HomeMy WebLinkAbout040-1231-30-000 r
Wisconsin Department of Cqmmerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
Ir INSPECTION REPORT Sanitary Permit No: 405165 0
GENERAL INFORMATION (ATTACH TO PERMIT) St to Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 35 = rio.•s L
Permit Holder's Name: City Village X Township ' Parcel Tax No:
Strohkirch, Daniel D. I Troy Township 040 - 1231 -30 -000
CST BM Elev: Insp. BM Elev: I BM Description:
mo (31D • a l SL,3 (s-5-AL. = c 5T — c3trvr
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
Septic Benchmark r
t -f•IS (P.Sb (D (o• L ao -C)
Dosing � Alt. BM � � "• or
.O
Aeration Bldg. Sewer f
15.2.0 `�(•�
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet r
Septic } lJ r '� , Z S r Dt Botto 1 S. 50 1 1.� � .30
� I
Dosing � �r �f � � , Header /Ma 7�,
7
Aeration Dist. Pipe , I /
_
Holding Bot. System
.� col
Final Grade
PUMP /SIPHON INFORMATION --- %A,. -t( \.c 12.`i S - a
Manufacturer De St ver 7 C r
Model Number a � `P T 7'
Ll..5 C 311 L_
TDH Lift (90 Friction Loss System Head TDH Ft
� • 3. 4 - SS 'L2 -
f Forcemain Length Dia. � Dist. to Well
J A
SOIL ABSORPTI SYSTEM 5, WO S ,
BEDITRENCH Width Length No. Of Tfenehas PIT DIMENSIONS No. Of Pits Insi a Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHI anufacturer:
INFORMATION CHAMBER
Type Of System: UNIT /t r
M . 1 5 , g el Number.
DISTRIBUTION SYSTEM , �� rr`S t�,►o� — � CQ,s'�e/
rHea nifo lfd Distribution t / x Hole Size r1pacing Vent to Air Intake
. Pipe(s) 1 -,,L t � O S/32 Ob - nh Dia Length "t 3 `� Dia Z Spacing �'
SOIL COVER x ressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil Yes `i No ] Yes No
COMMENTS: (Include code discrepancies persons present, etc.) Inspection #1: / I / b Z Inspection #2: /
Location: 688 Buttercup Court Hudson, WI 54016 (NE 114 SE 1/4 3 T28N R1 5W) Cou trywood Addn. I Lot 3 Parcel No: 03.28.19.1139
1.) Alt BM Description = t.�M9 r at.�ra�. fir)
2.) Bldg sewer length
- amount of cover Ila
3.) Contour = OD.
an revision Requi ? Yes
°�- 7t z
Use other side for additional informa ion.
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
Safety and Buildings Division County
V VI , Sc�onstn 0 201 W. Washington Ave., P.O. Box 7162
Madison, WI 53707 - 7162 Site Address
De artment of Commerce
Sanitary Permit Number
Sanitary Permit Application L foS
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision
may be used for secondary purposes Privacy Law, s15. 1 m
I. Application Information - Please Print All Information S Plan I.D. Number
Property Owner's Name Parcel Number
REGEIV Property Location _
Property Owner's Mailing A dress
A: S d N R
City, State Zip Code Ph 790T Lot N r Block Numbe /
ST. CROIX COUNTY S ubdt�- v"i — °" N�"'n CSA4- NWnbef-
ZONING OFFICE J
Type of Building (check all that apply) AS $ N^ �' ❑City
1 or 2 Family Dwelling - Number of Bedrooms �YaAAQ t ❑village
❑ Public /Cotnmeiai -�D,e-sccribe Use ^A �I'ownship
❑ State Owned ^ O (� `^^ ` Nearest Road
III. Type of rmit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A For County use
1
!N 2 ❑ Replacement System 3 ❑Replacement of 6 ❑ Addition to S m Tank Onl Eris ' S stem
B. ❑Check if Sanitary Permit Previously Issued
Permit Number Date Issued
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 4 �lOV
44 ❑ Non - Pressurized In- Ground 2,11irMound 47 ❑ Sand Filter 50 ❑ Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other
