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HomeMy WebLinkAbout032-2016-20-200 0 7 o / _ I= z o m= o o, o , o E ; o w \ { / + ® ( § m / m < a « o' o �o `:C � 2 7 ; ; - Cl. a « 0) § \ ; 2 S� / k \ 3 cn o 0 � § ° A / > ± ¢ > m � } \ \ § § / § § CD o r @ # D $ & \ �. : M"a �' • / 0 z / f § % > m ■ m %, 0 = 7 a v v \ E CD , g d E E I g \ k \ E 0 \ = °'r° ��` E § C_, §ƒ / { - ( \I Q. I - =o C , f k/ [ / � a �� \ _ z ae\m w c7aƒ \ ( } $)@ z\ } z 3 E E •• /0) cn 5&± m/ CD E § — z Fƒ_§ §F 7 ® / z W CL 0 . � � c z ( \ � A , N � � § . � � K 0 \ G J § eo � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division 11 1 INSPECTION REPORT Sanitary Permit No: 430395 0 GENERAL INFORMATION (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: Eidt, David I Somerset Township 032 - 2016 -20 -200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: qi�"; 2 q/ A tt C `-, 1 G ^^ , 04.30.19.5296 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic •�� Benchmark Dosing Alt. BM Aeration Bldg. Sewer G �' `L /0,03 Holding SUHt Inlet ' I � St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �, Dt Bottom Dosing Header /Man. tva` 1 Aeration Dist. Pipe Holding Bot j ystem JhdX.rA / -3 z Final Grade PU IPHON INFORMATION Manufacturer Demand St Cover �o zi� •=—✓ GPM (0 1 T Model Number > �� ^{ 4 �� 4 , f' S i ci G i t TDH Lift Friction Loss System HeW T Ft y - 2� Forcemain L ngt Dia. Dist. to Well '�t c� � ' • � ?� g . ►-t - �1'. yL �o �.y /tea. ca SOIL ABSORPTION ) 4 7' BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. uid Depth DIMENSIONS -7 ,- SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION I CHAMBER OR Type Of System: UNIT ,, Model Numbe . DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length -3 Dia I /Z Length 3 (+ T! Dia •� Spacing -3 /C� 14 -- - SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center !ti I f Bed/ Trench Edges Topsoil — Yes No Yes JI No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: 5 / w / Inspection #2: 5 / (0 / Location: 534 170th Avenue Somerset, WI 54025 (SE 1/4 SW 1/4 4 T30N R19W) NA Lot 1 Parcel No: 04.30.19.529Bri A 1.) Alt BM Description = S_ T �' �"/ ��•1 L( ��IC ✓v 1 -I� I?�'�t /` ` � Lam. ' 2.) Bldg sewer length .- ac�� (e��y� �• 7 amount of cover - a b - -) Lc l t f, � � $.t1 { c_tiv(ry _ i...i r ..►mil ti.c revision Required. f Yes No Uy ther side for additional informati n. 10 (R.3/97) Date Insepctor's Signature I ` Cer < No. (c, t P j , r� v/�v �c r.��[J v.Y�1��r f iD9/22/2003 MON 09:42 PAX 71 485 9246 POLK COYTNTY VJ002 5a1"ety and BuildbW DlvisivA Ccruttty �-y All W. Washiugtou Ave., P.O..Bbk 7082 � /� M'sdiaon, WI 53707 -- 7082' site Addrraw bellartmerft.Af CamttleCtlB T s toiY Permit A.ppReatI. n S � eC, IA Ut&d with Cnram 3341, wit. Adm. Coat, Wsuc al iuformi u yau 2'5 Z 0 0 3 ❑ aric if licwsslon ��� �� be used fiK M FrOmy I,aw s1S. 0 (IXW) L Appliagon Idanudon Plexm Print All fnforrrration SE • Plan r -M N umber O ST. C! j U'X CUIj Fe U 'at Nana . t Numbeso3 Z o °1 C7 X - 1 d O (WILL11 M Properly Uwnws tang Ad$rads - Propt rty l.or�tda r S �; W City. soft Zip Code Mime Nuoubw - l,o w Block Nrmllset' c Subdlvliddh Name CSM I f mtur II. TNM of Bulkw (Check tell gait aPPIY4 ,Pr1 � © city .- - - - - -- U 1 or 2 Family Dwallim - Numba'r afiie+ddr EW 3-.. 