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Wisconsin Departrdent of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 463037 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: city Village X Township Parcel Tax No: Environmental Holding Company LLC I Richmond Townshi CST 8M Elev: Insp. BM Elev: BM Description: Sectionrrown /Range /Map No: /ab / rirt, jYh (_ :5 k 27.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z � Benchmark 3 1 163.E Dosing Alt. BM Aeration Z e .I ,A Bldg. Sew cg's Holding , __ St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 3 , , G& G6/ Dt Bottom Dosing Header /Man. ' g 3 Aeration � Dist. Pipe �` Holding Bot. System L PUMP /SIPHON INFORMATION Final Grade �$r Manufacturer J' d Ge St Cover F .,75 e o Model Number 3� 1 3� ' �� :k 1 11 ' S 5,2 lcf TDH Lif t'y,,, Friction Loss System Head TDH i 7 `f.l \ /6 .DC� Forcemain Length , Dia. Z /� Dist. to Well I ^ f 2 � LD N SOIL ABSORPTION SYSTEM S in Ake. Q.� Eck BED/TRENCH Width : Length No. Of Trenches PIT DI SIONS No. Of P'tls Inside ia. Liqu epth DIMENSIONS 17-0 -3 NIA SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer:�Z INFORMATION CHAMBER OR F- Type Of System. UNIT /� _ Model Number. a,.Al�-Id 7f ► �S DISTRIBUTION SYSTEM Z Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) �.� \ Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 3 . �� Bed/Trench Edges \ Topsoil � �I yes ( No Yes , No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / �• Inspection #2: I / Location: 1258 138th St. New Richmond, WI 54017 (N 1/2 NE 1/4 27 T30N RI 8W) Lundys Preserve Lot 11 Parcel No: 27.30.18. 1.) Alt BM Description = C � � �,, "�, 2.) Bldg sewer length= (4 0 W -V J ,,,,- � `5 ` - C .. � \ JLJ - amount of cover = t Si i Plan revision Required? [ Yes XN o L_^ - t -- - -- - -- Use other side for additional information. —_ i SBD -6710 (R.3/97) Date Insepctor's Sign ure Cert. No. Safety and Buildings Division County r /� v 201 W. Washington Ave., P.O. Box 7162 ` c 7 cro -" ,s onset Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 26 0 3 Sanitary Permit Applicatio 1 i ja/,) Number In accord with Comm 83.21, Wis. Adm. Code, personal information o may be used for second provide u 1 arY P rP oses Privac Y Law . s15.04 ( ( m ) , l I -' Proj t ferent than mailing address) 1. Application Information — Please Print All Information o I - 5�t`t - `S +. Z' ROIX COU�T'y Property Owner's Name en vi '� "t Parfel # % Lot # Block # I Property Owner's Mailing Address Pro Arty Location City, State Zip Code Phone Number °° - Section - S (m - J 1 U T N; R 1 8 I (c ircl e ir l 30 111 Type of Building (check all that apply) Y j or 2 Family Dwelling - Number of Bedrooms Sub diviisio CSM Number /❑ Public /Commercial - Describe Use k u— W► - F( - e_ 5 C* ❑ State Owned - Describe Use ZY LU vlln,l ❑City ❑vY age"Township of III. Type of Permit: (Check only one box on line A. Co fete line B if applicable) A- Ve System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System 3. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a 1 )Non Pressurized In - *rnnnd ❑ Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil El At-Grade El Single Pass Sand Filter El C�o Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line avel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: E / 6 - Design Flow (gpd) Design Soil Application Rate(gpdsf)t Dispersal Area Required (sf) Dispersa4 Area Proposed /sfl System Elevation D . S ' r te r '' � r , , ,� IZ 0c) VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plasti Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank /200 Aerobic Treatment Unit A Dosing Chamber O Z) ` H VII. Responsibility Statement- 1, the undersigned, assume responsibili installation of the POWTS shown on the attached plans. 