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HomeMy WebLinkAboutSAN-2018-320Wisconsin 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 f Privacy Law, s. 15.04 (1)(m)l Permit Holder's Name: City Village Township Johnathon Ridge Farms LLC I TOWN OF FOREST CST BM Elev- Insp. BM Elev: BM Description - lot. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH I Lift I Friction Loss System Head TDH Ft --T— Forcemain Length Dia. I Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County-, St. Croix Sanitary Permit No: 606904 State Plan ID No: 3159844 Parcel Tax No: 014-1057-70-000 Section/Town/Range/Map No: I 27.31.15.432A STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer q36 96& �O SUHt Inlet St/Ht 0 Dt Inlet Dt 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 I I SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT I Type Of System: Model Number'. DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length — Dia Spacing SOIL COVER x Pressure Svq-tpms Onlv xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L�, Yes No I D Yes No COMMENTS: (include code discrepencies, persons present, etc.) Location: 1920 CTY RD P 1.) Alt BM Description 2.) Bldg sewer length - amount of cover Inspection# Inspection #2-. ttA Plan revision Required? Yes F1 No Use other side for additional information. Date Insepctor's Signature Cert, No. SBD-6710 (R.3/97) �71 County WED Industry Services Division ST.CROIX ioit Err"'E P 1400 E Washington Ave P.O. Box 7162 Sanitary Permit Number (to be filled in by, Co.) SEP 2 5 2018 Madison, WI 53707-7162 mit A11Ct''�t1C�1�State Rte pp-, Transaction Number 3159844 In accordance ii1h e o e, submission of thi� form to !UP 0 11al unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for second Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1920 CTH P I. Ap lication Information - Please Print All Information Property Owner's Name 1k - - L" - 1­�- Parcel tA1717 JUNKER 16 014-1057-70-000 al -.3 Property Owner's Mailing Address 0 Property Location 1930 CTH P Govt. Lot SE, 114, SE 1/4, Section 27 City, State Zip Code Phone Number GLEN WOOD CITY, WI 54013 (circle one) T31 N R15EorW 11. Type of Building (check all that apply) Lot # Subdivision Name .3 1 or 2 Family Dwelling - Number of Bedrooins(9 Block El Public/Commercial - Describe Use El C i ty of WWII- ❑ State Owned - Describe Use © Village of CSM N tuber 2 Town of FOREST / 1 111. Typ rnplete I applicable) .&,�!���Check only one box on line A. Co line B if 0 New System E] Replacement System El Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal ❑ Permit Revision El Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner !77 IV. Type of POWTS System/Cam ponent/Dev ice: (Check all that apply) ❑ Non -Pressurized in -Ground El Pressurized In -Ground El At -Grade [I Mound > 24 in. of suitable oil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) I -le, oeo-ow V. Dispersal/TreatnvAt Area Information;4vW Design Flow (gpd) Design Soil Dispersal (sf) Dispersal Proposcd (st) System Elevation ► 450 ZApp Rate(gpdsf) 4Areequired 450 450 71 V1. Tank Info Capacity in W 01 Gallons Total Gallons # of Manufacturer New Tanks [:x1sting Tanks Units -ak, 2 S a*.a 2 Septic or Holding Tank 1000 1000 1 HUFFCUTT Dosing Chamber 600 600 1 El El� D El El VII. Responsibility Statement- 1, the undersigned, assume respon'bility for installation of the PDXN'TS shown on the attached plans. Plumber's Name (Print) Plu Ir ur ir% MPfMPRS Number Business Phone Number ROBERT HARDINA ?