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HomeMy WebLinkAbout026-1153-01-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 600261 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)] Permit Holder's Name: L City village Township Parcel Tax No: NICHOLAS & MARIA HALL TOWN OF RICHMOND 026-1153-01-000 CST BM Elev: Insp. BM Elev: BM Description: I I Section/Town/Range/Map No: __ZAZZ+ 5 ( 19.30.18.1139 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER S CAPACITY STATION BS HI FS ELEV. i Septic Zit. ? Benchmark 0, 7,3 X250 ~ I 1' ~ L Alt. BM 2.2 7 G 1 ~ 3 Aeration Bldg. Sewer 14 Holding St/Ht Inlet 7'. q ~St/Ht Outlet i 7 TANK SETBACK INFORMATION S (0 TANK TO P/L WELL BLDG. en to Air Intake ROAD Dt Inlet Septic Dt Bottom 2 3 V/"f" 7 Dosing Header/Man. Aeration Dist. Pipe 112.0 16''S 77 • dot -16.6 3 Holding Bot. System 7(0. 0rip 3 _ D Final Grade PUMP/SIPHON INFORMATION .Lj Q¢. -/'6 gd" s Manufacturer GPM Demand St Cover! z,ZS T-5.3 Model Number 49U . TDH Lift Friction Loss ead Ft s QQ ` 3 Forcemain Length JDDist. to Well C q, b SOIL ABSORPTION SYSTEM PIT DIMENSIONS No. Of Pits Inside Dia. Liquid De BED/TRENCH Width Length / No. Of _TZ 4_renches' I , DIMENSIONS 90 2 4____ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacture INFORMATION CHAMBER OR ~H Type Of System: 43 14 UNIT M& Nutmb~r: c1 (X~ C7V- A 0 1/4 ~o 41k, DISTRIBUTION SYSTEM Z 4 4'Z Z= it 'us Header/Manifol/ Distribution Te Size re Spacing Veenntt to A Intake Pipe(s) L _ Dia 1-ength Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of Seeded/Sodded Mulched Bed/Trench Center Bed/Trench Edges Topsoil T Yes 1xX s 1` No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1491 94TH ST 1.) Alt BM Description = / 2.) Bldg sewer length = M e n - amount of cover = Ay 1 R 044 C'dL ~q,1'ea ~ ~J: Plan revision Required? ❑ Yes Vo /.L / (1 j cJ j II V I Use other side for additional information. Date Insepct s Sign a Cert. No. SBD-6710 (R.3197) reara 4117111 1Q, 91, V A County C, Safety and Buiidings Division J e 2 G t~26n 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) = :t Madison, WI 53707-7162 n - (Poo vOs+oxsti' State Transaction Number ~RCI ary Permit Application accordance with . 1(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit equ ling address) i ired ptie(ttaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mai Departmed of Safety and Professional Servies. Personal information you provide may be used for secondary oses in accordance with the Privacy Law, s. 15.04(1) m , Stats. I Application Information - Please Print All Information Parcel # P perty Owner's Name Property Owner's Mailing Address Property Location /09 Govt. Lot_ City, State Zip Coodde Phone Number )n 1 y,, '/a, Section O I ( ucle one) C I ~L6 ~C t T N; REord R. Type of Building (check all that apply) Lot # Subdivision Name 1 or 2 Family Dwelling -Number of Bedrooms q C-AJ Vi,TW bk ~ `yam. Block J C~ ❑ Public/Commercial - Describe Use 1 wr`°" ❑ City of CSM Number El Village of _/D ^ ❑ State Owned - Describe Use Town of ~r N bjln,. (Ail s III. Type of Permit: (Check only ode box online A. Complete line B if applicable) 0_Q ?e A New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B • ❑ Permit Renewal Q. Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New 14 Before Expiration Owner ot '0. W. Type of POWTS System/Component/Device: Check all that apply) Non-Pressurized In-Grour. d ❑ Pressurized In 11 At-Grade 11 Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) _ V. Dis ersal/T reat nt Area Information: Desi Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation too a -7 X77 VI. Tank Info Capacity in Total 4 of Manufacturer Gallons Gallons Units ctl U rY/~ New Tanks Existing Tanks o n ° 0 p„ U v~ h u: C7~ Septic or Holding Tank PZ00 I Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature M°PP/ 1`Illmber ~B;;Phone~ ess Numb~ ~ G Z1, 7 / _ lel,~ Plumber's kddr s (Street, City, State, Zip Code) LL VI oun epartment Use Only Permit Fee Dat Issue Issuin ent Signature Approved ❑ O riven Reason for vial $ / 1 ~ . 