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HomeMy WebLinkAbout018-1090-62-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 600400 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: James & Jessica Klatt TOWN OF HAMMOND 018-1090-62-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: r 16.29.17.727 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/ an. - ;2_ (f}l~.~S Dist. Pipe Aeration Holding Bot. System ` Final Grade 72. PUMP/SIPHON INFORMATION - Manufacturer DeP and St Cover r~ Model Number TDH Lift Friction Loss System Head TOH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: a DISTRIBUTION SYSTEM Hder/Manifold Distribution ix Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Dia _ Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L-] Yes E] No C Yes E No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1771 96TH AVE 1 J}~~ r i~v 1.) Alt BM Description = '6 SO t S ,tar . n Qb~ 1~ 2.) Bldg sewer length = an t iAI~X - amount of cover - III Plan revision Required? ❑ Yes No Z'' Use other side for additional information. Lj - Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) S rrc.l tk_ Cj ) S-A - ao W-) o s County 1400 E Wasbington Ave y Gallo P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) 1l ` MAY 15 2018 lviadiwu wt 53707_7162 ~ ZIP\ $ MAY pig j 2~ Commu it Application i In accordance (2), Wis. Adrn. Code, submission of this Form to the appr<tpriate governmental unit required trios to obtaining a sanitary pernnn. 'tiotc. Application form, fa.i state :t'ncd PCNN"TS are subinjuLd to Project Address (it different than mailing address) ¢ dic, LDcpartmcat of Safcty and Professional S rv e s. Pa ,onaai in€ormation yilu provide may be used for secondary ( lapoGes in accordance with the privacy Laws 15.0!t t)(m), Stats j l 7 7' l 94 War. 1. Application Information Please Print All info an f + Prolway owner's Name v~ Q ♦ f~ Parcel k 'i'ruperty Owner',; Mailing Address Property Location e, W1.4 4 4 4 ES r )(11A)4Jac` Govt- Lot~~! I sity, state ;Zip Code j I'lraSection _Z4 { ` i (circle kniC' j ~Tlp ,9 elc rx 4)1- L N; K ~A Iuildlrtg (check all that apply,) LinO_ Subdivisiara N ame 1 or 2 Family Dwelling - l3uinber of Aedruoms \4t~ Block'. Al-44s, iT !d[ S ID Publ;OCCommercial - Describe Use ~ Pt it} t C:Si41 4+7=ember 9"N•'tlagc of _ L~ Stare Owned - Describe Use Town of~ ♦ 1 I'M Type of Permit. (Check otily on box on line A. Complc a line B if applicable) l l New system replacement System L 3 Treatrnent'I folding Tank Replacement (Wy 1 0 Other Modification to Fisting System Iexplain) 't { i List Precious Permit Number and Date Issued Permit Renewal ~ ©Pcnnir Revision D Change of Plumber❑ Permit Transfer to New t Before Expiration 1 Owner I 3 S11 9 ^ Z 3 -.?6,1 I' Type of POIYNTS Sy, tentlC otn tooentlL3evice ('heck all that aR l_ _ Nor,_ire,,-r,riverE Ia,fFrrtuttd 0 Pru;,_ined in frroiz,tc3 0 At fir t is 0 `foe _ 24 in. of Su able soil Mound 24 in_ of s-ilitabie soil ~ u holding Ta k ) t tspcrsai Component (explain El PrcticauriLut Device (s.,xphnv),_ T% IDisltersal/'I'reat nt Area Information; T}esz mFlow {gpd} l7esigrs Sail Application [xat `,pdtt) Dispersal Area Required (si) 1 lJispercaY Arcs P*oposc sfj Syster?? Elevation Cad 7 Vl_ Tank Info . Capacity in Total t # ofManufacuner Gallons i Ciallims Units 131^ 7 0 n Existing i'xrak .z_ 0 } New Ta x P uoj&#tt'' T.'c,mrCla3miaer f V11. Responsibility Statement- 1, the undersigned assume responsibititr far installation of the PO'W TS shown on the attached plans. I }1EP Ninnber Business Phone Number Plumber's l7.rrne (Print) Plumber's rr tire yidril G,~CE_" _G C~ p? 313 YG !S v°7,2- S"•? G G Plumber's Address (Street, City, State, Zip Cute) 9 Sjr l r, ? f u2A. 1 7.74 n `?iDe a ttrtettt E Approved i PtiSnlit Fee. 1Date sued _ Issuing 4<. Signature ~sZllF1 > > 9 ..Y.Ctn t0 D8t41t F 1 X. Conttlti g, ~6fit 40 rapproval ems„mss i err.T ceA caret aA s :1 r > p bw. 1 C.fJ~ ~Pi ~ b~` ~G ' ~ p per ,~}1#If.