HomeMy WebLinkAbout032-2096-20-000 (3)
we...... oUC;rartm.OntofC"...... 'e PRIVATE SEWAGE SYSTEM `.o"T.` St. Croix
Sa'etj arc Bllltdlrg Uruisu:r
INSPECTION REPORT sanitary=ermi( No 605052
'ATTACH TO PERMIT)
GENERAL INFORMATION slat wa•, ID No
Pe• of m'ni"'Vio i.a P'>m<c' sir calla: _ ypuq :IVUV.u v t..l. '5:14;11,n:l1
Pomri: He dcrs`to,, 'JA Ci,! Iuw,-q, ParCCI-ax No:
Sue & Kevin Newhouse TOWN OF SOMERSET 032-2096-20-000
s- 6M Elae Ir;p 6N acv: 6M L"z 'l non swio^:Tc•:nrRan9r~ Map N.
14.30.20.930
TANK INFORMATION ELEVATION DATA
Tvor MANUFAC AC Y STATION US HI FS LLLV.
Septic {it Ren:-rmaN ll. os 9S 3 .3
Z. A
sing Alt. BM
A~-{at:or I Nldo Sewer L"- 0 5-Vi
8 z
H:ohng :SU (Inlet 12.&7
\ Zn . /
SVHI Outlet
TANK SETBACK INFORMATION
TANK TO P L WCLL BLDG. %+ow tr; A • Make ROAD DI Inlet
Scot c +G 7(ODr `W / Dl Bottom fC'.~ gZ • 3
Jos c6 - lleadu0mar Cp
_'~~~D ~ec-r7 (1.S`?
iwra c~ - - List Pipe --A 51IN6 -
Ho1dir~d Rot. System
Linal Gratle
PUMPISIPHON INFORMATION
tvtan~fact~rc" - n Demend St Cover
IvlWul Ncmhcr 11 rr L{~''
lJ
TDH JIM Fnctmn Lnss Systorn I lead T `t 11
(7-22.
Fo'Cemalo Lenq Oia. Zlr Lill 1o 14•e :l
71-~
SOIL ABSORPTION SYSTEM
BEDqRENCH VP ::Ir . eng:h o.-O`-'enchc~ PIT DIMENSIONS NO. Of Pits I^<ee Dia. Li:':
DIMENSIONS 11
SETBACK S_YSTFI~t.Tp) i PLUG ALLL LAKF:STREntd LEACHING Lr rnudma~rer
INFORMATION CHAMBER OR
I:~"' r -O1 UNIT Id:.del Nom&c'.
V
DISTRIBUTION SYSTEM
Heade Jan L,c :ri:.l ibmi„n xl•obSlce xFCle sFa'j-~I VenltoAir
o: Vn ,;l
I ^nirl~ U _cng:h Gia $pa,inq
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Jasm 't - DeDh xx ~ep:h a' rx &~e;Lr:!!5o_9en !.Irehed
Betl/T•encn Ccntrr ena; lumnh I Tccsc
COMMENTS: ;n c u:1e2:ode msuuocncios. Uursmrs prosent. eta. Im pection 41. 'ImprcUUn #2
l_
Location: 16;i2 OAK RIUGL LN
I. t A t UM Desriauon -
2.1 Bldg ocwer length -
- arrount nt cover = I ~J
7lI q P~
u an revision Requ!red? Yes / No
se cPw• ~ do fc' iddi:ioral information V
G:Ic ~ Ir zepr!nh~~Sl nl~re ~cr, Nn
96G.b ~.7 R lr9'1
yr~n143y~,` r `11 M1.~v t uunly • v` " 10
C fl Industry Services Division sl C nnx
~I$~ L 1400 E Washington Ave
Sanimn F'ennn Sumba (to he filled in by Co)
-PS - P.O.Rox7162
Madison, WI 53707-7162 1
'50'5Z
ir it W /.6
Z018
Sapltar,}'°,Per 11[ Application - 1 6 State 'I'ransacu)onNumbcr
L w
lit a rdmtcc wilh'MSPNq,2#N) r{,r 1.!1~0s1r~- %hmu mn I Ihi (,nu h the' I . , unit
icquired prior t ,Nmniq, n1tlTn ppla tl t II 1' rill. .i1 1'IIGJU'lled I'(1\\ I ti ;ne Ulhmnll'd IU . l..
