HomeMy WebLinkAbout032-2011-60-000
be~sro-sm Uena7-ent o• Cr.r ~•er°e PRIVATE SEWAGE SYSTEM St. Croix
Sa'cfy and B,,ilc mG U vas ~a^
INSPECTION REPORT Sardary PennitNo
GENERAL INFORMATION (ATTACI I TO PLRf•;11T) 605180
Slate Pi2n It) No.
vrr,son.al irformai on -;a, orewoe may to used for secondary pufposes ;Privacy Lan,, s. 15 C4 i Ilimil 3152481
?errcI Older's Name City Village Icvrsni, Panel Tax No.
Rose Telschow TOWN OF SOMERSET 032-2011-60-000
CST HM F e:' Ir Sp BId F.ev' BId Descr atom Secicm7own:RangcIDaap No
03.30.19.513C
TANK INFORMATION ELEVATION DATA
TYPE PAANUFACTURER CAPACITY \ STATION BS HI FS ELEV
UJJU4 bo(ku rC Ic((trdC" So v:'+.n 1'/W 4 C, be. -I~SS
Septic Benchmark
~Yc-
1
Dosing 11~T ~V (n 1 All. -P 1
Aergo 1 (y, I^ v, 2rnp BI Sewer
HcIdm y I T~1 1 SJHt Intel /IVV
TANK SETBACK INFORMATION l r I~II~iS 71 S SA l Out et 12 G~0 3
TANK TO PiL :-YELL BLDG. Vent to A, Irlake ROAD Ut Inlet
0.I
Septic of Bottom / 1(0.S p~ q
Dosing ((\~J YYr r / r Header x1an. 11Dq (J/,-4I• l
Aera en / J Dist Ploe U
Holding Bel System.
2-(-Z oo. III PUMP/SIPHON INFORMATION Final Grade
N1anufacturer J. Demand _ St Cover
GPIO
r•.1odel Number
I 'T
TOH Lift Fncbcn Los ~ Syslen Heat' T~ZD I3. 3 Ft
15. Z ~,1 14.14
Forcemain ..ertyrU, Da. L_ ~y i r is- tut.err.
I (p p'
SOIL ABSORPTION SYSTEM U
BED:TRENCH Width Le-.gth ~ No Of-, PIT DIMENSIONS Nr, O r.s Irs de U. a. [11-1:1C
epPDIMENSIONS 517 tr /
SETBACK SYSTEfs1 TO PrL BLDG 1%-YELL LAK LEACHING `danutaclurer
INFORMATION Type 0' OU Soto. N _ I r E;STRE CHAMBER
UNIT OR !.tadrl NumtYr
S~
qL6T~IBLITION SYSTEM 4t} A/ 1
eaoc- foie L`mPR..Lan x He e Sirs y x Hole Soaci- gVerl sn Air Int
/ r Pipr'sl r r' ~
I erg'h t{_ Dia~ Le-gth~~ Din SFaang l L-
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only L.,,AAake-
Du[4:^ Over p cpoi • Ove xx DupUt o' xx Seacen:Sotldcp xx! inched
6c : c•roh "•~r yr t~{6 IieJ•'Trr,•;hfeges Tepwil 17 pp Yes Na1'es _ No
CO ENTS: ;Incldde cede oiscrepencies persons present, etc.) Inspection #1: 171 Z7 j2.61 e- Inspection ff2' pC,14
Cprtw ~n I( 1 i t JV
Location: 608170TH AVE sv~, yl,,u f1pf1}'Y~ {..f OBI/.
' ) All BP.1 Desw phcn
2 i Bldg sewer length= FI JI r~ @~(1,~~'~1~1~t1Y1\
- amount of cove, = 1 / I
Plan rev tier side Required % VCS f o
Use other side for add tonal rlorrnat Il v IL _ Yry I - I r✓
D.we Insepc SigratWe Ce o
SRC blip R aio~~ i
f
F dd -a Tg - C9,-
9 -
i Saie and Bulzllr,ys Ulv s or.
