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HomeMy WebLinkAbout038-1074-30-000 Wisconsin Department of Commerce County: St. Croix Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 605067 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Eugene & Myrtle Dupre TOWN OF STAR PRAIRIE 038-1074-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 17.31.18.3078 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ski rl-r 6ow_*e , -?&,,,x It 000 GAS- 3 1()3.06 l Cb.du Dosing Alt. M 4J Cfi.r~f Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic t01!5 H 7t6o r It Bottom Dosing Header/Man. j Aeration Dist. Pipe q Holding Bot. System Final Grade O n PUMP/SIPHON INFORMATION Manufacturer Cc? Demand St Cover l GPM Model Number g' (9-( '1 33' TDH Lift Friction Loss System Head TDH Ft -2>'5 ,O_ow Forcemain ILenih IDia. H Dist. to Well l !5o-,zb'~ SOIL ABSORPTION SYSTEM BEDITRENCH Width 71 ength No. Of Trencyles PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS p~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer~nkL\+f INFORMATION CHAMBER OR Type Of System: ' r UNIT Model Number 11,3 a✓ DISTRIBUTION SYSTEM 1 Header/Manifold Distribution ix Hole Size X Hole Spacing Vent to Air Intake Pipe(s) Length_~9 DiaL Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed Trench Edges Topsoil Yes No E] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 966 210TH AVE 1.) Alt BM Description = b`~t Svrea,>S Ow ~`^er (~pVtJr, 2.) Bldg sewer length= G - amount of cover = I Plan revision Required? ❑ Yes No Use other side for additional information. -6710 (R. 3/97) Date I pctor's Signa re Cert. No. - M1, C~~', L Savitaes Division hwildy 4M c o Ave 5T Uea i X iii ^ ' 6 2018 t 1 spy remh+ (~,>x s > Co ) ; ' v, SUN Madixe Vn 537U7-7162 erfmt Application in wcmkme wim 3R32t(ZI Wis. Adsn. Code, stbarimiou a(d is fam to the appropriw VNwmjwW unit is required prior W GbMmft a ray pemait Now Appheaum form for adj w.M d POWTS arc su*,,tj d to tS~e Dvwtmm at' Safety aed ftfmonal Services pm_, W ir*-hm Yoe provide may be cued hr Y Add►ess (if diffier,erd tfraa °i~8 act) iti aa~rdenee She Priv Law, s 15. I m L I~ttbvatatlse - tlcax Print A.B 1 ~y'tit4 tT PMMDPNCM(ty oww xmm~ ! u /Vl yy~rc~/' ftqmty OwneesMeriting Aar 43`~-- ! 7y-3a dal F*erty 17 1f, IF City, store Gevt t of `~t • -L. Zip cede ~ rfranexrmaber Ul T, sG Y., Seeboo f` p~EC LT (,L57 (eadea„O, LL Type of BwRfmg (dreek d tiff" apply) Lot # T 31 N, R !3 E r 1or2Fom4Dwelling -xtaaberof 3 ~ vmionNaaw D ItuhiirlCgmrnaecid - Dtven~e Use ~rrrc.y~ 9iock 0~ to D aty of D saM awned - Dout, tlse t Numbv © viaw of Z Ce I ) /fd- a 5 - T of St Al? u P attFcramikt ( . G.tpiele lbe s , ,ryte) A D New 3ystmn Reptaroon,erX 3yrtam Trr * Rq"eem w O, ky ❑ clever Modfieabm to Exirat$g symam (ems) B. © Permit Rmrexel D Pt atit Revisits, D tie of l C7 r+erm# Tn r;l "N PRViets Pfit ti-and DW kmM i E>ntion ow Z N0°~ Lt prized ,n cra.,d ©Atc~.ar ❑ Mnmd a h, ct awm6io s~ D Mid 2A y D Holding Tick Di pe,W Cauapaerra (certain) /L7 ~ El Dcviva( r) Y. A DOW Ffgw (gpd) Dasiga W AM' RAWa*W) DIPIW Am Ro4ua,od ( D*MW Am r G+~ sy~ FJe~son , O - Go S'(, d 6,q 70 - 9~ - VI. To" We CfiPociw in Toad *of km Cw~ Lkas rr~. Tmb ~'Sl.ln 1 s or Holdft Ta* G fem. w e~ `fD ~ F~ -r~rorz trareat- x. stK r.ae.,tg..a, .tee