HomeMy WebLinkAbout020-1148-70-000 (2)
v%nsccnsir DcFm:mC•lof +;amme•cn PRIVATE SEWAGE SYSTEM St. CrOIX
Safety anc Bu 1 T Drvi~.O° INSPECTION REPORT Sar,ry Permit ND
605198
GENERAL INFORMATION (ATT ACH TO PERaan) State Par ;D NC
P?'sonai Infernal en yc.. Oro Is -ay ce used fW seoonoary DoricseS IP•ivacy La'n 5'h CA t11tm;Q
Per-'t HClcers Narte. City Village Tu'arsNio Parcel Tax NC
Robert & Priscilla Peterson TOWN OF HUDSON 020-1148-70-000
CST W elcv 1 nsP. 31.' Lees BM Desct pticr. 5r•Ctor.•Tq&n:Rarge.4d;:O ND
/Oil b M `1, 65 'ki, 33.29.19.795
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI rS f-LEV.
Septlc , Beri&matlk d ~O0
Kt Z • Z ~ 2
l Al GI
14 Bldg Sewer`
Lk
Hold rg Sum Inlet 1
8 ti
TANK SETBACK INFORMATION Su H: Outlet u 7' 4
EAera~on P:t. 1'•:CLL BLDG en: A • aawz ROAD plldnlet 5'f 6 ! • 97 Z
56 / 78 ZO Dt Bot:o•r. IV S, 57
5d 1 do 4 r / Heacer;Man. ..7.7 91• y0
T Dist Pipe 7•.7Z 9 . ~O
_ Hot System g aw-7
9L - s
PUMPISIPHON INFORMATION F ral Grade 5.7
totanufacturei Demand S: Cpv l
GPM "V411 16d, 3
lD
Model Number
TDH C lon Loss Sys:er. TDH N
Emcahain Dis:. is V.'ell
SOIL ABSORPTION SYSTEM
BEDORENCH dtn Le-41 No O'Tiwiuhzs PIT DIMENSIONS Nc 01=M1S Ins tle b.a. '..~q,.d Depl't
DIMENSIONS 3 g(o 9Q Z _
SETBACK SYSTEM TO P!L BLDG 1VELL LAKE;STREArl LEACHING t'aruraoturer/1,t
INFORMATION _ CHAMBER OR Ft'"' A
/±u'C1Sy> em /1 ~D~ UNIT I,Ac1Y.har' S t L
DISTRIBUTION SYSTEM a 77 J 2
FeadcdMa.ru 7,a:rut,nn ti dale 57e x Hole sFamng Veu fir h e
Lcnyf'. _D~a length in
Spacing -4- 1 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Oec. Deep. Ow! xx CeFV' DI x:a See0ed+SDU7CC xx Lau once
lietl: "'e'ch Center 2 12-, Uen: frenchpso.l~ --ft.,12 Ne yes Vo
COMMENTS: ;Include code diserepena.es, persons present, etc) Inspection #1 Inspection #2
~ e'•r 5
Location: 51f} PA-IN OAKS CCIIR ~ y 0^
I.: At RM Dese'iption - v ( ) I /
r _ / , 1 1
2 Bldg sewer el = AA_
/ _
arroa.nt of cover = /1 h0
Plan revision Requ red? IL Yes XrNd - L V
Use other side for addifona' information.
DA:e In$eDCle ~'gnai JtC ~ Ocrt. NO
- Hrv-a~tS>
1400 E Wmskugft Me
P.O. Bn 7162 57 C ?0/x
b\ SEP 21 2018 M2diM nmm-7162 SUMNS'"(a achummbyCO.)
