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Home My WebLink About018-1068-90-025Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)) Permit Holder's Name: City Village Township Clint Ihrke I TOWN OF HAMMOND CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark Alt BM Bldg. Sewer SUHt Inlet StfHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/rRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKEISTREAM LEACHING Manufacturer: INFORMATION Type OF System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of n Seeded/Sodded m Mulched Bed/french Center BedrTrench Edges Topsoil 0 Yes Q No X Yes ] No COMMENTS: (Include code discrepancies, persons present, etc.) Location: 683150TH ST 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Inspection #1: Inspection #2: Plan revision Required? ❑M Yes 70 No Use other side for additional information. SBO-6710 (R.3197) Date Inseictors Signature Cei No. s'AN-agaG— jy0 SY 1.S di D S Safety and Buildings Division County L 20'1 W Washinrglon Ave., P.O. tsex 7162 Sam�ry Pawn Number (to be filled in by Co.) Ma 3707-7162 R , /(��O �-1/ a. 9 2020 �ppl �{/11eTCCrannNm�a rmit In o �16m , submission of this form to the approprimc governmental Alt � t0 5 _ Project Address ( than maliuq rldress) is prior . permit. Note: Application forms for staro-owned POWTS are sulanord to the end Professional Service. Pasooal information you provide may, be used for Secondary aomadma with the Law. a. 15.04(1 m), Stals . Q 2 { (1 J_rsV ��- . GI $-106:-ry-9 0 - o1aJ5_ 1 'cation Information — Please print All Information Property lTmd�Nam� ' �� k� Pmpaty Owoa's Mailing Addt� Prweny Iuwtion 31 • Q Q t % . 1 s %s GovLLot �+ on S �{/,y% Y.,%;E7�W ,Sine Zip - Phone Ntunber F`:z--EL N; Type o uilding (check all the apply) Lot #T a 2 Family Dwcjbng-Number of Subdivision Name S Block ❑ PublidCommercisl - Ikscrrbe Use ❑ City m. ❑State owned -Describe use „CSMxTM6'#`3 UVd•1S241r�.0�''[y ❑�+llr a@e of Itirowno "� If I. Type of Permit (Chink only one box on line A. Complete line B if applicable)7\o A— olq%aae�ynaaa ❑ Replacement Sysem ❑ TreamenNHoldimg rank Replacement Only ❑ Other Modification m Esdsuag System (aplam) B. ❑ Pamit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer m New Lin Previous Permh Number and Desk Issued Before Expiration owner !f , IV. T ofPOWTS System/Component/Device; Check all that apply) ' ❑ Non-Prmn¢iuA In.Ground ❑ Pre surimd Its -Ground ❑ AtGredc P`4 d > 24 m. of suitable soil ❑ Mound <24 in. of suitable soil _ ❑ Holding Tack ❑ Otba Dispersal Component ( / ❑ m (cxplam) V. Die reel. eatment Area Information: Design Flow (gpd) Design Soil Application dsi) 1ispersal Area Required (sf) (sf) Syekm Mevation - , y� v VL Task Info Capacity in Gallons Total Gallons # of units New Tab Ewtingra� _ oa a rn ri V' SclmoQaold'mg Tank Dosing CLanber •+ + + VIL Responsibility Statem I, the undersigned, resposdbiliry for insmaatim of thePOWIS shown as the attached plus 's Name(Prim)_ PI igomae— MP/MPRSNumber Business Phase Numbs ^ PI®ber's City'. State, Zip Coda) /. 27 VIA. C /De rtmeot Use 1 ❑ rood PetmitFoo `AIDayak Z W— la mod Issuing seats ❑ for Denial "612-oz0 UL Conditions of Approval/Reanous for Disapproval 3) 1 ,! ,t •-� S t'a^ �Q ^�w�R a44 tM 4A-Mt-2—AP'!Mq EM OWNER: UUt Vtla t ptic tank, effluent filter and �permanageant persal cell must be serviced / maintained �45 plan provided by plumber . a 2. AI Qgogfor the syaen and mbva m the County oey m paper not leas Wan a w x 11 inches ins c as per applicable code/ordinances. SBD-6398 (R t 1/11) PROJECT Clint Ihrke System PLOT PLAN ADDRESS 1543 10th Ave Roberts Wi 54023 NW 1/4 NW 1/4S 31 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX SYSTEM ELEVATION 98.0' 5/15/20 :DATE BEDROOM 3 CONVENTIONAL-- AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 OOP gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD CRATE 1.0 ABSORPTION AREA 456 _ I # of chambers none BENCHMARK V.R.P. Top of telephone box �— ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL H.R.P. Same as benchmark �L 410' Property 98' B 11 Grading is to be done to divert run-off away from system 97' 95' B-3 8% Slope Area 15' below system is to remain undisturbed 2.2 Acre Lot Scale = 1 /41, = 10, 01 40' 00- 150th St. B-2 Well is to meet all WDNR setbacks Huffcutt Combo Tank Pro 3 Bedroom Hale ,,,copy DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN SAY WI 543045211 Contact Through Relay httpll dsps.wi.govipmgramsfindustry-services www.wismnsin.gov Tony Evers - Governor Dawn Crlm - Secretary May 28, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-05-28 Plan Review: PWTS-052000953-C SHAUN R BIRD 1432 120th St New Richmond WI 54017 SITE: Clint Ifirke 683 150th st. Town of Hammond Saint Croix County Total Amount: $250.00 FOR: Mound Component Manual—Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P (N.01/01, R 10112) Descriation: 450 GPD t3 Bedrooms — New Construction Maintenance Required 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, stets. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (I1)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. 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 SPS 383.54(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 most follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Trh�anks.,,OO r/,eii7 r/.a"e&rafi POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: tim.vanderleestna.wisconsin.eov Cell: 608-516-6134 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/15/20 Owner:Clint Ihrke Location: NW1/4 NW1/4 S31 T29 N,R17W 683 150th st. Hammond Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7. Filter Specifications and cross section 8-9. Maintance and contingency plan Attachments: soil test Shaun Bird Signatu License nunAW226900 Page 1 of 9 PROJECT Clint Ihrke NW 1/4 NW 1/4S 31 System PLOT PLAN ADDRESS 1543 70th Ave Roberts Wi 54023 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 98.0' 5/15/20 3 DATE BEDROOM CONVENTIONAL-- AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none hk BENCHMARK V.R.P. Top of telephone box ❑ ASSUME ELEVATION 100' Filter Lifetime Filter BOREHOLE (Z) WELL .H.R.P. same as benchmark 98' 8-'1 — 97' 95' B-3 410' Property Line Grading Is to be done to divert run-off away from system 8% Slope Area 15' below system Is to remain undisturbed 2.2 Acre Lot Scale = 1 /4" = 10' o. 40' 80' 1 1 1 150th St. B-2 Well is to meet all WDNR setbacks Huffcutt Combo Tank Pro 3 Bedroom House Mound System Cross Section and Plan View Dimension Feet A B s D J E F •8 G H i I 4 J ,j $/ K 46 L wA Slo^/u L— '1 = Topsoil F771 = ASTM C-33 = Clean aggregate = 4 in. sch. 40 pvc - Cap Material sand fill %x to 2 'h in. dia. observation pipe wtZ Ft Contour �/ Plowed Surface Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a'/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed; the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and sewed in place with rebar or a closet flange. 10/07191' Page 3 of Manifold r�*J I Force Main M (Manifold Length) Force Main Diameter Force Main Length 03/05 lgj Pressure Lateral Layout Two Laterals — End Manifold Lateral Turn -up —0 M X --+ L In. mi) Ft. f— Threaded ' Cleanout Plug Long Sweep 90 Bend Pressure System Construction Laterals are constructed of Schedule , I v pipe. Orifices are drilled perpendicular to the pipe with a sharp drill bit and face down. Lateral turn -ups terminate with a threaded cleanout plug and are enclosed in a 6-8 inch diameter lawn sprinkler valve box accessible from finished grade. ••••• Grade •••••• 6-8 Inch Lawn Sprinkler Valve Box Page q of2— Septic -Dose Wank Cross section And Pump Performance Specifications �Minimum Pump performance Required l yu PG—� @ l 7. Z. Ft TDH OutletMsnhole