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HomeMy WebLinkAbout030-1048-70-105 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 600388 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1)(m)]. 3088970 Permit Holder's Name: City Village Township Parcel Tax No: Tim & Traci Waalen TOWN OF SAINT JOSEPH 030-1048-70-105 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: a 5 22.30.19.1846-05 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic ~J ZI Benchmark Dosing _ ya Alt. 611~~ , 66 7,1 la- ; ) A 1, Bldg. (Sewer Holding I , St/Ht Inlet Iz •cp q5.9/ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. nt t it Intake ROAD Dt Inlet Septic > ZS 0 ~41 Dt Bottom Dosing 75 A4- Z. -r+ 3x Header/Man. ~ . Aeration Dist. Pipe l • ~ /d ~ Holding Bot. System ! • 7 I 6`7 /0z,-jj PUMP/SIPHON INFORMATION Final Grade 7 ~.a Manufacturer Demand St Cover ~ GPM a 7. ~ r Model Number _ TDH Lift r FrictioUjos System Head TD .:M 4 1 Forcemain Len th Dia. Z Dist. to Well 126 1 AA- SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. 0 enche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S7 SETBACK SYSTEM TO J P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type stem: J j A /T ,/L- UNIT Model Number: DISTRIBUTION SYSTEM O Header/Manifold Distribution / F1 Ill x Hole Si x Hole Spacing V Air In e Pipe(s) Length Dia Length Dia Spacing Z. 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 1-7 1 Bed/Trench Edges 14-1 Topsoil ' . E] No E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Z q Inspection #2: Location: 605 150TH AVE ~l 4, e,'aj .(A-- 1.) Alt BM Description = 2.) Bldg sewer length - amount of cover al 66 11 Plan revision Required? ❑ Yes '>60 L(. Use other side for additional information. ~J SBD-6710 (R.3/97) Date Insep is Sign re Cert. No. 1 erll fiberly Pum s p Pum Specifications C 280 Series 1/2 hp Submersible Effluent Pump LITERS PER MINUTE 0 50 100 150 200 250 40 12 I 10 30 I 8 W F- w w w w LL z z w 20 6 Q = w J = J F { ~ O 4 i 10 i IL i i 2 I i 0 0 0 10 20 30 40 50 60 70 GALLONS PER MINUTE 280_Pl R01 on/2015 OCopyright 2015 Liberty Pumps Inc. All rights reserved. Specifications subject to change without notice. }ate Connty~ _ ~sl l Safety and Buildings Division c.__ t 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to efiled in by Co.} y Nfadison~Wl 53707-7162 G t~ !J `jS r MAY 0 8 2018 0,36-16 76 /aS nsaction Number State Tra Core iun it Applic In accordance iridr 3?S ~t3. ts. mission of this form to the appmpnate govemtnental unit r ttt is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)cm), Stats. L Application Information - PI Print All Information RK Property Owner's Name CA,C-N Par_ x Property Owner's Mailing Address Property Location - 1 I GOVL Lo City, State lip Cod ode Phone Number ! , /i-__/ - /.,~!~L . Section te 1.~./ T~ N; R / Or w IL Type of Building (check all that apply) Family Dwelling-Number of Bedrooms L Subdivision Name B ❑ Public/Commercial - Describe Use ❑ City of ' V CSM Nurnber ❑ Village of ❑ State Owned - Describe Use Vol 2 III. Type f Permit: (Check only one box on line A. Complete line B if appiicabie) A. 1rFew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal D Permit Revision D Change of Plumber D Permit Transfer to New List Previous Permit Number and Date Issue Before Expiration Owner IV. Type ofPOWTS System/Component/Device: Check all that a D Non-Pressurized In-Ground D Pressurized In-Ground D At-Grade and > 24 in. of suitable soil D Mound < 24 in_ of suitable soil ❑ Holding Tank D Other Dispersal Component (explain) sD~Pretreatment Device (explain) V. Dis rsanreatment Area Information: A t Design Flow (gpd) Design Soil Applicat e(gpdsf) Dispersal Area Requir (sf)~ Dispersal Area Propo (sf) System Elevation r VL Tank Info Capacity in Total ii of Manufacturer v Gallons Gallons Units U New Tanks E,risting Tama Septic or Holding Tank / I Dosing Cbamber y . ) VII. Responsibility Statement `I, the