HomeMy WebLinkAbout018-1094-24-000 (2)°'p PRIVATE SEWAGE SYSTEM
$I Croix
salaya""8HInop0li9mn INSPECTION REPORT
mry Pamn No
615475
GENERAL INFORMATION (ATTACH TO PERMIT)
Plan No
ame
Sher&
�'r woaTOWN
'n.x
Christopder
Jennifer Heebmk°
OF HAMMOND
016-1094-24-000
BM Lou
:a.IN
.undon
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F.11 �
1m; 29.17764
TANK IMPROLITUATIPLA!W at FVennN DATA
TYPE
MANUFACTURER
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STATION
Us
III
WE
ELEV
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TANK SETBACK INFORMATION
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COMMENTSWuumavBeaNmagnwm, pmwn.o... m m.) m.eann ^a
LenLon 981168TH ITT ` QJE aN w A�A.,
1(A1aM01,11ca . F e.,
21Bldg
emounmwlength
er- 1_]yP, NO additippoer on B.I. ae, No
Pan, °mom 9'zoii9y
aaao .,,.°e10
GP"a71Nma197)
y �ep'tl"s"Id SOIL EVALUATION REPORT °1997
3? �stoo &alb in NNOdanw Ann Cold, es Al Ad, Cma Pall 1 a 1
swmasoa Tanm9, ins:Anxn Put
eM plea on peprnq kaat6en 8'Axll lnvlrea in aiu P q rawly SI Cmlx
indure nallA no 4not mPulln va elul nounnmnbl relnennwdon add aM,mab rcaannot mal road 1 An armm en owi a a 010-1W424-00O
P o pant all menstruation oam
Pall advidnall NI Pulan All AA nvP An lint Pmwa Phew a r Imll
iwaM OTar prepay iwmn
H¢¢pnk, CM1nstopner B deal GON WI NEI/4, all nm RiTN
Proany O,menw Aonmu a &oas sum rome An..
O81 luffistreel a � Pralne Run
:Iry srw np Cwe PnoneuumCer Clry vmaPoI Tum "all Row
Reyaarem Podic 11 wnmerml � All
em melenn ouMwn{auAnarN$enre cdnpall flompl.naMalwn llappi NA__
Na vmnamr W1013T1opdflsvaAer0nsepMtank lidn Addimg911B'
1 Isomre. vA.n Gwm aunawwr 9869 n Cxnlo lminn M1aw 105� �1
1 0-22 IOVr3/3-+ 'Are of 3m�dYrt� mm 9w�l w 06 1 0
3 r 10-33 1q+4/3 0
3 nAl I0 r4/9 ral Day 2fri man gw 0.4 06
4 4150 I0yr914 none j[11 �ms0k mk 0&��
5 150-305 10p6/9_- h i Jag 05 10
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r.9Wr+]0<ygny�am i55,]9�1tA myt 'EMuenIrs.BCOr�lO myl aMi55<1Bmyi
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Tnomea3 Scnmm 1i]a$B
reaa Sd�mM Soa Tanine '00 — f Davie Evaluation Conducted Tabpnnna NumM
m, WI AOn 911912019 ]154¢0.1W8
ST. CROIX COL NTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
Thu n it, ceruf. that I have inspected the existing septic and/or dose tank
presentll se mg the following residence
(Street addrms) sea lass, Street lowed
at. NE tie /., Section 11 Town 20 N, Range tl W,
To" nof Harrold _ St Croix Co runty Wisconsin.
