HomeMy WebLinkAbout020-1487-19-000
.:scar:-~uenanment of Commerce PRIVATE SEWAGE SYSTEM Lo,.n:v St. Croix
Salc':r any ti, Icing Div son
INSPECTION REPORT san lary Permit No
(ATTACH TO PERMIT) 606946
GENERAL INFORMATION State Plan ID Nj
Persor'al r'Im° jto"'foo r-oxide ma/ ne used `c' sccOr'da'y nnroWes IP^io'aci, I ax, 5 15 04 ',11:
Pe-mr H.1cers'i Cip• Village T"rs^np Pa' C21 Tax Na.
Oevering Homes Investments LLC TOWN OF HUDSON 020-1487-19-000
CST Usl I_Ie, Insp. BY Lcv Br, OPSM111nn Sv-iinn+ io.rrRangc+Lhp No
/61 rill k r ST 14.29.19.3110
TANK INFORMATION ELEVATION DATA
TYPE P.1ANUfACTURER S CAPACITY STATIGN Qv HI FS ELEV.
Sept c Bencnmark
F''fl...r.s ZSV 3.5 7 D 3 s ia~
Alt BM
~i
Aerat on Bldg. Saver
_ _ _ G•3 ~i7r Z
Holding SL'Ht Inlet
~L 8
TANK SETBACK INFORMATION S .Ht Outlet -7 CS ~
TANK 1G` Pro _ :4=LL BLDG. cr•ta Ar/lrt.;ke ROAD Dt Inlet
p_t.~ / S 6Ye w. \ \
I 7 ~q _ Dt BoCOn•~
septic
rT Z,q 5'j
Dosing I Ieado,1P.i
~ 3 95 •
Aeianon Dist Pipe 4 414, 7-
R v
TO ld rc Bot sRs t m / x
l _ O
- Fina ra
PUMPISIPHON INFORMATION /yI L 5. do
Islanufair;l cl Demand St Cover /I Go J
GPIl 3.11 /60
P
Model Numb- ~ /AN/ 0' 1 53
7011 L ft Friclicr Loss System Head TDH Ft L rl~ i 9-3 .9
6
Fwi;emar Length Do . ITSI t^.iell
3 9Y- z
SOIL ABSORPTION SYSTEM
BEWTRENCH svldl, '_engPi 7 No ntTenc-es PIT DIMENSIONS No.OfPro I-,sldcLta Liyulu'J _Vh
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG :4rFLL LAKHtSTREAPA LEACHING 1,1a%actu'
INFORMATION I ype Of Si stern ~ /I I~ CHAMB T OR r t -
r f~`1 33 39 N - Ida? N~ml:gr
Cd.1 ✓Q v.~r e it G.~ ~✓-'C.C
+ ZD =G
DISTRIBUTION SYSTEM RO 4- Z-0
Ilcai dan 6nlu lix?t'Ih_brr f f.1' S¢e x Hole Sleaumg `-rent :e Av intake
~I•Sa-S P,:,:I ~ ~ ~ - _ 1.-lesd- e S
Liu- ;I.11 lc•r0'i, Dia
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
7eptn Over x£ Cepl of xx Seeded+Soddee xx 1.'ulcred
Deot" Ovcr -may Yes No ~~!•s Nc
Ucd+Treneh Ceute' ELu T%,ncr Ldges lopso.l
COMMENTS; (Inc,ude code dis ,opercies. pe•sons present, etc } Inspection #I Inspection #2
Location: 775 JACK AVE 0
I re. Loati
1 ; AT BM Description =
2; Bldg sewer Iecgtn = i 44
- amount of cover = y/ /Vl
Plan revision Requiredn Yes .4 No J V q 3 ! ~ _
Use olhe• side for additeral information. I - -
Dale Imar"tu Slgret Cen No
SIID B'19:R.'07:
-
- - oatety and Buildings Divislan
g rM~', i n 9 Z~~B I 201 V ^Iasn;ngion Ave,. P.O. Box 7162 im wt Petmn Nuzum (tn lc till"., I.. b) ::e
lP_ d ills y: s 07- 52 /
-ski
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Is rcnmred pnnrN . ptall.n` ~:~r itry entnlt. \nn, ~or:alc uwnel: Ptlt% 'ti we .ubcmU d [ . Pro;ra r.,,yr;. if cifE..c~t tb:u~ :nautu~ nudressi
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I i u r y oNau x'tn V I rn a ' Ln 4I 1 i(u', /
l Ayphranon lnt<r matic n Plesae Print All Informauuo //T{L~1/ F/
_ cc: a -
: Cw'rr a1vm.