(Or) 51g 8r
$attiW Permit Applicatio Seine TFaoeeam Number
"an ~&3dM3kwa . dra, cam a the
legoned wiara loc -'U!k
the OvwWMA L m aoo„dslds.a iNy.d P o4r aW sa cYiomIs 1 Pafloel ; yae a be Umd ~ Armes (if dam A &m 01,6 ba,)
wiW tlt [dw . Sbdc
L
Anvelr n° FIGN"°''iesMi. c5rtw.e~ e-A6P -i✓v<n
OwKe•,N~e ~
~G[ RT ~RI 'X`/LL7t / row 0
Property owner`s Mm' Adana 0ZO Z/
575 m L~ CK I KCC£ Pmpaty luadw
city, sl.a
Zq Cad, gRen Nueper (sort La _
o,a' I c s -
n• Typo of 0/ 4kz- ?65061Z cild ~ 3S
(desk an ur
4114 art F+mdr nwuies- N=ba d
saar'Nam Nae
❑Rubmc..laei,l_D..*.Ue I4~ . _ Cuu~ s o~
❑Saa Owad-Deealbe U,ecsm Naeber ❑cdpd
❑ VAIW f
bL) fz Towed -wa-E,--s-aw-
FIL of
0. O PC NNW (Cbwk lie A. Gwpkteurge Hoye)
Swam
IaPWmn K SyM m TmalmeaRiddwg Tank oVW.,m 0* ❑ 0ee1r Mo660d m to awh%sya~ *0.e
R. ❑ Pa Raewd ❑ !Wind Revitim ❑
Bdhrs Bql¢miaa 0-wormoter ❑ Ptmw Tnodea N,w, LAN Fieviae Peed ud Olle `d
Ciudad dog o.m~. _3 SYSJ L -u,.-y3
Naa•Heetaimd XL. 'wid 6-c.alad ❑ At-G ft ❑ Maatl> Zt it dw:able oil
CnV®m (eap►+o)/ LL- ❑ ❑ Mwd <?A o. d+ce,ble_ L
Dem4p Row(pld) AnnIg pdq; Plaee~lwl Deriae (e~leal) T ~1Y~'lf~ 1
00 neRr, gad A°°1ry°°°° Wall l* VMd bee Regmmd f) L
VC TW. 1'& G. / 55715- R f sy*m Bcvaoae
C
Y~.l 9.3 p D
Gd i, Taal ,d
clae. c.Nan ' Nm Teal, Fdref Tmb uoia i4alk 'Np L r l ~
s411
q.r r 0 Oct I~ FILD~<A7-4e-ADD Fu i m
1b.:.cti.e: 1546 wrE7E -El15T/.I v >C
vn. )
Plalbe,'e Ne 9$1 flebMWr at me po" aewww pa aalaeaed pawn.
A)G ` N m~Q RI®Yd Alm, NI~bQ
•Ad~(Seeer, cay,8Mg7;p if 2.Z4D.3~ 7~5-779-2854
05 t(( E ST CAC7T ((jl ~y 72
No
I rein l nre
ni. .va. Rs Rr lam.l S 5 • C,
Rle v
~ 1. Eepl .fark, e~YluVn: ldle- .nd
ceb -usl it k 3l4w! .
/
_ic s - ,tG V
2. N lmll~eRlp/y plan P4IK eI uY Mllbe OY~
r~i0k I'gl'11rarfnlil4 mwl In1 r'jx& 11.c i
Mc
Anna per. sr dr elo>•r.a.raur
C+b arb ew,'R.er d ar, N a l i 1.,1s {e,1~
SRD-6398 (R 08/14)
Plot Plan Page 3, of
y
PROPERTY OWNER:__ ,err.- z f 1" 40 FF.
(except where noted)
Legal Descripbon: ' 1"; G C O V nr r"v J f y: I I T 6 ? - frackliee
= Pit
North
I
l
F
Q
t ~
yyg._~
_ r a
:wr
Site location.
_ ar q -
`,v,_ _
In-Ground Gravity Plan PAGE 1 OF 4
Index & Cover Sheet
Canponerrr UWwaf OersW Raft wxw
Version 2.0. SaD-10705-P (N.01MI, k 10112)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan
Attachments:
TARt- WrcR sacs POWTS lication for Review
T4uy- s Soil Evaluation Report & Site Ma
>07(C TAn:K Aaoe-&t-AeA7-0
Project Name / Description
Owner Mama(s): _ BE KT Tkt Sc lu,~ i TEKsC,/ Phone: 61 Z _ 9b5_ 61,,12
Owner Address: X78 Twi,v C4K clKCtE- 4- AI zip: ~ol(o
Project Address: `uA4Ne
Govt. Lot: x_1/4 of se> 1/4, Section 33
TP~ ~ u b se tit . T z9 N-R 19 E Q or W~J ~
County: 5r c Ron)(
Project Parcel 10 s C20-1149' _ p --/;Cc
Designer information
Designer Name: ~u~►'cKT Phone: WS'
"-L?ZZ
DesigierAddress: 28"~I97 K~~ ~I~eTHURS C+ naua tai ap: x`18.'90
E-rnaY: hollrt{rrde
This
Ucense Number: _ i m - 00 7
Remarfts:~'`
A DD F 1 L:T M1Q F~ S'{G GALLAV 7 fWK 7h WARY Jo
MuPpmr
D iE6g
, piv1
Sigrntm:
aa:.a - Date: 9--/ 'e-V?
mor.
