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HomeMy WebLinkAbout016-1028-10-000Parcel #: 016-1028-10-000 04/27/2006 01:06 PM PAGE 1 OF 1 Alt. Parcel #: 13.30.15.2106 016 -TOWN OF GLENWOOD `Current n ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -LUEPKE, JAMES R JAMES R LUEPKE 1600 SANDY CREEK RD GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 1600 SANDY CREEK RD SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 4.530 Plat: N/A-NOT AVAILABLE SEC 13 T30N R15W 4.53A IN NW NW LOT 1 Block/Condo Bldg: ' CSM VOL 2/317 & E 11.29 OF NW NW LYING N OF SANDY CREEK Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 13-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations' Last Changed: 10/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.530 20,000 289,100 309,100 NO Totals for 2006: General Property 4.530 20,000 289,100 309,100 Woodland 0.000 0 0 Totals for 2005: General Property 4.530 20,000 289,100 309,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 129 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.o4 (1)(m)]. Permit Holder's Name: City Village Township Luepke, James Glenwood, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~ ~3 rv~ I Gs T TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic y ,,~,y S ~Ir2.S~~ ~ / ~r~ Dosing Cow o ~~ Aeration Holding TANK SETBACK INFORMATION So.~l~. . en o it n a e ep Ic ~s ~ 7~ 7Z' 7 Z i osm g +75 ~ 7 ~~i 7Z , 7 z era ion o Ing PUMP/SIPHON INFORMATION ~ ~ anu ac urer ~ ~ eman GPM bu o e um er ~^ T ~ ,r) V 2~,7~ `/ I 7 ~ nc ion os /, ~ ys em ea ~, s ~~}. $1 orcem m en ~ $d ia. 11 Z i 7 ~~ JVIL AtSJVKF' I IVIV JTJ 1 CIYI ELEVATION DATA county: St. Croix Sanitary Permit No: 488151 0 State Plan ID No Parcel Tax No: 016-1028-10-000 Section/Town/Range/Map No: 13.30.15.2106 STATION BS HI FS ELEV. Benchmark 70 ~co .7 ,/Gf~ t. BM ~'~ O v~-' 3,y3 q~ . z~ Bldg. Sewer ~. bud ~ G~ ~ 3~ ~~ t/ t In et la.~z ~ .~ t ut et 1.33 ~~ .37 ne ~ ~ 0 om ~ ~ ea er an. ,7•~ 93 , L~ Is . ipe '] .OCP q~ . (o o . ys em ma ra e (o.a(o ~l~• (~~~ over CD ou~ ~g.Z 9z• 5 ~ DIMENSIONS .$ ~ ~~ ~ 7i~ p (~ ~ ~ ~ INFORMATION CHAMBER OR 8 ~ Z 1 r `1 c{ ~ J /6b 7 2a~ UNIT ~ ~ v UI.7 1 KIDU 1 IVIV .7I J 1 CIYI tt' ~ Ia th bT Dia Len p t) 't ~ n „ Pie s s~ ~ ~' ~ S 3z Length Dia pacing ~ / '' ~ I ' Z~ ~~~~ g EVIL vV V ~t< x Pressure systems unry xx Mouna ~,r Ac-vraae aysiems ~nry Bed/Trench Center ~ ~ ~ ( r `7 Bed/Trench Edges ` Topsoil 1 ~+ moires No ~\ ~es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_~_/ ~ / ~ ~~ Inspection iFL: / r_ Location: 1600 Sandy Creeek Road Glen//wood City, WI 54013 (NW 1/4 NW 1/4 13 T30N R15W) NA Lot 1 ~dw a~arcel No: 1 30.15.2106 1.} Att BM Description = ` ~ ~~ l..oJ~l~" Q~,~ tre.~ epf ~,e~. ~,~ ~~E~ ~~ 2.) Bldg sewer length = ~ ~ ~ ~- ~~ `1-Q,~ - amount of cover = ~~' ~~^ ' 11 ~ b O ~ Plan revision Required? ~ Yes i No Use other side for additional information. ~ ~ ~ ~ ~~ ~, ___ -_Date-~ SBD-6710 (R.3/97) J L I~ ..'`O~C-ert~o p (c~.~ ~ rr•~-~.