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Home My WebLink About016-1042-50-000Wisconsin 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.G4 (1)(m)I TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Disr. to Well SOIL ABSORPTION SYSTEM County St. Croix Sanitary Permit No: 648408 State Plan ID No: Parcel Tax No: 016-1042-50-000 Section/Town/Range/Map No: 19.30.15.303 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet DtInlet Of Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No, Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO I P/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Type Of System: Model Number: UIS I K1131.11 I IUN STS I tM Header/Manifold Distribution ole Size x Hole Spacing Vent to Air Intake Pipe(s) T Length Dia Length Dia Spacing SUIL GUVEK x Pressure Svstems Only xx Mound Or At -Grade Svstams Only Depth Over Depth Over xx Depth of Seeded/Sodded xx Mulched BedfTrench Center Bed/Trench Edges Topsoil Yes No r Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Location: No Address Available 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes r No Use other side for additional information. Date SBD-6710 (R.3197) Inspection #1: Insepctor's Signature Inspection #2: i Can. No. RECEIVED 0 " s,t j/-)O)3-x g FEB 0 G 2023 Department of Safety CM" CROIX r & Professional Services, sma,ry P,m;t Number (m be fined in by ce.) j ST. CROIX coum C44 Industry Services Division / , ez/e g Sanitary Permit Application StMTransaction Number in aeaordna with SPS 385.21(2), Wis Adm. Cade, submission of this form to the appropriate govarmentsl unit QWTS ` 0 ( wo63 -c- Project Address (if diftrat than nsding address) is roqubed prior to obtauung a amitery permit. Note. Appliewon forms for state-owned POWTS are submitted to the Depwotmt of Safety snd Professiosel Services. Pasersl informabon you provide may be used for secondary purposes in secordmce with the Law, s. 15.04(1 Km), Stab. 1 Property Owners Name parcel Rodney and Marrietta Schug 016-1042-50-000 Property Owner's Mailing Address Property Location 2764 170th ave Gon L« nw 19 ��'% "� "°° city. Stria Zip Code 54013 Phone Number GLENWOOD CITY T30 N R 15 EerrWX n.Tnwof- td1- (!hackAfladsppy) �8 Subdivision Name ;LrG L s'R 0 1 or 2 Family Dwelling -Number of Bedrooms 3 Block 0 ❑City of ❑ Publi r-ommereal - Describe Use ❑ State Owned - Duxurnbe Use --- -- - ❑ Village of CSM Number ❑ Town of GLENWOOD ---- -- - �DIN'E 13 Type of lowl'8 (ebeek Wow MW w `Rapkemmil" and a1Ms Olt y N On A. Cheek of box e0 ■ere & Co11111111111lere MM C A. New Sysmn ❑ Replacco ml System ❑ Other Modifiabon to Existing System (explain) ❑ Additional Pretreatment Unit (etpla n) S' ❑ Holding Tank ❑ Lwaromd ❑ Ak-0 Mound ❑ Individwl Site Deaw ❑ Other Type (explain) (maverxwnal) C. ❑ Rnewal Befbm ❑ Revision ❑ cbaw of plumber ❑ Transfer to New Owner - rf Aaw Design Flow (ad) Design Soil Application RMdMdhE) Dispersal Amer Required (sf) Dispersal Area Proposed (d) System Elevsbm 9z 9g' 450 .4 450 450 166• Capacty m TankNfortrntion Gallon TOW G"M 8 of Umts Manufict nr '_ � �t N.. Tomb e�u.t•ra rb 7� Wa10et0 "CC�� 6 U in q tor. i Septic or Hdiaaa Task low 10M 1 ME FR X Dosing cti.mber 600 V. Regetat�iry Steleoeerb I,Mee/ssalheM, essamt mParlYy far iesldtlfss of the POYy'I8 trYswe Y Nor atueiel !V� Plumber's Name (Print) Plumber's S�'c MPIWRS Number Budms Phone Number I225410 1715-246-2660 PAUL R KOEHLER Phas#mes Address (Street, City, Saxe, Ztp Code) 321 WISCONSIN DR NEW RICHMOND 54017 VL COMOYMgmalmi Un Only Disspproved Peraul Fee s� ]arced Z Issoi A" Siptahoe (] for Denial (OO Z Conditions Appsov / ` v � S Q� EM OWNER: c ri'eC�W Ak -tear p rµ,(,c Septic tank, effluent filter and dispersal ce,I n must be serviced I maintained as per W� Z SS txebC `�� X management plan provided by plumber. I Z3 °'V?