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002-1013-95-300
Wisconsin 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.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Goetz, Ga Baldwin Townshi CST BM Elev: ~ Insp. BM Elev: BM Description: CJO ~ a C90. a ~ s ~ " TANK INFORMATION (J ELEVAITION DATA TYPE MANUFACTURER CAPACITY Septic ~~ ~~~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ fi S t 1~d l 3 z.l ~. Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Fric n Loss System Head TDH Ft Forcemain Length ia. Dist. to W SOIL ABSORPTION SYS M County: St. CrOIX Sanitary Permit No: 420427 0 Stat I'anI I N :~ ~C,,,,. r Parcel Tax No: C' 002-1013-95-000 STATION BS HI FS ELEV. Benchmark O ', j~r,D ~ .,c7 Alt. BM Bldg. Sewer ~~ ~~ r~ f S nlet ~~~ 9tt*Ffh'r~ef" let Dt Botto HeaderlMan. Dist. Pipe Bot. System Final Grade St Cover BEDITRENCH DIMENSIONS Width Le th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manutacturer: T e Of S st m: yp y e UNIT Model Number: DISTRIBUTION SYSTEM \ Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Length Dia Spacing 501E CO~V'ER x Pressure Systems~gly xx Mound Or At-Grade Svstems Onlv Depth- r Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed ench Center Bed/Trench Edges Topsoil ~ Yes ^ No ~ Yes U No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~./~~Z-- Inspection #2: Location: 2182 110th Avenue Baldwin, WI 54002 (SE 1/4 SE 1t4 6 T29N R16W) NA Lot Parcel No: 09.29.16.91 1.) Alt BM Description = ~ 2.) Bldg sewer length = ~ L - amount of cover = ~~ ~ ~" , Plan revision Required? ~}; Yes ,No I JO , Use other side for additional informati6n. I_/` ~ , i_ I SBD-6710 (R.3/97} Date Insepctor's Signature Cert. No. Safery and Buildings i)ivision ` '+~~201 W. Washington Ave., P.O. Box 71t:2 ~~~~~~~~ kladison, Wl 53707 - 7162 be artment of Commerce 9 -3 0 -o Z 3~ Sanitary Permit Application Ia accord wida Comae 83.2i, WIS. Adm. Code, persowl it>fortsudaa you provide sa Privet Lw, '°" Pteare Print Ali Iatozi~doa ::: ~ ~ ~Y I. Agpiic~atloA Iptocraudon Caunry S ~CYd ~~ Q Cluck if Revision State Z'U[n I.D. Number ~f ?~~ ~ _- ~riyowper'aN[uas ~~r ~ 0 2002 .~'®2 - f~-~, is O'DO ~ Pratwr4r' Lo~adoa , q ~ ~ ~ ST l 2;;IX t v~~ ~;_i.Y, ~sapecq- 's t+tilti~ Addtets ZC i a v ~ ', u r F I c ~_ ~ S~= yi ,J ~tf ` S ~ T.2 I N R ~!~ ,~ l8a llOr 7"L ~U ~ Zip code Ptaofae Nwaner Z,at Number d cz e~ Susnber :~', slats CStK Number Subdivialan Name ~~Z ~- ,~- r~~ <:,~ ~ ~ ~~Itm a. ~ ~ suuauwt tcb~c.n tinsel ~pi+~~) av~1+[ee Dior 2 psmily Dweltln8 ~ Nambsr of Bedrooms . ^'Towtsshi ~ ~ ---- (~ PubticJCosnooaarcid - Describe van Nearsa[ Road ~ Sttts~ Glwnai j/ ~ ~ oBe box oa line A tataataberiai tichai-a for internal wre). Complete Wte B ii appdcabk) III. T~-pe of Permits (Check only For Couaat7 ttae A. 1 O New 1~ ~ ~'~ ' 3 ~ Repttcxsaieaat of 6 ~ Addition to T~ ~ ~` s aam Date Issued S m Permit Numbsr g, [j t~Cle tf SaaStary Pertart Previously Issaasd IY,'I~pe of Permit: (Cheek all that aPPly)(atunberin~ sschesne X47 ^ sold gammre) 44 (~ Non -Praauisad In-C3rormd 210 Mauad 2Z Q Prs:sat.[rixad Ia-Clrow+d 41~Holdia~ Tmk 48 d single Pass ~ ~ At~rsde 46 ~ Aerobic Treatment Uai[ 49 ~ Re~citcula ` orntation: t tsod Atra Dispersal At'ea soft Applfcadoa tksiga platy ~ P~~,~ gate(+C1sIs./Dsys/Sq,Pt.) ____ .-- ~S~ t;spscly in .Total Number IvFsnufacosrer !, 'VI. Tank Info r,.a~ Gallons of 'Tanks er poldi~ Tank - 3oa~ 1 ~ ~~~~c e,r t .,_r,...~[~.tew atAeamant- I, tl[e •~n - , a>r~e rraponaibiiity fo--~-r sp ~ Consizuctett Wedsnd S1 ~ Drip Lino `~~"~~' i of Coeereta ~ Cousuucted on ~ ~leYSdaa ~x~sr~~ d Fiber Plastic Glasa~ l!u-~a a~ ~ r Su-itsry Permit Fee (lactudes l3roundwtter pate Issued Issuing Agent Signature t?1o Sta[nps) VIII. carat !Ik sartmeut vae ot>! ~iApprovsd Q DisspproY~ ~ Surcttarge se} ~ ~ ~ fhvnar Oivaa Initial Adverse 2 ~ . '~ . Dots n J '~ IX. C ~' PpsovaVAer[soaxs for ~rovsl oa a " S1~Y Sr n~ ~ ~ r`~ ~ ~ ` ~ _ _ _ _ _ _ /, ~~~w~. S'I-- C1~K. ~'~`'''`~ a+'E; Go•~.St`~tsZ~ ~ n ~~ 1~S~Kox_ y `~'~1"'"~a ~5 g~,e„H. I~..r~S.Q- h..~ ~ t#ba ~o.~~~`¢i~a~- o.~ al' ~ ~ cssf -~f~~'~-i~ ~ .... ~.Q, S•k ~txti ~ ~+•1"tAR'''esce i ~~- we,-~,dZ ~,~ ~ sac ~ ` ~ - u as le elan o~- A~v ~Pl~q t~Canoty te~'~ s3~a~° 1~P~' teas tbati 111i~ - SBD-b398 tR. U5101) PLOT PLAPt Scale 1' = 30' ~ Page ~ of r 3mo c~c. t-+_T-- ZS~M~ I- ~ I -i'~~~n-ov fir.. E +~l.L-w~~@1Z. ~RiU~ ~o ~ ~ ~^-~ ~'ni-1~ ZS ' OF PvM~IN ~ ~'otzT, f uo ~~ ~~ • x .~. ~ ~. L, w boo '-~ ~o ~, Z 1 ~ `r~ A yE Ps~tZk.~ ~u G ~ Department of Commerce Date of Inspection: November 19, Project Name: Goetz Use: Replacement Residential Legal Description: SE, SE, 6, 29, Site Number: 200749 Subdivision: Municipality: Town of Baldwin County: St. Croix Co SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street REPORT Chippewa Falls, wl 5a72s www. comm erce.s tate.wi. us ,^ ' r , `' i`~ n i~ -~fi~'t~.r---~ Scott McCallum, Governor Philip Edw. Albert, Acting Secretary ~~~ 4 `' Plurr~~er F, ~~,: fig V ~ ~, ~~ Plan Transaction Number: 444073 Sanitary Permit Number: NA Wastewater Flow: 450 gpd Persons Present:. A. Schumaker, R. Eslinger, J. Sonnetag e and Address: i Schumaker, MP 227990 >cott Rd n, WI 54016 - ~~ ~ ~Certif~ed~i{ Tester Name and Address: `~~~ ' ~~~~ .,.,.f..._" `- '~'~'~Adam Schumaker, CST 253309 ~`--'.-=.