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HomeMy WebLinkAbout036-1068-20-025 Vol sconsi-Cep armert of Cammrrce PRIVATE SEWAGE SYSTEM St. Croix S.-tery p.ng lip IJ Uws on INSPECTION REPORT Sanitary Per- 1.140 GENERAL INFORMATION (ATTACH 10 PERMIT) 605161 State Pla° D , No. Persona nfc•matac 'au Froeree pray he :sec tot seccrrlary purposes Ilonvaey Lax•, s 1~ C4 illpn)l 3149392 Venn' I lolec' s 4J.- v City Village Tcv,-Sol Parcel I.), No Kevin & Christine Melby TOWN OF STANTON 036-1068-20-025 C51 BM Llc~ msp F, Elev 3N Cesenot mt D SecvonJovm~Range Map No. 1OC D `I PVC_ 29.31.17.441A TANK INFORMATION ELEVATION DA A IYPI- MANUFACTURER CAPACITY STATION BS HI I`S ELFV r Sep:c ~Cpe,a - /uD Benchmark 2 Fn I~~. n I Uosm^y CRr AL' BPI ' T 1 ~ .-1-•~: LIEF (~/Cf (0-r5 `34v. 6,~. Aarelien Bldg Sewer 2 ldk zs I z. 99, r.1`7 Holtllrg Suitt Inlet # TANK SETBACK INFORMATION S 0 SVHI Outlet 0 TANK TO PrL :4rCLL BLDG Vert tc Au Ptaxe RUAU Ul Inlet Sepu:: - 1 Or Bottom -I qf Dosing HeaderWan 4 cis 4 2 Aeration Dist Pipe d Ho.din^ Bot S ern Final Grade r PUMP/SIPHON INFORMATION Polaru`actu•e• Demartl St Cover L9 C a G1vPfNIa L ~Jrv Gf- ~o~ (0C.1l~1 GS 1 (0. (0 Niccel Ni.muer 1T Il /o q-- LkA -4 3.$ TDtI L. ft rrictior Loss System Head Tr~~{ ft Forcrma;n Length Dia I.d Dslta:'den }1uG, J Qfll(/U IO•S SOIL ABSORPTION SYSTEM BED:TRENCH V,J:h r Lc^g:h Nu O`Trenches PIT DIME NS NC U Ins.geD L441d D^ DIMENSIONS 1 'rZ ( SETBACK SYSTEM TO P:L BLDG WELL LAKErST EANI LEACHING rAan..racmre•: UN OR INFORMATION rife Ot V jo~t 3bD CHAMBER •r 5 t .1l.r Y~ 71 ~ r IT Moecl Nuikm I DISTRIBUTION SYSTEM V IcaJalbtan'c J D sit uut.on x dole S<u Hole Sp nine Art Irtakc r l LCngLr s~ :)I." _c-_{ ~cryllrJG.f) L'-a /,7 SPacinSJ SOIL COVER x Pressure Systems Only xx Mound Or At-Gradl6 •Systems Only Depth Pier 1 Jepth :mer xx Death c` xx Seeded+SwJJCJ xx I Lilched DtuJou"Cr Come' SoarlrCncr Loquu Tuill-,J VU6 No Yes No COMMENTS: (Include code discrepenc.es, persons present etc) Inspection Inspection #2. s I I,n~q I 9• S~ Location: 1ti4420CTH AVE PL./OW ippute LD4~ 1.) Alt BM Description = (n ) 2.) Bldg sewer length = 53 0 - amount of cover = f~ Plan revsion RCgLiiCd9 I Yes I No Use other side for additional -.rfo•mation. W 9 7 `'C(!/("~ Date huepctoi s S.gnatur6 .^,er.. Na. 15- 5/96 -doll - a4 y y C ~j vi(f ~•r` - -..T_ d~ j:. n l lsuU lnrl: I rocr,Il 51, CIVG /A US 201 v -I •I'In l l . P.O. lim 7182 Sa.:lt t I l uulI Pill 1. I IIn la: 11.1 I ' 11t, Co.) ~l <l N~, 1 I, li._ ~~I~~ Llnrllx ll, .JI u0/LI 1162 ` 1` 1r f I 1 \'lLl~.l-1 ().1•\f ~~`I1111I~ 1,_ppf l)1 ` tilllll.•1•liil:. t,.l i:,l/l 1~\111QI,L~17 II a vnlt r ] 1. _:1 I 1 IJJJ, I I 14r.ia1 : r llr 1 Ira II - 1 -elin II L. 11 u1 I r I,ril q ✓ I.ydw pi o.,ll a.n'i ya .1, Ll,I I,,, .1 I I \p; lirxtli Llu. bur J :,+l•/Ilrtl l'UL lit LIu wbm tlul to Plci: 1I'J;nss flfailfcrcal lhru m-ifi1Z.aLb.s) ll U i ti IY 1 I I I w, l C l :l al 1,4 n ti,ln )roll "I YI1L' ll4y l I :I I.n .:rC.u,dmy l • w. r` I I 1 it's, . +I II II IL. 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I •e (:.