HomeMy WebLinkAbout016-1062-90-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
574343 0
GENERAL INFORMATION (ATTACH TO PERMIT)
State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Munkwitz, James & Ma Glenwood, Town of 016-1062-90-100
CST BM Elev: Insp. BM Elev. BM Description: Section/Town/Range/Map No:
/11>6- 1 6 M t CS T 29.30.15.438A75
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION ry~ BS HI FS ELEV.
- 1611 Septic Y Z
Benchmark 4 4 16 41 /66
Dosing C Alt. BM /
Aeration b L Bldg. Sewer
Je.d /,A- ~J,4--
Holding St/Ht Inlet A\
'J •74
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic D,+ If. '32-' 1 Dt l3a torn A 3 3 Dosing Header/Man. cv
Aeration /r /~Z • ,o
Dist. Pipe
1. S /a z . s~
Holding Bot. System
PUMP/SIPHON INFORMATION Final Grade &3
Manufacturer Demand St Cove M i
f l (4 ~7~ 1~ 7• • g
Model Number GPM C1-
TDH Lift Friction Loss System Head TDH Ft
J
1 Z'3
Zb Sta / /b!. (•z 6 its
Forcemain Length/ Dial i Dist. to well 3 /
II L6 ~J Y ZSsZS 161. 7
SOIL ABSORPTION SYSTEM , sy
BED/TRENCH Width Length No. O renc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS / 7L
SETBACK SYSTEM TO J P/L BLDG 1 WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
TypIno stem: UNIT Model Number:
z7 ( 5 93
DISTRIBUTION SYSTEM af~ti
Header/Manifold Distribution Ix Hole Size / x Hole Spacing Ve t Air I e
/ Pipe(s) Jr -36
u
Length Dia Length Dia Spacing Z H~
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded 0AAi ulched
Bed/Trench Center Bed/Trench Edges Topsoil
i//Yes No s No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspecti 1 / z-q / ,A Inspection #2: 4 /1/-/ 15
Location: 1348 290th Street Glenwood City, WI 54013 (SE 1/4 NE 1/4 29 T30N R15 NA Lot 1 Parcel No: 29.30.15.438
1.) Alt BM Description = 1 q
2.) Bldg sewer length = D
P
- lock -t5 Z
amount of cover 5
Plan revision Required? Yes L No
Use other side for additional information.
slrpct s i
SBD-6710 (R.3/97) Date
g e~ p
County
wisconshir, Safety and Buildings Division St. Croix
201 W. Washington Ave., P.O. Box 7162 Permit Number (to be filled in by Co.)
Department Saf Vand, Madison, WI 53707 - 2p Sanitary Nal Professional Service Nchl J 3
ns dN# ber
State Sani~ ° hermit Application ProStater aPlan I.D.
R ject Address (if different than mailing address
In accord with SPS 383.21 (2 ddin aCdde submission of this form to the appropriate governmental
unit is required prior to obtaiAtng a sanitary permit. Note application forms for state-owned POWTS are / ? [l~ Z D sj I
submitted to the Department of Safety and Professional Services. Personal information you provide l 7
may be used for secondary purposes in accordance with the Privacy Law, sl5.04(1)(m), Stats _
1. Application Information - Please Print All Information 67-L 6 /lIWO o 1D C- ry I
Property Owner's Name Parcel #
Property Owner's Mailing Address ~ Property Location
7 ` o . 13d Govt. Lot (33'11 - 7s~
City, State Zip Code Phone Number SE NE Section - 29
Glenwood City, WI 54013 T 30 N/R 15W
II. Type of Building (check all that apply) Lot #
1 Subdivision Name
X 1 or 2 Family Dwelling - Number of Bedrooms Three V, . Z Z L
Block #
Public/Commercial - Describe Use G City
CSM Number Village of
State Owned - Describe Use 5 &31--] X Town of Glenwood
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. X New System Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System
:
B. El Permit Renewal El Permit Revision _ Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner
/J /A
IV. Type of POWTS System: Check all that apply)
Non -Pressurized In-Ground Pressurized In-Ground _ At-Grade -Mound >24 in of suitable soil X Mound <24in of suitable soil
Holding Tank Other Dispersal Component (explain) -Pretreatment Device exp
V. Dispersal/Treatment Area Information: 10
0 K- 611 A 115
Design Flow gpd) D sign Soil AppI' ation Rate dso DispersalAre Required (sf) Dispersal Area Prop sed (sl) System Elevation 7
450 O rk 0.6 ' ,~j 750 qS-6 1162.5sq.ft. S-o 103.27't/
VI. Tank Info Capacity in Total Number Manufacturer Pref Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
'®r Holding 1000 1000 1 Weiser Concrete X
Tank
asibil Chamber 600 600 1 combo X
P0f low 4-5- 2 S
VII. Responsibility Statement- I, the unders' ed, 90me responsibility for installation of the POWTS shown on the attached plans.
