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Home My WebLink About032-1016-60-000 (3)C (PZq9z Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: SAN-2020-182 GENERAL INFORMATION (ATTACH TO PERMIT) StPlan ID No ate Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 6 d //X6� Permit Holders Name: City Village Township Parcel Tax No: Kirk & Janet Lawler I TOWN OF SOMERSET 032-1016-60-000 CST BM Elev. Insp. BM Elev: BM Des iption: Section/Town/Range/Map No: IlJ Ijv�n �yaL t SFd 06.31.19.85F TANK INFORMATION EL ATION DATA) TYPE MANUFACTURER Sn, t •J CAPACITY Septic 1 1 Mt ^� Aeration olding TANK SETBACK INFORMATION PUMP/SIPHON INFORMATION Manufacturer Demand GP odel Number T H Lift Friction Loss Sy m Head H Ft Forc ai Length Dia. Dist. to well SOIL ABSORPTION SYSTEM —I + I jiz DIMENSIONS INFORMATION DISTRIBUTION U •M]` wm� rfMj cr VL r �W1� ' `%`ram ovaum ' �rMiA�• CHAMBEROR UNIT Header/Manifold D Nbuti Hole Size x Hole c V Air Intake / 1 /J/t Pi (s Len h Dia Le a acin g SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only_ Depth Over ` x 8edlTrench Center 1 L Depth Over t Depth C h Edges 1 1 xz epth of To it Seeded/ ded ❑ Yes o had es No J /� M COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: Inspection #2: Location: 2375 DELONG RD e�D —13V�1 vG ( 17114d- �oc S �5 ent3}.65 S 1.)AItBM Description=V��1[�'' VtvW \I ,f�C��,y�� ` .L.� J 2.) Bldg sewer length = �XiS4'[NA\I.� �l' u�VTt y 016 t��"�i G`�` -amount of cover = 4 ��w,/v0�1 QtQ�c �t Ik, Plan revision Required? ❑w Yes X No '-' Use other side for additional information. 6 J G�_UJI I TY Date Insep tor�,gnatur. Can. No. S8D-fi710 (R.3797) .... ,.. ,, CountyInr�dtyrl�stry Services Division14U(1 E Washington Ave 22 2020 LnN P.o :77ssMadison, Sanitary Permit Number (to be tilled in by Co.) 53 -7 2 x Coun[V • ve o it Applicatio pT IStateTransaction Number In accordance with SPS 383.21(21, Wis_ Adm. Code, submission of this form m the appropriate goy W unit is required prior to obtaining a sanitary permit. Note Application forms for state-owned POWTS arc submithed to PmJm Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for seed id a purposes in accordance with the Privacy Law, s. 15.0411 m), Slats. 2375 Delong Road 1. Application Information- Please Print All lnformatfon Property Owner's Name Parcel a Kirk & Janet Lawler 032-1016-60-000 Property Owner's Mailing Address Property I,ocauon 2375 belong Road Govt Lot SL Yc NE '/y Section 6 City, Stale Zip Code Phone Number Osceola, Wl 54020 715-294.2306 le one) T 31N R19[ur�Tjcirc/. e5-F If. Type of Building (check all that apply) Litt s (, Subdivision Name ® 1 or 2 Family Dwelling - :Number of Bedrooms � N/A N/A Block x ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use ❑ Village of CSM Number ® Town of Somerset 111. Type of Permit: (Checkonlir one box on line A. Complete line B ifanniieAhl.1 A. ❑ New System epiacemcm System ❑ 'rreatment/Holdin Replacement g Tank p lacement Out) ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number aid Date Issued Before Expiration Plumber Owner 5492; 8/17/1979 IV. Type of POWT'S S stem/Com onent/Device: Check all that apply) Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At-Urade ❑ Mound > 24 in. of suitable sod ❑Mound < 24 in of suitable wit Holdingrank � ❑Other Dispersal Component (explain) ❑ Pfeuealmrnt Device (explain) / 1 V. Dis ersal/Trestment Area Informatio Design Flow (gpd) Design Sod Applicat Dispersal Area Required (at) VI Dispersal Area Proposed (st) System Elevation 450 Ratefgpdst) 643 700 93.8',93.1' 0.7 VI. Tank Info Capacity in n, S7 Gallons Toad Gellom q of Units -I Pd�Manu10(c rr""L>fb Manufacturer v le New rants Exisang Tanks u y vi �v a Septic or Holding Tank 1000 1000 1 Wieser Concrete Dosing Chamber VI 1. Responsibility Statement- I, the undersigned, assume responsibility far installation of the POWTS shown on the attached plans, Plumber's Name (Print) Plu s, i / MPIMPRS Number Business Phone Number John Schmitt ZiJ' ,r�,%t:2. 