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HomeMy WebLinkAbout002-1032-50-000Ni mm' PRIVATE SEWAGE SYSTEM St. Croix s I'daia.p unity INSPECTION REPORT ix ° ' 815362 GENERAL INI ION (ATTACH TO PI m..ioxo Pvw"m. •�•Irmwv u..�sw uxmll cm mw • xe Roxa ne' ernart TOM OF BALDWIN 002-1032-50-000 eR... peg7 Vjeaa—, y,,, 152916225C TANK INFORMATION ELEVATION DATA TYPS WPAxP TURERR 'HS CAPACITY STATION / . iF %E Si W ie5a.� /opp 5 1 /ds.. I Pw.g a 3 /050 roo.'S TANK SETBACK INFORMATION Sum Ouee: NTO Ply _ A� WEIILD E x•i^ let SeNec � _Pit Bln" 2a 72 .9 exa r 5.HeOellmll— A"i Dist type .2y5 L2. HodingFa zMem . 14 o/.S PUMPISIPNON INFORMATION FIRlanes A 1.36 wauwmPAXtb SCe,v Ni Q.0 �5z zs.a _r sz- yv.s ENeo PS a I..N�TRFPN �... `g 9 cilmmillm SNIT .�.�.. 'x"lh"7L .xa314't "' LS ,womLOR o. sw,� SOIL COVER m•eTUNm•anry o. AtbnaayN•m•Onry own w.. awopnm as..ausmew vu.im.a EJUi COMMENTS: ami"aeexaeaNenw"eie. N.wom pm, etel immaimtlt /6/1//y i%P"M2 A C...(._A w•.eox W24eTRST F,1 zl Soo III - /8$ plD� ok '( Man e.. a moxyL03w�+f^'73 y 5 Usewxsicn R.Rwxaz i • Ro /p G$ eWP710l.31„ N. 4-0 QeQL.. PAGE 5 OF 8 I'{ SEPTIC / PUMP TANK SPECIFICATIONS �(ywkArh .9w.n. (No Scale) a,eoa.gl. n.ovr .N P••remara aM.ayaktil me+ r..M r� f} _\IL capacrIEno 1-1 gWn ®_® o� *Pump Tank Wulf Level • 38 In Fours Meln Diameter • .In K Forte Main Langdl • 1y n Fome Mein Vold Volume- 4.2gya1 MIN PUMP DIzrl Moe MTE • .O ppm a JVertical Need • -315 n Mm.Supplr Head- a46- n FM Fdcdon Loss - .83 n �FIMng Lase•- 07S n •Imn..pa ta�0.a �. �.. Iw II r u T-A-WAL IN I 4' CAV-A-B AL I _ pl II QI' O II J nRB aB 11 I e mE 11 I WLP1000/650-MR TANK SPECIFICATIONS noerRs BAIL r U r uµxgE x 0. . cOxaS1E �t IElonr I ice' . W M: Iw no. ROTx MOD nor w1 upm g31f' 14Bw Mi M£! M_O b111ff. 4 fAti f-A-3 BOOT OR EQIK f .. G -A-S SOOT QI EQ MF! NO OJ BYSIL MO mh BBYN91SCE Dom 00 (0T STARS SU OIMT) MDO WAOM MM GA A� ) 17M IO. m oE5131 B0' U6 m"m S TM[ cM BE U= AS s➢n[/3PTK 3PTC/ FM Qi 9P1M/EMYJI co f wx OT9O1 P mo iBll) TI W IX po SAVCRRIL iHR) ORIQ® TW FOR ODOM TM C W7 TR2Q COHO£IE RMS Hld F: 45ens )1. Qee Sh1U- aryl 9 _ n 1 xGC�OdCD I5ervcea stcanx 1`,„` pi 1400EW8eNnplon Ave sra�l..ypmn N=awpe I, enm,.q Cal l6 l t' JUN262019 ''..:.,.. PO 71W AWvn.WW.ufm]10 'B common a&t'j `"y emit Applicatio s"'".`"°""W"` m Pseuv¢a " ,r n im P.emmmmdw �n'ompna,eron�re.,.n,"n 00 a — _ Mr (ran ,<smamel mm. Nnl<AWm �mfo ro�femmaaro am'veP.m.mofs.reyw v:nleemne sm", Pere ,nrmn mm•pm.w<m,v ..m m. m<m "o 0 1 q 3 I. oIAll lnfomeloA "C"InImnn-P Rp-rehaG 002-1032-50400 An+rem PApenr enm 9,11 2.mo.treSe 401h Street 8W � . ViSN' '� Semen 15 ay. ep " �N]15684-3081 Baldwin Baltlwln WI 54002 rv, a w am1e1ne(.-rrUa lea.pply) Or ,a snmmvmxe,m�e�/y� 2F EIn,2 fem,no„<m..-Nemmmmm 3 ie amwa Elw5lwcm,ma.,el-u<,<.ro<u.< —_ ❑�nnr Ds""�.nm-B.nneeu / wmm ❑valna<nf ETIM rSadn b� 75 O1. A.cnmple¢Iluen.Ppnenme) 2 jFOrrnT.(ChI pxmsrvm "W.Wo Taray mmmimne'lms umiummen anlr OaueeMmmel.,,maumn2Sr.m("rom) e. npmWH_IA l ❑m n�e� p Por men �mnnTry sroNr I .,m.P nNmmm a m / YG a�<� n'.T MvoWTss hMCoro entlOn,rc cheekenroee d0 EMwM<NU MwMle n,l QNm,-PnM,Iadh wntl QParu,vllmGmuN QAWMe QMawtl> ew""< 0"oWm�mml eTmk e Dasm%lCamplenpII1) Qp:Nepnnl Onv<(npYW V Ok enlAm lnbnWllan: 4 , P Iawwn �s3 ®] 5UgnWAm evw , V50 p o tolMfi VL Tl.klefo Tcal of 'I,Wuum Can,,, �� ix. rvi.n. / N atCMG `e5 Jo 6 syv.orxoxy Tea X 1250 aMWI X m uc w X Va. kuontlelll SYImenF 1. ReeMmh vYH4y b<1 ENq.a we(Fnml pMarty BmeaZNmm L6wb B)oR 2530]e ]15331-]3T5 em<1 E7e19 Coumri E lace n,ammite W Sa]61 Val COOrWADerronlortnt I On Peanli Fee 11. Is LY.ClldmftpfflNepNora 3� fs..�.a.'"eAC 5 1.r+k.nwle (,e �p��lbn•w °i F�.d I �MgP1lbe�el)amlo-eu. `f- oi.Q 4e �ae.. 1 d.,._ Mem,+la n4 SBM398 (R0313) Q SOIL EVALUATION SYSTEM PAGE 2 OF a SITE MAP PLOT PLAN RRc ECT w E FL 4so (72-19) Roxanne Gerhart n '° aomaSIGH Mwuwl.11pn•luaompeN•0 Bpm=.mFE90 —W 14Qh Ae0•MW vdlk PIo,M W¢ fASTM SWd,• T74b081.9Td6143M1 B vvnaim im FT a¢� 2 0.2W Bm�mw Top weep"ll I pd ¢ 111 IMPOMANT w&mawiiemv o a.p.a slwew.a V1 mm�etire 2 G5i ndP t O �I �5jaw 353 97( tk ca' fig' I pr_ 9 rrrr V � 4 NapSp sFr�3�e� L� �G Ei� NOfttJn 7lOD maremoo, DIVISION of IxWSiaY SERNCES Rk1 \ 233I SAN cols Pe §s, GREEN a4YWl N3045P11 lCmYtl Th"h Foley nap veep•col pw/gewarrowurtrynemmr a \�Jf� Tony Evere-Gowew Dawn CNm secMere Iwe 5. 