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HomeMy WebLinkAbout008-1015-10-075 § j 2 / ® 0 ° L \ L.- / k$ � § /)f) R E� ■2 � « }$ @n \ 7 S a . a) a \4) A T 0 LL , e c § 2 7 E \\0 \} § n � \ \ k § / L (L m \ $ P 7 \ { C 7 In m .� \ � 3 � Q \ ) z z \ . C) k £ CL 2 • 2 & \ § o a a ƒ f z } ( � / ƒ ƒ \ \ 0 0 0 a a o f CL . 2 0 E 2 n n & 2 q \ § k § \ _ CD r c k& f a\ ) 2 § e § \ § \ \§ ) #f0 )° - c 7 LO C14 co \ 2@§ (D E m � \ ® § \ / k \ \ § § _a 6 = ;= r ; m , c @ © 2 k) d % i /) E f) a/ CO g G[ f R o m m E a -� o o w r a* o z_= w$ ■ � o 2 % k C t uIL CL , c o /CL k ) I ST. CROIX COUNTY WISCONSIN ZONING OFFICE ■ w r • rn�� ST. CROIX COUNTY GOVERNMENT CENTER \� 1101 Carmichael Road ' Hudson, WI 54016 -7710 r fi (715) 386 -4680 FAX (715) 386 -4686 NOTICE OF VIOLATION May 18, 2003 GEORGE &c DORIS BIRKETT 2293 55 AVE. BALDWIN, WI 54002 RE: Failing septic system at 2293 55 Ave. Town of Eau Galle - St. Croix County, WI Computer # 008 - 1015- 10- 000(part of) Parcel # pending for individual lot (Lot #4 of CSM v. 17/p4563) Dear Mr./Mrs. Birkett: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category 1). This violation was first noted on 05/18/03. The violation noted is septic effluent discharging to zones of saturation. An on -site inspection on 05/18/03 did reveal the septic effluent discharging to the zones of saturation. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 05/18/03 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By July 01, 2003„ contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and it's location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than October 1, 2002. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Sin ely, e ' au Zoning Specialist cc: file Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 430394 l GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Birkett, George Eau Galle Township 008 - 1015 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range /Map No: 1 00 - D _5 A �Y 05.28.1637A TANK INFORMATION tLtVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark L b(� O •O 8 101. os Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet z_ e@ A ivo F]�j� II,Sb 54.58 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / Septic Dt Bottom fib' ��' I' �/� hettau +a «'- Dosing Header /Man. S • 1 Z ,j • (p �p W Aeration Bis��ipe- o s� 5 �•� g 5s.� Holding SoLrSysterrr 2 5.y B 1,51(0-0 q Final Grade y ;3 PUMP /SIPHON INFORMATION �.slvc 4�,7 2 t Manufacturer Demand St Cover b GPM �.(o Model Number C L p I q $ 3 + kA 8�8 93. TDH Lift Friction Loss System Head TDH Ft 1, 3 (".5 M 8 17• l P o8 93 , o Forcemain Length Dia. . Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Tr rcWe - C F = j PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEAC G Man eturer: INFORMATION CHA ER OR T� e Of Sys r 0 li t f f / / UNIT odel Number DISTRIBUTION SYSTEM J x 3 Header /Manifold Distribution X a-- x Hole Size t „ rpacing Vent to Air Intake / �/ Pipe(s) / I i ff 31 1 Length_ 1_ Dia Length Dia i Spacing !� I SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of Bed/Trench Center Bed/Trench Edges Yes ( No ] Yes 7 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:18 / Inspection #2: 1 / b 1 / 0 Location: 2293 55th Avenue Baldwin, WI 54002 (NE 1/4 SE 1/4 5 T28N R16W) NA Lot 4 i qh � Parcel No: 05.28.16.77A 1.) Alt BM Description = + 1 o rim °i` /"Oros �� � 2.) Bldg sewer length �/, V� / - amount of cover 41N ti v - �� -ti e �� t oy t ; Plan revision Required? [ Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Cert. No. Insepctor's Signature J Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST CROIX SCD�SI �. Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 g303 q Sanitary Permit Applicat12 RECEIVE Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inform o you provide TR S . I D may be used for secondary purposes Privacy Law, s15.04( (m) S E P Proje t Address (if different than mailing address) I. Application Information - Please Print All Information ST. 'F` 0 'x C Property Owner's Na me " ', O'FFIC'E Par I k Block IF GEORGE BIRKETT oo Property Owner's M ailing Address roperty tion rl�� 2293 55TH AVENUE NE SE u,Section 5 City, State Zip Code Phone Number BALDWIN, WI 54002 715/684 -2911 (circle one) II. Type of Building (check all that apply) 1 T - N; R _L6_ E or Fl 1 or 2 Family Dwelling - Number of Bedrooms N l� ,( �� L/ I��� Subdivision Name CSM Number ❑ Public/Commercial - Describe Use j, a 1 7 S'S ❑ State Owned -Describe Use YST Lc- sz lJh .3 ❑City_ ❑Village ownship of EAU GALL III. Type of Permit: (Check onl one box on line A. Complete line B if applicable) A. ❑ New System Replacement System Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. C1 Permit Renewal ❑ Permt 11 Change of El Permit Transfer to New List Previous Permit Number and Date issued Before Expiration Plumber Owner cola, IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ® Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter El Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter Aerobic Treatment Unit ❑Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Applicatn Rate(gpdsf) Dispersal Area Required (s Dispersal Are Proposed (sf) System Elevation 450 1. 1 /'4'u- 450 �)' 450 DySs � VI. Tank Info Capacity in Total Number Manufacturer 4 Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X Aerobic Treatment Unit Dosing Chamber 600 600 1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) ; lu is Si gnatur MP /MPRS Number Business Phone Number BENNIE HELGESON 220292 715/772 -3278 Plumber's Addre ss (Street, City, State, Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. Po unt /De artment Use Onl pproved ❑ Disapproved Sanitary Permit Fee (includes Groundwater D Issu uing Age igna ( S ) Surcharge Fee) ❑ Owner Given Reason for Denial �^ t i pprovaUReasons for Disapproval .3 ce_Kd� V;h 1 S J X 1/` y /,� /a3> Septic tank, ee luenl-filter and awo$ •�3,57� �. wel;6h dispersal cell must all be serviced / maintained C. s per management plan provided by plumber, � �it� C�y�t�, .�3 3 3 II setback requirements must be maintained l% /a per applica le code/ordinances, � rwvh 73• Attach complete plans (to the County only) for the system on paper not less th ut 81/2 x 11 inches in size SBD -6398 (R. 01/03) f I r6 c. p CL 5 ° p t° 93.o v ft -$ 1U o O 0 ¢o U 7 n (A1 I U. z a L - f SAFETY & BUILDINGS DIVISION 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 www.commerce.state.wi.us /sb isconsin Jim Doyle, Governor Department of Commerce Cory L . Nettles, Secretary September 15, 2003 CUST ID No. 220292 ATTIC• Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 L/ 7 d CONDITIONAL APPROVAL Ientification Numbers PLAN APPROVAL EXPIRES: 09/15/2005 Transaction ID No. 906117 Site ID No. 664734 SITE: George Birkett Residence Please refer t ©both dent ica. 4 —umbers, Town of Eau Galle, St Croix County above, in all correspondence with the NE 1/4, SE 1/4, S5, T28N, R16W Lot: 4 FOR: Object Type: POWTS 450 gpd Mound System Regulated Object ID No.: 919988 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative 'f Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of e S explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall tenrunate above finished grade with a watertight cover. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Leroy G. J sky, W ewater Spe ' ist Integrated Services Bureau WM`t eod; (715) 726 -2544 Voice (715) 726 -2549 Fax Ijansky@commerce.state.wi.us cc: Leroy G. Jansky, Wastewater Specialist INDEX SHEET i RECEIVED PROPERTY OWNER: GEORGE BIRKETT 2293 55TH AVENUE AUG 2 7 2003 BALDWIN, WI 54002 SAFETY & BLDGS DIV. PROJECT NAME: GEORGE BIRKETT PROJECT LOCATION: NE 1/4, SE 1/4, S 5, T 28 N, R 16 W MUNICIPALITY: TOWN OF EAU GALLE COUNTY: ST CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- Pgw?j) MOUND COMPONENT MANUAL SBD- 10572 -P (t6d1jdi 1o ratrj V I � APfji D DEPARTMENT OF COMMERCE CONTENTS: DIVISI OF SAFETY AND BUILDINGS Page 1: Plot Plan E CO RESP - DENCfif%/ Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section & Specifications Page 5: WLP1000 /600 -MR Zable Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 i Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 c� Name: Bennie Helgeson Signed Address: W1229 770th Avenue Spring Valley, WI 54767 r r 9 0 Credential Number: 220292 Date: August 26, 2004 v O v H s � V) 4 IV) O O o � 4 � c� o Cl-) ` M �^ �n o S y o m S � S � � r )�1�� ; �eo�G e �ic k�T ► page oZ Of S I Synthetic Covering t,,_„ ens- 3 , Distribution Pipe Sand �t`' .09 H s G Topsoil F c —� 1 ii D 3 E It u 14 y % Slope. Cc11 Of 2 2 %2 Force Main Plowed Aggregate From Pump Layer D Q Ft. Cross Section Of A Mound System Using E I) -3� A Bed For The Absorption Area F •79 Ft. G , 5 Ft. A �_ Ft. H �_ Ft. Signed: B Ft. License Number: K / /,9/ Ft. Date: L 73.9 Ft. �5 d %,g_ Ft. T r� Ft. Force Mai n W Ft. L Observation Pipe A I-- - -- °---------- - - - - -- ------------------ - - - -•I o L (I Distribution dell Of Pipe Aggregate I Observation Pipe C lc4,1 1 W,4k �}ccrs,s Box. i Plan View Of Mound Using A Cell For The Absorption Area Parforolad ripe Oaloll A e 5 C . � Ectvt Ck-� End Vlew Perforoled —/ . o` PVC Pipe e �f'GIV\ Oy- �lp Holes Located on Bottom �> are Equally Spaced S PVC Force •A1oin From Pump ' i P PVC ✓ /�/ 6lonll0ld Pipe e IE'Ga tOc�7� "" Oislrlbullon..• Plpr Distribution Pipe Layo P ay l R .-. S 3' X a' Y 1 Signed: Hole Diameter S' Inch Lateral " Inch (es) License Number: Manifold " 'Z Inches Dace: Force Main " _ Inches T,OVF-R�T 9519 Ho I4s pet✓ 1 ro +,t,, k >u L. "c �- 7 �f Noye Page 4 Of SEPTIC TANK PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS I 4" .PLK - .VENT PIPE 12" MIN. ABOVE GRADE 6 JUN CTION WEA THERPROOF APPROVED >_ 25' FROM DOOR, WINDOW OR FRESH AIR INTAKE WITH CONDUIT W1NPAD CO PADLOCK Foc.Kok � �--- -- WARNING LABEL FINISHE D GRADE 9S 4" MIN. `VVV 2y" 4 UP6E9,W+(-'onl S.D. u 18" IN. PIP ':�� �g nn�N• INLET I WATER TIGHT SEALS GAS - T TIGHT /APPROVED A SEAL JOINTS WITH FILTER I _ 1 . ALM APPROVED PIPE APPROVED 2A J3VE B ON 3' ONTO plpE 3' �O "x�c," — F - " , SOLID SOIL ONTO SOLID C I ' SOIL PUMP OFF ELEV . D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS C SEPTIC / DOSE TANK MANUFACTURER: �112S�t- TANK SIZES: SEPTIC �==_— GAL. DOSE VOLUME FLOWBACK: S GAL. DOSE ( GAL. � � CAPACITIES: A = I S INCHES = 30l GAL. ALARM MANUFACTURER: �p S e .. MODEL NUMBER: g = 2 INCHES = �'� GAL. SWITCH TYPE: c - cu-lr �cx� PUMP MANUFACTURER: �t'Xl � C = INCHES = � �C� GAL. MODEL NUMBER: D = /U INCHES = ! SWITCH TYPE: /1/1r�'«` REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR 16 .23 WAC �• � VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET 1.48 FEET (6 •S' + MINIMUM NETWORK SUPPLY PRESSURE . . • FEETI•113 + �j'� FEET FORCEMAIN X /100 FT. FRICTION FACTOR FEET' —�--- TOTAL DYNAMIC HEAD = 17-41 INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER LIQUID 5rP 6 6 .75"6 -a1. 