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Home My WebLink About008-1054-80-050wiscor~sin Depart~ent of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildinti 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)]. 'ermit Holder's Name: City Village X Township Stehr, Kurt . `l5 Eau Galle Townshi ;ST BM Elev: Insp. BM Elev: BM Description: f/ Q~ ~ Z SANK INFOR ATION ~ ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ l k1 ~ s / d dU~ ~~ c DOSi' - - 5 ,, sa Holdin TANK SETBACK INFORMATION TANK TO P/L EL BLDG. Vent to Air Intake ROAD Se~ :~ 1G r b ~- ~ ~~ ~~ i '-t~/ .ea.~ ~ '~' ~ ldvl `f ± ~b / ± moo' Holdin A h, PUMP/SIPHON INFORMATION Manufacturer Demand r GPM Model Number TDH Lift Friction Loss System Hea TDH Ft Forcemam Length / Dia. N Dist. to well Z Z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches DIMENSIONS ~ f Q I `, SETBACK SYSTEM TO P/L 1 BLDG INFORMATION Type Of System: bb` ~;~(/ r11STRIRIITInN SYSTEM County: St. Cr0[X Sanitary Permit No: 404988 0 State Plan ID No: Parcel Tax No: 008-1054-$0-050 I ~rs~ ~ lI'k.SP .~ z sl,~o STATION BS HI FS ELEV. Benchmark ~, ~' D ,gl I~ • ~ + ~ ~9. Gu1~r ~ I 10,33 ~ '~~ Bldg. Sewer ~ ~4r'Gs;~~ n~ !~ ~~ • ~~ tlnlet a ~ ~ P/ lO.SS o• 'L S Ht ~'ri k+ ~Z 2 '7•d G• Dt Inlet ,3~ ~•~ Dt Bottom ++ EL(X ~• Header/Man. ~ ~ ~ •} ~~ -y Dist. Pipe G./ A , ~O « z•~ Bot. System _ ~t.~q da 4+PZ Final Grade St Cover 2 ~, io?~6 .3 r`o ~Z . ~ .eP dQ'Y~ (~- ~- .~0 103- ~ ~'~~ O ` C~ ~ / t~ •~VbSt ~E'J )IM NSIONS No. Of Pits E/STREAM LEACHI CHAMBEI .~~ ~ CX~Qin..t'Lgf' / /'_ ~e.~._~ Header/Manifold Distribution ~/ / x Hole Size x Hole Spa cing Vent to Air Intake ~ if 7 Fipe(s) ~ `~ I~ Di y S i th ' L ~( 3 ~ J ~ ~ Len th Dia i 9 n eng a ac 1 P 9 r/ SOIL COVER Y Praccura Svctams Anly xY Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ j No ~ 1 Yes [~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1_~l {~/ 1~~ Inspection #2:~~ Z.S / O Z Location: 2148 30th Ave Baldwin, WI 54002 (SW 1/4 SE 1/418 T28N R1 NA Lot C'~ny ~ Parcel No: 18.2 .16. 75A10 I//I/~~ / r! 9 y a3 1.) Alt BM Description = `~Ep p~ f~ II(fgr 51,~i~r ~l ~ ~G`/ ~ 7t ~+-~~ 2.) Bldg sewer length = 11 ~ ;'f ~ !M -'LQ-W ~1~~ •1Q,(,t114t,~~ 11~ SU /Q7Lo® ~~b,. 0/ '~Y y0~"®Q.x~ `ftJY j~QST Bd' - amount of cover = ~ 3 Ff~ ~ X09. SI ~ C CY~F / ~ ,'/` ~ /y ~/ Close 3.) Contour = IOb .qo ~~ "'# 8.9~ ~••# ~ / BI~.T ~ftP 7o rftP ~ ~ 2 j~ /i Plan revision Required. I ~, Yes I ', ~~ I '~ O3 '~ K u'~''~~""--' Use other side for additional information. ,__T_~'p e~Q3_-J ~-+.~___ ------- -.---! ~----T-t't;u/-~--' SBD-6710 (R.3/97) Insep<tor's 'nature Sh~l~ Cert. No. L. ,/ ~S /O,z S O Z v vei ®_ ~ ~ a -) ~ ~Od ~~ ~I~IC.U ~ !"~tfi ~c~ .OD (P S l1, (~ t j " e / ~ '` ~~e ~ ,~ee~. ~nS~~~ Cc5 ~o/C~n~ rbv '~c5 ~ocr~n.ir . .~.~ aJ°/~~y ~ T ~.< <J~ ~dw~ ~~r Ti~.~ ~o (c 5h~ ~ /~,I,t,S~ ~ : /~ 5~ ~~A de ~~c ~~l ~Z~a /' ~` ~~"li-~-may 7 ~'b(,~ P ~ y ~ ~~ ~~ ~~~-~ ~~ a~G~C r~ s~~:.