g 15 r r4 Q 2p18 I 20 Vi Washingto • Ave. F om 7'62 r";mruq 'n a : Kumha it 6e ;.lieu , by' C4 1
utadsc> sM 53707-7 162
9~111~1ar~ )Crtllll application
n ~ ~i1K ti ~ C r 1 -m r t ,h,~ fos. I- I e appm : v r r t _
v r urc:J i , t t rn s,cN+ Haul \ I , unm tot ant. oa-lee P ,R"I < s ~a;apu. e- Pru)e... rVlltress il: dllawt ¢m, nurlrn *.^.ras;
w kP -w a,t t 3r }Y f r....1 r - r.d : I =rn Ja c u p,. u6e Mal be usei fur ..y (L+: L T, r cu 'rorro `ic n era lar llIno "t>,. _ / !L~ 7/~ ~
I lpplirav n Infnfnrmauun Plisse P. ml All Information
-tur,r')t_r t 41nm;'Itr1-csy n ltopcrtyL,.;u1iJt.O~j.2u. I~c~j13G
ieu, y :p Cade fhmr Vambc LJ C/ S'Cum~-
❑ l ype of Building (check all that appI - _I- T-,t
4a[di••isron Faun
/ m S iam:Iy Lhveilm_s ~umhcr :."tc _
~rie 1tlocAn
t"JbIIV ti]Lllflt.lnl-f}_~+TibC S:
..;ytc Uv.,:cd - llecLLr Osc _ iSRt Vum_'•re: _ ❑ L i.l tfc of
i H[ TypC U^f Lrllllt: (Ct1Nk (ITIY OOf IInC A LOmplfiP Irnf B if dppllCdhlCl -
\ 4
~j Vew Wsrcm e : n 1v(cn r au wnt r Ht ark L pI- <c r I tmrv ❑ Ah.v hltsciIi<atioe to ->:.,ttng W *,m icxp em',
:sl ? rn'inru Pcrmr t.omt a d :salt 1: r c.l /
Pertn(: Kcuu'el ! ier..,i: f t ~.I , au; c n:''n.mhcr }e-tai.. w.e'r Iwa
i lSCtur. i+;Drnnor, i ~Mnc 'I
IV Type of PON I'ti Svs4w. onlpuuentDcv lce: iCberk all that ap ly ~ r ✓ _
Noa F4cssc..L' h G..:: L' 4cs. ri. d n iroun7 1t-~iruc mlc c.. ofsulmble sml I ~ M1t and 'd a. fSU'SVbO~ :nil
. blciray rank '/e:a,f+c'-.:d=otry xnt xxpiv._ ?:ctt nmrrl k~_cc X;+li~)__L-Ll.-l_t ~Z_
R' Dlspe.1 Irea cot Area lufurmah . a7L7AS(~. 7s
.c..Fn P4 „f_r L' nl .r>h o N qd l: H-rc:•:v. c'= Fopr fi~ D^.Pav;A :co lh .ed l'll ly tmr r. ~ aioc~'~
V1. aok LJ ';.m.ncrvm Total o.;f Va..m(az-w^ -
y.,ra iella:e. Lmtt v _
INtk: bu9:aC teulo ~ ~ ~ ~ 'u J u ~ m _ I
A 11. Responsibility Slatem t- 1, thr under atned. c respnDmbila far ...e(llmum of r PUNTti buwa on the amcbed plans
rt t6cr's\av 'tmt:• °Iw < Lroar \:•b4'i(S Ntun u.. lusm>s Pbm,.N oar
/~-1
f'iUln%r'S Itlr_~CI •t tLAr, >Jp:-D C
t /1
L/ 1}7 J_ - I _ _ _
\'7J__a unty:'U~artmeur I tcc Uol
A r o - w.apn•<•.eu L Pcma Fef Liate YmrA 1 I>r.lns . t Srgr:nu:c
S / t
TU TU
.r~g20/
IX. Cuudrt iY6 acouc f[ 1 1)Is2pprova[ oo 1 r~~ ^
3~ r-7
1. M: terk, sttkbn• IiMe V NI
(*4W V', cell Most dll be 1C V t<
es perraragemen pi r ...F
- 2. ls/ sltlE .k rect.iw r'n s m-l 1,~ t<Ve:f e 1 I _ ///I
aspsr POPAXNn rdratc 0 t/~o .~i C__ -QfRn
4rvd Ic armpbae plain lo: rye n~nea aW :vbme m t wavy ooh w ptpv v k_» laau S 1 : x 11 inebo w - <
5~ 5 a1~w. r~.e~ AJAg1Z 54L,-16
System PL01 PLAN
PRt1.ILCT Rose Telscmnv, :%DDRESS 608 1?0th .Ave Sornerse' Wi 54025
SW I i 4 SW 1,4S 3 i j 30 %IR 19 v< T'Ow'N Somerset COUNTY ST. CROIX
5~'STENI ELEVATION 00.8' 8!22''.8 3
DATE BEDROOM
CONVENTIONAL \T•GRAJW COSVENTIO\Al. LIFT HOLDING TANK
XXY SEPTIC TASK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZL 630
MOUND
HOLDING PANT( SIZL LOAD RATE 1 .G ARSORP'f1ON ARL:A 456 0 of chamhers none
BENCHMARK N.R.P. Top of well ASSUME ELEVATION loo' Filter Llfetimc I'~ilter
ROxL:HOLF O w'ELI. >H,x,y. same as benCnmark
1 75'
r'ro ern Line
Area 15 below systerr
is to remain 100 170th ave
undisturbed R
1 2`o Slope
11 oc
Scale = 114" = 10' 13- 1
6 ❑ 99.8'
100 Grading is to be done to divert
run-off away from system
O Well
Huffcutt 630 Tank
Old Drywall is tc
be pumped and j
buried
Existing 3
DW ST Bedroom House
DIVISION OF INDUSTRY SERVICES
3824 CREEKSIDE IN
HOLMEN WI 54635-5466
D Contact Through Relay
S P htro udsps wi goviprogramsnndustry services
` S v Vv Wisconvn. gov
oy
Scott Walker, Governor
Laura Guterrez, Secretary
September 04. 2018
CIISI IDNo. 2209till ATTA': /,OIf~Ine)~rrlur
SIIM \ R BIRD 7O\ING OFFICL
BIKD SFI F S I0KAGF ST CROIX COtiN IY SPIA
14;2 120111 SI 1101 CARMICHAEI. RD
NL\\`RICHMU\D W1 ?1111?-(409 HIDSU\ WI 54016-7708
C'ONDITION.AL APPROVAL Identification Numbers
PLAN APPROVAL EXPIRES: 119+04;2020 Transaction ID No. 3152481 -
SITE: Site ID No. 853453
Rose I elschow Please refer to both identification numbers,
1701'11 Ava above. 'm all correspondence with the aency -
1 own of Somerset
St C'rot\ counly
S 130\. K19W
FOR:
ohlecl I sl)c. POVV 1 S Component Manual Rc (dared Object ID No I ;95050
\I.tinlcnance required. ISO GPI) Flow rate: Systent(sl: MOU"d Contponcnl Manual - er. 2.0, SLID -10691-P (\.01X01,
K. 10!12). Pressure Distribution Component Manual - Vet 'M, SDD-101'06-P (N.C11!01, R, 10!12): Ltlluent I iller
I he submittal described above ha, been rcvicw ed for conformance with applicable AA'isconsin Administrative Code,
and W isconsin Statutes. The submittal has been CONDfI IONALLY APPROVED. This system is to be conuructed
,111,1 located in accordance with the enclosed approved plans and with any component manual(sl referenced above.
