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HomeMy WebLinkAbout042-1070-80-100 r - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and B-Aldiig Division ' INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430299 0 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: Behrens, Larry Warren Township 042 - 1070 -80 -100 CST BM Elev: Insp. BM Elev: BM Description: I Section/Town /Range /Map No: i7)"1 - ' 1d-'z_ 14 Q, %2 - - TO- 6 5 - l ed "W A 25.29.18.378A10 TANK INFORMATION m 1 1�,_.,t, ti�:S� ELEVATION DA TYPE MANUFACTURER CAPA I Y STATION BS HI ^ FS / E E V. L a -;') - I Septic Q Benchmark Dosing ;f 0 Alt. BM -> —, . C,a V k3l Z Aeration ' � r �� -��� Bldg. Sewer 4, L. Holding �� St/ t let ula � /o • G7 1 Z. TANK SETBACK INFORMATION S Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet . j /OG �> "T vt ;r VF UlAt Septic / 1 Dt Bottom vel / 2 161- 9 _7 U Dosing 5-6 / \/ Header /Man. 7 Aeration Dist. Pipe a Holding Bot. System �O la 6 i PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover 6 O I GPM D - r• S Model Number z� ��� : lUL? cc TDH Lift Friction Loss Syste Hea TDH Ft _I Forcemain Le nc t Dia. 2- r , Dist. to 0' SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length INo..Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. J quid Depth DIMENSIONS q, I SETBACK SYSTEM TO l P/L BLDG W LAKE /STREAM ACHIN [ INFORMATION CHA BE OR Typ Of System: t U odel Number: s` > �� DISTRIBUTION SYSTEM PVL4 -a I Sh Header / Distribution �1 x Hole Size / y Hole Spacin ( Vent to Air Intake g L Z y Pip g s) �� Spacing 1 t� y .' 2 D 2, 2 C, Len th is Len th Dia SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only /0 del C( Depth Over ,I Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil - n Yes No Yes I, No CO MENTS: (Include code discrepencies persons present, etc.) Inspection #1: /Z' (// 1 Inspection #2: /0 I 0_3 Location: 1484 70th Av enue Roberts, - Parcel No: 25.298 10 //bi�e��rts WI 54023 (SE 1/4 SE 1/4 25 T29N R18W) NA Lot 1 1.) Alt BM Description = �T• cov - ��- �f� - f/ 2.) Bldg sewer length =12 - amount of cover = 'v A zr t tj y am- ' / W ^ - -/ (/1 WI(T�x- TM�Ir atJ�re v( 0u-�� t L r�L i Yes z to Plan revis s Re quired? Use other de for additional information. 1 103 511e�_'� SBD -6710 (R.3/97) Date Insepctor's S Cert . No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 N l fi sc , vnsr►n Madison, W1 - 7162 Ste Address. ttt Department of Commerce Sanitary Permit APPiic - Sanitar f3 U , Numb r 3 2 In accord with Comm 83.21, Wis. Adm. Code, ? ergo + 1 information you provide ❑ Check if Revision may be used for second ses Pnvac Law, s15. l m I. Application Information - Please Print All Informatlo . "'- State Plan I.D. Num r e D �� 8 2 'U Li i Property Owner's Name Parcel N UMUCK Property Owner's Mali ng Address Property Location C 3W A 7 1 - 0 ) 'A -A. S i� T,; N, R City, State Zip Code Phone 1 Numberr / Lot Number Block Number + 45' f ^'yW2 S� Subdivision Name CSM Number Vl'or pe or Building (check all that apply) a�i �' S 9 �_* ❑Ci ty 2 Family Dwelling - Number of Bedrooms AQ 0-8 . ❑Visage ❑ Public /Commercial - escribe Use ns : owhip El State Owned �4, S /t70 Nearest Road W►- "� - 1 CI.D Ill. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A ' I New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System I Tank Only Existin System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that applly) scheme Is for internal use) 44 ❑ Non - Pressurized In- Ground 21L 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. Dispersal/Treatment Area Information: Deslgn Flow (go) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Da s /Sq.FQ (Min./Inch) Elevation y S VI. Tank Info Capacity in Total Number Manilfacturer Prefab Site Steel Fiber pig Slic Gallons Gallons of Tanks /vV Concrete Constructed Glass t New Existing Tanks Tanks epti r [folding Tank A Ov© Dosing Chamber r I r / / t� W �/ VII. Responsibility Statement- I, the undersigned, assutrie responsibility for Installatio a POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature PRS Numbe Business Phone Number: ffoA/tie �� Z g 15-- - -7 9 33.ZZ Plumber's Address (Street, City, State, ZFp Code) if b VIII. C elfartment tfs e Onl Approved ❑ Disapproved' Sanitary Permit Fee (includes Groundwater Date Issued I :suing A Lnt at ure (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse . 03 D zoi - etermination IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced f maintalntafl as per management plan provided by plumber. 2. qptback e uirements must be maintained . as per applicable the Covoty only) ror the system on paper not less than SM x 11 Inches In she SBD -639$ (R. 05101) 200. — 1d Ack MorAe-' - rdA L"56�eel �o ;pc. ,4 ss4.hedeIecl = /Co.Co $ e ✓alua ��, b- oy ed..l /E•�l.w+. ;� p; E R'opostd wL P 7S0 - Q wrest. c�„erefe ' P " ^p �I ► I N e{p'lieCl t4 Proposed cw , .. 9 � 3 3e/JE;G Eo., K 9 ■ g Abe 1 */Co Prapos 3 I r es ;deoct Iz h y a ara9ci � I B3 y? 0 t V �Pr0posed _ Z►. o x wolf � L �n L � "s l ,�O.Pe. e � 3 b a 7D Aoe. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer a Q h S/l Mailing Address 7 ; JZ Property Address -7d 2--X (Verification required from Planning Department for new construction) City/State ekr— Ul E10 A/, Parcel Identification Number 1 161' Z LEGAL DESCRIPTION Property Location -5E V4, S� %<, Sec. 2 s , T,4 N -Rjj-a Town of L1y ,. A a .✓�� . Subdivision &A, , Lot # Certified Survey Map # g © , Volume Page # Warranty Deed # - 7 Volume 3 //) Page # Spec house ❑ yes Ono Lot lines identifiable 8 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 mastor plumber, joumeyman plumber, restricted plumber or a licensed pumper 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 your septic system has been maintained must be completed and returned to the St. Croix County Zo ning Office within 30 days f e three ear iration date. 9 ,/ 7/ SIG 4A 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 pe desen a ve, by virtue of a warranty deed recorded in Register of Deeds Office. IGNA 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 Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 *Asconsin www.commerc .wis ons Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary August 08, 2003 CUST ID No.222781 ATTN.• POWTS Inspector ZONING OFFICE HENRY J NECHVILLE ST CROIX COUNTY SPIA 967 HIGHWAY 65 1101 CARMICHAEL RD ROBERTS WI 54023 -8510 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/08/2005 Identification Numbers SITE• Transaction ID No. 895273 Larry & Marsh Behrens Site ID No. 662962 70TH Ave Please refer to both identification numbers, Town of Warren above, in all correspondence with the agency. St Croix County SE1 /4, SE1 /4, S25, T29N, R18W FOR: Description: Mound 450 gpd. , Object Type: POWT System Regulated Object ID No.: 914548 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: • 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" Version 2.0 SBD- 10691 -P ( N.01101) and the "SSV;W Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • Comm 84.10, All materials used in this installation shall conform to the provisions of this chapter. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address C 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 R �M installation, operation aintenance of the POWTS. , OF Sin? Fee Required $ 175.00 Fee Received $ 175.00 / V Balance Due $ 0.00 SE� Thomas E Devereaux Plumbing / POWTS Reviewer II , Integrated Services (715)634-3026, 7:15 am - 4:00 pm Mon. - Fri. WiSMART (code: 7633' tdevereaux@conimerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE i Project Name: Larry & Marsh Behrens 3 bedroom residential mound Owner's Name: Larry & Marsha Behrens Owner's Address: 3575 Owasso St., #205 Shoreview, MN 55126 Legal Description: SE1 /4SE1 /4, Sec. 25, T.29N., R.18W. Township: Warren County: St. Croix Subdivision Name: CSM Vol.16, Pg. 4318 Lot Number: 1 Block Number: na Parcel I.D. Number: 018 - 1089 -04 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry I.T.S. Page 3 Mound drawings o lia lly Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan M ERCE Page 7 Pump curve and specifications �[ OF pN0 UILDING Page 8 Site Plan Page 9 Soil Evaluation Report jRRESSpONDE Designer: Henry Nechville License Number: 222781 Date: 07/01/03 Phone Number: 715- 749 -3322 Signature: r Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01101) Pagel of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 9.50 Site Slope ( %) 102.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0:40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100-001 Dispersal Cell Length Along Contour (ft) = 4.50 Cell Width (ft) 1.001 1 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the hig point in the distribution j Y _] Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 2.25 Lateral Spacing (ft) If N above, enter the elevation (ft) point. of the highest 4 Number of Laterals 9 P 0.125 Orifice Diameter (in) (e.g. 0.251 2.25 Estimated Orifice Spacing (ft) = 5.11 ft /orifice 2.00 Forcemain Diameter (in) ` 35.00 Forcemain Length (ft) Does the forcemain drain back? Y t /' 97.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) �7 5.50 Vertical Lift (ft) 62.74 5x Void Volume (gal) 0.96 Friction Loss (ft) 68.45 Minimum Dose Volume (gal) 12.96 Total Dynamic Head (ft) 36.25 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 x 1.50 x 1.25 x x 2.00 1.50 x 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 760.50 Total Tank Capacity (gal) 1,000 gal. I Septic Tank Capacity (gal) 1 37.501 Total Working Liquid Depth (in) Wieser Concrete IManufacturer 20.28 gal /in (enter result in cell B49) Dose Tank Information Effl Filter Info rmation 760.501 Dose Tank Capacity (gal) IZabel I Filter Manufacturer 20.281 Dose Tank Volume (gal /in) IA100 Filter Model Number Wieser Concrete Manufacturer Project: Larry & Marsh Behrens 3 bedroom residential mound Page 2 of 9 Mound Plan View :Q. J 1 / j 0 . K Observation Pipe 3 _ l . ••L�•L•L•••.�..••.