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HomeMy WebLinkAbout040-1318-00-043 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600309 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3041 444 Permit Holder's Name: City Village Township Parcel Tax No: Creative Homes Inc TOWN OF TROY 040-1318-00-043 CST BM Elev. Insp. BM Elev: BM Description: Section/Town/Range/Map No: ~d 3g 8_//dam 11.28.19.2118 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER/&/,1,,_j5 CAPACITY STATION BS HI FS ELEV. Septic /.p / IOd Benchmark Pdff Dosing Alt. BM 0 wv~-o Z X00 ~ Go ~ ~ /d G ' Bldg. Sewer Holding St/Ht Inlet \ TANK SETBACK INFORMATION St/Ht Outlet i TANK TO P/ WELL BLDG. ent it Air Intake ROAD Dt Inlet Septic , z lOL ~v Dt Bottom ft~ Dosing r I Header/Man. z 560 Aeration Dist. Pipe f Holding Bot. System Ie~ 7t:,. 5. 1 ~71,e /0~5. PUMP/SIPHON INFORMATION Final Grade z • 5 (0 7, Y Manufacturer Demand St Cover ~jr 22 GPM ` ( Jtt~ Z • J /661 • Model Number 8iJ f 51 C~ WTG sz. /a6yg r TDH Lift Friction Loss ISystem Hea TDH Ft ~'.°1 Z .b /Z.5 01 Forcemain I Length / t Dia. l I Dist. to well Dz ~f SOIL ABSORPTION SYSTEM BED/TRENCH Width ]Length~ No. Of j pnche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Qv^ (`~~w SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR WSyst;m: 2 / ~ UNIT J Model Number: DISTRIBUTION SYSTEM Header/Manifol ID istribution / x Hole Size r/ Ix Hole Spacing Vo Air Intake Pi .(s 3? Length~_ Dia 7- Length Dia Z ' Spacing-_-4V SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~f Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed Trench Edges Topsoil ~ A-. es LJ No Yes -11 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 5 Z I /Jf Inspection #2 Location: 710 CREST CURVE 1.) Alt BM Description = • ` lllJJl 2.) Bldg sewer length = ~y / - amount of cover = I! G S f~ a~ Plan revision Required? Yes XNo C I ~Q Use other side for additional information. ~J SBD-671 0 (R.3/97) Date +Inse or's Sign Cert. No. s~ q Safety and Buildings Division 201 W. Washington Ave.; P. OBox 7162 mber (to be filled in by Co} 7m; Madison, WI 53707-7162 ` State Transaction Number Sanitary Permit K5Z26GDAAM~$ unit' 3n accordance with SPS 38321(2), Wis. Adm Code, submi Z - is required prior to obtaining a sanitary permit Nofx: Appli -owned PORTS are submitted to Project Address (if er t than mailing address) the Department of Safety and Professional Servies. Personal mformatton you provide may be used for secondary ores in accordance with the PrivacN Law, s. I5. 1 m), Stars. 1 1.'t, / L A lication Information - Please Print All Information Parma[ property Owner's Name property Location property Owna`s Mailing Address - 0 ' City State Zip Code Phone Number "-Section C - le oyte}~ IL ype of Build' ( heck all that apply) Lot Subdivision Name 2 Family Dwelling -Number of Bedrooms _ n Bloc ❑ Public/Commercial - Describe Use ❑ City of CSM Number ❑ Village of ❑ State Owned - Describe Use of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ystcm ❑ Replacement System ❑ Treatment/Holding Tank RapIacemeut Only ❑ Other Modification to Existing System (explain) ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Pl.rmber Before Expiration Owner IV. T of POWTS System/component/Device: Check all that a 1 oelo~ ❑ Non-Pressurized in-Ground ❑ Pressurized In-Ground ❑ At-Grade ; ormd > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Pretreatmen Device (explain) ❑ Holding Tank ❑ er Dispersal Component (explain) 1 V. Dis rsal/Treat ent Area Information: System Elevation / D„ y sign Flow (gpd) Design Soil Application f) Dispersal Area Requir ` Dispersal A~„rea Pr d (s~ VL Tank Info Capacity in Total # of Man d c U v Gallons Gallons Units i o C ,gyp m ca New Tanks Existing Tanks 04 rn Ci C~ Sepac a Holding Tank C I ~ f Dosing Chamber VIL Responsibility Staten - 1, the undersigned ume responsibility for installation of the POWTB shown on the attached plans. p 's Name 's Signature MP/MPRS Number Business Phone N ber . L Plumber's Address (Street City, State, 'p ounty/De artment Use Onlv Permit Fee Date ed Issuing Signature Approved isapprovet 1-7 r Given Reason for Denial 5 1 DL ConditiSMOWOW- sons for Disapproval ` ~Vlt ~e-~✓ tork, CAArr lifte, vm J) 0 uiSpar cell must all be 5~__IC•JS _1% ilt`c~' e~ , m per niarsgemen! plan p! a riaert LV plumber. 2 `A at!t~alr K rect;irss:^sn.s mi~st,t;e =.:nt ir':e i 'AP as per Fuels m do I Attach to complete plans for the system and submit to the County only on paper not less tbsn S to z 12 ioehes iut sift 4~ &Z ;0 . 11 o~ SBD 6398 (R I1/11) S ~ni_ r System PLOT PLAN PROJECT Creative Homes ADDRESS 707 Commerce Drive Woodburv Mn 55125 NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 1066.0' DATE 12/10/17 BEDROOM 5 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK r MOUND XXX SEPTIC TANK SIZE 1600 LIFT TANK SIZE DOSE TANK SIZE 1362 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 752 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 1070.41'Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B-1 10A 7% Slope B-110C Property Line B.M.* F-1 1064' 1065' Scale =1/4"=10' Huffcutt Combo Tank p 1066' Well is to meet all B -1 10 B WDNR setbacks Grading is to be done to divert run-off away Tank is to be properly bedded from system Pro 5 Bedroom House Property Line Area 15' below system is to remain Crest Curve undisturbed Property Line r~ b ~g2axT~g~ DIVISION OF INDUSTRY SERVICES Toy 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 3 f Q Contact Through Relay ` N% http://dsps.wi.gov/programs/industry-services \k www.wisconsin.gov chow Scott Walker, Governor sslo*+ Laura Gutierrez, Secretary December 21, 2017 CUST ID No. 226900 ATTN: POWTS Inspector ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/21/2019 Identification Numbers Transaction ID No. 3041444 SITE: Site ID No. 845395 Creative Homes Please refer to both identification numbers, 710 Crest Curve above, in all correspondence with the agency. Town of Troy St Croix County NW1/4, NW1/4, SI1, T28N, RI 9W FOR: Description: Mound System (S Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1740393 Maintenance required; 750 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare If it crumbles site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 SHAUN R BIRD Page 2 12/21/2017 • Insulate building sewer beyond 30 feet per SPS 382.30 (1 1)(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 be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • Areas that are occupied with rock fi•agments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. 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 Wyment S code: 1. 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest gwisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm SHAUN R BIRD Page 2 12/21/2017 • 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 be set and verified per approved plan Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil avai a m in t c c u p v ccu iiuto tr ..peol t e + ea ue ont 'I Tc no otl «t 1 o o. sitts, ~ is ava; labil -1, +1 C es .tio vuouii ctU11 i e moun u b, 1C f.. Y. iii ui~. area o v 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. 