HomeMy WebLinkAbout040-1177-80-000 (2)
'.^/s:ors a Deoninren: or Cc-'-erce County.
savvy and B.Admg D v s or PRIVATE SEWAGE SYSTEM St. Croix
INSPECTION REPORT Santary'Pe-rnitNo
S 606971
GENERAL INFORMATION (ATTACH TO PL RP✓.IT)
Sate Plan ID No'
Persuna nfo--arc- you pro"Ce may Le -sec for secondary Purposes IPriracy Law. s 1 L 03 i! )imll
Pe-mtHOleers W°c City Village Tornshm Parcel Tax Ne
Michael & Louise Hutter TOWN OF TROY 040-1177-80-000
CS 1BtdECe InsP D'd Llex 3yrGscncl on Se7ion+Tcv.r.Ran,elMao No
9 Maf o \ P~ Je 13/24.28.20.696A
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septa Benchmark 1606
3.4 41 -7, C74
Dosing AIL AM
`1_ I ~ s.~ff.~_ 7~o v Ge,,~, 7.ZS 90• yS
Aleratie'r / J; ~'Y. c~ l D u g . Sev. r
M r
Holding _ Sali: Inlet
Stti it Out et
TANK SETBACK INFORMATION
TANK TO PL WELL BLDG. vent to Art Intake ROAD Dt Inlet
Sep: c Dt Bottom 35
Dosrrg 4` r Header.-Man
1. POr 9 cg $Y• 3z
Dist Pipe 9.3F P4. O
Aeratio o.u 47.E
Ho uing - But System
e
' .
PUMP/SIPHON INFORMA Final Gra
ON ;I L•y~ 90' c79
Manufacturer Demanc Si Cover
Model Number JlJ
i- /x.36 87. o4
TDH l i' Friction Los System He TD T
r~
ig 9 7 0.96 ll•tZ ~.-tY
Forcemain Length D Z r 7 s. to vve. !
SOIL ABSORPTION SYSTEM
BED:TRENCH VvoPr _engyr f No .')f Tien: re; PIT DIMENSIONS N., 'Y Pi!s Inside Diu I.ieoiC
DIMENSIONS / 26 Z _ is
SETBACK SYSTCM 1U Pft. BLDG KNELL LAKE3STREAPA LEACHING '.'aou'ac• 'e
INFORMATION CHAMBER OR •C k~inn/i
Tv oe Cf Sy:;nm` , nn I UNIT
T 0 x~ o2wo, 27 54 ~ ~ ~ /c!9 taocrn N~r-'oF• C4 w r/5
DISTRIBUTION SYSTEM o .`t. 27 a + $ o
Heacer+Nla, fold t LIM it. nor n' liolp si[u I I x HC a Poao-g Vent to Air !aRe
2 v~onlsl \ A \
. ansan_ /0 D a_~ Lergtn _ Ura Soacirg
SOIL COVER z Pressure Systems Only xx Mound Or At-Grade Systems Only
DeDtn C,er L•er:h orer .a DeP:h cl xx SacI,J t trOnsn xx Mulched
Ned:Trencr ::an!e' near"erc'r GCges Tcosuil -
19 -{,Yes No ~ No
COMMENTS: ;Induce code disc•epenaes, pe•sens cresent, etc.) Inspection #t Inspectur u2
Location: 285 COVE LA 1 Cli.a,-'- L de,/ 6
Alt Bfd Descrpt or = ' VAJ4 5
2) Bldg sewer length = I I ~T ~ F•ofys /IW~G,~,
- amount of cover = E 4- r I J
If
Plan revision Required' I Yes YNo it Use other sale for adoitional information. / O ' II _
Uute InseuClOrs nature pert. No.
SBU d~'0 iK ?/clr
39
3
Indus" Scr i Division County
P.O. Box 7162
be ww 'INSdoon. W1.53707-7162
it Application -Z Sae Ttaasankn Number
In aemr4+ss.Mh SPS 393.21(2)• and Ada. code, aibmiaaion of di, fnm b tht-l NA
~regrmed prier t obtamog a Sol permit Not: Appiwm n forms for stab•owned POW7S are sahmilkd to Pn*cd Addles (ifdi xat dra asamg ddns)
Uepvrnt of Sakly and PoafmioW Savior Peamai mfar.atietr may br mad for saaanday
e+:m~r4nocwAhthe Privacy Iew L 15. i m Soft Yew provide
i O-
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ZO S ~er/G v~1L.
