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HomeMy WebLinkAbout040-1156-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION ( PERMI ATTACH TO 567267 0 � 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: Emmerich, Craig & Maria Troy, Town of 040-1156-70-000 CST BM Elev: Insp. ,/ Elev: BM Description: ,�/� Section/Town/Range/Map No: 4D /' ` 24.28.20.613A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER �`,�fs CAPACITY STATION BS L HI FS ELEV. Septic Benchmark A0 rJO G1 ++— Alt. B d P o z J4,0 16Z-05 Aeration Bldg.Sewer .Lg..PdAv L Holding y'3 7 St/Ht Inlet 49M 1 1 , o] 9'Z - s TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to it Intake ROAD Dt Inlet Septic i �d1 Dt Bottom Dosing Ap Header/Man. Aerati IQ,L �` r-r Dist. Pipe Holding Bot.System 11.30 90. 39 PUMP/SIPHON INFORMATION Final Grade z 7. 5 , ` 5 4 J/ ?' Manufacturer Demand St Cover GPM 1 3 A •$ A/.6 /az . 7 t Model Nu TDH Friction Loss Syst H Ft Forcemain Length Dia. Dist.to Well 3 b 93• SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR J, Type Of System: I UNIT Model Number: DISTRIBUTION SYSTEM e � �k�� Header/Manifo� �� Distribution x Hole Size x Hole Spacing Vent to 4r In Pipe(s) `� �\ 5- � h Length Dia Spacing l wt Length Dia SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only O Depth Over O Depth Over xx Depth of xx Seeded/Sodde xx Mulched Bed/Trench Center 4• Bed/Trench Edges ` Topsoil es R No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: 7 / / InspectioR#2: / / Location: 247 Cove Lane RIVER FALLS,WI 54022(NE 1/4 SW 1/4 24 T28N R20W) 40 res6Lot �c�� Par No: 24.28.20.613A 1.)Alt BM Description= GOJ.C/`, ���LA_ 2.)Bldg sewer length= 7-Z`7(0 1,V1 -amount of cover o.^. clu 6t,#(AWS Plan revision Required? � Yes No Use other side for additional information.SBD-6710(R.3/97) Date Cert.No. F- ".. ,. i�:�::-%,,:"�,�',, � �,.��! *.::�:�i.!,, � .I I.. � ... 1: --` ,��.�—: — :�. ... — . 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Box 7162 Sanitary Permit Number(to be filled in by Co.) 7 �l' K Madison,WI 53707-7162 'a S& 2 C o.~ State Transaction Number Sanitary Permit Application In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POTS are submitted to Project Ad ess(iPOINTS different than mailing address) the Department of Safety and Professional Set-vies. Personal information you provide may be used for secondary 9 f /' V L��� purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. 7 (i(! / L Application Information-Please Print All Information , / I i N. R/11 ' v '' f wi- Property Owner's Name Parcel# L—{w; AL-) Ala f'�.s� � lti.e� ' .T CROlx_COUNIY (�V0 //s-0 _ 70--oc.x. Property wner's Mailing Address ? " Property Location ! o/ 3/ 1 w i ( y 4 "7 ?PA 5 Govt.Lot Ci ,State _ I r, Zip Code Phone Number /(� �- /,, S ca 1/4, Section z ` "'� �/2 y CI 2- 5 °f= 43 (circle one i✓ �✓ at S "1 T r7 N; R R O E or�W IL Type of Building(check all that apply) 40 Lot* Sub vision Name / Y FL.or 2 Family Dwelling-Number of Bedrooms /� T Q 4/_W_1A-4 e:ei /1�%G Block# V 24 54 - YV !2 tc2Ar 1./'II❑Public/Comore cial-Describe Use ®Q/Ti( AO � ❑ City of ',dad as Be- CSM Number ❑Village of ❑State Owned-Describe Use -177-a(6 Town of IIL a of Per 't: Check only one box on line A. Complete line B if applicable) • New Syst ❑ Replacement System ❑Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System(explain) List Previous Permit Number and Date Issued B. ❑Permit Renewal ❑ Permit Revision ❑Change of Plumber ❑Permit Transfer to New Before Expiration Owner IV.Type of POWTS System/Component/Device: (Check all that apply) ,-Non-Pressurized In-Ground ❑ Pressurized In-Ground B At ade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) 5 IA Wetreatme t D vice(e , (� lO L • ' ., ■ OG 44 V.Dispersal/Treatment Area Information: 3r j , Design Flow(gpd) Design Soil Application Rate(gpds� Dispersal Area eguired(sfJ✓ DispersalArea.