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012-1055-70-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law. s 15 04 (11(m)I Permit Holder's Name. Cdy Village Township JEFFREY & DARLA FERN TOWN OF ERIN PRAIRIE CST SM Elev Insp BM Elev BM Description ��� � 03. �' 0,0, hide.. I�vw TANK INFORMATION ELEVATION DAtA TYPE MANUFACTURER CAPACITY Septic 5 Dosing 1� Aer HI TANK SETBACK INFORMATION M®Mm® e • e ®WMM_- ®m� ��=r _1-� 0=10�111� PUMP/SIPHON INFORMATION Xn— 6sPN"t-4 Number 4,0 .6 , .iS _ 3 245' m Forceain Len th Dia. Dist. to Well g\2 2`t > Io1D" SOIL ABSORPTION SYSTEM MEH Width Len1;I MENSION5 SETBACK SYSTEM TO 'INFORMATION _ _._ - DISTRIBUTION SYSTEM =MIN NOW ` 1c HAMBER OR >I s7ol �� UNIT t 1Header/Manifold �f- 1-tingth-� Dia , r Distribution 9 1 1 ll Le g(th 3�•� l Dia_ Spacing 3• O x Hole S,xe , t N A x Hole Spacing Z, r Vent to An Intake alllL I.UV GK x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over IDepth Over xx Deoth of xx Seeded/Sodded xx Mulched BedlTrench Center Edges Yes No No COMMENTS: (include code discrepencies. persons present, etc) Inspection #1 y/nW 1d1L�„ ( spection #2: �•^' I Location: 1325 200TH ST 1 ) Alt BM Description 2.) Bldg sewer length 3�- amount of cover Plan revision Required? Yes 7tuNa Use other side for additional informati8in—. ( A I SBO.6710 R.3/97 Data �Zlnsepdor's Signature • Con N D.%. �T�tr.C� t}1n—l`1,04, i hd� 1►^r-s l r) n2n /i% , ul-e <N-aaaa - S "W. Vo 0 County � Industry Services Division St. Croix 1400 E Washington Ave Sanitary Permit Number w, t filled in by Co 1 P.O. Box 7162 Madison, N 53707-7162 / ' J iJ i county rtilx nty ant com y Permit Applican LA a ton state Transaction nNNumber Qq In accordance wi S 393.21(2), Wis. Adm. Code, --- --i W this fo—'anuil unit Ole . is required prior to obtaining a sanitary permit. Note: Application forms for steteowned POWTS tee submitted to Project Address (if different than mail address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary 1325 2000 Street 3 in accordance with the Privacv Law, s. 15.04(1 col. Stets. V/ 1. Application Information - Please Print All Information Property Owner's Name Parcel e Jeffery A Darts Fem 012-1055-70-ODO Property Owner's Mailing Address Property Locatitxl 1325 2006 Street Govi Lot NW 'A, SW Yti Section 25 City, Suite Lip Cmk Phone Number Baldwin. W1 54002 rcleone) 'f30N RI7Lor�i 1l. Type of Building (cheek all that apply) Lot is ® 1 or 2 Family Dwelling - Number of Bedrooms NA Subdivision Name •3 NA Block e ❑ Public/Commerund - Describe Use Cl city or _ ❑ State (honed - Describe Use Cl of -- / CSM Number ®fawn of Erin Praise Ill. Type of Permit: Cbeeit only eat box on line A. Complete line B if applicable) _ A. ❑ New System to Replacement Syste ❑ Treatu mUHolding Tank Replacement Ortly ❑ other Modification to Lxislirtg System (explain) B ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiation Plumber owner 2497 1: 10/10/1995 IV. Type of POWTS System/Corn ponentfDevice: Check all that apply) _ ❑ Non -Pressurized In -Ground ❑ Pressurized Infround ❑ At4;rarle ® fAound > 24 im of suittrble it ❑ Mound < 24 im of sun Ic $oil ij ss ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) G�AI v a V. DispertralFIrreatment Area Information: Design Flow (gpd) ispersal Ayd Proposed (st1 stem .levpetIo�n1 a Design Soil Application Dispersal Area Required (s)42' 4S0 Raletgpdstl 750 145 (� ! v•/0.6 Capacity in r VI. Tank Info Gallons Total a ofMurcr/$Gallons Units / r $Nc% �+ 6. :n �f Tanks Existing Tanks M e• a U F v`.