HomeMy WebLinkAbout014-1075-40-000
. Croix
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St
Safety and Building Division INSPECTION REPORT Sanitary Permit No:
538840 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Parcel Tax No:
Permit Holder's Name: City village X Township 014-1075-40-000
Riba, Dale & Susan Forest, Town of
Section/Town/Range/Map No:
CST BM Elevt:~ Insp. BM Elev: BM Descn~p/~~1Jp'~ny:~y/~~ 35.31.15.562 /00 6' TANK INFORMATION ELEV ION DA A
TYPE MANUFACTURER CAPACITY STATION I L?/ -7 3 BS p I FS to ELEV. O
Septic Benchmark
PJ 106o 9/y !00, d
Dosing Alt. BM
f.Bvn/~o0~~ <-r-14 On ri 19=1
6 7
;Bldg. Se eµ(
Aeration dt ~5 t I
Holding
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DLIa et
l~
421
Dt Bottom
Septic
ell, ~ K Yk rwv Dosing j 17o 1 Hea r/Man. .p (a oA
Dist. Pipe
Aeration
Holding Bot. Z Z • 1 /DO. L Ok-
Final Grade J
PUMPISIPHON INFORMATION
Manufacturer Demand St ove ► 1 / L,• s
1,3
GPMA kLSa
Model Number
'DH Lift Fricti n Lostv/ System Head T-2 0, ('9 /y
Force ain Length Dia. Dist. to well
2 > too,
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / r Length No. Of Trenches PIT DIME S No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS G S
AMBER OR Manufacturer:
SETBACK SYSTEM TO P/ BLDG WELL LAKE/STREAM CHLEACHING
INFORMATION Typ O ystem: j UNIT Model Number:
~-$D
DISTRI UTION SYSTEM sGy c(,p-a~,~~
x Hole Size x Hole Spacing Vent to Air In k
Head r/Manifold Distribution /
Length DiaLength -1~ Dia I •S Spacing
SOIL COVER x Pressure Systems Only x Mo r At-Grade Systems Only ,a Mulched
Depth Over Depth Over xx Depth of ' xx S e ed/Sodded
BedlTrench Center Bed/Trench Edges Topsoil l Yes [a-] No 0 Yes No
COMMENTS: ncies persons present, etc.) Inspection #1.--L/ Inspection #2:
(Include code dlscrepe
35.31.15.562
Location: 1856 310th Str et Glenwood City, WI 54013 (SE 1/4 NE 1/4 35 T31N R1 5W) 40 acres Lod ~ arcel ' No,
= dY o.Yooll VAI
fU-nI / l
1.) Alt BM Description n
sewer len th = two u dlA- s~~--
2.) Bldg g
-amount of cover= 1121► 44A ~b h►'j`/1 S- (f` `~?.l ea~~ V4-a4,,~vrj sys~
3.) Contour = r 7 P
Plan revision Required? F&I Yes No
Use other side for additional information. - Date J Insepctors Sign lure Cert. No.
SBD-6710 (R.3/97)
J
17
4~ fir, M
41
C"b
BCD
V_
r
V
All)
~ oa
to - rc -so
Safely and Bolldiap Dim MM Coemty
t:i2cocIm sin 201 W. WaMoglan Ave., Ra Box 7162 } Cr
lwladisaa, wl 537W-7162 Sammy Pmt liam6or (IObcMedm by CO.)
