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HomeMy WebLinkAbout040-1303-00-005 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572898 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: Oevering Homes LLC, aka Oeverina Pro ertie Troy, Town of 040-1303-00-005 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 103-W 1 8 - Z G�j 22.28.19.1740 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 1 CAPACITY STATION BS «+11 `F3— ELEV. �-q H L Septic nc^ Z-6 Benchmark b ld 3. LLS el •[ .� /ate 5 /6s l Dosing / 14 i Alt. BM l / /0 41` G.. f Aeration Bldg.Sewer 571 -7 &Z . 'q Holding SUHt Inlet -7-0 161. 1 TANK SETBACK INFORMATION St/Ht Outlet 7-:5 160 TANK TO P/L WELL BLDG. ent Ai Intake ROAD Dt Inlet \ e 64AA Septic �O '57 j 0 _ Dt Bottom Dosing Header/Man. $ cam, l,-7 Aeration Dist. Pipe 9 J Holding Bot.System Cf,4 9$. 9,CR 9 PUMPISIPHON INFORMATION Final Grade 4.5 /o Manufacturer Demand St Cover !G l d� G i I 4o J f Mode TDH Lift Friction Loss System TDH Ft Forcemain Length Dia. Dist.to well SOIL ABSORPTION SYSTEM BEDITRENCH Width I Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia`` Liquid Depth DIMENSIONS 3 !iil � `fe�C� �� SETBACK SYSTEM TO //`7 P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:,_, INFORMATION CHAMBER OR L✓� ,C �a Type Of System: l &4*, UNIT �( Model Numbe LID b DISTRIBUTION SYSTEM Zak Z = e4(v Header/Mani foyd �� Distribution g' x Hole Size x Hole Spacing Vent to Air Intake (� Pipe(s) \ xle (,..�e-5� G',&c✓ Length_ Dia Length \ 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 Mulched Bed/Trench Center tl Bed/Trench Edges Topsoil 7" '--E;\s 0 No es E] No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 650 Tribute Parkway River Falls WI 54022(SE 1/4 SE 1/4 22 T28N RI 9W) Walnut Hill Farm aka The Tribute Parcel No: 22.28.19.1740 1.)Alt BM Description= . ~" G In /6'A o .--- 2.)Bldg sewer length= -amount of cover= E4 -- - Plan revision Required? Q Yes 5eNo (- Use other side for additional information. — � 0 J'' Date Insepctoes Si ature Cert.No. SBD-6710(R.3/97) I - PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SE 1/4S 22 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 99.2/99.0 4.3' below grade 3/31/15 3 DATE BEDROOM CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of 1/2" steel conduit ASSUME ELEVATION 100° Filter BEAR Filter ❑ BOREHOLE O WELL -H.R.P. Same as Benchmark Scale = 1 /4'1 = 10' 120' Property Line B.M.* Additonal boring to done be done to lower system elevation to a proper depth,a.5 loading rate will still be B-3 used! 101' 2-3' X 94' cells ' 130' with>3' 102' spacing 85' t 103' 74 'a Prope 4% Slope —7 / l 104' 5 3D 25� B- 65' B-2 20' 5� S All piping shall be SDR 30/34,within 10' 25' of tank,piping shall be Schedule 40. 57 Vent >6" Quick4 Standard Pro 3 Leaching Chamber Bedroom of Cover with 20.0 ft2 of Area House 5.6ft^2/pair of end caps 4' Long 12' Grade at System Elevation 34" Property Line Tribute Parkway owarkreet, 1 Coun A Safety and Buildings Division 6/, *( 2)/,---- I i 0" ''' • ' 201 W.Washington Ave.,P.O.Box 7162 Sanitary Permit Number(to be filled in by Co.) Madison,WI 53707-7162 r)1)4 4 4k),„tiri74.r,r.R‘•(4.,(.).,,-,o„,,,,,,,,,,...l„4 a 0 - -- , 57z s State Transactio , viryr enutt Application — in 3 e7r S' accordance witili rog'i AXIS),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prioeta IL-•-,'i• g a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Ad s(if different than mailing address) the Departni.r 0 -fety and Professional Servies. Personal information you provide may be used for secondary.i# purposes'f lb•rdance with the Privacy Law,s,15.04(1)(m),Stats. 