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Home My WebLink About026-1288-06-000 0a>0 3'nn C7 r_ v1 \ 1 O N 4 O V n U) x N) (71 N h • Q 7 0..4 =r =r W ~ ~cYll CD y (0 G3 ~ ~ ~ ~ ~ co W Q co W o 0 7 0 o 0 TL * 7 O W 0 c cn z D ~ a (0 D 10 d A m co 0 F a O < rn z N l\i o C) o r- ca x Co ° v_ = 3 v 0 0 0 O O O 0 L rn cn ry a c y y~ ~ g `~V Cl) o p O 'm =r cp m A y U <D 01 CD N D D o ~ c C I m CL CD N c ~ v 3 N 3 I ° a ~ -a to c A Z 6 z fD O -0 m to CD CD CL o z 0 ° m oo 3 H z W ~ A I N C Q n - C_ a ~ m c o o a CL (D Co 0 N x cn I y ~ o 4 Q r y 0 R4. 3 N IZI m o I °o N N 0 O N ~ o m W C) O ti Cyan 0 Q y Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 578993 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)j. Permit Holder's Name: city Village X Township Parcel Tax No: Schafer, Bryan Richmond, Town of 026-1288-06-000 CST BM Elev: Insp. SM Elev: BM Description: Section/Town/Range/Map No: 60 g GS .30.18.1449 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S Septic JF V Benchmark Dosing ~•--p g ' Alt. BM , (646 j AuaLao- Bldg. Sewer L Holding St/Ht Inlet Iz.~ qi.4 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent o Air Intake ROAD Dt Inlet WFJb~ ~ Septic Cd „ 1?5 Dt Bottom Sv + Z Dosing NA 415 Header/Man. z-4 m6 1 Aeration Dist. Pipe 3'Y /96, '7 Holding Bot. System 'flit / ~ t ~ ✓ d0 Z Final Grade PUMP/SIPHON INFORMATION Z , j,p Manufacturer Demand St Cover zAE GPM F'1 GpJ 3.5 /w 8 Model Number ` Z- „ t Yu D vL o ~j~ TDH Lift Friction Loss System Head TDH Ft IZ •`7 3. 3 /9. Forcemain 1 Leng~ Dia.Z it Dist. to well AJA- SOIL ABSORPTION SYSTEM DIMEN BEDITRENCH Width i Length No. Ope nWh s PIT DIMEN\\ S No. OfPits Inside Dia! Ligyid Dpth DIMENSIONS IONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR ~ Type Oystem: pg UNIT Model Number: DISTRIBUTION SYSTEM G r Header/Manifold ; f Distribution ! It x Hole Size x Hole Spacing., Ve o Air Intake j T/ Length Y Dia ' Length 54 Dia S acin T 7 1:P-../- SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only w+-~.• Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ' '~LYes 0 No `s 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 7 Inspection #2: Location: 1373 134th Avee~Ngj~w.~Richmond, WI 54017 (NE 1/4 SE 1/4 25 T30N R18W) Stone Run Estates Long 6 P rcel No: 25.30.18.1'44[9 1.) Alt BM Description = 1r'{ ~ 69 , 2.) Bldg sewer length ~r Uj - amount of cover = / ~y~y ~OCS O'er N o W g 6 r o-~Lk- r til ~H Plan revision Required? Yes "WNo Use other side for additional information. Z y Date Insepctor Signat Cert. No. SBD-6710 (R.3/97) <}vim M ro Safety and auildings..Diuision 71 2 I County ~f it u ' to be ti lied in b Co < 201 W. Washington Ave., P.O. Box a Sanitary Perm ( y S P JUN 15 2015 Madison, W) 53707-7162 '0 TY T. FtOIX C UN S GASION~ -AA A . State Transaction Number anitary ermit Application In accordance with SPS 383 21(2), Wis. Adm. Code, submission of this form to the appropriate , Ovc=enW unit S5 3 -7 Q is required prior to obtaining a sanitary permit. Note: Application forms for state-owned P04VTS are submitted to Project Address (if different than mailiaddress) J the Department of Safety and Professional Servies. Personal information you provide may be used for secondary /~,L -purposes in accordance with the Privacy Law, s. 15.04(l (m), Stats. 