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008-1060-20-300
w oepe`rtmern of C°mrnerce PRIVATE SEWAGE SYSTEM ~oateey`iand,)3t; DivistiuYt , 4 INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal trMortnatiolt you provice maybe rued for seoorMery P~P~ (PAY law. s.15.04 (txmjj. Eau Galle Township ~~~ql .. BM Description: _ arce Tax No.: ~7.1~'~1~ ~ t `~""~_ 08-1060-20-300 1 A TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic L ~p~(o3p Dosing I~jCA„11~-~ It Aeration Holding TANIf SETBACK INFORMATION TANK TO P/L WELL SLOG. ve~tto Air lrttake ROAD Septic > ~p ~ ~ p ' --~ NA Dosing ~ ~'~' ~, 1' ~. ~p ` NA Aeration NA Holdin PUMP !SIPHON INFORMATION LI Manufacturer ~ Oem~ `~ yro Model Number 3~ < ~ - TDH lift ~D-~ Fridion~ ` System !, TDH ~"at- I-i gth p Dia. " oist.rowetl Forcemain Len ...1 at ' Z SOIL A6SORPTION SYSTEM ix s~ LEVATION DA TA STAT O BS HI FS ELEV. nchmar ~ 85~ OS•a OD, Bldg. Sewer C,~1 ~, gp S St/Ht Inlet ~' ~ ~~. St/ Ht Outlet Ot Inlet Dt Bottom ~ ~~,~p J • !S Header /Man. 7 ,~ ~ 6 z /d , ~~ Dist. Pipe t}es1~. eot. System ~ S'- 3L 5 ' 3 `~ /~~ Final Grade ~ over ~~ ~ /~'~ ~S~ ~~ / ~ 1' ' ~~ / Widt~j~,,~ length 1 No. Of +~ PIT No.Of Pits Inside Dia liquid Deptl IME I N 1F 1 i~ OIMEN I N SETBACK SYSTEM TO P / L BLDG WEII LAKE /STREAM LEA t Manu acturer: INFORMATION System: ~GUM~ ~ ~5 ~ ~ (~ ~ OR UN T Mo a Num er: DISTRIBUTION SYSTEM C.rnxfnM. ~ Gv~ ~ js~'r'Lto~-,-• 3• `)' ; 3 . ~` = /4/ 3S - Header / Mani of p u length Dia ~$ Distribution Pipe(s~. q len th 4 Di ~ // cin S x Hole Size 11 3~ x Hole pacing tl Z Veit To Air I~tal r-.-~ . g a. pa g ~ SOIL COVER x Pressure Systems Onl y xx Mound Or A Grade Systems Only Depth Over Depth Over ( xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trerxh Center Bed /Trench Edges ~ Topsoil ^ Yes ^ No Q Yes ^ No COMMENTS: (Include code discrepancies, persons preseny,~tj~Ction'~1: B~!lZDID/ Inspection#2: "f-" / L~ r(,,~ /f Location: (NE 1/4 NE 1/4 21 T28N R16W) - 212816305830 -Lot 3 1.) Alt BM Description = s~ L1 ~ ~awe1 w N--~ ~• 5a~ 5•~- ~ ~~c,a~, . 2.} Bldg sewer length = ~j' -amount of cover = ~.Z `" 4- l~;~~o'ha ~+.'~ 3.) contour = l2tk rJ S Pian revision required? ^ Yes ^ No Q~ Use other side for additional information. ,~ ?j ~~~~ SBO-6710 (R.31'97) Date hspedor i Signature ~~5`` - ~,•,,,~sL~.~ Sin ~,~ Cert N< oo~- lo~v-- z~ -~ov ~.~Q..~~ss ~Q,c~, Sanitary Permit Application safety Buildings Drvts~on r (~ ® In accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application 201 W. Washington Ave. PO Box 7302 isconsin WI 53707-7302 Madison Department of Commerce Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m)] , Submit coin leted form to coup tf not ( p ~' state owned.) Attach complete plans (to the county copy only) for the ~y.~tettl ntrpaper not less than 8 -1/2 x 11 inches in size. Coun t.e~~ l ~ State Sani Permit Number ^ Chcck if revision to previobs application 382 $$ State Plan I. D. Number ~ sv ~-0 4 C7-~ •~~ I. Application Information -Please Print all Information ~" R Location: Property Owner Name Property Location ~f ~ ~ { f .;~re~ X1/4 ~jl/4, S O~ I, or Prope Owner's Mai g Address ~ ",~ .. ...~ Lot Number Bl ck Numb ., City, State Zip Code Phone `" ~, ~ Subdivision Name or CSM Number .Type of Building: (check one) ~ as ~ yw "µ ~"' ~ '`~ ~"'"~" ~ ~ ^ city ^ Villa e .~- 1 or 2 Family Dwelling - No. of Bedrooms • ~ ~ O g Town of ^ Public/Commercial (describe use):_ ~ ^ State-Owned _ ~-~ ~ / Nearest/~oad ,p C..~ ~ Y" O~ 1~ ..z,. ,~, ~ ~ ~ ~ 14 - (C7D ~ ~ ~ l Pazcel Tax Numb (s) III T f P it Ch k l li A b Ch k b -' . ype o erm : ( ec on y one ox on ne . ec ox on line B if applicable) A) 1. ew 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground ~-iVt'dund ^ Sand Filter ^ Constructed Wetland t / ^ Pressurized~3p ground ~ o~ ~ ~~ ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grad , ^ Aerobic Treatment Unit ^ Recirculating ^ Other: 5 CLaQ V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required - Proposed Rate (Gals.lday/sq. ft.) (Min./inch) `~ ~ Elevation ~ ~~ ~ b ~d >>~ ~oo, ~3, VI .Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- lastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ~Q. ^ ^ ^ ^ ~ 7 ^ ^ ^ ^ II. Responsibility Statement I, the undersigned, assume responsibility for in tallation of the POWTS shown on the attached plans. Pl er's Name (print) Plumber' 'nature (nos s): MP/lylP N Busin ss Phone Number ~ ~ ~ ~ ~///~J ~ '' ~}} e 'r / V V ~ !/ ~ Plumber's Address (Street, City, State, Zip Co /~~ ~ l ~ ~ c ~; 1 IX. County/Department Use Only Approved ^ Disapproved ^ Owner Given Initial Adverse Sanitary Permit Fee (Includes Groundwater Surchazge Fee) ~ Date Issued Issui Agent Signature (No stamps) Determination 22~, "~ q ~ X. Conditions of Approval /Reasons fRr Disapproval; /~ ^ f~ ~ o.-` .~n.&. - Sl+~ a~+~+~ ~S les-t gyn., w.o;..Q . C~{~ ~K Gu`~'~ ~n.e,.,- S'~~t. p,Qa~.- rt.,/.`et,w' f'o,~*+'c.ia ";\""''~~'t'ftio~C-~ ,~:,~~~.~..x ~' ~~ lS ~ I'VIA,~ ~~.IU9w~rRT tS ~4p.~)bv~St~ d'~~~ ~ U ~ ~ ~~S . as S reu~ti 2/. 2~5~ 1 ~ . ~sg- 3a '4~ SBD-6398 (R. 07/00) 09:36 715-634-5150 HAY SAFETY AND ~~ t ~ *~ ~ ~ ~ ~ PLOT PLAN • . ~ t35 River Fails Wi 54022 •.I. Jercrrmv Knosae ADD 88 CROIX I / 4 NI^ 1 / 4 5 21 /T 28 N/R 1 TOWN Eeu taape GQUNTY ~• -- ~- 6/x/01 3 BEDRc)nM ~ DATE v pRS Shaun Bird 2269A0 HOLDIN(`s TANK UNV1~NTir)NAL IN-GROUND P SURE CONY~1rTIONAI. APT D05E TANK SIZR 630 ~_ 1000 Ggttons 11FT TANtt SIZE ,---- `f MOUND XXX SCEPTIC TANK SIZE .-~ 375 ~ of cttembere none HOLDIN(: TANK tit%M LOAD RATE 1-~ AB~R~QN AREA ----- f " Pi A88UMg SLSVATiO ~~~' Filfer 7,abc1 A-lUU To 0 2 I .P ~ V.R RFNCHMAItK p ^ NUItN;HOLk O WELL ~H.R•P. Sam988B6rldlfflrk SYSTEM gL6YATI0 100.8 well is 1o meet all selbad~s found In comm. 83 pro 3 Bedroom House ~To have >42" of Dauer Scale = 1 /4" = 10' Tank is to be properly bedded and provided with ;; L'. ~cicdown covers with `~~;1~~~~ed warning labels ~t . ,~, 1 Grading is HuNcutt Combo Tank 8.1 B- Area 15' Below System Is to remain undisturbed 10 0' Alt_ B.M. ~6.M. 99 98' 1096 Plans Designed usiri}; S~ope Mound and Pressure Manuals Versio~2•C) 250' N.R.P. Property Li ~~~~ ~`~? i~ ~ ~ iscons~n~ , ~= , ~r ,_ Department of Comme,r~e ' ~; Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary June 26, 2001 ~`~' ,, ~ ~~~ "~ ~ ~~ CUST ID No.226900 ~ \~~~ ~~ r ; `{,~G~ 1 C.L ~~Y` ,... SHAUN R BIRD Fv` BIRD PLUMBING INC _ ~ =` 1008 192 ND AVE \\\ ° t ' ~~ NEW RICHMOND WI 5401? CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/26/2003 SITE: JEREMY KNOSPE CTH BB TOWN OF EAU GALLE ST CROIX COUNTY NE1/4, NEI/4, 521, T28N, R16W FOR: NEW MOUND, 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 797840 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/01). • In the event this soil absorption system or any of its component parts malfiznctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identifica ' um ers Transaction ID N 654709 Site ID No. 631504 Please refer to both identification numbers, above, in all comes ondence with the a enc . • Surface water drainage shall be diverted away from the system area. • This mound has been designed to be installed on a site with 10% slope per CST. SHAUN R BIRD • Maintain well and waterline set backs per COMM 83.43(8)(1). Page 2 6/26/01 • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to t$e owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • Insulate building sewer per COMM 82.30(11)(c). 