I ac owner. as defined in chapter 101.01(10), W iscwuin Statutes. is responsible for compliance with all code
requirements.
r'
No person ma\ engage in ur work at plmnbow in the state unless licensed to do so by the Department per s. W.06. FT -
slats. F
The lidlowine conditions shall he met during construction or installation and i for to occupancoror use:
• This system is to be constructed and located in accordance with the approved plans. and the "\hr ut
Component Manual lirr Private Onsite A\a_tewalcr 5~-(ems Version 2.0" SBD-106')1-P (N.01!01)-
• '['his system is to be constructed and located in accordance with the approved plans and with the
"Pressure I)isiribution Component Manual for Private Ollsil0 Wastewater Treatment Systems Version 2.0"
SBD-107)6-P (N.01 0I
• Am tall grasses, leaves, and shrubs shall be cut short and removed prior it, tilling the surface lit
insallation to prevent mauins, under the dispersal area.
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches.
Smearing and compacting ofsvet soil will result in reducing the infiltration capacit. of the soil. Proper soil
moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 14- inch
\%ire, the site is too wet to prepare. If it crumbles. silo preparation can proceed. If the ~ilc is too suet to
prepare do riot proceed until it dries.
• Abandon the existing system components pet- SPS 383 .33
• Electrical connections shall comply with SPS 316.3011 and NE(- 3011
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
Insulate building sewers beyond 30 feet per SPS 382.31) (11)(c)
I
SI ISIK:? Paget 2 :,.a°'.nx
• \s alrracs, good workmanship and allenlion car detail during the installation process is critical in
achicvimg it tin:d product that grill perform as designed.
:A copy' of the approved plats, speeiiieutions uld 111r, IeOer'hall he on-site :nirint, construction and open to
h•speetion b\ authoriicd rcpresenrativs of the Deparuncm. Much nary include local inspectors. All permit,
reyuircd by the state or the local municipality shall be obtained prior to commencement of
con unction installation operation.
In 1-1-autin` this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary litr code compliance. As per state stilts 101. I'(f J. nolhin_ in this review
shall relieve the desi;_ner of the responsibility for dcsignin~ a sale buildin, structure. or component.
InJllll"ICS concernim. this correspondence ma% be made to me at the telephone number listed below. or at the address
ott:Ili, letterhead.
The ahove left addressee shall provide a cope of this letter and the Pf AV I1 mana,winent plan to the owner and any
others who are responsible for the installation. operation or maintenance of the P( - A\ IS,
sinccrelx, Fee Required S _'50.00
Ibis;\mount Will Be Imoiced.
/Y 6L# When You Receive That Imoice.
Travis J 1\'agner Please Include it Cop} With Your
Waacwatar Specialist . Division of Industry Set%icn Payment Submittal.
t6t18 )>98- I-I . AIon In. -.Oo a m- - is 1,0 p.m. WiSNIART code: 7633
Irani. warner ti wisuv
tt I,hr `n A -f ac lor. N;i.lcrcxcr Spec ialts:. I-1:' 6 51 IS' 1, Mon-Iil. 8:111 \-f\'1- - 4:1,11 P.\7.
r-
• As aleavs.:_ood workm:utship and attention to detail durim; lire installation process is critical in
achiesinn,- a final product that will perform as designed.
A cope o1 Inc appiove;l piam saccifications and leis leucr ehall oe or-~itc ja:1w, ons:rucTiol and op,-r. to
inspection bs authorized representatives of the Department. which mas urLrdc meal inane tors. AI] permits
required by the state or the local municipahry :hall be obtainer prior to commcncemen: of
construction insmllation onemoor..
