Loading...
HomeMy WebLinkAbout026-1294-35-000 'Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix i Building Division INSPECTION REPORT Sanitary Permit No: 488297 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Smith, Gerald Richmond, Town of 026- 1294 -35 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (� 6 �b !r "'.,mot CST -/// S� tX 28.30.18.1517 TANK INFORMATION ELEVATION DATA TYPE W MANUFACTgRg S"l CAPACITY STATION � HI FS ELEV. - �.� A l co Septic / 5 &^ Benchmark l `` 2,7 � loZ,9 Dosing Alt. BM wvU Aeration Bldg. Sewer 0 —, a /� Holding St/Ht Inlet / q - 7 0 � r l � St/Ht Outlet / 1 � 7 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Aiminsake ROAD Dt Inlet Septic ! , ��/� Dt Bottom D a 1� Dosing F 9 Header /Man. V rA IL Aeration Dist. Pipe • 3 0 ys/ r }0 Holding Bot. System o , 0 3� I Fina rade G PUMP /SIPHON INFORMATIONS ( Z Manufacturer l �� Demand St '—� Cov r it IN(�✓l 4� GPM Model Number w 2 J TDH Lift Y Friction Loss System H Ft It I / A TD Forcemain gth t Dia., d Dist. o; Well s i SOIL A SORP ON SYSTEM ,, Pv1 BED /TRENCH Width �� Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Z SETBACK SYSTEM TO JBLDG WELL LAKE /STREA LEACHING anufa er: INFORMATION CHAMBER OR Type Of System: r UNIT Model Number: C � /S + 3� > �& _ PJS . TRIBUTION SYSTEM Header/ a ifold , / Distribution x Hole Size x Hole Spacing Vent ` to Air Intake Length Dia °� / L ngth Dia pacing ` / / .�r��. � 'N^ 1 S 'COVER__, x Pressure Syste s Only xx Mound Or At - Grade Systems Only epth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched ed/Trench Center �� ` Bed/Trench Edge Topso! / y No Yes No COMMF.�IT :(In e cod iscrepenci s rsons present, etc.) Inspection #1: / / `F' Inspection #2: l•i5 1/ 2 T30N R18W Richmond Alc of 35 Parcel No: 28.30.18.1517 i Location: 1148 132nd Avenue New Richmghd, WI 54017 (SW 114 SE 4 8 ) 1.) Alt BM Description = Dpi ti 2.) Bldg sewer length - amount of cover = Plan revision Required? Yes ( No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) i� I r w Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 -`; visconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266 -3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you prov A 1 1 may be used for secondary purposes Privacy Law, s15.04 1 roject Address (if different than mailing address) I. Application Information - Please Print All In rm 132J Property Owner's Name J U L 3 1 P el # Lot # Block # G V-4.4A s N 8 et, ) 6�) Property Owner's Mailing Address ST. CR Property Location ' City, State Zip Code Phone Number ��• Jf 4f -��• Section ^049 EL �v SS3So 1 743 �/f/ /- �8 le) ' CJ t II. Type of Building ( eck all that apply) T � N; R / o � 6k � aS 1 5�m'� kX_e Subdivision Name CSM Number X I or2 Family Dwelling - Number ofBedrooms 3 eJse� plaa&, ❑Public/Commercial - DescribeUse 7 Wo's tjA I ...ar` l« D ❑ State Owned - Describe Use - BGity Wrow of d tl III. Type of Permit: (Check only one box online A. Complete line B if applicable) /Z " 35 A New System ys ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System - ---------- B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and to Issued Before Expiration Plumber Owner ((�� a✓�.dlct.f IV. Type of POWTS System: Check all that apply) ' Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel - less Pipe ❑ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation a 1-11 1 Gf3 cry z / i 9'y „_,� s -i VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing � � Tanks Tanks 1 Septic or l�eldmg�erilr t� JGbO / ES •G CanJt.c Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' ture MP/k Pft Number Business Phone Number Plumber's Address (Street Zip Code) VI IL Coun /De artment Use Onl Approved isapprov Sanitary Permit Fee (includes Groundwater Date Issued Issuing ent Si o wn en Reason or Surcharge Fee) 00 -;,/— IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 3' 1. Septic tank, effluent finer and dispersal cell must all be servita / maintained Ow ne as per management plan provided by plumber. 