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HomeMy WebLinkAbout018-1094-19-000 sconsn Deparment of Comme•oe PRIVATE SEWAGE SYSTEM Corme,• St. Croix Sanity and Be ld ng Division INSPECTION REPORT San tar, Pe-mit No GENERAL INFORMATION (ATTACH TO PERMIT) st.1ePlan it; N 605192 PCrsc-u. 'IIJr'-'alm" y!)u p'J':ide may oe used 'c' seCar7l : ur5eses (P-wil I av. 5 Is d¢ Pe'rnir HClcer I Na- e Ch, Vlare 'oanship PFrtCe Ia.NO. Kyle Walker TOWN OF HAMMOND 018-1094-19-000 ,.SI IiM Dca Insp BM Elea BM Dec;,,linon ,;eeLan!I: to Lan;."Ma: i /oo f I✓q no r 1.29.17.759 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. SI ~G Sep: c r,~ Z Benchmark eSe( Ill /Z50 91 7,-7 /d 2.? /00 Dos ng ^ r At. BIA - Bldg. Seo;er K. -7b 9-7 Fir, C7 G7~ ~1--~ a Hold.rg St'H: Inlet /f % r .,L b t~•/7 TANK SETBACK INFORMATION St., H: Ov et \ 1 TANK TO L Iii LL BLDG. ✓en! t i- Irea^e RCAU D' Pill \ Septl:: At (il /O$ /v i I _ Dt Bottom Zd, qi V z • 1.5 Dosing f , _ Heac /og e ;PAan. ff~~ tl 'Y 65 ! C t r✓ zi l~ P~ Aeration Dist. P pe 8 z 95• He~ ing Bot System .~.2 9hr'. I --1C- PUMPlSIPHON INFORMATION F I Grade Manufacturer t Demand St Cover GPM j Model Number 1,51 1 b TDH Lift Friction ss, System Head TDH Ft r - Forcemain 1 Length + Da. , asl to veal /50 l SOIL ABSORPTION SYSTEM BEDrTRENCH Lcrjtt. No. Df 'ens~at:g PIT DIMENSIONS No CI Pits Irs do D a. , pu 0 Derr DIMENSIONS -76 ~ SETBACK SYSTEM TO P+L BLDG WELL LAKE.+STREANI LEACHING Man.nacturar ~.l f INFOR41ATION CHAMBER OR J- x ro Type Of System i UNIT Model Numter l~n :l✓w. r.o/,.:: i g ! ~j x..' h=,✓.~r rr.~~. SI..v DISTRIBUTION SYSTEM Feadet Ii ii'c; . , Dlsu'ZO. .1 x Hole Size x I-o.c Si Vent to Art Irtlake P Pets'r - .moo i ...J enpl.- a I engtr 'na SPJC •g_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only DepC' 0", Dudl•r Over xx Depth Cf ax Socdc9+Sedoeo xx I' lehed Gt9:l•e^.;h -3 Htn!TrenCh f.dges Yes No Yes Ne d COMMENTS: r,lncl.,de cede to screpencies. persons present etc.j /Inspect do #1. Z f B i Inspection #2 Location: B:61c!Tl I ST I } Alt BM Description v 2 ) Bldg si length = is ell - amount of cover > 6A, Plan revision Rectui'ed? Yes No f<Z l y3 Use other side for additional information t b _ - Da!e InseFQrC's „r9(8'.u •e Oer.. No. $D'J-F7'C (4 TU'I if f ~r~tl S ~~.f~ - _~9N -ao1 363 ~,r, rG f' - rl i1Jl,';Sl.r - - - (~1r~.,gt~-,u 1 / 'fls : I„n. l_y ! III 1,; bin tiiasc .Sr It O/~ PS `l''a - S ru. ^ur:. mha lu 1:1!yd n I: - Nf ,Auon, vb: ~ ~ r SEP i a zo 1005/92 _ ! + II Strttr, t App(x anon 5 In ac ru!m:cc w'@r I Sad flr ant (n.~, ;hmr ~,-n r I dtr r nn ti .c ` J a wrd nu I to un~ - I u i; N I - a u ury p<nuu ;;\ol : r\pnb, ahotl 1 nn; kn >lat ui n I nV 1 ~ m t J r rf i;_ L.' I , I:u r4 m n,uilind addressl tln. I)cputmgn ul Ju@ V u:U I ufcasimml l I c. n <m•.:niun 4ou _ ~~I[Nn~~ in a.c'r!t nrctvnh th. Prn_dca 1~=i , I udl l iin S i, I Applirahon Information Please Pnnt M1II I r Minn - I _ 97S 1417 T~ ST - - _ + !ruprny OUnu SWn;e/ _ ' - - i Q/ f LE ~ALKEiC 8 -/a 9SI-/9aoo S!aw ~ql 1c Phone \un hu-_ I ✓/1/T6JA2 NE -/.7 LAKE /,V// g s.5-- 58 1 II I\pc ul Smhlin Ichcik a I It that appl\1 - _ - f ss- d9 /7 _-F. - ry I -J:, 11 ll \ n h Ii,.-:I. O ~ / ~Lbd = 1, LP) PLA- ''ummirt alDcscnhc t'\ _ ~~T_ __j ,rm 1 I .rr.hv t . v', V,,.n'.a ~ I rrc of ea~ -IIL } is (Check onI one lin nn line 1 ( moploe Ime It itnpphcablc) hcp ¢cm, 1vsn ITU 1 un cni; r I ,n; '.,.:I:f pl cmem Unly i)II Alvdil a, r. r I lumEc of Pmmhcr ~ u Permit T:unsfn lu Niu I ~ K Pc o ZomponutNDcv icc: fChcck all that apply) i &i~tiur 11 r ncor 1 'u•.>un¢d In.(iramd G At-Grad: 0 h4owd q nd in LJ rr.tm-m,. ,rrv •.I•Lmi \ so k catmcnl Area hfformahom ht to //81 n n I t' 1p I ~1Di.i7W11 1 Gc• 1 \ L lanl. Info i of r Gallons 111 r, Cni1~ - - NI J - _ ~a?SO _ .LSO / /i//ES E.c ~o.JttFrE~✓ -_F ' Kcypnn)It)Ihh \fX[.In It !Lt•nn+ u,d 1 rln~ I..: in\1aIlnWm nflhr KMTSshown nn the utteehed phtax --I JJ T \•I P/M}RS Numbm lirrsin<v' Ph... Numl+<r oNN ! E~/cE_ o?3/3YL L715 474?