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Home My WebLink About030-1085-50-200 Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Building Division Sanitary Permit No: INSPECTION REPORT 597499 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2994908 Permit Holder's Name: City Village Township Parcel Tax No: CHRIS MATELSKI TOWN OF SAINT JOSEPH 030-1085-50-200 CST BM Elev: Insp. BM Elev: BM gp~cri ion: Section/Town/Range/Map No: wlJ"IIU~I 30.30.19.31 OB-20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTU CAPACITY STATION BS HI FS ELEV. , Septic / ' l~ s~ q •p~ h Benchmark / ' JlO ` tJ IfJ, S , (J W F0111-; Dosing m l Ne p'.21 Alt. BM 0V CU DA T Bldg. Sewer Aa61tQa- 1\j/ At Inlet V, "1 Of 315 163,0 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom Septic 73 9q2 Dosing A462 Header/Man. f 01 !n Aeration Dist. Pipe 1,01 Holding --a - Bot. System V '7 1~ Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover • I 1. q 10(o GPM Model Number( 103.3 TDH Lift q Friction Los System Head ITI Ft Forcemain I LengtI~1 Dia if Dist. to well n( doe 1 SOIL ABSORPTION SYSTEM Y Du j*), t~ , BED/TRENCH Width 1^ Lengt~i_~0 No. QjTrencres~ PIT DIMENSIO No. Of Pits Inside Dia MiMe DIMENSIONS //~/d// I I 4L ACK SYSTEM TO P/L BLDG WELL LAKE/STREAM EACHING Manufacturer: SETB INFORMATION Afd CHAMBER OR 9 UNIT Model Numb T e f Sy m:12q I [V TZ4~111111` if R"_ DISTRIBUTION SYSTEM dl/+0 ,D Header/Manifold stribution x Hole Size x Hole VAir In~ht k JP: pe(s) ~ I V t f ~M Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only I m. ha Depth Over Depth Over xx Depth of xx Seeded/Sodded xx M Iched Bed/Trench Center 'Z it Bed/Trench Edges Topsoil ' J Yes No Yes o i 12I 201 c `f7`~ COMMENTS: (Include code discrepencies, persons present etc) Inspection #1: pt o~~ • ' • Qp(pu T , d Location: 366 VALLEY VIEW TRL ~t;wu Q ;ns~c ~t {1u1►~n f¢MOUeC~ ~P~nr►ietd(u SGra~~cr 1.) Alt BM Description 2.) Bldg sewer length = f f rilor IV ?(Or)• - amount of cover = A4101 Cove(dnAl! Plan revision Required? ❑ Yes VNo L"A ~Z Use other side for additional information. Date ICert. No. SBD-6710 (R.3/97) ~~-all+-7 3sy. County $EI Safe and BuilDivision I I Cry 1 18 Z 017 2 ~V. - hin n 7162 Sanitary Permit Nutnber to e ed in by Co.) 7-'162 UNrTY~~Lo 3CYMANCCFPVXE Sanitary.Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this fonn to the appropriate govemmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different mailing address the Department of Safety and Professional Servies. Personal information you provide may be used for secondary ) ores in accordance with the Priv Law, s. 15.04(1 m), Stats. ( L A lication Information - Please Print All Information or 00 L 11 Jv/, Property Owner' Name 9 Parcel # 77 /t,(: S- A/4 X, r Propert y Owner`s Mailing Address ' Property Location 1 3 Govt Lot Cit_ State ` Z Code Phone Number Section C -7 circle o IL T pe of Building (check all that apply) Lot # T N; R E of W 2 Family Dwelling - Number of Bedroo Subdivision Name B ❑ Public/Commercial -Describe Use _ ❑ City Of ❑ State Owmed -/Descxiibee ~Usf _ V-- CSM Number ~7f~ ❑ village of own of~ : y Z ~`'!V i Z 1 ~G~1F+ Z_ L/ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal t Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued/ Before Expiration Owner IV. T of POWTS S stetn/Com onent/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground - _de ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in_ of suitable soil ❑ Holding Tank ❑ Otber Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treat ent Area Information: Desi Flow (gpd) Design So l~pplication (gpdsf) Dispersal Area Re uu J , \ ( 4 (s~ Dispersal Area Proposed System Elevation r- L/ v -V VL Tank Info Capacity in Total # of Manufacttaer Gallons Gallons Units New Tanks Existing Tana `2 Septic or Holding Tank s~ e~ y U P Dosing Chamber VII. Responsibility Statemen I the undersigned, ass e r onsibility for installation of the POWTB shown on the attached plans. P1 ber's Name (Print) Plum e MP/MPRS Number Business Phone Z Z :?`ft,11 Plumber's Address ($treet, City; State, Zip / unty/De artment Use Onl _ Approved Permit Fee Date Is lied Issuing. Signature riven Reason enial 9~ Z y DL Condi prMINWinsons for Disapproval t, ter:k, Ern: Iftr anti ? tils~e be t fg ; f'~ i ti a:si cell must all ro' s 1 d t aw per ,gwagemen! Plan pro tided by plumber. AAA, !