Upon inspection. I cerl that I have found the Sarkis), to the best of my
knowledge, Will conform to the requirements ofSPS.384 25, and it (they)
appear(.) w be luncnaning properly
Most recent date of Inspection or service
Did flow trod occur I}am absorption system" Yes No
Ul no, rkip next Tine )
Approximate volume or length oftime. gallons_ minutes
Tank Cupuuty tzar
COnslrennn Pretab Conercte * Steel Other
ManWanurer lit known) ooexz�arwdl
Age of l unk (if known) m5yeere
Permit numbed dknown) 43MM
1,., +1 srnm„
('Aensed Plumber Signature) (Prim Name)
MVPs StC760
(11t1e) (License Number) MPi'MPRS
9-90 - /9
(Date)
form in he completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s 145 06, Wisconsin Statutes) or licensed disposer
(NR 113 W isconsin Administrative Cade)
Rev ]201,
Page
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SYSTEM PLOT PL4N
Protect Name HeeDmk 4 Bedroom Septic
N
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se
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PipeN l�9iu n
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CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
mlect Name
HedbIlk4 Bedroom ReplacEment Dram Field
Owners Name
Christopher & Jennifer Hei
Owne,1 nJJrea
981168tb 5t
Hammond, All S4015
Legal Locution
Nitta, NEVa, SIG, T29N, R17W
Township
Hammond
Faulty
5r Croix
Subtlwrsmn Name
Prairie Run
Lot Number
24 BlockNamber
Partner I D. Number 018-109424OW
Plan Transaction No
Pagel mtlec and brie
Page 2 Plot Plan
Page Septic Tank Sperfiraoons
Page Existing Tank Certrfrcatmn
Page 5 Efluem hill Information
Page System Going& Cocks Sal
Paget EZ flow mormaten
Page Management
g and corn plan
Page Septic Tank MamRnanre Agreement
Page 10 Warramy Dead
Page 11 ICBM Or Plat
Page 12 2004 Inspection Report
AnacbmentI Scbumaker So l Evaluation Report
Designer John Schmm Linni Number MPR5223760
Date 9/4/2019 Phone Number 215-760 0486
Signature •71l >�'I�G'4'
In Ground Sol Absorption Component Manual Version 2 0 Si 10705-P IN 01/0N
Page 1
SYSTEM PLOT PLAN
Protect Name Heebink 4 Bedroom Septic
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T6]hC EZ Flow llE =1239
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AXIS 2010
WEEKS CONCRETE PRODUCTS
RAY WEEKS
1832215FIT STREET
NEW RICHMOND WI 54017
Re Description SEWAGE TANKS CONCRETE
Manufacturer WEEKS CONCRETE PRODUCTS
Product Nadia SFPTID HOLDING OR PUMP
Model NumberD5 1260
HE IN LL 2176 GAL IN CYLINDER, 84 IN MAX DEPTH OF BURY, 804 G P O WHEN
USED AS A SEPTIC TANK BASED ON A 3 VR SERVICE INTERVAL FOR RESIDENTIAL
WASTEWATER TANK DIMENSIONS A 801N INSIDE DIAMETER X 58 IN. H)
Product Fie No 2CIOD129
The icecoceopns and or plane let this plumbing Pi rave been reaewea and deed to prom comdianm
wan mall Comm e2Impugn Oct Wisconsin Administrative Code and Chapters H5 and 160 Wisconsin
matures
The Department hereby issues an approval based on the Wisconsin statutes and the Wisconsin Adenliqueme
Code This approval Is valid until the end of AUGUST 2015.
This approval, :,nuffurgivel upon comphance with the ollowmg supAeaonls)
• TDs Il +usl bs desdned'c wrinerand the pressures 'a which it all be scbte fed
• Thum manufacturer must keep at the manufacturing plant a set 01 plans and spenbWlions bearing be
dopanmenrs Stamp Or apro l The plans and Arno ncabons must be open to mapemon by an authorized
represemallve of the department
• When this proaun meelree wastewater hold dwellings and is used as a septic tank n will produce an enluem
qualm won a maomum monthly average va tie ter BEEN of greater than 30 map and less than or equal to 220
me L TSS. m Severemain 30 ms1L or less III 0r equal to 150 mg'L TSS, and F O G of than 30 rl
• Ths drool approved to use due following
Lin mcn schedule ac PVC cast in ,so, to, deal wing
-Pipe materials constructed in conformance with Tamp 84 302 o, 84 301 t, Wrs A elan Code mimed into tank
-Depapmene approved effluent Nte, designed l0 beiretallad in a tom inch diameter tee with eFlanson and
nmallI scope quote Art the pi all m, the filer inowmnp a properly steed and located access
ape rirng mrsave, and maintenance
Depenmenl approved ED Set and Polylok Inc 24"'rser cast into the tank cover
This approval supersedes lbe amgval Loved on 8 30 20CS under omal We rrumber 200506T5
sP0tu8ea EtN 10 W, his a•r 1001V0 3oc
MAINTENANCE INSTRUCTIONS
ZABEL FILTERS: A100/0001600- 6" & 12" v h
TYt Interval tome, Ilefig kept c to I I lu roe l by stare and loco l code Throughout ne unuea States mere is a wine difference of
enter on sol m a Interval robot fie. obi mostregula0ry agencies suggest Me to five years The Zabel filter. which does not
frequency m servlcing m, me tank, anowd be cleaned when me septic tank n normally Inspected and pumped
'However l our Leer. a kil IN sell deuce fig The continued all of anaerobic mgamens, on the Zabel Luer causes loagN
parades to o ent lyae and fall o the bottom of tank if your flmr hurt ems a smadFnem aid" you whit be notified by an
alarm when the tale, rents servlong
S
Stop r
one demo e color lrk clear theseptictan it
Stop s
Bert the filter call back in ma
s, call
Ispmperl ards alignedare sure fitcompletely
ree,mdlnm8. RWOp mes
drink cover
S
Sep]
mcrofl1 handle slide
e at nen e s
wrrmrI'll w.I p, :...