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES 2021-O&M Plan Re, loco: PWTS061 ROL-C LEWIS C ]CORK E7818 County Rd L qq Menamon¢ WI 54751 SITE (72-19) Roxanne Cerhan 041 aVnl .',:L id I Town of Bolds, in Saint Croix County Tow Amount S250 00 FOR Mound Component Mantel - Ver 2 0, FIND- 10691-P IN 01,01, R 10112) Pressure DunWlmn Comaalmt Mmml- Ver 2 0. SRM1 10706-P IN 01: 01 R 10'12) Mnmtenmce Required The mmoul kwmed aMve hen bccn mv.rnN for ucummmca win applicable Wisconsin Administrator: Codes and Wiscoosm5umns The subnmul has be,,, CONDITIONALLY APPROVED ThissysmmistoM rchaW Income[ inacmNeme wah the who,ed uprom ed plans and with my component mmual(s) teneedmd Arm above. The ownerin deflned In chapter 101 mnoL Wisconsin Saudis, Is responsible for compliance win all code Requirements No person my engage In or work at plumbing In the she unless licensed to do so by me Enforcement per s 145 06, Ruts The following coalitions shell be met during eouWgmn or miniboom and prior to awupmcy or use • Preserve dbpenal area prior and during imam um to avoid dlsmNmce. compaction and we of 0e site • With pew mirucdon; It is mcommended not to wasam me pump In the dose tank until the ranks rare pumped prior mI meuwoer occupancy • Wastewater generated new contractors clemmg ofeqummere and tools and or left over construction product shall not be discharged into do, drams dluNrgmg to the private owne %anew ar Vmummt system (POWTS) Waste generated shall be properly disposed of on -site or off site • Any hill gnus, leaves antl shrus shall be cut short and removed prior W idling the surface for inNllWon to we ... t matting and,, me deraml woo All home organic material to be removed from mound area • Divert surface watee from POWTS Nw Prior to construction of the several am, check the moisture ... tent of the soil to a which of a inches 5m my"i c.mnwrom Ifw sow will result In reducing thentifilaraim, memotF of Ne call Ptapeewa en be deretmmM b) mlbnge qua ample can insw he hands Ifn rolls stuns 14 inch wart, Necced until xerrm ureWe If n cmmbles site prtpenlmn can prceed. If he si¢ u toowet w prepare. ao nw pro All ion a it idal ones All vipmg man ennmmr t. sys Table Sea so-) and srs able 5e4 50-5 imamate builaiq sewer beyond 30 war per CPS 392 30 T qcl Well atbaeks to min class WR 811 It 817 Tank Installation to follow all manufacture recommendations SPS 381 W lAn) The management plan for a POWTS hall spwifica11y address he servirntg mechanics of air .come or anaerobic morwo nuank or holding lank where eager of the fallowing conditions exist I The bottom of the mask is treated more than 15 feet here the elevation where he servicing paid is III l The hmam of the rank is treated mom then 150 feet horizontally Imm where he servicing pad is located Veetfy property Imeb) Form immllanon Pump Ise .be: and secret] r apprised pleas An, changer a) result inr^i pump ing to meet un. r.,1(I speciry fication.. Or. net Reaponstbllltim Iln an.nr ownerand each subsequent owner man receive a copy of miamn including maweuons rclmmg It proper use and maintenance intsystem (hun<rs aM1all recemco copy of he appropnam operation sod t and;la ownees manual for he POWTS dead rhed in his interval SPB 383,SHIF huhe envent eprotons in wit absorption system orany of is component perm malfunctions so as to creed a healch ba'rard the property owner must fallow he contingency plan as described in the winnowed plans A copy of he approved plans, specifications and has Inner Awl be more drunk conswcuon and open to Inspection by mlM1anzed tepresenlnwes of he Depenmem. which may Include local impectom All permits required by the stag or the local munmpnlrty shall be obtained prior to counmencemew of censtmrnon msmllmmrvoperation In gronow his approval the Orvumn of Industry Services reserves me Hda to require changes or addniou Amid emdmms arm making them necessary Is care mmpbame As per sum sum 101 1p3). It in His "view shall misma An dagner of A, responsibility for designing a safe buildmic wuc ,a cunponent. Inquiries concerning His cownsponamoe may be made to me at He telephone number rated thal or at He address on Aw lenemmd The above left loco a An11 prit a ecpr of letter and the POWrh management plan to he owner and my others who are responsible forme installation, operation or maintenance of He POWTS Sincerely, V0el a„CRiuY Tiro Vander keem Prrvam Sewage Plan Reviewer, Division of Industry Services (920A92-22I4, Mon -Fri fi W a.in -030 pm Prior to construction