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HomeMy WebLinkAbout034-1028-60-000WurIntin �Ar PRIVATE SEWAGE SYSTEM snryuuBVIrreArOsfm lld�INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT( 034-1 0." TANK SETBACK INFORMATION ,rI.., � \ PNK P LVel krsae ROAD Dt leI ` \ /WpELL CAII 6Y O ryen 2•15 /07.7 not Are LS HnM„N Bx. srsle,n 3.17 3 PUMWSIPHON INFORMATION Fine Gnae / W7 Maw4num 7-1 BPM sI 13. 9 7 �'9 ARK" H oNl x i� Inl a0 SOIL ABSORPTION SYSTEM 0 a g•P L..sir, N' Of AID "KII&NI Urnelcem /W Mi0 P�-s KEB ffiEA u xe 35 \ 9a A— Bx,. x,,Wr wn„ / p.,;Ew., o ,10,q ae VIsdai a No Lo.A..._ COMMENTS: (II Area eiwpnm¢. cexom proem. III Inspeaxnrx If i9 va nepcnt Yry Axv Laa(Ion: Ow/% / JFA. / OI aV ill0+ . 411 11 PIi 0M 0eZ¢vlDDonR rr G JJ xr BegsV----,Nm- bo FIGD +-Z5 -�!8'5 G+:s.i� Pla,.✓ -e a >wB�I e.•. oYk I r�/ee.J Otz� a�:� �it dJ4Jl P:e (33197) M°uirI per`, 7 I�p,IY 6 unW 5 BBa��pwe,m a wa se..,. z zs,i5 9d.� as arddL_ cai 14 - /Ilsi 41 S ; Iei Y• DEC t o 2ati: Berth mA Buildings nlvlslen 201 W steadfastness, Ai P. O. BM 71W weamSt uy mW(xhNlelingf°d �I ' 7 Sanitary Permit Application-- III to21(z), w,�.wi am, mlmmmn°nba21 me asn r (..�,mmm»,m emN(mu 31aan1e I IN "' aim ``P:;ows Imr,°". IsIsis u`sDissa nm�p_wen""wv aam:'I m ¢"�I°(em`nm°.aravae°:u�,,,�imeem.e) � Rd/)I 44/ LA ItM°vlobm e—PleaeePnnlAll lnryemvllan°� M1 Peµvry OnreSNems . Kevin Aehleson 1° 034-1028-80-000 PmPmiro.,,m':M�liq,wmee, PmnmT�nm, I . 4. . 1 l 1021 County Road AN BEe�&, Mw 'q Seven 13 zipCme ne um [owning, lM 5a]31 ]15iC1-028] T2B wR15 E'sw '1)'porUdIMi0R(eM1eekaitMt IN. BPv) -,sN mmi....IN m ®�azP.moru.,.Ri,x-rvm:,q:mm:oo a bW Wi ❑wbne,e°mmmew-oimm o. ❑ my°r ❑smem,m o-Assuan M�1"ya ❑vill.Re°r Mxmnb.. Mror.,,m 6Vnn9seE Lrr/[0 o� m. Typeolveimx:(Ceskingrismiteniiii C°.PYn Rx Be.PWle.mel aeLL� ❑rv..-arms ®aePw.Ae.nsm� bmPr.m Reol.,.mm:a,lr ❑ oumnwtlmee:ae m gi stiniwb,) ❑P.mk i va.,°m vem,::rvmen.mtl ills e<rm<R,Pim outs N. eWPpwt$ elemlC°m mnVOevim CM1eeY aII1Wv ❑rvm"mvwimE e.cmuntl ❑aroeurimeln4muM ❑uLn �nuum unm e � °w <o,n°:u ❑Amass rmb ❑ o,ne:oem ea „Pnmmen:rtwme:) _0Pmm.m. omlw("PsssL. so / A. Die,:y a at Ana Berens,: �pai tiu Pm d) l"(i "d APsi R, :0 Wxml Atu Rp n oIvpeN ew 9v Eleen 680 ,(e L000v 15� z, 1085Ft / vl. Task Was GPslIm w„nrwune. 't Nimar. A//Dfu..n `ia� &u g :ay. °.R.miw,w x nP 2 �.�. BIod: LLc X % ]W 1 Lewis Bjosk LLC I At I I VII. ROd'i SYI®mh4that aetlmaee.wvmli OwMas eM1M me(mN0 PMPRRN mbvBmemeMeNmnhm Lewis Rjork 2MM _ 'Lan,cr AtlnIn.tsom, cry, smw zm cute) E7818 County Road E, Menomonie, W, U751 vul. a. me cut USA -mi lo'fB. IX. C°aA'1: a m°N fwPevPP vl od 3) L�,d�fu..� tat uFWn' IpX 41 IXS ry�� � j) ii�1. � : `a~NYYw „1u1IN,I� osm sioU 5 o-d LAJ SPnN Ic� I S� Cro �z uX X�.. t] SOIL EVALUATION . Scale rtlimensions �''SYSTEM PAGE 2OF(o }4P10T SITE MAP _____ _�-_ PLAN PRQm AE. Tr�tmenldispersal tiell' mo OEeioX[wn'. Ow AXl Kev' Ashleson theme Salle 1"-30• c>+X�waipw. cewvIN oo IISTMw+Qxaarw��m. N �w waw, Rsru 8ln rt.m 4w E a' oao n �' r xnwwc ,a aw.mrX.n Top � m) WIII nwIItIIee ,.wo•w,o". snow enemaahmin rImmXWiva.m.wa ®As 197 ro ` cQry � QH-He«. 