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026-1294-28-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buildinrq Division INSPECTION REPORT Sanitary Permit No: y1 499202 �,� ` 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: Smith, Gerald I Richmond, Town of 026 - 1294 -28 -000 CST BM Elev: Insp. BM Elev: BM Description: _ Section/Town /Range /Map No: / b p /j M ;� 1 GS 28.30.18.1510 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER , G CAPACITY STATION BS HI FS ELEV. Septic y Z , �obC7 Benchmark c1 dS �a�l �V Alt. 1 7 1 �c�.�G� -/ �I �{•� 99. �5 Aeration Bldg. Sewer Holding St /Ht Inlet C1 . 05 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / , / n Z-7 Dt Bottom Dosing Header /Man. //,3 Aeration Dist. Pipe J/.3 d�a //. Z.S Holding Bot. System 12 4Z . / 9y �C PUMP /SIPHON INFORMATION Final Grade �I • �p J Manufacturer Demand St Cover 9`f , b S GPM Model Number TDH Lift Friction Loss System Hea TDH - Ft Forcemain Len Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length . Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3/ Cf Z SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION I CHAMBER OR ti t7 Type Of System: ' Z / �� UNIT Model Number: /� , DISTRIBUTION SYSTEM 2q +-Z4 = Y ►�a � Header /Manifold i Distribution x Hole Size x Hole Spacing Vent to Air nta c, I Pipe(s) \ I--- Z Length 1 Dia — I Length Dia Spacing v� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of Tx eeded /Sodded xx Mulched Bed /Trench Center I,'–' Z 0� Bed /Trench Edges \ Topsoil \ \ Yes No \' Yes ]N, COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / ! Inspection #2: /. / Location: 1155 134th Avenue Unknown NW 1/4 SE 1/4 28 T30N R18W) Richmond Acres Lot 28 Parcel No: 28.30.18.1510 1.) Alt BM Description = k (_o " CIA 2.) Bldg sewer length = Z-7 - amount of cover = Plan revision Required? Yes >No 17— T 9 0(,4 5 Use other side for additional information. - Date Insepctor' Signature Cert. No. SBD -6710 (R.3/97) I f6 Safety d Buildings Division County Nv i sconsin 201 W. Was ington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Dep artment of Commerce (608) 266 -3151 q99 Sanitary Permit Application State Plan I.D.Number I . F e In accord with Comm 83.21, Wis. Adm. Code, p al information you p ide A f may be used for secondary purposes Pri acy La ®r1S�64 C D Project Address (if different than mailing address) L Application Information - Please Print 1 I tion Property Owner's Name Parcel # Block # hz' w. -7.- _5� j - L ST. CROIX COUNTY 5. � \ Property Owner's Mailing Address Property Location /GD 90 ��'> sue /a, Section _ City, State /� Zip Code Phone Number 1 G ft /!/./1 .J r .S . TO .3 y/ - ���� � (circle one) H. Type of Building (c eck all that apply) /-?0 o<q b o.d Y 5 ��^ Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms _ . _ � n �_ 19 IV W El � // Public/Commercial - Describe Use ^ /ew/yo. "o /o a rr ❑ State Owned- Describe Use Z U Sl- r, tD 2 + 24 -9n y UY+#ege Pfownship of lew,&.0.tl o III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Oz Z - - QDC� A ' stem S y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. RNew Permit Renewal ermit Revision ❑ Change of 11 Permit Transfer to New ist Previous Permit Number and Date Issued ore Expiration _ Plumber Owner I I Z . T e of POWTS S stem: Check all that apply) X N.n - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculati S and Filter El Recirculating Synthetic Media Filter El Leaching Chamber El Drip Line El Gravel-less Pipe El Other (explain) � , '✓t 1 4 - reLArt - V. Dis ersaUTreatment Area Information: J . Design Flow (gpd) Design Soil Application Rat pds Dispersal Area Requir 00 Dispersal Area Proposed (sf) System Elevation So . 5 7sa (o `t3 9.z 8. y ✓ Q.�. ,� J 9i s VI. Tank Info Capacity in To dl Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units �J ^ Concrete Constructed Glass E{ New Existing (✓ qeX 1� I t7� ��` Tanks A Septic oroW Tanks ingTaek 00 /L /6Q /gSC'2 GowJG, f� Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) ' ' MP NMS Number i � / Plumbers ature /Uer Buness Phone Number E.t� f'EG,L'� 211//Z /.9' L7W -SWG Plumber's Address (Street, City, State, Zip ode) -? 98 Yr. 1 4 �14 a.s �u.�.o,✓ o /✓I ,5,�7,� G VIU. un /De artment Use Onl Approved ❑ p Sa nitary Permit Fee (includes Groundwater Date Issued ! � Issuing nt Sign o s Surcharge Fee) `�( ❑ enReason :Denial �✓ ' as 16 1 36 I L Conditions of Approval/Reasons for Disapproval �) SYSTEM OWNER: 3, kJ 11 ] kje,(O� + s,,fP awtn 1. Septic tank, effluent filter and dispersal cell must all be services / maintained C „ c,kt_W� I v\,e� as per management plan provided by plumber. 2. AN suck requWements must be maintained as per apFl -bia code / ordillantxs. Attach complete plans (to the County only) for the system on paper not less than 81/2 z 11 inches in size SBD -6398 (R. 01/03) 13 Y I r I r �Nt s 6 �I fva .SL./LF) LASE �irJf /L j'•t.OTO.G ��cK 7 V AG f GNA��E•eS �� x y x �.? �?y LNA.y.�D'as TilEn/GN a S. f; I y8 6.✓.o.yG�'.as — )-e ro t- f b /IV u • s� , �. /�/ � o.c� pat � D'� e lve �9 - I °�•' iG ' oe l 'vr < 9 s I � r I COPY Aly. '/Do 13 Y 10 Q/w 1 � t t � Ap r j�. 2 fls A0 Una r 40 so 91S 1 �itooass,o � �RLJe'�AY I CR6 ss -.��G r�.