Prapnty Orwrn's Nance Poll
lLI LDIkiSE N7. I~uT~~i2 Oyc-li
PMPCV onus's MaTbrrg Addles ft"" L*csb- / a 7 . a . a o , fl
-
Z ~ -S E cant Lot
C4, stoke tip code Plane Nrsba - % satin, l 3 .211
f+uD:~cU i 510) (cu CIC ~
q .i. --~t_N: R~E
ILT7pedYaMlis(rkakallakaapoy) Lots'
a 2 Fsmdy tAdlktg_ Nwabw of I3dwaam 3 / Swbdn Noe
Black1 T !'nc(Y C'DUF :4 3
❑ PobiiaCoamwcml - Oanibe Use ❑ city of-
❑ Statc Owned - D Krft U. (SM Nudbn µO valg of
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A. ❑Nm Sysem RapW--*syym b
Ttiamtmvtktdlr6TlmtRephceacCody ❑oma14mi1katiaamRif~gsy,e,, (opao)
IL Pb it Renewal 0 Paint kir man ❑ CINEW of Phsba ❑ Petit Traad"a in New Lis Pmeimw Permit Number ad
Rekn F T um 0 -7
S ,7 9 9
IV clack as akat
Nor-Ha„r¢ad kKlwud dAessuuil m-camsd ❑ Atlaade ❑ Nmmd? 24 m of aufr4k mi( ❑ 1- < 24 tt of Ailable soil
E3tko6wTsuk -POd~cmpw a(evasn)AyDi,tc <am - IEc~rY ❑nmeamafocr:a(aw1m) 3 TrrF.ld-,(...-fat 1,
L nmvr -ea IsfarseWS:
soil MPS Der Oasal Area Regtned (st)
Depeeml Awa (at) syse. Revsiaa l
D. I <7, a mm ro W r d Mceuamaa
Gtllews l" ivib ~ min Fawg Taaw l CDC'
VII. Susar.t- 1. IN. aaiva~aN, aswo it Wl/aw of to. POWM Yww w. de awatM riftel
Onow.
Pkwaba-s Nwm (Prim) mum"'SSWAdlum - n MRMPaRMmbv svosmom Plane Nmoba
eOAV T .-TAeK- A) 92-143391 7/S-&6,h `/Y
Pkmmf-'a Addrm (Soon, city. sins, Zip Lode)
930b -04ACK BROOK Ro sTE7q
cuz svggj
(be Ovdy
PFamt Fen rlat
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Awri rrawPl.r Mma46. gone. "-r de Carwb Sob mrwww tra al lR a ll b". inch
SF)D-6398 (R. 08/14)
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In-Ground Dosed-Gravity Plan PAGE 1 OF 5
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10705-P (N.01/01, R. 10/12)
Pg 1 of 5 Index 8r Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross-Section & Plan View
Pg 4 of 5 Pump Tank Specifications
Pg 5 of 5 Management Plan
Attachments: Enclosures:
Pump Curve eA✓ i-rr_E POWTS Application for Review
Pump Specs Soil Evaluation Report & Site Map
Filter Specs
Tank Specs Infiltrator Specs - -
Project Name / Description
Owner Name(s):.NAI LYffiE1_-J GC'L(iSf rti 1 uT Phone:/
Owner Address: S 5 ('016 LAn:6 H Ltt-' -zip: Project Address: a,tite:~
Govt. Lot: - -3wl 1/4 of .5~+ 1/4, Section )3 , T Z/ N-R Z-0 E Qor W
Township: =I i Y County:
Project Parcel ID OqC - / / 77- s0 GO D
Designer Information
Designer Name: Mary Jo Huppert Phone: 715 -426 _1775
Designer Address: 28497 King Arthur's Court, Danbury, WI zip: 54830
E-mail: hollisterdesign@outlook.com `X\`~~~~~,.~t.•r:`r;u, "/v
yhi
License Number. 1859-007 ``~~a~~~ C
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Remarks: a
8 • AiARy J0
fir
' • HUPPERT
D 1859
% RIVER
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pryigrrAlrryrt1ilk, ~
Signature: I / ('%~AC~ C% cc c Date: _//-Zz ZOl
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PAGE 5OF5
In-ground Dosed-Gravity Management Plan
IMPORTANT=
The owner of this in-ground dosed-gravity system shall be respons"e for its perpetual operation and maintenance
pursuant to requirements of SPS 382384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this
system shall be considered a human health hazard if not maintained m accordance with this approved PAS managemer~t
in
plan. Furthermore, all inspection and maintenance activities shall be performed by registered
accordance with SPS 383.52 (3). Wisc. Admin. Code.
