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032-2063-80-065
SVisconsir Cepanmert or Comme-°e PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Bm di-g Division INSPECTION REPORT SanitaryPermi:N- GENERALINFORMATION (ATTACH TO PERMIT) SlatePan.OINc 606907 Pe,saral irfomral on vc., prorr3e -ay ae used fcr senoroa'y our ocses [P• ,auy Law S 'S 04 :r 3160596 Perm t HOIdp'S t,arne. fy V Ilagc Tawnship Parcel lax No Joseph & Katie Deslauries TOWN OF SOMERSET 032-2063-80-065 CST ms Lie,. Irsp Htol Flea [Al Dcs_-T'ioo -ct ' Vnnlf2a'.~e'M;.p t.o 18.30.19.751A-15 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY SIAIION BS HI FS LLEV. Septic Benchmark Dosing All BM Aerat on Bldg. Sewer Holding SUHt Inle: SVHt Outlet TANK SETBACK INFORMATION TANK 10 PiL WELL BLDG, Ve1'.c Arl-take ROAD Ot Inlet Sep! C Dt Bottom Dosing HeaderiMan Aeration Dist Pipe Ho ing sot. Sys:em Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand Sf Cove, crag rrlodel Number TDH Lift Friction Loss Sysloin Ileac TDH Ft Fcrcemain Length Dia. DA: to 01-ell SOIL ABSORPTION SYSTEM BED:TRENCH ric1 Lengn No of rreneres PIT DIMENSIONS No. CI Pt's 1"'1- 11, Liq.,id ]eats DIMENSIONS SETBACK SYSTLt':1 TO PiL BLDG WELL LAKEiSTREAM LEACHING `dan.nernuer INFORMATION oe Cl Sys:en,. CHAMBER OR UNIT Slodel Nuntoer DISTRIBUTION SYSTEM Heaner2mandold 1)isl'ib.bur x HOIe S&ze x Hole Spac"r Vcrt :c An I-,(,_6v pipes' jl l enyM ❑ a _ Lc"p0r Dia _ Spanir0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Dcpth G'er Ceplh D.-' k x Depth cf xx 5cc:fu+J ccJCd ~x loL.irheJ Hed;Trenc- Certe, Itor,7;'-v: .r Ec?es TCOSaII - v~.y Nn VL•S ND COMMENTS: (,Incude code disc'epercies, pe•scns oresenn, e1C.) Inspection 41. Inspection #2 Location: 336 150TH AVE 1 ) Alt BPA Descript on - 2.) Bldg sewer length = - amount of cover = Plan revision Required? - Yes - No Use other s,oe for adoitional informa:. or. 11 C SBD 6710 iR 9;57j xe I-sep_nar'S Sig ra:-rc Ce I No. _ SR!~_-aaifr -3~ Safety ana 5,,Idinge Dlv i~ i ✓ . ` f I 1 t - ' I 2J' '.^:.'v:ashin9ton Ave P Scx - 62 h. 511x: %I S < l' l •,n.tar} . rrrs@ tvlwbe. IO n 1r,' Co } Ps MRJ:so;' 'IM 53707-7162 Sanitary Prnn't Anli ~ i I 1 ~r c.l(it1C1t l / I .r <,nLm uYa S..c 5ct A11L xl ~rtssl 2.h<uu c. d:c _ t I. lo:i ~ k I iunli,rl pPOrt nh:ainn a.,.u.aa :c^nrt I L:y; _fr' u-ms fnr tutc-'waclP n\ lto Pro•mi Addy qT diP,mcat tba.:nailinr Moms, n~p:uttrtu' Sam's Pr ( c .z ~c I ml1,tn.a.1an n. 1 r.n:dc ma fr used fr. sannu:Y I Application Inform_ 2nnn Plea. Pint I{) I-rsformaur, _ il.>a:, Ctw r'>/vaL1: s'\ A_ F'w.zl F__ -J O-Q 632- a~63-80-< al, Lk Iu's i lhna'• Nwhog Address ?I,[K o - t.a:t.~u 8,-3o-._~qv 7S~ A 1 it} Stdlc - Gott Ltu :dc 1 Phtmc V:nnbet C e' U. hype of Building frheck all that ayplyj Ltl TJ77 6 N cn JJ_ Fair Dwc(hc l ut v. ~,f b• .ca ~SaS(li :Stun ~aclc - _ T'Jb114~~.C]LTtttl r' IC41'FiC .:'4' II\lat<j5xnq-CtrAe1n ,SV `vtnxcr O WI+e'af _ Jr /66 1 (~j- c f z9 Ac -53 luwlvf S t i G~ Z AL Iy eofP ah 7 - - p (Chak only une 4'.1 on mbmplete line J3 ifapplicab .4. - ~w 4) lrn f It ,+Lxcaect iys:cn I 17 a¢nens d t T u F p - -.:r-ol 003 y Uhv M, d Cz oc m xi,vag SY> n i cxpl nn l r.. v f.,uw ^rmi; surd me Dam 1SSaee B. P ~l F :real ! P mw Nn IStor. 1 l o' P.u::bcr Rai r rx c nor. I '?wtcc I I\ 7}'pe of Pow (I Ssstctu CUmponem T)r.nt 1 NI_ r ' }`cssJ[ud n r. Jtd F c•.; a q 'r.: I dotmo v:. t,t sc.L-jAc cnil I_I t f' Wld ' u.. ~f smI.,W wi ITnL iJC4 M J ncrn T 4t - .'rclr uo..l=>rv I CnPi.un AI Utspe n:n 1 rear I At" Informnltun: - / - - - - ~Ir LLy Fio.> ~.1' .:.Tpp:...a:oe R lpF%1'f' Uul~ nal .rca Nc I Ste' J fiu ouvx Asa F'-q-K,ec A) S" I'm F-1, cn / Ila A`I. T:utE Info Ca purr, v t al ' of ? 5 ulvntura ~ , T l s - :all .IL. Jhut, E ! _ I //,4 \ I I Respuuslbtltry Staunuenr- the uu,S c responsibdi" for invullutlon of me POg' fs shown on the attached ptauc I w Icl'. a n, tut _ p'lwc MP! IYA KS Vv'3ha b.umcs, finte t:~mnber aj- cc/ATTI ounhDepartment Use Only 1 Tr. m~~❑~ C. T) Ir Sao sSuln_. m $15.Wum M. Cuudrt asuns for Dtsappl a t t.pla; tack elik:~: t l ova Me M l~orac rf•+~r~ b✓ asFe,:' ell dust all oe C'S '.,t r x I ) As per,aa- 3gl p711:. .,10e 2. AN aeltw k recure".:ens MI t cc, -..rd, if e as par Womble pyS rd axes iA A.u la mm1 4tr I - f : I s'sl m aad snntuit,n tat i-oun o I. 01~/O'~~I l~o> Wau h P. a 11 iec~y//~~ w vu 'J 5;1~ cYw7 ►^al- Gt ('0..m. +61f c-f An SISD-6395 tR 11: 11! I ~po~fe6 ,)VA0111 Y1,01 PLAN PROJECT Jce Desl3wr!c.