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HomeMy WebLinkAbout032-2133-70-000 r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430136 0 GENERAL INFOF'urATION (ATTACH TO PERMIT) State Plan ID No: Personal information youyrovide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Fox, Mike I Somerset Township 032 - 2133 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /Qd- D F%''1 01.30.19.1186 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic l 07) O Benchmark 2. 0 ( / 00. Dosing & S—D Alt. BM Q !�v -4 •--tv Aeration L j r 1j.. , Bldg. Sewer 03 y , l-� . SS a�? Holding SU t Inlet ��, �� r7 �rS St/Ht Outlet TANK SETBACK INFO A�'ION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > .� t D / Dt Bottom Dosing kk � , Head — er/_ an. Aeration N Dist. Pipe s S'f IF Holding Bot. System• ,f q/.3 �, f Final Grade PUMP /SIPHON INFORMATION Manufacturer GP and St Cover �� Z� - Z Z T Model Number TDH Lift Friction Loss System Head TDH Ft w"tW�, �� • � o3•�f 9 Z " Forcemain Length I Dia. Z . t Dist. to Well J SOIL ABSORP ON SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Li uid DIMENSIONS l� 76 SETBACK SYSTEM TO P/L JBLDG ELL LAKE /STREAM LEACH' Jfacturer: INFORMATION Typ f System: t r CHAMBER D! UNIT odel Number: DISTRIBUTION SYS Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length ` Dia �' 1 1-ength -7 3 , Dia 1 • Spacing / 0 - l it * 3• 2 SOIL COVER x Pressure Systems Only xx Mound +t-Grade Systems Only Depth Over Depth Over xx Depth of LA 1 xx S ded�Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No ;Yes F COMME TS: (In u co a dis rg epencies, persons present, etc.) Inspection #1: 1 // Inspection #2: e/. D0 ;r fie.,/ o% �C1 �bcation: 851 174th eq Somerset, WI 54025� (�N 1/4 SE 1/4 1 R19W) Rocky Ridge s s L t 1 Parcel No: 01.3 .1 .1186 1.) Alt BM Description w� S - t ' 1�o•w��7�. GAS�+�"•� 0�� 1-Y 2.) Bldg sewer length = / - amount of cover = - t 2 revis Plan f I r Useothersdeforadditionalinformation. � v �___,I Re No SBD -6710 (R.3/97) Date Insepctor's Sign ure Cert. No. Sanitary Permit Application Safety & Buildings Division 201 W. Washington Ave. In accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application PO Box 7302 lV isconsin personal information you provide may be used for second u ose !�ubmit ld f Madison, WI 53707 -7302 Department of Commerce p competeorm to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary �itary Permit Number ❑Check if revision to previous application State Plan L D. m I. Application Information - Please Print all Inf mation Location: / Property O/� w�neerName Property Location 1��6 M /L 1�6k /J4 1/4:!�E 1/4, S I TWN, R R(or) W Property Owner's Mailing Address Lot Number Block Number City, State Zip Code hone Numb Subdivision Name or CSM Number Rl &, ETAMIE II. Type of Building: (check one)� ❑ City � 1 or 2 Family Dwelling - No. of Bedrooms : ❑Village ❑ Public /Commercial (describe use):_ )'own of S� �'-1- ❑State -Owned /' �pLtircd �o �X7S � Gh 6r Q •� Neare ' Parcel Tax N be s) 3; IiYL III. Type of Permit: (Check only one b on line A. Check box on line B if applicable) O / — 70 — A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Z� a soi`/ ❑ Non - pressurized In- ground Mound — ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. DispersaUTreatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Yroposed Rate (Gals. /day /s ft. (Min. /inch) Elevation ySo �lS n //Z `fS no, 1. /S 97. 