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HomeMy WebLinkAbout026-1121-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 597340 GENERAL INFORMATION State Plan ID No: 2930658 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: STEVE PARISEAU TOWN OF RICHMOND 026-1121-11-000 CST BM Elev: Insp. BM Elev: BM& pt1 ion : Section/Town/Range/Map No: 05.30.18.726 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. -C Septic -MIN Benchmark q'3 100.00/ Dosing ^ , It. B ?reretiera` Idg. Sewer O- A Holding t/Ht Inlet „..,I, n3• TANK SETBACK INFORMATION SVHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dtyl et Septic ~b 7)6/ I t Bottom Dosing ader/Man. Aerat ist. Pipe • 4- Holdin - - = - - - f! t. System PUMP/SIPHON INFORMATION nal Grade A50 161'6 OlC✓ Manufacturer C Demand Pt Cover L 1 va V GPM 2V -3 Model Number f. Lj& V. 7 TDH Lift 11-1 I Fricti Losj Syste~H d T Ft • d • ~ q (J Forcemain Llenngth Dia. tt Dist. to Well SOIL ABSORPTION U STEM vVIULI! t I No. Of Trenc es PIT IONS 0. Of Pits Inside Dia. Liquid Depth BED/TRENCH - - DIMENSIONS SETBACK SYSTEM-TO P/L BLDG WELL LAKE/STREAM LEAC Manu cturer: INFORMATION CHAMBER OR Type O Sstem: / 1-716C f .rte 1 UNIT M fiber: DISTRIBUTION SYSTEM Header/Manifold d Distribution ( I~ x Hole Size V Ix Hole Spacing/ l Vent to Air Intake ipe(s P4 ) _7 Length _ Dia Length Y ~t Dia Spacing_3~_ ,3• d'l / 7 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of / xx Seeded/Sodded xx Mulched Bed/Trench Center _71a BedlTrench Edges / Topsoil es E: No Yes No Y Z COMMENTS: (Include code discrepencies, persons present, etc-) Inspection #1: Inspection #2: Location: 1705 106TH S 1.) Alt BM Description = e5 `^l v 2.) Bldg sewer length = a~l c- - amount of cover =7 Lm" n Plan revision Required? ❑ Yes ❑ No I 1 Qq O~2 Use other side for additional information. 1 Date Insepctor's Si4re Cert. N o. SBD-6710 (R.3/97) ~ " J a 1-7 -13cJ Couny j S, lcbr Division / , 6A_11 , D 201 W. WG P.O. Box 7162 S p Sanitary Permit Number (to be filled in by Co) PS Madisi- 2 51716 1_ a•:. erillit Application State Transaction Number WRkR~ OM In accordance kith SPA383.21(2). Wis. Adm. Code, submission of this form to the appropriate gr 'nit 7- 9,3,n 5qs is required prior to obtaining a sanitary permit. Note. Application forms for state-oxvned POW TS arc ,d to, , Project Address (if different than mailing address) i the Department of Safety and Professional Servies- Personal information you provide may be used for aitdarr' purposes in accordance with the Privacy I-aw, s. 15.04(1)(m), Stats. -7 05t,--- 0 ~1. Application Information - Please Print All Information Property Owner's Namc Parcel j Property Owner's Mailing Andress J Property Location y1 1.33o 1 C~rJ~ Cjo%t. Lot _ f City, Slate / ZiP Coder Phone Number :~5 LLl, j Section 7/-5 ' 76e-) 5ncle on If. Type of Building eek all that apply) Lot I or 2 Famil, Dwelling Number of Bedroorns Slihd t,toi, same Public/Commercial - Describe Use ~ u Cit, of f j L J State Owned - Describe (a CS,1 Number V,tla cot i -7 0, III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A Nc,a Ss stem El Replacement System El 'Treatment/Holding Lank Replacement Only ❑ Other Modification to Existing System (explain) I List Previous Permit Number and Date Issued B• ❑ Permit Renewal ❑ Permit Revision L' Chance of Plumber Permit Transter to New Before Expiration Owner R'. Ty 0 of POV4'1'S System/Coo onenUl)evice: Check all that apply v _ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in of suitable soil ❑ Mound < 24 in. of suitable soil