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HomeMy WebLinkAbout034-1046-70-310 s»ns n Deparment o' Commerce PRIVATE SEWAGE SYSTEM County. St. CFOD( Sate>i antl B~ Ao no Orv s on INSPECTION REPORT Sancay Perrot NC GENERAL INFORMATION (ATTACH ?O PERM IT) 5txe Pan ID NC 605167, PCIS-a ntm-^-aria- you p'owae nay be used `o• secor-drily owueses (Privacy Lavr S'5 G C4 ;Wrr)) 3153618, Pe-^-r Hclce, s Va°o C ti V Ila-jc Towns-ip Pa'Gel Tax No Mitch Bloom TOWN OF SPRINGFIELD 034-1046-70-310 CST BIJ F e': Insp BM Fie 'v B`A Ucs'. ipbon Secmcn IOav,Ytanpe Map vo. Ai,4- rA 20.29.15.319A-25 TANK INFORMATION ELEVATION DATA IYPE MANUFACTURFR CAPACITY STATION BS HI FS ELEV. Septl^ Y GrJ Tn. ld~ Gen-hmark AFL BNI ~,l 97 6 t/UlJ Bldg. Se'w'er Holding SCHt inlet -71 ef 93 TANK SETBACK INFORMATION St-Ht OLtIel TANK TO PiL WELL JBLDGVe'l Au i-tak e ROAD Dt Inlet Sep: c 7 SO . 1~ De Bottum 9 6 2-Dosing nom` r HeaderiMar x7 o 1, .9 9-7•7 Aeration Dist Pipe 97--7 !!oaneg _ Bot. Syste.ro - $ . 9 la • to PUMPISIPHON INFORMATION FIna: Grade cj$ .7 Manufadhrer ' GPNI nd St Cover IL' 1 N,odel N.in'.be- 1-9.-7 ~j b. 0 9~.Co TDH Lif: FT cdo'i I oss System -led TDII S o,w 3 l~' Fcroemain Len-1 r Dial r Dis:. u'a.V1 l SOIL ABSORPTION SYSTEM 'V 3. j a 2. o BEDITRENCH Jtinlr Length Nc I"",: • PIT DIMENSIONS Nc Of ors Ins 7r: Dla. ;.Igi,d Derr DIMENSIONS ~L ~CJ e_ SETBACK SYSTEM TO PiL BLDG WLL.L IAKHSTRF.AM LEACHING Man-fadire-. INFORMATION CHAMBER OR t'iC 'S'stv7rT UNIT OJCdel Number. /v_ (Q_ 7 NIJgL 4/ DISTRIBUTION SYSTEM Header fatani'c d D'slrbwoll /I -lo Sze / xHole Soar-n' A.I ke pipe's; f~ Q z ~ 3 Z, , . Lenpt- Jla ~ -engirt r~ V n a Spaomy /L SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only e-a- o,er ,eau f~ B'9'Trerch -ner lh Occr xx I:epA or x.[ Seecea.•Saodec xx lou cnee BeerTrench Edges lcpsoI / - ` VPs NC _ P.5 N^ y . zo g p~ COMMENTS: ;Include cede d screpencies, persons present. etc) Irscec!ion #t: ; ~ Insp!irlfion p2'. T L.J [i rC. Location: 2874 -Ill AVE~I,~ C..p lJ O I ; Alt BId Desc'iction 2.j Bldg sewo•'ength /~OJ ^ w`.'°G IAOI` s^' •r_SPe ~a•..N T.r~~ -amoant0.cover = y °fZ br I Plan revision Required? F Yes No I_~ (a7 ~~3 u--iIs Use other side for addrhoral information. I_G U _ T / Dale __-Insep rb ner No SITD-8710:11 3i07: y I~.Ii yl "I NJ) I Saf~iv end Guildin95 CrolSi on S1 L ,~1' 2C7 lti N43 hmaton Ave.. P v. Box Try S.riitay Pcmi; Vurrixr'a n:RC it by C:G. P ~R r M;1dlSun. Vtiq 53767-7152 i s Zo 6651(o7 ` N I '~cZ'(},lli3f';v 'kmnlt Appl , Scva,:anmvjun},w}xr - - :na ~r,..t .w,d{~yi}"sY;-e}aHr:;-his,( isI 1:1,, f.ir cthe appmriu I..rawn_ncal dri. e:r gni:T. p~ _ -~,.,vemna.un.at prsi 1--t .4'OU .1r n.-netsto tv~e nwaecP HdT .,s>rnt t, I Fr;~er adlss i.`Eifr°em:ha: mn:¢_¢ audtc ai [c _kparsea S d<tv an- }4 lessltreil 1t r .'7•:..... l rn41A r„u pfo'. u:d. c Fr :c )r f.uy I~ LApes in ac~wnai.,r • Please ' 9i L AVPIicati Ann Information Flevsesr Print All Information _ '~'-fV~ rrytcrc Chm sAnrtc /,/M; T/ [/~~/f,/f t •ael/IIa P S C'wr r 5 67x~S cmas F'rmr v n.auon 3~~ L. X 1 1 5. f~~ 7 li. State L:p lade !hone V;xiba _ i r f • So nro ~~L Type oBmlding irheck all that epyl, I - -n: _ 1 ?.q V: F: / y -{1-ca' iurNi ?wclli~r• V r i h:r a} 5.:: ~ - I Acdt f5iun [w-c / f~k oVd ' P : ii I,c l[aL (htn.d cnhc i.g ' - auvir .T.1. 1 ! . y IZ X90 t jI (T',r~-~ ~z 11. Tv )c - - ' l hrrk only one boa on line \ Cnmpleie bur R Japphrablcl ~ !C System k"Ixei -ri :-yrnn f vc:.V 1 IL111!1 , ::mk kq.l.uaam Crolt I ! U I 1.1 tl once tt x:.11:w S' Item {czry_in) R I DFCr ticnrwa: rl enn113'1'LI-11 arr: :,'1'urbct i'J P.ttn.t:c,ter rl~ew Lul Prerbus f:rmit5wuiru:ul2llaL ksuea / kcf•i L<puzt.n„ i ?wuz I\ T~• ,e of POW[,; S%'t'na,( mpoucne Uc ice: it be _ a r IYII -p:c m <d s r..w d I I s h u - d v,:~ - C 5i snilal lr s_ } t ooa - S to of .:nt0le ssed -1 I. ,v "k ci< f ..