HomeMy WebLinkAbout028-1046-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division Count St. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) SanitartP�r�t1Vo.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: ❑ City ❑ Village Town f: State Plan ID No.:
Rudesill, Harley Rush %ver Township ` 34-G
CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.:
I� -a Icv D r � ( �,� �� 028 - 1046 -30 -000
TANK INFORMATION ELEVATION DATA j 6. z ' / 7' 28S
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic fbqt�14.M Benchmark p,Os " .9 0 r
Dosing N Alt. BM
Aeration Bldg. Sewer
Holding St/ Ht Inlet 9—le 9q-- !sS`
TANK SETBACK INFORMATION St/ Ht Outlet _
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 0)
—
Air Intake
Septic )Ia' > gp 0 ` NA Dt Bottom A a't.S 9. 1a p -
Dosing 1 Ste ` U. ^ o I NA Header / Man. _3 8' 9 , S
Aeration `' NA Dist. Pipe s, 4 7 'f. SS
Holding Bot. System o ° f3 `1S
PUMP/ SIPHON INFORMATION Final Grad `u�
Manufacturer o ,�d_ y f Demand St cover
V
Model Number' GPM ,1-Z
DH Lift,r'k D Friction � o I Systerr, TDH
k Forcemain Length ( i7' Dia. H ead 5
2 Dist. To Well ) &a r
SOIL ABSORPTION SYSTEM (— .!✓� �,�, `�� s� ') _'
/SF{ Width / - t Lerj l� t N f Ts S PIT No. Of Pits Inside Dia. Liquid Depth
N SIONS
(v 'f •kI'a,( DIMENSI
SETBACK
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACH)I nufacturer:
INFORMATION Type O r r C HAMfE R o e Num b r:
System: > (v0 ^' 1 OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold << Distribution Pipe(s) I If �t x Hole Size x Hole Spacing Vent To Air Intake
Length Z•a Dia. 2 Length3 Dia. � Spacing 2_ q 3 /�b 2 y
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed/Tr nch Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
( Inspection #1: old 9/ o /Inspection #2: --- 1
Location: 2076 Pierce /St. Croix Road, Baldwin, WI 54002 (SE 1/4 SE 1/4 36 T28N R17W) - 362817289
�3 1.) Alt BM Description = A"rc�suel
2.) Bldg sewer length = t, 3 0 C.
- amount of cove = ` 2 -
C A >3.) contour= -4 •o, s✓A (- �ig• q2 -
4)2�
Plan revision required? ❑ Yes ,rNo
Use other side for additional information. k oz, Ft I
SBD -6710 (R.3/97) kA = 'ic S Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
i
SANITARY PERMIT NUMBER:
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Sanitary Pe mit Application Safety & Buildings Division
In accord with Comm 83.2 1. Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
Nvis ConSin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce (Submit completed form to county if not
[Privacy Law, s. 15.04(I)(m)j state owned.)
Attach com lete plans (to the county copy onl ) for the s ste t less than 8 -1/2 x t t inches in size.
County State Sanitary Permit Number D Check i i r v otA ap ation State Plan 1. D. Number
co) (K
s. Io oq3
I. Application Information - Please Print all Information v } Location:
Property � Owner Name � t� _ Property Location 7
�.
t" 4 ° L- t! L ° C S 1 ` 1 - 5 11 : -- 114-1 1 /4, S Jto To? ,N, R or W
Property Owner' Mailing Address t� — Lot Number Block Number
! * L` �f v� i St NO
City, State Zip Code P Nutn�e5 Subdivision Name or CSM Number
4 /0 / w
V T 11 of Building: (check one) / r ❑ City
1 or 2 Family Dwelling — No. of Bedrooms: ❑ village
y e Town of
E3 Public /Commercial (describe use): /
❑ State -owned e4 /
III Type of P7ew 't: (Check only one box on line A. Check box on line B if applicable) Near e Road S �f?G '
e � t' e., t/
A) 1. Sys tem 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)
S stem Tank Only Existing System L)7.97 6` (. — 30
B) Permit Number Daft4naed
❑ A Sanitary Permit was previous l issued . 2 $ /'7 . - 2-3 - r
IV. Type of POWT System (Check all that apply)
❑ Non - pressurized In- ground 19 Mound ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade t ❑ Aerobi Treatment unit r ❑ Recirculating ❑ Other:
3•� �= �.0 t r
V Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
q5 "U 1-l> -> Lj �c / q, v 9s , s-
VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
1600 IV 4 ❑ ❑ ❑ ❑
O ❑ ❑ ❑ ❑
VII Responsibility Statement
I, the undersigned, assume responsibility f (Winstallation o e POWTS shown on the attached plans.
