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HomeMy WebLinkAbout026-1057-80-000 department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix and Building Division Sanitary Permit No: INSPECTION REPORT 556340 0 GAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: FNER Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Levos, Patricia Richmond, Town of 026-1057-80-000 CST BM Elev: Insp. BM Elev: / BM Description: Section/Town/Range/Map No: /46 6,5 ( 19.30.18.290E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ,',~V~ CAPACITY STATION BS HI FS ELEV. Septic yti 2 , Benchmark cJ ~ooo Z_ 16Z•L G/ao Alt. BM 3,6 F. GPi 01n. .~t /l, ~io Aeration Bldg. Sewer Holding St/Ht Inlet 7• TANK SETBACK INFORMATION St/Ht Outlet T5 -11f ' 7 TANK TO P/L WELL r B D Vent to Air Intake ROAD Dt Inlet c* -6 Septic Dt Bottom 30 > 56 J5 7 Boa Dosing Header/Man. 9 05 c~3 ~5 _ -ate Aeration { Dist. Pipe 9 7.3. Q'S Holding r- = Bot. System /D L 7.6 ) ~ 6 ~ p 5-7 PUMP/SIPHON INFORMATION Final Grade 7 `5 Manufacturer GP Demand St Cover I 3• C) - Model Number TDH ift Friction Loss System Head TDli Ft "'y Dist. to Well Forcemaitta.: SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. T uid Depth DIMENSIONS ld Z_ 7~ .1'-j SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:. INFORMATION CHAMBER OR -L✓t t 9L Ja- Type Of System: l UNIT Model Number: C",Je. d,ti ~L rd 1.32 2 Sd-°` u / ~o c3Z adl~ DISTRIBUTION SYSTEM Jr6jg, keeot Header/Manifd ( Distribution x Hole ize x Hole pacing Vent to Air Intake Pipe(s) Length$_ Dia_ff Length Dia acing r✓~ S SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center -X !5, -7 Bedlfrench Edges Topsoil Yes No ` Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 936 140TH AVE New Richmond, WI 54017 (SE 1/4 SW 1/4 ) T30N R18W~) ^metes & bounds Lot Parcel /N~o:: 19 18.290E 1.) Alt BM Description = GOB ®L 6R%✓~. ` 'Y 05"'A'C 2.) Bldg sewer length = /54- 36'6J4., 1 1"t g ~2KJ u~ r1n SJc~ \ - amount of cover = r t QQ ✓ e 6444- `fL of d, ~o o R7o~~ ~oaafio~s /lob aur~fa~C, Plan revision Required? Q Yes ViNo j7- E3 Use other side for additional information. Date Insepct s Sign re Cert. No. SBD-6710 (R.3/97) PLOT PLAN PROJECT Pat Levos ADDRESS 936 140th Ave New Richmond Wi 54017 SE 1/4 SW 1/4S 19 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/19/12 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. bottom of garage siding ASSUME ELEVATION 1001 Filter BEAR Filter ❑BOREHOLE O WELL *H.R.P. Same as Benchmark All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 9 /92.4 5 elow grade of tank, piping shall be Schedule 40. +~ate road to 1 h Ave Well is to eet Line is to be insulated 'S3 set required underdriveway and rest is to be 42" below grade 40'~ Q 41b Garage o lop 40' ' S B. M. * 2- 66 c s oz V i >3' s cing 3 30' 20' A 0, Shed 0 ~ 0 Well 0, 10 B-1 61 ST 5' DW B-2 SyS~2m 1 - 9od Z -Did syst m is ocated -2.6t~..l Ud~t/ 5 partially under shed, owner „ , is sti going to. use _Scale is 1 = 40 f this s stem for a fl y oor l~]~~~5~-Qt~lel W f 150 drain and wash tub, if it is, not to be used in future, C riOteC~ it would need to be pumped and buried , AJ) Willow River f 00 Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 12" 10.2ft^2/pair of end caps Long Grade at System Elevation 3 4" i„r Property Line ~J ~O vmo o ~c o ° c.aQ E'g y NN R ; T ~30T N CON O d N = K T N L O N C N V E c _ x U N LO) N N t rn v M d 2 z H N O E w c x U m L m 2 0 W c E E N w o 9 _oi = y. N U E Fm d ° =u H Z E Z 6 U m L' x m E °m Q O w 3 .O O O E O N O N p N N N N t N y N O p A O m >2' L N L Cf r co O O W LL U J a CL LL a a- H (n f7 o J C 7 (/1 U J R> ~ p V !Of 1 0 ■ I