\A, / 2. "Atmfbw* rect, irist am-.senlist iwmntzir.Ed M per PK&wA la oode / zrdinamu. Attach to eompiete plans for the system and submit to tix ojo EPA unty only o paper not less than 8 lax 11 inches in size /CA !~4 V K~ G SBD-6398 (R. 11/11) / % arm exre. s Ll #tJ /k C.) 6W System PLOT PLAN Wvomino St East St. Paul Mn 55107 PROJECT Chris Mateleski ADDRESS 207 SW 1/4 NE 1/4s 30 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 104.0' DATE 9/22/17 BEDROOM 3 r CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE, DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE •5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION loo' Filter Lifetime Filter Val lev View Trai I Scale = 1/4" = 10' Wel I is to meet al I WDNR setbacks Tank is to be properly bedded and provided with 250' lockdown covers with Grading is to be done to divert approved warninglabels run-off away from system Huffcutt Combo Tank tAt75' ❑ tland setb ack ke _ P o 3 ~j Area 15' below system edroom is to remain House undisturbed B- 13% Slope ❑ 495' Property Line 100' 106' 104' 102' k ` /KRT1 F DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 fo l GREEN BAY WI 54304-5211 Contact Through Relay 3 I http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gutierrez, Secretary October 16, 2017 S:<. E CUST ID No. 226900 ATTN: PO WTS Inspector r ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/16/2019 Identification Numbers Transaction ID No. 3005149 SITE: Site ID No. 842868 Chris Mateleski Please refer to both identification numbers, Valley View Trail above, in all correspondence with the agency. Town of Saint Joseph St Croix County SW1/4, NE1/4, S30, T30N, R19W FOR: Description: At-Grade (Reviser] to 3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1727479 Revision; Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from the POWTS Dispersal area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by olling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Divert surface water from POWTS Area. SHAUN R BIRD Page 2 10/16/2017 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Any chances may result in pump resizing to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-grade must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(I)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(]). • 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. 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 $ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tini.vanderleest@-,visconsin.gov SHAUN R BIRD Page 2 10/16/2017 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to beset and verified per approved plan An-*,, chanties may result in pump resizinQ to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-grade must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an tiii~ . ,.:.S - i iivlui & uLU r,.,..iG .,iuivi ivuv...i.g :,.,i,..A-i1 .,~,.S ~i u aiiii - vvi~ vi uuu -u ~ 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • 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. 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/op eration. 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 $ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer ,Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim. vanderleest@wi sconsin. gov Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017- 715-246-4516 - Date:9/23/17 Owner:Chris Mateleski . Location:SE 1/4 NW1/4 S25 T30 N,R18 W Lot 58 136th ave Richmond Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Specifications Attachments: Soil Test Shaun Bird Signature License number 22690;0 SEP 2 5 20` Page 1 of 9 System PLOT PLAN RROJFCT Chris Mateleski ADDRESS 207 Wvomina St. East St. Paul Mn 55107 SW 1/4 NE 1/4S 30 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 104.0' DATE 9/22/17 BEDROOM 3 - CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none Ilk BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter Valley View Trail Scale = 1/4" = 10' Well is to meet all WDNR setbacks Tank is to be properly bedded and