Min. 4" Above Grade With Locking Device, Inlet Manhole < 6" Below Grade Sealed Watertight �• Finished Grade - Outlet Filter Inlet I�—_ inlet Bathe • u WWffl W . rnpl u .ate Total DynMW'Had (TDH) - Fat Elevation Head D Distal Pressure Y, d Network Loss 9 Force Main Loss 3 Total 2_ Manhole Min. 4" Above Grade Securely Mounted With Locking Device Weather-proof Junction Box -► t Vent Min. 12" Disconnect Above Grade Means With Vat cap A Weep Hole B Off ElevatiFt C g g� e Bottom D � .0 70Ft GENERAL INSTkJ ATION: The septicldose tauk is beddedand back filled m accordance with the manufacttuves product approval specifications. Maximum depth of bury as. specified_ by do bmufacdrrer may not to have an et%otive locking device (padlock) be exceeded without prior 8pproval. Manhole covt%s exposed grade installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force maul is sleeved with 4" Sch, 40 PVC to bridge the tank excavation and the sleeve is sealed wtrtatigh]L Electrical service y6�qmplies with NEC300 and Comm 16.2.`t. 02/05 U Page of 280=SERIES 112 hp Submersible Effluent/Sump Pumps The Liberty 280Sedes provides a cost effective "mid- range" pump for on -site waste water systems, liquid waste transfer and commercial heavy-duty sump pump applications that require higher head or more flow. Designed around Liberty's unique "Uni-Body" casting, the 280-Series will provide years of reliable performance. All Models Feature: • Vortex style Impeller permitting passage of solids up to %" _ • 416 stainless steei rotor shaft • Permanently lubricated upper and lower ball bearing • Epoxy powder coat finish • All fasteners - corrosion -resistant stainless steel • 1 %" Discharge • Stainless steel bottom screen - easily removable • Maximum fluid temperature:140' F. 280-Series Cord Lengths Model 10, 25'(-2) 35'(3) 50'(-5) 280 Standard optional Optional Optional 281 Standard Optional Optional optional 283 Standard Optional Optional WA 287 Standard Optional WA WA 10' cord Ingth standard on all models For optional lengths, add "-2, -3 or-6" sutflx to model number. Example: for model 280 with 35' cord, order 2" Motor Specifications %hp 60 Hz 3450 RPM Oil filled, thermally protected (PSC) Permanent Split Capacitor 8.0 amps (115V) 4.0 amps (208/230V) r - 1 ' � ��N�tl��Y��tl�tltltl�tltltltltltltltltl L tltln.ntl��tltl�tltltltl��tl�tl�tltltltl NEW '�tl�tltltltltl��tltltltl�tltltl�tltltltltltltltltl ��tl\�\tltl�tltl��tltltltltl�tltltltltltl, tltltltltltltltltltl►\tltltltltltltltltltltltltltltltl tltltltltltltltltltltltlti\■■tltltltltltltltltltltltl' . .,�a��naa��tltltll��Atltltltltltl■■' ■tltltltltltltltltltltltltl.�tltltltltltltltltltltl■ ■tltltltltltlnntltl�G \\�tltltltltltltltl■ 0 5 10 15 20 25 30 35 40 46 50 66 60 66 70 U.S. Gallons Per Minute 38 78 114 156 192 228 270 Uters Per Minute Dimensions/ Data: Weight: 29 lbs. Height:13" Major Width:100 (model 287) Minimum Sump Diameters: Model 281, 283... 14" Model 287 VMF... 10" Factory switch Model 281,283 Model 287 settings VMF Tum on level 13" 9.5" Tum off level 7" 4.0" The Model 283 features a fullyadjustable wide-angle float Dtfferenttal adjuatments can be made easily by tethering the float to the dls- chargepipe or other rn urrthg point. Vertical float model 287 Is not adjustable. Model 280 Model 281 Model283 anual, Wide angle Wide angle switch float switch float switch with quick- with series disconnect (piggy -back) plug c us Certified Model 287 VMF-Seties Vertical mag- netic float for smaller pits - will operate in a 10" diameter sump keenly Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 49 0-193D www.116ertypcea tmb puyk tm an7 vAtrighbrawMd LLIr2R17 20140048A 043700 193= 18.0000 O 9A 164 93759 93 } .01 Gop bet een Case oM Swpenlix p 1 11 C� �i1=fir ::• �;.J '' SAFF. SECTION A -A _ page nor_ POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILEINFORMATION Owner PenTd # DESIGN PARAMETERS • Vatues typical for domestic (non-mrmr rdal) wastewater and septic tank enluent. Vahtes typlrJl W preheated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every __�O months ar(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume Inspect dispersal cell(s) At least once every O months r(s) (Maximum 1i yrs.) Clean effluent fitter At least once every i O months r(s) Inspect pump, pump controls & alarm I At least once every O months r(s) O NA Flush tat ¢rals and pressure test At least once every ZZ ❑ months r(s) ❑ NA Oe of At least once every O months ❑ year(s) ❑ NA oeher: At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restrid@d Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to Identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum In any tank equals ona-third (K) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent fitters, mechpniical or pressurized POWTS components, pretreatfinent components, and any other maintenance or monitoring at idUrrvals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event STARTUP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Pape _ of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thslt may Impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil oondltlons am frozen at the Infiltrative surface. During power outages pump tanks may fill above normal highNater levels. When power is restored the excess wastewater will be discharged to the dispersal oell(s) in one large does, overloading the call(s) and may result in the backup or surface discharge of effluen¢. To avoid this situation have the contents of the pump tank removed by a Septage Servldng Operator prior to restoring power to tile effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump oontrds to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal calla. Do not drive or perk over, or otherwise disturb or compact, the arse within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the POWT$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat foundation drain (sump pump) water; fruit and vegetable peelings; .gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fells and/or is permanently taken out of service the following steps shall be taken to Insure that the system is propeity and safety abandoned In compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • Alter pumping, all tanks and pits shall be excavated and removed or their covers removed and the void specs filled with soil, gravel or another Inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code oomplipnt replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance ;and compaction and should not be Infringed upon by reclukled setbacks from eAsting and proposed structure, lot lines and wells. Failure to prated fhe replacement area will result In the nted for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruled in effect at that time. ❑ A suitable replacement area Is not available due to setback and/or soil limitations. Harting advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The eke has not been evaluated.to Identify a auttsble replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable'.. replacement area. If no replacement area is evalIable a holding tank may be installed) as `,-,� a last resort to replace the failed POWTS. Xyp Mound and et -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative turface. Reconstructions of such systems must comply with the rules In effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL OASSES AND/OR INSUFFICIENT OXYGEN. Do NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT. RESCUE O� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER OQ Name Phone SEPTAGE SERVICING OPERATOR MPER) Name LPhone I xi This document was drafted In oompllanoe with chapserlePS 383.22(2)(b)(t) POWTS MAINTAINER Name � "Y-IV r� 