I I I Wd ~L g N ° (n m ~ o as ~ i i it i ~r O N W Q Z O N w 0 N Commeree.w1.9m Safety and Buildings Division county 201 W. Washington Ave., P.O. Box 7162 0Iscon Madison, WI 53707-7162 Sanitary ermit Number (to-be filled in by Co") of C" ' - _ ~slO 3 D Sanitary P' tifit Ap lieatto .,,a.e Transtietion Number In accordance with s. Comm. 83 21(2), Wis. Adm. Code, submission this form ap PO ental unit is required prior to obtaining a sanitary permit. Note: Application to srateao~vn e~ are Project Address (if d?ff Brent than mailing address) submitted to the Department of Commerce. Personal information you provide ma sed for_" seZbttdary u oses in accordance with the Privac Law, s. 15.04(1)(!!!), Slats. L Application Information - Please Print All Information 4.r✓..-Q,~ Property Owner's Name parcel 0a&1- o ~p-_ Property Owner's Mailing Address Property Location _ (I Z~0 36 Govt. Lot City, state Zip Code Phone Number y, Sectiol pi )4 Cleo II. T I of Building (check all that apply) 2 - Lot # _ or 2 Family Dwelling - Number of Bedrooms Subdivision Name Rlock# ❑ Public/Commercial - Desert e Use ❑ City of _ 2 ❑ State Owned - Describe Use CSM Number ❑ Village of town of III. Type of Permit: (Check oal ne A. Complete line B if applicable) A. ❑ New System eplacement System ❑ Treatment/Holding'rank Replacement Only ❑ Other Modification to Existing System (explain) _ B List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision El Change of Plumber ❑ Permit Transfer to News Before Expiration Owner A10 f Q ,t~wfz( IV. T e of POWTS S stem/Cotnonent/Device: Check all that apply) -KNon-Pressurized In-Ground ❑ Pressurized In-Ground , ❑1 At-Grade ❑ Mound > 24 in. of suitable s ~ ound 24 in. ot'suitable soil n ❑ Holding Tank ❑ Other Dispersal Component (explain) retrealrltl~hvIc ex am t V. Dis ersaUTreatment Area information: ' - Design Flow (gp Design Soil Appycation Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (st) System E 'on VI. Tank Info Capacity in 'total # of Manufacturer Gallons Gallons Units 7U-icA U New Tanks Existing Tanks y Yn rn t% C7 a septic or Holding Tank Dosing Chamber VIL Responsibility Statement- I, the undersigned, assume r nsibility for installation of the POWTS shown on the attached plans. Plum ' Name (Print) Plumber's S" re MP/MPRS Number Business Phone Number K Plumber's Address (Street, City, State, Zip Code) z 14 VII . Coun /De artment Use Only Permit Fee DTit issued ssutng ent ign Approved ❑ Disapproved G ❑ Owner Given Reason for Denial f IX. Conditions of Approval/Reasons for Disapproval C) (f Z VI& ffw- T G ~ ~r IT a"r SYSTEM OWNER: ~o~ d 2sf~h(t~~ 'god e(avd_-~I n t°s 1 Septic tank, effluent filter and rVf ad serviced / t wt'I 0✓Sid~_00od dispersal cell must all be provided by y plumber. evt e- dA4 ~V`t X 61 as per management plan ained `t1 ZtT~ ~.1 - - _ j 2. All setback requirements must be maintc/ a per app tca 6d for the system s mil to the Countyonly on paper t less than g trz z 11 ine~ o siae S/ ,(-et7/~~ ~ -~l ~U, (Jn(•riJ'/'1 Ti SBD-6398 (R 02/09) PLOT PLAN PROJECT Pat Levos ADDRESS 936 140th Ave New Richmond Wi 54017 SE 114 SW 1/4S 19 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/19/12 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. bottom of garage siding ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 9 /92.4 5 elow qrade of tank, piping shall be Schedule 40. Pri ate road to ,1 h Ave Well is to meet Line is to be insulated required underdriveway and rest is to setbacks WDNR be 42" below grade 40' Garage 0% Slope 40' U 5, 5 M* 2-3' X 66' cells d with >3' spacing 3 30' Existing 2010' IJF 5;- Shed 01 0' Well 301 10 . ` B-1 SyS~ 4 -Ao©d ' ? - B-2 6e, yw - V~.