HomeMy WebLinkAbout026-1131-07-000 (2)
n.i- r t -l ca Tnm~ PRIVATE SEWAGE SYSTEM "hey St. Croix
a ty anJ Buw f? ..,n
INSPECTION REPORT Sxt W., Ft N.
600385
GENERAL INFORMATION (ATTACH TO PERMII } Sale Plan 10 Ni
Personal rlannMw,, Yuu Ixo~ido ma'r be usctl fat seu:nJary p~,T;c [F~r ar'Y I aw e Is 04 !t V,rnll NA
p"rmd 4MArr'; Name - my V:paae icw•isl:ip ^rcel Tax N.
Mark & Marjori Sicard TOWN OF RICHMOND 026-1131-07-000
CST HIM i Iri W FIn BM Ue,:f.. atinn ^ / "ra,urrnow•:Narv/elr.lap vo:
Iris _ L,~r( L 17.30.18.909
TANK INFORMATION ELEVATION DATA
1YPE MANUFACTURER CAPACITY STATION BS HI FS FLFi
Sept, c Rao-hrni
Dosing Alt. BM ZD Q~
Ae.i Bldg. Sower v/•l / r/
A
Hordm9 St/Ht Inlet
TANK SETS C IN ATI N Si Outlet
TANK TO T ZIELL BLCG. Venue Arr;a , RCAO Dt Inlet
SeVhc of Bottom
Dosing t leader'
g. to B8.2
Aeration Dist. Pi;w -
5.7s S. o
I lolding Be:. System y,f•~ Q R
O!
PUMP/SIPHON INFORMATION Final Grade
2•S 90•
tdanuiacturer ernand St Cuver Qa7 7a
GPAI / / G(J
Idudul umber ~
TOH It O'rict on Loss Syst lead TDH ----_F:
i
Face) din Leryplh U:rl tu'iirvl
SOIL ABSORPTION SYSTEM
BEOTRENCH WNe' Lntye. `t INu. Ot Tmnc"e iY PIT DIMENSIONS Nn OI PU. Inide Ula _NaA D"ple
DIMENSIONS U L
Si SYSTEM TO n:L BLDG YWFII I.AKFATREAM LEACHING hlanurn: mlr ./J~~~..
INFORMATION TYVr'Of SY'ztr CHAMBER OR I (I -Alffi(.(tl/
r' Q r 1.C / 1
LIndN Numl: `
DISTRIBUTION SYSTEM J T• •,J(/ C` wpxli
loads Duarih.,li<xr I Vnre nr At I tape
(~If Ppcisi
enn(n ~ Da / Lengm ~~Ui,~ ~naar>J J
SOIL COVER x Pressure Systems Only ix Mound Or At-Grade Systems Only
O"pth 0m Doi'IDed r,tclvh rf .v Seo:;e;~gcJJeJ xx rlu[Md
bed:Ireovn Center Q r ]nd.Trvnrn Fdnes `/~/r ~JFSOV -
v / ---Y6 Yn Ynz No
COMMENTS: (11111i code discreponoux, person8 pni nb::.) Insoectlnn Pt Irsp"cticin A2.
Location: 1018 1541H AVE:
1.1 AR SM Descnpeon -
2.1Bldg sowerlength =.-/I(~ 1[!
- arnounl of w rovever -
Plan revision Required? Yes ✓,NO ' D Q - 1/ / ~j~ (7i~~
l Isn other sine Irr nAni innal .rbnnali n (J •,II(~VYNYVVLWW [[(Cl-- L y'~/I/
SAD{ 710 !R 3,57) Darn - pUnr': S,c"a W.r- Ccd. N".
- sue, orasitoo Gwq
140o E w.shmgau An 57. C KvtY
~Y~ ~ ",1 • • p U.Box 71 J62 SrwryN NWAW ro bead me by CAI
4V x.
Sanitary Permit Applicatiorl-fi - JAL l -L. ~ SMIr TYmottim Number
Nay
In KcV3Rx woh SM 3►2 21(2 Am Adm Cuk, mtmman u(" bem w dw mogmq ub Roreramtaal uM
n mWeed Prior m ebwrww • womvY voRUt Noe. MFlcm 6m 9, areow.d WAM Yc vmmmled b Pm)at Maim (ir65rem Yrl MUMM4 ddr101111)
fo
moomm r Urparteaad of Yakty nasal 1~eer1 Ser omc PY ximl .lrerln.eort yawn provide away he rood b aeeondery /
m wcorAmct With for P"Voicy Ixw t 15. 1 m St.la /af g 167v-
EZ,
L . kpplitawdoI■larm&twn - PYme Print An laterMad" 7'1 MA
Propery Ow 's Nwr Pwcd.
