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038-1117-20-000 (2)
:vi;c;n=.io Ur:par,in,~r[ oI Cc-,mane: PRIVATE SEWAGE SYSTEM°'° I" St. CrOIX INSPECTION REPORT Sa-Aa•y Pe•n: No: GENERAL INFORMATION (ATTACH TO PERMIT) 606927 81a10 Plan '.J No. Pcic-at m`[nnmtmn y;w pfc'atee mny o:: .,ctl Ic• 5econcaf7 eulpCSes •='.va:'; : a,., s IA C4 3167638 =fmlt -lo eels N.nnn City VJL,y_ -/Ar;hn Parc0115x No . Dan Singer TOWN OF STAR PRAIRIE 038-1117-20-000 CST -IM F er'. 1•s. Bbl Elea DN Downp:icr l SncllC' TCmn: Range. Plop No. 161.5 QC1 ~j @ 29.31.18.488N p TANK INFORMATION LEVATION A 4 ccvlar4-1c f PCOA TV D--- MANUFAC I URER CAPACIT' SIA'ION BS HI fS ~LhV. T___ III, sq:hc / Bencnroark O 1N'• Doswg t)Y All, 31,1 GD Z 43.5 A4W4f- / Awal;lw F" . r H~ddi^9 St'H: Inlet r _ TANK SETBACK INFORMATION Sv••tOuuet V y3 /a .8 TANK-0 P1L SuPI_L BI-CU, Jen IoA• Wako ROAD of In .el 56l 'y/ g UtB;uom 9--7 Des 1, I,~ Header.-Man, .,7 /15 I 41MLS Oz•5 Aeration Dist. Pi:w 7 ez S Fl clcilg Sot System 14 ~i PUMPlSIPHON INFORMATION nat Grade -2.-7 /e3.5 hdan.Aa'-lurur Den•and St Cover ~op• f 2 .-/Q e-( GPM v I btodol Number Z$C~ 5j.~ ~j -DH LI^. lI h naio6l.o~ % Sys,cr t tl~c 9 rDHD , A' CtA IDLC 3!`1 /00. Fo•,_enrar L~•n,„ IIJJ Dia. , Jill.tcWe' / I SOIL ABSORPTION SYSTEM 'qj- Go U1^ BED,TRENCII mII, / Le•JI9 NC. Of wr-.b PIT Dirt SIONS DI P,. a yC C a. Liqu : nc DIMFNSIONS Q' S•~ ` L~ SETBACK S"S?CrdUT:) PJL BLDG l1,FLL LAKUS-REAM LEACHING r'a nu'acL •er. INFORMATION CHA/A-- OK ')C.r ysie~ UNIT I'L DISTRIBUTION SYSTEM 1'• 11- cNNani`obj, Ui Ir eon ) X H -See r / 9 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ° D, I :_r rep!, J Xx JcF:h c' 1 ¢r -eaear; !cea xx Mwchea liulI rh Calet I'•.:;;tr ,h Ecuec Tcac I COMMENTS: rlndudn c::9e :1 screpenc as rersors preserl• etc.; ~~qy"~ sCection #t' 23 ~B Lon #2: Location: 1-486 CTY RD Cr /QJ n JJ In" 1 j Al: 31,1 Descnrlior - / V 1 COQ<~~ [-p Bldg sewn lu gll O - amOl. rt 0( Cover - G Plan ri s~cn Requued? Yes ! J_ l0 Z`i Use other silo for addAional intocna:ion. 11 7: U Use other side fo Dal I'SOPCIC, lq'atufe Ccr, Vc. - _ _ _,<0W _ ad t e _ 3Y Saftil and JUdd SP V<asn;ngton Ave..- P-0 U. x'to9 L a> $-MAdlson.VVI 5d7C:-:702 ,I eta: r•mn Vlur~er ;tn be ha cm Gf JC'7 it 4k- at ion L~ JIaL•' Trans:nvot >+mnixr pr)IiC n ^'wrCaO t r'hj { - n s whmu c L I5 f r l 'c n u r u renlnrcd o~ ,r r i:. tl.r z saait~ P P e)•:~nm^n.al mrt-~~?~3 .hc Ck~vru-rt 11ai >a~d 'dasl -u $c~rP'~V ',-Gf.n !anc or >u.e owned 1l3cu!-. uc aavu¢ci /I th. v-cnJn r::cu,oc r-a mn.Idc w.nl u<-d fir mon;:a~ I "~:'4ddre>s ',tf d:;larau railing a~i:rss, !n_a'41/'/t ~c:cc et lan.: ita fl .'nvv1' I~w =•7 I li m' ~wcc rl~phreh )n InformaHOb - Plrace Fnnt AJI lnformati~-. ~ ;~I[/ I ! O t~ e I - - ---~el H - - - -1 /~'jp-})'h't 1`1_ _C ll✓>!, -Rry.mcataano[ agrl~isE.-IDS%j k-11). , Slaw T)I. 'tie n i tt It rot _ i, v J / _ / -v 6une }.mnbcT A/, ~ ~ ~t~ ~ I;Wnon Ie of Bmlding chcek all that app ,r-_"I1~I<o a11ie lh',8:a, \umba of Iicdr...n`~ _-///--VVV - iJ ArGit~Comner.:ai -llusribc l ice _ lLyl3lvk n- - - - - - I S!a[r lh+aei- U::;:.r::,<: 1 ((/JJ~aa I Cn a. - - - `=r'tOa ~ CSM V•.:r.:scr ~~ecl IIL'7ype of FermiC LChak only _L OR liar 4. Complete line B if apphca _ ,i,4 1 rw Sfs;cm ' 'accmcr, $YStr' Tfrmm<uU 'ISI "i aai F.gdn..cr.i •nt Uilv FL . ' Rha Mti6ranoc to EXi.>-.m; Svst :n iexoia:ul H. ICIF=Rr,-aa - - - ~ fir':mui '^vrhrti ~I rJ. :rgra°Invnr Ii?c .;l T:J.uRwi! New Iasi Fro u;ns ?r.:mt `awrioe and ituc SCa4i I iicn r-r'Y IS-Calf. ` _ I ~111.T I R_'I vpe n([ f1tY1:ti $rsirmiCum~oueotlUcvirc_IgeCk all • aj,pl 'r _ - - - - - - _ _ c Pre. tr n G, and I _ P,es ntu-d W aoLLZd 14i ~MN-Mtd 24 - i., of suitable Sod t f oui or ufroaible wj! q IMVCMM' t.Y.?la ) A_rrrannenlDrnu lam) \n'///I UispersaL brat, rut Area Inform mon~`r-/ X" l /f~~' 12 M k"ta FL,w p j I r,Y.,J~tn^p,!, Tan - Q1~ JSPI T V i amn - yc~I r- ? c x . pstr.TE_ lccatinn~ - -~I . T , ~t12-LLLtn d-s L Tank 1nfo 11 Z8. (P..... Z; 'e v jW t 11 Rcspnnvbdrtc $ta4mc r- I. 16r undmignrd, a<vu respouvbdin lur mYtaliafioo Of (h c PtMI wre attarbcd plauz T r, OR ! '>1P3$ r ro'_<a B, star- ]9ow N bet - lu•bm_:; IIl ('ountr partmem f..e only - jik 2 a- AAPrn>'rC J !ii>apy vni : ene I Fee I >aie is<urd v - _iL '.,w i~ 'at hemc_:Ir U_nlial_ S '%v• J ILL/_i-. ~'L.