•. ti•ti..,. t ti.., L..,. L.L•L..,.L•L,. I r• •r • , L;L , { )L•L•L• •L• •L•L L•L L L L L ti A W J •• •i`r . I . . . . . . . . I . . . . . . I ............... L Mound Component Dimensions A 4.50ft E 17.13 in H 1.00ft K 8.95ft B 100.00 ft F 9.25 in z 11.32 ft L 117.91 ft D 12.00 in G 0.50 ft J 5.30 ft W 21.12 ft 450.00 (ft Dispersal Cell Area pu (ft) Basal Area Available 4.50 (gpd /ft) Linear Loading Rate (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal -Area Finished Grade 104.77 (ft) ---► H � ririirirr 2 rrrriii G • 1 I F :: ; : r Dis persa l Cell 103.50 ( ft) Lateral rrrrri 103.00 (ft) — Invert Dispersal Cell Elevation ....... E D::::::::::: 1 4 A - - - 102.00 (ft) Contour Elevation 9.5 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on 10 Topsoil Cap c 1.5 ft f ; : ti ; r ;•.,ti;, f.,;;';• Page 4 for number, � ;ti. .�L�L © rrrri Subsoil Cap �' r :;L;1 L: L.L;• size, and spacing of -�- I ._ © �::: ASTM C33 Sand ����' '� F laterals. Laterals are H 0.5 ft Typ;cal Lateral equally spaced from , ry Tilled Layer d �7r „� .ti; g 0 5. A ate v : •r: •• • the distribution cell's — A centerline in the distribution cell (AxB). Project: Larry & Marsh Behrens 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical E P S • - Turn -up va'ball valve or IF x 1+ U1 I 0241 Laterals & force main of PVC Sch 40 cleartoutplug per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.29 ft Lateral Length (P) 49.24 ft Orifices per Lateral 22 Lateral Spacing (S) 2.25 ft Orifice Density 5.11 ft /orifice Lateral Flow Rate 9.06 gpm Manifold Length 2.25 ft System Flow Rate 36.25 gpm Manifold Diameter 1.25 in Total Dynamic Head 12.96 ft Forcemain Velocity 3.70 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. - Disconnect ------ Tank component is properly vented E— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer �_ 2 in. Ca acit 760.50 Gat!on' s Volume 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.01 385.44 B 2.00 40.56 C Pump off elevation (ft) C 4.49 91.14 98.00 D 12.00 243.36 D Total 1 37.501 760.50 iF7 Dose tank elevation (ft) 3" Bedding un er tank. 97.00 Alarm Manuafacturer I Le velArm Alarm Model Number I DLV Pump Manufacturer JZoeller Pump Model Number 198 �— Pump Must Deliver 1 36.25 gpm at 12.96 ft TDH Project: Larry & Marsh Behrens 3 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name H. Nechville,MP # 22278 . 1 Phone 715 - 749 -3322 POWTS Regulator's Name St. Croix County Zoning Phone 715- 386 -4680 System Flow and Load Parameters Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1,000 al. gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft 2 Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 ears Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once eveg 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • ............. ............... Grade \ , 6 -8" Diameter Lawn _� Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral �y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Larry & Marsh Behrens 3 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Genera This system shall be operated in accordance with Comm 82 -84 Wis, Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] 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. 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 �Q�hall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at east once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the finer 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. Puma 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 System 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design now specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. j Continuency Pla 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(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Larry & Marsh Behrens 3 bedroom residential mound Page 6 of 9 HEAD /CAPACITY CURVE N H W r LL HEAD CAPACITY CURVE EFFLUENT MODELS r1 TOTAL DYNAMIC MEAD /CAPACITY PER MINUTE 110 EFFLUENT AND DEWATERING i U 63.b 32 SERIES 67.9 97 90 1 137.139 1. 