HomeMy WebLinkAbout040-1266-70-000 �/*
Wisconsin Department of Commerce y PRIVATE SEWAGE SYSTEM y'
Safety and Buildings Division Count St. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar�7PW it
Personal information you provice maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)). ALL
Permit Holder's Name: ❑ City ❑ Village ❑ T n of: State Plan ID No.:
Krause, Darrel & Vera Troy Township
CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.:
/ w ( � o / "/ 040- 1266 -70 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic i „h r 2 00 Benchmark
Dosing Alt. BM
Bldg. Sewer
Holdi Ht Inlet * /d '.-
TANK SETBACK INFORMATION e
TANKTO P/L WELL BLDG. Air to
I ntake ROAD
Air
Septic > Sd lO o NA Dt Bottom
Dosing >510 NA Header/ Man.
A n NA Dist. Pipe
Holding Bot. System 3 /ol f/
PUMP / SIPHON INFORMATION Final Grade
Manufacturer Demand
St cover
Model Number >`9 4�,3ZG PM (0 U e-
✓ f O
TDH Lift Friction System z TDH Ft �M q S, d
oss Forcemain Length 0/ Dia. Hs Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of T re ches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSION 9 I er DIM N
SYSTEM TO P / L BLDG WELL LAKE / STREAM G manufa
SETBACK AMBE
INFORMATION Type O _ Num er:
System: / �S / OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole ze x Hole Spacing Vent To Air Intake
/ � — 3
Length –1R Dia. Length 3 � Dia. Spacing 3 3 �� � y �e
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 /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) L g
Inspection #1: //Z /ob Inspection #2:
Location: 330 Soo Line Road, River Falls, WI 54022 (NW 1/4 SE 1/4 16 T28N R19 - 1628191449 Glover Station Addn.
V -Lot 88 'y,Nu 4, ?/ �c / 1
1.) Alt BM Description = �'p o D Uin° % ' �/� 5e
2.) Bldg sewer length = io �Ik���� �<s >la %�I
- amount of cover = ' (do"
3.) contour =?I' � , Z , k; s GoY .n
Plan revision required? ❑ Yes k] No
Use other side for additional inform tion. L 3 60 11 1 RA I
X . SBD -6710 (R.3/97) Dat4 Inspector's 6Cnature Cert. No.
X
ADDITIONAL COMMENTS AND SKETCH' `
SANITARY PERMIT NUMBER:
_d a
r ;
- _.
£ � 9
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£ e
E
E
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4
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i 3D o L i to p.
Safety & Buildings Division
` Washington Ave.
\7� _ Sanitary Permit Application 201 W. PO Box 7302
�SConSi In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707 -7302
Department of commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not
[Privacy Law, s. 15.04(1)(m)] state owned.
Attach com lete 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 ❑ Chec evious application State Plan I. D. Number
3 2 Lb* = R 2 36
I. Application Information - Please Print all Information Location:
Pro a Owner Nam ,A Pro a Location
t RECENEO p
P c� 0 �e
P.f, / � �� If - 1 1 & (r S � /4 . ^ 1/4, S� � 16/9 N, K/ E or
Property Owner's Mailing Address �� t,1 " 7 2000 Lot Numbe Block Number
ICS � 6 � � l N �
Ci S j to 9 ` Zip Code Phone p y Subdivi Name or CSM Number 1
l� �{ d SD W ZO ,000FtCE c� �� l0� P S ��t 6 s ✓ ail t
II Type of Building: (check one) v� ❑ City
P 1 or 2 Family Dwelling — No. of Bedrooms: r Z ❑ Village
• Public /Commercial (describe use): El Town of
• State -owned
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Neares toad
C d,
A) 1. W New System 1 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Nu (s) /^ 1 7� -000
System Tank Onl Existing S stem /p� c.E� &
B) Permit Number Date Issued ��v9
❑ A Sanitary Permit was previously issued /&I aY • H.