3 Plumber's Name (Print) Plumb ' natur MP/MPRS Number Business Phone Number r Plumber's Address (S et, City, State, Zif Code VIII. epartmenYUse Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued I rng A t Signatu Stamp_) Surcharge Fee) � U0 C? O / ` ❑ Owner Given Reason for Denial U IX. Conditions off Reasons for Disapproval U SY STEM OW N, � /t/ /� r �ljl Septic tank, effluent luent filter and P � X3. � dispersal cell must all be §erviced / maintained (23 as per management plan provided b lumber. X-e— 2. All setback requirements mus a maintained as per applicable code /ordinances J ' 3, V3- / VX Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size — nfl YYi /' l3� ti 1 S.,,trh SBD -6398 (R. 01/03) Soil Test Plot Pi Project Name Environmental Holding L.L.P. aun Bir Address 70619th St. S. Hudson Wi 54016 CSTM #f226900 Lot 1_ 1 Subdivlslon Lundy's Preserve Date 5/24/04 N 1/2 NE 1/4S 2 7 T 30 N/R 1 8 W Township Richmond [] Boring Well PL Property Line County ST. CROIX �1 BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 91.4/90.5189.6 *HRPSameasBenchmark Alternate Benchmark Top of Survey Iron C 96.0' 231' Property Line 10% Slo e 92' 40' B -3 20' 94' 0' 8' Property Line 96' 1 r1 � ' Alt. B.M. B.M. 11' roperty ' ne — 413' Prope Line Scale is 1 = 40' unless otherwise noted Soil Test Plot Pl Project Name Environmental Holding L.L.P. aun Bird, Address 706 19th St. S. Hudson Wi 54016 C Lot 1__ 1 Subdivision Lundy's Preserve Date 5/24/04 N 1/2 NE 1/4S 2 7 T 30 N/R 18 W Township Richmond [] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 91.4 190.5 /89.6 *HRPSame as Benchmark Alternate Benchmark Top of Survey Iron C 96.0 231' Property Line Slope e 92' 40' B -3 20' 94' 0 8' Property Line 96' a 0 17- 0.0 7"k 30 Z� 6 le 4 - /do B.M. Alt. B.M. 411' roperty ine 413' Prope Line Scale is 1" = 40' unless otherwise noted 0000 0000* -�..011llllllllllllllllliiiiiii",�1111111111111110111111IlI --A Wool 011111111111111,11,11ilillillillillillill'I Chamber SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Soil Absorption Systems EHC,LLC Owners Name 9/8/04 Review Date N Y or N Highly Pretreated Effluent 3 ft Suitable Soil Below System i 12 in Chamber /Unit Height 8 ft Maximum Bury Depth 3 j Bottom Z102H 600 gpd Estimated Daily Peak Flow 0.50 gpd* In -situ Wastewater Infiltration Rathamber /Unit Area SA ft / Unit of Chambers / Un�lLc.- ft Proposed SAS Elevation Area ft / Unit Soil Surface Acceptable Finished Grade EL 4 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest I Highest Elevation? 93.40 100.40 1 95.40 110 89.23 94.40 Yes 2 95.40 110 89.23 94.40 Yes 3 92.40 110 86.23 91.40 Yes Fill required 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is finished grade may be required to meet minimum or maximum code standards. Version 4.0 04/03 I i RECOVER `O JUN 0 1 2004 Lundy's Preserve Comments: ST. CROIX COUNTY ZONING OFFICE The soils in this subdivision are quite variable and differ across the 80 acres. Some consist of a clean outwash sand, other consist of glacial tills. In certain areas, the medium sands have a very deep red color unlike I have seen in all of St. Croix county. The color does not indicate high ground water because the color is so consistent. If you go through the r y sands then the sands turn off white/yellow b eat not those of a sand s tone. In talking with Pam f Quinn from zoning, she commented that there could be a different