}+r...i 1 r.~i ,av i ❑ trcIIVSha...it _T -r ie7t V. UlspersaiTroat t Area Information: d I~):w -1 4 is m P t f :)sFca f.<quie.2. dl r Doti _ 1:...a Pzp„1. 1.n E7eeaU:[ ~ jv-b \l. Tank Info I o` A ut sttu:o - - T- U3 r liel iv ~1 1AGt, F^ ~l v s I _ \l1 Responsibdtts Statement,", the undrn-Kned, Cr~p~aibifii) for uemtill %bn f the POR 1 S h ,i he rG[hcd }Aana TiIL (boon ftpnrtmenf~S`nlv- DWIL I s } ) r9-~0 ~'7~"~ ~.9/~Z•+c~~ . 1\. Coulon ~Twp ,emus for Utsapprro, al ^ - - _I - 1. fen 11 must l ml U(SVa n'b cell pus! e11 l be sr•.fcls ' - ~•t;. -P. as per mar genre 1 pl ( i'le t v C roe 4~.. r` G 2. AYe 0w*wL) `smutwr. .:e M pM it dariW+CO(; r rr alu? stucb u ~ k1 ~~-~455~--fA•~ ~~5~ QXJ_ A~, . V p.au t + nv ,<m and mama m r C.nuow oVH oV W nn:trss r4> ~ v , 71 inrhn w w< .MftL atC Ceti Ofd(, . System PLOT PLAN PROJECT MOOS Bloom - ADDRESS 505 Erickson St. Woodville V:4 54028 N's"1 1; 4 SE I: 4S 20 ..'T 29 NiR IS W 'TOWN Springf,Ql i COUNTY ST. CRDIX sYs'r m ELEVATION 97.0' DATE 6.'291 B BEDROOM 3 CONVESTIONAI. AT-GIL•1DE M CONVENTIONAL LIFT HOLDING PANE MOUND SEPTIC TANK SIZE 1000 gallOr; LIFT TANK SIZE DOSE TANK SIZE 330 HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 90C 0. of chambers none BENCHMARK V.R.P. Top of 2" pipe. ASSUME ELEVATION 100' kilter Li atime Fillc_ ''L77 J BOILEHULE OWICLL .g.R.p, Same 2s banchmark 80th Avo Acre parcel, drivcwav auachcs [u e stng (invcway and is shared with smaller parcel carved Out o= the origirud 4U acres. Tilis system and i.ouse is locates in the nO:ti't--rn 40 terns. Area 15' below system is tc remain undisturbed B•3 20°,b Slope i l3GC' 1t! Grading is to be done to divert run-oY. away from system 93 ' 95' 400' q 3-2 B.M. Well is to meet of VJ7NR setbacks Scale = 1/4" = 10' 43 hu`tc ti Combo Tanis Y Z~ I r N - i Pro 3 Bedroom TraiVer hoase 2340' Pmpcrcy Line ~j i COL Y CIVI.SION OF INCLSTRY SERVICES 2371 SAN LUS PL STe 150 GREEN BAY 'A' 54334-5211 0 t Contact Through Relay yl ` P Si h;tp:Ndspsmi.govlprcgramsi nduslri-services vmee".mSconsln.gov LScott Walker, Governor 11 Laura Gutierrez, Secretary Scplcmber04,2018 ,i_ CUS1- ID No. 220900 POWTV I irpector !r l; l - SIUUN R BIRD ZONING OFPICF. . ii 131RD SELr S'l ORAGE ST CROIX COUNTY SPIA 422 120"fH J I' 1101 CAiL\ l.1ba. RD NEW RICFiS40NU 11'1 54017-6409 HUDSON WI 5.1016-7703 ~••7 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 0910412020 Identifica!ion Numbers Transaction 1D No. 3153618 SITE: Site ID No. 853604 Mitch 131oont P'.case refer to both identifica ton numbers, zoevq in zll amespondence with tl:e a~crop. 80'1*11 Ave Town of Springfield St Croix Caanty , S20, T29N, R1 5 W FOR: Description.-At-Grade (3 Bedreurna -:Yelp ('omrrucriou) Object Type: POW IS Co;npouent Manual Regilaled Object ID No.: 1795707 Maintenance required; 4511 GI'D Flow rate; 40 in Soil minimum death to limiting factor front original grade; System(s): At-grade Criainonen! Manual, Version 2.0, SBD-10854-P (N 03W7, It. IA2), Pressure Distritnaiun Component J1anual - Ver. 2.0, S13D-I C"Ori-P (N.0Ii0:. R. l0i 12); Effluent Filter T'.uc subrninul described above has been revie•.ved for uonlortnancc with applicable W iscpasil: Acministrative Codes ar.d Wisconsin St. tutes. The suhrni:lal has bceu CONDITIONALLY AI'PROVI?D. This systems is m be constructed and :ocated in accordance wilts the enclosed approved pars and with any component manual(s) referenced above. The owner, as defined in chapter 10 L01(10), Wisconsin. Statutes, is tnspcnsib;e for compliance with all code requirements. No person may engage in or work at plumbing in the state