HomeMy WebLinkAbout038-1239-35-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 605026
GENERAL INFORMATION State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 3104213
Permit Holder's Name: City Village Township Parcel Tax No:
Oevering Homes LLC TOWN OF STAR PRAIRIE 038-1239-35-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
I ''4 17.31.18.1296
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURE t e) ` CAPAC11~(j: STATION BS HI FS ELEV.
li a J r
Septic / z s-0 Benchmark
Dosing 9111 ~ r? JV 410 Alt. BM
Bldg. Sewer
rg 7 (og
oe=nl
St/ Inlet
TANK SETBACK INFORMATION hali C<x Aso St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake :ROAD Dt Inlet
Septic ,t /~1 ► (t' ~r ► Dt Bottom j~ c?()- (p/
Dosing 'w u 'J Header/M L U (J
2-5 /o0S
A ion Dist. Pipe 2-4) 'D1•
Hol Bot. System Z r-7
q 7
PUMP/SIPHON INFORMATION Final Grade [
Manufacturer Demand St Cove 2
L~ !JCl GPM't~ It7~
Model Number Z C ) IF C , e r1
TDH Lift Y Frictio . LQss~ System Head T W I~~Ft
n ,
Forcemain Lengt / Dia. I ► Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width No. OfI C4 l IT DIMENSIONS No. Of Pits Inside DLiquid Depth
DIMENSIONS 2
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR ol~
Type Of System: r ► ti ~ ~ ~ f~ UNIT
N J 5 "x~ 1rJ'.. ►Iilf Model N er:
DISTRIBUTION STEM
Header/ d Distribution x Hole Size x Hole Spa ing Vent to Air Intake
I Pipe(s) ► rt I f rf , /
Mfi
Length Dia Length~~ Dias Spacing &
SOIL COVER 1 x Pressure Systems Only xx Mound Or At-Grade Systems Onl
Depth Over JDepth Over xx Depth of xx Seeded/Sodded Mulched
Be rench Vn Bed/Trench Edges / 1, Topsoil /
Z 7 Z Yes E No /f(es L] No
MENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: T~
r
Location: 945 218TH AVE cr ft-,
1.) Alt BM Description = 4P C J '~llt~ Cow
2.) Bldg sewer length = 2 J'
- amount of cover =
CoveL
N4' of
Plan revision Required? Yes No
Use other side for additional information
Date 4t~s Signature Cert. No.
SBD-6710 (R.3/97)
County
Safety and Buildings Division
~"l p 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
Wadis 1 07 62
2 4 b
r f y &6542Co
e..l State Transaction Number
unitary Perms Ap}lica
in accordanccvCdt SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than 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. 1) m), Stats. / l< / ~ 7-1 L Application Information - Please Print All Information
Property Owner's Name Parcel # r
Property Owners Mailing Address Property Locatio`nn I a 1 1
Govt. Lot I ~dl
City, State Zip e Phon Number V" Section I Co rircle o
1
T~ N; RE W
H. Type of Building (check all that appl
Subdivision Name
1 or 2 Family Dwelling-Number of Bedro
, 14 G;S B Cr L(/~ic c L i
❑ PubliclCommercial - Describe Use ❑ City of
/ CSM Number El illage, of
❑ State Owned - Deribe Use 1
own of
SVZ ✓
111. Type of Permit: (Check only one box online A. Complete line B if applicable)
IVew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement 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 Plumber
Before Expiration Owner
IV. Tylbe ofPOWTS System/Component/Device: Check all that a dY**W
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade and > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) _ Pretreatment Device (explain)
V. Dis rsal/Tre cut Area Information: a
Design Flow (gpd) Desip Soil Applicati dsf) Dispersal Area Requn Dispersal Area Propo (sf) System Elevation
0 v/ 0 4
VL Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units C °
New Tanks Existing Tanta t o a a m ca
f U v
Septic or Holding Tank /t I
Dosing Chamber v /
'AA
VII. Responsibility Stat nt- I the undersigned, assn ponsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Pr}nt) Pi S' e MP/MPRS Number Business Phone N b
Plumber's Address (Street, City; State, Zi de)
County/De artment Use Only
Approved Permit Fee Date sued Issuing t Signatute
❑ ~ ~ ~ ' ~ _ /1
❑ er en Reason for iai V! ~A'
DL Condi onl, or DWpprovai ? JI ~h*
uisl+er:*ai cell must all be sA1A,2§ rn.~int:-,K t lyr/-` MroV
%s per i nar.3cemen, pl$n ptolidel by plu~nbe . aw'~~ u"
