HomeMy WebLinkAbout018-2021-15-000
^nsnune.in ~epa9rra^t of :.or-ne r:". PRIVATE SEWAGE SYSTEM ~CJny St. Croix
3alely mN Bu:amy Ca,::: oe
INSPECTION REPORT Sanuary Permit NC
GENERAL INFORMATION iATTACH I O PFRMIrI Slate Plar I_ Nc 607006
Fcc-onal in-c'tiatic- you provice nay ne used for sex^dar: >uq;:,:zs we'-,.it r.: i 1:',,Yl 011900013-C
Pe r. tluclr.-:. Ner'rc Orly eae IownsLip =;FnlvI'ax No
Overing Homes TOWN OF HAMMOND 018-2021-15-000
.-BN Liev me:y GlJSmv 91.1 Ce•::r_:nlnn wawniiuwWRanuc Nap No
08.29.17.1296
TANK INFORMATION ELEVATION DATA
'YPE IdANU1 ACTURFR ~itaACl'v ST/'. ION P.S HI IS LLLV.
"dude ~u U I r"7 5 .c~ kwif hmerk 166
Uusmy - N; B 122
I AeraBnn Bide Sever
,OG tf' ~ J
Holding SUI 11 I•ucl
, QU
SVI I: Q bvl -
TANK SETBACK INFORMATION
TANK TO >f1 Vil' R--)G s-r t, r.,u m;:r<r RDiy_ It Inle: _
Seri t n I I Dt Botto f-
a _ > 300 ' 4
Uusn ly ~ ~eaoer. btaa
y,la 100.10
Aelahon Dist. Pipe
Ftodiric_. _ Bo: Systerrl
Nnal i Sack
PUMP/SIPHON INFORMATION /0/•10
Mandfacturer L;Qwaca $I !:over
Mudu Number ~ 4 f`- C 5. 99. Z.
-ull Lm ^ Inceyy -oss Systems -c T.?tzi Ft
b
FOrCPn'.ain Len~fn?/,I Jid~,~, to WC , 1
SOIL ABSORPTION SYSTEM /!`/1 rLti Z
BED:'TRENCH Vl~tlt' I Length No. GY •en:1~e1 PIT DIM[ NS No. Pre _ 1-sroc Dia l lqo ;re.>er
DIMENSIONS
llll J- _
SETBACK SYST---M TO V,L wrx, L'VFII L4,KEfS-RLAIv1 LEACHING Llanufa.^.arrr 1
INFORMATION 1., Of anm CHAMBER OR O
UNIT Idoanl rvuno-r ,
DISTRIBUTION SYSTEM 1 : t t -
Imv.nmRQrn h Id tl Cn Ir. x bV" x Ho"' Si x H"if -I -any l+en! IC i., lnlake
~enyf 3 Jia c .n. ~f
SOIL COVER IF Pressure Systems Only xx Mound Or At-Grade Systems Only
oepln Cver :iepllr isoe: as ❑npa. of x. $nece:05rW<a_ - xx Nulcned -
Bc7~rancr l.crfc' I 3edn. ren:,r. Jue:. t:rp:::vil - Yes Nn rr. Nc
COMMENTS: ilnlude code discrepencles. twisons presen'. etd) tnsned ion S r~d ,Q Inspection 92.
Location: 163t• 102ND AVL R sM , , ~,.p 1
'..l All All Descnpllon = A ~I
U
2.1 Bltly scorer lcnDln = j ~t
amount of cover - ~-P, `F /
ntan revision Reaunedo _ Yes No J v
Jse otner aloe fo• andfnonal infonnaUen. r
U.ae to=eneto _ '-Ig•at_re I --'I Nc
':xLr o', r. awr,
r rr.r~ti a~~q ooy
Sa my a :)d Bat dings .O sior.