�/, ;//-- - - J 824925 715491-5039 Plumber's Address (Street, City, State, Zip Code) L 477 170TH AVE TURTLE LAKE W1 54889 4 VIII.,g9unq !IfDepartment Use Only Approved ove 2:=�ErGi�ven Permit Fee Date Jisue # Issui Agent Sign e r//-- , Reason for Denial $ (p A10 C0 /to/ lork IX. Condi easons for Disapproval !� ��, �i I cell must jill tj co as per mar3gcementLi plLn p, bV pi uinne,,. 2. All x~* re , ALDOMC e-__6 140 k Attach to complete plans for the system and —submit to the County Of y on paper not less than 8 1/2 x 11 in es in slie UA).� If SBD-6398 (R03/14) HARDINA SEP C SYSTEMS 0 MPRS/CST 824825 September 21, 2018 OUST ID No. 824825 BOB J HARDINA HARDINA SEPTIC SYSTEMS 477 170TH AVE TURTLE LAKE W1 54889-9187 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/21/2020 SITE: Jamie Junker 1920 Cth P Town of Forest St Croix County SEI/4, SEIA, S27, T3 IN, R15W FOR: DIVISION OF INDUSTRY SERVICES FA 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay http-.//dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Guti6rrez, Secretary A TTN.- POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON W1 54016-7708 Identification Numbers Transaction ID No. 3159844 Site ID No. 853912 Please refer to both identification numbers, above, in all correspondence with the 4gency, Object Type: POWTS Component Manual Regulated Object ID No.: 1797289 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD -10691 -P (N.0 1/0 1, R. 10/ 12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administ 'ative Codes Al r and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to brconstructed and located in accordance with the enclosed approved plans and with any component manual(s) referen Id IMPT OF SAFETY At The owner, as defined in chapter 10 1.0 1 (10), Wisconsin Statutes, is responsible for compliance with a,,ode DIVISION 01 requirements. I A copy of the approved plans, specifications and this letter shall be on -site during construction and open o inspection by authorized representatives of the Department, which may include local inspectors. All pe its required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. SEE 0 In granting this approval the Division of Industry Services reserves the right to require changes or additio s should conditions arise making them necessary for code compliance. As per state stats 10 1. 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. Sincerely, Idi Qvy I co r Wastewater Specialist , Division of Industry Services (715)634-3484, Mon-fri, 8:00 a.m. - 4:30 p.m. edwin.taylor@wi.gov Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 WiSMART code: 7633 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE P'C7(,E NED S E P 12 2018 Project Name: JUNKER S E[�!VICES Ovmees Name: JAMIE JUNKER/JOHNATHON RIDGE FARMS Owner's Address: 1930 GTY RD P GLENWOOD CITY W1 54013 Legal Description: SE,,SE,27,31N-R15W Township: FOREST County: ST CROIX Subdivision Name: NA Lot Number: Block Number. NA Parcel I.D. Number. 