Loading...
HomeMy WebLinkAbout008-1034-95-000 Vbsccnsin Depanme-1of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Sa'ety and Bui dtrg Division INSPECTION REPORT San raryPrmitNo GENERAL INFORMATION (ATTACH TO PERM11) Siaie Plan ID No 606952 Personal irformarcn yc., p~wiUe maybe sec for secernary p~rp.oses IPn va~y .aw. s 15 36 i 3176041 Penn 1 Holde,'s Nurnc Cey V rage "oanship Pali el Tax No. Kenneth Schwartz TOWN OF EAU GALLE 008-1034-95-000 CST BY LIn; I Insp UM Llc, BY Descr al ar Scctlom'Tvi.wRangeJJap Nu L6 Gii I, C's 12.28.16.1788 TANK INFORMATION L-W FT ELEVATION DATA 11 A 7r_k TYPE MANUFACTURER CAPACITY SIAIION BS 19 FS ELEV 5 5 ~ / v5 I /~c, Se-tic 3 Bencnmara W; ¢xr' riL,., s ' / ZSb ~ 55 i6S. t ioa Dosing COm 7Sb . Ail. BM Aeft+on F Qe lb J Bldg. Sewer -7.(4 47 9 Hcldmg Si Inlet Si 11 TANK SETBACK INFORMATION - TANK TO P!L VIA- LL BLDG 'cn:to rlrlake ROAD Qt4A1et__-~----__- Sep' c 7 r / Dt Bottom /c,s 3 S.ai 13.70 Dosm- t i HeadedMan /GS 3 -/S j /r. J or ~5 Aeraticn r Dist. Pipe N-15 161.96 He ding Rot. System O~ bo 1001 ~ Final Grade b LYl/ PUMP/SIPHON INFORMATION F O ,PManufactu•er Demand St Cover GPfa •lX - 6.h0 . D Model Number ICJ c ~ . TDH I It Frichor Lcss System Head - : Ul! a 9 a5 89 5.3 41"10 ' I. Or Furcennanl Lcnylh Dia f,r Dist :c tNUll - SOIL ABSORPTION SYSTEM BED!TRENCH W. deh 1".47h Nu :I In:r .',s PIT DIMENSIONS Nc UiPls Ins de Da Ligjid Dep'h DIMENSIONS -701 C_ ~ \ SETBACK SYSTEM TO / V P;L BLDG VdELL LAK6'STRF.AP.1 LEACHING tdan_faclum, INFORMATION CHAMBER OR y ''1 S'i s4_rt,. V J 7~1 (l~r 5Q UNIT tAO:lel Numter DISTRIBUTION SYSTEM T wl Hence- Mar belt r y LM"ini vior / 1 t a Mule Size . ilolc SPU:-n_, Ve o Air In e ergtq ~p Die I cngP L a Spacing 3 o l v SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only t Jept11 Q'a'r I)enm Oaar I:M L1ep;11L~ %x .SeC'eediSJddP.d KMM-Ched 8=_oRrenrr Cerler t rad+l ranch Coges Tc>soil Yes Ne Yes No COMMENTS: ilrciude code msciepencres, persons present etc ? Inspecticir a' JLl fl Inspection #2 3 r Location: 449 CTY RD B C~~tw ~o hl~ c L? All, BP.9 Descrip: ion - / 2 i Bldg sewer length - amount of ccve, _ 1 ll /~LSI- I Z ,11 36 0- '7 > O ~1 - ' / (III o~1 n.~.}~ Plan revis.on ReCUireV Yes _ No ICI l ` Use other side for additional information. (tl ` Da-e .nsepctors Sigra ~e~l C.ec No. S' Irit.l: S ftVV -do 18 _ 37 11- 4 _ ill.in t a' Sc n'i(a W..iron TQu Ify 1411 0.'asimi I m A°c jr. 26 2011 I ii. Rua 'lr) $niI toJ PcO Nun':ou in he lAlwin 11 S 1'1 [vt n~snq WF{,j~IJ :.}fiL it ~ Y- ~r t 1rv~sl n Numbs ApphcaUoli_ d ~V-km -w Jane witF Sl'$-~.i X11 1 \l is Ad C-.dc. mbn n 1 hs t- r I tl tl r cn u. pnmrl firm' (o .bmmm o salinav Demm. Note A 11 a..ma li+- - pp I ned I t I F ar ut:V Ind m !'ngeri AAdres rt J Ilaamt dun marling addn l )1.:I:m,cm of S$~1}' aro Pr fwu+nal Nmi cv Pe . rson n(i nnan nn wit it u Puu i Jc m is ...,,I f, ,vdan q 'c. m acwrJarec x4d the I u,an Lrw 1 S,pq; 111 I Sits application Information -Pica zc Am 40 Informs[. n -t J 6 - / CalyQa II Iv (hauu s ame Parcel _ E✓✓Er7t~ ~eH~✓~erz Oo8- /03 y- 9S o00 Property fu.anou I~.a~'. 16. ~78g 4 1( 11 --A 1-7- 1011d Go,t Lw .v Nine 17'gl lulc- I Fate Numhe, _ Woodu teE 41_I _i -j"yowe y/S 76o-o7ov - .?8 N. R /4 • + I 7\ye of Rulldmk+(chcc all that apply) /mss/ \ t>• - - - - !Fun I DutlLng. - YI mFc•r nt NcJi evn. Y 1 I J wn Nan c -J -1, IS uck c I i hLdl'ummn iul - Deaulhe Ilse ~ 06 1p.~~ I t(~~ - - aTY'uf---. ''St:.lc OwnaJ Ihsciibcli.~ U CpM1f Numlaa ® -YAlangc of _ A~S Ibunf Esra 6.4114- M. 