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 azise 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. ~, Sincerely, /' _~_ _--~ . ~~:f P `T CIA L SIIA ORF POWTS PLAN REVIEWER , GRATED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE.STATE. WLUS FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code:.7633 cc: JEREMY KNOSPE ~* i ~ ~ Department of Commerce ~ ' ~: ~~ June 26, 2001 ^_ ' ~ +~ ~` ~ re, 7~' CUST ID No.226900 ~~:~''' ~ ~~'~ ~N~F~G~ ~~ -fh,~.t ~ G~ J SHAUN R BIRD '~ .F ~ ~ ~, BIRD .PLUMBING, INC ° `"" t ;• ~?' ~ 1008 192 ND AVE ~' NEW RICHMOND WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/26/2003 SITE: JEREMY KNOSPE CTH BB TOWN OF EAU GALLE ST CROIX COUNTY NE1/4, NE1/4, S21, T28N, R16W FOR: NEW MOUND, 450 GPD OBJECT TYPE: POWT SYSTEM Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov `\~ Scott McCallum, Governor Brenda J. Blanchard, Secretary .:` OD8 ~ 1060 - ~~ -300 ~~-~8. t~. 3os t3-3o r,~ ,r+~ 7TN: POWTSlnspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 654709 Site ID No. 631504 Please refer to both identification numbers, above, in all corres ondence with the a enc... REGULATED OBJECT ID NO.: 797840 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Code 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. C~~nc~i~io ~' ~.~+° ~"~.~ ~tiT al: C The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the t "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-1 (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/O1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. • This mound has been designed to be installed on a site with 10% slope per CST. ti ~ ~ SHAUN R BIRD Page 2 bl2b101 • Maintain well and waterline set backs per COMM 83.43(8)(1). • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • Insulate building sewer per COMM 8230(11)(c). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, /, ~.-.~-~ .~ ~.> C:.,.~.-N~ PATRICIA L NDORF POWTS PLAN REVIEWER ,INTEGRATED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE.STATE. WLUS FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: JEREMY KNOSPE • ~ ~ - ~ P T PLAN . . PR(1,TECT Jeremv Knosoe ADDRESS P.O. Box 135 River Falls Wi 54022 NE 1/4 NE 1/4S 21 /T 28 /R 16 W TOWN Eau Galle COUNTY ST, CROIX MPRS Shaun Bird 226900 DATE6/4/01 BEDROOM 3 CONVENTIONAL IN-GR PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 375 # of chambers none BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE `../ WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 100.8 Well is to meet all Scale = 1 /4" = 1 ~' setbacks found in comm. 83 Huffcutt Combo Tank B-1 Tank is to be properly Pro 3 bedded and provided with Bedroom Io~Jcdown c with House a~~d'by warnin labels ,, ,ry ~jN,~ cE~/~/ / ;• To have >42" of cover B- Area 15' Below System is to remain undisturbed l- ~ -- - ~ ~ 1 01 ' ;poi=r~CE (~ j ~ '1~~~a g is to be 100' designed to divert ~ runoff away from Alt. B.M. system B.M. X99 B 2 9 8' 10% Plans Designed using Slope Mound and Pressure Manuals Version 2.0 c 0 a ne 250' H.R.P. °~ Assigasr vacs ~e~~~ d0 4" Obaarvation pipe Per£oraced Below Filter Fabric ASZM C-33 5 o n d -~,,~ " Topsoil sw~' ~..,. ~~ - C i~ pc." '~t~ P R ~I " Crass Section 8/ a Mavnd 5rst•m Uth~ ~r_ I. r`.w`rl1 ~~ A Bed Fpr Tha_ AbsorQtion Area a ~ it. S -,5,~, 7 F t . I ,[.5 ,,,,7 Ft . 3 ~• 6 FL. ____.. L ~ • ~Ft. w ~~~ 3ft -_ ~ L _._,.._._..._.,._ ~ ~ 4~Observotion F~ipf ...~r- e --~-~----- -- K a. A ~ ~ • W N o --...._ __.,___________ ___.._._.,____.,_-----..- 1 Fare Matn t ~ ....~ -....._........._............-. ~......,.....I.._.... From Pumi ~ ~~ p° Distribution Bed O1 i~*-- 2 !_ Pipa ~ Drein Rock ~~ ~ O~eervation Pipe Permanent Morker Pipo or Rods Pion View Of Mond Ut;ind A Bed Far Tt~e Ansorplion Ar•o ~~w w ^ i Non,-woven Filter Fabric ~,,.OFtlrldulion, p;pa /U~. $~opa Bed C1 ~~- 2 %= Force Mtitn Drain Rock From Pump e• ~PtOwed 4eyse I i 'D I ~.~ ~. F . g5' G ~_ ~ ~ ~r ,~ ~1 ~ ' ~/~eG A LOCO°ed an ~i01fOh-~ ~• Equa4ty te~ced FtR~Y M46C Kt%'C to Gault6~ien ~I Signed; ~.~cense ~, Ditlrip~tfi0-1 Pip! ~AyQU1 Date: -~ ~ vt - ~ti. a ~ Ft. X ~=f,-- tnChQs YQ~ Incnes Nnta Diae+eter ~ L Inch Meinifatd +~~ Inches. Farce Mein „~_ Inches ~! of hates/pipe 2 ~, Invert Elevdtlon of Laterels~/~Ft." P~rtoraled pipe Otfai l~ ~ R 1 Parfarmanca Data PuMD CharactaristicS Wi SMb+wsOle Malwl MRdRiF Sl1i~A0tA1 SkEFA4M4 Artowttt Mltellds SHEi4~A1 SNEF40A4 A 14 FrA tad 14 6.S Nbior ~ol~ 4 hfe} r~x iss4 nw. to tls ~ kMi: ea a 124• F Mmr. Fluid NE1NA a A Mrw1,Nw 4~re A SW 1 1 ~" #rr se>1~ s A-" a~ rew~r tars is/~, ~ ~o~ t<~ (80' ~itanol) Ntaterials of Construction 40 . 34 ~ 20 10 )o ~ ~ ao so ~o ro Tptal Nead (~..+) 10 ] q t 7 ~1 R!~ ze ~0 18 (en) 4. .~ 6.t .6 .6 0. ®PM (FJS. tiitM) 70 60 30 40 ~0 40 t 0 0 ( »•e) 4.411 ~ t Dirttensianal Dpty w say ~ ~~r sari sar ss ~-:~, ~~ s,, 1840 Btmey Remd A~tlmid, OWo 44805 Tel: 419.289.3042 Fox: 419.26! •4087 Web SNe: www.p~nlatprmp,com SALES OFFICE IN ALL A1WOR CirlES AND CQIJpiR1E5 Refer ro "Pumps" In the yeflow poges of yow phone direcrory for your loml Distributor ltem~: W02.6680 1198 SM f~ t 'ti r ~ 4 Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7.Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, ca11 pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retill soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715-246-4516 Pumper: Jerry Kolve 715-425-9188 St. Croix County oning: 715-386-4680 Shaun Bird #226900 6/4/01 ~ v ,` ,.i. r ~ ' . j POWTS QW'~tER'S MANUAL 8t MANAGEMEA[T PLAN pm ~-,. ~~.~. FILE II~ICORMA'I'ION Owner e r ~rn. n Permit # DESIGN PARAMETERS Number of Bedroarns 3 ^ WA Nurr~ber of Commercial Units ~lriA t:st#nated flow (average} ~ ~~y Design flow (peak), (Estimated X 1.S} gaUday Soil Application Rate ~ gal/day/ft~ Infiuent/F.fltuent Quality Monthly average* Fats, Otl at Grease (FOG} s30 mg/L Biochemkal Oxygen Demand (BODs) s220 mg/L Tots[ Suspended Solids (T55 s 150 mg/L Pretreated F.