Loading...
HomeMy WebLinkAbout006-1040-20-200 rosin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ;ty and Building D «ia "on INSPECTION REPORT Sanitary Permit No: 420478 0 3ENERAL 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Manske, Frank I C Ion Township 006 - 1040 -20 -200 CST BM Elev: r insp. BM y ev: BM De cription: TANK INFORMATION ELEVATION DA A TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 0 00 Ben hma(k • CAa o a Dosing FBIdg.Sewer . B / O 3 I� Aeration X_ I - Y Y p• q& os Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL jBLDGj. Ve nt to Air Intake ROAD Dt Inlet Septic > 2 �, ) Dt Bottom S `too 3 • t7- S Dosing Header /W4+. /D/ • Aeration Dist. Pipe �S g C T5 Holding Bot. System /I PUMP /SIPHON INFORMATION 1 t Final Grade Manufacturer emand St Cover I (/ A7 p GPM . �•- Model Number �S , C/I TDH Lift Fricti Ls Syste He TDH Ft Forcemain 1- n th Dia. t Dist. to Well j 4 rl f i SOIL ABSOfZPTi6N SYSTEM �j�/(L - f l yl 0 q vx 2 S• Z — 9� `� BED/TRENCH Width } Length No. Of Tren es PIT DIM S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L _ BLDG WELL LAKE /STREAM LE CHING Manufacturer: INFORMATION CHAM E R Type f ystem: / ll � � Model Number: (� r DISTR ION SY T M Head !Manifold L, ' is nbuti x Hole Siz x Hole Spacing Ve it Intake Length 3 / Dia v L ngth - 7 3 •; Dia �' Spacing 3 to SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L.l Yes f No Yes j No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / Inspection #2:�/ / Location: 2003 215th ven D eer Park, WI 54007 (NW 1/4 SW 1/4 188 T31 R1 6W) ( N S A Lot J Parcel No: 18.31.16. 1A10 1.) Alt BM DescriptionY � ^ �� erJ .A ,d 3L u �� ` � �-z<. BHA l �0 ` 6 2.) Bldg sewer length =�0 t � �- � _ . Y�� - amount of cover = , 3.) Contour = ► �s �T ¢� rnature - - -- - -- , Use other for additional in Yes j '/No - J q fo m ion. t rV '/ �,Dete / Insepctoorr'ss J , C rt. No. \ SBD -6710 (R.3/97) tS ./ I' ` - f �►��" /no � ��Ul � "6W+2 / l 7 v �/Q l'< CTP1 0, �s z ( C ham'" low f �•�T,lc_2B� �4l' Bla'��v� (— Safety and Buildings Division County 1 N' W6aonsin 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Site Address Department of Commerce !0 -/ 2= S d / Vo 16 Sanitary Permit Application Sanitary Per°°" N"n`tber hh In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision ��V � �� maybe used for Privacy Law, s15. m 1 :. Application Information - Please Print All Information State Plan I. Nttmber P rty Owner's amet� Parcel Number 00 —� . P�0-' d ECLiVED ( Pro ity Owner's Mailing Address rty Location p DO 3 11 44C -C OCT 1® 2002 'A i4: S Ci ty ' ST. State Zip Code p ��,n Y Lot -2 a Block Number ?. OrF - iCE i u fnName Cm r fda2� I W Sy 7 `��� - aS�- 2733 U. Type of Building (check all that apply) - ✓ ❑City 61 or 2 Family Dwelling - Number of Bedrooms 3 ❑Village ❑ Public/Commercial - Describe Use ❑'township ❑ State Owned �0 �x 75� G•� • (Xx-C �l 7 Nearest Road -1�4,..d a =i� III. Typeof Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 ANew 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem I I Tank Onl stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that p y (n scheme is for internal use) 44 ❑ Non - Pressurized In- Ground Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized ln- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At-Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other 4 V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area S oil Applicaaon _ Percolation Rate System E n Final Grade Propo Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation � r VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks or Holding Tank k . �O Dosing Chamber 64 D c ro VII. Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl is Signs umber Business Phone Number D " `e Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date sued mg nt Signature tamps) Surcharge Fee) ` ❑Owner Given Initial Adverse Determination 1X. Coptlitions of Approval/Reasons for Disapproval / y 2— 4A? �/' ems- - �f 3 --< JT 2 Attack plans (to e C ody) a system on pa not less than SM x 11 [adze SBD -6398 (R. 05101) St. Croix County Zoning Monday, September 15, 2003 at 8:36.40 AM Detail Sanitary Information Page 1 of 4 Computer #: 006 - 1040 -20 -200 Sub /Plat: NA Section: 18 Parcel #: 18.31.16.271A10 Lot: 2 TN /RNG: T31 R1 6W Municipality: Cylon Township CSM: Vol. 13 Pg. 3683 1/41/4: NW 1/4 SW 1/4 Owner: Manske, Frank 2003 215th Ave Deer Park, WI 54007 State Permit: 420478 Issued: 10/11/2002 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: 09/09/2003 POWTS Detail: Bed Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn NA Gille, Dennis Confirm building sewer connection to house House excavation has not started, so building $0.00 Signed Off: Yes only, no connection was approved to pole sewer was stubbed at 48' from tank, between bam, and make sure cleanout installed if existing pole barn and future foundation. Asked final sewer line is >100' to tank. Dennis whether there were plans for PIM to pole bam and he said no bathrooms in it. Should check both final length of sewer line to house ( <100 ") and make sure bam does not get connected unless approved PIM from state. Pam Quinn NA Gille, Dennis Appeared to be CST error on elevations at the site $0.00 Signed Off: No and the contour for the mound was not on 97.0' per plan. Couldn't locate the "nail in oak tree" Byron B. used for BM #1, so used ground elevation at Alt. BM, northeast comer of mound. There was not a 3.8' difference between the grade at Alt. BM and B1 as reported by CST. May have erred in calculation of Height of Instrument and site elevations. Can't explain it otherwise!! Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 9/9/2006 3" Goulds `' ° N 1(``� Submersible Effluent Pump 3871 EPO4 EP05 • Fully submerged in high ■ Motor Housing: Cast iron pPPLiCATIONS •Fasteners: 300 series stainless steel grade turbine oil for for efficient heat transfer, Specifically designed . forthe lubrication and efficient strength, and durability. following uses: • Capable of running heat transfer. ■ Motor'fover. Thermopias- • Effluent systems dry without damage to com Available for automatic and tic e0N8t with integral handle • Home Motor: and float switch attachment • • EPO4 Single phase: 0.4 HP, manual operation. Automatic points Heavy duty sump 115 or 230 V, 60 e: 0.4 50 models include Mecha m power Cable: Severe duty Water transfer • Float Switch assembled and RPM, built in overload with reset at the factory, rated ail and water resistant. Deuvatering automatic reset. p ■ Bearings: Upper and lower • EP05 Single phase: 0.5 HP, heavy duty ball bearing SPECIFICATIONS 115 V, 60 Hz,1550 RPM, FEATURES construction Pump: EPO4 built in overload with m EPO4 impeller. Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 3 /4" ma)imum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, l6/3 SJTO mechanical seal protection. cowtul Standards AWdaft 1 •'total heads: up to 24 feet. with three prong grounding m Ep05 Impeller: Thermo- CSA listed model numbers • Discharge size: 1 r /z" NPT. plug. Optional 20 foot plastic enclosed design for • M seal: carbon- length, 16/3 SJTW with improved performance. end in "F" or "AC ".) rotary/ceramic - stationary, three prong grounding plug m sing and Base: Rugged BONA -N elastomers. (standard on EP05). thermoplastic design provides • Temperature: superior strength and 104 (40 °C) continuous corrosion. resistance. 140GF (60 °C) intermittent. • Fasteners: 300 series METERS FEET stainless steel. 10 s" • Capable of running dry without damage to 9 30 components. Pump: EP05 e • Solids handling capability: c 25 3 1i maxi a 7 W • Capacities: up to 60 GPM. z I :�i ------ • Total heads: up to 31 feet • Discharge size: 1IN NPT. 5 • Mechanical seal: carbon- a 15 rotary/ ceramIc- stationary, Q a BUNA -N elastomers. • Temperature: 3 18 104 (40•C) continuous 140°F (60°C) Intermittent 2 s . 