651) r T I. Application Information-Please Print All Information Property Owner's Name () Parcel 4 1 ilet,el/te,_ /76/ae / 1.1-c____ 090- /So-5-(n- 00157 Property Owner's Mailing A ess Property Location I 71.fr) 33 ee,(40/.8e-to /life-- ge-cit&' /4 Govt.Lot City,State . Zip Code Phone Number E ih,6F— %, Section 27. ,40Lit} __;c1,46 A I _ _. ,i 7 T-a5 N; R i/171Ecr)V IL ype of Building(check all t at apply 3 Lot& Subdivision Name Family Dwelling Number of Bedroo 10 ....-- 01C, 0..1 D,.Q.,..... b ' Block if 6LACIJO-L,C*--#J// ra-f 0 Public/Commercial-Describe Use 0 Cit3,of CSM Numbe Village r 0 Viage of D State Owned--Describe Use 0•C 2 LY, i-. ce,kks -) Z34-23 CIA.,„.4 ? lown of "/" c, 0e. III.Type/Permit: (Check only o e box on line A. Complete line B if applicable) Zn ^0 A. .... -, i.w System [3 Replacement System D Treatment/Holding Tank Replacement Only 01 Other Modification to Existing System(explain) i—•..--,. ■ I .._, List Previous Permit Number and Date Issued B. D Permit Renewal 0 Permit Revision D Change of PI ber LJPermit Transfer to New Before Expiration Owner i N.T r.e of POWTS S stem/Com•onent/Device: Check all that a .1' 1 ■ u 1.--c. 1 ..- A 111111/ 4101 - ' .. Non-Pressurized In-Ground D Pressurized In-Ground 0 At-Grade D Mound>24 in.of suitable soil 0 Mound<24• • u,• .. - la' 6 0 Holding Tank El Other Dispersal Conaponent(explain) Pretreatment Device(expl...) V.Dispersal/Treat ent Area Information: Design Flow(gpd) Desip Soil Application Rate( dsf) Dispersal Area Required(s, 1 Dispersal Area Prory6d(sf) stem Elev non/ 2/5-0 0 3— YGD 1 7S0 fr7Z VI.Tank Info Capacity in Total #of Manufacturer u .= Gallons Gallons Units ..e if 5 3 Q New Tanks Existing Tanks r71 Septic or Holding Tank X/x - i /?eir) / i(rrk-eCteetaL /(- Dosing Chamber VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plum r's Name(Print) . Q Plumber's Sigiature MP/MPRS Number Business Phone Numb 2Z6Yoz) / - r-Y-7 Plumber's Address(Street,City,State,Zip - .e) • Li 2__ • ' r . - 1\) ) I. ty/Department Use Only Approved 1 it Disapproved )ekism Permit Fee Dat•Issu d I 1 Issuing „ara,„,„/ S q-6. to 14 ii, 15 1 1 I •s,... .'•••Reason for Denial .....A.■ IX.ConditiraWEWPMElitasOns for Disapproval 3 2,4.i. 1,,,,(0p.., . . ?Coo -i, 6e(A.) 1,--'Septic tank,effluent filter and dispersal cell must all be§erVices/maintained tAiiAks. i -AA itmo.,%74-e.A.0,, 1'‘ 2. ,masseoaper mcrizuirmeepintepnItTmpustrovir einboyntplauimhedber. Li ' 1 ' as per applicablecoder/ordinance*. 7 f14 (' _ `2,3 1644 Aepkinii Attach to complete plans for the system and submit to t e County only oa paper not less than$to x 11 inches in size 1) "/, 3 A- 10)2J0,4) yeal2c , SBD-6398(P.. 11/11) PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SE 1/4S 22 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 99.2/99.0 4.3' below grade 3/31/15 3 BEDROOM DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 IL BENCHMARK V.R.P. Top of 1/2" steel conduit ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H,R,P, Same as Benchmark Scale = 1 4" = 10' 120' Property Line B.M.