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Home My WebLink About040-1275-30-000 ST CROIX C & A IL UNTY w rw- PLANNING &. ZONING Thursday, April 20, 2006 Terrance L. & Katherine A. Bescup 519 West Ridge Circle Hudson, WI 54016 Co deAdminstrar;. Regarding septic inspection for Terrance L. & Katherine A. Bescup. 715 -386 -4680 - -- - - - .- _ - -- - - - - -- -, Location of Propert in St. Croix County: Land Information Punning Municipality: Troy, Town of 715 - 386 - 4674 Subdivision or Plat: West Ridge Acres Real P Certified Survey Map: rorty 715.:4 -4677 Lot: 3 Address: 519 West Ridge Circle Recycling 715- 386 -4675 - -- - _ - - - Dear Applicant: A septic inspection of the above reference property was conducted on October 30,2002. This property is located in the NW 114 NW 1/4 of Section 21, T28N R19W, West Ridge Acres (Lot 3 ), Troy, Town of, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 4 bedroom home. i 715.386.4680. regarding this off at If you have an questions e Y Y 9 9 .leas e contact our off p Sincerely, Pam Quinn Zoning Specialist cc: file .......... .......... ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON W/ 54016 715386 - 4686 FAX P?C'CO.SAhVT-CRO1X.W/.US �Mh'4V.C. ^..SAItiT R Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420379 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Bescu , Terrance L. & Katherine A. I Troy Township 040 - 1275 - 30-000 CST BM Elev: Insp. BM Elev: BM Description: o b I/ 3 ` Pvc, TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 10S Septic Benchmark IQ 6.D Dosing L do Q Alt BM 1 Aeration Bldg. Sewer /067 Holding St/Ht Inlet ` n d rj TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / 20 20 Dt Bottom / Dosing 3 Z/ rrr Header /Man. Aeration Dist. Pipe tpl r O\ l dt; .3 '"" Holding Bot. System - 1074 6,-,S /O47 ✓ Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover -Z 1,925,0 Model GPM Model Number TDH Lift Friction L ss System Head J TDH Ft 1 7 I L ,3 � -j c� I $ Irv] - �, Ld /0, I 11(.lu g0 4 Forcemain Len gt ® Dia. Dist. to Well _ SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches I PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM C154CHIDIIG Manufacturer: INFORMATION CHA R T pet Of System: I n D N + /� Model Num . _ ><- �= DISTRIBUTIO SYSTEM (/� / p, Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Dia Lengt Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Syste my Depth Over TBedp Over xx Depth of xx Se ed /Sodded xx Mulched Bedlrrench Center rench Edges Topsoil All Yes ❑ No Yes Le. No COMMENTS: (Include code discrepencies, persons present, etc.) Inspec'on #1 j 0 �� / ,� p' / Location: 519 West Ridge Circle Hudson, WI 54016 (NW 1/4 NW 1/4 2 T28N R10WeRt'Rilge Ar l4ot Parcel No: 21.28.19.1529 AtZA 1.) Alt BM Description = Waif I -I'vp ofQ VA � �' s � It ' 2.) Bldg sewer length= 20 Tfl° ab�l.� w� ��tae� si dr) ✓��t. 4 - amount of cover Sa- 3.) Contour c kii Iri n Plan revision Required? d Yes 'l No O2 Use other side for ad o itional information. Date Insep 's Signature eft. No. SBD -6710 (R.3/97) Safety and Buildings Division County t. 201 W. Washington Ave., P.O. Box 7162 ST CROIX ' onsi Madison, WI 53707 - 7162 Site Address �scn �� s 0&W .e_ � . � Department of Commerce 9 � s � . K ° e Number Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code, personal information you pr ide �f Check if vision ,) o 3" 7 / ma be used for second ses Privac Law, s15. 