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HomeMy WebLinkAbout026-1149-11-000 Wisconsin pepartment of Commerce S EWAGE SYSTEM County: St. Croix Safet} and Budding Division PRIVATE r INSPECTION REPORT sanitary Permit No: 7y � 11 420754 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)]. &Zk — C Permit Holder's Name: City Village X Township Parcel Tax No: Gutzke, Todd I Richmond Township 026- 1149 -11 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ` 0e) D / o7?d>" 36.31.18.1111 TANK INFORMATION Dw!<�. ELEVATION DATA TYPE M CTURE CAPACITY STATION BS HI FS ELEV. Se Y YV111_4� 7' Be ark /OtaD 1 o r r 'f 11 I Alt. BM Aeration � V Bldg. Sewer I S'sc o -51 qy. Holding � / SVHt Inlet 1h - / TANK SETBACK INFORMATION SVHt Outlet . i 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet In A Septic > r t Dt Bottom too Header /Man. O k (04 Ae ation Dist. Pipe ,y C f � ( a ( `5 ` 2 g J 2 Holding Bot. System X q.b 9 / ,sue Final Grad m -e PUMP /SIPHON INFORMATION Manufacturer Demand lC over PM h32rs Co Z, (� Model Number TDH Lift rl Loss System Head TDH Ft Forcemain Length Dia. 11 Z • � d- _ �.,.... Z,o Ste, SOIL ABSORPTION SYSTEM �., BEDITRENCH Width / Len gt I No. Of Trenches PIT DIMENSIONS o. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM EACH G Manuf n INFORMATION HAMBER OR t Ty p Of System: (� ' UNIT _ / Model Number: �/ r DISTRIBUTION SYSTEM I ? C hg �„ Header/Va!nAill Distribution 1 fI �j f JxHoleSize x Hole S Ven p Air Intake '�v 9° 6 Pip —l.L_ k P g SlLv 0't Len th Dia Length Dia S acin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil r _� ' '/ Yes [ °� No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: _3 2 r /4 Inspection #2: Location: 1287 142nd S New Richmond, WI 54017 (NW 1/4 NW 1/4 36,�T,3/01N_ R Torey Pines ) III tt Parcel No: 36.31.18.1Ill 1.) Alt BM Description = /r . �V 1"tt ���'�.�'� -G' •sbf.� c�(CTitSrte 4 4t 6 k L� — 2.) Bldg sewer length � / & — &1t V0' 3�je -amount of cover=) y" ly cs• Plan revision Required? Yes No i o Q Use other side for addltlona nformation. L i �! M SBD - 6710 (R.3l97) 50( _ 6 r L D Insepctor's Si nature Fb C�Ilyo af y e S � 5 e_i --� �l Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ���Or�Sr,� Madison, WI 53707 - 7162 Sanitary Permit Number (to be fil► i y o,) in-by V Department of Commerce State Pla I. D. N ber Sanitary Permit Application A In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Proj Address (if different than mailing address) may be used for secondary purposes Privacy Law, s15.04(1)(m) r IF I. Application Information - Please Print All Information • _ Parcel # Lot # Block # Property Owner' Na me 4 / / _ 6 J r _ /� 1 Property Location Property Owner's M ailing Address � o r' 1 0 - � /'���✓ e `l (-. 4, �iLJ i,Sectiou 3 City, State J Zi ode / Phone Number _ll j -•1 S (circl ona N ` i. T 30 N; R, E r W h ����� I ,,,,,��`. Type of Building (che all that apply) C� (,tn•� Subdivision Name CSM Number or 2 Family Dwelling - Number of Bedrooms J - 5 e --�� Public /Commercial - Describe Use ❑ State Owned - Describe Use ii;1) ��,fL- �^ Elcity—EivqoInTownship of JII. Type of Permit: (Check only one box on line A. Complete line B if applicable) a ' ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal ermit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) von - Pressurized In- Ground ❑Mound > 24 in. of suitable soil ❑Mound < 24 in. of suitable soil 11 At-Grade ❑Single Pass Sand Filter ❑ Constructed Wetland Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter e<eaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal f) S stem Elevation Area Required (sf) Dispersal Area Proposed (s 2 2t VI. Tank Info Capacity in Total Number Manufacturer Prefab I Site Steel fiber Plastic i Gallons Gallons of Units Concrete Constructed Glass I New Existing "tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber Q VII. Responsibility Statement- I, the undersign ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber' W16 ature MP /MPRS Num er Business Phone Number Plumber's Addre ss (Street, City, State, ode) VIII. ounty/De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Grou water Date Issu d I Issuing Agent ignature ( o ps) Surcharge Fee) �0 I' El Owner Given Reason for Denial - �l JJJ 3 6 IX. Conditions of Approval /Reasons for } Disapproval A 4b a.4- Attach complete plans (to the County only) for the system on paper not less than 8V2 x 11 inches in size i V/R d System PLOT PLAN PROJEcy Todd Gatzke S 1070 Reaencv Dr. Woodbury Mn 55125 NW 1/4 NW 1 /4S 36 /T 3W TOWN Richmond COUN TY ST. CROIX MPRS Shaun Bird 226900 DATE 7/24/03 BEDROOM 4 CONVENTIONAL XXX AT ADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 650 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 IL BENCHMARK V.R.P. House Siding ASSUME ELEVATION loo Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 91.3/91.2/91.1 Town Road i a� a Pro 4 o Bedroom r House 15' B.M. Combo ST 130' O B -2 Vents 80 3 -3' X 83' Cells with >3' Spacing 120 40' B- -1 % Vents Slope Property Line I I • , Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I . percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. wed by /�,,r,r— D e Re e Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �C�v f/� _, — 7 (J� Property Owner Property Location L"/ /� / O c �� Govt. Lot Li 1/4 kj 14 S3 LT N R E (o w Property Owner's Mailing Address Lot # lock # Subd. Name or 1`� I City State Z g o Code one Number ❑ City El Village Nearest Road Wr A I ( ) New Construction Use esiclential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Pub commercial - Describe: __— Parent material Lod Flood Plain elevation if applicable andrrecom ndations: S �il 31 vus k4 S ® Boring # Boring Pit Ground surface elev. ° ft. Depth to limiting factor -7-r—n. Soil Application 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 s �'s Boring # ❑ Boring ® R'Pit Ground surface elev. ft. Depth to limiting factor l in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. / Mu � nsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E 'Eff#2 11 1 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluatio Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �,� 715 - 246 -4516 Property Owner _ Parcel ID # Page of 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 GPDO in. Munsell Qu. Sz. Cont. Color KSz. 'Eff#1 'Eff#2 /� 7/ C 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I '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 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS 130 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 (RAM) Safety and Buildings Division County • ` 201 W. Washington Ave., P.O. Box 7082 �7`i irseonsin Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 261 -6546 1L 0 - /5 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide -#-- J I. �& may be used for secondary purposes Privacy Law, sI5.