at roWts....,R.. ~ Plur~er's Nam EPrt Phsubear's 'rt,ua, 7~S- X79- ZgSb Addcrsts (sEraet, CaY. DS Hr S . ["tFUITT' 57q7Z Uat Approved QDi Fee +apprewp~ Permit nape ,/s sigoahae riven R.o~„ - SIC. C Deroat 7 t It~ 1. `$epl.. err , e, ten: i er ~~n'~ uNipem:u cellmust all be mrnta'rec fig PK men! plan ore naed bv N lumber. J q.. 2. ll~ tteaylnlct:ren:s rrir.nttrr tre:rG:ir.E•2 OcCe- as per 1pAoQbM ta0m / crd»ass. +rr~ ~wlea„dr•lut:Ittre~be~e SBD-6398 (R. ORN) J Plot Plan Pwe - af PROPERTY OWNER.- E~~~ ,A~,',i (-T1 -r, 11k5 40 FT. Mega! Description: 14 Gr THE A (except where noted) - I? ~ 3 , Z t i;6,f -TG = hackhoe pit r A.i North ~J~7 i f ite location: F COPY j O 1 o oz- PAGE 1 OF 5 In-Ground Dosed-Gravity Plan Index & Cover Sheet Component Manua/ Design References: Version 2.0, SBD-10705-P (N.01/01, R. 10112) 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 POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map Infiltrator Specs Warranty Deed Septic Tank Agreement Project Name / Description EUGENE & MYRTLE DUPRE Owner Name(s): (same) Phone: - - Owner Address. 966 210th Avenue, Somerset Zip. 54025 Project Address: (same) Govt. Lot: na SW _1/4 of SE-1/4, Section 17 , T 31 N-R 18 E Clor W~ Township: Star Prairie County: St. Croix Project Parcel ID 038 - 1074 - 30 - 000 Designer Information Designer Name: Mary Jo Huppert phone: 715 -426 _1775 Designer Address: 28497 King Arthur's Ct., Danbury, WI Zip: 54830 , hollisterdesi n outlook.com E-mail: 9 UEfis ~Pace Etkri\-Cd ial^appi otia'i;;tan,p. ,01 E License Number: 1859-007 ' Remarks: A HUP€- T •;b e 1 B~ 05 RIV99 FALLA P % •+r~Gtr ~~iiiNtitalt\~ Signature: Date: June 25, 2018 0 i signature required h submitted copy. Plot Plan Page 2 of PROPERTY OWNER: ECM MyrLe x 1" 40 FT. (except where noted) Legal Description: .Sint iX OF ' ~Y4 -3FC 1?` R tS i 7~i t111; ~F backhoe pit S-AAR 5 X38- lD?4'--DEG' 9b Zirr -uNtRC )~s North 1 se~ x 'r9 Js 1 i M Ga jF hr i nti8 3 ' e * P ite location: Sir_ a94 Av6e 0 ` 1 -A ~ct~K = PAGE 3 OF 5 U o Z D = J Z C = 0 w Q Q z~ E S U z a. 70 `y a tU Qw p L S?~ ` NS (~U7Z y O g v U Ei Q 2S Q m cn m < Cn a ro a ~.'.~..I v m M -EL LJ~ ~ U ~ L ~v nc f 'g- E O w f b Q O I I_~ a 1 het - ,t W Ci3 i i a LU U a ; o I _ U' .Q f I r cr CL I I b8 f o m h -0 n L: ~ v= ° I I ~ ~ n a~ rW~ U v ~ I I v J C - r-- I U CD N 0 'CE O c 47 E° U I I ft x z M fl y m m co O> I I a w W w ° I I = W@ Lu Z E t I w N o Q I I a Y_ ~ I I w o LLJ I I a Y E) Q I I ¢ ~ I I ~ o PAGE 4OF5 GRAVITY-DOSED SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 4"0 Vent Pipe >10 ft from Building Electrical must comply with 12" Min- or 2.0 ft above SPS 316 and NEC 300 Established Flood Elevation Weatherproof Extend manhole riser as nscessary- (typical) Junction Box Approved Approved Locking Manhole IMPORTANT: Vent Cap with Warning Label Attached (hrpi-l) Anchor tank(s) as necessary conduit pursuant to SPS 383.43(8)(9) a^ Min. or 2.0 ft above Established Flood Elevation (typical) Airtight Seal Finished Grade Ouick Disconnect 18" Min- CAPACITIES @ see chart gallin (typical) ter. k Depth (in) Volume (gal) q 28.0 337.0 weep Approved Joints with Hole Approved Pipe A ~ Solid Ground B 2.0 22.a onto round (typical) 61.0 -Alarm 56.0 B ❑ 8.0 -4n I (~I Pump PUMP-OFF 'Pump Tank Liquid Level = 44 