MAX)l' AAkjo21C- J ICAK-0 ozb-I13r-0 -mo
Property Owrw•a L &NM Adax. P-Mty Loerion )o'
/01? /3? AV-t, cwrlat-
C". serer Zyco& Mus Number - AL y. N~ ti. snvon 17
MEW RIMMOtiDt W1 ..jy017 T_:30 N. R_
11. Type ars or (CLO& of tk.t apply) l.or!
1 w2 Family (~atling- Numbs dfledeoom~ Naaw
Bind - F 2 S `ROLLI.AG YCK~-
D Publir.Cmawoernd - Deau+be U+e _ . D cry or
State JO~wrod Daoulbe Ust CsM Numbss .pD~ Ving or
2 t.~,r C (tj p Town d RICH /VN.
BL Type ad Ptrusil: (Check emty err s Nome A. C4wq& de Mme Y ir.ppbYle) on.~.
A' U New syr4m
)(RAp(toroeraSytYm D7rawtawanietaersTeWRaphosrmOub ❑tMaaMomfiawtcaloFat+rrSymmlt(o011n)
R. D ftmot Rnw%W D Poems Renaan D CTmy o m'Itr D Pomb TneCer w New Laa Preyio.a Permit lim abm and Dab: Yawl
LteWr Eaptratim Oxen -SCIZ1~ ~j •/J(, _Q3
IV Trw.lPA"mSyaat:C.mmameau/Diwfes: (ClrrkrlYW am.ly)
hlmPeaximl tnCeo.m ❑ L'naxiad t..[Irmmd D AH+adr ❑ Mo.ml? b a ere sembb eoil ❑ M=W < 24 era Of slraMe rod
Li fk46sTerk UCadur C.P.(nWtt+t)_._--
V. Aetaw labrmetlam: _ roubmilok Dmv Fbw(Wall Boat, s.al Applrtat.m [)tipa.d Aww RAgw d (e) Dopmot Am III (d) 4yws FJn '
IoOU Day 57 i t~~ 87.50 /
VL Task [I& capacey. Tema I d 61amrYewuer
Cwlkm fWIon tlr
NY, Twb e~dua Tot. / j
ci~h1 ju A o a
s.oK •w.lA.rn.. ZGe 'j-0 Ion tlr
D-aieo+
VTI. KeyounewomyfeeYast- I, d a eseeeY M 1wmeYr I M P'O'w'r3 OR- m W etsYi
Mwabor's Norm Mrua) PlawaYer'a gyrue: n. 1~ArP25lkdliv Beans PYs N,mbw
PNmber'a Addim (Srep. Coy, Stir, Zb Colic) ! I _ _
VIIL Use only '7 11
_
Lie,< ono ~ D Flaawe FS q ~j( 6weie>R sistmw
_ Rraam fiv lyerrl 3 Tio
1
'ooc
) 4b
1. . hr91,.rRwa ucrari 3 (1 e
rMpar:<a. ter r.+At eu OL&WAn Ltiq IV tL j)1- eel',&
m pw gawrman! Plan 0 4oM W „~u nne:.
2. Al ft4w* mgow-w s mwt w rR.rt. c r :
as pw eppdrmbl+ rob. ? : rd:na rr r e artil`" `
Attl YOY/Yw MeY fwr 4mmfwa lrrl mIC womPlwrYwmus mail ta.wY
P.YI'6aSCr GIoeIS-
,1,~ 1 0 . -7 54.,.-;5
SBD-6396 (R. 08 114)
I
UNscnnsin Department of Safety and Rofess.urlal Services
Division of ludusby Sefvices
SOIL EVALUATION REPORT Page I
V ar-cOrdance with SPS 383 Nos Adm Coce -
Attach ,but lint site plan paDel not less than 8 V2 x I t inches County SI C'ROI\
t siee Plan most
include. but rim balder Ic vertical and horizontal ntal owl refeience point (t Aj. dhecbon and
percnn'slope. scale or Oimenslons. north arrow And oc
. and loca[m and distance to nearest road. P a r c e l LU (126 - J i l l - tl' - tRltl
Please Print all information. Reviewed by Dare
I'_nf- lu-.y0u.C.-. 11c'nx a De JV:(psecoMarfp C.- :•Ih•IVary laws IS tit ~I jjm'A
F'I petty (}•Mter -
T Property Location
MARK & NI,\RJOR IL SIC AR 1)
l _ Goid Lot ----N% Ir4 hµ vs 5 ?II N R IN a
I Property Owner's IiAarhng Address ;Y7;lage Salad Nance Or CSfM
1111 R 154th Avenue B & Rb Rolling Acres
Dp Code Phone Number Tovm Nearest Road
L_ \ev RlchntunJ. 54017
I I ( Y I i4th Avcmte
❑New Construction U,
G1 Res,del l! Number of bedrooms Cnrle deuved design flow rate ftlt) GPO
l"J Replacement Pubbc or commercial Doscnhit - -
?anent comments _ _ ~andv ounka.h Flood Plain elevabon it appkcables , If
C,enOral wmment0 -
i and reconnnenuabons. (l nvViii al In-grornui Trenches lauding rate
Bonng conducted 4) vcriR .oils as system is failing- \`ent and all ptpca were nliasulg: cut off.