0 VilMge CJ PuMidC*nu wraW - Des&iba'Use nTawmbi r CI Stato t)wmd (� 7 - ,7 - � f- 7 4�t 4rn-� - 9 • �{ �` Ditsa adt hold f - A III. Type of Ferran: (Check ouiy one lox uu liue A. Numbtring is fur iintettnal use.) {Cot uplefio line B, iC appllsubla.y Nrw 30 lreplaesmaut of 6 Cl AMIIQU to For C ounty use S tsterll 2 k7 lteplwcanwnt 9ystom Tank 061 1 &Ona g -atal __.. B• [301scak if Sardwy PenWt Previously !seal Peru& Numbcr Date Issuaxl IV- Wpa at PU'4'V I' System: (Check all that apply. Nu mbering ering Is tar tateeru'rrl use.) 4417 fi' w ou �Preswdred W-O md 210Mound < Z_ 11 47 ❑ Seed Mer SU U Coustmete i Wetland 22 PtvaurIrAd JA-Grouud 41 IlcSidittg Tank 4817 SiWe Avo 51© DAp line 45 a At -Oradc 46 UAerabla Trewmerit Udt 49 U Raircada W 3U DUthes V'. • reatmout Area bfDims wl.' Design Flow (go) 06yersa l Arena. Disparsat Area Sall Appliuntlou BF>ra afla 1ou R:lta System �lavadun Plnal OM; le Run HUdd Prolwsed Pata((aa6.IDayslSq VL) (AIhL /I ICU) Blevadou _7J 5 J�r/ll 3 97 O.S VIL. Tank Ith in QWV Numi,." Mutes uu*t Prefab Sias Steal FRV pludo _ Gan" Gallons of "IwAs Concrete CUMMwind CMOs r Tacks Taub tto101ugTmdc pC DoxtngCbatnber 0 VU. Res biliity btatemeat 1, t1r<e uLmlardipad, aesuure regwuelhlutY Ion ivara11Atiou of the PC W'i'S Awwm o n the atraclted Fluwber'b Name (Print) PLIC r e siguatu " re m MoAkkPW bor Busioass Phony Kwnbtt E s 11.11 ttvr hn� � Flux ihm's Arlclaw (Stour. Ciy. State. Zip Code) 3 s Z / YO sT A'FM.V-, - ertt i3oe Qnl A 3 Ulsapprovod ga Permit Pee { w Q rotsudwaucr, D zss g ) Approved Cl Owner Given Inklal A.dvom Surcharge Pee) � 3 5D IX. CoudIdous of Apprnval/Re$sa ds for b"IMpprwvr�l /s _ � S QJ - t l 9 2 z 3) STEM OWNER: ( � r � 1 Septic tank, effluent filter and (, OA aAe ii, dispersal cell must all be serviced / maintained as er mana ement Ian rovided by plumber. 2 • k setbac requ efft too Cowdy y ey6tRm eu paper ' rb an I a as per applicable code /ordinances. 3, SBD -6398 (R. 05101) -_ ..�. _.�_..'� I .. - ----- - __ -- -- , , - D { miff -.. _ .......... F l r oe - - _.. MY I- oj a� Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 erc �sconsin www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary September 22, 2003 CUST ID No.221471 ATTN: POWTS Inspector DENNIS J GILLE ZONING OFFICE GILLE TRUCKING & EXCAVATING, INC. ST CROIX COUNTY SPIA 352 140TH ST 1101 CARMICHAEL RD AMERY WI 54001 -2840 HUDSON WI 54016 CONDITIONAL APPROVAL �y3D3�1� PLAN APPROVAL EXPIRES: 09/22/2005 Identification Numbers Transaction ID No 90,x1_ SITE: Site ID No. 664765 David Eidt Please refer to both identification numbers, 170th Avenue above, in all correspondence with the agency. Town of Somerset St Croix County SETA, SW1 /4, S4, T30N, R19W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 920048 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 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: • This system is to be constructed and located in accordance with the enclosed approved plans, the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. �j• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Stats. • 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. M 1}l ✓15,1 v�� n.