'i vpe of Permib (Check only one box on Itue A. Complete line Rif applicable) Nt•+•, ticslrn, C Replam,icn! S)•sl m I ~nnrn: liu!Jlnq Tank Rcplaca++aa Only OUxr Nlodiri xi n.:o taiaing system iexplain) P J Pcm - Ra+cwal P,nnv Rq'alon LI.i rce:cus !'cnu!t NeniLa :mJ Dm,, Issued J Clr,n c of Phnulxx U Permit L.ulsfar nr Neu etbn net+im,m (hv , / Il l lpe - -PORTS SvslenUComponcnl/Device: Check all that app1Y) n-Prcsswu .NI 1 r] 1 .u r i In G,uw,J Q At-Gmdc X M(lu. I 24,n . ,Cswtabl u)I M , 24 In -tahk soil HoWim_; f k tAhv DI I I f m p n [ (.plain) j P, zr , I lieu q yin If - - r - + V _ INs ersaVl're u•n1 Arta Information Desi(.n Row 161 d1 ilc itnG IAppFm Rxp1.11 Ihsprxau!Ar Ryula .1, D"pcrsal Al it ~+•Isli uu Gran, To~~ Goo /.o p t b I ood 630 log /oo. /ao.a ' C. na-lam - I oo %7.7 ank Info - G1 . w M-: mt.u.mnr ! i - T---~- ~ - ~ (allnns C2dlona pmts i n C = ~ ~ ' I Bcx junk, I pc I is Tank ~ ~ - .v v. 2 y s.U a l/J (r- y 7 /.?So _ ! .750 • _ / /ESE,e Co.oerErE 1'_ r _ 750 - 7SO I / Lo7v~3o r VII. Responsibility Statement- I. the undeniancvl• *.,.e, e,p..dulity for inalnllurinn rd the PORTS nhowa ..(he anachcd plan. I himl its Naa(Priml/ Plumha slyrtamrc- MI'.' 131 Numbcr Idwwn llainc Numter J oH,l /'ELKS Le1 _aT31 / 3yL 17/s G77-S7(G P und+er's AJt r ss lit[ t Cna. swc. Zip Co.Iq A/ G r7 98 S7 /twr. - .?s, u a Ji 4L I Sy73G - - - V111. C_ noon Department 1 x Ordv - - - ,I - _ i rnnu Fn ? r) fl1' ws i un • _ Stl lure _ _ 11 4y6 1\.(_nndlt t (ta.upp~afoL isapproval f~ 1. r e Lr •t 'IRP 3) as Ilr s' Ou.r M ' I t~ t#F~r::• crl II ' paroar 3yerre 'Pflan -:WpN :,r 2. AN neMw:k meth Pns mu i L,:.-. 14*m • per Pmiabli coo.-: \ltatucimp V:ei.l~~. IF. wn ..u]aoLii d. (..~~,n i.nVUper nn l~++iLo+x Il a.,4h ~n+n• SDD,4:4R !R. WS ~f I \ . ~~.1 ~ tang 1. ~ ~ A Ct) 0 W J o 171 't -M %J O If1 i Z ~ \ 1 {I~I rt - 0 h ! P r ,z - c C: I ~ t G a uQ u # o~ zit v `6. Q C Ilz e \ ` w - 4 V ~ ~ Zt P1RJ k$1i 71 I Scott Walker, Governor \ S P - Laura Gutierrez, Secretary i .S October 19. 2018 (I I ID No. 231346 AIM: Itrspeclor JOHN IIFRBLR'f PLLKL ZONING OFFICE PFLKE PLLNIBING SI'CROIX COLIN'IY SPIA W98 S I I111'N' 25 1101 ( ARMICHAEL RD DL RAND W1 347;6 HLDSON W'1 54016-7708 C'ONDFIIONAL APPROVAL PLAN APPROVAL EXPIRES: 10!19%2020 Identification Numbers 'I'ransaclion 11) No. 31'6041 SITE: Site ID No. 854912 _ Kenneth Scirvartz Please rcler to both identification numbers, ( th IS above, in all correspondence with the agcncv. I own of Lau Galle - - St Croix CotuHy NW 14, SW 1!4, S 12, 128N. R 16 NNr FOR: Object Type: POW1 S Component Manual Regulated Obiccl ID No_: 18021-I Maintenance required: 600 GPD Flaw rate: S.stcmCIY I /tlow MOUN1 Component Manual. (.R. 712). Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P iN.01 01. R. 10!1?): Fflluent Filter "I he submittal described above has been reviewed Ibr conformance with applicable WiNconsin Administrative Codes CONS and \I kconcin Statutes. The submittal has been CONDITIONALLY" .APPRO% I-.D. phis sNstem is to he ctum ucled AP and located in accordance tyith the enclosed approved plans and with any component manual( s) refcrncedf~abpyy-OF SAFETY AN I he owner. as defined in chapter 101.01( 10). Wke nsm S:amtes_ is responsible for compliance with ll CcM1` r:gmremeni:. DIVISION OF I :A Copy of the approved plans sp ttications and this letter shall he on-site durinp construction and o n to . irspccton by au hurizcd represent a:ives of the Department, which may include local inspectors. All Irmils required by the slate or the local municipality shall be obtained prior to conlntenccment of COIIARIC601 .+installation operation. In granting this approval the Division of Industry Services reserves the right to require chances or addhions should O conditions arise making them necessary for code compliance. As per slate slals 101.13(2), nothing in this review shall relieve the designer of the responsibility for designing a sale building, structure, or component. Inquiries concerning this correpondencc may he made to me at the telephone number listed below. or at the address on this Ictlerhead. I L-e above Ml addressee shall provide a copy of'this lever and the POW FS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POW I S. SincerelN, Fce Required S 250.010 Fee Received S 250.00 Balance Due S 0.00 - r- kkk A TVlor \\'ae(ewaler Specialist , Division of Industry. Services WiSMAR'1' code: (7 15)6 i4-1481 . Morfri. 