(/~~~~ - L\ Condon oa<of Appr nvaLReasons for Ui<a - vs-TIM - ~ I I 1';]rP~l~~m~ P~au> for {D4 v Arm awa >ucmn W tM Ceunp uahaw puMr um Irs> than 51 _ < 1 oeL - ~u.ve - i J'U.a-69yh' Ik I 1 I I? System PLOT PLAN PRO.IEcT Dar. Sineor ADDRESS 1988 Ctv RC C Somerset Wi 54025 NW 1.14 NIA' I ; a S 29 ,,r 31 \.'R ' 8 W TOWN Sar Prairie COUNTS ST. CROIX SYSTEM ELEVATION 102.0' 9!30!18 3 MIT: If 4:DR0011 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT' IIOLDI.NG TANK NIOCND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE 'I*ANK SIZE 030 HOLDING TANK SIZE LOAD RAT L 1.0 ABSORPI•ION AREA 458 # ul chambers none BENCHNIARK V.R.P. Top n` 34" pipe. ASSIJ~II: F:LI:\'A'I'TON lUU• i'111er SI\1 TEC ❑ BORLIMIF O N'61L, 'H.R.P. Sartte:ls benchmark Property Line We II Scale = 1/4" = 101 0 1.8 acre iot Existing 3 Bedroom House I Driveway Failed Drainfield ST Vents Huffcutt Dose tank Grading is to be done to dwert run-off away from system B-3 101.5' 7 101' Area 15' belo.v system is 99.5' to remain undisturbed B_ ~B-2 7% Slope B.M.* Cty Rd C 9 DIVISION or INDUSI RY SERVICES 2331 SAN I UIS PL STE 150 D GREEN BAY WI 54304-521'. J Contact Through Re ay S Ps nllp::dsps vi. goviprcgraa•s.indus"-services %V.M w•tsccnsm. gov Scott Walker, Governor - - - Laura Gutierrez, Secretary October 1 I. 2019 CUS 1 II) No. 226900 17'1 Pe M T', Itrspr rnr /ONIAG 01 FICI SHAUN R BIRD S'I- CROIX COUNTY SPIA 14" 120111 S l 1101 CARMICHAEL RD NP :W RICHMOND WI 54017-6109 1ILDSON %%I >It) 16-^^08 C'ONDITIONAI. APPROVAL Idenlifieation Numbers PLAN APPROVAL EXPIRES: If1:71:21120 Transaction 11) No. 3167638 Site ID No. 854+72 _ SITE: - Siu,,ur I'leasc reel to both identification numbers, 1988 Cty Rd C abuse, in all correspondence with the age ic;'. . boson of Star Prairie St Croi\ Count\ \W1:4,NW1> 1. S.9- F33IN. RIM' Lot: 2, FOR: Description: , B6DROO\I RFPLACIiMLN I MOUND, I YPICAI. Object Type. POW I s, Component Manual ILc slated Object ID \o i 18(1(1514 Maintenance required: Replacement.)siclu: -1s0 GPD Flow rate: 24 in Soil minimum depth to limiting lac•lor from ork-mlial grade: Systenh(s): Mound Component Manual - Ver. 11.0, SBD -10691 -P (N.0101. R. 1012). Pressure Distribution Component Manual - Ver-? O. SBD-10706-P (\.01 `(11. R. 10 12): Fflluent Filter I he sl:bmitlal described above has been reviewed for conti rmance with applicable Wisconsin administrative Codes i - , , - and N'i>amsin Statutes. the submittal has been CO\DIl ION V 1.1' :\I I RU\'F:). lhls ,y,lem is to he , i ec txtructed and located in accordance with the enclosed approved plans and with any component manuails) refercncejf ibovc. I-he ostuer. as defined in chapter 101.01110). 11'isconsin Statute,, is responsible Ibr compliance ssnh all code rccpnirenicnts. \o person mac en_aae in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, The fullowinu conditions shall he met during construction of installation and prior lu occupancy or use • This system is to be constructed and located in accordance ss'ith the approved plans, and the "Mound Component %lanual fur Private Onsilc Wastewater Ss,tents Version 2.0'• SBD-10091-1) (N.01!(111. • I his system is to he constructed and located in accordance will the approved plans and with the Presslae Distribution Component Manual for Private C)nsite AVastew:acr 1 reatmenl Systems Version 2.0•' SBD-f 0?00-P (N.01 01). • Any tall grasses, leaves, and shrubs shall be cut short and rentoscd prior to filling the surliice for Installation to picwnl mailing under the dispersal arca_ • Prior to construction of the dispersal area, check the moisture conlenl of the soil to a depth of 8 inches. Snhcarim, and compactin i of wet soil will result in reducin the li iln'ation capacity of the soil. Proper soil moisture content can he determined by rollill a soil sample belwecn the hands. [I'll rolls into a I!4- inch wire, the site is too wet to prepare. 11'a crumbles. site preparation can proceed. It [lie site is tun wet to prepare. do not proceed until if dries. • Abandon the e\isting system components per SPS 383.33 • Electrical connections shall comply with SPS 316.3011 and NEC' 300 till •,I AI: nails P~r_ li'.I I:'~IS I All piping shall conform at SPS Table 384.30-3 and SPS I able 384.30-5 I Verify condition of esistim-, septic tank. As ahsa)s, good workmanship and attention to detail during the installation process is critical in achieving a final product that will perform as designed. \ copy of the approved plans. ,pceilietlions and this letter shall he on-lire during construction and open to inspection hp authorised representatives ofthc Department. Mitch may include local inspectors. All permits rcyuired by the state or the local municipalin shall he obtained prior to commencement of construction` installation operation. I:i crantim_ this approval the