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HomeMy WebLinkAbout030-2141-00-013 County: St. Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division Sanitary Permit No: INSPECTION REPORT �5�6��10112//' 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:��j' ci K B�� Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. le Permit Holder's Name: City Village X Township Parcel Tax No: Bird, Shaun R. St. Joseph, Town of 030-2141-00-013 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No. coq ..-- •3 f 36.30.19.2063 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i , \ ,-\e)CAPACITY STATION BS HI FS ELEV i\ t Septic 1;1' 3 /d% S"" Benchmarkb.3 3 ,7 'b,3.Ito 99'"4c, Dining Q �i l�n �c 5 Alt. BM F.*t Cov 4..._ l•b 1 bj_ . I to Aeration o a;4-e_ Bldg. Sewer Ca . Z %-% Holding St/Ht Inlet 7, b q5,7 St/Ht Outlet p` TANK SETBACK INFORMATION , 7f%%5 7 .3 ' TANK TO P/L WELL BLDG./ to Air Intake ROAD Dt Inlet \ /Vary. -,-' Septic 6 v A �A- � ao Dt Bottom -� / � Hder/Man. Dosing _ Header/Man. . R 7 Dist. Pipe '51.if ?l0 Aeration 1• S 91 j.V0 Holding — Bot. System e 4 13 .7l0 61( �.5 c13 . ldr Final Gr de /� O /O� PUMP/SIPHON INFORMATION (-111-1-. (a,l�. 6' Manufacturer Demand St Cover 1 GPM '3..7 v' Model Numbed t TDH 'Lift Friction Loss System Head/ TDH Ft Forcemain Length Dia._ _. Dist.to Well SOIL ABSORPTION SYSTEM 7 t - II�I BED/TRENCH Width / Length / No.Of Trenches PIT DI E NSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 9 a 2. — re ,. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer ./•� ` ,... INFORMATION I CHAMBER OR Type Of System: ) UNIT Model N ber. (�OAJLW"rd,..Q 56 1355 AM- A"v Q� >✓�- 54_... lt.r No DISTRIBUTION SYSTEM E 2z 4--zZ "- a1 Cltia,,A,Le j Header/Manifold/ j/ Distribution x Hole Size x Hole acing Vent ttto Air Intake 6JS Length /y Dla / Length Dia Spacing 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 5� 7(o Bed/Trench Edges Topsoil n No es No COMMENTS: (Include code discrepencies, persons present,etc.) Inspection#1: / / Inspection#2: / / Location: 1261 84th Streett Newt Richmond,WI 54017(SW 1/4 NW 1/4 36 T3ON R19W) Natalie's Ridge Lot 13 Parcel No: 36.30.19.2063 1.)Alt BM Description= 'r'l'4 - `I't-'`' GIA,a,.r.,..- i-- L o ck cr 2.)Bldg sewer length= f ✓ -amount of cover= ` / ^ n 7 1 6✓A. Cal- _ i 1 Use other side for additional informati n. r Q I jz 3 13 ® 633e��I Plan revision Required? Yes bs . No - Date /.nature No SBD-6710(R.3/97) • P OT PLAN PROJECT Shaun Bird I ADDRESS 1432 120th St. New Richmond Wi 54017 SW 1/4 NW 1/4S 36 /T 30 /N/R 19 W TOWN St. Joseph COUNTY ST.CROIX I 11/10/13 4 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL XXX IN-GRO - ∎ I PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chamber 44 ■ BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 350' SYSTEM ELEVATION 96.5/96.3 ' 4' below grade 38' 42' 40' B.M.* 11111; 64' 107' ►\ B-3 / 9 5 44 / Town Road 2-3' X 90 - is with>3' 115' BA �F Vents A S 30' �k %RI Pro 3 30' 3% Slope , 1-- Bedroom B sa House Vim'' Vent 1 >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area Property Line 10.2ft^2/pair of end caps 4' Long Grade at System Elevation 34" Scale is 1" = 40' All piping shall be SDR 30/34,within 10' Well is to meet all unless otherwise of tank,piping shall be Schedule 40. setbacks required by WDNR noted V . County Industry Services Division rST• ~ ~ 1400 E Box Washington Ave San' ry Permit Nu /tuber (to be filled in by Co.) Q~ • P;l 07 O' p g Madison, s f WI 53777162 ' 07-7162 1#te Transaction Numb r Sanit it Application In accordance with SPS 383.21(2 de, s mission of this form to the appropriate governmental unit is required prior to obtaining a s it. N ' . Application forms for state-owned POWTS are submitted Project'Add if different than mailing address) the Department of Safety and a al les. Personal information you provide may be used for second, M / purposes in accordance with ac w, s. 15.04 1) m ,Scats. C~ ] / _ 1. Application •Informati Please Print All Information /OC IQ / Property Owner's Name arcel # v ! 