Plot Plan Page 3,o y
PROPERTY OWNER: TQf-i- 1° = 40 FT.
(except where noted)
Legal Description:- LOrt 9, CO U AM, Y %J O E ' ! LL A(c+E n/ w1/4 OF THE St=y4, ~ - kKkhe pit
33 'N. /qt~1 fnwlJ DF HU b. / c
ter, ~o•r rcr~ .'r Z, 300 A0
K~
-/"-C;c
North
U' -t 146:.
I ~
ADD.S=loTANKw,r°RaClr ! L.
I ~ $ 5*M0~ ~
~4 or
/OJ✓ y Ze
All 70
4
-If DP 5IL&
•15pt~ , ~'r IXjF
A5~uM -D
I
w
1
tI
1` 1
Site location:
6
Stti% (-'T
N t I
IN-GROUND GRAVITY DISPERSAL AREA i,ftc~~~,EP
Uniform Elevation Trenches with Quick4 Standard-W Chambers F(i5714GswftT„a(.tv&-*): ADO14
34t Trench (down-sb*V credit) _a+ -9
I A- 777M 17'
crnEa ~
TYPICAL TRENCH
CROSS SECTION VIEW
wa + p (No Scale)
s z 9.J.S~J e sepsatbn helr 6a dm.
3
(trplcao
ourea d' ~d
Eno Cap ae....m~
(typtrrq (Stn. lor;aepn of fMW aelet pipe pamerborr m plan Na.J m. TYPICAL TRENCH
PLAN VIEW
r~ (No Scale)
---yr-------ter--- D
B= v(G R m
( \-Oukk4 Stendwd_W Ct nUm W
INSTALL PER TRENCH: (dam 0
y yzL. neaaa~avsw.abu -n
- = Qu(CM Sid-W 0 20 K EISA dwrb r z H lO q• urea P..~Y bnvuora.✓s bor. A
+ _---Payselendcgna6i'EISNpe4. iz fe
z
• Proposed EISA pg yearn' ie ReOrfrtd Metbaepn Arta. a51r971t1IW1 OAetltod:
X benches = Proposed Tow E1SA = 7y re
ti: n ce ~n
1,5
7 1P, S') i54 l~Gu(pa-L)
Rs7 /54{ Z= 26 WViT v#3 14-'V7T5
31X tin;iT-,)
ToTn- ys I,v(1/Ts
~()3'n8s`~~zµATS)
In-ground Gravity Management Plan PAGE 4 OF 4
~RTANr-
The owner of trrs h~rowrd try $yaterm *W be raepon-b- for ifs P-P-b ai "-tin and mahoanence pursuant fn
Wfiac. A&*,. Cods. P,saua,N ID 612S 383.52 (21 WOr Admm. Code. uts sysaerrt Shan
be cGrasidered of MrhZ
Furtherm"V-A8 4 hspectioo and hazard N not mair"Ined h aawrdance with Bas aPPr~ed management plan.
acoordartoa M SPS ckm MWMMWM activities shall be Performed by a regWerod PoW1S MainWner in
383-52 (31 Wisc. AdmiL Code.