�Proposed(se System Elevation 7 ,' 4 55 r 7 r� /z C/ `q J VI.Tank Info Capacity in Total #of Manufacturer y Gallons Gallons Units .n 2 t9 13 0 New Tanks Existing Tanks a) o ° y- E ro a U n y cn G.T.5 i]. Septic or Holding Tank (0 p 0 1 0 a t I r o f X Dosing Chamber 1/t// Po/y l o 5 25" -67-(- v- VIL Responsibility Statement- I,the undersigned,assume respon ibility for installation of the POWTS own on the attached plans. Plumber's Name(Print) Plumb 's Signatur C t'RS Number Business Phone Number �r Z 7 3 7f ' �, 22 �i� C r r- w 3?/� 5 23` ---W S Plumber's Address(Street,City,State,Zip Code) `� �r c rJ Q Z- p 14040 CA/j 6?'r ir C4S 1 County/Department Use Only Permit Fee 7suey ..suing Agent gn•1 Approved ❑Disapproved $❑ Owner Given Reason for Denial ��� Z2013 t IX.Conditions of Approval/Reasons for Disapproval g e /� &de / / ,, 6' t i SYSTEM OWNER: �, ,., 2 ,/MSS �Q, w,�,�c✓. 1.Septic tank,effluent filter and (iv4$��� w" '7 dispersal cell must be serviced/maintained • as per management plan provided by plumber. 2.All setback requirements must be maintained as pr appliodblotagigaikanficas for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398(R. 11/11) • CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: CRAIG AND MARIA EMMERICH Owner's Name: CRAIG AND MARIA EMMERICH Owner's Address: W11945 757TH AVENUE RIVER FALLS WI 54022 Legal Description: NE1/4 SW1/4 SEC24 T28N R2OW Township: TROY County: ST CROIX Subdivision Name: NONE Lot Number: Parcel ID Number: 040-1156-70-000 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing&Cross-Section Page 4h'6 it.4 Filter Specs "' 0/Ai Aftel Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed P4( CSM or Plat Attachments: Soil Test&House Plans Designer/Plumber: JOSEPH M WOJCIK License Number: 4127 Date: 10/28/2013 Phone Number (715) 748-4422 Signature 607 z:9' Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P(N.01/01). Page 1 p g • •f: :P ' n r :,. ' `e: d oil Evaluation F4ge �.of S O Pro :: ` e. Ask. ol i4 -� i4 s 24 f 9 .p 17 .N� A.�a ' w. :.a elcka :; •A'r:. t ' �1kho•. .::. . : .•: : ...:.... . .:..:. F . . :::..;::. ...:.... ::.'.. S A �' C . . .:.. ::• .. :..,;o' .ors' � 4 Vie.. -ter Q • `W y 44__ V S i9y•br 7, '-�xt P•..•: • ...:..:. : :0,i • re !`•,):,••••••0:00.•. - -... ......::'.. .'i•:..T.`f*: • - :.,.,•••4 ' 8,.---::::::,::::-.. . . ••• • . ...,..., : •••.::,_ •••••::::::::.""••••..•p:•.... ........, .• : ...:.:.. .• �g .s , ('4 A�. • 5: •Site Locaon .::::::• .. : ..................•• 1 . (1 , z. . C v � . , Soil Absorption System Cross Section . . 95.50 I4'Schedule 40 Final Grade PVC Vent Pipe 3.00 II With Vent Cap ,�i ft Leaching Chamber --► 92.50 ft A-- System Elevation `—'3-.1/0 ft 3.01 h Soil Absorption System Plan View • ft 65.00 �� • 3.00 ft IIIIII( I III 1IIJIIIII 111IIIIIII II1IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII1N#IIIIII9 ft Leaching Trench 1 Vent Or Observation Pipe Chambers -----.1 (IIIIII III11ii11111111iiii1Iii1Ui i111i 11111111111111 111111111111111111111 IPIIIII(I:—\4•Dia. Trench 2 Header • Leschina Chamber Saecifica on Manufacturer And Model ADS INC ARC36 EISA Rating 25.00 sq ft per chamber Soil Application Rate 0.70 gpd/sq ft 450.00 gpd Design Flow+ 0.70 Soli Application Rate + 25 EISA= 26.00 Chambers 2 rows of 13.00 chambers each. Page 3 of_ • • • 55' / / / 47' / 8' / //3' 44' /,,, 5.21 X/2' D A N h)• u~ / - lc - w o (: I N- a , 20' ,f, 2' a a 1 Zm 3 \ 00 m X 0 D r V) 0 I- f'7 PI <C c v m -41 r°e7A 3' in �O �aaZ Z :obi •• 11 n 11 NO P N CO CO .