HomeMy WebLinkAbout026-1127-25-000 W isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and 66ilding Division
INSPECTION REPORT Sanitary Permit No: 408288 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID N
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). -4 1
Permit Holder's Name: City Village X Township Parcel Tax No:
Boyer, Reinhart J. I Richmond Township 026 - 1127 -25 4100
CST BM Elev: ` Insp. BM Elev: BM Description: tf
l m-o' PJL ¢ r-�- Igt�w
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY ST ION BS HI FS ELEV.
D .J
Septic 1Z S /49b Benchmar
Dosing � �- �'^'�^�► Y ! Alt. BM
Aeration Bldg. Sewer
Holding SUHt Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL qBLDG. ent to Air Intake ROAD Dt Inlet
Septic t Dt Bottom O. 0
Dosing t Header /Man.
Aeration Dist. Pipe
a
Holding Bot. System .3 0 oZ.4D
UMLGLade
roz.
PUMP /SIPHON INFORMATION t.,,;LL Ize- 4, 12"1- a Z ( od
Manufacturer Demand St Cover
E LC.LdL_ GPM
�1.,�
Model Number Jl � u[
O• TDH Lift Friction Loss System Head TDH Ft
PILO, 4AP
Forcemain Length Dia. tf Dist. to Well Vj 1 7 r
SOIL ABSORPTION SYSTEM 3•�0
BED/TRENCH Width Length r No. Of Trenches PIT DIMENSIONS No. Pits Inside Dia. Li uid Dept
DIMENSIONS O 4 S
SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEA NG nufacturer:
INFORMATION CHAMBER
Type Of System f UNI Number:
DISTRIBUTION f SYSTE M OL � L-P
Header /Manifold Distribution , x Hote Size MHole pacing Vent to Air Intake
Length 1 Dia ff P ength ' Dia Spacing S Z ,
SOIL COVER Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
[] Yes FE] No 00 Yes ial No
C�OMME TS: (I nclude de di cr enqes, s ggesen Inspection #\ /Z Inspection #2:
Locatl= 134th Ave New Richmond, WI 1 544 .1 017� 7( (NE V 1 l /4 11/4 25 T30N R1 s
8W) Ric Hills Lot' 25 Parcel No: 25.30.18.835
1.) Alt BM Description = �t Ir�w+�U- dC2- r
2.) Bldg sewer length = 60 t
- amount of cover =
3. ) Contour =
Plan revision Required? '�; Yes No
Use other side for additional information.
SBD- 6710(R.3/97) D/ 3t� _ ,, Insepctor's Signature Cert. No.
'1
Safety and Buildings Division County /4 r
201 W. Washington Ave., P.O. Box 7162
N) Pi,4ctinsin Madison, WI 53707 - 7162 M* " I ie t 3� f-y /4ye
Department of Commerce ..d Z A /90/
Sanitary Permit Applications Penns Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you p rovide Check if Revision qOS Z
ma y be used for purposes Pr ivacy Law, sl5. 1 _ m ❑
I. Application Information - Please Print All Information State Plane
ParcdNw
Property Owner's Name / r/ so 'v ED P
r °'
REC Dot 12
Property Owner's A s �:;> M Y 2 g 2002 rty Loeadon 1( ,:2 G ,. Q 34 J 0� r T✓ N, E
C' , State Zip Code PhonRN Lot N Block Number
g1. NING OFF
ZO vision Name
A of Building (check all that apply) A ❑City
/ :L1<or 2 Family Dwelling - Number of Bedrooms ❑Village
❑ Public /Commercial - Describe Use AEJ
❑ State Owned Nearest Road
M. Type of Permit• (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A. j 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use
Sy stem Tank ON stem
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
IV. Type of Permit: (Check all that apply) nurnberingscheme is for internal use)
44 ❑ Non - Pressurized In -Group 47 ❑ Sand Filter 50 ❑ Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 8 11
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ 30 ❑ Other �' 75
v. Dive Area Information:
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate Systerd Elevation Final Grade
Required Proposed Rate(Gals./Days/Sq.Ft.) (MinJlnch) Elevation
VI. 'Tank Info Capacity in Total Number Manufacturer Prefab i Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Exisft IDO
Tanks Tanks
Dosiog Chamber J t a
VII. Responsibility Statement- I, the rmdersigned, responsibility for installation of the POWTS shown on the attached plans.