Lnless licensed to do so by the Depa. tmcnl per s.145.06, slats. the following conditions shall be :net during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during consu'uctim to avoid disturbance, compacticn and use of the s :!e. • 1Vith new construction; it is recommended not to activate the pranp iu the dose tank until the tanks are pun;pcd prior to homeowner occupancy. • Wastewater generated from contractors clearing 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 (11011 LS). Paste generated shall he properly disposed of on-site or off site. • Any lull grasses, leavts and shrubs shall he cut short and removed prior to lilting the surface for installation to Ixevenl matting under the dispersal area. All loose organic material to be removed Clan the POWTS Dispersal area. • Prior to construction of the dispersal area, check the moisture content of the soil to a der,h of 8 inches. Smearing and coil acting of _w_et soil will resuh in reducing the infiltration capacity of the .<._qil. Prmtgr soil mostnre content caw be delermined by rolling a scil sample _between the hands, If it rolls into a 1!4- inch wire !tie_ _ie is too wet to prepare. If it crumbles, site preparation can pi iceed. If (lie site is too wel to prepare, do not proceed until it dries. - - - - • Divert surface water iiont POINTS Area. Cover Page AIN!) Shaun Bird /1C~S Bird Plumbing Inc. 1432 120th St. / - New Richmond Wi 54017 715-246-4516 Date:8/28/18 Owner.Mitch Bloom Location:NW 1/4 SE1/4 S20 T29 N,R15 W 80th Ave Springfield Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page - 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Purnp Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency p!an 9. Filter Specifications Attachments: Soil Test Shaun Bird Signature License number 2 ' 00 RECEIV D n!'G 31 ?alp ' STRY SERVICES Page 1 of 9 System PLOT PLAN PROJECT Mitch Bloom ADDRESS 505 Erickson St. Woodville WI 54028 NVJ 114 SL 174s 20 IT 29 NIR 15 W TOWN Springfield COUNTY ST. CROIX SYSTEM ELEVATION 97.0' DATE 81291'8 BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK NfOUNll SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 IIOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 It of chambers none BENCHMARK V.R.11. Top of 2" pipe ,ASSENIE ELEVATION 100' Filler Lifetime Filter BOREHOLE WELL 411.R.P. same as benchmark 80th Ave 77 Acre parcc;, driveway attaches to existing driveway and is shared with smaller parcel carved out Of the original 40 acres. This system and house is localcd in the northern 40 acres. Area 15' below system is to remain undisturbed B-3 20% Slope 1600, Grading is to be done to divert 3 -1 run-off away from system 93' 95, 400' q 8-2 _ B.M. Well is to meet all WDNR setbacks Scale = 1/4" = 10' Huffcutt Combo Tank W 1 N Pro 3 Bedroom Trailer House 2640' Property Lire At- rack System SlolTing Site Cross Section and Plan View F usiou Ccct C Q, - rB r t x- L~ [ t 2 10 n.5 F t j t - r 1.0 - G t t 1 L t - 1 - Plowed Clean aggregate = 4 in. soh. 40 five [ r basal ares:to 2 IV! in. die. observation pipe Lateral with T' 'topsoil cap ag-negate over pipc Observation Pipe Geotmilc = r' - With Cup Fabn. Topsoil Cap r \ _ f Y l~ j S1 , fG T Slope Dire..t':on . GF,NEItAI. INSTAL.LA'LION: The at-grade area is staked out along dtc desi0i contour. Existing vegetation is snowed and raked off the six. The basal area (L x \'d_l is staked Out and plowed wict a lrroldhoard or chisel plow. Plowing may nut proceed if the soil is ••vet enough at the plow' (ICI)dl ',k) form a %4 inch soil wire when, a saunple is rolled between die palms of the. !:ands. The A x B area is covered by clean aggregat,: deposited overhead by a baclltec. Special cu'e must be used when placing She aggregate to tnini:nize compaction o the plowed sm:facc. After'the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation p~pes arc perforated in the lower 6 inches and secured in place. 