HomeMy WebLinkAbout020-1189-10-000 (2)ideas and a.Bn.Div nmnm,..•rc PRIVATE SEWAGE SYSTEM St Croix
INSPECTION REPORT rvevmnxn.
GENERAL INFORMATION (ATTACH TO PERMIT) run,o xn. 617717
Perna i ou p,Qvi may
11
Rodger L &YMoni<E RbCollinson n ryen° „•e ..nm, r..x
e �.. . TOWN OF /H/xxUDSONn a 020-1189-10-000
C5i /D di' LJG {ie�! rna.e. r n adi�• uM2829. 191187
TANK INFORMATION
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In -Ground Gravity Plan PAGE 1 OF
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-1070SP (N 01101, R.10/12)
Pg t ofel
Index & Cover Sheet
Pg 2of4
Plot Plan
Pg 3 of 4
Dispersal Area Cross -Section & Plan View
Pg 4 of 4
Management Plan
Attachments:
closures:
Filter basin specs
_.
__
PpW_ Application for Review
Filter spec
Soil Evaluation Report & Site Map
Infiltrator specs
Project Name / Description
Rodger Collinson
Owner Name(s): Rodger Collinson Phonr.812 267 -1185
Owner Address: 787 Hahar Circle, Hudson, WI Zip: 54016
Project Address: same
Govt. Lot:_NW 1/4 of NE 114, Section 28 ,T29 N-R 18 E❑orW❑✓
Township: Hudson County_ St. Crain
Project Parcel ID e:.
Designer Information
Designer Name: Keith Hairings Phone: 715 703 3777
DesignerAddress: /0.5 FGLeipiae. ./ Zip: '5-1y7.;17
E-mall: -d ..d tpFM51ii /r WAco, Can.xn11111M,,,ar, 1r•ma,bmr.
License Number as
Remarks:
Signature: - i^eawew Date:
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IN -GROUND GRAVITY DISPERSAL AR
septic TanMs, Marvelst
Yell_cwac.=eow*amine�mawv
Uniform Elevation Trenches with Quick4 Standardhambers
d,pl.an,(,l„eM„,K,t
3-11 Trench (down -sizing credit)
1.000
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III Ftier Mewrokae-
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In
SOIL WVEfl
All,
TYPICAL TRENCH
- CROSS SECTION VIEW
4—pg (NOSwIe)
Prwge minimum 3fi
Spern Elevation=�-5 fl seperalon MNrean lrentlas
(Vi ll
Oulcka SdNap-W
wlEnd tiI,° Ishow bcetion of Inlet ousel pee mnnemm on pan new.) e><Ct.�a TYPICAL TRENCH
PLAN VIEW
em
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(No Scale)
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Distribution McMW:
x 2 trenones IV Proposed Total Ell 652 W branched manirok
In -ground Gravity Management Plan PAGE 4OF4
IMPORTAM'
The Owner of Nie inprouri gravity, system shall be reaponstle for its pegnuel Operation and maintenance pursuant re
recuiremenre of SP53113Bq Wed averad Cotle. Pursuant to SPS 383.52(2). Mac. Admin. Cotle, this system shall
be mnsiUmetl a human health havaN if not mamhined In accordance with this approved management plan.
Furthermore, all Inspection and maintenance actindee Shall da performed by a rsglehretl PONTS MainYlner in
accordance wit SPS 383 52 (3), Wac. Atlmin. Code.
Maximum D1Mddi Area Operatil Limits
Design Flow= 450 epd; BODe5330mi TSS51S0mgL"; FOG 530 mi
Inspection (In[ INSPECT EVERY 3 YEARS
• YPe of use
• age a system
• nuisance IaUors (I.e. wbrs, rear complaints, ek.)
rr mschahml matfuncton n a., pumps, valves, switches floats, ek.)
natty and ancmnnburon appuneance(s)(I.a. distributor r crop paper
it
use (I.e., exceeding design ce ps ide, actual activities. east
in i iddburon mu morW doting
So- r Equitable (e.. pump r dydin9, float switch semitone, arc.)
h-ifabothrable0.e.. wog, nnMione, switchedc wlatlerem,alenne etc)
rIahrs Orriiceplugging Imenum tat ldiAnipmmre—wrnpmehd"ign Epeesic n)
Maintenance Cleeckgst MAINTAIN EVERY 3 YEARS (or when necessary)
Saw a an shall Le puthpad by a counted sapraye servicing icing opalicensed under a. 281.48 Wa.
