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HomeMy WebLinkAbout016-1043-80-050 w• m nn =r r~o c. = PRIVATE SEWAGE SYSTEM =n" St. Cro7ix SnMy .rv la,w.•q 1+.nnn, INSPECTION REPORT =''^+.,•yfr:"„"° {ATTACH TO PI RMI I 597416 GENERAL INFORMATION Statr; plan [;No Personal m'c•naxan you prov de may he ust•A lot w w dare lnvow.s s IPuvacy I a* t D4 L•nul Pr-.r411u1 Bradley it4J and d Michelle Orton "rTOWN OF GLENWOOD Pn•::e ,a, No 016-1043-80.050 (:%i UM tie, Insp Gyt 612a LLM ile.wp:u. • SCCLtr ~rwn:Ranye. NaC no /4;;C/ 01,E ~ ce•C, 19.30.15.315A-10 TANK INFORMATION ELEVATION DATA _ T YFC MAN J rACTU I< R t L'A%A::I'Y h'AI dON FS Ill Iti LLL•C ^S , p /m o so Sepia, 'T~ DOQ OrrcMnart 0 t c DOS.ng All Rid 496 /p ZS art v !L ( J C+D / O 7 A "If"r Hldg Sevau • Iwld RIMllnel /01.5 /~•-7 S• 3S ~ smn:)Ialw ` TANK SETBACK INFORMATION TAN•<IIr WV I I R..)t; r'11. r lnfT•.c HUAI: II: hicl I v t A 1& (u::.nq T / - ncadc•;Man. 2-J T7• a7 78 -7T vr~,..., -_7 i '•ISl Plpn Z. 3c, `1.7• Hatltng Hot Syslerc .95 q~7 , 2Z PUMP/SIPHON INFORMATION n,J „t rL 31Q 44?- Z \'arnd:xa.r,v Cetrma St CJVe / _ ' . f q/ Z ' 66 l 7 Lk,dt•: Nu-,,U, - AV~ L 7 a++/ all Cos/~~o~J~ I` • / c, 5 ItAl LII1 r4pion, 6- fiyvlrm-ead 71) ` r• (orrwnaul I rr n., I: v: ro Yrvx - L AJA- SOIL ABSORPTION SY TEM nfn/TRLNCH isvl'n 1.r^~t^ nr 'N r^~- r•1T DMENSIONS Ih: (x i`OS 1"sce L`5 l~gma Jen UIML NSIUN$ G.9~ !oS StIRACN I YS'FNI T(3 Pfl RI :K: 'rrr, l I-N(E1S-RFAjd LEACHING M+mAac4a+ INFORMATION CHAMBER OR "odill tiv Ay'.Ie-n UNIT me MI nu,rLe, W/ 1 DISTRIBUTION SYS EM Hcade„M01'. lo e. Untnnulrcn • IvtH SUr. I I , Imk f.pdC ^y 'r! Ar h 7 u GO/ ell 6 .5 _ Fenglnl 63' J:a Spac -y 6Z 3 SOIL COVER x Pressure Systems Only xx Mmnd Or A Grado Systems Only f. • •n Uvr, ~f "'a• n Uver nr:.r, n! sc,•:1:•ms.:aaea COMMENTS: u~' 3re~'n•^r- ypcs ` lvpso+ 1• .1=♦•v, no I nctucn r. a/~:c else rp rocres, persons plcsrnt, c!c ! tnln•c: Ell 81l V 1/f Idt R'stuom, 02 Location.: wp (:1'v aro r 'pu wImo' /C ef Q _ J QJ` o ` + -/1 1 t All HM U•^.;ulpnol: - 1 7 ; HI<ly seva'f length -76 1 W ne amain nl rover = Mai I'IaH,ev151do Rf.jwrcan Yes -Awl ' f Q r v 3~ ~s Use over side foI addmonal ,nfo,flanon. I D hn4: In9ppr 1 `:rY..rt1 ..e / NJ P0 11)K:10rH 9i) HARDINA SEPTIC SYSTEMS M PRS/CST 824825 T r y $ a ~ m - COPY i all RECEIVED Industry Services Division St(Rt11X sew-a~►~-~. 1400 F ashinglon Ave y,,,l,ra I.ara,, \,nnnc, it,, he fdkJ m Is, ('n ) 'a Jut 24 2011 3w P) oyA 162 cnjtl% 501 -7 v s eR9tx cocl~tr t Iicatioi, wk State 7rxn acllou Nwnlx'1 A PFD P~ p 246611rr . Inw,,wd9 v.%Ih SPS 19121(2), W1, Adnt C,sk- ,ubuu....ln:d 1111. lurm to lh,•:q,Fn q•n xt, pw... 1, rrstuanl perm b obti m lp a san larv pemut Nbtc APPhralnn Ivm:, Lc ,lair+•wneJ Is 'A I N AIL wbMIIltU . t I'ngc:1 AJJrc.. lit J~Spnt d,:m nunlua• uJJrc the I1,partrnew td Sable :md Vint e..nm:,I Sans i,c, I'cn.x,.,l Ind,..,umn, aw, }noa„k ma, he u,ad 1:,, ,•:ouJan ,YY ~7 / u xr) In aaed:o~c w 1111 the Pen a, l aw.. Is(4t I Hml. SIM, -7 9,P~` C 1. Applicatlue Itdormation - please prim .\II In(ormaliuo - Pn,},en7lhaner'sSaoc _ F4tcc1 .1 I IRAQ OR, I'ON 1 ~f u16. 1W i-Na-1;•o f A ~Y{Y, Is.3(sr~- 1•ngx.h (Iw,ttt'x - l'N a11mg.1dJr.+• y Ik,gw'n. (d, l 2211-' ti I 1"wt i•N ( 11%• Slate /.p ('„Je I Ph,me Nundr, SI SI RAI l)W'IN. WI slat? plrlc .n,. 1 MIS K 151 ~n u' 11. Typo of Mudding (check all that appl)) 2 I ® 1 or2l amih 9 ).dintV Number nl Wdr w itt, J 1ryy1 I - Iobdrcmmn Nnmc ❑I'ubhri'anmerctal Ik.aJle L,e w•" I1Lnk:. PO C'n, of hq~C~Sro El E] Hale (vend - Dc,,nbe I w It r - i El Village nl U! \um i _ S' x W MON~ CUL 79 9r/ tit l N,\1x,11 III. 1 k Innis out box on line S. l empiric line R_ i applirahlrl / - ~ \cw SveKYn ❑ Re[+Ixrnx,N lu:un,. uvlloldmp lwlk Ke Other Mdd„mi:m Ir I-,nnnV 1,.Ia/m test pIi,,n,rI nh _T11 l'hdry'c of 14'nnn 1 ranter in \aw wnn limm Pcmn1 Ihmewal I ❑ Permit Kn nnm ❑ 1 11u Ihn it V B. ita, I'hamher t lwner Fichorc I %lin I C] Irk W ni 120W I S S),tctn C unlponcnb Device' (C heck all-Ih+A uppk,) - - ❑ N,n-I•rca,unn'd In Onlune F1 Pr uriecd Itt.0t uml ❑ Al -I h.uir I I Shmnd - 4 m fsueah ,ed ::',.d -4 in ,•I vtaMe .,w1 ❑ Ik4dn,X l nk L I Other Dnpcrx,d Comp(mrnl (explain) V. INapeim Vlre ttmenArea Information: n I - I)c,tgtt I w (Mild) Oc,ign Soil Apphcabtm 111i.lu,wJ aca Rcqunol ,.1) I h,(x-r.al A,ea i'rnpn,Cd 1x11 ti„lent I Ica alum 4}l1 Rargpydll r 4 12 5r Go - 9'l.