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030-2101-80-000 (3)
PRIVATE SEWAGE SYS-EM j - - _ a: I. I~~ ~ : r •olx. INSPECTION REPORT I'.awmi> :._,n,i:tur ✓ GENERAL INFORMATION Ci T' P_Rba' e N= !n iS -33 -7 1,, .1,1'- :>.3tp. ,r,co-[N' ]jp e'il;mr ea-n:[ ~a .97d N:' J~ OF o3h- Zlo !-g0 --intc~ .O / 2uDn:1 Dxiu'isnncA.¢aP lv: TANK INFORMATION ELEVATION DATA MIN- FTi,70N /000 q.171/oq,9 /0o.0.7 l fw W ; es~1 370 ! IAI: SI4'ca. Cey rt-- 0.72- 16q, 22.. ~ P tLw Pe e -SO Bloc to TANK SETBACK INFORMATION /6d .0-7 .4N i._. I ~ t : ar. -.i n::r.: r U' I u°~ ~ W l✓~ ~ 17, 0~ ~t. o~ 1> so 8 t I S 32o DLk 'f•9919~ >Sa' zi L f~ !,,:aaa:ild•„ 5.s C)7,3 - - .ss 9ir.9 :'JMP.'SIPHON IN=DRMATION L) i -3.(o 161r3 I:iir..r-rids' ¢•rca:1:. ;S ~ =rrrY (o,~i 0, 1L~ /6y. LZ, _L '411Jf. LL,Y: 7\!iICC YYfiC - M 7-0 97'9 l`( I7.5 97497 SOIL ABSORPTION SYSTEM a'riTF'N^_ vvid~.. ,r~',pr Iv. -e-~snr: IP- DIN=NSIDt:S t.c J i',u Lum: ]1a -.nn:: rcm. 3 Z F/Ow nr v:¢ UNC Aj$ 1,q A) w ei.t ~ D:S-RIBUTION SYSTEM hfk~ 7, S Y7 S+ 7• S = Z 2 1 I" 1~-~~ \ II CJ• ~ l SOIL COVER z Pressure Svstems Zonlt zd Mouna a A. amae Svst-m:. Zinn 7- 7 ..OMMENTS: (Inol:o: cva: dsarep°n::e_. ?_°'50:1: c csen- CIC. Plspec t' 1%c -tin -0IIatjvn ,to-- 3iac Serve-le,a;r = E~I~~t J4*, I A;0111061 aOpJ O; 0' CJ•ue' = G ' rev:Slx .'3CL1r_~O - G 1719 tv~3~7S .'se Coe, s,ae icr acaillvra 17i-J'7 3 nv-, nil ol Industry Services Division " ` " S - MAY 2 a i0t9 1400E Washington Ave Ganllar, I :null Non l Ito be Iilkd in M p S • P. - Box 7162 62 Madison 5 7-' 2 C 153L Ip J anltal\ Pel mit ~1p~licat~~ \lula TI I.aclu,n \un,her I ;n u.aunhucr aadh VI A _ Kl 4n Wnl t a. 1-1 nr 1 ,-It till, (stn' L~ the :y,propnulc gorcmmcntnl umt 'll >er pu cd pli.nt hn nl - Intl. pant A A pli. ❑ nltn-, t(t tvc tancd Pt nl lti aro nlbnuncd to tit Ut nmctn I ti I ty ,n,I t 1 t I r, n,.a ml r r.mm m puude ,nao a eat l . con@nn Pr R I \'1 lies nl Jillcrcnt than madma adJressl u In Io.: rt \s IS th rata I.u I. 4 1 1I1)\1 1. -0h Iluhl-n Id \'.c'a \ I Ills Lion Informatio Pi sc Print \11 Information- - _ - --I I ia,I ' I 1xo n nn AIte 1:i lul 3'. n; ~.t .,.w I Recd :'mpcrl5 uastlar. Mallon; Addte„ I'a,peM I ocea1011 I ]iIh RiveoNc dn\c (hart Lcl I, Mill /',p Cate Thane Noel ]1C '...M YcOnn;o ll IiuJxrt. W:. ~'4o1b larch noel 'Iirt\ It 181 or 0.' if.pe of II ildinY (check all that applxl L% 1 0', e - - - ,r 2 1..mok II hire \n it,".J HcdF..rln.n , ~AI tiuh n,.t , Vome l~ Ili hl nut ll:Il. 3r°ItJunum U fulili; ,l.nnt rd :k•,nl I',; :1:ock- - - - ❑ L :l\ of 'L l\\I Sttmhor Z p \al- ~Q.~ w ~ O r..~ I _ _ I ©1'oaaa o: tit. lo.c~ph III. I )pe of Permit: j( heck n line A. ( orplele line It if applicable) e/ \ ❑ N01 A>um ❑ Itapl:rcxtcm ti. acm ❑ l.,xime,n l'.rld tit A:mA .cplarvll 111 t1n1,, t ❑ lllhcr `lo lualion la f:\LUng \\,ICaI Ic\plauq - It ❑ n H a I~❑ 1',rnn Rc\,,,n ❑ L Ilaltpc tit ❑ Kroll lTlmstar to Vew I tat I'tn om Nora \utnbo and Ualc :.sued i,a An. Lsp. .ul n__ Aund,a Ilia wr 35J:'2. 1215 1999 IV. TNpt• of P(Al S S\'socnn C ololloncnlr Ucv iee: ICbrck all Ihal apply)- \.m !R; ).,e voJ In-: roonJ ! I IY.;..unrcJ h-GruunJ ❑ it-Grade ❑ Mound >'_d In nl ja,tk )od ❑ \louod 24 on of s:uornle soil ]11::J.,-1.1aA ❑')cr;r Dl'pcLO 1'umpnrxnl'•nplamt ❑Prcucalnnt M-,Icc lc\Aim), \ Di pep s:WI anew .A ran IIlormahon: ( r, ie 't-.. ) Ip t. it ah L;,L,a t U„ d tlc, It .pu e,t. fI I. :I Atca E'n. l` acJ hall le tin I.Ie,:mou j >41 24 1. Tank Info L.q,aan it, *i73 - \LlnutLa arc, n c Y \tallons 1 n, . - = l No _t... olur.u :unk 77 au ..?nl ian: _ ItN.i I su n lA irti'1 'a -el: i L^. ['"t-~ ❑3 ❑ IIU Io LU \11 Raspomihilih statemcor l.lu under.ICnaJ.a.nml ngmn,Ihlhn for in,r.J6ltil of the lUN l~ ahn,an on the attached plans It t i tin iI n ni ' )rIJ~~ 'ryn, nr + I AI'~~ AundII I u mca Phone Nomhel ~L-X//C(- gnu - I. ,er:L W96 1 h, ~t n c ~l L y h 1, JJ a I c.. (t tit tc.: p L ,25 q ILn' \'IC\ 7 .lit. `al ALiI. N 15.11)?5 \ III k1o unw U_r I:vunrnt L se Onh~ I \ piE I L - l tm \I"nne~1 I 4ent \i LI:u - - ars \ ell. 3\ ~a IV (~:Inrfill.b'~IrJ>~'~~~~~591~.lF,yl llnappros al ) JI/`. ulissil aI cell ll all kI -j- gg, issis per a * rKO li p v toe-I ov t,lutnbe . 