2. AN setback requirements must be maintained as per appNcoble code / ordirlar>ces. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) I 1 } H L� L # w t :tt 'S �� • "' °)tic'?+ ;ti�:6'''i' t 19Cf! , v " (; •t :•�� �tr�i "�+ =lit!�6r;6fi` t9C7 o'Ei bs;t rt, ;:= )et,r,� z +� er•w t,n .a ?9:;f!0!71tnA '.:;.k,c,�� 9t =►C}ar: �gy 8s L k h ` Z L o ti ti o ' O r� � v c � t " L all a : �• 3 a ; ^, a Clei J O �a 1 i a fii ^�i M ON vi � � V W N o e 0 p si 4 t� v o t �j to, . o o n aa• �4 ►. a 2 1 d _ •T 'A e 1 , 1 f Wisconsin Department of Commerce EVALUATION REPORT Page of Division of Safety and Buildings t; Q4 �ce with Comm 85, Wis. Adm. Code ./ '_1 Count - S , C t7 I yl Attach complete site plan on paper not less than 8 1/2 include, but not limited to: vertical and horizontal referer a polneM Parcel I.D. percent slope, scale or dimensions, north arrow, and to tion} al 1 jet road Please print all information. � Reviewed Date Personal information you provide may be used for secondary p rposes �Ly 1 4..�4t (m)). / 0 V1 p Property Owner Pro pe Loca��tt n S E : L L IN COUN Y t o ING tct 1/4 1/4 S aq T30 N R 1 2 E (or Property Owner's Mailing Addre g Lot to # Subd. Name or CSM# ,I 90 h e• 1"�W 35 at o F �c rn c cc City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road FIK R -V K MIN 30 ( ) - 8 R,iC.h rn a nd v S 0 � New Construction Use: � Residential/ Number of bedrooms Code derived design flow rate GPD _— ❑ Replacement �1- El Public or commercial - Describe: ' - Parent material __. l�sk 1_ Flood Plain elevation if applicable _ ^ —_— ft General comments SrJsgtS - t 1- �('�•c••c �;�� Fo✓ tc�.c -1^ 3.-j� and recommendations: J 9Y37') - T -3 ! 7Y. ice') �V V Nltv.p.,,�•� l : t a Boring # O Pit Boring 7 0 , ' 4R Ground surface elev. ! _ ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f! in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 0 -(a l>)YR b� - Co '9 3 a a -7 5 Yls �i 5 _. C CJ y 3A 5 LL 7, 5Y)�j 141 2 .ti ® Boring # El Bori p Pit Ground surface elev. _ 99, y0 � 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 IOYR Y"A ____ L rn�n1 =v i,, F 1 (a , 3 a �a u ► - a D i Y b -a$ Yl" 4 /ip RS-1 15 11 Effluent #1 = BOD > 30 220 mg/L and TSS >30 5 150 mg/L ' Effluent #2 = BOD _< 30 mg/L and TSS < 30 mg/L T Name (Please P Signature CST Number ,7 a.v C, _ - — Add s ate Evaluation Conducted Telephone Number GIs ay8 3ssg Property Owner Gera Ids , S Ak Parcel ID # __— Page _ of A- 1- 31 Boring # ❑ Boring r Pit Ground surface � elev. _ 7�3 ft. Depth to limiting factor Jy in. A 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 0 1 J YR L ) rr b K n- (0 , a 13 - Y -- `- I JjSbK r)-� Ll 2 G S Y3 �', 5 L r: ti !�� h4. C t J 1 U a Y,1 w 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 Boring # Boring N ❑ Pit Ground surface elev. _ ft. Depth to limiting factor. in. Soil A lication 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 s > 30 220 mg/L and TSS >30.5 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS < 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. SSD•8330 (R.fi=) Property Owner Gera T Sm ,4k Parcel ID# Page gp_of Boring # ❑ Boring l� i Q pit Ground surface elev. _! 1 .3 ft Depth to limiting factor J� in. Soli 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 - -a, ' Y13 �/E r--- S L 1.0 5 , �O -z a 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 # ❑ 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 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 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 altemate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.6/00) ,h i a 3� Ger..l9) N / s6 /y , . �� VION, RAS ".) N 5c e., — yv d, r h G st as 1-7 It of ►J u. �, 8m TAI P 1o 3 1 1 +35 sie-e -1 t,!J SV +~v C { c- v 1 �� L � P' -- T o 0-t» b N E GOrn) G s`� a-YL -G a,8 � e �w ITZ d h i /J a a a P — h 0O co c ----- -------- HU6 -2[535 11:43 FROM:JEO CONSULTING GROUP 715 - 246 -3830 TO:2487839 P.001l001 ` A PRELIMINARY PLAT of RICHMOND ACR. e- H (A CaCUlft1 KA'n IIxY'M N AOI P, 1!w Sa4lher/! ,/W ane Mr .