HomeMy WebLinkAbout012-1067-10-000 (4)
PRIVATE SEWAGE S)'S7=M
INSPECTION REPORT
-4~ ~c RPuti GG7670
GENERAL INFORMATION NJ e- rc m1. l:: r,. n
n. I .rn a::~r -nvlor r.1 x us:: 70 -3, t~ !T
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TANK INFORMATION ELEVATION DATA
S• 3
Il DTI s~r..nmarr
LJrC•St/~_- a Z5 _ (3~t1 ~ C57 ~7~75 /03.7$' Boa ~
0.451
/03.3
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TANK SETBACK INFORMATION i.•. l fZ9b F•l6 y5.55
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vireo ' S~ ; 51 ~ i 9
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~ 5.c> y 75
JMP'SIPHON INFORMI-.TIOK
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SOIL ABSORPTION S`'STEN
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UIMF.NSION" 3 jd ...Z fe,tic,
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I Informuli n Please Print :UI Inforenstion
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On. Sink Zip Code Maid Number R.. S% Section ;I
\cw RiehnLrtld. A4'I jJ(11+ Icirclc noel
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Z GeuS w /2., f 12 /z j/~Ow) Q loonof I111, Panne
111. 1\ leaf Permit: I( heck A IN on on line Complete line R il'spplirablel
1 ❑ ]ecc S\ Itd!liw'cn ui \ .un I reward t I IolJ.ue ant. <y .r.oucol L)nb ❑ Other bloJBmatum to hXisling System lesplann 'I
11. ❑ 14.11.1 ftauw:l: E] I'ennrt Rec i.inn ❑ Ch urge al ❑ 1'cmul Transfer In Nc,, .t I r; v, I•,. I'cmin Numhcr and hklle Is.ued
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11 ResponslbditySb+n•ulent-1•the undlrsikned,acnnte respmnihdihfor insmllatinn fit the P0%%IS.hoxnnn the susched plane
Ilcnd 1.\:an IPM11 I'Lnohor. v, uIJIC Jay h11'IIPRS Vmotk. Business l4mnc Numhcr
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SDD-n;98 IRO, I If
i
SYSTEM P_OT PLAN A
r
Project Name Seukema Desior.Fbrr 6D^Cbuons'aa, E~N~-~
--v - A1:a:n desmr flnx camuaaons to,
'
°rp1 L•G: A:IC(S'i, 54e ;IOW': Yua^. ` G mmeria vans
oM1n Sv'r' -0 A 5:' EI@V2'IOr. Be1': Fbe NaenaL A-TM StanexC S,~aie 5C
FM DP.BClmin ?x s;ino'?r. "'le! 'am_a 964.9CJ 5 954 31
12C
BM25ymocl B:'Levaac•; r_~•, a?P'✓.' ;.'-.Thy. 'S~ 1// 1
SM Des^npl on
Slope 3 adieu: e' i es:ec 4ea r✓, ~
'd+eC S.r.oo: ii' aopl! dNe'
Nple: SCE '~exl Pagr_ 1G' marr brgt:e maf
I ~ \
i
'I
Shod
i i
Bedoom
IIVe'w lio"Se r Prdposec tNL P'25GLP
Septc Tatm -a! Poly of.. Jac
It';icl i I \ ~
~ ~EXl~a]C 950 dal
S° iic :enM.
6iII Fur ).SPA-, wt?a_e1 .4-t00 ~`Jaa•e j
X102
i \ T4 i
i
I 3e
Ti - EX5[In~ ? r' td" Bioddtuse- trench El -91 K
T: - Ex~si n~ ? x`2-9 Bledl',ser I-er,n C =99 B,
Proposec 3 x1eJ c_ • pr twt~ F: ° .;3.E_
7L - Pr:)pvS~c 312: EZ ' JV: Ire'1C' EI - Pr
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CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Prolert Name: Beukema 4 Bedroen Reolacernent Septic Sy^:ern
Owners Name Paul & Elizabeth Beukema
Owner's Address 1548 County Road E
new 4 chmond, WI 54017
Legal Description: SE1/4, SW1j4, S31, T'3CN, R17W
Township Erin Prairie
County: St. Croix
Subd vision Name: NA
Lot Number 31cck Number
Pa•cel I.D. Number 012-1067-10-000
Pear T•ansactcc No.
