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HomeMy WebLinkAbout014-1032-95-000 Wisconsin Department of Commerk CAL `e s PRIVATE SEWAGE SYSTEM County: St. Croix Safety acid Building Division Sanitary Permit No: INSPECTION REPORT 395270 GENERAL INFORMATION (ATTACH TO PERMIT) Sta a Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 74(, r. Permit Holder's Name: City Village X Township Plarcell Tax No: Johnston, Thomas I Forest Township 014 - 1032 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Ltd A. o/— B2 a o Dosing Alt. BM / � 5 � S , _t Z b /b3• y d� L GQGV�- .1 - Aeration Bldg. Sewer lnbZ� ,p•9� 444Lr Holding St/Ht Inlet I Q!o �Ls TANK SETBACK INFORMATION SVHt Outlet �9 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet • 9 Septic I i Dt Bottom 93• (� r ..e� Dosing 2 Header /Man. L ., J Aeration Dist. Pi Z•B Holding J � _ Bot. System @''(�1 7 ' � � � • � �3, Z � J` t PUMP /SIPHON INFORMATION Final Grade W(M Z�' • 3� Manufacturer . Demand St Cov h GPM Model Number ' yv�, &Z Z-o uo..� - TDH Lift Friction Loss System Head TDH FtQ� Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width t Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. DIMENSIONS `"' SETBACK SYSTEM TO / BLDG WELL LAKE /STREAM LEACHING ufacturer: INFORMATION Type Of S st : t L I0 CHA uB R Model Num DIST UTION SYSTEM J„ H der /Mani old Distribution Hole Size ole Spacing Vent to Air Intake %e(s) ngth Dia Length Dia S acing S L COV x Pressure Systems Only x 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 n Yes J# No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I t / Inspection #2: �� Location: 2934 210th Street Emerald, WI 54012 (E 1/2 SW 1/4 15 T31 R1 5W) NA Lot Parcel No: 15.31.15. 1.) Alt BM Description = Vb $ NOr4l Wfv. C103. r� 2.) Bldg sewer length = ;k7 - amount of cover = -t (0 0 1 116AP-S yjryr r 3.) Contour = !.� , ti .0 03. • t t�.�k�DUV' • ,q ,. , {,� c7. 6 G 10 Plan revision Required? Yes lid No \ �e othe de for dditional information. — J J/ W v— V C' 1 Date Inse ctor's Signature Cart. No. S D -6710 R.3/97) j J t Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Gr0 N viscon , sin Madison, WI 53707 - 7162 Site Address Dep artment of Commerce t., 9-13 q 2I0 Avc Sanitary Permit Application Sanitary Permit Number ' 3 0 ( S In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary ses Privacy Law, s15. 1 (m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name ' Parcel Numbe / p? — b clef - 1033- yo Property Owner's Address Property Location 1144,0 .5aA. S / ST 1 N. R / -5 E City, State Zip Code Phon Id *W I Lot Number Block Number Subdivision Name CSM Number II. Type of Building (check all that apply) - _ ❑City )K4 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - Describe Use ownship ❑ state coj�p � (O ° nn Nearest Road / t K s -- + 1 Nlez (& u b tr ::-- 2. 2 u C ;/ III. Type of (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A For County use � 1 A New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to Sy stem Tank Only Existing System � B. ❑ Check if sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use).* !E 160 4413 Non - Pressurized In- Ground X Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treat ent Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./inch) Elevation Ll .t7 �03..