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Information roperty Ow Name OF RE Parcel # Lot # Block # Property Owner's Mailing Address n A ^ r Property Location City, State Zip Code n� 4MkeCOON ,_ .T N; 1 1(2E r I IQ I Il. Type of Buildi eck all that apply) � Subdivision Name CSM Number or 2 Family Dwelling - Number of Bedrooms ❑ Public /Commercial - Describe Use / v � ❑ State Owned -Describe Use 9 2$ ":r - 171 - 1 b `dIk CQ�QQ C# 97 .S rr ❑Ciry_ illage %worship of III. Type of Permit: (Check only one box on line A. Comple line B if applicall - A ' System y ❑Replacement System ❑ Treatment/)mg Tank Repl f Aw I - 4f �; ment Only ❑Other Modification to Existing System B• El Permit Renewal El Permit Revision ❑Change of \Per-tni t ransfer to New List Previous P it N ber and at Iss W111, 0000 e Before Expiration Plumber IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 ' . o itable soil t -Grade El P Single and Filter El Constructed Wetland 13 Pressurized In- Ground ❑ Holding Tank 11 Peat Filter ❑ Ae is Treatment nit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ r­:- - " ess Pipe ❑ Other (explain) V. Dispersal/Treat ent Area Information• r-4 f /h ✓t! Design Flow (gpd) Design c / /„ /N I J Dispe ea Proposed (sf) Syst �Elevati n f VI. Tank Info r Site Steel Fiber Plastic ! ` Concrete Constructed Glass Septic or Holding Tank ,A erobic Treatment Unit Dosing Chamber K N o VII. Responsibility Statt td he POWTS shown on the attached plans. Pl um Name (Print) ad lber Business Phone Number Plumber's Address (Street, Cit VII Coun /De artment 1 l ZP Date Issued suing ent Signa o Stamps) Approved ❑Disapprove O U ❑ Owner Give. I ConditionsofApprovaUl rt ,.oval i�U TT Nl 4 i vy( sycf ►.. &rn"N. Y 3 3 o� - Rn. i yt� u-o 6�- 7►'tac�,n�.tti.. cd pi4, W-/ Z�o 'h, MV�� d Cr� 47L ew -/V lS �ezr1.t) et - - omplete plans (tot a Countp.only ror t e syste on paper not less than 81/2 x 11 Inches in size PA_t� % SBD -6398 (R. 08/02) PLOT PLAN PROJECT Todd Gatzke ADDRESS 1070 Reaencv Dr. Woodbury Mn 55125 NW 1/4 NW 1/4S 36 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MFRS Shaun Bird 226900 DATE 3 BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of 1 " PVC ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P Same as Benchmark "" np SYSTEM ELEVATION 97.5' - b(s+rt6_410 —C �C C.i Scale = 1 /4 = 10' 99 386'Property Line B - Grading is to be done Town to divert run -off Road away fro system B.M. 1 Pro 3 18 Bedroom B-3 House B.M. #2 B - 10% War mss Slope 9 Huffcutt 96' Tank is to be properly bedded and Combo Tank provided with lockdown covers with Area 15' Below approved warning labels System is to remain AL undisturbed Well is to meet all setbacks found in Comm. 83 Safety and Buildings A 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 Isconsin www.commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary March 19, 2003 CUST ID No.226900 ATTIC• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/19/2005 Identification Nuubers. SITE: Todd Gatzke Transaction ID No. 845686 140TH St J a S7 J y 2n d. s�, Site ID No. 656568 Town of Richmond Pleas6 refer to both identification numbers, St Croix County above; in all correspondence wiih<the agency: NWl /4, NW1 /4, S36, T50N, R18W / FOR: Description: At Grade 450 Gpd. Object Type: POWT System Regulated Object ID No.: 894784 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At Grade Component Manual, SBD- 10570 -P (R.6/99)" and SSWMP Publication 9.6, Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems (01/81). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the insta ation, operatio r mtenance of the POWTS. t Sinc Fee Required $ 175.00 (1 Fee Received $ 175.00 / �� Balance Due $ 0.00 Thomas E Devereaux~ c= F Plumbing / POWTS Reviewer II, Integrated Services z (715)634-3026, 7:45 am - 4:45 pm Mon. -Fri. WaS tevereaux @commerce.state.wi.us I cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 i Date: 3/8/03 Owner: Todd Gatzke Location: Lot 11 Tory Pines System type: At -Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST- SAS (01/81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve, 7 -9. Maintance and Contigency plan 011El� "� , "l 0 -12 Soil test N p1N� S Shaun Bird s S c R � SF ,C) Signature FOR License number 226900 3/8/03 PLOT PLAN PROJECT Todd Gatzke ADDRESS 1070 Reaencv Dr. Woodbury Mn 55125 NW 1/4 NW 1 /4s 36 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/8/03 BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of 1" PVC ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 97.5' Scale = 1/4 = 10, 9 386'Property Line B - Grading is to be done Town to divert run -off Road away fro system B. M. 1 Pro 3 180' Bedroom B-3 House B.M. #2 B - 10% Slope 98' 9 7' Huffcutt 96' Tank is to be properly bedded and Combo Tank provided with lockdown covers with Area 15' Below approved warning labels System is to remain undisturbed Well is to meet all setbacks found in Comm. 83 L 2:5 B 5 PYC FbAt�.MA1tS .r,� 2! 5t 2` ..rT U P S" -F 1 ` #-•- Dt5T1'1ti�3.1Tto�t LATQ.RAL } ; W EA I STABILI ZED OftE NI AT104 WELL i— L_ O � - � > 5 1/6 B 1/6 B 1/2 B A - Ft. B = R. L t Z R CELL o f k ?- - Z /Z MA&EGA•TE vJ = 1�._ Ft. • A,PPRcmr.b SYmTflm. Fabric t Distribution Lateral STAt31Ll��D Observation --- - ,,,, t2`• � a Soil Cover Well � . ��� , ?LewF b LAYER ?5 A 2 _5 Vc, SLOFF plan View and Cross Section of Wisconsin At -grade Unit with a Single Absorption Area on a Sloping Site S.IC,w0, ruKE. �iC£eJSE : Page / Of q Distribution Pipe Detail For Lateral Network Aece sf' + TuRN -uP (CLERNOLAT) - PVC Force Maio X 71 - 3' PVC Distribution Pipe P * Last Hole Should Be Next To P Ft TURN - UP Hole Diameter AM Inch X 01/ Lateral Diameter Inch (es) Inches Force Main Diameter Up Inches I Of Holes /Pipe d Invert Elevation Of Later s � t. Signed: License Number: Date: rage Ot� SEPTIC TA NK PUMP CHAMBER CROSS SECTION AND SPECIFIC WEATHERPROOF „ gOV E GRADE � APPROV A A MIN. X ++ PE 12 JUNCTION 80 VE NT Cl CI E COV 4 LE 2: 25 # FROM DOOR. WINDOW OR WITH CONDUIT �PRDLOCx S FRESH AIR INTAKE ..WARNING LABEL FINISHED GRADE _, 4" MIN. a. f► rt.w. rya I flit ` INLET GAS - WATER TIGHT SEALS � TIGHT A SEAL i ' JOINNTS WI M ir ER �� � ALM ' e ON 3 APPROVED SOLID SOIL PIPE 3' C ONTO SO<.to ,0 �FT -t— OFF SOIL PUMP OFF ELE1t - D 3 APPROVED BEDDING UNDER TANK NCRETE PAD SPECIFICATIONS �s a 5 SEPTIC ! DOSE NUMBER DOSES PER DAY: ,. TANK MANUFACTURER: INCLUDING e , AL. G DOSE VOLUME �� ---- -- F LOWBACK : GAL ' TANK SIZES; DOSE C �� GAL. 1Z -GAL. CAPACITIES: A = 7' � INCHES a S B�s.0 GAL. ALARM KANUFAC7URERt B .2 INCHES = .��- -- MODEL NUMBER: SWITCH TYPE: C = �.S INCHES = ' "' PU MP MANUFACTURER ! D GAL MODEL NUMBER : D INCHES = SWITCH TYPE: 16.23 wAC r GPM PUMP E ALARM 4tTRING AS PER ILHR / 0 REQUIRED DISCHARGE RATE �j FEET" of 3 3 ?"' FEET t VER DIFFERENCE BETWEEN PUMP OFF AND DISTRIBtITIi�1 PIP FEET +MINIMUM NETWORK SUPPLY PRESSURFTl100•FT.�FRICTION FACTOR •,• FEET }. FEET FORCEMAIN X TOTAL DYNAMIC HEAD ``3f / // !' �� W DTH6•. -..