HomeMy WebLinkAbout032-2174-15-000 (2)
PRIVATE SEWAGE SYSTEM St. Croix
'oa-e:v a-c buonmc irasrm+
INSPECTION REPORT sam ry P1114 No
GENERAL INFORMATION ATTACH TO -IERMI 1: s:a:~ 615310
pmn T1 Nb
F'er r4uvt-,:d or. v0.. pmnec rray Ire u5cc for X-SDO:I:frY Vur, t va:n Lan. 5. 4 111,11j
0"A rolncr-. Name ;;m 'v'r11aa i au'r.e•-11 Parcel Tan:'.n.
evering Homes LLC TOWN OF SOMFRSET 032-2174-15-000
CST R1.1 Flay msp BN Liev -AM p:•::.. mor =::l andlrNUlR:niJrJ.1:rF Nn
27.31 19.1470
TANK INFORMATION ELEVATION DATA
Iv;,: IJ',N,;Ft,;-TUR=G: .:APACITY STc.TION L'S 111 rS LLLV.
Se:plic BenCnmam
~asiny All BM
Acraoon Rldd SevUr
IHOldinq SUHI Inlet
SUHt Outlet
TANK SETBACK INFORMATION
TANK -C! P+L LL BLD3 'em to 4n Imam ROA_) Dt Iolef
Sepllc - Dt bottom
:losing eader.-Man.
Aerahan Dist Pipe
Huldin9 Eot. System
L1na (trade
PUMP/SIPHON INFORMATION
Iv1Fn a;luclmci Demand 51 Cover
cPrt
Ivljdc' Nu:nbcr
"UYI Litt i nation Los; Syslern Head GI I
=emam Lenalh Dia. D:,1 h: vdru
SOIL ABSORPTION SYSTEM
BED.TRENCH .bicM _enpth Tmnrn,, PIT DIMENSIONS Nc U! ry, mace ]:a _ ,..d Doper
DIMENSIONS
SETBACK SYSILM T.. (^L EiLU Y"&11 IAKF:S-RP~Jv1 IEACHINC /d:r+ul:>duro
INFORMATION Tv;R pi 3.•sten CHAMRFR OR
UNIT Ncce N,'T"
DISTRIBUTION SYSTEM
Ilcrdcr rtAa .dao:o I Jut:ibutinn .Iles ~dZe _10e
~',.aLibe 'eni Sir Yla Se
',Dvsi
I-ugly C e-nq.t
Ga 'S p..,: y
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
ant- "I" Oeblt: r or c ,r-~rdrs~;;,ec xr Mwd+=~
Red/Tnnb .'.<e+tc' 5etla rentt inure -,n,
rte. Na r.._ Nc
COMMENTS: (Cr::lude Cc ie dtscrepenCies. oersons oft-writt( msper.icr f't Inspect,or z2.