W><hnun Dlaow~d Arm OtosaBrre t 6rra.:
Design Flow a (mac)o
ON; B0065 220 mgL-'; TSS :5150 mgL-'; FOG 5 30 "L•'
hsoertien s ir" WSPECT EVERY 3 YEARS
o type of use
o age of system
0 nuisance factors (is- odors, user compleirtfa, eta)
0° medranicaf malfunction (i.e pumps, vakim switches. floats, etc.
rne6WW fatigue (io., Peeks. breaks, oorrceior4 eta) )
0o sofWs volume In anearow beearerr tank(s) and any disbfbupon
ne9lea or improper use (i.e., exraedmg design gPaofes e" lce (Le., disfnbu5cn / drop boxes)
dosing prohibited activities, etc.)
o exserk of Pending in drstrMuaon oe6 prior to pran
o dosing fmegrrarlties _ 9 appocabia (Le
pump m
o electrfcai comPprents - if applicable •cY 9• foes snitch seoirgs. enc.) )
° distdpr "I I lateral arnica f> Wng (d , alar^s eia
° antaoa dfacharge d 0AAW t or sewage b8a-uP irro llr d ~ W'aesere - compare to design specification)
1111ainla3M!9 MAINTAIN EVERY 3 YEARS (or when necessary)
St" be by Gar
0 Stella. wham the farrt~:► Pu a ~ servicing oponsior foensad under s 281.48 Wis.
ae regrmed by
kmo ordnance- D*,*, Omkx la shM bed (IM tfi Nord valrawa of the Lrrlt(a) or Volume Of 00111dia In Ive Unke) ,ads o E1Nrtarrt su..a.r Pr+aurR to NR1 113 Wiaa
Admin Code.
a
a s t rg c Years and shay be deemed noun naoaaaary b strove any
rr)ortNrs. A servnarg Period VA strays be Beeler than 12
accordance trifh
SPS 383 ASS Wisc. Mean. Colo- R"Wrtm on ~ or MaWatkm ~ govanur tm In
Name of Uldviduai or cWgWrj r -
phone: i/S
~gO"~r~~C►enlx. CO~untuaiiTy p>;r1ECl~y_ ,anEly-r phorte:_ 71S 3$(0-~(l~i?
Local 90Ven"W4 Urd address: Hu DSOiJ JA t:L TIP:
Any dobdive
Cade. Rqw or ot> WW be reperred, replaced a removed ptuattertt b SPS 38&61 (1),1Niac Admh
No pmdttct for rlretrrk8l or f
WSW rant moon of Po be ~ ~ Wp by deperknoi t
acoadence wQh SPS 394. Wier- Admin. Coda.
COrltlnaaney.0_
PIM
--2+
mpler aftnood to t rent
a of Oft POW M carrot be repaired. it shat be tepiaced tx ,,M W
abandoned and repiaoad by a d agency for r8 review dispersal and mnr approvaL In failed "VOUd dispersal ow ponent may be
porerr In a pre-dalermjred area of 8rrtabla sofa.
9"fmm AbarWogMe at
tf USe of 1f d3 POWTS is d6=*wW. it WW be abandoned to
acoordstca with SPS 383.33. Wisc. Admin. Code.
O Ck4.
The Quick4® Plus
INFILTRATOR'' Stan01:1r,,1 (~h.a.mber
The Quick4 Plus Standard Chamber
offers maximum strength through
its two center structural columns. rqr 5
1
This chamber can be installed in 16
a 36-inch-wide trench. Like the
original line of Quick4 chambers,
it offers advanced contourng
capability with its Contour Swivel
Connection M which permits turns'
up to 15-degrees, right or left. It is A
also available in four-foot lengths to
provide optimal installation flexibility.
The Quick4 Plus All-in-One 12 = ' ='r benefits:
Endcap, and the Quick4 Periscope Two center structural columns offer increased stability and superior strength
are available with this chamber, Advanced contouring connections
providing increased flexibility in
system rnw n it :l ,,i, Latching mechanism allows for quick installation
Four-foot chamber lengths are easy to handle and install
Supports wheel Ic
Strength
- Sri%• ~ ` E•' ~
_e
Size Quick4 PILE
34"W x 53"L x 12"H I Benefits:
f864 mm x 1346 mrn x 305 mm) May be used at tl
Effective Length row for an inlet/o
48" (1219 mm) installed mid-trer
Mid-trench connf
Louver Height construction of c
8" (203 mm) center feed, as a
in',erting 1 the e,
'
fr u' 11 Il, r~illn~Il A~i~l r~~l I~~f l~l tltiall
s i Iji A.III 1. ~I ,'vIt '.Ib IIN 1 I.l'~~10`'
EFFECTIVE LENGIH
r::(L.9IWIifal ru: ,Ira.
