HomeMy WebLinkAbout012-1043-40-000
oixon>In Uepa9nle^t of C:c°rn:eice PRIVATE SEWAGE SYSTEM ^--Vy St. CLOIX
Sates/ and Hu -nn C,;sQ,
INSPECTION REPORT Sa-na y P,+re NO
iATTACH TO PERAITj 615328
GENERAL INFORMATION s:a,r plan 'r, N.
Persona "tor rat>n you crovide may be uscr'orscwmda-y purooses [Pnvacy L'a'm. s. ~5 ps ',1,rwl
°c,mlt apn i:nvne.Ynp I'a,:c TaM Nc
Randall Findstad TOWN OF ERIN PRAIRIE 012-1043-40-000
_$T BY Era. Ins, 31,1 Elc~ F61 D:~ crip.tr:- v_9cn:TOwn:Ranpc+kap No
18.30.17.2840
TANK INFORMATION ELEVATION DATA
TvNIANUPACTURER r 5 CAPACI IY S-rATUN GS FS [LEV.
i
Septic r: I~ rl oerenmar< ~G ~ 6 lCri.OG
~T 111 L t,/ V
Dosing r 3 Irv. All Bin
v~& fii11~rU~Uf LtC' GII1~r cc~ei l.4`~ Ib3.5
Aeralbn Bldg Se.•mn
L111P✓ ~j~O ~L1' E' - 1~ v
H^lomg StIHl Inlet
i
S':"1 Outlet l Iv
TANK SETBACK INFORMATION
-ANK TO FA ':AF'.: BLDG 'dent to Air lnte<o ROAD Dt1 let
Kvn l
Seo:.c r Of Bottom
>Ic~o
O w4~ ,~ncvt/1 ~-c`J
75
Dosrg Header: M-ri
.`lU
(c,ZC)
Aeration Dist Pipe
Ho ding Bel. System
T 7, T `I .6
Final Grade
PUMP/SIPHON INFORMATION L 3 6il"
Vanufacture- Demard St Cover I 2
"I0 ) ~J
Model Numbe 7 QO Q
'DH I fit Prchon Sys:er7 Head Tf-,H, FI
7•
h
-=etrain rgll' lira F12
SOIL ABSORPTION SYSTEM
BED:TRENCH vrid:n r, ~r Lcn ,R: 1 Li No C1 -:encres PIT DIMENSIONS \o t 'ts re.ida CIa Urµ: J I7es21
DIMENSIONS f`A~S' ~ -
SETBACK SvSTEfd T',' P;I BI DG ''P&LL LAKBSTRFAM LEACHING var..iaaure,
INFORMA11ON CHAMBER OR 1
UNIT Stccel N.~ttcr L
Q0 r% WZ V Tycr :il j ste"r
DISTRIBUTION SYSTEM F t L I
Ilr 1 Iande d U 5:nb.LC- - H 'e „i2o _ x H :;pacing ent is A., nta~kre 1
L: d Pip&sl _ _ ~ f n r/I6
Le. fit. nia y _ _ LcnGth Dia Spacing ck
- 1K SOIL COVER x Pressure Systems Only xx Mound Or AI-Grado Systems Only -
Grr -ho ~'f I :topfi C er xx [r"Il cr ::r~USOaaed x A'ulcned
r-r.';..'tC' L , / CCSC /
}a5 NC VCS Nr,
.
COMMENTS: ilrrlude Cade d,SCepenCleS. persons present. e:cj Insperion #1 laspeclion #2
Location: 1586 CT Y RD G
1 AI BA1 Uescripaon=r`,y.,~4,
2 . Bldg sewer Iengln = ` t
- amount of cover =
'srre'f sorlRlqad led?
ona Yes No
a7!ornlation
II( !