nFe 1 Index ano tit e
doge 2 Plot Plan
'age 3 Proposed Septic Tank Specifications
'age 4 PolvIOK 525 Effluent Filter Information
Page 5 Zabel A 100 Effluent Filter Information
Page 6 Bull Run Vaive
Page 7 System Sizing & Cross Sect on
Page 8 EZ Flow Information
Page 9 Management and contingency plan
Pa,;e 10 Exist ng Tank Certification
Pag;•. 11 Septic Tank Maintenance Agreement
Page 12 Warranty Deed
Page 13 Exhibit A
Attachment 1 Scil Fvaljation Report
De; ?neg. .onn Scnrrict Licnese Number: MPRS 223760
Date: 4/18!2019 xhibit Phone Number: 715-760-0486
Signatures i i t: IL
In-Grrnrnd S;: I A6r,crotior. CumPoncnt MBrlla. Version 7 C 5BD-13705 P (N. 01/01)
i
SYSTEM PLOT PLAN
Project Name. Beukema Desig"F'a" D"'°a°°"d°ay %N >
- Atta::n design flow ulculabons for \ /
F'fofe.Ct Addre55 Ibee l01n'{ Rna] t Wmmer.-W plans. ti`Y!
boll Sy'rnbc.. & Bhp Elevahou ~9 55' PIJP.'~rafetial5 ! ASTId SlanCard
Scale. 1 = 60'
F,to1 I'mscr pticn FMisbna tare. rx~11M Tab es 284 JO-J 6 184 30.5
i 0 EO 17 120
B(d2 Synlbei A BY Llev3ncn 4' SCH 40 P'iC 45'14 C.'885
B(d Desorption 4' kite PFJC AST\l C3U36
Slope Gradient of Tested Area. W'.
o'''I
V✓ell SymDOI (if applioaDle} ! 1
Noles. Ste neit oage to, Wore co'npieta ma` I
I I i
I T l
I / 1
I tl
Shed
Bedroom
Driveway House P•oooseo WLP1250-LP
I Septic Tank v: P6y1ok 525
I'llreu ~ ! ~
t li
Ex ing 260 gal
Sel tic tank
Bu I Rur
8611 w:2aGel A-'00
VA ve \
82
\■B 102
T3 2 13
\ \ T4
\ II
96
T1 Existing 3 x118 1S' Bicciffuser trench El =93.90'
T2 - Existing 3 x125' Biodiffusef -rench El=9385' '9
13 - Proposed 3'x120 EZ =low• tranch EI. = 93 85' °
T4 Proposed 3x120 EZ Flow trench El = 93 85'
I„ 41
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R,'W County Road E
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Page 3
NOW
I'I '~i?~ Piltcr
The PL-525 Filter fs raled for ItlX00 GPD (gallons per day) makint; It one of the largost filler; in its clans. 1: has
525 linear feel of 1/ It," filtration slots. Like the Pol ok PI.-122, the Pulyluk PI.-525 has an automatic shut-off 6,41
Installed with everv liter. i^: hen the filter is removed for oloaninf;, the ball will float up and temporarily shut Ir
Ihr sV'stcnl so the clllucnl a ou't leave tilt' tall"- 1
Alarm sow:
I lh.-d I'll I O,COO G I T I ga l lul Is per Joel - t (ll tion.al
!iri lee[ of I / let lillralion. 10,000 GPD•1 -7
r1-PL4 To alt.l root K_ HO 111 pilot, Y Glcnvl.In KwAl,
i i t !t in gds dol. , for
utumatic shut-.lit fall when. filter is r -mo,teJ.
e to L r
Jrlll c,cso,l:lllltl' 10-I1QIC,I':'
'~r;,ptsl'V(.etten;hlnhall'-Ile.
1.1:.1: Inc residential And Unnnrreial ll aclr Ilows a to , Liu•ar .`l.
Id l / In
I..i i.: yallun. In a JIv It ;M 11 f fJU.Iuon Slna
lie 6l,-e'ullrl A Ibc s,•ph, Lank.
•I'.inlove the tan. rater end itunll, lank it nr,rss.ln'.
-~la, the lilt,, h..nuim, l,l the 4" or I outk t In it Ili,.' tiller I. nn1 trnlcrrd under tilt, acu•~. lTvnili u.v a
1kIon Fvtel',d & 1 ,.k or piecrof pihr to,clilrr:divl.
