HomeMy WebLinkAbout018-2013-11-000 (2)
„,._,~:~r. Deoanment o'Comncc<' PRIVATE SEWAGE SYSTEM St. Croix
SvM:v :v c i:wldmo Division
INSPECTION REPORT Sanitary Nc
607067
GENERAL INFORMATION IA iACH TO PLRMI i , ;Ixe Plan 'C No
Pcr>>nal In'c'o:du: vuu Promdc rray ue uvo fu' scxcncnr, oun:o::c: I ir:5Cy Law. 5.15 :'d ilp;mll 041900015-M
Fen:nl H~loc-.Nano twly Vlllapr. 7nwe.prp -':ns Ia>. Nc
Shaun Bird TOWN OF HAMMOND 018-2013-11-000
.:;I 81.1 Eleu I,,, BV Elev. 6M Gm..Gnnbnrl -etc' 7cwNFam! IV ap No'.
91.1 osr 08.29.17.1112
TANK INFORMATION ELEVATION DATA
YPL MANUFA,, I URLR n CAPAC!IY' S; AI IiJN H FS ELEV
s Han::hmarK 3.5 le2.~ 9g. t
AI: B10
/
'losln
jr .5
Ab[~4en Hidg "w'vvf /e. 3 92 3
I lading ::-1l lnlot 7 eff
Outlet \ \
TANK SETBACK INFORMATION St:• It
IANKIC ~!I^ :41FII B-DG. to •.n on:nc RJAG DI Inlet
~x:p;t:: Sz /,)A- Dt Rollon, 1` 9 %-7
Dosroy $L , 7 3 j I Heatler/lvtarr q /
1
ixr.:auorr Dist Pipe 7
-loldmg Ba. System 3 , p c? of
r Inal Graoe
PUMPISIPHON INFORMATION D 16 7
Nlannlataulcr Deland S: Cover r~ I7 r 4
I•nodel Numner Z`i •-1 3, p C' e~.
z15c, Ce~e~r
Tn- I ift FI cuon Svstem. Mead 3 DiI P1
/ - - - -
3 `t
oK;Qmaw Iwigth / Dia. DII 1, well 1~ -
I zs y N
SOIL ABSORPTION SYSTEM
BEDITRENCH bNdlr Lenr W, CAPR DIMENSIONS Wo Po; 1-s or Jr., iauiC ~,rp9b
DIMENSIONS `th / Z r / 6 (5e `
SETBACK SYS'LM IC Pit HI D;; I AE.S RLANI I FACHING nauut:mLrer
INFORMATION CHAMBER ON
lype' Ssicn 2171 'IA /N AI UNIT Mndc '+omocr
DISTRIBUTION SYSTEM $e : i2
I:nC•e'Llanrlnltl C Ubul v~r zrlc. $2r~ ii '.'IC'. -uscrng ti 'Cit. 4i'Inta pe
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Ite levtr - Cep,M -eeccd~S lac:: >cx Nlwcneo
I edrI cn r Etlgr:: T,,acll I rr; No Vc. Nc
COMMENTS: pnciude cone dls:aeoencies person, present etc: Ir-spection #i s 31 19 lusoection #2
Location: 101910"'7H ST /OLi Q~
i AI: U1A Descnnhon = F' 1 ~ `-"'.l{~ C~ l~ ~
i Hltla sewer lengU• = Zt 1
- amount of cover - T n n
~L
1
7
0'1 A~L~C l//l~~ A6-6r..11E /~7 dz nc,~.>~,
Pla'I re•:i%lon Rcouncd'% Yes ~No / 3i tQ /
Um 'Al r sloe rot atltlihonal rtdolnrillorl. _ 7 ✓ G
_ npepCDN Jnoler CCrt No
C; Tj t.
