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HomeMy WebLinkAbout191-1020-20-000 0 N! o 0 tv LO 0. m �s c m o m m a 0 00 o �� m '< O • < C CD U) CD N N C {D O' N A° CD (0 0 M '@ > O — O 0 A 0 0 0 O N CD (n j N O O r C n O t0 A (D O ( O O y 7 I O � CD O m �n v D m a 0 m a a u, a a W cl N ° 0 S N O L O O N O Z N N C O O < O C ° m " w rr a_ I a v v .°: • ? o m m e ° m V N ,D ,. c� n m Q 3 m c y N CD p Z O Z Z I O I N° D D o o =" 2 C ! N 0 Gt (D N a N O • 3 7 N W c m CD CD 0 0• 3 C5 > (D 00 i5 wCD c• Z 0 C 7 cn -1 W W 'D RI N Vt C D � Z co ° 3 : °< o': �� y a Z 7 N 4 W I v c a a CD I C I I ! o I � N p p 00 A o ? < b b I En O + p ti pe�rfrn ' c eroe PRIVATE SEWAGE SYSTEM C ounty: �Buildwtps Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: P*=W WOMMIJOn You Provice may be used for secondary purpow IPdvaw Low. 9.15.04 (1xm)). nt Holder Name: City El village own o : State Plan 10 No.: eve Village of Wilson Insp. BM Elev.: 16M Description: Parcel Tax No.: /J - `e TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic & _4 e �v� Benchmark `, 10L Z ho d Dosing o� 3 �oS' Bldg. Sewe Ef, 1ng St Ht inlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ventto ROAD Ot 1 Air Intake Septic -> /60 30 NA Dt Bottom t3.2C% ZJ Dosing >/00/ 3 8 / NA Header / Man. S Q A Dist Pipe f 0 Holdi sot. System PUMP/ SIPHON INFORMATION t7 Final Grade 5 3 l0 3. Manufacturer r ` mand St eeyef Model Number 1 3(0 GPM s'' o 3 ve✓ r Friction S tem 1 D TOH Lift C� 2 , d 5 TDH I c SFt ( �V c✓ 3. D 14 Forc Length 77 Dia.Z Dist. To well SOIL ABSORPTION SYSTEM ly 3 601 ® �,.. �a O,o o ,;o� 4 4 BED / TRENCH width / Lecqtp / N Of r T xh PIT No. Of Pits Inside Dia. uid Depth DIMENSIONS DIMEUSU)NS SYSTEM TO P/L BLDG WELL LAKE /STREAM CHI an adurer: SETBACK INFORMATION Type CH Model Num r System: �2 o t / $� UNIT DISTRIBUTION SYSTEM laoarlt Read Manifold Distribution Pipe(s) ? r/ r x Hole Size x Hole Spacing vent To Air Intake Length Z i Dia. �_ length " Dia_ Spacing Z �i I SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ t ❑ Yes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) QS P 4 Inspection #1: L /2 IDI Inspection #2: I I Location: 290 Old Hwy 12, Wils WI 54027 ( 1/4 SW 114 35 T29N R1 5W) - 352915121 1.) Alt BM Description = qa���� �''aa° a� cfoav %I e �p��OCS air. d, �krv_y Covers (werc 2.) Bldg sewer length = ► $ �`k spa A s amount of cover = �g 6) de pP✓ ? p rv' P �wwAcr S S f� wQs 3.) contour - S $ = j y�,p� u,r�be✓ %r.l� t�s�all �(e au, alc,� r �� Sewer- 5J. Plan revision required? [3 Yes [I No Use other side for additional information. _j SOD -6710 (8.3/97) Date Inspector's Signature Cert. No. r p� La IQ�� fee jra � f c1NSe ��_I 5 °J Ow 21 - W o r w I 0� c x ^ N D� lot Yew J I Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ITISeansin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. Coun� o 1 State Sani Pe it Number ❑ Check if revision to previous application State Plan 1. D. Number 1 X 9 - 3 % n I. Application Information - Please Print all Information Location: Property Owner Name Property Location --� 1/4,1/4, S3!