Ir-xwrt the PL.-5'_5 tiller alto its housing.
ct,runoa to
:rplarv an(d s'rIIrP the>eptlt Itink to Over I ® N6i AN51 Standard 46
I i..' 1't11111ucnl F1L'ers will operate Milt writho for
-r oral vears under normol u,nditions Irmo' n•aluirirw
~1, llll); It is rriorm nd:~d that th.• titter braleaned
".~'r•. troll. th,• lank is pumped, nr at Icast evury 11mv
It the unstaped filler contain, an optional alarn'.,
rwn,- will br notified by or al,Irm when the fillet
.1s s. rvir Ing. `w•rvicing sbouhl is. .lone by a certified
..Laic lank pumper cr installs- Aulnmafit
Sh t" 'lI B.,Il
I ale :ho outlet lot the scout tank
more Idnk , .,it-,,: and pump tank it norossarv
~ , rot us„ nlunlhin;; lrhen Iiltvr is rx mot,,d.
I'All I 'l 5'4 :n Itldl' nut .I lilt- lullsing,
f I s. -it tilt, r r Ill ,plu tenk-'flake sun' ill
-„hds fall kit Into >ertic tank.
nlci t the tilt, riarlridgc back lilt,, lilt, huusmg IMAM'.'
,urc Lhe lilh•r is prulvrh' aligried and runlplotch' ine.-rh'ol. It'd, , /..a, l r: 11,1t
61e•n .ltrept Fasdv installs
I~.'pla, t' alld i,', lllo:" ill lc lank, t% e:. Ihr brio, Il i'.,, i .,,nit allot dLl,nl. llur.'Wor Im A,
P,'.clnk. Inc. ~ I..uLclot BI,.,I. AA',.1.ri_tord. (T w-492 Til' Prcc-K'?"W 956< F:,t: 203'J4.ti414 wls oo~ pulyluk. nml
Page 4
MAINTENANCE INSTRUCTIONS
USA
»cc z~rz
The in,te:val for servicing septic larks is set by state and kcal code throughout the United Slates. there is a wide difference of
opinion an what this interval should be but most regulatory agencies suggest two to five years. The Zabel filter, which does not
increase the ffequency of servicing for the `.ank, should be cleaned when the septic tank is normally inspected and pumped
However, our filters virtually self-cleaning The continued action of the anaerobic organisms on the Zabel filter causes lodged
particles to drsintegrale and fall to the 'bottom of the tank 'f your rilte• conta~^s a Smaff: term: alarm you will be notified by an
alarm when the f.ter needs ser.ieu,g
i
00
r'
s~
Step is Step 2: Step 2-.
I t r I're rut Cl o` thr pt tL nT Remove the tank saver and pump the Firmly hill the filter handle and slide
a1,a fer-..L,u tn,r ta~iF : r;e~ tank if necessary to prevent any solids the cartridge out of the case
from escaping to the :he drain field
when the filter is removed
, it
- rrrr r
St EP St tiP
Step 4. Step 5; Fe~derrial Appbcatmus
"VI'.e note ng '.he cart~rc uver the Insert t^.e filter cart: d;)e back in the Ceru6ed to ANSI NSr
Standard 45
aces opening, rinse o`f the cartridge case, making sure hie filte' cartridge
-with fresh water. bung careful to nnse is properly aligned and completely
all se7ege material back to L_e talk i°.se-ed in the case. Replace the septic
. Li ik %cr
Page 5
H.:r„ > :r info ViA, r~s & Utc olura Contact Dr.p Systems
Treatment Controls Products Uuwraoaas Orsrtyr 6uutauu•
y
i4 ? i
1 gTfP TLA
P
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:AP
- Fr~:ESS
'I
F.I AIFF -
FCV',FI!.F
T -iE-r
vFLA L1iPi il,_?d
I lx rLr L
TI 'e E' III ir, dl.-, ~s designed to split flows to septic
held5 of systems In addition to the advdntdyes of longer i~lr s' J T POPT
life and easier installation it is the most public health safe F,- F^
alternating device available for wastewate, disposal
applications. The use has absolutely no contact wIn
wastewater due to the valve's leak-proof and external
operatinq characteristics. The &anye over from one
d,a nage field to another can be accomplished in less than - -t" :Pr F'C.FT
iiv nrte by simply turning the Valve without digging or
ecr;act with wastewater. I he Bull Run Valve is available in 4" sch 40 pvc
and is suitable wherever septic disposal systems
are used - In commercial, industrial, and
resideWldl applications.
j OPERATING THE VALVE
- it the direct on contrul handle should be rotated
I, - L periodically to Cired effluent to one or the other
- - - = of two septic fields. After removing the screw cap
- at the top of the rrset It he, the valve handle can
41 'I be .urnod with the. valve <ey furnished.