Plumber's Name rint) Plum is Signature (n s s): )jdKMPRS No. Business Phone Number
Plumber's Address (Street City, State, Zip C e)
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No stamps)
In Approved ❑ Owner Given Initial Adverse S harge Fee)
Determination %305. M 9 -1
IX. Conditions of Approval /Reasons for Disapproval:
r e
I CJ
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
N visconsin www.commerce.state.wi.us
Department of Commerce Tommy G Thompson, Governor
Brenda J. Blanchard, Secretary
August 04, 2000
CUST ID No.691727 ' te�•E����� ATTN.• POWTS INSPECTOR
ARTHUR L. WEGERER ZONING OFFICE
421 N MAIN ST � s , ca o�x ' ->,7' ST CROIX COUNTY SPIA
PO BOX 74 �\ '\ WU OFf,CF , 7 ' 1101 CARMICHAEL RD
RIVER FALLS WI 54022 \� ZOt��MG HUDSON WI 54016
RE: CONDITIONAL APPROVAL ` 6� '�
PLAN APPROVAL EXPIRES: 08/04/2002 Identification Numbers
Transaction ID No. 409376
Site ID No. 194937
SITE: Please refer to both identification numbers,
Site ID: 194937, Tom & Francine Meyer above, in all correspondence with the agenc
St. Croix County, Town of Rush River
SE1 /4, SE1 /4, S36, T28N, R17W
FOR:
Description: Three Bedroom Mound System - Revision
Object Type: POWT System Regulated Object ID No.: 752544
• The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved
changes will become an addendum to the plans previously approved.
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P
(R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems"
SBD- 10573 -P (R.6/99).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the
owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the
mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic
filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions.
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
• ARTHUR L. WEGERER Page 2 8/4/00
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 07/18/2000
FEE REQUIRED $ 60.00
FEE RECEIVED $ 60.00
Perard M. Swim BALANCE DUE $ 0.00
POWTS Plan Reviewer - Integrated Services
(608)- 789 - 7892, Mon. - Fri. 7:15 AM to 4:00 PM
jswim@commerce.state.wi.us WiSMART' code: 7633
Safety and Buildings
• 4003 N KINNEY COULEE RD
LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
�sconsin vwvw.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
August 04, 2000
CUST ID No.691727 .' �' , `�4 : POWTS INSPECTOR
Rnuvt0 ,
ARTHUR L. WEGERER 20 N G OFFICE
421 N MAIN ST X11 i16 ST C OIX COUNTY SPIA
f
PO BOX 74 _ ST CROP 1. .i CARMICHAEL RD
RIVER FALLS WI 54022 COUNT WI 54016
ZONi NG0FftCE
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/04/200 Identificato rs
''L - -� — Transaction ID No. 09376
Site ID No. 194937
SITE• Please refer to both identification numbers,
Site ID: 194937, Tom & Francine Meyer above, in all correspondence with the 'agency.
St. Croix County, Town of Rush River
SE1 /4, SETA, S36, T28N, R17W
FOR:
Description: Three Bedroom Mound System Revision
Object Type: POWT System Regulated Obj o.: 752544
• The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved
changes will become an addendum to the plans previously approved.
• 'This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P
(R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems"
SBD- 10573 -P (R.6/99).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the
owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the
mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic
filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions.
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
ARTHUR L. WEGERER Page 2 8/4/00
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, •° DATE RECEIVED 07/18/2000
FEE REQUIRED $ 60.00
FEE RECEIVED $ 60.00
Gerard M. Swim BALANCE DUE $ 0.00
POWTS Plan Reviewer - Integrated Services
(608)- 789 -7892, Mon. - Fri. 7:15 AM to 4:00 PM
jswim@commerce.state.wi.us WSMART! code: 7633
TITLE SHEET Page of
MOUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
This plan has been prepared in accordance with the Mound Component
Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P
LOCATED IN THE S C 1/4 OF THE SE 1/4 OF SECTION 3 6 ) T Z8 N, R » W,
TOWN OF COUNTY, WISCONSIN.
