HomeMy WebLinkAbout040-1134-50-000 ,
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM 'County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
399530
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:
Sather, Jerry Troy Township 040 - 1134 -50 -000
CST BM Elev: Insp. BM Elev: BM Description:
16 c) S ;Z� -' rn : o r o q ✓
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / Benchmark
q Alt. BM Bldg. Sewer
Ht Inlet
it
t Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic ,{ 7 Z ySo Dt Bottom IL . 5
Dosing 3 / Header /Man.
Aeration Dist. Pi e
4
VA
q
Holding Bot. System L y/� y q L rty3,
` yL
Final Grade s• I �= qS y
PUMP /SIPHON INFORMATION
Manufacturer De (Mind St Cover
U -5 GPM
Model Number,( ?— 3 ,q y-
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length f q,o Dia. Dist. .y
to Well
U r
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS / Z S
SETBACK SYSTEM TO (0 P/L BLDG WELL LAKE/STREAM THING Manufa u r.
INFORMATION HA OR
Type Of System: # IT
�/r(h t Ld i S odelNumber.
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
k r t/ +r Pipe(s / / ± S / 39
Length ' ; Dia t Length b Z S Dia / Spacing 7
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded rulched
Bed/Trench Center Bed(rrench Edges Topsoil Yes [W No ❑Yes ❑ No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 40 Pine Ridge Terrace River Falls, WI 54022 (NE 1114 SE 114 35 T29N R19w) NlC Q L�ot N Parcel No: 35.28.19.556)
1.) Alt BM Description = *✓ 1 �� We �f t"��e "� ek G��7BvS t!tl erg.
2.) Bldg sewer length —
t f� 6 Y514c - W & s /c rh_/ h" k 411eW, e6u,l4 r�
-amount of cover= cow rw. GxaC dcol ` 6 S t/s k / / bekLv 6Yi9 /rs� q�e��
Alcrvej.(w �.�,es iws� o� rf� / I- �lVtµ'�J P ! �bTl7tU5caLftin� cvrr{�t /°��'f"�r/ �t '9/"el
Plan revision Required ?] Yes ❑ No
Use other side for additionari_nformation.
Date Insepctor's Signature Cart. No.
SBD -6710 (R.3/97) 0 V e r `� `
r r
J 04v4-�- b�4tS A 4e
-�jr w- 0 ex,
J
�V e r e r^o { d ee� C s e` ��, Gv W YO VO-t
PAGE OF
PUMP CHAMBER CK055 SECTION AIUD SPECIFICATIOAIS
VICUT A,DN ING 02 4 "C.T. VENT PI AIR IN
APPROVE I_OCKIN WEATHER PROOF JUWCTIOAI BOX MANHOLE COVER W 2. S' M Q Wttir►1ili� ; WIN00 Oit FF U. i � GRADE
I 4 MIN.