2. J1Q n•k rectr►~!:^en:s mtrsttie ~:ra r t: ir.E ? 1 .
as per vg8cttbls code l Ci'dl181 wa, /
Attach to complete plws for the system and submit to the County only on paper not less than 8 irz z 11 inches in size
`
SBD-6348 (R. 11/11) ~~i i
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NE 1/4 NW 1/4S 17 IT 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
SYSTEM ELEVATION 100.0' DATE 4/30/18 BEDROOM 4
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
MOUND XXX SEPTIC TANK SIZE
HOLDING TANK SIZE LOAD RATE 1 •0 ABSORPTION AREA 600 # of chambers none
BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
218th Ave
Scale = 1/4" = 10'
2 Acre Lot
Well is to meet all WDNR setbacks
Grading is to be done to divert
run-off away from system
100,
B-1 Pro 4
9 9., Bedroom
Huffcutt Combo Tank House
98'
97'
94th St. B-2
B-3
8% Slope B.M.*
Area 15' below system
is to remain
undisturbed
ELEVATIONS SHOWN ARE
NAVD 1988 DATUM.
SCALE:
0 40 80
LEGEND
X =WOOD LATH OR PIN FLAG SET PROPERTY ADDRESS:
S ti 218TH AVENUE
=WOOD HUB SET AT 10' t-
OFFSET, 15 OFFSET, OR ON O } ti NEW RICHMOND WI 54017
BUILDING EXTENSION q
FOUND IRON MONUMENT PER PLAT v J ¢
T.O.H. TOP OF WOOD HUB ELEVATION 7~7 w O
T O.P.- TOP OF IRON PIPE ELEVATION
Qwoc
SETBACK LINE: m c~.~ 6 NORTH
100IFRONT
10' SIDE MIN, 25' TOTAL
25'REAR
- UTILITY EASEMENT /
DRAINAGE DIRECTION
960 / ` 9 p0
NT214 36• E
T.O.P. 963.3
py.C p
T.O.P. 958.2
0
/ _ / S9 6 N
d~
T.O.H. 968.28 - -
74,0 120
\ GARAGE
16.O 280 20.8
/
/ a PROPOSED HOUSE n
59.7
T T.O.H. 963.90
N / \ LO 35
3 \3Z8 1.72 ACRES
ae+ \ 75,079 SF
M 038-1239-35-000 /
L.B.O.-950.8
•Z \ SOIL TEST ARE\ A
1
\ WETLAND EDGE, APPROXMATE-\,/
00
\ \ O
N88.18'30"W 91.04' N88°18'30"W 205.11'
I, Ty R. Dodge, Wisconsin Professional Land
Surveyor, hereby certify that this Stake-out '
Plan was prepared by me or under my direct -„r
supervision and is correct to the best of my \9.. -
knowledge and belief. * • N R.
Db W
04/25/18
jFS
TRD
Mrr
OEVERING HOMES 18-11 SALMON " ffi®
Ta LOT 35 SQUAW LAKE ESTATES
~r « o
Z: -Z
RU-
HOUSE STAKEOUT PLAN Auth•ConsulUng/associates S&N Land Surveying
`~~ex~xr`vT DIVISION OF INDUSTRY SERVICES
2331 SAN LUIS PL STE 150
e/ I 9 GREEN BAY WI 54304-5211
V 1 0 Contact Through Relay
y~ ~SP s ~i http://dsps.wi.gov/programs/industryservices
Ado ~ ,
www.wisconsin.gov
Scott Walker, Governor
Laura Guti6rrez, Secretary
May 24, 2018
CUST ID No. 226900 ATTN: POWTS Inspector FED S11 0)
SHAUN R BIRD ZONING OFFICE f-,'s1"' I(dD+
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: 05/24/2020 Identification Numbers
Transaction ID No. 3104213
SITE: Site ID No. 849455
Please refer to both identification numbers,
2118TH in Ave a Lot 35 Homes above, in all correspondence with the agency.
28TH
Town of Star Prairie
St Croix County
NE1/4, NW1/4, S17, T3 IN, RI 8W
Lot: 35,
FOR:
Description: Mound System (4 Bedrooms - New Construction)
Object Type: POWTS Component Manual Regulated Object ID No.: 1763071
Maintenance required; 600 GPD Flow rate; 25 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.
SHAUN R BIRD Page 2 5/24/2018
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• 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 resizing to meet
TDH and GPM Specifications.
