HomeMy WebLinkAbout022-1048-10-111vw wwn m.o.� PRIVATE SEWAGE SYSTEM r`m $I Cr01%
INSPECTION REPORT 9'°••°'""""
GENERAL INFORMATION (ATTACK TO PERMIT) W10
A ISM i'Kmli Mbpwh;03l9Wl79C
Kevin Greaser TOWN OF KINNICKINNIC r 02D1068-10-111
we... marA I e EW N 1]28l8251A11
TANK INFORMATION ELEVATION DATA
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CAPACITY
STATION
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TANK SETBACK INFORMATION
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PUMPISIPNON INFORMATNM di
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REAM
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SOIL COVER L.6,�
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i_ -gADVANCED _Mrym�
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DN:s:ON or INDUSTRY mostral
OT
oz4 cmloe DRDuezawcmnomalR.sP$
Perry liver). (aftliewif
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Sunni
Mereh 5, 2019
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES 2021.03.05
Plan Review: PWrS-0 190i
RYANGARY RGCNEL
]]I CANNON VIEW DR
REDWINOM,nnezuin 55066
SITE:
Kevin Graar 387 L:xury RDRiver Falls, WI
Saint Croix County
Town of Kinmck:nn:c
NEI/4, NEI/4, A 17, T 28N. IT I8 W
FOR:
Description. Three Eadmom Mound System %Sloping site
MON:W Component Mound] —ins 2 0, SIDE. 10691-PIN 01101yR. INI 2T Pressure Compgn.N Mmmnl—Ver
2Or SD0.10706-P IN 01/01, R 10112), 450 GPD, 30" depth to limiting faebr(mm original gratle, Mamtananm
required. Effluent filter
The subm:mel Described above has been reviewed fin mnrormana with applicable w:swmm Adm,manative Codes
and Wisconsin Ranges The submittal has been CONDITIONALLY APPROVED This open Is to he constructed
and local amomance with the enclosed approved plans and with any ,o pmem manual(s) referenced above
The own,,, as d,fimm m chapter 101 0 1(10), W c onsm Statutes, is responsible formmpbawe with an made
regwremenU
No pawn may em a rt m work at plembmg m thestvn m lew I,¢nand to des so by The DVernar tit Per, 145 eQ
scats
The pull emni,hall be met dining wo9rvGm, 11 11llation and prier to anupawy m use.
Reminders
• A samtmy permit must be obtained from the county where this protect Is to®ted In accordance with
the requirements of See. 145.19, W Is. Stags.
• Inspection of the private wage system Installation is required Arrangements for mspetlmn shall be
made wdM1 The designated county official In accordance PAT the PostScript of Sac 145.20(2)(d), Wn
Stets.
• A state approved effluent filter s required Maintenance information must be given to the owner of
the tank explaining that periodic cleaning of the filter is required
• A cow, of the aremboved mars sponficuoi And Tax letter shall W on site during construction a
d
en to insixection do authorized representatives of the Demandrament, which may include local
Owner Responsibilities
• The current *wool and each subsequent owner, shah receive a copy onhls letter owners shall also
receive a copy of the appropriate complain and maintenance manualfs) and k responsible for
nog that POWI S is planned and announced In accordance with this chapter and the approved
management plan under s SPS 38 ig
• N the even this cell absorytlon system any of its component parts malfunctions as to came
health heard, the progeny owner must follow the contingency plan as described an the approved
plans
• The owner is responsible for submitting maintenance verification match acceptable to the Worryfor
maintenance tracking purposes. Reports shall be submitted at Intervals appropriate fur the
*mponemfsl all I and In the Pi
emNsting epP^Ivnl this the reason of Industry Serves mi terms, light to termcents, or nlid,tmm ilmad
room slow making them resistant for code compliance As per some was 101 12(2), mlhmg m this review
doll relieve thetlesgrc of the rtsµn..Way hr dmgnmg a safe Wildintop rme. w romPonent
famous wnemnng las correspondence Tory he made w me a th, mopMia number Its" kill, or a the address
on this Inform l
The above left addressee shall pmnde a copy of has letter nmd the l WiS management pinn m the owntt and an)
others who art megalithic fin the installation, operation or mamanome of the POWTS
Germ! M Swom
POINTS Plan Reviewer, Division of Industry Sconces
(608)989-p892—voice t (608)985.9120 —fax
ADVANCED
ENVIRONMENTAL
PmIxM Diener Kevin & 56k1a Greaser Phasse Dale 0=1I19
Ste rrWmu JB] LIceM RD Rrver Falls WI 5403E
INDEX
Page:
2
Site Plan
Page:
3
Management Plan
Page:
4
Management Plan
Page:
5
System Design Summary
Page
6
Mound Design Worksheet
Page
2
Mound Design Worksheet
Page:
R
Mound Design Worksheet
Page.