223760 715-760.0486 Plumber's Address (Street, City, State, lip Code) 586 Valley View Trail, Somerset. WI 54025 Vill. County/Department Use Only Approved ❑pis Perm�ms}��Fpp�ee_ at Issued tt s mg gent. [or ' Ow wen Reason for Denial $ +R./7% 0 T� /zQ� c-,. f,'„4trL fvi wa.ct - dd IX. Conditions of Approval/Roae9n94aP4 iaeppreonl 3) G �� STEM OWNER; / ' i"—f Septic tank, effluent tllter and Cod 2 n e dispersal cell must tlagerviced / maintained `FS gF41— Vt4M v0✓[ Lt.' ILzTj- as per management plan provided by plumber. Q,,�� ,,,., Z-� e.E`G� « a4 Z'lv4u and submit ro the( ounty oaly -j paper o�ot 5� g to a 11 incha� n sV� as per applicable code/ordinances. >� Q(,,,,, �,„� ,�p Pr�t/i SBD-6398(R03/14) f��^�� dk�- SYSTEM PLOT PLAN Lawler 3 Bedroom Septic System Design Flow: n50GPO Atlach tlesipn flow calculations for commerbal plans: P acl Add es; 2975 Road BMt ymb01: BM Elevator: a0�,gg Pipe Materials IASTM Standard BM Deacnptlon: Top d venl pipe m "Or g dtsin5e d Tables 354.30.3 a 384.30.5 BM2 Symbof0 SM Elevation: 99.16 4'SCH40PVCppe ASTM-D2e& BM Description: Bosom a ski ng on detacheo garage Slope Gredlant of Tested Area: (15%) 13034 P PVC pPe I ASTM-03OU Well Symbd (e applicable) Notes: See Plat Map for complete map Delong Road Cut de sac R/vV Property Lift Property Line Scale: V - &Y 0 60 90 120 15t VA Detached Garage, Driveway BM2i ExisWig 3 Badman Hogas Existing septic ten Exieh'ng 12k52' m be, abandoned Gatega Rock 8 Pipe Bed Proposed WLP100D-MF �� a �` se,ptic tank —�� tie' BM i or / 95' 15%Slops Tt-3k70' F2 Flow Bench EI.e93.e' T2.3x70' E2 Flow trenchEL•g3.1' g> oE• 525.54• �r1GG CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Lawler 3 Bedroom Replacement Septic System Owners Name: Kirk & Janet Lawler Owner's Address 2375 Delong Road Osceola, WI54020 Legal Description: SE1/4, NEi/4, S6, T31N, R19W Township St. Joseph County: St. Croix Subdivision Name: NA Lot Number: NA Block Number Parcel I.D. Number 032-1016-60-000 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 Septic Tank Specifications Page 4 Effluent Filter Information Page 5 Valve Diagram Page 6 System Sizing & Cross Section Page 7 EZ Flow Information Page 8 Management and contingency plan Page 9 Septic Tank Maintenance Agreement Page 10 Warranty Deed Page 11 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 6/20/2020 Phone Number: 715-760-0486 Signature: lv / !! ,fir• In -Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) Page 1 SYSTEM PLOT PLAN Lawler 3 Bedroom Septic System P Mu ress 2375 Debra Road Altech design flow MICulaeone spr rnmmen]el plans. BM1 ymbol A By Elee9Wn: tWno. Pipe Materials l ASTM Standard BM Desonptbn: Top of Venl i pe on ebsang dralnfletd Tal 3 30-3 a 3S4.3P5 eM2 Symbol: A SM El"atbn: NA5 4-9CH40PVCPpe IASTWD2a& BM Descdpibn. BORorn of siding on detected garage Slope Gradient of Tested Area. (15%) 13014 4- PVC p" I ASTIll Well Symbol (x appe®ble) Notes See Plat Map for complete map Datong Roac Cul de sac RAN Property Lim Property Line 52310 tDetachetl Garage On. BM2 Existing 12x52' to be Rock 8 Pipe Bed - Scale: 1" - W 0 60 90 120 VZIZZZZZZZIA 152 Wen I Eldsbng 3 Bedroom House Garage Proposed vvi OD0 /� /id �\ septic Nnk BM1 / / S 95' / / / 15%Sbpe 98�T y / Tt- 3x70' EZ Fbw bench EI.