}D `T VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing I Tanks Tanks S r Holding Tank ®O W �� ( t sing Q 1r E° /1 VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Pluunbe ' Name (Print) Plumber's 'nature MP/MPRS Number Business Phone Number Plutroes Address (Street, City, State, Zip Code) VEO Conn /De artment Use Onl Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu' Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse ? 2 ` Determination J IX. Conditions of ApprovaMeasons for Disapproval 6- �- LS � c�.�u�tCS J'QCtsr�w�RMD�c��S . Attach complete plans (to the County only) for the system on paper not less than 81/Z x 11 inches in size SBD -6398 (R. 05/01) PLOT P ' Tom Johnston A 1_ DD X725 Dayton Ave St. Paul Mn 55071 ' /4 SW ` 1/4S 15 /T 31 NI x 15 ;. ` W `TOWN Forest copNTY ST. CROIX 4 7/21/01 s„ 12S Byrom Bird Jr 220527 3 `' D T$. BEDROOM CONVENTIONAL IN -GRO PRESS . r NT�ONAU'LIFT HQ �.. ING'TANK ; )00(K , 1000 Ions T � �` MOUND SEPTIC TANK SIZE I AN$'S14$ OSE,;TANK SIZE 800 HOLDING TANB:, SIZE LOAD R ORP011[:AREA 450 ,E chambers none BENCHMARK V.R.P. Top of Comer Post ASSUME ELEVATION 100' ❑ BOREHOLE O WELL •H.R.P. Safe as B SYSTEM ELEVATION 103.7 Zdale = 1/4 = 10' To 210th Ave Owner gspoth 40 acre parcels 40 Line Pro 3. Bedrooms 300' louse_ .T.S. Alt. B.�II: >550' o P.L. amity % . E D Well IS to meet all pF �pMMERC setbacks found in "Y A Comm. 83 Weeks ST Tanks are to be ;. properly bedded and y provided with cSPO EN .0dkdowq covers with approved warning " labels Plans designed using mounts nd pressure i F manual 'version 2.0 Grading is to be done In B -1 manner that divertsj runoff away from NA system.:: � Area 15' Below .System Is to remain undisturbed B -3 7% ` Slope B -2 13 102' 10 101' ' Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 Visconsin www . wis c on .wisonsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary August 22, 2001 CUST ID No.220527 ATTN: POWTS Inspector ZONING OFFICE BYRON BIRD JR ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 CONDITIONAL APPROVAL Identifi PLAN APPROVAL EXPIRES: 08/22/2003 Transaction ID No o 6O hers 67211 SITE: Site ID No. 633991 TOM JOHNSTON Please refer to both identification numbers, 210TH AVE above, in all correspondence with the agency. TOWN OF FOREST ST CROIX COUNTY FOR: NEW MOUND, 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 805656 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes P. and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Co d chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: [ > ' e r [:7 � , E C,v 5' • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ,. ( N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of COMM 84. BYRON BIRD JR Page 2 8/22/01 • The revised soil test on which this approval is based shall be recorded with the original soil test. Correction of the boring numbers is required. • Maintain well and waterline set backs per COMM 83.43(8)(1). • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • Provide frost protection per COMM 83.43(8)(c). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 175.00 C!?j FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 — PATRICIA L SHANDORF POWTS PLAN REVIEWER, IN GRATED SERVICES WiSMART code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE. STATE. WI.US cc: TOM JOHNSTON POWTS OWNER'S MANUAL. aye MANAGEMENT PLAN P of FILE INFORMATION SYSTEM SPECIFICATIONS Owner ' ,Septlo; T#nk Capacity , ;, .,. Odd ❑ NA. Permit # : #1 tQa, ti., Se ❑ NA it >, luer> -Futer Manufac r�l �° ❑ NA DESIGN PARAMETERS r' �* * - Number of Bedrooc;u ,..s r„3 ;r ?