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HomeMy WebLinkAbout014-1050-30-000~~ ~ ~~~;~ ~~ O c~/l O N ~ y O j I ~' I cn Z D I ~ D w I o. W o- Z j ~ I ~ ~ i ~ ~ N I I i ~ 3 ~ O o c ~~ ~ ~ m as ~ r:no ~ m vi c 3 E d o ~ 0 o No » m I ~~ ~S ~ j ~~ Dom. N I $ o m ~ 'O d N 7 N ~mo-a '~ O ~ tD Vl n ~ N .. < ~ CD O flt O j ~ ~ 7 O I j j w gmu+~ n 3 ~ -I 3 ~ o' j fDmv;~w c .~ O - I o w~ m o ~ ~ y N /D -t p N y O N ~ N I ~ ~ m a 0 o v 3 7 O -p (D O ~ ~ O ~ 7 ga-w fD ~ O Q m c 3 ~ N ~ 7. f~D C N (~. Ul I o.av ~ o' I -o' ~ o ~ 1 o5~i°: 7 O fD O 7 j ~ O ~- C)toO 3d c d 3 ~ A ~ ~. ~ ~ ~ H. ~ d ~ ~ ~ 3 ! ~ ~ ~ w A O A (n N ~ Ali ~ ~l N O O ~ ~ ~ (~y ~ J ( W W ? F,y ( Z ~ I ~~ ~ ;' ° ~~~ ~ ° ~ W ., n ~ y O S o ~ e~- N N ? ~ ~ ° ~• ~i ~ p ~ Cy a ~+ a D ~ i °` ~ N ~ N ~ i ~ fD O ~ O p ! ~ O C n ~ ~ o N N ~ ~ o v ~ W N O1 ~j 3 m I i i ~ W ~ ' ~ a a c ~ i ' 3 f ~ m i -' -~ N C ~ A Z n m !, -~ ~ O: ? (D i ~ O •• A ~ j <~ ~ ? < ~ j ` A Z ' G .Z) O •'•' ~ Z 3 ! m ~ VI (D ~, W N f~9 ~ I m c ~ a ,y 1 I I A H v ~ o A A ti I i. I ,b ~ p C:.i I ~ A a I ti Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTI~~ REPORT GENERAL INFORMATION (ATTACH E. v PER~VIIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Steen, John Forest Townshi CST SM Elev: Insp. BM Elev: BM Descri lion: ~~ ~ Sao ~a --~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ / / -t~ O Dosing ~~ Aeration -- -- Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ f I /D / trytS Dosing ~, y y Aeration ~l ~ -- _---- Holding PUMI~/SIPHON INFORMATION Manufact ~,( Demand lr {~Q/Y,~'ll i~ GPM Model Number .. ~ ZS.a TDH Li Friction Los Sysserti'fl~ad -~ TDH Ft ~ ~-` ~•~ ~3 ~IZ Forceniaui Length ~ Dia. r, Dist. to ~ aT , ~ ~' SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 453241 0 State Plan ID ~~ Z Parcel Tax No: 014-1050-30-000 Section/Town/Range/Map No: 24.31.15.371 t_t~f''L STATION BS 4 I 0 3. FS ELEV. o o ~-a Benchmark ~ ~ ,~ ~03~~~ ~6p, ~' Alt Mr - t!:!J /,/~Z l2 / • . ~ / 12~ ` 1D Bldg. Sewer ~ /o sc.r~ a 2 3• ~ SUHt Inlet .~~ z3,~5 SUHt Outlet r h 1~ ~ Iq 24 -~~ ~~g c~ Dt Inlet .~` Dt Bottom~l^~ ~ / ~ _ g.Y Zb,7~ Dist. Pipe by v / ~~ c/ b, Z ~ %/.~~ Bot. System ~~~ -}~ 3.3 ~d d ~ ~~f Final Grade -} ~~ ~'~ ..:Q I I ~d ~~Z "~ St Cover ~),.'s 5 C, ~ 1 ~ ~ ry • b 3 ~DT N~ 3~ ~~-a ~- ~'`~ 02.3 BEDITRENCH NS Width / Length ~ ~ No. Of Tre chr) es ~ ~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIO . ~ / t~ / I p SETBACK SYSTEM TO P/L BLDG WE LAKE/STREAM L CHIN Manufacturer: INFORMATION CHA E OR Type Of Sys ~ f (QU JZ.3 / /~ f" I I ~ ~ U Model Number. DISTRIBUTION SYSTEM ~ (v;,,n((~ I~^' I Lf/w,M-f C~ rti Header/Manifold S ff Distribution ~ ~~ ~ ~ ~ ~~ ~ x Hole Size 3 ~~ x Hole Spacing Ve to i ntak Length~Dia ~` Dia Spacing_ Length_, ~ SOIL COVER r Praccure Svstems Only Depth Over ~ _ ,(, Bed/Trench Center ~~" Depth Over Bed/Trench Edges xx Oepth of Topsoil xx SeededlSodded ~ ,,.~ ,,M-ulc/h`ed ~ I /~ c' ~ ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~ Inspection #2:~/L 5/~ Location: 3174 205th Ave. Glenwood City, WI 54013 (SW 1/4 NE 1/4 24 T31N R15W) 80 acres Lot Parcel No: 24.31.15.371 /~ ~ n ~ 1.) Alt BM Description = `S~ `~~~' / ' I OUti~ d ~a. ~~ 0 L ~~ ~ ~ ~ 3 ~V ~ ° 2.) Bldg sewer length = CU ~ ~J '- ,,/~ - amount of cover 5 ~ rp,~ ~~ .~j ~ v ~' fi~YJC (~}f~2~I~GT~ ~~b-U^~~' 1~- /a~a-d-~ueQ_ /l~i~~~ Jt~l-~ sl-~. ~~ - ~" Plan revision Required? [~ Yes ~+""., -j- ~ -- ~ ---~_._ ` /p Use other side for additional information. "' ~ f7 _~ --_ _ ~ ____~ Date /~ I~~cto/r~ S~ ign lure ~~ , , „_ yGL~~AVV Cert. No. SBD-6710 (R.3/97) /~ ~~7., - O_~, ~ ~_lEX%C ~C/Wf~ V~,G WQ ~"l.I /~LZ~ S~ Sri rs Yt ~- ,-eu_d ~ O xx Mound Or At-Grade Systems Only ""~ Safety and Buildings Division Coun ,~ ~, 201 W. Washington Ave., P.O. Box 7162 ~~ i ,SCO~~~~ Madison, WI 53707 - 7162•, Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 256-3 _, - -,U ~3 ~ , 7 "~' Sanitary Permit A lication '~ State Plan LD. Number pp In accord with Comm 