8:00 a.m. - -1:30 p.m. eel ~r in.tay:or:ilwi.^ny i~ . HEUE!v i ";T1g201ti King icTF Page i ef9 yr Treatment System Index anti T iile ra c 1241 -\<mjc. _X AI. ere .~cN„ea./z-_. Y=/.f,~. /%,.rr /~o~rs ~,✓ra~ ncrs Name: _ Y37 411 SYoaB 7/S 7to - o ~o y - N _ Sa/i /7 d _ 8 Nt_ 4) nioipaii:y: Town, c, n G~AU.-~IA(LE I ill-N: Number: CSM Number: -divisior. Name: 4o. 140. Parcc', i.~~. Number: 0. 08 9S- o00 - - ...~ZOVE© Page I index and i nle Page PROFESSIONAL SERVICES Page? Plot Plan NDUSTR_Y SERVICES Page ; Coss Section & Plan 1%ieu- .,:f Motuu! Page 4 Pipe Lateral Layour Page 5 Septic Tank /Pump Chamber Cross-Section & Specifics. a t- Page 6 Pump Performance information ~Z SP NDE E Page 7 POWTS Owner's Manual & Management Plan / Page 8 POWTS Owner's Manual & Management Plan Pave 9 Filter Information Name or Desiamer: _ -TaIv,) l~FLXE _ License : /%0-_ W3 /3Y4 Signature-: Date: O-/ Rn/8 Desiened pursuant to rile fullug_in_ Pr '6i 1S i'omponc nt Manual and DSPS 8 i 38=. -CZ Flow Mound Component Manual Verson &;20/2007 Productk 2009036: SBD-10706-P (N.01/01) "Pressure Distribution Component Manual" Version' 0 Attachment: Soil Evaluation Report iT p W 8 ~ ~ Z ~ p" o V a +i' C ti d O.>ql v~ p a W ~ o 3 r, NL 3 ? ~ \ 0 o J ~vt 1z O O V 2 2 O `Nl ~ ~ \v alt o v ~ ° `jam QO `V y n h b o J 4 \ Vl 0 b ~ 7 tL V h w m °a 4 O X 3 I Y ~ ~ O 7 1 Qq < ? 'V Y O ~ Q U ~ ew a , p. o h ,~I MI U C II tl 11 _ v W W 11.1 Q u > W ~1f 1 p a0 _v_ m ! I ~ C) a) ' j { x a w m N 1 0 0 0_ < II u1 Q ~ 3 U r QJ ~ i ❑ z S' i . c~ r ? M tl I d' r.. 1 W O, O ~ .1 m m EL LOT 2 O '.i, w n it b E v' C Z m f~.f l 1~~, z •c 11 1 0 I y i a o - O O t d 1*, 0 v L .I x v O 1 -x ~.u J~0 LLI ~ O Na 4 J Q d I ' W ! ~2 d O i' •l tc, f W J ! .2 co ! `I LLI '13 N 75 N m I y I ,ryn b I f y 1 l j!%: (V SVV USN W '1rC : r_ C -W 41 41 4J J 4J 4J 4J 4J 4J 4e It.; W W W W W EW 44 tH 44 14.4 LO U) If 1r-11 RI ~I ~I rl ~5, I n a+ n 11 II II II II II II II II II II II " ° teq e!p-81CJo JPllo.. lasolo JDIMA adld A W G, a z 4r" p H h x 17 $ Panols In moll ZJ ~ Jo a [ c e } s \ Z to ~ w C C > G W O F \ o U u cr Y U L r u G u CA x w ~ w N U x. ~ ~ N C 2 "Ill 0 B ~ r J \ II V CS LL 0 o to N R Sa i r V aNd a !L GJ J• ' Q i Y~~~Y y V' to S Vr7 'L / \ ,Y t,I px W 0 o W w d LU l 1 y r z ,I a % `a 0 5-y q ~ ~v ~ ❑ n o c ti ~ `,a S RN 2 y ✓LL J Y. C O i 6 it t6 i uC O J z ~ c; O 2 'II tl 11 > w v w w a a Fdl Q ~ a 7 a 0 u G _ w a n u n n =age S v 9 1181NATION SEPTIC/DOSE TANK CROSS-SECTION 0RA4VING NOT TO SCALE) MANHOLE RISER & COVER FINAL GRADE 1_~' (per SPS 38425, a (81. approved around W.nace away :rom tnq dauu;o. R wa:nm5 late. Estcnd nldnhoie(si for P doer drainage; rnanhas riser as necessary ) lp. San. ac PVC Tank Vent !o ELECTRICAL :coaaled t2' above grace or za' a' Min. Sch. 40 PVC Tank Von-, above l Flood Elevation BUILDING SEWER locatce u' abovegrade or 2a• I JUNCTION BOX (per $F$ 382.30111)) / atone 4eg2na'. flood Elevation [curlply w1N SPS 318 and NEC 300) / I FORCE MAIN i JJ l 14. OPTIONS I (<6'cover ?3' r J/ nj, unuNULE 1. ~ - ~ `11 i I torte I Nan - dOtIOM OF INL t;IMSem xm!~ I• I rroTY~. ea-- ' ^ e i I I - - PloMll. vf0: /5,r.5 r F/[T[.l 1 r . v. - a.