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HomeMy WebLinkAbout034-1007-60-200 1 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515009 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: Lindquist, David & Linda Springfield, Town of 034- 1007 -60 -200 CST BM Elev: Insp. BM Elev: BM Descri )� Section/Town /Range /Map No: 60 0 - tGt�,l opt f� 04.29.15.54C TANK INFORMATION j ELEVATION D TA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. / D . o /LLB / csb Septic r j n_ ! /0 Benchmark Q / / Z 1 01 . 7- 1 Dosing / Alt. BM NCI `7 �S. �3 Aeration O Bldg. Sewer f Holding SUHt Inlet b �� SUHt Outlet TANK SETBACK INFORMATION TANK TO P/L WELL LID G Vent to Air Intake ROAD Dt Inlet Septic 7 6 / D 21-7 Dt Bottom Header /Man. Dosing I I 3 � , �--1 '5D / Z� / 9 5 4; tD , Aeration Dist. Pipe 4.3 Holding Bot. System• 9> #r 73 Final Grade C L I / 7 PUMP /SIPHON INFORMATION Manufacturer Demand St Cove GPM �1 / t�, J A-ti Model Number 4� a y3 TDH Lift Friction Los System �adZL T � - fs 0, .J Forcemain Len th Dia. if Dist. to well 7 _ / * e SOIL ABSORPTION SYSTEM ls� BED /TRENCH Width r Length / No. Of TJ�enches PIT DIMENSIONS No. f Pits Inside Dia. Liqu epth DIMENSIONS L-7 SETBACK SYSTEM TO J 1 P/L B WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type O stem: > `b 1 n , UNIT Model Number: 1 stem: 11 cJ L DISTRIBUTION SYSTEM Header /ManifoY r( Distribution I x Hole Si� !/ x Hole Spacing ! V t Air ake `J Pipes) 55 G .J Length Dia f Length Dia l J Spacing 2'� z' SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only w Depth Over Depth Over xx Depth of Seeded /Sodded xx Mulched Bed /Trench Center r /„2 Bed/Trench Edges \ I Topsoil I xx Ye ss,� No >1�yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:� 7 / � /�4�lnspection #2: / / Location: 2909 CountVo d DD6dltoaciCity, WI 40 (NW 1/4 NW 1/4 4 T29N R15W NA Lot 1 Parcel No: 04.29.15.54C 1.) Alt BM Description = / ~ 1 �j �(' 2.) Bldg sewer length =�..1 'Q2.. 4' 6,. L`'I Y'i G1(Q, f �3 l ` ` `� - amount of cover = / , cam► d �J� -1roi revis Plan Req Z NO Use other side for additional information. i SBD - 6710 (R.3/97) Date Insepctor's Si nature Cert. No. I Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix �sconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 5 f 5 a� ` State Plan I.D. Number State Sanitary Permit A n Trans id t{ 5 9 S g 3 In accord with Comm 83.21, Wis. Adm. Code, personal inform may be used for secondary purposes Privacy Law, s 5.04(1 )(m Project Address (if different than mailing address) I. Application Information - --Please Print All Informatio Property Owner's Name P cel Lot # Block # Mr. David Lindquist OCT `l0 9 '0" � Property Owner's Mailing Address Property Location 2909 Cty DD ST. CROIX COUNTY City, State Zip Code Z Rhbt(o NW/4, N W ' /., Section 4 Glenwood City, WI 54013 3/265 -7864 T 29 N; R 15 w TI. Type of Building (check all that apply) CSM umber X 1 or 2 Family Dwelling - Number of Bedrooms three G,C.2 I_ Subdivision Name /Z. El Public/Commercial - Describe Use � ❑ State Owned - Describe Use A ❑City_ ❑ Village XTown ip of `5 7 Springfield III. Type of Permit: (Check only one box on line A. Complete line B if applicable) — Z0 A. _ New System X Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision Change of ❑ Permit Transfer to New List Pr ious Permit Number and Date Issued Before Expiration Plumber Owner / IV. Type of POWTS System: Check all that apply) h, it , Non - Pressurized In- Ground Mound > 24 in. of suitable soil X Mound < 24 in. of suitable soil At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: 494 t ell Design Flow (gpd) Design Soil Application . R gpdsf) Dispersal Area Required (s Dispersal Area Proposed System Elevation 450 ✓ 0.6 450.0 sq.ft. bed _1 456.Osq ft.bed 1 95.64' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units l Concrete