of the imperial area, check the surface content of the soil to a ill of 9 inches. Somamg and comforting of wet soil will result n «durng Ne Nobel' "money Of the sad Propn'sad connote tent can be detemtmed by nor a sod sample between Ne hands pit rolls Into a 14 men woe, the site is we wet to mepme If it counties. site preparation can concern If die she is too wet to Moore, no not proceed a ad it ones of plpmg shall conform to SPS Table 384 30-3 and SPS Table 384 30-5 ImmWte building sewer respond 30 feet per SPS 38230 (I1Xc) Well Imlimi m meet chs be 9I1 A 812 Talk l oatalli m fallow all manufmameS «commendeuom SPS 30 W la•I ne management plan for a Mot mall spenlnlly address she scooting mechanics oft aerobic or anaerobic nemnent rank or a footing udt when either of Me following conNunu cooper 1 The Mmom of the park is located mine down 15 feet below tFe elevation vilm Oe yerictng led is located ' The Mmm of the ink is IocatM mine man 150 feet Faruonully from where the smmmg pod is located VesJy Moslemlil prior install Pump Fluau m be stun vmOad Per apprmM plan say change, ma)' result in pump oozing lei meet TDI1 sad GPM Specthottons Owber Responsibilities • The current owner end each Immmumm oxmrr, shall «cerve a copy of tbu lever including msomvons relating To prger use and maintenance of due system (),,cry bull mails a copy of the Appropriate contains, and manual and a worst nu maal for me PC%` S descnMand Nu approval SPS Je)3y I I. In Merzanvennrn dnr, and acomfort, ... war or any of or, emmpn... I parti murcramr, we as to e«ae a woo hand Me papers, owner must follow ihe.ummgeno. slap we descnMd in the Imported plant copy of cars approved plans, specifications and res least shall be orrmte during nomuueum and open 10 ineesand by ambomud mosommmrvm of me Cepewms,t which ruyipclude least wpecmrs. All pamru tendered by the snare or the local mwmipahly "I be mimed ps,c to comusncemena of construction mmellmt r'amimon In gruntme ton approval Me Drvrson of Industry Smidity«xrves Me not to renui common or adduo should conditions arse mektng deem necessary for code comphance As pennant stffi lot 13CI, four in Nan miew snail reticle Me demena of no, rsponeibi ny for devgmpg a OF, building, mwtu«, or component himirres concerning mrs correspondence Mal be made to me at Me telephone Not listed below, or a Me a w on pro, ormohoad The aMve led addressee shall prone a copy of this line and the POWTS management plan to the owner and any then who not responsible for the installation, operation or mamtemnce of for POWTS Sincerely. Q%elea �euf Tim Vender Least Prtvme Sewage Pont Renewer, Popped of Industry Services (92op92-2214, Mom Fri, 6'00 a an -0 30 p in incm.larcv.ma PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manuel Design Reremnros Version 2 0, SBD-IM91-P IN 01101, R 10112) 4 Version 2 0. S80,10705-P (N 0101, R. 102) Pg 1 of 6 Index 6 Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross -Section & Plan View Pg 4 of 6 Distribubon Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Enclosures: Pump Curve POWTSApplication for Review Tm-Trm Rraer r seoK tooaa -cm sheet Soil Evaluation Report & Site Ma WE-RMmbus 1009923 Tank AW XT Orenco EMuem finer instructions Project Name y Description (72-19)Roxanne Gerhart Owner Name(s): Roxanne Gerhart Phone: 715 -884 -3081 Owner Address: 941 240th sV1rot Baldwin Zip: 54002 Project Address: same GoA Lot: _SW 1/4 of SW 114, Section 15 ,T29 N-R1e E❑orW© Township: Baldwin County. St Crvx Project Parcel ID As: 002-1032-50.000 Designer Information Designer Name: Lewis Blork Ishons:715 .231 .7375 Designer Address: E7818 County E Menomonie Wl Zip: M751 E-mail: lewwbiork@yahoo.ccm License Number 253976 Remarks: Signature: ! Date. 5A84019 p Y) ° © 'n SOIL EVALUATION sG'°''°' [Z]SYSTEM PAGE 2OF4 SITE MAP p PLOT PLAN PROJECT N ff 4`,p (72-19) Roxanne Gerhai Anpn pe.p.w ppaamwn is mm.mw pipe cw,[nuqu.0—w�N�pWm Wmanue N PIP, MaWrIal I y , ¢ As nNV ITO TOt 9Bt O6 `CI w+ 14 6]tft5 euryw y u[rvc.n 100 .. 