HomeMy WebLinkAbout020-1341-14-000/*
Wis ' nsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safe and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (i)(m)].
Permit Holder's Name:
i
& L ^ City ^ Village ^ T n of:
Hudson ~ownshi
or
Jurek, Anthony p
CST BM Elev.:. Insp. BM Elev.: BM Description:
~ off-. Sb (~ ~ ' S ~ sT F3 ~.t.~2 = lob-. Ss0
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic (~ f ~~~ ~p c~~
Dosing L~ ~, ~
Aeration
Holding
TANK~BACK INFORMATION
TANK TO P/L WELL BLDG_ vent to
Air Intake ROAD
Septic ~ 5-~p' ~~ NA
Dosing ~ S 0 ~ ~ ~.~ l ,~. ~ 9' NA
Aeration NA
Holding
PUMP /SIPHON INFORMATION %'
~,, \`~~
0
Manufacturer ~ ~S ti an
Model Number C _ p GPM
H Lift\\.1,0 ~riction2 ®~j System ~
Fi TDH ~•ti~Ft
Forcemain Length,, ~ '
0 Dia. '' Dist. To Well
ELEVATION DATA
County:
St. Croix
Sanitary~P~ypj~tlVo.:
State Pian ID9SNlI/)ojj.:
-~
Parcel T x No.:
(~20-1341-14-000
STATION BS HI FS ELEV.
Benchmark a• p' O~. S p r
Alt. BM ~ 5'. $ ~- 03.9 3 `
Bldg. Sewer )~ Q3 , g~.'
St / Ht Inlet ~6,O,S X13• ~S
St/Ht Outlet
Dt Inlet `-'
Dt Bottom ~ ~- O.~o'
Header/Man. b Zo o(.(,o~
Dist. Pipe
oti.
Bot. System SQL ~ 3 0~..
Final Grade ~~
St cover
SOIL A~.SL~PTION SYSTEM ~~~~e ~. ~t'~~S `„~~ .~- {G-<<F ~ _
Bf$/ REN Width ~ Length ~y No.Of Trenches PIT No. Of Inside Dia. Liquid Depth
DIME N 3 `, 3 DIMEN I N
SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
-lo•~--5>dew'`r"Q~
T
~ ('E
SETBACK ",i
~
INFORMATION Type O f CHAMBER Mo el Number
System: ~ ~
~ SO
a3
""---'
OR UNIT „~
~;,
DISTRIBUTION SYSTEM
Header / Mani`gld w
~ Distribution Pipe(s) Vent To Air Intake.
r
Length'~~`~` Dia. Dia. Spacing ^- Z(o
~J
i /
_,
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over L~ ` ~~f
~ Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
Iu
Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1• ll /off/ ~ Inspection #2• -r---~=
Location: 884 Young Ro~, Hudson, WI 54016 (SE 1/4 NE 1/4 24 T28N R19W~429191814 Wyldwood II -Lot 14
1.) Alt BM Description = (oPo~('..~5 f -~p~,,,,,,rQ~cs~ ~ • 1-=.--
2.) Bldg sewer length = ?$.o' ~ r
-amount of cover = > u ~ / ~`"`~ ~~ ~ S.
3) ~,~,.. ~ -~ .fie L~ I~ - ~~"~`~'~-°`~" ~` --
Plan revision required? ^ Yes ~ No
Use\othsiQde for additi I in o tl~o'n. I Z 2
J """'~- ~-I~ E'~~~~~ " "" Date Inspector's Signature
SBD-6710 (R.3/97)
I sZG
Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
s I ----~.
I
IS
Z~/8/ :
z-_. _ - __ . .,
G`
E ~ ~.
E 6
V ~._-. _ ._ ..
_. ~.. ~ ~ I
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$ ~ ~~ , Safety ?~ Buildings Division
2J 1 'v~'. `:Vas:tington Avo.
,~ Sanity Permit A lication
~' AP PO Box 7302
~C~n~n In accord with Conan 83.21, Wis. Adm. Code Madison, ~M 53707-7302
Department of Commerce Personal information you provide may be used for secondary purposes (Submit complete, form to county if not
[Privacy Law, s. 15.04(1)(m)] statW owned.
Attach com lete lane to the coup co onl f s er not less than 8-1/, x 11 inches in size.