-s - ADDRESS '.O. BOX 994 riuason W1 54016 i+4 S 1 F YI' 30 N; R 1 8 N 'rowN• Somerset COUNTY S1. CR^b' SS"STEM ELEVATION 104.E 91-3118 4 DATE BEDROONI CONVENTIONAL'- AT-GRADE T:X?; CONVENTIONAL 1.I1'I' HOLDING TANK llOl'ND _ 6LF'1'iC TANK SIZE '105 gallons LIFT TANK SIZE DOSE TANK SIZE 765 1IOLDING TANK SIZE LOAD RATE. ABSORPTION AREA 1000 # ur e6amLcrs non 11116 e BENCHNIARK V.R.P. lop o' SUrVey Con f(-~ ASSUNIE ELEVA'T'ION lot" Fillet' 1_i%.:im~ Filta~ LJ BOREHOLE 1k `ELL `H.1C.F. sa lr as henChmar'< ch' Rj V 6. ' Scale 1r4" = 10' M. i 531r) Ave 139 Slope p, 3.3 Area 15' below system is to romain undisturbed 103, 34.9 , r 10 Huffoutt Combo TanK 5-2 3-1 Gradiny is E0 be done to divert run-off away !r.^,m sysiom Dedroom W-el. is to meet all IVDIgR setbaoKs 339' Property Line 5 DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY Wl 543045211 a r'. pal Contact Through Relay - P f ~ hllp:itesps:wl.yuviprcyrarns'Industry-seraaces ttiaw_wisconsingcv Scott Walker, Covemcr Laura Gutl6rrez, Secretary Sefaelnher 25, 2018 CGSf ID No. 226900 A77;V. P0iYT5 Inspector ZONING OFFICE SHAUN R Ell ST CRO1X COUNTY SPIA 1432 120'111 ST 1101 CARMICHAEL RD NMV RICHMOND Wl 54017-6409 HUDSON WI 54016-7708 _t"'J v z CONDITIONAL APPROVAL - PLAN APPROVAL L•'XPIRE..S: 09/25i2020 ~Identifica[ion Numbers Transaction ID No. 3160596 SITE: Site ID Su. 8539?8 DeslwttlfleA Please refer to both identification numbers, 150111 Ave j above, in a:l cnr.espondence with the ageney, Town of Somerset St Cl County SE V4, S W I i4, S 18, 1'30N, R19 W FOIL: Description;.4r-Crude (4 Bedrdoonis Veiv Conitraclioni Oiijcci Typc: PCt1V'rS Component ..\lanaal Regulated Clbject ID No.: 1797666 Maintenaucc required; 6110 CPU Flow niter 36 in Soil in in tilt mtt_depth to lim itine factor from oriel nal era de; Sys[enr(s): Al-grate Component Manual, Veisiun 2.0, SHD-111854-P (N.U31U7, lt. L•12), Pressure Distributor. Component Manual - Ver. 2.0, SHIM0700-P (N.ODUI, R. 10.12); Elliuen: Filter The submittal des-cr;bcd above Las been reviewcd for conformance with applicable 1Viscorshn Administrative Codas and Wisconsin Statutes. -The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accurdarce with the enclosed approved plans and with arty component manual(s) referenced above. The owner, as defused in chapter 10 1.01(10), Wiscersin Statutes, is responsible for cernp:iance with all code requircnients. No person may engage in or work at plumbing in the state unless licensed to do so by the Depannent per s. 145.063 scats. The fo3owing conditions shall be met during construction or hrs(iiLattun and prior to nc: upaney or use- Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate tho punip in the duce tank turlii [tie tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment wid tools and: or lellover constriction products shall not be discharged into die drains discharging to the pr.v;tie unite w;;sowwor treatment system (POWI S). Wasle gecer,ned shall be properly dispOseil of or: silo or off site. • Arty tall grasses, leaves and shrubs shall be cut short aid removed prior to till`.ng die surface for installation to present nrahing order the dispersal area. All louse organic nnnlerial to removed 5'oni the POW1 S Dispersal area. • Prior to construction of the dispersal area, check the moisture content of tL'c .oil it, a del of 8 itches. Smearing and coinpactinit of wet soil sill result ill reducing, the inlillrariyn c smicia• of fix soil. Prooer soil moisture content can he dclictfinined by roping a soil sample between the. hands. If i_ruilg_ Iglo_a I',I- inch wtc [tie site is too wet tq_ltepare. If it crWriblcs site preparation can l rJpee¢. if die site is too wet to prepare do riot proceed until it_drie, • Divert surface water