chemical reaction with a rl sands. I believe this is the case for the sands have a consistent size, and no mottles were vi found above or below the sands. Sometimes bands were present, but were very slight, and were mentioned to have the systems sized a little bigger in order to accommodate for any inconsistencies in the soil. Also it is worth mentioning that the intersections of lot 6,7,8 and 9 h ave a extremely poor soil present not suitable for a mound system. The surveyor and I discussed this condition, and the resulting tests were spaced as far away from this area as possible. All the soils tests were done to the best of my ability and I hold no liability for anomalies and other oddities that can be found on this site. Shaun Bird CSTM #226900 5/28/04 + Wisconsin Departme o n f C ommerce SOIL EVALUATION REPORT Page 1 of Division of Safety and Buildings in accordance with 1S _ Adm. Code � C -. PR ew Attach complete site plan on paper not less than 8 1/2 x 11 i es uR ls.WlF Md,E r y include, but not limited to: vertical and horizontal reference int (BM), direction and el I.D. percent slope, scale or dimensions, north arrow, and I and distance to nearest road. Please print all in r i 2 Date Personal information you provide may be used for sewn y s Privy Ler.O.1 �5L t9 1 mu. 9 a 0 Property Owner ZON Ww Wrlq C6cation Govt. Lot 1/4 �A S.2 2T N R E( W Property Owner's ailing Address Lot # Block # 906d. Name or CSNW City State Zip Code Phone Number ❑ City ❑Village wn Nearest R �o) S /J� t o G /'e yv New Construction Use. Residential / Number of bedrooms Code derived design flow rate 0< U� GPD ❑ Replacement Public or commercial) Dfyscriribe: 3,4 S5l 3 e Parent material � C.�� -� Flood Plain elevation if applicable General mme d AA I and recommendations: �P/tn- !�/l/C! ' ` '" l ©: �/ 1J l � J mmenati MtU j- k , s ring F/ Pit Ground surface elev. ft. Depth to limiting factor /` in. Soil Ariolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 o `i 1 a 3t -L- 1 .r 10 Fq Boring # a ring Pit Ground surface elev. � ft. Depth to limiting factor � in. Soil lica Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 Eff#2 Z Z - 5") - G � •3 [ kL , S Effluent #1 =BOO > 30 <_ 220 mglL and TSS >30 150 ` Effluent #2 = BOD _< 3o mg/L and TSS < 30 mg/L CST Number CST Name (Please Print) 226900 Si Bird Plumbing, Inc. Shaun Bird Date Evaluation Conducted Telephone Number Address 715- 246 -4516 1008 192nd Ave, New Richmond, WI 54017 l Property Owner arcel ID # Page 2— of 51 Ong # Boring Pit Ground surface elev. ` ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'Eff#2 01 A r ,-3J2 - ` o Boring # a Boring C] pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod A44Aication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 _< 220 mglL and TSS >30 < 150 mgA- ' Effluent #2 = BOD, 130 mg/L and TSS <_ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SSD•1370 (RAN) Soil Test Plot Pl 'Project Name Environmental Holding L.L.P. P2�Bo- Address 706 19th St. S. Hudson Wi 54016 J CSTM #226900 Lot 11 Subdivision Lundy's Preserve Date 5/24/04 N 1/2 NE 1 /4S 27 T 30 N/R 1 8 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 9 1.4/90.5/89.6 * H R pSame as Benchmark Alternate Benchmark Top of Survey Iron @ 96.0' 10% 231' Property Line Slope 92' 40' B -3 20' 94' 0 f 8' Property 40' Line 96' B -2 B -1 20 30' Alt. B.M. B *M. 11' roperty ine 413' Propert Line Please note:Soil test was done to satisfy county zoning requirement. Soil Scale is 1 „ = 40 , test may not be unless otherwise suitable for owners desired building noted location. I f ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ( L_ Mailing Address S 1 c ? S yly, r� t-t (,c) — T Property Address 5 �' 13 0 iL�- V p , n (Verification required from Planning Department for ne w construction.) City /State �QGJ 'd Parcel Identification Numbef / v a t o " i o -7 � 10 MIC) O a- t? " 1 013 - 3 - o' `3 LEGAL DESCRIPTION l W�A� A'a � P Property Location N '/a , AJC %a Sec. c)- T .3 O N R V,) W, Town of 1 C'y1 d Subdivision V O U / Py -e yc yu -e, , Lot # . Certified Survey Map # /J 4 , Volume , Page # Warranty Deed # -- (a ] Volume D UO - ) , Page # 541 SEE house no Lot lines identifiable yes no SYSTEM MAINTENANCE 4,812 1 1 606 AC1Pb r2-j Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by th epartment of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septi y tern has been maintained must be completed and returned to the St. Croix County Zoning Department wi ' 0 days a year expiration date. 6 /1 �o/ c� SIGAtUREWF APPLICANT DATE OWNER CERTIFICATION Uwe certi that all a en this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property desc ' ed ab e e 0 warranty deed recorded in Register of Deeds Office Q/ It / SI OF APPLICANT DATE * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. ❑ Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a k tank my be installed as a last resort to replace the failed PO S. has not en evat ed to id tify a s 'table rep c ent ar n f ' of P WTS soi and s' evaluation rf to locate 1 repl em t . If no aceme a is a able a o g ay be resort to r ace the ed PO ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. « WARNING>> ' SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR XMPOSSIBLE. ADDITIONAL COMMENTS POWTS STALLER POWTS MAINTAINER Name Name Phone 71 $— — J 'Z Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency_ S? , J Phone Phone S K: \WPDATA\EWOWTS OWNER'S MANUAL.doc Page of POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner (.° ig r u 1 Septic Tank Capacity gal I ff NA Permit . # L{ Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 100gpd/bedroom 4 ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity gal ❑ NA Estimated flow (average)* LkV gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), estimated x 1.5* 1 gal/day Pump Manufacturer ❑ NA Soil Application Rate gal/day fe Pump Model ❑ NA / ' A Influent/Effluent Quality (NA 0) Monthly Average ** Pretreatment Unit ❑ Sand/Gravel Filter ❑Peat Filter Fats. Oil &Grease (FOG) < 30 mg/L [I Mechanical Aeration ❑Wetland Biochemical Oxygen Demand (BODs) � 220 mg/L El Disinfection ❑ Other: Total Suspended Solids (TSS) Manufacturer: Model: 5 250 mg/L Dispersal Cell(s) Dis Pretreated Effluent Quality ❑ Monthly Average * ** -95-ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) /L❑ ❑ Biochemical Oxygen Demand (BODs) < 30 mg At -grade Mound Fecal Coliform (geometric mean) 5 30 mg/L ❑ Drip -line ❑ Other: <10 ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 inch diameter Model Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate gp d/ft Area Req. e ft (Other than bedroom based) Absorption Area Credit per unit fi Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= ft min * * Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ . "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 SBD — 10570 —P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD — 10567 —P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD — 10705 —P (N.01101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6199) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 P (8.6/99) "Mound Component Manual" ❑ SBD - 10691 P (N.01 /01) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 —P (86199) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657—P (8.6199) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 —P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition oftank(s) At least once every ❑ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months ear(s) (Maximum 3 yrs.) Clean effluent filter — At least once every ❑ months ear(s) Inspect pump, pump controls & alarm At least once every 3 ❑ months 0 year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ' Few s) ❑ NA Valves At least once every ❑ months ❑ year(s) NA Other: At least once every ❑ months ❑ year(s) C$C4A Page of START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Corhpaction of snow over the dispersal unit may cause it to freeze up. Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). ❑ Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. p Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. j In Ground Gravity Component Dispersal Cells / The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of i r - . U 22 ss 77 P c Q STATE BAR OF W1USI1;1 FORZt tJ 2 7 S 7 15 6 8 Document Number WARRANTY DEED � RKATHLEEN u. DEEDS ST. CROIX CO. 8, E WI Thiel Deed made between John Schommer and Barbara I Schommer, husband and wife RECEIVED FOR RECORD Grantor, 07/41/2004 01:I5P1s and Environmental Holding Comwnv, LLC WARRANTY DEED Ewl # REC FEEL 11.40 Grantee. TRANS FES 2314.20 Grantor, for a valuable consideration, conveys to Grantee the following CC FSE�t described real estate in St. Croix County, State of PAGES: 1 Wisconsin (the "Property") (if more space is needed, please attach addendum): Lots 1 through 33, inclusive, Lundy's Preserve, Town. of Richmond. Recording Area Name and Return Address Title One, Premier Group 706 19th Street South Hudson, Wisconsin 54016 I 26- 1078 -10 -000 026- 1078 -30 -000 Parcel Idendfication Number (PRJ) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is: good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record Dated this 30th da of June 2004 *Jo Schommor * Barbara Schommer * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature( �1Y P(Je ) ss. at. Croix County. ) authenticated this day of Personally came before me this 30 tih,— day of KAY V Juno 2004 the above named PALM John Schommer and 1 1L X Barbara Schommer TITLE: MEMBER STATE BAR OF (If not, OF WISE �11a� to me known to be the person s who executed authorized by §706.06, Wis. Stats.) the fore o' instrun ac 1 ed the same. THIS INSTRUMENT WAS DRAFTED BY • Bay Michael H. Foreeki, Attorney Notary Public, State of Wisconsin Lau_ Claire, Wisconsin My Commission is permanent. (If not, state expiration date: ( SWattats may be authenticated or acknowled ed Both are not nccesa omb r 2 *Names of persons signing In any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 etosney Michael H Fomckl 3452 Oakwood Hills Pkwy. Ste 1, Eau Claire WI 54701.7928 Phone: (715) 835.3029 Fax: (715) 8354112 Michael H. Fomid T4468638= Produced WM 71F OMW br RE FamdtK LLC ta023 Ratan Mae Road, card- Toy WP. Mktt- 40033. (0001303MW r, 5 Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: +1 LL t res-cr & L -+ #::I i t Project Name and System Type: � bx Aira Location: � , S� t �`� bl ne, e� Street Address ,/ Leg al Description / 1 pin iM sin A / :5+. Grb i t X Township /County Contents: Page 1: ZA4± C 71a M 6U ni GLtit 011- Nt e. Iry1 Page 1 P" Page 3: Page 4: ' Page 5: t o ca — Du-,c� Page 6: Page 7: � 6 Page 8: 1Az 5p— Page 9: Attachments: Plumber/Designer:'� ' R Signe . .Credential Number: )I O C ( 4 Date: D I I N h��� V' i � I - I I I - -- -_ l Y 1 I r I I� r 1� i J t i n I I L _ � J I I __— oet VAk IJ Tlt I l � J „TT-� 6 -41 -a77 - I - JS I �� I 52 z �i16 IY, }— C - �A, , d T\I 2XIO 71 --- , , f a f . ' �Y�ryra/°s•r!