-✓ � 1 G G/s r .4 roti Qu�ca / p �► f LNA�6E� s (3 it / is 12 `> v A L � � y ��UC QL d � L.S/,4.a.�Eit s /TREi✓GN o / � j G.et . I y8 G,✓A,y - ) j L ` �d T o ,t o yo 9 � 9, s A L � �o isrPl. 83. y3 .sE r.a•r c,� s ,,►E 9 � P � rr "o a • •j O \ 9 f s � .l t /98� 9y A4. srel' La P�P� a <a r ^4x/, ee'2 Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: o .T" X yi r* Project Name and System Type: 1_7,4,eZd J' .�.y. r� - .� /r�.r. /,✓��row,ro o0calrs Location: Street Address A/h/ SEA d 8, .304 /8 ti/ Lo r 04X ErS Legal Description D6✓,J eF lC.s'�o.✓�, ��: �ita /x moo. Township /County Contents: Page 1: /•v a� x r �i r� .�.v�r�r- _ Page 2: 4/ 6 r 6.i.✓ �J� Z - JrrC r /e•✓ Page 3: Ao w rs o�,,,, E� `s �r A.✓ u . L r' /1 o.✓�t► s �.Y �.., t- tea...✓ Page 4: Page 5: " Page 6: Page 7: Page 8: .Page 9: /J Attachments: .t alc � y os 04 A4 Z 010 l' Plumber/Dxr: Eira E"1!«' Signed: f Credential Number: z - Date: /a POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner �E "ato T S i ry Septic Tank Capacity pap 1 [3 NA Permit # Septic Tank Manufacturer 1E " ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z,/,aEL ❑ NA Number of Bedrooms 100 droom ,3 ❑ NA Effluent Filter Model - /oo ❑ NA Number of Commercial Units - NA Pump Tank Capacity 1 A Estimated flow ( avera g e)* o g Pump Tank Manufacturer [3 NA ( g) `� � Pum Manufacturer ❑ NA Design flow (peak), estimated x 1.5* OXle g al /day Pump Model ❑ NA Soil Application Rate gal ft Pretreatment Unit NA Influent/Efuent Quality (NA ❑) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD5) < 220 mg/L ❑ Disinfection [3 Other: Total Suspended Solids (TSS) Manufacturer. Model: <_ 250 m Dispersal Cell(s) Pretreated Effluent Quality [3 Monthly Average' ** *1In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BOD < 30 mg/L ❑ At -grade ❑ Mound Total Suspended Solids (TSS) _< 30 mg/L ❑ Drip ❑ Other: Fecal Coliform (geometric mean) <10 cfu /100m1 Leaching Chamber Manufacturer /�/f /� 3'R,4,rdX Maximum Effluent Particle Size 1/8 inch diameter Model Durex y Laying Length/Chamber y , 2 * Wastewater Flow Verification and Calculations: Soil Application Rate _ gpd/ft Area Req. )ro ft (Other than bedroom based) Infiltrative Surface /Chamber -ESIA Rating 1, / ft 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:manufacturcrs specifications ** *Values typical for pretreated wastewater. and approval letters. DES IGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ❑ "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 (R.6/99) "At -Grade Component Manual Using Pressure Distribution" SBD - 10567 -P (R.6/99) "In Ground Absorption Component Manual" ❑ SBD - 10705 -P (N.01 /01) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD - 10628 -P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD - 10656 -P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 -P (R.6/99) "Mound Component Manual" ❑ SBD - 10691 -P (N.01101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 -P (R.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 -P (R.6/99) "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 Onsite W astewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequenc Inspect condition of tank(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 3 years) (Maximum 3 yrs.) Clean effluent filter At least once every j3 % months ❑ ear(s) Inspect pump, pump control & al arm At ]cast once every ❑ months ❑ car(s) NA Flush laterals and pressure test At least once eve ❑ months ❑ ear(s) ❑ NA Valves At least once every ❑ months ❑ ear(s) ❑ NA Other: At least once every ❑ months ❑ ear(s) ❑ NA Page 3 of X I 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. Compaction 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 lo prevent back -up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or 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 scaled 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 NR 113, 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. ❑ 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 any filters. Any service needs or repairs shall be promptly taken care of 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_,5- 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 i rsal cell (s). If hi concentrations are detected have the contents of the ss and/or damag the d s (s ) 1� may impede the treatment prose g Pe tank(s) removed by a septaae servicing ope rator p rior 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 n removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface softeners, iron 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 nap 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. Compaction of snow over the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in the following manner: p 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. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or 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 scaled 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 (113) or more of the tank volume, the entire contents i Oper and dis p o sed a Se to a Servicing Po sed of in accordance with Chapter NRI 13, Wisconsin of the tank shall be removed by p g t; Pe 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. ❑ 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 any filters. Any or repairs shall be promptly taken care of. Y service needs 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. Pagc—!K of--5-- ❑ 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 replRA went system: suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement 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 holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name , - Ae EL. 4r /y - J? y/L Name E 6 u Q/•je Phone 71.S 6 7.? - -.f 4 Phone /,S- -- Z-? - -f '„? L` SEPTAGE SERVICING OPERATOR (Pumper) - G�.✓.rua«�� LOCAL REGULATORY AUTHORITY Name Agency _l y; Laos Za,✓i.✓� Off /« Phone Phone K: \WPDATA\EH\POWTS OWNER'S MANUAL.doc Page -.S of .S t: 14. W Q. Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self - cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of I tank. If your filter contains a SmartFiltern' alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: 'Servicing any Zabel filter should only be done by a certified septic tank pumper or installer. oft W% Locate the outlet of the' septic tank. Firmly pull the filter handle and slide the carte Remove the tank, r V of the c219�,� ±+ and pump the ' Note: A tee handle may HA necessary to pr ,t`t? to be used it the filter is rb lad + any solid below ground level to escaping to th Contact Zabel for into when the f handles rem 94 C� While holding the .cartt'id over !1 the access opertinq )f11g9 cYfft 116''+ Insert the fll(er'cart lags 4 cartridge with fr�stl, ate rt$ : back in the eASa.�iakln .y careful to rinse all A ,, , „ sure the filt properl ,< i 'Note: It is not neces completely i 'spotless'. The biome aides in the pretreatme ,I be left on the filter. (It nt V may be disass Replace t l +rt MADE W USA The product(s) shown are covered by one or more of the following patents: ]U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683,577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Palents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 -5742 • Website http: / /vmw.zabeLcom A 100 =0.1•M,61499 d Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _Lof .3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ,C7 -r, AL D -5�yi -,y Govt. Lot lVa 1 /4SE 1/4 IS T p N R Jg # (Oro Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State. Zip Code Phone Number G-Gfty B Town Nearest Road New Construction Use: EVResidential / Number of bedrooms .3 Code derived design flow rate yS D GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Da r " S11 r/66 Flood Plain elevation if applicable dl/iP ft• General comments /.rJ6 eor�✓o J . / ' ;;# / /Fr 7- �o, a� �t . w rr �•P�ca.�.�E,ro • S o /t>✓ and recommendations: GRASS f /ELD A1141 �� A�L6 �'o CIII ✓i r) fFdD /,�lLo.✓ �I�J�"i`Jf�y: �a)'�% �✓/ YA�Y fi r IY4S d"J /SSufO foC fN /S Lor foR ,On/ /4;. - V '&V .5 a/'L.ff -e Y /r /o,rl. 04r✓EC /lEqu�sr�D .v07AWX r r ,c IR.Id.rY 4 e - gow -Wz ,sj'SI'Eiy /1£Lorl�r.✓o Boring # Boring SY S. Z4'. of Y Q' co 6 "eRDB' .041 Go,a rout a M / ® Pit Ground surface elev. 9.S -? ft. Depth to limiting factor > ?2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I - Eff#2 D- D o Ye .r /Z .s I i^1 A^ q S /),Vd. o- orc — s .? sbk .- ora — / bk v r,- 0s .30 - d S o YR s' s �✓ — 7 J. L s s- .G .o ,i F�] Boring # E] Boring ® Pit Ground surface elev. `I�. Z ft. Depth to limiting factor > D,? in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 d roc .? S I o7 �` o -,t o rR ly l SJ 4 4 lel o .3 -3 ,o R 6 S 3 ,- G 14Y/f S/ - S - y � y . Sr AN-6* 8- o oY .r - &V �i Effluent #1 = BOD > 30 < 220 mg/L and TSS >3 < g/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg& CST Name (Please Print) CST Number ,os s �-rf' a 7,? fi91 Address a Evaluation Conducted Telephone Number 54 3 ' . "'eaw l .S D dL /S 8 �l' -cPl /O nTT n.1nn Tnn lnn Property Owner Z7 Atl st0 .�. -�I'1� 1 'N Parcel ID # Page of .� Boring E Boring # 10 Pit Ground surface elev. ?- ft. Depth to limiting factor > 98 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots lE GPD/fFEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '75 yo -es' orf s - Jr s v�'� as - � .� zs - 7, X rc �' �''•�� L s- 98 7-f rc y/G s s S . o a Boring # ❑Boring - ❑ Pit Ground surface elev. ft. Depth to limiting factor in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2 [] Boring Boring # Ground surface elev. ft Depth to limiting factor in. F Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 150 mg /L " Effluent #2 = BOD 5 30 mg/L and TSS _5 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. SBD -8330 (R07M) Property Owner ZACAA40 •7. -Sivi rN Parcel ID # Page 2 of S Boring # E] Boring F s2L Ground surface elev. C Z ft. Depth to limiting factor 98 in. liption Rate Horizon I Depth` Dominant Color Redox Description LTextur Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Y.0 - 3 ,t8- o Marc y G - s �r� .7 /. L -?J 7-f Ax M4 � g S s r1 � — - s • 0 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 ❑ ❑Boring Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Applicatio n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. E ff#1 Eff#2 Effluent #1 = BOD > 30 220 mg/L and TSS >30:5 150 mg /L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L and employer. If ou need assistance to access services or D e p artment of Commerce is an equal opp ortuni t y service pro vider Y The p Q PP Y need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07M) • y 67 H • � O t-4 cn t73 O t. Lo r .. H nn A z I � /G/�/'1a.JD /Y'G2a'S a •• � O O' • I �iao.aas�o 3 - B.c. � � _'9 7 /S roP a r ro 0 fao r /.