front PUWh5 Area. SHM:N R nIRU Pale'. __RaIN • All piping, shwa conform to SPS Table 384.30-3 and SPS'1'able 384.30-5 • Insulate buildiug.ew er beyond 30 feel our SPS 382.30 (I :)(c) • Tank Installation to follow all wanullimue's r"ommenda[ion.. • Pump I•'lua is to be sot and verified per approved that. :any chances uurv result in pump resizine to roue[ TDII and GPNI Soccifieations. • Verify properly line(s) prior to insWllution. • Well selbacla to meet rlrs. NR 811 & 812. • Areas that are occupied wrh rock fragmmnts, tree roots, stumps and bou:dcrs reduce the amount ofaoil available for proper reaunen[. If nu other site is available, trees in the bas;:: araa of the al-grade must be cal off al ground levcl. A larger fill area ix necessary when any of the !&OVa conditions are ellc0pnlercd, to provide sufficient intiltrutive area. • SPS 383.5.1(1)(e) The wanagemen: plan for a POW I S shall specifically aMiess the sere:chug mechanics of an aerobic or aaacrubic lrcatmen: tank or a holding tank where either of the following conditions exist: 1. The bottom of the tacks located r[mrs. than 15_I'eejelow the elevation where the_ crvicingpad is located, 2. The bottom ol'thc tank s located pore,thatt_ISO feet horizotr-Ay. fr'onl.where the seryi ujl p is located. Owner Responsibilifies • I'be current owner, and each. subsequent (Wier, shafl %ceive a copy Of this !otter incluriing in•.trucfionz relating to proper use and maintenance of the system. 0%wers shaa receive a copy of the oplaopriate cperaawl rld ntzinterance warua1 anal-or o•.ener's mama: for [tic POVrI'S jeiccibed in [his approval SPS 383.5.1(1). • In file, event tt.ii coil absorplior: system m-vy of its component parts nvdfurclimts so as to create a hoallh hazard, Iho prorcr.y awcer rust follov',; Jto corttingcacy plan as Described ir.:hc approved plans. A copy of :he approved plans, specifca[ions and this leLer shad be ou-site Curing construction and open to impectiun by authorised representatives of dlc Dep;irtnent, which racy ofe;ude local otspeclors. All permits requircc by the state or the local municillalify shall be Obtained prior it, cowmercentemt of cons[ructiun+inst a I I a[ iofvepcrat ion. In grunting this approval the Division of Industry Services reserves the light to require charges or additions shutdd curdi[iuns arise making them necessary for code compliance. As per state slats 101.12(2), nothing ir: This review shall roheve die designer of die responsibility for designing a safe building, structure, or component. hupfcies wucerping Hris cerrespundence may be made to me at lire :clephone number listed below, or at the address oc this tetterhead. The above loll addressee shall pruvicle a copy of this letter and the POWTS mmnagemenl p:an to Jul howner 2nd any others woo are responsible Co- Lle nls['Allrton, operation or ma:n,enanw of dre por,VTS. Sincerely, Fu Required $ 256.U0 `/sin 7/.in.r;:l LPrdf Tills A:nuar:t Wiil Ile Invoicee. When You Receive That Invoice, Tor: Vander Lcest Please Include a Copy WiIL Your Yayn;enl Submitta:. Private Sewage Plan Reviewer, Division of Industry Services W iSMAR'1' code: 7633 (9201492-2214 , Non. Fri, 6:00 a.m. - 300 p.m: [im.vanrerlrest4rhvi.gov I i cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-Fri, 8 00 A.N. - •1:30, P.M. II Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/10/ 18 Owner:Joe Deslauiries Location:SE 1/4 SW1/4 S18 T30 N,R19 W 150th ave Somerset Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At-Gracie Plot Plan 3. At-Grade 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 Attachments: Soi est Shaun Bird Signature License num r 2 6900 mcnVED ~.t3?Cl~ Iii' i' Page 1 of 9 System PLOT PLAN PRiJJECT Joe Deslautries ADDRESS P.O. Box 994 Fludson 'Ni 54016 SC 1/4 SVJ 1145 18 IT 30 Nial 19 W TORN Somerset COUNTY ST. CnOIX SYSTEM BLEVATION 104.5' 9!10:18 4 DATE BEDROOM CONIEN'TIONAL~ AT-GILADI'. CONVENTIONAL LIFT HOLDING TANK T1ol.'ND SEPTIC TANK SIZE -255 gallons LIFT TANK SIZE DOSE TANK SIZE, 765 HOLDING TANK SIZE LOAD RA'Z'E 6 ABSORPTION AREA 1000 k of chambers none 66 BENCHMARK V.R.P. Top of survey iron, ASSUME ELEVATION I0()' Filter Liizlime Filter ❑ BOREHOLE O IVETI. . H.R. P. same as benchmark C no V B. tv1.' Scale 1/4" = 10' l c% Slope 150!h Ave 10t' B-3 Area 15' below systern is to remain undisturbed 103' 104.5' Huffcuft Combo Tank 10-1 B-2 B-1 Pro 4 Grading is to be done to divert run-off away from system Bedroom House 'Nell is to meet all WDNR setbacks 339' Properly Line At-grade System Sloping Site Cross Section and Plan View 1 t - - c,::, i)i+:: i` ::C'.