4gq.i 5a/ u d v>E @" �6° NEu NemE lam'^ � m +rye Llb �157m 3o3H it ,Y eFh..v IA.WN Z. 4u LI 0 /I z5 I > um BnS� 193s 98 m DIVISION GP INDUSCRY SERVICES 10541 N RANCH Ro HAYWARD vn END'A18z cemaa mmaen R.iay upleapS.wt gmlpmgmm¢IlndWa4pum1 cova ¢x y,4f ScoX Wa1br, Gwemar Laura GWun Semel+q Number 02, 20IS CDSTTONo. 253976 ATTIC, POWTSIrepaeor LEWIS CWORK ZONING OFFICE LEWIS B30RK LLC ST CROIX COUNTY SPIA INSI8 CTY RID E 1101 CARMICHAEL RD MENOMONIE WI 54751-6639 IRIDSON WI 54016-9109 CONDITIONAL APPROVAL IdendficabonNwhets PLAN APPROVAL EXPIRES: 1010=020 Travaetloo ID No. 3163018 Site IONO. 8541M SITE: Please refer m MNidmtil ticn numbvs, Kevin Ashleson slbve, in all tortes ndmro whh the MI 1021 cN W Town of Springfield St Croce County FELL NW IM, S13, USE, RISW FOR: object Type: pici Component Manual Regulated Object IDNIO 1798570 Mainlenaneertgohed; RWlacemenlsysmm: 600GPDFlOwal0. System(s):Momd Compovenl Manual-Vee20, RED -10691-P rold 1/01, R. 10112), Pressure Distribution Component Mnnl-Vac 2 0, SB0.1o]06-P (N.OIl01, R 10I12y Efllueartller The submittal described above has been reviewed for conformance with applicable Wiuomin Administrative Coles and W iKomm SAWtts The submittal had been CONDITIONALLY APPROVED. This synem is W m romwned And masmdin tendered with NemWmed apereaed plus and cairn any eomporrammanual(s) referenced above Tne ewnu. az JeMea fn ehapat 101.111 (10), Wisconsin Smmmg is responsible for compliance Ohl cute requirements. A copy of the approved pins, specifications slid this letter shall he on site dining construction and Open W inspection by amfonssd reprtsenmtives of the Department, w'hieh may Include local mspedors. All permits mooned by the state or the local municipality shall be changed prior to commencement of wrewamandandlatiencoperanm. In getting this approval the Division of Indus" Services reserves me right to require changes m additions Shinto candiaons aria ma gNem neeessmy for eo&complince, As per note Vote 101 IFNI, nONiog In this review CON shall relieve the designer of me responsibility for designing a safe building, swcmre, or component Ai Inquiries concerning this correspondence may be more to me at the telephone number listed below, Or SO mddP87e0F SAFM AN on this lemmata. DIVISION OF The above left addreaeee shall provide a copy of able labor said the F(i management plan tithe oet and arIy cathode who are responsible for the installation operation or m rturince of me POWTS F, _/ _. n Sincerely, eeettequmut emyy This NnomWill Re 14vnice4 When You Receive That Invoke, Eden AIr Please Include a Copy With Your Wastewater Spciatist, Division of musing Services Payment Subtnivnl. (915)6343484, Monthi, 8'.00 am.