•.la T1 ' ¢•I I: uAl,%.J ~~bluul I - fiLoivlil:ILt i l 11 I 1'a,A 11111 I.i I1 ny.•• I I.I.in) - _ - I`lelleaM1 r 1 Duiu (a.xl Lnn) _ 5~~- 1''. Ihvl r. 119'1 Iln ul ire 1 L I 1 nrdiou Dwl 1 1 o.c 1•pA) 1- v;o ti At 1 1 lien C ~I,pd:0 1 1 1. 1 IL: x I< a id l ul pcl. 1 A 1 i (sf(if~jf 9pN. 11 nn..u 6 ,(e Goo 600 1 - o T l'I. 1aill. lulu < pn-iv 1 I liabl t.i:nndn•..u. rl lrelL l uI!m Lul.. l Nrw'I:a lx I o:b Lb:A:: P ~I ~ , L./ f G ~D~ SZ a all 1 4.17 P• pro - ~ I >f~ I - I V(1. li rslw nsiL it ilv Slulrun:nl I. It.,. bbdu,r;nc.I, ass ...V I..'I -nlbinly bar nrs lallnl..... nl lL:: I'OW'IS.binw ub Ihr aualbrd pl:ms. Plm I 1 IJT:ur. 1l .i.lli 1IJr'e 11 --.un.: tal':A11'It8 NuulLcr Ur u;csS l':unu Pious Srr ,oanHr`f Q`6lY _ - I << - I -7z/q7/ ~iJ=.ZCP-G[37 Plans i \-%L4p t1 I 3S--Z "Si A~- • • ~w ~ _ svuo~ VI11. Cuuu/\;Dr .:u'nnL11 ri, :Sr L r,dL) _ ~ f Il. only h.:plorr;l 1 11'.:I:nd I -c I Ilidc ISStIC 145:1ir. Lout lgnu A T~.+twnc(f v.::i 1 r. I:.1' Jc u l l I g/~~ IF O I _ IX. Guldifl'jY{ I 1:uous for 11i,.Ppru\:11 - _ , 1..:6111 lark, v lt.cm IiRe-elil 3) r~'r s7l+~ . ~ Uipel cell'. 1 I Fa Ir s r 'nt e( l L AA,.l as per ,;wrrecuit n pi . v 1u noe I n CJrR~% T - I 2. AUakr,r`.klecur ns mu it L l.O r'. I --+►PKi'DF~?;~a~ ni...».v,f A - A t ~p / i Z_ n t• n+nlele eM1 ror ILa vyHO:. I n,d 1 tl ttuuulr un1Y 1 t'+n1 1 1 1:m b '('111 .1. 1 I ~Ile t <; 1 c r~ / y u , r - zp- y ✓ 1 asp DIVISION OF INDUSTRY SERVICES lCt4t N RANCH RD HAYL^JARDWI 54843.6462 D S Ccrtact Througn Relay P c Nip.. •dsps wi gcv~programsand,rsf i-servicea J mm vnscansn gcv Scott Walker, Governor Laura Gutierrez, Secretary August 17. Cl_: ST ID No. 2? 14? 1 -I l 7.V': P0117's b!.rrcrJUr DENNIS J GILL; ZONING 011 I(A GILT F. TRLC'KINO.£ F:XCAVA'I'IN(i. INC. ST CROIX ('OLNI Y SPIA ?~140 1 11 S I 1101 ('AIR%l1CHALL RD AMLRY WI x',001-'3-10 HUDSO's NI >4016-^708 (()NDITIONAL APPROVAL PLAN APPROVAL LXPIRLS: 08!17?2020 ' IdDN31 Numbers 1'ruasaClion ID No.. 314939? SITE: Site ID No. 853084 Kevin Melbv Please rcferto both identification numbers, ?0011 It Acc 'Labove, in all correspondence with the a_cncv. *1 Otto ol'slantoll St Cron County NI'11. NW 11.1. S79, T! IN, RI~N• - FOR: Object type: POW IS Component Manual Regulated Object ID No.: 179 Maintenance required; Replacement system.: 4W (,PD Flow rate, Systcut(sr Mound Component Manual - Ver. 2.0, SRD -10691-P (N.01101, R. 10 12); 1:111ucnt HIM CONDIT101*1 APPRD Tile s.IbmitCd de. rribed about ha. been nwccsed for nnilimn ncc with applicable \4 iscnnsilt Administrative Codes an;1 \4isconsm Sltlut s. I Ile submittal has bc,.ll ( UNDI'I'ION V l Y APPROVI.1). 1 his svstctn is.,L t~AtF~( AND PRO and located in accordance w Ih the enclose..' approved plan, and walh any component I t Ill;'I ) reD "SION OF INDU The owner as dclmed in chapter 101.01(10). A4 iscun. ut >talu cs. 1s responsible lot cmnplianc • with all cud regwnm nls. , A copy of the approved plans, specificatiOns and thI Iet,Cr shall he on-site durme construction nd open to inspcUion by authnnZcd ropresc.ntauivn urthe- Dep.rtmznt, which may include local