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HomeMy WebLinkAbout004-1067-30-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used-for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Brahmer, Keith City Village X Township I Cady, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION P/L TYPE MANUFACTURER CAPACITY Septic Septic Friction Loss Dosing TDH Ft Forcemain Aeration Dosing Dist. to Well Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Friction Loss System Head TDH Ft Forcemain Length Dosing Dist. to Well Aeration SYSTEM TO P/L BLDG WELL LAKE /STREAM Holding Manufacturer: INFORMATION PUMP /SIPHON INFORMATION Manufacturer Width Demand GPM Model Number Vent to Air Intake TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 515290 0 State Plan ID No: Parcel Tax No: 004 - 1067 -30 -000 Section/Town /Range/Map No: 28.28.15.444 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header /Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches Vent to Air Intake PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Length Dia Length Dia Spacing SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Type Of System: Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Bed/Trench Center Pipe(s) Topsoil Yes 0 No ❑ Yes ❑ No r Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes 0 No ❑ Yes ❑ No r COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 2922 10th Ave. Wilson, WI 54027 (SW 1/4 SW 1/4 28 T28N R1 5W) 40 acres Lot Parcel No: 28.28.15.444 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information. L_._ SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. W , -- I— urr """ - - _'fttlK"b ftlWilans (to the County only) for the system on paper not less than 81/2 x 11 inches in size Safety and Buildings Division County 201 W. WashingtonAv P.O xZ16 St. Croix �scons�n Madison, WI 53 621 anitary Permit Number (to be filled in by Co.) (608) 266 -3T51 -1 � Department of Commerce _5� G� State Sanitary Perm Appl State Plan I.D. Number Trans id. sI 2- 1 In accord with Comm 83.21, Wis. Adm. Code, personal in ' Project Address (if j different than mailing address) a may be used for secondary purposes Privacy Law. S1 . D I. Application Information - Please Print All Information Property Owner's Name Parcel # Lot # Block # Mr. Keith Brahmer I T CROIX r o l / Property Owner's Mailing Address QF PLANNING ZQNING FICE Property Location N4374 Cty Y SW '/4, S W' /4, Section _ City, State Zip Code Phone Number Menomonie, WI 54751 715/235 -9742 T 28 N; R 15 w II. Type of Building (check all that apply) �. O X i or 2 Family Dwelling - Number of Bedrooms Three Subdivision Name CSM Number ^ Public /Commercial - Describe Use T _ _State Owned - Describe Use ❑City_ ❑Village XTownship of Cady III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. X New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Renewal El Permit Revision Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that apply) Q 7 Non - Pressurized In- Ground Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil X At -Grade [I Single Pass Sand Filter ❑ C onstructed Wetland El Pressurized In- Ground Holding Tank El Peat Filter El Aerobic Treatmen nt ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation 450 11, 4U 0.6 ,/ 750sq.ft. i/ 750sq.ft. V- 100.0' contour I/ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 Weiser Concrete X Aerobic Treatment Unit 5 Dosing Chamber 600 600 1 C mbo VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Sign re MP/MPRS Number Business Phone Number Jack A. Bowman MP 222839 715/418 -1349 Plumber's Address (Street, City, Z' ode) ;Sta 13437 9 St., Ridgeland, WI 54763 VIII. ounty /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee includes Groundwater Surcharge