~~
County ~ C ~ State Sanitary Permit Number ev us application State Plan I. D. Number
O
1 3 o D
I. A lication Information -Please Print all Informat' ~ ~~ Location:
PropertyOam/er~~Name
/ ~
/~
~ ProGperty L.aca~tion
!~
/
~ f
JV Iv ~
~/C ~ ~ ( 2~4® ~ (/
C 1/ 1.1/4, S rT~ N> E or
Property Owner's Ma ling Addr s „ ;'.
~rxo~x t'-•- Lot Number Block Number
s~
6 d 2 I C~ ~ oU~~ ~
City, State Zip Code / P er f \"~ Subdivision Name or CS'_vt Number
Ds~^~ u1t Spa/b ~~-
~ 41~C o Woaa r'~sF Z
,
II Type of Building: (c&eek one) --
~ ^ City
^ Villa
e
1 or 2 Family Dwelling - No. of Bedrooms: g
own of
O Public/Commercial (describe use): A >
O Ste-owned ~SO / v
tI ~ ~ I>ertir~lt: (C1~c1€ only one box on line A. Check box on lia~~ B if applie~Ile) Nf;arest Road /~o
A) 1. :New System 2. ^ Replacement 3. ^ Replacement of 4., O Addition to Parc 1 Tax m r(sj
S stem Tank Onl Existin S stem _
-
B)
^ A Sani Permit was reviousl issued
P~ ~L° -' 13 `~' ( -' 1 `~-D~7U
~~j , (9 . g ~
IV. Type of POWT System: (Check all that apply)
.Non-pressurised In-ground CI Mound ^ Sand Filter D Constructed Wetland
^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line
^ At-gra D Aerobic Treatment Unit ^ Recirculating ^ Other:
~.r._
V Dis rsaUTreatment Ar a In ormation: 7 e /~ /~+~-2 A-`1'dl2-~
1. Resign Flow (gpd) 2. Dispersa 3. Dispersal Ar 4. Soil Application 5. Percolation Rate 6. System F/~y~ati~r .. Final :Trade
Required b2 Proposed Zs Rate (Gals./day/s (Min.~inch) ~ /o/~p ~ >aeva~ion /~ ~
~ %
S, __
. z
VI Tank Capacity in Total # of Manua Ter Prefab Site Steel Fiber- ~ ~ Plastic
Inforrrtation Gallons Gallons Tanks Con- Con- glass
New Existing Crete strutted
Tanks Tanks
`l " ~ W ~~Ls~ J ^ C] ^
//'~
c. //~~
~~70
^
^
i'~._I___^
VII Responsibility Statement
I th ndera' . Qd assume res nsi iii for.'. stall tion of the WTS shown on the attached plans.
-
Flu s ame (print). Plumber`s'Srgnature ( s): MP ' No. Business P}~ ~n~, ~lumbe-
Z 2~ ~ z~~- ~
-'
~
__
_
Plumber's Address (Street, ity, State, Zip Code
L. tv S ~ Z
VIII County/Department Use Only ~~
^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (Nc stamps)
~I, Approved ^ Qwner Given Initial Adverse Sur barge Fee)
~
Determination o~s;sp 10-2- 26oD
IX.((ConditiLLons of._A-pp_r~of~ty-al /Reasons for Di~s~a.,pproval: I, I ~.,fV~- ~. _ ~ ~ ,I ' ~...~
IT' ~ ~tl^+~~, l`~~" , QnfL- 1. C.i~Q,d(S~'~'`
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Wiscc?n~+PhDepartmentoflndustry, $OIL AND SITE EVALUATION REPORT
r'ACaoor ~d Human Relations
fli.mm~n of Cefohi R RI 1i41irv~c
Page 1 of 3
` - - III QIiVVIV null ILI 111 VV.V V, ••IJ. /"lVll r. vvvv COU NT7
St. Croix
but
Plan must include
8 1/2 x 11 inch
s in size
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not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 020-1329-90
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R IE)QIE~ ~ r ~ ~~
~r
PROPERTY OWNER: PROPERTY LOCATION
Greenwood Enter rise GOVT. LOT SE t/4 NE 1/a,S24 T 29 ,N,R 19 E~or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK# SUED. NAME OR CSM #
1416 Third St. 14 na W ldwood base 2
CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE ~JfOWN NEAREST ROAD
Hudson, WI. 54016 (715 386-3674 Hudson Youn Rd.