0.e 11, W I OM5 snyn Top vralor IIpit WWI SIP � p f{( rvei A'Wa'V.e.F+u. O WO"Ilm PL Q I d53976 . t _ VaJ TM1IN� 5w I Ilk to VI n� 2? i �y h 13 3+ x ..t Ilk z�m isSL FS Z1z lZufll IV a�,l SSTz4NiG JT� a'Rr�LDJf�Q �o✓IOX-4 0 SOIL EVALUATION QSYSTEM PAGE 2 OF SITE MAP PLOT PLAN mores �(72-1 B) Roxanne Gerhart anon nw owwmo m:ommuw am. �f124M!p Nbmwk A)aw A6. O N o-ases \ .ua„m 6 '� R i -�a.r a2m- low u m� 5. aR� "'umo.., a s cnn^a �.w.u. �..... �� TII _I 40) i tv BA WAX, l fU(JS/�J',S�%fiGC Z/� o s TO z r WASNEO AGGREGAM Main fiPMmsIfi EYMWlkn pqo-�rA.1 q' ow MIRnI lbn OOe sno mwreJ xM epOare]sYnYalchdlcl L ASiM GJI SPNOFILL / minp5i L/ F SINGLE -CELL MOUND DISPERSAL AREA o- 2 It MIN 6A-OF TOPSOIL OOYR E= 212 It gym: ion snWln EYvnm= 1019 q Larva lawn EW.auoa- 102A a Eonac,cmlMa 2 x9aPe_ Ywma- tiara ss s (Stusefixte main, nnanlbM aM flush wNe bralbnsmobn rwwl 1_$ .0scaom J. PVC Lateral OYPI®0 —_ .. . _.._.._.._._— __.._.._..___ Rem as neassmo w(anaw c Our 9616 q PM bk E aWatance xM v6Ma1a: Daft w hh l5 eel or0awnabpe: a Reath Papa q 9 3' PLAN VIEW (No Smie) 5 n AMID R= 1158 q :rdun � C) m w O I T m DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) �_re eaaa MRbSys pryW FLUSH VALVE DETAIL (nyv pY.a mr maYntlp 1Ny s®YI °dy^yl Orlin in --� ValaBaa Lamy d Thm wceo lyauynyn oNN,map y,1e1i•Y=fl la Wai Taetin9 ��CC yy� 0 n EYe�C"ez IW�^all A A sr.aa a'bau we u�+,n 14�n veNe \ 11xS Byl 1S ,oplmep "40PVCeautl SCMI00PVL La" 0- n �` ,i 1 LeYreI L"Oh (P)= ]2 n x„moa,domre, prlslea= 19 aarmeawvam+ /f CrMS DYtlwge Bale= gpm agywe�are R,wvda� 11i p Ob aPeEJ� 11 //� rymm.dww wn+mcw nm.Y UIj�111Y/�(', ramm,d Laws-� "Y""1'—°1it t� Y 1286 ula OYdiy�ReY= _.54 9p^ bw aer ley phe Onfo 50ac+^B I%1' 46 IATERN INJERT ELEVATpN= 1024 fl IOK'all Ia'1 iOTRL yISW MGE MTE= 2%BB GPy IM1a'all Dona pYmwr• 3116 ,n IHmsll Eav ayoa UWnep OBSERVATION PIPE DETAIL i— � END MANIFOLD © IYu saYl tnv.vl CONNECTION fls 54 niNaa1 InaarF J l aPPI1C8W wx. yam are we PUe TapY coa. Mauve Ilsydaa apYa�all D Twwwem lan,yu _ IyYc�Pal (OWmll m m �IM�II%� xa�i�x pO gaY.aaa,ma (411 xv� smell e'W CENTER MANIFOLD m ae�anna oewm 1iy�' ypW. mpwl ❑ CONNECTION m m.y DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) FLUE" VALVE DETAIL ek, BLOW Oni0 _—� Vwlo,eox teem)Spu[Lq 3 center of TnreeeM LLp Insulation ri ..l) s • w for Eki TeYing / fopimen efe eenot, to xe Be11V.Me _ ( etm& Obi 1Pt= 72 M1 '� V Iexork 1) OR oN[re tnse'Ross ornioni Wii -BUMmPVLLelnx 15in (tr 1) 111i of Onlees pm L9a'1= 18 [[inm,afbo� Fwnw.N r (� O alu[y epz[ni �p m [fieterni ;'n:o w i[m.aeimm t p A...mN OmEai-..eeOR f:� ro LA I ERRL INVERT ELEVATION = 024 IT fivolol) ®t 01 Onrmes 'n, Oil- 48 m (trM 1) nor, 1) OBSERVATION PIPE DETAIL (N>Svlel 5[rw:-iygm - FhINenG if, sop Gp flan) ImW[M18[een[n) 4V PVG Pipe Tnpemcmar To W1toie,i out Ik[it ats.tr...n�wreeyme 0 A Anywe9 ry[tr InSunni Onrw.Dumeter• T18 in (trWp First Ori froxi Onto, Ostroff, Ro,= 88 enm Numeur of Leteac- 2 Ledml ObrLanx Rete= 1264 qpm TOTAL DISCHARGE RATE = 25 08 One F.—X—� END MANIFOLD fwmi) ✓❑ CONNECTION Checkapplicable box. nrNn First Oxnw pterRon mim.it D owun ER m Ri OT ❑ CENTER MANIFOLD usr'ont We WrbyO CONNECTION Ciefiber PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) tea„, Po IMPORTANT M[Mr Onk(e)Be n¢cevay Misses b SP536343liuu CAPACITIES@ 16.05 gann Degn(in) vaume(gal) A 2856 45882 —' B 20 321 47 U AA .gg;8 754 D 12 19260 *Pump Tank Liquid Level = 46.73 in Farce Main Diameter = 2 In Farce Main Length = 40 q Force Main Void Volume = 656 gal e' woA+o Boone wend U. 'Toy [C] Total Dose Volume TDV = 6648— gakdose Isxmlmmm.we IUMSTOV S a 2xre.mnm.) +(tome man aremwa wiw o MIN. PUMP GIBCHARGE RATE = 25.08 gpm Iawol ELEVATION = 93 fi INSIDE BOTTOM ELEVATION 92 X Vertical Head 93 fi +Min. SuppiYH"d= 25 fi +FM Friction Loss= fl +Fining Loss' = 75 it 'Imn Mints d 03) = TOTAL DYNAMIC HEAD= 131 8 PUMP TANK SEPTIC TANIt Volume = 750 gal Total Volume = 1250 gal Manufacturer SKAW Manufachmans) SNAW Pump ManuPuclurer. Zoahler Inabtl aopmvee effluent filter etthempto tank outlet Pump Model: 152 Immediatelystrem upaof the pump took inlet let M ControlslNami Manufacturer SJEROMBUS Filler Manufacturer. Orenco CmtrdslAlartn Model %T Filter Model FT-0822-14B Float switches containino mercury am am1151feU PAGE 6 OF 6 Mound Management Plan �,1arrmro The matter of this mound system all W responsible its M Israel al Postal and maimenance puras2ntte requirements d SPS 382-38, Wsc Adopt Code Pursuant to SPS 30352(2), Was: Admm Code, this systm Mail download a human health hazeN if not mamamal in accordance with this approved management Man FUMarmore, all inspection and maintenance actions shall be Perfomed by a raylstered PCWTS NaMainerm awadancevct0 SPS 383 52 (3), mind Admit Code Maddround OlsiderandAre Operation Linflits. Design Flow= 450 