•`" � s 1v DENNIS J GILLE Page 2 9/22/03 Owner Responsibilities: • Comm 83.52(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 &40G-� Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633' cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Commercial Application INDEX AND TITLE PAGE Project Name: DAVID EIDT Owner's Name: DAVID EIDT Owner's Address: 2077 3 RD ST. E ST.PAUL MN. 55119 651- 702 -7538 Legal Description: SE SW S 4 T 30 NR 19 W Township: SOMERSET County: ST.CROIX Subdivision Name: Lot Number: 1 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry RECEIVER Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications AUG 2 7 2003 Page 6 Management and contingency plan SAFETY & BLDGS DIV. `' Page curve a specifications 9-/0- i/ S Designer: DENNIS GILLE License Number: 221471 Date: 08/ 3 Phone Number: 715 - 268 -6637 Signature: '4 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD &10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) .. Page 1 of 7 :! I i : y I I 1 I i T I i J_ I _ ....... I a , t I I I I T � I i I .... ... I. ... __ : _......_.. ___ ;_ r --- __ ... - - - -- _ j.._ - f Jr All 1 , r .._. . ...... I ` -------- -- ------- --- _.._ - -- - - -- _- �, OU I A tt , - -_ - - - -_. I� 1 - f� I X11 A r . 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 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e- g, 1.5 = 1501A) coliform of - 36 inches. 450.00 Design Flow (gpd) 10.00 Site Slope ( %) 99.45 Contour Line Elevation (ft) 19.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint 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. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.25 ft'' /orifice 200 Forcemain Diameter (in) 75.00 .�Forcemain Length (ft) Does the forcemain drain back? Y 94.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 6.87 Vertical Lift (ft) 67.44 5x Void Volume (gal) 1.42 Friction Loss (ft) 79.67 Minimum Dose Volume (gal) 14.79 Total Dynamic Head (ft) 29.66 System Demand (gpm) 8 ' I - Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 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 600.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 42.00 Total Working Liquid Depth (in) HUFFCUTT IManufacturer 14.29 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.001 Dose Tank Capacity (gal) JZabel I Filter Manufacturer 14.291 Dose Tank Volume (gal /in) JA100 Filter Model Number HUFFCUTT Manufacturer Project: DAVID EIDT Page 2 of 7 f i Mound Plan View T 1/10 Observation Pipe Q ' J w .... ..................... .................. ......................................... .............. 1=J I L Mound Component Dimensions A 6.00 ft E 24.20 in H 1.00 ft K 10.53 ft B 75.00 ft F 9.50 in z 14.18 ft L 96.05 ft D 17.00 in G 0.50 ft J 6.25 ft W 26.43 ft 450.00 J (ft) Dispersal Cell Area 1513.39 (ft') Basal Area Available 6.00 (gpd/ft) Linear: Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102:66 (ft) So � t ,rrrrrt�r2rfrrf��,. G U . rrrrrr rrrr I F = :: 101.37 (ft) Lateral . .... Dispersal Cell 100.87 eft) * :' : :' : ; Invert Dispersal Cell t Elevafi�in E D . F {a { { }. } }.. }. } ? y ti y. { ? K S. }.� 1. 1.. �}.�} K t �, }.t'z ?tit • ?, s }. } } `� } ,. �' 99.45 (ft) Contour Elevation 10.0 %Site Slope Geotwdile Fabric Cover Shading Key Dispersal Cell See lateral details on Q - Topsoil Cap c a 1.5 ft �r; T Page 4 for number, size, •fr S Cap o Subsoil Subsoil �, "� r »� °sr• and spacing of laterals. t° as ra •• • Laterals are equally ASTM C33 Sand Z ' , r'• F 0.5 ft �;•s Typical Lateral spaced from the Tilled Layer c v: .ti•,•ti Aggregate p•f�...