in.pectors, All pennits requ rcd by the state or, the local municipality shall be Obtained prior w commencement of f construction! installation!opciation. ES1 I In granting this approval the Division of Indasirv Seniccs reserves the right to require changes of additions should condition; arise malin, them necessary for cOde compliance. As per state aaLs I01.12(2). nothir~lr- in this rovicw 43!1 relieve the dCsi,'nCr o' the responsibility liar desi,ning a sale buiMm,!, structure, or component, Lit1wrics concvm:up this correspondence may be mad:: to me at the Iclcphoue number listed below, or at the address on this letterhead. I he above left addressee shah provide a copy of this Icner and the POW I S management plan to Ilse owner and any nlhcrs who arc responsible for lire installalio,a, operation or maintCnanec of the POW'IS. sincerely. Fee Required b 2511 (10 I his actounl N'ill lac Invoiced. C ' \Vhen You Reccive Ihat Invoice, LdwinZA Taylor please Include a Copy Will Your Wastewater Specialist , Division Of Industry Sel'vlceS Payment Suhmillal. I5)G343494 , Mon-lei, 8:00 a.m. - 4:30 p.m. 1V1Sb'I.ART code: 7633 edwin.tavlorq:'n i.e uv MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN r ,i :;i ;r INDEX AND TITLE PAGE Project Name: KEVIN MELBY n Owner's Name: KEVIN MELBY v Owner's Address: 618 E 1ST ST NEW RICHMOND WI Legal Description NE NW S29 T 31 NR 17 W Township: STANTON County: ST. CROIX Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: Plan Transaction No.: `D SERVICES ESSIONAL Pagel Index and title rRY SE ES Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Pf 7- " 4C)NCE Designer: DENNIS GILLS License Number: 221471 Date: 08/116118 Phone Number Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 10/12). and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 7 Mound and Pressure Distribution Component Design Site Information R Cr C`. c Residential or Commercial Design [Not-e. Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal col fo m of 36 inches 600.00 Design Flow (gpd) 6.00 Site Slope 98.50 Contour Line Elevation (ft) 37.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpolftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpolft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Pressure Disribution Information network? F iler r c Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.00 ite Orifice Spacing (ft) = 8.33 ft2lorifce 2.00 Forcemain Diameter (in) y~,'_) (t 150.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 24 47 Forcemain Drainback (gal) 11.00 Vertical Lift (ft) 67 44 5x Void Volume (gal) S 6.72 Friction Loss (ft) 1 Minimum Dose Volume (gal) - 0 In-line Filter Loss (ft) 47,1 ystem Demand (gpm) 1726. )Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options_ choice in. dia. options choice 0.75 1.25 1-00 _ 1.50 x 125 x 2.00 x x 1.50 x X 3.00 2.04- x - 3.00 x r GalIons/inch Calculator (oc-ioralj Treatment Tank Information jJ Total Tank Capacity (gal) I ~j I 8400 Septic Tank Capacity (gal) 47.00 Total Working Liquid Depth (in) lhuffcutt Manufacturer XCI 32 7 