{:r,:.;^•,:.:{:;:c`•;: [ IDimerrsion Feet :,:iti ;ti{:{{: is •,'::i -t A JL-'- ,B 1 jI r.r.. 1 I 1~G 13 ::ij}l:~`;:.::•,;:•;:;rj:•ji;;j:.:i?i:;:}:','.1,'•;:;:;!}:};.,,.:,;.,.a:'.:~•::;:.:.<.;{t{{.; t , i 00 .5 ✓ A t L0 . . L -t- - ------B - - L - - t - ° Plowed Clean aggregate t I basal area%' to 4 in. sch. 40 pvc observation pipe Lateral with 2° 1'opsoil CAD aggregate pipe Geotex[i~c ~ Observatiun Pipe Fabric With Cap S^ ~l► C I Ui)Nutt Cap ~ ~ i;t rrv r t } (CQ:1L' III D 1- Slope Direction GENERA -1, INSTALLATION: The at-grade area is .skjked 011E along the desi~ui contour. Existing vegetation is mowed and raked off the site. The basal area (I. x w) is slaked octt <uld plowed with a moldboard or clt set plow. Pluwing stay not procer,, if the soii is ,vet enough at the plow depth to forul a inch soil wire when a sample is rolled between the palms of tnc hands. The A x B area is covered by clean aggregate deposited overhead by a backhec. Special care must be used w'hcn placing t}te aggregate to minimize compaction of the plowed surface. Afler'the topsuil cap is placed, the entire at-grade is seeded and mulched to promote vegetative growth, lurut erosion and protect from freezing. The observation pipes are perforated /inn the lower G Owlies and secured in place. 03%05 lgj Page J ofz Pressure Lateral Layout One Lateral - End Manifold Threaded h( Clew1oni Force Main - Lateral'ltun-up Plug T I t Long SNYC ell ` 90 Bend t llislrlbu[iou Netw• k 'Sell iW-11 Pressure System Cmtslruclion Iateral Diameter Laterals are constructed of Schedule 40 PVC Orifice Di: unetcr Pipe. Orifices are drilled perpendicular to , kXdOrifice SpacillE) ~ I 1 the pipe with a sh<'up drill bit and face down. L (lateral LengthL~ _ Lateral turd ups terminate with a threaded Force Main lliamc[er_ > In, cieanow plug and are enclosed in a 6-8 inch Lorce Main T:cnCy`th diameter ]a%-,-n sprinkler valve box accessible from Gushed grade. - 1 • • • • • Grade • • • • • • • • • • • • • • 6-8 Inch Lawn SprituBo Valve Box f/ 0:'•/05lg; Pz:ge c. 1 Septic-Dose `Wank Cross Section And Pump Performance Specifications Tmlk Muaufacmrer ) r Pwn a Mauufacturur t - - f - r P Tank Model Nttrnber - 1~.17 ~ f _ I Pum Model Number 'Iota. Tank Capacity Alarm Manutiwturar Max. Btuy Depth -C f Alurm Model Number Dr-,-- switch Typo 4. ] dter Mauuliu:turer _t n t1 Total Dynamic Head (TDR) - Feet f .i ( - - - Fllter. Model [Dumber • _ IElevation Bead _ Distal Pressure = - - Network Loss / ! - _ MinuutauPwn 'ertormauceR aired -n Lo 'o - P k1 forceMaiss 71- 4_1 t TDH, I rota( ~ /J ttj Outlet Manhole Iv(in. 4" Above Grade With Locking Device. Inlet Manhole Manhole Min. 4" Above Grade < 6'? Below Cfrade Sealed Watertight Sectnuly Mounted With Lucking Device Weather-proof I\/} - - Finished Grade Junction Box Vent Min. 12" Disconnect Above Grade Means With Vent Cap ~-I LLOutlet Filter fnlet ; ) L.r - Inlet Baffle ► J - . - f ) _'T `iwitch Settings and Reserve Capacity A Tank Volume -l7 GYI Weep Dimension Inches Volume Ual. ' B !tole (alarm) B 2 , X, ofi, Elevation fiC (dose) C~ / k''' F t I (dead) D:_ Bottom Elevation Total GENERAL INSTALLATION: The septic/dose tank is bcdijod and back filled in accordance with the tuanulacnrrur's product approval spermcations. Maxulmw depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole coven, exposed to grade have an effix:tivu lucking device (padlock) installed. Piping at the inlet and outlet is of approved material, cotatected to the tank with watertight fittings, and laid oa stable soil to prevent nearing or sagging. The fut'cx main is sleeved with 4" Set). 