4' /11 7 3 IX. ConditjpftA0XgW f Weasons for Disapprtival ~t '_lln& L :Sept tank, E flt a: lilte a n•i 3~ o►.Cec~ se ulspei, S!i cell must all be 'nt.. -ec as' per nnar Bement plan p ojiaerl by plumber. A-- 2. A#'l fitc,„eenm tnu*tue mal~ irE S ~V I as por q**4" cadt / tiXdirwncwk. '0 . le Attach to complete plans for the system and submit to the county only on per not less'than 8 1/2 z 11 inches in size SBD-6398 (R 11/11) a s 6L V 1 L ~ ~ I 7or f Z4q A D r i 4 f ' 1 J - t-- 14 y . CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: J zK4 C L Owner's Address: L~-~2 e:-h- C L 19 G t r ;Y'/ 5 -4-7 A/ _5_~M j~ Legal Description: /y 1 J (~f f5-- C 9' jd Township: f'[r&JI/Z, A'Q County: s~ C Jze) 1 x Subdivision Name: L CAI Vllz- Lll~ Lot Number: / Parcel ID Number: //5' aJ' -fie96 Page 1 Index and title tQta-r~ G Page 2 Plot Plan Page 3 System Sizing & Cross-Section 1 ( StfG Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: License Number: ~eZ Z zI,, Kj%7 Date: Phone Number Signature 04 Z4 /L Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 i 3 ' III Y icy v'R I y 1 2.~,GIta~ k ti J{ /s t p gyy _r"` f I a I I I t c ry i tt _.1 bt 9 k ~ ~ 5-+'2~C-r', ~J ~ ~ _2~ e._.=~.~ o,~.a . E!✓2' ~'y~r 7 0' L.c-:fCD r w;14. S -r-:gz~5 2;,g / a 1Lo GX17 j - or 2- Family Dwelling In-ground Soil Absorption System (2-cell Conventional) Daily Wastewater Flow (DWF) _ _ # of bedrooms x 150 gal/day/bedroom gal/day Design Loading Rate (DLR) or Soil Application Rate = gpd/ft2 (per SPS Table 383.44-1, 2, or 3) J Required Distribution cell area = DWF _ gal/day : DLR gpd/ft2 ft2 g56 _1_11 ft2 Z ft2/ unit EISA = T Chambers # Chambers = Required Distribution cell area Chamber Manufacturer and Model: I N rzz,-+I-v4z- aau c Actual Distribution cell area =Required cell area ft 2 + .O''Z ft2/ unit EISA End Cap Pair= F mAt 2 Cross-Section In-ground Soil Absorption system (2-cell): 4" Schedule 40 PVC -vent pipe with vent cap 12 inches minimum 12 inches minimum ~Z, (0 T inches Soil Cover Trench 1 Sys- tem Elevation inch Chamber Height 7 ,7 ft _7L _ft Trench 2 System I, Imo- Elevation ft ft Trench Separation Leaching Chamber Width z ft to limiting factor Plan View In-ground Soil Absorption System (2-cell): Trench 1 ft IIIIIIIIIIII Hill]] 11 Modify header/ design as ft Leaching Chambers needed. Trench 2 4 inch Header Sch. Li' '~t! ft with end camps 9 L Gr~~ Draw O for a Vent and for Observation Pipe above. They will be located ft from the end of the cell. Vent pipes shall be Schedule 40 PVC and extend at least 12 inches above finished grade. Observation pipes that extend above finished grade must also be 4 inch Schedule 40 PVC. 2- c + s a O ~ C C 13 L Of ~l t* c CD ma crn~ m ~€a m m~ vA Ent H L LL m C, C Y 'O kz l ril,~ o~=t°~ o E m m ~a~ ~~ns t;; v~- E sg mc°m re 6 E E m L C. m m N L C N b m ° X` C r~O V OC CO _ a c 9 rc m m m.. O Y O p c 9. m c 6 C m'g1tU L°~c o°O mcm p Lr /Q8 ` 5 0 9 m m C N N t W` E~ ~~Om~N~ `°mmmO J pe (p E let 0 I d y F a 1 m m O Y E m a IL D o- E M fl m ~x m `o t A2 p..8 m o y'& o.