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HomeMy WebLinkAbout030-2124-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 463285 0 GENERAL INMRMATION (ATTACH TO PERMIT) State Plan ID No. Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Phipp Robert I St. Joseph, Town of 030 - 2124 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /RangelMap No: /47.5 /07 _ '8l / tM s C 25.30.20.1010 TANK INFORMATION V O TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. J Septic Be hmark �. �0U Jzr t1�1 l 1775 Dosing v Alt. 3 p / 7 71 7 � - LL/ W d{.,IC -- Aeration /,� 1_ BIdg 2 � _ /a y g / 4 a D � 7 Holding 4 St/Ht In t VO O .-V St/Ht Outlet TANK SETBACK INFORMATION — r ! -U TANK TO P/L WELL BLD . Vent to Air Intake ROAD Dt Inlet jr Septic / r Dt Bottom Dosing / _. / Header_ /Man._ P47- rOq Aeration Dist. Pipe /3 1 ) iCN a1 A�' , o • Holding Bo}. System Final Gra PUMP /SIPHON INFORMATION - 3 4 - 4! if Manufacturer De and St Cover 3 7/ '` rn. J. J 3 Model Number Z I'l/l —din TDH Lift Friction s System Head F FI — ­Ft Forcemain L" th Dia. Dist. to Well Z SOIL ABSORPTION SYSTEM y J _�a BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO U � G P/L BLDG WELL LAKE /STREAM LEACHING t odel INFORMATION / CHAMBER Ty e Of System: // \ �y � Nurnbe c DISTRIBUTION SYSTEM Header/Man ifpld Q Distribution It x Hole Size _ x / e Spackpg ^ "Vent to Air Intake V 3 Pipe(s) p I I�/ t - Lengt / Dia Length Dia Spacing dy ., SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only d Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil Yes i ' ( No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:�Q /�( Inspection #2: ! / Location: 1329 Birch Park Road # ) on, ^ W� 154 (Unknown 25 T30N R20W) Birch Park Lot 6 Q Parcel No: 25.30.20.1010 1.) Alt BM Description = �r, C A) u t�/y �J ` ►'� �� n�u= - -ri � -- ��� 2.) Bldg sewer length = 'j� dtt G/ •Esr�� Lo�nir� - amount of cover = � / Use other for in Yes No r _ formation. � SBD -6710 {R.3197) Date t In, ,S+gna Vr�e�Q ��n �r,,' L �� t7S < C�; •�Jo� Safety and Buildings Division County, 1 t x ,� „ 201 W. Washington Ave., P.O. Box 7162 flL +�sconsin Madison, WI 53707 - 7162 Sanitary Permit Number (te be filled in by Co.) De artment of Commerce (608) 266 -3 6 S 2 e - Sanitary Permit Appli ati cafe Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal in rmation you rQ,vi may be used for secondary purposes Privacy Law, 15.Q4(� G Project Address (if different than mailing address) I. Application Information - Please Print All Information ( GR O�F1G� # 13 z °J F3J t? R 4 . Property Owner's Na me Parcel f/ Lot Block # Rcib-� Ph', s o a Ia t - Property Owner's M ailing Addlesi Property Location `S'-1 3A S - -C, C City, State Zip Code Phone Number '�"+ ` '�< + Section 25 l C k�Y l G j J<j o, y (circle e) II. Type of Building (check all that apply) S T N. R Z� E Ptr' v- �a+nn. V l or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number El Public /Commercial - Describe Use / Pto± c � &Irc+ ) C ❑ State Owned - Describe Use ❑City_❑villa_ge'lowns ip of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System y p y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. El Permit Renewal El Permit Revision 11 Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner I * Type of POWTS System: (Check all that