83.21, Wis. Adm. Code, personal information you id ~ $ ~s ~fL/1AJ5. /~ maybe used for secondary purposes Privacy Law, s 15.04 1 (m) _ oject Address (if different than mailing address) al"' ~ I. Application Information -Please Print All Informatio E `'" t „ r-e. n t~.e. 3 17 ~ ,~ v S Property Owner's Name `-~'?,Q,~,J ` ~~ry,11 i p~ . y "" IVIQ~ 1. ~ 2Q0 Parcel # Lot # Block # Property Owner's Mailing Address ~ + . ,. ZONING OFFICE ~, -t-~, Property Location ~~ ~' ss-- ~~ ~ ~ ' City, State Zip Code Phone Number /., Y~1 /., Section (~~( ~ f `~ 'j t~ ~ trcle T ~ ~ N R~E II. Type of Building (chec that apply) ; or 2 Family Dwelling -Number of Bedrooms ~~ ~~ r ~ ^ Public/Commercial - Describe U e ~ ~ ~~ wA •. .[ H ^ State Owned -Describe Use ~ x 5~ M ~ ~ ~ ~0, $~ ^City ^Village~Township of (~ ~P - ~. _ III. Type of Permit; (Check only one box on line A. Complete line B if applicable) `;' New m Re lacement S stem p y ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. e of POWTS S s tem: Check all that a 1 ~~ ^ Non -Pressurized In-Ground Mound > 24 in. of ~ ound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leachin hamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information- ~d ~ % S ~ ~ Design Flow (gpd) ~- ~ o Design Soil Ap lication Rate ds 0 ~ C1 D spersal Area Required (sf) Dispersal Area Proposed (sfj ' System Elevation . - F ~3 Cc~R.l~.) t~~l~ ~ 111 ~ - zao ~ ~ VI. Tank Info Capacity i Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units w (~~ a ~~ oncrete Constructed Glass New Tanks Existing Tanks ~ `_' _ _ ITv Septic or Holding Tank .x C i.~ ~ t ~ 7Ci1' Aerobic reatment Unit 1. C Dosing Chamber f~ t VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb 's' gnatu ~ _.„ ..__ MP/MPRS Number ~ ' ~~ ~ ~ Business Phone Number ~ 1 ~ ~ ~ ~ ~ ~~5~~ 1- 1~5> ~3~ ~~3~- C- Plumber's Address (S et, City, State, Zip Co e) yy~~ t,.-~+/ ~ VIII. un /De artment Use Onl Approved ^ Disapproved Sanitary Pernlit Fee (in dudes Groundw~r Surcharge Fee) ~~~, Da~j Issue 5 ~ ~ gent S' r Stamps) ~ ~~ ~ZZ (-!~"/Y~ . - ^ Owner Given Reason for Denial /a j < r - IX. l~tj~ps~ptroval/Reasons fo~r1~Disapproval ~ 3~~ 4~ 1 ' ~ ` i ep 1 n c, e rent filter and (~iS 1 k. ~ • ~3,~ O+ti- 3 dispersal cell must all be serviced /maintained .,~~-.\~ ~~ ~,. ~ Iq as per management plan provided by plumber.. 2. All setback requirements must be maintained , ~ ~-U(, $ r as per appli ab a code/ordi ances , ~`i_ ~1.~w~d oca~d ti 2~i Nn- M ~~i~u./ ~ ~ ~~ o . ,,. [[~O/, y~ ~~ u~~~n~y [ r [_ ne system on paper not[ Bess th 71 inches in size (--eS~ ~ Q llLt2 I/ VU„l ~ 17~,/,~v~Kisyt,SV.,~ h4~.+~f' 1 ~ S ~ ' ~~- BD- 36 98 (R. 01!03) v12QU,r.d.._ ~ 1 Zo ~su.~~eo~y ~ _ ~ q,~~~x, 368~~-~,~.~-Lt o~ ~I~~ f~l.e~~/~ivn -w a~ ~ll ~ G~~rn~n-mod end h~-walz to ~o'n { 1 ~ v S:Q-s y~ rrr ns t~~ >~ nsU nc~ r o r -~o t~uhd -f~ ~z tnti -~~ r~ ~ ©~r. a^ l-c~ ~, e.~.•. e ~ ~1- •~ _ ~ ~ c ~- ~~ ~ a ... ~ va - hLL - Z4- - 3 t ~ 1 ~ w 3 ~ ~-4 705 ~''' ~.,., wre,~4 ~' . ` , ~a ~... ~. ~~s r~4, ~ m~~-~vso-3o-oov ~y~ ` 4 t.+. ~,t 4 w ~ ~.~. S: ~ '' C~ z~. b~ ~M~ ~.,, ~ ~ • < J 1 1 \\ ~ ~ S ~ ~ C.s ~~ L2i~~Q 5;~~ "1~a~. 1., 0,1.,E-1 al. oC. ~ ~.lo``~ .,Q,,,~,tiL.~E~ Get ~ ~~ r~ (~ ~ , c 7 ~ Q11 ~r~1~M l9 V qtr i'~e 4te. 4.,K.< w~ w~ ~ • 1 ~ `^'~ S ~ A ~' 4.~ ~:l z<1 ~VL ~~ s (~ ~/e~rca IO' ~~~~f VM O...N S\ ~~ ~0 ~6L.~~lc p~ a~ .~~ ,~ ~ e ¢S '_ ~.S~p ~~ R ~~ts~ C 100 .oj ~' 13 a ---__ '~ ~\ 1 ~ ~•Z ~~ ~~Z.~~ --- _ ~ r j i ~.. __. } 3o~a~- _ ~~ ' D ~ ~ ~ `~ q}ex. S1r .+.tX i ~ r~t~jat ~~jj~ ~I S1 o xee ~-d~ \ ~J ~P 1~ b,~,t~ ~~ as. : ~ 5 s, v ~~ .~. crYw t; \ s~C. ~v, ~ ~ 0'O.O `-rV ~ ~`~ ~ --~ N o ~ 3 s e 1 b a. ~.(~ ~, ~(~~ ~.. S1',e,~- 6~Cc~~, Shrw~,. ~ ~-! t `: q~ l ~~ ~ ~ ~ O a oN.c c;~ 1'Q~ l ~i Y I Slt r ,~ 1""BSS g ~ a ~ „_, :.Q , 4 i C.,. q ~~ f-~c~SS. y~: r e 'r~ ~ 4M~ "~ rah ~ '~ ' ~,~~.. .: ~i~~ 7 ~~~ `t:'`+ ~r{.~. ~7r~y,1SW s ~'it ~} ~C~'' lµ i,i~~r.. { .`3 1~~+ y~ ~ '_ty(~Y > ~3 ~4~'' ~~ ~ ~ Y i c~~' ~ ~~ ~~~~~. ~ ~~ ,~ ~ i ~ ~ yet ~k~ ~ ~ r ~ ~' ~„, ~ ~ q "1 ~ ~ . . wr , r' a ~: ," i~` y 2 ~. ~ 1 .