HomeMy WebLinkAbout030-1026-20-000
Vuisconsm Depall°e,n rf ^-erre PRIVATE SEWAGE SYSTEM
S,110ya•rdB...cingI:vsu- St. Croix
INSPECTION REPORT Savtorr Perm: No
GENERAL INFORMATION (ATTACH TO PERMIl 606906
Pcl3 state Plan it; No.
C 9a nt^'r Otic" you p'Jwtlr_ "'ay De U3ed lCf SP.COndary pLrpOSeE. ~ WI':aC'j Ld:: 5 ' i d4 1 J: 3162164
permit Heidi S'da-e Cly V'.laga TorvnShlp Palxl lax No.
Gary & Anne Hoinze TOWN OF SAINT JOSEPH 030-1026-20-000
CST 51,1 I_ nF Eler DM Dewip:ion Serhp =rvm'Ran?e+61ao No.
lV r r~ 06.29.19.104C
TANK INFORMATION 1• ELEVATION DATA
TYPE N4ANUrACIURER CAPACITY STATION RS lit FS ELEV.
Soon-Berichma,lk
Dosing ~J`n~pp v,_l 4 / ~J All. BIx1 r. ~K-CA ! p j.
A e~ 1; f` I of 11 Bldg. Sewer 164--7
Hocing SUHI In'et
TANK SETBACK INFORMATION S!1 II O,ltlet `
I ANK TO P;~ WELL BLDG. rerl A, Ir' ake ROAD Dt Inlet
Septic /g DC Bottom /
7 ioa y voe 1 5
Dosirg /a6/ -7 100 Heado,+Nlan 5 7
92 Y
Aeration D st. Pic v
I S,7 9z.9
Holding Bct. System
PUMP/SIPHON INFORMATION Fh a Grade
.14
1 P.IanL'acturer r f Demand St Cover Opt, 14,44
faludel Na•rher 7G'J~
IDH LiRT_ Friction Loss Syst H { TDH FI p
Jx Q s.q GIZ.7
F^.rcemain LCr.g:~~ ~Dia.~l Dat lu e',nl
lob /
SOIL ABSORPTION SYSTEM 6 T
BEUTRENCH "Vitir Lengtr No O' re ruhe PITDIMENSIONS Nc 01PIS h15ice Dia Iq..~tl[br_I-
DIMENSIONS 7:r
SETBACK SYSTEll
P,.L BLDG V.F_LL LAKE:STREA61 LEACHING !danuladure'.
INFORMATION CHAMBER OR
T'i Pe 'Jt,,`~'~s em
/ ~ l a~ >16 v4 A- UNIT f0 Je' Nimbe,'
DISTRIBUTIONSllY1ISTEM
1•Icoour rviamfcL DiS 1711-7r x rln.
(.~Y !I r'pe:c( 1f eS¢e_ y/ xlc'e Soa f Vur~prlr• 4.a
Lcnytr' ! Ura_ len9.1. -74 UW Spacin5
SOIL COVER x Pressure Systems only xx Mound Or At-Grade Systems Only
Drph Over Depth Cv!•r !:x Dcp-h n' xx Seecpc loaded xx Pdulehetl
-ec; Trem:- Can:c' f He11 lrcnCh Fjges 1
7, :5,111 t C4-. ~ 'yes N> ?5 'Nn
COMMENTS: QrClude code disc,caccaes, pe,sons present. etc ; Irspect on a ; C ~~6 Inspection 42.
`4,~b OWN
Location: 1130 37TH ST G(~,a , l
I.: Alt BM Descnpt or = 1 0~415IJ<A.. Z5 `yd-,~
2 j Bldg sewer length = 70 I~ 'IAw C0 n dw
- amourt of cover = an +l {0'7 p,
`FL s.. SCaL .eVOL .09 ✓
Plar revision RepureV Yes No 't I ' c~
Use other side for additional ❑dormation. ` I zD j~ _ lp
Oate/~/~ Inse Ir.-I r.o
9^rK
Safety and on Ave., C). Bor.
