HomeMy WebLinkAbout020-1119-20-000 (2)
014scc'rsm Dena n°ent o!eommerce PRIVATE SEWAGE SYSTEM cxunr; St. Croix
&a trrP; and R.Lilcing Dmrsm INSPECTION REPORT San laryy Pe-mit No I
606906
GENERAL INFORMATION (AT-AC, I I;:I'FRMIT} ,,I.+I<,Pl<.ICN., X6069
Personal urWunal.;,n yo.. nro.;,de -.iv rw use9 fnr se.mcar: p_rFOSes IPr vaoy 04 :1 t:* ~ J I V L '
Prr-it elotneis Naruc ci:. Voy, lo„.. .1 V('j'~'~• Parce'-ax NO. ^1t•_~ L~\•`
&aFy--&-Ann"eirize G.I(1 r,7 ~t9>x TOWN OF H D30-1926-20-000
"'ST BM Elec. InSV NM I let RM Descnpbr uecbo•' ~ouru'ka'glr••tvlan Ne
TANK INFORMATION ELEVATION DATA ' 7-7 . t(1 !!5,? 1
I YPF MANUFACTURER CAPACITY STATION BS III FS Fi FV
Septic Renenmarx
Dosing Alt. BM A
Aerahcu r DOP Sew•e'
n
ir- ti
t Jr
Hold:nr SuI ll Inlet
SNHt Outlet
TANK SETBACK INFORMATION
TANK TO P/_ WF LL RI U(; v-n'ra r,. Irrtal:P R:)AD DI Inlet
Sep::(: Dt Botto.'n
Dosing HeaderWmr pp ~I fro,
jp.~l]
Aeralicn r' D:s:. Pic,
~
11:>Idinq - Sot. System oo '16 IV
anal Grooe
PUMPISIPHON INFORMATION n I~
MartifaVare' - :~eT.wr❑ SI Cover
ModeI NUmoer
TDH Lilt Fr n . , _ Svslen' I Icad ITEM Fi
t-:a c:omatr--- Lenatn Dia. t>rv 'c , -n
SOIL ABSORPTION SYSTEM '
I lq:nn e th
BEDTRENCH :Vrdl•, I L eval' Nc. _il fr-per==. PIT DIMENSIONS N• fIt Prs. P-:Ne P.
DIMENSIONS (01 _
SETBACK SYSTEM TO l P4 9LDG cD':'E LL LAKE.'STREAPA I FACHING mc•.
INFORMATION GRANDER OR
Tyoe 01 SyStrrrl. 1 I I - i UNIT
DISTRIBUTION SYSTEM -1Lo
'+uauisa,Aa•am tl Jistn nu:ion x Hoic e. x HNc Svu., pl vent lo.A irtaKe
-nM• E LJl?r)
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
JCath Over :)en]n O>er %x JCnth d xx Seeaea' ;nc de7 xx ML.i^ned
Bec'7rencr ::cngy Bead ren;r l nge9. Tcosail Yts N. Yes No
COMMENTS: Ilncude oode discrepencres. persons present, elc.) Inspection AI Inspection #2
Location: ' 130 S'TH ST
1. i Alt SM Desmintion
2.1 Bldg sewer length -
- amount of cover -
ear revision Required? vet Plc
L ts /~0\U- ~~~`~A\ \ T'X, L` It•-C (~10SP_la!- -
l.e os,er side for addit additrona. infom:alion.
! Latc Inseottor s. Swnaturc / Ccn. NC•.
36G-~ ~ 1 n 1R 3!4 i'I~
n
"s"` - , ' Induslsy Savixs lliviaiott
_ ~ ` g ? t\, ~~9J 1400 E Wffihiugbn Ave ST. r<n X
t
IH'~, P.O. Hox 7162 Madisoq WI 5370?-7162 Ssmtay Pmmt Numbs (b be tilled mby Cal
Sanitary Pcrmit Application d S"° `"ardact'°^
Ia -awdu with SPS 38321(2). Win Adm. Cod, submitiah orda, fam b Ike ggrgt' L !N 1 )UA
is rcghured pna b ob"Wm g a mauuy Pamn. Nate. Applwliph fmaa br almeawaed pOVIM m ammiued b Prga•/ Addnaa (rf tlrrh mmlvg ady®)
the Dgwftne tt of Sufay ad Nafavoaal %avices Peraaral rsfnnim ym provide meY be rssod for y
puq~ in aocarrbra Mott Ikc ftn-Y ILAW, 5 Pi m I M Sian / M~) ✓ r7 i-
tloa - Plase Print AD 1 ttoa
SA-
Ak3fiftm ;:7
Aopary Owna'a Pastl
I\Ic P~ Ozo.- il,rf- zLl . 6,0o
Prgrny owm.'a ating Addrag
M
Pmpnty l otalnm
317
PyecKL 0~
"Crty, Sane Zip Code Mrare
NuMV c~p,~
/JO
II.T (&vrk all apply) (DI L- ~LI - l )y C, (cildc amA
pe ° tl6 [ntY T F.