~. `, ~ ~:' ~~m _ ~;~' n ~ ~~~ ~ ~~Iou ~ ., . ,. ~ .,„ ,j fi^ r ~" a ,{ rs ~ z. <:~. ~.., .. ~ +~lsx:~ +Tr;,~ ~ ` l~~ s ~~. ~~ i _ ~ _ ,.~ '~ 3 ~'p' ~~~. ~ y ~(~~1 ~~ f i ~F~~ x' ~ `~ l ~" ~. ~ ~~ i ~ ~ ~ ~'~ ~ e Ltd t r ~;~ '~'`,. ~'" ;sr. t ~~i r >y ~ ~ __ 1. y' ~ x:~ '~j"< X ~ '~ . k w' ``"~'~`'~'~~` r ~ < .r ii, its,ap t ~~ yr _ .o ^~ ^ r- k ~ 1~ ~ k .Ay: f'„ ~~.~M .~ t5 .. .~. zk. ... ~ ~ ~ ~~~ >; fi;~ . » r. wry ~~:; i ~ i 't . ~ . '~ M r Z f. . ~ ~. ;~.:s ~ i s n " l .. f, I V ~ .f .. ro .yR1 _ .t ~ _. -viu e rl i i `~ ~ I I i r ~ r ::. i -~ / ~ Y'LY ll ~ ~Iil ~ A'1 ~ ~~ ~, ~.. J t ~~~i ~~R ,. ~~• r, _ r . Y1Vh, ~T'' : t ' . ,i~wt a. ~ , i t i , ew ~~ T, ~}" ~ ~s~~~ ~ ~~ ~ ~~ < s~ `~f yy4 N o ~ .f!'@Fi. ... as .. ~ ~ ~ ~'K •~ r R ~ ~x ~ ;~~ ~.., t r % ~ , ~ '~~. '~ , ~ : qy ~rt 3~5~ 3"?~ ~~ , , ~ ~ ;' ~ mJ ~; f ~ i .. ~. ~; ~~~i 2915 N O r~ N N N N 2943 • 2944 N _---- ~ ~~S ~56Z ~\ 2971 7 a V I 1 J ~ (p ~ r N O ~ V ~ CD N O A N W 307th St. 2915 2918 N e~+ zs53 ? 2969 w N 1 3006 ~ ' O W 3029 Bam Ony 3032 N C St _~_ ~ ~ 310th St. 311o N O o ~ ? ~ °° c 3127 (Nj1 3144 ~ 3146 3151 O- v 3159 3174 c ~ • 3188 '~ ~ .~ nl IA IAI /'•/11 IAIT/ /~~ N_ I C37 I ~ I W ~i -a--L-. commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce. state. wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 13, 2004 CUST ID No.222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/13/2006 SITE: John & Laverne Steen 3174 205TH Ave Town of Forest ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 996852 Site ID No. 683232 Please refer to both identification numbers, above, in all corres ondence with the a enc . St Croix County SW1/4, NE1/4, 524, T31N, R15W FOR: Description: Three Bedroom Mound (Sipho )System Object Type: POWTS Component Manual Regulated Object ID No.: 957191 Maintenance required; 450 GPD Flow rate; 30 in Soil. minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, C01tl~1 stats. ~p~~ The following conditions shall be met during construction or installation and prior to occupancy or use: I)E RTMENT N OF General Approval Requirements: SEE CORRE • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) ~' `° " `1-'- and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • The siphon functions without any moving parts, but does require monitoring. The siphon may begin to "trickle" for no apparent reason. If this problem is not corrected the holes and laterals may foul or reverts to gravity discharge. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c t; .~ Owner: `,J c'S ~1~ °~ ~~~'` fl ~ ~~~ ~-~'1 Project Name and System Type: ~~~ ~. ~j-y ~-~ 1(V~.cS Location: - - - - -- Street Address Le al Descripti n ~vre ~ 5-f-. C~~ i ~ ~° u•ri TownshiplCounty Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet ~~ ~ ~~ Contents: Page 1: Page 2: ,~ Page 3: _ Page 4: Page 5: Page 6: ~ Q.~ r a~yi-~~ Page 7: ~; ~j,N~ Page 8: a -~ ~ f(L- ~~~~. Page 9: C~~ ~- O~-~P~~.~ ~ I~GVM~ Attachments: Plumber/Designer: .Credential Number:. o'Z~~ D ~ ~-~' Date: ~(1, _ 1 ~ ~" John & Laverne Steen -Mound AFC s ~ ~~~ 9FF qY o . Fa ~~ ~~U~ Construction Materials and Techniques ~ ~ C~~~ All materials must comply with Comm 84 and be installed in accordance with manufacturer s ~,~ specifications. Construction methods must comply with the following Component Manuals: ' Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (01 /01) Location: SW '/a, NE '/a, Sec. 24, T 31 N, R 15 W Town: Forest County: St. Croix Date: Apri121, 2004 Owner: John & Laverne Steen Address: 3174 205th Ave. ~~~~ ~ ~ ~ ~ 1 ~ ~~i~ Glenwood City, WI 54013~~~~ ~ r1 S ~N ~i~~ G•~' F ~ •.; ~C Designer: He y Grot ~ ~y ~~~PO 9 ~' Signature: ~~ .j•1~`'' •'Q ~i~~ • DES`G~~. License: WI D-1699-007 ~i~~~~ ~ ~ ~,`~~~ Attachments: SBD-10577 -Plan Approval Application SBD-8330 -Soil Evaluation Report Page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: siphon tank exit detail 7: siphon specifications 8: system management page 1 of 8 ~n~lly ~~ COMMERCE Z D DING PONDEN 05/13/2004 06:09 FAA 715 233 0398 - r~, Certified Soil Testing -~ LaA Commerce Design Criteria YL~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < T$S < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ >3edrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load ~ 002 Design Calculations ~~ )r'm~~ ~'° In situ designed loading rate O ` ~~ / gallonsJsq. ft. per day t y,s Pd~~vZ~y+-Q~' Depth to estimated high ground water ~~ ~ ~ in. ~n S~~ ~,~ p,~~ ~ ~ da.