9 " V VII. Tank Cap city in TO I # of Maubfacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks, Con- Con- glass New Existing �� crete structed Tanks TanksY Sep Ti e- 16N6 f d 1 K-<, bn -sr I A00 VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on a attached plans. Plumber's Name (print) ber's nature (no stam /MP o. Business Phone Number 2Z32�/Z 7 IS Za y - 31 I Plumber's Address (Street, City, State, Zip o P Q- &k 29S E fiSSE'e W( IOC f IX. C unty/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued sluing )kgent Sign stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) 1 Determination 3 oZ S ' ' P / 3, 1 /)o 3 X. Conditi /Reasons fo�Dis� 933 !41 SBD -6398 (R. 07/00) Al la F© Y- 'in Tim ,Z AMA bROV ' 1VKI lly S -1 -r -3a S �d25" ZSY i Gt�RfI�C- BE D900 thwSE , lam'" 2• •)bM 6AL 1 KS SDITIC TA Q(3 - .C' 1 0 $Db &09L WtaS L 4s� CtJA �2 1 F Afgm lob ' 2 K Fot�r-FmAP � D 1 � A 13E,kV1ORK j - MP aF t' 57H i C,c9 wZl &L=1 A ByjbAmflp-K 'I 7bi� o FEr � GlcT IN S.. g L DT CbKNCR- 4� - J D Z . CO P Y .- 3u8•�� ' .N1 �Z Safety and Buildings At 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 erc isconsin www w ww.commerce.state.wi.us/sb i n.gov .wiseonin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 24, 2003 CUST ID No.223242 ATTN: POWTS Inspector JEFFERY V FOX ZONING OFFICE CROSS COUNTRY EXCAVATING ST CROIX COUNTY SPIA PO BOX 295 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 L/ CONDITIONAL APPROVAL 7f PLAN APPROVAL EXPIRES: 06124/2005 Identifi Numbers Transaction ID Noo. . 878 878212 SITE• Site ID No. 660709 Mick Fox Please refer to both identification numbers, 85TH Street above, in all correspondence with the agency. Town of Somerset St Croix County NW 1/4, SE 1/4, S1, T3 ON, R19W FOR: Object Type: POWT System Regulated Object ID No.: 908497 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Condith and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in ��� � chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT OF OF f General Approval Requirements: � SEE CORRLSi • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, exc act the treatment and dispersal are pr e . Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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. JEFFERY V FOX Page 2 6/24/03 The changes made to this plan on 6/24/03 by this reviewer were acknowledged and approved by the system designer. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of cons truc tion /ins tallation/operation. In granting this approval the Division of Safety & Buildings 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Mick Fox Owner's Name: same Owner's Address: 437 Timber Lane Drive Somerset WI 54025 Legal Description: NW 1/4 SE 1/4 S-1 T-30 N-R 19 W Township: Somerset County: St. Croix Subdivision Name: Rocky Ridge Estates Lot Number: 18 Block Number. Parcel I.D. Number: 32-2006-10 .117,711y Plan Transaction No.: VED C OAlAtEr?c1i 25N - Page 1 Index and title D f ING3 Page 2 Data entry AW4L),ENC RECEIVED Page 3 Mound drawings DENC Page 4 Lateral and dose tank J U I N Page 5 System maintenance specifications Page 6 Management and contingency plan SAFETY & BLDGS DI Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Test Designer. Jeff Fox License Number: MPRS 223242 Date: 06/09/03 Phone Number: 715-294-3141 Signatu;;�� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 9 • F Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-443 in -situ sal treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 4.00 Site Slope ( %) 90.40 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) ✓ 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? - � 80.