Loading...
HomeMy WebLinkAbout030-2113-30-000 (2) \ o I \ 7 2 0 j D 2 °J m 0 \ c � $ 7 \3 2 \u } »% I 5G // SESa ■ \)tea < 7 § ; + 5 } = k k m m< } k/ w k Q e z 2 Ia § 0Z5- % 0 0 \1 /� f /\- U) \ E / 2 \/ j\ §D \ / yao r U /e78g CL CL a/ 5 : 38 � o a < / . z z z § 0 o �\) i \ ~ cm 0 w I\ 0% ) f g a 3 a a ® \ - $ Cl) ) k z \ E 2 2 2 CD « 7 § -0 \ § \ \ \ z o n Q \ a Isee \_ j § � A cm �\ D a J z j k @ 2 '@ / 2 E / § 2 I/ S = / § £ � § _ _ /\ aƒ X ) E @ 2 A§ . ■ § 6 0 / % cq / 2 A ƒ ) w \ \ / \ m cO o z / \ k \ « « { Q> kaEl " •� a (P a § k 3 a k ,0 3 3 a c j o ti p i tj v, a > 0 . C o I - �c c p .o o �v yE mm 8 z ° 'X�� ° c m _o ad a� 02 o O f m m O& 0 01^ m a V C7 o C U 2 a p a 0 G + m fl E E c a cE 5oomt7 O am. a s a a� M om mcc tm c 'C Z c �5 c C ccc yaZ�e 1i c' m�dw - E� m 3 . ���c� v �Z�. 4 VJfg �� c MM 'O I I c 3 I Z y �y LU ; E o Z C r Z m M z 0 O z b' c I u Q 'p � m z v e U �' Z cn F- 4' CL z c a V c`n N QJ •'v d O .@ O p i I w z 41 � _ c N _ £ (D O C y d O c I L h t Cl) ]I V �3 az �000 Z E a a a y C 'a r r d o m m o m - _ QI Z In is o Cl) 0 0 0 3 i r) m e E a cm t m a -� m a CD P', N O ` of m y N N C L ^ • V Q O C p m U O O M fq C� M O Z 5 UT t1� .a a • 'at Q. rr 1��i E c c S c �1 A t �oaic°� Combination Sep,t�ic-' Tank and - PUMP CHAM6ER CROSS 5ECTI©M AMD SPECIF'ICATI0H1S VEI1T GAP WEATHEK PKOOf JuuCTIOU BOX . -i'C.I. VEhlT PlPC APPROVED LOCKIWG T0' FROM ROOK, MtifJIfOLE COVER PI-AV wR¢rJl>J4 Lt�8E1. �sP Tt,.C'S10tJ C' IPt; '.itNROW OR FRCSH S T ��rYtC�Tlatf•T' �+'sF � ALK,i>JTA}CE � - -_ __ t- PROVIDE " ItJt ET AIRTIGH 7 T SEAL. B arrFL� �� 1 � 1 � �•,,,/ APPROVED JOIUT zt't8� Ft� " I APPRO 1 {� W /C.TP PE�F"c W /C.I. PIPGCR Tak struction n con I 1 1 1 � ALARM shall comply with ILH1. ()3.15 and 33.20 I 1 OW C l PUMP OFF 0 CO►JCRETC � t QLOCK 3" APPR FI5CR EXIT PF- KfSIITED OIJL'd IF TAUK MAQUFACTURER HAS SUCH APPROVAL SEPTIC F SPECIFICATIO}JS DOSE Wl� �L ►JUMbER OF DOSES: PER E TAfJtC rhA1�1UFACTURCR.: _ . TAWK :IZE: GALLOkJS D05C VOLUME ALARM MAUUFACTURCR: 5 � ����� S � 3 IuGLUD117Ca OALKfLOW GALLON$ MODEL QUM6ER: � QL Hw CAPACITIES: A = � IUCHESOR � 7 4 LOJJ5 SWITCH TtIPE: $= Z IQCHES'OR �� - %+t LOU5 Pump MAI;JUFACTURCK: C; 6 v IUCHES OR _.tG -= k�ALLOUS MODEL UUMSER: L1 D- �ICHES OK %6Z1 / LL0MS , SWITCH TYPE: W I LC_f )JOTS: PU P1 P AMD A LARM ARE TO 6L MWIMUM DISCHARGE RATE G P,K INSTALLED OfJ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWECIJ PUMP OFF Au0..D15TR16UTI0►J PIPE.. i-ECT f t`tiwIALIM tJETWORK SUPPLE P / , . , FCET l' + FEET OF FORCE jIkJ X Ya 100 f t,FKICT 10A1 FACTOR-4W., FEET I by TOTAL CyQAMIC. HE:AC) .- FEET As per.manufacturer ( Z„ gal /1n. ME40 series 4/10 HP Effluent and brain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 p , 30 M 25 Z r—r 20 O `. 10 5 ry 2 0 J 0 10 20 30 40 50 60 70 80 90 110 CAPACITY GALLONS PER MINUTE F. E. Myers, A Pentair Company • i101 Myers Parkway, Ashland, Ohio 44805- 1` ;?�3 419/289-1144 FAX 419/289 -6658 Telex 98 -7443 K3320 7l91 _..�.._ .. r.�a. FrintrC� in USA A Wisconsin gepartment of Commerce PRIVATE SEWAGE SYSTEM Count Safiety' and Buildings Division INSPECTION REPORT §t. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanita�83962 o.