P is Name (Print) PI r Si r MP/MPRS Number Business Phone Number
Chris Rud MP231075 715/495-8586
tuber's Address (Street, City, State, Zi e
W682 Cty. Rd. H, Mondovi, WI 54755
VIII oun /De artment Use Only
Approved ❑ Disapproved Permit Fee D *e Issued Isstrmg Ag t Signature s
❑ Owner Given Reason for $ ~ Z
Denial
1X. Conditions of Approval/Reasons for Disapproval p = r S L
;
SYSTEM OWNER: v~`r ~/Q ~ 9"0414)
1. Septic tank, effluent filter and j
dispersal cell must a serviced /maintaine "4V 060'1
d L r•
as per management plan provided by plumbe . J ~EGG
2. All setback requirements must be maintained Leh,
EIS per pica a c0 a @r1 VMftWWpte plans (to the County only) for the system on paper not less than 81/2 x 11 inches in s'
Xk~~ ~V ~Ir/.4~fzC 2~l17 rs
LORETTA LARRABEE Page 2 7/29/2014
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
Fee Received $ 250.00
Balance Due $ 0.00
erard M Swim
POWTS Plan Reviewer, Integrated Services
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633
jeny.swim@wisconsin.gov
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
Christopher Allen Rud, Rud Plumbing LLC (Plans Mailed To)
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 Department 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.
VgPAxTkF~r DIVISION OF INDUSTRY SERVICES
yti~ o~ ® 3824 N CREEKSIDE LA
i 1P ® celve HOLMEN WI 54636
3 s Contact Through Relay
P K www.dsps.wi.gov/sb/
'2oA " ~~wy Au('j l~?`~~ www.wisconsin.gov
S~SIONA~ S~~ CROM COL -NPMEW Scott Walker, Governor
Dave Ross, Secretary
July 29, 2014
CUST ID No. 224580 ATTN.- POWTSInspector
LORETTA LARRABEE ZONING OFFICE
L AN L PERC TESTING ST CROIX COUNTY SPIA
N2089 CTY RD Y 1101 CARMICHAEL RD
MENOMONIE WI 54751 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 07/29/2016
SITE: f Identification Numbers
Tom Tone ~~tl CU1 M~ n tc ~U~' hz Transaction ID No. 2439084
290TH St Site ID No. 683295
Town of Glenwood, 54013 Please refer to both identification numbers,
St Croix County above, in all correspondence with the agency.
SETA, NE1/4, S29, T30N, R15W
FOR:
Description: Three Bedroom Mound System / 2% slope
Object Type: POWTS Component Manual Regulated Object ID No.: 1494809
Maintenance required; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade
System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), 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.
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code CONDITN
requirements. APPRI
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPT OF SA
stats. PROFESSION
The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF INDU
Reminders:
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats. EE ~CORRESr
• 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.
• 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.