C
LOZQ 9-7
h' p 'v i *x".)C <Mxlhnt. 4J:=~< !'mllcro L:xatial
,_,t< -tax 1 r.l.r ~^e :hmx\om »mon
II. vpe of lluildinc (chcrl I th`utt s ly) i `
- / Cu vr, 9ucne
Fa:rii<' i>weliiu:-Number of 2rd:a:rc
-
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1'uSbc'Gnluiraa:-Dt c.nte pcc - _ -J City of
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i p!x:c rTtaol De; ~Lr Js=
z l~ GIg~ 36 t3a 6114 . -7
T j Ttg r(PermiL Ch"l, -'IT 4c hox on line \ Complete Ime B it appbcablel
:a aa-
L.~ laa 4eplaccm rl ten: 7<..I_nrty it 1 u_ R::t de cc Lent }I:v :Mir M1t df~.-.:nr..n e. _xmxg Syxtan (exp.e
Tk°YIelL icrnn titw'+a :mt Du: ]ysue:.
B. _ Pr=: R ="c al Tru: Nrul' r _ . l ('aancc o. k I,.T.ber
~ Re:crc Lxpr tv r~ Qwne 0~C///
L l
die u(POR'I'SR'si¢m,CumVmlenUDct rce (check all that apL -
cn I r h <r V t 1 -i:rndc L '..:ulmA -i a ct ;mLiLl sc I N nu.. tr h-xl(+z~ic rJ~ _ ~~~I
!yll-FYG r .III'-li. ~t "'nr~57_
-f'-',nta'n'S prtll -.,vl 1 rt. xpt.m ~Ill.lcd. un Ilcui,,c xpLVn', rtl.-
~ r.~~ /VY NJS
Arca lu fur mahr ii
it DrcpcrtalTr77
v )<u tl Lq e -al logos 1
1
LYai flo•. (mod rJl wd pbc 1.a F )tf g(ue ,i5pcsa, . 1<
vQ
~ lapa..ntis I a X M1SJOU, c:mrt ~ ~
A1. fank Into,
l ail r1 ~ r,_L.lu 1 nLL<
'l-~ j], $eSpurWMhF $la Cut Po uvdusinoed as m respooslhlbl) Fu- Iminllanon of the PON 7S ah wv on tb<attacbed I fans --II
f .taltnr \f?1 fYKC •l:u]^.. J31rt.lci: ?*.ton< I> u
/Im4Kr : - d1n I I:II,
S -lh
l
Countt TwpA'ttncut U 't Only can Fee Uak su.:d Istria it SiYuime \
:>rn,N T S 90 . oo z~ l8 Jf
_od L T J x.: i t Y rDi%a L - T I
Culn mKS,Z'Bfr11fi6YMH1T=r->uu>lor Dicappru<al
x Sepl~ tare tflU.nrte ni i
,3) ~Qtau. d i
-s II I h Ic + t' ec
' sP-'-I X eTe" t 'i jh1 vAxze.. 0) nn I 0 n~
All Selha.K en r.• n mJ_t l.v 111. J'J~/Gf ~ Nr°J~OC-~ Ae~.x-~
2. r
as sr plc bl c,x'% rd n x _ - - - _ BFI _
l_- .1uv<G .•::vrnyNn PW 1.. av sYdcm axa>uhn.fl w IM' Couvw ovly e. paper vuo 1rs<tiuo t.; . li rocho
~BII-ti?9J iR. I I~ I i i I /1.~ r Ntw~~ D n.
System PLOT PLAN
PROJECT Oeverina Homos ADDRESS 1433 Cernonous Ave Swim, A New Rcn pond WI 54^17
1 ; a SE 1 ra S 14 T 29 Nr R 19 tt TOWN Hucsor COUNTY ST. CROIX
c};STENI ELEVATION 93.0' 2.6 4.5 bojow qr rye 11!8;18 BEDROOM 4
L P A'I'I:
CON'VENT'IONA1, XXX /kx,K i t I CONVENTIONAL 1.11"f HOLDING TANK
MOUND 1255 gal~.ons I.IPf TANK SIZE DOSE TANK SIZ.1i
SIZE
I10Ld11NG TANK SIZE. LOAD RATF .5 ABSORPTION AREA 12',2 # of chambers 60
BENCHMARK %.R.P. Top o' survey iron ASSUME ELL:}'AJ'ION 1(10 Filter Lifeiime Hier
❑ BOREHOLE (D WELL. t H.R.P, same as benchrr,a,k
lack Drive
vent Scale is F = 40'
Quick4 Standard unless other\ Ise
Leachin Chamber
ol` Gov°r ittt '?0.0 fi? OI Area [lOteCl
5.6ft^2ipair of end caps
Lon°_ l
Grade at System Flevation
,4.