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: ❑City ❑ Village Mown of: State Plan ID No.: Gross, Richard St. Joseph Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: (' l // �, 030- 2113 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic c e! P-- f 2_S'4 Benchmark r 1 fL:j Dosing - Alt. BM �2 Za S n Bldg. Sewer A, q S Hol S / Ht Inlet /f q TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Ventto ROAD Air Intake Septic >�a0� l NA Dt Bottom Dosing S Ir,a i Ls NA Header /Man. S• S �` n Dist. Pipe N.iu 4S TG•oS r z. z, 17 5-/S- Ing Bot. System L r PUMP/ SIPHON INFORMATION Final Grade n �� q9• sf 16 in Man rer mand Model Numbed (, G TDH Li ' Lrictio �l S stem TDH ,� �3 ead For main Length Dia. Z E To Well _ SOIL ABSORPTION SYSTEM 1p ¢a BED / DIME Width , Length N O fT Tr DI N N No. Of Pits Inside Dia. Liquid Depth (, 7. L Manu • xur r: SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM INFORMATION Type Of / C 7 H M ER Mo Number: System: �/ 3 ��/ �— DIS IBUTION SYSTEM I Bader Mani olEf . D Distribution Pipes x Hole Size x Hole Spacing Vent To Air Intake k be gth ia. Length � -} Dia. AM- Spacing G SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of � xx Seeded /Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No / C OMMENTS: (include code discrepancies, persons present, etc.) Location: 331 White Eagle Road, Somerset, WI 54025 (NE 1/4 NE 1/4 31 T30N R19W) - 313019930 White Eagle -Lot 13 - , o-� y) 1.) Alt BM Description - p 2.) Bldg sewer length - amount of cover = y2 it p w.rp Ckv u e 3)o� SLru�;pvAs vrs r sfallcrf �^S'6a,lf �C ©viG..YsIaoY..oTe�4� tvd �+ Plan revi on requl ed�?� Yes ❑ N 0)t/ -yt0 Use other side for additi al inf ation• - 1 (C SBD -6710 (R.3/97) Date 1 �y Inspector's Signature C No t ` <,) hr &A �vv,�@ e, 4 r, i. _ / ►�o,t c a�,,o l <7�� d 'i• ,,,,l 3 r l C� l� Safety & Buildings Division `�J L 201 W. Washington Ave. �! j anitary Permit Application Po sox 7302 scon'sin In accord with Comm 83.21, Vs. Adm. Code Madison, WI 53707 -7302 Department of commerce Personal information you provide may be used for secondary purposes (Submit completed fonr, to county if not [Privacy Law, s. 15.04(1)(m)] state own ed.) Attach complete plans (to the county copy onl for the t Mn 6n paper not less than 8 -1/2 x l I inches in size. County �� State Sanitary Permit Number ❑ CI c it` revision to previous'application State Plan I- D. Number I. Application Information - Please Print all Information Location: Property t o , ) r Nmne Property L 1/4 /)C 1 / ���ion 4, N, / ' 7 ' S, l!r!_ ,L (or Property Owner's Mailing Address Lot Number Block Number A City, State r '�M)one Number Subdivision Name of (ISM Number /'j — `Fo Zi ;� 00 t V ( Cz) ly �. II Type of Building: (check one) „ ❑ City — I or 2 Family Dwelling — No. of Bedrooms: 6 _1 ❑ village ❑ Public /Commercial (describe use):uwn of ❑ State -owned �� -5c / - III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Ro::d A) 1. `d New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax System Tank Only Existing System 0 I B) Permit Number Date Iss,ieu ❑ A Sanitary Permit was previously issued IV. Type of PCWT System: (Check all that apply) _Y ),Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Com ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip _ .ae ❑ At -grade ❑ Aerobic Tre meat Unit ❑ Recirculating ❑ Othe- V Drspersa _U ` l'r eat In nt A rea Infor mation: 3 A4 _ C4 . �y1,1 {-� _ 5 71o74/ � �qN /ds i 1. Design blow (gpd) Z DispersalArea 3. Dispersal Ara 4. Soil Application 5. Percolation Kate ystt eva:,�,, a' Gsedc l:ryiired posed � 2ate (Gals) 14Y/' It.) in. /inch) ��j 1 r VI 1`ank Cap city in T tal # of anufacturer Prefab Site Steel Fii�r;r- I Piastie