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Home My WebLink About030-2126-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567253 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: 030-2126-60-000 Oeverin , Oranzo John &Susan McKinney St. Joseph, Town of CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: �60 160-493 Q Z G�jr 25.30.20.1030 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ,',i..q CAPACITY STATION BS HI FS ELEV. Septic Benchmark 2 , G A /4D, 93 ftn J F/� � � Z' 00 U L Alt. BM • Z- ��3.413 F� G✓ G L,-.-. 11•x. Lo -�-�. Aeration Bldg.Sewer Holding St/Ht Inlet St/Ht Outlet S, 3 9e• 33 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent Air I take ROAD Dt Inlet r 9,._ d ,/► � Dt Bottom Septic Z-7 �� z'� 'J Dosing Header/Man. 7-6 C(o Aeration Dist. Pipe 7- a `7&' 63 g.b '7 Holding Bot.System 7• s Final Grade Z /�•a PUMNSIPHON INFORMATION Manufacturer DePmNtand St Cover t� G 7— Model Numb TDH Lift Friction Loss System He T H Ft Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 Cf Z ` 14e v- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufact : INFORMATION CHAMBER OR Y✓l�^�J�-fa Type 6 6,,,,J-eA-1V44.*L_j Of System: 2 Z,7 I UNIT Mode NumberC s 3. DISTRIBUTION SYSTEM (+L- ZL}--ZZ y[ Header/Man ifol� Distribution I-Hole Size x Hole Spacing IVA6 o A I�ptake a /[Pipe Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over ` xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center 4.7 Bed/Trench Edges Topsoil �_ (es 0 No s � No COMMENTS: (Include code discrepencies, persons present,etc.) Inspection#1: / / Inspection#2: Location: 1327 Birch Park Ridge Houlton,WI 54082(E 1/2 SW 1/4 25 T30N R20W) Birch Park Lot 26 I r�.Parcel No: 25.30.20.1030 1.)Alt BM Description= ` `� - G 1/� t ` 6`-�"-' 6^ 2.)Bldg sewer length= 4� �•� �,� _ -amount of cover= t Plan revision Required? Yeso Use other side for additional information. Cert.No. Date Insepctor's Sig ure SBD-6710(R.3/97) PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 --E- -1/2-SW 1/4S 25-- .. -/T- 30 ---N/R-20 W TOWN ST.-Joseph -- - BOUNTY-ST_CROIX --- MPRS Shaun Bird 226900 DATE 10/26/13 BEDROOM 4 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44 BENCHMARK V.R.P. Top of conduit ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 93.8/93.3 F below grade 278' Property Line B.M.* ` `G GOr el All piping shall be SDR 30/34,within 10' 1 0' of tank,piping shall be Schedule 40. 45' 177' Property Line Scale is F = 40' — p, unless otherwise b b 98' • s' noted �2 ents oSo e � P 2-3' X 90' cells with>3' spacing B-3 25' 15' Pro 4 ST 75' 55' Bedroom house B-1 96' 70' Vent >6„ Quick4 Standard 25th ST. of Cover Leaching Chamber with 20.0 ft2 of Area ' Long 12" 5.6ft^2/pair of end caps 34" Grade at System Elevation ~~;rYr Coon L Industry Services Division - T lled i _ '1400 E Washington Ave Sanitary Permit Number (to be fii by Co.) 5 p S ! P.O. Box 7162 a~ Y Madison, Wl 53707-7162 Sanitary Permit Application State"r'ir~nsactiin4 ber In accordance with rS 383.21 f2),'Wis. Adm. Code, submission of this form to the appropriale,lipnernrnemal unit A. - is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POW TS ait submit to Pro.iect Address (i' ifferent than m ig address) the Department of Safety and Professiona1 Scivics. Personal information you provide n]• be usui for se8td~)A ~ 2~ purposes in accordance with the Privacy Law, s. 15.1>4(f)(m), Stars t d /1•® 1. Application Information - Please Print All Information 4 Property Owner's Name Parcel # oet ~ e (-.-4i''~ `"T jam/I Y .'~j~ lt.r t_Jit ' i"` _ -G C_j~ - O----- Property Owner's Mailing Ac ss, Property Location t_~ lao (A-0 SLL- Govt. Lot - - .10 City, State zip/CLode Pholte Number Section J (crcleon~ T - . fv, 1< k r W 11 ype of Building (check all that apply) Lot # r2Family Dwelling- NurnberofBedro ns Subdivision N~ame~ y~ ❑ Public/ `or nri cia (DI)se I_I Cilyof--- ❑ State Owned-- Describe Use CSM Number village of .town of S~ 111. Type of Permit: (Check only one box on line A. Complete line 13 if applicable) ❑ 'treatment/Holdinlrank Replacement Only D Other Modification to Existing 5ysit n (explam) A' ,stem---- Replacement System - ----l," ~ - 10 B. ❑ Permit Renewal ❑ Permit Revision