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HomeMy WebLinkAbout018-2021-05-000 ,n Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix end Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600364 AVERAL INFORMATION State Plan ID No: tonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3087528 .rmit Holder's Name: City Village Township Parcel Tax No: TOWN OF HAMMOND 018-2021-05-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: z_ 08.29.17.1286 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER n, CAPACITY STATION BS HI FS ELEV. Septic t ( ~.y~/_ AA Benchmark Lit ISFW 3.1 .D Dosing L Alt. BM -~L- cuR P-30 lo t. cn Aeration Bldg. Sewer Holding St/Ht Inlet O I (Q I Outlet TANK SETBACK INFORMATION St/ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD D In Septic 0 ] 7 f Dt Bottom ~~,w l o~• 9 Dosing Header/Man. Aer ti on Dist. Pipe Holding Bot. System SP.1. (a PUMP/SIPHON INFORMATION Final Grade •q3 Manufacturer Demand St Cov h GPM L7 Q2- t ;l1(~ V . Model Number 'TDH Lift 4 Friction Loss System Head., TDH Ft 3. 30 loo ~o !J ' 4 } Forcemain Lenc th Dia. Dist. to Well , SOIL ABSORPTION SYSTEM N BED/TRENCH Width Length No. Of Trenches PIT gIME ONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( ` SETBACK SYSTEM TO V P/L BLDG WELL LAK /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of Syste& O t - UNIT Model Number: G_DISTRIBUTIONSr SYSTEM f _J_ Header/Manifold Distribution x Hole Size ~j x le Spacing Vent to Air Intake ~l Pipe(s) -3) u ( / Length~lG Dia Length ~L 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 ~s ~ es ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1641 101 ST AVE C 1.) Alt BM Description = q.:rp' CUR 2.) Bldg sewer length = y 7 ( - amount of cover q;Z1, Plan revision Required? ❑ Yes ❑ No Use other side for additional information. Date Insepctor's Signatu Cert. No. SBD-6710 (R.3/97) A county I J u 1 Safety and Buildings Division Li ~ . ~ K 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number to be filled in by Co.) T PS H 18 2018 Madison, W 53707-7162 t *v . ff4F ermit Application. Stale Transaction Number in accordance with SPS 38321(2), Wis. Adm. Code, submission of this form t~ o fhe app i governmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than trailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary, opurposes in accordance with the Privacy Law, s. 15. 1) m), Stats. r// h L Alication Information - Please Print All Info do C Property Owner's Name Parcel 37 Property Owner's Mail' dress Property Location 0~; 1) ~ i 7 7 4{ f a Govt Lot Ci State Zig Code Y Phone Number Section a 7 l T,, ~ N; R E W e II. Type of Building (check all that apply, 'Lot 2 Family Dwelling -Number of Bedroo --F~ / Subdivision Name l a hot~~► a Bloc ,.i}? G ✓t. J El PubiicJCommercial -Describe Use ❑ City of ❑ State Owned - Describ4se CSM Number ❑ Village of 2 rGt wn of 2 y. 1 ~4 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. 41 ew System ❑ Replacement System ❑ Treamtent/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B- El Permit Renewal ❑ Permit Revision E01 Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued/ Before Expiration Owner IV. Type of POWTS System/Com onent(Device: Chec ll that apply) J ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground de ❑ Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil , ❑ Holding Tank ❑ Other Dispersal Component (explain etreatment Device (explain) V. Dis ersal/Treat nt Area Information: Design FT,ow (gpd) Design Soil Application Rate(gp f) Dispersal Area Required (sf) Dis~ al Aces Pro posed e~ + f) System Elevation G /L c. VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units L S 3 New Tanks Existing Tanks m J • c ~ ~ ar u n h P Septic or Holding Tank I Dosing Chamber VII. Responsibility Staten I, the undersigned, assu ponsibility for installation of the POWTS shown on the attached plans. Plymber's Name (Print) Plumb arwe MPJMPRS Number Business Phone Number _ Plumber's Address (Street, City, State, Zip Code) VM'Ceirntv/Department Use Only proved El ,Dieep}mere Permits Fee Date ued Issuing t Signature G'v eason for Denial IX Conditi ' r ' on,_fnr ??pproval -!if cell nu3t all ll be sq y~ .es ! tna nt ?c_ ~ 4iWe ss per tmaragemen! plan pro iaer! UVpkl gut ! ~Y10►•~ 2. 