COWDUIT -- d_ — _ - - - --
1
IAILE T
F-T PROVIDE I - - --
AIRTIGHT SEAL I I I
I it V
APPROVED JOINT A I I APPROVED JOINTS
W /C.I. PIPE ( I I ( W /C.I. PIPE
EXTENDING 3' ) i I ALARM EXTEWDING 3'
ONTO SOLID SOIL 8 I I I ONTO SOLID SOIL
I 1
I ON
CLEV. - FT. j
n
PUMP —� __ OFF
0
CONCRETE 6LOCK
-; RISER EXIT PERMITTED y F TANK MANUFACTURER HAS SUCH APPROVAL 13L � SEPTIC E SPECIFICATIOKJS
OOSE
Ti►WKS MAIIJUFACTURER:
�j NUM61R OF DOSES: PER OAy
TAWK 51ZE � GALLOWS DOSE VOLUME j Q
ALARM MANUFACTURER: /A+ k it INCLUDING 6ACKFLOW: f ' " GALLONS
MODEL WUMBER: CAPACITIES: A= INCHES OR 3 -5 '1 , b GALLONS
SWITCH TYPE: - r u r 1 5= ( 2 INCHES OR ,., 3 q# 0 GALLONS
PUMP' MAU UFAGTURCR: Gou I' C 1 � 1NCHES OR `.� GALLONS
MODEL NUMBER: 3 p 7
D- 10, ) INCHES OR 17 GALLOAJS
SWITCH T`UPE: ?°YC11�� MOTE: PUMP AMD ALARM ARE TO BE /7,00 f
MIIJIMUM DISCMARI3E RATE GPM
INSTALLED ON SEPARATE CIRCUITS
_ 4f ,
VERTICAL DIFFERENCE DETWECN PUMP OFF AND JDISTRIBUTION PIPE.. FEET
t MINIMUM NETWORK SUPPLY PRESSURE FEET
♦ tiEET OF FORCE MAIN X �"' �' F �aFxFRICTIOU FACYOR.. F EET
-- TOTAL OtIMAMIG HEAD = FEET
it r /r ,
IMTERNAL DIMEIJSIOWS OF TAWK: LENGTH ;WIDTH t ;LIQUID DEPTH ¢ _,
SIGAJED: LICEWSE HUMBER: °` DATE:...._,.
r
Goulds
_
Submersible
Effluent Pump
r ed
EPO4
EP05
APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron
Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer,
following uses: • Capable of running lubrication and efficient _ _strength, and durability.
dry without damage to heat transfer. ■ Motor Cover: Thermo las-
com
• Effluent systems components. l p
p tic cover with integral handle
•Homes Available for automatic and g
•Farms Motor: and float switch attachment
• EPO4 Single phase: 0.4 HP, manual operation. Automatic points.
• Heavy duty sump models include Mechanical
230 V
or , 60 Hz, 1550 Float Switch assembled and my
• Water transfer 115 ■ Power Cable: Severe d
• Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant.
automatic reset. ■ Bearings: Upper and lower
SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing
115 V, 60 Hz, 1550 RPM, construction.
Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo-
• Solids handling capability: automatic reset. plastic Semi-open design
1 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING
• Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal rotection.
with throe pro p SP' Canadian Standards Association
Total heads: up to 24 feet. g grounding _
a size: %" NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo -
• Dischar
g (CSA listed model numbers
• Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC ".)
rotary/ceramic - stationary, three prong grounding plug improved performance. .
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104 °F (40 °C) continuous superior strength and
140 °F (60 °C) intermittent corrosion resistance.
• Fasteners: 300 series METERS FEET
stainless steel 1 0
• Capable of running
dry without damage to s 30'
4- �5GPM
components: E 1
Pump: EP05
s - - -- — — - - 1-2.5 Fr
• Solids handling capability: 0 25
maximum. 7 1
• Capacities: up to 60 GPM. - s 20 -'
• Total heads: up to 31 feet._ _
• Discharge size: 1IN NPT. z s _._
• Mechanical seal carbon-
rotary/ceramic- stationary, 4 15 t c,
BUNA- Nelastomers. o EPOS
•Temperature: 3 1 o I
104OF (4K) continuous — —
140°F (60°C) intermittent 2
apt
' 1 5
., 0 00 10 20 30 40 50 GPM
t
0 2 4 6 8 t0 12 M13rh
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
O RSHIP CERTIFICATION FORM
T 'i f /''1�' � e D fdyl OP)S,,
L^ �h
Mailing Address �( l r l r
--II Teep Pro a Address 'o Pi n' e le � 4 C v � � `
f
P rty
(Verification required from Planning Department for new constructioonn)
City /State A lL e J L► 6 1�G Parcel Identification Number el 7 �' & CIL
LEGAL DESCRIPTION 0 l/�
Property Location J - i /4, t� i /4, Sec. T / N -R / `"1 W, Town of Tr
Subdivision . Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed #
Y , Volume d , Page #
Spec house ❑ yes 0 no Lot lines identifiable k] yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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
sta ' that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
o the three year expiration date.
zz
SI A' URE 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 owner(s) of
e roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. L 0j
A I NATURE 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
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
This is to certify hat I have inspected the septic tank presently se
the E'1/ U Sot residence located at:
Sec. , T N, R W, Town of �/7j� St. Croix
County, Wisconsin. Upon inspection, I certify that I have found the tank and
baffles to be in good condi ion, and it appears to be functioning properly.