201 L"u , :^tassington Ave., Box 715e
l t •I me r rcrmn Nwnba tm be liCcd r by f'a,
10 d V, 5 7-V
R !SO
t
s:~r Ta esinn mbc -
Sant n Permit Apphez
tion
t !r ac.rn[4S u1 PS 1Ht t, r w n. Tarr l ud< \Ublra.,sl r t t Is tt:
PPtoYn.rt o. ~nm<o d urf I` O -1-~ _I
l u rcau n:d' ~nr t yl(tµrunq.e - mtrt V. x t ~~<t rvm, r to -,u-kd P W 1 u . uacou.,. ;n F;.~ e
.h ll9*tvr+i+aL~.r xd 't~ftt~i-:;3. tirvle my s:tl .1Mm.r:iun _ to }rl vi:k mar br osc fx sr ~rdary I ess [ :ti:lerrnt ~uu 2ai;inC a:idrtts':
~_Ju+tt!'<"F a onlanec w.th Nc Yncw Iau 15 .41 s,x 444/36 4,L
I "LPP icanou In(ormanon P se Print til Infonua n - - - p
nV V Pw cd~
arc.- Q3>1o< b--a
Property Owneri Maim dl n> -I ,yc;ty L,zauen
(~1~1 Lot
TLrF t--,:c !'Corn )`u¢bcr
LA,/
Pp, r Building (ebeck all [bar applvj ( p - ---If7 _ J- P / , tr
+j~.1~'rm;,IV [rudliu_ ♦nnbcr o•4c
"II _ :voolr; $aatlt\•utnn t.alnc. //fir
. ~ P bft~ C,m•ner I J - U'_cr he . c;. I~~.r~u^^ ~ - ' 11 • J
I~ Staz Ouacd - D1n ,h ;,xc C ti Xun:FFr
une of
K 75 Tnf.Q 5
_
~ll Type of Permit: (C
Complete line R if applica_ble_! J -
n r~(
.-~t`r<u'lYal<xl Fgo.'YCKCt $VYtin LI IrcJQnttCi_.I\,.n T. yk i.C(alS.nt ihriV Ud= M:rd:5cm00 n.:;x* $
!~-lt Aug ytam lexP::rq~
R i J i'arnlt l\Cl caul I - nut amsren-- r G- ,va °rtr~ i l I ~p,l it Iv.^,5let ii \cN List Y2+'rOUS Perfan VOmlx-,ri Da 'SSOtd
Rc4'.r F~pn con
R 7.\pe of POw T`, cvetem.f ouQmrenLDe\ice: (t beck all tiv_t ~lt'i ~ ~ j~-~r
1i fKU,lr`C L- ."J'Id I }Tl.:c,;r1Z.d 11 iOLL9v♦ I liA.
di Lt fswtaUle'til ICAound ,.Sin ofnntaMc
I loAvn^ l r{ L UL ns7xisa14•n4n I nl nPlamY bRC+nnn'mDc I c (crcnhw)
V Dispersal-rrrat `nr 1r ea Io(ormaunn
Lkgen!-I r.~~ni tPpmar<tvtr ~Uzpc:.:11 _:ca Fc uirr~i' Uup.. grta ',P: n Flevacwo/
~7. 'l'ank Info Cz a'rt1m _
' : +II'n> I Told n cf I A!nnof :u:er t ~ --r'-
i-nl. nL'nIC:
Feu aau 1
4trw WI6m T.uk
^JL , L J
- r
yTl ResNonsrlnbrn Statement- r - - II-..
for nndcmt:nrd_xvum pon.ih 6n fo' iu'blfanou of rh<P(lp 7\ shovel: nu rIN xttxched plans
k~i s?::line iPril p i Ylua r - n:rr \ !rtYFS Vt wt+n k~sWcs- Y~ me Cimnbc
1 labs 5 Aott~xi 31
ttv7h artment L w Unty
ppurvrd IJ(ry• ~r'¢n 4c r1A. Lr _.--.I L\mul n .iylmrm
LX. Condiri nos for Drsapprmal
1. .hrk.elfi n:like- m-I [,tfv~N.~":gn5 .+/k. ~pl.~y~~aJGaSL L-Gy.Q.I,
ntspe+: ; erll aI' be Ir S'_ rat t'-(
is per arar 3yerrer pl , > -cM Lv plu nDer. Qfe, I NA t_ A4• '
2. All sMback recLlw ^en s mlr,A t:, t 2,1& IY.t
raper +pplcnDl~uY..;/ rd 1r ' -aL - - ♦ttacb i< c mpKr y.am to "he +?mro uA aubmir i pc Cvu~ult oo Pu nu: . rna 1.^.: ~ inches m vtt •~~l~f~~a
SBD~19X iR Ilrlll
I
System PLC)T PLAN
PROJECT Gav rlein/c ADDRj:ss 402 Windover C4. NW Vienna VA 221,80
NW 1i,t SE l13S 6 rT 29 VR 19 W TOIAN St. Joseph couN'r1' ST. CROIX
Sl'STE~I EI,F1':1'1'IUN 92.3' 9!72:'18 4
D:1Th BEDROOM CONVENTIONAL A'I'-GRADE CONVENTIONAL LIFT HOLDING TANK
HOUND XXX SLPTIC TANK SIZE 1205 Gallons LIFT TANK SIZE DOSE TANK SIZI: 705
HOLDING TANK SIZE LOAD RAT'F '.0 ARSORPTION AREA 600 9 or chambers none
11111, BENCHMARK V.R.P. 604tOrno` garage siding ASSUME ELEVATION lull'
Filter Lifetime. Pilfer
❑BOREHOLE (D "E", -II.R.P. same aS benchmark
6Q0' 100 1130 Property Line
89.5' 90.5' 9-,b'
B-2 _ 2 Scale =1/4" = 10'
Area 15' below system is to
II II remain undisturbed
Grading is to be done to divert
❑ run-off away from system
5`-b Slope
B-3
I
91 .3'
1
to Garage ` Tc 37th s4. _
/
i iuffcutt ST
3
Combo Tank 0 -xisting 4 Bedroom
7,6
Well ouse
OVJ ~
O Oid systom is to be pumped and buried y # `
w-
DIVISION OF INDUSTRY SERVICES
2331 SAN I UIS PI STE 150
_ GREEN BAY WI 54304-5211
S _ Contact Through Relay
P nao +Idsps wi goy+prcgrams+industry-services
S S w•vw wiscons'n gov
F
Scott Walker, Governor
Laura Gutierrez, Secretary
S, plcn bcr 20. 2013
C I IST 11) No. 2 20900 17T1'. Poll IS Inspe, 1w*
SHAUN R BIRD /ONING OITICL
BIRD SELF STOKAGL ST CROIX COON "FY SPIA
1412 120114 ST 1101 CARMICHAEL RD
NEW RICIIMONI) WI ~-101?-6101) Ht DSON WI 54016-"08
CONDITIONAL, API'ROV:1L
PLAN APPROVAL EXPIRES: WY26+2020 Identification Numbers
Transaction 11) No.3162H~4
SITE. Site 11) No. 84083 _
I leililc please reter to hush identification numbers.
