HomeMy WebLinkAbout026-1049-60-100
Vts»rsn Deoan-en: c•Cc--'vice PRIVATE SEWAGE SYSTEM Cc-nty. St. Croix
Safety and 8.1101119 U V sm-
INSPECTION REPORT Saneay Pont I NU
GENERAL INFORMATION (AIIACPITOPERMIT) State,iID NC 606956
Perscra ntmma:,C-, you piu oce may he jsed 6m seeoudary F-rr.oses (Prvecy ax, S 15. as r "d^
Pe•mit Hcicer S Na^.e City V•i. age Ttm nsh p, Parcel Tax Nc
Brandon & Ashley Merkt TOWN OF RICHMOND 026-1049-60-100
CST Blvl E'e'o nsF. iAtt Elev BM DesCn oUCr. SecGC°.naan82angaMap No.
00 ~1 { LS( 17.30.18.251 B
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS LLLV
Septic
1 ewe/~ A•f 1• Benchmark j4.`~
At BPA 1. `
.I Pe a k. SZ 5 1:; Ge z•~ /eJ- 9
Aeraton Bldg. Sewer
y. y /ea. 418
I loldv)g St;HI In'et S.2 9'9.x//
TANK SETBACK INFORMATION St/Ht Outlet
S 913.99
TANK TO PiL VJFLL BLDG. 'e tto Air wa,e ROAD Dt lrlet
Seph.c /r11 /VA-- Z3 of Bottom
Dosing rl3 Heade•;Man.
G•SS 98'x7
Aeration - Dist. P!pe
_ la•-7 57.95
Holding - - Bot System
T-7 9` '9 °fc
PUMPlSIPHON INFORMATION Final Grade -3.4 /O !~2
Manufacturer Demand St Cover
Grua Tnl<,~-- 7-7 /61 'S•S
Modal Nun'he• -
TDH Li' Fi caon Loss System H TDH R
=o•cema r la Dir tc'm:mi
SOIL ABSORPTION SYSTEM
BED;TRENCH a:lath / Lengtr ve r:1Irene°es PITDIMENSIONS No D` IS n;cc7ia gcdDept'
DIMENSIONS
SETBACK SYSTl TO P;L HLUG INELL LAKE+STREAPA LEACHING r,7a~r.•¢. r l
INFORMATION CHAMBER OR >•tr ~`~'rr1`,
T;PeDf System
UNIT
e A LApCCI~v
Ss A
o 4
DISTRIBUTION SYSTEM Ml~/(~ ~,X3Z. 5
Hea7ei RAa-ilc y/ 1 ! :)is!r. outen x H'.Ie Ste x HC a SBacirg Ve I Air lefa!e
Le f 'rchsi _ \ orJ 1. E S.
ngth Do Length Da FP.Anii
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only '.1", 15
Ue•Gt11 Denth P;c( Death o` xx Seeded Scdded xx DA Ulched
8ec,''er',h Cent=_r oe trench Edges rx T^CSOO Yes No ms`s No
COMMENTS: jlrclude cede msciepencles, persons p•esert etc.; Inspecluon 41. Inspection A2.
Location: 1 C28 159TH AVE 1 j Alt BPA Description
2 ) Bldg sever length = 7-5
„ n
- amoun:ofcover=
7 /g ~r'l
Plan revision Required' I Yes No
t 5
Use other Side for additional rfo•malion . e
SfiD oJ•0 Nt 9,yh D_re Insepcln"^oig•ral.rv :ter, No
- shw-a~►~ - 37Y
/ k of\'!l 1 1 11'llF 1
I_77 Industry .°iervices' Division -
D 1400 f as.l ngton ima
P , 110x 71 G2 Samf I v ?coon V t.ntbcr Ro be lillyd In by Co}
sPS s 2e~a
Ctr.. / j .T Z Mad uii, 'e9 53707-7162
\9 ~JJ ~u
t - ' lid- - ,
~y i
1(~p~~i f"f'id wdl ])j)hCr311o11 mmtc lYat suuuon Vwnbel
Ira I I I lle wv h S S aSTL '~in .ran 1 I ulnnis n . Ict t II p.
isr 7 dlucn'Iv bun n•a smll I p.'I1111 V I 1p4vin nl, nx!Y t An :I Od I5 Il uhmIII I
the hl ar n 'll nl ~.&h atta I' ksL.;ua S.1t . I ,I: n.t t..rm I'Lm „ it I r,.: tdc m.14 he u.u\d Ior. olllmN Projecl Address ill di0aen1 that) ntailin-ad hessj
pulp"", in eie,n l u.- ,v. [l. Ih; l.tk't ti I aw, 'tgll`n:u;. <tld..
L Application httm matimt Please 1'I Utt \II Inlin mali
Y:u ull n„';IAAI v heel
7 0*.( -)0Li (F0 -1vo
-lA , r ~ ii/rah' - '
l1rorm o "1 Alt m_ Add: y yropeny L' IA tun If Z, -3G, lO D , a 5
f
Govt Ln:
Cry Stote /ip i'odo Rhine Nnwher Sed:un
sir:Ic :rat
S a %.S I' agViS
II, 1) pe of Building (check all that apply) t_ol r.