-A m c rL m m m'9 lL l] U m •L ly. N V, mC tsr ~ , J -fit 4 Y ~ ~ $ « 444 X~` ~ + 0 ~ 13 t d E R 6 c u {!kk~' °yx t d ~yal a c`r O E ix -0 LL ~7 4 L/ ~I ter N~ JYW~i~mitl`Y M r ~ r ~ ® SG } i R! 1~C! ~ v a` ~ d t~~ ~ 2 m o m 9 L ryYY 1 ~ ~ ~ ~ LL C , el ~ y§ i r a C,S. ~ Y"y a o r err t~~ -s+d Pr' W'~~ 7 P"~ rx~ o t a srrY~ ~ n~ ~ A, <t s k~u rr g ~ `p~ k h :z ~e F y~ a r 4Xa k+ }fit' l~tr i9~ ~1* + l ~ ~JJ~T~ xv Nd & ~ n `rsk~~1f2.a.i" k ~ko11•aG,, I POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner L ©Z, u Septic Tank Capacity i zd al ❑ NA Permit # Septic Tank Manufacturer W IC-,< CR ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units f>jf NA Pump Tank Capacity 000 al ❑ NA Estimated flow (average) gal/day Pump Tank Manufacturer Lo (2 ❑ NA Design flow (peak), (Estimated x 1.5) (o oO gal/day Pump Manufacturer 0 U L D ❑ NA Soil Application Rate al/da /fts Pump Model P ❑ NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter CI Peat Filter Biochemical Oxygen Demand (BODa) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD6) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Ya in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other. ❑ NA i MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) Maximum 3 years) ❑ NA Gil ear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA ❑ month(s) (Maximum 3 years) ❑ NA At least once every: ® year(s) Inspect dispersal cell(s) Clean effluent filter At least once every: ® month(s) ❑ NA F very: 3 e n 1(s) ❑ NA Inspect pump, pump controls & alarm At least once every:` Flush lateral$ and pressure test At least once every: ❑ month(s) El NA IZI. ear(s) Other: At least once every ❑ month(s) ❑ NA ❑ ear(s) Other: ❑ 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 include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal 011(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 regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing-of effluent filters, mechanical or pressurized components,, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical: that may impede the treatment process and/or damage the dispersal cell(s), If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent; To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells, Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of,any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; `~',foundatlon drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products,. pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall tie taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed., 0 The contents of all tanks and pits shall be removed and properly 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 If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement. area has been evaluated and may be utilized for the location of a replacement soil absorption system, The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. -Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ . Mound and at-grade soil absorption systems may be recbnstructed In place following removal of the biomat at: the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS _ POWTS INSTALLER POWTS MAINTAINER Name n p IZ G L S/O1V E Name Phone -7 1 S- 7 7 3 7 !f' Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUT RITY Name 3-014 vro~,J 5',6},vi ~i} fro Name ~F ,11tA y?Oej S-~COtdlX -7Zp i Phone '715--77.3-5-51( Phone This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX s20UNTY 'TANK &Uf WTENAINCE AGREEMENT AND U7 U\`JNERSHIP CERTIFICATION FORM A'~ i A \,'.,iti m.' ddress Ki LS =12• 1 _ t1_ 7 - 1-Opert~~1~1Cje11.e t 1 1 S C9 Verification required from Planning & Zoning Department for new construction.) City/State ~ ft'~~=►_ , _t Parcel Iderrtificatiotz Number n- I I S ✓C " C'~f C_ I,VGAL DESCRIPTION P t-operty Location ~ Y4 Sec. - T T-` - OF - ' V, tn~ - S j_tbdivision P1at: _ G1_L_N 4' , t l.ts - - , Lot T' Certified Surrey Map # Volume , Page tom' (before 2007}Volume Page gar n -anti, Deed # Spec house ❑ yesxno Lot Lines identifiable Yyes ` no S `r' S' f `1+; iii .MAINTENANCE AND ON"ER CERTIFICATION Improper use and maintenance of your septic system could result in its prenianure, failure to handie wastes. Proper rr:aimenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you prit 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. 