40 PVC to bridge lire tank cxcavatien w d the sleeve Is seated watertight. Electrical) rvice(cjjntplies with NEC 300 and Comm 16.28. 02!05 L.I Page of 280-SERIES i1? hp Submersible EffluentJSump pumps rneu ~ Provides acost rango pumpfuron-site waste water systems, liquid 40 vli mid Performance Curve:2$0-$e/YgS waste transfer and commercial heavy-duty sump pump applications that - 12 require higher head or more Pow. 35 Designed around Liberty's unique"Uni-Body" casting. 30 - ' 17 the 280-Series will provide years of reliable performance. _ g Q) 25 . All Models Feature. 6 20 •Vertex style impeller Permitting APO up 10 V Passage of solids 16 _ 6 • 416 stanless _ 5 steolrotor shaft = 10 3 • permanently lubricated Upper and lower ball hearing 5 - • Epoxy powdereoat finish r- 2 • All fasteners- CerOSiOn-rest 0 • 1%" Discharge slant stainless steel 0 5 10 152025 30 .S Gallons 36 40 0.5 Minute 55 60 8.5 70 • Stainlcw steel bottom screen _ U.S. Per Minute • Maximum fluid temperature: oasily removable -"L-- 140°F, 0 38 78 78 114 166 702 62 22,8 2?b 2 270 280-Series Cord Len Liters Per minute gibs Model to' -251A Dimensional Data. 280 Standard Optional- tionsl Weight: 29 lbs. O Zonal 281 yyandyd . p tir,,,y Height 13" Optional Optional 28,3 8tnndard Opao,w Oalional Major Wldth:l0" (model 287) 287 WA.- !d 0 tio~ w„ N/A Minimum Sump Diameters. 10' adlenltit standard on all models. For optional I"x Model 281, 283... 14" 3 crfi- s¢ltvto mod el number, M j0is' ode1287VMF... 10" Example: torn gdel 280 witll 'Cord, orlor 280-8 287 Motor Specliflcations %hp 60 Hz 5" 3 RPM 0i11111od, tbemtalN pro protectod 0' ME!= (PSQ Permanent Split Capacitor Tlu Mudei 283!uutums a h:!ly ad;w-Wb:'e wide-alb flwL DiderenZcl 8.0 amps (115V) m 4.0 ope can o, made easiy i w the Boat to tits ds amps (2087230V) charle thane pipe er otrwr mouatlrg po:n int. . Velb venial float moda1207s not ~y cojwtable _ Model 280.: Manual, Model 281 C _ Model 283 Model 287 no switch wide angle [II.p Wideangle VMF ~I Jfloat switch ?'I ^ag with quick- with switch sedes es ri Verb netlc float oef for disconnect witfla '7 C I~yr~ (Piggy back) smallerpits- J plugAL., willoperatein a1g"dianleter She sump em us Certified o+r..wn:.• wN•.<m.+vy.mn~, rau-n Llherly Pumps • 7000 AAppk Tme Avenue • 8orgen, New York 14416 • phone 8045.43.1550 fax (565) 494-1839 www, fibertypumpr. ¢omi cwrn~t ¢tt.m..n Kanw zrn Fu,yirwti+o~wa urrzocorrwlr C0 _ J POWTS OWNER'S MANUAL & MANAGEMENT PLAN sago, ct` IpILE INFORMATION SYSTEM SPECIFICATIONS Septle'rankCapaciry ❑NA Owner ~De 71e- Pemrit u Septic Tunk manufacturer ❑ NA i)ESIGN PARAMETERS Effluent Filter Manufacturer l-) NSA Number of 9odroorns ❑ NA Effluent Filter %lodel /l ❑ NA Number of Public Facility Units A Pvn:p Tank Capacnly _ G NA Estimated Dow (average) L~ al/da pump Tank Manufacturer Iq Design flew (peak), (Estimated x 1.5) - - _ ! gailda• Pump.danufaclwu GNA Soil Application Rate Purr Vii? 9aUoa• /ttz p Model NA Standard InlluenUEffiuent Quality ~1 Monthly average' Pretreatment Unit - Fats, 011 & Grease (FOG) 1530 mg/L q ❑ SandlGlevei Filter C Peal Filler Biochemical Oxygen Demand (BODs) 420 mall, > NA G Mechanical Aeration 1-2 Welland - Total Suspended Solids (TSS) 5150 mg/L G Dls.nfeclion LI Other. Pretreated ENruent Quality I Monthly average Dispersal Col (s) -N n NA BVdiemical Oxygen Demand (BODs) 530 mgA. Q In-Ground In-Gr (0m~ieY) 13 oucd (pressurized) Total Suspended Solids (TSS) ra30 rngfLNA - At-Grade ❑ Mound Fecal Coliform (goomoldo mean) _510" cfu/10OM, G Dritrllno ❑ Other: Maxntum Effluent Particle Size 7d in ale. C. NA O4~ur. - T C.' NA NA ❑ NA 'Values typ.'eal for domasncwasleeator and septic tank eNuent. tJtner ❑ NIA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect coruiuon of tankO s At leas: once every: ❑ m caronln(s) (Maximum 3 years) ❑ NA 's Pump out contents of tank(s) When combated sludge and scum equals one-third of tank volume G NA inspect dispersal moll(s) At toast once - every' P~tonih(s) .P.Tytearls) (Maximum S years) 13 NA I_leav effluent filter At least care every: t enth(s) 13 NA. - - I rspecl pump, pump controls & alarm At least once eve ` arts) month(s) ry ear(s) ❑ NA I%ch laterals and pressure test At least once every. G month(s) ❑ NA ~.