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HomeMy WebLinkAbout030-1012-20-000 RECEIVED JUL 0 2 2009 ST CROIX COUNTY FIELD INSPECTION & SERVICE REPO" G &z5. 2.FIC�yE 00 -16 I NSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 0 �- /sar, Name:,�a Owner Name: / _ Q , Street: Mail Address: Mail Address: 3qO Ci"N State Zip Ci ty �t State LJ1 Zip s Phone (v_s 396— Fax Phone ('1102 Fax (vs)2V6 e -mail — e -mail acx-soi (I^csscni-cA- C'o INSTALLATION INFORMATION todel No. Blower. Brand and Serial No. Date of Installation Date of last pump -out Size ✓�C 508r�- 1.5l, A- C 07031 ,10 EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS — OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Visual Alarm Operatin Audio Alarm Operating, (f resent) Blower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor System Vent Pumpout Require - frimary Sealing Zone er Aerobic Treatment Zone I EFFLUENT: LIMIT RESULT Estimated Daily Flow pH (Standard Units ) 6 -9 S.U. Color Clear i Tem erature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor not septic) O WNE GNATURE TEQftNICIAN SI URE SERVICE DATE Commercial Testing La6oratory 514 Main Street P.O. Box 526 Colfax, Wisconsin 54730 aN W W.CTLCOLFAX.CO M Phone: 715- 962 -3121 Phone: 800- 962 -5227 Fax: 715- 962 -4030 ANALYTICAL REPORT Jim Thomoson Report N[Amber: 09008203 F'aoe: 1 H.C.E Soil n Site Evaluations Repor ^t Date: 5/ 5/09 ='40 Paulson Lake Lane Date Received: 4/22/09 Osceola WI 54020 amble Date dumber Sample ID Test Re Method LOD /L00 Analy,zed ,-- Wi074S WRI 07.04. BOD (5 Day), mg /L 364 SM5210B 4/22/09 4/22/09 Oil & 6rease(Fr eon), mg /L 2 SM5220B 1/3 5/ 37�9 pH (Lab) 7.1 SM4500H+ 4/22109 Tot.S-ispended Solids,mg /L 66 SM2540D 4/24/09 I LI � {I WILLOW RIVER INN I i WI DNR Laboratory Certification Number: 617013980 Approved by: 1� F LD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER F ,/ Installation Address: (j ( CO. AL Y , A Name: — Owner Name: z Street: 3 5 Mail Address: K� Mail Addres s5 60, L 4 5 City�/ �S State C ,c )�Zi 57� City State Zi Phone (� /s) 3 ' Fax Phone (71 S >Z�B� Fax /5) Z-S/b — 7761 e -mail moo/ e -mail 1767 t' INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump -out Size tlTCSd8P zr ` 0 70 31— EQUIPMENT V DETAILED COMMENTS OF SITE O DITIONS — OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Jaz Visual Alarm Operating Audio Alarm Operating' (if resent Blower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor System Vent Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Daily Flow 1 V91 H Standard Units 6 S.U. Color Clear Temperature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor not se tic OWNER SIGNATURE I TE NICIAN SIG A;I'URE SERVICE DATE c mmercial Testin g Lkorato In c. I n 514 Main Street 4 P.O. Box 526 Colfax, Wisconsin 54730 WWW.CTLCOLFAX.CO M Phone: 715- 962 -3121 Phone: 800 - 962 -5227 Fax: 715- 962 -4030 ANALYTICAL REPORT Jim Thompson Report Number: 09018175 Page: 1 A.C.E Soil & Site Evaluations Report Date: 8/11/09 340 Paulson Lake Lane Date Received: 8/ 5/09 Osceola WI 54020 Sample Date Number Sample ID Test Results Method LOD /LOQ Analyzed --- - - - - -- --------- - - - - -- ------------------- - - - - -- ----- - - - - -- --- - - - - -- --- - - - - -- -- - - - - -- 09- W21582 W.R.I. Surge BOD (5 Day), mg /L 644 SM5210B 8/ 6/09 8/ 4/09 pH (Lab) 6.8 SM4500H+ 8/ 5/09 Tot.Suspended Solids,mg/L 298 SM2540D 8/ 7/09 09- W21583 W.R.I. Pump BOD (5 Day), mg /L 66 SM5210B 8/ 5/09 8/ 4/09 pH (Lab) 7.0 SM4500H+ 8/ 5/09 Tot.Suspended Solids,mg /L 47 SM2540D 8/ 7/09 WI DNR Laboratory Certification Number: 617013980 Approved by: �`� via 5;4. Jea 03 z9 � S FL INSPECTION & SERVICE REPORT �pN 2 T cave' oFF��E s�,L TALLATION AUTHORIZED SERVICE PROVIDER In allation Address: . Z 0 ti Owner Name: �/ dcJ _ Ck,-;s Street: Mail Address: !j�„1� Mail Address: ,3S1Q P a - sow u-el? ..e i City A State c. )/, Zip S A cit Q SC,eC (A State (-J( Zip SS�d 2D Phone Ots) 34-ZW1 Fax .