Information Gallons Gallons Tanks Con- Con- gass New Existing �(� Crete structed h Tan�ks� Tanks OR ❑ ❑ L7 u r i VII Responsibility Statement 1, the undersigned, assume responsibility for inst allation of the WWTS shown on the attached plans. rpi'Al6er's um is Name (print) Plumber's nature (n n ): MP /Mi - WPNo. Pushtess Fhoe _ n _u,i �J eI Address (Street, C i State, Zip Code) "- VIII County /Department Use Only ❑ Disapproved Sanitary Permit Fee Includes Groundwater Date Issued agent Signture ;No s tamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination IX. Conditions of Approval /Reasons for Disapproval:�� �� � io ..�.� -r �at. Y� Ha- �ww�..�a. -� ✓� `�i.e �- �S�.icJ kit f tt/� a.Q-e ke p "Alt ,n r l csv 1-e � P � 1 A� . Ze5 . 7,6WI,� . 5 I & A SS" Permit No. weer' s name San. H63.05 PLOT PLAN Show: Location of building served Q Dosing chamber Septic tank 52 Vertical/horizontal reference � point �— QO System elevation is� - 0 /�✓� Building sewer ICZ1 Effluent system Well Replacement system area rZZ1 Property lines w /in 50' df system 1� J Distribution boxes Scale = , or dimensioned Pump and controls: Mfr. & Model No. Vertical Lift Size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal. .per Min._ Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot plan below: IK 4 00 10 cl ot ' f - � �L 3 PC 0636rvn fiYn �� 1 4 L 45-r i I II 1 WL�� �Ihl/r'!T N1Gri��i( t ( (; to A te- By the granting or app +vi of the above pl n or upon the event of a subsequent permit being issued, wee Bounty and the 'K t 04 County Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after 'nstalla 'o er Is gn ure icen e o. Date Rev. 3/ o ' .� U c c IJOAUI 2 cz c� i� �Xm� cz cz .. - o E M U r� C cn -- COQ X CQ Q O v tz- - C ca X C 7 N co N cLf U � � j -0 co E W ), cn 0 W O C tn� _o— N �' IN T U O *= C O ct5 : 8 FP_ Q > U (n O i O D U Cf) cz co ro U — X C +.�S� U C N ���'�� N i� ` f� N N q� t� C1 • • • • _ Tff � T - - + i �( QI d cc a ll- 1 N _ O - ----------------- UJ !; L O c 7. ~ W u i tl N - CL3 (LS o m w LL M 0 r V i i Wiscontin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 > Division of Safety and Buildings in accordance with Cam 8 Wis. 1A m.• Code r County Attach complete site plan on paper not less than 8 1/2 x I size, lan must include, but not limited to: vertical and horizontal referende paint (BtyA�difo nd Parcel I.D. percent slope, scale or dimensions, north arrow, and lo�tation and dicttrest ipad, b 3 — Zl 13 — 3p — UD U Please print all infor atton, s Reviewed by Date r f r ( Jr— / Personal information you provide may be used for seconds purposes Privacy law, 4 & 1 1 ) (m}). a Property Owner COiJ r erty Locatiog R, .S S ZONING 4&AfLo N,�i 1/4 MW 114 S 31 T I Q) N R E (or W Property Owner's Mailing Address Lot # Flock # Subd. Name or CSM# ti �zq 1 s T$ sr. sWnl City State Zip Code Phone Number ❑ City I] Village El Town Nearest Road F'tUN TAN 1 5300 (, New Construction Use: ® Residential / Number of bedrooms U Code derived design flow rate 0 (J GPD M Replacement ❑ Public or commercial - Describe: Parent material 0 S V Q U kJ R S Flood Plain elevation if applicable )Q A ft General comments and recommendations: i "'%71`V ••L 3 d1 L_(,S � 1� 3' Y- 6Z S ' LavG' WL` 10 v/v t7 Ot= l-" Std Ltjfta-� CNWt- fgc,�2� ❑ Boring # ❑ Boring 1 ® pit Ground surface elev. C, - 3 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell . Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 0 - t3 - s i 1 - L+a m 'Cl- LlA t • s . 