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information Dose Tank Capacity (gal) polylok Filter Manufacturer Dose Tank Volume (gal/in) pI525 Filter Model Number khu7ff!7U9F" Manufacturer ject: iPage 2 of 7 L. , Mound Plan and Cross Section Views - -T J 111- ~0_B Observation Pipe K T A e o W I B > L Mound Component Dimensions A 8 00 ft E 11.76 in H 1.00 ft K 7.60 ft B 75 00 ft F 9.50 in 8311 ft L 90 19 ft D 6 00 in G 0.50 ft J 4.56 ft W 20 87 ft 600.00 (fi) Dispersal Cell Area 1223.32 (ft) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7 50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.79 (ft) > * H fl G1 I F Dispersal Cell 99.50 (ft) Lateral 99.00 (ft)~ Invert Dispersal Cell © D Elevation D 98.50 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key 'a $ I Dispersal Cell See lateral details on 10 _ Topsoil Cap 1.5 ft y Page 4 for number, size, 20 Subsoil Cap m o I and spacing of laterals ASTM C33 Sand Z Laterals are equally © m m F m 5 ft Typical lateral spaced from the 0 Tilled Layer c m I distribution cell's ©0 Aggregate a o{ tl centerline in the * A distribution cell (AxB). Project KEVIN MELBY Page 3 of 7 Center Connection Lateral Layout Diagram Force main connection wa tee or cross to manifold N any point. Laterals aw Idennc al P •=Turn-upwibsllvatveor I(-X-9IEx12l x12-)I Laterals& forcemain Sch 40 PVC cleanoutplug per SPS Table 384.305 Holes drilled on rho t,onom It the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 It Lateral Length (P) 36.75 It Onfices per Lateral 18 Lateral Spacing (S) 4.00 ft Orifice Density 823 ftz/orifice Lateral Flow Rate 11.80 gpm Manifold Length 4.00 It System Flow Rate 47.19 gpm Manifold Diameter 2.00 in Total Dynamic Head 20.97 It Forcemain Velocity 4 82 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Elecltrcal as per NEC 300 and -0 SPS 316.300 WAC Disconnect 4 in. min. / IT Tank component is properly vented Alternate outlet ovation r I~ Forcemain diameter huffcutt Manufacturer 2 in. Capacityl allons 5~- T ( <p, Volume 42.-7 gal/inch Weep hole or anti- Dimension Inches Gallons R siphon device A --34-n A015-M B 2.00 Pump off elevation (ft) fir C 7.20 88 50 /3 D 6.00 36,62 a/g /D Total -46,99 600.00 Dose tank elevation Ift) 3" Bedding un a nk. t 88.00 Alarm Manuafacturer Ievelatarrn Note Switch A[armModefNumber dvl ccntaining memw), may not be used :n Pump Manufacturer ZOELLER this system Pump Model Number N140 Pump Must Deliver 47-19 gpm at 20.97 ft TDH Project KEVIN MELBY Page 4 of 7 Mound System Maintenance and Operation Specifications Service Providers Name GILLE TRKING - Phone:~ 715-268-6637 POWTS Regulators Name L_ ST.CRO X CTY ZONING_~ Phone L715-3 0 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ponding and seepage_once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SIPS 384,30 (6)(1). Wis Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade vi 6-8" Diameter Lawn - -i ' Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: KEVIN MELBY Page 5 of 7 I Mound System Management Plan Pursuant to SPS 383.54. Wis. Adm. Code II General This