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HomeMy WebLinkAbout026-1101-80-200 scons�n Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix O O 5afety and Building Division INSPECTION REPORT Sanitary Permit No: 515030 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: Rivard, Janet I Richmond, Town of 026- 1101 -80 -200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 16(_j 1 05T 36.30.18.557A20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER . N CAPACITY STATION BS HI FS ELEV. 3. Septic � Benchmark ( t 2 '7 S /02 • /L7 a Dosing (��.v10 O 1I'✓ 7 , � M 6b34L — Z •`6 GecaAiem Bldg. Se er r-jr I T -7 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO IK n P.1L WELL 4LDG. Vent to Air Intake Dt Inlet J Septic 102 �3 3 6 3 L) 2 Y I Dt Bottom �3 9 �� •�' Dosing 1 6 Z ' 3 0 / 3 �' 24 Header /Man. Aeration Dist. Pipe J 3.7 2- 166 .6-�& Holding Bot. System q , q . 32 , �S Final Grade Q PUMP /SIPHON INFORMATION L 3 Manufacturer / (J , Demand St Cover GPM Q Z -- Z • �oI Model Number / TDH 1 Lift Friction Loss System Head TD I ' r + : ._ Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width l Length No. Of Trench s PIT DIMENSIONS No. Of Pit Inside Dia_ liquid Dom_ DIMENSIONS 1 , t3 1 Z SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: 1 INFORMATION CHAMBER OR Type O stem: Zt li , UNIT Model Number: /' a r1 DISTRIBUTION SYSTEM}/ I Header /Manifoyr� I x Air Intake Distribution f / 7 Hole Size x Hole Spacing Venytp 4 I Pipe(s) ' !}' Lengt Dia i Length r / Dia Spacing ✓ ✓��, SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of x xx Muich j Bed /Trench Center Yz_ Bed/ Trench Edges �- Topsoil ` V,. v Yes � No Yes 0 No COMMENTS: (Include code disc repencies, persons present, etc.) Inspection #1: Z. / Z / 0 o Inspection #2: (D / Z / S Location: 1409 130th Av R WI 54017 (NW 1/4 NW 1/436 T,30N R1 8W) NA Lot 2 � � Parcel No: 36.30.1 IA20 i ,.! ..�,.a�^" .,.. t -,.. �:- .�a,....- ";:� +. ;.........- [ _ ;,i.- ;.,,� .+ • �, i - Q N 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = a -•.�. `: 4 , >�_ r � apt. *- � ; *: �+� d - - --, Plan revision R f Yes No - — y -- +f f - /1 '- — — Use other side for additional information. 1 — -- J SBD -6710 (R.3/97) Date Insepcto s Signa)d're Cert. No. i 1 r 1 � , . Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 . Madison, WI 53707 -7162 Sanitary erm it um bee (filled in by Co.) State Transaction (J Number CJ Sanitary Permit Application //1 09 In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application formes for state -owned POWTS ace Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary # mo I /�� � / /10 e — purM in accordance with the Privacy Law, s. 15. 1 m , Stats. i'(r� /� I. Application Information - Please 'nt AI rmation Parcel # Pro wrier N me / 021 - 11 6 1 - 8 0 - � Pro Owner's Mailing Address Property Location � � � � � ' /�Ci 43 d �'�'� ,t. Let y ity, State Zip Code Phone Number /�, Lt/ ' /., Section J �o r— (circle one ZZ 2" �� / 7 T N R_Eorw H. Type of Building (check all that apply) # Subdivision Name ❑ 1 or 2 Family Dwelling - Number of Bedroo Block # ❑ Public/Commercial - Describe Use ❑ City of CSM Number lv3b5 t 2 J ❑ Village ` ❑State - Describe Use T J ! Town of f �� 7r 5.3 ) for Z5 I4 J 315 II. Type of Permit: (Check only one box on line A. Complete line B if appl' e) A ' ❑ New System A System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New / Before Expiration Owner IV. T e of POWTS S tem/Com onent/Device: Check all that a ❑ Non - Pressurized In- Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil 4KMouad < 24 in. of suitable soil ❑ Holding Tank 11 Other Dispersal Component (explain) ❑ Pretreatment Device (explain) H ti V. Dis aVTrea t Area Information: Design Flow (r Design Soil Application Dispersal Area Requi SO Dispersal Area (4) system E levation 36 �V 3pU D 300 /a Co b VI. Tank In Capacity in Total # of Manufacturer 8 Gallons Gallons Units A w I U g g� New Tanks Existing Tanks LL � a U y m rA LU 0 P. t or Holding Tank Dosing Chamber lOw (o6U VII. Responsibility Statement - 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached phas. Plumber's Name (Print) is i MP/MPRS Number I Business Phone Number Vkt) 22/ ir-AP' 6625 Plumber's Address (Street, City, easo n for Denial R State, Zip Code) 3sZ Ivor s I Anv -t aA Y&0 l VIII. oun /De artment Use Onl Approved El ❑ =Z= t Signature IX. ConditiQ{+►ppeasons for Disapproval 1. Septic tank, e(flu nt filter and dispersal cell must all be servlces / maintained as per management plan provided by plumber. n / 2. AN aei'baokrequilMnents must be maintained o e system sad submit to The County only oa paper not 8 ra 11 Ines to size SBD -6398 (R. 01/07) Valid thru 01/09 I� ..n. •- �.. ;� t. :,;110. � +YY`n;t ;,_ . ti to �• � + I I I•.: i r f I �►9 li{ II I I xl 1 —1 _; �'� "1 jf , t rr +f i tl y i � a . P t'•rT�' ; `k�s , ti1 '.r::: ° �i'x ::: '•'LRt. ' .1r.yV `. r • :i aLi �� 2 i:� �%1f •i : �.��1 ���,- y � ' t Y .• f � � � is �. � �.. r' f •�•.I' . '.� •�• - -- *- w IL J R5 I I 99 ..40-_ { kill- Ph Tt 170 N Vp I i ,._ ...� f :' I fs ' 1 'r'c� � ' •.. ,. -;•: � �: ... �; `7� ti I _� .•.iii ".1 . �'•'�,'� ,'L)e �'' �'�::h: �.'r.:. '�}jj::"X:. '•j•. ; ., ---j '"- -�'__. ;'. . ':,rs ,' '�"1 • }�:r':;x.•,' is .:: ��+ i Safety and Buildings ` • A 3824 N CREEKSIDE LA commerce.Wi.gov HOLMEN WI 54636 Contact Through Relay i scons i n w wvcommerce.vvi.gov /sb/ vwvw.wisconsin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary November 14, 2008 CUST ID No. 221471 ATTN.• POWTS Inspector DENNIS J GILLE ZONING OFFICE GILLE TRUCKING & EXCAVATING, INC. ST CROIX COUNTY SPIA 352 140TH ST 1101 CARMICHAEL RD AMERY WI 54001 -2840 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 11/14/2010 Transaction ID No. 1609049 SITE: Site ID No. 744403 Janet Rivard Please refer to both identification numbers, 130TH Avenue above, in all correspondence with the agenc Town of Richmond St Croix County NW1 /4, NW1 /4, S36, T30N, R18W FOR: Description: Two Bedroom Mound System / 3% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1208722 Maintenance required; Replacement system; 300 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2. 0, SBD- 10706 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders r • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • 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. Stats. • 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 area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A covy of the approved plans, specifications and this letter shall be on -site during construction andk Q4VV.T•S. inspection by authorized representatives of the Department which may include local inspector . nn It loyla y APPROVEL.; DEPARTMENT OF COMMERCE DENNIS J GILLE Page 2 11/14/2008 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 