apply) Non - Pressurized In- Ground El Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil El At-Grade ' 11 Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter XLeachiV ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: I Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Pro os d (sf) System Elevation i Cod . /moo 13 Y �DSd VI. Tank Info Capacity in Total Number r Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units � —/00 Concrete Constructed Glass New Existing �Llo Tanks Tan •{-L t7�'' Septic vF44okling Dosing Chamber / VII. Responsibility Statement- I, the undersigned, a to responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Si gnat a MP /NWR�&-i`3umber Business Phone Number P V (L' Plumber's Addre ss (Street, City, State, Zip Code) VIII. County/Department Use Onl Approved ❑Dis rove Sanitary Permit Fee (in Ludes Groundwater Date Issued Iss ing ent Signature ( Stamps) Surcharge Fee) ❑ O n Reason r Denial IX. Conditions o ppro /R ov SYSTEM 9 SWc tank, effluent filter and digpersel cell must all be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) 1872 SOIL EVALUATION REPORT Page 1 of 4 Wisconsin Department of Commerce A.C.E. Soil & Site Evaluations Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 %x 11 in size. Plan must include, but not limited to: vertical and horizontal reference ection and Parcel I.D. )� 030- 2124 - - 000 percent slope, scale or dimemsions, north arrow, and loca die ion% t road. please print all information U Re "ewed 4 Date personal information you provide m be WY . m)). Ti S� Property Owner Property Location Govt. Lot 114 SE 1/4 S 25 T 30 N R 20 W Robert Phipps Lot # Block # Subd. Name or CSM# Property Owner's Mailing Address 6 Plat Of Birch Park 8434 Spruce Crt. � City i� Village ✓I Town Nearest Road C • Ste Zip 1 r Birch Park Road � 1329 Victoria St.Joseph I VI I � New Construction 7en PD Parent material Glacial drift Use: y/ Residential / Number of bedrooms 4 Code derived design flow rate ✓� Replacement Public or commercial - Describe: Flood plain elevation, if appl General comments and recommendations: See attached Memo sheet at page 3. Install four trenches at 3' X 62.5' Chambers at elev. = 105.00' 047 using forty 1er Boring # Bori ng >98" in. Soil Application Rate y� Pit Ground Surface elev. 107.55 ft. Depth to limiting factor GPD /ft Horizon Depth Dominant Color Redox Description Texture Gr r$ctuure Consistence Boundary Roots *Eff #1 *Eff#2 in. Munsell Qu. Sz. Cont. Color ml cs 1 vf,f 0.7 12 1 0 -2 1Oyr413 none Is Osg 2 2 -54 10yr4/6 none s Osg ml cW - 0.5 1.0 3 54 -98 10yr4/6 none Is & s 1 msbk & Osg mvfr & ml - - 0.5 1.0 H#3 consists of many stratified layers of 10yr414 Is & 1 41 s too numerous to differentiate. Loamy sand bands are somewhat cemented in place, reducing permeability of horizon. Proposed soil application rate adjusted to reflect reduced permeability" E Boring # � Boring >109" in. Soil Application Rate l 1e Pit Ground Surface efev. 111.26 ft. Depth to limiting factor Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Ef GPD/ftz E in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -2 10yr4 /3 none Is Osg ml cs 1 vf,f 0.7 1.2 2 2-47 10yr4/6 none s Osg ml cw - 0.5 1.0 3 47 -109 10yr4/6 none Is & s 1 msbk & Osg mvfr & ml _ - 0.5 1.0 H#3 consists of many stratified layers of & 10yr416 s too numerous to differentiate. Loamy sand bands are somewhat cemented in place, reducing perme ility of ho " on. Proposed soil application rate adjusted to reflect reduced permeability. < 150 m L * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L * Effluent #1 = BOD ? 