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HomeMy WebLinkAbout030-2021-30-000 31 ' b°0 Z�. JAS L ' :C) ` Your Multi-Flo Unit Has Been serviced. On Unit Condition *Good 0 Needs Attention Needs Pumping Comments: �r, ..G Thank You, R.E. Palmen Inc. Septic Services 651.: . 6444469: 0 v,o',I9 Mc, O y C d 0 d CD d (D \ 1 0 _ 5T o ° a n ! ° ° w C • ? CD M M 3 O C 0 w O. L N 0" tA l A a €D Z to a 0 Cfl .z to N° 1 ca oD O O W m w CA 0 3 A °(D �CD -4 O O m C tD C7 N I v '° A7 N W cn 3 O� _ N O 00 r�r 7 N O I fA i O `7. (D G CL (D r, N W a \ C cn 00 C O 0 CD _ N N CJ N CD _ O O � •� 0 U7 O Oo OD a N O G N N y rr 6 7 (� O O O �• w 0 Ch v r 3 - CD N d m r � Q 0 m m o c °z Dco p 0 ci r — -n U 0 --j a tr N v r a ! r O cn :3 O CJ 0 p 3 O O �1 • CD y cc��•• OD o C 0 N C O - C O � S ? y C � CD CDD (D r 47 -0 m `< 0 3 o A Z 1 95. 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Liquor sample Chet Alarm System 4 �G 8 �$ O Turn Off fbu.r inspe t Eff uerf O 9 A B O a inspect Effluent quality .S Vacuum Weir and Filters ✓ � / \ � O Mash Filters xwsprct/Reolaeo Top Gasket I-spect/Raplace Souse w Inspect alarm Sensors 7 d p s Ins Peat Aerator ^ l'r � O Turn f ter an Jc v/ CORRECTIONS RECO&INIENDED: REPLACED FILTERS p REPLACE EXPANDERS A COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP S.O.D. D.O. D.O. C.O.O. FECAL COLIFORMS SETTLEABLE SOLIDS 9i O SUSPENDED SOLIDS LICENSE NUMBER SICiNAT ICE OR REPAIRMAN S CR , :: PLANNING & ZONING FAx MEMO DATE Fb nn e Code A - 4 6 8 trati 715- 38 FAX NUMBER: 1 6 -4680 Land Information 39 8 Planning FROM: 715 - 386 -4674 FAX NUMBER 715 - 386 -4686 Real Pro, 715- -4677 PHONE NUMBER: 7/5. 39(. - R cling 386 -4675 NUMBER OF PAGES, INCLUDING COVER SHEET: 2 RE: cc, � t o J ( 1 re (� 1 C S /Kq , �A.�- ,e q r�CQ_ Z c� c y C.`. po r ) , �e o 4 - TL: :5 U U 1 I 00 ' b e- w ,'✓ Al C, I) e l) G o ✓ ,+f r1 CA - U r ea� ,ne - � e� t r U are ✓` V F fe orb- - ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD HUDSON, W/ 54016 715386 4686FAX PZ @CO.SAINT- CROIX.WI.US WWW.CO SAINT- CROIX.WI US Ryan Yarrington From: Jansky, Leroy G - COMMERCE [Leroy.Jansky @Wisconsin.gov] Sent: Monday, January 04, 2010 12:40 PM To: Ryan Yarrington Subject: RE: Multi Flo http: // commerce. wi. gov /php /sb- ppalopp /manuf _ result.php / 1495 /CONSOLIDATED_TREATMENT_SYSTEMS You need to look under Consolidated Treatment Systems. Lfetime maintenance 2 times a year is required for Multi -Flo systems. Leroy G. Jansky, CPSS POWTS Wastewater Specialist Wisconsin Dept. of Commerce Safety and Buildings Division 13 E. Spruce Street Suite 106 Chippewa Falls, WI 54729 (715) 726 -2544 - Office (715) 726 -2549 - Fax (715) 828 -5902 - Cell From: Ryan Yarrington [ryany @CO.Saint- Croix.WI.US] Sent: Monday, January 04, 2010 11:38 To: Jansky, Leroy G - COMMERCE Subject: Multi Flo Leroy I can't find Multi Flo on the current product approval list. Do you know if that product requires semiannual maintenance for the life of the system? Thanks Ryan 1 Palmen Excavating .:.. R E. Palmen, Inc. Brad J. Lein "►�,,� Excavating, Sewer, Water 155 East Acker St. Snow Removal, Landscaping St. Pau I, MN 5511 FES , u 2 010 Demo 651 - 644 -4469 sr d �c� 651 - 644 -1388 fa Patin„ OFF��, l 12 7L FAX To: Ryan Yarrington From: Brad Fax: 1- 715- 386-4666 Pages: 2 Phonez Date: February 16, 2010 Sub)eat: 229 Cedar Drive west multiflo ❑Urgent ® For Review 13 Please Comment O Please Reply ❑ Please Recycle e We are faxing the attached documents to you. You will r+ecelve 2 pages including this cover letter. if there are any discrepancies please call us Immediately. Please call us If you have any questions or concerns. Thank yowl T - d XUJ 13rM3SUI dH WU66 :TT OT02 LT qa3 155 EAST ACKER STREET ST. PAUL„ lUNNEMA 55117 PLL= (651) "4 - 4469 RR E Pmmw, INg FAx (651) 644 - 1388 . r � ■ WW11t CON