4 30-21 - 00 - yr Property Owner's Mailing Address Property Location l/ , Zoe 3 A/ S L 4 S , Govt. Lot City, State Zip Code Phone Number (a Section circle 0 / (.(6yL .~C3~ v , R E r W II. Type of Building (check all that apply) Lot # T ~ . I or 2 Family Dwelling - Number of Beedrooo s Subdivision Name TY!!~' Block # ❑ Public/Commercial -Describe Use ❑ City of CSM Number ❑ Village of ❑ State Owned -Describe Use / wn ol; ~ D III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. % New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. Permit Renewal Permit Revision 11 Change of Plumber ❑ Permit Transfer to New ore Expiration Owner 52~0/'Z1 - ~a~9 zU~ IV. Type of POWTS S stem/Corn onent/Device: Check all that apply) d < 24 itahly soiI on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ Grade El Mo 4 in..ofsuitable soill M3ejat~" xx~o ❑ Holding Tank ❑ Other Dispersal Component (explain) Ce V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Applicatio Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed Elevati n 9,0 d VI. Tank Info Capacity in Tota# of Manufacturer Gallons Gallons Units v° = New Tanks Existing Tanks a U iin ti to w' t7 a Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, essu ponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's i ture MP/MPRS Number Business Phone Number 1 7/ t Ln ~1- Plumbey'§ (Street, City, State Zip; ode) VIII, oun /De artment Use Only Permit Fee Date I )sue Iss g Agent Si cure Pproved ❑ Disapproved $ ❑ Owner Given Reason for Denial 7 D IX. Conditions of Approval/Reasons for Disapproval' t'4. 41o, Attach to complete plans for the system and submit to the County only on paper not less than a 112 x 11 inches in size SBD-6398 (R0313) PROJECT Shaun Bird ADDRESS 1432 120th St. New Richmond Wi 54017 • 430N/R OT PLAN SW 1/4 NW 1/4S 36 /19 W TOWN St. Joseph COUNTY ST. CROIX 11 /10/13 4 BEDROOM MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX O~4 PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chamber 44 BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 350' SYSTEM ELEVATION 96.5/96.3 ' 4' below qrade 38' 42' 40' B.M. 64' 107' B-3 Town Road 2-3' X 90' Cells with >3' spacing 115' B-1 Vents S 30' Pro I,q 30' 3% Slope B-2 Bedroom House Vent >6„ Quick4 Standard of Cover Leaching Chamber Line with 20.0 ft2 of Area Property 10.2ft^2/pair of end caps Long, 12" Grade at System Elevation 34" Scale is 1" = 40' All piping shall be SDR 30/34, within 10' Well is to meet all unless otherwise of tank, piping shall be Schedule 40. setbacks required by WDNR noted Satt,ty aad I3ufldutts lltvisrc>n - 20l W, Waswrigtoil Avc ~~~,r~r1~~~~r ISc,x71G2 hlr+attt of iVlaFtisuxr., G71. ; . 7.C(;_>, l_ I I 1 J' t f +Caunitrmrae b - Sou N<. ; Sanitary 11 Permit Application binie n:ho l ur nb ur In t ib; runoe wilt/ s. 83.11 la unit is uyu,rul lunar to to ob obiauiing a stnFi Wis; t~Fr Adrn. ' Cade 1u (2}, submission of'~~is turtu nl< uFtprotrriUlc gov.rrlul011tal Y Pcraut- Note: tbrrri~ ' , subrnttted to the betrtrtrnerp of Gmttrnu,(t. Peso ,to JoNslt ItwlytU 1 )W'1 ti tint- C'rt)jet t Atl(,t ss (if'd1(ltuYalt lbart utadtn 1 - P-"-"s_es iu accurdatu a with file 1'rrv" C.al., s 15.04(1)(r rrrt ian you Elrovitl Y _t(e u5ed' fbe-11(#6 tlily 6 a(ktlress) 1. A licatter 1(nforutatiart --I"Yease i'rn _w proparty Owaer s Marne t _ ~ Z(y ~C . rarcut 11 _ _ _ C Property Owut,, s Matlit,g A(Idress _ - ~ _ . - - _ 030l_ ~ n y .r vatic tt _ P City, state ' Lt futlc Govt. Lot r(, • 26-71 p 1 bwte NuaF11eF / (y,trUl on CC. Type Of Building theca all that a t l - - - I' N It --7 - - W Lo "le ---Nwuberoi*Bed,om•ts__ Subctivksioa Narau y . 