>'Ihlent Quality DNA Monthly average Biochemical Oxygen Demand (SODS) s30 mg/L Total Suspended Solids {TSS) s30 mg/t• Fecal Conform ( otnetrk mean) s t 0' cfu! 100m1 Maximum Effluent Parttc[e Slze !i inch diameter MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity I O NA Sepik tank Manufacprrer ~,~- DNA Effluent Filter Manufacturer ~Q,d~ 0 NA >~fftuent F11ter ModN - ~ ^ ~ 'Pump Tank Capacity 3 d ia1 Q NA Pump Tank Manufacwrer ~ f C NA Pump Manufacturer ' p NiA Pump Model a ^ NA Pretreatment Linn NA ^ Sand/Gravel Filter ^ Peat Filter Q Mechanical Aeration D Wetland D Dtstnfecttan D Other: Manufacturer D#spersai Cell(s) ^ tn•ground (gravity} d In-ground {pressurized) D At-grade ,Mound O Drl -line ©C-d:er: * Vtlues typical for donaestk (non•conunert~ wareewatar and aeepgc tank et8uent. * * values typical Por pntwtted wastewater. Senrke Event Service Frequency Inspect condition of tank{s) At least once every D mor>,th~3~ year(s) (M~udlsnam ; yrs.j Pump out contents of tunic(s) When combined sludge and scum equals ane•thtrd (l+k) of tank vglyime inspect ~l cell(s) At least once every D months year(s) (Ma>eba~n 3 yn.) Clean tffluent filter At least once every ©months O year(s) , ~ Inspect pump, pump controls Et: alarm At least once every ^ maaths~31 year(s) D Flush laterals and pressure test At least once every O month year(s) ^ NA Other: Others At Least once every ^ months O year(s) r1A Ac Least once every ^ months O year(s) MAINTENANCE 11~[STRUCTiONS tnspectlans of tanks anti dispersal cells shall. be made by an •Individuat carrying one of the following ttcensas or certtticatbrws: Master Plumber; Mastar Plumber Restricted Sewer; POWTS tnspertor PO'iM[S Maintainer, Septsge Servktnll Operawr. Tank impactions mast Include a visual Inspectl'on of the tank{s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of corribined sludge and scum and to check for any backup or ponding of effluent on fife ground surface. The dispersal ceD(s) shall be visually Inspected to check the effluent levels In the observation pipes and to ch+eclc fvr sny potldlrlg of etEuent vn ~ ~~~ ice. 'I`ite ponding of effluent on the ground surface may indkate a falling condition and requires the immediate t~dlkadon of the local regulatory authority. When the combined accumutatiort of sludge and scorn !n any tank equals one-third (Yf) or more of the tank volume, the endre contents of the tank shall be removed by a Septage Setvking Operawr and disposed of ht accordance with Ch. NR 113, Wisconsin Adminlytragye Code. Tlae servtdng of efEuent fitters, mechanical ar pressurized POWTS components, pretreatement components and any other maintenance or monttorfng at Intervals of 12 months or less shall be performed by a certtfled POWTS MaMtalner. A service report shalt be provided to the local. re$vlatory authority within 1 Q day: of completion of any servile event. START VP AND OPERATION f for rtew construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other che<rikals that may impede the treatment process and/or damage the dispersal cel!(,s}, !f high concentrations are detected have the contents System stare-up shat! not occur when soli cortdldans are frozen at the inftitradve surface. l?urtng power outages pump tanks may flIi above nonnul highwater levels. When power fs restored the excess wastewater will be discharged to the dlspers ~t ,cell(s) [n ores ,large lase, overloading the cell(s) and may result In the backup or surface discharge of efliuerrt. To avoid this s~vadon have fire contents of the pump tank removed by a Septage Servkir~ Operator prior to restoring power to the effluent put sp or contact a Plumber or POW'TS Maintainer to assist in mareuaiiy operating the pump controls to restore normal levels wlt!* In the pump tank, t?o not -drive or park vei*.tdes. aver tanks and dispersal tails. Do rrot drive or park over, or otherwise disturb or compact, the area within 15 feet dawn stops of am- mound or at-grade soli atuarptbn area. Reducdon or eltm#nation of the fotlowing from the wastewater stream may insprove the performance and prolong the fife of tt+e POWTSs antlbfotks; baby wipes; cigarette butts; condones; cotton swalss; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; aatndne products; pesticides: sanitary napkins; tampons: and water softener brine. ABANDONEMSNT When the POWYS fails and/or fs permanesstly taken out of service the folbwing steps shatw be taken to insure that the system is property and safNy abandoned In compliance with ch. Comm 81.33, Wisconsfn Adminfstrattve Code: • All Piping to tanks and pits share be disconnected and the abandoned pipe openings seated. • The contents of all tanks and Alts shalt be removed and properly disposed of by a Septage Servicing Operator. • After pumping, alt tanks and pits shall be excavated and removed or their covers removed and the void space Riled with soN, gravel or another inert solW material. coxnNC,~NCV PLAN . If the POWTS falls and cannot be repaired die fottowing measures have been, or must be taken, to provide a code compliant replacement system: ~ A suitable replacement area hays been evaluated and may be utitllted far the lowtlon of a replacement loll absorption system. The replacenkrnt ores should be protected from disturbance and compaction and should not be Infhnged upon i:y+ required setbacks from existing and proposed stricture, lot lines and welts. Failure to protect the replacement area wi11 result In the need for a new soft and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules In effect at that time. A suitable +'eplacement area !s not arraiiabie due to setback and/or sail itmttationx. Barring advances In POWTS technology a hording tank may be tnstalkd as a last resort to replace the failed POWTS. ~, The site has not been ei~aluated to EdenRlfy a suitable replacement area. Upon failure of the POWTS a soli and site evaluation must be performed to locate a suitable replacement area: if no replacement area is avaltabie a holding tank may be htstaNed as a last resort to replace the failed P4WTS. and ~"lP'~ soli absorption systems may be reconstructed fn place following removal of the blomat at the 1nAitradve surface. Reconstructions. ofsuch systems must comply wkh the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANIC.S MAY CONTAIN LETHAL GASSES AND/OR MSUFiIC1liNT OXYGtA~I. DO NOT ENTER A SEPTIC. PttMP pR OTHER TREATMENT TANK 1sNDER ANY CIRCUMSTANCES. DIrATH MAY RESUL'C. RESCUE OE A PERSON PROM THE INTERIOR OF A TANK MAY dN# DlPPICIlLT OR I1~R!!!ttlRl.i. aDDInONAC c©MMI:NTs ~, POWTS IIMSTALLEI! Name ~ ~..~ Plsane 7~~r-~~ ~-tF'r POWTS MAINTAINER blame Phone SEFTAGE SERVICING OPERATQR (PIJMPEIC Name ~ olcre~ LOCAL REGULJt1TORY AUTHORITY Agency ~- ~ tc s'T ' 5 ',~" ~~ Vyis;Q~ :.'Department of Commerce Divis~3l~of Safety and Buildings SOIL ATION REPORT Page of Attach complete site plan on paper not less than 8 1/2 .