^5 Boring0 ❑ Boring -
~L O Pit Ground surface dev _ 41 18 It Depth to limiting factor 112
m.
_ Soil pltabon Rate
Horizon Depth Dominant Coin Redo- Descnpbon Texture Sh.Icture Consistence Boundary Roets GPp1R
in. Munsdl Gu Sz Cont. Color
I 0.15 Gr. Sz. SR 'Eflaf •Efy2
101R2.2 I 21abk nivrr a+ 1%I m fl.s
It-2U
_IOY'R3:7 sect =fahk ntti rs Ivf-f 0.4 11.6
3 >o-iii 10l'It4:4 cl 2Lthk mfi c. h'f-l'
0.2 4 36-42 7.5YR A.4 0.1
sl Via, k nJi cs ltd-f 0.4 U.'•
i i 4'-112 Itl}'R4;4 cos Usf! rift Q? I b
I
I~ I
f j Bonnglr Boring - -
~-f ❑ Pit Ground surface elev Depth to limiting factor m.
Soil -cation Rate
Horizon Depth Dominant Cdnr Redox Desaiphon Texture Shucturc COnsrstertce Boundary Roots GPJ:ff
in. MUrrsdl Qu Si. Cnnt Color Gr. Sri Sh •EHMt 'EIfK2
i -
L=L=EF
- ' Effluent Of = BOU, > 30 220
f mglt and TSS >30 < 150 n4rL • Effluent 92 = BOD < 30 mg/L arid TSS < 30 mtg•'L
CST Name (Phase Pint) S-gnaMte! CST Nump,.N
;I
.MARNJOJIUPphRrtllollislcrsSoil Irstinq&Ocsi ni CGGCI ~~4;f ~t,1H3?
Address DartEvaluation Uuctrd Telephone Numbw
Kane 1 rthur ('Dori. I):.nbury•. AVI S1R iq
L. US 918 ~l i 47ti.177C
'Plot PI Page L of 2
i 1
PROPERTY OWNER: ~16AKD 1' 40 FT.
(except where noted)
.egal Description: LET g¢ KS RCLeINC. Qc-Kra Nw j4 vF TnE backhoepit
W'' S i7y J 30V Pjbct/ Tta&; of /ZIL!NMCtiA ST GRC{X ~.9~C Ac CLS
' PcN,uTY "1gh['ti
-
02L _1131 -CIS -CC)()
S rive / North
Ta( o~ [a'!a; 9218'
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PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Memel Deaign References:
Version 2.0, SBD-10705-P (N.01101, R. 10/12)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan -I Attachments: Enclosures:
T.v,=ILaX rrf; -440 POWTS_APPlication for Review
-
Soil Evaluation Report & Site Ma
_Il r---c Mt_/,I-i
- _ waar.~nn 1»=E U
Project Name I Description
Owner Name(s): !~'rlrll«:~.:1tiJCk,E,C<~t'.v Phone:
Owner Address: _1C!fi !S''" nv i5cti <.c- tinc. D Zip: ~*r
Project Address: ~Dn y ,
Govt. Lot: 14 J 1/4 of /,-J _ 114, Section I7 T ~N N-R 1 ~ E []or w29
Township: Ci:+tnnC,&D County: ST. CgLIA
Project Parcel to
zi: - , _ rti - rr n
Designer Information
Designer Name: 1. ~;,a.y -1 4~,. r Irr Phone:
Designer Address: 12 ,,9 i~~K,:v&/Jkrtiur_s C{ [1f. r K~ z Zip: 5y8 C
E-mail: ~lGl(~;+Erc~c5,c1 (iu- GL~( itoA'. c+e,r~ Th.-s.p~uCrescrRd'h+e~j:~tmyl+,ai~
License Number. , ~ , t -CIO !
•r _
Remarks: i a HUPry JO 5.,
r_,W
D1
%RIVER m
K9Aus' A~~
Signature: A/ li s -'c Date:
o.b.w , MJ1~ erdnft&d copy.
S1. C ROLX COUNTY ZONING 0I"F1CF-
CERI YICATIO\ STATEALE T
FOR L 11LIA VFION OF EMSTING SEPTIC ''I A N-K(S)
T ti f hPl'° Insp-nc-C tll_ S ~U: a0u o: dos-- tank
5:!- et adlres;; ~ locate.
L: 4.Sectior. ;own N.I:an_e
Town cf fit. Cro:x Count ')~'iscons:n.