• �+ Septic or Holding Tank 1000/650 1650 2 Midwestern Dosing Chamber V11. Responsibility Statement- I, the undersigned. assume responsibility for installation of the POW-t'S shown an the attacked pleas. Plumber's Name (Print) Plu t' Si 'cure _7/y' M MP/MPRS Number 1 Business Phone Number John Schmitt �� � 7 Z4"j�7 223760 715-760-0496 Plumber's Address (Street, City, State, Zip Code) 596 Valley View Trail, Somerset. WI 54025 V 11. County/ artment Use Only Pprotrcd ❑Disapproved Pepp Dej� Z� Z Issuing Owner Given Ream for Denial S (! ro' ItiliT GPI acts Ix. paURessons for D s al3 �tr►t f- -1: Septic tank, r- dlspenal roll must as Per management by q pltn provided plumber: 2. All setback fequiecable crlrents must be maintained 1v ��L)F1 K per applkeble (tMa/OrtllMneaa. ( � v, Atlas to toapsere pacts roe roe antripmau aaunn m rrre .a 7 kiK � 11.anc.t fit lea in wt.— - SBD-6399 (R03/14) SYSTEM PLOT PLAN Fern 3 Bedroom Mound Project Address: 1325 200th Street BM1 Symbol: A BM Elevation: 103.00' BM Description: Top of Dose Tank Manhols Cover BM2 Symbol: 0 M Elevation 103.1T BM Description: Tap of man septic lank Slope Gradient of Tested Area: (10%) Well Symbol (If applicable) Notes: See Page 4 of Soil Evaluation for complete parcel 40 A& a Parcel Design Flow: 450 GPD A' Attach design now Calculations for 1 v commercial plans: Pipe Materiels ! ASTM Standard Scale: 160' Tables 384.30-3 & 384.30-5 " = 4' SCH 40 PVC pipe AST M• 02ee5 2- SCH 40 PVC pipe I ASTM-D1765 1/2- SCH 40 PVC pipl ASTM-D1785 Man Made Pond Proposed 98.e3'a3480' Mound es w/ 75'x6' rock d pipe cal B7' eg \ \ 91' \ 83 Contour Line :I_ \ El -a9.30' b2 \ \ 15%slope \ \ �/�\ \ \ \B 1 Existing 72 x27' Mound A pump for each mound will Ce in the dose lank. Alternating between mounds rib be accomplished by plugging and unplugging the corresponding PUMPS Driveway PUMP bop will De high point of system BM1 • BM2 Pool CRio Ensang 3 Bedroom House Garage BUILDING 120' ZSCH 40 PVC Force Main Extsbng 1000/650 SepsdDose Tank 0 Existing NMI Wisconsin Department of Division of Irdusiry Servi 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 AUG 19 2022 August 16, 2022 L Communucy vc5 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-08-16 Plan Review: PWTS-082201899-C JOHN F SCHMITT 616 150th Ave Somerset WI 54025 SITE: Fern 1325 200th Street Town of ERIN PRAIRIE St. Croix County Total Amount: $250.00 FOR: Description: 450 GPD (3 Bedrooms — Replacement) Maintenance Required Phone 60R-266-2112 e`er I Web hno //dsos wl eov 5 � Email dSps�(Owlsrnnsm eov •a�a�'= Tony Evers, Governor �p K]A�Dan Hereth. Secretary L9" Cone "Ilr APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES 21...14.1 L--t SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022- 2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.0100), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Depanment per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearin¢ and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles. site preparation can oroceed. If the site is too wet to prepare, do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to beset and verified Per approved plan. Any changes may result in Pump resizine to meet TDII and GPNI Specifications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11►(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Disnersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. 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 Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state scats 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services Email: tim.vanderieest(a_)wisconsin.gov Cell: 608-516-6134 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Project Name Owners Name Owner's Address Legal Description: Township County: Subdivision Name Lot Number: INDEX AND TITLE PAGE Fern 3 Bedroom Mound Jeffrey & Darla Fern 1325 200th Street Baldwin, WI 54002 NW1/4, SW1/4, S25, T30N, R17W Erin Prairie St. Croix NA Parcel I.D. Number 012-1055-70-000 Plan Transaction No Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Attachment Block Number Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Existing Tank Certification Effluent filter information Pump specifications and curve Plot plan Sanitatary System Ownership/Address Form Warranty deed Map Soil evaluation report SEE CORRESPONDENCE Designer: John Schmitt License Number: 223760 Date: 8/6/2022 Phone Number: 715-760-0486 Signature: Designed Pursuant to the Nbuntl Component Manual for POVVTS Version 2 1 May 2022 S80-10691 and Pressure Distribution Component Manual Ver 2 1 May 2022 SBD- 10706 Version 2.1 May 2022 Page 1 Mound and Pressure Distribution Component Design Desigr VVrrkshret Site Information (R or C. .Ri Residential or Commercial Design 300.00i Estimated Wastewater Flow (gpd) 150 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 1610 Site Slope (%) 89.30 Contour Line Elevation (ft) 16.