•yMWif 1/1 a! derfAn /$ TO,WpW J% AWk Anr- Of WA h7n Of 4 W S 0"' LbvHA Xl`WU1 ` -- I, .. An.i U.°Yw°e�. n "u ) IIM j ti 1 a' r Mi rs 1h1 ,\ i L � \�, �♦, \-` t ".... 1" ` • _ _ _ rV y 1 Rte' r . I ! �•i,j {.soA'4 .., '•"'..a�., 1 J 'A / °G`N au 1 1 r ssr / �� j /✓ j � 1 r JOl • I o.m1°I• ata it&3ftetr D v�rR �-• 1 ; ._�.. ' '" �` '1' Z. �t ac a ,. a "� -fit ' "' L` _ = Ilk, ... t T 1 �; A•. O r `��1'.y r l RD1� 1 r �"u � / � !� 1 "ti •r• •s �.�' ,, I�f; �;� \ �`'` � O 1 � X 44. -r 4 oc ` •k{ '�� ` . � J r / / / Ulu - M A nw ♦. _ . ^ 2,49 "qt ne : l 4 r.t awls„ f I ♦, �ti. °,. . 4 \,. •.. �", •• '`w. 1 � �V,• 1 s a.�C � .•\� �. I � '\ .'♦ ti`, `. ♦ \.�`'�y'i2�"3�,tir•.�.a'�� 1_ia'�tw!!'/ �7�o'�Ibe -� „ �+,P N All + S `•,+... `,•,�, s Ov°a'c•`n,♦ /r 7. -•-.. I �.. 'Sl7 1 i= I � .... � ,gam �`�'"•. !,96�• � '� i acres 1. i OC ?a4 2,17) ac r j f { `,• 21 . \l / / , k6AC C9e+•e rr 1 A;A.A. ( � u '!” / I `E„r A P. I arm , r w f,90 oSre `' I 17A' v rva .....:..,. . ...:... I t,�E ner s � J � � , «a r �a r 3. ♦ �, , 1 r �71 ,,,. r • a P AAnrr �.NIr / 1.2,4� a ces � i r k 46 .� •�. \ } I 7 er V � S / J . () , �. � � I f J t� aH w.. x+96 'Fri 94 , r f' . - k - -� f •• c - wa 7.7rc 1, 74 locres \ \\ y1, ®J 1 I AcaA. 1 \ Y. p�r�ia !.narrw I.,D aNa aNF 1r16 \ 9 vc . { 1 4 , ! I N mr. O AAJ � ,'� ( „u � / ,`•• Ji !�'{' I w, , ♦ \. 1Ri p°y5 • ` � ,.,,._. �- -•� .•r.H9 Gros „• � ”' �c _T — ,'1 ``� T,A6 vcro5 `�.�c�! � l ,� 4�o�i°ava• �, \ • Cf nnr.�: "e sueve'r a!d�"' �-'-� .•., {,tier a-.., �-• 1. ` �„ ,f` I . "Imlft AMP Rf?Zo acres S,!e r F 1' + , `� .. .��. , f � , ` l ¢Cl !� TQ? $ 1 wa •5,. r : an ° w .. r i, � S r r. - rV y.lu'""i n'sA .r✓" ,` u1A. (..GEC s.... per oonr ., v Y 6 `r ,In �' :1'awra r arert uw u,.sr /, V Ito �., .... rtysut b1WV1 /:Oman i' I i+T4 Ii•a V o A • f T. }� ^ ...i - , V.'AI4 C.w,W� W. l • c .[ l4wh YwN /GwY t. yr ' � F — �._� wunr raal far ! ,.s,w em m,n s.wo� ..r'•�`_ ,� r. -r 1 IFi 1 �I1� • ... ra. aww., ar ,a w rte d�ix a �! d 1.95 acre a rwwwv, t.x;Va T,w I.w ,u,x rKa1c I' W� ; .,.. '•i, C('i acres y I.. '`..mo . AAA. - & W 1. 7wlw rnu v qc•. aar., u.�.r.a nx c I ,It rwa la— O.Wm 4ilwiY.M1 Y' 4++giii, a w+ tJ( ✓ / ! 1 ` - pQaj1 _ ( imm o* ct54.(n. ).._... 1 / ,s � / �• +w _ i5 �"+� �} �' 1 I h4 1'.:;. 1,31 N. Z lvrit / ' .. r,y. .,�..rr..r Z• • 1V . . :7r I FA, ♦ yn , rittrA AMo3 i'. r., .... /� a °t j Lb. jar 0 I�•Mlwr wW K, �q P .. r • w w cr1A1 8MV 1 x•nr ! M 114 " •r M pa sM h ► r ' "% �n � � ���Yv~i� "T9i�•4i ..I �anT °"c:.�ar.'7, "�. "� e � w y '�'.�wi.w t .'� AM EpwrFAi 1M ww V lm MA. ,►'Mi+f ✓• 1 • ifw - %AT INAArrnea 4M AUti PrlYfelfOn/9ef31 J P•,�g61 'A�'GR,f4 Hgi �..ioo +- ���w..•'✓`' f7c t`••M NP (ONMb�AM,Nt8N1 'C'Lr r i i J - \ z• 521' D ' � U (V BE s 2 ic co ..' _ -- ...-\ f 1 _ / ...£A4i(ENr (m B£ RE71/ol't ., s�/ �] L / „ 7 b /.7 G i 1 UPGW £X7FN57av A°' 7W ROAD) C y _ --' 1 . A 85� aCre7 _t 1. /8 _._ >7 / 7� N. B.A. \ a 1.9 ocres X.9$ Acre h 14, t �, N a, 1..8acres- 1 .. o .3 C/ 8'S : , \ ` N B. A 1 6 acres ! l i I�B.A.i. \ 1. ores / J _ 1.95. acr . %77 \ \ 1 94 odes w 6 A tr I � ;j. 9B acre . \, � T N B A T B.A� 1 \.. ` --., cq. 167 g6res ' Cres +n \503' S ( - _ \i , � , ' . . l r . . ` \ 12.' �N.AA \ c \ \ Oy. 1 � • x _ -,,„ MOTARYCUL -QE -SAC - t 1.... i �, \ ` `, t \ \ \ :�.. \ \ / acres '\ L ` ` _i 158'1 I J 962.6 i �n 320 ' j rn Iv / l/ c ` \, ,. ,. lue 1 7 ... _ 1 26 1� �7 ; acres 8 } s o��� ` \ V. do. gcre I , -f " 2:14 ac es (. ? �. ok�les,`\ . ! 8 / r , r NB¢4. (.9? acres \ B \ 1 q6� N A \2- ")4,,acres r / 1� a k2 A. l ,, 96 %J �,._... \ 1 2 y 65 Q6res; f „ i ocres. ✓' \ \ ' N O. A. UCr _ f ` 1,'7.5 \ -2.1 ac7es �1 \� 2.05 oared i \ i N. B. A. NBA. 1.75 acres 964.5 ocres ' II 520.: s � 964.6 !S 1 I , J \ h x: 18 ac><es �� A`� - - acres 97-2- .," 2 4 f- .4 .31 19 acres 1. f l acres 1 ) �, 72.9 x '/ /� Z7 acres -. 