HomeMy WebLinkAbout038-1237-10-000 (2)Wumm eam.eam,imm�" PRIVATE SEWAGE SYSTEM $I. Croix
INSPECTION REPORT onleyWINo. 615439
GENERAL INFORMATION (ATTACK TO PERMIT) $wlP. io No.
u.lNm,,w UP, nm.ONmq
Tow
Nick &Dori Howard " TOWN OFPSTAR PRAIRIE " NO
038-1237-10-000
eu L... lines
s d,A, eM o..ryya. F amN..P 18s.
.31.18.1281
TANK INFORMATION RO ELEVATION DATA
TYPE
MANUFACTURER
CAPACITY
STpiION
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PUMP/SIPHON INFORMATION
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AUG 152019 flBtllsonllJlPO. Box
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omrymYOwnar'rNam �
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V.DeseaRsTmt
mAreinfoemaWn: 5711 ulek4St Mm Plmebnmb &l 'emavnaPr1l
Premium m amr® onpgl Nu Around (a)urpeoy qrz. Pmp,rafm
04 WSq. Ft. 1 1,125.M sq. ft. 1,155.60N&
PL-525 effluent Ora
burden In
4500 find
S 101ow, 100501, too AO'
VI. Funk Into
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��� MP0.530031 ]I52d8-0]6]
mm r Addl, niter Per, Sore, vpIIIo
340 Paulson Lake Lane, Osceola, WI 54MO NO
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Conventional POWTS Index & Title Sheet
PjeG drama
Howard 3 bedroom Real Conventional olsnersal Call
OwnersName:
Nick & Do, HowW
Owners address
2164 Cc, Rd. CC New Richmond, W154017
Site addres.
same
Pouter wrsdon
Subdivision: LOt 10, PIv of Mapichaugen
Legal Demeriptiort NE114NR/4, Sec 16,T3IN, R. I Do. To, of Star Prairie, St Cows Co., WI.
Parcel to%: 039 1237 10-"
Pagel
Inacv and Title Super
page
site Plan
Page
Dispersal Cell sizing Calculations
Page 4
Dispersal Cm Gms Section
Page 5
Infiltrator"Q-0" Chamber specifications
Page 6
System Management Pon
Page
Filter Canister Cross Section
Page 8
Effluent Filter Specifications
Page
Septic Tape Maintenance Agreement
page 10
CenNoadon for UtlllmEon of Fxlstmg septic Tank
page II
Parcel Map
pagel2
WartanryDeed
Antlered: Soil Evalwaian Repon
Miller PIr Remit ed Sm,ice James K. Inm sun, DSPS Cmdemial 030021
Signature\, Date:
Pagel Of 12
DoIpp pepmnpolrvUound6oa Abmrytlon Clavicle Manual WP0WTac,,,n2113B610705 Pope I N13
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wwd<d'. ev.ew3 ape., lawn
109. FoFdz'
Howard 3 Rydroom Dissfersal Cell Sizine Calculations
L (3 bedmoms$100 gallons estimated llow$1.5 dmmn fdyWr)— 450000mi des em flow
3. Infiltrvive rspazi�ufnalive wit=06 sq. It
3. Ald ryionmearsquwecl 1,12500� ft.
4. AbswpdonmvaaspmpnseP. 115560 fl
Infiltrator "Quick 4"-20,00 sq.R. EISA puchambeq Infilunmr "Quick 4" end caps —5.20 sq.fl, EISkpaT
1, 125.00 sq. ft — (3 pair mdcnpsH530)-1, 109,4p sq.ft
1,10940sq.R2000-55476 mbersrequired
Numbvoftoncbes: 3 a 19 chambem W bnmdh (57 cbambers tonal)
Trenchwlddc 2.83'
TrenchlenglN 4700'
Trench spacim, 9.00'anoonner
TOW system area w' b'dench spacing: 2] 00'x 79 W'
Pg.3 of 12
IN -GROUND DOSED -GRAVITY DISPERSAL AREA
Stepped Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down -sizing credit)
IT
SOIL COVER TYPICAL TRENCH
CROSS SECTION VIEW
rt°`"u (No Scale)
roam
Highest Trench Lwest Trench (as applicable) Pmvi6e minimum 3X
sepem4on amereen trenches.
