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HomeMy WebLinkAbout016-1068-60-000I I I I I I r~I ~ fD O N L7 S < ~ I ~ cn a ~ ~ m m ~ N C ~ ~ ~ '~ CD ~ N N a ~ Q~ N O O ~ ~ ~ ~ ~ OD W C C„ C ~ A I ~ a o ~v v D I V ~ ~, ? y W ~ C ~ O C N ~ ~;t .~. I o ~ -~ o O ~ .~. N C d ~ ~ r ~ fD I I ~ Z ~ I ° ° =' o I N v ca ~ O O q ~ cn ~ ~ 7J C CD N I I I I I I Q a O N Z O_ I ~ N I I I I I I I o I ~ I o ~ I °o •. n _~ 0 ', C N 'L ~ N ~ „~ N ~ ~ m 3 I 3 ^~ ! o w r '', A ~ '' ~ ~ ~ ~ ~ '', (D N 7 S?~ N H N C ~ 01 ~p ~ d _ N C~~O (~`D ~ ': N O Oo ~ N N ~ O O ~ fD fD QC C~C C~C G G G ~ ~ ~ ~ ~ f/1 fR N ~ ~ O O a ~ 'p ~ A ~' ~ ~ !. d 3 m ~ m .3.. A .. o D D o w c a W ~ a 0 3 o 3 N ~ (D W N (D C fD <_ "' T C d 7 O ~ O Ili ~ n 3 p A 'O C Ol ~ ~ G) N ~ 3 w °~ ~ O O fl. ~ W A '~ ~ v O j O O O N ~.' Q ~_ r+ A O d m ~ ~ N ~ Z ~ J ~ M ji Z .. ~ ~ m a N z a ~ z m a V O A a t N N O O a ,.. ao A ~ ~ ~ ~ O r W ti /~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) rersona~ mrorrnanon you Nrowca inay uC u~eu wi sawnuary pwposes Irnvacy yaw, ~.1b.U4 (1)(m)J Permit Holder's Name: ^ City ^ V e T of: .eMay, Dean & Sherrie ~i~e9nv~oc~"~'ownship CST BM Elev.: / insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ !CS°° 6,Sb Dosing ~(~,~ ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic ~lvo' ~ lt~r ~ r NA Dosing y~vo ~ ~lao ~ ~" ~ `f ~ NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer `S~F " Demarnd Model Number # ~ ((.~ d~~~) 31.3GPM TDH Lift .'t~ friction ` Z.~ Systems TDH •~, Ft Forcemain Length (~' Dia. Z ~~ Dist. To Well > f,s~' SOIL ABSORPTION SYSTEM ELEVATION DATA Count~+t. CroiX Sanitar~-P~i~ No.: tate Plan ID No.: S /D~ ~ ~{3QSL6 a reel b~'~iN- Y068-60-000 STATION BS HI FS ELEV. Benchmark '3,,qg Iv3~9g ap •c ` ' ~.BS 96.13` Bldg. Sewer $ • ~~ S 2~ ~ St / Ht Inlet q. 38 . bd St/ Ht Outlet -~--~ ---~ Dt Inlet ---~ Dt IZ•So 9 ~ Header / Ma ~ 5 ,¢30 ~q, 03 Dist. Pipe ~Q r Br Bot. System 4 ~'s3 Rg.3p' Final Grade C `~ +-E s t cover cc~n / TRENEH Width Len th T No. f PIT No f Pits Inside Dia.. p DIM 1 S'fi ~0 DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING M turer: SETBACK ~ CHA M N b INFORMATION TypeO ' ~'' S ~ ~ `~ UNIT er: o a um System: M,ou"^' o > (d ? I DISTRIBUTION SYSTEM ~`~ ~0`'Y'!~ ^'~'~'~ Header/Manifold ~ R Distribution Pipe(s) _a ~ ,. G 1 f2 ~ ~ x Hole Size ~"~~ '' ~ C~~ x Hole Spacing ` Vent To Air Intake ~~~ Length ~.~ Dia. Spacng Length ~~ Dia. ~ • 12S z .12 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, persons present, etc.) `''"~T" orc~ Inspection #1: >7q/a / Inspection #2: ~--t" Location: 1256 290th StrPP+ lTlenwnnd City. WI 54013 (SE 1/4 NE 1/4 3~Q,,T~3,~0N Rlw W) - 323015477 ~,~ ~~ 1.) Alt B1VI Description = ~~ ~ S) ~"""`~ `("'~u ~~"" IS ~t ~~~ 2.) Bldg sewer length = `F, a ~ u -amoupt of cover = > ~ o 3.) contour Plan revision required? ^ Yes ~ No Use other side for additional information. O~ Zo au ~ S SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: .I l~ Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Vl'is. Adm. Code 201 W. Washington Ave. PO Box 7302 iseonsin 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 Law, s. 15.04 (Submit completed form to county if r j state owner Attach com lete lans (to the county co only) for . on n than 8-1/2 x 11 inches in size. County State Sanita Permit Number ^ tL ~ revisio revious li tion State Plan 1. umber / ~/ ~. • r- I. A lication Information -Please Print all Information c:,` ~ ~ `' Location: Property Owner Name - ~ ,,. n . 