-4'30 p.m. WiSMART ode: 0633 edwin.mylorQwi gov flEGti v r SAGE 1 OF 6 Mound Plan Index &Cover Sheet sEP20Z518 Canponenl Manual Design Ra/erences. Itp�IDN$To"- Version 2c, SBD-10691-P (N.01101, R. 10112) & Version 2.0, SBD-107010 (N.01/01, R. 10I12) Pg 1 of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross -Section & Plan View Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications -Pg 6 of 6 Management Plan A chments: Enclosures: Pump Curve POWTS Application for Review Tank Alert l Tw-Txe Riser cut Sheet Soil Evaluation Report & Site Ma Tank approval / Bictube cut sheet EMuent Maintenance instructions Project Name / Description (78-2018) Kevin Ashleson Owner Name(s): Kevin Ashleson Phone: 715 441 -0267 Owner Address: 1021 County W Downing Zip: 540 Project Address: same GoALot_NE 114 of NW 114, Section 13 ,T29 N-R15 E❑orW❑✓ Township: Spring Field County: St. Croix Project Parcel ID 0: 034-1028-60-000 Designer Information Designer Name: Lewis Bjork Phone: 715. Designer Address: E7818County E, Menomonie Wl Zipf E-maW lewisbjork@yahw-.mm i „14j License Number 253976 Remarks: ,JI/,111� .ESP ENCE Signature: \ 1 Date: 9-13-2018 onema Nenawre m9mrta on each sW copy. 4 rl,.I rz I w SPriN SOIL EVALUATION Scale r din SITE MAP Tr�tmeM< PROJECTI e: %g 1R Kavin Ashb Dame scel( w'�[cl.wnpg tOYt Ccunbw Ibwnim e.o�em.. eu To m wxI �a µixi R w.i.mmn.wdu�ra kEu�S�IS-r��� Imo% L Q 145E caw" 1az sly FYSTEM PAGE 2OF6 ereelcefl' PLOT PLAN eoo wo =30' on.masxw n®nww.n�n.�ma.n _E �wwdlxJAetR eWASE rt•u.wwaeseemel r+.vrn. r 1 xn1owC eee R+�'. S 1 MbP/C eroxnwm n..x n.wmi. mw+x 0 CgLplj SEM10 "F' r r9e.e B GA.yc i'pPs.a �4) o ga• 6n. 1,/. Seel P•TS 5e 1 5.�y #t It (gv C(o z nyr- y�sWwiW wd a.u.,+Ib /4° IVEWlLomElaci�x^ 9{51�Sy5ifM� sn/f�5 fdLF yD % 1lD 1 •VtG � K �o GQ I ems 21M``/im tv A _ 'Bns.l 14asV8 M a39� CaG �ZZ*Q5 j4^9wcl&) s 4�y SINGLE -CELL M(311NI1 ni.RPFR3AI AREA aY roi5 WASHED FccREGA E (ni,. aP bereeN ahndnbn Ope-Mn,20' MM. s O'ofT PsaL COVER over fine an WM apprwetl",fisL rebdc) nln 10n El ,M c33 SMO RLL ,yn,Ln r O yr ° L p--A= 6 fi—i Pbintl aurtare� ' surrew 6 %S" Elswobn- 106.5 n (Snowipme main manR ld entl flush VBNe bmtbns on pbn vl .l D= 2 n 9 E= �n a syarem Rewtbn= 108.5 n Lahmalt MEbvelbn= I n CROSS SECTION VIEW A (No Scale) PLAN VIEW (No Scale) 15 'eacP c hdl4Onmao nal a- 8.37 n 10 n Roca) IMIW -. ..� ---------------------- L_______________IN fl __________________ e = —,, CIF--''q'—,, I- 1336 n " — " arsl®n Bona as necessary b rotlmv conkur L- 123.y n Kronen aclwanw,m wnbplar eanb wMb r s ree� m aomaoPe ba. RxM Pps U D m m O 70 Cs DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) 2-D6Nrd,ro '-:'- FVG Former Man FLUSH VALVE DETAIL Woos rwmptens Inarl+aar forarliwwdr) (No si wmi Orlflm In -- Valve for Larael6 up ',;' cellar m Tnreeaea ceo linaula(ian aqurep S= 3 n for Read \ 1_5 -m 6tltlla Fast O ca ad) Ioganell \ \ emitted mY rw PVL MM Md�g SeII Vi I \\ I a fowwq.rumw / �s \ '� Leb,eb to Eebvd m utornl) / \\��Q.�g I Brine 40 PVC Lateral 0= 1$ in Lamret Leni(P)= ABWe Number of otlncn bm.mwN,o.w. `_ ush sI OF M Mbu1 a) D aloyeonom ofIma \ r OrKe Discharge arm- .54 gDin man O=aaoaNwarri I —I E)yLabq Y9 arlaknl Fn e AaurtNy abp Ldtamdl9ea NumEarof taleak= 2 Nei m free RNFeI -sx Ee00 kmq Jovm LATEML INVERT ELEVATION109 If (frontier) Lan Omer (fri onr;� ifre R)= 48 in OBSERVATION PIPE DETAIL (Nov b) 6uew-Type or sxp Cap(kae) Fdam4 GryM marched a mma) Ore PIC Pipe Top"Cva Top of Wa to terminate IM+.I boos at m above hbwd grow (4)II "xe-slwa ®4e amm