• VI. lank Info Capaa, n \tunut.aawu ^ Uallon, I.mt. j r SepUe as Iloldmo'Smlk (INN) 1lNX) 1 I H ICI 1 1 10 - I)awmg Chamber MN) 6011 1 ('Ut,1RII _11-0 V11. tpensibilil) Slalelncnt- 1, the undenLNned, assume mpoesibillf) far Insh,llatian of the POW I'1,hn.a,u the attacked plva Wun,hn's%.me' 14,'1 I I'luuilrn-~ ,,ylw - MI. NO-; Nuns.', Ittsm,,%I'Mine Number 'IS-111I-s0+9 R0111.14 I IINRI)IN1 12482'1 I'Iwnlw.', . AJdrea, Rnvet Cn. Slate, /q+(',nlel J t 4"7 1711°' AVI- ICRi 1: 1..4KI' WI S4984 VIIL ('ounty/Department Use Only A},pra,ad D,.a eJ I'rvnv ecr Uu,c L.u.l L.:nny Aycnt LVn.uurc w 71y 2I2017 jt~/f PAC 1~1 1-C. (Udi bM saV aao a for Disappruaral Cl W(-'- +V'~ r / 0" M .1P t;te aCti~:~ DIVISION OF INDUSI RY SERVICES ' IGS4t N RANCH RC D I-AYWARD W, 54e43-6462 S - Cortad through Reay PS, nttp:idscsw govip-og-anishrIdusiry-se,vices w a s v Scott Walker, Governor Laura Gutierrez. Secretary July 17, 2017 CUS"I ID\u 924R2s IIT~ P(riCI:C Lnsl>r,Y,rr BOB J HARDINA ZO\ING OFFICE. HARDI\A SEPTICSYS I LMS ST C ROIL COON I N' SPIA 477 170TH AV'F 1101 CARVIR IIAI I HD TURTLELARr WI 54RR9-9187 HUDSO\ W1 X4016-770R CONDTrIONAI. APPROVAL PLAN APPROVAL EXPIRES: 0 172019 Identiliceuon \mnbcrs ~ rransaction ID No. 2961,199 SITE: Site ID No. 819767 Orion Please refer io hoth Identi icaiion numbers, Cth G abuse, in all corrrspundcuce with the agency._.. town of Glenwood - St I- roth I. ounls SH ~4, Srt'-1. s19. r3oN. RI4N& FOR: Description- Mound. I br re, Object Type' POW IS Comporenl Manual Rcru!aled Oblcct ID No: 17115,13 Maintenance required: 440 GPU Flow rate. I s :r. Su.1 nuninuun depth to limiting Factor Gom ona:ra. grade. Sy-stemt Mound Corr.; onem Manual - Ver_ 2 0, 1,111) -iols9l-P 0: 0: it. Iil Pressure Di%tnhutio!1 ('urlp ones' Manual - 4er. 2 0. SUIT)- 10'06-P t\.0101, R 10: 12). S1,N MI' Pah 9 6. Elllucnl Fiilcr the submittal described ahoae has been resnewed lot cottlirnnance with appllcah:c A t,con,in Admini.trame Codes and Wisconsin Slahnes. [tic submittal has heen CONDITIONALLY APPROVIA) obis system is :u Ge contilrUited and located in accord:mce w nl~ the enclosed approsed plans and +%uh ans component manuaks} relerenced abuse The owner. as defined in chapich l i l t 01( IM. W isconsin Statutes, is responaMc for compliance with all code requirements 1, i'Jl6tO i No person may eneage in or work at plumbing :r the state unless hccnscd to do so by the Dcparmcnt per 145.06, stats. The !olluwin conditions shall he met Burin, construction or imtallation and prior to occupancy or use Key Item(s) _ • In die went this soil absorption sy:stcne or ans of its caanP wenl part; ilia lh:nctions o .n to create a health hazard, the propem owner must follow the amtimteney p!an as descnhed in the apprised Plana. In addition. the owner mast insure that the operation. maintenance and monitoring dunes as dex'rihed :c sccuor. V III of the rtound component manual are complxd ss nth A cons an :his itlnnnnauan mu,t he .,n en ;o the ownct upon completion of the project Reminder • the erientat.on of The mrxmd sssleln nnrsi h; such intn the 'om'est dimension iN orented along the surtacc contour per SPS 311;.44miial_' - 11,:11 ~I 1al n\'•. 1'...,: .17 `.11' • Marntem w;II and waterline w hacks per MPS ;Ri 13(%)h) Consuli the Mimrtment of ssatural Resources for well srlhaclss and other re,•ulauom and exc:pllum A copy of the approved plans, spec &tallon, and dais Ivuet shall tic on-sac during construction and open to inspccuon b} au(I'orlted Iel)WWIIlaovci o1'Ihr Wilartment, which nraN include local inspectors All peenns required M the .lane or lh'c local uiumc:palitx shall he obtained prior to c:ommencernenl of constructioninstal lwion!Operation fro gr:mnng 1his:q>pnrv:d the Division of Induan Services reser.es the right to require changes or additions should conditions arise nakin Ihcul r,cce+san f'or code cotnphanuc As {x•t +t;uc stars 101-12(2), nothing in this review Shall relieve l he dest,ner of the responsibility tar dc%ignmg a sale building, structure. or component Inquiries cona•mine, Ibis corn•spondcncc non Ik• made to me at the telephone number listed Mow. or at the address on this leucrheac. The alwac tell addressee shall prow 1de a copy of this letter and the PON TS managerrreni plan to the owtwr and ins others who are rcaponsinle lur