maq
State Trarmc~oa Nvoba
Sanitary Per cation $ 3 I Z
In accordance wAh s_ Comm. 8321 of farm to the appraIii green ai
unk is ,equirW prior to foram far date moved POWTS are Pm act Ael&= (ififidl t thin madog address)
/ $5 t~
sum to the nepartmart of Personal idarmsation provide may be used for
puq)osm in accordlaooe with the 1",& i5. t m
LA
Property Owner's Name
A
1 e si.cko► of jtAG OFFICE rS 14 - ~aT~~ 1S - 660
Property Owner's Mading Address Property Location
M (g (0 3 t C-th SA7 Govt Lot e J
city, State zip Cade phone Number SE y~, SE 54 s«atian 3 S
alf-ri Ifj7/ T~14; R (cidicow)
Type of BaRdiog (check all tkat apply) Lot #
SubdivisonNama
1 or2 Family DwdW*-Nrmhar~ 3
Block #
r=ueu~e ❑ City of
CSMslumber ❑
❑ Stye Owned -Describe use VAhW of
~
k 75 D~ Townaf ~rY SA _
III. Type of Permit: (Check only me box an lisle A. Ca pde/e rue B vappoe"k)
A- ❑ New System ) Replaama t SYSUM TrvatuicWHoldiOg Tact Replacement only ❑ other Modificaim 9a Existing System (orphan)
B. p Permit Renewal ❑ Pereia Revision D C7so®e.afPhmba ❑ P=ct Tear F to New Irst Previaas Paint Number mod Dete is sued
Be hm Fxpiragion owner
1V. Type of POW1'3 tJDevice: Check all that
p Non-pressurized In-CRound ❑ Pressurized in-Ground t0 At-Grm& p Mound 24 in of skit Me sal Maned < 24 in. afmAable sad
❑ lloldwg Tams tROdw Dzpaad CowponcM (esP,.i.) G Z r/6dJ /~cw ❑ Aehalmeat Deese
t
V. rsaVPrsa Aral L3ormatiew /
Design Flow (Rd) Design Sad Applice im RMOMy" D*aMd Area Depasal Area ~ Sysl em Ekvation
So i6o t\ 456 , Z
VL Teak Info c
GaIlOns ipecity Ga9TOW #Of
oas Units v ` e
New Tmehs EiWnTa►s
aU ~B ~ a.th
SepucarHoihmEToor IOao l
Dos ag tea X 5,60 f tf ~ eke«. X
VU Res"WANUy Staimcat-1, At hind ' dud Down shwa at tie attached !teas.
Plumber's Name (Ring) MP/AOW Nrmba Baseness Phase Number
5 47(~ -x31-"7
L
w°;s `L•crk
Plumber's Address ( caul, stair, zip Cate) eV'etaA; N l ~ S 30Y -at 7 3
E i 51
VIIL c sm Any" Use PMWWW-- I/
pans Foe Date SAppswext ❑ _ (p7_4• f 1'
❑ - Reason Dermal
EL c 100PR liar Disapproval 3)1. Septic tank, ettluent;fiiter and 1
dispersal cell must all be services 1 maintac4rc "4 PG`
ah per management plan provided by plurnbat,
2, At setback requirements must be. maintaitW, ] (/"V44 ' V 4et~J-z4-' 1Y ti~Ck - j
40 ME 001110" code/
Attmeh to cewpiele phm der the system &W smbimit to the Carroty only on Paper met iess trams U2 s 11 inches in six e
SBD-6398 (R 02/09) Valid tbru 02111
~~~vAxra Safety and Buildings
10541N RANCH ROAD
HAYWARD WI 54843
Contact Through Relay
I'i1 s P www.commerce.wi.gov/sb/
`9y\ S ~w i www.wisconsin.gov
A ,P
\°~~'ssro'~'w~ v Scott Walker, Governor
Dave Ross, Secretary
August 25, 2011
CUST ID No. 253976 ATTN.- POWTS Inspector
LEWIS C BJORK ZONING OFFICE
LEWIS BJORK LLC ST CROIX COUNTY SPIA
E7818 CTY RD E 1101 CARMICHAEL RD
MENOMONIE WI 54751 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/25/2013 Identification Numbers
Transaction ID No. 1983126
SITE: Site ID No. 770644
Dale & Sue Riba Please refer to both identification numbers,
1856 310TH St above, in all correspondence with the agency.
Town of Forest
St Croix County
SE 1/4, SE 1/4, S35, T-1 IN, RI 5W
FOR:
Description: Mound, 3 bedroom residence
Object Type: POWTS Component Manual Regulated Object ID No.: 1329989
Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from
original grade; System(s): Ezflow Mound Component Manual, (R. 8/07), Pressure Distribution Component Manual -
Version 2.0, SBD-10706-P (N.01/01), SSWMP Pub. 9.6; Effluent Filter aCOt~~
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. piVISIO: % 'I
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code
requirements.