~etnen! plan nra riderl t,v Nlwnber. 11o eft ' 2. A# rw * * enYS must t er rnatM. a E4 ,1 J is PW >xacrm c4de 1 of inam'" _ ~ftty~' to e e~nty an paper nttT less ii'sua S ttI s it uvcinx'3 to StrA. &4- 3b34. S l -t 399 (R, ;x;'14 i ~ ?z 144 13 kk. } ~ - ~ ~ .lam ~ 3 tt i 71, 1 Q? v 14 .4 \J1 5 rage I of ;'O4d ! „r fG Ef ~A`CrrlYGralY /t k Ax'T3G'I''SIN3t?Ie; wn~:r's Address: Legal Dt :scripzioxl I ? Al 1741 1us iciualit}f_ Town, \,4~_, C-it v f3 ' unt<v: T lLerX i_et: Number: Block Number: CSM Nunib s: Subdivision Name: :9 J r f f rage 2 7- t ~L l M~ { r t rage 6._ Page 8 (3ya 9 i arise of Designer: License Number: Sionature: Date: Designed pursuant to the following POWTS Component -Manual and DSPS '39 1-385: L:i 1C ~`Sfr:.~ta ~.~~T{'-~r".~4: ~i ~1~~ /la ~~J r•..r r r f 1 .f r - ^ ,r r J rt+ 3 u CQ) v~ ' . tt ItS • h, a t Y ms's I wT 7 MN C\ t 1 ~ k K t'n o. ~t ~ O v v ~ o ~ L 4 Its It 1 i00 WLP1250---MR TANK SPECIFICATIONS !Y j C DIMENSIONS: 1203' WALL: 2 1/2" a o BOTTOM: SEPTIC 3" i COVER: ANHOLE: 24" [.D. PRECAST CONCRETE RISER o M HEIGHT. 52 1/2" O.D. 1 LENGTH: 120 1/A" O.D. WIDTH: 84" O.D. BELOW INLET: 41" O.D. f A BAST-A A _ ` CAST_A- LIQUID LEVEL: 36"' ~~-SF AL h SKr ~ WEIGHT: 8,810 LOS. i INLET AND OUTLET ,e a I i, 4 f ,a<I „EEL B OR iQtJA: Q T / GASKET CASs A-SERE BOO OR EQUAL o 2 OR INLET AND OUTLET BAFFLE AND FILTER: LTE $ TE F R VASCONSIN. SEE DETAIL #10 BAF E (OTHER STATES SEE CHART) ~ / o c LIQUID CAPACITY: 34.81 GAL/IN HOLDING TANK: E... OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1.323 GALLONS TOP VIEW LOADING DESIGN: 8' 0" UNSATURATED SOIL. .e TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON r._. COVER: Mix DESIGN #8 (NO FIBER) W `n I TANK: MIX 'DESIGN #10 {STRUCTURAL FIBER) e0~ - CUSTOMIZED TANKS: INLET U 4 CLJTLEi FOR CUSTOM TANKS CONTACT WIESER CONCRETE j j I I I ~ g _J C14 I 3 tl DRAWINGS SUBMITTED w FOR APPROVAL SDE VIEW APPROVED BY: SHEET ,N f0 APPROVAL DATE: 1 PRQDOCTS NEECEP By! TANKS ARE, MANUFACTURED TO PALS i vn LXCEUD A~- A C 1.:2 ECIRREVIENTS 'N IM LAVERTER AND BACKWATER VALVES y(r, 7 aF 7 Here's the simplest, strongest, and most economical diverter valve ever invented for septic tank mach fields. It is made a t h_ n r r i or rnrr air? a i:z vv . nt ` t=t$rer to h- ndle and less Ui Lvugii lf~tUr'. ~t..,..i.. .;''..T; ;t,...,. _E1F7i'!ti r..,`. expensive to ship. he CItV rt?r valve Ste; s1 ,h+ ,?Jf it orii. ?e to :t-ldi, •'i_}'cati 0 lb : i1eid;5 1 ;.1 t„ h' eel in it co ~ . ,.C . 1}t iii a three-way valve stern, floc=' -may be diverted, 1 a1 i,~l T-1 1(u' i . C;S l ucih;..' . t_u[Ir « ~ , i ?3 S;~r F '7~ f amoved from the assembly. _cnnect4 plastiC. vnFw! rtiO t(all- a1d is,.ii~_._,., i,, - - ~a se led by installing caps). The Diverter shield wt ich houses the diverter stern may be cut to desired length. SG s Pkg. Wt. r :r Part tom. DescriptiOn Color tit}. llbs.l 5 575° 4" Flit D erer Valve White 4 9.50 gar - f 575 4" ASS Diverter Valve Black c 7•50 ? A& { CLOSED 1 2 3 l Q +~\t" pII + t3 \C 1 c7 \ # TANK TANK TANK l d 5 E 4~ ( l 4.12 C) 5 1D. TURN' TO lAPMO Lisie-_4 cat The NDS gravity flaw Backwater Valve s'reet servers. It is available in 2", 3", 4" and 6" sizes PVC materiai. is a cos etiecuve ano a t iae- FAl::r iiy t ' tSlc i ii alternative to cast iron valves, The auic?