MU'
1 w2Femdy Dadling-Nmnba of ? Subdivmoh Mate
❑ PuUXanatacW-Dawnbe the daryn- gbh u7 ! 'K IA;CG D~ i .
- ❑Cayof--
❑ Serb Owwd - Dofaite Use ❑ viow of
r
a Toxnof~Gl-_Q`~_ -
III.7yPe of PtvrC (C\eck ody _ UM A. Caspktle lie B ilaPPBtakle)
A. ❑ Nm-Symm RcPla+mm[Syuem T
sotmaa/lioldiag Trail Repleerra+()OIr ❑ ours Modifiot:,n to E-iaim Syslcm (Cvtmm)
R- ❑ Permd Rmewl Ward Revm ❑ Charge of Mtmba ❑ Permit Trm> I W NM LAA Pmviaus Permit ad Dak Ism
Rofcva Eapir im
0" to 3y_~
iee_ Creek a6 uu `f-/z-8~
'°°ed ❑ ffcsv+mod in-Oraahd ❑ Atl adc ❑ wad>
?A u.ora7mstlro e`od ❑ A+amd 124 n. araaimWa
C1 ll
ado,g Tak ❑ Iha Ihspetsel Campns (again) D r L7ei~, t~bl ✓ uwht tkvioe<a~bal y~ilt'r
V. Dis namVi'se Aces labcwfias - - ✓
Dagrh Flow (gpd) Dergv Sad Appkabm Dgpuatd Men Ragoteed (aQ Dupemal Ares (SO Sydam E1.wim
r', Lyz• ~lJ ~v5pa 60 ,
VI. Taok taA Cagaary in TuW Y of
uN ms limb
wee raw Taw
w ~ ~ ~ 6U 3 y LL~ d
Sepse a "-'i-
r
VIL Bea astbiisy 3Meaarse- r. me
..de.afRsd, rsvr
PI mba's Name (Ptrs ^aPa~7 4e hammwllm ar tke row A,,, ,'g, munch" r
I A M's Si~aasc PR3 Nrmba WRIUM Pram Nmba
y7,/ _ 2,ZND-3
Man 's Ar „erkitmm( cay' store.z PCmcl 7/5-`J~79_Z8~"I
05 r Nr E s7 eAC7T Wl Sy 72
v[n .RXm_e a~atYsc.t u.e o,N
lppwed ❑ Pk it Fee ~ p'aep S.
!
vrn Ra f. S
DeraN • ~o /b
Sep)!. , e 1 111 7,nI 'u"'' 1 ~l^
U:iPZr.']i Orl f.,ll C= c'; ~tr.: r. 3) ~llr7fl{" l~No.:✓.4-ca;,ti
AS paf 3yPm g•y Pl,.n ; m el W µc,nbe . 1
2. AN aerbg/f( rM'llr,
~ I- 1 n, m "t Ll` r:t. I. e
Wper govkrbhcr)r•;i;rf, dre=,
Amra to erpls! ifm far ere paYa V vaaltr tae Camp ^y'.. aaaee Mee d err. a vv a r t Veln u e4
SRI-6398 (R 08114)
S C - 104
AS 3U_:.i SILNI=A.FN SYS E-M REPORT
L, 1 T•?17r srr? i S') r? l T I L- N-R 7 w
ST. CRCTX C3LNTY,
._:..".'_S~C!S-_~!'~~-~~?i~Y__ =.OT_.`~~.__._.-____LOT SIZE ~•C~f~ fJ',C%E~ ,
7,r p. iVIF.W
i i )r7 l.: a :J, kl 4i.N :00 £ "T Y ° .:N.
I
I
~If roo
I outer
Ke:l
T r Fl .i4r .
:r
G0~
`y z - i
f -
j 1
~ J
~'C n r / it I
v•
by O qN` i p o \r
T •P -r' L e y 1 Jr ~
_ !JCK*G'.RF;: scrLbe the vertitai reference
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
CWVwenf Uerrral Design Reftmr ces:
version 2.0, SBD-10705-P (N.01ro1, R. 1a12)
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: Encl
~Nr~~t~cnroR sPFCS POWTS Application for Review
c 5 Soil Evaluation Report & Site Ma
>F-P-14 C TAn: K A4~4f--~En77
Project Name / Description
owner Name(s): &c"H.ARh A. EjgTr--~- Phone: l~tz - ~f01_ if/
Owner Address: -_25-77 r~ ecrcu;crn DZ. qunsbV~~_~p. Rio/(o
Project Address: role
Govt Lot: - 1/4 of 1/4.
Section 1$, T 01 N -R
Township vd; ,n1 - EDor WM
County:_ -5r c ,<&,K
Project Pan el ro # 2L -1 r `1 ZD CCU
Designer Information
Designer Home: Ar V ~c -Hu er'trzr Phone: 715
d
DeslgnerAddress: Zk'L197 KiA1H ,THU1ZS Aqua
E~teg: Urr gyp:
U11 Si2Yci P-514n ( n.a+r, K ~QIYX N, y.
License Number: I Oq - 00 7 i camp.