9
Pressure Distribution Design
Page:
ID
Pressure Distribution Design
Page:
II
Pump Design
Page'
12
Dose Tank
��o•Qa�SCONy`jN.,,,
Page
13
Tank Specifications
BECHEI
Page
14
Mound Material Estimates
-
D-2253-7
REDMNING
5
Page
15
Soil Test
Page.
16
Soil Test
ESI O`
Page.
17
Soil Test
Gth
fill 1110%
Component Morsons-
SBp10706 P Preuun Distribution IN 01101,
R.lol12i
$10,I0P91 PAbuM M 01101. R 10112)
k'
Date:
ADVANCED .a m
I It .�.......
i
-Yi L'.
Md TWO"
11.0
a. w
Management Plan
KKMIPeaµelerar an pnpnrmperlmmun nrrgr,eFA,yYm
iw,llywq Gp.rbneo EylMlmrewrc;,`ertlemrl amsR mer�rrarnymemuMa mun a.peTmeeee.bvM+M4
nr..e.r..nr<r.�.pro.ca.ro..»,e,all.rwmen.rren r.,nm,remym.m.a adr.,.. aer.mrre.wu.r a mrmym.ab,
ba Keep this Management Plan wth your Septic System P.mer a Guide
P Keep copies of all pumping records mamtenanw actintres and repair invoices and this document
P Revery this document aids your maintenance professional at each wail discuss any changes in prWuct use,
aurvides, or water use appliances
Management Frequency
My system needs to be checked planar Kurdish lumberCbed ever 36 months
everal 36 months, I Olusucal Go. r asp rreeue.w They "ear 36 Ishartal
Deal n Parameters
System s e¢m¢nlona
Number of Betlrmms
0
Septic Tank Manufacture
WaNer
GrainFMl(9pd)
and
_
Septic Tank Capauty -
1000
$ql Loablg Rale girpt
ere
EMuenl Fetler Manueclurer
Standard EMP nl Oual.Yy
EMu 1
$MWM
peataFdO
elopggal o}yan idemem(OD)
220 merry
Pump Tank Manufacturer
Tine Se rWe SYq Pal -
red merry
__
Pump Tank Capadty
__Weber
Ma
pal, PWI
Pump MCMacNrBm
TM&ed EMuenfpyghd
&all
FtrlmblM
iBut own Demn91066
-myl
Dlapere9l Cell Type
_
We empirge Sgoe IThi
Mound
_ as p'e GessaslFp01_
waterPrebeMm¢nt_
M Oucngdon
rY
Max Effluent draft sou en
1m
RepWMr carry bred or alronpy soli round Par soli
neGlment area Lonixi Itpmvistissues anse
ander eurmmro "wous(iffamrs. manddngr b)
heaps mhcbs, .vwwnpduss and ore, rm?u'dl
freareareaA^
Signals
Cmlecl ydm serncv pobssmebl any alarvn
snels
Lind FiXsr-Meh bFnl aud]up end[kan wlwn rgmiary
IlyooaomHha ve ore abodr rnr, rrasnrdp maMrnr
Geri 151111tordhollilraon, rear r a
Fwmmi.
raps. Make,un altapsp Ms rmmbulmNrd
Water InsPott bdemeyedcaps open Frdopiaua
pum Sephardi
eph d srudd)shouPo be punned Pump
ranks Recwnm event
homes es bee Mmw=ed Pump all
ants erery Je
cp dierkmblemath ea(it p shah
1/mlymmpaddwhow elevensbrels(d epg Ofw
Vanlypump enda uth r system d Audi haappll[a01&
InOwdraypecl rdsindk Or (If addaviation(rlapdreaebf
CbanWemMN labre6 w ap than me
madva Arend ndereMppmdIrma panic,
sandaveluesa waNr
usage rare believed
runs erelam deerv^ now
(deck Or wlued wrp•n pia eauem of", Sri of,n m Ienx
(yackV" la'suheugdl Im sore din sins dlpnGems
familye hundredsPo+In Of of sand moan
PmMalwmepwner nrd dss plmanepemensresults uq any
ege3
MAINTENANCE INSTRUCTIONS
Inacemon. of anks and appeal may 'half eMae byan apaMmop noenaamnmvmpal or business Tank nspeamn,
must Inc ude a visual inspection of the tan ita1101tlentily any missing or Lreken fiebeware itlently any crack, or leak,.