In -off ELEVATION 90.67 ft .44 ° INSIDE BOTTOM Force Main Diameter = 2 in ~Btock ELEVATION = 90.0a ft Force Main Length = 150 ft 3"Approved Bedding Material Beneath Tank /.150 X , r& 3: ?Al Force Main Void Volume = 24.45 gal - g~ ``~S~rse X0.55: JZ ~f ~oSeS~~ [C] Total Dose Volume (TDV) = 61.0 gal/dose L(< 0.2X design flow + force main void volume) Vertical Lift = r o:oss ft /50 r ctcui t~c~► x 39/1DO Z•04S crrr~~cu~4l t _3-T inv t7& PUMP TANK: SEPTIC TANK(S) Volume = 540 gal Total Volume = gal Infiltrator Manufacturer: Manufacturer(s): Pump Manufacturer. Zoeller Install approved effluent filter at the septic tank outlet Pump Model: 98 (See attached pump curve.) immediatey upstream of the pump tank inlet. Controls/Alarm Manufacturer: saE Rhombus SlrnTech Filter Manufacturer: Controls/Alarm Model: AB Tank Alert Filter Model: A100 Float switches containing mercury are prohibited. In-ground Dosed-Gravity Management Plan PAGE~4F 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 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BODs S 220 mgL-'; TSS S 150 mgL-'; FOGS 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i,e, odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i,e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution I drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (4e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Sepbc and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s_ 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (913) 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. o Effluent filter(s) shall be inspected every 3 years and shall be leaned 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 SIPS 383.65 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Advanced Septic Installations Phone: (715) 703-8337 Local government unit: St. Croix County Community Developmei Phone: (715) 386-4680 Local government unit address: 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 shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWfS 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 POWrS 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, ~/O d r/4 S.. pfE%1M CAPACCiY CARVE mom ' w 4 5/8 3 5/5 g is a ` l 4 3/16 8.5J la 6 W~ e 5 1 1/2-11 1/2 HPT a to 46 50 so trim a gp I;n 2.0 Ft_O~r PER TIM -Go cmz Feet caftm Betas LAWS 72 l-t 273 /D Ll 11 231 Is +s as Iw 12 to 23 4/ Is IsM wtMge ZS anion 4 3/16 Oul CONSULT FACTORY FOR SPECIAL APPUCAT[ONS Elect mGW alternators. soy sysAmm are available aril " varia"e kw w Soot swbdms are availethe for oortdpoili V single supplied vAh an aiarm and llw pha®e sysbo 3- • &4gdWKal apernakM ford'to= sySWVrs, We VVS&bie - Double pgWAo* vmmbia WVW 110811 smkhBs are WakA* wm or width alarm swlches- for variable iem lom COB am-ccnGN CLIME i, > ~ sO~t aparabd z pde i swick nD a cor I , ymmko& Standard all models - Weight 39 lbs. - H.P. 2 moo* pi9wi m* vmie * irwt ion mfth ar dmMe pkoOxv* ble hmeL is SMfes faae`a1 daiac6aR ftotmWIM PAWW Lt77. no" VIO*L.P! Mss 3 Wdnaaie~t afasubr 10.8012 ar 104X075. MB6 11S tertLT a.SamF%AoT'f2,foram+art~d8aoblfitAfsarsbr 1 Asom MA 145 Moe MA 2 a 2 3 ar 4 S s. Cvvwoe a mom 104SEM mma wx a rslaaat abwwoe. spe xv apex P) or ({1 foal syswm Mfa t230 t Aab 43 1ari&T - r(~hdeji~akl ►tetCWr~at~ighl~s~dimar