HomeMy WebLinkAbout020-1090-20-000 (2)rtv PRryATE SEWAGE SYSTEM
CouI"
e.kn and Building Pagan
51. Croix
INSPECTION REPORT
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GENERAL INFORMATION (ATTACH TO PERMIT)
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TOWN OF HUO5ON
020-1090-20 000
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TANK INFORMATION
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In -Ground Gravity Plan PAGE 1 OF 4
Index & Cover Sheet
Component Manual Design Rerwences:
Version 2.0, SB0.10705-P (N.01101, R. 10112)
Pg t 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: _
-
Septic lank specs
_Enclosures:
PCWTS Ap lication for Review
Filter specs
Soil Evaluago i Report & Site Me
Infiltrator space
Project Name / Description
Bruce and Bonetta Jones
Owner Namefs): Bruce and Boners Jones Phone: 715 386 -5203
Owner Address: 451 Stageline Rd., Hudson, WI 7Jpo 54018
Project Address: same
Gov. Lot:_NE 114 of NW _1/4, Section 32 T29 N-R19 E❑or w[7
Township: Hudson County: St. Croix
Project Parcel ID N:
Designer Information
Designer Name: Keith Hairings Phone:
Designer.AxIdress: e e ZS''% 2ip: 5-V 737
E-mall:Va.nr ,(arA}r ct,..l 1-. /'S) L
r1 lron/p'vaeer r,,d(or ryp.'mvinv,p
License Number: ��y6$ -7 ��YVI
Remarks
Signature: Date: /Q a
,t �°, t) p. Y ■-:,�c
+4. I i- ep�-1 Lon'
a' ro�creaC '.ars+
.C'f +e CC lONSZ
IN -GROUND DOSED -GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-fl Trench (down -sizing credit)
99
sw� wvea TYPICAL TRENCH
c� T CROSS SECTION VIEW
-{11 (No Scale)
woo'
Provtla minimum 3It
• sepevalion vioi benvLes.
System Elevation=919 fl
OrolraU
Qu¢k4518�NW
wIEMCep ow (Syyn ny lol onlM l evil pipe oxiol 'I on pan new.I lM1CM ip
(typical)TVPIGAL TRENCH
MINN
„„
PLAN VIEW
r----------yf-------YP---- M (No Scale)
L yal
i-'— e= eq a D
(rvpml Went Stanaalnw chameer m
INSTALL PER TRENCH: pswdl w
wnlwrsa�snl.�•. j l
18 QucMStJ vv@20MEISARaamdx=330 fl. imw rau mm .rye.:. Q
+ 1 Pansdeeloays@61YEISAgae=8 K N
=PropaseCElSApmeench=328 N Flequire]Inlltlatoon Ana="3 R' Dior utm McMoll:
x 2 oend = Propoini Total EISA= 662 It, brain¢ mantiolrl
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The owner of this ingrounb gravity Syaem small be respmaible for Its perpetual operation and maintenance pursuant to
Statements of BPS 332-38A also. Admin. Cods. Pursuant b BPS 383.4(2), Nfac Admin. Code, this "am shall
be considered a human health hazard if not measured in accordance with MIa approved management plan.
Furthermore, all impacron and maintenance rNNfiea shall be performed by a WiWmdP SKent inKin
accodance with BPS 383.52 (3), lMx. Adman Cotle.
Maximum Diacersal Area Ooeratlno Llmlts:
Design Flow, 450 gpd; BOD65220mgL"; TSS5150ml FOG 530 mgL
Inspection Checklist INSPECT EVERY 3 YEARS
c type of use
aat
ge
a nuisance heads (i.eboom, user compares. etc)
• mechanical mtlfuntllan (Le., pumps, valves, reachasgoats, efc.)
• matenalfapgue(i e., leaks, assets ,common , oft)
o woods what In anaerobic treeMare mnh(e) and any distribution aPounmaninin(i.e., ditlnbuton I drop beemm
• nepba or improper use it it, expanding daelan caparthea, prohibited Mormon; arc.)
oluBm of hooding in mini call pnor to dr aing
deine aresubritie-ifspniaable(i.e.. pump reaycfmg get switch width etc.)
• Nectm al components- it applicable na, wining. corrections swtichea, controls. gmera, all am.)
• diambutim lateml or lateral office pugging (eaa re lateral distal pressure —compare to design ehxinetim)
a wnace discharge a se effluent or wage beck- up into structure coned
pMlnunance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
• sewc and does Plural mall he pump W a rwnirm:pman favors operator licensed under a. 281 ne We
sate. when me volume of ashes In Me Ank(g exeNda onea and (1st) me 14uN volume of Me I&I cT
as rcouired by Intl ordnance, Oispoael ar contend shall so pursuant a NR 113, West Adman. Cede.
o Effluent glmdal"it WInspected every 3 yxn and shell he deanW when necessary to remove my
Mated M,dsawnlirg o manu(acrurers Ve ffi ationa. A e iong snortwII elvnys be grater Man l2
mantlta.
