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HomeMy WebLinkAbout026-1037-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 569591 0 GENERAL INFORMATION 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: Schultz, Jud A. I Richmond, Town of 026-1037-90-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 111 •Z- Sm 65K- 12.30.18.1738 TANK INFORMATION ELEVATION DATA , 3 Z TYPE MANUFACTURER G CAPACITY STATION BS HI FS ELEV. J �s /6L- Z Septic a Benchmark L 1 ate • ada 97.7 9$, z Dosing D Alt. BM ` la ' C. . �. Co Aeration Bldg.Sewer IF"*I /b 1Z 9 !, f Holding St/Ht Inlet $ 7 0 (v TANK SETBACK INFORMATION St/Ht Outlet � \ TANK TO 1 0P� WELL CPLDA. Cye Air Intake ROAD Dt Inlet Septic � �Z -� Dt Bottom Dosing / 7Z i t Header/Man. Aeration Dist. Pipe 9 71 ir Holding Bot.System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover oe oul. .� GPM /l 1'� � �.$ 97• �o Model Number .S `P6 I C�ar.�..( 7 1� 97. TDH /6 Friction Loss System Head Forcemain Leng$q Dia., Dist.to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. rent PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM!TO / P/L JBLDG IWELL f LAKE/STREAM LEACHING Manufacturer: INFORMATION Type f ystem• , CHAMBER OR j ZZ 144-7 )7� / ' UNIT Model Number: l�l d• DISTRIBUTION SYSTEM Header/Manifold Distribution C x Hole Size ►/ x Hole Spacing lVen Air Intake Pipe(s) Z / _ n Length Dia Length 7 � Dia �� Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx M Iched Bed/Trench Center / / _ Bed/Trench Edges Topsoil I � es Via; No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: 7/ ZS/ Inspection#2: Location: 1637 140th Stre t New Richmond WI 54017(SW 1/4 NW 4 12 T30N R18W) Ces'baunds Lot Par I No: 12.30.18.173B 1.)Alt BM Description= ''' Q` F�Oo I do.�ti AD Li �l0 b 2.)Bldg sewer length= .o VN^-d, d II Ao('A, 6�- dr(;JC-4 ,, -amount of cover C Plan revision Required? ❑ Yes No 'f Use other side for additional information. `� ' _ Vt6 i �'� 4 7 SBD-6710(R.3/97) Date Insepc Cert.No N g a � 3 0 o � o a y �k b0 I� h W � m CQ st rq �°2 U 'e o a1 (n J � .bo ND Za •w� 41 ~ �• '� Cp N to� 0 o v ti Fr o� M � � o � v o w y o t- a a o Q' K `ti II Ao � � U � W Wo, o� rn ZM a� II II U a .5 o A Obt a Obi ® 140th St. Court / Safety and Buildings Division 201 W.Wgbmn fe�.0. Box 7162 Sanitary Permit Number(to be filled in by Co.) n 1 7162 SION� :5& 9 5 / ©� er111it Application State Transaction Number ca D o In accordance wit�� 2 (2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prk A g a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Departme of Safety and Professional Servies. Personal information you provide may be used for secondary / purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. # I. Application Information-Please Print Il Information Property Owner's Name (� L J, Z 1 O Parcel# Av� Property Owner's Mailing Address S,7— Property Location d V Govt.Lot City,State Zip Code Phone Number N j /��L0/., Section clrcle on H.Tyke of Building(check all that apply) Lot# T��N; R�E o W G- or 2 Family Dwelling-Number of Bedrooms (� `- Subdivision Name Block# ❑Public/Commercial-Describe Use .—ayv z ❑ City of CSM Number 11 Village of ❑State Owed-Describe,fJse d Cl 17— � 7 5 5Kown of n [0- 1 1% J 1 Ck III.Type of Permit: (Check ,only one box on line A. Complete line B if applicable) A. ❑New System L7 Re lacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System(explain) Y P Y g P Y g Y ( P ) B. El Permit Renewal ❑Permit Revision El Change of Plumber [ED Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS S stem/Corn onent/Device: Check all that apply) ❑Non-Pressurized hi-Ground ❑ Pressurized In-Ground At-Grade ❑Mound 124 in.of suitable soil ❑Mound<24 in.of suitable soil ❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.DispersaVrreatpient Area Information: Design Flow d) Design