~ New Construction Use [x] Residential / Number of bedrooms 4 ( ]Addition to existing building
]Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2
Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 .8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 100.90 ft (as referred to site plan benchmark)
Additional design /site considerations alt. site trenches C 99.90' & 98.65'
Parent material outwash Flood plain elevation, if applicable na ft
S =Suitable for system CONVENTIONAL
®S ^ U MOUND
®S ^ U IN-GROUND PRESSURE
®S ^ U AT-GRADE
C~ S ^ U SYSTEM IN FILL
~ S ^ U HOLDING TANK
^ S CCU
U =Unsuitable fors stem
SOIL DESCRIPTION REPORT
Boring #
..................
.................
..................
.................
..................
.................
..................
::;:
;::;:
Ground
elev.
~~ 104.0 ft.
Depth to
limiting
factor
+84"
Boring #
2 '`
Ground
elev.
105.6 ft.
Depth to
limiting
factor
+96"
Remarks:
a I ~ c,:
CST Name:--Please Print G L. Steel Phone: 715-246-6200
Address: 1554 200th. Av .New Richmo WI 54017
Signature: ,„L~~~ ~ Date: 4_9_98 CST Number: m02298
Depth Dominant Color Mottles T
t Structure Consistence Bounda Roots GPD/ft
Horizon in. Munsell Qu. Sz. Cont. Color ex
ure Gr. Sz. Sh. ry Bed Trench
1 0-10 10yr3/2 none 1 2msbk mfr 2f .5 .6
2 10-24 10yr4/4 none scl 2msbk mfr gw if .4 .5
3 24-84 7.5yr4/4 none cos Osg ml na na .7 .8
1
cb. J
~{S.(co I
Remarks: ]os•fo ~
1 0-8 10yr3/2 none 1 2mgr mvfr gw 2m .5 .6
2 8-30 5yr4/4 none scl 2mgr mvfr yw lm .4 .5
3 30-96 7.5yr4/4 none c~ Osg ml t ,rte -- ~ 7 ~ . 8
,: ,..
~J
~ , ~ r_•,e r~
~
.~
(Z~~ ~ `~
CO NTY ~
`
PROPERTY OWNER Greenwood Enter. SOIL DESCRIPTION REPORT
PARCEL I.D. ~ 020-1329-90
Boring #
~:~`....
. ~ `;: ...
,:.:
:::.
>w:: ._.:
::.:
Ground
elev.
103.4 ft.
Depth to
limiting
factor
+84"
Boring #
:i::4l::::iiSYi{i
::.;:
Ground
elev.
101.2 ft.
Depth to
limiting
factor
~~
Boring #
.4.: ....
5
Ground
elev.
101.5 ft.
Depth to
limiting
factor
+ "
Boring #
J \•Cvv:: is i:: i;}:;
~±:~:
t\
i:{:::. \ii:
Ground
elev.
ft.
Depth to
limiting
factor
Page ? „ef 3
.>; ~ rt to
~.
~•
H
i Depth Dominant Color Mottles Texture Structure Consistence Bandary Roots GPD/ft
or
zon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh
1 0-17 10yr3/2 none 1 2msbk mfr gw 2m .5 .6
2 17-2 10yr4/4 none sicl 2msbk mfr gw lm .4 .5
3 29-8 7.5yr4/4 none cos Osg ml na na .7 .8
Remarks:
1 0-10 10yr3/2 none 1 2msbk mfr gw lm .5 .6
2 10-28 7.5yr4/4 none scl 2msbk mfr gw if .4 .5
3 28-8 7.5yr4/4 none cos Osg mvfr na na .7 .8
Remarks:
1 0-8 10yr3/2 none sl 2mgr mvfr gw lm .5 .6
2 8-16 7.5yr4/4 none sl 2mgr mvfr gw lm .5 '.6
3 16-8 7.5yr4/4 none cos Osg ml na na .7 .8
60
.Q-----
3~.~d 7-• a
Remarks:
Remarks:
SBD-8330(8.05/92)
N
~. r ~y
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Greenwood Enterprises, Inc. New Richmond, WI 54017
MPRSW-3254 SE4NE4 s24-T29N-R19w ,- _ (715) 246-6200
lot #14-Wyldwood phase 2-Hudson township
N
1"=40'
BM.= top of 2" pvc pipe ~ el. 100'
Alt. BM.= nail in Aspen tree C el. 107.80'
This soil evaluation was conducted t satisfy a zoning requirement, it may or may
not be satisfactory for your use. a location of the system may or may not be as
shown, as permanent lot line had no been tablished ate the time of testing.
~~J ~~ Sts
Q ~ F~
~3~~ ~,. ~
~~ ~v~ k o ~
~ o
k~
`r
~~ ~ ~~ 2~0 p~ti~ r35
f ``
g.. ~'
12 `~` ,~ F~ `3 0
~~~
~ ~~
I~ ~~
~~
.38~
~' ~
Gary L. Steel
4-9-98
Wia~,ogsin Department of Commerce SOIL EVALUATION REPORT page 1 of )
` [3i~ision of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
~_
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~,,,~
ST' • C~Ztj ~x
inGude, but not limited to: vertical and horizontal reference point (BM), direction and
percent scope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
~ Z b ~ L3 Z g _ ~ ~
Please print all infor p~1m , ~,~
1"t
Personal information you provide may be used for. s h6 ses~aey~t.~w;'s. 15.04 (1) (m)). Reviewed by Date
Property Owner ~
"~~ ArCEIV
~~~~ ~~~ `-O Cz-1 ~.~ ~Z~~ t U Property Location
~~'`-~- S~ 1/4 +~1~ 1/4 S 2 ~ T Z ~ N R 1 E (o W
~
Property Owners Mailing Address ~^ a^.~ ,~ r
$ 3 ~ ~ZB~R V 1. ~-0~ ' ~t?~d Lot #
!
~ ~~ Block #
- Subd. Name or CSM#
~ K LD w o uU L{-~
Se- 2
City State Zip Code one Nu r/
~so}~.1 iv) S~1~16 ~ ?a ~~8~.~1y: ,
^ City ^ Village (~ Town Nearest Road
' ~ ~vpsorv `'Lou-ti, G ~P .
. ~ ,.
®New Construction Use: ~ Residential / Num 6CPJf bedrooms Code derived design flow rate o 0 GPD
^ Replacement ^ Public or commercial - De§trib>Y.''r
Parent material 6 t_>~CL f'-rt.. O V -l-k~g )-J Flood Plain elevation if applicable fy !1 ft,
General comments ~j 2! i~ 6 LU C~j ~y~ tS $ I o t= ~j 1P~.1.( S1~~Z. l: S [Z.~ai2.~- Fp R
and recommendations: ~ Z ~) w prs~ ~1'T~~2~ 2 lS~ , t iv C. ~ ~-S,l.-~~ L1 _ 4 - g8
So lL L~~ \3~'ll ~V'RLV ~"~~ ? S ` >b3'a;-~.ciw `~ n~~ vos~p BLS
FMS Z~ a ~~ A`1 P`.U~ ESQ.! w 6 t'12 ~ S T, . ELK COU/v'r-j,
a Boring # ^ Boring
® pit Ground surface elev. 10 4.O ft. Depth to limiting factor ~ l Z ~ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •E{~
~ 0-10 lo`~~ 31 Z - L ZM sbk m'f~ 9 w z~ . S . `~
Z ti~-z, ~u~lz yly - SC ~ Zw--sblz m~~ Cw l~' .~ . (o
3 Z~/-33 ~•S'~iz vl - S ~ ~~- D S9 m ~ C S - • ~ 1, Z
~ 33-1 ZZ ~ _S ~ iz~ly _ S O s9 wl 1 _ .. ~ \. Z
^ 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/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - 'Eff#2
unuam *r i = pvus ~ Ju ~ ttU mg/L anO 1 SJ ~JU _< 15U mg/L - ernuent iF2 = BoDS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signa3yre OO _ ,Z~ ,~ CST Number
Arthur L. Wegerer O~% 220254
Address ~~ e g e r e r S o i l Testing & Design Service ate Evaluation Conducted Telephone Number
421 ~d. Bain St. River r'alls, F1I 54022 ~_~-'00 715-~-25-0165
WisconsinDepartrnentofCommerce SOIL EVALUATION REPORT Page 1 of )
aF3jvisibn of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Anacn complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~ ST • C-~~-~J Lx
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I
D
.
.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. o Z O . L3 Z 9 _ q ~
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
I ~~~ ~~~ 1-"0 21 S V~ I'C bout-6et• S~ 1/4 r~~ 1/4 S 2~ T 2 of N R 1 g E (o W
Property Owners Mailing Address Lot # Block # Subd. Name or CSM#
$ 3 ~ ~
BOR V 1
~ 1Z.o'~ ! ~! - ~ `
.