gp4; BODsSiZOmgf TS35150mgL"; FOG 5W quit Insarclion Checklist INSPECT EVERY 3 YEARS o type 0 use o• nuisances ors if a Doors uaer complaints, etc) mechanical manurrebon if e, pump, valves, combines, posts etc) o malaria fatigue (is Iroks, aeake, wrmaon etc) I solids volume in anaerobic treatment lhri and arty dentri appurtenances) it e. dlsinbutlm/drop bases) a neglect or improper use p6, exceeding design Capabilities, prohibited acid etc) • extent of Pending in dimnbMon cell prior t0 tlwlig o dceug nregulanew 0 e, pump re-Cydng, fleet match settings, etc ) elecusal mmpmenk it e, wring, Comp achon5, awlkhes commis, timers, sienna am ) o OiMnbubon latera or lateal onbw plugglrg (measure lateral distal pressure—compareto desgn spwih0abon) o surface alscharge of effluent Of sewage backup Into structure served Malnlarrance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and Cleo tankpol shall ce puni by a cenmea aeptage servicing operator licensed under s 281 44 Wia Scats when the volume of solids In Me tans absence orari (in) Me liquid volume of We tensdp a as required by Ideal ordinance Dsysal 0 Contents shall thou Nation to NR 113, Was AGmn Cone a Effluent Nlterlel shall be inmected Worry 3 years and shall he cleaned when necessary to rnnwe airy �cumulatWlidsa oWingtomandf r&ssWific ishe Aservlong perlcdwlll awayele greater than 12 months o Distribution laterals shall be flushed once every 3 years or when necessary System maintenance apmb shall he submrtletl to the proper local government unit In accordance all SPS 30.0 Wlsc Atlmin Code Report any Component ailure w malfunction ad Name Nindivlaual or company Lewis Bork Family Septic Service Phone 715-231-7375 LOcelgoswnmentumt St CrOI%County Phone 715-3864680 LOcelgwernment uml adaieea 1101 Carmloheai, Hudson WI Zip 54016 Any detective part of My system shall be repaired replaced, or removed puni to SPS 383 51(1). Wsc Atlmin Code Forms or replacement of faded or mslfunc0onmg Components shall comply wM SPS 383, Wac Atlmm Code No petluct for Memlwl a physics resmrabent of the P0Vi may be used unless approved by the delearbnent in awoccanw with SPS 3" Mac Atlmin Coca Constituency Plan in Ne event that any favors treatment component of this FOWTS cannot de repaired, it shall le replaced pursuant y a plan submitted to the appmpnale egenrylor reww and approval Afm dmountl tliapenelwmwnenl may be reaonsimcled within the orgmally approved area after removal of all failed Components Svstem Abandonment If use of this Ii is dneemmue6 hahall be abandoned in accordance with SPS M333, Was Admin Cape PAGE 6 OF 6 Mound Management Plan IMPORTANT. The Owner of this mount system shall de responsible for its perpetual Operation and maintenance pursuant to reguhrements of SPS 302-JB4, WSA Admi Code pul l to SPS W3 52 (2), 11 AUmn Code, this system shall be considered a human health hazard if not mantamed in accordance with this approved management dam Furthermore, all inspection and maintenance pointed shall be pedpnned by a ngiaGn l PoYIrS Maintainer in accordance with SPS 383 52 (3) Wmc AUmn Coca Design Flow = 450 111 BOOS 5 210 mgL d, TSS 515G mgL'', FOG 5 30 mgi Inspection Checklbt INSPECT EVERY 3 YEARS yce by use o agedeyserm plance factors p e odorslear cernplants, etc ) s mnaal manuM m o e pumps vahes switches foots etc) material fatigue (I e, lews breaks. corrosion, etc) • sdids vavn ruembm trpa ra bnernks) and any eebibuton appu herencns) n e. ei9nbuum; drop times) • race Or improper use (I. e, excereat design ca(acGed prohibited ab+i0es. sic) o eldM UµwMng in drsNbrKn call onar to deal 0 long in gulali (r a dump rencyc irg spot flans sMmlp we 1 elSinea tlNmlunents 0 a wring corrections Switches; correct poem alarms, W 1 • OtsNOudern let" of latdal mrvs dU3gug (meaLae enteral Udell pressure- Compare to de&gn 9per)fippM) o surface discharge or emuent or sewage baceup men structure served Maintenance Check] bt MAINTAIN EVERY 3 YEARS (or when necessary) n Septic and derelf tanye shah' be pumped di, a Candied sema3e Servaang Cperwor LbarYro under S 281 18 Was Area when Me vduma of ect in they Unktq eauMa onHNrd (1/3) the (quid volume d Na default Cr as MI by IOCa gdhrarre Cuposai of Contends Small be pursuant to NN 113 WiY. Admen Cede o Maisano file met shall be.n towied every 3 ymn and Shall ce constrain when recaeaary Io remove any abounnuoted sons according to manufacturers Yacifcations