IV. Type of POWT System: (Check all that apply) tn.. -
❑ Non - pressurized In- ground Mound ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade 1 I ❑ Aerpbic T atment Unit ❑ Recirculating ❑ Other:
LO
V Dis ersalff tment Area Information:
1. Design Flow (gpd) 2. DispersoAreal 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
R Required ( / Proposed r J at
R ate (Gals. /day /sq. ft.) (Min. /inch) Ele
Q
VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
Cowl, fit, c Jvt1 P i ties / f;(:Ns '° ❑ ❑ ❑ ❑
f6[
❑ ❑ ❑ ❑ ❑
VII Respo sibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on hed plans.
Plumbe 's Name (print) PluXtberl Signature (no s mps): MP PRS Business Pho Number
J
Plumber's Address (Street, City, State, rip Code)
� , G wo 'Uer
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
Approved ❑ Owner Given Initial Adverse Sur arge Fee)
I p
Determination
IX. Conditions of Approval /Reasons for Disapproval: n
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
isconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
August 15, 2000
CUST ID No.691727 ATTIC• POWTS INSPECTOR
ARTHUR L WEGERER ZONING OFFICE
421 N MAIN ST ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/15/2002 Identification Numbers
Transaction ID No. 412369
Site ID No. 196595
SITE: Please refer to both identification numbers,
Site ID: 196595, Darrel & Vera Krause above, in all correspondence with thetagency.
St. Croix County, Town of Troy
NW1 /4, SETA, S16, T28N, R19W
FOR:
Description: Four Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 754348
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall
be met during construction or installation and prior to occupancy or use:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P
(R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems"
SBD- 10573 -P (R.6/99).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
a
hazard, the property owner must follow the contingency plan as d escribed 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 septic filter is required. Maintenance information must be given to the owner of the tank explaining that
periodic cleaning of the septic filter is required. Access to the filter for cleaning must be provided per Comm 84
product approval conditions.
• 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.
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.
ARTHUR L WEGERER Page 2 8/15/00
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Si&erard ely, J DATE RECEIVED 07/28/2000
•
FEE REQUIRED $ 175.00
FEE RECEIVED $ 175.00
M. Swim BALANCE DUE $ 0.00
POWTS Plan Reviewer - Integrated Services
(608)- 789 -7892, Mon. - Fri. 7:15 AM to 4:00 PM
jswim @commerce.state.wi.us WiSMART code: 7633
TITLE SHEET Page 1 of
MOUND SYSTEM
FOR
A _LL BEDROOM RESIDENCE
This plan has been prepared in accordance with the Mound Component
Manual SBD- 10572 -P and the Pressure Distribution Manual SBD - 10573 -P
LOCATED IN THE 1-SW 1/4 OF THE S 1/4 OF SECTION 16 _ ,T : Z3 N, R 19 W,
TOWN OF 1 , S`r_ o_ZU 1X COUNTY, WISCONSIN.
T '33 or- 6wv 4M S M PrDDMON
INDEX
PAGE 1 of 7 TITLE SHEET t�
PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN
PAGE 3 of 7 PLOT PLAN F
PAGE 4 of 7 PLAN VIEW -CROSS SECTION O �G
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT ,,,,pp
PAGE 6 of 7 PUIiPING CHAMBER CROSS SECTION w� r00
PAGE 7 of 7 PUMP PERFORMANCE CURVE �O� O
PREPARED FOR
`rev p S owl � ttiJ 1 54 0 l (,
PREPARED BY
WEGEF2EFZ SCI I L . TEST S NG
AND .
DES I GN S)EF?V I CE
P.O. Box 74 421 N.Main St.
River Falls, WI 54022
Phone 715 - 425 -0165
Fax 715 - 425 -6864
n
r
P.O.W.T.S. '
Conditionally , c
P P R OVE ��6
DEPARTMENT of COMMERCE _-4 _%
DEFAR r
IS►oX COR R RESPO J DINGS C
JOB NO. oc�' �9_s
r SYSTEM. MANAGEIIENT Page Z of 7
Management and maintenance of this system is critical to its proper
operation and longevity. The system owner must be provided with a
complete set of plans including the management section.