in E98 2w 1 "an 4.T 2 or2 i B 3 art & 5 si wpl®c ar dWb- q--f- IMIOW- T. Two (2)h0m J4'ak fore armfam wnllacll a R~• 4AU I M fat YiQlMalcR m a l0l~l~bliDf }Aii~i le(rb otrrj M F V~1hIB LsMt9 Ail ntstaffidion of conttair4 protection devK s and -0 shdepd be daee br a 4mmed f#W4T7:BetfiwtMeairte~ gOM>7 jw=delecprLcamAllalecttioiold58i lCOdResbaaidbek0ovedunAmfingthemost SO~Ae7RSM~YItff~dM~f ~ 1Mr6~ k ~ laC" #WPPW lecirk Cub (UM and a* n-wiaaap Sg* and Hjean Act pg A), R 8L VE POWERED DE&G For u msuai cmdWom a reserve safety parlor is eroirlewed kdo to design of every Zbe0w pump. M VA Tor P.Q am Lath LmQm .1Q!4ZffiffJrI _ gfidwsj_. r$ ) . ~ .IM-540 tanks Features & Benefits • Strong injection molded polypropylene construction • Lightweight plastic construction and inboard lifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with TVV° risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump-outs • Reinforced structural ribbing offers additional strength • Can be installed with 6" to 48" of cover • Can be pumped dry during pump-outs • Suitable for use as a pump tank or rainwater (non-potable) tank The Infiltrator IM-540 is a lightweight strong and durable septic/pump tank. No special installation, backfill This watertight tank design is offered with Infiltrator's line of custom-fit or water filling procedures risers and heavy-duty lids. Infiltrator injection molded tanks provide a are required revolutionary improvement in plastic tank design, offering long-term a special water filling exceptional strength and watertightness. requirements are necessary • The tank may be backfilied with suitable native soil. See installation instructions for guidance. TANK CUTAWAY MID-SEAM CUTAWAY RISER CUTAWAY Reinforced 24" Custom fit structural TVV Riser access port Reinforced watertight mid-seam gasketed connec#lon Protecting the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR' I IM-540 General Specifications and Illustrations A A' The 1M-540 is an injection molded two piece mid-seam or plastic tank, The IM-540 injection molded plastic design allows for a mid-seam joint that has precise dimensions rs~soI for accepting an engineered EPDM gasket, Infiltrator's . E )FH gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non-corrosive plastic alignment dowels and 649 [1,6413] EXTERIOR LENGT LIFTING STRAP locking seam clips. The IM-540 is assembled and sold INLET TOPVIEW (TYPI through a network of certified Infiltrator distributors. tT111.1 INLET CONNECTION Must be backfilled and installed in accordance with TY?l Infiltrator Water Technologies, Infiltrator IM-Series Septic Tank General Installation Instructions and for shallow ground water conditions reference the Infiltrator IM- Series Tank Buoyancy Control Guidance. s4.6 [1,3871 .Tr Please visit www.intittratorwater.com/imageslpdf/ EH E G"TR ManuaisGuides/TANK01I.pdf for the latest information. .I Total Capacity 552 gal (2090 L) END vlEw / 2M 161q also. ACCESS OPENING )UTH LOCKING LID Length 64,9" (1648 mm) 1 Width 61.7"{1567 mm) INLET j Height 54.6"(1387 mm) I Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6" (152 mm) W l Maximum Pipe Diameter 4" (100 mm) Weight 169 Ids (77 kg) SECTION A- A' CoFmNUOUS GASKET TANKTDP HALT SEAM CLIP TANK INTMOTI ALIGNMENT DOWEL TANK BOTTOM