Last time serviced / f
Did flow back occur from absorption system? Yes No k (if no, skip next
line.
Approximate volume or length of time: gallons minutes
Capacity:
Construction Prefab Concrete �c Steel Other
Manufacturer (if known):
Age of Tank (if known) :
(Signa ure) (Name) Please Print
kfln
(Title) (License Number)
(Date)
Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or
licensed disposer (NR 113 Wisconsin Administrative Code)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- -
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank condition, I
certify that the tank, to the best of my knowledge, will conform to the
requirements of ILHR 83, Wis. Adm. Code (exgeVt for inspection opening over
outlet b ffle)
Name Sig re
W
MP MPR
I
N *i icons i n Safety and Buildings Division Count � � C lib 1 fi
201 W. Washington Ave., P.O. Box 7162 J l
Madison, WI 53707 1 Site Address
De artment of Commerce J Z�D ( j h j r - e
Sani ` + 'ar Permit A r lieat
R (� ��y Permit Number In accord with eomm 83.21, Wis. Adm. code, pa otial inform provi ECEN ❑ Ghee if Revision
`� I 1 -C
may be used for es Privacy Law. s15.
I. Application Information - Please Print All Information _Y� OCT rate- I.D. Number
Property Owner's Name JCv e ✓ 6MWV Paj&tjumbe 3 S 2 SS
Prope Owner's Mailing Address 1 --opr� � per ty Location 1 C C 9 56 .56 'A • S 3� T 199 N R �/ E
l
City, State Zip Code Phone Number Lot Number Bloc�ber
Subdivision Name CSM Number
i
II. Type of Building (check all that apply) ❑City
1 or 2 Family Dwelling - Number of Bedrooms ❑village
❑ Public/Commercial - Describe Use ®Township I O tf
❑ State Owned N t 7 oad �p`�
I 1 9 4C l rfrro c �
M. Type of Permit: eck only one bo on line A (numbering scheme for internal use). Complete line B if ap 'cable)
A. 1 ❑ New R Replacement Syste 3 ❑ Replacement of 6 ❑ Addition to For County use -
stem Tank Only Existing System
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
IV. Type of Permit: (Check all that apply)(nwnbering scheme is for internal use) 3 AG1rt ber� ► ek ,�� o S
44� Non - Pressurized In -Ground 21❑ Mound 47 ❑ Sand Fibber 50 ❑ Constructed Wbtland
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. Dispersal/Treatment Area Information•
Design Now (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System E io Grade
Required Proposed Rate( Gals. /Dsys/Sq.Ft.) (Min./Inch) 7 a vation ?f
�a� ✓ � �� -�3.� . 'Q . 3- 9y
99 If
VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank X J l U h h
Dosing Chamber
VII. Responsibility Statement I, the undersigned amtm a ragwnsibWty for installation of the POWTS shown on the attached plans.
1 's Name (Print 's Signature MP umber Business Phone Number
7� 6 s K
Plumber's Address (Street, city, state, Zip Code)
W 9 - 7 20
VIII. /De ent Use Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
Surcharge Fee) _
❑ Owner Given Initial Adverse . �
Determination
IS. Conditions of Approval/Reasons for Disapproval
1. Effluent filter to be installed and maintained per manufacturer's recommendations.
2. System shall be installed 20 -24 inches below uniform contour line to ensure proper location within soil profile and adequate separation distan e
from a limiting factor. Trench elevations will be close to 94.25, 93.5, 92.75. .