Fee) Dat Issued f 'Issuing Ag t Si q Stamps) p ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained W , -- I— urr """ - - _'fttlK"b ftlWilans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SITE PLAN SW,SW,28,28,15W Cady township St. Croix county LEGEND IBM: 100.'top of spade of steel post 2BM: 100.' top of spade of steel post - Pits ® – grade elevations — — contour C/O clean-out No Comm 83 problems Scale 1" - 40' except where indicated t� ��• Y.d 3c7 4 System Elev. 100.0' (contour) Lateral Invert 100.5' Site area part of 40A.C. u . _ 1 { 7C1. { � mo� -E�c�: 4. - }Rp o5s t 1° ® �£a �wn-i' 1 c��...d� ins citioryc Q7d � l f I c C (0 0 project: BRAHMER ,r V page 10 of 10 commerceml.gov isconsin Department of Commerce Safety and Buildings 3824 N CREEKSIDE LA HOLMEN WI 54636 Contact Through Relay www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Aaron Olver, Secretary June 28, 2010 CUST ID No. 224580 LORETTA LARRABEE L AN L PERC TESTING N2089 CTY RD Y MENOMONIE WI 54751 ATTN. Pam Quinn ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMIC14AEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/28/2012 SITE: Keith Brahmer 10TH Avenue Town of Cady St Croix County SW1 /4, SW1 /4, S28, T28N, RI 5W Subdivision: 40 Acre Parcel FOR: Description: At -Grade Design Identification Numbers Transaction ID No. 1812199 Site ID No. 757812 Please refer to both identification numbers, above, in all correspondence with the agency. Object Type: POWTS Component Manual Regulated Object ID No.: 1271156 Maintenance required; 3 Bedroom Design Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, Version 2.0, SBD -10854 (N.03/07), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); 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: Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P p (N.01/01). Co • This system is to be constructed and installed in accordance with the approved plans and with publication SBD- �. 10854 -P(N. 03/07). • The pressure network is to be constructed in accordance with publications SBD- 10573 -P or SBD- 10706 -P QEPA� entitled "Pressure Distribution Component Manual for Private Onsite Sewage Systems" and based on pipe sizing N►SION methods contained in Small Scale Waste Management Project publication 9.6 entitled "Design of Pressure N Distribution Networks for Septic Tank - Soil Absorption Systems." SEE LORETTA LARRABEE Page 2 6/28/2010 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Dennis R Sorenson Wastewater Specialist, Integrated Services (608)785 -9336, dsorenson @commerce.state.wi.us Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828-5902, Monday, 7:00 A.M. To 3:30 P.M. Jack A Bowman Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www. commerce. wi. vov/ SB/ SB- BuildinvContractorProaam.htmi Mgt V AT -GRADE AND PRESSURE DISTRIBUTION COMPONENT DESIGN New Residential application INDEX AND TITLE PAGE RECEIVED Project name: BRAHMER Owner's name: Keith Brahmer Owner's address: N4374 Cty Y Menomonie, W1 54751 Legal description: SW,SW,S28,T28N/R 15W Township: Cady County: St. Croix Location: l0 Ave. Page 1 title page Page 2 general information & lateral diagram Page 3 at -grade view Page 4 tank cross section Page 5 pump information Page 6 tank detail Page 7 filter detail � va-dc+ JO B Page 8 maintenance Page 9 management plan Page 10 site plan Attachments: copy of soil test to state's plan Designer's name and license no: Address: Phone: Cell: E -mail: Loretta Larrabee #1872 N2089 Cty. Rd. Y Menomonie, W1 54751 715/664 -8184 715/505 -1628 lanlperctesting @wwt.net JUN 16 2010 SAFETY & BUILDINGS ` ... W 06 '•. ,k X87 ?,.