'Atieft * mc,um-enis mtrst t;t >atrtz r:r s ~O O1.J . a per oppkW-tmdiI:MISiNnrEi. tAgavw___ `,O-n , Attach to complete plans for the system and submit to the County only on paper not less than 8 it x 11 inches in sic 14) SBD-6398 (R. 11/11) i n ag_c~ w/ ~jN+`~' J System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SW 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 100.4' 3/25/18 BEDROOM 3 DATE CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100° Filter Lifetime Filter ❑ BOREHOLE (D WELL *H.R.P. same as benchmark 101st. Ave 433' Property Line Scale =1 /4" = 10' Well is to meet all WDNR setbacks Pro 3 Area 15' below system is Bedroom to remain undisturbed House 7% Slope t ~ B-3 i Huffcutt Combo Tank B-1 9 ' 158' Property Line 1 0' 10 .4' t 101 Grading is to be done to divert B 2 run-off awa from s stem Y Y 230' Property Line B. A." ~Cjcp iP Y DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 i GREEN BAY WI 54304-5211 Contact Through Relay hftp://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gutierrez, Secretary April 12, 2018 CUST ID No. 226900 ATTN: POWTS Inspector ZONING OFFICE "I _4 SHAUN R BIRD ST CROIX COUNTY SPIA~ ="i 1432 120TH ST 1101 CARMICHAEL RD t' 08dd NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/12/2020 Identification Numbers Transaction ID No. 3087528 SITE: Site ID No. 848102 Oeverin2 Homes Please refer to both identification numbers, 1641 101 ST Ave above, in all correspondence with the agency. Town of Hammond St Croix County SE 1/4, SW1/4, S8, T29N, R17W FOR: Description: At-Grade (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1756354 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limitinz factor from orilzinal grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), 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 the POWTS Dispersal 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. • Divert surface water from POWTS Area. SHAUN R BIRD Page 2 4/12/2018 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • 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 at-grade must be cut off at ground level. A Larger till area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • 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. 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 m ~,zri~~o~eeaf 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 c~wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. SHAUN R BIRD Page 2 4/12/2018 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizina to meet TDH and GPM Specifications. • Verify property tine(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • 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 at-grade 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. • 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 horizontallv from where the servicing pad is located. 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 , 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. ECEQVE[ MAR 2 8 ?01,8 Cover Page INCUsTRY.V►ff. Shaun Bird Bird Plumbing Inc. 1432 120th St., New Richmond Wi 54017 715-246-4516 Date:3/25/18 Owner:Oevering Homes Location:SE 1/4 SW1/4 S8 T29 N,R17 W 1641 101st Ave Hammond Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan fy 9. Filter Specifidr-; ns -I ~i Attachments: S i'Test Shaun Bird e Signature) License numb,Lbr 226900 i ~I III Page 1 of 9 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SW 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 100.4' DATE 3/25/18 BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # 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 101 st. Ave 433' Property Line Scale =1/4" = 10' Well is to meet all WDNR setbacks ~c a Pro 3 Area 15' below system is Bedroom to remain undisturbed House N 7% Slope B-3 Huffcutt Combo Tank B-1 9 158' Property Line 1 0' 10 .4' q 101 6.2 Grading is to be done to divert run-off away from system 230' Property Line B. 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YL v -J•J•r•J•r-r•r•r•J.J•r•1'•r.r.J-r•J•r.r-r-1•J.J•J•r•J.J.r•r-J.J.J•J.r-1•J.r.r•rM r KK•'.