V. Dis ersaUTt'eatmeat Area Information:
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade
Required Proposed Rate(Gals./Days/Sq.Ft.) (Min.Meb) Elevation
S_ ;d G1
A Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank �
Dosing Ctwnber - x� -
VII. R ibili Statement- I, the undersigned, a responsibility for installation of the POWTS shown on the attached plans.
Plumber's ame (Print Plumber' Signa � MPIMPRS Number Business Phone Number
^, L `
P umber's Address (Street, City, State, Zip ode)
VIII. Cotmt /De artment Use Onl
Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
Approved ❑ Disapproved Surcharge Fee) Qfl
❑Owner Given Initial Adverse S 3 ZS 11 ,
Determination t �
IX. Conditions of Approval/Reasons fDisapproval
4 ,M?�W�r• c eua� /M
°d (�P"- j
i Attach complete Plans (to the County only) for the system on paper nol less than 81n x I1 Inches In dae
SBD -6398 (R. 05101)
L
t
a P16.4v
.4p
Q
i
! 1
f j Safety and Buildings
10541 N RANCH ROAD
AA HAYWARD WI 54843
TDD #: (608) 264 -8777
Visc sin www.w
www.commtate.yA.us/sb
isconin.gov
Department of Commerce
Scott McCallum, Governor
Philip Edw. Albert, Secretary
June 07, 2002
CUST ID No.224263 ATI'N: POWTS Inspector
KIM A OICONNELL ZONING OFFICE
K.O. CONSTRUCTION ST CROIX COUNTY SPIA
504 3RD AVE 1101 CARMICHAEL RD
OSCEOLA WI 54020 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 06/07/2004 Identification Numbers
Transaction ID No. 755335
SITE• Site ID No. 645630
Daniel Strohkirch Please refer to both identification numbers,
Tower Rd
above, in all correspondence with the agenc
Town of Troy
St Croix County NE1 /4, SE1 /4, S3, T28N, R19W
FOR: New mound, 450 GPD
Object Type: POWT System Regulated Object ID No.: 854625
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ,
The following conditions shall be met during construction or installation and prior to occupancy or use: co fi d
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the tttM
Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P (1N of
1
(N.01/01) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil
Absorption Systems."
SE, GO
• 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. In addition,
the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of
the mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The maintenance plan for this system must be given to the owner of the POWTS.
Note
• The actual liquid level for the specified pump tank is 37" and the capacity is 21.76 gallons per inch per product
approval. The proposed pump settings provide a dose volume that is greater than 5 times the void volume and
less than 20% of the design wastewater flow plus drain back. The extra 3.73" included in the proposed settings
must come out of the "A and/or "D" dimensions.
• The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle
size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner
KIM A O'CONNELL Page 2 6n102
of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to
service the filter shall terminate at or above finished grade with a watertight cover.
Reminder
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system area per Mound Component Manual.
• Materials shall conform to the requirements of COMM 84.
• Maintain well and waterline set backs per COMM 83.43(8)(1).
• Provide frost protection per COMM 83.43(8)(c).
• Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation.
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 /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation intenance of the POWTS.
