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HomeMy WebLinkAbout040-1059-95-000 sin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix and Building Division Sanitary Permit No: INSPECTION REPORT 605059 ENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: ersonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Roger Jr. & Linda Hartwich TOWN OF TROY 040-1059-95-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: J 15.28.19.2271 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER, CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Y Holding St/Ht Inlet " TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent,to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing, Header/Man. ' Aeration Dist. Pipe Holding Bot. System s } Final Grade vas PUMPISIPHON INFORMATION Manufacturer Demand St Cover , 4<.r GPM Model Number ~a TDH Lift, Friction Loss. System Head TDH Forcemain Length Dia. Dist. to Well F; SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS - SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR - { Type,Of System: UNIT Model Number, ✓ ' G° DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s)- Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Over xx Depth xx Mulched of Depth Over Depth xx Seeded/Sodded Bed/Trench Center Bed/Trench Edges Topsoil 11 Yes ❑ No n, Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 688 GLOVER RD / t7 .5 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = r ~vt Plan revision Required? E] Yes No i, Use other side for additional information. - - ~J Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) StIN o► - I Sg ' ~ Itr~ostry s« L);vis3os c~xr ~ e R~ X 1400 E'Wohiogtnn Awe P.O. Box 7162 SaafWY NaMha (to be 5$ed in by Co.) ~N ; # JUN ~ g 2018 • wl gym- 6a L ShRe "ftarlesQita Nmeba coda akmiseiosrbftbis fam to Wcapp eta In amorttsti c **M-5 fi ma f MW.owaed p0WiS are sr&Wmcd to Project Address (if diS,"* then madiog adds s) raquaed liar ttfali~nwtg a sanitary permit. tTote: Appticat;on the Deportment of Safety asd Pi of nand Savioea Personal mfaraaabm YM r mv* may be in accaedes+ae avdb the Per Laws 1S. t o, State. L Lliee~&a rbm Prink An ittintaastie~t ~ property ()tuner's Name i I N 'DA It J, M A iT W l C p e/01 I t 1'-9~- 1 pMperty owner's Mailing AddtM Property Lot~aon I S s ~f d a~( 1 t'~LOV~14 ROD G0VL to zip code SC yti NE -A, Sactioa P5 Pisete Nrriober _ CnY, stye 'K, VF.. ,Af1r5, LJS DZz '715-4 ~i-~j43L T ~ it x- a~ IL TM of lwidias (deck am that tsppty) Ld # 1 SubdivisffiaName a 2 Family Dwelling -Ntaaber of Badraoeat rr ` BSodc # © public Coounaeial - Describe Use . ❑ city of CSM Nua~ ❑ villw of ❑ State Owncd- Daamu Else P(Town of ^ 1 r ~y TEL Type of reDtsstt: (c csatp+sta Ole B if appAmbie) A. 0 New S Replacement Systeert ~ Tank RepLeeanent Unip 0 (l9ter Modifialian to Rdietirtg syalam (VOWN) l.isr.1'reviouD Piautit l+knnbu ee~ti Date towed B. O Pwmk ttetier►e! © paatit Revoion ChMp of Plumber ❑ p0M* Trtr *r to New Before Evitadon owner %G w IY. Ty" of POWYS Cttceic art it<at f Non-Yresariaed kFCAOtmd 0 p,=,,,d Indioad E3 At-rr 0 h a xod > 24 vi, of suite * sod [I Idrnr<d < 24 in of sriabie god ) O lWdmS TA& D Odow Dispersal Campooens (oq*- ❑ Devitx (Vqydbpdn V. AMPSWE Ages L>ls>Iln: Arca~rw~d (+rti°" n Requited (sO Disparsal J 1 t=gn Flow ( ) Design Soil Appikstioa D*enal Aro qz. k6 VL Tank tats CIWAY in Tour N of C,elloss Gallons Unto .t.' Now Taaln ~„r;Dbr~cs ~ ~ iv aJ l JY1~ ii. 1>» x Dent cWM*a sd t dNI ~S~/Z VII. Stet taaead- t, tic snow reap..