HomeMy WebLinkAbout161-1062-50-000 (2)t PRIVATE SEWAGE SYSTEM
r pi not is, pniond, ey bI own bp S.Lrv.ow OUR o..ao. INSPECTION REPORT
GENERALINFORMATION (ATTACH TO PERMIT)
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TANK SETBACK INFORMATION
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COMMENTS: (1°Nuaewe, des"N"elea, poems p..em em) Ivpshcthmir 1 Impeawn
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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)%%% sonnen a rang M located
an Mw Yti Mw y, Section 13 ,Town 20 N, Rangee0 W,
Town of vales¢ of Mom Munson , St. Croix County Wisconsin.
Upon inspection, ) certify that I have found the matc(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
Did flow back occur from absorption system? Yes_ No
(if no, skip next lire.)
Approximate volume or length of time: gallons minutes
Tank Capacity: 1000
Construction: Prefab Concrete x Steel Other
Manufacturer (if known): w+ese(Cmanhe
Age of Tank (if known): Is Years
Permit number (if krrown) 4 651
�yi� Joan Stuns
(Licen Plumber Signature) (Print Name)
MPR6 ]26]60
(Title) (License Number) MP/MPRS
/D a y- q
(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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SYSTEM PLOT PLAN
Project Name: Eichman Septic System
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name:
Eckman 3 Bedroom Replacement Septic System
Owners Name:
Russell l Elchman Living Trust
Owner's Address
272 Sommers toll Road
Hudson, WI W16
Legal Description:
NWl/4, NW3/4, 514, T29N, RZOW
Village
North Hudson
County:
St. Croix
Subdivision Name:
NA
Lot Number.
2 Block Number
Parcel I.D. Number
0161062-50-000
Plan Transaction No.
Page 1 Index and title
Paget Plot Plan
Page Existing Tank Certification
Page Proposed Septic Tank Specifications
Pages Effluent Filter Information
Page Valve Information
Page] System Sizing &Cross Section
Page a EZ Flow Information
Page Management and contingency plan
Page 30 Septic Tank Maintenance Agreement
Page 11 Warranty Deed
Page 12 GSM or Plat
Apartment Soil Evaluation Report
Designer: John Schmitt
Limese Number MPR52237W
Date: 10/g/2019 Phone Number: 735-1600486
Signature:
InGroundStill Abrompon Component Manual Version 2.0 SID 10205-P (N, Ol/Oi)
SYSTEM PLOT PLAN
Project Name: Eichman Septic System
w:q. Plm.: 450 p[mmw
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POL OX-1s, PL-52511ffuent I ilter
PL-52 Filter
The PL-525 Filter is rated for 10.W0 GM (gallons per day) making it one of file largest filters in its class. It has
525 indoor and of l/l6" filtration slotlike tM Polybk PL I=the Polybk 11.5215 him an autumadc sM1mMrlull
installed witb every filter. When fine fiber is removed for cleaning, file ball will Flret up and temporarily shutoff
thesystem w the effluent worn [leave the ford.
Fmmr,, 1/16" Filtration Slots wmswn
•R NroolOODGPD(gaaouper day) 1Q,OW GPD Iln.,ewl
• 515lmear (eel orl/16' different proem I- PVC
• Acnipts 4" and 6" "LHD 40 pipe. Panws. xanak
• Built in gas deflector.
• Automatic shutoff ball when filth is removed, [staff.
Alarmacassibgity. mpoo Gro
• A rom PVC western, handle.
1'1 .915 Imtllation
Ideal for residential and commercial waste flows up m Son term
or
10,"prime, per day(GPD). vumem5bn
l.lecare the outle[of thesePtic taN:. _-,_
2. Rmove the tank cover and pump tankif nxeasary.
3. GIue Me fllter housing to Me4"oh 6butle[pipe.lf �pgppoe
tinefiltrisaorce ndeethe accessopmingu•aa _
Polylok Extend&Lin orLok or piece of pipe tocrntr (ilte
4 Replacea dseru filter into it hwaias
5. Replace and secure the septic bilk over.
I'1525 Mmntrnanhc
The PL 525 Effluent Filters will operate efficiently for
movies] years order nommlem iim sbefore w1inng ...._.._�./"
chmandrtg.It is recommended that the filler he dearod ,. ,.�,.••"
very how Me tanku, pumped, or at lem t every them
years. if 0e Installed Nrer conmim an optional abrw
file owner wild eve notified by an alarm when the filtr ea wide or
no ds servicing. Servicing should in, done by a weaked
wade lank pumper or mission, insinuator
1. loco[ Me earth of the septic milk.
