Loading...
HomeMy WebLinkAbout040-1257-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CCOIX Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592282 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village Township Parcel Tax No: Mike Pahl TOWN OF TROY 040-1257-80-000 CST BM Elev: Insp. BM Elev: B Descri sl Section/Town/Range/Map No: MA ` NW $ M rPJI +X\ 24.28.20.1371 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE I N CAPACITY STATION BS HI FS ELEV. Septic ,Benchmark ,F)LTM* U U (1 I. Z IN 12 0010 ►9 L i~• Alt. BM I t-T~72 Aeratien Bldg. Sewer C, Haring SU Inlet C12. TANK SETBACK INFORMATION St tOutlet e~~ S, TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet t~ Septic f1 Dt Bottom Dosin 1 Heade Man. Aeration Dist. Pipe Z U Holding Bot. System 8 S" c~.?~_ PUMP/SIPHON INFORMATION Final Grade J - 75 C / Ma cturer D nd St Cover , 2 • PM J MAL ode] Number TD Lift Friction Loss em Head Ft Forcemain Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width 3 Len th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Di a. Liquid Depth DIMENSIONS W~ /11, / e-_ SETBACK SYSTEM TO YYYY//// P/L BLDG WELL LAKE/STREAM LEACHING Manufactur INFORMATION CHAMBER OR do Of System: , l UNIT Modqt'h~umber: CC U _ JCS, ~J~ N DISTRIBUTION SYSTEM p Header/Manifold ID stribution Air Vent to Intake f P ipe(s) Length Dia Length Dia Spacing en SOIL COVER % x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of o e Mulched Bed/Trench Center Bed/Trench Edge JJ ~ Yes [ No Yes D jNo COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 338 LINDSAY RD tl v Q 11 , 1 U ~ On I Ltd 11 S ~ Lu,~ 1.) Alt BM Description= f I LTM C0V% I n 5 ~)ec-h, DyY _ . 2.) Bldg sewer length = , -amount of cover= 4Z#1 of CDVV On GII ~ Plan revision Required? ❑ Yes No fj~ Use other side for additional informati n. L Date Insepctor Pt.re Cert. No. SBD-6710 (R.3/97) - ~.,"IMD Safety and Buildings Division ~~Ty K 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) JUN 16 r' ;i i t M son, 5V17-7162 VmWii e It pia lon State Transaction N In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Ale is required prior to obtaining a sanitary permit Note: Application forms for stare-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional 1s. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, , s s. . 15. I m), Stars. te r < L Application Information - Please Print All ation Property Owner's N e / Parcel # , 10,Y J _))-S7 7-. V0 - O'~V -IA J /6 , I -~C7 Property Owner's ailing Addr s 1 Property Location 7 7 a i1 SCC n e_~ . Govt Lot City, Pate Zip Code Phone Number on 111t.-It I nA/ ) L X~ ( cycle ou;} T Z N; R_E~W II. Type of Building (check all that apply) Lot # or 2 Family Dwelling - Number of Bedrooms / Subdivision Name Ok 4.6 Block # l y J 7 i i 1-b El Public/Commercial - Describe Use El a I Ci D f ❑ State Owned - Describe Use CSM Number ❑ Vintage of 'L , ` 0 A I j own of III. T of Permit: (Check only one b on line A. Complete line B if applicable) A. Q ew System ❑ Replacement System Q Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. Q Permit Renew ' Revision ❑ Change of Plumber Fo Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration w ner rHoldmg fPOWT S S steim/Cop onent/DeviceCheck all that a 1 surized In-Ground ❑ Pressurized In-Ground Q At-Grade ❑ Mound > 24 in. of suitable soil Q Mound <24 in. of suitable s Tank spersal Component (explain) Pretreatment Device (explain) v ~AAr V. Dis rsaVrrea ent Area Information: ~d5 i Flow (gpd) Design Soil Application dsf) Dispersal Area Required (st) Dis Area Pro d (st) System Elevatig 7 97, 97 P VL Tank Info Capacity in oral # of Manufacturer Gallons Gallons Units L o y New Tanks Existing Tanks i Septic or Holding Tank Dosing Chamber VII. Responsibility Stateme - the undersigned, • e ponsibility for installation of the POWTS shown on the attached plans. Plum 's Name (Print) PI ature W/WRS Number Bus7iness Phone N ' 1 f Plumber's Address (Street, City: rate, Zip VIII unt9/De artment Use Only Approved 1~_Disapproved Permit Fee Date sued Issuing t Signature Given Reason for Denial 76 IP DL Condi on or D' pprovai rt / JQ Q 1 tank; ei~t l bt+n t7) !/►~~LOL! r1AGC /"IL o ~2 7 uisperr ~d cell must all be s~t~ic~s ! r+z int4:r;ec awper rllaragement plan prodded by plu nbe:. 2 X111=crogtrireCbertea must ue rrt 1r:E as PW spFftas c4dit ! vdnanom=. Attach to complete plans for the system and submit to the County only on paper not less than 8 12 x 11 inches in sin SBD-6398 (R 11/11) System PLOT PLAN PROJECT Mike Pahl ADDRESS 338 Lindsav Road Hudson Wi 54016 NW 1/4 SE 1/4S 24 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 89.1/89.0 6.5' below grade 6/15/17 DATE BEDROOM 3 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK - MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of lot corner ASSUME ELEVATION 100° Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B.M.* 286' Property Line 0' 70' 36' B-37' 14 Scale = 11//44" = 10' ' B-1 9' 2-3' X 66' >3' spacing 100' B-4 186' Property Line ro oom 06' 1 % Slo ~B-2 cz B.M.* New benchmar B-5 e 2, U' ven t5 Lindsay Road Vent~ >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 12" 5.6ft^2/pair of end caps All piping shall be ASTM SDR 30/34, within 4' Long 10' of tank, piping shall be ASTM F891 34" Grade at System Elevation Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County `'f include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. r percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 9 Property Owner Property Location "C Govt. Lot ✓ 1/4J 1/4 S n T N R E (or W Property Owner's Mailing Addr Lot # Block # Subd. Name or M# - . State Code Phone Number ❑ City Village own wrest d - G^ t ~ C.z New Construction Use: sidential / Number of bedrooms Code derive esign flow rate GPD ❑ Replacement ❑ Pub5 or commercial - Describe: Flood Plain elevation if applicable ft. Parent material P L General comments and recorrunendations/' • ~ l~~r~ Z Z.? e.~'r' C~ t^~-•' System Type System Elevation F6-1 Boring S ~J~• / 7 Boring # `~L Pit Ground surface elev. 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 lr C+ V . 412- 13LY SC 71~1 ' >14 ` .1 B,d# O Bon / r pit Grour surface elev. ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant beTor Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 A Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD, < 30 nxA and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 ",O~- Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 540- 715-246-4516 Property Owner _ Parcel ID # Page of F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff m. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 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. SBD-8330 (8.6/00) System PLOT PLAN PROJECT Mike Pahl ADDRESS 338 Lindsav Road Hudson Wi 54016 ~NW 1/4 SE 1/4S 24 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 89.1/89.0 6.5' below grade DATE 6/15/17 BEDROOM 3 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of lot corner ASSUME ELEVATION loo' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B.M. * B-37' 286 Property Line 0 70 36' 14' Scale = 1/4" = 10' B-1 9' 2-3' X 66' cells with >3' spacing 100' B-4 186' Property Line Pro 3 Bedroom 06' 1% Slope 10 House 110' -2 B.M.