the installalion, operation or maintenance of the PO%k TS_ S,cccrcls, I cc Required S 250.00 Fee Received S 25000 Balance llue S 0.110 I':onsia I Shandcrrf PUN' 1 S ]'!.in Rev icwcr Div stun of hrdusin Srtvtcs U+1S%IARI code: 7633 (7I1)6,4.7810, Fax 1'1s)61.1-s1 so,%I f 81101 m 4-Ispln pat sImnJorfn wnconvm cov cc Edwin A laylor. N'astcwa:er Specialist. Cl5) 634-3484. Istunday - fridas %'00 ao•. I:, J :n pnt VIII i Maintain ,cell and wa:erlcu set hacks I; c; C!'C ;S' I S1( i i. C4msl!l: Ii'c Ucn nrncr.: oNat.rr,( krso.rr.es Rrr wc'l scinacks an,-' o:ter rel-ularion. and cx,:vplwns. A cope of are approved :dais. sneciticanons aid lilts Ltter sha:l be on-sit: curwe cons:rt:etion and upcr to rnspcc:ion by aitho-lZe t. representatives n` the Dcpaemen!. "Mein ma.N includ- ,neat. inspcctun. AI' perms rcaaircd bs dte state or the iota. municipall!.% shin:', he ubta.ned Tmor to coinmcneemen: o Constructioninstallation onc:anor. .n gantirc this approval the Division of Inauar yen ices rescne the r.tt:: to -ryuire dram e. n• snout: conditions arise makine them neces-,&} for code compi:ancc. As per stave s:a•s r.o!vr.;::r this rcvieN shall relieve t he desnener of the respon>ibiii:s fia d:•sieniip z laic buil;ii. stnrcnnc. o: ellmponea: Inquiries eun=in, th;s correspondence n:ay be mace to -m. at -he ielepfone num-cc . is:ed oc;oa. or 4: h, ac4 Cs1 uL this letterhead •`ae attove left addressee shad, pravidc• a cop% art fats Jena anc the POW] ~ manacemenc platy w tirn uwrrr and ar, o:hers who are responsible for the inst.:llau.n, oncration or main!eiaorc ul the YONk TS. Sincere!}. t Required 5 -'WOO Balance Juc 5 G OG 'at : z L Shandorf 1 )WTS Plan Reviewer . D:visron of lnsustr. Senrccs N iSbIAR7 :ode r'I;j:v4-787Q. Fax: (?1~j6?4-c1 M;. NJ F z.rr. If p..m. pa:.siiasdort:u•wiscons m.2ov cc. L,:" in A 'fm'lor. %i astcuwcer Special:et. .-._c~ \'ru.-.•, ;:rrdas F in; an. 1 4 .2f. pr: 1 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Cornmercia' Apolicatiog INDEX AND TITLE PAGE Protect Name ORTON Owners Name BRAD & MICHELLE ORTON Owners Address 663 220TH ST BALDWIN WI 54002 Legal Description SE.SE.19.30N-15W Township GLENWOOD County ST.CROIX Subdivision Name Property address 2788 CTH G Lot Number: 1 Block Number NA .1, Parcel I D. Number 016-1043-80-050 Plan Transaction No r A?,D rS Page 1 Index anc title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tang Page 5 System mainterance specifications f ' Page 6 Management and contirgency pian Page 7 Pump curve and specifications Page 8 Site p.an 1" = 40' Page 9 Filter maint 1 t! ` Page 10 Att Soil lest ,1"~I~, ~ti(', vrM f Designer Robe t Hardina License Number. MPRS 824825 Date 06/19/17 Phone Numbe, 715-986-25C8 r - Signature.- Designod Pursuant to the Mound Component Manual for POVdTS Version 2 0 SBD-10691-P ,;N 01101, R. '0112.1, and both in, <1.CA& ((:11911 and Mound and Pressure Distribution Componen' Design Site Information cr •J. - 0 HeS!dertF.l or "onumr col Dc •gr 300.00 Eslirn.eled'eVas.e•.vriw F h;w l.q.n „ 1.50 Peaking FAvor ;e „ - 1 Sr. i r 4fA 00 Desigr Flow (0pr11 3.00 Site Sbpe C-) 95.42 C:,rnlccr U'r. Lt: rn•:, i 15.00 Depth to', i!ir iq F..,tcr ui 0.40 In situ So: Appl:cal:): R .,L Distribution Celi Information _65.00 Dispcrsai Celt ± ecgl.n A1org Coric"r (f•,;. ii 93 C.al :`l.da ;t! 1.00 1It"persal Cee 7esigr Lcadirg RtmW 1 Influunl Was:er:eler OLahty 1 rr 2; Are the laterals Inc r:gres' it the r, Wribulsor, _ Y Pressuro Dishinutlon Information network; cr r r. _ E Certet or End Nlanrcld 3 4, • I atur:,! Spacing (It) It N atcve. enter fie elevation (Ft) L - 2 Number cl laterals of :Ce r.!ghdnt pourt _ _0.188 i:r.fica Di: r'eier (iit> 2.90 _.;1 Onhoc : paC rG -t = 1•:1 ?q - r 2.00 user it G an+eler (~r : _ Lt~LLL 80.00 r r ,emair f ngln ,I,, c +ra n .ra!n c y / / 89.00 wur.rp 'enk F_!eva!on 1..; ~~ir. / °:251 eyster^. Heed i.