,hs Uspanmenl of Safely and Pr d.,srmal Sell c, I crsenil in of oration you provtdu mar he u,cJ sin xcondar~( Protect Address (J alllerenl than mailing addressi
;>mfasc, in accoldme:C,kilt IM 'm acv a, , 1? ill. I qnu Class I %20A Kld e Lai
Il ullun. W s54os2
1. Application Infer a r )-Please Print All Information
r",.lwf!N Owner , Name I'm"! Il
tinc & Lev ill Ncw Inns tl i2-2090-20-11(1!1
_ )g,_bo.aa 93c
Plopcnt O,ner', %launtiR Address Pro{mny Location
I>n2 Oak RidIc I a
ilolJton, A8 '1 Stos" Guvl. Lol
1. it., Slate Lip Code phone Number i mile one)
l loulion. W1 54025 1 13d N R 20 L olt\\'-'
B. type of Building; (check all that apply)//,/.
C I x 2 1 Imil} Ov ell n - ♦uln cr of Bcdn`,nlls Cuhdowon Name
(hut cte(,imaR(stores
axe-
[J I uh iv( u:nmucial Dexuhc lI>c _ _ Iiluck?
❑(In o1
State r i,ned Describe 1 I.e _ - - , CSAI Number 1` C1 Village ol-
~ I 5 ~i1~ ~ I I ®Ibw'n Of Snmcrxc`•~
.L1G WCS~-~ I I
III. Type of Perruil: Check only' one box o ('om~rkte line B if applicable) _ Z8 K4.j
x ❑ New System ❑ R placen-cnt S, 1:CM ❑ I waoil'lle'I luldine Tmlk Replacement Only' ❑ Other %Jdicalion to I-:xisnng System (explain:
B. Pernol Rencwul C Permit lict aion U C hang of ❑ 13crmn transfer to Nc, I,a Pre%wil, 11c:nlil Number and Date lashed
Belorre Lxplrallen Plumper i O%%IIcr 281102, 1 V06A9%
I\. Iye of POWTS Svs"''Compunent De% is ( Check all filar apply) _ -
Non-Presmirwel In-Ground ❑ I'ressi rvcJ In-Ground 4l-0rade ❑ hound' 24 in. ofsnnaDlc sod ❑ Mound 24 ill of suitable snit
ro ulg m1 a Oihcr Dispersal C'nnlll ncm iccpleml ❑ Pn:trualnlent Des ice Ie\J,I ial
V. Dis )crsal(Treatn nt Area Information: _ - _
D; tin hose lepd D" o,11 ,t Soil AppLC nioo Disposal !lrea Required Is1I Uispcoul Nut Pt -{\tsed tstl St'slem f Im'aii
out, Kati ppd,ll 858 S 8 98.00
VL Tank Info (apacily m n u
Gallons a + c ° _
tai ,
mtuLtuurcr
tallU05 iall ofl, N c
v
Scpus or lloldhtg lank 121,41 I Wlcxr nu rr„ _ _r(] C I C
Ito~ing Chanlh'I tit Fl NIISI'I'f'oncrC: ❑x ❑ _t_C ❑ ~r_
\11. RecponsibilitySntlement- L the undrrsienrd, ac: umt rrspnnslbllity fee iinotilhniun of Ilse ION ISO mlo on the attached plans.
Pionu r , Namv I'•n i pawl at Inn I A9f"\IPRS Nunthcr liminess F'honc Number
John S\hotin - _ J t ,f~f f j LT 7L~ I 7b I i IS-'6U-fµtis
Plums u s Address (Street. City. Store, Zip(
'rkle) t/7J
fi16 IMF" Ave
Somcrscl, WI i Ill.'s
9 VI11 ounh'r Department Ose Only
lppr sC' IT J Prnnll ire ` Dale sued Issuing •nt Sicmdur
s yC I I_ Q
'i r t.is ~~Rcason Inr iA•mal $ (~.Jt7 • ~ t{/ ~ ~8 - -
Condi Rea' its t Di4appnnal \ S
.7jYfpir::nl"M r IUat ell be air. Ic:~s' 'Ili.
p per i'rlarayetnent plF n 1) 'ce t zv ,eumoe..
All 1ill pxfrw Cana mu'..I„e::: ci. r'.
PM
Yf~i!cnbl~r,,t)rn i.:frli;.AY.Fr-
\aach Iu complete plan% for rhr%c%tem and.nhmil In the( uunn unk un paper nut I.." than 4 r: x 11 un he. in au•
S13D-639s I Roar I I I
SYSTEM PLOT PLAN A
nu"' '"oc - ~1 11
Project: Newhouse Tank Replacement oesigr,
- AllabP desgn floe, calcl abnns for <4- I V 4
Pro~CC, .Address. ~aF: kiccu Inc _ mmmercia plans
Bill' Symbol & BM Elevation. ICE Pipe Alaranals; ASTI,^ S;ancartl
Scalee 40
Blvt Jescripbon Too of pnero Dud mccn5np tmu.n°' Taoles 384 3P-> R 354 3C-5
C 4u 60 8.