1. J Public/Couur,erciul - Describe use t - - J f J CRY of I - StaUr l)wued - lhscribe L AI~~- "/Jl o•F"~(o d, "owuu.f ]ICI T t - - ype Of Permit: (Check oily tra lrux r►r hue A. Coulplete line Ct, if a hle) New System U Replaaelnlalt Systeal f t "!'Ir ainnettUkiolditfg' ,k Rupt -went only I.1 r luauw, t L htl; , n 13. - - - Ntarntt Renewal ❑ Nen„tt Rc:"iSion ~ - 113efore ExpiraGtu, Ctlattgu of 1'lulttberJ - t' luit'I' r r to w st Previous Permit No li e, u! na t Csstretl - , Y . " e oY p(1VV'I'S S a•rdCeut ■r :nt/bevice_(Q becYr rt11 tllnt tr t . c~3 NwF-I'ressrtrizutl In-(iruurak 1_1 1'ressui irrrl hr-(irotnul U At-iit'itdn J J Momut ?fl u,. ol'sttolat,tesoil CJ Murald 1~ iu. otstlltabi(: 5ui3 I J 1T01dtng't'ruck J_)OuterDispersalCurtil,unwt xplain) .~.r f _ _ -J 111,11eaUneut Device ( xin) _ eraFWi're inert Area lluiorw tie . T M -sign Flow (gpd) h sign Soli Applkcalic I aTtnte(gpdsE) Dispersal Art a ltec uired . S 1),sparsa! Area Prop , ed 5ys(T:levatiott y nn _ r'L. yank Info f V. t - 1otaY Jl of ivlatfttFat~urer ialfolfS - - t;atlwls lhfils ) v New'I'tulks lixisiiuf(1'w,ks .r. ~ t r nr V 1 - C rslrrg Cllaulbar ~`,i , - II Respalosltbilify Stattrroertt Y the t,tttersignecl, assn a enppner_brEtty f FtlY,rfierr 01 ILe ]p(1•W 1 ty aifowu ou ihe uttnctu.Fl Phunber's Nume (Print) /l - ptutuMsr'' tature - r`nb 1vtP 1Jnmt i rvsy 1'hur L 1s1 f s /Mt'R. ,er us r • Nu fhur J P:ltttnbel's At. dress (SEreet, CStFtti. VICC "earn e #rtinent Use OnY C _J Perini! Fcc pproved % ed llate k ed lasuirig nt Signature - 'ivwf ilea tar !)(:filial X17$. /Zy /Z 41 1 DC Condit & Ylear~litrts for C)istrllltraval $epbc tank, effluent fill®r and ~dlt~. ~ 1'atJt` ✓1 G(,., dispersal cell must all be services / maintained f r as per management plan provided by plumber. 2. AU set}lack requirements must be maintained as per applicable code / ordkfarfm, AGach to wtutlteire )dnnx for tiro system aucl sblhruit to tiro Cuablly only ml putrer blot 1F:es than 8 nh x 1 M incluea ill sine SB x_63()8 (R. 02/09) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 12/15/12 Owner: Shaun Bird Location: SW1A NW1A S36 T30 N,R19W Lot 13 Natalie's Ridge St. Joseph 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 SI et l J~ Signature License numbet,, #226900 ~I PLOT PLAN PROJECT Shaun Bird ADDRESS 1432 120th St. New Richmond Wi 54017 SW 114 NW 1/4S 36 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 12/15/12 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 chambe (s32 ,BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark 350' SYSTEM ELEVATION 96.5/96.3 '4' below qrade 38' 42' 40' B.M.* 64' 107' B-3 b Town Road 2-3' X 66' Cells with >3' spacing 115' B-1 Vents ~ M S 30' Pro 3 30 3% Slope B-2 Bedroom House Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area Property Line 10.2ft^2/pair of end caps Long 12" Grade at System Elevation 34" Scale is 1" = 40' All piping shall be SDR 30/34, within 10' Well is to meet all unless otherwise of tank, piping shall be Schedule 40. setbacks required by WDNR noted 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 To be >1' above grade 10.2ft^2 pair of end plates Finish grade elevation Typical installation 100.5' Grade Vent Avent 4„ 3, X30/34 Septic Tank i ,f 5' 5' Long Grade at System Elevation 3611 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-96.5' B 96.3' POWTS OWNER'S MANUAL & MANAGEMENT FLAN Naga of BILE INFORMATION c r SYSTEM SPECIFICATIONS Owner ` a r - - - - - Septic Tank Capacity NA 7 E' N]A _ Septic Tank Manufacturer U NA DESIGN PARAMETERS Effluent Fitter Manufacturer Number ofE3edraoms . ~ ---------~.