Constructed Glass New Existing / r ./ Tanks Tanks ( rl l D J Septic or Holding Tank 1000 1000 1 Wieser Concrete X Aerobic Treatment Unit Dosing Chamber 600 C00 combo X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S gnature, MP/MPRS Number Business Phone Number Jack A. Bowman /` MP 222839 715/235 -4634 Plumber's Address (Street, City, State, Z' rode) 2819 Knap�S'Street, Menomonie, WI 54751 VIII. oun /De artment Use Onl Approved =7v'entea.son Sanitary Permit Fee (includes Groundwater DX b ssue Issuing t Sign o Stamp Surcharge Fee) C� �b �D$ - Denial IX. Conditions �TEEM- OWNER: easons for Disapproval 1. Septic tank, effluent filter and / dispersal cell must all be sebe se�nro GO as per management plan provided by'pklmber. \ /• /� t ' �_ �rj�f �,e 2. All setback requirements must be maintained app abie tide tliolances. t ,•. e. '��- Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inch n size a ' Site Plan NW,NW,4,29N/Rl 5 W Sherman township Dunn county y 0A �� 1 ac's LEGEND _ IBM: 100.' Base of SW corner of shed 1 X -pits O — grade elevations X> 1 r contour C/O clean-out No Comm 83 set back X . ° problems Scale 1" — 40' except x where indicated r j X40 Site area part of 20AC t System Elev. 95.64' on contour 94.31' �� pJ GV 1 �b 9 1321 o R: � .rte }>�. M _ �- -�-- =- •�,� % Project: LINDQUIST LE` O P age 8 of 8 ' Site Plan NW,NW,4,29N/Rl 5 W Sherman township Dunn county LEGEND IBM: I I)0.' t3asc of* SW corner of shad I X -pits O – grade elevations r� l — contour r v� A C/O clean-out O c No Comm 83 set back te r- problems Scale 1" – 40 except � ' P where indicated Site area part of 20AC �r W�ti System Elev. 95.64' ® on contour 94.31' IN s project: LINDQUIST page 8 of 8 Safety and Buildings commerce.Wl.gov 382 H0 MEN WI 6 4636 Contact Through Relay isconsin www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary October 02, 2008 CUST ID No. 224580 ATTN. POWTS Inspector LORETTA LARRABEE ZONING OFFICE L & L PERC TESTING ST CROIX COUNTY SPIA N2089 CTY RD Y 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/02/2010 Identification Numbers Transaction ID No. 1593837 SITE: Site ID No. 742952 Dave Lindquist Please refer to both identification numbers, 2909 County Road DD above, in all correspondence with the agency. Town of Springfield St Croix County NW1 /4, NWl /4, S4, T29N, R15W FOR: Description: Three Bedroom Mound System / Replacement construction / 5% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1202473 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual- Version 2.0, SBD- 10691 -P (N.01/0 1), Pressure Distribution Component Manual- Version 2.0; SBD- 10706 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin AdministrativeCodes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • 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 1$ made with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • The existing POWTS shall be properly abandoned per Comm 83.33, W.A.C. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of theeffluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A copy of the approved plans, specifications and this letter shall be on -site during construction an QCWQ .S. inspection by authorized representatives of the Department, which may include local ins pe IR" i onally l t P RO"WrE n I I DEPARTMENT OF COMMERCE LORETTA LARRABEE Page 2 10/2/2008 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 thisapproval. • 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). • 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 acceptable to the couity 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. Beginning October 1", 2008, small wastewater holding tanks with estimated flows less than 3,000 gpd that are based completely on approved POWTS component manuals must be submitted to the appropriate governmental unit and will no longer be accepted by the Safety and Buildings Division for review. Please refer to s. Comm 83.22, Wis. Adm. Code for further information. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 erard MS POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. I Private On -Site Wastewater Treatment System (POWTS) Mound and Pressure Distribution Component Design Replacement Residential application RECEIVEr) Ind a nd Title Sheet de a t o SEP 2 5 2008 SAFELY Project Name: LINDQUIST Owner: Dave Lindquist Owner's address: 2909 Cty DD, Glenwood City, WI 54013 As above Street Address NW,NW,4,29,N/R15 W Legal Description Springfield township, St. Croix county Township /County Contents: Page 1: index and title Page 2: general infor. & lateral diagram Page 3: mound drawings Page 4: dose tank Page 5: pump information Page 6: management plan Page 7: contingency plan Page 8: site plan Attachment: soil test to state plan Designers name and license no: Loretta Larrabee #1872 -007 ����GC,p.la► �i�� L an L Perc Testing LLC .` ��, •' �� '• `' Address: N2089 Cty. Rd. Y Menomonie, WI 54751 J� 715/664 -8184 ph. �� .* 715/308 -1668 cell 715/664 -8164 fax �'��, •' 3g10N►'` fit II Designer's Signature: a� Date September 16 2008 Mound component manual for POWTS Version 2.0 SDB- 10691 -P (N.01 /01), and Pressure Distribution component Manual — Version 2.0 SBD- 10706 -P (N.01 /01) Pam Iof 8 r �?iv;' ;,w GF S,jA E ANu buiLLANGS ���111ti1� /�� ��� wi8Np a,� ��,, =. C � fy �, 3 M . tip � 'T; ye GENERAL INFORMATION Three bedroom home, 450gal DWF end fed system w/3 laterals I% slope system area dispersal cell design loading rate 1.0 0.6 soil application rate linear rate 7.89 20" limiting soil factor orifice 6.88sq /ft. 1000 /600gal LP Wieser tank w/Polylok 525 filter effluent quality # 1 LATERAL LAYOUT DIAGRAM (not to scale) End Fed System Number of laterals 3 orifice dia. 3 /16in. (0.188) Lateral dia. 1 ` / 2 " orifice spacing (X) 30in. (2.5') Lateral length (P) 55.Oft. orifice per lateral 23 Lateral spacing (S) 2.5ft. lateral discharge rate 15.18gpm Manifold dia. 1 '/2 in total system rate 45.54gpm Forcemain dia. 2.Oin . ,,Valve box \ Pressure lug finish grade X P \ X S 2.66' (32" 1.0' (12 ") Orifices located on bot 1111 affti en 11 Last orifice next to StUifq- Force main 2" dia. 1.33'(16") project: LINDQUIST page 2 of 8 PLAN VIEW OF MOUND (not to scale) J = 8.0' D= 1.33'(16") K= 10.0' required bed 450sq.ft A= 8.0' E= 1.42' (17 ") B= 57.0' proposed bed 456sq.ft. I = 8.5' F= 0.83' L= 77.0' required basel area 750sq.ft. W =24.5' G= 0.50' proposed basel area 940.5sq.ft. H= 1.00' observation pipe @ 11.5ft. Observation pipe r—O 0 H Mound Cross Section View (not to scale) Finished grade elev. 97.47' 1 Lateral invert elev. 96.14' 2 Dispersal cell elev. 95.64' / / /// / // - - - -- dispersal cell = 2" -- - - - - -- - - -- - -- --- - -- lateral area -- - -- - -- - - - -- - - - -- - - -- - Aggre ate bed , 6" - -- - -- -- - -- - -- - - -- - - - -- - -- - -- - -- - -- - -- - - -- -- - -- - - -- - -- -- -- - tilled layer tilled layer contour 5.0% site slope elev.94. ,1 Numeral Key 1 topsoil cap 2 subsoil cap 1.5ft. 3 ASTM C33 sand 4in. dia. observation pipe 4 synthetic cover over cell with 1 /4in slot 5 aggregate 0.5ft. project: LINDQUIST page 3 of 8 COMBINATION SEPTIC TANK / PUMP CHAMBER (Ho Scale) 4 ,Approved Locking Manhole Cover Approved Cats, With Warning Label Attached Weatherproof Approved _ Warning Label Junction Box Vent Cap —� 1b k J 12" Minimum Final Grade - r _ - 4 Minimum 18" Minimum ' Quick __. Disconnect 1/4" Weep Baffle- . - Hole Approved Joint k t ' w /gj ��e � 11 A am Extending 3' Ala i Onto Solid Soil On �r B Approved Joint w1 g SAg0 e ® �j t C Extending 3' Ev. ` Onto Solid Soi Off 6' D Conc. Block 3 of Bedding Under Tank —f Note: Pump and Alarm Are On Separate .Circuits a0 % awF z . = 90.0 IlA_ Tank Manufacturer: 'I Ssr ConCec 6 554. g'1 mw. gg, R? Tank Size Septic /Pump: 10oo /1000 XJI Gallons Al arm Manufacturer: Model Number: C _ s Capacities: A i nches or aij u L Gal Ions Switch Type= + B 2 inches or _c Gallons Pump Manufacturer: �,, �1 ems- / + C 5, S inches or 2, t $ Gal 1 ons Model Number: Wo + p q, 5 i nches " -ttr s 9.22 Gallons, Minimum Discharge Rate GM Total ..... _ orGallons Vertical Difference Between Pump Off and Distribution Pipe : J&LL� Feet hn < <a,9 b Minimum Required Supply Pressure:.? bqo .X Va .............