Plumber's ame (Print) Phtmber's S' MP/MPRS Number Business Phone Number
� i
.�i�l�..0
Plumber's Address (street, city, state,
VIJI. Coun /De ent Use O nly
pproved C1 Disapproved Permit Fee (includes Groundwater Date Issued is 5A tune (No Stamps)
�ij�CS ��CJ jj2 J
❑ Owner Given Initial Adverse Surcharge Fee)
Determination
EK. Conditions of Approval/Reasons for Disapproval q�, ,
J
4 7-, ile:— 4 - b ee,{ Pe-jo m•cr
Attach emplete plans lto the Canty oab) foe the "Arta on paper mt has than SW x u Whes te dze
SBD -6398 (R. 05101)
I
I
PLOT PLAN
PROJECT Rienhart Bevers /]ADDRESS 1682 Hartford Ave St. Paul Mn 55116
NE 1/4 SW 1/4s 25 /T 30 R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 5/13/02 BEDROOM 4
CONVENTIONAL IN -GR 0 �01 PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none
BENCHMARK V.R.P. Top of 1" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL - H.R.P. NE corner of property SYSTEM 1 02.5'
ELEVATION
* Alt. B.M.
Property Line
Scale= 1/4" = 10'
Area 15' Below system
is to remain 100
undisturbed
Well is to meet all 101'
setbacks found in 102'
Comm. 83
4% B.M.
B-2 Slope
Grading is to be done to
divert run -off away
from system B-3
Tank is to be properly bedded and
provided with lockdown covers
with approved warning labels
B -1
Huffcutt Combo Tank -°a
r
CD
Pro 4 487'
Bedroom
House
Pro Town Road
t r
r
Safety and Buildings
i 10541 N RANCH ROAD
HAYWARD WI 54843
TD
#: (608) 264 -8777
isconsin www.w
www.commerce.state.wi.us/sb
v
Department of Commerce isconin.gv
Scott McCallum, Governor
Philip Edw. Albert, Secretary
May 23, 2002
CUST ID No.226900 ATTN: POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING, INC ST CROIX COUNTY SPIA
1008 192 ND AVE 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/23/2004 Identifica ' bers
Transaction ID N . 752218
SITE: Site ID No. 644910
Rienhart Beyer Please refer to both identification numbers,
140TH Ct above, in all correspondence with the agency.
Town of Richmond
St Croix County
NE 1/4, SW 1/4, S25, T30N, R18W
FOR: New mound, 600 GPD P
Object Type: POWT System Regulated Object ID No.: 852368
C'or
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes_
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. & aRtl
4>
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P
( N.0 1 /01) and the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment
Systems" SBD - 10706 -P (N.01 101).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition,
the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of
the mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
'z • A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Slats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The maintenance plan for this system must be given to the owner of the POWTS.
Note
• The bottom of the distribution cell shall be level per the Mound Component Manual.
• The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component
Manual.
I
SHAUN R BIRD Page 2 5/23/02
Reminder
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system area per Mound Component Manual.
• Materials shall conform to the requirements of COMM 84.
• Maintain well and waterline set backs per COMM 83.43(8)(i).
• Provide frost protection per COMM 83.43(8)(c).
• Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation or maintenance of the POWTS.
Sincer ly, Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
cia L o
POWTS Plan Reviewer , I egrated Ser ices WiSMART code: 763
(715) 634 -7810, Fax: 5) 634-5150, M -F 7:45 am - 4:30 pm
pshandorf@conimerce.state.wi.us
cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544
f
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715- 246 -4516
Dat 5D
Ow er: Sys em tem
Manu ponent Manual version 2.0 (01/31)
Pressure Distribution Manual version 2.0 (01/31) N S.
Page # apoally
1. Cover Page:"
2. Mound Plot Plan ENT Of OMME
INGS
3. Mound Cross Section
4. Pipe Cross Section /Pipe Layout SP0N�ENCE
5. Pump Chamber Cross Section
�SZZ1�
6. Pump Curve
7 -9. Maintance and Contigency
10 - 12 Soil test
Signature
License number 226900
5/13/02
PLOT PLAN
PROJECT Rienhart Bevers ' ADDRESS 1682 Hartford Ave St. Paul Mn 55116
NE i/4 SW I /4s 25 /T ;30 /R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE5 BEDROOM 4
CONVENTIONAL IN-GRPO PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none
BENCHMARK V.R.P. Top of 1" PVC Pipe ASSUME ELEVATION too' Filter Zabel A -100
❑ BOREHOLE O WELL - H. R. p. NE corner of property SYSTEM 1 02.5'
ELEVATION
* Alt. B.M.