PmYwiYy civibe 1,11mu , Onrw Dartear- .156 in (fri Flat Omm moke) 184 IOlewhatg. Hate= 13_46 gam TOTAL DISCHARGE RATE- 26.9.3 GPM F—%� END MANIFOLD Imwrn © CONNECTION Che k applicable box. Merkel I�arpp opmre0 FFeOmme kl) G) IT 4—x—}—xrz xrz--�--{ x A trim, Inprn O CENTER MANIFOLD T1 M0""Od CONNECTION M (nmrgpe ogniwl PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) Buiss E `"inn®qt` k(s)wni: IP IW e tlW*wn�m IM Pmlor IMPORTANT mn' L wnNGl a pursuant b SPS]5 ANA))B) T CAPACITIES® 19.85 gWn Degn p�) vdum•Igep A 22.31 420.49 6 [C] 5.83 109.88 D 31.95 *Pump Tank Liquid Level = 37 In ELEVATION= 86.58 fl Fome Main Diameter = 2 in INSIDE BOTTOM 86 ELEVATION = It Form Main Length = 120 n,QAa'esw..ee.eei�wren'aynnm Force Main Vold Volume = .22t42—"gal Vertical Head = 22.42 fl + Min. Supply Head= 35 [C] Total Dose Volume TDV = 109.86 galltlosa- (S%ldal Waal alluim$ipy,duma) g•Mx) +\� + FM Friolion Lose = 1.9 ft a .Imm•m•n emnma.au,,.) �/ +Fining Loss = 7.05 9mm.MygrHEAD a) MIN. PUMP DISCHARGE RATE= 26.93 9Mn =TOTAL DYNAMIC HEAD 26.67 fl PAGE 6OF6 Mound Management Plan IMPORTANT: The ovmar Mthis mound ay&em MINI be reoponsiblefcr its pttpatual freedom and maintenance Wnuanl tp propiremablle of SPS 382-38a, We=Admin. Code. Pursuant M SAS 30,52(2), Wise Admin. Cow, this system shall be considered a human health word if not maintained In accordance with this adurom management Mon. Furthermore, all Inspection and maintenance activities shall be performed by a Mistrusted POINTS Malntalner In saoNanw with SPS 383.52 (3), Wim. Admin. Code. Maximum Dispersal Area Ooeratina Limits: Design Flow= 600 gpd; B0De52XmgL'1; TSSNlWmgL"; FOG 630 mgL1 Inspection Checklist INSPECT EVERY 3 YEARS o type or use • • �i nuisance factors (ire. Word user complaint, etc) • mechanical mafuncOm (i e, pumps, saves, switches, goat, etc) • material helps (me. leeks, breaks, corrosion, etc.) • mfl vdune in ana lc treatment tank(a) and any distribution appummance(s)(i.e., distribution I drop bares) • fail or improper use (ie., excceding deign owl prohibited aGNNes, INc.) • expire of pudding In assumption cell prier to doing o dosing magual be., pump re -awing goal"" sedirgs, of o electrical components p e., wiring, borrowers, switches, controls, 5mers, alarms, ak ) o distribution lateral or lateral of plugging measure lateral distal pressure— compere M deign sperificafion) o surface discharge of effluent or seepage backup into structure served Wintananca Chadi MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and tlws tankral shall be pumped by a obi septege servicing operator liwnsed under s. 28108 W's. Stai when the volume of solids in are tank(a)*x cone-Nlrd(113) are III volume of the tanks) of as required by Imel ordinance. Disposal of wnterib shall be pursuant to NR 113. View Admin. Cope. o EMNSM011Mal shall be Nspecndsvery 3yean and shall bednned when necessary to renweany, accumulated sulids according to manufacturers specifications A servicing period will alxays be greater than 12 months o Distribution Island shall be flushed once every 3 year or when label. System maintenance