~ ~~zo~ ~s~ - ~ ~~: ~ ~ S~,d ~ /~~ M CLQ -- ~~`~ ~ Safety and Buildings Division County ~ l ~ 201 W. Washington Ave., P.O. Box 7162 , UZO ~ K ~ ~ r~scons~n dtson, WI 53707 - 7162 ~ I ~ ~ Site Address °f8 ~ Av ~ 2 , - Department of Commerce 30 / g Sanitary Permit Application ' ~~' Peraut Number ~ ~~ In accord with Comm 83.21, Wis. Adm. Code, perso ^ Check if evision ma be used for seco ses Privac w, sl I. Application Information -Please Print All Information State Plan .D. Number '~2 D / b.~ Property Owner's Name APR 2~ ~2 Parcel umber 18. Z& 1 b . 2 ~ ~ !} - i r ) PropertypOwnerc'~s Mailing Address ZQpt-NG OFFIGE Property Location ' ~l ~ 3 !~ 710 ~., OF SCff ~5~14;S ~~ TiZSN,R ~o uE City, State Zip Code Phone Number Lot Number Block Number "-7 n /f, ~~ ~ r ©~, ~. '7 ~ 5'.- '~'~. ~p •- l ~ 7~ Subdivision Name CSM Number / a` /'•- II. of Building (check all that apply) / /t ""• ^Ciry ,~ ~ ~ ~ ~~ 1 or 2 Family Dwelling -Number of Bedrooms ~ .6~-a/ta~~j'<- ~ ~ -~ ^Village ^ Public/Commercjal -Describe Use ,, LTl'ownship ^ Stau ~~ (\!"e~+ °~ 1n0 •9o t~ << ~ ~ ~ " Nearest Road x o D _ ~.o s IZ ~ o III. Type of Permt . (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use sum Tank Onl Eris ' S stem Permit Number Date Issued B. ^ Check if Sanitary Permit Previously Issued N. Type of Permit: (Check all that apply) umbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21 Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ pressurized In-Ground 41 ^ Holding Tanlt 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ kecitcttlating 30 ^ Other V. D' ersal/TYeatment Area Informati Design Flow (gpd) Dispersal Area on: Dispersal Area . O S Application Percolation Rate System Elevation Final Grade Required '~S-o ~ pd HS°*ff~ Proposed ,yt ks°,'`~~„" Rate(Gals./Days/Sq.FtJ (Min./Inch) Elevation ~ ~Pd/~t ~o f • 90 ~oY- 70 . VI. Tank Info Capacity in Gallons Total Gallons Number of Tanks Manufacturer Prefab Concrete Site Constructed. Steel Fiber Glass Plastic New Existing Tanks Tanks Septic or Holding Tank _ f p0® ~ ~/ ,~,~~ ~p Dosing Chamber ~ -7S Q I ! / ( ~r I ~ assume responsibility for utstallati the POWTS shown on the attached plans. VII. Responsibility Statement- I, the undersigned, Plumber's Name (Print) Plumber's Signature Num Business Phone Number ~f~nr ~~~k~;~~-~ ;~ ~ ~ a ~r ~~ s -7Y`}-3 3~~ Plumber's Address (Street, Ciry, State, Zip C~ L~~ w ~'- 9~ 7 ~ l.~ .~ 1,11 s~o ~3 VIII. Count /De artm t Use Onl ~• . Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) roved d ^ Disa pp F-~+PProve ~reberge Fee) ~ ^ Owner Given Initial Adverse ~ ~ ~ ~.6i1 Determination 1X. Conditions of A rovaUReasons fqr Disa r al - ' I ~- -n Q _ ~k~ PP ~ ~o h2-~pQp -S rkeoQ , ~~ ~ ~ T. A . ~"t', C¢.~~..~D~'r~~ f'.~"'^ ' ,~ ~ k~ ~s tl~ -~) t c,~.~,~ 5 e G.t1C.a-~ t~b''ts , SBD-b398 (R. OS/Ol) prete plena lto me i;am[y omy) ror me syarem ouprpc...v..