HomeMy WebLinkAbout010-1082-90-000, ~~ f..
`~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
' Safely arv# (3uildings Division
- INSPECTION REPORT
G~fNER~-L INFORMATION (ATTACH TO PERMIT)
P+ersonad information you provice may be used for secondary purposes [Privacy Law .15.04 (1)(m)].
r it Holder' e: I ^ City ^ tlfTler~le(D1~`011VnShl
•~e~'ymov, ~i c~or tfTl p
I Insp
TANK INFORMATION
S
l~
TYPE MANUFACTURER CAPACITY
Septic / ~~
Dosing ~ 0 ~
Aeration
H Ing
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to
Air Intake ROAD
Septic > ~UU~ ~Zy ~ ~--~ NA
Dosing ~ ZU~ / ~ ~' 3 Z ~ NA
Ae ~ _- - NA
Holding
Pt7f1AP /SIPHON INFORMATION .
Manufacturer c Demand
Model Number /,V U S 3/,/(oGPM
TDH Lift d -~ Lriction~ ~ System 5~ TDFf~ ~` H Ft
Forcemain Length ~' Sg I Dia. 2H" Dist. To Well
ELEVATION DATA
count~t. Croix
Sa nita~,yp~ylrlytNo.:
State Plan IDyyn ~No33.:
Parcel? N .•
0~~-~ b82-90-000
STATION BS HI FS ELEV.
Benchmark . S~ J8 S
Alt. BM
Bldg. Sewer ~, ~ ~ _ Z
Ht Inlet ~, p'a ~ ~'
n
Dt Bottom ~, ~ 9
Header /Man. 2• `/ ~ ~ ~/, / Z
Dist. Pipe
~ z
~' loY ~
Bot. System 3' °~ /0 3_ ~a
Final Grade
S
q/o .SS' D~.S by
SiDIL AgS~RPTION SYSTEM
BED /TRENCH Width Length , No_ Of Tre ches PIT No. Of Pits Inside Dia. Liquid Depth
1 1 ~ S Z r DIMNI
SYSTEM TO P / L BLDG WELL LAKE /STREAM
LEACHI
Man urer:
SETBACK CHAMB
Mo a Nu
INFORMATION Type O
~ Z dv
S ~~ ~ ~ '~ OR T
ystem:
flt~TRIRI ITIA(U CVCTFM
Header /Manifold ~ ~ Distribution Pipe(s) /,
I
~ x Hole Size-
/ (~ x Hole Spacing
~
~~ Vent To Air Intake
Length 3 Dia. ~ Z Spacing 3
Dia.
Length ~ y
SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes No Yes No
/COMMENTS: (Include code discrepancies, persons present, etc.) QS 4/6/D/ 9s ~ /p/~/
Location: 2448 County Road DD, Emerald, WI 54012 (NE 1/4 SW 1/4 34 T30N R16W) - 3430 6505
1.) Alt BM Description =n/- Cav~r ~•~ ~~~d ~.a~..~~ac~~..r•-, a ecoD:
2.) Bldg sewer length = ~' yo' A-~
-amount of cover = > y ~ ~` ~`'"'~ k ' S~ ~ `~
3.) contour = 3 - 6~~ /O ~. `~~
Yr) ~ weld ~ ~~
Plan revision required? ^ Yes ~] No ,~'-" /
Use other side for additional information. z „~ to
SBD-6710 (R.3/97) Dat Inspector's Si ture Cert. No.
•~ 2 .~ D /
p Sanitary Permit Application Safe & Buildin s Division
ty g
A
hi
~ In accord with Comrn 83.21, Wis. Adm. Code
See reverse side for instructions for completing this application ve.
ngton
201 W. Was
PO Box 7302
WI 53707-7302
di
M
~~QhS~n son,
a
Department of Commerce Personal information you provide may be used for. secondary purposes
s. 15.04(1)(m)]
[Privacy Law (Submit completed form to county if not
6 , state owned.)
Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size.
r c'ounry State Sanitary Permit Number ^ Check if revision toyrevious application
ST. CROIX 3g3 b ,~- , -; ,„ State Plan I. D. Number
TRANS. ID # 632658
~!. Application Information -Please Print all Information ' ~ ' Location:
Property Owner Name ; ` ~"~,
~ Property Location 16
~' ~ "~,+;; ~
VIKTOR YEFYMOV AND LIUBOV YEFYMOVA ! ~ '~E 1/a SW va, s 34 T 30 N, R )~,~qt") w
1 ---
{ Property Owner's Mailing Address
,
t Number Block Number
2971 RICE STREET, ROSEVILLE, MN 55113-2210 x - ;~ ~/A N/A
ate ,State Zip Code Phone Number.5 ~
~` ubdivision Name or CSM Number
v
0,715 ~' ~ ~ ~~~
~_
t i. Type of Builditrg: (check one) - «-s 5 u,
': 9
~'; 1 or 2 Family Dwelling - No. of Bedrooms : 3 ~5
~ ~
~ ~ ^ ~'ty
.
~t ~ Town of Emerald
W
_
^ Public/Commercial (describe use):_ `-~---
^ State-Owned
~ ~ 0 CO . ` RD D
~ Parcel Tax Numbers
~ ~ k ~ ~ ~` " . (. (~ (~ 9.2" 10-1082-90-000
III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) . 30, l L • So S
p) 1. New 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
I V. Type of POWT System: (Check all that apply) ' I ~ .
^Non-pressurized In-ground C~ Mound ^ Sand Filter ^ Constructed Wetland
^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line
^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other.
V. DispersaUTreatment 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 (GalsJday/sq. ft.) (Min.rnch) Elevation
450 450 450 1 N/A 103.5 105.3
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing Crete structed
Tanks Tanks
_ 1000 1000 WIESER CONCRETE ~ ^ ^ ^ ~
p ^ ^ ^ ^
600 600 WIESER CONCRETE X
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (print) Plumber's Signature (no slam ): MP/MPRS No. Business P one Number
BENNIE HELGESON ~~ 220292 715/772-3278
Plumber's Address (Street, City, State, Zip Code)
W1229 770TH AVENUE, SPRING VALLEY WI 54767
IX. County/Department Use Only
^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued . Iss ing Agent St (No stamps)
Approved ee~~ 0'fl ~
^ Owner Given Initial Adverse Surc ge F?
Z
,
Determination ~
X.Cgnditions of Appr val /R sons for Dis ~proval•
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Department of Commerce
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601-1831
TDD #: (608) 264-8777
www.commerce.state.wi. us/sb
www.wisconsin.gov
Scott McCallum, Governor
Brenda J. Blanchard, Secretary
April 19, 2001
OUST ID No.268093
BEN HELGESON
HELGESON EXCAVATION INC
W 1229 770TH AVE
BERING VALLEY WI 54767
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES:- 04/19/2003
ATTN.• POWTS Inspector
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
SITE:
SITE ]D: 627968, Viktor & Liubov Lefinova
St. Croix County, Town of Emerald
NE1/4, SW 1/4, S34, T30N, R16W
FOR:
Description: Three Bedroom Mound System
Object Type: POWTS System Regulated Object No.: 786720
Idenfificafion Numbers
Transaction ID No. 632658
Site ID No. 627968
Please refer to both identification numbers,
above, in all cones ondence with the a enc. .
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The 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" BBD-10572-P
(R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems"
BBD-10573-P (R.6/99).
• 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 manual, and section VI of the pressure distribution 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.
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 pemuts
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.
