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Home My WebLink About042-1072-80-200vVsconsin Department of Commerce County safety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) Stale Plan ID No 634000 Personal information you provide may be used for secondary purposes [Privacy Law S 15 04 T i,M,) &M —to ZI 02+66111 Permit Holder's Name City Village Township Parcel Tax No Dion Hansen I TOWN OF WARREN 042-1072-80-200 CST BIV Elev Insp BM Elev rBM Description licrJown/Range M;p No W-0 I /i _ 26.29.18.410C ",e ant 17 TANK INFORMATION EL!IEVATIO—N DATA TYPE MAtjU�ACTUREj_,,_ CAPACITY Septic Dosing Holding TANK SETBACK INFORMATION TANK TO PIL WELL BLDG Iveni to �ir intake ROAD Septic 23' Dosing It PUMP/SIPHON INFORMATIll <S-00 - Manufacturer Dem Ic Model Number 1 h riction L s System Head TDH 7 1L -1. to 1-�o 1 J4- (00 Forcemain Len th Dia D,st !oWell I ii�o, 1 2- 1 IVF4 Ora I r_m Length 100 TEM TO INFORMATION I MT - L4t% DISTRIBUTION SYSTEM I ( It ) I ja4-till 6c4t LDG JIVELL 16%' 1 -- zoo 2---� al tver STATION IIS HI IS ELEV Benchmark JEW All BM Bldg Sewer 4-il 93-70 SUHI Inlet SIMI Outlet Dt Inlet DI Bottom Headerlivilan 3.3z lie .90 5—'siP,pe 3-S-61 Z.-Fe" Bot System I Grade, ii t Cover 1140 PIT DIMENSIONS No Of Pits LAKEISTREAM LEACHING CHAMBER OR UNIT Header Ma Di ution Pi e( (ir Ix Hole Size - It ly Hole Spacing vent to Air Intake D'a Lengtsni D,a Spacir -5/3 Zq Depth Over --FDepth Over Depth of Seeded!Sodded u Mulched Bed[Trench Center BediTrench Edges Yes No Yes No (Include code discrepencies persons present eic Inspection #1 t�%l 24 e Location; 1346 70TH AVE 1 1 All BM Description 5--r, WOO;*&-t9kW C;$*1) 2 ) Bldg sewer length il J) amount of cover > q2 1.0 CPP all Plan revision Required? Yes XNo Use other side for additional information. SBD-6710 (IR 3197), D Insepctor s Signature Inspection #2 F 1 z%--at Carl No) -ca od I —kl) 3 SY 1 County AXn 17�1 Safety and Buildings Division tb 201 W. Washington Ave., P.O. Box 7162 amue� Permit Numba (to be filled in byCo) 2021 Wl 53707 20 -7162 'S F, OC7 Madison, (V q650 fair Tranisaction Number Cor, it Application-,-ff Z(-, in accordance with SPS 393,21',7), Wis Adm. Code, sub;nis5i,,., of this form to the apprbfruA &115velmmn ' u it zrQ) (J,)- is required prior to obtauting a spinitary pcmut. Note Appimation to= for state-owned P01A7S arcsubmitted 6 --PTojeci Addrns (if diffetent than mailing address) Pcis:,nal ma� be used for secondary the. Department of Safety rand Professional Smics information you pmvidc Ore lInvacy La�, s� I5.()4(.j!( mi SLas — ) '� q L--) 7146 Durposes in accordance with -- — 1. Application Information - Please Print All Information Parcel k Propem Owner's 11;Fmc 1 64,� A 0 9 — ?0 ,� cc) -pr—operty Ownees Mailing Address Property Localwn -S Zip Code Phone Number 1/�, �fction City' are City ate 46 IC ofor"', T N� R E 11 ype 0 Building (check all that apply) of -11 7yp.. lli.ildirtgiche,� '101bifivision Name NUrnber of BA-loortS ?� 2 Farnily Dwelling c:�, — ( as ock tf [J Public/Commercial - Describc Use Clt)r of M Numbe Village of Use State Owncil - Describe ;P4 of i(Y'/ 11I.Type fPermit: (Checkonly one box online A. COmPlEtelineB if applicable) Per� 11. Type t A Other Modification to Lxisim- System (explain) stem D RcpI&�c=rTiS,,t,, TIcatment/I lolding Twik Rcpla�mcm rEl List Previous Permit Number �d Date Issued R. 0 Permit Renewal 11 Pernrut Revision Change of Phunher 11-1ma I rartsfer to New 0 pe it Rcn,,, Before Expiration Bcf,,71:xp,,a 'or rZn IV. T of POW rS IV. Type of go stem/CompoiientMevice:_(ChecoilthIf t �ally)--- wrs-S)L 11 Non-11rcssurized ln-GTound Ll Prmu�d ln-Giroun�2 �-adc 11 Mound > 24 to. of huitdble sokl Ll Mound < 24 in of suitable soil r I .P'cssui:�d In C 11 HoldingTank F1 Other Dispersal Component (c am) Prctrc�fimcn"vicc (explain) n, (c am, . V. Dispersal/Trea t ent Area finrormatio 0 - n 1p Des 7csig plication Rate dsf) ispersal Rcq(ked (sf) Dispersal Apda Proj�wscd (sl) it �So, A, VI. Tank Info Capacity in Gallons Total Gallons 0 of # of Units; Manufacturer M uf"J"e, L) . i! -z 1 - Fxemng Tanks 2 0, � = zi V) -�--p-t;.