undersigned, a responsibility for installation of the POWT'S shown on the attached plans. Pumber's Name (Print} Pl S' ature MP/MPRS Number Business Phone Num er J_ 6 '0, Plumber's Address (Street, City, S -Zip Gc de) f 1i~~ 71 C ~l L M_AJJ County/Department Use Only Permit Fee Da Issu d Issuin° . cent Sign Approved Sapp $ C 5 f~ ~d iZeason for Denial 0 DL Conditp q approval ` /1 (i~ t , %pvr3:, i cell must all bed>' ]C S lta C~ tt /r,, ~s per mar3gement pic.n pro ltoe' by j,iu noe . ` wl ~o 2. AiaNOW* regl i"nen s trniul aR pipr pppkWit curl= ! :rdinanot=. Attach to ampiete plws for the system and submit to the County only on paper not less than S trz z 11 inches in size SBD-6398 (R. 11/11) System PLOT PLAN PROJECT Tim Waalen ADDRESS 421 172nd Ave Somerset Wi 54025 NW 1/4 NW 1/4s 22 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 103.0' 3/29/18 3 DATE BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of surrey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 150th Ave Well is to meet all WDNR setbacks Pro 3 Bedroom Z`+ House 3 acre lot Huffcutt Combo Tank Scale = 1/4" = 10' B- Area 15'below system is to remain undisturbed ~ B-3 Grading is to be done to divert run-off away from system - 2 10% Slope 60th ST. 104 102' 100' a lC v B.M.* 413' Property Line 7 i DIVISION OF INDUSTRY SERVICES r>~, 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~t +~cr1 Scott Walker, Governor Laura Gutierrez, Secretary April 19, 2018 CUST ID No. 226900 ATTV• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD SELF STORAGE ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/19/2020 Identification Numbers Transaction ID No. 3088970 SITE: Site ID No. 848288 Tim Waalen Please refer to both identification numbers, 605 150TH Ave above, in all correspondence with the agency. Town of Saint Joseph St Croix County NW1/4, NWI/4, S22, T30N, R19W FOR: Description: Mound Svstem (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1757388 Maintenance required; 450 GPD Flow rate; 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 4/19/2018 • 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 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 beset and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/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 n,wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. SHAUN R BIRD Pa,-e2 4/19/2018 • 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 1 feet below the elevation where the servicing pad is located 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv chances may result in pump resizira to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permit required by the state or the local m u, construction/installation/operation. In granting this approval the Divisi 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. RECEIVED 1\PR 0 4 2018 Cover Page IN"-111STRYSEHVICES Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/29/18 Owner:Tim Waalen Location: NW1/4 NW1/4 S22 T30N,R19W 605 150th Ave St. Joseph Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Specifications and cross section Attachments: Soil Tt r~ Shaun Bird J Signature License numb (r 226900 Page 1 of 9 System PLOT PLAN PROJECT Tim Waalen ADDRESS 421 172nd Ave Somerset Wi 54025 NW 1/4 NW 1/4s 22 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 103.0' 3/29/18 3 DATE BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE 0 WELL IH.R.P. same as benchmark 150th Ave Well is to meet all WDNR setbacks Pro 3 Bedroom House 3 acre lot Huffcutt Combo Tank Scale = 1/4" = 10' B- Area 15'below system is to remain undisturbed C] Grading is to be done to B-3 divert run-off away from system -2 10% Slope 60th ST. 104' 102' 100' B.M.