provided with 250' lockdown covers with Grading is to be done t divert approved warninglabels run-off away from syst m Huffcutt Combo Tank B-1 At 75' wetland setback stake Area 15' Pro 3 below system Bedroom is to remain House undisturbed B-3 139 Slope ❑ 495' Property Line B-2 100' 106' 104' 102' L) 7 At-grade System Sloping Site Cross Section and Plan View E 1 Dimension Feet 1 L•L•L L L L•L L L; L L L L; L L L L L L L L L•L•L L L L L•L•L•L L L L•L L L r r•r•rrr•r■r r r r•rL r r r•r r r r•r r r r•r r t•J•J r r r•r r r r•r r r r•r r r 1 r■r I, k J;•r•L•r•L•r•L•r•L•r.L•Lr•L■r•L•r•L•r•L•r•L■r•L••,L■r•L•r•L•r•b•rb•rL•r•L••rL•r•L.J•L•r•L•J•L•r•L•r•L•r•L•r•L•J•;•J•L•r•;•r•L•r•;.r•L•r•L •rL •rL •rL•r K L L •L•L•L•L■L•ti~•••,•ti„L~ti,;„•ti,,ti■;,,L•;,;,;••L.;.;.L.L.;.;.;■L.;.;.;■L•L•L■L•L•L•L L L B V r•r•,f•r•J•r•r•.f'•r•r•r•r•r•r•r■rrr•r•r•r•J•r•r•r•r•J'•r•r•J•J'•r•J•r•r•r•r•r•r•r•r r r L•L•L•bL•L•L■L•L•L•L•L•L•L•L•LK•L•L•L•L•L•L•L•L•L•L•L•L•;•L•LK•L•;•L•L•L•LK L L '.r•r•r•r•r•r•Ar•r•r•r•J•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•J•r•r•r•r•r•r•r•r•r•r r r ;1 .L.;••L•;,;,;,•.,•.•L•ti,•;•;•L,;,L,•.,;•;,L•L•L•L•L••.•L•L.L.L•L•;•L.L•L•L•L•L•L•L■L L L 1/6 B 1 r•r•r•r•r•J•r•r•r•r•r,r•r,r•r,r•r•r,r•J•J•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r+r•r•r•r J r• 1 1 L L•L•L•L■L,L,L,L,L,.•„L,L,ti■ti,L,,y~,;,;,;,;.;.L.;.;.;.;.;.;.;.L.L.;■L.L•L•L•L•L L L L W .r r•r•r•r•r•r•r,r,r•r•r•J•r•r•r•r•r,r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r r r• iJ A L L•L•L•;•,ti•L,;,L•;•L•L,L,;,L•;,L•L,;•;•;•;•L•L•;•;•;•;•;•;•L•;•;•L•L■L•L.L•L L L•L ' 1 ~.r r•r•r•r•rY•rY•r•J•r•r•r•r•r•r.r•r•J•J•r•r•r•J•J•r•1'•J.J•r•J'•r•r•r•r•r•r•r•r J J• L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L.YL•L•L•L•L•L•;•L•L•L•L•L•;•L•b;•L•L•L•L•L•L L L•L r r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r r•r• D 2.0 •L•L•L•L•L•L.L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•1•L•L•L•L•;•;•L•L•L•L•;•L•L•L L L•L '1 r•~,•J•r•1'•J•r•~,•r•r•r•r•r•r,,r.P,r,r,r•J•r•r•J'•r•,r•J•J•,r•,r•r•r•,r.J•r•r•r•r•r.r•J r J• 1 .;+;•;•L„L•L,,L,;,L,;•;,L,,L•;,L,L•;•;•L,L•L•;•L.L•;•L•L•;•L•;•;•L•L•;•L•L•L•L L L L ` r•r.r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r.r•r•r•r•r•r•r•r•r•r•r•r•r•r.r•r•r•r r r• E 5.0 1 L•L•L•L•L•L•L•L•L•L•L•L•L•L.L•L•L•L•L•L•L•L•L•L•L•;•;•;•;•L•;•;•L•L•L•L•L•L•L L L L 1 1 -r Ar•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r+r•J•r•r•r•r•J r r• L•L•,L,,L,••,L,,••;,,L„L,;,,L,L■;•;•;,;,;,;•L•L•L•L•L•L•L■L•;.L•L•L•;•;•;•L•;•L•L•L L L•L r+r•r•.r•r•r■r■r•r•r.r.r•r•r•r•r•J•r•r•r•r•r•r•r•r•r•r•1'•r•r•r•r•r•r•rY•J•r•r•r r J• L L '•L .:I F _ 0.5 1 L•L.L•L•L•L•;,; L,,L,;,;,;,;,;•;,;,;,;.;•;•;•;.L.L.;.L.L.;■L.L•;•L•L•L•L•L•L•L r•r•J•r•r•r•r•r•1'•~,r•r•r•r•r•r•r•r+r•r•r•~•r•r•r•r•r•J•r•r•r•r•r•r•r•rM•r•r•r r r• L•L•L•L•L•L•L• ;•bL•;•;•;•L•L•L•L•L•L LK•L•L•L•L•L•L•L•L•L•;• L•L•1L% L L•L (J 1.0 J•r•r•r•r•r•r• t•r■r•r•r•r•r•r.r.r•r•r•r•r•r•r•r•r•r•r•r•r.r•r• ~•r•r•rr r r• 1 L•L•L L L■L•L •L•L L L L; L L L L L;; L L L L L L L L L L L •LLL 1 L d E 1/6B i W ZZ, -may E -L- B L L % Slope; I Plowed rtia = Clean aggregate = 4 in, sch. 40 pvc 1 basal area rtirti 1/2 to 21/2 in. dia. _ observation pipe Lateral with 2" Topsoil Cap aggregate over pipe Observation Pipe Geotextile G With Cap Fabric r r•r•' r r:rLr.r Jf r11 rP Ft Lateral Invert L•ti•~•L•L•L• _ cJ r•r r r r•r•r• r~r~rIr~r~J~r•r:r• "•w} I~ i~' Topsoil Cap L•ti•L•ti•L L•L•L•L• ~.•L•L•ti•L•L•L•L•L•L•L ~•r•J•r•r•r•r•r•r•r 1'•J•r•r•r•r•J•r•r•r•r•r• ti L•L•bL•L•L•L N L•L•L•L•~ L•:•: r•r•r•r•r•r r•r•r., F r r•r.r.r.r rrr .r. r_.r_r r s rr _ : J!rtir•r•r•r•r•. -..r ~ •r Ft Contou' r L•L.L•L ;•;•L•L- . L•L•L•L• tij r•r•r•r•r•r•r•r•r• ' - _ L•L•L•L L•;•L•L•L•L•L• :r:r: r:r:r:r•r•rY•r•r•r•r •J •r•.r•.r 11 •r•r•r•r•~tirti; T~ D Plowed Surface C Slope Direction GENERAL INSTALLATION: The at-grade area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The basal area (L x W) is staked out and plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 1/4 inch soil wire when a sample is rolled between the palms of the hands.. The A x B area is covered by clean aggregate deposited overhead by a backhoe.. Special care must be used when placing the aggregate to minimize compaction of the plowed surface. After-the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative groh, limit erosion and protect from freezing. The observation pipes are perforated in the lower .64nches.and secured in place. 