~'b ches i ze~lan must County /~ v~• OIx include but not limited to: vertical and horizontal refer n oint (B~i~p and `' ~ , . percent slope, scale or dimensions, north arrow, and oc~.a ion and distance t~~, crest road!, Parcel LD. ~ -~~ , ~ ~ ~U~~ Rev'ewed by Date Please print all infor on. ~ ~ 2 ~~ Personal information ou rovide ma be used for seconds tir oses Pri~~ t~C6~ 4 xn ` Y P Y P ( Y 7 (~) (~, ))• q Z~' Property Owner ,p z(~~ ~ ' roperty. a~fon ~~ / ~ 6 ~ ~ C. / !~ } /1 Os Gov 1/4 ~( /4 S ~ T N R E (or Ptro~ert Owner's/Ma'ling Addres L t Block # Subd. /Name or CSM# City State Zip Code Phone Number ^ City ^ Village wn Nearest Road -New Construction Use~esidentiai /Number of bedrooms ~_ Code derived design flow rate yTi~ GPD ^ Replacement ^ Public or com~/~al -Describe: Parent material q~~,f~~~~'~%~~ ~LJ4~J Flood Plain elevation if app-icable J ft. General comments ~~ O`~SC~G `~~,~-A v ~~~ ~ ~ O T ' and recommendations: iG-~i~ 1 v ^ Boring # ^ Boring ~-y ,~ pit Ground surface elev. / ft. Depth to limiting factor ~~i. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ ~~,~-,~ s ,~ s• - s - -. ~ ~ .c~ ^ Boring # ~ Boring ~-~~ pit Ground surface elev / ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 {~ Q~ Q ~ s ~/~'~ 'i' ~/~ t ~ 8~ l S ~ .~ * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L CST~me (Please Print) ~ Signature ~~ ~SsT Number Address Date Evaluation Conducted Telephone Number ~~~ ~~~~~~-t%/V~.t-~~~~ ~,/~i Sid/ ~ ~`~z-o~ ~/.r z~~!~'/-~ .~uv-o~w ~iwiivv~ -'~'` 1 ~, . Property Owner Parcel ID # Page of Boring Boring # , it Ground surface elev. / ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ~ ~-~ 0~3 cam- ~.- <.~- ~, ~ ~ .~ ~ , s' , -- ~ ~ w~~ , NP ^ Boring # ^ Boring V ', ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mglL and TSS < 30 mglL 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 (R.07/00) Soil Test Plot Plan ~, . Project Name Jeremy Knospe Sha ' d Address P.O. Box 135 River Falls Wi 54022 #226900 Lot 3 Subdivision ------- NE 1/4 NE 1/4S 21 T 28 N/R16 W Township Eau Galle Boring 0 Well PL Property Line COUnty ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 100.8 *HRp Same as Benchmark Alt. BM Top of Wood Lath @ 101.5' Scale = 5 7 A u Z A A Date 6/2/01 ST CROIX COUNTI' SEPTICTANK MA~'TENANCE AGREEMENT . ~ . ANTS _ OWNERSHIP CERTIFICATION FORM . ~ OwnerBuyer U t° Mailing Address Property Address v~2 (Verification required f~m Ptatrning Department for new construction) ~ • -C City/State Parcel Identification Nurtiber p6`~-~oGo ©©g Lob o-tea -oo,d LEGAL DESCRIPTION Property'Location ~ %,, % 1,, Sec. ~~ , ~~ N-R W, Town of ~G~-'`~ ~. Subdivision Lot # ~_. Certified Survey Map # _ ~ ~ 36~„~, Volume / 5 .Page # ~ d 7 Warranty Deed # ~ y LI -S~ ,~_ Volume / ~ ,~ ~ j Page # 3 ~'~ Spec house ^ yes ~o Lot Lines identifiable yes ^ no SYSTEM M[~-I]'.VTENANCE Improper use and maintenance of your septic system could result is 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, journeymanplumbcr, restrictedplumber or alicensed pumper verifying that (1} the on-site wastewater disposal system is is proper operating condition and/or (2) after inspection and pumping (if ntcessary), the septic tank is less than I/3 fuli 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 wmpleted and returned to the St. Croix County Zoning Office within 30 days of a three year a ira$on date. SIG , A Oii APPLIC DATE OWNER CERTIFICATION I {we) certify that all statements on this farm are true to the best of my (our) knowledge. the prop rty described aba e, by virtue of a warranty deed recorded in Register of Deeds OfI"icc. SIG OF APPLICANT I {we} am (are} the owner(s) of DATE ****** Any information that is nus-represented may result in the sanitary permit being revoked by the Zoning Departure, *• Include with this application: a stamped warranty deed from the Register of Deeds offree a copy of the certified survey map if reference is :Wade in the warranty deed '~'-,~~. r _ ~~++~+ /~ . ~ ~0~..1632PAGE3L;fi STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between George M. Lokken, a single erp son Grantor, and Jeremy Knospe and Jennifer Larson. Grantee. _ Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum); Lot Three (3 f Certified Survey Map, filed April 25, 2001 in Volume 15 of ertt to urvey Maps, Paee 4074, as Document No. 643626, located n part of the NE % of the NE '/. of Section 21, T28N, R 16 W, Town of Eau Galle, Si. Croix County, Wisconsin. 644599 KATHLEEN H. WALSH RE'(iTSTER pF DEEDS 5T. CkOIX CO.. WI S'ECEIVED FDR RECORD OS-04-2001 9:30 AM UAkRANTI' DEED EXEKPT N CERT C9F'Y FEE: CDP.Y..EEE; TRANSFER FEE: 119.70 REC-0RDING FEE: 10.00 PAGES: 1 Recording Area Narne~'I~Ie~A~P~TTEVANHEUKELOM {~ First National Bank PO Box 166 River Falls, WI 54Q22 008-1060-10-000,008-1060-20-000 Parcel Identification Number (PIN) This is not homestead property. D€) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ day of May , 2001 • AUTHENTICATION Signature(s) __ authenticated rjhis °'""" may o , ( 17T1X1V€ IV! . Public • State of Wisconsin TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by ~ 706.06, Wis. Stets.) _ rr~~,, !It * GeorEe M. Lokken ACKNOWLEDGMENT STATE OF WISCONSIN ) ~~-Q t~C~ ) ss. _~ County ) Personally came before me this ~.__ day of Maw , 2001 the above named Ceorge M. Lokken, a single person to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY • _ Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson, WI 16 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary) ~~-~~" ~8 ~ ) Names of persons signing in any capacity must be typed or printed below their signature. ~nrormaeon arorea:a,wm companr. Fond du t.o, mn STATE BAROF WISCONSIN saovss-~o~i WARRANTY DEED FORM No. 2 • 1999 \~ F~~ f ~; / 2 3 6~~s2s ~`~`°~~°° ~, ~ CERTIFIED S V RVEY MAP L TED IN PART OF THE NE1 /4 OF THE NE1 /4 OF SECTION 21, 8N, R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN. ~~ y ~t FILED APR 2 5 2001 - ~TM~H.wa~sti PREPARED FOR SIG STENE N1 4 CORNER Box 66 SECTION 21 NORTH LINE OF THE NE1/4 LINDSTROM, MN 55045 ~o ~~Q~~'~-Up--~-°-~~-~~-~ SECT ON 2 R °28' 8" ~ 5.78' -- et 632.91' 672.91__ q 30TH Ay_ E. S86°28'SS°E ~ 626.87' ~ ~ . 0 1259.78' ~ ..._ m N ~ ~ m O N ~ M ~ r m W ~ m ~ N O ° ~ O "' O Z 1 Z m A ~~ of 0~ ~I ~' ~~ ~1 ~ ~ LOT 2 ~ m° ~ INC. R/W 7.617 ACRES :m •m ~ _ o `~' ~' 331776 SQ FT ~ c _ ~ EXC. RM/ • ~ '~" ~ 6.613 ACRES : _ V ~ 288,078 SQ FT . N ip N86°26'18"W 672.73' ~ i ~ C 625.38' 47.35' _ ~ LOT 3 ~ N INC. RM/ +- ° ~ 7.122 ACRES - ~ ' ~ 310217 SQ FT _ ~ c ' ° ~ ~ EXC. R/W * o ~ c ~' 6.613 ACRES N N 288,078 SQ FT ' EAST LINE OF THE NE1/4 ~ L r= ~' o~ ~~ ~' i ~I ~~ ~1' i ~I ~~ a~ i ~~ a' 618.76' SEE DETAIL N8 °36'43' ' 72. 