� -•^ ....w _..•. a.:r»�... - r . r �� 7 _�ACI. * • , 'a-. � r / w ow N l • •� PUMP PERFORMANCE CU RVE PUMP PERIORMANS' CUR • S O LI D • ■■■■■ ■I °�r� ° ° ° ° ° ° ° °� ° ° ° ° ° ° °� °� HNOBINERNMEMEM ■ ■ ■ ■ ■ ■ ■�� ® ° ee ■ ■e ■ ■ ° e ° e ■ ° sae ■ ° e ° ease ° ®oeoeeeeeeeeeeee °save �■\ ■111 ■■ ■ ■ ■ ■ ■ ■■ � °:■ e0m °■ HIS, ■■UNI■■■O■■ ■ ■■ 0 ®� 0��■ X00 .4 90 0 1 , SMILP 10 1 I LI MERLE ME \■NNINI V1\■■■■■■ ■■ ° e ■ ° ° ° ° ■ ° e ° eaeas0m aS �■010 ■■■■ ONE /0 ■■ \\MS9V4 V N M M FA I FiM ■ ■ ■ ►`I\1:� \I \w \r\\ .0 000 ■\ s ..- :.: sub j e cted ss than 30 feet TDH. SEWAGEAND m lilliElillill m Emmm�oaom DEWATERING dm0��0momomov ® ©��mmo�o�v�� ®ms��0��s�ssa�s ®0� ®0oo� ®0m vmss�0��s��o0s��0�o ®mom ®0�o ■o ®as�0��s���s�s���ass�dvo® � . ■■���sss�s�s��s�s��ss�s0 ®0o® m ®ss�0s�ss�0�sss�ssas�ss ®m SUGGESTED METHODS OF FLOAT INSTALLATION On some installations it may be desirable to install an independent hanger for the level control switches to avoid possible hang ups on the pumps, piping, valves, etc. Float hangers are available from Zoeller Company on Catalog Sheet FM0526 or can be fabricated from sWdard pipe and fittings. ACCESS COVER 4 _ r STANDARD PIPE FLANGE J ' . u", AT TREE . WITH 3 FLOATS SHOWN T PVC OR LIGHT WEIGHT PEAGRAVEL STAINLESS STEEL PIPE SK1217 TYPICAL FLOAT HANGER ON CONCRETE PITS SK1218 TYPICAL FLOAT HANGER ON STEEL COVER PITS OR SEPTIC TANK RISERS "EXTRA PROTECTION SYSTEMS" TWO PUMP SYSTEM ALARM The "Extra Protection" Two Pump system is an economical solution to the costly duplex alternating PIN I0-D028 ILLUSTRATED (JUNCTION BOX AND PLUG NOT INCLUDED) pump system and it's easy to install. The "Extra Protection" Two Pump Systems consists of: a. The two nonautomatic pumps with VLFS of your choice b. One Alarm System c. Two Unicheck Valves as required ADVANTAGES (1) The Two pump systems offers high pump performance without the high price. It is a system that PEAGRAVEL fits your needs and your budget. (2) Delivers more dependability than a single pump system and greatly reduces the chance of costly and time consuming problems associated with wear out or damages and the resulting system failures. ; ALARM ON \ � PUMP 2ON PUMP( ON (3) Affords greater satisfaction and peace of mind to all concerned by providing state of the art protection OMP2 OFF for costly and expensive surroundings. ® PUMP I OFF z VARIABLE LEVEL FLOAT SWITCH (4) Ability to change lead and lag positions by changing pump plug connection. ® 'ALARM SK878 (5) Easy and economical to Install. 'MINIMUM DISTANCE 2' BETWEEN PUMPS THE BASEMENT SENTRY 12 Volt backup sump pump system model 507 & model 510 Application - For Clear Water, emergency backup usage when power is off or primary pump fails. Extra Protection - When the primary AC pump fails due to power outages or system problems. • Storms • Brownouts • Wiring or electrical problems Extra Protection - When the primary pump fails to keep up with excessive water due to rain or overloading. Includes: °� } Pump and control MODEL 507 MODEL 510,,_ ` Charger TDH (ft) Flow (GPM) TDH (ft) Flow (GPM) - Fittings Battery Case 5 23.2 5 33.8 (Battery Not Included) 10 12.5 10 21.6 14 Shut -off Head 15 10.6 For submersible or pedestal installations. 1 1 19.9 Shut -off Head See FM1311 (507) or FM1139 (510) for information. Suitably sized basin required. © Copyright 2004 Zoeller Co. All rights reserved. 5