...x-r ... arkir
e....... s..»�m-.n..wvtw'orlhk.e"..o..�r..m....r r.vnw
1d1]-]bS-9S65 w" tort
Page 5
IN -GROUND GRAVITY DISPERSAL AREA
Weeks Con�°°"'"""""'""""'➢'"'
crete Proeuds
Stepped Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
Ee k T ti.I a m" °
°'
290 w H"
1 1
zawlc
.u� . A-100
A
J1TTITYPICAL
TRENCH ProViee minimum Jh
m,
—
CROSS SECTION VIEW sevmabon between RB1hQS
(No Scale)
Highest TrencM1 - Lowest Trencb(as applicable)
OBSERVATION PIPE DETAIL
System Elevatlona = 93 59 h 92 98 M 9238 h h h 1.11.1
Im"� I
TYPICAL TRENCH rsh...iaum°"re,.nm rrw,lm pro ra",.na"" w on, es) ••,,""•"'"'°""°'
S.
PLAN VIEW Lim ..� ..
cw.
o,.V
..
(No Scale) Perleratee Latemi "DR, t0 n .A
on.
rvw ..••
OPP I
Itvpirzq n
_____________
I
.—..—
—. —. ..
rA=JOfl
_
b
=
a90 IT
TIT
YdI
INSTALL PER TRENCH F21203H DUMB
O
�0
8 10.fl buMlasg SOIP EISVunX=CW It
�
I �(rneylAiovSprmn�l
+ 0 sh bunseea 251 Et the it
= Pmpasee E15A Per bseh=909 0 Rebu,,,JI,tSN Ann=12M R, Distribution W Chou.
R3 Beeches= Proposed TOWEISA=1200 ft. branched reanlfole
Installation Instructions for
EZ/t(f, Systems in Wisconsin
...................... ..........
..
n Je:@,1, l a Cur 3F and Bad...",
nnn iem srltire .pnr I,,,Is end/or pans for IF,
de.l ,it de artful it Is ian in wiN chi
m 92Iko, at fi4 YYrmAdult :ode el capable
145anf Ily)y n5lIF, i Al zdo5 post meet the$
2dral Fo,d sea isIenhance, an atlahmesaa rote -in
l,col q., e,,
aapotp'v- 1203H,3l 12 met e5 mrs,pip,
,anw curb n5 or'J' leer jnY I I03HP d 12 Mdla
In pipe n erch bundle it 5 or 10 Ieegna
Rvnot, pipe Iwndlo mk nfna Ina, inch pre omted add cut
ounded by EPS aggregate and n yeld together vnin poly
0 olm,c notlmg Adead i.. hl of aggregate
. ,Intl is b9c loge'hw w I, pays Ins ne nelang
uelemle and Eaummeef neeEerl
nzf eeo dale, -pan.
E2fli m lemal 9oe Caspar
I pe for Header and lmet
. 3acttraet E.....eor
ImstelleHan Imeucumz
,,star pro, d Rllwr pmdure, zre gran
b=lorvThi. That cc ulled11 cx�r11CIae r -, der m rs Gmlam Be I...egn ¢nm 3t w,Ad
a A I -DdtaCac'e.'=J a^o 6:. glycerol 5131
- _ r as the lma nee- frowner,a_.orasp^
to .elAter IC local n ealN d1c,up nl has eetayr-oesand
sentgureaon ere ty,,[ F, the EZAw Adopt, stake
or Task nt sent Inc looel on of trenches one lines Be
malto sof mdpipe eaderIw
mbueon bm a^b re ebolmm dl n c,aanna before Inda.
ou" o pip' "nflry
r . pars E2e,., .are IVn) xgz f
n,p4,rc di 1 __
3 Th s product muss too gaeteha1, an in that moots re
s of s Comm 64 d) ter (IT We rpm. Cade
suet itredlyon lop o1 the pmeee and vivda
due, sharp the Fare o f in pad-ct to a point Of least c.
bcftAT 01p t
d be ouq to
Ib
has 9 ple'ec x e ,.ac�a=s
d
t*EZflow•
..................
5 The Absogaw area left necessary for a been site shall
he ,led based on mAmi Mil/ sewage Audi and
the permeablty for Ire one If terrain Intent n mast the
EISAsass can be red To answe n, mauling ie a 40%
smaller dwnead
6 all peace as peer A, re zee,., conn9.rwer aid
pro As b) cater' mcps, porn t parrappead III the prep-.
she The lop or ...to all anal-- rental pipe
relunm red to end was an mleman pipe sued My
atldnionnl a99regtle rely bundles that may be r cl
aMuld IF hole plain.1 the can,, pggrest only bun-
ola and do rot rednim any par of mmossi
9 mhe help of e,i 6EO Fiind,, coal It fear Fabric pre
man✓acl.red in bem'rcn the,ell ng and aggregate 'hc
As - lincerfied to bra mil intrusion IDe aboadr
Tel mare ue tee GE0 is deptme] a sad aM is
., mare" -r 1 rotFull
-
Is, a oem bslFll no ✓
9 me Ezto. Cranriem Systems Intuit be irmnl in a
Ica trench in au dunn nn, (mtn circus and alepg IF,
French boiton) and 11 and kill ine rot Pe grand
cadet m (umlorm depth) ,cw with conanu
adlon ng 10 feet lrell bundles added end to era,
wm cued nunhie datrul pre m aed
Audi any daml. nryNow t er omer,A. Sopse
5 T^e pan: pe; it do 9 spot age moo Itafw col 'Of
pad 5acpel d a id bya cdet o ea be immediately
c pebto reduce sue n.