Afervoi pence will sways be greater than 12 months 0"abibuban mxas Ymll be fluffed once every 3 ynn or when neeeaary Syanm maintenance reaches, Shall W Submitted! b the proper locate govamment unit in accordance with SPS 383.55 W . Admen code Report any component failure or mahunNon W. Name cryndtwdual or company Levns Block Family Septic Service pro, 715-231-7375 Local government mot St Croix County Phone 715-386-4680 Local government unit address 1101 Ca"icheal , Hudson WI 21p 54016 Any defe erve pan of this system shall he rei anneal or famovei pursuant to SPS 383 51 (1), Wrac Admen Code player or replacement of failed or mahNndonhng components shall comply with SPS 383, WSec Admen Cede No podm] for Chemical o phymcal rnromfion of the FOOTS may be used unless approved by the department in accordance wed SPS 384, Wage Admen news Contingency Plan In the event Nat any faced treatment component of Nhe pOWTS Cannot be repwrtd, it Shall be replaced pursuant to a plan submitted to the Script agency for review and approval A felled mound dispersal component may be rewmtmeted within the originally approved area after removal Of all failed components System Abandonment If use M has POINTS is deeeMhriued,Asmall W abandoned in accordance with SPS 303 33, Wed Admen Coale Wemnu, ilgl , Of Con"ca SOIL EVALUATION REPORT Pa9a I d 3 G1n11, If s.nM1.nd Bi ...�...�n.iu..�...., w... nun, v mmpw an a 1II. w� a Pen mug a4ea eu m1a31 pxmnlva weorenronvom non nrn aM baiwn�aMSdanmmryiwlyn Plxza prinf eN lnbrmetion wwd.b.anu�w wnarrnwiris.mwn .Ism,"uml CwmY st Cmia Pawn 10. 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IN enaamu- e00,.aomyi so m lwm ne Dersaromellor Commerce veq an N Iopponw in ve ce provide, end emvlorec Irroe emmsom ve ¢n u1 ed nemalenaln an e 1Nm v, format PIN,, I,,= IM1c depnmenr ai WB-M6J 151 or M W6264-8M Fl wM Cann (7319) Roxanne OvnM Pval10a W2b1031-50. ptiy 8 a 9 mm®a®aaaaaNi ems�a®saseNNi ®mmsa®aasasNi ���a�saaaee N����aaaaaNi �N�a�aaasaai �N�a�asaaaai �tehhawt BwI A y,igmyl Emumt«2, ,_30MP- Sa s.bma. n, oepNmem or Comma,,isan equal ovvowmn sen¢e vT`mer and employ" Ignn ne[d mmstwa,o aeon: a.rvm.a oa need m0mtl m an alma¢ %tmY. Inman aonlmt the dq,mna, a 608-Mn-3151 m TTY W6:K8777 �WJ W SIST2V I6�J A W NN ST © SOIL EVALUATION eo © SYSTEM PAGE 1014 SITE MAP -- PLOT PLAN 3443 maECTn E .o pe T 2-19)Roaenne Gerho e..kIm dm.lw.., 111""kp NMW [WKTMcrE® —WI IIM vilk PM Ww ,ATk Su ,T.tls]B 6 W]MI \0 4 % 4m 'usvm M w[�...u. 'OJ er "u 1 Pm y Tymwr"lio Nr xy OMi� wah��'1rvurw� O n�'r..q SbxpwrE M�YYi YMn�a V' a 05r ie Mc I& d53976 i f =vd Tn d5w ff ORIGINAL I� � 44 I I T„. I �/m • a3 j1005A55fiG�i4 Gc TF$ Z/ PERFORMANCE CURVE MODELPUMP ®■■■■■■■■■ ,■■■■■■■■■ ■■■Ilk ■■■■.. ■OMEN■\\■■ 0 40 50 61 70 :0 91 11 LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE PERFORMANCEPUMP MODEL ,■■■■■■■■■ 35�lql 0- m■umm„■■■ ■■■,■„■■ 1 .1 50 .1 70 80 90 10 LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE OUTLET ENO VIEW OF TANK LLI- OF F j-{J LFFLE I F, TF, SECTION VIEWO TANK AND COVER MWN Nembes 1200/750 SKAW PRE -CAST Phone p1519 7922n AppoeOM SEPTI EnnC SEynwVua SCPTGiw aHOL DWS 26255105th slit New Arr Tdl Free 129d625 ��mkT�LAO Owln cel i In Nom cey wl sm M757 Fax (lt 5195T-z1o] 161W 2s 50' 47' I605 )Y JS BN ww ah+x•w+�u."i �10 ;:0-—27 ;M 11Wa1601 SEAL G6ASSET HSTMIll ,W,EN� rLfFLE -- r-,T SALES SaAL OASKET FR,EPz 12001750 SKAW PRE -CAST �new6,-22]] aq hlr SePTi sEanc,SEPDw wSEPII s1"4 rvu OIDMC. Ldiliue PBOd92CAfi29 ¢ ¢ ! N DAMN Gal /lii Nu'nCWl . cap Z6Z551 p5N Sbeel Now lWMnr W acortsm A]9 lax l/15)9ti]-2]0] 16,1W Ibs 51' a5p' 4)' 1605 ]Si 359N I+rwr.uuawµeuamo Effluent Filters Biletube° FT Series Base Inlet Effluent Filters (FT) oe r k, P "- I'15e1¢BM Pas Email Fees al boo ]m b e I tell eo a Type Nona been pipe M a new v III bra .¶atr We �yui d Men enable, we housing g and marmot we e h M onalaMdw dale is anlmma for a.inrn l]oo.mar i met to pmrem enlenitIt bypassing the suer lln elope • bll¢A lzoo-mw eamuunmer dome irv.9 (553mine rates hi 9aiQYa • 23-lien tt59mml real harl ewuw: . 