30 < 220 mg/L nd TSS > _ 9/ CSTAlumber CST Name (Please Print) S re: / 3602 James K. Thompson Z , Address A.C.E. Soil 12/13!2004 l & Site Evaluations Date Evaluation Conducted T elephone Num ber r 15 - 248- 7767 340 Paulson Lake Lane, 0 la, WI 54020 Property Owner Robert Phipps Parcel ID # 030 - 2124 -60 -000 Page 2 of 4 3] Boring # Boring ✓� Pit Ground Surface elev. 108.21 ft. Depth to limiting factor > 104" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -2 10yr4/3 none Is Osg ml Cs 1vf,f 0.7 1.2 2 2-69 10yr4/6 none s Osg ml cw - 0.5 1.0 3 69 -104 1 Oyr4/6 none Is & s 1 msbk & Osg mvfr & ml - - 0.5 1.0 AI S`Z H#3 consists of many stratified layers of 1 Oyr4/4 Is & 1 Oyr4/6 s too numerous to differentiate. Loamy sand bands are somewhat cemented in place, reducing permeability of horizon. Proposed soil application rate adjusted to reflect reduced permeability. F-1 Boring # I 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 a Boring # Boring f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 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. SOIL AND SITE EVALUATION 1872 Page 3 of 4 PROPERTY OWNVR: Robert Phipps PARCEL l.DJ 030 - 2124 - 60-000 A.C.E. Soil & Site Evaluations REPORT MEMO Site consists of alluvial sands & loamy sands eroded from surrounding slopes of >20 %, resulting in stratified and mixed soil materials & colors throughout horizon. Soil application rates have been reduced to reflect permeability restrictions associated with soil variability. Site appears to have been cut and regarded. Disturbance appears to have taken place quite some time ago as evidence y re- vegetation o site and creation of thin A horizon. Limited area available for installation of septic system dispersal cell. Recommend utilizing all available area for primary system installation to maximize system life. Original soil evalliatioA #ar ubd- Vision aporoval to be used as replacement system area. R ecommend installing combination septic tank / pump chamber in anticipation of future need for required dosing to reach replacement system area. Additional soil testing may result in a replacement system area more suitable to building location. ■ Soy/ ��/a/uafia� ' • �o� gotr� y .safe ca /,C. ¢n 7o�v o /off Ste f�ssccrntd elecr. _ /oD.�b.' CBS. 9e, V C� r T•10 -� 8 /'aZe 5fa �e � ,� 1rr0 Ina, ! a�Q Co1^ner, C-'lc _ /to. $'by Sui ✓e a 7r� 0\ 83 \ io9,0 'g 3 Pg.�laF� r Robert Phi 030- 2124 -60 -000 Page 2 of 4 Properly Owner PPS Parcel ID # F Boring ' # Boring Pit Ground Surface else. 108.21 ft. Depth to limiting factor > 104" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -2 1Oyr4 /3 none is Osg ml Cs 1vf,f 0.7 1.2 2 2 -69 1Oyr4/6 none s Osg ml cw - 0.5 1.0 3 69 -104 1 Oyr4 /6 none Is & s 1 msbk & Osg m .5 1.0 AN 2 H#3 consists of many stratified layers of I Oyr4/4 Is & t Oyr4/6 s too numerous to differentiate. Loa rated in place, reducing permeability of horizon. Proposed soil application rate adjusted to reflect reduced permeability. a Boring # Boring Pit