rovide a co of this letter to the owner and an others who are responsible for the p copy Y p installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 ���� ' Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633' jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. � MOUND AND PRESSURE DISTRIBUTION COMPONENTPESIJG,N Residentia! Application INDEX AND TITLE PAGE Project Name: JANET RIVARD Owner's Name: JANET RIVARD Owner's Address: P O BOX 694 RIVER FALLS WI. 54022 715- 222 -4127 Legal Description: NW NW S 36T 30 N R 18 W Township: RICHMOND County: ST. CROIX Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications 3' P ro T f a t— Designer: DENNIS GILLE License Number: 221471 Date: 1 '1 /974P8 Phone Number: 715 - 268 -6637 Signature: � Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SOB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 7 U'"Olun -Uh SAFETYANu bwLojNGS SEE CGPR _ PONDEfaCE Mound and Pressure Distribution Component Design Desian Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 200.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 300.00 Design Flow (gpd) 3.00 Site Slope ( %) 99.10 Contour Line Elevation (ft) 31.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /fe) Distribution Cell Information 56.251 Dispersal Cell Length Along Contour (ft) = 5.34 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fl?) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest int in the distribution Y Pressure Disribution Information network? Fnfar Y nr N (c or e) c Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 736 fe /orifice 2.00 Forcemain Diameter (in) 130.00 Forcemain Length (ft) Does the forcemain drain back? Y 91.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 21.21 Forcemain Drainback (gal) `- 8.35 Vertical Lift (ft) 50.29 5x Void Volume (gal) 2.54 Friction Loss (ft) 71.50 Minimum Dose Volume (gal) j_ 15.44 15.44 Total Dynamic Head (ft) 30.16 System Demand (gpm) f Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 627.00 Total Tank Capacity (gal) 1000.001 eptic Tank Capacity (gal) 1 42.001 Total Working Liquid Depth (in) HUFFCUTT CONCR Manufacturer 1 14.93 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 627.001 Dose Tank Capacity (gal) JZabel Filter Manufacturer 14.931 Dose Tank Volume (gal /in) IA100 Filter Model Number HUFFCUTT CON CR Manufacturer Project: JANET RIVARD Page 2 of 7 Mound Plan View T ..... ...................... .. . ...... J 1 /10 B :::::::: ::: :::::::: : : :..... rvat ... on .. Pipe ..... 3 Obsei K — r ti ; •..�.�. ;: L. 5 A W ::�'::: ::::::: ..:....:.......... .::;. : :;::::• I.. .. B -; t :. 3 :::....... ............................... .. ...... :...... D..... L Mound Component Dimensions Down slop toe extension made. A 5.34 ft E 7.92 in H 1.00 ft K 7.12 ft B 56.25 ft F 9.50 in z 7.99 ft L 70.48 ft D 6.00 in G 0.50 ft J 4.93 ft W 18.26 ft 300.38 (ft) Dispersal Cell Area 1 750.00 (ft) Basal Area Available 5.33 (gpd /ft) Linear Loading Rate 1 5.63 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.39 (ft) ► G * H j I ....................... F Dispersal Cell' 100.10 (ft) Lateral 99.60 (ft)—► — Invert Dispersal Cell .. 1 Elevation E D ...