HomeMy WebLinkAbout040-1151-70-000(Immune
PRIVATE SEWAGE SYSTEM
ul $L CIGI%
xrenme eanenn oia.o.
INSPECTION REPORT
uneemaxe.
607073
GENERAL INFORMATION
(ATTACH TO PERMIT(
IranPlanio No.
Pemm nmrmamnvn meelPera w(Innsl
CTyVL
ve.a. T.a
PaV,Tax
TomdPatnodeP
TOWNOFTROV
040-1151-TO-000
nor eM EP..
w.N�
.=nPla
aNrawnR.rw ap Ed
Atoll
2$28.20.583B2
TANK INFORMATION
ELEVATION DATA
TYPE
MANUFACTURER AII.aul
CAPACITY
I
STATION
85
H
FS
ELEV.
Seat =
y.A
v
IZ
Rman merle
/66
oa.ma
,,,,�
m 6
An. e :I
/.
771.
�L
BIJB Sewer
7,45
Hunts/,ry
IS 4
SVNl In nt
7.75
17-
TANK SETBACK INFORMATION
SVM outlet
all
TANKTO
Vai
RWo
Gl last
�
1
—
mearwn
1Z0
9'350—wng
W�LL
Head,
u
.Pend
Tde/6Z
1amensRat
x
sremm
3.7
/d/•S
PUMP/SIPHON INFORMATION
tall Grade
z'O
/03
Metal
Oman
3q
t fol It.. 4�sc
Pool
Moeel Out Z8
Le /o FrlatlOa Lde. syernra neq.
9 r
Farwmer nl
Ix.Z,1
m•Ue
III
—77
SOIL ABSORPTION SYSTEM
SCIOURIENCHxo
Ler
a. Of
ol. ex
eon
UPON Depth
e
I(�
III
ERILCG
SYSTEM iO
WELL
REAM
Weuun=
INFORMATION
""
u I I
I`;p
UNIT
I fif Nall
_- Nrdgof
njai°SZ5
�sny13z
1(.xa1z.5
O""
�3
SOIL COVER nsusal only ALGrdle Syeum, only
war._ean �e% lam Emee weal. eCNd MYO. Na
COMMENTS: Undwe odds dleuesaftel Penow Indent at,) Important 8 Z3 /9 a In.Petall
„ Aft RM Sestestdn-
z/Sol Israel Plan- 'J� A, $fly— Cetiya io6iv(il
Plan naaan Reaaaedv ®ve. y`Na 3 �3 I J J 6_/
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❑vuu¢et
el
.335 •.
p[T_ akeNywepw ee Hay A. Complm hay V.ppY
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K.I'L 11�Cst'cf l� (d
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2 ah: wMnlry
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Pump Specifications -�
280 Series 1/2 hp
UTERS PER MINUTE
GALLONS PER WNVIE
M ri W"MIS sS,rynmiru WOO, NOW e..w nISSWS SL yesm®mgm IS WOW ma
System PLOT PLAN
PROJECT Tom Patron ADDREBS 3B2 Peeoeabla Hill Rd Roper W 54016
114 1/45 23 /T 28 Urn 20 W ToviN Troy COHMry ST.OPOIX
SYSTEM ELEVATION 101 5' 4/14118 R®ROOM 4
DATE
CONVENTIONAL ATORADR issue AL LIFT HOLDING TANG
MOUND SKE SEPTIC TAKE SIZE 1255 gallon LIFT TANK S2P DOSE TANK SIZE 765
HOLDING TANK SEE WAD RATE 1,0 ABSORPTION AREA 600 p of pLembem none
BENCHMARK Y.R.P. Top of Oil ASSUME ELEVATION I00 Filter Lateral pirmr
-❑BOREHOLE O WI0. '11. R,K warm, as rives n
/t
0 4060
GHnmircR®b I I I
Scale 1/4' = 10' eadroom
Howe
Grading is To ba done to divan run-off away
from system
B-1 B-2 B.M.'