• Areas that are occupied v~ith rock 1raginems, tree roots, stumps and boulders reduce the amount ol'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,
Tim Vander Leest Please Include a Copy With Your
Payment Submittal.
Private Sewage Plan Reviewer, Division of Industry Services Wyment code: 1. 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.
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 4/30/18
Owner:Oevering Homes
Location: NE1/4 NW1/4 S17 T31 N,R18W Lot 35 218th Ave Star Prairie
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
Shaun Bird
Signature
License numb 226900
Page 1 of 9
~ ~ z r"
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NE 1/4 NW 1/4S 17 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
SYSTEM ELEVATION 100.0' DATE 4/30/18 BEDROOM 4
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none
BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
218th Ave
Scale = 1/4" = 10'
2 Acre Lot
I
Well is to meet all WDNR setbacks
Grading is to be done to divert
run-off away from system
100,
B-1 Pro 4
99, Huffcutt Combo Tank Bedroom
98' House
97'
94th St. B-2
B-3
8% Slope B.M.*
Area 15' below system
is to remain
undisturbed
Mound System Cross Section and Plan View
Dimension Feet
is
B
T
' fW fL•r• r rL%Y•'r jY~i '4.LK.YY4.YYL.L.L.4.YYL. D
YY.r
LK•YL-t•• .4_:Y'..YYY1:ti.Yf•f.r.JY.f.J.r•J.r:J:I:%:f~i:i~J~J~i r~JY:r:fYYY4Kj K-4•YL.L-L.:
A ' fY f fY YyM1.4K LK1 K ~LjLK•L•L•LfY4fL~LfL1YLfY f•J•fY• 4 y~ friYY•r
1:4:4.••4.1•r••4K.• fL14f4rL•L•4•LrL• µL y. SI
~K•f~f1 rYy:% rM:~M1l4Y.J:AfyJ.r•J.J.r:J:J:'LKr1.1r1.'i.Y 1.1.L.V1•Y1.t:l.
YYY•• K JL•L•L•4.4.4.4K•4•L•L.YLK1111?1r11tK?ti:ti:11~11:41\ 11L•?4.1~ti: YYrYf4YLfY• E
KKK.Y'•'YKK.IK:YY•r.f.•Y.f•r•fYVYYY•f•fY•r•r• r•J• YY4.
L•YL•L•L•L•YL•L•L•L• f•f•rYYY•r4rtiK.LK•L•4•L•L•Lrti~ti
W r•f•r•r•f•rY•fY•f•r.J•f•r•fY.JY•1f:rM~FJ4r:r.4J 1:J:J:f:f:r !~!:r~1:~•L.L.L.
f.r.r.r.r.r.f.r.r.r-f-r.J.f•J•J F
G _
- a~
H
-
J
K
L
K--~ B -1 Z
L Slope %J
= To soil
E~j~jij~i = Clean a e ate
• LJLfti
P =ASTM C-33 ~~~Y• ggr g = 4 in. sch. 40 pvc
Cap Materi al sand fill r~ % to 2 1/z in. dia. observation pipe
4.4•L
Geotextile G H
Fabric •
JY.f r.f.
i1sr i L.4.,.
r r4 Lr
F
L• jY1.5.YYLf•
y~•JY•rY•f• :
L~1 YYLK•Y1• - ~ _ ~Lr~f •f•• •fY•r•J•f• ,
E
0 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 '/a 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 ecured in place with rebar or a closet flange.
10/071gj Page 3- of
Pressure Lateral Layout
Two Laterals - End Manifold
4 'Threaded
Cleanout
Lateral Turn-up plug
Manifold
M
X
L
Force Main Long
Sweep
90
Bend
~~),q r, e
Distribution Ne a77-5.-/-3 ions Pressure System Construction
Lateral Diameter In.
Manifold Diameter In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter L Z In. pipe. Orifices are drilled perpendicular to
X Orifice Spacing) In. the pipe with a sharp drill bit and face down.
L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded
_M _(Manifold Length) [a/ Ft. cleanout 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
0=
6-8 Inch Lawn
Sprinkler Valve
Box
Page of
03/05 lgj
•
Septic-Dose Wank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacturer
Tank Model Number 01- S-ZD -2 :sp Pump Model Number Q
S
Total Tank Capacity a j 6 Alarm Manufacturer
Max. Bury Depth Model Number SType
Filter Manufacturer Total Dynauzic Head 9DH) -Feet
Filter Model Number i
/
levation Head 0
L4 E
Distal Pressure
Network Loss
Minimura Pump ~'erformance Required Force Main Loss
Gp Ft TDH Total ' 3
Outlet Manhole Wm 4" Above Grade With Manhole Min. 4" Above Grade
Locking Device. Inlet Manhole With Locking Device
< b" Below Gr~de Sealed Watertight Securely Mounted
weather-proof 1
~L Junction Box
tc .