Sincere' , Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
Patricia L orf
POWTS Plan Revie , Integrated Services WSMAR'T code-_7633
(715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm
pshandorf@commerce.state.wi.us
cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544
{
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name.: DANIEL STROHKIRCH
Owner's Name: DANIEL STROHKIRCH
Owners Address: 602 QUIVOTE AVE NO
LAKELAND MN 55043
Legal Description: NE -SE- SEC- 3- T28N -R1 9W
Township: TROY
County: ST. CROIX
Subdivision Name: COUNTRY WOOD
Lot Number: 3 Block Number:
Parcel I.D. Number: 040 - 1231 -30 -000 Pti.T.•
Plan Transaction No.:
Page 1 Index and title �41 0 0 0,M � E
Page 2 Data entry ,AF
Page 3 Mound drawings
Page 4 Lateral and dose tank O N
Page 5 System maintenance specifications
Rage 6 Management and contingency plan
Page 7 Pump curve and specifications
Page 8 PLOT PLAN
Designer: KIM A OCON LL License Number: 224263
Date: 05/09/02 Phone Number, 715 -755 -3145
Signature. `
Designed Pursuant to the
Mouryd Component Manual for POVVT'S Version 2.0 SDB- 10891 -P (N. 01/01), and
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)
Version 3.0 (03/01/01) Page 1 of 8
Mound and Pressure Distribution Component Design
D e ltigtl Workeilbelt
Site Information
(r or c) R Residential or Commercial Design Note Sand fig (D) calculations assume a
300.00 Estimated Wastewater Flow (gpd) I OYIQ %010 1- 1 "rww wii uaauuani wl 10{.01
1.50 Peaking Factor (e.g. 1.5 = 150%) of <. 38 halls.
ww.vv Dasii l r=ivw (WNu)
3.50 Site Slope ( %)
1A1 an (`nnlnwir I ina Flcvo +inn /f41
26.00 Depth to Limiting Factor (in)
0.40 In -situ Soil Aoolication Rate (aDd/ft
Distribution Cell Information
7510 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/ft`)
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the aistnoution r
Pressure Disribution Information network? Enter Y or N
vvi tZC, v� a iu IriUa mvnw -
3.00 Lateral Spacing (ft) If N above, enter the elevation ft
2 Numher of I ateralR of the highest point
0.156 Orifice Diameter (in) (e.g. 0.25)
3.00 Est imated Orifice Spacing (ft) = 8.00 ft /orifice
2.00 Forcemain Diameter (in)
180.00 Forcemain Length (ft) Does the forcemain drain back? I_ '._,__�
90.00 Pump Tank Elevation (ft) Enter Y or N
w �yaian l riva� �lq A 1 . 0 2 Fvl w nlail l vl a (dal)
12.13 Vertical Lift (ft) 67.38 5x Void Volume (gal)
2.86 Friction Loss (ft) 96.74 Minimum Dose Volume (gal)
19.54 Total Dynamic Head (ft)' 26.93 System Demand (gpm)
Lateral Diameter Selection Manifold Dia Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x
L.VV x
1.50 x X 3.00
nn
3.00 x
Gallons/inch Calculator (optional)
Treatment Tank Information 1 800AX01 Total Tank Capacity (gal)
1000-001 e tic Tank Capacity (gal) L 41.001 Total Working Liquid Depth (in)
WEEKS Manufacturer 1 19.51 gal/in (enter result in coil B49)
ivvaa lank uiiwil�auvn cii ualii iiiiat ini vn�wuvu
800.001 Dose Tank Capacity (gal) Zabe IFilter Manufacturer
1 9 Al D,n?e Ta_ nk \ /nh Imo /n�Uin1 W nn tal}or Mruial NI Imhor
_ „�_......, ... _ _ ....-. ...- - -..._..... _.
WEEKS Manufacturer
Project: DANIEL STROHKIRCH Page 2 of 8
Mound Plan View
t
� ' J
1110 B - Observation Pipe 1° 1
s:
K Ni::: }r, ry; }ipt }:;:; },ry : }r ?t5" 7i; :: {.•
A
B I I
T I
i
3
......... .............. �4'
......
L
Mound Component Dimensions
Down slope toe extension made.
A 6.00 ft E in H 1.00 ft K 8.19 ft
B 75.00 ft F tmft in I 9.00 ft L 91.38 ft
D 10.00 in G J 5.77 ft w 20.77 ft
450.00 (ft Dispersal Cell Area 1 1125.00 (ft) Basal Area Available
6.00 (gpdKt) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 104.43 ft
—�.