12.11 acre, h rr 1 aC/f4.S\ N�A. %r N.B.A. � BA. :. ` x �- N B. A 1 / ( )3 ' 2 acres B6.acre5 1B)\ cre ) t N.B.A. � 11 acres p,�+ \ 2 01 acres 9602 I / ! 3 1. 0 acres � �......'... � �.. ,:.. ,....... 1 � 1 �. ' � - 478' ( `1,62 acres N.B.A. "3/ / x.9766 Ir 9cse 1 j ?9 548 / I J S \ 1. 90 „ocr Y` � /+ 966.E B.A. 97,E 2. N es / ' „ t 1 1, \ „ �`\ 1.a2 acres, r� / . 24 acre \ 97,b 10,5: l ( _ � � �' ! I 28 , J I 7 2.24 acres -- - ° % _ _'0 j -- 04 .6 i I I „ „ 21 17 acres ; "\ \\ \ ' 2. 17 acres z 1 i ;V y 9714 1 A �1� \ 469' `y�+► V �. x i ' � �7 owes.' 44 %9. `" 96 acr4g5 -' vl. X33 acres 9x7'5 ,! 1. 79 acres 1. 74"`ocres `. \ \ 1.94 acres / J N.R.A. \, 96 B A. / V N. B.A. 1 NBA,..- ` N. B. dz t _ocres, N 9 A. 1 1.79 acres \ i jiB3J 4,cres 1. 7 acres 1.74 acre s 7 �7 _ & 1" e, ' /� „ 968.9 < 1-10 acres � ,�� 1.94 _ � 972.7 t -� 968.7 „ ` 2841 436' I ! / r ; 2.63 acres L4 !•' ! 200" I" " ' \ x 1 �v n. /' 180 IJ' 47 -----` I 9 0,8 1 U9 .. %! 1 x t ; 965.2 `, t� i....._.\ �.\ �L �- acres 970.5 L ,. x `, x �` \..._..._. 1.95 acres �' , .,..._...._ol �` -N.BA. a7u t LOT -1 „ N. A. 1.89 acres \ !" CERTIFIED SURVEY MAP �. 967a 1.96 acres �... ' I _- "203' o 199 � `. � �• ; 436 - -� \ VOL B PG2 r x t 452 4 WyROC AU THORIT - ,...... \ 4 _ Fl / !'ENDING, SEC. °�a M YW T. W. TOWN OF RICHMOND / Q PS TO NN OF RI0IMON0. ST. CROIX COU x . - " « y _ _ _ _. cr . /) LO 12 t ,i sT. a a„ OO MTY, W ti J 964.5 xoT ro s I 70NIN(i �...__.., O 1. $5 acres. � '� `:. N.B.A. _ .. PLATTED AREA Is ZONED: NBA. 9.21 acres 7 Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: /T Project Name and System Type: G-4 .% a Location: Street Address / • /� !✓ �E� �'<.S•il Sc° a1� o.✓� /8!✓ �a �" .�5. � /6,N.•s6.,•o Gili�el'S Legal es i r e a.✓ aF Township /County Contents: Page 1: �IVO rx f �Irz r Page 2: Xer G" dw. . c/ . Leto sr- .���ri .✓ Page 3: G'ura �.�.v�e�ti Goss - ��'c �o.✓ Page 4: G'u,•so G c�'RFo�t�,►.o.✓a�' Page S: Dos✓ rs O s✓,✓e'.cls /�.y.✓a f./�.v,✓tr�rn✓r I� G.II� !f et l� it N Page 6: Page 7: rt a It et tt Page 8: Page 9: Attachments: ,Sai E"voeUW ria0J A PlumberM"igwer: Signed: Credential Number: /lie- 31/ /Z Date: I Pa 9 e 3 Of 7 SEPTIC TANK E'PUMP CHAMBER CROSS SECTION'AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF ?' /p' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVERS W/ PADLOCK E iciwisyda WARNING LABEL G.Cq,oa� y '�,�E�o,� 4" MIN. 18" IN. >rs INLET t WATER TIGHT SEALS GAS- 114 reA A TIGHT � ►` �PPROVED A SEAL JOINTS WITH APPROVED --L i ; ALM APPROVED PIPE PIPE 3'-- ' ON 3' ONTO OUTO SOLID C I. SOLID SOIL SOIL' PUMP OFF ELEV . BU FT . — — OFF ` ati RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC./ DOSE TANK MANUFACTURER: A �odc,t� NUMBER DOSES PER DAY: TANK SIZES SEPTIC pap GAL. DOSE VOLUME INCLUDING Iit.G 0 5'- DOSE Gap GAL.. FLOWBACK: 117,4 GAL. ALARM MANUFACTURER: ,5 ,7; �; �,�r CAPACITIES: A = �00_ INCHES = 3,� GAL. MODEL NUMBER: �„�, ;Ott,►r. SWITCH TYPE: B = 2 INCHES= ,33. G GAL. PUMP MANUFACTURER: �y ®� i .✓c,v C = 7 INCHES = /- /7.! GAL. MODEL NUMBER: SWITCH TYPE: D. = �� INCHES = /!7C GAL. REQUIRED DISCHARGE RATE GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . 8.0 FEET + MINIMUM NETWORK SUPPLY PRESSURE . FEET + ,?o' _ FEET FORCEMAIN 'X /. Y FT /100 FT. FRICTION FACTOR . FEET TOTAL DYNAMIC HEAD = • _. y FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH S3 ; WIDTH 18 ; DIAMETER LIQUID r)EPTH 74/ 7 2 y ia y,. 