Private On-Site Wastewater Treatment System (POWTS)
Mound and Pressure Distribution Component Design
1 Residential application
f ~a Index and Title Sheet
1 I CD r El
Project Name: TONE
Owner: Tom Tone
290' Street
Location:
SE 1 /4,NE 1/4,S29,T30,N/RI 5 W
Legal Description:
Glenwood township, St.Croix county
Township/County:
Contents: Page 1: index and title
Page 2: general information & lateral diagram
Page 3: mound drawings
Page 4: dose tank
Page 5: pump information
Page 6: tank detail
Page 7: filter information ONALLY
Page 8: management plan WED
Page 9: contingency plan XETYAND
Page 10: site plan ~L SERVICES
Attachment: soil test to state plan STRY SERVICES
Designers name and license no: Loretta Larrabee #1872-007 DENCE
Address: N2089 Cty Rd. Y
Menomonie, WI 54751
Phone: 715/664-8184 11 %
Fax: 715/664-8164 ~N% *~sC~Nf%.q ~i
Cell: 715/505-1628
LOft"A A
e-mail: lanlperctestingAwwt.net . U"Mai
1872 c
AIEN4XMILp
WIS.
SS...... I C'N
Designer's Signal= Date:'fyr .'~_h; 2014
I the undersigned submitted these plans under my authority
Mound component manual for POWTS Version 2.0 SBD-10691-P (N.01/01), and Pressure Distribution component
manual - Version 2.0 SBD-10706-P (N.01/01)
page 1 of 10
PLAN VIEW OF MOUND (not to scale)
J= 8.0' 1811)= 10.0' required bed 450sq.ft
= 6.0' E= k (IQ yz') 75.0' proposed bed 450sq.ft.
I = 9.5' = 0.83' (10") L= 95.0' required basel area 750.Osq.ft.
W= 23.5' 1= 0.50' ( 6") proposed Basel area 1162.5sq.ft.
= 1.00' (12") observation pipe @ 12.5'
Observation pipe
I
W Q 5 0
H
1ati 3
I L.'
Mound Cross Section View (not to scale)
Finished grade elev. 105.06'
Lateral invert elev. 103.77'
Dispersal cell elev. 103.27'
4 dispersal cell = 2"
I 0~-- lateral 0 3
3 - Aggre ate bed 6" -
- - - - - - 3
- -
- - - -
Chisel layer Chisel layer
contour
2% site slope elev. 101.77'
Numeral
1 topsoil cap
2 subsoil cap 1.5ft.
3 ASTM C33 sand 4in. dia. observation pipe
4 synthetic cover over cell with 1 /4in slot
5 aggregate
1 0.5ft.
Closest Flange to secure observations ~
project: TONE page 3 of 10
GENERAL INFORMATION
Three bedroom home, 450ga1 DWF end fed system w/2 laterals
2% slope system area dispersal cell design loading rate 1.0
0.6 soil application rate linear rate 6.00
18" limiting soil factor orifice sq/ft. 7.50
1000/600 Wieser tank with 525 pofYlok septic filter
effluent quality #1
LATERAL LAYOUT DIAGRAM (not to scale)
End Fed System
Number of laterals 2 orifice dia. 5/32in. (0.156)
Lateral dia. 1 %2" orifice spacing (X) 30in. (2.5')
Lateral length (P) 72.5ft. orifice per lateral 30
Lateral spacing (S) 3.Oft. lateral discharge rate 16.20gpm
Manifold dia. 1 '/2 in total system rate 32.40gpm
Force main dia. 2.Oin
see page 9 of 10 for construction details of turn-up
turn-up end on lateral at manifold for access of lateral at both ends for servicin
♦_Valve box
Pressure lug finish grade
X-
P
first orifice next to fitting
X manif
1 1/ "
S 3.0' (36")
1.25' (15"
Orifices located on bottom of lateral
I Last orifice next to fitting
Force main 2" dia.
project: TONE page 2 of 10
Effluent Pumps
9EH SERIES
4/10 HP
tt v P*forTqn9e Curve
• Dewatering, water transfer, effluent and wastewater removal Capacity - Liters per Minute
0 100 200 300
• 4/10 HP shaded pole motor with • Upper sintered sleeve bearings; 35 10
overload protection lower ball bearings 30 g
• Designed for continuous duty • Multiple switch options for rn
• High head model automatic operation 25 8 m
• Epoxy coated cast iron housing • UL J CSA listed U.