4B'M IYmum N NsA ll$mm"I menawWY •` �'PaYmaruL6T •[deeiamM Ease ocloeP • Optional moserlaal Prot ra 1poolppas Ile • OrtHaphI Mum arrambly rerom No tape kertS erable .alg�� 11Pro aeumulearl Not sectinnsaaeva- semUL95"in Pe'Pp]uaibaenlq dlvmAm'esAwol lAkplBYgl bilateral NppNpl cast Yarcd I35p.mm. 5lx se be al I . I bi I46rSo-6Nons'npar, ane, ([des, memelm. Is ILt` `mint fuel area; WR uael. Umnlw plate replied ra me mu,awp wamla,e mi In me nmu,el aenm¢ wanwllm-aelm m me eelewp B rni fd Sores Base lnlrt effluent Filhq Mehftwnce inNIuctions °7 P Blaubee EMuun Filler Nay to peen Yow HNeent Fiber To en.unyow.muem Amr le NnNmlip ar^aeer. n.naWU M �nepamd e"ryyeer under normN onneleaq pur emuember wad Nnrnm for.Meet wen before desalt la necessary Do Imor should M cleanW volt" kMcdn" clogged enough to rMdm nowalflarn ondtlx septic tank At a minimum, me oxr shone be ebnrodwhowar bete" b Wmped. Mort people prefer to hew a Nov ttunksenlce Manor take care of alder malnbnano a and cleaning. You central a soodc tank somas prwldor In the yYox pep", under 'gepic Tents S became -Or you can cnmm"Or cc" boom Nis .. a m$. am "gde owtgYwsRMaticamal NU a IMMObff unv n draft propefly wear iWmgh mhos ell ehgt, 1. Pemmre the woe" Rd W your as* and by unecrxr Ing the minis"m0 in bond whh hex heed wants predded. Nyour Rd Is Wow Moves it AR "as Up and. N it b burled blow ground, find" mom that IMkms am Wagon L Nxnum flea upir tlnd by gcoe Nthe ON handle and Moe N old or ad hw $ N Isse Mpg IA I Spry the cartridge mdra Wth a hoe b reform any mmAel Woking to them I"e MomTA Ensure the three nodded In Ill OOOhM ION m W uleton ON Imke to ahx are clear Y any dslMs, Make we the rime water now beck Imo and tank bo W wa ee"I aYM neMd Is M lnm to olxn apex henry A Flmdy place the beMdge beck Ma N h WW a. Some YAuGM farm om!y an elomthat aW q Mon the Aker needs mending. N you hop en alarm, chase W mere wen it Is wmdntm by U"the Met brow Wok AneueFbhem Ylm eOfth or petal b ntnmday mwmd"nte itle W1M home or sthowswo NYx A your Mhrem after loamy hoe en alarm ryom and you wwle are one, cep your Imal Hoe cyYxn impact. a Record the doe that YOU lnspeG and/or cleemd ywrmx"and iwm ONfcevep. Nyou chedwenta slam) x meea a" enter eberradin OW be peat a sy W xn, Irc W e Nn IMxmetlan uMx Nmi 7. Ageeh access Ad by Oil it sup tw mr, in acting No eponinge N the M wTh to bolt omh9e. Imad lid bob not mochas and tighten vapor no heed von ch podded. mMMa 4 um saran Maintenance Instructions ' a� P' Biatif Effluent Filter How to Geen Your Effluent fitter To ensure your emuem four is urn pal on l ne propane it mould ue expected away Yearunder normal pane WOMB, your efOuanl filter will remain far swerel"era bebu deeninAv recruiters 'he Wan anbulb be cloned amen Y becomes grm clogged enough to reain noal flasrs our of tie eegiatank Ala minimum. the fty shoWtl be cloemd wbenrve the tank m pumped, most period anbr to have a Books fork mends broader inks care Of Alter melnbnam a and cleaning. VW can Mind e Baltic tank suaki provider in she YoRm Paget under'Samc Tanks a SY s' Or you can contact your coup Memo dopenmenf for a list If had wish to Inspect anNpr clean your efliverb filar yourself be surd to dress properly wear Nlhlengdl Cams and min, Make. glans. and Cashesor d4eet. :hen fallow mead ineau[nonB'. I. Re " the access ae to your Won park by wecreM in to sWnlw MW Ad bob M him head x wcn prpMad. 11 your k be mare Around, 1"Ube eery0 flnd.11 k is boned delves Armond. find Ae marker Net mdieams We ricebpD. i. Remove fie litter cetdldge by Aresying to to handle end Make I an Min causing Ire Ahaw li 3. Ready the carthom tuM send a hose to remove any material making to'am fare di YA insure the Arco pnficaein Na epbmM Mw madWadan pate inMde Ne fiber are clear of any debris. Make sure to nose water urns beck imp the rink, but do pat allow wilds cantonal of do Tap to open filter housing. l firmly pieta to nmmd at beck And Me naming. 5. Some efouam lemur come vets an norm Net aicknes clean the filter Dodos caemng. An wal have an alarm, check b make aura 1 is working WgNre to float w a muck An ewwa Mm yqule K f The Burn penal is aWmally morning an to sea Mthe Most or In to dents. Nat Hyour of l lfear do mardymuch an slerm m wn and you would like ona, cell roar local salad; system nmallur. 