~ty tar * at Not rowrs,r v..n am awDtDd PltestbQ's rlama (PtitrZ) e~meber's Sigrtet+sc NVIMPRS Nor W Miasma Phone Wunbcr e T5 -A. 1W MANX 7-7-7q k, 9 715-, Plumber's Ad&= (Shaer, City State, Zap Code) WipIz 7Z0-A vema yE~ - a us LAa VIII. rtaust Uu !sewing Paait Fee note Si Wkm 4n Rcavm far S~ c i lrr Z Boon (,r i. ' tar , atYtt:cnz infer grid "t:ra~ cell must ,sN ~~+iiQ,p~ ~ rub+~ ~nt~~ ~ j uperqW.3 qWftnt plan P''h 60cat by ulwnbe!. C. A ~ . 2 Aknn t fk M MAIL M M rte it e as ~Mf 1~)i011b11F tx>K!M / ttdiauuAacl. Aabdt to emposevloss fir dis sir sea Dubowr dia Gami MMf Ds P@WBrnoloo are a Ur:11 bwasiDubs SRD43" (I.ON/14) PAGE 1 OF 5 In-Ground Dosed-Gravity Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10705-P (N.01101, R. 10/12) Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross-Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve P®WTS Application for Review Pump Specs Soil Evaluation Report & Site Map Filter Specs Tank Specs Infiltrator Specs Project Name / Description Owner Name(s): 9m, eK Flit. LiAoA W,-_PAKTtJfC'ffPhone: 76- - yZb- 0 q 32- Owner Address: &,,Iv t~vE~ 2D. Ti via VAL1.s, zip: 5,10z2- Project Address: ( Cr1AnF_ I Govt. Lot: 5E.114 of Ng .1/4, Section, T OK N-R Iq E Qor WK I Township: TACY County: 5T Project Parcel ID /psq- qS- QDy Designer Information Designer Name: Mary Jo Huppert Phone: 715 -426 -1775 Designer Address: 28497 King Arthur's Court, Danbury, WI Zip: 54830 hollisterdesi9n@outlbok.com & E-mail: i • , ~~~s!~ License Number: 1859-007 010 1 i ~ MARY Jo • Remarks; D 5 t,~n-~r><ert cc F71 LT~ h1URPtRT t7 a • D 1859 t % RIVER FALLS I.~ yJI y+a SIG ~rF~'~~~BJ/l Ffff f fl ttlltRtl`~ zo Signature: Date: &-K -r O ' w at signature requi 6 each subMtW oopy. i Plot Plan Page, z of 6' gmw, , Llxl W• HftRTi,Jtc{~ r= 40 FT. PROPERTY OWNER: iemmpc where noted) Lgpf Desuiption_ 4 P&- to TVZ7 e#TETO 5E / of ~ft8 E& S /5E baciciioe t Z8A1._ R"u1. 1" ~ OF TRot CRof r dcLtum W fSCf~S IJ~ 0. s0 AeRE OW-051-95-00D af a0YER ROAD ~y North I I fi f 01 rMrK a ~ ~ ~ o NEO N 9t~Y n ~ Lk gE k~~ 9 y.47 gnn.~ Top or 7FZ*,91oN& PEOM"'L 3L zo 'AgnME C.RO(A"v CL ~l0JEA •QOA}a tc DSO' -~a_.., - Sit location: yh GLOVER X s~rE BCD. 'Ef K' " LINE* tffl 9FW)Gtl PAGE 3 OF 5 it $ 4 o y a m e~' o p Q rwn $ Q E cS (1) -68 w C ~z w_ Q I Ti Il Q per. f f 1' E m if 11 LIJ 0 4) 4:! go co w aN jL) 7 Ism' w L) vU)Z II o OW c au~~ rn lh 3 a N „ o I 0 0 U -sio ~ a 1 it I ~ i~9 u t~ r ~ _ o I I ~ Z: ze t!? at I i o q p off a 1 ~A lD u v a n a ~W~ 0 E 4 w w ~ n Z U U ~ = a Z n CL n J V Li w m m U) Z QZCO + Ua2 }a vU tic~+ PAGE S0F5 In-ground Dosed-Gravity Management Plan IMPat2TANT- The owner of this in-ground dosed-gravity system snail be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Amin. Code. Pursuant to SPS 383.52 (2). Wisc. Agin. Code, this system shall be considered a human health hazard # not maintalned In accordance with this moved management plan. Furllrerrnor3e, all hspeclion and rnaintenance activities shall be pertomted by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Adm. Code. Maximten Ursa! Area 4pwadm Limits: Design glow - , *-It g pd; BODs S 220 mpl." ; TSS S 155 nQO; F06S 34 mom'' ki§1229ft Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complainis, etc.) C3 mechanical malfunc&m (i.e., pumps, valves, avriEohas, flouts, et) o material fatigue (i.e., leaks, breaks, corrosion, seal.) o solids volume in arrow oblc heabnent tik(e) and any &MbWm appurwww*s) (i.e., distribution / drop boxes) o na0eet or improper use (i.e., exceeding design cepedfe% prohibited activities, etc.) o extent of ponding in man cell prior to dosing o dosing irreguliwities - if applicable (La., pump re-cydWXL float switch settings, etc.) o electrical components - if applicable (i.e., wiring. connections, switches, controls, timers, alarms, ek.) o diaMbution lateral or lateral orifice plugging (measure lateral distai pressure - compare to design specification) o surface