. .
v
Remarks: y
M
i1UPnJ
D 1b'F,g a
Signature: ~"oanwiaNtlM
Date: zvi g'
Form - SIC - 104
AS BUILT SANITARY SYSTEM REPORT
`v r
OI:NER 1J~ L,r `TF(f`i11Gi- ~ TOWNSHIP ~t',,,'/SVTI SF.C. N-14 ~ W
F y~,,t VRb a ST. CROIX COUNTY, WISCONSIN
rJ wj -S
LOT LOT SIZE
:'LAN VIEW
- q,uiremente of
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
f,
0
1000
At-P
400 mvEr.
Jvr~ r I ~~3 j
. B0
INDICATE NO OA OW
~OC~ ~Cr
BENCHMARK: Describe the vertical reference point used ~~c C
? ~~~=5a~, Rtc~rr~rzA
~X f $7 I NC% spit i++(>.) hr.ro.v
IN-GROUND GRAVITY DISPERSAL AREA u rEK`
Uniform Elevation Trenches with Quick4 Standard-W Chambers s.hwT.*tgvuaet t
3-R Trench (downsizing credit) loco w -9d -9r -9W
_ ~ uFE TIME
- - i
ner.n car.. war r. t-T
m rr
SOL COVER
.z
arm TYPICAL TRENCH
CROSS SECTION VIEW
~-a~ w (No Scale)
• =.n /a} Prowbe nrhiem 3 fl
Srsaen Eleh a1w =x1 a 'Mmmure l ukr torches.
(typkW)
WtW SWhaer.W
w Em Cap (Slow lorebw of 6rlat I oumm pipe Mumcib on plan vdew.) I~ihor.~~ TYPICAL TRENCH
h.ma o.. ~.mrs PLAN VIEW
` (No Scale)
A.10 4
CV0.4 -u
~r-------~i--- y
F B= _fl - j m
c m
s ~ cna,roo< w
INSTALL PER TRENCK- O
/ to pm q hrorv ohs t
C11"rSta-W@20KEMVdWrdw= 3ZL fe wo+++waswannwn~ewm.c A.
+ _-L-PaLaefoWcapc®ENE7SIVpW.__J_fe
i
. Phoposaa BSA per anre - .,VL- te raaarw &rwawn am - 6q,?, y(r fe Dtstrd da, wed, d:
x 2 trenches =Proposed Total EISA = 46 ZR' Akau; Feed
yam, : p. J Ll3 _ (o•~ Z&-54- N, jAh b k
Ly2.wj~ -~4 z= ZC EISA~tA+JIT = 3Z.lq M 3Z ltNl'TS
(3) 3' x byl T12~'tf~'
I
PAGE 4 OF 4
In-ground Gravity Management Plan
PRTA/1T•
The owner of this In-ground gravity system and be responsible for its perpehrd operation and maintenance pursuant to
reQuiemenls of SPS 382-384. Wisr Admin. Code. Pursuant to SPS 383.52 (2). Wisc. Admin. Code. OW system shall
be considered a human health hazard r not mairttained in accordance With this approved managamerd plan.
Furthermore. all Inspection and mainlanance activities shell be performed by a registered facrNM Mairdef w in
accordermpe vvM SPS 383.52 (3). Wisc. Admin. Code.
Design Flow gPd. BM 5 220 • TSS 5150
m9L•' mgL'', FOG 30 mgL'
on Chedctt INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors. user complaints, eta)
c° meC maffUrw lion (Le., pumps, valves, ewitdNes, floats, etc.)
mahwW faUgua U e_, leaks, Weeks, corrosion, ota)
o solids volume in anaerobic treatrmrs tank(s) and any hiab,btrtorh s
O neglect improper- use (i.e., exceeding design cepacraM prohibited activities, e-• ibuttim I drop boxes)
Oderd of Paneling in dishibu un cel prior to dosing
°o dosing irra9UIanibes - if applicable (Le., pump re tycfrg, float wAich settings. eta)
components - if applicable (i.e., wrsg. Connections, switches.
re t alarms, eta)
controls, dstnbution lateral or lateral orrice pugg ng (measure lateral distal re - co err aners,
o s rfam discharge of effluent or sewage bac*-W ludo structure served design fin)
ww" MAINTAIN EVERY 3 YEARS for when necessary)
o -1111and dose tarYdsl shell be pumped by a cartited sepfage swvK:jng operator need under & 281.48 Wis.
as "KO*W by local ordinance- In the lard4a) sacesda egos thbd 1 the liquid v t wdga) or
Disposal of contents shelf be pursuant to NR 113, Wisc. Ad i n- Code.
o EMU"*
lated solids bs rispectad ovary 3 trans and ahaN be dommd Wtran necoma y o nMKWe any
n,a th& according 10 s - n` A servicing period will always be queerer than 12 i
SPS 3'&" AdmfaCodss Rapgte a" sd to the PMPW local 9WOOrnmeal terse p '
1°dt in accordance vim
Name of Individual or company. ;
Phorw -5
Local government unit ~T ~)2DlX Cb~JU U'-0E10P,'AeArr Phone: 7IS- 3T&-illy
Local govamned unit address: H kA DSo1J W:L ZIP:
Any defective Part of this system shell be repaired, reWaCed, a rempved pursuant to SPS 38151 1 Coda, Repair or replacenerd d faced err melt richm lg o0mpothenfs sill Wisc.