5, Record Me date that you mspemed aMWrir cleaned your fiber on Ne'arm Net follows, If you checked the alarm or male dry star obaemmans about to tank Or system, node tun narmman under Nwaa' r. Mach arcane do M paca:g Of on Nelso. manhing Ne 00gs N to to wM to Bak cearws linen of bans too catches and demon wilt hex head wench Dmdud. Pharr t. Prmove Me pear renrldge by, ming d our arts lousing Plwm 2 Spey der cenMgsky bW wM a eon. ST. CROIx COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnedRuyer Roxanne Gerhardt Mailing Addre 941240th St' Property Address 941 240th St. (VenficWm rtpurN firm Plennire @ ]omit Oepnmem for new connector) cay/Smae Baldwin, WI Parcel IdenamrauonNambo 002-1032-50-000 LEGAL DESCRIPTION Property I, ent'ient Ye, Aj SIN SW SS. Sec. 15 ,T 29 NR16 W, Town of Baldwin Subdivision Plat - Lot%— CertiOed Survey Mapil ,Volume Page Warranty Deed 32.0 42410 % 24' @eme 2007)Vowme .508 Page 2� State mQjpl Idlin¢idemifubleoyeepw SYSTEM MAINTENANCE AND OWNER CERTIFICATION Ingtoree use untl mimrname ofywr septic rys¢m mold reudt in inpemmrc fiilue w M1utlle xanes. P,cpv e,s ofpumpin8 ou116e,epdt Wk every Jvet Ynrs mmtn¢, dn¢dW, by s bcensN pumpv mmince i W' inN IberyMmctan aR NefimmoSM o 52(1)& clatiner1 mg. from wuRdeatralrypan Owner me,n¢nence rcery-nubllNaa arc epecifiW in 48P5 36f .1111) end m Cmpm IZ-6L Cana County 6mlury Qdinem The, pmp0yownca8rt¢ IS, wbma to St Croix Cowry Plmmg A Zoning CeWtmem a certificates Sm. aimed by the owner aid by a master ptumner im,myman plumM, rcwitlN plunder or a Itcensol tamper venfymg not (I) use or ate wroo,oner despond SYs¢m IS In proper operating consumer md/0r(2) Ner mapinawn not Pu rning (if memory). are sepam wY is law Jun IU San of,1Udgm 1/we. the undamped arm matl the Ida" "U'reominSdid somto 'the in Wtaage Gspul "Im wim the ,aided, an fiM h¢emss m, to the rmso memors,mt,sort%'fndinnal'wM L to and the Rpvmem ofNmW 11,m . S¢¢'f Wextwm Cemfi¢nm swung Jan You'aM'[ry5eem his Lem maennened moil be [ompleW aM rNvrcE to de ACmia Crown Planning 1,Iune19 IXpvunem withm 30 days'fehe W¢ Yem npnunn dais Ipw, wily Out al Senator, 11 donlom Wemin the bm of maymr Uowlmp WevNam th, ownam) of the ro pperty dearbed above, by vusum f• ty dead raOrded an Repm' ofDals Cafim ;7N Mbar of bedraoma3 &11&✓a! 4�4 6/tifae SIGNATURE FAPPL� DATE e'.stay enfmmmm, Jut ea mexpemted may tool, an an, ammry pmnit to ra woked by the Pleasant A Zoning Cepamew eee Imlule wth arm Whenever a recorded mm,my dntl one Jee Regum of Dawn, farm W, away of Me mufiM scary ma of ,amended an&,, red wmmm dead (REV.Oe/D) r nC�DD cSt-a Iq _ 105 SOIL EVALUATION REPORT Pree I a 3 o�nmserry ps ne 2019 JUn �• `w�� m�..m�.nw ....wm woe pWbF moanbdnM nno.>»rn p et .n mwa.inw wmm�M mm,toNro.v "b91NNmm nwmwn.mg18a1, acre aM n�®w.nue a®re�wn..wn.e PWdm prat all lnbmwtlon w�w.eenw'wwru...me m mllllmn wLaoWn cwmy 9c Cron P.ma 1, p02-1032-50.000 , i9 pmPeMMrcama In-] 9) Rmanm Ottbnrten 5 T 29 IN R 16 E(G)ID m PmmMGwmY.Mnlnp Ma,we 94124ari steel LpY 1 Bkdr 9W 'ow Pen of33 W,m 6ilawm w1 54002 ( w2+S-9zbo66z MWom >T mrn NenMfiwe 240a ste ❑laWCOMoIndn U>Q NeeNenWl/rvumEe,abamoin 3 Code enm2tl WWII Dow ads 450 GRID ORw✓ament QPublk or mmmew-w Ida NMMMMXl Lcas off nll Fkuu Plan W raw dapplabb ft Gar mallm'mmana Irmall Mound warm. standard mmunl&sign. one mammon ail y l� � 61 Wanda ❑ doming rnnn .� Opb aeurWI 9J8 t IMpm to limpgrenx 12 In UHIGI>K RONnn NW, In pnYnem Cola Marl RW+PowlppnTWW Gu sx COM Door 6tlwLrt G, & St CmI Fln n rvmG GPWF 'EM1 Tm IAI 0-3 75yr2 5/2 ul 2fg M& 201m 6 8 IA4 34 g5,32 aJ 2hbk ,I Imm 6 8 2&3 612 Sy,S16 - sd 2msbk mfi 2m 4 6 2C4 12m SyrS/fi s,l 2msbk ME ] 16 ez 0 dome Baarer ❑ Pe GrnnnaeWfi, 99J Unpin l0llm0n; >12 In soY AWAWd,wl Me IMpN In g WndCla Mart PNm'Mec,Pw cn $r corn Caw Tapqll 9,Wum Gr S, ShRMt cmadomm la,wadary Rw6 GPG.SP RRd2 IAI 02 45yr25/2 1852 26 25,5/0 s6 2C3 6 12 5yt5/6 s,l 'EmueMrl=eoo >ao. zzompn.m.ss>w.Iw myL E t eo �Lm&la8<2prryL MT Nvm (Fbam Mm) 1NMNm� Lams elort 253r6 Lanu.---.. om Ewpamt UXIMMIa nYtM1me Nnmea ETa18Counry EMemmon¢W154]51 5-6-2019 915-23143I5 Frtpmdmm (72-19)Roxanne (3emN FN ID M-1032m5amw p� 2 a d �m m�®a®aaaaasi �m�a®sasaeei ®��a®saeasei ���a�saaase �����asaeas ���s�asaaaa OB MffiaO�W .. - Elemental NN fiDC)xN M12M ma- QJ 1301 Mmad- The DepaNnenmfCommom o an equal opportunity qN provider and employer If you need msisYnro m xass Jammer or need mommo m an am,me forme, pinx mmul m, Eepanmem Y 6083663151 or lTY WIM& ]]) I� © SOIL EVALUATION sa"'"" m ©SYSTEM PAGE Gs FIN SITE MAP PLOT PLAN 3W3 % ECT WJAE cevoHaox 4K Im (72-19) Rozanw Gerhart nwe w.w�mw..wmA.. m.rom,�wbepm MOlK�.Ww4 —Wxy ty ww R""wm 0 m 7m a.m.2(TW" w � e>u.xe N a.ww..- a G2 6 9u MMN v v 'm .` a mml z / o-2M �Tro w.k."ll rql _ w+ni� w.a�www+ o eno.aiww."..�.i.mwuww pL 11 d5397j{p(� t -ems T9A+191 /j,,S J&' I v � g�* O N�o r a M N EN U • NM- N lAtIl Ati