353.52(1) and in Chapter 12 - St.. Croix County Sanitary Ordinance. f lie property owner agrees to submit to St. Croix County Planning Zoning Department a ee; tification form, signed by thr2 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) a; ter inspection and pumping (if necessary), the septic tank is leis than 1/3 full of sludge- I/we, the undersigned have. read the alcove requirements and a u ee to maintain tale private sewage disposal svsfcnn with the standards set forth, herein, as set by the Department of Safety A1d Professional Services and the Department of Natural Resources, St_ute of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on th•s form are true %o the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a wa anfv deed recorded in Rc-gistta- of Deeds Office. i` umber of bedrooms i- ~IC11 A`h JOE OF APPLICANT(S) DAT1, An>' information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department rP' reds r~u€ l,~Cil,de with this application a ree07;ijrd flit' (Z? "'•s"'r," C l r t 7ti(' 9 '01)v W'tilC' ~'flf]e0 ,11 V°',~ ~ =1~.~ II reference is made- rn the wacrani-y decd. I ~ UNPLATTED LANDS 2759.91' NOR' -------------_1591.33' w N 88'49'54" E 473.67 _ _ FSOCEC. I p_C I w rn 545.45' S88'05'26"W---------------------- I 03' 229.39 z 33'i 33' o - -1„ pRAlAlA6€ - p 0 -o !(A i1w EASEM NT / I 0o ({)od F 1~ EM4 ~ e_ o LOT 1 N88.22'S9'E - I p O4 p o I v_ _;jo , N $ ' I U Iygt . _--'_1O N N 0 ! 5 0) Z CSM I I DRAINAGE \ m --i : H.W.L. 921.50 ro = u I EASEMENT \ a m o - j i~ -7 VOL. 10 I m I N88'22'59'E s~8\\ I 1O O 1 N PAGE 2783 13,3' 33' 'I (n I 66' I 1 1 I CA c^\ -yp o ~ 1 ~ 1 N 1 ~ I 7, \N. 1 1 I 84,589 S.F. O (N89-0152 E 47168) \ \ 1 1 85,897 S.F. 1 (1.94 ACRES) N88'49'39"E 473.65' 33.0 L.B.O. EL. = 930.00 I z (1.97 ACRES) 1 1 I 1 -0 88.83' 351.81' g L.B.O. EL = 934.00 ~N 11~ 1 [948.79'] 440.64' w d 1 H.~LL. -1192.80 11 I 1 a~O a I f rf~1_' fl5:r 1 \ 33 \ ry6 to I N82411''\3 113 © \ \ 88,027 S.F. 1 N82'47 33"E 100.00 ` , \ t' (2.02 ACRES) I 9 \ a 291.64' z 0 ' _ 546.58 d JOINT I EASEME T _ I / N83'0T22"E I ° N .1 S7?'Sg, O \ ' I - O I 3 5.,,>< E o 1 6 "'7 91,513 S.F. j N m I •t0 79,056 S.F. \ 1 / ON (2.10 ACRES) i I L.B.OI EL. ACRES) 923.00 SS(9 L.B.O. EL. = 927.00 N 7B~ 12. y/ I'~ I 9~0~. 9g. Fo/ i o I N 1 ~ - I m ~ o I • y 4 / 586'34'47"E j I ~ o f • Gc 6nj1 to 58.48' / 187.19' 406.08' U C) I 91,764 S.F. I 180.41• iazsQ@ ti ro v (2.11 -ACRES) [946. s] j \ LB.O. EL. 927.00 OMw 1 u 8,/. \NIP 4 5 DRAINAGE I 10D EASEMENT 1 w I 96,668 S. F. ZH.. W.L. 9248 0 (2.22 ACRES) DRAINAGE L.B.O. EL 923.00 E 543.43' I 1 EASEMENT / 71.82' o .oo I 90.e2' 80.79 33' 33' r- N/ 390.82' _ A I ,4i 3 51 s. 1$_ t0 86' 1 g30 4d 2~, 19 6ob~ j O 0 I ~ ~ / q 4"I • ~y, f~ ~ I 00 t / 16 ro 6~1 ~`\\~~01 /~u I ~ I I 71,264 S.F. 2 - 1 -7 ~ - ne3fc ~tw~r e 1wkYtN~`x~~„i~`wti2~' e Quick 4 plus Standard Chamber Side and End Views 48" (EFFECTIVE LENGTH) 12" ti F~ ii lus Ali-in,-(one 12 Encap Front, Side and End Views x 11.2" 13" T 8" INS ERT 8" INVERT 5.3" INVERT 33"-- ~i pILI All-in-One Periscope r t QUICK4 PLUS E~ ALL-IN-ONE PERISCOPE--\ (360'SWIVEL ) 12.7" INVERT QUICK4 PLUS 1 ALL-IN-ONE 12 511 L ENDCAP - L Quick4 Plus Standard Chamber Specifications Size (W x L x H) 34" x 53" x 12" (86 cm x 135 cm x 31 cm) Invert Height 0.6", 5.3", 8.0", 12,7" ,5 cm, 