1 m I. Application Information - Please Print All Information lan I. P. Number S ITE ID# 646338 RAN ID# 758103 U Num r Property Owner's Name -.. TERRY &KATHY BESCUP Property Owner's Mailing Address Property Location ey 649 OAKWOOD ROAD NW A NW A S 21 T 28 N R 19W a/ City, State Zip Code Phone Number Lot Number Block Number WOODBURY MN 55125 Subdivision Name CSM Number Sr .f adYe. pe tr.QS II. Type of Building (check all that apply) �/ ❑City M 1 or 2 Family Dwelling - Number of Bedrooms 4 []Village ❑ Public/Commercial - Describe Use MTo TROY El state Owned / -/ � ,,1d CUn'h� / Nearest Road an d 'C-41 loci ��S WEST RIDGE CIRCLE III. Type of Permit: (Check only one box on line A (numbering schem or internal use). Complete line B if applicable) A. For County use 1 =PmtitPrevious1y 3 ❑ Replacement of [ ;6 ❑ Addition to S steTank Only Existing S stem Pe Date B. (� C sued 408266 08 -01 -2002 IV. Type of Permit. ( Check all that apply)(num e eme is for internal use) 44 1) Non - Pressurized In- Ground 21® Mound 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 ersaMeatment 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./Inch) Elevation 600 600 600 1 N/A 104.75 t' 106.55 t/ VI. Tank Info Capacity in Total Number Manuf a7rer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks �G}'�� Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1200 1200 1 WIESER CONCRETE X Dosing Chamber 800 2O1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI be 's Signature MP/MPRS Number Business Phone Number BENNIE HELGESON 292 1 715/772-3278 Plumber's Address (Street, City, State, ode) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. Qoumm /De artment Use Onl Sanitary Permit Fee (includes Groundwater Da Issued Is ing nt Signature (No Stamps) ppr ved 11 Disa pproved Surcharge Fee) ❑ Owner Given Initial Adverse L�Lf- Determination < IX. Conditions of Approval/Reasons for Disapproval OV Attach complete plans (to the County only) for the system on paper not lest than 8112 s 11 inches In the ::: SBD -6398 (R. 05101) PLOT PLAN ,.. 1 "= q p 'Page 3 of 7 CPtDJ 5 `b S' 0 i= b o rvoT e.�1�P'PstT U lZ 0 o G ZkPVC F:�t v�S��3 �g �Wi � 0 U tol y� r , as C , toy � ,, E - a o-c - co� MR-1 �h 0 Let 3 LET 2 s csE -- x OO O II, s �mo� Ripb� N� ✓� mi l -= �1- ?off : �o?�- g'� N_ -- - 0 tZa �uNG occu¢ LOT NOTES: ^ 1. Elevations shown are existing ground elevations unless otherwise 2• Install 4" observation rwise noted. 3. Septic tank bs be ti p with approved caps. ( Z required) _ 100 gallon capacity manufactured by I.`J Ct>J C� T"E w/ R —L80o 7. A- , b 4 • Bench mark s = tz. �� . � v Vt �. Divert surface water around system to prevent pondin at g the uphill side. Wisconsin Department of Commerc PRIVATE SEWAGE SYSTEM County: St. Croix ' Safety and Building Division ' ' INSPECTION REPORT Sanitary Permit No: 26 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Bescu , Terrance L. & Katherine A. I Troy Township 040- 1275 - 30-000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer 19. Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Q Dt Bottom as Dosing i Header /Man. 32 Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist, to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size I 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 I x — x Depth of xx Seeded /Sodded xx Mulched Depth Over Center Bed/Trench Edges Topsoil [] Yes [W No Yes ❑ No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 519 West Ridge Circle Hudson, WI 54016 (NW 114 NW 1/4 21 T28N R19W) West Ridge Acres Lot 3 Parcel No: 21.28.19.1529 1.) Alt BM Description = 2.) Bldg sewer length = 201 - amount of cover = 3 3.) Contour = Plan revision Required? x Yes i �, � No � Use other side for additional information. L SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. J Safety and Buildings Division County 201 W. Washington Ave.. P.O. Box 7162 - Qj L F-X VIs4 ; ;n, sin Madison, WI 53707 - 7162 Site Address ` 1 Oe artnlent of Commerce g Z 3-5Y3 w � � \ 9— Sanitary Permit plication Sanitar Number In accord wilh Comm 83.21. W personal � is. Adm. Code. information you provide �.