Iloldim''ank El Other Dispersal Component (explain) _ Pretreatment Device (explain)- 15 8'. Dispersall[Freatment Area Information: Design Fluw (gpd) Design Soil Application Ratc sf} Dispersal Area Requrrep4)~ Dispersal Area Propos d (st) System Elevation) %T Tank Info Capacity in Total of Manufacturer W J - ;1k Gallons Gallons limits o o \ell T> I-:xistm Tanks Septic orfloldingT:mk 00 Uo,ing Chamber N`t I. Responsibility Statement- 1. the undersigned, assume responsibility fn installation of the PON`r TS shown on the allachwl plans. - I'iatrtbersName (Pratt) Plum i~natur•° MPIMPRS Number Ausiness Phone Number PTum 's Address (Street, City, State. Zip Code) N I 1 " 'ount y/De artment Use Only Permit Fee -r Dat- Issued Issuing7 p ent Signature Approved l Dlisapgrol,e S 1 l Rl S (2 rt)fj)Cl rill) I ' ✓ I r _ IX. Condi ,Ti ~ vas. p7, for Disapproval se}it tatttt. tirrlt rt: sll tmKr 6, Le- t 7 alspemul cell must all b~sw k ! (n ^,e,~ / as per rpar,agement plan pie tided by plumber. Al C. 'AM 2. aAlr`k ! EKi(1M9CtNftYS IT1U`at 4E1 mint: Ir E + ss per mKmck / rjldirtaUtCEt,E. D CiCitJ Z J Attach to complete plans for the svstem and submit tot County only on gaper not less than 8 112 x 1 ] inches in size SBD-6398 (R. Ili,' 1) llz2 3 Cl C O J / C/~ Q ltt i S r /o® r cn~ t > 76J 4 o e G 13- too NNN \ ' I_ 1 0 k e ~ 1 ~ c I (~>733 Ir 114 7 p~i7srFv DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 s Contact Through Relay t~, PS+ http://dsps.wi.gov/programs/industry-services www.wisconsin.gov °~ssioN ~L~~ Scott Walker, Governor Laura Guti6rrez, Secretary May 12, 2017 CUST ID No. 220357 ATTN: POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA PO BOX 413 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/12/2019 Identification Numbers Transaction ID No. 2930658 SITE: Site ID No. 837182 Steve Pariseau Please refer to both identification numbers, 1705 106TH St above, in all correspondence with the agency. Town of Richmond St Croix County SW1/4, SE1/4, S5, T30N, R18W FOR: Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1701439 Maintenance required; 450 GPD Flow rate; 29 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter CONE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes APt and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed DEPT OF and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. PROFESSI" The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code DIVISION OF F 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: SE. Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project_ Reminder • The orientation of tine mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.. BRADY J UTGARD Page 2 5/12/2017 • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150 , M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm BRADY J UTGARD Page 2 5/12/2017 • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, Division of Industry Services WiSMART code: 7633 (715) 634-7810, Fax: (715) 634-5150 , M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: PARISEAU aPR 1$ 211 Owner's Name: STEVE PARISEAU~OG Owner's Address: 3309 OXFORD ALCOVE. WOODBURY MN. 55125 1705 106TH. ST. Legal Description: SW/SE/S51T30/R18W Township: RICHMOND County: ST.CROIX Subdivision Name: PARTRIDGE RUN Lot Number: 11 Block Number: Parcel I.D. Number: 026-1121-11 Plan Transaction No.: -ANA LY 31r Page 1 Index and title WET ,J AND Page 2 Data entry AL SERVICE 3 Page 3 Mound drawings J STRY Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN _SPONDEE Page 9 SOIL EVALUATION Designer: BRADY UTGARD License Number: 220357 Date: 04/1 17 Phone Number: 715-760-0946 Signature: Designed P ant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 9 M9y08 1704:15p Nextgen Broadband 7152632267 p.2 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Tabie 83-443 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of r_ 36 inches. 