O Bbb, when the volume of wild* In the 1IOxcesme-Minl(113) Me liquid"Itrm 0 Me WMa)w
as required by Iecu ordinance, astral W commerce anal be pursuant on NR 113, WIx. Adnln. Cape
Effluent flft4Sl shall be inspected awry 3 years and shall be burned when nxeWry W remove any
accumulated aciding s acco to manufacturers specifications . A seryM iung period will always be greater en 13
months.
System maintenance nporb shall be submitted to the Proper Iwl government unit In accordance was
SPS 303.56 Wisc. Admin. Cotle. Gabon say component failure or assumption to:
Name Ofmdlvaual or comwny_Advanced Septic Phone. 715-703-8337
Local government ulnt St Croix County Zoning Phone, 715-386-4680
Loral gmernshent unit appeal saw.
Any derfai part W the system shall be re uii ed replaced or mmovM pursuant so SPS 383.51 (1), Wed Admin.
Code
. napeir er repbumens a failed or ma funini ring components star comply wrt SPS 383, Was Admin. Cade.
No PrWun ter Uemral m physical restoration W the POWfS they be used unless approved by the department in
accordance with SPS 380, W sc. Admin. code,
ConNnpmcv Plan
In the event Nat any fared treatment component athis POINTS cannot be appeared. it shall be replaced pursuant to
a plan Submitted to the eppropnal agency for review and approval. AfanedinyreunddapeaelmmponentmayW
abandoned and replaced by a oodecomplying dispersal component in a pre-neamnned area of suitable rib.
SWMm Abandonment
If use Of this PONTB're discontinued, it shall be abandoned In accordance with SPS 383.33, Wsc Admin. Cotle.
A
THIS AREA MAY BE FILLED WITF'
CONCRETE FOR ADDITIONAL WEK
1
A
3.10
4.50
Drainage and
TULTM, M[.
IMOF xCwll
Y4 EUdO. Nluels 60W7
Septic Products
TELEPHONE: M).RO.1011
TOLL FREE: SOLIU.7m
FAX "T&W.E001
Material: Copolymer polypropylene
Color: Green
24" RISER LID
24 - RISL - GREEN
A
0 za.so
026.20 --
2.60
SECTION A-A.�
Material: Copolymer Polypropylene
Color: Green
Drainage and Septic Products
PART NAME:
24n RISER BASE
iTn EPHONELFASK: M
PART N.
mae. Co
120 :nm, nnnoi. wwT FAK: N7..ss : nw
24 - RISB - GREEN
HITE
�rew� OINSION OF INRISFPY&FAVI(£B
PrvMv
DE IbNzn. WlamuMalm rma
PO
a��$ y ifY: CmWATNeuMWW
beer sales, Goosmar
Nee rude, sawwry
March 12, 2014
LIFETIME FILTER LLC
MIKE HORNBACK
AB CLIFTON HALL COURT
SHEPHERDSALLE KY Wide
Re: Dmoiptim: SFNAGETREATMENTFPPARATUS, EFFLUENT FILTER
Menu2aWre[ LIFETIME FILTER LLC
Product Name'. LIFETIME EFFLUENT FILTERS
Moral Numbads): LT let LT Ilt6, LT IM AND LT 1 S6
R EE ATTACHED TABLE OUTLINING: FILTRATION bbE AND RATINGS IN GPDf
Pnowd FYa Na'. 251C0045
The spaclbfaYons Cndlut plans for NN plum6ng product have Wen swayer t nd determined to be in canpial lca
with tlspWs SPS 352 Through 3B4, W WwSf1 AdminimretWe Coos. and Chapters 145 and 1W W aanNn
StaWks
The Department every issues an approved bated en the Wisconsin SMWIea and 00 W iswlbF Adrenaline"
Code. This appreval is valM until the end of been 2019.