TH
F Dispersal cell 103.13 (ft) Lateral
i ul.eJ (tt) --.. — invert
Cel
C
Di
Mv'vauvi:
.a A
a1
'•c
' �) ] � > 5 z ' ',. 4 1 .�.. �,4i `4} A s,.! �✓tir./� . } r� ;,� l A ..\�l.?.�� 1Z i � y '
101.80 (ft) Contour Elevation
3.5 % Site Slope
Geotextile Fabric Cover
Shading Key T Dispersal Cell See lateral details on
1Q Topsoil Cap a. 1,5 ft r;;;r;s.: , , ' ' -�- Page 4 for number,
vuv'Awls tillV aiJtltillla VI
ASTM C33 Sand :� ` :;,:� '�`� �•�- � >'��''��- �� }��': F laterals. Laterals are
0.5 ft +:` ' Typical Lateral I one tolii enonal hnm
I i; , %::;;•.,.,}:•:• . rra�tt - �.. -...� -P -'
Aggregate ";:' `` ''.f:�+``; the distribution cell's
�--- A ---i centerline in the
distribution cell (AxB).
Project: DANIEL STROHKIRCH Page 3 of 8
End Connection Lateral Layout Diagram
Laterals centered over the A & 9 dimension ♦ = Turn -up wlball valve or oleanoutplug , I
P
rForoe erals are Wentioal IF X --), Holes drilled on the bottom of the later al S
equally spaced
main connection via tee or cross to manifold at any point. Laterals (c force main of PVC Soh 4l)
(per COMM Table 84.30 -5)
Number of Laterals 2 Orifice Diameter 0.156 in
tateral Diameter 1.50 in Orifice Spacing (X) 3.06 ft
Lateral Length (P) 73.44 ft Orifices per Lateral 25
Lateral Spacing (S) 3.00 ft Orifice Density 9.Q0 0orifice
Lateral Flow Rate 13.46 gpm Manifold Length 3.00 ft
System Flow Rate 26.93 gpm Manifold Diameter 2.00 in
Total Dynamic Head 19.54 ft Forcemain Velocity 2.75 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and -►
Comm 16.28 WAC Disconnect 4 in. min.
Tank component is property vented E-- Alternate outlet
location
Forcemain diameter
EE KS Manufacturer _ 2 in.
acit ._ 8 Ilons
ume 1964 . a inch A
Weeo hole or anti-
[ Dimensioni Inches I Gallons qB siphon device
A 21.85 429.17 e , I
5 B 1 2.070 39.28 Pump off elevetlon (ft
C 4.88 95.87 91.00
u rl.uu -- 5.6a D
Total 40.73 800.00
3" Bedding under tank.
Alarm Manuafacturer JSJ ELECTRO
Alarm Model Number JHW 100
Pump Manufacturer IGOULDS
Pump Model Number JWE 1 L T�
Pump Must Deliver 26.93 gpm at I 19.54 ft TDH
Project: DANIEL STROHKIRCH Page 4 of 8
Mound System Maintenance and Operation Specifications
Service Provider's Name �� KIM A OCONNELL d Phone 715 -755 -3145
POWTS Regulator's Name [^ ST. CROIX COUNTY ZONING Phone 715- 386 -4680
System Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L
Type of Wastewaterl Domestic Maximum Fecal Coliforml >10E4 I cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once eveEy 3 years
Alarm Should test months
Pressure System Laterals should be flushed and pressure tested every 1.5 tears
Mound Ins ect for ponding and seepage once every 3 years
Other
Misceiianeous Construction and iviateriais atandarcis
1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn -up Detail
Finished ..•,,........••. ...............
Grade
..
6 -8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box �"'" Plug or Ball Valve
.........
............
............
...........
Distribution
��► ---- Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: DANIEL STROHKIRCH Page 5 of 8
Mound System Management Plan
Pursuant to Comm 83.54, Ms. Adm. Code
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [SBD- 10691 -P (N,01/01) and SSWMP Publication 9.6 (01 /81)j and local or state rules pertaining to system maintenance and
maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used
for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to
failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent
accidental or unauthorized entry into a tank or component.