} C)P, inil)::Ct]p:~. I G I-1fV th Lt 1 na E -0_InJ 71 1
i'1;.15
i n01F'le,jo -ill CJIlI -0.iiC:GiiL .ClI L, ~~.1L_
`,'lost re:;ent cite oI rs},c_-ior. or se--~-~,
llid c,vN ba--k occar from absor):ion < ste ' c; No,
-f Llo, slip nex t
a.P-p-ox=ate . olume or l;ngL'n of tame: tallons mir.u e=
-'mz;t;-xtion: Yroiab Conc-c:c titeel ,i:.
'\4ancf2j: Wirer if i;nO P. t: -
1gc oi' T a.:l i-1 k_toa
Pt,,=:~n : ncr ? knc>aLj
Print \arnr
I
Forr_ to be _p--
and s. 11_ rf ~~-LC rl Su:. :
z
Plot flan Page z of
PROPERTY OWNER: /IA AKYC ' .M,g-F Sax.)Z= 5I CAKD 1 = 40 Fr,
;except where noted)
Legal DescrOdon: t_oT 7, g § R S x01~✓NG 4eOms _ Al p)/4 aF 71,,E backhoe pit
tV 517 1 i 30N '9J964/, Tc WAJ OF RId*/VI Dti D 5r cRclX / . `r'70 1{C12
Lou AlZY u'ISW?hsIAJ.
D26-li3~-CS-DOp
lots /"111 AVE, North
p
FJCJTtN6 y~prr<~ ~nrJK
-lop of (~✓OC <7 IE'
r
G SIC%~ - ~ 5 MrN4 Y
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r
rsq
to location:
COP
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PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Corrrponenr Man" Design Reibrences:
Version 2.0, SBO-10705-P (N.01101, R. 10112)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan - &Xi3riNG
Attachments: Enclosures:
z.vl`aT XA rcR 5POVYTS Application for Review
Soil Evaluation Re rt & Site Ma
f1ZT=✓101-5 P-4" c TAVK ~oiREe AnT-f~l
I~nfRA/Ti THEE D
Project Name / Description
Owner Name(s): /V1,1 K % A~A -30VIE Slc;AP.D _ Phone:
Owner Address: /b(S 15q4"' 4ve new R c r1 M cuD Zip: _ sSFO, y
Project Address: ( 5Aiv1E)
Govt Lot: N-+n) 1/4 of n1 J 114, Section l l T ~N-R EE]°r WED
Township: Kj cNnno N u County: -ST. CaclA
Project Parcel ID 2U lid r - x0
Designer Information
Designer Name: y1 IA&y a 4-luPr'Eirr Phone: 7i5 z6 _ -7y r
Designer Address: 2~'y91 KiAhr jgmvt -s ('+-~C)AAR~~✓~WS zip: 51
E-mail: ~101(s{erde5ycn ~~+1ooK ~a>1 Ts j~sAAiamp.
License Number. I S f;) - co 7 Remarks: * RIARYJO
NUPPCpT
D 1860
Signature: I i~u/ 1 JL Date: x.101
«NVO SAMMMd oopr.
mot Nian pap e-Of Iff-
i I
PROPERTY OWNER: /VAAKri •MAfK,-SC jF Stehrm V 40 FT.
(except where noted)
Legal Description. UT 7 6~ R S ROLLING Aa4vZ5 M W/4 tF Tr+F ~ = backhoe pit
~)d i S r7 ? 30N 'N sSll1, T01 dN OF RId++ t10n D, ST, CRD~x J • 970 .A,4leu- S
1 JI ~
02b - K31 a) -09- o o b North
1018 /ray Yh A!/, ° p,.lo 5c,V7
/rA
FC,
®FJ(13TIN6 sEPlic i'AVK
-roe OF iv✓B( 921A~
1 I~
~-T
i r
a ~
~ f~:•, rib`,
L_ ~TA
R... ~wE i.5.1 vs.. Ave . r R". C.
Site location:
c
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rre~b: 1
51CAf4'a M*
TwW
IN-GROUND GRAVITY DISPERSAL AREA =T- K~
Uniform Elevation Trenches with CKAck4 StardanfW Chambers empee TwWQVSN AO*
3-A Trench (down sing Credit) ).zbJ w - ON - as _ a+
-"t
_ Fybrwrnrc A /00 .
® ~P
9L1 GVY62 Y Nib
Y[~ - • TYPICAL TRENCH
111_ - CROSS SECTION VIEW
1» (No Scab)
P~aAds niiinsm ] •
y yy =Q'7 ~1 R sapmibn bob~ traidrs.