SC`s C. OF
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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Key Item(s)
• 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. In addition, the
owner must insure that the operation, maintenance and monitoring' duties as described in section VIII of the
mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• The gravelless system components must be installed in accordance with the manufacturer's printed instructions,
the plan approval, and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's
instructions and the plan approval, the plan approval and code requirements will take precedence.
• The float switch shall be a type that does not contain mercury. 2009 Wisconsin Act 44 prohibits the installation
of float switches or relays that contain mercury.
• The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle
size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner
of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to
service the filter shall terminate at or above finished grade with a watertight cover.
LEWIS C BJORK Page 2 8/25/2011
Reminder
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system area per Mound Component Manual.
• Materials shall conform to the requirements of COMM 84. Comm 84.10. No fixture, appliance, appurtenance,
material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,
unless it is of a type conforming to the standards or specifications of chs. Comm 82 and 83 and this chapter and
ch. 145, Stats.
• The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings 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.
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, Fee Required $ 250.00
Fee Received $ 250.00
Balance Due $ 0.00
Patricia handorf
POWTS Plan`Reviewer ~ Integrated Services WiSMART code: 7633
(715) 634-7810, Fax` (715) 634-5150, M-fr 8:00 - 4:45
pat.shandorf@wis oc sm.gov
cc: Carl J Lippert, Wastewater Specialist, (715) 634-3484
Leroy G Jansky, POWTS Wastewater Specialist, (715) 828-5902, Monday, 7:00 A.M. To 3:30 P.M.
! 1
EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Dale and Sue Riba Replacement Mound
Owner's Name: Dale and Sue Riba
Owner's Address: 1856 310th Street
Glennwood City WI
54716
Legal Description: SE SE 35 31 15 W
Township: Forest
County: St. Croix
Subdivision Name: na
Lot Number: na Block Number: na
Parcel I.D. Number:
Plan Transaction No.: d11.Y
Page 1 Index and title
Page 2 Data entry
Page 3 EZflow mound drawings Page 4 Lateral and dose tank
4SpOND
Page 5 Distribution media Page 6 System maintenance specifications
Page 7 Management and contingency plan Page 8 Pump curve and specifications / 1 !
Page 9 Septic and Dose tanks
Page 10 Plot Plan
Page 11 Soil Report
Page 12 Effluent Filter
Designer: Lewis Bork License Number: 253976
Date: 0 Phone Number: 715-231-7375
Signature:
Designed Pursuant to the
EZflow 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)
EZflow Mound Version 2.0 (R. 4/4/11) Pagel of 12
i
ICC Flow Tech@
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) r Residential or Commercial Design
300.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 =150%)
450.00 Design Flow (gpd)
2.00 Site Slope
98.60 Installation Contour Line Elevation (ft) 110.00 Contour Length Available (ft)
16.00 Depth to Limiting Factor (in)
0.40 In-situ Soil Application Rate (gpd/ftz)
Distribution Cell Information
AI Cell Width (ft) 3.4. 5.6. 7. 8. 9 r 10 Only Dispersal Cell Length (ft)
Dispersal Cell Design Loading Rate (gpd/fe)