Seotic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. 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 fitter shag be assessed at
least once every 3 years by inspection.
The outlet filter shag be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are
made to retain solids in the tank that may slough off the fitter when removed from its enclosure. if the filter is equipped with an alarm, the fitter
shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm.
The septic tank shall have Its contents removed when the volume of sludge and scum in the tank exceeds 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 personnel shall advise the owner of when the next
service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance Is generally not required. However, If such products are
used they shall be approved for septic tank use by the Department of Commerce.
Pumo 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 shag be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shag
be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other then for vegetative
maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow
compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched
as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or
30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 ml- for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system Is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed
of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the Initial test when the
system was installed to determine if orifice clogging has occurred and if orifice cleaning Is required to maintain equal distribution within the
dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels
above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contimmmy Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system
in proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shag be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, It will be repaired or replaced in
its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and
related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: DANIEL STROHKIRCH Page 6 of 8
7otg
Performance Submersible Effluent
Curves P
METERS FEET
90
MODEL 3885
25 80 --- - SIZE 3 l4" Solids
� WE15FI
Q 70
w
2 20 E10H
J
H 60
O WE07H
f-
rW L EO 5 �H
dQ I
10 30 WE03
0 1� 20
10 L-J
xx 5
P� 1
0 0
0 10 20 30 40 50 60 70 K) 90 100 110 120 GPM
I J
0 10 20 30 m' /h
2(0.3 CAPACITY
]GOULDS PUMPS, INC.
SF3•ECA FALLS NEW O )inn
METERS FEET
120 MODEL 3885
35 - SIZE 3 / 4" Solids
110 WE15HH-
I
1 00
30
90 —
25 80
I 20
J
H 60
O
50 WE05HH
15 �
nn
I
20
5-
1 0
C � 1 ---- 4-7 777 -1
1C 20 30 50 5u 70 80 90 10;? 1 10 120 GPM
0 I0 20 30 ml /h
CAPACITY
Eflecuve }uf -� s
194 d7' Sk��j'.��i9C s� Gtf : /Gt'iG
z7
k AXE'
/ea
re
�vkll m
, u
1
3 /
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations 'O
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
Co Cb
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but St >
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or L I.DA dimensioned, north arrow, and location and distance to nearest road.
7 7 ,
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION W
ST L
PROPERTY OWNER: PROPERTY LOCATION
Richard Stout GOVT. LOT NE 114 SE 1 r)W
PROPERTY OWNER':S MA!I_ING ADDRESS LOT # BLOCK # I SUBD. NAME
1353 Awatukee Tr l. na Cohn t mrvv n
CITY, STATE ZIP CODE PHONE NUMBER LJUI IT []VILLAGE MOWN NEAREST ROAD
Hudson, Wi . 54016 (715 549 -6731 Troy Tower Rd.
