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HomeMy WebLinkAbout016-1053-50-075/Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM '• Safety -and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) ~ ~• Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ^~own of: ~raxler, Mik., Glenwood Township CST BM Elev.: Insp. BM Elev.: BM Description: i ~ IAIVR IIVtVKMA11VfN TYPE MANUFACTURER CAPACITY Septic D ~ e, ~v. r ~a .~" lwn (~So Dosing ~ ~, Aeration Holdi TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ~q-p ~ ~/ ~C ~Z-r --~ NA Dosing r' -~je! " 2 ~ ~ NA Aeration NA Holding PUMP /SIPHON INFORMATION ~t0~. Manufacturer Model Number i TDH I LiftR.34 ction [ ,~~. Demand 4j~'~` G PM 1~' TDH ~~.ti3Ft Forcemain I Length (~5-rl Dia. 2 a I Dist. To Well ~~) SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No.: 374987 tate Plan ID No.: O~(v ~ j~ 7(~An1s ~~~e 32~! ~- C~ 7 Parcel Tax No.: 7 as ~ ~ / -'• J7~1~9 ELEVATION DATA,,-,/7.3' STATION BS HI FS ELEV. Be hr~ k (z.Z ~ I/Z.ZS J60.p -` ~~ " S•S a6 •~ Bldg. Sewer t" ~ ~u1 c*ias St/ Ht Inlet ` ~ 8 `r 8.b} u3.58 r St/ Ht Outlet e--~ Dt Inlet ~~ ~-~--- Header /Man. Z_ rs- ~ I p , 2 r Dist. Pipe ~ 2 • ~ ~ ~ O. 2~- r Bot. S stem - Y 2, S' ` " 1 D `f pq , S?- Fi I Grade see- ~ (~ S'1-. C.rrt~ ~"rie BED /TRENCH Width r ~ Length r ~ ~tr Of T~ ewei~s PIT " No. Of Pits Inside Dia. Depth IMEN I N o 't'S ~ T . k,/~q.t DIMEN I NS SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHIN u acturer: INFORMATION Type O ~ S ~ ~ "-"-'~~ CH ER Model Numbe . System: f ~ OR UNIT DISTRIBUTION SYSTEM L4` ~-~ ~ `~ 5 v . f °. i_ Y' loa.c~z- Header / M nifold r! ~ Distribution Pipe(s) }~\ r tl 3 / / ~ x Hole Size r~ 1 x Hole Spacing N Vent To Air Intake Length Dia. Z. Length 3b.6 r Dia . ~ Z Spacing ~ 8 2 ~{ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies ppersons present, etc.~~ection #1: b'~/Z6 /~ Inspection Utz: o /a~/e~, Location: 3221 150th Avenue, Glenwood Cit;r, WI 54013 (NW 1/4~NW 1/4 24 T30N R15W) - 243015 -Lot I 1.) Alt BM Description =TP~~~1~• ~. 21 3.1 Z ~~i 2.) Bldg sewer length = I ~{. D -amount of cover = ? 18"Sean eon • ~ 3.) contour = C ~ ~ . O c{ ~ a.~ 3 • Z l `~Me'~L~ ~ ` ~ 1 Z . t ~ J PI'ari revision required? es ~No ` U~~ ~kiNe~r side or addition inf~m~tlo~ oR Z'~' ~ SBD-6710 (R. /97) IZ'I$ uSe~' C.lP~r ~ op ~ „Q,,,,,,~~ ~fQ,.NAC~.QyS• Inspector's Signature Cert. No. i 32.21 ~Se J+/. Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. PO Box 7302 `~5c0I'ISin See reverse side for instructions for completing this application Madison WI 53707-730'' Department of Commerce personal information you provide may be used for secondan~ purposes [privacy Lain. s. 15.04(1)(m)] . (Submit completed forth to courtly if r state owner. Attach com lete tans (to the county co ~ only) for the s stem. on a er not less than 8-1/2 x 1 I inches in size. County S 1 CrR~ I State Sanita Permit Number ^ Check if revision to pppti~tion t~ ~-- -.- ~~",,:otts~ ~ ~ State Plan . D. Number 3 ZZ ~ l ~iC.~tiV S. ~ I. A lication Information -Please Print all Information ; ~ ocation: Property Owner Name ~ '~. r, . ~~ ~ ,/ Q i c,'~' N-'~-f 1, C ~ ~ , operty Location c~ ~ d 37 ~ - .r ( ~ / y ' ~` yo ~7Z f 1/4 ~(JKJI/4, S PQ ,N, R or Property Owner ailing Address ~-~ ~ ~,.+ ~ r L umber Block Number ~~ City, State Zip Code Photte ber Ct7UNTy Su division Name or CSM Number ,~ I~ ~ ~Se~ ~ C°. L1! ~ S v ( ~, ~-~~'~ . P 3 ~ tu.