�. I setback requirements must be maintaned as as per applicable coderermnamwmi.aaaaMuly" --- SBD-6398 (R. 03a2) e►xr Roantt X%-%AMa.rr iL. kk Sch� P1 OIL— IOY2 -50- boa OE yy %Wyy s 19�3(* RK w m1 �1z Pic. loo �m2 'J�" Pve Pit 1 q'�CS � 13 g195 1C 5Joe CAIL I IDD 9 �l 04 sip 15 0 flh �d F %Sj ff ffby' Aj 9 a•/ I poD\ se `1 �cs 2� \ Tie+. s4f �fz U .Odsr ST. CR NTY SANITARY SYSTEM File o/fr OWNERSHIP/ADDRESS FORM cRoaa z�oarw2Only po2l 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/B1111M INFORMATION Owner/Buyer Rodney and Marrietta Schug Mailing Address 2764 170th ave City/State/Zip Glenwood City Phone Number (required) n/a Email Address (required) n/a Parcel Identification Number 016-1042-50-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location ne y4 nw ,/4 , Sec. 19 T 30 N R 15 W, Town of Glenwood Subdivision Plat: Acre- tJblteK Lot # Certified Survey Map # qp . Volume . Page 5pZ# Warranty Deed # a (� (( (before 2006)Volume Page # Number of bedrooms 3 Spec house O yes ■ no Lot lines identifiable ■ yes O no OFFKE USE ONLY /- New Property Address �` Slfi { �' ,[ V� (� 11ph wn o (Al //jr� (Verification of new address required from Community Development Department for new y� 2 / /�(/ 2023 (Staff Initials) (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 71 S-386-4680 St Croix County Government Center 715-245-4250 Fax cdd@sccwi.aov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.aov �I PLr . 5�uA r- 11� .. f 1 � IS �--.• � din r' CA LA ri. ra D State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number 11 Document Name THIS DEED, made between Roselle A. Schug, a single person ("Grantor," whether one or more), and Rodney K. Selling and Marrietta K. Schug, husband and wife, holding as survivorship marital property ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): S I/2 of SE 1/4 and ALL that part of N IR of RE 1 /4 of Seeflen 6-3a-IS lying South of the Mlaneapoll1% St. Pad and Sault Ste. Marie Railway. SUBJECT TO a reservation of mineral rights to the Federal Land Book of SL Paul in Deed recorded December 14.1940. in Volume 249, page 149; and .4 1/2 of NW 114 of Section M30.15 EXCEPT Certified Survey Map in Vol. "4", page 1002, Doc. No. 3670K Abe a grip of land 125 feet wide adjoining highway on West side of NW 1/4 of Section 19,WIS EXCEPT Certified Survey Map In Vol.'4", page 1002, Doe. No. 367094. This deed is given In fall satisfaction of that certain Lead Contract between the parties dated May 15, 1993, and recorded May 16. 1995le Vol. I I= Page 104, as Doc. No. 929009. Exceptions to warranties: 892199 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04/01/2009 11:15AN WARRANTY DEED EXENPT t 11 REC FEE: 11.00 PAGES: 1 Recording Area i Name and Return Address Thomas A. McCormack 1020 10th Avenue PO Box 2120 Baldwin, WI 54002 016.1013404100; 016.1013.704W; 016-1013-90400; 0161042-50.000; 016.10424 .000; OI&IO134M4M Parcel Identification Number (PIN) This Is homestead property. (IS/ lnmod Easements and restrictions of record, and except any liens and encumbrances created or suffered to be created by the acts and defaults of the grantees, their heirs, sucessors and assigns. Dated X t- ?66 e71 _(SEAL) + +Roselle A. Sehue AUTHENTICATION Signature(s) authenticated on f TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by W is. Stat. § 706.06 ) THIS INSTRUMENT DRAFTED BY: Thomas A. McCormack _ Baldwin, WI 54002 (SEAL) + ACKNOWLEDGMENT STATE OF Wisconsin ) St. Croix Personally came before me on the above -named Roselle A. S to me known to be the ) ss. COUNTY I IL V ♦ 6 4 ., .A 1 :51if�i + Thomas A. McCormack / _ Notary Public, State of Wisconsin --- — -- My commission (is permanent) (itapiaesrxxxxxxxxxxxxxxxxxx ) (Signatures may be authenticated or ackaowledaed. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED CrM STATE BAR OF WISCONSIN FORM NO.2-200J sTypt name below Slgnatu ms. INFO -PRO" L opal Forms • (acO)fiS.iZOQt • eMgohlmaomn 1 Of 1 Wfaconeln Department of Salary & Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 386, Wt. Adm. Code Attach oomuplele atie plan on paper not less then 81f2 x 11 Inches in size. Plan must Include, feat rot tinned b nrorlkel end horizontal ralrenoe point (BM), direction and peroan slope, scab ux dimerrbns. north armor, and batlon end dWAnea to nearest road. Pbaee print all Infor atlon. WMW Yfomodw You ProVWe may be used for secondary assesses nh*nr r wv . 7 n na i u.nnn Pegs 1 0 3 GST-2613-OXS' ST CROIX Pmrc"'-D. 016-1042-50-000 Property Owner Properly Location . , RODNEY K AND MARRIETTA K SCHUG GovL Lot NE Y. NW % S 19 T 30N N R 15 E (or) w Property Owner's Msfty Address Site Address or CSM rd Lot t 2M 1WITHAVE CRY' Bros, Zip Phone Number ❑ city ❑ Milepa 1Z Town Near" Road GLENWOOD CITY 54013 ( ) GLENWOOD CTY RD G ® NewCunatruaWn Use: U Reelder"INumberefbdoome ;S Code derived ❑ Replacertnerk ❑ mr Public or com" - Describe: Flood Plan elevation M/ eppilcsppe OPD Parent"weriaL LOAMY DRIFT OVER LOAMY TILL Gwww comments and necormme a 201 H MOUN CONTOPR 98.25 LOADING RATE A 1❑ B°""° s 0 Pn k'° Grand siafece sir /yr 44 Deem to KwAM a 1 g in./ elsv. �' . Horizon Depth In. Dominant Color Mussel Radom Deso"on Ou Az. Cant. Color Toxture Stricture Gr. Sz. Sh. Cw&Mernca i BMW" Root � GP(W — -Elle1 •EW2 p► 10 YR 3/2 7.5 YR 5MC2F 1 F ASK ML CA 1F •4 .7 B 5-16 10 YR 514 SIL 13 C ABK I MFI G 1M .6 .8 61 1 0 7.5 YR 413 SL OM MFI GW 1 M .2 .6 C 7.5 YR 4/3 7.6 YR 5/8C2F SL OM MVFI — — .2 ,6 MBarinp s OP" Ground surface Wev. 9"Sit. Depth to EmithV faar�l`In. I stev. 97.4. I cw...r .uw 0. I Fbdzon Depth In. DomYnent Color Mansell Redox Description Ou. Az. Cord. Cater Texture 3lruyuaa Consistence Gr. &. Sh. Boundary Roots -- GpEwe •FJl1 'E1N2 A 0-6 10 YR 312 •t9�5• 1 fabk ML C A .4 .7 B 6-18 10 YR 5/4 SIL 3 C ABK MFI C A 1 M .6 .8 B1 1 22 7.6 YR 413 7.5YR5/6 C2D SL 2 M ABK MFI GW 1 M .8 1.0 C -40 .5 Y 4 7.5YR 5/8 CM SL 2 MABK MVFI — — .6 1.0 CST leass ) R T CSber KOEHL R 2541 Address Dab Evaluation Conducted Telephone Number L 321 WISCONSIN DR NEW RICHMOND AUG 10TH 2O22 715-246-26W Effluent 01 - SOD > 30 s 220 nWL and TSS > 30 s 1 So mq& • Ellkrad I2 - BOO, s 30 mWL and TSS a 30 myL SBD$380 (R0.'1f22) Pop a3 i O P Ground surface elsv. 97.94L Dom to hr" fart« 18 err. I abv �•4 Hor4on DsPth In. DaNrwt Color Muss1 Radez Dn«Ipdon Qu. Az. Csnt Cow Taztras Structure Gr. Sz. SA, Con dvmBoundary Roob A B B1 0.8 B-18 1 10 YR 3/2 10 YR W 7.5YR S18 2CD i SIL SL 1 F ABK 2 C ABK 2 M ABK ML CA MFI CG MFI GW F 1M 1M C 7.5 YR 314 7.5YR SIB ZCD ISUL vm MVFI Sol APPkdon R le GPDFO !.4 ff 'E1Af2 7.8 .8 .0 ,0 B«Ynp s []so** O Pn Ground snaboe slew. it. DeM to W"&g UCW i n. I dev. ft. sa H«izon DapA D11'' I n ni Color Radpa DosulpUon Tam us 6tructun Co sklsnoa Boudry Rents GPM kn Munasl Ou. At Cant Color Gr. Sz. Sh F-I�� ft Groud arrface eNv. A. Dsph to WRUV boor In. I obv, n. sa Horizon Dsph Domkunl Color Redmr APPke� Rob kn. Murnal Ou Az Try Struo�rs Corrblernos Boundary Root GPDW Gr ta`t SA 'ENNI 'E082 ' Eftluerri ft - SC0 130 % 220 nj& and TSS - 30 f t 50 rrprt • EfMsnt I2 a BOD, 9 30 nV& and TSS 9 30 ffo& m seo(Y7 117 . �j Ireme-19—COUNTY [vo. 648408 STATE SANIRY PERMIT n �i43 /5b vE. OWNER PLUMBER_' TOWN OF SEC__A:, I It T-3D N, R. AND/QR LOT PERMIT EXPIRES PREVIOUS NO. 230M k� CHAPTER 145.135 (2) WISCONSIN STATUTES LIC.# us�� oL BLOCK SUBDIVISION (a) The purpose of the unitary permit is to allow Iugddiatlon Of the private sewage system described In the permlL (b) The approval of the sanitary permit Is based on regulations to force on the date of approvaL (c) The unitary permit is valid and may be renewed for ■ specified period. (d) Changed regulations will not impair the validity of a unitary permit (e) Renewal of the unitary permit will be based on regulations to force at the time renewal is sought, and that changed regulations may impede renewal. (f) The unitary permit is transferable. History: 1977 c.168; 1979 c. 34,2221; 1981 C 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. G OFFICER - DATE UNLESS RENEWED POST IN PLAIN VIEW THAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (Rl 1/20) Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 January 12, 2023 CUST ID NO.: 225410 PAUL R KOEHLER 321 WISCONSIN DR NEW RICHMOND, WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/1212025 MUNICIPALITY: TOWN OF GLENWOOD ST. CROIX COUNTY SITE: MEYER—RODNEY AND MARIETfA SCHUG 150TH AVE GLENWOOD CITY, WI 54013 NE1/4 NW 1/4 SEC 19 T 30 R 15 W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 16" Maintenance Required: Effluent Filter Phone 608-266-2112 Web. htto.