Huti Combo Tank ..—� 101'vs
OG,5'
Well Is 1^ meet all WDNR Unbeaten 100'
4� Snpe
B-a
Area 15' banks awdorn Is to remain 572' Property Line
undisturbed
iLlcopv qti_<l
DESCRIPTION
�� 1 IV ♦ 1\
�,�wl
HIM
w
I'��� I i
=I 1HM""'� StalaMFH\\
m i� I d \ III Croa Co,,WLOANIII
R �I §f \� t 3 LEGEND
Q l �� `�
°� rmiq RIE�/�I% �Ab - i �� V A mrrw
m.
PINEI
� Sri. AA n
\ V A _ �E SIT_—�//� \� awa,
i
V �� lr "'T \ y V —L\
wDEN annoaevmperry 0°0 18.3I08�
IDES
nmryyrn" DIVISION OF INDUSTRY
2
351 SAN L015 PL
GREEN BAY WI of 50:1
no Can IIIAl
s aolvm "nlaeartn-aewi
00
nnprMwa m. LanYEven94 mrs
oa.nenm. Sammary
April 19, 2019
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES'. 201 18
Phulomm, PWTS-041900407-C
SHAUN R BIRD
14 2I4ELAAt
w Richmond W1 540n
SITE: Tom Patootle
Lot A ralcnomnt Road
Town of Troy
snort Croix County
Toml Amount: s250.00
FOR:
L<-a.... L•-r
Mrwd Cuba, wmt Mrwal—Veit R 0. SRD-1069LP
(NATMIL R INIS)
PressumO(NIM1mIoo Component Manual—Va.20,
SB0.10)06-P(N.OVBLR ICH3)
pomburn60 CPO O Brulonmr—New Consuaetlon
Maintenance Required
Ow ma maul deembadubmmbv heneavlit fait cum manco wath im lwable Rivomin Admloi NativeCWes
and WIBLVMGn Sumlei The mbmillrl has been CONDITIONALLY APPROVED. This ryncm is to be
dr,dructed and lowiM In ecwrdanca With the amount apmi plane and who any limpoi ma a(s)
re%mnced above. The nor as tltl'mW to chapter 10101N 0), W remain Short I s ¢sponNER for comp9 aoc¢
With an And' Mmu mein:.
No pemon may op m m wink As Plumbing In the sate mesa Iicancad to do an by the Department per a 145,06,
area
The fllowins amiitOaa ahml NO ma tlanag tanawo0nt or msteuatien and prior to Nocurn cYorus:
• Preserve gaspers aura prior and during convrmmmn Ae,Nd dtstnt ll, mommorm and use of the Sao
• OR, nit rmi tint to amrvom the pump in date tank ALL the tanks art
homeowner m ssu
pompedpdot ...andocwpan.ba
• War auger and form nclrenischa Wuipot and wosSanNm laflm
products shall eg,ebe eh shall
Lhedmlm dupmed in0 ar the pn L omim wrlrnnler itnmen6nNm
AnyBull
..."0ana and a hall be all be car spcudof anwiteoroortto
• p resi ealmaieavuantlfiralashell be loose short and prior tofilingthe sortm for installation to
pmvanimri!.. atanbad bperwl Arms.
All loose rrgmnc mvnialmbr ttmoved Wm mountmea
• Missouri! watt/lrom POWTS Arve.
Prim not the dbpemim ,cheek them t of the am l to a depth of S "one,
Smeatlal...Taking of w o call will in reducing the in61va11on eapmily India sod. Praperwll
an be detetmmW by r s hang aso of sample Mlween the bands. If it into a 1/0.1nch Mm.
theyt, I, ran It to prepare if it crumbles, Site MuMmloo am pr..wdt if the ntms too ad to pmpvG do nm
Than ilItA'les_
All piping shell conform to SPS Table 396.30.3 and SPS Tahle McInnis
Insulate mill ,we, bay nd 30 feet M SPS 382.30(11)(a)
• Well scrol a to Ml lhw NR 811 ad g 12
Took Installation to blow all m... ill eamnmendations.