Q I -:unil\ Ih\ h^i. Nun h r It Be,'roc.nx Cuhfn•ttlan Nzme
❑ h ~lwa[tt l I J L>^~ctil e l is `-i ~ //p~~ IIIn.
❑ 1` F-1 Vi 'I
SIl l .nal ks.L Lxc ~6725ab \dlatl, ul
/rl~~ ~r1ur~ i~')ti SlSmnhcr GJ Imo(
r N I.CS~J_ W !1~}1~ ~IW~JC.~-5V0 29 fQ 0(p.3 a town l:l
Z
r fl[9I✓f~=
III. "I}vile of 11ernnl (Lhech only ( r box un lin_c_ A. Complete line 11 _if JtLlicalli
A \cw Syslan ❑ Rs I lccnle 1 Sv9cm ❑ 'I VAI'lo1511 tJul~ la:a; Ry,acantnt Only ❑ Olhcr Afndlhrrlioa to hsislin ,-Icnl (capluin}
13. ❑ I41rt'.t I : ncwal ❑ I, mr.I l:oc aL.n El ( 11.1-- 41 ❑ Pr mil T."..;I . Nc\v I t,t P t<, ioua Pcrmi: X,irri ar 2nd Dale Issued
lac li,!c I'cpir,:con Plumh:r CI\\'ua t Q J. /
~ .C1L•
IV'. Iv 1, of l'UlM1'IS Sys;rlniCo:npun.nl!Ucvice: ~Chcck all that app)}') _
1 N: tt-pKL,llll/ Uwm::c ❑ Iha:>au in.J hl-tscutJ ❑ AI-titn,s. ❑ ?d:lulld A iu. o: zuitnbe,cil ❑ `14, 1.1, 'A m nI\utlahle sail
uv. aus other >nl 'IS:J (:'.:::p' r n: icepk:ntl L Ilaar:.m Ocetcc;,:xpl:tini
ULpu J Il'eatmcnt err 3 Infra mahon:
IA.,I i a pJi Uev NZ;A .,lixlfl J Iti'l! Il F 1i -:I I,J7 t rrlI n u.dUs11 Sv lcnl Elcualia:t
~'1. Tmtk Info ]e iil IlI , t' J _
, Trlyd ^ of
fi v'
~I n1111 duI
allons Inns Cr
Ne 1
Ii
.Ltme Tanks 1/ J n ~
El Ll Scpn r I IrIJn1~ l a.k ~ i..':.:'_ ~,:L ~ _ P _ i<_ r~l ❑ n ❑
V 11. Rcsponslblllth Stmc•olc•n l- 1. the undcrsigned, asslllnr nzpmicihi liry' for inclalla lion of lhr VMN I S shown nn the allached plans.
Plnmh /s Vamc nuts I lllmh:rc Slvr'+tu 11P VI TS Number Ilu`nz,s I h m. Number
-71-
N::, lumh 1 LI _ss I c'-n' N n /q1 ('ndv)
VIII ?auntyncparlrtu:nl UwOli
Al p wed t ~fT1n.i {L Itemilll C- hate /s-,uc Q Issm: : Intl Sign ore
Sgl~stGa;N. rln nl:.r. .c U: mat S 0C.7tL' /rte - _
IS. CundilYo;rMYiReasuns for Disapproval n I _ I 1_
1. Septic rk. cifll. nm Ifie- vM 3> f4 M c-k Qb lot-
onpec';. cell oust all be s a.,'.Ic ,s • r nl_ ec 11
is per marayement ple_n p, naen uv piumbe..
2. Ai Ae'lbx:k nl~urm.^erns mu;t u; i-._:.r::, is e
M pK fpFkfth Oki! i crd:-a xc i.
\uarh i.., u.lap'r la I•L:a. r..r lbr,varcm and al hnl it to thrr}.nlll\ only nn page, nnl I.-,, man s Iris 11 m.... in.vc .
4
f I
i
mop'
CONVENTIONAL COMPONENT DESIGN
ResirlerM AppicaUon
INDEX AND TITLE PAGE
°rojed Nan>r~ Z _
Owners Name: 4= _
owners Adafe=
Legal - - - - - - , 5::
TovjnSlltp: ;...-.r it
r
c;ountir _
.Subdivision Name.