Division of Industry Services reserves the right to require chan_es or additions should coediGuns arise making them necessary for elide compliance As per state stars 101.13(2), nothine in this review hall relieve the designer of the responsibility for downinu, a s:& huilding. Iructure, or component. Fiquiries concerning [his eorrespundence nmy he made to me al the telephone number listed below, or at the address or This letterhead. I )n , aho%e left addressee shall provide a copy of this leucr and the POW1S management plan to the owner and any otacn who are rei ponsihle tier the installation. operation or maintenance of the PO\k I S. Sincerely. Fee Kequired S 250.00 I Ibis Amount \V ill Be Invoiced. When You Receive That Invoice, Travis ,1 Wagner Neale Include a Cop\ With Your Wastewater Specialist . Pi% ion of Industry Sm ice% Payment Suhmioal. (6081")8-D' 1 i , Mon-Iii, 7:00 a.m. - 3:30 pant. R'iSMIAR I code: 7633 Iravis, wacma"riwi.!!ov cc: Fdwin A Taylor. Ik asremater Specialist, ('l5) &34-3484. Mon-fri. 8:00 A.M. - 4:30 P.M. CI.fC "a Rl"n' Pa-'c H I1-1P,f • All piping, shall conform to SP.S'1-ahle 384.30-3 and SPS Table 384.30 • N erifY condition of existing, septic tank. • ks alwacs, good workmanship and attention to detail during the installation process is critical in achievimg a final product that will perform as designed. A cop` of the apnroved pla:v,. ipccitiattions and this lever 11a11 % on-sit. during construction and open to iuspccaon bx Mahor'rcd represunativea of the Department. which max include local inspectors. AIi permits required b% the state or the loci: municipality shall be obtained prior to cotnnlencemcnt of 'onc;ructicui instaliation~opcration. h• vranting this approxal the Division of Industn Services reserves the right to require ehanse•s or additions should conditions arise making them nc sar.\ for code compliance_ As per state stars 101.122), nothing in thr eview <hall rclicvc the designer of the responsibiiity for desitmine a sate building. structure, or component. Inquiries coneentin~ this COMSpondence mad be made tc ins at the telephone number lister helow, or at the address on tnis letterhead. I he above left addressee shall proyidc a copv of this Icne•' and the PUN' 1S maua_e:ncnt plan to *he (,5%ner and xi., others who are responsible for the insialiaiion, operation or maintenance of the POWTS_ Siacerel5_ J Pee Required S 2>0.00 This Amount Will Be In5'oiccd- ( f"`~ - When You Rcccivc Tha: ln\'oicc. Travis i k\ a^_ne; Please Include a Cop}' Wan Your R'astewater Specialist . Division of Industry SerrvPavment Stiantittal. 608isQ8-0-I:. Mon-tr:. -"00 a.nr. - .:.0 iSMARI code: ?633 n'avls 5\'acnera\5't-"O5' cc: Fc5va.,'\7nvfor.lAasiev5atcrSxciahs.,t~Ic)r_. ~~ISi.Vur f, S:60 ,i:P.M. Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/30/18 Owner:Dan Singer Location: NW114 NW1/4 S29 T31N.R18W 1988 Cty Rd C Star Prairie 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 Contigency plan 9. Filter Specifications and cross section Attachments: Sybil Test Shaun Bird I l Signature- t26900 License numb r Page 1 of 9 03 c, SYsIC111 PLOT PLAN rRO,11•:c'I, Dan Sinaer tDDRIC5s 1988 Ctv Rd(' Somerset Wi 54025 NW 1/4 NW INS 29 31 NIR 18 w TOWN Star Prairie COUNTY ST. CRDIX SYSTEM ELFVATION 109.0' 9:30:'18 3 DATE' BEDROOM CONVF.N1 ' IONAL AI'-GR.%DE CONVENTIONAL LIFT' HOLDING TANK MOUND )OOC SIQ''I'IC I'ANK SIZE. 1000 gallons LIFT TANK SIZE DOSE TANK s1ZI•: 630 HOLDING TANK SIZE LOU) RATE. 1.0 ABSORPTION ARI*:A 456 k of chambers none BEINCnNLARK V.R.P. Top of 3.'4" p;pF Assoau•: r:Lt.vA"r1oN 110' Filter S[h4 TF.C ❑ BOREHOLE N'Ii1.1„ Il. lt. r. same as benchmark Property Line Well Scale = 1/4" = 10' 1.6 acre lot Existing 3 Bedroom House Driveway Failed Drainfield ST Vents tluffcult Dose tank Grading is to be done to divert run-oft away from system B-3 101.5' M7 101' Area 15' below system is 99.5' to remain undisturbed B 1 B-2 71,i~ Slope B.M.* Cty Rd C A Mound System Cross Section and Plan View r - / Dimension Feet ' I ! B 1 + I r I ll~/ CJI 1. G H i 4- -4 I I K ♦ i` • - K - Z it Slopc - L - I - 1 - i opsoil _ \S 1 \1 Gran -regale - 4 in. sch. 411 pwc Cap Material L ~ sand fill • to in. dia. ohservation pipe (icou:Uile ( IT Fabric - ~ r 1 n _ Plow rd Surl tcc 1, 0 1'( Contour Slope Direction ~s GENERAL INS'LALLATLON: Tire mound area is staked out along the design contour. Lxistinu, rcgetation is nx,wcd curd rd cd uff the site. 