31113.e4(t), (2) a (3), Wisconsin Admirristra" Code. NUcosin Department of Commerce SOIL EVALUATION REPORT Page _ot_ Ohbon of Sally and Snildirgs Attach oomplela alto plan on paper not toes than a 12 x 11 Inches In 41ae. Plan must Irdlda, htR rot trNtad b: vertical and horizontal reference point (BM), direction and Percent Slope. scow or dimensions. north u , and baton and dlstanceto nearest road, G�t( Please print all information. PenenY yw prwla mq W used bar aeownery Neasea (FrNear law. a. teal Itt (mil County Parcel I.O. RrAttwed by Daft 6 b'3 Property, 0o r TQ._. PropertyLocation Goh. Lot v4M.A4 S3 I T0.9 N R E (« Cw Prgwtyr a Mal" Address Lot x I Block N I Stbd. Name Lay.. tale . p S ❑ City Village Nearest Road /sv Comtrucdon Use:esidenaal / Number of bedrooms Coda derNed design sow rate 4/vz GPO ❑ Replawront Public or commercial • Describe: _ ,T Parent mmww - Flood Plain elevation If appacable Gerralmmnraa and reowmiangatlyq; System Type �%�7.wIX System Elevation Bortrtp N ❑ Boring L7, 1 f:8 pit Ground aurface elev, t - h. Depth to WYNN factor in. Saes Application Rare Hwizan Depth In. Dominant Color MtrmM Redw Description Gu, Sz. Cont. Color Texuaa Structure Gr. Sz. Sh. Consistence Bounday Roots WON •Eff#1 • 11*2 BarkBorm p N D�'t Ch pit Ground surface elev. u l n. DePM to (Ammo rawor 3 Z In. n Re Horizon Depth in. Dominant Color Murtsez Redox Deal on Gu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Coraisterxe Boundary Roots GPDM •Eff#1 'E1N12 enaraot Nt a aUU. > 3a < 220 n)WL ant TSB >30 � 150 • Men! 02. 80D, S 30 moll. and TSS < 30 mg?L CST Name (Please Print) ure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluetlo Conducted TBbphone Number 1432 120th St, New Richmond, WI 540115-/`--3—� 715-246-4516 Property "Dwnbr Pam i Intl o.... ■■■■■■■■■■■■ 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. seo.ur.M1.aaot Soil Test Plot Project Name Neal Ihrke - Address 1543 70th Ave Roberts Wi 54023 Lot Subdivision --------- NW 1/4 NW 1/4S 31 T 29 N/R17 W Boring Q Well PL Property Line BM or VRP Assume Elevation 100 1t. S Bird / CSTM #226900 ate 5/3/19 Township Hammond County ST. CROIX Top of telephone box ystem Elevation TBD *HRptiame as Benchmark ;•ni ��n� L, u� Jf � L' wWw roO orn r (715)248-3010 f I e S -------- NOT CEI �A wTona:b..nrcemr " El_ I I I I I i I Clinton thrice FOUNDATION 01 ... A2 I r------.dam ----- � - ----«�: ----- � ' I P; I: ;rl .,a }r I � i I I I i mmumeeYfl _ I __ : ' I I I I I � L I I � I I 1 ; 1 I I I T I 8 i i BR O WA LINE PANEL DETAILS .'® eI.NN LEVEL I I I I i e - 9 I I I I I I I I I I I I I I I I I I I I I I p�slsasso�o NOTicE! iuweuo.m Clinton Ihrke Sn b S MAIN LEVEL A3 CROIX COUNTY Sf:I''17C'fANIC MAIN"I`I?NAN P AtiRI PMI:N'F ,1 NO OWNI I:titIII' (TH HFICATK N FWM Owner,'Buyer _C V\1 . ItAC�IC'_ Mailing Address / jgcujjfy RCk.._ � �UGti1U0) lJ�_ PropcstyAddrese (r 3 /Sow S�, Pcltw)Mona- WZ S. oIS ('.-eirtieffati1on w(pinc(I Gom I'laouing d 7omnl, I)vpaitinenf t on nea, co uuainn.) CitV'State yd�Qn�i r Parcel ldcuidicatiouNumbet LEQXL DESCRII''CIC)N Property l ci .atiou /V w ;4 is , Scc 3 _, I' �y N R NQ./✓JYY�j/l Subdivisluii ['of l; F Certified Survey Map #1 ��..la ��_- -_.._ _. _ �'t ltnnc _..p, Page # Lp to --- f` Warranty Deed # Vollinrc Spr. house yes m 1Jrt din,- identifiable no SYSTEM MAINTENANCE AND OWNER CERTTr'IC'A`l'tON, Improper use and mainwarorice of your septic system could result in its pmmatnre faitruc to baruDe wastes. Proper rrrarmenance consists of pumping out the septic tankevery three years or soouct, a needed, by a licensees pumper. What you put into the system can affect the function of die septic tank as x treatment stage in the waste disposal systerti. Owner unrintenance responsibilities are specified in §Conn. 83.52(1) and in Chapter 12 - St. (:rose County Sanitary thddnaricc. The property owner agrues to submit to Si. Croix