1130 3?111 St above, in all correspondence wilh [tie agency.
Town of Saint Joseph
11 Croiy ("oulm
NW 1 : 4. S L I 4,"S6. 1'29\. R 1911
FOR:
De,criptiow Replacentcm Residential Mound
Ohfect l ype: VOAi, IS Component Manual Iteeulated Object 11) No.: 1793169
%lawmiance required: Replacement system: 6011 (;PD I low rate: 21 in Soil mininuun depth 10 limiting factor front
ori_aial grade: Syslent(N): V9ound Component Manual - V'er. 2.0, SRI) -I(1691-P (N.01 01. R. 10!1''-), Pressure
Distibution Component Manual - Ver. 2 .0, SBI)-10'(16-P (N.01!01. R. 10!12): Effluent Filter
I he utimatal dcscrihcd allow has been reviewed for conlurnnmcc with applicable 11•isconsin Administrative Code:
and 11'isconsin Slatutes. The submittal has been COADIIION;A1.1.1' ;APPROVED. This system is to be constructed
and localcd in accordance with the enclosed approved plans and with aril component manual(s) referenced above.
He owner. as dclincd in chapter 101 0](10), Wisconsin Statutes, is responsible for compliance with all code
rnquircnlenls.
\o person nmv engage in or work at plumbing, in lire stale unIc,N licensed to do so by the Department per s. 14~ 116.
Scats,
the Iollowing conditions shall be met during construction or installation and prior to occupancy or use:
Key Items- POWTS Design Approval
• This system is to he conslrucled and located in accordance with the approccd plans, the '\lound Coulpuncut co
Manual for I'mate Onsite Wastewater SN,tcros Version '.0" SRU-10691-p(N.(11OF 1 and the Tresurc
Distribution Component Manual lot* private Onsite WaAcaatci I reanuenl Syslcnls Verion _'.0" SBD-10706-P
I N,0101 EPT
• An% tall grasses, leaves and shrubs shall be cut :hoc and removed prior to tilling the surface for installation t PR FES
D ISI
prevem ntalUn_~ under the dispersal area, ~
• Prior to construction of the dispersal area, check the moisture content ofthe soil lo a deptt of 3 inches.
Smearing and congtac(ine owner soil will result in reducing the infiltration capacity ufthe soil. Proper soil
ntoislure content can he delennined by rolling a soil sample hclwccl: the bonds. If it rolls into a I'1- ntch wire.
the site h too wet to prepare. ]fit crumhlc,, site preparation can proceed, If the site is loo tvct to prepare, do not
proceed until it dries.
• Insulate building seller beyond 311 feet per SRS 382.30 (1 1)(c).
• Provide surface water diversion around the Ircalntenl lankc and mound dispersal emnponenl.
SII=.I Iv IL ItIIZ.? I'::rc' 'i .'n -i R
• 'I he owner is responsible Kor the ope:£niun avid niainA•n;etcr of d:e I'malc on,itc wa,tcw ater urauncnt scslcm
(PO\k FNj .n accorihmce with SPS 383 :md the approved management plan
• The owner of it PONN TS shall he responsible for ensuring IItat access opening covers remain locked or
secured esccpt for in,.pmioit :vac a:t:ion. tmo niauouv of ..•ni~ iuP prrpo,
• Owners shall receive a copy of the appropriate operation and maintenance manual and or owner's manual for
the P(_M I S de,cribed in this approval.
• Provide it cops of the approved 1'0%%TS plans and this letter, to the nw ner.
A cope of the approved phms.,pecilicatioins and this lelter.h;ill be on-like durut*U construction and open to
inspection by n.thori/ed rcprcscnlatives of the DvImitrnent, s+biclt nlav include local in,pectors. All permit,
required by the state or tire local municipality shall he oblained prior to cnmmencemenl of
conaruction installation operation.
