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Home My WebLink About008-1070-30-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No 633866 Personal information you proAde may be used for secondary purposes [Privacy Law, s 15 04 (1)(m)I Permit Holders Name City Village Township Parcel Tax No Tom & Ally Laflex I TOWN OF EAU GALLE 008-1070-30-000 CST BM Elev Insp JBM Elev BM Description /� SechonfTOWNRange/Map No Z %OP Ot- Ii-C /( 24.28.16.362A TANK INFORMATION 1�— / ELEVATION DATA TYPE MANUFACTURE lyiaf{ ✓✓ CAPACITY Septic X� /OOa Dosing `S ��' Cr 750 OSt Holding TANK SETBACK INFORMATION L,� "'U,Lt j O /L WELL BLDG. Vent to Air Intake ROAD E Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand L;4ekl G1PM Model Number i b TDH /• J✓ r Fnc Ion L s System Head TD t Forcemain Lerr/fp o r Dia,z Ir 1 Dist. to Well r C(VI AE!S0RPT!0kr SYSTEM STATION BS HI FS El Benchmark / �o Ito. /OQ AI M Lo�Vr G• T4. Bldg. SEMIL e er ^� YL SUHt Inlet V1 SHHt Outlet /L - . O Dt Inlet ! 3 . Q O • r toz Dt Bottom 4, O p'2 Header/Man 9.0 9�.A Dist Pipe 9r o yy b Bot. System n 55 `/J 13 Final Grade >�. 6)5— [ er ill 'v` I L L I/' /I I BED/TRENCH DIMENSIONS Width LenIg.0— No Of Trenches PIT DIMENSIONS No Of Pits Inside Dig, IlLiawid 7- 1b SETBACK SYSTEM TO Pt LDG WELL LAKE/STREAM LEACHING Manufacturer��• / INFORMATION CHAMBER OR t'C7 UNIT Type Of Systerp' I 7 �, _7 /�, , Model Number Oh.K r^ 1 / DISTRIBUTION SYSTEM HeadedManifeld q Length Dia Disinbution x Hole Size x Hole Spacing Vent to Air Intake n J Pipes) Length Dia Spacing ,UIL GUVtK x Pressure Svstems Only xx Mound Or At -Grade Svctems nnly Depth Over BedlTrench Center /� 1 Depth Over BedlTrench Edges 7 / Z r� xx Depth of Topsoil xx Seeded/Sodded H. xx Mulched Na COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1 Inspection #2: % Location: 249 CTY RD B�J C� ,��X(S-��[7 5'if(�� vµkpll + 1.) Alt BM Description = yy��,ro �{ / l !// v 2 ) Bldg sewer length = '' j Vile tl� ON 80�k eyWs - amount of c---. ��.// Plan revision Required? U Yes Ln No 2 SBD£710 (R 3/97) Use other side for additional informati n / Date Inse tars Signature Cart. No s mu.I:�rf« �9 SA)v -)ea I — a 50 D C� �+ Industry Services Divis County St. ✓V 1400 S Washington Ave $snooty Permu Rumbzt (to be fillzd in by Ca ) is � i' l- I q Oq .;y s JUL 2 L G � Madison, Wi 53707-7162 P,O Box 7162 /� ID ilk ir it, 33 8(, (o re pplication tion Number State Ttansarya �— In accordance with SPS _ (�2), �'ts. Adm Code submission of this fmm 1, `�allln is required print to obtaining a sarutary permit Notc: Application forms for state-.nvned PO TS are subnuttut to Project Address (d dtt&rent than mading address) the Dcpartmcnt of Safety and Profc; imal Sm ices. Personal information you provide may be used rot secondary purposes in accordance with the Privac) , s 15.04(1)fm , S[als Kd f� I. Application Information - Please Print All Information Ptoputy Owner's Name Parcel 5v II 7c'�°rS C [>h1 �- �L � �F `, (�� 1�1� �V e avltJNt p Property O emu's Mmling Addm. 21c1 ci Property Lu ti�_ Z ±S. ►(.. 3Z6� \2�A Gout Lot �7 tN yf Z 1-4 N x.5 ,.. sccitnn City, State Zp Code Phone Number /�/'q�� C)( �� L1�2� �h.�� r ��2� 2q , (circlenn T O N: R�Eu� 11. Type of Building (check all that apply) Lot ft I or 2 Faintly Dwelling -Number of Bedrooms —� Subdivision Name -- Block A Public Commercial - Describe Use ❑ city of ❑ State Owned - Degcrihe Use ❑ Village of / �Tnwn or 1 ^� CSM NN �mbet 1y y X1J• t /{ 7—om :Cc/ l Ill. Tylic of Permit: (Check only one box on line A. Complete line B if applicable) A ❑ New S)stcm Replacement System ❑ 7ra+uventlAnldmg Tank Replacement Only ❑ Other Moth]icanon to Fxtsung System (explain) B. D Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Perron Transfer to New List Prevmus Perms Nptb and) ate�od Yp Betme Esptrauun Owmet . Type of POWTS S slem/Com onent/Dcvice: jCheck all that apply) C> Q�s a+a rS Non-Pressm¢ed ln-Ground ❑Pressuuaed ln-Ground ❑At -Grade ❑Mound> 24 in ofsunablescil ❑Mound<24m o'sunablesud ❑HoldingIank ❑O ct Drvpnsal Component x lain) ❑fret aonent Device (explain) V. Dispersal/Treat cut Area Information: Design Flow fgpd) Design Sod Application Rat dsD Disposal Aica Requncd (� Dispetsal Arty E', w fsl) Sysn.-m E cvalion t 456 -15D 1 to ko ?LG- cO lr-1 VI. Tank Info Capacity in Gallons 'IOU" Gallons n of Umb M utfacturer C IM C� $Tr' �'!! 1✓t DT - u' New Task, Existing Turks i I" r n c:, U a ScPt,,of Holding Tnnk �^ W I W:e`� f LO lvQ yp Dm.mg Chamber I ✓ \F�et( �C-rvyrt VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name IVnn �c Vlumbn'a re 'Number Business Phone Number Jelin l 2313N� IIS-1e12,L(0w Plumber's Address (Strec[ Fit)'. State. 