- 0 ;� • 0 0 o N to m < Ap a Cl C. m to 71) DD D 3 Z 0< ✓ n m O °D Z 73 \r r / Z m CI m 2 (m n n a (4 y ❑ � D m rn O C) m A D n t7 S -I C) / 45' / 10' / �m I-4 A °z tDir a °ti c❑❑o mr / 42' / x D 2 to m -i C O O Dw Cf n H -i Z Z z n� <r rn '1D�'' ON C ❑ m m r r CZ Am / • X /�•'Y O,°y < 0 0 fm'1 r r- m A D t:'1 I 2 i m -0 to W 0 oC A --� D ❑ m A -Im m m< vid (: I I z o r r 3� c \ - I ZO.. m n y A m 2S D H IVJ �p m f7 C D i 0° c,O m A D N 0 c,-0 r 20":° . z o G H a �o ° -1Z W3 D2 H 'V " Oo < mr m *44 ?n D ❑ r0 m y,� H A<rZ 7C m m O o p N en H r -1 D< -.1 A3 .❑ -� f- m m N m o,� Z m 'p < A Z O r m n y VI n -I �•n fr'1C O 0 1 n -a D D<D XI O m _I -4 -I m r O O mr:^ Ao z A z in Z D D Cl r w 'c-\— rn 1�- ,_ F------------- n r r-........., :'2 m o IiI 90.25' I- 84.25" y0 Bl' X --I r to ri D -I 1Ni v) \ / m 0 f'n -"I fl) D ® ) I •El‘•;) v � r MI in o= r / \ /J ZD r O f7D m0r AA < p mA 2 Nr r'1Z viy —' r.7Z v I ^ I5, G) -- L EM— ' PROJECT: HUFFCUTT 4154 123rd STREET iii N.P.C.A. CERTIFIED PLANT CHIPPEWA FALLS, WI 54729 a CSC J 1,000 GAL. HEAVY DUTY PUMP, SEPTIC, HOLDING, C 0 A CRETE. n C (715) 723-7446 w (800) 924-1516 @ MEMBER OF: OR GREASE INTERCEPTOR FAX (715) 723-7111 ■ www.huffcutt.con A NATIONAL&NISCONSIN PRECAST CONCRETE ASSOCIATIONS . , a V �;/ '1 npi ail' il�'= DUI ,I :1 Z ■ a w _ = p a. °� W w O z w _ I c� J w= CO W d S _=--*,,_ — \;� \o�� _ � V a z- = a �� — .1 _® /_ 03zo � m_ M 0 co", O Z~ Z g d \ i 0. N 1. \ Q/ rl ./ _ \ — — , \ I- _ - i _O rn _ = = % I` w 0 p co — % �. CO a 0O W> cn �F %�� a�/ �� ll���l�l _ �dil�l�l l� V�I11 �i, id �i �� � �= d ® w CL IN/Al li. . z . 03 -J ....,-; _ .,..7 ,14 _. 1_1.,2 Cr f Q Q . __Al: m c_) 0 6W 711 CNI co ce I-0 W s . 1, , , 1 , 1- �� col:�' � CL A*:I1 0 _ , , 4. < ill a ill" 1 CL is 1 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings accordance with Comm 85,Wis. Adm. Code Cou y ST.CROIX Attach complete site pl n not s than 8 1/2 x 11 inches in size.Plan must include,but not limite v I a orizontal reference point(BM),direction and Parcel I.D. 040- 1156-70-000 percent slope,sca d ns' s,north arrow,and location and distance to nearest road. %fp ease print all information. +its C '-d by // ,,,, --__ Date 2 Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). r 1 f//// 1 7 Property Owner Property ctio 2D E( � CRAIG EMMERICH Govt.Lot ----NE ty/Cnt1NT114 S 24 T 28 N R 20 E(or)W Property Owner's Mailing Address Lot# 1416c1 4-.Subd.Name or CSM# W11945 757th Avenue -- -- -- City State Zip Code Phone Number ❑City El Village El Town Nearest Road River Falls, 1 WI I 54022 1 ( 952) 239-4855 Troy I Cove Lane a New Construction UseJ Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement ❑ Public or commercial-Describe: Parent material sandy outwash , Flood Plain elevation if applicable NA ft. General comments Conventional in-ground trenches--0.7 loading rate and recommendations: f �Q i I _/ o� p o 0` g 2 < 3 6Syste l e�io-n to be determined based on location of trenches. - Y 1 Boring# 0 Boring a pit Ground surface elev. 96.50 ft. Depth to limiting factor 126 in. ' Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-6 7.5YR2.5/2 -- 1 2f-msbk mvfr as 3vf-co 0.6 0.8 2 6-14 7.5YR3/3 -- 1 1f-msbk ds cs 2vf-co 0.4 0.6 3 14-34 7.5YR4/4 -- sl 2fabk ds cs 2vf-co 0.6 1.0 _ _ - 4 34-64 7.5YR3/4 -- cos Osg dl cs 2vf-m 0.7 1.6 5 64-126 7.5YR4/6 - -- cos Osg dl aw lvf-m 0.7 1.6 6 26-137 •YR5/4 Cflf 10YR4/6 ) lvfs lmsbk ds -- -- 0.4 0.6 2 Boring# Boring 95.50 120 Boring_ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . GPD/W in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-7 7.5YR2.5/2 -- sl 2fsbk mvfr as 3vf-co 0.6 1.0 2 7-24_ 7.5YR3/3 --- Is lf-msbk dl as 2vf-co 0.7 1.6 3 24-4 7.5YR4/4 sj/S is Osg dl as 2vf-co 1.6 4 -99 7.5YR4/4 -- _ s Osg dl cs -- 0.7 1.6 5 99-120 10YR4/4 -- , - /s Osg dl -- -- 0.7 1.6 y/ 2-5- 3 6, �� lrboQA (7.