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HomeMy WebLinkAbout034-1056-60-000 (2)vnacmam Department aco.re ^" PRIVATE SEWAGE SYSTEM O00°N St. Croix Set" and Bnliolne OMmm INSPECTION REPORT P xo `DN 605156 GENERAL(ATTACH TO1)(1)] Sun to xn. tole S xne ,OR Settle vaxon.l Amon COLORS, lP dL Uvmll. 3ffi5645 xam.:w oly cw ttTOWN nN Kevin Fry OF SPRINGFIELD 034-105fi-60-000 BM Ere. n.n�ao eapllm °nrt o.«wn0.a. 3m I Gsr z°s.zs.,sassA TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER KneSIS Cout sW90N BS GO I FG SLEDS SCSI � ,(3 eLE, 760 It 760 Au. 7� Bldgsewer 9. vL 4).08 svtn Intel 11 9f-2 TANK SETBACK INFORMATION SvHt Outlet /j 4 9q 4 TANK TO wL 4a I' WELL BmG. nt r m1k, ROAD pllnwt 11 0 Pr'/ `� Sepl� L5, so Sol _. _ nnom /f.y 9/1¢ onlrH A / 9d �b _ HemeriMan. 1< 16z, Senate,et. Plpe 9.9s lr L'K H°mlo0 Dot system 5 OP /d/.5 POMPISIPHON INFORMATION Real Grade 7 75 /Q3 .nm.mre, ZdG t.L. Ull Dpmam� h0 scomrFil.— G b.'I 3$ n7 ml,et Af 15Z r �' I /dD TOX io.75 F 6.4 syatt H�. TDH 14.7 .iLen, , DIe,Z„ C W.�' 761 SOIL ABSORPTION SYSTEM el .dn� t.°,/66 o olx. sx w°a mpm DM ON$ 5 I e° \ SSol iO a m N.Ux rvoM,m a CHAMal LTpEM 57 84 UNIT Le ndth-3—Le H= I=ieOSa Ne, Ls wq_ To e s�3�7t INGl t SOIL COVER Cos Only �&I� °`wnryNOnea\ a�jw nrnCal /.bs �wptIG-- .p.No COMMENTS: (Indent¢Code NooMe ne."Not MSMnt CC) Inspection xx ///l Inacealpnxa. S/j///`J LOSSa :30P)70TH ASEe' G.Mi— I4�S (irt�/� (ll,Iy el 1) An BM DeealPtlpn_ `0 Ez, �Icl 4/(i7&/EwS Q 3)Bleg sewers n /� amOnMmeo..,= ��4L Y� GrjI 54 ne, eT,.lO ti L Plan misen Repmffed? OO Yea IS No / mM /9 ;r"r lure Can,xo. 5 ueemne� Mee bradJlO°n.HntmmMpn. axUa7row>/ea m i,. Safely and finding 0lNsion cowry St. Cmix n, _ •lOtB M1 W VVend:inglon Ape.. P. O. Sdx 71U Mealem. WI fi=7-7192 Swuy Pmeuumne(Wbelleein q Co) p9 puG I (oDS �J s0 [Application s3135615anu :m e.11,.Iwwerrem(mro a �iury vman A iww bind rm uw.o..mi ur�vn vam 'Idunird�wasumw Ptnm,npllsmie.a inmmeam, rv.pm.ib..r M'; .w.n pings,>Qauu(ireirtwm::wnwli�P.aaunl 32407061 Ave LA (k:wnlnrom.Wn-Flaehlm Alllnbl'm�ieu Pmpmy Pine: / _y Kevin Fry 034-105650-000 wIVII)o 'MVlire Ama:. n�m,wula. 2.5.2.9. 3206 70M Awn SE .;, SW 25 cn.smu Lveaae Pn u p" Knapp, W1 54]49 ]1"77-1)3> n, xr 29 15(Wme�w U. rypeoreuluiWNe fennk.n Nar.vvhl p r rv' B $Im suMie6ianxme ..=alie6- dd, u. ❑ cryor ❑smeo..,,a-mnaxun ❑vwseof csm rv::mm ✓r $Tm.nnr sPaneaea It a In.Typeareems (eneoxom.o di cauwithin elppplimi ❑rvwsrne XR,p n:n P+ni smlwmnl wr ❑ om Motiwwew wwii:g snmm ondfa:o ❑Pine Mmw ❑P[m:d Rtn.dM ❑CM:pe utnum ❑PmnaTw wxry wnMWh¢1m1 Obnnxpimmn / rv.remvowrse um/enn neauneke: enem.o 11n1.let ❑rv^^-v,®m,>aln.e,wm ❑x,.,mma.n•em:e ❑a1-a.ae 01um¢2nbor.imaleni Em"'d xa m. nr,mml. an ❑mnieireTma D (]nfer Daft CattimmatNwmm ❑m,�,Imemne.:m id inn V. U: env Vln. enrAm NNrmmim: awlpM Jpneol AppllenavnaggM Pe A:uNqumE( Inc nal� e m49 BOO 101.6m i841 .45 10Ls' VL'lu4Nb Cepsirym Twl I If Mmmfuo:m w eal x ,Mp 2 LatM GUM LLC j( Ndust X no 1 Levns BIUM LLC J( v11.0.o smm®r Lda III uueW v su Mvmse� nLewis eu" eb Blorkw2539>8 715-231-7375 61® Isme40M sale. Zip Cdel E7818 County Roatl E, Menomonie, W154951 v .n me elmemanoo 4P: Im 0.s . R n ad`6b•� IS m Getl 1 p I 3 GwQ;it.n�ary�1� wedM.n�rn m.uns 2 :y�m3lnNae:mnnu6If it 4 / P:R�MveoN/tal . mmPPm..a.. ed.a.. IWintcant y Y:� 11di don 63%M 11/1p �Q SOIL EVALUATION SCENE. 1--3V SYSTEM PACE-fraEp SITE MAP PLOT PLAN PROJECT NAME Kevin Frey ' am DESIGNNo0. mm Am, dew nw.amniorn wmew.i Mw PTYEtt!Opus: 3Npve O llm ARneop � PPER MAmY/ ASTM S.nJM(iedw W.b3 n W,RCE) eMempe.9 eMuvaw.: ^ps rr N y'PIKE", 2 R. 4� emQ R.mma)neaeee.ni�m w..pwe).+eim ' �..pl'°,de a r,.��..m�m.W+.ae''�. o snwyppwen.. �nmiuM,dee ek. Soil 5).r�.l 7t' ACL Vi45Ai•Ii„51 t6P5 Sint' 9r i,. tsSM.r Soi� p,fs qg' �, } Her Qal lin,P1 S.els ) � N sc I i fi I � 7b �jfia ��on I� eTe4: sepF« e,.