New Construction Use J Residential / Number of bedrooms 3 (] Addition to existing building
Replacement (] Public or commercial describe
Code derived daily flow 450 god Recommended design loading rate - 4 bed, gpd/ft • trench, gpd/ft
Absorption area required 375 bed, ft trench, tt Maximum design loading rate • 4 bed, gpd/ft •5 trench, gpoltt
Recommended infiltration surface elevation(s) 102.8 ft (as referred to site plan benchmark)
Additional design/ site considerations system el. based on contour line of el. 101.8
Parent material limestone uplands Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for system D S D U I ®S D U D S fl U ❑ S U D S ] U D S @V
SOIL DESCRIPTION REPORT
Depth Dominant Color Motffes Texture Structure Consistence GPD /ft
Boring # Horizon in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. IY Roots Bed IT�
1 1 0 -13 10 r4/2 none 1 2msbk mfr gw 2f .5 .6
-- 2 13 -26 10 r4/4 none sicl 2msbk mfr gw if .4 .5
Ground 3 26 -35 10yr4 /4 c2p7.5yr5/6 s icl 2msbk mfr gw na ..4 .5
elev. . ,--
1 4 35 -60 10 r6/4 c2p7.5yr5/8 cl m na na na np:: np
Depth to
limiting
factor
Remarks:
Boring #
1 10-12 10 r4/2 none 1 2msbk mfr gw 2f .5 .6 •S
�`�,, 2 12 -21 10 r4/4 none sicl 2msbk mfr 9w if .4 1.5
Ground 3 21 -33 7.5 r4/4 none scl 2mgr mvfr gw na .4 .5
elev. 4 33 -55 10 r6/4 c2p7.5yr5/6 cl m na na na np jnp
1
Depth to
limiting
factor
Remarks:
CST Name: — Please Print Phone' 715- 246 -6200
Gar L. Steel
ress. 1554 200 . Ave. New Richmond, Wi. 54017 10- .29 -95
Signature: Date: CST NtnberMO2298
PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. pending
Boring # Horizon Depth Dominant Color Motues Texture ( Structure Consistence I8ounclary I Roots GPD /ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed iTrench
1 0 -11 10 r4 2 none 1 2msbk $_
°,° ,.. -... 2 11 -22 10 r4 4 none sic
Ground 3 22 - 7.5 r4 4 none scl 2mctr mvfr MT na .4 .5 •�
elev.
10 ft. 4 33 -50 10yr6/4 c2p7.5yr5/8 cl m na na na np np
Depth to
limiting
factor
33"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
F I I
Remarks:
Boring #
Ground
elev.
ft.
i
Depth to
limiting
factor
i
Remarks:
SSO- 8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Richard Stout New Richmond, W1 54017
MPRSW 3254 NE4SE4 S3- T28N -R19W (715) 246 -6200
town of Troy
lot #70- Country Wood
✓1V
1//1 " =40 '
= top of SW lot stake of outlot C el. 100'
Lv �-� �p-�- 1 �° s 1►'l ✓OI -� ^ J�J Z 130
�✓1Z
l7D `
V-1
J�
d r �'
IYl J 44
Gary L. Steel
10 -29 -95
i
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address
Property Address ` S
(Verification required from Planning Department or new construction)
City /State Parcel Identification Number
LE GAL DESCRIPTION
Prop erty Location `� '/, '/,, Sec. 7�
p �` 0�� � �._ _..,�, T��N -R�,W, Town of ��/
Subdivision A h) Ae eq , Lot # .
Certified Survey Map # �— , Volume Page #
Warranty Deed # —4� / X , Volume � Page # �QC?
Spec house O yes 0 no Lot lines identifiable 0 yes 0 no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposa I system
is in proper operating condition and/or (2) after inspection and pumping (if necessar the septic tank is less than 1/3 full of sludge.
e. P g
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. e '
C rtif t cation
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
4 ear e three y a iration date. APPLICANT / /
DATE
O_ MER CERTIFICATION
I (we) certify thjit all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described ove, by virtue of a warranty deed recorded in Register of Deeds Office.
SI A 0 APPLICANT
DATE
* * * * ** 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
l
U 1871P 188 it
STATE BAR OF WISCONSIN FORM 2 - 1998 Ea 7 'a 0 4 3
WARRANTY DEED KATHLEEN H, WALSH
REGISTER OF DEEDS
Document Number ST CROIX Co. Mj
RECEIVED FOR RECORD
This Deed, made between _ _ 04_
-_ HART) O_ STnT]T 11 -2002 9:35 AN
a mardAri person IIARAANTY DEED
Grantor. EXEWT i
and ANr�„} 7 D__STRC)HxTRC' 777E S cmnnuurnnv REC FEE: 11.00
�g band and wife, TRANS FEE: 144.00
CERRT COPY FEE:
Grantee. PAGES:
- 1
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate in St'- Crai x County, State of Wisconsin:
Lot , Plat Of Country W ood, Tow Of Troy, Name and Return Address
Croix County, Wisconsin.