-S,?44 I'Iumbn .:\rWrc'>a i5tr«t ('a. \P.:c. Lip t %nL:: - - - /V 6d 9 S Sr. Y, 1734 - - \III f:ratt Utrr.u n1r:1 I ( -r PI._ T D(fJ~Lvx ~l suu A}va: .u~.,, 1,1 r l ~sf NRijPfi~>,,,pr,r„ a ok - tilr.ptl c.1 cell Ust u-: all 3) ~e s C-5 r.%nt,'-tc I lot- Seloc~ 1 per 7aragement P!Ln iori by plu nne:. / 2. All wfbsrk rKLi,'ren;•s m.mt Lc r. rt, it e a per PKknbls c-)d-! 1 <rd:ndwt', ° ~g r rT! t W v p~ \ ti i ~ I.J rn~ A o ti. x / , r c pV i Q \ D J phi ? r IV' \ i (01 502 0. 1 stewater Treatment System nodex and We Page mlr,f.\tin, _~~yLE ~✓ACKE2-_ _yQ~._!e/bRCo Oo.J/S a urlF a AN t `nner'S Name. 11 Ai nr ,QEn,< LAKE /'/,V SS//o i GS/ 9ss-_ Yo58 7j .7 50 ionicipaility: Town, Lime, C-it~ of L/ - Count - ST. ~RONC I ,.a Number: /J Block Number. CSM Nunlhe l' cbdi'rision Name: /G7 r~ \unther' I Index and Title Paer 2 Plot Plan with Cross Seci;, n (c Pl ~e \ .cn.+. ? Sc tic Tank : Pwn MAN 4 Pump PertonnanccCu!v.. se Po%vrs Owner's Manual ra~~rnav I' :.n _s h MWT;S Owncl ni.::. sir II :gut Pi,!:, Jo,gv o%E Lt ri-I my-.13i.S vG ~!iul ~~u ~.,cuit w ~hc !irllou pUU omponent _ anual and DSPS 381 30 tiniI -Ahsorhinni Component M%nuud- \ cr,a n n r~l O `1 V v J J \ Q. O♦ ~1 .n ~ J ~ M 0 ` 1~ M O M J ^^i O 50 v 01 t N Z p o0 v ° A3 V l 2 c O 1 Hh II U ti I _j ~ 2 h X y o Q Thpbt V JV h OR ~1 CQ° ~p ao h J ♦ t~ ~ ~V \ wf \^p 6`2 ~r i t~ 0 ~ e J ♦O~ V h~ j 0 0~ V \ ~ aye ~ 4 F v ♦ / to l- ? n'1 \ O1 Y Cb v` y \ ~ J hq~• po r'> 4 ;z v Page _ _3_ of _ 7 COMBINATION SEPTIC/DOSE TANK CROSS-SECTION °P.:''J~ NOT TO SCAt FI l+'14NH0LF RISER & COVER is sac z,'r/ a (6), anorovM n,ls'„ _ ~:.,-mce. h w-:•una IaDel, Cxtnnn F t'11JyL~~Rlanl•,Vn n$e(aY nRfp558I)j 4' Mrn.;;cl: 40 PVc lank VC, 4' AMA Sc 40 PVC Tank Vcor ELECTRICAL 1W-'kA 12-aWw grace or 24 BUILDING SEWER kawe012-ahovegrulleor24• JUNCTION BOX abowRogionalFlmdElevai*n Iir•<, SPS 162.3U(ll;} aeom Rcgronal FlooO FkvaMn (Cem mN SPS 116 - and no NEC 30U 3UU) ` FORCF \1I MAIN ,4' OPTIONS 6' cove, //If w)rrpu OF :NkCrrlnron NevaW n,- nom rtx-.. I / II 1 ~3' w..i I /I ~ I IJ ES r ' ~ J \ 53 6F-/o i -°'i c a u nt ~ R A_ _ H.. / ii trl r,t'~ IS1 r~l r: b '.-tt 1 TABLE BEDDING BENLAIH TANK A MAXIMUM BURY DEPTH OF 96''.~ luring of lank may be required per SPS 383.43(8)(9) -I~n::'vtanutaci.lrff Daily Wastewater Flow (DWF). GOO GPD >epi. c; Pump Sice. -gallons Number of daily doses. ..5. S C 18.3 A.,Irm Manufacturer S ,r F' "NOr/4 45 Nlodel Number .4 Al e L r ! Force main volume _70 If x .143 gal/11 qa Switch Type: _ /'/EG/flNicdt Actual dose volume /,~L' gal - /L qa: (total dose volume - volume of force main ~"Ikienl l''.Imp Manufacturer 24cAC nA Model Number DOSE TANK CAPACITIES: Reserve above alarm 0. in = i 9~.5 gal ;0: Peg •11'i1L^I D!hcharge Rate- _ .?0 GPM Alarm float above on float a in = 31.1 gal (C) On/Off float measurement 7 in = /.7/. 5' gal (B; 'Jenical lift (pump off to lateral invert) /o. 0 ft Off above tank bottom - in = /19 -gal (AI 5.; stem head (distal pressure-._ x 1.3 ft): h 70 It Force main x /.o /100 friction factor--- .7-ft Q_QSE TANK DIMENSIONS' I liter friction loss ft Length _15-Y in Width 86 ❑l TuW ynaA. HeadITDH) 7 N nutlr✓t heir ht `I ~ fV~ ~ 5'8 In Ciallnns!:nr.'I /G.i~ -L 1,!F'Fr`,,K1ANCL CURVE PER •11.'JU1C NICUEL 151i152153 EFFLUENT AND DEWATERING MODEL 151 152 15 FW M1MIms Gai Lkfs - lot 1 Ga L i_ 13~ 69 261 77 / G I 2L TU J - e I ) tlo_ M t6T 52 3 29 @ 23 37 33 { I 15 22 1 --L,,7] I 1f II I*.