~ear(S) - At least onve every; year(s) NA Jlhur NA MAINTENANCE INSTRUCTIONS A.nspect.ons of tanks and dispersal trolls snap be mach by an individual cany;rg ore of ife .`ellowing i~censes ur cenifcations: Maslen Plumber; Master Plumber Restricted Sewer; POV?S inspector; POW-S Malntar•ter, Seolage Servicing Operator. Tank inspectons must include a visual htspection of the tank(s) to identify any missing or bnouen hardware. 'dentify any cracks or leaks, measure the volume of rmmbined s!udge and scum and to check for any back up or ponding of effluent on the ground surface. The cispersal cell(s) shall be visually inspectca to check the effluent evols in the observation pipes ant to chec.< for any pcrding of effluent on, trio ground swlacu. The pond:rg of effluent on the ground surface may incicato a fairing condition and requires the immediate notificatiin of the local regulatory authority. W-er the combined accunwlalion of sludge and scum in any lank equals one rn~rd ('f,) 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 chapter NR 113, Wisconsin Administrative Code. VI other services, inc:uding but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment ua,Ss. and any servicing at intervals of s12 months, shaft be performed oy a can lived POWTS Maintainer A service report shall be provided to the local regulatory authority within 11) days of completion of any service event. V-~" Page _ of 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 chemials malt may Impede Ino reatnlent process and/or damage the dispersal cell(s). 'f high concentrations are detected have the contorts of the tank(s) removed by a seplagu suivicing operator prior to use.. System start up shall not occur when soil conditions are frozen at he infiltrative surface. During pourer outages pump tanks may fill above normal highwater levers. When power is restored the excess vraste.vater will by discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the bacrtup or surface discharge of eft uenF.. To avoid this situation have the contents of the pump lank removed by a Septage Servicing Operator prior to restoring pourer to itie effluent pump or contact a Plumber or POWTS Maintainer to assist Ic manua'iy operating the pump controls to restore normal lava It within the pump tank, Do not drive o' park venicles over tanks and dispersal cells. Do riot drive or park over, or otherwise disturb or compact, the area wanut 15 feet down slope of any mound or at-grado sot'. absorption area. Reduction or of;minaticn of the following from the wastewater stream may improve the performance and prolong the'ife of the POVa!3: antibiotics: baby wipes; cigarette butts; condoms; cotton swabs; dogroasers; dental floss; diapers: disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides, meat scraps; medica0ons: oil; panting products; pesticides; sanitary napkins: tampons; and water softener byre. ABANDONMENT 'Amen the POVJS falls andlor Is permanently taken out of service the fotluwing steps shall be taker to insure trial the system is propolly and safely abandoned in compliance with chapter Comm 83.33. Vdlsconsin Administrativd Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • 7 he contents of ak tanks and oils shall be removed and properly disposed of by It Septage Servicing Operator. • After pumping, all tanks and piss shah be excavated and removed or their covers removed and the vold space filled with soil. gravel o, another Inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired Ine follovi,rg measures have been, or must be taken, to provide a code compilant raplacee:ent system: ❑ A suitable replacement area has bean evaluates and may be it lized for the location of a replacement soil absorption systeto. The replacement wea should be protected from disturbance and compaction and should not be infringed upon by requi~''ed setbacks from existing and proposed strLeture,'ot fines and wells. Failure