That approved Is contingent upon complencew in the mllwlnP aryuleWnLp):
translation and servicing of Wen product must W in 0aordencv wrh the melulacWrers instructors. Away 0
the mOnUHchteh Instillation and sessions; IOnn sons must be green by the osmmr of Me syanm.
Meinanerva reformative must be bean to the new at the bank 0xpMlning Nat Pt Out N 000M will
W measures
AMandate extending W grade meat be Inoveled over tie niter.
. LWNTENANOE: Clean fiber at lnsixedeWpumpng lnarol.
agachmenbs) to this letter see a echmMIA.
The tlepeNnenl is In no way snbosing Nis product or any advertising, and is not responsible W any situation WI
may recall ham ILL use
Sleet
GIF Jor�a,�N.S.
POWTS 1WIcl Revawer
phoM',(i 26T5265
Noc(W0)26T-gT1J
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20140048A
FEC=;i ED
FEB 6 _014
SAFETY & BUIDINGS
&1 N41 am.
20140048A
4: 401 te 15.�.
Installation and Maintenance Instructions
Installation
SrcpS OryM[M1eflllx ouon[a MenuNetplpegolry[o[toe Enln fltlE. Fnwrtlfb¢ntbedtllreNyuMer Me
N[e nlnBllfw dPlpelsalrea vinal positimaddltiwalplpemayu to[ atltletll
Sol ItutIfil the, atlElticnal all added supper and the two bottom supports: Mile the use
Is 5911 dry fit to Me outlet pktq meaw re and rut Vesta le 40 she pl pe ts the length needed W depend (Ithe
huhtmareptsmoldnlmothemeWthesldewallaodthelnsldetwrNtank. splveMwNd plpelntP tlx
huMthat are gsmoltled onwihe ose.
SIep3 blvM{xdtl µe axle Neaulletplpe.Inset lM1ef114rurWtlg¢Into Menu galMtlownonthe
oNtlge a MII It loch Into place at Me horrors of nu.
Srepe If III venom¢ gad switch: InantsNW Interne hok pr ,,Wdhl I= the tepNMelMe. Press,
straight deem until it tom Isto pare
Malnnnaw
If Remove the taesa ltl a![h¢bnF. Noh:Toensuuundus blesulldsdonotmt Melenkandinto Me
dnlnfleld,i tanksouldbepumpWoutuntiltM levela Auenth Wm MeougMl"lof Mervin.
2) To remoy the hear nrWdge from she that aa, pup up firmly on the handle either umlke tlhladglig
Itfiomthe rinse (if u111WM avMlul read swnM, personal of swlM is opia,sef
3) Udy an ordinary prdm hol rinse the filter channelensuring all peaks saptye III b rernowd,
61 plaen the flpsh wrtrMge bark Into the floorose, pressing dom on Me urti until hlMU Into (dare.
51 Place the speaks Jd press Onto one tank etopped It15 pal re. RECEIVED
FEB C NR
Ideal Wool aSAFETY&BUIL!il:w
M YMent rlieeevarN the nlwr will beeha✓ mmvlaaunnantl wrMaMb aerem Man normalumbOeenibstl
she the myaW Foursrer wm al el III flew Ion'MN her in the avert m»R More PW ens
per Meaet Wrtque mnpvevn rntbaNh wrr®m
4mreeaulrtauwn>trrmpwperunumaiNmrbnwrewXlne XnmpeLu¢rutrsyimriel,exedtlo-nwMxE
pewMNi WONxwnanp. uM1umemervwmvrverwnWoinrvraewmvraeyramovenargnemaNn netts
nagerbiwmnvarexelmw.
l Quick4
INFILTRATOR' The Quick4' Plus
water technologies Standard Chamber
The QuickA Plus Standard Chamber
offers manrum strength through
0 two oentm structural columns.