=+t 105191 )b fl t, &v; "11. IV- Model acJ>: 151 Models 152115? y~ NQ y' S 1 y`~~i~ :T! \!lJ 4- / yll 1'it , bards ycz,y'Sle'nS ei,' l+doable a'C, s-pu ied vrith an alarm axle level control winches are available for controlling cW.. phase systems 1 ' ! S A piggyback vanabie'evel float switches are available r . ncable level long and short cycle controls. - I ~I- -J QWK Box ava'Iab~e nor CEdo ins'lalialxlns See u n -1i4--Y 41v16 I ' JO:IS Ph Id OLa Anp- S.n f I, i _ Nul t U _ w 1 Au. 50 In;, nt n3 X34 7 Noll 32 1 2013 230 1 .wro 32 a,d)&VI 2w3 "Easy assembly" ---1.5 1 Nm 85 1 2or3 4x,,v 3CSd:*!K pye + 115 1 AI 85 wickow 2a3_ }l•\ ,A.mh,de l tin t >er 43 t I«) 230 1 Auk, 43 Included 2o,3 A 115 i Ncn 140 1 2.3 ) ✓ , ` 115 1 AU10 1 Ieo tridud l _ 2013 2"s) Non 53 1 _2013 t~S 233 AUIO 53 -T lACAgN 20.3- _ ~Y~'""~ - ;e piggyback variable level foal snitch or doubie piggybadr variable level 1 snitch Refer to F140477 Reduces potential clogging by debris Replaces F410712 for correct model of Electrical Alternator E-Pak. rocks of bricks under the pump. Made of durable, noncorrosive ABS. .;,a'se level conuot sytch 10C7434sed as a control aC.ivalor, specify duplex Raison pump 2" off bottom of basin. - Provides the ability to raise intake by adding sections of 1'1z' or 2" PVC piping A:wches securely to pump. --ommodates sump, dewatenng and ei'l l applications. ':o1E, Make sure float is free from obstruction. II r, 1r5idG'A %Itl; %t:cllcr (,6rnp TS (AN'NC'IR'S :-MANUAL AND MANAGEMENT PLAN - - - SASrt•NlSrlclHl<:nrlons --L~<E tJ [K r\cpty T ll aplcily /ISO `,I( \ 1' 11t\\Irl1•.RS - - - suc lanl \t mul ldunr _T_ - .ai Cl N~\I thu a [3, hn',ms(IUn - - flluuu Fihu AL•mulauurror -/6SE.t ~ayci 7 'pdbeJroum) r h - _ - y - - u c f C, mmc•rual Lnil 11 OCIII Filter Model rnrrtcu ILro (,rcclar,e) _ - :Pun) 1'n_k ( rpuu(y - GF-/O- - rl U\: - r:.n Ito„ 1 DU t I = - - - Yoe •aFJus Pimp I unk \tunutnrlurcr - j Sal 7 Pi 1i estun ued x - I S [✓/ES ft Coy[1 !'7 ipplic lbUl Kate Pump Manufudurcr - - - - ! L tbdlvltl~ PuriA ZO~LCF~ ~~'vA~ "'d [it Llunbrv 10 \;11 iMnnllt l) .1 vna ,e (run nnlcnl linil f®NA) - - J ruts. UII & Gre;nc f I'OG) j :0 nryl_ I '1 S utd mavel Filter , inc.'lcm!wl O~ •_c,t Dcir'mnd (aol)) _ "7 Mechanical ;\cnnion iJ `,atl iite, prnd,,d >uhds 1 1141 l U(1 m~'L Drsuoicaon 7 Other. _ Manulacturct sled Lfllucnt otiahh t69 - - _ _ Model: - NA) V(ontldvAl,,mgc I Sril Absorption Compobe_nt(17N.4) oCl'cnnc t' Oy, 'ca Dc and tROJ) ~Y - s't)mv L VII :,1 ge d (eravrlyl In -Gnnrndlprrssurizcu: lot tl Sr spun~u Solids I'] SS) i 'r) !1 ,4t--_ra io,:.tr Colilumt I unnc:0ic tics t) "rage rl Mound to ChUAOOmL C7 Drip Fins O Other. _..imum li0luem Diatm',, TanA!)mtom o. Service l'ad: inch diameter 1(.xvonta(Dl.tuncc ('ank(5)to Se_rv_ic_c I'aJ: - - - - //e r rlufiuns, I \lotlcl Nurnbcr: _ X„1 F/L T/LAYa4 - -Q4/GK 7 C~VAn6 e+S - Soil Dlsprsu! I;nd (;,n :1nplicalum Ruts (Dihxr :d 1, flit CIS:1t - \r 12cuuire(1 - !:1\_\ - of r I rup:h l4'idlhl li G 60. nilti_crr7iltat I cnrlh ( \CK(II'RI-\ 13.8 _-C//A'y06sS Oc'I n of P USslnQ Distribuo 1 A, rt-. rr ti - (/a33 8 fT2) U l n" Srdl ICC I IueeteeL Mound C ,rrptrun S,Mcm~ ' Public t run 9", LlS Wv1P ,Manual) nnlpone n \4 .nuu. 1 r uum Ls - 7 - GZ I'loa kiuand C'ompuncnl ,bl:mual" Version 8 "o, 2007 STD- I DS5 S1-P i R. I! 121 t-(iradc (-.ontponau Manual Using Pressure Dist ribu; on.. Velsimt If I S S!7D `;D - 1 It(, i\'.(i Ir)1 In Gnnuo 7 I Soil Absur}lion Component ivlanual" version 2.0 - I 91 P IN 01;0) 1 "Mound ( ompuncnl Manua:" V'e,,,ion -?.If I~ 7 SGD - 106i 7-P IR 6,99) "Dlip-line L-I'8ucul Dispos:d Component !blanuai" `7 3I1D 1' )Yo(,-I' I\.(111011 "Pressure button Component Manual° B.:r ion Ot4cr. ? 1} \!~'v l CL I1NIONI7OKING S( L,ent IIF:OIII_P - WAI_''1'4:_V:1VC(•: "1) \Ia IV.lGf.11L'VT - nip mspcc: ar In,r al ccll(sl- clean litter Srnica Frequcncc- \I I r'I nnu evr , 7 , Ixu Dump k' p uup antnol+, alarm- prcrR4uncnt ur mh' M I, wC o, 71 Ol IV, Iu h Ind prsesm,. lul lar , ds _ Al i, st uncc c:rn fl munt(w uCU - - - X., ' 7 \A 't le l l once e%, r-1 no nth- (1 'ev >d \RI 01' ANU O!'ICR\ttQ~\. fol nctc Cons tntuiun, priol to usine tht POW TS beet !r allneol !411"('1 r t'1< p, c<u~cc of Jut . 