and cover 20 s 9
• High impact ABS base d 5 tv
• Carbon/ceramic shaft seal i 5 4 i
H 10 3
Mmm. c
t t 2
5 ~
Capacity: 70 GPM ® 5' Electrical: 11 5v, 60Hz 1
(265 LPM ®1.5 m) 230v, 60Hz 0 0
Shut Off: 32' (9.8 m) Operation: Automatic or Manual 0 10 20 30 40 50 60 70 80
Liquid Temperature: 140°F (60°C) Solids Handling: 3/4" (19 mm) Capacity - Gallons per Minute
Discharge: 1-1/2" FNPT (38 mm)
Impeller. Closed vane polycarbonate
Volute: ABS -
PaWtpn~stlcs
Item # Model Volts Cord Switch Type On Level Off Level
20' 9" -14" 2" - 6" _
509350 9EH-CIA-RFS 115 Piggyback Mechanical Float 23 cm - 35.6 cm 5 cm -15.2 cm
509360 9EH-CIA-RFS 230 20' - Piggyback Mechanical Float -----9" - ---14"_ 2" -_6"
6m 23 cm-35.6 cm 5cm-15.2 cm
"
- -'m 3 Piggyback Vertical Diaphragm 14" - 16" 4" - 6
509331 9EH-CIA-VDS 115 20'
65.6 cm-40.6 cm 10.2 cm-15.2 cm
509330 9EH-CIM 115 6 , Manual - -
509340 9EH-CIM 230 6 ' Manual - -
Features
Cast iron Upper sintered
cover sleeve bearing
Oil-filled
motor housing Cast iron housing
w/protective
Motor designed \ epoxy coating to
for maximum resist corrosion
performance
Lower
1-1/2" FNPT ball bearing
(38 mm) i - Carbon &
ceramic
7 face seal
Engineered,
high-impact - = Glass-filled
A85 base thermoplastic
allows 3/4' Volutelmller high-effcienry
(19 mm) solids seal for maeximum Stainless steel 2-vane impeller
For more information call 1L890.701.7894 ; U efficiency wear ring
13v-D \ e- C v t V 1 K. S G to
Dose Tank Cross Section
(No Scale)
Approved Locking Manhole Cover
With Warning Label Attached 4l17
Weatherproof Approved
Warning Label Junction Box Vgnt Ca
1otKAwn, ~ Lp 12" Minimum
Final Grade--~ ,;4" Minimum
Quick
18" Minimum Disconnect
,
1/4" Weep
' Hole
Baffle ,
,
r I
Approved Joint "
A
Extending 3' Al arm 64 Onto Solid Soil B Approved Joint
On 6; w/14" ScO~pe
C Extending'3'
Elev. 0 10 ' Onto Sol i d Soi.)
Off
D
Conc. Block
3" of Bedding Under Tank-/
407.E Owr 90 0 ac t
NntP~ ,p_,5rrP_.,an Alarm Are On Separate Ci ii s -57 -W
Tank Manufacturer: ya-Qu,.~- E51,, 0 tAn.,- I
Tank Size-Septic/Pump: loon boo Gallons
Alarm Manufacturer: 52-ar o
Model Number: m --a- Capacities: A~e_i nches or 18.y Gallons
Switch Type: me~.Pr.a.r.i c & + Bpi nches or 33, s2 Gallons
Pump Manufacturer: L._;41e. C„cw.~r + Cinches or gS.8o Gallons
Model Number : c1 ~%rk + D l 0 inches or G7 Gal 1 ons
Minimum Discharge ate: -33 GPM Total = 3inches or ~.~Gallons
gal/in I69b
Vertical Difference. Between Pump Off and Distribution Pipe:/3,7 7 Feet
Minimum Required Supply Pressure:./.3.t.,3~:Jr......._....+41 o3 Feet
Llao Feet of Force Main x :.5 b Friction Factor/100 Feet: + •~S-Feet
_,,_Inch Diameter Force Clain Total Dynamic Head:...= O. Feet
project: TONE page 4 of 10
3 V'H lE`
i f
PL 525 EFFLUENT FILTER
T ~T
7
Polylok, Inc is pleased to add its
new commercial filter to its existing
line of quality effluent filters. The „
PL-525 is rated for over 10,000 GPD ~{t
Alarm Accepts PVC
(gallons per day) making it one of accessibility
the largest commercial filters in its extension handle
class. It has 525 linear feet of 1116"
filtration slots. Like the Polylok
PL-122, the new Polylok PL-525 has
an automatic shut off ball installed 525 linear feet
with ever; filter. When the filter is of 1116"
removed for cleaning, the ball will filtration slots Rated for over
~•h. 10,000 GPI
float up and temporarily shut off
the system so the effluent won't
leave the tank. No other filter on
the market can make that efaimf Accepts 4° & s°
. SCFt[)_ 40 Pipe ~
a
The PL-525 Effluent Filter should
operate efficiently for several years
under normal conditions before
requiring cleaning. It is recom-
mended that the filter be cleaned
ever/ time the tank is pumped or
at least every three years. If the