(typ") y
8lratidW
or.. M
~ l9ub uoeon d►rniwrva. m..,rlanm oeri.fe.J TYPICAL TRENCH
PLAM VIEW
(NO scab)
J -31111
B= !V a m
w
)rvsTAUPERTRtNCH nr~.oc1r~ 7vn BFI e.... m
1„< O~itl~a gbW B7flfC FJ6AItfas~Eer= 4yo f• f1-S':'./$TY•Zy 1-D-" b'r~°~~b~..r~.MYYrs~ y
/ _ :,W II.) R1~Af/MN.W J K 80' ARE-NC/IF
y -
+ aew:aaawoe BY _ _ ~.L r y.j
t/xxy'~ /7f
-Hware MAVerbaech= r ra.v~r.a Y+rk+@anAM. t7'7. fir obaabon Mer.oa
P AlAy V I _I.)
z Z- uendre = Rupmed TOW EISA = YY Z x 6MAX*e
N// Div&4<Tb)t~
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page„-aZ
F" B>ff0laAAT10N SYSTEM SPE100"TIONs
Owner
Septic Tank Capet:ity
none f 0 126 fi r 1 S. C o r^ Septic Tank Manufacturer tj
DESIGN PARAMETERS ENluent Filter Manufacturer Number of Bedrooms ❑ NA Effluent Fiber Model
Number of Patric Fso*y Units NA pump Tank Capacity
Estimated Row (aueragal Pup Tank Mantdocturer fitftA
Design flow (peak), (Estimated x 1,51 all pump Mewfecturer A
Soil Appk otlon Rate alfde /ft' Pump Model _ `MA
Standard InM aint/Efflueni Gushy Monthly everape' PreaesuRant Ufthl KNA
Fats, Oil L Gfeaes (FOCI 530 mg/L p Sand/Gravel Filter O Pen Fiber
Biochemical Oxygen Demand (SODr) 420 mgfL O NA O Machanloe Aeration O Watt"
Total Suspended Solids (TSSI i150 mg.2 ❑ Disinfection ❑ Other.
Pretreated Effluent Otalky M;-' ;vamps M7-Ground CNI(el Cl NA
Biochemical Oxygen Derard (BODO) l 530mg/L (gravity) O In•Grouod (pressurized)
Told Suapetdel Saida fTSS) 530 mp/L ❑ NA O de O Mound
Fecal Collform Igaornstnc mean? 510' Oufloomr ❑ Ddp-Uns O OrhW7
Maximum Etfkratt Particle; Size Y In ells. O NA Ouw: O NA
OIMr: O NA Other. -
O NA
h/akm typical for dortteete wseawa w and seuoe tare smurrd. Other: C3 NA
MAaaiHepNCE SCHEDULE
Senecs !worn sane" frequency
inspect condition of tanklsl At lout once every:
month(s) (Masaaen 3 yew) ❑ NA
III yearts)
Pump out contents of tankfal When combined shdgs and se m equals one-third (Yes) of tank voiu rw O NA
inspect dispersal coals) At lean once every: rrtontlhl stns) Waxkeera 3 years) O NA
Clean effluent tike At lest once every: O month(s)
O
O yaws)
inspect puW, Pump uomr is & alarm At Ism moo every: month (a) la A
"d~
❑ vatic f`
F9ueh laterals and preesurs tart At least on" every: n1Onthls! A
O yearns)
At lean once every: ❑ erns) s FYNA
Other: ,*NA
MASfTENANCE INSTAUCTIONs
Inapectiuns of tanks and dispersal cola dull be made by an individual carrying me of des fuaowling licenses or certifications:
Maur Plumber: Master Plumber RNtmQted Sewer: POwn inspamw. POwTS Maintainer: swaps swvwv Operator. Tank
inspections must include a vial inspection of the tank(s) to identify any mreng or broken hardware, idsntify any weeks or leeks,
measure the vok,ms of combined oydge and scum and to chose for any book up or pondkp of effluent on the ground surfaoa.
The dispersal celi(a) 1111411 be vWalN inspected to check the eMuent levels in the observation pipes and to check for erry palling
of sMuant on the ground surface. The panding of effkwnt an the ground surface may indicate a fauns Condition and requires the
immediate notification of the local regulatory authority.
When the cornt0 ned accumulation of sludge and scum in any tank equals one-third (K) or awe of the tank vokme. the andra
contents of rho tank shag be rernovod by a Septage Ssrvk np Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filter, mechanical or pressurlted components, pretreatment
units, and try servicing at Intervals of 512 months, A" be performed by a certified POWTS Maintainer.
A service report Wall be omvided to tie local regulatory authority windy 10 days of c rnpietlon of any serve event.
OW f4MII
er
START UP Apo f)retATION Page For new cwytntctlon, prior to ues of the POWTS check treshnant tankis) for the preamCs of painting products or other ahnticels
Chet may ktpsda the treatment process and/or damage the dispersal cea(s). 11 high concentrations re detected hens the contents
of the rankls) rarhovad by a aeptegs servicing operator poor to use.
System start up shaK not occur when sal condifi ns we frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwatr levels. When power is reacted the excess wastewater wall be
discharged to the dispersal cell(s) In one Large do", ovrbading the Celllsl and may result n the backup or surface discharge at
ofnuent. TO avail this eruntion have the comets of the pump tank removed by a Septage Servicing Operator prix to restoring
power to the effluent pump or contact s Pkanbr w POWYS fNaintakaar to aaalat in manually operating the pump controls to
raet$re WNRa1 levels wAt" LM pump tank.