� Apr 25 39,V N6ltrr Town, nktA� rf No �-LII,s od•^'NEYr 9j DIVISION of INDUSTRY SERVICES ]]I S9N LUIS PIL STE 150 '.A GREEN thi WI SKYS 5211 Ones Tamugh Paw Z hop feape so go brouramsendWjaeiatryaervm anow hoom" Sao, inn Snat Walker, Governor Domir Nlfmq Secondary July 31, 2018 LUSTED No. 253976 A STNFOW'(3'IVPenmr LEWIS CBJORK ZONINOOFPICB LEWIS WEEK LLC ST CROI%COUNTY SM E]SI8=call E I I01 CARMICHAEL AD hPNOMONIE WI 547516637 HUDSON W1 54016 ]]08 _ _. _RaroHDF CO APPROVAL PLAIN APPROVAL EKAIRES: O7O@020 Transaction No. 313Numbers Titeo DNo.n 32026 35645 BttE: BiroNra obDom 32407KerTH A above, in all roboth idennficatiw numbers, e agent J240 ]OTH qve above in all c0 dmce wNtihe Town ofSmingfield St Come County SEI/4, SW I/q 525, T29N, RI5 W FOR: IMerbtlnn: Mound Wiseem M Bedrooms-FeaNaemem Object Tope. POETS Comgm [Mahal Regulated Object ID No.1788675 Mainteramerequlred; Replacement system; 60o OPDPlowmtei ISIo SoilmimmumdepWw rooitmgfaemrfrom orlghslgradq sysRm(s):Mound Component Manual -Vet 2.0,sBD-1(691-P(N.01NI,R 10/12l Pambeure Dism-bation Component Manved Vec2A,SBO-1090mP(N.01/oLR. 10/12), EtflmNP@m The abnormal decribed above has been reviewed fen conformance with applicable Wisconsin Administraive CMu and Wisconsin Slatntes. The submittal has been CONDIIIONALLY APPROVED_ This system is to be construction and Rafted N occurrence wlA the enclosed approved plans and with my eompooent manual(s) mfarenced above. The owner, zs eeMed in chapter 101.01(I0), W anneal Smw¢s, Is resonance for compliance with all corde ream mints. No person may engage in or woh at plumbing in the state wigs licensed to do so by the Department per s. 145 06, share The following conditions shall be mA doing transition or mstallutlon and prior to onnupanny arise • Page 4- Four Lmemb In Proposed POWER • Abandon Ending system per 5PS 383.33 • Prasene dispersal area prior and during commuctionto avoid dicmhance, computation and we of Do site. • With new construction: it is recommended not toactivate the pump in the done mark until the Lathes are pumped prior to homeowner occupancy. • Wastewater generatetl from so, lemon as cleaning of equipment bad York And or left over construction prances shall not be discharged raw the Mains d,whwgirg to the private onsire wastewater treatment system (POWTS). Waste gemeand shall be properly disposed ofon site or elf site, • Any tall grange, leaves and shrubs shall be cut short and removed prior to tillingthe surface for wlallatianw prevent manning ®du the dispersal area ]trow routine battered to be conoved Soon mound area, • Divert surface water Rom POETS Area. Sm traooe rntat oorate thxkthe m s ein ofSetsoil tewill fth e soil. Promersoi mersmte banner an be tle ertn netl bvm Lewis e11 iu: bal 2alaols the site Ista, seat to poside, if it coutpubles, site promotion caft Worried d untilaccuracy t All piping shall conform to SPS Table 384303 and Red Table 384.305 Imuhte building sewer Around30 fen per SPS 38230 (11)(c) r Well wlbacks to meetohs NR 811&812 • Tank lmtallumnso to follow all manufacture's recotmmeedatioos. • SP538,3.54(1)(e) The management about for a POWTS short specifically address the smiciog mechanics of an aerobic or anaerobic treatment conk ov a holding tmik where either of me following conditions exiat'. 