► E- fluent ., .. ❑ NA Number of Commercial Units NA Pump Tank Capacity " gal ❑ NA Estimated flow (average) 3 GY Pump; Tank Manufacturer' " # lu 13 NA Design flow (peal), (Estimated x 1.5) +ICY Pump Manufacturer NA �' ,' �G�t �rZ� Soil Application Rate � ;E, � j • �gat/daYlftz Pump Model < �F' °: - ' � ❑ NA Influent/Effluent Quality M ay °' Pretreatment Unit« ` � " ��� C7`Sand/Gravel Filter °'�'-i�=Peat Filter'` "�`�� Fats, Oil at Grease (FOG) 530 mg/L, ❑ Mechanical Aeration 0 Wetland. Biochemical Oxygen Demand (BODs) .x220 m9/L ❑ Disinfection R Other: Total Suspended Solids' (TSS) &SO mg/� 'Manufacturer ��" "``'' �r Pretreated Effluent Quality ' "13 Mon Di spersal Cell(s) Biochemical Oxygen Demand t 0 mg„ t3 In ground (gravity) ' b In -ground (pressurized) Total Suspended Solids` (TSS) �30 0`At -grade r Mound Fecal Collform (geometrie mean) 510' cfu %1 bOml 13 Drip -tine > r 'uO Other. Maximum Effluent Particle Size 11 Inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. Values typkai for pretre44 .wastewater. . MAINTENANCE SCHEDULE v "' Service Event s -.Service Frequency. {.. ` aximum 3 yrs. ) Inspect condition of tank(s) . ,►t least o, every O months >Q" year(s) (M Pump out contents of tank(s) When combined sludge and scum equals one"xhicd�(16) of tank y9lypt; Inspect dispersal cell(s) At least once every 3 13 months' ear(s) ( Maxdmum 3 yrs. ) Clean effluent filter At least ;once every ❑ months Inspect pump, ptltt)p „controls 8t,alarm �1VI ast nc �+ery h' i ” [3 rift' rears} ' 13 NA* Flush laterals and pressure test At least once every 0 months, Ik ear(S). 13 NA , Other , Vin; At`least~b every ❑ months ' ,.D;year(s): Other: t least once every J ❑'tnonths'``���ear(s7' NA'' ` `M . MAINTEN pectioru d1sp= !wl ,, ;- d by dual rig'one of the folio s 1 b a aQ cart)(i Y►i►Ss ,eases or,cettications: Master Plumber, Master Plwnber;itesg3cte¢ Sewer; 0 Inspg 1N .)vlainta ner; Septage g �perato�r. faplc inspections must Include a visual inspection of the tank(s) to Identify any or broken hardware, identi any sacks or le,sneasure the . volume of combined sludge and scum and to check. for any backup or ponding of effluent on the ground surface. The dispersal effluent on cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding`of the ground surface;* The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notiflcation of the local regulatory au thority. When the combined accumulation of sludge and scum in any tank equals one -third (1i) or more of the tank volume, the entire contents of the tank shall be removed 6y a Septagee Servidn Operator and disposed of in accordance with ch. NR 1 Wisconsin Administrative Code. ., The servicing of effluent fllters mechanical or PQWTS components, preveatement components, and any other maintenance or mon rvals itorft at inter of't�2 kn onfs or l esishall be performed by a certified- P0�1117'$ aintalner'. A service report.shall be provided tithe local refit tory u hority within 10 days of co,�np(ettor'�of ny service even. START UP AND OPERATION 1 For new construction, p Fa usSof the POV�fTS�eck tre` tmegt tan14(3 �f.high co for the p�esenc�of treat p products orpther chemicals that may impede'the meht$rocess and�d�''tlamage the persai cell(s 'Ankentratio detted_bbe the contentets Pape of System start up shall not occur when soil condidiji are 1r at the infiltrative surface. During power outages pump tanks may fill abovolormat lei water levels. When power Is restored the excess wastewater