✓4 H ro ' r I x U� � , oO'.oac�c XZ 4 . Lo ^V. a 3. y S Ero oaK s ' � ?qs � � . • ; .�.�riRt 6of is G�lASS .F itip s © . to i e'er Xx xx Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 , S ._ a� i sconsin Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) A Department of Commerce (608)266 -3151 -179-002- Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you p A l " maybe used for secondary purposes Privacy Law, s 15.04(1 xm) Ad / dress (if different than mailing address) L Application Information — Please Print All Inform ition RECEIVED Property Owner's Name Parcel # t # Block # OCT 1 0 2006 8 Property Owner's Mailing Address Prop tion ST. CROIX COUNTY SE %, Section City, State Zip Come Phone Irumber (circle one) �� f / d SSA O ,f y �8� T JD N; R�lt ot� H. Type of Building (c eck that apply) bk t:.5 5 ��;1i tnn Bedrooms ,3 0 (Q,� Subdi�visionName CSM Number XI or2 Family Dwelling —N ❑ Public/Commercial— DescribeUse feo�..>5 %r` �� r'� /!.N o.✓D �L.le'S 13 State Owned — Describe Use t1, t,J L 1 i— t �+h_ PTownship of QIC.ViYi ✓ O III. Type of Permit: (Check only one box Nee A. Complete line B if app able) aZ — /Z —.rte A, XNew System ❑ Replacement System ❑ Treatment/Holding T Replacement Only El Other Modification to Existing System B- ❑ Permit Renewal El Permit Revision NOge f Per mit Transfer to New List Previous Permit Number and Date Issued Jo � Before Expiration Owner IV. Type of POWTS System: Check all that appl Non — Pressurized In- Ground ❑ Mound ? 24 in. of suitable /Drip and < 24 in. of suitable soil El At-Grade 11 Single Pass Sand Filter ❑ Constructed Wetland 11 Pressurized In- Ground El Holding ❑ Peat ' ter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter El Leaching Chamber ne ❑ vet -less Pipe ❑ Other (explain) V. Dis ersal/rreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required Dispersal Area Proposed (sf) System Elevation so � � /,?3 � /�so. 7 � 9l. o � ✓ VI. Tank Info Capacity in Total umber Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing /� Tanks Tanks a /FI" el' Septic or ]damask �. cots /a ! s �e.�c.tcr�r Aerobic Treatment Unit Dosing Chamber VIL Responsibility Statement- I, the un rsigned, assume responsibility for installation of the POWTS sho on the attached plans. Plumber's Name (Print) PI ber' gn MP /ICES Number Business Phone Number Plumber's Address (Street, City, State, Zip e) /Y sy 7.T VI Coun /De artment Use Onl P�A pproved ❑ F!F mit Fee (in cludes Groundwater Date Issued Issuignatur o S ps) ee) ❑ e D enial /0 1 D (p in ent S DL Conditions of Approval/Reasons for Disapproval n SYSTEM OWNER: 3) 4 � 1�. t_ lUeve lo(�e �-o s. 6 v� 1. Septic tank, effluent filter and I I I dispersal cell must all be services / maintained A 4z c Q--, 1 �`J Lr,0 ` _ &,0 as per management plan provided by plumber. \ - c� 1 2. All setback requirements must be maintained 1 �p nnc.�.,� �� +� J O �r ht . p Ces�sJ e_ & as per appliciible code / ordinances. ✓ 1 Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) �� t N �mj� f1�N;l' /f' A�y'4YC .. "� �e � t� ,� r War �or aT8 �L /� T /fNt lfEnlT I,AP 'eat . 96.6 ® Lass - -fdc rie,✓ C No SG A l 1, � G1sE /.✓Fit r,L,� re.L Srv,,/�...ea s1 sc s � L.vvyQ .c s i `s �XC.IJ OI� IZ G.t/AiY!!a�/ j Rl.Jtiv L1, *J4 ! 31 Li✓.vir�Ezs rd rs /o ao /6eo � �i G e rsQ P z 0 L� f I irrr � r I � ! T i y96. S. At. loo �- roll aF e y ( [ar di�E ~ lkJ .?37 4 — — [er �L // r�tNr tlE�r LAo e. A/ > /•? N ip(, r , u � 96. r r L ��✓o StAil, ®,teP�s�t7 �.fE /n/FiL Ti2.� fo.0 SrA.✓pr•ca ho ppiJ `l GNAiY,Gt'.r.i� rRl•JC�v L ?� /oee�G ao t L e rsQ f A.JK rr Aactr/Y, ,d ,Wt t L 8.� Y3 Cris asks t' 73 r a � T i � a a 3 S. A4. - � N rd,- aF I •? 3f /SL I Q x 9y > — ro• r ' aor E S. Condl,C L 4 r xx t Wisconsin Department of CommerceC 0 IL EVALUATION REPORT Page _J of Division of Safety and Buildings a Ith Comm 85, Wis. Adm. Code County 's ' , C O I Attach complete site plan on paper not s than 8 1/2 x 11 in include, but not limited to: vertical and horizontal reference po it (BM/�tp /1"► I.D. percent slope, scale or dimensions, north arrow, and location nd dis r{�¢� �d Please print all information ii ii rr�� ((�� vi i d by Date Personal information you provide may be used for secondary purpose (PrivacA�dv!�. A-oQ (1 � a �/ Property Owner 11 o e Location Gpe 1 `` , S (1•.� l S ZO 4 C W 14'Sf- 1/4 Saq T3V N R E(or Property Owner's Mailing Addre Lot # ubd. Name or CSM# ,� 90 T e. N W o� 1 1 P l at o F Rc h mpriA, Ac t City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road F R'-VER I KIN s533o 1 ( - 8 9 1 Kich M 0 P4 C3. 1 13 y L 5 New Construction Use: [?� Residential / Number of bedrooms Code derived design flow rate `+ 5 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parentmaterial L2_t ? - m r >< _ Flood Plain elevation if applicable _3-7 4 3 6 , General comments SV Sfi 3 - Tr �r,.c�•` S �� FO r' - r-a-C -k % ♦ � ' `s / � and recommendations: •T, 1 C Y5, S ') ' Y � . 