- 4 4 99.10 (ft) Contour Elevation 3.0 %Site Slope Geotextile Fabric Cover Shading Key $. �— Dispersal Cell See lateral details on 1� Topsoil Cap 1.5 ft ....,;;..;. ;�;..;..;..;..;..;•;:_.;;;..::_ ;:�:•; Page 4 for number, size, g ,: : � ::;: :: and g Subsoil Cap c � � � s pacing of laterals. ASTM C33 Sand t F Laterals are equally �] Tilled Layer m 0.5 ft Typical Lateral spaced from the 5Q •� : 5 distribution centerline i n Aggregate the ••••':: ::r :�.: :::: ::�:ti.. ��•::•.•...::�:•::: �:�•::�:::c:: n the — A distribution cell (AxB). Project: JANET RIVARD Page 3 of 7 Center Connection Lateral Layout Daigram Force main connection via tee or cross to maniFoki at any point. Laterals are kkmtic al i P s L k •= Turn -up Ydball valve or IE- X —�IEfr W2 +l Laterals & Force main of PVC Sch 40 oleanoutplu9 per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.03 ft Lateral Length (P) 27.41 ft Orifices per Lateral 14 Lateral Spacing (S) 2.67 ft Orifice Density 5.36 fe /orifice Lateral Flow Rate 7.54 gpm Manifold Length 2.67 ft System Flow Rate 30.16 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.44 ft Forcemain Velocity 3.08 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —► Disconnect Comm 16.28 WAC 4 in. min. _ Tank component is properly vented 4 Altemate outlet location Forcemain diameter HUFFCUTT CONCRE Manufacturer _� 2 in. Ca aci 627.00 Gallons Volume 14.93 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 26.21 391.27 B 2.00 29.86 C Pump off elevation (ft) C 4.79 71.50 91.75 D 9.00 134.37 D Total 1 42.001 627.00 F D� ose tank elevation (ft) 3" Bedding un er tank. 91.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number DVL Pump Manufacturer IZOELLER Pump Model Number N140 Pump Must Deliver 30.16 gpm at F 15.44 ft TDH Project: JANET RIVARD Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name DENNIS GILLE Phone 268 -6637 POWTS Regulator's Name ST.CROIX CTY Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 300.375 fl Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Freauencv Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundi Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JANET RIVARD Page 5 of 7 • ' Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg /L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component falls to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: JANET RIVARD Page 6 of 7 TOTAL DYNAMIC HEADJFLOW lb M PERU in PUMP PERFORMANCE CURVE PER MINUTE MODEL 14014140 EFFLUENTAND DEWATERING - 2,a asala � /6a +a MODEL 1 140/4140 w Fed Maters OaL Leers o c 32921 +, 5 1.5 88 326 ` 4� 10 3.0 60 303 15 4.6 73 276 0 IZ /o � 20 6.1 66 250 190, 4140 25 7A 59 223 + In n 1A I1 T 3 ' 3(I 9.1 49 w, 35 1 10.7 1 38 144 1 2a 40 122 28 106 45 13.7 17 64 25 Ut09/0 Snut -3R Head; 5011./15.2m ._.,....:... _M.,.,.,,. 121327 16 4 1C 1621 2 SK1324A 5 a 10 20 7 40 SO 60 70 6o io GALLONS t 11TERS 0 W 160 240 320 FLOW PER MINUTE - 279 I— ewc CONSULT FACTORY FOR SPECIAL APPLICATIONS 38W • Electrical alternators, for duplex systems, are available and supplied with an + J_ alarm. • Mechanical attemators, for duplex systems, are available with or without „n - n1aNR alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. • Variable level control switches are available for controlling single phase sys- tems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Refer to FM0806 for applications above 1307 (54 °C). 