� -�(O ❑Check if Revision my be used for secontlary purposes Privacy Law, si5. 1 m I. Application Information - Please Print All Information State Plan I.D. Number. A ` Property Owner's Name Parcel Number Wfo — 12 —30— 000 �, - L-- .\,- `— - \ S a Property Owners Mailing Address Prdpupf Location '� jjjL '4: S T N. R City, State Zip Code Phone Number 2oO Lot Number Block Number Subdivision Name SM Number II. Type of Building (check all that app1Y) ZEN ❑City 1 or 2 Family Dwelling - Number of Bedrooms ^ h L&ivage ❑ Public/Co /r►cial Use \O ` &ovens C� ❑ State 'O `y ' ri / l/ N st Road tx � t I � p N mO• c� u C III. Type of Permit: (Check only one box dh line A (numbering scheme for internal use). Complete line B if app licab ) A. 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem I I Tank Only Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued W. Type of Permit: (Check all that app(ntrmbering scheme is for internal use) 44 C1 Non -Pressurized In- Ground 21 Mound 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. D' tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Pue(Gals./Days/Sq.FL) (Min./Ineh) Elevation ® /� t /66, `� 7 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed I Glass New Existing Tanks Tanks Septic or Holding Tank -z� Do=in °w Cyr VII. Responsibility Statement - 1, the underfed, assume responsibility for installation of the POWTS shown on the attached plans. Pl is Name (Priit) I Plum is Signa MP/M799PNumber Business Phone Number �� -Sty/ 7 3 e (Yw Phimbe Address (Street, City, State. Zip e) C "i �� t ( VIII. county/Department Use Onl Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fec). ❑ Owner Given Initial Adverse �� ' Determination IX. Conditions of Approval/Reasons for Disapproval 00 pW Ana& emnAfte plan. (to the Coma 00W [nee the m an pa not teas ttan ala : 11 Incha In dze SBD -6398 (R. 05101) ST CROIX COUNTY SEPTIC TANK MAINTENANCE, AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer at C Mailing Address to CA! �� Q �L \ ) 0 t�) a 4� c c� �� c U�� " V\ m Property Address (Verification required from Planning epartment for new construction) City/State h�y (.R Parcel Identification Number LEGAL DESCRIPTION Property Location 1 /4, MW '/4, Sec. T'�,W_N -R_\�_W, Town of -- 1 - Subdivision �� CS Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 1..a1 21 05 , Volume Page # Sp ec Y house ❑ es K no Lot lines identifiable "yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance c tank eve three ears or sooner, if needed b consists .f pumping out fire septic every y Y 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 lumber, journeyman lumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system master p ,) Y� P 'o in if necessary), the is in proper operates condition and/or (2) aver inspection and pumping ( s�5') septic tank is less than 113 full of sludge. Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year e, iration date. , SIGNATURE Or APPLICANT DATE OWNER CERTIFICATION I we certify that all sta tements on this form true to the best of my (our) knowledge. I (we) am (are) the owner( s ) of the property described above, by virtue of a warren eed recorded in Register of Deeds Office. c ` /&ajaB SIGNATURE OF APPLICANT DATE « « « « «« Any P Y information that is mis -re resented 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 �> Safety and Buildings 4003 N KINNEY COULEE RD Rc LACROSSE WI 54601 -1831 Vi sconsin � p , TDD #: (608) 264 -8777 ww V � vc . o Department of Commerce [Z OA11" l�l � www wis wisco i n.gov Z002 Scott McCallum, Governor �� C Philip Edw. Albert, Secretary June 20, 2002 CUST ID No.267341 AT77V: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 'I CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2004 Identification Numbers Transaction ID No. 758103 SITE: Site ID No. 646338 Terry & Kathy Bescut Please refer to both identification numbers, West Ridge Circle L above, in all correspondence with the ag Town of Troy St Croix County NW 1/4, NW 1/4, S21, T28N, RI 9W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 856708 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: General Approval Conditions: • 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). • 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. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52 1 a - The owner of a POWTS shall be responsible for ensuring that the operation and OO P maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. P.O.W.T.S. Conditionally ARTHUR L WEGERER Page 2 6/20/02 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WSMARTcode: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page of `l MOUND SYSTEM FOR A 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 C2. b /gq) C1Z. 6199) LOCATED IN THE IVW 1/4 OF THE N W 1/4 OF SECTION Z 1 , T Z8 N, R lq W, TOWN OF ST C1?U lX COUNTY, WISCONSIN. W EST TZLD G E tl "e INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN` PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE A 4A PREPARED FOR 9 ��C` � �►,q o>� r�wc�o� 1zo� O� PREPARED BY WECCEF::ZEFZ SOS L . TEST 31 NG AND. DES = Get SERV I CE P.O. Box 74 421 IT.Main St. � River Falls, WI 54022 co Phone 715- 425- 0165 Fax 715- 425 -6864 S ,, WEGEREa D-915 P ELLSWORTH . wrs •ye �S I VI ArrKuvtU s DEPARTMENT OF COMMERCE DIVISION OF SAFETY AND BUILDINGS SEE CORRES DENC E �� JOB NO l( Mound System Management Plan page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Sectic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th o et filter s all be cleaned as necessary to ensure proper opera ion. The filter cartridge should not be removed unless pr ns are made to retain solids m t e ank that may s oug o the filter when removed from its enclosure. If the 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 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, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S stem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the 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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6199)] 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. Continoencv 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 component shall 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at -- I V3 — - L- �8o Sr'- �Vx The system installer at '][S —Z, -1 3_ LNVy. �1t�SO J The tank manufacturer at �ou - 3ZS- $ w I l The effluent filter manufacturer at yu S - 7q Z►°�i3 The pump manufacturer at t iL h'1 LJazS PLOT PLAN � Scale 1"= q p ' - Page 3 of 7 woo _D Er — 6tiZl�SS � \b3` OC bo YvoT ��^^apr�T �1Z o` C, Z'�PVC. F =�"t• v \_��v�Z.l3 Tri"�5 �� vP , Zq t ! toy 01" oa -c-co� � l0 4,.Z S V. • - IJ 7 z S rte I x O I O • S -- t O71. S N e�\ I3Y1rFZ 1 6.8' to" t - F 50' P_LOI l`^.OUM> FnJD > ZS FRc1J�i l i'c 0 L.OT NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required) . 