03/05 lgj Page of i Pressure Lateral Layout One Lateral - End Manifold .4 Threaded Cleanout Lateral Turn-up Plug Force Main X L Long Sweep 90 Bend Pressure System Construction Distribution Ne ork S ecifications Lateral Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 3 In. pipe. Orifices are drilled perpendicular to In the pipe with a sharp drill bit and face down. X Orifice S acin L ateral Length) Ft. Lateral turn-ups terminate with a threaded Force Main Diameter °Z In. cleanout plug and are enclosed in a 6-8 inch Ft. diameter lawn sprinkler valve box accessible Force Main Len ® from finished grade. • • • • • Grade 6-8 Inch Lawn Sprinkler Valve Box i oI 03/05 lgj Page Septic-Dose Tank Cross Section And Pump Performance Spm cations . Tank Manufacturer Pump Manufacturer el~ Tank Irhodel Number ~ U Pump Model Number . AI Total Tank Capacity Alarm facturer Max. Bury Depth Alarm Model Number G- Switch TypeP Filter Manufacturer Total Dynamic Head (TDH) - Feat Filter Model Number ` Elevation Head Distal Pressure 7 Network Loss Minimum Pump flerformance Required Force Main Loss C GPM. . 3 Ft TDH Total Outlet Manhole Ngin. 4" Above Grade With Manhole Min. 4" Above Grade Looking Dewce. Inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted Wei-proof • Junction Box. Fiished•Crrade -t 1 Vent Min. 12" Disconnect Above Grade Means With Vent Cap Qudet Filter y Inlet .i.._. Wet Baffle - a~.- - - switch Setgngs and Reserve Cali tY Tank Volume = 5 GPI Weep Dimension Hole ; Inches Volume Gal. B (reserve) A; ' Off Elevation C (alarm) g ~ 2 (dose) C : S Bottom (dead) D / D Elevation Ft Total 47,-) ii> > > ~ ♦ <><> < •`4'Y f s s >'f f I'>~>`a > . r i a r i ~ i. :'iii':': <'a' .'aa a.< ::.a. ,a'<aaaaa..a.<<<<<<s, es:,>::<'::i +':i':`': GENERAL INSTALLATION: The seOcddose tank is bedded and lack filled in accordance with the manufacttuer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and'oudet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical servi plies with NEC 300 and Comm 1628. 02/05 U Page_ o~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING ^ MODEL 152/153 1 MODEL 1 152 153 o: W = L~ 50 Feet Meters Got. Liters I Goo. , Liters 5 1.5 i 69 251 77 291 153 10 3.i 61 231 I 70 265 12 40 is 15 4.6 53 201 61 231 °a 20 -I 6.1 44 167 52 197 -Ile S 1r U 30 25 7.6 34 129 42 i 159 30 9.? I 23 87 I 33 125 8 0 20 40 12.2 ? 1 42 0 i Lock Voive: 138.0 Ft. (11.61-1)I44.0 Ft. , .4:n) 01450E 4 10 0 I -7- 1 0 2D 40 60 80 100 GALLONS 6 1/4 f LITERS 0 80 160 240 320 _ 3 27/32 1 4 5/8--4 -Tj --T FLOW PER MINUTE I I ~ 3 27,/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ ® 3 27/32 • Timed dosing panels available. I i • Electrical altemators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase I systems- • Double piggyback variable level float switches are available for variable I level long !and short cycle controls. • Sealed Uwik-Box available for outdoor installations. See FM1420. • Over 130°f=. (54°C.) special quotation required. 12 1/8 j 1511153 Series ! I Control Selection I I~ 5 t/8 15[!153 MODELS I Model III Volts-Ph Node Sim ex Ou lex I I N152 115 1 Non 8.5 1 2 or 3 SKM64 BN152 115 1 Auto 8.5 Included 2 or 3 [ E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or3 SELECTION GUIDE 8N153 115 1 Auto 10.5 Included 2 or 3 or double piggyback variable level float Ei63 230 1 Non 53 1 2 or 3 1. Single piggyback variable level float switch BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. p cAUT1oN 2. See FM0712 for correct model of Electrical Alternator E-Pak. All installation of contmis, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA} RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. hWL T0: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacturersof. . SHIP v 3649 Cane Run Road Louisville, KY 40211-1961 Qgl,,90MFB S,vice /9.79 ZD (5M 778.2731.1(600) 926-PUMP FAX (502) 774-3624 hitpl/wwwzoelter.com 0 Copyright 2000 Zoeller. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner C l e Septic Tank Capacity I O NA Permit # Septic Tank Manufacturer 0 NA XSIGN PARAMETERS Effluent Filter Manufacturer ~ - A 0 NA Number of Bedrooms O NA Effluent Filter Model 0 NA Number of Public Facility Units tim Pump Tank Capacity I 0 NA Estimated flow (average) 3072 gal/day Pump Tank Manufacturer 0 NA i Design flow (peak), (Estimated x 1.5) ~J allda Pump Manufacturer s C3 NA i _ Soil Application Rate J aUda /flZ Pump Model /`V ❑ NA i Standard Influent/Effluent Quality Monthly average" Pretreatment Unit Fats; Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L 0 NA ❑ Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg/L 13 Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA Biochemical Oxygen Demand (BODs) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mgfL -~P rade 0 Mound Fecal Coliform (geometric mean) 5104 cfu/100ml 0 Drip-Line 0 Other: iMaximum Effluent Particle Size Ya in dia. 0 NA Other. 0 NA Other. Other: 0 NA 'Values typical for domestic wastewater and septic tank effluent Other: 0 NA IAINTENANCE SCHEDULE Service Event Service Frequency (inspect condition of tank(s) At least once every: 13 month s(s} (Maximum 3 years); ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (Ya) of tank volume ❑ NA (inspect dispersal cell(s) At least once every: 4-month(s) (Maximum 3 years): ❑ NA Clew effluent filter At least once every: _ 4 month(s) / %1g-year(s) ❑ Inspect pump, pump controls & alarm At least once every: ❑ month s ears} ❑ NA f=lush laterals and pressure test At least once every. 0 month(s) ❑ NA ES4;aris) 7ther At least once every: ❑0 ~meonnh(s) NA (s) ItI ether. NA MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master (Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must linclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of Ioombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local hegulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (36) or more of the tank volume, the entire contents of j:he tank shall be removed by a Septage Servicing Operator and disposed of in acccrdance with chapter NR 113, Wisconsin Administrative Code. lql other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. 15, service report shall be provided to the local regulatory authority within 10 days of completion of any service event. 0+ y Page of START UP AND OPERATION painting products or other chemicals th0t For new construction, prior to use of the POWYS check treatment tank{s} for the presence of re detected may impede the treatment process and/or damage the dispersal cell(s). If highconcentrations are have the contents of thi; 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- is restored the excess wastewater will ble During power outages pump tanks may fill above normal highwater levels. When power or surface discharge of effluenlw result in the backup discharged to the dispersal cell(s) in one large dose, overloading the oll(s) and ma a Servicing operator prior restoring power to thle To avoid this situation have the contents of the pump tank removed by a Septag um controls to restore ww er levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the p P within the pump tank. the area within Do not drive or park vehicles over tanks and rt absorption area not drive or park over, or otherwise disturb or compact, 15 feet down slope of any mound o at-grade so performance and prolong the life of the POWT~: Reduction or elimination of the following from the wastewater stream may improve the p foundation dref<n antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; dtapers; disif~ aif painting Products; (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbictiies; meat scraps; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT shall betaken to insure that the system is propetlY When the POWTS fails and/or is permanently taken out of service the followwng;steps Wisconsin Administrative Code:. and safely abandoned in compliance with chapter Comm 83.33, • 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 filled with soil, gravel or another inert solid material. CONTINGENCY PLAN vide a erode compCtnt If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to pro replacement system: systei reuem. E3 A suitable replacement area has been evaluated and may be utilized for the location of a rePlacement soil ed absorption protect the replacementrarea will result in the neled The replacement area should be protected from structure, lot disturbance u and wells. dFailurecompaction setbacks from existing and proposed must comply with the rite;/ in for a new soil and site evaluation to establish a suitable replacement area. Replacement systems effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologic a holding tank may be installed as a last resort to replace the failed POIRVTS. soil and site oon The site has not been evaluated to ide t am. replacement available aOholding tank may be installed/ as o replacement area is failure ---must be performed to locate a suitable repacem a last resort to replace the failed POWTS. d and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative oun rface. Reconstructions of such systems must comply with the rules in effect at that time. A-J! <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Oe A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWYS INSTALLER 77a ----------------------~-Z 7-1~ 7477:~j Name Phone SEPTAGE SERVICING OPERATOR P PER LOCAL REGULATO AUTHOR Dame E912-9/j-' Phone / J 3 6 This document was dratted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. 1 , r• W a P h P ~ `s S i .o V P ~ <'15 LL. P in t) C6 l~ a i c c m o N N', h <C U' Q U C7 ul d' a f RECEIVED .-T . 3pOQEE AUG 3 0 2017 , . Vie Wisconsin Department of Commerce IL EVo ? . ~ Page of Division of Safety and Buildings ST• C~~9rnlCCOU ' ; N~ JSN Z ;OMMUN WR,~~ M ...8n. Code County J ~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 030 - ot - -?t~ Please print all information. Review by QDate Personal information you provide may be used for secondary purposes (Privacy Law• s. 15.04 (1) (m)). A- - Property Owner Property Location _ ~I X F t Govt. Lot l~ 1/4 1/ iA S T f N R E( } w Property Owners Mailing Address Lot # Block # Subd. Name City ~r StAte Zip C!! Phone Number ❑ Ciry ❑ Village Town Neares oad 1Z xr, r New Construction Use:Residential / Number of bedrooms Code derived design flow rate t 1 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flo°d Plain elevation if applicable ft. General comments and recommendations: f _ J06"f 94* System Type W~ System Elevation ! 1_~ c { ' Boring # Boring 7 l I I EL Pit Ground surface elev. ) ft. Depth to limiting factor Z in. 1 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 7ate-~1~ Boring # Boring Pit Ground surface elev. z6- 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 y Z- 7L) -Z ' Effluent #1 = BOD. > 30 < 220 nxVL and TSS >30 < 150 n3KII ' Effluent #2 = BOD. < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017 c 715-246-4516 I_ Property Owner _ Parcel ID # Page of 1 Boring # 1:1 Boring ~ 2 . p~ 1Tk 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 ❑ 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 F] Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor Pit in. ❑ Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD5 < 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 (R.6/00) Property Owner Parcel ID # Page of # ❑ Boring Pit Ground surface elev.10 ft Depth to BnbV factor in. Sol Ram Horizon Depth Dominant Color Redox Description Texture Structure Corwster= Boundary Roots GPM in. Munseell Qu. Sz. Cont. Color Gr. Sz. Sh.': 'Eff#1 *0102 2 f N J, ~l o > 13 Y~Z L .11, s i ~ tom-- In 1~ 3- 7 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Rate rHonzon Depth Dominant Color Redox Description Texture Structure ! Consistence Boundary Roots GPD ff in. Munselt Qu. Sz. Cont. Color Gr. Sz. Sh. 'EfWl 'Eff#2 Boring # Boring ❑ Pit Ground surface elev. _ ft. Depth to iinuting factor in. Sol Application Rate Horizon 'tepth Dominant Color Redox Description. Texture Structure Cor>sWtenoe Boundary Roots GPDJIf in. Munsel Qu. Sz. Cont. color Gr. Sz. Sh. 