0" u[Itu tb mic;i s bit Iva,' impede file u%:a(mcalt proecss allillol' dalildoe!Ile d1S1Rpo p,li;l . h~ll1S). l) lllVl G011l.Ull..,i li f oalem. of-th, ranf,(.i rembled bq a septagc s:•rvlein~ olvr; lot prior to use. S,,lcrosetrtupshallnotoceur wbeu .0!1 t .it file infiltrative suri' ace. _ ! ul ir,i.r; tit the o ,n. is respor!s.hie L iq c of th la the operation and maimcuancc• of the I'( )w 1S and submission of negmwd rep;.. uuveuater' s!reum till aliect the nerfmmance and luneevity of-,'our POW S. e'mes along t, it!) prompt npai or IeaA< rsduce t I Ile s the oastelcalc vol n I, ices and Ibundatibn d ume. Also the brine Or n:lsle t i)m,v 181c n!soltcnrl - iroi Ide hrundr r, al w '.I a clear fdra a ,at asto. rain' should ire disehar_ed to the eraund zurlL¢ Whencvet' puavible. Vole: Ihrs Joc' ehoo..I Jishmala. sic - - 'r ,v'lem is Jcsi!gtcd kr hurdle donu•'lic ,trrn(; 1' w:rstcwatct; howu•ar. the Jisposul of Iinn1 babcd greases, oils, vegetable; Quit pcc P, burns. and Ibod'ohds, such;n Ihost plodt'"d h, a galhal a dicpnsal should be min im itcd. . dscltargcd into the systrm Otbcr ndabl Toilet tissue is the only pup" that shoo d ix: . non-biodc,^,s ncros. sut111 as baby larnpuns. saninvy napkins u?ndnnre. ci9ah tc hutt cttlal thsti. and Collnn set tbx should not uncr the 'vsrem_ Chemical" Such a' nrtrnlrum prr.Jocl'. paint. Jicillli rltnlc, In ;iir o /1111 '.11 L, . li I . .'.IW ~ i L,_ r k:ng-a rli~r supply ivsa:ntit in i rrPulai sIcady hots by spI cddin:g Iaundp' washing Ilfl'oug J ? ,ystem wmponatts Compaction ofsnow ovcrthe dispersal uniuna}'cause: i; to fr thr op hout the week Avoid t chicle trtdlic over f\SPL•CTIONS K N4AIN-rENANCE: Inspection shall be made by an individual tarrying uticatirns. Vfaster Plumber. Alaster Plum bar Restricted Sewer, POW I'S Maintainer, or Septa e Servmtin rOc erator (pn , licensors or L,i:ucnan<.c Schedule 1. Tank inspecliuns must include it visual inspection of the tnuk In Icnlify any nnssing nr broken ltharJwatrq .icmitb any cocks ur ICals. measure the volume of can biped sludpc and scorn and check for any backup or pondine of c(Ilucnt fit the `Irikl smlace and lest all electrical equipment such as pluups and alarms. Any dclects shall be promptly corrected. Exposed openings a!ar than 8 inches in diameter shall be secued with cffcelive locking devices to prevent accidental or unaulhoriicd entry the tanks. 'I iron the cornhinalion of sludge and stunt in any lank exceeds one-third ( l i3) or more of the tank volume. the entire contents of the hall be removed by a Scptdgt Set vicim-, (Operator and disposed of in aecnrdanee with Ch. iVR 1 13. Wisconsin Adnt in. Codc. .:she servicing mechanics must be Volt idcd if vertical is'- 15 gccf or if horizontal is > I iU feel and instructions to he pro%idei below. uIitiet lilierls) shall be inspected and cleaned to remove an>' accuntnlatcd soli(iaccurding to manufacturer's specifications. Solids ~..i:ed grout the h)ter shall be retained in the tank. Filter cleaning may be necessary at more 1"requcnt intervals than stated in the c icnance schedule b keep tine system operating. I should be temed on a mgular basic by the home owner. If an alarm sounds, contact an individual licensed to service P OW I'S' is normally a I day reserve under regular ofturatinN coudil inns. however water should be conserved until any pmblentN With Ne -,1 m are cos iceted to prevent hack-up of sewage into the dwclling or sutlacing. 1:.1 NDONsN1 E• N°R \VIa:n the POW 1S tails and/or is permanently taken out of service the fill lowing steps shall be lak en to ensure that stems properly and safely abandoned in compliance with Ch. SPS 383.33. Wisconsin Admin. Code: :111 piping to tanks and pits shall be disconnected and the abandoned pipe openings scaled. 1;u: contents of all tanks and pits shall be removed and prolwrdy disposed of by a Septagc Servicing Operator. \fter pumping, all tanks and pits shalt be excavated and removed or their covers removed and the void space fulled with soil. .