-;:ING LCGVF:;Nr.
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L rIr.Itla.nuri nI Miri V,. 11y. TIF-TITS 0 :.mpglmM•nyanv4q TIW7RP INC Uv w~vlrfu a~hNwlm•h5NMyrpy ryi:+•TlrnmkYJei.
O-Pon n 11 anlynYlr4 M IPFµ a<-
::itR Y1RnnIn Waler TeyrldaSlei LLC. M IiJDIZ mswwl. PM1tlnl it U.SA
owisioN or INDUSTRY SERVICES
Po Box 7162
6AADISON WI 53707.7162
S P r tnAaN Th,N.yh Rdr
hOplrGsm.wA.goNOrogMM$AndWry.3t ~
wMw.wiatorlgel.Wv
_ Scott worker, Governor
OS, 2U 1_-$ OaW ROae, $ecreyry
",a _y
CLIST ID No. 1316956
DAVID LINF7
GOVT AFFAIRS DEPT INFILTRATOR SYSTEMS INC
! ?,'S INL S PARK RD PO BOX 76R
_ Identification Numbers
I T~.""Im.Jorge.
1Si422d
D No.
r, .u:,r:piia'c i.EHCNING r.;HAWIHI-N PIre as rev Inboth dcMificahon numbers.
u'a°ctacturer: INF11 TRATOR SYSTFMS INC above, in atI rnr eels nAence Willi the asutc .
..,.c,:iuct Name' QUICK4 PLUS STANDARD, CX11CK4 PLUS STANDARD LOW PROFILE (LP)
L t_ACHING CHAMBERS AND END CAPS (trans. id 2534224)
?al x ei idtrrr'~e r~UICK4 PLUS STANDARD (INCLUDING QUICK4 PLUS ALL-IN-ONE 12 ENDCAP
V"ITH TOP, END. OR SIDE PIPE INLET CONNECTIONS USED SINGLY OR IN
`AMS AT ENDS OF CHAMBER LINE, OR AS A MID-CHAMBER LINE
-;NNECT"OR) AND QUICK4 PLUS STANOAHD LOW PROFILE (LP), (INCLUDING
;UI%K4 PLUS 8 ENDCAP WMI END PIPE INLET CONNECTION USED SINGLY
C iN PAIRS Al ENDS OF LINE: AND QUICK4 PLUS ALL IN-ONE 8 ENDCAP
1,(;11TH TOP, END, OR SIDE PIPE INLET CONNECTIONS USFD SINGLY OR IN
.-AIRS AT NDS OF CHAMBER LINE, OH AS MID-CHAMBER LINE
CONNECTOR)
i IiCK 4 PLUS STANDARD, DIMENSIONS; 53.0 IN L. X 34.0 IN. W X 12.0 IN H;
0P,X. DEPTH OF BURY= 8 ft.
NSA for chambers with or without fabric = 20.0 sq. ft./cliember, EISA for QUICk4
"kr, All- n Orte 12 Endcap installed at the ends of a chamber row' = 2.6 sq. IL/end
ip. EISA for Quick4 Plus All-in-One 12 Fndcap installed in-line within a chamber
- 3.6 sq. RJend cap; Laying length of chamber = 4.0 fl., Laying length o1 QufCk4
All-in One 12 Endcap installed at the end of a chamber row = 1.5 ft., Laying
iY(Igfh of Quick4 Plus All-in-One 12 Endcap installed in-line within a chamber row
It., OUICK4 Plus Standard Open Bottom area = 9.72 sq. fl./chamber, Quick4
'I , s All-in-One 12 Endcap installed at the end of a chamber row Open Bottom area
I sq. ft./end cap, Ouick4 Plus All-in-Ono 12 Erdeao installed in-line within a
Chamber row Open Bottom area 22 sq. ftJend cap; SEE ALSO ATTACHMENTS].
QUICK 4 PLUS STANDARD LOW PROFILE (L P), DIMENSIONS 52.0 IN L X 34.0
IN. W X 8.0 IN H; MAX, DEPTH OF BURY= a 11.