BULL RUN VALVE
Complete Valve Kit
Contains
Hill Nu't VdJVe budy
Il 2. 28" Valve Key
3. Riser Cap Adapter
ITEM DESCRIPTION 4. Watertight ACCe55 Cap
a0.b9 B.i,; a ❑ A1,F I
Dr:V'DUI K hill l 0._n 'dAt91- 4 KEY OAI V
BRVCIRISER BULL h_r1 VALVE RISER cJ; [AST CIAZt
BPVKE°].4 P lij! R ai JAIVt KtY i4- IiRVClltltilsK-
;t:VKi-:';a Ftu,.IR,it AiVFKfY'6 V12rl tiltIA13L1. I{.1 I[itilI
ocKE-4- HU'_LR-ri, AL'Y'F KC. 41
.
Page 6
PAGE 3 OF 4
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Installation Instructions for 41 EZflown
EZru Systems in Wisconsin by INFILTRATOR
, ns _ (-if it-r. f imn r :t,' n _ =.,i rl ira phnn area I, .any for 3i' rr vdr sha!
::r, iaiDn, ha - r. ~e:: oo h ,prv..ri r. a an8'r• a1a 6,r ,L'.. Irr ,>:,I:esedo•i maxirrurn oa ly ecwayr flow it PDj and
prod ct and dae'n`rnod it to CC Ti eompliance with chapter- Pw7neabitty'nr the site._ If certain criteria is met, the
Comm 82 the cugh 84. b4iscdrnm dmir. ride. an' Chapti F '.r =.oing can he used n LYixonsin, resulting in if 40011
' 4E a^d 160. Wisconsin Staples. A.I „ t - Ti.st'noel the Sri smaller drainfield.
h -C.I ConcbQn, & .I ~psy~ I$91 r r ,;is Cdr r; .role:: n
local 'eg.,lations. 5 lace EZ9ow bundleis; n the EZflow coniguraton ap-
pr by system des gin rermd spec.fred for the parLcu-
The approved p,oduc's are ' 2031 - j;;- bu• dle> +v-t1 p.pe n tar site. The lop o~ conter-most bundles containing pipe
ccr:er bundle in 5' or 10' lengths] i-d ' <C3` 1n t 1 are joined end to end .vilh an internal pipe COUPleL Any
v,ah pipe i• each bunt o in b' or 10 length,; additional aggregate orly bundles that may be required,
• s^.cu1r, be butlcd aoainst the ether aggrcgalc-only bun-
A smak, orpe Dur.dle co°!ai-s a tour rn_rh perforate) Pipe cur- JI_•, and do riot requite any type at connection.
ror.,rded b,r EP3 agcrcgatc are is "d togcthrr vath poly
h„h ns rz r + ,qA ,,-oal,= b r Ic :-nt ~r r_7o;ro:rtr . (hc !op all each UO cytnder ciori a filler fabric ore-
The
fabric is rr edCC to prevont sod tutus cn "he installer
Materials and Equipment Needed shall make sure the the CFO s positioned upward and is
• =?fi if :_crniaot with 'he fabric conta nod in the adjacent cyln-
• -Lfl ^ . rt-.t I G:r::i _r hc':ne bad<lilliny.
• lflow h1crnal Pioe C:~..al~ ors ;
• i'pe'or Header and ;ii t R. `rr• EZflew Dranbeld Systems should oe installed in a
• sac'., ce!=xca,atm e,cl !noon in all directions (both across and along the
; '.rc•^,:h In:lcm) and src~ld follo:•r the cordour of lh•_ yrcund
Installation Instructions :3 :t- elevation (wolix•n eertlhl, vuth all co•r§nccos
T 1IIJr_r nrs !.r r- i l r r.1 14 :u. t ue <.,n , )loioi-g 1J-loot r-ybnencal bundles placed end to end,
11 4. 1 ri_ Ni :u._. •n -lt bit irr,tdlr_ ~ If ar,_mc n' . r:itl~ •;tdtc. ::.tri cenlrul bundle d ;!-ibukjrl pipe mtercunneded.
,-1 s tn, _r,,i r; •r, :oTm Yi}' r n„r,IP }49, Nc,;nns n rkl- t-i:nd any dams, sh..xow°s or o'her water stops.