Excavating, Septic, Sewer, Water GENERAL INFORMATION OWN ^^ 14 cr12er RESIDENT ADDR SS -:.2q Cedar on il ea jr- COUNTY C�POiX DATE F INSPECTION Z46�� d PHONE ? UNIT INFORMATION TANK O. TYPE OF TANK NO.OF MOTORS - { SER NUMBER CHECK LIST 2 Q � 2 I ten► r. n A Take it Liquor sample O� O O 3 Cheek lama System Turn 0 Power ` R inse Bowl O O Inspec Eff luent Quality B Vacuum it and Filters / ` 5 Mss f ten Q / n eplace Top Casket Replace Bottom ^ /+ / n o $arm Sensors % ' O ®© a Inipea Aerator ® O Turn r On CO C ONS RECOMMENDED! REPLACED FILTERS 0 REPLACE EXPANDERS # COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. day FECAL COLIFORMS . SETT EASLC SOLIDS 96 16 SUSPENDED SOLIDS IGNATU F S REPAIRMAN LICENSE NUMBER VVHITE /HOMh Dept. YELI.OMONIft File PINK/Melaternance 2-Cl Xd3 13rN3SUI dH Wd6E :TT OTOZ LT qa3 � . n■ ■�0 f o F § « T - � \ i Q! § 0 oƒ/ 0 « \[ 3 i E g d_ k© 9 - \ \ (D E ƒ } ` � \ k K to co k % § �]$ƒ g m n / o§ k 3 g� 0 a © ° — % Ei CD / / � Cl) CL m l e� CD /a 0 CL ^ §\ § ° U) / / \ § E s . 1 $� , _ z 0 0 0 �- \ 0 ) 1 20 } ) 3 T—, j §k 77 � ` V Im to [ z \ °Ef / 3 0 o B f e ƒ i Z e 8 @ . ¥ m > m a § S _ �_� = m m 2 § 7< E � m CD � w k CD x CL z %/§ I ■ z m \ @ § ® § ; ■ & a # §$ 0 % ■ M 2 0 A z o § 7 2 \ f = = cn a) > ]#11S§q$ CD (n ,CK) P, § _,= = =' «E Lt CD I \ %02-5 z R ���� Ro � @ E RR CD w.' cD # Ee m ,M CL w \ / / / / = =�2 X C $ . � E'a o = ��[&� ƒ E§ = \ \= k §OM CD i o� 3, # =o& { � / § }� § g � = r § § �8 ■ 0 » ON ' : � I - r, ' 4'r _ C RD� x c OUNTY 22 1 (eac_, io ,0 PLANNING ZONING 4" ri 6 January 2, 2008 Jim Harper4M6.--i-,� 4 V ,) r <� Or Current Property Owner 229 Cedar Drive W Hudson, WI 54016 I'lt�U� RE: Pretreatment System Service and Inspection Requirement (- Administration Dear Dror)orty r),,incw: 715- 386 -4680 Land Information This property's Private On -site Wastewater Treatment System ( POWTS) includes a Planning pretreatment component that must be inspected at intervals specified in its service contract. 715- 386 -4674 St. Croix County Sanitary Ordinance 12.7 and WI DComm 83.52 (1) state owner responsibilities for maintenance and inspection of POWTS that require evaluation and Real Property monitoring at intervals of less than 12 months. The sanitary permit issued for installation of 715 386 - 4677 this POWTS required that an ATU Service Agreement be recorded on the deed for this property. If ownership has changed, this must be corrected. Recycling 715 -386 -4675 Based on our records the pretreatment unit on this property is due for an inspection and maintenance service. Inspection and maintenance reporting for a pretreatment unit is separate from the routine pumping /inspection required for the septic tank. The certified septic tank pumper and the POWTS maintainer that inspect your system are required to submit reports to St. Croix County so that routine maintenance completed on residents' septic systems can be documented. Please return this form to St. Croix County Planning & Zoning office along with a copy of the pretreatment inspection form completed by the licensed POWTS maintainer to avoid enforcement actions. Please be advised that fines and /or forfeitures of not less than $100.00 and more than $500.00 per day everyday can be issued if the required service is not completed in a timely manner. If you have any questions about what is required feel free to contact me at 715 - 386 -4680. Sincerely, )4 � Ryan Yar#gton Zoning Technician Pretreatment Component inspection and maintenance service date: 0 j TC1-, 08 POWTS maintainer Name and license cumber: :1 a (m A_,_ G POWTS Inspection Service Contract provider name: R L Palk., -Tic- Address: 155 4c k'er 51- C, Phone: 6 51- 6 - y yd 9 Service Contract date and duration: _ 5 MGPc� 7 1 S7:CROIX COUNTYGoVcRNMENT CENTER 1 10 1 CARMlCHAEL Roan. HUDSON. VVi 54016 715 - 386-4686 r X