-t,~J Depth to bedrock ~~ in. Cross slope at system ~ ~` •S % ~ ~- Y Fares main length ~ ~ ° ft. of Z- in. Manifold/header length ~ ft. of ~ E ~~ ~ in. Drain-back ~'~ gallons Lateral length 2 @ ~ 4 • ~ ft. of ~ ` r x in. Lateral elevation ~ ~ ° t ~ ° ft. @ bottom of lateral Lateral hole size ~~~~ in. ~a ~ ~• o in. ( ~ • a ft.) Spacing ~ 4 hales/lateral ~ ~ holes total Lateral volume `~ ~~ ~ b gallons Total lateral discharge rate z 5 ~ ° ~ gallons/minute @ ~~ ~ ft. head Network pressure compensation losses `a'~'S~ ft. Elevation difference ~ ~• ~ ~ ~ --~ ~~~~"ST ft. Friction loss ~'~ ~ l ft. @ Z ~ gallons/minute I Total dynamic h a 1 ~ -~2 ~ ~' •~`~ ft. P~~p/siphon o gpm @ ~ ft. of head rx.., off, ~x s `~'~ • Manufac er ~_ 1~~• ~ ~~ ~~ ~-~ ~ Model # ~ `~ ~ Dose volume ~ ~ •3 Z gallons L'~tJsiphon tank ~ ; •~~ 1 a~ ~ ~ ~ ~ w~ ) ~`° gallons 1 `, Septic tank ,~ gallons Effluent filter ~' w~, C~ - R ~ Measurement pump on and off ~'~ in. Height alarm from tank bottom ~ ~ in. Reserve capacity ~~ `n gallons Sj7CCS.CBICS.fCS 05/13/2004 06:12 FA% 715 233 0398 Certified Soil Testing ~ La% Commerce 01.1002 Addendum, John & Lave~~e Steen Mound, Transaction # 99b852 Dose modification detail: Wieser 600 gallon compartment is 16.76 gallons/inch (p. 6) Fluid Dynamics Model # 207 has a working drawdown of 7.0", dimension B The worki.n.g drawdown is between 11.8" at low water line and l $.$" at high water line Low water line = dimensions F + B + H = 6.4 + 3.4 + 2 ~ 11.8" With no concrete displacement block the dose would be 7.0 x 16.76 = 117.3 gallons Displacement required is a minimum to bring the dose below 90 gallons ] l ?.3 -90 = or 27.3 gallons =minimum displacement 27.3 gallons = 27.3 x 231, cu in = 6306.3 cu in = 63063/(12 x 12 x 12) ~ 3.65 cu ft ~~, oL'LTSe a dis la~.eement of 3.7 cu ft located above the 11.8" low water line 3.7cuft=0.5'x2.72' x2.72' Block dimensions suggested are 1.5' x 2.72' x 2.72' (18" x 32.6" x 32.6") ~ ~(ia9r N t result is to remove 6393.6 cu in from the volume above 11.8" low water line 6393.61231 = 27.7 gallons removed Therefore the working drawdown volume is reduced to (7 x 16.7) - 27.7 = 89.2 gallons The effective gal.loizs per inch above 11.8" i.s now 89.2/7 = 1 Z.7 gallons/in Manifold detail: 'T'his is a two lateral system, end fed, eaci~ lateral has 19 holes which will flow ~, am...i.n.imwm of 19 x 0.66 = 12.54 gallons/n,i.nutes cr 2.5' head which would require a manifold diameter of 1.5" to obtain a scouring velocity of at least 2 fl/see Working head here is 13.75' - 1.53' (friction loss) = 12.22' ~_ Hazen Williams equation gives flow at various head pressures Manifold flow =Lateral flow = 19 x 11.79 x (3/16)2 x (12.22)05 = 27.5 gallons/min At 27.5 gallons per min tho minimum scouring velocity of 2 ft/sec is met with a 2 inch manifold although a I.5" manifold is also compliant t ~ ~ o~ ~.. g. l--o~ ~, ems.,- e ~ ~ ~~. _. \ ~ o ~ 0~ ~ a .., 3 ~ ~-4- ~ o~ ~`` ~ mss, ~...e,~; i ~ ~•~. S: ~ ~1 Z~.6~ M (}re ~ ~ ~', ~I.AV:'y 1 I .p: ` z~' ~ U L 1M 0..N S \ J CQ V^`! i4;~ ~'l l 0. ~ ,~ 1s~ zs°~, ~ a-1 ~ ~~is~~ C 1 on .nj N Svc-~yL -z4--3t~i5 w ~---, 1 ra ~- a •, ~s r e,a `t ~Ly-~loso-3c~-out CJ `~ 30 ~/S;''~ ""~~-2~_t. ~ ~ 0,1.,~/~1a~~'L'fa~ i c/]/S~/JO r,~ ~ ~-~ ~~ .nom,. S~. w ~.. ~.1~ C; l ~ ~ ~' ~ ~ ~ `~ c~ S~ .aW S *.~~ot ~'^~ C? O 1' < 1 J ~~ ~oH-e ~.a vti o e. ~ : ~ ~ •t v uwll~ Sri. ci1µ 4< \ ~V , ( ~} cae~ ziz~~4 __~__ _______,_ ` ~ ~ S , L ~ +~ ~3 . Z ~ ~•(. a ~~ a ~ ~~ iz.