Change of Plumber 177 Permit t r rnsfer to New 1 List Previous Perrmt Number and Date slued Before Expiration Owner 1 IV e of POW I'S Systein/Component/Device: (Check aYl that apply) -Pressurized In-Ground ❑ Pressurized In-Ground Mt Grad L I Moun(1 >l in. o'sortV le soil Mound < 24 iri of Suitable soil Holding "Tank ❑ Other Dispersal Component plai6 - - V. Dispersal/Treat ent Area Information: Design Flow(gpd) Design Soil Application Rate(gpdsf) ,Dispersal Area Requned (sr) Dispersal Area Proposed (sl) S stem eva a r 9 r ~f r L ank Info Capaofry in Total # of i aiu acturer a~ Gallons Gallons Units New"Tanks ExistingT.mks Septic of Holding Tank - Dosing Cfiambei Vit. Responsibility State ent- 1, the undersigned, assutr a ponsibility for in_stallatitut of the POINTS shown on the attached plans. _ _ _ PI et' s Name (Print) Plumber's tore - MP/MPRS Number ~Bu~siness PftonLN~rnbe~ PI n tier's address (Street, City, State, Zi ode) Vill _r rd IDe partment tJse 0 - -F - pproved Disapproved Permit Fee l ale Is LIUI Issuing gent S grna e Owner Given Reason for Denial ! ( t'e L4'~ - -r - - - - - 1X. C val/Reasons for Disapproval 7 1. Septic tank, effluent filter and-7_ Yj- dispersal cell must be serviced / maintained as per management plan provided by plumber.' 2. All setback requirements must be maintained - _ ----as--perappfi +abrR1 tf f;! c lot- the system and submit to the Caurty only ou p;rper not less than 8 112 x t r inches in sire .~-~T^^F__T-^ SBD-6398 (RO313) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 10/26/13 Owner:Oevering Homes Location: E1/2 SW1 /4 S25 T30 N,R20W Lot 26 Birchpark St. Joseph System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet t Signature License u er #226900 i I PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 E 1/2 SW 1/4S 25 /T 30 N/R 20 W TOWN ST. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/26/13 BEDROOM 4 CONVENTIONAL XXXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44 BENCHMARK V.R.P. Top of conduit ASSUME ELEVATION 100' Filter BEAR Filter ❑BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 93.8/93.3 5' below qrade 278' Property B.M.* 111 -14 E'--k coe n4-4-' 1 0' All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. 45' 177' Property Line Scale is 1" = 40' B-2 8s 98 unless otherwise noted Vents 5% Slope 2-3' X 90' cells with >3' spacing ❑ B-3 Pro 4 25 ST 15 75' 55' Bedroom house B-1 96' 70' Lent >6„ Quick4 Standard 25th ST. Of Cover eaching Chamber ith 20.0 ft2 of Area .6ft^2/pair of end caps 4' Lon34" Grade at System Elevation Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft^2 pair of end plates Finish grade elevation Typical Installation 98.5' Vent Grade Vent 3, 4„ 3, i~30/34 Septic Tank 5 Lon 1„ 5, 5' Lon g Long Grade at System Elevation 3611 Grade at System Elevation Spacing 5' 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A-93.8' B 93.3' ~~Q Vie'.? u~t s Wscon;sin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must -40A 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. q 11 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R sewed b _ Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).~r r~ Property Owner Property Location Quest Development, Inc. G vt. Lo E 1/2 1/4 SW 1/4 S 25 T 30 N R 20 E❑(or)❑W Property Owner's Mailing Address jW lock # Subd. Name or CSM# Suite 150 10700 Old County Road 15 Birch Park City State Zip Code Phone Number EjVillage Town Nearest Road Plymouth MN 55441 ( 7¢3-595-9512 County Road E a New Construction Use; Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD E] Replacement n Public or commercial - Describe: _ Parent material l .oess over on wash sands Flood Plain elevation if applicable ft. General comments and recommendations: This site is suitable for a below grade conventional syst ->cc-~- u.