-ST N, R��(or W Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number W 1A . W I I - 5:)L1 � (?L�)77P,-'Mo. II. Type of Buildin • (check one) PW S 1 or 2 Family Dwelling - No. of Bedrooms : V � ' ❑ Public /Commercial (describe use):_ State -Owned lam/ I s 1 tap, '-I- O Nearest Road 3 , S I-,-% S+ . (� �yC�C Parcel Tax Number(s) II . Type of Permit: (Check only one b on line A. Check box on line B if applicable) 1W /0 p a. Oa D A) 1. YkNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only S" / "t Existing System $) Permrt Num er Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground ,Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel iber- Plastic Information G allons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks PIA ❑ V111. Responhibility Statement I, the undersigned, assume responsibility for installation of the POWTS own on the attached plans. Plum er's Name (print) ] u b s Signature (no Y , s): MP /MPR Business Phone Number umber's Address (Scree , City, State, ip 'Co e) p cl - \j `7 IX. County /Department Use my ❑ Disapproved Sanitary Permit Fee (Includes Groundwater [ Datelssued Issuing ge .,$ q, (No stamps) Approved ❑ Owner Given Initial Adverse Sur c ge Fee) Determination Zs. QU 3 r X. Conditions t ons of Approval al /R s n f ea o s or Disapproval: PP PP r 0 A n dQ� kt sA"44 &A e.�, � a x t I I I �' t l �+ aT Ci�Ut r S .tor' - 41-41 i - S. � °^"'� ZtJN]NG . ar�-S �S PAW = C SBD -6398 (R. 07/00) v S C..s�Kq„ + - � � J' •bra La►vt'� -i. C."'' -F 4.0 � All S.. WC N w L 1`•P C. !✓W 4A 4P4 � / K 1 ( + 0 `� J ,►�. t. •Q t 4ro `{ I CS K �(' watq Q •�u i i � w � ,� 1 � � I 11► `\ -- o (� C� 2 , �� p A a U r ( � �3 r+ Si Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 31, 2000 CUST ID No.220728 ATTN: POWTS INSPECTOR ZONING OFFICE CLARENCE L GLOT'1~ELTY ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08131/2002 Identification Numbers Transaction ID No. 431179 Site ID No. 197957 SITE: Please refer to both identification numbers, Site ID: 197957, STEVE JOHNSON above, in all correspondence with the agency. ST CROIX County, Village of WILSON; 315TH ST, WILSON 54027 SEI /4, SWI /4, S35, T29N, R15W FOR: Description: WdUNEI SYSTEM FOR STEVE JOHNSON Object Type: POWT System Regulated Object ID No.: 759014 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative 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 installation: • The piping used for the force main and manifold shall comply with Comm 84.30 (2)(e). • The distribution piping shall comply with Comm 84.30 (2)(d). • The aggregate used in the distribution cell shall comply with Comm 84.30 (6)(i). • The synthetic fabric used to cover the aggregate cell shall comply with Comm 84.30 (6)(g). • The observation pipes in the distribution cell shall be located pursuant to Table 3 of the mound component manual. • Documentation shall be provided to the County to show that the effluent filter is a State- approved product and to show that it is capable of filtering out all particulate matter that is greater than 1/8 inch in size. • An access opening of sufficient size to allow removal of the filter must be provided over the outlet "tee" baffle of which this product is installed. This access opening must terminate at or above grade. • The management plan shall be modified to include a lateral inspection schedule, a system "shut- down" procedure, a system installation/inspection checklist, a procedure for abandonment, and a procedure for periodic inspections of the septic tank and pump chamber. • A user's manual shall be developed, pursuant to the mound component manual, and given to the owner. 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. 1 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. ;r CRSD(x COt1N"y �C�t3i?vE:OPFiCE #. CLARENCE L GLOTFELTY Page 2 8/31/00 Sincerely, DATE RECEIVED 08/17/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 KEITH A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524 -3633 , M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WiSMART coder 7633 cc: STEVE JOHNSON e? rN, CROIX. 