Ir. granting this approva: the Div:_;ior. of lndusnl Services reserves the right to require changes or additions shout-
conditions arse. makim them neces,a-v for code comnhance, As pcr state stair 101 .122 i, nothing in this review
shall relieve Inc designer o the rcponsibilin for designing a safe building. structure, or component.
!:iquiries come ning tins correspondence mac be made to me at the telephone number listed below. or a' the addrem
or. this letterhead_
1 he above Intl addressee shall provide a cups of du, letter and the POM-15 management plan to the ossnte: and am
others who are responsible for th,, instaliation. operation or maintenance o~ the POWTS.
~inccrch. - - fee Rcutnred S 250.00
- ! - ~ - phis .Amount 1VIlI Bc Iccoiced
~
Nkn You F .vc Ihat lmoice.
I mis W lane- C/ Please Include a Cop, With Your
1k isictvatcr Speciaust . Division of lndwtrs iercices Pncmeu: Subouoa!.
i 60S ~i98-0-IS . NIon-f.i.':00 a.nt - + 30 p.m. WiSMAKT code 763=
trzrvis.wa~netsti'nvi.gos
Edwin A I for. N~ust,°a vier ~aeciahs:. 1 5, t, - dR-_ Mor. Gi. S:ilr,, !\.MI. -4:3,0 P.N1
RECEIVED
UG 7 4
Cover Page r~u ;TRY SERA iCE--V
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 8/22118
Owner:Rose Telschow
Location: SW1/4 SW-1/4 S3 T30N,R19W 608 170th Ave Somerset
Manuals Used: Mound Component Manual Version 2.0 (N.01/01: R. 10/12)
Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12)
Page#
1. Cover Page
2. Mound Plot Plan
3. Mound Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7-8. Maintance and Conligency plan
9. Filter SpecificatiT,1s d cross section
Attachments: Soil l{ s
I
Shaun Bird r
Signature JJJJ _ I _ _
License number 2$6 0
i
Page 1 of 9L_
System PLOT PLAN
PROJECT Rose TPlschow ADDRESS 608 170th Ave Somerset Wi 54025
SW 1/4 SW 1/45 3 /T 30 N/R 19 w low-, Somerset COL'Nfy ST. CROIX
SYSTEM V1,11-NATION 100.8'
DATE. I1r•,nrzootvf 3
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT 1101.DING TANK
NIOUND XXX SEPTIC TANK SIZE 1000 gallons IAFT TANK SITE. DOSE TANK sI21? 630
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 N of chambers none
BENCHMARK V.R.P. Top of well ASSUME ELEVATION 100' Filter Lifctitne Filter
❑ BOREHOLE O w1;LI, 4H. R. 11. same as benchmark
Pro ertv Line 175'
Area 15' below system
is to remain 100'
170th Ave
undisturbed 2% Slope
'
Scale = 1/4" = 10' 99,
B 1
B-2 0 99.8'
100,
B-3
Grading is to be done to divert
run-off away from system
0 Well
Huffcult 630 Tank
Old Drywell is to
be pumped and
buried
Existing 3
DW Bedroom House
Mound System Cross Section and Plan View
.-r _
r - - - ` w Dimension Feet
t A S
t 6, ~
- - - -_J ; - K -
7z1
- - - - - -B
- - - - ! --Z - - -
--I
1 = I opsuil 1SI.A9 C-_ > Clcan agr.« reptr 4 i
_ , Cap Material sand fill = in. sch. t0 pvc
to 2 it). dia.
observation pipe
Ocote.xtile
Fabric
/ 7777
\ F
)Tom t
t~
- ~ F
Plowed SL face F
t Contour
slope Direction `
-1►
GENFkAI. INSTALLATION: The mound area is staked out along the disi;gn contour. Fsisting
vegetation is mowed and raked off the site. I'Ite. mound basal area (I.. W) is plowed with a moldboard or
chisel plow, flowing may not proceed if the soil is wet enough at the plow depth to torna'/• inch soil wire
when a sample is rolled betwcen the palms of the hands. ASTM C-33 quality sand is placed immediately
after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or
is placed overhead by a backhoc. Special care must be used when placing sand of less than one foot
thickness to mininuze compaction of the plowed surface. After the topsoil cap is placed, the entire mound
is seeded and mulched to promote vegetative. growth, limit erosion and protect from freezing. The
observation pipe's are ,lotted in the lower G inches and scemed in place with rebar or a closet flange.
10i(17 lgj fags % o
Pressure Lateral Layout
Two Laterals -Land Manifold
i' f _ Threaded
Cleartout
I aieral'IUrn-uP Plug
manifold
t 1 + I~
t T k
Force Main I Lung
1 Sweep
90
i
Di -r butiou Networl: Specifications
r - - Pressure System Construction
Lateral Diameter _ In.
`
Manifold Diameter
In. Laterals are constructed of Schedule 40 PVC
LOufrce Diameter_ pipe Orifices are drilled perpendicular to
X (Orifice Spacing) a 1~ Lr. the pipe with a sharp drill hit and face down.
L Lateral Length) f- Ft I Lateral turn-ups terminate with a threaded
M (Mamfokl Length) cleanuut plug and are enclosed in a 6-R inch .