Maximum Dispersal Area Operatina Lirnit&:
Design Flow = X50 gpd; BOD5 S 220 mgL"; TSS 5150 mgL'; FOG S 30 nVC
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves. switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.) i distribution /drop boxes)
o solids volume in anaerobic treatment tank(s) and any distribution appurt~nce(s) (i.e.,
activi"hes, etc.)
o neglect or improper use (i.e., exceeding design capacities, prohibited
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - it applicable (i.e., pump re-cycling, float switch settings. etc.)
o electrical components - tf applicable (i.e., wiring, corrections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
o surface discharge of effluent or sewage bads-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o c.,etiy and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113. Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
A servicing period will always be greater tlran 12
accumulated solids according to manufacturers specifications.
months.
System maintenance reports shall be submitted to the proper local govenunent unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to.
1 1'LumP~IN6 Phone: -71 "SSE' ` S'1yy
Name of individual or company ( LV~y - AOL
3x361 - 4/1 SO
:&1c p; i9eN1 Phone: 71
Local goverment urdt _>7. cKc~iX C'lwi:tN~w 17 X DtV
ZIP:
Local govemment unit address:. -/U i]- N T
Any defective pan of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1). Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWf3 may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Condnuencv Plan
In the event that any failed treatment component of this POWfS cannot be repaired, is shall be refaced pursuant
a plan submitted to the appropriate agency for review and approval. A failed n-ground dispersal component may be
abandoned and refaced by a code-complying dispersal component in a predetermined area of suitable soils.
l System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
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Quick4.
The Quick4® Plus
INFILTRATOR` Standard Chamber
I The Quick4 Plus Standard Chamber
j offers maximum strength through j `
its two center structural columns.
This chamber can be installed in
a 36-inch-wide trench. Like the `
original line of Quick4 chambers,
it offers advanced contouring Ili
capability with its Contour Swivel
Connection- which permits turns
up to 15-degrees, right or left. It is
also available in four-foot lengths to
provide optimal installation flexibility.
The Quick4 Plus All-in-One 12 Quick4 Plus Standard Chamber Benefits:
Endcap, and the Quick4 Periscope • Two center structural columns offer increased stability and superior strength
are available with this chamber, • Advanced contouring connections
providing increased flexibility in . Latching mechanism allows for quick installation
system configurations.
• Four-foot chamber lengths are easy to handle and install
• Supports wheel loads of 16,000 Ibs/axle with 12" of cover
Maximum Strength I
Ouick4 Plus Standard Chambler 401& Lr*__LM1j
Specifications
Size Quick4 Plus All-in-One 12 Endcap Quick4 Plus All-in-One Periscope
34"W x 53"L x 12"H Benefits: Benefits:
(864 mrn x 1346 mm x 305 mm)
- - • May be used at the end of chamber • Allows for raised invert installations
Effective Length row for an inlet/outlet or can be 1800 directional inletting
48" (1219 mm) installed mid-trench
• 12" raised invert is ideal for serial
- Mid-trench connection feature allows applications
Louver Haight construction of chamber rows with
8" (203 mm) center feed, as an alternative to
- inletting at the ends of chamber rows
Storage cowlty Center-feed connection allows for
47 gal (178 Q easy installation of serial distribution
- systems
Invert "ht Gertified • Pipe connection options include by the ~ l
0.6"(15 m mm), 5.3" (135 mm),
8.0" (203 mm), 12.7" (323 mm) sides, ends or top and Mechanical
- - Officials (lAPMO)
APPROVED In
Ouick4 Phis Standard Chamber-
1 -1 nipli N I~ X11
1.F{ 11: 11VF LENGTH
Quick4 Plus All-in-One 12 Endcap
PR =111117M PIK D 1.