~I~ Safety and Buildings Division County s ~ 201 W. Washington Ave., P.O. Box 7162 ST. CROIX ~~eans~n Madison, , 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608 ~ -3 y gg ~~~ Department of Commerce Sanitary Permit Applicatit~ State Plan I.D. Number ~ TRANS. ID # 1260597 ht accord with Comm 83.21, Wis. Adm. Code, personal information you pm~„~ may be used for secondary purposes Privacy Law, s15.04(1xm) addre s s) ddress (if different than m ailing Project A ( ~ ~ / I. Application Informarion -Please Print All Information " ~ /(Ol~ ~~,, Cce.~ Kd~-' Property Owner's Name APR 2 7 2006 Parcel # Lot # Block # ~ JAMES LUEPKE ~ ~ ~ Property Owner's Mailing Address ST. CRCIX COUNTY ~'Y Location 1600 SANDY CREEK ROAD NW NW Section 13 Y+ `/e City, State Zip Code Phone Number , , GLENWOOD CITY, WI 54015 715/265-4175 30 ~ ~(errcle one) ~~ Z j ~ Q R r T N II. Type of Building (check all that apply) 1 LLLL / ; rl d~ ~' 3 ~ i~~~ CSM Number bdi isi S N Q 1 or 2 Family Dwelling -Number of Bedrooms 1 ~ v ame u on Public/Commercial -Describe Use J Q I - /OZ~ -- /d - t5t~d ^ State Owned-Describe Use ~ X S~ • ~ dtJ/\ peity~]village QI'ownshipof GLENWOOD III. Type of Permit: (Check only one box on line A. Complete line B if applicable) GStN~ ~b ~ 2 317 `4' 0 New S stem y 0 Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of Q Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner / IV. T e of POWTS S stem: Check all that a 1 +\. v ^ Non -Pressurized In-Ground ~ Mound >_ 24 in. of suitable soil ^ Mound < 24 in. of suitable sail ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatm n Filter ent Unit ^ Rectmu ling Sa d ^ ,/ ( ` f_ / Reciroulating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ®Gravel-less Pipe ^ Other (explain) 5a~ h ~ ~Y' (D V. Dis ersal/Treatment Area Information: Design Flow d) ~ Design Soil Appli ation Rate(gpdsf} Dispersal Area uired (sf) Dispersal Area oposed (sf) System Elevation /~ 450 > 1 450 ~ (~(~ 450 / `l ~ 93.0 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Units Concrete Constructed Glass New Existing /~ ~7 /~ ~ ~ d SZS r ' / P Tanks Tanks d , ' t , a Septic or Holding Tank 1000 1000 1 WIESE CONCRETE X Aerobic Treatment Unit Dosing Chamber 600 600 1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume res ibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu is Signature MP/MPRS Number $usiness Phone Number BENNIE HELGESON 220292 715/772-3278 Plumber's Address (Street, City, State, Zip ode) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. Cozen /De artment Use Onl Approved ^Dis proved Sanitary Permit Fee (includes Groundwater Date su Issui Agent Signatu o S ps) Surcharge Fee) ~ ~ ~~ ~ ~ ~~ D~ ^ O Reason for tiel-- IX. Conditions of Approval/Reasons for Disapproval n ~ , S r 8YSTEMOWNER: 3~ Gn.cXr~ ~dv` ti ` f ~ r~ ~ a 1. SepHC taMt, effluent filter and , ~ dispersal ceq must al; be ser~~_^es / mair~ained a,rt' .. r ~- ~ ~^t-t',c.~ W J ~ r'S QC~,~•• ~ ~ a" as per mana~entent plan ; , ovided by plumber. ` J 2. Ap setback requirements must be maintained as per apppWbM cods /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD-6398 (R. 01/03) ' d tx~n~et' ~ e5 L, u. ~ k~ ~~ tom. t- e. ~ c~ s~-.y-t o~y~--- .Ex~~~~„9 s . r Ta ~~ ~~~~ e ~ w1=~~ ~ 1a~8 /~oc~ ~- 8(~k~ew ~r~~e --t hie j 1 C IeQ~ 3.M. -Gr.o~ ._ «~+ S~~ke try i~" IOp o'T~ ~SeMc°~n,~ ~t' 'Dc~o r CBi / ~q.K ` i ~ ~ _, ~ ~o .5, $Io~~ ~ B~ ~9 r~eu~GCQ ~o~o/~o~ G«/. /o ly 1 o k ~s~s ~l~P~- ~~,s~\ Y x r ti 4~ ,i TM~ ---- - ~;~~,~9 s. r. ~a ~~ ~~~,~e~.