System Elevaecos= 1010 ft. 100.5 ft: 100.0 ft; R a
Cori sbndarbw
ter Erd qap (snow lcaaron of Inlet I ouaet Moo oannemon be plan vrcw.) "�M°knpPo
(toll m TYPICALTRENCH
,nal• PLAN VIEW
(No Scale)
___—_---_--yr—_---_—yf_—_— — — — — — M_�•
IA=30it
INq®6
—y� __—J
B= 79 ft
(socal) pukka steneii chamber
INSTALL PER TRENCH: (Newt)
Imm rymxueru•.i�l
19 puicea Sm-W420WElsacharre, 380_0 q= "`°"°'^°•^tw^e^urwmnnnn^,•m^..
+ 1 Peimotenticaps@6WEISNpalr= 52 V
J� = Proposed EISA perlrenm=38502 ft' Required bnnatbn Area= 1,125.0 ft'
Distribution McNotl:
ux 3 benches Proposed Total EISA= 1,155.6 ft= branched mandold
Y
Qu%Cdr4."`
Ouicke NEW Will chamber
WEI NEW NII-inppe 13 Endup
PREASSUNIED Pi
AINTSUESTAINS
_..
�.-v. —:
FRONT NEW SIOEVIEW
puickC Plus P11-in-pne Periscope -- ANNERNAsW�NS,, uUcnaouo unrtDDp ANNEW wuwm
4Wn ruenuam Anb a ofa mv.I rmvwnpneN pynsMne all AT
r.f 4MoriI QUII PUS) ANSI All of in wwroor AMJors1 winimw.wo� uviwmua3er n.
If IN
µ nvNor UN Us I aI
is NotndfoW opto As e.+.Nweeu Iaposirld ron.rn mene nn� vm¢ INA Jr,
/ �enreRI mif
I on M loss n AUNIA�uwNor osn N.N.
seNAIN SAe9wi AnnrfiRmns ANNm�'
w Nnpq aNN�lnnu,in wywqN r4Numnwmr Or qp mmmnmry nenmm m re
n n,iiAnrrwe NmEWsmermlmrtmmWenm
III iNVER, mimmEWRIA nu.
wuraauTresoruwcwnnawammhemnerwrn�on�nwAll 11,511,marni ARTS. NM i..gym
m msonsins,lossionsopontatlosinn,
14,
NiP hew
oe=w
mn 4ihipmor Tu brokord
of NET AN so 1 1. TONS ISO to nor All A A IN in A, I In tW, NrEfor
or nni for As loss An REASEN, 111 r
�Wonnta ssµra �emmu be nv.umu
AGA An 0 Al on f on
MAN
Astakwev+n a9nuu.wrcn•M.eneiar aan.eim. yaiwkivw.vm
.gym mw.nAS
INFILTRATOR' "',oi M"yw A,Ars GpostsII poZAh Nr Age a"nv"mr In
wererrecNnologles Mv.iminnrw.mr.mm •weureruNpmrmmep.rmuemumuIII Ali Ali
_ .fir SOF(2
Conventional Sep6e System Management Plan
Pursuant to SPS 38354, Wis. Adm. Code
General
The conventional septic system shall be epers ed in accordance with SPS 382-384 W is. Adm. Code, and shall he Mohamed
11 ccordanw wilt component manual SBR10705-P IN_01101). All local and/or state color pereinlvg to system
and mainteoanae reporting shall be coupled with Questms on den operation or maluremme oNhenys[em
,hold be directed to the Instilling plumber, Jim Thompson at(715) 2497767 or the SeCmlx Count sharing Department at
(315)316.4630
L
who, took covering mechanics comply with SPS 19354(I)(e} Septic work to be looked wiffim 150' of service and, with
bottom of mnkw be5' below service No elevation par knowing condition of the came milk and output filter shall be
assessed at least once aware, two years by mapmtiors The septic tmd contents shall be removed when the sludge and mutt in
the tank exceed 1/3 the (food volume of the lank. The contents of me septic tank shall be disposed of accordance with NR
113, Wis.A" Code, ev an cerebral contend to service septic was, u,do, a 2814& Stab. If&a contents of the milk are
not removed at be time of a damaged assessment maintenance Province] Shall advise the owner of when service will w
needed to maintain wee than 113 mum and sludge accumulation In the tank The outlet filer shall the cleaned as necessary an
urcpmpuopetvlon. The 0ltercamidge should not be removed unless previsions art made to retail solids in me some
Net may slough of the filter when removed fivm as enclomta If the fillet is equipped win an glomt the fit,, bill be
rviccf lfNe alarm is aulvend. Septic tank manholes area, access bears, and covers should be ivspkv dfor%mer
tightness and roundness. Access openings used for service and cerebral shall be sealed watenight upon the completion of
sea¢ e. Any opening deemM unsoun4 daPodive, orsubjeU m feilue moot be rwlaced Exposed access openNp} greater
than 8radua indiameter shall boenured tykneRmtive IccMngdevice eresent a¢idemul orewdeatth entry marNotanr.