43 Z 1� Z lb`t 316 - S;1 Z `�sb �Z m-F1- k-3 Ztn S bk ya `f�- e S - S - 8 L( o 0. 0 49 ►n - �- Z Boring # ❑ Boring Pit Ground surface elev. ft, Depth to limiting factor Q in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 b 9 o�tz t — si S z`F T- Z -t� 1OY231b sib Z'FS�4 ms- Cw — • S •� 3 �� -3 Z - S�(Z31 •�. i s 1,c -sbk. m U�t- e . -� t. Z 30--4 IS't2.31 � S gG�- o S � 1 . -� t. Z • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig lure CST Number Arthur L. Wegerer C) I — a 220254 Address Vi e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. 1-lain St. River Falls, WI 54022 L 4— '2 V_0 715 -425 -0165 Property Owner G tw S s Parcel ID # 0- SO Z 13' 30 - O 0 p Page �' of 3 N Boring # B ® it Ground surface elev. �� 1 • g ft. Depth to limiting factor � L 0 la in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 - !t,YlZ - SI CL-i >'F • S _ Z $ -2g 1 b `M 3I -� S i 1 Z Ab t 3 Z� - 10 Y R 31 - s i l Z, h-t S YY1 `�.- cS , S • $ '� s�e.M � it ✓� i ! ncn c �. f� t R• tv ❑ 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 /11 In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor 1n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft 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 alternate format, please contact the department at 608-266-3151 or TTY 608 -264 -8777. SBM8330 (R.6") PLOT PLAN Page 3 of 3 Scale 1'= LP0 ' G 030 - l3 -30 - 00p J � � 3 � w • 0' r ,Z �bo Q • 0ttd. O� 6►L/ o \ < 3 prr 62.S' mo o `p•f S �wfi y ot. y -Zq : -p 715 - 425 -0165 220254 CST Signature Date Telephone No. CST No. Job NO. 5�;' t-e 1101 Kse rC Wisconsin Deg=, Writ of Industry SOIL AND SITE EVALUATION .REPORT Page of S for Relations and H uman Division of Safety'8 BuikLngs in accord with ILHR 83.05, Wis Adm. Code C011NTY ST . C4Z \14 Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. — )� G APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION REVIEWED BY DATE c._. I t PROPERTY OWNER: C 1 o Dt'nv SC ttt PROPERTY LOCATION V j _ �EZ�S � T1�ti^J b kL01�►it�vT �`ZP• 69Vfi -t8fi t3 1 /4134) 1/4,S3 1T 313 .N,R 1°I E( W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK# SUED. NAME OR CSM # DZz.op o SETD 6 `1 tom. \ - _�. W!1 k X Qlt G"Z CITY, STATE ZIP CODE . PHONE NUMBER []CITY OViLLAGE ®TOWN NEAREST ROAD 5T. M" SS1W (6S1)g1)- C-1 F k�'p �j LRDj New Construction UseN Residential / Number of bedrooms [ ] Addition to existing building [ ] Replacement [ J Public or commercial describe Code derived dally flow / gpd Recommended design loading rate `J bed, gpd/ft - S trench, gpd/ft Absorption area required ? / bed, f1 ?. trench, ft Maximum design loading rate • 5 bed, gpd/ft ` trench, gpd/ft Recommended infiltration surface elevation(s) — ft (as referred to site plan benchmark) Additional design/ site considerations S EF-1 N fN—M oT3 P R e Z Parent material G \­f�v pri. o F1 s'A Flood plain elevation, if applicable N �1 It S = Suitable for system CONVDMONAL ND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HMDINGG TANK U= Unsuitable fors stem O S ®U S D U ❑ S O U ID S O U D S ®U I [is ® u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxtaly Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch Ek o - LO 7_3) — sL1 - 2 Air Vt" r CS — . 11 Z $ - 1 31L s 1 f 2s Vn� Gn) •` - i. S 1 1cz-j1y Ground 3 3 Z 1 Z 1. S K 2 & elev. q 3 ft. . Depth to limiting factor Remarks: Boring # 1 d -9 lost 3l2 sil Z. sb `F�- as Z z. a -�. �o�t��lY — s1( Z`�sbk �►,`FI• cw -- � s . 