INDEX
PAGE 1 of 7 TITLE SHEET
PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN 9.r
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW -CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION ?
VP
7 of 7 PUMP PERFORMANCE CURVE �Oj�
PREPARED FOR
- Tz�r'l PjvD FCLftm (ValE r 1
1 69 Zs - `�i rev el-3up- -
S aA 9 g 1 Z 1
PREPARED BY
WEGERER SOIL . TEST S N G
AND.
. DESIGN SERV S CE
P.O. Box 74 421 N.riain St. �S�oft
River Falls, WI 54022
Phone 715 - 425 -0165
Fax 715 - 425 -6864
Nt7 �
@LL3W 1TK
p,0 : W.T.S.
Conditionally A's r c 14 S
A VE - 1-is- 00
pEFARTME FET F GGp ME WINGS IV
DIVISi
SEE GORRESP. NCE
� JOB N0. a�'
SYSTEM.MANAGEIIENT Page- of
Management and maintenance of this system is critical to its proper
operation and longevity. The system owner must be provided with a
complete set of plans including the management section.
GENERAL
Proper functioning of any type of on -site waste disposal system is
dependent on the amount of water entering the system and the quality
of the water. The lower the volume of water and the lower the level
of contaminants, the more efficient and longer lasting.the system
will be.
Typical system components include a septic tank to settle out and
break down solids, an effluent filter at the septic tank outlet to
filter out small particles, a pump tank with an effluent pump and
controls and an absorption cell to dispose of the water in a manner
which will protect the groundwater and public health.
RECOMMENDATIONS
1. .Install water saving devices when and where possible.
2. Repair any water leaks as soon as possible.
3. Do not pour greases oils chemicals such as paint or P aint
thinners into the system.
4. If you have a garbage disposal, use it sparingly.
5.. Do not dispose of any paper products other than tissue into the
system.
6. Try to avoid excessive flows of water in short periods of time
Spreading clothes washing throughout the week is recommended.
MAINTENANCE
I. The septic tank should be inspected by a licensed pumper every
three years or less and pumped if necessary to remove solids
and scum.
2. The effluent filter must be cleaned periodically to remove any
accumulated particles. It should be washed back into the septic
at 6 month intervals or as P er the manufacturer's recommendation.
3. Periodic is ins ections at the observation pipes should be made b
P P P Y
the owner to determine if any ponding is taking place in the
absorption cell. Also check for any seepage to the ground surface.
If consistent ponding or seepage is noted, a licensed plumber
should be contacted.
4. This sytem.contains an alarm which must be installed on a separate
circuit from the pumip -. If the alarm activates, minimize water use
and contact a licensed plumber immediately.
CONTINGENCIES
Monitoring of the volume and effluent quality may become necessary
if problems develop. Monitoring must be done as per the requirements
of COMM 83.54(2). Pumping and disposal of wastewater by a licensed
puper may be necessary while analysis and repairs are made.
1. Failed mound systems may require removal and disposal of the
existing sand fill and replacing it new sand or installing
an aerobic pre- treatment unit to reduce or eliminate any clogging
mat that may be present.
2. In- ground soil absorption systems or at -grade systems may require
the installation of an aerobic pre - treatment unit or replacemen`
of the system. Additional site and soil evaluations may need to
be done and additional plans may need to be ,prepared and
approved by the Safety and Buildings Division of the Department
of 'Commerce.
I
/ PLOT PLAN
Page of 7
Scale 1 "= gyp'
II ' TO_ �S'" Sp U� of
� f�-T � �+ o wp
bo' o F 4 � Pu C
"v -11�• y.z" cou�R.'j
Rt-T , awl BD's
W,j
c
3 p�
Rojo 8.3 Z Ypvc FM-
x TL�,� s
Q•Z I �� ?
qs 2s
T
_ ptezae - sr eao Lx �f _ C 2sgo T14 � uE
. -- �? 1Z;�s'� �aT Ll�!t� lS ? I � 6 ' - l�zt11 -� __i'J U V rvD ♦- - --
NOTES:
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved caps. ( Z required).