Admin.
wrni No Pmduct for chemical or Phi reatora lim of the POWTS y adpt SIPS 383. VWac. Admit. Code.
Woordance with SIPS 384, Wisc. Admin- Code. a" be tied uNeas approved by Ile delmime t in
C29"W"_Cy_PIan
In the event that any felled treatment componerd of trS POWTS cannot be mapered, it shall be repaced pusuard tit
a plan subn*W to the appropriate agency for review end approval. A bled n-grammd dispersal cerrmponard may be
abandoned and replaced by a
O°de,~ depeBat component in a pia-dalemmned area of stralabie sois-
Sratarnv Wux6 ,.mud
9 use of this POWTS is discontinued, It shall be abadonnod in accordance with SPS 383.33, Wier, Adm1rL Code.
-
Qmick4.
The Quick4' Plus
,aroR Standirli Chamber
QuIck4l Plus- Series
The Quick4 Plus Standard Chamber
offers maximum strength through
its two center structural columns.
This chamber can be installed in
a 36-inch-wide trench. Like the _
original line of Quick4 chambers, i
it offers advanced contouring
capability with its Contour Swivel -
Connection-which permits turns
up to 15-degrees, right or left. It is ` f
also available in four-foot lengths to s r
provide optimal installation flexibility.
The Quick4 Plus All-in-One 12 quick-::: i Benefits:
Endcap, and the Quick4 Periscope Two center structural columns otter increased stability and superior strength
are available with this chamber, Advanced contouring connections
providing increased flexibility in Latching mechanism allows for quick installation
system configurations.
• Four-foot chamber lengths are easy to handle and install
Supports wheel loads of 16,000 Ibs/axle with 12•' of cover
01
s
111 Strength
a i
51Z8 Quick4 Plus i- -i ;1e {'ndcap uuick4 Plus Ali-in-C:
34"W x 53"L x 12"H Benefits: Benefits:
(864 mm x 1346 rnm x 305 mm)
- May be used at the end of chamber • Allows for raised invert installation,.
Effective Length row for an inlet/outlet or can be 180° directional inletting
48° (1219 mm) installed mid-trench
12" raised invert is ideal for serial
Mid-trench connection feature allows applications
Louver Height construction of chamber rows with
8" (203 mm) center teed, as an alternative to
inletting at the ends of chamber rows
storage Capacity Center-feed connection allows for
47 gal (178 L) easy installation of serial distribution
systems
Invert Height Certlt:ed b, the interranana
0.6•• 05 mm), 5.3•• (135 mm), • Pipe connection options include ! 0.ssocrrtion vi Plug b:ny
8.0•• (203 mm), 12.7•• (323 mm) sides, ends or top and Mechanical ~u
Uftiais fIAPMO) 1 LO
APPROVEDin
Z93422w onvr,: . r
~ c:; 015
he depan.,-'e.nt is in no waj+orxknx~^a this produ(;', ry any advarlismp, and iS not'esgort&Ihte Icr any Situation
:.n:eroly,
Glen Jortas, M.S.
~irJ7S Proauui Reviewer
^"Ono. (608) 267.5265
f,r, 1008) 267-9723
mail: 9IGn.jones@W.gov
he DSPS Is committed to service excellence. Visit our survey at:
~+^.'.Nr. sorve`✓meofcry.COmlc/dq~ ,i5cuanmrrsuli5ta,aiua
lumber -
\V ~ I11t ~1 t~,t lol' {~1~1~~ ' d~f L, 45 u4
n• 1~ r_i ¢r~ p ff I I Ila AN
~ ul 111 }1~I~ :I 6'(.I~!~EYIIIm~~!~II Pd ~ll~'
} \'t ~ ' 11 II I~I 1 I!\~~ I ! It ! II f; ~ { ~1 t
LFl LCi1VC IENRiII
N6'~:41HUFrr PIIrI Mill
PIIIM5 LIXA IH'.
F AUS1
5
1
41-
F
Mtf
Ail
V11-W Si
. r F viFw
INnLTRATOR WATER TrCHROLOGEF" LLC rINFILTRAToIl'I
.-F:i InflRrelp Wemletlarl.a S, II C STAIIDARO LIMITED DIalnllaM WAHRARIY
f~ Tha F1rzltMdl nOEVTnIy W [o::f cY?tt!rc, nlrfsti+ ! linty r+r.amlfo ("MlYler.~ mi J~:.. ~J'n
(1UI'eT' n mi v nrdx:I VrY ny blluaaw f Iinh-L .n-+1 m.',+W enc q.e..ir!J n a NIxMWr r w
1 PLLq MIsie I411l 9CPIIf fV510m d- '1tJ31' 21 ,i11,pY 11 I. 1 Y :11 • Il fl
al L-IN-P1E PEHI'J.'O{i E11dL'r+.