o.CF I ar
Industry Services Division St. Croix
0 S 1400 E Washington Ave Saimaa) Permit Number (to he rills: m by Co I
PS MAY 3 t 2019 P.O. Box 7162
Madison-IM 53707-7162
r 127Q
Ccr~43nitgr%xIR~umi Appl ICat10ri a h Gatc'T ansnnlnn Numbcc
In accordance with SINS 3832 it-'s, N Ia• Ad. 1, c. suhau,vs n of BAs lorm to I ,e appropriate g I111RPlRh! amt L 1
is required pror m obta nirg a sr•nan permit Note Applo: i a, brut: ti sr statc-ow uni PON I'S are sthmutcW in I'togmt Address (if drtYcrent than mailing uddresO
the IRrunmem of Salet3 and I rolnslonal Scn Ics Pcnonal mtomauon son pn>v:dc may be used fur secondary '
pure xr~. in acianec a,lh th Pu:acv Law < i trfl ' p
. m), Slaw i Same 12J 6- P
ax
I lication Informs n PI sc r t UI I matiun ~.v lif
P'oj-,vh Owners Name Q N I luccl e,
(50-19) Randy Findstadl 012-1043-40-000
.r . p - - r
¢nlc l l\rner's %1311,618 AJdtce, I4optM I ocalinn
P n
1586 County G New Richmond WI Gus, Lot'
(Ii}' iritc Ap ( ndc I'honc Kumhar SE t SE
yw, Secton 18
New Richmond WI 54017 715 247-3476 T 30 N. x 17 w
IL 7 ype of Building (check all that sppl} I a
I er 2 l amok Deepen-Number of Bolen. 3 Subdivision Namc
❑r'uhliUCummerc.ml - Describe t!se-. VA_e
❑Cuv of
CSM1t N.nnxr VJlaue ul
❑Statc!)woad-fkxrh•Lsa `
Tmrn or - Erin Prairie
3 W it C `Iw[~ ad 3r~8~' / ® -
II1.I)'pe of Permit: (Check only oneb &"n line A. ('nmplete line ...f applicable)
A New System RcPlacement 5\tam Taatma,t'Holdmg I uric Rclilaccmem (hily ❑Olher Modnlcation to hslsung System (explain)
I ❑ ~
N I i<t Previous Perron Number and Dme Issued
❑Pmmd Rene,,a ❑Peuvt Recision -❑('aangcol'I1;unhrr ❑ lernut Transfer ;o New
Refore Ecp new Ossner y,~P: L Fl-f -
IN tem/('ompoocnt/Dcvice: (Chn•k all that spph) _ V 3~,r c PI ut,
x Non-Pressunud In-Grout' ❑Prsur,zcd In-Ground QAt-Grade ❑Mound - 1 v ul sunuMe soil ❑Molusi 24 n,. of suitable sell 6,-<
' a nc T::nk ❑Uf,rt l~r p. cal Compoccm la\ri:[nl ❑Prarnrtmrnllk:vicc (csplam)
Dls ersa VTrcat ant Area Information: - -__---I jot
Dc,wo I Ins, Ly.pd> I kcin Soil Appbcunnn RNUY, isQ Dkpnaal .Arcs Requtrcd (sn Utsparu1 Arcs Propo>al lsfl Sys1rnl Elevation 450 0'7--- a~1z ~e~
to 93 (v
N'1. Tank Info - - - Capac'ny in 'I otal " of llanotacturcr '
Gallons Gallons Unus o r5
L P L .J
1
New Tankx F:stxling Tnnk. M
Sepu. m holding Tank _ z 1000 1 i X
4'11. Res onsib ih Statemeah I, thr unJerxignr ,ass cal 'NIiW fa instal on of the P(1\Vl'S shown_un Ihr alUrhnl plans.
an -
Plu:nba s Same II'rm:1 Manibcr's Signat. 31P;VF'RS Number Husness Phare Numhcr
Lewis BJork 253976 715-231-7375
PAlmber'n Addrsc< i Ptnvt. l' ip'_ Slarc, 7i7 Cndcl -
E7818 County F , Menomonie WI 54751
~ V IIL (ountvi Ur artment l'se Onh
r _ Yenntt Fee Date Ism Is.<uin cent Signature
,lpprovni m.pPn..s . _
.reen Rca,on 1Dr Ikn:al ~ ~
1\. Condi ro1MfRcmum fur pwappnwal
va pu a„ I - iae bv plumot-
2. AJ A~,k , ens M,;t w cant: kt
as par Wi-critbl4 cw's i : « frn.Mtt,
_ \emah la enmplme pWm for the rysrem nnJ wbmir m rM C'oanry only m Vayrr not Im Jmi a r: s I I in<hr, in .iu I
SRD-h?9x1R0?I?l
L' iTLiZc~,XCC~
CHECK GOY, AS AD"XAe__. A n-F Z fyn.t pS5 GMFCK H(;X Ai ArgtlK:4 t
SOIL EVALUATION j,\V? Srae SYSTEM PAGE 2 OF -
45 6c
SITE MAP 0 3c PLOT PLAN
oRO JECT NAME DESIGN Flew 450 OF,
2
'.tale Sti M1U f ~ ',5"
(50-19) Randy Findstadt 0 Ahacn des gn AOW CaiwIB130M for a',mmereial plans
PRO.IFCT AWRESS 15M County G New Richmona W! Pipe Material : ASTM Stanaarc f-abler 384.30.18 384.305}
_ a•' . ASTM D2655,
Zvi ~1 N SwaaySewr.•-
Oki symeM. 9AI EeuaWn tOG FT R. Mwa AS I M D2665,
tor of water well
Bnt 00s npnvt
IMP
51ppe Gtae~era r% i n9i~le rw^.'~>• DRTAN'T
wvi Symod lr apphcaneC araxmq a~aaw Show groOnc elevation comoum at suitable intervals.