3. Septic tank to be moojbSO gallon capacity manufactured by
4. Bench marks gry_ 6L, joo.o w NML. 1AJ Tusk At`rBwl a °1�.t� oN 1nP
S. Divert surface water around system to prevent ponding at the uphill side.
Page Of - 7
Y
App roved Synthetic Covering
_P
ASTM C33 Distribution Pipe
Medium. Sand
H G
Topsoil = =— F Elev.
.-1 E p
„
h
b
q % Slope
Distribution Cell of Force Main Plowed
z" to 2- Aggregate From Pump Layer
D 1 -O Ft.
E \-SY Ft.
CROSS SECTION OF A MOUND SYSTE F Ft.
G o -5 Ft.
A Ft. H Ft.
Linear Loading Rate= 6.0 GPD /LN FT B S Ft.
Design Loading Rate= o- 33.GPD /SQ FT I l Z Ft.
J Ft.
K 1 o Ft.
"'tee Position L q S Ft.
of
Force Main W Z4 Ft.
L
Observation Pipe
8 Imo► o K
-- - - -- -- - - - - -- Accts
C - - - - -- --------------- - - - - -- Box
A �- ---- - - - - -- ----------------- - - - -
W �- �- - - - - - --
Distribution Cell of i" to 2 %"
z
Pipe aggregate
Observation Pipe
(Anchbr securely)
PLAN VIEW OF A MOUND SYSTEM
Distribution Pipe Layout pave S of - 7
Place the holes at the bottom of the distribution pipes
at equal spacing. Remove all burrs from the pipe and holes.
Extend the end of each lateral up with the use of long turn or 45* fitting to a point within six
inches of the final grade. Terminate the ends of the laterals with a valve,:threaded cap or
• threaded plug. Provide access from final grade for the valve; threaded cap or threaded plug.
- Lcc`ss Bow_
T.`. i P C1� L L ZsJS s
pvc FvC Svc
Lateral INanifold Lateral
x x x I x w2 I xr2 x x x I x
Lateral Length 4 Lateral Length —
Distribution Line
P tftczzrs BOX
M Yst.11 F0 P
S
t =pQCtr Ht'{W .
P 3 - 7 Ft. Hole Diameter - Inch
S Ft.
Lateral " 'l� Inch(es)
3 .
X Inches Manifold Z Inches
Force Main " Inches
'w.
of holes /pipe �9
Invert Elevation of.Laterals Ft.
. ! , ,. , lax o•b6 =ii. s��4�= St,.16 s►�i
Combination Septic- and
PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS' PAGE 1 OF 7
NEWT CAP
WEATHER PROOF
rL..3, JtUJCT10N BOX
't C.I. VEAIT PIPE APPROVED LOCKING
MANHOLE COVER wt"M
---10' FROM DOOR. - .iIWDOW OR FRESH
AL (MT%lKE f
"J/A•tTL:T1s4 -r 04tP i 1 1
7 7
a - PROVIDE i --
IMLET AIRTIGHT SEAL I lII V
I I I I
eAl�s A I I I APPROVED J011JT:
APPROVED JOIUT Zi't$�l pt� I II W /C.I. PIPEo
W /C.S. Plpcoxn Tank construction I II
ALARM
shall comply with
ILH. 133.15 and 33.20
I i oIJ
C i 1
_b0
CLEV. — FT - -J
PUMP
, OFF
• w
0 COIJCRETE
tfua ) 51.00
BLOCK
3" APPR�
R15ER EXIT PERMITTED OULy IF TAWK MAIJUFACTURER HAS SUCH APPROVAL• B�DOI>vG
SEPTIC f SPEC.IFICATIO '
DOSE �� IDW�T � WUMBER OF DOSES: &. PER DAy
TI1UK MA►I UFACTURCR: .