-
2 ~D w o uU ~~ Z
City State Zip Code Phone Number ^ City ^ Village (~ Town ' Nearest Road
l~~
16
S~Y`1 ~v) S~o
(1lS) 38-6- 3z,ly L-~-v~pSoty `'~.OUtti G ~-P
New Construction Use: [~ Residential / Number of bedrooms ~ Code derived design flow rate 0 ~ GPD
^ Replacement ^ Public or commercial -Describe:
Parent material _ 6 L A~-C.,L prt O V l~kJf~g !'1 Flood Plain elevation if applicable Iy 11 ft
.
General comments ~ 2l ~ G LU C~ py~ 1S $ I o ~-_ t~j ~~! S1Z~Z ~ S lz~p~ ~p R
and recommendations:
~ ~~~~ ~ OUP ~~~~2 ~~ ~ LivC_ ~
~1-4 - g8 ,
j
f~>~iw
so ~L ~3 ~~~ ~V ~LV ~~ ~ s
`T"t~~' 1'« Doses BLS
~~ Z--~ v ~~ A`( P~.UD ~St.-! w 612 , S T_'~.A.c.,~ Cot~xJ!"~,
Boring # ^ Baring ..
Pit Ground surface elev. 1 O 4. ~ ft no.,rr, .., n.,,~h.,., ~....,. ? 12.2 :_
Horizon
Depth
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots Soil Applicatlon Rate
GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
0_l0 lo`1-tz 31 Z ~ L ZM Sbk m'f~ 9 w z~ . S . 4"~
Z 1~-z ~u`2iZ y!y - s c ~ Zwt_sblrc.. »1~t- c°w 1~ . ~ . (o
3 Z~1-33 ~-S`~tz~tlc~ - S ~ G>, O S9 m ~ C S - • -1 \, Z
~ 33- I ZZ ~ -S 7 lic7l~ _ S O S9 yvl ~ _ _ -- t. Z
^ Boring # r^~t Boring
1 1 Pit Ground surface elev. r- nesti •,, r:...~w..,, r.,,.....
__ __~_.._ ......_..a .~~.... ....
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
Soil Appliption Rate
GPD/ft2
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - 'Etf#2
'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 =GODS < 30 mg/L and TSS < 30 mglL
CST Name (Please Print) Signasyre CST Number
Arthur L. Wegerer o-/ b~' ~~ ~ 220254
Address W e g e r e r S o i 1 Testing & Design Service ate Evaluation Conducted Telephone Number
~-21 :1. I~iain St. River Falls, t7I 54022 Cj_~c.,b-00 715-425-0165
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Combination Septic~Tank and
PUMP CHAM6ER CROSS SECTION ARIA SPtCIFICATIORIS '
I8"/'~~ti.I.
IIJLET
APPRGVEU JGIA7T
w~c.~. PIPEaKP
•VCl`1T CAp WEATHER PR001`
/~-- JJ-JCTIOA~ 00X
'1~C.I. VEfvT PIPC ,~ APPROVED LOCKi~.IG
'_.10' fRGI1 DOOR., MAIJHOLE CpVER ~t~
+~iNDOW OR FRESH ! 2 u-''AR-J1j.1~ 1_~.6~L.