1 • 0. 00 10 20 30 <0 50 GPM 0 2 4 8 8. 10 12 Ms/h CAPACITY 0 1995 Gowtdi Pimps, Ir►c Erlec�e 83871 , I 7t LA L l No W , I 0 c C I I i I I , , , I i . T , I , I J i I , I BM /a I I I `o P Ir $ -- -��. p` I f f , � I �.,/y►. �, I - I , ; , I I — I - 1 , Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE Wl 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.uslsb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary September 19, 2002 CUST ID No.221471 ATTN: POWTS Inspector DENNIS J GILLE ZONING OFFICE GILLE TRUCKING & EXCAVATING, INC. ST CROIX COUNTY SPIA 372 140TH ST 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 CONDITIONAL APPROVAL � Z a y K PLAN APPROVAL EXPIRES: 09/19/2004 Identification Numbers Transaction ID No. 786653 SITE: Site ID No. 650256 Frank Manske Please refer to both identification numbers, 215th Avenue above, in all 'correspondence with the agen Town of Cylon St Croix County NW1 /4, SWIA, S18, T3 IN, R16W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 869824 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(l). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a in fication report per Comm 83.55, that is acceptable to the county for maintenance tracking purpese� li be submitted at intervals appropriate for the I component(s) utilized in the POWTS. ft0lia l OIZ lly APPROVED DENNIS J GILLE Page 2 9/19/02 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. Fri. 7:30 am to 4:15 pm WiSMART:code: 763 jswim @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 q c F/ MOUND AND PRESSURE DISTRIBUTION COMPONE I6W �FO Commercial Application INDEX AND TITLE PAGE � ��s Project Name: FRANK MANSKE O/� Owner's Name: FRANK MANSKE Owner's Address: 751 N DAKOTA AVE NEW RICHMOND WI. 54017 Legal Description: NW SW S 18 T 31 NR 16 W Township: CYLON County: ST. CROIX Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 006- 1040 -20 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page Pup curve And specifications Designer: DENNIS GILLE License Number: 221471 Date: 98r2W2 Phone Number: 715 - 268 -6637 Signature: ". Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) DIVISION Of S ETY AND BUILDINGS Page 1 of 7 SEE CORRESP DENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r. Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 4.00 Site Slope ( %) 7.00 )Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in)f/ 0.40 In -situ Soil Application Rate (gpd/ft) ✓ Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest po int in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 121, 0.188 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.00 Forcemain !0 1' 75.00 Forcemain Length (ft) Does the forcemain drain back? YY 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) I p � 9.00 Vertical Lift (ft) 67.44 5x Void Volume (gal) 3.36 Friction Loss (ft) 79.67 Minimum Dose Volume (gal) q'q 15.61 Total Dynamic Head (ft) 47.19 System Demand (gpm) / Lateral Diameter Selection Manifold Dia meter Selection in. dia. options choice in. dia. options choice .1 0.75 1 5 1.00 1.50 x X 1.25 x 2.00 x 1.50 x X 3.00 2. x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 600.