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Home My WebLink About038-1186-50-000 (5)8/31/2023 St Croix County Community Development RE: Request for expedited Sanitary Permit review Owner: Ian & Kati Young 1373 211th Ave Town of Star Prairie Reason: Failing as per 141.245(4). Septic / dose tank is cracked and broken. Liquid in the tank is dropping overnight indicating sewage is leaking from the tank into the ground. Michael Rodewald MPRS 931384 Wieser WLP1000/650-MR Poly-lok PL-525 Liberty 253 SJE Rhombus AB Mechinical 5.90 25.00 5.90 5.90 19 5 12 32334 85 20438646 3 7 5.9 Min 25 GPM 43 Page 4 of 7 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 1/16” 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-525 Installation: 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 making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. PL-525 Effluent Filter Accepts 4” & 6” SCHD 40 pipe 10,000 GPD 1/16” Filtration Slots p p & 6 00 tration Slot Accepts 1” PVC Extension Handle Alarm Switch (Optional) Rated for 10,000 GPD Gas Deflector Automatic Shut-Off Ball 525 Linear Ft. of 1/16” Filtration Slots Outdoor SmartFilter® Alarm Polylok, Zabel & Best filters accept the SmartFilter® switch and alarm. Extend & Lok™ Easily installs into existing tanks. E d & L k™ Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 5 of 7 FOR APPROVAL DRAWINGS SUBMITTED APPROVED BY: PRODUCTS NEEDED BY: APPROVAL DATE: Page 6 of 7 Septic 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 its' component manuals 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-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank 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 filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. 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. Drain Field Effluent quality into the drain may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG. Observation pipes within the dispersal cells shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches is 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 in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the drain field component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced to bring the system into proper operating condition. Installer -- Mike Rodewald –Bettendorf Excavating 715-425-6200 Septic Pumper – Darrell’s Septic – 715-425-1025 Regulatory Agency – St Croix Cty—715-386-4680 Page 7 of 7 Community Development Department – Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov SANITARY SYSTEM OWNERSHIP/ADDRESS FORM 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 Mailing Address City/State/Zip Phone Number (required) Email Address (required) Parcel Identification Number (found on the property tax bill) Property Location _____ ¼ , _____ ¼ , Sec. _____, T _____N R_____W, Town of . Subdivision Plat: , Lot # _____. Certified Survey Map # , Volume , Page # . Warranty Deed # (before 2006)Volume , Page # . Number of bedrooms Spec house yes no Lot lines identifiable yes no New Property Address (Verification of new address required from Community Development Department for new construction.) / / (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. NEW SYSTEM: LEGAL DESCRIPTION File #: ______________ Office Use Only Created 2/2021 OFFICE USE ONLY OWNER/BUYER INFORMATION Ian C. & Kati CT. Young 1373 211th Ave New Richmond, WI 54017 612-718-3442 kati.young0215@gmail.com 038-1186-50-000 SW SE 13 31 18 Star Prairie Prairie Flats Addn 1998 1126076 3 I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM CounSafetyandBuildingsDivisiont. Croix INSPECTION REPORT GENERAL INFORMATION ATTACH TO