=93 B' / B1 / T2- 3'x70' EZ Flow bench El —93 1' BT / / m' / 98' 525 54' 9 m A w 4" CAST -A -SEAL a a INLETIL OUTLET M N N r, n PUMP PAD SIDE MEW TANKS ARF MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000- MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1 /2' BOTTOM: SEPTIC 3' COVER: 4' MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: FLAT COVER 53 1/4' O.D. LENGTH: 104' O.D. WIDTH: 86" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36' WEIGHT: 6,790 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1.085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN I08 NO FIBER) TANK: MIX DESIGN #10 STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMIT FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: W W C�Lo 0 z 00 C7 o �N r7 imp y o —jam 3 �OF 1 p►� �_ .max ��e . inruval oc,¢Proosl Dumry° Zabel ti Yiufevaf±r o.cnuls � rq,.;,,u a�V,.HA.,, , PL-525 Filter PL-525 Effluent Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PLr122, the Polylok PL-525 has an automatic shutoff ball installed with every filter. When the filter is removed for cleaning, the ball will Float up and temporarily shut off the system so the effluent won't leave the tank. feature%: • Rated for 10,000 GPD (gallons per day). - 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. Built an gas deflector. • Automatic shutoff ball when filter is removed. Alarm accessibility. Accepts PVC extension handle. M -;2S Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. Pt -�2; Maintutanas The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 1/16" Filtration Blot, f 10,000 GPD Accepts 4" & 6' SCHD 40 pipe Alarm Switch (Optional) - 'ccepts I., PVC tension Handle Rated tut 10,000 GPD 525 Linear Ft. of 1/16" Filtration Slots Certified to NSF/ANSI Standard 46 ; t jrGas Deflator Aot omaticSt-Off Ball t)utciom tawrlfill— %U... tnlcnJ & luk' Polylok, Zabel & Best filters accept Easily installs the SmartFilter® switch and alarm. into existing tanks, Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polyiok.com Page 4 71 Home About F Site Map F Order Into Videos 8 Literature contact Drip Systems Treatment Controls Products Downloads Design Guidance 4M_ The Bull Run Valve'" is designed to split flows to septic fields or systems. In addition to the advantages of longer life and easier installation it is the most public health safe alternating device available for wastewater disposal applications. The use has absolutely no contact with wastewater due to the valve's leak -proof and external operating characteristics. The change over from one drainage field to another can be accomplished in less than a minute by simply turning the valve without digging or contact with wastewater. 0 rrEsl DESCRIPTION BRV4 BULL RUN VALVE 4" BRVBULK BULL RUN VALVE & KEY ONLY BRVCIRISER BULL RUN VALVE RISER W/ CAST COVER BRVKEY28 BULL RUN VALVE KEY 28' BRVXEY36 BULL RUN VALVE KEY 36' BRVKEY48 BULL RUN VALVE KEY 48' 'WATER -TIGHT ACCESS CAP RISER CAP ADAPTER R SER TUBE C OUT PORT VALVE DIRECTION HANDLE 4 OLT PORT C IN PORT The Bull Run Valve is available in 4" sch 40 pvc and is suitable wherever septic disposal systems are used - in commercial, industrial, and residential applications. OPERATING THE VALVE The direction control handle should be rotated periodically to direct effluent to one or the other of two septic fields. After removing the screw cap at the top of the riser tube, the valve handle can be turned with the valve key furnished. BULL RUN VALVE Complete Valve Kit Contains 1. Bull Run Valve body 2. 28" Valve Key 3. Riser Cap Adapter 4. Watertight Access Cap BRVCIRISER - 4" ADJUSTABLE TO 28" HIGH Page 5 IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) ��I,IIL�III Geot Corer 12' min trench depth 11 I (typical) Highest Trench — System Elevations = 93.8 ft: 93.1 k min. 12' (typical) Wieser Concrete Septic Tank(s) Manufacturer Septic Tank(s) Volume(s) 1000 gal gal gal gal Effluent Filter Manufacturer Polylok Effluent Filter Model #. 