1. i. t r r� i / Y N' `� ' 5 1 1 ;� 777jj1( 1 • f ' Fa 1 I (y,i�al P rculion Sump /Effluent pump T ,_ui Aa, I c u u Sump /Effluent pump es SW /SD/VS33 - to 48 GPM (3.0 I /s) I c SW/SDNSSO - to 44 GPM (2.8 i/s) SW /SDNS33 - to 26 It. 1 17.9 in) I SW /SD/VS50 - to 24 ft. (7.3 m) SW /SDNS33 - 11 SV, Ia, 10.0 FLA, 60 Hi SW /SD/VS50 I I5V, le, 8.0 FLA, 60 Hi SW /SD /VS33 - I/3 HP shaded pole w /thermal I SW /SD /VS50 -1/2 HP shaded pole w /thermal overload overload 1550 RPM 1550 RPM I SD/VS33 = 12" (304.6 mm) _ SD /VS50 — 12" (304.8 mm) SW33 = 18 "(457 mm) D !i;akai SW50 = 18" (457 mm) a SW = Wide-angle floor switch :: v SW = Wide -angle float (manual available) SO = Diaphragm pressure switch i (mama( available) SO = Diaphragm pressure switches VS = Vertical float switdc ��- VS = Vertical float switch Cast iron and engineered thermoplastic Cast iron and engineered thermoplastic Thermoplastic vortex Thermoplastic two vane semiopen 1 -1/2" NPT (38.1 mint 1 -1/2" NP108.1 mm) 3/8' U mm T ( ) � i 3,4 (12.8 mm) r:. 10' , S1TW,(20' optional) 10' , S1TW,(20' optional) • Carbon /Ceramic mechanical seal • Carbon /Ceramic mechanical seal • Oil-filled motor w n o or /automatic reset � Oil-filled motor w automatic reset Thermal overload 4 w/ automatic overload • Uses single row bail bearing construction • Uses single row ball bearing construction • Piggyback plug available for easy maintenance and • Piggyback plug available for easy re placeme nt i p maintenance and replacement 9 30 — — 40 I I s; 3U SD , SW33, S33 SW/SD/VS50 a t— 20 —r a , 3 ° 10 - -- — 10 __4 0 0 0 Capacity-U.S. G.P.M.0 1 0 20 30 40 SO 10 20 30 40 50 60 10. k Liters /Second 0 1 2 3 GPM p"jCk Swig A `h ri fr •t "' i Ju4 20 06 09:37a James Krueger 715 - 772 -4435 p.6 9 0 1 7 'Sao FG.G4 x 1 � U G t7 Z 4 P $ 3 1 KATHLEEN it. YALSH RESTSrrER OF DEED ST. CROIX Cf), , wi DOCUMENT NO, WARRA DEED RSCEIVIl D F OR R9cc)nD 06 /03/2.1005 12 : 08PN WARRANTY DEED EIVOT • This peed, made bis"en David A. Ball and Kimberly A. Ball, husb3nd REc F EL" : 0.00 and wife and Dennis F. Ball and Nancy A. 8011, husband and wifo. TRANS FCC: 71aS. 40 ant Gar or,,. ,arid Gerald J. Smith, o married person, C +rOnlvi;. COPY FEE: WITNES`SETH, That the s3i0 Grantorrt, for a valueule c:onsideratlori p�OFCC; 2 convey to Grantee Me following described roil estate In St. Croix County, Stale of Wisconsin:: RETURN TO. Parcel 1; The East Half of the East Half of the Soutliwost Quarter Luberp Law Office 359 West Main Street Ellsworth „W( 64011 /SW/.) 01 Section Twenty Eight (28), Township Thirty (30) North, PID 0026- 10ti2.40 -000 Flange Eighteen (18) Wcst, Town of Richmond. St. Croix County. 028- 1092.70 -100 Wisconsin. EXCEPT Lot One (1) of Certified Survey Map filed April 026-1002- 24. 1990, in Vol. 8 of C.S.M., pg. 21 99, as Doc. No. 467643, Being 0213- 1083.10.000 part of the Southwe ,t Quarter of the Soulheast Ouwrier (SW%/SEY.) and part of the Southeast Quarter or the Southwest Quorlur (SEIA/SWIK), both In $action Twenty Eight (28), Township Thirty (:t0) North, Range Eight"M (19) Wert. farces 2: The West Hal(gpf the Southeast Quarter (WY: ISE %) of Section Twenty Eight (?a), Township Thirty (30) North, RanpA Eighteen (1E) West. Town of Richmond, St. CrotX County, Wisconsin. EXCEPT the following described parcels: 1. Lot One (1) of Certified Survey Map filed Ap 24. 1090 In Vol. R Cif C.S.M„ pg. 2199, as Doc. No. 457043, being part of the Southwest Quartor of the Southeast Quarter (SW lJEF - /4) and part Of the 30uthcas1 Quarter of the, S Quarter (SE' /.lSw %), both In Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West; 2. Lot Orte (1) of Certified Survey MAP riled August 13, 1981. in Vol- 4 ul C.S.M., pg. 1093. as Doc. No. 372738, boing p9ri of the $outhwast Quarter of the Southeast Quarter (SW V./SCIA) or Section Twenty Fight (25), Township Thirty (30) North, Range Eighteen (10) West; 3. Commencing at the 5outhwaast corner of Lot One (1) of COrtir;ed Survey Mup filed August is. 1081, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, for the point of beginning: thence N89'59'15 Wes( 20.00 feet: thenco NO'01 East 262.00 feet; thence 609'59'15" East 224.00 feet, thenah SO'01'41 • West 15.00 feet; thence N89'6715" West 20:1.00 feet; thence 30 West 242.00 feet to [tie point of beginning; 4. Commencing at the Northeast