f dowsmoof
2 Remove taMumbing d whom
Him is
iemoved
3. Do not own plumbing who flter is removed. 1
4. Full PL-525 cartridge out of the housing. I
5. Hose off filter over the septic tank. Mike esure all
solid, fail Fork min volume taN. L r
a huert line Bidder cmhorkpebackimm Me housing making ()old nor ore oul __
Al %ue thetilkr® initially ahglN and cumlAetilYinwm3 rwybk hill An Set wterseaep rrYymem,
]. Reprove and samin to wptic taN ove,. u.s�u'aleras.+.wwaale.m. nam..iedngu
Wlylokbe 31omfield Blvd. WRioldook(7 OtaY1 lbll Free R]'1.]65.9565 Hm BH2&4Ml4 sww.polylok.wm
Page 5
Conbal. PWI DawasbaftManeuYlne
9 14 i 'WRER-TIOM
/�/ /� PCCESSGP
AMPITR
PogR
490 RAE
EOInECiION
HANDLE
The Bull Run Valve'" Is designed t to split flows to septic
fiellife a or easier
ems. In addition i to Me most
public of longer P OVr PO/n
lice rn0 easier Nice avail It Is the most public mouthis sah P OV! PORE
alternating device available for wastewater disposal
appliwastewater due use has
va Absolutely aleak-proof
n andcomerr with
water due to the . The leakproof and emeare
dpena ge cd to another
The accomhangeplished
wer from on
drainage Heidi another can he valve Ithetl in less RUN
fINPoM
minute by simply fuming the valve wl[Fout digging or
contact with wastewater. The Bull Valve iinsuch PO pvc
and issuitablawherever omitlispmal systems
am used in rcid, industrial, and
residential applicartore.
OPERATING THE VALVE
f;ae TonNO2
The director control Fannie should be rotated
xtl Prod penomcaity to dureR effluent to one or the other
of two septic fields. After removing the screw cap
at the top of Me riser tube, the valve handle on
VJw ® be tamed with [M1e valve key NmisM1M.
Positioned es
to No. I BULL RUN VALVE
during Complete Valve Kit
OMyoov offer Contains
Tank 1. Bull Run Valve body
3. 36" Valve Key
3. Bear Cap Ad pier
iRB pE9t6{fIIpa G. Watertight Access GP
mV4 BULL RUN VALVE 4-
vil III RUN VALVE a KEY
ERWIFUSER MULL RUN VALVE aw/eetsr ma@
BRVCIRISER-0"
IARVKEi III RUN VALVE Any 35' ADSUSTABIE TO 38" WGB
upi MILL RUN VALVE My TV
Pate 6
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
a,MILTMx(S) ,
Wieser Concrete. Infiftraoir
s 7M(OVean09:
1000 aN 540 ftM _WI _sal
ExluWFIRuMMN W
PoII
enuan rineMmas 525
TYPICAL TRENCH
Ie
Provide minimum 3
separation between tral
TYPICAL TRENCH Isno,.IManonMw,l)o�x,IPlpa wnn,mMMPI,nw...l
VIEW
OMERVATONPIPE DETNL N
a
PLAN q,0 �„ w„„„ti,
(No Scale) tl Laleml e`` 10 ft
PSNorete w•^,OTMOMEn,m <bdvll
11Ywrali InWrtll
1LA=3.0ft D
041
B= ft W
Ma®0 p
INSTALL PER TRENCH: EZ1203H Bundle M
Wricall A
5 10.fl bunI @ 50 f EII=25?D ft I�MUMIiMIuw Spuim.lrc.l
I�amlWrtueMmm,nukcWMatrs hn.
+� Sfl buMleea25R EIS4unil=.ft'
e Propoxtl EII ortrerc11=250 ft, ReOuired Infilueson Nee= 750 W Distribution Mehod:
x 3 trenches = Proposed Total EISA= 750 ft' branched manifold
RESET
Installation Instructions for
�EZ Z!Jme
EZ/towSystems in Wisconsin
........... .....
....................................................................
overcomer oepaNnem A Comma", safety and Conrad,
5. The absorptiondepare aa(3F) necessay fora green are shall
Person, has ateread the spedecaems Chi plans for this
be aced based on model Madiserwage now(GP0)and
product and Catermlrred It to be in canpoance wllh chapters
Me Commodity for Me siteIf srlaln there Is met, the
Comm 82 through 84, Wacrosm Admin. Code, amid Chapters
es4 along son he used In wiuman, resuPong in a 40%
145 and 1Set, Widmann shatil At alter must meet Me i
smaller Controld.
8 So,l Ornlrere 81 Coal A Isolation daidnces as noted in
beef regubltons.