~-!`f-...._-_. r3 NA NA Fff7uent piper Model ~I NA Number of Public Facility Un its 'NA Pump Ta:rnk Capacity A Estimated flow (average) a/day Pump `I"ank IVlanufacturer NA NA l gesign flow (peak) (Estimasted x •1.sigJ1 gal/da Pump Manufacturer NA Soil Application hate - rlal/daLump lWodel 11 NA el a Standard Influent/Effluent Quaiif Y avers e, Y g pretreatment Unit NAFats, Oil & Greasr:a /L L1 Sand/Gravel Filter 1:1 Peat Filter _TD!g Biochemicasl Oxygen Demand (g/L ❑ NA © Mechanical Aeration U Wetland Total Suspended d)ohds (TSS) 5150 mg/L Q Disinfection LI Other: i'retreated Effluent Quality Monthly average Dispersal Celt(s) L'] NA Biochemical Oxygen Demand (SODS) ,93U mg/L In-Ground (gravity) IJ In-Ground Total Suspended Solids (T$S) <30 m L (pressurized) ~ /-AI~IA IJ At-Grade U Mound Fecal Coliform (geometrir_mean) X104 cfu/1 DOM, 0 Drip-Line ❑ Other: ,Maximum Effluent Particle Size in dia, 0 NA Other: Ar_J - ~ Other: _ NA Other. - Values typical f or domestic was water acrd septic tank effluent. Other: MAINTENANCE SCHEDULE Service Event Service Frequency !inspect condition of tank(s) - At least once every: month( s) ar s (Maximum 3 yeasts) U NA Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume I-] NA ionspect dispersal cells E7 month (Maximum 3 ) iJ NA -year(s) ( years tAt t once every: (s) I:::lean effluent filter t once every: j d month{s) - U NA Inspect pump, pump controls alarm p t once every: 13 month(s ) U years NA l°~lush laterals and pressure fastt once every: NA LI year(s) s t once every: NA ~iter: Year(s) ' ~ NA MAINTENANCE INSTRUCTIONS IInspectfons 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 lnclude a visual inspection of the tank(s) to Identify any missing or brokers hardware, identify any cracks or leaks, measure the volume of icr:rmbined sludge and scum and torheck for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be idr yually 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 r-rrgulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of i:he tank shall be removed by as Septage Servicing Operator and disposed of In accordance with chapter NR '113, Wisconsin Ad: ministrative Code. Ad other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <92 months, shall be performed by a certified POWTS Maintainer. R :service report shall be provided to the local regulatory authority within t o days of completion of any service event. of START UP AND OPERATION Page For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thsit may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of th{, 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 ble discharged to the dispersal cell(s) in one large doge, overloading the cell(s) and may result in the backup or surface discharge of effluenlt. 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 wiihln 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the fallowing from the wastewater stream may improve the performance and prolong the life of the POWT13: 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 produalls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of service the following steps shall be taken to insure that the system is propej-ly 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 operJngs sealed. • The contents of all tanks and pits shall he removed and property 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 selA. gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must tae taken, to provide a code c..ompliiitnt replacement system: suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitied setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruled in effect at that time. 1] A suitable replacement area is not available due to setback and/or soil limitations. Barring advances In POWT'S technology a holding tank may be installed as a last resort to replace the failed POWTS. 