Property Line
Scale= 1/4" = 10'
Area 15' Below system
is to remain 100
undisturbed
101'
Well is to meet all
setbacks found in 102'
Comm. 83
4% B.M.
B-2 Slope
Grading is to be done to
divert run -off away
from system B-3
O
Tank is to be properly bedded and
provided with lockdown covers
with approved warning labels
B -1
Huffcutt Combo Tank 0
CD
1
r
CD
Pro 4 487'
Bedroom
House
Pro Town Road
� 7
" maniLgner No � Li 6 0) y
Date 1 3 - 0- 2-
Non -Woven Filter Fabric
4" Observation Pipe Perforated
Below Filter Fabric Distribution Pipe
&TM C -33 Sond� f
! " Topsoil c
1
7. Slope ~
Bed Of I 2 %2 Force Main �`*
Drain Rock From Pump Layer
, 1
Cross Section Of A Mound - System Using F -L--'�
A Bed For The Absorption Area F
G
A Ft.
6 �S Ft.
I
J ZZ Ft.
- K/ , ,2 F t ._ t _
L Ft.
`fk w,,24, Ft.
L
CObservaiion t?ipe,
�---- e — K
---------------------------------------------
-- - - -- ------- - - - - -- --------------- - - - - -- 1 Force Main
W N - - - - -- - -- -- From Pump
p Distribution Bed Of ' /Z'— 2 %i
Pipe Drain Rock
I \„
4 Observation Pipe Permanent Market'
Pipe or Rods
Plan View Of Mound Using A Bed For The Absorption Area
PAGE OF
Perforated Pipe DOW
i End View
Perto•oteo
y PVC P.pe
dc•L 14010% Located on Sottom.
Are Equally Spaced
2A vt,OC _
_71,� r r P
,�5
PVC Farce Mow
FIRST SOLL T AILX l' re Gannet }'
PVC
Manifold Pipe
L�0/i Die, Oistriaun�an
Pipe
71L r /2. — tt - - Distribution Pipe layout
Q Ft.
R R.
X Inches
Y 9 Inches
Signed: Hole Diameter
1-3 Inch
Z �9 lateral �- ' Inch(es)
License N er: n
Manifold �_ Inches_
Date: Force Main " v2 Inches
._.._._
Of holes /pipQ12
Invert ElevAtion of Laterals
i
rape Ut
SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
4" Cl VENT PIPE 12" MIN. ABOVE GRADE E wEATHE PRWF APPROVED
t 2 S' FROM DOOR, WINDOW OR
FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER
W / PAD LOCK 6
FINISHED GRADE WARNING LABEL
.....� MIN.
�a
18" C.Z. a"gwAl;va X. b. u
INLET
GAS-
WATER TIGHT SEALS T TIGHT, %APPROVED
A SEAL JOINTS WITH
F1>rTER ALM APPROVED PIPE
APPROVED B ' ON 3' ONTO
PIPE 3' "'�— ' ► SOLID SOIL
ONTO SOLID C 1
SOIL PUMP OFF ELEV . FT • ---- OFF
D
3" APPROVED BEDDING UNDER TANK
CONCRETE PAD
SPECIFICATIONS
SEPTIC / DOSE �„_ •
TANK MANUFACTURER, NUMBER DOSES PER DAY:
TANK SIZES SEPTI GAL. DOSE VOLUME INCLUDING GAL.
DOSE s� GAL FLOWBACK: s
ALARM MANUFACIURER:
CAPACITIES: A = ,9_%,S—INCHES = �d� .GAL•
MODEL NIJMS£R: g = 2 INCHES
SWITCH TYPE: ?
PUMP MANUFACTURER: / C = ' /� INCHES J� GAL.
MODEL NUMBER : • C- D t0 INCITES = LS -2- riAL
SWITCH TYPE: _SJ�
REQUIRED DISCHARGE RATE �L GPM(/ PUMP 9 ALARM WIRING AS PER ILNR 16.23 �C
dERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET
• • FEET
+ MINIMUM NETWORK SUPPLY PR
E FEET
+ �$Q _ FEET FORCEMAIN X G -_- FT /100 F T. F = RI FEET
WIDTH �j DIAMETER
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH LIQUID WIDTH �y����.....