~ 62.(0 8 II Type of Building: (heck one) ' ~~• ^ 1 or 2 Famil Dwellin No. of Bedrooms: r as ~ ~ ~ `~ `1 ! + :3 ' 1-'' .•-~ ( Y g - ~ ~u ~ n "~ T+'-S O City O , ' O Village D/~ - !O.5.3~ S ~7~ ... . j .._ _._.. ti . ^ Public/Commercial (describe use): I~Town / ~ ^ State-owned ` ~ ~ III Type of Perr.:it: (Check only ene bex on line A. Check box en line B if applicable) ~%st Road ~ h p) I. .New System 2. ^ Replacement 3. ^ Replacement of 4. O Addition to Parcel Tax Number(s) S stem TankOnly Existin S stem ljAS- py -~~ - s~- B) Permit Number bate issued ^ A Sanita Permit was reviousl issued IV. Type of POWT System: (Check all that apply) // ~~q • DO ^Noh-pressurized In-ground ¢4~ ound Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade r Aerobic Treatm t Unit ,~ O R4 irculating ^ Other: ~ r ~ ~ -( ..Q a D = V Dis ersal/Treatment Area information: ~ - ~' ST • 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application .Percolation Rate 6. System Elevation 7. Final Grade Required Proposed te (Gals./day/sq. ft.) Ra (Min./inch) Elevation gZ~ ~SZJ / y.SZ1 . Sr Q ~ ~~~~ ~ 8 VI Tank Capacity in Total # of anufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks s - ^ ^ ^ ^ ~ ~~v ~-- ^ ^ ^ ^ .~ ~~~ ~ - VII Responsibility Statement I, file undersi red, assume res onsibilit f^r installation of the POWTS shown n the attached laps. Plumber's Name (print) Plumbe 's Signature (no stamps): PRS No. Business Phone Number `o ~ ~ ~ ~~- .2D lum is Address (Street, City State, Zip `` .~ ,~-.5 Co ~ a ~ c, [.1J i .~ VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ~1 Approved ^ Owner Given Initial Adverse urcharge Fee) Determination •~ ~-2S -~fl IX. Conditions of Approval /Reasons for Disapproval: 't~'~-- t w~w~eN~~,a:~le~ . Q s c.oc~ \ SBD-6398 (R. 07/00) ~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 13, 2000 CUST ID No.227618 TOM GUSTUM N13450 937TH ST NEW AUBURN WI 54757 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIItES: 09/13/2002 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 198364, MIKE DRAXLER ST CROIX County, Town of GLENWOOD; 150TH AVE NW1/4, NW1/4, S24, T30N, R15W FOR: Object Type: POWT System Regulated Object ID No.: 760375 MOUND /DWELLING 450 GPD Identifica ' bets. Transaction ID N 4 281 Site ID No. 198364 Please refer to both identification numbers, above, in all correspondence with the agency. 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the State approved filter will be required. • A User's Manual shall be provided to the POWTS owner as per Comm 83 Wis. Adm. Code. E!. (~ A copy of the approved plans, specifications and this letter shall be on-site during construction and open to ~~r ~~ Ct`;~ inspection by authorized representatives of the Department, which may include local inspectors. All permits ~ Via, '~`"'' ~°` required by the state or the local municipality shall be obtained prior to commencement of ~- construction/installation/operation. Ol l~ ` ~ ' ; ~ , E: Pd? '~` i;FE' Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the addtess.._.._ _._.__. on this letterhead. ~ ~ ~ ~ E Sincerely, ROBERT KANTER , POWTS PLAN REVIEWER Integrated Services (608)261-7735 , 8:OOAM - 4:30PM, MON-FRI RKANTER@COMMERCE. STATE. W LUS DATE RECEIVED 08/29/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSIv1~1RT code: 7633 cc: MIKE DRAXLER M y MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: t3USTUM 1201 Mike Drexler Mike Drexler 1453 320 th Street Glenwood City WI 54013 715-265-7023 NW NW SEC24T30NR15W Glenwood °>~ ~~!l.