1.Thethemen of fire k is located more than 15 fact below the relocation where the servicirm CA B located 2 no form of the back is located a= dearat 150 feet foribroartallyfrom h d Verify property finds) Me, to harmilation. Pump plane; to be set and verifted am tl plus.Anv ehvnea may resul['n rnitloe Locoed TDH and GPM Specifications • Areas that are occupied with rock instruments, tree royR slumps and boulders reduce the mound of soil available tor proper re annent line otter site is available, aen in the basal area ofhe mound mmtbe cat off Assisi A larger fill area is necessary when am of the above continues as forma ed to provide sufficient infiltrative area. Owner Responsibilities IDe current wnea read each subsequent owner, shall retiree a copy of Ibis least including instructions relating to proper use and maintenance oftbe syslem. Owners shall revive acoW oftbe appromiate operetien and mantenance manual and/or ownefs mental for the POWTS desadbed in this approval SPS 30.54(t) In the occur this sail absorption system or any of its component ports realfwttions so as w create ahealth beftei the property owner must follow the Comm emy plan as described in the approved plans. A copy of the approved plans, specifications and this leader shell be on -site during construction and open to Nspectionbyauthoriu ,MmsenmtivesofNe DepmM twhichmaymcludelewlimpecWrs Officials tequvem by the state or the local municipality shall M obtained poor to commencement of wnswctlonMelallatioNapet'nfioo. In granting this approval the Division of Industry Servmeueamas the right N require changes or additiom should condrems arlu making them necessary by code compliance As per state Scots 101. 12(2), nothing N this review shall ralleve the deslguer of fire responsibility for designing a safe building, structure, or compmunt, Requires wnceming this correspondence may be made to me at the telephone number lukd below, of at the address on this motional The dove left nddmem shall provide a copy of this leter aid the POWTS management plan to We owner and any others who ere responsible for me installation, operation or of the POWTS Sincerely, Fee RequvetlS 25000 f%valri.+Y This Amount will Be Invoiced. WM1en Vau Receive Tbm Invoiw, Please IUGutle aCopY WItF Yow Tim Vander Least Payment 5ubminal, (60116vare e6134 Plan Fri,6a 0 am.- on 330 lndusoy5mica WiSMART CNa: 9613 (608)5166134, Mon- Fri, 6t0o am -1 l0 p.m. tun.vanderleest@wi.gw cc Edwin A Taylor, Wws water Specialist, Q15) 634-3484, Mon Tiff funds M, -430 DM. LEWS C BIORK Pte2 91sMIS fire site ktoo silo prepare.Ifi complain site r a Ifreore is W2 we I prepare,tl proceed mtb T dnea. • All piping shall conform m SPS Talk 384303 and SPS Tarl, 3M30 • Insulate.banding %war beyond 30 fen par SPS 39230(IIHc) • Wall wtbore to meet are Net 811 or 812 • Tank Installation to kll000 MI mactica aevommmdaliom. • SPS383.5<(l)(e) The mmagemem pla for a POWTS aball specifically addass the servicing mcce csof® aembic or mantra, weapons mvk or a holding Irk while e4i of the frllowmg eonAtorm ens[ 1. file borrow of &a k is looked mom thear I I feet below te eliwhere the Strait Mar Isopined 2. yy form wh nd -c kriered • Verify property hotels) plot to malA[lon. tl 1 A h nul['v urteiaJve to meet IDH and GPM Specifications. • Arils tout are occupied wit rock bagmens,free aw, stumps and boilers reci We vrsouvcofsoil cancer for proper treatwo Up, tolerate isavellable,was mtbe basalareaoftomound mustbemu D6 a[ Bound IeveL A ImSer M area onecessary wow arw ofNe eedve wna'ti0ns are mcounured w prwitle sufficiwl wfdnative area. Owner Rnpicarb(lifirs The cmrow Over, and each subsequ o owner, shop receive a copy of its lea¢ window asevetlons relating to proper use card mvatmavice of the system. Gvvers shall receive a copy efts appropriate opemdo and mawt<nance manual red or owners mineral Ao are pap WTS des bed Or Ibis approval SPS 3M.5M1). be the ascot this 9011 absofptiw sysem or my of is mmponwt Paris malfo m=so as to Mere a heap went to pwwpa owner mun roil,% the cwnogowy plot as described no the approved plain A copy of the approved Alms, specincffiova and tltis leas shall be an ore warew concentrator no open m inspection