— Phone (VE)2VB -7767 Fax (716) 2 776 e -mail — e -mail QC2.Se`/ F�orrturlet�. CE INSTALLATION INFORMATION Model No. Blower, Brand and Serial No. Date of Installation Date of last pump -out Size Qau, .2c&7 VFV_.5 2. - Shp . r ; ,, - c Ccw D 70 3 '772/6/ (.c ? oZ QZ) EQUIPMENT DETAILED COMMENTS OF SIA CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Visual Alarm Operatin Audio Alarm Operating' (if resent Blower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor System Vent Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Daily Flow c11) H Standard Units 6 9 S.U. Color Clear Temperature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor not se tic OWNER SIGNATURE TECAINICIAN SI URE SERVICE DATE Commercial Testing Lkorato Inc. 514 Main Street 6 P.O. Box 526 Colfax, Wisconsin 54730 WWW.CTLCOLFAX.CO M Phone: 715 - 962 -3121 Phone: 800 - 962 -5227 Fax: 715- 962 -4030 ANALYTICAL REPORT Jim Thompson Report Number: 10000534 Page: 1 A.C.E Soil & Site Evaluations Report Date: 1113110 340 Paulson Lake Lane Date Received: 1/ 8/10 Osceola WI 54020 Sample Date Number Sample ID Test Results Method LOD /LOG Analyzed --- - - - - -- --------- - - - - -- ------------------- - - - - -- ----- - - - - -- --- - - - - -- --- - - - - -- -- - - - - -- 10--735 W.R.I. Pump BOD (5 Day), mg /L 190 SM5210B 1/ 8/10 Willow River Tot.Suspended Solids,mg /L 76 SM2540D 1/11/10 Inn 1/ 7/10 RESTAURANT WW;SAMPLE PICKED UP AT V.ROBERTS WI DNR Laboratory Certification Number: 617013980 Approved by: I Wisconsin Departmen�of Commerce PRIVATE SEWAGE SYSTEM Count St. Croix Saft -ty and Building Div 'si fn INSPECTION REPORT Sanitary Permit No: 499212 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 2 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. /3 �p Permit Holder's Name: City Village X Township Parcel Tax No: Kath, Chris I St. Joseph, Town of 030 - 1012 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: 06, 7D lo D .0 , ¢.fir 03.29.19.55M TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. i Septic o 6� Benchmark r7 /'D/•v • U l� o b Dosing Alt. BM Aeration Bldg. Sewer h Holding SUHt Inlet a 22 TANK SETBACK INFORMATION St/Ht Outlet 63 o•37 �...._ TANK TO P/ WELL BLDG. ent t Air Intake ROAD Dt Inlet ' Septic i� 2 Dt Bottom Dosin OX O L an Header/Mo �7 L Aeration 3 If Di st. Pipe �N � . �3 Holding Bot.�Systerp_ w / I 7 3 p / PUMP /SIPHON INFORMATION & Final Grade C /�� W t Y• 1 ( • S Manufacturer n Demand St Cover I -3 • O . 0 Model Number ,� Z) / TDH Lift � � � Fri�i � LQ�s System H a � TDH , Ft r Forcemain Length Dia i Dist. to vl( } 1 .Si SOIL ABSORPTION SYSTEM • $Q s-�- BED/TRENCH Width Length 1 No. Of Trenche IPITDIMENS1014tNo. f Pits Inside Dia. Liquid Depth DIMENSIONS 3 U SETBACK SYSTEM TO P/ BLDG W L E /STREAM ACHING Manufa INFORMATION HAMBER Typ f System: / ! Number: Model Nu b�� <ao sly D)STFIBUTION SYSTEM Bader nito I D istributio - Tole Size x Hole paci V �" Intake � 1�� l� Pipes) 4 ,{,J /�� ' 7 �/ iv Q✓I.i Length is Length Dia Spacin 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 ^� I Bed /Trench Edges Topsoil Li q n Yes ' No Yes No COMMENTS. (include code discrepencies, persons present, etc.) Inspection #1: / d` � / y nspection #2: Location: 1106 Cty. Rd. A Hudson, WI 5401 (SW 1/4 SE 11/4 2 T29N R19W) metes & bounds Lot Parcel No: 03.29.19.55M 1.) Alt BM Description = Tp r 4-010"v- 2.) Bldg sewer length = O a - amount of cover Plan revision Required? 1 I, Yes 4r o rosy Use other side for additional information. /V ! - - - — - Date — Insepctor's Si nature Cert. No SBD -6710 (R.3/97) l Safety and Buildings Division County NV 201 W. Washington Ave., P.O. Box 7162�v. ; sconsin Madison, W6V707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce Jr (6os) "315)1 Sanitary Permit Applicat State Plan I.D. Number fft)- In accord with Comm 83.21, Wis. Adm. Code, personal information you 196 �3 ` / - i c- �Tc1lS. /� may be used for secondary purposes Privac CD �` roject Address (if different than mailing address) I. Application Information - Please Print All Infor ation G �Q , Property Owner's Name L P reel # Lot # Block # C v . //e Y COUNTY .0!5 4C Property Owner's Mailing Address Property Location lai ea dl 3 City, State Zip Code Phone Number �� �' /a, S C !, am'( /., c Section T -el N; R ir le on II. Type of Building (check all that apply) 2 Y 1 or 2 Family Dwelling - Number of Bedrooms .7 4ab4w"?mt+;ame ��77 9*hf++"fflbrr ❑ Public/Commercial - Describe Use t �6t' �Go>dt� RlCc3 ❑ State Owned- Describe Use ❑City_❑VillagekTownship of r d5 'e 1 III. Type of Permit: (Check only one box on line A. Coihplete line t app le) © YO - tOlZ A. ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B List Previous Permit Number and Date Issued ❑ Permit Renewal El Revision ❑Change of ❑Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl XNon - 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 El Peat Filter [I Aerobic Treatment Unit El Recirculating Sand Filter El Recirculating Synthetic Media Filter Leaching Chamber ❑ pripLine I ❑ Gravel-1 s Pipe Q Other plain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) spersal Area Required (so Dispersal Area Proposed (s System Elevation Ila 15 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank � e Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ins Cation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature P PRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code VIII. County/Department Use Onl Approved Disapproved Sanitary Permit Fe 'ncludes Groundwater Date Issued Issuin gent Signature o Stamps) Surcharge Fee) . I � Owne nial IX. Conditions of Approval/Reasons for Disapproval 3 J 1 •,/ �,t •S S te- S SYSTEM OWNER: �V I 1 Septic tank, effluent filter and �{1 '(� -3 — Q dispersal cell must all be serviced / maintained 6� as per management plan provided by plumber. D 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the ssem an pa er no'less t n 81/2 x 11 inches in size SBD -6398 (R. 01/03) (�? �/ S Ys w t A t D Wisconsin Department of Commerce SOIL EVALUATION REPOR'"^'� Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 112 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. p - )O !Z - 20 —000 Please prfnt all information. Rev' by Date Personal information you provide may be used for secondarypurposes (Privacy Law, s. 15.04 (1) (m)). Property Owner,, „ Property Location Willow River Inn g� Z G vt. Lot _ t'(,�f 114,j F 1!4 S 9 T .19 N R //F E W Property Owner's Mailing Address RECEIVED Lo # Block# Subd. Nam orCSM# Cty. Rd. A City State Ap Code Phor m r ity �Yllage own Nearest Road 00 Hudson W1 54016 ( r 2 6 Cty. A © New Construction UseE3 Residential NumAToFtWM � Code derived design flow rate GPD Q Replacement Public or Parent material outwash over bedrock Flood Plain elevation if applicable N/A — ft General comments $�s4 e vvl �< J , /. Z r BP /v �✓ is �� and recommendations: Boring # 11 Boring F1 Pit Ground surface elev. �° ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0 -15 10yr3 /2 sil 2msbk mfr cs lc ,� .8 2 15 -28 1 r4/3 cl 2msbk mfr cs lvf .4 .6 3 28.-40 10yr4 /4 sicl 2msbk mfr cs - .4 .6 4 40_54 10yr3 /6 scl 3msbk mli cw - .4 .6 5 r3 /6 C1PZ*4 mfi cw _ .4 . 6 _. 6 58 -75 10yr5/ frag limestone - - - np n p F Bori 2 ❑ 9 Boring # cry 5 c;> 54 a pit Ground surface elev. ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh_ *Eff#1 *Eff#2 1 0 -14 10yr3 /2 sil 2msbk mfr cs lvf -�,� .8 2 14-23 1 r4 /4 sicl 2msbk mfr cs _ .4 .6 3 23-54 10yr4 /6 s Osg ml cs _ .7 1.2 4 60 1Oyr4/4 F1j jtr416 vfs Om mfi - .4 .6 5 60-75 10yr5 /6 limesto _ _ _ - - np np ' Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD < 30 mgt- and TSS < 30 mg1L CST Name (Please Print) Signature CST Number Adam Schumaker 253309 Address Date Evaluation Conducted Telephone Number 1679 89th Street New Richmond, WI 54017 0411-06 715- 760 -0279 he tir}p Wow River nn Property Owrf� ill Ri I Parcel ID # � Page 2 of 3 F _3 Boring # Boring ,« A r E] Pit Ground surface elev. - d� ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. NPunsell - 66. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0 -19 10yf3 /3 - sil 2msbk mfr as Ivf ,6f' .8 2 19-66 1 r5 /4 - sicl 2msbk mfr cw - .4 .6 3 66 -100 10yr416 - tr s 8sg ml - - .7 1.2 4 F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth D.Q-minant Color Redox Description Texture Structure Consistence Boundely Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Effn s Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F Pit Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *042 r s • * Effluent #1 = BOD 30 < 220 mgA- and TSS >30 < 150 mg& * Effluent #2 = BOD < 30 mgA- and TSS < 30 mgA- t 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 605- 266 -3151 or TTY 605- 2648777. SBD- 83Vfcst (R07100) 5 1 ,4- e Z PAG E OF NAME tU, /(OCcJ yb (Iy ^ r Inn LOT# LEGAL DESCRIPTION 1 /4 1 /4,S T ,N,R E(OR)W e SCALE: i" = GHQ BM 'I ELEVATION loo, O BM t DESCRIPTION ( C)-.