Location: 1 <p C, g-1- S r
1.; All 9M Desc:nphon -
2 1 Bldq sewer length =
- arnounl of covet =
N.aD revtsior Fteyuued? Yes Nc
Usc• other sida for additional mformanor,
Gate lnscvelo's Cignalu r=_ ccn r'm
3 G-6i 1.
Vti ~1q-/G
a~ - Safety arid 6ji'aings Division
s l
S 219 20 W. NJas9ing:on Ave.. a.0. box 7161 Ssanary ?emi: Vumt~e (to. be ".Ilecnb} c i
A1aalson.'✓s9 5=7-7162 ip~ 1o'tw s/, 5310
$=ita tr[wltAppliCatlOr~__ SamTnma.ptioyFomh
m a;zurunr< u tL S l', ib° I 1. W:s. A n t tide :~onittitr. d This tcts IC Me apgpnate goyaorwual unit
-1-
IS teGutted , Tin t r t. I_ ntanun¢ a SmIM-) -r 111 Vac: ;W=li,ation fc ms fee stauawtrA i'?W'T'S ate Subi n ut H> ? rul.a +C.ire., if difsneac Mac :tutLog add:ns',
the Dcartp:Iwt i Snie:v =:t Nall smral S--Mff, Pers:mal irfomr_tmn •vnu i:olidc nuy be tn:d fw srconhrI
r tr r.e< in aw ^aa:e ui.t Me t't ivney Lau 1 Gvl N'a'
T Application Information Please Print All Informaliuu
f} -tc s S m:. - - _ care: u
~~)~✓f A.4- 4~
Pr Pcr}. i:.yr r s tiSat'r. Propem Lo=annr. 7) I p
Lot o~
u} S^vc ^ / r.ir ~e Ptoo: Numbc: - / ,i S:euo
I
U. Type of uddmi: Icheck all that apply) L` Lo T~ V, k y W
an kJuelhne - ]umber u1 H:dsrons L Sub^_rvi irn Same
oll
okrIy+~~~~-
PuJhG'Copmlc ial - Dambc
~ ' SM VL'n:prJ i - ltl}nf
LIB Onned - : ksenbe Use 1~ vWnc m t
Stair ~1"~
,f~
~3 A;S~ EL FIe t.5 Ouei - 76
I It. '1 ype of Pa' '(:heck vu l)• one box on line A 4. Complete liar R if applicable) _~K l -
A ca S)sacm krpl.;ei=-i Sy,]', Pa
I 15 I ~ 'I rv:cncu. L .d.u~ 1 ~:k L+~.Iv.ancit :hdy ~ 'JNrr sS.. W:c....rc :n I zwnng tiysL-.T irx ~ tn}
- P::mit1:umba and Dale hscc
B. Pam: kene+sal _i Perini: Hcv umo ~ ! ~.i1gc of?P.¢uix¢ l l Permit ]'raasler Ic Lw Previous \ew
Bclpe- Ux^u_nan m.Com oueuu•Dcvtce: Acck all that apply r1.m
lV z
Sno-P:c v.i ^J Ir. i'r. c•v ❑ ?raty va b n n: W Al, n:x:r hlsut+' a of sui:able soil LJ Mound <?4 at M aurta!,ir v..il
l4tkr Ut pdsal r' m n t ap;.wi :iTetiarnacn x+;a'solamI 1ry•` /
V Dispers~lT l 7 ,rat jrcir fnrormapop• f--
~iib .I, pdli i.,n 5.:1 .~.PPL.... :rtate,pd 1, Unpm.d Vcr kequau. leh G: pr..rl. "'r. imposed .}'stem 5rau
Vl. T:mk Info t apa irv in T ta: S of Manuia.•ru:cr
<zt rs (.albs Iliac; _
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.ev TsSS -.rstnf ~aaa - s
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VU. Responsibility Statement- 1, tar uudr,oi nM, a mr rc ponsfidily for iusullnoun of the POW 1U shnwu on the attachtd plans
Plm;uxt's ?.ni¢T~in:',~ Sipaartum WY+t?hS .Sumbr Rusmrss fbur¢Ntanh-,
?lwab"s l ss .Strc0. t s. S :rte. Zip 6,
_VIIl. :ounn'Uepartatent Use Oulu
•'e" it rec D cur. Q ssuar, nt Si.m. n r,
I.X. C:ondlti prmacaresons efar Uts ppror al
1. -hrk tiksn: Ilrte n•~ (,'J ( xf_o
upper cell -,t all ce ^_Irs tj_ ec LL
is pr to 3yemer pt n ri „:ioe noe . ~ , v yNoA*~Q.J~4`NC~
2. AN Whirk rect. tie, en,s 0`11,1 A u; c
as per Wiicrb;:c.:C:?:M':.~iisr:.
Aiwa 1. umptex Plain for rG z)srrc ind mbni: w IM (:.t, od. a Pape rut 1es may a 1 11 -vcbc in :tie n r
p~awrr a . /f~ p ~C~'IL2 f 1.