'I he mound basal area (I, x \V') is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to torn a: inch soil wire wltcn a sample is rolled between the palms of the hands. AS I M Cl- 13 quality sand is placed immediateh aver 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 must be used when placing sand of less than one foot thickness to minimise compaction of the plowed surface. ;A1ter the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower ( inches and cured in place with rebar or a closet 11ange. 1 t liJ)7 J,j pa" c S if Pressure Lateral Layout Two Laterals - End Manifold L f-'threaded C'lcancut I ateral Tommy Plug Manifold J R Iv1 ♦ x - L Long force Main Sweep 90 13cnd Distribution Network Specifications ~ Pressure System Construction L;itcral f)iantetcr hi. i~ Manifold Diameter_ - Z In. N Laterals are constructed of Schedidc Oil PVC Orifice DlarneLcr pig:. Orifices are drilled perpendicular to (Oritice ti pacing) In. the pipe with a sharp drill bit and Lace down 1 II ate al Length) , Pt. Laterai turn-ups ternunatc with it threaded NI 1_Iv'1antGrld I_enh) Fl. ctcannut plun and are unclosed in a 6-8 inch Force Main Diameter ~L In. di rm-ler lawn sprinkler valve box accessible. voice iv4am Len:>th 5 Pt. horn finished n.radc. • • • • • • • • • • i 6 H lnuh Lawn l T- Spr!nkler Vakv - ► I ox l `A Pa -k: L I_ of / 03, 0 Igj a: Lose Tank Cross Section And Pump Pert i-niance Specifications 1 _71- Tank (vlanufaneturcr Minuttum 1 um Perlorntamce Required ~~UU t tc -~I yL~ r Tank Model Number (rPTv Pt -1611 Total Tank Capacit 1 of tl Dynamic f lead i'll)l l l Feet I )epth Max I n ~Elevauon Head Pump \tanufacutrcr Distal Head 1J - Pump Model Number L~ ✓ Nemork Ilead loss- Alarm Manufacturer_ force Al tnt head Toss 'L Mann Model Number Filter I head Loss Switch Type I oral Manhole Alin. 4" Above Grade With Locking Device A Vent Nlin. IZ" Weather-proof Abovc GTMIC .t - 0 unction tt Boa With Cap L--~ Finished Cirade - - - - - * JJ-l) I ":C _A Disconnect Means 7 lkl ~Swrteh Settings and Reserve Capacitt - Inlet Tank Volume- GPI Dimension Inches Volul Gal. T- _ rescrve y Il:l g ~Eu'• _ ♦ C . Weep _(alatnt) B i ? J B Hole (dose) ( Off' Fle% L. (dead 1 I) ) F't Total y__~r~ J-- - ~J D - Bottom of Tank Elev. / Ft - - GENERAL, INSTALLATION: The dose tail: is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may, not be exceeded without prior approval. Mari tole covers exposed to grade have an effective locking device ipadlock) installed. Piping at the irilet and outlet is of approved material. connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sal.ging. 'I lie force main is sleeved with 4" Sch. 40 PVC to bridue the excavation and is scaled watertight. Electrical servicecomplics with NL.C 300 and Comm 16?8. 10+07 1 gj I'a~e j „f1 280-SERIES 112 hp Submersible Effluent/Sump Pumps The Liberty 280-Series provides a cost effective "mid_ Performance Curve: 280-Series range" pump for on-site wastewater 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 - i 9 the 280-Series will provide years of reliable performance. 0 25, 8 All Models Feature; 20. - : s • Vortex style impeller permitting passage of solids is'-_ 5 up to t;" = 1 3 • 416 stainless steel rotor shaft • Permanently lubricated upper and lower ball bearing 2 • Epoxy powder coat finish 0 - - - 0 • All fasteners -corrosion-resistant stainless steel 0 5 10 15 20 25 30 3.5 45150 55 60 65 70 • 1 Discharge U. Gallons Per Minute t 1 I -1 -1 • Stainless steel bottom screen - easily removable 0 38 78 114 156 192 228 270 • Maximum fluid temperature: 140'F. Liters Per Minute 280-Series Cord Lengths 50 5) Dimensional Data. Model 10' 25'/-2 _ 35'(-3) - - Weights 29 lbs. 280 Standard Optional Optional Optional Height 13" 281 Standard Optional Optional Optional Major Width: 10" (model 287) 283 standard Optional Optional N/A _ Minimum Sump Diameters: 287 Standard Optional WA N/A Model 281, 283...14" 10' cord length standard on all models. For optional lengths, Model 287 VMF...10" add "-2, -3 or-5" suffix to model number. Example: lot model 280 wflh 35' cord, order 280-3 Factory switch Model 281, 283 Model 287 settings VMF Motor Specifications Turn on level 13" 9.5" hp 60 Hz 3450 RPM Turn off level 7" 4.0" Oil filled, thermally protected (PSC) Permanent Split Capacitor The Model 283 featuros a Cully adjustable wide-angle float. Differential 8.0 amps (115V) adpi^mtents wn be made eas,ly by tethering the float to the dls- 4.0 208/230V charge pipe or other nrourfling pomL Vertical float model 281 is riot amps ( ) adjustable. LA i r F 7 Model 280 Model 281 f Model 283 Mode1287 Manual, Wide angle Wide angle VMF-Series ®rif no switch