Ground Surface elev. 105.82 ft. Depth to limiting factor >86" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -2 1Oyr5/3 none Is Osg ml cs 1vf,f 0.7 1.2 2 2 -50 1Oyr4/6 none s Osg ml cvu - 0.5 1.0 3 50 -86 1 Oyr4/6 none Is & s 1 msbk & Osg mvfr & ml - - 0.5 1.0 H #3 consists of many stratified layers of 10yr4/4 Is & 10yr4/6 s too numerous to differentiate. Loamy sand bands are somewhat cemented in place, reducing permeability of horizon. Proposed soil application rate adjusted to reflect reduced permeability. F 5-1 Boring # J Boring 101 Pit Ground Surface else. 108.88 ft. Depth to limiting factor >93" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu_ Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 1 04 1Oyr4/3 none Is Osg ml cs 1vf,f 0.7 1.2 2 4 -58 1Oyr4/6 none s Osg ml cw - 0.5 1.0 3 58 -93 1 Oyr4/6 none Is & s 1 msbk & Osg mvfr & ml - - 0.5 1.0 H #3 consists of many stratified layers of t oyr4/4 Is & 10yr4/6 s too numerous to differentiate. Loamy sand bands are somewhat cemented in place, reducing permeability of horizon. Proposed soil application rate adjusted to reflect reduced permeability. 1 * Effluent #1 = BOD 30 < 220 mg/L and TSS 730 < 150 mg/L �ue #2 = BOD 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity servi eider erCiployer. 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. r 5 0:/ E ' / o�cper� y .s�fie � r 5Cale VI0.7,!� / �t 65 I Se ' aS eza 3 5u. ✓2yor�. a 63 '6.z cre -� a { 251 S /ope. 0.0 X09,0' RECEIVED JAN 2 4 2005 ST. CROIX COUNTY ZONING OFFICE JAN -04 -2005 TUE 15 :26 ID:STEINER PLUMB & ELEC TEL:715 42S 8816 P:02 .M 1 Mi :RLExRNDER 8, RISS(r.IRTi =5 F*AX hilt. :6517484& ! Aug. 24 ? o7:4BM P9. rm, +15 �w4 e? :tr, FR CUTLER-I.WWR rig % X59 T13 916S1"749427 ---O P.05 o�ii i►ii1 1Y eu "it r�� .,: O"L. CVAL,up►IK)N REMRT ►nw d, ' v, 16lowgl"iFl W ", 06 VAL AAW,, Cadw bwwm fwbdwiaen Mw i �1 adrah+ a:a mar to. ul ■a�r� nvaklfpN�k p�1elpt>f1�IF, roi � �1YrMM1u, nardlMbl, a�i�111rsiWn d tiArlOii bl'�I�MrINb. /IYiM �Mf1At a0' Adiormmdba. 8'■i'""d Iq 15� q■iwlMan■iMn pa$94 WOM v1wArmmw " ppp tv l" w $Wmoo ly�rr0'1i0�rm' Fpwr= ■ Q &a NI $ 112 11i SW 1)4 8 29 1` 30 M R 30 01■�'piar LM ff $Ws IN 10' 10 QW �d is i Dieeb fiat 90 40,080 Ljw 0~ ■ Trlwp "Wflomew t� Ss�il ? ��52 �bunll►R4i1d� " "Wom "m �PF► � • j } Imlilrnbft lAwi�rdp�rlla�wn om _ taiilr�ddw�iiaiv� 4 �liGO, u ftditlw-mmwmw•13 most iM�WW +iw IFA� rriai:u:ri■ raw mdmponob Y� iL . 7bb do 10 mi%We a • b %w Ones nm1#wdoW iiph m i . � i � 'Ae►InQ! �! m 1��m�1A�e�1�1�e.,. j s elm blMiikg*aler A'110 R ah 8L i'roAem pin�ler,Y�OMw, twlrwt lA.mr Cfeniilr.# 11oob sm!f,1t ''� � ti► R ft ' 1 ' •7 5 b 1 mrtlr is 2f 17 3 I j 71,2=0 Lr 1 mvfr a � .7 1J Woo � 7dnlN � ail I.Z i � Iht 44wIdM►twair.,,,,�,,,,",Ii, o�0�bwiigitrMR,,,,.._„"'ln. NaAtan fto ClankgM iA11ie� lt�l �� iBl1dm! C�r�Yire�es Op#dry &Ram UL ar. rt qR. .� 1 7dtpdiNS a 1.2 s>q /11/1®MO 1 Mat 'El�I ■ 5 awd'IOp IQ di TWO- 177 14f7 I lbMt. �A' R► MI i�1►lliltl 71S�AAb•7:i i JAN -04 -ZOOS TUE 1S:26 ID:STEINER PLUMB & ELEC TEL:716 42S 8818 P:OS .p. FROM : RLEliF�IUER 9, W-Cm J RT[- FRK NU. *517 Rig. 24 20104 0 7 : 48AM PR '' �'1K1ft 05 2KW M►.'"W) M CLMM OMER rAi2 W9 5459 TO Qo.a f1rwnntJnc Ih1raAR1 f pmp .3 + • p5 iitandwNMiMr#�Mr� R ptpf+llrlk�Md01 } � il �„_1�+. mob= a** N I Now*" fbo ire MW#no Cir, ft C1" CWW a 7.3A Ift on 7 1.2 a AQ•� 10 7,llYK" s d D — ............. O IL co*ipbmft mor— 1% ------------ Ep4 1i�4� AMprA 9sr N Iwet 1> abaft GWOAWW ftwW Rem ft *n ew ar. fir. ■Ir .