* 413' Property Line 1 Mound System Cross Section and Plan View E Dimension Feet is D ~t7TJ 1 •j4rY•rY••'•f.J•f•J~K "Jy "•"'tYY•.V•~~.N•JY~f ti"ti.ti.ti•ti•1"..Yl"ti.YYYYYti•ti Y J~"j~v`•r•1• •Y\•\•YYYti•Yti•1.t j•f•r•r.J.f.f.fY.fY•r.j.r.r.r•rI1 YffV A 1 : yY•Y1. r•r =00- r•'r"'"'rY"~rw'~'~rw•w'~i:iw':i i r~fw 1•ti:YYM Nj1Y.rr f•f1"ti1tiHN.f~I !.1 %:rYtifti~ \"1 E T j.JVy~r•" J~•Y~•YYti•YY YYYYI.YY1i•1.1•~nti•ti. N~~~`r%~MY - _ _ I y 1 YYYYYYY• \•4.1•ti•YYYY ~NY•f:tY•jYM:"ti"YYF.YL.1.ti•YYYY1-ti"f'"•r"•.jtiftiAyrti:y~.~L,~K~ti ti•Yh"Yti•41•ti:..;wK 1 fYYYY• tYY•fYYY.JYY~f~•%•MJ.j.FJY•J.JYY•fYYY•r•J•J•N.JYY•fV F I W . Z i G S 1 1 H •O 1 I I 134 a J - S 1 K g L W~ K B Z L Slope Topsoil = LU = ASTM C-33 1 Ca M Clean aggregate ggregate = 4 in. sch. 40 pvc P sand fill '/z to 2 1/2 in. dia. observation pipe Geotextile Fabric - jH rYYYY --'T_ - r. r Y. ~rtiww" ~ I YVYY "µYY.N"NMf. F Y+•ti•ti•YYti•v ~ wY++YrYi: •rY. Y1 : .f.r•r. p .L _ t D E Ft Contour Plowed Surface Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 1/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/071gj Page ~ of Pressure Lateral Layout Two Laterals - End Manifold 4 'Threaded Cleanout Lateral Turn-up Plug Manifold M X L / Long Force Main Sweep r l~ 90 Bend ,Zs d) r Distribution Network Specifications Pressure System Construction Lateral Diameter Z In. Manifold Diameter 2:. In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 3 In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) 2 In. the pipe with a sharp drill bit and face down. -ups terminate with a threaded L (Lateral Len Lateral turn M (Manifold Length) Ft. ceanout plug and are enclosed in a 6-8 inch Force Main Diameter ' - In. diameter lawn sprinkler valve box accessible Force Main Length Ft. from finished grade. Grade :d: • 6-8 Inch Lawn Sprinkler Valve Box L ' Page of 03/05 lgj i Septic-Dose 'dank Cross Section And Pump Performance Specifications Tank Mangy Pump Manufacturer Tank Model Number Pump Model Number L Total Tank Capacity Alarm Msnu L) .4 urg D epth o Alarm Model Number L, ✓ Switch Type ~ u Total Dy~o Head CI DH) - Feet Filter Manufacturer Filter Model Number Elevation Head Distal Pressure L Network Loss Minimum Pump rerfornrnianr~e Regtrired Force Main Loss GPN4E Ft TDH To I~ b outlet Manhole W, = 4" Above Grade With Manhole Min. 4- Above Grade. Wig s Device Locking M mice. Inlet Manhole Securely Mounted < Below Grade Sealed Watertight 7 Weather-proof 7unctin Box Finished Grade f• 10 Vent Min. 12" Disconnect Above Grade Means With Vent Cap > > > . > > . > > s > > r ill`s : i>iR<iti<.a.S Outlet Filter -.•,_y _ wet haslet Baffle ' and Reserve Capacity' Switch S Weep Tank Volute ° GPI B Hole Dimension: Inches Volume Gal. At 's off Elevation C tom) B 2 . . q-► ; ; Bottom (dose) C 7 { Elevation D < Ede) D Ft Total E a < . < f <•< < < s < < < ♦ < < s < a < a a < t a t < < a f < a < < < a < < < i < a < f < < < < t < i < < i < < t < i < < < a•s < < < < ~ <•< < a < < • < < a : t f 7e. bedded and . filled in accordance with the GEC INSTALLA'T`ION: The septic'dose .tank is by the ufactumr racy not mar manafactiuees product.approval specifications. Maximum depth of bury-as- speciflOd 1 g device (padlock) covers exposed to grade have an. eff*GWO t fittings, and be exceeded without prior. appraival Manhole • to* with , wat PVC to ~gh bridge the tank installed. Piping at the inlet and outlet is of approved material, connected to the roam is slr~ev~ with 4r . q0 laid on stable soil to event settling or saamg- ' force . flog NEC-300 and Can 1b,2:3. 00, excavation and the-sleove.is sealed watertight- act% 7of 71 02105 LJ TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEwATERING MODEL 152/153 W r- EFe ODEL 152 153 W W ~ W 50 Meters Gol. Liters I Gal. Liters 153 1.5 69 261 77 291 12 40 3.1 ! 61 231 I 70 265 152 15 4.6 53 201 61 231 0 20 6.1 i 44 167 52 197 30 25 7.6 34 129 42 i 159 ; z 8 30 9.1 ( 23 87 33 125 2 35 ; 22 85 a o I 40 12.2 ' ( 11 42 (1?.6m)!44.0 Ft. ,{13.4m) 4~ I LvCK Valve: 133.0 R. 10 oissos 0 20 50 80 100 GALLONS LITERS 6 1/4 0 80 160 240 320 - FLOW 3 27/32--j~--7- ~ 5/e--~~ II PER MINUTE i 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS t • Timed dosing panels available. ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. j • Seated Qwik-Box available for outdoor installations. See FM1420. i ! • Over 130°F. (54°C.) special quotation required. 1571153 Series' 12 1/8 ,1 - i- 1521153 MODELS Control Selection i I Model Voles-Ph Mode s Simplex Duplex ! 5 t/5 N152 115 1 Non &5 1 2 or 3 ! 8N152 115 1 Auto &5 Included 2 or 3 S K2064 E152 230 1 Non 4.3 1 2 or3 - BE152 230 Auto 43 Induced 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 tt5 1 Auto 10.5 Inclined 2o0 SELECTION GUIDE E153 230 . 1 Non 5.3 1 2o,3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or3 switch. Refer to FM0477. IA CAUTION 2. See FM0712 for correct model of Electrical Altemator E-Pak. Alt installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) andthe Occupational Safety and Health Act (OSHA} or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. NAIL TO., P.O. BOX 16347 Louisvile, KY 40256-0347 Manufacturersof. . SNIP TO: 3649 Cane Run Road O L. ~7p ® Louisville, KY 40211-1961 r&A11TY /!/•t1PB S%ACf ~~ils! 6 PUMP ~LI/Y/~ (504 778-2731 - 1 (800) FAX (502) 774-3624 http://wwwsoell er. corn © Copyright 2000 Zo filer Co. All rights reserved. i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FiLEINFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity Permit # al DNA Septic Tank Manufacturer D NA DESIGN PARAMETERS Effluent Fflter Manufacturer O NA Number of Bedrooms ❑ NA Effluent FdW Model D Number of Commercial Units, Pump-Tank Capacity U a1 13NA Estimated flow (average) v aYd Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1-5) NLdgr Pump Manufacturer p NA Soil Application Rate al/da /ftZ Pump Model 0 NA Influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg/(. D Sand/Grevel Filter D Peat Filter Biochemical Oxygen Demand (BODJ 5220 mgr, D Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 /L D Disinfection G Other. Manufacturer Pretreated Effluent Quality DNA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) 530 mg/L D In-ground (gravity) D round (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade ~t Fecal Coliform (geometric mean) s1W cfu/100ml O D the D Other. Maximum Effluent Particle Size inch diameter • Ye Values typical for domestic (non-commercial) wastewater and septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every -~D month year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals ne-third (X) of tank volume Inspect dispersal cell(s) At least once every 10 7h monthr(s) (Maximum 3 yrs.) Clean effluent filter At least once every Z I/ months r(s) Insped pump, pump controls & alarm At least once every O months r(s) D NA Flush laterals and pressure test At least once every ❑ months s) NA cow. At least once every D months D year(s) NA Other At least once every D months D year(s) NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer POWTS;Inspector,, POWTS Maintainer Septage Servicing Operator. Tank inspections must include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or, ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent oft the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, m 1 nlpl or pressurized POWTS components, pretreattment components; and any other maintenance or monitoring at i rtervals of.12 months or.less shall be performed by a certified POWTS Maintainer- A servicg report shall be provided to the local regulatory authority within 10 days of completion of any service event START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high conctrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. pop of START UP AND OPERATION nt Products or other dwmic ais thO For new construction, prior to use of the POWTS check treatment tank{s} for the presence of pal ing may impede the treatment process and/or damage the dispersal cell(s). If high concentr are detected have OOnG of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will ble discharged to the dispersal