installed filter contains an optional
alarm, the owner will be notified ~
by an alarm when the fitter needs
servicing. Servicing should be sGas deflector
done by a certified septic tank rte j
pumper or tftiStallar.f Automatic shut-off
f ball when filter
1. Locate the outlet of the U.S. Patent No€ 6,015,483 is removed
septic tank. 5,871,640
2. Remove tank cover and pump= <tank if necessary. g~^ 0 = - 1. Locate the outlet of the
3. Do not Lisa plumbing when septic tank.
filter is removed. Ideal for residential and com- 2. Remove the tank cover and
4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary.
5. Hose off falter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the
tank. Make sure all solids fail 4" or 6" outlet pipe. If the
filter is not centered under the
back into septic tank. access opening use a Polylok
s_ Insert the filter cartridge back Extend & Lok or piece of pipe
into the housing making sure to center filter.
the filter is properly aligned and 4. Insert the PL-525 filter into
oomplateiy in- serted. its housing.
7. Replace septic tank cover. Y S. Replace the septic tank cover.
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WLP1000 600-MR SCALE:1 4" = t' REV NO. DATE:
\°O m SEPTIC MANUAL MIESER colORETE DRAWN BY:SWT
Z W3716 US HWYIO. MAIDEN ROCK, NA 54750 DATE: JANUARY 2006
REV. JAN. 2008 800-325-8456 FILE: WLP1000 600-MR
~Je~: Tvti€
Mound System Maintenance and Operation Specifications
Service Provider's Name: Rud Plumbing, LLC Phone: 715/495-8586
POWTS Regulator's Name: St. Croix Zoning Phone: 715/386-4680
System Flow and Load Parameters
Design Flow - Peak 450gpd Maximum Influent Particles Size 1/8in
Estimated Flow - Average 300gpd Maximum BOD5 220mg/L
Septic tank Capacity 1000gals Maximum TSS 150mg/L
Soil absorption component Size 450bed Maximum FOG 30mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100mL
Service Frequency
Septic and Pump Tank --------Inspect and/or service once every 3 years
Effluent Filter-------------------Should 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----------------------------Initially filter should be checked yearly to determine service schedule
Miscellaneous Construction and Materials Standards
I . Observation pipes are slotted and materials conform to Table DSPS 384.30-1, have a watertight cap and are secured
as shown in the mound component manual.
2. Dispersal cell aggregate conforms to DSPS 384.30 (6)(I), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in DSPS 384, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce
frost penetration
6. Lateral Turn:qp to finish at grade or above, enclosed in a 6-8" diameter lawn sprinkler valve box or similar product.
(lateral turn-up consists of a long sweep 90 or two 45degree bends same diameter as lateral)
7. Lateral Turn-up on end of distribution laterals after the last orifice.
project: TONE page 9 of 10
Mound System Management Plan
Pursuant to DSPS 383.54, Wis. Adm. Code
General
This system shall be operated in accordance with DSPS 382-384 Wis. Adm. Code. and shall maintain in accordance
with the component manuals 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 DSPS 383.33, Wis. Adm. Code when the tanks are no
longer used as POWTS components.
Septic or pump tank manholes 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" 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 slip off the filer when removed from its enclosure. If the
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
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
personal shall advise the owner of when the next service needs to be done to maintain less than maximum scum and
sludge accumulation in the tank.
k
Pump Tan
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.