=r--'' ~~r 2113 80th St Somerset, WI 54025 (715) 247-4008 Owner Name and Address: Gary Goetz 2182 110th Ave Baldwin, W 154002 (715) 684-2068 This onsite soils verification was requested by St. Croix County Zoning because of questionable soil profile results reported by the. CST in an area mapped Freeon-Silt Loam. One hand-dug soil boring was constructed within the proposed mound. area evaluated by CST Schumaker. The soil boring results do not support the mound design proposed and technically the site should have been deemed unsuitable by the initial soil evaluation and report. The typical soil pedon for this area (near CST B-2) can be described as: 00-03" 10YR 2/2 sil, 2msbk, mfr, ac. 03-09" 10YR 2/2 sil, 2msbk,mfr, aw, w/c1f 10YR 4/6 redox concentrations. 09-13" 10YR 5/2 sil, 1 mpl, mfr, w/ c2d 10YR 5/6 redox concentrations. The seasons{ leve{ of soi{ saturation at this site is considered to be at the ground surface unless other information supports a greater depth. The redox features observed in the topsoil and subsoil were easily seen and should have been reported by the CST as a limiting condition. It is recommended that CST Schumaker make an effort to attend future continuing education classes related to soil profile descriptions and identification of redox features and other limiting soil and site conditions. Even though this site may is assumed to be unsuitable for a mound system based on Comm 85.30(2)(b), Wis. Adm. Code, CST Schumaker or another CST could complete a sail saturation determination pursuant to Comm 85.60 Wis. Adm. Code. Such determinations may show that redoximorphic features within the A horizon are not indicative of extended (z 7 consecutive days) seasonal soil saturation. Amore likely solution is to abandon the original area and try to locate a suitable site 300-500 feet up slope and to the east. A determination under Comm 85.60 will likely be required and any final determinations made at this site will need onsite v rification by this inspector. If there are any questions regarding this report, please contact me. y G. Ja ky Wastewater Specialist Ljansky@commerce.state.wi.us E-mail 715/726-2549 Fax 715/726-2544 Voice cc: ~QCounty ~] Plumber ~ CST ~ Owner ^ Other ,~ ~ ~ ~scons~n Department of Commerce RECEf~~' AUu 2 7 2002 sr. cgolx co~;v r ,r ZONI~Jr OFFICE August 22, 2002 CUST ID No.691727 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 ATTN: POWTS Inspector Safety and Buildings 340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 www.commerce,state.wi. uslsb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/22/2004 SITE: Gary Goetz 2182 110TH Ave Town of Baldwin St Croix County SE1/4, SE1/4, S6, T29N, R16W Identification Numbers Transaction ID No. 777447 Site ID No. 200749 Please refer to both identifcation numbers, above, in all correspondence with the agency. FOR: Description: Holding Tank System for Gary & Josephine Goetz Object Type: POWT System Regulated Object ID No.: 866455 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • The holding tank shall be anchored pursuant to Comm 82.30 (11)(c). A copy o he approved plans, specifications and this letter shall be on-site durmg onstruction 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/irstallaticn/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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ti Ili Keith A Wilkinson POWTS Plan Reviewer ,Integrated Services (715) 524-3630, Fax: (715) 524-3633 , M-F 7 am - 3:45 pm kilkinson@commerce. state.wi.us Fee Required $ 60.00 Fee Received $ 60.00 Balance Due 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist (715) 726-2544 ' TITLE SHEET Holding Tank for - ~ -3 BD~Z.r'1 t~.~S t D ~1~~ This plan has been prepared in accordance with the Holding Tank Component I~anual SBD-10571-P (';.6/99). Page 1 of 7 Located in the S ~ 1 /4 of the S ~, 1 /4 of Section ~ TZq N, R 1~ w, Town of _ Bp~~-~IN)h.~ ~ c,-~- C°_~~~~C, County, •iTisconsin. ~~~~ ~y~~ }`J716 '~ 't 1 ~J 6 ` ;~ » ~ ~ 3.r1~ ''p7 Ds:FAR?fl,~E~l G~" CGP,":°,lLRCE ~Q6'~S~aN Of SArET"Y At~1LLBJILDfNGS n /11 _ n ~ ~~~ GOftRESPONDENCE .~ Page 1 of 7 TITLE SHEET Page 2 of 7 MANAGEMENT PLAN Page 3 of 7 USER'S MANUAL Page 4 of 7 PLOT PLAN Page 5 of 7 TANK CROSS-SECTION Page 6 of 7 AGREEMENT Page 7 of 7 SERVICEING CONTRACT PREPARED FOR t~ ! y l~ Z t 8 Z l l •D `f3~ ~ U ~1`JV~. ~~L~wl~ ,;.~) S~oJ> PREPARED BY uIEGEF~ER SO = L . TEST ~ ntG . AND . . - DES = G~V S~RV = CE P.0. Box 74 421 Id.~iain St. River Falls, 1~TI 54022 Phone 715-425-0165 Fax 715-425-6864 ae~~`~E° A~~ ©~ ~ S~- C0f~RECTI4N NEEDED SEE CORRESPONDENCE g_6-aZ Job.;ro. ~Z-1 g7 Holding Tank tlanagement Plan -7 Pursuant. to COiriii 83.54 1~1is. Adm. Code Page Z of I GENERAL The system owner is responsible f.or the operation and maintenance of .the system,. locking device, alarm, water meter, and access for tank servicing. No vehicular traffic is allowed over the tank. The tank must be serviced by a licensed pumper and the contents to be disposed of properly, Do not enter the tank as dangerous gases may be present. CONTINGENCY PLAN Questions about the operation or aaintenance o'f this system should be directed to: The County Zoning Office at ~ ~. S - ~a 6 _ ~ (~ ~' ~ Ste, L° ~ ~X The system installer at _ `"1 ~ S -3 6 3~Z( S~hJ-^~tf4 ~ The tank manufacturer at ~pv - 3ZS -~~{S(-, ~V LN~p-~? If the tank or any of its components