Si ie4eeAaa
ter rrq gM((rp116 rre.
Sol,(
~(isJ
O O C ~ -1.O o
t = Tin 0.,I. i
~FNI
4045
1 n OESutii 6M ~ ~ V ~
~ 5r+~0 ~ ~ _ ~3 C ~t
'y
99.E ~ • f C I
1
r\i r ~ Oz ~ ~
c,
+~S~f q00 Za; A
~ ~ 6 T~'yrc t, ~
f ea x
V-5,
7 ~G~'1
I
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC: i-AN K(S)
This is to certify that I have inspected the existing septic and~,or dose tank
presently serving the follo),ying residence:
(Su-eet address) located
at: SW 5v s Section Town N, Range
To"vn of ay;P . St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knovdedue, will conforni to the requirements of SPS. 3)84.25, and it (they)
appear(s) to be functioning proper]
Most recent date of inspection or service
Did flow back occur from absorlxion system? Yes No
(if no- skip next line.)
Approximate volume or length of time. gallons minutes
Tank Capacity: - ~ 0-0C)
Construction: Prefab Concrete eel, Other
T` 1anufacturer(ifknown):1t' -
Age of Fank (ifknown): 1(✓ -
Permit_ numKL~tr (ifit own)
(Licensed Plumber Signature) (Print Name)
(Title) (License Number)1v4P:'MPRS
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 105 and s. 141.06, Wisconsin Statutes) or licensed disposer
(NR t I I Wisconsin Administrative Code)
Rev. 2i^_012
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10705-P (N.01/01, R. 10/12)
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:
Existing Tank Inspection report POWTS Application for Review
Chamber cut sheet Soil Evaluation Report & Site Map
Filter basin / filter instruction
Project Name / Description
(50-19)Randy Findstadt
Owner Name(s): Randy Findstadt Phone: 715 _247 _3476
Owner Address: 1586 County G New Richmond Zip: 54017
Project Address: same
Govt. Lot: SW 1/4 of SW 1/4, Section 18 T18 N-R 17 E ❑or W
Township: Erin Prairie County: St. Croix
Project Parcel ID 012-1043-40-000
Designer Information
Designer Name: Lewis Bjork Phone: 715 _231 _7375
Designer Address: E7818 County E Menomonie Zip: 54751
E-mail: lewisbjork@yahoo.com
License Number. 253976
Remarks:
Signature: Date: 4-12-2019
Original signature required on each subs ted copy.
S~Sr51~, 1.30N~I~~J-j&1NOFri~ INP_2,tAIKt 5jc(ZC,~
CMES:K ROX Al AV" WAN AILf PS U1vIPSS r•-A 8CXti APP.1CAFLL.
SOIL EVALUATION Scale' 1" :10' as Nf~ SYSTEM PAGE 2 OF
SITE MAP PLOT PLAN
PROJECT NAME:
4 n.1 C-~,ti r`-J1F 75> DesicN rLOw 450 cvD
(50-19) Randy FlndStadt Attach desgnlowcalalationsforc rnmermlplans.