BM2 Symbol. /j BM Elevalion eM1f C+.valnx 4' SCI 40 cV;: att +n rxe~ - -
Blvl _1CSGODben Bfvl DeSrnpaon - - SC14? ='vi: E7' V C t l2b
Slope Grad+anl n' efitef. A,.
Well Symbol of appiiaaDlm
Notes. Notes
property /6'. =
See CSM for complete lot
/ Existing I
_ 24'X36'
_ Bed.- p
Drive W
Ij
Garage 70
i
CD
4 Existing tanks to it m
Bedroom be abandoned
House _
-
180- 2" SCH 40
V-
i-~:-- PVC Force main
CQP
New 1200/800LP
Septic/Dose tank psoPe~\,0
i
Paget
CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Project Name: Newhouse Septic/Dose Tank Replacement
Owners Name: Kevin & Susan Newhouse
Owner's Address 1562 Oak Ridge Lane
Houton, WI 54082
Legal Description: SL1/4, Nel/4, S14, T30N, R20W
Township Somerset
County: St. Croix
Subdivision Name: Green Acre Country Estates
Lot Number: 2 Block Number
Parcel I.D. Number 032-2096-20-000
Plan Transaction No.
Page 1 Index and title
Page 2 Plot Plan
Page 3 Septic & Dose Tank Specifications
Page 4 Gravity Effluent 4ilter Information
Page S Dose Tank Cross Section
Pages 6 & 7 Pump Specifications & Curve
Page 8 Pressure Filter Information
Page 9 1996 Inspection Report
Page 10 & 11 1996 Asbuilt
Page 12 Management and contingency plan
Page 13 Septic Iank maintenance Agreement
Page 14 Warranty Deed
Page 15 CSM or Plat
Attachment 1 Soil Evaluation Report
Designer: John Schmitt Licnese Number: MPRS 223760
Date: 6/9/2018 Phone Number: 715-760-0486
Signature: 41 L X-#
In Ground Soil Absorption Component Manual Version 2.0 SBD 10705-P IN. 01/01)
I
Page 1
SYSTEM PLOT PLAN
f eaCGPC
I Project: Newhouse Tank Replacement Ues'yniloa N
Attain des gn flow calcWabons for
Protect ACCress. I%2 Oak Riupu Lur<+ commercial plans.
8M1 Symbol. & BM Elevation- aas. a* _ Pipe materials i ASTM Standard
Scale: 1" = 40'
Did Descrip;ions -oP c` Plum¢ p«f ~,wunrn3 orac<e; Tables 3Aa.30-3 8 364.30 5
BM'L Symbol RM Fie -T 4U 00 IIC
0M Desn 1310 to+,;nt,um
10,
Slope GcnpUOnplro t of Tested Area
Well Symbol {if applic;abloi
NOICS. Nor,,
P OPetlY line
See CSM for complete lot /
1 -
-
I Existing l ~p
24'X2
Bed- - p
I
Drive / 0
I, Garage a
i
I (D
Well 111 v
14 ,
Existing tanks to I CD
Bedroom be aband I y
I 1
t House I l
-
180' 2" SCH 40
PVC Force main
New 1200/800LP
Septic/Dose tank P` k
i~
~ - Page 2
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Page 3
/J~ fy-qi~:~? ~~y
i -
Innm'atrro~rh ,i i
PI -525 Filter
The PL-525 Filter is ralod Ion It1,UOt t (.PI) Il,,aIIons per day) making; It 0110 Jt the 1,11l11 It IIItaP, in iL cl,"' II ha;
3251incar feet of 1%16" filtration slots. Like the Polylok PI. 122, the Polyluk IT -525 has,m automatic shut oft hall
installed with ovvey filter. When the filter is removed for cleaning, the ball will float up and tempor.mIN' Shut oft
the svstem so the effluent won't leave the lank.
IcuLAIL1. i.'~ filll<.' „I~
i+lnriu ti„ its h
Rated for 10,000 (AID (gallons per dav) - i 1o`+liunal
UJ
•525linear feet oll/'In'filtration. 10'000 GP
• Accepts and W' B(*NT) 40 pipe- Cxtenvon ri.,,„u.'
• Built in gas deflector.
Automatic shut-off ball when filler is removed.
Baled h,r
\larm accossibilitp. u4lxurGPn
\cc•pts PVC c\lonsion handle.
,lam I ti 'vai
Idcal for residential and commercial waste floras up to 52 Lim-at It
pl I Is
li1,ll0Ugillonsperday(<.PI))- a--'•- pluran+nylots
1. Locate the outlet of the septic tank.
2. Remove the lank rover and pump tank if necessary. I,t.;,'.
l. Glue the filter housing to the 4" or h" outlet pipe It ci tt In hf p~
the filter is note entered under the access opening use a
Polyluk Fxtend ('k Lc+k or piece of pipe to center filter.