-o, B-Idsar T,-k > ,.I C ohex 6J VLT. Responsibilqy_� �tement- 1, the und igne u c resp)nsibilily for installation of the POWTS shown on the attached plans. Plumb I'l er Signature MPIMPRS Number Business Phone N r e,c;&!A Name CPrim) 7 24) fz Plumber's Address (Street. C11Y, State, 'Pc))dc) �D I z C. 5n 11 VIU. CounryfDe artment Use 0nIv UI Permit Fee Date so it ui Agent Sig alun: vc rApproved DDisa ve 137sa v P" E�l ca on for Denial JX. C I Va IX. Conditions Appro Val 3 IJJ6� EM OWNERi S ILO W E R ze tic tank. effluent filter and M4�4�� ffl be iint3ined ce 11 nj�js -1 int !i� )ersal cell nius! be serv�Cel mc ,_Ory , _ i ' m; v r C,v r I 8 in -h— An"h to complete plans for the system and SUDIX11 eco only on paper not Ns 0 IL SBD-6398(R� 11/11) System PLOT PLAN PROJECT Dion Hanson ADDRESS 631 13th st. S Hudson Wi 54016 SE 1/4 SW 1/4s 26 /,1, 2 9 N/R 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 96.9' DATE 10/6/21 BEDROOM 4 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 If of Chambersnone BENCHMARK V.R.P. Top of wood corner post ASSUME ELEVATION 100' Filter Lifetime BOREHOLE wrl,L - H. R. P. same as benchmark Property Line Scale 1/4" = 10' to meet all WDNR setbacks B-2 0. 4 0' 80 1 1 1 70th Ave 0% Slope I I B-1 , Line 11.11111AM OPY 4 4.0, 5�5b doe Kevin Grabau Subject: F I NAL- -634000-- Bird - -Hansen Location: Town of Warren --"RED" Start: Mon 8/8/2022 11:00 AM End: Mon 8/8/2022 12,00 PM Recurrence: (none) Organizer: Kevin Grabau Categories: POWTS 13467 01h Avenue 042-1072-80-200 26.29.18.41 OC Scheduled on phone with Shaun 8-1-22—TED" DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay htlp //dsps wi gov/programslindustry-services www wisconsin gov Tony Evers - Governor Dawn Crim - Secretary October 20, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-10-20 Plan Review: PWTS-102102764-C SHAUN R BIRD 1432 120th St New Richmond WI 54017 SITE: Dion Hanson 1346 70th a\ e Town of WARREN St. Croix County Total Amount: $250.00 FOR: At -Grade Component Manual - Ver. 2.0, SBD- 10854 (N.03,107, R, 1/12) Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P (N.01"01, R 10/12) Description: 600 GPQ (4 Bedrooms —New Construction Maintenance Required The submittal described aboNe has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes, The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance NN ith the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stals. The following conditions shall be met during construction or installation and prior to occupancy or use • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning ofecluipinent and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite %kastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface ivater from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of N%et soil will result lit reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too Nvet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries, All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (1 1)(c) • Well setbacks to meet chs. NR 9 11 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Ans, changes may result in pump resizing to meet TDII and GPM Specifications. • Areas that are occupied v% all rock fiaLnnenls. nee roois. NIUMPS Mid 11OUldcjN rCLILICC thC lH1lOUl1t Ot',;011 a%ailable ['or proper treatment 11 lit) other site 1.