Cc not drive or park vanities over tanks rid dispersal ovals. Do not drive or park over, r otherwise disturb or compact, the ease
within IS feet down slope of any mound or at-grede ail abeatptbn res.
Reduction or e11minwIon of the following from the wastawarr steam may improve the Performance and POWTS: antibiotics; baby wqm; cigarette prolong the Life
of tot
butte, cardam; Cotton swabs: degrsesen; dew nose; dfspent; en; d dis 'yin}setan cants; fat:
foundation den (sump pumpl water; fruit and vdoetabls pedkngs; gasoline; graces: horbicldes; mast spaPs; medications; painting products: pesticides; medications;
oS:
sanitary napkins; tampons; an0 Water tofranr brM.
ABANDONMENT
When the POWYS tails ardor is permanently taken out of service the following mars shalt be taken to insure that the system is
properly and safely abandoned in eomplince with chapter Comm $3.33. Wisconsin Adml ihin live Code:
• An piping to tanks and pits shad be dfocon nscu d and the abandoned pipe dpenkgs saWad.
• The contrite of all tanks and pits shay be removed and prop" disposed of by a Septage Servicing Operator.
• After pumping, ab tanks and pits shot( be saoavated and rameved Of their aoyere removed and the YOW space filled with
cal, gravel or another inert solid material.
CONTYMENCY PLAN
If the POWTS falls and cannot be repaired the followYp meaatrea have been. or must be taken, to provide a code complaint
replacement "am:
❑ A suitable replacemnt are* has been evaluated and may be utlllzd for the location of a replacement sal absorption
"em. The replacement was should be protected from disturbance and crmpsodon and should not be Infringed upon by
required setbacks from existing and proposed structure, lot lines and wake. FFakre to protect the rawseament area wit
result In the need fa a new ace rid efts valuation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacarnnt area is not available due to setback andtot soil limitations. Barring advances in POWYS
technology a holding tank may be bstrlsA as a last neon to npiace date failed POWTS.
The site has not been evaluated to klantify a euitabb replecament tea. Upon talkers Of the POINTS a 0911 and she
evaluation must be performed t9 louts a witelle repiamunant area. If no replacement ante is avasablo a holding tank
may be installed as a last town to replace the failed POWTS.
O Mound and at-grade sal absorption systems may be reconstructed In place following removal of the biomat at the
infiWative surface. Aecenstructions of such systems must compty with the rued In effect at that time.
< < WARNING> >
SEMO, PUMP AND OTHFR TREATMENT TANKS MAY CONTAIN LeTHAL OA5SEE AND/OR WiUFRCMW OXYGEN. OD NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE IIN ER10p OF A TANK MAY gE DIFFICULT OR NPO"MLE.
COMMENTS _
- w h J - o~ YG
POiNTC NSTALLEA f
POWiB MANTANER
Name Nuns
Proem 7/ -Phone
SEP'TAGE SERVICING OPERATOR IPUMFERL LOCK REGULATORY AUTH0fVTY
Name 0^, m!, NerM
Phase I^O
This document was dinned in Competence With Chapter Cemm 83.1I171(bl11 KEalf1 and $3.54111. IV a (3). Wisconsin Administrative Cede.
Quick4 I~
IN f' i Ll BATOR The Quiek4• Plus
Standard Chamber
I
' I
Tlie ouick4 Plus Standard Cttartam
offers maximum strength through
its two center structural columns
This chamber can be installed in
a 36-inch-wide trench. I ike the
original Una of Ouick4 chambers,
it otters advanced contouring
capability with its Contour Swivel
Connection- which permits turns
P to 15-degrees, neht or left. It is
ISo available in tour-toot lengths to
provide optimal installation flexibility.
he Quick4 Plus All-6i-One 12 Quick4 Plus Standard Chamber Benefits:
Endcap and the Ouick4 Periscope Two center struc-mral crlurrns offer increased stabdrty and superior strength
error available with this chamtwr, ! . Advanced contouring connections
providing,rcreased flexibility in
• Latching mechanism allows ter quick installation
system configurations.