7.ip Cede) �iiQ2A85kccke i�w� �Yc�� a w1 VIII. County/Department Use Only Approved ❑ Dratpproved Permit Fee Date kits 2_1 Issuing Agent alum El Owner Craven Reason tin Demal lX. CV#WW40..:proval/Reasons for Disapproval f;; x 3 1} SI/5 Vs• }'1.11 Ls Vt I. $epik tatNr, efftt*rt filter and difilwsal cell fr+trst �p urvice a> NPermanagementPlanpraaicledbyplumUMr �> Ne 7Ly`ent:�.. IA.�vq- Vt A rNl elks V ktt of 2. An setbilck requirements must be mainteittb �r tK Per Dopncable code/aanencey, i r ojrt t IS T 1 VICwC . I GA V C Michlaty to complete (pfor the sy�i a"dd ssul tie totheCount} only on r not less than H vt x I I inches in size )nSYe.� S ilkrt�Pr SLIa�� yvvi� S74e�%-i � n 1� ItJ �;�) � $� a� SBD-6398 (R 09"14) / / _...-- 5'1lSTEM NOTES _.__.. Besi,ner Ryon Bechd ADVANCED -Ail property lines not one„ drawn are �100ft Rom Septic Tank: CatRlod Sol Tester. SP-111500001 Designer of Engineering Systems: D 2263-7 e u v a o N rn a m.a c system $Soil Boring I funcro-Easting1200gventedallon Cappriber la9ght and Nrctional, to be verified by pumber _--- --- Bring rates 4'above final grade �" \ --T—TPA / V /L rlc:oP • fiosing dryWBll and sal alump6on system to be abandoned per SPS 383 33 + + + P/L Resery for •♦� `♦ Vent Dry1 II +New dVieser+ + + + + W1 P750-MR + + h $ + + + `♦ Tank: future se ♦ t lift st4tlon W� \\ ♦ � r � + + + + + `� f120' 2' '.tJexWkaer Punep 4'k'p rroe46=t3gpmN10TOH I ♦ Sim- eeh filt�r sch 40 PVC \. ++ + + + + �f WLP750MR single -comportment lank Sim ieeh STF mapessae Suer wove teak as necessary, maintan tI,etb.,.. j `. + ELE�fATIOtNS: + + + RecalculatepanpmHafter real M t,� LP Tank' 0 + 1 = 00.0 + + II J1—r0+- F0� \� I + Topfof wet¢ + + + Evers counter, fare motor, or water prefer recommended sTA: 4ngrourd'cmvereara"?OWS with 06gpW bed rate' `P o 11 /D III / \ 41)centenkd 154'Infitlrelor Quk-4. STD branch (`J I CN \ N\ °` t5 4rr 7 I + } + F + �.contou=s6.ao Bun2d M2 = 96.98 \T 4r9trom,surface eleaeuon=9361(18'depth) o + sch 40 PVC + To of exis�ln talTc cove i'aaadaudtce j I I 9 tinter ewey fiem ayslar 40" I.I I utility II I I + + + + + + BM2 1 -0ryN to restrict 64' (Redonmaphic Feetums) Slope=I11A �' I✓ i _� + House walkout grijde = 4 .10 + � 4 4// III I I well ----3 + teptictankgrJde sd 9t.85 + 33' — - I� insulate + BS+Inlet 490.70+ + + I } I _� E Distribution: 7urp-lograrty posidel dnNdeon i cross 38R Home I}-prywel4rade+ 95.5Q- + I d ewa -Center trench iv a Ilela ti Driveway j+ + + + + + + + + + + + + + + - + + LOCATION MAP (not to .ome) + + + + + 25TH AVE III Tree line �.� + + + + + + + + + + + �•^co Ii' �+ + + + + + + +� + + + + + + + + + + + + + ++ + ++ + ++ + + + + +(1 _ o`rl a, �' cehter-fed 154'tifltrator + Trdl'ICh (Achanflsers) + + + + + + + PREPARED FOR Tom Lanes Qlk-4+STD + + + site Address: + + + + + + + + + + + + + SCALE 249 CTYB Woodvllle, WI 54028 / + + + + + + �' + + + + + + + + + + + + + + + + + 20'+ 40' PID: 008-1W0-30-000 3.68 Acres 1/4 0' (Legal: NW 1/4 SW 1 I + + '+ '+ + + + + + + + -t' + -F S24 T28N R18W .tiro o,a..,�„f ow. .rtrn hes ken desk, tl a,, awWatetl k e°aerdmwe with seek and laeat °adea TM toe tr.otnwR a,ea mrnt mmain arakaeed tram dleeurbenw and/a mrrgc°am tMon and aRw _.�_.__, a_.—._- ..,.......,...,.ns Naa fa. WerrAlen an Wooer ear, end Town of Eau GOIIB .a__r... I rsrtehrrrypn, ell IW4tlt,,, is WDE RAT RIIS sksr ] WLL CdNneNE M funcrM rwallnT. apaarn rr . as Wn 'l F44 ADVANCED Property Owner: Tom Laflex Site Address: 249 CTY RD B, Woodville, WI 54028 INDEX Page: 2 Site Plan Page: 3 Management Plan Page: 4 Management Plan Page: 5 System Design Summary Page: 6 In -Ground Conventional Trench Design Page: 7 In -Ground Conventional Trench Design Page: 8 In -Ground Conventional Trench Design Page: 9 Pump Selection Page: 10 Demand Dose Settings Page: 11 Tank Specifications ``��u��nu�uv„�� G G NS�N Page: 12 Soil Test Page: 13 Soil Test ,�`\��S RYAN G. BECHEL = Page: 14 _= Soil Test = D-2263-7 RED WING Page: 15 MN c Page: 16 ��''�fS 1 G N�-�```��\```` Page: 17 nun i i m"I'% Component Manuals: SBD-10705-P In -Ground Soil Absorption (N.01 /01; R.10/ 12) Designer Signature: Date: 7/1/2021 - - - TFS --- �- -- _-- - -All property lines not Benchmark Sl SrF.V \ -_. Designer. Ryan stet. ADVANCED ° Certified Sol Tester: SP-1115t)D(!01 drawn are >100fl from �4•ptic'Cank: Designs of Engineering systems: D 2263-7 system - ti son Boring I-Ewsing1200 gallon tarn. appeals wakrtghi and -_ —. --.