will be discharged to the dispersal cell(s) Ig;Qne lame do% �a fng " e celf(s) and may result ln'the bacItup or sufterdischarge of effluent. To avoid'this situation have the contents of the upr , tank.xemoved by a.Septage SendcIK .operator ji&�10 restoring power to the effluent pump or contact a PlulmbeO r PO, aintalner to auist In manually operating the pump ;controls to ,. restore normal levels within the pump tank: Do not drive or park vehicles over tanks and disggiral t". t, drive park over or otherwise disturb or cturrpact, the area within 15 feet down slope of any mound or at grade so rpdon `am. Reduction or elimination of the following from _th4 w ` ' yearn may improve the performance and prolong the life of the POWTS: antibLotics; baby wipes; cigarette . tt icondott s• cotton swaps; degreasers; dental Bass; diapers n ts; fat; foundation drain (sump pump) water, fivit andgetable pgeltngs; gasoline; grease; herbicldes; meat soaps; medications; oil; painting products: pesticides; sanitary napkins: tampons ;, and water softener brine. MANDONEMENT i When the POWTS fails and/or Is permanently take out4of 'ervIce the fallowing steps shall be taken to insure that,the system is properly and safely abandoned in compliance with -ch. Cot x83.33, W,',hcQiuin Administrative Code: • All piping to tanks and pits shall be disconnected 4 d the abandoned_ pipe openings sealed. S • The contents of all tanks and pits shag „ ove , d propirl_dlsposed of by a Septa $e vidng Operator. • After pumping, all tanks and pits shall -be �ccavatd ansl removed oraeir covers removed and the.woid dace filled with, , soil, gravel or another Inert solid material: - CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system:. ❑ A suitable replacement area has been.evaluated and may be utilized for the location of a replacement splhabsorpdon system. ` The replacement area should be" proteeted°from disturbance and compaction , and should not beanhinged upon by required' setbacks from existing and 'proposed structure; *lot ill eS' 'wells. Failure to protectztlle rep lac�i ent area will result in the need for a new. soil and site.evaluatlo to establish.a suitable replacement area. Rgplaceme� ; systems must comply with the rules in effect at tot time. `limitations. Barring t 13 A suitable replacement area Is not availabfe due to,s and/or soil advances in POWTS technology a holding tank maybe Installed as a last resort to replace the failed POWTS. The site has not been evaluated to Identify a sultablq replacement area. Upon failure pf the , POWTS a soli and site evaluation 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 thetalled POWTS' Mound and at -grade soil absorption systems may bereconstructed in place following removal of the biomat at the inflitradve, surface. Reconstructions of such systemsmust comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP:AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSESIANDlOW IMUFFICIENT OXYGEN. DO NOT ENTER ASEPTIC, PtJMP OR,OTIER TREATMENT TANK UNDER ANWCIRCUMSTANCES. DEATH MAY RESULT. "RESCUE OF A PERSON FROM' THE INTERIOR OF A TANK'MAY1E'DiFF1CULT OR Off ADDITIONAL COMMENTS y ` ;7. POWTS INSTALLER ) POWTS MAINTAINER Name /f i, s �,. Name'.. Phone Phone,,., SEPTAGE SERVICING OPERATOR (PAMPER) LOCAL REGULATORY AUTHORITY: /s 0 Name / ��.. .J = .