2a0~1 _ s» r ~ .~ Property Location r -"~ ~' Sr 1/4 1/4,S32T3b,N, W Property Owner's Mailing Address • ,.., ~,OCHrY Lot Number Block Number City, State Zip Code Pit Subdivision Name or CS~1 Number ~ ~ 9 -a o ~~ ~ ~ - ~ , - ~ ( II Type of Building: (~ heck one) ~ ^ City ^ Villa e ^ 1 or 2 Family Dwelling - No. of Bedrooms: g Town of ^ Public/Commer (de cribe use): ~~~ ^ State-owned (o • SO d III Type of Perr.:t . (Check only one bax on line A. Check box en line B if applicable) Nearest Road _ oz~Q ~~" S p) I. ^ New System 2. Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Onl Existin S stem - g) ^ A Sanita Permit was reviousl issued Permit Number Date Issued 32-'~ • )5 IV. Type of POWT System: (Check ali that apply) FF 'tom ~"` ^ Non-pressurized In-ground Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line r ^ Aerobic Treatment Unit ecirculat' ~ ^ Other: / ^ At-grade t t~ ~ ~ p = ii •v` = 4. Z V Dis ersaUTreatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation ~Z~ ~ ~ D , ysa . ~ r 33 D© VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ o h'I .~ ^ ^ ^ ^ G D,~- ~ VII Responsibility Statement I, the undersi .ed, assume res onsibilit fer installation of the POWTS sho n the attached laps. Plumber's Name (print) Plumber' ignature (no stamps): /MPRS No. Business Phone Number Plum is Address (Street, City, fate, Zip C VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ,Approved ^ Owner Given Initial Adverse S arge Fee) \ Determination ~Jas• ~ q-" ~8`ZOOi~ approval: is or D al /Reasons f IX. Conditions of Approv ^_ / / _ " ~ EEtc.t~4 ~a~l S~M Ywu~i" ~a2 a, ~INtO~+~ ~ ~ GB~G- ~ . / ~ ~la~w.~0AIt1.-n / .nAUe~lAh SOGXt! ~ ~f-C~AR.~~ ~iIAQ., Ms A~2~ S - ~.., ..._ _- - . - - - --r - i SBD-6398 (R. 07/00) isconsin 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 12, 2000 CUST ID No.227618 TOM GUSTUM N13450 937TH ST NEW AUBURN WI 54757 RE: CONDITIONAL APPROVAL ' / ~ "Y_ , ,` ~` ~ ~ ` PLAN APPROVAL EXPIRES: 09/12/2002 ~ -` `~ ~~~~'(lrl~ Tr~ts~ `-`' ' Site SITE: ` ~'," t ~, t ~ eat DEAN & SHERRIE LEMAY -RESIDENCE ,- ~ ~7 CFO!x ova; ST CROIX County, Town of GLENWOOD '~ ` . Courvrr , 290TH ST GLENWOOD CITY 54013 zow!n;c oK~~cE , ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD .I3LiDSON WI 54016 SE1/4, NE1/4, 532, T30N, R15W - ~' ~`, FOR: ~ - ;F-- `l. ~,\; Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 758680 SID 197! 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors: All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead,, Sincerely ~~ TER E PAGEL , WTS PLAN REVIEWER II Integrated Service (608)266-2889 , - F, 0745 - 1630 HRS PEPAGEL@COMMERCE.STATE. WLUS cc: DEAN LEMAY FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 76,3 * ~ 4 V' isconsin 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 12, 2000 OUST ID No.227618 TOM GUSTUM N13450 937TH ST NEW AUBURN WI 54757 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/12/2002 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: DEAN & SHERRIE LEMAY -RESIDENCE ST CROIX County, Town of GLENWOOD 290TH ST, GLENWOOD CITY 54013 SE1/4, NE1/4, S32, T30N, R15W FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 758680 enh icat~on um ers Transaction 1D No. 430826 Site ID No. 197878 ease re er to of i ent~ ication num rs, 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterh Sincere , i ~ FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 ETER ~A~L ,)~ S PLA REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889 , M - F, 745 - 1630 HRS PEPAGEL@COMMERCE.STATE.WLUS WiSMART code: 7633 cc: DEAN LEMAY MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE ~ Project Name: Owner's Name: Owner's Address: 4..'