System intense amet mperm Bell be submftad to the proper local government on It In accordmcewmi
BPS 30.56 all Admin. Code. Wportany component fallum or malfunction W:
Named individual or mmpary Advanced Septic Phone, 715-703-8337
Lowl Banishment unit St. Croix County Zoning Phone, 715-386-4684
Level goverement unit mdress: ZIP
Any tleaulNe part of as system small be repeirBd, replace, or removed pursuant o BPS 38351 (1). Viso Admin.
Cotle. Repairor replacement of Name ormeNunGoning components shall comply, arm BPS 381 A ac. Admin Code
No product for chemical or phyeiml matcei of the Pi may to used unme sapprove] by me department in
acapmanm wrn SPS 38n. Mac. Admin. Cotle.
Cathedral Plan
In the event that any failed tmaMent component of this POWIS cannot be repaired, it shall be replaed purwmto
B plan sudnige o the appropriate agency for review and Bpprorel. Alailetl Ingrcunb diaperul mmppnenl may [e
abandoned and ransom by a codeamplying oatmeal component in a praEetermmed area of morble sons.
System Abandonment
If use N this POWf51s discontinued it shell m abandoned In accordance with 3P5 383 33, Who, Abl Cob.
I M-1060
N F I LT RATO Re
septic tanks
FaGleea Bents[
* Sarno btnikn mWded miyoopylene
cmeW[tlm
* Lightweight Canrtucllon and
inWmO Make loge WIN an eery
airaryane hanmmg
* Integral hemsti green lids that
entertainment uM INV- have and pine
Par anti
sect wy mad ate, pw
mmata dlemmw di Installation
nian"N,
Polhtwaed eWo91N NoNG and
fimodem Nodmaide as, aiNtlmel
se
Can de mlalles Min Is to IN
The Inflltratpr IM-ipRg is a lightweight strong and durable septic tank.
. Can N manoes one d'+t'a
This wasp lgM tank design is offered with InNgratoi s line of custom -fit
pumPnN
roam and heavy-duty lids.InfAbetor Injection molded tanks provide a
. sulbbla P, eu m a side. Panty
reroluthorary improvement in planic septic tank design, odering long-term
unk, or.mi (non-paeekp it
exceptional strength and watertightness.
. No' im water III �eRUYnvm
has side
nnedway
• The tank mn, IN Cxki withnutWk,
I filbetor
TANK CUTAWAY
Nvi nil. s.eimmellann herniations__
Tat I Rlz._
be advance
Protecting the Environment with Innovative Wastewater Treatment SOWllulla
III DM UU
CRAWAY
Romances
24' ebwluN
uee No
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water technologies
IM-1060 General Specifications and Illustrations
The Mi is an Injection muddedtwo Place mid -seem
Phil tank The lM 060 Inegron
model PIWIC tong
argues he a sagam joint the hols; Larracce dingaingional
he eeeephnp Sir earignumained EPGM demure
i
owns
Daniel call LVII exemogy tram the walerndustry
_
to Carer Provan mean of maintainng a wmxtlPM heel.
TM NeoWeca tlmlgn Is P nmly remand using a
\J
oaths of �wn W PIWIc ahlgmnxll Connote and
I,
lacking ahem CHI The IM-1M Is uaemdeC and add
through a network of cadlAed lnfinMton distributors.
Must be bacMlllM and installed In accordance with
gym
InflNator Water Technologies, Inllbator lM-SeMe Septic
Tank (holes Inetallatlon Instructions and our shollew
Win
ground water conditions Merance the Infiltrator IM-
III
SeriesTank Buoyancy control Guidance
lb
III
„I
Pleafe v NtwwwlMlNalorviaW cpn/'mages/pol/
Manwia uldea ANIt01 pM he Than lake Informs lon.
m.