LICENSE NUMBER: !� Z -"�w DATE c
: �
SIGNED:
i/88
Engineerin Deta
Performance Data
40
{.
3a
P Cf» EIr4t�tCtertSicS 2 6
Fir
/Nr �
sue, SN�4
lbdome6c 20" SNEF40Ai. SNEH0A2 10
4/10
Fd lead
s (4r�t 0
R.P.M. i550` 10 20 30 50 60; T0.
i9 G�
Who Total Head k(fm4 14 17 21 25 , 28 30 35.
IEutz M 7.6 i20° F iRex. Finnf GPM 60 50 40 30 26 iter 3.8 3.2 2.5 7.9 1.3 .63 O
josh (kits A
i i /2' NPr Dimen
2/ sional Data
das '
2a lis. 7,� r� zn 1. Al ink iMefiric for
tom) s t��n eL
Poarer t and 18/3; 9M` 2W dL
tom. 2. toWWM- t mot►
(98.42) �{� IRdI.
j ' 3: Not for P
cam°, . .
tit ran. ----- 4 WUReIWM antl- wcgMs arc
cast ha.
PvM gift
shit sret . We reserve the to make
5
1liedmekaf sed Zmifon/ S to to adr "oad tke�
:Shen Seel sta�kss steel ' � -
lteJ<ows: Bill" -
NIL
Botlom Dime coaled Steet
fasteaets
Stotefes Stall r i5")
>d
® 1 9" t Fes, a46 Rerved.
se
HYDROMATIC ® -Y«.. `°� °`°`-
t840 Baney Raod Asldmd, Ohio 405 id: 419 - 284.3042 F= 419 -281 -M
" S awe
SALE OffM 811 ALL MAIOR Oil AM COUNTRIES �
UK to'Pmyrs' in 6e Y&W pages of )rent dace directory far Ym loaf Dalr OK
Maintenance and Contingency Plan for a Mound System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Dose Chamber is to be pumped at the same time as the septic tank.
3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
4. Once every 3 years the mound is to be inspected via the inspections pipes in the at-
grade. The laterals are to be inspected via the cleanouts.
5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
6. Pump and electrical components are to be checked at the time of the pumping.
7. Owner agrees to leave the area 15' below mound undisturbed.
8. The owner agrees to save this plan.
9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is
not be driven over.
10. Effluent Quality is not to excede the requirements found in Comm. 83
Contingency Plan
1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if
needed, then bypass pump float and try pump with out float. If this works, float is bad,
replace float. If pump still does not work, check power at the pump with a electrical device
such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is
power, then pump is bad and needs to be replaced by a plumber.
2. If mound fails, determine cause of failure, test another area or remove pipe and sewer
rock, retill soil, install new mound system.
3. Replace any other failing components as needed.
Important Phone Numbers
Plumber: Shaun Bird 715 - 246 -4516
Pumper: Tom Mondor 715 - 246 -5148
St.Croix County Zoning 715 - 386 -4680
Shaun Bird #226900
5/13/02
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ` or
"INFORMATION SYSTEM SPECiF1t:AT10NS
Septic Tank CapaW o�.�.S ai 0 NA
Owner `�.✓ -
Pemrfl Septic Tank Manufacturer 0 NA
Eftwt FRw MarWbckM 0 NA
*am PAMMETERS EMrt� Filler' Model .r (' 0 NA
Number of Bedrooms NA
Ntm be of Commercial Units gNA Pump -Tank Capacity s " al 0 NA
lloW (ate) Pump Tank Manufacturer 0 NA
Esflmated ted x 1.5) 6 O Pump Manufacturer ,• 0 NA'
Design flow {pear. ( :... ❑ NA
sfla A� D au mz Prm p Model
• P�atirient Unit 0 Peat Filter IMlue WEMuent Q (3 S=Wrwgvel Filter
Fab. Oct & Grease (FOG) S30 mg/L O Medranical Aeration 0 Wetland
Biachet»i W Oxygen Demand (BOD 5220 mgA- 0 Dbk*xMon 13 Other:
Total �cdffil 5150 Manufacturer
Pr heated Effluent Monody average � Cis) Oxygen Demand 0 "round (Pressurized)
Bioctnemkanl (sODs) S30 mg1L O ir�rour►d (gravity
530 mglL 0 At - grade nd
TottW Suspended Solids (TSS) ❑Other.