� t�I AMETER L DIMENSIONS OF PUMP TANK: LENGTH INTERNA LIQUID �• LICENSE NUMBER' DATE SIGNED: • 1/88 — G TOTAL DYNAMICM N HEAD/CAPACITY PER HEAD .CAPACITY CURVE EFFLUENT AND DEIR ATERING C , / MODEL 152/153 MI L 152 153 w LJ m Feet Meters Gal. Liters Gal. liters 50 g 1.5 69 261 77 291 153 10 3.1 61 231 70 265 12 40 152 15 4.6 53 201 61 231 20 6.1 44 167 52 197 x 25 7.6 34 129 42 159 ca 30 9.1 23 87 33 125 8 0 35 10.7 22 85 20 40 12.2 -- Lack Valve: 38.0 R. (11.60) 44.0 fl (1340) oazoe 4 10 0 20 40 60 80 100 6 1/4 GALLONS 45/8 0 80 1 60 240 320 - 3 27/32 FLOW PER MINUTE 3 27/32 T FACTORY FOR SPECIAL APPLICATIONS _ —— C ONSUL ® 3 27/32 • Tuned do�r►s panels enraltaWe• avellellle asid supplied *0 E W W"% for &Vex systems. an e l en smAches are avd1able for oonb - dmg f • ValiaWe ld rxinhd ' y C variable teed W sv are evad�ie for viable I� DouMe • level long short cycle conUds a>s• See M420. Se" {� -Boot enradWe for ntltdoor • Over 13°F. (54°C.) special quotgon reomd. 121/8 19!'153 Series • 51/8 Model Vow Mode i � sxxoer N152 115 1 Non 2or3 85 YrJtded 2a3 BPIi52 115 1 � 4 � 1 2a3 E152 2311 1 Kwon 4] k�cbdnd 2or3 BE152 230 1 AM 1 3 1 tors SELECTION GUIDE N153 115 1 Noe float BN153 1i5 1 Aub 10.6 Yduldad 2or 3 1. �l1� PI99Y�valiabla level float switch or double PI1l9ll��� level E153 230 1 Non 5.3 Uiduded 2or 3 %*dL ReW tD FMD477. BE/53 230 1 0 2. See FM0712 for cwmd nW d of Eta AMemator E•Pdt, D j should be done by a 4u~ 3. Variable level CM*d swdd110�0428 used as a control wWaW. We* d ( All M"Aft of cod,0* et r and '� wft "bOu Adt or (4) DW sysl�n• re,wNam ieCade#NEC)e�1he0=1081i= RESERVE POWERED DESIGN safety► f Is leered into the design of every Zoeller Pump. For unusual condi4olts a reserve L M7 Sf r T& 3W Caee Rue RW Lwim a KY 4MI -196 �ie[/Jyf7lN/RY Si19L7E ��+ T' IrAffff. t� Fax�n49 + PUM I:arr1 Copyright 2000 Zoeller Co. All rights reserved- ®C,opYh9 Maintenance and Contingency Plan for a Septic System # g2 f Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. /''1A &JT e-VA -U 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 ' UAL 8c MANAGEMGlv � ■- •-' -• +• �"�` —.1– POWTS OWNER'S MAN CATIONs SYSTEM SPECIFY FIB E INFORMATION Septic Tank Cwa*Y /0� ga l 0 NA DNA owner / a sep90 To* Maru Pemr cc) EtNt F Nlaawfaa< u.,d l 0 WA D{t3N PpRlWETE O NA F Model DNA ❑ NA Number � � Urdu � NA pump•Tank Q DNA Number tioet O _ 0 NA' Pump Manul� Estimated t cw (pedo. ( rourruted x 1.5) �. �1tJ .�� CI NA 'pump son Application Rate � Uri D Peat Filter ;�gw Quality F BO J 420 � a gsrat on Q ottrer: . oxygen Demand T � � SdWs (M) 5150 ta= f prntreamed Eftkseat G1ua�'dY awe in-ground (Pressurized) Demand (BODs) :5W mg/L Mound Total Suspended Soflds (TSS) . Biochemical oxygen s1a �tt�nl over: Fecal CoBform � mean) vawss a omes�c (non -o ""ad°waw ow K inch diameter �m Ef fluent Particle Size p wasrewaw- MNNi7 F -NANCE SCHEDULE Service Frequency Service Event rnon s) (Maximum 3 yrs.) Inspect coruitdon of tank(s) At least once every (y) of tank volume Pump alit contents of tank($) When combined sludge and scum eq s) (Maximum 3 yrs.) At Least once every O months Inspect dabspersed mss) At least once every Q months _ s) Clean efifltreutt fillef At least onceY D tr>o s) O NA Inspect Pump. pump controls & alarm U s) ❑ NA At mast once every Flush 101arads and pressure test At least once every U months a year($) 0 NA At least once every months G year(s) O NA Orher. MAtNTF.NA�I� MISTRUCTtONS be made by am � �YH9 � � the foflowinQ or inspe�s of tanks and l cefls shaft Re stricted Sewer POWTS Inspect: t�ONY> c� t purer; Master Plum a visunt inspection of the tank($) W tdentlry any m tx+oken back up Servicing me asure the the vohime of combined sktd9e and scar ��dredc the dflum't gels train. Men* any The drsper'saI cefl(s) shaft be vim inspe�d effluent on the or g o f on the ground surface• of effluent on the ground -tam The W of thoritl►- in the observation t and to for OW P o u ;s the immediate n of the local regWatwY ground sutfacs f1f181y ate a fang � ' of more of the tank volume. the When the combined Matron of mwed by and Sege � disposed of accordance with ch. NR entire contents of the tank shop be removed . 