' Four-foot chamber Mngihs are easy to handle and install
j SupFxxts whw4 loads of 16,000 IbVnxle with 19" of cover
i
I "Jlaxinutm Strr~nyth i
:tor
s n Quick4 Plus All-in-One 12 Fndcap Quick4 Plus All-in-One Periscope
64"W x5,9"t x 12-11 •
Benefits: Benefits:
(854 mm .1346 mm x 305 mm) May be used at the end of chamber • Allows for raised invert installations
Effective Length row for an inlet/outlet or can be 180" directional inletting
48" (1219 mm) installed mid-trench
• 12" raiscxl invert is ideal for serial
Mid-trenc'li contiLc:tion feature allows applications
Louver Height construction of chamber rows with
d" (203 mm) center feed, as an alternative to
inletting at the ends of chamber rows
storage Capacity Certer-feed connection allows for
47 gal (176 Q I easy installation of serial distnbution
systems
invert Height Certified by the IntenWronal
0.6" (15 min), 5.3" (135 mm), ' Pipe connection options include f sx iution of PUT"
i 8 J•' (203 mm). 12.7" (323 mm) sides, ends or top and Mrxtm veer
Officials (IMMO)
APPROVED in \
~~i ' QuiCk4
Ouick4 Plus Standard Chamber -
jl~ ar } 1 1
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r/ 1 1\ IIILI I III- I, -r ,
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DIVISIC%OF NDUSTPV SFP'vlC
MADISON WI 52707 7162
ifsl o$P i31 Cwnec-Through 4w.ry
nllp rrdsps.vn-yoWrrograms',rdm1ry-sO ccs
w,vw.wrxurn.iltnuv
it -
Scott wallow, Governor
0"o Rata, Sw.rslary
May 09, '11 15
COST II) No. 1316956
DAVID LVI I %
GOVT AFFAIRS DFPT INPIi:Fk AT( 5R SYS'I'I'SIS INC
4 BUSINESS PARK RD 10 BOX 168
OI.D SAYBROOK CI W75
iikr44)caunn Numbcn
Trautiecliun FD No. 2534224
Site ID No.
_ _ _
He Description- LEACHING CHAMBER Plca%c refer to boili idennhcaual numtx:ns.
Manufaelurar INFII TPAI OH SYSTEMS INC. al.rvc, m all cuntsL+ondcmr with the agriul -
Produc'. Name: UUICK4 (PLUS STANDARD, OUCK4 PLUS SIANUAHU LOW PROFILE ILP)
LEACHING CHAMBERS AND END CAPS (irars- id 2534224)
VWel Nu'nher(s) OTACK4 PI Of; ; S f ANDARD (INCLUDING OUICK4 Pt ITS At L-IN -(NE 12 ENDCAP
WITH TOP END OR SIDC PIPE INI FT CONNECTIONS USED SINGLY OR IN
PAIRS A I LNDS Of CHAMBER LINE, OR AS A MID -CHAMBER LINE
:,()NNEC: I OR) AND QUICK-1 I'U;S SI ANDAHD LOW PROFILE (LP), (INCLUDING
Of IICK4 PLUS 8 ENDCAP WITH FND PIPE IN[ FT CONNFCTION USFD SINGLY
OR IN PAIRS AT FINDS OF I INF AND UUICK4 PLUS ALL-IN-ONE 8 ENDCAP
WITH TOP. END, OR SIDC PIPE INLE I CONNECTIONS USED SINGLY OR IN
PAIRS AT ENDS OF CHAMBER LINE, OR AS MID-CHAMBER LINE
CONNECTOR)
UUICK 4 PI US STANDAHU, DIMENSIONS: 53,0 IN L. X 34.0 IN. W X 12.0 IN H,
MAX. DEPTH OF BURY._ 8 ft.
EtISA for chambers wilh or without fabric = 20.0 sq. ft0tamhm, FISA Ire Qua,k4
Plus AIHn-One 12 Endcap installed at the ends of a chamber row - 2.6 sq. flJend
rap, FISA for Ucick4 Plus All in One 12 Endcap Installed in-line within a chamber
row = 3.5 sq. If fond cap; I aying length of chamber = 4.0 It., Laying length of OUCK4
Plus All-in One 12 Endow installed at the end of a chamber row 1.5 It., Laying
lengin o! OuK:k4 Plus All-in-One 12 EndLap installed in-line within a chamber row _
0.9 fl., UUICK4 Plus Standard Open Bottom area - 11.72 sq R./chamber, OuicK4
-Plus All in One 12 Endcap installed at the end of a chamtwr row Open Bottom area
- 3 1 cq ft /end cap. (hick4 Plus Ail-in-One 12 Fndcap installe i in-line within a
chamber row Open Bottom area 2.2 sq. ft lend cap: SLL AL SO AT TACHMENT SI.
QUICK 4 PLUS STANDARD LOW PROFILE (LP), DIMENSIONS: 52.0 IN L. X 34,0
IN. W X 8 0 IN IT, MAX. DFPTH OF BURY- 8 ft.
(F;SA for chanters wilh ul without fabric = 20.0 sq. It /chamber: CISA for Ouick4
Plus Afl-in-One 8 F ndcap installed at the end of a chamber row = 2.3 sq. ttrend cap.