`.i x 1 3 13.G; Faxma r Dramtac. (gal:: 8.17 Vertical U`, (it) 58 19 5x V•o U Volume (gal) I 1 4 Fr, cncn Loss i41 71.23 10 mm m Oose Vdurne ;g:dt 0.00 Ir -lire Filer Less (fir 28 E4 Syserr De: -sand a ,pan; ( 'i.86 Totaf Dynarrie iiPad fW. Manifold Diamaler S_eiecUon Lateral Diameter Selection W. dia. cpl¢m5 hu~.,r. t ~r. a e cl. 1()f s chcre Cif 1.25 x 1 20 - I 2.Go_T 2CO x 3-0 It Gallorsanc!i Calculator _,I: rt;' it Treatment Tank Information -62r Ct:~ '0181 Tar:R Caya'.l;r ('Ilea!) 000 N. So;;lic Tank Capacity ty:all '7 au -aal';'rU K ng LiyuK1 Ce !n l r; I-t1FFCJ'T-_-.klanu`acturet P741.1 ;arde' res0lt rn cell &:9i J Dose Tank Information Effluent Filter Irformation 627.CG Dose Tank Capacry i I❑FTIA.IF R!ei .hlenu`aaun r } 14 93 Doan Tank Volume lqa: n'. LT 7;? _ ail;er klodel Numt.er Mound Plan and Cross Section Views - -1 Obwivaticr P pe 0 _ 1 1. _ ~_0_B A K O ~ A B W I I z L Mound Component Dimensions A 6 93 ft E 23 49 in h 1 00 ft K 10 94 ft B 65 00 ft F 9 50 it t 10 71 ft L 86 87 ft D 21 00 in G 0.50 ft J B 37 ft W 26 01 It 450 45 (ft') Dispersal Cell Area 1146 79 011') Basal Area Available 6 92 (gpdfft) Linear Loading Rate 6,50 (h) 1110 B Obs Pipe Placement Mound Cross Section View Aggregate Dispersa! Area Fin•sned Grade 98 96 (ft) H G 1 r;~ 1 F cispe SAi ccl. 97 67 (ft) Lateral 97 17 (ft) Invert Dispersal Cell F levation D a L 95 42 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabr c Cover Shading Key c n t Dispersal Cell see iaterdl details or. nt Tcpsoil Cap p 1.5 ft Page 4 far ri.mber, sure. n Subsoil Cap o n O and spacing of IaSerals ASTM C33 Sand p 'O Laterals are equally v i F spared from the Tilled Layer 6 N 0 5 ft rvp cai l atera dsv,n„tics cells Aggregate centerline in the A distribution celi ;A%B) End Connec,ion Lateroi La/out Diagrzrn r--.r.~..a... .i n... A: Fdrt.._-n. fu. n-uV nr b.'i.~1.,~- .r~i^wlau: oyl~r.r,¢ve atnntai I~x--.,,..L.I...na:.a ra. n.>ircn.urr»~.r.r~ q-- f:fitly fC lt.O GTIrW I'.d rfnp ylGn 1) , P.il Ah I nV l.A Lynric Oaln -ri 41 _ F p-r ! UI Number or La!erals 2 Or C a:cater 0, lde it - I atnnl Diameter Orfce Spacing (Xj ' 3.02 d Lateral Lenglh rP; 6312 1 Or per -...-22 L a:e•al S; ac-ro fS; 3 : r " Or hca nersily 10 11 `t` or,'ice t ae•af Fit:',y Ra1C 14 42 rr. rr fd:rr.r;17 l e, yth --d" s!er Row Rate 23 g41 or" Man fold Dla.^fexr ' SC'{**r 'otn Urrr:^,c ILA:;:I t F"'Coma+nV;'icxi(y Dose Tank Information f:T 4 r. rri~ " v r.nInq is ;;Tprr~ ::•n:.eA r7 ~ F,. ...I I:,,i le- -1 2 in huffcct! Alnrndachvcr Oapacil , AC clallrln; t Vol'fine 1 14 93 :nc h A rhirensiorj nches Galion:;f, A 29 22 436::2 oc C. 06 477 L' 6 OC 87 ;a f TU I- ] 42.OC 627 00 C L 3' C'er.'.d,x; under tans 4:7rm ?.!?.^tl:i!ar-Ii:(Pr. SJF RF_i7_F.16US f._te S:'nl.!.- > Alam; Model Number ,tar,< a'--r: „Inc ~'.eru PUMPManu°act:.ref r:e:'~~r :rim s~er- Pump h1,del Number on 102 vL PUMP MuS' Uel;.c-r l..__ (t TJI! Mound System Maintenance and Operation Specifications Service Provider's Name r Robert Haro_:n_a Phonef 715-986-2508_ POINTS Regulator's Name r St Croix Phoneff System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum IrFluert Part cle Size V8 n Est mated Flow, -Average 300 gpd Maximum BOD5 220 rri Septic Tank Capacity 1000 gal Maximum TSS 150 mgiL Sol Absorption Component Size 450.45 ft' Maximum FOG 30 ri l Type of Wastewate, Uomeshc Maximum Fecal Coldorm >10E4 cfu!10v' mL Service Frequency Septc and Pumb lank Inspect ardor selvice once ever 3 ears Eftluert Filter Should ins c; and c.ean at least once eve 3 ears Pump and Contras Test once ever 3 ears Alarm Should test month) Pressure System Laterals snou d be flusher: and pressure tested eve 3 ears Mound _ Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1 Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a wale^.ignt cap. and are secured in as shown n the mound component manual 2 Dispersal cell aggregate conforms to SPS 384.30 (6)( ) Ws Adm Code. 3 AI: gravity and pressure piping materials conform to the requirements in SPS 384, W is Adm. Code 4 Tillage of the basal area is accomplisheo with a meld ooaro or chisel plow 5. The mound structure and otner d sturbed areas will be seeded and mulched to orevent so' erosion and help reduce frost penetration Lateral Turn-up Detail Finished Grade 6-8' D,arrieler Lawn - Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution r-_ Lon Sweep 90 or Two 45 egree Bends Same Diameter as Lateral Project ORTON Page 5 of 1C Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm, Code General This system shall be operated n accordance win SPS 382-8t Wits, Adm Code• arid sha I mainta red in accordance will' its compprenl manuals jSBO-•0651-P (NAV01. R 10;12; SSWMP Pubf catdn g 6 fCVBt;, and Press ire D stn bubon Componerl Manias Ver 2 0 SBO 10706.P fN OVDI R 113112): and locator stale rules penal ii system