by amharized nornenruves of We OepaNveu[, which vlsy wdude local ro palms. All factors rnryhM by to gone or to local mr,w polity seat be obmwed poor to commmcmevl of covswcnam'iwmllatiavape nio, Iaf parag fors approval ree Division of wdusoy Services reserves foe nfp[[o walnut charges or additions should contains mlr maktgtom wuesuryfor WewmPlimu iss persona sales 101.12(2), noting in Wd owlew shall motive the designer of We nap"coolly for deagwmg a sere build g. interwar or corapmmc. Iagahies wvwtwg rose wrtespondevice may be mrde to me at the rlephave vmnber lismd below, wet to address or this leaerhead. Me wave left staircase shell parolee copy of per lean and to POWTS mwag®cot plot to the owner sad my was who me responsible As foe application, location or weraw ®ce of to POWTS. Slocemty, Pee Rcgwved8 250.W V%�w, ]IDa Amow[WII Be NvoleM. W hw You Revive Thet Invoice, PlmselrcluMeCOPY Wit Yaw Too slower w Least peymew 5ubmiml. (608)55ewege, Ma Reviewer, am- 3, DfNduNyServices WSMART cede: l633 tim wa16E134 ookrMoo Fri, 6'.Oc a.m 330 p.o. tim.vwdvlem(µwi.gav a'. Memo Taylor, Wazawarear Specialist, (i 15) 634-3484, Mom -firs, 9: W A.M. -4 30 PM. PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manual Design Reiarences. Version 2.0, SBD-10691-P (N.01101, R. 10112) & Version 2.0, SBD-10706-P (N.01101, R. 10112) Pg t of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross -Section & Plan View Pg 4 of 6 Distribution Network Specifications------- Pg 5 of 6 Pump Tank Specifications RFCF[�f Pg 6 of 6 Management Plan Jut Attachments: Enclosures: M/ I9701g Pump Curve POWTSA lication for Review '^cgV/r cm ahaeo- saprn mnkl Menholea uses Soil Evaluation Re ort&Site Map Alum cN sheet EMueM filter service inatruceone Project Name / Description Kevin Frey -Replacement Residential Mound design Owner Name(s): Kevin Frey Phone: 715 -977 -1737 Owner Address: 324070th Ave Knapp Wl Zip: 54749 Project Address: The same Govt. Lot! _SE 114of SW iut,Section25 ,T29 N-R15 E❑orW© Township: Springfield County: St. Croix Project Parcel ID e: 034-105MO-000 Designer Information Designer Name: Lewis Bjork LLC Phone: 715 -231 -7375 Designer Address: E7818 County E Zip: 54751 E-mail: lewlsbjork@yahoo.com ....... ^• ^rr=m'oi.�.mn. Licence Number: 253976 Remarks: Signature: � Date: 7-11-2018 emu.gom„rereeoma o...m.mmma mow. ,4 SOIL EVALUATION A�i•: +'•a0 �"'"•`W` / m ,SYSTEM PAGE20Fp SITE MAP PLOT PLAN KeWn Fray •• 0ea v sa, ow PbJecr.WpEx also l0M Aw Ma N °& d�l�°•on. m.mmwyy��}}44,,,,��� Fk.N.Ynµell AaTMiM9an•.q�rW..y{.9Jdea0l,y)b) aMmnm� •.i� 100 i ...ww.., a I i .mao re e ~baw�.naw,..wr c mew., wecMenc 1111 anowowm.w.vm orwe a.aa Mm Soil 5usw/ 7b VdICL Virxs4ci 5i� 06P6 STT 9r04 svvu e � .50i � $w 1 pkJ Jy 96� Ml 6 L ll)�(Nov6E Cl/ L2 V' l y� Ckiw 6,:) -700 {TI +� T12'� 96� I ip �' as Re4: Sepkc ew.Yl >uo G+n.. z rm Ablw GY#ass9.� F �PA.V GW �•4 �� Ido ��+ 6 �µ ME Zi ui l It 7/5 977_ n-;7 SINGLE -CELL MOUND DISPERSAL AREA o.s- ro zs• wAsxeo AcexESA]S (yvV vm ndmXnmmn pma-mn.z.v 11_$ X emun�mnoba ane mvaree xm Mix. e.p-oE roasaL covEx 1_9 aPomvae:vmm.mramt� E= E- fl mn.ion Svaamnvamn= 101.$ ft ASTM CJ]SPHO FILLmh 0.5n Lahy lnuM Ehuapm= 162 R r _ � a O a CROSS SECTION VIEW 6 fl —7 (No Scale) a Pwm sud COmcu Emreron- 100 B xsma� fl ($mw a main manp„ie and fluor name iocatbns on pWn PLAN VIEW (No Scale) 1.5 'asrndi ap We iaieai �= 6.75 n 10 n _ —It e- 100 fl _ n rc= 10.6 fl peM es ne`cgsarybM1Nbu CMlOur I nvoM D oGWNSLOPE TCE m a vv "Wi n O T ROMXXdmluea�weeN vemkulaztralgc m wiNln 15betMdvwrsgPo b'a. HqN Papp DISTRIBUTION NETWORK SPECIFICATIONS z 'esom,m PVC Force No, (No Scale) lelml Smong (abp. lu Pomp bank 3= 3 4 MdmlM ) FLUSH VALVE DETAIL Lava LmgP(P)= 49_25 R $'. 