mW^
Wowq Ceydy
IMw pieta
oaoaam _
lzaewl peaeu
m
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Lenplh.bwmm Ratio
16.5%
12P 5zz5 mml
z3PC
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Ewa lord
MyIlia mml
mx Qlp
a0hmml
!vllxaaxsewans
g
Consummate
lo,x
M.Imumewili
45^nalhmml 1
Minimum III)%Ah
6'151 mm
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WoMi
MMM
ITi
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WPLI
MOE nsw
Meummpge glumw e=hsz mml __JTANK cos
w.lgnl Sxg me gasagl our ou
SEAM CLIP
MERNT
xwa PP
a
INFILTRATOR' MIo-SMMrt Sena sssngM
whanaterimologms - Irnh+w..•..mm
pM51CRof lnpuslar aDrvlcEe
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Michael 12, W14
LIFETIME FILTER U-C
MIKE IroRNBACK
1413CLIFTONMALL000RT
SHEPHERDSVILLE KY 00165
Re: Description, BEWAGETREATMENTPPPPRATUS, EFFLUENT FILTER
MWmdCtL dff LIFETIME FILTER LLC
pmdct Name: LIFETIME EFFLUENT FILTERS
Model Numbers): LT1 LTt118, LTI=ANDLTIM
[SEE ATTACHED TABLE OUTLINING: FILTRATION SRE AND RATINGS IN GPD]
Prot File N¢ 20100090
The cpecl(callons defensive for1Ms plumbing product have hem renewed and OelamirwEW be in comglenw
with chandes SPG 382 Mroul 951, Wiecwwin Administrative Coale, No Chaplets 105 and 1W Wisconsin
Immune;
Tlle Oapamnml Meby Isauee an approval based on the Wisconsin SleWles wM the telecourse Administrators
Code. This approval Is valid ball Me and Of March 2019.
This approval is contingent upon compliance WM Me follonng stpuladon(s):
• Information and xrviring of to product must be m ecwNercewAh the manufactured instructions. Acopycf
the manufBCMNs Intimatlw and aervkMg inaWCfions must be given b hb pioneer of MB s eWm.
• Maintenams'nfonna mn must be given b Mar Owner of the bank explaining Mat amok evening of to Nor ad
NO necessary.
• A manhole extending to grade must be provided over Me her.
• MAINTENANCH Chen flitter at narewhoNpumping intpval.
• Ailticn9 information N Included as atenlimanth) to Ma hme[ue dominant A.
The measurement NIn no way mdoning this product or any advancing, ands trot rebppris me for any sMallm which
may small from W was
Shoe Ny,
G J 5
POWTS ud Revhwar
phone, (SOB)2ST-520
him an B) 28T-9T23
mail: elm Jmnaa@m.gov
S IONa (N,l691) No Pal: reeem WC
20140048A
Installation and Maintenance Instructions
IrWalbnan
Small Oryfithef inease ones, the ounetpegongtothe Waln field gnsme 11 is anttretlanxnyunav Ne
cams owl (If outlet pipe a almady In aflva motion, additional pipe may need In be saaedl
Step2 If01141%me additional single side support and the two banan 3uaporb: Mile Me use
If All dry On the outlet pepa, momme and M Yunedule 40 ow pipe to the IMW needed to ertmtl from the
buytmtaupre-molded Into we faseto Me aide well Methsawdelworoftank. w1myowelempalMothe
hum that am aemoh m! onto the uce.
srcp3 sdwn<wNa Na omw Ne oanttvlpe.lmv[me unarwrolde.Inw Meax wm3mgaown Dome
n midge mnnl n Ito Into MMa .t me banem or rax.
steps Imnlhmg a ceNaal reed mtch:InentnwlkM1 Into the hole premolaN Into the top ofthe Mar. Phase
Stra4mdown umg hbd Into pla¢
F llemart IM1eacm5311a of Ne fear. rvod: To m3ureundMndz WldytlanateNMetank aMlnw Ne
gone Paid the fear amnic be pumpMatoutint Messup ofmiy mt b below tintoutlet Mxlof NeSanF.
21 iorcmowthe Po[er ortrldge hcmthenlm nee, pull up OrmlVon MCXan6e MlM1e®Mdgeelslo0png
It hwn rXe ux.11lu1111mngavMlulrNtl Swiftly mngnlWswnT l3aptlonal)
g ULrQen ertllnaryprdM M1US rlasewefincuNW¢a mwrinB all WlClexpb¢e mneMlls remxd.
01 Pace thefillernidtal onto into 3hefllMnu pre see Mqn en thl onrYlga umN l[lodblaw EI
sl Plaatmanes3lm maonm tlxlMremanngn133<are. RFCFiVEi'J
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SAFFIY & B0IL`f!n:.7
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20140048A
RECE!VED
FEE 6 :014
SAFE TY& BUILDINGS
SECTION A -A
4W�=QuiCk4""
I N FI LTLT RATO Ra The QuICk4® Plus
watermeh�ohagiea Standard Chamber
The Wick4 Plus Stathi Calendar
oflers maximum strength through
its two center graduated adjutant.