?2O' Pro 4
Bedroom
Ilouse
24
1' J
ob 13-29- 5.
1
15'
.ti
B-1 t•' Q
ta.llO' ~ .
0. 5,
10
B X I" Cells with spacing
Property Line
All piping. shall he ASTNI SDR'W,4. ~cithin
10, of tank. piping shall he AS I'M FS91
System PLOT PLAN
rlto•IF.C'f Oeverina Homes ADDRESS 1433 CPmohous Ave Suite A New Richmond Wi 54017
1/1 SE I/1S 14 /,1' 29 Nnt 19 W TowN Hudson Cot!N'1'Y ST. CROIX
SYSTEM ELEVA1]ON 93.0' 2.6 4.5' bolow Or io 11,'8/18 BEDROOM 4
h L DATE
CONVENTIONAL XXX 5✓ CONVENTIONAL LIFT IIHLDING'I ANK
1255 gallons LIFT' 'TANK SIZE. DOSE TANK SIZE.
ht Ol!NU SI?P'rIC :1NK SIZE
IIOLDINC TANK SIZI•: LOAD RATE .5 ABSORPTION AREA 1212 H of chamher%60
BENCHMARK Y.R.P. Top of survey iron ASSUME ELEVA'rioN 100' Filter Lifetime Filler
❑ BOREHOLE O ~YI?I,I• » Ii. It. 11. same as benchmark
Tack Dme
Vert Scale is 1" = 40'
>6- QuickI Standard unless otherwise
of Cover Leaching Chamber IlOleCl
with 20.0 ft2 of Area
- S.6 11 pair of cnd caps
12
4' [,on,,
Grade at System Elevation
34•.
220' Pro 4
Bedroom
House
t5'
S'f
30'
B.M.'
B-2
15' 97.5'
i
15'
B-I
110'
96.5'
30
)0,
5% Slope
B 3 2-3' X 122' Cells with >3' spacing
Properly Line.
All piping shall be ASTM SDR 30/.34, within
10' of tank, piping shall be ASTM F891
wi4cunsrn Department of C S~IL EVALUATION REPORT Page. of
Division of Safety and Bucot, p~
~ rci with Comm 85. Wis. Adm. Code
in ta~
, County i
Attach compete site pan wt paperyWt tess`lharr,• 8 112 x 11 inches m size. Plan must
include. but not limited to. Vertical and haizorlalr,et(velnco,ppint BMj. director and Parcel I.D
percent slope, scale or dimensions. north. arrow; and _ and distance to nearest road. OZO- 4'S'7- /C7 - LOO
Please_pnnl a4f0formation. Rev: ed by Da ! te tZj PebMSI •mwm~lgn you rXW,M msYt,fi ose4lor secondary gMpVle1 (nnvety LLw. 6 IS 01 (1) (ml)
/ Z6
Property Owner Property Location
Govt. Lot 114 114 / T Z~ N R E I Q W
Property Owner's Mailing Add - Lot # Block # S Name CSM#
q33 s A - .c
1 (14!
City state. Zip Code Phorle Number City ❑ v ge own Nearest Ro d t
New Construction use-w- Residential 1 Number of bedrooms - Code derived design Row rate GPO
❑ Replacement/ /❑,P~ub~licmm~erdaI - Describe:
Parent material LI =S°-___ Flood Plain elevation if app/licabie ft
General comments
and necornmefdabens: 111 P /
Svstern Tyu f~~,^J ~ZV~M/Y`fdL_.__..~ $y51Cn'Ele': a'i0n/~ 9~• 1G' -
Being # ❑ Ing
a K Pit Ground surlaceeteV, R. Depth to limiting factor l_c ~ m.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF
in, Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'El#l2
C rs c,
" Dy7 I
® ~ # 1Pl Grouts surface elev//y/ _ - R De to hmrling factor in
/ SCrI Appiicabon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRt
in. Munsell Ou. Sz. Cent Color Gr Sz Sh /r •ER#1 •ER92
Z- , / Z
l
ERkient #1 = BOD. > 30 < 220 mgrL arid TSS A L0 L ' Effluent $Q = BOD• < 30 mgrL and TSS < 30 mc41
CST Name (Please Print) ,Sigrlah+r~ CST Number
Bird Plumbing, Inc. Shaun Bird / 226900
Atldress , le E•^ IuuLOn ygndunind fulophonn Numhnr
1432 120th St. New Richmond, V 'Z1 715-246-4516 IZ-
- -
Property Owner _ _ Parcel ID fJ Page --Of Boring # E] Boring
$ -Pit Ground surface elov. [_,~2._ fl. Depth to limiting facia in.