Force Main Diameter [n. diameter lawn sprinkler valve box accessible I
Force V1a:n Length i .G_Ft, fi'om fuiished I!rade. -
IQV
• • • • • Grade
b-8 Inch Lawn
Sprinkler Valve
Box
Parr f o
O.i%b5 Igj
•
Dose Tank Cross Section Y"d Pump Periormailce Specifications
]'Link Manufacturer Minimum Ptmtp Perfitnnance Required
Iank~, lodelNumber J^ - - -
Total Tank Capacity f J - - 7 C Ylv1 Lu%I~~/I I'DH
Nlax. I3urv Depth - I _ 1 oral Dynamic Head (TDH) - Feet
- - - - - F.1evation Ilead r L
Pump Manufacturer ~ _
Distal I Iead~
rPump Model Number Z~ C)/ Network Head Loss
Alarm Manufacturer U2cr~ , r PMain Head Loss
L Alarm Model Number
-r~ biller Head Loss
tiwitch'lype 'tI t LI'otal
- -
Manhole Min. 4" Abo ` iadc
Vent Min. 12" with hocking Dcvice
Above Grade N1'cafficr-proof a
1 with Cap function Box
Finished Grade f
Disconnect
~j Means
Switch Settings and Reserve Ctpaciry J
fillet
_ futile Volume - GPI
Dimension Inches \ ollune Gal.
A
(reserve)
:1
1~s2 5
(alal,n) - 3 r; 1 weep
1101C
(dose) C olo
(dead) Off Flev. C
2Sp -~r••t
Total_Ll'~
a D
t3 t
ollorit of i3mk laev. r 5
GENERAL INSTALLATION: The dose tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of bury as specified by the
manulacturer may not be exceeded without prior approval. lblanhole covers exposed to grade have
an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved
material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or
sagging. The force main is sleeved %kith 4" Sch. 40 PVC to bridge the excavation and is sealed
watertight. Electrical servicecomplics with NEC ?00 and Corum 16?8.
e- O
10,-`0 ? 1 gj Pa° ot/
290mSERIES
314 hp Submersible Effluent/Sump Pumps The Liberty 290 series provides a cost effective "mid- Performance Curve:range" pump for on-site waste water systems, liquid
Cm~-);eries
/
waste transfer and commercial heavy-duty sump pump
35. - _ - - -
applications that require higher head or more flow. so
Designed around Liberty's unique "Uni-Body"casting,
the 290-Series will provide years of reliable performance.
10 9
All Models Feature: - -
• Semi-Open impeller permitting passage of solids
up to y„ ,o ;
• 416 stainless steel rotor shaft -7
• Permanently lubricated upper and lower ball bearing 0l - - o
• Epoxy powder coat finish o o zo x o w Bo To w so
Flow (GrMI
• All fasteners - corrosion-resistant stainless steel -i ! _ a „
• 1 Discharge 1i,--P" Ltenm1 2
• Stainless steel bottom screen - easily removable Dimensional Data:
• Maximum fluid temperature: 140 F. Weight: 31 lbs.
• 290-Series Cord Lengths Height: 13"
Model 10' 25'(-2) 351(-3) 501(-5) Major Width: 10" (model 297)
290 Standard Optional optional Optional Minimum Sump Diameters:
291 Standard Optional Optional Optional Model 291, 293...14" -
293 Standard Optional Optional N/A Model 297 VM F... 10"
297 Standard Optional N/A N/A -
Factory switch Model 291, 293 Model 297
10' cord funyttl standard on alt models. Fur optional lengths, settings VMF
add "-2. -3 or -5" suffix to model number.
Example: for model 290 with 35' cord. Ostler 290-3 Turn on level 13" 9.5"
Turn off level 7" 4.0"
Motor Spec cations
hp 6U HZ 3450 RPM The Model 293 feanlres a fully adjustable wide-angle float.
Drfferential ;adjustments can be nwde easily by tethering the float
Oil filled, thermally protected to the di ;charge pipe or other mounting point. Vertical float model
29t a nut adjuslablc.
115 V. Models 10.4 amps
208/230 V. Models 5.3 amps
x I" iV-
l n 7
Model 290 Model 297 Model 293 Model 297
71 Manual, U) 1 Wide angle It Wide angle { VMFSenes
no switch float switch X11 I float switch f Vertical mag-
U:. with quick- with series netic float for
_ disconnect (piggy-back) smaller pits -
plug - will operate in
'7" a 10" diameter
sump
Cer~euf C"'Us _~c Certified
SpeGmG9t0t152'e w0l~tt. :narrx w.e,am nialcc.
Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800.543-2550 Fax (585) 494-1839
www.libertypumps.com copyng111 r. 4berly rumor. Inc 2011
All rnf-In reserved. tt1T 6681 R09/11
I
POWTS OWNER'S MANUAL 8, MANAGEMENT PLAN PaAe or_
FILEINFORMATION SYSTEM SPECIFICATIONS
Owner ` T - L Si , Septic Tank CP?
a
'Pertnit& dal UNA
Septic Tank Manufafe U NA
DESIGN PARAMETERS Effluent Filter Manuf r -
NA
Number of Bedrooms ❑ NA Effluent Filter Model
Number of Commercial Units STf-1r~~A
_ A~Nq Pump Tank Capacity al_U NA
Estimated fknv (average) U aUd Pump Tank Manufacturer
NA
Design flow (Peale). (Estimated 1.5) l JU gal/day Pump Manufacturer
SoD Application Rate 11 NA
gaUday/fP Pump Model 9Zb J
NA
Influenti'Effluent Quality Monthly average' Pretreatment Unit A
Fats, Oil & Grease (FOG) S30 mg/L O Sand(Gnivel Fitter U Peat Filter
Biochemical Oxygen Demand (BODJ 5220 mg/t. ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 m g& ❑ Disinfection U Other
Manufacturer
Pretreated Effluent Quality ~A Monthly average" Dispersal Celt(s)
Biochemical Oxygen Demand (BODsj X30 mg/l, ❑ In-ground (gravity) ❑ 1 "round (pressurized)
Total Suspended Solids (TSS) s.30 mgfL ❑ At"rade MQund
Feral Ooliform geometric mean) 510' cfWt00ml ❑ Drip line ❑ Other
Maximum Effluent Particle Size , inch diameter values typical f« do w sulk (non co nn n dad wastmvater era,
sepW tank effluent.
Values typical fur pmtmated wastewater.
MAINTENANCE SCHEDULE
Service Event _ Service Frequency
Inspect condition of tank(s) At least once every > U monthsjd-year(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume
Inspect dispersal cell(s) At least once every - U months. Pearls) (Maximum 3 yrs.)
Clean effluent filter At least once every ( ❑ months _21(s)
Inspect pump, pump controls & alarm _ At least once every L1 months _546r(s) 0 NA
Flush lathrals and pressure test At least once every I months>&year(s) ❑ NA
Other. At least once every ❑ months U year(s) ❑ NA
Bf At least once every O months ❑ year(s) ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or
certifications: Master Plumber, Master Plumber Restricted Sewer, POINTS Inspector, POWTS Maintainer, Septage
Servicing Operator. Tank inspections must include a visual Inspection of the tank(s) to identify any missing or broken
hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up
or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels
in the observation pipes and to check for any ponding of effluent on the ground surface - The ponding of effluent on the
ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one third (y,) or more of the tank volume, the
entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR
113, Wisconsin Adrninishahve Cafe
The servicing of effluent fitters, m nic-M or pressurized POWTS components, pretreatfinent components, and any
other maintenance or monitoring at irlervals of 12 months or less shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
START UP AND OPERATION
For new construction, poor to use of the POWTS check treatment tank(s) for the presence of painting products or other
chemicals that may impede the treatment process arid/or damage the dispersal cell(s). If high concentrations are
detected have the contents of the tank(s) removed by a septt~age se~.rrvvicing operator prior to use.
L/ r Y
Page - of _
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals the :t
may :inpede the treatment process and/or damage the dispersal cell(s). 'f high concentrations are detected have the contents of th?
tank(s) removed by a septage servicing operator prior to rise.
System start up shal! not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenS.
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to 'Yie
effluent pump or contact a Plumber or POWTS Maintainer in assist in manually operating the pump controls to restore normal levels
within the pump tank.
00 not drive or park vehicles over tanks and dispersal cells. Do no'. drive or park over, or otherwise disturb or compact, the area within
15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong line life of the p0WT3:
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain
(sump pump) water, fruit and vegetable peelings: gasoline; grease; herbicides; meat scraps; medications; oil; painting products;
pesticides; sanitary napkins; tampons; and water softener bane.
ABANDONMENT
When the P04\?S fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propel
and safety abandoned in compliance with chapter Comm 83.33, Wiscons,n Administrative Code:
• Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contemn of all tanks and pis shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS falls and canrot be repaired the following measures have been, or must he taken, to provide a code compPOrf
replacement system:
O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requiiied
setbacks from existing and proposed struchim. lot lines and wells. Failure to protect the replacement area will result in the need
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must empty with the ruler in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Setting advances in POINTS technology a
holding tank may be installed as a last resort -.o replace the failed POWTS.
rho site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. It no replacement area -~s available a holding tank maybe installed as
J a last resort to replace the failed POWTS.
\p Mound and atyrade soil absorption systems may be reconstructed it. place followinq removal of the Nernst at the infi!tmtlve
rface. Reconstructions of such systems must comply with the rules in effect at that ti me.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT- RESCUE Ok A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name - - - - Name/ ` j
v
Phone Phone J _ ( -
SEPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUT OR
/1. 2 -7 1
Name Name
Priors Phone
'I M3 document was dratted in comp!larce with chapter SPS 383.22(2)(d)(-J(d)&i?; and 383. W I), (2) & (3), Wisrxxram Administrative Code.