70P11lVGOFF1Ct '.Y f r Steve Johnson - Mound Transaction # Location: SE 1/4, SW 1/4, Sec. 35, T 29 N, R 15 W Village: Wilson County: St. Croix Date: August 10, 2000 Owner: Steve Johnson Address: 290 Old HW 12 Wilson, WI 54027 Plumber: � c� Signature: License # Attachments: 6748 -Plan Review Application SBD 8330 CorI diti 0 1 Fall. y page 1: cover 2: design criteria & calculations° u 3: plot plan DEPART; LENT cr COYW ERNCE DIVISION Of SAF ETYAND BUILDINGS 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail SEE CORRESPONDENCE 7: pump curve 8: system management 43 j page 1 of 8 I F. • '4 z L 1 i 1 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L ' Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL 3 Bedrooms x 100 gal /bedroom/day x 1.5 S 'b gallons /day hydraulic load Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the most current, pertinent Component Manual(s). � A 0 SBD- 9 �2v ktt1* ��tA, SBD- Design Calculations In situ designed loading rate O,zg gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock S in. Cross slope at system Force main length a �� ft. of * ; 4- , in. Manifold/header length Z ft, of 111. Drain -back 15.49 gallons Lateral length T @55. ft. of Z in. Lateral elevation k ° ft. @ bottom of lateral 1. Lateral hole size ! V in. @ 3 b• o in. ( _%` ft.) Spacing � c� holes /lateral } L' holes total Lateral volume 2 ` 0 gallons discharge rate - 7& 'A to = Total lateral disc 55-7 3L— gallons /minute @ ik ft. head 7 Elevation difference ft. Friction loss 5 ft. @ (-.0 gallons /minute Total dynamic head 17-_© ft, Pump /sij>hon �_ gpm (7a, _ ft. of head Manufacturer Model # 7 . Dose volume, 3 9 gallons Lift/sion to aP - {oj gallons Septic tank ° `'' ► gallons Effluent filter Measurement pump on and off in. Height alarm from tank bottom Iq . -C in. Reserve capacity 3 t ' $ ' gallons specs.calcs Page Z of g I �TK a t1,; �• 4 uv^ L0Apvt'46!. Ow 0 ZO Tto � � „� c �^ t t l o � Lp a� y►t \ �. f r �� �•t J�NVi'a.f 7 4Z, �t (� L i h�.a+. vnwLti O�tv� v�• 7�O �h,_ /77idu G 50 �. C a k.L) Q iwot M�oLr S1o�l 1 }p' S a _ d- � Uc..•.i. � aa�c � J.r..� `� 3 1 u, .&q Q �"A 't" �/♦ T� 0 t 1 I q b- O� �, K tr C. : ± Y rP I 4r. im 4�� 13 H:: - 1 • c c � 4. 4L �- Ov% , 1C t•v 46 oil z O.Yt' c.13 I K- a i ���L e.w�,c.�..�a�a.� z O• }q� I Vr.A� 6y e I owl Z.o0 4'0 ..ee O�1&APvj �. �.,.t �o o.. o� •e� �A�2 �f C, 4o.. / I 2.0, 3. o I I 3. o _ I t.S �,3' I ` 3.0' ) I 3 •o � r�. I C t , ..Clv 1TY � �v �w -�.�� ""`! �r�tv /� �• 1�: w�)C. ,cx+,. k • ft o` a S o 1 �'� a t .. \ e i►.-. C b O o �. \ : ► S �7 {o.O ,a `� 4.a\•� m om. a axe V � o � g I Paae (p Of 8_ SEPTIC TANK & PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE V WITH CONDUIT MANHOLE COVER W/ PADLOCK E FINISHED GRADE- r- WARNING LABEL r (. I Ile. n - I � - - MIN Mt N• . g4 C . Z. oe6r R.VAlr- s D 18" IN. Z PIPE is i \ 18 INLET ' WATER TIGHT SEALS GAS - TIGHT- ,, �IAPPROVED FINER A SEAL JOINTS WITH ONTO SOLID C H APPROVED J— ALM APPROVED PIPE PIPE 3' B. � ON 3' ONTO SOLID SOIL I SOIL PUMP OFF ELEV . q3 FT. - OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE pp TANK MANUFACTURER: he',A - WeST - , C&sT NUMBER DOSES PER DAY: 4.L TANK SIZES SEPTIC l.poo GAL. DOSE VOLUME INCLUDING DOSE ( GAL. FLOWBACK: 135 GAL. ALARM MANUFACTURER: S3' rr-Lex-+ca CAPACITIES: A = 21.% INCHES = 3 MODEL NUMBER: ► o ► It k1 SWITCH TYPE: Me j bu.Ob B = 2 INCHES = 34.o GAL. PUMP MANUFACTURER: _ 7 o e.l�e.r C = & Z INCHES = 139. ` GAL. MODEL NUMBER: N 1 S - 1 GAL . SWITCH TYPE: Mycc,, ce—Z b D = �( _ INCHES = OJ Z.o _ REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE S.O FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . ( FEET + FEET FORCEMAIN X 2.