� w � "' , ■ >IO r � n�+rrl IN r�O f 11N1 nit. a R71MNrRaR • 5C6 npk OW TO I w4p. "' °S is a few appoftmw wrYion / � gad Mlpfi�. 11,140 bead Nwirarton m SOWN s+..i++�w 6r rid Ntra�1W In An �11MM1w , �inln m11r01 Art �peM14 dAA.'1!'b31l1 ar TTY iDS77'/. �SwNMM� 1 JAN- 04 -200S TUE 1S:27 III:STEINER PLUMB & ELEC TEL :71S 42S 8818 P:04 .. FROM !PLE*NWR X,RSSOCIRTES FAX NO. :6517494`r�2e Aug. 24 2004 07:49AM P3 h as 2M 07 FR cWL1R- 11RhNER 54� TU 9165144 227 - -- A P.® o L04 .. oil L40 Sm l Top "loo �• 133 'Ll. -7 JAN -04 -2005 TUE 1S:27 ID:STEINER PLUMB & ELEC TEL:715 425 8818 P:05 • FRaM : PLEXRNDER & Fb'SW I H7 E'S FRX NCI. : F517484227 Ruy. 2 4 P" R7: 49M P4 Mt1R 05 X04 07 =55 FIB QM E-WtVt 612 930 54518 Tb 9165174lR4P. - ---kl P.04 1, �= 1 4 Tap jec.a.,r 0 100i *Q • at'1� . � r �+ toB ► �� az M AI, 1 00 #71 • AAE&V /w*9 ! po of G, � I �v'�M tom 1 OV risr?,; A41MC 3� • d y . , © vulmm a Auv*a wa. " too I JAN- 04 -200S TUE 15:28 ID:STEINER PLUMB & ELEC TEL:716 42S 8818 P:01 Steiner Plu mbing & Elec tric, Inc. N8230 945th Street Phone 715- 425 -5544 River Falls, WI 54022 FAX 715- 425 -8818 III 'I � �,II POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner 6 -T-- F U Septic Tank Capacity a l ❑ NA Permit # 2 Septic Tank Manufacturer Wf'jS -Pr ❑ NA Tip 3 DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model A _Z06 ❑ NA Number of Public Facility Units 9 NA Pump Tank Capacity a l ❑ NA Estimated flow leverage) al /day Pump Tank Manufacturer w ❑ NA Design flow (peak), (Estimated x 1.5) 06 g al/day Pump Manufacturer Z o el Prr ❑ NA Soil Application Rate g al/day/ft' Pump Model f �'z ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) <_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter 5220 m /'UDh e Biochemical Oxygen Demand (ROD g/L ❑ NA ❑Mechanical Aeration ❑Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cells ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L In- Ground {gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: E3 NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑❑ year(s) (Maximum 3 years) ❑ NA When combined sludge and scum equals one -third ( of tank volume ❑ NA 13 Ma"th(s Pump out contents of tank(s) Y) g q 3 Inspect dispersal cell(s) At least once every: ❑ Ye F - (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ month(s) ❑ NA �` Est Inspect pump, pump controls &alarm At least once every: ❑ month(s) ❑ NA GI yeal ( 91- Flush laterals and ressure test At least once every: ❑ month(s) NA p ry ❑ Y ear(s) A Other: At least once every: ❑ month(s) ❑ NA ❑ yearls) Other: ❑ 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 Restricted 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 one -third (Y 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, 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. GMW (4/01) START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other of that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected helve the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area 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 POWTS: 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 fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely 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 properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant 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 required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable 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 available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Named L /-vim Name Phone �SZS. Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY �� ,.- y Name Name � CQ o6 C AA t � W Phone Phone (S ? • ( o rb This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. I FROM :ALEXANDER & ASSOCIATES FAX NO. :6517484227 Nov. 17 2004 08:55AM P2 NW 16 204 ! :00 FR CUTLER Er12 �3g 5456 "ro 9lES1 ?4 rnrr .nhiwn• w .— 94227 -- o P.82 1 Nau 1'£' Q# 08ta7. IA�px�Relar i mesoostatf is 6S 7 . 0 p 8 5676 . new�� �f �I , ma�r6lNp�r h.� � o.rtc .� �,:._.....:_.:�....... _. ,...,.,,i.,s � ► �.. sa :• an on r,a� f ' ' liW'S7G TAMC 1r1+1�t11UNg6 AMtINT tirwa�rraal�..�— � � ice.. +1.w�/.�� A.r�. •++.rte +ii. ���.�„ ' M101hW Ate, ,.., .._� 4-1 ._ all, TUl A .... Mhj55 u cp 3OWN 11"�oA� ck~ c it. d ,0414 luvwx# P, 1wlialNfe Nit+tNt�bar,,,....� — 7 41 pwrA r l mmd m .... 5a, .. 'i . seq. `...'r --- if x _w, Tom or--- ,....__.«. 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W1 ]kMl Trrrcm Porw Gt'7 WW J FROM :ALEXANDER & ASSOCIATES FAX NO. :6517484227 Dec. 29 2004 09:25AM P1 1210164 From: Todd Anderson Alexander & Associates 65 -4256 OFFICE 651-748-4227 FAX Tod Andorso almrider- asgoclates.cym Too Zoning Offlca /Monaca Pagesi 2 te•tal Zoning Office, Here Is thgr registered warranty deed that you requested for lot 61n Birch Park. 1 need this before 1 can pull permit and 1 am ready to Igo. 1 would appreciaite your Immediate attention to completing the styptic permit. (Plumber Is Stainer Plumbing) If you noon anything also you can call me directly at above numbers. Todd FROM :ALEXANDER & ASSOCIATES FAX NO. :6517484227 Dec. 29 2004 09:25RM P2 r • w, 313s� STATE DAR OF WISCONSIN FORM I - 1998 KATHLEEN H. WAL,SH I' ' WARRANTY DEAD ,{ REGISTER OF DEEDS 1� ST. CROIX C o., VI odoument Number RECEIVED FOR RECORD This Deed made bef,,torn Birch Park, I.LC,' a.- Minne.eota— 1, litr_iteW 1i.ab11 Ltv cam oan {I WARRANTY DgED ,� EXEMPI # Grantor. ;I ttEC PfEE: ii. OH i and Robert Phi.pp and Ma r ,ja Phipps, hug and anc wife Il TRAWS.FEE: 389.70 {i it PA04s; 1 Gmnteo. I Grantor, for a valuable eonolderatien.- conveys to C ntee the following !. 11 described real estate In ' ' I' . C roix Co nry. State of Wlacensin �l f (the `Property): i i faecor4h Amn -- �j {� Name grid Reltun Address + Premler Title Insurance Agency - !! if 7300 Metro Blvd., #300 j Rdirf a., MN 55439 ` Lot 6, Birch Peek , 030- 2124 -60 -0 I 00 t PISMO! Ider0l9callon Number (PIN) j This : Ls no cno c homestead property. I (Is) (is not) �'a Together with all appurtana tit rights, title and Interests, ' I Grantor warrants that the t!I le to the Property Ia good, Indefeasible in fee simple and free and door Qf encumbrances ekeept' i ji Dated this Qd day of February Q04 1 Birch I (SEAL) By. (SEAL) II Jam Wate>•s, Chiaf�IKsitrtge>c �l \ �I (SEAL) (SEAL) f W • 1 i AUTHENTICATION ACKNOWLEDGMENT 5lgna[uro(s) f State of W0110512lu Minnesota r y+ i� Count II authenticated this day of Personally came before me this day of II February ,2QQ4 the above named a mea . aatH & e .