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluatjion must 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 infiltrerfive surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>s SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NIOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT 'LANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Oh A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL" COMMENTS POWTS INSTALLER POWTS MAINTAI ER-.-----~- Name _t jt_ `Name ~ ~ - Phone :~ZL- L~P,ne SEPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY _ Name ro v 11 L V Name - 4 Phone c Phone }-7 ~~.r= - - I f a- - This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(1) and 383,54(1), (2) & (3), Wisconsin Administrative Code. i1►JV' VILTER . III INSTR Installation ST4p I Dry fit the titter cash auto the centered under the access o and of the outlrtt pipe to ensure it is tank through the outlet ar a Lubin weI.dn~ the" other insert n;ora pipe pipe into the . (!flue) additlohal pipe Onto the outlet Fp .i While the rase is still dry fitted on the outlet pipe of ""itch WOO needed to brar to tits filter to the tank and wall if utilizing theneth optional supYiemsutal side support, If side support method. fs not utfiked, proceed to step four. 5. iVe►.t weld ra h si i ~itathee~ional sLpplehrental side support: utilised, proceed to step four, filter case. ft srde support method is not SolVeht weij the filter ease onto the outset cartridge into the case, pressinll down until the filterlor:ks lhto the lwtton, of the case- Is If a VAS switch is utilian:d- insert into the filter and luck by turning r •ln~ r . clockwise 900, Maintenance 1. The effluent filter should be creamed every time the septic tank is serviced. 2, 00eh the outlet access opening to inspect the tank and ftltet, 3. Purnp the septic tank coniplet.eiy, making{ sure to rerriuve the siudge y layer on the bottom of the tarnk and not Just the scurry and effluent, 4. Once the e8kreht level has been lowered below this invert of tho k outlet pipe, firmly pug up on the filter handle to dislodge the t cartridge from the case. S. slide the cartridge up and o; it of the case for cleaning. . 6. If a VAS switch connected to are afar should be removed by turnnncl counterclockwise g 9 the switch with water only, py and cleaned 7. While holding the cartridge an its side (large flat surface facing y down) over the access opening, rime off the cartridge with water y only, making sure all se ' ptag,,. +rtaterlai is rinsed back into the tank_ i ` s. ifVRS switch is utilised, replace by Ilisgrting into filter and turning clockwise 90 _ % Insert the filter cartridge back Into the cAte, pressing down until the filter socks Into the bottom of the case. 1p.Replace and secure the arcce.4s opening on the tank. Y.r l:••.:rc y, "+I["Yr: ;vl1 "lr:r~SvrT, •krq;' "i n.~. Snit' LP SV.iBFl.l f mm.beararlisite- com 81/7-MLIG3 RS (653-4583) i ' ,SFPT:fC 'X' ~ ~ ~ ~IEtC~I.~C CC)1J"lil'T'.Y~~ 1VrA.IN rL1~(ANCL-+ ACY~;~ AND iVrL N l fit) C)wne~r113uyer R11a: • L.L. trs.•-'--s~.~.~ ~~.__Cr 114441149 AddrusS G r PrdPerly Address Z J ~ 't;=-! a (tv`erl~agtion raqutrecl ti~cu 1'laxtxiiYtg 8c 7,anixtg be ar City/State tuzHxit &I flow t onstraction,) Parcel dell i t'licatiOu Nlutiber0 3 Propez-ty I:,ocataiott..