~ e~vn qnn ❑ GFa Boring # El Boring Y:s SS A 1 ❑ Pit Ground surface elev. 98.28 ft. Depth to limiting factor >98 1M to Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bound ~#oots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I r,. ! r.2 ff#2 1 0-15 10yr4/4 sl 2msbk mfr cs 2f .6 2 15- 10 r4/6 sicl lfskb mfi cs if .3 3 41-98 7.5yr5/6 s Osg ml .1.2 36 zalz 60 Of &4 hjgj;~~ d& F2 Boring # ❑ Boring 100.83 >98 0 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr414 sl 2msbk mfr cs 2f .4 .6 2 14-40 1 r4/6 ' 1 1 fskb mfi cs 1 .2 .3 3 40-9 7.5yr5/6 s Osg ml - - .7 1.2 * Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L CST Name (Please Print) nature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/23/01 715-246-2454 Property Owner Quest Development.Inc Parcel ID # Page 2 of 3 3 ❑ ~Boring Boring # Q Pit Ground surface elev. 94.18 ft Depth to limiting factor >98 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-15 10yr414 - sl 2msbk mfr cs 2f .4 .6 2 15-39 10 r4/6 - sil lmsbk mfr cs if .4 .6 3 39-98 7.5yr5/6 - s Osg ml - - .7 1.2 ❑ Boring # Boring a 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application 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 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-8330Test (R.07/00) . , . 3 f e +1h Lo ZS IV ~ c SOSIoPe 16+ 2.7 ' ' 30 4m 61 986 '61 ,oo.a3 X33 qy,~g xl rlE! I 22? 367 P45AI 19i 1V G- Z-07- To 136- + F-v f+- .vEw I..1,9 / VIP v,f c. P/1V 67Xi pceltf t' Ts 69 30 • 2.03 • z 0 • 017v cB.v I-,tc 7- Z v3 SO • oov Z-/'Gc~vJeEV Mfl-S7j!:& 30. 630 • 20 3~ • /0. Oa'O P/vi''A _5 0 3 d z U ~Q 7v - D Uibricht & Associates Private Sewage Consultants D 3 0 . 2 a yd (~D , 055 O'Neil Rd. . 54016 ~j Hudson, Wis. 3 9(, • g/,? s J 715 - 772,- 3 V11-2- 25rss;____ a.. - OF THE E 1/2 O THE SEC. 25, T. A R_ 20 S00°00'11°E 250.82' z S00°00'11'E 250.82' 81.53' 169.29' cq5 ti~ 03 f I --SEI8ACK 11NE 11 \ O!/ w act .1 Cb a 11, L" co N 14 Ch 00 ca :.4 r L.i N 10301 7 01 YW 401.73 25TH *77'01'E 413.26" 225.02' i 127-2 00 s v \ w SOO 56 9 71 --n R S, m a~`~2 \ \ \ S16 14' I_00°SJ'70 'N 931 _R I - V , III I o 2 s1 `U e 1~ _ 9y'lS IS?9°,r,. w v ~~VNE' ,(1 k 6, a. .01' w ~ d 50 ~ 4- .0 I POWTS OWNER'S MANUAL & MANAGEMENT' PLAN Page of _ FILE INFORMATION SYSTEM SPECIFICATIONS Owner 1z Septic Tank Capacity /a-j7- al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer - 7 ~ NA Number of Bedrooms ❑ A Effluent Filter Model NA Number of Public Facility Units A Pump Tank Capacity al 111 NA Estimated flow (average) gal/day Pump Tank Manufacturer - NA Design flow (peak), (Estimated x 1.5) al/da Pump Manufacturer NA Soil Application Rate al/da /ftz Pump Model _ NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit 61-N-A Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/G,avel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220,mg/L ❑ NA ❑ Mecharical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mgA- ❑ Disinfection ❑ Other: Pretreated Effluent Quality- Monthly average Dispersal Gell(s) fJ NA Biochemical Oxygen Demand (BODs) 530 mg/L -Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) :530 mg/L A ❑ At-Gracie 1:1 Mound Fecal Coliform (geometric mean) 5104 cfu/100_' ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size 3k in dia, p NA Other: - - y Q NA Other: NA Other. ❑ NA `Values typical for domestic wastewater and septic tank effluent. Other: - ❑ NA MAINTENANCE SCHEDULE Service Event Sorvice Frequency months) Inspect condition of tank(s) At least once every: (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month! s) (Maximum 3 years) ❑ NA ear(s), s) - Clean effluent filter At least once every; months - ' NA years; Inspect pump, pump controls & alarm At least once every: - ❑ month(s) NA ❑ year(s; Flush laterals and pressure test At least once every: Cl month( s) NA ❑ year(s)- Other: At least once every: ❑ month{ s) NA 0 year(s) Other: - NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator, Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cr-.icks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent or the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to checi: for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires thq immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of tl ie tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechar ical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of an!, service event, Page of START UP AND OPERATION 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. During power outages pump tanks may fill ab3ve 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 may result in the backup or surface discharge of effluent, To avoid this situation have the contents of thia pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area 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 wate+r softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure thafi the system is properly and safely abandoned in compliance with chaptiv Comm 83.