•L•YYL K•LK■L•L•YL•YL■L•LK.LK•L•L•L•L•L•L■L•L•L L•L•YL L L ' s~ = J■J•J■r■r•J•J• J■J■J•J•J•r•J•J■f■d•J•J•r•r■J■r■J•J•J•J•J•J• Ar■J■J■1■J•r■ A V 1.0 y LKK•L L L KK■L YLK YL L L LKK•L L L YL L L L L•L•L L L YL YY - ~i L E 1/6 B E E L B L L % Slope = Plowed Lr: = Clean aggregate = 4 in sch. 40 pvc rtirti t i • _ basal area •L•L /2 to 2 /2 in. dia observation pipe Lateral with 211 Topsoil Cap aggregate over pipe Geotextile Observation Pipe G With Cap Fabric r•r- ,~;tirL;;w ' . Ft Lateral Invert ■r■r■JY■JY- r: ~':J:J: ~':r:r:J. ~ Topsoil Cap YLK•L•L•YL L•YL••6-L•LKKK •r■r•r•J•r•J•J•r-J r•r•r•J•r■r.J.J.r.J•r.r. K•YYYYYL F~• rpr LKKK•L•LK•L L•~•L LK r•r•J.J•1'•r•J•J•, J•J•J•r• ~hJ r■r r■rpJ■Jp •'.•L•L•LK•YLKK w L•• .r■r.J.r..Y'~°L.~:.:■ Ft Contour LrK'JK'.•'..L■L•LK. - • J■r•J•r-r•r■r■1w■ L-LKK•YLK•LKK• :r:r:r:r.J.J•J-r•r•r-r•r•r•J•r•r-J •L.,L•LK•LK•L•LKKKK. •r•r•~ K 1r D Plowed Surface _ C Slope Direction GENERAL INSTALLATION: The apt-grade area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The basal area (L x Vii is staked out and plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a Y4 inch soil wire when a sample is rolled between the palms of the hands:. The A x B area is covered by clean aggregate deposited overhead by a backhoe.. Special came must be used when placing the aggregate to minimize compaction of the plowed sur ace. After,the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative- groh, limit erosion and protect from freezing. The observation pipes are perforated in the lower 6-in6hes. and secured in place. 03/051gj Page o Pressure Lateral Layout One Lateral - End Manifold 4 Threaded Cleanout Force Main Lateral Turn-up -0 Plug X L Long Sweep 90 Bend- 0 ri % Pressure System Construction Distribution-Network Specifications Lateral Diameter 7 In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 3 In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) •21, In. the pipe with a sharp drill bit and face down. L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded Force Main Diameter 2 In. ceanout plug and are enclosed in a 6-8 inch Force Main Length Ft diameter lawn sprinkler valve box accessible from finished grade. Grade p • 6-8 Inch Lawn Sprinkler Valve BOX 03/05lgj Page of it Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manus Tank Model Number Pump Model Number i 5 L 'T'otal Tank Capacity 3- D Alarm Manufactum 1j" ~ Model V JAInrm Max Bury Depth Number rn t,- e Switch Type Filter Manufacturer Total Dynamic Head (TDB -Feet Filter Model Number ; Elevation Head . Disw pressure Network Loss Minimum Pump performance RffFt Force Main Loss CPNL DH Totali 4 outlet Manhole Min. 4" Above Grade With _ V Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device Secumly Mounted < b" Below Cede Sealed Watertidt junction Box \liv F 4isbed C. n& " _ Um - - Vent Mint 12" Disconnect t Above Grade Means With Vent Cap .r ' Outlet Filter - bilet Baffle Inlet > Switch Set ngs and. Reserve Cap~w~t5' Weep Tank Volume = r` GPI Hole .X B Dimension: Inches Volume Gal. a;r a (reserve) A; > . < off Elevation C {alarm) B ; 2. > Bottom Elevation 71 Total `s`i car`d`s >`r`a`rai a°i >~sss>`7 a`a`i a<a`a<s aaaia;>ias;a~>>sa>;ai>,>: j<>s>i a>s ~ ~°asr a;.<asiaa` <><i saasaa>`>asiai sar<i i sia~i i >`a`i i i i aS~o i i a + > > a > and back filled in aacozda we with the becldad GEC ST ,yATIOlq: The. septicldosc by the ~u€acWer may not manu€ae#ur s pmt dpi roval spe;cifi7cations- A+ wdmum depI to th °f burs' ~ ° .v° . a° e - lodit device (Padlock) val.. Manhole coven ewe be exceeded without Dior aPPrO. veui material, cimeowd to the tank wi wdm'd& fittings, and iastalled. Piping at the inlet and outlet is of ap o : ed wifl f 40 PVC to bridge the teak The force main is sleet/ . 16.2x. laid on stable soil to prevetet Belding or sagpWr lies vvithNEC-~ and Comm excavation andthe.sve.is sealed vvatertigt- Ems. of 02/05 IS TOTAL DYNAMIC HEAD/CA.PACI Y HEAD CAPACITY CURVE PER I EFFLUENT AND DDN DEWATERING of MODEL 1.52/153 N 152 UJ 153 M' ppEl i ~ ~ ti Feet Meters Got. T Liters I Col. I Liters 153 5 1.5 69 - 251 77 291 12 40 152 10 3.; ti1 231 70 265 c 15 4.6 53 1 201 61 231 x 20 6.1 1 44 167 52 197 30 25 7.6 34 129 42 159 a 8 30 9.? 