,119liNI YaTITLE OF STILLWATER
NW*W"m Avenue
AWAW, MN 55082
040- 1231 -30 -000
Parcel Identification Number (PIN(
This is not homestead property.
(is) (is not)
Exceptions to warranties: easements, restrictions, rights -of -way and covenants
of record.
sr _
Dated this al d of , - March 2002
W 4 , � t J, \ OWt (SEAL) A _...._ (SEAL)
Richard O Stout '
(SEAL) _ (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
State of Wisconsin,
St. Croix a.
Count. � w
authenticated this day of Personally came before me this ._ _ day of
March , 2002 , the above named
Richard O_ Stout
TITLE: MEMBER STATE BAR OF WISCONSIN _ _ to
Of not, me known to be the E- , tNJlgi&Wg used the foregoing
authorized by 5706,06. Wis. Stets.) instrument and a 4U1FfiQFrWpSC0NSIN
KERNON J BAST
THIS INSTRUMENT WAS GRAFTED BY ... .
Janet P. Stout
13;3 kwatilkee 11'r
Hudson, WI 54016 ;No ublic. Stateo f onsin
mission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
' N.— of per— stgning In any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN Wlsconso Legal Blank Co.. inC.
WARRANTY DEED FORM No. 2 - 1998 Milwaukee, W*
I ` —
f
-WEST 1/4 LINE M ��laV (WEST) N89 ° 41'26 "E 590.00' E114 N
PUBLIC (1324.61 , BEG. AT NO. 30 TO EI /4 CDR.)
N " IRON PIPE FOUND N89 "E,
0.96' FROM COMPUTED R /W.
w 8 0� t Q�
Nin $v
ro
V iD
W ?O 1 0T I v . v. M. ni
F T ..
2130
a m
$ 8 �
" " I" IRON PIPE FOUND r -
i IRON PIPE FOUND N86 56 E, Ng9 "E, 0.87' Z
Q.88' FROM COMPUTED CORNER FROM COMPUTED CORNER m
.02' N89 (EAST) 590.00, 0"
73.47' 181.53 210.90' 197.57 -1
253.00' m
953.02'
g
° 5
3 °
N o '�' s O 1
N Cr
m 2.01 ACRES m 2,10 ACRES _ 2.20 ACRES 1
a7,460 SO. FT. 91,476 SO. FT. m 95,830 SO. FT. I Cj
w
w
�p I L7
SHEET \ rF
2 \ 1
S89 "E
125.50'
tangency; thence S49 "B, along said right -of -way, 50.00 feet to the
Point of curvature of a 167.00 foot radius curve, concave northeasterly,
whose central angle measures 37 whose chord bears S68 0 27 1 17.5 "B and
measures 108.44 feet; southeasterly, along the arc of said curve and
right -of -way, 110.44 feet to the point of tangency; thence S87 "B,
along said right -of -way, 543.65 feet to the point of curvature of a 594.78
foot radius curve, concave northerly, whose. central angle measures
41 whose chord bears N71 "B and measures 419.02 feet; thence
easterly, along the arc of said curve and right -of -way, 428.21 feet to the
point of tangency; thence N51 0 9, along said right -of -way, 74.52 feet
to the point of curvature of a 1367.00 foot radius curve, concave
northwesterly, whose central angle measures 06 *00 whose chord bears
N47 0 B and measures 162.94 feet; thence northeasterly, along the arc
of said curve and right -of -way, 163.03 feet to the point of tangency;
thence N44 "B, along said right -of -ray, 67.60 feet to the point of
curvature of a 273.00 foot radius curve, concave southeasterly, whose
central angle measures 17 whose chord bears N53 "S and
measures 83.34 feet; thence northeasterly, along the arc of said curve and
right -of -way, 83.67 feet to a point on curve also being a point an the east
west 1/4 line of said section; thence N89 0 B, alonq said east - Mest
v4D 26
� i