///d�ov Email: dsos(alwmsconsm eov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-0 I 2300063-C Application No.: DIS-012300402 Site ID No.: SIT-t 10983 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE EZflow Mound Component Manual - (December 15. 2017) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size 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. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. 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. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off 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. • Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing 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 proceed. If the site is too wet to prepare, do not proceed until it dries. • 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 xc) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to beset and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • 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 mound 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. 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 and Wis. Admin. Code S SPS 393.540). • 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. 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 101.01(10), 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 Department per s.145.06, stats. 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 stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, r/ewv Utet� Tim Vander Leest POWTS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleest@wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: S0.00 EZRow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Small Commercial Application INDEX AND TITLE PAGE Project Name: Meyer exc Rodney K and Marrietta Schug. Conditionally Owner's Name: Rodney and Marrletta Schug APPROVED PT. OF SAFETY AND PROFESSIONAL Owners Address: 2764 170th eve SERVICES DIVISION OF INDUSTRY SERVICES gienwood wi L , L -.t SEE CORRESPONDENCE Legal Description: No 1/4 nw 1/4 sec 19 130 n r 15 w Township: Glenwood County- St Croix Subdivision Name: Lot Number. Block Number: Parcel I.D. Number. 016-1042-50-000 Plan Transaction No.: Pagel Index and title Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance spedfications Page 7 Management and contingency plan Page 8 Pump curve and specifications Designer: PAUL KOEHLER License Number: MP 225410 Date: 01/03/23 Phone Number: 715-246-26M Signature: oee+olbd Pursuant to 4te Uffow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 311/12) Page 1 of 8 Ad p R oA hey a�a ('�i0.rt' i C. kk S6)u I P'i o I`- 1oY2 -SO- 000 / J'11 UwYy TOW n m1 �lti P�Ic iod � .o�° RaiI 3 1R Lw��t C►'�,.�. CDY1Jlu` j C,1 P. I ADD � I sx Mound and Pressure Distribution Component Design Design Work~ (r or c) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 =150%) Design Flow (gpd) Site Slope (%) Installation Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Sou Application Rate (gld4e) 300.00 1.50 450.00 5.00 96.25 16.00 0.40 (c or e) DWbution Cell Information &00 1 Cell Width (ft) 3. 4. 5, 8, 7. 8. 9 or 10 ONv 1.00 Dispersal Cell Design Loading Rate (gpdM ) 1 Influent Wastewater Quality (1 or 2) lfaribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ Forcemain Diameter (In) Forcemaln Length (ft) Inside Pump Tank Elevation (ft) Forcemain Filter Loss (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) Lateral Diameter Selection In. die. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.001 Septic Tank Capacity (gal) Weiser Concrete J Manufacturer 100.00 Contour Length Available (ft) 75.00 = Dispersal Cell Length (ft) Are the laterals the highest pomt in the distribution Y network? Enter Y or N If N above, enter the elevation of J of the highest point. 10.23 felorifice Does the forcemain drain back? I Enter Y or N 9.79 Forcemain Drainbeck (gal) 67.44 5x Void Volume (gal) 77.23 Minimum Dose Volume (gal) 23.69 System Dom red (gpm) Manifold Diameter Selection in. die. options choice 1.25 x x 1.50 x 2.00 3.00 Gallonallnch Calculator (optional) 653.001 Total Tank Capacity (gal) 39.00 Total Working Liquid Depth (in) 18.74 gal/in (enter result in cell 849) Dose Tank Information Effluent Filter Inform 600.00 Dose Tank Capacity (gal) Fiter Manufacturer 16.78 Dose Tank Volume (geUin) 525 Filter Model Number Weiser Concrete JManufacturer Project: Meyer axc Rodney K and Marrieds Schug. Page 2 of 8 Mound Plan View hii�?�_`f" ;fir-�-�n:�.n.�...'�k+�� +��• �, g :Q Mound Component Dlroertslons A Min ft E 23.60 In B ft F 12.00 In D G 1 0.50 ft 450.00 (ft') Dispersal Cell Area 8,00 (gpolft) Linear Loading Rate Finished Grade _ F 99al Dispersalal Cal Elevation H I 1.00ft K 1 11.45 ft I 12.24 ft L 1 97.90 ft J 8.26 ft W 1 26.50 ft 1367.65 (fe) Basal Area Available 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area 5.0 % Site Slope 3.42 (ft) Lateral Invert Elevation (ft) Contour Elevation Typical Dispersal Cell Shading Key See Pape 5 _ Topsoil Cap a 3 2 Subsoil Cap Approved Geotextile Fabric Cover ASTM C33 Sand $ 2.0 ft + I 4 Q Tilled Layer 5 EZNow Media + t —A— T See dahlia on page 4 for number, size, and spacing of laterals. Laterals are located in the 4' gravity distribution pipes as shown on page 5. Project: Meyer exc Rodney K and Marrletta Schug. Page 3 of 8 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below 4 P •- Turn -up ofbell velveoralaanoudplug Z —31 f at orifice aceted atZ It X--►I Orwxm point up axe* every Sth s one Po is down for drab -op., Faar myn ognrgial t fa tea or ams 10 m&*M et an Al IatarI" idlinticet with orifices equally speced. Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 2 1.50 in 74.25 ft 0.75 It 3.00 ft 11.85 gpm 23.69 gpm Uwalskface main of PVC Soh 40 per SPS Table 304.304 Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and SPS 316.300 WAC —p Tank component is properly vented Walser Concrete Manufacturer Ca c 800.00 Gallons Volume I gal/inch Dimension Inches Gallons A 19.19 321.65 8 2.00 33.52 C 4.01 77.23 D 10.00 167.60 Total 35.80 600.00 Alarm Manufacturer Alarm Model Number A i a C Pump Manufacturer a -� Pump Model Number �— Pump Must Deliver 23.69 gpm at 16.88 ft TDH Note: Switches containing mercury may not be used in this system. 0.156 in 3.50 ft 22 10.23 ft/orifice 3.00 ft 1.25 in 2.42 ft/sec Loddrq cover with warning label and looking device and sealed watertight 4 in. min. IF Alternate outlet location Fwcernaln diameter 2 in. Weep hole or antl- alphon device Pump off elevation (ft) a 88.83 Dose tank elevation (ft) � 88.00 Project: Meyer exc Rodney K and Marnetta Schug. Page 4 of 8 Uflowo Distribution Cell Media Layout s.00 Cell width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements ►1�N ►��11 ►1111 ►�111 ►1�♦1 ►I . Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 It or 10 ft lengths SR3-12H or EZ 1201 P or ® SR3-12H in 5 ft or 10 ft lengths O 4" Perforated Distribution Pipe With Pressure Lateral Inside • Tumup Enclosure — — — — — Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width -A (ft) 75.