beccpme defective the defective tank or component shall be repaired or replaced to keep the system in proper operating condition. Abandonment If the tank is no longer used as a POWTS component, it shall be abandoned as per COMM 83.33. AGE. 3 of ~ Holding Tank Users Manual -' A copy of these plans are to be given to the owner, and this information reviewed with the owner. Meter installation. A water meter, ~t -OU £~model is installed on the water supply discharging to the holding tank. All exterior hydrants are excluded from the metered flow. The meter is installed downstream of all point-of--entry treatment devices. A control valve is installed on each side of the meter. The meter may clog with sediment and be in need of service on a regular basis. The capacity of this systems holding tank is 3 ~ o ~ gallons. Under full estimated daily flow of ~~ Sp gallans /day, the tank will be full every 6.~ days. Water conservation measures including the use of low flow water fixtures will extend this time frame and are recommended. If this tank is no longer used as a POWTS component it shall be abandoned by complying with COMM 83.33. Alarm installation. The alarm float is set to turn on the alarm when liquid volume is at 12" below tank invert or at 90% of the liquid capacity of the tank below the tank inlet invert. Alarm wiring is installed in accordance with NEC 300 and ILHR 16.23, Wis. Adm. Code. The float may become fouled in floating scum rendering it inoperable. This float assembly should be inspected at each pumping, The owner agrees to hire a pumper, licensed under Ch. NR 113, Wis. Amd. Code, who shall submit to the governmental unit and the county on a semiannual basis, for the servicing of the holding tank. The owner or owners agent is required to submit reports as required by s.Comm 83.55(1), Wisc. Adm. Code to the county or other appropriate jurisdiction and /or the department. The owner is responsible for the operation and maintenance of the system, locking device, alarm and access. Names and phone numbers of local health authority, component manufacture or POWTS service provider to be contacted in the event of component failure or malfunction. POWTS INSTALLER Name; W 1. Ll 1. Rw1 g C }{Uk'1'F'r {~~Z Phone Number: ~ L S -3 ~-6 - 3 l ? ! POWTS MAINTAINER Name: C..`~R..1 S L ~, C~rc..~J ~ S Phone Number: 1 ~ S __ l~ $4' -373p PUMPER Name; Cl~tZLS L 1,C~21U S Phone: -~ 1 S_ 6841- 3 3 0 LOCAL REGULATORY AUTHORITY Agency ~'. CRA 1X CDUy.JS'y Z~JnJ)hJG Phone: `l. l S -3$6- 4 b8~ -- • PLOT PLAid Scale 1'=30' ~ Page ~ of (' 3mo ~~-~ ~ _T'-, `lo Y~-e.~~, ~~c.~t 3~ r of O 4y RUC 3 S3 D1Z~1 ~~, ~ ~ ~~~ ~ 1- i ~ `1'171.) ZS OF~vM~IN G Po 2T, i ' x P~k,~~ ~~ w n ~..~, ~i . ~ ~ X00 {-~ 'f--a 2Z~ ~ sT, `~ Z 1 ~ `~ A yE ~~GE ~ o~ ~ HOLDING TANK CROSS-SECTION Approved Yent Cap Weather Proof Junction Bax 4" C, I, -_. ~ Approved Locking Manhole Cover Yent Pipe With~Warning Label Attached Minimum 72" l I ~Fi nal Grade -___L t 4" Minimum ., Water Tight-' Seal Blind C.I. Plug r 1 r 1 1 1 Approved Joint ' '---- 1 1 r High Water ' SPECIFICATIONS ~ Aldan Switch ' TANK New v' Existing ~-' - - - - - Manufacturer: W 1. `~~ ~y~ C~~, Tank Size: OU p Gallons ALARM Manufacturer: S ,S',~D S `~5~+~15 Model Number: ~ p f w Switch Type M ~~ iZ~ NUMBER OF BEDROOhiS: 3 GALLONS PER DAY: ~Sy 3" of Bedding Under Tank As per the Holding Tank Component Manual SBD-1.0571-P (R 6/99) a eater meter must: 1. Be installed in the water suPP1Y system so as to ez- . _ elude the ~PPIY to those water outlets, such as ezterior hose blbht and wall hydrants, which do aot discharge to . • the sanitary drain system; and 2 Inelnde an accessible remote reader device located on the ezterior of the building ar structure. • 181f Minimum Approved JOIn~ w/ C.I, Pipe Extending 3" Onto Solid Soil (oR P~ C P l PEA; • 08/05/02 MON 15:11 FAX 711 S8f dfi87 4 Docttmcnt Nutttbc: Counr~ or Local Govcrnrncnt lint' Town of Baldwin (Zetnrred tt as nlunieipaliry befov ) 1Ye acknowledge that aPPliCation is beiag roads f legal description): REGISTER OF HEEDS HOLDItiG TANK AGREEMENT `:I. 1~y' D_ot:amerlt Title Ho{din, Tank Owner(s) Gary Goetz ~, or the insWlladon of a hcldiag tank(s) on the feIlOwtag propery The SE's of the ;'~E~ of Seciian o, T29n , R1 bW, Town of Baldwin St.Croix Coants, Wiscosisin. _ . ooi_ ~ ~' 90 -~~6 ~ 6 0 ~ ~ REGISTER OF' D£ DS sr. r.~oax ca. , ~rI RECEIVED FOR RECORD @8-05-2002 9:30 AJ9 ~ rat~c as~,rr REC FEE: 12.00 TRANS FEE: " CEBT COPlt FEE ; PAGES: 1 Area Name and Return Address Garp Goetz 2182 ~lOth Avenue ._..~aldw~,z?, ..