0
Fecal Coflform (geornetnc mean) 510' c"100ml
7(, inch diameter Valdes bVicar for don�C (� wastewater wo
Maximum Effluent Particle Size
�• Values bVkad for p1811eated wasWW*w-
MAINTENANCE SCHEDULE $ervice Frequency
Service Event
At least once every ❑ s) (Maximum 3 yrs.)
lnsped condition of tank(s) and scum �u� one-third {X) of tank volume
pump out contents of tank(s) When combined sludge
Inspect At least once every 0 months s) (Maximum 3 yrs.)
(s) ❑ mortis ysaf( )
Mean irfflueirt lifter At least once every �-
controis & alarm At least once every - 0 months s) ❑ NA
Inspect Pump. Pump 0 mondw s) 0 NA
Flush laterals soul pressufe test At feast once every
once At least e every 0 months 0 year(s) 0 NA
At least once every 0 months 0 year(s) ❑ NA
the fdlotiv>n9 or
MAINTENANCE INSTRUCTIONS l cells shy be made by an individual g o license
bons of tanks and
,dispersal POWTS Maintainer. So~ cam : Maw Plumber M Plumber Restricted Sewet; POWYS l
W*We a visual inspection s to idw* any fig or broken
Setvidiig Operator. Tank must and scum and to dmedk for any back up
hardware, identity any cracks a leaks. measure the volume of eombkted slud to check the effluent levels
P of effluent on the ground surface- The dispersal oeri(s) shaft be visuafll► of e ffluent on the jing °r and to check for any ponding of effluent on the ground surface.
The pons
in the PIPS of the local regulatory authority -
ground suuface may in dicate a � condition sell requires the immediate notification
in any tank equals one t& d (X,) or more of the tank volume. the
When the combined accumulation of sludge and scxiin and disposed of in accordance with ch. NR
entire contents of the tank shall be removed by a Septage Servicing Operates
113. Woconsin Administrative Code. - components, and any .
The Servicing of effluent filters mechanical or pressurized POWYS components. can' � a eerh'fied POWYS Maintainer -
ottter maintenance monitoring at intervals of 12 months or less shall be performed by
authority within 10 days of completion of any service event.
A se MT report shalt be provided to the tors t reg ula Cory
START UP AND OPERATION s for the of p�� products or other
pr For new . p use of the POVVTS check tangy) . if concentrations are
his that may impede the treatment process and/or
detected have the writ /or damage the dispersal s ) �
con of the tanks) removed by a septage servicing opera prior
Page ! of -
$ystern start up Strad not occur when softo ditlions are frozen at the infiltrative surface.
DwM power outages PUMP tanks may a irom� highwater We1S. bVIM power is restored the exam
wasteg -Alw wid be dlsdrarged to the u �� JW s) in ow Law dose. over am S) oxf may result in the
bwkM or surface disdmW of . To avoid this sduation have the contents of the pump tarts remo+ned by a
S ep t We ServrckV Operator priorto M$110 ft Power to the ernuent pump or contact a Pkmer or POETS Makdainer to
assist ar marry operating the pump omtrots to restore normal Levels whirr the purrs tank -
Do not drive or pack vehicles over tanks and dispersal cells. Do not drive or park over. or offmwise disturb or compact.
the area within 15 feet down slope of any mound or atIn de sole absorption area
Reduction or elln*ntion of the bkK*g from the wastewater stream may improve the performance and prolong the life
of the POETS: mttlblo�oM - baby w>pe� eondorrw cotton swabs: degreasers; dental floss: diapers;
disirte<art>s; fat; fotuion &edn (sue Pte) water; fndt and vegetable peelings: gatso �: meat
scraps; medications; of oWn* g p� Pte: s y napl&w. softener
AB the POWfS falls; and/or is permanently. MENT
When hen the taken out of service the Mowig steps shad tU3 taken to insure that the
sys tem is propetly and safely abandoned in compliance with ch Comm 133.33. Wisconsin Administrative Code:
•
All piping to tanks and pits shad) be disconnected and the abandoned pipe openings seams•
• The contents of aR tanks and pits shad be removed and Property disposed of by a 9 Operator-
• After pum ad i oks and pits shat be eoacavated and removed or their covers removed and the void space
titled with sod, gravel or anodxw inert WNd material.