3. Septic tank to be \ Zgop gallon capacity manufactured by w l 'EE_Z ) Z\z Cry Gam. w / R - L80o Fi L -rtFZ 4. Bench marks : S pR3(,� \1(E �. Divert surface water around system to prevent ponding at the uphill side. Page L Or" 1 Approve— synthetic Covering - AST. C33 Distribution Pipe Medium Sand IG Topsoil - -- F Elev. I S 3 E b 7 . % Slope Distribution Cell of Force Main Plowed Z" to 2 Aggregate From Pump Layer U -�S D Fz. E \ - 3 8 Ft. CROSS SECTION OF A MOUND SYSTEM F p,$ Ft. G 0 - S Ft. A 9 Ft. F, 1.O Ft. Linear Loading Rate = 8•qS GPD /LN FT 8 67 Ft. Design Loading Rate= o.3 /SQ FT j Ft. J Ft. K Ft. n L T)S Ft. W ZC) Ft. . L � T - Observation Pipe? $ = K __ _ I A o4-- $ - - -- --- - - - - -- -------- - - - - -- - - - -- F_ b_ Force Main Distribution Cell of z z to 2 Pipe Q I a�greg ate Observation Pipe (Anchor securely) - PLATT VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page of `? 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 tumor 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,:thrreaded cap or . threaded plug. Provide access from final grade for the valve, threaded can or threaded plug. I 7N) C_ FuC Lateral Manifold C Lateral x x x x x2 x2 x x x x Lateral Length — Lateral Length — p Distribution Line P - r�C sflX __ S PVC F ftq i o— — GQ P 3 3 Ft. Hole Diameter '4 Inch 5 3 Ft. Lateral n I Inches) X _Inches Manifold z Inches Force Main " Inches # of holes /pipe 1`1 Invert Elevation of- Laterals IDS -Z SFt. - -- .._ - Combination Septic; and PUMP CHAMBER CRO55 SECTION AMD SPECIFICATIOAIS ' PAGE 6 OF 7. NEWT CAP WEATHER PROOF JUIXTIOW BOX . 'i VEMT PIPE APPROVED LOCKIMG 1 10' FROM DOOR, MA3JHOLE COVER AJIV - iluoow OR FRESH wARNIt1G LABEL . 1 +� 3 P�CT10�J PIPE ALIIJTAKE cor�Du�r W /PrtVz:n wr Z' R Q ` t FIRJis� i G ZPVo I 18' Ml1J. I8'MIrJ. _ — WLET PROVIDE I -- TAiRTIGNT SEAL I I • / : ", i Approved / Z�- �� I Ii f Approved ( joint w/ F� -1.1600 I III joint . w/ PVC pipe ALARM PVC pipe a • I II I I f i ou C I CLCY. FT. �j' I PUMP OFF 0 COUCRETE ZCV u L• O O I BLOCK - RISER EXIT PERMI7fED O►JLy IF TAIJ MAIJUFACTURER HAS SUCH APPROVAL 3 "AAPRo.tD �BFODI SEPTIC f 5PECIFICATI0&JS DOSE TAWKS MAWUFACTUKCR: � IZSEZ CO► QZC QUMBER OF DOSES: Q � PER DAw TAIJK FAZE: � -U13 B 00 GALLO►J DOSE VOLUME z ALARM MAIJUFACTURER: - LO S�STY MICLUDIMG 5ACKfLDW: SS -, GALtONc, MODEL DUMBER: 1 0� "t�'J CAPACITIES: Ac l IMCHE5OR LI00- 3 GALLOIJ., SWITCH TtIPC: — L Fz L 5 = Z IAICHES'OR L1 S4LLOUS PUMP f,AMUFACTURCK: M �"ti L1� C: - ILICHES OR 1 5S •� GALLOUS MODEL DUMBER.: SO r D= � INCHES OR � Z GALLOIJS SWITCH TYPE: LS`2Ct) -/ MOTE: PUriP AUD ALARM ARE To BE MIUIMUM DISCKARGE RATE y I' 8Z GpM INSTALLED OA1 SEPARATC CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AIJO..DISTR►BUTIOQ PIPE.. FEET _ + MIUIMUM METWORK SUPPLY PRESSURE , ; , -L-s-Q FLET (S. ox l- 3 ) + 16 S FEET OF FORCE MAIN X 3'_59 10 0 FACTOR_. � - FEET TOTAL Oy1JAMIC HEAD = - FEET As per manufacturer gal /in. Liquid depth 3 b Lt I of - 7 ME Series M 1/3 through 1 -1/2 HP Effluent Pumps Performance Curve CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 400 450 100 90 26 80 ME 24 co 70 ` W F M W - /p� 20 2 60 Z Z w So MS S i s w z 2 J 40. $� 12 O O I- 30 Z�•q 13 20 MF33 10 1 4CE; 2 4 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 CAPACITY GALLONS PER MINUTE • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3327 8/92 Printed in U.S.A. Wisconsin SOIL AND SITE EVALUATION REPORT Page! of 3 Labor Human Relations oiyi of safety s Buildngs in accord with ILHR 83.05, Wis. Adm. Code s COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST_ C?� not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # S�fl�Upt iv6 dimensioned, north arrow, and location and distance to est road APPLICANT INFORMATION- PLEASE PRI . ALL'INF'ORMATION ' , IEWEDBY DATE k LA- PROPERTY OWNER: - PROPERTY LOCATION t GOVT -WT 1/4 NW 1/4,S Z 1 T 18 ,N,R 1 E (oe W PROPERTY OWNER':S MAILING ADDRESS • LOT # BLOCK # SE OR CSM # _ o � sb P CITY, STATE ZIP CODE PHONE NZ v4. A []CITY ❑VILLAGE MOWN ' NEAREST OAD �1 u�]z -ELLS , c, S�tz.