'L ~rl 03;'05 lgj Pane -J of I/ _ Pressure Lateral Layout One Lateral - Fnd Manifold Threaded Cleanout Lat;raj Tura-up - ► Plug force \Qain h % I. - Long i` Swcep L~ ~ 90 Bend a ✓ f? 1~p!'~'t~/ G Pressure System Construction Distribution Netwo5 k SS >_ecif ications Lateral Diamcicr Z hr. Laterals are constructed of Schedule 40 PVC Orifice Diamtcter In. pipe. Orifices are drilled perpendicular to i titer x ce Spacing) In. the pipe with a sharp drill bit rnd Race down, !.,(Lateral LCngih) l t Lateral turn-ups terminate with a threaded Force Main Diameter _ 1_11. clemtout plug and are enclosed in a b-S inch Force Main L Lnylla_ _ Fl. ! diameter lawn sprinkler valve box accessible from tirished grade. • • • • • 6radc ~ G-S Inch Lawn SprinklerVah,e Box C l NX5 ig; Page - - Septic-L)ose Tank Cross Section And Pump Performance Specifications - - Purup MawLacturcr + k~ - 1 ar4, Manuf'acitucr ~~~--~~•_,~L[~ - - - , -Pump Mo&-l Number I Calk Model Number f _ C -~'L Alarm Manufacturer Q TotalTrrlkepacitY 7 p.3Z!.__ - Alaran Model Number Switch Type Fdta.r Mulufucturer T - 'rotal Dynamic Head (I lift) Feet - Flhr -Model t\timber f~ _ Elevation Head _ r lltslal P-Ure- Network buss - - bI rmnllce Rcq tired l Turco Maul 1 oss . vlimm~un Ptunp { erlo Pump Outlet ivianhole Nlnl. 4" Above Grade With ~almrhoieAbu:rndc Locking Device. Inlet Malhole ackingDevice \ < ti" Below Grade Sealed Vdatertiuht Securely ,Llount~ WiU,l \/1 Wcadler-proof Junction Box - t, FinishrdGrade F - - t~ - 00 - t -r ~ Vent Min. 12" Uisa:onnect •f Above Grade Means iikl With Vent Gap Outlet FiRcr lalet ,l - ltdet Baffle Reserve n e: pacir; A -`iwitcli Settings and Tank Vulana. l) (rPl i1 - Weep 61ilnrllsion Inches Volume Gat. B E, Hole go- - {reserve) Ar!_-1' - I _{alarm) B 2 7 Off Elevation C Ft Bottom (dead) D S^ } A~il 1=.Icvarion Total- - - Fl GENERAL INSTALLATION- The septic/dose talk is bedded mid back tilled in accordance with the mauufactlaer's product approval specifications. Maximum depth of bury as specified by the marufucturer may not be exceeded widtout prior approval. Manhole covers exposed to grade have an effective locking device (padlock) int aalied. Piping at the udet and outlet is or approver) material, connected to the tank with watertight fittings, :mot laud tin stable soil to prevent settling or sagging. "ncc dace main is stwved wida 4" Soh. 40 PVC to bridge the tank excavation ta:d the slave is sealed walehfight. Electrical servicY eefllphes widt.YIX; 3U0 and Conan 16--28. (12ro5U Page_-! ofl.- 280-SERIES 112 hp Submersible Effluent/Sump Pumps The Liberty 280Serfes provides a cost effective "rnid- Performance riufY : 280- eties range" pump for on-situ wastewater systems, liquid 40 _ f _ ; 12 wastetraner and commercialheavy-drtysumppump applications that require higher head or more flow. 35 11 Designed around Liberty's unique "Uni-Body" casting, 30, - ttt t 9 the 280-Series will provide years of reliable pertommance. 23 d 8 All Models Feature: LL 20 s •Vortex style impeller permitting passage of soBcL•a CC; 15 - - - i up to V. = to _ T • 416 stainless steel rotor shaft ! . 3 • Permanently lubricated upper and lower ball bearing 2 • Epoxy powder coat finish 0 - -j - - 0 • All fasteners - corrosion-resistant stainless steel 0 5 10 15 20 25 30 35 40 45 50 56 60 65 70 • 1 y"Discharge U.S. Gallons Per Minute •Stainless steel bottom screen-easily removable a 38 I_- .8..