HomeMy WebLinkAbout030-2040-00-300Nogg Do pv&COMI PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
.cacao IMcAP"ATI N (ATTACH TO PERMIT)
MANUFACTURER w'`
CAPACITY
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927 150B1 St. Robells W. 54o23
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sanitarySite Plan PAW F le
For, Lisa Hamernlok and Pmdck Horwath
cot9 jCsn4la-an0
Parcel In the NE114 - ST114
Sec. 25T30M R20W
Town ojSt.. Joseph -St. Croix County
-* MP -Sam, I-BarMae Fit
Afi9M R"V.- Who Yet^COP
Elevation Data
rums m Pl..P so Dwa rank -96 P
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3urrt 28.2019
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 202145-18
Plan Review: eWTS-W196095BL
232I I I f, STONER 2b i �t
23220 o 54872ak Rd
siren cab s4en
SHE: HM•r�r�-H81d10Pe1���
1339 27fih St
lawn of Sit IosepF
Saint Croix County
Tool Am0mm $250
Six,
go, S8D- l0ian6n eCumponenl Mmael
(No [Al x Iwlz)
ALOnde Component Manna/- Ver. so, Sao- 10854
(N.03109, IL 1112)
3 Behoove —New Cunefwnbn
Monwnanua Be90ien
The submittal described almi has been reviewed for conformance wish applicable Wiswnsin Administrative Codes
and W ycom n SWnks, Is, mbmIml has been CONDITIONALLY APPROVED. This sya¢m a b be
cordinional and located In "comanee with the enclosed Nandi plena and wlth my mmp"a tmarl"i
other ead abovsi lhe mimi as dented in chapter l01 oIQOL Wisconsin StamRy is maponsibla%rtorntima
aid, all code roam nu.
No pelwn may engage in or work at plumbin8'm the stale unless licensed to do so by the CepMment per a 145,06,
The rrlloxntg wichtiona aeon be met 41118 cu atrudion 11:mmllift" and prlmm o cupancy an um.
• Abandon Exind j; System per SPS 383.33
• Pre rve diapenal area ono and storern edo avoid dismtbana ompaAw and IN, of the site.
• With non eonsfivi iorecommended nta Edmarfvme the pump in the area Ionic had the tentrc s a
pumped prmr to MmsdAwi. apni
• Wastewater genentMEarn contractors cleaning of equipmmi ant tools and/or left over condammion
pmdum seal l not be dimhatged I It, the dmim disclaimers to the primta waat it twwrantsyNc
first's } Waste gencomi shall be property dispsea ofmoshe or oil sham
• Any YO trii leaves and shrubs shall be cut short and mmoved prlora t111Np the 'probe for malallatlona
prevea maniag undo the dispersal area All /rose otgenia metaial to be removed Wm the POWffi Dispersal
area
Prior to conformities of the dn"i ern. chwk OR mpfdurt is tear of Oe veil to a depN of Birches.
Smearing and compMing of wet veil will result in seducingthe intlu on capacily FEAR SOB. Propvwil
Water an be dmermmM by mnmga can sample btlxx n me hand[. IF acone into ¢IH-I..IT
We short to prepare, If emmmey to preparation m pmaei vine site is too wen w ptapme. do we.
Ai is
lit dare.
meant smfam water firm PO WTS Am,
• All piping xhall conform to SPS TMIs 38430-3 and SAS Table 38430.5
• losulete baling fewer wood 30 Gel per SPS 3U30(I I)(q
• Tank Installation An follow all dominaturea recommmdelions.
• Pump Floa6 to M set and vcri icl per diamond plan. Any Naogesmay multmpump rteimimgtomnl
and GPM difficult ..ioo,
Verify properly Thom) pm in Installation.
• WellmMca to mete be N A 811 R 812
• Areas that ve o[eop" with took fingmenty tire, my, enimpe And Muldels reduce the amount of All
... Libliclorimmoumi run Ifni oi Ali mThe bassl area oMe uttered near bec toff
Wgmundl,ed A]sister fill area is nesevry when any ofthe afw, conditions arc elemental 0 provide
au lficirnrinfilvnive area.