~..caul s3 ~F-.o 11 1 T' 1NLTT PII'f Frfv1%pa ultung sore Ile' Quasi Or W' el Y3nldt a L I RNVked On CVlel OP float MINIMUtri OFT OF SUITABLE BEDDING BENEATH TANK & MAXIMUM BURY DEPTH OF 96' Anchoring of tank may de required per SPS 383 43(8)(8) Tank Manufacturer: &)1ES45A_4_ oAjexcrE Daily Wastewater Flow (DWF): L66 GPD SeptiGPump Size: _ _._1TSo /75 gallons Number of daily doses: Alarm Manufacturer: 5.1. E. / Force main volume: 35 fix ./43gaVft=7 gal Model Number: yIlrVX 41 eA r Switch Type: /'76CNfa/u4 Actual dose volume' /do. 9 gat - S. 7 gat = //S.2 gal (total dose volume -volume of force main) Effluent Pump Manufacturer: 26 stt Et 4 DOSE TANK CAPACITIES: Mode! Numbe-: /Sl - Reserve above alai in 3o. S in = 7 gal (D) Minimum Discharge Rate: Gplvt Alarm float above on float P7 in = 34.2 gal (C) On/Off float measurement 7-S in = ;o. 9 gal (B) Vertical lift (pump off to lateral invert) dL 0 _ ft Off above tank bottom 8 in = 9 gal (A) System head (distal pressure .7S z 1.3 ft): 3.3 ft 3S ft Force main x 7.7 /100 friction factor /6 It DOSE TANK DIMENSIONS: Filler Fnction Ins.. _ _ f' Length _ /SS in Width BG in ! Total Dynamic Head (TDH) . /3. 3 ft Outlet ❑eight .8 it Gallonshilrh /L. A~ _ TOTAL DYNAMIC HEADiFLO'N PUNIP PERFORMANCF CURVE PER MINUTE MODEL 15VI52/153 EFFLUENT AND DEWATERING z__-~ -MODEL 151 152 153 - - fx fbns ' W _ r~uk~rs _ oat ulm Gy ~,ws _ Vi let 1 v 5t 9 1 1 &9 251 71 231 u a ro i_ e +_z]+ , - +r _ ,ftl 1K 53 201 61 - 231 151 ;s - - may/ m 81 I 2fr I,o u ,al +2 wr ^ liL~'... 25 1 l.5 I t- - v l07 _ az 199 10 7 22 65 - 5 1- 3 122 1 42 SIWdNnM. 30a IA Im) 38R111E) .4 4 11.34m) s -r _ - aasoxi 1- _ I Model 151 Models 152 /153 VIrNS LWri YaP. Lf IVJ>: h1a50BA 11 _ -F er A ~ h \,f ilk cf F g ~aw ns rd dosing panels available. • FI - .,trical alternators, for duplex systems, are available and ncdied vn+h an alarm. I i rhie, level control switches are available for eonfml6ng i J'phasesystems. I sale piggybaci variable level float Switches are available >--j r aanab a level long and short cycle control. , - j ed CwikZox avaiable for outdoor instaflations. See 1 ~ ;_r'30°F (Sri°C)socdai quotation required. IF1T1+~,,i tI lie . _ Its ~Ari` m T~ r i 1 JUl1~ ' I i ^.::taa .:,4yac 151J15L153 MODELS _Comrot Selec~twn 1 / ] I Volts-ph Moae Amps ~Sioi noplex I IIS ICO C 1 GOl7 rl SI ,iJ ~ AIIn ~ I1 •jll(,t'V (O(3 ~ Fitt 2or3 - h t30 , AuVC 32 In<4dce - 2or3 Mk "Easy assembly" fl tts I rx:: as - t 2o•3 Ni<^I 115 1 Pub AS IarAMe4 7n3 IIp aOSOlelpe ape 223a 1 rro6 43 P 1 ~w.Wlxral r.z .3 T aF 1 2 730 1 Aub 1. 43 '^drlo] 1 2w3 `•~j~__~ stt r I 115 t ~ktn ,d< 203 r 11s , '-_auv n< - hBICN 3 2u3 131 I Non 5 _ I 2o,3 - r 730 1 AWA I 53 '~tix4~ I Za3--- - In, a plggybad vanable level ,float snitch or dcuMe piggyb -,a,laule level i x vmlch. Refer to FM0477. Reduces potential clogging by debris. F N07 i2 for coned from of Eieclnal Ailemator E-Pak. Replaces tucks or books under trie pomp. Made of durable. noncorrosive ABS. 3ii 4 level contcl e switr1110-07a3 used as a m0rcd activator. speoty duplex Raises pump 2' off bottom of basin. I, ? ~1r 1 Ooat systsysfem. Provides the ability to rase intake by adding sections of P/," I, A CAUTION - or 2' PVC piping. Attaches seamy to pump. Accommodates sump, dewatenng and effluent applications. NOTE: Make sure Moat is free from obstruction. F. nLSUa. con d nr r. •R•;° 3rery' r,: q:rieereld into the design of every Zoellef pump. I.. I r rtq ro..5.o:vwi POW 'I'S OAN NER'S NIANL'AL AIND N'IANAGFNIENT PLAN - III F INFORM-( Z~ION _ Syti[F-N1 SPECIFICATIONS Owner „)Er Sr. xnc Tank Ca ?out 7 Hk Manufacturer DESIGN P.1 K4MFl'GRS.. ScIicran Nwnher o113eduximsiln0 Effluent Filter Manufacturer .._._,CJ EST ❑\.J. y Effluent I liter Model (pf ~p O ~Number off (Omnnuciall._nits _ 1-.--- - - JSO _ _ Kal O Estim tied fhtw (avu age) pump Tankc ac"' 4o _-o- ate... l.//ESfi__Ce._u..t_ Deagn If()" tl)1U_) * estimated x 1.5 PumpTankManufacturer 0 1• GOO 7aLda Pum MiarZucturet > - P Za 6u Le. O , Soil Application hate- - - al'dav ft' _ _ P to MoJvl _ O N 1 IollocotlE1flucm Quality(ONA) 'Mmlthfy Average i Pictnnuncnl Unit OUN;\) I Lis. Oi'& Grease(f0(i) - io mg L, I O Sand/Gravel filter (7 Pcatl'ihcr Biochemical Os+geo !hound (BOD,) ' 220 m i, U- Mechanized Aeration O Weiland Total Suspended Solids (TSS) < g 0 Disinfection O Other: -I50-! L Manufacturer: Model: i Pretreated 1-..1-ducat Quality C27 NA)Monthly Average ' Soil Absorption Component (CI NA) 1 Biochemical Oxygen Demand (1301).) 