(bl z) 4 � r Tao �wp K New Construction Use Residential / Nunabec of hedMbms 4/ [ ] Addition to existing building j ] Replacement [ ] Public or commercial dft6ibiL.. Code derived daily flow gpd << Recommended design loading rate bed, gpd$ - trench, gpd/ft Absorption area required S 0•D bed, ft trench, ft - Ma)dmum design loading rate , S bed, gpd$ • 6 trench, gpd/ft Recommended infiltration surface elevation(s) k O S .O ft (as referred to site plan benchmark) Additional design/ site considerations Mpu)� k,18'xb3 g� , K IQLMuwt I2," OF S--ft� Fiu. Parent material 1-n LAS ou\ - VZ. 6Ll'q'a rlt, tL Flood plain elevation, if applicable 1') r-- It I S = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem 1:1 S I1 U 9S ❑ U [IS O U [Is RU ❑ S RU I [IS I7 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell I Qu. Sz. Cont Color I I Gr. Sz. Sh. I Consistence Bandary I Roots KK .. Bed mach o L 1 ��-L Q- L z 5l Z� Sb S .f, elev. 3 2� -yS 5v2 31y -1'-s e1 �s �,� ; • Z ,3 �- vo -s ft. Depth to to limiting factor Remarks: Boring # 0 - lZ Z- '- 3 23-32 7.S`�R3 /fir - S� Ground b 1n2`�1- e ►„ — -� . S \o fL 313 �.s �� s i� �, leSbk M-. I Depth to limiting factor 3 Z" Remarks: T Name.— Please Print Phone: V Arthur L. We erer 715 - 425 -0165 egerer Soil 'Besting & Design Service -P.O. Box 74 River Yalls,WI. 54022 Signature: Date: CST Number. 00- 11�, - S- S--OLI 220254 PROPERTYOWNER SOIL DESCRIPTION REPORT Page Zof ; 3 PARCEL I.D. 4 _ ) N6 Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Consistence Bour>dary Roots .�< Gr. Sz. Sh. Bed T o -9 Lb cl V_ 3l i rend, z 3�.�. s� 1 Z`F'sbk Ground ti(, �7 •S`tR- 3�� S 1 �-sbk elev. Cl Y1'1'F1- Ck) 's Voz.1 Sr -9S ► o -M SlZ , S Lit?_ S18 C 1 a`F ►� -2 — Depth to limiting factor Remarks: Boring # Ground elev. it. Depth to — limiting factor Remarks: Boring # Ground elev. It. Depth to limiting factor Remarks: 3oring # okai:'2 ?$ around ;lev. It. )epth to imiting actor Remarks: _ •r\ n•e•rnrf ..r •. r. �J " PLOT PLAN Page 3 of 3 SCALE 1 "= Lttj' ►F ETI. � q- - 1 Qiv °I�� ON -1 " - P � .PU0- 7) 1pe \PIPE k1 /Lopr -'W Yvp Ozv f-T bit INM h,155i j fit f �1 -WZ3 SS' It 31 B: Z lrL - J L � s t�E x G 0 G s � 5 NG �0 0 r2o�uuG w��rn�y,.� oa.�uE 001.18 —3 - - q zzals S �$—OO y (715 ) 425 -m65 CST Signature Date Signed Telephone No. CST ## loop— �►1 1881P 187 STATE BAR OF WISCONSIN FORM 2 -1999 r-=. 7 7 1Z Ts WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., MI This Deed, made between E. W. Homes, Inc., a Wisco nsin RECEIVED FOR RECORD o Corpo —• —ti 05 -01 -2002 9:40 AN - -- - - -- WARRANTY DEED Grantor, and Terr L. Bescup and Katherine A. Bescup — EXEMPT # REC FEE: 11.00 TRANS FEE: 435.00 COPY FEE: Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the PAGES: I following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area D Namean est Ridge Acres, To wn of Troy, St. Croix County, Wisconsin. d Rct% OGLAND e. ATTORNEY AT LAW P.O. BOX 359 HUDSON, WI 54016 Pt of 040.1083 -5 Parcel Identification Number (PIN) This is not homestead property. — Qt) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _day of April 2002 E. W. H mes, Inc. + + By, Mark B. Sell rdent AUTHENTICATION ACKNOWLEDGMENT Signature(s) E. W. Homes, Inc., a Wisconsin Corporation, by STATE OF WISCONSIN ) Mark B. Sya, President, ) ss. _ County ) 7 / th' day of April 2002 Personally came before me this _ _ day of the above named a Kristina O land - -' -- - -- -'- TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not' instrument and acknowledged the same. authorized by § 706.06, Wis. Scats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin& Oglan Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 1_1 I.. _.