~ ~ '~ t'~~.~''" `J Dean and Sherrie Lemay r ~i 11©G Dean and Sherrie Lemay '' / ~~` ~ ~` ` ~ , w Al ~ , ~~ Glenwood City WI 54013 715-265-7506 Legal Description: SE NE SEC32 T 30 N R 15 W Township: Glenwood County: St. Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 016-10530 ID# 24.30.15.375 ~ , Plan Transaction No.: 430826 O! ~ ' o, `'s~y Rr Page 1 Index and title Page 2 Data entry SF~ T y ~ ~//~ ~ Page 3 Mound drawings r ~, C~ ' ® Page 4 Lateral and dose tank 4 ,Q F ~ ~ 0 Page 5 Pump specifications S,o O • ~ ; GUSTUM ' ~ Page 6 Management plan ~~ ~ page 7 System and maintenance specifications gat~ 12~t o ° ~. Page 8 Plot Plan ~ Designer: Tom Gustum License Number: Date: September 6, 2000 Phone Number: Signature~~;e~ „~ D1201 OIv~ f lei ~ s 1-715-658-1344 Version 2.4 (8/15/00) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation R Residential or Commercial Design (R or C) Orifice 300.00 Estimated Wastewater Flow (gpd) Diameters 5 1.50 Peaking Factor (e.g. 1.5 = 150°k) 1/8 =0.12 5/32 = 0.156 450.00 Design Flow (gpd) 3116 = 0.188 7.00 Site Slope (%) 7/32 = o.21s 96.50 Contour Line Elevation (ft) 1i4=o.250 14.00 Depth to Limiting Factor (in) 9J32 - o.2s1 313 5116 = 0 0.50 In-situ Soil Application Rate (gpd/ftZ) . Distribution Cell Information 80.00 Dispersal Cell Length Along Contour (ft) 5.63 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 oint Pressure Disribution Information c Center or End Manifold (C or E) 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.10 Estimated Orifice Spacing (ft) 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) 92.00 Pump Tank Elevation (ft) 6.50 Operational Head (ft) 6.08 Vertical Lift (ft) 0.84 Friction Loss (ft) 13.42 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o ions choice 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.00 Septic Tank Capacity (gal) Midwestern Pre-Cast Manufacturer Dose Tank Information 650.00 Dose Tank Capacity (gal) 17.00 Dose Tank Volume (gal/in) Midwestern Precast Manufacturer in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 5.92 ftZ/orifice Orifice Density Does the forcemain drain back? ~,~ Enter Y or N 6.52 Forcemain Drainback (gal) 71.97 5x Void Volume (gal) 78.50 Minimum Dose Volume (gal) 31.31 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.00 1.25 x 1.50 x 2.00 x x 3.00 x Gallons/inch Calculator (optional) 650.00 Total Tank Capacity (gal) Total Working Liquid Depth {in) gal/in (enter result in cell 648) Effluent Filter Information Zabel _ Filter Manufacturer A100 Filter Model Number Project: Dean and Sherrie Lemay Page 2 of 8 Lateral Layout Diagram Force mai n connection via tee or crass to manifold at any point. Laterals are identical IE P ~ S ~ =Turn-up wlbsll valve ar I4- X-}I~x~2 I x121 Laterals & force main of PVC Sch 40 i cleanoutplug perCi]MMTable84.30-5 Hales drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 39.22 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density