~~d b \ \l\A ~' V~ ~ u c. ~ c c~r~ "/ ~. ~ u 1~ p~ u \ ~ . ~ ~.,. ~, "~ Z6.~~'" mac,. Se.~ ~~. Shewy,, ny a -~.; ~ rd ~. ~ ._ .. ~F, i ~, ,. ~ r 1 V S s~~.~, c~o4S s~~.~:o~, .~ #, .aa( a.v , (l~ 1, o ~~. ~~ ~~ „ .. 0. Mt ~~t `~'~ ~\ow " ~ , ~ ~ ~~' "" Q-~a.u ~d ~~x ~~ , E'li' e.w~,a~..~a~t_~ tD'~'q~ r~ ~ s ' ~~~ s' ~~~~ ZG ~~` I ~- ~ 05/1/2004 06:10 FAX 715 23~ 0098 Certified Soil Testing ~ LaX Commerce P1~.~ ~;~~.. . I~ ~ -~( I~-~` @I oos 4.s` --~- 1~° 38~ti' ~~, ~ ., 1~~~ ~~ .~ i k~ s~ .. ~ zQ„~. s~4 ~ r..:~.lS~ ~ ~ \;~owh1 \ ` \ I; ~_ ~ ~ Q~ 1~ V ~ ~ U ~, ... 9/ ~ ~ ,l 1~.~~.. Z Wsc.`c. ~es..1+ ~~ ~ ., _ r l ~;. Puc s~+ 40 1 ~ c~ ' o`Sr +.....\ S - __ _ - 111 4-~ o' ~. r.~...~.1e 1. -. ~~.wQ a~ e.a.~ ~-e G w,~- ~-..A.a ` J ~1 b 1 V ~.r• ~ g h e\ e.1 ~ ~ ~ ~ ta~ ~1 d~lr~ ~.Z..S ~' o ~ ~$ 05/13/2004 06:10 F9Y 715 233 0398 Certified Soil Testing -~ Lafi Commerce ~, _ ~ SIPHON CHAM9ER CROSS SECTION AND •SPECIFICATIONS APPROVED LOCKING MANHOLE COVER 4" C.I. VENT PIPE WITH APPROVED CAP 1'~" 25' MIN. FROM 004R. -'f"'^' f~ ~} \ 2~ I WINpOW OR FRE5H AIR 4`~ `.S^-*~.a. INTAKE ~' SQ+bo~et 1 ~J~M L /V~ ~7 :~ ~" ~ 3 b" :; v (tank bottom elevation)' ~' '-.. µ ~a+~ ~ ~~ Z~ ~~ ,~ ~- ;~, X004 „ 0'4~ ~ `` ~ : •~- APPROVED JOINTS ~~ a~ ~,,rfll~ lt~',~s' INVERT ElEVA7I0r~ co,... s,. ~ .,., a.M,. SPECIFICATIONS ~ ~,,,, r e.~JZ.,. ~ d-~vo - ~ ~ ~ ~-~'° ~°"`l` TANK MANUFAGYURER: ~ ~`-'`~ ;."~~'~' G TANK 5 I ZE (GALLONS) : ~ _ ' ~ 1~ `r`'~``' ` ~' `''~`~ 2'' SYPHON SIZE (DI5CHARGE OIA,): DOSE VOLUME (GALLONS) : ~' ~ ~~ 2 FORCE MAIN QIAMETER (INCHES): a ~' FORCE MAIN LENGTH (FEET: - ~~ ~ ~~`~ __.~ - 13~ ELEVATION DIFFERENCE FROM SIPHON INVERT TO DISTRIBtlTIO"! PIPES (FEET); 1,~ 3~ ~ y FRICTION LOSS IN FORCE MAIN (QF,E..ET~y: ~~~ SIPHON MANLTPACTUk'ER /MODEL '~ "'~ ~ ~~` ~`' ~ a ~ ~ ""`~ `~ ~!"` `~' °$ O ~ ~U Yom. ~. ~ r~ '! 1~ C''~v` Gv ~ {a Yjl J C-~t M-~w; ~ `~f~ ~i ~ D~.~t-tom. ~ L ~,. ~ ~ p c)C1 RJ_ ` p ~-t7' ~ GLG~V 1~ U C ~.., , ` PAGE ~ of ~ ~ ~; ~ ~ x32,6 .~ F'~ 3~ V r ~ - fzN 00 W = N ~ .~~~ J nW.~~-a a~Z~ w~~° ~oa~ =aa~ U W~ w Qs Y~ U o~am? ~• ~ • • °. ~ a ~. •I • O ~' ~. N - W r lL ~ • t ~ . ° °~ • ~ ~ • • 3dld MO~~a3~0 . ~ ~~ ~ 1 a ~~ v ~ • •t • . ~ A ~ ~ °. ~' . v ~ . .~' • T J ~-• wn~ 'a ° U ° • •• dvai a i •.- r. . V ' r ~ r ~ •y '~ .. ~ V• W • C a a = ~ ;, • j (j • R•.. •• m • w W W ~ Z Z J~ ~~ 0 ~ N ~ M ~ ~ D c%) ° Ov ~ N ~ ~ ~ ~ ~ ~' ~ ~ ~ = 0 0 o~~ N N N ~ p O O ~ Q `7 v M ~ p ~~ N ~ N ~ N~ n r tN^. :v r o _; cp o 0 ~ 'P N ~ N ~ ^ ~ ~ c:J ~ ~_ v o ~ v - o O cn ~''''ro'r~'_~'c- N` ~ ~ Q^ c a r r J J {~~ ~~J a ~ ~ Q a op Y 3 ~ V ~ Q m U O w w U x- 2 ~ :^, O ~' T LL ~ p ~ p U > Oi 8 o y ~ F. N y ~' - :C L E ~ Q u >~ u y s N N ~ N.~? y POm NOC o~~ m~ ya o o rnE i`qy L~ o~L ° `°E L d ~ ~ G a 5 ~ o~ $ m y o co > :. Y Z r ~ System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1 132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump or siphon tank or compartment to allow a dose to be accumulated, a pump with controls or a siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. ] 0. If septic or siphon tanks are no longer used, they must be properly abandoned. 1 1. [f construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and .heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the siphon tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. Periodically, the siphon should be checked to ensure normal operation; if the siphon should be come air-locked, the mound system will receive a trickling dose rather than the specified slug dose; a licensed plumber should then be called to restore the siphon to normal cycle operation. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, siphon or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ST CROT~i COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM OwnerBuyer y ~ ~ r^ ~" ~0. U~2.Jr In +~. ~~i~~ i~1 Mailing Address '~ 1 ~{ ~' ~~S ~ ~ ~~~~ Property Address ~ ~ ~ ~ o7Usfi1` ~tlY.