HALF 4 6usines.S Park Road MID-HEIGHT SEAM P.O. Box 768 SECTION DETAIL OW Sayixook, 106475 INFILTRATOR ° ; 8M221 4436 x 86D-5T7-7001 www-i nfi ttratorwatim corn US. Patents; 4,759,661; 5.017,041:5,156,488; 5,336,017; 5,401,116; 5,401 A59; 5,511,903; 5,716,163; 5,588,778; 5,939,844 Canadian Patents: 1,329,958; 2,004,564 Other patents pending. Infiltrator, Equali2er, Ouick4, and SideWinde, are registered trademarks of infiftmtor Water Teohnologies. Infiltrator is a regisferad tradernark in France, fnf76ator WaterTechnologies is a registered trademark in kiaxi= Cordwr, MiaoLaactling, PolyTuft, ChamberSDacer, MultlPort, RosiLock, MickCA Quk;ld%, SnapLock and Sk'aightLock are trademarks of Inftator Water Tedvrdogias. PolyLok is a trademark of PolyLok, loc. TUF-TITF is a mgistarr d trademark of TUF-TITS, INC. Uttra-Rib is a trademark of IPEX Ino. ® 2013 Infiltrator Water Tedrnologias, LLD. All rights roeerved. Printed in U.S.A. MI11 lttfi - i :~r rtraral,T DIVISION OF INDUSTRY SERVICES Plumbing Product Review P.O. Box 7302 cY ~ Madison, Wksconsln 53701-2588 Uzi I ~S`_ d ~ ! TTY. Contact Through Relay ~~V wyc Governor Scott Walker Laura Gutierrez, Secretary JSIUN AVS June 1, 2018 INFILTRATOR WATER TECHNOLOGIES LLC JONATHAN KAISER 4 BUSINESS PARK RD PO BOX 768 OLD SAYBROOK CT 06475 Re: Description: SEWAGE TANKS, POLYETHYLENE Manufacturer: INFILTRATOR WATER TECHNOLOGIES LLC Product Name: (trans id 3088759) SEPTIC, PUMP, OR HOLDING Model Number(s): IM-540 (INJECTION MOLDED POLYPROPYENE RESIN, 2-SECTION TANK WITH MID-LEVEL SEAM; 44.0 IN. L.L.; 552 GAL ACTUAL CAPACITY WHEN USED AS A HOLDING TANK; 475 GAL. ACTUAL CAPACITY WHEN USED AS A SEPTIC TANK; 227 GPD WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER: TANK DIMENSIONS (OD) = 61.7 IN. L X 61.7 IN. W X 54.6 IN. H] Product File No: 20180103 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 approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of June 2023. This approval supersedes the approval issued on August 28, 2013 under product file number 20130192. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. Installation and servicing of this product must be in accordance with the manufacturer's instructions. A copy of the manufacturers installation and servicing instructions must be given to the owner of the system. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 greater than 30 mg/L but less than or equal to 220 mg/L, TSS greater than 30 mg/L but less than or equal to 150 mg/L and F.O.G. less than or equal to 30 mg/L, • Before this product is installed a warning label meeting the requirement of SPS s. 384.25 (8) (b), Wis. Admin. Code must be securely attached to the manhole cover. • This tank shall be installed and backfilled in accordance with the manufacturer's published instructions: http //www infiltratorwater conVdownloads-v!oeos/manua)s-guides SBD-40564-E (N.10/97) File Ref: 180103041)00 I Infiltrator Systems Inc, June 1, 2018 Page 2 of 2 Product File No.: 20180103 • This product is approved to use the following: - The tank provides one inlet and one outlet port. - Inlet and outlet pipe diameter is 4 inches for the inlet and outlet. The pipe can be Schedule 40 or SDR 35. - Inlet/outlet pipe water tightness is provided through the use of a rubber