I( IN1
sftw -aoL'~- 0(v 7
TrrtN[ /n'
` nrp l
.i ,r3ty' and Buildings Jvislon ~t -
•~t IIZJt sN. Jddsh ngtpn Ave. P7. 8oz'152 ISam,vy ?etm,:Num'cer ;robe hRedmby Ce;
;<I I:'adlsin, V:I r3707-7152
1 ps. r r (a d ~4 co -7
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ra:c 7nc,scasinn Ntwhc
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Sanitary Penn1tplicat~tip f1.~ rY`
Ar- '.4m ,."t sclna oo' -Lis[3 r. do Tprnpr umt
4 ilcard'nn < wu7t si ;R 1
i .quires! , iot to o''caiam, a smi '+rv Pema aot \t Ph s.un nrns L+r '.al.. uwxclH v I~ sr a.:>wtt,.c 4 rn'ee '.d.tres in a.ff yea: tlta ra,hn ab:lrssP
1 < LA:ra14uIM t ti3cf' and Pn fctsr rsl Se•r -s i e,_m I , t rr:uin nu pr: vide mar ><,-sco rx s~ m<ay
/0/.3 7
,:rP,~xs ,n r..ardanc<w.1luc Ynv:w; ISVs r-il!l~,v _~L,_Ll- ~f
i .(pDGu ton Informvhnn- please Print All Inro it _ L ✓ LL„
~ 1 va':P a Q
' ♦ (m~ s Auer. V l 0 - &0 1 ^3 -"if - 0y0
y-0~•~
_S ft n ct ~C ( P
rooerIy owaa's Mailing ndrtr:ss
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7a~ (>.k Yhoo: NlcrbK I e~.~- r.' 2~ Sau:m _
nv, timtc ,y .
~,i 1 2q - -
. Type of Building (check all that apply] -r01 " 1 /
/ Subains,or.Namc
fl
ur _ Family thvdlint \umbo of $rmm~u6 _ n r
A,bIiUC<nnmerca! ilcscibc ltsa _ - ~y.~ Cary o! -
-i
SM VL'nina J Vd1s•c of
k
9
- hrahlel _
f. Type of Permit: IC'heck only one box no line.( Complete line B if npp
-7 Midrncanw co Exirm$ Sytrem itsp:mn)
r w Ssrc~ L Krplac.m ❑ ctrn: i 'Fr:atmrrl I C.Ur. 9 wY kcplaatnoor l m.y
;
Perron Numt and L a.r Issuca
B, 1 rnn K:a,. nu: Re nova, ~ ~ ~ lhn.!T of?luv.- [raosfer to/F\e+/,,)~~ 1. 73,0
LLl'. T Tie of pow . I S SatemlComponene•Dcvice:l ((_-he -
yon-1 iasv'--[ h:. rrounG I-. Yres m d n-:~n.Cvu~ ,-(rt oc 3'fouu.i _ 14 in o! mnab¢ ,,l - v1' and m"bit .il
❑ _1eit.alma:t :xs'tn x,'lavr `--~eN.~J r
I~4ol6nry, Tank
Disprrgl?re ment Afca lnFormanon.
So I q rz <ro m i[ u4fl Disp~~ ca Required) yrs re[sa1 .M1rea ?repo^ d sf)'evauoi~-~
Lk i¢R'-w $p~Yl I 9 1~/•a~~.~7
SC- - -
_-1- (apawny n; M of \aumfscnuv
V1 Tank Info i Cralkw J'one. Lmb ° S..
-T J
tiew iwkt ~tusne TmA_. ~ o i ° _y I .
rI 1 -I ~ I•~ rJ I v 4J
~fl< W POA'LO .al~T~-. - 1 - I / - IT~.w
r:,= CaacD4_
It
m-- -
r m//eII espuruMlirv fo, iostallanun of the POw 1'S shown on the attached !loos
11. Respnnslbiti .h• Statement rot uuvdervi ncd $w
h '<S1LT.:>U:r T \1T''Nwolsw- 1 Rust r%te:'hnicN
I unipc[ mnc iYCIl'~ - ~
1'iu:o!xr s AJoress. r;SV :l , Stale, >a.:
'111 aunty Dcpartmem, (Ise Only - - -r
c'rrrUcc -lu;^/sauc] nsrrnR rn! 3i_nm
qpp .r ! L,.arrprmrd-) 9~ ,oo `f//8/l 9 i- _
lcviat-L -1-- -
DC. Condnrl dea~rcrn.cnns fur Disapproval 3\ J:, /1 hJ~~~
i tark. c,1lLCn ttc 'nt /1 17 Ib(1'w CJ~o
J11Fse'-.,Cell ^L tdll(JP' e~• 1_O~y . \ v ~~i
3s per mar3,gerrien! pl,r.
2 AY 4lt!Isak nlcur~4^xn<s must Lo r-...rt, it c : rrY~~(/"w.~-~ ~f1
r per rWf&M,1arr.
Ar c! 1c rompka y:ans fn: 1be ,±Fem anA wDmB ru rM C,[oaon' oak no W Vr vin lest q--
Ara ivcLc m sin I I
Gs a A `1 Silt ~e.
arm 4 e- ti( 3 ePM'.