SPS3ffiSCQ$el The management plan for a POWTS shall steel address the residual manual of an
.obit or avunbi, prompt Ak or a holJing tank where either of following conditions III
I,The bottom of the tank is loomed came than lS for below the elevation where the borehl pad is lowtM
2. The bormm oIthe Ilk la&W more than 150 feet horeavally from her me fork icing pad is lowiW.
Verify property proof prior o Installation
Pamp FlwM1 to heart andverl0ed pmamparoy d plan. Any changer May [coon in pomp mixing an meet
TDH and GPM Sp,,i([ations,
All" that art tieO ,,in m.bJoel am py,md caw We kin, oil
tnlv tl i think talaboI' nthe bro car m :odnst he T
It gl lld11111us or _IL apprM1 cITovI.md tit sol JR artisan Loch l l pIll' de
In r I an 111ll lard it J ont
Owner Ralsmnsibllities
• TM current owner and mwb mawment crack shell receive u copy of this later including'mstrvaiens relating
mpeoperuseandmaintenanttoflb,ni Oxmenahad traeir2 a copy of the appropriate cannot anal
vmal manual and/or vocational for the POWTS described in moo approval SPS 383.54Q1.
In lbc cvcnnhis can abrands, bi or any off s womWoent III malfunctions eo mto create o health
hourk the MITI oxna must fellow the wndiall plan G deeenbed in the approved plans
copy of the approved plans, trachfinmiom and this lever elan be on site daring ronsimat and opan to
,µcoon by ental r spres sor the Depan whchra ,,lade lwol impcc n. All pemntf 1 end ix m a ear t
wandrMbyrhnsmteonhnlwlmwielpalby shall be obleloed poor. eommeneemem of In
cort5imelioNmrlallatbNopmafion.
In granting this shall lthe Tioteion of Invest Services reserves the not to require changes or addhioas should
cmpdom raise making them necti forwde cimplian,n A per state star, 101. 12G), mal In lMs r.—ncw
Al Miwe the desamir of the r¢ponsTlity for designing a sane botom&structure, o, carrepentere
InquOlc mnaminsimis recommit...I may be ni to me at lhetelffe a number Used break m at sook
eo this levmhal
The above led adkiwal, nlmll plain a copy of this letter and the POWTS management plan to the evnp and any
others he are responsible for the i"t3lla(u , oprm ran or numomwa of the POWTS.
Sneerely,
II Vwbu,.&kk
Tim Ill Loved
drift Sol Plan polargDivi n of Industry Se
(m0H, Mom pop 6:00 am Arvices
g2d2143:30 port.
umeaod"haNte
Cover Page
Shaun Bid
Bid Plumbing Inc.
1462 120Ih St,
New Richmond Wi 54017
715-2464516
CovcL'iormtiY
0
CwP orrsre1YnNo
r)11i1:1)i1QI iSURE ICES
Dare: 4/14/19
Owner.Tom Patnode
Locatlon: Govt lot 3 S23 T28N,R20W Lot A Glenmont Road Troy
Manuals Used; Mound Component Manual Version 2.0 (N 01/01, R. 10/12)
Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12)
Page#
1. Cover Page
2. Mound Plot Plan
S. Mound Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
1. Filter Specigcatlons and cross section
e&9. Maintance and continency plan
Attachments: call test n
Shaun Bird
Signature
License numbe 91
Page 1 of 9
System PLOT PLAN
PROJECT Tom Petncae
ADDRESS 382 Peaceable Hill Rd Hudsw WI W16
114 1/4S 23 /T 28
N/R 20 W TOWN Tow
COUNTY ST. CROIX
SYSTEM ELEVATION 1015'
4114119
A
DATE
BEDROOM
CONVENTIONAL AT-ORME
CONVENTIONAL Lo"t
BUILDING TANK
MOUND '� SEPTIC TANK SIZE 1255 gallon LFT TANK SIZE
DE TANK SIZE 765
OS
HOLDING TANK SIZE LOAD RATE 1,0 ABSORPTION AREA 800
If of Vbembecamme
kk BENCHMARK V.R.P. Top of survey
ASSUME ELEVATION
100' FH4T LIfldras FIIIA
-❑BOREHOLE O WELL rH.R.P.