¢t~" d syst~ocated partially under shed, owner „ , is sti going to use Scale is 1 = 4~ this system for a floor 47-1 imleSs---QtheTW1S 150 drain and wash tub, if it is not to be used in future, noted it would need to be pumped and buried Iq1 W Willow River ?r1?w'?'U Vent Leaching Chamber is11 Quick4 Standard with 20.0 ft2 of Area " 10.2ft^2/pair of end caps Grade at System Elevation Property Line Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/19/12 Owner: Pat Levos Location: SE1/4 SW1/4 S19 T30 N,R18W 936 140th Ave Richmod System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet Signature License numb r 226900 PLOT PLAN PROJECT Pat Levos ADDRESS 936 140th Ave New Richmond Wi 54017 SE 1/4 SW 1/4S 19 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/19/12 BEDROOM 3 CONVENTIONAL )00( IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. bottom of garage siding ASSUME ELEVATION 1001 Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 92.5/92.4 5' below qrade of tank, piping shall be Schedule 40. Private road to 140th Ave Well is to meet all Line is to be insulated setbacks required by underdriveway and rest is to WDNR be 42" below grade 40' Garage 0% Slope 40' 5, 45 B M. 2-3' X 66' cells with >3' spacing 3 30' Existing 2010' house 5, Shed 60~ 0' We1130, 10' B-1 ST 5' DW B-2 Old system is located partially under shed, owner Scale is 1 = 4~ is still going to use this system for a floor unless otherwise 150 drain and wash tub, if it is noted not to be used in future, it would need to be pumped and buried Willow River Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 10.2ft^2/pair of end caps 4' Long 12" 3491 Grade at System Elevation Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 10.2ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 97.5' 3' 4" 3' X30/34 Septic Tank Vent Grade Et System Elevation Long 5 5' Lon3 6" Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-92.5' B 92.4' 4 ST. CROIX COUNTY SEPTIC TANK MAESMENA1vCE AGREEMENT AND i O'WI\MRSHIP CERTIF];CATION FORM i Owner/Buyer CZ-U D - - Mailing Address El tJ _ Property Address _ _ j (Verification required from Planning & Zoning Department for new ronstruction_) I City/State _ peel Identification Nurriber - LEGAL DESCRIPTION 165, Property Location ,Sec:. Z f t',?jeN R,/ W, Town o.f r-- Subdivision _ - Lot # I Certified Survey Map SLC ~v~ > Volume Page # 'W'arranty Deed # Volume Page Spec, house es n y Lot lines identifiable yes no SYSTEM MMNTEN ANC°E AND OWNER CERTI~`ICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists ofpumping out the septic tank every three years or sooner, if needed, by a li-,ensed pumper. the system can affect the function of the septic tank as a treatment stage in the waste disposal sy m stem. Own mat you put into responsibilities are specified in §Comm. $3,52(1) and in Chapter 12 _ St. Croix Count Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning 'owner and by a master plumber 'name Department a certification form, signed by the wastewater disposal system is in proper operating con,ditionland/or (2) after inslicensed ection and pu ping (if that (1. ) the the site less titan 1/3 full of sludge. p pin.g (if necessary), the septic tank is { Vwe, the undersigned have, read the above requirements and agree to maintain the private i4ewage disposal system with the Standards set forth, herein, as set by the Department of Comtnerce and the Department of Natural Resources, State of Wisconsin, :;ertiftcation stating that your septiv system has been maintained must be completed and returned to the St. Croix County Planning & ?oning