525 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) ft, Provide minimum 3 ft separation between trenches. Lowest Trench (as applicable) OBSERVATION PIPE DETAIL (w scale) TYPICAL TRENCH (Show location of inlet ! outlet pipe connection on plan view.) PLAN VIEW (No Scale) 4" 0 Dbservanon dips shall lie insiMled al function between two unds. Perforated Lateral Observation Pipe (typical) (typical) r- —— — — — — — — — — — — -------- L---------------�t--------- I B= ft M (typical) w INSTALL PER TRENCH: fo rn 7 10-ft bundles @ 50fe EISA(unit=350 112 + 0 5-ft bundles Q 25 ty EISAlunit = 0 ft2 ft; ft spew-Typeor — Shp Cap (looee) L 4"0 PVC pipe Top of pgpe to his hisfe alor above finished grade (41)1/4-.112•X 6. Slats 10 � 90 awlft Anchoring Devm A = 3.0 ft (typical) t GVJl in undle (typical) (mild by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. = Proposed EISA per trench = 350 ft2 Required Infiltration Area = 643 ft? x 2 trenches = Proposed Total EISA = 700 ft2 r;=a Grade (mulched & seeded) Topsod Cover (min. 1 root) Infiltmbon Surface Distribution Method: branched manifold G) rn w 0 n Installation Instructions for EZflow Systems in Wisconsin Wisconsin Department of Commerce, Safety and Buildings Division, has reviewed the specifications and/or plans for this product and determined it to be in compliance with chapters Comm 82 through 84. Wisconsin Admin. Code, and Chapters 145 and 160, Wisconsin Statutes. All sites must meet the Site & Soil Conditions & Locations & Isolation distances as noted in local regulations. The approved products are 1203H (3-12" bundles with pipe in center bundle in 5' or 10' lengths) and 1203HP (3-12' bundles with pipe in each bundle in 5' or 10' lengths. A single pipe bundle contains a four inch perforated pipe sur- rounded by EPS aggregate and is held together with poly- ehtylene netting. A single aggregate bundle contains aggregate only and is held together with polyethylene netting. Materials and Equipment Needed • EZflow Bundles • EZflow Geotextile Fabric • EZflow Internal Pipe Couplers • Pipe for Header and Inlet • Backhoe/Excavator Installation Instructions The instructions for installation of EZflow products are given below. This product must be installed in accordance with state rules defined in chapters Comm 82 through 84, Wisconsin Ad- ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design manual 1. After the local health department has determined sizing, configuration, and layout for the EZflow systems, stake or mark with paint the location of trenches and lines. Be careful to set correct tank, invert pipe, header line or dis- tribution box and trench bottom elevations before instal- lation of pipe bundles. 2. Remove plastic EZflow shipping bags prior to placing bundles in the trench(es). Remove any plastic bags in the trench before system is covered, 3. This product must have geotextile fabric that meets re- quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code, installed directly on top of the product and extending down along the sides of the product to a point at least six inches from the bottom of product. 4. When installed in a trench, the trench should be dug to a width of 36 inches. This not only saves labor in excava- tion, but also provides better load -bearing capacity after backfilling is complete. EZown by INFILTRATOR 5, The Absorption area (SF) necessary for a given site shall be sized based on maximum daily sewage flow (GPD) and the Permeability for the site. If certain criteria is met, the EISA sizing can be used in Wisconsin, resulting in a 40% smaller drainfield. 6. Place EZflow bundle(s) in the EZflow configuration ap- proved by system design permit specified for the particu- lar site. The top or center -most bundles containing pipe are joined end to end with an internal pipe coupler. Any additional aggregate only bundles that may be required, should be butted against the other aggregate -only bun- dles and do not require any type of connection. The top of each GEO cylinder contains a filter fabric pre - manufactured in between the netting and aggregate. The fabric is inserted to prevent soil intrusion, The installer shall make sure the the GEO is positioned upward and is in contact with the fabric contained in the adjacent cylin- der before backfilling. The EZflow Drainfield Systems should be installed in a level trench in all directions (both across and along the trench bottom) and should follow the contour of the ground surface elevation (uniform depth), with all continuous adjoining 10-foot cylindrical bundles placed end to end, with central bundle distribution pipe interconnected, without any dams, stepdowns or other water stops. 