1. 1. 166 160 IW iB9 100 fT. 4. Oat Lv4'� OaL Lt)'': t3N lln Gal..4W Gat Las OaL 1o11 Oat 11r1. Oal Ltli," (sal Lt►, Oal 'Lb/. G4 Lts. 30 T 6 1 62: 4J 14J 68 912: 72 973 101 JW 108 101 01 511;! e1 1231::. be ?ZO 166 697. 156 547 95 10 4.06'i 34 129 46 174'! 81 23 1 00 ., 79 3. 100 ..378 el 2JI? 01 231,:1 N .220 IK 600 151 672 d 50 16 67 19 7-4 . Jd 133 46 170 64 Zl2 91 344 60 Z2)',� Op 2q' 66 2201 142 637 Ia6 549 20 R10; 16 b7 26 96 36 130 6? 310 6D ?s"3' 60 227: 66 223 136 616 140 630 d5 26 7,02; 6 ':'30 74 200 67 2181 69 222: sa 220 126 464 133 603 '.+ 80 37 A14'� , 66 244 66 906 W ?Z,p 90 34G. 64 920 t21 .466 127 NI 475 40 12.19 46 174 46 172': 66 MG 76 2'631 68 U0 105 397 1 14 4J1 2 186 60 16.24 21 80 33 126'. 61 191 6a 210. 66 220 90 341 1 00 379 111,2P 16 67 43 10/ 36 13! 68 220 7t 20G 66 372 ,0 05 70 21.34' JO 114. 10 36 62 197 61 19J 70 266 165 40 24„16 14 63, 46 170 26 :100 64 204 16 I 90 21.p 32 121 2 .. 6 N 140 55 100 30.4a:'. la a 21 79 16 163 110 3200' 7 -20 1 30 LxkVWC 19.26' 2376' 23 26' 60' 66' 67' 7a' 1 t6 ... 91' 1 12' i4 45 EFFLUENT & DEWATERING ,2 185 Warning: Model 185 should not be subjected to less 35- o� than 30 feet TDH. 1 189 .13 d 25 Note: For Head Capacity on Model 112, industrial 6 12 column- explosion proof pump, see FM 219. ,61 188 6 5 5 T 59 , 11 139 SEWAGE &DEWATERING GALLONS 10 20 30 40 So 60 70 80 1 90 100 120 1,0 ,.0 150 160 4 WARNING: Model 293 should not be subjected LITERS 1 60 160 240 320 400 460 560 640 0 to less than 15 feet TDH. N 36. .z6 C,P.r►,, W W /at;n'rn44m S a / ur'�co(. s 24 80 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE SEWAGE AND DEWATERING 75 22 SERIES 262 266 1 267 264 282 284 292 293 294 295 70 FT, M Gal. Llrs. Gal. Lira. Gal. Lira. Gal, Llrs. Gal. Urs. Gal. Lus, Gal. Urs. Gal. Llrs, Gal L03 Gal. uis 20 5 1.52 90 341 128 484 128 484 128 484 130 492 180 681 NO 530 1W 742 225 852 10 3.05 60 227 89 337 89 337 89 337 95 360 158 598 124 469 181 685 205 776 15 4.57 22.5 85 50 189 50 189 50 189 63 238 135 511 106 401 130 492 165 625 185 700 18 60 20 6.10 10 38 10 38 10 38 33 125 106 401 88 333 119 450 150 $88 766 636 25 7.82 1 1 76 288 68 257 106 401 136 515 153 5Er1 30 9.14 55 40 12.19 4J 163 N 178 90 340 121 456 u0 530 16 5 19 50 189 94 756 115 475 SO 15.24 58 220 89 337 SO 60 18.29 13 49 59 223 70 14 21.34 25 95 45 Lxk V61ra 1B' 21.5 21.5' 11.5' 26' JS' 42' S9' 62' 1T 12 40 35 10 30 293 8 25 6 20 4 T 15 282 10 292 2 5 262 266, 267, 268 284 294 295 0 GALLONS 10 20 30 40 I 50 60 I 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 J 1 1 I I I I I I LITERS 0 80 160 240 32 0 400 48u 560 640 720 800 880 Ba A61 e: To Y "56ee/ A ■ S o; / A SS4Med .¢rQCl; = l00.LO• Q ✓Q�ccQ- �v, -� u sue( �v e 5�6 /.'s -� SY fun• °� , � Gntows: g2�, o ♦ E7 e�/a7r , Rropo%d we P 75'0 -M,e wreste cowere {e ` Pax in 1 0 c,l.2 bt Proposed 1, clBV�o.P 9 3 5ep6 o Eo.,, K �/ ■ 3y '� aA to (, /Co eW/ �;1 �c.r ou..�let. ' � f �� � � J • a P ro ?oS¢d ri 3 bcd�ca�, /02. (2-'. 