•,Tavcl. nr other inert solid material. i)N TINGLN(.1' PLAN: 11 the POW'TS fails and cannot he repaired file lidlowing measures havc been, or must Ile taken, to provide it ~~portianf Icpdaccnteu svstcnt: ,v soilahlc replaccolcot area has been evaluated and may be utili/cd for file location ofa replacement soil absorption system. "file cpiacenucnt area Should be protected from disturbance and compaction and should not be infringed upon by required setbacks .rent existing and proposed structure, lot lines and wells. Failure to protect the replacement aura renders it unusable. Replacement stems oust comply with the rules in clTeci at the time of replacement, suitable replacement area is nut available due to setback andior soil limitations. Barring advances in POW'fS rcclou,loyy a holding tank may he inculled as it last resort to replace ifs: failed POW C.S. l hoc site has not been evaluated to identify a suitable replaccnsnt aura. Upon failure of the POW IS a soil Isla site evaluation must u perrunned to locate it suitable replacenu'm area. If no replacement area is available it holding tank may be insialled as a last ,-sort to replace the tailed POWI"S- Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstruetionsofsuch systems nwst comniy with the rules in etlitctat that time. R_\IINISG!.':! SEPTIC, PIMP, AND OTILER TREATNIL T "IfkNKS NIA) CONTI.AN LE'T'HAL (:ASSES AND/OR INSEITH If[\ I OX) (;1:N. DO NOT ENTER A SEPTIC, PUMP, OR OTHER TREATMEN I TANK tiNDER AN )r CIRCUMSTANCES. fit .-11 f! MAl' R4:S(I1: f. HL•'SCUEUF,\ fGI(S(1N hHO.Nj i 11E IN I ERIOR OFA *I ANK NIAV HE DI FFICI TT OR IMPOSSIBLE. AIM IONAI_f'fy11 AA6VfS: PUN IS INSTALLER POWI S MAINTAINER Name ToNN 1,c4KF_ ~Nanx- lEtKEL[(ryb/dG - I'honc. -71-1- C72- SdG6 - Phone- L-_ SEPTAGESERVICINGOPE.RATOR,(Pumpcr) ? LOCAL _RF.GULA'rOR!'AUTHORITY _ Name, -----I ( Name Sr. 1IeiX C'a. ,iltuE[•---- s Phone: ~_Phou,r" 7/S J.PC-Wj'o • W ~i Ll LL {qq - i ~ a ti L Z ; 2 N Y [ ~y y Az = WZ ~ tq U tit Y ~ "g~ CVO-OY OD 1 _ _ D C ~ ~ OL~ 1. 2 v C ~ T W y ~ C m © v~ y r s _ Q LLJ p q d c c. v ~ ~ r 4 4~ fl' -i r 1' n t Z a 8r e ~ ~ O 'o ° y E L V V C Z ~ F d n 1 C 6 - Y yi n 31 a r = 'J Z 1 V a _ _ .6 V i V: O G r - oc,:n Z r M y n J L,, t` ■/p < n N R O = YCi :1e~ C y O J O 4 O L j dO - tF! O O O O y T j d M D - C y d O~ © N F L J E V s = r C_ V C L Y V N_ N C V O= N .O - S E W yaY.or = ~a 0 _ 4 n o C - C c V r~ d tl a.: - ~ L ~ti EA o ~ r, - d C OA C d Y V y y 2 = ~I vl d G 7 P J L G Lv \ y ~ ST. ('ROIX COUNTY SEP 17 2018 : TIC TA\K'vIAINTENANCE AGREEI<4F I' • AND _ %%-NERSHIP CERTIFICATION FORM 3;i~ar l1I ~ I I - Mailine Address _ , ~j Property Addres IF ~Ve:i:icanor, required kom Plamting & 7,oning llepartntent fun new cons~ucdon.) City'Stats-Llll?trl(>•~ Parcel Identification Number t.EGAI,DESCRIPTION petty Location Uw% sec. ~N RL\V, Totixn of oC21 division 2r Cf Lot ~ /G / t rtified Survey Map Volume Page V%a rr-anly Deed , Volume , Pa-c house yes no laentli-lal'ic "'CS 11o a5 S'll:~I ~LUNTE'NANCF. AND ONVNPR CERTIFICATION ir.propcr use and imimteeauce of your septic system could resul: in as premature failure to handle wastes. Proper c ic.-, conssts of pumping out dtc septic tank every three years or sooner, if needed, by a licensed pumper. What you put into - : an affect the function of tha scone tank as a trcamien: stage in the waste disposal system. Owner maintenance r-~nsnoilitics are specified in pComm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner aerecs to submit to s;. Croix County Planning & Zoning Department a certification form, signed by the and by a master plumber. joumeytnan plumber, restricted plumber or a licensed pumper verifying that (1) the on-site .,,,astewater disposal system i. in proper operating condition andor (2) after inspection and pumping (if necessary), the septic tank is h_ss than 113 full of sludge. 