TAUK SIZE: 1000 6S0 GALLOWS DOSE VOLUME l o
ALARM MAUUFACTUIRCR: S '--�.0 Ste` ST - 5'ts IAICWDIUC, 6ACKFLOW: GALLOh1S
MODEL UUMBER: �r)l V'IW CAPACITIES: A= Zo IUCHES OR 3 �� GALLOIJ3
SWITCH TYPE: I-) ���' 8= Z IIJCHES'OR GI LLOUS
PUMP MANUFACTURER: Z-A3 C IUCHES OR � � GALLOWS
MODEL WUMBER: D- 1 Z INCHES OR � l[ CALLOUS
SWITCH TYPE: �1�(Z�>r�( MOTE: PUMP AMD ALARM ARE TO bC
MIIJIMUM DISCHARGE RATE SV• l GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFEREAICE DETWEEIJ PUMP OFF AUD- DISTRIBUTIOW PIPE.. �' SO FEET
5- 2S
+ MIUIMUM UETWORK SUPPLY PRESSURE .:....... • - =5 FEET
-I S FEET O F FOR M X 5-61 ft,FRICTIOU FAC7oR_. FEET
TOTAL MAJAMIC HEAD = FEET
As per.manufacturer • l gal /in. Liquid depth 3ti `' `
' iM 3 7/8–x— 0 1/4 —�
W HEAD CAPACITY CURVE
3o
W T MODEL "98"
a
8 `r
2
3 5/8
= 6
O i
° 15 4 3/16
p 10 1 .SO I
2
5 50 ) 1 1/2 -11 1/2 NPT
0
U.S. GALLONS 10 20 30 4-0 50 60 70 80
LITERS 80 I I
160 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEAD/FLOWPER MINUTE
EFFLUENTAND DEWATERING
i
CAPACITY 12
HEAD UNITSIM
FEET METERS GALS LT RS 1
5 L52 72 273
10 3.05 61 231
15 4.57 45 170 4 3/16
20 6.10 25 95
Lock Valve 23' )! T
t
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 with • Double piggyback variable level float switches are available
or without alarm switches. for variable level long cycle controls.
SELECTION GUIDE
Standard all models - Wei ht 39 lbs. - % H. P. 1. Integral float operated 2 pole mechanical switch no external control required.
2. Single piggyback variable level float switch or double piggyback variable level,
98 Series Control Selection float switch. Refer to FM0477.
Model volts -Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075.
M98 115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator, E -Pak.
N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4)
D98 230 1 Auto 4.7 1 or 1 & 7 — float system..
E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 6. Four (4) hole J -Pak, junction box, for watertight connection or wired -in
simplex or duplex operation, 10 -0002.
7. Two (2) hole J -Pak for watertight connection or splice.
CAUTION
Forinformationan additional Zoellerpmducisreferto catalog on Combination Stader, FMO514: Piggyback All installation of controls, protection devices and wiring should be done
by a qualified
Variable Level Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/ licensed electrician. All electrical and safety codes should be followed
including the most
Sewage Basins, FM0487; and Single Phase Simplex Pump Controwann Systems, FM0732. 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.
j
_.� ,•.., „ v �,._ YAIL T0: P.O. 80X 16347 v
11 E� LTsvi /le, 49 40156.0347 Manu(achuers of. .
O SSHI P T 3649 Cane Run Road
Lo SNmF /939
PUMP !O. (502) 7781731.1(800) 926 PUMP
FAX(502)774 -3614
s. .
Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page I of 3
Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code
A.C.E. Soil &Site Evaluations
Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. _C roix
percent slope, scale or dimemsions, north arrow,d distance to nearest road. Parcel I.D.#
IN
z + ' Prt. of 028 - 1046 -30, B)#36.28.17.289 _
APPLICANT INFORMATION - P ,plrillt aliin #or lion. Re iewe�By Dat
Personal information you provide may be us fdr sedondary pq* (Privacy s. 15.04 (1) (m)).
Property Owner :? Property Location
Harley Rudesill ° G ovt. Lot S 1/ S E 1/ S 36 T 28 N,R 1 7 W
Property Owner's Mailing Address i L U Lot # Block # Subd. Name or CSM#
W4925 890th Ave. Proposed CSM
City Sta Zip Code Ph�Namber ❑ City ❑ Village HTown Nearest Road 11
Baldwin WIC., "54Q02 =�57 `~ Rush River � Pierce - St. Croix Rd.
❑ New Construction ❑ edrooms 3 ❑Addition to existing building
Use: Replacement ❑ clal describe
Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpdfft .6 trench, gpd/f:
Basal area required 900 bed, it' 750 trench, ft Maximum design loading rate .5 bed, gpd/ft .6 trench, gpd/ft
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations 93.0' at 12" a bove 92.0' contour.
Parent material Glacial drift Flood plain elevation, if applicable NA It
LU2� le for system
C onventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank
table for system
S ®U S E] u [I s ®U El ®U ❑ S ®U E] S ® U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPDfft
Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ! Trench
1 0 -11 10yr4/2 None sil 2msbk mvfr as 2f,lm 0.5 0.6
1
2 11 -17 1Oyr6/4 None sil 2msbk mfr cs 1f &m 0.5 0.6 5'
Ground 3 17 -32 1Oyr4 /4 None sit 2msbk mfr aw if 0.5 0.6 . S�
elev
91.16 ft 4 32 -60 1 Oyr6 /4 m2d7.5yr5/8 strat. Ifs Om mfr - - 0.4 0.5
Depth to
limiting
factor -
- - - -- — -- — -- - - —t
Remarks: Hori #4 contains 1 - 2" bands of Om 10yr4/4 l at 6" - 14" intervals.
2 1 0 -10 1Oyr4/2 None sil 2msbk mvfr as 2f,lm 0.5 0.6 - 5
2 10 -15 1Oyr6/4 None sil 2m mfr cs 1f &m 0.5 0.6 S
Ground 3 15 -27 10yr4/4 None sil 2msb mfr aw if 0.5 0.6 -
elev
90. ft 4 27 -63 1 Oyr6 /4 m2d7.5yr5/8 strat. Ifs Om mfr - - 0.4 0.5
Depth to
limiting
factor
27"
RemarkS: Horizon #4 contains 1 - 2' bands of 0 10 4/4 fsl at 8" -17" interval
CST Name (Please Print) Signa:54020 Telephone No.
James K. Thompson S-- 715- 248 -7767
Address A.C.E. Soil & Site Evaluations Date CST Number Ref #
340 Paulson Lake Lane, Osceola, 5/12/00 3602 1244
r -
PROPERTY OWNER: Harley Rudesill SOIL DESCRIPTION REPORT Pa t24a e 2 of 3
0 9
• PARCEL LD.# Wt. of028- 1046 -30. IDf#36.28.17.289 A.C.E. Soil & Site Evaluations
Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 1 0 -10 10yr4 /2 None sil 2msbk mvfr as 2f,lm 0.5 0.6 S�
2 10 -16 10 Y r6/4 None sill 2msbk mfr cs if &m 0.5 0.6 , r
Ground
elev 3 16 -24 10yr4/4 None sil 2msbk mfr aw 1 f 0.5 0.6
94.28' ft 4 24 -30 10yr6/4 None strat. Ifs Om mfr aw - 0.4 0.5
Depth to 5 55 10yr6/4 m2d. m m
7.5yr5/8 strat. Ifs Om - - 0.4 0.5
limiting 3 —
factor
30"
Remarks: Horizon #5 contains 1 - 2" bands of Om IOyr4 /4 fsl at 9 -14" interval
Ground 1
elev
Depth to
limiting
factor
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
I
A LL . Am.: - To g o of % re bay
Elegy =97/7.' c.l, So ; / O&er t/ai6o
A55ccm*-d e le% = QUO. W. /,, "6
� cX7d5 ♦ e l eda&�on
■ 3 3 9 2.x_
9 �' � 79 S /ode
■ 9 90 S✓ o ac B�
g1
w
y
qoe•�, A
417 �` 297'
sss t
9o3
3 3, ' ,aerc e - Cra k1j.