3' Z N88°19'42"W 633.67' LEGEND LOT 1 INC. RM/ 19.115 ACRES 832,628 SQ FT EXC. RM/ 18.635 ACRES 811,742 SQ FT 60' SOO°36'43"W ' ~ m I 349.24' ° ~ ~ h_ 50' 60' SOO°38'1 O"VN 1694.31' [LQ4 4 ~°~°[~V]o E1/4 CORNER SECTION 27 dodo 9 ~Q pQC~C~ 400 ~0 45' a DETAIL NOT TO SCALE 07/09/2001 09:36 r r , I ~ w 715-634-5150 jsc~nsin pepartrnent of Commerce bete Send ~ ~7' FAX ~: PHA Special 1 HAY SAFETY AND BLDGS PAGE 01 • , ~ SAF'eTY ANC [3u1LDING3 DMStON •. 75B37 U:iH ~ F~c c ov~•~ s: E~~r Y,.. pages.:Sent (exc:uding this cove): f • F>'tOtit•:• • •;~ • ,. ~~ STAI'1: OF WISCONSIN GE • DEPARTMENT OF pOM-~w F s • ;F hriP~~~~•eommerea.8rat8• / PATRICIA SHAND~RF • • ~ •`` •' Po~~SAF~~ qND U{LDINGS -""'-'•-~.;: ONIStON of INTEaRATEp ryERVICEs '" ' t3UP&qU OF „s &3~as~o • tE{,EPNDN~~ (~~1 p4-ytao FNt:ly M6w _ ' • ty~1N R~~ RD~ E-IM11d y~~°A~°mT~r~.at~a ~:,' 1.. • NA _........ t/N• ~$Co 07/0912001 09:36 715-634-5150 HAY SAFETY AND BLDGS PAGE 02 , .,. ,' ,. ,_~~, Safety and Buildings { _..?~r,~, •.~ .. 1U`i47N RANGH ROAD ~~ ~ HAYV1/ARD WI 54843 ~ TDD #: (608) 2648777 ~~~~~~~~ WWw.commeroe.state.wi.us/sb www.wisoonsln.go~ Department Of Commerce ~~~^'~ SeottMeCallum,t~ovartnor ' Bwpda J, Blanchard, Secretary ]une 26, 2001 ~ • COST ID No.226900 ::: AT?N: POWTS Inspector SHAUN RBIRD - .;. ZONING OFFICE BIRD PLUMBINC],1NC • ~ ST CROD4 COUNTY SPIA 1008 192 ND AVE ~• `~ ~'.; :1101 CARMICHAEL RD NEW RCCHMOND WI 54017 '~ ~.~~ HUDSON WT 54016 CONDITIONAL APPROVAL ~ ~; .~ ~ Identil?itation Numbers PLAN APPROVAL EXPIRES: 06/26/Z003 ~ "~?~ Transaction ID No. 654709 SITE; ~ .. Site ID No. 63150a JE1t1;I1~1Y KNOSPE .. Please refer to both identification numbers, CTH 13B above, in all wrres ondence with tlu a en ~: TOWN OI; EAU GAIrLE +~. ; ~ ~ •~' • ST CROIX COUNTY ~ ,` ~ :' ' ' NE1/4, NE1/4, 521, T2Z;N, R16W FOR:I+IEW MpU'ND, 450 GPD .. ~::~•; . OBJECT TYPE: POWT SYSTEM REGT,JI.ATi~B'B]ECT XD NO.: 797840 ~~~;. ~• The submittal described above has been reviewed•:for eon~foiatsniye with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been~CONl7Y£IO1~F:4.~.L'Y APPROVED. The owner, as defined !n chapter 101.01(10), W iscor~sin Statutes, is responsible fodc,,'comp~ia~oce with all code requirements. ., }~,, ; The folloa+ing conditions shall be met during cons>:rnetion::or installation aAd prior to occupancy or use: ,- • :7:'.. '• ••:. • This system is to be constructed and located it~'accor~92~ce,?~ith the enclosed approved plans and with the "Mound Component Manual far Septic Tank B^fflueat~isc P.tivate .Onsim Wastewater Systems" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Componet~ti:lVtatiiaal for Private Onsite Wastewater Treatment 5ysterrts" SBD-10706-1' (N.O1/O1). "^.;~.,~ . .• ~f ~iy • In the event this soil absorption systettt or an1r, of•itscaiia~p hazard, the Property owner must follow the coi~tiixg„e4ey p~ the owner must insure that the operation, maiafanaareaa~t;. the mound component manual are complied, .with, ~-copyK completion of the project. ~%~~ ti .C • A Sanitary Permit must be obtained from tlte.;cc requirements of Sec. 145.135 and 145.19, Wis: • Inspection of the private sewage system installs the designated county official in accordaaee•wi;~ • The maintenance plan for this system must be~'g '• 4,,,; at parts malfuneuons so as to create a health ~,,h , as described in the approved plans- In addition, ~' ~.~K ~nitoring duties as described in section VYJI of ;his information must be giveri to the owner upon J~~ pis project is located in accordance with SEE CO ~.;:. ra4;regtii~d. Arrangements for inspection shall be made with Eie•;protrisions of Sec, 145.20(2)(d), Wis. Sorts. POWTS. SiteSpeciflcCottdiliottt: -~`~ '~~ • • The orientation of the mound system must be Such;+t~at t>ae~longest dimension is oriented along the surtacc contour pct COMNI 83.44(6xa)2. ~`~+r~ ~' ' • ,.•. ', • Limit activities In the area 15' beyond the dosi+a alo~,~ge'';of the mound per 1Vlouad Component Manual. • Surface water drainage shall be diverted away ftoia,~ie 37! area. • This mound has been desigped to be installed=oiu'•a~'s~Ee.•witltf 10% slope per CST. • ; ~;.: 07!0912001 09:36 715-634-5150 HAY SAFETY AND BLDGS PAGE 03 . sH,~.rnv~lt»Yltu -.. ~., .~.~'~,::~ era 6rzbrot .. ;~;, • Maintain well and waterline set backs per COMM 83':~43(8'Xi). • The designer proposes to install a state approve outl~f,•fiIterto achieve the requirement of wastewater particle size. Maintenance information must be given to the ~4yvtier'~ of the tank explaining that periodic cleaning of the septic rank outlet filter will be required. The•outlet;i'ilter shall be installed per product approval stipulations- • Insulate building sewer per COMM 82.30(11)(e). ' " ~ . A copy of the approved plans, specilYeationg and this IetteF:;shall.;l~e on-Sits during construction and open to inspection by authorized representatives of the Dear®eat;~:wlich may include local inspecWrs. All permits required by the state or the local municipality shalt. be ob'tained';piior to commencement of construction/iastallation/operatioe. ~ '~F •. ~. • In granting this approval the Division of Safety & 13uildii~s'.resaives the right to require changes or additions should conditions arise making them necessary for code compliance- ;4s'.per state stets 101.12(2), nothing is this review shall relieve the designer of the responsibility for'dosignii~:a.sa~e building structure, or component. Inquiries concerning this correspondence may be. made to ~iie at:the telephone number listed below, or at the address On this letterhead. ' • ~' . Sincerely, ~ p'131; IiEQUIR>~D $ l75_QO ~~ '~ ~ FEE RECEIVED $ 175.00 • • ' BALANCE DUE $ 0.00 '~~ PATRICIA L SI~IANDORF ~~ . POVV'TS PLAN REVIZ;WER, INTEGRATY;D SER'VIC~S ~ ~: ' WiSMART eode:•7633 (715) 6347810, FAX: (715) 634-5150 , M-1: 7:45 ~A~M~`=:.4:3.0: PM PSHANDORFQu COMM$RCE.ST.ATE.WI.US ' .~;`.•' , ' .'. 07109/2001 09:36 715-634-5150 HAV SAFETY AND BLDGS PAGE 04 z ~ r ~ 1 ~ PLOT PLAN PRUgILC'1' Jeremy Knosoe ADD SS . ~ 135 River Falls Wi 54022 NE 1 / d NE l r4 ti 21 lT 28 N/R 1 TOWN Eau Gene COUNTY ST. CROIX -~ MFRS Shaun Bitd 226900 DATE6/4/01 BEDR[~oM 3 CUNVENTIt1NAl, iN-GROUND P SURE CONIY>ZNTIONAI, LEI' HOLDIN(`s TANK -~ MOUND XXK SkPTIC TANK SIZE 1000 G811ons LIFT TANK SIZE D05B TANK SIZ>v 630 HULDIN(: TANK s1'/.I: LOAD RATE 1,0 AB801tPTION AREA 375 11 of chambers none ~ r BENCHMARK V.R.P. TOp Of 2" Pipe ASSUME ELBVATiON lou' Filter Zabel A-l0U ^ HOItBH()I~M: O WELL •H.R-P. Barrie as 6611d1rTtrli 3YSTBM ELEVATION 100.8 well I>; to meet all Scale = 1 /4" = 10' setbacks found In comm. 83 Tank is to be properly Pro 3 bedded and provided with Bedroom :, ~~. I~ockdown covers with House ~ 4r~~~~p~Srgyed warning labels ,~~ ~~~ ~ OF rn... _ _~ ~_ To have >42" of Dover HufiCUtt Combo Tank B-1 B- Area 15' Below System Is to remain undisturbed 1 10 0' Alt_ B.M. B.M. 99~ 9 2 9 8' Grading is 1096 Plans Designed usinb Slope Mound and Pressure Manuals Versi~2.0~ 250' H.R.P. c ~. m 07!09/2001 09:36 715-634-5150 HAY SAFETY AND BLDGS i ~ ~ _c PAGE 05 s ~" ob.arvwcioe Pipe FerPorac.ed ~~~~.. ~on"wOVer F~iCe= Fabric Setow ~'11ter Fetbric :5':: ; ~~ Oiftrt4ulien Pipe /w3'1~ 093 5end~ •.G;. r 6 ~ Topsefl --~1 "~ ~ q ~- w a A 0 O 4 J ~~ ~~j~'i $1ePt~ -B;ed 0~'.t,~~"~~ ~ Ferce Main O'roin ~ R9~ack : • . F'rern Pwr1+~ Cro•.s.; Sr~cti~o~n;:•Q:t''.