Department within 3 0 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Fwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. lumber of bedrooms SIG ATURE OF APPLICANT(S) l ~L DATE Z ~ TE *'I'*Any information that is misrepresented may result in the sanitary permit being revoked by the PI inning & Zoning Department. In elude with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if re Perence is made in time warranty deed. ()7~EV. 08/05) i i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner 3 O Septic Tank Capacity al 13 NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA J__ if r ❑ NA Effluent Filter Model ❑ NA [Estimated umber of Bedrooms umber of Public Facility Units 'ULNA Pump Tank Capacity flow (average) al NA gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA - Soil Application Rate 4 al/da /W Pump Model NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) S30 m NA g/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection Pretreated Effluent Qualit ❑ Other: Y Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD5) 530 mg/L ❑ In-Ground (gravity) Xin-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ~-NA ❑ At-Grade ❑ Mound Fecal Conform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size 3k in dia. ❑ NA other: Other: ❑ NA NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 13 month(s) ears (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: month(s) years (Maximum 3 years) ❑ NA Clean effluent filter At least once every: , )gr ❑ y year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: onth(s) ❑ year(s) NA Flush laterals and pressure test At least once every: ❑ month(s) Other ❑ year(s) NA At least once every: 0 yea ts(s) 11 NA Other: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local -egulatory authority. Nhen the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin kdministrative Code. kll other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, ind any servicing at intervals of s12 months, shall be performed by a certified POWTS Maintainer. i k service report shall be provided to the local regulatory authority within 10 days of completion on of any service event. STARTUP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or, POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. 4BANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. G Y PLAN If the POW fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant ent s stem: A sui ble replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. he eplacement area should be protected from disturbance and compaction and should not be infringed upon by required set cks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need f a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in ffect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation ust be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative ace. Reconstructions of such systems must comply with the rules in effect at that time. < WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. A )DITIONAL COMMENTS P )WTS INSTALLER POWTS MAINTAINER Name Name Phone Phone S iPTAG SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY Name Name Co W ' Phone Phone Th s document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. w \ RLTER CARTRIDGE INSTRUCTIONS Installation STEP I Dry fit the filter case onto the and of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more pipe into the tank . through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. STEP f While the case is still dry fitted on the outlet pipe, measure the length of %-inch pipe needed to brace the filter to the tank and wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four, L T FP . For installations utilizing the optional supplemental side support: solvent weld the V4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four, ':;v•..q; two . Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of - the case. If a VRS switch is utilized: insert into the filter and lock by turning clockwise 90°, z~; : F~_ ,a;•.; ; Maintenance I, The effluent filter should be cleaned every time the septic tank is serviced. 2. Open the outlet access opening to inspect the tank and filter, 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent, 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning, 6. If a VRS switch connected to an alarm is present, the switch should be removed by turning counterclockwise 90° and deaned with water only. 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water only, making sure all septage material Is rinsed back into the tank_ a. If VRS switch is utilized, replace by inserting into filter and turning clockwise 90°. 4, Insert the filter cartridge back into the case, pressing down until flt '`'4 the filter locks into the bottom of the case. - 10. Replace and secure the access opening on the tank,t www beamnsitexom 877-MLFICI`ERS (653-4583) 12 FACE STATE BAR OF WISCONSIN FORM 2 - 1999 65510~AL WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Ronald J. Duval and Marie C. Duval, RECEIVED FOR RECORD husband and wife 08-29-2001 10:40 AN WARRANTY DEED EXEMPT N Grantor, and Patricia M. Levos, CERT COPY FEE: COPY FEE: TRANSFER FEE: 389.70 RECORDING FEE: 12.00 PAGES: 2 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): Recording Area Name and Return Address See Attached Exhibit "A". Edina Realty Title ) 400 S. 2nd St., #115 3x$ Hudson, W1 5401 026-1057-80-000 Parcel Identification Number (PIN) This is homestead property. (is) i5 XOO Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this i sir day of July 2001 r)N • Notary • Ronald J. Duval State o X • • Marie C. Duval AUTHENTICATION ACKNOWLEDGMENT ~ A4 Signature(s) STATE OF ) 0AA (dl ) ss. County ) authenticated this ~'day of Personally came before me this / e day of Jul 2001 the above named Marie C. Duva 4sonalliNhow& wife k -cvu-, 7?-~ &td---~ MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the personf.w going ilft authorized b $ 706.06, Wis. Stats. instrument and acknowledged to 74/1-~ . THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland N ary Public, to of Wreeeis~+p Hudson, 54016 My Commission is permanent. (YFCaState etcc~dtion date: (Signatures may be authenticated or acknowledged. Both are not necessary.) Y ~~ll`` ) Names of persons signing in any capacity must be typed or printed below their signature. Inf-ation Prare"imW. Cm PWW, Fong du Lae. WI STATE BAR OF WISCONSIN aoo sss ZO2i WARRANTY DEED FORM No.2 - 1999 _h'}~.1n~~_i-..i(VV • Lt`ala .,I I1 iP~G ~ l~ ._~}1 i'11i (1~.:1::~ ' Eau Claire and River Falls, Wisconsin Name M.E. Langness Route 4 (Do Ad*ns Now Richmond, Wi . 54017 - Deeaiption ` WILLOW R I V_E R _ _ Sl1RUEY0'S Pfl, 1 D N87046!00E r 4' EANDER LINE i. L7 b1 / 1.044 ACRES o (TO THE MEANDER LINE) 17 / / Ilk 4 0 n N EXISTING 33'ROADWAY v+ I , S 87 26 06 W 207.81, CD I O O N OWN z S 88° 46'SO"W 333.87 SOUTH 1/4 RQQD - CORNER SEC. 19r State of Wisconsin ) 0 IRON STAKES DRIVEN County of PIER] E ) ss. SCALE OF MAP -I INCH = S0' Feet • IRON STAKES FOUND i, ARTHUR WEGERER , registered Wisconsin Land Surveyor, do hereby certify that, J , on AUGUST 22 19718 , 1 surveyed the above described and mapped property accordihp to 1 , the official records and that the accompanying map is gperriNtftnVmensioned representation to scale of the boundaries, thst all buNd- t ings and improvements (do) (do not) lie whotly,vfta ry as, and that no encroachments by adjoining owners appeir from said survey. b,~` n•••~e•• ~//~Y Map No. RF-78-71 6 ATtf'1`t 1, -~-r Drawn BY J. WEBER = , . < w El.'