~~~ St. Croix Block Number: 016-1053-60 ID# 24.30.15.375 ~~ , ,. P~' .` ,. e ,1:.~ ~ Page 1 Index and title Page 2 Data entry Page 3 Mound drawings a S. Page 4 Lateral and dose tank Jtllll~7 Page 5 Pump specifications Page 6 Management plan ~ Page 7 System and maintenance specifications ~/ Page 8 Plot Plan MME E ~6~ ~NDENCE Designer: Tom Gustum License Number: Date: August 24, 2000 Phone Number: Signature~~~ Version 2.4 (8/15/00) D1201 1-715-658-1344 Page 1 of ® 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information R Residential or Commercial Design (R or C) Orifice 300.00 Estimated Wastewater Flow (gpd) Diameters 1.50 Peaking Factor (e.g. 1.5 = 150%) o ~~ 5 3 450.00 Design Flow (gpd) 2 = / 3/16 = 0 188 17.00 Site Slope (%) . 7132 = 0 219 109.00 Contour Line Elevation (ft) . 1 is = 0.250 29.00 Depth to Limiting Factor (in) 9132 = 0.281 0.50 In-situ Soil Application Rate (gpd/ft2) 5/16 = 0.313 Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the hi hest int Pressure Disribution Information c Center or End Manifold (C or E) 4.00 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 1.90 Estimated Orifice Spacing (ft) 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) 95.00 Pump Tank Elevation (ft) 6.5 perational Head (ft) 14.33 Vertical Lift (ft) 2.52 Friction Loss (ft) 23.35 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 5.92 ft2/orifice Orifice Density Does the forcemain drain back? I~ Enter Y or N 19.57 Forcemain Drainback (gal) 67.22 5x Void Volume (gal) 86.79 Minimum Dose Volume (gal) 31.31 System Demand (gpm) Manifold Diameter Selection in. dia. o ions choice 1.00 1.25 1.50 x 2.00 x x 3.00 x Treatment Tank Information Gallons/Inch Calculator (optional) 1000.00 Se tic Tank Capacity (gal) 650.00 Totat Tank Capacity (gal) Midwestern Pre-Cast Manufacturer Total Working Liquid Depth (in) gal/in (enter result in cell 648) Dose Tank Information 650.00 Dose Tank Capacity (gal) 17.00 Dose Tank Volume (gal/in) Midwestern Precast Manufacturer Project: Mike Draxler ,:'``; ''" ~" Filter Manufacturer =~A ~, Filter Model Number ~~.. Page 2 of ~ Mound Plan View T -aisB~~ ~ "~~~~~~~~~~~~~~~ J :~.~,~ ~'~'~'~'~'~'~'.'.'.'.'.'.'.Otiser~rakioriP'ipe . .'•~ - T ~' "~ 1 ~~ 5.4 S ~'. 5"4.5•",.",.",,.S.S,.5:4.5.4"'.•"."",. ",,. S.4.S ~, *5.4" ~ .y" ~Y . : •. r• • a"" Y~"t"r"t"t•t.r"t.t.t=t."•=r": •t"t"t=t.t." t"t*t t 4.5"4 'e+~4.4"5+'4"5.4"S•4*"s•4*4.4"'.•4"4"4"4.4"5"°.•4.4•" 4~`." a+t•t•~""t•.F•t•.F"d'•.P•"°.t.t.t•t•t•t•t"t•t"t•d"t.t•t•1'•d'•.° 'd•J'•t A "~tdt~t".fit+t~t:."~t:t Y`t~: ~t~t ~t:t~t~t~t~t~t~t+ted~t:t %~t~tW`t .' t~t~t • P. . I L Mound Component Dimensions A 6.00 ft B 75.00 ft D 7.00 in E 19.24 in F 9.50 in G 0.50 ft H 1.00 ft K 8.66 ft z 17.72 ft L 92.31 ft J 3.73 ft W 27.45 ft 450.00 (ftZ) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate 1779.34 (ft2) Basal Area Available 12.50 (ft) 1/66 Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 111.38 (ft) . ,,,f„ F 109.58 (ft) ~ - Dispersal Cell - Elevation G H Dispersal cen ~ •' • 110.08 (ft) Lateral ~~ Invert D 109.00 (ft) Contour Elevation 17.0 % Site Slope Shading Key d o. ® Topsoil Cap c = {}f{{ Subsoil Cap ~' 9 0 ASTM C33 Sand ~ .