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 10.82 Vertical Lift (ft) 67.53 5x Void Volume (gal) 2.12 Friction Loss (ft) 83.84 Minimum Dose Volume (gal) 16.18 Total Dynamic Head (ft) 31.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) l Total Working Liquid Depth (in) Weeks IManufacturer _:z 1 , 7 I gal/in (enter result in cell B49) Dose Tank Information Efflue Filter Infor mation 80 .00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 1, 7Y 29:30 Dose Tank Volume (gal /in) IA100 Filter Model Number Weeks I Manufacturer Project: Mick Fox Page 2 of 9 Mound Plan View ............. I ........ J ........... Observation Pipe A . . . . . .. . . . . . ... . . . . . . . . . . . . . . . . . . . . . FKK 1/10 B .. A - --XR W ............... B ...... ......................................... ......................................... ......................................... ......................................... ..... ................................... .......................................... ......................................... ................................ ......................................... ........................................ ....................................... 0— L Mound Component Dimensions Down slope toe extension made. A 6.00 ft E I 11.88 in H .00 ft K 7.99 ft B 7 Oft F 9.50 in 1 .00 ft L 90.97 ft 20.47 5.47 D in G 0.50 ft J Ell ft W ft 450.001(ft) Dispersal Cell Area 1 1125.001 (ft) Basal Area Available W 9.00 6.001(gpd/ft) Linear Loading Rate ✓ 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 92.94 (ft) 2 G H ..... ..... .......... F 91.65 (ft) Lateral Dispersal Cell ...... ....... ...... ....... 91.15 (ft) —0 --, . , . - .. - . - . -:: ......... Invert ..... ......... .......... Dispersal Cell Elevation E D:: ..... . ...... ..... ....... ............. ......... ............... ................ ........... .............. .. :. . . . . .. . .. ................ ....................... .............. ......... ................ .............................. .. ...... ............... ........ 4 90.40 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key o Dispersal Cell See lateral details on Topsoil Cap c CL 1.5 ft Page 4 for number, size, Subsoil Cap 0 W 5 and spacing of laterals. — A Laterals are equally ASTM C33 Sand :6 > F Tilled Layer 4) 0.5 ft Typical Late spaced from the Aggregate er distribution cell's 0 centerline in the A distribution cell (AxB). Project: Mick Fox Page 3 of 9 , r Center Connection Lateral Layout Daigram Face rtwin connection via" or cross to mwWold at a g point Laterals are identical � p S •= Turn -up vibe ll wale or � X a � Laterads & Face main of PVC Sob 40 oleanoutplug per COMM Table 8420 -5 Hiles drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.20 ft Lateral Length (P) 36.80 ft Orifices per Lateral 12 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 7.86 gpm Manifold Length 3.00 ft System Flow Rate 31.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 16.18 ft Forcemain Velocity 3.21 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --► Comm 16.28 WAC & 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Weeks Manufacturer 2 in. Capacityl 800.00 Gallons Volume Pt, 7k2G.