HomeMy WebLinkAbout040-1308-00-157
iv scar s a Depad,-evt of Commerce PRIVATE SEWAGE SYSTEM C-,nN St. Croix
Safety acd Bailcing C si6in•~
INSPECTION REPORT sam:aryPermlNo
GENERAL INFORMATION ATTACH TC PERMI1) 607071
S!atc` all IU No
FerscnaI in`ctmai on yc_ arov is --ay ae used `c• se-cordari, pu-poses IPvrvacy Law, s IS r d^"
Permit Ho drr's Namc. City `Jil age To'u' ip Paf-6 Tax No
Eric & Carolyn Colson TOWN OF TROY 040-1308-00-157
CSI LIM Llr, Irsp RW EI¢Y U`.1 G•script an nn Scs9am+l uvr;lyny r'L1ap N9
IJ1~ 1 C S 24.28.20.1976
TANK INFORMATION ELEVATION DATA
TYPE r.1ANUFACTURER , L CAPACITY STATION BS HI FS ELEV.
A.
J
Septic 3 Benchmark
Dos 1.s7_ ~a t. s ~ipdo
e , f Qzoo
r9 Au. BM .\Lu. Lo Z. 05 'I, 1
Ailifill
F.-1 T [ F7Y~ SZS Bldy. Sewer
G.Q3 ,(9 L 4847
Hold rg SUHt I110t 763 ?3,
TANK SETBACK INFORMATION Sri It Outlet
?ANK'C PiL~ WELL W DG 'vcn:b Inlah.- ROAD Dl Inlet
Septic , 57 Dt Bottom /x.
9 a.54
Dosing / 3 I JL l Hea eri ar
TS s.0 z
9G•S
Amalion Dist I pe
Holding - - - Bot. System ~C • //5. ~Z
PUMPISIPHON INFORMATION Final Grade ,Z• 73 ?9 29
r,lanufacturer Demand St Cover
I1 Ce z•6% 7
a ~~y C ~
Model Number lpb
TDH Lie FDchur Los System Hand TDHq aft
L.0 '06t I IVA-
Eu(cemain Length 11)a2#4 1)m Id frioI
ACT,
SOIL ABSORPTION SYSTEM y,ZS
BED;TRENCH Y;6cP . wr<ito No U' Tren• PIT DIMENSIONS No, Of Piss Insicu Did L 146 d D'ePl5
DIMENSIONS 9~ y l~14 .
SETBACK SYSTEM TO 7 1`1 `BLDGd WEELLLLrv LAKEiSTREMA LEACHING Manu•act"er
INFORMATION / CHAMBER OR ed:z Ill '_j
IpF U'Syst- ~ 36 lz(. ~ UNIT rdpdel N,m.Oe
eaJew~on ~I"/rA~- Jf+
DISTRIBUTION SYSTEM
11eal"Ma:f91 DsP hW On x -IOlu Sze xHUC S: acing ve I0A•I Taira
PiFeist U
Lu.,tu.- _~id~ .pr:th- Did soacng
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only `
D-{::n 3 ,el DCF:h 0. vi x.'. Ce{.i.nf xr Seeder Sec ned:x" I:-ec
GeN- e, ,.n (:enter 31, 3ec.Tr. _r-n F@gas ,vsC
O ACS No Yes Ac
COMMENTS: (;Include voce tliscreponc es, persons present, etc) n ..e•~c:ion 1: Inspd ur
Location: 2;,4 POUIRFIFLD TRL G t~••~,Au~•S
1.1 All Bret Desc'rplion = L~~--
2.) Bldg sever length - /~q W 0
- amount of cover = `r' 1
7 qz
Plan revision Recuired7 Yes ~.y(NO (AL 2~
Use other side for acdAicral infcrmah.n ~1 . ~ T
SBa-57'C 12 ] C, Date Insepc:u s iyna:ve Cer.. Na.
PUMP PERFORMANCE CURVE
-u__==_•,ra.r:'__ ::'.1;~- DUMP PERFORMANCE CURVE SUMP EFFI- JEN7 MODES
. _ - rcrz_t
-n,: 3i8` i:'2" & 3 C" SOLIDS PASSING CAPACITY
n: a _
4 a :L
:II i R ~ u' ~ .>_r a c ,a ly. r ~n^ u uzc
_ TR k 134 Z ryG u fl L' 111
- c I~u__af ov IL.:m_ R~i9:rt r rt ~ j5flo .LP4Y i .IT J t.' :d la. ai"-~.T
fi
I m
f I Y 1 iG 1fi'.ao e>f GN ,flN 161.,8. 'yytfd 1R+<K i
-Tt' 3 7 ..l 4' $1 l IR
-51
N 1 's N 'Y k k
-it v 1-
1 ~ I I I X ( tl
~~iz S I 1' tN Y IC 9 I1C
A JON
I of I
PLMP PERFORMANCE CURVE
SEWAGE MODELS
2" SOLIDS PASSING CAPACf T Y
,
,f
'J[
s4 ]v --.a o -~,s
Industry Services Diviatan C-ty
Si.cX_
14(X1 F. Washington Ave
/ / - KG t
P.U. Box 7162 SaaiGty ~mn Number (to M fined in Iry C'o.)