3. The existing system shall be abandoned per code req uirements Comm 83.33).
4. Plumber`to provide u . _ t A�Pb1t43t4�g (4FiI / k N Inches in size
arty i s.- s'1 GX %sTI.+!. �� i.� Qf�f 047ncr�iwQ.i.�iFRrcce - V� - pi (p.-
SBD -6398 (R. 05101) _
,L,p --- _._._._------ .4 ._ _...... _
-- ---- - - __ _ ___ ___._ _ _.._ __ __ _____ .___ x
� r
x
_.._
B _ �T k r
-- -_..
yosconsln Department of Commerce SOIL EVALUATION REPORT Page __1__ of 3
Division of Safety and Buildings Adm. Code
Comity 5T, C
Attach complete site plan on paper not I then 8 1/ x 11 es must
Include, but not limited to: vertical and I ref t (am), and Parcel I.D. 1L
percent slope, scale or dimensions, w, and dista Brest road. OW - I ( ,5 - S�
Ravi by Date
Please P 11 lnl rmalJor
persona, InfonnaHon you provide may be or second p liw, (tl fmll• 3
Property Owner cam( Location
1I4 56 1,14 S T N R
p �' ._• °,. p,.
of 0 Block 0 Subd. Name or CSMX
fate zip ucas Q City C3 Vill ge ow
Tn Nearest Road
we
P.1�F-A VA LL-5 WI !'D2- l5 25 - D2.9b �5�0 P(n1E 1�iDt T
❑ New Construction User Residential I Number of bedrooms ___j� Code derived design flow rate —_ 4 GPD
Replacement Q PuW or commercial - Describe:
Flood Plain elevation if applicable
Parent material
General comments 5 (.OAOfI)ro V-AJ E
and recommendations: �',p11JUEJJT1tiaJAtr S�J C�R ok.k1� 1 Q 'I10EtJCi�tS 0•
2� bZ•
t @ X56-0
a Boling A { Pit around surface elev. - 94,50 ft. Depth to limiting factor' tn• Ication Rate
GP Iff
L Hatzon Depth Dominant C Redox Description Texture Structure Con elstence Boundary ROOD , Eff#t 'Ef'ffl2
in. Munsell Ou. Sz. Cont. Color Gr. Sz, Sh.
I -X& 1 - 0 Z - L & o, c, 0 0
2- 1()-15 i4 a� - m 1 a5 i-c
3 - 5 - 2.S Ry - i h 0�5 0 ✓
u 3 a5 _ v
. �.5-
15 -411P
0 h&M
SION o, i• Z-�
Y, '_ 6. - 7 ). Z
a
O Boring
5 Boring t1 ] Pit around surface e1ev, qL 1 ft. Depth to limlting factor -- �_ In. SON lion Rate
GPON
Horizon Depth Roots Dominant Color Redox Description Texture Structure Consistence Boundary . , •Eff#2
In. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh.
,1 _ cis Bf
2-
6-ID y 4 S 0.4 0.6
L SbK s CIS a s a
L� `l 3 0 -2-3 - Q s o. ✓
qy. a
• Effluent fit SOD > 30 < 220 mg/t. and TSS >30:! 150 mglL ' Effluent #2 a SOD < 3o mg1L and TSS < 30 mglL
gnature CST Number
CST Name (Please Prim) ,
Jr� HO LL S TS ate Evetuallm Conducted Telephone Number
Address 'FAos WT 54022 01- 0 -0
War
Address
(0q0 AVE. RtvE L'7tS y2lO -1'77
Property Owner Parcel ID # Oy0 1 13y -SD' DID Page Z of 3
Boring N ❑ Boring �
Pit Ground surface also. _— q , 7 7 h. Depth to limiting tailor ' D l^. Sop kedon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - Ert#GP1JAlEffN2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
l Q -11 k4z- 51� -1 fa. ��g ✓
Z 11_ Z O 3 �-
C-5 Z - 0, S ✓
z � 3 �5 io L s CS 2 -m o .S O g✓
2 S YR� — 5 1 v4- o I- .
a ,{- Z ..5-,
F1 Boring 0 C] Boring --
❑pi Ground surface elev. ft. Depth to limiting factor In. Sop tlon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/t!
