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HomeMy WebLinkAbout036-1001-30-100 n N O 3 OF n d _1 C o 3 3 o 3 �o � 'D (D � (D •a m �' CD n N 0 Ca W L • CD (D N _ 7 N II n CD O O O O v C 1 F d N N 0 j m (D ° " o 0 c _ D m 4 o 3 > > m w ° ° ° o O 0t C A O N CD 3 CD CD F� � z o "*RNA CD O N CJ $ Y cr hl CL � I � F7 < Z 0 a N N N D a G C A O Co (D (D . y N O 1 Df -0 O) !r 7 (D = ( D (O (y D) � • Df W N CD — co �1 z M V Z O O D p p 0 0 3 0 " ad • CD c rn !wl N CD C M. C N — �f N w rn a z U) (Q Z ( p N O ' n D c M 0 a A Z o m G7 3 Z W v m 'D m z c 3 a O 3 m � N Z _ CD I A W � N O a p W O II O fD — II CC T CD a) CL m c (D 3 a� o 0 N N 7� N m p (D a) p p II II N (p N O �. N w 'O N 3 3m CL 'JN II— Cp C (D Z 0 p p II —• ti N II N N 7 O -s V � A p w D A i CD dC 0 I 69 0 � b (D O O CD 0 CL Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430399 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: Manske, John I Stanton Township 036- 1001 -30 -100 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range /Map No: 01.31.17.13A10 TANK INFORMATION S ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic rr.� �oou Gpe' 14'&,W . dra "l a �,. a ci 9G u /ou, as Dosing Alt. BM ef, V d , i.SS e) 7z/ Aeration - - •-- «_ Bldg. Sewer 4- Holding St/Ht Inlet -��- St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic wv' ^'90 �• '5?' -too DtBottom -1ti. 1 Z- Dosing ' ► , .r C� G , 7 Header /Man. QZ• Z Aeration Dist. Pipe N w 0 Holding Bot. System N w S, Z 9G 8 PUMP /SIPHON INFORMATION Final Grade Q7 7 Z °3 I7 Manufacturer Demand St Cover g GPM 5.34 Model Number r Z 6 io Z,., - �'� p TDH Lift friction Loss System Head TDH r Ft Forcemain Length Dia r r Dist. to Well 90 SOIL ABSORPTION SYSTEM BED/TRENCH Width L h No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM C HAM BE ACHING Manufacturi INFORMATION Vnr Type Of System: Cu nUR-� :e ✓�•� f Ud U� Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake a� Pipe(s) Length 9 Dia L4 Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/rrench Center ' ` Bed/Trench Edges Topsoil 3 S E Yes ❑ No Yes No COMMENTS: (Include code discrepencies, erson presen etc.) Inspection #1: S / Z7 / 0 Inspection #2: 4q to c .C. c .: 0( i-- 1 5 a t v. ►.z &%, < Location: 2344 200th Street Star Prairie, 4026 (NE 1/4 SE 1/4 1 T31 IN RI 7W) NA Lot 1 Parcel No: 01.31.17.13A10 G h� � C[." 1 1 11.) 1 1 it 1.) Alt BM Description = 13 c, &t, (tea v 2.) Bldg sewer length = „ , 5 t Tom` ^� r (' ` 5 - amount of cover — k � e h a � fo � sr✓ .� r, � a Plan revision Required? L Yes � No 2: G Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. C t -1 - • I 23`f Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 1 *6co � sin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number I. Application Information - Please Print all In ormation Li Location: Property Owner Name Property Location �r✓'� �� h Gt/'1 j/ J S E P 7 2003 1/4 -1/4, S t T N,E (o Property Owner's Mailing Address Lot Number Block Number ST 0 COUNTY c.' G ✓ ."G ' NI l�j I City, State Z YP g (check ode one um Sub 'vision Name or CSM Numtler II. Type of Building: check one ) bit rw1 ! ❑City �+' S 0 1 or 2 Family Dwelling -No. of Bedrooms: ❑ Village ❑ Public /Commercial (describe use):_ L f (�i own of ❑ State -Owned d X,, Y ��� a� Nearest Road C!I 00 - , (— A k ' Parcel Tax Number(s) D 7��0 III. Type of Permit: ( Check only one box on line A. Check box on line B if applicable) . / - A) I. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) +gNon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Inform ation: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rats (Gals. /day /sq. ft.) (Min. /inch) Elevation • r-- VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks f c �� ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) I Plum 9:ignature stam ): MP/MPRS No. Business Phone Number �;f , - 7,-Z e -5- ­;Z 46 , A) 0 -91 "/,-, I , Plumb s Address (Street, City, S te, Zip Co IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued 41ui, ge nt Signature (N tamps) K Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination 250 X. Conditions of Approval /Reasons for Disapproval: �� �i SYSTEM OWNER: bq/ � 1 Septic tank, effluent filter and dispersal cell must all be serviced t folio fined as per m- nagement plan provided by plumber. 