~ IYtound 'S steerr Ustn, _A B:rQ~ F;o~; Tom. Ab~sarotten Ore o ~_ :;,~. . : ,~~~ :., . A ~ Ft. ~`': Ft./ ~ ~ 6 Ft.~ . K. rx. • ~ ~ t. 7..~Ft. ~:~: . .r : ~ w . ifs ; ..'ij..~ Jlk • .4~,E~sc,rrotien Pip• n View pf Moun - r-~- ~.-. _,.. ~ ~ .. . ~, . .~ DistriDu.tior:, ~~=~ Bed Of ~~~ 2 !-~ :<;:` _ . Pips ``._: V D~ci>t Rock ~, ~ ;: 4 ODeervdtion P:ip~a '~'_ .: }~;, . •Permonent M rt t Ptpe or Rode .a ~ ~ ,~ /y .:;;' .. =e ~Plo,re 0 Laytr f~ ~ "~""i ~. 1• F gs, c~ H ~ ~~ r '. .~ the Atit-o-otfon A- PApE O- .. , forte Moin t=-om Pimp 07/09/2001 09:36 715-634-5150 ~ x , /~ ^l'4r~~. ~~~ ~, ~ ~ 0 !~ ~/ HAY SAFETY AND BLDGS r° Moir PAGE 06 Molt-r LOCAIOd OA potle~, ~Id ~oYOMy ~peprd .~ tiJ .. ! ~T . i i .f•~', PvC (MOti~dt!' pips ~/F~LSf'A pit. ~Qisr•~I~on ~.'"%~'~ ,`~YI.~r ~~M1 ~' / r~ ' ~jQ~ ~ Dislribulion p'i.pe`.:L',:.ay /ULl4' McL,L r~taxT *s Gannee}ior ~~: psi' :z. ; ` ~:~. . '.;,: :. ~~;; <;.;. '~ ,` R .. s° Y Inches Sfgne4: • .~.::~~: n, :` ; Koi@ !}ie~neter ~~ ~ Inch r umbe ~'~.. :`,r,;, License N r: c~c~ ZS ~ Let .ii ~ er~t1 h ,~ inc (es oate: ''~'~.. :~~;~ .~ ~ ~ 1 : "-lei... •~. 'AO;. ,~ M ~n i fol d ~ xnches ' :,°~~' :;~ ~.' ~x:: Force Iqa i n c~ ,~...~.,_ _ Inches .. „`:~. # of holes/pipes?, ... • .:.s«`;i~~.rt ~~ . 'Elev~~~ion of ~aterais (~~l.~ Ft,.. > t . -k:. ~~<`. '.~ ~;,;;, Y . .. ;, jai. 1~s. .. y ''y'. ~. ~'.y,~~ ~•, i 07109/2001 09:36 715-634-5150 HAY SAFETY AND BLDGS PAGE 07 . • ~ ~+; ' . - ::a• , _ _ ' '.y °i - SEATXC TANK E PUN~P Ci^lAM t :C~4SSS:':~~S:ECT7~QN AND SPECZF'ICAT~ONS - ~ <~ . - .,i~. ~" GI Y EN'T PIPE ~.2" Mx N . ABOVE ;GR•14~'E, ~~; 5 W£ATNEROR00i ~.. 25' FROM AOOR ~ WINndW OR JlJNCTIAN 80X APPROVED FRESM AIR xNZ'AKE WITH CONDUIT IiANHOLE COVER • W / PADLOCK E FINISHED fi1RADE ~ ---~-~ WARNYNG LA9EL FMN`',w• •~4 v'' MIN , ~,` ~ ` ", ~e ^ x N , V E ~c. aei`A~.~.~ i~/w :. s. .. ~Pd '= . ~~ M~,+, ' . WATE1i TYGNT SEALS .,<~~.. .' ~ I GASH ~ ~'~ .i k•~~^.~ ~•., F 1~1r Eit -----~ ~ .,..~ , A . ~ SEA4 ~ JOINYS 41IYH ~~~ "~~~ ~~ APPAOV6D ' ALH APPROVED PIPE 9 PIPE 3' •,~:u;.' .' °;:. ~-;^-~ , ' , pN SOLiD SOiI ~, , Oi1T0 504, YD ~ Q/ ~ ~ : ~ , . :: Sall. PUMP OPF E[.~+ ./!! ~FT °':': . ..~ , , AFF' ~ . •D A ' S'~:'>r: A..~~' 4~ 3" APPROVED B•EI#D~Ni~~~1R '~AKK .:...:.~:::''`" :.k'`~ : - r;, . ,. ' ~i ~ ~. ! I~ONCR ETE ~ PAD • c~~F:~7~%~T.:~J~NS Q-lXn..ti ,,i:: SEPT2C / DOSE '.;~.~.:::~~A•. ~'MtK liANUFACTURER : ~ ~'~?~~£ TANK SI2ES : SEPTxC ob0 -- ~ '~ ~ GAL..~`~ ~~~~5'.~'~; ..K ~~~~ O05{E ~~'~ . CAG. - - ALARM KANUFACIVRF.R = '::;'~-~` `~ ~`~ ~ ' riiiTCN TYPE: ,~ ~ '. ` PUMP MANUPAC'It1RFR : ~':' MODEL NVM 'a :~'''• `• ~ . SWITCH TYPE: s • REQUIREA DiSC!#AROE RAVE , GPfs'``,.,•= °'~?M, YERTYCAI. DIFFERENCE BETriEEN PtiriP.4~;•F ~,:~q. • • MINxMVM NE'l1~iORK 9UPpLY PR S ;`>.~:>•` :.-"~•. lt3 '1 ~' '~~ w'~~ ~ FEEx FOitCEMA,tN X ; . r T ~ 1~"~...__ ;; .:~r ~.,~:; .TQ, INTERNAL DIMENSION 0 •PUMP ?At~K: ~ ':.L ,~ '•~' n .:~N~ ' :1a:.. . IGNED 1188 L TIE-~N•S~: "JQIj~~t9LR : o~v2 ~ /~O DATE : ~ 7 ~. ;~::. ` ~ ~ :.,;. v ' ,~ ~ :~ ' ~ .. •;:y? '6 err. .;~'r . r •, C:•n.,n O SES PSR DAY: ` D i • OLU!'tE INCLUDING ll'7 GAL F LOWBAC K ~ . xT~s : A ~ ~~ SINCldES : ~~~AL- ~. 8 x ~ 2 INCHRS = ~_GAL- C = ,S~INCWES * ~ ~ 6AL~~ D t ~~ INCNES ~ ~GAI.. 6 ALAR34 ~IRxNti A5 PER ILHR ~6•~I VAC STRIeUTZON PIPE ~ FEET 3,~5-~ f MKT FR"IC'rION FACTOR ~~~ AL`~.DYNAMSC HFAD = ~ ~ ~ _...~_ R Y T 07!0912001 09:36 715-634-5150 HAY SAFETY AND BLDGS t !r _ ~ i y ' Pumas Charatte~risties y. . !g. ~er.`:~r~aarice D.crt~o .; . ~~ 'i4 r~.YS . ~ , PAGE 08 Udr sa6eee~b Rdrnd AMMii SN~oWN1 SMEpaONL= Nle~ SNEf40A1 SIIEFIOAZ M e1Yar 0/10 ie1 leM/ 1~ i~ S Nb~ar Shedd hle (4 Pals ~PJL 1550 PYn. i 0 V 11S 270 Hatt 60 yR0• F Mn,-. Hebf MgNp pe ~ YsrFeNn Cleve D SSea 1 1 ~" NPT Sew 9 4' t~ ~ P.wer Coed 10/x, S1iW, Za' eel F% .Ir ~ matena~ s of construtt~on s ~~M. ~i~ ~ ~Faonc crbe./ SAMf ~~ ~ . ~~. ..s ii~~ee[ . . i.r~~" Fi ~4~k~~! ~ ~ .YkK ... )r ^. r .r VM r. w..~.~ ~~~ ~~~ • ~y}h• ..~`A:.s:",r..fw;A His ~. +.r ~.~r- Z, .~. .a;N~1 ~. ..f ' " ; ~M~ YI ~'1 , , ~ ., 1~ 4. f,ijn. .. :. .. ; ~ ' "~3 i.2 li.1 7.6 i.S 0.1 11M;;E1il` ~..... ~~. ~~ ~,60 SO , 40 i0 "~0 10 0 ~~• . .;.: . .zrf 1. Ab ~ensloas in (Mefric iar intprnaliomd use). Y, tompaneat dimerlsiont may vary ~ 1/$ each. 3, Nsl for caeelruel'gx plupaB ++ A. plma~ioas and wdpMs are agproximab. . ~.. 3.~Na' "resy~w'~tlro to ~makf .. ' t ~~,wllbo~~~avNce: . ~'~ry'tl"YY?}~: ~'~': .~~f ,i: '7 ti'p' r' .,'d'; *~`'~~, "~'~`"i ,~ ~,,. ....d' 't' 1,.~~'• ~~~: . .. : !. . ~' ~..4r .~ ~; ; .~, )' ~~ 1~#1~DROMATIf: • " - -• ' ~ 180 eeney Reed 4shlaed, Ohio X4605 Tel: 419.4t9.90AY Fax:41~-18NO6>' 1 Web Siro; www.peeWirpump,cen~ sous ofiKES uN ~u NI~oR ones MIO Wle-fiplEs ' RefEt ro "Puegn" In dM yepuw a~eM ~ vaa phone dhenery iar your h-ca) DFSV#wor uemk; w•o2-e480 > > 98 SM '}' ' :: .;- S r •.4:.. ' 1 ~ 'v. ~. ~:. F..;, -. y:~:~ ~ !,~.~.F ~1 ftA ~`ti. `~:.~ ~ .. 07/09/2001 09:36 715-634-5150 HAY SAFETY AND BLDGS PAGE 09 ~~ .. Maintenance end Con#Ingency: -Plan: for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every,~3~year$. 2. Dose Chamber is to be pumped at the sairre:tirrte as the septic tank. 3. Effluent filter is to be cleaned once a year..ase~ note: a larger filter is being installed in }.: order to extend the maintenance interval of tFie~~lteF. ~« 4. Once eve 3 ears the mound is to ~be in,,,.:-. ~cted via the ins cfions rY Y spe~. ,_; pe pipes in the at- grade. The laterals are to be inspected;vi~ tha`claa~iouts. <~; .. . 5.Owner agrees to limit greases, garbage, el'd`~water conditioner discharge into the system. 6. Pump and electrical components are oui#;dose. chamber and septic tank if 7. Owner agrees to leave the areal 1~5' befovir~niQUrY~ undisturbed. 8. The owner agrees to save this~plan: ~.: ~ '<~ ~, . ~' 9. Trees, shrubs, and other similiar vegi#a~tion~:'are, t'~Ybe planted on system. The system is :; . not be driven over. 1 Q. Effluent Quality is not to excede. the r9quirernerts found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper anc~ pun needed, then b s um float and t ~ ~~~ YP~ P P rY~~Pp~? replace float. If pump still does not work,:.che such as a hair dry®r. If no power, check b~akt power, then pump is bad and needs to be at the time of the pumping. float. If this works, float is bad, pour at~the pump with a electrrical device :.