wasure volume of mmi sludge and scu in and to Off Or any backup or "Ming of effluent on IT, grwnd mbrof
A ss MP1mge used for eeN'M and assessment shall IN seeks watertight upon complton of urvme actilnes Any
nWdeknrve even epenmga must de replaced Imm lately
The dyperaal what shall N virtually nspa to cis My eastern[ MM& in me W a bon rapes and to check for any
Ming of eMeant on IN arefund su mPOMrrq of fifir Dothe ground aulMm may lm"m afain ...down Net
mulimmediate a hie a lmnsM Sett pmbaaonal
Tanks must be pumped vT Sllu0ge aumultlan n mPm 13 Inches of the dm led otloat Outlet haft
bye, Is within 3lnmM Of the hmotel of the Othin Oahe Inn, use Shall (DWI sludge and scum vabme emupyg greater
35%of the tanks II caparmy
The eMuant finer shell be cleaned as MANSmy to ensure proper opermM The finer should not be rem uMade
provaona am made to Main solos an Ne Dark Net may Slough on The I song removal If the Nm, 11 eUwpced AN an
Sama IN fiber shall Oe"Nii if IN alarm is activated unnnim N Ironwood finer alarms may iMiule surge flaws or an
rt{e wlto us alarm
Prp"a t vmmmnM shall Ink ma,W.N and MMM by a hmnsed n m pm%ssronal Meadow to Me manuhtluMa
Iawnm dons
PoolSTART-UP 6 OPERATION
on p,m,b.yMem ope,mmnrn pucl tank. for Me presence ofialmmg produces or olMr
chemml�Nat meyrmwde the treatment process the jkNAd may U ugh conmmramns are deMCMd
have the contents Mlhe tank removes by a IimnsM septic pmknionel poor to use
SysYm wal shell nq=u,wheo Sony are M1o.en at iM InfiMatrrt smace
WonoweoN BWmp WIM may fill&dove normalhate water kve6 br enttm u51¢nrg OUT05 WhenD rm
Ie Recalls
Mee,muwsult in cowl asurraegMb Iepe dose polendallghlymw i,ev WWlba
h.gtic pmMgg rp on he Wa septic
a Is ngal rewmmendnd eNae
ihalltooreurn the um tan remwador salusmnpucer too pal o,have. yaW. professional manually dose me
antem to return me pomp telly to normal op.,abnv lama. Per to mmMng power
Oe not drink o, park ve ll over any sepLc system components Oe not drive, park over, or OMerwbe disturb or compact the
area wNln 15 %at downsaoper of any mound o, at gristle System or Secondary aaMb system Site
CONTINGENCYPLAN
If IN .coat bank o any o, win ent all N.mm aleyrWairt or
mums a�rding to a in,
systemldesgn apeh<rmflwnsNe
if A eoakng tank pump Dump controls alarms Sri"DAMNst eef¢uve. may Musa ce rmmeNaely aaimd o,
eplaed wean mmW,emM of the same oaryualperformance
If the sell treatment component all to Mwl wastewater o, discharges watlmMer m the ground.unam. it
,apaino o, replaced by moral mean area o¢re) f toe leakage .p. rebuilding the nw e wmpnenl at M.n.ystem NM
or removing and replacing mologimay rived adsorption and Model meals and associated piping
ABANDONEMENT
If IN WPhc system falls a hem, m momaremry wen out of ye Me system MMI Le a0a 2=o 2=w Nto ap Fr
m,eWlaaona These
. AA MNA to tank& shall de pm ,old,
and abandoned pipe oAemnaa m
The col by an tanks mall be removed and deposed of by a licensee septa professional
- Tanks shall e cri A fiuee, o, moved
A septic system abandonment nmircaeon shi be submitted a the approprlab Ioml govemmemM unit
WARNINGII
Sill PUMP, AND OTHER TREATMENT TANKS MAY COWMN LETHAL GASSES ANWOR INSUFFICIENT 06 GEN
DO NOT ENTER A SEPTIC TANK, PUMP TANK. OUT OTHER TREATMENT COMPONENT UNDER ANY
CIRCUMSTANCES DEATH MAY RESULT RESCUE OF A PERSON FROM ME IN ERWR OF A TANK MY BE
DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LKENSED SEPTIC PROFESSIONAL BEFORE GOING ANY WORK
System Design Summary
FLON WI M�", TRANS
C..."LOil e.m,.....��� e,,.,., o,.... �w.�.w �ooGAME o....
witalu may m
. me.,.. . ,�.......m. m, .�e....w ....,.,..M ��.,..