PR01FCT ADDRESS. 1566 County G New Richmond, WI Pipe Matodal ! ASTM Standard (Tables 364.303 6 314 3") t! N E S,a,la,,. 4ew,r 4" ( ASTM 02665:
jV(J BM SYm~o eM a .m iv 100 v~
!Ir Force Mtlrr 2" (ASTM 02665;
SM Dowdplion top of water well
Slope GredbM ; Kl loam. or IMPORTANT
Sb :
I Sl Tested Aroa 2 Well Syn of (Y applicide) ' Q We." an aAaw Show Srrntnd elevation oonloum at suitable intervals.
on of ,Wft Ina
O
LNr, I - - _ r
z,
~ ~ = sot I }~,ls tb
t= It'cr! TnAn i Lbo 0 0 (0 0 10 0
H s\0i 5
COtitd S
3
~N`
3) PjCDaooyv1 C
. S Ivkt~1 SS = z~a~ I Q
4,5o/ gao Z'v
Tt Ctx t, 41
C
~ J O O O O O ~ ~
;~lo ps i~5 --s Fr 811cil -rs5 `/L k/vr AeE 7 a~>
= PAGE 3 OF 4
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PAGE 4OF4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall 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 by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code
Maximum Dispersal Area Operating Limits:
Design Flow= 450 gpd; BODs 5 220 mgL"; TSS 5150 mgL"r; FOG 30 mgL"'
Inspection Checklist INSPECT EVERY 3 YEARS
c type of use
o age of system
c nuisance factors (i. or odors, user complaints, etc.)
o mechanical malfunction (ke-, pumps, valves, switches, floats, etc.)
o material fatigue (i.e.. leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution /drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re-cycling, 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 structure served
Maintenance Checkiist MAINTAIN EVERY 3 YEARS (or when necessary)
o Seotic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Slats. when the volume of solids in the tank(s) exceeds one-third (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 filled) 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: Lewis Bjork Family Septic Service Phone: 715-231-7375
Local government unit St. Croix County Phone: 715-386-4680
Local government unit address: 1101 Carmlcheal , Hudson WI ZIP: 54016
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.
Continoencv 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-complying 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. Codle.
1 ~
DIVERTER AND BACKWATER VALVES
,,erter Valve
'.ht : st. Sbongesi and most :^v0a1 nwener :31'.e eve" ^':=.aie0 to, 9e c tbrC Iea0n' JS 5 -lie or t0y9h o.,J Jeo plastic
n0• <.^.a"er 011C. 11V 01 COr1011. i. 41:•:r 11 - 'a5 'a' 1, ' A a+
Functional
'ele...e:es:?1'V"'rav Li :c•.. l?n 1. inC'o~0eai t" m Agte Iell:s _IC 1C'P'te.. a_Y:Cllc'r..". 1YQ^.at°.•ee-43; e61:. a..
an<n a-, C acts !vine. f4oc: t-n,zt, a,' putletz Y. r41,c cter...~ay be 'em...cr IT-, Ili a55in
Easy to Install _
0CP r- -•.ng anc OLllet6 ninefo'a='v jYIt $Sne..:'0C^0:,, 'UnNd-.' -.'!ets^a3 rn seawl o'r ^s'3 enq
,i : - . r - a 'e •oa) be owl tc l9 fa-. '.e•'.:1
T PVC 575P d' PVC DMOV %W%T V7Ne + 9.50 35"
RBS 575 i' aeS D W*, VOM &adt a 7.50 3w
i
0 t
SON
TAtr
6175 0D I ~,pt/\cc
WIN "stea
7t -6-1
-'-Nn 74NK ~•.F= i"e• T4Nd
11 It N` r.rP n1, `v'. aJka dt~f VERB s d35U1 ed lC P'otebt G d ea' r 3a 'I 't5 Pr e.t`. o B .ef 51 e<: 9Tk C",
Il'C-v2Icnl,.? a 3106 S;•es,P':•;•na'b"Ial. It S,C,t-ettec.',':e. .-rlen'CM; eS'Sra -0 C]s. nan.3Wes
Backwater Valve
71 e Qu ' acne. a•lcws c 1 estr r- er aal b eIn al • ow a t "'e gasret • •ITe ttp.e' e-° F a 3 wlrlignt seat =I9Pp°' 0a"
. r 1e.. ...,E55 coos d"•: or :I ha,^ - -1. 9 a-, -a . `7L ene ~dsa ,I O' 1--s
hC as .1, a ,b -p.a0e'1 1 r e
I ft
a P: t ,e e 1 : I e o.alets 1 c - CM L'Oe and ma. ti . 2 0 5 S e d C•al nip" r V-
b crw e .ran A]a -t. S . g n ant i„, Ins..ll rrJFrzr to :~•d 0. c J -7. will lrr 'cs O Ire -ahP r ' 11 r
d ro. T - r'e 2 e' A eS. 5 .,.e' ole•s _ s n ple. DJ o,bar a:-.er. •0 t.e lake SOeC: ]n 2 a' .,,r x -9.