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EH#1 'EftN2
❑ Boring # ❑ Boring to _�
h
❑ Ground surface elev, k. Depth limiting factor _ •
Pit Appl ication RaW
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh, 'Eff#1 'Efdr2
'
Effluent #1 = SOD. > 30 220 mgrl- and TSS >30 < 150 mgA- - Effluent 92 ■ BOD, _5 30 nv& and TSS g 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer, if you need assistance to access services or
need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777.
sao -t»o ta.aroo�
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ST CROIX COUNTY
SEPTIC TANK MAINMNANCI3 AGR.BeMPNT
AND
O WNERSHIP CLRIMCATION FORM
Owncr/Duyer j y
Mailing Address d �1;he l� 0
Property Address YD i/1 •. �(`
( C:n icetioa mquic�cd fnaa P . Dcparh=t for acw con*uctioa) Q p hc e2Le e" S,
aty/StaLc
1 Parcel ldeatificatiou Number N 113 y - S'O - f6D
U✓ AL DES�OPi
Property I.oeatioa /, S E _ L W, Town of A
Subdivision �---�—
Lot # - .
Certified S=Tey Map # volume Wage # _
WMtty need
SPcgMonet: 0 yes no Lot limes idWtifiabk El Yes 0. no
outg of," �iys�ataoa�da�ltiaitsp�a6 '(�etAluu�,evra�es.Pinpera�aaoe
' c��rcef' Bre 7sas+ 000c
s� Tivaeasodpcm Wbatyarpati�Q�esys�m
ctmicas_i S40fadrewaste -
P b Y ova to ant to St HOC zMft D *. faa v. sigma by &a ow=u d ty. &
ilia � ar'aGocaeod �iut( 'i3�reoaan�eiPasbear>�erIsysocm
-� �I�e, tr�amarbae�e ,nd,�oeba�a�epar�e.��C:�mdatds
4. ,�tsact�►fieD c6m �( araoemdde ofNa�matRo9oao�cs ;SdtcofFrssoonsin.
basbo�a oampktodead S'ta�vac
days of Quc tbroc yc dates t7oaomly Zatgt?ffioevr 30
C::� J. gy X-'. -
SIGM111M OF APMCANr w
DATE
d i iD i
owi�z•c�xc�.�xorr rwu,5� s9h
z ( � iD y an
SWOncats oa sis t onne ace true to Qye o fay (oaa� Iata,wl+_.I_ [ (we am (ere) & owa�ec( of
the Ply dcscr�' abo� by virtue of a wanunty dwd wcoedod is Register of Dodds Onke.
1�xirC� S rA 6i3i0
SIGNMT' M OF APMCANr
DATE
ss « «ss AW iafocrmatim is mis -c CnWmay res* in 60 iaaituyPermit being Moked by the Zoning Dgmft=L ••••••
ss [actade with this aPP4caU0a: a ttasapod Womaty dood fiom floc Rcgistcr of Doody oWtce
a copy of the ccdWwd eacvcy map if gefm oc is acadc in the wamaaty dood
rrivate unsite wastewater i reatment System management Tian
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).
-� U' &t f i f� L' 4
System Design Specifications
Sanitary Permit Number
Number of Bedrooms
Design Flow - Peak (gpd) Vii?