This chamber can be iremeed In
a 36-Inchi trends Like the
engine Ilse of Cuica4 amendment,
it ofmre aMenced contouring
capadilily with its Contour sell
Correction -which Phone fume
up to 15-degrees, right or an. It is
also avaimbla In four -foot lengms to
proWde optimal import flexibility.
The Culd4 Plus All -in -One 12
Endcep, and the Casket Periscope
am rveilable with this chamber,
p o ding increased fevdbill in
system configurations.
Maximum Strength
Ou i Plus Stannarh Chamber Bea of ts:
• Two inner structure! columns offer increased smarty send supenicr strength
Advanced ontouring connentbne
• latching machanlam efiows for quick inspe c ion
• Fearfactchemical lengths are eery to mi and iremll
Support weed loarffi M 16,000 lbYazle with 12- of rgve-
Ouick4 Plus AII-in-Ora 12 Endcap
Benefits:
• May be used at the end of chamber
cow for an inkeYouget or can be
ins i mid -trench
• Mid -trench connection lecture allows
construction of chamber rows wish
canter t«a, as an alternative to
inlemrg at the ends of dhember cows
• Came, -mad connection elmwa for
easy Inessation of seem interpreter
syemms
• Pipe connection options Include
skirt, ends or top
11
Ouil Plus All-Im-One Periscope
Benef ts:
All for reined invert essential
• 151 directional argong
• 12- raivatl ima l is deal for sal
applicmloro
CwtifiM by Ce lMem9lonal
gwclation &Plumd ac dCy
Grfli twPuot
4%cjff.RISE
Qulcxa Plus standard chamber
MitlM Phu Al-ip-0no 12 Enddals
FRONT VIEW
QuIW Plus RII-II Parscope
QUICK4 TOM
m �
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t
1
SIOE VIEW
e m,Y.,m.1.1,Af. r. nry mad wpemm.ge.wmmwra sw.e tl
w.wuvmsvumaarrtrawrvoamm C AM ME OTHER WAREFURNINKS3 ION REEMENST T)THE �ramcuwsuwrE rva mr�
mmrm aa.��MHIhI M�ci ma
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ST. CROIX COUNIY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Tuber :Irr. e r 4
Mailing Address
Property Address S)i,M<
(Verification mumd from Planning@stoning Damn era for new commodities)
City/State "So AI /tJ[Pulelldenti0catlon Number 02.0-Y040—;fn—O0P
LEGAL DESCRIPTION Proprty Location VI, AW Rd, Sec.-3a ,Tqq�qqV)_NR0 W,To" of ��SP3
Subdivision Plat , Lot it _
Certified Survey Map q Volume Page N
Warral Deed p
(before 2007)Volume ,Paged
Sped house Dyeaom Lot lines identifeblepyesl]no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance ofomr mgtic system could molt In its PNem re millet to handle Wastes proper
lnctA�anCC
sof Pumping out the septic tank mery tlnee years or wmuq If earned. by a licensed pumper. WWhatyoe pm Into
If, pa¢mran affect function offte septic teak as a treatment move the waste disposal system. Owner maintenance
map .... mines arc spectit in Isola 383.52(D mid in Chapter I2-StCoax County 9midmy ONimnce.
The proper.' owntt agmee in submit to at Cmia County Fleming as Zoning Department a certification loom, signed by the
and by a masker plumber, journeyman plutonium. restde4d plumber.. a licensed pumper burying that (1) the oo-cm
sste,mm, huresal system lain proper operating condition and/or(2) after Inspection and pumping (if ... worry). the septic ank la
I... than 10 full of sludge
1/we, the undersigned have fluid the above requirements and acme to maintain the roman sewage disposal system with the
F
midnrds set find, ho et by the Dependence of Rarely And Pro05nne19erves old the Depart.. dfNmuml Res
ecfWisconson Cenlfwtlon springatyour nthsalts system has been maintained must be eompumed lned and mtto the St. Cook
Cowry p ..mar g& Zod.a Dopamnent within 30 days of [he u meyear expiration dine.
IMs cenfy that all statements oNhly form era t mthlemelfmy/ourknowledim I/weamamthoownertgofthe
pmpetry, described new, by matter Of warpnty duJ rcwrdN in Register of Deeds ORa.
Number of bedrooms r,
:in v� Oil rs io, s, 9
SIORE OF APPLICANTS) DATE
•"My information thin is misrepresented may result in the memory fermis being NVORD by the Planning orZoning rammicnem •'
Include with this application a recorded wmmaty deed from rise Register ofDceds Office and acupy of the certified survey map if
refewme is made in the wamnfy deed.
(REV.01112)
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