County planning &. Zoning Department a. certification forru, signed by the owner and by a master pltunber, jomneynian plumber, restricted plurnber of a licensed pumper verifying. that (1) the on -site wastewater disposal system is in proper operating condition airdlor (2) after insperxfon and pumping (if necessary), the septic tank is less than 1/3 full of sludge - lywc, the undersigned have read the above requirements rwd agree to rnaintain tine private sctvrgo dispeual system with tire standards act foith, herein, as act by rise Vepurmamt 61 Commerce and the Department W'Natural l mutirves, Stale of Wisconsin: a-rtiftcation stating that your septic sysparr has been maintained tnust be complewd and retunted to the tit. Croix County t'lautnug & /.og Department within 30 days of the throe year expiration date. I/ we ee nify that all stiUemcnts Oil this formate true to the best of wyinnt k nowledge. Uwe anJare die Owner(s) of the property described above, by virtue of a warranty deed recotrded In Register of Deeds Office. Number of bedrooms _ 3 Lq s'aF%J4610 S16NATURE OF APPLICANY(S) ,**Any information that is ntisreprewuted may rusult i❑ the sauifauy pannif tieing n+voked by tho Phoning & Zoning Deparivleal. Include with this application a recorded warranty deed 6zun the Register of Dueds 0111ce and a copy of the Certified suivey nuip if reference is nuadc in flu; warritnty deed. (RP;V. U8105) CST-1019 -035 Wisconsin Department of Commerce Division of Safety and Buildings D(0ol SOIL EVALUATION REPORT Page of ni auuuanw wm� wrnm oo, rro. rwni. ewe' Attach compete site plan on paper not less than 8 1f2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal irdomui o you "de may be used for secondary purposes (Privacy Law. a. 15.04 (1) (m)). - County - Pam I.D. F*+ 04 mg Revie fDate / Property Owner wt-a y Q Property location Go& Ld 114 /4 S3 I Ta3 N R E (or Cw Property Owners Mailing Address } Lot # Block #. Name M# City State , Zip Code Phone Number w S ( , ❑ City Village ,o Nearest Road /sv New Construction usel2keldenfi,l i Number of bedrooms Code derived design flow rate s/1v _ GPD ❑ Replacement Public or commercial - Describe: N_7� _ Parent material Flood Plain elevation if applicable % L(/ it. General comments and IVM'° room", D� System Type System Elevation Ong # ❑ Boring 1 G/ f9 Pit Ground surface elev. L % ft. Depth to limiting facto tit. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cont. Color Texture Structure Gr, Sz. Sh. Boundary Roots GPDMt 'Eft#1 •Eff#2 *Consistence Boring # ❑Boring pit Ground surface elev. Ulf ft. Depth to limiting fa, o 7. it. i- Application Rate Soil Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cons Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDMf° •Eft#1 'Eff#2 it2 Effluent #1 = BOD. > 30 < 220 nxyL and TSS >30 < 150 • Effluent #2 = BOD, < 30 mgA arld TSS < 30 mglL CST Name (Please Print) ure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 33/�715-246-4516246-4516 Property Owner Parcel ID # Page of Fa-1 Boring # Pit Ground surface slev. L 5, Depth to limiting factor L] Boring � " M. Sal ication Rate Honzon Depth in. Dominant Color Munsell Redoz Desc iplion Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Roots GPDM 'Eff#1 -Eff#2 . 6 kBwrKdlary j Ei ■Boring # E) Boring ■ pit Ground surface elev. ft. '' ❑ Boring Of❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. sod Aodica8on Rate ®® r:_.. Effluent #1 = BOD, > 30 < 220 ngll and TSS >30 < 150 mg& ' Effluent #2 = BOD5 < 30 mg& and TSS < 30 mg4. 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 TIY 608-264-8777. SOD-83 O(l.bm) Property Owner Parcel ID # Page of a Boring # Poring Ground surface elev. t 7� Depth to limiting factor � `� in. Soil Application Bata Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD#f 'Eff#1 'Eff#2 o-IL O 31L -- I!