This chamber can be irutalled in
a 36-incT-wVge trMOh. Jot the
orginal line of Dusted chairmen,
e offers advanced connecting
radio lllty with Its Cornour swivel
Comma m^' which permits turns
up to 16Eegrsm, right or die. It In
airs eve mpl r in bur -foot Imgms to
pravitle optimal inatallaban realbility.
The Wck4l Plus Affuni 12
"power and the Quickf Periscope
am eseable with this chamber,
prOmmmre Incraasm trial in
Swedish uwnagurprim,
Maaltmtm SBmfiOt
APPBOVPp in
Oulcol Plus Standard Chamber Benefits:
• Two nenwr structural Warned after increaeeE stability are superior strength
• Advanced computing connections
• tatching mechanism allows for quidir Installeilon
• Four -foot chamber lengths are easy to handle and install
• support where tootle of 16.000 plural with 12- of cove'
Quick4 Plus All -in -One 12 Enecap
Benefits:
• May as used at the end of Charmer
row for an Inlavornlet or can be
handled mbiranch
• Midulator connmtipn feature allows
'trial at the ends of Dumber raw
Canter -feed oonnecdon allows for
may Installation of serial distribution
sys ems
Plea connector colors Include
slam, ends or top
Ouicka Plus All -in -One Periscope
Benefits:
• Allows for m'iaed Invent InsWletions
• 1 ea° direschanal lnieltling
• 12- reined ii at Ideal M mnu
applications
"reamed bvtrelrtarwnow
Asawaim m Pe.oea
a Meechi
f" �7/
gsclatlFPMOi
Quick4.
(tYICNd Plus Standard Chamber -_ __ �,w..n•nN
CUNCE NO$Nl-Inull 12 EnEcap--. erramErew..
PMWURIHO PER Or
to
1—
_ --- It _ nimsF
FRONT VIEW 810E VIEW
(tested Plus All -In -One Periscope NPRORTERTEREETall III Thymene Tom Inner,
Parent I Pat rem he R hol 1. the Pont In. on man our be Me an' Ol
I Peet
byron be am I'll A mor b 'OIL a T 1 .1, 1 Intel mejer OR Pare I boyeall E.1
'.Q rya II ii 1
W�RAWIES ER METCHARrof OR Truly
R A Ron Murray
L rn
.,on elyhore, 111. 1 freent I a nor, army Term IT W, I PoPoodynny, are.
o
my In 0,
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Pro REP. 11 Ammy Opper my chat Ther then The agra into I .. beentran, In. marreenj
INFILTRATOR'17 "-""' Or wl,n„been,.,,,,„,
or Imbnoltalee One nIm,uuau..a. ItLaw„Ia arm Rome by Iran, „,tenor Unit
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 -
(Steel address) c le located
at (�/ /., 'A, Section �' �, Town 9 N, RangcZ2W,
Town off} J , St Croix County Wisconsin.
Upon inspection, I certify that I have found the mrik(s), In, 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 /D�/� 4
Did flow back occur from absorption system? Yes No /
(if no, skip next line.) J/
Approximate volume or length of time: gallons minutes
Tank Capacity:
Construction: Prefab Concrete_ Steel Other
Manufacturer (if known):
Age of Tank (if known)
Permit number (if known)
ytx #H2/r/G S
(Llcnsed lumber Sig tune) (Print Name)
ndlt L. Z2 ( Z�a16z7
(line) (License Number) MP/INPRS
1013/IR
(Dare)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev.2/2012
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer '20*de. 6 11t f S )
Mailing Address787 ]�e ZR9 CA,w /G
Property Address S� M F
require (Vmifiwtion d from PlamlingffiZoning Department fornew conenuction.)