* New benchmark B-5 40' ST , ji-W 0 Lindsay Road B-6 N Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area All piping shall be ASTM SDR 30/34, within 4' Long 12" 5.6ft^ 2/pair of end caps Grade at System Elevation 10' of tank, piping shall be ASTM F891 34" System PLOT PLAN PROJECT Mike Pahl ADDRESS 338 Lindsav Road Hudson Wi 54016 NW 1/4 SE 1/4S 24 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 83.2/83.1 2.8' below grade DATE 4/11/17 BEDROOM 3 j CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 ,BENCHMARK V.R.P. Top of lot corner ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 286' Property Line 70 36' B-37 7 Al 14' Scale = 1/4" = 10' ~B-1 Vents 2-3' X 94' cells with >3' spacing 9' B-4 186' Property Line `h Vs r 1% Slope 106' 30' FS-T-La 40' 110' Pro 3 Bedroom House B-2 B-5 Please note: further testing will be done Lindsay Road to lower system to a proper elevation and Vent loading rate ! >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 12" All piping shall be ASTM SDR 30/34, within 4' Long 10' of tank shall be ASTM F891 Grade at System Elevation piping 3411 6-7 ~a '2< Safety and Buildings Division CjP70L J~l PO 12 201 W. Washington Ave., P.O. Box 7162 ! C©UN nv Madison V 53? 07-7162 SNumber (to be filled in by t~EVELOF'MENT ~ Sanitary Permit . State T on Number lit accordance with SPS 383.21(2), Wis. Aden Code, submissi_.. is required iv me appropriate governmental unit prior to obtaining a sanitary permit Note:.4pplicalion forms for state-owned PO the Department of Safety and Professional Servies. Personal information you provide W IS are submitted to Protect Address (if di$erent than m ores in accordance with the P! Law, s. 15. 04 1 m), Slats. may be used for secondary ailing address) L A Iicatio I Information - Please Print All Information / L Property Owner's Name V Parcel # , 1-1 oyo-Property Owner Property l -80- 's MII ailung AdG d//r+ es%s Location city, stare ° E sX o-) ~.~?jf: ~v - ► 3 71 Zip Code Phone Number I Lot Section v~- I Type of Building (check all that apply) 7 (~c lc one Lot# TN; R~~/_Eor 1 or 2 Family Dwelling -Number of Bedrooms v / V a~ Subdivision Name ~ Block# I ❑ Public/(;ommercial -Describe Use O ~ PU St)6Ni x l/ l llr OJ`at. ~ C~ ❑ city ❑ State Owned - Describe Use CS her 2 D 1S' ri n y~ ❑ Village of uI D Cats w 23+Z5 C own of ~ ~ T I.- (Check only one box on if 9. Complete line B if a A ble) • System ❑ Replacement Syst Treatment/Holdi T eplace:nent Only ❑ Ocher Modification to Existing S ` ~ ystem explain) B. ❑ Permit Renewal El Permit Revision Before Expiration Chan ?A PI er El Permit T List Previous Permit Transfer Number and Date Issued ~ Owner System/Com onent/Device: he that a 1 in ~y Lk Non-Pressurized In-Groan Pressurized In-Groan At-Grade El Mound > 24 in. of suitable soil [I o g Other Dispersal component (explain, TotA V. Dis rsaUTreatment Area Information: Pre~eaunent Device {explain] Design Flow (rpd) Design Soil Applic on Rat y e(gpdsf) Dispersal Area Requ' {sfl Dispersat Area Proposed (sf) ry: 4 SYssem Elevation VL Tank Info Capacity 3'3 11% -1 / . in Total # of ` Gallons Gallons Units Manufacturer New Tanks Existing Tanks c _ Septic or Hol&UP Tank ' • ' / l- U ~ a mr' ti Dosing Chamber J t!) cn v I VII. Responsibility Statement- Plumber's Name Trim) I the undersigned, Plumb ass S' responsibility for installation of the POVi'TS shown on the attached plans, _ azure i I f MP/MPRS Number Business Phone Number Plumber's