CAMSENTRISMALIkAnklunal IQ ANSI"". I
.m,....�i,...Dal
w mom r..�.m. III FOW
A. ..m It iw.... 11
..a.�..m.am..
I So ft ALI dal
In ..mi ai. o < .eei „ m,m. ,erfi
Minimum Code Ral t�p.mvJw MIA,m Tany, lamp.0 xpuowuamryie:
[nyar fanma,W (.p`nr
al
ME SITE PLAN
eemnmwFi mnun1 xrcni ENT] On"Mat'ImAndal FIA.R.Ran Ovmmri
SITE n&m� MIA
Cifti
to
"nor IN In 25 ft
e[.em� onn mnmue
amwl
00 MR,. ..�Adm P. a. o.
a.w.. .........m,a �s+.m......,
(AlI'd '�K LONADVIG my
TORMp m n.,».,�..,m..,u.p. nn,,Flue .ml i. all I . tiny e.m+a N.,,MAKE
.mo
,Ed PLAN A Z20 "It A n. I.NEEMA.me 081
n....m... oil .,came
sm.+mew mn»....'m.n foam.,. Oil .,e...00. m,,..,M �Q
am +
a, .,� wntI.Wn«unu1 n,..,ILnuoypU, e.�.�m, ,>..,wn'>e Al
_,
Mound Design Worksheet
sYS11101 Slnxc Parcel ID. 022IM 10 no
Deafen flow 450 GPD
Soft Leading hate. 0.40 cPD/n'
Depth to Limiting Cmdllrge It Percent .me sloce' a z WOO
Design memo leading Rate 10 GPDnd
DISPERSOL MEDu slnx4
DiaFan it Bee Area w s 01- Dealgn flow. Design NNIa loathing Role
450 GPD . I D GPDnrr - aW Ili
If a larger dlspnsm media area la diesneh. enter me12
A Select DisFaral Bed Width (A) 100 n cntevensi
Linear Loading Rare - Bed Width X Dealgn Nedla Lmading Rase
10 R X 10 GPD/It100 galtlt cmrend TVbfVI
B Minimum Dupenal Bed length IBI - Dlsceml 4ea : &tl Width
aW Ill. 10o n as n
DISTRIBUT0.VMEDIA ROCK
Rook Media Depth Below Distribution upe
0 SO II dilhounal summer um i in 1mrol m assumar a eel p
DIMISIMAUDIA APPROVED TREATMENT PRODUM CHAMBERS AND QFLOW
n
1. Select msperal Nadia
n. Enter the componem Length it Width if Depth it
IN. Number of Components Per Row. Bad length s Component Limits IRnune wl
It s itcomponents per row
Iv. Adwl Bed Length - Numlur or Commmmus Far row X Component Length
Par rw x it he
e Number M Rows. Bed Widlli. Conpr at Width
ft. n- man, Marc. Alm n on, V a n.aer
N. Tend Number of Components - Components Per Rw x Number of Rwa
omponents
u nil Depth Below Diagnpe Edge 101-B feet - Depth to filling Condition(6MinI
30 It 2.5 ft - D5 in Design Sane Lift (optional) in
E Fill Depth Below Donations Edge BE)- [BM Width x Land sloce-1N] r'D"
100 it 00 A,1L1]. 6.00 In- 156 in
F. Distribution Cell Depth (F)-8'.Ibminal pip, ,,a of distribution lateral ne'far npporeepmurn/
000 1, , 125 in 925 n Im'meal saw aw Maine anIarenlnhnl
G. Cover handled Depth at Cell Edges (G) 12 W in oir wml
& Cover Material Depth at Cell Center(H) 18W in p13 M1n1
I. Downi Width (p • (E. F. G) x @orreontal gradient) x Downslope Correction Factor
2.07 1t x 4,00 x 147 18.06 ft Or ft
J. upsope Width (J)-(o. F. GI x (hM:nntal gradient) x Dpsopa Correction Factor
227 ft x 400 ft x 0.76 n- 688 n
Downzmpe Corremon Factor' 147
undoes Correction Factor: 0 26
EndSope Horizontal Gradient aoo gai 10 n.0)
N Endoope Width Ice -DO • E) a 2). F.H x Endslope Horizontal Gradient
2160 an e2. 925 in 18.00 In- 12a 40 1t- 127
L Named length(L)- Endslope Berm Winds. Bed Length. Endsopoe Berm Width
12.7 1t . 45 0 It . 12 2 ft • M.4 N
W. Mound Worm (W) - oownslope Berm Width. Bed Woo. Lanai Berm Width
181 rz. 100 ft. 6.9 N= 349 n
Venication of Minimum Reyw__r_ed__Mail Area
=Bx(A.11 MNIMJM• 1125 f el
450 R%( 10.0 in . 181 RI• 1263 fit
"levee=Dow MINIMDM=IWal GeV lading hotel
it x ft
Page 7
MOUND DIMENSIONS
r
J
a gpea
-------------- J ___ ,
O
N
N
W
0 p
lt- � �i
I
L
L
l0o it E 93 In J 6.9
ft
a 450 N c Izo in N 127
R
0 60 in N laa In L 70.4
R
E 156 in I ten LL W H9
it
ON Rpn(vlolL of el as it Abwrptivn wmm an) a
it
orsTRAEUTON AREA LROSSSEnroN
Ta%oc no
N—� ww
}
A
.