Systetrt PLOT PLAN
PROJECT Shaur Biro ADDRESS'432120tl-S! Now Richmond W 540'7
SE I;a SE traS A ;T 29 NJR 17 w"roAaN Hammond cot: nrl' ST. OROIX
SVSTEDI ELLVATION 99.7' DATE "'17!19 BEDROONI
CONVENTIONAL .AT-GRADE )C)OC CONVENTIONAL LIFT IfOLDLNG TANK
\10UND SEPTIC TANK SIZE 1000 aal~ons LIFT "TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 9'0J 1' of chambcr'F no'1e
BENCHMARK N.R.P. IOp of SU-vey iror ASSUME ELEVATION" IUO' Filter Lifiv:rn Fil:cr
❑ BOIt EHOIX O WELL H. R. P, Same as benchmark
Scale -''J
?roperly Line
230 Fropery Line
1.5 arse lo:
E3
10C' 99.7
i Grading is tc be done to divert 99,
run-off away from system
514' ?ro• e^y L
v~ Well is to ma o! all \hrONR setbaoks j
2', Slope
Pro 3 c
Bedroom
House / B-2
H ioutt Comb nK
Area 15' below
157th St. system is to remair,
a undisturbed
C 4C' 30'
_ 292' Property ~Ine
DIVISION Or INDUSTRY SLRVICES
2331 SAN LUIS PL
GHLEN DAY 149 54304-5211
> S _ Contact Through Re ay
PS hllp:ndsps wigovtprograms-*industry-serwces
v:.vw wis(X)nsin.yuv
Tony Evem - Governor
Dawn Chin - Secretary
April 1". . t o l l)
CO\Ufl'10NAL ;k PPROVAI.
PLAN APPROVAL. EXPIRES:-2021-01-1;
Plan Review:11% 1FS-0lIeli(:01 z-Nl
SI IAI N R BIRD
1432 130th S:
\e+v Richniovkl WI i41'1
SITE: Shaun Bird
IT,-, .
fovvn of hanunond
Saint Croix Counly
Total Amount: S80.00
FOR:
Description.- 450 CPA (Revived p).3 Bedrooms) Previolo Plan IM 272322)
Ntaintenxwo Required
'lhc suhmil[al descrihCa those ha, been r::eleueJ tur amform:, r. +via: applicuhlc Adminisirnire I ode,
and 1Visaiocin Stouues. I ae suhmiual ha,9lree:i CONM I IOAAI,I Y AI'I'ROVI:l). I h:, ws:un :s to he
constructed and located it) accordance a ilh the enclosed approved plans and with any compunenl manual(s)
reference) above. 1'he oscner. as dellud in e:h;a;uer 1I11.U IU01. Wisconsin stalules, is responsible for eomplim:ce
o ilh all code requirement,.
\o person nlay engage in or o-ork at plumbing in the state unless licensed to do so by the Department Per s. I I i.116.
slits.
bite t;tllu+ring conditions shall i>c met during, construction or installation and prior to occupancy or cse:
• Preserve dispersal arrt prior and during co:t;truclion to .moil Jisuubance. compaction and use tit* C :..`11,
• With new construction; is is wComntonde.l not to activate (he pump in the dose lun6 until lilt lurk, it
p.nnpcd ,Ivor to honwoo nar ucc:q,xncy.
• Waslesvaler generated from conlraclors cleaning of equipment and tools and or tell over construction
products shal: not be Jisch-.:rgea into the Jr tins discictrging to the private onsite wastewater Ircatmenl sc>2:m
l POWJ'S). Waste rena'ated shall he properly disposed of on-site or olrsite.
• liny tall grasses. leaves and shrubs s:r.all he cut shun ord removed prior to tilling the surface li,r installation to
prcvcnt malting under the di,lxssal arc:. :411 loose o-ranic nracriai to he removed from the POW I S Dispersal
area.
• Prior to constnmlion of the dispersal area. cheek the moisture content of the soil to a JeptL of R inches.
Snw,tring and compacting or wet soil will result ill reGJcill" the i:i ikration cupi,:6 oftlte soil. Proper xid
cusisun•c content cam lie determined by rollin: a soi' :ngdc hclwecn :he IIaIIJ\. Ir it -ells lino n 1!4- inch +vire,
the -ite is toe IA k1 to pn puree. II is u.nnh.Cs, si l+ px:p:untion Can proceed. IttIt e she is loo el to Prepare. do not
prnce.•il u')tit ir,tries.
• Divert surface water front 110l\'I-S Area.
• All piping shat cold II III AI SI'S I able >84.30-3 and SPS labiv 384.10-5
• Insulate building sewer beyond 30 ken per SPS 31 (11)(c)
• 'I ank Installation to Bellow all manul'aclure's recommendation,.