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 1 42.001 Total Working Liquid Depth (in) HUFFCUTT ^Manufacturer 14.29 gal /in (enter result in cell B49) Dose Tank Information Ef fluent Fil ter Information 600.00 Dose Tank Capacity (gal) Zabel _ Filter Manufacturer 14.931 Dose Tank Volume (gal /in) JAibb Filter Model Number HUFFCUTT Manufacturer Project: FRANK MANSKE Page 2 of 7 Mound Plan View ------------------------------------ T 1/10B L . Observation Pipe 3 J W — ..... ** " ..... t B I L ---� Mound Component Dimensions Down slop toe extension made. A 6.00 ft E 14.88 in H 1.00 ft K 8.74 ft B 75.00 ft F 9.50 in z 9.00 ft L 92.47 ft �00�ii ✓ G 0.50ft J 6.14 ft W 21.14 ft 450.00 (ft Dispe rsal Cell Area 1 1125.00 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.79 (ft) —► F Dispersal cell 98.50 ) Lateral 98.00 (ft) —► . ' . In_ vert Dispersal Cell t ievation E D. . •. .. . { x 97.00 (ft) Contour Elevation 4.0 %Site Slope Geotextile Fabric Cover Shading Key a a Dispersal Cell See lateral details on [] ® Topsoil Cap C 1.5 ft Page 4 for number, size, o c r r•; •:,r•: ;;•;: and spacing of laterals. ' {} Subsoil Cap ASTM C33 Sand Laterals are equally Tilled Layer c 0,5 ft p spaced from the distribution cell s ❑5 ::r's; : Aggregate '� o centerline in the -- A -- distribution cell (AxB). Project: FRANK MANSKE Page 3 of 7 Center Connection Lateral Layout Dai ram Force main connection via tee or cross to manifold at any point. Laterals are identical P S •- Turn -up wdball valve or 'E�(— ��Fxr2 I xf2� Laterals & force main of PVC Sch 40 olesnoutplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 36.75 ft Orifices per Lateral 18 Lateral Spacing (S) 3.00 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate _ -1L%0JgM Manifold Length 3.00 ft System Flow Rate _ 47.19llqo Manifold Diameter 1.50 in Total Dynamic Head 16. 61 ft Forcemain Velocity 4.82 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and - -1► _�„�,._ Comm 16.28 WAC4 in. min. Disconnect Tank component is properly vented F— Alternate outlet location Forcemain diameter HUFFCUTT Manufacturer �_ 2 in. Ca acit 600.00 Gallons Volume 14.93 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 26.85 400.89 B 2.00 29.86 C P ump off e levation (ft) C 5.34 79.67 89.50 D 6.00 89.58 D Total 1 40.191 600.00 Dose tank elevation (ft) 3" Bedding uncTer tank. 89.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number DVL Pump Manufacturer IZOELLER Pump Model Number 1140 Pump Must Deliver 47.19 g m at 1 15.61 Ift TDH Project: FRANK MANSKE Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name DENNIS GILLE Phone 268 -6637 POWTS Regulator's Name ST. CROIX CTY. ZONING Phone 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 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliforml >10E4 I cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and cIeangL1gpst every 3 years Pump and Controls Test once every 3 years Alarm Should test month) PressureSysteml Laterals should be flushed and pressure tested every 1.5 years Moundl Ins ect for ponding and seepage once every 3 years Other o dfr ,1>R 4 G72_ 4./oL / 74/L407 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 mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 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 Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: FRANK MANSKE Page 5 of 7 Mound System Management Plan y�o�°7� Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] 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. Se,.ptic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet finer shah 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 of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. 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 shah 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 BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu1100 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 18 months. When a pressure test is 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the 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 clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: FRANK MANSKE Page 6 of 7 l� 4 ti xIril TOTAL isY 4 Jdt C c C�P.J 41i�aW7Ti ,..� a k/u ..