{ }. Tilled Layer c ~ ~ 0 fir:".: Aggregate o ~ Project: Mike Drexler Dispersal Cell See lateral details page 4 for number of F laterals, size, and I spacing. Laterals are centered in the AxB distribution cell. Page 3 of ~ Lateral Layout Diagram Force mai n connection via tee ar crass to manifold at any point. P ~ =Turn-upva'ball valvear If}C~IExl2~xr2->I cleanoutplug II,,II Holes drilled on the bottom of the lateral. Laterals & force main of PVC Sch #4 per COMM Table 84.34-5 s ~k Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 1.50 in 36.63 ft 4.00 ft 7.83 gpm 31.31 gpm 23.35 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter 0.125 in 1.98 ft 19 5.92 ftz/orifice 4.00 ft 2.00 in Dose Tank Information Electrical as per NEC 300 and -~ Comm 16.28 WAC Disconnect ~_ Locking cover with warning label and locking device and sealed watertight i 4 in. min. Tank component is properly vented Midwestern Pre-Cast Ca ci 650.00 Volume 17.000 Manufacturer Gallons gal/inch ~- A B C D Dimension Inches Gallons A 22.13 376.21 B 2.00 34.00 C 5.11 86.79 D 9.00 153.00 Total 38.24 650.00 Laterals are identical ~- Aftemate outlet location Forcemain diameter ~ 2 in. Weep hole Or 8ntl- siphon device Pump aff elevation (ft) 95.75 ~e tank elevator (ft) 95.00 Project: Alarm Manuafacturer SJ Electro Alarm Model Number 101 HW Pump Manufacturer H dromatic Pump Model Number SHEF Pump Must Deliver 31. 1 g at 23.35 ft TDH Mike Draxler Page 4 of ~ 8 Pum Characteristics /Motor Unit Submersible Maned Models SNEF40M1 SHEF40M2 Autanotk Models SHEF40A1 SHEF40A2 H wer 4/10 Fslllo~ s 12 6.5 Motor T Shaded Pole (4 Pole) R.P.M. 1550 Phase 10 Voh 115 230 Hertz 60 T afore 120° F Maz. Fluid Tem . NEMA Dss a A insfdation Class A Di Sire 1 1 /2" NPT Solids Hmrdi 3/4" W ht 28 lbs. Power Cord 18/3, SJTW, 20' std (30' optanal) Materials of Construction Name Stainless Steel OR Dlelactrk Oil Motor Hors Cost Iron Pu Cosi Cast Iron Shaft Steel Mechadcal Sbah Sed Seal Faces: Carbon/Ceramic Seal Body: Anodized Steel Spring: Stahtless Steel Bellows• Buna-N hn hfr E ineered Therm lastic Bron:a Sleeve B lower B S k Row Boll Bearin Bottom Plate Pol ester Coated Steel fasteners Stdtdess Steel legs Engineered Thermoplastic Performance Data 40 30 H F ~ ~o 10 0 10 20 30 40 50 60 10 PM Total Hsad (feet) 10 14 17 21 25 28 30 35 (m) 3.0 4.3 5.Z 6.1 7.6 8.5 8.8 10.7 GPM (US GPM) 70 60 SO 40 30 20 10 0 (liters sec) 4.4 3.8 3.2 2.5 1.9 1.3 .63 0 Dimensional Data 3-7/8' (se.a2 3-7/e' (98.42) 3-7/e' (se.a2) ' ~- -- 7. All dimensions in inches. (Metric for international use). 2. Component dimensions may vary t 1/8 inch. ois~HARGe 3. Not for construction purpose 1-1/2' NPT unless certified. rct+ 4. Dimensions and weights are approximate. 5. We reserve the right to make revisions to our product and their specifications without notice. ro-a/rs• (2ss.7s) © 1998 Hydromotic" Pumps, Ashland, Ohio. All Rights Reserved. ~~ HYDROMATIC ~ -Your Authorized Local Distributor- . , .. .., . a~~ ~~~ ~ 1840 Baney Road Ashland, Ohio 44805 Tel: 419-289-3041 Fax: 419.281-4081 Web Site: www.pentairpump.com o~yrr srri~ ~~ ,.."••a SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES Refer to "Pumps" in the yellow pages of your phone directory for your local Distributor S ($ ~ ~) ~ --- %^w^d Item#: W 02 6680 1 198 SM \~OM~rir~+r ~ '" Mound System Management Plan Pursuant to Comm 83.54, tbs. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stales. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as rv~essary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain sdids in the tank that may slough off the filter when ren'roe~ed from its endosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated corrtinuousy. Intermittent filtEx alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its conter>is rer~wed when the volume of sludge and scan in the tank exceeds 1/3 the liquid volume of the tank. If the corrtertts of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be perfomred to rrrairrtain less than ma~dmum scum and sludge accumulation in the tank. The addition of bidogical or chemical additives to enhance septic tank performance is generally not required. However, 'rf such products are used they shall be approved far septic tank use by the Departrrtent of Corrrrrence, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected ~ least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is irrst~led within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erasion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the round is not recommended since sill compaction may hinder aeration of the infiRrative surface within the mound and snow compaction in the winter will promote frost penetration. Cdd weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mglL BODS, 150 mg/LTSS, and 30 mglL FOG. Influent fkiuv may not exceed mabmum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is rec;orrxr>ended that each lateral be flushed of accumulated sdids at least once every 18 months. When a pressure test is pefomred it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to mountain equal distribution within the dispersal cell. Observation pipes within the dispersal Dell shall be checked for effluent ponding. Ponding levels shill be reported to the owner, and arty levels above 4 ind~es considered as ~ impending hydraulic failure requiring additional, move frequerrt monitoring. General This system shall be operated in accordance with Camm 82-84 Wis. Adm. Cade, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] and kx:al or state rules pertaining to system maintence and maintenance reporting. No one shoukd ever errter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no lorxier used as POWTS components. Septic or pump tank manhde risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, ar sut~ject to failure must be replaced. F~osed access openings greeter than 8-inches in diameter shall be secured by ~ effective kxking device to prevent accidental or unauthorized entry into a tank ar component. Corntins~encv Plan If the septic tank or any of its componer><s become defective the tank or component shall be repaired or replaced to keep the system in Proper operating condition. If the dosing tank, pump, Pump c~rrtrols, alarm or related wiring becorrres defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by incr~sing basal area 'rf tce leakage occurs or by rerwving t-idogically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system irdo proper operating condition. Questions on the operation or m~ntence of this system should be directed to your designer, installer or county zoning or health inspector. P~~ 68~F~ Mound System Specifications Owners Name Mike Draxler Designers Name Tom Gustum Sanitary Permit Number Design Flow -Peak (gpd) 450 Estimated Flow -Average (gpd) 300 Septic Tank Capacity (gal) 1000 Soil Absorption Component Size (ftz) 450 Type of Wastewater Domestic Inffluent Limits