Soil Application Rate
Honzon Depth Dominant Color Redox Descripton Texture Structure Consistence Boundary Roots GPDRf
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. /l •Et1#1 'Etfp2
0 2, X,
yili
Boring 4 ❑ Bonrxl
❑ pit Ground surface elev ft. Depth to limiting factor in.
Soil 'iwtion Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD.11'
in. Munsell Ou. Si. Cent Color Gr Sz. Sh. •EHi11 •Eft#2
❑ Boring
Boring # Ground surface elev. _ 6. Depth to limiting factor - In.
❑ Pit Soil Application Rate
Horizon 'lepth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPON
m. Munsell Ou. Sz, Cont. Color Gr. Sz. Sh. *0#1 'EfT82
Eftlutml q1 = BODE > 30 < 710 mg/L and TSS >30 < 150 mq4 ' Effluent k2 = BOO, < 30 ri and TSS c 30 mgrL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an altcmate format, please contact die department at 60X-266-3151 or TTY 608.264.8777.
See MOM iVtGI
Property O imer Parcel ID ir Page _ o'
❑p Boring
Boning # -Pit Ground surface elev L~ft Depth to limiting taper
y[7
Sa. licaea, Rate
Horizon Depth Dominant Cola Recox Description Texture Structure Consistence Boundary Roots GPU/ff
in. MunsoG Ou. Sz Cunt Cola G:. Sz. Sh. Eft#t -Ett92
'f 1 - r^ C
^ L
I
Boring At ❑ Bering
❑ pd Ground surface elev. ft. Depth to limiting factor m.
Sal t firation Rate
Horizon Depth Dominant Color Redox Desorption Texture Structure Consistence Boundary Roots GPDRt
in. Mumell Ou Sz. Cont. Cola Gr. Sz Sh. 'EtgO: -EtW2
Boring # ❑ Borng a
❑ Pit Ground surface elev. ft. Depth to limiting factor m.
Soil Application Bale
Horizon -iepth Dominant Col Redox Description. Texture Structure Consistence Boundary Roots GPDIft'
on. Mu nsell Ou. Sz. Con, Cola Gr. Sz. Sh- 'EH#1 '01#2
' Effluent #1 = BOO. > 30 < 226 mg!L and TSS >30 < 150 mgtL ' Effluent #2 = BODr < 30 mA and TSS < 30 mg1L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an altemale format, please contact the department at 608-266-3 15 1 or TTY 608-260-87777
SOD 93" rR6W.
z<< I r y°, _ Saietl and 3taknings Division ~L
' f I`~ I "LO" wN. N.'a nngtor Ave P.O. Box 162 i Snnury Pr.-ul!r:n. c
be Shut in by Cu.j
•V,~~g; ~ 1 2 -~I' Madman. utq 53 .7-?752 , I
Sam#ar~ T ennit 4pplicatTO pb=
In ac.orms`¢ ft SPC'F'r C Ws Ail
t scbmr < o [ n l +x t - ^ :r
c rr cim r v ! r ca;r rr r. -
4 P auuu a .un v pr r.ul. f Ste 4p~6 rtve 1 enn Ic'm star . Wiw,rlT „ar Pr; ic? .AdtreS•. V
iTereae tta0 r:uilso,
w I"A.P'Vlmv rSaicm an f4,1-run.l ai5i-, P"':Cal into'ma%on .,n. rcvr0er _a.Llrss'.
s -.;c n v - _ P nay be ux.:
L l se ..r .,ary'
k tLC1orma tic : ail n 15 fH U u 1 15~_ -1 -7 5
Property rirun l uforma6on ['lease Pnut All luforma8ou .
r PrSperle :)wcrr s Vd:oc - - _ _
( P-C21 Day _ (481- 19-000
F ~I , ~M~ T~ta}7~e jt.y 14.a9. 19.3110_ -
i'ropem CMnnb !Nailuig!uldta5 _ _ /
L J ) ~ 4 ~ P;Jncs v awauon
J J
1 / I ' I' C.V PhMC Nlaibq
II. T pe of Building (check all that appl N R / F r w
FSILT)ii Um N m V%M CS
,''(S[alc p+v rc 1 -lcsenim r,< I -'F?.1 Nunih:v Y~e :,1
11. T it: (Check only 6ne bLx no lint pletr Imp eJBLifapphrab
R I lacerr rs ;,mm T cnY I Tom. F.