~ ..,......,... __ ... ~~oo p~~~- = G~ ' PER PLUMBING PRODUCT APPROVAL N~ • ~ O f' ~ ~~ CODES, ALL ABOVE-GROUND PVC '~ PIPItdG (FROM TANKS & SYSTEM AREAS) 9 ~~ J D MUST BE SCH.40 PVC MEETING ASTM ~Ld ~ ~ I '• '~ G* p1785 OR D2665 STANDARDS. ------------~'"'~'° - ~o,v1v v,C'_ ~. ~~s , ~,~~PE~ Ty ,. ~ ~ yv ,~~s ~a~ ~~ ~~ar ti ` ~ \. ~' .d COs .. ~ ~ D \ ~ ` .~ • , ~d , f~~6 ~ :.\ o a ~s - `, i U~ , ~ ~.. cove `~~ ~ ~- 63 --\ ;~. '••. • '~ `, ,~~~, ;X, ,.. ,_ .,,.••, ~` .\ `~ 0~ '` ~~. ~ ., ~ C / 0~ J ~ . ~/r'EG~j~S 7~ ~~'+ . s, 7-: ~ ~ ~ SEwE~ 97 35' / O w~~~ %~ ~ ploy I,,~d9 S,~I~'~- ~~~~. L~ . _ z ~pM j ~5 ~ P'~ n ~ ~ ~ , ~5 qj ,~ f~ s~ ,~ ~ ~~ ~~ ~ p cp qy ' ~'~ U ~ 6~7 SO Jr , (I __ 1 I ~~/ ~ ~~ G~E~a~~ ~w~~ Iws' '~1 / ,~ Ng o ~5 ~.. ~ I- 5 ~M ~// ~I ~~~ ~~ ~° ~ aF ~Y" o~~r /0~~~ \ ~\ a ~~,, ~Pe ~a ~sa~ ~~ s ~ ~ °+ 00 S P~ I ,~~ ~.~5 0 ~ o , _„ A~P~~~a ~i isconsin • Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary March 28, 2002 CUST ID No.226375 ROBERT W ULBRICHT ULBRICHT & ASSOCIATES CO 655 O'NEIL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/28/2004 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Kurt Stehr 30 Th Ave Town of Eau Galle, 54028 St Croix County SW1/4, SE1/4, S18, T28N, R16W FOR: Object Type: POWT System Regulated Object ID No.: 834377 MOUND /DWELLING 450 GPD Identification Numbers Transaction ID No. 720165 Site ID No. 642508 .Please refer to both identification numbers, above, in all cones ondence with the a enc . 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. 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. Asper 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 maybe 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 Robert Kanter POWTS Plan Reviewer ,Integrated Services (608)261-7735 ,Monday-Friday 8:OOAM - 4:45PM rkanter@commerce. state. wi.us WiSMART code: 7633 P.0.1~4~ Condzti ~ ,APP OE AR 0lVIS~QN S ETY SEE CORRES ~1LBf~ICHT & ASSOCIATES CO. • 655 ~0'Neil Road • Hudson WI 54016 -~eg. Designers o~ Engineering sysr~„s • 715-386-8185 ~E(;~'VED Private Sewage ConsuNanfs • MAR 2 6 2002 sAf ~Y& BLDGS DIV. PROJECT INDEX /~~4R~ 2 3 - ~ o Z Plan I.D. ~ Date owner ~Cv~QT ST~rf~' • Phone 7/y • Yz~ • /Y7/ Address ~J y3~~ i71~ ~ _.~v-e . ~iU~v ~/~~~5 ill/. S yd Z Z. Legal Description yp ,r~(,,,eS , ~jv Doi- /OSS/-SD • D~a s w ry s ~ ~y sE~. ~~, T Z~ti, ~ « w Town of G County $T"' Gipd/JL C.S.T. G~•~~/ Sf•EEL ,~' D2Zf6' Installer Local Authority/ Supervision s~- c,Pd!'X ~ON<~.JG' ~-~-~ - PROJECT DESCRIPTION il/E"GV Gdv STit°v G Ti D,iJ , F02 /F- p/?G/d D SED 3 /3-~G~/~~ `~~~ . ..z~s~~~ wfiS~`•e Marv = yy lj ~ . ~~ ' ~ o~vve~ ,~~a~GS~s ~ ~,vS~~. a.- .~~~ ~; Sl~-~ ~.t. iV-r-~-~-- /~%e /3 ~~~ , 13r~i ~v . 7~ ~ 'S /(FEY' Ti~~1. E 4ti L 5G, ill S~~ Y ~~ .l~.eSl' 4i2 /N 1~-i-vt ~d~ ~ ~~i~i. ~. ~t. ~Z~~ /- ' Gv lO X s r~ ~ F Soy/ ~/~~ ~~~~ ~~?~<~~~-e- ~ ~ y ~ ~ ~~~ Z S Y ~ ~ : r• aosarr w. : ~ ,¢ /oti G~ ,~,9-~2/2a Lv ~~ ova s ys~~'`~ _ ,,~ ° o ~~ ~~'~ ,~,o~, d~•••,, _.. ..~ 4 ,,. ~,~~~'~// S i G~ti ````~ ~~ ~' ~~` Pg . 1 PLOT PLAN VIEWS /'„~~~~H1011O~uu-"'~ S. Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE ,~Zall DETAILS INSPECTION PIPES & FABRIC/TOP FILL DETAILS) / Pa. 3 PTPF LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL ~\,~ ~ ~ - PER PLUMBING PRODUCT APPROVAL ~ I O F . `_• CODES, ALL ABOVE-GROUND PVC' v _ ` ~ PIPING (FROM TANKS & SYSTEM AREAS] ~ ~ I ~, 9 ~- 3 D MUST BE 5CH.40 PVC MEETING ASTM ~L ` ~o,i>1vU~, D17$S OR D2665 STANDARDS. a„ ~~ ~>45 % f ~Of ~E~' Ty ~ ~ ~ ~ ~;t,E ~~ ~ \~ S y~ ~~ ~~ r \~ °%. %° hoar ~ \ •d 'a°.r ~ o r ~~ q g' ~ o,/ fo arse ~ -9,P b ou i o ~ ~ ST p p •4 0 ,~ ~ ~ \ o~aiopooa9o ,o ~" ~ coy ~ off°~6o 60 ~ ~~ py . qgi 4 /s- \ \ • '~ 0 5~~'- ~~. ~ ~ 9 5.3 5 `~ io% 70 i ~ ~ `~ ~ ~ .1~. 8 \'~ ~~~~ , ~~~~ iN ~ '~ ~ ~ ~ i ~, x, P~~ 9y o N g ~~ ~ 0 ~ ~~ \ 7 So J~er~ ~° ~~ , ~ ____ ---- ~,,~ ' ors V G ~oR c~ ~ _.~ a ~~ p ~ i~o• yo ~~ o~~ 3M ~ I /~, ~~. ~/r'EG~51 ~~ I ~~ ~, ~ ~ of r ~/~ . 0 ~ ~ oo.o ZO S ~~ 97 35' ~ 3 , ~ ~4 `~ o ~,s- -~ ,T ~ w~~~ j o~.~s ~ ~ - ~ „r~ i ~ P~~ goo ~~ ~~ za P ~ , ~ Co `CR'nSS' SEGT~C'N ~~ MOULD ~• wiTh4 T3ED pev ~F % " ro . ~ a.` Ag9~ee5ATF 1~i5TRi(SuT~o,V G , Tki ck,~s Fs s P~ P ~"' ~ ~F Tb P s o r L iv/ TE~~'+i.U~fL s ys r E M C/O's. \ ~ EIEVAT'io~l l~ i uu~ FoRM Tom .~ ,--~ a ~0~• yd N 1 ~ RRTiO ,1 •. MED. ..' • `~ ~ • ~ , ~. ~9 ~'_,~~ ////P~ewe~ TopSo~ L. /// //// uN ~ FdRM °1v SIopE ~Mh ~ ElEV/1Tti4~ u~~R f3ED /0~ • ~~ • ~r ~ E, l• ~ Fr. iNVERr oF~ lAT£t~/4(S /0~•~i'D ~ , SD FT• ,Top of R oc~ ~dZ--52- G • 5 FT• ~ !~ ~ 70 N ~, D FT • Top ~~ ~ y _ IATERAIS PLAN VIEW ~~ Mou~D -- wart{ 'C3Eo C ~"NTR/YL FvRcE M/1iN ~ ,,~ FT• I ~ ---- -------- - • I (3 90 ~ r --- K ~ Z F T __ ___-___ ~~ o _o______-- i ~ 1 ~ ~ 7 FT w -------------- ---j! ~ T ~g K-~~ s° W Fr ~ fl W 3 d ~ Fr l Pur_ cADoar_ t3~a of %Z~~ To ~ min ______ :~ Observation pipe Distribution cell ~~~.6.. 6" min. ~ Water tight cap , ~ 4" min. dia. ~~~ Slot ~ry Infiltrative surface ~ Water Closet Collar Top of leaching Repair couplings chamherti 6" min. 4" rnin.. Bar(3J8" min. dia.) Figure 8 -Observation Pipes ~ ~ ~y 3 o C~ ~ ~~ ~ S flD.y. ~a~..~.._ SE~~ ~ ~~~~ ~~~~o~~v ~ ~~ l~~ s`N~ ~~ G ~~~ rr ~ r ~~~~~ ~~ - _ ~ ~-~3ov~.. 0~~~ '' ~ '~ > O ~~ c' ~ ~ CP ~~ 6li~U. Dom' v~c.< < ~ c 1 ~ ~ s~Es ~-T~-- ~~, .~ ~~T~~~~. • ' C~~TR ~~ M~~a i ~'o c.r ~ CEI~TR~L ~n-2cE MAi'~1 ~3~ Fr. of ~, \ ~ ~ ~~ ~ Pvc `i-oT'A~ vc~~~ VvIUH~ ~•~• 3 GAIS . t~ ~~ P ~f7 Fr R Z•° Fr Y ----_._ I u c H ~5 ~AR~'h(3lE 'pi 5T^~ C~ I' N o 1~ •D ~ a N e T~ 3~1~e TD TEL 1/o/U~f~ ~ R , ING H ~S ° ~T~va ~-- INc µ~5 ~ E,~T2 h L 1v11~-~ ~~ c~ ~. u 2 ~~' 2 4 ~'~ S ~c~ R cE ICI J~1+~1 2 IucNEs I.tvuERr EL~Vi1Tlo~1 Gy ~'~ ~~~ o~ LATI~IQn~ 5 . SEA ~'~UI/PSE SIDE r ~~ ~~ ~• ~ E 1 ~ i [_._ Dpi ~i cL~ ~ PER Fc~R hT~ v Pi QE , DEV S~'~' ~/ ~----- ~ ~ 7, a 3 I~ I R~MovE hll DRill (3uRR5 ~ y ~ Ili ~~ ~ d~r ~ ; ~D~ T~ l ~ o ~= L ~T ~ (~i4 (_ C~p ~iP~S ova /~ i ~ .~ ~ ~,v~ o% ~i9 r-~ ~~iSfi~~D ~Io,vvD 9~~4r~~ \II VI I// ,__ I/~ __ fir ~_ ~~9w,v S~iPiv,~~~ I~ w ~s~ ~9-«~ss ~ - So° s~v~~~ 0 2 --~ ~a v~,~ o~ c,gPp~D v ~~ ~„ ~ Sti;r~~s ~ ~) yy^ a ~Eti ~~ .5~~~'u-fie ~-o -------, /RUC /~3~9// v~ /U~ ~9 y~-~ ,. ~, y" sir, .