e: float switch float switch 7 Ii1 Vertical mag- with quick- with series netic float for _ disconnect (piggy-back) smaller pits - tl t;!F ~ PIu9 - will operate in I 41 a 10" diameter sump SSP!Jk - aiuer " CS Pus Certified Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839 www.libertypumps.com Copyright 3 uberty Pum{w, Inc. 2017 All rights rrt-_aw"d. W T 2(x)0 Fo5/17 n o t POWTS OWNER'S MANUAL & MANAGErvill-N I- PI-AN FILE INFORMATION SYSTEM SPECIFICATIONS F-?PerZt#Septic Tank Capaity _gat ❑ NA - Septic Tank Manufacturer ❑ NA - DESIGN PARAMETERS Effluent Filter Manufacturer - 1 ❑ NA Number of Bedrooms , [3 NA Effluent Filter Model _7 - Lr, J p NA Number of Commercial Units NA Pump Tank Capacity -_z, a9 ❑ NA Estimated flow (average) r~ gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer _ r 0 NA i Soli Application Rate galtday1W Pump Model ~ 0 ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit ❑ Sand/Grdvel Filter ❑ Peat Filter 17 Fats, Oil & Grease (FOG) 530 mg1l. 17 Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD5) 220 mg/L ❑ Disinfection ❑ Other. Total Suspended Solids (TSS) 5150 my1L Manufacturer Pretreated Effluent Quality Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (GODS) s30 mgfL ❑ In-ground (gravity) U n-ground (pressurized) Total Suspended Solids (TSS) <.30 mg1L ❑ At-grade Mound Fecal Coliform (geometric mean) X104 cfu/100"11❑ Drip-line ❑ Other. Maximum Effluent Particle Size , inch diameter Values typical for domes:.. (nort rvrnerciarl woslewater am scpW lank effluout Values typical for piutleaied w'estewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least Once every - U months cear(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 U rnonths15!1~ear(s)_ (Maximum-3 yrs.) Clean effluent filter Al least once every - ❑ monlhs--~4 ear(s) Inspect pump, Pump COntrols A alarm At least once every ❑ months -JtKear(s) U NA Flush laterals and pressure test At least once every `s ❑ months ear(s) U NA Othor At least once every ❑ months n year(s) nNA At least once every U months n year(s) 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 Slaver, POW] S 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 Uie 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 regulatoryauthority. When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volurne, the entire contents of the tank shall be removed by a Sephtye Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Adrnhu;trahve Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatFment components, and any other maintenance or monitoring at i eivals 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. ST ART UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for me presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing opeialor prior to use. n Page o` STARTUP AND OPERATION For new cons'rucdlon, prior to use of the POWTS ched', treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment Process andlof damage the dispersal cell(s). it high concentrations are detected have the contents of :hB tank(s) removed Dy a septage servicing operator prior to use. System start up shall l. not occur when soil conditions are frozen at the infiltrative surface. Our`.ng power outages pump tanks may till 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 bacRup or surface discharge ~oer'le To avoid this Situation have the contents of the pump lank removed by a Septage Servicing Operator prior to restoring power effluent pump or contort a Plumber or POWTS Maintainer to assist in manually uperatind the pump controls to restore normal levels within the pump tank, compact, the area wall Do not drive or park vehicles over tanks and dispersal cells Do not drive o' park over or otherwise disturb of comps 15 feet doom slope of any mound or at-grade soil absorption area. the Reduction or elimination of the following from the wastewater stream may improve the performance andiP prolong th Iffefof dot ion drain antibiotics; baby wipes: cigarette butts; condoms- cotton swabs, degreasers; dental floss; diapers; d (sump pump) water, fruit and vegetable peelings: gasoline; grease: herbicides; meat scraps, medications; oi': painting producill pesticides; saNtary napktrs; tampons; and water softenei brine, ABANDONMENT When the P04YrS `ails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in comp.iance with chapter Comm 83.33. Wisconsin Administrative Code' • Ail piping :o tanks anc pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removeo and properly asposed of by a Septage Servicing