2. AN el!(beMt t'eS1.M'fr o11 rt,~ mull w tart p M plr rlppiknW'• ur:'1 t M dMC F. ).II ld.ub it to lhrl ..1, .l an paper llt+.Ia;uln t:, l l lcbr, in ame c, r'..nI , Ib llht u \t. I ✓l.~l E t ST. CROIX COI'NTI ZONING OFFICE CERTIFICATION STATEMENT FOR l'1'11.17.ATIC N OF EXISTING SEPI IC TANK(S) t fi1J Is i.0 iz: ':f\ :hat 1 have InspectCC the exist: m-, septic and or dose tail: presently seryin , the fol'o\,j in<_ residers-: S S::'eet ad CresS) 46i High l Viev: .oCwcd at: V i. Section 3 i o\', r. 3C N, Rani, ,c f ov.n of S'Josep" St_ Cr01x C('LIn:\ Wiscorsi;:. pon inspec:ior:. 1 ccrti,N that 1 fOLllld :he tattkis), to the hest ofms kiilM ledUc. 8Ni f conil)rm to the read; cmcnt oh SPS. 3S4.25. a- d i. (then :ppearlsl to be functioning p opc*h Most recent date of mspecui )n or service Did floe back ):cur from absorption system.' Yes- No_ iifno. skip next line.) Approximate volume or length o= time 4r_Ilons miril;c Tani: Cal-a':w': 1XIC, - - Corstructiorl: Prefab Concrete ? titee: Other N(anufacturcr l if k:u,~e n is +aeeks ;:on rate F•otlaas - LI of Tank i if. rno~an.' Pe mt number (i: kno,,m) -z Al itf (Lice ed f'lumberi~narurci Prin: xamel haaRS 223%9%• (Title; (License Number! Nlf''-N4PRS (G-I 7- l~ i Datc i Form to be cotnp:ctcd by licensee plumber i Dept of Saf t\ and Professiona.' Services Chapter 305 and ;.:45.06, Wisconsin Statutes! or licensed d`.sposcr (NR 1 13 Wisconsin :1drzinis:ra'ivc Code) Rey. Page 4 SYS-EM P_OT PL46 Pro)ect Name Reed Trust rl;>n: <SC .l,',c%, - E+ N1' Altaa~ y.StgP flow palcalat ocs ir.]•.=ss a:: !tie,ecc ew wnrmerera s:"M r Symoal A _ Clceal,v, r0;1 t:' °loe Val.r.als ASTN Stan-.am. Scale: 1' = 6Q N fv' ~:eS:'iPt Jn' lxmLny v_o:c b ouL=' 7ah'.2S 3E4 JC 5,4 T: C » 9c 2' lay YmJCI SIB CIP.YaIIC, C ii.I 4D 4"7(1 '15 ar ~u ript or. s ?;3a .nt c.~.,+ - 31~ 5r aare rA of -5150 Area Ic`• 15 ;:ell synoo'(i! a?pnca0le: prOVerTy 1'Ae .Trveway Garage ' BeSroari Ex!srng ,Veeks 1000 oallor semc tan< % JM IrcDcs2. %A SM-Ad F: Fite-:SePtlc tank i 3V- F . T. - 3•x75' Infr tra:o' -nar- El =?9.34 T2 - 3'x-5' Infi'tra'o' -rent- El =;,9.34' T3 - 3'x90' EZ f on T~encY F. =96. fiC' _ - 4e TZ 'x90' E? F o~. -~escr E -95 6C' \ 1 t B4 ~ I I Grelnap_ Easment , , . ~ I ~ I , I 1 ~ Y "'UJeM II(W_ CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Protect Name: Recd 3 Bedroom Replacement Septic System Owners Name: lane F Reed Revocable Trust Owner's Address 1206 Riverside Drive N Hudson, WI 54016 Legal Descrio:ion: NW1J4, SE114, S30, T30N, R:8W Township St. Joseph County: St. Croix S-rbdivision Name: Highland Hilis 2nd Addition Lot Number 27 Bloc< Number Pa•cel I.D. Number 030-2101.80-000 Plan Transacicn No. Page 1 Index and title Page 2 Plot Plan Page 3 Ex,sting Septic Tank Specifications Page 4 Lx sting Tank Certification Page 5 Flter Tank Specifications Page 6 Effluent Filter Information Page 7 System Sizing & Cross Section Page 8 EL Flow Information Page 9 Management ane cortirgencv plan Page 10 Seati= Taik Maintenance Agreement Page 11 Warranty Deed Page 12 CSM or Plat Page 13 Permit # 353272 Inspect on Report Attachment 1 Soil Evaluation Hepo•t Designer: Jeh•t Schmitt I. cne.e Number: V PHS 223760 Date: 5/2512019 Phone %Lmbcn 115 763-0486 j / Signature.- c ; n-Groane Soil Absorption Component Manual Vws;; ;,r 2.0 SPID IV05 a {N. 01/01) Page 1 SYSTEM PLOT PLAN A Cesigr flaw: 453 gel an: Cay Project Name: Reed Trust E{tNJ 4G~ w Altarh design flow dalculalons for '151'-c: i.pdress. pMantl':aew ",ninelaal plans v 6Vi Symbol A SM Elevation 100.0?' Pipe Va!eiialsl ASlV Standard Scale: 1"=60' By Description. t.snnq seem r4^¢ e.9ol Tab es 584 30-3 R 3b4 303 0 90 90 120 l Symbol 0 8h1 E.eeapcrc. I ~ c SCH 491'if A$Thl ~:FhS VW Desuil 4.. 