~v pvc . VENT PIPE g-~I 9 ,~~~pr= ~/E v~-~io~i ~-'.' -----T---~ y~ y ~IEU~Tr Ov 9yo~ ~ IIJLET P,PPROVED JOINT 1J~ PIPE EXTENDING 3' OIJTO SOLID SOIL sr/~ , ~¢o Pac q~.n 5~ PUMP CHAMBER CROSS SECTION A~JD SPECIFICATIONS pi4 yE" `f oG Co /O ~ fo ~vi.v poc.J, ~ ooie fj ~.P i,~ rig .f-~- VEIJT CAP i P~ PE , WEATHER PROOF JUIJCTIOIJ BOX 12"M I U. I I GRADE I couDU1T ~-- APPROVED LOCKING MAIJHOLE COVER w~ CvAiQ,u~,o(r- ~,9/SE~ v ~~. ~~.~ PROVIDE I _._.__..__...._.________._. AIRTIGHT SEAL I E A ~Nh A~K~M 3°~~ 51 Zs' ~ ~ B ~/ 3q ,, 3 , •I `I° MIN. ' ~ ~ IB" MIW. III III ICI I II IIJ ALARM I v oti I ----~-~ APPROVED .lO1WT5 Wf PIPE EXTEAIDIWG 3' ONTO SOLID SOIL s~.~vPuG ELEV. FT. ~ PUMP-~ --~ ,/O 1 ~ OFF ?,(SE 3 D 1.3 ~o~P~' eF SAN K 'gE DUI' U ~ BLOCK S~G?~lt1 G-- ff ~~ fiO~I RISER EXIT PERMITTED OIJI_y IF TAIJK MAIJUFACTURER NAS SUCH APPROVAL -~ sEPrlc E SPEGIFIGATI~A.IS ~ ~ ~ AIJ K : ~~`~~~ ~~~~~ PER DAy ' ~ IJUMBER OF POSES: UFACTURER TAN S M ' TAIJK SIZE: 7'SO GALLOIJS DOSE VOLUME / s ~I ~ ~, ~G~G]'~2i O ~ S FLOW~ ! GALLONS INCLUDWG BAGK , I, ALARM MAIJUFACTURER: S ~~ _ ~~~~ L GALLOWS N ~ ~ r7~"` MODEL IJUMBER: ' ES OR IAIC CAPACITIES: A= i SWITCH TYPE' ~~~ M S p ?~ ~ = Z IWCHES OR / o GALLOAIS ~ ~ e PUMP MAIJUFACTURER: GALLOUs IWCNESOR C= ~~ ~/ /' GALLONS CNESOR 1~ MODEL AIUMBER: ~_ IN D= ~lD/~~ SWITCH TYPE: ~G~'/ ~~G/~ WOTE: PUMP AUD ALARM ARE TO BE /~ MIIJIMUM DISCHARGE RATE_L,3.GPM INSTALLED OW SEPARATECIRCUITS ~~~~ S~~ECS `~~~~ FEET VERTICAL DIFFEREIJCE bETWEEAI PUMP OFF ARID DISTRIBUTIOIJ PIPE. LS '~ ~ 3 -}- MIAIIMUM NETWORK SUPPLY PRESSURE ~ FEET EAC(n, ~ 0~.. J~: ~~ - , ~- ~ ~ FEET OF FORCE MAIN X '~~ F~oFrFRICTION FACTOR..S''~ FEET ~(~UnI~ `g.2 A ls = TOTAL DyAJAMIC HEAD . ~j Cy ~~ ~ = ~LI~-= FEET ~ ovN~ ~~ 3 y ~! • P IAITERAIAL. bIME1JS101JS OF TAtJK: LENGTH ; TH WIDTH _._L_--.LIQUID DE THIS POWT SYSTEM SHALL iNnORPORATE PER COMM. r ., . , ,~ ~_ s o~ ~~ ;t ME40 Series 4/10 HP Effluent and Drain Water Pum s Pe p rformance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 Z50 300 350 40 12 35 10 N 30 tL H Z5 8 E _____.._-- Z O .,.~ l~ ZO 6 J ~ 15 O 'J ~'" 4 H 10 ~ H 5 r Z 0 O 10 20 30 40 50 60 70 80 90 100 0 CAPACITY GALLONS PER MINUTE F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K339R ~io~ w ME4U SERIES 4/10 HP Effluent and Drain Water Pumps POWER ~ FLOAT CORDS Quick-conned, watertight tittings are inlelchange- able. rP.nlnt,n.•.1.1.. ~__~ DIMENSIONS '~~ ~ 'Q (38.Imm) I Ih-~ ~~ ~ as-~µ~ ~~ ~~~ 1 ~, o f ,~ ~ '`i '® I - i----_- - s.