~ • Maximum fluid temperature: 140' F. 78 114 156 102 228 270 Gtors Per Minute 280-Series Cord Lengths Model to' 12 35-3_L _5 Dimensional Data: J Z. Weight 29 lbs. 280 Standard OotionW___Opeonal -Op5onal Height: 13" 281 Standard _028o2a1 . Optlo,yy OPtfonal Major wdtlm: 10" (model ZFt%) 283 Standard _ Optional OutiorW _ Wq 287 Standard optional -WA K„ Minimum Sump Diameters: 10' cord lerxjtll standard on all modots. Foroptional lena_Us, Modo1281, 283...14" add"-2,-3 or -5' sutf« to mode: number. fdafel 287 VMF...10' rxurp v: for n duel 26U w.th a5' cord, adcr 2803 Factory switch model 281, 283 Modo1287 settings VMF Motor Specifications Turn on level 13" 9.5" y: hp 601-1z 34,50 RPM Tum ott level 7" 4.0" Oil filled, thermally protected (PSC) Permanent Split Capacitor rno hfo,tu2s3 reawi s a fwy adjust ba.: w;dc-argk noau Dnturwvhw 8.0 amps (115V) ao;i*tments "a W made owq by todwng the Iloalto the du- charge pqw or ctDo-, nrou,tvi~g Wirt Verbw V001 MCKM 287 z not 4.0 amps (208/2,30'v) adlueta~/h-t¢. =!i~. .'y Model 280 _ Model 281 ur- Model 283 _ Model 287 Manual, Wide angle ~i yJido angle . VMFSenes no swish float switch verb" float swttch I mag- withquick- / with series node float for 1 disconnect (piggy-back) smaller pits - plug will operate in Zti a 10" diameter sump SPe C us Certified Liberty Pumps • 7000 Apple Tree Avenue • Bergen, NOW York 14416 • plmone 80P-543-2560 Fex (585) 494-1839 mww.libertypumps.wm C.,q. rtoi,avry ~U-.20;7 n: rk/,¢ n-x.•.W. ILT 2e00 RYJ17 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa^ye __pf_ °ILE INFORMATION SYSTEM SPECIFICATIONS Owner ) Y Septic Tank Capacity ua C NA Ponn if - (~j Septic T' ank`+an:dacturer---11-k1- A DESIGN PARAMETERS Efi)uent Fitter 'Ian ufdcturer NA Number of Bedrooms ~o ❑ NA Effluent Filer Model 0 NA Number of Pubic Facility Units - A Pump Tank Capacity C NA or . Estimated flow (average) S T' aVda Pump Tank.Manufacturer C NA Design flow (peak), (Estimated x 1.5) PrimF vt fan,rra.cfuror - _ _ al ca ` NA w 3 Soil Appfcatlon Rote S nNt,a M.' Pump'J~od>I C NA 9 Y Standard 6tttuerU21fluen! Quality Monthly a cage' Pretreatment Unit Fats; Oil & Grease (FOG) :W ni C SanwGravel Flaer O Peat Filter Bid; heroical Oxygen Den•.and (BODs) X20 mgrL ❑ NA 0 Mechanical Aeration ❑ Welland _ Total Suspended Sobs SS) 550 r i_ C Disinfection 0 Other. Pretreated Effluent Qual.ty Monthly average _ Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BM) I x.30 mgiL ❑ In-Ground (gravity) 0 In-Ground (pressurized) Total Suspended Solids (TSS) -00 mgrL -Crl~ ,t-Grade :1 Mound Fecal Colifonn (geometric mean) !i;ii cfui100m1 _ 0 Drip-Cine 0 Other Maximum Effluent Particle Size Sk in did. ~NA Otter. - - L' NA va ctnar: - Cl NA 'Values tyr1wl for comestic waStewatoi and septic tank efflue:a. Otna[ ❑ NA P IAINTENANCE SCHEDULE Sorvice Event Service Frequency [Inspect wraillon of tack(s) At least once r C mo.Mh _ (Maximum 3 years) U NA Pump out contents of tank(s) 'v'yhor, wntbined sludge and se.rm aqua s une-lhird (h) of tank volume r- NA Inspect disparsa cell(s) sl unce every- j 7IYear r~s?s) (Maximum 3 years) ❑ NA `-lean effi..ent filter - At bast once every. mod(h(s) D NA lnspecl pump, pump controis & alarm At least once every: Ll onths) 0 VA }ear(s) flush laterals and pressure test _ At least once every: C month(s) 0 NA Piwc e C nth(s) r , l4 A[,eust duce ev yu ery, ~ xhvr, - _ ❑ year(s) ~ - C NA MAINTENANCE INSTRUCTIONS inspections of tanks and dispersal coils shall be rrade by ao individual carrying one of the fullov&iq I contras or ca tifo<itions. Master ?lumber; M1awer Plumber Restricted Sower; PO?1 5 Inspector, PUATS Me•ntainer Sealaye Servicing Operator. Tank inspec-Lons must include a visual Inspection of the task(s) tc Aiintly any missing or broken hardraro, identify any