• SP538JSMIpel The management pWfors PoWTS shall speciGeelly addrtsm tM1e aetviciog meM1mia of an
aerobic or envrvbic tr[atmen Mkur a M1oltling tmh wMrt<ithv ufthc hlloxi ng mntlitiwr enrf.
I. the bottom of the lank is located more them 15 feet below 0e lei where the serviming pied is located_
2 The bottom of the lank is located mon Than 150 feel horiwnblly from where We mr,mog pad is lowW.
Owner Respaasibililier
• The cereal owner, and each s ubsequent owner, hall receive a copy of And lemr,mim mg imhunions relating
to proper use and mnimtenmceoftheeplem. OwnersslWIreceiveacopyofNeappmpria opemionaM
maintenance nml mi owners manual forihc POWTid described in this approval SPS 38.3.541a1).
• In me mol Ai, soil apartment system or any ofi6 component mom malfunctions so as to create a health
Ummi be Import, Innermost fallow 0.... registry plan as mounted! in Me appmvM plans.
copy of Inmppmved plan, p"Ifflotell and 019 leitrnlWl be around dumm And open An
inspection by uutimmId repraemnivesof the Despvlmem, which may include Term maymmors. All permits
refuiml by 0m Aft, of the local mo im"Iiy shall be obtain d poor to commencement of
wnsWpin lonl lure" operation.
In grading Am dppwal 0e Div ision of Industry Services retinas the right AT requ ire changes or additions should
mmmilom arise making them necessary tor..ae [ompfun[q As persule stair l0l_ 12111.rmmhm m Wismsew
coal Tell... 0e dcagner of mapmisiiliy for sculpting A ante bnilamg, urunurs .r .mpo. art.
Inquiriesmilt; resp 6i, automated at he made to in, friction, number listed below, or Toaddress
on thneemad
no above left m1meea ahail provma..day, of this mor and the PDWTS management plan an me owner and way
others who AmA mmibie for the imWlation operaion or nommomm, of Aid POWTS.
Sincerely,
7 v4a lid® f
Tim Vander Treat
Primus 8ewwge Plan Rm q DMsiomfred, any bar
(920492-2214, Mon- RLAT,Am 310p.m.
[an 'wWal to wiBov
RESIDENTIAL AT -GRADE DESIGN
Pheno - Sloping SRe
INDEX AND TIME SHEET
PmIM Lisa Hannermck and Patrick Hornets ALGrade M nd Spasm
Owner Lisa Harrell OM Pal Hormigh
Antlress 6114N St 1-Ween WI 151016
ProMny Address 1339 27th $test
Phone '.fi51-398-0544 - - ---
Legal Descnpfion Parcelinft NE114of Ne5E1145ec25T30N-N20W
Township St JoesM County St Ones
Su6tliwoon Name CSM 184770 LW No 0
Parcel lO Number Og) 20 00300
Plan Transaction Numner
Inderz ShW
Paget
Calculations
Paget
N9ra6e dwanil
Page
Laterals aM Jme lank
Page
SpecificaYms
Pages
Managerant&contingency Plan
Page
Pump mre&soecficill
Pill?
Plot Plan
Page
Cesgner Kelp E. Sroner , ITi E License Numner Designer I6IS00]
Signature -/ya[,� PtiOne Number 715453-2324
Dale 7WI08I19 uinO�No
a 4n t91GfIiO %11pS� nn11owill guisuem to Ian, NIL
sugmee Comical Morel vor. 2omr POWFS SeD-I08Sa-P IN. O]M'11, and both
55WMPPuN,Utm86D"nof Prmwre DioMbuPon NM sin ST-5PS(OIRi)end
Paz to Dlshlbuti mpm tNenualver.20Sao-107WPMOIrolXkllb
wm,,70ar rzl Pagel of 8
PRESSURIZED AT -GRADE DESIGN
At -grade oeslgn Workshund-sloping sues,
Flpwa aM She Laid EnM1y.