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. a The contents of all tanks and pits shall be removed and properly disposed of by a Septagee Servicing Operator. a 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: itable 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. Baring 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. Df:ATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ` Name LQ Phone J j Phone SEPTAGE SERVICING OPERATOR PUM R LOCAL REGULATORY AUTHORITY - ---Name T'9 - Name _Z Phone J Phone / This document was drafted in compliance with chapter 8PS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. FILTER CARTRIDGE INSTRUCTIONS Installation' y STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. 's STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four. STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 900. Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced. 4,4 2. Open the outlet access opening to inspect the tank and filter.:' 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. k y ` 4. Once the effluent level has been lowered below the invert of the " i outlet pipe, firmly pull up on the filter handle to dislodge the A; ` cartridge from the case. = t~ 5. Slide the cartridge up and out of the case for cleaning. 6. If a VRS switch connected to an alarm is present, the switch ~w should be removed by turning counterclockwise 900 and cleaned' with water only. .x z 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. 8. If VRS switch is utilized, replace by inserting into filter and turning clockwise 900. 9. Insert the filter cartridge back into the case, pressing down until Ze* the filter locks into the bottom of the case. 10. Replace and secure the access opening on the tank. BEAR ONSITETM FILTER CARTRIDGE - FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five (5) years from the date of consumer purchase. BEAR ONSITE'" Filter Case -Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use, Bear Onsite will, at its election, repair, provide a replacement part or product, or make appropriate adjustment. Damage to a product caused by accident, misuse, or abuse Is not covered by this warranty. Improper care or malfunctions resulting from units not installed, operated, or maintained in accordance with instructions provided will void the warranty. Proof of purchase (original sales receipt) must be provided to Bear Onsite with all warranty claims. Bear Onsite is not responsible for labor charges, removal charges, installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product. xte Ico ~ 877 MLJLTERS (653-4583) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERT C TIQN FORM t , ! R; TFI Owner/Buye c~ /mod ors too Mailing Address Property Address S I E (j- ific, tio n required from Planning & Zoning Department for new construction.) City/State r l~ L N w~ Parcel :Identificat LE ion Number G-ate -d~ GAL DESCRIP'T'ION Property Location yo 0 % , S • 12 T N R Zp W, Town of Subdivision . , - Certified Survey Map # Lot # Warran - • Volume 0 Page # iy Deed # IN ,Volume ~ Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAIlVTENANCE OVER CER TII+TCATION Improper use and maintenance of maintenance consists of pumping out the Yom septi, eve Istem could result in its preens que failure to handle was pmt the system can affect the function of the s eptic y three years or sooner, if needs b tes. responsibilities are specified in Co Tank as a treatment stage in the waste disposal y a lied Peer' arhat You put into septir, tank § umt. 83.52(1) and in Chapter 12 - St. Croix Co Pal sue' owner maintenance unty Sanitary Ordinance. The Property o'w'ner agrees to submit to St. Croix owner and by $ master plumber, journe Pl unt' planning & Zoning DepartmMt a certification fo wastewater disposal system is in proper operatmnber, restricted plumber or a