• 5 distribution cells 5 r r• �* o ar: �r' centerline in the *-- A distribution cell (AxB). Project: DAVID EIDT Page 3 of 7 Center Connection Lateral Layout Dai ram Force mai n connection via tee or cross to manifold at am point. Laterals are identic al i P s •= Turn -up W ball valve or x12 I xf2� Laterals & force main of PVC Sch 40 olesnoutplug per COMM Table 84.30.6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 36.75 ft Orifices per Lateral 18 Lateral Spacing (S) 3.00 ft Orifice Density 6.25 ft/orifice Lateral Flow Rate 7.41 gpm Manifold Length 3.00 ft System Flow Rate 29.66 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.79 ft Forcemain Velocity 3.03 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and -- 10 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E — Attemate outlet location Forcemain diameter HUFFCUTT Manufacturer 2 in. Cap acityl 600.00 Gallons Volume 14.29 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 28.41 406.01 B 2.00 28.58 C Pump off e levation ft) C 5.58 79.67 1 94.50 D 6.00 85.74 D Total 41.99 600.00 D ose tank elevation (ft) 3" Bedding uncler tank. 94.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number DVL Pump Manufacturer IZOELLER Pump Model Number 1140 �— Pump Must Deliver 1 29 66 gpm at I 14.79 ft TDH Project: DAVID EIDT Page 4 of 7 Mound System Maintenance and Oueration Suecifications Service Provider's Name = DENNIS GILLE Phone 268 -6637 POWTS Regulator's Name st.croix cty. Zoning Phone 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 Coliform >10E4 cfu/100 mL Service Frequency 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 ears Mound Inspect for ponding and seepage once every 3 ears 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 Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: DAVID EIDT Page 5 of 7 7 'ra7Fd4t, iS M AN NI ��� %lift Al Ru m A aa ?{It r' . '.� �ti! �!•'I �• an".", �' u,,a nn y ..M tra . , r ray nrr Hr m.� , I srerm kMn+ �NI N + - -• NO 1 VM� rlrt H¢A Irnrm ,.... •x••, 11,f YtF i,'N1• nl....,_ In AT! mm, IN mi _.� t(o� Lt nTf SRVPlIIt ryJ t n. rP,k�,nA r s. '^ 'M' � 'fin` v . - "'�nrti .,.. J — ( An np n �. ZQ°.. 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Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code - P / 3 q Gene ral 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 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 dogging has occurred and if 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(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. Project: DAVID EIDT Page 6 of 7 �(79 Zd- -5 1095 SOIL EVALU Wisconsin Department of Commerce Page I of 3 Division of Safety and Buildings in accordance with Comm 85, i dm. Cc* ✓,� Tom Schmitt M� Attach complete site plan on paper not less than 8 %x 11 inches m size. Plan t �� un t ': St. Croix include, but not limited to: vertical and horizontal reference point (BM), directi n ad percent slope, scale or dimemsions, north arrow, and location and distance t t road. 13, I D. ` ) Please print all information. 3j r view y ; /'' Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 155 1) (m)). COt) 6 0 Property Owner P on Erlitz, Kevin &Ann Govt. of i` - / �5W 1/4 S 4 T 30 N R 19 W Property Owner's Mailing Address Lot # o #` d. Name or CSM# ( tp _ L` � 685 North Bay Rd. 1 na CSM Pending City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 1 54025 715 - 247 -3778 Somerset I 170Th Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a mound system. System elevation is to be based off contour line established at 99.47'. Area is on a 10% slope. ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.07 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sl 2mgr mfr cw 1f .5 .9 2 10 -19 10yr4/4 none sl 2msbk mfr cw 1f 5 9 3 19-30 7.5yr4/6 m 20yr6 /2 6 sl 2msbk mfr gw - - - -- .5 .9 4 30 -61 7.5yr4/4 " I y r6 /3 sl 1 msbk mfr - - -- - -- -- .4 .6 Fi-1 Boring # Boring ✓ Pit Ground Surface elev. 100.31 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/2 none sl 2fsbk mfr cw 1f .5 .9 2 11 -25 10yr4/4 none sl 2msbk mfr cw 1f .5 .9 25 -30 7.5yr4/4 c7 5;�426 grsl 2msbk mfr cw - - - -- .5 .9 4 30 -52 7.5yr4/6 m1Dyr6 // 2/8 sl 2csbk mfr - - -- - - - - -- .5 .9 — I — I I I I I I --- t — Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatur CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 1/3/02 715- 549 -6651 l Erlitz Kevin & Ann Pa Property Owner , Parcel ID # e 2 of 3 9 3 ] F Boring # Boring ✓ Pit Ground Surface elev. 97.77 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sl 2fsbk mfr cs 1f .5 .9 2 10 -28 10yr4/4 none sl 2msbk mfr cw 1f .5 .9 3 28 -36 10 r4/6 c2d r6 /2 f w - - - - -- .5 .9 sl 2msbk mfr y IOyr6 /2 g 4 36 -45 7.5yr4/6 m2d 5yr6/8 scl 1 msbk mfr gw - - - - -- .2 .3 10 r6/3 5 45 -61 5yr4/6 m3p 7.5yr6/8 scl 1 msbk mfr - - -- - - - - -- .2 .3 F-1 Borin 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 GPDtftl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Borin Boring # Pit Ground Surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GED in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 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 f '.,,mot -1-- ,., f —f +1— 1 —vt—t + AnR_'7FF_21 G 1 — TTV fnR_7fA_R777 e 3o -43 �// 7-415 i / 1 ``° pe- -5o �' / � Ua �uu - //,0" L✓a s CcMG� u c7`e� 7 0 �cc 0.. Zor�.j�y � + - Ze�GC/' ✓��Bi-r /' ✓ d /' !" f/ I�� f �e .SG. i� 7�a � /ems �c. r )ell., 4A or e Iaev 7 7 cn. D l l T P /e v , hT 0 >," 6/ nt 4y op7 QS 54c c, ty x, Gt S / q f �`i��J tve e & 0 Los 1 `te 7 WctS Cd�nLl�eL�P, �i Off;` /-fir b� �= ��' y 'fs,��� / , �C� -7 ell . ya c by ' , ►�IOWt,^eS •J� _ /� 5 – yea S -<96 / sIF Y S l 5 Y' T3O/V /9�-✓ �7�J .S`r/�- 4 �S`/ --W)X�x Aoo�� 7 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRBEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer I t L L Mailing Address /�677 � t e property Address 55'z (Verification required from Planning. Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location . 6W %., V,, Sec. , T_3D_N - R_A — W, Town of ' %M r;Cf " Subdivision , Lot # /_ . Certified Survey Map # �' 7 . Volume Page # 1 8J 7 Warranty Deed # 7371 y/ , Volume a 3 , Page # SO Spec house ❑ yes 0 no Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix zoning Department a certification form, signed by the owner and by a mastcrplumber, joumeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification Ffhas been maintained must be completed and returned to the St. Croix County Zoning Office within 30 e year date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of rope escribed abo , by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA OF APPLICANT DATE « « « « *« A information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.""" «« include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed m 2387 Ma 50 7 3 7 4 t 1 