8.4 cm, 18,5 cm, 22.6 cm) Y (1Effective Length 48" (122 cm) INFILTRATOR SYSTEMS, INC. STANDARD LIMITED WARRANTY (a) The structural integrity of each chamber, end plate, wedge and other accessory manufactured by Infiltrator "Units"), when installed and operated in a leachfield of an onsite septic system in accordance with Infiltrator's instructions, is warranted to the original purchaser ("Holder") e. against defective materials and workmanship for one year from the date that':he septic permit is issued for the septic system containing the Units; provided. however, that if a septic permit is not required by applicable law, the warranty period will begin upon the date that installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator in writing at its Corporate Headquarters in Old Saybrook, Connecticut within fifteen (15) days of the alleged defect. Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. r (b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS, INCLJDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (c) This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty k INFILTRATOR does not extend to incidental, consequential, special of indirect damages. Infiltrator shall not be liable for penalties or liquidated damages, including loss of production and profits, labor and materials overhead costs, or other losses or expenses incurred by the Holder or any third party. 5 t' i ; rr 1 s f c . Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse V or neglect of the Units, the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions; failure to maintain the minimum ground covers set forth in the installation instructions; the placement of improper materials into the system containing 6 Business Park Road • P.O. Box 758 (I ne Units: failure of the Units or the septic system due to improper siting or improper sizing, excessive water usage, improper grease disposal, or improper operation; or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to comply with all of the Old Saybrook, CT 06475 terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder, the Units, or any 860.577.7000 • FAX 860.577.7001 third party resulting from installation or shipment, or from any product liability claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance with all site conditions required by state and local codes; all other applicable laws; and Infiltrator's 3 installation instructions. r' 800.221.4436 (d) No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the www.infiltratorsystems.com x original Holder. A' The above represents the Standard Limited Warranty offered by Infiltrator. A limited number of states and counties have different warranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook, Connecticut, prior to such purchase, r' ro obtain a copy of the applicable warranty, and should carefully read that warranty prior to the purchase of Units. (i ;zmE ee$n:H ~~+,i 7t;"M 'r i J 'tk'.ev s`»` 4 +A'R 4 l~( Si'r` WE` rrktYk„'~^ t+C,t- -e'~51,5.FrtA S~s<>:Y'i.a ) mot':. r'r3 f";;` !s a ..,.aa,vw.a 't 1 m t~ J ar~~4wnr-r_.naws. ~ra,a•,. es..,zassr~rc .ava~., U S Patents 4.759,661; 5,017,041; 5,156,488; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,163; 5,588,778; 5,839,844 Canadian Patents 1,329,959; 2,004,564 Other patents pending. nfil.rator, Equalizer, Quick4 and Quick4 Plus are registered trademarks of Infiltrator Systems Inc. Infiltrator is a registered trademark in France. Infiltrator Systems Inc. is a registered trademark in Mexico, Contour Swivel Connection is a trademark of Infiltrator Systems Inc. © 2009 Infiltrator Systems Inc, Printed in U.S.A. 