Bam BsbenobmBM
/C
HE
4
Scale 114" = 10' Be111
Hour
Hul Comal Tank
0 40' 80'
Grading Is to be done W divert Mama away
from system
B-1 B-2 �B.M
R— 101'
Well Is to meet all WDNR setbacks I 100'
e-3
y 4% Slope
Area 15'below system is to remain 5]2' PropeM
unmegwmaa
Mound System Cross Section and Plan View
oI/
0
i
®
I
TuParm ❑ =ASTM C-33
_ Cap Mown, scud fill
nomadic
Fabric
Q Ft Castor
= Clean aggregate 4in..mh 40live
/ di to 2 ie in. n O observmronpipe
Slope Derction
/ORy �t
GENERAL INSTALLATION: The momW area is staked out along the design contour. leaning
ventilation is mowed and inked off the site. The moved basal area (L x M is plowed with a moldbmd or
abased plow. Planning may not protested if the mil is wet menigh at the plow depth to form a ii inch and wire
when a sample is rolled between the palms of the bands. ASTM C-33 qualitysend is plecstd immediately
after plowing. Send is placed with a tracked machine keeping 12 or more inches of send under the tacks or
is Pined overhead by a backhoe. Special care mast be used when placing sand of less than one foot
thickness to mwmrze compaction of the plowed surface. After the topsoil cap is placed, the entire moored
s seeded and mulched to promote vegetative gowtb, limit erosion and pmea, mom roaming. The
observation pipes are slotted in the lower 6 inches ands din place with mbar or a closet flange.
10/07In Page. ofr
�..c soo. / /�
Lh.nu,.a I e. eenr Awl"
ic.rwp
er /
/'T4�rt-4PJ DhlnW�ion Piq 1.orW1
P r>`'i FC.
R —3 Fk.
kza. inches
r� inches
Signed: Miss Diameter och
[[
License Number. Lateral Inch(a)
Date: Mao Hold Z Inches
Force Mein " Z inch"'
F of holes/Piyew�v
Invert Elevatlon of Latereis,�P-220t.
50 Feet of 2" Force
Main
Septio-Dos Tank Cross Section And Pump Performance Specifications
�Ie4}d2!'Jlrs�
�IF3i�1Cls�
I�ZT�
Fiaer PRe®®cnav-
FilterMedelN..
Irlivimum P�mP erfoemmx Regwrod
3 9 oF<ti40
n'mtt
owwu.em4eam a^Ahovelvedewm
I.00Y4g Device. fwe[Mmho4
<6^ Below O2de aee1M Warort¢lii
� PmiaheEGMe
ft
,.Om4t PBem �y
8wdch and Emmve j
r� vo ort
DimmmioA Ivcheo Vo0. Gal.
15
dorm B 2
Tob1 '.
VeotbGn. I2" y
AWtsGMe
WiM Vam CeO
W.
Weep
Hole
Buwm
Elevation
GENERAL MMLLAnON: The sepWY/ t u betlded rod h filled 4 xuadmca w we
oo,odcoum's pm" .app 4ryxi�M um dePW of Nve®lfiM eawdy fto gdoWcer MYWt
b exceetled 4VIt tPrmeeFPmt'v. M ccov cwP to DWe
b Ueo FipmgaW W t® ouch u of eppovedvWeriaL emveLW b the 4 wtih w6wifio filtim,W
Ivdoo emb4 milt Fteemt f+�to6amgK Thufo'o° iw et W �PSch10PVCo bndpe the unk
euavetim Wthe alpvau eeil<d aetee4�t.Ei y�tyswidlNBD 30Dmd Comm td.xx.