Soil Application Rate(gp f) Dispersal Area Required(sf) Dispersal Area Proposed(sf) System Elevations s /D L VI.Tank Info (p Capacity in Total #of Iyian fachlvre Gallons Gallons Units / D L., C-O r o ° New Tanks Existing Tanks N a 0 2 64-0,(- aU in ti Z w3 p, Septic or Holding Tank /04",)o /dDo Dosing Cbamber M VII.Responsibility Statement- I,the undersigned,assume responsibility for install lion of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber'4S!,,ature MP/MPRS Number Business Phone Number Plumber's Address(Street,City,State,Zip C de) VI Coun /De artment Use Only Approved 0 Dismoved Permit Fee Date Issue �J Issuin gent Signatmmr ❑ for Denial er ' n Reason $ (02- . ` YL IX.Condit easons for Disapproval / r tank,eent rte►and '��CO^ `'�- n S i^ e_ r^C 4�� 1 c . t 1qp al cell trust all§seryW /►naintaingd lit'" l.v l �� Q�-,77 ii�-PEPWO"� plumb®nNined COtlfi'OfdltlNgM, 4) L. t, CIA Attach to complete plans for the system and submit to the County dnlyin paper not less than 8 112 x 11 inches in size (,b cp—%� SBD-6398 11/11 4 i 1�.5 /Re,r -e n KEITH E KNUDTSON Page 2 6/2/2014 Owner Responsibilities: • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 . This Amount Will Be Invoiced. 'Merard M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1,2012,all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Delment of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300" series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. 4tiP�T11E� DIVISION OF INDUSTRY SERVICES �0 3824 N CREEKSIDE LA o� 1P� HOLMEN WI 54636 Contact Through Relay 3 K r s www.dsps.wi.gov/sb/ 2 ow www.wisconsin.gov '101.1ALS� Scott Walker,Governor Dave Ross,Secretary June 02,2014 CUST ID No. 648443 ATTN:POWTS Inspector ZONING OFFICE KEITH E KNUDTSON ST CROIX COUNTY SPIA 927 150TH ST 1101 CARMICHAEL RD ROBERTS WI 54023 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/02/2016 SITE: Identification Numbers Keith Swiggum Transaction ID No.2407080 1637 140TH St Site ID No. 802374 Town of Richmond, 54017 Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SW1/4,NW1/4, S12,T30N,RI 8W FOR: Description: Three Bedroom At-grade System/2%slope Object Type:POWTS Component Manual Regulated Object ID No.: 1486135 Maintenance required; Replacement system; 450 GPD Flow rate; 59 in Soil minimum depth to limiting factor from original grade; System(s):At-grade Component Manual,Version 2.0, SBD-10854-P(N.03/07,R. 1/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. CONE)IT/ The owner,as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance with all code APPR requirements. DEPT OF S No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. ROFESSIONA stats. V N OF 11VOU The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders: • A sanitary permit must be obtained from the county where this project is located in accordance with th E CO requirements of Sec. 145.135 and 145.19,Wis.Stats. ES • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384,Wis.Adm.Code compliant. • The area within 15' downslope of the dispersal component shall remain undisturbed.Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. KEITH E KNMTSON Page 2 6/2/2014 Owner Responsibilities: • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. - I • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. erar M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 ' cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1,2012,all codes under the jurisdiction of the Division of Industry Services(formerly :Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to �thq_I?apaitinent of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered 4 •"� and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. r RESIDENTIAL AT-GRADE DESIGN 1Nce Pressurized-Sloping Site :ZZ S INDEX AND TITLE SHEET Project Keith