2. All setback requirements must be maintained SBD -6398 (R. 07/00) PLOT PLAN PROJECT John Manske ADDRESS 1392 Meadowlark Ln. NewRichmond Wi. 54017 NE 1/4 SE 1 /4S 1 /T 31 N/R 17 w TOWN Stanton COUNTY ST. CROIX 9 -17 -03 BEDROOM 3 MPRS Byron Bird Jr. 2205 DATE CONVENTIONAL -Grade ONVENTIONAL LIFT XX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gal LIFT TANK SIZE800 gal DOSE TANK SIZE HOLDING TANK SIZE o LOAD RATE .5 ABSORPTION AREA 900 # of chambers 30 BENCHMARK V.B.P top of P VC pipe ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. Same as BM Vent SYSTEM ELEVATION T -1 =91.4 T -2 =91.2 AT' Standard Leaching Chamber with 31.1 ft ^2 per chamber ' Long 34' Elevation a �50, 30' ` 1 LT ST 3 bed house 100 6' 94' age L 1320' B r I 50 �' 3 Drive ay V 0' alt BM PL 20' C C BM �, 30 r, C- c r r p r t , 4o r 200' 9-7 p w--�" {A6 200th st. C OPY PLOT PLAN PROJECT John Manske ADDRESS 1392 Meadowlark Ln. NewRichmond Wi- 54017 NE 1/4 SE 1/4S 1 /T 31 N/R 17 W TOWN Stanton COUNTY ST. CROIX 9 -17 -03 BEDROOM 3 MPRS Byron Bird Jr. 2205 DATE CONVENTIONAL -Grade ONVENTIONAL LIFT XX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gal LIFT TANK SIZE800 gal DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers 30 ,. BENCHMARK V.A.P. top Of pipe ASSUME ELEVATION 100' ❑ BOREHOLE (DWELL sH.R.P. same as BM Vent SYSTEM ELEVATION T -1 =91.4 T -2 =91.2 >12" Standard Leaching C Chamber with 31.1 Cov ft" 2 per chamber 6 ' at SyRtern Long 34' Elevation 15 30' 1 LT ST 3 bed house 100 6' gage 1320' BI 50 DriveN iay 30' alt BM PL 20' BM 30' 200' 200th st. r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code G Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County y -� include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Re wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ` 2 S la Property Owner // A Property Location ' �a Govt. Lot 1/4 -a /4 S T N R /�� Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# — 43 ! l Ak- / c4j ' 14 1 - I City S Zip Code Phone Number ❑ City [I Village .Town Nearest Road ew nstru� 0 Mential Number of bedrooms Code derived design flow rate �} S� GPD ❑ Repla ent Public or mmercial - Describe: Parent ma rial Flood Plain elevation if applicable ft. General co an and recom endations. �y, 7/ ,1571 f ST. CROIX COUNTY / ZONING OFFICE �✓ — `� 9/ Boring # ABoring [[s ❑ Pit Ground surface elev. _2± ft. Depth to limiting facto t�v in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 C4 1• Boring # Boring ❑ Pit Ground surface elev. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDhY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 D 4 Al: C Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name ( int) I alanabire CST Number Address Dat valuation Conducted Telephone Number .,,,� Property Owner � i� <' °!_ Parcel ID # Page of LLI Boring # Boring � Pit Ground surface elev. I � � ft. Depth to liming factor ;7,–P _'!P� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 S F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # ❑Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 1220 mg/L and TSS >30 150 mg/L - • Effluent #2 = BOD < 30 mg& and TSS 130 mg/L III 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 - 2648777. SBD8330 (R07 /00) 0. Soil Test Plot Plan Project Name John Manske Byron ' d Jr. Address 1392 Meadowlark Ln. NewRichmond y e Wi. 54017 CST #220527 Lot Subdivision Date 9 117 /2003 County CROIX N E 1 /4 1/4S T 31 N /R W Townshi Sta nto n - ]Boring Q Well PL Property Line# Alt. BM grade at 9' ash tree ,BM or VRP Assume Elevation 100 ft of 2" pvc pipe System Ely. T- 1= 91.4T -2 =91.2 H.R.P. Same as BM B2 150' 3 bed house 100' garage 1320' E BI 50' DfiveN ay PL $3 