- 2 - BM 2 ELEVATION , ) C BM 2 DESCRIPTION Fv p c7 M-1,11 L,'ct SYSTEM ELEVATION +. L e b1fJGc"i 6 ro j SYSTEM TYPE 00(l0eA+L'v i � o � SIGNATURE DATE O 000 Eli 4/4 6 q 1,3 ) t� p Cha.nbv/ {r 60 be a.6g4doried 4.5 �o�ccce., a �opo3cd cJfese� Cfine�•�e i� 5 it E 5 �k d i J dQ7 /(vW -MQ Cu'A 60. ib P� sus I-�odly/0 '�SPI►Q /� Qe.Ser tK it�c a �,- EXiS� n �ttr� EX-516inV LOCO - ^ —` s Stay o \ ,4v��oX. /ocRua» oF o u7 AOAAOk - - co " ( 5, 2 o� Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.w www.coe.wi.gov/s sin.go / iscosin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 14, 2006 CUST ID No. 227990 ATTN: POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/14/2008 Identification Numbers SITE: Transaction ID No. 1318694 Willow River Inn Restaurant & Bar Site ID No. 718034 1106 CTH A Please refer to both identification numbers, Town of Saint Joseph above, in all correspondence with the agency. St Croix County SW1 /4, SETA, S3, T29N, R19W FOR: Description: Replacement Non - pressurized In- ground POWTS for Three unit apartment; (3 - one bedroom apts.) Object Type: POWTS Component Manual Regulated Object ID No.: 1096496 Maintenance required; Replacement system; 450 GPD Flow rate; 54 in Soil minimum depth to limiting factor from original grade; System(s): In- ground POWTS Component Manual, SBD- 10705 -P (N.01 101); pump chamber 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 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. • This system is to be located and constructed in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection b authorized representatives of the Department, which may L p �' p p v include local inspectors. Co trdrr`iolrall R + PR WILLIAM C SCHUMAKER Page 2 9/14/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(l). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 erard � MSwfi POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 NON - RESIDENTIAL CONVENTIONAL POWTS DESIGN INDEX AND TITLE SHEET Project: Willow River Inn — Dose Conventional Residential Rental Apartment Contact: Chris Kath ca 2 Address: 1106 County Highway A _5 ° Hudson, WI 54016 Cd LJJ � 0�0 U ° Q Legal Description: SW1 /4SE1/4, Sec. 3, T29N, R19W. C� Township: St. Joseph County: St. Croix Subdivision Name: Na Lot No.: Na Parcel ID Number: 030 - 1012 -20 -000 Plan Transaction Number: Index and title sheet Page 1 Site Plan Page 2 System design calculations Page 3 Pump Chamber Calculations & Page 4 Cross Section Pump Curve Page 5 System Cross Section Page 6 System Management Plan Page 7 Attached Soil Evaluation Report Page 8 Designer: Bill Schumaker License Number: 227990 Signature: / Phone No.: (715) 386 -3121 Date: June 5, 2006 x140 BU " GSG Lc.7: / %OLc� Qi v� S n Q rtm� c� s u-)Yy S J. SSA i°`t r7 g l,3 0 0 to PkNtP L�tanbe� G �2 VV a� w � 4 ,oa�ccc�a. � �°� P�o,a�s< -d t,Jiese� Cfmmcrc�e 6 3 M L aR� /G rxQ cry,, bo. Id 5.r. /mac, 1.0 /PelylOA ASpla %E of Qe.servt �f�'ca �- P� -s.�s cFFIuH+� Parkcr� Qyo /ace,�arrC 5 y s tom,,, ,4 r esi ".)/ 2, SAY o XdD P5.z0�8 Daily Flow & Design Calculations JOB DESCRIPTION: An existing Bar and three - one bedroom residential rental apartments are contained within one facility. Wastes generated from the residential apartments will be separated from the Bar waste and disposed of in a below grade dispersal cell located to the west of the structure. (Bar waste and waste generated by a proposed restaurant addition will be disposed of by discharging pre- treated effluent into a mound system located northeast of the structure.) ABSORPTION AREA SIZING CALCULATIONS: 1. Total daily wastewater flow: 450 -00 Gpd Design Flew (3 apartments)(1 bedroom)(100 gal) = 300.00 Gpd (300.00 Gpd daily flowXI.5 conversion factor) = 450.00 Gpd design flow 2. Existing grade elevation: 96- 0' at H-2 3. Depth to limiting factor: " (elev. = 92.00') 4. System Elev.: 95.00' 5. Infiltrative capacity of natural soil = 0 -4 gpdlso- ft - 6. Absorption area required: 1,125 00 sT 450.00 Gpd design flow / 0.4 Gpd = 1,125.00 sq. ft. sq. % absorption area required 7. Absorption area as proposed: 1, 169-20 , %q- $ 00 chambers tntal = 240 linear feet) Infiltrator "Quick 4" EISA per chamber = 19.10 sq.ft, EISA/pair end caps = 5.8 sq. ft. 1,125.00 sq.ft. - (5.8 x 4 pair end caps) = 1,101.80 sq. ft chamber area required 1,101.80 sq. ft. / 19.10 = 57.69 chambers required Number of trenches: 4a 15 chambers per trench Trench width: 34-00" Trench length: _62s111_ Total system area w/ 3' trench spacing: _21'_x 621 SEPTIC TANK CAPACITY CALCULATIONS: Manufacturer &Capacity: Wieser Conerae W1 000-U Rwtic tank 1. Design flow = 450.00 Gpd 2. 