4 L I k) SIGNED: LICENSE NUMBER: DATE: 1/88 • a � i �- M u 0 0 y rn w ti 10 wD � tea\ I- Z N w V �• 00 ZZ a �� �U O L- t J J V J J a O w I N �a w J Ww 00 j x00 cn0 > 4 v m o I Lr_ p fn o0 c0 t l_J J Q _� NU fna Qw ao n O m W �D�OdMM mww Z trc ` a.� r N •- HI Nt �j r W�y W�� `•' Mr �• -- �J ?- F2 JZ In f7 �.. ap2� �Z� U fn y CL !� Z p � F -� Za Q Z �� Q 1 C7 3momxx * MM a�rc� ¢ � o z - z J „zt d z e -- - - - - -- --- - - - - -- '•i I � ..8t W n I 5 s 11J a I x I ^ / LL Imo! ♦J U � •n I I 1 ks \`� '� �� -------- w ... .t►B a „62 i 4 „9S i 3 718 6 1 4 HEAD CAPACITY CURVE w MODEL 98 4 s/s - W I _ 25 I i ® 3 5/8 6 20 ° 0 W = 4 3/16 15 � e < 4 Z 0 a 10 1 1/2 -11 1/2 NPT i o 2 5 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS 0 80 160 240 009971 12 FLOW PER MINUTE 4 3/16 SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available • Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. Standard all models - Weight 39 lbs. - % H.P. SELECTION GUIDE 98 Series Control Selection 1. Integral float operated 2 -pole mechanical switch, no external control required. Model Volts -Ph Mode Amps Simplex Duplex 2. Single piggyback variable level float switch or double piggyback variable level, M98 115 1 Auto 9.4 1 — float switch. Refer to FMO477. N98 115 1 Non 9.4 2 3 or 4 & 5 3. Mechanical alternator 10-0072 or 10-0075. D98 230 1 Auto 4.7 1 — 4. See FM0712, for correct model of Electrical Aitemator. E98 230 1 Non 4.7 2 3 or 4 & 5 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qualified FM0477; Electrical Altemator, FM0486; Mechanical Alternator, FMO495; Sump/Sewage Basins, FMO487; licensed electrician. All electrical and safety codes should be followed Including the most Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Z Louisville, KY 40156-0347 urers o f, , SHIP TO. 3649 Cane Run Road o LouisvNe, KY 40111 -1961 r rr QZW.'W SAl /939 PUMP !O. (501) 778.2731.1(800) 928 -PUMP http.lAvww.zoeller.com FAX(502) 0 Copyright 2001 Zoeller Co. All rights reserved. ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page L of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County , al Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and P I D e S r percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q r � Date Please psi rdfor formation. R lowed by Personal inforrnaUon you provide may be u s c Law, t. 15.04 (1) (m)) , Property Owner Property Locatio Govt. Lot �,E 1/4 5F1/4 S TQ g N R E (or) Q� Property O r s Mailing Address Lot # Block # Subd. Name or CSM# R_ 3 Ue ! 3 — City State Zip I I' VINO, , ' 1 ❑ City ❑ village 21own Nearest Road l Fn <, s-�� Aue. (�� car ytx� ❑ New Construction Use: 0 Residential / Number of bedrooms _ Code derived design flow rate </S o GIRD 9<epiacement El or commercial - Describe: % Parent material i t''' A� Fy' +i l Flood Plain elevation if applicable General comments S k 7 ut Je� and recommendations: Cql5 'e- aw Co'�_+6 93 S1 S A" , 15Ze�. 1 [] Boring ❑ Boring # �� D e pth to limiting factor — i G n. l `T Pit Ground surface elev. 9� 7 ft. P 9 Soil Application Rate Horizon Depth Dominant Color Redox Descri Consence ption Texture Structure ist Boundary PD Roots •Eff#1 OEM in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. /0 Q � I n 7 - Oy o cap yg SL iJ� a Boring # Boring b l Pit Ground surface elev. "r ft. Depth to limiting factor _� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E GPD E1f#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. vv 0 s r n l � � , s , 9 II IC) �itf Sr t I C 1 Effluent #1 = BOD > 30 _< 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BOD _< 30 mg/L and TSS <_ 30 mg/L CST CST I me (Please Pd&Lt50 Signature d �urrtuet ate Evaluation