-- Nnctonal, to be venhod by Plumber &Irg users 4'above foal Bade � P/L-ENAielg "oil aral soli wsorpton system to be __�_—P�� —P/L abandoned per SPS 38333 Vent $ Drywell New Wieser j I Reseryfor \ ) y J!;+WLP750-MR futur41se � \� lift station w/ Pu;mmpTank: -Pp needs =2Nar, L IOTDH I f120' 2 Sim -Tech filter New wleser&PfoC-MR sagle oomowlmerd ta,d I I \ scIT 40 PVC \ Move lank m necessary mausan all selbece RmakdalepmpTDHalleresta, LP Tank ELE�/� ATIONs' ,i-Everll courser. time meter. m wale meter recommended r; 0 \ i \ }� BM1 = ff U sr,\: I /1�— { \ I Top, of well Inyrowq'comerAcnal'?OWISrnlnC69p6lY load ale CP 11% / 1 (l)cenle, led l o41nGtala, 0uk 4.5II7 trencn I f5' 4" I -_ - Conmu=SLOG �' l rBuned�, seh 40 PVC BM2 = 96.98 SLWe =yftornsVne51 dn aepnl utility '� I TOO Of existing talik covet Mean torfecewaler W(Redotinia Depthtoastdaan=ti4'(8edovlmap/ac Featured) BM2 I ope=us House walkout grade = 93.10 l I t II ; l i Septic tank grade z 95.85 I\ �nsulate I I tNarNntlnn: 33' I 33' --- l / / 1 B.S. inlet = 90.70 Pueep.toyrai4y paralel dambeon ja0ss, 313R Home I I Drywell grade ;z 95.50 Colerfed Torch t dkiveway / Driveway T ---- LOCATION MAP (not to aeda) � I � i Tree line 25TH AVE CPi rn a ; (1� ce6ter-fed 154' Iililltrator PB111 NRED I;OR: Qoik-4+ STD Tri4neh (3$ehambers) + Tan, Lane. Site Address. 299 CTV H Sl',1LE Wodville, oWI 54028 / PID: 008. 1070-30-000 3.68 Acres ,40' 1 Legal: NW 1/4 SW 1/4 / S24 T28N R16W I Town of Eau Galls l m Wbtl wduA cw alias ra. ,A. h.r dwlgnawi In meuaawr .lu SEo4 and lnwl wd�. Th..on tr.°bnrrt moo meat Isrwin p^fclad hem alkubmo ad/o. m^w°dm u°,. °tee °rtr mrwbucean. No wwawm IS WDE "T 14S SY!di VAU WNnNIIE To PIINCToN INOETINOTLY. 9yeler, dr , at tw PrOWY manvowd. nAN Y^'+ Wwa m'a "Rew wrtan Wfar HarrMlAn m PoPar mm am Scale: 1"= 90' Date: 6R 521 rMlwYirY Management Plan This management plan identifies operation and maintenance activities necessary to ensure long-term performance of your septic system Tasks that should be performed by the homeowner are identdied. Professional management tasks must be performed by a dcensed septic maintainer or service powder, however, if is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner No. Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water -use appliances Management Frequency My system needs to he checked Designer Required Frequency: Check every 36 months every 36 months. State/Local Gov't Red Frequency: Check every 36 months Design Parameters System Specifications Number of Bedrooms 3 Septic Tank Manufacturer Design Flow (gpd) 450 Septic Tank Capacity 1200 Soil Loading Rate (gpd/ff`) 0.6 Effluent Filter Manufacturer & Model Sim -Tech STF-100 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mg/1 Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 mg/! Pump Tank Capacity 750 Fats, Oils, Greases (FOG) 30 mg/I Pump Manufacturer & Model Per Installer Treated Effluent Quality Biological Oxygen Demand (BOD) - m9/1 Dispersal Cell Type Non -Pressurized Conventional Total suspended Solids (TSS) - mg/1 Fats, Oils, Greases (FOG) - mg/l Pretreatment Unit Description NA Max Effluent Particle Size In 1I8 in toilets and dripping Raper leaks promptly Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowirg animals (gophers, groundhogs, etc) Keep bikes, vehicles, snowmobiles and other traffic off treatment area Alarms - Contact your service professional if any alarm signals Lint Fitter - check for lint buildup and clean when necessary If you do not have one, add one after washing machine Effluent Ater- Inspect and clean Lvlce cer veal at a minimum Caps - Make sure that all caps and lids are intact and in place Inspect for damaged caps often Fix or replace damaged caps area: per Liquid levels - Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped Pump all compartments every 36 months at a minimum Inspect tank inlet and outlet baffles (if applicable) Check dratofield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfleld laterals (if applicable) Check event counter/elapsed time meter and evaluate water rate compared to system design flow Check dissolved oxygen and effluent temperature in tank Check for surfacing of effluent or other signs of problems Verify inspection pipes are capped and intact Provide homeowner with list of management results and any to be taken. dary system compaction, etc. Page 3 INSTRUCTIONS inspections or tan Ks anti aispersai ceis snau oe mace Dy an appropriateiy icensea it iauai or ousiness, i an 