13 V N K n D vJrV Jr,"EGa. 7.5 C9y•5r> 1 T' ! 45. a8'� T •k► C 9y, 8a t: 1 � Boring # � Pit ng — Ground surface elev. �.13a � 15 ft. Depth to limiting factor � � b in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 •tY I n 2 4 Nca ��,:,bK rYrY Gti� I� S L 1 f 5 b r,, i Y' C W 1 F AjC cafe -v 141 Boring # El Boring Pit Ground surface elev. _ 06 ' y ` S ft. Depth to limiting factor 1 s in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -� ►0YK 3/a L s"'s Y--�� a ► 10Yt2 5f - L C uJ 1 �- 4 a /c, t'1 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS _< 30 mg/L T Name (Please P Signature o — . CST Number bI qj d a .S-+ Date Evaluation Conducted Telephone Number C) WZ -a 9 -n-S 7 is a Vs 3-59F SY0a� Property Owner Gera d i� 14k Parcel ID # _ Page _ of F--31 Boring # ❑ Boring p Pit Ground surface elev. _9 /' �5 ft. Depth to limiting factor ' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I - Eff#1 'Eff#2 o -� 1 bYR /a L aFsbK m Fr- ai O a�F I. , 8 IV t_ ar S F ,1, ► , a FO a Boring # E] Boring ❑ — Pit Ground surface elev. _ -- ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2 I ' Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD•9330 (R.6100) f , Property Owner Vera ids Parcel 10 # _ Page _;;p_ of _- Boring # ❑Boring g Q F--31 P Pit Ground surface elev. __ /' 1 5 ft. Depth to limiting factor 100 in. Soil Applic ation 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 bIR /a L aFsSK m aw a-F t� , 8 3 17 -t18 7.s%i � �r �v � vF L t , D Is F-1 Boring # El Boring — ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring — ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. Soil App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD•9330 (RAM) l I G S 'or t 7 Y Set,, a�� T300, P- 12 LO v . l y a.Gr G ` t o+ � m v S g o/ aSPK -� ' ,o ( 4ll p j .!J l V . 7 . V © e rr) 1 - t Q `J a* W cor•noer S410k 0+ as 40 co m gm TAP �. V pt cOrne.- 3- Ir-akc r i •237' r ---- --- ---- RICHOT A QW8 (A COUNTY PLAT) the h"i 603 �',Uort� o� 't? so�d. w 1 t � f , "d , e�� OY9 re aathwesr Oucrtf of the sob!" ou"ter southwest O,Oter of the Swrhecsf '101 0 rn se"'o 25 "aI j0 ;forth, coloe !d West 'own al kIndmonQ St Cro1v Cwty &sforsIn L E GE ND: VM Section Cane Ivurren! Cf Recofj SIC Y 28, 7 "1 M , R 1 A NOTES: IN' I FCNAX, 0 Found l.' ir Ppe ST cakX CCCN7, v Set 1-1/4' x ;8' I Rebo, ELEV4➢0INS ARE US r,4 ;4M BASE) DN CPS D9SE4VAPONS (eighing 4.303 Its Der Inecr foot 4 KINIM ARE tiffiRtElac - 1� 'F SDIT, VF OF 'IF ,DJ?dEAST 1/4 OF SM0 21 %H-CH IS ASSUVED Tr' KAR other lot comes norked int, a 1'1:8' 1 S99,49,;31W, 140TH AfN pe *k0inq 1,13 Its. per Ineor t T RIJI SI 04 DIS PAP ARE SUB To STATE, K w 4 r Building Setback Lre COUNTY AND 1(l 405. RULES AND REGUI (1-, ti (100' f•vm Riot of vra 7 0! noted) NETLANDS M11I LOT SZE, ACCESS To PARCEL [TO.) BEFORE PURCHASING OR ii N I ANY PARCEL CONTACT THE Si. Proamd DI Locabon CRNX COUNT Y ZOY IT"CE AND DI APPROPMA-,-. TODA m -3-0. Aloble Elenctly of BOARD FOR ADVOC S w S E L E 0 OWNER C RESIDENT SHALL DO ANyMG *1CF WOULD o,est uniting Opening INTINFERE M OR CHANGE THE OPERATION OF THE APPROVED qwE 100-Yex ll Me! Devow COMPREHENS",E WATER DRAINAGE AND SOL EROSION PLAN FOR t ai TIS FLAT TIKS NCLUM CUT IS NOT LIMITED TO OJIM UPON, 130TH AVENI OBSTRU111G, ALTEM II EXCAVATING OR RAW IN ANY Ee - To-, of Na Reb,, or Npi, CRA44CE EASEMENT'S, WATER DRAINAGE DITCHES 'WATER NUI WAT',' % WRTS, III OR GRASS VNIS, - i2' Gt it Eusmen I ow mdwo D ADS R= Rtc, or FQV o•tv Cam, of 1 REMMI M dart, 'onner V - - - - - - - - lerfiv 23-30-;8 (Fourd ST-ammm, seciv 28-JO-18 (Two 91k ,mm Cm, ly &P-1) -NB9'56'03'E 522530'- - SOW. )EMARY CIA-D[-SAC �-Eost-hesl Owtv 114 L,re LIMIMSENWO xwNreae CAW 71 Eroskov OF INC ANN A 975.8 1949.60' 4268 MEDIA 9M s6,ea' - - - - 6500 Al 9749 1481 16 15 1316,71' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - d o 7 ces 212 92,17 sq. f". to 7 160 8 acres , 420 sa 't 'ANON 1 21 20 i 19 1 85 acres 0 ! 17 -4 ocres sq ft i so. 22 oCres ft sq. It 14 1 67 ac es odes NX z. ft 1 95 Cmes 72898 sq. A 41 acres 6482 sq, f'. 104,860 sq. !t 02 "Sh, "? ' `,NI I11 11111 11 ;S0. 964O 419N so 80'RW DVARY 1.5 0. 964 AD. yy 014-W i'marme m SAD 2.20 acres Sum 95760 so. 'i. 19 — 10 96.11 NT 266, C17 V 53 - 2 S79, , 16"4 283 OT 'C:5 3,65$ v. z -49 28'12' 0 - NOSS 54592 91 if 12 0 o., 2 12 acres p 1 92,514 oo, Z 1 29 30 1 4t 1,68 .... 5 442 ft 28 0 26 27 25 2.26 cOles 1 , 1.97 acres 6 2 14 acres 1 24 ;8,419 50 ft. d 85 735 sq. q s j. 6 9jJ q, It 225 Dues a cres 98,168 2U 1 04,517 sq R 31 205 acres 10 1 i 9616 1 89.166 sq, 2 acres !75 Cores 76, sq. ft. C966, 9) OUPHIC sm 18 SCALE IN AM I ke, • IM (w 9628 96JO 2M 92 K'RMMMY 964,5 '0 13y - - - - - - - - - - - - - at-9IF-SAC [AMW (m 6r Soo m 243 (MISKIN OF 4E ROAD) Wed 17 Erk 11.0 • 32 w 21 ROB J W0573048 SIM j Prepared b ' 61 2 6 969.6 95, !72' 1 112T a kc-�*—x N MI'M • Cn,�, No (715) 246-09 35 2.6 acres 4 39 Fa. No. (715) 24-3830 37 1 36 20020, 51468, P.O. Box 325 39 38 314 "d, 4 5017 19 New Ro (SEE SHEET 2) 34 SHEET 1 OF 3 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner E, t ,, J , Septic Tank Capacity aoo 1 El NA --- Permit # Septic Tank Manufacturer <I le rc ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 100 droom 3 ❑ NA Effluent Filter Model -/ ❑ NA Number of Commercial Units — NA Pump Tank Capacity Goo ga l ❑ NA Estimated flow (average)* od g al/day Pump Tank Manufacturer All.