~ ------- u.ae TSRtTSI' WAS1~, ~~ '/a" spherical solids. I'~^ BEARWGS IVPT discharge. ~ nsa oth opet~lton K3319 5/92 P/inted in U.S.A. o~ IV ~ IZ 1~ • G 2 i l ~~( -- - ov 7p, g0 g0 100 v CAPACITY GALLONS PEq ,y~[^,','•~C 1 ~~1 ~~~® F. E. Myers. A Pentair Company r 1101 Myers Parkway Ashland, Ohio 44805 1923 419/289-1144 FAX: 419/289-6658, TLX: 98-7443 -~.. I OFF" 8 1 ^i I ~~~ T I A PLUG Replaces switch assembly for manual operation. Pg. Mound System Management Plan 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, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of the septic tank and outlet filter shall be assessed at feast once every 3 years by inspection. Th outlet filte shall be cleaned as necessary to ensure ro er o eration. The filter cartridge should not be removed unless provisions are made to retain'soli sin a an that may s ough off the i ter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Puma 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 mglL 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 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 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. 6/99)] 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. Contingencv 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 tails 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 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 your county zoning or health inspector OWNER's MAINTAINCE pF PAGE 6 • REVEi2SE SIDE ;' SEPTIC SYSTEM -~ • POWTS (landowner ^- :, maintenance of thisssrep°psibie for servicin Ystem. Regular proper operation and 9 is necessary for the safe healthic inspections sYsfem. The owner is re Y operation o~ and maintenance/inspection geared by code to submit this ports to the controllinall necessary g.authorities. SPECIFIC CONTACT AGENTS * Governmental authority/ inspectors: S~ ~i~~/,~ C~`~ * Licensed installer maintenance ~~ responsible for providin Users manual: g an operation/ ~~~~/ ~/ate ~ ~~-- * Licensed serv~Ce / inspection a ~-Q/ ^ GT-~ gent other than /~ / S~'~i T installer; ~9--T"io.~-~ ~U,~-f~~N~ ~D ~ 3 O * Electrician, . for~puemp, electric controls ~,'~~ ~~~~7`ai'i ,s wiring units: IMPORTANT OWNER MAINTENANCE RE UIREMENTS 1• Winter traffic area shall (sledding, shove]rin not be permitted g' etc•) across the the cell, freezin ~ °r frost can/will winter (a vacactionup the system. Discontinuos penetrate into '• lead to freeze upS• trip, resulting in no wateruuseln the can also 2• Water conservation needs to be exercised liydrolically overloaded and desi:ro Pd• Or system can be designed for a maximum wastewater flow of Y- This system was 3• POWTS are ySb gals• daily. ~ ' not designed to accomodate disposal unit, or an wastes from Any introduction Y other unnatural sources a garbage. destro of such waste materials °f waste. - Y this system, will overload and 9. If a power outs e in a temporar g occurs, or a pump fails cell, which Y °Verload of effluent bean ~ it may result may adversely impact the cell pumped into the ' recommended that a licensed allowin pumper em t (leakage). It is Consultg the pump to return to p Y the dosing tank, ' your installer dosing the correct amounts. immediately for advice. 