'Eft#1 'Eff#2 EtHuent #1 = BOD5 > 30 1220 mglL and TSS >30 < 150 mgA. ' ENiuent #2 = RODS 5 30 Trot and TSS < 30 mgfL 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. SBD4330 (s-6=) Soil Test Plot Plan Project Name Chris Mateleski Shau, ird Address 207 Wyoming St. East St. Paul Mn 55107 #226900 Lot 5 Subdivision Dat /22/17 SW 1/4 NE 1/4S 30 T 30 N/R19 W Township St. Joseph ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation 104.0' *HRpSame as Benchmark ~Vaaey View Trail Scale = 1/411 = 10' 250' B-1 ~M.* At 75' wetland setback stake B-3 13% Slope ❑ 495' Property Line B-2 100, 106' 104' 102' 1v -,Z o 17 County, 2~J Safety and Buildings Division ID 17 201 W. Shin on . P Box 71 f~_ Sanitary Permit Number (to be filled in by Co.) r ryD(C OUNT~( diso 707 2 l i V35VEPGJJTDJ4 :,o Sanitary Permit App1ICdLIUU Stare Transaction Number 4 In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 9194 L 0 9 is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing addr s) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1 m , Stats.~, L Application Information - Please Print All Information Property Owner's Name 1 Parcel # C rr c 1 30,-L% 19. 3)U g Property Owner's Mailing Address Property Location 0 -7 Govt Lot -a Crty State Zip Code Phone Number ✓ 1/~ yy Section > L J • ^ < r circle o / ) r Inj 1L~ N; R/ E W # H. Type of Building (check all that apply) 0, Lot Subdivision Name 1 or 2 Family Dwelling-Number of Bedrooms _ 105 Block # ❑ Public/Cornmercial-Describe Use 'Dz f-- ❑ City of n, I CSM ` um ❑ Village of ❑ State Owned~~- Describe Use O` V IVo 4) ( c~L ~ ~ V ~'p~ Yom"` own of III. Type of Permit: (Check only one box on line A. Complete line B if appl le) V _IC A. ILLSY't'm ❑ Replacement System ❑ Treahnent/Holding T acement Only ❑ Other Modification to Existing System (ex plain) B ♦ Ir List Previous Permit Number and Date issu ❑ Permit Renewal ❑ Permit Revision ❑ ge N of Plum ❑ Permit Transfer to New Before Expiration Owner IV. Type ofPOWTS System/Component/Device: 'XXheckJVJ&tll t t 1 y ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground e ❑ Mound > 24 in of suitable soil ❑ Mound < 24 in_ of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) q0[bff_ IFA V. Dispersal/Treatment Area Informs 'on: Design Flow (gpd) Design S it Apph on Rate(gpdsf) Dispersrall Arrea Required (sf) Dispersal Area Propose S System Elevation_ L4 L2 0 VL Tank Info Capacriy in 'rot i # of Manufacturer o _ Gallons Gallons Units J New Tanks Existing Tanta ~((y111~ c o' a m ~r Septic or Holding Tank i I Dosing Chamber i VII. Responsibility Statem L the undersigne ss me responsibility for installation of the PO'R'TS shown on the attached plans !7 s Name (Print) Pl s Signature NIP/MPjRS Cr NumbBusiness Phone N4br 1 1 ell? -7 /j ..Ct~_ t / r Cyr L' J ` L Plumber's Address (Street, City: State, Zip C Z__ UL ;J VIII. County/De artment Use Only _ Permit Fee T -Date Issued Issuing Ag ignan- Xpproved ❑ Disapprove rven Reason curial 4/ ~/V ` I DL Conditions of Approval/Reasons for Disapproval 2 SYSTEM OWNER: \ ~d u PCxy,At~ 1 R 75' OkKe ...y/ 1. Septic tank, effluent filter and > Ct~ E 1'O 4 dispersal cell must be serviced. /maintained as per management plan provided by plumpbAerr..-- L2. Ali setback I equi! el Rfagg. , - e stem and submit to the Cwrnry only oei paper not tens dray 8 rrz ill inches in size IH p3y , as per applicable code/ordinances. SBD-6398 (R. 11/11) I i I li I - IIII ~~'~I,~jl'~~~ Z IIII ~~I ~I ~I ~1~1~11~~llll I I' i l I ~ ~ I I ~ I I 'I I I I I ~~°O ~III~ ~I~III~IIIII'~If I ! ~ I I I II"I ~ I~I'I, t ICI III I. II ~I I I II I I I I I'' I I ~ IIII IIII! I ~ 'III I; I ;III I I I~'I ' - ~ III ~dI '.',II I ~ I iII 'i.l ,I II iI III I I'I ~ li ~ III 111 I I ' I ICI II I I L I, I I L, V I I I b I,, II i'I~. I I, I i I I Ili~l i I i I rl, IIII I I -1 III ,~I,., I. ~i ZI... ---1, ~ ,I~III~~ my II I I,I, I I I I I: I~ I I I ~I I ~,-I I L 1 I ~ I l Iii~l ~ ~ I ( I II I II ~ IIII I ~i III li II o IIII I I~ I I I II III ~I, I~' r I I I I O®''~ ~-ill IIII~I ~il,lll II' ~j T l l`~ 'TT'~ I IIII II I I I I ,I ~ ~ ~II~ ~ < 11 ~ l p111~i!IIII~ IIIIIIIII,LilI11llil IIII II ~II~~,I IIIII,„ ~ ~I I ~ ~ , ~I~I I'I I III ~_-1 illllll!I~~II,dl,lll I~~,IIII .I ~~~l jj1 1 - ILL I III~II I I I ~ ~ I I II II II IIII ~ I~I ~~I I I'l ii ~ ~l I Ii ~ ~11 I I' I~ *';Ir I ~ l l'I~ I ~II' ll1 i ~ ~ I ~ I '1" I I I I II ail ;full ~ ~I ~I ~ ~'I I III I illl ~ ~II~I l_~ LI1 I - I~ I I I I I f I ~~I ~ I~~ ~ ~ I ~I I ! I C I ~~I~I r III Ihi' ~ IIII~~II I I I I'II,,~ III L~j 'III Ull 11, ~~III I I; ~ i l l I III I~ I I I ( I I'. ~ I I I I'~i III ~ ~i ~ I IIII I IIII I IIII{ I II I II I Il II I II i I I ;Ii I ~ I', I II~'~,III',I ~I'~I I I~I I ~ I~ I ~ l (~~~~~III IIII IIII ~ I i li I ~ I ,I I ® 'I ~ ~ilJ~ll II IiIIII~ I 111'1111 III s ~ i ~I I ~ II'i~ I ICI VIII ~ II II I IIII II i it I,II IIII '10 IL-fl I~ IIII it I~ I i~ ~ I I ~ I ~LI~~~ I I~ ~ ~ ~I ,IIII ~ I 'llllll~il ~I III ~ I I I I I I I I i' l n ll~ 111' q !,:,Ifd, I I; 1 1 1 1 1 1 '.I,'i I I ~r,ll1 .I I I L III llll~ll~ ~ I I , I V I I I - 11 , ll'ill~ mt p p p S ~ t F WOKENE88 CONeTRUGTION A P P (I f~ o €~i;Rg ~i11 ~jj 1{11i,='111Pj GI-{RIS MATELSKI RESIDENCE I 3 ~s u dE~i3 C ~p5 i~o ~~l ll 9a NUD80N, WI ~ \II 43'4' '-0' •-0' D'-0" 144 ~"~%1 - - l , ~t 5 ~ t.! P { a$ lilt, d77 i1i aid tli - o .zz gF 8 E.y 4 I e i ~FE E m R b 6 ii@'( 6 ,r ii yy pp yy 7 SI NOKENEBfS GONBiRI10ilON P A A ~1 g9 b' ~a ~ . SC~{R6 ~b~l ~~ii~iiit~~l{d i e ~ f i r 9 i P ! d Ig d;7 CHRIS MATELSKI RESIDENCE 43'4 14'o• m 6 r s~ ` _ 4 b---- - - - - - d i a i k 4 s 2~'e~ Q fall p ~h • g c - 6~ ~ S b 4 ~ ~ E Y ~ 91 q. b j 4F 3 f 9.4• T4• ~ p.4. ~ p.o„ 3.4., 33,4, D,4• 41'0' is Sp ~s z HOKENE08 GONBTRIIGTION S e~ I~~~ gAdo6q~°6~g¢:~a1° 0 s R CHRIS MATELSKI RESIDENCE 8 s of "mWN. wi g II t pql F.°i~il~~ssY eF I ~~l I I . N d ~ ~ I z D Xl m a" Ili I I I Ne^ • ' I ~ '~ps~ ~ ~+~1 ill Q°~g 6E m 4 O - - I 1 FFg ~i9 €i - ~ a 3 ~ 3 ,v I R - ~ O 11; Y115, - - i ~ :J M1 F fB TTT i - ~ e I it HOKEtJE88 GONe?RI1GilON p Y ~ aria di= di i ~ ~ p 9 R ~ ('Jr CHRIS MATELSKI RESIDENCE s ' a $ i sF ST. CROIX COUNTY SEPTIC TANK MAINTENANCE riGREEMENT AND OWNERSHIP CERTIFICATION FORM Own Buyer e. /P Mail ling Address Ct~/ t 1~? Property Address (Verification required from Planning & Zoning Department for new constriction.) City/ State Parcel Identification Nuraber LEGAL DESCRIPTION Prop rty Locationj_Q Sec. Q , T-"5 R# W, Town of-"' Sub vision Lot # C r Certified Stirvey Map # Volume 1 , Page # ~ ,4~ War arty Deed Vo[tune , Page # Spec house yes no Lot line;: identifiable ( Dyes no SYS EM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its pr ,mature failure to handle wastes. Proper main ance consists of pumping out the septic tank every three years or sooner, ii needed, by a licensed pumper. What you put into the sy tern can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance respo ibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zon. ng 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 waste ter disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less n 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained trust be completed and returned to the St. Croix County Planning & Zoning Department within 30 days ofthe three year expiration date. 1/we certify that all statements on this form are true to the best of my/our k nowledge. I/we andare the owner(s) of the prope described above, by virtue of a warra deed recorded in Register of Deeias Office. NUm er of bedrooms 4T GNA ' PLI ANT(S) DATE ***An information that is misrepresented may result in the sanitary permit being rivoked by the Planning & Zoning Department. Includ with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if refere a is made in the warranty deed. (REV. 08/05) ~o pax7`~rsN~ DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 D GREEN BAY WI 54304-5211 3~ f S Contact Through Relay http://dsps.wi.gov/programs/industry-services ~www.wisconsin.gov ssror Scott Walker, Governor Laura Guti6rrez, Secretary September 18, 2017 PROVE CUST ID No. 226900 ATTN: POWTS Inspector = ~A?FE1 ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/18/2019 Identification Numbers Transaction ID No. 2994908 SITE: Site ID No. 842868 Chris Mateleski Please refer to both identification numbers, Valley View Trail above, in all correspondence with the agency. Town of Saint Joseph St Croix County SWI/4, NE1/4, S30, T30N, R19W FOR: Description: At-Grade (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1727479 Maintenance required; 600 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rlling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries.