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HomeMy WebLinkAbout040-1269-40-000 0 N 0 I '0 n C7 i C m 3 m 3 :y m _ CD cn G7 m o 0! -i A 42 23 O a cA C p to A ..� C O • O 1 N N M C j A 7 O O O O p v O 7 W O� O ' O O 't to N Ch W O �y m O C1 N V D ° � d T W O i "..' O 0 O v CD o o 0 0 o c n r N N r 6 CL m O O O !' °Y • o 0 N C N N N p O O CD y • • y C1 N I N z z o D �_ 0 0 p b CD @ CD O N w a ;;a (n v' W CD !J c 0-0 c C - a E. o CND li N n' N ? a CD N V 3 N a O m i N N 7 O a O , a _ O (n C X CL QQ 4 CL y c o C o_ y co _0 m Q W G ` Z ° '' z m a 3 a C r: N W m 3 •• o o v N z CD �n CD W v ' v W O O ID n ID N O a C � C Z a I a (D o m O Q a W � — O N CD O N C W W O a C N O CD -"1 O N y O N CD O 0 ? c 3 y < 3 0 pm S W CS N a p y N N_ 3 a 4 O W n 3 En 3 a Zi 5 3 s - W Q CO CD a= W 0 3 N< O W N N Q 7 (n O_ H A N a 0 O ~O W CD ? 7 (n N '0 (00 p A I � w � b w O p o 0 * i r N l ° a 0. H C d � � t9 7 >3 3t .t :.. • T w <D A 0 w N y O w 0 i•y � 1C 11 r fD C3 <� IV co o 0) 0 00 N CL p 0 j y .p .b. - 0 "� O �o 'o w b 3 z D � I �-- m (o D 0 d m O 3 0 0 3 0 00 K5 x 0 z N N = 0 0 0 n w -o z OOO� o C- - 0 0 cn � n cn = fA CA CA rn .�. y Q V O G c / � _ 01 tD a v tD 7 � M � I z 0 =; 3 --4 o m O = I o < 5 o 7 CD O N 41 a N O w CD A O. 0 N w m a 0. 0 3 s 6 C z _ 0 > > p 2 CO) A o 0 aoT mom`' m N y a CD A J � w Ij 10 S w C 7 D 3 0) CL 4jso C. th w C a0 � O O. I a w w ID N 7 (D O O a A N�-010 b m 0 � 0 0 3 0. r N �m 0 ? w 7 I N O ga a 9 ti o �o w 61 O 0 f o y Wisconsti Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453104 0 (AT -TACH 1 PERMIT) ' GENERAL INFORMATION 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: Dryer, Vince I Troy Township 040 - 1269 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 8 . -0 $ D 1 - 1 - :S:�: 17.28.19.1481 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � � /O 0 D Be t� M ' l q I y 0 / -6 Dosing Alt. BM Ca 5, f Aeration Bldg. Sewer 30 3 .0 1 2 -3 6, Holding S t Inlet 3 43 q1. W TANK SETBACK INFORMATION 91Ht Outlet q• O GI TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , / , I -7 / Dt Bottom Dosing Header /Man.�� Aeration Dist. Pipe Z �.� IZ• +f � `� Holding Bot. System f 3 13 -- / PUMP /SIPHON INFORMATION Final Grade Manufacturer De Viand St ^ „ er 2 / q e J � Model Number TDH Lift Friction Loss Head Ft rQH Forcemain Lengt Dia. Dist. to Well SOIL ABSORPTION SYSTEM 3 BED /TRENCH Width Leng No. Of Trenches PIT DIMENSION No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREA LEACHING Ma urer INFORMATION Type Of System: CHAMBER 0 �•. / r > � � Model u er: DISTRIBUTION SYSTEM ( 7 Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil r Yes No I I I Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 2 Inspection #2: -L x + 31 1 Z` t Location: 313 Day Farm Rd Unknown (Unknown 17 T28N R19W) Troywood Lot 5 1 0� Parcel No: 17.28.19.1481 llll 1.) Alt BM Description = -5 cove V_ 2.) Bldg sewer length - amount of cover = �a�ed Ar' UJ6<••l.A.e Plan revision Required? Y No Use other side for addition i mation. ate e ' In etor's Signa ure '— Ce No. SBD - 6710 (R.3/97)� �/� i c� ' Z n ^ y t1�`,e�,/ y v.4-R iC Qg� + w h OC, •,�y ,� 1 C�1 C� ,�' �' �T"' 's ��� o� �5�5 °� Safety and Buildings Division County M. 201 W. Washington Ave., P.O. Box 7162 Cr isconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 2!6 3151 D, /� Sanitary Permit Application State Plan I.D. ) Number In accord with Comm 83.21, Wis_ Adm. Code, personal inrformation you provide may be used for secondary purposes Privacy Law, s15.04(l)(m) Project Addre (if different than mailing add ress) _FA �. �..._ �$ 2 lV� I. Application Information - Please Print All Information 5 Property Owner's Name J Parcel # Lot # Block # ' ^ ST. Propdly Owner's Mailing Address 1 Property Location Z S a Z (a� �-A , Section City t State Zip Code Phone �/ rw LV r 71 S- iG - -1 Z-fJ (circle o ) II. Type of Building (check all that apply) Q � S ubdivision Nam e N; Re CSM Number or 1 or 2 Family Dwelling - Number of Bedrooms r7 S Public /Commercial - Describe Use State Owried - Describe Use D /Sly C&24 (� 1 0 I ( 0 City_ Village--'T--hip of "r j 1 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. I New System Replacement System Treatment/Holding Tank Replacement Only Other Modification to Existing System B. Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POW7'S System: (Check all that apply) Non - Pressurized In- Ground Mound > 24 in. of suitable soil Mound < 24 in_ of suitable soil At -Grade Single Pass Sand Filter Constructed Wetland Pressurized In- Ground Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Recirculating Synthetic Media Filter Leaching Chambe Drip Line Gravel-less Pipe 9dig (ex ) V. DispersalMeatment Area Information: ) o S S i'ln. ✓ Design Flow (gpd) Design Soil Application jate(gpdsf) Dispersal Area Required (st) Dispersal Are oposed System Elevation fed f ?�O �, VI. Tank Info Capacity in Total NumberManuf t71-166) - Prefab Site Steel Fiber Plastic V)) Gallons Gallons of Units Concret Constructed Glass New Tank Talcs U t Tanks Septic or Holding Tank 4 00 D Aerobic Treatment Unit Dosing Chamber VII. Responsi Statement 1 , the un dersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum 's Signature MP /MPRS Number Business Phone Number too s eS 1 7 ;r) h er's Address / a & (S // P Y p • C �� ! / G l � I l i� `T VUL Cotm !De artment Use Only Approved Disapproved Sanitary Permit Fee (includes Groundwater Daje Istamps) Surcharge Fee) **�T �i /_ // Owner Given Reason for Denial OCJ!/ /2 / / c IX. Conditions of Approv easonsf or Disapproval ( 0 0 7 C � l *Z4 hV&� V4� N e a�yy�yn 3 �Z 1 Septic tank, effluen fitter and C{jj� ),yt din D�`� C dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per pplicable codelordinances. �S y Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size From RrwH WEBER CD4n -PY 21 FqX NO. -7 15 565 3P-60 113r- 15 1:13T'`1 f^. t m € $ N ` -t 1 a v3 c or so s E V dpi. �� V M � � • c OQ r 4 �0 ss C� A, I s LH 3�d r��{�±!j� L£L� ?S£z:t 48'68 66pLlstrf8 Td WdTZ:£0 170OZ OE `eW OELvst7ZSSL ON XVJ s H mo1sro R T [eft x toad 3S WoLi I FROM �t Croix Va11 Custom Hom FAX NC. :7152484730 Mar. 30 2004 03:21PM ?L + u3no- 09;04 7153814= FPAIE ;Z fir+ f r .. A 31 -jr � r w u k � is •ti : ze vase sti - -'eW cam£ s99 s04. : orr Xb A 3Z r WWW d3a3M r ZOU � J a o 0 y o _ 0 C d CL ca CD Ii 11 'C • cu co tr _ C go J0.1 U3 M CFO �• .:� - s -' .. � it O e-P • - z - jv \_ . ,__ K ` . d co co co OQ p' - - -•a •� l I � C� O CD CD rL IQ ACD p CD II w � a 0 CD - O D m v� C m OD 00 O Q 0000 ow3 "o p n► 5• m n 05 . U o N H O � Oa m O m 3 co 3 0 0 o B oa (7 rn °. p a 3 \ O 0- 'p c 0 c 0 cu \. ^- 0 o �o 0 0.m m m° ; CL v► O c ' 3 Z C7 a -. ° p 0 2 fD M 0 . . . . ........... \ z0 D m O = N -i O. .C.... � N E Q _ < C� a N m N O 1 O Car E Cl) 3 �� n0. ,O 3 V C % M ) V) O C a m Q to `< <o - aX �; a O 'Its —� z O � r Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: Project Name and System Type: Location: Street Address Legal Description Township /County Contents: Page 1: llt/ ole X 24 4r_ - Page 2: to �- q / a 1/' Page 3: C. _V e- e fr o Page 4: - r l aH S Page 5: Page 6: d (�/ i s r rr, a c, �i OG�/e� S !'01 P Page Page 8: _ s -e r t G C 1/vSS Page 9: -(► P,se r/� lZ.� SUS l - FeS Attachments: Plumber /Designer: L d Ut J o le f Signed: Credential Number: 240 q4- Date: ' Maintenance The interval for servicing septic tanks is set by state and Iocal code. Throughout the United States there is a wide ddWence of nion on what this interval should be, but most regulatory agencies two to five years. The ZabeF'" filter, which does not increase the frequency of servicing for the tank, shouIddcleaned when the septic tank is normally inspected and pumped However, our filter is virtually self - cleaning. The continued action of the anaerobic organisms on the Zabel niter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFiW alarm, you vall be notified by an alarm when the filter needs servicing. To service the filter: 'Servicing any zaW filter should ordy be done by a certified sephc tank pumper or installer. Locate the cutlet of the aepft thrdL :t Rmdy r"u..M. .. Ow .. IRetIv" the tank Of the .. and pump the *Nate A to e han any bebw giot/nd 1~ to to th Ira► Zabel for hNO "mw- 1Alilen the Whale holdng` the access ope insert the } with are to tense at S ft c pry 'Nate: His not Completeh► i . The i�01e beweltmdreOer (A' maybe Rep1aC@ .,. _ WpE NUSII The prodttat(s) shown are covered by one or inom of the following patents: U.S. 5,762,793, 5,560,453.5,591,331, 5,759,393.5,683,577, 5,562,716, 5, 779, 896 .5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 -221 - 5742 • Website httpltwww.zabef com A100000- 1- M.61490 o y . . y � � 0 ►+ a n v a O W cr l l pl p m rn C C W N H "t A (D d M N .<m.�.. m W A 9 • r p aC A x � U (D o N 5r m o r 3 �7 00 O ... co m m O O O N � :3 02 O ON . ~ `rT 0 0 �' ° O a m Q- o o N O N 0OO o o O O x (n (IQ b b co O Sw O U Cl ~ w n O O O R. G. .O p < < d A. 'C3 C) C� n A o A w m �-+ y" �" p C� O IQ a co C� C/� '� trj O ' A z D tri CO2 c6 n n =' W ro OV P �' V1 Co til cn( ( IQ O . O N O� m N Z. �. �.. W O co O• A O O C co O O M pp ps N CD O' .- � rri CC .3 o o a co o C 0 m CD cr E - = gn . 02 o ON M rn rn rn PO rn rn OO --1 co Co tA Ch v co O `3 <. X m N 6 O m p. d C C � (n m0 CD N W W W N W W W N W W W Y ra ► r co co ? QQ M 0 o cr 9Q > ID �'• cn cn v. �• A to v� w cn cn ::t;; bd : a. o P a PD CD 00 N w U U �O U .-� Vft �O �O J v W 0 O ,� , 0 co 0 CA � w o m O m in 'z z a a o o �d ..� m a' o 0 � � a <� oo Oo 00 00 00 00 00 0o z z �► �- o 0 0 0 0 0 o b y o o `. a r 1323 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Gustum Septic 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 pant IBM), direction and parcel I.D. percent slope, scale or dimemsions, north�aehr�dTo�aitiannd distance to nearest road. pending Please p f ` a�llVl��rtn>�fionr B D Personal information you provider LO6 for second purposes (Priv s. 15.04 (1) (m)). [, G{ It Property Owner r / � ..!.J `, L v Property Location { V Humbird Land Corporation =' i Govt. Lot n/a 1/4 SW 1/4 S 17 T 28 N R 19 W Property Owner's Mailing Add _.