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 backup or ponding of effluent on the ground surface Access openings used for service and assessment shall be sealed watertight upon completion of service activities Any unsound/defective access openings must be replaced immediately 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 Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle In no case shall total sludge and scum volume occupy greater than 25% of the tanks liquid capacity The effluent filter shall be cleaned as necessary to ensure proper operation The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal 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 Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. hor new constructionprior to system operation, cheCK septic/pump tanKs for the presence or painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use System start-up shall not occur when soils are frozen at the infiltrative surface During power outages, pump tanks may fill above normal high water levels for system utilizing pumps When power is restored, the excess wastewater wll be discharged to the dispersal cell in one large dose potentially resulting in overloading the cells It may also result in backup or surface discharge of effluent To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site CONTINGENCY PLAN If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications If a dosing tank, pump, pump controls, alarms, or related wring becomes defective, they shall be immediately repaired or replaced with components of the same or equal performance If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by, increasing basal area (if toe leakage occurs), rebuilding the component atthe secondary system site, or removing and replacing biologically clogged absorption and dispersal media and associated piping ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to approved abandonment regulations. These include - All piping to tanks shall be disconnected and abandoned pipe openings sealed - The contents of all tanks shall be removed and disposed of by a licensed septic professional - Tanks shall be crushed & filled, or removed - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Page 4 ST. CROIX COUNTY ZONING OFFICE AUG A 02021 CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 296) C4•1 M 6 located at: N W '/4, 5 W_ '/4, Section z q , Townes N, Range__",,, l,,, W, Town of Fo o" 674 1 Lf St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service `�- 1 20Z 1 Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: t ODD Construction: Prefab Concrete _ k Steel Other Manufacturer (if known): uAesuc L cwye }f, Age of Tank (if known): Permit number (if known) (Lensed Plumber Signature) (Title) -0T- Z02 I (Date) �c ( �e L kC- (Print Name) 231;4i z (License NumbeQPMPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 System Design Summary Property Owner/Client. Tan Laflex Parcel ID: 008 1070-30-000 Site Address: 249 CTy RD B, Woodville, WI 54028 DESIGN FLOW, WASTE STRENGTH, TANKS A Type of Wastewater: Residential Treatment Level: Effluent( Residential Design Flow = not Bedrooms 3 XWDGPDX150 = 450 GPD Commercial Design Flow(data/calculabom attached): ❑Measured GPD ❑Ertmatel GPD Design Flow. 450 GPD Comments: Existing 3BR home, no home business B. Septic Tankls): Minimum Capacity = Design Flow X 2 088 Wastewater received by. Gravity Code Mimmum Sepbc Tank Capacity 940 Gallons. in 1 Tanks Compartment(s) Designer Recommended Tank Model(sl Existing 1200 gad septic tank and new Wieser WLP 750-MR Effluent Filter a Alarm [E Ell Fnerkam Effluent Filter Madal Sim -Tech STF-100 C Pump Tank Code Minimum Capacity. 523 Gallons Pump Tank 2(Code minimum) NA Gallons Designer Recommended Min, Capacity. 600 Gallons Pump Tank 2(Designer Req): NA Gallons Pump 25.0 GPM Total Head 10.3 if Pump 2 NA GPM Total Head NA IF Holdfg Tank Only: ❑ Minimum Capacity Residential = 2000 gallons, or 5x estimated daily wastewater flaw, whichever is greater Minimum Code Required Capacity: Gallons, in Tanks Holding Tank High Level Alarm Type. Designer Recommended Capacity Gallons, in Tanks DISTRIBUTION AREA Soil Treatment Area Type. Non -Pressurized Conventional Distnbuhon Type: Gravity Distribution Benchmark 1 Elevation: 100.00 it Benchmark Location: SEE SITE PLAN Component Manual l: SBD-10705-P In Ground Soil Absorption 114.01 /01; R.10 Distdbubon Media ❑ DrarI ii ck ❑✓ Appraeo Product Component Manual 2Infiltrator Qmk 4 +STD SITE EVALUATION DATA Depth to Limiting Layer. 