` t
INDEX SHEET
PROPERTY OWNER: VIKTOR YEFYMOV AND LIUBOV YEFYMOVA
2971 RICE STREET
RO5EVILLE, MN 55113-2210
PROJECT NAME: VIKTOR YEFYMOV AND LIUBOV YEFYMOVA
PROJECT LOCATION: NE 1/4, SW 1/4, S 34, T30 N, R, 16 W
MUNICIl'ALITY: TOWNSHIP OF EMERALD
COUNTY:
DESIGN:
CONTENTS:
ST CROIX P•O.~'t.1S~ •.~1~
+~ a
PRESSURE DISTRIBUTION MANUAL SB~`~-P~ y~~O
MOUND COMPONENT MANUAL SBD-lOS7 - ~~~~1 ERIE
~OE ~~ p gU1~`t
EN
PEQARo~A
Page 1: Plot Plan
Page 2:
Page 3:
Page 4:
Page 5:
Page 6:
Page 7:
Name: Bennie Helgeson
Address: W 1229 770Th Avenue
Spring Valley, WI 54767
Credential number: 220292
~v g~4
Cross Section and Plan View of Mound
Distribution Pipe Layout
Septic Tank & Pump Chamber Cross Section &
Specifications
Pump Specifications
W 1000/600-MR Tank Specifications
Mound System Management Plan
Sign
Date: March 28, 2001
R~cF~vED
MAR 2.9 Z~101
'~~FFTy & BLDGS DIV.
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Synthetic
ASTM C 3 3
Medium Sand -~
Page ~.Of L
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CC:L1.Of 2~- 2 %2
Aggregate _
Cross Section Of A Mound
Signed:
License Number:
Oate:
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Observation Pipe
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A I _ %~ -------------------------------------
w L t3 -- _T -T-,---.-__- --------
Distribution
Pipe A99re9ote
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Observation Pipe
Plan View Of Mound
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License Number;
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Discributi~iPe Layout
Holes Located on Bottom
are Equally Spaced
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Lateral " 1__--- Inch (es)
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Force Main " ~_ Inches
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Curves
METERS FEET
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Submersible Effluent
Pumps
p 10 20 30 40 au o~
0 10
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METERS FEET
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25 80
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CAPACITY
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CAPACITY
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~~.
. Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
P~ 7 a F ~
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of
the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise
the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in
the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required.
However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
Locher than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
,nstallations (October•February) dictate that the mound be heavily mulched for frost protection.
influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual (SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance
reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could Cause death. Septic and
pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access
openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed
unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall
be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Continaency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector.
Wisponsin Department of Industry,
~~,..a8bor and ~~IIuman Relations
Division of Safety 8 Buildings
SOIL AND SITE EVALUATION REPORT Page 1 of 3
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but
Plan must include
er not less than 8 1/2 x 11 inches in size
it
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not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distan Barest road. 010 -10 8 2 - 9 0 - 0 0 0
'{
APPLICANT INFORMATION-PLEAS ~ Ir~I A~ NATION
.. ~-.~ R VIEWED DATE
M 2 2~ I
PROPERTY OWNER: ., `;~~' g~ =
f Y ~' PROPERTY LOCATION
z'~f~ ;~t~
Paul R. Nelson f " GOVT. LOT NE ti4 SW t/4,S 34 T 30 IN,R 16 ~ (or) W
PROPERTY OWNER':S MAILING ADDR SS P ° ~ , , LOT # BLOCK # SUBD. NAME OR CSM #
400 S. second st. ' - ~' ~ -
~ na na 40 acres
CITY, STATE ~fP CODE A
` ^CITY ^VILLAGE ®fOWN NEAREST ROAD
Hudson, WI. 54016 ,... (,~,~~ -0257 . Emerald Ct Rd. "DD..
[ ]New Construction Use [ ~ Residential / Number of bedrooms 4 [ ]Addition to existing building
fK] Replacement [ ] Public or t~mmercial dbscribe
Code derived daily flow 600 gpd Recommended design loading rate _~~bed, gpd/ft2~_trench, gpd/ft2
Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2 .6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 103.40 ft (as referred to site plan benchmark)
Additional design /site considerations system el . based on contour line of el .. 101.90'
Parent material glacial d_r; ft Flood plain elevation, if applicable na ft
S =Suitable for system CONVENTIONAL
^ S ®U MOUND
CAS ^ U IN-GROUND PRESSURE
^ S ®U AT-GRADE
^ S ®U SYSTEM IN FILL
^ S ®U HOLDING TANK
^ S ~J
U =Unsuitable fors stem
Boring #
..................
.................
..................
.................
..................