30341 FVC ASTV. 0074 - $mpe GradierA of TeslCd t,1va. io^51 ~ 'dJeil Symbol Cif apphcaole} Nelei •JI:!~5 - r~r7Y-rZ~ II^P J_ rs l f F- Onveway Irl \ 1 Garage \Bed•oon#, Ex sing'Weeks 1^00 gallon septic tang `vouse r •,`I✓r-,, I / Oroposed WW-l FdtevSepuc lank \ BM1 81 T1 - 3'x?5' Inlutrator Trench El =98 34 ~ T2 3'x75' Inlllvator Trench El =09.34' p\ 4 _Bx~y.,~~I~ \ T3 - 3'x9C' EZ Few Trench El.=98 6C' 5 T.pi~i-~i~ /l T4 - 3'x90' cZ Flow Trencn EL=9b.60' !i B4 IL d 65 ~ i It _ r ~ t r 1 r ` r t r r t r t r : r Dralrage Easment 13 r \ r r r 1 r r r' If ; I I 'roperty une Pape 7 SA' f -,AN J HI I Ii DIN-S Lr 'JIb7:iN Prrddcr P.cncw P. C. Doi 26h8 commerce.wl.gov Mal son, W sccnsin 53.01-2658 TTY: Contact Through Relay i sconsin Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, secretary =ebrua,v 16, 2013 WFFKS CONCRETE PRODUCTS PA" W EEKS 1932 215TH STREET NEW RICHMOND WI 54017 Pr Dcscrplion SEWAGE TANKS CONCRETE Manufacturer: WEEKS CCNCRETE PRODUCTS Product Name SEPI IC HOLDING, OR PUP,!P P,Icdel Nurnberir: i. ICC~C i49 N. _.L.. 21.76 GAL IN., l IN .MAX. DEPTH OF BURY 51 1 G.P.D. WHEN USED AS A SF PTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL r VjAc )TEW ATER;. TANK DIMENSIONS = 84 IN. L X IN. 'N X 49 IN. I I ) Pr;d.,:•.•, F c No 20100040 "he speellca0ons and!oi pla-s to, this plumbing product have Deer reviewed arc determined to be in compliance with crapler s Comm 82 through 84, Wiscersir Administrative Code. and Chapters 145 and 160. Wisconsin Statutes. .'he Department hereby ssues an approval hasnd or trip. Wisr,nns n Statutes and the Wisconsin Administrative Code. This approval is valid until the end of JUNE 2015. hs approval is contingent upon corplance with the following s:ICUlatronts;: • This lank must be designed to wiVlsland the pressures to which it will be subjected. • The manufacturer must keep at the manufactu•ing plant a set or plans and specifications bearing the department's starrp of approval. The plans are spec ficahons must oe open to nspeclon by an authorized representative of the department. • When this product receives wastewater from dwell ngs and is used as a septic tank. it will produce an effluent quality with a maximum monthly average value lo, RODS of greate- than 30 mg l- and less than or equal to 220 rng/L TSS, or greater than 30 Ing.'L or less than or equal to 1,50 mg ;L TSS, and F.C.G. of less than 30 mTt • Approval is issued for this p,oouct as being eqivaler: to a floor cutlet water closet when the fixture drain is installed in the vertical pos tion The des gn meets the intent of s. Comm 82.32 (5) (or and 84.20 (51 (r). Wis. Adm. Code, which requt'es water closets to discharge through a mim-mum damc:er 3" drain oipe or fitting and the bowl to conform to ANSI Standard A112.19.2M. The in:erl of the code is not since :his p,ocLSt prov des Pis same functional performance as water closets that meet ANSI Slanca•d At 12.19.2M. • BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min. of 4-Inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Soils should be compacted under the tank. I his app,nvat supr^sedes the approval issued cn 421 2CC5 mcee, p,ucuct'ilc iurnbcr 2CC50106, phis approval loiter shall be inoorperz.lod with you, prcvloLSly opp-evee plans and of specihca',ion5 appruvec udder product file rurrber 20050'06. As of May 15, 2008, a copy of a successful water tightness test report for this product must be AVAILABLE FOR INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment tank in Wisconsin. The deparlrnent is in no :vay °d;lcm;a till's cdu:a :r ;any advertlsny. aid s rot responc-d6 'c= any s,tuation which r^,a}~ rosull from its Sincerely. Joan M. MaCCubbin, CST L-rginecring Corsuitant--'lumbing P-cd,ct'iR2vcwcr Cor-me•ce: Safety & Buildings D-v., PO Box 2658; 201 W Washington Avo.: Nladisor tNI 53703-2658 Phone 608-266-0955; Fax: 608-283-7456; E-mail: Jean.MacCubbiti@wisconsin.gov S8D-10564.E t% 109; HieRW IM1401 i:v _1~ Page 3 ,I- :-31385110n Y353I111 ~~nNVw ~i_~3s = m1 112 ~e .