LOt Number
Parcel ID Number
Page 1 Index and No
Page 2 Plot Plan
Page 3 Sin Sig & Crow Seclion
Page 4 Fla Specs
page 5 RWS&2rdnoe brforma5on
Page 6 Anon Flan -
Page 7 St Croy Cly Sepic Tanis lice Form
Page 8 WFarrd* Deed
Page 9 (;!w or Plat
Allapurarnts: Sol Tesi & Rase Puns
License NuNier_
Desi PtK a Number ,u-
Signalure i~
taesq pmmmltaaeb.c m soiA4si~pim a.4omontaaoorsorpowm Mmfow2oSa} Pp/DWl}
Pam 1
fJ
.1Ci'~ f
f~
41
I ti ~/~~r.~~ry
I
~I
i
Soil AbsoMpon Systeln Cross' Section
- 4' Schedule 4o Fail Grade
PVC Verd Pare
wNr Vert cap ft
Leaching
Chamber
- - Y Syst~ern Elevation
ft .~_ft
Soil AbspMgon System plan mew
ft
ft ~IID~IIIID]~1IDl~i!IDif~ll~lll~I(III~1 l~ _
fi Vent Or Observation Pipe l aching lrench 1 J
cu) F.bs - Chambers
(II1Il~I~1(1~ID11~1lIDII~1~11~I11Il~II~IIIIDI~I1IIl1l_
4' Dia
Drench 2 Header
Leaching Chamber Specifications - -
WnUfac urerArld Model
FISA Rating sq ft per chamber
Pe Soil Application Rate gpd/sq fi
- gpd Design Flow-- Sol Appfication Rate s - _ FISA =
_ Chambers
- 2 rows of chambers each.
Page of
1 Q F{ftP a
PL-525 EFFLUENT RLTER
Polyfak, Inc is pleased to add its
new cornrnerraal filter to its existing I
line of quality effluent filters. The
PL-525 is rated for over 10,000 GPD Alarm ,
(aatlons per day) making it one of E aCCessifaTity A~ pyc
the largest commercial fitters in its h' f
clam it has 525 linear feet of V 6 z
filtration slots. Like the Polylok
PL-122, the new Pdylok PL-525 has s t'
an autornatic shut off ball imYatled 5?5 rmmrraet3~ y3 a
aFtn~-, Y
with every filter When the filter is
removed for clearing, the ball will raaaum slats a; (nr °v~ i
float up and tzmporarily start off to con sPn
the system so the effluent won't !
{save the tank. No other tester on
die madwt can make thatclom? 4- & -
SCM.46 Kpe
7
PL-525 iV~ nt-Granee:
The PL-625 Effluent Fitter should _ - F
operate efficiently for several years
under normal conditions before
requiring cleaning. It is recom-
mended that the fitter be cleaned e
avary time the tank is pumped or a
at least every three years. If the s
installed fitter contains an optional 1
alarm, the owner will be notified
by an alarm when the fifter needs j r
servidrn 4. Servicing should he PAA~ ~vsasd~lecmr
F
done by a certified septic tank y { A„luns,fic shut-off
pumper or installer. g ~ ban wnmta
r is removed E
t. Locate the outlet of floe @ us-Plow* woasms4as
septic tank I SWtow
2-'Remove tank cover and pump -
tank if necessary. PC 525 Installation: 1. Locate the outlet of the
3. Do not use plumbing when septic tank
fitter is removed. Ideal for residential and com- 2 Remove the tank cover and
4. Pull PL-525 out of the housing. mercial waste flows up to pump tank it necessary-
5- Bose off fitter over the septic 10.000 Gallons Per Day (GPD). 3. Glue the fitter housing to the
tarok Make sure all solids fall 4' or 6' outlet pipe- If the
51ter is not centered under the
fade into septic tank access opening use a Polylok
6- Insert the filter cartridge back Extend & Lok or piece of pipe
into the housing making sure to center filter.
the filter is property aligned and 4. Insert the PL-4525 fitter into
oompleely inserted- its housing.
7- Replace seplictank cover. 5- Replace the septic tank coyer.
POWTS OWNER'S MANUAL & MANAGEMENT PLAN
FILE INFORMATION SYSTEM SPECIFICATIONS
Tank OSan:..(actu'er. f, -r L] NA
F rntG -
L~.Sept'c ❑ Dosr_ f ' I foldrg Volume:
DESIGN PARAMETERS I and t•:larutac ircr: O NA
NcmOCr o," RO[Irooms: - NA I-I SopLc Ll Dose ❑ Holding VOlllnle: (,.4a
R't.mbar o: Fub'ic Eaciiily lead's - - I-J h;Pc Veldczl Us tam- lank Bot:Orn(s) to Service fad: - rfill
- - - Estimated,averagsi FI0•,v (gnt'lnyi Fin:i4:ntai Dist:_n:;e lank(s)to Servitr-Pad: i?:)
-6r s- Vc.ing mechanics runs he provdm i` oerlical is -15 runt cr
I si:;n (peak) Flow = (rl-im tcd x 1 5)' (5?Irdaii If fix 7ontal is %150'oot. Specifir :nslrpciior to he prc:iacd on back.
In Stu Scil;lt pl. ~atcar It ;c J. (One. J,lyiti'• I -rt.. `cat Filhor haanufaoturcr.