113. Wisconsin Admmrstrat've Code. and any t components. scat or pressu�d POWTS components. Pro�eat� men ��g � The servicing of effluent filters. n onths or less shall be per bformed by a certified or monitoring at at of 12 m e 10 days of of any service event. ot h erm aintenance report shntl be proms to the bcai regulatory authority/ products or other � pain�9 START UP AND OPERATION s for the pr c are For new construction. prior to use of the POVVTS the d . chemi the may impede the treatment re re by a secvkft OP Prior to use - detected have the contents of the tank(s) sdl'conditions are frozen at the infiltrative surface. Pa" startup shall riot occur when D=V power outages pump tanks m 0 abo ve - normal hater levels. When power is restored the excess Wastewalff W E b dbctmged to the dispersal cell(s) In one large dose. overloading the cell(s) and may in the barkup or s of oe dischaW of - To avoid this situation have the contents of the pump tank removed by a Se~ S Operator prioraresgortag power to the efliumt pump or canted a Plurnber or POWTS Maintak. to assist i n umal y o the pump controls to restore nomtai levels within the pump tank. Do not drove or park vehicles over tanks and dispersal cis. Do not drive or park over. or wise dM,nb or compact. the area %thin 15 Meet down slope of arty mound or atVrade sol absorption area. Reduction or elimination of the fdowfig from the wastewater sbrearn may improve the performance and prolong -the life of the POWT& - cotton swabs; degreaseW dentel 11 � dape'� dam; fat toirridatian dr n (sump pump) wader. OUR and vegetable peed gasoline; herbicides; meat scraps; nUX&Mlions; of painting products; peoCkkW. sankaty nom. rand watsr sour brine. At3ANOONMMENT VVhen the POWTS fans and/or is pennatterrtly - taken out of service the following steps shall to taken do kuRve that the system is property and safely abandoned in cornpi'lanoe with ct- Comm 83.33. Wisconsin Administrative Code; • Ail piping to tanks and pits shalt be disconnected and the abandoned pipe openings sealed. • The contents of an tanks and pits stmt be removed and properly disposed of by a Septage Servk lg Operator. • Alter pumping, a n tanks and pits shall be excavated and removed or their covers removed and the void space trod with son, grave! or another inert sond material. CONTINGENCY PLAN If the POWTS f and cannot be repaired the following measures have been. or roust be taken. to pry a code compliant replacement system: ❑ A suitable re pl a cement am has been evaluated and may be utifted for the location of a replacement soil absoq ti n system. The replacement area should be protected from disturbance and oompadion and should not be infringed upon by required setbacks from mosting and proposed structm lot lines and weft. Failure to protect the rent 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 Sol limitations. Baring advances in POWTS technology a holding tank may be installed as a Mast resort to uptake the failed POWTS. The site has not been ev&jded to identify a suitable replacement area. Upon faltme Of the POWTS a sod and sme evaluation must be performed to locate a suitable replacement area if no replacement area is available a holding tank may be Installed as a lam resort to replace the failed POINTS. Mound and at -grade scif absorption system may be r000nstructed m place following removal of the bamat at the wMative scurf ew R econs t ruc ti o n s o f such systems must comply with the rotes In etfed at that time. <<W'ARNIN©> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. 