Oct 30 2008 1:22PM HP LRSERJET FRx P. i th Wf Authorized Distributor F R. E. Paim�e Inc. � , 4 or 155 East Acker St /�'` St. Paul, MN :55117 AERATION EQ Ph: 651 - 644 -4469 SALES & SERVICE GENERAL INFORMATION OWNER 11s� RESIDENT ADDRESS, �"°-� ecru -r �n, :,.t w CQUNTY " DATE OF INSPECTION PHONE UNIT INFORMATION TANKNO. l TYPEOFTANIf NO.OFMOTORS / SER.NUMBER a CHECK LIST Jtan ism Spem Need Attn• O Take Mired Liquor sample Q C7+eCk Alarm+ S Turn Off power O Rinse Surge 6a+1 Inspect Effluent Quality � 5 A I B O® Vacuum Weir and F iA ters O V 5 O Wash Filters © /\ 1 Q O * Replace Top Gasket C ep 1 ace Bottom ns:: lae Sensors Aspect A Turn Pa-,er On CORRECTIONS RECOMMENDED: REPLACED FILTERS if REPLACE EXPANDERS p COMMENTS TIE STING INFORMATION P H IN FIELD TESTS TESTS IN LABORATORY D. O. TEMP B.O,D. D. C-O D, D•O, SF.TTLEA BLE SOLIDS % _ FECAL COLIFORMS — SUSPENDED SOLIDS SIGyATURE OF ICE OR REPAIRM /lN LICENSE NUMBER Oct 30 2008 1:22PM HP LRSERJET FAX P. Palmen Excavating R E. Palmen, Inc. Brad J. Lein Excavating, Sewer, Water 155 East Acker St. Snow Removal, Landscaping St -Paul, MN 55117 Demo 651- 644 -4469 651 -644 -1388 fax FAX Te= St. Croix County Planning & Zoning From: Brad Lein Faxm 1- 715 - 3864686 p a90G , ; 2 Phone: Dates 1 arms SubJeeb Multi Flo Septic Sl lrvice Reports ❑Urgent ® For RoWew 13 Please Comment O Please Reply 13 Plonse Recycle e We are faxing the attached documents to you. You will receive _-2— pages Including this cover letter. It there are miny discrepancies please call us Immediately. "ere am Multi Flo Septic ServMre Reports for the following: Jim Harper 229 Cedar Drive W Thank yowl I Parcel #: 030 - 2021 -30 -000 09/25/2006 08:28 AM PAGE 1 OF 1 Alt. Parcel M 1.29.20.427D 030 - TOWN OF SAINT JOSEPH Current XJ 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 JAMES H C & ROBERTA C HARPER O - HARPER, JAMES H C & ROBERTA C 229 CEDAR DR W HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 229 CEDAR DR W SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.600 Plat: N/A -NOT AVAILABLE SEC 1 T29N R20W PT GL 3 COM CEN SEC 1, Block/Condo Bldg: TH W 773.1 FT TO POB: TH W 605.05 FT TO HIWATER LK, S 20DEG E ON MEANDER LN Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 214.04 FT, E 529.54 FT, N 200 FT TO POB 01- 29N -20W Notes: Parcel History: Date Doc # Vol /Page Type 07/31/2003 733039 2340/229 WD 1067/622 LC 499/532 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.600 432,600 395,100 827,700 NO Totals for 2006: General Property 2.600 432,600 395,100 827,700 Woodland 0.000 0 0 Totals for 2005: General Property 2.600 432,600 395,100 827,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 211 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Kevin Grabau From: Kevin Grabau Sent: Tuesday, March 21, 2006 3:03 PM To: 'rpalmen @aol.com' Subject: St. Croix County Zoning Hello Mr. Ron Palmen, I spoke with you in 2003 about servicing the Multi -Flo unit owned by Jim Harper, in the town of St. Joseph, St. Croix County Wisconsin. The address for this property is 229 Cedar Drive West, Hudson, Wisconsin. You' had sent us a Maintenance /Service report in March 2003. We have not received any reports since then. Are you still servicing this unit? I need to follow up on this file. If you are still servicing this unit, could you please send or fax a copy of the report for our records? If you are not still servicing this unit, could you please email me back so I may contact the owner for the new service maintainer? Thank you, and have a great day! Fax: 715.386.4686 1'�eUin S. C�r Zoning Specialist 5t. Croix Count3 Planning b Zoning 1 101 Carmichael Ki. Hudson, W1 54016 715.386.468o 6 ving@co.saint- croix.wi.us 1 Rpr 19 2006 8:24RM R E Palmen, Inc. 651 - 644 -1388 P. 155 East Acker St. St. Paul, MN 55117 Phone: 651 -644 -4469 Fax: 651 - 