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Y~ I, II II I- II y. to .ra ►,e ra"~- O,if _ A.91 V t I Wis,.ansinDepartment of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C L Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ' f I include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel 1. D. / percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. tieviewed by Date Personal information you pr de ma be used for seconds f > ry purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner - Property Location Govt. Lot W l)'LA /4 S T30 N R E (o ow Property Owners Mailing Address Lot # Block # Subd. Name or CSM# o, L-) -t -X,,✓it'v~ -1/ 37 City late Zip Code P one Number E) City ❑ Village To Nearest Road New Construction User Residential / Number of bedrooms Code derived design flow rate" GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ~4G(J « /~J Flood Plain elevation if applicable N% ft. General comments and recommendations: Z f'~ ✓~~j',.~' C/ ~s I Boring # Boring S'7' v 2CF 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 E - 14 I in. Munsell Qu. Sz. Cant. Color ' Gr. Sz. Sh. 'Eff#1 -Eff#2 y S m Z- .l Boring # E, Boring Pit Ground surface elev.ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 .'Eff#2 KA- l Z -;z ~Q c 1015 - rl/ _ Z - I / Effluent #1 = BOD 5 g/1- > 30 < 220 mg/L and TSS >30 < 1 ' Effluent #2 = BOD < 30 rrx and TSS < 30 CST Name (Please Print) nature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address / Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54617 715 4516 246 Property Owner Parcel ID # Page of Boring # ❑ Boring ~ 13-1 j WX 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. i 'Eff#1 'Eff#2 d l~ /L - mot` r"s C_C S <<' c 1 ,a 3 Icil F f F-I 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 i ❑ 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 Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg-IL ' 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-8170 (RAM) . t ' Soil Test Plot Plan Project Name Lakes and Hill Development Shaun Bir L Address P.O. Box 10598 White Bear Lake Mn 55110 CSTM., 26900 Lot 1 Subdivision Glen View Date 7/18/03 1 /4 NW 1/4S 19 T 30 N/R18 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 77.0/75.5 *HRpSame as Benchmark Alt. BM Top of Survey Iron @a 96.4' Scale is I" = 40' unless otherwise Please note: survey was not noted completed at time of testing, setbacks from lot lines may Please Note: Tested area change. Installer must verify may not be suitable for all lot lines and setbacks desired building area. before installation. Check system location before excavating. B.M. Alt. 89' B.M. 70' B-1 90' B-2 1 ' 83' 30' 81' 45' 79' 77' a~ a 17% Slope a 0 N Existing Town Road i 1, y i a i ~m UNPLATTED LANDS U~ - - - - rc~ NOOW'10"W p: n: I . r j - 5301.65 O' J U• 01 <1 SOOOO'10'E S00'00'10'E 605.11' Q--------- 256.16' -.-o - _;R0 OD1QY~`4113.]8' .1 _ 161.19' 226.51' 12&SY 54-W _ - - - - - - - - - - - I S S 0 Mj N g I I r m ~ b r1,1' _ n _ N11~ p I ; 15S "Ol O I M 111.%____ _ IM36_____ ~••✓1 1 1 n. I 1 I 0! 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Syr r. m• m• • A57-•~ < r Z: f I I ^ i. t " i nI 1' iiiwt r M z ~ ~r -M~ N '.;r I 1 I ~I x'I~~IR? _ I I I ~1-44 i I tl I-'ou1- I • cIV 0 04 I N M • I I I 1 co m m m g< a m"? m I I I 1 • N00'16'1.'1W 6963,•• • I I 1 350.04' xN n.t5 31&2(r o.sr -i $10.56 e1 `$i • , 1 I 162-oz' ImoY imam, t5„ m gig • n i N M u~ I I ijrn M m m ; N eY I _ I N zW • I i • i 'rte cn vs N a • n m Irv I I a • • E I I r I I M m f M• ,5 ,1 m 18f Im + m ~ M 1 N i Y I I (7] `F - - 100 i I 00 Am M : I I~ : • m i wed ,6~~ I ~ IK00' 1 16&00• +-64~ 61.7Y cc=- I I $ , 501.37'01'E 579.7 ' O - - - - - - - 1 i 1 M I 1 I ~ O i1 I SEE SHEI