=,r - vas ~_N ra.+rc_ 2Jw-GCfM W vwi H Q w j Z z nO w d J O V a K d W y a m O O p m In Q o I- l7 W o Z MOO ~cr ° a zw x < W m piQ a U H O F- 8 a Q u N LL U Q a 0 w1w < CL U moo~ u p < i v LL -O. OJ W I `two O ° 4 Z Y I p6OO o F0 mow m m °1yy0 a O w M N~2. co W'S•1WQV WZr V1 x z I") n ° J c~'" Jn Dow °0 Z~ v N w v w~ Z0 rri Jo 3ar- oVY OOw as p ° a °o Y 1<0 Oam WZW O~'o `WWAS o'v ai <xo U a gx °U Z 3 m U S J m J L C 0 U S O O' Q 3 " O U Z z ul t' z w w z O W K _ n N _N I ~ ~ 3 0 3. w -I W i > u I x . _ a 4j w ~ w a ~ W 6 N Y Z Q H Page 5 3 PL-~2~ I If wilt Filler I illrr Ih, IT-523 (alter is rated for 10.009 GPD (gallons per day) making it one of the largest filters in its class. 11 has :Linar feet of I 'In" filtration sluts. Like the PcIvIok PL-122, the Polvlok PI.-525 has an automatic shut-off ball iiwalled with every Idter_'Nhen Iho filler is rornoved for( leaning, the hall will float up and Leinpamvily shut off the,Ns;rm so Lite effluent won't leave the tank. itec for 111.000 GPC 1 Al.,rn, ~w ilr1, igallons act da}'). (Optional) 000 GPD1 _ linear fool of l I n` (ilualion. 10C oPis V and 6" SCI ID ft) Iii}t, Accepts I" PVC ~ li,h•mum FlanJlr Fault in gas deflector. ut.imatic shut-oft ball when filter is removed, 7, _ Lil'ill diit•SSIbIhIV- -I raled for 111.0011 (;PD 'trcrpls Pb'l'. eslenaion handle. idt al or residential and commercial waste flows up to V ~ ~ 525 Linear Ft. -`-r 'Y~ al I, Ifi' 10,1000 gallons per Jai, ;GP:)1. - ~ Finraorn clap I Locate the outlet of the septic tank. R'emot c the tank cover and pump lank it nc~ ,-%sarv. 3. (Juc the filler housuig to the 4" or n" outlet pipe_ If a I IL as I,:p; :he litter is net umk`red ui dcr the attv,% opt-nisi; use a PAYlok E~ton:f & I ok or piece of pipe to center filler 4. Insert the PI -525 riker into its housing. - - Certified to i, Rej f `I:LC and secure the sc?ni tank iovcr Lo NSFfANSI Standard 46 . Mr, r'L-i23 Filluent Filters u. ill oprrale efficiently for several vain under normal ccmd:hons before requiring i. Ienninl; 11 is rt•tunnn01LIV i that line titer be cleaned evert t::'ne the lank i, pumped, or at least every three veers. If the installed filler c onlams an oplional alarm. the owner will be noldieci by an alarm when the filter needs sorv irfni; `w rvi, ing should lo done by.) certified Septc tank pumper or ies:allvi ~ 4u11niatic Shut{ill Bail L Lerate the outlet of the septic tank. ? Romovo lank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull Pl. 5'_5 cartridge out of the housing. 5. Hose off tiller over the septic tank Make cur, sohAs fall back into svpric tank. 0 Insert the filter cartridge (sick into Iho housing uml,Ln,•. ~1 v„nd & I nl SUIV the rihcr is pn+lx•rly ahhnt\l and iomplctely inurD+J I ..i~.•.L i.,b, h, v ,do r, -~rp1 pacny mmalls 7. Rc4'lace nand SeCtItC septic lank cover 1D.r>martFtjt,r= .vntnh a*nl alarm irnu resisting lank.. Pulylok. Inc. 3 Fairlicld Blvd. W,dlinglurd. CT 0649_ Tull Free: 877.765.9565 Fax: 203.284.8514 w'wu`.pulylok.com Page 6 PAGE 3 OF 4 w t 0 ` a a E n ry F V N > o X ~X{Fa L" 4 M 5 N m N. I'Q a) c CO -~6 a) ml u a - ^ 'I N O O 3 I II N O I O I dl CD O W m 2= V I ;Q Q` U) ~ij U b y c w I I W Z O 'c_ v I II c 'O _x I m C Q o d - _ U) . Z c s} II G U ' _ , o _ > 2 'S c W Q m Q cn , y o u~ W W >0 a ° a w 2^ w o f u < m U Q a O I I c J L Q ~ U I o I I_ Cn N~ j ~ I I J W t N - .N I o oI I oI Q I J J~.'U y y m II II It x cu T T L o r = z of y U3 (1) U ~I I ~Zl' K v l 1 w L Q 1 I _ 4 I' = N w Lyr '1 J a I U aJ - Z v u m Q "O I- w y I W e d f u F I Q' v G '17 0 Z Q G 1 :D E W U Q c u~ OW wpm U I~ Q O r, J Z V) Z w Q Q o 11 Z rn o - C - U W Z + Q } JJ Page 7 Installation Instructions for r4EZflow" EZ, S,Iow Systems in Wisconsin cy1NFILTRATOR n'.i^ I:u.n ,t '~c•n nc Sabztr' and Liu b7irg. r, fhe Ab.wrptcn ate _~j nsc rrn ?r o - r shi p~o =ion, h<I, IC~ .