014-1057-704= )ITIONALLY Plan Iran sacUon No.: )PROVED Page 1 Index and title 'SERVICES ID PROFESSIONAL St, Page 2 Data entry INDUSTRY SERVICES Pa 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site plan I" = 40' PON ENCE Page 9 Filter maint. Page 10 Att. Soil test Designer. Robert Hardina, License Number MPRS 824825 Date: -65/-05/18 Phone Number: .715-986-2508 7/ Signature: Designed Pursuant to the Mound component Manual for POWTS Version 2.0 SBD-1 0691 -P (N. 0 1 /0 1, R. 10/ 12), and both SSW MP Publication 9.6 Design of Pressure Distribution Netwo*s for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11112) Pagel of 10 Mound and Pir�essur+e Distribution Component Design Design Woricsheet (R or C) Sibs InfOrtllaiion ResidenN or Commercial Design Estimated Wester Flow (gpd) Peaking Factor (e.g. 1.5=15096) Design Flaw (gpd) Site Sloe Contour Line Elevation (ft) Depth toLimi ng Factor (in) In side Sa'I Application RaW ( ) R 300.00 1.50 450.00 T.00 95.70 14.00 0.40 DisNeal, l�tiOt1 CeN IrKonillatlon 50.00 Dispersal Cal Length Along Contour (ft) Di��l _ 1.00 eCer Design Loading 1 frrfluemt Wastewater Quality (1 or 2) (C or E) Pie Dis�ibulion M7fiorinaUon Center or End Manifold Lateral Spacing (ft) Nwxnber of L.alerals Orifice Diamefie� (in) Estimated Orifice Spacing (ft) = Foroemain D (in) oemain Length (R) Pump Tank Elevation (R) s 3.00 8 0.188 3.00 200 50.00 89.00 E1325 System Head (ft) x 1.3 8.62 Verfical Lift (ft) 1.18 Fricfion Loss (R) 0.00 In-Gne Filter Loss (R) 3.051 Total Dynamic Head (ft) Liberal Di Selection in. dia. choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Treahnent Tank won :zl:: 0.00 Se ticTank16 t�uit Nlanufa[ttxer Note: Sand M (D) calc efinns assume a Table in -situ sal beamnent for fecal colihmn of <= 36 k chin. 9.00 CeN Width (R) Are the ladorals the hlgtrest oir�t in the d` `on Y network? Enter Y or N 9 N above, enter the MY of the highest point. 1 8.80n2/orifioe Does the foe r+omai n drain back? Y Enter Y or N V08 8.16 For�oemain Drainbadc (gal) 6.72 5x Vcid Vohune (9(gal)174.8 MiniMinimum Dose Volume (gal) 3.42 System Demand ism)) Manifold Diem Selection in,.25 dra. . choice 1.50 x x 2.00 x 3.00 GWions.Mk ch Catculaw (optional) 627.00 Toth Tank Cra (981) 42.00 Total Working liquid Depth (in) 14.93 geYin (&*w result in oeN B49) Doses Tank �oemslion EiRuMt Filbr Irn�on 627.00 Dose Talc (gal) LIFETIME Filter Manufacturer 14.93 Dose Tank Vohxne (9aft) ILT 18 Filter Model Number huiCutt I Memufadurer Project JUNKER Page 2 of 10 Mound Plan and Cross Section Views . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ------- J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . K 0 a a M'..% % a 9 a -*a 10 Za. ;�� . . %1e%VO%o%o* 41;.�. A a 0. a Pa. .1. "■" a OB":*' % an as a 0 o egos 'Be a a a a -WO a a a 9 1, a a a a Maa a a a 9 awalegawaaaw a • a Bo W B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . .•. .•. .•. . . . . • . • . . • . .•.•. .•.•.•. .•. . . . . . . • ' * ' * • . . . . . . . . . . . . . . . • . • . ■ . ■ . • . •. . . . • .• . •.• . • . •. .•. . . . . . . •.• . . . . . . . . .•. . . . . . . .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •. . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . • . . . . . . . . * . . . . . . • . . . . . . . . . . . . . . . .•. . . . . . .•.•. . . . . . . . . . . . . . . . . . . . .•.• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . •. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . . • . • . . • . . . . . . . . . . . . . . . . . . . . . . . . . . • . • I •I I ' - ' . . . . • . • . . . . . . . . • . . . . • . . . • . . . . . • . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................. . . . . . . . . . . . . . . . . . . . . . . . . . . . .• . • . . . . . . . .• . . . . . . .... . . . . . . . . . . .• . . . . . . . . . . . . . . . . . . . . . . . . . . .