5RD-(wxift. Il+t r. 1 / K I'
5) Alt 6&-f-m,45 MOO- fix- 'Z
off- ~.oda,~,
S st::m PLOT PLAN
vizmECI Oew^rric -iomes kDDRESS 1433 Cemohous Ave S.oi:c A New Richmonc Wi 54017
SE t/a NE l;as 2 T 31 N;R 19 N' ToAAN Somersc' cot'vmV ST. CRON
S1'STENI RLt:A'ATION 97.1'97.0.'96.9 1.5 Deloty tirade UA7•F'S'9l19 BEDROOM 4
i
C'UNVt:N'1'IUNAI. AT-GRADE CONVENTIONAL LINT HOLDING TANK ~
1255 gallons LtF'1 'I:ANK SIZ 1:'65
MOUND SEPTIC: T ANK SIZE DOSE I:ANK SIZE
.
❑OLDING TANK SIZE LOAD RAIL .b ABSORPTION ARLA '200 ft of GZ-EI(,24
k BENCHMARK A'.R.P. ToD of SE lot eorne• ASSUME ETFA'ATION 1410' Filter Lifetime Filter
❑ BORH TOLL O AA'f•:IJ. "IL R.1'. same as benchmark
cJ7ty ~L
Pro 4
Bedroom
T, .
_ Huflcuu Comho'funk \vvvvvv /
B.t 1.
O(Y
911' ;_;•x NO Cell. Naith aaeins
B-1
60'
1`7r Slope B
260'
ip'
`..His
B-,
4_IcOp ~
644 Proncrt\ Li-1
i
Cover Page
i
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
I
New Richmond Wi 54017
i
715-246-4516
Date: 5/9/19
Owner: Oevering Homes
Location: SE 1/4 NE 1/4 S27 T31 N,R19W 1970 57th St.
System type: In-ground absorbtion system(conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Pressure Distribution Manual (version 2.0)
II
Page#
1. Cover Page
2. Plot Plan
3. EZ-Flow Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Specifications Sheet
8. Dose Tank Cr ss Section
9. Pump C
Signat
Lice umber 4#226900
System PLOT PLAN
PROJECT Oeverina Homes \DDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
SE I/4 NE 1l4S 27 /'I' 31 N/IL 19 W TOWN Somerset COUNTY ST. CROIX
SYSTEM I:LISV:\'1'ION 97.1/97.0196.9 1.5' below rlrado 5!9119 BEDROOM 4
ILYI'I;
CONVENTIONAL ,\'I'-GRADE CONVI NTION11, LIFT XXX IIOLUI\G '1':\NK
MOUND sFrTlc TASK SIZE, 1255 gallons LIFT TANK stZF.765 DOSE TANK SIZL
HOLDING 'T'ANK SIZE LOAD RATE .5 ABSORPTIO\ 1200 # of EZ-Flows24
BF.NCIINMRK V.R.P. Top of SE lot corner ASSUME, FI.EVATH)\ ton' Fillet- L.itelime Filter
❑ BOREHOLE O 4Y 1•:L1• . 11. R. P. same as benchmark
Pro I
Bedroom
10' Huusc
Huffcutt Combo Tank
911'
B 1 90' 3-3'X 80 Cells with >3' spacin;,
-
0'
I`f~ slope B-2
'60'
50'
Vents
B-.
644' Properly Line
7ullwog jm %V unln:uo)•T1nv NVId 15077S 3S(10N
30CW H61VH 888 BSI 101
S311VG 60-61 S3WOII ONIN3A10 ^
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S L CROIX COUNTY
- SEPTIC TANK MAINTENANCE AC(REHaWN'C
ANl)
j OWNERMIIP CERTIFICATION FORM
_ Owner/Buyer
Mailing Address
Property Address
(Verification rerpurell horn Platming & 2unitt L artuien[ for new constrllclion.) - -
CityrState
Parcel fdentificalion Ntunber _ O z _,;71 II
~7
LEGAL DESCRQ'`I'ION
Property l.ocation,<,6-
- JV~ 1~a > Sec.~Z 7 > T 31 N It~~ 1Y, 'Town of
Subdivision
('e('tifled survey map Lot #
Volume Page
Warranty Deed # - - - -
- Volwuc _
- - - - Page #
Spec housye no f.)i lutes idenlifahl
Ye' no
SYSTEM MAINTENANCE AND OWNER CER'I'IFICATIOIV
IMPEOPer
ConsiMSIsLS use of and pumnyraiinuF out teuanc it stptia system could result in its premature failure to bandit wastes. Pzoper
❑airdenauce t he. it tank every three yews or sooner, tfnt
affect the function of the septicc
the system can edcd, by a licensed pu«yrer. What you out nun
t'espnnsibililics are specified in §Camur. tank as a treatrncnt stags its the. waste (hsposai system. Owner
maurtetrauce
8IJ20) and in Chapter 12 -tit. (,flux County 9anilary Ordinance.