1-5 'm Scnelao PVC Manilad (No Scale) (opdonows Or?ice in m) CmRro(Thneacaecap Valve am , for Heatl Tes1mg (insubponcieural) (Op4nnal) y /a1Ta/J \ \ Flmt Onfim (naaa) Bell Valve \ pngku �+ev[ � Zara, �y.8 Lemeralab MkM "Op GdMI tee. CO WCtamexl0= 1.5 \ (NP�9 Grm�wp•nwaae:\� —� 1 NumPermomiems cerLamml= 13 OoRwlmlowl Imo\` \ a PpNpmalkpnl �a� �abq wp Nlem.nl Roam Group Dimond Rate .� blfirPi Wu.11yapem] 9pm Yamenry_mMe 1ponbly mlm+p oonmm memrel bring down m, seeN (np'nl-xe tlNell) � NumEer MLaleraba= 4 IATERN_ INVERT ELEVATION= 1D2 Lmaorin Larval GLscnarm Rem= 8.52 gone OYPa'°p OXPc spaug(X)= 3.97 i fl (rypimep OBSERVATION PIPE DETAIL (No Sme) finished gmft TOTALDISCHARGERAI = 34408 GPM 01010s ureter= .188 p Ppi / FlMOrMX 113L (wimp M� END MANIFOLD ❑ Check CONNECTION apPlicable box. Manned men 005c (dmcv PiM mMorel) -0 (poll �ngml��Mgmi)�i"—X In S O CENTER MANIFOLD T ❑ maer PlpeopPua) CONNECTION 0 PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS 40VMtP;, (No Scale) IMPORTANT NwMr bnka) as neGpmy Wmued "PS 383A3j8))g) CAPACITIES ® 18085 gal(n Dean pn) vaume (gep A 22A7 417.88 IC] 4.97 83.84 D 6 150.80 *Pump Tank Liquid Level= 37,14 in Face Main Diameter = 2 In Force Men Length = 20 fl Force Main Vold Volume = 3.26 gat md) ELEVATION = 91.67 ft i ce INSIDE BOTTOM ELEVATION 91 ft r wow esdarg ussail s.,,WaT Vertical Head = 1033 ft [C]Totel Dose Volume TDV 93.64 galactose Min, Supply Head= 2.5 ft nex alel lateral vaa wwme STGV ea24 mean now) * FM Friction Lose= A9 ft . name main maauae,.aame) t Fitting Loss-= .]5 ft MIN. PUMP 018CHARGE RATE = U.08 `Ixkn mb n. ppw x 0.3) 9pn = TOTAL DYNAMIC HEAD at 14.07 R PAGE 6OF6 Mound Management Plan IMPORTANT: The comer of this mound system wall W reapOnsiblefa to peryelual glerabon and maintenance Pursuant to reguirements of 5P5 392-384, Wise. Adman. Cede. Pursuant to SPS 3" U (2), Wiw Atlmin. Code, this system shall be naidered a lwman haaHM1 hazard if as manut In accordancs with this approved management plan. Furthermore all inspation am maintenance activities shall be pettorl by a registered POWFS Melntllner In aooMares wXM1 SPS 38362 (3), WiseAtlmin. Code. MaxiMaximM DMDemat Area Opernatism Limits Design Flow= 600 god; B01145320mgL'n; TSS5150mi F013530mi Inacection Checklist INSPECT EVERY 3 YEARS otype of use saps system • insce factors (i.e. copra user complaints, are• msamemical mamuz9on (I e„ Pumps, wi switches Heats, etc.) material Paribas (i.0,leaks, (tense cgnogon, tact 0 Rude volume in a naarobeftwitmend Mnk(s) and any dlsbabueon appuderence(s)(i.e., diNdbutionldrop times) neglect w improper use(i.e., bressio ng design cepacreas prohibited atlivlbes, eft o stemmry fir. i. e..u�..v ) m lateral wlaterel orificeplu991n9 (measure lateral tliataI Pre m- wmpae to tleagn marificasim o eutfaUdixAyge Vie ntoreewa9eback-upiM OruclumreWW Idamberrance CM1 klW MAINTAIN EVERY 3 YEARS (or wM1en necessary) o shall be pumped by a ceNfied saltme senkin9 operator licensed under a 281.45 Wm State . "an Me volume of solids In the fain¢) exaeWa ones (W) me Ipuld volume 0 the lankho Or St r yuiralby Icba omnance. Disposal of contents shall be Pursuant to PAR 113, Wil Atlmin. Cede. 0 aE!99e0f tWo shallbelnWWe every3y"mandshallWdear Mwhenneceseerytorenmreany mula[eb wlitls acWNing to manufacturela specifcallone. gservidnO perictl will always be greater plan l2 mwHba distribution shall be flusM1ed once every 3 sun orwhen necessary. System maintenance rations shall be submitted W the pmpn local ers"n menl unit In ameNance with SPS 383.55w c. Admin. Cade. Report any component failure or m9sunction W: Name ofmdvsual or, cimpany, Lewis Bjork LLC Phone, 715-231-7375 Local 9wemnent unit St. Croix County Zoning Phone: 715-388-4840 Local government unit address. Carmicheal Drive, Hudson 2Ip: 54018 Any rlNecpve PRO 0 this system shall be