I 1 I i I 11 11 nn II I I 11 3~1 ~ j I~ i t 1~ 1 1 I O I I I' I I I I I I I I I II 1 1 I I R I I 11 I` 1 I I I I I I - I I I 1 p5 I I II I. 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