abandonment
individual should everenterNemeth tank ar Comm8dangemus gases maybewnbe present Natwno longed used
SaPOWTS
abandonment h e11 di ioaccordance with Com chemical
ad, Wis. Adm. Code when be pM is tie onager used al a POWTS
component, The reused t n of biological or Ud fors additives a ebM1thee Septic milk ofConwnce is generally not required. If
smM1 pmduols ere used they shell be approved (orsepticleM me by the Department ofCommeme, Safety and Buildings
Soil AMorotion Cell
Trees orshmbn should not be planted directly on the Sea chairman system. The armaboveandaroundlhcaysterm should
he seeded and mulched as necessary to prwenmmsiev and pmvide some degree of kost promulov. Traffic (oNerman for
vegetative replacement over the system is to be avoided Soll demanding may hinder aeration of the in0lvallve Soft
within and above the system and will promme fmmpandar ntiming cold weaNa' moos. Cold weather investigators
(omobm-Hoch) dicambut be system be heavily mulched for beat protettion.
Influent quality into the system may not exceed 220mg/L Bei 150 MG/L TSS, and 30 ni PCG. Influent now may not
exceed decimal design flow mooned in the permit for be msmlladon.
Observation pipes within the dispersal cell shall be chaekedfin moat rpndiug. Pending levels shall be repotted to the
owner. Levels above inches indicate an Impending hydraulic fouretequiting additional mom Coconut monitoring
Unless flow shall be simmered between dispersol calls on a Ma -year schedule by use of diversion valve, Eanuem to
Se dwarted from new cell to old transit at 4-vent aimmossry of new system installation old managed to be todead fora
2-yeoparnal Effluent dispersal to he ahemand healed syndicate on above- year working basis merrafiv_
Contingency Plvn
[fine septic pink car any of its components became defective me milk or component shall be repaired completed to keep be
system iv peeper opaalingwndi[lon. @comae coding whhin me dispersal cell will be eliminated by Installing anew soil
absorption cell to briogthe system into proper operating condition
Pg.6 of 12
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Ea1EN LANssrx DETAIL uIIESER CUICAETE °" — —
\o SEPTL MANOAL x 1 Mood em: s
NEv. aAN. 2m0 800—b25-8I wDAM
6- 70"i
P� ICI_
w za6°�.a,mk. PL-525 Effluent Filter
n-525 Filter
The P4525 Filter m reted fro 10,000 CPD (gallons per day) makingtt one of We largest filters in its class. It has
5251Bmar feet of 1/16" f firatum Only, like the Polylok PL-In, To Polylok PL525 has an aromatic shut-off ball
rolled with every filter. When Me filter is removed for cleanup, the ball will float up and temprrarly shut off
the system no the enforce won't leave the tank.
Feamree: 1/16" Filtration Slots
- Rated for 10,000 GPD(gafiom per day). Al.onfr e
• 525 linear feet of 1/16"from"
• Act 4" and 6" SCUD on pipe, roils, I PVC
wrvne
- Built in gas deflector.
• Aummamr,mu-off ball when filters mowed.
• Alarm traceability, to,m4or
card
• Arcepts PVC cl msir, handle.
PL-SZ modllation:
Ideal for resldennal ,it commercial waste flow, or, to ns va. of
10,000 garters per day(GPDL raft ym
1. Locale the outlet of the were tank
3. Removeehetankcoverand pumptankifnecerany
3. Clue me filin housing to the 4" or 6"outlet pipeif Anvils 4is 6�
q D of pp
the blow e, Rot centered under the awes opening use a
Polylok Extend is Lok or prece of pipe to center Inndian.