I, n?
T - 775P 175 316- SA3° s, 16- i
27576 at5• $.09• e53' 16" s z
375i'. 375 7-56• 6.•6' Ir /A
376M1. 375A 3.5! 756' 6.16 1r' F'
IV 6.
675Y. X75 III - lug" `,'6.
B A7. 1,47511 6A'.. 11.19" 719' '6' S'
67>II 675 15.75' 9.90 1 - P-
,4JUt_nTS 3UUiGa0i [71'aN.° 0nfY vEwc
0 SP
for y; de JS. SF 265, oetail dra%:angs a^(: Case studies. .,St ndspro•com 9
- Existing Septic Tank Inspection Sheet
Size
Sizing Method i !k.d- +,-J".\ Gt~s~ 1 Z.v
%l
Material ?
Baffels
Visible Cracks I~UN
Septic Level Stain Indication
We at Lewis Bjork, LLC take responsibility of the existing tank to meet the requirements
of this system change
Signature - / Date
Lewis Bjjork
I
INFILTRATOR IM-540
tanks
Features & Benefits
Strong injection molded
polypropylene construction
b Lightweight plastic construction
and inboard lifting lugs allow for
easy delivery and handling
• Integral heavy-duty green lids that
interconnect with TW' risers and
pipe riser solutions
Structurally reinforced access
ports eliminate distortion during
installation and pump-outs
Reinforced structural ribbing
offers additional strength
Can be installed with 6" to
48" of cover
Can be pumped dry during
pump-outs
The Infiltrator IM-540 is a lightweight strong and durable septic/pump tank. Suitable for use as a pump tank
This watertight tank design is offered with Infiltrator's line of custom-fit or rainwater (non-potable) tank
risers and heavy-duty lids. Infiltrator injection molded tanks provide a No special installation, backfill
revolutionary improvement in plastic tank design, offering long-term or water filling procedures
exceptional strength and watertightness. are required
TANK CUTAWAY RISER CUTAWAY
a
Reinforced 24" Custom fit
structural TW Riser
access por.
,N
Reinforced
watertight
mid-seam
gaskwed
connection
i
Protecting the Er ircrrnerit 10th Innovative Wastewater Treatment Solutions I N F I LT R ATO R
-4uick4.
INFILTRATOR' The Quick4" Plus
Standard Chamber
OL: Quick4l Plus Series
The Quick4 Plus Standard Chamber
offers maximum strength through
its two center structural columns.
This chamber can be installed in
^ 9
a 36-inch-wide trench. Like the
original line of Quick4 chambers,
it offers advanced contouring
capability with its Contour Swivel
I Connection— which permits turns
up to 15-degrees, right or left. It is
I also available in four-foot lengths to
provide optimal installation flexibility.