450.00 Design Flow (gpd) 1.00 Site Slope 100.00 Contour Line Elevation (ft) 29.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpolftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) _ 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpde) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point Pressure Disribution Information in the distribution y network? c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Orifice Spacing (ft) = 9.38 ft2/orifice 2.00 Forcemain Diameter (in) 75.00 Forcemain Length (ft) Does the forcemain drain back? Y Cl 89.00 Pump Tank Elevation (ft) Y • 24 3.25 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 11.58 Vertical Lift (ft) 46.90 5x Void Volume (gal) 1.59 Friction Loss (ft) 59.13 Minimum Dose Volume (gal) 16.42 Total Dynamic Head (ft) 31.46 System Demand (gPm) ffiT election Manifold Diameter Selection choice in. dia. options choice 1.25 x x 1.50 x x 2. DO 3.00 Gal Treatment Tank Information lonsll nch Calculator 1000.00 Septic Tank Capacity 600.00 Total Tank Capacity (gal) (gal) 36°00 Total Working Liquid Depth (in) weiser Manufacturer 16.67 gal)in (enter result in cell 649) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) POLY-LOC 16.70 Dose Tank Volume (galrn) PL-525 Filter Manufacturer weiser Filter Model Number Manufacturer Project: PARISEAU Page 2 of 9 <1 ll_,2 May08 1704:15p Nextgen Broadband 7152632267 p.1 i; Mound Plan: View 1/106 ' Observation pipe A a l z L Mound Component Dimensions A 6.00 ft E 7.72 in H 1.00 ft B 75,00 ft F K 7.15 ft D 9.25 in I 9.00 ft 7.00 in G 0.50 ft J 5.40 ft L 89.31 ft W 20.40 ft 450.00 (ft2) Dispersal Cell Area 1125.00 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mounts Cross Section View Aggregate Dispersal Area Finished Grade 102.35 (ft) .lfrrrrrff 2 rrrrrr~r,_ G H 100.58 (ft)~ _ Dispersal Ce31 101.08 (ft) Lateral Dispersal Cell Invert Elevation t E D ® o 1.0 Site Slope 100.00 (ft) Contour Elevation Shading Key a Geotextile Fabric Cover Topsoil Cap o a 1.'S ft Dispersal Cell See lateral details on Subsoil Cap 0 0 0 Page 4 for number, size, © ASTM C33 Sand " o and spacing of laterals. Tilled Layer m O ft F Laterals are equally = Typical Lateral spaced from the o Aggregate Q distribution cell's A centerline in the distribution cell (Ax8). Project: PARISEAU Page 3 of 9 I Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical ~e P S Turn-up vr'ball valve or I{.. }E~Ifx12 I x+231 Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30-5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.20 ft Lateral Length (P) 36.80 ft Orifices per Lateral 12 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft2/orifice Lateral Flow Rate 7.86 gpm Manifold Length 3.00 ft System Flow Rate 31.46 gpm Manifold Diameter 1.25 in Total Dynamic Head 16.42 ft Forcemain Velocity 3.21 ft/sec Dose Tank Information Locking cover with warning label and locking device and Electrical as per NEC 300 and -11111. sealed watertight Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented < Alternate outlet location Forcemain diameter weiser Manufacturer 2 in. Capacity 600.00 Gallons _t Volume 16.70 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 24.39 407.27 B 2.00 