-,- 6 X/TZi6;a: IL ❑ Boring# ❑ Boring ❑ pit Ground surface elev. R. Depth to limiting factor in. Soil Iicetion Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD(ff 'Eff#1 I 'Ef#F2 Boring# ❑ Boring ❑ Pit Ground Surface elev. ft. Depth to limiting factor in. SoilSoil Aod Honzon '>apth in. Dominant Color Munsell Redox Description. Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Ef1#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mglL ' Effluent #2 = BODr < 30 rrKA and TSS < 30 mgiL 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. saD-11))0 (R.4M0 • I Soil Test Plot Proje&.Name Neallhrke - Address 1543 70th Ave Roberts Wi 54023 Lot Subdivision --------- NW1/4NW1/4S31T29 N 17 CSTM #226900 5/3/19 /R W Township Hammond ❑ Boring 0 Well PL Property Line County ST. CROIX %BMorVRp Assume Elevation 100 ft. Top of telephone box System Elevation TBID *HRpSame as Benchmark Q — INDICATES SOIL TEST LOCATION CERTIFIED SURVEY MAP LOCATED IN THE FRACTIONAL NWY4 OF THE NWY4 OF SECTION 31, T29N, R17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN. BEARINGS REFERENCED TO THE REST UNE OF THE FRACTIONAL NWY4 OF SECTION 31. UNE BEARS N00'01'58"E. ST. CROIX COUNTY COORDINATE SYSTEM I; NW CORNER, SECTION 31 (1" STEEL $ URVEY MARK NAIL FOUND) N z SCALE IN FEET 0' 50' 100' 1" = 100' PART OF CEMETERYS 5 ACRE DESCRIPTION +. U-NPLATTED (LANDS �I i ^NU3ZM i 05 m—,;Lo19 -D 35 GENERAL NOTICE STATH6NT EACH PARCEL SHOWN HEREON IS SUBJECT TO STATE, COUNTY AND TOW 4 4P LAWS, RULES AND REGULATIONS (i.s., WETLAND RESTRICTIONS, ACCESS TO PARCEL MINIMUM LOT SIZE, ETC.). BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY COMMUNITY DEVELOPMENT OFFICEAND THE APPROPRIATE TOWN BOARD FOR ADVICE 410.04 ol v Q SOIL LST LOC?"CN LOT I 99,684 30. FT. (229 AC.) I IB INCLUDING RIGHT-0E-NWY IIpI 92.258 SO. FT.(2.12 AC.) ao P� I PROPOSED EXCLUDING RIGHT-OFWA.Y g, DRIVEWAY �. LOCATION M 9, Uf1PL TTED L - NDS LEGEND - INDICATES SECTION CORNER MONUMENT. (AS NOTED) - INDICATES 0.75" X 18" IRON REBAR WEIGHING 1.502 USE. f LINEAR FOOT SET. - INDICATES FENCE- WK. CORNER, SECTION 31 (P.K NAIL FOUND) DESCRIPTION: A PARCEL OF LAND LOCATED IN THE FRACTIONAL NW Ya OF THE NWY4 OF SECTION 31, T29N, R17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN, FURTHER DESCRIBED AS FOLLOWS: COMMENCING AT THE WY4 CORNER OF SAID SECTION 31; THENCE N00°Ot'S8"E 1788.92' ALONG THE WEST LINE OF THE FRACTIONAL NWYA OF SAID SECTION 31 TO THE POINT OF BEGINNING BEARINGS REFERENCED TO THE WEST LINE OF THE FRACTIONAL NWY4 OF SECTION 31. LINE BEARS NOO`01'58"E, ST. CROIX COUNTY COORDINATE SYSTEM); THENCE CONTINUING ALONG SAID WEST UNE NOO`01'58"E 225.02^, THENCE N89"15'57"E 443.04`, THENCE SOO°01'58'W 225.07; THENCE S89"1657"W 443.04' TO THE SAID WEST LINE OF THE FRACTIONAL NW Y OF SECTION 31 AND THE POINT OF BEGINNING, CONTAINING 99,684 SQUARE FEET (2.29 ACRES) MORE OR LESS AND BEING SUBJECT TO ANY EASEMENTS, RESTRICTIONS OR COVENANTS OF RECORD. SURVEYOR'S CER77RCATE I, JOSEPH W. GRANBERG, PROFESSIONAL LAND SURVEYOR, HEREBY CERTIFY THAT BY THE DIRECTION OF THE OWNER, NEAL IHRKE, I HAVE SURVEYED AND DIVIDED THE LANDS SHOWN HEREON IN ACCORDANCE WITH OFFICIAL RECORDS, CHAPTER 236.34 OF THE WISCONSIN STATUTES, THE TOWN OF HAMMOND SUBDIVISION ORDINANCE AND THE ST. CROIX COUNTY SUBDIVISION ORDINANCE AND THAT THIS MAP AND DESCRIPTION ARE A TRUE AND CORRECT REPRESENTATION TO SCALE THEREOF. TREASURERS CERTIFICATE I, DENISE ANDERSON, BEING THE DULY APPOINTED, QUALIFIED AND ACTING TREASURER OF THE COUNTY OF ST. CROIX, DO HEREBY CERTIFY THAT THE RECORDS IN MY OFFICE SHOW NO UNPAID TAXES OR SPECIAL ASSESSMENTS AS OF . AFFECTING THE LANDS INCLUDED IN THIS CERTIFIED SURVEY MAP. BY: DATE — TREASURER ST. CRW COUNTY COMMMTYDE MOPMENT LAND V J SOLU`nONS JOSEPH OR BERG CLINTON IHRKE DRAFTED BY: JWG 1428 134TH AVENUE 1208 HANLEY ROAD g3 JOB NO. 100-585 SHEET NEW RICHMOND, M 54017 HUDSON. M 54016 DATE: OS/08/l9 1 OF 1