cell(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 eorrtrois to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area wiithln 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 perfom►ance and prolong the We of the POWT$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental foss; diapers; disinfectants; fat; foundation dralin (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting productls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the followings steps shall be taken to insure that the system is propejiy and safety abandoned in compliance with chapter Comm 8 3.33, 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 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 find 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 compront replacement 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 setbacks from existing and proposed structure, tot fines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule) in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soli limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. he site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. It no replacement area is available a holding tank may be installed) as a last resort 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 urface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNiNIG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Names Flame Phone j Phone / 02~. SEPTAGE SERVICING OPERATO PUMPER LOCAL REGULATORY AUTHORITY Name Name /f Phone 7/ i Phone 1 This document was dratted in compliance with chapter SPS 383.22(2)(bx1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Adrnk**afNe Code. -3 e4j . ~ t r ~ •g~ W N A ~ A 1 rl~ ~r i i I 1 ~ i i.7r1'r l~ D I. i ~o h M v, CIO e~ P CD v p O o J ep - ~ C~ L . .,rte C / ~p ~f3 tt b$ f i~ q m C C O N h ~ ~ N D U a 1u Q v Z ra L C..3 'o N 1 ST. CROIX COUNYY SEPTIC TANK MAINTENANCE 1'~GREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address y / 1-' - -~?r~ Property Addres_S ~ _ 5 ~ ~a _ (Verification required from Planning & Zoning Department for new construction.) City/State _ Parcel Identification Nui,lber 03,2 - LEGAL DESCRIPTION Property Location,/,c see. "-f ~ O N n, Town of < L~ IT Subdivision Lot # _ Certified Survey Map # Volume Page 4 Warranty Deed # _ Vo lttrne Page # Spec house ye no Lot line;: identifiable Gs no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, 0 needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the wasl:e disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification f6mi, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Vwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on s form are true to the best of my/our k.aowledge. I/we am/are the owner(s) of the property described above, by virtue of a anty deed recorded in Register of Deeds Office. 7Neroff be ems SIGNATURE OF APPLICANT(S) _ - `f DATE "Any information that is misrepresented may result in the sanitary permit being ri:voked by the Planning & Zoning Department. - Include with this application a recorded warranty deed from the Register of'Deeds 0ffrce and a copy of the certified survey map if reference is made in the warranty deed. (.REV. 08/05) CN 0 .y~y~~ ,rfC 4 -o DO O~q-z nwa +r~m uvss ub+ns 4, K,) ~LIt Z2 r/ 4£ ayes yrr~w~ 3u m off --~---'fir t ~ r7 Zi- + x b n r-.z1t 04-s-r ~ i O ( W h $8a I~. r n j r 1 41 , 771 CSO 0i!7i~ r ~ r ff ~5 Q13.1~NGMM1! t r~i y 1 yy~ t8 "0 3 N twoc ~o F7- NI 4 "n ge ; u~3 ~x 47, 3 c .t I li t ~ i =~1 I II I i I I I I t , .