3 o -4S --).SK231y _ S Ls 6k Ground elev. 0 `i fZ V'(6 S t 6't O S0, a -b fL wrn Depth to l limi � ting - lacto M 6z i; STC Remarks: ZONJNG GFfiI CST Name: - Please Print Arthur L. We erer PLO 715 -425 - egerer Soil Testing & Desi &n Service -P.O. Box 74 River Fa11s,WI 5 Signature: ` Date: CST Number: _ _ t� M00576 r . y.y PROPEMYOWNER eU") . oo 2 pg01L DESCRIPTION REPORT Page Z-of '3 I PARCEL I.D. ;11 irE�Jp1�C� Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bandy Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bea JTrenEh � . Z. ()-i l o Iz Ground 3 ZS 3 s -- ) -S '-1P 31y elev. q�S_ft. 3 S -6s 7.S `t 31y S �G�. C7 s ►+� • i •8 Depth to I limiting { facto � I S I 6 Remarks: Boring # [3 Ground elev. I ft. ( i Depth to 1 limiting factor Remarks: Boring # i Ground 1Z YOU �l7 S`-I S SU t L On/LY C� elev. ' ; Depth to 4 s - U. -S - ti 1 Lpj;;6A MU limiting ' factor O u 5 t N S Remarks: Boring # U►J tti S 13 -Po jr-M h V M/ 1 IC I cD1=- S � 'D LG j Ground elev, ' ft. Depth to limiting factor Remarks: SBO- 8330(R.05/92) PLOT P LET Pa 3 of 3 SCALE 1 "= 6p ' i kn .100. p pry �`1 tt'1614 �/tt "DiA l�vc 5th �\ S V L, t'rCL r \ / 6.2 1 1 Sty` b� , V• Q' - M ZQ WT CI`hsT Z S ' FtZo M M Uvfvb • ._ -- Z, wnj - k h c t SO K At a- Z)p Uo'r cwM•hf\tT o b1.mzB `T"1 muv�,p NJ, OTz `� hw,% Z s' bO S% or gym H u uti,D_ I ! wr t i a 7t 5 1 4 . -n� � 5 14 0 0576 CST Signature Date Signed Telephone No. CST # Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In Gr ound Soil Absorption Compon Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms �} Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft S40 " "'f A.!"' l 1^ " Type of Wastewater Domesti Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) <3 p Z O Maximum Influent Partic Si ze (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 1 ---- EEI Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). 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 Management Plan for a Septic Tank and Soil Absorption Component 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 scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 (,.r Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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 cleared as 7.ecessary to ensure proper operation. The fiiter cartridge should not be removed unless provisions are made to retain scads in }ne tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fiiter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impendi;; continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 13 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenar ~;.e perscnne! shall advise the owner of when the next service needs to be performed to maintain less than maximum scum ane sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performarce is gem rally not required. However, if such products are used they shall be approved for septic tank use by the Department of C mmerce, Safety and Buildings Division. Tank The p (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shaft be tested verify prope eration. If an effluent filter is installed within the tank it shall be inspected and serviced as neces Mound and Pressure 'b ution System No trees or shrubs should be ed on the mound. Plantings may be made around t und's pe :ri;neter, and t; ,e mound shall be seeded and mulched as nec ary to prevent erosion and to provide s protection from fr ^'t