x S Ip9s�e.n
/
OBSERVATION VIK DETML
nNenpq
Yivuv
tl
Win ni vN
PoEepvee vpciTing
��
fapa
Papa
Pressure Distribution Design
Media Me wale +0 it Marconiones, nn paper End
Min""Meurer orurm,—abnen,emrmre.11(Mm+a ere wa,n. e),>I.+)x A Mmi fe,ef So
II 10 e1'31.I I I g Ni - 3 Memo
Dinner master rerr Lateral api Unocal, .Carl Me Me, 1. z raam, M.sua+l
Min Lateral Spacing 315 ft Wirer lama$mdnnweew it
Min Saalfeld Lenp,n 70 II R9pne, Manifold Omm,,r we Ira s+
Se1ct Office swas l0 if O Mery onnyµint M. u Mml
Arm Pxke Marierer 5la 1116 .. u„a.+ry.nq+ ,m
larvalb lh -lM ,eN,ryn llenl , „a 0Arras
9 fit v 1 43 0 h
reaper of Orifice Snare,-lale,al lemur a ANke Spxma ironed ammo trc recent a rmmM,l
43 _it 3 it 14 spaces
plffair bbal � Spinner or Orifice Spaces .+
14 Space 15 OMrm par lateral
*a,l xpime, m a,n.a = xn.roM pr a+aes per lateral . w.eer a l.le,an
Onrkr. pn lzar.l x 3 Aoff'd, es Tabdadfira,
Ar""W ed place Ornery 1, a u p+wro'i 'o r nnp r}Sl+
Omke penalty 'exi Area +*ma Maribor or aria, rw, m, Aron m., smear
Mw it, r 45 Orif," 100 n'rO,xae
(Spike
_ • —
14
F
Pressure Distribution Design
lament Darrel Are, IGPM1.am.m PM General. afar. Dl.m..FM wne
M,,nar 5,.,..,reM M.M.Mrcn, ..seem.,
is I,,,Per GeM.a. 0 Me GPMMNOnWe- 9 a GIMA par weal
Sryfem flaw Part, - Tou l xintfor Ol afkn X Ornka Demarye Per,
45 0PffP,, GPM par Wre- b GPM
DXVlb,te, MANS Liquid volune Per flue p.aM fl, O.W1 G,11,mift
volme Of Dunlbnlon PIPms' If of Lateral, x Lateral lnnym F LWd volume Per Fort of PlI
l Ohe MMII a 3 GallonsGall
Mlnarvan DNM%NW Iume W OhWdfM PIgq al5
an ylf H 5 - 413 Gelkm
PRESSURE B3STR3BUTM EATER LAYOUT
P 430 R an 30 It 5 35 In
Pn ft %l3 1t Y 3116 In
l 1
Resole
Pump Selection
mpq aam�i�
o
IF mmq uWmavmww W�a m 11a. M,w Ut Po.),m)
9 it
ammw.me m.in., m.�.
.�.
20 It
20 n
w..,..,...,w.lm..�totgtw. fto..n.,m,vtm(.m 1~6 i.r.m,..).,e.