1 ~>
Ground
elev.
102.2ft.
Depth to
limiting
factor
11
Boring #
2
Ground
elev.
100.8 ft.
Depth to
limiting
factor
26"
_7
Depth Dominant Color Mottles r
T
t Structure Consistence Boundar Roots GPD/ft
Horizon in. Munsell Qu. Sz. Cont. Color ex
e
u Gr. Sz. Sh. y Bed Trertd~
1 0-8 10yr4/3 none sil 2msbk mfr cs 2f .5 .6
2 8-17 10yr5/4 none sil 2msbk mfr yw if .5 .6
3 17-24 7.5yr4/4 flf 7.5yr5/6 sl 2msbk mfr yw na .5 .6
4 24-50 5yr4/6 2d 7.5yr5/8 scl M na na na np .2
Remarks:
1 0-8 10yr4/3 none sil 2ms bk mfr gw 2f .5 .6
2 8-16 10yr4/4 none sil 2msbk mfr yw if .5 .6
3 16-26 7.5yr4/4 none scl 2msbk mfr gw if .4 .5
4 26-50 5yr4/4 2p 7.5yr5/8 scl 2msbk mfr na na .4 ~ .5
Remarks:
CST Name:--Please Print Gary L. Steel Phone: 715-246-6200
Address: 1554 200th. ~ New Richmo WI 54017
Signature: - ~ Date: 4-28-2000 CST Number: m02298
SOIL DESCRIPTION REPORT ~~~ ~ l ~~ ; REF •°~'1.
Sr
•S~
•S
.~
PROPERTY OWNER Paul R. Nelson
PApCELI.D.#010-1082-90-000
Boring #
ti> 3
Ground
elev.
102.5ft.
Depth to
limiting
factor
20"
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Boring #
k?.iiiiiiiiiiiiii:
k?::;:i}jj'iiry:: is
'i'ce'
Ground
elev.
ft.
Depth to
limiting
factor
Boring #
4::+:
Ground
elev.
ft.
Depth to
limiting
factor
SOIL DESCRIPTION REPORT
Page ? of ~ 3 .
', y
..~
Depth Dominant Color Mottles Texture Structure Consistence Boundar Roots GPD/ft
Horizon in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. y Bed Trench
1 -9 10yr4/3 none sil 2msbk mfr w 2f .5 .6
2 -20 10yr5/4 none sil 2msbk mfr gw if .5 .6
3 0- 5 7.5yr4/4 c2d 7.5yr5/6 scl 2msbk mfr gw na .4 .5
4 5-55 7.5yr4/6 c2p 7.5yr5/8 sicl M na na na np .2
Remarks:
Remarks:
Remarks:
Remarks:
SBD-8330(R.05/92)
~'
5"'
~.
~.
Gary L. Steel
CSTM2298
MPRSW-3254
"=4
~/
~1t.
STEEL'S SOIL SERVICE
Paul R. Nelson
NE4SW4 S34-T30NR16W
town of Emerald
1554 200th Ave.
New Richmond, WI 54017
(715) 246-6200
Gary L. Steel
4-28-2000
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer
Mailing Address
Property Address
(Verification required from Planning Department for new
7~~~.
k/cfC
City/State ~~ S Co!? S t6? Parcel Identification Number 0/D~%O83"2C~'(7~10~d/D~-/!~ :90-,~
LEGAL DESCRIPTION
Property Location ~L '/a,S t,~ %a, Sec. 3 ~ . T,~_N-R I ~ W, Town of min e.ra-1 d
Subdivision ,Lot #
Certified Survey Map # y~ ~~6 ,Volume ~ ,Page # 3
Warranty Deed # I?Z~ 38L% ,Volume ~J`~3.~ ,Page # 3
Spec house O yes ~ no
Lot lines identifiable ®yes O no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the. Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix Couaty Zoning Office within 30
days f the three year tion date.
03 / ~9, o/
IGN OF APPL ANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described ve, by virtue o a warranty deed recorded in Register of Deeds Office.