-5'v<ATH s Rg 4~ d I1fq~u~~f~iM~~ 54a` tiwy,. 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( Il;~ 'Y • ~ • ~ I III. f 1 341 75 CERTIFIED SURVEY MAP 651t S8300aiE NORTH I53.42' 44.00 109.42 - , SCALE n y2o35°° / DO 50 0 IOp 3 4 17 5 1- o= I"X24" IRON PIPE WEIGHING/`' 1.13 LBS. /LINEAL FOOT... ~~t 1 IRON PIPE FOUND..... D 8 JJUt 2F,9 0 ON / )AMi5 C Jr f ~t+afu Cu fnPY. . I< i APPROM S 23°38 E 40.00 1 , 4UL 2, 0 1977 0 Sr. Cl*k COUNTY QpIN1 ADAW (E. PARKS PLANNING q~p MWt,4 4 QaMMITTEE i ~r ~ I J I, N Ilr 1 it fI ,I APPROVAL OF THIS MINOR 33'' DOSS NJT SUBDIVISION MEAN APPROVAL O I BUILDING SITE OR SEPTIC FOR O I REFER TO SYSTEM. M I H62.20. d' 3"-EXISTING 33' EASEMENT N I O o I O 1. Z JI COPY I j l I TOWN _ WEST 541.00 FOUND I" I.P ROAD SECTION LINE S CORNER SECTION 19, T30N,RI8W ~.r Volume 2 Paxe 411 00 VOL Ir 08"GE 525 EXHIBIT "A" Parcel 1: Commencing at a point 541 feet West of the SE corner of the SE ~4 of the SW of Section 19, T30N„y~ R1 8W, St Croix County, Wisconsin, thence North 0 degrees, 02 minutes West for a distance- of to the point of beginning; thence South 23 degrees 38 minure-c Fast a .tiara., C of 40 feet; thence North 44 d 7 minutes East a distance of 110--5 feet; thence North 36 degrees 47 minutes West a distance of 26.65 f thence South 54 degrees 54 minutes West a distance of~eet; thence.gquth 23 de minutes East a distance of 11 eet to the roe`s point of beginning. It is intended to include that land which lies betwaa sheen Line o e Willow River and the~abovt described parcel_ AND Parcel 2: Together with ingress and egress easement in volume 1130, Page 537, St. Croix County Records, St. Croix County, Wisconsin- AND ALSO Parcel 3: A parcel of land located in the Southeast Quarter of the Southwest Quarter (SE Y. of SW Y..) of Section Nineteen (19), Township Thirty (30) North, Range Eighteen (18) West, St. Croix County, Wisconsin, described as follows: Commencing at the South corner of Section Nineteen (19); thence South 83 degrees 46 minutes 50 seconds West along the Section line 533.87 feet; thence North 2 degrees 25 y~r~• minutes 50 seconds East 314.68 feet to the point of beginning. Thence South 87 degrees 26 minutes 06 seconds West 207.81 feeU thence North 223.70 feet to the beginning of a meander line of the Willow River; thence North 87 degrees 46 minutes 00 seconds East 173.04 feet to the end of said meander line; thence South 21 degrees 10 minutes 10 seconds East (recorded as South 23 degrees 38 minutes East) 150.00 feet; thence South 46 degrees 44 minutes 50 seconds West (recorded as South 44 degrees 17 minutes est) 22 92 feet; thence South 2 degrees 25 minutes 50 seconds West 65.62 feet to the point of ben en _Including all land lying between the meander line, the Northerly extention of the West line, etb Northerly extention df the Northeast line and the crater's edge of the Wi11o-v River- c Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inchetwii ust County include, but not limited to: vertical and horizontal re point (BM) dir n Parcel I.D. _ bs 7 percent slope, scale or dimensions, north arrow, a d loca dista ton t r ' ~ ~ / Please print all in rmati R 'ew Date Personal information you provide may be used for s nda ry Purposes (Privacy S.IM (1 (m)). 