M*wn, W1 S+707 162 16 ~ x ^ O
1
State Tmma,tion Nuntba
Sanitary Permit Application V ti/At
in ae,xwdanee cvah SPS 38321()1. Wis Adm. Cod,, orb • m of this f** in the uppmpnuic So '<ratmmtal told
is required p for b ob,naing a smuwy permit Not- Application foams hx sate. wned POWTS solmuaed to 1koj,ct Address (if rkfktaN than mailmR aakkev)
the Dcgnmcnt of safety and Pmfe K" Service Pevomi mfumation You Pri We ratty be -s d frn ,cc mdary
tm s is anadme with the Pnvae y Ls 15()4 (I Xm) Slats. . Z [
1. Application fafltimation Please print .411 Infor P.tccl e
f1op.-ny (Tvrc'a Namc l i 7
ptopa,y [.acatioo '1 q. a p
Property Owner" Mailing Addarss V O(
7tt ~cf fnr GLL I,r L'Jr_(.(L' Govt l.ot _ _
City, State zip Code Phone Namba S,ctiw
(uirdc t
T~-N: R 7V Er&
U_ Type of Building (check all that apply)
LJ Subdivision Name ~.tl J
t or21F..4DweWng Numberof Hedtooms_ - f,/; /i jt ,^"eDUN
6r GeCI Block j /mot 1~
❑Pub6c!('otamaciai-Dess'ribe lJx _~yp Ja~~~•"~ ❑City ot
_ CSM Numbs ❑ Vil agc of
❑State Owned D«sibc Use Town of.__I/Zv7_
2 Q\S~ CPJIS w - L_51r~-
111. Ty _ .r (Check oulylomme box on live A. Complete Hot B if applicable) T
New Svuem ❑ Replaeemml Sl>tcm ❑ fmimm nVHolding Iaak Roplamnml Only ❑ Other Modificetiw to Fxia4ag Sy9eb (explain)
Lot Nevin Permit Nurobet and Date bstiM
B. ❑ permit R.ewal ❑ Permit Reviziov ❑ Change of Plumbs ❑ P.it Tmtnfer to Ncw ~i
owns /Q GL RGS~
Berore Fxpsation _ I (
07 'our nent/Derice: Check all that a i 1
Non-Pr -ven=d In-khnund ❑ tined Irtfitnund ❑ At-Gmde ❑ bktmid> 24 io. of suitable soil ❑ Muuud < 24 in. of suitable toil
Component (cspb.) _ _ ❑ Yretraiment lksice (explain) _ _ _
V. Dis a mairf"a ent Area infortvation: _ tlev~
Deng. Fbw (gpd) D,dga Suil Application RatdlID_dsn 11 Dispetal Aaea Rcquiecd (if) IhspetxaI Area Propmrd Syr imt
,afo S.6
u° -
VI. Tank Info Capacity in 'Tonl tl of Mmufaetmea' 8
G.A." Capons Units f/~~ a ej P• R
New Turks Lasting Tad. w 1 a ° _ 'o' a g m
ss rLV v n ti 4U a
5eync m4blitatimli
c61-Pp__ Co
VII. Responsibility Statement- L. the nodmili nad, tumor" reatmimAWty fo` t atiov of the POW 15 showy on the attached plaai
Plumber's Name (Print) )•kt~a:/* c Slgtwiutc b!P/MPRS Number Busiaeat Phone Numbs
C'D!JAt s, b T is E r7 /~,l~y'~ 7! ' l 7!5 zl3-~rI ZS
Phunbet's Address(Stsoa, City. Stale. Lip Cod,/
SK Y Gi,~ r, A J f77L~jj(_(
Ylu C'oa /De attment Use f)o •
Pamir Fee D. b. q Lsa' ISiguaNrc
pprnvcd tsoppros' b • Qa 'f Z~ / -
nivKrnwnCorlA_nsal ✓ 7
)v r•nnT easons for Dhappr 21 ~.f~
oisctr -eenrw~t
as p?r ..iet ay4rtron'
2. All m1ha.-k rwt;bbtlt. en.; M I t _
M phf pKdcrM§ v)e. ! ;.rdP.L r;--
i.