Design Flow -Peak (gpd) Maximum Influent Particle Size (in) Maximum BOD5 (mg/L) Maximum TSS (mg/L) Maximum FOG (mg/LJ /Septic Tank J Outlet Filter Pump and Controls Alarm Pressure System Mound Other Se tic Tank Pum Tank Dis ersal 1000 450 450 NA NA 1 /8 NA NA 220 NA NA 150 NA NA 30 Service Freauencv Ins and/or service once eve 3 ears Should ins once a ear and clean once eve 3 ears Test once eve 3 ears Should test month) Laterals flushed and ressure tested once eve 1.5 ears Ins once eve 3 ears Lateral Turn-up Detail .••••....••••••••• •••••• 6"Diameter Lawn Finished Grade /Sprinkler Valve Box ( • , Threaded . Cleanout Plug or Ball Valve Distribution .......... Lateral .......... ......... . ~~~ ~\ Long Sweep 90 or Two 45 Bends Same Diameter as Lateral Project: Mike Draxler Page 7 of ® S I I ~~ - i - _ _ _ ~ ~ _I _ f ( i I - I -~ __. f I n/~ ~Q ~ ~. S ~~h~ a~~ 1 ~GK ~ f ~"~ n 4' ~, ~.~. _~ _T_._-. - - -- i -- N~ ~~ - _- ~,~ I -- t~-x !1 ~ ~!" t ~,[1 r ' ~~4 !x ~T r ro-- ~~ vl W ~J ___ ~ K. ~, ~~~~~ ~ -- __ ~ ;1~ ~`~~.,~~ aN ~ ~ I Foy p: ~~~ ~~ ~°/ _~~~ ~GI~ ~. d ~ , as _ ~ I I I ~ _._ /" y3 ~ ~~ - 1 ~tiriTUilf ~ / , i ' ~~~~ ~ -~_- - _ _ c~~. ,~ i i I ~ '~, -_ ~~ i ~/ f ~n --1- ; I _ ~~~QO• -_ _. ,; ~ , __ - --- , _. ~, !~-~~,,,~ ~ l ~ ~ ' ~vn f~ ~-r ~- _i~~ q -- ~ Vii' _- -- - -,! `~~ ~~ ,~._. -~__T_ 7 - __ _. ~ ~~ _.~ ;__ a~,~76~0 i -- , _ _. __~ _ _ Py~ 8~F 8 .•WisconsinbepartmentofCommerce SOIL AND SITE EVALUATION • t Division bf Safety and Buildings in accord with Comm 83.05., Wis. Adm. Code Attach canplete site plan on paper not less than 8'/2 x 11 inches in size. Ptart must , include, but notiimited fo: vertical and horizontal reference pant (BM), direction and percent slope, scale or dimernsions, north arrow, and location and distance to nearest road. APPLICANT INFORMATION - p/ease prinf all information. Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Page 1 of 3 AC.E. Soil & Site Evaluations County I St. Cro1X Parcel I.D.# 016-10530 ID# 24.30.15.375 Property Owner ,~ 0 ~ „-_I ~ ~~~ Property Locatron Joe DraXler Bu er: Mike Draxler `~,.%~ `~ / ~ Govt Lot NW U4 NW i/4 S 24 T 30 N,R 15 W Property Owners Mailing Address ~;` ;,~`~ l ~;V`,, ~ ` `~l ' - Lot # ` Block # Subd. Name or CSM# ~~! ~,~-~ ~ ~~~ 1453 320th Street ` ~ City Stat _.~'pCode PhoneN.~+mtt~~;~y !; City ^Village Town Nearest Road GIenwoodCi W '5401 7~5~~265-7T023 ~_' ~ Glenwood ~ 150Th Ave. 3 ^Additkm to existing building ^ New Construction ' ~ Residential died , Use: ^ Replacement ^ "Public or ~ I d lr Code Derived daily flow 450 `\ c~pd rR ~ mended design loading rate .5 bed, gpolft~ .6 trench, gpolftz Basal area required 900 bed, f~a~ Maximum d ' n loadin rate •5 bed, ~9 9 9l~ .6 trench, 9PdIRz Recommended infiltration surface elevation(s) 110.0 at 12^ above 109.0 contour. ft (as referred to site plan benchmark) Additional design /Site COrtS~erationS Variance required to overcome 12% slope limitation as specified by Comm. 83.23(lxe). Parent material loess Fktod lain elevatior-, if NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®u ®S ^ u ^ S ^ u ^ S ®u ^ S ®u ^ S ® u SOIL DESCRIPTIO N REPORT Boring# 1 Ground elev 106.68 ft Depth to limiting factor - 30~. 