Lateral Flow Rate 7.83 gpm Manifold Length System Flow Rate 31.31 gpm Manifold Diameter Total Dynamic Head ~ 13.42~ft Dose Tank Information Electrical as per NEC 300 and -~ rr''tt~~ Comm 16.28 WAC I I Disconnect II ~_ Tank component is properly vented Midwestern Pre-Cast Ca aci 650.00 Volume 17.000 Manufacturer Gallons gal/inch A B C D Dimension Inches Gallons A 22.62 384.50 B 2.00 34.00 C 4.62 78.50 D 9.00 153.00 Total 38.24 650.00 0.125 2.12 19 2.001 in Locking Dover with warning label and locking device and sealed watertight 4 in. min. E- Alternate outlet location Forc:ernain diameter ~ 2 in. Weep hole ar anti- siphon device P~off elevation (ft) 92.75 Dose tank elevation (ft) 92.00 Alarm Manuafacturer SJ Electro ~~ Alarm Model Number 101 HW ~- Pump Manufacturer H dromatic Pump Model Number SHEF 40 Pump Must Deliver 31.31 gpm at 13.42 ft TDH Project: Dean and Sheme Lemay Page 4 of 8 Pumo Characteristics Meter u.N sal..ralw Moanr Me1ek SNEF40MI SNEF40M2 Mrawelk Metals SNEF40A1 SHEF40A2 4 10 FaR Loci 12 6.S McMr T Slalel vela (4 hM) ~x Isso ~. Te Y 11S 230 Nerh 60 120• F Mac. Flaid NENIA A wsrMlMa Class A She 1 1 2" N-T SsNs 3 4• w 2a Rts. haver Gr1 ltl/3, S1TW, 20' std (30' eptiaaal) Materials of Construetinn StsWss Steel ~ DNlechk 0!M ~r Cost I-a Cast Ira Slah Steal Mecl~lcol Slob Sal Seal Fags: Carla/Cersaik Sal eiedr: Aaedlrad Steal Srris>8 Staliass Steal _ Flew:: lae-N tk karna Slewa Rew IaR NMMm Hale p asgr Ceetal Steal StsYes: Steel ' 4p EsRlaerd ilerate'lostk Performance Data 40 30 ~ 20 10 0 10 20 30 40 50 60 10 PM Tol~al Hwad (hM) 10 14 17 Z1 ZS 28 30 3s (m) 3.0 4.3 S.2 6.1 7.6 8.S S.8 10.7 GPM (US GPM) 70 60 SO 40 30 20 10 0 ( hairs e~c) 4.4 3.8 3.Z 4.S 1.9 1.3 .63 0 Dimensional Data 1. All dimensions in indles. (Nlehic for international use). 2. Component dimensions may Yary t t~8 1n[h. 3. Not for construction purpose ~,"N'oE unless certified. 4. Dimensions and weights are approximate. 5. We reserve the r'sght to moke revisions to our product and their speaficotions without notice. ® 1998 Hydrortwfic" Pumps, Ashland, Ohio. All Rights Reserved. ~~ HYDROMATIC ® -Your Authorized local Distributor - lelo Eaew Oaod AsMaea, Ohio 41805 Tel: ~19.289.30~2 Fox:119-181-~08~ D Web SMr. www.paaoirpunp.com ~n srp~, SALES OFFKES IN ALL MAJOR CITIES AND COUNTRIES ~ ~ $ ~~ ,~~ J a bhr N'hanps' in die ribw PsBw ~ ~ ~ dxectory for Tour local DisMf~ulor ~.. ~ Mane: W-02-6680 1198 5M sm+~ 1 .~ Mound System Management Plan Pursuant to Comm 83.54, V1fis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks urxler s. 281.48, Stets. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tarok and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operffiion. The finer cartridge should not be rerroved unless provisions are rrrade to retain sdids in the tank thffi may slough off the filter when renx„red from its enGosure. If the finer is equipped with an alarm, the filter shall be serviced 'rf the alarm is activated continuously. Irrtermittent filter alarms may indicffie surge flows or an impending continuous alarm. The septic tank shall have its corrtents rerr-oved when the volume of sludge and scum in the tank exk~eds 1/3 the liquid vdume of the tank. If the contents of the tank are not rerrroved ffi the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service Heads to be performed to maintain less