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 , Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm R~a~1~9V~r DEC 1 4 2017 Cover Page )USTRY SERNIG"ES Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 12/10/17 Owner:Creative Homes Location: NW1/4 NW1/4 S11 T28 N,R19W 710 Crest Curve 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 Test ,i f Shaun Bird , Signature - License number 226 Page 1 of 9 System PLOT PLAN PROJECT Creative Homes ADDRESS 707 Commerce Drive Woodburv Mn 55125 NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 1066.0' 12/10/17 5 DATE BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK v MOUND XXX SEPTIC TANK SIZE 1600 LIFT TANK SIZE DOSE TANK SIZE 1362 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 752 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 1070.41'Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B-1 10A 7% Slope B-110C Property Line B.M.* 1064' 1065' Scale =1/4"=10' Huffcutt Combo Tank p 1066' Well is to meet all B -1 10 B WDNR setbacks Grading is to be done to divert run-off away Tank is to be properly bedded from system Pro 5 Bedroom House Property Line Area 15' below system is to remain Crest Curve undisturbed Property Line r b~ Mound System Cross Section and Plan View - Dimension F t i A J i B I D I YYWL•L•L•L•L ••L•L•41K.L•4YY•L L•YYLK•L•L•4 YYYlNyAJN•J•f.l•r•1•lYY•+•hl•J.hJ•J.hJ.JN•f•J•J•!•1•jib.j.f:fihM.l•J•J•l•l.l_Y•r.J.f•lY•fN•r•rY•fN I L•L•L •WYL~ L4WL•.L•L••4L1 YL•4L•4L-•.• '.I E .~♦tit.1. .~L.L.L1ti V~L~1 ti~Lr.1.rL•til•L.~L+V.L~.L•~~ti1Y~~ti ti~ti:ti Yti tir~.ML.HL•ti•L•~M .~f.LJ••Lf•-l•L•L~ : ~ A I YY•l J.J•f•J•J.f•J.JY•J•l•JMJ•J•JYYY• t• YNN•f•h K•lYYY•fYYY NNY•f•fY '.~;.;.I I li L•LK~LL•YYL•L•YL•WY4L•WL•L•L•L•L•L YtiM1M1•L•L•L•L•L~L ML•L•L•44~•L•L•L•L•4Y .I rwYJY ;wf l j rY F ~~~III r`•'Li•rY•r• r•rY• •lY•fYYYYY•lY•lY•l•JY•f• fY.l•r• rYNNN „~j wh•~ .L•Y41•L•L•L •LH•L•L•L•L•L•L•L•L•L.L•L• •L•L;1 ti•L•L~•LK•L.L.L•1.41•L.4 (TV/L Y•J•J•J4Y~JY•JYY•f•J.J •1•J•f•l•J.J•l•l•l•fY•hl }J•f•f•r•r•hI.J•Ff•r•J•f•f.r•lN•l W G S 1 I 1 - J r f ` L ` 2► W - } K B Z TJ 1 Sloe L U- =Topsoil = ASTM C-33 = Clean aggregate = 4 in. sch. 40 pvc Cap Material sand fill1/z to 2 1/2 in. dia. 0 observation pipe Geotextile G H Fabric -T . 1ti 4 4 lLh~L• YLK•Yf4M J - lY•J•l•IL~ f• hr L.L.Yti:ti:L h •1LY •rN•J•l•M~J J• ~rC~ V t L Y4\•L•L L L L IIVVllll" E Plowed Surface Ft Contour Slope Direction _.y GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x V) 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 3 of - Pressure Lateral Layout Two Laterals - End Manifold Threaded Cleanout Lateral Turn-up Plug Manifold M X L Long Force Main j. Sweep 90 Bend Distribution Network S ecifications Pressure System Construction Lateral Diameter In. Manifold Diameter, In. Laterals are constructed of Schedule 40 PVC Orifice Diameter ~ZJn. pipe. Orifices are drilled perpendicular to X Orifice Spacing) In. the pipe with a sharp drill bit and face down. L (Lateral Length) d-- Ft. Lateral turn-ups terminate with a threaded 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 Len Ft. from finished grade. Grade 6-8 Inch Lawn Sprinkler Valve BOX Page., of _ 03/05 lgj i Septic-Dose Tank Cross Section And Pump Performance Specif cation$ Tank Mam&wturer Pump Manufsctiuer Tank Model Number Pump Model Number 3 Total RTank Capacity A~ l m M n~}7~}_}y _!v{ 1 l~iax. D~ I • f;iJfiiiii Model Switch Type In j I G Filter Msmifi Curer Total Dynamic Head (TDH) -Feet Filer Model Number Elevation Head Distal Pressure Network Loss Minimum Pump performance Required Force Main Loss O GPM' / Ft TDH Total outlet Manhole NFm 4" Above Grade With Manhole Min. 4" Above Grade Locking Deriice. Inlet Manhole With Locking Device < 6" Below Gracie Sealed Watertight securely Mounted Weather proof 1 Junction Boot . Fi4ished Grp r ~ r ! as ~ ~ ~ , Vent min. 12" Disconnect Above Grade Means Whh Vent Cap ,a, : >t► > s:~i ..:>t>: a>a>i a►s> ;~>•.<s; >s;.+.1>a: <; •;>>>s si i a•>~>•>`>•a.•>S . Outlet Filter - Inlet 4 Bale switch Settngs and Reserve Weep Tank Volume = a2 , 3 GPI B Hole < Dimension; Inches Volume Gal. (reserve) A a off El C {sla=m) B : 2 . '7 / U Bottom Mao, (dose) C / S , Ele-vah D , O D' t Total •<<:/,a a:a:: <a `;;<a•aa s<a<<. •s air:>: s~: i,`•f asst as <<sa as s•<a<s s.s <a <<<<sa s<aa+rasa<.<a < s<<+<< f a t a t t< t{ i t t a l a • a a a t a i a t 1: a a>; t a i <•:<>a s< a a a The seprictdose.tapk is bedded a bac filled in ae Fdwre with the GENERAL INSTALLATION: of bury as $peeified by the manufa~r may not mauufac#urer's product-approval specifications. Maximum depth mY - - locking device (padlock) be exceeded without prior#pproval.. Manhole covers exposed to grade have an $ too6k wdwd& fittings, and at the inlet and outlet is of approved material, connected to the. installed. Ptpm$ T main.4 slee.yed'.with C 40 PVC to bridge the tank laid ou stable so~1 to paeveut settling or Uos vn h Npc-344 and Comm 15.23. exaavativn and d16 .slemve. is sealed watertight Electt:'tcal : ~ Page, pf . 42/05 LT ' r TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 152/153 z MODEL I 152 15 W C5 ~ 50 Feet Meters Gal. Liters I Gal. Liters 153 5 1.5 i 69 251 77 291 10 3.i 61 231 70 265 12 40 152 15 4.6 53 201 61 231 20 6.1 1 44 _ 167 52 197 v 30 25 7.6 34 129 42 159 z 8- 30 1 9.1. I 23 87 i 33 i 125 ° 35 22 85 20 i p ` 40 1 12.2 I 11 42 H t l . 4~ i Lock Valve: 138.0 Ft. (11.6m1~44.0 Ft. (13.4m) 10 aiasos I i 0 1 20 40 60 80 100 GALLONS LITERS 5 1/a p gp 160 240 320 - 3 27/32 i a 5/8--4 FLOW PER MINUTE ^ I I 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ I • Timed dosing panels available. y ® 3 27/32 _ • Electrical alternators, for duplex systems, are available and supplied with I T an alarm. -T • Variable level control switches are available for controlling single phase systems. ' • Double piggyback variable level float switches are available for variable II level long and short cycle controls. I • Seated Qwik-Box available for outdoor installations. See FM1420. ( 1 • Over 130°F. (54°C.) special quotation required. f i ~ I 1521153 Series 12 '1 /S 1521153 YODELS Control Selection I '1 I 1 Yodel vods Ph Mode Sim ex Duplex j 5 1/5 N152 115 1 Non 8.5 1 2 or 3 I BN152 115 1 Auto 8.5 Inducted 2 or3 r _L E152 230 1 Non 4.3 1 2 or 3 sK2064 SE 152 230 Auto 4.3 Indu;ed 2 or 3 Nt53 115 1 Non 10.5 1 2 or 3 SELECTION GUIDE BN153 115 1 Auto 10.5 lndujed 2 or 3 E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level that switch or double P99ybackvariable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. p CAU710N 2. See FM0712 for correct model of Electrical Aitemator E-Pak. All insWistlon 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) keened electrician. All electrical and safety codes should be followed including the most Or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. d1A/L TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacfwersof. . SHIP TO: 3649 Cane Run Road op L~ Louisville, KY 40211-1961 !lam P2/,~og ,SNCf ~~i~c7 r (502) 778-2731.1(600) 928-PUMP http://Www.zoeUer.com )WIM / f fff. FAX (502) 774-3624 0 Copyright 2000 Zoeller Co. All rights reserved. 