• 10 ,_0 .,� fi g, i Designer's Signature: Date: June 14, 2010 Designed pursuant to the At -Grade Component Manual- Version 2, SBD -10854 (N.03/07) and Pressure Distribution Component Manual- Version 2, SBD- 10706 -P (N.01.01) W.T.S. itionally page 1 of 10ROVE :NT OF C MERCE sAFETYA BUILDINGS RRESPONDENCE GENERAL INFORMATION Residential site, three bedroom home, 450gal DWF end fed system, 1 laterals Soil application rate of 0.6 orifice dia. 5/32" (0.156) Limiting factor at 36 inches orifice spacing 2.Oft. (24 ") Site area 8% linear rate of 6.00sq.ft. 1000 /600LP Wieser Concrete tank with Polylok 525 filter required bed 750sq.ft. effluent quality is #1 proposed bed 750sq.ft. contour line 100.0'(system elev.) 100.5" invert of lateral END FED - LATERAL LAYOUT DIAGRAM (not to scale) one lateral(s) @ 74ft ea. (P) orifices per lateral – 38 orifices lateral dia. 1' /2 in. 20.52gpm per lateral, 20.52gpm total system force main dia. tin. 3.5 pressure in ft., 0.54gpm per orifice * * * see page 8 of 10 maintenance for construction details of turn -up C� Finish rg ade Valve box at finish rg ade r ---� Pressure plug �— 0.5' orifices located on bottom of lateral 1' /z " lateral dia. X Force Main 2" dia. * * first orifice at O inches last orifice next to fitting project: BRAHMER page 2 of 10 PLAN VIEW OF SINGLE ABSORPTION AREA L -85' B -75' D D -5' E: W2' C A -1 E = 2.Oft. A = 10.0ft. C = 12.Oft. W= 22.Oft. -5' CROSS SECTION — SLOPING SITE Finish grade 101.83' Lateral invert 100.5 fabric H - G = 6" of subsoil of H (1 ft) observation ► 2 I 1' lowed layer 8% slope contour elev. 100.0' D A E 1.) %" — 2 %2" washed sewer rock 2.) soil cover 1.5ft. 4in. dia. observation pipe with %4 slots 0.5ft. Closet flange- secure observatio project: BRAHMER 0 page 3 of 10 l - V.OJ1L. D - /J.V1L. G = 0.50ft. L = 85.Oft. observations @ 12.5' H = 1.00ft. D = 5.00ft. COMBINATION SEPTIC TANK / PUMP CHAMBER (No Scale) � ,Approved Locking Manhole Cover Aoproved Gala, With Warning Label Attached Warning Label Weatherproof Approved Juncti on Box vent Cap - -� 12" Minimum W Final Grade - 4" Minimum 18' Minimu Approved Joint Extending 3' Onto Solid Soi • Baffle . A t , eA— ~ "„ t 3 of Bedding Under Tank _Nate: Pua�.and, Are On Separate Circait, Tank Manufacturer: \,I, e- � e> r- L o ., r ::+ { , Tank Size - Septic /Pump : _ , ©c) / boo L-p Gal l ons Alarm Manufacturer: Model dumber: M 3 T 1 Switch Type: wy cc_y^ ex+r .� . Pump Manufacturer: � Model Number: # $ Minimum Discharge a e: 2 1 Gpff Quick Disconnect 1/4" Weep Hol e � LA Alarm 0n 6 Approved Join• wl4 sdi e Extending 3' Off Onto Solid So• a I __J, D Conc. Block -9 . ==- 2_o •O =.5* 16'''fXG g5.11 cJs close_ Capacities: A 1$ inches or 301.50 Gallons + B Z inches or 33.5o Gall ons + G 3 inches or 8 3.`1 S Gall ons + D 11 i nche! AAzr 18y. ZS Gallons Total ..... = _34o nches or loo 3,o Gall ons Vertical Difference Between Pump Off and Distribution Pipe: 8,o Feet 1(0. Minimum Required Supply Pressure:. 3a-4.� ...............qs5 Feet 3� Feet of Force Main x t_ 3q Friction Factor/l00 Feet: +o.} Feet 2. Inch Diameter Force Main Total Dynamic Head:...= 13-04 Feet project: BRAHMER page 4 of 10 it Uj LL PUMP PERFORMANCE CURVE MODEL 98 2 � 20 x U 15 c 4 t0 O r- 2 5 25 0 10 20 30 40 50 60 70 80 GALLONS LITERS 0 80 160 240 FLOW PER MINUTE TOTAL DYNAMIC HEAD /FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 98 Feet Meters Gal. Liters 5 1.5 72 273 10 3.0 61 231 15 4.6 45 170 20 7.1 25 95 Shut -off Head: 1 23 fQ7.0m) 00"71 8 r Im L SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available • Double piggyback variable level float switches are available for with or without alarm switches. variable level long cycle controls. • Refer to FM 1922 and FM0806 for temperatures above 130 °F. SELECTION GUIDE 98 Series Control Selection -Ph Mode Amps Simplex Duplex 115 1 Auto 9.4 1 4 E98 Volts 115 1 Non 9.4 2 or 3 4 230 1 Auto 4.7 1 4 230 1 Non 4.7 2 or 3 4 1. Integral float operated mechanical switch, no extemal control required. 2. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. 3. See FM 1228 for correct model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM1663 for a residential alternator system. CAUTION For information on additional Zoeller products refer to Catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qualified FM0477; ElectricalAltemator, FM0486; MechanicalAltematmFM0495 ; Sump/Sewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed including the Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE .POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL rv: MU. UUX 7W41 L• Lordsvdle, KY 40256-0347 M011411dIm Of. kL SHIP TO. , 3649 cane Run Road Louisville, KY 40211-1961 Qr�aurrPua,•as Sac£ /��v' httpJ/www.zoollercom ( ) FAX(50 362 P d 56" 42" s z r 0 m m v D z to D m K n D Z c 1n C 1 D �3 I Zm m Z ° nA o Z� rn r N rn m -' c � � X (1 N m m m O O 0 D 0 Z K D n N (n V rn m 0 o O c Z M 0 m ;u K m m m Z -I 1n D Z O� m z . z a N ::! up v 0 m � \ C n S r1i O O _ Z N z\ '0 c v °; _N S Z r Z 0 D a ° Z r- � G7 v � to v rn S in r < L7 r*1 Z D z Do r�* m p O Z Z U1 c D Nrn D 20 v r (n O 0 F O m m Z r m -4 84" h 11 ' m ii u 0 r 47 Z m Z m p rn O n --4 O --1 DzZ m *rODgrS3n mprnOZl?1000 i � >0 D r Xz0 gip* - � -- n IEnC I I. I I I — I I I �zm ii u 0 r 47 Z m Z m p rn O n --4 O --1 DzZ m *rODgrS3n mprnOZl?1000 >0 D m0° Joz Xz0 gip* - � -- n IEnC mZOO rr - .. �zm nDm Ori rnN m En Or -i �bo cnm> 1 D ��'N�OV— cn 00 (no I D v' v DD m D m m0 O co v ;u rr \_ C)�D S Z D0 r� OV m 0 Zz �,;° °°0 m > N v o w 0;0 c m v� r -a � --1 m o 0 z C-) r m .ZI 0 c m m D r Lo N m r O O 0) O I :t7 N o m WLP1000 600 -MR MIERE1 1111RETE SCALE:1 /4' = 1' REV N0. DATE: 0 DRAWN BY:SWT SEPTIC MANUAL Z W3716 US HWY10. MAIDEN ROCK. W 54750 DATE: JANUARY 2008 ° REV. JAN. 2 008 1 800 -325 -8456 FILE: WLP1000 600 -MR 11 39" bi O C r m PL-525 EFFLUENT FILTER (COMMERCIAL) Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD (gallons per day) making it one of the largest commercial filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL -122, the new Polylok PL-525 has an automatic shut off ball installed with ever; filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. No other fiffer on the market can make that daim! PL -525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. Alarm . --r: accessibility 525 linear feet Of 1/10 filtration slots Accepts V & 6" S CMD. 40 Pipe cent ♦ ts � r. � dw: e.v�4� JYi^^• U.S. Patent No# 6,015,438 5,871,640 Rated for over 10,000 GPD Gas deflector Automatic shut -off ball when filter is removed PL -525 l nsta i 1ati on : 3. Do not use plumbing when filter is removed. Ideal for residential and com- 4. Pull PL-525 out of the housing. mercial waste flows up to 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). tank. Make sure all solids fall back into septic tank. G. Insert the fitter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace septic tank cover. M1 Accepts PVC extension handle 1. Locate the outlet of the septic tank. 2. Remove the tank cover and Pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. S. Replace the septic tank cover. AT -GRADE SYSTEM MAINTENANCE AND OPERATION SPECIFICATIONS Service provider's name: J. B Hydro LLC Phone: 715/418 -1349 POWTS regulator's name: St. Croix Zoning Phone: 715/386 -4680 System Flow and Load Parameters Design flow — peak 450gpd Maximum influent particles size 1 /8in Estimated flow — average 300gpd Maximum BOD5 220mg/L Septic tank capacity 1000gal Maximum TSS 150mg/L Soil absorption component size 750sq.ft. Maximum FOG 30mg/L Type of wastewater Domestic Service Frequency Septic and Pump Tank .. .......................inspect and/or service once every 3 years Effluent filter .. ............................... inspect and clean at least once every 3 years Pump and Controls ........................ ...........................test once every 3 years Alarm .............. ............................... .........................should test monthly n Pressure system .........laterals should be flushed and pressure tested every 1.5 years A f - -6 and Ttf�� ................inspect for ponding and seepage once every 3 years Other ...........initially filter should be checked yearly to determine cleaning schedule Miscellaneous Construction and Materials Standards 1. observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the at -grade component manual. 2. dispersal cell aggregate conforms to Comm 84.30(6)(I), Wis. Adm. Code 3. all gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code 4. tillage of the basal area is accomplished with a chisel plow 5. At -Grade structure and other disturbed area will be seeded and mulched to prevent soil erosion and help reduce frost penetration 6. Areas within 15ft. of the down slope toe will be protected from compaction 7. all other construction details are as per the at -grade component manual SBD- 10570 -P (8.6/99) Lateral Turn -up Detail Finish grade 14 6 -8" dia. valve box threaded clean -out plug or distribution lateral long 90 or two 45 degree bends same diameter as lateral project: BRAHMER page 8 of 10 AT -GRADE SYSTEM MANAGEMENT PLAN Pursuant to Comm 83.54,Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its component manuals and local or state rules pertaining to system maintenance and maintenance reporting. No one should enter a septic or pump tank, dangerous gases are present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer in use. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any openings deemed unsound, defective, or subject to failure must be replaced. Exposed access openings > 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by certified septic tank pumper. The contents of the septic tank shall be disposed in accordance with NR113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may drop off the filter when removed from its canister. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms and pumps should be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. At -grade and Pressure Distribution System No trees or shrubs should be planted on the at- grade. Planting may be made around the at- grade's perimeter. At -grade shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than mowing) on the at -grade is not recommended since soil compaction may hinder performance of the system. Snow compaction in the winter will promote frost penetration. Cold weather installations (Oct -Feb) dictate that the at -grade be heavily mulched as protection from freezing. Influent quality into the at -grade system may not exceed system flow and load parameters permitted for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cells shall be checked for effluent ponding. Ponding levels shall be reported to the owner and any levels above 4inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring become defective the defective component(s) shall be immediately rpaired or replaced with a component of the dame or equal performance. If the at -grade component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced. By increasing basal area if toe leakage occurs or by renovation the biologically clogged absorption and dispersal media, installing new piping and replacing other components as deemed necessary to bring the system into proper operating condition. See page 8 of this plan for the name and telephone number of your local POWTS and service provider. project: BRAHMER page 9 of 10 SW,SW,28,28,15W Cady township St. Croix county LEGEND I BM: I OO.'top of spade of steel post 213M: 100." top of spade of steel post X – Pits • – grade elevations — — contour C/O clean-out No Comm 83 problems Scale I" - 40' except where indicated 1 1 - --1 10 , 2.6 4' 77 Lio, SITE PLAN 100,6 4 6 a , Ai System Elev. 100.0' (contour) Lateral Invert 100.5' Site area part of 40A.C. I - 7o 1 �t 1 4 10 R0 O I &, c aq.