'f —
Z
,,,ItItmw.t"11
w....w..,a.m..It' l,w.a,.
sw[m. lryt' IS f4tOtm"4 W Olw mm
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Pump and book hei 12 m� X Tank plill, III too h III I A. Amr, . 1. .1 1 " know
ANSI par Dan , Design no. - Dulki lamed,
BID) 85 gat 5 Dam, Par Day
Dronakeek
FLOATSWITI
PANEL DNIR AIMED 4 GERMS Par inch
TANK SPECIFICATIONS
• =61n<Ms. =8 fee fullMI be mai'vec Q
• ulnmmanMl¢� mshau <E< rcMs Center
rill yMe
• lnMune u w�m z fen extend
l Page msuate the halo a n X. vawe of la
'nuwg Mandela lom Pohl r(Umme o-nm MIA Paaelxa lmhes may III mroume uaaalphor.s
• mbp, ara l a weed luleln he 'hook
• Building SexerlllNo IS, Mee031R141ween 45'5, ma MAPS I Inch In 8 feat ell) sIada l All Beal at
billmlry no nBd fe and exe,e
lnmlate bunamg ever i/ less man x exit fmm final Paae and And at au high naxluneaa ameways e¢ I
w.. m.m.A m.,. n.....
se.ah o,.Aan .. m.... \ .,...Yx
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TANK SPECIFICAI
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oo
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Mound Materials Estimate
goal, Vprifeel lipCat per Moe g.-.r,-up.any proton, X W prop proppi ,
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page 14
ST. CROM COUNTS'
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
,'/Bb' GrS BUlldec'a Zug— K�.=U/nl 4 RFAsr k
Mid lug Addre"y� 316 KAr1LorrP5 pi-flel� RIVGRFM15 WS
Property A,,,J387 N. LkrM Retina
(V<nficanon required ham planning &Znrvoe at for new cpmwwm)
cayistate Rlvex FAlo, WT— Pateel ldenofi000p NmnM+ 62 Z /O, /e /O
LEGAL DESCRIP.T/IION ,(fir 'p �p
Properry Location[y5�'.,f•F'4, Sec ZZ, T(1NR1Y-w, Town of iAW
qubdlvlslou Lot Y
(endued Survey Map p `ri 5-e7 hz I Vohune , Page r
Warranty Deedr 7�_l 33 2 , Volume, Page#
Spec house yet O° Cat lure Aenn4,ble d no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
1¢gnoper tau aW tutor of �o xep¢c xyx¢m eulE zow in ¢ptat¢we fitlm to handle proper
¢ olpumpme am We zept�" nary Wee 1<,rs m rover, ifnetled by a Lcenttd Pu, a zNTn a pm wo
We av ,n Select nor uta=vpoe uN.x ,¢ae from
Comnyapnvl,y Ordt Owww intcnnnee
rt,pom�bJirea me apemrmd m 4tamm el s:f p via u ebappr 12 . Si Ctolz townv S,no,ry ordw,nc<<'
Th[pmperry owner Send bYe metric oplumber,
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bat (1) Nfae, on Site by We
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seence der ue fM1 Mmn u W by Js D panne¢z ofCommnu xM Wv Depumxt of Navel Resource; State of Wisconsin
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SIGNATURE OF APPL[CAM(S) DATE
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Application
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BY .at rlY/�Nu�-rY1atYC' 04t✓/Y
oaealmyr4; DIVISION OF INDUSYITRY SERVICES
d 2331 SAN LUIS PC BE 15
P, 9pl CPEE Content Through Paley
nq'x` d HE 14aq m9011prgmmww Wo,...MaV
�9N eoahwmr, cavmrwr
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CONDITIONA
May09 2018 APPROVE
DEPT OF SAFEI
CUSTIDNo 221999 ATTN POCMhinpenrv- PROFESSIONALS
LDWARDIBERGII 20NINGOFFICE DIVISION OF INDUSTR
CLEARWATER MY TICS ST CROIX COUNTY SPIA
PO BOX 103 110I CARMICHAEL RD
FAUCLAIRL WI N7@-0103 HUDSON W1 54016-7708
CONDITIONAL APPROVAL SLF UU:G99[
PLAN APPROVAL F.XPIRFS 0S/II920$0 I IhmiflcM100 Numbers
TMOMO)on ID No 30983U
SITE: Slle ID No. 8490JE
David GRlellu Pleege rcfeno bmF Idemlfialton mm�bers.
NLromYRJ abate oellwma dens W10 the en
Town of Kmmcklnnu
San Croix County
NEI/4 NRIe4 SI]. M&N, RAW
FOR
Description Nwnd Svsaem /t eeErvwms-den Con.uruetlnnl
Object Type POW IS Component Manual Regnbcal Object ID No 1761014
Moratoria: required. 40 GPO Navy Ole,29 In Soil minimum depth to limiting factor from ourrigimill grade.