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 1 23-84 476:-16 Y:s7, B 2.00 40.00 C Pump off e levation (ft) C y 4.a.S 27,1 83.84 80.83 D 10.00 200.00 D Total 800.00 Dose tank elevation (ft) 3" Bedding un er tank. � 1 80.00 Alarm Manuafacturer I Tank Alert Alarm Model Number 101 V Pump Manufacturer lzoeiier Pump Model Number IN 98 Pump Must Deliver I 31.46 gpm at 16.18 ft TDH Project: Mick Fox Page 4 of 9 r Mound Svstem Maintenance and Operation Specifications Service Provider's Name Je Fox _ Phone 715 -294 -3141 POWTS Regulator's Name St. Croix County Zonin Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliforml >10E4 cfu/100 mL Service Freouency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Ins ct for pond and seepage once evea 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •,....•........ ...............• Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bali Valve Distribution Lateral ...........::.. Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mick Fox Page 5 of 9 Al V- K • o_X_ zsci N� GEC � B� OKDO tk��JS 1 bM 6AL vti/ l�S S 'T rC TRIM< Af-guX 1 ®b 2 Ftx( r- 'tYf!-yN� D , A SEA3e- flxW\X -�: 1 MP aF ( ss 1 Ga2>t�'2� A &AXC mPP K ' - TbT 6r- rE� Ri�T it TOTAL DYNAMIC HEAD /FLOW 3 7/8 s ,/, w 4 5/8 PUMP PERFORMANCE CURVE PER MINUTE y � r w w LL MODEL 98 EFFLUENT AND DEWATERING 0 3 5/8 25 MODEL 98 • 0 Feet Meters Gal. Liters 4 3 e 0 6 20 5 1.5 72 273 = 10 3.1 61 231 1 1/2_11 1/2 NPT 15 4.6 45 170 a 15 20 7.1 25 95 0 4 Shut -off Head: 23 ft.(7.0m) J 10 0 0099718 H 2 2 5 4 3/16 Q 10 20 30 40 50 60 70 80 GALLONS LITERS 0 80 160 21 SK1102 FLOW PER MINUTE 009971A CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available • Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. • Refer to FM1922 and FMO806 for temperatures above 130 F. Standard all models - Weight 39 lbs. - 1 /2 H.P. SELECTION GUIDE 98 Series Control Selection 1. Integral float operated mechanical switch, no external control required. Model volts -Ph Mode Amps Simplex Duplex 2, For automatic use single piggyback variable level float switch or double M98 115 1 Auto 9.4 1 4 piggyback variable level float switch. Refer to FMO477. N98 115 1 Non 9.4 2 or 3 4 3. See FM1228 for correct model of simplex control panel. D98 230 1 Auto 4.7 1 4 4. See FM0712 for correct model of duplex control panel or FM1663 for a E98 230 1 Non 4.7 2 or 3 4 residential alternator system. CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qualified FM0477; Electrical Aftemator, FM0486; Mechanical Alternator, FM0495; SumpfSewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed including the most Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 % zZ, Loud&S - !e, KY 40256-0347 Manufacturers of. . SHIP TO. 3649 Cane Run Road p ® ( 502) 1 Louisville, KY A2211-1961 ,/rLGlL ?Y S NCE 00 http: PUMP !O. http. FAX(502)774-3624 928- PUMP 0 Copyright 2002 Zoeller Co. All rights reserved. Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code " t General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and N orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. I Project: Mick Fox Page 6 of 9 Jun 00 03 03:22a p.1 P AGE 31 ST CROJx COUNTY SEPTIC TANK MAINMANCh AGR8FM8NT A ND OWNERSHIP CERTIFICATION FORM O wnerABuyer rlllry_ M lag Address Ptaperty Address Sn," I - Q , Ap (verification fired frs 1 1 V i t rigtt nl P1raA:ag Dtxrarttrant for new coastucrtoa City /Seats Parcel 3dmtifiration Number LFOAL CAiP'II_ ON Property Location ��., >SE y,• S N -R/ f — W Town of \£►� Stgbdivisiots �Y5/ /n � j� sot 41 Qbr ifled Sarvey h4sp S _ Volume . Page M Warranty Deed # -7n �.. Volume 21 5 Par p (5/3J03> Spec bouse 