&_ 3 /4 vyi� \1�� '0 0. 'T project: BRAHMER V If— page 10 of 10 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/ __k { r ct � m ear Mailing Address I�,j Property Address p1 9( 41 1 tn (Verification required from & Zoning Department for new construction.) City/State �('��� �y, \e.� �7 \ Parcel Identification Number LEGAL DESCRIPTION Property Location S'W V 4 , SUS V4 Sec. Zg , T 2 N R 15 Subdivision Certified Survey Map # U W, Town of C,aA 1 Lot# N.A Volume , Page # Warranty Deed # 3 3 , Volume — —" . Page # Spec house yes no Lot lines identifiable ye SYSTEM MAINTENANCE AND OWNER CERTIFICATION no Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning &Zoning Department a certification form, signed by the wastewater disposal system is in proper operat , restricted plum ing condition and/or ( after inspber or a licensed ection and verifyin necessary), 1) the on -site less than 1/3 full of sludge. (i ary), 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 of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNATURE OF APPLICANT(S) 6 /Cz< i� DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by th 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. !�. wI SL4 -A (REV. 08105) State Bar of Wisconsin Form 2 -2003 WARRANTY DEED Document Number 11 Document Name THIS DEED, made between Gordon W. Brahmer, a single person ("Grantor," whether one or more), and Keith G. Brahmer ( "Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): The Southwest Quarter (SW 1 /4) of the Southwest Quarter (S W I /4) of Section 28, Township 28 North, Range 15 West. !11111 VIII IIlII VIII !1111 VIII NII 111111 1111 IIII * 8 9 2 9 3 3 1 892933 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04/10/2009 10:15AM WARRANTY DEED EXEMPT S REC FEE: 11,00 TRANS FEE: 264.00 PAGES: 1 Recording Area Name and Return Address Maureen A, WegIcitner Bakke Norman, S.C. 1200 Heritage Dr. PO Box 308 New Richmond, WI 54017 004- 1067 -30 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Dated 3 * Gordon W. Brahmer, by POA Tim Brahmer (SEAL) (SEAL (SEAL) * * AUTHENTICATION Signature(s) Tim Brahmer authenti t d on 5" D 0 5 * Maureen A. Wegleitner TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. COUNTY ) Personally came before me on the above -named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Maureen A. Wegleitner, Bakke Norman, S.C. Notary Public, State of Wisconsin 1200 Heritage Dr. New Richmond, WI 54017 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. 1 of 1 Wisconsin Department of Commer OIL EVALUATION REPORT Page 1 of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST. CROIX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must 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. Please print all information. R d Date Personal information you provide may be used for second Ills-, s. 15.04 (1) (m)). 