450.00 Gpd/75gpd/person = 6.0 person equivalency 3. (450.00) + (11.61 x 6.0 x 3 *) + (46.77 x 6.0) = 919-60 gallon G4 inquired * Requires a three -year service cycle. 4. Effluent filter: PolyLok PL -625 at septic tank outlet. PUMP CHAMRF.R CALCULATIONS: See page 4. EQUALIZED F.FFLUF.NT DISTRIBUTION: Distribution manifold and header to be constructed to equally distribute effluent to all trenches. Pg. 3 of 8 Willow River Inn Residential Apartment Pump chamber calculations 1. Force Main: Diameter 2 Length 30' Flow rate 50.00 gal. /minute t Friction loss 1.50 ft. (30')(4.99 ft. /100ft.) 2. Total dynamic head: Min. supply pressure 0.00' Vertical lift - 4.75 1 (elev. @ of float = 91.0', high elevation at forcemain = 95.75') Friction loss 1.50' Total dynamic head = 7 . 25 ' 1.5 ar, , J k x.P 3. Pump selection: Manufacturer: Goulds Model number: 3871 EPO4 Pump will discharge 50.0± gpm @ 7.25' TDH 4. Dose chamber: Manufacturer & capacity: Wieser Concrete W 1000/600 -MR 51.00" 0) 11.82 gal. /inch (602.82 gal. actual) Sizing calculations and float settings: A) One day holding capacity: 30.00" = 354.60 gal. B) Alarm setting: 2.00" = 23.64 gal. C) Dose volume + flow back: 7.00" = 82.74 gal. Max. dose = (450.00 gal.)(20% Design flow) + (.163 gal. /ft flow back)(30') = 94.89 gal. D) Reserve storage: 12.00" = 141.84 gal. TOTAL: 51.00" = 602.82 gal. Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - -► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented E- Alternate outlet location Forcemain diameter Wieser W1000 /600M Manufacturer _t 2 in. Capacity 602.82 Gallons Volume 1 11.82 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 30.00 354.60 B 2.00 23.64 Pump off elevation (ft) C 7.00 82.74 91.00 D 12.00 141.84 D Total 51.001 602.82 iL Do se tank elevation (ft) ,,/ --- 3 7 ;' - Bedding un er tank. 90.00 Alarm Manuafacturer ; Le4Arm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number j 3871 EPO4 Pg. 4 of 8 GOULDS PUMPS Submersible Effluent Pump EPO4 3 871 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: • Effluent systems heat transfer. ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING Farms manual operation. Auto- superior strength and corrosion SP Canadian Standards Association • • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Pumps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. maximum. ■ EPO4 Impeller: Thermoplas- n Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 `12" NPT, seal protection. • Mechanical seal: carbon - rotaryiceramic- stationary, BUNA -N elastomers. • Temperature: 104`F (40'C) continuous 140-F (60'C) Intermittent. METERS FEET 10 - - - - • Fasteners: 300 series stainless steel. • Capable of running 9 30 ��� 'GPM dry without damage to 8 2.5 nr components. 25 ° a 7 Motor: _ • EPO4 Single phase: 0.4 HP, U 6 20 115 or 230 V, 60 Hz, 1550 a RPM, built in overload with i 5 15 automatic reset. 4 • EP05 Single phase: 0.5 HP EPOS 115 V or 230V, 60 Hz, 1550 3 10' RPM, built in overload with ?•�' automatic reset. Tv. 2 • Power cord: 10 foot 5 standard length, 16/3 1 S1TOW with three prong grounding plug. Optional 20 ° 00 10 20 30 40 51p GPM foot length, 16/3 S1TW with 5 ,P. * f three prong grounding plug 6 0 2 4 6 8 10 12 ml/h standard on EP05). CAPACITY Goulds Pumps 2002 Gcj.ds Pumps ITT Ind stries _/'ect;vr Scp:emeer. 2002 w 5 � O �' � n a Scrile A ti / n x y Y IV r n Z LA o n ° � v � fTl ■a`. '� p N mono ti > y, d ® ■aW.. ■ate•'• T T � M ®A SON ow A n o 33 i I n \ I I O I � I Dose Conventional POWTS Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01 /01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contineency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber, Bill Schumaker at (715) 386 -3121, or the St. Croix County Zoning Department. Pg. 7 of 8 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 17 inches in size. Dien must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Pgroel 1. D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. Reviewed by Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 16.04 (f) (m)). Property Owner Property Location Willow River Inn `� # �' (g Lot 5—W 1/4S4 1/4 S � T.1 f N R f $ �rq Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City. Rd. A city State Zip Code Phone Number