+ j Feet _ES_ Feet of Force Main x .11 Friction F Feet: -t -2,4b T eet Z Inch Diameter Force Main Total Dynamic Head ... = �D, 65 Feet q u- _ J 5 N TOTAL DYNAMIC HEAD /FLOW ' w PUMP PERFORMANCE CURVE PER MINUTE MODEL 140/4140 EFFLUENTAND DEWATERING 3718 65116 55 4 516 16 MODEL 140/4140 Feel Meters Gal. I Liters o 329/32 5 1.5 86 326 ° 14 10 3.0 80 303 + 15 4.6 73 276 0 ° 12 40 20 6.1 66 250 25 7.6 59 223 1112 11WNPr 35 140, 4140 30 9 49 185 10 35 10.7 38 144 _ 40 122 28 106 45 13.7 17 64 > a 25- 010940 6 20 1213132 Head: 50 ft. 15.2m 0 0 F w � 1213132 15 I 4 45M 10 SK7524A 2 5 0 10 20 30 40 50 60 80 90 • • e 70 GALLONS • - . LITERS 0 gp 160 240 320 II FLOW PER MINUTE 3716 65/16 d 5re CONSULT FACTORY FOR SPECIAL APPLICATIONS ° 3 29132 • Electrical alternators, for duplex systems, are available and supplied with an ° + —� alarm. • Mechanical alternators, for duplex systems, are available with or without 1112 - 11112 WT alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. PIP • Variable level control switches are available for controlling single phase sys- tems. • Double piggyback variable level float switches are available for variable level long cycle controls. 16116 • Sealed Qwik -Box available for outdoor installations. See FM1420. • Refer to FM0806 for applications above 130 °F (54 °C). —� 4 5132 i SK1624B SELECTION GUIDE 14014140 MODELS Control Selection 1. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. Model Model Volts -Ph Mode Amps Simplex Duple 2. See FM 1228 for correct model of simplex control panel. N140 N4140 115 1 Non 12.0 1 or 2 3 3. See FM0712 for correct model of duplex control panel. E140 E4140 230 1 Non 6.0 1 or 2 3 A CAUTION 8N140 BN4140 115 1 1 Auto 12.0 * --- All installation of controls, protection devices and wiring should be done by a qualified BE140 BE4140 1 230 11 Auto 1 6.0 * ___ licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). *Single piggyback switch included. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - MAIL TO: P.O. BOX 16347 ` Louisville, C ane Ru 347 Manu facturers of.. O SHIP T0: 3649 49 Cane Run Road Louisviffe, KY 40211 -1961 1J pu S &1r f-ff =71 /999 www.zoeller.com M. (502) 7 78-27 FAX 31. 773624 PUMP Q © Copyright 2005 Zoeller Co. All rights reserved. TOTAL DYNAMIC HEAD /FLOW 2 w PUMP PERFORMANCE CURVE PER MINUTE MODEL 140/4140 EFFLUENT AND DEWATERING 37/6 6916 55 45/8 16 MODEL 140/4140 Feet Meters Gal. Liters O 329132 14 5 1.5 86 326 ° 45 10 3.0 80 303 + 15 4.6 73 276 ° o 12 40 1' 20 6.1 66 250 25 7.6 59 223 11 1112 NPT 35 140, 4140 30 9.1 49 185 t9 35 10.7 38 144 x 30 40 12.2 28. 106 45 13.7 17 64 6 25 Shut -of Head: 50 ft.(15.2m 0 010940 - 6 20 1213/32 15 4 t0 4 Sr32 SK1524A 2 5 0 10 20 30 40 50 60 70 80 90 Do D GALLONS , Weight 63 lbs. LITERS 0 80 160 240 320 FLOW PER MINUTE 37/8 6916 198 CONSULT FACTORY FOR SPECIAL APPLICATIONS ° 329x32 • Electrical alternators, for duplex systems, are available and supplied with an ° + alarm. • Mechanical alternators, for duplex systems, are available with or without 111 - 1111 WT alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. I IPA • Variable level control switches are available for controlling single phase sys- tems. • Double piggyback variable level float switches are available for variable level long cycle controls. 