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa9e_ of FILEINFORMATION SYSTEM SPECIFICATIONS Owner fe Septic Tank Capacity al ❑ NA Pemtit Septic Tank Manufacturer DESIGN PARAMETERS Effluent Fri Manufacturer j ❑ NA Number of Bedrooms 13 NA Effluent Fitter Model ❑ NA Number of Commercial Units Pump Tank Capacity 3 d. cial ❑ Estimated flow (average) ~ . al/d Pump Tank Manufacturer Design flown (peak), (Estimated x 1.5) aVd Pump Manufacturer ❑ NA Solt Application Rate v aVd M2 Pump Model S__3 ❑ - 061V InfluatlEffluent Quality Monthly average' Pretreatment Unit Fats, ON & Grease (FOG) 530 mg/L ❑ Sand/GrWel Filter ❑ Peat Filter Biochemical Oxygen Demand (60135) 420 mg/_ ❑ Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality ❑ NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BOOS) 530 mg/L ❑ In-ground (gravity) _ ❑ 1~round (pressurized) Total Suspended Solids (M) 530 mg/L ❑ At-grade and Fecal CoGforrn (geometric mean) 510' cfu/100ml ❑ Dri ine ❑ Other. Maximum Effluent Particle Size Y. inch diameter Values typical for domestic (non-commercial) wastewater and septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequ ncy Inspect condition of tank(s) At least once every ❑ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume Inspect dispersal cell(s) At least once every ❑ month ear(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months : ear(s) ear(s) ❑ NA Inspect pump, pump controls & alarm At least once every months-ALy Flush laterals and pressure test At least once every ❑ month year(s) ❑ NA Otter i At least once every ❑ months ❑ year(s) ❑ NA I Oaten: At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or ceri fic ations. 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 on 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, mechillnical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at irRervals of 12 months or less shall be performed by a certified POWTS Maintainer- A service 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 concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of START UP AND OPERATION or other chemicals th0t products For new construction. Prior to use of the POWTS check treatment tank{s} for the presence of paian detd Crave contents of the mW impede the treatment process and/or damage the dispersal ell(s). If high concentrations tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. will ble During power outages pump tanks may fill above normal highwater levels. When power is restored the excess vmstewater discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge power Of efflu the To avoid this situation have the contents of the pump tank removed by a Septage Servicing operator prior i rest restore levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pop cont'ds within the pump tank. the area within Do not drive or park vehk~es over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, 15 feet down slope of any mound or at-grade soil absorption area. POWT~: Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the We Of the