HomeMy WebLinkAbout038-1242-13-000�n°o.wmwma c°mwm.
PRIVATE SEWAGE SYSTEM
°eunry
St. Croix
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INSPECTION REPORT
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GENERAL INFORMATION
(ATTACH TO PERMIT)
645427
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Oevering HoMISS
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TOWN OF STAR PRAIRIE'RA
038-1242-13-000
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31.31.18.1328
TANK INFORMATION
I ATION DATA
TYPE
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INFORMATION
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System PLOT PLAN
PROJECT Oeverino Homes ADDRESS 1433 Oemonhuus Ave Suds A New Richmond WI 54017
N 1/2 SE 114S 31 /T 31 N/R 18 W TOWN Star Pnalrle COUNTY ST. CROIX
SYSTEM ELEVATION 90.5189.55belowgrade 9/25/22 BEDROOM 3
DATE
CONVENTIONAL XXK CONVENTIONAL LIFT HOLDING TANK
MOUND _ SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD KATE .7 ABSORPTION AREA 651 a of chambers 32
BENCHMARK V.R.P. Top o13/4' pipe ASSUME ELEVATION HIS' Filter LifeOrm Filler
❑BOREHOLE (Z)WELL •H.R.P. sameasbenchmerk
Scale = 1/4" = 10'
I?� FBeftom
25'
I�a.M.& .. -1�
25
Vents
95.5'
93.5'
91.5'
16%Slope
2-3' X 66' cells with>3' spacing
Vent �e
G
90th St. 25' >6" Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
6.W21pair of end caps
4' Long 12
Grade at System Elevation
85th St
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 1201h St.
New Richmond Wi 54017
715-246-4516
Date: 09/25/22
Owner:Oevering Homes
Location N1/2 SE1/4 S 31 T31 N.R 18W 1821 90th St. Star Prairie
Used: In -ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintance and agency Plan
7. Filler Cross Se i
Signature
License er #226900
System PLOT PLAN
PROJECT Oevarino Homes ADDRESS 1433 Cernonhous Ave Suite A New Rkhmond Wi 54017
N 112 SE 1/4S 31 /T 31 N/R 18 W TOWN Star Prairis COUNTY ST. CROIX
SYSTEM ELEVATION 90.5/69.5 5'below grade 9125/22 BEDROOM 3
DATE
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND _ SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE T ABSORPTION AREA 651 R of chambers 32
BENCHMARK V.R.P. Top of 314" pipe ASSUME ELEVATION 100' Filler Lifetime Filler
❑BOREHOLE O WELL •II.R.P. sameasbBnchmark
Scale = 1/4" = 10'
Pm 3 Bedroom
House
25'
B.M.•
93.5'
91.5'
16%Slope
2-3' X 66' cells with >3' spacing
Vent
St 25' >6.. Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
4' Long
12" 6AW21pair of end caps
34 Grade at System Elevation
85(h St
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
6.6fN2 pair of end plates To be > 1' above grade
/ Finish grade elevation
Typical Installation \ �( 95.5'
All Grade y (pwnt
Septic Tank
Spacing 5'
System elevations:
A_90.5
B 89.5
at System Elevation
2-3' X 66' Cella
Same on other end Observation tubeNent
At end of cell
A
16 chambers per cell B
Sr CR �LJNTY SANITARY SYSTEM File x:
OWNERSHIP/ADDRESS FORM D�u�l
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/I
Mailing
City/Sta
Phone Number (required)
Email Address (required)y
Parcel Identification Number
(found on the propeny tax bill)
OW NER/BUYER INFORMATION
NEW SYSTEM: LEGAL DESCRIPTION
Property LocatiorY�r S W , Sec J/ T J/ N PW, Town of _54/� / w &2
Subdivision Plat: 4:4a� (/r 7Fl/ . Lotx V
Certified Survey Map x Volume ^ Page x —
Warranty Dead III — before 2006)Volume Pagex
Number of bedrooms Spec house fXyes O no Lot lines identil yes O no
aOL/� //, OFFICE USE ONLY
New Property Address/O� 70J"L. if
wedfcation of new address required from community Dwdopmmt Daya"ent for new wnatrocdpn.)