IJ- NA
Starn'ard (Domesti(.) infmrntd ftlu2nt ;v7cnlhly a•,~ert;ge rftluent Fater.',1Odel: 5---
Fats. oil & I=rxuc (I-uui -:2n raga - - - -
5icchemicalOz••, it :enla:0 110D.) I'un:p tvlanufacturer.
r4 =220 cngiL ❑ NA NA
Fnta15_upmdcl Solids (I SS -:1 e0 mg;l P, Ittp Pvtodel:
H.ct: Strength Intluer.UEfiluent 61Onthiy avorage 14etreatner't llrit
(I-UC:1 *0 mgrL 6Aarufadurr~:
(RCD,) -2201ng:L \f NA [ NA
r c..a II I rn?ion Peat Fter
❑ ❑s: It i'in ❑ 01Wotlawl
11
I rat fw~~?ei [Fluent ;.oninly avr.ra9e LJ .:~.n 1 Rile: ❑ <:Ih-.
tiril At- -ton System
rc::z: Cu iron (geometric mean) e:10^ t In-(art:amd (g:avily) ❑ In-(around (pressare) ❑ NA
_ _ I ' i'L Qr.:d•~ 111."aura
(tlaximum L'fb:crr Part(cle Size Y,. in di.-I. ❑ N.A Cr:n h,, 1 at,ec
Other: .,:'.ca ----I I NA F-1 NIA
MAINTENANCE SCHEDULE
Service Event Service FrequOncy
Pum p out ccrl n c `t;;rkl.vj C7 "then ca r.h,1jeri and o tan ;.quals one limns (tJ cf tank wulun~e
l•-, 'n tl hic ~t etc o lann is a'Iv 3'ed
Insp L]-) c. condifu of taWsi I At least r n-, ,-era* - U rcih's)
r - r s) (Maximum 3 years) El .W1
Insoc,t des rsal cells A; IeaSl o .r.a e. J,.•^• r.xmlL(')
pe (Maximum 3 years) U NA
Chan cYlucn, alter I At,cast cnce every. - I- U Ni,
1~yva:(o) i,
F•spect puuro, pcmp controls & alarm At !east vnc:a (,very- LJ months) N
❑ n~nihjsl -
r:c si 'n orals and plessua:OS At lead on e e ry: - - [tiCt\A
❑>eIti
Cta r: A' les t J.:ce every: rr tlhi .1 I1 NA
J ) i l i
`l l
MAINTENANCE INSTRUCTIONS
Inspeclicrs of tanks acs soil ah;OrFiiOli s,'sle. ns .;t t be r scar by as 1 J viJ. u! , a -V I cr cd Jl~ 6aic„`lrl i i a_io, s:
tv`astcr Picmbcr, fofa5e: 1 iuru-lf:- Kartu'rd Sca;c- FO'otlfS Lr51 rc'rr. I (v\:TS haaintainr-r or L.cII n.) 3r- Ding Olt-ntnr ;.Fum(rr;
Tank k:spcctions mist include a usual :nSf;OCt:0n Of the tank(s) to idel),Fy a•y Missing 0r bmkrn ha;dv:a;c, ;dc.nhy any crests or leaks,
measure the v-Nurne of mmOinorl s'::dge and seem find a nhu?-k for any Lack up or pondir.g cf efiiue:rt or. Ifx gwund sulfaue. The soil
;-bso,ptirn syste.n shaft be visually insxctorl tO check the eftl::ent Ie c1l; in tee abservat'on Pipes and to rhmk for ary pondinrd of erluent
cn the ground s::racx`. The pnnding of of Lent 0n tto craned surface may indic:a!e a failinc cordi`_on and requires the immediate
notification of the local regulatory cut o,:`.><.
c:Qten the catubined aonum•Ilatlon of sl;rdge and ;;cum In any treatment tank equals one 'bird or more of the lark volurme, the enCre
corlents o,` the tack shall be removed by a Septacn Servior) ^peratof (purrs,--r) and dispr„ed o` in acco,darre v:ith chapter NR '(13,
Wisconsin Adnrinisti-mve Code.
All ether sei•dices, indiAd ,g bn not limited to the serd;clrg of rfflur:fit f-Iters, rnecci;anical or p:essuri/ed ccrfpor:e:aS, pretreatment emits,
and any servicing a? irtcrdals of -12 months, shat be palicrmnd by a cer,iGed FOY`t I S Nltrntainor.
A. service repo: t shad be pm'dirind tO tha :oval regulatory authority •,vit^i^ 30 days o.` ccntpletiun of arty ser,i~;e event.
crm.:I-OOe (02MS)
P.:ge 4 _ of _
START UP AND OPERATION
Lo; naev rrnsru~:;>n; pilot to use of the POV•JTS chock treatment tank(s) for (lie presence of painting products, soivonts c- other
the mica's or sediment that may irrprde the treatment process andror damage the sell absorption system. If high conceoUa'.ens are
da'--cted have the crrtentx of tte t.-nk(s) removed by a Septag:: Servicing Operator pumper) prior to use.