1 <30 mglL Q In-ground (gravity) J In-ground(pressurired) I otal Suspended Solids (INS) < ;0 m I. O +\t-rade -R Mound Fecal C'oliform (geometric ntuani < I(1 et 'lUOm1 O Drigp-line - 71 Other: ---I \ crttcal Dist:n lank I3Onom to Scn ice Pod / ~ fI Maximum Effluent Particle Size li%inch diameter i LIiunmmal Ui+!ancc 7nnk(s)to SCrvtcePad / O R Dispersal Unit Mfg./Model Number: r."2 _f~agl .703// .64a0>de S_ O NA Calculations: - - - - Soil Dispersal End Cap (Dispersal rout VISA) DWF - Application Rate = Area Required E_ISA - or 'french Width) k' Units or'fntat Length olArench(s) r 9. 74 DESIGN CRITERIA _ - - "fr' 1 "1)csiLm of PressureDistribution N'ctrvorks for Septic "rank-Soil Absorption Scslcros' Publeanon 9,6 (S, -lip Manual) I "IC'C t' m'Icch Mound Component Manual" Version 1.2 - X"IiZ Fluty Mound Component Manual" Version 3.120/2007 O SBD- 10353-P (R. [it 2) "At-Grade Component Manual Usingltrcssum Distribution" Version 2.0 -1 SBL) - 70705-P(N.01/01)" In Ground Soil Absorption Component Manual" Version 2.0 -1SRD 10691-P (N.C)1101) "Mound (onpotieiit Manual"' Vc:sioii2.0 -3 SBD - 10(,57-11 IRA 09) "Drip-line Effluent Disposal Component Islartual" SBD - 1070(,-1' (N.0 14,M) "Pressure Distribution Component Manual" Version 2.0 73 Other: ki 11'% 1'1•:NANCE MONI I'ORING SCliEDULE_MAINTF,NANCE AND_A4ANAGL.1FN7' - + nice F•rent tienree FYCquency _ I rap ins ct dnpcr+-al a,llfs) clean lihu - Al le ut once ctcn 13 mon[hs 3 3 years d Other: P ¢yump R pump controls. afoot pretreatment unit it 1t h oaf race e+_~q'. O months_ ®.i years--d \A h vxl t uwrc tc+t 4u r Lis ) At least once even. O nxxuhs ~ :tears O \A IN I. UP AND OPERATION: For new construction, prior to using the POW-IS check treatment tank(s) for the presence of painting Ir i;;ets or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). 11 high concentrations an• detected have _nntents of the tank(s) remo%ed by a scplarc• scn'icing operator prior to use. System start upshall notocrar when soil conditions are frozen 'i the infiltrative surface. laopan; owner is responsible (bi- the operation and tuaintcnanec of Lille POW' I'S and submission of rcquiad reports. The quantity and c-.li.(. of the wastewater stream will affect the performance and longevip of your POWI-S The installation of trader-saving appliances and ,.arcs along with prompt repair of leuks reduces the wasicw'aier volume. Also the brine or waste from water softeners, iron removal units. i icar water treatment devices and Inundation drains should be discharged to the ground surface whenever possible. Note: this does not 0,: laundry waste showers- dishwater. etc. Ihi,; cvslcm is designed to handle domestic strength wastewater; lwv cvcr, the disposal of food based greases. ,it%, vegctANIC/trot peels, Ss, bones, and food solids, such as those produced by a gar bags disposal should be minim izcdd roilct tissue is the only paper that should ~.:1;-.charged into the system. Other non-biodegradable items, such as baby wipes, tampons, sanitaty napkins condoms, cigarette butts, ~ICwal floss, and cotton swabs, should not enter (fit system. Chemicals. such as petiolcum products, paint, clisirlecl:mts, (k;Sllcldcs, 'I ~10'1C'~.¢(>IA'Cnfs.ei''.. S~ttttll(l tli l...);li:ai:^• ina~illJC_ 'h S-f r'Ih i.Ga `C.. 'l I, iL:'1GI I'(11i.A.',~1, JnIJOiil illl••~..'y ltst, ,ply yr i.l n. - ,nm •:r w r ad n, i. u7dq ~as!tinc to-.