cracks or leaks, measure the volume of cembinrd sludge and scum and to deck for any back i or ponding of ohluert on the ground surface. The dispersal cell(s) shall be Visually irspeclad a chack tha effluora levels in the otseivalJon pipes and to uneek for any pending of effluent on the ground surface. the pending of effluent un the ground surface may Ircicatu a failing condition and requires the immediate no5ticaton of the local egu[atory authority. When the combined aCCamulation of sludge and scum in any tank equals ono-third or more of the tank volume, the entire contents of I.he tank shall be rerni by a Septege Servicing Operator and disposed of in accordanco with chapter NR 113. Wisconslr Administrative Code. ;411 other services, inc;uding but not limited to the seivicmg of efi!cen! filters, mechanical or Uressurized components, pretreatment units, lend any servicing at intervals of s12 mont•fs, shall be performed by a certified POYJTS Marti roc. i service report shall be provided to the local regulatory authority vathin 10 days of comolelion of any service event. Page `c` S1 ART UP AND OPERATION For new cuns!ruction, prior to use of the POVdrS check treatment tank(s) for the presence of painting products or other chemicals shalt may impode (no treatment process anchor damage the dispersal cell(s). If high concentrations are detected have the contents of tho tank(s) removed by a septage servicing operator prior to use. System start tip shall not occur when soil conditions are 6oxen at the InfittraGve surface. During power outages pump tanks may fill above normal highwdtui levels. Wren power is restored the excess wasleivater will be discharged to the dlspersal cell(s) in one large close, over:oaaing the cell(s) and may result in f're backup or surface discharge of eff.uert. To avoid this siuakri have line contents of the pump lank removed by a Soplage 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 leve l wilhin he pump tank. Do not drive or park vehicles over tanks and dispersal cells, Do not drive or parr over, or otherwise distim) or compact, rho area vnthlo 15 fee'. down s!cpe of any mound or al-grade soil absorption area. Reduction or elimination of the fo0wi^.g hum the •waslewater stream may improve the perfomwnce and prolong the life of the Pow n3: anhblotics: baby wipes; cigarette butts', concerns, cotton swans; degreasers: dental floss: diapers: disinfectants', fat: fcurdaton drain (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 Viinen the POVJS fails and.'cr is permanently taken out of service the foilovrng steps shall be taken to insure that the system is prope,,y and safety atandored in compliance with chapter Comm 93.33, Wisconsin Administralivo Code: • Ail piping to tanks and pits shall be diswunected and the abandoneo pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with sail. graves or another inert solid material. CONTINGENCY PLAN vfde a code compliant If the i3OVJi'S fails and cannot be repaired the followirg measures have been, or must be taken, to pro replacement system; ❑ A suitable replacement area has been evauafed and may be ut.lized for Rte location of a replacement so I acsorpdcn system. The replacement area should be prolocted from disturbance and cempacticn and should not Ce infringed upon by requited setbacks from existing and proposed structure, tot lines and wells. Failure to protect the replacement area will resuit in the need for a new soil and site evaluation to establish a suitable replacement area. Roplacen:ont systems must comply with the ruten in effect at that lane. El A suitable replewment area is not available due to so.baca andfor soil limitations, Darring advances in POWTS