00 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 POINTS INSTALLER POWTS MAINTAINER Name Phone _2 L_ 7 Phone 1J = J SEPTAGE SERVICING OPERATOR PUMP LOCAL REGULATORY AUTHORITY Name "— Phone 7l _ ° .�/ Pine This docu neat "M dratted by the stags dUm G� nuke. rAargt We and W=Mh= counh� Zoning alb SaNadon apatcies. lid dor�unent MGM the mk*,= requirement of dr. Comm 8322(2)(bX1Xdi and 83.54(1). (2) a (3). yV'rsmoln Adrrdrds 80" Code. L%e of pots doarrnent does not guarantee the performance of the POINTS. G MW (20W) r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page or 3 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County �.. �rUi X Attach complete site plan on paper not less than 812 x 11 Indies In size. Plan must include, but not limited to: vertical and horizontal reference point (BM); direction and Parcel I.D. q / percent slope, scale or dimensions. north arrow, and location and distance to nearest road. � Please print all information. evi by Date Personal information you pro ma vide y be used for secondary purposes (Privacy Law. s. 15.04 ( (m)). Property Owner Property Location LLL Govt. Lot N Lj 1/4 N Lj 114 S3C T N R E (oro Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# cJ'1 Re .n c I ( _ City State Zip Code Phone Number []City ❑ Village Ej Town Barest Road MN ll0 ( ) -2o0 I R \d)rY)nr , 6 140 34 , ®—Flew Construction Use: Residential / Number of bedrooms 3 -' f .. Code derived design flow rate S`Sd GPD ❑ Replacement ❑ Public or commercial - Describe: ff ~ ". " ; E it. Parent material �i l� Flood Plain elevation if applicable _ General comments S f �M e/t ✓. 9� • a U and recommendations: e t J, 117.5-6 JUL 1 2 2002 ST bi`5 an ee rk ndh 4. 5c6z- 46y^ GGre* -- x ec,u rrr Boring # [n] Boring q L¢F Pit Ground surface,elev. / 9 ft. Depth to G mid ng factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sti. 'Eff#1 •Efr#2 3 Zy- 21p q jG SL ' 2 044 c 5 4 4 F- Boring # ❑ Boring ® pit Ground surface elev. 9fl ? a ft. Depth to limiting factor & D in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ( 0 -1 2- lb .r 81 to Zrcalk rY1 t 5 I v 5 2 1 2 - 21 10,,r9 gi c-I - s IL rv\�r c — , `{ . (� 3 2y- I c� — SL mmt'r c 5 17. . Effluent #1 = BOD > < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si ature CST Number Ackyn 253309 Address Date Evaluation Conducted Telephone Number �Z - //- z (`115)Z'41 -C4 dd � Property Owner j 1 h u5+n . !_-L C.. Parcel ID # Page of y 5 Boring # [] Boring 9 9 0 ": ' ❑p — pit Ground surface elev. 6, 06 R Depth to limiting factor in. Shc Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Mun flu. Si. Cont. Color Gr. Sz Sh. •Eff#1 'Eff#2 ( 5 ►I 2 r cS ( v � .5 ( tD 3 makes r� Z t - I `l kO 2mS k m 'r 3 — t-{ Li5-cb Li Ito Boring # ❑ Boring ❑ pit Ground surface elev. R Depth to limiting factor in. Soil Application Rate Horizon Depth . Dominant Color Redox Description.._ .. -Texture _ _Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ❑ Boring # ❑ Boring Ground surface elev. it Depth to limiting factor in. ❑ Pit - Sal Application Rate Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD/ftz in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Etf#2 - • Effluent #1 = BOD, > 30 < 220 mgA_ and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg,% 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. sao-1030 tRmmoi PAGE _aOF 3 N A mE A me S LOT# LEGAL