CONTINGENCY PIAN
It the POETS falls and cannot be repaired the following measures have been. or must be tarn. to provide a code
compliant rent system'
17 A suit" MWISCerne<tCarea h been evaluated and maybe tntitzed for the location ofa replacement sou
absorption sy The replacement area should be protected from disturbance and compaction and shard not
be infringed upon by requked setbacks from e 9 and Proposed structure lot Ines and weds. Failure to
protect the replacement area win result in the need rapt' with th rum site e l t to tug � a suitable
replacement area. Repiacemen ms
syste
i7 A suitable replacement area is not available due to setback and/; sot GmitadOns. Barring advances in POETS
technology a hoW9V tank may be Installed as a Last resort to replace the faded POWTS-
The site has not b evaluated to identify a suitable replacement area- Upon fadure of the POETS a soli and
stte evaluation must be performed to locate a suitable replacement area If no replacement area Is available a
troll ing tank may be kugaled as a last resort to replace the faded POETS. removal of the biomat at
Mound and at -grade soil absorpoon systems may be r�econshuc l ed it Place fodowmg
the irfiitrative sum, Reconstnid)ons of such systems must comply with the rules In effect at that time
<<WARNING>>
SEPTIC. PUMP AND OTHER TREATME TA NKS MAY CONTAIN LETHAL GASSES ANDIO INSUFFICIENT OXYGEN.
RE RESULT. RESCUE S
ESCU NOT ENTER A F A P. FROM THE OTHER TREATMENT INTERIOR OF T A TANK MAY BE R IMPOSSIBLE. MAY RE
ADD ITI ONAL COMMENTS
POWYS 1NSTAtlER POETS mA1NTAiNER
Name a_ uti , i . Name ¢rs
Phone J f —�j��j — �� Phone
SEPTAGE �G OPERATOR PUMP LOCAL REG
ULATORY AUTHORITY
Agency
Name
Phone Phone , j = 1?d'� d
aoa waysna� County Zw** �,d ssatitadfon age�tc>es rnft dOa" "
Ttm documea VMS diadtea by i o sterns of ire Gmw Like. Marquette V�tsconstn Adminis a Cade Uss of ids doaxmd doe not
the minbnum repuke of dL Comm 83 2Z(2I(l:IitHd) and `�(t)• (2) (3L GPAW (?At)
gu'm-we the pence of the PMVTS-
a71 i.1CV111. l.V a�a�a a
SEPTIC TANK MAU41MNANCB AGREBM M
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address'�.�
property Address ag / 4P,
(Verification required from Planning Department for new ►)
City/St ste Parcel Identification Number
T F. A &L DESCRIPTION i
property Location %4 � '/<, Seof T .� � N R W, Town
Subdivision . Lot &:,2, -5
CertMed Surrey MAP # . . Volume --, .Page #
Warranty Deed # Volume Page #
Sperm house ❑ yes Lot lines identifiable'.7r4lym ❑ no
SYSTEM 11�IASNTENANCE
Im proper use and mainteaanceof your septic cyst meaold remit m its Meats hdm to handlewastee. Propermamtmmm
e s of pumping at the septic tank every three years or sooner, if needed by a licensed p What yin put into the system
am affect the function of the septic tank as a trcatment stage in the waste diRmssl system.
1
The pwpaay owner agrees to submit to St. Crom Zoning Department a cer uficatiou form. signed by the owner and by a
ma W paumhm jowneymanplumbm testdclad plunim oralieceug dpumpervarifying that(1)doem-ci ewastm"Or a SY
is in proper operating condition and/or M after mspection and pumping (If Y), dw septic tank is less than 1/3 full of shWV
ywe, de undersigned have read the above requirements and agree to maintain die Private sawap digxml systm with the s tandards
set forth. herein, as at by fire Department of Coammerce and the Department of Natural Rtesource% State of W
Stating tbd yonr E system has been maintained must be completed and refined to the St. Croix County Zoning Office within 30
d
4jfa dr the diret=e Viration date.