• I'I I nip II It, .11, In be xI ant I, per app roc cd pl:m. \m ON a inter mac recall in pump rein nu'cI
I IIII :uul (:1'\i lpecilicatiua,.
• Verif; property' line(s) prior to instil hllion.
• Well setbacks to meet ohs. Nlt 811 ti 812.
• 11ea, 111 11 :Irv UrfIII) ic(I Il I'I I, t :r.r..: -t w d L. ,J I: _,L_- .n. rviw❑ I
II k I I If t i', rod: I iI l C U_.
:AIL
• SPS 383.54( I)(e) t he management plan for it POWTk; shall specif icallp address the set icing mechanics olul
aerobic or anaerobic treatment tank or a holding lank where either of the lollowing conditions csisC
I . I he bottom ul Ihc tank is locztcd more than 15 lect below the e cvxiun where the scrv icing ?ad i, .oc:de:L
2. 1'he boaom of the tank is loa;t::d morn than I j(3 feel horizontally from where the servicine pod is Ioeatc;i.
Owner Responsibilities
• 'Ihc current toner. and al.:I I sabsequen( owner, shall recoive a cup) uf!hill letter including in,:ructions reknit,
to proper use and maintenance oft lie ,ystcm. Owners shall receike a copy of the uppruprlalc ,;:cral ion and
nauintcn:ulcc manual andor owner's manual litr he 1'OW"'l described in this approval SI'S 383.51(1).
• In Ihc c, enl till, ,oil ahxglaion .\su:w or in\ of its , anporew 31,I1s m;r.iunctions NO ;I'll' creak It')
h Izar. lice hrc(Iem n,.~ n, r nnl,t lid o:.c I!lc col I t, u.c) I .I, !e)er'I-C ; in Ls; :Ippr. d _11uns.
A cope of Ihc l;:proeed plans. peci lien ion, acd Ih'z letter simli be un-,ne It I: I:t, corou'u...ion and open to
inspection by authorized repre,enha i, e, at the Ikpartmcn;t. v:hich many include local inspectors. All permits
required be Ihc state or the local municipality shall he ob::lined prior to commencement of
;:onstructioo. instal latiowoperation.
In granting This approval the Division of Industr. Services reserves the right to require char.les or additions should
conditions aria; making them neceuarv for cod: cumplixice. As pet state scats I f 1. l 2(2), nothing in this
sh,;ll rcliklw the dc,i-ner of the responsibilio liar drsiglt , it ,afi building. structure, or component.
Ingairiec concerning this correspondence map (ra mud:: to me at the telephone number listed below, or at the address
on this Icuenc~ad.
'I he above Zell addressee shall provide it copy ol'Ihis letter and the POW IS nranaCement plan to the owner and any
others tvho are responsible for the itntall:!ion, operation or maintenance uRhe POW I S.
Sincerely,
rTiq ((/!IIltICl oC?'rJI
trim Vander I.ee,t
Priezte Scwaee Plan Reviewer. Division of Indu,tr, scrv ices
19241.102-2214. III:- I ri. 6 (Al a.m. - 3:30 p.w.
. 11 11 1 1....
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017:j,
715-246-4516
Date:4/17/19
Owner:Shaun Bird
Location:SE 1/4 SE1/4 S8 T29 N,R17 W 1013 167th st. Hammond
Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 IN. 03/07)
Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 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 Specificatiops
Iffs
iI.
Shaun Bird
Signature
License nu0be 226900
Page 1 of 9
System PLOTPLAN
PROJECT Shaun Bird ADDRESS 1432 120th St. Now Richmond Wi 54017
SE 1,,4 SE 1145 8 iT 29 N/R 17 NVTOWN Hammond COUNI Y ST. CROIX
SYSTEM ELEVATION 99.7' DATE, 41117,,19 BEDROOM 3
CONVEN'T'IONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons 'TANK SIZE DOSE 'L'ANK SIZI., 630
HOLDING 'T'ANK SIZE, LOAD RATE .5 ABSORPTION AREA 900 H of chambers none
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filler Lifetime Filter
❑ BOREHOLE O WELL - II. It. I'. same as benchmark
Scale = 1!4" - 10' U.M.'
Property Line
230' Property Line
1.5 acre lot
B-1
100' 99.7'
Grading is to be done to divert 99'
run-off away from system
514' Property Line
Well is to rneet al; WDNR setbacks
❑ B-3
2°.o Slope
Pro 3
Bedroom
House B-2
Huffcutt Combo Tank
- Area 15' below
167th St. system is to remain
undisturbed
0 40' 80'
292' property Line
I