repaired, replaced, or removed Pursuant he SPS 383.51(1), Woe Adman. Cotle. Repair or replacement W failed or Owfuncti mie Components shall Wmpiy with SPS 383 Wac. Adman. Cede. No Product far chemical or physical restoration of the POWS may be used unless mean tl by the department in accordance with SPS 3841 Wlsc. Atlmin. Code. Contingency Plan en Me event that any failed treatment component of this POWTS cannot be Related it shell be replaced Pursuant Or Plan Submitted to the appropriate agency Or review and approval. A felled mound dispernal composed may he reunslruged within the Orginally approved area after remrngl M ell failed somberness System Adiee If use IN this POWs is discontinued it shall be abandoned in acmNarrz wiM SPS 383 33, Wlac. Atlmin. Code. 50 sefln Effluent Pumw I Zwitee nmv cumpmr nllwlnww.meoemMw.uuMen-�m/gWuclYfmnpemuml'wma^'ce.. •' 1 011 IVA 50 ' J,,.■■.■■■ Oil 0 ON Em 40 60 120 160 260 29O 280 320 31 FLOW PER MINUTE ORIGiftim STATE OF WISCONSIN D.Fenmem ntflSalary .elPmWbILuOAbV69 serwas mne PMW knew 'y PO.em]]M Mkban,W WnC1101�M oo..rrweeeawlusx twnpwd.,asw.ry m:conbMlNwen Rslry May 10, 2017 LEWIS WORK, LLC LENS WORK E7010 COUNTY RD E MENOMONIE WI 5751 Rc Descrlpal SEWAGE TANKS, CONCRETE Manufacturer'. LEWIS BJORK, LLC Product Name; (Inns b 281H7ySEPTIC, PUMP OR HOLDING (TANK AND ADAPTOR) Model Numbm(e)'. LBTOO 1160 p00 AND 1160 gala) I1-11T00 BASETANK L81160 CONSISTING OF 3 SECTIONS WITH THE 450GAL. ADAPTOR AS THE MIDSECTION) 138 IN. L I., 18.85 GAIAN,; N IN. MAX. DEPTH OF BURY, 335 OR 65101 WHEN USED AS A SEPTIC TANK BARED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER', TANK DIMENSIONS . N IN, L X 35IN. W X 54IN, H; ADAPTOR DIMENSIONS =86IN. L A M IN. W X 24 IN. HI Pmtlucl File NO: 20170151 Fee Received'. 8126.00 Dab Finished, M2017 This letter Is to acknowledge receipt or me information III lee you rewndy sent to us for this Plumbing product We Tiived the Inbmiatlon ai fee on the data Inalnbd In the regeMing line. This INametlon will b0 fti within NXeen (15) business days. The product file number drown In the Mounding line of this letter must be provided when correcting us about this product review Si care br a. Jo Ziblit; PublK Pool Product Ravlewer Phone (60S)20T-USS fac (008)QBTST23 small', glen.jonesawi.gov SB0.iob (N.1N%) FIMRRt101510LWt Concrete LIE safety lla ir safety pan _ . - A,Ol 6"Tall Riser C,cCp R'Tall Rrser 9r==p-c le-ilc 5t'-4.:_ie _ e s ...ar1w 6" _ _�f'sYt E_zc.., Tank MaPter Ring �k t,'r Tarn Al e't® Fa Indoor Alarm System (Auto Ream, Battery Backup) The Tank Aletl° AB Indoor alarm system monitors liquid level conditions in lift pump chambers, sump pump basins, holding tanks, sewage, agricultural, titers and other waste applications. The sleek design of me alarm features a user friendly touch pad with colored LED indicators for easy visual detec- tion. The alarm horn and red LED Indicator activate for a high water alarm condition. Once the condition is cleared, the alarm automatically resets. The green LED indicates 120V primary power to the alarm. If primary power fills, the alarm continues to work due to gV battery backup. NEMA 1 rated enclosure for indoor use Automatic alarm reset 8 VDC battery backup with low badery cup Cokmd LED indicall • Racialism • Greanpowaron • Alarm test switch • Homelenceswitch External terminal block for easy tnm Installation Includes 15SJE SignalMasteN control switch • Alternative Amm models for high and lox Tavel alarm • Optional auxiliary contacts for remote devices 1011421 TAAB, High, 15' WE Signa1MasteP q _P'i w�'an'uy� 1tf irn14 n. l "OrajerhombusAom Toll Free 1-888-3,12-5753 Phone 21B 7-1317 rmm BlatuWe FT -Series Base Inlet Effluent Filters o°BMO2•FT Soa-M1 1Y ErfW It FX@rs mitt aMlrt r1 lm mrneme��sr mn AlLmP pretl eew rtaT eTfry Hare rt, P,,. Of a fLAt-ssm.r 'N,Ne 1w S rt mprc wo"F ISal RN 11 Wt Ffumt ,} to Sao argon the eaW 0 Ty Mac 2, ol ON as o Rtwk ThN a&a Noer t.n,,1,-Mang. mma rvr n. p r„r..n P - uxi, u- n(2UD�r)moa p rvwentra. ry,,.fi.