the property owner agrees to submit to Sr
Owner and b a master plumber rota Couuty Planwrig & 7ouirrg Department
wastewater disposal syslcn, is um I a cxttification tone signed by the
, I journeytnarr, phrmncr, rest-icted plu;nber or a licrtrsrri pnwper verifying that (1) the or.-sito;
te
less than t/3 full of sludge. Proper operating. condition radios (2) after inspection and pwnping (it necessary), the septic lank is
]"we.
Set Ithe undersig have recd the above reyutrcrncws and agree to nmu;tuin the private sewage disposal sysrtem with the
7.sauonidng Deinds see orth, Ircr y as as set by the Tmepartment of C:aruurrce arul tile Departnten2 of Natural keaowces, Start of w'
C' sconsirt.
ctrifg "eaparmstating that t Within 30 our dept days h, system iras hetn maintained trust be completed and returned to ;he
of the three year expiration date St. C'rnn
i C:ouuty Tlwming
I/we. ccrtity that all stalcninuts on lilts flan al;; true to flit bust of nfv./unr knowledge. 1/we atrv`are the owner(s) of the
Property described above, by virile of a Warranty of recorded ism Register of Herds office.
Number of bedrooms y
IGNA'1.1 OP APPLICANT(S)
D.ATF
***Arty information that is rrusreprrsented may result ill the sanitary Permit heing tevoked by (hc, Plar:ning & lowng Department.
Ircludr, with this application a recorded warranty deed hour the Register of Dteds Office and a copy of the certified survey snap it
reference is made ism the warranty deed.
(RF.V. 08/05)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_ of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner
_ Septic TanK Capacity at ❑ NA
Septic Tank Manufacturer ❑ VA
,DESIGN PARAMETERS Effluent Fitter Manufacturers ❑ NA
Number of Bedroums L ❑ NA Effluent Fitter Model O NA
Number of Public Facility Units 1 __`b4 NA Pump Tank Capacity a~-❑ NA
Estimated flow (average) Pump Tank Manufacturer - /l S ❑ NA
_ _-Zy~Q aVda 1L
i Design flow (peak), (Estimated x 1_5) gaUdav Pump manufacturer z 13 NA
Soil Application Rate gabda e Pump Model p'NA
Standard InfluenUEffluent Quality t Monthly average' P etreatment Unit ,11A
Fats, Oil & Grease (FOG) '30 mglL El Sand/Grave; Filter ❑ Peat Filter ✓
Biochemical Oxygen Demand (BOC.,) X20 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) <150 mg/l- - `i Disinfection ❑ Other:
'Pretreated Effluent Quality Monthly average Oispersal Cell(s) C7 NA
Biochemical Oxygen Demand (BODs) <_30 mg1l. Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) _30 mg/L -X<NA ❑ At-Grade U Mound
Fecal Cofiforln (geometric mean) X10` efuMoonil C Drip-Line ❑ Other
!Maximum Effluent Particle Size in dia. ❑ A al. ❑ NA
L Other
NA Other - -
"Values typical for domestic wastewater and septic tank effluent Other C NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Iinspect cunditiw. of tank(s) - At least once every: 3 ye'o n ar( is)s) (Maximum 3 years) L- NA
_ ear _
;Pump out contents of tank(s) I When combined sludge ar.d scum equals one-third of tank volume ❑ NA
inspect dispersal oell(s) At least once every: 3 ❑ month(s) (Maximum 3 years) C NA
Year(s)----
-
-lean effluent fitter At least once every. / .y eears) nar (s) ❑ NA
- - ~ .