140.60
Estimated waetawater Fox (go)
Doi he imalex2txflox (god)
%Sect reps,
OePN b it apple make(in)
1n-siW soil applicationale (gpyM2)
a(I or 2) Cell lnbrmaIion
(1 or2)A Influenlwaten rate
GnearbaEin9ale golifit
EXectiredriew Mixim (X)
Maagate lirewid(M1permitled(fl)
Aggregate length (fl)
(core)
Ost9ner
elect
aateral
diameter
Wee remnants (in)ag. 025
EsamatU orifice spai(e)
Falremam alamerer(in)
Foaemain lk'rm veli husac)
FORemain Iength(X) yo!n
pacts bmemain chin back?
Pump Mnkeleae0n Ott yorn
Are Frabi at highest poinl9
System"ad P) r 1.3
NA
veil FX ph
Fmcemain drainbeck(gap
Friction less(fl)
A36
Sx Laleal vcN volume(gal)
IMIne Flair los rh
Minimum tlaae volume(gal)
Tend dynamic bead (fl)
System demand (gpm)
125,
Effli Filter lnlomlation
Po Lok Filter manufacturer
PLd25 Filter model number
Gallmsafti Cakulaem(optional)
Total Tank Capacity (get)
Total Working Lord DepN (in)
cemo(enter result In mF Gcs)
TreapnaM Tank Inlom eftes
1000 Se W tank mmody (gal)
W ar Concha ManuhcWrer
Done Tank Inlormallon
MAI Lose nick capacity (gap
188 Done mnk volume (galfln)
Wln.ttCancraM1 Manutacbrer
Project Lai Hamemick and Patrick Hoaatb AsGmda Mound System
Transaction Number'. Page2M 8
AT,GRADE PLAN VIEW
Iran Clnxeonorv+6M1p 1 A "Doff
p B "Doff
roe 1n9oX
C 1.[OX
w Tc o soon
L 9C.00n
B� AxB 5500o M2
�L
Talmo
=Total aggrega@cell A xB apmin"aerrvll
O=Plowe08rea LxW a Aeromrery.
T
AT -GRADE CROSS SECTION
SYnOe& ferric Cover 19t ]9fi FinisbeE9rz0e
residual
rove reel v190 59 X
. 0 a' obSmaren pipe
a1 en9ro9me her
IL _ 5%Grope
smiammmour 10900tt C A
and system D i
Hevrtian
=12 in. ropsgl dn0 sYbmll Plnxetl layer
over aggregate and tapered to fare. arm LxW
O - 6 in aggregate belw
pinions), and 2 indove pipe.
Projel Lisa Hamernick and Patrick Horwarb At Grade Mound System
Trarractbn Number radial of 8
PRESSURE DISTRIBUTION AND DOSE TANK
laeral Blagmm Cenmr Conneegon
F
LIr'%—YtFY @'a M LcbrenauYtlPaLBMW
wnmearam rmmoom sesrwraase
vwewmp.earmnaY.taa
mu%ama«a •.nmavrbanl..aa«nadaoa
Lateral BPecmotlona
p.1ee
Onnw diameter pn
x
149
onceapecly d)
28
Onficesllateral
18C
at dowalma a rate (gpm)
Bse
sys discharge ram Cpm)
17,37
TON IPo
..i Lateral connection pmm
2
Numter laMeb
P
a098
Latmm tengM (ft)
Im
Lateral dameter(ln)
200
Forcemamdamemr (in)
17500
Formumain LangM(ir)
Typical Pump Chamber Layout
Ai mani m.er.M
aam�re arm am awe neim
Ali
pmpmro.ma.em®
lia a
a Fs'i*exwAc30°°m
'
n�`Aa
Tara:
Put
IncM1a
Wm
b5.8
q
° A
0
N1
`
e
28
e
anm�onon
OB
C
39
88p
m
B
wa
188.p
Totals
359
359
6p3.0
TT
�
vu91yv3fl
_
� I 58.5p fl
Goulds Pump manunmurer A1E Mpnbue Alarm manufacturer
EPM Pump model number ITank Joan I germ model wonder
Foi Lida Namemlck and ii Nonorm AtGmde Mound Syskm
Tastian naNumber'. mi of 8
Atbrade System Malntenance and Operation Soecifica ns
Serves Total Name Peters Sanilallan Phone 716246-5T38