/� J r r
bIGNATURB OF APPPCANT DATE
0VM_M cERT�xcATtoly
I (one) certify drat all statements on this fora are true to the beat of MY (our) l000wledge- I (we) am (are) the owners) of
�ty 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGMA - APPLICANT DATE
/ rev oked b � *'*�*
Any information that is mis- represented may result in the sanitary permi being Y
*� Include with this application. a stamped warranty deed fiurn the Register of Deeds of tee
a copy of the certified survey map if reference is made in the warranty deed
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference poir - MM),,dimetion and Parcel I.D.
percent slope, scale or dimensions, north arrow, and tocaG�on,,iwW distance tofiearest road.
pending
Please print all infoyon. Reviewed by Date
Personal information you provide may be used for secorN w purpose Fr{vili x 11ew, s. 15.04 (1) (m)).
Property Owner Property Lp ion
R J C Develop Inc . ! ^ ; I ' • Lot ] 1/4 SW 1/4 S 25 T 30 N R 1 R (or) W
Property Owner's Mailing Address '` 1 r1Ca Lot # ft 6k # Subd. Name or CSM#
1868 Ct . Rd. C X 11 - 1(w A? I_Aa ' Richmond Hills
City State Zip Code Phorra Number cjyl ❑ jZ ❑ Village K] Town Nearest Road
New Richmonq WI.1 54017 (715),2"47 "-5-721.. Richmond
[3 New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material glacial drift Flood Plain elevation if applicable na - ft•
General comments
and recommendations: mound @ el. 102.50' , , based on contour 1 ine of el. 101.50'
Boring #
Boring
F-11 101 .90
® Pit Ground surface elev. fit. Depth to limiting factor 34 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2
1 -9 10yr 3 none L 2msbk DSH QW if
2 none sici 2m
na
5 45- 0 5 r 4/4 c2d7.5 r 5/6 sicl 2msbk mfi 13a na .4
❑ Boring # E] Boring
1 ® pit Ground surface elev. 10 1 .90 ft. Depth to limiting factor 47 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r.4 ff#1 -Eff#2
1 0 0 10 r 3/3 none L 2msbk DS
2 1026 7.5 r 4 none sicl 2msbk mfr f
3 26, 7 7.5 r 4/4 none sl 2csbk mfr - w ri .5 .9
4 47 -60 7.5 r 4 c2d7.5 r 5/6 scl M na na .0 .0
Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L uent #2 = BO < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature . CST Number
Gary L. Steel 02298
Address Date tvaluatiorfC6nducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 10 -17 -2000 715- 246 -6200
Property Owner R J C Developmen Inc. Parcel ID# Pending Page 2 of 3
❑
2 Boring # Boring 100.50
® Pit Ground surface elev. ft. Depth to limiting factor 38 in.
Sal — Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -9 10 r 3/3 none L 2msbk DSH cs if
2 9 -2
3
4
is os- mvfr n
F-1 Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ Pit Boring
❑ Ground surface elev. ft. Depth to limiting factor in.
Soil ligtion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD, > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SBD -8330 (R.6=)
STEEL'S SOIL SERVICE
Gary L. Steel RJC Development, Inc. 1554 200th Ave.
CSTM2298 NE'SW' S25- T30N -R18W New Richmond, WI 54017
MPRSW - 3254 town of Richmond (715) 246 - 6200
lot #25- Richmond Hills
N
1 =40'
BM.= top of 1" pvc pipe @ el. 100.00'
Alt. BM.= top of NE lot stake @ el. 98.30'
y
0
0
� � s
S �
Gary L. Steel
10 -17 -2000
i
J 1941r 1 1
STATE BAR OF WISCONSIN FORM 2- 1999 6 8 6 0 2 1
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX Co., NI
This Deed, made between RJC Development, Inc., a Wisconsin RECEIVED FOR RECORD
Corporation,
08 -05 -2002 9:30 AM
WRRA M DEED
Grantor, and Reinhart J. Beyer and Melissa S. Beyer, husband and EXEMPT #
wife, REC FEE: 11.00
TRANS FEE: 111.30
COPY FEE:
CERT COPY FEE:
Grantee. PAGES: 1
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
Lot 25, Richmond Hills, St. Croix County, Wisconsin. Name and Return Addra ND TMEs INC.