GENERAL
Proper functioning of any type of on -site waste disposal system is
dependent on the amount of water entering the system and the quality
of the water. The lower the volume of water and the lower the level
of contaminants, the more efficient and longer lasting. the system
will be.
Typical system components include a septic tank to settle out and
break down solids, an effluent filter at the septic tank outlet -to
filter out small particles, a pump tank with an effluent pump and
controls and an absorption cell to dispose of the water in a manner
which will protect the groundwater and public health.
RECOMMENDATIONS
1. Install water saving devices when and where possible.
2. Repair any water leaks as soon as possible.
3. Do not pour greases, oils, chemicals such as paint or paint
thinners into the system.
4. If you have a garbage disposal, use it sparingly.
5. Do not dispose of any paper products other than tissue into the
system.
6. Try to avoid excessive flows of water in short periods of time.
Spreading clothes washing throughout the week is recommended.
MAINTENANCE
1. The septic tank should be inspected by a licensed pumper every
three years or less and pumped if necessary to remove solids
and scum.
2. The effluent filter must be cleaned periodically to remove any
accumulated particles. It should be washed back into the septic
at 6 month intervals or as per the manufacturer's recommendation.
3. Periodic inspections at the observation pipes should be made by
the owner to determine if any ponding is taking place in the
absorption cell. Also check for any seepage to the ground surface.
If consistent ponding or seepage is noted, a licensed plumber
should be contacted.
4. This sytem.contains an alarm which must be installed on a separate
circuit from the pump. If the alarm activates, minimize water use
and contact a licensed plumber immediately.
CONTINGENCIES
Monitoring of the volume and effluent quality may become necessary
if problems develop. Monitoring must be done as per the requirements
of COMM 83.54(2). Pumping and disposal of wastewater by a licensed
pumper may be necessary while analysis and repairs are made.
1. Failed mound systems may require removal and disposal of the
existing sand fill and replacing it new sand or installing
an aerobic pre - treatment unit to reduce or eliminate any clogging
mat that may be present.
2. In- ground soil absorption systems or at -grade systems may require
the installation of an aerobic pre - treatment unit or replacement
of the system. Additional site and soil evaluations may need to
be done and additional plans may need to be ,prepared and
approved by the Safety and Buildings Division of the Department
of Commerce.
' PLOT PLAN
• - - Page 3 of 7
Scale I"= SO
i
B o ('MO ov- cei.L- E- . to l.S '
� 3
�0 YL1 CU►"bPPcLT" OR
� x i
PvC F -M-
�.�as
gz� �- S'(5Pq C
Q"I �
�uT b9
NOTES:
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observat• es with approved caps. ( Z, required).
3. Septic tank to be Zop /8o all ory capacity manufactured by
_Y'l �C)LA J QS MA3 PST , l �, ✓ W �Z �°c�tR F- � T F� �1't2
4. Bench mark eL 10U�0 o+, J j ptpE - ajoS•) ou 'Tt�POF sZTM F : Po-Sr
5. Divert surface water around system to prevent ponding at the uphill side.
' Page H- 0f - 7
Approved Synthetic Covering
ASTH C33 Distribution Pipe
Medium Sand
G
Topsoil - - --- F Elev.
� I
3 E 0
5 .
% Slope
Distribution Cell of Force Main Plowed
2" to 2- Aggregate From Pump Layer
0 �•O Ft.
E 1_4S Ft.
CROSS SECTION OF A MOUND SYSTEM F 0.8 Ft.
G o. S Ft.
A Ft. H 1•o Ft.
Linear Loading Rate= GPD /LN FT B 6 7 Ft.
Design Loading Rate =037 GPD /SQ FT j I Ft.
J E, Ft.
K q Ft.
L BS Ft.
O f � W Ft.
L
-Observation Pipe
K
A --- - - - - -- ------- - - - - -- ---- --
6B ---------------- - - - -_� Force Ma
i�
W `celzs �T'
- - - -� -- - ---=-- - = - - -- i $ � Lr'e;
Distribution 1 to 2"
f
Pipe Cello �
' agg regate
Observation Pipe
(Anchbr securely)
r PLAN VIEW OF A MOUND SYSTE:4
Distribution Pipe Layout Page S of
Page
Place the holes at the bottom of the distribution pipes
at equal spacing. Remove all burrs from the pipe and holes.
Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six
inches of the final grade. Terminate the ends of the laterals with a valve,:threaded cap or
threaded plug. Provide access from final grade for the valve, threaded i ap or threaded plug.
-
T�t
PVC F�1C t�VC
Lateral Manifold Lateral
x x x x x!Z I x12 x x x x
Lateral Length — Lateral Length — p
Distribution Line
P `- �CC soX
—�
r�ftutw
S
PvC wQC� tit �rtN
i
o --
� q
P 3I F Hole Diameter X116 Inch
S Z F t . Lateral ItV Inches)
X 2 1 4 Inches Manifold 3 Inches
Force Main " 3 Inches
# of holes /pipe \
Invert Elevation of. Laterals 10 Z•0 Ft.
1.^1 x (3. Z Y-
Combination Sept�ic: Tank add
SS SECTION AMA SPECIFICATIONS' PAGE PLfMP C MBER CRO SE E FICATIOAIS A G._ OF 7 '
HA
- VEUT CAP WEATHER PROOF
JUIJCTION HOX .
ti C.I. VENT PIPE APPROVED LOCKIMCP
1 10' FROM 0009, MANHOLE COVER wi'M
;,i,M 0W OR FRESH 1 wAR►JISJG LP`gEL
%#QS?Q 1WJ PIPE R IIJTAKE caapu�r
+� 1Pawn a t �r r rrP p ` i — �
r
18' Mlq.
______� =_
�•�� PROVIDE I
IAJ LE T �, � --7� AIRTIGHT SEAL.
Z `I
Approved z>�8�t u� I II I Approved
joint w/ I II I point w/
PVC pipe ALARM PVC pipe
a �i II
C i OU
8q 1S
CLEY. FT. PUMPS - -J
� OFF
D COUCKETE
DLOCK
- RISER EXIT PEFmi - rrED OWLy IF TAWK MAUUFACTURER HAS SUCH APPROVAL AP 4 zaD
SEPTIC f SPECIFICATIOL.IS
DOSE
TA MAU UFACTURER: WU
/ S ST MISEK OF DOSES: S.� PER y
DA
TAWK SIZE : yuA ` Q 800 GALLOWS DOSE VOLUME Z
ALARM MAUUFACTURCR: _ec�T7R IsT eqS 1 NG 6ACKFLDW: 1 A n GALLOII
MODEL IJUMBER: - W CAPACITIES: A= INCHES OK D'L'O GALLOys
SWITCH TtIPC: IUCHES'°OR LLZ'� G�LLOU5
LUMP U G R G OU L DS `'1,
N MAU FA TU ER: C= IUCtIES OR 1 l CALLOUS
MODEL WUMBLX' 3$$S wEOs.� D = 0 � IKICHES OR ' GALLOWS
SWITCH TYPE: MOTE: PUM AmD ALA TO 5E
MIAIIMUM DISCKARGE RATE 61 3 Z GPM INSTALLED ON SEPARATC CIRCUITS
VERTICAL DIFFEICEWCE DETWEEU PUMP OFF AIJD..DISTRIBUTIOU PIPE.. x1_7_s FEET
+ MILAMUM NETWORK SUPPLY PRESSURE , ' 15 FLLT
+ 1 O 0 FEET OF FORCE MAIN X � .'LO F 00 fEFRICTIO FACTOR_, ` -20 FEET
TOTAL OyWAMIC. HEAD = �� FEET
►I
As per manufacturer "2_l.OS gal /in. . Liquid depth 3g
N: PrZLT-Q)2mf� cuZyE _PP�� E - 7 W=_Z.
r e -
bouloS
Submersible
Effluent Pump
Ew� P�
3885
APPLICATIONS •Overload protection must smooth operation. Silicon can be operated continuously
Specifically designed for the • . ■ Bearings: be provided in starter unit. bronze impeller available as without damage.
Shaft: threaded, 400 series an option s
following uses: g : U pper and
• Homes stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing
• Farms • Bearings: ball bearings type for maximum efficiency. construction.