It, granting thi, approval the Division of Incfusirv Service, reserves the n_ht to require chanaec or additions should
conditions arise makim_ Utem neccssmq for code compliance. As per state stilts 101.12'('_). nothing in this review
,hall relieve the designer ofthc responsibilip lot designing a ,ale building, slrucl.tlrc. or component.
hupniries con erning this correspondence may he made to tine at the telephone number listed helove. or at the address
rw this Ielle ad.
I I e ab ~loli a dressce shall pro ide it copy of thi, letter and the POW TS management plan to the owner and any
,t rs, wd re re ponsible I6r the installation, operation or maintenance of the POW-I-S.
rc y. I ee Required $ 250.00
This Amount Will Re Invoiced.
When You Rtt'civr That Invoice.
- a Mager Please Include a Copy Willi Your
P 1aslewa c Sl •c' di t . Division of Industry Sere ices Payment Sohmiltal.
It ,US h?.I_ N SO, ton I, i:no a iw - 3: 15 p.m. WISMAR F code:.633
reac'Iv.lint .Iak%i.¢ov
:C: Edwin \ la~,or. \4;a,tc~~aker Spccialia. ( I o i I- ;.IN I. Mon-Iii. S:nll AAI - t:;(t I'.M
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 9.'12'18
Owner:Gary Heinze
Location: NW1/4 SE1/4 S6 T29N,R19W 1130 37th St. St. Joseph
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 n r.`~^ qr
LY
5. Pump Chamber Cross Section
6. Pump Curve Fk7Y '4
7-8. Maintance and Contigency plan 'r
9. Filter Specifications and cross section
Attachments: Soil Test
Shaun Bird
Signature-
License number 226900
Page 1 of 9
JF
L
System PLOT PLAN
PRO.IF:c'r GarvHeinzc ADDItEss 402 Windover Ct. NW Vienna VA 22180
NW 114 SE 1/4s 6 rT 29 N/R 19 w'TOWN St. Joseph COUNTY ST. CROIX
SYS ENE ELF:VA'TION 92.3' 9.12! 18 4
DA"fE BEDROOM
CONVLN FIONAL AT-GRADE. CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 Gallons LIFT TANK SIZE DOSE: TANK SIZE 765
HOLDING TANK SIZE LOAD RA7 E 1.0 ABSORPTION AREA 600 0 of chambers none
It I-ACHNIARK V.R.P. Bottom of garage siding ASSLrh►F: ELEVATION ton'
Filter Lifetime Filter
❑BORE11OLE OwELL KII.R.P, samP,asbenchmark 10
690' 100 1130' Property Line
89.5' 90.5' 91.5'
6.2 Scale =1/4" = 10'
Area 15' below system is to
remain undisturbed
B-1
Grading is to be done to divert
❑ 5 run-off away from system
Slope
B-3
91 .3'
B.M.
Garage To 37th st.
Ci7 0
Huffrutt
Combo Tank 0 Existing 4 Bedroom
Well ouse
C 0 Old system is to be pumped and buried
Mound System Cross Section and Plan View
1
Dimension Fcct
t t
75
A, - 1
r
t F L,
T i c S
t I 11 - J
t t ~ Z
t -K2
t j -
T. 4/
4-
K _ _l z
9~-O/.
SIB
i - -I ° Topsoil AS 1 \t C (1c an a<:,rcgate - -I in. Bch. 40 pvc
_ Cap Maleri tl ;and till - to m. dia. observation pipe.
Geotevtilc - \ II
Fabric
i I.
q _ owed Surface
Ft Contour
Slope Direction
GENERAL INSTALLATION: the moun.l area is staked out along the desisn contour- 1Fistine,
veeetation is mowed and rd ed otl the src. I he mound basal area (L s W) is plowed with a moldboard or
chisel plow. 1 lowing may not proceed if the soil is wet enough at the plow depth to form a !,s inch soil wire
when a sample is rolled betw=een the palms of the hands. ASTNI C-+3 quality sand is placed inunediately
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 backhoe. Special care trust be used when placing sand of less than one loot
thickness to minimize compaction of the plowed surface. After the topsoil cap is placed. the entire mound
is seeded and mulched to promote vecetalkC growth. limit erosion and protect from freezing. The
observation pipes are slotted in the lower 0 inches and cured in place wiih rebar or a closet tlangc.