City/Stem Z24odS� Parpelldeneeraz;on Number OaD -//8'9-10 -000
LEGAL DESCRIPTION
Property Location ljfnlnla,Alk, r.Sd;,2jT�%NRLW.Townof %iI[or5a�
Subdivision Plat: C&LLe ZZZZ/S rizu$ ,Lot# 59
Certified Survey Map #
Volume Pope
Warranty Deed# (before 200])Volume ,Page#
sp,mmuse EbAsulo me lines identifiable pynone
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
mastermind and meimemnce of your em,,,sum could,mr in eta literature failure to handle wado. Proper
consists otramping ore the case tank was three years orwol¢p mounted, ma ed, by a licensed hun. Whmyaupm utin
be system cao aReG the fife" Of me septic tankar a treatment moge, In Ihcwazm disposal eysmm_ Ownermaim eanw
opommomes art specified in 4SPS ask5$q and 11Chapter 12-Se Gou County SanLmy Otdinanee.
The memory owner armed to submit to St, ('tau County Planning & amid Depar mint a mtli rdsom 6tm signed by 0e
owner and by master plumber, memoyman plumbs,, mviaed plumber or a liceved pumper verifying that (I) thew -site
'astewmter disposal system is in props container conEnion aad/of(2) after impaction and pumping Of necessary), the septic tank is
Ira than 1/3 full ofsludge_
V,v the momeraned hake mad me above requirements and agmmo maintain the Instructors, disposal yn mwho the
landatds set form, herein, as of by the permanent of SaRw And Prohssional Services and the Depmmenlof Natural Resources,
Smtcof Wisconsom Cenitiution swing that your most system has been morainal must be mmpined and rammed he the St Cmix
County Plats & renal Department within 30 days ofine three year expiration doer
twe county that all mt"wild on tlds farm arercoe m the best of my/ow knowledge_ I/we aMerc the ownar(s)ofthe
propeM dewribod above, by orate Of warranty deed recorded in Register of Deeds Office.
Number of bedrooms
T
��lOF A$ ] /Dl�l/9
DATE
++'Any inErvinion that is misrepresented may smit in the m imry printer being levoketl by the planning de ]going IXpeNnent.++
Ina'IWe with this application a rccomed wauvny dad from the Register of Deeds Once and a copy of testified survey map if
references made In me wanamy saw.
(REV. 04/12)
F CE
ROTATES 1
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FORM - SIC - 10\\4,,,,
AS BUILT SANITARY SYT REPORT y�
OWNER )�'q / ���`� TOWNSHIP W4 I/v
SECTION Z� T <7 SS N-R / W
ADDRESS b'.A.. .Ja ST. CROIX COUNTY, WISCONSIN
SUBDIVISION (Ll. r%o/6 55 4< LOT_1LOTSIZE
PLAN VIM
SHOW EVERYTHING WITHIN 100 PEEP OF SYSTEM
"INDICKTO-OR"TM ARROW
DENCIMARN:Elevation and
Alternate benchmark
SEPTIC TAKE :Manufacturer! Llw.k1 ` Liquid Cap. .0Zc
Rings used: 0 Manhole cover elev:_Pinal grade elev:
e_ S
PUMP CMAKB M
Manufacturer: it
19
Liquid
Capacity:
Pump Model:
Pump/Siphon Manufect.:
Pump Sire_
Elevation of inlet:
Bottom
of tank
elevation
Pump on elev.:_Pump
off slow.:
Gallons/cycle:
Alarm: Man.:
Switch
Type:
Location
Distance from nearest prop. line: Front_. Side_. Rear —Ft
Distance from:
BOIL ABSORPTION SYSTEM
Bed:
Trench:
Seepage Pit:
Width:
Length__.
Number Of Lines:_ZArea Built mom
Exist. Grade
Elev.
fY.o
Proposed Final Grade Elev. Ci10
Fill depth to
top of
pipe:
Z..6
No. feet from
nearest
prop.
11ne:Front Side Rear X Ft. 3P
No. feet from well: 2L No. feet from building b
HOLDING TANK
Manufacturer: )bi) Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front_. Side_. Rear Ft._
No. feet from: Well_. building_, nearest road
Alarm Manufacturer:
INSPECTOR:
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