3 b a �D eve. 33 "t y T 0F� 13E REtip5 94/0 ss y Pei`��3 Wisconsin Department of Commerce SOIL EVALUATION REPORT tivision of Safely and Buildings Page / of In accordance with Comm 85, Wis. Adm, Code Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must County sT C,4 /X include, but not limited to: vertical and horizontal reference point (BM), direction and Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. '/070•SO OZV Please prin( all Information. � ; Reviewed by Dale r'ersonal inrormallon you provide may be used for secon rly purposes IF Ivacy Laws,; 15 Property Owner ' (� j3,8 E �'/ ��i� RECEIV Pro y ocalion -f Govt. k S� 1/4 114 S T N R /r0 t (or) W Property Owner's Malting Address Ih�l 1 , of # lock # Subd. Name or CSM# /SY3 7d /1.- 4 P. t :. ` Por of .? 4ete city 1 T 'pox CSC Stale ZIP Code Phon umber COQ J-S �/• s f � F Q Ily Villa own Nearest Road Z. New Construction J + Use: IQ Residential / Number of be Code derived ❑ P design flow rate _ /,SD _ ep ❑ Replacement GPD Public or commercial - Describe: Parent material General comments Flood Plain elevation If applicable ft S E TMs and recommendations: / ��-SS �V� D E�U ,�'/�O!/„L f /p� j [ - � • TEST �E� /�, ��•��S �- l�J?,�' .S� _ �� � . � Boring # 1:1 Boring Pit Ground surface elev. ft. Depth to limiting factor 3 191 In. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil Applica /ftl Rate In. Munsell Boundary GPD ft 0 100 313 Qu. Sz. Cont. Color Gr. Sz. Sh, 'Eff #1 'Eff #2 3 le9 3 13 L 'W s he die c 4, i 7C s 3 sZ 7. S `�l L 5 / I ? Z io y/L 7.5 yXf e9 siGG / fSh� nr, vii • � S -- , z �- --� L ,�, . a Boring # [j Boring D Pit Ground surface elev. ft. Depth to limiting factor _ 2-5 In. P ,� Horizon Depth Dominant Color Redox Descriptio Soil Application Rate P Texture Structure Consistence Boundary Roots GPD /fl' M in. unsell Qu. Sz. Cont. Color / 0. Gr. -- Sh. 'Eff #1 'Effft2 �Oyre 3i ,� � v�2 w � � Z 9 / � L s � �,,, �/� �v z . y G , • -e. ,v v �v ... . ..... . N Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 m /L 9 ' Effluent - CST N uent #2 - BOD < 30 m / Name (Please Print) 3 _ Mg /L and TSS < 30 mg /L � �y� ? ,� �_ Signature '11 CST NurWher t14 mac. ✓�i , tip /�i�i / 3 -2 .S Address — f Dale Evaluation Conducted Telephone Number J ! UIbrIcht & Associates Privata Sewage Consultants G55 O'Neil Rd. Hudson, Wis. 54016 c Before local zoning permits can be ggranted - THIS PROJECT WILL REQUIRE STATE LEVEL PLAN APPROVAL. Plans will need to be I - ;�.' L submitted by a qualified designer per Comm, 83,22(2)(C)l - Properly Owner 3 Boring # Boring Parcel ID # ❑ .S • Page of � f� •1 -� .S. Pit Ground surface elev. D ft. Depth to limiting factor 3 Z In. tiorizon Depth Dominant Color Redox Description SOII Application Rate P Texture Structure Consistence Boundary Roots GPD /ftr In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh' 'Eff #1 'Eff #2 /6 Y/? 3 1 SG � {s ke � �R W s z /.1 /17 sy e y s � z f yiQ 0 �-- ' lj S �. s yie � PA4 R] Boring # ❑ Boring 9 . Pit Ground surface elev . ` It. Depth to limiting factor In. Horizon Depth Dominant Color Redox Descri lion St Soil Application Rate P Texture - Structure In. Munsell Qu. Sz. Cont. Color Consistence Boundary Roots GPD /W Gr. Sz, Sh. •Eff #1 'Eff#2 - 7 — o' g /o y�e 3/? 5z- 441 /s �.sy y � • • � El Boring # ❑ Boring -' I J ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Florizon Depth ppminant Color Redox Description W P Texture Structure Conslstence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. E: J Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 m /L - _ 9 'Effluent #2 = BOD < 30 mg/- and TSS < 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, snn e��o �rt Frool 7o a� ur N _ ZA It d CD Nl LA W � o M C � 1 -rj ° O O � 'Nisconsin Department of Commerce )ivision of Safely and Buildings SOIL EVALUATION REPORT Page / of In accordance with Comm 85, Wis. Adm. Code Attach complete Bile plan on paper not less than 8 112 x 11 inches in size. Plan must County S7. CjPOf X Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and dislance to nearest road. Parcel I.D. Please print all intormWQ�'n ', R ewed by Date Personal information you provide may be used for secon ry �u[ptises (P ivacy Laws Property Owner — A�— 2M �` M EN Pro y ovation /� 13 a r3,8 iE T'A � - M EN Govt � 56 1114. 