-.r e- ❑ NA Design flow * yso al/day Pump Manufacturer oA a r,,, ❑ NA g (peak), estimated x 1.5 Pump Model NA Soil Application Rate gal/day ft Pretreatment Unit ArNA Influent/Eifluent Quality (NA❑) Monthly Average" ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 rng/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODD 220 mg/L ❑ Disinfection [I Other: Total Suspended Solids (TSS) Manufacturer: Model: <— 250 rn Dispersal Cell(s) Pretreated Effluent Quality 0 Monthly Average * ** O(In- ground (gravity) ❑ In-ground (pressurized) Biochemical Oxygen Demand (BOD <— 30 rng/L ❑ At -grade ❑ Mound Total Suspended Solids (TSS) < 30 mg/L ❑ Drip-line ❑ Other: Fecal Coliform (geometric mean) < 10 cfW100rn1 4r Leaclung Chamber Manufacturer /.✓Fit rr.o ro.c Maximum Effluent Particle Size 1/8 inch diameter Model AM 4 A,4 Laying Length/Chamber *Wastewater Flow Verification and Calculations: Soil Application Rate . gpd /ft Area Req.—ft (Other than bedroom based) Infiltrative Surface /Cliamber -ESIA Rating -T /. J ft , 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 ical for pretreated wastewater. and a roval 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 (R.6/99) "At -Grade Component Manual Using Pressure Distribution" SBD — 10567 —P (R.6/99) "In Ground Absorption Component Manual" SBD — 10705 —P (N.01 /01) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 —P (R.6/99) "Mound Component Manual" ❑ SBD - 10691 —P (N.01 101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 —P (R.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 —P (R.6/99) "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 MONIT SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once every ❑ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined slud a and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months 3 year(s) (Maximum 3 yrs.) Clean effluent filter At least once every IZinontlis ❑ ear(s) Inspect pump, pump controls & alarm At least once every ❑ months 3 ear(s) ❑ NA Flush laterals and pressure test At least once eve ❑ months ❑ ear(s) 0 NA Valves At least once eve ❑ months ❑ year(s) ❑ NA Other: At least once eve ❑ months ❑ year(s) ❑ NA 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. Compaction of snow over the dispersal unit may cause it to freeze up. p 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. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or 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. 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 any filters. Any service needs or repairs shall be promptly taken care of. 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. Pale_.4Lof__L 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. Compaction of snow over the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in the following manner: � j 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. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or 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. 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 any filters. Any service needs or repairs shall be promptly taken care of. 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__w/_of__L ❑ 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 repl ement 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 holding tank may be installed as a last resort to replace the failed POWTS. [I The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 ]IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name fltd /Yl- _?V /z Name ,ce �s ,fu Gy .sir Phone S G ,17L6 [ Phone 1x 67.1 - "el SEPTAGE SERVICING OPERATOR (Pumper) - �„�,�,�i LOCAL REGULATORY AUTHORITY Name Agency Sr. .¢o� <<. o.✓.Fr fi Phone Phone 71,r- fig • ! 8d K \WPDATA\E1U0WTS OWNER'S MANUAL.doe Page__7 of I- I 1 ' I i i�rf H4 r Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel`" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self - cleaning. The continued action of the anaerobic drgantsms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmarlFilter" alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: 'Servicing any Zabel filter should only be done by a certified septic tank pumper or installer. Locate the milk outlet of the S' septic tank. Firmly pull the filter handle and slide the cartrldgA qut: Remove the tank, r V �' of the cSe r Al and pump the I' * Note: A tee handle ma ' �+ necessary to pr , ; to be used it the filter Is ttr/ r y any solid below ground level to -escaping to th C ont a ct andles Zabel for into W hen the f rem s 4 While holding the cOtOdq&dVei' the access operlinJ 4 ►1gA �f= , ;�'! s' Insert the fll(er' a ffflCI cartridge with fresh c s back In the':CSi�`IkJ y careful to rinse all ge,... sure the filt b properl 'Note: It is not neces completely i . 