4303 —I 9Ki6tA9 SELECTION GUIDE 14014140 MODELS Control Selection 1. For automatic use single piggyback variable level float switch or Model Model Volts -Ph Mode Amps Simplex Duplex double piggyback variable level float switch. Refer to FM0477. p p p 2. See FM1228 for correct model of simplex control panel. N140 N4140 115 1 Non 120 1 or 2 3 3. See FM0712 for correct model of duplex control panel. E t 40 E4140 230 1 Non 6.0 t or 2 3 BN140 BN4140 115 1 Auto 12.0 A CAI to All Inatalk,tien of Canttota, proQal9dw dank as and WWN shoWd be dons by a W1alMed 13E140 BE4140 230 1 Auto 6.0 • Geenaed aleMelan. AN elmWcal and satin codes should be followed fnclodlim the most recant National Efectrlo Code (NEC) and In Occupsdonal Safety gad Health Act (OSHA). 'Single piggyback switch included. RESERVE POWERED DESIGN — _ For unusual c a reserve safety factor is engineered into the design of every Zoe pump. AWL T0: P..Q BOX 16347 Laalbl�e, KY 4" 0317 ' p sh % .7 49 cane rasa Rose bbrwlaclursrs or.. wwwzaerrer.4:om XM PUMP t0.' ' 4 s °N' P s. /9.99" -- - _ r,t n44W4 0 Copyright 2005 Zoeller Co. All rights reserved. `_ — -- - -� - -- - — - • 10/21/2008 10:36 7152487839 SUPERIOR AUTOMOTIVE PAGE 01 -^ Wlsconsir Department of Commerce SOIL EVALUATION REPORT page , of Division olSaloryard 8utidrngs in accordanca with Comm $5. WIS. AM Code County ` Attach campfe(e site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must Include, but not limited to: vertical and horizontal reference point (9M), direction and Pal 1.0, percent dope, scalo ordimenslons, north arrow, and iccatfon and distance to nearest.road. Please punt all Inrormarlon. Reviewed by oate Persona! Informs tion you provide maybe used for secondary pvrposas (Prlvecy law, s,1 S.04 1 1) (m)), Properiy0vmer Property Location Govt. Lot N W 1/4 N (t14 S .11, T _' N K g e to w FrOpe+ty0v�te sMaifingAddress Lot N Block f! I Subd. Name or CSM§ M a 1l► t, e;w'f COQ I I I City late Zip Code Phone Number CRy Village ,Town Nearest Road R Ampr � � , -rh e 0 New ConsWCtioh Use: R§- Residential 1 Number of bedrooms — Code derived design flow rate � �'IS � GPO %Replacement 0 Public or commercial - Describe; Parent materiel �,Q���$ L7 a tf`', �� Flood Plaln e,evatian if applicable _ h, General corrjmmnls vL�a�"� 0.. �.' 7S' ~ 3,aua MGur 5e - +e and recomms �•(,b' n61.1Qns: J (, �3bQ61�roow,g> Cbv,5490n 99.10' c. o+��o.�c> ET ❑ Borin g P pit Ground sciiace etev. I ft. Depth to limiting factor y 4_ In, Soil ioalion Rate Horizon Coplh Dominant Color Redax Description Texturo Structure Consistence Boundary Roots GPD lP in. Munson 1 Qu. Sz, Cont. Color I Gr. Sz. Sh. •Ef!N1 'Eff#2 1 - I) YR 5; ads h - , S - 7,5 , fp.YA I ds C w I I v F I Y 1.7 I "} Boririg Y �� Boring Pit Ground surface elev. _ ft. Depth to limiting laefor t!_ In. Sail Application Rate_ Horizon Da 3th Dominant Color Radox Description Taxturo Structuro Consistence Boundary is GPD /ff In. Munsell I Sz, Conl. Color Gr, St. Sh. EftA1 'Efrn2 1 125 — ' 11 A 3 ); I 1 .51 L. 5hk & 5 k P l a , g Y 5 b L 1 0 —per I I I I I r �J ' Effuent tit = 500,> 30:5 220 mg/L and TSS >30 i 150 mg/L Eftlu #2 = 80 0 1 , 5 3 0 mgil_ and TSS 1 30 mgrL CST7alne (please Print Signature CST Number Address a -Ti, Date Evaluation Conducted Telephone Number > —1 - 7-14 S -a - 1 3 ss • 10/21/2008 10:36 7152487839 SUPERIOR AUTOMOTIVE PAGE 02 I � �y ` 4z T Al 1 :El I i I d I - , r - )} I � f , _ i Wisconsin Department of Commerce SOIL 7 UAT ION REPORT Page of —3 Division of Safety and Buildings in accordance with Comm dm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches Pian st Include, but not limited lo: vertical and horizontal reference point Bion a Parcel LD_ r �� x_ ,1 percent slope, scale ordimen5lons, north ow, to aces d !J v Please print lI In ormatlon. R Date Personal Information ou provide me be u ed I r seconds u� o s is. 5.04 (1) (m)). wYV ^ — /D ProperiyOwner P party Location qT — ` J s @ G (vt. Lot () (j 114 N wi /4 S N rt E (o W Property 0wnesMailingAddress NING OFFICE L #— Block Subd.Nam rCSM /}��3yS� I l i TT �l T City !T late Zip Code Phone Number ❑ city ❑ Village Town Nearest Roa R;1604 LOT I S Y 17 1 ( 15 )A- q 9,2A- M 3,, rh Ao, . ❑ New Construction Use: Residential /Number of bedrooms 0?-3 Code derived design flow rate D Q GIRD O Replacement ❑ Public or commercial - Describe: _ Parent material _.42-r.4,s C2 0 &-Y- 7n ��� Flood Plaln e!evalion if applicable ft. General comments c )) ((""��__ 1 ' and recommendations: � S-f oL_ r ''� 7S r � 5�� t�DW r. ` 0 V f •� G� a.-�" 7 � f,1? �; F3b2�rvow.5\ 1Cb* -5 994o F-11 Boring # Boring Pit Ground sL'rface elev. _ 9. �1 ft. Depth to limiting (actor 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. _ 'Ett#1 'Etf#2 I1 -a 1 10 YQ-Y ; L I F 1� c w r ,�13 Y Y/ L SE cw IvF 1 - 7 Boring# Boring � Depth t Ii D pit Ground surface elev. _ G ft. Depo miGng factor _1_ In. Soil Application Rate Horizon Depth Dominant Color Redox Description j re Structure Consistence Boundary Roots GPD /ff In. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. + *:Eff #1 'EM12 I -�o Tn-I 3 L > L r cw t 3 Y -- SL F"s o- A k v Ry Fi F 7 V ' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L Effluent 02 = SOD 5 30 mg& and TSS 5 30 mg/L CST ame (Please P*— +4- Signature + CST Number oA Dale Evaluation Conducted Telephone Number Address a 0 -r� s-t, $ o -I 11 Property Owner ( zG -4 Parcel 10 # _ Page _ of _ © Boring # BorinTg _ �� D Ef pit Grounu surface etay. � 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. . 'Etf #1 I 'Eff #2 A to 1A 3 , 61 a F6b iz Ask I a w t 1, g-3 7.5YRY t F.5J, K I A5 h 1 r 31• S �2Y � Y tR.� 5 L - � -- Eq Boring # ❑ Boring Pit Ground surface efev. _i9jD M. Depth to limiting factor _ .Z in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO /ff in. Munsell I Qu. Sz. Cont. Color Gr. Sz. Sh. I I 'Eff#1 'Eft#2 A aw a - 1 1o(0L- L It FS vo I lv 3 5Y ---- tt —__ n .. Pe 1 46 k IoF I t - J Y(�.V s �.. -- 111''1 "� r la F-1 Boring # Bo ❑ ring ❑ Pit Ground surface elay. _ ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff In. Munsell Cu. 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 alternate format, please contact the department at 608 - 266 -3151 or TTY 608.264.8777. SOD -WO (0..6/00) 10/21/2008 10:36 7152487839 SUPERIOR AUTOMOTIVE PAGE 03 Property C wnarS�C�G l i e Parcel ip a Boring a Boring — a Pa9e _ of „ 61 Pit Ground surface erov. 9 #019 it, Depth to liNfing factor _ �� fn, Horizon NO Dominant Color Red ox Oescrl qon Sod (cotton Rate In. Munseil P Texture Stnrclure Consistence Boundary Roola GPM Ou, Sz. Cont. Color Or. Sz. Sh, • 'Effpi i'(:ffa2 $.3 .SYR .