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main 6ftWide —------——————————— — — — — — — End Manifold -- — — — — — —— — — —— --- ---- Project: Meyer exc Rodney K and Marrietta Schug. Page 5 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name cou umbi Phone 715 246-2860 POWTS Regulator's Name 1paulkoehler Phone 715-246 2880 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 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliforrn >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Insped and/or service once every 3 years Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodically Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years 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 EZ111ow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZBow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 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. Lateral Turn -up Detail Finished Grade 6 4 6 6 ..... • 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Longg Sweep g0 or Two 45 Degree Bends Same Diameter as Lateral Project: Meyer exc Rodney K and Marrietta Schug. Page 6 of 8 Mound System Management Plan Pursuant to SPS 383.54, Ms. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained In accordance with its' oomponent manuals (EZNow Mound Component Manual 8R0/07, Pressure Distribudon Component Manual Ver. 2.0 SOD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. 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 settled 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 kicking device to prevent accidental or unauUtorized entry Into a tank or component. 3"Wc Tank The septic tank shall be maintained by an Individual certified to service septic tanks under s. 281.48, Stets. The contents of the septic lank 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 riot 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 Otter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may Indicate surge flows or an Impending continuous alarm. The septic tank shall have Its contents removed when the volume of sludge and sam in the tank exceeds 113 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 as to 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 Wismnsfn Department of Commerce. Pumo Tank The dosing (pump) 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 tihe tank It shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted If It Is functional during pump operation, and If not, it should be cleaned. one shouts ever enter a septic or dose tank skree dangerous gesss may be present that could cause death. Mound end Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perRneter, 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 enow 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 mgrL BODs, 150 mg& TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODs, 30 mgA- TSS, 10 mg/L FOG, and 1 W cfW100 mL for hlghly treated effluent Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system Is provided with a flushing point at the and of each lateral, and It Is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test Is performed 0 should be compered to the initial test when the system was installed to determine If orifice dogging has occurred and 9 odffoe cleaning is required b maintain equal distribution within the dispersal call. Observation pipes within the dispersal cell shall be checked for effluent pondhg. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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 h proper operating condition. If the dosing tank, pump, pump oontrob, alarm or related wing 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 falls to accept wastewater or begins to discharge wastewater to the ground surface, R will be repaired or replaced In Its' present location by Increasing basal area if toe leakage occurs or by removing biologically dogged 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 POWiS regulator and service provider. Project: Meyer axe Rodney K and Marrietta Schug. Page 7 of 8 Wastewater METERS 10 9 8 7 6 G e� F FEET 30 25 20 5[ 15 4 3 2 1 0 10 5 — - — SGPM 2.5 FT — — EPOS- 10 20 0 0 30 40 so