Attach la(rr~leh' plNa lac she ayaleo and a~sa b tae Cetsb' aag -paper aa1 bet than a set a 11 inch. to ume
SBD-6398 (R_ 68!14)
.f~l Si (L..;yN. tt Cunf'S'4hC~ I i
--900,= or,DPnScD i sae: 70u K5; i
7 7
N'84153 49' E 23r.84' I J t ? ` ~ =LGJ.~ 994.26
`n ; -r~!_ao• 9 13 ~ ''IEV. 896.52
LtJ - r
B158 r
894.1
r Sat 5~R4 7R-Al rIfS
8158,
11 eDK;ak
' ;g: ELE 5
9g? 8 588 83 1.2
ELEV. 888.6
1 1 ~Limp
v ..I I I1 If I ' r r f,
ter ~O A tyr 1 N
I
fI. uen K: Tit ~K ( ~ Z
' I From
' 8.
r 9
89 1
fyDFr ~1.-'t.~ nqn! 892
LOT
157
58
u ,r
Nfil, jo
Y Z`~Z`
Op
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10705-P (N.01101, R. 10112)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
A.ti sni-s POWTS lication for Review
it, 5, ec Soil Evaluation Report & Site Ma
Project Name I Description
owner Name(s): Kir_";tirtCCy;ti (oC. cti Phone: - -
Owner Address: /43'1 rcxvLcvE Cif.; NUUSC:v~ _Zip:
Project Address: ?c4 tilu r>f,F~~ TF SIC -
f~E Govt. Lot: - 114 of , - 1/4, Section <c , T « N R E Q or W
Township: I >1(~, V County: s_ ('Ft 1Y
Project Parcel ID # (SIC i 7c5 - i . 7
Designer Information
Designer Name: NA ARV • lo -Huyeck7- Phone: 715
pp
De51gner/Wdn3ss: 2849'1 Kin16 f{fCTHuRS cf-, pmlZU►?s/, Wi zip: 61"
.
E-mail: This sc- mp
~~Ol(~sf~rdesian ou+IooK-~~"~ J`$-°{~`~""i
License Number: I gsq 00 7 d~ to
Remarks: ? o MARY Jo '
* HUPPI: o
D tang
~IVQti FALlS,
Nfl c
Signature: / !i c, /r,' 1- Date: os zc'/I
,e*.w st&nMBd copy.
Of aL, AN
s
i 3 P Y N rcr ~1 57 tY~9y , i,tr
3A -_6
~ --`>00 Px 5-'I,vG ONrtt.vLS~
X400- ?cDGGsc'-D re
6~~ ~G ~ViTG ~ `ti1L 1SQ21t`U' .Vi 3PG.CFY.ti i
c99 Aip fOmm d3 `.ft6K,K f7llakem,2
`uM{fj
-A s
- FOP Y'
71.44' ELEV.' 894.26
84.53' 49" E 2~ 84' 1 1 EV. 896.52
9 3
g~g^ i X98\ 81580 ELEV. 894.1
ELEV. -
I Izl bit 9C' rF'Fee~~ES~ 13158A _
NG N> ictsFrr 1y~ wect-~nt+17J 1 ELEv.
92.8
OF 'PR,V N F r„~ ,lt- + I
Ini-
d
d9a 8157A
ELEY I E 588
B
~ 11Cd711 891.2 I C
1?.lc3 `71~ 7- A
ELEV. 888.6
ALLDA~yO- TK ~ \ ~.nl'( 1 I• d i. ~1~, - n 'nrl: -
UMP ~ .b •~4; .~Jc
t-, I ~ .:J ~ In.:n:.. rn~ 'rru. ,n L. r•nMJ
s R~ O ---9dc - f . .Ivu6' ~m I il~ bV
I C°.l `-l WOE '~1 h
7 =
25 ficon 1 sE T~ 'K I
1••~~ l-59'FleoM L2 ~NFr~ -
8
,
I
~aL 891
fi'AurtILL- L' L 892.
i
- LoT
157 158
7~4Y32
VIC° ~~KO~yV C'dLSdA/
ss PAGE 3 OF 4
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INSTALLATION INSTRUCTIONS
!VW
PL-122/PL-525/1'L-625 sILTrm
`c.
INSTALLATION INSTRUCTIONS
t~rtle~, 1
I i :•,_m opordng
w~
k e e
ACJdlobl pyw w
Po" Extend B Lck • GILe... -
Iorcentenng.
Ste 1: Step 2: Step 3:
Locale the outlet of the septic tank (A) Before installation; place the (A) Glue the filter housing on the
I r l Remove tank cover and pump lank filter housing on to the outlet pipe. outlet pipe.
n necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the
c-ur.dU is positioned so the filter can bo housing. making sure the filter
® "PA" WMW N
removed from the tank for cartridge is properly aligned and
maintenance and service- completely inserted in the housing.