64 in 5.3 ft Soil Texture Sand Contour Elevation: 96.00 SHLR. 0.60 GPD/ft' Elevation of Limiting Layer: 90.67 Perc Rate: MPI Minimum Required Separation: 36 in 3.0 ft Soils with .60, Rock fragments Present? ❑ Y. [z No Maximum Depth of System: 28 In If yes, describe'; rock and layer thickness, depth of soil treatment needed per SPS 383.44-3 and any additional information fix addressing the rock fragments Measured Land Slope: 11 0 in this design. SOIL ORGANIC LOADING RATE 1- Organic Loading to STAY Pretreatment Unit = Design Flow X Estimated 600 in mg/L in the effluent X 8.34 - 1,000,000 450 gpd X 220 mg/t X 834 - 1.000,000 = 0.83 Ito BOD/day a. Pretreatment Unit Information(pfapplicabler Not Applicable b. Organic Loading After Pretreatment (if applicable) = Design Flow X ROD in mg/L in the pretreated effluent X 8.34 = 1,000,000 gpd X rI X 8 34 . 1,000,000 = - Ito BODlday 2. Organic Loading Rate to Sail Treatment Area (Ibs/day/J[) - Soil Treatment Bottom Area ft' = Ins/day/ft' � Lotll„g we rwamm (ca/a'1 eagis1 083 Has BOD/days 766.0 fe = 0 00109 Ibs/day/fY ...... ..... ..... ..... _.... ..... _...... _..... ............. ............ r, „n ..... ..... ___....... ..... ..... ................................................ ..... ..... ........ ..... ..I Comments: Page 5 A. In -Ground Conventional Trench Design DESIGN PARAMETERS: Parcel ID: 008-1070-30-000 Design Flow: 450 GPD Code Maximum Depth: 28 inches Designers Maximum Depth: 28.0 inches Soil Loading Rate: 0.60 GPD/ft2 Linear Loading Rate: 12.0 gal/ft Code Required Minimum Bottom Area = Design Flow _ Loading Rate 450 GPD- 0.60 GPD/ft2 = 750 ft2 Dispersal Media: Approved Product Distribution Method: Gravity -Parallel Distribution For distnbution media installed in contact with a Grade 1 Ptaty Silt Loam or systems using effluent k1 in any Sandy soil with >60% rock fragments, indicate distribution method: Not Applicable TRENCH CONFIGURATION: AGGREGATE Code Minimum Sidewall Bottom Area Design Trench bottom area Absorption Reduction Bottom Area trench 2 (ft) (inches) Credit Multiplier bottom area 6 Inches NA 1 Indiv Site Design B. Sidewall Height: inches = ft C. Designed Bottom Area: ft D. Trench Width: ft E. Total Designed Feet of Trench = Bottom Area = Trench Width ft2 - ft = Lineal ft Width F. Minimum system length based on Linear loading Rate = Design Flow = LLR gpd a gal/ft = ft G. LLR Maxim It of Trenches: Designed k of Trenches: H. Length Per Trench = Total Trench Lineal Feet a Number of Trenches ft = ft Recommended to be , F above J. Select Trench Spacing: ft (5 - 12 ft from center to center typical) * Lawn Area = Trench Length X Trench Spacing ft X ft = ft2 lawn area L Select Depth Required to Cover Distribution Pipe: ft (0.33 it for preswre, 0.5 ft for gravity) M. Rock Volume = Sidewall Height - Depth to Cover Pipe X Bottom Area = cubic feet . 27 = cubic yards ( ft + ft t X ft2 = ft; -27 = yd3 Page 6 TRENCH CONFIGURATION: APPROVED PRODUCTS - CHAMBERS AND EZFLOW A. Code Minimum # Of Trench bottom area Product EISA Rating Products Total # for (ft') (ft'I Needed Construction 10' EZ Flow, 50 15.0 15 5' EZ Flow 25 30.0 30 750 QUIK4 , STD 20 37.5 38 QUIK4+LP 20 37.5 38 B. Registered Product: C. Product EISA Rating: D. Design Bottom Area: E. Product Width: EZ-FLOW 1203-H Cover r 1 I� Distribution I, Sidewall l ice' Width 20 ft2 Additional Absorption Area for Chamber Endccps 750 ft' Endcap EISA Rating per Pair: 6 ft' 3 ft Total Number of Endcap Pairs: 1 F. Product Length: 4 ft chamber Design Bottom Area = Bottom Area + Endcap Bottom Area C. Product Height: 12 in 760 ft2 + 6.0 ft, = 766 G. Number of Components = Design Bottom Area divided by Component EISA Rating (Round up) 750 ft' 20 ft, = 38 components H. Minimum Design Trench Length = Minimum # Products x Product Length 38 x 4.0 ft = 152 ft J. Minimum trench length based on Linear Loading Rate = Design Flow a L L R = 450.0 gpd a 12.0 gal/ft = 37.5 ft K. ILL Maximum # of Trenches: 4 Designed # of Trenches: 1 L. Length Per Trench = Actual Trench Length . Number of Trenches + 2ft 152.0 ft 1. 