4. Insert the PL-525 filter into its housing.
® Certified to
Replace and secure the septic lank cover. NSFIANSI Standard 46
.~911ainl,'nann'.
The PI.-525 Effluent I ilters will operate eff iciontly for
several wars under normal conditions before recluiring
cleaning. It is recommended that the filter be cleaned
every time the tank is pumped, or at least every three
pears. It the installed filter contains an optional alarm,
the owner will be notified by an alarm when the filter
nvcds servncing Servicing should be done by a tortured - ~ Gar T4{lotus
,optic tank pumper or installer
[dmt-off Ball
L Locale the outlet of the septic tank.
Remove lank cover and pump tank it necessary.
;t. Do not use plumbing when filter is removed,
I Pull PL-525 cartridge out of the housing.
5- 1 lose o(( filler over the septic tank. Make sure all Amp
solids fall hick into septic tank. - _
m Insert the filter cartridge back into the housing making
sure the filter is properly aligned and completely inserted. Po h I "k, Zabel n B,',a Ater, a(cept Fastl~ Install,
Replace and secure septic tank cover. the timan Fdrrn`>,.vnd+an,r marm. Imo existing tanks.
Potvtok. Tnc. 3 Fairlicld 131%d. Wallint;forcf CT 116492 1idl Frec: 877.7659$65 Pas: 203.28 -1.X>14 cevm.polylok.com
Pape 4
PAGE 5 OF 6
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
H..du, FlncDanl nucA Unnp9y a•:h
tJ" ^dlr. rn J!J n a:..,.,,. CO1,1?j 1,, and NEC 1s>)
I , 1 h rc' rIU! I - 1 xim• ma hole riser as necessary.
<dl'ngnnn'
:YViral r vavm nnx
A' •u•.od gppmvu Lo.alny !.la^.nnie
I VPORTAN I : ''"I Cup wit, Waml g Label AtIachud
t (typicalt
AnnHnl :ar.k(s} as necessary ^ Condu t
pursuant to SaS 383.43(8)rq; 4" tdin. o/2.0 B abc•re
Enla Pllsnzd Flood Fleeallo-
_ iryairal)
/ Alrt!iH;:zal
I-iniau:o GwJc t _
C _ (luirh Disco~naU
U W PAin
CAPACITIES @ gal?in I ` ryPiwp
Depth (in) Volume (gal) e
A 18 400.32 - I *-APpra:od Jninls •n n
',@zzn A::VrCYec GIP•-Jnam
B 2.0 44.48 Liquid C,....
D2plh -Force Main c,cdl
ter'
[C] 6 133.44 Filter'
Alarm II I "Install and maintain pursuant
D 10 222.40 n @~- b to manufacturer's instructions.
c PUMP-OFF
*Purnp Tank Liquid Level 36 in pjmp @oy ELEVATION = 82'71 ft
= II
= in INSIDE BOTTOM
Force Main Diameter 2
alnr:. ELEVATION = 8188 ft
3" AFp/o•.'ad GuJC r,y t.lalc-ul Gu^etll" ar<
Farce Main Length = 180 ft
16.81
Force Main Void Volume = 29'34 gal
+ Min. Supply (lead = NA It
[C] Total Dose _Volume (TDV) = 149.34 gal./dose + FM Friction Loss = 1.66 ft
- I5X total lateral void vok.tne = I DV < 0.2X dostgr 9cwj
+ Juice nlaw 01an'Lack vuluriel + Fitting Loss` = 0+5 ft X
`rp„n heuJ. C Jl r lw less.
MIN. PUMP DISCHARGE RATE = 20 gpni = TOTAL DYNAMIC HEAD = 18.96 ft
PUMP TANK: SEPTIC TANK(S):
Volume = 800 gal Total Volume = 1200 gal
Manufacturer: Wieser Concrete Manufacturer( s): Wieser Concrete
Pump Manufacturer: Gould Zoeller
WE0311 L 152 Install approved force main filter pursuant to
Pump Model manufacturer's instructions.
Controls.Alarm Manufacturer. SJE Rhombus Filter Manufacturer. SIM/TECH
Controls/Alarm Model: 1036378 Filler Model: STF-100
Float switches containing mercury are prohibited.
Page 5
1 0 1 AL DYNAMIC ! iEA ~+F _ov'1
~UL1P PE4FOFh!r•PICE C'..RVF PFR MINUTE
HOOF: 151 r t y2r 5`s EFFLUEN 1 AND DE4fATERING
5:-
14
41 -t,
MODEL 151 152 153
a, _ > l - -
-~I I Icr xitt, t7.11 lily: 1: i Gel LNn
5D 1f9 231 !1 291
IC 'Si a5 '.2i 61 211 73 Hp/....