6. Race litel bundep) in the EZfimv cndolip reticn ap-
proved by rysNm tlesign man specified for Me pail
The apposed products are i2G3H (3-IT handles with pipe in
far side. The iW or center most bundles Customary ppe
center bunek in 5' or 10' lengths) and I203HP (3l7 buntlles
are joined end t0 end vnM an internal qpe counter. My
with pipe In a chn bundle In 5or 10' lei
additionel aggregate only bundles Mat may be required.
about be der against the or ag irege effery bun -
A single Car bundle Contains a search Contacted pipe sun
We and de not require any them of connection.
ro nded by EPs opposite and is held together wM paly-
ehtyknenothing. Asingle aggregate bundle contend aggregate
9. The title of catla CEO thunder anbns afiXer made pro-
only end is held together war p peentor net r
manufactured In beNreen the netting and aggregate. The
fill is merited to prevent soil lntruslm, TM Iharder
Melernals aM Equipment Needetl
What make ace Me Me GEO is overhaul upward and Is
• EZfiow BUMIss
in concoct with the fabric contained In the a lbacent Calm -
• EZI Connote Falls
der before baefill
• EZflmv Internal Pipe Counters
• Pipe for Header and Inlet
B. The EZfiw Oreinfidd Systems sbwld be Installed in a
• Backhoe/Excavator
Ii loi In A directions Moth ecross and Wong Me
irenen boi and abtuid1Mose Me cmtar A the ground
InW letimr Instructions
surface devar (uniform depth), with all Continuous
The numerous for mamuatim of Uteri pmductr are given
adjoin
faun[ cyfindi bundles placed and to rod,
below. This product must ber Immlled in uncommon MM state
win
Comma bundle dernbutim pipe Interconnecm],
mks definite in Napmrs Comm 82 through El Weather Pd-
wlMout any dams, statements a other ester slops,
ministratis Code, and Chapters 145 and ISO, Wisconsin Stat-
utes, as was res the local health department's cement design
9. The trench top shad be traded such that water Coll not
mammal.
Fond. Fall should be seeded or pee Immmie"
after complains to reduce erosion.
1. AHer Me pool health department has tledemuned siurni
o nfiguratlns, and IaytW for Me EZflmv systems, stake
IR Upon EPB buntlles me Maine and can fit 1n curved
or mark with pant the bratitn of trenches and lineslie
trench¢ as may be necessary to awid trees, MUNers, or
careful to set caret al event pipe, header line or Me-
other obstacles.
headier box and trench bottom elevations before ini
latim of plop bundles.
11. CPS aggregate is lighter than women therefore, it might
be expected Mat named Compaq forced worn tend to
2. Remove needs Utter shipping begs prior to placing
couran EZBow esssial to float out of ground "on
bundles in the Idench(ol poetry any plastic hags In to
pending Century. Field experience has shown, hwa+x5
trench before system is covered
Mat this a not a problem whin systems have a minimum
of le of car Corer u recommended by manufacturer
3. This product must have geotemle laanc that mce6 rr
Commands of s. Comm 81(6) (g), Vrls Audi Cade,
installed diredy on top of the product and erteMirg
1203H-GEO
ewm Wong I al of Me prNuct to a point at least as
times from to Wham of product.
—_____ rental
Former MekrW
4. Vben'notoned in a bench, the trench should be dug to
over of 36 roperess. This not only saves laMrn"Cava
17
lion, but Won p tl barer had baenng capacity arc
bedfiNrng'¢ complete.
ee
..........................................................................................
Page 8
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The owner 0 this in -ground gral system shall be responsible for its perpetual dperadon and maintenance pursuant to
requirements of SPS 381, Wing, Admin. Code. Pursuant to SPS 383.52 (2), Wsc. Atlmin. Cede, this system shall
be corrssitlered a human from hezaM It not maintained in accordance with this approved management plan.
FuMemiore, all Inspection and maintenance aci shall be performed by a registered POATS Malrnalner In
acommarme with SPS 383.52 (3), Wac. Admin. Cotle.
Maximum Guardrail Area OoemUna Units:
Design Flow= 450 gpd; BOOt52WmgLr; TSS5150mgL'; FOG 530 bill
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
• rands be mom, user comgants, etc.)
• mechanical malfunction (i.e., pumps, valves, switched floats. and)
• mwm sl fatigue (/.e., leaks break; corrosion, Mc.)
wlidsvdumemanaembictrea am tanks)antl any distribution apputenance(s) le., dignbulicn/drWbores)
• wall or improper use g.e., exceeding design di padded, prohibited actre ies, etc.)
o extent of pording In distribution call prior to dosiry
o dosing Irregularities - if appllwbk(i.e, pump rerycling, flog scotch listings, etc.)
o Ne mbal components- if applicable (te., wiring connections, switches, controls, timers, alarms, tic.)
o distribution lateral or lateral once plugging (Towards lateral distal pressure— compare to dceign spec?cation)
o anfxe discharge of effluent or soverge back-up into structure served
Iteinbnance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
d Seotic and alltankfal shall be panped by a cenited septage se'vicing plugger licensed under s. 28148 W1n.
does when she volume of solids In Me tenkfe) exceeds dnei (1/3) the liquid volume of We taiga) or
as required by Iwo more ce. Disposal of contents shall be pursuant to NR 113, Wac. Admin. Cab.
o Effluent fibers shall be inspected every 3 years and shall be clecned when mandatary to remove any
Male]solidsaccordingtomanufanurersspeific iiona. A ssrvlay pedM will always be greater than 12
moths.