9. The trench top shall be graded such that water will not pond. Bac"li should be seeded or sodded immediately after completion to reduce erosion. 10. EZflow EPS bundles are flexible and can fit in curved trenches as may be necessary to avoid trees, boulders, or other obstacles. 11. EPS aggregate is lighter than water, therefore, it might be expected that natural buoyancy forces would tend to cause EZflow assemblies to float out of ground when pending occurs. Field experience has shown, however, that this is not a problem when systems have a minimum of 6° of soil cover as recommended by manufacturer. 1203H-GEO n—rextile r Material .......................................................................................... Page 7 PAGE 4OF4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin•. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin, Code, Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BODS 5 220 mgL-'; TSS _S 150 mgL"; FOG 5 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS type of use age of system o nuisance factors (i.e. odors, user complaints, etc.) c mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) extent of ponding in distribution cell prior to dosing dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids In the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(sl shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Schmitt & Sons Excavating, Inc. Phone: 715-760-0486 Local government unit: St. Croix County Community Developement phone: 715-386-4680 Local government unit address: 1101 Carmichael Road, Hudson Zlp 54016 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Page 8 Owner/Buyer ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Kirk & Janet Lawler Mailing Address 2375 Delong Road Property Address 2375 Delong Road (Verification required from Planning & Zoning Department for new construction.) City/State Osceola, WI Parcel Identification Number 032-1016-60-000 LEGAL DESCRIPTION Property Location `S E '/. NE 'A Sec. 6 T 31 N R 19 Somerset W, Town of Subdivision N/A Certified Survey Map # Volume Page # Lot tt N/A Warranty Deed # 3"�> (2 (before 2007)Volume (yAD , Page # f M Spec house ❑yesdto Lot lines identifiable Dyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification forrn, signed by the owner and by a toaster plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. Uwe, the undersigned have read the above requirements and as= to mountain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning At Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ))Number of bedrooms 3 SIGNATU OF APPLICANTS I DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning At Zoning Department. "• Include with this application a recorded warranty deed from :he Register of Deeds Office and a copy of the certified survey tap if reference is made in the warranty deed. (REV. 04/12) Page 9 Property Owner Lawler, Kirk & Janet ^an..e; z xi G32-1016.60-000 Page 2 of 4 3 Boring 0 Boring ^.^r fa-(cr Pit Ground surface elev 96 35 Depth to ,mg 9" in S ei APplieal,c.r.. Pate Horizon Depth Dominant Color Radox Descnonon 7eaue Strucure Donsisteme Souroa-y Roots GPDrfI' m Munsell Ou Sz Cori Coor G' Sz. Sh. 