repots shall be submitted to may proper local goverment unit In accordance with SPS 303.56W e. Admin. Code. Report any component failure or malfunction to: Name of Individual or company: Lewis Bjork B Family Septic Service Phppp; 715-231-7375 Local government unit St. I County Zoning pro, 715-386-4680 Local government unit address: 1101 Carmicheal Rd, Hudson , WI ZIP, 54016-7708 Any defective Not of this system shall of repaired, replaced, or removed pursuant pi SPS 383.51(1), W el Atlmin. Code. Repair or replacement of fil or malfunctioning mmporwnb shall campy with SPS 383, Wisc. Admin. Code. No product for chemical or physical reuaa8on of the POINTS may tea used unless approved by the department in awroNance with SPS 380, Wsc. Atlmin. Code. Continued" Plan In the event that any failed treatment mmpment of MIS POINTS cal be repaired it Shall be replaced pursuant to a plan submitted to the appromil agency for review and approval. A All mound dispersal component may by reaommucttl within the originally approvetl area alter removal of all Palled components. Svsfem Abandonment If use of Mis POINTS Is discontinued it shall be abandoned in accordance with SPS 383 33, Wac. Admin. Code. xaml,mpP.mxmaa.nm.Im SOIL EVALUATION REPORT ppe 3 a 3 UMeFnas.xnanemFl�a NMNenm MMGmm BSWn. Ado. G/Je C.ur4' St. (7au AMTwmplem nob pbn on pLer not W Men 81n.11 inMx In eW noun must undurd"onrun to "Indol nod unnudgund poundbWion b PAW ID. 034-IO28411IX0 mmord dIBM),dr Ehwnbn IIMIwnoMla Jmonne eeSolnxr.aG. PMeP Inning all lnlwmeBOn. Xndrxeo 88 LWe y qe.s rm/ u ww M xmMary P�Mwe 1Pn�w. uv, e.1 w 1111m11 pNPMa?dr�x RaylY L.ulbn jT hwln A.Mwan D1.,y Ld NE INNW IMS 13 T 29 H R IS E❑nR I+Imey Drypn EyyypA'Mwy LaR BbdR B�L]. Hxw wC9M 1021 Conry W 2,76 Aara our V14Ge NeelMXetl Oownln®I WI 1 SW31 ]5441-OM]Or CwnbW Nry CalWpnn UME)W,dmmmlNvn -d- Sldmr 4 Cowan 1: yn6w'm DFD oged>ameN ❑pudkor Cmmmull CMOYe'. p Iredrsl Lom.over 611 Flood Wln nbvNon I OPPIndl E � lOw8lme RI vniW laem wp ovtt wuMwN 611, 6% slope dI vw Instal l 2' Mound M 1MYCONwr. and Isnmrwnlxkne: ❑ BpFB PI W®rd# 0P6 GMUNI,ltra"V 10.5 ft CMhlonmepMr 12 In y.. Rb xMnn DedM1 6mF.m Cab xeW Dewgtmn TMUIe stlumme Conundrum BOMaer/ RMA OFFEW YI. Mun i Du. Or Gm. Color Or se. 86. "1 1 10O3 IA 0.3 111103 oneobxrvm 1 2 mvF In 2Y/IM 6 .8 2A 3-5 n, 1 2ftLk mM If2M 6 .8 3B1 542 IOyr5/4 muTao ail 2%k mvfi IONI .6 '8 4W 12-N 5YN/6 ilnORISM I 2mbk on Ind 5C 5yr eWMuwtill 14 ❑Bulk41♦ IDPII Omunoeulmo Is.S B Nam no romw l.Wr In. Py Rx. XMmn pdn Dornkam Cd.r RNe. M.lptlm T�In arLI (::i ® Boundary flw4 DPLVB x. A wil a. 81. cmL Conn or. 8e.8R �l lum IA 04 IOM3l3 ^'n.auma 1 2 mvfr 8e 2flm 6 A 2A 4-8 1 mremwN 1 26W, mvfi cs 2flm .6 8 3M 014 10yr5/4 rawabrve! ail 253k mvh 0 Mod b .8 4gl I424 5YW6 nn%rsh 1 2mabk m ft V Im c WINI ll `EBInnt1.BCO >]D<,�ndrlLendT98> _ R.0.0O ae]Ir{M1 Yq TE85]Omyr. CBfXm {1MW FIFO WnWrtx 253976 Lmvis B'ak T.YpMlwxurn'r qw FYue4n COMd�B mow.. E]BIB County E Menmmcnie W154)51 7-26-2018 715-23623I5 pAmMOwww Kevinlanlmm MmM IDS 0344029=6 M Fy„ 2 p J ®m,a�mtmo®Aa �. ........ ... .." do -.. o -DamMn. B]D., WS22I am M-MS IN nph 'ETumn. wuswr Lam Mcw rryl TileDepeednrnlofCommer iemgwloppommiryserviuepovidereodemploa, IfYounwdaa Cemmaneaa Clor need material in m elmnate fonrm. plow wnpn the depvuman n dd8.266-3151 r M 083 SIM SOIL EVALUATION Soele r dir SITE MAP TreatmeMl PRCVECT NMIE: 7i3 Kevin'A =n theme sceh ppryGtrgrypp® 1021 Caunb W'uMt4 BufreES'� a 1W u rt Wo H� Tap&w rME awry nl�_ 1wlNn stir ✓mryypbwPO I�7 l sycfb Cv � LJz 30t3 :ions EjSYSTEM PAGE LOF —� PLOT PLAN Gael cell I eoo GG MMJeYpnlW ulale9veMmnrextlY{Yw. vNewwv�n0lMeueanrtedsMwwG A0Ds1 —E � evn 2' I M W GVC aro.ywm.breweutm.m..r e LN'41 Seetl�JBrk —DP 121414«, - NEw lLemE locl.e^ c --Q(stlN 4aT t- pw l bwAS:+ ne y,�l Rots �5,1 5 y #' `� R4el �0 2e OQA Je.nV �W SYS�m +yr Sa�>•S r I 1 ate. T IAWN y l.looi5 �OS ZZ rlvoY /"#W !;U" PERPUMP FORMANCE i! 152/153 Wks 1 ■■��■■■■■■■ 1 1 JU QI 50 60 70 8n •1 In1 200 240 280 320 360 FLOW PER MINUTE Ghat now 8 Tarn A iet O AB Indoor Alarm System tAuto Reset Bikini Backup) The Tank Alert- As Indoor alarm system monitors liquid level conditions In lift pump chamberssump pi basins, holding tanks, sewageagricultural, jars and other waste applications. The sleek design of the alarm features a user friendly touch pad with colored LED indicators for easy visual detec- tion. The alarm horn and fed LED Indicator activists for a high water alarm condition. Once the condition Is cleared the alarm automatically resets. Tna green LED unti tes 12T/ primary power to the alarm. If primary powerfails. Me alarm continues to wo.'s due to gY battery backep- Nc':11r Falco a'6-S-re a. _.....,. Lis _ R&- alainca cl'� ,,� MI away sletrombue.GOT Toil Free l-8ae340-e753 Tuf-rite Riser System Ri=u Saa C.anCmt, I I - 7 )nk AdaMIr Ring S Dlvisary OV INDusTnv SERVICES MADIISON WInWi01-19ozcriminnal awn Wales, Gowemor ure Gu1Nm; doopi May 19, W17 Mmnfearion Numbees 'l}u min No. 29M95] Ske EDNo Please retu 10 Wth iaennfssati11 aim aho�e.mal romea naem•»7rn Ne CUSP IDNc. 35]9]6 LEWIS CBIORK LEWIS FIRMS LLC E7818 COUNTY ROAD E MENOMONR WI 54951-6637 CONOPPIONALAPPROVAL PLAN APPROVAL EXPIRES: Mini Re'. Descdplon: SEWAGE TANKS, CONCRETE Manufacturer. LEWIS BLORK, LUC Product Name'. firans id 2961957ISEPTIC, PUMP OR HOLDING (TANK AND ADAPTOR) MWel Number(s)'. LB700,LB1150 (700AND1150ge1s.) [LBi BASE TANK; LBI150 CONSISTING OF 3 SECTIONS WITH THE 450- GAL. ADAPTOR AS THEMID-SECTION) [381N. LL., 10.85 GAI/IN.; 961N. MAX. DEPTH OF BURY, 335 OR San GPD WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS -6611 LX 361N. W X 591N, H; ADAPTOR DIMENSIONS = 661N, L X 361N. W X 24 IN. H] Product File No 20170151 The specifications anther plans for this plumdrg product have been reviewed and Wlermined to be in compliance vah chapters BPS 382 through 384, Wisconsin Administrative Cape, and Chapters 105 and 160, Wisconsin Statutes. The Depenmem hereby issued an approval ba i on the Wisconsin Staines and the Wisconsin Adminislra4ve Code. This approval is vend MAN the end of May 2022. This approval supersedes the approval issued on 6XINTO12 under product file number 2012010. This approval is contingent upon compliance