~; Irisi~ house and call a electrician. If there is laud: by a plumber. 2. If mound fails, determine cause cf failure, ~tta~iioll };;~.; rack, refill soil, install new mound system:~~ 3_ Replace any other failing components: ss ~n~ee'ded~. Important Phone Numbers ~ ~''~~ ";~< ~ ~;; t,:; Plumber: Shaun Bird 715246-4516 ,~~~ ~~~;'` ~° .; ;:.. Pumper: Jerry Kolve 715-425-9188 ~'`; %>, St. Croix County Zoning; 5-386-4680. '~'~~ Shaun Bird :~~' . ~,.; ,~.. #226900 ~'~'` ~'~~ +~ 6/4/01 ' :~.;~ ,~ :~' _ :~,i ~~ ., ~ ; >•, area or remove pipe and sewer 07109/2001 09:36 715-634-5150 HAV SAFETY AND BLDGS POWrS OWNER'S MANWLL i MANAGEMENT PLAN FILE INFORMATION Owner ~ C r m. ~ Permit N DESL~sN PARAMETERS Number of Bedrooms 3 p ~ Number of Commerdal IJMfs INA Estimated flaw (average) 3 pVday Design flow (peak), (F.stlmated Y 1.5) iD1/~t Soil Application Race O zpl/dai-/~ InRvent/Effluent Qvalih Montltiy averse' Fats, Otl B Grease (FOG) S30 mE/L Biochemical OxySen Demand (BODs) s2Z0 mB/L Total Suspended Solids (TSS) 5150 Pretreated Effluent Quality O NA Monthly avenilr•• 8lochemlcal O~cyQen Demand (BODa) S~0 mpli. Toni Suspended Solids (TSS) ~ s30 mE/I, Fecal Coll(orrn (peometric mean) S10' cftiV1 Maximum Effluent PaNcle Stze K htch dAasneor MA11~1TEiilAlilCE SCHEDULE sPSCIFIC.~-rloNs PAGE 10 Pass ~, or ____ Sep;lc Tank ~apaelty 1 ^ NA Septk Tank Manufacourer ~, .c am- p NA Et'Attent fEter Manufactsntr ~'~-,~~ O NA EAlttettc Eliter Model - ~ v Na Rupp Tank Capadty ~ ~ ;al DNA Ptmtp Tank Manufaetuter ~ ~~~ - O NA Pump Matwlaaurer ~p NA ~ ~ Pump Mode! _ ` .' ~ O NA Pretreatment L]Nt NA O Sand/Gravel Filter ~ Peat Filter O Mechanl~al Hendon O Weiland O Dislnfectlort [7 Other: Manufacturer D(spasal Cell(s) O In-Qound (pravfty) C In-mound (pressurized) O Ac-Evade Mound O Drl Ilne O Oilier: • vdue t~rpk~! Pvr domedc ~notf~tommvdal) waltewatst and uptlc allfr ~1lueac • • Vatua erikal Ibr pnteeatad waseawtcer. Serviu Evert Service Ptrgoency Inspect condition of cank(er) At least otter elt.ry O month~3)0 year(s) (Maacitsscrcn 3 yn.) Pump out contents of tank(s) WFeren toinbirrd sludEe and scum equals one-ehlyd (ISr) of tank volume inspect dispersal ceq(s) At kart once errry C:1 manths~ year(s) (Maacltuate 3 yri. ) Clean eRtuent Alter At IeaR orate every D morrtlw O yesr(:) , ~S' laspect RomR, pump controls et:alarm AC kart axle e~y O montha~ gear(s) d Flush laterals and preswre test At leas[ a1Ce e1ASy D mOnth~ year(s) DNA ou`r` At Mast once evty O months O year(s) NA o`er` At kcast erns every O months O year(:) A MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cell: shall be made blr an isdlvlical carrylnR one of the followtnS literates or certitlcattor;u Master Piun'Iber Master Plumber Resatcted Sewer; P01KTS ItspKmr IKlWTS Malnalner; SeptaBe Servk:ln~ Operator. Tank Inspections must Include a visual Inspection of the tank(s) to Identify airy m1iK err broken hardware, Identify any sacks or leafs, measure the volume of combined sludge and scum and to check Ibr any back tirp err pondlnS et effluent On the Rround surface. The dltpersai ceU(s) shall be visually Inspected to check the effluent ~ b tltj e4oervatlon pipes and to check for any pondlnp of ePouent on the Around surface. The pondlnS of effluent on the Sround suttee tn~- Indlcste a faII1nS condltlon and regttlret the tnamedlate noclflcatlon of the local reBtttatory authot'lty. When the combined accumulation of sludge and scum N airy ta~equaLt one-third (IS) or mots of the tantc volume, the entire contents of the tank shalt be removed by a Septade SsrvkinR OpNator and dtspesed of In accordance with ch. NR 113, Wisconsin Adminlstratlve Code. The servltlne of effluent Alters, mechanical or IlrmsturFsed tAp1lIR''~ cactootsantry pnMreatesnertt components, and any ocher malnEenance or rraor~JtorlnF at intervals of 12 months or lent iha0lle perBormed by a cerHAed P4WTS Malntalner. A service report shall be provided to the local r'eQuutiary autftorlep rrifllln 10 Ban of completion of any service event. START LIP AND OPERAt10N For new conswctlon, pclpr co use of the POWTS cfteclc trsati7lelrt ~a~ for the presence of palntlnS products or other chemicals chat mar Impede the treatment process and/or derma/! tha Iit>.Iii ~s~. If hlah [ontinrnMnnc err ~I~~...sA Lava d,..,.w~en-e 07/09f2001 09:36 715-634-5150 HAY SAFETY AND BLDGS PAGE 11 - ~ , System start pp shall not occur when soq tonditforrs are frozen •at~~tllre~ tt~eadve surface. a~ •- During power outage;: pump tanla•may fill above normal f+t~hw ,ate lew~s: When power !s restored die excess wastewater will be disdtatSed to the dispersal cefl(s) In one,larYe dose, overtaadzii~?•~iE ce~~s) and may result In the backup or surface dfseharge of eftluetu. To avoid this sltwtlon hive the contents o!'thR~~ptupp~'~ik~ r!et~oved• by a Septage Serridng Operator prior to restoring power m the eflittent pump or contact a Plumber or POWTS~`I"Ita~iec'to moist In manually operating the prsmp controls to restore normal levels within the pump rank. 'r .•'•4 •r:i ••' Do not drfire or park vehicles, over tanks and dispersal ceifs.~ ;Dot~t•~drfire or,p~ark over, or otherwise disturb or compact, the area within 15 feet down slope of arty around or at-grade.soN atiotptbz~.s~ia. Reduction or elimination of ehe following firom the wast~eviraEer:st~eaii~~~iaaY.improve the performance and prolong the life of the POVIRS: antlblotics; baby wipes; cigarette butts; copdort~;5wti~sw~; de~easers; dental floss; diapers; dWrrfectana; Pat; foundation drain (sump pcmtp) water, fFtrit and vegeteble:`•':, • `~ ••Saa~61e;•Stease; herWdder, meat straps; medications; oil; vaintlna products: cestlcides: sanitary napkins: t~rnooers: :so~'ener•brkre. • -`. ~N When the POWT5 falls and/or b perrtraaenty taken out ol~seiv::~jolbwing steps shall be taken to Insure that the system is properly and safely abandoned in tampllance widt tits m R. ~,SCOnain Adminlstratlve Code: • A!I plplnS to tanks and ohs shall be disconnected:ala't `.``aE+aFrd~ated. pipe openingf sealed. • • The contents of ail tanks and pits shall~be:removed'~and;:p~ipope•dlsposed of by a Septage Servide; Operator. • After pumping, all tanks and pits shall be excavat~:an~1?'~d or.•tfielr covers removed and the void space filled with soil, gravel or another Inert solid rrraterial. ~~ ~::' ~ • :`~~~: COi~lTI1+IG>@iiiClf PLAN ~ • ••''-' . lP the POWfS falls and cannot be repaired the followlrrS irie,~sur~:i~ye~~een, 'or must be taken, to provide a code compliant replacement system: ;. ;. , `-.' ~ '• "'°•~~ Q A suitable replacement area• has been evatuaEed a6`t~f ~~.