system shall be operated in accordance with SPS 38246 Wis- Adm. Code. and shall maintained in accordance with as' component manuals (SBD-10691-P IN 01101, R. 10112). SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01101, R. 10112)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump lank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383 33. Wis Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service . Any opening deemed unsound, defective, or subject to failure must be replaced- Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281 48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113. Wis. Adm. Code, The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment. maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS. and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD„ 30 mg/L TSS. 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months When a pressure test is performed R should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and rf orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent pending. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional. more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance . If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: KEVIN MELBY Page 6 of 7 INSTALLATION INSTRUCTIONS &{Y.ulrcnblRWUh 7. ergo. o,d YdrLl Fc. PL-5251PL-625 FILTER INSTALLATION INSTRUCTIONS f.L'il=r fda(t?~!1' I .YUV.;I."Sn li~aLY~~ ~~ni .ll~!1 r t,.0 I. F EF t'I I Il.. r I. I ulil rl~ FMIC rv:f Y I nl<" I gliw i I i u,.: iLrririr Step 1: Step 2: Step 3: (A) Lorafr. the ouilr:t of tl Ic septic lank. (A) Holum inslaflalion. place (he (A) Glut, the filler housing un th:: (B) Remove lank cover and pump tank filter housing on to the outlet pipo. oullet pipe. if necessary. (B) Make sure that (he huusing (B) Insart the filler carp idga in the is positioned so the filler can be housing, making sure the filter removed trorn the tairk foF car(rldge Is properly aligned and maintenance and srlvivi, completely inserted in {he housing. MAINTENANCE INSTRUCTIONS wig Step 1: Stop 2: Step. 3. Locate fit(- outlet of the septic tank. (A) Remove tank cover and pump (A) Insell the filter cartridge back a 6 if necessary. into the the housing making sure (ft) gull lim filter out of the housing. fit,- filler is properly alighed BER ES Mat -foreuff Vie filter overtheSeptictank and completely inserted. USE RUBBER G LOVES Make srne all solids tali back into the (B) Replace septic tank cover WHEN (:LEANING PICf[R Septic tank. u~ ANCE CURVE LL PUMP PERP411145/4145 MODE 75 22 70 20 65 60 18 55 16 5U 14 45 Q w I = 12 40 a 35 Q 10 O 30 H 8 25 6 20 - - 1 15 4 10 2 5 145 140 4145 4140 0 10 20 30 40 50 60 70 80 90 GALLONS LITERS 0 80 160 240 320 FLOW PER MINUTE 150090 1 u`~jJ~ /Jf , ~~jJy l~ 1 S%~I,-~ 1cn w O)q i fill G i , S ( lS, ZJ i i 7- 41"4* ii 1 ,'h 1 f .C C~ L ~ ~a-I y (off ~ ~ lS~ DoT L,~~ DUt ✓ ~sv ~ IF i r 1,f - r on z _ ~ ~ z G.2Fr r LJ r 4 '1 - 1 N 1 n F rz L' TI > a Ya ° r qs 17 It" 9.Il -X.