644 -1388 F APIX I To: / From: Fax: r JiS - .3.3 (v ° -,I& 8 (o D Phone: Pages: J CC: Urgent For Review ❑ Please Comment Please Reply ❑ Please Recycle Comments: 1 12 030 - OW 1- 30 - ono C �z Apr 19 2006 8:24AM R E Palmen, Inc. 651 - 644 -1388 p.2 R. E. Palmen Inc Authorized 0 ror 155 East Acker St A ERATI ON EOUPPWIVT St. Paul, MN 55117 SALES & SERVICE Ph: 651 - 644 -4469 GENERAL INFORMATION . OWNER J'-!, k+r Pi)e r RESIDENT ADDRESS 1 GPaPr,- IDPiVe COUNTY 5t- Cro: r DATE OF INSPECTION • I 0 R op S PHONE UNIT INFORMATION TANKNO. TYPEOFTANK NO.OFMOTORS 1 SER.NUMBER - 000 0 CHECK LIST Itam Done Per. Soeas Need Attn• 2 O O 2 Take Mixed Liquor swot. O�O O� Check Alarm System � ® (9) 3 Turn Off Paver � ® � ®® O Rinse Surge Bawl V� 9 inspect Effluent Quality � !� � ^ O V O Vacuum Weir and Filters Wash Filters ^ ns eplace Top Gasket ns-, eplace Bottom Inspect alarm Sensors T 7 ® O s inspect Aerator Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS t1 lve'd zvo - : - oPooi alms ti' REPLACE EXPANDERS # COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP _ B.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS SETTLEABLE SOLIDS % /O 0 7 0 SUSPENDED SOLIDS LICENSE NUMBER SIGN UR OF SERVICE O EPAIRMAN WFtiTE /Health Dept YELLOW 18111ing Fite PINK /Maintenance ... . __. ..,:! ...,, � „t ,., `;: ....v i. %adds ..ft.. �: s, r. SS &Ystl:�S�. ::r^,'9�'s�3.c1:! 7(},.. .: ,..di . .>.: i tn. „tiKin.T :a?a!s4nssi' e'.4. t... Apr 19 2006 8:25AM R E Palmen, Inc. 651 - 644 -1388 p.5 Authorized Distri vor R. E. Palmen, Inc. ll`ldFl@ 155 East Acker St AERATION EQUIPMENT St. Paul MN 55117 SALES & SERVICE Ph: 651 -644 -4469 GENERAL INFORMATION OWNER RESIDENT ADDRESS _____- -- -- COUNTY -_ DATE OF INSPECTION 5 � � � O � PHONE _ -_- UNIT INFORMATION TANK NO. __, TYPE OF TANK - -_ - _ .NO.OF MOTORS _ SERI NUML*11!2 � CHECK LIST (' 1 tern ifnrs r_ M Imo' Trte MIYad Llm+ar sample 0(:3) Oweir Alarm Syetoe �' - -- -.-- -- C � C) Turn Orr Ammr ._.L % �/ ( 21 ) a t,** Surw. &C- I \/ lntTxft:t Frfluent Olaf 4ty (/ 0 4a +A C IItears / l - Speed /Rrrlam Top Oaa4at / 01 6 1n9pa�t ala-+n $snsare ✓✓ Inspect A.vrsfor - © O ® •� Turn f`e..t_r On COIZRI; -COMMENUCD: REPLACED FILTERS 11 REPLACE EXPANDERS N COMMENTS 1 V-q CL -- - TESTING INFORMATION ON FIELD TESTS TESTS IN LABORATORY mi d l TEMP— __ B.O.D. 0.0, _ - 0.0. C.O.D. _ FECAL COLIFORMS -- SE.TTL.EASL • SOL % SUSPENDED SOLIDS -- LICENSE NUMBER SIGNA URE C RE IAMAN WHREtHeallh Dept. YELLOWiswi N/ Fne PINKWallmlenance Rpr 19 2006 8:24AM R E Palmen, Inc. 651- 644 -1388 p -3 _ Authorize o1w I- or R. E. Palmen, Inc. -" �'I011lll�•I�i� 155 East Acker St AERA77 EOUIPMEN7" St. Paul, MN 55117 SALES & SERVICE Ph: 651- 644 -4469 GENERAL INFORMATION OW NER -? - -- 14ESIDENT a ADDRESS C J(�A.o.� q - w DOUNTY - - -- ___. � DATE OF INSPECTION 1 �' ' V� ` - PHONE UNIT INFORMATION TANK.NO._._ TYPEOFTANK - -- ._ NO.OFMOTORS SER.NUM8ER � CHECK LIST r� 1 _ b*m P.r_ Amm. JIM A«: 2 2 L2J ,r� N� x4e L +avar se-v1e �- �.. « �� Q � avck Alarn. 5;�at� � -• -- - —. O � C`J Qv�n Orr Pte. _Sl $ a Q4 nee Aw Surga F _ Irtanect f /fluent OkMI Its �� — O 05 / O� 05 Vacu-w We I r end 'F t I ters MFash F I 1 trra Inapnct/Rrp1nc% Top QalLat ,nnps+Ct /4.o,.ee eos� - .✓ C?� C� ®�O Iurn on CrOR r_CTIONS COMMCNDED= REPLACED FILTERS A I Jeccx 40 co-. -Jgc 1- Icsvv�.e ow_�.� RE PLACE EXPANDERS $ - COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY TEMP D.O. G.O.D. _ FECAL COLIFORMS SUSPENDED SOLIDS -- ETT .Ea1Bi S . - SO S [ C % LICENSE NUMBER - SIONATURE OF S1=AVEC OR RePkAUAN Wt4ITerNee11h Dept. YELLOWMINng FRe PIN141IWeIMenence Apr 19 2006 8:24AM R E Palmen, Inc. 651 - 644 -1388 p.4 IZI01 Authorized Distributor' For R. E. Palmen, Inc. !