(IGixteA S r • *Effluent#1=BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS<30 mg/L and TSS<30 mg/L CST Name(Please Print) Sig ,-�. CST Number MARY JO HUPPERT,Hollister's Soil Testing&Design � �p���t.1 224832 Address Date Evalu i n Conducted Telephone Number W9875 690th Avenue, River Falls,WI 54022 10-24- 13 715-426-1775 Property Owner EMMERICH,Craig Parcel ID# 040- 1156-70-000 Page 2 3 of 3 Boring# 0 Boring a Pit Ground surface elev. 94.40 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-6 7.5YR2.5/2 -- sl 2fsbk mvfr cs 3vf-co 0.6 1.0 2 6-20 7.5YR3/3 -- _ Is if-msbk ds cs 3vf-co 0.7 1.6 3 20-46 7.5YR3/4 -- _ s Osg dl cs 2vf-co 0.7 1.6 4 46-78 7.5YR4/4 -- s Osg dl cs 2vf-f 0.7 1.6 5 78-120 10YR5/4 -- s Osg dl -- -- 0.7 1.6 Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. I Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fW in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 *Effluent#1=BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD,<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Test(P.07/00) 4 t • Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner cr.,41 emmbeicti , 1 1" = 40 ft Legal Description ME V4 of-rtrc sw'/ , s z'4, (except where noted) TzgM, I zo w , -I-o,nl N o F- -T1-44N) s'r. c.R oix lj = B/1 ackhoe pit c.:.ovArry1 Wt`5.441JLstA) • 4' TrCRGs North 9 tt oo ' g7.50' I 7- p'63 Ltot 5-TA Kt D P5V 94, e©` 9 tae ��oo ; b' eIG' U t .. _ F Sr tl<6 ;;' Q.r.0 ^ ; oo � OD' 4s y e) tpo. ' fPP�oX.�40 i.d Ir ___ N - e . t/UIl -07f+rL l 1 I:-V A CA Site Location: 04 cli:st, or wr 1111111&"1 7-4 AiNo -t4 DR' , . ' . ____... _______...... .. . . , g. ! , 1 i I • ... \ 1 5:1t •I .c.,,,, ,.i•.:,,‘..:-..:;:;i.:`0' ; . sea gi F- m+ 07 . igi 1 ‘ 181 V 1 V,' ..Z ' \ „. \,, \ h ''!,■• . .. \ .' A 1„, 6 . •;\ '4,:!.',.;■., . . .‘ •.:•.,„ \ N \ .., . g \ \\ ‘i\ ' .. . .4. i''' • . \ g ' ‘\ \ • 4i1"' ------,-) \. :'.\ \ \ \ . .,1 0' .., . ,..=,•:, \ . \ • ',. - .',. \ \\V\ \ 8 '' 'Etk \ g a a4i '-, ,-, ... .., . . . .,.. ; —... •--r-. . =.vo 1 e ° a.,,•:::--,',--- -?,' ri.,,--- ,. . 4000000 0, 3 I. .1,1 ..-., •., 41.•O. ; 1 ..31,4,:,-., A t -' 4; v gg.0. . P. . !I a 3 i 4 t woo -• ..•• -4 ,,,.• ._ ri. ,•-: ,,,:. c. ,.. .., , ..,.., .! g stiViiiai, .: . , ._. ,.•, t glt . 1 _ Iiiiimeg -o I 1 4 millIll101E:,.2.,,7.7, _1:-:.:-::;.:::72-,?.: :;: .,,g,-f,z- --,,,Lt-:n:,„,,,,:...'•::7i,i.::1'.•.A-A0102.' , —. , e , I.1: f.. a 1 • , to ! 0 E ' I f 13 W g 0 .1 1 . 1 - -.- ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer CRAIG AND MARIA EMMERICH Mailing Address W11945 757TH AVENUE Property Address a 7 cove- c.-I--'JC (Verification required from Planning&Zoning Department r new construction.) City/State RIVER FALLS, WI Parcel Identification Number 011 6-70-000 0-000 LEGAL DESCRIPTION Property Location NE '/a , `S W '/a, Sec. S24 T T28 N R 20 W,Town of TROY Subdivision Plat: ��� i�-5 M1d— 'Q "6Zc% a. ,Lot# Certified Survey Map# , Volume ,Page# Warranty Deed# 9gf � / (before 2007)Volume ,Page# Spec house❑yesIEno Lot lines identifiable(3sDno SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in§SPS.383.