'spotless'. The biome aides in the preUeatme be left on the filter. (If n V m i Re lace t ; a be d sass p Y y .: t N MADE w use The product(s) shown are covered by one or more of the following patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683,577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 -5742 - Website http: / /www.zabeLcom A100/300.1•10,61499 PELKE PLUMBING Fax:715- 672 -5267 Oct 3 '06 7:34 P.01 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM n O"er/Buyer Sokck S S Mailing Address CO�oe_ W • LS Property Address l ` (Verification required from Planning & Zoning Department for now construction.) City/State M �-�" " 64� Parcel Identification Number LEGAL DESCRIPTION d Property Location n See , T 3 d N R 0 W, Town of �` ��"N""� �_ ^• Subdivision � J /� �e S Lot # Z Certified Survey Map # , Volume , Page # Warranty Deed # , Volume _ , Page # Spec house yes no Lot limes i dentifiable yes no SYSTEM NAMENANCE AND OWNER, CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper nwiatemnee consists of pumpm$ 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 systea,. Owner maintemace responsibilities are specified in $Coxm;. 83.52(1) and in O iaptcx 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on - site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned bavc read the above rcquitcmcnts and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resour State of Wisconsin. Certification atatixng that your septic system has been maintained must be completed and returned to the St. Croix County Plannung & Zoning Departaient within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numbe f bedrooms Viola /cam SIG APPLICANTS) DATE ** *Any information that is misrepresented tray result in the sanitary permit being revoked by the Planning & Zoning Department. «• « Include with this application a recorded warranty deed frum the Register of Deeds Office and a wpy of the certified survey map if reference is made in the warranty deed. (REV. 03/05) Page_.�_Of_z_ SEPTIC TANK !;' PUl4P CHAMBER CROSS SECTION' AND SPECIFICATIONS VA 4" CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF ?' /p' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE — WITH CONDUIT MANHOLE COVERS \ W/ PADLOCK E FiN�svdo WARNING LABEL �--„�- 4" MIN. 18" IN. INLET I' WATER TIGHT SEALS GAS- F /crEt T TIGHT 1 , )APPROVED A SEAL JOINTS WITH APPROVED —�— i A LM APPROVED PIPE PIPE 3` B ' ON 3' ONTO ONTO SOLID ' SOLID SOIL SOIL' PUMP OFF ELEV . $,,S . —f— I OFF 1 ' RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC DOSE TANK MANUFACTURER: �j�es �,✓c, �� r r NUMBER DOSES PER DAY: V TANK SIZES SEPTIC /dao GAL, DOSE VOLUME INCLUDING //o.� 7.S _ DOSE G GAL.. FLOWBACK: 1174 GAL. ALARM MANUFACTURER: us . CAPACITIES: A = _ do INCHES = _ .�3G ' GAL. MODEL NUMBER: I r r _Z' SWITCH TYPE: B = 2 INCHES = 34 GAL. PUMP MANUFACTURER: p,,,, -,�, C = INCHES = 117 G GAL. MODEL NUMBER: SWITCH TYPE: D = 7_ INCHES = 117 GAL. REQUIRED DISCHARGE RATE J,, GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC /VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE � FEET + MINIMUM NETWORK SUPPLY PRESSURE . . — FEET + y.-r" FEET FORCEMAIN'X S' FT/100 FT. FRICTION FACTOR :7 r FEET T.OTAL DYNAMIC HEAD = L FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH s,� ; WIDTH fig• ; DIAMETER LIQUID I5EPTH .�4' T HYDROMATIf F HY AATIC SD33 VS33 SW50 ical Application' Sum /Effluent pump T ical Ap lication" Su /Effluent um Capacities SW /SD/VS33 • to 48 GPM (3.0 Vs) Capacities SW /SD/VS50 • to 44 GPM (1.8 Vs) Heads SW /SD/VS33 • to 26 ft. (7.9 m) Heads SW /SD/VS50 - to 24 ft. (7.3 m) Electrical SW /SD/VS33 - 115V, Is, 10.0 FLA, 60 Hz Electrical SW /SD/VS50 - 115V, le, 8.0 FLA, 60 Hz Motor SW /SD/VS33. 1/3 HP shaded pole - w/thermal Motor 5W /SD/VS50 •1/2 HP shaded pole w /thermal over ood overload 1550 RPM 1550 RPM Minimum Recommende SD/VS33 =12" 1304.8 mm) Minimum Recommended SD/VS50 = 12" (304.8 mm) Sump Diameter SW33 = 18 "(457 mm) Sump Diameter SW50 =18" (457 mm) Automatic Operation SW = Wide -angle float switch Automatic Operation SW = Wide -angle float �® (manual available) SD = Diaphragm pressure switch (manual available) SD = Diaphragm pressure switches VS = Vertical float switch VS = Vertical float switch Materials of Construction Cast iron and engineered thermo lastic Materials of Construction Cast iron and engineered thermoplastic Impeller Thermoplastic vortex Impeller Thermoplastic two vane semio en Discharge Size 1.1/2" NPT (38.1 mm) Discharge Size 1.1/2" NPT(38.1 mm) Solids Handling 3/8" (12.8 mm) Solids Handling 3/4" (12.8 mm) Power Cord 10' SJTW,(20' o tional) Power Cord 10' , SJTW,(20' optional) Superior Features • Carbon/Ceramic mechanical seal Superior Features • Carbon /Ceramic mechanical seal • Oil-filled motor w /automatic reset • Oil- filled motor w /automatic reset thermal overload thermal overload • Uses single row ball bearing construction • Uses single row ball bearing construction • Piggyback plug available for easy maintenance and • Piggyback plug available for easy replacement maintenance and replacement 9 30 40 i 6 20 I S 3, S 3 VS33 3 SW /SD/VS50 � 10 3 °10 10 pi- 0 Capacity 1111 G.PAO 10 20 30 40 50 0 Dteis/Second i j 10 20 30 40 50 60 10 2 3 GPM ..ev" ack SwitChA Pr 9 7 Private On -Site Wastewater Treatment System (POWTS) . Index and Title Sheet Owner: Project Name and System Type: E s - Location: C✓�E Street Address Legal Description e F /GN/ro.✓o �T �itoix �o Township /County ��---- Contents: Page 1: �.vve-x f 4/ r« _6re y - Page 2: A G14W. . c � Goss - ��G rie.✓ Page 3: _ G'u.