T
Vent Min. 12 Disconnect
Above Grade means
With vent cap
i.
Outlet Filter
wet Inlet Bale -
;
A.
' Switch Set~ngs and Reserve Capacity '
• Weep
Tank Volume = -7 GPI <
Hole
Dimension Inches Volume Gal.
` (reserve) A 6,5 z7l'22,
O B : 2 Off Elevation C
90--157
<
G o~ 7 S Bottom
(dose) C;;
Elevation
D. 3 D
Ft
'7 -7 X, I
Total ::>::<><:.>::
IFTS
in accordance with the
GE gA , INSTALLATION: The septic/dose tank is bedded and .back filled
l specifications- Maximum depth of bury.as. specified -by ~ ~ufad mr may not
manufacturer's product .approvaspec have an effective locking device (padlock)
be exceeded without pl ior- Oproval. Manhole covers exposed to grade fittings, and
installed. Piping at *e inlet and outlet is of approved material, connei d to with the tank with watertight laid on stable soil to prevent se ling or saggiug. " Tile force main
is sleeved 4" Sch• `0 PVC to bridge the tank
Electrical' co Uos with NEC.3tlp and Comm 16.23.
excavation and the .sleeve. is sealed watertight.
Page o
02105 L,T
2BOMSERIES
112 hp Submersible EffluentlSump pumps
The Liberty 280-Series provides a cost effective "mid- "
range" pump for on-site waste water systems, liquid ~elfoiTllanCe Curve: /`jps
waste transfer and commercial heavy-duty sump sump pump 12
applications that require higher head or more flow.
Designed around Liberty's unique "Uni-B 11
the 280-Series will Provide ~Y" Ong' g
Years of reliable performance. 4) 25
All Models Feature: u 20 s
6 (D
Up Vortex style impeller permitting Passage of solids 1 5 m to Y414
5 ~
e 416 stainless steel rotor shaft 10 3
e Permanently lubricated upper and lower ball bearing 5
e Epoxy powder coat finish 2
e All fasteners - corrosion-resistant stainless steel 0 0
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70
e 1 %2" Discharge U.S. Gallons Per Minute
e Stainless steel bottom screen - easily removable
- Maximum fluid temperature: 140* F. 0 78 156 192 228 270 38 114
Liters s Per Minute
280-Series Cord Lengths
Model 10' 25'(-2) 35'(-3) 50'( Dimensional Data:
280 Standard Optional Optional Optional Height:291bs.
281 Standard Optional Optional Optional Height; l3" ,
283 Standard Optional Optional WA Major Width: 10" (model 287)
287 standard Optional WA WA Minimum Sump Diameters:
10' cord length standard on all models. For optional lengths, Model 281, 283...14"
add "-2,-3 or-5" suffix to model number. Model 287 VMF...100
Example: for model 280 with 35' cord, order 280-3
Factory switch Model 281, 283 Model 287
Motor Specifications set4ngs VMF
Turn on level 13" 9 5°
'/2 hp 60 Hz 3450 RPM Turn off level 7" 4.0"
Oil filled, thermally protected
(PSG) Permanent Split Capacitor The Model 283 features a Uly adjustable wid float 8.0 amps (115V) adjustments can be made easily th~~ float Differential
4.0 amps (208/230V) charge pipe or other mounting oint. Vertical float model 287 is not
adjustable.
Model 280 Model 281
anual, angle Model 283 Model[287
switch float switch Wide angle V Series
float switch Vertical rtical mag-
with quick- with series netic float for
disconnect (piggy-back) smaller pits -
plug will operate in
a 10° diameter
4pus sump
C Certified r
SP ors- bjecttod n~eramoutnobc 0 1
LibertY Pumps - 7000 Apple Tree Avenue - jge
rgen, New York_1_
144 6 - Phone 800-543-2580 Fax (585) 494-1839
www.libertypumps.com ....F.y. 0 uberty Pumps, Inc. 2017
All rights reserved. t.ur 2000 Rosn 7
M POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pase_ of
F1L.EZNFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity
al ❑ NA
PermK Septic Tank Manufacturer
NA
DESIGN PARAMETERS Effluent Filter Manufacturers NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Commercial Units XJ*A Pump Tank Capacity al ❑ NA
Estimated flow (average) avd a Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) aVd Pump Manufacturer ❑ NA.