.•i ~ti v Cbdr. a, d Chapters 145 zrd ICC. %VSo;osn Sla:- .
as v.-ell as the kcal hcaLr deparment's curie L des g ~h< trench :op sha!I be cradec such that water wll rot
manual. po-d. Backfill should oe seeded or sodded immediately
+'ter conlolonor to recuce e'csom
After t-e kcal health depa-fi-n: ha= determ.ned im-11,
con4eLjat cr and oi..t Icr the FZllov: vtells, .1;j LZ' ov: EPS bundles are flexible and can lit in curved
or manic w•ih F,u 1. th. Lrcatic:n C4 T.•encriir, 211- 1 n.--. : '.r.-inch , as may ia: ^ucessarv tc a:c:d'rees, boulders, or
careful to set c3 rect lark rverl pipe. header rru a c. eps'acles.
trib,tion bos and trench cotlom elevations bef,,e
Wien of piroe'o.,nule- aggregale e. lghte• than water, lheielcre, i' mignt
:..l:cc!ed that rat-ral buoyancy (crises would tend to
2 kern, ve olae'.: EZIo,r< _.hp;ing gags prmr r_: ._.c EZfbv: asear;:6es to float out of yrounc when
bundles n thr tern, it cro. Remove any plastic ba_c-. r F-1- --,rener,_e ''as yhcwo, howeve,
trench befo'e _pslenl G covered, ; th;C t-i i of 'r r :fen's 'r.d.e 3 r iriT .m
• ~ r^' rail°ri - :T,r`i rf bra^i.
3. `his proaucl ms; haze geolrO-9 fabric that i,?, f: - ;
q,jver. - s. Comm 84,.- F.) '_j i i Vin- •:i•
irstalled d rertly on :or cf h e p eat, d rc ; 1203H-GEO
&IN'1 ak,ng t"l- •.r -r,y :if thr• Pr h r t t:; • t it -r,t ~ i+
mehe+ her the Doton of pr:.,.ar_L s..
' - '.~r~✓ Ila;ei al
1$'Irc- i^sUlud r, a t°~ -..ll . t. !i.
Av.:1th of 35 rthr--. hsrr~t 'k al rr i;,-
Page 8
PAGE 4OF4
In-ground Gravity Management Plan
IMPORTANT:
The ow-er of this in-g•oond gravity systern shall be respons ble for its perpetual operation and maintenance pursuant to
'eq-urements of SPS 382-384 Wisc. Adr!n Code Pursuant to SPS 383 52 (2), Wsc Admin, Code this system shall
be considered a human hearth hazard if not maintained in accordance with this approved management plan.
Furthe,more, a inspect on and ramter,ance activities shall be performed by a registered POWTS Maintainer in
accordance witn SOS 383 52 iii. VV sc Admin Code.
Maximum Dispersal Area Operating Lirnits:
Design Flow= 600 gpd; BODs 220 rill TSS 5 150 mgL": FOG 30 mgL''
Inspection Checklist INSPECT EVERY 3 YEARS
type of use
age of system
nuisance factors ( e odors, user com,pla nls, etc i
mechanical malfunction (i o. pumps, valves. switches, floats, etc)
material fatigue (r e.. leaks, breaks, corrosion etc)
solids vo.ume in anaeroo c treatment tan<(s) and any distribution appurtenarce(s) (i e„ distribution ; drop boxes)
c neglect or improper use (r a exceeding design capacities, prohibited activities, etc
extent of pending in distroution cell prior to dosing
dosing irregularities - it applicable (i e, pump re-cyclirg, float switch settings, etc.)
electrical components - if applicable (i a wiring connections switches, controls. timers, alarms etc )
distribu'ion lateral or lateral orifice plugging (-ensure lateral distal pressure - compare to design specification)
su-face discharge of effluent or sewage back-LP irto structure sewed
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
III Septic and dose tank(s) shall be pumped by a caili.`ied septage servic.ng operator licensed under s. 28'.48 Wis.
Stars when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or
as reyuree by Icoal ord nance. Disposal c` conten's sha!I be pursuant to NR ' 13. Wisc. Admin Code
Effluent filterfs) shall be inspected every 3 years aid shall be cleaned when necessary to reTcve any
accumolatec so'.Id'> accord ng to manufacturer s soeciicat ons A servicing period will always be greater than 12
months
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Narne of ind viduai or company- John Schmitt °horc. 715-766-0486
tcca government unit St. Croix County Community Developement Phone. 715-386-4680
Loca government unit address 1101 Carmichael Road. Hudson. WI ZIP 54016
Any defective part of th,s system shall be repaired, replaced. or reTovee pu'scant to SPS 383.51 (1). Wisc. Admin
Code. Repair or replacement of failed or r-alfunchocing components sriall comply with SPS 383. Wisc. Admin. Cade
No product for chemical or physical restoraticn a` the POWTS may be used rnless approved by the department in
accordance with SPS 384 Wisc Aem c Coce.
Contingency Plan
I-„he event tha' any faiec treatment cornpo•ien' of this PO'.NTS cannot oe repa red, it shall oe replaced pursuant to
a plan submitted to the appropriate agency for reviee• and approval A faded in-ground dispersal component may be
alcandoned and replaced by a cede acmply!ng dispersal co-)onent in a pre-deternuned area o` sucable soils.