0 yee Lot lines identifiable yes Q no SYBTE Lnproper use and Mainte of your st:Ptic sys'cM could result ;a its pr0ir acute White to bandte wastes. Proper maiatee4we eaesisie of Pw*ing oat the septic conk every thretr years or 4 if naoded by a licensed pumper. ww you put tnta tht systtot C411 affect the fUactioa of the wells: took ss a oreatrt+est as ;o in the waste disposal syatsan. Mae master urrrtkrp,1°aq" assets at�a . stoc to 9t Crorx Zoning Dap■rnneat s ce"Ifi atim forte F+l reoyl»anpluartia:r resrtseand t . Wued bf the e*�ner and tar e is is gaatftftr apter+teng eo ondlor (2j aCtar 1wrb' oo e k en"d N Y as�a ng rtMt (t) the oa •sitavragttsvatetQlsposalsrsmin ry). • v septic wdt is kss that )f3 iWt of sludge. Ifsre, ate uadtnai�gted hove feud the above roquigrttrKnta en0 agree to rnsuttaia she ptirate setrage tlispostJ "too with class sraadardt set fottlt, btsiriq set �, the �pertmtnt of Co tAdtln�a "d O D days a lbe ttltOe year S GSpir ,Qa 02 ,8. iatait+ed ; ■ass be complere tum ad %o the iX Counry Uniu$ QMCIA witbia p SIGMA OF APVLJ NT OATP- OWJV� I (we) oettify that all us►caxaa as d%ir farm art wt xt the bets of eq rho propatty described 1�bave. by vine OF a warrant Y four, lmowledsc. I (wt-) am (aro) the owtset(S) e! Y deed recorded in Refisttr of Deelk pence. stt;NAT'JRH OF APPLICM / •ee.e• EArE Pay intit►utatitxa Hutt b M repr nay resutr i,■ ttk Unitary porn-ii being levokr d by tilt Zoning Dvanment. • • es let4ade wlt8 thla ■pptiestio it atainprd w araeau dr.d i .t _ n _ I r V 2269P 297 723893 STATE BAR OF WISCONSIN FORM 1 -1998 REGISTER OF EEDS WARRANTY DEED ST. CROIX CO., VI RECEIVED FOR RECORD Document Number 05/30/2003 12:45PN This Deed, made between rim th4RIemenschneider Karl Sko I n n common Grantor, and Michael Fox, WARRANTY DEED R�w Grantee. EXDP7 8 Grantor, for a valuable consideration conveys to Grantee the following REC FEE: 11.00 described real estate in St. Croix County State of TRANS FEE: 141.00 Wisconsin (the "Property'): COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address �e �t(rrt� 'f ilae Somarsat;VWW 55�35� Rock Q Parcxlld e' F*10 �s 032 a n 33 7 0 n N u • ( I v etlflca tloumber (PIN) This Is not homestead property. (Is) (Is not) Together with all appurtenant rights, tide and interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 30th day of May, 2W. (SEAL) (SEAL) Timothy+Riemenschneider Karl koglund P (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, NDY SWATZINA ) authenticated this Pl d St. Croix County Gf4fff Rijar-Ic Personally came before me this 30th day of STATE OF WISCONSIN Ma, =the above named ns h r and • in common to me known be the person who TITLE: MEMBER STATE BAR OF WISCONSIN executed the foregoing Ins ant and acknowledge the (If not, Me. authorized by §706.06, Wis. Slats) THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet Notary Public, State Of Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission is permanent. (If not, state expiration date: 3 -33772 (Signatures may be authenticated or acknowledged. Both are not necessary.) " Names of persons signing in anv capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 —1998 Milwaukee, Wis. Fox -n m BErZ L A tjE b&i VE hf S 6 ) ly oar kyr > 15D thUSE I bM 6AL WSfXS S 1 TA EJI� � r l� �l A SEk&W.RX 5TH Lt�If'� �3 Ste, Co( C,Q2NE2� &L 'l� � ub Wisconsin Department of Industry SOIL AND SITE E V A L U AT I W R T Page of Labor and Human Relations ll / Division of Safety &Buildings in accord with ILHR 83.0 § bade =' J4 ' OUNT( complete site Ian on paper not less than 8 1/2 x 11 inches in si i p p p p / Attach com a n mus wife � �not limited to vertical and horizontal reference point (BM), direction anc' /o �f sloe, scale o : ARCEL I.D.