30 ' alt BM 20' BM 30' 200' 200th st. J PAGV GF PUMP CHAMBER CROSS SEC T IOIJ AKIG SPECIFICATIOAJS I ao o VEUT CAP 3 4`C.I. VENT PIPE WEATHERPROOF APPROVED LOCKINIG � 25' FROM DOOR, JUNCTIOM BOX MANHOLE COVER WINDOW OR FRESH 12 "MIU. AIR INTAKE I GRADE I 4 MIA]. COIJDUIT \� ---- - - - - -- ki. IAILET PROVIDE 1 - - - -- AIRTfGNT SEAL *� A I I I 1 1 I ALARM i *APPROVED i ow JOINTS WITH I /�- ELEV. FT. APPROVED PIPE I 3' ONTO PUMP —� OFF D SOLID SOIL COAICRETE BLOCK RISER EXIT PERMITTED ONLY IF TAUK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPEC. IFIGATIOA DOSE TAUKS MANUFACTURER: " — C-e rD IJUMBER OF DOSES: PER DAy TAWK SIZE: GALLONS DOSE VOLUME c ALARM MA1.lUFACTURf<R: � , F INCLUDIN iACKFLIW' / � GALLON_ MODEL NUMBER: S / �� �-e CAPACITIES: A= 0-- f IMCHES OR GALLOUS I SWITCH TYPE: B =_ INCHES OR qO GALLONS I I PUMP MANUFACTURE G. ( !/` C= ool IMCHES OR GALLONS I MODEL NUMDER: D= INCHES OR ' 25" A i e 2 GALLON` j SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM / �INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKEKICE DETWEEfJ PUMP OFF ARID DISTRIBUTION PIPE.. L' IN' = FEET o2 ii U + MIAJ NETWORK SUPPLY PRESSURE .. 2.5 � l FEET ' FEET OF FORCE MAN FT + O FACT � — MIN /pp fxFRICTI CJ OR. FEET = TOTAL DyfJAMIC. HEAD = FEET IKITERNAL DIME SIOKJS OF TANK: LENGTH ;WIDTH ;LIQUID DEPT SIGKJED: O J . LICEKISE NUMBER: 4 / DATE. TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 w w MODEL 152 153 LLJ 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 0 15 4.6 53 201 61 231 a = 20 6.1 44 67 52 97 v 30 a 8 25 7.6 34 129 42 59 r 30 9.1 23 87 33 125 0 a 20 35 10.7 -- -- 22 85 0 I 40 2.2 42 4 10 Lock Valve: 38.0 Ft (11.6m) 44.0 Ft. (13.4m) 014508 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 s 1/4 3 27/32 4 5/8 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27132 •Timed dosing panels available. • • Electrical alternators, for duplex systems, are available and supplied with ® 3 27/32 an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. Jj • Over 1307. (54 °C.) special quotation required. 1521153 Series 12 1 /8 1521153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex 5 /8 115 1 Non 8.5 1 2or3 BN1 BN152 115 1 Auto 8.5 Included 2 or 3 sK2064 E152 230 1 Non 4.3 1 2 or 3 - BE152 230 1 Auto L4.3 Included 2 or 3 N153 115 1 Non j 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. A CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) 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). or (4) float system. 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 • Z ! . .. . .. ... Louisville, KY 40256 -0347 Manufacturers of. . SHIP TO: 3649 Cane Run Road • ��!! Louisville, KY 40211 -1961 ® rLIAZITYPUM -9 FIM-E I, - p http: / /www.zoeller.com PUMP LO (502) 778 -2731. 1(800) 928 -PUMP FAX (502) 774 -3624 © Copyright 2000 Zoeller Co. All rights reserved. SECTION: 3.20.014 ` Q7WZITY PUMPS 91NCE �,9,7� FM1919 y �Ea co N 1200 Product information ti `` 9 y. ® Supersedes presented here reflects "L PUMP �O New conditions at time of publication. Consult factory regarding discrepancies or MAIL TO: P.O. BOX 16347 • Louisville, KY 40256 -0347 visit our web site: inconsistencies. SHIP TO: 3649 Cane Run Road • Louisville, KY 40211 -1961 http ://www.zoeller.com (502) 778 -2731 • 1 (800) 928 -PUMP • FAX (502) 774 -3624 ZOE1616CH ON -SITE WASTEWATER PRODUCTS MINODUCINO O/ll,SnT "DOSFIL"W" PUMPS COMPARE THESE FEATURES • Durable cast iron construction. 