5• Neglect of the erosion Vegetative cover (the traffic preventive) can lead to Cells insulation also can destroy t he s failure. Compaction or ~ REGULARLY WATER THE V ystem. It IS TOheavy ~_ Y tem EGETATION OVER A SycT~*`NECESSARY Mhe s s beneat"t, Tc ..~_ _ ' Wisconsin Department of commerce SOIL EVALUATION REPORT Page 1 . of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code minty St. CrO1X Attach complete site plan on paper not less than 81/2x- hes in size. Plan must include, but not limited to: vertical and horizon a ),direction and Parcel I.D. percent slope, stela or dimensions, north at~ow,`8 nd dis~ce to nearest road, 008-1054-50-000 . '; ' Reviewed by Data Please prll~f_L~~`'atl~alnfor~r-a f '' ~ ~ peal information you provide mey be Uaea for seconds~i~~~$~C It~rivacy law, x,15.04 (1) (m)), Prt)perty~NVl'1@f ~ prppertyLocation ' ~ ~ ''' "^ fdvt. Lot. SW 1/d SE 114 S 18 T 28 N R 16 f~ta') W Kurt Stehr ~ - ~ ~`~I-~` property Owner's Mailing Address S ~ CFoC>i r . , Cat # Block # Sutxt. Name or CSM# W 9398 710th. Aver '~~'l"'~'" =~ `na na 40 acres City State Zip Code t?t-orie ' ^ City ^ Village ~] Town Nearest Road River Falls WI 54022 ' ~ 7L~~) 14`1 Eau Galle 30th. ave. ®New Construction t1se: ® Residential /Number of bedrooms ~_ Code derived design flow rate 450 GPD ^ Ra~acerrient ^ Pubuc or commercial -Describe: Flood Plain elevation if applicable n' ft. Parentmateriat Ganr3atnnP im1 and General corrtinerrts and recommendations: mound C el. 101.90' r based on contour line of el . 100.90' Boring aring # ® Pit Grot-rxi surface elev. 101 70 ft. ~ in. Depth to limiting factor _ ~ Soil icatton i Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots tE~GPD Eft in. Munseq Qu, Sz. Cont. Color Gr. Sz. Sh. 1 0-10 10yr4/3 none L 2msbk dsh gw if .5 .8 2 10-21 7.5yr4/ none scl 2msbk dsh °w if .4 .6 3 21-26 7.5yr4/ none fs M na w na .4 4 6-55 10 r7/4 c2 7.5 r5 $ sand n r .~-- . Boring # U Boring ® Pit Ground surface elev. _ 1 1 . ft. Depth to limiting factor -~ - tn. Soli ication Rate t R GPD/fF Horizon Depth in. Dominant Color Mur~eli Redox Description Qu. Sz. Cont. Cdor Texture Structure Gr. Sz. Sh. Consistence Boundary oo s 'Eff#1 'Eff#2 1 0-9 10 r4/3 none L 2msbk dsh if 2 9-18 7.5 r4/ none scl 2msbk dsh if 3 18-2 7.5yr4/ none fs M na na .4 .6 4 24-48 10yr7/4 c2 7.5 r5/8 sand tone re iduum na na .0 *---, < 220 mgil. and TSS >30 _< 1 • Effluent #1 = BOD > 30 50 mg/L • vent #2 = < 30 mglL and TSS <_ 30 mg/t_ _ CST Name (Please fruit} Gary L. Steel Address iti~a ~nn+-.h_ A~P_. NPw Richmond, WI. Signature 54017 Date Evaluation ( 10-3-2000. _.Y _. • CST Number 02298 Telephone Number 715-246-6200 • ' • ST CROIX COUNTY • ~ SEPTIC TANK MAINTENANCE AGREEMENT AND _ ~ OWNERSHII' CERTIFICATION FORM ~wnerBuyer u Q ~ Mailing Address ~ _ ` 3 ~(~~ Property Address ~ 1 ~"$ ~~a +h y~ (Verification required from Planning Department for new construction) o-~~ City/State ~~~ Gu % A/ ~,(~~ Pazcel Identification Number / ~ r" LEGAL DESCRIPTION ~~ Q~~ Pro Location S w '/., ~ E '/., Sec. / S , T~~ N-R~_W, Town of ~ ~~`~''~'. PAY