GPM 0 2 4 6 a 10 12 ma/h CAPACITY MODEL INFORMATION !Lp Valta jAm CMtadt Pun Sw" Card Minie►wn MLatMttwn Minimum Maxhnum Shipping wwb MaanMr Bneakar Lometh Cenneetlow On Ltw1 ON LawI Basin Sh l EP0411 No Switch 10, Manual Manual 20/9.1 EPD411A Piggyback/ Wide -Angle 10, 12' 6' 21/7.5 115 12 20 EP0411F Plug/ No Switch M. Manuel Manuel 20/9.1 4 1 W 15' y: EPD411AC Piggyback/ Wide -Angle 20' 12' 6- 21195 EPD412 No Switch 10, Manual Manual 20l9.1 230 6 10 EP0412F No Switch 20' Manual Manual 20/9.1 EPO511F Plugt No Switch 20' Manual Manual 22/10 .5 115 13 20 EP0511AC Wiide�Angk 20 12• 6• 23 / 10.4 EP0512F 230 6.5 10 Plug No Switch Manual Manual 22 / 10 PAGE 3 h j:L71 M P,N•1t Arms! 4 Za! aWlfl/WrINPrcdurH ADPYImNPoybk►e PL-525 Effluent Filter PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/1V filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. PL•5251nstallation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2 Remove the tank cover and pump tank if necessary, 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. if the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing staking sure the filter is properly aligned and completely naert d. 7. Replace and secure septic tank cover. 1/16" Filtration Slots 10,000 GPD Accepts 4- & 6- SCHD 40 pipe Outdoor SmartFiltert9 Alarm Polylok, Zabel & Best filters accept the SmardhlterO switch and alarm Accepts V PVC Extension Handle 525 Linear Ft. of 1/16- Filtration Slots CereNNd to NWIANSI Standard 46 Automatic Shut-off Ball Extend 6 LokTM Easily installs into e)"tfng Lanka. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 7bll Free: 877.765.9565 Fax: 203.294.8514 www.potylok.com WLP1000/600-MR TANK SPECIFICATIONS a I 12'-6" DIMENSIONS: " WALL: 3' 4" CAST -A -SEAL 4" CAST -A -SEAL BOTTOM: 3" COVER: 5' MANHOLE: 24" I.D. PRECAST CONCRETE RISER o �-----------------�J--------� II II II I1 HEIGH 56" I 1�II n I i LENGTH: 12'-8' l l itI I f WIDTH: 7'-0" BELOW INLET: 42" E LIQUID LEVEL: 36' q 1 I I WEIGHT: 14.970 LBS. o I� - INLET AND OUTLET: + 8 g i II II I 4' CAST -A -SEAL BOOT OR EQUAL GASKET - m n I FILTER OR III I g S BAFFLE ilh i INLET AND OUTLET BAFFLE AND FILTER: i --__--�__--_-----j-------- i' WISCONSIN. SEE DETAIL #10 v o 0 (OTHER STATES SEE CHART) W LIQUID CAPACITY: 27.88 GAL AN (SEPTIC) W x TOP MEW 16.76 GAL/IN (PUMP) S A Y � LOADING DESIGN: 8'-0" UNSATURATED SOILco Q TANK CAN BE USED AS: SEPTIC/SEPTIC. SEPTIC/PUMP, N OR SEPTIC/SIPHON o M a 4' VENT COVER: MIX DESIGN /6 (NO FIBER) y O z TANK: MIX DESIGN 010 (STRUCTURAL FIBER) W = °O 2 N N � CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE 9 INL T - OLD N- i. a I ¢ n in C Q 7 y I n I•I 0. I j a h Io Z o REVIEWED BY p U is PUMP PAD REVIEW DATE 0. DRAWINGS SUBMITTED (A SO vx FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: j Z OF PRODUCI'S NEEDED BY: ANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS I lz i POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION Pan, Rodney and Marrietta Schu Pemnit / DESIGN PARAMETERS Number of Bedrooms 3 ❑ NA Number of Public Facility Units Q NA Estimated flow (average) 300 &Val ay Design flow (peak), (Estirnatted x 1.5) 450 eUd nV Soil Application Rate .4 aUd /fe Standard Influent/Effluent Quality Monthly everage• Fats, OR & Grease (FOG) 530 rng/l. Biochemical Oxygen Demand fBOD.) 5220 mg/L ❑ NA Total Suspended Solids ITSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 00 mg/L Total Suspended Solids (TSSI 00 mg/L ❑ NA Fecal Coliform (geometric mean) 5104 cfu/lo0ml Maximum Effluent Particle Size K in dia. ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank efnumn. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS pop I at so Septic Tank Capacity 1000 al ❑ NA Septic Tank Manufacturer WIESER ❑ NA Effluent Flier Manufacturer POLY LOCK ❑ NA Effluarn Filter Modal 525 ❑ NA Pump Tank Capacity 600 al ❑ NA Pump Tank Manufacturer WIESER ❑ NA Pump Manufacturer GOULDS ❑ NA Pump Model EP04 ❑ NA Pretreatment Unit ❑ NA ❑ Sand/Gravel Finer ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other: Dispersal Cellla) 0 NA ❑ In -Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade 17 Mound ❑ Drip -Una ❑ Other: 01ther: ❑ NA Other. ❑ NA Other ❑ NA Service Ewnt Service Frequency Inspect condition of tankla) At bast once every: 3 mo si ei (Madmhtm 3 Veen) ❑ NA Pump out contents of tankla) When combined sludge and scum equals one-third (Ys) of tank vokane ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ TO al IMaxlrman 3 years) 0 yeerlaA ❑ NA Clean effluent fitter At bast once every: i N arts)) ❑ NA Inspect Inspect PUMP, Pump controls6 alarmAt least once every: W years) ❑ rnc�nthls) ❑ NA Flush laterals and pressure test At ban once every: ❑ month(s) (s) AS NEEDED O er ❑ NA At bast once every; trhomhls) ❑ earts) NA Other. M NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Hintrictad Sewer; POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must Include a visual inspe_ ion of the tankle) to Identify any missing or broken hardware, Identify any cracks or )sake, measure the volume of corbined sludge and scum and to check for any book up or ponding of effluent on the ground surface. The dispersal call(a) shag be visually inspected to check the effluent levels in the observation pipes and to check for any pending of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notflcation of the local regulatory authority, When the combined accumulation of sludge and scum in any tank equals one-third (Ys) or more of the tank volume, the and. contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment unite, and any servicing at intervals of 512 months, shad be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event, Peps Z of -I.- START UP AND OPERATION For new constriction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may Impede the treatment process and/or damage the dispersal cel(s). If high concentrations are detected have the contents of the tankial removed by a septage servicing operator prior to use. System start up shell not occur when sod oonditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal call(&) in one large dose, overloading the cells) and may result in the backup or surface discharge of affluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually openstitg the pump controls to restore normal levels within the pump tenk. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise di rturb or compact, the area within 15 feet down slope of any mound or et -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the ride of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cut -ton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meet scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following stops shall be taken to Insure that the system is property and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: a Ad piping to tanks and pits shad be disconnected and the abandoned pipe openings sealed. a The contents of NI tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shell be excavated and removed or their coven removed and the void space filed with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wade. Failure to protect the replacement area wig result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. N ¢bp2 nleW aws7xdc-n ❑ Mound and at -grade soil absorption systems may be reconstructed in place following ramovd of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. t CWARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC. PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name COUNTRYSIDE PLUMBING Name PAUL R KOEHLER Phone 715-246-2660 Phone 715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name BERANDS SEPTIC Phone 715-265-4623 Name S . Ckn ( 2DAJIl/ Phone —7 r s- 3 S[o- 0 ) This dmurrm was dratted in compliance with ohaptar Comm 83.22(2)(b)(1)(d&(f) end 83.5401, (21 & 131, Wisconsin Administrative Code.