The Quick4 Plus All-in-One 12 Quick4 Plus Standard Chamber Benefits:
Endcap, and the Quick4 Periscope Two center structural columns offer increased stability and superior strength
are available with this chamber, Advanced contouring connections
providing increased flexibility in
system configurations. 'Latching mechanism allows for quick installation
Four-foot chamber lengths are easy to handle and install
Supports wheel loads of 16,000 Ibs/axle with 12" of cover
Maximum Strength I
Quick4 - ~,r r -~►..~i
Specifications
size Quick4 Plus All-in-One 12 Endcap Quick4 Plus All-in-One Periscope
34"W x 53"L x 12"H Benefits: Benefits:
(864 mm x 1346 mm x 305 mm) '
May be used at the end of chamber Allows for raised invert installations
Eflectlve length row for an inlet/outlet or can be 180° directional inletting
48" (1219 mm) installed mid-trench
• 12" raised invert is ideal for serial
Mid-trench connection feature allows applications
Lauver Height construction of chamber rows with
8" (203 mm) center feed, as an alternative to
inletting at the ends of chamber rows
Storage capactty Center-feed connection allows for
47 gal (178 L) easy installation of serial distribution
systems
Invert NeIgM Certified by the International
0.6" 15 mm), 5.3" 135 mm), Pipe connection options include
( ( Association of Pkxnbing
8.0" (203 mm), 12.7" (323 mm) sides, ends or top and Mechanical
Officials QAPMO)
APPROVED in
Effluent Filters
Biotube® FT Series Base Inlet
Effluent Filters (FT)
'qr r.,i 5rC`.,IrY s ' Je'res EiaSd Inlet FIIIL~a11 F.IIar;'r;mr'JC anent
tnrpn o'seslwnClea sdds Iron effiuent ricburi exlerd Mustiela life D
gaze the tAI area of a fall-S ;e lille' IF, a Small paCkagf fn! SK'A seoh'
L9nks. &btUbe f I genes fi&e inlet `,Poem kders are lastalle' on IhE
~rhedule 4f~ ni Type 1074 adlet pier' of a new rx exegxlg lank. ilie.y romp
" it a flie' rarlwgcVvC hrxlsrq, awl an extendable P4C twoe An
:Jot anal me"I'M plate is available la 6-010h 1700-1111n; models. to prevent
r?Iluenl Irons l)'&=ing the fill.=.r it ¢ f:lcos.
• 5-Inch i$1C-mml noalinal filter rkamelef
• 4-rr-n 35E-mmj filfor hergtd. swilarc
• blip (559-nnn( hoac.ng height. Slanriart
• I g-In[Ir 13-win. i 1 16 men (L> nur 1.11:1 Ml:Sh d,-All)lt
. asrosm-ponl ~:nnslnrri,t,vi
• Lxlenoable r3:11lr
• ! aJI t0 Clear.
• turn 31 pved u;. r:la:e v,Oat IHrotube' FT Series Here tnfnl ERloenf Filters
14
• r:oncnal lira! elhurr available fbr I, isy Aural =_larni assembly
• :I rh-level alal m %ssendny odr;xd SWIr 41 (sae. T(c it Swdrh s-
e'rnbl es' rI the 'Prxlstl orde'ing InfamaroV sectors el this Crtlk,g)
Sample Product Codes'
• -)°22-146.-. ciolubr {Tinter&o;:h '?X-nimjdiamerler.
I ;n<h -nsm! I lie( 'Ie.Whl base ndet
• L7. Q.1 SU - Ik Auks: - 1 - filter. 6 •I_It 120o-will dranreiul.
v ::h 135E-mmj lilies height ease Inlet, tverluw {Aare ostalled
-hnN„ ✓r,egpe MStr11(fari oPhrva, SC.'/W'Fro;'xc OrrWrvv
rjrrPC df~ln-.R'. (':M'r +~r N'j r,ri'eA9J
ti
Maintenance lnsWctions
4" Blotubem EiflueM Fitter
Now to Clean Your Effluent Fiber
To ensure your effluent fitter is functioning properly, it should be Inspected every year. Under normal conditions, your
effluent fiber will function for several years before cleaning Is necessary. The filter should be cleaned when it becomes
clogged enough to restrict normal flows out of the septic tank. At a minimum, the filter should be cleaned whenever the tank
is pumped.
Most people prefer to have a septic tank service provider take care of filter maintenance and cleaning. You can find a
septic tank service provider In the Yellow Pages, under'Septic Tanks & Systems' Or you con contact your county health
department for a list
if you wish to inspect and/or clean your effluent fiber yourself, be sure to dress properly. Wear full-length pants and shirt,
shoes, gloves, and goggles or glasses. Then followthese Instructions:
1. Remove the access lid to your septic tank by unscrew-
ing the stainless steel lid bolts with hex head wrench N
provided. If your Hills above ground, ft will be easy to
find. If it is buried below ground, find the marker that j
indicates its location.
2. Remove the filter cartridge by grasping the tee handle
and lifting it out of he housing (see phM 1A
3. Spray the cartridge tubes with a hose to remove any
material sticking to them (see photo ZA Ensure the three
orifices In the optional flow modulation plate Inside the
filter are clear of any debris, Make sure the rinse water Photo 1. Remove rho filter carvidge by lifting it our of its
runs back Into the tank, but do not allow solids material housing.
to fell Into the open fiber housing,
4. Rrmly place the cartridge back Into the housing. V
5. Some effluent fibre come with an alarm that activates \M ,
when the fiber needs cleaning. If you have an alarm,
check to make sure it is working by lifting the float
with a stick. An audible horn should sound. The alarm
panel is normally mounted on the side at the house or j
In the garage.