1521153 EFFLUENT SERIES • Corrosion resistant powder coated epoxy finish. (For Pump Prefix Identification see News & Views 0052) • Stainless steel lifting handle. ` p O S E -MATE • Assembled with stainless steel bolts. • Non - clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design, asses /4 solids. p g p AND ENHANCED FLOW STEP SYSTEMS • Model 152 -.4 HP EFFLUENT Model 153 -1/2 HP SSPMA ozz". SUBMERSIBLE Oil- filled hermetically sealed single phase 3450 /z 1' " NPT DISCHARGE RPM motor, with thermal overload protection. PUMP MFRS ASSN. E CRAF` • Carbon /Ceramic seals. Model N152IN153 • Oil lubricated bearings. High Head Effluent • 20' UL Listed power cord with molded 3 -wire MODELS AVAILABLE plug. • N152/N153 & E152/E153 nonautomatic • 1 NPT vertical discharg • BN152/BN153 & BE152/BE153 g available packaged with Piggyback • BN and BE models include a variable level float Variable Level Float Switch switch and 1 %' X 2" PVC adapter fitting. .4 & % HP 1 Ph l l5V or 230V • Operates at temperatures to 130 °F (54 °C) in effluent applications. Note: The sizing of effluent systems normally requires MEMEL variable level float(s) controls and properly sized basins to achieve required pumping cycles. III POWDER COATED ® TOUGH'" PUMP !O. • k��� Model BN152/BN153 kl Manufacturers of... High Head �• Z F IN Effluent O • QV4 P UMPS CE ����/ /' © Copyright 2000 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS F r �� � Septic Tank Capacity C a l ❑ NA # 30 3g1 Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer .� 6 �.0 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model fl ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity al ❑ NA Estimated flow (average) al /day Pump Tank Manufacturer 46' -C,2 ❑ NA Design flow (peak), (Estimated x 1.5) al /da Pump Manufacturer c ❑ NA Soil Application Rate 7 al /day /ftz Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD _ <220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L J<ln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and sc m equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ Xy ear( 1(s) (Maximum 3 years NA Clean effluent filter At least once every: ❑ year (s) mon ❑ NA ls) Inspect pump, pump controls & alarm At least once every: ❑ month year(s) ❑ NA sl Flush laterals and pressure test At least once every: ❑ Y ear( 1(s) ❑ NA Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections 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 Maintainer; Septage Servicing Operator. Tank 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 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 failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that 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 septage 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 be 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 Maintainer to assist in manually operating the pump controls to restore normal levels within 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 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly 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 properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed'POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. 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 OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ,, C Name s / Phone Phone 16 1 4 4 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name a,-2- 4-n Name Zj/P" ` Phone ro f t� Phone L/,650110 This document was drafted in compliance with chapter Comm 83.2212 ►(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM l Owner/Buyer C Mailing Address /3 ZZ /,�d►�� J��� a !�� � �` Property Address r� (Verification required from Planning Department for new construction) City /State Parcel Identification Number 3 • 13A -10) LEGAL DESCRIPTION Properly Location �/4, �' /., Sec. 4 T N -R W, Town of Subdivision Lot # Certified Survey Map # ?2 7 , Volume Page # r Warranty Deed # ` , Volum Page # Spec house ❑ yes J6 no Lot lines identifiable yes ❑ no SYSTEM CE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. owner a to submit to S zoning The property green t. Croix mng Departm ent a certification form, signed by the owner and by a tewater sal em r verifying that 1 the on -site was dispo system mastor plumber, j. uaeymuplumber, restict�rluaitier.rahceaseirumre nfyiat ( ) is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the year expiration date. SIGNA'i'U OF APPLICANT 15ATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above by virtue