I
in 2D1 6•. 231
. 4 , _ 38 '4a
L. 2n 6' >5 11[ 44 161 52 _ !s
, 25 t~ ~i 91 11 124 aT 1$9
1 33
z _v-
35 10! - 7t 85
c - eD - 42
2.2
10
i'1n1 a 11 [ri 44nr-
otlNN] InR :
Model 151 Models 1521153
uttx. < -a - 1
LUI V_r MINJif
CIaSC"A r 1 ~ ~ r
CONSULT FACTOR' FOP, 314
t ~ +
SPECIAL APf'.JC
311
• Timed dosing panels availabe - -
• Electncal aL•omaecrs, for dupex systems. are available and 1I air
supplied v, th an alarm
• variable eve cort•cl svrtcncs are avallaule for conYoll'ng ,
s:'lglc phase s)'stels
• Do.ltle piggyback variable level fcal svatches are available
forve'iable evel long and short cycle wrhn,s
• Sealed Qslk Box available for outdoc' as:allafors - See wi" e
F1,11423
• Over 12O'F f54°C; sbecial quormon recm'ed r ; -1^''l °
1 n i- 1 f 81117 1
1$11$21153 MOMS Comrol Sel--Ga1
~NOdN voile-ph Made _ Ampf Simplex Dudex
hl 1 11, 1 L1 Jl I ''rS
nN151 I1h I 4Lh~ oC Ictilc~ '3P
I'15 7.U ![0 32 1 J .5
u11y 12 L1 - A,to '2 I- ncuNr 2 r.: "Easy assembly"
NI. 11, Vo'1 ^5 1 2rr5
hr1571 it ra~jw o, ".3 In^.b1M tt
1:e .,3 p rr -uCK.t
rl is, - 1.01 1) nti .1 d
s.. 1 .cn 1 3 ill 3r'`
P
`l 5- yam- ton o 1 t J J 1
yf 1 s _ 1 A.m. o f:- n wol tor!
at 3 1 23: 1 ton ? 1 2" 3- L _
FF _ + 230 1 Aulc Irct"Cdf r3 -1v
i NI°. II- FU AI _
1. Single pggyba:k va'OCIe level foal switch or double piggyback variable x.ol Reduces peterlilal clogging by c l
float sw@ch. Refer Ic Hil i Replaces rocks or backs urJei the Dump
2. See rrdl3712 Mr conect mecel of HHJ, al A„emalor _-Pak. Made of durable, norr„orroslve AB3
3. Variaoe leve, control sw,im l(-0143 used as a controo aCtivator. specify dupex Hals:s pimp 2' of bottom of basin
t3y of (4t float system Frnvidrs the ability to raise make by adding sections of 1
or 2' PVC piping
A CAUTION 1 Attacks securely Ie Dump
A,coommotlateS sump, ceNaterlnq and rflP.JCnt app lcations
NOTE: Make sure float is free from obstruction.
For unusual conditions a reserve safety facto• is enyineeied into the design of every Zoeller pump.
Copynghl 2010 Zoeller Go All nghb reianwo.
Page 7
PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS
FILTER
I~?~Ie any Uii"; ulii e8Rk V9'r-i?9(1 UtT, _.,S4 ICda
Ii:Ci14.\t: a'I'i]
INSTALLATION:
When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with
a smaller discharge port maybe adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be
added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the
outlet end (the end closest to the cap & on the side of the filter) Always install the filters in a position where they can be
easily serviced. "Always use caution when starting threads to avoid cross threading". Plumb force main into the 2" sch 80
PVC union. "We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring
'
or sealing surface". For Lest f,,-ii i )::a if a rl _ch r - i ~ii~ ~ila on L L ,I o.l~l. t.,`
SERVICE:
Service of filter screen is dependent on usage as every system is unique, For most residential systems we recommend
inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we
recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service
interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for
any damage or corrosion and replace if necessary. If our STF 101 service alarm switch has been installed and adjusted
property it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic
tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600
micron. 150-190 micron, and 100 micron) Check your local health department for septic system servicing recommendations.
If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need
for service. If system is equipped with a ,pump on light" that stays on longer than normal, this also may indicate a need to
service filter.
To service filter screen, unscrew the 4` cap. Pull filter screen from canister and wash out thoroughly in appropriate
location with proper protection In some cases an additional filter screen allows quicker service allowing the dirty filter to be
washed later at the shop Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warn area
or pour warn water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature
and removing the cap will riot be a problem.