ramtenance and mauttmnance reporting No cre sncud eve, enter a septic or pump lank since dangerous gases may be present that could cause death Septa and romp!ank abandonment shall be to accomance w th SIPS 333 33 VV s Adr Code when the tanks are no longer used as POWS comFOrr!ds Septic 0• pump tank instance r sets. access nsais and covers should be inspected 'or wales Ill and soundness Access -perings used for service and assessment shall be sealed watertgit upon the coirpeh pr of service Acy opening deemed unwind, defective or sugect to failure must ce replaced Exposed access openings greater than 8-mches r Diameter shat be secured by an ei we coking device to prevent accidental o• inautmDrized entry into a tank o- comncrert Septic Tank The septic Lark shat be ma drained by an rd v dual certdifi !c service septic larks under s 28' 48 Slats The contents of the seol.c tank siral be disposed of in accordarce will NR 113 W s Adm Code The opener rg cond bpr of the septic tank and outlet Iner shall be assessed at east once every 3 years by mspedror The out'et 'ter shall be cleaned as recessary to ersire proper operator The filler ca4:ni shoi d not be removed unless provisions are made to islet Sol PCs in tae tank that may slough pill fite• when removed from its encl. sire Itme'iron is eqi pped w lh an alarm cite flter trial be se•vicetl if The alai g, is activated continuously ntermidert4lter alarms may indicate surge flows or an impending comirruois alarm The septic tank Shall have its Contents removed wi the volume of sludge and scum in the tank exceeds V3 the I quid volume of the Tank. N tie contents of the tank are not removes ache :tine of a Vierria assessment mainterance persornol shad advise tie owner of weer the next seni needs to oe performed to maintain Bess Inar maximum scorn and sludge aCUIT'l ation in the tank t i0 adds we bologrral cr chemical effort miles to ennarce Sept c lank performance :s gennully rut •egwred Howeve- t such products are used they shall be approved for septic tank use by the Decanni of Commi Pump Tank Tire Dump fdosog; tank shall be nspectec at past once efli 3 years At switches, il,4-l and pu•nps shad pu lusted to veril prvpci operator if an emuert finer is rslalled wamn the !ark n shall be inspected and se,viuru as recessary Mound and Pressure Distribution System N. trees or shreds shouD be planted or the mound Par cgs may ce made atcurd tie mounds pe•nneler and lie nmund shall be seeded and mulcllee as necessary To p•evert erosoi arc to Dtevfde some p'utetl Or frcm'•osl penelratmr 7•a'hc to9,l tear to, vegetative rrainterancel on the rnoul s not recommended s ice sail compaction may i rde• aff atfor or lie fill lrative surface within rid mound and snow compaction in the writer will cromote frost Derevat on Co c w•eatner instaJabons fOctoner."briaryt dictate ma! the mound be heavy mu Chad as prdtectron from freezing In'Lerl qualrry into the mound system may not exceed 220 mgtl BOO, ' SC mgiL TSS and 30 nngit rCIS for septa lank er'uem o• 30 mgrs DOD, 3,0 rngrl TSS, 1D m.l FOG, and 10' clo7100 mL to, highly treated offluerl wfliefl n-w may rot exceed max mint des.gn How speotfed m the perm 1 for this rslarlalion The pressure Distribution system is provided weir a Hushrrg point at the end of each atonal, and it s recommended teat iii ate•al ce flushed of accumulated solids at least once every n8 months NJner• a pressure lest is pedo•rnea 11 mould oa compared to the ri rest weer tine system was installed to determine 0 orifice clogging has occuurc and if office cleaning is reaured to maintain equal dfstnbut cr vir trio dspersal cell Observation pipes with r the dispersal 0011 shall pe &coked lot efHuert pond rg Pond:r:y evels shat be reported 10 the owne• and any levels above 6 inches considered as an fmoendfng hydraulc'arlure requiring aoo,tfonal more frecuent monder,rg Contingency Plan If the septictark or any of its Components Become defective tine tank a component sna Ice repa rec a rep Sol to keep the system :r proper operating cdnoftion 11 The dosing tank, pump. pump controls. alarm or related w rig becomes defective tie defect we compoitil i shal to immadillery repairod or •eplaced with a component of the same o• equal performance If the mound component fails to accept wastewater o• begins to daciarge wastewater 