1 trenches = 154.0 ft Recommended to be > F above M. Select Trench Spacing: 1 ft (5 - 12 ft from center to center typical) N. Lawn Area = Trench Length X Trench Spacing 154 ft X 1 ft = 152 ft' lawn area Page 7 4. In -Ground Conventional Cross -Section Et Layout SYSTEM CROSS-SECTION 96.00 NATIVE BACKFILL SEED & SOD �4 .. �t ARC 93 67 1 Chamber ae- SYSTEM LAYOUT Observation PipeNent r n 36' V 76, 7e 3 v 5 OBSERVATION PIPE DETAIL Screw -type or Finished grade slip cap Topsoil cover 4" SCH 40 PVC pipe min ) Top of pipe to terminate at or above finished grade a' - 7 It 6" slots spaced 90 degrees apart Infiltration TWO surface Flange Page 8 Pump Selection PUMP CAPACITY (GPM) Parcel ID. 008-1070-30-000 Distribution Method: Gravity If pumping to gravity enter the gallon per minute of the pump: 25.0 GPM (10 - 45 gpm) Minimum system flow rate: 25.0 GPM Dosing method. Demand Dosing Soil Treatment TOTAL DYNAMIC HEAD (TDH) Elevation Difference: 8.1 it s w� w auna,y. IbeM^em pump and highest discharge point) Distribution Head Loss: ft k s ww1Y"O` nkt WIR Additional Head Loss: 0.5 it idwa rospedal equipment, etc.)Elemwn.i ; mrk..�a -.... ;m - Forcemam Diameter. 2.0 in Forcemain Length: 120 ft Forcemain Friction Loss = Friction Loss in Plastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length X Forcemain Friction Loss = 1.66 ft j z� Add Equivalent Pipe Length from pump discharge to soil dispersal area discharge to account for fitting loss if needed. (Estimate by adding 25% to supply pipe length for fitting loss if desired. Forcemain Length X 1.25 = Equivalent Pipe Length), Use 1.0 for standard systems 1.66 ft X 1 = 166 it Elevation Difference + Distribution Head Loss a Additional Head Loss + Forcemain Friction Loss = Total Dynamic Head (TDH) 8.10 ft + ft + 0.5 it + 1.66 ft = 10.3 it TDH PUMP SELECTION A pump must be selected to deliver minimum 25.0 GPM at a minimum 10.3 TDH Pump Model Option 1: T s u 0 GFL.Oiv'v' n TEAS Q L ) l z 90 Ff/ y� ZEE e Pump Model Option 2: L 1 Performance Curve Performance Curve P PERFORMANCE CURVE ODEL 98 I I � 1n V an a,l Fn rn in 80 1E0 240 FVNVPER l.11NI- E MP • II U MODEL �I■■�m■ EMEW ■EOM\\\■■■I 40 M 120 160 200 211 260 121\I o FLOW PEfl FnNIJrE 111.1 Page 9 Demand Dose Pump Tank TANK CAPACITY AND DIMENSIONS Parcel ID: 008-1070-30-000 Design Flow 450 GPD Code Minimum Pump Tank Capacity: 523 Gal Designer's Minimum Capacity. 600 Gal Tank Manufacturer: Wieser Tank Model. WLP750-MR Capacity from manufacturer: 750 Gallons )mpartantl: Dose design calculations are basedon ffinga /,c tank Subshtuhng a different tank moi may after the pump pact settings Conrad designer if changes are necessary Cations per Inch from manufacturer: 20.3 Gallons Per Inch Liquid depth of tank from manufacturer: 37.0 inches DETERMINE DOSE VOLUME Calculate Volume to Cove, Pump (The inlet of the pump must be at least 4-inches from the bottom of the pump tank it 2 inches of water covering the pump is recommended l Pump and block height + 2 inches X Tank Gallons Per Inch 'Aden, 2 inches enures wmP is covered by effwent during operation 1 10 in + 2Inches) X 20.3 Gallons Per Inch = 243 Gallons Minimum Delivered Volume = 5 X Volume of Distribution Piping: (From Pressure Distribution worksheet) = Gallons (minimum dose) Maximum Pumpout Volume = Design Flow x 20- 450 GPD X 20-' 90 Gallons (maximum dose) Select a pumpout volume that meets both Minimum and Maximum82 Cations Doses Per Day = Design Flory a Delivered Volume 450 gpd - 82 gal = 5 Doses Per Day Drainback Diameter of Forcemain = 2 inches Length of Forcemain = 120 feet Volume of Liquid Per Lineal Foot of Pipe = 0.163 Gallori Drainback = Forcemain Length X Volume of Liquid Per Lineal Foot of Pipe 120 ft X 0.163 gal/ft = 19.6 Gallons Total Dosing Volume = Delivered Volume - Drainback 82 gal + 19.6 gal = 102 Gallons Minimum Alarm Volume = Depth of alarm (2 or 3 inches/ X gallons per inch of tank .3,,M ssrmeep,b emmmend,d to prevent 3 in X 203 gal/in — 60.8 Gallons turbulence resulting unnecessary pump cycling FLOAT SETTINGS Float Separation Distance for Dose p Total Dosing Volume : Gallons Per Inch S 102 gal a 20.3 gal/in = 5.0 Inches - Float Distance Settings (measured from bottom of tank) - Distance to set Pump Off Float = Pump + block height + 2 Inches - 10 = In 2 ID 12.0 Inches Reserve Cqr. 170 m A 3446 Distance to se[ Pump On Float = Distance to Set Pump -Off Float Dose Separation Distance Alarm Distance 3.0 m ' 12 in « 5.0 In = 17.0 Inches Pump On Distance 5.0 In C _ 1016 Distance to set Alarm Float = Distance to set Pump On Float + Alarm Depth Pump Off Distance 12.0 in D r 243 4 17 in + 3 0 in = 20.0 Inches Pump Off Elev. 87.3 it _ Page 10 TANK SPECIFICATIONS • Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Quick disconnect (Cam -Lock) reachable from final grade (24 inches max) required for pump installations • If forcemain will have a "1-Hook" assembly, drill a weep hole in the "hook" • Building sewer. No 90's, keep 3 feet between 45's, maintain 