gasket, Serco Septic-Tite gasket. A detail of the tank wall penetration is provided in the installation instructions - Mechanisms for pump electrical connections from riser lid or other locations through the riser must be completed in conformance with the riser manufacturer's installation instructions. - Compatible risers include 24-inch-diameter riser products such as the Infiltrator TW-Riser, EZset by Infiltrator, PolyLoX@, Inc., and Tuf-Tite@ Corporation, in addition to 24-inch diameter corrugated HDPE and iPEX Ultra Rib@ PVC pipe. Maximum riser height is per the riser manufacturer's installation instructions. • These tanks shall be fitted with locking manhole covers in accordance with s. SPS 384.25 (7) (h) Wis_ Adm. Code. The manhole cover must be secured to the riser using screws which are not standard or Philips head to be considered an effective locking device. • These tanks shall bear waming labels, that are visible after installation, that conform to s. SPS 384.25 (8), • The tank is not recommended to be installed where saturated soil or seasonal high ground water tables are indicated between the bottom of the tank and the ground surface. 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. Sincere , ten Sc eter Plumbing Product Reviewer Department of Safety and Professional Services Division of Industry Services Bureau of Technical Services (608) 267-1401 Phone (608) 267-9723 Fax glen.schlueter@wi.gov E-mail ' 2 130 92A Inftktrator IM-544 Tank Volume as a Function of Liquid Level In 1-In ch lowements Liquid Lev! Above Bottom of Tank Volume Gallons Lkeis Inch'e's CentLma[e+e 0 0 0 0 1 3 3 U 2 5 8 30 3 8 14 53 4 10 21 80 5 13 Z9 109 6 15 37 140 7 18 46 173 8 20 55 207 9 23 64 243 10 25 74 279 11 28 84 317 12 30 94 356 13 33 105 396 14 36 116 437 15 38 127 484 16 41 238 523 17 43 150 566 18 46 161 67.1 19 48 173 5% 20 51 1.86 702 21 53 198 749 22 S6 210 7% 23 58 223 843 24 61 235 891 25 64 243 434 26 66 261 988 27 69 274 1,438 28 71 287 1,488 29 74 300 2 137 30 76 313 1,185 31 79 326 1,233 32 81 338 1,282 33 84 351 1,328 34 86 363 3,375 35 89 375 1,421 35 91 387 1,466 37 94 399 1,511 38 97 411 1,555 39 99 422 1,598 40 102 433 1640 41 704 444 2,681 42 107 455 1,722 43 109 465 1,761 44 112 47S 11799 45 114 485 I MS 46 117 494 1,871 47 119 503 1,905 48 122 512 1, 49 124 520 122 50 127 528 1,999 51 130 535 2,026 52 132 542 2,054 53 135 547 071 54 137 551 2,1}87 55 138 S52 14f 1 3~ e STF700 FEATURES ' o I.aw mabit.munce 4 Easy to ffmw ww service Eonnornical EE4wWff We of drain field Ir WmYes fire Lj► The 19t farts of de a before ft wtgrals 1lartex-=i&birq ac W hdi * keep t€Iber clean pmviktg ffoAmum mwr&mwlrme h h vais Usm a S.S. fdbar scraoo with.062 dkvneGer hales - prvvides a 89.52 sq. in. or 41 §G open area vrtlictt allows the tihe;<S' to pass 83.8 GPM at 1 PSI -AssWes quaRy etflnent With rower Tt;S Weis, keeping press ed systsms webx hg at 100% efticie" - Isiah head Ices _5402 it: or 21 PSI tl.# Flow rate with Cl" Sager 120,672 GILD @ i PSI 0 A w rain with 95% pkxjged samen 114,912 GPD 1:8 PSI + Job ready *1h 2' sdiadule 80 union and tailpiece attached (srF-too} fi F*Ad assemble does not R+dode union -or U~Oce (STF-100A2) - Use opbonai tamer socks to Ow wager FILTER SONEJI FOWOF lTED MEAL - - uwVT^b&JEtSTEMTVKsw SSF-.