~?I 54Q02 ... _ As ~ inducnmeai t0 the Cotraty of S t . (r 0 J. X PmP~Y, we agree to Th: folIowing• --t0 iss_e a saaitary pcretit for @te abovedsscaaed 002-I013-95 Parca! Idcntifteation Nurahtx (P1Nj I. Owner agrees to conform ro sl; applieac a rcquireasents of Clz C~aua 83, Wis. Adm, Code, cstadng to holding Tanks. If rite owner foHS to haw tl:e hokliag taut properly se: +iced is accardaace with s. Cottttr, 83.54 {3)(c), Wis, Adta. Code, or;rt ~ ,me ro orders ;R,,,d ~, the mua~cipsliry to prevent or abate s auissn;e as descrtbed in ss, I4G.I3 sad 46.1a Stats., the altdcipaliry rosy eat:r upon the prapetry and service •the taalt or carrot: t0 have tbt ~rsl serviced aad cfiarge t5e owner by ple;iag ~ cfiarges oo the ~c ot71 as a speCa! assessment far arrtent st rvices tta:derad. The chu3cr wrI! be :,saaascd as pr~cr'ibed by s, 66.60, Scats, 3. Owner agrees to pay all charges and cos+ ; incurred by the nt:raieipaiiry for inspectioz'pumping, hauliag ar otherwise servicing and rminrai:<irg the »Idicg r+rtk is such a tnaaacray ro prsve,ts or abate env neisznce or health hazard caused by the haldiag s tic. The ay,,aiciosliry shat: notiy uye owner of say eostT whic!t shall be pa;d by The owaer within thirty (.0) drys, the owner s~eeifically agrees that ap of the toss acrd charges may be placed oa dte tsar roll as , spate assessment for the abatement o?a auisaace, and the tax • shsU be collected as provided by law. 3. The owner, stccepcss PttWidsd by s, 145.:0 (3)(d), 5tsts., agtr/ W coatraet with a petsoa Who is licensed irp•IM 1~r5. IV'R 113 sad PtR 114, Wis, qt rt. Code, ro have Lfie holding tank serviced and m file a copy cS rite contract or the owner's tegisuatiea w th the maaicipa(ity and with the wuaty. The owtroer further agrees t0 file a copy of any changes to tlv service ccnsaet or a cppy of a new service coatsatt with the nrutticipaliry and the eoaaty withta ten (1 I) btrsirtess days Eon: the date of cfiangr ro the service caasraa. ~~ Tbs ownsr agrees to coatraeT ws37 s psrsr t licensed uada Gbi N$ t U and !~Ilt l Ia, Wly Adm. Colt; wb0 shall sainyit ro the mtraicipality cad a the county a crport is sceordance with s. Comm 8355, wis. AdaT,.lvode• Co the casnef Rgstntloa tvi 1LY s: 946.20 CI(~t;.stiti.: thtav+nef 3'tia'd'it1On^Jrth'C CCpor[ [0 •.- ~. tt~e tar:nieipaliry sad fire wuan• ~. This agreement slrali be binding ages Nc owner, rho hai_5 of dte owner ud a°Siv~ea ~ ~ owner. T'ae owner shall su'otait The agre:mcnr ro We n gister of deeds sad rye agreeritent shsQ be recorded by the :vgistcr afdtxds in s manner which will p xmit the ezisreacc of the agre_msat ro be dt:tenained by reference to the propery where rLZC ho~a ; ~~ is itsstalled, i Owner(s) arno(s} (Print) _ Own s) S caratlue s} , Sttbsence¢ end awom co beforz me ..~~+a~•.8'I"~r .. ~ou' ~ ~ ~~ oa this daft:: ~ .,.~ q.• D''~ JI~q.U~^t7 V6O/g/.sj s MunitYpal f tei[[ai Name/~f{d Title Municipa C ffitdal SiVh~Nrc fK • Public} ;Print) [~¢r.~ D 6 K Y~pYR' My CamR11aa16a e7~VC3: I' c ~ IDw~a~~~o(~.ap.sas~....- .Q~r!~ou~ut~ ~~.'~,~Du~ Draft~cd hy: Arth it L. TnTegerer T]tis infarYitstioa must be completed by, ubmittcr, dociJr;tt:nt ti Ic t+zrnc ~ return address attd FPJ {ifrt:quired}_ (3ther,irifotirtation such as the gttttlting clauses, irgai description, etc, r Tay be pissed on this first page of the docT:mrnt or may be plats! on additioaa! pages of the dpCum:nt. N~re: Use of this cover page; adds one p tge to your doavtrent and HOC to the rtcordin fee. u~sconsin Statute 59.43 2 WRDA2199 z~s.szlz+~1 ~ (m) HOLDING TANK SERVICING CONTRACT Contract Date ' ~Qr Q ~ This contract is made between the HoldingT kOwner( Name(s) ---'--------------------------------------- and i Pumpers Name - - - - I We acknowledge the installation of (a) holding tank(s) on the following property: {Provide legal descriptions:) The SE4 of the SEA of Section 6,T29N,R16W,Town of Baldwin, St.Croix County, Wisconsin. i . The owner agrees to file a copy of this contract with the local governmental unit that has signed the pumping agreement and with the County of S t. C r o i x 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper-can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local governmental unit which has signed the pumping agreement and to the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees b file a copy of any changes to this service contract or a copy of a new service contract with the local govemmental unit and t'fte County named above within ten (10) business days from the date of change to this service contract. owner(s) Name(s) (Print) t Owner's 'nature(s) i d G:~t~~ i J o s~0~t. J~ G'o~; ~ t~ 1 I 1 ~ h R ~s L< Lf~a-e i Pumpers Registration Number Drafted by Subscribed and sworn to me on this date: Arthur L. Wegerer ~3D ~D~~ Todays Date ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~« x~ Go e Mailing Address a/~~ !/d ~ ~D~ Property Address ~~~l~a/~.+f lil ~ spa ~-- (Verification required from Planing Department for new construction) q~ City/State Parcel Idwtification Number ~ ~~ - l ~l3 `~ ( S'~ 4' 4' Property Location .S'~ '/.,.5~ '/., Sx. !" T~,~N-R /~ W, Town of ~.~/d~/<it/ Subdivision '~ ~'~l~ ~~'~ S Lot # Certified Snrvey Mup # ~'"- .Volume - .Page # W~aC l~f~:~- Wirnnty~eed # 2°tS 3 `f 2- ,Volume `f`F~ .Page # 3 ~ Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature ~fiilure to handle wastes. Proper maintenance consists of pumping out the septic tsnlc every three years or woner, if needed by a licensed pumper. What you put into the system can affect the function of the septic task as a tr+eatment:tage in the waste disposal system. The property owaar agrees to submit to St. Croix Zoning Department a certification foan, signed by the owner and by : masterplumber, journeymsap[umber, restrictedplumber or a liceastdpumperverifyingthat (1}the on-:rte wastewaterdisposal system is in proper operating condition and/or (2) after inspection sad pumping (if necessary), the septic tank is less than 1I3 full of sludge. Uwe, the u>~Sigaed have read the above requirements sad agree to maintain the private sewage disposal system with the standards set forts, herein, as set by the Depru~meat of Commerce and the Departrnent of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Cmix County Zoning Office within 30 days of the three year exp. 