than madmum scum and sludge accumulation in the tank. The addition of bidogical or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved far septic tank use by the Deparbnent of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected ffi Icest once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed 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 maybe made around the mound's perimeter, and the mound shall be seeded and mulched ~ necessary to prevent erasion and to provide same protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is Hat recommended since sdl compaction may hinder aeration of the intikrative surface within the mound and snow compaction in the winter will promote frost penetration. Colo weather installffiions (October-February) dictate thffi the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/LTSS, and 30 mg/L FOG. Influent fkyuv may not exceed maodmum design fkrnn specified in the permit for this installation. The pressure distribution system is pravkied with a flushing print ffi the end of each lateral, and it is recarnrnended thffi eaGt lateral be flushed of accumulffied sdids ffi I~st once every 18 months. When a pressure test is peromred it should be compared to the initial test when the system was installed to determine ff orifice Dogging has occurred and 'rf orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydr~lic failure requiring aidd'ntional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, ar-d shall maintained in accordance with its' compornernt manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintence and rrnaintenance reporting. No one shoukd suer enter a septic or pump tank since dangerous gases may be present that coukd cause death. Septic and pump tank abandonment shall be in accordance with Camm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS carrnponer-ts. Septic or pump tank manhole risers, access risers and covers should be inspected for wffier tightness and soundness. Access openings used for service and assessment shall be sealed vdffiertigM upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greffier than 8-inches in diameter shall be secered by an effective kxdking device to prevent accidental or unauthorized entry into a tank or compor-ent. Continoencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in Proper operating t~rrdition. H the dosing tank, Pump, Pump controls, stern or related wiring becomes defective the defective camponerrt shall be immediately repaired or replaced with a component of the same or equal perfomwnce. ff the mound component fails to accept wastewater or begins to discharge wasteuvffier to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if tce leakage occurs or by removing bidogicelly Dogged absorption and dispersal media, and related piping, and replacing said componerrts as deemed r~oessary to bring the system into Proper operating cornditiorn. Questions on the operation or maintence of this system should be directed to your desigrner, ins~ller or county zoning ar health inspector. ~~y2 ~ o~ ~ Mound System Specifications Owner's Name Dean and Sherrie Lema Designer's 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 Domes) Inffluent Limits Design Flow -Peak (gpd) Maximum Influent Particle Size (in) Maximum BOD5 (mg/L) Maximum TSS (mg/L) Maximum FOG (mg/L) Septic Tank Outlet Filter Pump and Controls Alarm Pressure System Mound Other Se tic Tank Pum Tank Di rsal 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: Dean and Sherrie Lemay Page 7 of 8 I ~ I ~ ~ ~I nn Q D ~' I ~~/~I~ grJ~s~l~ri'i.r Ctma~ Prof r~4Y~ I, ~ ~ ~ ' I -=~ - ~ _-~ -- i . _ i _--a ' ~ ---I SI~"'/V~ '~« 3~2 T,3o ti ~QIS"rv ~. c ~ n ~ i _ , ~ _ 1 ~~,,,^ d' F ~~~~, ~dod ~ 1r~.