~ ~UEL~ a __-, 3 g~~ ~~. ~ ~~ le«.~ __ a~.~ _ Ic~ ~l~ ~CitS+EMPH.~ ~r' P i (000 8 ic~.c ~ 'Tb ~ ~ r ~ ~ E G~~R~.~ 3.rt, ice. ~o SQ~ke T'~ (~~ Ors E~,ry. Trr 7)~ror furl _~yK `'1 U _\ ~ ~ '_' y ~o $lor~ g~ ~~•5.. Lam' ~ fQ{JcvGC~1. / ~ Q3 /o ly 1 o k ~-sue s- ~, !~-p~- ~~.s~ ~ .~;~ R~ -- ~ _- - -- Y r ~~ i ~/I///(G G j, ,~ 21a ./ - ~. c" ~~ 4/J~' 1 ~~ ~ ~...~ O -- - a ~~r,: ' -- ------- -- ---- -- -- ` ~--f ~ ~\' -- - ~ r - - %' ~~i-, ~ , l ~, ~ - , ~ ~ ,.~, i ~ ~ t ~~` ~ \ ~. ~`, ii, ~~~1 ~ ~ Y ~.~~ LEGEND • X ~ ~- ~ r •~ FLOODWAY BOUNDARY ,~ rr~"~~ ~ z .:?;. FLOOD FRINGE BOUNDARY 2 CROSS SECTION ~1~(~ ~~// // rid ~ J_~. commerce.wi.gov i ^ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary April 17, 2006 CUST ID No. 220292 ATTN.• POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/17/2008 Identification Numbers Transaction ID No. 1260597 SITE: Site ID No. 711651 James Luepke Please refer to both identification numbers, 1600 Sandy Creek Rd above, in all corres ondence with the'a enc. . Town of Glenwood, F. - St Croix County NW1/4, NWI/4, S13, T30N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1071272 Maintenance required; Replacement system; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual, SBD-10572-P (8.6/99), Pressure Distribution Component Manual, SBD-10573-P (R.6/99); 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • 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 ~03 dispersal are prohibited. ~~ • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. D'" ARTM • A Sanita Permit must be obtained from the coun where this ro'ect is located in accordance with the ~/~~ n' n' p J requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE COF • Inspection of the POWTS 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. Stat BENNIE W HELGESON Page 2 4/17/2006 • Comm 83.22(7) A copy of the abproved~lans, 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II ,Integrated Services. (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 PROPERTY OWNER: INDEX SHEET JAMES LUEPKE 1600 SANDY CREEK RD GLENWOOD CITY WI 54014 PROJECT NAME: JAMES LUEPKE PROJECT LOCATION: NW 1/4, NW 1/4, S 13, T 30 N, R 15 W MUNICIPALITY: TOWN OF GLENWOOD COUNTY: ST CROIX 9~~Fi s qp,~l ~Fa '9fic~, ~Z~06 ~e~~~ ~~~5 DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: WLP1000/600-MR ZABLE Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 ~, Sign -~.._..z-- Date: April 11, 2006 `j~~~ll~ a~D E CC~tlERC~ SPpMQCNC Synthetic Covering ,~STN'1 ~ 3 Medium Sand -~ Topsoli -~ 1~ _-J ~ _ ~` Slope CE~f 2'...2'z aggregate _ ~a9~ 0~~ f Distribution Pipe G c~~ ~ I~~L to b ~ ~' onto Force Moin From Pump Cross Section Of A Mound Signed: License Number: Date: ~_ L J i g w A S~ Ft. K ~_ Ft. ~ ~S-Ft . `~ j F t . I O _ Ft. I~ ~~ F t . p _, 5 Ft. E Y~ Ft. F , yC Ft. G S Ft• H / Ft. Plowed Layer Observation Pipe ~ K _a_ ~--- ____ - - __,. ,- ._.. _..._ 1 - -- - - -- -_ -- ----------------------------.~:I _--~------..._- „J E ~t_t_ 0 f 2„_ 2 ` Distribution Pipe Aggregate Observation Pipe ~~«S~L~ ~rz~` Plan View Of Mound ~~~ rier: •~] q~rl~S ~ uE Pk~ G. ~eo.