Address L (Street City, State, Zip Code) L C7~L'"r ~fJ 1 L -t County/De artment Use Only I V-Pproved rsapp Permit Fee Date Issued 0o y 20 Issuingae en Reason for 5 D K ctrl IX. Conditions of ApprovaUReasons for Dina SYSTEM OWNER: PProval Wei/ 1. Septic tank, effluent filter and 3 I'D 6/2- $t dispersal cell must be serviced /__m_ aintained , as per management plan provided by plumber, er' ,q~ so) l a ppif f n ra back requirements must be maintained r L t) as per appW*bl® a system and submit to the County only on a Y"f p per not less n R rr. x 11 inches m sift SBD-6398 (R. I 1/11) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/11/17 Owner:Mike Pahl Location: NW1/4 SE1/4 S24 T28 N,R20W 338 Lindsay Road Hudson Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Sectio 4-6. Maintanance and Co tin ency Plan 7.Filter Cross Section Signature License number #1 26900 System PLOT PLAN PROJECT Mike Pahl ADDRESS 338 Lindsav Road Hudson Wi 54016 NW 1/4 SE 1/4s 24 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 83.2/83.1 2.8' below grade DATE 4/11/17 BEDROOM 3 CONVENTIONAL X0( CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of lot corner ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *II.R.P. same as benchmark B.M. 286' Property Line 0' 70' 36' B-37 14' Scale = 1/4" = 10' B-1 Vents 2-3' X 94' cells with >3' spacing 9' B-4 186' Property Line Qt'7 f 1% Slope 106' 30' ST 40' 110' Pro 3 Bedroom House B-2 B-5 r Please note: further Lindsay Road testing will be done to lower system to a proper elevation lcp. loading rate ! Quick4 Standard eaching Chamber ith 20.0 ft2 of Area .6ft^2/pair of end caps All piping shall be ASTM SDR 30/34, within 10' of tank, p' ing shallbe ASTM F891 Grade at System Elevation 1p' Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5 V'1^2 pair of end plates To be >1' above grade Finish grade elevation _ Typical Installation ~ 86.0' Vent A91 Vent Grade 3' 4„ ~'30/34 Septic Tank 3 5' Long 1 5 S' Long 1 36" Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 94' Cells Same on other end Observation tube/Vent At end of cell A 23 chambers per cell B System elevations: A-83.2' B-83. 1' ST. CROIX COUNT-y SEPTIC TANK MAINTENANCE -AGRMENT AND L OWNERSHIP CERTIFICATION FORM Owner/Buyer , ► 0- Mailing Add et C ~L l Property Address 07 ' n d (Verification required from & Zoning Department for new construction.) City/State Parcel Identification Number o uo LEGAL DESCRIPTION Property 'k Y. , F l .Location/'✓ '/a' Sec-. 'e_ I' NR Z 0 ~ --W, Town of 7ll-:.~~,- Subdivision 7 / Lot # Certified Survey map # - / , Volume Page# Warranty Deed # I Volume , Page # Spec house E)no Lot line; identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its pre-Mature failure to handle wastes. Proper maintenance consists ofpumpmg out the septic tank every three years or sooner, it needed, by a licensed pr. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal ~ maintenan responsibilities are specified in Worm 83.52(1) and in Chapter 12 - St Croix Count ant owner ~ County tart' Ordinance. The property owner agrees to submit to St Croix County Planing & Zoning DepartmeW a certification form, owner and by a master plumber, jouxaeyman plumber, restricted plumber or a licensed verifying pumper srgned by the wastewater disposal system >s in proper operating condition and/or (2) after ins ction and that the on-site less dian 1/3 full of sludge. Fe pumping (if necessary), the septic tank is Vwe, 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. g Uwe certify that all statements on this form are true to the best of my/our k riowledge. Uwe am/are the owner(s) property described above, by virtue of a deed recorded in Register of Demis Office. of the Number of bedrooms SIGNA O APPLICANT(S) DATE ATE ***Any information that is misrepresented nay result in the sanitary permit being revoked by the Planing & Zoning Department, lnalude with this application a recorded warranty deed from the Register of Deeds Gffice and a copy of the certified survey map if reference is made in the warranty deed, (REV. 08/05) FILE POWTS OWNER'S MANUAL 8 MANAGEMENT PLAN INFORMATION Page - of Owner SYSTEM SPECIFICATIONS Permit # Septic Tank capacity al 0 NA Septic Tank manufacturer 3ESIGN PARAMETERS - ❑ NA Number of Bedrooms Effluent Filter Manufacturer C~ ❑ NA Number of Public Facility Units ? 0 NA Effluent Filter Model D NA NA Estimated flow (average) Pump Tank Capacity at NA i Design flow (peak) ( aUda Pump Tank Manufacturer , Estimated x 1.5} ~ NA Soil Application Rate gal/day Pump Manufacturer Standard Influent/Effluent Quali al/da /ft' Pump Model NA Quality Fats Monthly average* Pretreatment Unit NA , Oil & Grease (FOG) 530 m L Biochemical Oxygen Demand gpp 9/ 11 Sand/Gravel Filter 13 Peat Filter NA ( s) Q20 mg/L ❑ NA 0 Mechanical Aeration Total Suspended Solids (TSS) 5150 mg/L D Wetland Pretreated Effluent Quality ❑ Disinfection O Other Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BODS 530 mglL mg/L In-Ground ravit NA -30 Total Suspended Solids (TSS (g y) 13 In-Ground (pressurized) Fecal Coliform (geometric mean) - NA 0 At-Grade } 5104 cfu/100m1 El Mound Maximum Effluent Particle Size Drip Line ❑ Other: Other. in dia. 0 NA Other. ~'v Other: ❑ NA .A '`Values typical for domestic wastewater and septic tank effluent Other. C7 IAINTENANCE SCHEDULE ❑ NA Service Event Inspect condition of tank(s) Service Frequency At least once every: 0 month(s) !Pump out contents of tank(s) ears (Maximum 3 years) 0 NA When combined sludge and scum equals one-third (Inspect dispersal cell(s) {'f3} of tank volume 13 NA At least once every: month(s) Clean effluent filter -5 year(s) (Maximum 3 years) ❑ NA At least once every: month(s) Inspect pump, Pump controls & alarm ear(s) 11 NA At least once every: ❑ month(s) 19ush laterals and pressure test ❑ Year(s) NA Dther. At least once every: ❑ month(s) 0 year(s) NA other: At least once every: 0 month(s) year(s) NA MAINTENANCE INSTRUCTIONS NA !Plumber; !Inspections of Master tanks and dispersal cells shall be made by an individual Mai carryintainnger; one of the Septage following licenses or certifi Plumber Restricted Sewer; POWTS Ins Inspector; Master !include a visual inspection of the tank(s) to POWTS Servicing Operator. Tank inspecti identify any missing or broken hardware, identify any cracks or leaks me cepecti ` ons must !cembined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) inspected to check the effluent levels in the observation pipes and to check for an asure the volume of I e The g ponying of effluent on the ground surface may indicate a failing condition and requires the immediate notification shah be Regulatory authority. Y ponying of effluent the ground surface. i+Nhen the combined accumulation of sludge and scum in any tank ~ of the local tank shag n removed by a Septage Secu O equals one-third Administrative Code. g Operator and disposed of~noacco danceewith chapter tNRe113, Wisconsin f loll other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. !a service report shall be provided to the local regulatory authority within 10 days of completion of any service