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00' Dispersal Cell Length Along Contour (ft) _ �_1.00' Dispersal Cell Design Loading Rate (gpd/ft2) 1 1_ Influent Wastewater Quality (1 or 2) Pressure Distribution Information (C or E) C' Center or End Manifold 3 00 Lateral Spacing (ft) 4 Number of Laterals 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (h) _ 95.85 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 5.73 Vertical Lift (ft) 3.84 Friction Loss (ft) 0.50 In -line Filter Loss (ft) 13.32 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice --- 0.75 1.00 x ---- x x 1.25 1.50 2.00 x 3.00 x Treatment Tank Information 100.00 Septic T 0ank Capacity (gal) Midwestern Prefab ]Manufacturer Does Tank Information I 620.001 Dose Tank Capacity (gal) 1 _ Dose Tank Volume (gaUin) :Midwestern PrefabManufacturer Note Sand fill (D) calculations assume a Table 383-44-3 m-sdu soil treatment for fecal coliform of « 36 inches 6.00 Cell Width (ft) Are the laterals the highest point in the distribution N network? Enter Y or N If N above, enter the elevation (tft) _ of the highest point. 102.50 7 50 ft2/orifice Does the forcemain drain back? _ N Enter Y ur N 0 Forcemain Drainback (gal) 67.32 5x Void Volume (gal) 67.32 Minimum Dose Volume (gal) 39.32 System Demand (gpm) I Manifold Diameter Selection I 1 25 — _ - 150 x x 2.00 x --- 3.00 Gallonslinch Calculator mptiorali Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Effluent Filter Information POLYLOK Filter Manufacturer 525 Filter Model Number Project: Fern 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views L Mound Component Dimensions A 6.00 ft E 31 52 m B 75.00 ft F 1 9 50 in D 20.00 in G L 0.50 ft 450.00 (ft) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate —1 JJ — l A I HI 1.00ft K 1 11.82ft 22.611 ft L 98 63 ft J i 6.00 ft W 34.60 ft 2145 43 (ft2) Basal Area Available 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 92.76 (11) H G•I l F Dispersal Cell 91.47 (ft) Lateral 90.97 (ft)—* — Invert Dispersal Cell Elevation D 1 n 89.30 (It) Contour Elevation 16.0 % Site Slope Shading Key $ & T 1Q _ Topsoil Cap 1.5 ft Subsoil Cap m ASTM C33 Sand B Tilled Layer © Aggregate ci e o i 0 5 R Dispersal Cell © O >� T Tvpical Lateral F 0 A —`P Geotextile Fabric Cover See lateral details on Page 4 for number, size. and spacing of laterals. Laterals are equally spaced from the distribution cell'b centerline in the distribution cell (AxB). Project: Fern 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram For: a rr.Hn come( non vote- of ! ioa s 1 o m..nYold ar tty Pov✓ I _ P 7:3 •= iurn-uCWDall oal••�or I—X--. I`;d' I ;a_+I c1*inoutp4u) HQMr dnW4 on the toranm o1 rb- 111.111 Lveralt we.denb� M T S L 3rFt nl[ } 1Cn �: en b]Yi .._1} 411 PVC pQa `r Til* `84 3G-5 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Velocity 1.50 36.69 3.00 9.83 39.32 13 32 Dose Tank Information Electrical as per NEC 300 and SPS 316 300 WAC Disconnect Tank component is property vented Midwestern Prefab Manufacturer Capacityl 62000 Gallons Volume 1 17.00 gal/inch Dimension Inches Gallons A 19.51 331.68 B 2.00 34.00 C D 3.96 _ 11.00 36.47 67.32 18700 Total 620.00 T A i B C tank. Alarm Manuafecturer SJE Rhombus Alarm Model Number F 1036378 Pump Manufacturer Zoeller E8 Model Pump Number Pump Must Deliver 39.32 gpm at 1 13.32 ft TDH Project: Fern 3 Bedroom Mound 18811n 53 2.ft 15 7.50 ftZ/orifice 3.00 ft 1.501in