�= 1 , . '} 'Agency` �oX 3 n PLOT P °" PROJECT Tom Johnston ADD 1725 Davton Ave St. Paul Mn 55071 NE 1/4 SW 1/4S 15 /T 31 NI 15 W TOWN Forest COUNTY ST. CROIX �4�I�Y , 7/21/01 3 MPRS Byron Bird Jr. 220527 �"��' DATB s BEDR CONVENTIONAL+ IN -GROU PRESS NT 0NAL x LIFT HQ IN( ° 'TANS MOUND M95 SEPTIC TANK SIZE 1000 dons TANIi; SIZE ,.QS$JANK S4 800 HOLDING TAN�.SIZE ;; LOAD R�'E z QRPUON4REA 450 # ' «;cha�nabers n IL BENCHMARK V.R.P. Top of Comer Post ASSUME ELEVATION 100' ❑ BOREHOLE O WELL ,*H.R.P. Sa0e as "r rk SYSTEM ELEVATION 103 Scale = 1/4" = 10' To 210th Ave Owner R, both 40 acre {^' i 40 Line Pro 3 300' Bedroom .�' 3ti use Alt. B M.. T.S. s � m lY } ED W, ell Is to meet all t�f GMtdIERC setbacks found In Tanks are to be �� A ` Comm. 83 Weeks ST `- , properly bedded and provided with _>�'��� ��� lockdown covers with approved warning 7 91 / .N labels Plans designed using mounot" end pressure manuals version 2.0 Grading Is to be done in B-1 manner that diverts runoff away from syst 6 Area 15' Below System is to remain undisturbed 7 .. Slope 102' x 101' 10 0' . i Desir v✓"''t ' Na O� d �z t • Nan -Woven Filter Fabric 4" Obe rvaticn pipe Perforated neloa Filter Fabric Dj :lribulion pipe tl8'1'RC -33 Sond « Top 5611 M e r % $IQpe sod Of I1 [ Force Main Plowed Drain Racks Front Pump Le 2 ' Cross Secrron: A Mound Srstem UsM 6� A Bed For Absarption Area F SS :. ..7i.Q Ft.- 9, (o r�r A k,0 �,,, L ,� Ft. W ,f Obserlralion Pipe ' �". -�-. r.......� ..... -l.. .r..r. it ..,........ ra.... ............. � - -..-- all e, W �•» - - - -• __.,- _.__.___.« Fore Main iiQMMW.w. sir FrOh pump ributJon e d Of pep!" Drain Reek R ObSorvotion Pipe ' permonent Morker Pepe or Rods Prop Vrew`Of Mound Using A Bede "r Thar Absorption Area .:; PAGE . OF. Perlotatea t Eno Vier s;PVG K a Cka 0 pAX . 1 5 V 1 PVC F 4• Mei► y, ltRllT NOA.L T cannK�O+ �ei.iT41 �.► t)i {If 10Y�1011 / `.. :c. Not /iq: <. r4 r ^, ,. ��r Oisttib,rhon Plot ' LOYOVI Ft�qp A t ,. X Lac ht Signed: Nol n amlter ,:,finch I,icen Later ) s :.Number. nchtes �Ti Menu` " Inches_ ' Oates ,-. Fore 1" c ;nches TI :� T oft t A. r } invert 11 evAtion of �.aterals� t r r t S- 5 P 1 � 1► YC AI i CAP U. plor WfATNCRPK001' ' j , APPROVCD 6OGK MIts LS �RO•^� OOCR, .:tINC"ION Box ,f M4I�iMOLC Covtlt ;arHyQQW Olt I � - 1j "M'U. �a'. Ark 1WTAKi GKAOc ` co�;cutr fNLC'T PROVIrt 7 AIRTI;,►rt StAI. .� A (I a i ! ! A4 ARIA r I , *APPROVED I I pN c:cv�. wcT JOINTS WITH } 3 PPONT00 PIPE LMP N _..J O SOLID SOIL 1 r. � Corr KI:CIt 1CX1T OCKA171'CO OWLV IF TANK ANAUI ACTURC+t HAS SUCH APPROVAr;,,, Dolt i A C C 1 ZULU MAhjui ---- -- Nu�ecR ors pon s ._,,,,_ a,cR DAIS TANK s�zt ; Ff6 a GALL DOSC VOLUme .�1 nANUarAa~ r s s � WC�U21141 + IAtKEtOW: 1 O hOOCL NNM&CR: 6OL1olwl CAPAC.171rif A SWITCH Twits 4 9' �r IAICAES OR 6A��.GIU1 I w cc ti d : !i — INCI+ts OR .w .. a►Lhow= MODt1• Mumficlt: c — �. Q C ' S micilts Olt ist:.. ousa 3WITC14 •rVpc: 4`544 /e 40 B• IN 93 on OALLOA+f +N1MfaM aisCltAR4C RAT ; -3 9ML PU/KI AND ALARM ARI TO OC - �i vtRrlc •�... ►M � STAi�.�D OW S�PARATC CIRC4ITf A,, a at1'�+l>�t lu Pura of� AN Dlil'Rl :OAJ PiFC., � �+�..�.. FtCY t MrNIMuM NCTWOItK SuPFLlf 'RC ;tURt + 2. PttT 01+ IrORj:! � 1A1Ai X rLfT r 6�oel►ItKilrslou ... `�.... rttT s TOTAL OWAMI't MtAD > 157. FLCT IUTCRIJAL OfM AJt10A1i OF TAIJK: 1► �NGTh ..