IEI,SA for chamhnrs with or without fabric - 20,0 sq. IIJChamber; EISA for Quick4
Plus Ail-in-Une 8 Endcap installed at the end of a chamber rnw - 2.3 sq, nJend cap:
E iSA for Quick4 Plus ANdrt-One 8 Endcep installed in line within a chamber row =
2 0 sq. II /end cap; EISA for Quidt4 Phu 8 Endcap installed at the end of a chamber
row _ 0.7 sq. ft./end
Quick-4 Plus All cap; Lam ~ ~~al at chambers _ 4.0 H.; Laying length
1. of
aying length of Quick4 Prymgµ One at the end of a chamber row _ ch m
row 0.9 ft.: Laying length of Ouick~tty a Endcap installed atttthe end of amber
-,hamber row = 0.4 ft.; Quick4 Pitts Standard Low Profile Open Bottom area = 9.77
sq. ft /chamber, Quick4 Plus AlFIn-One a Endcap Installed at the end of a chamber
row Open 8onom area = 1.4 sq. rtJend cap: Quick 4 Plus Att-m-Cvne 8 En cicap
installed In lino within a chamber r
4 Plus 8 Lncic ; OW Open Bottom Area - 1.2 sq. ,n end cap; Qu!ck
so
ftJend °G~ n5t A at the and of a chamber row Op:r Bott ottom Area , G.: so
v r_l. ALSO O ATTIlCNM( rt'TS)
Producl Flle Nor 2015411;
^_i as.i•1 en ilen°i! .aP11
The specnccatiririS and/or pirnS lot Ihrs Piurntung product till, bnen reviewed and determined to he in
~rnirlierice with chapters Sf'S 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160,
Wisconsin Stalulas.
The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin
Administrative Code. This approval In vaiW untill the antl of May 2020,
i,q approval supersedes the approval issuad on 11/11/2014 under product rile number 20120137.
hi approval is contingent upon compliance with the folowkV stipulation(s)
This prnducl must be installed in accordance with the manufacturer's printed instructions, product
approval, and plan approval It there is a conflict between the manufacturer's instructions and the product
approval andror plan approval, the product approval and/or plan approval will take precedence.
When this product is installed in a dispersal cell that is sized based on the EISA rating stated in the
T~gardirg block of the product approval letter, this product must receive wastewater having a BODS value
'.e,s :flan or equal to 220 mgrl_ a TSS value less than or equal to 150 mg/L and a lOG value less than or
:•t ual to 30 mgA on a monthly average.
When this protium is installed in a distribution cell that is sized based on the EISA rating statnd m the
rr:garding btooh of the product approval latter, this product must be installed in individual excavations that
create a row of chambers that are horizontally separated from other rows in other excavations by at least
feet The 3-root measurement is measured between the closest outside edges of the leaching
chambers.
N ien this product is installed in a distribution curd that is sized based on the EISA rating stated in the
regarding block of the product approval letter, the distribution ca design must slow at least six inches of
rxx dirg in the chambers without backflow of wastewater into the drainpipe that rfsr:harges into the
chambers.
V) non this product is installed in a distribution cell that is sized based on the EISA rating stated m the
regarding block of the product approval letter, this product must be installed in a distribution system,
v,hk:h has the lop of the distribution cell at or below original grade.
VVnen this product is installed with geotextile fabric on the sloes of this product in a distribution cell that is
Jzed based on the LISA rating staled in the regarding block of ft product approval letter, the EISA
ruling Mitt fabric must be used to size the system.
W! ion this product is installed next to each other in a distribution cog that is NOT sized based on rho FI.SF,
sling slated in the regarding block of the product approval letter, the effluent distrihu:iu; areA equal
the length gins the width of the chambered area. The use of geotextile fabric m this irstaiinfi-,n
optional.
'idhen this product is instaled with geolexlite fabric on the sides of this prcduct ;.,i:,n cri; rna s
sized based on the EISA rating staled in the re -at+ing bloc. of Ihi pod ac n r i 1 Ir r ;
;abrir, must meet all el the following speciticatiu Is
. GeotexW- shag be non-wuven
Weight shag be 0.35 nz/sq yd to 1.5 oz/sq %
Apparem opening sae (AOS) shall be 20'.^.
• For mound designs, see the manufactutter's propriety mound component rnai-L :J :c r : • a; i i:, c .