Locking cover with warning label and locking device and sealed watertight 4 in min F-- Alternate outlet location Forcemain diameter 2 in. Weep hole or anli- siphon device Pump off elevation (ft) 96.77 Dose elevation (ft) 95.85 Note Switches containing mercury may not be used 1n this system Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715.760-04861 POWTS Regulators Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu1100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound :riP a Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 3 years Inspect forponding-and seepage once every_31ears_ i Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384 30-1, have a watertight cap, and are secured in as shown in the mound component manual 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, 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 Finished •.......... • Grade vt 6-8" Diameter Lawn Sprinkler Valve Box Distribution Lateral Turn -up Detail ............... Threaded Cleanout Plug or Ball Valve Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project. Fern 3 Bedroom Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382.84 Wis. Adm. Code, and shall maintained in accordance with rts' component manuals ISBD-10691-P (N.01/01, R. 10112), SSWMP Publication 9 6 (01f61), and Pressure Distribution Component Manual Ver 2 0 SBD- 10706-P (N. 01101. R. 10/12)] 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 SPS 383 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-incites in diameter shall be secured by an effective locking device to prevent accidental of unauthorized entry into a lank or component Septic 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 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 (liter when removed from its enclosure If the filter is equipped with an alarm, the fitter 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 mainterance personnel shall advise the owrer of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the lank. 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 lank use by the Department of Commerce. 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 System No trees or shrubs should be planted on the mound Plantings maybe made around the mound's perimeter. and the mound shall be seeded end mulched as necessary to prevent erosion and to provide some protection from frost penetration Traffic (other then 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 223 mill BOD5. 150 mg/L TSS. and 30 mgA- FOG for septic tank effluent or 30 mill BODY, 30 mg/L TSS, 10 mill FOG, and 104 cfu/100 mL for highly treated effluent. Influent now 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 lest when the system was installed to determine it orifice clogging has occurred and 4 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 Continency 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 lank, pump. pump controls alarm or related wiling 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 Sea Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The Information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this System Project. Page 6 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that [ have inspected the existing septic and/or dose tank presently serving the following residence: (Street address)1325 tooth Street located at: NW '/4, SW '/4, Section 25 , Town30 N, Range 17 W, Town of Erin Prairie , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the hest of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? (if no, skip next line.) Approximate volume or length of time: Tank Capacity: 1000/650 Construction: Prefab Concrete x Steel Manufacturer (if known): _Midwestern Age of Tank (if known): 1011011995 Permit number (if known) 24971 Yes Nox gallons minutes Other _ John Schmitt (Li nsed Plumber Signature) (Print Name) MPRS (Title) 1° (Date) 223760 (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Page 