PERMIT)SanitaJJ44VV11// No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name:City illag El JO of:State Plan ID No.: C. Collova Builders,tar raine'1 CST BM Elev.:.Insp. Elev.:BM Description:ParcebTfg 86 -50 -000UUt TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic krA .,Benchmark 3Z 0 d Z Leo Dosing Alt. BM Sc t_ Hc 4 Bldg. Sewer 9 ey/ Ht Inlet a TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Ventto ROADAirIntake Septic 1st ` r Z c/l Z y i NA Dt Bottom Dosing tSe-l' 3 S / NA Header / Man. A NA Dist. Pipe Holtling Bot. System c) r 9S 7z z 2 PUMP/ SIPHON INFORMATION Final Grade Z Manufacturer A Demand St cover Model Number j L GPM TDH Lift Lriction System TDH Ft Forcemain Length 4 ' 1 Dia. Z Dist. To Well SOIL ABSO TION SYSTEM BED / EN chesWidth, S Length No. Of Tren PIT No. Of Pits Inside Dia.Liquid Depth DIM 1 S Z D SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEA Manufacturer: INFORMATION Type O 3 7 CH UNIT R Moe ber: System:1 l DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s)x Hole Size x Hole Spacing Vent To Air Intake roLength _W Dia.Length v ` Dia. 7 Spacing Z 7? 4 Z q 7 r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil Yes Yes No COMMENTS: (Include code discrepancies, persons present etc.)Inspection #1: Inspection Location: 2117 135th Street, New Richmond, WI 54017 (SW 1/4 SE 1/4 13 T31N R18W) - 13.31.18.946 Prairie Flats -Lot 15 1.) Alt BM Description = o v SrA`a. 2.) Bldg sewer length= Zy re, 0; 5"o PC"y ef,iA, PAP Cccrve, amount of cover 3,)ro,f( av— Plan revision required? JhYes No Use other side for additi n information. Jt SBD -6710 (R.3/97)Date Inspector's Signature Cert No. 1 *6consin Safety and Buildings Division SANITARY PERMIT APPLICATION 201 BoxWashington Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 Attach complete plans (to the county copy only) for the system, o 19e my than 81/2 x 11 inches in size.G Yo i K See reverse side for instructions for completing this applicati Fryc)E a states itary Permit Number v.,a 0;-, Personal information you provide may be used for secondary purposes 3 ° r Chea l revision to previous application IPrivacy Law, s. 15.04 (1) (m)).f P tate`P1 I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL I F MAT1 Propert Owner Name P b "tion G r 5 " :; , T 3 N, R g E (or) W Property Owner's Mailing Address At Number , Block Number Q City, State Zip Code Phone Number Subdivisl or CSM Number II. TYPE OF BUILDING: (check one) State Owned V Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ovvnof 111 BUILDING USE (If building type is public, check all that apply)Parcel Tax Number(s) 0 3F--1 Apartment/ Condo I 2 Assembly Hall 6 Medical Facility/ Nursing Home 10 Outdoor R creational Facility 3 Campground 7 Merchandise: Sales/ Repairs 11 Restaurant /Bar /Dining 4 Church/School 8 Mobile Home Park 12 Service Station/ Car Wash 5 Hotel/ Motel 9 Office/Factory 13 Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. g[ New 2 Replacement 3. Replacement of 4_ Reconnection of S. Repair of an System ________ System_____________ Tank Onlr______________ Existing System ________ Existing System B) A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 Mound 30 Specify Type 41 []Holding Tank 12 ULSeepage Trench 22 In- Ground Pressure 42 Pit Privy 13 []Seepage Pit 43 Vault Privy 14 System -In -Fill s7 DCAACk VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. Syst m Ele 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) Min. /inch)s. o Elevation 4<5e S! 2 e r eet fr ff Feet Ca acltVII. TANK in gallons Total of SiteINFORMATIONManufacturer's Name Prefab. Con-Fiber- Plastic App -Gallons Tanks concrete steel glass App.New Existin strutted