• . . . . . . . . . . . . .. . .. .. . . .. .. . . •. . . . . . . •. . . . . . .•. . . . . . . . . . .•. . . . . . . . . . . . . . . • L Mound Component Dimensions Al 9.00 1 ft E 29.56 in B 50.00 ft F 9.50 in D 22.00 in G 0.50 ft 450.00 (if) Dispersal Cell Area 9.001(gpd/ft) Linear Loading Rate H 1 .00 ft K 11.82 ft 1 1 14.26 ft L 1 73.641ft J 7.75 ft W 1 31.01 ft 1162.97 (if) Basal Area Available 5.001 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area AB - Finished Grade 99.33 (ft) go- -.MIM H . . . . . . : • 98.03 (ft) Lateral F Dispersai Cell.... . . . . . . . 97-53 (ft) • ` Invert . . . .. . . . . . ... Dispersal Cell .: : - - _ •D Elevation . . . . .. . . . . .. ........... .............. ................... .......... G -- 95-70 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover ,alk I Shading Key � �Dispel Cell See lateral details on T Page 4 for number, size, Topsoil Cap 1.5 ft a* 01•• o'.P.Ove a a. WO• and spacing of laterals. Subsoil Cap —.2 Laterals are equally ASTM C33 Sand a. I. F spaced from the l Latww ft JWica Tilled Layer 0. ■ a a soam's distribution cell"s swr a 0% ago..". •I • '69-9 Aggregate centerline in the distribution cell (AxB). A Project: JUNKER Page 3 of 10 End Connection Lateral Layout Diagram C~or the laterals cm*r the A & 0 dWrvw%sian 4W=Turn-up-^dJ:haJ1wm1w or c2l-aanout plug > Hc4 " driNed on the bottom a-F the lateral AN laterals are iodeWioal X S 'L ecpsaft spaced & T LeAerals forcernan Sch 40 PVC per SpS Tadble 384.30-6 S rFaece main ccxvwpotion via tee or cross to mar0c4d at a" polar. Number of Laterals 3 Orifice Diameter 0.188 in Lateral Diameter 1-501in Orifice Spacing (X) 3.03 ft Lateral Length (P) 48.48 ft Orifices per Lateral 17 Lateral Spacing (S) 3.001ft Orifice Density 8.82 fi?/orifice Lateral Flow Rate 11.14 gpm Manifold Length 6.00 ft System Flow Rate 33.42 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.05 ft Forcemain Velocity 3.41 ft/sec Dose Tank Information Lock; r-munr uuifih wnmirwn Electrical as per NEC 300 and No. SPS 316.300 WAC Tank component is properly vented Dimension Inches Gallons A 29.98 447.61 B 2.00 29.86 C 5-021 74-88 �l D 5.00 74.65 Total T 42.00 627.00 Alarm Manuafacturer SJE RHOMBUS Alarm Model Number tank alert Pump Manufacturer zoeiler Pump Model Number bn 152 label and locki ng device and sealed watertight 4 in. min_ Ct —r I Pump Must Deliver 33.42 gpm at 13.051ft TDH < - Alternate outlet location Forcemain diameter 2 in. Weep hole or anti- siptm device Pump off elevation (ft) 1 89.421 -, Dose tank elevation (ft) 1W 89.001 Note. Switches containing mercury may not be used in this system. Project: JUNKER Page 4 of 10 * ff" Mound Svstem Maintenance and 0 ration Specmcafions Service Provider's Name Robert Hardina Phonei 715-986-2508 POWTS Regulator's Name ST. CROIX Phone: 715-386-4 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 1 300 Igpd Maximum BODE1 220 1mg/L Septic Tank Capacity 1000 gal Maximum TSS 15© mg/L Soil Absorption Component Sizel 450 1ft2 Maximum FOG 30 mg/L Type of WastewaterL Domestic j Maximum Fecal Coliform >1 OE4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years_ Test once ey2a 3 y2ars Should test monthly Laterals should be flushed and pressure tested eve g 3 years Inspect for ponding and seepage once every 3 years MisceHaneous Cormtruction 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 (6Xi), 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. Lateral Turn -up Detail Finished ......... Grade ................. ................. .................. ........ Threaded Cleanout ... ........ ......... ........ 6-8" Diameter Lawn Plug or Ball Valve Sprinkler Valve Box .......... ..... . • .......... *­­ .. .......... .......... ........... .......... ........ .. .......... ........... .......... ..•......... ..• .• ...• ..... • ........... .......•.... ............ ........... ............ ............ ............................. . ................... • . Distribution ..... ........' ...... Lon q S-V-Tfee 90 or Two 9%1" 45 Degree Rends Same D 1� iam-e r as Lateral Project: JUNKER Page 5 of 14 Mound System Management Plan Pursuant to SPS 383.54, VVis. Adm. Code g2rw"l This system shall be operated in accordance with SPS 382-84 Wis- Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101, R. 10/12). SSWMP Publication 9.6 (01/81). and Pressure Distribution Component Manual fifer. 2.0 SBD- 10706-P (N. 01/01, 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 kxv4er 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 asseswient shalt be sealed watertight upon the completion of service- Any opening deemed unsound, defecfive, or subox,l to failure must be replaced. Exposed access openings greater than 84nches in diameter "I 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 omtents 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 ba assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operafion- The filter cartridge should not be removed urgess, provisions are made to retain solids in the tank that may skxjgh 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. Theseptic tar& shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank- If the contents of the tank are not removed at the firneof 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 peribnTiance is generally not required. However, it such products are used they shall be approved for septic tar* use by the Department of Commerce- Purna Tank The pump (dosing) tank shall be inspected at least once every 3 years- All swq-tches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound st"I be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration- Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the Infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather Installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L B005, 150 mg/L TS.S, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD., 30 mg/L TSS, 10 mg/L FOG, and I 04cfu/100 mL for highly treated effluent- Influent flow may not exceed maximum design How 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 Hushed of accumulated solids at least once every 18 months- When a pressure test is performed it should be compared to the initial test when the system was installed to detarmine it orifice aging has occurred mid if orifice cleaning is required to maintain equal distribution within the dispersal cell_ Observationpipes 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 fmquent monitoring. Contingengf 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_ U 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_ ifthe mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repakvd or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biokxgically clogged absorption and media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condhion- See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider- Pretreabmirit