tectnolog;/ a / bolding tank maybe installed as a last resort to replace the fai;od POWTS. _The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evalua'#on ml st be performed to locate a sultable rep?acement area. If no replacement aroa is available a holding lank may be Installecl as a last resort to replace the failed POVdiS. ,,V Mound and at-grade soil absorpt-or systems may be reconstructed In place folio'tving removal of the biomat at the inQralive /'surface. Reconstructions of such systems must ccmoly vAh the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDJOR INSUFFICIENT OXYGEN. DO NOT ENTER ASEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Op A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS - - POWTS INSTALLER POWTS MAINTAINER 7 -1 Name_~-1 l Phone SEPTAGE SERVICING OPERATOR (FUMPER) LOCAL REGULATORY AUTHLORITY77 l Name 7-7 Prone Th:s doct.ment was dotted In cuv ip iacco with chapter SPS 383.22(2)(a)(1)(d)a(P and 363 64(5), (2) & (3), Vv.srmnsui Adm;ne,Vative Coee. l - L' i III . ~ 1 i it z p ~ v "r N 'T. CROJX CO1JNT'( SfIP'11(''1-; -NK91911~'TiNr1N('L?,i(iRFF.311 ANL) ( )l% NHRSli1P CIFRTIPI(_'A'f 1 ~N 1,01M9 Mailing Adthcs.s SLR Ile, to PropcOy Addressll c7,.,~J-f iVcnlirahou r:qunrd frutn PLrnour,_, e.1• /onu,g. Iwparr hero jot new eunshInGhotI - - CttyStatc - - - - - - - Parcel ldcitt;lication Nut lber LEGAL RE SCRIY't'fO V - - - - - - - - - Properly l .oci tiot 02 S 't N 1.1~1a,', I'owtl o:' 'l Y' lr , / Subdivision - - - - - - - - - _ _ Lot ;r Certified Survey j%Ttip i \'c lurnr Pape O - - - I Vb'xrrantyDeed # - \'aiumc - //01 - c Yaketi SlWC lrousa yes :w n' lip,- identifiable Vu5 nu - SYS•rFM.NIAINTENAFt "C AND OWNLR CERT111CA I'ION hnpropet ose and mamtcuan V o vota sr-Fu, rota' w,"ll in its prnuainre tartar to hand)- wasuw. Proper n-aanicnauce eomists ofpu iptily out tile. u_p'. rc attl C~, r the. care.: or :uor,r. it needed. ii% a hccosed puurp,a what you pw iaro rile system can diem the huwdun of Wt septic rant, as a tsalror a shagt: m the umv disposal cysts nr Owner maintenance responslbihn s are spinalti d in wom.n. 33. A 0 and to Chaptni 12 - .Sr Q,dx Co vi!y Sani[inc Ordinanc:c The. property owner apVCS m subnnt n St. Croy t and 15e,na r_ C Unalg Dnpinant nt it %tuLfica(ion furor, signeal by the owner and by a master pitunhet, iaurnuynein p'unrbe'. resin tu. pt•,rab. r or a Gceused purallet vur,fylur that ( the on site wastewater dtsl,o al sys!cru is in proper n awaig cuudi!um an,i'or i? 1 art.- ii:apcc.io•r and purnpmg (if nccrssary), the scpnc lank is Icss than 1;J iull of sludge. I W,-me unJcrsavuui have read the am, r m"Il r r. ON rcr b matomm rile y ate ;,wage dispusal sys:cui with the stand rids::or for n, he:e¢c as tan W the Ucp;ir:ue nt ft onunu o air: die fh~parltr nn: of Natural ReBpmccs, Stare of NVisconsin. Csrtiftcallull stall:g that % '(]ill S I tic sy,t . l has be. en rn,f tutan cd oast be co•npletc,l itnd rennncd to the SL Ctuis Cuwtty Planning & Zoning Deparhuent within 30 dais ofllte lhrm year v\puanoi date. rue ,alit that all ztaternems on ill* Ia n it, vie to the hear of toylow k cos 9e. uae_ 1.'we a¢carc rhr. c.wnei(s) of the properly described above, by vii tn,: ota wenai , dctrl dc d tit A(a_tster ol'l)ce,.l s Office. Nun b r of bedrooms _ StGNA• LfRF 01' APPIdCA_MIS) - E DA r +"Any habmm-.tun tl:al is rills: epresented neat' result ill the saintai v pe n:rr bring dnnkcd by the Planning el Zoning Department. Include with thus application a e idull warranty deed `-odl the Registcr of heeds (,fficc and a cony' o the certilird survey nurp if reference is ruadi: ui the w-an tuty cccd. (RMV. 08;05) t- - `E r r ' yr•5 JY<`J.~', .