~.o~ r ~r~~ '• • f'~ r~Cl.C.1,c' ~~ ~_~ (' ~f'f rlp, P nrfOrolnA I'Ip~ pnloll ' End Vl~v P~rloru~cu PVG Pipc ~~~ct111 ~~l d_ (_... DistriDut~.on Pipe Layout Signed: License Number: Dare: Holes Located on Bottom are Equally Spaced r ~~^ t, F~ o ~~ ~ R ~~~ s ?~" x ~r Y ~7, ~.~ Hole Diameter _,~___ Inch Lateral " ~ Inca (es) Manifold " ~ jnches rorce Main " ~, Inches ?-(o~FS 'Pow 1-ti ~el~ra~ = ~ ~' ro~~.l ~e1~5 ~ 7~ ~1--~ _~~d{~~2: ~Ana~S L~PK~ Page~Of~ . SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS a" ~UC,.VENT PIPE 12" MIN. ABOVE GRADE 6 WEATHERPROOF JUNCTION BOX APPROVED >_ 2 S' FROM DOOR , WINDOW OR WITH CONDUIT MANHOLE COVER FRESH AIR INTAKE W / PADLOCK r+ WARNING LABEL • _ . 1,,,~-- 4 " MIN . zy" 18" IN. s. D. ~~ 1 ~~ 18 MIN. ~~ INLET ~ ~, ~ , • WATER TIGHT SEALS .. i , GAS- , 1~ T vAPPROYED FINER A ~ ~ SEAL , ~ JOINTS 1iITH ( IoIC p --I- ~ ALM APPROVED PIPE APPROVED ' a Y ASS B ~ ~ ON 3' ONTO PIPE 3 - ~ ~ SOLIO SOIL ONTO SOLIO C ~ SOIL pUMP OFF ELEV .gg~~~FT. -~- OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: TANK__SIZES: SEPTIC DOSE ALARM MANUFACTURER: •MODEL NUMBER: SWITCH TYPE: PUMP MANUFACTURER MODEL NUMBER: SWITCH TYPE: REQUIRED DISCHARGE (,ljresFE- /OD O GAL. ~_ GAL . ~ ~~~~ o ~~rc~+-.lrH _ F/oa~ Gcx~l~s ?g 7! E~b41( F tATE.3C33c3.7 s- GPM _ `f'e t a. (mac T„~ l ^ ~'~ rriL la, 37 X S = S/ , ~S- DOSE VOLUME INCLUDING CAPACITIES: A = ~~ INCHES B = 2 INCHES C = ~ INCHES D = ~~ INCHES PUMP 6 ALARM WIRING AS PER ~~I. GAL . _~'p/. ~~ GAL. _ .3 3 , •5'.-1 GAL . =1~GAL. ~~~ 6AL . ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE $. S FEET + MINIMUM NETWORK SUPPLY PRESSURE (.~ FEET + ~_ FEET FORCEMAIN X x,07 FT/100 FT. FRICTION FACTOR ._ FEET TOTAL DYNAMIC HEAD 1~FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH ; DIAMETER ~_ ~~-~~ ~~~. PPS ~~cl~ ~'i~al~ s~-P Thy` ~ SIGNED: LICENSE NUMBER: DATE: 1/88 ~i i W -~.1 J ~~ ~~ Q ~ U a~ ~ Ln O W _.o° iv~~ d ~ M ~, ~VJ Na ~ ~ J ~ ~~~ ~ ~ o Y M~,. ~"dZ ~, ~ ~_~ O Z ~ ~ ~ . ~~_'T'~ ..oo~ Z ~ ~ ~ J 3 m ~ ~ ~ ~ ~ m ~ O .~ i I I O U Z W J ~a ~a w F~ I ~ Y ~ ao ~m OQ oN H ' ~, a ~~ J~U ~W~ W m~ QdU' F- J Z •~~ `_W O -~ ~'"" U N o~ ~~ a J = tii ¢ v W h' LJ ~ N mWw ~~~ W Z Fa- o~W oN~ ~~O J z v Fa N v zz ~~ mn ~~ N } U a Q U D a J f J b D H z O r Z 0 C.7 Z O Q 0 J w „Zb J Z a iL.nJl o ~ G=+ a J\ ~CD Na ~ ~' Q'(n~ ~~0~ ~~~ oc~a o~~ ~ ~ ~ N ~ o I 0 OFU-N ~r~~rr~t O ~ W "n" n_ ^' i O ~ V ' u u ' u N C~ ro ~~ W O W •tl r t W w(^~ 0 J N U N .~ i~ W a ,6£ „9G ~~ ~~~ k ~ ~ n1 =~ L~ E P,Or C ~,- Pttmp Specifications 'h H P i Up to 40 GPM ~ Discharge size 1'/." NPT Solids:'/e" maximum Motor Single phase: 115V Materials of Construction Brass/thermoplastic Features and Benefits - , • Top suction eliminates '~ impeller clogging. • Corrosion resistant construction. n;Y •Float actuated switch. '~MEfEeS iFEi 2s ~ ! MODEL DVP03 c e 20. ~ ~ ~ f w 5 U 15 4 a c ~ ,o i 2 c 5 II 0 0 5 10 15 0 2 i__ .L_. 20 25 00 15 CAPACITY 5 e 60 U.S CPM to oPmr ~. MEIEIIS iEEi _ IOI ; . ; a 0 6 S = a 0 a ~ 2 1 24 ~'-. _..i_._.I.. _._ 20 --- - .... I ; ~__.._ _. ;...._i.. _ ___. j I _.. - ~._ .I _. MODEl:3871 ..; .I \- • ~ t ` ~ I t `; ,a~ -~1 I .. ._ _ _ _..,._ r ,_ . , ,. _.. I .E... -._ t..-- ; st. ~...._.f..._... ....r... 1 I :. I 0 2 , CAI atJLli ~. ,~• '`~.,• ~.~~- Pump Specifications Features and Bene(iis '/>o and'/: HP •EP04 impeller- semi-open design Up to 60 GPM with pump out vanes to protect Maximum head to 32' mecharncal seal. . Discharge size 1'/:'NPT • EP05 impeller -enclosed design Solids:'/." maximum for improved performance. • Rugged glass-filled thermoplastic Motor All motors feature ball casrn$ and base design provides superior strength and corrosion bearing construction. resistance. Single phase: 115V 'Cast iron motor housing for Materials of Construction efficient heat transfer, strength, Cast iron and durability. Thermoplastic Stainless steel •Corrosion resistant threaded stainless steel shaft. •Available for automatic and manual operation. • CSA listed models available. All Models are designed for corTtirnrous operation and /eature stainless steel hardware. . FILE INFORMATION Owner _. ~ .` Permit A' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of ~-. MAINTENANCE SCHEDULE Service Event --~-- Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal celllsl Clean effluent filter Inspect pump, pump controls & alarm Flush laterals and pressure test Other: Other: Service Frequency ^ month(s) (Maximum 3 years) ^ NA At least once every: ~ [~ earls) bined sludge and scum equals one-third IY31 of tank volume ^ NA When com ^ monthlsl (Maximum 3 years) ^ NA At least once every: 'l ~ yearls( d monthlsl ^ NA At least once every: 13 ^yearls{ C3 monthlsl ^ NA At least once every: 13 ^ year(s) ^ monthlsl ^ NA At least once every: 3 yearls) ^ monthls- ^ NA At least once every: ^yearls) ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cellsctedllSewera POWTSnlnspector;l POrWTS Ma ntainere Septag+egServ cing Opee torcatjenk Master Plumber; Master Plumber Restr inspections must include a visual inspection of scumaand to check for any back up or pond ngdof effluentton the ground surface. measure the volume of combined sludge and The dispersal celllsl shall be visually inspected to ceffluent onfthe ground surface may indi ate a fail ng cond t on andaequires the of effluent on the ground surface. The pond+ng of immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tankeeatorl and disposed-ofrin accordance with clhaptertNRe11+3 contents of the tank shall be removed by a Septage Servicing Op Wisconsin Administrative Code. All other services, including but not limited to nthseshallnbe performedfby a certified POWTS Ma ntainercomponents, pretreatmem units, and any servicing at intervals of 512 mo , A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ----- • ~..~w..~.w wr~A111c "Values typical for domestic wastewater and septic tanK ernun~~~. Utdivl; JAAI);S LUEPKE Page S of is ~S~fAF~T UP AND OPERATION " For new construction, prior to use of the POWTS check treatment tankls- for the presence of painting products or other chemicals that may impede the treatment process andlor damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and mey result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed 6y a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. 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 soil absorption system. The replacement area 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 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 and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ~ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ~ r. r.,r~~w~ n ~ nnnAll ll Cl~lYC POWTS INSTALLER Name - r Phone 715/772-31713 cFPTne,E sERVICWG OPERATOR (PUMPER) Name JuHNSUN SAi\'ITATION Phone 715/273-5ti11 POWTS MAINTAINER Name , Phone 715 173-Still Heel RFrur OTORY AUTHORITY Name ST CRUIk CUUN'I'Y" GUi`~II~U Phone 715/3b6--4tibU this document was drafted in compliance with chapter Comm 83.22(2ilblfll(d)&(f- and 83.5411), 12) & 13i, Wisconsin Administrative Code. ,~ .4~ , Wisconsin Department of Comm a ~~`~~~~~ L TION REPORT Page l of,~ Division of Safety and Buildings ~.~ ,.. ww,..c... vvn, v, ••w. rw.yr~t~c Attach com late site Ian on ~~CCrr -7t p p p per noMfic~.thap ~/~~Q~nche in size. must County ~ ~~ include, but not limited to: verti I and horizontal reference point ( M), direction Parcel I.D. d/ tS~ / O v? 8 - ~d ~ o/ o percent slope, scale or dimen ns, r~tl~~~~~d IgNT~n an istance to nearest road. • p ~~ ~ / Ple 11 infDrmation. Revie by Date Personal information you provide may be used for secondary purposes rivacy l.aw, s. 15.114 (1) (m)). ' ~Z Z Properly Owner Properly Location ~/~ e ~ f' Govt. Lot ~ 1 J4 ~f1/4 S f3 T 6' N R ~~'"~ W Property Owner's Mailing Address Lot # Block # Subd. ~Ira~r CSM# City Ste Zip Code Phone Number ^ City ^ ~Ilage (~ Town .Nearest Road ^ New Construction Use: ~ Residential / Number of bedrooms ~_ Code derived design flow rate y~~ GPD (~ Replacement ^ Public or commercial -Describe: ____________ ____.,_____ ____ Parent material G~~' Q/~ ~ ~'/ ~C L. Flood Plain elevation if applicable ~/ ~ ft. General comments and recommendations: !~ S S~`~ Gi e t /Vl " ~ ~' ~ / Boring # ~ Boring !!~~ ~~ ~~~ ~O Pit Ground surface elev. ~CLZ1Lr! ft• Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a- ~ o ~ .~ - sib. ~ s~k ~~~ ~ s a -6- ~ o c 6 S ~~~ tj F~ f1' W ~" .. 6 ---_. ® Boring # ~ Boring /Q ~~ / ® pit Ground surface elev. !,~~ ft. Depth to limiting factor rn „_ . Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 or 3 `- i a ~ R ~. , S" . 8 -.~.3 ___- Si ~61r C-R ~ 1 v ~ d ~' ~ M ~ - s f eat - Ettruent iFT = t3t7D > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 rng/L and TSS < 30 mg/l. CST Name (Please Print) - Sig ature CST Nurr>ber M~~ Address ~/`, Date/Evaluation9Conducted j'~• Telep`h/o~ne NumbQer} Q^ ~~a8 J~k~y/7oTG~~~r~o~~e~f~ ~( ~~l!//~~ i®`~// r~~ ~iC~ r~KJ ~~O'~7G~ Property Owner J ili~/~>/.~ Ly e/~q °~ Parcel ID # 4I~ ° `®r?g~- /~ - HBO Page ~_ of 3 Boring # ^ Boring ® pit Ground surtace elev. eft. Depth to limiting factor ~.~_' in. Soil ication Mate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ~` !~ C L~ ear ^ ~~ # ^ Bonng ^ Pit Ground surface elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring Bonng # Ground surface elev. ft. Depth to limiting factor in. ^ Pit - Soil ication Rate Horizon Depth Dominant Cdor Redox Description. Texture Structure Consistence Boundary Roots GP D/fE' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Efi#1 'Eff#2 'Effluent #1 =GODS > 30 <_ 220 mglL and TSS >30 < 150 rnglL • EftlueM #2 =BODE < 30 mgll. and TSS ~ 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(8.6/00) 1 1 - e / , , --- - i I --- - i I ~ ~ ~ ~ _- _ _ ~ --- - -__ __ o ~ I _-. ~ _ _ --- - - - - ~ ~ ~ 1 I --- _ i~ - - ~ I - T1 - -- - ~ i i - -N - --- - ~ ~ ~ e - - - -- ~ ~ --- - -- 4 -- -- - - --, -- - ---- - - _ _ _ __ _ - - - -- - I -- --- ~ _ - -- ; - i -- - -- ~ ~ -- R- ~~ - 4, - - ~ 1 ~ J ' I . -- ~.- . ~ _. _ _ _ _ _ _._ _ ___ _ ___ .~-... __. _. __ _~_. ~ ___ I _._ _~--i-__ , _._ __- ~-.. / ii 1 -~ - - ~ -- -- - - - - --j - - _ - -- -- -- - - _ _ r_ _ . - ~ ~ ~ ~ - -- -- - -_ --1 ~ - -- ~ f -- -- -- ~ - ---1 --- - ~~ - ~. - - - -- -- ~ -- - -- ~ _ ~~ -- -~ j i 1 -- --- - - - - ~. I - --- - __ -- - --- -- - ~ -~ --- ~~ _ _ _ ! -- -- - - w r ~ I I ~ ! f ~ -- - - I -- - --- I -- j ~ - - ~_ . - - - - --- _ ~-- -_ - - --- - , - ~ -~- ~ d ~ .~ ~ ~- ---- --i -; --- ~ -- -i - - i - - --~ - - -- -- - - - - _ , - _; ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerJBuyer Mailing Address Property Address ~~ T (Verification required from Planning Department for new construction) y ~/~hty~ D I to ~ IaZ~ - Jd - ~ Cit /State c~ ~~i Parcel Identification Number LEGAL DESCRIPTION Property Location N~'~ `/<, _ 1~ '/<, Sec. ~~, T,s,~N-R ~Vv, Town of Gl~°-~~>©o Subdivision Certified Survey Map # Lot # Volume ,Page # Warranty Deed # ~ ~ ~7 7 7 Volume ~~~ ,Page # _ ~d Spec house ^ yes ~ no Lot lines identifiable yes ^ 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, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal 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 Cornmerce 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 County Zoning Office within 30 days of a three year a iratio date. /d / SIGN OF APPLICANT 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 grope described abo , by v' a of a warranty deed recorded in Register of Deeds Office. a / SIGNA OF AP 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 DOCUMENT NO. BY THIS DEED, Steven C. Luepke and Jean A. Luepke, husband and wife as joint tenants Grantor conveys and warrants to James R. Luepke, a single man Grantee for a valuable consideration Nine Thousand Five-Hundred and no/100th ($9,500.00)----------------------------------------------- ~ the following described real estate in fit. ('.l`Y~IX County, State of Wisconsin: STATE BAR OF WISCONSIN- FORM 2 ~~-""'WARRANTY DEED Tf-11S SPACE RESERVED FOR RECORDING DATA RESISTERS OEF9C csaa~x ca., w ~ s. Recd. for Record this__~lst day of ~Qt A. D. 1977 ~,: at 8 ~ ~ A ~ __- ~~ Rspb#K of desa. j ETURN TO Richard P. Rivard Glenwood City, Wisconsin 'Tax Key li This is homestead property. Lot 1, of that plat surveyed by Leon R. Herrick, and filed with the Register of Deeds for St. Croix County on October 26, 1976, Document Number 3.36211, in Volume 2, Page 317, and The East 11.29 feet of the Northwest Quarter (NWT) of the Northwest Quarter (NWT) of Section 13, Township 30 North, Range 15 West, lying North of Sandy Creek. '1'RAI~TS~`ER ~ .50 FEE Exception to warranties: Executed at Glenwood City, Wisconsin this 29th day of AuguQst 19 77 . SIGNED AND SEALED IN PRESENCE OF C` ,~~-4Lrl.*-- (SEAL) Steven C. Lue ke ,~ ~• ./,irL~ 3°~ l .~ < T ' ~. 1 i.