DESCRIPTION /Uw% X A Y ,S 34 T 3 U N R ; E(o SCALE: I" 7 U BM I ELEVATION G BM I DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION 4aP a �'I y c•- eG �� SYSTEM ELEVATION 7e. Q 6 ALTERNATE ELEVATION N A CONTOUR ELEVATION (9 "I V ' �a 6 %0 ) A u\� c v lb f c a SIGNATURE DATE 7 SWnC TAM MAWMANM AGREH&Wfff AM _ OWNMtSW (EPJMCATION FORM ownwB Muffing Addmw o 0 m (V V=& cuyjStato pued umfificsfim xm*w aZl� - /l y9 IRGAL DISC_[ IFIBO S`ubdivisic� Cardftd Spy PAW # . Volnmts - # Spec ham ❑ Enos * no Lot des Mend fiabb Yes 0 no r�amdnmcea�9a�r�iasy�caaidremitmitspcmm�a� .Pro oosaisls ofp oat the septic>sst � throe yews a ,Doer, if �aeeaodby a b'omsedpumpe� �� t� b>m �° � caa a won of the septic ri� as a m dkmdsYSWM Tlw y oern�x sSma tc S&U t to St. C mk Zmin� D a CoWdimdonform, b!► a s srai a mmbecptue�f� Oacatioe�edpeanpav�a(1) �a aaawao sYaf► join"" op cO°Oa snd/ar ( ttiier iaspecoa aad pampi� Ctf a°°ess �a,�ptic ts� is less tbm It3 �t of sbr�e. y �, ��i�sodl�rereadtba :i�sada,�ee�a setforfthmft ,aso tbyftDepswmwstofCausa m=kd&oDeq o l6ftdl uwmk8bftofVboomdL ,Ufttbtymseprm mdubiwdmastbe©a gdcftd odn+aamodfatbaSt ftCmmtyzr�s .:dhin3a ,keys of the expimfim c DATE I (we) $rat all SWAOM=b an this farm are team h do best of MY (ana) Imes ufte. I (w) am (me) * owna(s) of by vhtae of a wawmW dead reoocded iR of Deeds Of5m 7I�E O GAS DATE sts.s+s« p atioa that is m - represon�dMW remh m &0 sukay pamk odby ac Zed= D s* Udu& adth a& ate: a Y deed fmm the USIdw of c& o � � decd a copy of So candled Barmy MV l� 1 2 14 3 P 3 8 5 709893 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 R CO ST . D ocument Number WARRANTY DEED RECEIVED FOR RECORD This Deed, made between Ames Investment Corporation, LLC, a 02/14/2083 03: 50PK Minnesota Limited Liability Company EXERT # REC FEE: 11.00 Grantor, and Txb R--G " and C�ze J G &Ae TRAYS FEE: 89.70 t. COPY FEE: h-nhanj aW p n �as P PxPerty CERT COPY FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name an ' INC. Lot 11, Block 2, Torrey Pines II, St. Croix County, Wisconsin. am9m i9w SILVER LAKE ROAD NEW BRIO N b5112 C fe 0a(�- 11L1C/-/l - 0m Parcel Identification Number (PIN) This is not homestead property. pt) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of February , 2003 Am� tment Corporation, LLC AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WWR&#81N /)) in ) ss. G County ) authenticated this day of , a Personally came before me this 4' day of February 2003 the above named Fmmm Ames Investment Corporation, LLC, a Minnesota Lim « NOTAWPUBUC -MM IEWTA Liability Company TITLE: MEMBER STAT? (If not, to me kn to, a pe on(s) who executed the foregoing instru ]cn, the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY « Attorney Kristina Ogland o Public' State Wiseausi H udson, 5401 My Commissi is er ianent. f �tiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) C A=; IM rawwww-iris • Names of persons signing in any capacity must be typed or printed below their signature. , Fond du Lac, Ana WARRANTY DEED STATE BAR OF WISCONSIN wC : 4 1 eoo'sss-2021 FORM No. 2 -1999 i oo 17 NO O • �'- 3:Wl want f g s " r O '6 > v �� �Qo Z s �LLI ..z�� Z a �o w > P W C J Mv,L �SJ O � Q F-�Z r L 04X N C3 p -i 8 > "A r s ¢ C Z z 0 Li o • J J O d r F M (� �0c60>> SVli W w �AlnNS Q('?A Q� V 1331:LLS wart i�Z �O C v r m z MIPdGQ44CU dGQ[D- NW1 /4 256.37' 205.53' v 200.00' 7 XWE M O ri X12 � +� CM 00 O DA v- cri F.. H 0 m v '$ $ cr) JQ i 'Q. \ N ° Cl Cli . - J t- U / Z GO S / 2 11// NLLL L b co W CR cr Q / Z g �T t.000. w '� 9 ? Z u ?Are C9 �J 00'06f &- - •o ._ -