33.40 C Pump off elevation (ft) -t- F - - C 3.54 59.13 89.50 D 6.00 100.20 D Total 35.93 600.00 91 LDose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer LEVEL Alarm Model Number DLV Pump Manufacturer GOULDS Pump Model Number EP05 Pump Must Deliver 31.46 gpm at 16.42 ft TDH Project: PARISEAU Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD Phone 715-760-0946 POWTS Regulator's Name ST. CROIX Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years INSPECT FILTER ONCE A YEAR 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 mound 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 mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished • • Grade 6-8" Diameter Lawn . . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution . Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: PARISEAU Page 5 of 9 Mound 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 [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be 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 used as POWTS components. 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 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 a tank or component. 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. 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 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 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 of 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. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. 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 cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaency 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 becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: PARISEAU Page 6 of 9 Y 04 EP & EP05 Series ApOtICATIONS Spp<rt,41y 6e5 Ems` s ■ EPOS Impeller: Thermoptas. • ffi: t+ppQr and +eM o':iOw;nq uses tic etKbsed design for improved ri h"d. • Efflt !t systems tI~t. txman[tz • Homes ■ Casing and Base; Rug" Ganrs *"bw ibt the7mop4stic design Provides AGENctr t`tST; ' earir duty sump Auto superior strength aria cmvsian - eater transfer +1~ WC Mod* Jrx" r?s;starKp, ca"Sdw,SU- • ae~vaterirg Mer ~h a Mutar Nae,s" ws a! tts,~ i fete for a ficem heat Yran*r, 'fir g , M514se( ~~fC1FiCAT10)y5 fw"' strength. and durabiilty. PWnpw rs f; W ,olds handling tapabtlq- FEATURE, Motor Cover. ThemtppiastK m cow with oaf hatt* a o .az!mur 'VaCt up to so GPM. ®EM14 ham- bast svritch atta~hrnerq pyres 'Otaf heads. up to 31 fee, tic S"*-Qom *50 W ~ PMW CableSevere duty ?,scha(ye s,ze r'lr" MPT. P ►OWV$M (W fated oti and water rgs;stant f"Odwicw " eChbnr(af seal- caf# n' Seas G;tBry{Ceta!1t~tstdi+Or;s!"~, ='kQ H efastome~. ' `r~rti}ptaYueEJ4°F tid0' continuous 4;~F f60°C)'r,te"OtenT. ~steners 300 series 10 - p 1 nll,s S.eet "Alt Of running Mftut tdarnage to 25 2~n w IPA "'91t Phase. d 4 10Y 6 t zap bu~it,n overload with St •."natrc reset in I tS`p"5 single phase, 0 5 WP, ` v Or 230V. nQ iq . 15 0 so - RRM Du,R in OrP►fObd with 3 spr 6uYOmditt resEY. 04E sianrlard :PO4 ~en9t, 16/3 s r ter watt tt!!r~ prpng t l ~ u ruundi 31, 7°9 Aiug. Optai 20 -7w Wan ee prong grourding :3tuq 20 30 ti- a _ Gould ? _ r 1Q pul 4 , - - D01 07 L rib C Imp °ya13" d it i l (~,7,33 ` s (10 1 66 V) aci o I V) I j I I I j a I I N - izo L - s - - I _ W I j a I I 1 L I N I o ~ I I N Q .....I_. i N F2 CN U) C5 LL- r 13 LL- cciD~ N w '24" i x Or Li ° V) 3: w w I r.