'on date. SIC3NAT[AtE F APPLICANT / ,/ ! ~~/ DATE OWNER CERTIFiCATiO~i I (we) certify that atl statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, virtue of :warranty deed recorded in Register of Deeds Office. SIGNA OF APPLICANT DATE •••.s• Any iaforntation that is mis-represented miry result in the sanitary perrrrit being revoked by the Zoning Department. •"•••• •• Include with this applteatioa: a stamped wamaty decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of~ Division of Safety and Buildings • in accordance with Comm 85, Wis. Adm. Code County rG ~' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horiz reference~point (BM), direction and parcel I.D. 0~ , , percent slope, scale or dimensions, nor~ar{oJr~,ghd'.location,an`a(jistance to nearest road. „ ~ `` `' Reviewed by Please ' ,. a~llr inforfion. Date ~~ Personal information you provide may used for sec~i~l~fy": Q~es (Privacy i;aw, s. 15.04 (1 j (mjj. . a,. Property Owner °"'~' - - Property Location r' ~ ~~ f ~°~ ,, ~ Govt. Lot$ E 1/4S E 1/4 S ~ T Zq N R ~~ E (or~ Property Owner's Mailing ddress --'~ ~ ~+%~ - ( ~ Lot # Block # Subd. Name or CSM# '~ C{7UN?Y ,,~ 7i~ ~ Q ~ ~ "~"~ 20fViN /j/~~ City State Zip Code.S 5 -• .Phone Number, .', `- ' . ` ' ^ City ^ Village [y~'Town Barest Road . h'is )_._ d w t'rw. r~ Z.. = ~"~~ 8 0l ; r. //d ~ ~¢v ~e ^ New Construction Use: I~ Residential / Number of bedrooms _,,~ Code derived design flo ~i'Sa GPD [Replacement ^ Public or commercial -Describe: Parent material Flood Plain elevation ~ pliable ~(i/ f~ ft. General comments ~r ~• G ~'~ U • /(>U • SD and recommendations: Co u~ .e,+-2 V'. ~~': O O ~~,~ Qz ^ Boring ~~ Boring # © Pit Grounds ce elev. 9G • 7y ft. pth t iting factor ~ in. So lication Rate Horizon Depth Dominant Color R x Description T ure Structure Consistence Boundary Roots P D/ft' in. Munsell Qu. S Cont. Color Gr. Sz. Sh. *Eff# *Eff#2 ~~((~~ 2 2 - 1p -- ~ t 2~.bk. ~ cs . 5 8 3 ~-~ ~ to ~ I ; ~ k -~ - g ^ Boring ~ Z Boring # 9 © pit Groun dace elev. G' 7 ft. Depth to limiting ~d in. ~-' Soil lication Rate Horizon Depth Dominant Color Redox Description Textu Structure Consistence Boundary oots GPD/ft'- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I a- ID - m~ ~~.~ •5 2 -~a 3 ~ k ~- -- • 5 * uent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/L and 7SS < 30 mg/L CST Name ( ase Print) ature : _~. CST Number Address Date Evaluation Conducted Telephone Number Z l j CI t- SG~uo - -~ Gam( Sy~~Zs _ _z~-~~~: <7~s:~~y7-~'~c~ Property Owner (tO 'C ~ Parcel ID # Page Z of -3 ^ 3 Boring # ^ Boring l ~ pit Ground surface elev. 9fs f y ft. Depth to limiting factor ~ 1 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft'- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ 0.5 )2 --~ 5i ~ ~ ~~ . s Z 5-ll ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl= in. Munsell -,,:Q[f. Sz, Con~`Eolor Gr. Sz. Sh. *Eff#1 *Eff,#2 ~., A! ^ Boring '~, '' Boring # Grounds elev. ~ ~'ft. ~ ~ppth to limiting factor in. ^ Pit Soil lica6on Rate • Horizon Depth Dominant Color scxiption` exture Structure Consistence Boundary Roots GP D/iP in. Munsell Qu. S . olor Gr. Sz. Sh. *Eff#1 *Eff#2 { * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 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. SBD-8330 (R07/00) r w PAGE~OF~ NAME ~r a ~ -~- Z LOT# LEGAL DESCRIPTION SP_ '/, SF~'/<,S (o T ZQ,N,R /(gE (or) SCALE: I "_ ~QQ { BM I ELEVATION /Dp ,d BM 1 DESCRIPTION~]~p4S (Ii ~~bur.P~, W,~Jo~+h BM2ELEVATION 99•`1~Z. 1' BM 2 DESCRIPTION. a.t.. ~ z Due, Ai 02., c,l / l ail, --.r--. T---• SYSTEM ELEVATION /~~~ • SCE ALTERNATE ELEVATION ,(J~~• CONTOUR ELEVATION ~'~ . ..-- ,:~ ~- ._._-- ~" ., G~----- ~~ DATE ~ ~~ ~ C~ e~ ~~~ r ~l o ~~ ~r ~i~ Pfwne: x''2,10 . ~ S Re: ^ Urgent CC: ~.~..n s~~' ^ For Review ^ Please Comment ^ Please Reply ^ Please Recycle ~ Comments: ~ /~~ f ~~ q ~ ~ ~ (~ ~~ , -~CG~`s ~S S ~~.~`1a-,~ wl~~ ~~ Date: ~~ 2-s ~ .~~J S~ G~~" S. ~-~- ~"~ ~ ~~ ~ _ ~ ~ ~~ ~ ~ ~~ ~ 1 a~ f is c.S °~- ,~~ ~~'' J ~" ~" ~' ~, ~ ~ ~ ~, ~~-- ~ ~ << ~ ,l~ ~I z~ P 7~b z- Z~~~~ Pei ~Srte~ II-~q-~I ~~ ~~ a~ _ _ -~ ---•o yVisconsinpeparlmentofCommerce SOIL EVALUATION REPORT Page ~ of~ Division of Safety and Buildings • in accordance with Comm 85, Wis. Adm. Code County ~-G Attach cemplete site plan on paper not less than 81/2 x 11 inches in size. Plan must but not limited to: vertical and horiz reference-point (BM), direction and indude parcel I.D. , percent slope, scale or dimensions, no rtaVv~,~~d ovation and~istance to nearest road. ~ ' Please a'll. information. '~~, y Reviewed b Date Personal information you provide may for se~~iary. pk{t~4~es (Privacy Law, s. 15.04 (1) (m)). i_. -, ^ _ ~ i ~ Property Owner ~;:y ~ , Properly Location ~ ~' ~ ~ '~ ~~;~ _ ( Govt. Lot$ E 1/4$ E 1/4 S ~ T Zq N R ~~ E (or~ Property Owners Mailing ddress ~, •- ~-~1^ ~, CAtf N TY '' Lot # Blodc # Subd. Name or CSM# ~~ ~ ~ City State Zip Code, ` - .Phone Number,: ' ^ City ^ Village ['Town Nearest Road dw~•~ w .z `~~s, ~ . ~ ~~s ~ , ~. lid ~-~ .