+ ~ 1 y ~ (SEAL) f " Jean A. Luepke (SEAL) (SEAL) E Signatures of j authenticated this day of 19 ~I', E. i' i' z Title: Member State Bar of Wisconsin or Other Party Authorized under Sec. 706.06 viz. ~~ i STATE OF WISCONSIN St . Cr01X ss. County. ~~ Personally came before me, this 2 th day of AUgUSt 1927, Steven C Luebke and Jean A T uenkP ,,,~,~~'~~'~ the above named ,, f _ ~ ~`~E)`) ~ _~ CERTIFIED SURVEY N0.- '~ I" T ~ ON ~ L51r1~ -- - - /~~ Part of the NWQ of the NW; of Section 13, T30N, R15 W, Town of Glenwood, • County a~ S~. Cno~.x,State of Wisconsin ~.' ' J r n ~~' ~ ~ f~ a g7E, ~i;..; I..r~ ~ :U r _~. f 1~1 SI. Gn~R ~?rely, ~ dd\ ~~ ~ ,_, j ~ ~+-PPROVAL OF THIS MINOR SUBDiV15lON DOES NOT M.:oN ~+P:• ;;,;~V:.l i-J • SEPTIC ~- L `--- " ~' UNPLATTE D LANDS 2` CONTOUR ~ ELEV. 95.0 ~ ~ • •, ~~ NORTH LINE OF THE N \ •••., '~ ~'-'-- -- .- ~ SECTION 13 57'+ N 68° 33 6 ~Q'~ •S 23°00'00"180.08' /sue T5045.9g ro en NB6°33'16°W 1328.Ld sSo 3 /9S S3' ~2 l4e,T~, N BB° 33. 16" W M 11.29` 1316.91` 3•/s ,. Spa / ~ '- _. ~ __ N 1/4 COR. f 920 319, 35• O SEC. 13 • 210° 50` 00" 4l8 0 ~ = I° LP. " ~ BENCH MARK p4 °O ~, FOUND }~ ELEV. 100.00 9~ z LEGEND LOT I a' • 2 197145 S0. FT 'J ~ 3/4"x 24" ROUND IRON ROD • ~ ~ 4.53 ACRESt ' WEIGHING 1.502 LBS/L.F • ~ •p\ 0 • O 3/4" x 30•' ROUND IRON .ROD •• ~•'. ,' • WEIGHING 1.502 LBS./L. F. - :Q~ y° ~: W • yii•. ._ • N ~• /~ ' ~O ~ vQ SCALE :~'~ F X58° Ai ~ e J . • • NON - BUILDABLE v ~' n-• I•'=130` :'~•• O AREA ~ Z~ , • ~ °' Z ~ 0 50 150 300 •~ S `3q> . ~o~~~uaczeaszia~~o ss°pp ep, ~' S'" y fr G c.F ~ ° •' ~ AC r? LEON R. ~ ~'~, •'•, ~o,• E HERRICK ~e ..n M '•q~'J. • WATER ~~ S•1303 ~ yf'° ••~O a~ ESTIMATED HIGH WATER 93.0 MENOh40NIE, •: ESTIMATED LOW WATER 89.5 s 1 '~ I ~b •'• `/A N SEPT. 20, T6 WATER ELEVATION 90.9 ~~~ ~' WI$ '• O `0 ,• _7 MARKED ASS SUCH ASSUMED 100.0 6 ~ •~ ~+ '• s \ 2• CONTOUR isi~o',StU R a ,0soa ' • ELEV. 95.0` I, Leon R. Herrick, Registered Land Surveyor, hereby certify: That I have surveyed, divided, and mapped a part of-the WW'-4 of the NW'4 of Section 13, T30N, R15W, Town of Glenwood, County of St. Croix, Stat R ~ in, more particularly described as follows: /4~t'~~VtV Commencing at the i~Jorth 4 corner of said Section 13; OCT 2 (~ 1976 Thence N 88° 33' 16" 41 1,328.20 feet; Thence S O1° 26' 44" W 33.00 feet; Thence fJ 88° 33' 16" W 319.35 feet; St. CRotX COU:•tY Thence N 75° 45' 46" W 148.71 feet; COMPREttEH51YE rAwcs PIAN-NNd Thence PJ 88° 33' 16" W 180.08 feet to a 3/4 inch round iro 2OO~G saM dTi3/4 inch iron rod being 57 feet more or less from the water's edge of Sandy Creek and being the point of beginning of the Southerly and Easterly meander line along Said Sandy Creek. ~ , Thence S 65° 33' 16" E 195.63 feet along said meander line; Thence S 34° 43' 16" E 290.07 feet along said meander line; Thence S 56° 00' 46" E 347.80 feet to a 3/4 inch iron rod, said 3/4 inch iron rod being the Southerly and Easterly end of said meander line and being 120 feet more or less from the water's edge of Sandy Creek; Thence N O1° 26' 44" E 464.62 feet to the point of beginning. W W f Z~ J rp F N O_ ~• N O L W 2 W ~ S~ ~ m ~ OFS t W 14 ~ K N mo ELEVATION LEGE Said parcel contains 197,145 square feet more or less (4.53 acres ±) including all land lying between the meander line and the water's edge of Sandy Creek.