10 EZAow EPS bundles are fleet and can If in pulsed
bencbee as may M necessary to paid trees barely, or
other agenda
11 EPS a991, IAdor than all therefore f might
be erpetled that rri bucyanq faces alpine III to
dg,ze Cl aftertaste to Prct w of prone .men
prel guars Fela ape^e-ce has snore¢ Mmnv
thatch's nIt abeefarmy,co e a spectrum
of 6'olswl cove ,rerwmmmi by mill l ...I
1203HGEO
Bn
0av ~As' ad
Pagel
In -ground Gravity Management Plan
PAGE 4 OF 4
IMPORTANT
The Owner f this mground gravity system shall be mapper be fir Its behalf opetallon add maintenance pursuant to
rugmrements of SPS 38L304, VNsc Admm Code Pursuant to SP338362 (2) Vi Added Code, this system shall
be considered a human heath hazard rt not maintained In acwmanm with this approved management plan
Furthermore, all Ingestion and maintenance sources shall be performed by a registered POWiS Malnbtner to
accordarri SPS 383 52 (3) Word Adman Corte
Maximum Dlsideceal Area Operating Limits'
Design Flow= 600 Input BODr5220mgL1, TSS5150mgL', FOG 530 mgL
InanKtlon Checklist INSPECT EVERY 3 YEARS
u type M use
• area a system
nuisance• farmits odors, pse components etc
• farmersmcalmafunctril a pumps valves, Another foals era)
• material fatigue It e leaks, breaks corrosion etc)
stands volumed anaerobic treatment el and any dvor button appurtworceial (I a,distribution /draft boxes)
ra lml or mproper new () a ereing design capacities proflated addresses etc)
• extent of caning to distributed cell prior to dosing
• tlogmg Irregular if applet (Ie pump re Weak float switch settings etc)
• Seoul components -if applicable It e, wary; ,connections ,switches, curable, hears, alarms etc)
o distribution lateral or lateral orifice plugging imeasure lateral distal pressure- compare to design spectfcabod
o sudays discharge of effluent or sewage recoup into structure served
Maintenance Cabernet MAINTAI N EVE RY 3 YEARS for when ndesseryl
Septic and dose dankhol shall be pumped by a climbed legal servicing operator ticented under s 28148 we
State when the volume of aollds In me rands) exceeds one-thand (1/3) Ibe liquid volume of the tenpal Or
as required by local ordinance Disposal of contents shall be pursuant to NR 113 Wlsc Adman Cute
o Effluent filiflumul shall bemstabod every 3 year and shall be cleaned when necessary to remove any
accumulated solids According to manufacturer a specmcatmns A servtung forth will always be greater than 12
months
System maintenance reports shall be submitted to the proper local government unit In accoMmc ,with
SPS 3W 55 Wmc Adman Code Report any component failure or malfunction to
Name A individual or company John Seh mitt Phone. 715-760-0486
Local government unit St Croix County Community Developement phppe 715-386-0680
Local government unit address 1101 Carmichael Road, Hudson, WI zip 54016
Any defective pad of Its system shell be reported replaced, Or removed pursuant to BPS 383 51(1), Wsc Admm
Code Repair or replacement of filed or malfunctioning components shall comply with SP8 383 Saw eemn Code
No product for chemical or physical watchman of the pOWIS may be used unless approved by the department in
accordancewtm SP038f Water Admn Cute
Contingency Plan
In the event that any Polled treatment component of this PO%V1V cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval A oiled tnpbund dapersal component may he
Abandoned and replaced by a code-comaymg dispersal component to a predemrumn d area of suitable sods
System Abandonment
II use of this POINTS is discontinued it shall he abandoned to accordance with SPS 38333 Vor Admm Code
Page 8
,,, , , Christopher &Jennifer Heebink
981 168th Street, Hammond, WI 54015
981 168th Street
Hammond WI orb-1094-24-000
NE NE 17 29 17 Hammond
.111) „ N,, Prairie Run 24
f uuci.I IN I 1 1
AN.n j iI [ ) CAI- -
.),IIVIAILVli\AN,1 A4 _
4
9 2 r3
A IF -
Page 9
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