cernar of Inc Northwest Ourrter of the Southeast Quarter (NW /./SF - %) of said Section 28; thence South 16 feet; thence Northwesterly 10 a point 10 feet West of the point of begitlrting, thence East to aw point of beginning. This iu not homestead property. Together with all and singular the hureditaments and appurtenances thereunto botongtng; And grantors warrantg that the true is flood, indolt asible In few Simple and free'and clAcar of encumbrances except easements, restrictions, covenants and condldons and will warrant and defend the 33MA. JU•1 20 06 08:38a James Krueger 715 -772 - 443 5 P•r ll 281 532 Detqd this 15th day of May, 2005. (SEAL) ' SEAL) David A Bell Kintb T _ (SEAL) ' - !; (SEAL.) Den nis F. 16a11 N icy A. Flair AUTHENTICATION ACKNOWLEDGMENT Signature {g} STATE OF MINNESOTA } authenticated tllis;�{ 1'Iry of COUNTY OF 2QQ Personally came tMore me this 15th day of May, 2005 the above named David A. Bail Kimberly A. Bull and Dennis F. 0,411 and TITLE: MEMI3ER STATE BAR OF W 18CONSIN Nancy A. Ball to me known to he Ole persons (If not, w who executed the foregoing instrument an auurorize by 6706.06, Wit,, Slam.) iacknoVAod a the same. THIS INSTRUMENT WAS DRAFTED BY _ LOt3ERG t ; g W OFF Notary Public •• Cokr+ty,MN My _ R L. Loborn_ _ Commission is permanent. O mW%alurw mw fie .owa,imma of *C*jvQ a Pd. Flom •r* coI,,.w=&,m (it not, slate expiration date: jb ! SSTt042 M:11 W MEWOM Mmow — ON ' wssrla �. y WOsM�rr�wayrr��e7.a)!r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer L ra� S ` , Mailing Address Property Address (� d<� I (Verification required from Planning & Zoning Department for new construction.) City /�State 7(( �r� , (N� Parcel Identification Number Da Co - l; c 7 4 / LEGAL DESCRIPTION Property Location 1 /4 , 1 /4 , Sec. , T N R W, Town of Subdivisio 1,� ,,,._ �,�� �� f e- Lot # � Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiabl yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Num a of bedro s ` f /U SIGN OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) co v C4 0 Oa ,J N , C Vii 3 N h" ' 3 ° ' .J °� z N 03'01 11 E ZI � 345.43 � • Q C 000 +�.. yr � r ( N 1 I o N-) 155. 3 " / \ 1 "W N ` I 1 "(-3 y �� NO3 "E 1 ,•42,79 1 r3 In v � 3 • � y `: • 1 .4z o 3 z 1 O o i t aZ g N00 "W 461.17' .c ° d • Line o the Southwest 1/4 v y o —0 o ` N00'06'24 "W 476.94' N Z • cp O \ � O I cn 426.82 N05.49' 44 "W N 00 O N ^ N W W of -� 4438 W POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner �' Septic Tank Capacity /004 1 ❑ NA Septic Tank Manufacturer ❑ NA Permit # PARAM ETERS Effluent Filter Manufacturer Z.v,��� ❑ NA DESIGN Effluent Filter Mode ❑ NA Number of Bedrooms 100 droom 3 ❑ NA Pum p Tank Capacity Goo ga l ❑ NA Number of Commercial Units — NA Pum Tank Manufacturer E �6,Y -4w [3 NA Estimated flow (average)* .300 aUda Pum Manufacturer ❑ NA Design flow (peak), estimated x 1.5* yso aUda Pump Model S 33 ❑ NA Soil Application Rate 7 al /da ft Pretreatment Unit A Influent/Effluent Quality (NA❑) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD5) C3 Disinfection [I Other: <_ 220 mg/L � Total Suspended Solids (TSS) Manufacturer: Model: _< 250 m Dispersal Cell (s) Pretreated Effluent Quality ❑ Monthly Average * ** ;VIn- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BOD5) < 30 mg/L I ❑ At -grade [] Mound Total Suspended Solids (TSS) :5 30 mg/L 0 Dri -line ❑ Other: Fecal Coliform (geometric mean) — Laying Len <10 cfu/100ml JVLeaclung Chamber Manufacturer /,✓fi4rui'at Model r .� S Maximum Effluent Particle Size 1/8 inch diameter � Y g Chambe ea —�-- *Wastewater Flow Verification and Calculations: Soil Application Rate�gpd/ft Area Req. Gf W (Other than bedroom based) Infiltrative Surface/Cliamber -ESIA Rating fe Minimum Number of Chambers .2 [3 Aggregate Design Flow/Loading Rate= ft min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual' (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption. System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD — 10570 —P (8.6/99) "At -Grade Component Manual Using Pressure Distribution VSBD — 10567 -P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD — 10705 —P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" SBD - 10572 —P (8.6/99) "Mound Component Manual" ❑ SBD - 10691 —P (N.01 101) "Mound Component Manual' Version 2.0 ❑ SBD - 10595 —P (R.