'Ee1+ •E"u: 1 0-9 10yr3!3 none sl 2mgr mvfr as 2rn,2f 0.5 1.0 2 9-28 10yr4/4 none sl 2rnsbk msfr gw 2v1 0.6 :.2 3 28-46 7 5yr4/4 none Is Osg m c, I"f 0.7 1.6 4 46-60 lOvr5l4 none grcoS 0Sg m cs -- 0.7 1.6 5 60-96 10yr5i4 none s Osg III! --- 0.? rOUJL�7U1uy� • S�'SkY4'�1 It = y Boring _I -�Wj }�� ' "ak,1501 Boring R ta,t Grouno 5u'face elev Depth to rr•rpn_ /act° ,o� :pphca!irr Rate �or¢on Depth T Domman( �ofCr Munsell Redcr Cescnofrn Ou Sz Cznl ;ninr 'extare svr vure Ccns.slen C9 F 0.,.,a, S' -S2 c1 JL(s GPOP. -E"x, 'E"sp Boring x Boring Pit around surface elev. _ it Deptt n ,^ruing factor _ Sri appl:ranc- Ppl? Horizon Depth !r Dominant Color Munsell Redox Desevoncn Ou Sz. Cont Texture Structure Coissenc? Bouroary G, Sz Sh ?oils GPD fl' ' Effluent B1 = BOD,x 30 , 220 mg,L and TSS >30 : 15. mg L ' Elfluerd k2 = BOD. <. 30 mot and TSS - 30 mgtL the Department of Contmmc k un tyuui oPpnLur. t. -ur•. I:z rn, n,ct .m_ climt," .r It -11, A—'Ian..c i' i."— •cn n.•ra n•.alerial in.u, altcntaw lornai. ; ..o wa,t!II: J:..urr.l�!.a ay._oh.t , x.'61•e"" St Croix County, WI Conducted for Kirk & Janet Lawler 2375 Delong Road Legend Osceola, WI 54020 ewe ,.unY Rrvrn PID. 032-101 G-60-000 SE1l4 NE114 S6 T31 N R19W Town of Somerset Conducted by. Thomas J. o hr iitt CST 22 20 DM 1 100 00' Top of vent pipe on existing drainfield 5/28/2020 BM 2 90 1 ;' bottom of siding on detached garage IYk .,fit "i tA,:,., .aa PRIVI 'Al Al a' t xl5iMf4 y X5A'[IRp _ h •I• •�\_ r — � •� •9K Mi y ur I'HIaWO:.[[1 pFAIh41Ylp •�°� N x: L� UI1,.1 nIA1L Ix lY„e. nNp I4 tro, 94.}tbMttd 1.. 1>< �..ruuhc .n¢�ot a„rm,L or unY,Yb, an( .Witmq Mn wtl,tlb reSp.uIDLd1}aIM, _ nlUt r St Croix County, WI Legend IJ 0 KIO 1000 150uh n Pa 1 �H 1(e � Ni� .. ip� � r• n � ��n � ' to .+S + •'.y , r,y. �F �~ �I 1 ~ •� ��I~ R9�.4t,4 i�i I.,yy Mtn pl CD IN •s. q M � S e �1 N ai I 1 yA ." MSCUINEA TIia maps nd qq 5oq V wio De � � i �r amunte, cmect cwrad. a rnnduabnaaawnareUrmlpw..�Nyoiure ana � . f M1 iy` `�i•.- r REPORTAS BUILT SANITARY SYSTEM • �/ • rr • • r r -Distances & dimensions to meet requirements of PLAN VIEW • •• FEET SYSTEM -OF ■■■■■ ■■ NEW ■■■■■■■■■■■■■ISO ME NONE ■ ■■■■■■■■■■n i■. W:EEMM ■■■■■■■ ME WF5=0�w ■■■■■■■■■■■■■■RN0Fii■■■■■OMEN N WIN. ■■■■■�■■■■■■■E■■■■■/al■■■NEE■■ ■NEE■■■■N■■■■=mom in■■E Ee■E■■EE■■■■E OMEN ■E■■■■■■■■■ iiEEEEiii �ii■ i■ i■ii ■ ENO mom M■EEE■■ME MEMO EMEE . EPTIC TANKS) MFCR. �,/%% �. CONCRETE STEEL To. —Of rings on cover Depth /Z „ DRY WELL )UCHES NO. of width length area J no. of lines_ width lengthy_ area Oepth to top of pipe a a6REGATE SL-"?k C�.--u-�-G.@fd. AK RATE .5 AREA REQUIRED fit 4' AREA AS BUILT j�yCA lisclaimer: The inspection of this system by St. Croix County does not imply complete .•Vliance with State Administrative Codes. There are other areas that it is not possible ,o inspect at this point of construction. St. Croix County assumes no liability for 4stem operation. However, if failure is noted the County will make every effort to .itermine cause of failure. OASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEtt. DATED12Q2_��f PLU:ffiERVONvJOB LICENSE NUMBER_ Z " REPORT OF INSPECTION - TNDIVIDt1AL SEWAGE SYSTEM K{{ Sanitary Permit � • State Septic 5y9.9 ; NAME Township J"_nliliezzSt. Ctoiz County ' Location 5(,il,cj �j(� Section � _ SEPTIC TANK —fir SizejalJO_gattons. Number o6 Compattmenta—� t Distance Ftom: Wert 2 f _6t. 121 ox gteatex atope it I BuitdingOr (2 6t. Wettands Nighwatet 6t. DISPOSAL SYSTEM Distance F)tom: Wett '0 6t. 12% of gneatet atope 6t. Buitding6t. Wetlands Ft. Nighwatex 6t. FIELD DIMENSIONS: Width o6 txenchSt. Depth 06 tack below Cite Length o6 each tine _it. Depth 06 rock over tite .Z in. Numbers 06 tines z Depth o6 tite betow gnade.? i�in. Totat Length o6 tineaCj�V 6t. Stope o6 tteneh Z in pen fro 6t. Distance between tines—L—it. Depth to bedrock 6t. Totat abzorbtion aaea_kg'�6t2 Depth to gtoundwatet 6t. Requited atea /,$— it Type o6 Cover: Papers t Stnaw PIT DIMENSIONS: Numbers o6 pits Gtavet around pits_yes_no Outside diameter 6t. Depth betow intet 6t. 2 Total sonbtion area 6t . 2 Area sequined it INSPECTED � ITLE APPROVED ,DATE 197g. REJECTED ,DATE 197_ z a m