>,r hour utc rvaok, Avoid vehicle n'al'Ilc oven' .il s,s.zm Co wnponcnU C.ongt uaior{'snewO u.he arsp..,sal unit may cause it to freeze up. INSPECTIONS & MAINTENANCE: Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber. t\Qaster Plumber Restricted Sl'wC, PO\YTS Maintainer, or Septage Servicing Operator (per the attached Maintenance Schcdukel. Tank inspections must include a visual nspecdon of the tank to idcntifi any missing or broken hardware:, identify -.my clacks it leaks. measure the volume u!-ccn:bincef ;;iudge and scum and check for any backup tu ponding of effluent io the ground surface and test all electrical cquiptucnt such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings m-cater that S inches in diameter shall be secured with e;Tectivc locking devices to prevent accidental or unauthorized entry the tanks. When tits combination of sludge and scum in anv tank exceeds one-third (113) or more of the tank volume. the entire contents of the tank shall be removed by a Septagc Set-tic'-ing C]pr•ratoi and disposed of in accordance with Ch. NR 113, Wisconsin Admin. Code. Spccitic servicing mechanics must be provided if venical is115 tiel or if h trizontul is> 150 feet and instructions to be provided belotr. 'Ihc outlet lilretjsj shall be inspected and leaned to remov'eany accumulated solidsaceordingtO manufaettirersspecilicatiorts.Solids washed from the fillet shall be retained in -,he tank. Filter cleaning map be necessary at more frequent intervals than stated in the mai ntenance schcdu le w keep the system operating. Alamos should br tested or, a regular basis 'ny the home owner. It an alarm sounds, contact an individual !iccnscd to service I, oWTS. There is normally a 1 day ivservc tinder mauiar operating conditions. however water shtodd be consccved until any problems with the system are enrrcacd to proecut ha..k-up of seNvage into the dwelling or surfacing. :NBA\DONI:I L•'N'r• p/ilea the I'OW'fS Iluil, andor is pemtanenlly taken out of service the following %tcns shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPS 333.33, Wisconsin Admin. Code: o A;l piping to tanks and pits shell be disconnected and the abandoned pipe openings styled. o The comcnts ofall tanks and pits shah he ccmoveti and properly disposed of'by a Septage Servicing Operator. Atier' pumping, at; tanks and pits shah be excavated and removed or their covers removed and the void space filled with soil, gravel, Or otter incn solid material. CvNTINGEtiC'Y PL4\'• h'rhe POUTS tails and catno! :x repaired the lbilowing mcusures ha'vc been, or must be taken, to provide a axle compliant rzplacentent system: O A suhable replacement area itas been dvalaatee acd inay be utilized for the location of a replacement soil absorpt Eon system. The replacement area shuuld be pimeaced 4om dis(urbance and compaction and should not he in!iinged upon by required setbacks {i:`m existing and proposed structure. lot lines and wells. Failure to protect the replacement area renders it unusable. Replacenuem 1% SWIM Must comply wun the vies in zf1•eca at the time of replacement. A nuhuhlc tcplaccntem area is not available due to setback andcu soil limitations. Barring advances in POXVTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site iris not hccn evaloatcd w idenoly it suitable replacement area. I. post failure of rbe P0\\ TS a soil and site evaluation must be pcrri>rnwd tv locate it suitable colaccmcnt area. If no rrphicemem area is available a holding tank may be installed as it last rek, n•r to rrp!ace the failed POWTS. Mount and ai-grade soi'. absorption Systems may be reconstrucicd in place following removal of the biomat at the infiltrative Sin GtCC. RCCOnSUectiOns o fsuch syswms must comply with the rules in offectat that time. .-tAING2!" SEPTIC, Pf, MP, A:Vp O'rIIL•R TREAT}71 \T' ;ANICS ]L4Y CONTIAN LEIEIAL GASSES ANDIOR INSUFFICIENT _.