1 23 87 i 33 125 a 20 35 10.7 ; 22 85 001, ° 40 12.2 i 11 42 4 10 I Lock Voive: j38.0 i. (t 1.6n)I44.0 ft. (1 3.4cn} ousoa 0 l 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 6 r/4 3 27/32 -1- -'t+-4 5/8- 4 FLOW PER MINUTE I 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ • Timed dosing panels available. ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with I an alarm. 1- • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable - r-- level long and short cycle. controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. i I • Over 130°F. (54°C.) Special quotation required. I j ~L , 1521153 Series t2 t/a r i 151H53 YODELS Control Selection I I Yodel V0133-Ph Mode AaMs S Du / 5 1/8 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Autp &5 lrcltrd¢d 2 or 3 f _L $K=4 E152 230 1 Non 4.3 1 2 or 3 8E152 230 Auto 4.3 kKkkded 2 or 3 N153 115 1 Nowt 10.5 1 2 or 3 8N153 115 1 Auto 10.5 i x4w 2 or 3 SELECTION GUIDE E163 230 . 1 Non 53 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable revel float BE153 230 1 Auto 5 3 2 or3 switch. Refer to FAM1477. IA CAU'noN 2. See FM0712 for correct model of Electrical Alternator E-Pak All JastolLidoo at coatrots, protection dericeS and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, speedy duplex (3) rrcetaed elecriclan. Ad electrical and safely codes should be followed Including the most (4) float system. recent NaMmal Electric Code (NEC)andthe Occupational Safety and Health Act (OSHA) or RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. M41L TO. P.O. a0X 16347 LouisvftKY 40256-0347 Afarrr~aCfuarsof.. ~O SfW TO. 3649 Cane PdmRoad .r Louisvft KY 40211=1961 yP16VPS f j, g (502) 778-2731.1(8W 928,PUMP httPJ/wwwzodrencom ! FAX (507) 774-3624 0 Copyright 2000 Zoeller Co. All rights reserved- POWTS OWNER'S MANUAL $ MANAGEMENT PLAN pap of ILE INFORAtATiON SYSTEM SPECIFICATIONS Owner Permit # Septic Tank Capacity C1 NA Septic Tank Manufacturer ❑ NA ARGN PAI iY1ETERS Effluent Filter Manufacturer j ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model / ❑ NA Number of Public Facility t)nits ZNA Pump Tank Capacity Estimated flow ~ ❑ NA ( j Pump Tank Manufacturer NA 1 Design flow (peak), (meted x 1.5) aU Pump Manufacturer C3 NA Sort Application Rate Pump Model ~ j Z ❑ NA i Standard Influent/Effluent Quality Monthly average- Pretreatment Unit Fats; Oa & Grease (FOG) 530 mg& ❑ Sand/Gravel Filter E3 Peat Filter Biochemical Oxygen Demand (BODs) 5220 mgfL ❑ NA O Mechanical Aeration ❑ Wetland Total Suspended Solids (T SS) 5150 mg/_ o Disinfection ❑ Other ;Pretreated Effluen Quality Monthly average Dispersal Cell(s) Bwc l Oxygen Demand (60135) 530 0 mgA. Total Suspended Solids (TSS) <_30 mg/L ❑ NA ❑ In-Ground rade (gravity) 11 In-Ground (pressurizes) Fecal Co6farm _ 11 Mound (geometric mean) 5104 du/100ml 0 Drip-Line ❑ Other. Maximum Effluent Particle Size 36 in dia. '0 NA other Other 0 Other. CI NA ❑ NA ''Values bypicai for domestic wasbswdK and septic tank effluent. Other ❑ NA NTENANCE SCHEDULE Service Event Service Frequency Nnsped condition of tank(s) At least once every 13 (month(s) s (Maximum S Years) ❑ NA !Pump out contents of tank(s) When combined sludge and scum squats one-third {Y} of tank volume ❑ NA Nnspect dispersal cep(s) At least once every: ❑ month(s) (Mum 3 ,year(s) Years) ❑ NA Mean effluent fifer At least once every: Z ( month(s) ❑ NA nsped pump, pump controls & alarm At least once every: ❑ month(s) s) El NA f=lush laterals and pressure test At least once eve ❑ month(s) At least once every: ❑ month(s) r D year(s) 0 NA ❑ NA lifYAiNTENANCE INSTRUCTIONS (inspections of tanks and dispersal cells shall be made"by an individual carrying one of the lolkowing licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer; Se a Servicing O include a visual inspection of the tank(s) to identify any missing or broken hardware, i any cracks or te teaksr. Tank ire the inspections volume must dentify rxmbined sloe and scum and to check for any back up or , measu re the me of p ponding of effluent on the ground