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 as necessary to prevent erosion and to provide some protection from frost
penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since compaction may
hinder aeration of the surface within the mound and snow compaction in the winter will promote frost penetration.
Cold weather installations dictate that the mound be heavily mulched as protection from freezing.
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 end of each lateral and it is recommended
that each lateral be flushed at least once every 18months. When a pressure test is performed is should be compared to the
initial test when the system was installed to determine if orifice clogging has occurred, if clogging has occurred orifice
cleaning is required to maintain equal distribution within the 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 6" considered impending failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or components shall be repaired or replaced to
keep the system in proper operating condition.
If the dosing tank or its components become defective the defective components(s) shall be immediately repaired or
replaced with a component of same or equal performance.
If the mound fails to accept wastewater or discharges wastewater to the ground surface, it will be repaired or replaced.
Increasing basal area if toe leakage or by removing biologically clogged absorption and dispersal media and related
piping and replacing components as deemed necessary to bring the system into proper operating condition.
See page 9 of this plan for the name and telephone number of your local POWTS regulator and service provider.
project: TONE page 8 of 10
SITE PLAN
SE,NE,S29T30N/R15 W
Glenwood township M
St. Croix county
LEGEND
113\1: 100.0' grttcle ttt
i
wooded corner past
213'01: 99.31 ' unide Ott
Woodecl 1~nce post Ito,
1 k
pits w/backhoe `
® - grade elevations Q
-contour /01,
-77
No DSPS 383 set back
lvl.gg
problems
Scale 1" - 40' except
where indicated 1w -
2° L7.
2 A.C. Lot 1
3
S
t
i
System Elev. 103.27'
on contour 101.77' Lps tr., ns
row... lrtos~_ LIP
Q
14% 4" qO
~,k r ~ASTM 24651
f
s
s_
1;9?,
project: TONE page 10 of 10
Property Owner Tom Tone Parcel ID # Page 2 of 3 Y
[-3]Boring n Boring # ® Pit Ground surface elev. 100.46 ft. Depth to limiting factor 18 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture.' t Structure Consistence Boundary Roots GPD/ft'
in. Munsell Ou. Sz. Cont. Color < Gr. Sz. Sh. •EfM -Efl#2
1 0-11 10YR4/2 sil 3sbk mvfr a 3f .6 .8
2 11-18 10YR5/4 sil 2sbk mvfr 6 2f .6 .8
3 18-22 10YR6/4 10YR6/8fifspots fs Om mfi gs .5 1.0
4 22-29 10YR7/4 fs Om mfi gs .5 1.0
5 29-42 10YR7/3 fS OSg ml gs .5 1.0
Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD5 < 30 mg/L and TSS <30 mgA-
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.
Vtlsco~sin' SOIL EVALUATION REPORT #40
Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3
Division of Safety and Buildings Northland Plumbing, Inc.
Attach complete site plan on paper not less than 8% x 11 inches in size. PI U County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), . ectio parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distan near ar,
Please print all information. 1e By Dat
Personal information you provide may be used u Privacy Law, s. 15.04 (1) 12 Property Owner Pr perry Location ell
Tom Tone G _ Lot le $ 'S29, T30N, R15W
Property Owner's Mailing Address S EP I 1 Zoo? L # Block Subd. Na r CSM#
1386 290th Street /
City State Zi! CodtT, E~R91~Cf~ ❑ City ❑ Village ® Town earest Road
Glenwood City WI Glenwood 290Th Street
® New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Glacial Till Flood plain elevation, if applicable fl•
General comments Mound site. Use 100.46' contour, 6'x76.