_� Red' /2
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567 -P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number _ c 13
1
Number of Bedrooms
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd)
Septic Tank Capacity (gal) trim
Soil Absorption Component Size (ft') qsb -R'z
Type of Wastewater Domestic
- Limits o
f Reliable Operation
Table 2: Soil Absorption Component p
p p
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd) C0 Z
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
, w
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
3
• ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
/ OWNERSEi P CERTIFICATION FORM
owner/Buyer 14 ! l e �� 4 O e a / / I
Mailing Address
' Q
Property Address
(Verification required from Planning Department for new constructi on
City /State
A/ Parcel Identification Number L'L - -3 �
LEGAL DESCRIPTiOh
Property Location ��� '1 <, Y,, Sec. . T L N -R 1 W, Town of l�S r e �� 0 n
&AAP
Subdivision Lot #
Certified Survey Map # . Volume , Page #
Warranty Deed # S�5 l 3 . Volume , Page # G_ •
Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no
SYSTEM MAIN'Ir,ENANCE
Improper use and maintenanceof your septic system could result in its premature =ailure to handlewastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. what you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
'The property owner agrees to submit to St. Croix Zoning Department a certificatiou form, signed by the owner and by a
masterplumber, jouraeymanplumber, restrictedplumber or s licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less thaw 1/3 full of sludge.
Uwe, the undersigned have read the above requuments and agree to mauita in the p rivate sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of A'atural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year pica ' n date.
IGNAT O LICANT
-- DATE
o R cRTIFICATIOrI
I (we} certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of
e roperty cribed e, by }►Srtuc of a wp ty deed recorded in Register of Deeds Office.
GNATURE O APPLICANT DATE
« « « « «# Any onnation that is mis- represented may result in the sanitary permit being revoked by the Zoning Department
#«
include with this application: a copy of the certified sure map f Register
cferea I i made in the .varsity deed
J
t 1
OOCUMENTNO
STATE BAR OF WISCONSIN FORM 3-1982'.
555133 jI QUIT CLAIM DEED
—�L VOL PACf07 HEGISTEZ''3 FFICE 1
- � -- .,T CFiCiX CO., FYI
itar. l ?'wWda. Rudesi.il, I W1kx PaWN
husband ...az�d.w.ife.as..suxxixQl chap
.marital property .. FEB 3 1997
quit - claims to The_Har- ley. and - -Ma tilda Rudeesil.1_Liyi : ig Trust ... alt 10:00 A. M
_ ........... ..........
......... ......... .. Fie•,0.t.,q of tai
........... ............ ...............
........ ............................... .
the following described real estate in ....... St—Croix ........ __.... Ccunty,
State of Wisconsin: Er }�
7�'� R <E y err dE
Tax Yarcci o: p. Y. L(�q�0. . 2
The SE4 of SE4 of Section 36, Township 28N, R17 WesL, excepting:
A parcel of land extending one acre in width West from the West boundary of
State Highway 63 Light -of -way and extending 4 acres in length South from the
North line of said Southeast Quarter of Southeast Quarter (SE- of SR-
Section 36, T28, R17.
Fkf
This .. ....... iS..nOZ ...... t homestead property.
0c30x (is not)
Dated this - ... 29th ....... ... . day of January 97
y � .... .(SEAL) _ ._.... ( _..(SEAL)
Harp
............. ........
................. (SEAL) _.... (SEAL)
I .........
i�
AUTHENTICATION ACKNOWLEDGMENT
Signature(3) ............. .............. ....... .- STATE OF WISCONSIN
1
............................... ................... –
._....... ........_......••--- ---- - -•... St. Croix `
....... -- ................. . .......County. 29th �)
authenticated this ........da of_ ................__...., 19...... Personally came before me this ._.... ......... of
._ ... _ 19..9.. the above named II
Harley Rudesill and Matilda Rudesill
............... .... • ................. ............................... I
• ........... .............................. I .............. ._.................. ...... ......•• •-- -•-- ....... ..... ............. ..................
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,..... ......... ....... ............... ................•...
authorized by § 706.06, Wis. Stats.) to me known to be the person ._._ ...... who executed the
-,fore • Ong instrument ay acknowledge the same.
' TH15 INSTRUME T'NA5 OR.. F' "20 B': • ^; Ci` �/
. Beck J Rasmussen
_........ Not;. y P::blic .. ....St'...Cr ...County, Wis. Ii
(Signatures may be authenticated or ac'knowl&dged. both My L 'm:,fission is permanent. t [f not, state expiration
are not necessary.) i
date: _._._- December.2u.. . ......... 199
QUIT CLAIM DEED CT%I'F ctAt: OF wi4 Citl-i\ Inc.
Y