ZB ZZ
(Staff Imes) (Date)
This /omr must be submitted with all Private Onsite Water Treatment System (POWTS) applications.
New System: Include with this /arm a recorded warranty deed /ram the Register of Deeds Office and a copy of the certill
survey map if reference is made in the warranty deed.
Community Development Department -Land Use Division
715-3864680 St. Croix County Government Center 715-24541250 Fax
cdc0sccwi.t; 1101 Carmichael Road, Hudson, WI S4016 ww vSccwi.aov
POWTS OWNER'S MANUAL. & MANAGEMENT PLAN pan—d_
ILE INFORMATION
DYIIIH
Pelmlt R ------
Bala" PMl1ME m
Number Bodmoma
DNA
Number A Pubic Farilty Units
JANA
Esdinated Am (average)
J7�oV
I Design Row (peek), (Estimated x 1.6)
(j gUds
I Soil Applialon Rate
! al/tle /RN
I Stallard lnfluertl6Rkal Quality
Monthly avangY
Fla. ON a Grease (FOG)
a30 mgyL
BlochHnkel Oxygen Demand (800d
e2M mglL 0 NA
Tool Suspended Saint traS)
slag mglL
PrNroeted Effluent Ouasy
Monthly average
Biochemical Oxygen Demand (SODA
530 hi
TOW Suspended SONG 988)
�1,
530 mgfL /„
Foal Ccllform (li anetdc main)
510e pful Done
IMadmium Effluent Pan ds Site
M In dda. 0 NA
Mr
%felws bawl for dwawk wntewebr all sapid Unk amuwd
NTENANCE OCNEDULE
Septic Tank Capacity
O NA
Sepbc Tank Manufacturer
ONA
Eeluod Fear Menvoic urer
p Nq
EMuent FNer Model
%
NA
Pump Tank Capacity
gal
NA
Pump Tenk Manufacturer
DNA
Pump Manufacturer
DNA
Pump Model
O NA
Pretreatment Unit
D NA
0 Sand*mvel Feder
❑ Pat FIW
❑ Mechanical Aamtbn
O Wertend
D Disinfectant
0OIhx.
ON uan al Caga)
❑ NA
norauml(gravity)
0 IrvGmhmd(pressudutl)
❑ At•Grede
0 Mound
0 D ip.Lhe
D War:
other.
0 NA
Other
D NA
deer
DNA
Service Event
Servla Frequency
makes condMon of users)At
taut onw every:
montha a a (MaxWum 3 ywre)
❑ NA
(Pump out consnts M hink(s)
Whm Combined sludge and scum equele onslhlrd ()j) of tank volume
D NA
Inspect dlsaml ells)
_
At Insl once every:
�mHdh(a) (Maxknum 3 years)
0 NA
Clean affluent Bar
_
Al least or a every:�
.1
month)
��
name
DNA
NA
!nspem pump, pump cadrde6 sdalm
_
At least ance every:
00 wp)a
ONA
Plan Islands Bid prenure Met
At Will once wary.
D mock s
❑ Yer a�
DNA
en
At leant one every_
D liNngl(e
❑ yearta)
D NA
O NA.
MAINTENANCE INSTRUCTIONS
Ilnapalims of balks and dbpenal mile shall be made by an individual anying one of me following licensee or anlflmlbm: Mentor
Plumbe(; Matter Plumber Restricted Sewer; POINTS Inspector POITS Malyda:ner. Serfage Sourcing Operator. Tank kvpadae mud
lnciude a dwl Inspection of the rankle) to Identify any mining or broken hardware, dimly any Cracks or IUW, measure Me volume. M
Combined sludge and scum ell to check for any back up or pundirp of of lam on Me ground surface. The temporal celite) ghee be
visually madected W checc the effluent levels In he obnralkm pkros aml to check Nor any Ponding of effluent on me ground sulloa.