~,u~- C,Q-~, ~ {-eS.s ~~ City/State l~~~r~J~o~C G~`~ / w ( Parcel Identification Number OI'~ - IoS~ - 30 - c~~•3~~ LEGAL DESCRIPTION Property Location~~ '/,, 1~.. '/., Sec. ~, T ~ ~ N-R~S~, Town of ~at"eS`~ ~}~, ~- Subdivision ~`'' • ~ ~~ .Lot # ~- Certified Survey Map # '~- , Volume '- ,Page # Warranty Deed # ~ y'~ ~~7~ ,Volume ~~ 3 ,Page # a Spec house ^ yes ~no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the scptic 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 mastprplumber, journeyman plumber, restricted plumber or a licensedpumperverifying that (1) the on-site wastewaterdisposalsystern 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. I/wc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards sct 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 bcon maintained must be completed and returned to the St. Croix County Zoning Office with 130 days of the three year expiration date. /,tom ~ ~' ~.~ ,~~, ~ ~ IGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are tnze to the best of my (our) knowledge. e(we) a~ (are) the owner(s) of the pro described above, b virtue of a warranty deed recorde in Register of Deeds Office. GNATURE OF APPLI ANT 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 referenec is made in the warranty deed POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Owner ~d .~ l..a.t3Cr ~e S ~~ r Permit # DESIGNPARAMETERS Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* ~p gaUday Design flow (peak), estimated x 1.5* b gal/day Soil Application Rate aUday Influent/Bffluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) ~ 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) 5 220 mg/L < 250 mg/L Pretreated Effluent Quality ^ Monthly Average* Biochemical Oxygen Demaud (BODs) < 30 mg/L Total Suspended Solids (TSS) Fecal Coliform (geometric meant S 30 mg/L <10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter *Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. * * * Values typical .for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity ~ ~ p U gal ^ NA Septic Tank Manufacturer `~ ~ 5~' ^ NA Effluent Filter Manufacturer i ^ NA Effluent Filter Model - pp ^ NA Pump Tank Capacity ~ gal ^ NA Pump Tank Manufacturer 1' ~ ^ NA Pump Manufacturer 1;P h~ ^ NA Pump Model . ~ ,ti,a,,,,;t NA Pretreatment Unit o ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-grade `~~vlound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate_gpd/ft2 Area Req. Absorption Area Credit per unit $2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comgly with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-=P (N.O1/01) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" p SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ -SBD -10572 P (8.6199) "Mound Component Manual" SBD -10691 P (NA1/Ol) "Mound Component Manual" Version 2.0 ~~jj SBD - 10595-P (86/99) "Single Pass Saud Filter Component Manual" ^ SBD - 10657-P (8.6199) "Drip-line Effluent Disposal Component Manual" ^ SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^-Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCMEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months ^ year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume .Inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) inspect pump, pump controls & alarm At least once every ^ months year(s) ^ NA Flush Iaterals and pressure test At least once every 3 ^ months ear(s) ^ NA Valves At least once every ^ months ^ year(s) NA Other: At least once every ^ months ^ year(s) NA Page of START UP 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. OPERATION The groperty owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Othernon-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. ' Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. `Lq Valves Valves shall be operated in the following manner: L7 Alarms Alarms. should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are. corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardwaze, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (i13) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more / frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component ,/ ` The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ^ In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any dischazge ~o the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMNI 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 other 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: p A suitable replacement azea has been evaluated and maybe utilized for the location of a replacement soil absorption system. The replacement azea should be protected from disturbance and compaction and should not be infringed upon by required 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 from existing and proposed structure, lot lines and wells. Failure to protect the replacement azea will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. A suitable replacement area is not available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. p The site has not. been evaluated to identify a suitable replacement azea. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe 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 surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSE5 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 AR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS TALLER POWTS MAINTAINER Name ~ ~,~ s _ - Name Phone ~ j S` ~ .2 ~ S ~~ ~ Z Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency S7- _., C1 / D ~ Phone Phone / S~ - ~ ~ - K:iWPDATAIEIRI'OWTS OWNER'S MANUAL.doc Page of DOCUMENT NO. 3~~ ~'~~ VOL ~~~ °~"P~~~ j! WAAR.A.NTY DEED j STATE OF WISCONSIN-FORM 9 Ii ;' THIB SPACE RESERVED FOR RECORDING DATA THIS INDENTURE, Made by___...Wi 11 i am J : - Swaney o e 1 an d_ _ _ .-.-__-. Avis.__E~- Swanepoel , husband _ and -wife grantor_._.S of...__.__..._St :_--Croix ...............•---•-----......--------•---Co~}n~y, Wisconsin, hereb conveys and warrants t _.... JO.hri W . Steen an Ct Lavern e _____________ _ Steen,_ _husbanc~ and wide, as ~ oint tenants --___. ,Ramsey _ ___ ____ _ _ _ _ - C untM~ ~ r th su f One dollar, (~1. 00} --and-- ot~ie~' ~onc~-vaelua~`~ consideration the followin tract of land in______________________________.. g ~ t . ~r0 lx.---•----------•-------------•-----•--.-County, w,. .._ ~_ f~ec'd. fcjr ;Z~cord P~is_~_ gay of riay _ AD. 1978 cat 8:30 A , ttA: ---- Regisf s TURN TO 'i West half of Northeast quarter (WZ-NE 4), Section 24-31-15, St. ',~ Croix County, Wisconsin. i TR,~~~~~~ ~R jC-~~ ~ ~ ~i~ ~ 3 ~° FEE ~I, - s~~~ ~.~~~ .~ Ii j~ I ~~ I' I~ is i~ i~ i; ~ ~ ;;, 2~tWitness Whereof, th T~i~d grantor_S.. ha_Ve... hereunto set.......a1121T t _ _ • hand 5... and se _S_. this ...---•- day of-•-----_..P--------------- - - - .~i:~~S.~•!%ue~!~.`~~'~.../ti~l......-•----••--•-• -••--••------- -------(SEAL) SIGNED AND $EAr.ED IN PRESENCE OF Wi 11 i am J . Swane ~ e 1 ,i _ C ,. I I ~'~`~'~--~-- _-- -•-- '- • ---------••-•- --•--. 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Nm ~f u~ N Nrr~D~x a rn ~ q N ~ ~~ _/~/ // mF~\ -i IxO o uZ I I / ~ ~' m 1 I 47 L - - _ _ ~L-1~'L~HIGH / r 32 wR0 SNACK BAR uxn / mz ~~ GFI r (l ~ ° ~ ~ p• W ~ ;0 ~{ NI m ~ / ~~ IOW \ O •O i m 7/2 / Wo ^ \ n ^ ~ W W mA a±/ ~~li / INn \( x i ~ NN ~ I O ? O Nr N ~R~ p~( ~ \~ N W I O S - - ~ ~,I~ ly A ~'1n~ ~~Z~ ~1 ~~~~r~'o: ~ " '\~ ~ o ~ No f ~ W =\n a ~.-C ~ Nllrn~~ ~~ /~~~ ) ..~ N P! a Or W'-(TI N Z~ ~ y ~= 1'1' N m r I ~j Ni W x ~i S T C ~ I ao ~ W rn Oi l~a G 2 ~ `~ 1 l a ` W m o \ ~ O _ mm qI ~ m0 ^Z~ \ WOINi~ ZA o ' -, $~~ ~ ~ m ~ 1> ' BASEBOARD yN ~ F J fO~p ~ ~, i --RFfQRR-73•_3 7/2•• W y O ~~~ ,®~~ II W 30 ^T- ~ 8 4. I \~(In~} O~ ~m 36 6 ~ \N ` ~ N ~~~9j Y P N , ~~>~ I F 3876]2 i ~ ~ .L 8 - - - - - - o CFl ~ -11 1/2" RO 3'-B'x82' `DRYWALL MCH CDH3278-1 g - rn RO 7'-2 1/2'z3'-5" p 1 \ ~ ~y I - 84 1/4' HEWER MEICHiI- I W \ W • u, g P FL a '~ O (~"J I : m to Vl ~ cN+9'AO 1 2" I o ~~ o > ~A £~tC~n g~i I- =O;v \ ~ `~ ~ ~ n +- °° ~ 1 9 =R°m a 4.