~ .1
0 S IAA g 'tQlg ZO'I W. 1^ 8~..IingtPn vE Q. 6nx . 62 . vole v ur~;ty J,1.._ree P IJ.arils~n fit. be n...d
F,
(b7066
0. 1_71lra v-.`/ - tiumn2
Sanitatl Pmnlt AppfiC,'160I1
r cC 1 a d -:1 f I .t d. .c. h'iL (.t 1' 1 I "ten' I tM 8D ul\m < r'..Plr Lt Iran ~7 )Jj
gart d In. -F nlu• a ,.mi I ut to L n . 1-. ml t ,t..t«•wn 1 t K i ur ubrtluzd to 11- ua .Address. }t :C[krent dlsr m:uun; ao:iless
~
t :<-parn .1 v:❑ t an ft-i -'S1 m 1 i s. 1 c• 1 t u.l r-nal ] .nu p ,woA ma x LI.L! rt.r omia'`,p
'r
7-1
4p Itc aativ JIW Info,M/ 1 1 ira -,il,l rl I..1\ #'{f r~ /~1
L n mnbf n_- PI.uc Print All Informvibu /5
Pucol k
o ig- apt-►s-o~
1§rp:.T ec-Ys N.a.L 4:nr 1 _ - ~ }Tt I,:eafi(.c
C h/~/_~7 /.'c9 t! ^ ///1 r t I / / ~ ~ 1 iryma r
[I. Type of Ruddin - -
(check all th I appls i I m o T L H' F` U'
!~s+lu ' . rl ly Ctttcl ll. KunrLtl m ur .rn l S'^:ici..rrl; ti:¢nc , I
Ok
YIbL C u 1 :mtJ U-c,nM ;'se { f`^- 1 ~
-]%o rsc_ pla -
I ran.r_
i ❑ 31nte tiwmd- I>Cw.r.L~ Gtyc ,_N_ (f/~~ a=>>A Numbcf ❑ Pillayc of
tG.Ox-C~:l ofl~c.
III. Type of Perron: (Check only nor Lox nn line A. Complete line R if applicable]
ew tiySrNt L1 kepi - m,crt f...a rr: 'fYraun 1 cF.. I L . ; "aru' Kgrl:v,rrnt ~ io:: i ~hcr \^.nrhfi az'oa b CwriuC $alcxn (aplv-ni
B. f -1 i1 K'acun. Hra i..r.n. ~ 'rm;•<rr L.n.lnv I ~l c.1.it l::~sf't .<.aw inYreeu,rs yemtf Klrmbcf cld lYale L. uaA
t oif b.c
rRr. Tire of PO\v 1 ti of stem C'nmponen Davr<a I(. - Tx~f~lrl
IVOnFI
ASOm:^_ 24 b o:. m:aM<':•t
Ii~iulle C rS.r L~pcrsa: wm--t'r.:rYl nnl - _ - ~JI'ret air-tt Jen„!explein)- _ _
D» tsaL?rear eut \rea lofurinannn. -
Fkyign f- w ':,p 1 .r.itT JI it App ca.i m H.tte! .l! Dspr..-1 _ Hcquiul, 'ctl D spaasaL4. cs P" p, see' Il $vstur Lln'a:.~
\1'1'ank Info C.ma.m•ia "~I s,: hivn.:asurcf ! _
to (ins s al~aj I i Jnits 1 o _
h 'ulc tcivcc TUilr.-__~ {?~O~ k1. ~1 -
jk- ! r r n u r z c
~i.-cmParln: ----L-3L~ 1J_. ( 1
\11. Re5punvbllih ilalefotu[- L?Doer~'~,ne sum,respon+ibilim loriubllaiunof,b, PO\\"ly lbn.< on the suaohcd plans. JG-~
Iu~L:q a n.l Sr n ms ol
i, NIcnl
~llll/' t >
LI1 4ddrec.✓ C'"Y 70
/ ou 1- t c 11 Z- .
\'lll. un» Urpanment l.sc Ihllr -
Yemr.:ec at 'ssunl ccnm•• en[N:,oanar
~(o$a.co i~3~i9
2F 1 I t rr .ial
f~.l nndil/$i(.S,YI~i~1VrTfE,uum frl Duapprm 2l I,
1 Septle tarp c Iltn ml
3) CM~tf-n C'n5 i~ p~.rOC~ G -ate--
nap? 1 c<11II -us! dll be r_IC s' - nz`';t J V
is per 18r3gemen plan? f, rive f by pluwnce..