SIGN OF APPL CANT ~ DATE
****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ******
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
V~' k`~d r Y~~vn~rr~ v a~a~. ~r~u~r~tr~ Y~~YMO~~ ~~rs~
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SrA7E $AJl OF wISCr]ggStN F[?[WI ~ - 1994
D44:Wltent NuMDer WARRAI~'i"Y DEED
This Dead, atade ixtwton PAUL R. Ne a mArrt~d peraoa
d*aator, And Vikedr Yefymvy ~d~f~a~Bfison, hIIa ~tn~d snd rife
~~
43rAatee. - ._ ,
Grttttor, for a vait$ble avnsidctatlon, conveys to Gtnttea th41
fallowing descnbed rral 4".ite~ it3 $~ Craix County,
State of Wiscorasia (if rnotx spaen is eeeded. ptaAro attaolf eddandtttnr
• 1tzcotdn8 Aura
Mar. 15 2Q01 03:00PM PS
rt"s2~3~$~
RATFIt.t:EN H. tdAt.Sk
~i3i81'ER pt: 1RtfEDS
ST. CRGiX GD., <aI
RECEi~ FEiR i~~
46-i7-2400 ~E~S PM
ilplti~tTY ~E4
~
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~ FHt;t 2.pb
1R's~ER Ftsti: 7El.70
MB FEE: 0.40
AA x
The Na~tha4ti5t Quutet r-fthe 5out~-weat ~erDer (1VE: h of SW •f.) of Section
34, Tawitship 3 0 ]vptth, Ra~g4t 16 ViFest, St. Croix Cautt4y, wisconoirt.
AND 'I~e East d6 feet of the Seutirermtl'~aatar pfthc S~west mortar
(9~ 'h of S~- ifs) of S ct~i~ 34,'Y'owaahip 3a tti ottit, P.ange 16 West, St.
Crpix Cottaty, wiECtQtSi7t,
NBale End REtuPSt Ad '
~~~l~~~
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1Sc~'n+ W~ ~ot~
f?2D-14183-?q-0OD& D7D.30s2.9D~000
. PatcC! idENGilmdats Nt~her (PIN)
This ~ It4>R bvmestead ptoyerty.
dQ Cis nab
ffx.aoptictts to warra~aties: EaBcme~tts, resn'ietiona mmd rifts-of--way of tmvrd, if any.
pai2d ribs ~~ day of JUtte ,x800
AU~'HiEIYTiCATICN
Signatutc(s)
euthetaticated this M,~day of
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'n arv Pue{ic
:?1t6 4f V'JisCOns+n
TITLE: I~MbEt STA '8#t'4t-I
t3f nc~
authorized by § 706.06, wis. Szsts.)
'TIit9 It`19"f'~tJ3tt8N'I' WAS DRAFTED BY
wtmrn KriatJba ft8laa+d
u son. 16
(SigNares amy M aupteffiitaited of aeimowled;ed. Butte ote nut ts:cc358rYJ
~ NsmeS ar parsoss s[Edng it7 R"Y capacity aa~st ba typed er priated batmv the
VYARRAlY7'Y ABED
STASH 8AA d>e wt500~t3trt
Qt)EM No. 2 • t449
ACKNC?WLEDGMENiT
STATE OF YlI4C0?3S[PI }
/~ ~ ) ss.
_ ~ Vi ~~_ .. COUgty
Pcrsoaauy same bc#oro ma this _.y~. dz~' 4f
Juat ~ 2d00 the above named
pAAt R.Nalaon.a.aerriad ~r~ _
to tns knoxn tt+ be chi ~ersoatia} w*ho executed tho foregoing
itsttvment sad acEnowlcd~ed ttYe sathv.
•
No nbltc, State oFwise.ansln
twit CStnmisafon gettrtas-ane. (Ii`nat, smote CXplratiCUt da09:
rta.wmn Prviesrbn~ Ga.~p~Y. r1~+!~ ~•e
~60'd SIBS ~8F SiL-'13~, NOSQf1H ~".L1,L ~,ZIi1D9 Sl ~gi ((1HZI110 ,Ll-'h~1~
FROM FAX ~l0. filar. 15 2@E91 02:59PM P4
t ~ ~:
- PARTIAL sUf~VEY
Loratbd in part of thr 5uukhwoel lluarkor of Sr.~tlon 34, Tggnrhtp 3(1 North, f2eng^ rg >ttyrt. Town of
Em ci otd, S!. Grvix County, W!¢c onaln.