Mots: If your effluent fter doesn't hove an alarm system
and you would like one, cell your local septic system
installer.
Photo 2. Spiny fho rartirdEB tutus with n hose.
8. Record the date that you inspected and/or cleaned
your fiber on the form that follows. If you checked the
alarm or made any other observations about the tank
or system, Include that Information under 'Notes:
7. Attach access lid by placing it on the riser, matching
the openings in the lid with the boh catches. Insert lid
bolts Into catches and tighten with hex head wrench 111144W I
provided. hNS~
~
Inspeetion/Win en ce Form
Data installed: Model tank: _ Size:
-J_--
Model of filter Single/double compartment:
Date Cleaned?
Inspected yes no Notes:
Im orwrit Names and Numbers
system service provider: Phone:
-
System Installer: Phone:
! Phone:
Septic tank pumper:
--_-~J--_ ~
Electrician: Phone:
'
Phone:
Designer:
WRO- t•1
RAM, 727101
Pw.4d4
ST. CROIX COUNTY
SEPTIC''[ANK MAINTENANCE AGREEMENT
AND
OWNERSI IIP CERTIFICATION FORM
/4J.F
OWnerIBU)'df-Randy Finstadt '^T
Mailing Address 1586 County Road G
Property Address 1586 County Road G
(Verification required (turn Planning & Zoning Depart cnt for new construction.)
city/state New Richmond Parcel Identification Number 012-1043-40-000
LEGAL DESCRIPTION ~ O T
Properly LocationSE S . SE Sec. 18 .30 R17 VV, Mow n ofErin Prairie
---N
Subdivision Plat:_ Lot #
Certified Survey Map # 5-6 /~%G~ Volume Page #
VY
arranty Deed # 4
/ (before 2007)Volume ~J (rage #_7 51' 7.
Spec house❑yesdto Lot lines identifiable 0ycs❑no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic System Crmld result in its premature failure to handle waste.. Proper
maintenance consists of pumping out the septic tank every three year., or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §SPS. 383.52(I) and in Chapter 12 • St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Toning Depanmcnt a certification fonn, signed by the
goner and by a master plumber,journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition ancUor (2) after inspection and pumping (if nccrosar)). the septic tank is
less than U3 full of sludge.
I!we, the tndersigned have read the above tequircments and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Depanment of Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin, Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
Cowry Planning & Zoning Department within 30 days of the three year expiration date.
I!wc certify that all slatcmcn on this form arc true to the best of m)!our knowledgc. ]'we anVare the owner(s) of the
property described above, by virtue o a warranty deed recorded in Register of Deeds Office.
Nu7; iFooms 3
%f /Og/ _/9
ATURF AIYPLICANT(S) - U.A'IT.
"`Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Officc and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
r,
~ f , CST- a01`i, o~y
n
Wscorsm Depart ent of Commerce 'k'/ N REPORT Page of
Division of Safety nd Build 3
25~qocorda ce with Comm 85 , Wis. Atlm Code
County St. Croix
Attach cone s plan' oil papernot less than 8 V2 x 11 inches in size. Plan must
include. but no Wie" ' 611zontal r ference point (BM) direction and Parcel I 12- 043-40-000
percent slope. scale or dime ° ' rrow. d location and distance to nearest road.
Please print all information. Rev, ed by D/al Q
Persona mlormallon yon pomde may be isei ror a mda'Y pura<.aes tPavacy Law, s. 15 04 i 11 Im}j G /
Property Owner Property Location
150-19) Randy Findstadt Govt. Lot SF: 114 F. 114 Z18 T 3(I N R 17 EE((or)W
Property Owner's Mailing Address Lot # Block # Subd. Name r CSW
1586 Countv G Ncw Richmond WI 2 Part of 1.3 acres vol 3!786
City State Zip Code Phone Number ply nVillage • Town Nearest Road
\ew Richmond W) 54017 If 6~ 1-260-1202 Coratty G
New Construction Use Residential I Number of bedrooms Code derived design flow rate 450 _ GPD
O Replacement Public or commercial -Describe:
Parent material Locss ca over Out wash till r h Flood Plain elevation if applicable slot Wid-id - R.