ty ❑Vllage •. own Nearest Road Hudson Wl 1 54016 1 ( Cty. A New Construction User Residential / Number of bedrooms _ Code derived design flow rate GPD EI Replacement a Public or commercial - Describe: _ Sainnn Parent material outwasb ove bedrock _ Flood Pair.. elevation it applicable ft. General comments // and recommendations: S`F_S e w\ Q f c. `? . (• BE /r, �✓ ry- ins ❑ 1 Boring # a Boring G® a Pit Ground surface elev, Q6 - ft. Depth to limiting factor _ 54 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAfr in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. "Eff #1 "Eff #2 1 0 -15 10yr312 sit 2msbk mfr cs lc 6 .8 2 15 10vt C 2msbk mfr cs lvf .4 .6 3 28-40 10yr414 sicl 2msbk mfr cs - .4 .6 4 40 - 10yr3 /6 scl 3msbk _mfi cw - .4 .6 5 5 -58 10yr3/6 C1P7.5yr4r4 scl 3msbk mfi cw � 4 •6 I 6 58 -75 10yr5/6 frag limestone - - rip np F_ _ _I Boring # Boring 54 U • Pit Ground surface elev.. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAP in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 1 0 -14 10yr312 sit 2insbk mfr cs lvf .>ro .8 2 14-23 10 r4/4 SO 2msbk mfr cs .4 .6 3 23-54 10yr4 /6 s Osg ml. cs _ 3 1.2 4 3 10yr4/4 F117.5yr*6 vfs 0m mfi .4 .6 5 60 -75 10yr5/6 limestone _ _ _ - _ rip rip Effluent #1 = SOD > 30:5 220 mg& and TSS >30:5 150 m9k ` Effluent #2 = IBOD 5 30 mg& and TSS < 30 mgrl_ CST Name (Please Print) ure CST Number Adam Schumaker 253309 Address Dare Evaluation Conducted Telephone Number 1679 89th Street New Richmond, Wl 54017 04- 11-06 715 -760 -0279 Property Owner Willow River Inn Parcel ID # 3 Boring # Boring Page 2 of 3 El Pit Ground surface elev. ft. Depth to limiti factor 100 ng in. Horizon De Soil A i D/f f Rate Depth Dominant Color Redox Description Texture Structure Gonsistenoe Boundary Roots C3PDRf in. Munsell Ou. Sz. Corti. Color Gr, Sz. Sh. *Eff#1 'Eff#2 l 0 -19 10yt3/S - sil 2msb1 mfr cs 1vf g 2 19 10 r514 Sid 2msbk mfr cw - .4 .6 3 66-100 t 0yr4 /6 _ _ S . Osg M1 - .7 1.2 F] Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. r Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GPDfff in. Munsell Qu. Sz, Cont- Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ( Boring 9 L �_I g Pit Ground surface elev. ft. Depth to limiting factor in. Soil Awlicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD4F in. Munsell Qu_ Sz. Cont. Color Gr. Sz. Sh. Eft #i I 'Et1#2 * Effluent #1 = BOD > 30 < 220 mg/L and 7SS >30 < 150 mg1L " Effluent #2 BOD, < 30 m t and TSS < 30 rng/1_ 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. SKID- 8330TvA (f2.OWOO) I PAGE 3 OF � NAME LOT# LEGAL DESCRIPTION '/A 1 /A S T N R E OR W SCALE: I"= go I BM I E LEVATION _ {j&), d BM 1 DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION fv� f7 yngr�stA L r �C c 1� , SYSTEM ELEVATION -� GuJ ( - SYSTEM TYPE 0c Ave A I I r , I , \� o� ,a a L " G^ f, w SIGNATURE C� D ATE O ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 4&z/'-'ter :J ef' '�C Y Mailing Address Property Address (Verification required from Planning & Zoning Department for new construction.) __ City /State _ _ Parcel Identification Number o S o - ( 20 - M D ( , LEGAL DESCRIPTION Property Location 1/4 , S 1/4 , Sec. 3 _ , T . l4' N R(�W, Town of Subdivision '�`� , Lot # Certified Surrey Map # _ , Volume , Page # Warranty Deed # y� ®off Volume rG /� �, Page #�' Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper. use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County 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 have read the above requireranents 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 Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Il'we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms /l� 04� SIG ATURE 6F APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) I .16191W 626 6.