• Trailer courts upper and lower. 2" NPT discharge adaptable ■ Power Cable: Severe duty
• Power cord: 20 foot for slide rails stems.
• Motels standard length (optional y rated, oil and water resistant.
• Schools lengths available) ■ Mechanical Seal: SILICON Epoxy seal on motor end
.
• Hospitals CARBIDE VS. SILICON provides secondary moisture
• Indust Single phase:
Industry •' /a and 1 /z HP —16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket
• Effluent systems Stainless steel metal parts, damage and to prevent oil
with 115 V or 230 V three BUNA -N elastomers. wicking.
SPECIFICATIONS • Prong plug. m Shaft: Corrosion - resistant ■ O-ring: Assures positive
%4 -1 /2 HP —14/3 STO with 9
Pump bare leads. stainless steel. Threaded sealing against contaminants
• Solids handling capabilities: Three phase: design. Locknut on three and oil leakage.
W maximum. • '/ 2 - 1 '/ 2 HP —14/4 STO phase models to guard
• Discharge size: 2' NPT. with bare leads. On CSA against component damage AGENCY LISTINGS
• Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation.
• Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in SP Canadian Standards Association
TDH. are standard. high-grade turbine oil for
• Mechanical seal: silicon lubrication and efficient heat U� Underwriters Laboratories
carbide -rotary seat/silicon FEATURES transfer.
carbide- stationary seat, 300 0 Impeller: Cast iron, semi- ■ Designed for Continuous
series stainless steel metal open, non -clog with pump -
Operation: Pump ratings are
�
parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's
• Temperature: protection. Balanced for recommended working limits,
104"F (40'C) continuous
140 °F (60 °C) intermittent.
METERS FEET
• Fasteners: 300 series 90 ' SERIES: seas
stainless steel._ -
- SIZE: %: SOLIDS
• Capable of running dry 25 g o { RPM: VARIOUS
VVEISH
without damage to -4. 5GPM
Fil
components. 70 v1r E1 oH 5 � ; I
20
Motor + i
Single phase: = 60
• % HP, 115 V, 200 V, 230 V, so'
60 Hz, 1750 RPM; %2 HP, Z 15
} f � s
115 V, 60 Hz, 3500 RPM, o vvEOSH
HP —1'/2 HP, 230 V, o io i { '
60 Hz, 3500 RPM. 30 i r
• Built -in overload with VY —
EO i I { I ` {
automatic reset. 20
• Class B insulation. 5 r i
10
i
Three phase:
1
r r
+ { bit f
/z HP _
1 H P 200/230/
0 0
k 2
460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM
• Class B insulation. ' Q 10 20 30 m /h
CAPACITY
01995 Goulds Pumps, Inc. Effective May, 1995
11 83885
Wisconsin Department ti Industry SOIL AND SITE E V A L U AT I PORT P ( of 3
Latior and Human Relations g _
Division of Safety & Buildings in accord with ILHR 83. I 1�ah. G6d24
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in A"ae. flan mint ih tude;. *t
not limited to vertical and horizontal reference int B direction p PTCEL I.D. #
po (M), � % of slo , a scale or 1 x.117 W G
dimensioned, north arrow, and location and distance to nearest road. '
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION I DBY DATE
PRO PERTY OWNER: P G99- ROPirR •
� fl"�D v` 1 �S S Hv C l" Z W S 1 T � N 1/� t E ( w
g
PROPERTY OWNER':S MAILING ADDRESS. LOT # BLOCK;a• '' S 1/4 -6 . NAME OR CSM # Z� , N , R