Operalor- • After pumping, all tanks and pits shall De excavated and removed or their covers removed and the void space filled with sijI, gravel or another inert so;id material. CONTINGENCY PLAN If the POVVTS fails and cannot be repaired the fokowing measures have been, or must be taken, to provide a node comp rtpn replacement system. ❑ A suitable replacement area has been evaluated and may be utilized for the location o' a replacement soil absorption system. The repooement area should he protected from diswrbance and compaction and should not be infringed upon by requned setbacks from existing and proposed structure. lot lines and webs. cailure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacemee] area Replacement systems must comply with the rule!' in effect at that time- A suitable replacement area s not available due tc selback and/or soil limitations. Barring advances in POVVTS technologic a holding tank may be installed as a last resort to replace. the failed POWTS. The 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 Iocete a suitable mWacernert area. if no replacement area ,s available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and al-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infi'tralive Surface Reconstructions cf such systems must comply with the rules in effect at '.hat time. <<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 C' A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS - - - - - - - - - - - POWTS INSTALLER POWTS MAINTAINER N Nam - I ame t n, ~ Phone SEPTAGIF SFRVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name _I_I A ' ` -.--I! Name - J ~,c'~J / ( / - --Phony I - < tJ' E - / Phone l J = 7j 6 l gl~ _ Ths dxumen! was tlrahotl in runt !fence with chapter SPS 3a3.22(2)(b)(1)(d)&(f) and 383 54(i) (219 {3), Wisconsin Adm!nisb alive Code. 1,3 I, I i i i 1 I I t I ; ~1 ~ I~ I t I I lf- rf _h '„a•r'L;~- "ETC I(L T All- ' :-II1TI A,K[ t•5~ i i ~ h~ I , II I,I I i II I• i (''i;h i.l 4~. t 1 I Ar. I _ ~I i 1 1 I ~~i I I wisconsirlDepartment ofcommerce SOIL EVALUATION REPORT Page_ of_ Division of Safety and Buildings in accordance with Comm 85. Wis. Arlin. Code , Attach complete site plan on paper not less than 8 i/2 x 11 inches in size. Plan must COtRrry ro include, but rat limited to: vertical and honzontal reference point (BM). direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road- Please print all information. Reviewed by Date peraonai irdormaeon ym rxwiM may oa used ror secondary purposes (prnary Law. a. 15.04 (1) (m1). Property Owner ` Property Locaticn t Govt. Lot (,j.1 11VXj4 S 7 ? N R E r r) W Property Owner's Mailing Address Lot # Block # Subd M# tale Zip rode Plane Number ❑ City Village owry Otlearest Road rr New Construction Use~osidential f Numtxx of bedrooms >3__ Code denved design flow rate GPO placement /f~ ❑ Public or commercial - Describe: _ /1~ Parent material pCLX.rsO Flood PWui elevation if applicable LI A General comments and recommendations. /n / System Typ, M l7 F r'Atc~t,_ JAMW D _ 1-1 Bonn g# El Boring J i-- 41Pit Ground surface elev. r it Depth to tirruting factor in Soft Appicationi Rate tica m Depth Dominant Cob Rodox Desalpbon Texture Structure Consistence Boundary Roots GPOW in. Munsell Ou. Sz. Cam. Color Gr. Sz. Sh. 'Eff#1 'E8#2 -i Y 5 177 3 - s u 3 Boring If p Boring g!, , L El Pit Ground surface etov i J__ h. Depth to lira ling factor n Soil Application Rate Horizon Depth Dominant Color Rodox Description Texluro Sbuclure Consistence Boundary Roots GPDM' in. Munsed Ou. Sz. Cont. Color Gr Sz Sh, 'E8#t 'E@#2 I ' Effluent #1 = 800. > 30 < 220 mglL and TSS >30 < 150 ' Effluent #2 = BOD, < 30 mgrL and TSS < 30 mQ/L n4f CST Name (Please Print) S u ^CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evawauun nducted Telephone Number 9 ^ 715-246-4516 1432 120th SL New Richmond, W1 54017 ! ~J -f Property Ovmer. _ ParceilD#- Page --or__ © Boring # 0 Bonn q 9~Pit Ground surface Cleve Depth to Grruting factor n. Sat 'Caton Rate Horizon Depth Dominant Color Redox DCSrziption Tezturo SWchre Canvstence Boundary Roots GPDM D/ff inn Munsetl Ou. Sz Cent Cola Gr. Sz. Sh 'Ef #1 'Ef#t2 Z- A `3 p / N 117 y Boring If ❑ Sonng ❑ Pit Ground surface cluv. Depth to lin" factor Soil Application Rate Homan Depth Dominant Cola Rodux Desaiption Texture Strucre Consistence Boundary Roots GPDM in. Munsell Qa. Sz. Cont. Color Q. Sz. Sh 'Eff#1 'Eff#2 ❑ Bering # Bonng 13 pit Ground surfaceelev. _ -ft. Depth to limiting factor _ in. Soil iration Rate Hortzon 'lopth Dominant Cola Redox Description. Texture