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&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. I/we,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 Safety And Professional Services 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 Planning&Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowlbdge. I/we am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 (0 3o' I 10/28/zoos SIGNATURE OF APPLICANT(S) DATE ***Any information 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 Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) : x h �r� vylu �.. v� k �� lit ILTE R CARTRIDGE INSTRUCTIONS O$ Installation 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. 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. _ . .'''''i' 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 90°. Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced. 2. Open the outlet access opening to inspect the tank and filter. 3. Pump the septic tank completely, making sure to remove the sludge i _ ' , „ •, „ layer on the bottom of the tank and not just the scum and efuent. : t 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 , cartridge from the case. 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 s should be removed by turning counterclockwise 90° and cleaned with water only. 7. While holding the cartridge on its side (large flat surface facing _ down) over the access opening, rinse off the cartridge with water a 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 90°. ' 9. Insert the filter cartridge back into the case, pressing down until.. ° the filter locks into the bottom of the case. r 10.Replace and secure the access opening on the tank. BEAR ONSITET"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.ONSITET"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. - _ f.. .j L- ',i :: xdq 9 ail Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to DSPS 383.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of DSPS 383 and 384, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with DSPS 383.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-10705-P (R.1/01). Table 1: System Design Specifications Sanitary Permit Number .`� 'Z Number of Bedrooms Design Flow—Peak(gpd) 14 5 Estimated Flow—Average (gpd) 3 an) Septic Tank Capacity(gal) C d kO Soil Absorption Component Size (ft2) I O/ Type of Wastewater Domestic Table 2: Soil Absorption Component—Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow—Peak(gpd) %c73 y� Maximum Influent Particle Size (in) NA 1/8 Maximum BODs(mg/L) NA 220 Maximum TSS (mg/L) NA 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Should inspect once a year and clean once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed din accordance with NR 113,Wis. Adm. Code(Servicing Septic or Holding Tanks,Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). Pd I y la The operating condition of the septic tank and ________ shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation.The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank liquid 1/3 the li uid volume of the tank. If the contents of the tank are not ' removed at the time of an assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole 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, or subject to failure must be replaced.Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with DSPS 383.33,Wis.Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are show in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any,in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. • Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary,but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell,which may lead to more intense, and earlier, organic clogging of the soil. Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Electro-Mechanical Components Each time this system is serviced, all electrical and mechanical components shall be checked for proper operation. Pumps, siphons, alarms and electrical controls must be inspected. Components requiring service shall be maintained or replaced with equivalent components to ensure operation. 4 t 400C • • 988474 • STATE BAR OF WISCONSIN FORM 1 —1998 BETH PABST WARRANTY DEED REGISTER OF DEEDS . ST. CROIX CO., WI. ' 1 Document Number • RECEIVED FOR RECORD Th,is.•Deed,made between Janet Coleman. sinale and Jonathan H 11/01/2013 11:32 AM • Coleman. sinale and-Cynthia Coleman. single , Grantor, and EXEMPT # NA Craig pri r`h, and Mar Fa h ia nmpri r• l-nichanri anti *Grantee. REC FEE:.30.00 iim Grantor,for a valuable consideration conveys to Grantee the following TRANS FEE: 1050.00 described real estate in St. Croix County State of PAGES: 2 Wisconsin(the"Property"): **The above recording Informations 1 ' *wife verifies that this document has been electronically recorded .I • - &returned to the'submitter • . Recording Area , Name and•Return Address • ' Return to: • Burnet Title - • • 5151 Edina Industrial Blvd. #500 • Edina, MN 55439 Attn: Post Closing • • • Parcel Identification Ndinber(PIN) • • ' This is n homestead property. . • (is) (Is not) See Exhibit A attached hereto . Together with all appurtenant rights,title and interests. • Grantor warrants that the title to the Properties good, indefeasible in simple fee and free'and clear of encumbrances - except, Dated this day of October,2013. • (SEAL) • (SEAL) v y hie Coleman'. f +—ec� 'Jan Coleman • . • �'}/ ��"�" (SEAL) (SEAL) • id , =than H Coleman • AUTHENTICATION ACKNOWLEDGMENT •Signature(s) State of Minnesota - } ss. , • • Ramsey County . authenticated this day of Personally came before me this "day of - - October,2013 the above named - Janet Coleman.sinale. Jonathan H Coleman.sinale and " Cynthia Coleman.sinale to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who executed the foregoing instrument (If not, a nowledge the authorized by_§706.06, Wis."Stets) GL-e.../1 1 • THIS INSTRUMENT.WAS DRAFTED BY • . Burnet Title-Scott Tranby Notary Public,State of Wisconsin • 5151 Edina Industrial Blvd,#500 Edina,MN 55439 My co 1 ', of- -n. If not,state expiration date: (Signatures `>!,; LINDA MAE KRAEMER ) (Signatures may be authenticated or acknowledged. t �, _ ,,�•l Both are not necessary.) r=.: , My aomnirion Vies Jan 31.9016 - ■ *Names of•ersons ai•nine in an ca•,c must be •ed or•rinted below their si•nature. - I • — i STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. • ' WARRANTY DEED FORM No.1 –1998 • Milwaukee,Wis. I • 1 of • EXHIBIT"A" Legal Description " File No. 13-18273p . • The Northeast Quarter(NE Y4)of the Southwest Quarter(SW'/4)of Section 24,Township.28 North,Range 20 West,EXCEPT that portion which Iles Westerly'of the centerline of the private road as shown on the Certified Survey Map.recorded November 29,1976,In Volume"2"of Certified Survey Maps, Page 329(No.47);AND That portion of the Northwest Quarter(NW 1/4)of the Southwest Quarter(SW Y4)of Section 24,Township 28 North,Range 20 West,which files Easterly of the centerline of the private road as shown on the Certified Survey Map recorded November 29,1976,in Volume"2"of Certified Survey Maps,Page 29 (No.47). Saint Croix County,Wisconsin. 2 of 2