— ) • Names of persons signing in any capacity must be typed or printed below their signature. aiormsoon Prora+ionals Company, row w tsc. +N WARRANTY DEED STATE BAR OF WISCONSIN 11001565 -per FORM No. 2 -1999 IN PART OF THE szaao ; WISCONSIN; 9 ,►'�'°'°°"°' l` E 1157. oc vb.l s • rnwl.tw• � � rateatprlPw aeiwaa�M . t l/L IOIIIa[MIObI �'p C O llt/a1NMIOOt�IKOM & � trot /n Trw +aN I6 f a SMIN r N6Rrmw I I I rlacNaVlrmomlY�r p sm4r4 w ar"Irw g MYOIam*= LOOATION mm N0e2T231M >r ntatllaw�aal�lotla� Nse2rn W 00 a Straeuw aartrlrE O r swso" mala0Pw -- --- l:aottatmtrarr f N4p3t00w NOTJYarE r NaN -jPME NlMWE nrertssrl< stov2asE r Sa0'4MC MOnFIVE SCALE IN PEST 1 a 100 > 309'171TE 354Y173E 6 p Saf2rM 57443"= 0 100 an strseaE st1r00sPE r Ammo. m Nrrso" cm tlllweraaa cEnllFla►TE l Dorot d ZM*w Raddtad 1MYawa1 Wd Suvwrv, htraby awwY till N Y awryll wbt VAN ow SECTION21.T� $ 9' .r dChMW233dtrwUmrltilaraaww wau0*AonapMbddlatTamatTmyrardeL Cmk CouwanduMwtr Ora GIEWrlwnts, tm Ich anW14nMPKI ■m"a&* d W4 woo REpt Ai= fw such ow mm hwdwrYMwardOatWnlr and h ata>alllon d tM twd mvaya0; wd tlwt es pld d taotlld N pwl d b NW W dMNYttKpwt d mt WNW at ft MM14 rtl In pan at b SE1M d tr MM/4 d SNOW 21. T2b RM. Tared Tloyr.It CM& Oft**. wNOplltt awbaap pot d Lat 1 d Cwtt w &AW mapwm . lmVbaallt4. vw ll5Ta1 tit St. dolt Courpr Rt. of Daadt Oaoa, maawlrrp aAt mwa chard wd , - ."tome So illg dtrNatrMltcwwrd 4M Saakn21 :Ermal4tt'49'444ddgbtmm6MdbIlaI Ourr 41500 NM b to w4at w d Ctdad Sravp Nap ooadtd h Vater l pa0a I w db GL Owk Oa ft Psom of ONO dkm trlot mum". alone Mowed InL owil beta Maot•w - a m w W TI dOwOY SmWMtpnym InVattntl2Papt341 6MWdaftKtrballr'001YE*Mft" DOUOLASJ.2A wd meow cwww&r."MM&awlelMCtA CO32l'190?E7"bt /drlOiSpIRJOS MM SM LANDSLMP NaR tuna NAt'IPlOE 340271 M1otrawawtrdld2d a ad CnlOWStw*U*mw*d*%VMm 4. Pop thw1at82SSBt9Eattg .1210.101a loVwEulwatQwW*dalald 2M NIAE IM Sactorr 21 :lw=GW4S49W.WwQmd EsFVNw Ouwlww.lealo d1abemima dOd suffm 101 MUDSO0I.WIM Cwmde uvy wpwraeahvduna4 .Ppa3Mat4Woftl.ft NPlWb al w.sbV [roL ML04 Nat: trrlta Na`OM42W, crop tea nom w d aaN let 5.540.fT Nd1t bwtr bd Namwed 0uwW d Wd SaoAon 21ahrra N00�OS13'E +IOnp rdwad w,1r�10btbTtpeM d PIIDDAASD POID blpttor0 111 D tdp,r �ftd �C J9dwrua._ 23 MARK SVLLA 111a DIVISION s &n_ � MUMM Tm Ir11e1 PA LLS. N Oaglta No. 2145 MUM * • ` ll ' as � # -- CMINNOCK CK Ldp— m ---------- - - ----- m — \ \ E 340201 1'ES4i1.ZT - - - - -- 6w80.61.QIL 49 \ I 8HMT 1 OF = sHMM ic x- Safety and Buildings 4 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 erc N - Visconsin www w ww.commerce.state.wi.us/sb ons .wisonsin.gov Department of Commerce S ATTN.- Scott McCallum, Governor Philip Edw. Albert, Secretary June 20, 2002 CRUX C OUST ID No.267341 POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2004 Identification Numbers Transaction ID No. 758103 SITE: Site ID No. 646338 Terry & Kathy Bescut Please refer to both identification numbers, West Ridge Circle above, in all correspondence with the agency.; Town of Troy St Croix County NW1 /4, NW1 /4, S21, T28N, R19W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 856708 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: General Approval Conditions: • 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). • 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. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). ` ARTHUR L WEGERER Page 2 6/20/02 t� • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the componerit(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 j swim @commerce. state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544