Structure Consistence Boundary Roots GPOIFF 'n Munsell Ou Sz. Cont. Color Gr. Sz. Sh. TO •Eff#2 Effluent #1 = BODn a 30 < 220 mg& and TSS -30 < 150 mGA ' Effluent #2 = BODr < 30 mry1- and TSS < 30 rn,%l 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 608-266-7151 or TTY 608-264-8777. seoxrloa.aur Project Name Dan Singer Soil Test Plot Pl S ~ 1 Bird Address 1988 Cty Rd C Somerset Wi 54025 #226940 Lot 2 Subdivision Dat /25L/1 8 N W 1/4 NW 1/4S 29 T 31 N/R18 W Township Star Prairie ❑ Roring O NVell PL PropertyLine County ST. CROIX 131 or VRl' Assume Elevation 100 ft. Top of 3/4° pipe System Elevation 102.0' 'HRPSame as Benchmark Property Line Well Scale = 1/4" = 10' 0 1.8 acre lot Existing 3 Bedroom House Driveway Failed Drainfield Vents B-3 101.51 6 99.5' ~B-2 B i 70//0 Slope B.M.' Cty RdC i I I li y-? O ST- CROIX C(liUN't-I ,S" IlC T.kNK ~~l_1]I~rl'IiNAI~CP. i'EZp;Nytl_NT' ANI) OWNVRStill) CFRTIFICATf(-iN FORM Ot+nterl$tt}+cr yam/ Mailing Adtlfess 3 / - - - - - Property Address - - - - - - - - - {VcriG^;1(1011 r ijuned front Yiannmg <4. Zoumg Dopy t..:.nt for raw crrrtsnncuon_) - - - - CliytStale, - - - - _ Yarrel Fdcirtificatlon Nurabcr LEGAL llLSCRIPTION Property I.ot:atlon/K.Ij!•; :Pf~,rJ yt Sec-21 - V It \V, Town ot~j~t f Subdivisiat ,1. # Certified Braver tilap - 3,1 - - - - - - - - of lunic 1:~, Page it Ck Warranty IleedY. page it l- I - - Spec house. vc,. uc 1 ut lioe rdenChahJ y'e:. no SYSTF,M MAINTENANCE AND OWNEIL CERTIVICATION Itnl>rupcr use and nmintertaucc of Poor septic maintetra system could result in its pt.aiatnre farinn: w handle waste.. Propct ne e consists of Inotrpin'K out tile- u.pti. lank eves) [h! vo vv.u*s or Suonca, i u.rded, by a licensed pumper_ What you pat into the syefcrrt our affect fist 'rncuou of du septic t3 a as a ncalment state in the was c dicposal s•,•stcn_ owner maintenance responslbdides are speclhrd to §('omnt. if ?2(1) and in C`Iraptw J 2 - St. Croix Cornty Sznftary Ordnance. I'hc property owner ai e s to +ubtmt to St C'rnix Cca urb; Planmu = r /(,go f)eparnueut a cu ldlealiou tmm, siyncd by the owner will by a raster p rw nor loM ncVIca" rfuurhz • restnctud plumber m a licensed pumper veufYi ng that (1) tits on-site wasrawater dispo al syslcm is in proper operating condition and An (_l aftet inspcc;ion and pmnpmr, of neccssary), the septic tank is icss than 1-°3 fill[ of sludge. I: wt•, Lrc nnd+•mn ur-d ra. vo read rile aro+e rcquucmu h. au.i af,u r Ar rnvr tarn ibe private sewag+' diapnsal systom .vNi die stanklin-& set form, ftczein ac et by the vcparrrocut ot'r -onnnt r.:r twd du Jeparnr Dill of A'attCal Resmrtues. Start! of Wisconsru. Certification staung that Your scplm sxcte n ias beau matntalaed must he a«u)pfeto and returned to the St. Croix County Plamnnt & Zonarg Dcpartmcrif within 30 tiara of the three Scar e;pjr in, date. we cernfy that all siatetnci I I... t. us fr in, arc it I,- to env best of nry;oM r tun odpe 1'~~e anJarc the cn'rcl(S) of tilt property described above, by rime of r t I.anl neon ICcorded m Rai „tstcroJ'DeeilsOt7tce. umber bedroofrf~ SIG, JR'B 01 APPLICA_NT(S) ~ F I ;\rr: "`A qy intbrnatinn that is MISIOpnsenred may resuh iu the samtaty pcrnut being n,vnked by the Piansing & Zoning Departnmm. Include with this application a rreorded warranty deed Nnn the Regis cj et lleeds i+tlicc• and it copy of fie. ccrtificel smvcy' nu,f if icfciencc is made Ili the wanar.ly deed. (Rfd' %0US) (ter. r_'ttorx cx>(iNrY zoN.1N;, (~1,! rct, T•JIB , , ~'LR77Fr!'ATIUN gTA 'J'ri Ll ZATro EMEKT N OF, AN E:XIS1'TNG SGPTIC 1'ANE _o cef t. r p Y tt'at ` diny thG~ c'iI have inspected the pt c tank, se ~ ,o Se(ti n 2 iesip- ce locate! rel It,o W th;. tank and bat I n .i.ns Towt'f tles to PectiUlr, I certiFy that. I iun~tSoninc be in good have ;,rr,:c1 J Properly. conditand it - appears to IsN ,rst t'irn,~ , j. 'j tluw Ea Ych Uc:rt; r fro _ _ r-.. m abrtorptiott - or sk p t, '%i?Prclximate ft n ski volume o No emer,t J. i rt< ) ]en<lth Ut AC time: uric itY' 2r~ 'L=-4~ - ta] lcrns rat'CUCtLOn: Prefab Co ncrete- ~•!:inrtfacture Steel z (tf Known' oL-her r k { 11' known, ; !/1/'i ~i (Nacre) Please pt,n*. j` /Q-- I . M_1 SntL>er} n - jr" tto be comPteteci 6y l ai:atutes) or License(, D , C'•.~de) Plumit(?