— ...... S t— — "' •-- , L Bortrua A ❑ Boring �Q Pit Ground surface elev. _J i !! H. � Depth tOlimiiing latter htodzon Depth Dominant Color Redox Description Texture Strtrclure Soli f eaUOn Rate In Munselr Consistence Boundary Roots GPD#f Qu. Sz. Cont. Color Gr. Sz. Sh, _ tip S Qw M., ° y SY w S L Cw aF , t Boring k Boring LLL���111 ❑ p Ground surfeco elev. n• Depth to limiting rector in, Horizon Depta Dominant Color Redox Desert tion Soil A lication Ftala P Texture Structure In - Muns Consistence Boundary Roots GPol" stl Qu. S2. Cont. Color tic Sz. Sh, 'Ef i 'Ef#2 f ' J:fliueni �t = 800 > 30 < 220 mg/L and TSS >30 150 mgt. Erfluenl #2 = 000 < 30 mg/L and TSS < 30 mg/L The Vcpartrnen: 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. Soo•u;o;A,uooi _ I - T ju ; 4 I - - - -- I I♦ I I � � I I LL jo 1 _ -- - _ - - - - i � J U I I k y ° 0 I y , - I i 0 0 id i 1 ; i I - I 14 4D� i i r i i ' i , _ I I i I ! I i I I T � I i ; ; I � i I . i 6�3t��93 O THIS INSTRUMENT DRAFTED SY WILLIAM KANE JOB NO. 00 -77 DATE: 8/14/2000 (D REVISED: 9/21/2000 m m O Z cn Lit - J 2 Z o END $t Croix Gu.. I � � a 0 a do o m Y - - - - - -- -- o i m o �7�C751] L.1fl Q]GI]UYn10O eeI ee n �OG:ICfi] wmAYW T6 n ON I I p .L8'Zb M E 693.80o00N 99 to soe .00'ee O -40 00 I E XISTING 0m VE O p C 1 n Z Z m T m O > D [C I m 0 T H� ST, n O -T-1 2 F---1 m DRIVE Z O G m ' i Z I `� I o I� q z tj � �, C � _ EXISTING � _ FR) i} �� � II / ,,a j 52 ( -0- DRIVE \ 100 i� � V 25 t0 N p cq m IO I 00 C O —� I ce O � g �� �dN` n n �' o �1N �_) � ° z �clm f71 L7i / � �.s I W J� ■ G O B / t8'vSa .00T I� Z Y _ L8'L8Z 3-7,9- 80o00S 9 9 2 mm m m s 0 p O a E v g a �Q 1�� Q� da� I� T T M m r- T m Z [n b I rni m O D� 8 <� m m Z Z m ( °c '� O ? z m Z °� o °� In C) BEARINGS ARE REFERENCED TO THE ,z n C Z NORTH LINE OF THE NW1 /4 OF SECTION O 36, ASSUMED TO BEAR N89 °43'29 "E 8 Vol.14 Page 3958 l llllll lilll l!l!i lull lilll !l #!l llll llilil ilii 1! #i * 8 8 3 8 4 8 1 STATE BAR OF WISCONSIN FORM 1 - 2000 883 H. KATHLEEN N. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, trade between Susan M. Brown n/k/a Susan M. RECEIVED FOR RECORD Holland,vi 1) fS Grantor, and Janet D. Rivard, t1 51 11/05/2008 10 :30M Grantee. jI — � WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT I described real estate in St. Croix County, State of Wisconsin (the REC FEE: 11.00 "Property TRANS FEE: 375.00 PAGES: 1 Lot 2 of Certified Survey Map filed September 27, 2000, in Vol. 14 of C.S.M., pg. 3958, as Doc. No. 630593, located in part of the NW' /. of the NW' /, of Section 36, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Recording Area Name and Return Address: St. Croix County Abstract and Title Co., Inc. 219 S. Knowles Ave. New Richmond, W154017 SST6692 Together with all appurtenant rights, title and interests. Parcel Identification Number (PIN) 026 - 110180 -200 This _ homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants, and conditions of record. Dated this day of November, 2008 P� * Susan M. Bro ixWa Susan Holland by Stacey Dille] Power of Attorney s * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY St. Croix ) ss. authenticated this Personally came before me this day of November, 2008 the above named Susan M. Brown n/k/a Susan M. * Holland by Stacey Dilley Power of Attorney to me known to TITLE: MEMBER STATE BAR OF WISCONSIN be the person(s) who executed the foregoing instrument and (If not, ackno a the same,. authorized by § 706.06, Wis. Stats.) j �( / } j am THIS INSTRUMENT WAS DRAFTED BY rnen Notatp� 'licAtState of isconsm Robert L. LobEg c �lldly com�i . tpermane t. (If not, state expiration date: Loberg Law Office . : 00 (Signatures may be authenticated or acknowledged. Both are not necessary.) r S� ) *Names of persons signing in any capacity must be typed or printed below their signat4o t . L C