16116 • Sealed Qwik -Box available for outdoor installations. See FM1420. • Refer to FMO806 for applications above 130 °F (54 0C). L:: SK1524B SELECTION GUIDE 140/4140 MODELS Control Selection 1. For automatic use single piggyback variable level float switch or Model Model Volts -Ph Mode Duplex Amps Simplex double piggyback variable level float switch. Refer to FM0477. p P P 2. See FM 1228 for correct model of simplex control panel. N140 N4140 115 1 Non 12.0 1 or 2 3 3. See FM0712 for correct model of duplex control panel. E140 E4140 230 1 Non 6.0 1 or 2 3 * A CAUTION BN140 I BN4140 1 115 1 Auto 12.0 --- All installation of controls, protection devices and wiring should be done by a qualified BE140 BE4140 1 230 1 1 Auto 6.0 * __ licensed electrician. Ali electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). *Single piggyback switch included. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 L , Louisville, KY 40256 -0347 Manufacturers of.. el 2 SHIP TO. 3649 Cane Run Road ' Louisville, KY 40211-1961 �,�,T,. PUr�PS SNCE /9499 r ® r ® (502) 778 -2731. 1(800) 928 -PUMP www.zoellercom PUMP L FAX (502) 774 -3624 © Copyright 2005 Zoeller Co. All rights reserved. R Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code. And shall maintained in accordance with it's component manuals 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" 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 slip off the filer when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. 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 personal shall advise the owner of when the next service needs to be done to maintain less than maximum scum and sludge accumulation in the tank. 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 maybe 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 surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations dictate that the mound be heavily mulched as protection from freezing. 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 at least once every 18months. When a pressure test is performed is should be compared to the initial test when the system was installed to determine if orifice clogging has occurred, if clogging has occurred orifice cleaning is required to maintain equal distribution within the 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" considered impending failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or components shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank or its components become defective the defective components(s) shall be immediately repaired or replaced with a component of same or equal performance. If the mound fails to accept wastewater or discharges wastewater to the ground surface, it will be repaired or replaced. Increasing basal area if toe leakage or by removing biologically clogged absorption and dispersal media and related piping and replacing components as deemed necessary to bring the system into proper operating condition. See page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. project: LINDQUIST page 7 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name: Bowman Plg. & Heating Inc. Phone: 715/235 -4634 POWTS Regulator's Name: St. Croix County Zoning Phone: 715/386 -4686 System Flow and Load Parameters Design Flow — Peak 450gpd Maximum Influent Particles Size 1 /8in Estimated Flow — Average 300gpd Maximum BOD5 220mg/L Septic tank Capacity I000gals Maximum TSS 150mg/L Soil absorption component Size 456bed Maximum FOG 30mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100mL 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 monthly Pressure System --------- - - - - -- Laterals should be flushed and pressure tested every 1 '/z years Mound -------------------- - - - - -- Inspect for ponding and seepage once every 3 years Other---------------------- - - - - -- Initially filter should be checked yearly to determine service schedule Miscellaneous Construction and Materials Standards I. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap and are secured 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 6. Lateral Turn -up to finish at grade or above, enclosed in a 6 -8" diameter lawn sprinkler valve box or similar product. (lateral turn-up consists of a long sweep 90 or two 45degree bends same diameter as lateral) 7. Lateral Turn-up on end of distribution laterals after the last orifice. project: LINDQUIST page 6 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code. And shall maintained in accordance with it's component manuals 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" 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 slip off the filer when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personal shall advise the owner of when the next service needs to be done to maintain less than maximum scum and sludge accumulation in the tank. 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 maybe 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 surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations dictate that the mound be heavily mulched as protection from freezing. 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 at least once every 18months. When a pressure test is performed is should be compared to the initial test when the system was installed to determine if orifice clogging has occurred, if clogging has occurred orifice cleaning is required to maintain equal distribution within the 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" considered impending failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or components shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank or its components become defective the defective components(s) shall be immediately repaired or replaced with a component of same or equal performance. If the mound fails to accept wastewater or discharges wastewater to the ground surface, it will be repaired or replaced. Increasing basal area if toe leakage or by removing biologically clogged absorption and dispersal media and related piping and replacing components as deemed necessary to bring the system into proper operating condition. See page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. project: LINDQUIST page 7 of 8 I SOIL EVALUATION REPORT #55 Itiscon 5 is. Department of Commerce in accordance Co s , Code Page 1 of Division of Safety and Buildings No ort Plumbing, Inc. Attach complete site plan on paper not less than 8% x 11 inches il I bwqm. County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. _ /OL7? 60 Please print all information. Revi d By Date Personal information you provide may Ix us4 Iva Law, s. 15.04 (1) (m)). GJ Property Owner Property Location Dave Lindquist Govt. Lot NW1 /4, NW1 /4, S4, T29N, R15W Property 2909 CTH DD Mailing Address Lot #/ Block # Subd-Na a or CS 5 / � City Stat zip 7`M ` ber City ❑ Village ® Town /' , Neareit Road ON IN(", �yiFF Glenwood City W Springfield I CTH DD ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe Parent material Glacial Till Flood plain elevatio ft. General comments Mound site usin 9 Cm C�Sf�I 94.31 contour. and recommendations: ® Boring Boring # Pit Ground surface elev. 94.75 ft. Depth to limiting factor 25 in. ❑ 9 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 /2 sil 3sbk mvfr cs 2f .6 .8 2 10 -16 10YR5 /4 A 2sbk mfr cs if .6 .8 3 16 -25 10YR5 /6 sicl isbk mfi gs .2 .3 4 25-43 10YR5/8 7.5YR5/6 flf spots scl isbk mfi gs .2 .3 ❑ 2 Boring # ® Boring ❑ Pit Ground surface elev. 94.31 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •001 1 •EfM#t2 1 0 -7 10YR3 /2 A 3sbk mvfr cs 2f .6 .8 2 7 -13 10YR5 /4 sil 2sbk mfr a if .6 .8 3 13 -20 10YR5/6 sicl isbk mfr gs .2 .3 4 20-46 10YR5/8 7.5YR5/6 fif spots scl isbk mfr gs .2 .3 " Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD s30 mg/L and TSS <_30 mg/L CST Name (Please Print) Sign ture: CST Number Michael J. Myers 267985 Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number 2943 130th Ave Glenwood City, WI 54013 8/27/08 715- 265-4115 ssD -8330 (it07i00) Property Owner Dave Lindquist Parcel ID # Page 2 of ,� t 3 ❑ Boring # ® Boring Pit Ground surface elev. 92.43 ft. Depth to limiting factor 24 in. El Pit Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Or. Sz. Sh. •Eff#7 'Efr#2 1 0 -13 10YR3 /2 SO 3sbk mvfr Cs 2f .6 .8 2 13 -21 10YR5/4 sil 2sbk mfr Cs if .6 .8 3 21 -24 10YR5 /6 Sid ISM mfr gs .2 .3 4 24-42 10YR5 /8 7.5YR5/6 f1f spots sd lsbk mfr gs .2 .3 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 <150 mg/L Effluent #2 = BOD < 30 mg/L and TSS --I mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. I Property Owner Dave Lindquist Parcel ID # Page 2 of ® Boring F 3 ]Boring # ❑ Pit Ground surface elev. 9?•43 ft Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft in. Munsell Qu. Sz. Cont. €3olor "r: Sz. Sh. •Eff# l •Eif#2 1 0 -13 10YR3/2 sil 3sbk mvfr Cs 2f .6 .8 2 13 -21 10YR5/4 A 2sbk mfr Cs if .6 .8 3 21 -24 10YR5/6 sicl lsbk mfr gs .2 .3 4 24-42 10YR5 /8 7.5YR5/6 f1f spots scl lsbk mfr gs ,2 .3 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = B00 < 30 mg/L and TSS <30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 29oq �r� �d ! Me rN may= 7 P iN cz k i Al I �' IIIJ �o �/ZAfA{�l�Li� � �,i t4G CT 14 � %� i S y FILED SEP 0 8 1 998 5 $6690 Peoswr of D SLC eeds roI> XV0 J/ CERTIFIE ti _ EY MAP Located in part of the Fractional Northwest Quarter of the orthwest Quarter of Section 4, Township 29 North, Range 15 West. Town of Springfield, St. Croix County, Wisconsin. Prepared for and at OWNER: the request of: Janice Annis David 2909 C.T.H. "DD Burch " David City, WI 54018 REMA 708 Somerset Road New Richmond, N 54017 Drafted by. D.L. Betts /K.A. Eylandt VNPLATTED LANDS t<ST CORNER NORTH 1/4 CORNER NORTHM NORTH LINE OF THE FRAC77ONAL SEG 4 - 29 - 15 SEC. 4 - 29 - 15 NW 1/4 OF 7"E- NW 1/4 OF SEC. 4 (SURVEY NAIL) (SURVEY NAIL) i 1 -- -_ -- ---- N89 2635.83'------- - �CEN7ERUNE �\ R /GHT— OF—WAY — _I r -- ti �' , � -- - - - - -- -- - - - -' ,1285.12 - -- _- -. \ . ..................... .: .. ..... w �� �.`� -- ----- N89'59'33 "E 1318.12'- - -- - O „� a j 33 ^33.00' /© HOUSE NORTHERN STA1E� 3 M °a ALL / SHED POWER COMPANY 2 I � WARRANTY DEED � VOLUME 149 PAGE 581 N 1� DOCUMENT NO_ 129046A cV D_I W i I^ SHED -+� o m j I FENCE I Z TOTAL AREA w \ �I 1- I 3 o zi (ni I 13 AE :4 LOT 1 886,434 SO. FT. of -i� r c Ci :2 20.35 ACRES C" I rn I W1 =i 1a I-w U AREA EXCLUDING R.O.W.: 0 2 r 1--• I cp o p 2 SHED ;:; O I Qi I o to :�' 864.254 SQ. FT. p o all Oi N ? z 19.84 ACRES U � I �i 1 �- -33.00' N I 3 �: 1286.74' W Z M y� SB9 "W 1319.74' � Ln UNPLATTED LANDS OF OWNER I Z i- ,ktwswea,r�+ �' ` gG O 1ys Q N 72998 �� 4 t� RONALD F. 17 JOHNSON W i AMERY. 4, '\ LP WI IS WEST 114 CORNER < - ,••'' 1� v �� I SFC. 4 -29 -15 4'4Np SUR.i w (SURVEY NAIL) NOTE: The parcel shown on this map is subject to State, County, and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. I F ND : s'r; r . a rtre. County Section Corner Monument of Record • Set 1" x 24" Iron Pipe weighing a minimum of 1.13 pounds per x "" " " "'�f' linear foot. ''f " "° -. s'l�" , v. • Building Setback (100' from R.O.W.) ,t7 250 0 250 .OiC NO TM JOB #98169 Prepared by- GRAPHIC SCALE A & E SCALE IN FE,T'. 