Swiggum At-Grde Mound Owner Keith Swiggum Address 1637 140th St. New Richmond WI 54017 715-246-5511 WALLY )1l�n c Legal Description Part of the SW1/4-NW1/4 Sec. 12 T30N-R18W E-'AIVO RVICES Township Richmond County St. Croix TRYSERVjCES Subdivision Name Lot No. Parcel ID Number 026-1037-90-000 NCE Plan Transaction Number Index sheet Page 1 Calculations Page 2 At-grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 Management&contingency plan Page 6 Pump curve&specifications Page 7 Plot Plan Page 8 Designer Keith Wdtson, License Number MPR#648443 Signature Phone Number Date 05/16/14 Designed pursuant to: At-grade Component Manual Ver.2.0 for POWTS SI3D-10854-P(N.03107),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver,2.0 SBD-10706-P(N.01/01) Version 7.0(03/12) Page 1 of 8 PRESSURIZED AT-GRADE DESIGN At-grade Design Worksheet-Sloping Site Flows and Site Data Entry. (r or c) r Residential or commercial? 300.0 Estimated wastewater flow(gpd) 450.0 Design wastewater flow(gpd) 2.00 %Site slope 97.201 Contour elev. below lateral(ft) 59.00 Depth to limiting factor(in) 0.60 In-situ soil application rate(gpd/ft^2) Distribution Cell Information (1 or 2) 1 Influent wastewater quality 10.00 Linear loading rate gpd/ft 10.00 Effective absorption width(ft) 10.00 Max. effective width permitted (ft) 75.00 Aggregate length (ft) Pressure Distribution Data Entry (c or e) a Center or end lateral connection 1 Number of laterals 0.156 Orifice diameter(in)e.g. 0.25 Not a final 2.00 Estimated orifices spacing ft calculation P 9 ( ) 2.001 Forcemain diameter(in) 2.081 Forcemain flow velocity(ft/sec) 155.001 Forcemain length (ft) y or n y Does forcemain drain back? 88.00 Pump tank elevation (ft) y or n y Are laterals at highest point? 4.55 System head(ft)x 1.3 NA 8.70 Vertical lift(ft) 25.3 Forcemain drainback(gal) 1.47 Friction loss(ft) 33.5 5x Lateral void volume(gal) 0.00 In-line Filter Loss(ft) 58.8 Minimum dose volume(gal) 14.721 Total dynamic head(ft) 20.4 System demand(gpm) Lateral Diameter Selection Gallons/Inch Calculator(optional) Pipe diameter Design options Design choice Total Tank Capacity(gal) Designer 1 in Total Working Liquid Depth (in) must select 1.25 in Gal/in(enter result in cell G46) one lateral 1.5 in x x diameter 2 in x Treatment Tank Information 3 in x 1000 Septic tank capacity(gal) Wieser Concrete Manufacturer i Effluent Filter Information Dose Tank Information Pol -Ly ok Filter manufacturer 603.41 Dose tank capacity(gal) PL-525 Filter model number 16.81 Dose tank volume(gaVin) Wieser Concrete Manufacturer Project: Keith Swiggum At-Grde Mound Transaction Number: Page 2 of 8 AT-GRADE PLAN VIEW D 116 B Observation pipes(2 typical) B 75.000 ft } --# 1/68 12.50 ft C 12.00 ft WC D 5.00 ft ' -i- E 2.00 ft D L 85.00 ft B W 1 22.00 ft AxBJ 750.00 ft^2 L �-- Cap Typical obs.pipe. =Total aggregate cell Ax B slotted in the lower 6^,and l Plowed area L x W anchored securely. = 6" AT-GRADE CROSS SECTION Svnthetic fabric cover — 98.99 ft Finished grade Lateral elevation invert elev. 97.70 ft ` ,.-- Observation pipe at aggregate toe E 2 %Slope Surface contour F 97 20 ft C A and system �`'`�= D elevation = 12 in. topsoil and subsoil over aggregate and tapered to toes. Plowed layer below L x W 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Keith Swiggum At»Grde Mound Transaction Number: Page 3 of 8 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram-End Connection P =; Last hole dri0rd nest to end cap -->I Laterals&foroe main of PVC Soh 40 Holes drilled on the bottom of the late+al per SPS Table 384206 equallysparced • - Turn-up vdbell valve oroleanoutplug Lateral Specifications 0.156 Orifice diameter(in) End Lateral connection point X 1.97 Orifice spacing(ft) 1 Number laterals 38 Orifices/lateral P 72.89 Lateral length(ft) 20.4 Lat. discharge rate(gpm) 1.50 Lateral diameter(in) 2.00 Forcemain diameter(in) 20.41 Sys. discharge rate(gpm) 155.00 Forcemain Length(ft) 14.72 TDH(ft) Typical Pump Chamber Layout Approved manhole cover with Weather-proof warning label and locking device junction box Final grade 4" disconnect Tank component is Afternate properly vented V--, outlet ^location 18" min. Electrical as per NEC 300 and A Approved SPS 316.300 WAC outlet Tank full joint Inches Gallons A Provide 1/4° o A 16.4 309.4 Alarm on weep hole or C B 2. 