t x.5nag SVS[O'1 exp m;
B Tl icTnieiencua; ~)'enut .^LUIOn Tc cf'lin~ . Tin!'rex inwS PamII Nw~rbea aA ilate Lc.urd
itr(: r<Fx➢vaz'n j ter l-M1CW
t R cia,Com al_nueuLDu•itt: i, k I tb v) ~r~~~11Y/A - :•mssu In-:noii r i _yi u noLLnd m:1c :1•'1RiTt 1 _ U
in,
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271
1 rv _ Fb.•a 'p,f. I)as s S d_ o b:..t cL t r
- P I'pd5- Li- ena]l Arc Rrlii:cal ...1 I.1-1 - •eiipi5td ltfi
'fa ok 1nf _
~
0-_
.m %J: yfu il, turr i~ T I _ ~ t-W
_ Crlbns I i'mh
f ~ L
r rOUIWL INL _ 77~~ '
1 v 1 n
t 1
- X71 BespobsrhihlS 4•
atemeRl- 1. the u.drnignn unit responcibrhrv for iroblfariuo of the 110"I
P r.,f
~
_ i _ - 'bow-0 0. (be attached plant - 1 -L
~ we Pii t
r
II1.5inec. }3one N 6m
iTT. C unb Dekerhnenr Use Only
yppurv'ec t>LT T'rreu: rte
$ Q issue ty C-;n:nmr i
4 raven f:,: !k-n_al - ~
• 3
I t\ Cundit' ns~l ( D
sN11 V - L
4. 51~}jlyopprmal 11<
ge s • I nt= e1 3
a~ W's. cell nu_, dll
QCQe ` ,1~[
vs per .7lsr apernent plsn rr c ae I jv d,wnDC-
Z. All RlMyaf rK,Uf^l'1RnA rno'.it E o .T @,nt. it( i
M pM hW(1 WIl W x i :.fdi SAY,( t,
♦turb w c.mp4ac paw lot 0e sw-T> d subme a LM Cowry onl. a
pOpf', not IR< r WL 5 r¢ x 1I i.ebe is we .
SBA-Ii34S ITt ~ I: I
System PLO'l PLAN
PROJEC'I Oeverinci Homes ADDRE.S6 1433 Carnohous.Ave Suites A New Richmond Wi 54C17
114 SE 1;41 14 rr 29 N;R 19 11' TOWN Hudson cOLN'TV ST. CROIX
SYSTEM EL.EA'ATION 98.5'98.0%97.5 5' belov; grade 10.'2218 c
DATE BEDROOM
CONVENTIONAL. XXX CON'1'P:N"r10NAL LII"f HOLDING YANK
MOI?N U SEPTIC TA NK Sll.P: 255 gallons LII'T 'TANK SIZI DOSE TANK SIZE
_ ~
HOLDING TANK SIZE LOAD RAJ L .5 ABSORPTION AREA 1217 b of chambers 60
BI:NCHNIARK Y.R.P.-0p o'sUrvev iron ASSUME ELF.~.4'I'I0N 1011'
t1~~ Filter Lifetime Filter
_I BOREHOLI< O N1 1:11 H. R. P. same asbencnmark
Ja:'l: DI:%c
Scale is 1 ' = 40'
unless otherwise
noted
o: ' G l ,o
10,.
100'
13 1 B.N1.'r
Vcni
eo'
Pro 4
Bedroom
ntrll5e Siope
R_
F'? Propcrtyl.ine
Vent
>6- Qui::k=l Standard
of Covet Lcachina Chamber 1 Sr cells With : spacing
With 20.0 ft_ of Area
~.6f1^2lpair of cnd caps
I
' Long.
4
Gradc at Sv tear; Elevation
Al' pipir+.gshall tx• \S'1'M SDR ?0'?4. within
10' of tank. pipmo shall t~ AS'FM F891
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 10/22/18
Owner:Oevering Homes
Location: 1/4 SE114 S 14 T29N,R19W Lot 19 Jack Drive Hudson
Manuals Used: In-ground absorbtion system (version 2.0)
Page."
1. Cover Page
2. Plot Plan
3. Chamb/and 4. 6. Mainle y Plan
7. Filter CrSignature
License n
System PLOT PLAN
PRo.IP:C-r Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
1/4 SE 1/4S 14 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
51'S'TE.\1 FLENATION 98.5198.0.197.5 5' below grade 10,122118 4
DATE BEDROOM CONVEN'110N,AL XXX CONVENTION %L LIFT 1101,UINC TANK
1255 gallons LIFT TANK SI%F. DOSE TANK SIZE.