Conducted Telephone Numb Address er 7 ;t,) A 0, 6 2 _ _ �y7 7 f. Page : �) of 3. . Property Owner eo e- i� e Parcel ID # Boring in, 51 Boring # i �, �✓ h, Depth to limiting factor Soil icatlon Rate pit Ground surface elev. ��� GPD/ff Texture Swcture Consistence Boundary Roots Horizon Depth Dominant Color Redox Description •Eff#1 1 0#2 Qu. Sz. Cont. Color Gr. Sz. Sh. in. Munsell 7770 f l.J 1, , l �r (o -a Jc�Y1Z � �s oy su s C Borin S _ Boring # � 9 � in. Soil lication Rate Depth to limiting factor Pit Ground surface elev. ft GP ad n De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#1 'Eff#2 Horizon P . Sh. in. Munsell Qu. Sz. Cont. Color Gr. Sz / O - ,4 - '' V T V✓1 ��' W f , t1 i c 3 l i i a loYi2 s� � S -� G F1 Boring f Boring # Ground surface elev. ___�� n• Depth to limiting � factor — in. Soil lication Rate a S Pit GPD/tf v Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E 'E � Qu. Sz. Cont. Color Gr. Sz. Sh. I I u 1 in. Munsell S - a �� l0Y/z 'N t 7, ST sr �� 3P 3a $CL dry t D Effluent #1 = BOD > 30 1220 mg/L and TSS >30 150 mg/L Effluent #2 = BOD 5 3o mg/L and TSS _S 30 mg/L The De artment of Commerce is an equal opportunity service provider and employer. If y need TTYtance t acce . Services or need material in an alternate forma t , please lease contact the department at 608 SUD•S330 (K-6100) I � � .z 4 � o r � q d �u � s �a u n ti y x � fl ° Q o a d 14 r e 0%, - - - L � cr7 �1 v ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r e f� I AI Mailing Address as " �5'�5 u. of Cv r` Property Address aR a 9 3 �� Avg cc (Verification required from Plaiuiing Department for new construction) City /State Parcel Identification Number 0 LEGAL DESCRIPTION Property Location /Yt� `/4, `` /+, Sec. 5 , T _ 25 N - l to W, Town of Subdivision , Lot # Certified Survey Map # z 7 , Volume , Page # - Warranty Deed # 7 S� $ ` , Volume ,3 Y g , Page # S3 Spec house ❑ yes eno Lot lines identifiable 11 yes 0 SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of $ludge• I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. CertifKatiOn stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNA OF�PLICANT DATE OWNER CE �� RTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner($) Of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE 9F APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** `* Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pago 7 of 8 FILE INFORMATION SYSTEM SPECIFICATIONS Owner GEORGE B RKETT Septic Tank Capacity 1000 al O NA Permit # ?, 3 Septic Tank Manufacturer WIESER CONCRETED NA DESIGN PARAMETERS Effluent Filter Manufacturer ZABEL D.NA Number of Bedrooms 3 0 NA Effluent Filter Model A -100 12X 20'" D NA Number of Commercial Units ( NA Pump Tank Capacity 600 gal Q NA Estimated flow (average) 300 gal/day Pump Tank Manufacturer WIESER CONCRETED NA Desi 9 n now (peak), (Estimated x 1.5) 450 gal/day . Pump Manufacturer ZOELLER PUf IP CCD NA Soil Application Rate .5 gaVday1ft Pump Model 98 Q NA Influent/Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L O Sand/Qravel Filter O Peat Filter Biochemical Oxygen Demand (BOD x220 mg/L 0 Mechanical Aeration O Wetland Total Suspended Solids R SS) 5150 mg/L M Disinfection t7 Other. Manufacturer Pretreated Effluent Quality i�NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg/L O in- ground (gravity) D in -ground (pressufW) Total Suspended Solids (TSS) 530 mg1L O At -grade laMound' Fecal Coliform (geometric mean) 510' ofuf100mi 0 Drip-line 0 Other. M Effluent Particle Size Y. Inch diameter • Values typical for domestic (non- oonvnerdal) W"ttwatar aAnd septic tank effluent. •+ Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every 