General comments Examining the soil pits i found them consistently , S11. loss cap over LS out wash , I recornntend adding
and recommendations' additional cells with a divert or valve, Ask me for more details . Lewis
3
11 Boring
U-I Boring# -l If
Al Q Pit Ground surface elev _ Lv_ft Depth to limiticc facto 1 Pb in.
11,tn Soil A lication Rate
Yt°Y Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDrft
in Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
ail L> 1(x{2 3 51 C.~7 Z~
c~ N LR3 ' S l Zf liL C~ 6
3 Jy-2 D~ y _ I 7--, bt,_ rIW ,L its - Q
7,,(- 3 SYs <<G mr irnclf t hs ZF `i
S 5YY2 S/t3 ~S OSr rr1 - - • -7
-Ott
C
a _
P~f R 2 Boring # Boring q~ f
Pit Ground suAace elev r7 R. Depth to 1im41ng fact in
Soil -Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#l -Eff#2
`
15/3 - * Z Z_ Srl t lz 1z6j 6 8
9-21 7
75- 7,q U. I Z+~,b(< fYwVl s 6
-
25 /,5
Effluent #1 = BOD > 30 < 220 mgrL and TSS >30 _ 'L ' Ef l #2 = OD. < 30 mg/L and TSS < 30 MWL
CST Name (Please Print) CST Number
Lewis Rork 253976
Addresste Evaluation Conducted Telephone Number
L7818 County L Menomonie \\'154751 715.231-7375
Properly Owner Pinstadl Parcel ID It 012-1043-40-100 Page of 3
_
li-3 Boring Borirg
pit Ground surface elev. ~lJ ft. Depth to limiting factor -7 in
Soil Application Rate
Horu on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNt
in. Mursell Ou. Sz. Conl Color Gr. $z. $h, 'Elf#t 'Eff#2
r 2-
5 0-54, _ -n
Boring # H Borirg
pit Ground surface elov. ft. Depth to lirr irg factor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots GPDtft
in. Mursell Ou. Sz. Cont. Color Gr. Sz. Sh. 7Eff#1 'Efi
D Boring # Borirg
g pit Grcund surface elev. fl Depth to IimiLng (actor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots GPDfft
'
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 -E(f#2
Effluent #1 = BOD. > 30:< 220 mgt and TSS >30 < 150 mi ' Effluent #2 = BOD, < 30 ngR and TSS < 30 mry'L
The Department of Commerce is an equal opportunity service provider and employer. I fyou 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.
SBD-XWTO?IFo7-:
SF 5F 13C►~1 R I~ W TOI,JNOF F i(~; ~R AS K~ STC (Z CCXJNI'iI,JS
ELCK 3DX A APP,IC.ABI.F. 11,E 25 utiles5 CIEI~K BOX AS API'Ik;AF .
0 SOIL EVALUATION Scale: 1' =30' NOW CI SYSTEM PAGE i--bF
SITE MAP 30 as ro 301 3
V' PLOT PLAN
PROJECT NAME: 1
\j N~FSt ~oIE 75: DESIGN FLDY4. 450 GPD
(50-19) Randy Findstadt Attach design flow calculations for commercial plans.
PROJECT ADDRESS-. - 1586 County G New Richmond, WI Pipe Material r ASTM Standard (Tables 384.3)-3 8 384.30.5)
BM Synbd. + BAl El"ahon: 700 Fr N -E sannay Sewer 4" t ASTM D2665-
Pami Mao2" ASTM 62665;
BM Dea 4pbo, top of water well
Slo(a` G•aelenl l%t rnJken 1o0n pq. IMPORTANT:
t or Tnsled n~i 2 Well Symbol IN appli able): ala~l~u a, ~i Show ground olovaflon contour at suitable intervals.
Al-
JJ~- / C 7 wi r.e ~Jpopaa Iri.
Z,0
= Sol
Doe
DES1~a >3M ~ ~
c~.s
ORIGIIvA O
- ~FIE.Q
(31 [3f~aaa~1 I ~1\ \
r
- -
\ O 3
j 4SO/900 270 D
O O O O OHO\O •N.
~~ilo ps Ps -,sFr 811 (,e/- rs5,OE z IL vt) T -w)Aw /i,<F -7 /x'