�, Lot # Block # Subd. Name or CSM# 332 Minnesota Street, East�148 3p;x 5 n/a Troy Wood Subdivision City t Zip Coda ! _j City _j Village r Town Nearest Road Saint Paul c7rv.r;c1 FFiCCEE �, / 14 .511 �51 -Z2 5b¢5 Troy E Cove Rd./ Day Farm Road New Construction Use: A 1 R ia) NN rrib4 rooms 3 Code derived design flow rate 450 GPD Replacement I Public or commercial - Describe: �- (06U 6 - PP Parent material outwash plains Flood plain elevation, if applicable n/a General comments and recommendations: Part of 1.99 acres. BM #1= 100.0'. BM #2= 89.0'. Reco system elevation 88.2'. P40 and P41 from preliminary boring work done 5 -5 -00. [ F410 Boring # -I Boring 1/ Pit Ground Surface elev. 100.3 ft. Depth to limiting factor >75 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -10 10yr3/2 none sil 2msbk mvfr as 1 f 0.5 0.8 2 10 -19 10yr4/4 none sil 2msbk mvfr cw 1 f 0.5 0.8 3 19 -30 10yr4/6 none Is 1 msbk mvfr cw - 0.7 1.2 4 30 -75 10yr5/6, 4/4 none Is 1 msbk mvfr - - 0.7 1.2 [ P41] Boring # --1 Boring l/ Pit Ground Surface elev. 92.1 ft. Depth to limiting factor > in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfN *Eff#1 *Eff#2 1 0 -10 10yr2/2 none sil 2msbk mvfr as 1f 0.5 0.8 2 10 -21 10yr3/2 none sil 2msbk mvfr cw 1f 0.5 0.8 3 21 -30 10yr3/4 none gr. sil 2msbk mvfr cw - 0.5 0.8 4 30 -52 7.5yr4/6 none gr.sl 2msbk mvfr cw - 0.5 0.9 5 52 -75 10yr5/6 none gr. Is 0 sg ml - - 03 1.2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS <0 mg/L CST Name (Please Print) Signature: CST Number Tom Gustum 227618 Adds Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St., New Auburn, WI 54757 11/15/00 715 -658 -1344 - I Property owner Humbird Land Corporation Parcel ID # pendi __________ Page _ 2 of 3 _ F Boring # I Boring - - ild Pit Ground Surface elev. _ 90.8 ft. Depth to limiting factor >72 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - _- GPD/ft _ - *Eff#1 *Eff#2 1 0 -12 1Oyr2/2 none s il 2msbk mvfr as 2f,1m 0.5 0.8 2 12 -16 1Oyr314 none sil 2msbk mvfr cw 1f 0.5 0.8 3 16 -21 7.5yr4/4 none gr.ls 01 lmsbk mvfr cw - 0.7 1.2 4 21 -31 7.5yr4/6 none als�1�7 mvfr cw - 0.7 1.2 5 31 -57 1Oyr5 /6 none s 0 sg ml cw - 0.7 1.2 6 57 -72 1Oyr5/4 none s .0 sg ml - - 0.7 1.2 2 ] Bo in # Bones _ td Pit Ground Surface elev. - Depth to limiting factor _ >72 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe *Eff#1 'Eff#2 1 0 -16 1Oyr2/2 n one sil 2msbk mvfr as 2f 0.5 0.8 2 16 -2 1Oyr4/4 none sil 2msbk mvfr cw 1f 0.5 0.8 3 24 -30 7.5yr4/6 none gr.sl 2msbk mvfr cw - 0.5 0.9 4 3049 1Oyr4/6 none s Osg ml cw - 0.7 1.2 5 49 -72 1Oyr5/6 n one s 0 sg ml - - 0.7 1.2 F $ Boring # -� Boring II ' Pit Ground Surface elev. _ _ _..91,3 ft. Depth to limiting factor >75 in. Ad >7 in. -- Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfp *Eff#1 'Eff#2 1 0 -14 1Oyr2/2 none sil 2msbk mvfr as 2f 0.5 0.8 2 14 -27 10yr4 /4 none gr. sil 2msbk mvfr cw if 0.5 0.8 3 27 -34 7.5yr4/4 none gr.sl 2msbk mvfr cw - 0.5 0.9 4 34 -53 7.5yr4/6 none gr.Is lmsbk mvfr cw - 0.7 1.2 5 53 -75 1 Oyr5 /4 none Is 1 msbk mvfr - - 0.7 1.2 • Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD -i mg/L and TSS <30 mg/L The Depamnent of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. I�. ,. o LL- cn as b © C/ so )o a 3 �® M O '4- ar VJ 7 �L Q d m ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 5 A-Cf%b 1 :e Mailing Address I � 1 Z f ` 5A Property Address 3/ 3 � r h 1 ��+ ✓ r- f �� i �/� t (Verification required from Planning Department for new construction) City/State Try � tt),--,N spa fi, v c rbA& Parcel Identification Number � LEGAL DESCRIPTION Property Location %4, sl. /4, Sec. _ / . T Zy N -R L W, Town of Tr Subdivision _Ir w Lot # � . Certified Survey Map # , Volume . ,Page # Warranty Deed # 7 S - S A - 7 G