If the systern is equipped with our Service Alarm Switch. the filter screen does not need service until the Service Alarm
Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion
NOTE The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through
the filter
SERVICE ALARM SWITCH
1 he alarm switch is available in three pressure ranges, low head, medium head. and high head. Installation is simple, on
SIM/TECH FILTER systems remove Y. plug from base of filter chamber and connect tube fitting. Next. run the tube up into
the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap
provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water
alarm.
Pressure adjustment is made by removing the end plug, and inserting the 7/32 allen Clockwise increases pressure. One
turn equals approximately 3 PSI The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable
within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed
the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm
switch is working correctly.
"""TRY OUR LIDiSCREEN REMOVAL WRENCH Our wrench holds filter lid firmly and hooks screen for easy removal and
installation. Made of PVC plastic.
WARRANTY
Ali products are warranted against defects in material and worKmanship for a period of two years from the date of purchase.
In no event shall GAG SIMiTECH FILTER. INC be liable for any consequential damages or any labor. material. freight or
expenses required to replace correct or reinstall the product GAG SIMITECH FILTER. INC 's liability is limited to repair or
replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to
misuse or abuse. Except as staled herein, there are no warranties expressed or implied. including the warranty of
merchantability or warranty of fitness for a specific purpose EFFECTIVE September 13. 2005
Page 8
Wiscubsin Department of Industry, PRIVATE SEWAGE SYSTEM ounty-
I.aboranllNumanRelabons INSPECTION REPORT ST. CROIX
,Safety and Buildings Division
(ATTACH TO PERMIT) sanitary permit NO
GENERAL INFORMATION 284192
Permit Holder's Name: ❑ City C Vi age • Town0 State Plan ID No.:
NEWHOUSE, KEVIN/CONNER, SUE SOMERSET
C . Elev : I insp BM E ev.: BM Descnption: Parcel Tax No
!C~ i`JU i
TANK INFORMATION ELEVATION DATA 1,30
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Oozing y uo K~: -
Aeration Bldg. Sewer Y.), 6 2'
Holding St/Ht Inlet
TANK SETBACK INFORMATION St If Ht Outlet
TANKTO P/L WELL BLDG. Vent to ROAD Dt Inlet Q- $/..7V
Air lntdxe
Septic Irp' NA Dt Bottom X3• £3_cl
Dosing' -/n -tom i7, NA Header/Man. / -d' '
Aeration NA Disl Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer f Demand
Model Number bk-031( GS GPM
_ i
TDH Lift Friction 5 stem TDH155`7 Ft
Forcer ain length c~(~• Dia. j Di,; To Well SOIL ABSORPTION SYSTEM
BED/TRENCH Width length iV No. Ovrenches~ PIT U'ts 'nside Dla. Liquic Depth
E I / I -
LEACHING Manu ac-,urer.
SETBACK SYSTEM TO PIL BLDG WELL LAKElSTREAM
INFORMATION Type-.. D, , p f) CHAMBER Mo a Number.
System. e"r OR UNIT
DISTRIBUTION SYSTEM
slender! Mani fold DsUibuDon Pipes xlloleSrze Holespacing (Vent To Atintae
Lengtri Dia. Length - Da Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of Ir xx Seeded: Sodded xx Mulched
Bed: trench Center Bed: Trento Edges 'npuni -F1 Yes n No ❑ es ❑ Nn
COMMENTS: (Include code discrepancies, persons present, etc.)
hOCATION: SOMERSET.14.30.20W, SE, NE, OAK RIDGE LANE ,
(!l!P/ Li.t ✓~.C lira., 6 ll 1~..11~Cn1
Plan revision required? ❑ Yes) [0 No Z 6
Use other side for additional information
SOD 6710(R 0"1) Date mspektor's Signature Celt No
S
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS
SUBDIVISION / CS 'M* & A":2 LOT
SECTION_T._N-R-.~' W, Town of_` r f
ST. CR01X COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
i
I
INDICATE NORTH A ROW
Provide setback and elevation information on reverse of this orm.
Provide 2 dimensions to center of septic tank manhole covir.
Page 1J
BENCHMARK:
i
ALTERNATE BM:
SEPTIC TANKPUMP CHAMBER / HOLDING TANK INFORMATION
i
Manufacturer: __,_~Gr Li/quid Capacity:
Setback from: well House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location_
/ SOIL ABSORPTION SYSTEM
Width; Length_ ;y Number of trenches _
Distance & Direction too/ nearest prop. line: Setback from: wel1:_ House Other
ELEVATIONS
Building Sewer ST 7nlet:~sO Y ST outlet:
PC in l et PC bottom__Pump Off _
Header/Manifold Bottom of system
Existing Grade_ 1Z,1 Q _ Final grade__
DATE: OF I NSTALLATIOI -fL-
PLUMBER ON JOB:
LICENSE. NUMBER:
INSPECTOR:
3/93:jt
Page 1'_
PAGE 4OF4
In-ground Dosed-Gravity Management Plan
IMPORTANT:
The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance
pursuant to requirements of SPS 382-384. Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this
system shall be considered a human health hazard if not maintained in accordance with this approved management
plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3j, Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 600 gpd; BOD5 220 mgL-'; TSS 150 mgL"; FOG !5 30 mgL-'
Inspection Checklist INSPECT EVERY 3 YEARS
type of use
age of system
nuisance factors (i.e. odors. user complaints, etc.)
mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
material fatigue (i.e., leaks, breaks, corrosion, otc.)
solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution/ drop boxes)
neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
extent of ponding in distribution cell prior to dosing
dosing irregularities - if applicable (i.e.. pump re-cycling, float switch settings, etc.)
electrical components - it applicable (i.e.. wiring. connections, switches, controls, timers, alarms, etc.)
distribution lateral or lateral onfice plugging (measure lateral distal pressure - compare to design specification)
surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
Septic and dose tank(s) shall be pumped by a certified septage servicing ope,ator licensed under s. 281.48 Wis.
Slats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer s specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company. John Schmitt Phone: 715-760-0486
Loral government unit: St. Croix County Community Developement Phone: 715-386-4680
Local government unit address: 1101 Carmichael Road, Hudson, Wl zip 54016
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1). Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shalt comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
f-r 1
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
l I' St. Croix County
OWNER/BUYER kEtj► At(C C-a 6- CUA~/d~)&P-- -
MAILING ADDRESS l k
A), L lC~ L / R ~l is Nf / 3~~I s ; . P/~GC L
PROPERTY ADDRESS-
(location of sep rc system) Please obtain from the I
CITY/STATE LcT-Z n I
PROPERTYLOCATIONS& 1/4, AIE 1/4, Section J T 30 N-R_o?L W
TOWN OF :I rU~ ' 1L,L~A~t~^T ST. CROIX COUNTY, WI
SUBDIVISION (7CY,(4) Y CS1 (S LOT NUMBER e~
CERTEFIEDSURVEYMAP VOLUME. PAGE ,LOTNUMBER
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, if needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scurn.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, heroin, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: e,
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
-aa
- - i • 589"41 'ao w -373-44' I
LOT I 1; , j
mb~hf CU~t j~ r r LOT I I
LO
yck? c 1, Vol ga a ~y \
X032
oq s e^ I ~o
8 GUI i
\ IJ
10 I"
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LOT
J ' Oy. I I ~ N
lOl .f.l, , I , N
r r m
$I LOT 9
! ~ low u
4 LOT 4 , ~ ~ ~ ~,~'~1 -Q I
N.. i/• 1. a))~ I
• SIP '1) / t• ,
LOT 8
P
LOT 5
H I 1 v•
,VrX `i ,t o atd° aoa I
a t u 5~ I
IU vsvoa..r[
m Saa 0a• 1 Va.
8 1. ''lc 1 LOT 7
N
y ~ 1 1 ~ I E I lu Kw•.• u PI
$ LOT 8~.. / 11 ~~4~ N
.N • I I ~ ~ a
A A;
. P /1 lE / r
t '`-ter-q 1.!•~ •/~V i 1
N89'48'13'E •4 -
244.'A' se
F.3~t IL
YAscomn Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3
Labor and Human Retabonc
Division of Safety & Buildings in accord with ILHR 83.05. VV*~hdm'. Code ceJn-v
4
St. Croix _
Attach complete site plan on paper not less than 8 112 x 11 inches in size1~n must inefude, but PARCEL I-D. A
not limited to vertical and horizontal reference point (BM), direction and o1'FjoPa. scale or
dimensioned, north arrow, and location and distance to nearest road. 1" - 03 2=2096-ZQ--
FIEVEWEDBY DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI
PROPERTY OWNER ^0PERTY LOCATION - - -
..OT SF 1!6 VF 1AS 14 T 30 N .R 20 Riot) W
Leroy Urhananer
PROPERTY OWNERS MAILING ADDRESS _ I t CK A SJBD. NAME OR CSN #
1501 Scout C~ Rd._ 2--:, _1BLO na Green Acre Count- Estates
CITY,STATE ZIP CODE PHONENJM9ER ❑CITY 0VC'.!(6E *fO'WN ~EARcSTROAD
Houlton, WI. 54082 915)549-6497 Somerset Oak Ride Ln.