� X006 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHL.E.EN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Larry Crowson and Jensine Crowson, RECEIVED FOR RECORD husband and wife n4- -2001 9:00 AN VARRANTY DEED — EX�NFT q Grantor, and Christopher Kath, a single person — CERT COPY FEE: COPY FEE: TRANSFER FEE: 910.00 RECORDING FEE: 12.00 PAGES: 2 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 Named Ret:{r Add s See Attached Exhibit "A ". G/+J / ' s 030 - 1012 -20 Parcel Identification Number (PIN) This is not homestead property. CIJ) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of April 2 001 a�S � fC� � Y- Gi•"'rYs « « Lar owson t Jetfsin Crowson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) � ) ss. County } authenticated this day of Personally came before me this day of April 2001 bdaO Larry Crowson and Jensine Crowson, h Ad « ,a TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the persons) w}w�xrcuted tlforegoi (if not, instrument and acknowledged the s ' authorized by § 706.06, Wis. Stats.) = PUBLIG THIS INSTRUMENT WAS DRAFTED BY • « � "� « �� Attorney Kristine Ogland Notary Public, State of Wisconsin '�r�+i fJf wK Hudson,Wl My Commission is permanent. (If not, state �>1Ql1MNtkll!� ate: (Signatures may be authenticated or acknowledged. Both are not necessary.) 2 -.--3 - Q .2— .) * Names of persons signing in any capacity must be typed or printed below their signature_ info Lion pmfeselonats company. Fond du tao, Wi 800 - 2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 vo[..1619 °Art 627 EXHIBIT "A" PART OF SW % OF SE % OF SECTION 3, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT EAST LINE OF SAID SW Y. OF SE % 154 FEET NORTH OF NLY LINE OF COUNTY TRUNK HIGHWAY "A "; THENCE AT RIGHT ANGLES 200 FEET TO POINT OF BEGINNING; THENCE WEST AT RIGHT ANGLES TO SAID EAST LINE 210 FEET; THENCE SOUTH PARALLEL WITH SAID EAST LINE 154 FEET TO SAID NLY LINE OF HIGHWAY; THENCE ELY ON SAID NLY LINE 210 FEET, MORE OR LESS, TO POINT 154 FEET, MORE OR LESS, SOUTH OF POINT OF BEGINNING; THENCE NORTH 154 FEET, MORE OR LESS TO POINT OF BEGINNING COMMENCING AT NLY LINE OF COUNTY TRUNK HIGHWAY "A" 33 FEET WEST OF THE EAST LINE OF SAID SW % OF SE %; THENCE NORTH PARALLEL WITH 33 FEET WEST OF SAID EAST LINE 154 FEET; THENCE WEST AT RIGHT ANGLES 167 FEET; THENCE SOUTH PARALLEL AND 200 FEET WEST OF SAID EAST LINE TO NLY LINE OF HIGHWAY; THENCE EAST ON SAID NLY LINE TO POINT OF BEGINNING. I , I vot_ 1619 "AAA 627 EXHIBIT "A" PART OF SW % OF SE % OF SECTION 3, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT EAST LINE OF SAID SW Y. OF SE % 154 FEET NORTH OF NLY LINE OF COUNTY TRUNK HIGHWAY "A "; THENCE AT RIGHT ANGLES 200 FEET TO POINT OF BEGINNING; THENCE WEST AT RIGHT ANGLES TO SAID EAST LINE 210 FEET; THENCE SOUTH PARALLEL WITH SAID EAST LINE 154 FEET TO SAID NLY LINE OF HIGHWAY; THENCE ELY ON SAID NLY LINE 290 FEET, MORE OR LESS, TO POINT 154 FEET, MORE OR LESS, SOUTH OF POINT OF BEGINNING; THENCE NORTH 154 FEET, MORE OR LESS TO POINT OF BEGINNING COMMENCING AT NLY LINE OF COUNTY TRUNK HIGHWAY "A" 33 FEET WEST OF THE EAST LINE OF SAID SW'/. OF SE %; THENCE NORTH PARALLEL WITH 33 FEET WEST OF SAID EAST LINE 154 FEET; THENCE WEST AT RIGHT ANGLES 167 FEET; THENCE SOUTH PARALLEL AND 200 FEET WEST OF SAID EAST LINE TO NLY LINE OF HIGHWAY; THENCE EAST ON SAID NLY LINE TO POINT OF BEGINNING. ArcIMS Viewer Page 1 of I y SIB TN Sr JOSEPH 55M 461 3 PI T rr� I http: //72.21. 230.178/ website /LRPortal /ARCIMS/MapFrame.asp ?PIN= 10/16/2006 Wisconsin Department S Commerce County - -� PRIVATE SEWAGE SYSTEM St. Croa Safel;;and t: uil>rag Division ---- -� INSPECTION REPORT Sanitary Permit No 509292 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes IPrivacy Law, s.15.04 (1)(m)]. Permit Holder's Name: � / 1 City Village X Township Parcel Tax No: Kath, Chris �� , "l v U- 1 St. Joseph, Town of 030 - 1012 -20 -000 CST Bh1 Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / 00 1 A \�-- �j'� CS % 03.29.19.55M TANK INFORMATION 12-'^ g ELEVATION DATA TYPE MANUFACTURER G' CAPACITY STATION BS HI FS ELEV. L,j i e ZS & f P. Septic y ° Benchmark Lj � .� F' a„,, 3 Z s ©® A11�- 6vv. 6 . is , % I Alt. BM Po G S O c „7. 3 An_ ��. Bldg. Sewer /1I._ f a, , L Lj, e4:--. "A2100 Z Holding St/Ht Inlet 45 9 TANK SETBACK INFORMATION W 17- ;4 St/Ht Outlet S• � /b(a'`� TANK TO P/4 E L BLDG. Vent to Air Intake ROAD D4�t S F C� 2500 Septic ° y ° Dt Bottom ✓ Cc CO $ i O •4' 15 IZ3 R ZI F'77� Dosing Header /Man. cjb o Aeration Dist. Pipe V Holding Bot. System V V ? ` Final Grade n - C ( 5 i� /SIPHON INFORMATION � � 2 ufacturer W e_ /V 1 GGPMnd) SS� C ove r 3 1 107- 1:5 0 Model Number r O � -7 � I!7 /05.1 TDH Lift Friction Lc s / System Head TDH C^ f� �' / S ZZ j �7 >63 5•SI sm.z.