surface. The dispersal cell(s) shall be Visually irapected 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 falling condition and requires the immediate notification of the local regulatory authority- Man the combined accumulation of sludge and scum in any tank equals one-third (36) or more of the tank volume, the entire contents of I* tank shall be removed by a Septagge Servicing Operator and disposed of in accordance with Administrative Code. diapter NR 113, Wisconsin All other services, including but not limited to the severing of effluent filters, nvxt mic W or pressurized components, pretreatment units, 4nd any servicing at intervals of 512 months,'shail be performed by a certified POW rS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS cheek treatment tank(s) for the presence of painting products or other chemicals thelt may impede the treatment process and/or damage the dispersal call(s). if high concentrations are detected have the contents of thO 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 ffii above normal highwwatter levels. When power is restored the excess wastewater will bie discharged to the dispersal cep(s) in one large dose, 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 disperse! 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 pedbrnranco and prolong the fife of the POW antibiotics; baby wipes, cigarette butts; condoms; cotton swabs; degreasers; dental floss; drapers; disinfectants; fat; foundation drain (wnp pump) water, fruit and vegetable peelings, gasoline; grease; herbicides; meat scraps; medications; oil; painting produc lis; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is property and safely abandoned in compliance with chapter Comm 133.33, 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 fined 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 canpliont replacement system: 0 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The repiaoernent area should be protected from dishubance and compaction and should not be infringed upon by requicled setbacks from e)ftft and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule<p in effect at that time. 13 A suitable replacement area is not available due to setback and/or soil limitations. Baning advances in POWTS technologW a tank may be installed as a last resort to replace the failed POWTS. =sits has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a son and site evatua on must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installea as a last resort 10 replace ft failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in piece following removal of the biomat at the infittrzove >~~-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 0 A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Xee r Name Phone Phone 1 ^ - , ZA Ell SEPTAGE SERVICING OPERATOR UM LOCAL REGULATORY AUTHORITY Name Name 1 f>u /l Phone Phone This document was dratted in compliance with chapter SPS 383.22(2)(b)(1)(dj&(1j and 38IWI), (2) & (3), Wwwisin Administrative Code. ~'D N a n Of A ! Y- 1 t, t v o 'O f n P 6 I i i+tV it.. Lu (-E-. ~ i. $ C C C $ i Y N u 73 D p, a Q Z m p © a ' P, 0 fit i o to d' r- i C~ j ~ i i i - ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer, (52e(-)e 1.~ f :Mailing Address ZY/ _f, Property Address (Ven cation required from planning & Zoning Department f w construction.) City/State _ Parcel Identification Number ? f LEGAL DESCRIPTION f=~ Property LocatiouJ Yf~ / Sec. l'T / W,Townof Subdivision Certjfed Survey Map # _ r--- - Lot #,S , Volume Warranty Deed # 1 C - - Page # Volume Page # Spec house` - Lot lines ident~abl yes no SYSTEM M ~'ENANCE AND OWNER CER TIFICATTO~1 Improper use and maintenance maintenance consists of pumping out the Your septic system could result in its pre the system can affect the function of the sceptic tank every three year epti s or soortt er, needed, bilure to handle wastes. Proper i "Pons ibilities are specified in Co c tank as a treatment stage in the waste disposal s licensed pumper- What you put into unn. 83.52(1) and in Chapter 12 - St. Croix Co Ysrdi Owner unty Sarni maintenance The property owner agrees to