4. bond the PL-525 filea nto i6 housing
S Replareand secure the sepfctaNefear, - class W
51 standard! am
® e
11525 Maintenance:
The M- n5 Effluent Filters will operate efficiently for
official years under nomal endlbons, before requiring
cleaning It,mended that Me site, be cleaned
every time therecom
ant is pumper, of at least every Nree
yams if the instated proof domaw as optional alarm,
the owner will he notified by an alarm when the your
mssds,among 5enddng should be done by,,,Hired ( ca. o°MOO`
septic Yank pumperor intoner Aleafflari
Bvll
1. Locate me on flat of the septic tzM. Au
2. Do novete plumbs and pump aNa@rowd!ary.
3Dom[ use plumbing when fiberi,mnmred.
4_Pull P1,525 cadrldge oat of the mining,
5. Hose off filter over the septic too:. Make sure Al
solids fall back inro septic an p
6Inert the fiber mmide, back inm Me housing meting Outdom ore ehe Wlert Pn'Fo-13'aFgredarvimmplafdyvar' OlylOk aMeaal�avl.�t IsmId stake
sause
y. Replace and secure septic eN cwu. 6, menenl,re woad, owaorm mm.rmlugunl..
Polylok, Inc. 3Fairterd Blvd Wallingford, CT M492 Toll Free, 977,765 mi Pox 201210 M14 wriepolylokwm
PD. 8 aFf%
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Nick & Dori Howard
Mailing Address 2164 Co. Rd. CC, New Richmond, WI 54017
Property Address Same
(verification norood from Planning @ ]siting Department IN new combustion)
City/Slam Parcel Identification Number038-1237-10-000
LEGAL DESCRIPTION
Property Loci ,] NE ,, Set, 16 ,T31 NR18 W.T...mrtf Star Prairie
Sabdivladople, Maplehaugen Tang 10
Certified Survey Map W , Voluni Page d
Warranty Deed 933678 (byforc2007Volume Na Paged Na
Spec house Oyes , Lm lines identifiable Oscar] no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper um and main¢nencc of Navy mptic ryemm could recap In its premature failure m handle wastes. Pmper
thelis of pumping cut aryfic unk every three years or wanes, if needed, by a licensed senator What yuu pm into
ave consists
the e9em namat the tans SCS 393spct and
nls M, in New Mk disposal systemtblemeMal resume Austin, tme ss
responaNltla art speeifiW m §6PS 3%151f1) end Io Chapter 1E—St Gob County $antlry Ordhanm cheap,
The property owner Moves M submit isSt Coca Cameo Phn in AZoning mentioned nifice un form signal by the
owner and by a master plumber,Momeymm phmbp, ruhickd plumber or v licensad pumps, 'motion Met(I) the Myatt
roctwomar disposal system a in proper opening condition super (2) after inspection and pumping (if neeeaary), the septic bank is
less Map IO PoII of sludge.
Vwt the ndryoured hive read the above requirements and age' m maintain the private sewage disposal system with the
standards set Mm. herein, as act by Me Department ofSafdy AM pass ...... i 6ervim and Nc Department of Natural Responses,
Mount Of Wisconsin, CeNCwatiM Salting that trial pit'yalin has been malmlmed must be compltted and rrNmcd b Nc 6t Cr..
COMty Planning RZoning DepemnmlwiJi 30 days of the flares, year nptrtlon date.
1/oocodiiy, that all seem nonhis Pm, aze Wewthcbestof spy/ovyknowledge.)/weaMvetwovormoofthe
pmpery de¢ribed apse, by viMeenfa amnry deed mandol in Reflect of Deeds ORce.
Nato r ar as a 3
/D2/19
SIGNATURE OF APPLICANTIS DATE
" Any information that is misrepresented may result in then Mary pant,it being rc..sea by the Planning &prince Depart ant.
Include with this Monauslon a recorded watrenty dad from the Register ofDead, Office and a copy of the canoed survey map If
reference Is made in the memory deed.
(REV.ana)
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) 2164 Go Rdcc located
at NE Y, Re '/., Section 16' Townv N, Rangels W,
Town of star Prone , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service July +a 2019
Did flow back occur from absorption system? Yes No x
(if no, skip next line.)
Approximate volume or length of time: Na gallons Na minutes
Tank Capacity: 1.3009nwn
Construction: Prefab Concrete x Steel Other
Manufacturer (if known): weexa
Age of Tank (if known): ac nerrs.lnserea net. 12, 1983
Permit number (if known) 199959
James K TaomRson
(Licensed Plumber Signature) (Print Name)
MPRS
(License Number) MP/MPRS
August 2019
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
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