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HomeMy WebLinkAbout022-1039-60-000 Wisronsin uepartment of Commerce County: . Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.16.04 (1)(m)). IJA Permit Holder's Name: City Village X Township Parcel Tax No: N j� � e�,n� dz �A039 - non CST BM Elev: Insp. BM Elev: BM Description: Section/Town/RangelMap No: J� �J G S 14 Z8, 18 l zig A- a TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER , CAPACITY STATION BS HI FS ELEV. Septic r 'yr� Benchmark S', 1 3 /05• /aa Dosing Alt M �� 57i Bldg. SeAver 7J' Holding U St/Ht Inlet // 5 Ito /S.'8 Fcj. t ` \ ' TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. nt to Air Intake ROAD Dt Inlet Septic 7 OF Dt Bottom / � � J Dosing � � / � � Header /Man. � Q Aeration Dist. Pipe Holding Bot. System �',� PUMP /SIPHON INFORMATIO L,4 )J ww"1 1 final Grade 3.C /a2 .� Manufacturer / Demand St C er , Z. q l GPM J 1�S Model Number o 'e TDH Lift Friction Loss System Hea TDH Ft Forcemain L D 101st. to well SOIL ABS RPTIOIJ SYSTEM BED/TRENCH Width Length / No. Of Trenches PIT DIM SIONS No. Of Pit Inside Dia. Liquid epth DIMENSIONS V /� Z T-11 `` SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. --� INFORMATION CHAMBER OR Type / Of System: Crq�,vei �1 I 51 zj �7 f� UNIT Model N 4� ro �,- vo DISTRIBUT S YSTEM �- /�i . /,���; Header /Manifold !/ Distribution g x Hole Size x Hole S acing Vent to Air Intake / ) p Pipes) \ 43w e' �l Length O Dia_ Length_ Dia S in SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over m Depth of xSod ded xx Mulched Bed/Trench Center Bed/Trench Edges \ Topsoil `( yes Q No s ❑ No COMMENTS (include code discrepencies, persons present, etc ��.)�� Ic -, / Inspectio 1: / / Inspection #2:�1�1 Location: p a Jam! ^ + 611 v. 'bP rcel N 1.) Alt BM Description = !y � oG1Oa►N 2J Bldg sewer length - amount of cover = /, If 17 7 o Z o o_ Plan revision Required? ❑ Yes ❑ No * � � [4 Use other side for additional information. SBD -6710 (R.3197) Date Insepctor's Signature Cart. No. $ X115 `'' �, { A Safety and Buildings Division County m m 201 W. Washington Ave., P.O. Box 7162 St. Croix sconsm Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 4 $ / 3 '9 MMM State Sanitary Permit Applicat lan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s 1 Project Address (if different than maili g address) CEIVED I. Application Information — Plea rint All Information 3Z5 r`�" v Property Owner's Name Parcel # Lot # Block # Mr. Allen Klein SEP 21 2010 022. -/ • GO - D Property Owner's Mailing Address ST. CROIX COUNTY Property Location / IG -1- 1 H e�}her �1oc a PLANNING & ZONING OFFICE City, 3 S , t Zip Code one um er N W 'S W %., Section 14 it�r — wi � MN 4$J 551c2 651- 291 -8815 T 28 N; R 18 w II. Type of Building (check all that apply) X 1 or 2 Family Dwelling — Number of Bedrooms Three — Subdivision Name CSM Number Public/Commercial _ — Describe Use _State Owned — Describe Use []City_ ❑Village XTownship of Z �� }. Cplk Z2 Kinnickinnic III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System X Replacement System P Y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. 11 Permit Renewal El Permit Permit Revision Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration umber Owner�'�� IV. Type of POWTS System: Check all that apply) ' X Non — Pressuri In- Ground Mound ? 24 in. of suitable soil Mound < 24 in. of suitable soil At -Grade ❑ Single Pass Sand Filter ❑ C onstructed Wetland ❑ Pressurized In- Ground Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Dri Li ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersalffreatpient Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) V Dispersal Area Required (s Dispersal Area Proposed System Elevation f 450 S�t¢' D, 7 642.86sq.ft. 891.6sq.ft. 99.9' ", — P� A am 0 oC VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Tiber lastic Gallons Gallons of Units Concrete Constructed Glass N e w Tanks Tanks E ij Septic or Holding