Propared for and ut Elrn ragtrest oF: ~,,_~`
UVINt'Ft; 11N5'NA8 NOT A CCAIPt$1F 5t1RYkY AND i]OES NCT -'"
Paul Nelson C;+aMI'LY 1Nl'E1; tNSCON3IN ADtAiN(STRATiY~ COt~ AE~e. .
8ys&teaB Addreee• t7wn~Pahf R_ Nokan and StrnreyOr-Renvld F. ,rphgyp~
406 Sovth jru~ Stra*.t hereby vgrerd tv walvv o11 pcxts of sv{d AF-9, std
(~ut.tson, tNl 9401G pr.pars a deacttptfvn only grid aet only lhnee property
Matta ey, Krl^1t ~, EranGr Stokes us shown on lha otttlchad niv
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S67'43~~7~W 30~-\. , t' 10584~.~y .w _.. +
MCRE CR tE5S + ~ r
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U.(i 43 /tG7tES. MORE OH LESS ( z
1 '
SYRIArtrpsr~rM'nQ'a - ~ ~ ~ Swnr r a
ro ronc ~ - ~ ~ ~ ~ at so~ae
~ 12Q.17:.~ ; ~~ ~ (.~rr~ ca ,uartr,J
i3T,~,61' ~~ ~ Jf`A
~. t207,.34'
----....___ 96.02'----_-~__
5cvrv tare of nr surrnrorsr auurrax
G_T rl~ 'D p' ~..
(~ Crunly Secllor, Carnes Monutrtcnt '
of Retard
• 9~l 1" x 24" Iron Pipe wnlghing
a rrti3nlrs!rm of t.13 paunde pn '
linrar Idol.
tD Set 6pikc
X Set Lath >µ
M -%^-FBhbs '
Jpb ;i'9Tt04 iao o am
F'rcpared by. ~ ~-.,.. 1 ~J
A At ~ QiAPNiC SCAt$ .
t.M10 St3Ft4E11NG Jk CiIAL ENitlNEERING SCALE 1N I'+EET: 7 insF~ {Op feet ,
Phone iJo, (7T5) 246-4313 OEARMOS ARp k~PERENGEb ll~ Tti> SO[f1H UNE OF'THE
t08 F.oat Fhfrti Street, P_U. Qox 325 SW 7/4 t)F SECAOH 34, T'OrtNSlup 30 N.. RANCE 1G W
Nrw Richtnrpd, k7 S+Ui7 YYHIGFi ZS ASSt.IMEtI TO BEAR EAST.
I
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HELGES N
EXCAVATI N, Inc.
SEWER AND WATER SPECIALISTS
Plumber/CST Cert. #220292
BEN HELGESON
W. 1229 770th Ave.
Spring Valley, WI 54767
ST. CROIX COUNTY ZONING
ATTN: JOHN
1101 CARMICHAEL ROAD
HUDSON, WI 54016
Office (715) 772-3278
Home (715) 772-3127
September 14,F~~C~~15) 772-3387
RE: VIKTOR YEFYMOV
TOWNSHIl' OF EMERALD 3`{.30 ' ~ L^~fi ~
Dear John:
Enclosed is the revised septic tank and pump chamber cross section and specifications for the tank
that was installed for Viktor Yefymov. This change was necessary because we were unable to
get delivery on the Wieser tank that was specified in the plans.
Sincerely,
. i~
BH: cb
Bennie Helgeson
President
enc. 3 11 ` 1 ~ " ~ ~:,
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R / Page Of
` ~ `~ " ~~ l ~~~ ~~ ~ ~~ .,. ,~ <. -%"7'1C%N AND SPECIFICATIONS
SEPTIC TANK t; PUMP L~1AMBtrR l.i«.,~ .,1_,_ .