1 inch = 250 feet LAND SURVEYING dt CIVIL ENGINEERING BEARINGS ARE REFERENCED TO THE WEST LINE OF THE Phone No. (715) 246 -4319 FRACTIONAL NW 1/4 OF SECTION 4, TOWNSHIP 29 N., 109 East Third Street, P.O. Box 325 RANGE 15'W. WHICH IS ASSUMED TO BEAR NOO "W. New Richmond, WI 54017 Sheet 1 of 2 Vol. 12 Page 3515 09/30/2008 11:32 612571917 CITY OF FRIDLEY PAGE 02 Sep 30 48 06,560 L an L Pero testing LLC 7156646164 p2 S T. CROIX COUNTY iBP Alm OWNERSHIP CERTOCAT10N POW Owner/Buyer t.t.a Mailing Address l 1 ?r3 51 (•� t.w S Iy 1 a h e ss � `� Propeaty Address (V riGcation hired from Ptatming & Zonin Dep"W now constrtrctiaa.) City/State c-IMWD ft�� 3- PKr-el Identification Number ® 1 4 5ra.3 IA GAL DFAQ=10M Property Location - NW A , N;�l __ y. , Sec, 4 , T .�3L R Town of - : " Subdivision_ Lot Certified Survey Map P Volume N Or Page# A� R+arrttRtyDeed # Volume ^_, Page # {� spar house you Lot lines identifiable yes no SY NA N�E OWNER OFR���.C bwLC per MCI and Miorpuance Of yrrar sept s)' could reeds in its pgq farltse ao boodle wastes Proper msirltpr me co"su of pumpjng out the septic tack every three years or sooner. if heeded. by s lieeused pomsper. �Nhat.o�r put into the system can a Gid the ftmction of 69 septic isms as a treats ant stage in tb* waste &Woaal system- pwiner maintenance respoastbslioee am spocitied in ¢Comm. 83.31(1) and in Chaps6t 12 - gt. Croix Comity Sanitary Onlhv +ce. The property ovmar agrees to submit to S1. CrWx Coowy Planning & Zoning Dcp&MwQs s certifiaatWn form., signed by dw owner and by a master pkurober, jonraaymn plumber. restricted phmiber or a licensed p=PW vvdf�Ln5 twt ( the o° sit* wastewater disposal system L" in Proper aperaft& condition mWor (2) attar topCction and PUMOM8 (if o"cWWY), the $00 I= than I n fall of sludge. Itwe, the ondersigne3 have toad dw above requireu+end sad &VW to Maintain the private sowage dispose) system vrith the atwdasds set fostk herein, as set by the Depu=mt of Conmu=@ and the DePa tun of Naarrai R*eowrces, State of WiFow" Certification :lasing that yow septic system hag beers tnaintaiusd mast be com keted and retuned to tdre 3t. L�virt CouuV Plat B & Zoning Departrueai within 36 days of the thtee year txPuation date, 11we certify that alt ttaftnuets on this form are true so the best of myioor knowledge. 1/we anr►arc the owmte s) of the psvpwty deembed above, by virtue of a watssaty deed recorded m Register of Deeds t3ttlee. Number of bedroovu; _ I CATI M) SATE ***A inf0nMgd= that is jadsmpresaled my result in dke sanitary permdt being revoked by the Plazni ug & Zoning Dap baelade with this appl a recorded warranty deed from the Register of Deeds Ofte and a copy of the certified survey map if ref6mm iR mad* in the wanemy deed. . (RSV. earns) IL_ 4S 1 1 6 9 KATHLEEN H. WALSH REGISTER OF DEEDS State Bar of Wisconsin Form 2 -2003 ST. CROIX Co., WI WARRANTY DEED RECEIVED FOR RECORD Document Number Document Name 0 3/21/20066 12: 40PH WARRANTY DEED EXERT # THIS DEED, made between Janice Annis a single person REC FEE: 11.00 TRANS FEE: 510.00 COPY FEE: ( "Grantor," whether one or more), CC FEE: and David G Lindquist and Linda J. Lindquist husband and wife PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): - Lot 1 of Certified Survey Map filed in Volume 12 of Certified Survey Maps, page METRO LEGAL SERVICES, INC. 3515, as Document No. 586690, located in part of the Fractional Northwest Quart er 330 SOUTV 2R!) PVE.NUE, SUITF 150 of the Northwest Quarter of Section 4, Township 29 North, Range 15 West, To MINNEAPOLIS, MN 5540 of Springfield, St. Croix County, Wisconsin. Metro Legal Services 034 1007- 60-200 Parcel Identification Number (PIN) EDIRET 491964 A 551638 WD 403648 This is homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated 1 ,7 U l0 (SEAL) (SEAL) * *Jan' a nnis (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Janice Annis, a single person STATE OF ) authenticated o ) ss. COUNTY ) *Kristina O land V Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: 1 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. 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