penetration,. Traffic (other than for vegetative maintenance) o mound is not recommen ince soil compaction mz y .iinder aera ,o;:, of the infiltrative surface within the mound and snow c action in the ' r will promote frost penetration Gold rieather installations (October - February) dictate that the moun rly mulched for frost protection. Influent quality into the mound system may no Geed 220 mg /L 150 mg /L TSS, and 30 mgll ,=OG. Influent flow may not exceed maximum design flow specif n the permit for this installatr The pressure distribution sy is provided with a flushing point at the end of each la and it is recommended that each lateral be flushed of ac ulated solids at least once every 18 months. When a pressure to ' erformed it shou;d be compared to the! ' test when the system was installed to determine if orifice clogging has occu + and if orifice cleaning is required to m ' ain equal distribution within the dispersal cell. Ob ation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall , e reported to owner, d any levels above 4 inches considered as an impending hydraulic failure requiring additional, more ;equent mcri.orin . General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained n accordance with its' component manual [SSD- 10572 -P (R. 6199)] 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 cap e death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks <:re no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness r_:nd soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. r opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 -Ai: hes in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or cc, , -r , ,onent. 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 shall be immediately repaired or replaced with a component of the same or equal performance. If the component fails to accept wastewater or begins to discharge wastewater to the ground su face, it wi► be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing bioloc ically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to brirg the system into proper operating condition. Questions on the operation or maintenance of this system choud be directed to the County Zoning office at 3�b 4�b60 ox to the _ licensed plumber who installed the system. -V -s > 06 R6 2 73 ���� 01/06/1995 20:43 7152737753 NELSON PLUMBING PAGE 01 • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O / WNERSHIP CERTIFICATION FORM OWW/$uyer A InU r IYWIing Addran & 791 -5 "' l Property Ad&et:s (verification required from Mania Department for new construction) City /State Parcel Identification Nurnber 1j - Ob L, F RINaWMM Propttt�r t iCrax ' /., pis, &ee. , T,_N -RZW. Town of 4 Subdivision - -- °(`� . 3� , Lot # �. Cerffled Survey Map # . Page # - - - - - -- _. Warranty Deed # 3 . Vohuw , Page # Z-6 Spec house C4 yes d no Lot lines identif able)g yes D no SY'SBM NAM ANCE lmpropar In and tnaintenaseeof your septic system could result in its promatum failure to handle wastes. Proper maintenancc 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 systew ne property owner agrees to submit to St. Croix Zoning Department a certification forrim, signed by the owner and by a muster plumber, jowimyman plumber, restricted plumber or a ticentsed 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. 