--.GEN, DO NOT ENTER A SEPTIC, PU,LIP, OR O'fllr•.R TREATIIIENT TANK UNDER ANY CIRCUMSTANCES. DEATH RESU LT. RESCU F, OFA PERSON FROM I'll L INTE RIOR OFA TANK MAY RE DI FFI(:U LT OR IMPOSSIBLE. rIONAL :"'l5 INSTALLER POM-IN NIAIKTAINER ELIQI- _/y~ .93/3SzG _?s'amc Z4 !K6 ©~wbzri - _ 1( C: 7/S _G7.d-6.76 Phone: _ 'TACESERVICENGOVERATOR(Pinery-_7_. LOCAL RECULATORYAUTIIORITY_ ,off h ^ W ~.t 9s j F t m>.~ 0` iw nU LL Q. 3E ~S J Z e E a v o Y C = ` V 'n o n ~ I n L O C t - ~Y T P - y.~ L Y d 9 9 {V u ~ - e ur - "OX 0ID N 3 > 'O V P'~ q q n If `9 O~r v Q W 390 ~~r.s W a `c E 'O Y m !ri 3 ~ 3 d- I u~ k J~ m ~ O~ V V L ~$g i ~ ~ ~ tC ~ N •C A t N w > Eoa r- 75 tn Q. ov c L0 t e d .d- $a..o l9 O vc E d CL = - J L L 9 F Y_ ` M r L E N _ ^Y o ?r, r n Tc I I n gc ry G' c t y'v O o d'f c' v N s 6~ r J T J _ a - rCJ L O _ q o~ u v- q d oSl,~i3 :oo sec o~F - °w n b v v 3 a~ L ~ 1 ~ S V' j N IO o$ o S>> c M o V9 ? o > O I ~ v fd. _ ~ O ~ N L E w~ -mod V _Z ~ 2 C ~ d y 'D •n ~ w D C I ' N IIL. -L _ ~ ~ 7 } d ~ a } y BFI z 10 D Y V L L d V ~ L 7 p d U V V l ~ D Jv- A'i umD aocdi C G N® N r T u C H U Sl. ( RCIIS C01-NTI Si PTIC TA\K.%jAINTE\\.\NC F 01k?vERSilIP i'F:<'i [?!t_.~ 110 ItJR~i Owner+Buyer Mailing Address _ 3~ + 2L~ _ l_l C_ W Sit a 1- $ G ( Property Address ~ (2• p Q !Ver.tication regrarc from 1.14.1111111,, < Zou:ne Departmeni t:a new construction.) CityrStatc Paacl Identification Numher tq Lg ` 1 0 3y ` 5-6C C) LEGAL DESCRIPTION Property Location t2--, [ 2 k 1/0 -tk: Town of 5xndivisior of ('citified Sun e} Map r? Volume Page r aria;in Dec:i Volume . Page ,t;rocs identifiabie ye, nu Spec house yes CPO) sI STEM NIiLINTENANCE AND ONNNER CERTIFICATION Improper use and ma:nterancc of vmu septic systcm :null re,uii ten :is preauture ti:roue to handle wastes Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into d,- systcm can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 8352( .1) and in Chapter 12 - St. Croix County ,anirary Ordmamc. The property owner agrees to submit to St. Croix County Planning h 7oring ticpartn wnt a certification form. signed by the n,vrr. and by a master, plember, jonrncyu;an plumber, restricted plunhber or a liccrsed pumper verifying that (I i the on-site . •.::a:J disposal srstean a u: proper uperaaug condition ardor (2) after inspection and purrpinr (if necessary). the septic tank is 1._n . full of sludge. ..-c, the undorsrgned have read the above requuenrents end agree to maunam the private sewage disposal system with the far'rt, herein. as set by tlw Depattnient of Commerce and the I)epattmerd of Natural Resources State of W:scomsir. stating that %.our septic systern has been rn:riniained must he completed and rctu med to the St. Croix County Planning & Department within 30 days ol'the three year cxpuauon date. I we certify tha: all statements on tl t,o rn are true :o the best of nn our knowledge. I Ac ara.are the owner(s) Of the property described above, by vinue;ti a j aniv decd accorded to Registe• of Deeds Office. it ntber of bedrooms 41I SIGN • TURF OF APPLICANT(S) DATE. -,ny mfort ration that is misrepresented may result it. the sa:utary permit being revoked by the Planning &'Zoning Dcpamrient. -.;.dc. with this application a recorded warranty decd ticm the Register of !h•cas office and a :opy ui i::c "ruled surrey map if ic;tcr is made in the rt:vnv dee.i I 1 ~ O , L r 1 ill _ B I : p L a m o F~ o D 1 AJ/ a -1 f Ip@I I' sA k~ m I ~ D $ !1 ~ ~ t 1 7 `l WATERS EDGE CONS RUCUON y - 5~~r~~ T!1l4Ll1 ❑CIkP10R lISAII[aVti "~`a°~~ n II : 6 i - i i ; I 'I f r, I i I I I • t f ~ ~ : it I I a:~ ! i i I f h IZ ' i I Y as E e i WATERS EDGE CONSTRUc-nO1 ~ N 4 - IW M] mn rnw xi~u~ u It 9 1116 ULF~ H;cNUAttUN VIdE rv-,15~" I , i _ T lB h iJ I I A ~ 4 I' B I 3 rq Ai 1. I I f I 5 t 1 a n r- I i '111 ~ J I 6~ I I' _ !J i IrI!' 1 it! c t ; w + I ~ialS .i - ' - 1-fi4 vl ullx ~c bVA'I'EKS bll6B