^e nR y A n . ) wnw.rc mNto (3% e rmt 2 WnI55 94Pm N=•'Etaot,.wof m (8«n3+rc)v06`1 n (1sm,n)SSW, rres,auere �Prvof mmtnzu" • Fnert�'e Nds asym . 3Am,etarerntw pse _.aamS . r-gn0Mtno3t elGau watmlefia aam «.ny Ngnfevet eum msemavta Ne separately .ret"ww,aay Pt xtv - r rvcar om sn as Maintenance Instructions C Biotube°Effluent Filter How to Clean Your Effluent Filter Too hard your enluem fiber is functioning properly, it shmid be inspected every yay. Under normal real your argument After sell function for several years before cleaning is eeryk the fiber should be oleened when itm bon mines trimmed enough to means normal Cam am of the some rank At a minimum, be tiger should be clan nod voloom irihu tank is pumped. Mort people prefer to have a septic tank service gran der take care of fiber maintenance and ceasing. You can find a septic tank Service provider in the Yellow Pages, under'Semic ranks At Syeemi or you can mmitactwum mumme oth treatments for a her b you Man to loops a end/or clean your effluent bar yourself, be sure to drugs property. Weer fulblength pass and shin, normal, among, and goggles or fleet Then tollmv these instrument. L AemWa to seems lid to your so No bank by unaceN+ ing One Minims areal lid bob will hag heart wrench provided If your lid is above ground, It MI be amy to find. If its bused meow ground, find the memo rthat ini icatae As location. 3. Remove to After cartage by grasping to tee handle Olio Ibang it out of As housing (see photo lk 3. Alarm One dmlage tubes Mt a hose to remove any mateae an coding re tam (see photo Pk Ensure the tree orifices in to optional flow modulation plere inside to Older are clear a any debda Meke sure to an se water ens beck into to bank Our do not allory solids materiel to fall iM to open Aber housing. I. nrmly piece to cemidge back into to housing. 5. Soma Wuem fibers cane w an alarm tot acdvatn Men to Aber needs cleaning. If yam have an alarm, check to make sure his wasting by lung to float wit a sack An sutlll hard Should sound. The alarm pane u normally mounded onto side of to Awes or in to garage. Nees A put Antonini donut have an alarm ry m and you would like one, car war local septic syl InMller. mm :top PliNo1 Shot 60 carl MON grim nose. a anomeronto trmt hAi ncpocre. and/or cleaned yomfiber nontoformar obseros AWuntmchocked to earn somata my that i ua serveaan i obom tare or enough, indudete intormffion untler'NmesJ 7. goal atom lid by placing it con to neat on aching to openings into lid MAI to bob coronas. Insen lid bob into combat ano agldan wit bar head wench mesa provided, w aw InspectioWMaintenance Form Date installed : _._ Model tank: Size Model of filter: _ Singladouhle comportment Date I cleaned? inspected yea I no Important Names and Numbers System service provider System installer: Saone tank pumper Electrician: Designer: iwarmr arum N,4d4 Phone. Phone: Phone: Phone: Phone: Q AUG 88 2018 SEPTIC TANK MAINTENA CB AGREEMENT R.cmn6Orury AND commune oe>elrtament OWNERSHIP CERTIFICATION FORM OnamerBuyer even Fry Mailing AbIl 3206 70th Ave. Property Address 3240 70th Ave. „ , (Venficnon mamm, moon mormng�Zomrrg lhpme him new bn.) City/Stme Knapp, Wl Parml teem icadonNumber 034-1056-60-000 LEGAL DESCRIPTION Property Lu=atiaa SE A, SW ,II Sec25 T 29 N R 15 W, Tnwn of Springfield Subdivision Plat. Lot#_ Certified Surory Map k Volume Pege# Warranty Ucedfl (before20UrVolume ,Pogo# Spechmse DymLi Lmline gge,flable Osai SYSTEM MAINTENANCE AyISD OWNER CERTDT ATION hempli SOI and ce of you caygem ortild