1/we, the uudem*ed have read the above ruts and agm to maintain the private sewage disposal system with the standards set forth, hmin, asset by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that yoUr Optic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days fire expiration date. IL SIGNA URE OF APPLICANT ATE 012 C&T__1QN I (we) cdc* tbat all ststeMents on tbits form an trite to the best of my (our) knowledge. ! (we) am (are) the owner(s) of the rty a / bone, by virtm of a warranty deed recorded in Register of Deeds Office, � ! SIGNATURS 00 AIePLICA.Nf DA 19 d/ * * * * ** Any Mmusbion that is mis- may result in the sani reptgednd y permit bring revoked by the Zoning Department.****** ** luelutte wfth 66 *Wkation: a slsatped rawnuty deed fltorn the Register of Deeds office a copy of the certified 'survey map if referettce is made in the warranty deed r V fii 1549PAGE 620 ( o STATE BAR OF WISCONSIN FORM 2 - 1999 63 535 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., W1 This Deed, made between Preservation Development, LLC, RECEIVED FOR RECORD 10 -11 -2000 9:30 AM WARRANTY DEED Grantor, and Richard Gross — EXEMPT p CERT COPY FEE: COPY FEE: TRANSFER FEE: 600.00 RECORDING FEE: 10.00 Grantee, PAGES: I Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 13, Plat of White Eagle, St. Croix County, Wisconsin. Recording Area _ =Lo cust Address tina Ogland & Ogland, LLP 54016 Pt of 030- 1090-90-00 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any IX) (is not) Dated this day of O ctober 2000 Preservatlon elopment, LLC William R. Block, President AUTHENTICATION ACKNOWLEDGMENT Signature(s) Preservation Development, LLC, by William R. STATE OF WISCONSIN ) Block, President ) Sa. -7 County ) authentic is Ga day of October 2000 Personally came before me this day of the above named SIATE BAR OF WISCONSIN i ` • ' G to me known to be the person(s) who executed the foregoing 06.06, Wis. Stzts.) instrument and acknowledged the same. STRUMENT WAS DRAFTED BY Attorney ristina Ogland Notary Public, State of Wisconsin Hudson, WI 016 l - My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ,) ' Names of persons signing in any capacity must be typed or printed below thcir signature, T ama6an Praeaa ane s ca++aenr, pons a Lao, wt WARRANTY DEED STATE BAR OF WISCONSIN aoobs5 -2ort FORM No. 2 - 1999 ."�r`"T.e..� -`• . i �_ 1- —! M 552.97 '"� ''i' 1 '55'1 W i ^ {• °P_ �~-� N I 0 3 I�gr oo° I s a I I TWO BUILDABLE AREA. i v � �j F ic 3.00 ACRES I, N .I a L. TOTAL AREA: ' ` — 3.00 ACRES �, Q BUILDABLE AREA: PATH EASEMENT ^ o° ( 3.03 ACRES I J TOTAL AREA: BUILDING SETBACK V 0 3.67 ACRES ((f LINE (TYPICAL) Two 1 0 Family y Fop BUILDING SETBACK 3 ____ UNE (TYPICAL) {` 242.9 -� --� R 0 0 31 25.7 5~W L- 44.9 00 ` �-�. 6- 05'20'1 ' f \ � PAT R =450. \ t' H • ,EASE M ENT F L =72.65 5 � X09'1 5'02 " E AREA: NORTH LINE OF THE \ ,� ?•'g3 ES I NE 1/4 OF THE NE 1/4 ;EA: OF SECTION 31 I I � 00 'ES I I I I \ \ ��, ti� .s 9• �, w I BUILDABLE AREA: 3 GUILD LE AR ' L A: 1.51 ACRES I I 2.00 AC o �' I o I TOTAL AREA: ^ -`n TOTAL AREA: I u 3.07 ACRES I I 3.03 ACRES � o � o f ! \ / / f I 14 4 ! BUILDABLE AREA: r 1.82 ACRES \ I 3.01 ACRES 66.29 50.50 / 1 ' BUIL L INE ( 'a< 4'59'48 ~ E � \ f 316.7 M o , \. �� V •"� ) BUILDABLE 4 GOLF EASEMENT' 2 1.41 ACRES 19 TOTAL AREA;, S ' 3.41 ACRES h . OU TLOT 1 (WHITE EAGLE GOLF CLUB) a R W \ ?oss \9i GOLF EASEMENT B LILDABLE AREA: / \ 1'.11 ACRES / T . AL AREA: - 3. 1 ACRES \ \ BUILDABLE AREA: �y. 1.41 ACRES \ V 'F � TOTAL AREA: Y 3.01 ACRES BUILDING SETBACK LINE (TYPICAL) / / 22 \ SOUTH LINE OF THE