to protoct the replacement area wdl result in the need for a new soil and site evaluation to establish a suitable replacement aria. Replacement systems must comply with the retail in effect at that time, ❑ A suiable replacemont area is not availuole due to sutba^.k and/or soil limitations. Barring advances In PO'vVfS technolcglr a holding tank may be installed as a last resort to replace the faired POVaS. The site has not been evaluated to identfy, a suitable replacement area. Upon failure of the POWTS a soil and site evaluation Xri ust be perforated to locate a suitable replacement area, if ro replacement area is available a holding lank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of tho biomal at the infiltrative urface. Reconstmctlons of such systems must comply wish the rules in effect at that 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 Ok A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name name y' c . - St..r. f~ lf. Phone Phone SEPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY Name 7`b2, " (yams < ^ , Phone Phone t his document ads diaead :n c«rplianou With ch pier SPS 383.22(2)(0)(1;(ds;r; Ord 3a3 54r1). (2; 3 (3), Wiaoann n Ada lnhseaIve Cure r ~ !r tI' 110 ,r co Q F : r V l9 Y LU J 1 Y V ` •r c-- 4 N IIf1 i 1 ~ ST. CRO1'X COUNTY SEPTIC TANK J4AINI'E NAN('F. ;'tGR1-:F.MLS'NT AND OWNERSHIP CURTIPICATIol. N I.ORNt Owrier,Buycr_-,-3L)Q,_-- ?.tailing Address - c - Property Address I U T/C= (Vcnficatimr :cgwrec! from f'lannnil•, c~ 7,ownt Oepa;tmcnl loniew constnicoon.j - 7 1, 1 (05 Cai Stlltl'• r. y` [dlt.il Itictiti(icallualNunber O )L- Lo(~y~~~_~~ LEGAL DESCRIPTION Properly Location C, Cotirn Of~c'~ t n Subdivision Certified Survey Mai is Warranty Deed # L~ lC~ - - \`oluuie ,Page l: _ Spe.: house vc t n Lct linrr ideutiliab:e .•re: no -SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and inauncnamc of -your sane ;}stem could : esn!t in its p trntawre faiime ro handle wastes- proper maiinlcnaaee comisls of ,.unyruiy_ out rite septrc tan.. <<srl' ihr~. c. ~uu's Or soor.q. i3 arrded, by a licensed puurprr l1' hat you put mhr thus vsdwu c,w affect ihr fu_tci un of du- septic tank as a lrc.atawrit stage m the w•as c disposal s,steui. Owner Inaiutenanec responminhous arespe(,aied in $Cotuni. R; ;2(1) and u: Chapter 12 st_ Croix Coni!Y',anitaryOrdinauce- fhc prouanq owner agrc~s to subnut to Si, i7os Games; Plaunigq Zunmg Ucparnnent a ccadica0ou tong signed by the Dwyer and by a utaarnr plwniier, jomaevman plumber, re+tnotcd ph.mhar m u lire nu+d punipet vertfying lhzt (I) the on-site wastewater di p,,sa! system is in proper opciaunl: ccud.lma and;or r:,) alto: mspcc.ion and pumpm}; (if n -mSsary), the sepftc' tank is less than i.'3 full of sli dloc. i 'we, the na-Ir,,Agncd hxvc read lire abnuc rcyurr<emcuis and akrev to mac w: [he, prnatL _<.ware disposal systcm with tire, standards set tOrth, hC:CitL ' as set h•, the Dcparrnu e,1 o: C;omrna'ce and late OvparnT = of iraltuai Resouu'es, State of Wisconsin CCItiflOanon suiting that vow srPt!.e svsrcm has been mamnivicd must be complcte,_I and retutrted to the St. Croix County plawiin,: & Zoning Depatvr-a;nt within :111 days of-tl:n tbrev yeat c:xt nation date. Uwe c unify' that all stalerncurs on t is form 3r,- tnu to •he hell of myom },.taw ln;3gc uwc am aic the ow-net(sI or tht property described above, by yigon of a w aaun deco recut ie,n if krgi ster ,I Dec Is Office_ L Numjof rooms A O}~ APPLICANT(S) DATE n tbai is misiepwseitred nzay re6ui1 iri the s:arrtat v pctant bcmr h cokvd by the Pianning, & Zoning Dcpairincut..sa lududc with this application a rrrntdcd w<vram", deed frr1111 ILc Ref ,11'1 of L: r-A :,IJVk !nt I a copy ul'the ecrfihed stUNcv amp IT tefercnrc k nmdc in the warranty Bred. (REV. 08;05) i Ilk t i v ' J,1 r L~ ~ 1 l l li - J/rf J 1 - - u. 1 ISM I 1 O Z1 bl) _ i V 1 SI1 <r ~ ! ~ IJ~ I _ ~9 _ e$T-aQIFr -ail WscortsinDepartment of Commerce 0 2 SOIL EVALUATION REPORT Page of Division of Safety and Buildings r~' 2 in accordance h Comm 85, Wis. Adm. Code County i y Attach complete site plan at paper