Influent Wastewater Quality (1 or 2) Are the laterals the highest oint
in the distribution Y
Pressure Disribution Information network? Enter Y or N
(c or e) a Center or End Manifold
3 Lateral Spacing (ft) If N above, enter the elevation ft
2 Number of Laterals of the highest point.
0.188 Orifice Diameter (in) (e.g. 0.25)
4.00 Estimated Orifice Spacing (ft) = 11.84 fe/orifice
orcemain Diameter (in)
~DQ 160.00 oncemain Length (ft) Does the forcemain drain back? Y
. 0 Inside Pump Tank Elevation (ft) Enter Y or N
1 b„~ 0.00 Forcemain Filter Loss (ft)
3.25 System Head (ft) x 1.3 26.10 Forcemain Drainback (gal)
13.50 Vertical Lift (ft) 67.38 5x Void Volume (gal)
2.20 Friction Loss (ft) 93.48 Minimum Dose Volume (gal)
18.95 Total Dynamic Head (ft) 24.90 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x x
1.25 2.00
1.50 x x 3.00
2.00 x
3.00 x
Gallons/lnch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Weiser Manufacturer gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
500.00 Dose Tank Capacity (gal) Bear Filter Manufacturer
9.84 Dose Tank Volume (gal/in) ML3-916 Filter Model Number
Weiser Manufacturer
Project: Dale and Sue Riba Replacement Mound Page 2 of 12
Icc Flow Tecriv
Mound Plan View
T
1/10 B 3 J
Observation Pipe .
..'°.:'1.. ti :ti.• ..ti ~'%~~:L.::• '.ti:L:•'~•': •'•ti•'•t~• •:f r:. A
•:r.r..•:r._.r:i:. •.r 5 .r:: •.r.. r:..r...r.. .r...r.r
W [ B 4.
4{' I
L
Mound Component Dimensions
A ESft ft E 21.44 in H 1.00 ft K 11.18 It
B ft F 12.00 in 1 10.49 ft L 97.36 ft
D in G 0.50 J 8.96 ft W 25.45 ft
450.00( ) 2Dispersal Cell Area 1236.70 (ft2) Basal Area Available
6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
EZflow Dispersal Area
Finished Grade 102.27 (ft)
♦ H
G j
F Dispersal Cell 100.77 (ft) Lateral
100.27 (ft)~ Invert Elevation
Dispersal Cell 3 ; t
C 3
Elevation D
5 J { .i ,;,i,/,~.i i i 1,~ A .t A i Jai✓, t ,c a,.l k J. i t r i i Y' •i.~ .'i_
y ~ r x s ; ,h. ~ ti ~ 7. ,i i✓' c. x ~ ~ .a ' r > x }
, i,.,!.,{i
-C
98.60 (ft) Contour Elevation
2.0 % Site Slope
Typical Dispersal Cell
Shading Key See Page 5
E IM Topsoil Cap > ° a
2 rrrrrrr Subsoil Cap c 2 0 ft Approved Geotextile Fabric Cover
ASTM C33 Sand a
4 Tilled Layer a v Z t. 5 .r.
tiL F
5 tiL
m m S• ~•L••.•L ti~ ~L L L11
EZflow Media
S. S. L.L. . 1•:
r;:.r.r.r•.• ~•r r.r •.•.f.jLfL
W O 0.5 ft . Lfti L.•. f..L ::L.L.•.
See details 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: Dale and Sue Riba Replacement Mound Page 3 of 12
ICC Flow Tech®
End Connection Lateral Layout Diagram
Place Appropriate Lateral Diagram From Right Below
P • = Turn-up wrbsll vsMe or clesnoutplug
i -in
1 Z -41st orifice located at Z I+ x f Orifices port up except every 5th
one poirds down for drainre~e. S
Foroe main connection Via tee a cross to mx*A at arq point. Laterals & Face main of PVC Soh i0
AN laterals identical with orifices equaly spaced. (per COMM Tats 81.30-%
Number of Laterals 2 Orifice Diameter 0.188 in
Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft
Lateral Length (P) 74.22 ft Orifices per Lateral 19
Lateral End (Z) 0.78 ft Orifice Density 11.84 fe/orifice
Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft
Lateral Flow Rate 12.45 gpm Manifold Diameter 1.50 in
System Flow Rate 24.90 gpm Forcemain Velocity 2.54 ft(sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
4 in. min.
Comm 16.300 WAC Disconnect
Tank component is properly vented F- Alternate outlet
location
Forcemain diameter
Weiser Manufacturer 2 in.