I yll- S'MN L) I I\t111L•''1 a9.9 F1 Ml Irv mYlm 1, xki w{a na ehp W vw vml 4 •Y!a l~9ic I li
pl p•• I- -JI .1 YI T1 qll IkYI I k4- It
l Ox... S lwl +<Y.rn f hl q(Yt. WPM tYU a Ylly fpX 1 4 MvrY 1 IY n 1 1 9l r
I ( I r - I Nle yLC ry4 - . IC.a To 's 19 wan:vlh r•JI! IIdE nlxt rNN ry Ir 1
V "^\"I I b<i 11 ilfY l,u(geu VYJ.LM. MlnnvruJJI XIf II'LFn(it"IA,- i
1 t A Inn U4Jap1! IZ1 led ,4.1Y;YY rIIYx VI15 1 LMN5 kl I!s drle..... J!111.1 !
J/' 1` /~I, -o Sred LYY ih51YMW WartaIYY, Mf4Udta'S IIYxFiy peLm[dYf•PxUUdR the Er»ICI IMIK •.i
A•%. INVIHI yr+ldlal lnl ll,e lMiL.
K\~q
`'l'll 1 It R4 1IM !0\VI,HHM1HIV/.Ja)RE MEU1fY KI SURVAWIGRAPH lot ARE F%!114112 TI
ARE NOOTHIPWARlWMIFS' vmi RFSPrClt TO IM U•VIIS. ItJ (OWI, W)KIVI KII
V.MT IIIFSIW MI Yc;!LWtAR1UiVM FITim rORArN%%,tLAP IVILI'OSI
!!1111x 4aap1 YVananh;naa Be vt"Od:aq'{C)I cr Ik' Amon FyFlamaaYY VfAlorp:I
\I JIHtl II'd11 AD81" i1M LI Ifla YIIY 6MST11atY tO 1014 ttl Lnlt 1 4
Y NrcI wn p I tll 1 ! xv Le Wk kr n 1a N4 ar IQI d lvndp 5 h G 1 X,
\ CI'1L51:.llhl 1 kl IIM f- Illix ,l /1 11iV1,11f, OYe111CBJ IY..N 1.IIN. I:I'y; IX P}C119PS 11
Io 1L :+Ilye G - 11'ItlMIV 11 ,xvpoW
L•IE Unl.4, b d, ,e t too oaiYxy wnx W fear, ahaMatjw lM RcNmt lu
. mlr ~ am p .,Wt of u
I. I lolls I.. lYn R .1 riw k In0C M o Ilex Eo116 +v5 rrxn xe rM 11frMIM fry Ir
•r..l(.Yx,!1:, 4NlllOlll r`kIM,':vI IIM!nMxlWllyMa111LM1A+r<SM IMn:Il alC a•4'i4aL!Ir.:i.
"I:1Fln'<!I'l nl a'(HIrtXY TaIpItX9 nIl 11y MItrV CIM!Idrlry: IlY: 1111114. I.l I:Yr ly t'li
' 'IL[ 5/dqn Ij,P. 1;1I11(Ntlp!r Ali1'Q M ITITM yTn{I •.k<.f54vtl VriYl upy alCrrl -
,;alsy r.Y mp¢q 1+_:+Wxxl: p mrI Wqr Ywrr. rqt ca1.Se1 h1 HlllmloL Ihs 1,
u ~A:A tx! .ex1 1 Me Hcan 1~ Ie VMI(YY mi6 a! LY Ifs ICila se110HF n Ln9 !A'111.'..
.11144. "Al 1114 :,A 41141alol dI a^yMSYYe IM mi W a 1JW A ! m MY
,v aay LM1Np Pally IEfllYl~ 1!^111 ~rn1a1hIYT p Shpaknl p I(IYR dIYY IvL<IU} 1x'•1'::
i tilr.• ar any 2qn, PdILY Fp :h9111nR.t VY3TxYy IE 2:(A,. ilk llryl1 TJII lra J
: mnl aP the rcrgLms.•a9ul.a nv FWIe enJ ku.Y Catll!:: LI oKlil p1FiCR:{a L..-~
, ,'1.11:11.1: tN: FpVtK4nlg,
J -q: rwrllali v of MAKra1p nas IM Whxa to rharIge o, 21a2fd tlM 1 [Al VPdrtanll 11:
y Il po. 'r:Y u• ..i: L+Jy .1 q]Mc In n!rl AYly f<-I 11,zo Ow illymt HfIAO!. Rlf aL+g,,erx SYIIIS LIt•SL'11njol
RA TOP M1Al;I fb1T5 l/NnIW..n IVO4!(•'JOVa111111J1ar.
)pyJ AliiTntl nrrnW p51,iM6 T51fNxlLr_: 119r!!rIMIYr1'.1'n.
TV[` el'll. i'r-rX. eF(I.Si)-Tp'll wl,l 0TJI wlEl.A17)'iMlrh:l::Yf0111n1156Itl,.IJLMIdLI a1111H.91ri F1.11111Ma1P 11JX1JICxlr..,:
R
! RA P I.aMnt-4435 "IT."Yfcxvx!C•n.N.p.I-WC21yul:i>a5e la N%an iCCyvNtlk appllLdLt rld r:1:':,
Ivw•w.mlatfabnvvlEF.1.1 .It.* llW11.1 Vxxnr(y•(NMI m I•Ie µ,(1.1w,I µ1i5.