10 the grdurd surface. t win l cc repaired w replaced in its' present location by increasing basal area it toe eakage Occurs or by removing Dr-log:canv clogged absorption and Dispense media, and related prong. and replacing sae components as deemed necessary to Sang the system rte proper operating cdrertrun See Page 5 of this plan for the name and telephore number of your local POINTS iogilatm and Serv cc Dow Do( Pretreatment Units Tie ii'ormahon and schedule of maranagement and mantenarce for pretreatment dev ces such as aerob c treatmerl urits or crsirfect:on unas are attached as separate daciments and ii cons aeren di at the overal rianagemert plan 'of !i s system. i Lil J LL W - - . LLJ Clti _ - - - s HARDINA SEPTIC SYSTEMS MFRS/CST 824825 ~k 77 i Y. r. r~ f- I I yHyaa F r~l r ~ r I i 100.0 / O 1 f r U. T VIr U FIAN Ij • i i elli I JI • ter t"O M Installation and Mainte nce Instructions "ta;iatr,,' O' fit the filter use unto tile otrtlet pipe going in the drain field f nsure a Is c ntered dumltlt under irw Y i access opening, tit outlet pipe is already in a fixed ptxtior., additional piper may need to be addcdl 'JJhik ltM : a•: ' Step 2 It utilizing the additional srnele side support and the two button suppeots necrded to rxWhit fmm 1AY n still dry fit to the outlet plot:, measure and ,it ]'sdx dole OO PVT pipe to the Ierlgtl+ n•.tbs that are pre-nWded into the case to the side wall and the inside floor of tank solvent weld Plne Into the nuos that are Pre-molded onto the case. Step 3 Solvent wield the case to the outlet pope uecrt the filler wrtndee mm Tile case pressing down on thr cartridge until it locks Into place at the botturn of ca5t•- Step a .t utilzing a vertical read switch lnsewt switch onto the hole pre -molded into the TOP of the httel pleb'. straight down until it locks into ptaccI- Maenlanance 1 i Remove the access lid OF the tank Note' To ensue' r+devrable '.uhds do not exit die tank and Ion;' n-, ataen field, the tank should trc pumped out until the fevci of efllur•ett n below the outlet level a dtillMCne 21 To Mllnuve the fitter cartridge from the filter rase. null up firmly, on the handle of the ra-ttlnR n from the case. (if Idiluing a vertuvl read swrtich, removal of swilch is optional) material K will 3; Using an ordinary garden nose, rinse the fitter cartridge ensuring all vrsible sepmBa at Place the fitter tarthdge back into the litter case pressing down or the cartridge until it locks into place. y; Place the access lid bacit onto the tank ensuring it n secure .Artie, NI<r Ius+ la.a•rtrr Irmo eo wur+ntr~mfnp d'teKt] dunllg rorrrul lbe: Iev the prr+°~ rl iitt nvw fjW lit warrarlts the fitter wit be flee d rtunolxtu'+rIZ ane ~;ems 1~ tt nn ~n l me vnprt oo M,n I~ the n~ px*tu awn the PrOdUC' tlMrarc tiller Will prwlar: a Ica dan.cotd dunew tiw vnt.tlalor• .r rNiMenarev e.o , torneee eo ll i wIdloU c.Wit t. aWO-a rrvwna a atiu tM ravcved order dais warranty. tnt{MOper rare or rnallutltzbn rewlonL hum prtlde10 not tw.iree +e~atd, oDer~ M rrwn " arttpeyty rtfl vole the Manarnt. l7fchrrK hmv asseeniel I'O +~>n.Il.unr h+ t+trn• • I~dl~.. r`Y^O'M ~r~ tnsn4~110n rx otl~t~e 1•Irmr "42 '24 i 1 A j (GPIIQ a;tr}MrlttM!I~fvlttika IL^` RECVv v- Li 54IN-ato il - a .lul 2ni r 3 Wscons n Deparmer o' Commerce OIL EVALUATION REPORT page 1 cf_ Cw s cn of Swety arc Bu icings "f I rnnlx CUUNT'IS ~rv~xmYA►CcFM~b _ O ~OMMUN r a :^:sFdm t ourty SI IROI \ A .i^cl• ccmclote site plan on Pape- rot less than 8 ':2 x ' 1 i'~" , r~- ~ 1~ ~ - - V ntl.de = nat l m.i to Vertical and nonzorlal rei pafW'~ r- Farm i U IG- I D41-110-DSP pe•cen: S:o Ce• scale Ord mensions ncrn arrow, and loc'`° oat \Q~ _ ~iea•e. sl road. Please print all i. ,3~FNVV Reweave y Dale Pe'f0e2 norrtl o- VD, Prcajdc a ay be sro rer,e:c a<+s W;acr la+. s obt:•; nn;j i~~ Z Properly Owner Props .0calor 11i Olt I I-N Gc.1. Lo! SI. 1:4 SI. •f4 S I') I -'1f N R ; 5 [ rol l 7ropely Cwner's Na/ ng Acdress .a a t cch a Si flame o• CSi 663 32111 H S I I _ 20-50111 01Y~„L! C!y - State GP Code Phore Na'ber - ly ~b• Ilage ~TOw•n Nearest Road-- BALDWIN lkI 54001 . 71- ? 