1/4 S 2 " 5 T Z 9 N R t (or) W Property Owner's Mailing Address ` I n M , 1 # r -- lock # Subd. Name .or CSM# PVr a F .� � r �.ls /SY3 7a 4-- I f ; !; T t ur X CS �- o/ A) - / o/ s8 r{ Aa.5 City State Zip Code PNpn umber F ity E] Village own Nearest Road ,eve New Construction Use: IQ Residential /Number of be ;�� ^"' � a Code derived design flow rate 1 15 , 99 GPD El Replacement E] Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments ft. and recommendations: 49 c•SS O vex 'P OSE ;r-, ,/� lr�',r,�c%, -f S �- Ir1?�;►�Q .s�/ST -fit_ — S-ee- � ..� U Boring # L1 Boring 314-1 . Pit Ground surface elev. fl. Depth to limiting factor In, Soil Application Rate Horizon bepfh Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D /ft VAO In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 o• Boyle 3/3 L f s fie u, y •sT /o Y?e s/ n y/ Ci z- SL l>� �„ fit? CS , y • � ILI r ' 7S YR M ❑Boring Boring # /6 7.6 D•� 1 — 1 1 4 Pit Ground surface elev. f1. Depth to limiting factor in, f, Soil Application Rate Horizon j1n. E7.5 Redox Description Texture Structure Consistence Boundary Roots GPD /ft' Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eft#2 / SG 1 fS X Mr v - FR �s 14* 4i •Z Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature 0 ,/ /`j�� j � CST Number Address Date Evaluation Conducted Telephone Number /V6 • (� • a/ 715 • 3 �'U • 1 PS Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 Before local zoning permits can be ggranted - THIS PROJECT WILL REQUIRE STATE LEVEL PLAN APPROVAL. Plans will need to be submitted by a qualified designer per Comm. 83.22(2)(C)1. Property Owner Parcel ID # Page of Boring # ❑ Boring 1 I pit Ground surface elev. /0 11.0 it. Depth to limiting factor 32- in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil A GPD /n Rate In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eft #1 'Eff#2 I 0 Y /f 31- � • �o ,p s .ti :� ,�ic UP a, .r �1�2 4� — . % , � S 7. s yie 0 11 6 d "(•r /' Boring # ❑ Boring G �• ,N Pit Ground surface elev. Depth to limiting factor Z S Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ItZ In. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'EN #1 'E042 Y 31 /P y)e fl4e 11 4e 410 7w s • �.sy y 4-s /f W . .e Q — . - 2 A Z .�� F1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Dpth e Dominant Color Redox Description Texture Structure Consistence Boundary Roots Sail Ap plication GPD /It Rate In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft II 'Eff#2 Effluent #1 = SOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent 02 = BOD < 30 mg/L and TSS < 30 mg/L r The Department of Commerce is an equal opportunity service provider 4nd 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. snn -tzi3o rrt,emo> 1 � m n l^ 3 ZN4•- O d o= O 4 m M 4� to -4. 