with the ialowfng impulation(s): • The tank must be designed to Mthrtand Me pressures to which it Will be subjected. • The manufacturer must keep at Me manufadurii plant a set of plans aM specifications bearing the departments stamp of approval. The plans and spedGcations must be open to inspectlon by an authorized representonve of the department. • All manhole covers(ermiinating at or spore grade must have effective livelong diseases. • When this product receives wastewater from paintscogs, twillpmduceaneHluentquali"tha maximunin monthly average value ton BODS of leas than or equal m 30 mi TSS of less Nan or equal l0 30 mglL TSS and F.O.G. of less than 30 mg&. - m . ,1 • ... r. __. I, 1.41 �„-_ L 6 t_ ILI#1- ,. i a... Product 5heet > Technical Data 5111 Maintenance Instructions °® .twee.. 4• Biotube`' Effluent Filter How to Clean Your Effluent Fiber To ensure your emuem fiber is funclim mp properly, it should be inspected every to under norm a mndloan•, your effluent fiber "if function for several weld melon cleaning is massary. The filur should be cleaned when it becomes clopped enough to rem a normal bows off of Me septic tank, At a minimum, tha fiber spend he cleaned whoneverthe tank is pumped. MOO people robot to have a septic bank service provider take care W fiber maintenance and cleaning. you can find e septic tank servis provider in ma sweet Pages, under 'Sane Tends A,Swe Or you can conduct your county health depamnem for a tort If you avian to Inspect•rNm clean put Muem DO instead, be sum W dress properly. West full-length parchend shot apnea, glove., and goggles or flea. Than below these instructions: I. Remove Me accesslid to your septic tank by unscrew InQ the stainless steal tad bob midi hex head Wrench per earded. If put ad is some ground, it will be easy to find. fib is buried below ground. find the marker Mat Indicates M lomil g. Purpose to Inter rebridge by grasping the in handle and hour pout of do housing (see photo 1{ 3. SmmMe cartridge tubes with a hose to remove any matanal sticking Wtam base photoy Ensure to three mfices in Me optional flow modulation plate inside the fitter are clear of any debts. Make sure to muse water runs back into Me tank bid do net allow solids material mfall i=the open fitter housing. k Poorly dace the carl beck into to housing. S Some effluarltfitare came whi an alarm Mm activmea Men to fiber needs cleaning. if you have an alarm, cooked make sure I is winking by Hung the float whir a stickM audible horn should sound. Do alarm panel Is normally moumad on Me site tithe house or in *a garage. NW. If your emuemfiber ocean have an alarm symem and you would like one, call your local septic system opposes.. B. Record One date Mat you lnspachad taker cleaned orate L Spmy me catomme rubes with a huer sent Offer an the form tmfopom.If you checked the alarm or made any other observations abamMe tank or "am, Include firm iriform aeon undor'Nata: g. Ruch acme lid by placing a on tha user,matching the openings in the lid wbh the not cinches. Imen lid bring Into catch as and tOlm n vent hex had wrench