13 73 LI 1. Application Information - Please Print All Information -----I Property O-Amu's Name Parcel # -~C1496 -89-296-M). Property Owner's I ltng Address Property Location (J /vc a/ ' I Govt. Lot City, State i Zip Code Phone Number ~ ?,:.7L 14, Section f 22 ,9 le o pen T✓ N: RE rW 11. Type of Building (check all that apply Lot # Subdivision Name Family Dwelling -Number of Bedroo o--- Block 41 ❑ PubIiclCorttmercial - Describe Use I ❑ City of VVW1V%6 tot I tq Vs" CSM Number ❑ Village of _ ❑ State Otted Describe se r tun of )r 5 7 4P I III. Type o Permit: (Check only one box on line A. Complete line B if applicable) System (explain) ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only I List POtherrevious Modification cation to Number and Existing Date Issued R. ❑ Permit Renewal ❑ Permit Revision % ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner W. Type of POWTS SystemlCom onent/Device: (Check all that a Iv ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound >24 in. of suitable soil ❑ Mound < 24 in. of suitab e soil r-- ❑ Holding Tank ❑ O er Dispersal Component (explain) ❑ Pretreatment Device (explain) + 2 _ +I V. Dis ersal/T rea ent Area Informati Deli Flow (gpd) Design Soil Applic n Rate( dsf) Dispersal Area Requir (sf) s~saj Area Pro sed (sf) System Elrsation' ,n, f, D , 5/sv 25 VI. Tank Info Capacity in ' Total # of Manufacturer j Gallons I Gallons Units n = i J New rants ~ Existing Ianws , ; ~ / , • ~ ~ . V j ~ m-''i~~ Septic or Holding Tank 1 j - Dos ng Cbambz VII. Responsibility Statement- , he undersigned, as responsibility for installation of the POWTS shown on the attached plans. Plumb r' Name (Print) PI ignature MPIMPRSS Number Business Phone Number ddres(Street, City, • te, Zip VI ountartment Use Only f~gn Pl be 's A 17 11 i Fee Date sued ; TssuApproved Disapproved ! S ~Z5 • Da ~ / ~ ~ V Reason for Denial IX. Condi aPProv al , 3 lA''~CC b`i~y~YJ dispersal cell must all be serirlbes f male, ed: W 1 y as per management plan provided by' plumber. G1,1`Z+ 1 ` 2. All setback requirements must b,& tnaintab d: as per applicabie code I ordlnanoes. Attach to complete plans for the system and submit to the County only oa paper not less than 8 it- x.11 inches in site SBD-6398 (R. 11/11) PLOT PLAN PROJECT Brvan Schaefer ADDRESS 1336 140th ST. New Richmond Wi 54017 NE 1/4 NE 1/4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX .SYSTEM ELEVATION 99.2' DATE 5/27/15 BEDROOM 3 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark All piping shall be ASTM SDR 30/34, within 134th Ave 10' of tank, piping shall be ASTM F891 Scale = 1/4'1 = 101 Pro 3 Bedroom 418' Property Line Ho use We l I is to meet al l WDNR setbacks Huffcutt Combo Tank Tank is to be properly bedded and provided with lockdown covers with approved warning labels B-2 Grading is to be done to divert run-off away 1.8 acre lot from system 8% Slope B- Area 15' below system -1 is to remain 99' undisturbed 98.2' roperty Line 97' M.* CC C 0 otiP~E~ DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 \P GREEN BAY WI 54304 p F• Contact Through Relay S http://dsps.wi.gov/programs/industry-services P S o" / www.wisconsin.gov ssrar Scott Walker, Governor Dave Ross, Secretary June 09, 2015 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/09/2017 Transaction ID No. 2553701 SITE: Site ID No. 813465 Bryan Schaefer Please refer to both, identification numbers, 134TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County NE1/4, SE1/4, S25, T30N, R18W Lot: 8, Subdivision: Stone Run Estates FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1539502 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, 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 requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: / • The pump chosen for the design is near the limits of its capacity. If the total dynamic head is calculated to be f / NQ► higher at the time of construction, a pump that meets or exceeds the system demand will need to be installed. It NO~K~ 0~ is recommended that the actual pump-off elevation be determined when the dose tank is installed to establish GQ p`QP~ P~ vertical lift and TDH pump demand early in the installation process. The County POWTS inspector will verify $ adequate pump capacity upon inspection. Performance specifications (pump curve) for the employed pump ~Q~ `O~p► shall be made available at the job site upon inspection. QO~~cj$,~QV • This POWTS dispersal component and septic system shall follow all setback requirements as per s. SPS Q~ N QF 383.43(8)(1), Wis. Adm. Code. O$~O A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of $ construction/installation/operation. 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. SHAUN R BIRD Page 2 6/9/2015 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. When You Receive That Invoice, Rachael E Huempfner Please Include a Copy With Your POWTS Plan Reviewer, Division of Industry Services Payment Submittal. (920)492-7726, M-f 7:45 am To 4:30 pm WiSMART code: 7633 rachael.huempfner@wisconsin.gov 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 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. Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/ 26/15 Owner:Bryan Schaefer Location: NE1/4 SE1/4 S25 T30 N,R18W Lot 8 Stone Run Estates Richmond Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan ~Y PAD S 9. Filter Specifications and cross section SIRS RVtiGO Attachments: Soil Test MCI Shaun Bird DEG Es?0 Signature License number 00 Page 1 of~ PLOT PLAN PROJECT Brvan Schaefer ADDRESS 1336 140th ST. New Richmond Wi 54017 NE 1/4 NE 1/4s 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX .SYSTEM ELEVATION 99.2' 5/27/15 3 DATE BEDROOM CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark All piping shall be ASTM SDR 30/34, within 134th Ave 10' of tank, piping shall be ASTM F891 Scale = 1/411 = 10' Pro 3 Bedroom 418' Property Line House Wel l is to meet al I WDNR setbacks Huffcutt Combo Tank Tank is to be properly/ bedded and provided with lockdown corners with approved warning labels B-2 Grading is to be done to divert run-off away/ 1.8 acre lot from system 8% Slope B-3 Area 15' below system B-1 is to remain 99 undisturbed 98 2' 4 roperty Line 97' B. M. 2, 9 Mound System Cross Section and Plan View Dimension Fect _ _ _ A J 1 B 1 1 D ----4- L L L L L L L L f r f•t f f l . ,Lr ,'r`'• L L . . rr . . fr r L 17 . r . .L L . . i.r:r.. . r• . . . . . - 1 1 1rL~.'i4 ~•:r •iLr: i1i•:l: s:: ht:l J~rtif•Jl~.tif fif:iil~::t.t1~:r: ?L?L~ti.1::::..L.L.L.:..L...L. ~ ..J A W PG7 1 1 i 1 K-_ , ` W B Z _ Slope L 1 - 1 = Topsoil = ASTM C-33 Clean aggregate = 4 in. sch. 40 pvc I I '/2 to 2 '/2 in. dia. observation pipe - Cap Material sand fill Geotextile G H Fabric :r•r s•r:r::,::: rrrr~rrr F 0 - V t rrr ~r~r. . r:r.r D ~ titer a 4 .1 "K`~'~ x., 5 Plowed Surface 5 1 r. 2---Ft Contour Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contotir. Existing, vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a `/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07 lgj Pagey of Pressure Lateral Layout Two Laterals - End Manifold 4---- Hireaded CleanoLit Lateral Turn-up ► Plug Manifold M 1. Long Force Main Sweep Al 90 f" Bend Distribution Network Vipecifications Pressure System Construction Lateral Diameter In. 1 Manifold Diameter In Laterals are constructed or Schedule 40 PVC Orifice Diameter In.~ pipe. Orifices are drilled perpendicular to X Orifice Spacing) In. the pipe with a sharp drill bit and face down. 01 - L {Lateral Length) Ft. Lateral turn-ups terminate with a threaded M Manifold Len th) - Ft. cleanout plug and are enclosed in a 6-9 inch Force Main Diameter ~ -2,.-- _ In. diameter lawn sprinkler valve box acc+--ssible Force Main Length _ I"t. from finished grade. Grade 77- 6-9 Inch Lawn Sprinkler Valve BOX Page • • • • • of 03/05 lg; Septic-Dose Tank Cross Section And Pump Performance Specifications „ Pump Manufacturer Tank manufacturer Pump Model Number Tank Model Number < ' Alarm Manufacturer v?"_c_ Total Tank Capacity 4 Alarm Model Number V- C -Max. Bury Depth Switch Type '"n Filter Total Dynamic Head (T H) Feet Manufacturer IN Elevation Head Filter Model Number 17istal Pressure G Network Loss - - ` erformance Required Force Main Loss ID ! Minimum Pump° TDH Ft , Total GPM- Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device Securely Mounted < b" Below Grade Sealed Watertight Weather--proof Junction Box Finished Grade Vent Min. 12" Disconnect Above Grade Means With Vent Cap outlet Filter - - - - . Inlet Baffle Wet 4--~r A 1/a Switch Setti gs and Reserve Capacity Weep - GPI Hole Tank Volume = B Dimension: Inches Volume Gal. (reserve) A c off Elevation C ?I J t a Ft - Bottom B 2 (alarm) - i (dose) C : D Elevation r- < :t~ tai:--- l t ail>. (dead) D Total 2 ~ . t r; i : , , <.,.s:~::•.>; t teak is bedded and back filled in accordance with the GENERAL bury aSpec ified by the manufacturer may not INSTALLATION: The septic/dose (padlock) manufacturer's product approval specifications. Maximum dep o of ave an effective locking device fittings, and royal. Manhole covers exposes grade tank with watertigh be exceeded without prior app roved material, connected tothe installed. Piping at the inlet and outlet is of app The force main is sleeved with 4'C ~o 0d CVC to ommb idge the tank laid on stable soil to prevent settling at sagging Electrical service c plies with NE 16.211. excavation and the sleeve is scaled watertig Page of 02105 U iAD CAPACITY 52 40 s2 - - - `t. - ` - Y & 4- 0 i 0 r 80 31 o - T'-RS a Y~4l Y FOR SPECIAL APPLICATIONS CONSULT ` - -1- - CONSULT FA panels available. 1 Timed dosing s: are available and supplied with Electrical alternators, for duplex System an alarm. Variable level control switches are availaG e for coat olfing single phase systems -T Double piggyback variable level float switches are available for variable - level long and short cycle controls r~, Sealed Qwik-Box available for outdoor installations. See F X42 . Over 130"F. (54°0•) special quotation required. 1521153 Series controlntrol Selection 1521153 MODELS ex _ Duplex iC 'Aodel Volts•Ph~ Mode ~rt Simp= 2_r S Y-1054 W f B.5 f A152~t?--i--No~ 8.5 ! Ind,-red 2or~ BN,52i 115 uto-r 43 2Cr= Et 0` 1 Non ' 2 or - BV52.3-1 In lu ed Autos 4 230 Non t0 _ 2,f3 3 SELECTION GUIDE 5 - ~ 5 Inc u~`26 ~3CkVafi268 level $aat P'39 N1 BNU3 1115 I 2 2 c; or-3 ; Sind Gy9Yoa~~ ~<~:aGle ge'e' iloal s+Atch or rouble 1 Auto 53 - 04 E 153 1230 1 Non S 3 - in o ad 2 or 3__ NItC Peer to 177 -53"~ 230 } Auto 2 ace 2 for ~p,reu rnodel of Eewicol .iterlatcr c-Pa. LBEti duplex & CAUTION - protection devices and wiring should be done by a qualified 3. V3naDle ! evcl control switch 10-022 used as a control ac~wa;or, sgeci ' All installation of controls, pr ,4i goat System owed including the Ilicensed electriciam All electrical and safety codes Should be National Electric Code (NEC) and the Occupational Safety a RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump-_ MAIL TO: P C, 3'--'X 153'1 Yan~fac;;rers: r 1 w v! K- 4025,'3 SNIP TO 3643 r Z o is i .e r, Jt W 40 X21 ~8 2737 1800 y ° ~ti1.u aX (5G21, 774~3c24 LILY/ http://www,zOeller-com Copyright 2000 Zoeller Co ~'l rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN page- of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al NA Permit # v Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Filter Manufacturer ,r; `s NA Number of Bedrooms 1 ❑ NA Effluent Filter Model., ❑ NA Number of Commercial Units A Pump Tank Capacity 6'_~:62 al ❑ NA Estimated flow (average)' gal/day Pump Tank Manufacturer q Design flow (peak), (Estimated x 1.5) gal/day- . Pump Manufacturer ~a ❑ NA Soil Application Rate allda /W Pump Model ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) S30 mg/L ❑ Sand/Gmvel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) x220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality A Monthly average" Dispersal Celi(s) Biochemical Oxygen Demand (BOD5) 530 mg/L ❑ In-ground (gravity) ❑~Ci-ground (pressurized) Total Suspended Solids (TSS) s30 mg/L ❑ At-grade and Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-line ❑ Other. Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non-commerclao wastewater and septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every ❑ months ,year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume Inspect dispersal cell(s) At least once every : ❑ months ar(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months- ar(s) Inspect pump, pump controls & alarm At least once every } ❑ months,,-94ear(s) ❑ NA Flush laterals and pressure test At least once every ~ ❑ month ear(s) ❑ NA Other. At least once every ❑ months ❑ year(s) ❑ NA Other At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. 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 to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) 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 tank equals one-third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of for the presence of painting products or other chemicals th, .t START UP AND OPERATION a the dispersal cell(s) . If hig h concentrations are detected have the contents of thy: For new construc{ eatment process and/or damage the treatment tank(s) may impede the tank(s) removed by a septage servicing operator prior to use. start up shall not occur when soil conditions are frozen at the infiltrative surface. Owen is restored the excess wastewater will t?;e System tanks may fill above normal highwater levels. When p power to the During power outages PUMP Prator prior to restoring p sal cell s) in one large dose, overlank removed y loading the cell(saa~e age Servicing Op backup or surface stori g ormal IevE 's may result in the discharged to the diaper erarng the pump controls to re store n To avoid this oruco'ntactaaePlumberltorl POWTS Ma stainer to assist in manually op effluent p p er tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area wl hIn within the pump tank. Do not drive or park vehicles av 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 PO ~ floss; diapers; disinfectants; fat; fatiooductis; antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental water; fruit and nd vegetable peelings:. gasoline; grease; herbicides; meat scraps; medications; oil; painting (sump pump) pesticides; sanitary napkins; tampons; and water softener brine. Administative ICodeakd,l1 to insure that the system is propE~i Y ABANDONMENT S fails and/or is permanently taken out of servicWi consinowing When the POWT and safely abandoned in compliance with chapter Comm 83.33, openings sealed. • Ail piping to tanks and pits shall be disconnected and the abandoned pipe op Operator. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Op • After umping, all tanks and pits shall oe excavated and removed or their covers removed and the void space filled with F,uil p gravel or another inert solid material. If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code comp '„iin CONTINGENCY PLAN ery lacement replacement system: absorp ❑ A suitable replacement area has been evaluated and may be e and compaction anld shouldenot be nfri ged upontby s re quit The replacement area should be protected from disturbance with the rut E; i acement Reprotect the placement sylstems must comply salt in the nee area will setbacks from existing and proposed sts at suitable aeplacelment a reureato for a new soil and site evaluation to establiablf h effect at that time. ❑ A suitable replacement area is n available du replace setback aaed/POWTSmitations. Barring advances in POWTS techno oyit holding tank may be installed as a la the . available aholding tank may evalualic 4'_ t~ site has not been evaluated to identify blareapl Ifcna failure of the 7~'' must be performed to locate a suitable replacement last resort to replace the failed POWTS. Mound and at-grade soil absorption systs mus macomply be reconstructed c ~ t e ctees in effect followthat ing removal of the biomat at the infiltrali su ce. Reconstructions of such system <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT EATMENT TANK UNDER ANY C RCUMSTANCES.I DEATH MAY RESULT. R SCUE 01= ENTER A SEPTIC, PUMP OR OTHER TR PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS _ _ POVVTS MAINTAINER _ -h POWTS INSTALLER Name Name Phone Phone%a SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Name 47 one EM hone v f P This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. 0 ti' J fr { a y z , 0 I, I t> f 77 _ I L.y/ acres-, 1n= e0 pa ° e0 ,3~ , z UE^ -~F 7r N 5 N t\ h n 16 m MAP' 0 131,549 sq. ft. v °n o N., RAS W. h 3.02 acres 89.821 sq. ft. v 89,821 sq. ft. 0'088,955 sq. ft. ° T. CROIx COUNTY, Nn 1,00 2.06 acres 2.06 acres ^ 2.04 acres :ALE N SHED h9 h~ 0 00 N / QI m & or, do hereby certify: that I o ZI I khti r of the Wisconsin Statutes v ° x pp h~e'a he Town of Richmond, ` o i QI I \ pt 'the land described on this o 7 ~~pqv i .UN ESTATES; that such a m o h 3 he subdivision of the land ° c qI o v~hR ° 'O J 1 82.BH"- 184.97 -184.95" -106.97' 1 t" s an j 2 artheast 174 of the ~I. ' ' hnI o y ti igeI8West,Townof 4 = x p S895226E A3477- AI01K/G 759.77 ' "c ow? of a Cert ified Survey Map p v ~I W as - - - - - - ! Gt N ( I~ >unty Register of Deeds o a 5671,10 61 N895226"W 759.93' 377, 30_}' -785.00' / 85.00'- 185.00' -185. ~0'-- 17 r .zcs oar on 26; thence, on an w N 8' 19.93' Quarter of said Section 26, iv 9B. ace of 332.51 feet to the 0 I 100 degrees 25 minutes 35 ..............................1. I .............................1......... --......------••-•------I--....------- ne of Lot 3 of said 0 0 ne, North 89 degrees 52 Z the west line of said Lot 3; (p minutes 35 seconds West 3 o 6 ~ N ° G `r CER a Certified Survey Map . o p p O 9 o 10 said north tine and the 77,330 sq. ft. o a 77,330 7 sq. ft. o 77,330 sq. ft. o 77,330 sq. ft. o 90,649 sr ft. I/OLC :d in Volume 9 page 2551, 1.78 acres r°t 1.78 acres 1.78 acres ° 2.08 acres nice of 948.88 feet to the X 1.78 acres U) quarter; thence, along last M ds East a distance of in ,econds East a distance of \ o 148,111 square feet (26.36 - - 2 the most easterly boundary ~I I W cements, restrictions and 4o",!XS O gM 185.00' 185.00' 785.00' 185.00' 20888' - - O~ N89'52'26"W 948.88' lo. 2484 3 { . DOTy R, DGE i SOUTH LINE OF THE N£ 114 OF THE S£ 1/ S-2484 Q , CLEAwtR . ~I I LOT 3 I LOT 4 CERTIFIESSURI/EY MAP I CERTIFIED SURREY MAP %Z1110 R suave"' VOLUME 9 PAGE 2,551 VOLUME 13 PAGE 3620 nrmn:u¢nnancCURVE TABLE I acting town treasurer of the CURVE RADIUS DELTA ARC CHORD CHORD BEARING TANGENT BEARINGS LEGEND: ance with the records in my C7 167.00' 6070242" 175.01' 167.11' N60'06'13"E S89'52'26"E N30'04'52"E ;sessments as of LOT 2 167.00' 2728'54" 80.10' 79.34' N76'23'07"E S8952'26"E N62'38'40"E Section Corner Monur included in the plat of STONE LOT 1 167.00' 32'33'48" 94.91 93.64' N46'21'46"E N62'38'40"E N30'04'52"E C2 283.00' 60'00'00" 296.36' 283.00' N60'04'52"E N30'04'52"E S89'55'08"E o Found i" Iron Pipe C3 217.00' 60'00'00" 227.24' 217.00' S60'04'52"W N89'55'08"W S30"04'52"W O Found 1-1/4" Iron P C4 233.00' 60'02'42" 244.18' 233.16' S60'06'13"W S30'04'52"W N89'52'26"W p Set 1-1g 4" x 18" Iro D sue- LOT1 i 233.00' 22'13'00" 90.35' 89.78' 541'11'22"W S30'04'52"W 552"17'52"W (weighin g LOT 10 4.303 Ibs. 233.00' 3749'42" 15183' 151.06' S71'12'43"W 552'1752"W N89'52'26"W Building Setback Line NOTES: (too' from R-O-W) iE ELEVATIONS ARE BASED ON AN USGS NAVD 1988 DATUM. Proposed Driveway Lc BEARINGS ARE REFERENCED TO THE EAST LINE OF THE SE 1/4 OF SECTION 26, T30N, - 12' Utility Easement R18W, WHICH IS ASSUMED TO BEAR SOO'25'35"W. n Existing Fence Line I pr) I n- S' CRO UN CC)LINT',( SEPT C `1'r INK tVi A tNT.F N AN CE 1'~ ('rR FMI MF ANI ) OWNFJ,611111 C:I31?_'FJlIICAA'I( N 'RN1 Owner/Buyer 7~(-- - 1c-L Mm-ling Mdress Property Address' ~ 3 73 Verification required Bronx Planning & Zoning, C)epart'.nen irr new constIncuon_) City/State Parcel Morititication Nmt it er LEGAL DESCRIPTI01oi Property Location W, 'town. 01 j Subdivis' 10 11 ~54r~ ~.ao Lot 4 Certified Stit-vey Map # Warranty Deed V"~.lume Pitge #r Spec house yes o Lot line; identifiable On() SYSTEM MAINTENANCE AND OWNER ('ERTDAc-A`1'ICIN Improper use and iaintenance of your septic system could iesuft in its pr,,rnature faihne to handle wastes. Proper maintenance consists of pumping out the septic tank every threc years or sooner, ii needed, by a licensed pumper, What you put into the systern can atfect the function of the septic tank as a treatment stag,, in the wasie disposal system, Owner rnaiutenance responsibilities are specified in §Conmm. 8,3J2(1) and in Chapier 2 - St. Croix County Sanitary ( )rdinance. The property owner agrees to submit to St. Croix, Comity Planting (U Zorn u111, Department a certification four s.ignul by the owner and by a master plumber, journeyman plumber, iestricted plurnber or a licensed pumper verifying that (1) the oar,-site wastewater disposal system is in proper operating condition and/or (2) after inspcr; ion and pumping; (if necessary), the septic tang: is less than 113 full of sludge. llwe, the undersigned have read the above; reyatreurents and agree to rmuir tarn the private somrage disposal systern with the standards set forth, herein, as set by, the Department of f bminerce and the Departincm of Naturai .Resources, Statc of Wisconsia. Certificau0n stating that yotn septic system has be .n rnarnianic"d must be conmpletr.,l and.wi.w-ned to the St. Cron;. County Planning& Toning Department within 130 davS of the three, y ,at- expiratiosi date. ]/we certify that all statements oil tlri forrxr arc: true to 111C best of tuy/our k tiowledge. 