System Abandonment
If ,)se of this PO'ArTS s discer;lnt.ed it shall be abanconed in acccrdance wah SPS 323 33, l.Visc- Adm n Code
Puge 9
i
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
t his is to certify that I haye inspected the existing, septic and, or close tank
presently serving the I6110\vin,. residence:
(street address) 1546 Cou,ly Road E located
at: 5E S\'f "i. Section 31 lowll 30 N, Ramie 17 \4',
I o\\n of Bin Praine - St. Croix County Wisconsin.
L. poll inspection. I certify that I haye tound the tank(s), to the best of illy
kno\\led;,e, \\iII cont6 nt t0 the requirements of SPS. 384.2`, and it (tile\,)
appear(s) to be functioning, properh.
%losl recent date of inspection or scr\'ice n?52':'
Did Aovv back occur from absorption sy°,tcm? Yes No
(i f no, skip next lire.)
Approximate volumle or lerloh of time gallons minutes
I Allk Capaclt\': 26)
Construction: Prefab Concrete x Steel _ Other
\1anut xnlrcr (if knoyvn); weeks con-rete Products
\`aC of T;mk (if knov n): t7 Yrs -
Permit number(ifknoVvn) 420602
i iCC ` / John Srnn•Itt _
(L' ensed,Plumber Si,-, /nature) (Print Name)
MPRS 223760
(Title _ 1Liccnse Numhc:-) N1P.-MPRs
Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 30 and s. 14 .00, isconsin stalutes) or licensed disposer
(NR 113 Wisconsin Adntinisn•ati\c Cock)
lze\. ?''(112
D,;:;e la
~ /,mar
r. .
I , 11„I, 1 I,t , t,
Paul S Elizabeth Beukema
1548 County Road E, New Rlc.hrnond. Wl 54017
548 County Road E. New Richmond, WI 54017
New Richmond. WI 018-1002-02-000
r1 l.,yl IrF Hn~l t(~~
SE SIN 31 1 30 N H 17 w. Town of Erin Prairie
t rrtUitrl .Sun ey Alap a . Ynlurne . Page M
N arranR ored # (1,cforU 21I071\'ulunic _ , Page n
,p.. 1-... 0,..(3 tot hmc lacnldlahtc DyciU,., ,
NIE%1 1,11 AUSITYNAN(T AND OWNER CERTIFICATION
Nopngx, .:.c .mJ ,u sno"Un. o of vow 1.14,1 N.Irn, c.,u1.1 rc,Ull u, u. plcnulxrc (inure to hundlc w "ci props
„was oIn .Q, or pumpmg our the icrU. ,,,k o,rp Ihrte ce.u, of ,l ac"W, Irv . hcemcJ 14untu, %1..., 1...
, r.u, a11r, t r1w fuurt..,n r,l M' >1;111L ,:uvl 11 u,..c.u.o..wgI m the wa,tr• a.,pov1 sy,tem. tawtlel rtutnieoaoet
,.,Nhuc, arc Il.ard \SPS itlj i2l I I and in ( 4Artcr 12 - St. Crulx County Satnwn (lnluwucc
P IC In"Iv'" ux ua agree, In ,nhnn to St. 0ov, C.mmy Manning h Zoning Dcparinwin a ccn:!icatkq imtq AijMcd by &
e,- .11111 M e nu,tc r rhunlitt, loll-vown rlumhn, ra,tnctcd plun,bv us r Iwetucd pumps ,cnl„nq Jul (1) the nn-itlc
,,.,let Jute o.J y.a•m is m reopen gxrtnng condition xn&or (2)aflcr uiipccuon and pumping. ,i ,,,resuy), th. :,anus ,.ink v
.:i,.ur I full of IuJpc -
I• wc• rile uuJcnlgncd Iha%a lead die Abovc Icyuucntenb and agree u. nui14.iu the ptis ale di,pusal y,tcm wlm the*,.
,wndards wi I..th, f4•n m. a, ti7 by the Department of Sakty And Profeworul Scivic,w and the Dch.: hwnt of Nunual
State o(1Vlscomm. l'erufirauon staring that your seph,: system ha. Men nuintamed must he cumplcl„ And resumed In Inc at. c
County Planning R Zoning reyxrttnent xlthul i(I dayi of the lure year cxInWi nl, date
I. rte rMdq tl.et aft ,r n,uu, ,.n Ili„ torus urc rote m tlk best o(mylnur ktnwlnlgt. liwr .u*vale [he gptlr'v, it `I: 'b:.