not less Nar1B Iff 21 inches in size. Plan must 1 i include, but not limited to, yertical anill: emtatPe efence pant (BM), direction and Parcel I.D. ^Q ''AA'' p percent slope, scale ordimensions, north avow, and location and distance to nearest road. 63Z - ZY63 - O6 - e Please print all information. Re ed by Date ` g Peraoniim•onrul n ya fir may De acted la secondary p.n,oses (Puvacy Law, s 15 04 (1) (mi) Property Owner Property Location Govt Lot SC 1(4(1/lid T 7(7 N R E( W Prope if Owrwr's Mailing Address Lot rr Block q Srbd. Name or CShW City State Zip Code Phone Number ❑ City ❑ Village wr1 Nearest Road 22 Now Construction Use.13LResitlentiallNumber of bedrooms Colo derived design flow rate ll GPD ❑ Replacement ~~r/1 Public or commercial - Describe: Parent material Fluud Plam elevation if appliraLie / i ft General comments and recommendations: r System Typo - 1 Boring # ❑ Boring / C~~ 11 l a © pit Ground surface elev. jC Z _ ft . Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD..W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EB#1 •EH#2 3 s / / i C 7 "r ✓ 9J, ✓ y I r j Boring # yn~ Boring I C}Pit Ground surface elev 05• L ft Depth to Ivnrting facto in Sal Appi,cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDflf in, Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'En#1 •E11#2 r^-rZ y r- 41 r x- ' Effluent #1 = 800. > 30 < 220 mtyL and TSS >30 < 150 ' Effluent #2 = BOD. 30 mq1 and TSS < 30 m4l. -ov CST Name (Please Print) r CST Number Bird Plumbing, Inc. Shaun Bird 226900 Addross Date Fvaluatin Conducted Iclephone N•urrlom 1432 120th St, New Richmond, WI 54017 ' ~ 715-246-4516 Property Ot cr Parcel ID If Page -of ~1~~ I Boring /n J 're.f~ Boring # pit Ground surface etev/~~~ v' h. Depth to Whiling factor ~;R lication Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD#f in. 6lunsell Qu. Sz. Cont Cola Gr. Sz. Sh. 'E1f#1 •E##2 1 7_ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rmc Horizon Depth Danmant Cola Redox Derscnpbon Texture Structure Consistence Boundary Roots GPD#Y on. Munsefl Ou. Sz. Cont. Cola Gr Sz- Sh. 'Eff#1 •E"2 Boring Boring El # Ground surface elev, - ft. Depth to limiting factor in. ❑ Pit Soil ication Rate Horizon 'yepth Dominant Color Redox Descripton- Texture Structure Consistence Boundary Roots GPDflf n, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E##t •Eff#2 ' EI'luent #1 = DOD, > 30 < 220 mgl- and TSS 130 < 150 mg& • Effluent #2 = 800, < 30 mgA. and TSS < 30 rrVL 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 1-IY 608-204-8777. saoeuo;x ava Property Ovmer _ Parcel to a Page i { Boning is 60"N Pit Gtound srcfacs ele Depth to lirnitN fadar Hwarzn Depth Dominant Cobr Sol icaUtxr Rata Redpx Dosrnpt on TexNIV Smxturu Consistence Boundary Roots GPUYf in R!urseli Ca SZ. Cant Cpior Gr. Sz. ,.h. *Eft! 'Effl2 2. _Y '7r Lt 1 -4 ❑ i 1br;nga Song ❑ PX Grovndsuode, Oeplh to limiw fades 9 __n. Horizon DWth Domuwo Reoex Dostzipdon Toxhue S Soil !Caawt Rate in. n. 6funspll trudure Cansislonce BOUrdary Roofa GPU1F Cu. Sz. COOL ON, Gr. Sz. Sh. 'EYat •Ethr2 r I I Son,g a ❑ Bong LJ ❑ Pit Gmund surfaoa elev. X, Dupth to limidg fades . in. Horizon '1upth Dominant Cd Rodox Desanpbon. Texhuo Structure M. Cortsisienco Boundary RooL^ SO: "ton Rate Munsell GPDrtf Cu Sz, ConL Coles r Gr Sz. Sh. •EH#l •Efl#2 i EfAu&d at . BCD,> 30 < 220 i»y't and TSS >3% 150 mg.'L • EYluwa a2 • BCD, ~ a mryt and 755 < 30 mG4 The Department of Commerce is an equal oppormnity service provider and employer. If you need assistance to access services or need matcral in an alternate formal, please contact the department at (,08.266-3151 or TTY 608-261.8777. ~dW)lDf.O'.VI Soil Test Plot Ply Project Name Joe Deslauiries -S um Bird Address P.O. Box 994 Hudson Wi 54016 STM #226900 Lot 2 Subdivision D' e 9/10/18 SE 1/4 S W 1/4S 18 T 30 N/R19 W Township Somerset Boring Q Nell PL Property Line County ST. CROIX BM or VRP Assume Elevation loo ft. Top of survey iron System Elevation 104.5' *HRpSame as Benchmark C Rd V Scale 1/4" = 10' B.M. 10% Slope 150th Ave 101 B-3 1 0 3' 105' B-z B-1 339' Property Line