2 0 months Wear(s) (Maximum 3 yrs.) Pump out contents of tank(s) . When combined sludge and scum equals one -third (i3) of tank volume Inspect dispersal cell(s) At least once every 2 O months Wear(s) (Maximum 3 yrs.) Clean effluent filter At least once every 3 months . O year(s) Inspect'pump, pump controls & alarm At least once every i 3 )p months 0 year(s) 0 NA Flush laterals and pressure test At least once every 3 0 months %Iyear(s) 0 NA Other. At least once every 0 months 0 year(s) O NA Other. At least once every 0 months 0 year(s) D NA MAINTENANCE INSTRUCTIONS . Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer POWTS Inspector, POWTS Maintainer Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. OWNER: GEORGE BIRKETT Page 8 of,,8 System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one. large dose, overloading the cefl(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss ;'diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDOAMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction.and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and/or soil limitations. Barring advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locale a suitable replacement area. if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. 12 Mound and at -grade soil absorption systems may be reconstructed In place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules In effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /0R INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name JOHNSON SANITATION Phone 715/772 -3278 -Phone 715/273 -5811 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name JOHNSON SANITATION Agency ST CROIX COUNT ZONING Phone 715/273 -5811 Phone 715/386 -4680 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This docwnent meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. G W (2001) QUIT CLAIM DEED— (Former Statutory Form) '3 _ _ ` STATE OF WISCONSIN Miller - Dada Co., Mi D l : 1 1G Form No. 13 -W �C jig kbenture, Made by _ .Minnie Olson, a widow, and the surviving wife of Conrad B. Olson. , also known as Conrad Olson, deceased, ..... . .. ..........__ grantor__., of .......... S .. t. Croix County, Wiaonnatn, hereby _ _.. . quit t, L. Birkett and Doris Birkett, husband and wife, as joint tenants, - .grantee$_, of t. Croix . County, F/isconsin, for the .. sum, of One Dollar ($1.00) -------- ---------=------------------- ... _. - ----- - - - - -- ............... the folloruing tract of larul in _ St. _Croix .._ . _ County, State, of I7'tiscon8in: Northwest Quarter of Southwest Quarter (NW-1 of SW4 of Section Four (4), and the Northeast Quarter of Southeast Quarter (NE4 of SE-- of Section Five (5), all in Township T ,enty -eight (28) North, of Range Sixteen (16) West, St. Croix County, Wisconsin. _4" r? '1 OFFICF, ST ('TWIX *n lWitness Wherraf, The said j'runtor has hereunto set _ her hand - -anal .ceal___tlris 9th —_ -- - - -- - -- — day o f - - -- M SIGNED AND SEALED IN PRESENCE OF ZyIinnie Olson :- arold D. -Ols - - - - -- r _- �_ L. J. S oeyenb-)s State of Wisronsin, � � SL_.- Croix s . - -- -- Cou n t l) t' <rsonally came before me, this __ -- - 9t h Ma -- — -day of - - - -- Y - .4. D. 19_5`}___, the abor•e named — _ Mingie Olson, a widow, and th surviving wif of Con rad B. Olson , al .s known as Conrad Olson deceased `t6`Yne kn -own to IV - the Ifersma __uTen exeert'tCa tnr. fort, koi* - instrichrent (I7id ar n , same. _ .H�ffon Notary Public ,_ -- �t..Sr oix _County, Wia. MY commission expires RQ�t ?4 A. D. 19 F 1 aTypewrnte Nome under each Signature r' '', 349 PAH 53 I .