LISA for Clui0k4 Plus AN in One 8 Endcap installed in-line within a chamber row -
2.0 u. F tGend cap, FISA for Ouick4 Plus 8 Erklcap Ioslalled at the end of a chamber
row = 0.7 sq. fl1ead cap, Laying length of chambors 4.0 N., I. aging length of
Ouick4 Plus AN-in-One 8 Lndcap 'nstalled at the end of a chamber row - 1.1 It.,
I. agog length of Ouick4 Plus All-in-One 8 Endcap installed in-line within a chamber
row - 0.9 IT Laying length of Ouick4 Plus 8 Endcap installed at the eto of a
chamfer row : 0.4 h.; Ouick4 P'us Standard Low Profile Open Bottom area = 9.77
sq. ttlchambe•; Otgck4 Plus AN in One 8 Endcap installed at the end of a chamber
row Open Bottum area = 1.4 sq. ft/end cap, Duck 4 Plus All-in-One 8 Endcap
installed in tune within a chamber row Open Bottom Area = 1.2 sq. ft !end cap: Quirk
4 Plum 8 rndrap installed at 111(.• end of a c Camber row Open Botton) Arua = 0.4 sq,
ft tend cap SEE ALSO ATTACHMENTS)
Product File No: Y01So111
2534224 IWt Ir I Nii, 2 vc,J il.
The specifications and'or pians lot this plumbing product have been ruv+ wad and determined to bo in
compliance with chapters SPS 382 through 384, Wisconsn Administrative Code, and Chapters 145 and I60,
Wisconsin Slamles
the Depa,tment hereby issues an approval based on the Wisconsin Statutes and the Wisconsin
Administrative Code. This approval is valid until the and of May 2020.
1 his approval supersedes the approval issued on 11/11/2014 under product file number 20120137
This approval is contingent upon compkance with the tolowing slipulation(s).
• This product most be installed in accordance will, the manufacture's Winled Instructions, product
approval, and plan approval. It there is a conflict between the manufacturer's instructions and the product
approval antUon plan approval, the product approval antLOr Dian approval will take precedence.
• When this prodldct is installed in a dispersal cell that's SIMI based on the LISA rating staled c the
regarding block of the product approval letter, this product must receive wastewater having a PODS value
I«s Ihan of equal to 270 mgA . a HiS value less than or equal to I So mglL acd a F CG value less than w
equal to ao mga on a monthtyaverage.
• When this pro;kxa is mstalkd in a oistnbution toll that hs stzoo based on the LISA rating stated in the
regardirg block of the ploducl approval letter, this product must be installed in individual excavations that
create a row of crambers that are horizontally separaled (rem other rows in olhe: excavations by al least
3 laet The.4 trot measurement rs measured between the closest outside edges of the leach,nq
chambers
• When this producl is installed in a cistribution cell that is sired basod on the LISA ratnq stated in the
regarding block of the p<xducl approval letter, the distribution cell design must all at least six inches of
pondmg in file chamhe[rN miruut bncktlow of wasteivatet into the drainpipe trial cfis^hargcs into the
chambers.
• When this prodlrct is installed in a cistnbution cell that is sized basod on the LISA rating stated in tile
regarding block of the product approval letter, this product must be inslased in it distribution system.
which has the top of the distribution cell at or below oiginal grade.
• When this product is installed with geotexide fabric: on the sides of this product in a distribution cell that is
sized based on the LISA taing stated in the regarding block of the product approval loiter, the LISA
rating with fabric must be used to size Pie system.
• When this prodirt is installed next to each other in a distribution cell that is N01 :ilzcd based oo the EISA
rat ng staled in the regardirg block of the product approval letter. the ef0uenl disldbuton area is equal to
the length limes the width of the chambef d Area. T he use of geomithle fab1c in this type of ins:allalion
is optional.
• When this product is installed with geutexlile lab e; no ere sides of this pnMiucr in a distribution coil that is
sized based on the EISA rating slated in the regarding block of the product approval letter, Ine geutext-lo
fabric must meet all of the following specifications:
Gtrotextilo shalt be non-woven
. Weight shall be 0.35 oz/sq yd to 1.5 oz/sq yd
. Apparent opening size (AOS) shall be 20-30 U.S Sieve (ASTIR D-4751)
• For mound designs, see the manufacturer's propriety mound component manual fe this product line
For mound designs, see the manufacturer's propriety mound component manual fro this product line.
2514214 Onvw U2NTZ' i-.e"' sc~rzn~s
The depurimenl is in no way endorsing this product of any adverlising, and is not responsible for any situation
which may resuit from its use.
Sincoroly.
Glen Jones, M.S.
POW] S Product Reviewer
phone: (608) 267-5265
tax, (608) 267-9723
email: glen.jones c@wi.gov
The OSPS is committed to service excolto ce. Visit our survey at:
www. surveymonkey.conVS/ospsiscuslomersaGsfacim
Plot Plan Paw Lof z
PROPERTYOWNER: N'AAKi MAPSToxl6 SIeAKD 1 ~Fl
(except where noted)
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