C015IItLlCI10N Q J~ RI rlllt(1 - -~"+\t4 rlu -..ru n ,~f s w., 3 nlL Used sniI u1 M.ru' 1 °oi r III I s, a III T S r 1] f T - T I ( ( e Z I i;r ~ ~ I I. ~;qr z .F - _a i G ruu WATERS EDGE CONMUMON „ ~ '!NB (%LLN RfNli MdN i vt('I,uT ~ W ~ ~ i I I T 9 -73 8carmcd by Cam$canncr - ~rb3 if 5T rn,~r•~,}f~y}l6y and Professional Service Z6 7fl1B SOIL EVAtbATterwREPORT Page_ a` 3 n aNOtd~.I~V 'eit Comm fan, tits. Adm. Code H.ttach com Ict t County p e sic pi8r >bng49 -'.iiice,gTnan 8112 x 11 inches in size. Plan must St, eAd/X ,eade, but not limited to-Verticil and horizontal reference point (810), direction and Percent slope, sriale or dimensions, north Wow, and to .ration and distance to nearest road. Parcqby-) Please print all information. Raviarc:; ;ny Owner ery loa;ion~_oC~ Govt tot iycJ 1;ts~frri LoC;? Block ?r Suod- -"1 Vl7 La_/lo. d -TV Soto Zee Ccde Phnne P}wr:7er - _ G✓ / OODU/ LL P r.,aty Liflaye -p~"co-mn - Nearest Road lT -]T- ':EYd.JB 1 740 - O EA4 [r rr - Q~Y._ ~ACLE I y37_ Ce. QD. b - - - - -Nev., ..cnstNCGon User ^;es.denna.r Number of asdrooms - - uc dcrvad acsi.tniov: 12[c GOO L Replacement ~ PubCc or rommer.:ial - Descayc GPD '.Parentmateriat LOES{~J£w_fpAGilc_.JeYTVtS.y Flood Plain elevation if app4oabie ,./A racarunenda'ions: /70 ur0 '~OrJTf I 'x SAwD L/FT/ lJOODEO SrrE ago SLO/!~ ` 6AS/C L.It~ /C FCOrY.-l~„iq Q 7X <ECC r r SYS. mac.' /00,3' ow e lo,u ra..c ~ / Boring ❑ Gering - - Pit Ground surface elect. 00. O f.. Uepth to limiting factor _ JJ _ Soil Application Rat, i :-ioriZ-o_Depth Dn: n:rant Cc er Rodox ocacip;ion I Texture Structure Consistence aoundary Roots GPD(f$ m Clunsell Qu. Sz. Cont. Color Gr. Sz Sh. - 13 1 - -3.. ~3 /o ram/y ( - sr I z, o bk / r F> c s I G I .8 Ly 'a3-31 7.5-YA 7_NE~or ssk Fr 4 S 133 SG j7src y16 -i 2a/ S6 s/ / f S61 14 P" a ❑-7 qq----:~,}1 ~ r~.Xvp ' _ rr Bonna ;4 Bering ILt Pit Ground surface e!ea-__ / 9 ft. Depth to limiting factor in. SI oil Application Hate ;orizon Depth Dominant Color Re;,ox Desra ptiun I Texture Stnrcium, Cunsislence Buundary Ruuis GRolff IL n ' N'iunecd Qu S_ Ccnt f'.+r-r- IF 'S7 Sh ' -rlyl F ;E" Y/J( ia.rs6k: < zc I 'Y rod r 3 i.7.?-3y 7.6»e_y/s/ Y .3y- 17. ~ Y,G t 7d SY~ s~ s/G rr ! s6k rr f~ - _ y - T .7 'Effluent-41 BCD, I 2Q-< <+0 mglL end TSS >30 < 150 mglL ' EHI t'.f2 - BOD ii:c 30 mgrl. and TSS < 30 matt CST Name (Please Print) _ Il' aeTT-TIaS3ett Sgrinhlre CST Nomh9r 1503 F'airwaY St,r"" Address Eau Claire, Wl 54701 - 'uahort ur.:d Telephone Number (H) 715-834-8610 (0 715-5774383 tiT, n'iPRS-2249^4, D-1152 slsli-~ p([~~p7ji- i\ / \r '''~u r;ns- L`EnldfrN S d<rz Page v3 w 3 sonny . J o::~ VVV/// Pit Ground ~drid'ry: olav.~ 990 Deotn to limiting factor 3.? In. -ionzon D~+Fth i Dominan¢ Coior ~T - ~ Soil Applicatlon Rate r Descnphrrn Texture Sm:ctu:e ) Cunsistcnrz Boundary Roots GPDffr in. I 6AUnsel qu, Cant Coto,- Sz. Sh. 'Efrkt _ O- oY 9d Eff2;7 1 _ _L9a3 : s / P~- -ett-r _ n _ -Ld /o rn. '/~J - I SIB M -sh-k I My I Z ;T I ?e FT 8-. ! 3a-t'9, f sdk y .7 Balny# t Boring . Pit Ground surface elev.- - - R Depth to limidng factor in. ^u:~zon Dadth Dominant Coldr - Soi AAFFfidalion Rata Redo, Description Texture Structure I Consistence! Boundary Roots GPD/ff >n. ~_is9un.ol~C sz Cnc Gr. S7 -E - Cofo; c : - ! Bonny u Boring pit Croundsurfaceelev.- .-ft. Daplh to limiting factor in. cizon Oepth I Dominant Color Redor. Description TeMmr.: - Soll AoFlication Rai=~ t Slnrclure Consistence) 8oundery Roots GPD/IP in. , mwnseH Du. Sz. ConL Color Gr. Sz 'Eti'1 I •6f ;Y2~ I -_iluent sI 80D>30 g 720 rnglL aml 75S>2r, <'K m_I 'Effruent#2=60D,<30 mg1L and?SS <30 rrc~! M ~ Y o ~ 1~`l l \ e y ~V ~ v o ~ i ~ ~ OM h N V O ~ < h ~l v K a . n ~ Q\ \ O ! IY V ~ u II V ~ ~ II J i 3; ~°s yl ~ ~ a r I~ C tu~ 1: 1 ~ Wf ~ ~1 a I e a~ Q U ` L 0 tok z ~ z w - U U 1Vi N V J~ w a E O O H U' r Y W ; :J N C