0-9784 1111 G 'Jew Conslr.,ctior UseQ1~l Residential: V.rmce•orbeerooms Code car vac design !IOw rate '150_ Gi ~Repwicemen. '"1 Puck or commercial Cesc•be Parani material OUT VASH Flood P a r e.evauon i' applmable It Gereral comments RECOMMENDED SYSTEM MOUND and recommendai cns V BorngO ❑ Barg J a ar; G,oindsadacee.ev 94.92 8 Deli to l:m hi factor IK In _ Scl AO nulten Ra hori Depn Domiarr. Coc• Rea as Description Te,nre Smuciuge Cons stance Bourcary Rnnts _ GDD4f in 1A/Kel Cc-Sr Covi COnx Gr Sz Sr _ 'Efft1_. .'EfIN7 1 10YR3:3 sit. ]\ISISA \iFR 1'R 2\1 .6 li n - 7-18 10YR415 -C- SIL ?\1511K \II K N'A If. 6 TH 1 IR,q 1DYRgi C205YR6r2--- -SCL 2MSBK %IFK N:A 1 4 8 4 - 5YR4i5 2MMSBK 1FR K,yrA N:A 4 6 _ I4G SI. I acting AEI 95 42 16 0 p,t Grcurdsurface elev R Cecil 10 isratrg lacing So. , Irraor D~h Dominant Color, Redox Descn !ion Texture Shucture ('onsgslerceBountlary Rows _-GPCT, P V ( y n Nunsel Qu Sr Con! Color GI SL, Sh. 'Eft/1 'E1b2 1 1DYR3r3 G- SIL 2MSBK MFR G C1.041 2M 6 B 2 3-I6 10YR4i5 0 SIL 2MSBK MFR I N:A 6- 3 I6-i6 5YR4i6 C2D10YR6:1 S1 2MSBK MFR i NIA 4 .8 i I i ' OHIO Olb. l01;-80-0'0 page Property Over e( Pa,m DO rEd Baring kp,. surface elev 11 D"Al, le km leg factor _ SW App Caton Ra Haaon Caon DorxnarH (:de• Redox srr,pbon Texture Sfmclure Consistence ~ goals GPaft m W.insel Qu Sz Cort Color GSn*F.X, 'E~ 1 0 'CYR3~3 -0SIC J~1SBK htFR 2M B 1 8 E 2 7 It 1CV Ra;S G SIL 2MSBK MFR ---CVV 3 11-n.1 'CVR416 C235YR&3 SL 2MSBK MFR - ~-NSA N:A h 5 _ 4-'"Z4'5C =VR4:6 F2D5YR6i1 2MSBK MFR NA N+A 4 8 S(T 1 L 9orrrg N ❑ 9onrg M. 714 Grouncsur'acee.ev _M Depth .o 'im4ng faACr RzRz raon ~eptI, Gcmmanl .^.olor Redox Oescr~ mn Texture S ruaure I Consalerce Boundary Roots NI `I' 'n Munsel Ou. Sz Con: Cdo• Gr Sz. Sh. I __1-11H1 'i IIC2 -T- O Boring Boring # Ground surface elev Uepln to k atig lades _ r- n PI _ So ! Appllcafon Rf ( Hor¢or Depth Dommarl Color Redox Descrpl or `exture Structure Corsslence @ooreary Rools GPOn1 n,- _ hlursoll Ou. Sz Conl ..oror ! - Gt Sz St 'EIf#l 'CU; ~~~~~T~~~" -1- El AW M• - 1100 > 30 < 22C wq%- and TSS >30 < 15C •ntyt ff uent 02 _ BOO • 30 or„ ax TSS < 3C mg% ~oF 3 HARDINA SEPTIC SYSTEMS MPRS/CST 824825 i ~ o IJ I L F r; - c ~ T ~ ~a zr, i ~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE: AGREFMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer BRAD ORTON Mailing Address 663 220TH ST 13ALDWIN WI 54002 Property Address 2788 CTH G IN'Lirification rcyuircd Ir lannmg & Toning Departmcnl liar new construction.) ('ih' Slate GLENWOOD CITY 1 Parcel Identification Number (gam' LEGAL DESCRIPTION L_, F _3O N R_ 15 W- Town Of GLENWOOD Property location SE • SE ,Sec. _11: Subdivision Plat: I.ot 4 1 Cerfii~fied Survey Map Is 5010-CSMM 207100 1)005 VOlumc _ 16 2005 W~i't q;(fAc(c(? X010q, / (befi re 2007)Volume Pale I; Spec hou,c ye, m, lot line, identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION lmproper use and maintenance of yoin ,cpt,e y,ten, could result in it, prematnn• Iaihare to handle w,aste,. proper maintenance consists of punaputg,mf the septic tank every ahn•c years of sooner, it needed, by a licensed pumper. what you put ,at, the system can affect the function oithe septic tank as a treatment stage in the waste Ji,po,al system. Owner ntnntena nct: rnspwnibililtcs an specified tit §Coffvn. 83.53(1) acid in l hap(cr I' - ♦I. ( roix ounry Sanitary, ( lr.hn:ntcc. 7 he property owner agrees to submit to tit. Croix County Planning K /offing Department it certification form, signed by the owocr and by a master plumber. journeyman pitunber, n•,trieled plumber or a licensed pumper serifs ing that 1 I 1 the on-silo was(ewater disp,„aa sVStcnt is in proper operating condinn aint or (2) aller inspection an,] pumping t trm•ee„nn the septic tank is Ie,s than LI lull of sludge. I w•c, floc undersigned have rend the al%)%e reyuucntrnh and agree to maintain the private sewage, deposal system with the standards set lorth, herein, as set by the I apartment of (bnffnerce and the Department of Natural Resources, state of W iscunsin. Certification stating that your septic system has been maintained must he eontpleted and rclurned,, the tit. Croix County Planning & Zoning Dt-partment within 30 days of. the three year expiration dine. ltwe certiN that all statements on this loran are true to the best of ntw our ktm,ssledge. i we anvare the oaraerw of the property JcscnbrA alu>ec, by ci as warrens decd recorded in Register o( Deeds Olliee. Number or bedrooms 3 n - I(iNATIJRF: OF APPI.I('ANT(S) DA 11 •"Any uali,rmuniun that is numepresented may rr,uh in the m t1JT% Parma h,-ing rooked by lit; I'lauauug K Coning lkpartmc•nt e r i u _ ~Y . i . r (ti~ F . > j., ~~~~..._.._v - i ~ I:' I oI ~ . , ii ~ ~ , 0 r I!!. i I { ' \ _ ~ _ ~ r . , , - ~ • _ Wamnsin Deverbr,ent of Corrme•re SCNL. EVAWATION RFPORT Page ul Div says of Safely and Buddmgs ,n aGG:'ca T:o wT - r, _ Attech Complete site plan or ~ tpr, n,,, IU h r t l: c r r. r . - - .