•- .nape.. ac.,pkW�: • ra'�'4uarryl• 31Np f�1ff:16fA, �'y 14 47 n, p att3rc, fnaL �� q � J Il k *Jut its 40 4140 un '�� la�l� ... •w..l W N}J 7,U'I 1f1• — ' I ap, wq' flu w 'JLi �11W f1iA d!J rNS la •• ` �F"- trauft Yu1Y0t Id U/n ., Vu — 1LtlAl1s "o., •.w.wr� - .., � 4 .... �au.i! -,I r VC Irl} - - e , ••al Van r•I.ut} r✓1CIt AdlpfuFl324r5 � ieratJ a rrt pJ:stpumiftaLl�iatr�l�tt� IlarJwllfJ 1 � In sltaeln. y ' I l7 40l'I Acel r lamia, area ift�rJtur>sallr3, tvrtlub+f rrj �l arrr�, av (ab( wl( t;�rvYIIIJL�tt1 x �f�y �E = - j- i ! ! r1r1401 Warru oyaIrrririMrs avri ki. 4 ptrass pumps rrsptl In wImploxx lalaatrJ, Baca FMO:P4 / 3YIL9b1l31pUWt trG sire avaltal?lrl �l9rtwnfj Illtt�J B(J3Q�!$ IjIErHk9 !} _# 'attarJla. • rulauwull 1tJlAP199ybauxvem ablrg 'stflr;fal��vtlolr sremvatlr3fetinrv�triablr� 16, ION oyatrJLrrJttrtlta.�,1,°pidfl! alt;tl taWA 1§J1x ulvralltablL fo: clu °JrJr11' IrJatJilll tfnn e� 1+MM94 tt. �. t�Ir e '01'130" ('S4°L.j9pt��1p1zJ1�Caf1 CIC�alat.ril d. p alrrodrltalc(�tavolllcla� wl Jsrrv.lublifFlIff mfimnGisfBVet fc , . '��xawlpJtb tbrartrxl`"QRtJar, 1131[JC, N4wltUttlp�lra llalttrdlprM"li'aUit1'Ult7�ttr, 4L Oatnl± MUUIR ' It31cu1rrr �� faKSdn l fLrl a l atrirnpJ +��+ruatUr:��tr, 4. V�rlaUl elaUalaWJrrutywttt rirYt�tIRF &tml�1J�: ca,�otraritu�to►.a�penitjr lex rnll f xYt�E • kJtil UaB. / 9 a. { tlOr3) �{rBiryr. --- ••• -_._ _ _ � � 7;1U>s, Fi. Flfur( �} tJdIB .[�l�lgfc,,�upGautrhn,�Fnry >TI+IdI1 M Ul#C�? cleat cleat eu pump ctFL�t�JYWi, Yl4JJfltJa tH'thfr�a'ft tir utLrarnlW(cx'V�tJk�df>g lax rV y 1toI.. is p"ji la de "' i� .. 8 Cry! 't44 an F i't8 DrJI 'J�1 I x to" ii 11a W _ A N bam� aa Ita�hl �'.;. � rJ�rtsui�, ►rafesg � orjw& All �mt�:rlEU�r:�1 n: wtlllunut�nagvavnuu�foaNlaypuu mtomrru D lCllugmL 4 ^ urtpHlfmwrrfU$tirVr,qur�ll w � pd � t to lit pf�D Qtxr�J a a I tlli�6 � r pn11nlEr. 1 rMAYnrneMnax �g4� lf� at '1 t Palma. lEs�ra�IPa rip � a 9(t� 1S�licural tar'Jt9Jlil�rdAirrdl�rE tr} �- .•,- _..- .._.,, , J�'tarra�tti�ran � �rtf�.df;�i�ns� c© bafor is arQj �rerl i nk) the c! MIDI r _ �• __. _ — . _ .., e thr. de sign rJjj 0vUr �fiJ @llf�f La1f>Ltrdllr�1w 4' 194Y qn Slipm: sFtg Gca ic(unuaut OP POW �! f xwitnuuu, rtv AO�rr �rJtrl �. w — _ w _� l AxI J � 7 �IIIII Jlirft�'1lhlll N f{ y� Jp� "►L416F1°.w ,411f3'#1 �IPf,p{' ,peirq/ M �. ZZ Y G � z a fi 'S" C - � I I a I, i i I I P I � _I ' to f I I I I I I I I , , i Z " 6 — j � I I I j i i I I Wig ;4n department of Commerce f , on' of13afbty and Buildings SOIL AND SITE EVALUATION Page of BureEM of Integrated Services in accordance with s: -� HFt "83-09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches ki size , Plan m t N ounty include, but not limited to: vertical and horizontal reference point (13lflf), directi �,f r�+ , ;•� l Gj�p percent slope, scale or dimensions, north arrow, and location and distance to t P ei I.D. # APPLICANT INFORMATION - Please rint all infor►nation "` "` p r ,.• Re evwd by Date Personal information you provide may be used for secondary purposes (Pri�acyLaw, s. 15.04(0 1(q% Property Owner Fly LOU r1 ',.•` 7 G Gt /- E=G�'I ` ' F ut �L4t 1/4��/4,S T N,R /6 E ( W7 Property Owner's Mailing Address L � ck# Subd. Name or CSM# 1,4 2 a lb s /2o S/ -- 13�; P3 ? Cit / tate Zip Code Phone Number Ci ty ❑ Village Town Nearest Road lY��/��� f✓!J'� ❑ -New Construction Use: Wesidential / Number of bedrooms Addition to existing building ❑ Replacement �+ Public or commercial - Describe: �7 Code derived daily flow 0 gpd Recommended design loading rate Z. �b ed, gpd /tt / ' ;1_ t rench, gpd /ft Absorption area required bed, ft 37 trench, ft Maximum design loading rate bed, gpd /ft ^ t rench, gpd /ft Recommended infiltration surface elevation(s) d ft (as referred to site plan benchmark) Additional design /site conside ations ,/ Parent material Flood plain elevation, if applicable zlxeg t S = Suitable for system Conventional Mound In- Ground Pre sure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S El U ❑ S ❑ S ❑ S ` U ❑ SU SOIL DESCRIPTION REPORT Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i Bed , Trench a VW ov- L' I + Ground J