10 '0? ILI Page o
PresSLit'c Lateral Layout
Two Laterals - - End Manl f-old
f- - Threaded
Cleanout
I ateral Turn-up ► Plug
Manifold
M
I - Long
Force Main / Sweep
90
Rend
-Distribution Network Specifications Pressure System Construction
I ateril Dtarnctcr 2, lr.
lan,fuld Diameter Z In. FPL;11, ls arcconstructed of Schedule 40 PVC
Orifice Diameter Zn. Orifices are drilled perpendicular to
rifice Spacing) e~ In. the pipe with a sharp drill bit and face dovNri
~1, (Lateral Leng(h) Ft. Lateral turn-ups terminate with a threaded
j M (\4anifold Length) _ Ft. clcanum plug and are enclosed in a 6-8 inch
Force Klan: Diameter In. diameter lawn sprinkler valve box accessible
Farce Main Length - j i k 1. Irom hnished l1radc. -
i - ~
0-8 Inch Lawn
Sprinktet-Vale ~
Roy
Pz.gc f~_ of
03:'05 Igj
Septic-Dose Tank Cross Section And Pump Performance Specifications
'rank Manufacturer t Pump Manufaeturer t ^
Tani Model Number ti , S7 Pump Model Number J
Total 'l'ank Alarm Manufacturer '.ll'
ylax. Bury Depth J Alarm Model Number - 7- -
Switch Type
Filter Manufacturer Total Dynamic Head (TDH) - Feeet
f4 filter Model Number j ' I Elevation Head
FDoMinimum Pump Performance Required roe MFt TDH j
al
Outlet manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade
Locking Device. Inlet Manhole With Locking Device
< 6" Below Grade Sealed Watertight Securely Mounted
Weather-proof l
- Junction Box - -
Finished Grade
Vent Min. 12" Disconnect
Above Grade Means
With Vent Cap
( Outlet Filter
Inlet Wet Baffle
A 14
[Switch Settings and Reserve Capact~ Weep
Tank Volume = GPI B Hole
Dimension Inches Volume Gal.
(reserve) A ~v. Off Elevton C
Ft C ? Ft Bottom
D E^l'evation
(dead) D
Tota1~L= 7
the
in accordant a with not
GENERAL INSTALLATION: The septic/dose tank is bedded and back fillod
manufacturer's product approval specifications. Maximum depth of bury as specified by
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
and ngs installed. Piping at the inlet and outlet is of approved force material, connected to the tank
esin is sleeved with 4" Sch. wi40 th PVC tobridge the tank
laid va stable soil to prevent sealing sagging. The fcomplies with NEC 300 and Comm 16.2:..
excavation and the sleeve is sealed watertight. Eledri~ servec
05 page of
0 u
280-SERIES
112 hp Submersible Effluent/Sump Pumps
The Liberty 280-Serics provides a cost effective "mid- Performance Curve. 280-serilois'
range' pump for on-site waste water systems, liquid
40 12
waste transfer and commercial heavy-duty sump pump
applications that require higher head or more flow. 35 11
Designed around Liberty's unique "Uni-Body" casting, 30 -
the 280-Series will provide years of reliable performance. Q) 25 - 9
U_ 20 I T _
All Models Feature: m 6
_ 6
• Vortex style impeller permitting passage of solids (0 1
Up to Y4" T 5
• 416 stainless steel rotor shaft 10 - 3
• Permanently lubricated upper and lower ball bearing 5 I 2
• Epoxy powder coat finish 0 I 0
All fasteners -
corrosion-resistant 0 5 1
stainless steep 0 15 2025 30 35 45 50 55 60 65 70
• V Z" Discharge U.S. Gallons Per Minute
• Stainless steel bottom screen - easily removable 0 3 I T I
156 192 228 270
• Maximum fluid temperature: 140'F. 78 114
Liters s Per Minute
280-Series Cord Lengths
Model 10'___ 251-2) 35~(-3) so'(-5) Dimensional Data:
280 Standard -Optional _Optional _ Optional Wight: 291bs.
281 Standard Optional- Optional Optional Major Width: Major 10" (model 287)
283 Standard Optional Optional _ N/A
287 _Standard Optional _ WA _N/A Minimum Sump Diameters:
10' cord length standard on all models. For optional lenylhs, Model 281, 283...14"
add"-Z-3 or -5" suffix to model number. Model 287 VMF...10"
Example: for model 280 with 35' cord, order 280-3
Factory switch Model 281, 283 Model 287
settings VMF
Motor Specifications Turn on level 13" 9.5"
Y hp 60 Hz 3450 RPM Turn off level 7" 4.0"
Oil filled, thermally protected
(PSC) Permanent Split Capacitor The model 283 features a tulty adjustable wide-angle float Differential
8.0 amps (115V) adjustment> ran be, made easily by tethenng the float to the dis-
charge pipe or other mounting point- Vertical float model 287 is not
adjustable.
x i•
Model 280 Model 281 ~11 ii Model 283 a, Model 287
u Man, Wide angle
ual ag
1 fr Wide angle VMtical m
no switch float switch -W float switch Vertical mag-
with quick- L` with series - netic float for
disconnect 4 (piggy-back) I~ smaller pits -
^ y plug - 7 will operate in
a 10" diameter
sump
c ca-us Certified
Jpccirctryot~,uv::u: r:c?to Farcy. wiltxrl npp~.;.