Volume Z 5 - 3 J , Page # 7 �� Spec house yes ❑ no Lot lines identifiable Dyes ❑ 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 mastcrplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system 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. Uwe, 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 "fhm 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE 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 p rty described above, by virtue of a warranty deed recorded in Register of Deeds Office. / N/ SIGNATURE OF 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 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner S?'. Septic Tank Capacity QO gal ❑ NA t e tic Tank Manufacturer p NA Permit # S � DESIGN PARAMET RS Effluent Filter Manufacturer G w El NA Number of Bedrooms 100 d/bedroom 3 El NA Effluent Filter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity gal JC NA Estimated flow (average)* (f gal Pump Tank Manufacturer NA Design flow (peak), estimated x 1.5* g al /day Pum Manufacturer NA Soil Application Rate * ft- Pum NA Model ,1X Pretreatment Unit [ANA Influent/Effluent Quality (NA❑) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg /L p Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD5) Disinfection [7 Other: Total Suspended Solids TSS) 220 mg /L ❑ P ( Manufacturer: Model: _< 150 m"I Dispersal Cell(s) Pretreated Effluent Quality ❑ Monthly Average * ** In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BOD < 30 mg /L ❑ At -grade ❑ Mound Total Suspended Solids (TSS) 30 mg /L p Drip-line ❑ Other: Fecal Coliform (geometric mean) _ <10 cfu /I00ml pq Leaching Chamber Mayfacturer Maximum Effluen Particle Size 1/8 inch diameter Model Laying Length /Chamber *Wastewater Flow Verification and Calculations: Soil Application Rate gpd/ft Area Req. O ft (Other than bedroom based) Infiltrative Surface /Chamber -ESIA Ratin 3 /• ! ft2 Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= ft min ** Values typical for domestic (non- commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA p "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD — 10570 —P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" SBD — 10567 —P (R.6/99) "In Ground Absorption Component Manual" ❑ SBD — 10705 -P (N.O I!01) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual" - ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 —P (R.6/99) "Mound Component Manual" ❑ SBD - 10691 —P (N.01 /01) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 —P (R.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 —P (R.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 —P (R 6/99) "Pressure Distribution Component Manual" p SBD - 10706 —P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once every ❑ months ear(s) (Maximum 3 s.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every EI months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months jK year(s) Insp pump, pump controls & alarm At least once every ❑ months ❑ ear(s) NA Flush laterals and pressure test At least once every ❑ months ❑ ear(s) Z NA Valves At least once every ❑ months ❑ ear(s) X NA Other: At least once every ❑ months ❑ ear(s) JID NA Page of START UP 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. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: ❑ Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved. until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or lea:..,- measure the volume of combined sludge and scum and to check for any backup or por.