Page —D of.[_'
OLDS U
2014G 0 4 8 A
5E TCN A
` POWTS OWNER'S MANUAL B MANAGEMENT PLAN _
HIPINFORMATpN SYSTEM SPECIFICATIONS
Om v
PottMn _ SePS In Carimo
SeFticiank ManVhCNreI Ji
O Peat Fp
a Wotan
0 Mar.
goodusulhep)
ob 11111161
e lmgGbne of Gln ra and d ram,l cells span Collude W an LghNIIN munkg om dlno blbMnP limnsaa w
tt14foGans' Maatw Plumber Master Pointer RgMtlM Saar pOWTS Nuycitt. PONTS Maintainer, SePuagra
ServkJaq Ope2lw. Tank illim Irons mu5141Wde a Nsual ingR[yanOft Works) to gently any mining wMoYAn
M1alAwn. Menly any Corm m leaka. mmaure NO vtlume Occurred alWge and scum and to check kw any mi up
Orpcn9ng aeMuant on pe smnM sutWs. Ra d'¢Telael rNuq Wnbe Wualn IrzPmm m Mah tlnamuant th,
moue I'mag,myindicna to rusk kranrn'mOaolam try mmemoorclare Inhuman ma dolpan OleMueamonga
amlan y COm may nodste a lain of dome and a tqulres mo k mo mate noerva4al o Ina local reguhkry, uth
Worn trym, or
a¢k min No ol9udae ny a wIn In any Wkg UP m andd(r,fwnae ofWe ,uniammVolume,IJIe
n3,Wind hIXIM1etankstallodremoved hya Sep6ye$oMtlng OlgrzlotaM dispusM OImagoNans MtM1 tll.NR
It3, Wl9comin PpminrsnaWe Cale.
The wW.vlg N amount from, or hrFVl OrPumsul Oed PONTS Wirm"crts p2ueal(menl wmpananb, and any
now mm'ntinal4 or inonMnng ap 'ab 012 mm1Ce or on; smal IN Palmned 4 a ranged POWTS MdnWlnn'.
A amvhp reryn anall be Pmvided b Wek IrepWlgy auNMly enna,todays of mmplenon of any ¢e vise event.
START UP AND OPERATI ON
FaneuWreWiaM1On Ptiorbuse of Ne PONT$Ciosklmehnent tank(e)for tlu I1 high mPreaenIfvmm n4a0ons PmooroNe!
�� Wm Nerycempyel'eaWWagtle llre�emNOrdamma Ma dbOaasl wA(a1. are
bya sepmge satNgng ope2lm Pnorb use,
OD'Li 4�
START UP AND OPERATION
For my mnevuctlon, qvr 10 bee M My POINSMk mAMAI longs) rw Nn plpasnm of Pelnlin0;mOUle by CeIMwM this
new Impede the Ymtmee prco m endrw damage me mepem l baby). N high conomtmums ue tlnecYe men me mneas 0f Intl
IenpN remomi by a wN 'mMYma 00May m as
Sy4em elan Up MWII namotor ytmn Me mndkns May rmmnN Me 111murre MMMM
During M^T, mono, pump Arm may nN Maybe rood nth ceder Imrelc m1m pwret N ramor 1M mrw® vmle.ebr Mu be
Herded M am dammml M(M In me MUM Mx, OVMmmg Me WHOM and may malt In the mO.y Or"rew, tl wrOns' of •MuW.
To a" Me mumm, MUM TOmen to M me pump hark mowed 4a Seplpe demand Op =r pool M remong derre,W mat
rent Pump or corral a lumber w POW19 Moronism to aWT F merely qw moot Xw pump ana , b Mo-e boom Mvale
wMWM WnV Wk.
Oomdflue OrpeMV lm,overtenOlndelp male, end tlMe of perk Over.IX MneMMe M•Wrh or smp4 Na arm Mlnln
i6M1Yi Wde MerrymoodcreLAmrledalewasun nwee.
roulm
ambermcn way atlbn of Nebllbuys aim Ore waersxeawalre0m maybmpvw Wag may:
mr,eerrdel Inch of Me POWsa:
(MM M: ed vy,epee; ntandopened, bmM1; a MoMm, mNm ewens; a an wile, danW UM ampere: muflac ,his O M WMWbn uM,
(sump pump) well morend vepmabld paaWpq pem6rw; Bteaeal ner01Gdw1 meet ewepa; mtlFelbne ON: Pelmlry pmducy;
pMm mgmnaymmun.; M1mpona: eneMay mmmw hone.