~ (.c~„ . y4, t - A✓ 1>0 N Sub(hisiort - wx) 0.1 Survey Certified Mop ti tit ,1xa e . Volume _ page 'y '%)eC house THS txa - ~.ot tines identitiabie ~ , - Sx'Lt"1VI A[ Trfr1Y C;' AN o Vo no li~i Improper use and x"W141tSt UMV of YOW. SO tic H ' trtaiateauaxtce Consists ofpuutri ir.~~ 1' ydl'crtx could.rest►lt the in its l)mrnatuie liilru'e to }taudle t~astem, PY'oY~er ~rsterr, can a p out tlitj s~ttic taxtk every tltttle years or suoteer., if needed, by a i.i-;ertsad Purnlrec Whsiy(Utpntinto responeiirilities 4110 s ec pct the hu) in 'oxx COt the OMM. 93-52(t) septic t tank as a treatment stage in the P ifiec in waste disposal systf~lll' Owner s and in Chapter 12 - ~I. t-aix (:ount:ySanitary ()jcdinarice. ~tYLt~]Ittittct3 The ptupeny aWixer aga es to suhnixt tr► St Croix C:eunty Plaxuvin , owvrret• and by a master plumber, '"wastr~WVatex' iS~tt)&al SS►8tC17t .ts itx,l~YOMeyrrtan pl`ltxlber & boning Ueparttrtettt d resrtiticatian tbrrrr, stt;t,eci t, operatiz , xestrictaet lurnbex or' a licensed pr►mper yertiying drat (l.) the on site i,y iitc less than 1/3 furl ofslxulge. tb wnclitiou attct/or (Z) after insptt:tinn and pUUrxpint; (if rteaeSSaYry), 'tom septic tank: is Vwe, the tulersiggled ituvcy read the standards set forth, ~iert33ry as But i7 the ahaWt; tsrclYYireYrtettts and a iYlt$iYY the private ru;wage disPosai system With file Certification stating > the3erePat~rtextt of GaxtYtneroe and t1e i.)tr l,arhtltrxxt of:NatYrrat 17 usatuct s 5; flint yo "ftpil' sy ST~yt1C sJistexrt has b lryt ng .Ur~nartnrent witlzrn ;l t l ha ~ rnaiutaincd must be co tarn of 1~r`nacrnsin. rrtpleted and returned tv tiec , St. Croix CO i year W44atitnt date. ltttty)'layming tYc i r/We mr ify thU all sitat6rktwg oz, this Corm at, taue to the best trf my/our 1cua r property described abovai1 virhwe ofa wvarran ty deed ret:trrded in Register of DesCls ledge. 1/wt~ axxJax flat C~ Wrter(s) of tlte ! ftxc,e, edr GNIA7 APPLI ANT(S) *'*'*Any ixtfbrtrtatitru - _ that is Misrepresented may result ill the rstrtitar l },4 ) 1trrrluder With this a ►pliCatiotY n rt3r irrttcrl y Pernik heir revoked by the Pi:!rrr'lug & Zoning belyax'txr~ent. ' jrt~f~rettce is made IIY the warranty det.c.1 aYtty deed lion, tlYe Register o.{'Dc eds Cfte and a copy r,i'tlYe; certitierl survey ,crap ~'li t.'V. U1;IU5) 1330 x~fv"gep"Po Page 1 of 3 Wisconsin Department of Commerce_ _ Division of Safety and Buildings in acobrdanfae c' m 85, Wis. Adm. Code Tom Schmitt 2005 C unty Attach complete site plan on paper not less than 8'/Z x 11 inches in ize. PI~ Iut 9 St. Croix include, but not limited to: vertical and horizontal reference point (B direction and p cal I.D. ''ll percent slope, scale or dimemsions, north arrow, and location and tance n 1R40 U NTY 130- -QV 0 Please print all information. ZONING OFFICE evi By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 5 Property Owner Property Location Grand Properties, LP Govt. Lot SE 1/4 N 1/4 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 13 Natalie's Ridge City State Zip Code Phone Number City Village if Town Nearest Road Somerset WI 54025 715-247-5900 St.Joseph Cty. Rd. A i✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is 97.10'. Slope is 3%. Boring # Boring Pit Ground Surface elev. 100.93 ft. Depth to limiting factor 96* in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-7 1Oyr3/2 none sl 2fsbk mfr as 1vf,1f .6 1.0 2 7-22 1Oyr4/4 none sil 2msbk mfr 9`N 2vf .6 .8 3 22-41 1Oyr5/4 none grcos Osg ml cs .7 1.6 4 41-96 1Oyr6/4 none grs Osg ml .7 1.6 1r _5 ❑ Boring # Boring Pit Ground Surface elev. 100.67 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 *Eff#1 *Eff#2 1 0-10 10yr3/3 none I 2fsbk mfr as 1 m,1 of .6 .8 2 10-24 1Oyr4/4 none grsl 2msbk mfr gw lvf .6 1.0 3 24-65 