Sot! Application Rate ! aVda fle Pump Model ❑
Influent/Effluent Quality Monthly average' Pretreatment Unit
Fats, OR & Grease (FOG) 530 mg/L ❑ Sand/Grevel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD.) 5220 mg/L ❑ Mechanical Aeration ❑ Wetland
❑ Other
Total Suspended Solids (TSS) 5150 m 2 ❑ Disinfection
Manufacturer
Pretreated Effluent Quality ❑ NA Monthly average" Dispersal Cell(s)
Biochemical Oxygen Demand (BODs) 530 mg/L ❑ In-ground (gravity) ❑ rodund (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ At-grade
Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-line ❑ Other.
Maximum Effluent Particle Size Y. inch diameter - Values typical for domestic (eon-oommetc I4 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 ❑ months r(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one ird (Y3) of tank volume
Inspect dispersal cell(s) At least once every sz ❑ months r(s) (Maximum 3 yrs.)
Clean effluent filter At least once every ❑ month r(s)
. '4Z
Inspect pump, pump controls & alarm At least once every ❑ months r(s) ❑ NA
Flush laterals and pressure test At least once every ❑ months year(s) ❑ NA
otfter. At least once every ❑ months ❑ year(s) NA
other 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
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 on.the ground surface. The ponding of f-effiuent 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 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 nical or pressurized POWTS components, pretreatfinent components, and any
other maintenance or monitoring at i als 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 concegtrations are
y
detected have the contents of the tank(s) removed by a septage servicing operator prior to use.
Page of
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 thiElt
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thla
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 effluenlt.
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within
15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POW17$:
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation draO
(sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly
and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:.
Ail 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 filled with soil,
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 compiirpnt
replacement system;
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systeim.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the need
for a new sob and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule;i in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soli limitations. Barring advances in POWf S technologN a
holding tank may be installed as a last resort to replace the failed POWTS.
e site has not been evaluated to identify a sultable replacement area. Upon failure of the POWTS a soil and site evaluation
ust be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as
a last resort to replace the failed POWTS,
nd and at-grade soil absorption systems may be reconstructed in place following removal of the biomet at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
«WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O1 A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER _ POWTS MAINTAINER
Name d Name
Phone
- a j-
A 47 phone
SEPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY
Name L4~ Name
Phone Phone
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Adrninish'ati+re Code.
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Section 17-31-18
(ALUM/NUM COUNT
MONUMENT,
ST. CROIX CO"TX
SEPTIC TANK MArNTBNANCE AGREEMENT
- OWNERSHIP CERT[FICATION FORM
Owner/Buyer Qe
Mailing Address
Property Address
(Verification required from plannin~ . ~ .
City/State g & Zoning Department far new construction.
Parcel Identification Number P )
LEGAL DESCR~pTION ;t c..~~ Property Location _
_.`a r , - Sec- e_- T__ ( N R 1 `
Subdivision
c.[r r . , 1,. , Town of
Certified Survey Map # ~ -
~ Lot #
VVarrauty Deed # 1~ 'Volume
page #
Spec house
MAIIVT yesno Volume
#
SY$~`EIVj Lot line, identi page
fiable
ENAN cE AND R'NER CER Yes no
O
CATIYQN
nnainten hnProperrise T- and
ante cons, maintenance sts ofpli Y° septic systerrt could result in its
the system can affect the mping out the s of eptic
function of Tank every three P1emature failure to
responsibilities are s the septic Years or sooner handle w
pecified in §Cornm. 83,52(1 din Cement stage in the r, to ifneeded, by a licensed p r. Proper
The r hapter 12 - St. Croix e as disposal system. pwneIna What you put into
owner and bP o nY owner agrees to s County Sawtary Ord' mtenance
by a master ubmit to St. Croix Co finance.
wastewater disposal systerrlnis in J xYrnan Plumber, res6 ct dlarva utg &Loning Ile
less than I/~ frlt of stodge. proper operacondition teed plumber or a licensed p Pertinent a certi$cation form ind/or (2) after inspection ana per verifying that (1) the on Signed
by the
site
I/We, the undersi p~mg (if necessary), the Se
standards set tined have read the above Septic tang is
Stan forth, herein, as set by the D regnirern nts a maintain fication sta ePartiuent of C agree to
Zanypg ~e t3ng that your septic system has been °mn.erce and the Departinm of a Pnvate sewage disposal
Pertinent within 30 days of the three
Year ma atained must be comp, Natu¢al Resources, te system with the
of Wisconsin.