� a%allable. [lee% in the ba.,al area ofilic Mound must be Cut Olt' at glound I e�el. A Luger I i I l I I ea 1, neces�m.N �� hen in-% oft h c aho% e condi I ion, it re clicoull lei ed. to pro% ide Sufficient 1111,11tiati%e drell Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). 0 In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the properly owner must follow the contingency plan as described in the approved plans. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installationioperatioii. In granting this approval the Division of Industry Services 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 ofthe responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence rna� be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a cup), of (his letter and the POW"I'S management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services Cell: 608-516-6134 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 10/7/21 Owner:Dion Hanson Location: SE1/4 SW1/4 S26 T29 N,R18W 1346 70th ave Warren Manuals Used: At -Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7. Filter Specifications 8,9. Maintance and Contingency Plan Attachments: Soil Test Z� Shaun Bird Oelv_ Signature License number 226900 Page 1 of 9 PROJECT Dion Hanson SE 1/4 SW 1/4s 26 /,1, 29 System PLOT PLAN ADDRESS 631 13th st. S Hudson Wi 54016 NIR 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 96.9' DATE 10/6/21 BEDROOM 4 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of Chambersnone BENCHMARK V.R.P. Top of wood corner post ASSUME ELEVATION 100' Filter Lifetime BOREHOLE (DWELL 1H.R.P. sameasbenchmark 77� .4 Property Line - C� B.M.* Scale = 1/4" = 101 E3-2 0% Slope B-1 /W 0 0 .�is to meet all WDNR setbacks LJ 13�3 01 4 0' 80' 1 1 1 )perty Line 70th Ave Wrtm7m 0.5* TO 2.5" WASHED AGGREGATE IM(covered with approved synthetic fabric) 91 MIN. 6.0'OF TOPSOIL COVER PLAN VIEW (No Scale) CROSS SECTION VIEW (No Scale) 0 scfd 40 NEARLY LEVEL SrFE Surface Contour Elevation = 4?(/, F It L= //0 It PAGE 3 OF 6 AT -GRADE DISPERSAL AREA (Show force main and flush valve locations on plan view.) 7-7 7-7-7-7 1 R 7 _Z_ Z _Z_ Z 17 -7- Pr-a Z LOWED PERIMETE P', _15 �Z_ Z — — — Z_ -Z ir/i AGGREGATEBED T W= Zo fti A= It Ob�twPtpe Z7� A0 '0 trypi�) I -7 -7- -7-7-7-7 7-7- -4-B-1 It - 7 _7_Z_Z_Z_Z_Z_Z_Z_Z Force Main Pressure Lateral Layout One Lateral — End Manifold t X T L Dlistri"tion Ketwork Specifications Lateral Diameter In. Orifice Diameter In, X (Orifice Spacing) �2 In. 4MR. L (Lateral Length) Force Main Diameter In. I Force Main Length 03/05 lgj Lateral Turn -up 10 Long Sweep 90 Bend Pressure System Construction Threaded Cleanout Plug Laterals are constructed of Schedule 40 PVC pipe. Orifices are drilled perpendicular to the pipe with a sharp drill bit and face down. Lateral turn -ups terminate with a threaded cleanout plug and are enclosed in a 6-8 inch diartieter lawn sprinkler valve box accessible from finished grade. 0 0 0 0 0 Grade 0 0 0 0 0 * 6-8 Inch Lawn Sprinkler Valve Box Page �J_ of?-- Septic -Dose T" Cross Section And Pump Performance Specifications ank Manufacturer Tank Model Number Total Tank Capacity Max. Bury Depth EFit rManufficturer FUI�� ode] Number Minimum Pump Performanc Required GM I @ I Ft TDH Outlet Manhole Min. 4" Above Grade With Looking De�ice. Inlet Manhole < 6" Below Grade Sealed Watertight %� — — — -1 — Finished Grade Inlet Outlet Filter Inlet Baffle p Manufacturer Pump Model Number &X7.Fd Alarm Manufaicturor Z/ e r Alarm Model Number L.