inspect pump, pump controls & alarm ; At least once every: L! month(s)
- NA
ear(s)
=lush laterals and pressure test [I month(s)
At least once every:
❑ NA
U year(s)
A: least once every month(s)
❑ NA
year(s)
near: ❑ NIA
i
MAINTENANCE INSTRUCTIONS -
,Inspections of tanks and dispersal cells shall be mace by an individual canying one of the following I.Censes or certifications: Master
'Plumber. Master Plumber Restricted Sewer; POWTS Inspector: POW-S Maintainer, Septage Servicing Operator. Tank inspections must
include a visual inspection of the tank(s) to identity any missing or broken hardware, identify any cracks or leaks, measure the volume of
:ombined sludge and scum and to check for any back up or pnnoing of effluent on the ground surface. The dispersal cell(s) sha!I be
visually inspected to check the effluent evels in the observation pipes and to cherk for any ponding of effluent on the ground surface.
The pending of effluent on the ground surface may inoicate a failing condition and requires the immediate notification of the local
regulatory authority.
When the combined accumulation of sludge and scum in any tank equa!s one-third (iS) or more of the tank volume, the entire contents of
the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wiscons,n
Administrative Code.
411 other services, including but not limited to the serviong of effluent filters. mechanical or pressurized components, pretreatment umts.
and any servicing at intervals of -:12 months, shall be %irtorrned by a certified POWTS Maintairer.
service report shall be provided to the local regulatory authcnl)' :httan 1C uays of completion of any service event.
Page _ of -
START UP AND OPERATION products or other chemicals that
For new construction, Prior to use of the POWTS check treatment tank(s) for the presence otnsf are detected have the contents of the
may impede the treatment Process arxilor damage the dispersal cell(s). If high ooncentratio
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when sod conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the
surface discharge to ew ll be of .
discharged to the dispersal cell(s) in one large dose, overloading the oll(s) and may result in the backup to restoring power to the
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
within the pump tank. the area within
Do not drive or park vehicles over tanks and dispersal cads. Do not drive or park over, or otherwise disturb of compact
15 feet down slope of any mound or at-grade soil absorption area. and prolong the life of the POWT~B:
Reduction or elimination of the following from the wastewater stream may improve the performance andid prolong foundation drain
antibiotics: baby wipes: cigarette butts; condoms: cotton swabs: degreasers: dental floss diapers;
(sump pump) water, fruit and vegetable peelings: gasoline: grease; herbicides: meat scraps: medications; oil: painting produeYs;
pesticides: sanitary napkins: tampons: and water softener brine.
ABANDONMENT
When the POWTS fails and/or is penman fitly taken out of service the following steps shall be taken to insure that Gte system is propel
and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and property disposed of by a Sep" Serwcing Operator.
• After pumping, all tanks and pits shad be excavated and removed of their covers removed and the volt space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
if the POWTS fads and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
Q A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm.
he replacement area should be protected from disuabance and compaction and should not be infringed upon by required
setbacks from exisWg and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the n0ed
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruica in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a
homing tank may be installed as a last resort to replace the failed POWTS.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be irstalleoi as
a last resort to replace the failed POWTS.
❑ Mound and at-grade soil absorption systems may be reconstnuted in ptwe following removal of the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Oil A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE
ADDITIONAL COMMENTS----
POWTS IN POWTS MAINTAINER
Name 4' F') Name F
J, Phone
Phone
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
Name Name S--
l
Phone n ( - Phone >rj, -
This document was drafted in canpliance with chapter SPS 383.22(2)(b)(')(d)a.(s, and 381KI), (2) 8 (3). Wisconsin Adminstiat ve Code.