2. fW Wha k re tt. - nn s Inu.il ee. >.rl. 11 ( i
aper epFdcrW\c r M zrr , o1 ~1L f
- - _ _ ntucb to cvmPhar pram fur for <r. r w and -pb 1i, rbc CllaAU\\nrrv onl ooprprr~onr Ire(e/orbs 8 11 o,bc m auc d
System. PLOT PLAN
I'RoJEc r Oevonrn Ho'r.os ADDRESS 1433 Cc:mo`mus .Ave SL to A Nev, Zicnmond V.'i 541 07
NE I; 4 S.. 1:4c 8 IT 29 N!R ' . of FOWN Hammord COUNTY ST. CROIX,
S1'S'1'EM ELEN`ATION 9S.C '13`19
DATE BEDROOM
CONVENTIONAL AT-GR.kDL XX,X CONVENTIONAL LIF"I' HOLDING 'TANK
MoEND SEPTIC TANK SIZE 12!:S p-ors LEFT TANK SIZE. DOSE TANK SIZE 76;
HOLDING TANK SIZE LOAD RATE .6 ABSO101TION AREA -30C k of chambersnone
Ilk BENClI tinRK Y.R.F. -pp. of survey iro'i ASSC'NfE. LEE\ A'I'ION 100' Filter ;,Iletime Filtc-
LE O WELL 1IL.R.P. sameasben::h7nar'F
Property -inc
Scale = 1/4 11 = 10'
Grading is to be done to 5 Ac e Lot
diver: ron-:)fl away from
svstem
inn
3-3
~ go 1
250' ,
` 3-2 98
3-1
SloeC P-UUe':y L ra
a l
1luficutt Combo TarK
Pro 4 Bearoom
Howe
Area '5' below svstem is to remain
undisturbed
Well is to moc' all WDNR setbacks
444' Property Line
02nd Ave ti O
71vLSMN CF NrANT?Y S=rVlcFs
- - 2331 A.M'LJIS FL
D _ GRLLNUPY'Vo 545U4-5211
s - COOIac: ThroLtlh Reay
` '7 P S blip -ndspssvi Gov;pmgrams: ndcslry-services
\w w wsconsin. yov
Scott Walker, Governor
Laura Gutierrez. Secretary
!;uu:an' 3, 21!19
(ONDITIONAL APPROV'Al.
ITAN %I'll GSPIRLS: 21121-01-01
Mail Review: Pl\'I' (.l 190!Nil ?-t'
'0 LN!.\ R BIRD
14 12 12111h Sl
Nr.\ It ichmoltJ R'1 5101'•
sl'I'f;: Oevering 11ontes
I :'I
S;tiul Croix Count\
Tows of I ItIMMOl:d
1:-(ir:IJc CmrlpUnel P. Vlar ual - V'.1 ? !i, SIM-I.Ai-1
IN.I) o7,R.1!12)
I'rasurc Dish ihutior. Componcct kln»u:C \'rr. ' u.
s13D-ISi?O6-I'iN.lll!til.It I!!~121
Dem-rialion: 604 GPD (a Bedro my - I'kew Cmnlrut•lioal
alai:;:u:utr: Rr:;:lixJ
lIlk, .rho:ill:J di rl `1`ml:I1as heen le\ie\\eJKa corKarltalet. lvilh :Ippfeahlr\4 isanuin ,\Jmin Ir fi•.: l.',:icy
'13A \Y i.cmnsin slldutk+ , '1 -he subnliual has bc,a CONDI 110\:%I.I.Y APPRO\'Id). I H' stcrl 1~ tO
:onstruclcd amt! Imuu.•J it 'uorJ:nave v+'ilh tltc encl .'.d::pl'n~u 1 :m, and .vith anc arrlhorru na:nuai.I
re rnxd abo\c.lIlk: o\^I\1. a. driimJ in chaser : u:.U 11 I0 01, -;ow",Tl r: Pmn.!bl,: It -I 0-011p1illllk
N idu!:I Cod'. rcquina I. 11
No rerson map nv age ill or •noi k ;n p11 nhrl;_ in I ':illy mll.N I:ocnsed L' d .:o h} tltC I ) r.lr,lr:nl ha' s.:
ilals.