A~IlJTAKE --iP~ ~ ~~~-VDV1T
c
"r,iN,~GRl1 i `i~.~ilAJ. II
_ ~~~
,~ n PROVIDE I ~--------~-_-._. _I__-_~
2~~ ~G AIRTIGHT SEAL I III ~A _
r ,i3 gFS~~c ~ I I ~ I '"
A I I I APPROYc:p .'UIaJT:
Tank construction ~ ~~I ~~`"• p'PE~xtTc
shall comply with ALArZM
2' 83.15 and 33.20 d I 11
Co'~1 r~ . I , I
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C ~I t
I
PUMP--~ ~-~
a OFF
D
COAJCRETE
~-L-L• BLocK ~
ti
~• ~i,15EiZ EXIT PERMITTED GIJLy IF TAIJY. ;`'1A1,JLIFACTJF:E.R HAS SUCH APPRpVAL 3~kPt'k-~*c:
. 43CpD;~~
SEPTIC f SPE CIFICATIUt..IS
DOSE
T n 1.1 K M A ~J U F~+ C T LJ LZ C R : ~ ("_:~ lJ ~.. ~N„ I C,_ 1J UM Ii E;~c O r DOSES :
TAfJK `,IZE : ~
GAl.L01J5 P E F. C~.~;:
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MIIJIMUl~1 DISCHARGE RATE GPM INSTALLED OfJ SEPARATE CIRCUITS
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yERTICAL DIFFEREruCE DETW CEU PUMP OFD AtJQ.D15TRl(3UTIOFJ pIPE.. L-_v~ r EET
t M~I~1,1~1MUM uE~'WORK SUPPLY PR(E~SS~URE "~"' FCET ~~ ~ y~~ ZS~ l1
~- -.1~_ FEET OF FORCE ("~,I-J X ~,~L'TjlooFr.FRICTIOU FntTOR_.rEET Z~ ~"
'"" T07 L Dy1JP,MIC HEAD = La~ S FE ET
Pump chamber DIAMETER --
IAJTEK-JA:. DIMEAJS-OtJ~- OF TA-JK: LE~JGTH ~~;WID1~N -_
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4/'10 NP Effluent
anti Grain Water P~ump-s
F~erformance Curve
M1t'ers'
MooEL Mr!`4O FLUENT PUMP'
CAPACITY LIT PER MINUTE
0 50 100 150 Z00 X50 300
350
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F.E. Myers, A Pentabr Company • 1111 Myers Parkway, Ashland, Ohio 44805-1923
4191288-1144 FAX 4190289-6658 Telex g8-7443
K3328 7/g't Printed in U.S.A.
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In-Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWYS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
Table 1: System Desian Specifications
Sanitary Permit Number - 0
Number of Bedrooms ,5
Design Flow -Peak (gpd) ~Sn
Estimated Flow -Average (gpd)
Septic Tank Capacity (gal) 5~0
Soil Absorption Component Size (ftz) ~ 2 -~ `` < <'
Type of Wastewater Domestic
Table 2: Soil Absorption Component -Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow -Peak (gpd) z. z
Maximum Influent Particle Size (in) 1/8
Maximum BODS (mg/L) 220
Maximum TSS (mg/L) 150
~S
Tab le 3: Maintenance 5cneauie
Septic Tank Inspect and/or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Sol,/~bsorption Component Inspect once every 3 years
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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
.'~ ~_
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge 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 an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other Treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a conbned space. The atmosphere within The septic or ofher
treatment of holding tank may contain lefhal gases, and rescue of a
person from the interior of the tank maybe difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
S~i~OBC~~t=~
SRP'fiC't'ANK MAIIZ'i~L+1ANC8 A(iREffi~
.AND
oWN8R5I~ ~~iCATION FORM
C-EC~aall3uy~x ` ` ~ J
tE4aiting Address ~lP - `~'~~~~,(~ ~ i~ "`~-'' ~ ~~~.. ll7 ~ ~.~`-Lvl. (Q .. .
~roporty Address
D~ua+.ea 6or ekrr
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1-~SA~ pF~~~ l~G L ~ ~,~ ~ ^'
iyopccty CAC85ori,~-~K.1 y ~~c, Soc. ,~~ T~~'~'a~~' ~~ -07~~' Y
$ ~yd(piSlOII
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Cec~ied sacreyY~Cxp~, ~~ 7 ~ 1~ ~, ~t ~'--~--/-~--~
Sic t~-use ~ yes '~~
Lal ~Ie~.sras D no
SYS'I'F sl - ~ 1o~aa3lewactei.~ioptrmll~leaanoo
ya~copoc utie aad of7~y~gp°taouW~ iatite • ~ Wht[t ~ ~ Iti~ tpb ~b
orna~tias of pum~itit o11t tbrseptit t~ every tL[us years a tooat+e. ~ aO0Q0d ~ s lioeatadp~
pan aFicCt tLe [tiaCtlOA Cd'~beC~-~is~jQan1~10 ~ ~'
lZtt ~mpatf~ o~vne= ~ b iu~l~3t
is ie ptopa opasda~
s~ and by
taatc 1t itst tL+a U3 fnlt ofall~t8e.
i-'~, d,e •ndessijped bfvs trail toe abmre tegdt®can ad a~roe b ~ P~ ~° ditpot~ ~ ~
Kc foNL betcm, u ~ bY~Oof p0aed13sDe~[b~ ~gtabof
ba[bee. osaiat:modmust bd oomplettd and tcitsAted W the St. t~etx CamtY ~6 OSiee ~ithiu~~4
uzting ths[ your sepdo ~~6on dttc.