4" CI
VENT PIPE 12" MIN. ABOVE
GRADE E NEATHERPROOF
JUNCTION BOX
APPROVED
25' FROM DOOR, WINDOW OR WITH CONDUIT MANHOLE COVER
FRESH AIR INTAKE
~ ~ W/ PADLOCK E
WARNING LABEL
FINISHED GRADE
~~ l_•~.._ 4 " MIN .
6 ri, n . i
- LxY
~~
I 2y
y'~C.Z. 4P~SERVAT~on! I X.A. ~~
18" IN. PIPE ~ ~~,~ 18 rniN•
INLET t .
GAS- ~
WATER TIGHT SEALS ~ TIGHT ~ 1~ VAPPROVED
F, SEAL JOINTS WITH
F1~7ER
E ~ ~~ X~ ~
~~ ~I _,.___ ALM
~ APPROVED PIPE
'
APPROVED '
' E3 ~
' ON ONTO
3
PIPE 3'
--~-~~
' SOLID SOIL
ONTO SOLID ~ i '
SOIL PUMP OFF ELEV . F`1 . ~- --~- OFF
D
3" APPROVED BEDDING UNDER "TANK
CONCRETE PAD
SPECI!'ICATIOt~S __
_ ~ ( ._ ~ ~ i ~ -~~~~ t-c..i~ c° rZ~~ S ~/ c~~
SEPTIC / DOSE ~ _ .. X . ~.,_... _ _ _... ____.. __5e_.c.-- ~ ~S
............
TANK MANUFACTURER:
TANK SIZES: SEPTIC ~ GAL. DOSE VOLUME FLOWBACKG o`~:I GAL.
DOSE 1---~C~ GAL.
Sys, k~ AC I'1'I ES : A = ~ d INCHES = GAL.
ALARM MANUFACTURER: c /'a •~
MODEL NUMBER: iii f/(~ g _ 2 INCHES = ~O• ~ GAL.
SWITCH TYPE: -T-"- ~ac~'
C = ~~ INCHES = ~8, g GAL.
PUMP MANUFACTURER : ~/n~ c.~
MODEL NUMBER: "- W b~ / D = ~ INCHES =~_GAL.
SWITCH TYPE: u~, f'~b4sT
REQUIRED DISCHARGE RATE GPM % PUMP + ALARM WIRING AS PER ILHR 16.23 WAC
~ 5" FEET
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE• • ~ ~ FEET
+ MINIMUM NETWORK SUPPLY PRESSURE - ~_ FEET 3,-~,~
+ ~~S FEET FORCEMAIN X ~ 'S ~'"1~/ lU U F I,~ 1,~tLI~YNOAMICAHEAD ~ _ ~~~FEET
INTERNAL DIMENSIONS OF PUMP 'TANK= LIQUID DL`1''1't-~~ W______~J/Z,~S~~~~T~~S ~~
ICENSE NUMBER: ~~~~ DATE: / -~~ ~ ~~
SIGNED
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SAFETY & BLDGS. DIY. ~' ~'
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TANK= 870650 H U F F C U T T CONCRETE CMIPi[yA -K~=.. yl ~ ~•~_• w-TIONAL .=«~T ~O~R=~
c715> 723-7446 ^ FAx <715> 723-7111 (800) 924-1516 yl=COruW -R[CKi,G,QNG!IL
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SCPTIC ANO PW1P TANK iNli ORI1ylNG =MALI NOT =C COPICO OR SvlMtiiED TO OTNCRf VITIOYT CONSCMT'O~ TMI= CON-
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HUFF'CUTT CONCRETE 737 HERBERT STREET MEMBERS oF~Ty '~~
C-uPPEVA t'ALLS vt 3729 NATIONAL -RECAST CONCRETE
<715) 723-7446 ^ FAX <715> 723-7111 0800) 924 ~Z16''.w,. VISCONSIN MtECAST CONpttTi
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jNts DRAVING SHALL NOT K COPIED OR SNlNtTTEO TO OTHERS V1TNRli CONSENT Or.TWS CODANr- .
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