# r '' dimensioned, north arrow, and location and distance to nearest road. . � EVI ED BY APPLICANT INFORMATION PLEASE PRINT ALL INFORMAIONY sr PRO TY OWNER: c' PA ION f e/ � pr� :G LOT �/4,S T N,R / E (or)® MAILING A DRESS pJ PR OWNER':S �t B k i NAME OR cc� M # S�f� K CITY, STAT ZIP CODE PHONE NUMB R ❑ Y ❑VILLAGE ®TOWN NEAREST RO D /yew ,Chn-ton� syo/7 (7s) 256 - S37S S C Jome /�'c� 8s't 5�; [ New Construction Use [!,� Residential / Number of bedrooms [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow t 00 gpd Recommended design loading rate 1 6 Z bed, gpd /ft Z trench, gpd /ft Absorption area required S2�O bed, ft Soo tren ft Maximum design loading rate /* bed, gpd /ft Z trench, gpd/ft Recommended infiltration surface elevations) `7 �• Y ft (as referred to site plan benchmark) Additional design / site considerations Parent material }'i e� Oc�r t u - acts , , 7 go Z / ha, caM�/ssF plain elevation, if applicable M14 It S = Suitable for system CONVENTIONAL MOUND AT -GRADE SYSTEM IN FILL HOLDING T NI U = Unsuitable fors stem ❑ S M H S ❑ U S ML [3 S Mu ❑ S [�U ❑ S AU SOIL DESCRIPTION REPORT * Depth Dominant Color Mottles Structure -PD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Trends y 2$ -27 7 1f 1 /V.4 SZ- m 1- M VPr C W 1M y .S Ground 6 s �� C� p'I.SYR %2 � Z- bJC l�l') C W t� �/ Il,/ Depth to limiting V o b Remarks: Boring # 6 l0 Y'R J� 1 'V,4 SZ lmsbn P7 aS 2M v'v' :::ti SL )msbr m VI'f c w Ground ZV-30 7s � A14 � Up" c4c-? F�� C � f' R -%. S I �- f m m - �r Depth to limiting o� Remarks: CST Name: Please Print J^�rQ » J / Q �n e �� Phone: 7 /J r _ Z y7 ©� Address: �/ 2 GC V -e- Sop, .e -s t 3' W /, 5702.5 Signature: 11Z Date: 9_/ 7 q8 �TN �mber I _ PROPERTYOWNER Ru sSel1 n, Pet / J SOIL DESCRIPTION REPORT Page 2, of ' PARCEL I.D. # 032 — 0 00 6— f 0 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twch © -�3 /oYR /Z 1V SL m sb�t /r� a s n� -3 -3 7 ,S Yie a S 2 s v 7 S r � 3 L �G ! y . m bar I'h �'r � Ground � .S elev. �syrr' 6 ft. y - yd syR cap 2 . sr� 3 L s r�Fs rr,�'. — — NP :IM P Depth to limiting f Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 4.ti •:tvv.. . .... .............. I Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. 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F. £. =971.3 I A I I N r �j � I v 6,6' 1 79.53' c I �_ - 388.19 388.19 - --- -�- ( ` + r S $611'25" W 428.39' C�-� h 4D "o 90 39Vd +� N3S - 13IN Z£ZVT8ESIG 5£ :£1; £00Z /bZ /£0 Jane Hansen Subject: Mick Fox - 430136- J.Fox/Somerset (plowing) Location: Rocky Ridge Estates Start: Wed 09/10/2003 10:00 AM End: Wed 09/10/2003 11:00 AM Recurrence: (none) i Get paperwork back into office so Kevin can do final inspection ` t 1 n■ 0 T n c k /k) t M � \ 7 m =. lo t rt 0 f Q 0 y 0 t 0\ 0/ E �. e \ } \ \ � C CD: \ \ : m g_ § 7 $ m E ^ 6 ( / E \ \ § § / � � \ c g §\ 2 G}/ G 2\/ i/ w O � g = ( I (/ \ { § ƒ � g c � >� m \ v > E . t® %'CD / 3 \ / \ 7 § ƒ \ _ � \ � ® F § d /} 2 R 3\ n r@ . 8 S L \ § & % [ » \ • "Mi, 0 0 0 -n E ■ ■ ■ a R § + I \ (D § m \ C CL / m CD E > > o a2 2 \ \ Er � \ \ \ C / C D 2 6 a o J 2 ° cn \ % } E ( , r a ƒ \ ¥ R \ ) § \ CL � \ { § 0 CL \ \ { { o e 2 / z \ * W % j w � < _ƒ± �B 5 29$ k C\z ( � 'k/ \ CD \ :3 @ \ � f \ ) U) a � k ) � < \ k � 2 s 0 / < a \ / S E \ \