provelad. Inspection/Maintenance Form Data installed: Model tank Size: Model of fiber' Singleldouble comparanot. Data inspected Cleaned? yea no Naas. Imuertant Names and Numbers System service proeder: Phone: System Installer'. Phone: Septic tank pumper: Phone: Electrician: Phone: Designer: Phone: ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBu>er Kevin Ashleson Mailing Address 1021 County Road W PropeNy Addrcu 1021 County Road W (venecnlinn peramd fiom Panama& Zoning Optimums for new continental City/SmmDowing, WI Parcel Identification Numbu034-1028-60-000 LEGAL DESCRIPTION Property Location SW y SE ,ASee. 13 T29 NR15 W,Tcwn of Springfield Subdivision Plat: I Loth 3 Certified Survey Map # 5111 volume 20 , Page 45111 Warranty Deed # (before 200])volume Page # spec, hoancoyilay, Lot Imes donorship EFs%E]nn SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lohman use nM mainame ce of you [staid ryibn coupipes mneiW ofpump,,,g ouathe septic wk every aloe[ yevs oramner, ifneetle6 by u NcersW pumper. Wh&you put imo ape nyuemcca nfiect the fivaion of Hre optic math es a arceamma sage in ape wss,e dinpoeil ryuem. Owner main¢runce rupaaWilNiu va epeeifie] in §SP5.3g3.5 R(1)mW In CMpin IR 6a. GToix Coaty SaIWy Oddi,u„ee. The Pmpoty send, agenda m about St Croix County Phm,ing & Zaing Depennenm a unification area, appM by the promise and by a nwa plamen,, Foumeymm d mi restricted pounbc or alicrosN pumper vscifying Nut(1) We on -sire in¢r disposal Spam isin indoor oprem,g caddy aM/or(2) after Impenion ass pumping (if exposure), Me debt,iW & n man 1/3 all of sludge. Vote, the undnmigned have mad the above rtwimme nu ass agree is malmm, the m,am aewaae soared system with the sessions ut foss, Seven, , eso by me Department of safest AM professional Services and the IYpummt of Nevada! Rossi SweofWiownsm C,mfinaon Wong that your septic system W been maimnined must be complaint ass moment ee the St Croix Cowry Planing & Zming Depanmene within 30 days mad, mucc year apimtion day, Vwe mtiyeNtill velemme an s %lm no a me a my he best ofbuge. knowlNVweaMercehe cwnu(s)OfJe pupetrydccnbed above, by vino[ofa rytleed mcoNM in chamber dDeeds Office. Number of bedrooms 3 SIGNATURE OF APPLICANTS) DATE " Any information cha is mInwmal may axamm the[ merry pamia being revoked by the PI annin ri,ami„g EsPmmimL' Include with Nis addiimion, exceeded wamnry deed Som the Romani ofDeeds Office and a copy of the certified assay map if rckrma: is made in me wana,q deed. fRPV.04/12) r� =a: ----- __._.-_: =o? " 2t b �[ ,(n�`r—',�iU�l � CSf'abl&— 3Q-3 0 2018 vn..onNn L.p.mm+mdc.66G� SOIL E ORT. Pop 1 x J oM1tean NBaky.ne euiwnge �111in wMCdrm�,VM P1m. CNe mana Inewe. nx not Ali io'. eeuwl�and ^�namamel rralvence Ada a1Ml�no3onercx ( p.rNnrewpe,amid orelmemwne.III III ,and loNuwand ewnNmnwmNroea. Please pint a brlormeuon. ea Nwee�,.re.°e.em.no-v°^••Ipnu... 1.+wmimu. Gutb gt Croix PogIIG. 9J 192LWW9 ^Y AN 211'3 S PrAtand erwY Ksln Ailrleean Pr°Pmi.ocatn f<rt Lot NE NW 14 1R J IN T 2A R I5 e1 9�m Prypen/MpeM1AYlIIigML Jul Couxy W LdX BbdX 6b]. 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