I: 11 {.l-S,I.1X15 01, OI.F4Y h l.-,l lhJ W 14111 -1 141L1. ]N1. L AIlII- f.:Ir'.Yf:Xlpaln YM 9'11"MY,SN 01"a,1Vr•15 pnIM1•T.
In/I f l t• r) 1 c•M '•J : f , v r M N' Ir:1 N 1 1 •1•.1 ttll NFlne(I Ya1YmnM ( 411atSrX µ.11p, IyA1M({IN- p,l rYIJ)IFV(N VpHnak x, ri
C~Y[rv. Nr. nl lvt>1rq P•{rlyry-C Vxrl n,1.Rw1Wl h•arl•.a.<d1.--klu .bJapv vyl .i nvf!aeYQrx•,Xr!1 Mxlwxi r{Nr{Nrm NNln Trro-vJO',µ'1
PuIVLiY IF.r Y:ufC'rrvrl as h•III Ili :a1F~•rHf a.+•,.•A%IC.aIY'vr:.-nlyk rf TVI IITE.IYK.Il.I,~IlalnO Y.•rlpnnrx Mlr[%K.
O?DISWYwY Wnw Tyyar,:deS. LLC. Mq Ilrclnootri YfOY1ILSA HLII!~ni
•~Vnery~ DIVISION Or INDUSTRY SERVICES
PO BOX 71V
MADISON W 53707.7162
" \ a P (-ttMAM ThrMrtjh Re1~r'.
l s / ht~J/d~pS.wi.0ov7programsnrrAtrgky-Servyrq 'Scott walker, Oovertor
-":i::y 08. 20I $ Dave Rona, secretary
1 IS 1 ID Nu. 11116956
-.1\7U I ENTZ
CQVT AFFAIRS URYI' IN'FII.TR ATOR Sl'9TPMS I.NC-
-13GSINFS,4 I'41:. I: lti r f'I'o RC1Y 1F;h
41 1) SA v 0"!
Identification Nunnmkl
1't as liiom ID No. 25_t4224
Site ID No.
R„ ;lt,+.cni`LOr. iF;1:-;; pr.;,I; P!~1i1Y.i-ri Please rrhrto lxahiii, icalioo ltamhers.
Varuhlctwor: INFILTRATOR SYSTFMS ING above, in all mntx nrfrrKr. with the aa- .
Product Name: QUICK4 PLUS STANDARD, QUICK4 PLUS STANDARD LOW PROFILE (LP)
I-t. ACHING CHAMBEHS AND END CAPS (trans. id 2534224)
Mated Nw t t~,,,; ;)IJICK4 PLUS STANDARD (INCLUDING QUICK4 PLUS ALL-IN-ONE 12 ENDCAP
ti"'ITH TOP, END, OR SIDE PIPE INLET CONNECTIONS USED SINGLY OR IN
-MRS AT ENDS OF CHAMBER LINE, OR AS A MID-CHAMBER LINE
(-jNNf:CTOR) AND OUICK4 PLUS STANDARD LOW PROFILE (LP), (INCLUDING
JICK4 Pt US 8 ENDCAP WITH FND PIPE INLET CONNECTION USED SINGLY
)--'IN PAIRS Al ENDS OF LINE; AND QUICK4 PLUS ALL IN-ONE 8 ENDCAP
ITH TOP. END, OR SIDE PIPE INLET CONNECTIONS USED SINGI Y OP IN
PAIRS AT FNDS OF CHAMBER LINE, OR AS MID-CHAMBER LINF
)NNECTOR)
1'~ICK 4 PLUS STANDARD, DIMLNSIONS: 53.0 IN L. X 34.0 IN. W X 12.0 IN H.
M1.'U(. DEPTH OF BURY= 8 ft.
;EISA for chambers with or wtiftout fabric - 20 0 sq. ff./chamber, EISA for Quick4
MLt,; Alf-irl-One 12 Endoap instated at the ends of a chamber row = 2.6 std fL/erd
?p, EISA for Quick4 Plus All-in-One 12 Efldcap instaflod in-lino within a chamber
- 3.6 sq. ft./end cap; Laying length of chamber . 4.0 fl., Laying length of Quick4
'Iun All-ir-One 12 Endcap installed at the end of a chamber row - 1.5 N., Laying
!aFoih of Qum--k4 Plus Aflirl-One 12 Endcap ins4ad♦ed In-line within a chamber row =
' ft.. OUICK4 Plus Standard Open Bottom area = 9.72 sq. ft./chamber, Ouick4
,'k i) AN-in-One 12 Endcap installed at the end of a chamber row Open Bottom area
r' -i I sq. ft
row Open Bottomk area ~-m- fVend Erdcao installed in-line within a
cap; SEE ALSO ATTACHMENT S
QUICK 4 PLUS STANDARD LOW PROFILE (L P), DIMENSIONS' 52.0 IN L. X34 n
IN. W X 8.0 IN H; MAX DEPTH OF BURY= 8 It.