permit in are fella to bndle we cope theryI ..fled Mushaping olthe senior war Mmymee years o pi(mmw, by v a liceudPmmmnrtnortymputmm bllinas area esepfie tmRMenl bri the wundlrycvlyxm.0 reapgsl Specified 38332(1) and in Chi 12_ Sr Cush County Sulphur romm a r The property owner Ogren to submit to St Cmix County meeting$ Zoneng DepmMent a "imposing form, signed by the n end by a mi plumber, Immigrants plumb¢ menctol plumber or IIwnSM pumper vilifying that (1) be rumors rOmMam, dlmusel aystam is In tamper egendng condition matter (2) after mapttteonead pmfying (ifnxessary). the septic tank is lem dun In All ofsludge. VII, the uMerzppM hove read mail.v mqummcrosand agree W mIV the mu, uwmege consul system with the ndarda foM, bemin, a set by be DepartIf Salary tape Pmfeen war,iesend We Oeptmeon ofNe nl Reuurm, Sm¢ of Wittomin. Car(eetion Nting that your septic Signal has ban mainminN must be completed and rammed to We St. Croix County Planning Sc Zoning Depmum within 30 do), of the Ww year evpium, dare. I/we veniy that all comments oImm am to the bon Ofmylour kgwlNg,. l/weur✓ere du ownegaJ ofNe property dessoi aom,mvirnrc of a yfurpMy used recorded in RVoflowda Ofli¢ Number oof�Jbendrro+oms4 J GC/al/� g/�' /S/ SIG ATNtE OF APPLICANT(S) DATE ae Any information Met is mlxeprIMettj may uvult in be Seminary Palmer being,"whod by the Plemmu& Zoning brough M. •e ImIWe with day application a recorded wmi dead firm me Regieg of Deeds Once and a copy o(lhe rammed! money map if refemna is modem the warranty deed. fruits. pall) LC 9 S i F u..... 13 f"ifC � i �fl A� . 77 7 Wideman do edo pp�G 09 1Qk9 SOIL EVALUATION REPORT Dwalpe! q? do 1ppwnm M Comm M, ww. rem. Cme MCNmm1W elk ryn on '0 x' enl nnlMa In edelm mum CWmy el.cmix WWa,eN�M 11 tc xyMa ¢peat medI Pont(BM), ennead,mM Arml 1p no Pumm.l „ox..na Nauon.noeMnmlOn ,wa. 0 105660.000 ph sprint all lnlom, om. pot mim Wuwuf.mq[ewa r.e.onwnKm,e p...wo...Y 1... V odii),e i WOPety pone, RORMLdabP Kevin Frey GOK Lq SE pS 1N6 T 29 N R 15 E(OEI PPM Wne1¢MeklnBfdreu IV LqM Btrke 91Ye, eWrrew 3240]W'Ale Pen ofGO axes Mne a Lf Kn+FP 'qy NYpe NeatYPwIt 171 1 54]49 ❑New CenWepbn uyQ. ItulemMvxnmepaMMwrra ° CgyaMM4e.renPwmt cPp QrtN. t ❑FWIkP,ovnmerthl.peevLe.— Looss "er Sol till Food can ebre6,n n aPlbexIT I It G emlmm M re'ammeMNon¢. Intent new moundsystm on the loo'nse wmow, 1.5'seM lift, 6' 000irc, cell Zere,k o BOM6 ` 61 SoI n, mnn .u.iw - Wriean I _ oamanta , qua. Coat Co pu.9z. Cont. Color Tatlure h 6 ,III II 6e cnngetnre lWntlxy ea qoW Sall Mbn flat EA •EA 1 0-4 Ipyr3/3 ^<ote,.a ail dfg c mvfr 2f .6 .8 2 4.6 1 r3fl Noniel sit 2ftk ever If If 6 3 6 7.5y1M5 Nweaw.w sit Lnsbnsbk mvfr 1I 6 A 4 1824 7.5yN/6 CpAws,lej5rz w.{ Imsbk 62 Bim9. OMFG IN 19 Xaeon Often R pvnlnem Col Mnmll RWngwippon pu 3c Cont Cch - gyvpun G,, Se, Sh. 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Total . wn 'EM2 �9nnnaa mown RPit r+unM wnun Nov.—n. Mpn to hnane front—N. IIIyy pq HMmn Oin II Color Mun41 Ham pawpeon Gi. wCoa . x Cab Trillion, Sr Ge $e 8R Cmalabrve LbnMery flea6 G 'EW1 `EIA1f 'EflLeMM1 �BCO�>3aSpAnplem T99 >90<1W r�L 'EflLemM�BW�<SprryM1 aM T99 <59 my1, The Cepernnem ofrommercets an earn' opportunity xervice pmvitler andemptayer, Ifyouneetl uddiance to access services or need material in an ilkmme Rossi please mated the deytmrznt at 608d6S3151 or TTY Wb]5¢BOb. 'SOIL EVALUATION s®1e1"'tl ❑ SYSTEM PAGES SITE MAP ' m PLOT PLAN P% JECTW E'. eEBgXELPY EW om Kevin Frey ' An.neeEgPnwmm.ePe. ra<o.q,.wld•••. M¢ CT.N w U] 7 mAw"opp a%w M.YN/OBTMnMek Redn 9N.4138 MfeD6) N e.,e./..r a 9Xepun`.� .uenae• im n wwrc z I edr AO urrnNn PeIMe]Iee00M ePlw In {oxer PoblwMM Bubb MMIW 8 Xw syvmle•WUw1M•III' O' �^�' mwywM ebweleulb[Mmbml.. fSal VlkC2. 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