�l!,CTI l�LD x'522 Albany Ave. A ERA77ON EOUI SALES & SERVICE S't, Paul, Minnesota 55108 65.' -644 -4469 GENERAL INFORMATION OWNER f "� �� r i� PJ" RESIDENT ADDRESS c � ,r r U. ( J COUNTY ~� DATE OF INSPECTION I O ;10, PHONE UNIT INFORMATION TAWNO. TYPEOFTANK 7 S0 NO.OFMOTORS SEFI.NUM9ER_ e CHECK LIST E2w Need At a Teke t11..d ll�uo. saTvle U Q O Turn off pvs. 0 8 4 111nse Surge Bout 0, �O ]Aspect Erfluent Ow1It.7 . Vacuvr me 1 and F41ker., Nash Filters O lsspoat/tcplsoe Top casket I- immt /Qnplaa loktas ' / O f ns0eet a 1a.+e Sensor Tnspwt Aerator O O Turn rsp yr C ., 1 COIZRCCTIONS PZ- COMMENDL'D: REPLACED FILTERS q REPLACE EXPANDERS a COMMENTS TESTIN13 INFORMATION IN FIELD TESTS TESTS IN LAHORATOAY TEMP— B.O.O. C.O.O. D.O. SETTLI 18LL SOLIDS % CJ o� SUSPENDED SOLIDS C+ . SIpNg7 I; OF ICE OR REPAIRMAN LICENSE NUMBER __ 010'°IO —000 C zz MAR 200 01 A thori" R. E. Palrnen, Inc. li�flflTl�FLO�' 1522 Albany Ave .., . AERAT70N EQUIPMENT .� SALES St. Paul, Minnesota 55108 651-644 0 5 ;2093 4469 ST. CROIxCoin GENERAL INFORMATION ZONNGDFFIGE OWNER 2: Is ar qP f` RESIDENT ADDRESS a-� �Pdyr !71`vt t✓PS� {��iIS ✓L COUNTY DATE OF INSPECTION Dec 0 �. _ PHONE UNIT INFORMATION. TAWNO. TYPEOFTANK NO.OFMOTOAS SEA.NUMBER CHECK LIST O O �* Pe ; Need Attn: 1 1 T'lke Nixed Liquor &VVIO 3 x 0 O O 3 Ch.cti Ahrr System .X O 0✓ O ._,/ Turn Off poLsr �/ n Qlnse Surq. 80.w1 NA O ( O Inspect Effluent pialltr ✓ O 1� �O 0 O Wash end F11t F i lter s a -a © �� ©® Wash Fltara 1wa t/acplace Top QasLet O � lr apwo /a rpleo. lotto. • O 7 O ,- lerfe Sensors $ O 'Inspect orator . O O ® O Turn ►'wer On CORRECTIONS RECOMMENDED REPLACED FILTERS u REPLACE EXPANDERS # , COMMENTS TESTING INFORMATION IN PIELU TESTS TESTS IN LA130RATORY PFI TEMP , B.O.O. D.O. D.O. C.O.D. r FECAL COUFORMS SETTLEABLE SOLIDS % 0 ��� r SUSPENDED SOUOS SIONATURS OF SERVICE OR REPAIRMAN LICENSE NUMB � .� g � , -1 6 4 "fL� WHf le /Hosuh Dept, YELLOWIeilpng File pi /1Aa4+lenance (0) RECEIVED , 6-C uu-, APR 0 4 2003 ST. CROIX COUN Y ZONING OFFICE July 22 1974 Mr. Lee Richert J L Richert Plumbing and Heating , '34 Neal .' -rc: .south 41 ; � tr F '' 1 Afton, minnenota 5;001 eau �ja as ` Dear Mr. Richert: -�, Re: Site Plan ohn Landry Family residence on the St. Croi_:; River, ;:t. Croix County I: order for this office to tsk appropriate action on these plans, we require the followin; information: 1. two additional copies of the zite plan ^! 2, the size of the e:tisting septic tank 3. the function of the mixin box 4. three copies of the Plb b7 form (blank copies enclosed) :sincerely, fames A. Sargent Chief Donald K. Ki ny on Plan � A + ppr 7} o � vals JAS :VE :,:U , Enclosure cc: E. Berthold, DPS, Dist. #6, Eau Claire (� H. Barber, Z.A. August 5, 1974 DISTRICT # �;tirslorl .� �eaiiH Mr. Lee R ichert EAU CLAIRE Lee Richert Plumbing & Heating 64 Neal Avenue South Afton, Minnesota 55001 Dear Mr. Richert: Re: Multi -Flo Filter for: John Landry septic system Part of Government Lot 1, Sec. 1, T29 -30N, R20W Town of St. Joseph, Wisconsin - P&Ik- Ceuatg s z c,2 , c cc, . Permission is hereby granted by this office for the use of a Multi -Flo Filter - type FT - 1.0 to be used in conjunction with the private sewage disposal system at the above mentioned plan. This approval is experimental and shall be subject to periodic inspection by personnel of the Department of Health & Social Services and other state and local agencies for the purpose of obtaining pertinent data. Permission shall be granted for these personnel to inspect this system. Review of the plans and specifications for this system and permission to install such systems by the Department of Health & Social Services, Division of Health, a t, in-iw t 71. t •t. i t = � O$a ,:,0�, 1�lUlt.�li� L1 ^L'_:.� -:..4� _T1 y`Lie case o �?