• For mound designs, see the marrutach,rer :s prupriety mwimi eurrcxmew nil or aA T .-v ii fc
453+122,(! ngVUl!J. r1,_
-rile ncc,ar:caeni 1< :n no V,ay ar,dw ny this proauu, o. any xdvortisulg, and is not responsipte for any situation
may result from its use.
n erofy,
Glen Jones, M.S.
"OVyTS Product Reviewer
phone:(6DB) 267-5265
fa,:( (608) 257-9723
email: glen.joMSOwi.gov
DSPS Is committed to servbe excellenco. Visit our survey at:
:,rvla,.surer;,mnnke~c:nmis'^:psii;oustcmrr_::!6"LTaio~-
:
i
',Hi:Gfl(unUFl!NXl rlt:anl..m~,-aCHrzlno fl0snt fillxrmttanwat.ra!fCi`•~ICi4. uttl: veta h:;c lh:-iuer~
-.'t I crolh. IrtxS, 111p~RfAk'rt Ih'tl49 vE+.E C'E p.E;11Ea. K ~.rv en.rt LEa'r xlyr Er-rales •M:ak:'Ir rt s~:::
-+hf iWIO&•n IA, ElnMIPII2 M. (berg,owe Msv I hT4 INN mel..rl•n'rtIR;ysc I,
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r R t,aIll U*tW W, 7*41mr h1w i&MM, n U9'. J1E , t:3i ml aEi Ra~rnr -
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IF ~IjJIJILJ
Super ur Designed filtering "rI
i Pld F!, IT IM-540
tanks
eatures & Benefits
Strong injection molded
polypropylene construction
Lightweight plastic construction
and inboard lifting lugs allow for
i easy delivery and handling
Integral heavy-duty green lids that
y y
interconnect with TW" risers and
? pipe riser solutions
t Structurally reinforced access
ports eliminate distortion during
installation and pump-outs
Reinforced structural ribbing
offers additional strength
' Can be installed with 6" to
_ 48" of cover
Can be pumped dry during
pump-outs
Suitable for use as a pump tank
or rainwater (non-potable) tark
The Infiltrator IM-540 is a lightweight strong and durable septic/pump tank. No special installation, backf
Tnis watertight tank design is offered with Infiltrator's line of custom-fit or water filling procedures
risers and heavy-duty lids. Infiltrator injection molded tanks provide a are required
•
evolutionary improvement in plastic tank design. offering long-term No special water filling
mquirements are necessar:
exccptiona trerint-, 7P'.rh u, tnr. s -s tank may be badfilr.d acth
s L'2~dc nalivC soil. See astau aiior
Reinforced 24' I Custom ' t
At~_ structural TW Riser
accessoor.
r~~
ik\ Reinforced
vretertlght
,i ry, r mid-seam
' gasketed .
connection
IM-540 General Specifications and Illustrations
y -
A A.
I he IM-540 is an injection molded two piece mid-seam - `
plastic tank. The IM-540 injection molded plastic design
allows for a mid-seam joint that has precise dimensions r>< iV
for accepting an engineered EPDM gasket. Infiltrator's
gasket design utilizes technology from the water industry
to deliver proven means of maintaining a watertight seal. \
The two-piece design is permanently fastened using a
series of non-corrosive plastic alignment dowels and e<u„ .1 FY FRC IEFY.a W,In6 s1RAP
locking seam clips. The IM-540 is assembled and sold
rmnFrrov TOP VIEW
through a network of certified Infiltrator distributors. "T MI
Must be backfilled and installed in accordance with Tw:
Infiltrator Water Technologies, Infiltrator IM-Series Septic
Tank General Installation Instructions and for shallow „ 11 1; 1 ;
ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance.
h as
%TERIDR
Please vistt www.infihratorwater.comAmages/pdf/ F. „Elam
ManualsGuides/TANKOt.pdf for the latest information. 71~ Total Capacity 552 gal (2090 Q END VIEW
Length 64.9"(1648 mm) - pq -I'°:ZCMM-N7N LOCgN(:1D
- 61.T (?567 mm) I
Height 54.6"(1387 mml IN-Er
Maximum Burial Depth 48" (1219 mm) -
Minimum Burial Depth 6" (152 mm)
Maximum Pipe Diameter 4" (100 mm)
_Weight 169 Ibs (77 kg)
SECTION A- W
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IMERRR
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a Dwkrss eels Ro•a MID-HEIGHT SEAM
PC SP` 758 SECTION DETAIL
de Sayty W CT(575
INFILTRATOR 1-aoo-zz -4436 5
W W W.inei10t0nffMU 1.cAM1
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PRiyk5k 48 t.26YMrkO11 Y, In'. % nrE 4sa lgM tradal.Q<c a w n IUF.T'F. Tr`F. . W. ISCa.tftll lot s a patlelv✓ad^aWr .tin intntladgl
Y rcgc/aeA!W.l S. i-Rib s baOelrvuk w I FE%Irc.