POWTS Brunei Name SL Cmu 0ounry Late SeMce Phone T15306-0WO
SveYn Flow and Load Parameters
Di FlowPeak450 go Maximum Influent Patrck Si t/0in
Estimated Fores, Averagel 300 gain Maximum GODS =0 mgri
Sal Tank Capanty 1000 proMaximum TSS 150 mglL
Soil Sheri Component Suet 151 W Maximum FOG 30 mi
Like of Wastewater Domestic Maximum Fecal Coliform >10E4 c1W100 mL
Septic and Pump Tank
Eflluent Filler
Pump ate Commit
Alarm
Pressure System
Mound
Other
Servrea Free
Inedrout andar seMce ones even, 3
re Ihuggesca and crown at mast once men, 3years
Teat all rural 3 a
Should rest moral
Laterak should be Hustled and preasure cos inaert 1.5 yeare
Ins far ntlin antl see ve 3
Miscellaneous Corubuction and Ma 9%Sh ndaNe
t. O[aervatlon pipes are slogan and matenals count W Table BPS 304.30-1, have a moonlight rap,
and are secmatl in as shown in ne atyrade cemprlent manual.
2. Deloused cell ag)regate contents to BPS 384.30 (6)(I), WIs. Man "a
3. All Bossy and pressure ggng materlaK wnMm to the requirements In BPS 3M, Win. Mar CWe.
4. Tillage of the basal area or acrumphstard arts a mid Mal or turner plox.
5, The "code structure and com, tliaturted areas van be surged and mudcbetl W prevent mil who ire
aM help reduce frost penetration.
6. Areas within 15 me of the downabpe Me "it be Pastrami fuwn compaction.
]. All other con nnimar owns am as per are atyade ccmpon and manual SBD-10854-P (N 03107).
tuna Turn in pafan
Flmahed .............. ...............
Grace
6-8 Diameter Lawn w Threaded Ckanout
Spanker Sake Box Plug or Ball Sall
DlsmMgon
`\ Long Sweep 90 or Two
100.50 g + 45 Degree Barrel Same
Diameter Total
Project Lisa Hamernck and Patrick Hormth At -Grade Mound Sys4m
TansaoWn Number: Page 5 of 8
At -grade System Management Plan
Pursuang toll ]0].61 AEm. CNe
Ggynl
=. COW, a ad Nm all amlelMm! InaumNrm Nn M Mirrpmem
vlfio-
lz lnalmsaa�(N�)4414 Wig Add
an
hoot I n96@1ra]I vre wmure Reynolds. nwne rl Manua v., zo aeRrmos he dean
egmo A¢pemu goads may bed No Im hold frall r osWWI thin man MM,MN
o^Usage aM task eneMM=nml shot 'am¢ be a¢aanany 6PG]6].V, We Mm. Choy Made Me May an no M9erMen u
PoWrawkweal
anysego,, or wabr NBhM. nine,
erliWu WMoytbeen the m ppb,m d wmm Foe F,ry Ea W om,,W� tl ,or
wpwm"m ¢dgF+paw acws,opeMrgsgr6mpomte(mMrepel.rd¢.n.ulb.¢mrmd ganmemw pare
a..rd.ropr.y.ma=m.hlal=r=h.=Ih=.aaedmrvrmma ehx=laymboolook
urvoe,Me all anger a sita6. Ebb ilv dmbunitre eedk
.. hem Cindy. my hambeed wndlwn OF the mind, bank and Wheat hand shall my
.oraeMan; y�re �a�W
�TneWk laveetmyelrer., ced.an.oa,wwss.nmermampmp.rap.apn. Tafi%,¢O,d ,OMndcemmeadanp.prbms
Wdlae lntrewnm,tmaran.Bn dnwnwwWn mmowa rmmmanN=amd. uMerbar.wpweewnhanabrm, Ind
nlre .norea¢e ntre anrm pabwabd wr16dawab Imarmmedtnd.r,l.rm.may �na¢Ie a.penm.aar.n ,mcebine¢renaoas
adds
leitask
m..B,mhahnremndae.rentrewpm.m,weB.aha wrmmtNbnx..ue, t!]m.11pnnrmam.mtre
wld mabnw.