7 AJ �TL ;g/ 1 PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS 1455 Lrxamu Dnvc J Tull Frrr "B-949-3290 t7 rr231-582 1020 Boync City. Ml 49712 Far '-31-92.1324 Emmlb�..' INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port maybe adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. "Always use caution when starting threads to avoid cross threading`". Plumb force main into the 2' sch 30 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface". For t)F-,t p(-rfr- n.,ir=e SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If Our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filler screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage Or corrosion. NOTE: The total dynamic head loss of the system must be inrreased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove'/: plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have instalied the filter and alarm switch, the ball valve can be closed off to simulate a plugged Filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIMITECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIM/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 Page 8 }a w W 25 0 20 15 10 5 PUMP PERFORMANCE CURVE MODEL 98 � I 4 to 20 30 — 0 (50 60 710 80 -- f TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 98 Feat Melers Gai Liters 5 1.5 72 273 10 3.0 51 231 15 4.6 45 170 20 7.1 25 95 Shut -of Head 23 it (711m1 .Wm LITERS 0 8p Tt• 0 Q JR 240 FLOW PER T' TE" n • 1 Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm and three phase systems Mechanical alternators, for duplex systems are available Double piggyback variable level float switches are available for with or without alarm switches variable level long cycle controls Refer to FM1922 and FMO806 for temperatures above 1WF 98 Series control selection Slmplax Oup Model Voka-Ph Mods I Amps M98 115 1 Auto 9A 1 4 N98 115 1 Non 9.4 2 a 3 4 D98 230 1 Auto 4 7 1 4 _. E98 230 1 Nan 47 2 or 3 4 1. Integral float operated mechanical switch, no external control required. 2. For automatic use single piggyback vanabte level float switch or double piggyback variable level float switch. Refer to FMO477. 3. See FM1228 for cored model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM 1663 for a residential aflemator system. For information an addli" Zoeller products refer to catalog on Piggyback variable Level Switches. FM0477; Electrical Alternator, FM0488: Mechanical Alternator. FMO495; Sump) Sewage Basins, FM0487; Single Phase Simplex Pump Control. FM1596; Alarm Systems. FM0732. • CAUTION ' "Easy assembly" i (pLw% a aecssrge WC rid rwuaed.l S Reduces potential dogging by debris. Replaces rocks or bricks under the pump Made of durable, noncorrosive ABS. Raises pump 2" oh boltorn of basin. Provides the ability to raise intake by adding sections of 1'h' or 7 PVC piping. Attaches securely to pump. Accommodates sump, dewatering and effluent applications. NOTE Make sure float Is tree from obstruction. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAX rO oo BOX 16347 - Lokxavas. KY 40ZW347 Nanu'acNrers of L SHP 1* 3649 Cane Run RoadLouisville. Ky 40211-1961 !O. 502) 776273 t • I (900) 97BPUAY www.rosCaccom FAX 1502; 771J611 LO Copyright 2012 Zoeller Co. All rights reserved. Page 9 SYSTEM PLOT PLAN Fern 3 Bedroom Mound Project Address: 1325 200th Street BM1 Symbol:Ak BM Elevation 103.00' BM Description: Top of Do" Tank Manhole Cover BM2 Symbol: Q BM Elevation 103,17' BM Description: Top of manhole on the existing septic tank Slope Gradlent of Tested Area. (1W Well Symbol (If applicable) Notes: See Page 4 of Soil Evaluation for Complete parcel 40 Ace Parcel Design Flow: 450 GPO A 1 Attach design flow calculations for N commercial plans: Pipe Materials f ASTM Standard Scale: 1" = 60' Tables 384.30-3 & 384.30-5 &m 4' SCH 40 PVC pipe ASTM- D2565 Y SCH 40 PVC pipe ASTM-017a5 12' SCH 40 PVC pip ASTM-DI785 15' Man Made Pona Contour Line El -89 30 Existing 72WT Mound A pump for each mouna will be in the dose tank. Alternating between mounds tab be &=mpllshed by plugging and unoluggmg the corresponding pumps Driveway Proposed 98 63'x34 60' Mound 85 car 75'x6' rods 6 pipe cell 67\\(/ 159 �( 16% slope \ Pump loop Will be hgh point of system SMi BUILDING e� Existing 3 Bedroom House Garage \B1 120' 2-SCH 40 PVC Force Mai Ensbng 1000/650 / SepbdDose Tank a Exsting Noll St Croix County, WI �. Legend • �� � jy, lA.. aIC Wa. T � aY� � 14..n ma �n.wn• t � ' +l fir► 4� �. ° � ' .