antibiotics; baby wrpes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drapn (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting Producits; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT jiy When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is prope and safely abandoned In compliance with chapter Comm 83.33, 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 filled with aril, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compfliont 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 requirjed setbacks from existing and proposed structure, tot lines 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 ruled in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN a holding tank may be installed as a last resort to replace the failed POWTS. { The site has not been evaluated .to Identify a suitable replacement area. Upon failure of the POWTS a soil and ske evaluation robe 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. >1~ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative . 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 O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFRCULT OR IMPOSSIBLE. A13DITiONAL COMMEM POWTS INSTALLER POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR P PER LOCAL REGULATORY AUTHORITY Name Name l r., t u Phone - Phone 7J.> ~p This doeumert was dratted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wismaln Administrathre Code. • AL N A 1 A 1 h p; ~ 3! i ~Ji F-I •i i i i 4 li3;i1 j I i CIO o ~ o. C f'i ~o IJA LL( LL.. EO a i ti~ m c N N N 8 ~ 0 C V 1 Q _w c (a"~ y Z N O Q a s' U L1 G N Q c 304,39' 3 398.45` '52" E 2681.78' r- ° 536. j 1700.76` (6LOCk LENGTH) o o N 80 Op' 00" 0 1.422 ACRES a I ro S ° N 23° ° 1.; ! 61,934 S.F. ° 00 00" 7QSD'DD • 53 p 75.0*, C61 751Q^v' • ~3a 0 as 26S 4.85, 40x, G~~ C62` i 6g 3\ 6 Op, f 3a oa., W SC . M l '~63 Mph Q do" 66, a 4 '1310' °30 °0 ~R~~l c °i l I 377 ® k?k 66Q ,orn:1 1.226 ACRES of w I 35 3V a;\ 53,407 S.F. to I ES 1 a m ' ! ° va l • a <'0~\ opt \ "a---.-. ( j G~ ry 1.003 ACRES• f 4 48 ~O \6 - -.-._.._._.-._._.._i G~ PSF I 143,704 S.F. / o q / ^ 4 N 86°00' 00, W o 11Q 6p6 (h 1 J m n ° AA,. u .rn 325.511 37 o° • / , co k, nW4 t 1- o ' 1 f 2 i 1.000 ACRE 1,176 ACRES o'" m z 43,567 S.F. cs - 51,210 S.F. 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P 55.0 gB6`S7l 23' 159.51° 073 . / ns\ ° I l o I I ° N I Op I Dp j---------- I L.-.-.-~_._... v '\s F 65°aa' oa" E a~ ~ c75 ° z s ~ ~ I \aa W 23270 °~\o g 81°00' 00" S 147.5V K C 37.34' 151.75' 172.00' 219-00' . 84.45' 90°00` 00" W 580.09' sl0 CREST CURVE N 46 46 ACRES ~ 10° \ 49~ yg• ~3 N 90'00'00" E 580.09' ,222 S.F. j 0 7yo° 1.109 ACRES i ° Lh~i,~ pO, 078 ° 2~ rn o' v 079 90.09' 732.00` 132.00' 1226.00' ry~ / 48,299 S.F. 6 Np co co A~ ! 60 CY hO/ps ACRES *521471, o o - I 5; t N 7,°Q1 1.007 70' h0 ~•i 43,868 S.F. j Q h°!`! j q P I I I I I o co K pmeo / 1 I - `O l 1.031 ACRES 1 4 S.F. l -.1 h N 243.32, ry/ 49 I' 0 0 0 o w i 44,891 i so' q. o •i 50 ! a ° i 51 i a ° I 52 I j 50' ~D2" 1v a% 1.002 ACRES f o P 5 I o ®j ~w j ° ~ j kl i o L._ ! v I k 4 o N 86°00 00" E u~ y 43,645 S.F. i o E o o v 4 o n V A' o Qom' I© 251.40' s~ ss ~•\584°00' oo"j E o i o oy~ j z I°°h~o° I z l oo~~° 1 4 r._._ Lo ,2 -\132.00'.i. ° o j 54 I sou 6~ - f I { I z 1o I 1.051 ACRES i 1 I n u~i l u \ O,, 80. 45,779 S.F. I m Lo i ~0 S 83°00' 759 .1~I o ! 5.033 ACRES d I f 0 . E 239,8 132.00' 132.00` _ I N 219,241 S.F. N 90°00' 00" E 264.00' 1. 