w
Ids allmdasshalll b ace�ior ofMenank Me Who amenma an am enam.m sludge a¢amakunn �e.am pwaw
ve and ads analog mom zeolkranxuaW aw(enmebtbtaon�wan¢pgenemlyn=rrepulree. x
mp(eaameltmamaiiceimpeaaf atime==w e..nedwas
n ,nee demmmwnrypwyr
x«pldr� nm emuemnikrisrmleamwurn ue lanxnuanal.uKme.wxrvw.¢e �a.ewssvymp
No Man' he 'baboday $Me to he 11 ties knerga may Mb Well be
w add mulo4e m re¢ssaryygooerer ,twin aM W p ehamepaM on fromnN PmmWnmTraM lTler ManrWhi
ve Ne ndialinn me Ili k ndremnmemte aw sell m Cion may uunder a Won W tle lmibvine carp¢ of the
mouN aMnsrow xryvtllonm 0awmbr WI prcmgaXM wwlrglon. COW vreamer Irvafluddre(GtlWer FOWw ) eIWNMmtNaF
ymlq mrmneargneezrybrmvynHgnoM glOnyLeon5 t6hrryM1i66,end ]O mgrL FCOMaeplklankalllunmr30
myLGOns]NngLLiCS.mmgrt FOG, nd In'MItW mLbnpnynvtm eTwm IOUeeaoum2ynole¢eema6UMdn hex
apvlm
Whin the
o apbmmi hInB POlnlat Meets Meaanbbrel, one NewmmmendMlnareM Nkral oe
Mmdebmnzdordi¢tloAlry uehwyrn�¢F�WYyiepuNelmmaNralnepueaamNbNlon
onypmal
wln tMepwnel mlan.un. menr.d M,ama.mwna is. voneMB wew,nan rerapdn.dmtred.i.r. and any
p..Mmdw.rmw, w..eeme„. mcehmre nydmmpmpwr.gmrlro mahm..l. m=m 6aa..ddmdmldny.
smmneerw
ya ,mMe WWI bank IF damry sib nnI¢r'ame eebtlthis tankni e this an p MM Wall cerewOr s am paded m key Me
mb Mylm mF¢rmman
Irthe addlna bane p. mn , No=0,thame.,dm de�,r® dwe ma eertnalcoponarlal Wau m enrromamr
11 lti°m: I MR m`eewdww
It Pigs M old' wl: dr ena m.am plwr.m,pa.eam�wammrum rrekmrvnarowyr"+uelhtasgele eaearpeon,nlsidlietm.mmwn:la4°bm. o.ueW OF `:'eMremennfumnewplpe e
e,yalem �nro mocer.ceralne wmm=n.
sa. Paua s d InN den w to wme am mppare hamcer a tar Ievl rovers anew W r as wwiw prmw.r.
Progcl'. Lisa Hamemick and Patrick Hong, Tanaacrion Numper, Page 6 of 8
GOULDS PUMPS Submersible
Effluent Pump
14d4
3871 EP05
•rvaranoxs •rWrwm mM� trwsmPama:mamoM1+� me.ngc W
s5�bNe y�wepaaotiremllm vx ti[¢keeECn9nn!re^r. Mq only .wool
ttIM03"
wwlNetaff ,war,
•umavarywa mg^mftwa, and draw •eExevumMo
.1Mm P'PlreEk losab�ulkatl y�:(esly a2ym and drawn II��
Fan, maNY¢ttNim Ovb 6belaV inwen n
•HwY WAY WwwdfN nvh 31FW �I •m"HMa^9�faahm 1�ipaAw wLL��urti4n ai0
-WaminMv prdui[alfW SxY[� b¢May.shsm OBrt1d.