~. ^ New Construction Use: 1^ Residential / Number of bedrooms _~~ Code derived design flow rate y-~a GPD ^ Public or commerdal -Describe: [Replacement ~' ft Parent material ~-~ ~ ~ Flood Plain elevation ff applicable ~ • General comments SyS~r r'^ t t'•e u • /UU • SO and recommendations: Cp Y1-~+esu r .e,~-2 V • ~~' ~ ~ U Boring Boring # © Pit Ground surface elev. 9G • 7y ft. Depth to limiting factor ~n• Soil lication Rate r t T Structure Consistence Boundary Roots GPD/ft' Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color u e ex Gr. Sz. Sh. *Eff#1 *Eff#2 ~ O -~ l~ 12 --- S; rnckb ~ ~ ~ • 5 3 l-~ 8 l~ ~ I .5 s. 1 2mc+bk r~ ~ - . 5 . 8 Boring # U Boring © pit Ground surface elev. QG' 7y ft. Depth to limiting factor in• Soil lication Rate ri tion D R d Texture Strudure Consistence Boundary Roots GPD/fP Horizon Depth in. Dominant Color Munsell p ox esc e Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 2 -~a 3 3 k m~ ~ ~- -- • 5 • 8 - 7 10 r 1~ rn .5 t_n s i ~ 2rr~ab k ~ ~ ~ '- 5 •8' _„ * Effluent #1 = BODS > 30 < 220 mg/L and T55 >3U < ~bU mg~~ ~nwa~u n~ - ""~ ~ ~~ ,.,~~ °. ~ . --- - __ ...~.- CST Name (Please Print) mature ~ _~_~ ~ CST Num^ber L J i~~ ~-% C( Date Evaluation Condur~ed Telephone Number Address z r i .~,1 ~ ~ ~ ~ ~ti'~ s y~,~s -z~ ~ , ~ l u s~~ %% ~ ~ ~ ~- ~~~ ~ .~ , , .~ Property Owner r,~. C ~"Z.- Parcel ID # Page 2• of 3 I__I Boring Boring # '' pit Ground surface elev. ~ft. Depth to limiting factor in. Soil fication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fr? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 I D -5 ~2 --, 5; I ~ I v . 2 5-II 3 5; I ~.r-,rah k ~S - . 5 I1-t~ I ~2 ry Si I IZ m ~ _ -- • 5 ~_--~ . (~ ~ Boring # ^ Boring - , f ®pit Ground surface elev. ft. Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DffF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 'Eff#2 ~ I p _tC !L~ z1 ~.c E~ _ Z ~-1 Mz ~~(~, S, ~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mglL " Effluent #2 = BODS < 30 mg/L and TSS < 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, 580.8330 (R.07/00) E PAGE~OF~ NAME ~j`O'2. '~' Z, LOT# LEGAL DESCRIPTION SP '/.S~'/. S (o T ZQ,N,R /(eE (or)'® SCALE: 1"=~(~ 1 BM 1 ELEVATION /Qp ,d BM 1 DESCRIPTION~Qp.~ li "~,~Q:Pe w/ la+h BM 2 ELEVATION g9•y2- 6 BM 2 DESCRIPTION n.L. (?~ p~ ~ ~„j~ f a{-~, SYSTEM ELEVATION /~(~~ • SCE t t -` ALTERNATE ELEVATION ,ulr~ ~ ^~ t f'(IT~iT(li TR Fi F V O Ti(lN ~ ~ _ ~/~ 1 ~% ,, Gary Goetz 2182 110th Ave Baldwin, W 154002 Section 6, T29N-R16W, Town of Baldwin 2 ~_ ~. *, SrA ,- _ `~ yo- ~- .~, ~, x,,a.~~ ~r~~-~.,: ,~ .. - .•• r~.. r;iie-rk1.~Ri '~ :iG ~~ tl~ - T _ h ~ h: ~``aS+Cyr ~' t~ ~ ~r ~>~,~,, ~ . '~` ~~ -~A~dA 200 0 200 400 Feet SrA = Skyberg silt loam, 0 to 3 percent slopes SaB = Santiago silt loam, 2 to 6 percent slopes FoB = Freeon silt loam, heavy substratum, 2 to 6 % slopes FnB = Freeon silt loam, 2 to 6 percent slopes RhA = Rib silt loam, 0 to 3 percent slopes AdA = Adolph silt loam, 0 to 3 percent slopes ~_ ~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce. state.wi. us/S B Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 25, 2000 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/25/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 200749, GARY GOETZ ST CROLX County, Town of BALDWIN; 2182 110TH AVE SE1/4, SE1/4, S6, T29N, R16W FOR: Description: REPLACEMENT MOUND /DWELLING 450 GPD Object Type: POWT System Regulated Object ID No.: 767489 Identification Numbers Transaction ID No. 444073 Site ID No. 200749 Please refer to both identircation numbers, above, in all correspondence with the agency. xbmittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Jisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in er 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. following conditions shall be met during construction or installation and prior to occupancy or use: 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the .address on this letterhead. Sinc rely, Q._ JAMES B QUINLAN , POWTS PLAN REVIEWER Integrated Services (608)266-3937 , 7:00 AM 3:30 PM MON / FRI JQUINLAN@COMMERCE.STATE. WI.US cc: GARY GOETZ DATE RECEIVED 10/11/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 i ~ ~~ T code 6~3 . ' ~ ; ~, ,~ ,,: L-rs I ~ ~ ~~~Q ST CpOIX f ('AUNTY ~^•~\, ~C2Nf11fGC>FFICE s~',. ~ ~`1_ ' -_ • ~ ~ ~s~ons~n Department of Commerce Safety and Buildings PO BOX 7162 ~AADISON WI 53707-7162 TDD ~: (608) 264-8777 w~,vw. co mr^e rce. s tate.wi. us/S B Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 25, 2000 CUST ID No.b91727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLA~~1 APPROV?~, EXPIRES: 10/25/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CAR~'~1ICHAEL RD HUDSON WI 54016 ~~~~ s ~~~~ Transaction I .444073 Site ID No. 49 SITE: Site Ii: 200749, G. GOETZ ST CROIX County, To of BALDWIN; 2182 110TH AVE SE1/4,:SE1/4, S6, T29N, 6W ~~-' FOR: Description: REPLACEME MOUND /DWELLING 450 Object Type: POWT System egulated Object ID No.: The submittal described above has beenl1 and Wisconsin Statutes.'' The submittal ha: chapter 101.01(10), Wisconsin Statutes, is The following conditions shall be met • A copy of the approved plans, spE inspection by authorized represen required by the state or the loca,~ Inquiries concerning this on this letterhead. Please r to both identification numbers, abov all coresnondence with the agency. for formance with applicable Wisconsin Administrative Codes ITIONALLY APPROVED. The owner, as defined in le for compliance with all code requirements. ~o ction or installation and prior to occupancy or use: ,ons a this letter shall be on-site during construction and open to of the amnent, which may include local inspecto~ll permits ~ality shal obtained prior to commencement of • may be made to me~the telephone Sin/c~rely, ATE RECEIVE /2000 i EE REQ $ 175.00 FL~RECEI D $ 175.00 JAMES B AN , POWTS PLAN REVIEWER LANCE DUE $ 0.00 Integrate ervices (608)2 3937 , 7:00 Alvf 3:30 PM MON / JQU AN@COMMERCE.STATE.Vu.U N ~ WiS T code: 7633 cc: GARY GOETZ , r~ P ~,3 ~P s • ~~, ,~~ . ~~, ,~ ~° .: r .;_ .. ~ ~~- ~. '~ ~# r ~ *k ~, ~`? '} r` . y~ ,?