(o FT /100 FT. FRICTION FACTOR 2.5 FEET TOTAL DYNAMIC HEAD = 11 FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH 11 % u - $ ; WIDTH ( -( DIAMETER LIQUID n t 3$' SIGNED: LICENSE NUMBER: DATE: 1/88 Q 901 �. 4 13/16 i 7/16 J ' W W HEAD CAPACITY CURVE MODELS 137/139 L- 6 1/8 4 MODELS 137/139 Ft. Meters Gal. Ltrs. o g 5 1.52 93 352 0 4 13/16 is 10 3.05 79 299 _ _) a 15 4.57 64 242 ° 20 6.10 36 136 0 t 1 12" - It 1/2 NPT 1 s 25 7.62 8 30 4 137,139 30 9.14 0 10 Lock Valve: 26 ft. - 2 5 13 I 0 U.S. GALLONS 10 20 30 40 SO 60 70 90 90 100 to LITERS 90 160 240 320 400 0 FLOW PER MINUTE ' _� SK373 009921 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V, 230V or 460V. • Variable level control switches are available for controlling single and three Electrical alternators for duplex systems, ystems, are available and supplied with phase systems. an alarm. • Double piggyback variable level float switches are available for variable • Mechanical alternators, for duplex systems, are available with or without level long cycle controls. alarm switches. , Over 130 °F. (54 °C.) special quotation required. Combination starters are available for 3 phase pumps. • Refer to FMO806 for 200° F. applications. Control alarm systems are available for 1 phase pumps. 137 Series - 47 lbs. 139 Series - 51 lbs. SELECTION GUIDE Single Seal Control Selection Lisfln s 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts-Ph Mode Amps Simplex Duplex CSA UL M137/139 115 1 Auto 10.7 1 or 1 & 8 __. y y 2. Single piggyback variable level float switch or double piggyback variable level N137/139 115 1 Non 10.7 2 or 2 & 7 3 or 5 & 6 Y Y float switch. Refer to FM0447. BN137 115 1 Auto 10.7 - Y Y 3. Mechanical alternator M - Pak 10 - 0072 or 10 - 0075. Refer to FM0495 D137/139 230 1 Auto 5.8 1 or 1 & 8 - y Y 4. Combination Starter. Refer to FM0514. E1371139 230 1 , Non 5.8 2or2 &7 3or5 &6 Y Y H137/139 200.208 1 Auto 6.2 1 & e Y N 5. See FM0712 for correct model of Electrical Allemator E•Pak. 11371139 200.206 1 Non 6.2 2&7 3 or 5 & 6 Y N 6. Variable level control switch 10 -0225 used as a control activator, specify duplex J137/139 200.208 3 Non 2.6 - 2& 4 3 &4 or 5 &6 Y Y (3) or (4) float system. r F137/139 230 3 Non 2.6 2& 4 3&4 or 5 &6 Y Y 4 G137 460 3 Non 1.4 2 &4 3 &4 or 5&6 N N 7. Four (4) hole J• Pak, junction box, for watertight connection for hardwired simplex G139 460 3 Non 1.4 2&4 1 3 &4 or 5 &6 N N operation, 10-0002. No molded plug "Single piggyback switch included. 8. Two (2) hole J•Pak, for Watertight hardwired Pconnection or splice, 10.0003. Pumps must be operated in upright position. CAUTION Three phase units require a control switch to operate an external magnetic or combination starter, All installation of controls, protection devices and wiring should be done by For information on additional Zoeller products refer to catalog on Combination starter, FM0514: a qualified licensed electrician. All electrical and safety codes should be Piggyback Variable level Float Switches, FM0477: ElectdcalAltemator ,FMO486; Mechanical Altema. followed Including the most recent National Electric Code (NF and the tor, FM0495; Alarm Package, FM0732; and Sump /Sewage Basins, FM0487. Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pum I CP T N1NU j ` _ , �• MAIL. T0: P.O. BOX 16347 Louis Manufacturers of .. Ville, KY 40256.0347 �. SHIP TO: 3649 Cane Run Road O O �•,/ Louisville, KY 40211.1981 QVgUTYPUMP9 ,� /NCE �j�j PUMP l0. (502) 778.2731.1(800) 928 -PUMP FAX (502) 774.3624 1 �� / Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids In the tank that may slough off the filter when removed from its enclosure. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. The pressure distribution system is provided with a flushing point at the end of each ateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure tesps peformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if o ifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Ge neral This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual (SBO- 10572 -P (R. 6/99)) and local or state rules pertaining to system maintence and maintenance reporting. i No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm, Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall he repairn i nr ronlaced Immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your county zoning or health inspector. PA A ° , Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 ,sconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 23, 2000 CUST ID No.220728 ATTN: Plumbing INSPECTOR MUNICIPAL CLERK CLARENCE L GLOTFELTY VILLAGE OF WILSON N4955 SUNNY HILL RD 440 MAIN ST WEYERHAEUSER WI 54895 WILSON WI 54027 -3919 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/23/2002 Identification Numbers Transaction ID No. 430981 Site ID No. 197957 SITE: Please refer to both identification numbers, Site ID: 197957, STEVE JOHNSON above, in all correspondence with the agency. ST CROIX County, Village of WILSON; 315TH ST, WILSON 54027 SE1/4, SW1 /4, S35, T29N, R15W FOR: Description atls,l etgltptor M ltinso Ver Object Type: Sanitary Drain & Vent System Regulated Object ID No.: 758852 (Private Interceptor Main Sewer) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative 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: 1. Comm 82.30(4)(a)1. The total drainage load in any portion of drain piping shall not exceed the limits specified in Tables 82.30 -2 and 82.30 -3. P , 2. Refer to COMM 82.30, Table 82.30 -3 for information regarding pitch of pipe. 3. Comm 82.35(3)(d)1. Private interceptor main sewers 5 inches or less in diameter shall be provided with cleanouts or manholes in accordance with this subdivision. 4. This Building Sewer may require frost protection see COMM 82.30 (11) (c) 2. Wi. Adm. Code. 5. Materials used in the installation shall be in accord with Chapter Comm 84.10 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 1 required by the state or the local municipality shall be obtained prior to commencement of G � construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address` on this letterhead. p� Sincerely, DATE RECEIVED 08/17/2000 FEE REQUIRED $ 80.00 FEE RECEIVED $ 80.00 THOMAS E DEVEREAUX , PLUMBING / POWTS REVIEWER BALANCE DUE $ ' 0.00 Integrated Services ..t. (715)634-3026, 7:45 AM - 4:45 PM MON. - FRI. r , TDEVEREAUX @COMMERCE.STATE.WI.US WiSMART code: 7657 cc: THOMAS E BEMBNISTER , SECTION CHIEF, (715) 726 -4520 CLARENCE GLOTFELTY ENVIRO -TECH SYSTEMS "ou^ ° ?Qi i WG C%ri STEVE JOHNSON • • , � � T Slut � 01n � i o . � .. � � o � � � ov \ q \ - 1014 - � '0 • �•�f'0 }+4 a i 1V40 -6 tYtl� �t ttp Q `v q•L) S a..o�` jo �JWw� b `lc do ,4,�.�c.. �. w ( w VA 31'S OV E D f•b" �.pc. I PART N OF COMMERCE ` ( n 1 010 S ETYANDBU14D1 GS� �`Gk%�6t t+1 ��e�+rw:► +�CW� I ---T EE CORRESPONDENCE r i DO CORRECTION NEEDED SEE CORRESPONDENCE; -•Zo `t 2 Wisconsin Department of Commerce p OlL E AVON R Page 1 of 3 Division of Safety and Buildings 1 in accordance with Com 8:; J�Vis. �` / O Cou tq^ Attach complete site plan on paper not less than 8 1/2 x 11 inche i'n ize. Plan mutt `�, St. Croix include, but not limited to: vertica and horizontal reference point , direc iggmn p p ercent slope, scale or dimensions, north arrow, and location and dolt nce t 6 ih eare �ty 191 1019 - - 000 Please print all information GO� eview d by Date X" Personal information you provide may be used for secondary purposes (Pri va L� . 