1 '---J to I 24 ( I 11 0 66' WIDE SHARED S 76 Q '2S' I i S~1\~{ j1 50' w / 59 j Z CO N 90°00'00" E 272.35' DRIVBWAYP4 00 E I 50' 21614' 56.21' S 76'00' I 8ti16NT MI e' 2.318 50' 100 j ,978 S.FACRES 1 ^ j 1 00 • 8 j ry 1 100,9. j 50272 , coil ~ ' - 6 t ('LB0=1063.61 % ~•SQ' I 55 56-' 12.714 ACRES/ ! 1.. , 118,212 SY 1 043 ACRESI "48" W) N ;ac'?~ I 3 jl 249.57',......... 49" E -32 la, T2.. I a µl r~ jjj 45,422 S.F. J 1........79°30 p LBO= f f 96111" / as 1063.611 1 4 X87 ! EXISTING 66' WIDE- z ST. CROIX COUNTY SEPTrIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1 P r r{ _ 14~I c j - Mai nag .Address 0 4'a r I L - Lt4 (Verificsition required from Platmiug & Zonmg D t w constntction.) City/Staff Parcel Identification Nuunber,,9 LEGAL DESCRIPTION Town of Property Location o"O1/4 Sec. , T Z-Z N R / r' t 4W L Subdivision Lot #L Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # Spec house no Lot line` identifiable / yes/~ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and mamoenance of your septic system could result in its premature faihue to handle washes. Proper maintenance consists ofpumpmg out the septic tank every three years or sooner, if nee" by a licensed P11n4=• What you Pm into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. Mae property owner agrees to submit to St Croix County Planning & Zoning Department a ccrtifrca ion form, 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 hill of sludge. Lwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, heroin, as set by the Department of Commerce and the Departrr=t 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" Uwe certify that all statements on this arm are true to the best of my/our lsrowledge. Uwe azulare the owner(s) of the property described above, by virtue of a 7"dy deed recorded in Register of Deeds Office. Number of b m s DATE SIGNA OF APPLICANT(S) ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department Include with this application a recorded warranty deed from the Register of Deeds Ciffice and a copy of the certified survey map if reference is made in the warranty deed (REV. a/05) ~t 531?J35 Td?JfLL7311H~V " e;s" _ zE NOIGN3A NISN0751M m g ~s F ES`§ NVId 3SV9 yR s €p a~3 sags "y E4. s. 1NOW~~~ o. sm ~ Jca ~ Y' E'Z Q z z oil O x F Q - ~ z O ® I~ l~ 9 .y II - Jill II I~ ® I Mj~ Q I Q IE II II i. w LL- I IT IIII I® O I ~I Q LLI w lL a 532135 ~y21(LLO311HOTJ`d NOIGN A NISNOOSIM w~g~ tk t=~ i NY-1.1 35V9 'oo o:l 5 w' e ;I$F~5 ;.4v SsSBd:P O g~ 8 e a ~a r I r--- I I 1 I I I A ~ I I D li i k-+ I I ° II > Ali X I I _ I I I I I I I V I I ~ p v° wovv.L~ I I D I 1 ~ I I ° I .ira .oN .Y I a I p$ ~ 1 i 'i ' I ~ ~ I ~I I I I } ~ I I I I I y $y I I~ I I I ~ 4~ j I I I ; I I ' I !L 4 - IIII III , I I I I I Ce ~I I I I I I I I I I I I ~ I I 4 ♦'IIIIIIIII I I I I L I J i no rw• Z `iI l i l i J rr- JIB- .fW .d~Yl Y Q gg I i t ® i$S I $ Q 8 III i O 9 yd' I I I I II j C + P i 1I1k I _ .Z .opal f Y XX I I CD I rr=T I I ~ I I W 3 I € ~ I I .a,a q I L_=_1 yL__J I I I I I I ~ ~y I I I I X ^ 'I I - -Z_________________ p.R AhC .s~ :g <<ipz:, 531TJ35 "1`dT~f110311H02tV ggg S 'sgE;Ee=: I NOISNaA NISNOOSIM 3 N-1d 35v\IVI9 / ~ ^a E ~ €3 s 11V~W~0~ ,.wrca Laccc ~ o ~ ~ I~ .ac .z,c ~ I i I .pi c rn rn R~ I .u .rn rn ~ I ~e gg 3 r I~ y 4 I~ ~~891 8 f p II ; IL $ A .hp - ~.L,L .YLL A~p b~ I s ~ Qt ~ I l i z LL i Y ~ t I I I FWD ~ ~F g ml Q 8 4i K Q -~ca'e°u'`riou.z~' y1 p fitip{ r II r I I _ aarr t-~4. 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