~ ~'~ Pqr~ o /7~f s ~8 ~ ~' ~ ~a~~ i~! ~«~ ?~« _ I __ 1___ _ ;I ~ ' _- ~I ~~~~ ,/,~ / ~~~0/ ~fCYVI 'S/.I G ~M D,-I ~ ~ ~lbUnd ,SU~'C4lG ~--- I -._ i .. _ ~ - --i -. - q7"~i/ -(faxS[1~ fGv-Gt $c~f' I, V - I - , _~, /V~'c~}s:~~/ ~a„., , ~3 Sc~ ~kcks I >0 9.00' ~, j i ~ _ _ + A' Soy I gore~~s rl~Qack~' ~ K i ~ < < v ~ W ._ ~ ._ _ _ = --i -I 11I ~ i _I---. _ . __ __ -- , - ~. ,, / --~ - ~ ~ ~ - ---1 -_i _ ~0~ l ~o ~ ~ i -;Ta,"k~ 83 --i--- 31 - g„~I &jd~~r.- ----~I-- - -~-- ~ - o o _ --I i - , ~~ ~ ~0 8r ~ ~' - ~, - ~ a~rpyG ~ i or~t Ma• ~ -I _ ~ - --~ --i.-- ---;I --. __ Q ~kZ _. _i _ ~~ - , qd ~ ~ / - -~- - -' ~ ~ovr ~'y, `l Coy fov~ -- _ -___ Car, _ a ~` ~ ~~~~ ~S' Below Mo~~ ~ ~`s f-o p5'c U.,d i s~v. 6~~ o~ ~ro Roa __ p - ---- ' w~sr,•mstn Department of Industry, SOIL AND SITE E V A L U A T, jQ.N...R.E P O R T ;.abor and Human Relations ,,~- ~ ~.,. FI/ Division of Safety b Buiidinas __~ ...:.~ u i ~n nn n.a~ ~a its ~ w~.~er.-^~PF~w~~ Yage t a 3 CAUNTY f ' °^' ~' Attach complete site plan on paper not less than B tl2 x 1 t inches tp''atZa: Plan ~t~4(r-CIiCd1 but ST, c2,o ~ , not limited to vertical and horizontal reference point (BM), direction pnd Y. of sb~i, 6calb"or' PARCEL L0. e dimensioned, north arrow, and location and distance to nearest road. 01(n ~) Obg b~ APPLICANT INFORIAATION-PLEASE PAINT All. INFOR~lATION~ R vIEWE08Y GATE ~ t-ZOt:1 PROPERTY OWNER: ~ PR, ~/~ ION ~ ~~~R.l...rcivbAy .SHETtRIa/ SOL't,6RG-uEMA t14,J~lEtl4.s32T 30 ,N,R IS W PROPERTY OWNER':S MAILING ADDRESS Q O ~` ST, L Tt•- }'c~' ( -~LtOCtC\e' ~ 1•~ BD. NAME OH CSM e 12.5(0 Z - CITY, STATE 21P CODE PHONE NUMBER SCI ILLAGE ,g(fOWN NEAREST ROAD C~t•...rrJll W o ofl t t Wx S 13 (`71~~2(~. 75 t? C • f ,D~ ~ ~q~~-y~ S`1-~ [ J New Construction Use ~ Residential l Number at bedrt~oms 3 ( j Addition to existing Dt~lding j~ Replacement ( j Public m commerdal desaibe Code derived daily flow U 50 gpd Recommended design toadirtg rate 0 , `I bed, gpdrtt2 Q,LS trench, gpd/tt2 Absorption area required ~~ S bed, ft2 ~~trench, tt2 Maximum design loading rate p . S bed, gpdtfl2 p, b trench, gpd!(t2 Recommended infiltration surface e3evation(s) 98 , 0 ' h {as relerred to site plan benchmark) Additional design !site considerations Z t 3A.~.1 D K®u V p p ~~ P~ bFF'r~ -z" Parent material G>..4CaA~ -1'1.1._ Flood plain elevation, ii applicable ~.A. ft S =Suitable for system i CONVENTIONAL ^ S U C~1ND I~S ^ U INd3ROUN0 PRESSURE D S U AT•GRADE D S $f U SYSTEM iN Ftll )3(U ^ S HOIDtNG TANK D S U table for s stem U-Unsu , „ Olt_ DESCRIPTION REPORT Boring #t lam'' ~ 1 ~3 ~~ •;:; ~:Cx:Y~~'bt~i Ground elev. g4.g2 It. Depth to Ymiting fact~~ Boring M 4X°a' hw;{»E Z '3 ..x:~;..'~~ Ground elev. 96.5 ft Depth to Ymiting factor Depth Dominant Color Mottles T t Structure Consistence Baxtdar Roots GPD/tt Horizon in. Munsell Du. Sz. Cont. Cobr ex ure Gr. Sz. Sh. y Bed rertrtt 1 D-3 loV2~l -' i` nnv~r s --- ,S 0. Z 3-l0 0 3~3 ~ i( -' , s a, 3 to-I 3 ~' 1~ Z rns K OS -~ ~ I~)-~ 7 0 31 cZd 7.SY yl 1 Sb r '~ ~ ~ a.S Remarks: No~zcw U !5 wea:tr~r ~~~~ 1 3 y-Zp l a l'K 3J •~ j 1 n.5 b G "' • 2- ~ p O.z y Zo- 3 c ~ S I .Y.s 1 YY~ -' .