event. pretreatment units, Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals th*t may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thO tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will bia discharged to the dispersal cep(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effuentt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWM antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propetiy and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space fined with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compy*nt replacement system: -;6--A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirjed setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the nged for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. Q A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evalualjion must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed/ as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNiNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANWOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN ' UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER L Name 4 Name l r✓ n Phone / Phone ~J SEPTAGE SERVICING OPERATOR UMPER LOCAL REGULATORY AUTHORITY F Name 'im / 119EPhone -7 /„j H,,, This doccmera was dratted in compliance with chapter SP8 383.22(2xb)(1)(d)&(f) and 383..54(1), (2) & (3), min Administrative Code. { f ~ I pip + I r~ i I I~~ tli1~~.~ I C ,I ' i I ( P Y ~ t d v y- ( O ' i j i ~ -tom I ~ 'L'y \JD i ( Gi L' 4 - 1 Ilp II II I Ell I N~ i I I II ~ I III ,d d I I I t 4 I i I' ilY Jg u Iq p S i _ - , a. p ~ .000 .a~¢ - ~ I l ~ ~ °p cy II ~ 6 gpp~i 6 1 y ¢I 4 4 I ¢s B, 10 - lip m slip I q ~ ¢IIF 2 II °.l B? a a IIIy I I II I yi! ` I ~ q 4 I ' .d I e i II I col. III ~~e z s G' BUILIA: w III a g 9 PRISTINE CUSTOM HOMES ~ PROHCi: PdGE INFO: xcsroerm~~ • ~n]I.nenanl.x • uclrz m1.iuEncul. ~ ~ € 1017 RAMBLER SPEC MAIN LEVEL PLAN 2920 PNx 8VS15uilc 101 ~ Mud tVl Sd016 PH. ]IS-381-9]58 - © o I _ L - _ - _ - - - - VIII I I - i IQ it I gqA ~ I I L•~ I I i ~ I I i I I .e I I I I 4 } 4 O I . I i i ! f i 4 tl I _r'r M re # .v I + 4 I I rr I ly j ~ ~ i[ lil ¢tli I 4 3 I I~ i` ' r• I 'L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 ¢e A r o I s6A ~I : I II ~3y ~ ~ I 'I O ~ ~F Q3 } - t I. O O~ II I ~ I to I E t I 1 _ -.id Ie- 7777 - t J I - 1 , ~ I Ili I,II I Q V Ile ' ! 4 it 4 I I I 1 i- - - a - - I I d I e ~ I 8 z - Z &11LDFA: y! a FF; PRISTINE CUSTOM HOMES I I ; MWAM E•~ PRO][(i: PAGE INFO: § xesrownn~ • Mtn.n+',uncx • uctrr cot,acw. 2017 RAMBLER SPEC FOUNDATION / LOWER LEVEL PLAN 2M r I~ Sm sw wl - xw.Po, wl saols PH. ]IS-381-9]58 ry~ o Q 3p~ ' p0•• w J ~ryh .S ° SY 9 3• 1.026 ACRES 44,674 S.F. o s ` O _ 108 Ar ss° 1.385 ACRES ? op, , 60,310 S.F. `~92?. w ry ~ 112 2~ o poh ^0 1.059 ACRES 46,122 S.F./ PIP z \ 109 1.581 ACRES - ! \ 68,854 S.F. 1 , % / 1 1.009 CRES Q 43,946 S.F. h~ N 79. - 110 a 1.000 ACRES 43,581 S.F. / v N N ' No. ~o s2°, 08," v r ' 2.7 1 • O r off" ~ ~ - 121 r .~•~Mz ~s X98 , ~ o r yo-L. -2 mss'`, ?s"~ AQF, 5Q 1 Do 14ZOQO 96 ti EXISTING USE h1► N o TO BE MOVED oJ' o t s ° ,6 ACRES K Wonsin Department of commerce SOIL AND SITE EVALUATION rage _ of Y fSafety.and Buildings in accord with Comm 83.05, Wis. Adm. Code h~o- 2, hnvrrniniental FRS Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and qt C r i t percent slope, scale or d"imer!sions, north an vv., and location and distance to nearest road. Parcel l.D.