~ .err n J:,rnlvd aFo, c , r i w I e an::nly ircJ ncorJed ul kcgosk r o(LecJ< Uliice,
Nuurbcr Qf O'ed is 4
S (I
A'Il:RI.OF APPLICANT(S)
Any Info non that is inn pmaitat nwr result in rile sanitary permit bemg revoked by the I ,:sung S Zpnint:.
Ins: lu, I Ni al)phcatl a rccurded u.ul silty JCCII It nni the kegl:ter of MX& OlTice and A cop; 11f rile cenlfiea s111PC5'.
r c icrencC is im l c v. arranly' dtxd -
I kf 1. W!12)
Page 11
VA.11 uMnd nll N Crm. PRIVATE SEWAGE SYSTEM St. Cloix
solely M1e e1:iH.y orlon
INSPECTION REPORT sewNry Pdmd no 420602 0
GENERAL INFORMATION (AI FACT I TD PLRMLI) sMN PMn IO No
Pel9efa Mom narvw Mx As mvym udet nr zdeolgery pulxxesPTMdsv Lalz. z.IB.N ;t;(a:l
~4mI H1AMrB BBmrO (7e, Ninge T.nO;w, Pd1rN Tdx M
Knutson Darrell Erin Prairie Township 012-106740.000
CST DN LMv I Irep HM berr RM DewTttm
0" too .0, ZI.PVt:. =CSC On #-I
TANK INFORMATION ELEVATION DATA
TY-E pp MANOFACTJRCR CAPACITY STATION 9S I11 FS ELEV.
Sepo I Ts..+d' 23 COD Bandu•!ark 4- A-95 10v-D'
;!BM
2 >y (SEC:(~`~' /T 2~I I•b° 02,4d'
y vl.ipw Bldg. Bawd,
wtAIL
1 Z. Iwo
sYNt CUM
TANK SETBACK INFORMATION
TAW TO p;- 1VFLI. BLOC. Vemn.v lmaw ROAD 'A INf!t
SMC 1 _ d A 01 Bonan
>SIT )yo 161 a .,1..~ 9 gy.4S'
O<I Pipo 10
;r qv. 7T
Jot. System 1 O 73-901,
0-• 1? 1.
F nA Grade
PUMPISIPHON INFORMATION
Marusmuer - UenetlW st cover 3
GPM
hlocel Nd. - WA- f~ . 10 safe r
TUH O1% rfctinrLms Syslmnly!,d r I FI c~l~ 4.~C" 4S•sSr
ha<:misjrtl 1n1 m ozl. l[. y(yt..-'
SOIL AS RPTION SYSTEM y _
ncH i. / l JS S . N a T. Prt olm"woxs W 0 "1s NMk L\n ~.f. ~1(^
OINE
Its -40 2
aFTRACN SYSItm TO PIT BID(1 rftLL LAKFI$1HHA51 IFACHNG A1>rvlBCaret
INFORMATON _ !Y _C/5y/v'wn CHAMBER OR On
l111W O ~a 3 5, (,TTy l UNR nkvld N,nVgl 1 11
DISTRIBUTION SYSTEM
Herb llar leFJ 4 Jirnvtm - x Han Site x lbt 10eeY9 enl In bl rldlw
lmem _ ra . e,yye= cw spwnl _ _ _ - SO1
SOIL COVER x Pressure Syslmns only xx Mound Or At-Grade Sotems Only
txrm'cm L'eT.'i U.w .x Cezvb of ~a..IwlROe.IeA MY.MO
NPnrt nrrn twro Deu"xeh Caps qwi -f■ vez M~ NB n ~ v1M ~ Ne
O{l E TS: (vllxIn w. :li r% n1j" ,Nersgns DrQsent. ORC.) InwelYpl a1:~_(Z! OL-- InSgBG:pn CL:
n: 1518 Clwnty 1R1'tlz.I;_ET••New'R`ch-mo-o}dam, RYAjL-SWIfjJ(SE 1/H SON 1N Sf T30.(~~~R1TW)NA Lot n ~~~/pl srw No: 1.sg.1rA15~BAlt.