SORNS) Mound C ompunam Manual -Ver_20, RED-10691-P IN DINI,R 10112) Pressure Dnmbmiun Coopcpent
Manual - Ver 30, SKI) 10706-P IN 01!01, k 10 12), Effluent ELP
The submittal dessnbaJ abuse ban Wen reviewed for omdom orwo with applicable Wisconsin Admin strnive Codes
and Wisconsin Statute, I he mbmmil has been CONDITIONALLY APPROVED. This system is to W comwnN
anal 1«ated in a¢wtlance an the enclosed approved plans and %Its any comparem nmr.wpel refemrced above
The owner. as defined in chagrr 10101(10), Wisconsin Suwtes is responsible for compliance xnh all code
re9mremrnts
No poor, may Permaj in or voile at plumbing as the sine unle recover] in do as by the Dxpanmm per a 14506
slab
The following condmons'hall be met during consmictmn or Insullabon and poor to «cupe«y or use
• Pmen a dimpenel area in or and during constitution to avoid disturbance. compac0on and use of the site.
• With new ... smuclum. It is recommended not to agrvatethepump an the cost No, card the tanks are p,mped
priorm Wmeowncru¢upancy
• Wastewater generated from contractors cleaning ofemi mem and tools and'or left over construction
products shall nut be d... musical into the coats dwWurgmg W the private
c wastewater treatment yawn
HOWTS) Wlmc generated shall be properly disposed of oroire sor of site
• Any loll gorses. leaves and shrubs shall be cut shoo and removed pnor to Wling the surface for installation to
prevent matting order the dwlwnal area All Joov a ... dic material to Ifte removed them mound men
• Divert surface water frvnt LEWTS Area
P11121 19 amillorglign BE the dispersalcheck the m,I
Someone andem for solwIll resultorue rednethe nf0a ode sin scuver Poll
moisturean beadecn, nut by Prime a L®ri minde between the hands If 31 rolls into a 1 4 inch % ire
the site MY bin covered If mein e s wore a din no
«eat tin it wdrin,
• All piping shall conform to SPS I able 384 30d and SPS Table i84305
Insulate building sewer beyond 30 feet per SP13b2 m (I1 Mel
Wen wflacks m min rno rvx all &912
Tank In almtbn to 1,10an an manufacture s recommendations
• SPSJg]SQl)(c) hemanarement plan fora POW'Igahall spemfisallr atltlmsn tM1e mrv¢mg medsn¢sot an
he adid or Must treatment talk or a holding lank where either of the following conditions stiff
1 e Mtlom I k is I more ban 1 f w the elevanm wM1 ad is I«AIM.
'Tli kts«aedmomthan 150 her horr.bills fiwnw herethe u cod shed ca.
• Verify Property tines) Prior to installation
P m nestsbe ogled rmctl cM1m a I
Tight and GPM So« (In boa
doenPW w Our tuck l ragmen mp, andM1ears, mu lu iht of full
Medicaid
ailable for proper lgyutmt If no other site is ewauMe trees in the basal area nl the mmma must be cut oil
sit fund level A Imqu nI ama is necessary what .,as of the above roMNom ace encountered to provide
suReient mfibnuve aau
Oarner Responsibilities
I he cmrenl owner and cash subsequent owner shall mosme a copy of this Inver including msuumons reW mg
mptoperweandmmmmanmolbesymem Ownmshallr«etveacoPyoftheappmprmeopermonmd
mamtenanu manual and. or owner's manual for the POW IS deArmed in this approval SIPS 3113.54(1).