�•t : �. � a Jj4t ti ° . r� j + . .•• t .1+��}} �! Sun N.fns.: • f .?-" o f f ' � L . • aka• .{7 •.� � - r - L�•.M Rrw10• .'. y0. w ` W` . :q .. � �♦ �'1 ; � • p.�„•:I"Vt P.:mwwrn.p•n-ar,.,e YL. A ♦ � a r� w a;n � :: n.:.t cyn^-'t. a ta'•GM'A r/•d W �• �• O t - • -i "T."-•n.:w�..•�m.:u.ranvlNvd en• t�I w•O `'\ '! a \~Sallety and P� Proles clonal S&-AM SOIL EVALUATION RE4PORT in soeordana with Comm 85. Wis. Adm. Coda 1112223 Page 1 of 4 Schmid Sou Testing, Inc. County Attach camplete the plen on paper nol less than B% x t 1 Iricfiss in size. Plan must St. Croix Include, but not emled to; vw*W and liortrontal reterence point (BM), dimcdon and dement and batlon and distance to nearest road. Paroal 1.0. partial hope, sate orons, north arrow, 012.1055-70-000 than• Print all inform con. Revtewed By Data Paso W Wormy orn you ptoNde may be used for saowilary purpasa (Pnacy lsw, a. 15.04 It) (m)). Property Owner Property Location Fern, & DoU Gov. Lot NW1/4, SWIM, S25, T30N, R17W Properly Owner S Milling Address Lct • Stock Al Subd. Name ot CSSM 1325 200th Street NA 40 Acre Parcel City Stale Zp Code Phone Number I J City [] Villeps 0 Town Nearest Road Baldwin WI 1 54002 1 7154184-6825 Erin Prairie I 20OTh Street New Construction US*: Residerrbal / Number of bedrooms 3 Code derived design Bow rate _ 450 - - -GPD J ORoplecietnerd N Public of Commercial - Daurtbe: PureM rneleflal Gtadal tle (Saritlago Slerles) -- -, __-- Flood Ptatn aisvalbn, 9- bia NA d. General comments Pap*vra t ens b su tibte fa a mound eysttem. System elevailon b gUr based tl the contour rife aalaboshed at 8g.90. srW reaorrirrrendetlorts: pep(h t0 (bldtlfg bclpr b 16•. Slope d area b 18%. aBoring K j � Ground sudece elev. 90.0 tr Depth to limiting factor 27 in. Soil Apptiaaon Rate Depth Do merariColor Redox Desaiptlon Texture Structure Caro Boundary Root GPDff •Ed1 •EM In. muroN 0u. Sz Cont. Color Gr. Sz Sh. 1 f 0-9 10yr3/3 none sil 2mgr mtr as 2m,2If 0.6 0.8 9-IS 10yr5/3 norie ell 2fsbk mfr gw 2f,2vf 0.6 0.8 3 15-27 7.SyM/6 none st 2msbk mtr gw 1vf 0.6 1.0 4 27-39 7.SyM/4 m2d 7.5yr" 7. 2 sd 0m mtr Cs 0.0 0.0 S 39-54 2.Sy6/4 m2d 7.%TNS d Om nrfi - = 0.0 0.0 ❑ Barbg 27 Baring e Depth to Ibnibng factor 17 in. Boll Ap Pa Ground suAeas siev. 90.00 fl. pMatle Role Horizon Depth Do nlnant Color Redou Dasorlption Texture Structure Boundary Roots Wife •EM in. MwuaB Qv. SL Cont. Color Gr. Sz. Sh. •Enr1 1 0-8 10yr3/3 none sit 2mgr mvh as 2m,2vf 0.6 0.8 2 9-17 10yr5/3 none ell 2fsbk mfr gw 2f,2vf 0.6 0.8 3 17-28 7.SyM/6 m l7.7• 2 a 2f5bk rtifl 9w lvf 0.6 1.0 4 28-35 7.Sy 72r4/4 n .7•srreJ6 S Om � C, 0.0 0.0 5 35-64 2.5y6/4 m7d 7.SyrWB 7.I d Om mfi - 0.0 0.0 • E111uerdsl a BOD > 30 220 rnpfl and TSS P30 � IOU mpr� cwwwrn.a - ...... a •• •• �� -- - s s CST Number CST Nan s (P1°e'e Peon 227429 ThorMs J. Schmid - Address Schmel SOY TOWN, 10111. Ole Date Evalostlon Conducted Teleplwro Number 1M 72nd SL Now Rldanorrd, VA 54017 71 WO22 7157804978 P am IV owner Fern, JdkeY & Will Parmi ID s 012-1055-70.000 Page 2 of 4 F �v s ❑ Borbrp pg Ground surface elev. 85.10 A. Depth to limiting factor 16_ in. Solt Application Rate lorlson Depth In. DmInard Color munsall Radox Description Qu. Sz- Cont. Color Texture ShXwm Consistence Gr. Sz. Sh. Bowrdery Roots GPDAP •ERit -EM 1 0.6 10yr3/3 none sit 2mgr mfr as 2m,2f 0.6 0.8 2 6.16 10yr3/4 none ill 2fsbk mfr gw 2f,2vf 0.6 0.8 3 16-24 10yr5/3 '7,7y-5�8 fsl lmsbk mfr gw 1f,lvf 0.2 0.6 4 24-33 