-6. 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A (~ f I II ~NL-JO 0'~ I ~ I I I I ~, I ~w a ' ................... ............9._3^~ ~! [ I I I UP ro I I 1 ~--------- 1 :...~ N ~ ....................................... -...... LI r J _ - _ _ _ - - - - I o N ~,L • I _ _Jm I I I "' o ~ I I I I 9._C,. 9._Q.. I I u I 'O o I I I I I ~`' ~ ~ ~,_o t~a,{~ I I I~ N , N ~ ~ I I I " £ J A i I I I i ~__________ O _ ___~ I I ------- --__J _---_ 2 -q 3~a" C] O On v~Am A ~ A W m CENTERLINE OF ...-....... ~- ........ x m n n _ T D t .c ~ _. 1 0 N 1'-5" I I N r~zss ~/ '~"~~ T Ja~'`~,~w ~~~~~~.t r~J~~~7sq~~ .~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in arrnrdancP with Cnmm A.ri1 Wic Adm. Code PAID 20, 9 Page 1 of 3 Certified Soil Testing County Attach com lete site Ian on p p paper not less than 8'/: x 11 inches in size. Plan must i d b li i d i St. Croix nclu ut not m te to: vert e, cal and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. parcel I.D. 014-1050-30-000 Please print all information. a ewed By Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ y y ~ ~I ~ Property Owner ~ ~" ~~ Fl~ ~: Property Location ~ ? ' "` Steen, John & Laverne ~ Govt. Lot SW 1/4 NE 1/4 S 24 T 31 N R 15 W Property Owner's Mailing Address ~ Lot # Block # Subd. Name or CSM# 3174 205th Ave. `( ~ ~ ZO04 ~ 1'O~'~ .Q City State Zip Code Phone Number City Village ~,~ Town Nearest Road Glenwood City WI : '5 IA v 265-7 14 Forest 205Th Ave. New Construction Use: /," Residential /Number of bedrooms 3 Code derived design flow rate 450 Replacement _ Public or comfnercial -Describe: Parent material loess Flood plain elevation, if applicable NA General comments and recommendations: install 8' x 57' rock cell mound on 100.0 contour as upslope edge of rock w/ 0.5' sand fill and gravity powered siphon system GPD Boring # - ~ Boring Pit Ground Surface elev. 96.2 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-6 19YR 2/1 - sil 2 f sbk mvfr cs 1 m .6 .8 2 6-13 7.5YR 4/3 - sil 2 m sbk mvfr cs 1m .6 .8 3 13-20 7.5YR 4/4 - sil 3 m sbk mvfr cs 1 m .6 .8 4 20-30 7.5YR 4/4 - sil 2 m sbk mvfr cs 1 m .6 .8 5 30-45 7.5YR 4/4 f2f 10YR 6/2 sil 0 m mvfr - - 0 0.2 horizon 3 occasionally parts to 2 m pl; occasional gy si coats on peds 13-30" ^ Boring # _~ Boring ~!; Pit Ground Surface elev. 103.2 ft. Depth to limiting factor min. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-11 19YR 2/1 - sil 2 f sbk mvfr gs 1m .6 .8 2 11-18 7.5YR 4/3 - sil 2 m sbk mvfr cs 1m .ti .8 3 18-31 7.5YR 4!4 - sil 3 m sbk mvfr cs 1f .6 .8 4 31-50 7.5YR 4/4 f2d 10YR 6/2 sil 0 m mvfr - - 0 0.2 I occasional gy si coats on peds 18-31"; rdox features become f2p 7.5YR 5/8, 5/3 below 35" Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effl ent = BOD < 30 mg/L and TSS < 30 mgL CST Name (Please Print) Signatu CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/12/2004 715-233-0398 Property Owner Steen, John & Laverne Parcel ID # 014-1050-30-000 Page 2 of 3 Boring # __ Boring _ _._ ~ . Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 3(~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell l]u. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 19YR 2/1 _ sil 2 f sbk mvfr cs 1 m .6 .8 2 7-15 7.5YR 4/3 - sil 2 m sbk mvfr gs 1 m .6 .8 3 15-25 7.5YR 4/4 - sil 2 m sbk mvfr gs 1 m .6 .8 4 25-36 7.5YR 4/4 - sil 3 m sbk mvfr- gs 1m .6 .8 5 36-42 7.5YR 4/4 f2f 10YR 6/2 sil 2 m sbk mvfr gs - .6 .8 6 42-50 7.5YR 4/4 f2p 7.5YR 5/8,5/3 sil 0 m mvfr - - 0 0.2 redox features become f2p 7.5YR 5/8,5/3 below 39" 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 i ~i i I I I i ^Boring # .-:~ Boring ,,,,,,J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 -- 4- '~ ~~ I ~i I I ~ I Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS < 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. SBD-8330 (R.0~/00) CErtifiEd 5011 T25tlng .- ~ o~ r. °^ t-c~ ~, eh.~. 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