Tao tillltw.inti Conditions ,hail lie rwt during construction or inslalla:ior and Prior to ocwpaucy or uir
• Preserve dispersal area prior and during consuvciioc to avoid dkluihance, compaction and u.;c of I-I
• \\'ith new construction: it is rcconvlxm!cd rot :o amkale tae puln,^. Sl :hr JPse lank I.nli: the tn:tks arc
I lllrlped prim.` to :Imalk:ol\lul' OCCIlpaaev.
• astee' ate r genera t ed from contractors CI Caniilr ofeyuip nl eat and tool<ard:or Ili m\ dr Corstructi On
prOJLCIN 11,31. Pill bC i:Ilo llll• JG;II:> &h Ti.'glil_ lU lhC I?.'i\ a:: m» tiIIC 1\'a]l 5\'iICC IT:tl IllJnl i:. >1i 111
i P0141ti}. N':1.18 :C-ern,:J sh.:f be propcr.p disposed of on-site or oll iitc.
• :Any tall grasses, leaves and shrubs sha:l he cut short amt re:noced prior to tilling the surface lift inilallal;on to
p"went ntattim under the :iisper-,,I I urea. Al. Iuow uIit Inaleriul :m he remou cd tiom the POWTS Dkpoa,a
a
• Prior to construction u1'the dispersal area, check the moisture content o' &e sail to a depth of .9 irckk:s.
1rlatrin • and co:nparul. f•.\el 1 %\ill rests in Iv.::l:inp. the 1.11-hruimn i:q?aei:p of the soil Props soa
n 'isY.n'e n:.:ct kXI h, lt,• -n i, I \ -,:.1 ir;_. a soi. 9,:1111ilc ..Cte'C!» .b.\ Arts;.:. :hi: .1' 1'. i:lto '1 1 `I- ITIJ t\tr ,
the Nile is loo sclit) prep;u'e. 11 it crumbles. site preparation can rrocccJ. 11 the site is too tcot to prepare. Jo rot
proceed until i hies.
• Dhert surface watcr Dorn POWYS Aron.
• All piping in;dl eonlur:n :o SRS'I-a`.:le 18 1-311-3 :and SI'S IS-le 84.30-5
• Insulate building setter, '.>c, onJ:30 Icet pct' SP53 S.'.:0( I l lie)
• lank lnstallaliun to Iutlott all nnuudkcnve's recommer.JaGuns.
• Po iul, l lout. I,, k , I ;md teri la d per aplmA ed plan. \m ehaules nwa.N result io pump resiiim_ to meel
11111 :Ind 1.01 sp, ( 1-1k
• A crify propcrli IineU) prior to installation.
• \F t'11 st•Ibacks to hurl :,hN. NR SI I SI2.
~ .III
• An-I, 111at:11v i,nlpi,J 11 11 t _ .,gym. bin....:lt11", 1 u .r,.1-,-:rlot..I]
• SPti 383.54(I)(e) I hQ munagcvi nl phm fur a POWYS airtll specifically' address the ,cl t icin". mecllavics of an
aerobic or anaerobic. trc:nmenl Ima o-:I h ddi m, :m:6 tsh-cle either of h,: ILllost ine, conditions esis::
i
I Il.c hot ont of Inc lank ws loaned I lore than Ii lice h,•Iott d elet:niol• tthcre the. art emg pad Iv'« ::t1.
' Lr hotRnu of the I :nk I: located nu, e th :n 1511 .cct hol'Vin tahy IFum %%kere the s re'un,,, paJ Is lucalad.