~.1* F~ `may ~s : _ .10 f ldc) sw~ Pa. w,I • R Y t J T+ J. y IgpI of, + K w{ Sr }yp . may • Al I tjifi~ ~s„*L , .K' "7y 3X, ~st,~-3 l~ yw ~L ~ - ~ _ Vie, * 'M ..''L •:Z I..F ' • 1i~ Y'~.e` . Y ~ ~ IA,'~•Z ! N ~ ~S ~ ~ a , • L1 -.js •!W f f 'Ai J.J. *y el~r,~f ; op? jr' ,'l.. ti~•r~''Y F ~C'fyef~~ ~ . , • ','.',ai nw• n or rr`GC. • 8k tJE~ T- f if AV, .r r ~A i i I L i i a ' i1--'k J! ,,r I, ~ f _L.~~ l ~ Imo' Lu~~ ii_~_d~_,~ : } /C✓l it w,.w~ ~ 1 r----` f ~ ~ ~I ~ fI J ____-__--~--~-J ;'~r,~ wlaoonsin Deprunent of Cortrneme SOIL EY/ L'YATION REPORT Page L of 3 Division of safety and Bumangs , - - - se.'vr» .r.nm cw. Count" AtmCtt complete Nis plan on Paper not leas then S 12 z Tt tgches+a#ze. Plan nu8(t c5+ . l y 1 ti include. but not ItrMlad to: Varlkal OW hodzorlbl referane Int tats), dkscdW and Parcel I.D. Percent slope, seals or dimensions, north arrow, and "on and dlsterraa to'4sarest road. L PNaso print allInformafjO~\r R Date Para W Mermatlon you provide may ee Wed for eacondery WrOwelf.(Pe'!acy la=. a 150I (1) (m)}' - S //b Q Property Owner Prope 1 ~7 rty l.o a.,01 J`~ 71 .L~n! Govt.L L~J a to s 20 T.2 Q N E( w Ow re Malling Address Lot S Bock Sued- Nema or C4110 /cp d q late LP Code Phone Number qty ~ Village Nearest Road DocL' ,5yW ( 7 1,n - 9 i :,t C "7 FZ~tN9wC0n1*uctI0n Use: Residential r Number pf bedrooms Code 0~ design ft* ret ZQJ GPD ❑ Replacernent Public or comma I - Describe: Parent material -f Flood Plain elevation It applicable General coMnsnb end ItICO M*ndattdrla: Boring Boring ' x rX ,fy Pit Ground surface eleV. r L rt. Depth to WNtlng factor Z, In. MI licallon Rals Horizon Depth Dominant Color Redox Desalpoon Texture Structure Consistence Boundary Root GPDW In. Munsotl Du. Sz. Cont. Color Gr. Sz. Sh. 'EBaH 'ERx2 ® Boring x Pit Boring Ground surace elev. K I . h. Depth to limiting faao in. qpp Rab Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRr in. Munsell Ou. Sz. ConL Color C Gr. Sz. Sh. ' p 'Eft 'ERx2 15,1-311 ny,e, 2 S m r IV, ERluent #1 = BODO > 30 < 220 mWL and TSS >30 < 150 ffv& • Effluent #2 = BODr < 30 mWL and TSB < 30 mWL CST Name (Please Pq natute Cwt t~Wmber d[ 6 Address Date Evaluabon Conducted Telephone Nurnber 7 //-r/f- 0/ rs-p7 6- yri d ' f441)411n rltnlnxn III Property ow w Parcel 10 a Pepe _ of ❑ Goring ©Bod q a Pit Ground surface elev. 1' 2fl. Depth to I+mil(ng taetor~~ In. Soll Applostion Rate Morison Depth Dominant Color Rodor Description Texture Structure Consistence Boundary Roots WON In. Mansell Ou. Sz. Cant. Color Gr. Sz. Sh. 'E1M TIM `~2 i'L 1 C t~ .S II Io ❑ Boring ❑ pit Ground surface elev. _ fL Depth to "Ong factor In. 8d tlon Rae fiorizon Depth Dominant Color Redor Description Texture Structure Consietenco Boundary Roots GPDAP in. Mansell Du. Sz. Cont. Coin Gr. Sz. Sh. •EfW 'E%2 I I I i I I I I I Boring a pSorim it Ground surface elev. ft. Depth to limiting factor in. ❑ pit 3oll AppkWm Rae Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAN In. Munsea Gu. Sz. Cont. Color Gr. Sz. Sh. -Eff#i •Effs2 i I I I I I I I I I I Effluent 01 = 8006 > 30 < 220 mgrL and TSS >30 < 150 mtgrL ' Effluent 02 = 6006 < 30 mWL and TSS < 30 mok I - - I 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 fonnat, please contact the deparurnent at 608-266.3151 or TTY 608-264-8777. i I seouwiamiool Soil Test Plot Plan Project Name Travis Bonte Shaun B' Address 505 Erickson St. Woodville Wi 54028 #226900 Lot Subdivision Date 11/8/01 NW 1/4 SE 1/4S 20 T 29 N/R 15 W Township Springfield E] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation loo ft. Top of 2" Pipe System Elevation At-Grade •HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 95.7' 80th Ave 20% 93' 95' 120' IL Slope B-3 1600' M. 97' B-2 400' .M. u C G }O. W N I I