IFISA firm chambom with m withtwl fabric - 20.0 sq. fUchamber; EISA for QUick4
F lus Ail-in-One 8 Endcap installed at the end of a chanteer row - 2.3 sq. It/and cao
r iSA for OulcJt4 Plus All-vi-One 8 Erdcap installed in line within a chamber row
n sq- fl./end cap, PISA for Quidt4 Phis 8 Ertdcap installed at the end of a chambc
row = 0.7 sq. RJen1 cap; Laying length of chambers - 4.0 ff.; Laying length of
Quick4 Plus All-in-One 8 Endcap installed at the end of a chamber row - 1.1 ft;
Laying let g of Quick4 Phis All-in-One 8 Endcap installed ki-kne within a chamber
rctw _ 0.9 fL; Laying length o(Qu ick4 Plus 8 Endcap installed at ft end of a
chamber row = 0.4 ft., 00dt4 Pkts Standard Low Profile Open Bottom area - 9.77
sq- ft /chamber; Qiadt4 Plus All-in-gibe 8 Endcap Installed at tl1e end o(a chamber
row Otx;n Bottom area = 1.4 sq. fUeni cap, Quick 4 Pius Alf-in-One 8 Erdcap
installed In line within a ehambor row Open Bottom Area,• 1.2 sq. ftJerd cap; u ci,
4 Pius 8 Lndcap installed at the and of a chamber row Open Bottom Ajea = 0 c
ft-rend car SCE ALSO ATTACI RAENTS)
Product Fi;e No' 20150111
III 2534224 DAVID UNT/. P.n2 tiA/Zihrs
The specifications anNor plans for this plumbing product have been reviewed and determined to be in
compliance wilt chapters Sf'S 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160,
Wisconsin Stalutes.
The Department hereby issues an approval based on the Wisconsin Statutos and the Wisconsin
Administrative Code. This approval is vaad until the and of Nay 2020.
This approval supers .d" the approval iswad on I Ill 112014 under product file number 20120137.
This approval is contingent upon compliance with the tolbwkig suputafion(s)
• This product must be instated in accordance with the manufacturer's printed instnictions, product
approval, and plan approval If there is a conffi :l between the manufacturers instructions and the product
approval andror plant approval, the product approval a"or plan approval will take precedence.
• When this product m installed in a dispersal cell that is sized based on the EISA rating stated in the
regarding block of the product approval letter, this product must receive wastewater having a BOD5 value
less than of equal to 220 mgrL a TfrS value less than or equal to 150 mg/L and a f"OG value less than or
dual to 30 mgrl- on a monthly average.
• When this promw.t hs installed in a distribution cell that is sized based on the HSA rating stated in the
regarding Nor* of the product approval letter, 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
3 feet The 3-tool measurement is measured between the closest outside edges of the leaching
chambers,
• When this product is installed in a distribution call Ihal is sized based on the EISA rating sued in the
regarding block of the product approval letter, the distribution cell design must allow at least six inches of
ponding in the chambers without hackflow of wastewater into the drainpipo that diacharrges into the
chambers.
• When this product is installod in a distribution cot that is sized based on the EISA rating slated in the
regarding block of the product approval letter, Ithis product mug be installed in a distribution system,
which has ft top of the distribution cell at or below original grade.
• When this product is installed with geotexhle fabric on the sides of this product in a distribution cell that is
sited based on the LISA rating stated in the regarding block of the product approval letter, the EISA
rating with fabric must be listed to size the system.
• When this product is installed next to each other in adistribution toll that is NOT sized based on the EISA
rating slated in the regarding block of the product approval letter, the effluent distritwton area is equal to
the length times dip width of the chambered area. The use of geotextile fabric in this W. of installation
is optional.
• When this product k instated with gootexlile fabric on the sides of this product in a distribution cell that is
sized based on the EISA rating stated in the regarding block of the product approval letter, the geolexlile
fabric must meet all of the following specifications:
. Geotextile shall be non-woven
Weight shall be 0.35 =Isq yd to 1.5 oz/s; yd
Apparent opening sae (AOS) shall be 20-30 U.S. Sievo (AS 1M n-4751).
• For mound designs, see the manufacturer's propriety mound component manual for this product fine.
• For mound designs, seethe manutachxer's propriety mound component manual for this product line.