�� ST. CROIX COUNTY WISCONSIN ZONIM OFF =CE ST. CROIX COUNTY GOVERNMENT CENTER \� 1101 Carmichael Road y---- Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 I NOTICE OF VIOLATION May 18, 2003 GEORGE & DORIS BIRKETT 2293 55 AVE. BALDWIN, WI 54002 i RE: Failing septic system at 2293 55 Ave. Town of Eau Galle - St. Croix County, WI Computer # 008 - 1015- 10 -000(part of) Parcel # pending for individual lot (Lot #4 of CSM v. 17/p4563) Dear Mr./Mrs. Birkett: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category 1). This violation was first noted on 05/18/03. The violation noted is septic effluent discharging to zones of saturation. An on -site inspection on 05/18/03 did reveal the septic effluent discharging to the zones of saturation. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 05/18/03 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By July 01, 2003„ contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and its location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than October 1, 2002. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Sin ely, i e ' au Zoning Specialist cc: file I i• 729765 VOL 17 PAGE 4563 KATKEEN H. WIEW -- REGISTER OF DEEDS ST. CROIX CO. NI RECEIVE FOR ECORD 07/11/2003 08:45AN CERTIFIED SURVEY MAP KLU CERTIFIED SURVEY MAP COGESFEE: 4.00 George and Doris Birkett Located in part of the Northeast Y4 of the Southeast Y4 of Section S, APPROVED Township 28 North, Range 16 West, Town of Eau Galle, Plann7ns - CRO„ a COU m itt ee St. Croix County, Wisconsin. D.O.T. Approval No. 55- 94- 3624 -2002 JUL 0 8 2003 N LEGEND It not recorded within 30 days of approval date approval Shall be BEARAW ARE REFEREWO TO rxilf and void THEEAST- WBT114SECMN o INDICATES 2.375 O.D. x 1$ "IRON LAVE OFSECWN 6, T n4 R 10 W, PIPE SET (MIN. WE - 3.65 LBA.F.) ASSUME° AS N 80'5171• W. • INDICATES 1' IRON PIPE FOUND 0 SECTION CORNER MONUMENT (AS NOTED) SCALE W FEET 1 INDICATES FENCELAVE 1 1 =) � RECORDED AS 2 (R UNPAEAND UIVPLATTED LANDS L TTD LANDS OWNED BY_0T_HER_S I (R = N 88 W 5252.807 (OWNED BY OTHERS) (R e N 86 W 393 T_N 89'51'31" W 5252.41' - - - - - -- -- ---- - - - - -- N 89'5 1-9 - — ._f = S 88' 47'10•E) — — — — (R = N 88 4 Y� - _ _ S 89 °51'31" E 971.46' _N 89'51 w 342 _ `_ c _ EAST - WEST 11 SEC — — — — — Z? 31.1 ' WEST 114 CORNER S 89 °31'39" E 968.14' �— SECTION 5, T 28 N, /.� ?S c fl� - EAST 114 CORNER R 18 W (FOUND 3(4' ?� o POLE i �s� o SECTION A T28 N, R 18 W O.D. IRON BAR) SHED WELL 6$ .- (FOUND CONCRETE RK NAIL) O -- -- ____ -- _ COUNTY SETBACK LINE I DWELUNG - - -__. ---------- ---------------- -- - ----- --- DRMJY. •-, O SEPTIC - D APPROVAL NO. 55 -94 -3624 -2002 AREA LOT 3 0 GARAGE M e: U CO). CERTIFIED LOT 41ED SHED m 3 zI 0. CONTAINS 902,188 SQ. FT. OR 20.711 AC. > -. SURVEY C14 (874,843 SQ. FT. OR 20.084 AC, o o EXCLUDING TOWN ROAD RIGHT OF WAY) ; MAP Vj VOLUME 13 OWNER'S ADDRESS 2293 55TH AVENUE PAGE 3619 z :t BALDWIN, WI 54002 np • LAURENCE ••• • N x5°09 400 E W. MURPHY . * • S 171 : * DATED 255.35 M OWNED BY - --- - - -_ -- EA a DECEMBER 4,2W2 C-4 ALLS, ; ' 1 0 LU OTHERS) z `�'r. wt• .•'� -►�' C OT10p �pj�:V y f SETBACKI MEN STR1Cn�S t o.rio PROHIBI TS. SEE SHEET 3. ------------------ CKLINE - - - --- �- -- --- -- °- °' N SE CORNER STAIE HIGHWAY AND COUNTY SETSA --------------------- --- -- - - -- -- - ACCESS - X 1 -� C.S.M. LOT 3 -- - -- " - - -- ° ° " f�I 1151 .5x' O4TERSTATE H&G WAY'94' --i-"' OF WAY $ x5 LINE 0940 < NORTHERLY RIGHT va v UJIz t m Cr- E EAST BOUND LANE — cn I I --► J UNPLATTED LANDS — --- ---_ = - - f - - - - - - - ------ - - - - - - - - - , (OWNED BY OTHERS) I THIS INSTRUMENT DRAFTED I BY JERALD L LARSON SHEET 10F 3 VOL. 17 PA 4563