Tank 1000 1000 1 Weiser Ctncrete X Aerobic Treatment Unit Dosing Chamber 600 600 1 combo VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Jack A. Bowman MP 222839 715/418 -1349 Plumber's Address (Street, City, State, Zip C ) 13437 409" St., Ridgeland, WI 54763 VII oun /De artment Use Onl Approved Sanitary Permit Fee (includes Groundwater Date I ued Issuing Agen i ature (N ) Surcharge Fee) 0,4 w r7� f ❑ iven Reason for Denial zoo IX. Conditions of r asons for Disapproval I App ovaURe 3 � ,n A �� SYSTEM OWNER: v� '( 1. Septio tank, effluent filter and �J /m d cetl must all b services a it a in b lumber. V 4� as per management plan provided y p ) 2. All setback requirements must be maintained a s per applicable code / ordinances. , 5 2 Attach complete plans (to the County only) for the sys on paper not less than 8112 x me in size 0 D-iaJ/�! . /" 0 �Icl'Mw. �C�►A ( 0) 16ayk.\_, hope4-� - 1 r V �/� y :. , ���� r��'8 _ .� , e Site Plan NW,SW,14,28,18W Kinnickinnic township St. Croix County Legend BM: 100.' Base of Transformer #AA731 C} — pits with back hoe — grade elevations F, 7 �, c/o clean out No comet 83 problems Scale 1" — 40' except _ where Dis ` tp ��. 8 ts� LJtow g1�9� System elev. 99.9 „ 2cells - 3' by 88' LIYJ observations @ 12' Sao q�t, x beginning of cells vents at end of cells 50 y "_ m h� YJ,, LO -' l CI �.,� _ � -,� fi:.�z..� +ten•. ® . C project: KLEIN page 9 of 9 s t PRIVATE ON -SITE WASTEWATER TREATMENT SYSTEM (POWTS) Replacement site Index and Title Sheet PROJECT NAME AND SYSTEM TYPE: KLEIN / Conventional system w /lift tank OWNER: Allen Klein LOCATION: Street Address 1325 Cty. Rd. J, River Falls, WI Legal Description NW %4,SW' /4,S14,T28N/Rl8W Township /County Kinnickinnic township, St. Croix county CONTENTS: page 1 title page page 2 owner's manual page 3 startup page 4 inspections page 5 filter information page 6 tank detail page 7 pump curve page 8 drain field detail 1 page 9 site plan DESIGNER: L an L Perc Testing Loretta Larrabee 715/664 -8184 ph & 715/664 -8164 fax PLUMBER: Jack A. Bowman MP222839 SIGNED- J.B. Hydro LLC DATE: Sept. 7 2010 page 1 of 9 POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: OWNER: Allen Klein ph. 651/291 -8815 POWTS MAINTAINER: J. B. Hydro, LLC ph. 715/949 -0099 LOCAL REGULATORY AUTHORITY: St. Croix county Zoning ph. 715/386 -4680 DESIGN PARAMETERS Influent/effluent quality (values typical for domestic (non - commercial wastewater and septic tank effluent) fats, oil and greases (FOG) <30mg /L, Biochemical Oxygen Demand (BOD) <220mn/L, total suspended solids (TSS) <250mg/L SYSTEM SPECIFICATIONS Three bedroom (450 -GPD) single family residence 1000 /600gal septic -pump combination tank from Weiser Concrete effluent septic filter Polylok 525 effluent pump Zoeller 98 two distribution cells, 3ft. X 88ft. with Quick 4 infiltrator soil application rate 0�.7 pd/ft2, area required 642.86sq.ft. absorption area cred 0 per chamber, proposed area 880.Osq.ft., soil rate 0.5 (components must comply with WI. Adm. Code Comm 84 and be insta 1 de per manufacturers specifications) DESIGN CRITERIA SBD- 10705 -P (N.01 /01) "In Ground soil absorption component manual" Version 2.0 MAINTENANCE MONITORING SCHEDULE Inspect condition of tank(s) at least once every year (maximum 3yrs.) Pump out contents of tank(s) when combined sludge and scum equals 1/3 of tank volume Inspect dispersal cell(s) at least once every year Check effluent filter at least once every year Inspect pump, pump controls & alarm at least once every year project: KLEIN page 2of9 START UP 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 septic tank pumper prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: This does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkin, condoms, cigarette butts, should not enter the system. Chemicals such as petroleum products, paints, disinfectants, pesticides, etc. should not be flushed into the system as they can seriously damage your POWTS system. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. REPORTS Reports for maintenance, inspections and monitoring shall be submitted in accordance with Comm83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with COMM 83.33, Wisconsin Administrative Code. 1. All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. 2. The contents of all tanks and pits shall be removed and properly disposed of by a septic tank operator. 3. After pumping, all tanks and pits shall be excavated and removed or there covers removed and the void space filled with soil, gravel or other inert solid material. WARNING SFll "TIC,, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEP'T'IC, PUMP OR OTHER TREATMENT TANK (ADER ANY (:'IRCIJMSTANCES. DEATH MAY RESULT. RESCUE. OF A PERSONFROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE project: KLEIN page 3 of 9 INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septic tank pumper. Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact and individual licensed to service POWTS, There is normally 1 day reserve under regular operating conditions, however water should be conserved until the system is corrected to prevent back -up of sewage into the dwelling or surfacing. Septic tank component inspection must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings >8" in diameter shall be secured with an effective locking device. When the sludge and scum in any tank exceeds 1/3 or more of the tank volume, the entire contents of the tank shall be removed by septic tank pumper. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacture's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component inspection must include a test of all electrical equipment. A visual check must be made for leaks backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any services needs or repairs shall be promptly taken care of. In- Ground Gravity Component Dispersal Cells inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Ponding at depths >75% of the height of the component may indicate overloading or impending hydraulic failure. 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: { } 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 m p Q infringed ed u on b y required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement are will result in the need for a new soil and site evaluation to establish a suitable replacement area. { } suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank maybe installed as a last resort. { x} 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 located a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort. { } mound and at -grade soil absorption systems maybe reconstructed in place following removal of the biomat at the infiltrative surface. Reconstruction of such systems must comply with the rules in effect at that time. project: KLEIN page 4 of 9 INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septic tank pumper. Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact and individual licensed to service POWTS, There is normally 1 day reserve under regular operating conditions, however water corrected to prevent back-up of sewage should be conserved until the system is come p p a into the dwelling or surfacing. g Y Septic tank component inspection must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings >8" in diameter shall be secured with an effective locking device. When the sludge and scum in any tank exceeds 1/3 or more of the tank volume, the entire contents of the tank shall be removed by septic tank pumper. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacture's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component inspection must include a test of all electrical equipment. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any services needs or repairs shall be promptly taken care of. In- Ground Gravi1y Component Dispersal Cells inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Ponding at depths >75% of the height of the component may indicate overloading or impending hydraulic failure. 