. o°war:q aoaromawpaxaea ��amawmap.
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Sanitary Site Plan
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Lot 9 ofCSM 18-4970
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Soil Test Site Plan
For: Lisa Hannernick and Patrick Harwath
Lot 9 ofCSM 18-4770
Parcel in the NE114-SE114
Sec. 25 TJON-R20W
Towrc of St Joseph - St Critic County
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Elevation Data
al Sam, I Barham BE
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ST. MOM COUNTY Mw iy\4,�4 'J22
SEPTIC TANK MAINTENANCE AGREEMENT
AND JUL I O Z0119
OWNERSHIP CERTIFICATION FORM
OwmcBu or Lisa Hamernick Patrick Horwath �Tt���[��6Pm°y�"
Mailing Addres 611th St Hudson
Property Address dk-1339 27th Street
(Verification reryirMfiom Planning&], t"ng Dele,miemfmw mvawvtnn)
Cityistate Houlton Wi. PareelIdentification Number 030-2040-00-300
LEGAL DESCRIPTION
Pmpertyc«ationNE v.,SE %,Sec.25 ,T30 NR20 w,ToWpofSt. Joesph
Subdivision Plat Lotq _
Cerrified SarveF Map q Volume 18 Pageg4770
Winningly Foodq before 2W7)Volume , Page 4
Specmm oy'sar, Lot linenidemifiablef]Yn[]m
importer me Sea mommo oe or your ago, system could mout in ibprtmalme Stop to handle waelee. Proper
s of options out the comic took every Nree Yon ^r uwnq ilneedM,bYelimnaN pumPet WhisyouptaitM
Ne symor can affect the fuodion of to terms roof, in a treatment singe IS The wss¢ disposal system. Comer mawtemvice
responsibilities w specified In 4SP5. 383.52(l) nM m Chapter IY — St Curly County Surgery Omman"
The property owner agreesw submit to St Croix County Plasmas 6 Lmiµ Monsoon a mmmimio, Spur, signed by W
command by a grow plumber,joumeynam plumber, mvimwl plumberor a licensed pumperveriying that(Gthe unite
waffiwate dupcatl system is in pmPa operating condition andfor (2) after opposition and primary (if vewssa rm, Ne moue mode is
less than 113 full ofslodge,
Vwe, me urogram u4 have teed the above requirements and adi be manumin the private sewage shouted system, with 0e
standards sal fiath, herein, in, set by the Depammem of sandy And Pro ammind Swires and the Depwment of Normal Resonance,
Sum of conscious Commission renting that your same system ban burn compos<] mug be wmpaW and actual to one St Curia
County Pltwing8 Tuoumg Mparlmem anchor 30 days of the gave Year explosion dine.
Vwecmdl Show,
on loran ssehmmlM1n Register
Deeds
l/wcuMw Ne ownet(s)of0e
property, dacrihtl shave, by vNueo�nnty tleM recoNed in Register ofDeetls Once.
rvnmber or bearooma 3
SIGNATURE OF APPLICANT(S) DATE
"'Any information that is misrepresented may terms in the uniluy permit being revoked by the Pluming do Zoning IXputment, ae
Include with this application a reromed wamnty deed firm me Register of Deeds Office aM a copy of xnifM survey sup if
reference is made in me ureamy deed.
(REV. W12)
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Soil Test Site Plan
For: Lisallamernick and Patrick Norwath
Lot 9 ojCSM 18-4170
Parcel to the NE114-SEU4
Sec 25 T30N-R20W
Town ojS1. Joseph -St, Croix County
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