+1-•~'..:-- include. bull not hmdwf in very I and hnn la' ref-fo e (It., ' , a , , src a ! J peroent SloPe. Saale or dlnleni'U~ a nu'e anew and itwAt ,c l'. re I r.;a I S f . rr -:y l - Please print all information. Da'e r J Nnanel w!ormseon you ror de nar na•utpA fpr a•,ranaq o•,•Yne. P*•+r,ww • `M a _ _ f- PrIoperty 1.',- L !f. I t'~ R F < t, Prop" Owners Manmg Addres. ..q i.It• Noma pr CS1,,V t 1'7vr __'ri,..~J fjly / State p 1.?k• r'1.u,¢• "tu:rlar Ti4 i rrwn Nedf V RcaO / / J. New GOnSbIKLOn U`CRt'.wl••n( Mdr.b.+o't':d•:r.r n nr~••. _ 'L:H rate / T Parent rnsyertal ^ Gereral convents L and r,smrrvrwgagons S~ f_• e2 (~'ti''-e7C`~_ ; L' ~ / r t i J"yzZrNi21c ' / o%n isLfun /Irk Soong It Boraay ' i M Pit Grcunc surM.a.a}/ In - l So l At:plrator Rate Horiion Depth Domnarrt Color ReOos Descrnpbm -I 'r •'Ilrr 'r I.... ,fr a Boundary Roth GPD,ff' m Munses Ou. Sr. Gan colon J 'Effal 'Ef 2 / -~.Y'. y=' may-/ /Yl /~"tl ~ICr•~-- ✓ r~ I Bong a BOnN ,Pa Groucd salrtace eicy~~~/ _Iu 1.r,rrl t:, L. Sol p,lcat=Rafe HorQOn Depth Dornlnant Caor (icnoR 1,: nCV a, , . ST:rlurr _ ? &nm,lary Rr" GPDRf n. MunsHl O'. f:un: Se S't •ERaI 'Eff*2 17 _i i Prop" (Shoner Paw Of E y Donny f Baklp X ~ P;; Urnwa sw'.ra c / % v - ..:~xr. t. ~o v $yl Hpplrteliorl Rate /IcIm m Depth fkxn.nant Cc4W RP.-Sc. 0P 1mul m f nd.r" Roct, GPD1M In Mane i].~ nr, r-., _ - 9 I •E1M1 -EM92 -cr DOrlrl}I Boring p LJ Pii Ground swidwe.xv it GupM In bru!uq la[tC+ 'n- Soil iUtro RW Horizon Wpm Ikxnxlanl Cdnr F<mbK DescnVl :n Txvturx Ctn, t~.~ f:.x.c.sl.w;.r tluuiwary Ruins CiPDM' n Munxoi_"__ Du Sz Cunt Color _ Gr St Sn _ 'Eff4i 'E: 2 - - II I I S Boring N U Boring P'l Ground surfaW eev Spl I - Ra_1t Horizon Depth Dominant Cdar Recklx De'u Ptuort '.t,ut,,r. :'m,:,Im+ Ba'dwv Rnas GP" in _ Minsell Du. Si. G+m Gcw Gr Sz Sh i 'EMI 'EfW2 E'A+erlt 01 = B()lr, > 30 < M nxy'l and 'SS > K' r r ' =True'I ai = DO:I, 1 70 mqt ono TSS - 30 nl lL Soil Test Plot Pla Project Name Brad Orton Sh Bird Address 663 220th St. Baldwin Wi 54002 ATM #226900 Lot Subdiv on Date 11f7104 SE 114 SE 114S 'AT 330- N/R15 w Township Glenwood Boring Q Well Nl Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation 104.0' *HRpSarne as Benchmark Alternate Benchmark Top of 1/2" Pipe 97 7' Cty Rd c Please note' boring were done in a plowed field, that will be farmed in the future. [Ise benchmark Seine is 1„ = 40' and h.r.p. to find system area! unless otherwise noted 103' 101' B-3 B-1 40' 50' 60' 69% Slope J,K 13 M. 29xr 10' It.B.M. B_2 - 01 1~ 1320' Property Line Parcel 016-1043-80-050 oo`t00' ' PAGE 1 OF 1 All Parcel A: 1, K) 1~- ~s15A-1C C16 - IOWN UI- GLENWOOD Current X SI CRO,X COUNTY. IN13CONSIN Creation Date Historical Date Map p Sales Area Application 19 Permit 0 Permit Type a7 u•;2(x1s r.(1 c Tax Address: - - - Ownerls): U - Cymn1 Dwncf. C - :;meal Co-Owne, O - OR TON, LIRADI FY J A NIICHLLL L BRAIN FY J & MICHELE L ORTON 663 220TH ST IlAI DWIN W l 5/002 Districts: SC - SCf1001 Sp - Specs Properly Address(es): Type Dist 0 Description ' 2188 C I Y KD G S(: 2198 (AA NW000 (;ITY SI' 8170 '.10L'FI2 bVl1 : J'oN 10 -AR DItiT sil 1700 4%'TC Legal Description: Acres. 770 Plat: 5010.CSfd 20 51010 0111-0b StC 1y T3C RI!W^ I'I 51 St- (;S'N! 217 50IG I.UT Block/Condo Bldg: 1 C1 2? AC T(acks): SeC Tw-i Rnq 4(;-1!4 1601.4;, a0\ Notes: Parcel History Dale Doc, A Vol/Page Type *0d:) U200:) 8"uu9' 21114:11 : C 077411:2005 79!10+1 201501(1 '(NJ *W)27 2062 (195277 20101481 2007 SUMMARY hill p. Fair Market Value: Assessed with: Usk' Valoc Aa5e55n1e'1 valuatlonS: Last Changed: C9r01:[000 Description Class Acres Land Improve Total State Reason AGR.C... T.IRAI (A 4, 6UJ 1: 6(X NO AGRY,:._TJRAL ~ORLSI ('!A1 1 77) 1.200 C 1100 NO totals for 2007 General Properly 5 220 1.800 C 1.6nC. Woodland C 100 0 u Totals for 2006: General Property 5220 1.800 Woodland 0.300 U C Lottery Credit: Claim Count: 0 Certification Date: Batch p: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.110 0 90 C J0