�'+ =1'.? �C:�iGC: or short d1:- "3t_t3Y: Of the system. This system shall be installed as shown on the a#proved plan. It appears that the septic tank soil absorption system are properly sized and installed. The sole purpose of the mixing box shall be to slow the flow of effluent to Multi -Flo Filter. Any deviation from the installation stipulations contained herein, or those shown on the plans shall be justification for the withdrawal of the approval. Sincerely, James A. Sargent k Chief �n E. Spang berg Plan Approvals JAS:JES:jm cc: E. Berthold, DPS, Dist. #6, Eau Claire v Ted Anderson, Z.A. John Landry MULTI =FLO OF WISCONSIN Authorized Distributor For Serving Michigan, Minnesota, and Wisconsin P.O. BOX 714�� JANESVILLE, WI. 53547 -0714 AERATION EQUIPMENT Telephone (608) 754 -6472 SALES & SERVICE GENERAL INFORMATION OWNER �G 2 iz�� RESIDENT /L — ADDRESS :2J q �L t L�/L �/� /`�/��M fit /� COUNTY � ` q DATE OF INSPECTION � � 7��1i� PHONE J' / - o Y3g UNIT INFORMATION TANK NO./ � � � TYPEOFTANK NO.OFMOTORS SER. NUMBER CHECK LIST Item Done Per. Specs. Need Attn: O O �x O O vk�-Check Alarm System Turn Off Power &.Lw�5 m FF O O Rinse Surge Bowl �/ 4 O Inspect Effluent Quality a O A I O Vacuum Weir %d- {-ttWrs B O 10 v v 6 / y 0 5 Wash Filters Q\ Iayset /Replace Top Gasket &1 C Lrpeet /Replace Bottom — I-6peet alarm Sensors �/.I06peet Aerator O O O rr Turn Power On CORRECTIONS RECOMMENDED:�� REPLACED FILTERS # 2.4 .N 67 /Z REPLACE EXPANDERS # COMMENTS TESTING NFORII/1ATiONp IN FIELD TESTS TESTS IN LABORATORY PH TEMP D.O. B.O.D. C.O.D. D.O. SF.TTLEAB SOLID a/o FECAL COLT S SUSPENDED SOL S SI URE OF SERVICE OR REPAIRMAN LICENSE NUMBER WHITE /Health Dept. YELLOW /Billin 9 File PINK /Maintenance RECEIVED MAY 2 5 1990 SAFETY & 8LDGS. DIV. • MULTI =FLO OF WISCONSIN Serving Michigan, Minnesota, and Wisconsin P.O. BOX 714 JANESVILLE, WI. 53547 -0714 Telephone (608) 754 -6472 MUL T I+ FLO SIMPLY THE BEST jx We inspected your MULTI +FLO SYSTEM TODAY PLEASE SEE RESULTS INS IDE COVER. ao - 20?1_ AS BUILT SANITARY - SYSTEM REPORT T N -R W OWNE f7� J A �9 TOWNSHI ��i�'h SEC. _ _ ADDRESS O 4 ST. CROIX COUNTY, WISCONSIN. ,6(ua S ow, , sVof(" SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 yFWTHING WITH j �EET OF SYSTEM rAT 1 Idiae o thArrow 1 ' I -}- L SC 4 BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: L Capacit /LOCO 6,091-40A.1 _'%l�L� /S�.E'S q P Y� Number of rings on cover : Z Tank manhole cover elevation: Tank Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set for a cycle gallons; total capacity of distribution lines gallon: size of pump head; gallon per minute ;-horsepower brand name of pump and model number Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number o pits eet T3ameter feet liquid depth seepage pit in eet pipe- elevation bottom of seepage pit evation feet. SEEPAGE BED SIZE: number of lines _ wi t f� , length tile depth SEEPAGE TRENCH: width length PERCOLATION RATE REQUIRED r2,0 AKER Ab BUILT X ' INSPECTOR DATED _ PLUMBER ON J B LICENSE NUMBER F DEPARTM ' ENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BQX 795.9 BUREAU OF PLUMBING MAdISON, 111 53707 19 CONVENTIONAL 1:1 ALTERNATIVE State Plan l.D.Number: 11f assigned) ❑ Holding Tank E] In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDS 01IC I ADDRESS OF PERMIT HOLDER: INSPECTION DATE. BENCH MARK (Permanent reference point) D RISE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: n Name of Plumber: j MP j MPRSW No.: County: Sanitary Permit Number: I SEPTI TAN OLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV. TANK OUTLET ELEV. WARNING LABEL LOCKING CO ER PROVIDED: PROV 5 ��0� ��.