Liberty Pumps • 7000 Apple Tree Avenue"- Bergen, New York 14416 • Phone 800.543-2550 Fax OWN 494-1839
www.libertypumps.com Q,Fryright 0 Ubemy PUn>{sss: Inc. 2017
1,)~ ae nghC reserved. LLIT 7000 FKWI7
' POWTS OWNER'S MANUAL Sr MANAGEMENT PLAN e:+yo_ er
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity S
L N-- al ❑ NA
Permit it Septic Tank Manufacturer 0 NA
DESIGN PARAMETERS Effluent Filter Manufacturer NA
Number of Bedrooms y ❑ NA Effluent Filter Model ❑ NA
Number of Commercial Units NA Pump Tank Capacity all ❑ NA
*A,2,-2 Estimated flow (average) 1 0 aVd Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1 S) 4,, aVd Pump Manufacturer ❑ NA
Soil Apprication Rate aVda /ftz Pump Model QNA
Influent/Effluent Quality Monthly average` Pretreatment Unit
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Fitter ❑ Peat Filter
Biochemical oxygen Dernand (BOD,) 420 rng/L (I Mechanical Aeration O Wetland
Total Suspended Solids (TSS) 5150 m9/L ❑ Disinfection r7 Other:
Manufacturer
Pretreated Effluent Quality _A Monthly average'' Dispersal Cell(s)
Biochemical Oxygen Dernand (BOD,) 530 mg/l, ❑ In-ground (gravity) U ground (pressurized)
Total Suspended Solids (1 SS) 530 mg/l. 17 At grade Mound
Fecal Coliform (geometric, mean) 510' cfu/100mi ❑ Uri ine U Other.
Maximum Effluent Particle Size Y. inch diameter values typical rut dotnrstic (noncomm.rdap wastewater and
septic lank effluent.
Values typlrml for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every U months ear(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume
Inspect dispersal cell(s) At least once every O months iLTyear(s) (Maximum 3 yrs.)
Clean effluent filter At, least once every ❑ months year(s)
Inspect pump, pump controls & alarm At least once every ❑ months • . ar(s) ❑ NA
Flush Iattrals and pressure test At least once every U months ear(s) ❑ NA
Other. At least once every ❑ months ❑ year(s) NA
anor. At feast once every U 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, POWTS Inspector, POW I S 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 tailing condition and requires the Immediate notification of the meal 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 Administrative Code.
The servicing of effluent filters, mechir cal or pressurized POWTS components. pretreatFment components, and any
other maintenance or monitoring at it ervals of 12 months or less shall be performed by a certified POWTS Maintainer.
A servicg 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, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other
chemicals that may impede the treatment process and/or darnago the dispersal cell(s). If Iriyh concentrations are
detected have the amtenls or the tank(s) removed by a septage svrvicing operator poor to use.
n
0 I-~
Page --of
START UP AND OPERATION for the presence of painting products Or other chemicals thO
For new construction, prior to use of the PONfCS check treatment tanks} may impede the treatment process andlor damage the dispersal C@11(s) If high concentrators are detected
have the contents n i I'
.
ator
tank(s) removed by a Septage servicing oper prior to use
System start up shall not occur when soil conditions are fl at the infiltrative surface.
During power outages pump tanks may `ill above normal hlghwaler levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) In one large dose, overcal ing the cell(s) and pray result in the nackup or surface discharge of effluent,
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to tt,ie
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
w
15 ithin the pump tank. fee compact, the area within
hy mound tanks and
Do not drive or park t down slope of vehicles
grade dispersal cellls area not drive or park over or otherwise disturb or comp ill Reduction or ellmination of that following from the wastewater stream may improve the
oertormance and prolong the Ida of the POWT3:
antibiotics; baby wipes; cigarette butts; condoms', cotton sweats; degreasers: dental floss: diapers;~'~ectra l odfal: foci painting rain
(sump pump) water; fruit and vegetable peelings gasoline, grease, herbicides; meat scraps;
pesticides; sanltary napkins: tampons, and water softener brine.
ABANDONMENT
When the POWTS fails andlor is permanilly taken out of service the following steps shall be taken to insure that the system is propel y
and safely abandoned in compliance with chapter Comm 83.33. Wisconsin Administrative Code:
• Ail piping to tanks and pits shall be disconnected and :he abandoned pipa openings sealed
• The contants 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 soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the 'OYVTS faits and cannot be repaired the following measures have been, or must be taken, to provide a code compfpnt
replacement system:
0 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
The replacement area shou;d be protected from disturbance and compaction and should not be infringed upon by required
setbacks from existing arid proposed structure, lot lines and wells. Failure to protect the replacement area will re~h i the
In
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply
nf`ec; at that time.
❑ A suitable replacement area is not availabe due to setback andlor soil limitations. Barring advances in POWTS technologN a
holding lank may be. Installed as a last resort to repla(:c the failed POWTS.