_ A101IND SI?1,11IC 'I',1NK tilZl?
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1217 # of chambers 60
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter
❑ R012F.IIOLb: O WIiLL . D. R. P. same as benchmark
Jack Dries.
Scale is l" = 40'
unless otherwise
noted
104' 130'
101'
100'
B-I
.
85' B.
Vents
S/0'
Pro 4
Bedroom 74s Slope
House
'5' B-3
25' 5' 437' Property Line
B-2
Vent
>6" Quick4 Standard
of Cover i eachin, Chamber 1-1' X fit' cells with >3' spacing
with 20.0 ft2 of Arca
5.6ft^2/pair of end caps
4' Lon„ 12.,
Grade at Systcm Hlevation
All piping shall he AST`v4 SDR 30/34, within
10' of tank, piping shall be AS1A.1 F891
Cross Section of Quick 4 Standard Leaching Chamber
Typical cross section for 2 of 3 cells
Quick 4 Standard
Leaching Chamber with
20.0 ill of Area per
Chamber 5.611^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 0/ 103.5'
~'enl Vent
G rade
4 X30/34 Septic Tank 4
4' Lone 1 5! 4' 1
34' Grade at Svstcrn Elevation i 1.. Grade at System Elevation
Spacing 5'
3-3' X 90' Cells
Observation tubeNent
Same on other end To be located on end of Cells
%A
_ B
System elevations: C
A 98.5'
B 98.0'
C 97.5'
20 chambers per cell
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page__ of__
TILE INFORMATION
Owner SYSTEM SPECIFICATIONS
- _
?ermit# - ---t!- r--r-i..L- Septic Tank Capacity dal Ll NA
Septic 1 ank Manufacturer
C NA
AL
.DESIGN PARAMETERS Gflluent Filter Manufacturer'
Number of Bedrooms ~1. ❑ NA
NA Effluent Filter Model - ❑ NA
Number of Public Facility Unds -
S4NA Pump Tank Capacity NA
Estimated flow (average)
- - - --9a1
_ Y v yaVday Pump Tank Manufacturer NA
Design flaw (peak), (Estimated x 1_5) - C ✓ e:' _gal/di~ Pump Manufacturer'.-
Soil Application Rate NA
~_yaUday/h` Pump Model C3 NA
Standard InfluenUCfFluerd Quality M_onthl - - - - - }
y average' Pretreatment Unit ❑ NA
Fats. Oil & Grease (FOG; s30 mg/L C Sand/Gravel Fitter O Peat Filter ll
Biochemieal Oxygen Demand (BOD5) 5220 mgr? 0 NA O Mechanical Aeration C Wetland
_ Total Suspended Solids (TSS) <-150 mgjL ❑ Disinfection C Other- i
Pretreated Effluent Quality T Monthly average Dispersal Cell(s) -
Biochemical Oxygen Demand (SOD,) 530 mg/L n U NA
(,round (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) s30 rrg/L ~,eNA C At-Grade
Fecal Coflfonn (geometric mean) 101 cfu/l30mI C Mound
L] Drip-Line ❑ Other:
tMaximum Effluent Particle Size - other. -
76 in dia_.__ C NA -
E NA
NA Other
D NA
'Values typical for domestic wastewater and s Puc tank eftlumrc Other. - - -
C NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
inspect condition of tank(s) At least onto every: O month(s)
_zalear(s) (Maximum 3 years) ❑NA
iPump out contents of tank(s) When combined sludge and scum equals one-third ('fy} of tank volume
- C NA
Inspect dispersal cell(s) At east on once - -C month(s).. _
every: _ (Maximum 3 Yoars
_ _ }year(s) ) ❑ NA
-'lean effluent filter --!I At least once every: r// ts(s) - ❑ NA
Inspect Pump, Pump controls & alarm qi least once every: C month(s)
year(s) 41rSPW !'lush laterals and pressure test At least once every: O month(s) year(s)
onth(sj
III------ t feast once every ❑ m
15ttiec- year(s) MAINTENANCE INSTRUCTIONS
nspections of tanks and dispersal cells snall be mace by an individual carrying one of the following licenses or Plumber; Master Plumber Restncted Sewer; POVNrS 'nspector; PON?S
Maintainer. Septage Servicing Operator. Tinclude a visual inspection of the tank(s) to identity any m ssing or broker hardware, identify any cracks or leaks. measure the volume of
xmbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall ,e
!visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.
The ponding of effluent on the ground surface may ruicate a failing condition and requires the immediate notification of the local
I'egulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of
the tank shall be removed by a Septage Servicing Operator and disoosed of in accordance with chapter NR 113, Wisconsm
Administrative Code.