/ - POINTS IAC711()IGS
R PtACFtiI
FRONT VIFW SIDF VIEW
Quick4 Plus All-In'-One Periscope INFETRATOR WATER TECHNOLOGIES, LLC CURLTRATOnj
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lo-^a-i DIVISION OF INDUSTRY SERVICES
! • / ~ PO BOX 7162
1 ~h MADISON WI 53707.7162
Iii ~l Codaad TIw6* Relay
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nwna..isoalc-stNu~
Soar waaa, Governor
May OS, 20 I S Daw Rose. swisawy
COST ID No. 11316956
DAVID 1.ENf7
GOVT ALFAULS DFAIT INFILTRATOR SYSTf-M.S IW
4 BUSINESS PARK RD PO BOX 768
OLD SAYBROOK CT 06475
Idewirwalion umber.
T~ED N925,
Site 1D No.
RR: Desavton: LEACHING CHAMBER Please refer nn bah ice w1fi11lion m=4x ,
Manufacturer: NFIL TRATOR SYSTFMS INC. above, is all corrcaPnclenc~e wiN rite a.~ .
Product Name: Q
LEACHING CHAMBERS UICK4 PLUS STANDARD, QUICK4 PLUS STANDARD LOW PROFILE (LP)
Model Number(s): QUICK4 PLUS STANDARD (INCLUDING D NQUICK PLUL
ALL-IN-ONE 12 ENDCAP
WITH TOP, END, OR SIDE PIPE INLET CONNECTIONS USED SINGLY OR IN
PAIRS AT ENDS OF CHAMBER LINE, OR AS A MID-CHAMBER LINE
CONNECTOR) AND OUICK4 PLUS STANDARD LOW PROFILE (LP), (INCLUDING
Q
OR IN PAIRS AT ENDS OF LINE; AND OUtCK4 UICK4 PL US a ENDCAP WITH END PIPE INLET CONNECTION USED SINGLY
WITH TOP, END, OR SIDE PIPE INLET CONNECTIONS ONSS USED SINGLY VORIN
PAIRS AT ENDS OF CHAMBER LINE. OR AS MID-CHASER LINE
CONNECTOR)
QUICK 4 PLUS STANDARD, DIMENSIONS: 53.0 IN L. X 34.0 IN. W X 12.0 IN H.
MAX. DEPTH OF BURY= 8 fL
(EISA for dwnbers with or wl8houf fabric = 20.0 sq ttJchernber, EISA for Quick4
Plus Al-in-One 12 Endcap installed at the ends of a chamber row = 2.6 sQ f Vend
cap, EISA for Quidc4 Plus Al4n-One 12 Erdcap kistaMed in-line within a chamber
row - 9.6 aq. ftJend cap; Laying length of chamber = 4.0 fl., Laying kwx-gh of QUick4
Plus All-Qt One 12 Endn.ap nstaled at the end of a chamber mw Y 1.5 ft., La
length of Quk*4 Plus AlHn-One 12 1"mJ
0.9 ff.. QUICK4 Plus Standard Endcs47 installed .7wi-line 2 5qftJch a ehambw row =
Plus Ail-in-One 12 Open Rotforn area
a area = chamber row Oraper, tom a
- 3.1 installed at ~ Sw ~ end of a dharrhber row Open Bottom area
s4. ftJend cap. Quidt4 Plus All•in-One 12 Endcao inst3led in-line within a
chamber row Open Bottom area 22 sq. k1wid cap; SLk AM ATTACHMENTS).