- (lone our' ler ADout lls Cont,ct Us
Ihe lifetime filter - - -
-I. Ifm., flux r.lrt Imal rea,Er(.I>n nzrant<F alum: mttm ltM r'avlui..eletl ~5x sU m:., wM :.c, -Itr:.r 1,
rWlty OfON'I HIM3.141COIIIR 51IM hESI Y~rr IM {r(J CUIX. YM1J4h II(111 U9g1'IICReIf\!la•((~t.-A'fl
I Y.vEr ltv crlrcgn ult'':uilfk•.ttlxgrrAa-cfu fhs.ngnmberei(I!.F.y)t!M ltrmvtm diw>t l(ggr<A'r..ln' -
pY!PS,IIIZMg IN.•tKMrotY,m <rorglXenlwr, O.r-.n~,IF.O.Idll:onN..cter NA p]tm6\: „r*.gn k'SN:y rlF'.;ne:=
I
a(•IrcnmPl lief:[r fck IX nlrlun' Ota n arNAIP n uf,:nh'.:gi ?M tins' fx'uer5r
' lmYS•Ai•.. a.rf5tndlHid'PCg NIH.IryhM\knmXUl~l:m elurn Ilxe+IOgN M:I ryi?+tl InrIX rnC .Hr ZI i (lY.d.'!:"
' pr. e. nIMA (m'PtirSN'pwd:l~
Single-Piece Filter Case
- IIrtFWA~:e.Jdyrolu:r9:lh\<arM.rfllle<.xs¢po.rc;w'gY.;Img rl.LtRr.0.(,•q.rHi:n;.yK•n'01'Ia:r41o
..br u'Olnhl(•~' P4(YIP1S,pJ.Kfg'At'nltp}lyfyl'+pheQFllIXp15112 (Zk.uX?Mlfdl
Heavy-Duty Outlet
l• 11'r-~~ '.11'!•.:11+1 rP.l: <E?'Cr,4 y-AtL' f4triO:n 10'COfr
e• h t e{y(vi'MrdllY.rgnlpH CY.~I:pnnnlStkRa•M
I:1>'t •li BPI da M}\'rt4f¢.lI1,TYC rxy.M (icpq WI UV
Molded-in Suppol t Hubs
''!I"111:lI:~~)1~/.'=:^.'il?:'1"'i.GI:!•":ni1N/fi:1.P:`11 f1 "C (+:tF f.itn{<I:1'P ISR I'1 S•.: if 'I::':Iv'.11: 11M'.1•
r
r
Superior Designed Filtering Unit
In r#IMngulAry\+V IHn1,M:lc r ,m IOtow_lS Nww
Irfi'gr rn9erglk•±PgNS[I ev: tm f(p.rol'll( ulgx'
ww".1,S r Irwl'-PS rc. 1nw nhFS 11n ImIw'Mvhr:V
C J C
7
2 a:
.
r o W
i c N J
Jr o Q N
00
ccl c ILI
r
0 as a
v N
V i
z w H w o O O`
Y § 3: mi
a Q J M a =ui
J O
aOw -3
Z U- f= as
a LL
Q Z i CO N
c
o zX a~
ea
r 20
w W w 0)
r
aw. ate. < I-- of
aw
c
U) X CIS
iU L
z
f- o D
U
0
N N N
c°c °o (3)
i
I
oil -
i
Z
- m W
W
m
LAA
M U)
T Q N
;v N
w ~
+rF d N
$m W N
.m O
YO o a a
oN~
r ~~Y
O ~
0 O
~ E u.
o.
Q
z
i
0
U
w r=
CO °O g .
C x-
0 f
O
N ~
O to
N O
' O - In
N n N
f~
l !
I O L~ Q
ice- o
X m ~ 4 m O N J t .n a S y` b
C N O M y ~ k 3
V } R 4
G N k " 7,4
T \
O O y O
c
2 2 `
M ;171
N
x 3 3
Z7 o _ e 70
v m Mn 333 y~ ~ 3
nSy , M t ISC '
8 0~ O> > •>w t 4 ~
-SAL
ST. CROIX COUNTY ZONING OFFICE.
CERTWICATION 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,L _'(LKCt K O- C, o I~R V UC _ _ located
at: /e, Section (ELK,Town Z( N, Range_ )E W,
'l own of St. Croix County Wisconsin.
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 /C- 3 201
Did flow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: _ gallons minutes
rank Construction: Capacity: !Pretab C GCS
oncrete Steel -Other
Manufacturer (if known):xS
Age of Tank (if known): 3~c~gs~- -
Permit number (if nown) t~' K
(Lice sed P u ber Sig tune) (Print Name)
t '.FAsi.C-C~ `Get
(I'ttle) (License Number) fqW/MPRS
(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
AW mfora dW is awpse=aftd ay Rwlt m the n daly pe=t b mg revoked by the PUMMS & Zam ft Depwba,,L w
n&nX eti is Weds a the w,,,WYa doed doed from Ate RegsOer oE'Deards Office ad a copy of the mtiSed map it
(is6V.9Y12I
ZI `L id S 77°4525•• N''
230.33
• i o i , X9203 ~ ~
• ! a 1 6,0•, I
1 1
5 l s "°'g 25
500.00
NOTE: PLAT BEARINGS •v0;
REFERENCED TO 't.1 pr'.0500" 1 N
TRUE NORTH BY
• ti \ a
SOLAR OBSERVATION.
N t
A4(7. • oQAOO W 1
A, / \ \ 23 v
0. J2 0~
t0 t` ~ ti~
10.OC
`~4)0~3, nj~ti w 5.0(
4
7
W• •O ti - r
O C LD la
H O: o
J: Z• 320.03 445.00
Z a O
S 88°59.10° W I115.03'
z UNPLATTED LANDS
I