roe fy that all statements on this form exPuafio~ date, eted and returned to the St. Croix o ty planning &
,,we cer
tify P rty described above, by virtue of a q,
ty n azte true ~ the best oi'my/ouT knowledge.
dumber of b d in Register of Dee e I/we am/are the owner
edrooms-`_L~" Office (s) of the
IGNA ~MF APPP
LICANT S
*.*Any info
rnlation that is
misrepresented may
bA7'E
lnctude Y result in the sanitary Permit being revoked b
the Planning
with this application a recorded Warranty deed from by
reference is made in the Warranty & Zo
deed, the Register of heeds Zoning Department,
(REV. 08/05) O Oe a COPY of the cerwi
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1291
r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel 1. D. v J j -3 61
Please print all information. / / 3, CCU
Reviewed B Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Grand Properties, LP Govt. Lot NE 1/4 NW 1/4 S 17 T 31 NR 18 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
712 Rivard Streeet, Suite 300 35 1 Squaw Lake Estates
City State Zip Code Phone Number City Village ✓ Town Nearest Road
Somerset WI 1 54025 715-247-5900 Star Prairie 218Th Ave.
New Construction Use: V Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe:
Parent material Glacial Till Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a mound system. System elevation is 100.56' based off of contour line established at
99.64'. Slope is 8%. Depth to limiting factor is 25".
❑ Boring # Boring
Pit Ground Surface elev. 99.44 ft. Depth to limiting factor 25 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
1 0-9 10yr3/4 none sil 2fsbk mfr cs 2f .6 .8
2 9-16 10yr5/3 none sil 3fsbk mfr gw 1f .6 .8
3 16-25 7.5yr5/4 none sl 2fsbk mfr gvv .6 1.0
4 25-64 7.5yr416 7c2d.5yr6/2 r6/2/8 sl 1 msbk mfr .4 .7
i
❑ Boring # Boring
Pit Ground Surface elev. 99.44 ft. Depth to limiting factor 25 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
1 0-9 10yr3/4 none sil 2fsbk mfr cs 2f .6 .8
2 9-17 10yr5/4 none sil 2msbk mfr gw 1f .6 .8
3 17-25 10yr4/4 none sl 2msbk mfi gw .6 1.0
4 25-60 7.5yr4/4 m 5d r y3 sl 1 msbk mfr .4 .7
5 I
I
Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5. 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature: 41 CST Number
Thomas J. Schmitt t=:1 n/' l- y " 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 8/27/04 715-247-2941
Property Owner Grand Properties, LP Parcel ID # Page _ 2 of 3
3] Boring # Boring -
F
✓ Pit Ground Surface elev. 97.34 ft. Depth to limiting factor 28 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
*Eff#1 *Eff#2
1 0-5 10yr3/4 none sil 2fsbk mfr as 2f .6 .8
2 5-14 10yr5/4 none scl 2fsbk mfr gw 1f .4 .6
3 14-28 7.5yr4/6 none sl 1 msbk mfr gw .4 .7
4 28-35 5yr4/6 none sl 1 mpl mfr gw 4 7
5 35-70 5yr4/4 c17 Syr6/3/6 sl 2mpl mfr .0 .2
❑ Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
*Eff#1 *Eff#2
i
i
❑ Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
* Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mWI * Effluent #2 = BOD5 -S_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.
y Page 3 of 3
Conducted by: Conducted For: Ref. No.
Schmitt Soil and Site Evaluations Name: Grand Properties, LP.
Thomas I Schmitt, CST 227429 Address: 712 Rivard St. Suite 100
1595 72nd St. City, State, Zip: Somerset, WL 54025
New Richmond, WL 54017
Phone: 715-247-2941 Subd.Name: Squaw Lake Estates
6 7_ o y Lot No.: 3a
Legal Description: /I/F 1/4 /444/4 S17 T31N R18W
Township of. Star Prairie, St. Croix County
Bench Mark El. 100.00' Top of 2" pvc pipe
Alternate Bench Mark El. /00 O''top of 2" pvc pipe
Slope= 4~ Contour Line El.,~ y
Contour Line Length V",/
N
Scale 1 40'~
21 r
l
I
,V
This soil report was done to fulfill a zoning equirement. No permanent lot markers were in at the time the test was
conducted. The area in which it was done or may not f
~y ay be suitable or your use, or in the location shown.