System maintenance reports shall be submitted to the proper local government unit In accordance arm
SPS 381 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: John Schmitt Phone. 715-760-0486
Local government unit: St. Croix County Community Developement p., 715-386-4680
Lordi government unit address. 1101 Carmichael Road, Hudson, WI 2Ip, 54016
Any detective pan of the system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Atlmin.
Code. Repair or replacement of failed or malfunctioning components shall comply wit SPS 383, WscAtlmin. Code
No product for chemiUl or physical ingestion of the PONRS may be used unless approved by the department In
accondanx with SPS 386, Wac. Admits. Cotle.
Cornball Plan
In the event that any hll¢d fragment component of this POWrS canner be repaired, It shall be replaced pursuant In
aplan submitted to me appropmas agenry be review and approval. Afailed in -ground dispersal component may be
abandoned and replaced by a codewmplying dispersal component in a predetermined area of suitable mils.
System Abandonment
It use Mthis PONTS Is dlscombr ued, 9 shall be abandoned in accoMance with SPS 383.33, Wisc. Atlmin. Code.
ST. CROM COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT'
AND
OWNERSHIP CERTIFICATION FORM
GNRerMuyer Russell J Eichman Living Trust
Mailing Address 222 Sommers Landing N, Hudson, WI 54016
Prnpmn, Aaare� 222 Sommers Landing N,
(Verificedm mlu'vef loom Planning Among DeMmem for new,®.ennoma)
ci,y/su,e Hudson, Wl Parcel menEtiwinn Nmwb« 161-1062-50-000
LEGAL DESCRIPTION
Property Location NW N, NW V"See. 14 T 29 NR20 w,Toavuof North Hudson
Subdivision Plot Lot k 2
Ce"Wed Survev Man of _ Vnlwne _ Pea M
Warranty Dead It
(before 2W7)VobuneI Page N
Spec hove Dynpw Wllioa identifiabkaya�no
heart me nW commerce,ofyom sink aman, land owatinit, Mart feJute to twdle wssus. Proper
consists or formal; me earl, tank every threyeme e or moral, if nand bya lifmsed pumper, term you par into
the icyelw me, nf ctthe fmVm of the"ic uN as a l[nwmt sage inthe [caste 6spaml amam. from, maintenance
renP^nnbill,ln m>p�ad in 481'8.383.52(D eM in(laptee 12-bY.(iou Cwnry Svniary 0.dinwm
The propenyawiee epyaee m mM1miva Se Cmix Cnunry Plumivg@ ]nawg Depurtmeota mtificv[iwfarm, sigoM bytle
wua'ma bYe male PlumNt',Iomnnymw plumhx, ecAtietW plmobuweliowetl pumpervvlLymB lWt(IJ thcaonile
to d'¢pomisplemie in pmpvapemMe atmdldan wNar(R) vfier vapeanw and pumpw6(Ifnxeawy), Ne septic aokis
leuthw 10 WII o(sludgc
to
Real,
emterby
ertvd lbemNve rtyuitmWedFre8mctomSta n.. od raw 1.srngediepieaeptam virrom
sW,�sf Venerator.
rotor Lereiryudo bythe Derytnnmt ofgnftly raAnd fear oficacional
ervi anna Ix
an,"and ofNeMilRa-DartCl
gamy anamaatCofificnt I,netmawithtyen scpdcryAemlus Ma mamam rate. cmnpld[d andtenvnedathe St Gob
Ccuoty PlmuwBA] in81)eryemtent[rithin30daYs nflM1etlnee yam expiration daite.
Inwemfi[y lM1ut ell animals op4de0[mxnmded, benofmyf Death wk]ge Vwa m/vm the oavet(s)oftbe
pmpwp'JwvibeJ about, byvumco[Ja/( nrydeeL recorded lv RegbboflkMSOffice,
Number of bM�n�pnee �3
S) DATE
SIGNATURE OF APPLICANT
"'Any mfmmadon that is mivcprv¢nmi may immlt in tha writery pennant being morel by the Manor A LonwB Department •
Incmde with thk rip hoommamcmda] wmmiry deed lmm tiro Railcar of Deeds Office ata a copy of the eml6W svrvry mV,f
reference is once home ternary&ad.
(REV. 04/12)
Page 10
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