Tanks Tanks rrySepticTankorHoldingTankXgvA'E] Lift Pump Tank /Siphon Chamber I I I 1 1 1 1 1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print)Plumber's Signature (No Stamps)MPRSWNo.:Business Phone Number: 44 - / er- I*. S r . f Plumber's Address (Street, City, e, Zip Co e): zej r IX. COUNTY / DEPART ENT USE ONLY Disapproved S Mary Permit Fee Surcharge Fee) includes Groundwater E22 Issued Issuing Agent Signature (No Stamps) Approved Owner Given Initial Adverse Determination X. CONDITIONS OFAPPR VAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197)DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber r l Y i r r U 6 v r /rl mac' -.• D1boo. A4 C at v i Wisconin Department of Commerce SOIL AND SITE EVALUATION Page 1 of Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Gille Trucking & Excavating, Inc. Attach complete site plan on paper not less than 814 x 11 inches in size. Plan must Countyinclude, but not limited to: vertical and horizontal refers BM), direction and St. CTO1Xpercentslope, scale or dimensions, north arrow,a loi n ni nce ton arest road.Parcel I. D.# APPLICANT INFORMATION - Pls;Arint all Personal information you provide may be used f secondary p rivacy L 04 (1) (m)).vleWP BY Date Property Owner P perty Location Case , Dan __R w t, Lot SW 1!4 SE 114,S 13 T 3 N,R 18 Property Owner's Mailing Address Block # Subd. Name or CSM# 323 Sawmill Lane 1 00 15 Prairie Flats1 City State ZIR Code qe City Village MTown Nearest Road New Richmond W1 540 715 -246 -Star Prairie Hwy 65 El New Construction Use: EX] Reside um edrooms 3 Addition to existing building El Replacement Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate 7 bed, gpd/ft 8 trench, gpd/ft Absorption area required 643 bed, ft 562 trench, ft Maximum design loading rate 7 bed, gpd/ft 8 trench, gpd/ft Recommended infiltration surface elevation(s)3 ft (as referred to site plan benchmark) Additional design / site considerations tParent materialOut - wash Flood plain elevation, if applicable ft ble for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank itable for system NS 0 U M S U NS EI U S U S N U S® U SOIL DESCRIPTION REPORT goring# Horizon Depth Dominant Color Mottles Structure GPD/ft in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Cie Boundary Roots Bed Trench 1 1 0 -14 7.5YR2.5/1 SIL 1F MVFR AW 1VF 2 3 2 14 -34 7. 5YR4/6 CL 1FABK MVFR AS 1VF 2 3 Ground 3 34 -96 7.5YR5/3 S 0 -M 7 8 ele - -- g Depth to limiting factor 96 in. Remarks: 2 1 0 -14 7.5YR2.5/1 SIL 1FABK MVFR AW 1 VF 2 3 2 14 -26 7.5YR4/6 CL 1FAB VFR AS 1VF 2 3M Ground 3 26 -96 7.5YR5/3 S 0 -GR ML 7 8 ele Depth to limiting factor 96 in. Remarks:.- CST Name (Please Print)lure:Telephone No. Dennis Gille 715- 268 -6637 Address DD t CST Number Ref # 372 140th Street Amery, WI 54001 Vf6/97 3409 107 I TROPERTY OWNER: Casey, Dan SOIL DESCRIPTION REPORT Page 2 of _PARC11 i.a.#Gille Trucking & Excavating, Inc. Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPD/ft2 in.Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.Bed Trench 3 1 0 - 11 7.5YR2.5 SIL 1FABK MVF AW 1VF 2 3 2 11 -28 7.5YR4/6 CL 1FABK MVFR AS 1 VF 2 3 Ground elev 3 28 -96 7.5YR5/3 S 0 -GR ML 7 8 CT? -V511 "J Depth to limiting factor 96 in Remarks: 4 1 0 -14 7.5YR2.5/1 SIL 1FABK MVFR AW 1VF 2 3 2 14 -27 7.5YR4/6 CL 1FABK MVFR AS IVF 2 3 Ground elev 3 27 -96 7.5YR5/3 S 0 -GR ML 7 8 el Depth to limiting factor 96 in. Remarks: —- - 5 1 0 -12 7.5 SIL 1FAB MVFR AW 1VF 2 3 2 12 -31 7.5YR4/6 CL 1FABK MVFR AS 1VF 2 3 Ground elev 3 3 96 7.5YR5/3 S 0 -GR ML 7 8 Depth to limiting factor 96 in. Remarks: Ground elev Depth to limiting factor Remarks: 30 g SSA o, 4u ReAt lo 7"' d pi42 I r 3o I I 3 0,