QUICK 4 PLUS STANDARD LOW PROFILE (LP), DIMENSIONS: 52-0 IN L X 34.0
IN. W X 8.0 N H; MAX. DEPTH OF BURY= 8 IL
[EISA for chanters with m w trima tabrio _ 20.0 aq. fticharnbef; EISA for Qulck4
Pk?S Alf-Im-One 8 Endcap resfaled at the end of a chamber row 2.9 sq. n-7er&d cap:
Et SA for Quit ca Al-in-One 8 Endr,ap ktstabed if$he within a charhber row -
LY-0 Sit. p EISA for Quidca Plus 8 Erdcap WrAlilled at the end of a chamber
row = 0.7 sq. rtJend cap; Laying length of chambers - 4.0 ft.; Laying length of
Quick4 Plus AI-In-One 8 ErKACW instalod at the end of a chamber row = 1.1 IL-
Laying length of Quick4 Plus A14K)ne 8 Endcap installed n-kne within a sham ber
row = 0.9 fL; Laying length of Nick Plus 8 Endcap installed at ft end of a
chamber row = 0.4 ft.; 01ick4 Pkrs SMrdard Law Profile Open Bottom area . 9.77
~fUdharnber. Quidc4 Phs All-in-One 6 Endcap insialed at the end of a chamber
line on within r as = 1.4 sq. fl-lend cap; Quids 4 Pits Awiri-One 8 Erdcap
In w Op it
dwribor row Open Bottom Area ° 1.2 wand cap; Quick
4 Plus 8 Endcap installed as Ithe end of a s9- cfhahhbor row Open Boman m Area cap SEF ALSO ATTACHMENTS] a . 0A sy
product Fde NO: 20150111
2534224 DAYll)UlJT/ s~<z Nfgmp 5
The specifications arxVor plans for [h16 Plumbing Product have Mien reviewed and determined to bus in
cmPWrxx with chapters Sf''S 382 through 384, Wisconsin Administrative Cade, and Chapters 145 and 160,
Wisconsin Statutes.
The Department hereby issues an approval based on the Nrrsconsin Stawtas and the Wisconsin
Adinmirative Code. This approval Is valid until the and of May 1021L
Thin approval supersedes the aPPravat issued on 11!11/2014 under Product 8le number 20120137.
This approval is eonitingent upon compliance vmh the following stipulation(s);
• This Product must be instated in accordance with the manutacuxees printed instructions, product
approval. and plans approval If there is a conflict between the manut3chxee3 iretrucaons and the product
approval andror plan approval, the Product approval andfor plan approval will take precedence.
• When this Product is installed in a dispersal cell thal is sized based on the FISA rating stated in the
regarding block of the product approval latter, this Pradret must receive weisiaweler, having a BOD5 value
less Ulan or equal to 220 aK3&., a TSS value less than or equal to 150 mglL and a FOG value less than or
equal to 30 Rg/L on a monthly average.
• When tf Vs Product is installed in a distribution con that is sized based on the H SA rating stated in the
regarding block of the Product approval inner, this Product must be installed in individstal excavations that
create a row of chambers that are horizontally separated horn otiner rows in other excavations by at least
3 feet. The 3-toot measurement is measured between the dosast outside edges of the leadh-eg
chambers.
• When this Product Is installed in a distribution CO that is sized based an the EISA rating stated in the
regarding block of Ole Product approval latter, the disVnbu6on cal design must aloes at least six incthes of
Poadin0 in the chharntrers without backNow of wastewatrx brio the drainpipe OW dachargas irna the
chambers.
• When this Product's vtttaled in a distriMdion, cell OW is sized based on the EISA rating stated in the
regarding ttfock of the product approved tether, tttie Product must be Ntst8led in a dtstriMufiat system,
which has the cop of the distribution cep at or below original grade.
• When this product r- inslalfed with geotextne fabric on the sides of this Product in a distribution cell that is
sized based on the EW mating stated in the regard" block of the Product approval letter, the EISA
rating with fabric must be used to srze the system.
• When this product is in"Wiad next to each other in a disfi'bulion col that is NOT sized based on the EISA
rataq stated in the regarrfrg black of the Product approval !attar, the aM uem distribution area is
the
lergih tunes One width d the clambered area. The use of equal to
is optional. geotezHe fabric in this IYPe of instalation
• When this Product in nsWited with gaoteztde Fabric on the Sides d this product in a distribution Cep that is
saad based on the EMA ralIN staled in the regarding block of the product approval letter, the geo4extile
fabric must meet ON of the fokoefng specifications:
Geotextile shall be non.vswen
WeW shall be 0.35 ozI9q yd to 1.5 oz/sq yd
• Apparem operurg size (AOS) stall be 20-30 U.S- Shove (ASTM D-4751).
nor ntourxl designs. sec the manutacarar s propriety mourn Component mamtei for this product line.