MAINTENANCE INSTRUCTIONS
s
' I
i
Step 1. Step 2: Step 3:
L orate the outlet of the septic lank. (A) Remove tank cover and pump (A) Insert the fitter cartridge baci:
it necessary. into the the housing making Stare
PLUMBING DO NOT USE (B) Pull the filter out of the housing. the filter is property aligned
WHEN FILTER IS • and completely inserted.
(G) Hose off the fiperover the s" tank. (ey Replace septic tank cover
USE RUBBER GLOVES Make sure all solids fall back into the
t WHEN CI.FANING FILTER septic lank.
1-f" -1 P~14
PAGE 4OF4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system stall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384. Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore, all inspection and maintenance activities shall be performed try a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = &00 gpd; BODs 5 220 mgL"'; TSS 150 mgL"; FOGS 30 mgL"'
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.)
o solids volume in anaerobic treatrnent tank(s) and any distribution appurtenance(s) (i.e.. distribution I drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extend of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump recycling. float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, 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 back-up into stricture served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Slats. when the vdume of solids In the tank(s) exceeds one4: bird (113) 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 fikWsl shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: WAI-A t_ D Phone: it✓~ yZ~
Local government unit S7. poi/ (o ra M u nr i-r y. V'vaLOP M'b /uT Plane: `'t - Ll~ Sb
Local govemment unit address: 1l tl -_~00 VA ZIP: >v1 !!r
Any defective part 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 POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Continency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-oomplying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33. Wisc. Admin. Code.
GRAVITY-DOSED PAGE 4 OF
SEPTIC / PUMP TANK SPECIFICATIONS
ewv,ft, (No Scale)
„o rt ao,a
awbodw eaddag
noa°°°°`° "~'wnEC per'
{tiadW1 'BesMsma! ~'~'~e~eranemssy.
oft
MP-Q ANT VeMAppvmd
AWaved Anchor bu*(5) 85 neoggMy ,y Le Mwk*
-
PWUX09 W SM 363,63($X9) CandA (rye
4* 1*~m=At above
ESWAh+W nod F3ava16n
~gFy~y Baal (OYP~~ol)
Pd*"Md Graft
CAPACITES ukck Obgarm Depth (in) Volume
A
;s
2.0 Min. Depth in
T
~u, ?aa~~
D t) 17 7. C) 7 a ^m"
,on
*Pump Tanis Lkluld Level = In , P-V PUMP-OFF Off
Cho ELEVATION= It
Gi
Force Main Diameter 619 = INSIDE WTTOM
abck ELEVATION = ,it? ~n p
Force Main Length ft
^'"w'°"°~aeaeM+aearre~nr.,t ~••ri:.:~
&uY tome main below frost fine or hundath
as neoessatY Pew to SPS 38230(71 xc)> WAC. s `yG> J v - ii. yi fo , l = 77, S, is
tie
L ~+~-NOtMAR&ACKIV0.,* 1Z Z 0! , ~_(Ycrts.= 77 _ du
- yam. Sc c~ /
VwkW LM- j n ✓ _ ~ ~7 7~'x l 3 ic0 1, 7 3 ✓
.5, b' 3 .~tcc~Mti.
PUMP TANK 0, ~r 3 _
Volume = gal 5 3 i 7"'r' SEPTIC T tAK a-
Total Volume -
Manufacturer; i✓~
Man~actun3r(s}: W Ir
Pump Manutac6rer; racu LD
PumpMoftt: - .3i stall ed mAl teratthIII e
Conl Ws/Alam ~°'a"di°o'°~va.ay 1a1r11C D
Manufacturer. ~F_ KHUro1$in-=>
Conaols/Aainn Model: +1 P, rfi ;U Filter Mafp
R7 K
Filer Modek
ar
2
Wastewater
f
M FTERS FFFF
40
PE51 Mcoe_s PEI;. 11-1,11 , PE57
_ _ H', 33,,w. 'm
35 ~ ~ -
0 -►I jj+4- 2 GPM
30 `E41 T-- 1 FT_
0 -
= v5 PE31
v
z 20
O
¢ 15
O
H
10
0t1 f
30 G 50 60 70 GPM RC
t
0 - - 10 1'5 m3Jh
CAPACITY
PERFORMANCE RATINGS
PE31 _ PE41 PE51
Total Heal -
GPM Totai Head
(feet of water)
Hf t of ,.:..tin GPM 7oLl Head
(feet of water) GPM
5 _ 52
- ~ °i 1^ 67
G 42 15
59
1a _6 >0 50
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SOIL LUATION REPCR` axe- If
Uepan.-lent ul Commerce
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t'IiVAL GRAdt ELEVATIONS
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need ma:rrial in en altc,natc Format. picric cnn~ct the dcre, mcnt nl fYOH 266-11`1 u F r Y nO8-7nt-9777.
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