ABANDONMENT
Me POINTS gets Motor I•e entlymem oNYeim uuk+ap•Map de teXm O lmUm thin May Pat kgot iM
Rod smery abandoned thmpuonm shotwpm,Omma.aa.wAdmanwtmNa ceW.
• MggnBb WnXa erq plb tlWlWOgccnneGm cad MeaMdonm pye oFenlrtpe aeektl.
• TneemlerN aYlWbaM ply MNl Mremovm eneprOmM aepaam MLye Bgtepe Bervldnp OpueM.
After Pumping, as hanks, and pale mal m evwnM eM rammna or Wax mane remwm end Nat wW epos died with M11
nml or• MUM, Inert mOM materiel.
M"NGUCYPUN
It MR PoWT6 MA end canna be mpMd rm Also mmaume hwe Wen, or MUM be ROM 10 pmvNe a mL COMPli Y
replsw system;
A algid mush minelse"a break, "aWEnd may W cal Mod for the location W e rep4m'Ml mN emcmLLn pYdn.
TG memmor nt wb M ,ld b• Pr W MUM, dWwW and mlmpeabn and anoultl r M W Ohmura MUM,W mulrkd
a mere ing vW popbed a==M, lot blow Mae
e, e c pors, mm repleml are• Wrm I Ult N Toy mead
new Wa and YN wemeWn to GM IRM a &UMM m sm,mmt Am Replacement aim me net comply 'My Me Mine rm
o A WOMIS rwleumem mao In not erMllable due M.NGIX motor all ummah,:n.. 6ert:nM MCWmb. m pOWrs a lMlaory
�hddlaa Wnk nevGMW.I'Mo toaYrnmtomaamm.mpontams.
TG Yft n.. neon Wen aamMMYea m laanllh a •idea. mgabmem elan. upon mwra a IW Fowra a mp and MR, .aeway,
G a IPerknm e Xre Opl Me UeelmM raa.sment arm. fnm,apMttmem bole mambeWe.naldrO twkmryGlmWlm..east rmo p r4leu11etl POWIS.
rMund and atrTme &l MMingrot mMaw�systems emay �m remmm in may, NIIMOM reor of Me Malay N Ma IMRtrMlva
qv Man w wM1. M ems Y MM inert.
I•wPRNINOa>
ENTER PUMPTIC, PUMP OR TREATMOTHERS AWENT TANK UNDER NYCIRLETHAL OASEVES TANCm. OR DEATH FFICIENTO%TOEN MrA
ENTER AFROMT PUMP OR OTHER TANK MGM E DIFFICULT
UNDER ANY CIRCUMSTANCES. DEATH MAY M1FAULT. RER'UE OC/,
PEPSOX FROM THE INTERIOR OF A TANK MAY BE CIFFICULi OR I IMPOSSIBLE.
NWT9tXRTNL6R PoWA WIMAIMER
Nwm
Pawn Phone si
PT eERNCIX00 E RI P MPE�
R (pCAL REOUTATO IND AUTH
Nets Noma t
pmae� 7L--.9 fL.f —i� Pow 171 —9 .,
mme emAmw wn a.md In mmpemm ale m•q.r EFa ma'nwrvxt Inwm.m Ma. a«t ), al a rn. wl.m.lm wmma W w.. rm.
0o F
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSIIR' CEftTDTCATIONPORM
Ownm/Buym ict L /.r�C9q-�
Maik*Ad&m 2. Pe4/,0o
lop
Pclty Add< 1�q 61l
(VmElmdmmlubed& Plm BZmv D�f mw - )
City/Sbk Pmcel ldmtfi s v Numbs C7
LEGAL DERCRIPTTON C,4O— S—70-60(i
Guor�ot L
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226900
1432 1201h St, New Richmond, W 1 5401Y :J_ y / 4' 715-2464516
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Project Name Tom Pamode 3
Address 382 Peaceable Hill Rd.
Hudson Wi 54016 STM #226900
Lot A Subdivision -------- Date 8/7/18
Govt Lot 3 7/4g 23 T 28 N/R20 W Township Troy
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation to0 ft. Top of survey iron
System Elevation TBD •HRPSame as BenohmaB
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