* Additonal boring to done be done to lower system elevation to a proper depth,a.5 loading rate will still be B-3 used! 101' 2-3' X 94' cells 130' with>3' 102' spacing 85' 103' Property Line 4% Slope 104' V 11111.111.1.111.11.1101 25' B_1 65' B-2 20' S All piping shall be SDR 30/34, within 10' of tank,piping shall be Schedule 40. 25' Vent Pro 3 >6" L Quick4 Standard of Cover eaching Chamber Bedroom ith 20.0 ft2 of Area House .6ft^2/pair of end caps 4' Long Grade at System Elevation 34" Property Line Tribute Parkway Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/31/15 Owner: Oevering Homes Location: SE1/4 SE1/4 S2 T28N,R19 650 Tribute Parkway Troy Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and C.ntingency Plan 7. Filter Specifications heet Signature IA License n ,{per#226900 l PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SE 1/4S 22 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX 99.2/99.0 4.3' below grade 3/31/15 3 SYSTEM ELEVATION a DATE BEDROOM CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of 1/2" steel conduit ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P Same as Benchmark Scale = 1 / 4" = 10' 120' Property Line B.M.* '11111111k Additonal boring to done be done to lower system elevation to a proper depth,a.5 loading rate will still be B-3 used! 101' • 2-3' X 94' cells 130' with>3' 102' spacing 85' A 103' Property Line 4% Slope .11 104' — — • 65' 25' B-1 B-2 20' S All piping shall be SDR 30/34,within 10' of tank,piping shall be Schedule 40. 25' 00Vent Pro 3 >6" L Quick4 Standard Bedroom of Cover eaching Chamber with 20.0 ft2 of Area House .6ft^2/pair of end caps 4' Long Grade at System Elevation 34" Property Line Tribute Parkway Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 103.6' 40 Vent cVent Grade A 3'1 4" 3' • �----30/34 Septic Tank 1" 5' 5 5' Long. 5 ' Long Grade at System Elevation 3 6" Grade at System Elevation Spacing 5' 2-3' X 94' ' Cells Same on other end Observation tubeNent At end of cell B A 23 chambers per cell System elevations: A_99.2' B 99.0' ST. CROIX COUNTY SEPTIC TANK MAIN TENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer_ e,2 i 0 ,c762 ____ Mailing Address /Y CQf rt V 21:214.._../___45- t‘ii , Property Address_� . ((verification required from Planning Zoning P new - -._- __ - - _. construction.) City/State Parcel Identification Number ©46—I31) '-"Ifti-- LE GAL DESCRIPTION Property Location) i y , / - t/a, Sec. 2- 2 `� Nlu_ qq� W, Town of 77-V..-- Subdivision _---_-___, Lot# Certified Survey Map#____ ---- - , Volume_ Page# Warranty Deed# ------ -----�--_ , Volume ___�I Page Spec house no - '- �' Lot lines identifiable no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its maintenance consists of'pumping out the septic tank every premature failure to handle wastes. Proper ma ntenan can consists the function p of the s y three years or sooner,if needed,by a licensed pumper. What you put into the system responsibilities are specified the n Co septic tank as a treatment stage in the waste disposal system. Owner Worm.83.52(1)and in Chapter t2-St.Croix County Sanitary maintenance t3' tary 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 owner m s system b is r in proper m plumber,restricted plumber or a licensed pumper