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Kevin C. Erlitz and Ann M. Erlitz. RECEIVED FOR RECORD husband and wife, Grantor, and 08/25/2003 10:00AN William D. Eidt and Jamie M. Eidt. husband and wife, WARRANTY DEED Grantee. EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: 142.50 (if more space is needed, please attach addendum): COPY FEE: Part of SE1 14 of SWl /4 and part of SWIM of SW1 /4 of Section 4, CC FEE: Township 30 North, Range 19 West, St. Croix County, Wisconsin, PAGES: 1 described as follows: Lot 1 of Certified Survey Map filed June 28 Vol. 16, Page 4327, Doc. No. a$ Recording Area Name and Return Address C � 032 - 2016- 20-200 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of August , 2003 * * Kevin C. Erlitz -- — —_— --- -— — -- * * Ann M. Erlitz AUTHENTICATION ACKNOWLEDGMENT Signature(s) Ke C. Erlitz and Ann M. Erlitz, husband and STATE OF wife, — _— -- — — — — - -- i ) ss. County ) authenticated this day of August _ _ , 2003 — Personally came before me this _ _ _ day of the above named * Krist Oglan — — - TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ^— —`— — to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY — — — - -_�— — Attorney Kristina Ogland Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800.655.2021 WARRANTY DEED FORM No. 2 -1999 MMMM II MEMO NO MEMO _ 'I �IIIIII% III lull I� I,I .. ■ ■ \■ II I,.p i��� NOUN ■��■ L i��ll � I IIII l ip lily iil� � I I I, I d, ............ ■ VIIIIIIII�I kid, I Now «I�I�IIIIII '�,�� it ■�� ��r� ���� fl III �� 'I Ia � IIIIIIIIIIII �.' _ j - - I LI 4 ■��■ F' ■ Y e a R A f II C`� i Y 5 11 11 A A 11 s II 1 C Q WSW II II I I M C "' 4 c� ..TAU= r 8 A Z I t W Jul 29 03 01:26p Davy- Hracht /Jack Harrison 1 -71F 247 -4880 p.5 APPROVE s 2 9 8 `7 sT, CROIx COUNTY VOL 6 PAGE 4327 ftnninn 7vn;nn and ppdca Committee JUN 2 $ Z OOZ RATHLEEH H. WALSH REGISTER OF DEEDS ST. CROIX CO., VI IL ct racoraeo wimun 36 days otz o RECEIVED FOR RECORD eaproyal data apppavat sh*ba= r►+d Id , m0 ��p( °, l [ p 06 -28 -2002 3:00 PH O z ca rn z 58 — Z b� CERTIFIED SURVEY MAP � — p R OC FEE: 8 � � � COPY FEE: x'3.00 OWN WRIEN'T � Z -i a' F THE SW 1/4 o n � K BEARINGS ARE REFERENCED TO _ THE SOUTH LINE OF THE SW1 /4 m m w ^' 03 OF SECTION 4. ASSUMED TO O O • w Q BEAR N88 32 17 W N rA 0 m D ry�j p as 0 Nz �� �� �ca*z ;g g T o M �� R x N N O O o r uuu C3 inN o c , rn� Z � � n`� � �� } N m m l m N�S� ca M. csr r. r r .A -ao 61 1d CO - m N z ( v _ N Z CZ CA ��pp Ww ww �t .13 F� O N V W W W W I ' O�_ M 01 Crm m O I go cD S1 29 Icy t z �= o� � 0 o m0 0 �+ r o�, --�c oc w rn j v 0 O0 2 Z z 0 0 171 ! N m -� c Z C3 to � n (/1 O z0 O Za .� I� ( i N o. 7� 0� C v3 A. Wm Z ZZ+ rn "� W w m� �= 5 1 Op 9 ;C, � =r iv � A h) "a o C N �� „ N t� o � - v v z y 9 O 0 i .Z5'96Z (31 N n O M r k c ( trlr. 600 cn Z. b. 0 I0 o CA) O Q rn .. ° w N a O 6 Z /� �� 9'! EE 3Nn U31WnO !A rn b �E9wti9S HLf1oSHLHON r� Z a 8 O "n m m -G'� , �uf7�7��i�7o0�s M ? �{" Q z m M -- ee m F{.Ln 53�ON,' �`i � �� ©�tN�I�J aJQ�� ME � o �1 r , Efr�da M w c \� " Zip. S DOT## 55 -35 -3497 -2002 SHEET 1 OF 2 SHEETS Vol. 16 Page 4327 i Pam Q uinn Subject: #430395 Gille /Edit Plowing Location: 534 170th Ave. T of Somerse,t Sec 4 Start: Mon 5/10/2004 10:00 AM End: Mon 5/10/2004 11:00 AM Recurrence: (none) Cty. Rd. I is under construction west of here - come north via Cty. A and north on 100th St. at Boardman