Capacity 500.00 Gallons
Volume 9.84 gal/inch A
Weep We or anti-
Dimension Inches Gallons B siphon device
A 31.31 308.12
B 2.00 19.68 C
C P= ump off elevation (ft)
C 9.50 93.48 8727
D 8.00 78.72 D
Total 500.00
Dose tank elevation (ft)
Bedding And Backtiil As Per Manufacturer 86.60
Alarm Manufacturer SE - Rombus
Alarm Model Number 520-002A
Pump Manufacturer Zoehler
Pump Model Number 151
Pump Must Deliver 24.90 gpm at 18.95 ft TDH
Project: Dale and Sue Riba Replacement Mound Page 4 of 12
Uflowe Distribution Cell Media Layout
6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft)
0
Distribution Cell Cross-section Arrangements
Qb(&(Mdn
Component Legend
® SRI-7A Bundle - 5 ft or 10 ft lengths
SR1-12A or EZ 1201A in 5 ft or 10 ft lengths
SR3-12H or EZ 1201 P or @on SR3-12H in 5 ft or 10 ft lengths
O 4" Perforated Distribution Pipe With Pressure Lateral Inside
Turnup 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)
Force Main
6ftWide
End
Manifold
-
Project: Dale and Sue Riba Replacement Mound Page 5 of 12
Mound System Maintenance and Operation Specifications
Service Provider's Name Lewis Bork LLC Phone 715-231-7375
POWTS Regulator's Name St.Croix County Phone 715-386-4680
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 fe Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once eve 3 ears
Effluent Filter Inspect and clean as necessary at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test periodically
Pressure System Laterals should be flushed and pressure tested eve 3 ears
Mound Inspect for ndin and seepage once eve 3 ears
Other Call Lewis For our Pumping 715-231-7375
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap
and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007.
2. Dispersal cell media conforms to EZflow 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 Comm 84, 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 • . • • •
6-8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Lateral Ends at Last Orifice Where
Variable Length Cleanout Begins
Long Sweep 90 or Two
45 Degree Bends Same
EZflow Synthetic Media Diameter as Lateral
2.06 Feet
Distribution Lateral Lateral Cleanout
Project: Dale and Sue Riba Replacement Mound Page 6 of 12
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [EZNow Mound Component Manual 8/20107, Pressure Distribution Component Manual Ver. 2.0 SBD-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 Comm 83.33, 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, State. 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 fitter 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 as to
when the next service needs to be perlomted 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 Wisconsin Department of Commerce.
Pump 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 the 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.
"*"No one should ever enter a septic or dose tank since dangerous gases maybe present that could cause death."
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 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 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 BODS, ISO mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30
mg/L BOD5, 30 mg/L TSS,10 mg/L FOG, and 104 cfu/100 mL for highly 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 end 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 it should be compared to the initial test when
the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within
the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any
levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Continency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If tLe 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 mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically 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 POWTS regulator and service provider.
Project: Dale and Sue Riba Replacement Mound Page 7 of 12
E `LUENT
KEY a
UMP~7 BN = w/ Float In Box
~7 M = Auto Float Attached (vertical)
N = Non-Auto (manuao
E = 230V Non-Auto (manuaq
"FLOW-MATE- 98 ► P ~,,rc~ /9 "
Ali WK
1 a.
ZBN96 BN98 12 HP ~ 11511 w
ZN98 Aubmatic Cast Iron 1/2' Solids, 1-1 Jr Disc. Tethered Float (157.
. 358.95
N98 1/2 HP 115/1 Manual Cast Iron W Solids, 1-1/2' Disc.
319.45
FEATURES:
BN98 The "Flow-Mate" is constructed s HEAD CAPAcrry curve
- of durable cast iron, Carbon 30 ~oDa' -112 HP
ceramic seals and a non-
clogging vortex impeller.
15' Cord
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APPLICATIONS: 15
The 'Flow-Mate" is ideal for
sePW t mk--,, dosing, low to
Pressure pipes, large mounds
and step systems $
0
o 10 2D 30 40 50 60 70 80
"DOSE-MATE" 151,152,1
a:
x: a3
15
ZBN151 BN151 1/3 HP T., 50-
115/1 Automatic Cast Iron 112" Solids, 1-1/2" Disc. Tethered Float (20) 322.08
M51 N151 113 HP 115/1 Manual
Cast Iron 112" Solids, 1-1/2" Disc.