1!we. the undersigned have read fhc above requirements and agree to tnaintain tire private sewage disposal system with the :andards set forth, herein, as sct by the Dcpartment of Commerce and the Department of Natural Resources, State of Wisconsin. rification staring that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Department within 30 da) s C"-the three year expiration date. Ifve certify that all statements on tl s form are true to tire best of myiour knowledge. Iwe am, arc the owner(s) of the nropary describec above, by vrtue of a w, ranty deed recorded in Register of Deeds Office. Number of bedrooms ob 0 2-019 SIGN;17i;R!. t)P:.PPLIC:WDS) DaI • -"Any uuinmatinn that is misrepresented nmy result in the sa:rta:y p❑ n:n rein,: rn•voi; d h~ :n, PLuu:in & Z; ma Department 1, with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if :t n:c is n:rade in tire warranty deed. R I' A'. 08105? nano. ww. n.m k'Y9341C'dT11~3LH~2P187 i.~ramsaa AM, MIA Q I ~ . '1 l .l I Ill' Ld i~~~~~j} `~f 111 11 ~ I it 1, IIII LIB ' I I I III Ili rY III II. II I I li;l i I Ll I III III II III I'~ I 1 I Iii 14 I i~I I I' IIII 1 Q 11 I (IIr'. ~ i $ ~ lFpZT~ I< Illil'I II~LI I: 11111 f. ''IIII jI 1 ®y II ~I Il l it Ll y i I I~~ II r-~ ® I. ,1111 li j1j1yy_III Ili 1 ri r , 111, III I 'I I11 ~ ~IIIII'I111.j11 ~ ' 11 li li 1 ® m °I I'll 1 J~~W J N91934 7S21tLLV 9~ ~ a:nawsaa M~717n,11 is q ' e Y ilp9 7 33ss ±r r - .mow R i y ell f cwt 9 SS .4 . !!II 1 ~ -;o. I I TI "I 21 l vl F@p4 I ~ _ ~ ~ I; 1 I i S r'r 1 R°^•.°° - .4 N~JI9H4 lV2Y11331MY~21b 8~ ~ x:~nxu%cci xa~r-rr~n~ .A..o ~c I 1 i z F Lt1 : p f i I f i i I ~ ~ I o is ,I ~ I g I. I I 'J 30 ~ n N - m a ` c c u 5 - i - J v T 4 J T '1 p K .O d F ~ a o_ rt T i_ _ ?1 c of .i c p C n l i U In ❑ _ cn •rI V ~ - ~l ~ r ♦P.e. ; 1 y l' ;q.:.@ n y-1 4'.l. r '1- f"•' v< t 1 T i' i lid F k~± _ ( •y. y G ] ' e .+~aV. - %N ♦ ~v~~ ~J1 tl N f... ' 4t. ~ ~ r a ~X~ _ y~ ~~.~c 1 "•1 is P +7 r LLI ~ . 41?' fR 4 'Ix f G ;T}. 3a ,~y ee i `Y+PA, ~m~ ~ ` Ja51 tk' As, N i "1 p P _4.~a~ _ r- JLr:7 Wisconsin Depart tofi 5iitk~ SOIL EVALUATION REPORT Page _of_ Dfnsim f Sal I 0 B UI b @krH 8 in ccordance with Comm 85. Wis. Adm. Code - - County St Attach complete she 'piap g Fl~pepnw' an 8 112 x 11 inches in size. Plan must ro include. DuIILlQtivnll n horizontal reference point (BM). direction and Parcel I D Percent scale ord,mensions. north arrow, and location anddistance to neaostruad. Please print all information. Rev,ewen by Date Pshw inlormaUOn you urov'ae may bo wed to aewrMary purposes (Pevacy Law. S. 15.0. (1) (m)) Property Owner / Property Location K G, ✓CL ( \ Govt. Lot ~l ] 114 f Jt_1,-1 S T ( N R j E to W Property Owner's M Address Lot-0lock Subd Name of CSM# Dry State Z1p Code Pha1e Ntmber ❑ city ❑ Village Town Nearest Road ✓1 -210 1 ) w 6 - } W-Lfaw Construction use [;Zesidenlial l Numtler of bedrooms 3 Code derived design flow, rate y A:) _ 6 jZ GPD ❑Replacement ❑ Public or mercial Describe: Parent material 0Z Flood Plain elevation il_applicable h General comments i/ F/4 - f and reo0nYergatiCrS: n/" S ~ • , Sys:cro Covatior Boring # El Boring 71,7 pit Ground surface elev.R. Depth to limiting factor iI L in. Sal ration Rate Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD.MP In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •EfW2 0 z n 77 1- ~L6 2 FIq Boling # RBonng Pit Ground surface elev/ ' R Depth to limiting factor in. Sal tBCation Rate [Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD.N in. Munseu Qu Sz Cont. Colo Gr. Sz, Sh. •Eff#l •ER#2 • Effluent #1 = 800. > 30 < 220 mgt and TSS >30 < 150 • Effluent #2 = GOD, < 30 n cyll- and TSS < 30 rr yL CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Fvaiuation~nduclod Telephone Numter 1432 120th St, Neu;; Richmond, WI 54017 I- 715-246-4516 Property Owner Parcel ID Page of Bono # ❑ Boring ~f ~---5 Ground surface elev. Depth to limiting factor Pd Soil Applicaton Rate t torizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDO in. Munseli Ou. Sz. Cont. Color Gr. Sz. Sh. 