0 33.6 $ arttisiphon to Pump on device. E C 3.5 58.8 G D 12.0 201.6 89.00 ft C Totals 35.91 603.4 -♦ Pump off D 3"-Bed ding under tank .4 88.00 ft Goulds Pump manufacturer SJE Rhombus Alarm manufacturer EP04 Pump model number Tank Alert 1 Alarm model number Project Keith Swiggum At-Grde Mound Transaction Number: Page 4 of 8 At-g ads Sys#em Maintenance and Operation Specifications Service Provider's Name Powers Sanitation - Phone 715-246-5738 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 ftetem E19M and Load Parameters Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750.0 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 ml- §ervicg,IF-muency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10854-P (N. 03/07). Lateral Turn-up Detail Finished ���. ............... Grade 6-8" Diameter Lawn Threaded C{eanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 97.70 ft 45 Degree Bends Same Diameter as Lateral Project: Keith Swiggum At-Grde Mound Transaction Number: Page 5 of 8 At-grade System Management Plan Pursuant to SPS 383.54,Wit.Adm.Code agnerai This system shall be operated in accordance with SPS 382-384 Wis.Adm.Code,and shall maintained in accordance with its'component manuals(SBD-10854-P(N.03/07),SSWMP Pub.8.6(01181),and Pressure Distribution Component Manual Ver.2.0 SOD-10706(N.01/01)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter 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 SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump 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 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry Into a tank or component. 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 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 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 sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. if the contents 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 performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. however,if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least 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, At-grade and PMMre DkMbution 8ynifem No trees or shrubs should be planted on the at-grade. Plantings m @y be made around the at-grade's perimeter,and the at-grade shall be weeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(otherthan for vegetative maintenance)on the at-grade is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the at- grade be heavily mulched as protection from freezing. Influent quality Into the at-grade system may not exceed 220 mg&BOD5 150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5 30 mg/L TSS,10 mg/L FOG,and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the and of each lateral,and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and If 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 hydraulic failure requiring additional,more frequent monitoring. Contingency 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 condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. if the at-grade 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 increasing basal area If toe leakage occurs or by renovating the biologically cogged absorption and dispersal media,installing new piping,and replacing other