-r P iosercensed (NR 113 Wis ('5i Oe>. Wisr_a; sin c:0n17S1n Admini: tt'g1 ',VC, Ur9})eY (aPP.1 Y1 nq FUr sanir.arY permit.) Cert:lt.tCat::1.UIl: a cceNIy the n,9itiolt above stat.ertent 1 certify that the Yank tU9a.rdirrg axis ' cu(;.Cnr:n to the r. ey- Llry sett:ir_: rrr;nk specCior. oPariy ~ ement o L it e he fry knowledge wil l o er outlet rHR e) baffle) Wi:; c7rn. Coda (except t. a ~ . t-~ n t 1<,r , - 7,/(J ~ ` Signature MP/MFRS c5T -ate+8 -~38 'LA Wismnvn Department or Corm 1~ SOIL EVALUATION REPORT Page _of_ Division of Safety and Buddtpgs) - in accordancewrlh Comm 85. Wis. Adm Code Gamy Attach complete site plan on paper not loss than t. 1.r2 x 11 inches in size. Plan must include, but not limited to'. vertical and horizontal reference point (BM), direction and Parcel LD. percent slope. scale or dimensions, north arrow, and location and distance to nearest road. - Please print all information. Reviewed by pale Pertonel'moeeslMn you prov,ae meY tb used rot serondery purposes (Ptaacy laf. S 15 ae (I I (mll Property Owner Property Location C Govt LIX 1. a S T N R E ) W t l~) Mf Z Property Owners Mailing Address Lol 0 Block 0 Subd. Name a CSNai n (2,k I Li 4 r city late Zip Code Phone Nurnbet ❑ Crry Q, liage owry earest Road New Construction Use' esidentiall Number of bedrooms Code derived design flow rate GPO placement ❑ Public orcommercial - Describe' Parent material Float Plain elevation if applicable ft. General comments and recommendations. JI !~/1 System Tyne. r] t44k Jt-tl - System Flevaton Boiling # 0 BOmmng QQ r~ ,Pit Ground surface elev./ [1 > R Depth to limiting factor in 4 ,Pit Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaryRoots GPD1W in. Munsefl Ou. Sz. Cont.Odor Gr. Sz Sly 'E°pl •ERri2 I 5 .n ' 6 Z - o ~rJ ` ^ 1 Boring p Boring ? Pit Ground surfaceelev. -L' _rR. Depth to limiting factor _ in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft in. Munsell Ou. Sz. Cont, Color Gr. Sz. Sh, 'EROt 'ER#2 0 i r ' Effluent 01 = BOO. > 30 < 220 m /L and TSS >30 < 150 • Efluenl #2 = BOO. < 30 nxyL and -SS < 30 mKVL CST Name (Please Print) 5 u CST Number Bird Plumbing, Inc. Shaun Bird 226900 Oata Evaluation nductad Telephone Nom M, 1432 120th St, Nev; Richmond, WI 54017 715-246-4516 Property O, er___ Parcel ID ft Page _-of_ Boringp ❑ Bonng \6 - QIPit Ground surface elev/0!LL ft Depth to limiting factor <nx U _ n. Solt Appli Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ff M. Munwll _ Cu. Sz. Cont. Color Gc Sz. Sri. •Efrp1 'Effp2 V -3 D / N / I Boring if ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil A4v1,,;alion Rate Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots GPD4f in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sit. •Effr11 'Effp2 I- Boning p ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor. _ in. Soa iealion Rate Horizon -tepth Domnant Cola Redox Description. Texture Structure Consistence Boundary Roots GPOM ,n, Munsel Do Sz Cont Cola Gr. Sz. Sh. •Effkt •Eff1t2 Effluent #1 = BODE > 30 < 220 mgt and TSS >30 < 150 mg4 • Effluent A2 = BODE < 30 nxyL and TSS < 30 mg,1- The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need matcnal in an altematc format, please contact the department at 608-266-3151 on'I-I'Y 608-264-8777. wu rx pan Property Owner Parcel ID# Page of sonN # ❑ Boring K/,, a QlPit Ground surface elev////~C/~ n Depth to lanitrng !actor>_0__._.. in. Soil Application Rate Horizon Depth I Dominant C.•Hor Redox Description Texture Structure Consistence Boundary Roots GPOfff in. Munsot Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#i 'Elf#2 ( -8 Q, ~ I Boring # ❑ Boring ❑ Pit Ground surfaceelev. tt Depth :o limitreg factor in. Soil nl,ratinn Rzte l Horizon Depth Dominant Cola Redox Desctipton Texture Structure Consistence Boundary Roots GPDrff in. Munsell Qu Sz Cont. Color Gr. Sz- Sh. 'Eff#1 -Ef #2 I { I I i I F1 Borng# E) Boring ❑ Pit Ground surface elev, ft. Depth to lunitng factor inSoil Application Rate Honzon •)epth Domm2rl Color Radox Desaipton. Texture Structure Consistence Boundary Roots GPOIff gyn. Munsell Ou. Sz- Cont. Color Gr. Sz. Sh. 'EB#1 'EB#2 I I I Effluent #1 = BODE > 30 < 220 rrgL and TSS >30 < 150 mgtL ' Effluent #2 = BODE 130 mq'L and TSS < 30 mgt 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 eantact the department at 608-266-3151 or TTY 608-264-8777. SHIM110.9 WU G'r Soil Test Plot P!, Project Name Dan Singer S z 1 Bird Address 1988 Cty Rd C Somerset Wi 54025 S M #226900 Lot 2 Subdivision Dat /25/18 NW 1/4 NW1/4S29T31 N/R18 W Township Star Prairie ❑ Boring O Well PL Property Line County ST. CROIX BNI or VIiP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation 1020' 'HRPSameasBenchmark Properly Line Well Scale = 1/4" = 10' 0 1.8 acre lot Existing 3 Bedroom House Driveway Failed Drainfield Vents B-3 B 101.5' 99.5' B-1 ~B-2 7°.o Slope B.M., Cty Hd c