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: { } 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 are will result in the need for a new soil and site evaluation to establish a suitable replacement area. { } suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank maybe installed as a last resort. { x} 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 located a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort. { } mound and at -grade soil absorption systems maybe reconstructed in place following removal of the biomat at the infiltrative surface. Reconstruction of such systems must comply with the rules in effect at that time. project: KLEIN page 4 of 9 ors PL-525 EFFLUENT FINER (C- 0M &TFR DIAL) ilolylok. Inc is pleased to add its E - wew commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility '«� ---�. _,t Accepts PVC the largest commercial filters in its extension handle class. It has 525 linear feet of 1/16° filtration slots. Like the Polylok PL -122, the new Polylok PL -525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1116" . removed for cleaning, the ball will filtration slots Rated for over + float up and temporarily shut off 10,000 GPD the system so the effluent won't r leave the tank. No other fiber on the market can make that claim! Accepts 4 & s °-¢; SCHD. 40 Pipe PL- Ma inte nance: t The PL -525 Effluent Filter should"'_ - operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned everts time the tank is pumped or at least every three years. If the installed filter contains an optional alarm, the owner will be notified, by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank Automatic shut -off pumper or installer. '" ball when filter f is removed 1. Locate the outlet of the U.S. Patent Nor- 6,016,483 septic tank. 5.371.640 2. Remove tank cover and pump tank if necessary. PL: 5 25 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the 4 tank. Make sure all solids fall or 6 Make outlet pipe. if the filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the fitter cartridge bade Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. 56" 42" 'P 84' Z r - m u n n 11 11 3' 48 m0z �� 1 O I I m < II < I I v z 39" 11 11 A p In D O ;o C m p 3 0 rn D c Z In C --i 0 � K .i Z N rn m N° z z o z z v rn rn o Dz " -i ° g 3 rn Z O ZN O N D D `$Z 0 o ^ $ 1 D O.PD I*f55rn 1111000- r rn W.. m 0 Z v�(�n O D 1 v 4�COO�G)Z - (r0 m - I c7 m n m g 2 D rl 0 0 P D 0 °� 2 . 0 - K ra .� C r D 0 �Z --jWC r- r W O (n _1 C r -•1 to -'(� OJ m Z 00 N rn N TO m O m = '� 'i ?m nD Omm - - C) rn U7 r o D O 00 � N - in � N 1 1 i5 C �' n O m r, = z m m C v J "n I D I w P O p .- TI 0) m O O = 0 Np"n Dr OsN 0• O 0 0 0\ O Z Z DD mDm m0 Q D D m O "( �� = r Z r O� O (7 n Z C ZZ D %O rp r D n O -4 m Z7 O O� m U) I ;o (n D — O 0 O � O ! N I z ;o I.) m N 2 �; C m F -I 0 .j m = O m vn D 0 0 -4 0 �' m r m D O Z r D - C Z D m n O r Lo rrn A K -+ A Z m -a z N r m O i rn fln WLP1000 600 -MR MHER CB�C�ETE SCALE:1 4" a 1' REV N0. DAM: DRAWIN BY. SWT Z SEPTIC MANUAL W3716 US HWYIO. MAIDEN ROCK. IM 54750 DATE: JANUARY 2008 \° REV. JAN. 2008 800 - 325 -8456 FILE:WLP1000 600 -MR 56" 42" 84" z r M ell h 1t II 3" I ' I 5" 48" D I � I i —I I m�� i I O I m I ' I -u I I . cp m i t r I I j C I- v D 11 ..11 z cn _ > O m � F! D c z V) C cn n �� c z m In D ' r Z Z v p D z � o o - r I Z z �2 co 0 r Z Z *Z f� ps D mpp0Zrny00Dt r m I^ =4 co vr Iv v =nv �np xoo1O+xx�oArczil O (n c O cn -i m z OD to p 0 m (A = r� z -.4 rn n I vr omrn CA m o ?NO m N ' ^ x N v ➢ z -� N - I (A N I --f r ' ; i O rr, m o = E > mm o �� V)M> 1 �� °oc_ 'mil p O c" 03 to p -mrt I - . D O z-0 O Z Z DD m D m m0 v D O Ni Z < D �r nrD �O p m ° z rri m c zz n�0 00 � w N z (n D ^� N O it (A -I z .I r N(A cn z c 0 K m Q o (n v m; = O m w v n .. ;u n m C) z m Q .. p m D Z C m 1 36 0 O r A M M m m m � z N m \ O = WLP1000 600 - MR WIENER IBRINETE SCALE:1 4" 1' REV NO. PATE: rn o �' SEPTIC MANUAL PRAWN BY:SWT Z W3716 US HWY10. MAIDEN ROCK, 54750 DATE: JANUARY 2008 J �° WI REV. JAN. 2008 800 - 325 -8456 FILE: WLP1000 600 -MR W TOTAL DYNAMIC HEAD /FLOW LU PUMP PERFORMANCE CURVE PER MINUTE MODEL 98 EFFLUENT AND DEWATERING 3 718 6114 25 MODEL 98 4518 Feet Meters Gal. Liters I °� °a g 20 5 1.5 72 273 37/8 = 10 3.0 61 231 _ 15 4.6 45 170 t } 4 15 20 7.1 25- 95 4 o Shut -off Head: 23 ft.