discharw ct effluent or sewage back-up Into structure served IMftmance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o W¢ OM W" shall be pumped by a cectired septage servicing operator licensed under s. 281.48 Wis State, when the volume of solids in the tank(s) exceeds one4hird (113) the lkWW volume of the gook(s) or as r®quired by local ordnance. Disposal of contents shall be pursuant fie NR 113. Wisc. Admin. Code. o EMuent filtyrfsl smell be Inspected every 3 years and shall be deaned when neeaceary to remove any accumulated solids according to manufacturer's specilications. A servicing period will always be greater than 12 months. Sysft n maintenance reports shall be submitted to the proper local govemmettt unit in accordance with SPS 983.53 Wisc. Admin. Coda. Report any *onrrponent faire or malfuncdon to: Name of individual or company _TWO* #_S ""NG Phone: Local goverrnmealt urtit: kOf x dOtta~ ITV DCFWLLW= _ -7~~; ~,-y6c~'l1 olU ZIP: Local government unit address: Any dekw ve part of this system shall be repaired, replaced. or removed pursuaol to SPS 383.51 (1), Wisc. Adman. Code. Repair or replacement of fwOed or malfurnctionirng components shall comply wiih SPS 383, Wisc. Admin. Code. No product for demic W or physical restoration of the POWTS may be used yniess approved by the department in accordance with SPS 384, Wisc. Admin. Code. Condnaencv Plan In the event that any failed treabnant component of this POWTS cannot be repaired. it"be replaced pumuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dkpersal component may be abandoned and replaced by a code-complying d1wroal component In a pre-detenrbned area of suitable soils. Svstaom Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. or>~r SAFETY AND BUILDINGS DIVISION a Plumbing Product Review ooh` P.O. Box 2658 {rs ae; Madison, Wisconsin 53701-2658 p g TTY: Contact Through Relay Scott walker, Governor ~ sslci A Dave Ross, Secretary October 11, 2013 INFILTRATOR SYSTEMS INC. GOVERNMENT AFFAIRS DEPARTMENT 4 BUSINESS PARK RD PO BOX 768 OLD SAYBROOK CT 06475 Re: Description: LEACHING SYSTEM, POLYSTYRENE AGGREGATE Manufacturer: INFILTRATOR SYSTEMS INC. Product Name: EZFLOW DRAINAGE SYSTEMS Model Number(s): EZ1203H (3-12" bundles with pipe in center bundle in 5 ft. or 10 ft. length). EZf 203HP (3-12" bundles with pipe in each bundle in 5 ft. or 10 ft. length). EZ1201P (1-12" bundle with pipe in 5 ft. or 10 ft. lengths), EZ1201 A (1-12" bundle containing aggregate only). EZ0701A (1-7" bundle containing polystyrene aggregate only in 5 ft. or 10 ft. lengths). EZ1203H-GEO (1-12" bundle with non-woven geotextile fabric installed at 180 degrees on the upper side of the bundle, pipe in 5 ft. or 10 ft. lengths). (EISA of EZ1203 H, EZ1203H-GEO or EZ1203HP in 5 ft. lengths = 25.0 sq. ft./product, EISA of EZ1203 H; EZ1203H-GEO; EZ1203HP in 10 ft. lengths = 50.0 sq. ft./product, Width = 36 inches, Height = 12 inches, Max. depth of bury = 8 ft.). Product File No: 20130145 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes- The Department hereby issues an alternate approval to s. SPS 383.44(4)(a)l.a.; 384.30(6)(k) based on the Wisconsin Statutes and the Wisconsin Administrative Code. This alternate approval is valid until the end of October 2018. This altemate approval supersedes the approval issued on 4/10/2012 under product file number 20120139. This alternate approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20120139. This alternate approval is contingent upon compliance with the following stipulation(s): • This product must be installed in accordance with the manufacturer's printed instructions, product approval, and plan approval. If there is a conflict between the manufacturer's