~ IYl:l nl'JL)3~ •:Ill/'fY~ -~IIMI(. r. / 1 I:> ca a.ao t w w w L Of M 4. . OC' r L 1n T T 1 < X,S 4 <<7 -U 2 CI PI'VX C (nla~ iij LU w w o 1 a u LLA, _ LY aWn•.ox OT . Q -pH" "nom. _ :Yu , o .i- tl X5.4 t _ III Y. .=V N 9N 1 jNn 71LL.`. r iflt $ \ - - \ 1.1? OIL 1f. - Y MI t 46 1Y 4Mf .I4.i ri ,i f r •eF . < 1tf.'1.IL: 14 . Ali bf,!R:N yy,N 91LL 40'.'.JH V _ 8111_0 ON:11Si/I. 4 N < v ' . ST. CROIX COUNTY SEPTIC TANK NIATNTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyerN i'.- \4 _ ? 5 LZu `'~C t/t7lcyl Lc%t ~~%01 / ailin2 Address 1 Property Address S`I (Vetification regmred lion planning A Zoning Dcpattowni for new construclvar.) /D(e C'ity'StateU_lu<~}7Y + • Parcel Identification Number LEGAL DESCRIPTION Property f..ocaiienACL, _ S; Sec. T 3 ► N R l ( W, Town of >j; /\r i J r Subdivision Plat Lot Certified Survey Map Volume, _ Page ff Warranty Deed # C) (before 2007)Volume Page # Spec houscowsgt) Lnt huts identiliableQycs~m+ `Y'~;1 ~lC_ J SYSTEM MAINTENANCE AND OWNER CERTIFICATION lntproper use and naiwenanve of your septic systcm could rcudt in its prcmanne failure to handle [castes. Proper maintenance consists of pumping out the sciatic tau}, cvcn• three yours or sooaci. dnccdcu• ;.v a heenxd pumper. M hat you pm Imo lire syxteni can affect file function of the septic tardy e, a ucaunent stage in the waste dispo> l systenn. (honer maintenance responsibilities are specif d in §SPS 383 i2(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning $ Zoning Department a certitiodion firm, signed by the owner and by a nwster plumber, iourucyman plumber- reaneicd pluroMrr or n licensed pumper verifying IN,, (1) the on-site wastewater disposal system is in pmpcr operating condition and,or aflcr insper lion and pumping (ifnecess, ry), the sepbe tank is less than 113 full of sludge. I%rer, die undersigned have read the above requirements avid agree to runintain the privmc sewafte disposal system with the standards set forth, herein, as sct by the Deparinuni of Safety ,Md Proflssional Service%aad the Department of Nat[ral Resources, State of lVisconsin. C•citificatwo ,rating that your wfnic s}stem has been maintained must he compleled and retuned t the St. Croiz County Platmirg fi Zoning Depanmevt tyithm 10 daps of the three year cspirntion date. Uwe certify that all slalemcnls o this form are true to the best of myiourknowledge. hhve anifaic dry owner(s) of the property described dove, by virtue nt•a %;manh' deed recorded in Register of Dacds Oilice. Number of bedrooms SIGNATURE ,OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning K Zoning Deparln ctrl. Include with this application a recorded wun anry deed from the Register of Deeds Office and a copy of the certificd stunvcy reap if jerceence is made in the warvintV de'c'd. (REV. 04/12) GAT CS1'a~18-Iq5 WIS. Dept. 0l safety and Proi.4~bnal S~erv~ies' SOIL EVAL'CtRTiQIV-RtPORT Page_of_ Dmslon of Safety and Buildings .I accadancewAh SPS 385, Wis. Adm. Code (.aunty .S % . i O i tC Attach cerrplete sift plan ool>•dpernot less than 8 t.? x ! 