281.16
ZBN152 BN152 4110 HP 115/1
ZN152 Automatic Cast Iron 314 Solids, 1-1@' Disc. Tethered Float (207
N152 4110 HP 115/1 Manual Cast Iron 3/4' Solids, 1-12' Disc, 355.08
314.16
2BN153 BN153 1/2 HP 115/1 Automatic
ZN153 Cast iron 314' Solids, 1-1/2" Disc. Tethered Float (20) 498.95
N153 1/2 HP 115/1 Manual Cast Iron 314 Solids, 1-112" Disc.
ZE153 E153 1/2 HP 230/1 Manual 462.00
Cast Iron 3✓4" Solids, 1-112" Disc.
46ZOO
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FEATURES:
The `Dose-Mate" is constructed of crave
13N152 durable cast iron, carbon ceramic
seals and a non-clogging vortex
impeller.
20' Cord
APPLICATIONS:
The - is vt r~' _ tanks, dosing Clow pideeaul for pips, g
mounds and step systems °
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° REVISED JAN. 2010 800-325-8456
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wiscxu!xoin Department of commerce gEfiLb/hUATI N REPORW Page 1 of 3
Division of Safety and Buildings -r 01 , 7Y
in
County Si.Croix
Attach complete site plan on paper not less than $ /2 x 11 iruclues in size. Plan must
include, but not limited to: vertical and Iwritontal refieren m point (BM), direction and Parcel ID.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. by Date
Personal irrtorrrrahm you provide may be used for secondary purposes (Privacy Lew. s. 15.04 (1) (m)). 9 Z////
Property Owner Property Location
Dale & Sue Riba GovL Lot SE 1/4 SE 1/4 S T 411
N R 15 E (or)W
Property Owner's Mailing Address Lot # Block # Subd. Nana or CUM
1856 310th st
city State Zip Code Phone Number OCity Village • own Nearest Road
Glenwood City WI 54013 ( ) 310th st
E] New Construction UseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
0 Replacement Public or commercial - Describe:
Parent material loess over till Flood Plain elevation if applicable N ft-
General comments Install mound on the 98.6 contour with 20" sand fill lift
and recommendations ORIGINAL
p-1 Boring # Boring
Q Pit Ground surface elev. 98.6 R Depth to lim" factor 16 in.
Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2
a-1 0-4 10yr3/2 sl 3fgr mvfr cs 2F .6 1.0
a-2 4-9 1 3/2 sl 3msbk mvfr as 2f .6 1.0
e-3 9-16 10yr5/4 fsl 3msbk mvlr as 2f .4 -8
b-4 16-21 7.5yr4/6 c2p5yr5/3 sci 3msbk mvfr s if - -
b-5 21-36 7.5yr4/6 c2p5yr5/3 scl Om mvlr - - -
[7-21 Boring # ❑ Boring 98.1 16
Q Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 "Eff#2
A-1 0-5 10yr3/2 - A 3fsbk mvfr cs 2f .6 1.0
A-2 5-8 1 3/2 sl 3msbk mvfr as 2f .6 1.0
E-3 8-16 10yr5/4 - fsl 2msbk mvfr as 2f .4 .8
B-4 13-21 7.5yr4/6 c2p5yr5/8 scl lmsbk mvlr - - - -
A
Effluent #1 = B913 > 30:5 220 mg& and TSS >30 < 150 mg& ` Effluent - _ ffU& and TSS 30 nglL
CST Name (Please Print) _ _ CST Number
Lewis Bork ~~v N 253976
Address nZ~L~Eva luation Concluded Telephone Number
E7818 County Road E 7-30-11 715-231-7375
Property Owner Dale & Sue Riba Parcel ID # Page 2 of 3
Boring
Fp 3 Boring # 0 Pit Ground surface elev. 98.6 ft Depth to knifing farms 17 in Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. -EMI *Eff#2
a-1 0-5 10yr3/3 - grsl 2fsbk mvlr as 2f .6 1.0
sl 3fsbk mvlr gs 2f .6 1.0
a-2 5-9 1 3/2 -
a-3 9-11 10yr3/2 - sl 2msbk mvlr cs 2f .6 1.0
b-4 11-17 10yr5/4 - fsl 2msb mvlr as if .4 .8
b-5 17-25 7.5yr4/6 c2p5yr5/3 scl lmsbk mvlr -
E Boring # Boring
Pit Ground surface elev. fL Depth to lirrding factor in. Son n Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rotas GPDfif
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2
Boring
Boring #
8 Pit Ground surface elev. ft Depth to tirrr6ng factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Deso"on Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sk *Eff#1 *Eff#2
* Effluent #1 = BODS > 30:5 220 mg/- and TSS >30 5150 mg/L * E1lk*nt #2 = BODS < 30 mg& and TSS 5 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
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FILTER CART
RIDG INSTRUCTIONS
TM
Installation
STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is
centered under the access opening. If not, then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
STEP 3 For installations utilizing the optional supplemental side support:
solvent weld. the 3/4-lnch,,pipeo to r ie fift h cas .~I side=sup.IZOr method is. not
utilized, proceed to step four.
STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning
clockwise 901.
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and filter.
3. Pump the septic tank completely, making sure to remove the sludge
layer on the bottom of the tank and not just the scum and effluent.
4. Once the effluent level has been lowered below the invert of the
outlet pipe, firmly pull up on the filter handle to dislodge the
cartridge from the case.
5. Slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm is present, the switch
should be removed by turning counterclockwise 900 and cleaned
with water only.
7. While holding the cartridge on its side (large flat surface facing
down) over the access opening, rinse off the cartridge with water
only, making sure all septage material is rinsed back into the tank.
8. If VRS switch is utilized, replace by inserting into filter and
turning clockwise 900.
9. Insert the filter cartridge back into the case, pressing down until
the fitter locks into the bottom of the case.
10. Replace and secure the access opening on the tank.
BEAR ONSITET" FILTER CARTRIDGE - FIVE-YEAR LIMITED WARRANTY
Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five (5) years from the date of
consumer purchase.
BEAR ONSITE^ Fitter Case -Lifetime Limited Warranty
Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time
the original purchaser owns the product.
If a defect is found in normal use, Bear Onsite will, at its election, repair, provide a replacement part or product, or make
appropriate adjustment. Damage to a product caused by accident, misuse, or abuse is not covered by this warranty. Improper
care or malfunctions resulting from units not installed, operated, or maintained in accordance with instructions provided will
void the warranty. Proof of purchase (original sales receipt) must be provided to Bear Onsite with all warranty claims. Bear
Onsite is not responsible for labor charges, removal charges, installation,or other incidental or consequential costs.
In no event shall the liability of Bear Onsite exceed
the purchase price of the product.
Oct-50-2010 0$:30 AM St. Croix County PlanIZaTring 715=306--466,6 9f1
ST. CRO4X COUNTY
SEPTI'L' TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FOkM
Ovmer/Buyer lake artcl Sue R ibo, _
a;lirtE Atldre::ts ~r1-4 WS ..54716
Property Address tj 15(o 3 (0 t, s4-
(Vetificafl r MM Dam iPetZoning Dsparfxt fbr new couauction.)
city/state _(~te~~ Celt ho i Parcel Identification Dumber AA
LEGAL Dl~SC U QN
Property i omdot~ Sec. T _t N R IS W,'i m of Fr,fz f' -
Subdivision Plat: AJ/A , Lot #
Cerdflad Survey Map #C~ s Volume = Paw #
warranty # # 0 q (be&re 2nvwum 21, ~Pa~e # ~~'G
Spec house • yes 06 Lot Lh= i hmdfW* 46/ no
S, X x M DWNnNAMM ARID QMM CERTIFhCATIiON
improper = and maintenance at your septic system could result is bspoemian Mure to bandle arUML Proper
maintenanco eta ofpumping out the swde talk every tlm years or sooner, ItmWed, by a li xmW per. What you put into
the system cant abet the iltnetion of ft septic took as a to unent stage In $si waste diap=61 system. Owner mafta x
responsibiltdo are spedTad in § Comm. 33591) and in CtapW I3 -,fit. Croix Cow* Son'" Ordinancb.