1~ „ / Property Owner Prope Location , v r•I / W " `~J 5 4` SJ Govt. of s 1115( /4S T L2 R (~E(o Property Owner's Mailing ailing Address (y n(~ Lot Block # Subd. Name or CSM# Y ~ ~Q P1 /7tL~ State Zip Code Phone Number City ❑ Village o Nearest Road rRA- ❑ New Construction Useesidential / Number of bedrooms Code derived desig flow rate 'L7/J G Ej~eplacement ❑ Public or com vial - Describe: _)AA Parent material lo5) rA=-'eZ Lrroe~c- Flood Plain elevation if applicable 1Li ft General comments and recommendations: J~ System Type System Elevation L~ hit Boring # Boring M Pit Ground surface elev. / 7. g• Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 A i 1A/44 A-I)A ngi# ❑ Boring 01-- 1 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 0-10 v 31 ; Z l -3° 5 C. l OWA/K ,6 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/- and TSS < 30 nVL CST Nafne (Please Print) Signal CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 -/2- 715-246-4516 Parcel ID # Page of Property Owner _ 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 •Eff#1 GPDKf *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r < < 0-10 0 ~3I L _Ln ELL y-~ t S O s r✓ ~ ~1 7771 ❑ Boring F-1 Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots * in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil ication Rate Horizon -mpth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots tE GPDAfEtf#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Effluent #1 = BOD5 > 30:< 220 mglL and TSS >30:E 150 mglL ' Effluent #2 = BOD5 < 30 mgA- 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. SBD4330 (8.6/00) Soil Test Plot Plan Project Name Pat Levos Shaun Bir Address 936 140th Ave ' New Richmond Wi 54017 ` CSTIVI 26900 Lot Subdivision Date 4/30/Y2 SE 1/4 S W 1/4S 19 T 30 N/R18 W Township Richmond Boring Q Well PL Property Line County ST. CROIX. BM or VRP Assume Elevation 100 ft. Bottom of garage siding System Elevation 92.5/92.4 *HRpSame as Benchm Private road to 140th Ave /GP Scale is 1" = 40' unless oth noted -'0 - Garage 0% Slope 0 45' iB* M.* B-3 30' Existing hous e 5' ed 25' 10' We1130, 10' B-1 45 10' ST 59 D W Small shed to be B-2 removed Old system still functions, very small size and is located inside 150 future addition to the house Willow River COPY Property Line Soil Test Plot Plan Project Name Pat Levos Shaun Bir Address 936 140th Ave New Richmond Wi 54017 CSTNf 26900 Lot Subdivision Date 4/30/ 2 SE 1/4 S W 1/4S 19 T 30 N/131$ W Township Richmond Boring Q Well PL Property Line County ST. CROIX. BM or VRP Assume Elevation 100 ft. Bottom of garage siding System Elevation 92.5/92.4 *HRpSame as Benchmark Private road to 140th Ave Scale is 1" = 40' unless otherwise noted Garage 0% Slope 40 45' M. B-3 30' Existing 2010 5 house , Shed 10' 2 W e11 30' 5' 10' ST B-1 45 1'B-2 5 D W Small shed to be removed Old system still functions, very small size and is located inside 150 future addition to the house Willow River Property Line Kaveney - Wall Special Exception #SE87564 Restaurant in ~or1i4 cial District c ~ : 3 d o d 3 fD N ~D `D 3 3 .4. n 3 (A s Z Z y z o r n zm v, z o O+ r o O O C O j O N f/1 Q aCn (D , < n O N • (D a a m ro o 3 CD ro w o s is i--i ~~C 111 o C : y P. <n 3° m JO o o m CL O 0 N OD ~ O O < O ° tD 0 N 0 5- m 3 c~ a o m CL m o y to ° ° y w go 0) 0 CD _ ID cn D i a a K D A 3 0 o Q. o h co o O O y ~ 170 wl z 0 0 am C_ 3 A o m Z Z N 4 -4 X (D o r- ca 0 0 0 2 1 0 D o CO O C N 3 Q < s vvvml rr • C -0 m CO :2 PL 3 a3 COCiC m Oy o vov~ U,a' vvo - CD N =r ICD CD U) 00 N 3 D' a ' 3 77 CL N Z(nZ0 ZF z c CD 0 ° v N O D < D ~ N C Oa. a S 8 N O N aog, , o> m m a N o !V• CD C, 0 'a Cn o~ N 3 C y CD p C Cr CD 13 (n 0.- = N Cr o c ~ a S a o CO f O. 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