1Oyr5/6 none grcos Osg ml cis .7 1.6 4 65-97 1Oyr6/4 none grs Osg ml .7 1.6 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD S.30 mg/L and TSS <-30 mg/L CST Name (Please Print) Signature: CST Number n~~ 227429 Thomas J. Schmitt Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/14/05 715-247-2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 F be ]Boring # Boring Pit Ground Surface elev. 9946 ft. Depth to limiting factor 101+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-13 1Oyr3/2 none sl 2fsbk mfr C3 2vf .6 1.0 2 13-24 1Oyr4/6 none $l 2msbk mfr 9W 1vf .6 1.0 3 24-47 1Oyr514 none grvmS Osg ml cs .7 1.6 4 47-101 1Oyr5/6 none grms Osg ml .7 1.6 ❑ 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 *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 *Eff#1 *Eff#2 Effluent #1 = BOD s' 30 < 220 mg/L and TSS >30 < ISO mg/L * Effluent #2 = BODS <30 mg/L and TSS <330 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Y Page 3 of 3 'Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, Wl. 54025 New Richmond, Wl. 54017 Phone: 715-247-2941 Subd.Name: Natalies Ridge Lot No.. _ ® F- Legal Description: -V-1/4 IV44 /4 S36 T30N RI 9W Township of: St. Joseph, St Coix County ® Soil Boring ® Bench Mark El. 100.00' Top of 2" pvc pipe A Alternate Bench Mark El. 0 Top of 2" pvc pipe Slope= ,,,Z-9o Contour Line El.N~ Scale 1" = 40' 351 ~ a a 13 m This soil report was done to fulfill a zoning requirement. It may or may not be in a location suitable for your use. 33' 33' i - - - - - - - - 463 - - - I 6 6' x 923.4 681 x z I 9226 917.2 0 x 1 r. 0 N t x 923.2 T12 3.013 AC. (2.34 AC.) 75' L.B.O.= 918.0 6 tTj - Ci) I I ' 920.8 I 470, A i I . I -I 92x 1.2 I . I k3 9X1.4 0/ I x 921.E . / LOT 13 1917 aR~~ 3.007 AC. (2.63 AC.) x \ L.B.O.= 918.0 919.6 918.7 i i x 918.8 ~ I 3.POO AC. a' (.20 AC.) L.B.O.= 910. LOT 1 6~® 3.00 AC. - (2.7 AC.) 910.8 L.B.O. 910.0 H.W.L.=908.0 ' 913.2 ` 901: x x 8 1 1 2 2, :9 3' Tx:4089263 STATE BAR OF WISCONSIN FORM 3 - 2000 969022 Document Number QUITCLAIM DEED BETH PABST REGISTER OF DEEDS THIS DEED, made between Citizens State Bank, a Wisconsin banking ST. CROIX CO., WI corporation, Grantor, and Shawn Bird, a single person, Grantee. 12/07/2012 1:23 PM Grantor quit claims to Grantee the following described real estate in St. EXEMPT#: NA Croix County, State of Wisconsin (the "Property"): REC FEE: 30.00 Lots 4, 5, 6, 11, 13, 20, 21, 26, and 27 Natalie's, Ridge, St. Croix County, TRANS FEE: 764,10 PAGES: 2 Wisconsin. Lots are sold `as is' with all faults. Recording Area Name and Return Address: Title One Premier Group 706 19th St S Hudson, WI 54016 #18811 Together with all appurtenant rights, title and interests. see attached Parcel Identification Number (PIN) This is not homestead property. Dated this 7th day of December, 2012. Citi n tate Bank rM * Gene Haberman, Ice Chairman * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ST CROIX COUNTY. ) ss. authenticated this 7th day of December, 2012 Personally came before me this 7th day of December, 2012 the above named Citizens State Bank by Gene Haberma, * Vice Chairman to me known to be the person(s) who executed TITLE: MEMBER STATE BAR OF WISCONSIN the foregoing instrument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) *Ja field THIS INSTRUMENT WAS DRAFTED BY N u lic, State of Wisconsin My co ission is permanent. (If not, state expiration date: Michael H Forecki, Attorney 8/7/2016 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their'sig6ga tYurp, PFP1F0_t) `dotary Public ? ,in 01 Wiscon, 1 of 2 QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3-2000 ib m p '''-JOINT F \ - L% I , x ~ . 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