-.-.cJ t't. spec °'CaturanJ; cr pia-, for :hi; be °s :td based o-maXr'un caila sewage fls:v (G°Dj and c h.ct and detem-~nec t to be ~n ccmpl:ante wain c•rapL•r: ; the [Vmeabi,ity for the site. V certain criteria is met, the l: rr-m H2 thrc;.gh 84, Wsccnsin Admin. Ccce, a^d ChdpteT-. RSA sizing car be used n'vVisconsir, resulting in a 40% and ' 6C. VAsconsii Statutes. All sites mus: meet ac 211c sne ter drainfie.d. Sal Condi:iors & Locations & isola!ior dstarces a noted i, ' 1 -.~I •egalatwns. E. Place EZflow bundles; n the EZFlo'w configuration ap- nrr:vnd by system des gn permit specd.ed for the particu- I h._ oop'oveg p,cd-cls a-c 1203H i3-12' bundles with pipe ir Life. The lop or ice^ter most bundles containing pipe - °:c' bundle n 5' o, 10- le,otl1s; anc 1 53HF' (3-12' bundL.-- t. are joined end to end wdn an internal pipe col.pler. Any :h p pe 'n each bunde in 5' a• ' 0' lengths. adclttonal aggregate only bundles that may be required, s^.ould he booed against the other aggregate-only oun- c ngle pipe bundle coats ns a four inch perforated pipe , L- : 11- ono do nal require any type of connection. o-n::ec icy EPS agg•egate and is held tcigetner wi'.h poly- ;R,ir ^nrhr A s.i'q r. aggregate. L~~ ;Jle coat agyreca:e : 'ha :Op of each -EO cylirder contains a fitter fabric pre- , _ri : i,!:1 I et'n-i r- -ett.nq, mono'acL;lec In oetween the netting and aggregate. The 'ab•ic is inserted to prevent soil intrusion. The installer Materials and Equipment Needed s'zll make sure the the GEO is positioned upward and s • E_fi-' :Lr_I-, : n -o-tact with the fabric contained in the adjacent cyin- • LLIh_u Geate,.l,lr ,r::r,- dri delcie backfllling. I 2,I10w Internal _ c^ :--:.1,; lets • Hypo for Hence' any; Iriet ~u, Ic EZhaw Drainfiela Systems should be installed in a • li:a,_k Err_av Ir,r trench in all directions (hotr across and 'elonce the _..Ji bultom) and should follow tire contour of the around Installation Instructions r 'arr_• elevation (untiam depth), with all cor5nuous 'h_ .ru-:a^: f-r n-:al.atien LJIc:: o.o-uu:ts arc gr:crv r:den ng 10-foot cylindrical bundles placed end to end, ~I~:e ~h~s pisd ct must be msiaied ~n accerdare vnlh s!a;e w r cenbal bundle distribution tope interconnected, Ciaraer : Ci mnr 82'^ro..gn 84,'A'isc.^,n sn Ad- t•..:; A any dams, stepdovms or ether water stops. rro i tral.e C cde. ar"_ h fib-`~ nd rircer-in St;:: J' as well as the Ic. J II % .li- :I IPs trench top shall be ended such that water wll eot n,a°ual. : 1..nd- 13ack'ill should be seeded or sodde: tmmediatey Jit-' completion to reduce erosion. A'tet the loom heft r .=p:'tr-i-r'. is -bar i r cd v • a corfioura-jor, j- d r. f,-;. a t'=.-::. -,r -'flew EPS bundles a•e flexible and can fit in curve': oI mark with aai-; Vic ocao ,n _,t L encres and Imes. Fe tr-riches as maybe necessary lc avoid trees, boilders o careful to set correct tank, irve pipe, header line of di : ti,, r obstacles. tribition box an] trerrh bottom eieva'ions be'oro in,t aScr of pipe bu.-J,te ; 1 1 EHJ aggregate 5 lighter than water, therefore It min h: rApected tha: natural buoyancy faces would tend 2. Remove: plas:ic EZflew s-ippmg tags prior to pracr•,q s:e EZflcr.: asse•riVies to float out o` grobnd wr,.- oundles.rifne L•e •.ch(es;_ Remove any plastic bags it tf.,~ pondrna occurs. Field experience has ,hcv.n, tiov:eae , trench hefere system is covered. that ;his is npl a poh em when syste-T h;:dr i ri r. of C.' If s ll _over ay 1e1 v11merded t r-'T 3 'h.s prodo-I must ^ave geotextile fabric :hat •ni :uiremenls of s. C.Dmm 54.30 (6) (gy, V&. Adm. Critk nsiallec sirectly on too of the prodact aid extending 1203H-GEO down along t-rc sides o' the prodvc! t6 a point a! least niches frorr the bo tc•n of Fro.i,.