(7.0m) r— 10 009971 i I 2 5 I I 0 1 I 10 20 30 40 50 60 70 80 121116 GALLONS I i LITERS I I I l 0 80 160 240 I 42132 FLOW PER MINUTE - i 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 for with or without alarm switches. variable level long cycle controls. • Refer to FM1922 and FM0806 for temperatures above 130 °F. SELECTION GUIDE 98 Series Control Selection 1. Integral float operated mechanical switch, no external control required. Model Volts -Ph Mode Amps Simplex Duplex 2. For automatic use single piggyback variable level float switch or double M98 115 1 Auto 9.4 1 4 piggyback variable level float switch. Refer to FM0477. N98 115 1 Non 9.4 2 or 3 4 3. See FM1228 for correct model of simplex control panel. D98 230 1 Auto 4.7 1 4 4. See FM0712 for correct model of duplex control panel or FM 1663 for a E98 230 1 Non 4.7 2 or 3 4 residential alternator 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; ElechicalAltemator, FM0486 ;MechanicalAltemator,FM0495 ;Sump/Sewage Basins,FM0487; licensed electrician. All electrical and safety codes should be followed including the Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. most 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 Louisville, KY 40256 -0347 SHIP TO: 3649 Cane Run Road Manufacturers of.. Louisville, KY 40211 -1961 k l tAlw 2 p - (502) 778 -2731. 1(800) 928 -PUMP http.* #www.zoellercom FAX (502)774 -3624 C Copyright 2004 Zoeller Co. All rights reserved. CROSS SECTION - not to scale Two cells 3ft. by 88ft. , (identical) observation pipe Finish grade or / 101.9' vent pipe (12" 1 above grade: >12" of filled material 3ft of Natural soil drain back to tank System Elev. 99.9' min. >3ft of suitable soil System installed using Quick 4 infiltrators 22 chambers per cell = 440 sq.ft. + 5.8sq.ft. = 445.8 sq.ft. per cell Chamber credit 20.0 & End cap credit 5.8 TOP VIEW - not to scale front of cell 45" ''t 12' drain back to tank / _ 2" mani vent at end of cell Quick 4 infiltrators end of cell 4" by 2" fernco observation All two cells (identical) 3ft. by 88ft. ea. project: KLEIN page 8 of 9 CROSS SECTION - not to scale Two cells 3ft. by 88ft. (identical) observation pipe Finish grade or 101.9' vent pipe (12" above grade: f s > 12" of filled material ➢ 3ft of Natural soil drain back to tank System Elev. 99.9' min. >3ft of suitable soil System installed using Quick 4 infiltrators 22 chambers per cell = 440 sq.ft. + 5.8sq.ft. = 445.8 sq.ft. per cell Chamber credit 20.0 & End cap credit 5.8 TOP VIEW - not to scale front of cell 45 fitting at end of 2" insert pipe toward �— top of chamber 12' drain back to tank • / \ 2" vent at end of cell Quick 4 infiltrators end of cell 4" by 2" fernco observation All two cells (identical) 3ft. by 88ft. ea. project: KLEIN page 8 of 9 Site Plan NW,S W,14,28,18 W Kinnickinnic township St. Croix County Legend B'N/1: 100.' Base of 'Transfoniier ,!A, C} T 0 — pits with back hoe — -- - -- __. ®— grade elevations c/o clean out � No comm 83 problems Scale 1" — 40' except: where indicated System elev. 99.9" y 2cells - 3' by 88' 6 ,4 J. observations @ 12' x beginning of cells vents at end of cells 44 „ ,v G Yld, L3 -'r + RR� ?! C�� C) / to project: KLEIN page 9 of 9 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailing Address 1- e��h {�� G� S} _; MN 5 - i 0-2- Property Address \3 25 C } �a"i ��vzc�,lls W 1 5�o zs (Verification required from Planning & Zoning Department for new construction.) O � 2 - /a39 Lo -o City /State , v �akk 5 } W M Parcel Identification Number X 1 t4. 