~0 r7 N Z-. Z a ,n 00 `t oQ'0 C) C I V) w O ~f Z 00 i U I ,ao ,Sot. CO ^ r^ 1 ,LOTL I, V) ; ,ooTzz o ,96'996 3„6Z,-VO.OOS ~ '9Z'89~ I M LL V) U- LO Q~ CY 0 V) w Q~ W 1 C) V) N M N / I Q r- .O w 0 V- ~t ~ -NIP 00 Ix 00 3„6Z,b0.00S1 z XZ'SZZ M„6Z,*O.OON ;1`L , • ' I I \ I Ll]~LLS H1.90 ol: I I 8 _ ?1 717- V) 0 LO Ld 0 U) .~.......m Q ~I I Z lp LO 00 CD LO CN LO 0 cr~ too I, N :D 3 ~ Q N r a,1: Q I a Q L(') O N 3 001. w 1 V) 1 1-- 1 Q d _N 0 V)I' Q I d :n 1 z 170) o I I I : a j co L LJ Z ;LO ::D is 0 I , ,-171v'096 w 3_2 L, L9.00S U 19Z'99Z ,L6' LIZ I rn 1 ST. CRQIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FOR_T\1 Owner/Buyer c Mailing Address v G Property Address ' 1 `7G C _ (Verification required from Planning & Zoning ~ Departmen for new construction.) City/State,A,' r -J+A Parcel Identification Number_ 1 t)- LEGAL DESCRIPTION Property Location -5 s 0-L l/q Sec. 5 C , T 3~..>N RAW, 'hoAvn of-~~~~ Subdivision Plat: ,Lot#~. Certified Survey Map # ~ / Volume Page # Warranty Deed # / U `7 (before 2007)Volume y Page # Spec house ` yel3zho Lot lines identifiableJ~ yes Do SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 §SPS. 383.52(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 owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. l /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 Safety And Professional Services 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 davs of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. 1. /we 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) '~T DATE. ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if referenee is made in the warrantv deed L' Jib- REC'Etv Wisconsin Department of e ; . SOI EVALUATION REPORT Division of safety and Buildings ldings ~ 1,., in ,,accordance w with C m 85, Wis. Adm. Code Page --L of Attach complete site plan on Lef n(A. C T County include, but not limited to: vertical andioPPZ xY11 in / es in size. Plan must 5t ( ~d percent slope, scale or dimensions, north arrow, and oae p t (BM), direction and nd distance to nearest road. Parcel I.D. Please print all information. 03" I I Personal information you provide may be used for seconda viewed Date ry purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Y t Property Location Property Owner's ailing Address Govt. Lot 1/4 rJ 6 114 S 5 T N N R IS ~Jw ~ 6q Lot # Block # Subd. Name or CSM# 1 E (off W City State Zip Code Phone Number Pc1r+r1'~ G~c Q'jv) Nt?w ~irw a~xc,+~a ( (7/ (-1 i S) aclb _ ❑CitY [Village Town Nearest Road New Construction Use: Residential / Number of bedrooms ❑ Replacement Code derived design flow rate ~J ❑ Public or commercial - Describe: GPD Parent material ` I t General comments Flood Plain e~levatio if appli able and recommendations: q ' ' w S ~eac rn~ n ~ ft. ) JAI Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in.nd~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2 Soil Application Rate in. Munsell Qu. Sz. Cont. Color GPD/ft ' Q _S ) Q Ig ~ f t~ Gr. Sz. Sh. *Eff#1 *Eff#2 ~ S-13 0 "f I ;a .W I Fly R ~ s 1, cX ~ a r qq L- )CS8K 8S F, L4 '1,5 V 416 I F-1,5 yR 6 \j q to s 1L ICS8KS :r S' 5 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor P Horizon Depth Dominant Color in. Redox Description in Texture Structure Cons Soil Application Rate in. Munsell Qu. Sz. Cont. Color istence Boundary Roots GPD/ft Gr. Sz. Sh. *Eff#1 *Eff#2 t 5 u I<7 C{ay c~YY1Sl$ z . a ~P14 LAJ 10 qq-~D Sy 3 * Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L CST Name (Please Print) - 'Effluent 42 = BODS < 30 mg/L and TSS < 30 mg/L ~ JOvY$10. Signature - Address CST Number ' 1 Date Evaluation Conducted Telephone Number SBD-8330 (R07/00) Parcel ID # Page of Property Owner ❑ Boring C ❑ Boring # Ground surface elev/'0ft. Depth to limiting factor in. Soil Application Rate Pit . _;GPD/ftz Texture Structure Consistence Boundary Roots Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. *Eff#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color ~ '0_5 10 `I ~ a]02 CAS C vi f i a- 9 (3\4k d ❑ Boring factor m. Soil Application Rate ❑ Boring # [I Pit Ground surface elev. ft. Depth to limiting Roots GPD/ftz Texture Structure Consistence Boundary *Eff#1 *Eff#2 Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. in. Munsell Qu. Sz. Cont. Color ❑ Boring # Boring Ground surface elev. ____ff Depth to limiting factor in Soil Application Rate ❑ ❑ Pit Roots GPD/ft2 Roots "Eff#2 Redox Description Texture Structure Consistence Boundary * Horizon Depth Dominant Color Gr. Sz. Sh. in. Munsell Qu. Sz. Cont. Color * S < 30 mg/L and TSS < 30 mglL Effluent #2 = BOD Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * d assistance to access The Department of Commerce is an equal opportunity ervice pro department at1608-266 3151 or d TTY 608-264-9777 services or need material in an alternate format, please contact SBD-8330 (R.07/00) li Property Owner i ; A t 7-3 Parcel ID -21 Boring # Boring Paae of lGt pit Ground surface elev. ft. Depth to limiting factor Horizon Depth Dominant Color Redotion Texture Structure Soil Application Rate in. Munsell Qu. Sz Cont. Color Consistence Boundary Roots GPDlftz . I _S lo € ala Gr. Sz. Sh. ff#1 'E -fib ~.5 n_ a t'~ r ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor Horizon Depth Dominant Color in. Redox Description Texture Soil Application Rafe in. Munsell Structure Consistence Boundary Roots Qu- Sz. Cont. Color GPD/ft' Gr. Sz- Sh. 'Eff#1 -Eff#2 J~ I i Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor Horizon Depth in. Dominant Color Redox Description Texture Soii AppiiD/ft Rats in. Munsell Structure Consistence'------- Bounda Qu. Sz. Cant. Color Roots PD/ft, Gr. Sz. Sh. 'Eff#1 'Eft#2 f ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg!! - 'Effluent it2 = BOD; c 30 ma/L and TSS < 30 mail The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or F~o~uc+~y need material in an alternate format, please contact the department at 608-266-31 or TTY 605-264-5777. ~'~Ii loyu iv + rar, l ~c~ S1313-8330(R,0700) 'V• U, "V T-8T6bD0ziOaOs • ~ ~ ,fir. • ~ ~ , C,,,! ~ L.l' 1 'b T ~ ..3E .,°;t { CJII v b 41~ 1 Ile ~iht Vr ! Vk' •C3 i { ~►--•~~.,-....~~.--..,~.~..-m.,, mom, V' ,r h tfy 1 z 1 SOorh ICs{ s;)C SU636 f 1 f f I f f I s mm I'Ale I I po K~~ 'prn pm0~ ~v 1OO e Nma to I f j I~°Z 6N~ b I I o1O °DA "m I °ib :E o~ I I I I I J .-0 16'_0" 0 !n f a ° u ~ r ITT -.--I L / i N lA O - T S ewe ewe \ 4f $ e V E! -1 1 OR 7 r 4' ti • 503636 TG ~ 43'_1 I ~ N ~ ~ T +f N Q ? (P y l g ; / a ~ 2 ~ -n b q l - ~aad cl ` v c F co m 0 0 m m il. 9 i=- _ fl m i v !j j Wausau Homes New Richmond D M 575D North Knowles Ave s G) D Y l ISO New Richmond, Wl 54017 PARISEAU CB11 ORG BRENNAN M D Z NO m y 715.246.9004 < " Ffedetiniraia?1ra, RijiJriinq xpt,rl~lRC kopps@wausauhomes.com NEW RICHMOND, WI FINAL SET www.wausauhomes.com These plans/drawings are protected under Wausau Homes Inc.'s exclusive copyright and are provided under a limited license to Wausau Homes New Richmond. By accepting a copy of these plans/drawings, you acknowledge and recognize Wausau Homes, Inc.'s exclusive copyright herein and agree not to display, distribute, reproduce, modify, or use these plans/drawings other than for the construction of a single home by Wausau Homes New Richmond.