<t 4. Wne installed in a trench, the tr =ii h. LJ.d ❑e d-g to ,y' - y C •rj l i vrdin 36 ineires. Ti is rot Irl, saves la in i,r_ava , Oilr )rrl Page 8 PAGE 4 OF 4 In-ground Gravity Management Plan IMPORTANT: Th•e owner of this m-ground gravity system shall be responsible for its perpetual operal.cn anc maintenance pursuant to requrements of SPS 332-384, `A)sc. Admin Code Pursuant to SPS 383 52 12), Wisc Ad--in Code. this system shall be considered a human health hazard if not maintained in accordance with this approved management plan Furthermore all rsocc:nor and maintenance activites shall be performed by a registered POWTS Maintainer in accorcance enth SPS 383 52 i 2 i Wsc Admin. Coee Maximum Dispersal Area Operating Limits: Design Flow= 450 god; BODS 5 220 mgL"'; TSS 150 mgL'; FOG 30 rill Inspection Checklist INSPECT EVERY 3 YEARS type of use age of sysle^- nuisance factors 0 e odors, user complaints etc? mechanical malfunct on ;ce.. pumps, valves, switches, floats. etc.) material fatigue :i a leaks breaks, corrosion. etc) solids volume in anaerobic treatment lank(s) and any distribution appurtenance(sl f e (7. stribut in ' drec boxes) reglect or improper use (r.e , exceeding design capacities. prohibited activities etc extent of bonding in distnbution cell prior to dosing owing irregula•il:es - it applicable (r a pump re-cycling float switch settings. etc l e,ecinca, components -,I applrCeble tr e w ,ring connections swrlcn,es rnrbn c, am=•rs a ar'rs ea: i C,shibution lateral or lateral orifice plugging (measure lateral distal pressure - cemoare to des or 5peuf1cah01 j sur'ace disc-arge of effluent or sewace back-up ir!C: strcclure setied Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) Septic and dose tank(s) shall be pumped by a ce-tified septage sere icng ope,ator Icersec uncer s. 28'.48 W's St.ats when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as reg,:.rec by cca: ord.narce. Discos& of x-.tents sha!! he pursuant to NR 14 3.:^!sc Adm n. Code. Effluent filters shall be inspectec every 3 years and shall be cleaned when necessary to remove any acc..Tulated solids accord ig to marofacurer's specifiea:ions A se,vic r, peso- will a sways be greater than •no.rt,s 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: Name of rdrvidua of conically John Schmitt Phone 715-760-0486 Loral government ,,it St. Croix County Community Developement Phone. 715-386-4680 Local government unit address 1 101 Carmichael Road. Hudson. Wl ZIP: 54016 Any defective part of this system snall be repaired, replaced, or romoved pursuant to SPS 383.51 11), Wisc. Auinw Cnde Rerarr or renlacement of failed or malfunctioning con-.-icreits shall comply with SPS 383 Wisc Adnio. Cede No crodcct `or chemical br pnysica restorwior of tie l -ray oe used uniess approved by the cepartment in accordance w :h SPS 384 w`Jrsc. Aomir. Coce. Contingency Plan In the event that a-y fa led treac,rer! ~omcerent of this PUATS car,-)3t oe -epa,,ed, it sha. be replacec curs~art to a p!an sub-ittec to the apcrenna:c ageroy fo- rewew anc ap:!nova A failed ic-gro.!nd cspe-sa co-pine-it may be abandoned anc replacec by n :;ode-eo°-pl ing ~7 isparsal oo•- none•t in a ore-determined area o` s,i ta.^,le soils System Abandonment If use of this POWI-S s discontruee. it slili be scar d% m_d r accoruance e. ibr S?S 38 32. Wise Ad- r Cede Page 9 .S 1. (-RUIN COUNTI I,]:(, I;1\K \IAISI"t{\':\\CI` \(iRI C\t:?.\T AN:) M1T'PRSE1111 CE.R I'II I(A I'ION FORM r,itl Jane F Reed Revocable Trust ,.iamb Address 1206 Riverside Drive N Proper(yAdd:cs, 462 Highland View I I n rC 01P':.I fir, ; i'. LIII -1) ; .C 1, 1-- tlep.Pl:ncr.t I t~ rt.P.LI.1100 Ctv Statc Houlton, WI Parcel Idenutication Nujimei 030-2101-80-000 LEGAL DESCRIPTION I'r,ractty Iwlcauon SE - SW , ticc _ 29. l 30N R 19 11', Town v1 St. Joseph ti l d t s t t ,:It: Highland Hills 2nd Addition 27 Ccr(i[ied Sun eN Map # . 