Ail other services, including but not limited to the servicng of effluent filters, mechanical or pressurized components, pretreatment uncs.
and any servicing at intervals of _-12 months, shall be oerforrned oy a certified POWTS Maintainer.
k. service report shall be provided to the local regu:atory authciity wthin 10 nays of completion of any service event.
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 chemicals thFt
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 operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill 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 backup or surface discharga of effluentt.
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to ltte
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area with n
15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTB:
antibiotics; baby wipes: cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat foundation drain
(sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produdfs;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails 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 compliance with chapter Comm 83.33, Wisconsin Administrative Cade:
• Ail piping to tanks and ph shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void spece filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
reptamjnent system:
suitable replacemrent area has been evaluated and may be utilized for the location of a replacement soil absorption systerm.
The replacement area should be profaned from disturbance and compaction and should not be infringed upon by requided
semacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need
for a new WI and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruler in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Baring advances in POWTS technology 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 locate a suitable replacement area. If no replacement area is available a holding tank 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 the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDfOR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK' UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER -
c
Name Name .
11=~-
Phone
1 -1 ) r r /
SEPTAGE SERVICING OPERATOR _(~UMPER LOCAL REGULATORY AUTHORITY
Name Name ~ .
Phone - < Phone 7) -1 -
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(1) and 383.Wl), (2) s (3), Wisconsin Administrative Code.
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ST. C'ROIX COUNTY
SEPTIC TANK MAINTENANCE AGRHEMENT
AND
OWNERSHIP CERTIF,ICATtON FOR-Vl
(honer/Buyer (2 I/
NlailiuK Address y j - - -
Property Address - 7 Q /~11•
(Vcrificahon required Pram Planning & Zoning I)e for ranten[ stew' atnstnttaion.) - -
(~tty/Stale
Pared tderitificationNirntber
ozo 77-7/5-
LEGAL DESCRIFFION
Property Location T
w, Town of - /XG
Subdivision L~~ . -
Cel tjfied Survey Map d Lot
- - - - - - , volume - Page fi
Warranty Deed # I V t~ l 7- - - - - - -
Volume - - ,!'age It
Spec house rs Ho - - - - - - -
Lan lines identifiahl~ :ve- no
SYSTEM MAINTENANCE AND pWlVH;R CERTIFIC'AT'ION
lrtrproper use and maintenance of nut
urutntenance consists of'ptnttpiog out rite septic teP avert ttrnx
septic systern crndd result ut ire prematurr. failure R. ha
tlrc system can 411mt thr. tintetnon of the septic y yrars en auatc, f noedcd, b • e sd Pu wastes. paper
responsibilities tank as a treafrnent vlaee in dblr. wastr, disposal systrmi(M~em mapet intcWhutriancc
youput into
arc spcciF.cd in Woman. 8 i.52(I) and ,r: Chapter. I? Sr. Ctr rite dy owl y Ordinance.
'ffte property owner el jet
tw submit m St. Croix CounD Pldrt
1 uhtg S:Lnrtung lh:parmtcui a crilificaton tong signed by the
waster and by a s:tsu,•r plurrtber ,~o»rneytnwn plwnbec restricted plntnL•cr or a licrnsrd puutper verityinK tltat (l) the, oil-site
wastewater disposal system ns in proper operating condition and/or (L'l after i
less than 1 /3 full of sludge. nspertiou and pumping (ilneccssat Y), :hc septic Oink is
1./we, the wrdersigne:d i+avc read the above reyutremene and at,++-ecni
standards set fonh, here',, as uer by tlrc De.pa+
vainnxue the private sewage disposal systern with the
A) ing ep stating titan your rapt' vnenr and
of Cormnen:c rbc 2)cpartrneut 01- Nattual Rcsowceu, Starr, of Wisco nsin.
" system lids beer. inaint incd must lx rmnptcted and tetwnod to the Sr. Croix Cmmty Planning
Tutting ])epaitmcnt within SG days of the threr. year exprratain date
I/wc ccrtily that ell statements on this (err arc tote To the host of rny;our knutvlatKc. liwe auJate s
Property described above, by virtu of a warrant decd r`uVdcd
1 in llegte1er of Dreets Olfh e. the wanerO of the
Number of bedrooms f
1112
fGNA'I F1 ()F APPL)CANT(S) /f
***Any iuliurnanou that is misrupiesemeti may result in the sxnitar DATE
Y purnut bcin g revoked by be plannun£ & %olang lieparttnent *
Irrludt: with this application a recorded warranty deed from the Itceisler of heeds Office and a tvpy ofthe Certified trlerence is made in the warranty decd.
d survey nap it
(RRV. nms)
IL VIILIII
LASLMENT LOT 5 '
81,300 SQ. FT. p.