Owner Responsibilities
• Til.: ::.urea: ot\nrr. and each Ntiasc.µrcnl or: ntr, sh,al receive a copy of this IrOrr ia:auJing. inNlruclions relating
n. p:ctprr ;rc and mainicnarwe ul the sy4a•nl. Oww:; Nha!I xi% a copy of the alxropri:nc opcrn,Yol: and
n:::i l:tCnancc m.rmaI and or OR Ile:`s nwan:nll I:n' the N M IS JseI ihed in dtii apprU,;lIS PS 383.54(11.
• In the weal this soil ah;orption ss stem'11, m% of its con'.;lon:ml p:u':s mallunitiun. o N io create a health
hamrsl. the rropeRx o\cncr taut li,llor::kv annin~~,n;: plan as described h: :he approted plans.
Cory :,I :hc;gr o.kcd plan:;, ipecilica:ions and this I.It;:r Nha.1 on-site during construction and open to
inspetlit'll ho aathnriicd repr,sclllalk s A Iao Dep:uvnt•nl, ,nhie:h map include loc,d inspccu,rs. All permits
rcyu'I'ed he On: Nl:tto or the vocal municiralia Nh,:Il be o:,awned prior to eouunalecrccnl of
eon,Iru:aimI 11,[,a: iol?lopciatioll.
II: ;er:mling this appro,al the DI%:,ion of htJnsmp Scrt;cn rcsrrtcs the I ht to require Oixo e or additions shou:d
conditions arise ma inp thew I ccessar\ for code com:;li:mv. A, p slatc itcns 101.1'1'_1. nolhin_,. in this rev ie,>
,hai! rcli:\e the designer of the %sronsl .Fty :it:' JeVI nin` a Sa- h li]Jng. smut:ore. or iompon;:m.
Inquiries t:owervimg this correspocdcnl e ntay he made u, we al In-, le.crhone number listed hAv.\. or ;t( the address
on this leudwad.
I'lie above leli addressee shull prof ice a copy of this letter :mil the POW I'S manapQlneni plan to :he owner and any
others ttho :v:: respousihlc lift :he it:stallatinl. operulion or n:ain:cnaccc of the I'M I S.
Siinn7c.,lcl\.
lint Vender 1 -0!
P-ivaw SeO'll:x I'hm. Re\ictccr. Oivkion of Indusvy S;:r\ iccN
19_111A92-21 1 4 . Mon- Fri, 6:00,sows - is ill p.m.
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date:1/3~19
Owner:Oevering Homes
Location:NE 1/4 SW1/4 S8 T29 N,R17 W 1636 102nd Ave Hammond
Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03.107)
Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01101 R. 10/12)
Page#
1. Cover Page
2. At-Grade Plot Plan
3. At-Grade Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7. Filter Specifications
r
Shaun Bird
Signature
License numb 6900
J)
Page 1 of 7
SVSICRT PLOT PLAN
PRo.Irrcr Oeverina Hones - ADDRESS 1433 Cernohous Ave Suite A Now Richmond Wi 54107
NE I t J S1.V t;.l, 8 ,,.t• 29 N,' R 17 w 'rowN Hammond COUNTY ST. CROIX
SYS EM ELEVATION 99.0' uA rr: 1!3/19 BEDROOM 4
CONVENTIONAL AT-GRADI: IDOL CONVENTIONAL UPI IIOLDING TANK
MOUND SEPTIC TANK S 1255 ga Ions LIFT TANK SIZE DOSE 'YANK sIZF. 76SM., HOLDING TANK SIZE. LOAD RATE. .G ABSORP'1TON AREA 1000 # ur chambers
none
ill, BENCIEMARK V.R.P. Top of survey iron A»UMh. EL;VA IION urn' Filter Lifetime Filter
❑BORP:1101.1. O \1'GLI. +II.R.P, same as b(tnrhrnark
Propery Lino
R.M.* Scale = 1/4" = 1Or
Grading is to be done to 1.5 Acre Lot
divert run-off assay from
system
100
B-3
0 99
250'
B-2 98'
B-i
6% Slope Properly Line
Hutfcutt Combo Tank
Pro 4 Bedroom
House
Arco 15' below system is to remain
undisturbed
Well is to meet all WDNR setbacks
444' Property Line.
102nd Ave
0