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NJIL: ?!11 ET ti`d0 O:AH I E';t~E
Pic 1'1f'_
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S'I'. C72OIX C'(lT;N7`'i'
SEPTIC YANK MAL FLNANC`E rt(OR'FIMLNT
AND
OWNERSHIP 0FRJ'1PTCA'1'KC:N FORM ~
Mailing Addiess Z-L4 ~ ~ 1
>z-o l l i-
Property Address -
(Vcrific lion required Ituul Plamung & %oniug Depart neat tot new consouction.j - -
Cfty:itiGttc - Parcel kicni;licat:on Nurtbea ~_=(J11 ' _
J_J
Cr
LEGAI, llN SMIPTIOlt
Property Location t~'~; I'.;~ 0 N RW, 'Town oi-11-7pI(; ~ -
Subdivision
- Lot
Certified Survey Map K VI lame-- Page .4
Warranty Decd to. olllnte(~p~ Page'
i/ l -
SPc, house ye n ;.el;infs. identifiable }'r nt
SYSTEM NIAINTENAN('E AND OWNER (TR'1'll"l('ATION
Improper use stud lnammiance of vow sclate cystcm could re:edt lit its pnnnamnr fa three: to bartdlc wastes, Proper
umtnleuaucc eeasisls of pulliping nut the septic. talk eve: v three years er sooner. it needed, by a licensed pumpet. What you put into
tho sy:;tcm can aoirct the filllitiofl of fie septic tank as a tr'carmrllt stage at the wasm (bSposal system. Owucr rramlenance
respoi s;bilitics are speciftell io §e::omm. 8I I :red ur ('hapt-r 12 SI- (:'rots ~ eity',awtary Ordinance.
The property owner agrees to subnul to St. ('urix Cc+nay Piauwrr_ 6. Zorr nl; I )eparorrrn: a aerlrlicalron form, signed by the
owner will by a nwstor plumber, )omuryznan plumbci, Icst-toed plumi'm or It lirrnscil pl:mper verihin' e that ( t) the on-site
wastewaler disposal system is tit proper operating condition ataoi Pi ancr nspa::ion aril Inimping (it na:essary), the septic tank Is
kss than Il'; (till of sludge.
1. we, the m.;lct 5ured hrn•c read the : boor Iccluucw,uls tied ai~ree to twon-cur the pu are scy:age disposal m tout widr fire
suardards sat !ortir, 4cnrr as sel by the Dcparnut r.t of Conlrr:LC and ihe• Depamr cut of Natura. Itcsounxs, Stara of Nlrlseorrsin.
Certification stating that yore septc sy'strm has been maintamod must be compietr,l and relo rated to'hc Sr.. Croix Cotmty Plamtmg
Zoning Deparoneut wif1u130 days of !hr three year eximalioi dal:.
lrwr ccmf'y that di sia(cmcntc oil this form ate true to the. Sect of my;otu kuow9ed>•e_ lr~wr ;rut''alc the oteuerfs) ofthc
property dcu ribed abot a by vlrfila oCa to rr arty decd recorded tit kvtl ist r of Ute. s Olfiicc
Number of bedrooms
SR,NA U I APPLiC'ANT(Si DATE
?n> iufornatmrt that is tntsreplcsemed may resu:t m Ihr s:+rn .u V permit Seim: ovoked by the Pianninp. & Zoning Dcpamnem. ,
Include with this application a mcolded w.arrawy deed Lom the Register of heeds : nice acrd a copy of the, certified strivey ntap if
reference is made Iii the warranty deed-
(REV. 08105)
ST- <_RUIX CUUN'Py ZONING OF'F'ICh
UT'ILILAT',ION 01.Lc' tI AN or3 STA'1'EM EXISTING FMT
SEpq'IC
1'71r^ is t.o corti.f
Y that 1 have TANK
/'ving the 1n~p'cted the sept:_.c tank h1 es~l f
ie("tl,On - _ ' } L''S•i f,~Bn('P. :OC(l t'. t,iJ a 7::
the tank UPOn i.rlspecti
and on, - W,
battles to be l certify tha4 i hevr-
j Cunction, n In good condition,
g properly_ and it appears
- to he
ist ti.;nc serviced:~.< 7
I' Llooi L~Yc000t:17
rrom absorption system? - - - -
A no, skip ne>: 1in-;
Ap'foximat'- volrune or
length of time:
lPac:Lt_y: gaIIons -lilt
traction: Prefab Concrete
{I Steel. Other
tianufacturer:
f known;
If known): f
(N me N ease Print '
{Li.vense :umber-)
rte! ~ - -
to be conlplet.ed by licensed plumber
rud~Caet) Ites) or Licensed Lisposer
14.,_(iii;• W.:.s<:uia.n
- - - (NR 1;3 Wiaconsi.n Administr,ir'.vr-
cu;nber (applying for sanitary permit - -
l!i .ZCrc~p!_i.ng ttre
'-'t'ntj .Lta O11 y above S~.a CE+171(-'nt C•C9 Line
m ! eXl;;
I certify that the t tiny s,pti0
"°'ltor to the re best: of
nr,pecti.orl Opnninrement.s of - a L Ilk to 8: my knuwledge twialnk
will
_ q vcr o ' Wis. Adm. Code
_ utlet baff (excep+ !ar
Nat
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Wisconsi,Department,0&441Ce SOIL EVALUATION REPORT Page I-
Division of Safety acid Buildings
in accordance with Comm 85. Wis. Adm. Code county
Attach complete site pan on paper not less than 8 112 x 11 inches in size. Plan must
include, but not limited to. vertcal and horizontal reference point (BM), direction and Parcel I,D ,y
Percent slope, scale or dimensions, north artow, and location and distance to nearest road.