and recommendations:
a Boring # ❑ Boring J
® Pit Ground surface elev. 100.34 ft. Depth to limiting factor 30 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Efr#2
1 0-10 10YR4/2 sl 3sbk mvfr Cs 3f .6 1.0
2 10-21 10YR5/4 sil 3sbk mvfr CS 2f .6 .8
3 21-30 10YR5/6 SO 2sbk mvfr CS if .4 .6
4 30-42 10YR5/8 10YR6/8f1fspots fs Om mfi Cs if .5 1.0
❑
Boring # ❑ Boring
2 ®Pit Ground surface elev. 101.88 fl. Depth to limiting factor 18 J 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. •Efl#1 `Eff#2
1 0-8 10YR4/2 sl 3sbk mvfr Cs 3f .6 1.0
2 8-12 10YR5/4 sil 2sbk mvfr Cs 2f .6 .8
3 12-18 10YR6/4 fs Om mfi Cs if .5 1.0
4 18-26 10YR7/4 10YR6/8f1fspots fs Om mfi gs .5 1.0
5 26-46 10YR7/4 fs Osg ml gs .5 1.0
Effluent #1 = BOD 5> 30 < 220 mg/L and TSS > < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS <_30 mg/L
CST Name (Please Print) Si a re: CST Number
Michael J. Myers 267985
Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number
E 1556 State Rd 64 Boyceville, WI 54725 5/4/07 71S ZG /li Z
SBD-8330 (R.07/00)
r
CF~ Old a% lov
V.7
m
Ls t
1 ~
Z3 ` V
4k
To
03
c'~
RECEIVED II Ii II Jim% . 41IIII1. I I
~85 51~~l81IIIl, II~III
JUL30
855831
KATHLEEN H. WALSH
ST CRODC COUNTY REGISTER OF DEEDS
SURVEYOR'S RECORD ST. CROIX Co., WI
RECEIVED FOR RECORD
07/18/2007 03:45PM
CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP
VOL: 22 PAGE: 5424
OFEE: 1 00
REC 3.
PART OF THE NORTHEAST QUARTER OF C
COPY FEE; 3.,00
THE SOUTHEAST QUARTER, OF SECTION 29, PAGES: 2
TOWNSHIP 30 NORTH, RANGE 15 WES T,
TOWN OF GLENWOOD. ST. CROIX COUNTY,WISCONSIN
LANDS East 1/4
DRAFTED BY: v_NQLATTEn
Joel A Brandt Section 29-30-15
JB SURVEYING LLC Fd Monument disturbed
5271.92' Computed from ties
4978,27• N89'21'30"E 293.65' I
West 1/4KNr_FN89*21*30"E 260.65' 3.00 POBI
Section 29-30-15 1--50'
Fd Aluminum Cap LOT
I I C N I
IY ° CD C3;
0)
I 7
c.r 87,214 sq. f t. U m
2.00 acres LANDS
incl. r-o-w I rn
LANDS 3 i a UNPLATTED
UNPLATTED pI 33' 33' I pp
~ N
a 77,413 sq. ft. 1-0
o
I j
l0 /Iy
Z 1.78 acres o`%v~ - I -
not incl. r-o-w 10
260.65' 3 OO I I cn
I I j
589'21'30"W 293.65' co
o
OWNER/PREPARED FOR: CD
THOMAS & LAURIE TONE UNPLAfTED w A
1352 290th Street ?-ArDS 4~
Glenwood City, WI 54013 rn j
NOTE:
Found iron pipes on south line that fit the Southeast corner
description of lands to the south. No map was Section 29-30-15
found on file at the County Surveyor's office. Fd Survey Mark Nail
Note: Each parcel on this map is subject to State and County taws, rules and regulations
(i.e. wetlands, minimum lot size, access to parcel, etc-). Before purchasing or developing
any parcel, contact the St. Croix County Zoning Office and Town Board for advice.
A N
SCALE: 1" - 100'
it ~ wwa>r '
0' 100' 200' >!F
aLrrwwoac CITY..* Q
• w~
LEGEND
Q5 -.....-.Government Corner (as noted)
o.......... Set 3/4" x 18" Iron Rebar weighing
* T1
North is referenced to the 1.502 tbs./lineal ft.
4 I~b'O tlJ'
East tine of the Southeast • Found 1" ;ron Pipe
Quarter of Section 29-30-1S.