instructions and the product approval and/or plan approval, the product approval and/or plan approval will take precedence. • When this product is installed in a dispersal cell that is sized based on the EISA rating stated in the regarding block of the product approval letter, this product must receive wastewater having a BOD5 value less than or equal to 220 mg/L, a TSS value less than or equal to 150 mg/L and a FOG value less than or equal to 30 mg/L on a monthly average. • When this product is installed in a dispersal cell that is sized based on the EISA rating stated in the regarding block of the product approval letter, this product must be installed in individual excavations that create a dispersal cell that is horizontally separated from other dispersal cells in other excavations by at least 3 feet. The 3-foot measurement is measured between the closest outside edges of the product listed in the regarding block of the product approval letter. SBD-10564-E (N.10/97) File Ref: 13014502.DOG INFILTRATOR SYSTEMS INC Page 2 October 11, 2013 Product File No: 20130145 • When this product is installed in a dispersal cell that is sized based on the EISA rating stated in the regarding block of the product approval letter, this product must be installed in a dispersal system, which has the top of the dispersal cell at or below original grade of insitu soil- • This product must have geotextile fabric that meets requirements of s. SPS 384.30 (6) (g), Wis. Adm. Code, installed directly on top of the product and extending down along the sides of the product to a point at least 6 inches from the bottom of the product. • This product may be installed in dispersal cells in place of stone aggregate specified in approved POWTS Component Manuals or Department approved systems. When the distribution call is not sized based on the EISA rating, the dispersal cell area must be equal to or greater than the area required for stone aggregate- • This product may be installed at a depth that exceeds the maximum depth stated in the regarding block of this approval, when the manufacturer provides in writing that the proposed installation depth is acceptable for the individual installation. • The following stipulations apply only to the EZ1203H-GEO, 1-12 in. and 3-12 in. bundles with non-woven geotextile fabric installed at 180 degrees on the upper side of the bundle, pipe in 5 ft. or 10 ft. lengths: 1. When installing EZ1203H-GEO in 5 ft. or 10 ft. lengths, the product must be installed with the geotextile fabric facing upward. 2. When installing the 3-12 in, bundles, trenches must be excavated no wider than 42 in_, with a 36 to 401n. trench width preferred. (Although EZ4203H-GEO is not, to date, recognized in the EZFLOW Mound Component Manual.) 3. Geotextile fabric meeting the requirements of s. SPS 384.30 (6) (g), installed directly on top of the product and extending down along the sides of the product to a point at least 6 inches from the bottom of the product. When installing model EZ1203H-GEO, the fabric width shall be at least 5 ft. wide. 4. When installing the 3-12 in. bundles, bands used in transport must remain intact during installation. 5. Pipe connectors are necessary for the transition between differing pipe materials (e.g., polyethylene corrugated piping and PVC pipe), meetings. SPS 384.40, and must be used to assure piping does not separate during construction and backfilling. (Example: Include pipe connector such as AC-VCOUPLER-4 for both Schedule 40 and 3034 PVC 4 in. pipe.) • For gravity distribution of wastewater, the distribution cell piping shall meet the following conditions: 1. The cell units (bundles) shall be 12 inches in diameter +l- 1 inch. 2. The cell units (bundles) shall be manufactured in 5 and 10-foot length sections, +l- 2 inches. 