-�
Z S8 �l� S i DE - D2LUE 83 - G L St O)U 5 prbU -
CITY, STATE ZIP CODE PHONE NUMBER (]CfTY (]VILLAGE ZrOWN ' NEAREST ROAD
1 w1 5goZZhIS) qLS alb, ��`•( S�ti 1.1>v� �WprD
New Construction Use Residential / Number of bedrooms y [ j AdditiQn to existing building
Replacement [ J Mo
Code derived daily flow b �D gp mended design loading rate _I bed, gpd$ trench, gpd/ft
Absorption area required — ti Maximum design loading rate S bed, gpd /ft - 6 trench, gpd1ft
Recommended infiltration surface elevation(s) 1 . S It (as referred to site plan benchmark)
Additional design I site considerations 'r" lo u`r-� M 1 Aj . Z a F= .S+n,jb FI LL
Parent material LoT-6S oQ`111L ouXM Ltir -ti��E Rood plain elevation, if applicable N� ft
tFln u system CONVENTIONAL MOUND IN- GROUND PRESSURE ( AT -GRADE SYSTEM IN FILL I HOLDING TANK
r s stem ❑ S 4U 0 5 17 ❑ S 0 U ID S ®U 0S ®U [IS ®U i ,
SOIL DESCRIPTION REPORT ^�2
Boring # Horizon Depth Dominant Color Mottles Texture Structure 1 Consistence 113mindary I Roots GPD /ft
in. Munsell I Qu. Sz Cont Color Gr. Sz. Sh. Bed rertdt
3 � -9 1•� � tZ 3 t z — s i 1 3`F�b1z v�.'�,- cS l<� - S < l; , f
Z 9 2J lo'-ttZ 31(� — s�►� Z�' , eg - .S -� 5
Ground 3 Zl -27 --) .S `72 3jyc sa L Lm,S b — . Z 2
elev.
sLC-1 t� F�
�1 ft
Depth to
limiting
factor
ct
Remarks:
Boring #
IQ$ Vk �Jt5 — si � Z'F�bk m�f� eS — - 5 •b . s
3 ►�ZS
Li P_ y S i�� l Ynf
Ground
elev. y zS- 10'u- 643
`3 ft
Depth to
limiting
factor
Remarks:
T Name: — Please Print Phone:
Arthur L. We erer 715 - 425 -0165 '
egerer So'1 Testing & Design Service -P.O. Box 74 River Yalls,WI.54022 '
Signature: Date: CST Number
�. �U -1a3. �j� 5-�- 20254
PROPERTY OWNER t / 30_t L--T— SOIL DESCRIPTION REPORT Page Z of 3
PARCEL LD.
Boring # [Horizon Depth Dominant Color Mottles Texture Structure GPD /ft
in. Munsell onsistence Roots
Qu. Sz. Cont. Con Color Gr. Sz. Sh. ��
Bed ITmnch
S
Z at - zL ! U `t 2 316
S) > Z�R s b►� r�-F�. �S . S ..6 . �-
Ground 3 Z6 -k(l -S `/ 31
elev. S 1 0_ z 14`FI-
tots It. 4 ol3_S Lo X 12 6l3
Imp f lip
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
f t.
Depth to
limiting
factor
Remarks:
Boring #
", A,y
Ground
elev.
It.
Depth to
limiting
factor I
Remarks:
3oring #
around
,lev.
It.
)epth to
imiling
actor
Remarks: _
•r� no•.nrt� r.r . ..
PLOT PLAN Pa -3 of
SCALE 1 "= S� '
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Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: S ystem Des ign Specifications
Sanitary Permit Number 3 Or 2
Number of Bedrooms
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd)
Septic Tank Capacity (gal) 2�0
Soil Absorption Component Size (ft 1 -
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absor tion Component
Design Flow - Peak (gpd) IUD CO z
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 1 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
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 slough off the filter when removed from its enclosure. If the
.r
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge 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 an 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.