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 —P (8.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 —P (R 6/99) "Pressure Distribution Component Manual" ❑ SB D - 10706 —P N.01 /01 ) "Pressure Distribution Component Manual" Version 2.0 ( ❑ Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT I MAINTENANCE MONITORING SCHEDULE i Service Event Service Frequenc Ins ect condition of tank(s) At least once eve ❑ months 3 ear(s) (Maximum 3 yrs.) Pum out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months year(s) (Maximum 3 yrs.) At least once every [I ear(s) Clean effluent fitter rY /Y . NA Inspect pump, um controls & alarm At least once ere ❑ months 3 ear(s) ❑ Flush laterals and pressure test At least once every ❑ months ❑ ear(s) DT NA Valves At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ ear(s) ❑ NA Page__of__7 START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that ` may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your,POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever ossib p le. Note: this does not include laundry waste, showers dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of.snowover the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: A Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). X Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one - third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment sue has pumps, alarms an p p, d floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of. In- Ground Gravity Component Dispersal Cells . The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory . Pondin Y p g y authority. gat depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Psige_,� of 7 I START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your.POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be ed disc h ar to the round surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. g g ce This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of.snowover the dispersal unit may cause it to freeze up. p Valves . Valves shall be operated in the following manner: N Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). 'Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third 1/3 or more of the one-third ( 1/3) tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR 113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary t more frequent intervals than stated in the maintenance schedule to keep the system operating. ry Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page__4� of 7 ❑ Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Thep Y pressure distribution system is provided with an opening at die end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all taid:s and pits shall be rcn•.oved and propciiy disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant repl c ent system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. T!!!!!l����`` The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. « WARNING >> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAI ER Name lv f cAo ' r"e /7P- -3y /Z Name 4 El l Ls.�r.��✓� Phone /S ! d - Q 4'ic Phone ) /..s e S- SEPTAGE SERVICING OPERATOR (Pumper) aj LOCAL REGULATORY AUTHORITY Name A enc -f .