In the evennhis wa abmRuon system or any of its component pans malNnmmns so as to creme a health
M1aard, the property owner must follow the contingency plan as deeenbea no the approved plans
A copy of the approved plans, zpenfieatems and this letter shall M on site during construction and open to
nswenom by auommi repro n.of the mepanme which Mal ncludma e local pegt All permm
required by he sine or the 1«almumi shall Ce obmrcd prior mcaravanserai of
camsummn andallati ra move uon
In granting Nrs approval the Fri ofladusq depicts curves Me nghuo resume cbenga or adaiuens should
coMmans Area missing them necessary fin cock cPmphmcc As per map may 101 12(2), nothing in this revrew
,hell mhava the designerof the ma mumiliry for dcgnmg a safe buddm& mwmure ar crostarmi
Inquiries Aoncemmg this correspondence maybe made to me at the telephone number Ig¢d below, or at the crude
me min ledahead
The above left aaareseemall pmnae a copy of lams and the Powys maragemem plan to Ne owner and my
ethers who ate«spotmble for The anstai n mlion or maintenance of Me Powys
Sash . Ire gegaveas 210M
F«R«ewWE 2so CO
�u5 6a1ance We 000
rim Vander least WigMART code7633
Private Sewage Plan Reviewer. Division of Industry Services
(920FF492-2214, Mon- Fri 6 DO a in 30 p m
for mderlema i r
cc FAwmATarlor Waavwma 5p«mlot pl5)634-348J MonefrSial -43011
Cleawmer Septic S)omi Inc
rag[. i or 9
Private Onsite Wastewater Treatment System
Ivdex and Title Shot
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PIPE LATERAL LAYOUT OF MOUND
(End W II NN plonodoe)
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Minimum Number of Hms- SO 11' • 12 n 38 Holm
1Q Ho WLmwn;I x 2I—MI 36 (Y18') HoW x 0W 9Wn 1(2f(6) Hob - iXW GPM = SYSTEM FLOW RATE
PIPE VOLUME_ /yy It LNaek(bolx0NO;aM=lj>S x 5•f�L= MINIMUM OO9E VOLUME
PIPE INVENT ELEVATION= Ito M1
Page 5 Df 9
COMBINATION SEPTIC20SEmTANK CROSS-SECTION
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ABANDONMENT V/hm Ae POWlF 1aJ,und/nr re yeernanmlly ukm auto. vrrvia nc� lollnwrngx¢ps shell he liken brcmun lM1vr
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N MItly1D: SEPTIC PN11er AXD OTEPN TREATM[M TANKS MAY CWRIAN LETRAL GASSES ANPNM INHII II
OXYGEN. DO NOT ENTER A SEPTIC, ROME, OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES DEATR
MAYR ULT. 0.64160EA ES115ON FROM TREIN1LR10R OF ATANKMAYSEDIRPICDLT OR IMP(SISLE.
ADDITIONAL COMMENTS
PoWIB WUS'AI.1.®( bWfEMADITAINPA
Nmre
EO >Jd.(dN >YL�EJ-N/dR9 Name ��(71E S lK .iYf l Mpn<_,, ,. _ J/L.LI-. S]a0 � PEone >/J
IMAGE SeRYICOfGOPEMITM LOC.AI.KROl11.A VAIITRORITV
Num finat S r. ee x Cat O.,.m ...-
poem Pea d
QEC�ENED
SEPf1C TANK MA Sr OmRTIIiC CE AGREEh T MAY 16 2018
AND
OWNERSNIPCERII CAnONPORM Se (m's(ool:r
com„omly oereropmem
Ownenauy<r 4 Tk fl
Mwlmg A#Lr����GL eA Lr CE i U Z 6 6
Pmpetty
(//Vmfi[mmrrymlM Rpm Plwn,^3ffi Lnmg Rpeer�ve (n 2., <aWm<a, 1
1i+ei S t4'F Ferrel IGennfitz000 NwuEv _ O 2)- ,,.dam - 1 I
LEGAL D_ YSCR
NogttY Loranon .Ut /e y }eC 7, T. -Z8N R_ZbZkVrownof Y r
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Subdmaion Plat,_ Z 1 3 x? -(5 p f1 ' 2 1 2 a
Cprfified Survey Map# �i s;o j,=($ _J Volume_ 'PIAM#
wvnery nNaa IoSi �/ 4 9 (wirez 7)voimo<�pw4
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SYSTEM MARPITN ry E " R CERTMbICATFON
p � aM mzrmenmce olYom YMx xyr¢m wupmull �n ni penance (eilurt 1p lmnye xxM,c PTut
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rne�Yeo-n m. xel lu"'MT MM, `Pxx 4,ra nlxpgc
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SIONATI OFAPPLICANT(S)
DATE
(Ir rMrpm,.lrMnlm« M,M,ep,aeMlm,r„r,ex„Il rM lk reMlmy pmml bems rtwtm nr me Pw,mMge zmiMs oep.pr,e„1. •••
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tM ly VP W Sistine a +Illy d R of Klnnlcffnnich. 6ttroi:
Lbunty. Mlecensan. mrc tu11Y EeecrtCeC o tollees.
Beginning at the HE cons at said Mention 17,
.z N alone the east line of the ME 1/4 a distance of
we. 17 1
SWP1> 3 6 1294.97' to the rct line Of the OR IH of the HE
loci I-22 01-E at me a line a distance ON 615.01' to the NY cnmo
To....
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Contains gs.50 at auhBect to few m,d all Moment" ightbf- ys
u.be That in
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lion PPPROVW
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WNNO ABR4 L�rS OF AS FST ROnphD. HEFT_ ErSH BY THE
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