da a! fix tbrce )"~
Sri OU
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wti ;ItTRa
l (wc) catity test •- sAtemeWs ~ mk Cam an b» to t~ txtt ot°ary (~) ~+~ ~)~6 oW°u(
zitie v~P~' de 1+Y vi~e~ats~vatt~ty'deed~~ool~4t&~ G,`.~,~
Sl(i:~ TUBS
• ••, • k,y iocoaw-eion'~t~ast~spaaCeneoatar molt 4s t!-e s~oituy pc~it~wat ty~~tt' ~••.
_ ._. _._
• • Indedc with 13dt ty~~esNoa: t shimpc3 Wa~aanQ- dpf#Laai6a ~ ~ ~~ ~ ~ ~~ .. ..
• Dopy of the oct4iGeQ aee.•r m+p
rc. ~ .. c b - - ~ 3X3 ~IMt1W-b38 Ltd E0= b0 NOW @0-8[-d3S
Sep 18 QO 04:32p
S~~78
Tony Jurek
wt ~::3~37Q~ i.f 2
WARRANTY DEED
This Dead. msde bstvvew+ Greenwood Ertarprieee, Mt., •
wrx:•~na=n uorPoratxxt, Grantor, end Anthony A. k..aodJ.ow~-
,hpek aru7 and wife as marital property. Gramee•
tllitnaaaeth, That tl,e said Grantor, for a valuable consideratfo^
c+f ere ~&_u a a e 9~ ~ valtra4le Ceh"'dei conveys to
Wan_ee the h~wY,p desc^'~ raal asate in St. t:roix County, State
of yY~scanse+:
7153863214 p-2
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REGI~'~t~ ~
ST. C~RQtiw ~CA~, WI ~
sup o $
torts A M
~itl.,-ti`s t~.t•cL` ;
Ares
~F~~
IPwel W~aHwUon ~kenber!
we...s w.,lAweed 1!. tiled in tt,e Ottics of the fteyister of Deeds for St. Croix CotxitY. yyxonsin
Lot of the ~, ~ OaGUrtent per 579818.
May 27. 1998 in Volume 7 of Pots, at Pays
TRANSf E'R
s1-----
Th+s is not,,gneatead prapsctY•
T~pethar with aN and ak,outar Itereditan+enis end appurtanences thereunto beb^y'^y-
mdefeasibla in fee simP~ end frBe
And Greenwood Enterprises. Inc.. vvarrar,ts that the trda is good, .
a•td clear of er,cttmbtances except easements, reservations and restrictions, d a^Y. ~ rxord and wiu warrarK
and defaatd the same.
Dated this ~ day ~ June. 1998-
/r~FIB(Tit:AT10M
GAE6uWOCiD ENTEi~RiSES, INC.
ev:
• S E Busch, its P~
BY:
its h
ACKNOMREDGMi~T
STATE OF ST. CIiO1X
$ipneturt James @ • its R CpO1X COUNTY
Brenda Pouli~y came before me ti,;st~daY at June.1988
Ootry Publl nsrrred r„~,y puxd+, its secretary to me
~- r~ Late of Wilco ~ the wta executed the toresoinp
~F-~- ~ ~~ et 998. ~ ~ the same•
!aa A rrsy / or print nsrrrs f ~H ~4 tL ~
cmN r~
TITLE: htE>+A6ER STAT6.BL~Sa:~-'~`~'•
1I! rat,
auttxiraed by t : ~6.Oi. Mfs. State.!
it#8 elstAtaYKNt' wAS ppAFtED sy
LoiE A. IllitrraY. Zits. EatFeen ~ W1 rJ4018
~4 locust Street, Fktdson.
tsianatvne rrrybs eutlwntkMed m •olms.dsdgsd. 8oet an not
Notary Pubtic St. Gas Coumy. ~~~'^
~ Q rtxni isg' urt. M not. state expiratio^
/ r D~
'Nsaas d PmSO"s in any WAY swuW be typed or
prNrtad below tMir
~,,,,,,,r.„ vw.:.•w c,.+rn rrd ar ~.a w.e«~ saeeeio: ~
Sep 19 00 05:29p Toni Jurek 7153863214 p.l
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