components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POINTS regulator and service provider. Project: Keith Swiggum At-Grde Mound Transaction Number: Page 6 of 8 1 . Page 7 of 8 GOULDS PUMPS Submersible Effluent Pump 3871 EP04 EP05 APPLICATIONS •Fully submerged in high ■EP05 Impeller:Thermoplas- III Beatings:Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer, ■Casing and Base:Rugged • Effluent systems thermoplastic design provides AGENCY LISTING •Homes Available for automatic and superior strength and corrosion • Farms manual operation.Auto- resistance. • Heavy duty sump matic models include -Water transfer Mechanical Float Switch •Motor Housing:Cast iron (CSA listed model numbers end •Dewatering assembled and preset at the for efficient heat transfer, in"C'or factory strength,and durability. SPECIFICATIONS ■Motor Cover Thermoplastic Gum INIMsis LSD Mm RKIMOd. FEATURES cover with integral handle and •Solids handling capability: float switch attachment points. '/;'maximum. ■EP04 Impeller:Thermoplas- a Power Cable:Severe duty •Capacities:up to 60 GPM. tic Semi-open design with rated rail and water resistant. •Total heads:up to 31 feet. pump out vanes for mechanical •Discharge size:1'/z'NIT. seal protection. •Mechanical seal:carbon- rotary/ceramic-stationary, BUNA-N elastomers. •Tem�eratifre: 104 (4VC)continuous METERS KET 140°r(60°C)intermittent. •Fasteners:300 series __.... stainless steel. 9 30 y "----- �_ {... ... .�.. ... 5I M •Capable of running dry without damage to a .5 FT I camponeriLs. 2._.__._ . 7 Motor: s te 6 •EP04 Single phase:0.4 HP, 20 L. s 115 or 230 V,80 Hz,1650 RPM,built in overload with p 5 automatic reset. a •EP05 Single hale:0.5 HP, lo- ll l 5 V or 239V,60 Hz,1550 3 10 _ { RPM,built in overload with _j_. Epos automatic reset. 2 j •Power cord:10 foot s standard length,16/3 1 ...... STOW with three prong grounding plug.Optional 20 0 00 10.. 20 ... ..... ..,. 30 40...,, ..,, 50. GPM foot length,16/3 S11 W with three prong grounding plug 0 2 4 8 8 10 12 m'/h (standard on E1305). CAPACITY Goulds Pumps ®2001 Goulds Pumps ITT Industries Effective May,2001 83871 N g � a 0 o a o II o U o g t3 kn ZS 1 o N W !C Q0 (n J N o> N s N 0 � O ~ o� M � U Cy Ln O a C 5 v 0 n as a „ye sy K h II as p A O an som az 01 y W � II II II C c O w L ® 4 a Ch W o II w• ev p O II o 1 W b `p o p In Q a q ® — 140th St. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM el Owner/Buyer YlUD_�f SC I-1(�LTZIO A T MCf2 Mailing Address Property Address 1637 140th St (Verification required from Plannin &Zonitfg Department for new construction.) City/State New Richmond Wi. Parcel Identification Number 026-1037-90-000 LEGAL DESCRIPTION Property Location SW '/4 , NW 1/4 , Sec. 12 , T 30 N R 18 W, Town of Richmond Subdivision Plat: &4t'a' q LqG' &llt dU , Lot# Certified Survey Map# ,Volume ,Page# Warranty Deed # qq � 3E&& (before 2007)Volume ,Page# Spec house OyesEho Lot lines identifiable Byes[]no 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. Uwe certify that all statements o his form are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a arranty deed recorded in Register of Deeds Office. Number of bedrooms 3 VI• �/� II SIGNA OF AP AN ) DA T� ***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) I1 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 8 2 3 2 1 7 3 WARRANTY DEED TX:4189967 996386 THIS DEED,made between Keith A.Swiggum and Nancy L.Swiggum BETH PABST husband and wife,("Grantor"whether one or more)conveys and warrants to Judy REGISTER OF DEEDS A.Schultz,a single person,and Thomas P.McGurran and Katherine L. ST. CROIX CO., WI McGurran,husband and wife, ("Grantee",whether one or more),the following 05/23/2014 1:18 PM described real estate in ST CROIX COUNTY,STATE OF WISCONSIN: EXEMPT#: NA REC FEE: 30.00 TRANS FEE: 795.00 PAGES: 2 SEE ATTACHED EXHIBIT"A" RETURN