licensed pumper verifying signed by the less then 1/3 fiill of sludge. mg condition County (2) after inspection and ring that ar the site ran pumping (if necessary), the e septic tank is I/We, the undersigned have read the above requirements standards set forth, herein, as set by the b and agree to maintain the private sewage dis Certification stating that our t of Commerce and the Department of Natural Resour ~te system s the Toning Department within 30 d septic System ays of the threes yebeen ar maintained must be completed and re ~ State of Wisconsin. expiration date. turned to the St Croix County Ping & T/we certify that all statements on this form are Property described above, by virtue of a w!mr # to the best of my/our knowledge. Office, I/we am/are the owner(s) of the dead recorded in Register of Deeds ds Office. Number of bedrooms -0 TGNA OF APPLICANT(S) -0~~ ~3 DATE Any Formation that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning DePartment. Include with this application a recorded warranty deed from the Register of needs Office and a copy of the certified reference is made in the warranty deed.. survey nap if (REV. 08/05) " IIIII~iI~ it 8160456 Tx:4131250 980095 State Bar of Wisconsin Form 1-2003 BETH PABST WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Document Number Document Name 06/07/2013 2:36 PM EXEMPT#: NA REC FEE: 30.00 THIS DEED, made between Birch Park, LLC, TRANS FEE: 348.00 a Minnesota limited liabty company ("Grantor." whether one or more), PAGES: 1 and Oranzo J Oevering and Susan T Oevering ("Grantee," whether one or more). Grantor, for a valuable consideration; conveys to Grantee the following described real Recording Area estate, together with the rents, profits; fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") if mores ace is Name and Return Address needed, please attach addendum): St. Croix Co Abstract & Title 219 South Knowles Ave New Richmond, WI 54017 Lot 26, Plat of Birch Park in the Town of St. Joseph, St. Croix COunty, Wisconsin 030-2126-60-000 Parcel Identification Number (PIN) This homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Any easements, restrictions or reservations of record, if any Dated June 2013 (SEAL) (SEAL) tB * / amp's ater9, is ie Manager (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF]PI99ONSISI Minnesota ) ) ss" authenticated on Hennepin CONY ) * Personally came before me on June 4, 2013 TITLE: MEMBER STATE BAR OF WISCONSIN the above-named James M Waters as Chief Manager of lRi rr , Parks LLC (Ifnot to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) me d apkqowledged the same. THIS INSTRUMENT DRAFTED BY: Premier Title Insurance Agency, Inc otarv Public, State of V1 iscons' JOAN N. YOU Metro Blvd. X300 Edina MN My Commission (is permanent) ( Notary Pubifc~ >f0~8 (Signatures may be authenticated or acknowledged. Both an not aec ply ~q8 IW8 31 2015 NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD WARRANTY DEED D 2003 STATE BAR OF WISCONSIN FORM NO. 72003 ' Type name below signatures. 1 of l Parcel 030-2126-60-000 10/31/2013 04:51 PM PAGE 1 OF 1 Alt. Parcel 25.30.20.1030 030 - TOWN OF SAINT JOSEPH Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - OEVERING, ORANZO J & SUSAN T ORANZO J & SUSAN T OEVERING 1433 CERNOHOUS AVE STE A NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1327 BIRCH PARK RDG SC 2611 SCH DIST OF HUDSON SP 1700 WITC Legal Description: Acres: 3.020 Plat: 09-003-BIRCH PARK 030-02 SEC 25 T30N R20W LOT 26 BIRCH PARK Block/Condo Bldg: LOT 26 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 06/07/2013 980095 WD 04/23/2002 677006 1877/91 QC 2013 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/11/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.020 68,000 0 68,000 NO Totals for 2013: General Property 3.020 68,000 0 68,000 Woodland 0.000 0 0 Totals for 2012: General Property 3.020 68,000 0 68,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I I / N00''11'w 250.82• Bar 1"Or r 4\11 IA 10 j Ipppy±pp!~r! y : O to g j I- NN INS: a IV at -a 2 N w 3 N00'17b1'E 401.73' sr j r -mot 8 _ BIRCH_ PARK s° soo*imlw -1 237W sso 0 I al I I ~ 8 N N!j Iv INS a; t..., a O rt' - .I Ioa~~s,Q n v R ~ rro O Iva GD`