~1 ~ o, S Remarks: ~~ .S . S` .~ . S~ STName:-Please Prinl N-wn~ .LV11~Y ~1 t{ o l_u ~~ ~.~ r•.s) 4 ~0--1-T7 S Addrees: t,.~9 8 l S f.Q O~` A~,•T t u E-~,~, L.~T~ ~~DZZ Spnat ~ Oates CST Number: ,1.~,t A ~ © 1~ .,fft~ rnAy $, 2 ~ oo MD3'7~7 _ PRcSPEFRYOWNER L-~~ DES SOIL DESCRIPTION REPORT Boring # .x: ~ m .~ ~.. GloUrxf etBV. Q7-Stt. depth to Smiting faclorlf Boring # <'~" ~~L# ~YYR Ground elev. fl. Depth to Smiting factor Boring # ;s<x ::> Ground elev. tt. Page ? o! 3 Depth Dominant Color Mottles Texture Svucture ~~~~ ~~, Roots GPD/ft Horizon in. Munsell Du. Sz. Cont. Cobr Gr. Sz. Sh. Bed rerxh I 0-ro R zf z --- 5+ 1 -~sb +mV-~r - 0 ..5 p. Z to-t8 lov~3~~f S-~ mfr cs p~S O.(„ -3 15!-Zti 0 V `' fif 0 ICS 1 to L~ S` I I1nl 1~ ~S O~'S~ O.{o Z I-~S ?. 5 Y t 3 CZd 5 I rr~~K ~''' ~' 0. ` O S i Remarks: I-tb~217~a1 4 tl.~s ~1~V~ Remarks: .~ .s Depot to limiting factor Remarks: Boring # ~. s ~,~' ~~ ~° Ground elev. tt. Depth to limiting factor Remarks: St3t1.8330{R.OSro2) P~Of PLAN PAf,~ 311E 3 - r •.. .. , ~,,. Z ~ouwp su~RFAC~ wr 4'! woo ~l - F~JUCE FAST _ X09. av~ -501L D0~1NG W/ aAGKI-IOE NO GOMM 83 5E1f~ACK t'RODI-~M5 t,J ELI- l S 7 1 p O r D>z~~ w~Y -- 3 a 0 ~ ~ 183 ~. ~~r7, 50 ~ 7~os~ flJ_ f4 PPRox. 32s~ -}v RDA F~ 9y. 92' ~----- dam, ~L 4b•Sa' sr~ ~pcAnoN; 130 ~++~.4vE• --x- x x _ ~..._x _X__. ,~---x---~-- S"TV.a$ SICd~l7 C5t M0370? I o- N s~r~ cROlx ci~u~~~r.~. 5.EFTxC TA~tK MAINTENANCIa AisRL:E11~1EN''" AND GV~'NERSHIP CERTiPIi"ATIdIe' FdRM Mailing Address ~~ 57 ~r~),~,M S i - Property Address (Verification required from Planning Department for new ronstructian) City/State ~~ Est 1~~ ~ s~ ~„~_ Parcel ldcntif:cation Number D / ~~ ~~ 32_ 30 . I S. '~?- >~GAL l~~'SCRYPT~oN Property Location,~L.~~ %, .~~.• %{, Se~.3~,? ~, T,~_N-R~i~7, Town of .~~C~~. Subdivision Certified Survey Map # i4 Lot # ~ ~ . Cf~' - yo ~, f'~~~alume ,Page # Warranty Deed # ~,~~ 7 ~-~ ~_? ~.., Volume 1,1 ~ 7 -,-, Page # _ /~ Spec house d yes ~ na Lot IinES identifiable D yes C7 no ~TF:M~~t'1'FNAI~ICE Ymproper use and. maisitenauce tsf your septic system could result is its preuiature• failure W beadle wastes. Proper maintenance cosssists of pwmpiug out the septic tank every three years ar sooner, if needed by a Iice,osed pumper. What you put into tine system can affect the fisttation of the atonic as a treatalent stage is the waste disposal system. ~ C,G~--•~~ ~jr.<<-,4~,~- S~i~7'7C y'7~(,JK G ~i'Z ~?7ttf T' 14f /~-sJ°~7Z`~ ~'`' ®''v ~Z1u"~pc'~perty~'@"~"owner egrets to subrcRit to St. Czaix Zoaiag Daparttru~t t certification form, signed by the oara~er and by a master plumber, jouracymaaplsssaber, restricted plumber or s licensed putnpor verifying that (1) the as-site wastewaxerdis}~ossl system i~ in propor opetstissg condition and/or (2) afar inspection and pumping (if tuceseary), the septic tonic is less than l~3 full of sludge. Uwe, the undersigned have reed the above requirements and agree to arair<taiss the private sewage disposal syateat with the staadards sot forth, herein, u set by the Dtpartuttat of Camsncrca and the Depastrnesst of Natural Rcsauraes, State of Wisconsin. Certification stating that your septic system has been maic-tsiued sstust be computed and nturaed w the 5t, Croi~c County Zoning Office within 30 days of the three yeu expiration data. 1~y~f10 n~ i ~,~, ~, 0 lf~~c - - I [~ aD SICiNATURE OF APPY.ICAI~tT~ DATE nwxFRC~.1tTIFf~,AT7t0?