1'oluntc . Pagc ll 11'arranlt, Decd a (bcibrc 2007)A oi'timc . Pay 'ieos: ayca~t~, I,.: I'.nc, ldcn::'rr.'~'~ Gl y.`[,rt^ \1 \ I I'. V N1 :U \l 1' \ \C'E: AND 0V1'NER CERTIFICAI ION a<e m.t tn:.cai. ...I ,U'-epllc iVstlll mGl::I:<l:L•uirt+prCm-.:ur. tathr[1,it.u r:ilc .I'.1xfC5 Pro1'cr •rslsts d pump:np ui :,c sep:ic ,:m, ncry thrc, lean or ;,Io lei. tl nccdcd, by . L~cnsed ❑m; er. What you run mn_ I. lfto.t tPe tunctiral r :he .z^tc tank a< a treatahrlt stacc in the waste dispo al s~•atem. 0" tier maintenance ,:~n,i".iue..e: specitiee to 1Pi. }x3S2i I I and in Chapls 1? - SI i'roa County 5amtary Ordinance. Tic prcpc: IN, oun•cr agrees to subrn it to tit. Crota County Planning 3 7(mmR Depart w..ci rnl'.cation form, cigncd h`' the o:nel and b% a Inca, pluntbcr, iuunmyman rlilly' 'nCT. resmcled plumncr or a hcelhed purnper I . n•. t:'P !,cte•xatcr dlspocal eystem Ism proper operating c ,nuinon acid )r anm InbpCCUOII and pural411a ~ r", i. the .yrtW tdiic than I { iitll of sladge. I ,rc. tic u:IJcnryincd Ita\c sand the ahoac rcquucn:ents and agree to iltebua:n the prn .i _ ~:-.n iiL d tdat'u, et lit-111. herc.n. a..ct h•. the Ucrarnnent of Safety Ani Pnltis>lonal Sen-ccs and tae 1' L.atm; I \ .,uc:l .4 L~Ll C of 1V lS; ona. r. l'crtilicatioo simtr.g olat s'.,ur +cpuc a lrln I:a. `Peen mmrrt.nned must he ormplcle'i and rrt llned to the tit t i_nry Pl:uu:.nn A 7onir:g Deparime : wi:his 111 dac. of the uirce,car eCrlr.Ition datr we certily tha all tats l x c.11 :1-1 rlr n: Inre o. the beat it im,oui kno.%I-i _ ~ . • E~~ I'nar«'. 1t..; nhr,i ;Ih, r.'nc .tau a:o:rn- Accd recorded in Rep -tr A Decdslt l'. \untlld nl hcrlruulu. 3 \ VII P1 rll ON It ANT(S) D'%TF 4ny ml. rtna'l, r that I nII r t.-I ?t I • :.n,.',•. TN I, -'r-tl b, n -,.~F.ed ^a ILc 1'! uII'n'e 7o1:I`:,J. U::•a rtI . teal CICC rv ,r". . •L•~' ttl i'I Page IC Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings dings Division INSPECTION REPORT St. Cru, x GENE`.RAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No Personal information you provice may be uses for secondary purposes (Privacy law, s.15.04 (1)(mq. 353272 Termrt Holder s Name - ,t Vi lag. pswn o : State Plan 15-Nu ' St. Joseph Tavnshtp ST BM Elev Imp aM Elev : BM Description 1 Parcel Tax No.: 00 r r W Idttot..A, S4-1e- 030-2101-FO.000 TANK INFORMATION _ ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS - HI FS ELEV. Septic oorD Benchmark T.0 ( it I Dosing :\lt. H.\t -b (a oY• "IS r Aeration Bldg. Sewer o b to I os r Holding St/fit Inlet -1132- 0o, 29 TANK SETBACK INFORMATION t St/Ht Outlet $•o4 100.01 TANKTO P/L WELL BLDG. nver f'l10lntake ROAD Dt Inlet Septic ti~yFy ' _ VA Dt Bottom Dosing NA Header/Man. Q.~ -4-1 Aeration NA Dist. Pipe -43 r 9. tc Holding Bot. System t} 9$ 3Y PUMP I SIPHON INFORMATION Final Grade t 102.0 r Manufacturer Demand St cove. S`~6 oz•b__5 r Model Number GPM TDH Lift (Friction S stem 1DH Ft Forcemain Length Dia Da To PVeI ILA PTION SYSTEM ~EAy RENCH '.v~d+h n ten h No. Of Trenches PIT No Of Pits InvdeOia Lqusd Depth LEACHING Menu acwrec SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM . INFORMATION ype r CHAMBER Model Number System. U. ~r 2L OR UNIT DISTRIBUTION SYSTEM Hea er!mari. od l]4tn u:IOnPines; x /10e Site I x `Yo Spdunq Vent ToAir'Ilta e Lenyth TL1L- Ora I LergtF Dra Sp" rG I I Z /DO I SOIL COVER x Pressure Systems Only xx Mound Or At- Grade Systems Only DrpU~Over + Depth Over xx Dept-, Of v. Seedee/Sodded xx Mulched f Bed: Trench Center aed.T.ench Edges lopsod ❑ yes ❑ I ❑ yes ❑ No COMMENTS: (Include code discrepancies, persons present. etc) 1n5Fss i! d i 04~ Into tlen N2, / / Location: 4Gn- Highland Vies lid&on. "V15 31 (SI: 14 Sl",- 14 29 1_oN K! 9"X- 29 ?0.19 R?' Highland Hills I -I.ot 27 I ) Alt BM Description - 4 e s 2.) Bldg sewer length - - Z$ -amount of-cover = 'P20 3) ( Lia-A At ho s.4JA*A