4 N r O N h � � 1 l � � v c 4 h CIS ° �' �, 0 � 72.9996 f U 2 3 1 1 P 6 Z 1 KATHLEEN H. MALSH STATE BAR OF WISCONSIN FORM 3 - 1998 REGISTER OF DEEDS ocument Number WIT CLAIM DEED ST. CROIx Co., WI RECEIVED FOR RECORD Bobbie Ihrke, quit - claims to Larry L. Behrens and Marsha K. Behrens, 07/14/2003 09:30AM husband and wife as survivorship marital property, the following described real QUIT CLAIM DEED estate in St. Croix County, State of Wisconsin: EXERT # 8 REC FEE: 11.00 A parcel in the Southeast Quarter of the Southeast Quarter (SE 1/4 of SE 1/4) of TRANS FEE: Section 25, Township 29 North, Range 18 West, Town of Warren, St. Croix County, COPY FEE: CC FEE: Wisconsin more particularly described as follows: Lot 1 of Certified Survey Map PAGES: 1 filed June 25, 2002 in Vol. 16, Page 4318, as Doc. No. 682640. Recording Area Name and Return Address Hendrik W. Van Dyk VAN DYK, O'BOYLE & SILER, S.C. Post Office Box 118 New Richmond, WI 54017 Part of 042 - 1070 -80 -000 Parcel Identification Number (PIN) This is not homestead property. Dated this 10th day of July ' 2003. *Bobbie Ihrke AUTHENTICATION ACKNOWLEDGMENT Signature(s) Bobbie Ihrke STATE OF WISCONSIN ) )ss. St. Croix County ) s � 4 IZOZ-999.009 IM'OVl n0 ONOJ ANVdWOO SIVNO1SS3dOHd NOIIVWHOdNI 866[ - C' -N WHOA NISNOJSIM d0 HV9 HIVJS a33a WIV7a.11na samleul is nagl molaq paluud jo paddl aq pinogs duaedea due ui BwuRis suos.lad Io soweN (-kmssaaau lou aje glofl •a9palmoullae .Io paleailuaglne aq dew samleuft) LIOP5 IM `Puo[uq: MaH'SII xog az)WO )sod :alep uoile.ndxa alels lou 3I) •luouewlad st UOISSlwluoo AN 'YS `HH'IIS V H IA08,0 `MAU NVA u►suoisiM • {o aluI ` 31lgnd kmioN ItSU URA •M 3IlapuaH * All (19JAVVQ SVM.LNgwn'dLSN1 SIHI CS 'S!M '90'90L § Xq P azi.loglne loi JD awes oql aSpalmoulm pie luawnllsut 2uiogzlo agl palnaaxa NISNOOSIM 30 2IV8 91VIS 'KISW8W :3 - 1111 oqM (s)uos.lad a i p aq of Umoul aw of ') [ UUA - • M 'PpuaH • pauleu anoge agl £OOZ ' Tu 3o dep sl ,q I aw wopq awea Alleuosi3d cnry ' r_ In dE 'unlyduninny 3 E�62640 VOL 16 PAGE 4318 APPROv -.7 KATHLEEN H. MALSH ST. CROIX COUNTY REGISTER OF DEEDS Prannina 7.gnir � -.i n.._t _.__..., ST. CROIX CO., MI JUN 2 5 2002 RECEIVED FOR RECORD 06-25 -2802 4200 PM If not recorded p r;in 3u t)a1l yr approval date approvar shah be CERTIFIED SURVEY MAP REC CERTIFIED "u SURVEY MAP COPY 3. PAGES: 2 Bobbie Ihrke Located in part of the Southeast 1 14 of the Southeast' /. of Section 25, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. N BEARAM03ARE� t)l I? r TO THE SOUM LAVE OF THE SOUTHEAST 111 OF SECTION 26, C.3 C� T 29 N, R 18 W, ASSUMED AS / S90Ww W. SCALE AN FEET 1.,100. UNPLA77ED LANDS 5b 6 o 160 N 90 0 00'00" E 209.73' OWNERS ADDRESS 1543 70TH AVENUE a ROBERTS, W154023 a LOT 7 y N CONTAINS 94,046 SQ. FT. v oc Co OR 2.159 AC. a e o; v (87,120 SQ. FT. OR 2.000 AC. �� EXCLUDING TOWN ROAD w S� ` r w; N RIGHT OF WAY) W' C g �? C z c ' Zi COUNTY BUWNG SETBACK LIVE SOUTH 114 CORNER $ SOUTHEAST CORNER SECTION 25, T 29 N. R 18 W LOCATION SECTION 25, T 29 N. RIB W (FOUND COUNTY BERNTSEN r+ 121' (FOUND COUNTY BERNTSEN ALUMINUM MONUM S 90'00'00' w�z09 - ALU MINUM MONUAIEIVTj i ° S90 00" W 1848.97' x3 S 90 06'00' W 779.49' i� S 90 °00'00" W 209.89' 'r SOUTH LAVE SE1 14 70TH A — $ WW00' W 2638.35 -- UNPtATTED (ANDS �� LEGEND `�GONg,� �pO�uG DATED: APRA. 9, 2002 , • ° • ° .. , v O INDICATES 1' 0.0. x 18' IRON .' �u+x ce o0 PIPE SET (MAN. WT. .1.13 LBJL.F.) M PMY a SOIL BORINGS (PROPOSED SEPTIC SYSTEM) *: $171 it SECTION CORNER MONUMENT (AS NOTED) v F L s, .. ND r)ppOQ Q000400�� THIS INSTRUMENT DRAFTED BYJERALD L. 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