~ ,~ `. TITLE SHEET 1 This plan has been Manual SBD-1057 P C Cz. b ! gel LOCATED I~1 THE S ~ TOWid OF ~ As~~ FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE Page 1 of ~ prepared in accordance with the Mound Component and the Pressure Distribution Manual SBD-10573-P C R. b 1~34~ 1/4 OF THE SE 1/4 OF SECTION 6 ,T• Z°1 N,R l~O [d, ~lv LiJ , ST• Z°.Q:IJ lX COUNTY, WISCONSIN. INDEX PAGE l.of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM rIAI~TAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIE[]-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.IPING CHAr1BER CROSS SECTION PAGE 7 of 7 PUriP PERFORI.IANCE CURVE PREPARED FOR e~~ 6 U b~ ~ -_ -:--.~~~~ GO~rz- _-___- . ,,... ~. ,. - _---L3 PsL.QLv1/~.1 ~ WI S~LOOZ _~ . ;~ ::. ~•-:..~+ '~~` y,`. ..~ ~1., t PREPARED BY • WEGEI~EF2 SOIL , . TEST S iVG AND . . . DES I G;'~t S1~F2V = CE P.0. Box 74 421 Pd.~fain St. s~,oe4~~~~~y~,~ River Falls, WI 54022 Phone 715-425-0165 `~~••'"'•"'•'••.j~ Fax 715-425-6864 Z' ~';' ~:~ q •RTt!:1P. L i ~ WEOcF.ER • 0.315 ~ ELiSWGRTN ~ N~`~~ P.O.W.T.S. ~s j ~ ~~~ Con: itiosz«Ily APP~~~ a_Z~_oo DEPARTMENT Of CONII111ER>;E OIVISIONOFSAfETYA BUILilINGS ~4 -, , SEE CORRESPOraD~wCE JOB NO . Od -~ $ Mound System Management Plan .page ~-- of ~ Pursuant to Comm 83.54, Wis. Adm. Code '- 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 shalt 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 shalt 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, Safety and Buildings Division. 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. Mound and Pressure Distribution Svstem 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG: 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 18 months. When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging 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. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6199)) 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 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. Continaencv 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 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 loption by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at 1..1S_3$ 6_ 4(,80 or to the licensed plumber who installed the system. , In i ~.`• W N h-+ '~ • p d tld G] H L=J L=J ~''' ~p ~ fD i7 N C/1 ~ .. r.b~N (D h ~•r rt C n o+ ~ w w w ~ (~ N i-t 5 ~q F-+ Fem. ~' w f/~ ~ o n ~ ~ ~ ~ ~ w ~ ~' ~ o v, ~ ,, rr rr ~' m ocno ~ w ~ ~ ~ ., ~ ~ ~ ~ w w 8 rt rt H ~ O N. ro 0 ~ ~ ~ ~ c~ o ~ ~b w ~ ~ ~,d•~ a G ~ m N. ~ ~ w w ~ ~ ~ N~ w ~ --+ r• oq ct ~ O c-r fi m ~ ~' o ~ ~ w ~* w b a o b b w n o 'b ~ o -~ n w N. C m 2 ~mc c ~ ~c a w w - ~ ff ~~ r+' ~- w w o C ~ 'd ai ~ ~ . W a ~ ,-. ~ ~• ~+ ~ ~ ~ n N~ w ~ m `~ P~. ~ M O Cr' (D rt ~ ~ ~n ~ ~' G w N w ~ G ~ N. 'b a ~ o+ ~ ~ N. ~ ~ -~ o u, m a a ~o x I ~ lM D m d 0 0 i~ ~_ `~t^ G n I~ O !) 1 0 D_ 4 r v G ~~ /~'~~. ~" ~~ / ~J ~ O w ~ G / ~/ w ~ ~/ /-w_ ~ i ~/ ~ ~ ~, ~ w i ~o~ ~w ~ S/o ~o J w O V /~ •-l! ~n ~~ ~ i ~ ~ ~- ~ ~~ ~ ~ .~ ~ ~ G G O o N z g ~_ Nz ~e ~ ~ ~ m ~ '~ ~ Z-O `t"H sT- r D~ ~I III r +! m 1~ 0 71 IJ . , Paoe ~10f •7 Approved Synthetic Covering ASTi`i C33 Medium. Sand Topsoii 3 .1 ~ stribution Fipe G F Elev . l0 0.O o~ .. „ b y % Slope Distribution Cell of Force Main Plowed z" to 2 Z" Aggregate From Pump Lover • ~ 0 2- S Ft . ' E Z•~4 Ft. CROSS SECTION OF A MOUND SYSTEa = F o , ~ Ft. . G o•5 F~. A ~_ Ft. H 1~ a Ft. Linear Loading Rate= 6 '~ GPD/LN FT B ~ S Ft. Design Loading Rate= ~• 3.GpD/SQ FT j 1 y Ft. ~ 1 o Ft. . K 1~ Ft. r L l0 3 Ft. -~~ so; ~,: ~~.. W 3O Ft. ,,,-_ .. ~ ~} ' -Observation Pipe -- 8 -- ----- -~K r -- -- -~ ~-R~~~s c~-~---------------------- --------------- ---- eox ~_ A ~---'~b 8 - ° - - W ,~_`~------ - ---= ---------------------'~ Force Main -~ - - ~---------- ~ r~ ~r- 01?PUS1 LSD Distribution ~-- Cell of Z" to 2 2" Pipe aggregate Observation Pipe ~ • (1-uchbr securely) PLAN PIE'rl OF A MOUND SYSTE:4 3 Distribution Pipe Lagout p~Qe S of -~ .o Place the holes at the bottom of the distribution pipes at equal spacing. Retnove alI burrs from the pipe and holes. Extend the end of each late-aI up with the use of IonQ turn or 4f° fitting to a point within sx -- inches of the final grade. Terminate the cads of the Iate.-ais with a valve,: threade3 czn or threaded plug. Provide aces from .final grade for the vaIye; threade3 cap or thresded plug. ' .ti=;~C~sS a~~ Tit P.1c13 L C,~AS S sA~`n~ N pvc -. - Fvc Svc Lateai --` . ~ Manrtoid r- Laterl x x x xrl xlZ x x x x ' =Cetera! Lencth - ~ Lateral LnQth - P ~ L'PrN V \EL~ "-- a- -- htL11FJV ~~ r+R~~ r ~~; v~~,+nry P __ Ft. S ~ Ft. X = ~nchps irC~.:: ss SAX -~ - --v ' Hole Diameter ~ ~~ $ Inch "" "-~ ' Lateral ~ I .InchEes) Manifold ~_ Inches Force Main " Z Inches •f,• # of holes/pipe t of ~' • Invert Elevation of . Lateral s loo. S Ft. " . 