3. The 4-inch pipe within the bundle shall be certified as complying with ASTM F 405, Standard Specifications for Corrugated Polyethylene (PE) Tubing and fittings. 4. The 4-inch pipe shall be offset from the center towards the top of the bundle whereby 5 to 6 inches of aggregate is located between the bottom of the pipe and the bottom of the bundle, and 2 inches of aggregate is located between the top of the pipe and the top of the bundle. 5. The 4-inch pipe shall be connected by an internal coupling device to allow continuous connection from one bundle section to the next. 6. The end-to-end gap distance between pipe containing bundle sections, as measured from the straps fixing the netting to the pipe or from the face edges of aggregate on adjoining bundles, shall be no greater than 3 inches. 7. The header or manifold pipe connected to the 4-inch pipe within the bundle shall be at least 6 inches above i the infiltrative surface of the distribution cell, or the 4-inch pipe within the bundle shall be connected to the header or manifold pipe using an adapter that raises the invert to at least 6 inches above the infiltrative surface. • The EISA rating reduction maybe used in dispersal cells less than 36 inches In width. 1. The maximum excavation width of the dispersal cell is 42 inches for a 33 to 36 inch bundle. INFILTRATOR SYSTEMS INC Page 3 October 11, 2013 Product File No: 20130145 • Otherwise as permitted in this Alternate Approval, the stipulations of the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems (Version 2.0) October 2012, [SBC-10705-P (N. 01/01; R. 10/12)1 apply. A copy of the manufacturers' installation instructions shall be onsite and available at the time of installation. • A copy of this alternate approval shall be onsite and available at the time of installation. • Additional information is included as attachment(s) to this letter; see attachment A. In granting this alternate approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making necessary for code compliance. Nothing in this review shall relieve the manufacturer of the responsibility for designing a safe component into the built environment. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Glen A. Jones, M.S. POWTS Product Reviewer phone: (608) 267-5265 fax: (608) 267-8723 email: gien.jonesCcowi.gov STF-100 FEATURES 4 Low maintenance i o;~ Easy to Install and service + Econornicail Extends fife of drain field Improves effluent qudlity The last line of defense before the laterals Vortex:scrubbing action helps keep filter clean providing maximum maintenance Intervals + Uses a S.S. fluter screen with .062 diameter holes provides a 69.52 sq. in_ or 41 % open area which allows the fitter to pass 83.8 GPM at 1 PSI aa+ -Asstxes quality effluent with lower TSS levels, keeping pressurized systems functioning at 100% efficiency Low head Iris .5002 ft. or.21 PSI Flow we with clean screen 120.672 GPD @ 1 PSI Flaw rate with 95% plugged Screen 114;912 GPD @ 1:8 PSI 6, Job ready With 2- schedule 80 union STF-10UA2 and tailpiece attached (STF-100) II Field assemble does not include union I L ° ~ or tailpiece (STF-100A2) A Use optional filter socks to lifter smaller particles FLYM 9CAEEH. PSRFORAT® METAL - 22 GA STANCES$ STEEL TYPE So 315.4---)4 i Nnn+ noQ "Mr s 5 ' order part Hfo. STF-100 STF-100H2 t ~I I ~ I I a rsoao`Twsvuaor+ ~L GAD detall drawing wisdattle in DXF fwrnst too i ~ ? I 1W WT FOR EEi PRESSUREALAM r F RELATED PRODUCTS t ! E = STF-104-OMM page 14 30 rJ-~ 67-104-15M 9W ~ 14 STF-104714 page 14 j ST'F-701 pW 14 ! SW-101'A page 14 5~~~ i ip75 71b75 r STP-197page 14 l STF.1% page 14_ STF-FC pope 14 STF-150page 14 ALTER MLET i Pur atmFr ` U.S. Patent 1 5, 685, 452 STF-1D36page 14. r NFt Carmda Patent 2, 237.751 STF-105 page 14 PAGE Tod Free we-t39mM office 231-582-1020 Fax 231-582:7324 Emd Simbd*ftW".t>et Wbb www.9a9 -wm '-L W W t 0 ~ .1 0 cu Q ( O cu ca " LLI o Q W LLJ Z W 2: 1 w d cy- W < d mot- - CY) WF-3 < ra LL L3 L,J tJ Q w J D~ a- J Ica F--~ W OU © z w CD < LA. LA- o i= .4 ca cwis ¢ d w - , z F w 3 U~w (n x F-' Qy♦ W/ Q Q Q' w L~~ L a A F-I a U D F- L~ ►-t w 3 ry v) CL o V) ry LL- W Q CY_ J C4 LF) 0 Ln El M W i- J L~ of co M CU a~seey 95 8-~z~-oa8 ME *Nvr 03SIA3M o \ osG ')OOa N3alvw Oi AMH Sn WCA l'dfiNdW O11d3S ;anOd-is :aLvo oioa xaVnavrr 3L*f IM =anod- 31vas 3 -.ka wnvaa 31313®~~ 8ri-OSLdlM W W cl\ • r z C) J V w Gr 1yN Q Z N Q U N co N ~ to~nQ~° O F ^a V Z w C) 0 U 17O~ z< Z mV H H w w a m a W(p~ t 4 <;z J O < O pp O C) .li.. Qdr Q00 m V7 ~w CJ ^C~ O z Q Q~ V m V~i 2 4 C4 ~ LO pp~ x (A. < ~N m ~ ws FS-• y t\9 . Y O v o P14 I., -j CL CL bi P-i E -6, 6i;5 L- (n OR C4 Ld SOW rM 06 408 IL X U, O~m ~m° zd.r z~°~~ zp~ -U N 5o ~3m z Ca 0 o z z to :3 0 z a ~i W Lai W > ~cv mW a~ F- z °tn"o a a ~ a a N I N < v a a «s£ do U) F oa m «tr «L£ \N~ ~ Ltr do R' w ~ W WFW N J Q Z a' U M W N Y z M PAGE 4 OF 5 GRAVITY-DOSED SEPTIC / PUMP TANK SPECIFICATIONS 4WV WWWf4 (No Sc ) 240fte , irift crpagma 8M =W d NW 3W Anna doh Aar.. iwo.sp.gr. Vat'* Andia• mss) as neoesswy poet do SF8 =A3(8W r . ar2~ abaw E.wrrrra r~oa ftVk" Fw~nea c~.e. wr. f CAPACfTEES O 2D . 28 goin art 4 - _ . Depth (in) Voiume W* w+lbmv,twrq A x'07. 00 -*T tm Depth in B 2.0 yp, ~(o A weam" s [CI y~.o i. , IL t~} PUMP-OFF *Pump T" Liquid Level = 40 in ` --o■ ELEVATION ft ChKk a v:r" Force Main Diameter In ELEWIDE BOTTOM VATION . 00 ft It '""~"°.•i°-`e1him"m -TWA* Face Man LWO 55- Duty Wme mt+wt below iroet ins or kmdub b=A 01 aS nemoury punt to SPS 38ZW11 Xc), WAC. 3 ..Sr x 11 d&-.a 915 T V = 12. gSildoee qs0 aft ` 75.'v is' . G . D o~c 4tm ?1A <<a~c dalpn ~nw-NO oKaere~cK,rrchedc vaMe) ~ ~ Vertical LMt li• n 35 `x o0 ,rte off. 4.6 .7 7DN X157 PUMP SEPTIC IMiVSl: = Vopnne °-7~0 9d Tout Voknm a I, 001 gal M ut tuer: Lt~t Mmufacturvt{s~ Pump Mam to *xw. rc;,cu/~ E,. "MWgMved at eank * quid Pump Model: te••r~■nti•ys ControWAtsrm ManafiacuXer. wmww~ 5TE RRDA SU-5 FISar MBtr SlM - TEGtt ConbVieJAairm Modek A6 A1V-, *LR1T FttbwMaclet A100 ~,r,~ 6-/,v zolt • ! no i ! To~ Wastewater METERS FEET 40 r- s . ; - PEA 7 i - e MooEls. Ea . PE -PE3] P 1 51; a P 33 40 .50 35 - ,H 10 2 GPM 30 PE41 L i 1 Fr D r -c s d - u, = 25 R J-J T~ 1 z 20 t i -4, i 15 -4- 0 r f € t 4- 10 t- - 1 5 r- 3. E._ e I r- r t 0 0 0 10 20 30 40 50 60 T 70 GPM 80 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 PE51 Total Head Total Head (feet of water) GPM (feet of water) GPM (feeTotal t of water) G 5 52 8 61 10 67 10 42 10 57 15 59 15 29 15 46 20 50 20 16 20 33 25 39 25 0 25 16 30 26 35 g ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certif 7 that I have inspected the existing septic and/or dose tank presently serving t ollowing resid e (Street address) G ~~vlocated at: '/4. , '/4, Section , Town - , Range ~~7, Town of St. Croix County isconsiri. ' Fib Upon inspection, l certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Con-iin. 84.25, and it (they) appear(s) to be functioning propcriy. Most recent date of inspection or service / Did floe back occur from absorption system? Yes No,,C (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: Construction: Prefab Concrete Steel Other Manufacturer (if known): Age of Tank (if known): Pe it number if known) v (Licensed Plumber Si ature) (Print Name) SV 4n (Title) (License Number) hilP/MPRS (Date Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9%2008