1 inch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum • Insulate building sewer if less than 2 feet from final grade and under all high traffic areas (driveways etc.) _ Watertight control box with separate 95.85 pump andala•mclan Is �, 40 pipe'5CH40nkexcaforce m atioin inntoH 9$. $0 \ prevent pipescrces tank excavation to \y prevent pipe semi ng 90.45 89.83 \ i� Cam Lock a- S:H 1%Minimum Slope P•i OF\\� i' FM4t Tree: I nsta ll floa is separate l V from p Um Pona 1" to 1S"PVC P pe L (I J f• —_ -- I i t� I'I ' J Weep Hob 86.00 4" Pump Block 0 CAST -A -SEAL 024 TYP FILTER OR BAFFLE lop ME A G� _11 t T _— 12i C SIDE VIEW CAST -A -SEAL PUMP PAD C-1227 REQUIREMENTS WLP75O-MR TANK SPECIFICATIONS DIMENSIONS. WALL 2 1/2' BOTTOM 3' COVER 4" MANHOLE: 24' 1 D PRECAST CONCRETE RISER HEIGHT MT COVER 54' 00 — WTSIDE DIAMETER 64' OD BELOW INLET 42' OD LIQUID LEVEL: 37" WEIGHT: 6.150 Les •i i k INLET AND OUTLET 4' CAST —A —SEAL BOOT OR EQUAL GASKET, CAST —A —SEAL BOOT OR EQUAL ¢ E $ INLET AND OUTLET BAFFLE AND FILTER WSCONSN, SEE DETAIL #10 m 9 (OTHER STATES SEE CHART) LIQUID CAPACITY 202E GAL/IN g HOLDING TANK' S ACTUAL CAPACITY 7W GALLONS 4i^ OUTLET HOLE PLUGGED W LOADING DESIGN: 8' 0' UNSATURATED SOIL } TANK CAN BE USED AS SEPTIC/ HOLDING/ PUMP OR SIPHON m Y o COVER MIX DEsiov /8 (NO FIBER) N TANK MIX DESIGN #10 (STRUCTURAL FIBER) a CUSTOMIZED TANKS I YA IZI O� FOR CUSTOM TANKS CONTACT WIESER CONCRETE c0 Q got n Z p2 N a i aJ U S 2 ,'y( DRAWINGS SUBMITTED FOR APPROVAL AI'mr)'E0 i SHEET No. APeFUYAL DA '. 1 / PFWUCTS xEEDto Bs: 1 Libe�tyPumps 0 40 + 30 10 0 L 0 280_PI ROIOR/2015 LITERS PER MINUTE 50 100 150 200 250 10 20 30 40 50 60 GALLONS PER MINUTE tCoppi%ht2015 hlhcrty Pumps Inc All ngh¢rcsa'vd S,,,f.mions..b�cct to chen,c without mace 12 10 S M 4 IPM J O 70 ST. CROP- UNTY SANITARY SYSTEM Filece f Office Use Only OWNERSHIP/ADDRESS FORM creoreazizozr Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. Owner/Buyer Mailing AddrE City/State/Zip Phone Numb( Email Address Parcel Identifi, (found on the property tax bill) OWNER/BUYER INFORMATION I NEW SYSTEM: LEGAL DESCRIPTION Property Location 1/4 , U 1/4 , Sec tllT ¢Q_N R\,\4W, Town of �iiW.S )�\� Subdivision Plat: Certified Survey Map # Page # Lot # Warranty Deed # 103900 (before 2006)Volume Page # Number of bedrooms 3 Spec house 0 yes 0 no Lot lines identifiable 0 yes 0 no OFFICE USE ONLY New Property Address r/xt �j�/ (Verification of new a ress required from Community Development Department for new construction) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cddf-ysccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.scavi oov r �- ST a�a �- a3-7 Wisconsin D ��Professiona Services `Z c.� Page 1 of 2 Division of In lr vices Z0 r SOIL EVALUATION REPORT �ontV In ac rdance with SPS 385, Wis Adm Code County `.rL tit in complete sl plan org5epe 0., ��t x 11 Inches size. Plan must include, ST Croix but not limited to v rbc a erence point (BM), direction and percent slope, Parcel I D scale or dimensions now, and location and distance to nearest road 008-1070-30-000 Please print all information. Reese d by 14f / Dt y Personal Information you provide may be used for seconds purposes Privac Law, s 15 04 1 m �0(C, K l! Property Owner Property Location Tom Laflex Govt Lot NW % SW % S 24 T 28 N R 16 W Property Address Lot # Block # Subd Name or CSM# 249 CTY RD B City State Zip Code Phone Number ❑ City ❑ Village ❑O Town Nearest Road Woodville WI 154028 1 1 1 Eau Galls CTY RD B ❑ New Construction Use Q Residential/ Number of bedrooms 3 Code derived design Flow rate 450 GPD Replacement ❑ Public or commercial - Describe Parent material Loamy drift over sandy/gravelly outwashfChetek-Onamis) Floodplain elevation if applicable NA ft _6N Q- }C General comments and recommendations Recommendinyround'oonvenoonal-trenohtas/dt28-depthwitho6gpd1R21 a on,.[ to t t x l 7 p // LF= IW(Redoximorphic features) S ys ~1 fn 1 Y� SlY-U �r l Boring# Z8 (Dy if ❑Boring 9400 64 yy lz 0 Pit I Ground surface elev n ft Depth to limiting in. AaX 2.S xx 6P IOW otil R --1 Soil Aooll ication Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont. Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Efi#1 'Eff#2 1 0-12 10YR 3/4 (fill) I 2mgr mfr as 2m-vf 0.6 0.8 2 12- 7.5YR 6/6 (in -situ) s Osg loose cs 1f-vf 0.7a 1.6a 3 (1615%grave) 30-42 10YR 4/6 - grcos Ogg loose cs - 0.7a 1.6a 4 42-64 10YR 5/6 - s-cos Osg loose av - 0.7a 1.6a 5 7.5YR 5/4 f1f 7 5YR 5/8 & 7 5YR 512 Is -Ifs Osg loose av - 0.5 1.0 6 71-80 7.5YR 3/4 1 c1f7 5YR 4/6 & 7 5YR 5/1 sl-scl lfsbk mvfr - - 0.2 0.3 'Fohzo.ns 2 & 3 aso had 5mm tick bands of ].5YR 4/ s (lemellae bands) Note Re mmend red ing loading rate to 69pd/B2 to account for potential slow water mo ement Urroul call santl El Boring 2 Boring # ❑l pit Ground surface elev 96 20 It Depth to limning factor 74 1n ?.. ZL rf / G.?i t'f Sal Annitl cation Rate I Honzon Depth In Do mint Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' •Eff#1 'Eff#2 1 0-7 10YR 3/3 (fill) I 2fgr ds as 2f-vf 0.6 0.8 2 7-18 10YR 3/4 (fill) cos Osg loose as 1f-vf 0.7a 1.6a 3(5-10r gravel) 18-31 10YR 4/6 (in -situ) s-cos Osg loose G3 - 0.7a 1.6a 4 31-52 7.5YR 6/6 - s Osg loose cs - 0.7a 1.6a 5 52-74 10YR 616 - s Osg loose cw - 0.7a 1.6a 6 7 - 10YR 5/6 ftf 7.5YR 5/8 s-fs Osg loose - - 0.7a 1.6a `Horizon 3 & also had 5 m thick band of 7. YR 4/4, sand became s tui atJE CST Name (Please Print) Signature d /% CST Number Ryan Bechel ve- SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 0612521 (651) 327-0074 NOTE: Site is a prior road cut along CTY RD S. Loamy top soil appears to be fill. In -situ soil resumes beyond 18". vVy Boring # ❑ Boring 96.00 pit "U�8411CSERaerelev. _ft Depth to limiting factor 76 in Soil Aoolication Rate Horizon Depth In Dominant Color Munsell Redox Description Cu. Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' *Eff#1 I -Eff#2 1 0-14 10YR3/3 (fill) I 2mgr ds as 3c-vf 0.6 0.8 2 14-25 7.5YR4/4 in- sl 1msbk mfr gw 1m-vf 0.4 0.7 3 25-54 10YR 4/6 - s Bag loose cw if-vf 0.7a 1.6a 4 54-76 10YR 5/6 - scos Osg loose gw - 0.7a 1.6a 5 76-96 10YR 4/6 ftf 7.5YR 518 s-cos Osg loose - - 0.7a 1.6a *Sand beca saturated at 7" L7.9(b j Bonng # El Bo ❑q ❑ Pit Ground surface elev ft Depth to limiting factor_ in Soil Annhcalinn Rates Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 *Eff#2 ❑ Bormg # ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor m. Horizon Depth In Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 S 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOD, > 30 <_ 220 mg/L and TSS > 30 5 150 mg/L Designer. Ryan Bechel ADVANCED All ro rt tines not P y Qe Benchmark SYSTEM ROTES Septic Tank Certified Soil Tester. SP-111500001 drawn e>t 00P from Designer of Engineering Systems: D 2263-7 � Sod Boring system -Ewshng septic tank appears watertight and functioning, to be verified by plumber P/L-----�_�P/L -Ewsling drywell and soil dispersal system lobe \\ abandoned per SPS 38333 \ \ `. Vent w w + I+ + + f I I r f f P/L F Pump T.uIA: \ moo, I Drywell + + h' oil TI I , _ `.� LP Tank -'- I _ _ 111 ELEVATIOtNS \�-r�'� \. \;a� I { b}M1 = 00 DB' + + -f L`Y+Y=J' �0�1. 11% I I y/ JI t � c I rn—._ _ 01 \I ' - - TopFOt Weld + -(- St\ -t- Recanmend iuground'conuergonar benches M 28' a� f t•' I I /i I Buried �� x 1 }} + "T- BM2 = J6.98 + depth vAh 06gpd@ load rate +-0eplhto resmcan= 64'(Redoximaphc Features) = A I I ,• i utility -BM2 Top of existing tank coves Coolau=9600 dope House walkout grade = 9{2.10 well _ �eptic tank grade z 95.85 { 33' 33' I B.S Inlet =90.70 + D'neoo eawl \ 38R me t Iarywe;graed.Q-+ e needec -L I I + c Driveway i r----- r` / + + + + + T + + + + LOCATION MAP (rout W eWe) e / Tree line i 25TH AVE I 1 . + + { +- + + y + + + + + + + + m + + + + + + + I� + + 1O09 + + + + + + + + + 4- -t" + + + 4 PRF'PARF'n FOR /+ + + + + + "- -I + + Tom rates ' + Address Site Address + _+ '- + + + + — + + + -{' 249 CTY B + + T -'- a + + + t + S( AI.F Woodville, WI 54028 FPID. 008-1070-30-000 3.68 Acres _ + r + + _ + + + 20'+ + + + - I ♦- {- - 0 _ 40 Legal NW 1/4 SW 1/4 S24 T28N R16W CertFyed Statement: 1Ne eyetem nab Eeen dewgned and evaluated In aworaan. with State and tacal wain. The Ball Matment ana mint remain protected from dreturbance and/or cornpacoln before and after Town of Eau Galle ecorbucgon. NO wAil nY IS eNllE Ti THIS SYSTEM WILL CONTINUE TO f'UNGUON IND Nfl lY. Wem moil W properly malydalnea. RevM your eyetem's management pron for Information on paper min and Scale: [)ate. maartenenae. 1"= 40' 6125/21 S Clb,x COUNTY STATE SANITAR 7,49 c Rd 1 Yf�T V AXE Ti i T /T at T ♦ W TTI.T OWNER 'Ti &PmC Z PLUMBER Jo�v% Pe I lce LIC.# Z 313 G TOWN OF- SEC ?.&► ,T_ AND/OR LOT X; S1tirL 28 N, R BLOCK SUBDIVISION NO. 633866 PERMIT zoN E CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. to) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (t) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUT OVIZED ISSUING OFFICER -DATE 3 I ZJ THIS PERMIT EXPIRES 7 ZaZ 3 UNLESS RENEWED B O THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11i20)