1 ruches in size. Man must include, but not limited forvertical and honzontal reference point (BM). direction and Parcel I D percent slope, scale or dimensions, north arrow, and locahon and distance to nearest road. 03(C 1 $ Z6 -6Z Please print all information. Ke°'- by Dat (~crr;t mfnrmm n~~~,~p,nh0e ~~ar neu ed .ecun?a}n q•:_x:iP .:-slaw. '-.U: f`!Imp. q~~ /V .i Propertry~ Hoer _ _ Property LooCa0on I r` Qul4 C. '*eCT,4 m.r// Govt Lot N~ +4N 1.4 -2 I N K~~ E{a)® Property Owner s Mailing Address / Lot # 61udc # Surd. Nanw or 5!„tk /gam' /r'ST 1 fJ•f~?Gyro c._ . Stale Zip Cade Pgone Number Cil Villa n / ❑ - Y~ ❑ 9' (~TOwn Nearest Road .tw/t"•rl.►.._/ I[.-J ~.Sf+..7 ~tkS/~3o~=.z S'3/~l S/4n on o/?DO ka.v-4 New Construction Use- ❑ Residential l Number of bedrooms 7 _ Code derived design flaw rale 4; G~ GPD []Replacement ❑ P hhr. or commercial-Desaibe. Parent rnatedal r rT' I trod Plain elevation d applicable ft. General comments and recommendations I~ Boring # Boring 7 pit Ground surface elev. l Z, R Depth to limiting factor in Sal haatan Rate Horizon Depth Dominant Color Redox Description Texture Structure onststence ndary Roots GPDM ' in. Munsell Ou Sz. COnt. Cobf Gr Sz. Sh. ff#1 ff#2 O• 3 Q7,5// S!, ~J/6~ ,/yldf 4t'S a~ (o LO 2 p'37 7.~"YK3/ - S;4 Pt- r"&1, a~. G p 37 ~/b , 93 f 2L7 Y S;4- 2c'F ~yi - a Boring # Boring ® Pit Ground surface elevq u . z ft. Depth to linNing facto ~Z-- In. Shc iration Rate Hovon Depth Dominant Color Redox fhscrryllon Texture Structure onsvstenoe ndary Roots GPDIR ' In. Munsell Cu. Sz. Cont- Cdo Gr. Sz. Sh. ff#1 R#2 1 D zrY 2s// ~s~ Mt.« as Itl~ , o 2 f)1/1 7.~~ 3/Y 91 14'Sek hlvr CS - r . g 1 19-Ss 2,s v 9 T2F2,)-Y/L ~J :t~6~~ nw~ ERluerd #1 = Bib > 30 < 220 mg4L and TSS >30 < 150 mgrL ' Effluent #2 = BOD < 30 mg& anddTTSryS < 3300 mg4 ~~C/Il1i 3~ ~~1 sgna~ z 2 / L/ 1 Y Address Date Evaluation Conducted T ie Number 3SZ l1/0 Si f~M-rat Gt~1 4Yu0_1 ~17 1P 71f ~(~~6LSJ sBo-s33o (tu ul p Property Owner Parml lD # Page _ -of Bonng # ❑ Rorin Y- 1 3 ~ pit Ground aalaw I It Depth to limit ng factor - In. E Ap i cation Rate Horizon Depth Dominant Color Redox Descnption lextme Structure onsstence oundary Roots GI'Dfft in Munsell Ou. St. Cant. Color Gr. Sz. Sh. R#I 02 W.? V/ V L se 46 Boring# F-1 Boring ❑ Pit Ground surface elev. ft. Depth to landing factor in. coil April cation Rale I lommn Depth Dominant Color Redox Description Texture Strtuduu: onslslence oundary Roots GPORI m. Munsell Our. Sr. Gant. Color Gr. Sz. Sh. H#I ' :ff#2 F] Boring Boring # Pit Ground Sur non elev. ft. Depth to linuung Ixdor ht. n 1;n0 Ap Pcnhon Rnlr Horizon Depth Dominant Color Redox Description Texture Structure. :onuslena: ounda Room (,PD,ft in. Munsell Ou. Sz. Cont. Color Gr Sr. Sh II#1 N#2 Fluent #1 = ROD 30 < 220 mg+L and TSS ,,30 150 mgA_ ' I-Muent #2 = HOD < 30 rng,L and TSS < 30 mg1L 7 he Dept. of Sa fety and Professional Services is an equal opportunity service provi der and engJO) cr. It you nccJ assistance to access services or nual nrnerial m an alternate formal, conL¢I the JuparYnu•n1 at fi0S ?G6-5I I or 1' fl' through Relay. ~ 2Z /Y-7/ S c 7w~ y0 Pile P le ' all, Na wt y~ oew G~--l' Gw /aa'~ t 2 ~a