1&0 ) (m)). ..\` Property Owner o (gty Loca1i Steve Johnson Govt. Lo 1/4 SW 1/4 S 35 T 29 N R 15 **X) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 290 Old HW 12 City State Zip Code Phone Number ❑ City Village ❑ Town Nearest Road Wilson, WI 54027 ( 715 772 -4700 Wilson 315th St. New Construction Use: P9 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material till Flood Plain elevation if applicable N ft, General comments install 4' x 114' rock bed mound on 100.7 contour as upslope edge of rock w/ 0.5' sand fill and recommendations: F Boring # ❑ Boring 1 pit Ground surface elev. 100.7 ft. Depth to limiting factor 3 31 1 --- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -4 7.5YR 3/1 - sl 2 m gr ds cs 2f1m .5 .9 2 4 -8 7.5YR 3/1 - sl 2 f sbk ds cs 1m .5 .9 3 8 -20 10YR 5/3 - sl 1 m sbk dsh cw if .4 .6 4 20 -28 10YR 5/3 - is 1 m sbk mvfr cw if .7 1.2 5 28 -31 10YR 7/2 - fs 0 sg dl cs 1m .5 .9 6 31 -58 7.5YR 5/8 f1f 10YR 6/2 scl 0 m mfi - - 0 0 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. 89.2 ft. Depth to limiting factor 3_ 11 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, 'Eff#1 'Eff#2 1 0 -4 7.5YR 311 - sil 2 m gr ds cs 2f1m .5 .8 2 4 -8 1 7.5YR 3/1 - sil 2 f sbk ds cs 1m .5 .8 3 8 -13 10YR 5/3 - sil 2 f sbk ds cs 1m .5 .8 4 13 -31 10YR 4/4 - sl 2 m sbk mfr cs if .5 .9 5 31 -45 10YR 3/4 f1f 10YR 6/2 scl O m_ mfi - - 0 0 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS _< 30 mg /L CST Name (Please Print) Signature CST Number Henry F. Grote 222774 Address i D v e aluation Conducted Telephone Number E 4366 353rd Ave., Menomonie, WI 54751 7 715 - 233 -0398 I 1 Property Owner Steve Johnso Parcel ID # 191- 1019 -90 -000 Page _2_ of 3 7 Boring # ❑ Boring ® pit Ground surface elev. 100.7 ft. Depth to limiting factor 30 -- - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I •Eff#2 1 0 -4 7.5YR 3/1 - sil 2 m gr ds cs 2f1m .5 .8 2 4 -18 7.5YR 3/1 - sil 2 f sbk ds cs if .5 .8 3 18 -24 10YR 5/3 - sil 2 f-m sbk dsh cw if .5 .8 4 24 -30 10YR 7/2 - fs 0 sg dl cs - .5 .9 5 30 -51 7.5YR 5/8 f2d 7.5YR 5/3 scl 0 r2, mfi - - 0 0 Boring # ❑ Boring 4 ® Pit Ground surface elev. 99.1 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0 -5 7.5YR 3/1 - sil 2 m gr ds cs 2f1m .5 .8 2 5 -7 7.5YR 3/1 - sil 2 f sbk ds cs if .5 .8 3 7 -14 10YR 5/3 - sil 2 m sbk dsh cs if .5 .8 4 14 -36 7.5YR 5/6 - sl 2 m sbk mvfr cs if .5 .9 5 36 -54 7.5YR 5/8 fU -10YR 6/2 scl 0 m mfi - - 0 0 horizon 5 nottling becomes f2p 1 YR 612 below 47" ❑ Boring # ❑ Boring ❑ Pit Ground surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. p q pp ty p pl yer. 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. SBD -6330 (R6J00) I 1014 -qo• cub yT+t i zz 3 +4r b L: �►�C H w �s4 1 L U �� L K � V•a u, 16 " - �-• fax r+w�i� : w � . pe \ � c+1� s. �¢ C 3 , 1 j �� , ' + / —qo " Se c S a� 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Beyer Mailing Address o �`� �`�/� 1 /50 D Property Address _ (Verification required from Planning Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION V I �l,e� 1 ? J�J . T�N -R/ W, of Property Location � - / <, /,, Sec. _.