1)4 New Construction Use V J Residential ! Numbe, of bedrooms _ 4 ( j Addition to existing building
I J Replacement J J Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate .7 - bed. gpd'ry2 .8 -trench, gpd11 2
dtft2
- trench. 9P
Absorption area required 858. bed, h2 750 trench, ry2 Maximum design loading rate .7 _ -bed,9ptftd2,8
-
Recommended infiltration surface elevation(s) 98.60 "14x36 bed __ry (as referred to site plan benchmark)
-
Additional design/ site considerations alt. site e1.-100.5 - -
Parent material outwash -Flood plan elevation. it applicable na _ ft
S =Suitable fa system CQ\VF1 T!CNAL NOUND IN-GRC.\D FRESSJRE AT GRADE SYSTEM IN FILL HO.DING TANK
r'U kls ou ®s CJ ®s ❑L ps ❑u ❑s pu
U =Unsuitable tar s stem 1k7 S
SOIL DESCRIPTION REPORT
Color Mottles D/ft
Boring # Horizon Depth Dominant Texture Structure ~Corsistence.Bart~ry Roots GPBed ,
i . Sz. Sh.
in. Munsell Quu. Sz. Cont. Color Gr
r ] 0-5- '-0yr2/2 none 1 2msbk ~rnfr cs 1M +_5 .6
1 2 5-17 10yr4/4 none ~scl ~ 2csbk mfr gw if 4 .5
{ ml na na 7 8
Ground 3 r17-8417-5yr4/6 none ms Osg
~ev _ - 1
101.9 -i-
Depth to
L- - . - - -1- -
factor
84-1
Remarks:
Boring # 1 0-6 10yr2/2 none L 2mgr mfr gw lm .5 _6
41
if .4 .5
2 2 - 6 36 '10yr4/4 none sicl 2msbk mfi 9w
1.1
3 36- 10yr4/one s Osg ml na na 7 8
,1_ n
Ground
T -
lOl.tp.
Depth to
limiting -
factor
+84
Remarks:
CST Namc:--Plcaw Prim Gary L. Steel Phonc: 715-246-6200
Address: 1554 2 Ave. New Richidond. WI 54017
Sixnamre: Date 10 CST Number: mO21.99
-28-96
Leroy Urhammer Page 2
pAOPERfNOWNER- SOIL DESCRIPTION REPORT
PARCELI.D.t_032-2096_20 L GPDfft
ff~8 inant Color Mottles Texture I Structure Consistence ga„dey Roots Bed Itmrdh
Borin # Gr. Sz. Sh.
9 Munsell color
sit 2rrsbk mfr- ~cs 2f 5 j.6
if 2 .3
r2/2 none a 3 sicl sbk _
mfi 9w~
r4/4 none na .7 I none
ms Osg ml nayr4/4 t elev.
Ground
102.9 ft. -
Depth to
limiting
b+96 - - i
-i- -
marks:_------ - - - - - 7L--T .5 .6
Boring # IO_6 ~10yr2/2 none ~sil 2msbk mfr +cs 20 IOyr4/4
fr gw 5 -6
none Isil bk
RF
4
} - ~ SCl Ilsbk mfi gw if .2 .3
20-31 5yr4/4 none 7 8
Ground ms Osg m1 Ina
elev rta
1-89 Syr 4/4 none
- - - - - - _ I
104.9 ft - - ~ - - ~ I 11I- -
Depth to - - L - l - - - - -
limitlng - L - - - - - - - i -
factor - 1
±89"
Remarks:. - - - - - - - - - - - - - - - - - -
g # Isil 2msbk mfr gw 2m 5 .6
Borin 1 b-6 10yr2/2 none -T rgw if
. + sil ~2msbk mfr Ig .5 .6
2 -6_20 10yr4/9 none
- ms- O sg ml -na na -
3 p_84 1.5yr4/4 none - - I
Ground
10941t
T T
Depth to T-"-~ - - - I ~ - r
h
g -1 - - - - - - - I f
fac
+84"
Remarks:. - - - - - - - - - - - - -
Boring # none sil ~ 2msbk mfr- I gw- 2f .5 _6
1 b-6 Oyr2/2
sil ~lfpl mfr Igw if np 3
s"
6 2i-32 0yr4/4 none
±na .2 .3
none sic, cl lcsb)c 1 mfi 9w - -
3 p2-36Oyrq/4 _
Ground - - ms Osg ml na na 7 .8
elev. 4 6-82 7.5yr4/6 none
103.5 it -Y- i 1-~--
Depth to - -1 - - - - I - -
iimidng I I - - - - i--
*tDr
+8211
Remarks' - - - - -
S8D-$330(R.05r92)
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Leroy Urhamner New Richmond, WI 54017
MPRSW-3254 SEgNEa S14-T30N-R20W (715) 246-6200
town of Somerset
lot #2-Green Acre country Estates
N -A
1"=40'
Eft. = top of tel. ped mounting bracket n el. 100'
~t u
40 -
e I Z
gnu k
s~
v o V
I~
iI
6
r
c N~ ycx
Gary L. steel
10-28-96