verifying that(1)the on-site Y less than 1/3 full of sludge. operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is 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 Certification stating that your septic system has enornaintained musstbe completed and returned toResources, the Sc. Cr State of'Wisconsin. Zoning Department within 30 days of the three year expiration date. County Planning& -.s7 I/we certify that all statements on this i rn are true to the best of my/our knowledge. I/we am/are the owner(s)o property described above,by virtue of a warn ( ) f the deed recorded in Register of Deeds Office. Number of bedrooms _0 _ 3. 73//1.. -- / - -IGNAT OF APPIICANT(S)y DATE *"*An y 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.08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Oeue7,7 Wopteo I Tank Manufacturer:i/4�;t ❑ NA Permit# Septic ❑ Dose ❑ Holding Volume: /O0-0 (gal) . Tank Manufacturer: 1 .NA DESIGN PARAMETERS ' Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal) Number of Public Facility Units: .}-NA Vertical Distance Tank Bottom(s)to Service Pad;A ,l� (ft) Horizontal Distance Tank(s)to Service Pad: /" (ft) Estimated(average)Flow: 4_v (gal/day) Specific servicing mechanics must be provided if vertical is>15 feet or Design (peak)Flow=(estimated x 1.5): CL�"v (gal/day) If horizontal Is>150 feet. Specific Instructions to be provided on back. In Situ Soil Application Rate: / (gal/day/ft2) Effluent Filter Manufacturer: �j ❑ NA Standard(Domestic)Influent/Effluent Monthly average Effluent Filter Model: - Fats,Oil&Grease (FOG) s30 mg/L Pump Manufacturer: I NA Biochemical Oxygen Demand (BODs) s220 mg/L ❑ NA • Pump Model: �` Total Suspended Solids(TSS� 6150 mg/L High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/. - Manufacturer. "4 (BODs) >220 mg/L NA ❑Mechanical Aeration ❑Peat Filter (TSS) >150 mg/L / 1 ❑Disinfection ❑Wetland Pretreated Effluent Monthly average ❑Sand/Gravel Finer ❑Other. (BODO) 530 mg/L Soil Absorption System (TSS) 530 mg/L A (gravity) ❑In-Ground(pressure) ❑ NA Fecal Coliform(geometric mean) 510� ❑At-Grade ❑Mound Maximum Effluent Particle Size '6 in dia. ❑ NA ❑Drip-Line ❑Other: Other: XNA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency � When combined sludge and scum equals one-third('f,)of tank volume Pump out contents of tank(s) ❑When the high water alarm is activated [�1 Inspect condition of tank(s) At least once every: 3�.ymonth(s) (Maximum 3 years) ❑ NA ear(s) month(s) Inspect dispersal cell(s) At least once every: 3 (Maximum 3 years) ❑ NA ar(s) month(s) ❑ NA Clean effluent filter At least once every: 4,, , ear(s) ❑month(s) NA Inspect pump,pump controls&alarm At least once every: ❑year(s) ❑month(s) NA Flush laterals and pressure test At least once every:. ❑year(s) Other: At least once every: ❑month(s) NA ❑year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on•the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (%)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper)and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code: All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units. and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. . GMW-005(02/05) • . Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are detected have the contents of the tank(s)removed by a Septage Servicing Operator(pumper)prior to use. , Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator(pumper)prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment tanks and soil absorption system: acids, antibiotics, baby wipes, dgarette"butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps,medications,oils,painting products, pesticides,sanitary napkins,solvents,tampons, and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. Comm 83.33,Wisconsin Administrative Code: • All piping to tanks,pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator(pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant repl ement system: suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. 'Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. -r ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER. NamecA c„....14,_,;.3 )�% Name S A a )`Jl 2 Phone ) // 9-7/ (.j Phone 7) ' - /— /�/ -4 SEPTAGE SERVICING OPERATOR(PUU iPER) LOCAL REGULATORY AUTHORITY Name 771/ I Name S7(2767x / y — - Phone 7 /XT—d-4. /e y i Phone 1)J >3 36 ( t This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code. • ,Pgo .', x7 FILTER CARTRIDGE INSTRUCTIONS Installation . .;` t STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is F centered under the access opening. If not,(glue) additional insert more pipe onto the outlet the •., tank through the outlet or solvent weld (g ) .- Pipe STEP 2 While the case is still dry fitted on the outlet pipe, measure the length , of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. . STEP 3 For installations utilizing the optional supplemental side support: ‘ solvent weld the 3/4-inch pipe onto the filter case. If side support method is not zx utilized, proceed to step four. are .- STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter f ,t.. cartridge into the case, pressing down until the filter locks into the bottom of i,:y: the case. f. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning , clockwise 90°. Maintenance 1. The effluent filter should be cleaned every time the septic tank is5:. $ 3i y serviced. �s;� , t ,t� k, 2. Open the outlet access opening to inspect the tank and filter. :,...,4--.•.• , ` *� 3. Pump the septic tank completely, making sure to remove the sludge ; layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the ,, outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. 6. If a VRS switch connected to an alarm is present, the switch § should be removed by turning counterclockwise 90° and cleaned y� with water only. ▪ .,' '�"' `,. 7. While holding the cartridge on its side (large flat surface facing y down) over the access opening, rinse off the cartridge with water 7,- z only, making sure all septage material is rinsed back into the tank. ,;: ! " " 8. If VRS switch is utilized, replace by inserting into filter and . turning clockwise 90°. 9. Insert the filter cartridge back into the case, pressing down until , , ` �,4 . t `▪ -« - the filter locks into the bottom of the case. ,�� ~f : � Y,, ' �= . 10.Replace and secure the access opening on the tank. BEAR ONSITE"FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY .,t, ` BEAR ONSITE"Filter Case Lifetime Limited war ar, Y I . ..i jt J 7 e a tJ r a t Ct o. e c 'r c h lr . , - :e,.11,.,.(,7 �,1'l I ,„.1 1 G I �.2 H r I a1 7 w. s- u ''s IN a” ' e;t E s x �' t , .:x��'.a,' y**V�v*.pe;z t.i. i*EVAzia'i i e�'Y ..