WARRANTY DEED STATE BAR OFI1VO FORM No. 1 -2000 1 of 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address J 9 0 9 130 ( re from Planning Department for new construction) City /State w` / Parcel Identific0on Number J.F.f Ai.1)F.C(UIrPTIAN r Q / Property Location A ' /a, �' /a, Seca( T - N -k K -w, Town of Subdivision Lot # Certified Survey Map # Volume Page # Warranty Deed # Volume Page # Spec house 1 3 yes Ed no CVCTFM MAINTF.NANC E 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. The property owner agrees to submit to St. Croix 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 Zoning Office within 30 days o the three year expiration date. SI ATURE OF APPLICANT DATE QWNF.R VFRTMjCAT1QN I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. O NATUIF OF APPLICANT DATE * * ** ** Any information that is mis -represented may result in the sanitary permit being revoked by the Zoning Department.****** * * Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 11/18/2008 10:23 6517302820 CITYOFOAKDALE PAGE 01/01 I , x'09 /300 53 L � I I i i I i I i I I , 30' c Parcel #: 026- 1101 -90 -000 12/02/2008 02:41 PM PAGE 1 OF 1 Alt. Parcel #: 36.30.18.557B 026 - TOWN OF RICHMOND Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10130/2008 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BROWN, PAUL J & SUSAN M PAUL J & SUSAN M BROWN Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1409 130TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.400 Plat: N/A -NOT AVAILABLE SEC 36 T30N R18W .4A IN NW NW COM 732.2' Block/Condo Bldg: W OF NE COR NW NW TH W 115.6';TH S 150.6'; TH E 115.6';TH N TO POB Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) EZ -U- 1216/413 NKA PT CSM 14/3958 36- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 890/284 07/23/1997 572/586 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/06/2000 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 130 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 J Page 1 of 1 Dennis Gille /Shelly From: Jan Rivard <jdnvard2004@hotmai{.com > To: <gille @amerytel.net> Sent: Tuesday, November 18, 2008 10:44 AM Subject: layout of house I tried calling but couldn't get through..? I faxed the layout of the house. I'm not sure about the house or room dimensions. I think it's 24X36; about 864 sq feet. Thanks, Jan Access your email online and on the go with Windows Live Hotmail. Sign up _today 11/18/2008 ~� Panel #: 026- 1101 -80 -200 10/28/2008 03:55 PM PAGE 1 OF 1 Alt. Parcel #: 36.30.18.557A -20 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HOLLAND, SUSAN M SUSAN M HOLLAND 1112 HIGHPOINT CT NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1409 130TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 5.503 Plat: 3958 -CSM 14 -3958 SEC 36 T30N R18W PT NW NW BEING CSM Block/Condo Bldg: LOT 2 14/3958 LOT 2 5.503AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 12/11/2000 635022 1566/117 QC 09/27/2000 630593 14/3958 CSM 07/23/1997 831/269 07/23/1997 828/21 more 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 09/09/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.503 66,000 88,000 154,000 NO 05 Totals for 2008: General Property 5.503 66,000 88,000 154,000 Woodland 0.000 0 0 Totals for 2007: General Property 5.503 55,400 78,900 134,300 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 547 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00