-which bears S00°18'49"E a Soil test Sheet 1 of 2
'St. Croix County Grid System)
Vol. 22 Paee 5424
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer .4-91 1 -TA-M ES ! "I V N V V(/ I TZ
Mailing Address 3 to a q p ale tj c c)'A C;"
C p 54013
Property Address 3 7 0 10 ~T '
n
(Verification required from Planning & Zoning Dep' ent o n w construction.)
City/State G-t e'~jiA)C0 b c f Parcel Identification Number 0f/ ( 0 to Z - Q - P 60
LEGAL DESCRIPTION
Property Location'/<, NE '/4 Sec. 24 , T 'Z0 /R_-5 W, Town of Subdivision Plat: Lot #
Certified Survey Map # Volume, Page #
- Warranty Deed # (efZo~ore 2007)Volume , Page #
Spec house Dyes~o Lot lines identifiableXyes0no
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 on this 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 warranty deed recorded in Register of Deeds Office.
Number of bedrooms 3-
!5521~~~z J~b
U SIGNATURE OF APP CANT(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)
8 2 3 3 0 2 7
State Bar of Wisconsin Form 1-2003 Tx:4190657
WARRANTY DEED 996517
BETH PABST
Document Number Document Name REGISTER OF DEEDS
ST. CROIX CO., WI
THIS DEED, made between Thomas M. Tone and Laurie J. Tone, husband and 05/29/2014 2:05 PM
wife ("Grantor," whether one or more), REC FEE: 30.00
and James D Munkwitz and Mary F. Munkwitz PAGES: 2
("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area
estate, together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address'
St. Croix County, State of Wisconsin ("Property") (if more space is James D Munkwitz and Mary F. Munkwitz
needed, please attach addendum): P.O. Box 271
Glenwood City, WI 54013
See attached Exhibit A
016-1062-90-100
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except:
Dated Z
(SEAL) (SEAL)
* Thomas M. Tone * L urie J. Tone
(SEAL) (SEAL)
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
) ss.
~1(_ COUNTY )
authenticated on
SL
Personally came before me on
* the above-named Thomas M. Tone and Laurie J. Tone,
TITLE: MEMBER STATE BAR OF WISCONSIN husband and wife
(If not, to me known to b~tl~` esson(s, "-executed the foregoing
authorized by Wis. Stat. § 706.06) instrument and a§1bwledsDs rki.
Y 4A
THIS INSTRUMENT DRAFTED BY: * fi -
Larry Mountain Attorney at Law Notary Public, Sta• i o- to ;
My Commission''(tspdt ane4tl (,~eX
(Signatures may be authenticated or acknowledged. Both ai'e+ggtq es~a~a)'•~
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM MOM` E CLEARLY IDENTIFIED.
WARRANTY DEED O 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003
SSytpcautttfebelat+ys~e3. Page 1 of 2
Parcel 016-1062-90-100 08/15/2014 07:42 AM
PAGE 1 OF 1
Alt. Parcel 29.30.15.438A-75 016 - TOWN OF GLENWOOD
Current [A] ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
07/18/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - MUNKWITZ, JAMES D
JAMES D MUNKWITZ C - MUNKWITZ, MARY F
MARY F MUNKWITZ
PO BOX 271
GLENWOOD CITY WI 54013
Property Address(es): * = Primary
* 1348 290TH ST
Districts: SC = School SP = Special
Type Dist # Description
LENWOOD CITY
SC 2198 SCH DIST G
SP 1700 WITC Notes:
Legal Description: Acres: 2.000
SEC 29 T30N R1 5W PT NE SE CSM 22-5424
LOT 1 Parcel History:
Date Doc # Vol/Page Type
05/29/2014 996517 WD
07/18/2007 855831 22/5424 CSM
10/31/2002 696504 2030/222 WD
11/08/1999 613428 1469/054 LC
more...
Plat: * = Primary Tract: (s-T-R 40%16o,/4) Block/Condo Bldg:
* 5424-CSM 22-5424 016-2007 29-30N-15W NE SE LOT 01
2014 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 04/29/2008
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 2.000 300 0 300 NO
Totals for 2014:
General Property 2.000 300 0 300
Woodland 0.000 0 0
Totals for 2013:
General Property 2.000 300 0 300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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