'ill ponding of effluent on the ground surface may Indicant s Mlling mndeic n and reeulrn The Immediate mtiRcetlon of the Iocel
legutetoryaulhody.
When the concnad aaumuiedan of sludge and ecum in Hry fork pule ontrthid I%) or more of The tank volume, the make conts,iN nl
Ilse talc Riatl a removed by a SepWge Servicing Operaix and dwpoeed of in accordance with chapter NR 113, Wisconsin
Adminatmave Coda.
NI other services, Including but not limited to the servicing of diluent :Ann, machanial or prenuraed conponeme. Pretreebmnt unite,
but any sarvldng at Intsmat a of 512 monms, shall W performed by a contract POINTS Maintainer.
A service raped shag be Provided to The focal regulatory authobli Wilco 10 days of Completion of arty service event,
Page �of
START UP AND OPERATION
For new mnnwdlon, prior a use Of Ma POWf3 Neck tenement ank(S) for Vh presanh d caiam fmtlum ev other cM nw s t
may Impede M bermam a M 5 an oemelr odorb dimmest Wlfel. If nbn mrenaations en Matletl haw tiro conlana of MP
banks) removed by a sepotg
System Man up Shell felt oop r when soil mndNanc are ffoxm M MB .eNbebya B prvn le ealored the s>ces• wastewater All be
Durbg power "0 pump Vohs may nil wave marmot hlBhw•1• d amu•m.
discharged a the tll•penM cWI(s) in we Large does. ovorameng the croddllls) and my health In the backup W su a eMd WO per w Me
TO avold ME amuem pump os� mined aeat the Plumber r POWf3 Mantanr M @a t In mrnwlly operatiSolution• Pu mn�aob m rosins marmot level•
whhln the pump tank.
Do not drive or "A yehipas war tanks and dlapenal mils. Do nW dine or caci over. orothelwlae disturb or cortlped. Ma area within
15 feed down elope M any mound or W-Linda soil absorption area. d „nano and proving ME Wes at the PO`MS'
Redudbn or aaminaaan ofal gin following SOm the meter ahem cosy Improve MS pa o
adibb ; baby wipes: cigarettes buff condari cotton swabs; degreawe; deed nun; da ass: danfad %; f t IouMaMon'drain
(sump pump) water, Sun and vegmbla peelings; gasookic green; herolddes; most wags; madWatlma; ON; per"I" prod rs";
pasaWos unitary nopklca; Wnodns; and water wflenr bMe.
ABANDONMENT
eVirthen Me nd set* abandofalls Mll be ned in aomplim� with oh par Comm 83.33, tin Mminhistive Cods: ken b imure IMt are eYWrn ie prop"Lly
• All piping a anks and plot shall W disconnected aM the abandoned pipe openings waled,
• The comena of ell Mnks and pia shall M nmwad end pmpedy dlspoud of by B SePage SaMcC Q Opanbr.
• After pumpng• MI anal and pits shell M excavated and removed or Melr raven mmoved and Me vole spew eked with Soil,
Gravel or mother Ina solid modal.
CONTINGENCY PUN
If the POWTS III me ulmot be repalnd the following meewM he" mar. of must Go taken.toprovide a min ernpllAnl
replacement system:
❑ A sulable replecemnt ane has been evaluated and may be uNotee for the location of a WIp ent wB absorption syMWn.
The replacement am Mould be protected hrn dlstutbmm and Gampectton and should not M Irddngad Won by r ul'W
uW g Sum adaMg and proposed saudpe, IRA tins and walls. FWlune to pnad she MPlammanl wee wNl nsun In the Mod
far a now Sol and site evatun don to em um a sui"e nplscemni tine, Replaoalmdt syatems mwl mmply w tie Met In
~ at Met am,
O A CIMQ lWtmay be lnelME mPltEms lSea lost available
rewda reW se oack oncloram Banng edvanue In POWr3lecfinology e
❑ The sea has not been evaluated! to Identify a sunaba nplawment See. Upon failure d eM POWfS a BOB and Me evaluation
mot M Wdarrned to bona a eglLaEk eplecemenl anti. If na nplemment roe is w Nebls a MWing Lank maybe InsWIW se
s led reeks to solace lie ailed POWTS.