2 Ground etev 106.65 ft Depth to limiting factor 29' _ _~~ ~~ Dominant Color ~~ Structure n isten C Bounda Roots GPD~ Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. o s ry Bed ;Trench 1 0-10 10yr3/2 None sil 2fsbk mvfr as 2f 0.5 0.6 2 10-16 10yr5/3 None sil 2msbk mvfr as if 0.5 0.6 3 4 16-21 21-30 10ye4/3 10yr4/4 None None sil sil 2msbk 2msbk mfr mfr cs cw 1 f if 0.5 ~ 0.6 0.5 0.6 5 30-44 10yr4/4 f2d 7~5 5/,8 sic! lcsbk mfr gw - 0.2 ~ 0.3 6 44-74 10yr4/4 m2d 7.Syr5/8 sic! Om mfi - - NP ~ 0.2 Remarks: 1 0-10 10yr3/2 None sil 2fsbk mvfr as 2f 0.5 0.6 2 10-17 10yr513 None sil 2msbk mvfr as 2f 0.5 ~ 0.6 3 17-23 10yr4/3 None sit 2msbk mfr cs if 0.5 0.6 4 23-29 10yr4/4 None sil 2msbk mfr cw if 0.5 0.6 5 29- 3 IOyr4/4 f2d 7 SvrSL$, sil lmsbk mfr gw - 0.2 ~ 0.3 6 33-71 10yr4/4 m2d 7.Syr5/8 sic! Om mfi - - NP 0.2 Remarks: CST Name (Please Print) Signa~re: Telephone No. James K. Thompson \ 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake lane, Osceola, 54020 4/26!00 3602 1216 ~c~ ~. .~ jROPERTY OWNER: Jce Drexler Buyer: Mike Drexler • PARCEL I.D.# 016-10530 IIltl 24.30.15.375 c 3 Ground eiev 109.93 f Depth to limiting factor 32" ~~ Ground eiev SOIL DESCRIPTION REPORT D~ih Dominant t;,obr Mottles Struchtre t ce i Bo Horizon ~. Munsetl Qu. Sz. Cont t;',olor Texture Gr. Sz. Sh. en s ~ u g~ Ttr'nch 1 0-9 10yr3/2 None sil 2fsbk mvfr as 2f 0.5 ~ 0.6 2 9-13 10yr5/3 None sil 2msbk mvfr as if 0.5 0.6 3 13-17 10ye4/3 None sil 2msbk mfr cs if 0.5 ~ 0.6 4 17-32 10yr4/4 None sil 2msbk mfr cw if 0.5 0.6 5 3 - 1 10yr4l4 f2d~7 5~8- sil lcsbk mfr gw - 0.2 ~ 0.3 6 41-72 10yr4/4 m2d 7.Syr5/8 sicl Om mfi - - NP ,, 0.2 KemarKs: Depth to limiting factor Ground eiev Depth to limiting factor Ground eiev Depth to limiting factor tits Page 2 of 3 A.C.E. Soil & Site Evaluations Roots GPD,~ c~ r ., "S •S "C . . '` ~' ~sa~,q,,~.. ~- n osb. lev.'=//~/. ~e ce P F OQ. \ G~~de elelf.- = io9.8s.~ ~ ~\ ~ P; E 83 ^ \ /aoe ii /~ ~ ,/srr~le . ~'= Flo, . ~. 3~~ ~~ ~G/ /%/7 ~c~E%/,'~y boo%. ~4sSkined a I<~ ~~, cm.` ^ a- idP~'c~~ /,3~c izo. y© /Z0.71 ~ c~o~or6x. b/d~. S:~e f eF ~D izib ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OVWNERSHIP CERTIFICATION FORM OwnerBuyer /~- ~~~~ -.1/2 s~,o c..cx Mailing Address /5~~3 ~ZD~` .5--' Property Address 5 d ~' ~ U-e_. , (Verification required from Planning Department for new CitylState ~~ ee~~r, as ~ - Parcel Identification Number 4i~ _ is g~3 - sa - Qoe LEGAL DESCRIPTI (ON Property LocationA~~-V '/<,,f~~y '/a, Seaa~~,, T--~D N-R,l.~_W, Town of ~ Subdivision ,Lot # l Certified Survey Map #loo?~ ~ S'Z . Volume ~ ,Page # ~ ~ Warranty Deed # .~~? ~ 7J'~ .Volume ~ .z ,Page # 7Q Spec house O yes ~ no Lot lines identifiably 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 se tic tank as a treatment stage in the waste disposal system. S~/~r7c 7~cJ~C ~r Gr~/L rrltls'T BF iNs~°E-cT'H> ~~~ ~'L~-.mac-~ ~lc~T ~'~~he~pr~~o~wner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, b~sneyman plumber, restricted plumber or a licensed pumper verifying that (i) the on-site wastewaterdisposai system is in proper operttiag 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 requiremgpats and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Cotnmcrce the Department of Natural Resources, State of Wisconsin. Certifcatiou stating that your septic system has been maintained must Kc completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ~~~ .~ S NA' OF AFPLI 'T DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) lmowledge. I (we) am (are) the owner(s) of the grope e ° ' a , by virtue of a wa ty deed recorded in Register of Deeds Office. ~/ /~ ~.