1'Gl k0 .~l l = -1. ~ ~t K li , 31 _ l 6 G Pw/ . -+~3P~10U' S'tPE ~z~a~°~ ~ 18~P1IF1. r1JLET Approved/ joint w/ . PVC pipe tv o-t~~ >3 L 4~0 :~W~:-~ ASR ruT~IKE ~--i 6`+~w. I i ~, .~ 8,q~~~S CLEY.aO'~5 fT. . S~o.oo~ of 7. ~ . Ca~Iw~T I ~_' ~i~. ~ ~ ~w \`~~ ~ . .- ~`, PROVtOE I 1 'i' HI1J. 18'/rUl~1. -j"AtRTIGHT SEAL I ~II 11 I I ~ _•A• I III f III I II aLAR?'4 a' ~I 1( r ~ I ou c •I I . I PUKP ~ ~-~ ~ OFF 0 COlJCRETE • et.ocx Approved joint w/ PVC pipe RISER EXIT PERMr7fED Oi.lLy IF TAtJK MAIJUFACTURCR HAS SUCFI APPROVAL~3"ApFRo~rFp BF ~ p :u4 Si;PTIC E SPEGIFICATIOI`!S DOSE TAI,1K5 MAI~IUF1-CTURCR: ~~~I'`l~~ pR-~~~T IJt1MgER OF DQSES: y'3 TANK SIZE : lOVO ~ 6S0 GALLONS POSE VOLUME pER pA~ z ALARM MA1.IUFACTUfCCR: S~S~~-~-T~ S`1.S`1L~1.S INCi_u01AlG 6AGKFLDW: 1 S 3 GALLOt15 MODEL -.tUMBER: 10 L Nw CAPACITIES: A. la INCHES OR 3o I° GALLOys SWITCH TyPC: ~E-1Z~1Q~ 8 = Z I-JCHES'OR 3~ G(1LL01~15 PUMP MAtJUFACTURCR: GGV Lp S C: .4 1 S3 MODEL IJUMHER: 3g$ S• WE'bS.N ..-. p: q tUC~ES OR GALLOItS INCHES OR `S ~ G SWITCH TYPE: ~~,ze~,~Y WOTE: ALLOIJS PUr1P AUD ALARM RC TO 6E~~ M11JtMUM DlSCKARGE RATE 31- l~j GPM INSTALLED bA] SEPARATC CIRCUITS VERTICAL DIFFEREIJCE DETWfEU PUMP OFF AuO..D15TRtpUTlO-J PIPE., lq,-~S FEET -{- rtlNtttUM NETWORK SUPPLY PRESSURE . _ ~ ~ . , 6.2-5 FCET ~- 3D0, FEET OF FORCE MA11J X Z.~9 F~oFLFRICTIOrv FACTOR., b' ~'~ FEET TOTAL Oy1JAMIG HE:AO = 3 ~" ~'~FEET As per >Zanufacturer 1'7.0 gaI/in, Liquid depth 3$ ~~ Combination Sept~.c~•Tank and PUMP CHAMBER CROSS SECTIOtJ ANQ SPECIFICATIOIJS ' ~ PAGE ~~ . ~- WEATHER PROOF • -VEiJT CAP . . .ruucTlou aox . ti C.I. VE1J7 PIPC ~ ~tPPROVEO LOCKIRIG X10' FROM OOOR. ~MAIJHOLE COVER ~vCfK :itu00W OR FRESH ~ truP'(itJItJG L-a6EL. ~Ur'1P Pt~R-~Oa-~'11~Y)yCE Gu2.uE ~'t-~~ -7 or -1 Y • Overload protection must smooth operation. Silicon be provided in starter unit. bronze impeller available as • Shaft: threaded, 400 series an option. stainless steel. • Bearings: ball bearings ^ Casing: Cast iron volute upper and lower. type for maximum efficiency. 2' NPT discharge adaptable • Power cord: 20 foot for slide rail systems. standard length (optional - lengths available). ~ Mechanical Seal: SILICON Single phase: ` CARBIDE VS. SILICON •''/s and'/z HP - 16/3 SJTO CARBIDE sealing faces. - with 115 V or 230 V three Stainless steel metal parts, prong plug. BUNA-N elastomers. • 3/<-1 Yz HP -14/3 STO with ^ Shaft: Corrosion-resistant bare leads. stainless steel .Threaded Three phase: design. Locknut on three •''/z-1'/z HP -14/4 STO phase models to guard with bare leads. On CSA against component damage listed models - 20 foot on accidental reverse rotation. length SJTW and STW ^ Motor: Fully submerged in are standard.:.. high-grade turbine oil for lubrication and efficient heat FEATURES transfer. _ ^ Impeller: Cast iron, semi- ^ Designed for Continuous open, non-clog with pump- Operation: Pump ratings are out vanes for mechanical seal within the motor manufacturer's protection. Balanced for recommended working limits, METERS FEET 3885 APPLICATIONS Specifically designed for the following uses: • Homes • Farms ~- • Trailer courts • Motels - • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump _=` - • Solids handling capabilities: 3/4 maximum. • Discharge size: 2":NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet .TDH. • Mechanical seal silicon carbide-rotary seat/silicon carbide-stationary seat, 300 series stainless steel metal .parts, BUNA-N elastomers. • Temperature. , ~~ 104°F (40°C) contiriuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel ;~; :., ,.: • Capable of running dry ,: without damage to ' _ components Motor Single phase ~ -~ • r~ HP,115 V, 200 V, 230 V, 60 Hz, 1750 RPM; %i HP, - -115 V, 60 Hz; 3500 RPM; r~HP=1i~HP, 230 V, 60 Hz; 3500 RPM. -,; ~ _ • Built-in overload with automatic reset. "' • Class B insulation. Three'phase -- - ~• i HP -.1'/ HP.200/230/ . 460 V, 60 Hz; 3500 RPM. • Class B insulation. . _ r s~ 25 0 W v a 15 Z 0 J a c 10 f uouias ~~#~~~~~ Pump ~~ can be operated continuously without damage. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian Standards Association ~~ Underwriters Laboratories 20 5 a I i s i SERIES: 3885 o i i - ~ ' i t SIZE:'/.'SOLIDS VItEi i 4 - . -) i RPM: VARIOUS I i ~ SGPM I 0 VIlE10H i i I 5 FT f l- i ~ I I 0 i.. i i 0 i l ~ ~ i I i ! i ! ~ ~ ' I ! ~ i I I WE05H 1 I I- l ~ I i ~-Z I l i VIlE03L ' ~ ( ( I i i ~ i I I I ( i ~ i i >,ti. l I I-~ , I 8 7 s 5 30 io cv ou wu au ou /V SO 90 100 110 120 .130GPM ~ ~ ~. 0 10 20 =' 30 m~ih • CAPACITY ®1995 Goulds Pumps, Inc. . 11 Effective May, 1995 e~ooe Gary Goetz 2182 110th Ave Baldwin, W 154002 Section 6, T29N-R16W, Town of Baldwin ~ ~ ~. r r ~~ SrA Proposed mound site ~° .~. Sa$ ~~ ~C1 FoB ~~ x:. ~ ~~ { . ~ '~,~; ~, ~ ~: .~ ~'FnB „ ~, b ~ ~~.~ ~~ ~~~ 5 k ~~ . rk ~.~ q. ~ Yc ~.~ ~ L > 9~~ t H w. ~~ ~ %' ,;~ t t- ,Q ~~~_ ' ' •~, ~~, 200 0 200 400 Feet SrA = Skyberg silt loam, 0 to 3 percent slopes SaB = Santiago sift loam, 2 to 6 percent slopes FoB = Freeon silt loam, heavy substratum, 2 to 6 % slopes FnB = Freeon silt loam, 2 to 6 percent slopes RhA = Rib silt loam, 0 to 3 percent slopes AdA = Adolph silt loam, 0 to 3 percent slopes j