~I 4 it t l 1 II I ! I (1 I t I 01 1 i I M71 I~ In - i , }I r I MV 7 I J { 1 I y~y~ ' 1 t I i 111111 ' ~ I. i I t t viii 3' 1 1 4 (j 1,~ 1 . t r ~ I hoc s i -7 Department of RRECEIVED #1920 °s Safety and SOIL F,VALUATION REPORT P$ Professional Services DIED o40 abseiv'uith Comm 85, Wis. Adm. Code Page 1 of 4 Schmitt Soil Testing, Inc. (;Rol)( CC)Ut~t'T`( gSIT County ff~~ ~ Attach complete site plan on paper not les ~t l"R.. man must St. Croix include, but not limited to: vertical and hnMYe Ance point (BM), direction and - - percent slope, scale or dimensions, north arrow, a d cati% an staro nearest road. Parcel I.D t Part of: 30- 48-70-105 Please print all infor - - - 69Z EX" QP Revie d By Date Personal information you provide may be used ft ■A~/ (m)). Property Owner V Property Location Schottler, Thomas M. Govt. Lot W1/4 NW1/4, S22, T30 , R 9W roperty Owner's Mailing Address Lot # Block # Subd. Na or CSM# 610 148th Ave. 3 I CSM Pending city State Zip Code Phone Number City Village Town Nearest Road < - V Somerset WI 54025 715-781-9050 St.Joseph ~CiNew Construction Use: Residential / Number of bedrooms -4 Code derived design flow rate 600 GPD Replacement - Public or commercial Parent material Outwa_sh (Onamia-Antigo Complex) - - Flood plain elevation, if applicable NA_ -.ft. General comments Area is suitable for a mound system. System elevation is 103.03' based off a contour line established at 102.36'. Slope of area is and recommendations: 15%. Depth to limiting actor is F-11 I Boring # ~ Boring Pit Ground surface elev. 102.71_ ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots G_P_ D/ft2 in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 _ 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 917 10yr4/4 none sl 2msbk mfr gw ivf 0.6 1.0 - - - 3 17-28 7.5yr4/6 none sl 1msbk mfr gw 0.4 0.7 4 28-59 :177.5yr4;4 c2d 7.5yr6/6 sl Om mfr cs - 0.2 0.6 -7.5yr6/2 5 59-90 5y r4/4 mid 7.5yr6/8 sl Om mfr 7.Syr6 3 / 0.2 0.6 Boring Z Boring # Pit Ground surface elev. 102.71- ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 -0_12 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 - - 2 12_32 10yr4/4 none sil 2fsbk mfr gw lvf 0.6 0.8 3 32-66 7.5yr4/6 c2d 7.5yr6/6 sl Om mfr g w _ 7.5yr6/2 9 0.2 0.6 - - 4 66-96 7.5yr4/4 m2d 7.5yr6/6 7.5yr6/2 _ sl Om mfr 0.2 0.6 Horizon 3, 32-66" is a layers of Is and massive sandy loam, rate of the horizon is 0.2 gpd/sgft for the massive sandy loam. Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <.30 mg/L CST Name (Please Print) Signature CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 12/14/2017 715-760-1978 5BD-8330 (R-07/00) Property Owner C Otiler, Thomas M. Parcel ID # Pa rt of. 030-1048-70-105 Page 2_of - 4 F3]Boring # Boring Pit Ground surface elev. _--100.66___ , ft. Depth to limiting factor -92+ in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary I Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t --'Eff#2 - 1 0_12 -10yr3/3 none sil 2msbk mfr as 2vf 0.6 I 0.8 2 12-27 10yr4/4 none scl 2msbk mfr gw 1vf 0.4 1 0.6 3 27-39 7.5yr4/6 none sl 2msbk mfr gw lvf 0.6 j 1.0 4 39-53 7.5yr4/6 none Is lcsbk mvfr gw 0.7 1.6 5 53-92 10yr6/4 none s Osg ml 0.7 1.6 t Boring Boring # ; Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Ratel Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _GPD/ft2_ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#z i i Boring ❑ Boring # Pit Ground surface elev. Depth to limiting factor _ _ in. Soil Application Rate Horizon I Depth Dominant Color Redox Description I Texture 7Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - *Eff#2 Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted by: Conducted For: - Schmitt & Sons Excavating, Inc.. Name: Thomas M. Schottler Thomas J. Schmitt, CST 227429 Address: 610 148th St. 586 Valley View Trail City, State, Zip: Somerset. +t 1 ~40' Somerset, W 154025 Phone: 715760-1978 PID: Part of. 030-1048-70-105 Signature~~, Lot No. 3 CSM Pending Approval Date Legal Description: NW1/4 NW1/4 S22 T30N R19W a Backhoe Pit Township, County: St. Joseph, St. Croix County A Bench Mark 1 El. 100.00' Top of SW Lot corner Pipe (1 1/4" steel pipe) D Bench Mark 2 El. 105.11' Top of 1 1/4" pvc pipe - Slope= 15% Scale 1"= 60' Contour Line El. 102.36' Contour Line Length 80' t I NOTE: For full view of Lot see Aerial Photo (Page 4 of 4 i , /Ate 1 T , /73~ rqo 8zst op 4 IYO ISM g In -02.3 I i i i