sub' Ordinance. o'w'ner and by a submit to St Croix County master plumber, joie Planning & Zoning Deportment a certification form, wastewater disposal system is in Yman Pltunber, restricted plumber or a licensed less than er fill of sludge. proper operating condition and/or Pumper veri signed by the (2) after inspection and fYi that the on-pt Pumping (if necessary), the seeptic tank is I/we, the undersigned have read standards set forth, here the above requirements and in, as set by the Department of Co agree to maintain the private sewage stating that your septic system .has been mmerce and the De disposal system with the Zoning ~ artment within your days of the three maintained must be copwmem of Natural Resources, State of Wisconsin. 30 Certification year expiration date, mpleted and returned to the St. Croix County planning & T/we certify that all statements on Property described above b v" form are true to the best of my/nm knowledge. Uwe am/are the owner(s) utue of a arty deed recorded in Register of D of the Number of bedrooms Deeds Office. T IGNA OF APPLICANTS . ***Any information that is misrepresented may result in the sanitary ermit b DATE P emg revoked by the Plannin IIICIUde with this 8t Zoning a 1; application De a recorded Pariment. reference i warranty deed from is made in the warranty deed m the ester of Deeds Office and a copy of the certified survey map if (REV. 08/05) v? x B M I " - 12 \ TOP OF 3/4" IRON PIN [ z ELEV=1029.08' x L-,7 I LOT 6 _f 123993 S.E. a? - - - - - - - N 1~M I C 2.85 Ac. to t L3 . 5-6' N L HWE-1025.0 LB0=1029_0 60 5r) co 3> \ N 6~,t 9 \ tJ ~P t S9 x Cil c~ cs co W 101 S' X ~ L N MON ; LOT 5 O x 90400 S,F. { 205 Ac. C" ! HWE=-1025.0 p0 tr = LB0=1029.0 Sg ~ N WT. 4.172 LOT 4 LOT 3 96595 S.F. O 69475 S.F. -P WT. 1.50 x 2,22 Ac. 1.59 Ac. LOT N t~ x o W', W i` INN W Z' , e rl io =s~~~ Oi O i ~ r. ~ t ~I ,n On 0 21 30 oZ° m m o Zli G 1 Q lui lul~ LU W 1 Eli a PI of w U-j Ja W, (f 8 i QW o l K 'l - j ~ Q~I ~I§ W s w Y z L 0 =o~ LL- §gg Z 0 z °e.~i m~~~ tnl N :D Z- ffi~ a m5° a 4g °_J~~o~~< 5d R R Ss A OIL x `a ~ $&~"a z no of 9 r o =i of Ni 3 v rs' 14 rsi sar..a,x.®wrsozi ! a~m.oc°fi ! I, - I-si . .?z.~. i of z - oi~ ! - - - - f, - - - ' ag ~ 26: 6'lsitl!YDJU Ai ~ ' I Ni, ~ I I - - - i qi------ - NMI vvj~ °o a~ w P7 r~I'f N W ac3 WII ll_ ~ O Z Ro' g. o! y zl N Any .e { ASS T N" u! N ~r 3& s~ r~ i I x~ I li i o m a - I I n u I III ~ I I Z~ x I I x~ g! O O'' ` ro J III 'T 1 kC - -.y _ Z x I ECC .I I i Q ~ 'I !Z .I S ,1 - Wisconsin Department of Commerce SOIL EVALUATION REPORT ....,•-°page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must /'D I include, but not limited to: vertical and horizontal reference point (13M), direction and parcel I.D. r percent slope, scale or dimensions, north arrow, and location and distance to nearest road. cX~c Please print all information. Review by Date personal information you provide may be used for secondary purposes Priv (1) (m)). i Property Owner / R Prop rly Location Z t t' C, rG rs~-4 ~ Govt. of j ~ 1/4 )1/4 3 T2? N R / E (o W Pro rty Owner's Ma' Address JUN 1 3 Lot # Block # IS Name or CSM# City State p Code one glc~rn~OlX COU ❑ city , ❑ village Town Nearest Road New Construction Use.X Residential ! Number of bedrooms Code derived design flow rate J~ GPD ❑ Replacement Pu is or commercial - 0 scribe: Parent material G + C'G?LZ'2~Gt/ Flood Plain elevation if applicable ~isT ft. General comments arid n3conunendations: 'r ✓ t ✓ System Type System Elevation Boring F-11 # Boring pit Ground surface elev. ft. Depth to limiting factor ~ In. Soil Applicat Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 i3 , - - ^ Boring # ❑ Boring a a pit Ground surface elev. : L ft. Depth to limiting factor ~ tom? in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 `Eff#2 I Z i r 3/Z ( M'r' I (c Sv' Z z-3 l~ 51~f C! Z 1 rr.~,- w i. Effluent #1 = BOD > 30:5 220 rtxA and TSS >30 < 15o ' Effluent #2 = BOD < 30 mg/L and TSS < 3o mg/L MOZZ CST Name (Please Ponta CST Number Bird Plumbing, Inc. Shaun Bird ST 226900 Numb Address Date Evaluation Conducted Te lephone Number 1008 192nd Ave, New Richmond, 15401 / 715-246-4516