- Ta[xQOVr~aes Qderpart w SW--10a - ~ _ STP-1U0~2 - ~ r- reopaErwFtt~ueve CAD daW4 during Vdaktie 1n DXF forrtat ,ant ~ I r-~ t Al NOT04 _ FRENUMAUUM RJU ATIM PRODl1M STF104800iti page 14 STF-104-150180M peps 14 I SW-104TH pW U I 5€Ir-101 pMw 14 # W-10tH pugs 14 s+a ! ~ ~wn zTaas [ 1 ~-lr?T¢age14. 1 STF -102 ~ 14 ~i STF-FC peW 14 SJfi460page.14_ RUt3t traErl OURS=r ' U.S..Peim t#',-88 40 ST"038peje 14. ruff OwMMw Pu.nti 2.237.754 STF i% psge 14 PAS WFmetf 491)3M OW=231582-102() f-ex231-W73 1 Emai~.r~ 11Ye6anew:giSpsxMedt.cmi W co H F9 W ~ _ d O F- ;U -9 200 O ;lu ~ O -a cI rj 3 n = F- , ~u M ;G a a rl (4 D Z rn Ll L r D o rq C3 n = --A R) -O -Tl LA R) F9 rn D r Io~ W- D ~ d~ 4 H Z r ~ ~ 01, -r m M < %D ru o C4 p © f SM. CROIX COUNTY SEPTIC TANK MAINTENANCE AGRED&NT AND OVRiERSHW CERTIFICATION FORM Qvvnerfi~jrr;~- ~ul~N~ uPK ~ Mailing Addnm b ?jD-J~ -U&,A)Lt ` Pity Adder tn~ ? (vc-ficatiM Mgwww from. Mw=M & Za®g Dapzatment for new wnstrow6on_) Gity/swe n~ I~ SCI. Parcel 3denfificatiou Number 3~ -1b.7 _ 3G~_ 8f~ LEC vAL N Property Location S y{ , S is , See. 1 _ T a N R W, Town of ,5 f~ PP69U)p)i Subdivision Plat: Lot # CerfiW Survaey Map it Volume page # - Wanranly Deed # {before 2007)Voh mo _ Page 3pae horwe ❑yarn,Elmo 14t lists idmm fiWWc esQoo MMUM biMMNAN['r+' -AND QWL Improper me and m=ftnmw of your sgft sysWaat cadd nsdt m its paxscottme failrae to h=& Proper nee a 1 -11 `1 of oust the septic tank every &m Yem m s xmc r, ifnee &d, by a What the system can affect the faocbm of &e p Fina P into saspeic tanks a trewnent stage in the d"rgpoaeal (>araca e r ifilies ac 'rod in IV& 333.52(1) and in Chmpkw 12 - St Croix County Smitary Or&ba mx_ T,w P 9 owner agram to swbont to St. Crone Comfy PHmmag & Z=M Dqmum:mt a cadficmm &M agmd by Bra owner and by a ' lrlm *er. JnnwYnm P resod plmAw or a hcrosr d paler varipyine 1ha (1) the am-aitr: wastewater ins m PMqW operating oooditim MKVOr (2 alb " aad napachon pumpmg {if tLes terror is loss tiara 1!3 fdn of do*. Vwc, the mdesged haws read the above requirrameb aed agroe to aumg= tiers private savage sy with &a swndwck mat fiwdf~ herein, - set by the DgmUac nt of qty And Ptoftana[ Services and the Dmpwb nt of W.* .al 7l , 5 rya c o",=oMsm. comfieaAbw losing *at Yom aeptacc sysieaa has beset wazamed meat be mmphdad and rt#arnod to the St Cane Canemy & Z=mg D widin 30 dWs of the three yew mpirabw darle. Uwo cer* tiro as f SWCMMU an form arc truer to the boat of my/oor hj dga, VM amlat+e the owueKs) cf *e pope W deed above, by vutw of a dad recoardad in Rzosacr of Deeds Office, Number of bedrooms 3 IGNATURE 4CW J / r APPLICANT(S) DT ATE 1AAy tnfw~ Ix mMW d aoay rasrdt M the: smimrp permit being mw ohed by &a & Deoert o L lndodes M& this gwhcobm a *=dad aonaoty steed fium as Seer o£Doedc Office and a copy of dw =ufised swvey =W if rd=cnw is made in doe v aaaaty deed (RXV. M!!2) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) located at: :!5 WJ '/4, '/4, Section Town ~N, Range W, Town of j~~, E2 , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (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): Permit number (if known) AJ6 (Lic nsed lumber gnature) (Print Name) (Title) (License Number) MP/MPRS CGS / /w' (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012