< action flapper allov,,s ianrestrieted 4uni-directional flood. Plastorneric gasket in the flapper ensures a watertight seal. Flapper can be easily removed and replaced if required. Threaded access cap is designed for hand tightening. Access cap neoprene gasket provides a positive seal. Valve hub outlets fit 2". 3", 4", or C" DWV pipe and may be adapted to 2`°, 3", 4", or 6" seiner and drain pipe with NDS DWV to Sewer & brain Adapters. Lightweight, easy to install. Horizontal installation required, with arrows on top of the valve hub pointing in the direction oll the flow of water. Access riser with r? a s L,.td:S ~;rKVnF `.;.Fom _-at ~ ,,#±,eezre ¢,d?n6f-x A_~` assess to the valve for inspection and 275 275 ( 9,18 5,;a C1.53 1 V a e maintenance. The riser may be cut to 275PR 2.13 3.53 16 4 i 5 3 i 5J 6.10 16 6 r 7 6P 3._~5 151 t,1e desired length, s 376PR- 3i5R ~ 3.51 7.56 6.10 16 ~ 6 i ¢ 475P, 475 4.47 i 1111.18 7.18 16 8 l C 1 -475P11,47-R X47 ~ 1118 i 7.18 16 ~ 6 i 675x, 675 5 50 l 1,-5.25 9.GO ! ,y 10. _V1 `N\ rJ fI r~ B i Note: All dimensions rise oamioal. All weights are for s6ippirg purprases only. Rvailgbilily is subject to ci cmge. K -7 9 4, C- € y$ .zeal ba,. C, 0 -7 5"L'S'4 ..1.3 S~~.$9 ie,:e se~uii. e, i V F % € v_ - MADE NUSA l 007/'00'm Series Filter The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabele filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilterm alarm:. you will be notified by an alarm when the filter needs servicing. ( To service the filter *Servicing any Zabel Filter should only be done by a certified septic tank pumper or installer. i Locate the LI i j outlet of the a septic tank. Remove the tank cover 7 and pump the tank if Firmly pull the :ate necessary to prevent _ filter handle and i any solids from escaping = slue the I , to the field when the t""titer, cartridge out of l { is rf'mered. the,rase _i 64 a F While holding the cartridge over the access opening rinse off the cartridge with fresh Insert the filter cartridge back in water, being careful to rinse all se tae#_ p 9 the rase making sure the filter material back into the tank s Q cartridge is properly aligned and Before replacing cartridge be sure to check completely inserted in the case. t for and clean if necessary the outlet screen- within the case > a" I Replace the septic tank cover. _ "r~oig, ll is not trecessary to clear a~ .ti"rev bsJrude.~ a o- ~ ( - - ThebJnm }ss tp~ss4ng an tlha hlteratdes too prelrr a~mant Q'M proeessandsltouldbelefianthetter. (Irn cessary, the camrdge may be disassembled for cfaan;rg) € AppL'c~auo~is i i:~ti6e,d t» ANSU SF saw a 46 The product(s) shown are covered by the following patents. U.S. 4,710,295, 5,593,584 Other Patents Pending Call for a free ZABEL ZONE' .1-510-221-5742 a Or Order Online: www.zabeizone.com 06102-M f a e POWTS, OWNER'S MANUAl- ANDIVIANACEiMENT PLAN FILL INFOfkMATION I'er'ntt I Sc tic lank Manufacturer DESIGN P 1RANIE TERSS ' ~1€~~s oac d - Lftluent l filler Alanufacturer ❑ Nuinber of Bed rooms (100 gpolbedrooin) - - E€fluen Filter Model ~~la~ ❑ Number of Commercial (snits Estimated flow (average) -Pump_ Tank Capacity" gal 0 Niy ~p gal,%day Pump Tank4atiufacturer ❑ NA Design flaw (D '1`) estimated x 1.5 boo gal/day Pump Manufacturer Soil Application Rate 2 gal'daylfr