�9 �S AYES ONO E ❑NO BEDDING: VENT DIA.: VENT MATL: HIGH WAT ROAD: ROPERTY WEL 4 BUILDING: JVENTTOFRESH ALARM. ' a LINE: AIR INLET. ❑ ❑O P YES N ❑ �. DOSING CHAMBER: MANUFACTURER BE7 LIQUID CAPACIT P MP DE PUMP /SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑NO ❑Y ES ❑NO ❑YES ONO GALLONS PER CYCLE: uMP N ON RO LS OPERATIONAL PR UPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN f M, LINE AIR INLET: PUMP ON AND OFF) ES NO SOIL ABSORPTION SYSTEM. Check the soil is r at e d pth of plowing r LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wi , c ruction hall cease until the soil is dry enough to continue.) CONVENTIONAL SYSTEM: a �" WIDTH: LENGTH. I ND. OF DISTR_ PIPE SP CING: ) TRENCHES. L: :? DIM RAV L DE ' H FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPF. MATERIAL: •PROPERTY WELL. BUILDING: VENT TO FRESH BELOW PIP ABOVE COVER. ELEV, INLET EI�� LINE: AIR INLET: L MOUND SYSTEM: Mound site plowed perpendicular to slope Che/dy�s exture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mos t ake cert ain that it ON REVERSE SIDE. SHOW ELEVA- mee YES EINO h ' or m edium sand. TIONS MEASURED. ❑YES ❑NO / SOIL COVER. TEXTURE L El ANENT MARKERS: OBSERVATION WELLS YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH;BED DEPTH OVER TRENCH/ E EPTH OF PSO L SODDED SEEDED. MULCHED. CENTER EDGES. ❑YE ❑NO ❑YES ONO ❑YES El NO PRESSURIZED DISTRIBUTION SYSTEM WIDTH- LENGTH NO. OF LATERAL SPACING: GRAVEL DEP H B OW PF: FILL DEPTH ABOVE COVER. TRENCHES: 'a MANIFOLD PUMP MANIFOLD DISTR PIPE ANIFO LD AT RIAL. V ISTR . D . DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.: ELEV_ DIA. ELEV. ES. DIA_: HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. OVER MA RIAL: VERTICAL LIFT CORRESPONDS TO APPROVED ❑YES O PLANS. ❑YES El NO COMMENTS: PERMANENT MARKERS: OB ATION WELLS: PROPERTY WELL: BUILDING: LINE: DYES FIND El YES ❑NO Sketch System on Rexai my file for audit. Reverse Side. SIGNATURE. TITLE : DILHR SBD 6710 (R. 01/82) r�f DEPARTMENT OF APPLICATION SAFETY &BUILDINGS INDUSTRY , FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Pro erty wner O: Mailing Address: ,; I -AWAKy sy� ,cw AW. 17 1 UPs6k,) 4W sy44G operty Location: City, Village or Township: County: /V NO %§ I J.2-1 N/ R ZD E (or) Sy. Tosk Lj < 7 0e adIX Lot Numb lk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: er: B / 0114) �/� (If assigned) 1001. TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify) Bedrooms: 1 or 2 Family * State Approval Required. TOTAL NUMBER PREFAB POURED -IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY Al X HOLDING TANK CAPACITY A1,# LIFT PUMP TANK /SIPHON CHAMBER /} MANUFACTURER: QG& EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED Square feet): New ❑ Replacement ❑ Experimental 1 Seepage Bed ❑ Seepage Pit V7 0 �O XyCO ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): PQ Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Sign re: If MP /MPRSW No.: Phone Number: Plumber's Address: h � � Name of Designer: Z COUNTY /DEPARTMENT USE ONLY Si nature of Issuing Agent- Fee: O� Date: El APPROVED Sanitary Permit Number: C�_ ❑ DISAPPROVED Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White- County, Canary- Bureau of Plumbing, Pink - Owner, Goldenrod - Plumber DILHR -SBD -6398 (R.07/81) L DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABORIMD P.O. BOX 7969 HUMAN RELATIONS P TESTS 11 MADISON, WI 53707 (H63.09(1) & Chapter 145.045) LOCATION: S CTION: TOWNSHIP /MUNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: NW 1 / 1 / / / T 29 N/R 2 11 (or 57 ToSEp�y- / yN t�,4 -64 COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: 5 l , exoI x s Hw 1-,u pR .5°'Y3 / 41 / f Z /Z 2( .DAP. AM. 10W. wis .�016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: I COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence /I/ New ❑Replace /y 2 RATING: S= Site suitable for system U= Site unsuitable for sy em i r /,mq CONVENTIONAL: MOUND: IN- GRpUNDPRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) ®s au os u ®s ou os ®u as Z evaly7 wit � 1 s .,Fr. If Percolation Tests are NOT required DESIGN ATE: I If any portion of the tested area is in the /l,_.