Purnp Tanks may ti 'I move normal hignvrater levels prior in startup or due to pump failures. Stilt up ur restoration of power under these
coed :bons is not n:cornet::cd'ed, as the excess wastewater will Lc dis::harted to tine soil absorption system :r one large dose causing an
overload Inat may rrsu in the bac<ip ca surface discharge o' o fluent and damage to the system. To avoid this situation have the
contents of the. pimp tank rerneved cy a Septage Servicing Oporafor (pumper) prior to restoring I)Wie, to the pump or contact a Plumber
or PO'0va"5 Maintainer to assist in marually opcraiing the pump cortrels until normal cll::nnt levels r.rr restored within the pump lark.
System start no shall no: occur when soil conditions are tm7en at `he infiltrative surface.
Do not drive or park vehicles over tarks cr the soil ibsorpi system. Do not drive or park over, Cr elhcr visc dlStLlrb or compact, the
area v:itl-in 'Iii feet down slope of any mound or -it grade soil absorption area.
Reduction or e i•niaatien of the fol c>Airg from tie •,71 strvrater %'ream may improve the pcr`ormance and prolong the life of the Irealmom
larks and sc' Jbsolphin system acids. an'bio-.icn baby v:ipes, Cig:relte h,,-1s, condoms, cotton swabs, degreasers, dental loss.
LI apor, di:;in ee:anta, fats, folmdation drain (sump pan(t) discharge f-uit a-d vegoiaiac peelirgs, gni. greases, herbicides, meat
scraps, me l cat'or•s. 00 painting produrs, pesticdes, sanitary narA rs, so'venis, tampons, and water ~oltenur brine discharge.
ABANDONMENT
'o°Jhnn the loav rs fails and/or is permanently taken out of service the follov ing :ceps shall be taken to insure that the system is properly
and safeP; abandoned it comp!ianco with s. Comm 83.33,'rViscsmsin A.drr.Aslralive Code:
• 1;11 pining to tarks, pits and ether soil absorpticn systems shat. be discocnected and tie abacduned pipe openings sealed.
• The ront•sta of all tanks and pets shall be removed and properly disposed of by a Septage Servicing Operator (pumper).
• P, .cl pumping, all tacks and pits shall he excavated and removed or th.n r cover removal and the void space filled with soil, -
g-aval or another inert solid :nate^al.
CONTINGENCY PLAN
It the PO;NTS f<'.ils and canrul be repaired the fu.lowing measures have bee:,. or must be taker:. to provide a code compliant
replacement systern.
A suilab'.e irplacrmrnt ;area i,as b^cr evaluated and may he utilized for the loci.+: en of c_ replacement sell absorption System-
- e rcozep.mcn` area shorld be protected from. disturbance and compaction and should not be infringed upon by ieyu'red
setbarks from oxi€ting and prrpnsed s~ uclure, .Lit lines and •mells. Failule to IAD.ecl the rep'acement area w11 resuit in the need
for -a new soil and s'.'o ovaluelicn to estzb'.:sh a suitable iepiacomcnt area. Iicptaccrnani systems must cxxTIPly with the rules in
cffnct at the time of lhe7 Permit issuaooe.
i ; A suitaLz feplaccriont area is net availab'e due to setback ancor soil imitations If the so] absorption system cannot be
rohab]italed and barring advarces in PO'd'd 1-8 technology, a rclding tan( may be installed as a'ast resort.
he s to has net been evaluated to idertiy a s,.rable replacemcnt area Upon failure of the POW I'S a soil and site evaluation
must be performed to locate a suilable replacement area. If no replacement area is available a holding tank may be installed as a
last resorto ropfac:o the failed POVVTS.
❑ facuhd and at-grada spa absorpticn systerTs may ho mronsCCCted in u'ace following removal of the b'omat at the infiltrative
surfaco. Nc,curslr=tensof . hsy,te,T m:jsternrIyeft`,!ii Iin cf'rcta'that :imo
WARNING
TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN t_IFF. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE. INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INS7 AI.LFR _ POWTS MAINTAINER
Phn•te' - Prone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name P a*ne . r
one Phone - }
I Iii., C."..rn=.'t vm, dl Lf']c I:y JFD I d _I-lq I dine lvlar;Nutty ',r J :'i u: h-ra rl:snty .'<Y„•A ti r.,ir'lalnry nqurw e; :r Ou01UIIri.Co ia& scdictc;
~u:nT727(l 1„f;I::(t~ ri.':S4j') n0lr;.. V',' ~r r: P•r trig Iu:;.:rr~_
c
START UP AND OPERATION
-u: sort cur's:: Prior tc use ct the f°CPJ•.''IS ::heck treacmert tanks` to the preserce u` painting ~rodu-s, solven-s or other
r-.c-nn,ils :;r srrt,ment the: may Impcce the treamient process and?Or calttacle the s:A absorption system. V high conzamrst'Ons are
ceteitec have the .^.Onter t5 d the tan.<{S; r^Tl ov ri JCD-.-ice is^JIang Onv'f:1to- iptimperl nor tc. use
I'trnP ta:!k' shay Ot abet e normal highwater levels pnc- So starup or duo to pump 'ailcres. Start up or rest:.-ation c` pod.-or urde- these
nCltmrS Is no-, reCOmiT CndCiJ as tnc excess wastcv;titer -Mll be CSChargec to Inc SO'd absorption cysccm i- one la•gc dose causing an
overlaid that may rCsalt in the bacc ip or sarface discharge O` eftaent and damage to the system. To avoid this sitAtion have the
::orients o. tilt cutup tan, rc-novrc by a Septagn S:^rvicinr. Ope-m.or (hamper; pno- to reste-np p::wer tc: the pump or oonta:'c a Plumber
f'~'J•; i S i;laintainer r.:1 assist is :naruolly )pc_-;rmg the ncmp controls i -ti! norrna effluent levels: are reslor c VAI141 the t:uctp tank..