# 0 yo- APPLICANT INFORMATION - Please print all information. O Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). q~vlewe By ate Property Owner Prope~, Location Continental Development w Govt. Lot NW 1/4 SE 1/4 S 24 T 28 N,R 20 W Property Owner's Mailing Address? Lot # Block # 1 Subd. Name or CSM# 3 12301 Central Avenue NE, Suite 230 I' v ' I _ Troyes Village City State Zip COP. PhoneNumber of n Villacie F71 Town Nearest Road Minneapolis MN 5543$ " ' r Troy ; Lindsav Road New Cons uction RNS!detjtialti t'±tt!r[IDei-10~ L~+ nr-0Q111s * L ;clitik3l t4 existing Lu11. 1rlS Replacement Use: Public or commerlV-desclibe Cade Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpdifiY .6 trench, gpd/ft2 Absorption area required 1200 bed, fF 1000 trench, ft 2 Maximum design loadinq rate .5 bed, gpd/fF .6 trench, gpd/fF Recommended infiltration surface elevation(s) 82.75 ft (Qs referred to site plan benchmar Additional design l sits Congidarati0nc Parent material Loess Over Glacial OutWash Flood lain elevation, if applicable It v-.~U ia1i18 for system Conventionai Moi!!!d in_ jrCi~nr{ ~rewei ra ! AT_Lrade ~Vstem in !=iii rlniding T 3nK U=Unsuitable for system i u S u ? .1 S El u j ~ s El E-11 S❑ U j S U Ell S O U F~ u i SOIL DESCRIPTION REPORT Depth ( Dominant Color Mottles ( Structure I j I GPD/ftz Texture . ronsistenc Boundary Roots 3oringil Horizon! in. I Munsell Qu. Sz. Cont Color "`Gr. Sz. Sh. Bed Trench , n I v-xt xvyt3ic - all ~,,,avr %Iw ci v 1 2 12-48 10yr4/4 - sit 2msbk mfr ew if .5 6 Ground - 3 48-70 + 7.5yr5/8 - ~s 0sg ml - - 7 8 ■ 86.87 ft Depth to limiting - - faCtor - - ~ - - >70 - j Remarks: _ G( !''ten` a _ 1 0-12 10yr3/2 - sil j 2msbk mfr cw 2f j 5 _6 L 11~47 1Vyr4/4 - Sll LInSbK m- CW j if 6 Ground 1-3 -t--47-72 7 - - - I .Syr5/8 S Os ml 7 8 85.74 ft Depth to `S limiting factor ■ >72 Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C- Nelson 715-246-2454 I Address Environmental By Design Date CST Number Ref # 1432 120th Street, Ne", Richmond, WI 54017 12/30/98 227387 82 a F.DFAR OWNER: Continental Develotmient SOIL DESCRIPTION REPORT s2 Page 2 of 3 # E nvironmental By Design Depth j Dominant Color Mollies Structure j GNDift~ Horizon ! Texture nsistence Boundary ; Roots - T---- in. I Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Bed 'Trench I Z 1 0-13 1 10yr3/2 - sil 2msbk mfr cw 2f .5 6 6- - - -t ---I- I t 2 13-48 10 4!4 - Sill 2msbk mfr cw if 5 .6 1:r4.:n.^. r i i i I i elev 3 1 48-70 7.5yr5/8 - s Osg ml - - .7 .8 SS.SS ft ~ _ ~ ~ ~ - I Depth to limiting factor Remarks: 1 I 0-12 10yr3/2 j - I sit 2msbk _ mfr cw 2f .5 .6 ~i 2 12-46 10yr4/4 - sil 2msbk mtr cw it R .5 .6 I Ground i 85.15 ft Depth to limiting ~1+ I- factor / '75 - - 1 I I I I I ! Remarks: 1 ~ 0-32 10yr3/2 2msbk mfr _ I ew 2f i .5 .6 4 [_2_ 32-641 10yr4/4 ~ - sil 2msbk I Mff ~ cw ~ if ~ 5 .6 -{i Gre vnd ~ elev 3 64-84 7.5yr5/8 - s I Osg ml - - 7 .8 ~ 1 Q4,-17 i I f t Depth to ,a„iting I factor .84 j ( i I ~ I Remarks: Ground f I ' elev E Depth to limiting i factor j 1 I 1 I I ' ~ I ~ Remarks: ENV130NMIENTM BY D 1432 120" STREET, NLIV RICHMOND, WISCONSIN 24 Z4 4 La i.. L 1 %_2 L ! NWY4 SE ( J 24 TOTWNSIU-p ~ I~ ' ~ vt__ ( , 1 - - curl - St. C. r 1 '4 . r 1 - 0 1J J iRECEIVED' 1 1 6 1999 - `i ST CROIX COUNTY ZONING OMCE SCALE Y=40 Tom Nelson BM 1. NW LOT CORNFRI l :gip of rt►n pipe 100` 227387 BM 2. SW LOT CORNER TOP OF Ir()n Pipe ELEV. 95.96' BM 3. SE LOT CORNER O,- LOT 108 TOP OF IRON PIPE ELEV. 99,33' NY13,0AIMEN'T"M DIE51SN 'l;L : R' 'HINIONF), `A1SC€)NSIN 51 A f- U -1 l n{ MA i f RECE VED - - 4 ran 1 6 1999 , s ST CROIX ,r ' COUNTY e` ZONINGOFFICE SCAI J I BM 1. N sN BIV1 2. SW I.(.) I R _010-W R P = )I F'xI I I.; BM 3. S.E. LO