1./'�,v SUtTE 200
1800 SILVER LAKE ROAC
NEW SRI , M�1
026- 1127 -25 -000
Parcel Identification Number (PIN)
This is not homesteal
QK) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this /G f//- day of July , 2002
RJC Dev lop ent, Inc. f
* * By: Jo n H. Carlson, President
AUTHENTICATION ACKNOWLEr
Signature(s) STATE OF WISCONSIN
St. Croix Count
authenticated this day of
' Personally came befog
June
RJC Development, Inc., a W
* Carlson, President
TITLE: MEMBER STATE BAR OF WISCONSIN
to me known to be the
(If not, instrument and ackno
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY •
Attorney Kristina Ogland Notary Public, St.
Hudson, WI 54016 My Commission
(Signatures may be authenticated or acknowledged. Both are not necessary.) ,,C)_�
* Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN
FORM No. 2 - 1999
1 ° � �D
1 Located in part of the Southeast Quarter of
of the Northwest Quarter of the Southwest c
�a orth Ran
Section 25 Township 0 North, a 18 WE
4 p 9
1Q .
NOTE: The F
�.� '�.`�, / laws, rules (
etc.). Before
Zoning Offic
OVERALL Ef
£AST /WEST OUART£R LINE OF Si
1760.78' BLOCK LENGTH
215.00' 235.01'
8 RADIUS TEMPORAR
MOVED UPON EXTEh
LOT 24 L 25 LOOT 26 AL AREA:
114,790 SO. FT. 109,911 SO. FT.
2.64 ACRES 2.52 ACRES
333 ;3 w
M NNM M - t 4 i C;
00
t !� . 3 $
to r - 4 `V
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O
00 p
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00 iD cp 00 00 7 v � 7 0 to
Zzzoozozz h z
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333
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Iii At it"\11WC H[A:;CAPAMY
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f - P .IfN ANIi :3:I /.•`.Ith1 \I,;
MODEL 152/153 —
li C'I
50
F «CI Mrl(ax Col. LAm. -;k I;Jwx
15 1.'i 59 261
17 40 � _ I Yt 3.1 $' 2111
53 701
6.1 44 16 n'7 19/
c 30 7c: /.6 SA 12 47 ;�S?
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2.! ri! 33 ' 75
20 t f
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0
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GALLONS
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0 U 14 320
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i ' I I T' T j—
P M1N •.
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Timed dosing panels available.
• Electrical alltllnators, tot duplex syetams, are available and suppiled with 1
an alarm {
• Variable level control switches are avaiable for controlling single phase
systems. _
• t L61e pWYbaek variable level Wat switches are avalable for variable
level long and short cycle Controls, j I ^ il
• Sealed Qwik -Box available for outdoor Installations. See FM1420.
• Over 1307. (54•C.) special quotation required.
1522153 sod"
... .�Lti Gcayol eelectlon i (,
Model Yolb -Ph Woda Mw sin lax I Ouaw % r ik
N 157 115 1 Won, 8.5 8N152 11,`x. _ 1 s.5 Inakrded di ar 3
C-152 _230 1 Nci1 43 1 1
aE162 230 1 _ . Auto 4 W*A 2 or 3
1 im i Nan 106 1 2 er 3
anns3 its Awe 106 Inclu4ed 7a0 519LECTIONGUIDE
E153 _230 1 Non fi 3 1 2 or 3
8Et53 230 t Auto �.' eel �• 2 a 3 1 • Sit>91e piggyback vargrWa Iwvnl arlet awltdl or double pppybadc variable Lava float
switch. Refer to FMO477.
a CA N 2. Qae FW712 for carted modal of Electrical Aftomwor E-Pak.
AN kwWUOn of MWO411. prof 00 dwlaa and Wiraig should 1K voae W a daetlnea 3, variable level Control switch 10.0225 used es a control activaar, Spa* duplex (3)
licensed eleeufetan. At electrical and welly Bodes should be followed kxludkV the most
Mart Wrtionai EUM9 Coda (NEC) end the Ocoupatlonal Uf* end Naam Ad (OSHA} or (4) Na( system.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered Into the design of every Zoeller pump.
UM TO. P.R BOX re9i7
• • la T O . 3. 49 wry Rw4347 1NueA:rcfwtYS Of..
S
0 3W TCt: 3e4e Gnv RurRuuu
L&-revere, KY 40211.1961 au rr Pewac SvcF /939 •
hffP 1n�nvw.aoeHer oom P!1/t !O. /sozl 770,41 • r (No a2e�+usr
PAX (W 774.
0 Copyright 2000 Zoeller Co. Nt rights reserved. g