2� S• 1 2 1 4? A LEGAL DESCRIPTION Property Location N W V 8 w i /4 , Sec. i 4 , T 2-8 N R 13 W, Town of Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # �,�� , Volume g Page # Spec house �w no Lot lines identifiable es HG- SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 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. 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. Certification stating that -your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe amlare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Num f bedrooms 3 (A), C� / X 171 /0 SIGNATURE OF A.PPI ANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Inc 'ca 'on a recorded w an deed m the Re 'ster of Deeds O ce and a copy of the certified survey map if reference is made in the warraty eed. (REV. 08/05) % L, f C L ,0 E'SCiQ l �°T /D/Y - P�}RC -� L. t� i^ — -_"- -- - -. - -. T -- —. — ---- - - -- -- - -- - --- - - -- Spaca a[s41XV90 FOR R&CONVINa DATA DOCUMENT NO. rSTATE r$.lH O]P iL+CONSIN FORK[ 1— lfiiZ i I WAiMMAWY DEED 47401 .34 REGISTER'S Or E'ICE ST. CROIX Co W1 i - � � This De�u, made between .... . -- - _ -- .. ..... .......................... ' Allan W. Klein Rec for Rec _ ... _ _ _ G�i 0819'I G rantor. 1 10 20 A . M and ...... 411.1a.Q..W ... ........hu$ban.d. and-wif.e., as . � _... . ....marita.1- property ...... Gee, That the said Graati r. gilt consider WilneaSeth, T a �.I"ble considet.... 1 _ ....................... _ _ _.................. _ rant wtTUeN to conveys to Grantee the following described real es:ade is ......St....GLOix...... County, State of Wisconsin: Fart of NW 1/4 o- SW 1/4 of Section 14 -28 -18 described as follows: All that part of W 1/2 of = 1/4 lying N of a Tas Parcel No: ....................... . ----- y line parallel with and 2070 feet N of S line of said Section 14. Also all that part of W 1/2 of SW 1/4 lyias 1 and W of a certain tract of land described i below as Tract No. 2. TRACT N0. 1: Commencing at center of Kinnickinnic River on Section line running N and S between Sections 14 %s 15- 28-i8; thence S 9 rods; thence E 35 rods; thence N 28 rods; thence W to center of L'.mickinnic River; thence down centerline of River to place of beginning. TRACT NO. 2: That certain parcel of land conveyed as road for ingress �:d egress to and from above described laud whicL lies 10 feet on each side of follow 1g described centerline: Commencing at an iron stake 1278 feet S 89 degrees 57 minutes E of t iron stake standing on W line of Section 14- 28 -18, 2641.8 feet S of NW corner of said Section 14; thence S 1 degree 50 minutes E 118.1 feet; thence S 55 degrees 16 minutes W 36 feet; thence N 85 degrees 52 minutes W 206.5 feet; thence S 13 degrees 08 seconds W 355.2 feet; thence S 49 degrees 18 minutes W 666.5 feet, St. Croix County, Wisconsin. This .. is no - - .. homestead property. ( is) (is not) i Together with all and singular the here+damaments and appurtenances thereunto belonging; And... Allan W. Klein - .. - - -............ _ ....... warrants that the title .. is .. goo - d, indefeasible in fee simple and free and c:e /.r of encumbrances except j: I I and will warrant and defend the same. 29th July �� 91 (. Dace-1 this .- _ . ....... .... ... .._... day of ._ .... � . Gj Allan W. Klein I ........................ ............ . i� Ii ,I AUTHENTICATION yACKNOWLEDGMENT �i Signature , _ .... STATE OF 7NYS�[ ................................................. --- -- ------ - - - - - -- .... He n n e p i n .. ......... ........................... County. authenticated this . ..... ..day of ........... . ._ ..- ___.__ 19...... p o ally came before me t i 2 9 C 1t - ria:, of ..... y .... 19.. " �. the above r:ana ............................................... ... ... •-------- ------- -- - - - - - -- Allan W .Klein .... . ' ....................... ....... ................................ .............. ........................... -----•-- -- ........................... _ TITLE: MEMBER STATE BAR OF WISCONSIN' .......... (If not . . .... .. ................................ --- - - - - -- ....... .............. . •-. ... .... .......................... .... I.... authorized by 1 766.06, Wis. Stats.) to me known to be the person ...... .._. who exec,:cd the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED By 1 iF 3a7'U�lz- Wisconsin Department ofCommerce SOIL E UATION REAORT Pager_ of 3 Division of Safety and Buildings in accordance with Comm 85, m. ode County ST.CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in . Plan t include, but not limited to: vertical and horizontal reference point (BM), di ' n and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to n st road. Q 2 Please print all information. Re ' wed b Date Personal information you provide may be used for seconRE"Waw, s. 15.04 (1) (m)). G// Property Owner Property Location v� Allen Klein jUL 02 2010 Govt. Lot NW 1/4 SW 1/4 S 14 T 28 N R I Y (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1325 CTY RD J 1 3T CR OIX COUNTY NA NA City State Zip Code Phone Number _ ity Village E] Town Nearest Road RIVER FALLS I WI 1 54025 ( 6 291 -8815 CTY RD J Ej New Construction LlseEj Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD El Replacement Public or commercial - Describe: NA Parent material glacial outwash Flood Plain elevation if applicable Ra ft. General comments Use 101.9' as the design.. contour. All pits evaluated in tested area have some clay loam in the third horizon. There and recommendations: is not enough to call it sandy clay loam and there is not a textural gravely clay loamy sand. Pits one and two show po m�i cy much less clay loam with the gravely course sands as does pit # 3. All pits show a minimum of 60 "to saturation.At � #I around 60" there is a textural change to Massive SCL . Signs of saturation are seen here. g P # Boring E3 Pit Ground surface elev. 101.9 ft. Depth to limiting factor 60 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Al 0 -8 7.5YR3/3 FLS 2FGR MVFR GS 2F .5 1 A2 8 -16 7 5YR3/4 FLS 2FSBK MVFR AS 2F .5 1 E3 16 -31 7.5YR4/6 GRLS OSG ML GS 1M .7 1.6 134 31 -60 7.5YR6/8 GRCOS OSG ML AS 1M .7 1.6 135 60 -70 5YR4/4 F2P5YR5 /8,10YR6/2 SCL - - - - - COBBLES, STONES THROUGH OUT PROFILE P F -2 Boring # Boring �►� 60 El 102.5 Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Al 0 -6 7.5YR3/3 - FLS 2FGR MVFR GS IF .5 1.0 A2 6 -18 7.5YR3/4 FLS 2FSBK MVFR AS IF .5 1.0 I E3 18-26 7.5YR4/6 - GRCOS OSG OSG GS 1M .7 1.6 B4 26 -60 7.5YR6/8 GRLS OSG OSG - - .7 1.6 B5 60 -75 5YR4/4 F2P5YR5 /8,IOYR6 /2 SCL - - - - - COBBLES, STONES THROUGH OUT PROFILE ' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ffluent #2 B D < 0 mA& and TSS < 30 mg/L CST Name (Please Print) Signature Number Lewis c Bork 253976 Address to Eva r ondu Telephone Number E7818 County Road E Menomonie, W154751 6 -24 -2010 2 6 �awi�ieo I Property Owner Allen Klein Parcel ID # Page 2 of 3 F711 Boring # Boring 101 60 E] Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Al 0 -8 7.5YR3/3 - FLS 2FGR MVFR GS 1F2M .5 1.0 A2 8-20 7.5YR3/4 - FLS 2FSBK MVFR AS 1F2M .5 1.0 B3 20 -60 5YR4/6 - GRLS OSG OSG AS 2M .7 1.6 B4 60 -70 5YR4/4 F2P5YR5 /8,10YR6/2 SCL - - - - - COBBLES, STONES THROUGHOUTPROFI F1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor 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 Spit Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 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. 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. 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RD. "J" yuu■mt., °64761 RdMn50° DATE Tel 716 -= -6486 7.1 716- 861 -6871 r TOWN OF KINNICKINNIC. ST. CROIX COUNTY. VNSCONSIN 7i 716- are -M r. 71 - set -m DWO ME 69W- � mwMuthcoo.ullioB.rnm hnd..nh■tMoc.ultioB.mm - . E REF FBF: � SITE PLAN Auth • Cmsulting/assomates SdcH Land Surveying — .MBE7t: eoez -aw RENSION DESCWn@L• E o�n