Pump i~rt)del ©N Preti atment i,tnr ('M N,\) ar,tucut:~F (fluent Qua.ity tE1 \A j iMonthty ,`Lvcrw'L 1 ❑ San&Gra el Filter ❑ PeatFiiter Bats. Oil cY; Grease (1 OCi) i :S30ing'l, i Biochemical Oxygen Demand (BOD>) 1 < 220 nt 'f 0 Mechanical Aeration II Wetland ice' Disinfection C1 Other . j Total Suspended Solids ("I SS) 0 < 15t) m,,fl. 7 Manufacturer Model: Pretreated I: fluent Quality NA) IMonthly Average Soil Absorption Component (O NA) Biochemical Oxygen Demand (13O1D~) i 530 mt 1, i 0 In-ground (gravity) D In-ground (pressurized) Total Suspended Solids (1'SS) < ;0 m~1L ❑ Ai grade ❑ Mound ❑ Drip -line ❑ {}flier: Fecal Coltiiitm (geometric mean) j < I() ct,iil0(3mi. -t b'eir.~11?.4t~mc 1'arl 1?tom~f.Ser tt.tP. 7 ft Maximum Effluent Particle Size 1,13 inch diameter ( ( Horizontai Distance fan k(s) to Service Pad: -~6 _ -mod _ I:rispersal Unit Mfg./Model Number: N A Calculations: Soil Dispersal End Cap (Dispersal € nit LISA) I~WI A lication Rate = area RL(tuiret~ - EISA - or (Trench Width) fJTnits or Total Length of T'reach{si DESIGN CRITERIA "Design 01Pressure Di tiibution Netc+ork f ~emic Tani;-Soil Ab sorption Systems" 1'trbiication 9.fi{tiffWMP Manual} i ❑ 1C C Flowtech klound Component :Manual" Version 1.2 ❑ "EZ Flow 'Mound Component Manual" Version 8.!-2012007 SBD- I08'54-P (R.1/12) "At-Grade Component Manual Using Pressure Distribution" Version 2.0 0 SBL)- 10705-P (N 01./01)"In Ground Soil Absorption Component Manual" Version 2.O 0 SBD - 10641-P (N.0li01) "Mound Component Manual" Version 2.0 l © SBD - 14657-P (1v.6/99) "Dap-line Effluent Disposal Component Manual" } ❑ SBD - 14706-P (N.OIX)l) "Pressure Distribution Component Manual" Version 2.0 ❑ Other: MAINTENANCE MONITORING SCI-[I:DtrI,L - ivlAINTFNANC AND 1VIAtNAGEIMENT Service Event , Service Frequency Pump/inspect dispersal cell(s). clean filter [ At least once every: .g f months 9 3 vears ❑ Other: [ ln~mp & pump controls, alarm, pretreatment unit At least once even: O months ❑ 3 years 9 ?tiA Plush and pressure test laterals It A: ;east once ever=v. M months '13 ears RI NA lSTAWJ` UP AND OPE10-TION: For new construction. prior to using the POWT:S check treatment tank(s) for the presence of painting products or tither chemicals that may impede the treatment process and/or damage the dispersal cell(s). if high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use, System startup shall not occur when soil conditions are frozen at the infiltrative surface. the property owner is responsible Poi- the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your P(?WTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume- Also the brine or waste from water softeners, iron removal units. other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does no-, include laundry waste. showers. dishwater. etc. This system is designed to handle domestic strength wastewater, however, the disposal of Foot] based greases, oils, vegetable/fruit peeis.. d~ bomc s, and fn, d solids, such as those produced b gtt, h dr 1c r ~ ; f t of let t r r h ~ . ro~;al sha, <-,c. :r „r c, I is he r5n : , at,~r rh t s. . ~Ir; be discharged into the system. Other non-biodegradable items, such as baby wipes, tampons, sanitary napkins conctottis, cigarette butts. dental floss, and cotton swabs, should not enter the system. Chemicals, such as petroleum products, paint, disinfectants, pesticides_ antibiotics, solvents, etc., should not be flushed into the system becai e they can seriously damage your POWTS and contaminate your