cm sad no gall nO- cr:,,x ancr soil xnc'itirins am trcaer. at Vc iriaativo ^-urace
-..t crive or park vehiricfs ^.'ve- tanks o- :hc. soil aOSC-Oticn Systr7T Oc nO° dive or rark over, or Oth.^.reiso distur., cr enmpact. the
._2a within ^b feet dover ;;lane of anv rnt: me or at crane sc.. at:s::roiicn area.
t;~ducticn of el:n!inaiir' of tile followir?c; from t^.t • _ e:vate- stream rlay improve the perfcrrar::e alrl prulonc l're life of the ~reatment
f; k. ar j soil aLsor c n ..:star I. ack:e an`or.iirfs, Lair, -.apes, ciya et.e butts condoms, cotton swags, degreasers, dental floss.
.1:siers, disinfeotarts, fats, ?oundation drain ;surr:; ot:noi d:sc4:a ue., frai: and vecelab'e peeiings, gasoi!^a.. pleases. herb'.cides, meat
raus., me i! hors: III oa'oaing p:odcuts oe..li;:ces: sanity." napkins, solvents kmpors, and c-r sefte:e' arise cisc:arge.
ABANDONMENT
PC:'::•TS fails and;or Is, pe'n'. an2rdiv tarcer our r,<Se!Nice t-c fit:aaira stops sha:I xc taken to insu-i: that <hs svstnrr !s orope.-V
n:i °Ja y aLancontd 'n comp6ams v;ah. s. C^mrc .:1.,comv:n :'tdnimsi; aiiva Gone:
• llil pipi:;q is tan{:: piss arid other sei abso-plior sy:aerrs shal, be dis=nect5: and life abandoned p oe Openi^gs sealed.
• The contents of al. tanks and pits shall be removed and c;operly cisposad o' Ly a Stptage Seiv,uwg Operator (pumpari.
• :;f!er o.nnping, all :arks a°:d pits shat. be ex;:avactc and rerrlcvad or :heir covers tamo'oed slid the vole space nlled'•M.ih soil,
a.-a n or nnotnn, inc t sdirl matc:ia:'.
CONTINGENCY PLAN
a I-~.e P(AVI S fn: s nnc r;nn r. be ropaircd the mllom4ng monsures -Ave bear., Or must be taken, to provide a code compliant
! eo ace: r ec: svsten
s.liable reuiacmen; al ea has been evaP,:alec: anc may be cfliLad iol' the iralfar Of 2 replacel:tettt soil absorption sys~'xr..
Thc• repiecome 1. area should be pratectec frorl d.sL,flbanne ane+ compaetfon nrd shotid not :x: infringed uOOn by reaui-e-
celuac s fro-- exisnq acd propc=ed s`ructare, l:')-'ines and •.aeils. haiicr to prcteot the rtp.acement area veil iesult in the neec
o: a no-; soil anc site avalaallori to esiaL:ish a suitable !e'lacerlent aces. Raolacelnent s;rstems must compy m M the n:les in
efect a: the time o` icelr oemiit issuance.
❑ r. suttabe re;;tacarlent aria s nut avaaable Sue to salback acdtx soil urnrtxics. It t^e soil absorption system cannot Le
teiabilitated a:ic acing ad'oan In PO'; ?6 tachnoloay, a holdi hq tank mag be inslailea as a las resoR
1 ile sire has nc: teen evaluated is :con: fy a suftaole replacement a-ea. Upor failure o` t`'.e P9V%,TS a soil and site evaliation
mus; h nerformec w locate a suitable iei:acement area. It no : epiacemenl a'ea is ava':abie a noidrig tank rray OO inaml!ed as a
last res';od to rc:placc the tailed POVJ-
J Mound and at-q'ade soil ehsorp-.r.-. systems ray be reoxe.1ru::teJ is place folloe:ivy removal of the biomat at tilt infGi'.=Fa:
sur`ace. Rtcons:7u:.-.1r11_ cf s.fch syt::etr.t: rust cc•nP:}":'till the WleE if! e'fe:a a:Iflat S:le.