}{'.>,d 'viZu:.^„„a'$w°.:>-„a. .:A_ , •w ♦ t 1255�� ti i/- 1 ,r �° t `a 1 ` 3 3° W �p — /\ r ' . t 14 r / /%i 2'46- r'd'\ ° .....-,00, - ta;t7►.. a )illr[=� �' /�. v \ \ . , ?..12. w I „o, a z �• x� Ri a „ � $ �. . �. .� . '1 ® O O t a ry . ,•4QO �5 �,� 343- -i \` .....•,-- r • / � Es Z.g 0 �dL — x-12"0 1 _`�_�-_�- �. tY. w '� �/ r a I W Car � � / 4ic -- / / / 1 v. y / 1 e _ - ! y U O Vi j . 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A. _` _ :ir 4 I I 1 Waif a W44ti t/T //i// F/ M TODD 3 1ee5r oT Property Parcel ID# G0 f # Z •• 3 ✓ O so �/• ` ?Co• t Groundsurfaceelev. ft. Depth in. Sail ... Rate Horizon Depth Dominant Redox Descripton T Structure Consistence Boundary Roots GPGRf in. Munsell Qu.Si. Cont.Color Gr.Si.Sh. 'Est#! 'EfFll2 W l9•/o /44 Y R 3 l 411=M11112111 Z'Fsb Eninglinin 8 E0• i f 11MIGSYMIM, "4.5 IIIIHMI • 3 _...._.AZ zf shk is MOM= IIIII o i 1111111101111111111 1111111111111111111111111111111111 . # fj � ,. ❑ pit Ground surface elev. ft. Depth to knifing factor in. Soil •... r.,i. Rate Horizon Depth Dominant . . Redox Desaipticn Texture Structure Consistence Boundary Roots GPIMf ire Munsen Qu.Sz. Cont.Color Gr.Sz.Sh. •EfUt1 1111111111 11111 M -Alb IIIIIIIIIIIIMIIIIIIIrjrIIIII 11=111 1111111111111111111111111111111111111111.11 11.11111111111.1 1111111111.11111111111111111111111111111111 Boring# Boring 0 pit Ground surface elev. ft. a r., to limiting factor in. Soli 'L.:'• r.•. Rate Horizon Depth Dominant . I Redox Desc iption_ t E Structure Consistence Boundary Roots GPflife in. Monseff Qu.Si. Cont.Color A (ar sz.Sh. 'EMI 4Eff#2 WA RR r € mom I - Sariman mi....m. ammlimummai - astimmam ng# LI Bona Q Pit Gaxnd surfs•>elev. ft. Depth to limiting factor In. Boundary Sod Apption Rate horizon Depth Dominant . • - •. Description. Texture Structure Consistence Boundaar Roots GPD!W in. Munsed r. .Si.Cont.Color Gr.Sz.Sh. 'Eff#1 Tiff/2 111111.1.1.111111.1111111.1111111111111111 1111111111.11 i .L. °Effluent#1=BODs>30<220 mgit.and TrSS>30<150 mgls.. °Effluent#2=130D.<30 mglL and TSS<30 mglL 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 608-2644777. 58t,ino(R M) r ra r■ ur - Wsoon€in Department of Commerce SOIL EVALUATION REPORT Page / of '3 Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code I County sr c,,e Or x-- "V Attach complete site EROSION CONTROL PLAN must be L H include,but not Gmitec ERO Parcel I.o. Percent slope.scaleo completed before sanitary permit issuance ti i� 363-6o p R- ,. / ' Date %�1?. PetsCnid information you Pry may be used for secondary purposes(Privacy Law.s.15.04(1)(m)). f / It 'YJ+1 I ///3/03 Property Owner TO PP 33ERS Tefl 1 ek A Property 17024 y/y Govt i Lot !( ©�q S 1t4 S�L T16 N R / lr(or)W Properly Owners Mailing Address Lot# Block# Subd.Name or CSM# !�oL5 CA Wi LL Aug - 5' IvALA?or >}i tt pA-xot f City i M1 R State Zip Code Phone Number ,., City ❑Village (Z Town -Nearest Road 6100E Ef 75 MN 5507(e ( (95()Z'/K. 1°7 TRoy so. CftooeR 0 New Construction Use:i2) Residential/Number of bedrooms 3 y Code derived design flow rate V r ("OT' GPD 0 Replacement ❑ Public or commercial-Describe: --- - — vi Parent material 16 ES S 0 1111-, S/f•ND y OW-0114 Flood Plain elevation if applicable AIM-- ft. - General comments . C. and recommendations: •#fre8 ' TAT 7 So/r/f•Vs' /5/e i Jf,eciat ) loo-LO.T. S . gt s6a — o.'7 /1,1--e__-, ,Lu1-�31.e� 9(o " 4 r. -sot,.