�, t / 1-1-11*' rWi l';H ., —' i 1.1gU10 DCPTM 1h:E C: A MUM B E R a Performance Data 40 30 PUm Characteristics r 20 MLw Uait Sar.ursibla M=W Modos SITY401fi1 SNEF40M2 Aatomatic Models SH940A1 1 SHEF40A2 10 4.10 Iva Load Amp 12 1 63 Motor T Shodod Polo 14 Pde1 0 10 20 30 40 s0 60 70 JIL 1550 p 10 y� 113 290 Total Head 0100) 10 14 17 21 2S 2S 30 3S Heft 60 T6 . .S 10 e 1120"t Max. Flow Temp. Q,pM (US OpM) 70 60 30 40 30 20 10 0 NEMA Dos A ( s tec) 4 •S • •S 1 ' i • J° this A �f hsd�tian . Sze 1I /r)1" 1 , Dimensional Data sow S ,4• 1. Att dimension in Inches. (M*k for w t 2e b:. 11 Ql ea�e�t,ees>7 hliernational use). Poway Card 18/3, SJTW, 20' std. (1277 { opt 2. ComMsd dimensions may • vary t 1/8 inch. Materials of Construction p � p 3. Not for colllkudion purpose fth nks St s- 7l9Y , v �;'• 11 1� NPT Unless Ce rtified. (' 42f� ... op of C40 roe ° rrrCM 4. Dimensions and weights an ha C ift t ' r � approximate. Slink °'t 5, :We •reserve' • tha..: right ao' make i -W 1ex4s: / , ''a, � :. evisiol i:io our pro ud:, 114 6ir ' 3waft s Seel 11odF:; tri1 S1s�t;: . ., n ow F " '... .� �•. . F; e; . :. {� F xT x �t�F1.. �;: " ✓..T�„ :I F : S Stotnkss< Steep + +' A .I� t t:•: A " s T. . 1f'l� i ,�;� if iQ f ��. ^�:♦ � C + v��J� r Y +J�:' +i . " T t ' Y:r' � 'M YY'. i. 4trF f<` M .t.. "' }`'. V / � ' J .J k 'i . ?tiX "�; °1 _k.� :Y..'i f +F iM . f �+ •.l.rM•. • •F i ors:•` , v \si.., d: �� ; J.;: ::' ,.rM^ A '�2'. b`'..a....:, k'VJ: tf'!'r:. «� `'.: ,h. L� ":'i., ;•} ^���`', to :.v iraelx�� .� y h,e <:.i�S� ; • k; li. s�• 6 :. i» �i% � .�'�:fj..4: ".i,'']•Y�� ' :y„r'�i '., ,y� . i, I I,�, �r,�''.t�u.,• :n�. t=Yi „rw'd, .A .. ++K;n' }' 's.e *`:✓.', . :f; a't�. y 1 �.5�� a�J'• ", ° �•,�,,�)�t5::r"�t+,"•y,:�: ".; �•,;,` y . .:i�r,a':.t�' .r'Y,'`,.t. • a e: ,�... .M' kc R +. � S ;A < k ? '�kb,' ?�. 'fS �s,'tr,::;:i9�•4;�.��;kw:i:t�',' r,n�•r„:rC,,',t s • �• �. yiiF. J 4 \�Mi ��q�": "�, ./ � S"St .�$i2'` "` �. � 'r `• 3 '�, y J :�af.�a' �� � a' d w ••xr F`' ,, ... ''.K .� •, .;,i. t± � }....� ' l+fy+'�'�' , a ®1998 ic- Pumps, to. R Raw ik V Fir HYDROMATIC • Y r Authorized local Dislrilwtor- A02c�- 0 6 - 0 - 7 ,. 1840 Boney Rood Ashwurd, Ohio 44805 Tek 419. 289.3042 Fox: 419 - 281.4981 Web Site. www.petdoirpump.com S ' ,'!'•::i::.: c "•' SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES Refer to'Purnps" in the yellow poyes of your phone dtredory for you► local Dhlr6utor ' A IMmw: W02-6680 1198 SM V I 1 I , . Maintenance and CoPtinge Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumpedjj nce "` '�_ry 3 years. 2. Dose Chamber is to be pump d at tfame time as the septic tank. 3. Effluent filter is to be cleaned o a year, Please note: a larger filter is being installed in order to extend the maintenance tery the falter. 4. Once every 3 years the mou , is to bg inspected via the inspections pipes in the at- , grade. The laterals are to be ins cted the cleanouts. r r 5. Owner agrees to limit greases; garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegitation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumer an ump out dose chamber and septic tank if IT needed, then bypass pump floata'nd try`pump with out float. If this works, float is bad, replace float. If pump still does not wo r heck power at the pump with a electrical device r 3 such as a hair dryer. If no power, heck r inside house and call a electrician. If there is power, then pump is bad and needs to'.pe replaced by a plumber. 