,ELI The site has not been evaluated to identify a suitable replacement area Upon failure of the POWTS a soil and site avaluation
I~-must be performed to locate a suitable replacement al if no replacement area 'a available a holding tank may he installed) as
a last resort to replace the failed POWTS.
removal of the biomat at the infi!tra ive
surface a Reccnst ~cbnns Cfsuch systems mustncomplywith he n ens in piece in effect at following that thnr
<<WARNING»
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO N
DIFFICULT ANY CIRCUMSTANCES. ANCES. DEATH MAY RESULT. RESCUE 0= A
ENTER A SEPTIC, PUMP OTHER TREATMENT TANK
PERSON FROM THE INTERIOR A TANK MAY BE
ADDITIONALCOMMENTS_
POWTS INSITAAL/LER POWTS MAINTAINER
f CCs - - Name
Name
=D1r -
Phone
Phone - -
SFPTAGF- SERVICING OPERATOR PU PER LOCAL REGULATORY AUTHO Y
Cr NaTe/ 7 1~-E e O Prone Pho' K--~ 5 C
I
This (1ncull was drafted n corrpllarce w-th chapter SPS 383.22(2)(b)(.)(d)&;f) and 383 54(l), (2) 8 (3), 1,61S ma Administrative Code.
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ST- CROIX COIIN'I 't
SEPTIC I'.~N k >V4ANI1'sAf?1V'CG :'u REh'AQN~I
ANl)
OWNI;IZSIIIP CIIR'1'ff~1C;l'I7t iN NURIVI
t)wncr..Buvcr IJCt ~
Mailing Address _((_l7
Property Address
(Vcnfic'atiou regniruk, f! Gill Plartnirtg 7uuing Dapto( nent tot new consuuction.) - - -
C't I Vl;Stat(:
- Parcel Identification Number 0(, l~pL_Otrz)
LEG:U, DESCRINJON
Property Location" Z"-
R W, Town ot~J` J(.)S u
Subdivision
- - - of 4
Certified Survey Map
. Vr lufnc Page
Warranty Deed # Volume Page f t
Spef house ycs no Lol fine. identifiable yc.> o
SYSTENf MAINTliNA.NC:E AND OWNER CERTUICATION
Improocr use anti ina nucnaucc of your septic S,, atcm could ICiAdt in its fintniautre, failure to handle wastes. Proper
rr:ainterraucr consisls of pumping out the srpul.: an:c cve, y Ihrcr yntirs or sooner. I needed. by a luxnscd pumper- What you put into
the system can atlbet the function of the septic tank as a trralmetn sttgc to the was n disposal system, Owner tualydenance
responsibilities ate specif ied or QConun- 89- 2(1) and at Chapter 12 St_ Croix (%r tnty 6autnu,v Ordinance
The property owner gQtrrs to Sumull In St. C;oIx c;oonry' Plemn,e Xt Zoni mg Dcparlrteni a ec:uficaliou form, signed by the
owner and by a truster pl'rmbet, joutncy-man Pluto- -r. trstrtded plu:nbt.r or a b,-- T,ecd potuper ventytng that (1) tic Oa-site -
wastcwalet disposal system " in Proper olwamng condition and+or (21 after iuspcc::ion Will putrpuik (i1 necessary), file sep:lc tank is
less than 1: i full of sludgy
I 'wr, the unficrmf red have leadt:m at t 'c rrdpmr n•rn7S . mi rctec to Geur.lain the [)rival,: :cwaye rispusal =ySiern wnd: (hc
tnrrd l(IN set forth, herein r„ set Cy the Departure nt of<ouunct-c and the i)cparrrn-or, of N'atmid Resoor cs, Suety of Wiscirnstn.
( eroftcation sUIriug that your septa systcaa has been maintamcd durst be completed and rrluntnd to the St. Croix Comuy Planting &
Zoning Denditutent within 30 da}s of thr three year cxphauou date. -
11we certify that all stalcrnru s et: is Torn %rc o w to h .hest ofuwoui I nowledgc. lava andare the rwuet(s) of die
property described above, by vii bar i a c rrnla drer, tee ride. il: Ret?tstcr of Den Is Offire.
N cr of droorns /
- 1-r - PPLIC.ANT(S)
uAT E
'"Any information that is tnisn:presrnrrd may reshlt h: ncc sanrtaty peunit being o vokcd by the Planning & Zoning Dcpatrmcnt.
Delude with this application a .ecordrd waiiam-, deed form d•:c Re(;isrct of Deeds (.fficc and a copy of the eerufied survey map if
teference is made in the wananiv deed.
(REV. 08)05)
i; ,r 1 r CST"a o f ~s - as 9
s
Wisconsin Department ofCommeke $OIL EVALUATION REPORT Page_ w_
Division of Safety and Buildings
to aeoortfMG#wrt4 Comm 85. Nis. Adm. Code
County
Attach oomplete site plan on p" (lot lese-main ~6 112 x 11 inches in size. Plan must J 1
include. but not limited to veaicMand honvnotal reference point (BM). direction and Parcel I.D. I}
Percent slope, scale or dimensionS• north arrow, and location and distance to nearest roar.