�tanagar.sai__.. ^___ Birch Park, LLC, a Min e� sot4 a Mi tga * liability com pany, on behalf of the ( I II TITLE: MEMBER STATE BAR OF W ISCONSIN 3.1mited liabi.�ity ...__ _ ._... to � (If not, ' me known to be the person —who executed the foregoing l , wthorl ?ed by §706.06, WIA, SiAfi) h*73711 e. �y, �y� ep� ,px UIUREN(:rr HARRY f1UtIUCNpN ,k THI51N � j �H�E31�C1f1 dt 1'l�Ilii, P.L•L.P, ;A II 7 ,Metro Boul ud, Suite. 300 ��� ,p�k * ut Colamr^,s�dn (ipireF Jan ti �j ra1nRiv Aft" i�.AM AIMMiMAAAAis�•`. w,' ( Ed ina; Minneso {a 55439 -2302 Notary Public, State o LI6f>sae fen M " HN eSvr.4 — My commission is ermanent. (If not, state expiration date: (Slgnpturon may be authenticated O r acknowledged. Both are not f - 3 nocassnry.) II * Names or persons ^ signing In any w tr n-aat hit typed or primed below their elan.tyro_ _ _ . — Ls � x- ....- ...� _ µ, ___ c _._ —• - -• — ^,,. - -.,- c�I STAYH BAR Op wiscoNslN Wleaonaln (eBa Mw* Co., Inc. 1, WARRANTY D11110 row Ne. I — 199a Milwaukee, tMs. I, PLAT I OF• BIR C H PARK Located in pat of SW 1/4 of the NE 1/4, and the NW 1/4 of the SE 1/4, and the NE 1/4 of the SE 1/4, and the SE 1/4 of the SE 1/4, and the SW 1/4 of the SE 1/4, and the SE 1/4 of the SW 1/4, and the NE 1/4 of the SW 1/4, and the SE 1/4 of the NW 1/4, all in Section 25, Township 30 North, Range 20 West, Town of St Joseph, St. Croix County, Wisconsin. �1RING REFERENCE lino of the SE 1/4 of Sec. 25 sumed Dewing of South 89 i minutes 59 seconds West. 0 50 00 SCALE IN FEET 200 (SEE SHEET 2) tom- / . . , - -- MATCH LINE B I i sea•14'2s•w � —�. se6'37 I 56S I+goo. 1 1, 70116' 1 W S2j �,IJ 442 t® f LOT 27 ,�hti ,h, +.1031 over LOT 5 a / �' . �-� ! SOt Dace � �' �b - � /� � 4d les,ea s4R $ y � 4.A caw � 1 l 467.16' LOT 25 ; '� ; ,► M 3g1.,Y 134 64 It � 'tic q.� N69'26"59'E ' l , / ' % p • 465.W -SE1�4 ® �3J ' �0c 1LW � s N88'1 - SX g - -- to2_6s � _ -� / ® /i Dta6 �� . a, i N Nt n, N i OT X 26 / STREET :'% LOT I ST 6 m I / a �- 102 cow ®,- , -�=-- � � -' LOT 149911 IL 102.63 ® $ / SN a oaun- �_c�777 \ t /�' N89'1riS'W tAgWr N6J•51 / / l y�� -' No 26 ' 1 _- +2 ?.RS / • ,// - / -�` 1�' p 604AW A l i / 124vont� s 11 s• i I E - a LOT 12� j. w LOT 7 1 23, 21' _1♦g ,,,,� 1.11.410 sQ R h 1' M s S 'k °r' �/3 �'' 0 7,1053 It at? W" l0 N83'51 24•ty I rR toi Dow t ry ' s7 a N6L�dIQ ih =I N69'M'S9'E 441.67 44.17 667.16' 930 , t _: f - H 2ssia• T N89'26'59'E 711.28' sool"T �1 a g U') W t 9""7 1 ' o h I LOT 11 LOT 8 HIM 3411. a 1 51661 nit 1 ~, 48. / g � AI 'ti- - -- SSJ aaee 64.1 ^yti Z i la '0 S673'19'w 627.97 654 I 603.76' 670.31' 37' u T N89'26'59'E 1282.09' , At. 31 / ry ' " ' 1 \ LOT 10 LOT 9 os 0 1443! nit 2n ' / ''�` '-/ , $ \ 1.07 arw Q ��J77fff 1t Will \ g l rl , s 107.01' / a SEC Qt �; AIf nrKw4r tAY1pl- id 1 t. 30 K - 74.16 42 0. 4 ee4.or / q 11TH Aye 99.85' -soust 1/4 cale[x a $$9'26'S9'W 1296.08' ` uNC a ts[ K 1/4 p �. F2 SCC IS, r. b K R 20 w Cr 2C 26, r. 30 N. R 20 w t-- S88e14'03 t„i„,,,,,,,, eou"ry „� 11L1 , n L 0 T 1 C. S . M . VOL. — — _ 6 PG_1590 _ r ------- - - - - -- " "' - - - -- �NPLATTED LANDS UNPLATTED LANDS �� / ' j p — ,— — — — -- 1 r C CIA C7' L � AL 0 oQ G n 411 b / ry r � 40 ;p / ;S: \ &� O q q �� ..4- Z I �v AL 4 z� c r Ilk