___- Subdivision - CC, VA . Lot # Certified Survey Map # ? V20 2- , Volume _ Page # n t Page # Warranty Deed # - 5 � Volume Spec house ❑ yes /tKno Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 masterplumber, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewater disposal 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 sludge. Uwe, 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. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 dayss of the three year cxpirration date. NA APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. X 3 1 (0D S NATURE O PLICANT 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 v 14�9PA��435 6��$sz KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document No. / 12 -22-1999 9:45 AM RETURN TO: TM Title Services, Inc. WARRANTY DEED 239 E. LaSalle Ave. EXEMPT N CERT Barron, WI 54812 COPY FEEY FEE: TRANSFER FEE: 106.20 Tax Rey Nos • RECORDING FEE: 10.00 191-1019-20 (includes other lapAj PAGES 1 191 - 1020 -20 191 - 1019 -20 -110 BERTHA WIENKE conveys and warrants to STEVEN P. JOHNSON and PAMELA J. JOHNSON, husband and wife as survivorship marital property, for a valuable consideration, the following described real estate in St. Croix County, State of Wisconsin: That part of the East half of the Southwest Quarter, lying South of Highway 12, except that part in Records, Volume 590, Page 382, but including that part in Certified Survey Map, Volume 2, Page 457, in Section 35, Township 29 North, Range 15 West (in the Village of Wilson). This is not homestead property. Exception to warranties: Easements, licenses, zoning ordinances, and restrictions of record. Dated on December /f7 , 1999. ``��s P R�ECK�tigy = `�2Q C) G ,= BERTHA WIENKE : * * • '�' •. .o �G .•2 ACKNOWLEDGMENT 'N ' A�' f3 STATE OF WISCONSIN) SS. i ��rr„ii „,u��`� ST. CROIX COUNTY) Personally came before me on December J4 1999, the above -named BERTHA WIENKE, to me known to be the person who executed the foregoing instrument and acknowledged the same. Notary Public State of Wisconsin My Commission Expires:L /,�?� Drafted By: Kenneth Wm. Jost Jost Law Office P.O. Box 54, Chetek, WI 54728 ' '642802 CERTIFIED SURVEY MAP - US HWq = 16 °49' M' TERLINE R = 1942.86 o C= N 66 ° 58 30 W � N 568.20 p N 75°23'00 M b 00 W 1 0 SW FD 1/4 �cA _ o SCALE o LOT I 0 100 200 30d 400 ch 13.05 ACRES a H O - 1" IRON PIPE WEIGHING 1.13 0 ' BS. /LIN FT., SET O L . � z c �' O0��`y 9Fs, S89 5245E S 89 909.98 867.26 x in H 0) cr ti O N z O SW CORNER SECTION 35, T29N,R15W FOUND R.R. SPIKE : f 342802 y2 I ti s Au i Leo w 0, ►� L i Volume 2 Page 457 �l v land surveyor, hereby registered visions Of L • W gerer , with the P the P I, Arthur compliance in Statutes and d un' surYeyed# • That i off t ion e Wiscons ordinance have certify•2 5.34 Subdivis d land, uch P Cha he St Croix COenke, owner o f f landV ths the subdis1On f m c ie the o He parcel ar n direction of mapped s aid P bou is located i divided a all extet this land a ° f .Wils reg ents correctly rep s a nd 4 R 15 W, Villag of the o a $ e . ti on 35P sin, hence to -wit: of Sec tion 3 W 1/ 4 ViscOu 5, t S'/ Croix County * the S the SW c 0 west 89 �� 13,ne of 2 t 45 Commencing at 1p27 thence Bearings re ere ed North) continuing the rlY North, (Bearings asses beginning, the to the Sou p01 W o f said to the point °f thence North 490,801 t h e nce N 75 23 arc $67. „ 909.9$ way "12 a l o ng the a, S $9 °5 F, 90 e of U.S. Him Northwesterly of 1942•$6 get o f Way said N rtheaster '8 pa W 6$ 201 # thence conca 00.0 r along of N 66 n . Of a C h Chord bearin pD nt Sou o f b and $12.06' to t South Contains 13.05 acres* u ust 1977 al 26th day of A ugust We es Dated _963 this Art hur L• Vise R•L•S . . ° •.... SAN ''•.. �'• ARTHUR 1. •: � WEGERER ELLSWO L WIS. ..���., 41VD r'