- Switch Type Total Dynamic Head (TDH) - Feet Elevation Head Di9tal Pressure Network Loss Force Main Loss 70 Total Manhole Min. 4" Above Grade Securely Mounted Weather-proof With Locking Device Junction Box t Vent Min. 12" Disconnect Above Grade Means With Vent Cap wlffikjin� A V4 Weep B Role Off El ion C t Bottom D Elevation Ft GENERAL INSTALLATION: The sePtic/doso tank it; bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective looking device (padlock) installed. Piping at the Inlet and outlet is of approved material, connected to the tank with Watertight fittings, and laid on stabl� soil to prevent settling or sagging. The faroc main is slooved with 4" Sch. 40 PVC to bridge the tank excavation aiad the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.29. 02/05 LT Page 5 of �L 280=SERIES 112 hp Submersible Effluentill"Sump Pumps ........... * Vortex style Impeller permitting passage of solids up to %4 * 416 stainless steel rotor shaft * Permanently lubricated upper and lower ball bearing Epoxy Powder coat finish All fasteners —corrosion-resistant stainless steel 114" Discharge Stainless steel bottom screen — easily removable Maximum fluid temperature: 140'F. 280-Series Cord Lengths Model 10, 25'(-2) 35'(-3) 501-5) 280 Standard Optional Optional Optional .281 Standard 5)ptional Optional Optional 283 Standard Optional Optional N/A 287 Standard Optional N/A WA I O'cord length standard on all models. For optional lengths, add "-2. -3 or -50 suffix to model number. Pample: for model 280 with 36'cord, order 260-3 Motor Specifications %hp 60 Hz 3450 RPM Oil filled, thermally protected (PSC) Permanent Split Capacitor &Oamps(llm 4.0 amps (208/23OV) 10 8 6 0 1 - L_L_� 0 I ' L' L' L'�T�'4LOI�'5L5'60 65 70 0 5 10 15 20 U.S. Gallons Per Minute i i i i i i i I 0 38 78 114 15e 192 228 270 Uters Per Minute Dimensional Date: Weight* 29 lbs. Height: 13" Major Width: 10' (model 287) Minimum Sump Diameters: Model 281, 283 ... 14" Model 287 VIVIF ... 10" Factory switch Model 281,283 Moclel 287 settings VMIF Turn on level 13N 9.5" Tum off level 7' 4.0" The Model 283 features a fully adjustable v4de-angle float Differential adjustments can be made easily by tethering the float to the dis- charge p1pe or other mounting point Vertical float model 287 Is not adjustable. .If e-? �'? Model 280 Model 281 Model 283 =)rz Model 287 Manual, Wide angle Wideangle VINIF-Serles Jtn�o switch floatswitch float awttch Vertical maq- with quick- with series nettle float for disconnect (piggy -back) smallarpits— plug will operate In it I a a 10" diameter RSSP fp* Sump o!"WEP14 ON us Certified SP*Cak�" *Wb)� W Ch4nQ* W� mbm. UbOrtY PUMPS 0 7000 APPle Tree Avenue 9 Bergen, Now Yor* 1.4416 o Phone 8o"43.2550 Fax (585) 494-1WQ www.libertypumps.com 007PW 0 Marty PMM Inc. 2017 Allrightarmerwd. 1111`200DR05017 600 I C�p ioet�en C�e ord Seq>entine Ile SECTION A -A 00 9 I I 921 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of -ILE INFORMATION Owner V Pk AS Permit # I)ESIGN PARAMETERS Number of Bedrooms 13 NA Number of Public Facility Units )dNA Estimated now (average) gal/day I Design flow (peak), (Estimated x 1.6) gal/day 890 Applicaflon Rate gaUday/ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil &Grease (FOG) s30 mg/L Biochemical Oxygen Demand (BODs) _-�220 mg/L D NA Total Suspended Solids (TSS) --5150 mg1L ,Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) s30 mg1L Total Suspended Solids (TSS) s30 mg/L [I NA Fecal Coliform (geometric mean :�104 CfU/100MI iMaximum Effluent Particle Size In die. 0 NA Other 0 NA 'Values typical for domestic wastewater and septic tank effluent. A11^0 O�UCM 11 C .qVqTFM RPFCIFICATIONS Septic Tank Capacity I El NA Septic Tank Manufacturer 11 NA Effluent Filter Manufacturer idF',e2 13 NA Effluent Filter Mi 0 NA Pump Tank Cap go, [3 NA Pump Tank Manufacturer NA Pump