Estimated Flow - Average (gpd) _ 3d
Septic Tank Capacity (gal) ZOIC 14-
Soil Absorption Component Size (ft')
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption. Component
Design Flow - Peak (gpd) ,
Maximum Influent Particle Size (in) 1/8
Maximum BOD (m /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year, nd 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 remov from its enclosure. If the
QQU /��t YI�Y l -' � �tfrc� 3 � L �� t"
y
LI eA
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 subjec t 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 Absorptloh 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 eve ry years. three The Inspection shall include recording the levels of ponding, if any, in
p
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
��.1738 # 95 3
DOCUMENT NUMBER 6 59 1 :Z 4&
KATHLEEN H. WALSH
xARRium DIED REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
Edward S. Thornton and Donna J. Thornton, husband and rife as 10 - - 2001 10:30 AM
survivorship marital property, Grantor, conveys and warrants to Jerry
P. Sather and Betty L. Sather, husband and rife as survivorship marital WARRANTY DEED
property, Grantee, the following described real estate in St. Croix EXEMPT I
County, State of Wisconsin: CERT COPY FEE:
COPY FEE:
See attached sheet for legal description. TRANSFER FEE: 540.00 RECORDING FEE: 13.00
PAGES: 2
NAME AND RETURN ADDRESS gj.5K ._ OI • M70
Yo P. »e F�id�e, T�`raCa
River Fa lls, W � S�Joaa
40- 1134 -50 -000
Parcel Identification Number
This is homestead property.
Exception to warranties:
All easements, restrictions and rights -of -way of record, if any.
Dated this ( {�� day of October, 2001.
(SEAL) �t`f✓ (SEAL)
idJ /fin /I 8. Thorn�t�o�/n/��
(SEAL) /LY7� F7f'�l}'� (SEAL)
Donna J. odfriaton
ADTH=NTICATION ACRNONLEDGM
Signature(s) STATE OF WISCONSIN )
ss.
COUNTY )
authenticated this _ day of 20_ Personally came before me this ! N day of October, 2001
the above named Edward S. Thornton and Donna J. Thornton
(Si ... t —) to me known to be the persons(s) who executed the
foregoing instrument and acknowledge the same.
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, Not, We
authorized by 5706.06, Wis. Stats. ) ftbdrrw�1mob - �is.�e e: }eced oc rw.ei
THIS INSTRUMENT NAB DRhrTZD BY: ■V �'/�w rflrrlw Notary Public County, Wis.
Joseph 0. Roles My commission is permanent. (If not, expiration date:)
Rodli, Beskar, Soles 6 Krueger, S.C.
P.O. Box 138
River Falls, WI 54022
VOL 1738nGE 96
PART OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER (NE% OF SE %), SECTION
THIRTY FIVE (35), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE NINETEEN (19)• WEST, TOWN OF
TROY, DESCRIBED AS FOLLOWS: Commencing on the West line of said Northeast Quarter of Southeast
Quarter 990.0 feet North of the Southwest corner thereof; thence East parallel with the South line of said
Northeast Quarter of Southeast Quarter 499.3 feet; thence South 320.0 feet; thence West parallel with said
South line 500.5 feet; thence North on said West line 320.0 feet to Place of Beginning.
EXCEPT THE FOLLOWING DESCRIBED PARCEL:
THE SOUTH HALF (S' /.) OF THAT PART OF THE NORTHEAST QUARTER OF SOUTHEAST QUARTER
(NE% OF SE %) OF SECTION THIRTY FIVE (35), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE
NINETEEN (19) WEST, TOWN OF TROY, DESCRIBED AS FOLLOWS: Commencing on the West line of
said Northeast Quarter of Southeast Quarter 990.0 feet North of the Southwest comer thereof; thence East
parallel with the South line of said Northeast Quarter of Southeast Quarter 499.3 feet; thence South 320.0
feet; thence West parallel with said South line 500.5 feet; thence North on said West line 320.0 feet to the
Place of Beginning.
St. Croix County, Wisconsin.
\ COUNTY TRH
— — — 498' I 160
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