For mound designs, see the M&IdacYrer's propriety mourxl component( marital for this Product tiro.
2534274 unvruiEnG r+s~ mots
rho which h may y reai>It a rm is in from its way use.
whi ttis Product or Bury advertising, and is not maparaeft for any sl6uaypn
.
Smooroly,
Glen Jones, M.S.
POWTS Product Reviewer
Plome: (MS) 267-5265
tax: (SM) 267-9723
email: glen.pnes@W,gov
The DSPS is commmed to ser &e exoeNence. Vistt our survey at
www.Surveym onkey. COM/S/dsQsjSMStUFTwersaasfacbm
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATI/O'N OF EXISTING SEPTIC TANK(S)
Ail I Cfht&L Fr (VUCSir YT UTre /
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) Z85 &w L w6 located
at. 1/4, --'/4, Section !j€ 2~. Town Z8 N, Range -20 W,
Town of , St. Croix County Wisconsin.
Upon inspectioz~ I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) w be functioning properly.
Most recent date of inspection or service F Fl `6 f lei
I F'
Did flow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: /,gE, a4v ~ 750 R"AP WA;K
Construction Prefab Concrete X Steel Other
Manufacturer (if known): lu, E SE
Age of Tack (if VKAM): _~p0o
Permit ber own) 3 g9 (v 0' y
_ CORY S. -T4C9,3W
(Licensed umb~err Signature) (Print Name)
14 339
(Title) (License Number) h41*1 $-c
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2!2012
_ST_ CROIX COUN n -
Sr PM TANK MAINTENANCE AGREEMEpP~ ! l~ )1 X11 20)
OWNERS[-III• (=ERTIFICATTON FORM
072018
C3woredj3dtypr o r fiAi ` ; /U1. f 1, 12i . 11
Baiting Address t' J L )fy f J 7t.. -{n, 7 I
Properly Address.. 5-~AJE
l • ~~ad~a ~Q~9ld f~Om )~a~ipg ~ ~Ywa W+rJ~a fOf aE{C 1Dt15~1lWOR~
C ify/State Parcel Identification Nrmtber ~>yc'. i~ ~7 !l- oOC
LEGAL D E QM YON
t'"Merty L4='on Y. '/a , Soc. 1. ; Y 2 T
p~ p~ ) N RAW, Tovm of ff: e r
SubdlVl$on Clam fyC tX ~Y•)rE _I~ -~uY
$O(# 37
Certified Sw vW Map Volume
Page #
Warmnfy Deed
(before 2007)Volnme - , Page # -
Spec Lowe f,- yxo Lot lines identifiable
SYSTEM MAINT6PLA)11!'W ANI) lQ CEl[ RK`A7?alnr
maiuretaace N use and lce of your septic ays0cm codd result in it Pm=Mn failure to hW& Nagle& Napa
the ~ofpUmpmg
cvcTY rya cm, can affba function of dw septr- ~ as a if needecL 69 a Geeased pztmpar. Whatyoa par into
the resPonablbt+as are Specified is §SPS. 383.52([) and in in the waste disposal SSA Qamer
main
Chapter 12 - St Croix Coway Sanitary Ordinance.
T' P'Pcrty owner Agrees w suo"m to SL 0m0 c CDuuq & Zoom
owner and by a mag5ai plw6w- ) M"nan Pl~ber. wancted plumber or a licensed a crrtificatpn fnr'n{ si~ptd by the pumper
nspection and 'Ye u"B P"Me' Operating condition and/or (2) after i ventyw8 septic fenk is
less dun 1/3 fill of sludge. pumping (if Ume Y), Uwe, the Undersigned have read the above reWmami als and _
sl ~n4 ua set by the Departo~t of Safely And P S~ and fire xrl and R with the
State o Plao~ & CerbscanOn a" that your sepoe aysirm has been mau~d most be con*eW and rcnaned to &0 S c,=the
Counq Tag D0ergaeot within 30 days of the three Year expiration date
Uwe edify that all state on ws arm am true In the best of mylow edge. I/we arnt a the ownr j(.) of the
atoperty dwcnW above, by virtue of a wura~
Nom ro• ( decd receded in Rego= of Deeds ()lice.