Units The inforTnatim and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 10 R o wi X-alliquo 0 I -vov& c SYSTEMS HARDINA MPRS/CST 824825 /00%6i>c+ G,7-�. ij. P) PA L f2ccAt-r-rRN'L'� 14 ti ka -ftu* -4k.. L )47 Z4p C:T- 14 V Av ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Jaime Junker Mailing Address 1930 CTY RD. P Glenwood City Wi 54013 PropertyAddress 1920 CTY RD. P Glenwood Cly Wi 54013 City/State (Verification required from Planning & Zoning Department for new construction.) Parcel Identification Number O14-1057-70-000 LEGAL DESCRIPTION RF SF Property Location Subdivision Plat: Certified Survey Map # Warranty Deed # '/4 9 '/4 , S e C. Spec house OyesElno 27 .r31 N R 15 W,Townof FOREST . Volume 013 .Lot # , Page # 3763 (before 2007)Volume . Page Lot lines identifiable []yes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on his form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of arranty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNATURE OFAPPLIG�X;f(s) DATE * "Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * * * Include with this application 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. (REV. 04/12) I llind� rav A Ord DecJi'vo� k 0 ; s cx etc e� ■ �I-- ID C- , f=0 z S LUATION REPORT OfD of &tY gs in accordance with Conan M, s. Adm. Code . ;L'WiCourt,ST CROLK Attu �� site not less than 81 /2 x 11 inches in size. Plan must include, but not limited to: vertices horizo� re4:rerx a point (BIM), direction and Parcel 1. _ 14-1057-704M peroen ller� rxxlh arrow, and kxabon and distance to nearest road. +Community Developm nt R • by Date rll�� Pdnt all info�rmatlon. Persoinfomation you provide may be used for secondary purposes (PrivacyLaw, s- 15-04 (1) f m)). �� n! pmpEty (� Property Lorattron Jamie Junkker/Johnathon Ridge Farms Gout. tort SE 114 E 1/4 27 T 31 N R 15 E (or) W Property Owner's Mailing Address Lot # Blocdc # Subd- Name or CSW 1930 CIY RD► P 3763 city State Zip Code Phone Village Own Nearest Road GLENWOOD► CITY I WI 55013 H. ) 1920 CTY RIB P [D W" Camtructon UseE] Residential / Number of bedrooms 0 RVWoerrwt [] Public or - Desatbe: Parent material 3 Code derived desk flow rate Flood Plain elevation if applicable RECONWENDED SYS. MOUND ft- L� j"",'� Ground surface elev. 94.2 tt Depth to limiting factor 25 F1 Pit art_ Soil tiort Rate Horizon Depth Dominant Redox Description Texture Structure C onsisten+ce Boundary Roots GP 3 ff _ in. Munsell Qu. Sz Cont. Color Gr. Sz Sh_ *01#1 *Eff#2 1 0-10 10YR3/3 SEL 2MSBK MFR -°" 1�►. �' • tw�`� r .8 2 10-22 10YR4/4 d0- SiL 2MSBK N4FR GW -6 r8 3 22-25 7.5YR4/6 -- SL 2MSBK MFR GW IF .6 .8 4 25-52 7.5YR4/4 F IOYR6l3 SL 2MSBK MFR N/A NA •6 .8 2 U Baing Boring # Ground 95.7 surfioe elev. Pit Horizon Depth DorNnant j Redosx Description in_ Munsell Qu_ Sz Cont. Color 1 0-10 1 OYR3/3 -0" 2 10-16 1OYR4/4 3 16-28 7.5YR4/4 F2D t OYR6/3 4 28-50 7.5YR4/4 C2Dl0YR5/3 16 ft Depth to limiting factor in. Texture Shxture C.onsistenoe Boundary Roots Gr. Sz Sh. SIL 2MSBK MFR CW 2M SIL 2MSBK U7 MFR 1 F SL 2MSBK MFR N/A N/A SL 2MSBK WR NIA N/A Efflueni #'1 = BW ? 