1V prztpa[ty OWTO WIN tie sttbmlt to St. 001% CiMy ft=b$ dt Wag VWUMl a ctsi df Uioh tt i t. svOl by the
onvtt>sr and by a ttpA m plumber. journeyman ptombor, mstriewdplumber or a tfC'Crr od pumper Ycifying On (t) thr on-sttc
%vaatewat% d►sptrsat system is in pmW oopcm tnb condition c 12) -aft itrq=flron tub pumping Of nacesserq). lk suptic tank is
kss than 1!3 foil ofstttdge.
line, the wWftvpW hoe road dw ova requkaments and agm w nwhimis do priwaa a&waga dispoW syam with the
awWw& rot hctk bezel asset by die Deputuna ofGb oeand to Dqm=m ofNa mil Rssowam State of Wes.
cadilteadon stains tfaat y0W a sys= b" bm Main:aiood, metal be completed wd reawned to the 8t. gain Gansu Ananks 8e
Zoning Deparmeaat wWa 30 days of the three year aq radmt date.
Nve certify that all stawmants on this form am true to the but of erDtl w knowl&a. Uwe amtare the ownerW of the
pro)" docribed above, by virtue of a warranty deed reaartled in Register of Deets Office.
Number of bedroom
SIGNATURE OF APPL,ICANT(S) DATE
***Any information tint is misrep tsented may result in the aenitmy permit being revoked by the Planning bt Zoning Departa mt. sss
include with this application a recorded wamaq deed hom tine ttegtstw of Dea & Mice and a edpy of the certified survey map if
reference is made in the warranty dead.
(REV. DNS)
U qL 7 Z P 74892'7
1 -i999 KATHLEEN H. WALSH
STATE BAR OF WISCONSIN FOR $ ~
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO-, MI
Document Number
RECEIVED FOR RECORD
This Deed, made between Milton F. Riba and Myrna Riba,
husband and wife, 12/12/2003 10:00AN
WARRANTY DEED
EXEPPT 11
Grantor, and Dale F. Riba and M. Susan Riba, husband and wife, as REC FEE: 11.00
survivorshipmarital property TRANS FEE: 630.00
COPY FEE:
CC FEE:
PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County, State of
Wisconsin (The "Property"):
Recordin Area
Name and Return Address
James H. ICrave
The Northeast one-quarter (NE 1/4); and the East one-half of the Northwest Attorney at Law
one-quarter (E 1/2 -NW 1/4), Section 35-31-15, St. Croix County, Wisconsin. P.O. Box 304
THIS WARRANTY DEED IS GIVEN IN SATISFACTION OF A LAND Glenwood City, WI 54013-0304
CONTRACT RECORDED AUGUST I8, 1983, IN VOL. 671, PAGE 155 AS 014-1075-90-000,014-1075-10-000,
DOCUMENT NO. 387065. 014-1075-20-000,014-1075-30-000,
Parcel identification Number (PIN)
This is not homestead property.
(is) (is not)
014-1075-40-000,
014-1075-50-000
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
easements and encumbrances of record.
Dated this _3 day of April _,2003
s Milton F. Ribs
. Myrna Ribs
AUTHENTICATION `~t►►tuuuyr~ AC OWLEDGMENT
`y`%% ,%4 Kiq q r~~i~ STATE OF WISCONSIN )
Signature(s) )ss_
St. Croix County. )
- ~C Personally carte before me this 2-3- day of
authenticated this day of . c , : 2 April, 2003 the above named
(IBS- --~90` Milton F. Riba and Myrna Ribs
OF IN
tttH1~N
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not o e known to b rs (s a uted the foregoing
i ent an the s
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
James H. Krave, Attorney at Law ' OY
Glenwood City, WI 54013-0304 otary Public. State of Wisconsin
(Signatures may be authenticated or acknowledged. Both are not y Commission is permanent. (If not, state expiration date:
necessary.) )
'Names of persons signing in any capacity should be typed or printed below their signatures
WARRANTY DEED STATE BAR OF WISCONSIN
FORM Nw 1 - 1991
INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI800-651-2021