D 'A1J h6pyd Well ia.)mUVAi+ ItC i' P1+tn0m U$r~nta.P•a~K). h
0111 1116
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
(hvnerF9nyer _~_c ~>=~_PRlsu LLdI ~~TERSOti
Mailing Address _'519 TW e. l) OAK e I KC L E-
Property Address (-",%Ae-) -n //Wi„ C `f' OD
(Venfianan TNuuvd from Plaonmg a Zoning Department for new constructim)
(;ity/State ~ { u !)SO ~ Parcel Identification Number 0 zo --J/ 14 K- TO- 006
LEGAL DR-Sf'RtmnoN
PropatY Location jLy' y. , 5E % , Sec. 33 . T zrf N R__!j_W, Town of /a nx a'
Subdivision Plat: COUn,7_ys/N ViUaC_,x:_ Lot #
Certified Survey Map #
Volume Page
Warranty Deed # (before 2007)Volume P #
aBe _
Spec house0yespow Lot lines identifiable
SYSTEM MArnrrr» N w-
"proper consists Of 'D "Oft0we of Your sePttc system could result in its ptematu a failure to wwjcap
PuMP-V oat the septic tank every dim yews or sooner, if needed, by a Iirrlehaohandle peeper. a mw how
the system an affect the firsxion of the septic seek as a vestment stage $m at you put into
thresponsibilities am specified in ¢SPS. 383.5u1) and in ampler 12 - St stage
Crothe ic m ix County oust disposal system. Owatet Oseiakartce
S®dw7' Ordinance.
Property owner agrees b submit m St Cmrx Curdy Plamnng & Zoair
owner and by a master plumber, journeyman plumber, restricted umber or a 6aaaed rot a certification form, signed by the
wavoe~vala disposal system is in
PraPer g mnrhOioo verifying that (1) the on~te
less than 1/3 full of sludge. and/or (2) aflrr irtspoction ttmi pumping (if necenary), sbe reptie halt is
UVP, the ImdetsWM have read the above rmpuitamems and agree to maintain the private sewage disposal aysge
standards set forth. Chemi un, as set shtie Department of Safety And fmfssioW Semen and 1be Department of Natural With the
State of tVn.
m within cm Y. septic Wait. has be. maintained be cantpiebd and,ap,ned to e St rut
CO-11Y ~a a Zonis Dqm m
days of the Ihree year expiration d dace e.
Uwe cattily that all statements w this farm are true to the bee of my/ow knowl
PrOPeseY described above, by virtue of a wan>atI d°ed recorded ie fides. Uvw aMam the owner(s) of the
V// Register of Deeds Office.
Nber of ed
6rootats -
SIGNATURE O APPLICANT(S) ('11171
DATE
-'Any rote e,,bon that is mWIMPreseged way result it the sanitary pernot being revoked by the plwmseg k Zosuag
Dehaunt
refermoe is eahis inapplication a w
nxxw arranty nty deed from the Rewss- of Deeds Office and a COPY of the fled surveynaspff
(REV. 04112)
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) 7 nl 6;r' ' located
at: L V '/4, '/4, Section 3 ? , Town_,.,,)'
N, Range W,
Town St. Croix County Wisconsin.
of tt~ ,
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service
Did flow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: /&)o
Construction: Prefab Concrete X/ Steel Other
Manufacturer (if known): I?
Age of Tank (if known):
Permit number (if known)
F N
(Lice sed u ber Sig A ture) (Print Name)
~~t10 3 -l
f''ti°l I~ ~ f~=.z ~ It.~,►1 bc_ ~2
(Title) (License Number) MP/MPRS
71191
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
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