1.) An SM DezaipWn - SIA J c n t~ 11pF~[. • z/'C (T•.) *14t Blf~z9l~a+ll
dmar mgr lam, = Y~ a-C•Y~i CMyt sK. V .0~'`-` 1 u ~j ~,,~./y~
B
-o~unl ul Bra _ w~ ~ -IA ~ Lp,~,t~y,Tlrrt W'~ 4 eT~A 5•~^~
Pl~ , ~'VBwK.(7 )Se~s+.k3 f+"'c.++•~CtTe.J.lp~s~ red./.,.1E/.~J~.rX~{JSp.N~ac~7slss klt.w,1~ -D ~Isr~`k'--F•'(~}1I~'~,.,91\I
S
DBB OmB1910E Ity :tlldilKYIJI Ir11CYlnnllan.
sDo 6710 IR 3wl
11,5
Wrer«n41 Dooartmool of Ctmnoce SOIL EVALUATION REPORT Page I_9- 3
Dvisw ol Salely and 9uildi gs n soc«dancu wlh COMM 85• we M_ n Code Tom Sch'"ro
atlerh mRMesfa pb+« enter her km ern 8% a l i cam n fee Plan r4a _ -J St Crax
4mw.wra mw,d»wnfRlam nafimufelawR romlaMi. u:ecsom 4
pxasebpe.swkodsrereons mM aroe.Wbalm enO adWKOb Mrest fern. Part211 D. t
please point all womnstion. a.., d L/9-'Z aOF~
r. mard>,w,w mmdcmnN Udnu.,,.a.r up»ee ln;..tlw.,.yx n:im:, . -~(n Q.-R
Pmlaity0wfar PropvflY lomli«f - r
KrK#wn. Darrel SE TX $04 IM S 11 T 30 N 4 17 W
Prop«y Ownoes mailing AOeress L M O Bloek a Surd. Name or CSW
1548 Cry Rd. F 20 Acre Parcel
City Stale Zp Codn Ph.. Number Oily Nllage ✓ Toem Nearest Road
New Richmond W1 54017 115248 3174 Erin Prairie C1y, Rd. E
N. Cunsauakn Ute ✓ ReskMntel f Number of bedrooms 4 Cooe oerneff deson flow raw, 600 GPD
✓ RepaterTenl Putlk of wmnafaet - Despite
Param malenal Outwash Plain food plan efe,ww. d appkcebe, _ n8
(isfaral no mnenN
#M reWrfnMMabons Area Is suitable 1« a cTmventional system w1h a 0 5 gpdfsgh rating. Possible system elevation for
replacement area is_86.0'. Area is on a 7%slope.
M Bonng* ✓ PA Boring
Giowfo Swfso, aim 9912 fl >121
Depth to lmerg+.a« sw Naa:um 114w,
Npeen DKM Moved Cob' wear Daw+pm Tea.re Sluase CdvMm aou4aY Rxts ~'rOdr
i u ed a st COOK Cow Gr S u 'E1101 'Errs'
1 all 1DyrV2 ne,no ad 2nVf mfr cs 2l 5 8
2 11-22 10yrO4 'Wile Gil 2fsbk mb gw I 5 .8
r
3 22-32 10yr4r8 nip I Is 1msW I rmAr gw - 7 12
4325 7 5yr414 none sl~ 2fsbk I m0 I 9w - 9
5 45.79 7.5yr416 none sl 2msbk mk 9-w - -
.Pf 43.9 6 179-1211 ioyrv4 I none IIM$t* } mvfr - I - 7 12
!4 7 3 . M Mo-t~ ~Lw . Z'a4~; s > cov Y !u s
~Soonga 8«kg rL01<rn/-✓MI MissL•»~r..-~ f+,-fo Ld'W.W. t+.1 G !<!LR' .
✓ P't Goond Sm+aee eev 100.64 n Depth to mmifing redo, >120 n Sd ApPealon tlat
Npkm DaoPl Da«tas RM Dmvclb+ Tema Slfwue Cpew,afas BafMVY Rose Ci04P
n. Mueol 01 Sz Cos Cap Cif. Sx. Sh 'Eaa1 'Filet
1 014 10y,.w none I 2nlgf mk 9w 2f 5 8
2 14.22 10inw; none I sit 2fsbk I mh I gw - 5 .8
3 22-36 10yr414 none set 2fsbk mfr 9w .4 .6
438-72 75yr4/4 none at _2mebk ink I --9-w 5 9
1M qy 5 7I-i20 t0yf(a4 t north I 18 1msbk ! mvfr - I 1 1-2
SS _
'Efflwnt I11=800y-30<220egYaMTSS>30<tw mfA •EMwna12=90D,<30mg4aMTSS<30mpA
CST Namn (Peesea P.mWl 50,& C5T Number
Thomas J. Schmitt - -221429
Address Tin Srtmie Data Eysernan CoMucMe Telephone Number,
t 1595 r2M St, New R*VwM. N9- 54011 10rJ1102 715-247-2941