'Elf41 'Eff#2 jng# ❑ Boring - U ❑ pit Ground surface elev it Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD#f in. Munsea Ou. Sz. Cont. Colo Gr. Sz- Sh. 'Eff#1 'Ef#t2 F-I ❑ Boring Boning # Ground surfaceelev.. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff in. Munsell Do Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODE > 30 < 220 mg4 and TSS >30 < 150 mg4 ' Effluent #2 = BOD, < 30 rrXA and TSS < 30 mglL 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. YUn 9110 x "1 11 Property Cwnei _ Parcel ID v Page _of Boring # ❑ Boring e~2 I' pip Ground surfaw elev. _ jJ ' L--f;. Depth to limitiry factor in Soil Applill Rate Horizon Depth Dorninanl Cufor Re-nox Description Texture Swuchtre Consistence Boundary Roots GPDIff, iin. MORSP.II Qu Sz Con; Cola Gr. 5: Sri •Effk1 •EI1#2 _ r-~3 Ins i( i• r,i~ ' i I Boring 71 ❑ Boring - ❑ Pit Ground surfaceelev t. Depth t: binding factor in Sa Ao hwuon Rate vionzon Depth Dominant Color) Redox Desenplion Texture Strvdure Cons:stencei Boundary' Refs GPDM in. Munsell cu. Sz. Cont. Co,a Gr S: Sh •ettC7 •En#2 i i i 1 I, I I _ I I ~ I Boring f7 ❑ BonN ❑ Pit Ground surface eiev. ft. Depth to limiting factor Soil dKatron Rate Horizon •leptn Dominant Col Redox Desorption Texture Structure Consistence Boundary Roots GPDIff m. Munsea Ou. Sz. Cant. Color Gr. Sz Sh. •Effkl •Effp2 , , • Ef bent 711 = BODE > 30 < 220 mg4 and TSS >30 < 150 mg.4 • Effluent A2 = BODE < 30 mgr and TSS < 30 mgl 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 6%-266-3:51 or 605-264-577' . wn 6)!((xtiW Soil Test Plot Plan', Project Name Kyle Walker Sha Bird Address 975 167th St. Hammond Wi 54015 '5xm #226900 Lot 19 Subdivision Prairie Run Date 4/30/18 NW 1/4 NE 1/4S 17 T 29 N/R17 W Township Hammond ❑ Boring Q Well PL Properly Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Telephone ped System Elevation TBD *HRpSameasBenchmark 167th ST Scale is F = 40' 20' unless otherwise 15'A-1 ;5' noted 7 A ~ 5' not enough slope to establish contours 90' $-3 2'c Slope B-2 Property Linc C51=2oIg'~ ((-?0/ •1,1• vxmsin Deparlworl OG''~~~~l{tety and~RrAussiona, SeNtocs Page 1 of ory Swn of {n~IrSt~i 7 t SOIL EVALUATION REPORT - r u~r~ In aecordaner. wdn SPS 385. Veis Adm. Cale county r ' ' J ST Croix A,:i, ryy,l WetrfP an n paper -rot less Ihan 8 1t2 x 11 inrhes in size Fur u I st inc ode. bet not '.invited to vertical and horzorla' reference point :Hloli cireotion and per,:enl slope. Pa•cel s~alc or dlnlenSipn9. north anrnv and Ioco:lon ann nislffilce to nCaresl road 1118 1( 191100 04 Ploaso print all information. Rev ed oy Dal NO„al Ir,c.•naaon y7,1 prov,du pray be oxen for sowrdary nurp~se,Vnvaq. ~e.v s IS IKil.imt; _7.7 Piapelly C'.vner Progeny Location Kyle 41'mker Govl. Lot. NL i. S R T29 N R17 W -T Property Owner's ~1{ail ng Address I of # BIOCk # S.dx: me or CS A4# 2b!b BORDER PAF CT 1.. Pra1.1 - un 3 tv Stab. Zip Code Phone Number ] C,ty ❑ village [MJ Town Nearest Road An to Bea' Lake MN ;5' 1C l x651} 955 4C88 I f lamr,or. 1 167th ST Vew•Conslwctlon Use. G ResidentialrNu:n::e1 of petlrooms 4 C; de derived desgn low rate 5'3 GPD ,70 Rep arement f] PUbI o or cp nnwrcral Cet;.,,N. A Parent materal I oess over Sandy'-0ravelly outs ash tPillol rloodglain elevalion I ap NA f. G/'•'••►t4 .zr~ General pownI a•rd reoemmendalirnts Re rmnrand Ir yreuntl C• rr nt:nnal PI trenches I M,* 43" de 1 ' axinmm depil-I 1 t ypch2' Ioadniy rate ;al its' deDlhj Depth to rash .on - 6., Iredoxnrorphic laalurest 1 Honig # ❑ Bo'inq i~- r, ' I Ground sorlace e'ev. 91 bb ft Depth to trolling fa:aOr 96 in. - _ T - Soil Application Rate rtonmr Depth Dounnanl Corr Redox Description Texture Structure Cormster Boundary Rools GPDT12 _ In L4unsed Ou Ac Cont. Color Gr Sz. Sit. 'EII#1 'FfflF2 1 0-8 10YR2r2 - I 2fgr dh cs 2v-vf 0.6 0.8 2 8-12 10YR 3r4 cl 2•npl dh cs - 0.0 0.2 :3 1224 10YR 416 lfsbti ds gs - 0. 