Please print all information. Revie by Date
Psnwnnai irAdmaeon yW pOnOe may Do osa0lor aecorWary parposex (Privacy law, s. t $ M t p rmlj
Property Owner property Location
L7 C" r r n Govt. Lot N;j 114 J C. 1.4 S T Z N R E (or Y
Property (Tuners Maili ress Lot 1) Block # Subd Name a CSNU;
off- (u> o ` f.J LAJ I So af-
Cdy State Lp Code Phone Number C] City ❑ Village 534wn Nearest Road
E e~ U 2Zt$o (x GNC1 JAS?
❑ New Ccn5truCtion Use: stdeneal I Number of beGOOms _ Code derived design Mow rate fD GPO
Replacement [:j Pu-Nc or commercial - Describe-
Parent matenal _ Flood Plain elevation if applicable / ry,
General comments
and recormhendations.
system Type
~J Lev System. Elevaoon_L~_!/
Boring N Boning
17 1 Pit Ground surface elev ft Depth to limiting facia in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fF
in. Munsee Ou. Sz. Cont. Color Gr. Sz. Sh. ~h 'EfNrt •Eff#2
Z A
77/7
Boring 0 [ Boring (7~ c
❑ Pit Ground surface elev.(01 ft. Depth to limiting factor n.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD."F
in. Munsell Qu. Sz. Con( Color Gr. Sz. Sh. 'Ef'Fet •EffN2
Effluent R1 = BOD. > 30 < 220 mg/L and TSS -30 < 150 ' Effluent iy2 = BOD. < 30 ng1L and TSS < 30 rrg.'L
CST Name (Please Print) S ture CST Number
Bird Plumbing. Inc. Shaun 13ird - 226900
Addws Dula Lvalualion Conducled 10oplwno Number Z~x 1432 120th St. New Richmond, WI 54017 J_ f 715-246-4516
Parcel ID p _
Property Owner Page - of
SonrgR Boring
3 c pit- Ground surface elev. lL~f Depth to limiting facto n. Soil licatiwt Rate
Honzon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD1ff
in. Munsell Ou. Sz Cont. Colo Gr. Sz Sh. 'E"l 'EfW2 "04 4-1
Boon N ❑ Boring -
❑ Pit Ground surface elev R. Depth to limiting fades in. Soil Application Rase
Ho on Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPDfP
in. Munsell Ou Sz_ Cont. Color Gr. Sz. Sh. 'Etfp1 'ENp2
F-1 Boring # Boring - -
Pit Ground surface ebv- K. DopM to limiting factor in.
Sad Application Rate
rtiorizon -lepfh Dominant Colo Redox Description. Texture Structure Consistence Boundary Roots GPOAf
in. Munsell Du. Sz Cont. Color Gr- Sz Sh. 'Eff01 'Ef #2
Effluent pt = SOD, > 30 < 220 mgol-'and TSS >30 < 150 mgt ' Effluent #2 = SOD, < 30 nV?L and TSS < 30 rrxyt
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.
sxo-u~>.;a ami
Property Owner Parcel ID # Page o'
Bourg # 55-Boring
a R p#- Ground surface elev.
7-0, _ h. Depth to limiting factor -2V _ in Sal Application Rate
Horizon Depth Dorninanl Color Hedox Description Texture Sbxrtwe Consistence Boundary Rods GPD1fP
in. ManSeell Ou. Sz Cont. Color Gr. Sz. Sh. 'E##1 'E##2
m
Z i -
I
I
Boring # ❑ Boring - -
❑ pit Ground surface eluv f;. Depth to limiting factor -
_ _ m. Soil licahon Rate
Horizon Depth Donmant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh 'Eft#t 'EB#2
❑ Boring Of ❑ Boring
Ground surface elev.
❑ Pit It. Depth to limiting factor In.
Sal Application Rate
Horizon 'lepth Dominant Color Redox Desatpoon. Texture Structure Consistence Boundary Roots GPD#F
in. Munseh Cu. Sz. Cont, Color Gr. Sz. Sh. 'Ef#it 'EM
' Effluent #1 = BOD, > 30 < 220 rtxyL and TSS >30 - 160 mgt ' Effluent #2 = BOO, 30 rrtglL and TSS < 30 mggL
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 608-26ti-3151 or TTY 608-264-8777.
WUlnbfx GM!
Soil Test Plot Plan
Project Name Gary Heinze Shaun d
Address 402 Windover Ct. NW
Vienna VA 22180 CS P.1 #226900
Lot Subdivision Date ` /12/18
NW 1/4 SE 1/4S 6 T 29 N/R19 W Township St. Joseph
Boring Q Well PL Property Line County ST. CROIX
BN1 or VRP Assume Elevation 100 ft. Bottom of garage siding
System Elevation 92.3' 'HRPSame as Benchmark
690' 100 1130' Property Line
89.5' 90.5'
B-2 91.5' Scale is 1" = 40'
unless otherwise
noted
12 acre lot
B-1
5% Slope
B-3 ❑
R.M. '
Garage To 37th sl.
ST
Existing 4 Bedroom
V`~+ House
DW
0