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Septic-Dose "Tank Cross Section And Pump Performance Specifications
i
Tank Manufacturer Pump 1`9anufacturer l -
Tank Model Number oZ S Pump Model dumber
> n ~4anulacturcr
total Tank Capacit}' 7 6 Ilan
Max. Bury Dcpth 11aon Model -Number
Switch Type ~/~i~°i-Gclx
Filter Manufacturer , - ~Total Dyn:unic I lead 1 IDII) - Feet
Filter Model Number f l f Elevation plead _T-1(2
Distal Pressure
Network Los
hlininlum Pump Pcrlomtancc Required Force Min Loss ! ~(l
- GPNI 0 Ft TDII ~ r Total ~U -
Outlet Manhole Min. d" Above (rade With
Locking Devicc. Inlet Manhole Manhole Min. J" Above Grade
Mounted With Locking Device
C" Below Grade Sealed Watertight Securely Weather-proof
r-----------►
Jilliction ON
- - - Finished Grade - - -
Vent Min. I'" Disconnect
lhovc Grade sc ns
With Vent Cap
i
Outlet Filter 1
Inlet Ballle -
I inlet r---
Switch Settings and Reserve Capacity A
j Tank Vohmic - G1 i - Weep
A Hole
Dimension Inches Volume Gal. B
(TCScrV0 A .,6 yY_;~- _
(alarm) B 2 jf OffRlevation C
Z b _ ~3t'~t Pt
Bottom
(dose) C _ (dead) D IF Elevation
Total 7f Ft
GENERAI, INSTALLATION: The seplic.idose tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of hurt' as specified by the manufacturer may not
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fillings. and
laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank
cxeavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Contra 16.28.
i
02i0 LJ Page of
' - -
250-SERIES
113 hp Sump/Effluent Pumps for Professionals!
ALL MODELS FEATURE: MOTOR SPECIFICATIONS:
• Rugged 1 /3 hp motor, oil filled with 1/3 hp 115V 5.2 amps 60Hz
thermal overload protection. Thennally Protected R Permanently Lubricated
• 1/2" solids handling. (PSC) Permanent Split Capacitor
• 1-1/2" discharge Maximum Fluid Temperature: 140-F
.
• Hermetically sealed motor and switch cavities, DIMENSIONAL DATA:
and permanently lubricated bearings.
• Liberty's LINI-BODY casting - a solid, one- Weight: Model 257:20 lbs.
piece housing that eliminates the lower motor Height: 10.5"
seal ring found or) other pumps. Major Width: 9.6" (manual model 250)
• Epoxy powder coat finish PERFORMANCE CURVE
• Vortex style impeller for superior PERFORMANCE CURVE
solids-handling. Made of high temperature
engineering polymer.
• Fasteners - all non-corrosive stainless steel. 20 s
• 416 stainless steel rotor shaft. v -E s
c f5 -
- 5 =
250-series Cord Lengths ti a
Model 10' 25'(-2)_ 35'(-3) 50'(_5) x ro a \
- - N
250 Standard y
_Optional Optional Optional re-
251- Standard _Optional Optional Optional 5 2 m
253 Shndard_ Optional Optional _N/A 0 - o
257 Standard_ Optional _ N/A _ N/A o to 20 30 40 5o
10' cord length standard on all models. For optional lengths, U.S. Gallons Per Minute
add "-2. -3 or -5" suffix to model number l
Example: for model 250 wilt, 35, cord, order 250-3 38 78 114 156 tv:
Liters Per Minute
EFFLUENTMODELS
irL•
5jw'~C',y--F-
Model 250 Model 251 Model 253 Model 257 VMF
Manual, no switch. Quick-disconnect Wide-angle float with VMF switch, magnetically
wide-angle float senes(piggy-back) oriented verticalfloat -
mercury-free, plug, allows manual operates in a 10"
operation of pump, diameter sump.
Certified hp.e satery tatsc M,r
UniteAStatus and ca'111ildal
gneln.mn-,.,.-. crt h.,lVn.T'. .ne n„ilmuer.
Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839
www.libertypumps.com Copyright t UbeMY Pumps, Inc. 2017
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RECEIVED
DEC i ti CHi'
Wisconsin Department of Commer~ SOIL EVALUATION REPORT Page ; of
Division of Safety and Buildings
uratc651ance.wOnCOMMW, Wis. Adrn. Code
County
Attach complete site plan on paper not less tlwn 8 1.2 x 11 inches in size. Plan must r -
include, but not limited lo: vortical and horizontal reference point (Bkl), diredion and Parcel I D l
pereont slope, scale or dimensions, north arrow, and location and distance to nearest road. pl 7 ' ~S-tiGv
Please print all information. [R!ewed Daate
Personal snformal,on you provide may oe osad W secondary Pvr ell (Privacy La+. a1504 (1) (m)) I Z~
Property Owner Property Location _
- Govt. Lot , _ 1f4 ~F- 114 S-. T / N R
Property Owners Mailing Address Lot # Bloc* if; Subd. Name or CSM#,
City Stale ' Zip Code Phone Number ❑ City ❑ Village JoTown Nearest Road
New Construction Use: (3 Residential I Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain e~levationn if applicable M~__
a newImm~endaants tims: z CovG'L o
0. S r _o✓ CNAm F-1Z S GNc y i''~o
EZI Boring # ❑ Boring
❑ pit Ground surfaceelev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Cuter Redox Description Texture Structure Consistence Boundary Roots GPDM
In. Munsell Ou. Sz- Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
K"I
Boning # ~❑l1 Boring r . "
pit Ground surface elev. Depth to limiting fades m.
Sal Application Rate
Honzon Depth Dominant Color Redox Description Texture IS~h~~Iwe Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color z. Sh. 'Eff#1 •Efl#2
/ZX
• Effluent #1 = BOD > 30 < 220 >30 < 150 mgA. (fluent #2 = SOD, < 30 mg& and TSS < 30 mg1L
CST Name (Phase Prim _ _ Syna =e CST Number
A~rl<t r9r i f/% f i 311
Address Date Evaluation Conducted Telephone Number
Property Owner Parcel 1D# _Page r. of
Boring # ❑ Boring c
pit Ground surface elev. ; ~;L_ _ It. Depth to limiting facia in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/lf
in. Munsell Ou. Sz. Cont Color Gr, Sz Sh •Eflfr1 'Efl#2
i/
Boring f
# ❑ eons
❑pit Ground surface eov- fl. Depth to limiting facer in,
Soil Application Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD#f
in. Munsell Qu. Sz, Cent, Color Gr. Sz. Sh. 'Eff#1 'Efl#2
❑ Boring
Boring # E-] pit Ground surface elev. fl. Depth to limiting factor _ in .
Soil ication Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD#f
in. Munsea Ou Sz, Cont. Color Gr. Sz. Sh. 'Efl#1 'Ett#2
Effluent #1 = BOD, > 30 < 220 nVL and TSS >30 < 150 nxA ' Effluent 92 = BOD, < 30 mgVL and TSS < 30 ng2
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
sarxna ra &%U
Property Owner'_LS Parcel 10 p___ PBOE .`Of__.
Bonng 0 ❑ Boring
a JK Pit Ground surface elev. 11. Depth to limiting factor in.
Spi. Application Rale
Horizon Depth Dominant Color Reoox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munseli Cu S: Cont Cotor Gr. Sz Sh 'EI1#! 'E@X2
•N
1
r /
E Boring # ❑ Bonnq
❑ Pit Ground surface elev. R. Depth to limi&ng facto,
xl Ap:>hcabon Rate ,
Hoon Depin Dominant Coior kedox Uescripdon I Texture I Structure, I ucimistence ioundary koos Sc GPOttf
in. Munsell Qu. Sz. Coot Cola G. Sz. Sh. -Effitt 'EtIC2
i
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❑ Boring #
❑ Pit Ground surface elev. N, Depth to Ilnuhrg factor in.
Soi, dlCatKxl R.I.
Horizon Depth Dominant Color Rooox Desaipadn Texture Structure Consistence Boundary Roos GPD1ff
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EffRt 'E:fk2
Effluent #1 = BOD, > 30 < 220 m94 and TSS '30 1150 mgR ' Effhuent k2 = BODr < 30 mg& and TSS < 30 m91
The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or
need material in an alternate format, please contact the department at 608.266.3151 or TTY 608-264-8.
WDd.rJOt0.AVUj
Date
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