`
bej"m,;
SIGNATURE 4 APPLICANT(S) t t/ a t o
_-2-
DATE
' Any information Baal is =wxpity=Mcd may resuk m the saammy ppmrr being revoked by the Plaomng t
_ ?.wing DeParaadrt
I wxey dead from the Begicaer of Deeds O)iice and a copy of Vie wy$od surycf map if
lo~ td'trmoe is made in the wavaolya
dee
(RKV-OV12)
STF-100 FEATURES
4 Low maintenance
s 4 Easy to install and service
Economical
% Extends life of drain field
a Improves of wnt quality
+ The last line of defense before the laterals
- + Vortex scrubbing action helps keep filter
clean providing maximum maintenance
Intervals
d 4- Uses a S.S. filter screen with .062
diameter holes
- - - Provides a 69.52 sq. in. or 41 % open
area which allows the filter to pass 83.8
GPM at 1 PSI
a Assures quality effluent with lover TSS
levels, keeping pressurized systems
functioning at 100% efficiency
Low head loss.500211 or.21 PSI
4- Flow rate with dean screen 120,672 GPD
Q 1 PSI
- ^ Flow rate with 95% plugged screen
114,912 GPD @ 1.8 PSI
r - 4, Job ready with Y schedule 80 union
STF-loom and tailpiece attached (STF-100)
I T Field assemble does not include union
or tailpiece (STF-10OA2)
o,.
Use optional filter srxtcs to filter smatter
particles
nmraria ir.
/B1iWN,i®ef.Tµ
]7F 51,1eeEid 8TEF1 fYlE L7 152- si
wlrXeee71RE8 21~
Order part Nm STF-100
STF-1DOA2
i
to 0, l ~ ( I
1 i 1 I CAD deW drswng avadaAlr. m DXF Wmat
-i 1712
FJ ;
I
I I -v<rrrve
ti k f..nr a,E,ww RELATED PRODUCTS
10
STF-104-60011 page 14
I I STF-104-15meoM page 14
f STF-1047N page 14
>t aI } STF-101 papa 14
I an ups STF401A peye 14
5TF-107page 14
ST
F102 Page 14
SW-FC page 14
hires ea arnrr STF-150pege 14
T r U.S. Palre 17 5, 885, 452 STF-1038page 14
Canada Patera f 2, 737, 751 STF-105 page 14
Tbg Free BWO99.3290 OtBce 231-682-10211. Far 231.582-7324 Fined s6rtOSth~Raeeray. net NAeb www.geg-0rnlerlh-mrh PAGE
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VC KIT CAP
ti°C.I. VENT PIPE
WEATHER PROOF APPROVED LUCRIn1G
JUUCTIOAI BOX MAUHOLE COVEF.
N•N
25' FROM DOOR, wAct
WINDOW OR FRESH ,Z I LACe~-
AIR INTAKE
aver A OE I 4„
40~~ I
COWIDUIT
~a
\ ~ l~l
PROVIDE 1 or
AIRTIGHT SEAL I III \ /
I v
SZ, } Er PN.t, Q6S l>fLV ~7 'ZJ'•~ • I IIi APPROVED JOWTO
_ I III EXTEU PIPE
AX I II ALARM EXTENOIUG 3'
ONTO SOLID SOIL
V F 5 8 I I ON
I I
f 1 Z
PUMP-~ ti ~ OFF
f'
Sw 2J _e1w,$3, Z
DLOCK J
CY' M`. ~►c\C C JlO 7(_ Owl ~ y}~ _
¢ta " 3`i•S ` v
Z~,z12
I (04 .
r- - -
Performance Data
]f
Pump Characteristics
/Molar Udl Sub wAh
IMrdAw" SWUM SW33M1 ae
AeIeMIFc ASeldf SW25A1 SW73Al 1/3 NO
20
IlertepewM 1 /4 1 /3 I e
-11L4 NP
Felleal f LO 10.1
J
Meter Type SkdW Palo (4 polo)
VAt ISSO 5 •
ME" 8 1
velleye Its
0
Horn 60 o 10 m 30 40 so 60
CAPAWY.". G.P.M.