TO -? St.Croix County Abstract&Title Co.Inc. 219 S. Knowles Avenue New Richmond,WI 54017 Tax Parcel No: 026-1037-90-000 This is not homestead property Exception to warranties: Municipal and zoning ordinances and agreements entered under them,recorded easements for the distribution of utility and municipal services,recorded building and use restrictions and covenants,and further except 2014 real estate taxes. Dated this 9th day of May,2014. � f _ eith A,Swiggu • �- ` , ancy L wiggum AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20— 1 f COUNTY OF ST.CROIX ss. TITLE:MEMBER STATE BAR OF WISCONSIN (If not, Personally came before me this 9th day of May,2014,the above named Keith A.Swiggum and Nancy L.Swiggum,husband and authorized by§706.06,Wis. Stats.) wife to e known to be the person(s)who executed the foregoingi, instrut, nt and ac owledge the same. • 1r�s44��t,t-ri THIS INSTRUMENT WAS DRAFTED BY xr' ' •"'•�•. Robert L.Loberg/Loberg Law Office * Amy Pal ,`Q�: r,,' �x c Q w Notary Public St.Croix County,Wis.'' aY 1417681 /sw/ ® r h My Commission is permanent. ` P ,• �� ?n; a' (Signatures may be authenticated or acknowledged. Both are If not,state expiration date: :} •••• '' .'"'` not necessary.) 10/21/17 - ` STATE. NVARRANTI'DEED Form No.1-2003 St.Croix County 996386 Page 1 of 2 EXHIBIT "A" Part of the SW'/ of NW'/ of Section 12,Township 30 North,Range 18 West,Town of Richmond,St. Croix County,Wisconsin,described as follows: Commencing at a point in the center of a town road which is 294 feet South of the Southwest corner of the NW'/, of the NW%of said section; thence South along the center of the town road,247.5 feet; thence East 392 feet; thence North 247.5 feet; thence West 392 feet to the point of beginning;ALSO,a parcel of land located in part of the SW'/ of the NW'/<of Section 12,Township 30 North,Range 18 West,Town of Richmond,St.Croix County, Wisconsin,described as follows: Commencing at the NW corner of said Section 12;thence,on an assumed bearing along the West line of the NW'/ of said Section 12,S00°47'47"E a distance of 1609.60 feet to the NW corner of that property described in a Warranty Deed recorded in Vol. 1010, pg. 179 in the Register of Deeds Office in said County; thence S89°31144"E a distance of 33.01 feet to the point of beginning of the parcel to be described,this being the Easterly right-of-way of 140th Street; thence N83°41'58"E a distance of 375.74 feet; thence S00°47'04"E a distance of 276.29 feet; thence S89°14'35"W a distance of 15.00 feet to the East line of the last said property; thence, along the East line of last said property,N00°47'04"W a distance of 232.29 feet to the NE corner of last said property; thence,along the North line of last said property,N89°31'44"W a distance of 359.09 feet to the point of beginning; EXCEPTING THEREFROM a parcel of land located in part of the SW'/of the NW'/, of Section 12,Township 30 North,Range 18 West,Town of Richmond,St.Croix County, Wisconsin,described as follows: Commencing at the NW corner of said Section 12; thence,on an assumed bearing along the West line of the NW'/ of said Section 12,S00°47'04"E a distance of 1850.30 feet to the point of beginning of the parcel to be described; thence N89 114'35 11E a distance of 392.00 feet; thence S00°47'04"E a distance of 15.27 feet to the SE corner of that property described in a Warranty Deed recorded in Vol. 1010,pg. 179 in the Register of Deeds Office in said County; thence,along the South line of last said property,N89 131'44"W a distance of 392.09 feet to the West line of the NW'/ of said Section 12,this also being the SW corner of said property in said Warranty Deed;thence,along last said West line,N00°47104 11W a distance of 6.86 feet to the point of beginning. 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