0.7 4 - 24-42 13YR•nf4 ! Is trsbk-Osg - loose us 0.7a 1.6a --542-82 7 bYR 4id I - 11 sl 2csbk mfr cw - 0.6 1.0 A2 Ili 1CYR 4i~ S Ouq loose - - 0.7a 1 6a BOpCg # C Roring Q Pn Ground sunace elev 95 64 N l/~_~~JnCDe~pth to limning factor 76 111 Soil Ao beaten Rxle Nnri>on Depth I Cvnl:nant Color Redox Descnphon rext're S11.Ictme Consistence ountlary Roots GPU+Ft' 111. MunsC6 Qu Cunt [:ukx G• S7 Sh I Eff#1 'EfHt2 1 0.12 10YR 2:2 f - / 2 12 20 'OVR 413 )rabk ds cs 2m-vf 0.6 O S - I U 2lrabk dsh rs 0.4 06 - 3 2036 1CYR 4;3 ' cl 2mabk dsh gs - 0.4 0.6 4 3660 11YR'L6 1~- A 2fsbk mvfr g%v - 06 1.0 5 60J6 I3YR'p6 s 0sg lerrse cs - 0 7a 16a 6 76, lOYR 41*4 Ild/. SYR'ta'R set Om mfr - 0.0 00 I1YR 5~2 Lllluen(# I =BOB. >:ID 5 220 m L one I SS - 3~] 15 J rlq L ' Fluent #2 = BOB, > 30 _ 220 11 and TSS > 30 S 11,30 ril CST Name t'lease Pant) Slgnalu'r" CSI Number Ryan Bechel Sec ul 11330832 rlddress Date F:.=.lu. nn C-ndw_h_d Ielephorw Number 371 Cannor View DR. Red V.1ng, "N55066 68x'22; t A (651) 327 0074 SBD-8330 (R04r1St r g uoring LL Bonr # I'll Ground surface elev 47 c 9 Depth to limiting factor 46 n. Soil Application Ran, Hon7on Deon Dominart Color Re4ox Descnpl on Texture Structure Consistence Boundary Roots GPU1R` In ` unsell Ou A7 Cnm Color Gr Sz Sh •F!f#t •Effa2 1 0-9 10YR 2,2 3n•gr I d., as 2n•ml 17 .i 08 2 9 20 10YR 4:4 cl 2mDI cs 1vf U.0 0.2 3 20-46 - tOYR 4t6 - sl 2rsbk gs 0.6 10 4 4696 tOYR 4:6 ~ s 1 05g loose - 0.7a 1.6a 4 I U Bonny L . Ronng M Pit Ground su•facc clev 98"i4 ft Depth to limiting factor 30 in _ Soil Application Rase Honzon I Depth Dominant Color Redux l)escuphnn lexlure Stmclure Consistence H.nundary Roots I GPDxt` In Muns ll Ou. Az Cort Color Gr Sz. Sh. _ _ ,tf1n1 ,6!ro2 1 2SY 2 51 1 2mgr dsn gs 31-v' 06 08 2 6 17 2 SY 2 5t1 - I 2mabk I ds Js 2` of 06 0.8 3 17-311 10YR3t2 - I AM* dsh gs - 06 0.8 4 30-4L' tOYR 4t6 c2d 7 5YR 4,:6 5Y 6t2 s-I 1 cabk Om drill as - 02 0.3 5 40+ tOYR 4~6 map LSYR 4t8 & cl Om mfr, - - 0 0 0.0 5Y 6t2 - i U Boring 5 Boring Q L Pit GrouIXI surface. elev 92 94 ft. Depth to Ini ing factor 76 in. Soil Application Rate Honzon Depth Dominant Corm Redox lWscription fexlme I S!nn:InrP. Consistence I Boundary Roots GPD;Ft' In Munse'.1 Go A7 Coal .^.olor Gr S7 Sit i _ 'Cff#1 'Cff#2 1 1UYR 2l1 - I 3m9r ds rs 31-v1 0.8 0.8 2 7-A I.YR 2t2 - sit 2fabk ds cs 1v' I 0.6 03 3 I 26 39 10YR 4t4 I 2:.ahk dsh 0.6 08 3i7-•19 7 oYR 4A sl 2osbk m4 Cs - ,0 6 1 0 -5 49-/6 10YR 4:4 - s Osg loose cs - f` 7a 16a 0. fi 76-8G 7 5YR 4.4 f11 7.5YR 4~6 & 51 tcsbk-On, mfr ` 02 06 10YR St2 '--ffluent#1-BCD.%30-220 mgt al-A 1SS --,f)s 1511IrgI 'Hlluerl42=RLIC-ll-220 MWL in 1S>;-30-1lomg+L a e. t . ._r. 1....._~-+._. u. ice....... J , _ t ~ ' e ' f : ~ - ~ i._. rra -.._.r "--~-1-._. _.t..__ _ --J-. -a- { Y.. ___I y / j Q T / „ w n c 8 ¢ E T <I C s JJ aN\\ I fr -,t a w~> Y i V N an 4- a LLJ 8 v U ~ 't o r_. iq er c; a u 0 air u? A.1 Q S ~ ~ G3W m Z + yty Ji/ b`Jt. h h t1 t .J La -r 1 O 3Y n \ e~~ u \ n 8 I ~ \ a Eax o 1/1 V y o V Y , U Bor,rr, B Borng # U 'i! 'stand solace elev. 49 'j R. Depth to limiting facto d~ in Sal Application Rate -lor¢or Depth Damn ant Color Redox Desc•ichon Texture Strucl6re Conssierce Bouncary Roots GPDrFt lu Munsell :'af Az Cori[ Cda Gr. S2. Sh 'tryttl 'Cff#2 1 3-15 ?SY 2 5+l - I 2mgr ds gs 3f-1/f 0 G 0 C 3-20 ? 5Y `:!1 .'maha ds gs 11 •/t 013 )8 20 4z 10YR 7 T ?fi Ash as - 06 08 4 44- 10YR 4+5 3p SYR 41,133 scl On, mfi - - 00 0.0 ❑ Boring # ( jFt Grwrd surface clr•+ fl Depth to limiting factor _il. S01 Application Rare -laizon Depth Don'nmant :"don RVIOX Descr pl.on Texture Structare Cmsirem.ce Bou-dary Roots GPDIFt In i iell Cnt Ar f,Jnt Colo( tin SZ iJ' 'Etf#1 I U Pnrng Boring # ~J ❑ fit GrWno surlare elev. C. Depth to limiting facto _ in. So.I Application Rate -lo~mn -41 Dominant Cola Redox DescnFdror Texture Struclure Consisterce Boundary Roots _ GPD/Ff r. MunseP Qu Al Cont Cdu Gf. S2. Stn. •Ery#1 'Eff#2 1 'EffuerI#1-E0:) = 3 1_220 irgi L'a'rd 75S "'.s ISt nng(I_ 'Effluent#2=00D.> 30s 223 mgrL mum l SS 11 150m911