~e~. ut~ed far tyre kxatlon of a replacement soil absorption system. The replacement area should be •prmLecDe~::. ' , ~ r .. M `~ance and compaCtlgn and should not be infringed upon by r,.,; • rtquh'ed setbacks from exlatlr~g surd pnopoeerd~stnie~ir'e~; .Ir:~nd•~weps: Failure to protect th® replacernenc area will result In the need for a new soil and she• eva{uatlo~ri~to~ .:its"a:sukabte n~lacement area. Repiacermert systems must comply with the rules In effect ac chat Ilene... ;.;~~~::' , .;" "'~ A sultabk replacernerrt area is not avallabk •due. to;~set~f;,;~ ,:~,anior sall~ Ilmltatfons. Barring advancar In POWTS technology / a holding tank may be In:tailed as a last r~esolR oa; :t~a, ' .... ; falfled. P01N'fS. The sKe has not been e,,oluared w identify a' sulta~k ~~ , ~ area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a sult~de~-: ~ ~ `area.. If no replacement area is available a holding tank may be lnstalkd as a lass rrsort re~nsplace the falied'PO'1~VTS:lS'` '~ ~.,~F~. anti and at-grade soil abso Lion syst+eme:rtray~.ti~ tsu+"`+d in place foAowing removal of the blomat at the rP . ;-~.~ Mflitratlve surface. Recons4vcdons of such ~sys.~aa~9dy whir the rules U effect at that time. y :C"1 . ~. SEPTIC, IPUi~lP AND OTHER TREATMENT T/I~I1K~fi~!U-~,,, :••~ETNAL GASSES AND/OR I1i1SUFFICIEN'T OXYGEN. DO 1NOT Eir7"ER A SEPTIC. PUIKP"O ~ ,.; .:.'" • ,Tfi~14$NF~TAiNK tlNDER ANY CIRCLiMSTANCES. DEATH KAY RESIIL7. RESCt1IE OI'"A pERSO#!1••~i~0!~f~r.~~iDR OP A TANK MAY dE DIFFICULT OR t~vAeadr.e. ~.~,~ {~; ADDITIONAL COMMEI~IT~ ~~, ,t,y. ~~''` ~• ~, ~~ ~ . d. A ~ .. y, .S) : ~, ~~ :'r'. ,~: POWTS Iii1STALLBR ~• ~:~' PIIR-S~•'ir1A1NTAlidER Name ~ ~ w./ Phone 7/ .x`~'oz ~~s SEPTAGE SERVICING OPERATOR (PUMPER .,• ~ '; Name ~ O/t~~ a~ ~: yG ', •.~ : ~~„: .r.' Y , :'+.: are f...: ~:. L_-'-- •is. .:^'~: ~~ ~ ~f r.,~CA1..REGhLATAORY AUTHORITY ~~~~~ {.~ . ~~ G Cad / JL LrCJI.t./f~ ;,`,:~,,~,:,. ~ ~• 7 ~ f, 316 - y~ :.. • ~, Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in ~rrnrrl~nro wifih (_nmm RFi Wic Atlm [:(Y'IP 1348 page 1 of 3 A.C.E. Sal & Site Evaluations Cou ~ Attach com lete site Ian on a er not less than 8'/: x 11 inches in size. Plan must P P P P St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I D percent slope, scale or dimemsions, north arr and distance to nearest road. . . 16 305A ID# 21 28 008-1060-10 ` . . . , Please prin 1 K1fb~a~iad. j '~\ awed By Date Personal informatan you provide maybe"nc~.far secondary~urposes (Pry , s. 15.04 (1) (m)). ~~- ` 0 g ~ Property Owner ~' ` :' , i~ i,~~~C ; . Property Location ~ ~ . George Lokken ;__ Govt. Lot NE 1/4 NE 1A4 S 21 T 28 N R 16 W Property Owners Mailing Address` ~9 ~ ~~ 1 ~ ~~oQ a t ` Lot # ' Block # Subd. Name or CSM# ,v` ,~, C ~ ._ 386 Meadow View Crt. ~ `~( C v~/`.~ loZlo City St!<5t2,;Zip Code ~gt~-{alumber ~ City ;_j Vllage~,~ Town Nearest Road Baldwin ~ - ~40d~IN~~-~4-. Eau Galle Co. Hwy BB ~ i ~ New Construction Use: R /a~/ ~ ~p~af rooms 4 Code derived design flow rate _,,.j Replacement ;;;,~ Public or r;om -Describe: Parent material Glacial Till Flood plain elevation, if applicable General comments and recommendations: Recommended system elev. = 101.10' at 17" above 99.68' contour. 600 GPD na goring # _.:J Boring Pit Ground Surface elev. 98.35 ft. Depth to limiting factor 18" in. Sal AppGcatiat Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP D/ftz *Eff#1 *Eff#2 1 0-6 10yr3/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 6-18 10yr5/4 none sil 2fsbk mfr cw 1fm 0.5 0.8 3 18-27 10yr5/4 f2d 7.5yr5/8 sil 2fsbk mfr cw 1f 0.5 0.8 4 27-36 7.5yr4/4 f2f 7.5 yr4/6 sl 2csbk mfr cw - 0.5 0.9 5 368 5yr4/4 yyr f t~2d~l0yr/6 2& sl 1 csbk mfi - - 0.4 0.6 ^ Bonng # --~ ~~ ~f Pit Ground Surface elev. 97.92 ft. Depth to limiting factor ~in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz 'Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 8-17 10yr5/4 none sil 2fsbk mfr cw 1fm 0.5 0.8 3 17-22 10yr5/4 f2d 7.5yr5/8 sil 2fsbk mfr cw 1f 0.5 0.8 4 22-32 7.5yr4/4 f2f 7.5yr4/6 sl 2csbk mfr cw - 0.5 0.9 5 324 5yr4/4 f t~2d lOyrG/2 sl 1 csbk mfi - - 0.4 0.6 * Effluent #1 = BOD ~ 30 <_ 220 mg/L and TSS < 150 L * uent #2 =GODS < 30 mg/L and TSS <~0 mg/L CST Name (Please Print) S" nature: CST Nurr>ber James K. Thompson 3602 Address AC.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Numt~er 340 Paulson Lake Lane, Osceola, WI 54020 12/9/00 715-248-7767 property Owner George Lokken Parcel ID # 008-1060-10, ID# 21.28.16.305A Page 2 of 3 3 Bori # '.~ Boring ~ ~ Pit Ground Surface elev. 100.12 ft. Depth to limiting factor 24" in. Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2 *Eff#1 ~Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 8-20 10yr5/4 none sil 2msbk mfr cw 1fm 0.5 0.8 3 20-24 10yr5/4 none sil 2fsbk mfr cw 1f 0.5 0.8 4 24-36 7.5yr4/4 f2f 7.5yr4/6 sl 2csbk mfr cw - 0.5 0.9 5 36-43 5yr4l4 f f2d 10yr6/ & sl 1 csbk mfi - - 0.4 0.6 ^ Boring # ~ Boring fj Pk Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots __ ~PDt$~-_-_ *Eff#1 'Efi#2 ^ Boring # ~ Boring ~ Pit Ground Surface elev. ft. Depth to limiting factor in. ~ Application Rate Horizon Depth Dominant Color Redox Description Texture Stnicture Consistence Boundary Roots "Eti#1 'Eff#2 "Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BODS <30 mg/L and TSS <30 mglL 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. Soil C~fise~/aE;o,~ P, E/e da~;on ~'~EXi~~i'n~ ~rxtlihe l I~ ~~s,~ y C.;. c ±~ -'la~l.n8"Bq gl U1~~ ~ o r3 /o/. 0 ~ 99.0' 98.0' Geo~¢ /o~t'K~~ ~o ro~o. ;,,ZJ, Tn, off' ,~{. ~o.X~'~ W/ . 3 of 3 ~~a~y Q /Z .°_~ 5 FILED 9 AUG - 3 2001 ,~_ ~~ APR 2 5 2001 - ~` s'~~626 ti IWTHIEENN.WAISH 1p 5i: CfiU(X GO '( S[z4iiEY~F' ~~`°~`~°N ~, CERTIFIED S V MAP ~_ L TED IN PART OF THE NE1 /4 OF THE NE1 /4 OF SECTION 21, 'i N, R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN. .,, ~.w. 632.97' 30TH AVE. N ~ m M ~ r ~ l11 .r M o 0 ~ r C Z 1 Z m A ~~ ~~ ~' i ~1 lei ~I~ i i ~' ~~ ~-~ ~~li~~~° NORTH LINE OF THE NE1/4 ~nw ~._ -. . O .78 ~ . LOT 2 INC. RM/ .m 4; 7.617 ACRES :m ~ ~ 331776 SQ FT 1 c c EXC. RNV 613 ACRES '~~ 6 •= m ;~ `~ ~ a . 288,078 SQ FT m .V o ' N ~p N86°28'18"W 672.73' ~ ~ O 625.38' 47.35' - N LOT 3 a9a ; ~ INC. R/W *- ~ 7.122 ACRES ao ~" 0 ~ 310217 SQ FT EXC R/W g o ~ ~ ~ . ~ ~j~ 6.613 ACRES ; N ~ ~° 288,078 SQ FT --~ 672.81' c~ S86°28'58"E '~ 125 626.87' LOT 1 INC. RNV 19.115 ACRES 832,628 SQ FT EXC. RM/ 18.635 ACRES 811,742 SQ Ff i i N88°19'42"W 633.67' LEGEND PREPARED FOR SIG STENE BOX 68 LINDSTROM, MN 55045 NE CORNER SECTION 21_ EAST LINE OF THE NE1/4 ~ , L ~' o, ~~ ~' i ~~ ~~ MtJ' i ~' I ~' a~ ~' ~I 618.76' _~ 45' 60' SEE DETAIL ' 43' 672.4 .1 tiVV":iE3'43"W - ~ ~D I 349.24' ° ao ~ 50' 60' SOO°38'1 O"W 1694.31' d04 4 ~o~o~t7o Ei/4 CORNER ~IOO do9~ [~LaC~C 400 SECTION 21 cr 9 N DETAIL NOT TO SCALE