�s -462 153 N Boring# Bodng r ® pit Ground surface elev. 7• ft. Depth to limiting factor? • in. Sad Application Rate Horizon Depth Dominant • • Redox Description Texture Structure Consistence Boundary Roots GPDIfr in. Musell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Etif/1 Eff#2 C / 0 //6y�e 31 L E • s • g ti z NE i 6 V/ I S/L 2- S1 Fiffilli • s - 3 ;.0 •52. E 45 IEMINVIIIINII . 7 (. z-- z. MI Mr 153 "I'.. ' 7 .7JNII li V7,404111 C� aBoring# X03' t,, El pit Ground surface elev. ft. Depth to •favor in 1 Sod Application Rate '1 Horizon Depth Dominant • • Redgx Description Texture Structure Consistence Boundary Roots t GPD/ft` in. Mu sell Qu.Si. Cont Color Gr.Sz.Sh. *E1f#1 'Eff#2 / 0.15 /o%R3/ L ifsii,e a°, 4 w -2--F • `/ . ep N y mini o , ---- sit- gii' ! I / f. Z • 3 N 3 Fir_ Ifsh/ MI MI — . . & Mr (/f B WA ilmmiwitinimaggi Effluent#1=BODS>30<220 mgfL and TSS>30<150 mgil- •Effluent#2=BODD< r mgll.and TSS_30 mgll. CST Name(Please Print)1Z.-u 1$R i G k1' Signature 2 ST N5 r Address Ulbricht &Assgciates Date Evaluation Conducted i 7Telephone 7.2,- 3 Number Z- Private Sewage Constants sei T. 3 - a o 3 7 S 2812 10th Ave. Spring Valley, WI 54767 PiN5 f°o i-pIVo X . 2 Vo 4 es �.,. oyfJ . eats . SO ©yo . eoS76 . /o - Ovo ow • /086 - zo • orr) oyo- iO & 60 ' x' 0yo • /0*6 - 70 . 0 o yo - /086. .6740 - oar / I . ro D /31 e e 5 TED7— ,r-- Z 3 Property Owner Parcel 10# G d 7 # Page of 3 D Boring / l 5 $ ;•rt Groundsuriace elev. job• f Depth to limiting factor > ' in. Soil ..,r, .:... Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GMT! in, Munsell Cu.Sz. Cont.Color s Gr.Sz.Sh. s •Et1#i •Etf#2 I 010 /el the 38 L Z'Fsb dsli 'co Zf . 5 .8 2— o•2 1 /o/2 .• 5/1- IfJbe 4 A as — • Z • 3 • f ce l Ry 4 $t zfstiK 4 h c5 . s • ? `°l /mR1,Q• s. 0• s.1 6f ,e._ • -7 1. 2 _ . i Boring# Q Boring ,, t Q pit Ground surface elev. ft, Depth to limiting factor in. Soil , r'Haitian Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . GPD/fg . trs. Mansell Du.Sr. Cent Color Gr.Sr.Sh. 'Eti#1 TM 1111111111111111.1111111111111.11=1 111.111.111.1111111 . 1111111111 1111E110111111 . Iv : . 1 1 Boring# ° Ong Ground surface elev. ft. Deg, to limiting factor in. Pit Soil '.,r'cation Rale Horizon Depth Dominant Color Redox Description. Texture r Structure Consistence Boundary Roots GPD T • in. Mansell Qu.Sz. Cont.Color Gr.Sz.Sh. `Etf#1 ' `Eff#2 W . IIIIIIIIIIIIII OMs . IIIIIIIIIIIIIIIIIIIIIIIIIIIWIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIMIIIIIIIIIII I I 1 I Rod' ng# Li Bonng 0 Pit Ground surfs►.elev. ft. Depth to limiting factor. in. S( 'fr *,,Iron Rate i Horizon Depth Dominant Cola .. Description. Structure Consistence Boundary Roots GPM in. Munseti a Sr. Cont.Color . Gr.Sz.Sh. `Eti#1 J `Eff#2 • . Effluent#1=B O D r>30<2 2 0 m g t,,and TSS>30<150 mgIL • `Effluent#32=BOD¢<30 m g&and TS5<_30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or Tl Y 608-264-8777. SOP.8330(R6/00) r PLOT PLAN WALNUT HILLS FARM. LOT # Pg. 3 of 3 d = Contour elevation lines. • = Backhoe Soil pits. 1J Q = Benchmarks set, maRKED WITH FLAGGED lathes. 1/2" steel conduit pipes. Got SCALE: 1 " = 36 Nd . LO r L!NCR • �4 30 i d 1,b 133 (1-07- Ce d GiT M 10 10 ° SS 130 9° ao • • 605 • •. / 01/00( ■Y J- 0/ -' 0 7- 3 /.0 t I