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C8 - JACK AVENUE S7gf- 313.ss'
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PECIAL ^
:ELL L.B.0.=924.00 h o m .a
ONSTRUCTION V ¢ P RLA ?5' O> o r
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9-- loi j:• BENCHMARK s LOT 19 LOT 18 I 'I
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(2.705 A(:.)
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Wscoruin Department of Cor feed 6 ZQ~$ SO L E ALUATION REPORT Page o•
Division of Safety and Build,-
in attprdance Iwfth Comm 85. Wis. Adm. Code
_ County , J
Attach complete site plan on paper not legs r r 11 inches in size. Plan most
r'
include, but riot limited to vetllcal-andhc izontal reference pant (BM), direction and Parcel• -I
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
;4".-Ii :IIC
Please print all Wormatlon. Rov%ewed by Date
Personal m Wrnalwn yoU prov.ea may x Used IV seconyry pvrP m (Pnvwy Uw, 15 a (1) pru)
Property Owner Property Location
1JQ.,~ f t Govt. Lot 1(4.Str4 S T Z N R E( ) W
Pro
Lot a Block it Sbd. Name a
1,1311 perty Owrlefs MaiN dr ss /l v L~rm
City to, Zip Gode Phone Number ❑ City ❑ V ge Tovm Nearest Road
Lit "Ja
I
Construction Use' `uderiOW / Number of bedrooms ~IJj7
Code derived design flow rate GPD
1 ❑ Replacement / ❑ Public ~q'/( canmerdal - Descibe: A-
Parent material _Flood Plain cievaoon if apWcable A~
i General comments and remrrrbrWatio/Jns:
Svstem Type Sys:cm Elevation7-3 D
1
I
l If Boring /
1 Boring RPit Ground surface elevl (-,111 r k Depth to 1"" factor - ~ L- ~ in.
Soil Iwtxxl Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Morsel Ou Sz. Cont. Cola Gr. Sz, Sh. •Eflat -Eflp2
n
i
Bari a ❑ Boring
Pit Ground surface elev: it Depth to toil 'r1g fader in.
SW Application Rate
Horizon Depth Domnant Color Redox Descnption Texture Structure Consistence Boundary Roots GPD/1f
in. Munsell Ou. Sz. cont. Cola Gr. Sz. Sh- •Effa1 •Efta2
All
EMuent #1 = BOD. > 30 < 220 mqL and TSS >30 < 150 ' E erd #2 = BOD, < 30 nKyL and TS [tW -
CST Name (Please Print) ture CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 d/' ,30 --/F 715-246-4516
~ll
Properly Owner___ Parcel ID Page -of
Boring # B0~
E -Pit Ground surface elev. !4v h Depth to uniting factor- n.
Soil Application Rate
Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDrff
in. Mansell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2
7 in
U-~ I Z ~2 ra s
E Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limibng factor in Sa ApNicaban Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD?W
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'E11#1 'Eff#2
Al Scring ❑ Boring
❑ pit Ground svfaceelev. ft. Depth to irtvCrg facto in. Shc Application Rate
Horizon -Mpth Dominant Color Redox Description. Texture Strum" Consistence Boundary Roots GPQ ff
m. Murlse8 Qu. Sz. Cont. Cola Gr. Sa Sh. 'Eff#1 -Eff#2
Effluent 01 = 800, > 30:< 220 mgrL and TSS >30 < 150 mgrL ' Effluent #2 = BOD, 130 mryt and TSS < 30 mryt
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 deparimem at 608-266-3151 or TTY 608-264-8777.
SDD8)"ot6W1
Soil Test Plot 1 ~n
Project Name Oevering Homes haunt
Address 1433 Cernohous Ave Suite A (:f
New Richmond Wi 54017 ~ S'I'M #226900
Lot 19 Subdivision Hunter Hills Estates Date' 6/15/18
1/4 SE 1/4S 14 T 29 N/R19 W Township Hudson
F-I Boring Q Well PL Property Line County ST. CROIX
BA1 or \'RP Assume Elevation 100 ft. Top of survey iron
System Elevation TBD *HRpSame as Benchmark
Jack Drive
Scale is 1" = 40'
unless otherwise
noted
104' 130'
10"'
100'
B-1 85B. M.
90'
7% Slope
B-3
S' 437' Property Line
B-2
S'
i