7/0F Property Owner Property Location ❑ KEITH BRAHMER �9 Govt. Lot SW 1/4 SW 1/4 S 28 T 28 N R 15 E(or) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# N4374 COUNTY ROAD Y T CROty. COUNTY _ _ 464 ey City State Zip Code Ph9%%jQ []City ®Vllage LmjTown Nearest Road MENOMONIE I WI 1 54751 1 ( 71 5 - 235 - 9742 10TH AVENUE New Construction LlseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ic or commercial - Describe: NA 4 k Parent material LOESS Flood Plain elevation if applicable 1 A ft. General comments RE and recommendations: Install an at- grade sys em on the 100' contour. Effective basil foot print of 7.5'x100' (9.5 width for laterals support. This site has well structured silt loam that gives us the 36" + depth and the .6 loading rate and makes protecting dispersal from disturbance extra important. Compaction, plowing to wet, tired equipment etc.. 00 1 11 11111 A 1 1 Rnrinn I i Bonng # L_l � pit Ground surface elev. 100 ft. Depth to limiting factor 42 in. Cnil Onnlira4inn Rn4o Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fP *Eff#1 *Eff#2 Al 0 -4 10YR3 /2 SIL 2FSBK MVFR CS 2F .6 .8 E2 ." 4 -12 10YR5 /4 - SIL 2MSBK MVFR CS IF A .8 B3 - 12 -22 10YR4/4 - SIL 3MSBK MVFR GS IF .6 • B4 22-42 10YR4 /4 F2D7.5YR5/8 SIL 2MBK MVFR GS IF .6 .8 5 42 -60 10YR4 /4 F2D7.5YR5/8 SIL - - - - - - F Boring # 11 Boring 100 36 El Pit Ground surface elev. ft. Depth to limiting factor in. Cnil Onnlir inn Pnfa Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 *Eff#2 Al 0 -8 10YR3 /2 SIL 2FSBK MVFR CS 2F .6 .8 E2 8 -18 10YR5 /4 SIL 2MSBK MVFR CS IF .6 .8 B3 18 -36 10YR4 /4 SIL 3MSBK MVFR CS IF .6 .8 B4 36 -66 10YR4 /4 F2D7.5YR5/8 SIL 2MSBK MVFR AS - - - 5 66 -86 10YR5 /6 FS - - - - - - Effluent #1 = BOD > 30 220 mg/L and TSS >30:5 150 mg/L Effluent #2 — OD 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Sig. , CST Number LEWIS WORK 253976 Address Date Evaluation Conducted Telephone Number E7818 COUNTY ROAD E MENOMONIE WI 5 -22 -2009 715- 231 -2035 Property Owner KEITH BRAHMER Parcel ID 3 Boring # 11 Boring 98.5 40 M pit Ground surface elev. ft. Depth to limiting factor in. 2 3 Page of _ Cnil ennlie�a inn Rat& Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *Eff#1 *Eff#2 Al 0 -5 10YR3 /2 - SIL 2FSBK MVFR CS 2F .6 .8 E2 5 -16 10YR5 /4 - SIL 2MSBK MVFR CS IF .6 .8 B3 16 -40 YR4 /4 _ SIL 3MSBK MVFR GS IF .6 .8 B4 40 -60 10YR4 /4 F2D7.5YR5/8 SIL 2MSBK MVFR - - - - 0 A oo1- N MAlb fff 4] Boring # Boring 90 Pit Ground surface elev. ft. Depth to limiting factor 30 R in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *Eff#1 *Eff#2 Al 0_6 10YR3/2 - SIL 2FSBK MVFR CS IF .6 .8 E2 6 -12 /4 SIL 2MSBK MVFR CS IF .6 .8 B3 12 -3 10YR4 /4 - SIL 3MSBK MVFR GS I IF .6 • 134 30 -48 10YR4/4 F2D7.5YR5/8 SIL 2MSBK MVFR - - - - 0 A oo1- N MAlb fff I� Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil ADDlication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 I *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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. SED- 8330Te t(R.07 /00) ���ti � A�d� @ ,z - ��� � / -S�l S�J a8Ta&z + + q1. /J /10 �� t- 10t.5 log laASP- S�40I Fick s t fjAA; , 4 ex CIS tiAry food — o r- 4VCD 0 0 IGfNAL Xoit w6lu M r Parcel #: 004 - 1067 -30 -000 06/17/2009 07:52 AM PAGE 1 O 1 Alt. Parcel M 28.28.15.444 004 - TOWN OF CADY Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BRAHMER, KEITH G KEITH G BRAHMER 4374 CTY RD Y MENOMONIE WI 54751 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 28 T28N R1 5W 40A SW SW Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 28N -15W Notes: Parcel History: Date Doc # Vol /Page Type 04/10/2009 892933 WD 08/24/1998 585683 1351/61 QC 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class PRODUCTIVE FORST LANDS G6 Last Changed: 09/07/2005 Acres Land Improve Total State Reason 40.000 120,000 0 120,000 NO Totals for 2009: General Property 40.000 120,000 0 120,000 Woodland 0.000 0 0 Totals for 2008: General Property 40.000 120,000 0 120,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 C > O m�a c 3 z 1a= / / / � a � 3' -6" 3' -1" v - 1 1 � N 1 CX15 o I CXIS I ' I 4! 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