7.SW4/4 m� 7'sY�l6 sl Om mfr gw 0.2 0.6 5 33-54 5YM/4 ".SYr6/8 sd lmsbk mfr — 0.2 0.3 ❑ Bo" ll � Pit � Ground surface elev. ft. Depth to Urn" factor In. oil Application Reta Flortzon Depth In. DaminarK Color Mur"I Redox Oncrlption Qu. Sz Conl, Color Texture Text Structure Gr. Sz. Sh. Consistence Boundary Roob GPDW •E1ret rtt Depth to Ilmaing factor In. Hoation Rate E BOt s F] fl. . o n Pt Ground surface elev. APP ltoftt= Depth In. Don wd Cobr Munsell Redox Description Ou. Sz. Cord. Color Texture Structure Or. Sz. Sh. ce boundary Rook GPDA•Frio P EM WA N ■ Owe > 30.S 220 mglL and TS8 2-30 � 100 mgt ' Effluent 02 = BODE < 30 nV& and TSS <L0 mg& The Deparunest o(Cottm om lam equal opportunity servloe provider and employer. If you need misbna to omm aervlca or need materW in an sltwnms fomst, pines contaa the dspwhent at 608-2W3151 or 71Y 608-2644777. wwa 1w Tom& Ys. serra»e e"An Man made pond SEE PAGE 4 OF 4 FOR FULL VIEW OF PARCEL y, 030IV Nn,th parcel hoe 85' 97•` `% V = 60' \4;np `\ s `yy `\ 05b to *8I `pAntl line 91 E.2:mq 2 HWIooun 27' X 72' Llnunn 911 1 j BM 1 103.00' Top of Dose Tank Manhole cover F.Isunq hikMat 1"Mast t BM 2 103.17' Top of Septic Tank Manhole cover !M] y on s•pl„-nnsn an4 Contour Line El. 89.30' "hi ' Contour Line Length 75' aaot Slope of area 16% GAe , F---1 Conducted for: Jeffrey & Darla Fern 1325 2001h St. Baldwin, WI 54002 40 Acre PArcel PID:012-1055-70-000 NW114 SW114 S25 T30N R17W Town of Erin Prairie Conducted By. Thomas J. SJchmitt CST 221429 7.25.2022 potr BUILDING DOUSE O v,Ftt St Croix County, WI Legend St Croix County, WI Legend R" "q sl'.'mA --A S-I: C R Oj L IN-I-Y SANITARY SYSTEM File #:Olive Use Only OWNERSHIP/ADDRESS FORM creeted212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer Jeffery & Darla Fern Mailing Address 1325 200th Street City/State/Zip Baldwin, WI 54002 Phone Number (reauired)715-684-5825 Email Address (rest,ired)lfern@baldwin-telecom.net Parcel Identification Number 012-1055-70-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW'1, , SW 1/4 , Sec. 25 , T 30 N R 17 W, Town of Erin Prairie Subdivision Plat: NA _ Lot # NA Certified Survey Map m 40 Acre Parcel . Volume Page # Warranty Deed # 1006814 (before 2006)Volume Page # Number of bedrooms 3 Spec house O yes ■ no Lot lines identifiable ■ yes O no New Property Address (Staff Initials) OFFICE USE ONLY (Verification o+ npl(address required frorn community Development Department for new construction.) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center cdd@sccwi aov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax 'N lJ IY wig ua Page 11 ,erury,, r S P Sl = Profess _J� PA-f - #2223 Page 1 of 4 Schmitt Soil Testing, Inc. Attach complete site plan 4n paperfibtI v I1h131�tcljes in size. Plan must -- St. Croix include, but not limited to: ert(cill b�Frolbrenncoee p�dii�nt (SM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 012-1055-70-000 Please print all information. Rev eiLPersonal information you provide may be used for secondary purposes (Privacy Law. s 15.04 (1) (m)). - 2 Property Owner Property Location Fem, Jeffrey & Darla _ Govt. Lot NW114, SW114, S25, T30N, R17W Properly Owners Mailing Address Lot a Block # Subd. Name a CSMt 1325 200th Street NA 40 Acre Parcel City State Zip Code Phone Number J City r_l Village Town Nearest Road Baldwin I WI 1 54002 715-684-5825 Erin Prairie I 20OTh Street to it w and 1120 ac= Se with Comm AR WIS Ad= F New Construction Use: Q Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or corryaercial - Describe: 2 Parent material Glacial fill (San beigo Series)✓ Flood plain elevation, if app-I'i ableJ2(, INA IL General comments Replacement area is suitable for a mould system. System elevation is 90.9T based of the conlour line established at 89.39. and recommendations: Depth to knifing factor is 16'. Slope of area is 16%. p ft 1�# ❑ pit Ground surface elev. 90.0 11. Mormon Depth Dominant Color Redox Description Texture