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 the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
i
3
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer � . rr'r' - � � ac� So
Mailing Address - /'`l�yr(o o �. to w •
Property Address
(Yuificatioa rcquircd from Planning Department for new coastructioa)
City/State ,A-t -V K'/2 t l.� (,�/ . 6 Parcel Identification Number 0 qA) — O O d
LEGAL DESCRIPTXON
Property Location %, y, Sec. TIN-R, W Town of 0
Subdivision OLl1 =',P a f i DA1 r Lot
��� ��oN
C:ctfified Stzivey Map # 9 rj427) Volume . Page #
Warranty Deed # ��5 �D Page #_ `L
Spec house ❑ yes 9 no Lot lines identifiable yes ❑. no
SYS1�I•��ANG`E •
Iu�propau9eamd�y�uP��ald�mia tol,andiewastcs.
consists of pig Out .$C upde taati CVay d= Y= or sooner: if =e&d a Yi=scd ' �Pa
cam affcd&C fumti= of the , P Rlhat Y pmt.iata tine cystrm
septic :s_rti ge in the waste t4uc L
T may' owner agE= to sab-;t St: Qvac ZbdWC Dcp tt c a ccrffication foam. signed by the own= and by a
p 7 P pb b rorif=scdpampervc fymg�at(1)g�,eoa- itc�d'uposalsystcm
u in proper op=ttiag Condition and/or (2) after kvoctioa and pm piag_Ctf neassaW), the t cptiatank is icss iffian, II3 tu1l of slad,m
. 6 c uBdcakmC have rad the abvhc rcqdrcm=ts and agtuc to &c Pev scvragc disposal system witir 6c standards
stet f ortis, 6cr* is sd by the Dqm t cd of Camm=e and the Dgmd=.t of ISatcad Rcsoa cm-. State of W ==in.. OmOcahua
Y zcPtic system has boca maiafaincd arast be eomplctod and trtmmed to the SL Croix County Zoning Office within 30
days-of d= Year 'on dale,
SIGNATURE OF APP DA E do
DATE
O R. C ERII�CNITQN
I cot* that all statements on this form ate hw to the best of my (our) Imowlcdgc. I (we) am (arc) the owacr(s) of
the dcsax'bcd abo by, - of a Ws=dy dood rcoordod in Register of Deeds Office.
SIGNATURE OF APPLICANT DATE
0s0• «« Any informatioathat is rats s .as••
'wed �Y t�ult in the sanitary pcnnit being revoked by the Zoning Department
•' Iadude with (Iris application: a tbmpod wunnty dood fmm the Register of Doods oftioc
R copy of the cedifiod tutvcy map if mf=nce is made in the warranty dood
1522PAGE 445 •v
WARRANTY DEED 65569
REGISTER OF DEEDS
Document Number: ST. CROIX CO., WI
RECEIVED FOR RECORD
06 -e9 -2000 9:30 AM
Return Address: YRRRRii1Y DM
CER COPY FEE:
COPY FEE:
TRpi1SFER FEE: 255.00
RE DING FEE: 2 .00
Parcel I.D. Number (PIN): 0 -17.GG ' - 4 - D - 000
This Deed, made between C. M. Bye, individually; Dennis R. & Sandra C. Schultz
Revocable Trust, Dennis R. Schultz & Sandra C. Schultz, Trustees, both with full poser of sale or
encumbrancing, Grantor, and Darrell L. Krause & Vera J. Krause, Grantee,
Witnesseth, That the said Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County, State of Wisconsin:
Lo�Glover Station 5th Addition, in the Town of Troy, St. Croix County,
Wisconsin
This is not homestead property.
Together with all and singular the hereditaments and appurtenances thereunto belonging:
And C. M. Bye, Dennis Schultz and Sandra Schultz warrants that the title is good,
indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of
record and will warrant and defend the same.
Dated this day of June, 2000.
C. M. Bye
Dennis R. Schultz, mdividually & s trustee of
the Dennis R. and Sandra C. Schultz Revocable
Trust
�SandraC. Schul�in�iv�idually & as stee of
the Dennis R. and Sandra C. Schultz Revocable
Trust
1522 Phu 446 ACKNOWLFDGMENT
DRAFTED BY: STATE OF WISCONSIN)
ss.
C. M. Bye, Attorney at Law ST. CROIX COUNTY) T�
River Falls, Wisconsin
Personally came before me this1 day of June,
2000, the above named C. M. Bye, Dennis R. Schultz
and Sandra C. Schultz, to me known to be the persons
who executed the foregoing instrument and
acknowledge the same.
Dana Benedict
Notary Public, St. Croix County, Wis. ... Z
My commission is 8/3/03 3T'