WARNING
IREA'fMENT TANKS, PUMP TANKS. AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER
If n- 7 Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL RFGU"TORY AUTI IORITY
Fhorr: ifi:-nr - _
Tn:'. ]rrcriert .:2s rriif~c t. h,, raafrt-.., f I :k;I !;1an,~ r.rl 1, F1 1.11 s;. I, ac :.t r._nrd ~ ,mL I
C', r i 7ifh 11'!1)af; ,n ..::'1;, ,-j,°:, . ; Ps!m:n! t at .oi,=_
ST. CROIN COUNTY
SEVI'IC I ANK MAIN I LNIN( I. A6Rli1':MI:N 1
\NI)
OWNLRSI IIP CLR'IILICA'I'ION I'ORM
(KnerAWycr-tws A6J~l kA_
Mail ingAddress
Property Address Z
1 -S
(VeriRwition icyuircd from Planning A•. Zoning Depatlmcnt t2m ncw•:r a<uuetionJ
Cily~!Slarc Parcel Identification Number-Aa^,~;
LEGAL DES( RIPTION
Property Location . git' i l , Seg.. /7 '1' j~ N IQ J' W Own ah__~t~~~i~Gela-- -
Subdivision Plat: Lot 4*
Certified Survey Map Y 16725b Volume ZJ: Page " -(0510 -3
N' arranty Deed q ! b72'106A!Vt - (before 2007)VoIutue - Page ii
Spec house l]yv~~~(((~to Ln:linc> idaaifiablex, c.d❑nn
SVSTENI NIAINTP.NANCF ANTI ONNNFR C'FRTII-ICAI'll ON
lotpioll:r cwo id 111.1:11 wince of Your. ,tic;ya.:n could resit bt is pr'n i lw1. Eli i111 r. I anclc waste. PI, 'per
: i.antena:n: cunsis:> of pumping ono the septic tank every Ih nn, m wan, ncc.ocd, by a Ir._.csc<I pamla. ha:: yob put in:o
the syslcm am WTI the fun:uion of the septic tank as n ucaoncnt stage in the w;iste. disposal .sy.,tcnt_ Owner maintenance
responsibiiit:cs are spe^il d in §S1'% +8434! ) and in Chapter 12 - St. Croix County Sanitary Ordinance.
*1 lie property uwuw agrees to snhmh to St. C'.roix (.unity Planning An luting I.Qwunct I u cu'+i!}nation `ore,rt d by the
owner ar:d by a ma:.tcr pfuntben lountegmur plumber, resirictoI idumho a licensed pumper, n t., r !L:1 I S the or-site
vcastet•:arer di,posal sy:stcru is in proper rpcratbw condiliou arid "or (0 aAn !infectAn and praM in if "a . j w Vic : y, : tail. s
less than I: In l! o sludge.
Uwa he uWavipmd have read the above rauircmcn s and a- rev to maintain the privat •ware I p .,al s:,::ri •sitL tan
stardards set lit-ih, hcrcin, as set by tic Department of Safety And ProtcssionaI Scrvices and the ? it, it of Nat.: iI t. ,.utr.ea.
Stale of Wisconsin. Certification stating WE your septic s; stmt has been maintained mint be c"Vkwd and mwnwd in the tit. ( wix
(.aunty I'lanaing h Z.or.ing Deparln ewil w•i'bin 10 day, of Ow Mice. year expiration date.
Iihva cr % thm ill mtements on rIJD1 gun arc true 5) the best of lny,`. ai knowledge. Iw airfare the owner(s) of the
property deNcnLcd above. by virtue. of a y dzd re-coided in Regist t o.I Dceds Ollwc.
Numher of hcdrnnms_ 2
IC N';\ Il'RE OF APPLICANT (S) I )A l P. -
th.n is misreprc. tinted may result in the sauilaq permit .&by r•..eukcd by the I'lam(r ; \ Zoning D-paan:utt. 14'
locladc wi:h dais apinianion a , cab-dcd warranlc deed 14um the Repkter of Deeds Oiiiec atd a cbay of [he certified survey map if
n-Rrens is mad: it tire tyarranty decd.
IR F.V. 04112)
CST-a~~~- 0~3
Vlis Dept of Safety and Professional SFVexs SOIL EVALUATION REPORT oago of
Ubis.. n n' Safety aM $u WNgs ~ _ -
--~.ordsnce with SPS 385, Ifil Adm. Code -
Coun'y St Croix
Attach romo4ete siplan on paper not loss than Fl 112 x 11 inches in size. Plan must
rldude, but not lioritert to: vertical and horizontal reference point (BM), chri :hon and parcel LD. r /r, o - -
oercent slope. scale or dimenswns, north arrow, and location and distance to nearest roan z - I D y 9 (i C - cc'-
Please print all information. Reviewed by Date
~nrsonal mtvntanon yw voivw' m:ry :+e uwJ Inc :.axm6i-I Pnrnosn; 1PIY3cy LAW, s. 15 04 (11(rel. _
Properly Owner property Location
Brandon and Ashlev Nierkl Nlf N11' I- 30 (or) W
GovL Lot 1%4 X74 S I N R
i Property Owners Mailing Addruss cot-g-
ot # Dock # Srdt. Name or CSM# ~
209 FINS] S'I I na CSN9 1f'/I vl' ~.C^r
city State 7ip Code Phone Numlxa ally _-E. Vroage n Nearest Road
L Somerset WI I 54015 I v- 100th St
I I 1 ic Ntr.~~C
(
❑
l' New Construction Use[:] Residential 1 Number of bedrooms 4 Code derived design flow rate GPD
Replaoement ❑ Pudic or commercial - Describe. na
i
I Parent material oum ash _ Flood Plain elevation if applicable na ft.