~ SI ATURE OF APPLICA DATE ****** Any information that is mis-represented may result in the sanitarypermit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office $ copy of the certified survey map if reference is made in the warranty deed von 1528 PAGE 170 STATE BAR OF WISCONSIN FORM 1 - 1998 I WARRANTY DEED Document Number This Deed, made between Joseph R. Draxler and Charlene Draxler, husband and wife as survivorship marital property Grantor, and Michael Draxler, a single person Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): Lot One (1) of CSM # ~,, ~p ~p ~p~ ,Volume ~_, Page .~ and'being located in the Northwest Quarter (NW 1/4) of the Northwest Quarter (NWI/4) and the Northeast Quarter (NE1/4) of the Northwest Quarter (NW/14) of Section Twenty-four (24), Township Thirty (30) North, Range 15 West, TOWN OF GLENWOOD, St. Croix County, Wisconsin Together with all appurtenant rights, title and interests. E.s2~.7'S+6 N.A'fHI..EEM H, wAt.SM F;CGISTEFr OF DEEDS ~~r, c~azx ca,, wz kECEIVED FOk REGDkD 47-24-0044 1P:54 PM YAkRANTY DEED EItEMPT 11 8 CERT COPY FEE: CDPY FEE: TRANSFEk FEE: RECORDING FEE: 14.40 PAGE5: i „~l ~'k e D~~I,~l~~' P~ ~~~ ~y ~ !~ ~~ ~ a ~~ C'i ~•Id ~.z S y~f~ 7/lo-/os.3-sa-oaO,~ai -/a Parcel Identification Number (PIN) This is not homestead properly. (~ (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record. Dated this -~a~ day of J c. 2000 AUTHENTICATION ~~ ~~. _~ * Jo p R. Draxler * Charlene Draxler ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) Joseph R. Draxler and Charlene Draxler ~. ) ss. J ~ • C-`d' ~ County. ) husband and wife as survivorship marital property ~~, Personally came before me this _ ~ G day of authenticated this day of 2000 ~~~°°°°a i ~t~rrt1 ~ + UO U the above named `~.`G~~ ' Jo'sep axler and Charlene Draxler, husband • ~ ~ ' e' rvivorship marital property * = ~" . L TITLE: MEMBER STATE BAR OF WISCONSIN (If not, yNi° • ~to me known t8 be the person(s) who executed the foregoing • -.. _ ^^ ,, '' l `V t ~ ~~~~ 2~a~ ~ 1 sN ~U~ ~~N~w es ~ 6~~~ ~~ SNP-~s~eto(D~ C`~ 6, ----- CERTIF'IED SURYI~Y MAP LOCATED IN THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER AND THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 24, TOWNSHIP 3O NORTH, RANGE '15 WEST, TOWN OF GLENWOOD, ST. GROIX COUNTY, WISCONSIN. N1/4 Cor. ~ Owner: Joe Draxler Sec . 24 (rebar f~~ihd) 1.41" dia. Z W 0 W J ti 0 z ~i OI Z~ QI J, i of W ~I til Q ui ~I z ~I ~ N !~ co o h m ~ UNPLgTTEO z - - - - 33' 0 v (V iIp W m O rn m ~I 33 ' S' 02'57'24"W 3.04 ' 2~t 1453 320th St . Glenwood City, 54013 LANDS ?63.72' I 33' I I i I I WES_T_LINE OF TH_E_NEl/4-NWl/4 I EAST LINE OFiTHE NWl/4-NWl/4 ~Ll ~ i ~,I ZI Wll Q l i I- m (~'? I~ W: ?~ I `~ ~: 3 I~ I•"' to u~ . I O1 m . Iz 1 I LL®7l~ 1 =i O ~ I ~; ~ I I Q: m: I ~: 33' I I I-- /oo' I I Qua, w N ? ' m o UN~ 7 •se m o ~ ~ , <-4TI',~ ~~ Bearings referenced to the North line of the Northwest quarter of Section 24, assumed S89°50'38"E. Legend St.Croix coun*.y section corner monument . • 1 "X24" Iron pige weighing 1.68 lbs per lin. ft, set. -~--~ Fenceline . Lot Size ~ , 221129 Sq.ft.(5.076 ac). ~ N' including right-of-way. . ~~ ~ z i 199763 Sq, ft . (4.586 ac) . lr0 Q ~ excluding right -of -way. 3 fD ,~~```~`~ NSA ,~~~i ~ 2 '~ HARVEy G. JOHNSO ~ ~ ~ S-189 N N : HUDSON 1 o t ti! WIS r° ~ tt ,7'i C'9 '~'•.....•~••' ~Ct~~O,. ~I ~1 ~4PPROd~~® ST. CROIX COUNTY Planning Zoning and Parks Committee