�iing of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) 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 NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ❑ Pump Chamber /Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of. *In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page Z of- ❑ Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75 % of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. 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 other 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: IX 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 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. r A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a I r\� J I olding tank may b taped as st resort to replace the fail OWTS. h sit has not b n ev uate o id tify a s ita a repla en t ar p 1 failure of the POWTS a s aluation st be rfo ed to loca a suitable cement . 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 CONTIAN 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 ;it xr1V' O1 S' Name G✓ ?.rr �� � C4✓ Phone '713 723— /$ Phone 7/ 5— 7 2- . _ ? — j SEPTAGE SERVICING OPERATOR (Pum er LOCAL REGULATORY AUTHORITY Name Agency ST C 61 U I Ij Phone Phone - 1 IS - �) (p — KAWPDATA \EH\POWTS OWNER'S MANUAL.doc Page 3 of 3 U 2538P `{8 7S8iZ76 /1 STATE BAR OF W [SCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., MI Document Number RECEIVED FOR RECORD This Deed, made between Day Farm Investors, LL C, a Minnes Limited i I ty omp - 03/31/2004 12:15PH WARRANTY DEED _ EXEMPT # Gran or, and St. Croix Valley Custom Homes, LLC REC FEE: 11.00 TRANS FEE: 239.70 COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recording Area Name and Return Address Lot 5 Troy Wood, Town of Troy, St. Croix County, Wisconsin 040- 1269 - 40-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) I Exceptions to warranties: Subject to notes, easements ,restrictions,covenants and rights of way of record, if any, including but not limited to those for drainage,water retention ponding,and or utilities as may be shown on the plat of Troy Wood recorded in Vol. 8 of Plats, page 28,St. Croix County, Wisconsin.The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to an amount not to exceed the consideration expressed herein, that being the sum of $79,900.00. Dated this 24th day of March 2004 Day Farm Investors, LLC - - ---� --- - - - - -- by President — * Austin J. Baillon AUTHENTICATION ACKNOWLEDGMENT STATE. OF WISCONSIN ) ) SS. Signature(s) Ramsey _ County. ) —_ — Personally came before me this 2 4th day of authenticated this day of_ March 1 2004 the above named Austin J. Bai TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, _ instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) ■ ■ THIS INSTRUMENT WAS DRAFTED BY * — 5 Paul A Baillon, Attorney at Law w Paul A. Baill NOTARY PUBL -MINNE9oTA Notary Public, State of Wi (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. f not, state explra necessary.) January 31 20 ) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE RAR OF WISCONSIN NORM No. 2 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DO LAC, WI 800-655-2021 Monica Lucht Subject: #453104 Joles / Dryer Location: T of Troy, Troywood, Lot 5 Start: Tue 8/31/2004 12:00 PM End: Tue 8/31/2004 1:00 PM Recurrence: (none) 040 - 1269 -40 -000 17.28.19.1481 Pam am already was out there once. I I i i l \ � 1 i rV