f a warranty deed recorded in Register of Deeds Office. SIGNA OF APPLICANT ATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 012P 051 STATE BAR OF WISCONSIN FORM 2- 1999 6 9 4 2 5 3 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., NI This Deed, made between Eugene F. Manske RECEIVED FOR RECORD 10 -15 -2002 9:30 AN 4giitRll,4 ?V CE:D Grantor, and John Manske and Susan Manske, husband and wife, c(EM - s REC FEE: 11.00 TRANS FEE: 138.00 COPY FEE: Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the PAGES: 1 following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part ofNEIA SE1 /4, Sec. 1- 131N -R17W n of Stanton, St. Croix Recording Area County, Wisconsin, described as follow : Lot f Certified Survey Map ,;mac ar,� recorded in Vol. 16, P age 4387, as Document o. 692717. K? s OGLAND ATTt7!­'EY AT LAW ., "' 359 Nt:., _ 1154016 Pt of 036 - 1001 -30 -000 _ Parcel Identification Number (PIN) This is not homestead property. OE) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _ (4A- day of October 20 02_ + Eugene F. M sk AUTHENTICATION ACKNOWLEDGMENT Signature(s) . .,,Eugene F. Manske STATE OF WISCONSIN ) ) ss. County ) ku,Tentijated this .t' pay of October 2002 ? . •+ : Personally came before me this day of the above named + QriSl:t�OgI id V TITL04P?flRLtk STATE BAR OF WISCONSIN - -- (if not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by 0 706.06, Wis. Scats.) THIS INSTRUMENT WAS DRAFTED BY A ttorney Kr istina Ogland Notary Public, State of Wisconsin Hudson, WI 5416 — My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) • Names of persons signing in any capacity must be typed or printed below their signature. in «mnm„ Pramionals Cmpany. Fond a, Lm. W STATE BAR OF WISCONSIN 900.855 - 2021 WARRANTY DEED FORM No, 2 -1999 1 z 1032 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sal Service Attach complete site plan on paper not less than 8% x 11 inches in size_ Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale ordimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 036 - 1001 -30 -000 Please print all information. Reviewed By Date Personal information you provide me u y S. 15.04 (1) (m)). Property Owner ( Property Location Manske, John Govt. Lot NE 19 SE 114 S 1 T 31 N R 17 W Property Owner's Mailing Address - I ! 2 0 0 2 Lot # Block # Subd. Name or CSM# 1391 Meadowlark Ln pending na 14.45 Acres Pending City staie Zip COdt I'l�at�e_ , jig gi,, City Village Town Nearest Road New Richmond ` "' °Tt5 Z4fi Stanton 200 Th St New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Pitted Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Mound design, System elevation 100.60ft based on contour line elevation 99.1 Oft M j n Boring # Boring Pit Ground Surface elev. 99.50 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ *Eff#1 I *Eff#2 1 0-6 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 6 -19 10yr4 /4 none sicl 2msbk mfr gw 1vf .4 .6 3 19 -72 5yr3/4 none sell om mfr na na .0 .0 M 06 Boring # '. Boring Pit Ground Surface elev. 99.50 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft " Eff#1 I *Eff#2 1 0-6 10yr3/2 none sil 2msbk mfr cs 2f .5 .8 2 6 -24 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 24 -51 5yr3/4 none scl om mfr gw na .0 .0 4 51 -72 5yr -3/4 c2d 7.5yr5/8 scl om mfr na na .0 .0 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, W 1 540 7/9/2002 175 246 - 5085 Property Owner Manske, John Parcel IDS 036 - 1001 -30 -000 Page 2 of 3 3] Boring # Boring Pit Ground Surface elev. 97 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0-6 10yr3/2 none sil 2msbk mfr gw 2f .5 .8 2 6 -18 10yr4/4 none sicl 2msbk mfr gw 1 f .4 .6 3 18 -72 5yr3 /4 none scl om mfr na na .0 .0 F-1 Boring # � °' Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 'Eff#2 F-1 Boring # . Boring Pit Ground Surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 *Eff#1 'Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. 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