Manufacturer /,j, 0 NA Pump Model DNA Pretreatment Unit • Sand/Gravel Filter • Mechanical Aeration [3 Disinfection 0 Peat Filter 0 Watland 0 Other: Dispersal Cell(s) • In -Ground (gravity) t-Grade • Drip -Line 0 NA E) in -Ground (pressurized) [I Mound [3 Other: her: 0 NA Other 0 NA Other, 0 NA Service Event service Frequency I trispect condition of tank(a) At least once every: F,� month(s) �ear�s) (Maximum 3 years) 13 NA Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume 11 NA Inspect dispersal cell(s) At least once every: M month(s) (Maximum 3 years) -J!�+ear(s) 0 NA -1 Clean effluent filter At least once every: qmonth(s) )Et�ear(s) [I NA I I nspecl pump, pump controls & alarm At least once every: 0 month(s) 0 NA I:Iush laterals and pressure test At least once every: IJ month(s) 9 WO 14 NA -�ther: At least once every, E3 0 year(s) NA III NA MAINTENANCE INSTRUCTIONS linspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS MaIntalner; Septage Servicing Operator. Tank Inspections must linclude a visual Inspection of the tank(s) to Identify any missing or broken hardware, Identity any cracks or leaks, measure the volume of izombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually Inspected to check the effluent levels In the observation pipes and to check for any ponding of effluent on the ground surface, 'The ponding of effluent on the ground surface may Indicate a falling condition and requires the Immediate noUllcation of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one4hird (�) or more of the tank volume, the entire contents of [he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin RdmInIstrative, Code. tkll other services. including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units. 13nd any servicing at Intervals of 1512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority Wthin 11) days of completion of any service event. -"3 E)-�- 7 page _ of _, 0 After pumping, all tanks and pits shall gravel or another Inert solid material. START UP AND OPERATION t tank(s) for the presence of painting products or other chemicals thilt For now construction. poor to use of the POVVTS check trestmen may Impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septagO servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the Infiltrative surface, During power outages pump tanks may fill above normal hIghwater levels. When power is restored the excess wastewater will b13 discharged to the dispersal cell(s) In one large dose, overloading the cell(s) and may result In the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or pOWTS MaIntalner to assist In manually operating the Pump controls to restore normal levels wilhin the pump tank. Do not drive or park vehicles over tanks and dispersal cells, Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the POWT$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs: deareasers; dental floa3- diapers; disinfectants; fat; foundation drain (5urnp pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meet scraps; medications; oil; painting produalls: pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system Is prope y and safely abandoned In compliance with chapter Comm 83.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Oper8tor. be excavated and removed or their covers removed and the vold space filled with soil, CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compiliont replacement system: 13 A suitable replacement area has been evaluated and may be utilized for the location of a replacement 5011 absorption systelm. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by requJiled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the n(jed for a now soil and alto evaluation to establish a suitable replacement area. Replacement systems must Comply With the ruler In effect at that time. 13 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances In POWTS technologv a holding tank may be Installed as a lost resort to replace the failed POWTS. M!f " sits has not been evaluated to Identify a suitable replacement area. Upon failure of the pOWrS a soil and sits evaluaiiion /lr- Zust be performed to locate a suitable replacement area, If no replacement area is available a holding tank may be Installed as last resort to replace the failed POWTS. I a Mound and at -grade 8011 absorption systems may be reconstructed in place following removal of the blomat at the Infiltral V ace. Reconstructions of such systems must comply with the rules In effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Ol� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPO3515LE. ADDITIONAL COMMENTS POWTS INSTALLE R POWTS MAINTAINEIR Name Phone Phone I OCAL 12EGULATORY AUT 0 SEPTAGE SERVICING OPERATOR (RUIVIPERI I Phone I Fl,:j- ?("9' /7' Name _7 P h o 7nei This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(1) and 383.54(1), (2) & (3), Wisconsin Administrative Code. Weconk Citepailmarito(Commerce SOIL EVALUATION REPORT Page — of Division of Set", end Widngs In accordance wJIN Comm 85, Wis. Adm Code County Attach ooff0e 9 she plan on paper not less than 8 1/2 x 11 inches In size, Plan must Include, biA no! "ad to: vertical and horizontal reference poltril (13M). direction and Parcel 1.1) POrWItI1110114, imlOOrcrOrnemslwg. 110(thafrow.andlocal,or, end distance to nearest road. 03 f-0 Please print atF Informiation. Reviewed by Date P1101110'art int" own rou vn��ft noy be vood for wlmdwr P.W"- Wd�mr L�. It 1 Prwwiy O� . P r000rty L it Gr G GOA LYZ!!�F 114.AA14 SCW_T .9�' N R/j E r)W City state ZJD Ne Pho-W—UFW 0 city viiwoe 12" Mau Road 4�_ 15 * I I ;;� '4�_ I 22 9Z*;ConW kin Use: - WGP70al / Nurnber Of bedicoml i derived design flow rate 6 . 06 GPD C1 Repleasimarlt / - 7 Public Or commercial - Doscribe. POWA Mated*[-. 2t� Rood Plain e4vatim if applicable Gerwal oomiment land r000mmends;ws: eA. rcy Sorting 0 Boring Pit Ground surface olov. ft. Depth to Imilling factor Z414 Z in. OW Dominant Coicill Redox Description I Texture I Str�] C�rwWor4al Boundaryl Roots L QP In. Mimosa I Ou. Sz. Cont Color G(. sz. Sh. -Ef1#1 -Eft2 -L la"r �141 1 16 132 7110&1-��Alj 1 1, V � 6 ) 7" Y. -ft I < / I Imn It.11 'ro 1; zn I — �,/ & 7 1, -OFLw WZPVAWFAV-I9 VffifFA'--M FWAIF I-M "AWA I Borov 0 C) Boling '181PIt Gmvnd surface olov.g�_._Yft Depth to I�Wnq Facw In. . . . . . . . . . . . . . . . OWNS zlarw/4�� M-Vffd:M-- MMVA B=rry F Aw NO A All - 500 � 30 � 2ZO mgrL and TSS >30 1150 m9k tEMUW N7 - UQU, ! JV MWL long IR1 � JU ffVfL CZT Number Bird Plumbl)g, Inc. 51naun Bird 226900 FA�be$& ate v Iv bon Co ucled Telephone NUMblif 1008 192nc Ave, New Richmond, WI 54017 715-246-4516 Property OVAW ..N , 'Parw IV # Page — of M" son" . Mlll%�= - MrOjEffim MA EMMINME MONEW mi.. M - WIN Ow 11�m im" IN M �10 re MS 177 �� EMUCM#I-BOD,�30122OmWLw�dTSS>301150mg/L I Effluent #2 - BOD, 5 30 w9t and TSS � 30 a9l The Depument of Commerce is an equal opportunity service provider and employer. If you nead assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SW4))*(RA" % Soil Test Plot Plan Proje�t Name Greg Anderson Shaun Address 1306 70th Ave Roberts Wi 54023 Lot 2 Subdivision SE 1/4 S W 1/4S 26 T 29 N/R 18 W Boring G) Well PL Property Line UWA uDD Assume Elevation 100 ft. lk 0. 8yatem LleyetIgn At- Grade Cga�M #226900 Date 10/14/04 Township Warren County ST. CROIX Top of Wood Corner Post *HRPSaMe as Benchmark A Ton of Survev Iron @ 96.0'