2. If mound fails, determine cau of fai , test another area or remove pipe and sewer rock, refill soil, install new mound system, 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Byron Bird Jr. 715 - 268 -7616 Pumper: Jerry Kolve 715- 425 -188 St. Croix County Zoning 715 - 386 -4680 Byron Bird Jr. 7/21/01 - aif `©l Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Divis'on of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. —/ Please print all information. R iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 9/ Property Owner Property Location e 3 e- Govt. Lot � 114 5 j d/4 S/5 T N R lv E ( W Property Owner's Mailing Add r s Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road F'W' mew Construction Use:lff—Residential / Number of bedrooms Code derived design flow rate _ GPD ❑ Replacement ❑ Public or com errcii -al - D scribe: Parent material /�- �, // ��� Flood Plain elevation if applicable ft. General comments and recommendations: F I Boring # ❑Boring Pit Ground surface elev. Depth to limiting factor_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 OU o ,cs /� , 0 Ile 3 U Boring # F] Boring Pit Ground surface elev. /vim e ft. Depth to limiting factor _ �. in. � Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh *Eff#1 I *Eff#2 �9 ~ o i s I�Zz _� —�. ✓P ' /�J �,i •3 - * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Na (Please Print) r Si ure CST Number �, Addre Date Evaluation Conducted Telephone Number yvl� All SBD -8330 (R07 /00) Project Name R andy Graese Byron ird Jr. Address 2828 210th ave. Eme Wi. 54012 CST #220527 Lot - ---- Subdivision -------- Date 5/23/0 j NE 1/4 SW 1/4S 1 5 T 31 N /R W Township Forest ❑ Boring Q Well PL Property Line County ST. CRO IX ,BM or VRP Assume Elevation 100 ft topofcornerpost #AltBM topofadjaicent post100.6 System Elevation 1 H.R.P. same as BM 40 line >300' to PL Property Owner L` Av ` � �'S r Parcel ID # Page of Boring # I ❑� Boring 51 ,r ,�4 Pit Ground surface elev. O ©. W ft. Depth to limiting factor /,-> in. �^ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. > *Eff#1 'Eff#2 F-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 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. 08/22/01 WED 08:34 FAX 715 386 4687 REGISTER OF DEEDS 0 002 VOL 1691 PAGE a 7 STATE a" OF WisCaN FORM 2.2000 W D D REGISTER OF DEEDS RandAA S. Greece, a AM1te person, for v dluah(e ST. CRO I x CO. , WI C. Joamtar end Anne L AIA000 consideration, wriveys and warrants to Thoatee desri,bed real estate in SL Clow CO ty. p UQMd And wife ae Jolyd tmgm the fdh*q RECEIVE) FOR RECORD tote of msc in: festllteftta5 47°0t -2041 9x30 i61 oWUNIA t IN of S.0.1S, TowAAAtp 31 Nmfh, RAnpe 15 West YARAMY DEED 40 EXEg. r 1 WWVERULTUE CERT COPT FEE. METRO PRODUMON COPY FEET RECORDING FEE: 31A.00 7117 WASHtNQTMAVE RECORDING FEE: 10.00 - 7 111CA MN 554,jp P96ES: 3 NameandRe Addnss Edina 1717 16 st m N +td. Maeaenetn 51017 i 6 3. IL1012. Parcel amifferka Nrenber (PCN) TI* IS N0T homestead ---- r Y. rxmpWs to warrant+es: Subject to mum4al and DDntng ordinances and recorded eammmis and nstricllcns of +eaDrd y an Dated this 2nd dAY Of July, 200 1. �li;l s. � ACKAOYIRDigmmErir SCpttebtre(s) STATE OF MINNESOTA ) aWhendcated this dey al )Ss. -- -- .County ) Per limns before me u„s 20d day of July, 2001 me above named RatdaR S. Grosse, a single pereon W me known b be the I> who exemed the bregoutg insftbtreenf ►rod krwwredgo fhe TIRE: MEMBER STATE MR OF WISCONSW (Nnot. . aumwlzed oy § 706.06. YWs. Slats,) N Pu Yc. State o1 minnesola THIS INSTRUMENT WAS DRAFTEC) [!Y My C Fien is (leanplAn(. (t(no( sidCB G Yon date Stun D. Byreas - Pyr+Ke Leer t>W 5 ► 1a1V 3— 1 314 Kell. Avenue ►". A_q. 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