1/we andaie the owner(s) of the property described above, by virtue of a war- my decd recorded m Register of Deep Is Office. Number of bedrooms - - - - s r, 0 A 1CAN 1 I3AT **An,y information that is misi epi esented may result in the sanitary permit being (':voked by the Plunrtaq? & Zoning 1)epartmc nt. Include with this application a recorded warranty deed from the ltegistel of Deeds office and a copy of the certified survey map i_f reference is made; in the warranty d,~ed. (REV. 08/05) ~ ~ ~ ~ ~ ~ - - ___r--- ! ~ ~ t # ' ~ ~ ~Q~N ~ ~ r 4 M v~ ~f I J 1 l ~i a AJUM r gip Ssr Al ► i F a r r . ~ ~ ~ r r w CCCIII ~ ~""r i~ own ---------.-9.-. sr a~ A-AT rxtl~PVED ~ I Page of Wisconsin Department of Commerce "Division of Safety and Buildings in ccor 11 rws. m. ode I, i U NT County Attach complete site plan on paper not less mu parcel I.D. orizontal include, but not limited to: vertical and h It-* it RF s percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Re wed o 2- (a I Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ,,11 ) Govt. Lot 1 /4 1 /4 Sa~3V N R14 E( Property Owner s Ma' ' Address Lot/#~ Block # Subd Name o CSC e c5 l!j fate Coda Phone Number ❑ City (3 Village Town Nearest Road 17~,C~j A)II Code derived design flow rate New Construction Us Residential /Number of bedrooms GPD L:1 Replacement C] Public or commercial - Describe: ft ~O Flood Plain elevation if applicable Parent material General comments l~✓c~J 9 and recommendations: 122 Boring IT Boring # ~ft Depth to limiting factor -in. Soil lication Rate Pit Ground surface elev. Texture Structure Consistence Boundary Roots GPD/fP Texture `Eff#2 Horizon Depth Dominant Color Redox Description * in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r Vai - 3 A -?a 4~h N 113' /tr )1~ . , Jam. z V ,s- Boring # Boring !J' ft. Depth to limiting factor C~; 6 in. Soil lication Rate ~~11 it Ground surface ele . GPD/ft? Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `Etf#1 `Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. D-117 6- J D d .b ' -rn- /Y) ` Effluent #2 = SOD < 30 mg/i_ and TSS 30 mglL Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 1 CST Number CST Name (Please Print) ignature 22Numb Bird Plumbing, Inc. Shaun Bird Date Evaluation Conducted Telep715hone hone Number beer Address -246-4516 1008 192nd Ave, New Richmond, WI 54017 Property Owner, Parcel ID # Page of Boring # Boring 01 it Ground surface elev. ft. Depth to limiting factor in. Soil lication Rat e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0-I 'L -51 0 'L 12-3 3 ill ~'rrl - / / 3 F1- Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ~Eplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS a 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOD-1330 (RAM) Soil Test Plot Pla Project Name Bryan Schaefer Sh 6Bd Address 1336 140th St. New Richmond Wi 54017 STM #226900 Lot 8 Subdivision Stone Run Estates Date 12/1/04 NE 1/4 SE 1/4S 25 T 30 N/R18 W Township Richmond ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation 99.2 *HRpSame as Benchmark Alternate Benchmark Top of survey iron @ 99.7' Scale is 1" = 40' unless otherwise noted 418' Property Line 99' B-2 20' 97' 5' B-3 20' 8% Slope 65' -1 2 ' Alt. B.M. B.M. 185' Property Line 50' -PER UNPLA TTED LANDS' UNPLA o - - / / \ NOOl 6'1 418' / I v \ OD L4 \ / CD CO) / 418' vw w co o O o.n v/ CD Irri I~ ni 418' V 4v IN,)~~ o •~VVt,, 00O 3-0 loe PD oo,' O 000 /-n u ice' 418' lK C) -is QZ 3.0 1 rri I to ~j IC ~ IN00'25'35"E / 406. 8' CN% k f