In. Munsell Qu. Sz. Cont. Color 1 0-9 10yr3/3 node sil 2 9-15 10yr5/3 node stl 3 15-27 7.5yr4/6 none sl 4 27-39 7.5yr4/4 m2 5.5yr 8 9d 5 39-54 2.5y6/4 m2d 7.5yr6/8 d Depth to limiting factor _ 27 in. Soil Application Rat Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W 'Eas1 'EIfi2 2mgr mfr as 2m,2f 0.6 1 0.8 2fsbk mfr gw 2f,2vf 0.6 0.8 2msbk mfr gW lvf 0.6 1.0 Om mfr cs - 0.0 0.0 0m mfl - 0.0 0.0 Z Boring i (�, Boring %( Pit Ground surface elev. 90.00 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth In. Dominant Color Redox Description Munsell Qu. Sz Cont. Color Texture Structure Consistence Boundary Gr. Sz. Sh. Roots GPDW �Ertat `Efns2 1 0-8 10yr3/3 none sit 2mgr I mvfr as 2m,2vf 0.6 0.8 2 8-17 10yr5/3 none sit 2fsbk mfr gw 2f,2vf 0.6 0.8 3 17-28 7.5yr4/6 6/8 m2d 7.5yr5yr2 sl 2fsbk mfl gw lvf 0.6 1.0 4 28-35 7.5yr4/4 7. 7.r6p Om mfr Cs0.0 0.0 5 3S-64 2.5y6/4 m2d 1 8 d Om mfl - 0.0 0.0 Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent 02 = BOD5 <_30 mg/L and T55 <30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �� 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 725/2022 715-760-1978 sa6t330 (R 07/00) Property Owner Fern, Jeffrey & Darla _ _ Parcel ID iti 012-1055-70-000 Pays 2 of 4 3] Boring #❑ Boring �] PitGround surface elev. 85.10 R. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth in. Dominant Color Munsel Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fe 'Etrit OEM 1 0.6 300/3 rtone sil 2mgr mfr as 2m,2f 0.6 0.8 2 6-16 10yr3/4 none sil 2fsbk mfr gw 2f,2vf 0.6 0.8 3 16-24 10yr5/3 c2j 5'S�8 fsl lmsbk mfr gw lf,lvf 0.2 0.6 4 24-33 7.5yr4/4 m 2ds .5yr6/6 m2d 7.5yr1 /8 sl sd Om lmsbk mfr mfr gW - — 0.2 0.2 0.6 0.3 5 33-54 5yr4/4 Boring Boring N Pit Ground surface elev. ft. Depth to Iim" factor in. Sal AppYcatiort Rals Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consisbnoe Boundary Roots GPD/M 'Ef l I -EiW ❑Boring 1-1 * 1---] Pitg Ground surface elev. R. Depth to limiting factor In. Sal Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rods GPDlM 'Efat OEM Effluent 81 • SOD 5> 30 < 220 mg& and TSS >30 c 150 mg& ' Effluent fit m BODs < 30 mg& and TSS <30 mglL 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 608-266-31 S 1 or TTY 608-264-8777. SaD-1330(R07/00) sdirm SW Teal% 1M. St Croix County, WI 0 to cM Man made pond SEE PAGE 4 OF 4 FOR FULL VIEW OF PARCEL Existingg 2 Bed roa 27' X 72' Mound BM 1 103.00' Top of Dose Tank Manhole cover BM 2 103.17' Top of Septic Tank Manhole cover Contour Line El. 89.30' Contour Line Length 75' Slope of area 160,76 Conducted for: Jeffrey & Darla Fern 1325 200th St. Baldwin, WI 54002 40 Acre PArcel PID: 012-1055-70-000 NW1/4 SW1/4 S25 T30N R17W Town of Erin Prairie Conducted By: Thomas J. Sc mi C9 7-25-20 2 POLE BUILDING 930' to North parcel line 85' 87'♦ ♦♦♦ 1.1 = 60' 89' ♦ % 11 ♦ 850, to ea! parcel line 91' BM 1 Existing Midwest Precast 1000/650 gallon BM 2 septc/dose tank HOUSE WELL Legend Wren and Riven Riven ald Streams — inlenub. us Howmay@ State Hgtway@ CantY iWm'M Local Road@ Ru@Ic Roads Ran" Road RVA of way wam.a e..a.e arer a.r r� aaw Ralli Coiweyaca DNlscn 0 20 40 601`11 DISCLANIER: This mop a not guaranteed to be smxen. correct. tlrtnn, Or Il and mrLdme drawn an IM responsibility of V* 07 (LI�u►+�� f 54. coy couNnr I 1vo. 644778 STATE SANITARY PERMIT C�T+FP3yAL PREVIOUS NO.Z 7:/ 7lN[ K OWNER PLUMBER JDkisi TOWN OF SEC ZS' ,T_3—aN, R AND/OR LOT /(fib LIC.# 2Z37(O0 BLOCK SUBDIVISION CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit Is based on regulations in force on the date of approval. (c) The sanitary permit is valid and maybe renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may Impede renewal. (I) The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1991 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. �/q AU HORIZED ISSUING OFFICER - DATE 8 ZS Z'Z THIS PERMIT EXPIRES 8 Z UNLESS RENEWED BEPORYTHAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)