� under s.H63.09(5) (b), indicate: �" Floodplain, indicat Floodplain elevation: Pyo SQ.FT PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER - INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) �r B- z 12Y 103.3, B - AV toy, ya ` �— ->/0 c F j,LS U, SG . oR. GS 'ee , �O 5 ' s.2i!-13,0 C B -� 3�' r � aP s� S ��f tea. o•F. �1 B- - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERT D 2 P 3 PER INCH P- P- IA/ 600 10 W S Co &3 MA y p P__ -^ - 4 P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference poi and show their location on the plot plan. Show the surface eleva at all borings and the direction and percent /.% of land slope. Mm I &J A� Gar S 7 - L 3, o FT /3e % u— 1- war /s SYSTEM ELEVATION y l , cr. 29"%r US Pojv /E rr _ ti rr 1 0� i of r- v _ 4 t !. JC iEI IA�iON�o syT( v _ . LIE ,v;= Fr i E 96 1 1' 6, c 2 1 1, 11 4,0P PosNIA)g r1cess fi// ovE' /3�v o ,v 3 s'e�8�►GkS - I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ,C' 17 /J/DU. Z /1 ADDRESS: CERTIFICATION NUMBER: IPHONE NUMBER (optional): � L S 1 /D/ ✓� 02- 2-- IM CST SIGNATURE: DISTRIBUTION: Original and one copy to Lo"! Auth� -ity. Proper tv Owner and Soil Tester. rJll_HR SED -3395 tP 92/9' i f INSTRUCTIONS FOR COMPLETING FORM 115 - S D - 5395 To be a complete and accurate soil test, your report must inclUde-- 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; S. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; d. PLEASE use the ahbrevialions shown here for writing profile descriptions and completing he plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be USed it desired; 8� Make sure your benchmark and vertical elevation refa°rence point are clearly shown, and are permanent; 9. Complete all apptopriate boxes as to dates, narnes, addresses, flood plain data,.percolalion test oxernp- tion, it appropriate; 19. If the information (such as flood plain, elevation) does not apply, plac e N.A- in the appropriate box; 11. Sign the form and place your current address and your certification nrsraher; 12. Make legil)le copiCS and distribute as rerauirecf, ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. A BBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st Strm- toner 10") 3R - bedrock cob CobhIc (3 - 10 ") SS S l p dsterno gr - Gravel (ul der 3 ") LS — Linwsto!,c, Y s SaiId H GVV — High Cyr €ow krlialor cs — (,tj.ww Sand Pr:rc P. COiat , •r9 Rate - nied c — l dfur > I Sand VV t'.`�l1 f L t €.r. S.. =rtf a3h o t5arltizr ter <aE, han siindv LOOM Loam Lsl Cay — G a7 m- icl /,j 1, t!. "a a > €§ _. v e � ti, r, �C3rt ..�tE•rES ,,. , F. fit, ? c V tip Flo' TO THE OWNER: s sr ! t ere art is the, f iv t 6tor) in :.ecurinq <' �aitivir v pormit. The cz>or. "t °l o _no Dopartmont may request l :: (,(': of tNs Sol! t st ir` Ill" f ield ; io( 1 "' ) ;fit'. tr3. i�StE.€`1i:s,'. A i1=1 to :) €, aet of pur`l's fo, the p € voPll� Systenn and a t.2s'r3lliT : ;pphcatiotl milst €w St.dal mlell to the cf(� It) local authority In ordkYi to rnos 13 {' c) nd p ost ,l I ofirly r€ Eft % € "?ICt2L1n. N oT� Fr il (K PL B r 7 APP _ me PI..QT and CRO — _ 15ECT'ION PIAN.5 � � � X /fT /•✓ l3'LUFf - ` /3opE" 20 # New ( rfe- 001 7 V o �i3�,Pe a Y p/I+A,fEl� W zL !. a► 4OWe ,✓— ?Es r .4.fr t -4 Se ?Tie ?� W W oTP Co�"�� of ��TT �oNa ��1,v�i�rt�' , �Ayi �grJi�'E O r sad f J T OA) V.4crx /3 /vfics NaR w ;ll Ff �, .J , Za . of I � 5 SG pi y A110 � � T y ' f of f3 ` JtIA- Ne ' Pf- o Fresh Air Inlets And Observation Pipe �— Approved Vent Cap Minimum 12" Above Fina Gr ade Above Pipe 4" Cast Iron 2N `' To Final Grade Vent Pipe �1 � D � O Marsh Hay Or Synthetic Covering Min. 2 Aggregate Over Pip Distribution Tee Pipe :# 0 0 0 0 0 1S ` Aggregate 0 Perforated Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System cc ss , _ per- /aT -*/ n 4 V� ` tUEyl s I - i BOB ULBRICBT �1 ^E YEST1N0 CO. O'NEIC ROAD HUDSON, WIS. 54016 a/ U .2-