General comments Conventional Svstent. system elevation 97.75 11, 3 J5 If hcluw grade.Trenches spaced and depth lu code
and recommendations -
-z L' le, x,
~e
s'% -
Boring
Denny # Q Pit g Ground surface elev. 101.00 ft. ! J)JDepth to lammng factor 102 in. -
_ Soil lication Raw
Heinen Depth Dominant Color Redox Description l exlure Structure 'onsislencA Boundary Roots GP0111 '
in. Munsol Qu. St. Coal. Color Gr. Sz. Sh. fflll Fl#2
I 0-6 IOvr3./2 Nnnc sit 2nubk mh es If .6 1.0
6-27 IOyrTia N.a,c sicl 2nnsbk hilt - cs na q .6
3 27-37 7.5yr4:4 None ercos osg ml cs na 7 1.6
4 37-102 7.5vr4+6 N""c ns osg ratI na na .7 1.6
1.
2 ] ❑ Boring 101,(X) 102
Boring # ❑
pit Ground surface elev. Fl. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Rednx Description Texture Structure onsistenco 0oundary Roots GPD!ft '
in. Munsell Ou. Sz. Cent. Cdor Gr. Sz Sh. 111#1 O112
1 0-5 10yr3/2 Nitric sit 2nnshk Intl cs If .6 1.0
5-24 IOyA.A Nonc sic[ 2mshk mlF cs na .4 .fi
24-30 7.5yr4.A Nor, grcos osg ml es na .7 1.6
4 30-102 7.5yr4!6 Nonc rus osg ml na na .7 1.6
It
Effluent #1 = BOU > w <220 ino and TSS >30 < 150 mg1L E em #2 - ROD 30 mWI and TSS < 30 mgry
CST Name (Please Paul) - goatnre CST Nrxnber
Addle SS Date Evaluation Conducted Telephone Number
I/ Z%`/ /SG{~nSt a (~,t}LLvT. L"I g1'-Y7 -7dCI -C3 /7
rlndon and Ashley Mcrkt na 2
Property Owner R Parcel ID k Page of
Boring# ❑ Lonny 101?0 - 102
Pit Ground srtfacz elev. it Depth to limiting factor in.
_ Sell A ~ liration Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roofs GPD7R
in. Munsell Gu. Sv. Cont, Color Gr Sr Sh. ' -ff#1 V#2
#2
I M IOyr3+'2 Nonc sil 2msbk 2msbk cs If .6 1.2
2 R-" 111vr4r'4 None sicl 2msbk 2msbk cs na .4 .6
3 27-16 7.5yr4!4 Nuns - grcos osg nil cs na .7 1.6
4 36-102 7.5yr4.'6 None rns osg nil na na .7 1.6
Bonny # Boring
F-1
Pit Ground surface elev. It. Depth to limiting factor i^. Suit Application Rate
Homo Depth Dominant Color Re.dox Desrnnfinn Texture. Slmchne nsisloix:o Boundary Roots GPnift
in. Munsell Ou. Sz. Cons Colo Gr. Sz. Sk ff#1 ff#2
Boring # Btxinc, - -
1H Pit Gtoand surtacc elev. (l. Depth to limiting factor
Soil Applicafion Rate
Horizon Depth Dominant Cofer Redox Description Texture Structure ,onsistencx oundary Roots GPDtft .
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Mitt 'tf(42
Effluent #1 = SOD , > 30 <270 rnyL and TSS >30 < 150 mg;l. • Ff u*.r l #2 = BOU < 30 mgt and TSS < 30 my+l
I he flepl. ahSafely and Prot asional Service., is an equal oppurnmity service provider and employer. If you need asi iztanee to
ascss services or need material in an allemale Ibnnat. contact the deparlnient at 608-266-3151 or TTY through Relay.
STEEL'S SOIL SERVICE 3of3
David J. Steel Brandon and Ashley Merkt 1699 150th St
CST-POWTSM NEI/4,NW1!4,S17, 30N,R18W New Richmond W154017
Lic. Q48956 Town of Richmond. St. Croix Co Direct 715- 760-0347
Lot 1
This soil evaluation was conducted to satisly a zoning requirement, it may or may not be suitable lbr your use.
Legend N
I" -40'
- Benchmark Ele. 100.00 It
L [ l op of 3!4" White Plastic pipe
• - It Benchmark El 100.20 ft
Top of 3,`4" While plastic pipe
0 Borings
Boring Elevations
B1 - 101.00 11
BZ 101.00 ft
113 - 101.20 It
` `rr B4 - 0.00 It
7y
i
i
dr<
r ` f ~