Subdivision 3 9 ~ ,C~ 1 L .Lot # Certified Survey Map # -3 ~ ~ c~-,.c- _, Volume .Page # Warranty Deed # ~ ~ ~ S~ 7 ,Volume 1 7 Y/ ,Page # 3 ©~/ Spec house ^ yes no Lot lines identifiable t_y' 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 mastorplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal 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 withrn 30 days of the year expiration date. ~~~ ,31~Z SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. //,,~ `.~ ~ ~ ~ G ~~"~~~ -- J DATE SIGNATURE OF APPLICANT ****** ****** 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 . " ~~' ~ 1 30 4 ,,, plGi: 4 ' AFFIDAVIT OF 659527 UacumentNumber CORRECTION KATHLEEN H. WALSH FEGISTEfi OF DEEDS ST. CROIX CO., WI - AFFIANT, Thomas R. Schumacher RECEIVED FOR RECORD • 10-19-2001 9:30 Ail hereby swears or affirms that a certain document which was titled as follows: Warranty Deed (type of document), recorded COkRECTIVE RFFIDRVIT on the 24th day of October 2000 (year to ) =XEAG'T N CEr^,T COPY FEE: volume 1553 ,page f79 , as document number COPY FEE: 632321 and was recorded in St. Croix County, TkANSFEk FEE: HECOKDING FEE: 13.00 State of Wisconsin, contained the following error (if more space is needed, PAGES: 2 please attach addendum): The Southwest Quarter of Southeast Quarter (SW 1/4 of SE 1/4) of Section Eighteen (18), Township Twenty-eight (28) North, Range Sixteen (16) West, except the East 2 rods thereof. Recording Area Name acid Re[urn Address BAKKE NORMAN, S.C. 900 Main Street PO Box 54 Baldwin, WI 54002 AFFIANT makes this Affidavit for the purpose of correcting the above document 008-1054-80 as follows (if more space is needed, please attach addendum): Parcel Identification Number (PIN) The East Two (2) rods of the Southeast Quarter of the tfie Southwest Quarter (SE 1/4 of SW 1/4) AND The 54uthwest Ouarter o[ Southeast Ouarrrer (SW 1/4 of SE 1/4) of Section Eighteen, Township Twenty-eight (28) North, Range Sixteen (16) West, except the Eas rods thereof. ~~~ r A copy of the original document (in part or whole) ^X is ^ is not attached to this Affidavit (if a copy of the original document is not attached, please attach legal description and names of grantors and grantees). Dated: October 18, 2001 Signed: ''~~,/~~~. r Thomas R. Schumacher State of Wisconsin ) AFFIANT is the (check one): ss, © Drafter of the document being corrected. County of St. Croix ) ^ Owner of the property described in the document being corrected, Subscribed and sworn to (or affirmed) before me thi; ~s~"`~GEUR~~i~ Other (explain:) _ _ 18th da of Octob 2001 . ~ ~; • • • • K/~,' y ` .Amy J. eu nk =.r • ~C THI$ Notary Public, State of Wisconsin BAl My commission (expires) (oCCir February 9, 200 tiJ~- ~,~~41 .,~~j~, .-, CO~~ THIS FORMlS INTENDED TO CORRECT SCRlVNER'S ERR~RSAN WAS DRAFTED $Y: Y. S.C. NOT FOR T/fE CONVEYANCE OF REAL PROPERTY. • Names of persons signing in any capacity must be typed or printed below their signature.