~ I (ate) cettilj+ that sl! statements ou flue form are true to We best of my (our) knowledge. I (wa) era (are) tl:e owner(s) of she prnperiy described above, by virtue of a waaaanty decd recorded is Register of Deeds afficc. GZ-i ~ sIGNATtJRB of APFLICA _ DATE t+•**# Any information that is role-representedmay result i:f the sasritary permit being tevakod by she Zoning Departmeac+t "`°"* «* Inclwde with this appllcatiose: a stamped warranty deed from the Register of Daads ofFce a copy of tho eertiiied survey snap if refertnea is made in the warranty decd fr- r DOCUMENT NO. ~ ~~ STATE BAR OF t'i'ISCONSIN FOKSI ld-1P81 ~ TR1USTEE'S DEED ...........................................•-------........................._............... u Trustee of -----.A~b~x-~.. J . -. Kx.i,~a~a...~am~,~y...T.xus 1t ............................•-•-•---•- for a valuable consideration conveys without warsanty to .............................. ...-..R~.an...A-....LeM~y...~ns~..S1a~xr.~e..,I.r...,5.a1.b~x.8-.~.~M~y.~.... •-----husband...aind.. ~!~:E.~...as...a>xrx~.xQ.xs?a~.p...roa>;~.~a.~_..----.._. .~.+.. the followi,tq dexribed real estate in ....$.Cw...Lr.Q~.~ .......................County, State o' Wisconsin: TN,L [rAC[ R[LLRV[O ION REGORD~NO DATA Ii~U•JiC•1 ~ i..: .._ 5 ~. CP,C:'t Cc~., ~,~ ~ ~ l=_: ~ i_: r~~- -d NOV 1 '.99, '~t ll):00 A.t•~ „, ~,l ~ ~ ~ ~~~.. t.21..y ~ a.^, Y~~.~ _......_..~... ...~~- ._-.... R[TURN TO, Ta: Parcel No :............................. South One-half (S~) of Northeast Quarter (NEB) of Section 32, Township 30 North, Rarge 15 West. (This deed is given in satisfac;.ion of that Land Contract dated 7-7-94, recorded 7-19-94, in Vol. 1087, Page 301, as Doc. No. 519149, Register of Deeds' office, St. Croix County, Wisconsin.) ,F ~F,XEN[PT Dated this .-....24th----•-----• ...................... day of ........-•-•--•---.~-S,Ober.--•--••-•--••---•-••-----......., 19.95_.. ALBERT J. `(RIZAN F MILY TRUST ---....-• .....................................•---.......- ---......(SEAL) ... . -°-°... ...... .:-- -.. ..._..._....._.....(SEAL) Brad ord J. Krizan .~~ rrn,w AIITH=NTICATION authenticated this ------..day of ........................... 19.._... TITLE: MEMBEB STATE BAB OF WISCONSIN (If not- -------------•-----..............................._......... authorized by ~ ?06.06. Wis. 3tata.) TNIS INSTRUMENT WAa DRAFTED aY -----~'--L'-•~aY1 or3.:...AttorneY ...............•--... ....lta.~r~>r...Fal~.s:.. W I-----54022---------------------- (Signatures may be authenticated or acknowledged. Both are not necessary.) ACI[NOWLgDOMBNT STATE OF WISCONSIN ss. .............$ C.....CCQ~JF.----•--County. Personally came beforo me this .24th--.-•-day of .....--•-------October......-_--. 19.95.. the above names ....--•------- B ~.?d ~ ord-- J . •- tCr z a>L~ ...................... to me known to be the perso~n:s.. the foregoing instrumgpt snd +~ _ _ ~ , '-----.lori. K.ent............ ~~y .~,..-S -,-..a......-... Notary Publi: ---..SL-.••GSOZ+II- -- ~nty, Wis. My Commission is permanen '•(If• n~4A;erpiration date:.--JV~y..1$...---• ...............~'h"!!!t!!!!":':., 19...99.) •Namra o[ perwn[ LiYain~ iD any aDRCitY [hould be typrd or Drinted helo~r thrir ::snawrri.