30 < M mg& and ' 'SS >30 < 150 mmg/L CST Narar�e (Pease Print} S77 ROBERT 11kRDINA ;zz 477 170th AVE TURTLE LAKE W1 54889 :is .. Effluent ##2 = im < 3o mgA- and TSS < 30 mg& CST Number 824825 Date Evaluation C,,orxkxAed Tell hl r $-18 715-491-5039 Y Owner.R_FAR11�S Pef�oel ID 3 1 [a Baring # 93.6 pit Ground s m t = eiev. ft. 014-1057-70-000 Dew b i t 2 im P"Si of Ara Arwavwnn Mim fob ME= mm o��aomom�oo om��emom�AA r so 4 9 94-2 24 ■ p� Ground sirbW dw. fL Depth to irrri 9 bwkx kL Ara AnnfimAm RZ Hor kL hIMSON n i sK fi-A on Qu. SE Cut- Coiar Terre Gr. Sz. u%L anMence Boundary foots GPOff EW *Ert 1 0-10 1OYR3/3 -0- SIL 2MSBK WR Cw 2M .6 .8 2 NNOMMONOW3 10-21 SIL 2MSBK AOR GW 1F .6 .8 21-24 7.5YR4/4 -0- SC. 2MSBK MFR N/A N/A .4 .S 4 24-50 7.5YR4/4 F2Dl0YR5/3 SC, 2MSBK MFR N/A N/A .4 .8 Boring # �9 . l'nw owi en rib w. rb cA A r%nn &% in irni.rn fmf*w in Soy Ftale Flaimn DapM Domi�ent Redooc De9aipbon Tmd�ae Struciae Ca�sienoe Bd�dary Roots ire Mriar QtL Sz Cork. Color I I Gr. Sc. Sh. I I I `E1M 'EfWZ * EMuent #1= BM5 > 30 S 22D mdL arid TSS >30 :S 150 rrgIL * Must 42 = BOD3 30 nV L and TSS 130 n %OL The of Commenx is an equal o�'P'o�ity service pr�avider and employer. If you need assistance to access services or need mi it+ewoe in an 1 It Ie format, plesse canted the departumt at b48-26&3151 or TTY 603-2644rM. SM4nWr" QUY M " PLOT PLAN.�..._., ... ,.. .__7 NUMBERS OF BEDROOM yr BCAL& V, =10` EXCEPT AS INDICATED Wt* DACE 8TSTEM ELEVATION ED I FILED �� NOV a 4 1999 KATP.LED1 H. WALSH Rco:'o-Zer cl Deaft St, Croix Co.. W1 CAJ CER TT FIED S UR VE Y MA P Located in the SE 1/4of the SE 1/4of Section 27, T3 I N7 R I 5W1, Town of Forest, St. Croix County, Wisconsin, OWNER / SUBDIVIDERS NED & BECKY IEIAHN LEGEND 1946 kiArY_ "463' E1/4 CORNER, SECTION 27 EMF-RALD, WI. 54012 (P-K. NAIL SET) INDICATES SF.(--FION CORNER MONUMENT (AS NOTED) Bearings referenced to the East 4- INDICATES I" X 24"' IRON PIPE line of the SE V4 of Section 27, 50' WEIGHING 1.68 LBS. / LIN_ FF. SET. assumed SO(fO7 " 2 1 "' W. Cn 65, C:1 CDO D.O.T_ APPROVAL NUMBER 55-64-2946-1999 ED BY PLATTERS C) UNPLA TTED LANDS OWN_ OVERHEAD WIRES N 88- 54- 45- E 1,1090.28' C) 1,025.27' SHED C\i j [D:�= SHED co coo I SO' I THIS INSTRUMENT DRAFTED BY: SHED W --A JOSEPH W. GRANBERG 0 Q� I 0 LLJ WELL SHED F-71 GARAGE i J C) BARN SEPTIC IQ1110, CL 4 ­4 GARAGE C*V cj C13, DWELLING; (� A ` Ln o C) LOT 1 SEPTIC c) LJLJ 1,242,460 SQUARE FEET (28-523 ACRES) 50' 33 INCLUDING RIGHT-OF-WAY U_ 987,333 SQUARE FEET ( 22,666 ACRES) U 0 EXCLUDING RIGHT-OF-WAY Uj __j I qr- qr- CURVE INFORMATION 4L) C� CA UTION- AZ cn RADIUS- 768.51' 1 ti HIGHWAY DELTA- 75P45' 14" co SETBACK CHORD- 943.68' Uj V_ / 0 RESTRICTIONS S3705AN,: 9'58"W PROHIBIT ARC- 10 16. 09* CD TANGENTS (IN )- SOU�07'21'VV / • C) IMPROVENIENTS- AZ C-4 (OUT )- S75cx52'35"\N 41 $ Z CL SEE SHEEN'2 OF 2. ST. CROIX COUNTY 100' 00 W LL. BUILDING SETBACK LINE Q, U) W a Q_ ?.1 M C) _ r_ — STATE OF WISCONSIN 50' __iL _n Ud Q_ t__ -4 Z ROADWAY SETBACK LINE U.) 411- ly- M CENTERLINE "P" to M N 88" 29' 12" W NOTE: CURVE NOT WIRES U') S. T. H. sw 64 TYPICAL AT THIS POINT VARIABLE WIDTH N88*1921-W 1,074-22e Cn SOUTH LINE OF TH SE1/4 M UNPt4 TTED LA ND S 0 rn ACCESS RESTRICTION NOTE.- As owner F Cn ?a 0 hereby restrict all lots and blocks so that no M Cn - owner, possessor, user, licensee or other person 1CO) M may have any right of direct vehicular ingress =J ft from or egress to any highway lying within the 0 ft N right-of-way of S.T.H. "64" as shown on the land = 4 division map-, it is ex-pressly intended that this 1-46 so restriction constitute a restriction for the benefit 11W..3 Scale 1 200' 1co of the public as provided in S_ 236.293,WisconsM- Statucs, and shall be enforceable by the department or its assigns. SHEET I OF 2 Vol. 13 Page 3763