�.o VO,VArt 4aorx -6G yo." Page 4: �,bP G't� `u/cvr Page 5 Dow r s Oa✓,✓r c �s �,Q,✓c�AG F .v,✓ir�r4t0V �.�.✓ Page 6: u ac � Page 7: Page 8: .Page 9: Attachments: `&6 0 0,, Y cTr.c /yAi,✓ts.J,�.✓cf /idio. 4 1 , PlumberMesigm: J S Signed: Credential Number: oYV- f Ylz Date: /a - s' -a4 Oct 03 ,)6 08:16a J L Krueger 715 772 4435 P.11 • 2 6 I 9 P S 3 I KATHLEEN H. MAI-Sit REGISTER OF DUDS ST. CR131X CO.. WI Z DOCUMENT NO. WARRANTY DEED RECEIVED FOR RECCRD 06 /eQ /2ee5 12:eepn NARRANTY DEHD e E11EMPT tl This deed; made between David A. Ball and Kimberly A. Ball, husband REC FEE: 13. (its and wife and Dennis F. Bail and Nancy A. Ball, husband and wife. TRAMS FEE. 3185.44b Grantors, and Gamid J. Smith, a married person, Grantee, COPY FEE: WITNESSETH, That the said Grantors, for a valuable consideration CG FEE- PAGES. 2 convey to Grantee the following described real estate in St. Croix County, State ofwisconsim; RETURN T O: Parcel 1: The East Half of the East Half of the Southwest Quarter Lobes Law Off3cn {E12 359 West Maim , Street /E'!a Ellsworth, W 1 54111 /SW %) of Section Twenty Eight (28), Township Thirty (30) North, PiD 0026- 1082 -10 -000 Range Eighteen (18) West, Town of Richmond, St. Croix County, 026 - 1082 -7D -108 Wisconsin, EXCEPT Lot One (1) of Certifiers Survey Map filed April 026 1082 - 95 - 000 24, 1990, In Vol, 8 of C.S.M., pg. 2199, as Doc. No. 457843, being 026 -1 Oa3 -10 -000 part of the Southwest Quarter of the Southeast Quarter (SW %/SE %) and part of the Southeast Quarter of the Southwest Quarter (SE' /. /SW'/.), both in Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West. Parcel 2: The West Half of the Southeast Quarter (WA /SE' /4) of Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, St. Croix County, Wisconsin, EXCEPT the following described parcels: 1.. Lot One (1) of Certified Survey Map filed April 24, 1890, in Vol. 8 of G.S.M., pg, 2199, as Doc. No. 457843, being part of the Soumwest Quarter of the Southeast Quarter (SW' /JSE' /.) and part of the Southeast Quarter of the Southwest Quarter (SEV./SWI /.), noth in Section Twenty Eight (28), Township Tnirty (30) North, Range Eighteen ('I8) West; 2. Lot One (1) of Certified Survey Map filed August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, being part of the Southwest Quarter of the Southeast Quarter (SWI /VSE' /�) of Section Twenty 11=ght (28), Township Thirty (30) North, Range Eighteen (18) West; 3- Commencing at the Southwest comer of Lot One (1) of Certified Survey Map filed August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, for the point of beginning; thence N89'59'15" Wast 20.00 feet; thence NO'01'41" Fast 262.00 feet: thence S89 °59'15" East 224.00 feet; thence SO'01'41" West 15.00 feet; thence N89'59'15" West 209.00 feet; thence SO'0141" West 242.00 feet to the point cf beginning; 4. Commencing at the Northeast corner of the Northwest Quarter of the Southeast Quarter (NW' /.fSEYa) of said Section 28; thence South 16 feet; thence Northwesterly to a point 10 feet West of the point of beginning, thence East to the point of beginning. This is not homestead property. Togetherwlth all and singular the hereditaments and appurtenances thereunto belonging; .And grantors warrants that the title is good, indefeasible in fee simple and frewand clear of encumbrances except easements, restrictions, oovenents and conCidons and will warrant and defend the asrne. Oct 03 06 08:18a J L Krueger 715 772 4435 p.12 •- V 2819P 532 f F Dated this 16th day of Me y .2005. A (SEAL) + SEAL) David A. Bali Kim beriv A. El .. z2xlvlll� i� �G" (SEAL) (SEAL) Dennis F. Bail _ Nafi2x A. Bair AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA } )as. authentt ted this ay of 41W COUNTY OF _ 2 Personally came before me this 16th day of May, 2005 the above named David A. Bait Kimberly A. Ball and Dennis F. Ball and TITLE: MEMBER STATE BAR OF WISCONSIN Nancy A. Bail to me known to be the persons (If not, _ who executed the foregoing instrument an authorized by §706.06. Wis. Stets.) ackn ed a the same. �� f THIS INSTRUMENT WAS DRAFTED BY T 0't k� J�` _ LOSERG LAW OFFICE Notary Public County.MN My Robert L Lobes Commission is permanent. ( 399na9wesmayboaud "n9catedorackocrMedge& Both we notnewsary) (if not, state expiration date: , 20 ib J SST1042 W-NEWOMM Dowry y -_ sy oasida9r �YrD �Ytr� fIfIM } r f �• 4 _ r�a i i i s i } El. - - oil o wau" ti lk • �;p�e,tY'uGt O+'i n 9i sue. ez g! �, ass 2 Pt+. nsas�-seuo `2 1 +4 i 5� '1 irf,*'IC' *AwkcFt 1� Z'd Szat LL 9LI -- - -- ie6en�y1 "I r e90'2c 90 W PO Oct 03 06 08:06a ,J L Krueger 715 772 4435 p.3 ' I !I 4 a 14 E IL �4 44 - a r � s w - .,•: �z Wait" Ed p - Ut►/VWllr • LIGHT CO1�YIl0�C+w i construction u. � « • a.wm.+. w� soa2 x , Oct 03 06 08:06a J L Krueger 715 772 4435 p.4 + 16 li IS" ! f I' � � i r i f r ..... ....... t , J a lz fit IPt UkkUwa Eckjo wVLjj 2qAf 1,8 11 C"tuatforp '*O= T' ?w mom St. &Aft 02 - sokswin, *1 54W P ��Mcow *Arch floc 7lb4MM4UW FX 7IS4"4W4 Oct 03 06 08;07a J L Krueger 718 772 4435 p.5 a t o .. e Edge Rw= " sum• �o +r,.omtruction 4141M rxL QLOM WLT- uowrcomre"oiu �� M11d9Gt nW % St Suits 02 . saktain.VA 54002 a 8tr Rmah M odel PR 715 ;X. 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