OpemMe loterfeNNet
TeelperelMe 120-F Ae11loe1 Total Head (iM/1 4 6 t 10 12 14 16 It 20 22 24
Nw Dear A 1/4 1110 44 41 36 33 29 26 23 18 12 6 0
losukiwe deuA iPMI 1/3 Y9 47 45 43 40 37 34 30 26 22 16 10
Obderp sin 1-1/2-VT
S"Heeiq I/r Dimensional Data
UeH Weflltl 30 IbL I AS flwwww w wCW
PeewArd 11 tSMsN. 3"'2 41~ o-tw t t~ww.ufwl■+w
1. No Iv uwwnr POP"
1.12 NOT WNH ww{.l
}1/2 DISCHARGE 1 Ow OW role w4
Materials of Construction ,,.•w.w
s odax..rwwer
Haeae Sled ws Iwww i II~ Y
]•)IR. nn14 w,eww rr
01 06dwkk 01 J~ w w ewr
Melon Cal kee
Cal kee I
Sbeft sow
Merleekd SW two= U"/Cwmk
S1eh SW Se~dP!lk4r. Aw&W Sled
U"M
sd6wc Bow-Nsow ONP~ 1a1.ro
1a1m S1/2
Drone S6m o+sCHARGE Somig IWIGHT -
Sb* ~
IeYYer Rew w 3lR
Stle`f/IMe Mack I OVMP
OFF 1
FafFeeers Sw1if" SOW
AURORA/MYOROMATIC Pumps, Inc.
1840 sonny Road, Ashland, Ohio 41480s w
(419) 289-3042
WisconsinDepartment ofCommerce pRIVATESEWAGESYSTEM County
salary andBuudi gsDwlsbn INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sannary Permit No.: . C IX
Personai Informapytioon~n~y__ou provice may be used for secondary Purposes [Privacy Law, x.15.04 I1)(mp- 344607
PerroTLHo E1I~Y'OHD, JAMES & DAYNA tH DSON Town of State Plan ID NO~
CST BBMUEllev : Insp SM Elev : BM Descnptsorv Parcel Tax No.:
(~.0 040-1177-80-000
173 TL
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS Hl , FS ELEV.
Septic Benchmark , ,s tip '.0
Dosing to4X-5ar- 60 4,43 ;I• f fx~'yO
Aeration Bldg. Sewer W-
Flolding &1& inlet u
TANK SETBACK INFORMATION outlet !S • Z 8 2S
TANK TO P / L W ELL BLDG. vent take ROAD Dt Inlet f 5_1 }3
Septic ~Sp >SD J$"' NA Dt Bottom ?2 ( JS
Dosing 1) Q r ZS NA Header/Man. rt' $g S3
Aeration 9 St. Pipe
Holding Bot. System
PUMP / SIPHON INFORMATION Final Grade $ O Q3 SO
Manufacturer L Demand ~D•(, 9}+8p
Model Number W ~s GPM
TDH Litt fa Friction System TOH Ft
Loss
~
Forcemain Length (opr Oia Z ° Drst Towell 1>a,0
SOIL ABSORPTION SYSTEM $ ~a r S
BED/TRENCH WIdtq Length I No. Of Trenches PIT NO.Ot Pits I d ~D Liquid Depth
DIMENSIONS 2.
LEACHING Man to rer~
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM
INFORMATION ype r , , CHAMBER a um r:
_ S stem: . ,to 7{.or OR UNIT
DISTRIBUTION SYSTEM
ii-eider;Manrio~ d Distnbution Prpes x Hole Sae x Hole Spaung Vent oAnlnta e
Length Dia. I Length 9 1 7/DOr
r r
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over I xx Depth Of xx Seeded/Sodded xx Mulched
❑ Yes 0 No
Bed;T a <h(e inter Bed; Trench Edges Topsoil ❑ Yes n No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: 70Y 13/24.28.20.696A 285 COVE LANE - ST. CROIX COVE LOT 39
gM LLJ"x •.s t&,y
L7""" 1 WAS ~~6-b IV,,,,.H.~., Qr.a.-~ C..lx.w...L✓ x.. S6M.-.
e 6..:~f. 6
-tf -I I
Plan revision required? ❑ Yes No
$fS7l.
Use other side for additional information O [ [ J00
SBD-6710 (R 3V97) w,nel err nspcctor's Signature Cart No