elev Depth to limiting f cto in. Remarks: Boring # / r- c s_ 5 Ground Depth to limiting �� f t in. Remarks: CST Name (Please Print) Signature / Telephone No. Addr s Date CST Number S eI? /��OIL DESCRIPTION REPORT R PROPERTY OWNE Q f L .Page t of f •�' PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots .::....................... in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench ........................... - 1� •7 Ground �L �.. L G ' Depth to limiting C in. Remarks: Boring # i3 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: Boring # Ground elev. ft. , Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) �� SOIL DESCRIPTION REPORT PROP €RTY,QWNE `� /� / Pa of 1 � ' PARCEL I.D.# ' Horizon Depth Dominant Color Mottles Structure 2 Boring # Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench Ground /� � 3W G rb G lY1� 1 /D T! I ` ft• Depth to limiting Remarks: Boring # Cl Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Isl Ground elev. ft. Depth to ; limiting factor in. Remarks: Boring # :f Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name Steve Halleen Byro ird Jr. Address 2162 170th St. New Richmond Wi 54017 CS1 #3479 Lot ------ Subdivision ----- -- ---- Date 8/5 /98 NW 1 /4 1 /4S 18 T 3 1 N/R 1 6 W TownshipCylon Boring ()Well PL Property Line County S T. CROIX BM or VRP Assume Elevation 100 ft.Top of Nail in Oak Tree System Elevation 98.0 * H R P Sa as Benchmark Alternate Benchmark Base of White Stake @ 100'--T d 120' B. M. 440' Property Line 0 ' It. A/ .B -lq� 35' 4% N p B -3 Slo G +�. N Pro 3 Bedroom a House 35' ° C 40' 30' B -2 ' yin � r CD Kevin and Jon went to the site (05/15/02 ?) to follow -up on concerns of an individual in the area. We determined that the soils do appear to be suitable for a mound system and the soil reports completed by Byron Bird on July 26 -27, 1998 seem to be a fairly accurate indication of the soils in the area at least for the first 15 -20 inches (did not dig deeper). However, it appears the soil test location for lot 2 has been destroyed by the placement of the pole shed and we were not able to precisely locate the BM's and borings for lot 3. T 1 -- -- - - - - INS I I i I i I I � i I , i � I i T ; i I i i I I J : C i I j i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Froox K (c. Mailing Address _ 7 / /t-�'� �{ 6 � a � ►J p,J R : A v"E'Xj t j t Property Address c9 (Verification required from Planning Department for new construction) City /State Parcel Identification Number ,. L ] , (o al 7/ A - / 0 LEGAL DESCRIPTION Property Location G %4, St,J '' /4, Sec. T -R1Je Town of C / O rl Subdivision Lot # Certified Survey Map # iA \ y ( 19 9 , Volume 13 , Page # 3 � 8J Warranty Deed # Lo(Q r i' :2 -1 . Volume Page # Spec house ❑ yes (no Lot lines identifiable IV yes ❑ no SYSTEM MAINTENANCE / \ 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. The property owner agrees to submit to St. Croix 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. Uwe, 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 Commerce 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 Zoning Office within 30 days of the three year expiration date. 1, 2710 IGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (� am e the ownerdof the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. / oZ / IGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed /a '� i4ZMI 280 60693 1 ` STATE'RAR OF WISCONSIN FORM 2-1998 KATHLEEN H. WALSH Documient Number REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Gary M. Halleen and Arlene L. Halleen RECEIVED FOR RECORD husband and wife. Grantor, conveys and warrants to 07 -16 -1999 9:30 AM Frank G. Manske, a single person. WARRANTY DEED EXEMPT N CERT COPY FEE: COPY FEE: TRANSFER FEE: 66.00 Grantee. RECORDING FEE: 10.00 Grantor, for a valuable consideration, conveys and warrants to PAGES: 1 Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property "): Recording Area Name and Return Address Kju '1INA OGLAND ZtO, Estreen & Ogla 359 I1udson0 0I6 W 154 006- 1040 -20 a 00 Parcel Identification Number (PIN) This Is not homestead property. Part of the fractional NW1 /4 of SW1 /4 of Section 18- 31 -16, described as follows: Lot 2 of Certified Survey Map filed July 1, 1999, in Vol. "13 ", page 3683. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this G day of July, 1999. Vv * * Gary M. Halleen * * Arlene L. Halleen AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gary M. Halleen and Arlene L. Halleen, STATE OF WISCONSIN ) husband and wife. ) ss. authenticated County ) this day of July, 1999. p � �� Personally came before me this day of June , L : C' 1 �, 1999, the above named * Kristin Ogl nd to me known to be the person(s) who executed the foregoing instrument and TITLE: MEMBER STATE BAR OF WISCONSIN acknowledge the same. (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin Attorney Kristine Ogland My Commission is permanent. (If not, state expiration date: Hudson, WI 54016 - ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures W AMtANTY DEED STATE BAR OF WISCONSIN FORM No.1 • 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC. WI 000-655.2021 GO6OS8 CERTIFIED SURVEY MAP Located in part of the Fractional Northwest Quarter of the Southwest Quarter of Section 18, Township 31 North, Range 16 West, Town of Cylon, St. Croix County, Wisconsin. r (V Requested by. �Z Steve Halleen Halleen Farms OWNER- �r SLED Gary M. and Arleen L, Halleen 1580 Timberwood Trail JUL 1999 Woodbury, MN 55125 li.0 StI Drafted by. Kristi A. Eylandt O` WSW 01001% SLC'Q'' U WEST 114 CORNER UNPLATTED LANDS SEC 18-31 -16 £AST -WEST 114 LINE OF SECTON 18 W -� I (FN01 " /RGYVP /P£) 25TH AVENUE 33i EAST 1/4 CORNER (R= N89'58'32 "E 5549.42' C.S.M. V. 9 PG. 2615) SEC. 1B -31 -16 PSI (R= N87'17'04 "W 5549.55' C.S.M. V. 10 PG. 2271) (FND 1 IRON PIPE) _ - - - -- _ -- _- S " E 5549.60 - ------- — — — — ` — — - - -- L� _ — — — — S89'57'28'E 972.40' 215th Ave. w 487.71' 4 _ _ _ 484.69 w N89'57'_ 28 'W +4577.20' / 454.70' _l _\� 485.06' I� ------- S89'57'28 "E i w 939.76'- - - - - -- -- `� I �I L 0 �+ UNPLATTED LANDS R.O.W. 215th Ave. I w .1 . .............................. o .. is �1Z Z ............. N ........... ro No DEED I IZ 1= I o o o g VOLUME 890 P AGE 274 jy 10 0 o DOC. NO_ 465452 1 19 t o 0 0 m LOT 2 o LOT 3 N -- - - - - -- ID I� 1 w �! W c I� I (W �� .. w to IM Z of w 91 m m s I N �� � ^' I 0 I ' UNPLATTED LANDS Im c I OF OWNER 1� 1 + �v33.01': i - -- 487.71' - -- / -- 454.70' - -- - 490.72' 1 - T - ----- 945.42' - - - - -- -- _ - - - -- N°o I33'I - -- ------ N89'57'28 "W 978.43= - - - - -- -- F ? 1A 1 1 Ln I z ,j LOT 1 � c I ,1 y UNPLATTED LANDS OF - OWNER g 0 -- 1 C.S.M. c �g� SZ� PG. 91 • Cb y > RONALD F. 1 I M JOHNSON 8 -1 1 F36 w AMERY. 1 I� WIS. SO[/7HW£ST CORNER < 0 SEC. 18-31 -16 (ALUM. CO. MAN) 4 041MMf! "'64% NOTE: The parcels shown on this map are subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size. access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. lE� TOTAL AREA LOT 2: ' TOTAL AREA LOT 3: i} County Section Comer Monument of Record 261,413 SQ. FT. 26].4]0 SQ. FT. • Set 1" x 24" Iron Pipe weighing 6.00 ACRES 6.00 ACRES a minimum of 1.13 pounds per AREA EXCLUDING R.O.W.: AREA EXCLUDING R.O.W.: linear foot. 228,716 SQ. FT. 245,409 SO. FT. • • • • • • • •Building Setback Line (100' from R.O.W.) 5.25 ACRES 5.63 ACRES R= Recorded As JOB #99042 (stal) Zaa I NO UH Prepared by. A & E GRAPHIC SCALE LAND SURVEYING do CIVIL ENGINEERING SCALE IN FEET: 1 inch = 200 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE EAST —WEST 1/4 109 East Third Street, P.O. Box 325 LINE OF SECTION 18, TOWNSHIP 31 N., RANGE 16 W. New Richmond, WI 54017 WHICH IS ASSUMED TO BEAR S89'57'28 "E. Sheet 1 of 2 VOL 13 PAGE 3683