Imo. o/ - oY - e0 T..k ell' { Qs -jt.c: Plan en on required ❑ Yes ~ No r S z 6 Use other side for addi tional information O/ OY ~ SBO-6710(R.397) Date rspectar's S~yretur cent No Page 13 WsonsinDeparrventorlydusrr, SOIL AND SITE EVALUATION REPORT Page I of i Labor and Human Relations Dms10r of Safety & Bucini in accord with 11-HR 83.05. WAS, Apart Code COllh Attach complete site par on papa, not loss tnan B 1'2 x 11 inches in size Plan must mclu de, but not limned to vertical and horizortal reference point (BM), direction and %of slope. scale or PA dimensioned, north arrow, and fixation and distance to nearest road APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION EDB riiE PFOPERTYCWNER. PRC°ER'Y LOCATION 9~n„_ Joanne Persicc Gcv-.0- SF 174561 329 'N PFOPERTY OWNER S MAILING ADDRESS LO' r BLOCK a SJBD. `r- _ 400-L-_;eccond Sb__ 27 na 1- Hi dn. STATE ZIP CODE PriCNE NUMBER ❑CRY ❑Y'!I'-A3E C1V\' UL E3T - llud. I r l s 174 New ~OnS7UdIOn Use pC ReSi0en0a i NUmper of DetlrOOrns 3 I Accihon to existing binding (I Replaoement i I Pdblr c, commeroa' descfte Code derived daily flow 450 gpc Reccrmtended desigr ioad ng rate 5 bed, gpd' 12 •6 Clench, gpolt2 Absorption area required 900 bed. h2 750 trench, ft2 Maximum design loading rate • 5 bed, gpdrft2_ .6 trench, gpd ft2 Recommended irofWa ton surface eievaacri,si 98.87 " (as relerred to site p an benchmark) Addimnaldesign ,site considerations alt. area stem-el._= 98.40 & 95.57' _ Parent material pitted lacial drift _FOodplainelevatwn.ilzpplicable - na t S=SuilaDle !:a system "ON'JEN-CNAL t'CAIIJC wGROUNDPaessuRE ?'-,WADE "57W Iv riLL H!N'3:aA U=Uns lobe furs'stem ®S ❑L ( CJ [YS C'u S U ❑S CAL ❑S a~U SOIL DESCRIPTION REPORT Depth Dominart Co!cr Mottles Str.;~t )re _GI Dift Boring # Horizon n. Mu tsel' Du. Sz. Con; c,a exture G . SL Si Corsstence Bandary Roots -Bed Tenth 109140 10yr3/3 none sl 2msbk - mfr rs 2f .51 .6 2 1~_7.5yr4L4 none scl - t 2csbk mfr gw ! if 4 .5 Ground 3 40-84 7._~yr4/ none s_ 2msbk rtvfr na na 5 .6 tTev -'lf- - 102.3 It Depth to lirnting - -T- - If - facto +84" - - - { Remarks. Boring # 1 0-8 :_Qyr3/3 none, sil 4cl5l) mfr gw 2f np .2 2 .8-17 i~r4/4 none sl 2csbk T mfr gw if 5 .6 Ground -3 17-40 7.5 r4 4 none scl 2csbk mfr 9W na .4, .5 elev. 4 40-84 7.5yr4/4 none S1 2msbk mvfr na na .5 .6 10?-2 tt Depth to - - - r - - - I.mibog ,96-- factor - +84" Remarks: CST Name:--Please Print Gary I- Steel Phone: 715 246 6200 Address: 1554 2(11()th. v New Richmond. WI 54017 Signature r /.-s IL ~i ^ /-i Darn L1-12-96 CST Number: mC12298 PROPERTY OWNER __Joanne Persico SOIL DESCRIPTION REPORT Page 2'of 3 PARCEL I.D. i, Y ' Bcnng # Horizon, Depth Dominant Color Modes Texture Structure 4Consistonce Boxci Roots GPD/fI in. Munsell Ou. Sz. Cort Color Gr. Sz. SP, Bed 'Trenot 1 0-:3 10 r3 4 _ none - 2msbk mfr 2f 5~ . 2 13-244 10yr4/4 none s1 2csbk mfr w Ground 3 24_84 7.5yr4/4- none s1 2fnsbk mvfr _na na .5 .6 elev.-- - y - 101.9ft Depth to hmibrig , ,.,I factor Remarks. Boring If 1 T -8 :Oyr3/3 none sl._ 2msbk r`r_ cs 2f .5 .6 4 2 fl-30 7.5yr4/4 none scl 2msbk mfr if 9 .5 tnsbk mfr ~1a._ ~6 Ground 3 30-80 ; ?.-6yr- none elev 99.2 t' - - - - DeP:htc -r -J/ - limiting factor - l~ Remarks Boring # 1 -11 10 r none sl 2msbk mfr. cs 2f .5_ .6_ 5 _ 2 11-24 ~ 10 r3/3 none sl ! 2msbk mfr_ 9w if .5 .6 3 24 40 7.5 r4 4 none scl_ 2csbk mfr-_ Ground na .9 .5 - - - elev 4 0-80 7.5vr4 4 none_. sl 2msbk mfr na na .5 -_.6 96.911 I - Depth to - - - - l mA ng [actor - - - - _ - - Remarks Boring # Ground - ' - - - elev- I ' It. - -r -II- Depth to limiting lacror - - --t i Remarks. - - SDD-e333(R OS.92) STEEL'S SOIL SERVICE Gor4 L. Steel Joanne Persico 1554 200th Ave. CS-M2296 Sr-,SW'j S29-TWN-RIW New Richmond, WI 54017 MPRSW-3254 town of St. Joseph (715) 246-6200 lot #27-Highland HTlls Second Addn. top of NW lot stake a el. 1001 f MVP j a 07 I~ I, 32, ' i Gary L. Steel 11-12-96