❑ mound and aignde wit Wsorptlon eyalSm my M reconseuated In Flom sallowug emovsl of Me Wamt W Me MSIaWNe
surface. Remnstruaaons d wall systems must comply with Ma rule In afl W that Was
eaTYARNING»
SEPTIC, PUMP AND OTHER TREATMENT TANKS MY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OKYGEN. W NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN IIqq UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OPA
PERSON FROM THE INTERIOR OF A TANK MAY EE DIPPICULT OR IMPOSSIBLE
ADDITIONAL COMMENTS "-
1101i INRTALLER POWTS MMNTAINER
Name Nems AA !
Phone ( - -1{ Phpra %ICJ-ZNID-NSIh
SEPTAAE SERMCING OPERATOR PUMPER NApaL REGULATORYAUTHDRITy
Name rnyyl YNDn 01^ --� �Nrna j U k t JtnITU�
Phone j I It;, I{ -5 1 qq �Phone
TNsdppmMres dreeed 0 OMOIenm all Onapbr SPe Madi"X')(d)&M she M],eelH. (A a l yllecaraWAdMWWM pas
_ v 1)�
FP'.c A\� V o V 97
#ZEy l'
DEC 20 2021
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'EIMM 01. 000,,"Sm irytW 793>30_IN nail - EMrl R.B9Dr:]UIrOM1 w9 Tim;IwrpM1
The Npwvnenl of ommerce Iten"MI oppertanityeervice provider AM waloyer. Ifyou need mlrwnumwawwrvbw or
need material in an alternate formal. plane contact the depmment at W2.2".3151 or TTY 08104-8117.
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Soil Test Plot Plan
Protect Name Oevering Homes Investments Shaun
Address 1433 Cernohous Ave Suite A
New Richmond WI 54017 #226900
Lot 13 Subdivision Bella Vista Date 1212PJ21
N 1/2 SE 1/4S 31 T 31 N/R18 W Township Star Prairie
Boring Q Well PL Properly Line County ST. CROIX
BM or Vnp Assume Elevation 100 ft. Top of 3/4" pipe next to large solo tree
System Elevation TBD •HRPSame ea Benchmark
Scale = 1/4" = 10'
M.
95.5'
93.5'
91.5'
16% Slope
thS 25'44
3 Z
85th St
1w, Nm
SqE
Tmg1
a�
IF I
Is s mm J3. /4
•in ; � / /� aEi
PW
R Ht 3• 0Tl
SIP w•:rft
E
4e ep 45�`�h,,, �i,i�°Satan •i G f
J rW�
m�
P r
OroN3
Fif
IF .�> J
8s�. o a y W��a mar3n
1 01 N09W We r.•{ G
9ael' riRn R N >ao>=
8 Cii;J� soesa,
a> ro. m'oe n �1 ; ,y /pI• J,00 •E
a� Iea�43i d' LEI
-GSi1Mf EElp I - -(501 YC'11'E 1303"') I O.
--NO.33'55-E ZW.3l---
LOT 2 LOT 3 I LOT
CERTIFIED SURVEY MAPI CERTIFIED SURVEY IMAP
VOLUME 9, PAGE 2661 VOLUME 10 RAGE 2805
-- --
vt.�,w Down W� DEC 28 2C21 SOIL EVALUATION REEPP yT ^ P,e, Vo
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Soil Test Plot Plan
Project Name Oevering Homes Investments $haun
Address 1433 Cernohous Ave Suite A
New Richmond Wi 54017 r f,(e #226900
Lot 13 Subdivision Bella Vista Date 12/22/21
N 1/2 SE 1/4S 31 T 31 N/R18 W
Boring Q Well PL Properly Line
BM or VRP Assume Elevation 100 ft
System Elevation TBD
Township starrraine
County ST. CROIX
Top of 34' pipe next to large solo tree
'H RPSame as Benchmark
Scale = 1/4" = 10'
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93.5'
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16%r Slope
25
85th St
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