✓ Phone Phone y /S' KAWPDATATIRPOWTS OWNER'S MANUAL.doC Page_Lof-7— N' i Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel'" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self - cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lod particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter" alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: 'Servicing any zabel filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the ST septic tank. , ,;�� a ►,t r �r:v, r li; 1 Firmly pull the filter hadndee _<< P and sllde the cartridgA pUtN; Remove the tank :'V �5 of the cos t; and pump the t f` *N ote: A tee handle mayl necessary to pr . ,tt1 to be used it the lifter Is ttr(ri y any solid o -- below ground level to escaping to th Contact Zabel for info when the fi F handles rem _ SI D While holding the cart(iid¢d p 5 ` the access openjnq 4�f: n or r Insert the f114er.a}ffJdgb cartridge with fresh !i t� r� ' back In tha' rtiAN careful to rinse all ` y sure the fill b an prop erl . *Note: It is not neces completely i spot less'. The Mama i a;des in the pretreatme I be left on the hller. (It n ! V, may be disass i1 Replace tf MADE W USA The product(s) shown are covered by one or more of the following patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683;577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; Now Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 -5742 - Website http: / /www.zabel.com L 0999•VU9•SIL'HJ 7.t1fl4S IM'uiMp!135g - 7# olmg 15 LI!CW 091 '�9U ©� io�roeu d H uF� 1Vr ,.lHawwq;liNfn•1. ?11w rvl�wiUl�'jki ti fa o fl i O "T �6p w , r a 7 g L in I i� q u� n. A Y Pill U �I ll I 1 8 , I 1 11 i , r y 1 1I I I 11 1 I I III I I" 1 I I 1 1 J I I I 11 a o 1 1 1 9 ®00 4I 1 I o00 l IRS f I I 1 1 7 I i I �!! !; it I j I I I 1 1 r f I l 1 1 r� � o 0 Z�d SEbb- ZLL - STL ja9anjN sawer eGE:60 90 02 inr I y �J5'789 S It 'Xd O )9 ll_ -Fld b - illdS d 4 ZOOM IM'LlImPleU - U AMS IS WVY OOL Lb It �f r �p� 7YI�NaWrvV llkpfl rA1fI+Ni N'rftw.lVI1N3QIg9y t 1:�f0lJJ _ 6 i S u r- _ C, M J U lu Z 9 — am F yg01 L 0 Q , 111 �1 OL: 4 1 ' tti i I + h ; u .n n 4Y ;r °". +FC z •. -.w- u 4 - D Y C1 Q b t i L s. A t ! s Lu 7 � � 7 � lax , is i E'd SEbb- zGG -SIL ja9anjA saver eLe;Go 90 Oz inr j ° C99S p89 U - X-1 Mg bt]<J 'Hd F u ZOObS IM'UJmPIYB Z// aur1S •I, I1112V4 09L r, v lvl:) K; WP lo o tHI)n . A nswa- tinw. JVJ N:Iajs:lu �39t�D� iaarow m ti ii � 3 Gwaiem Y = n r N '. W(IllnO o z a n 0, '1 � 7 Z tiwiw � oan z �iim 4 GI E 'r. z R y 15 y 0; i � AA Q zz ::3 VJ l7 U- , Y .......... ................... ..... ...............i XA _ { Q -: i - � w � � N � a _ i ..... .... .... L b :� u� .• ....... ............. ' I 4 r ... .. .... ........... .......... �- 1 I d SE44- ALL -STG jaZan.rN sower eLEc60 90 02 inr I Parcel #: 026- 1294 -35 -000 08/02/2006 09:22 AM PAGE 1 OF 1 Alt. Parcel #: 28.30.18.1517 026 - TOWN OF RICHMOND Current 'X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/10/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - RICHMOND ACRES LLC RICHMOND ACRES LLC 11160 190TH AVE NW ELK RIVER MN 55330 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description * 1148 132ND AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.110 Plat: 10/086- RICHMOND ACRES LOTS 3-49 026/05 SEC 28 T30N R1 8W PTS NW SE & SW SE Block/Condo Bldg: LOT 035 RICHMOND ACRES LOT 35 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 30N -18W NW SE 28- 30N -18W SW SE i Notes: Parcel History: Date Doc # Vol /Page `Type 11/10/2005 811739 10/086 PLAT 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.110 29,300 0 29,300 NO 02 Totals for 2006: General Property 2.110 29,300 0 29,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0 c o:e ' ° 2 � 2 ■ � @ � � i 0 m/ 0 o #@ O o , ! 7 a < ° @ g w ) _ [ , , ; E § / P § \ £ ; Q 0) } Q S OD o Q ; % ƒ ® lb 1 @ § 8 2 n _ - I¥ e 7 co °` E \ { i o w o ■ E , ; J $ { ■ ° @ > » ■ ° � f > / � CL c E ` o c >: g @ 0 (D _ ` z k k � k k £ C c ■ : ( T a T 0 \ ■ �. 7 0 0 0 = r " 2 § § ° C,3 / CA CO) \ ° ( 0 \\ k� 0 \ \ > CL M \ 2 � ® 2 z % > k ( \ ee �. CD . �� k} _= em w C 5 >2 g2 w■ o b _ I m , § § ■ E { / E # 9 2 ¥ 00 § 00 8 CL A / k 00 0 m 7 D ± 2 c 7 0 % } ( m 7 � > � $ I � � ■ � ~ k ! � � 0 & � � f o � 8 E