Please print all information. Revie by ate .~,r
penwrul Odonme d you poyA may de ued br,eoondary purpuses (Puvepy Lew. a 15 04 (1) (m)) -7ZC
Property Owner I - Property Location
n
1, C7~~ L Govt Lot' ~o I1rJ1 14 S 3/T 7 N R E
n ( 4W)
Property Oaner's Mailing Addre Lot # Block # Subd. Name or Attf
7() O ti
City State Zip Code Phone Nurnber 0 City ❑ Village own Nearest Road,
0 New Construction Usu esidential I Number of bedrooms Code derived design flow rate yw GPD
Replacement ❑ Public, or commercial - Describe' _
Parent matedal f n~'~1 ` / n
Flood Plain elevation it applicable __~y r }r ft.
General comments
and recommendations.
System Type Pl"LG-1~'m--~_ rem Elevation.
Boring # 4 Boring !,m n r
~}C , py Ground surface elev.1, ft Depth to Iim" factor in
Soil Application Rate
Horizon Depth Dominant Color Reddy Description Texture Structure Consistence BoundaryRoots GPDHf
In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'ERd1 •Ef #2
y
Y Y4
Boring # ❑ Goring .-r -1
fi ® Pit Ground surface elev [ R. Depth to limiting factor_ In.
Soil iicabon Rate
Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD#f
in. Munsell Ou. Sz. Cont. Colo Gr. Sz Sh. 'E"i •Eff#2
477
/
Effluent k1 = GOD. > 30 < 220 ffKA and TSS >30 _ ' Effluent #2 = SOD, < 30 mg1L and TSS < 30 nkpl-
CST Name (Please Print) i ure CST Number
Bird Plumbing. Inc. Shaun Bird 226900
•4ddross Date Lvaluation Cor~ductod Tnlephons Number
1432 120th St, Nev., Richmond, WI y4( 715-246-4516
Property Owner _ Parcel ID of / Page _ of
Boring # ❑ Bonny n J/
E, pd Ground surface elev/(1~ft. Depth to limiting factor In. Sal Applrztion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Jssist.ennooee Boundary Roots GPDIIf
in Munsell Oki Sz. Cont. Cola Go Sz Sh. 'E"l 'F11p2
L /
❑ Bonng
Boring # pit Ground surface elev. ft . Depth to limiting facia in.
Soil Application Ra!c
Horton Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDftf
in Munsoll Qu. Sz. Cent Color Gr. Sz. Sh. 'Eff#l 'EB#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev- ft Depth to limiting factor in.
Sod Application Rate
FoH~n -depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPO/ff
.n. Munsell Qu. Sz Cont. Color Go Si Sh. 'Eff#1 'Ef #2
Effluent #1 = SOD, > 30 < 220 mgrL and TSS >30 < 150 Ingot ' Effluent 112 = BODE < 30 mg4 and TSS < 30 mg4
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
CNM1II~I! ~ (R L1xli
Property Owner- Parcel ID# Page -of-..--
Sonng # ❑ Boring
tmom. Pit Ground surface elev`ove o . ft Depth to fim&V factor _ in.
Qc
Soi ication Rate
Horizon Depth Dominant Color Redox Description Texts Structure Consistence Boundary Roots GPDMF
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
4-7 11,- -
I I Bonng # ❑ Bonng
I-,.J ❑ Pit Ground surface elev. _ h. Depth to wn" factor in. Sal dKalim Rate
F"mon Depth Dominant Color Redox Description Toxturo Structure Consistence Bounrkuy Roots GPDRF
in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. 'Efl#1 'EV2
BonrV # ❑ Bonng
❑ Pit Ground slafece elev. h, Depth to Gmtrg factor n.
Sol Application Race
Horizon ImPth Dominant Color Redox Description . Texture StruceLm Consistence Boundary Roots GPDAF
in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 'Eff#2
FEE
' Effluent #1 = BOO, > 30 < 220 nxyt and TSS >30 < 150 rrgL ' Effluent #2 = BODE 130 mg& and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you nerd assistance to access services or
need material in an alternate format, please contact the department at 608-266.3151 or TIN 608.264-8777.
sauuwrx snot
Soil Test Plot Plan
Project Name Rose Telschow Shaun 1
Address 608 170th Ave
Somerset Wi 54025
#226900
CS &2118
Lot Subdivision Date S W 1/4 S W 1/4S 3 T 30 N/R19 W Township Somerset
❑ Boring 0 Well Pl. Property Line County ST. CROIX
B-1 or VRP Assume Elevation 100 ft. Top of well
System Elevation 99.8' 'HRPSame as Benchmark
175'
Scale Is F= 40'
unless otherwise
noted 100' 170th ave
2'% Slope
99,
Scale = 1/4" = 10' B-1
B-2 ❑
100,
B-3
Well
Existing 3
DW ST Bedroom House