�� 1.50 1 .7 Forcemain Lengtl�, ' Dia. , ° Dist. to Well '7 / , SOIL ABSORPTION SYSTEM (,,eti,1a�. (! �a 4.7 -7 /0(,. BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liqui Depth DIMENSIONS 3 '49 g 77 . C SETBACK SYSTEM TO P/L v BLDG WELL LAKE /STREAM LEACHING Manufacturer: r L� INFORMATION CHAMBER OR J ' ►1 \"� �'�7Ct (' Type Of System: ?S �Za 7 ° C� UNIT Model Number ) C ©�✓-ro DISTRIBUTION SYSTEM (&ASW 4a gd (-,n.6u" J. 06 `7(.0 1�6A-t.f Header /Manifold Distribution ` °° x Hole SiieY 1° x Hole Spacing Vent to Ai�take Or Pipe(s) Length Z I Dia � Length �� Dia � ` � Spacing � � �-° SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems O nly 3C G .R Depth Over Depth Over xx Depti� of Tx ee Sded /Sodded xx Mulched I Bed/Trench C enter Z Bed /Trench Edges Topsoil � Yes No Yes No �Sl I COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 1106 Cty. Rd. A Hudson, WI 54016 (SW 1/4 SE 1/4 3 T29N R19W) metes & bounds Lot Parcel No: 03.29.19.55M 1.) Alt BM Description = , r 2.) Bldg sewer length = pI � A 1l Lome& � � C q - amount of cover = 1 *� L Ca, N, P, J_ ti _ h . � � Plan revision Required? Yes Re a No J I a� Y✓ ppp Use other side for additional information. -- - -- - Date Inse ctor's Sip ture en N,` SBD -6710 (R.3/97) commerce.Wi -gov y Count Safet and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 j eta a �+ N Madison, W 1 53707 -71 G2 Sanitary Pettnit / / Number (to he tilled in by CA.) ` Depa V r'lment of Commerce 56 ( Number 9 - � State Transaction Number Application Sanitary Permit A pp / 3 � 3 (10 (� In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental ! unit is required prior to obtaining a sanitary permit. Note: Application forms I'or state -owned POWTS are Project Address (itdiffeient thanmailing address) 11{ submitted to the Department of Commerce. Personal inf'ormttion you pro may be used for secondary I C}-t A ­ cases in accordance with the P1 ivacy Law, s. 15.0 1 m Stats. 1 -I 1 Application inform on - Please Print All inform n Property Owner's Nana: 5� Parcel ti I ! - 1012 -' Z � ope � < . M � P� rtty Owner's Mailing Address Property Location t � � AUG 1 5 2007 _ Govt. Lai City. State Zip Code Phone Number j ��' y,,'�, Section _r Ci r ST. CROIX COUNTY (circle one) Gam7 / �� T -0 f N; R /_`�___ E ore i 11. Type of Building (check all that apply) Subdivision Name ❑ 1 or 2 Family Dwelling - Numhe, of Bedrooms 1 r Block X Public /Commercial - Describe Use ❑ City of CSM Number ❑ Village of ❑ State Ow ned - Dcscrrtx Use - D Town of lit. Type of Permit: (Check only o e box on line A. Complete lu B if applic A. 11 New System p y ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System (explain) !t. ID 11 Permit Revision ❑ Chan of Plumber List Previous Permit Number and Date issued Permit Renewal Change � ❑ Permit Transfer to New _ Before Expiration I Owner — IV. Type of POVVTS System /Component/Device: (Check all that apply) ^^ ❑ Non - Pressurized In- Ground g Pressurized In- Ground ❑ At -Grade ❑ Mound ? 24 it I. o'su soil ❑Mound < 24 tit, of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) _ Pretreatment Device (explain) Q; 3 ' F V. DispersallTrea Area Information ?esisn Flow (gpd) Design Soil Application Rate gpdsl) Dispersal Area Required! (st) Cispersal Area P sad (st) ,,System Elevation r /� _ 5 3 - 77 V1. Tank Info Capacity in Total tf of // Manufacturer (p„�f Gallons Gallons Units (/i✓/ iCSr� SCa� i j K✓Gt New Tanks Ewstur8 Tanks 'd a a. U in to w V o. (^J Septic or Holding Tank � / e�,� ) ( r' Dosing Chamber �-� ` ��,� ✓ rr ✓ VI 1. Responsibility Statement- 1, the undersigned, assume r esponsibility fo r in stallation of the POWTS on the attache) PI 115 Plumber's Name (Print) !/ Plumber's Signature 1MPRS Number Business Phone Number 1 �� L!.'cl.AY✓` �G- /v<2i>•r1fj�G1� �� > y�^. --� v�v� I O 71.J`� �� G`�/ - I Plumber's Address (Street, City. Stale, Zip Code) Vlll. County/ e artment Use onl Perr A • FM� Date i sued Issuing g t ent Signature roved pp C roved ` i 1 00 S Given Reason for De ' 1 / i d G ' $ / IX. Condia'o r v ftieasons for Disapi.roval b'1f�TE#A 8 t �: 3, Coo ✓`d� w�S i r� JQ c.� -e� 1. Sepik tank lillsr and dispersal call muitaill be services / maintalitad (qCe i n �- as per matt•gerrlo t plan provided by pk#Tdar. 2 All sd(back requftil rats must be rnaintahwd 40 pe ac , It e : the system and submit to the Counly only ou paper not less than 8 tit x I 1 inches in size S1913-6398 (R. 01107) Valid thru 01 /09 L wttsc� �.»Crctt wt <uv �r'tA.sc r�+te. - u� tor; • � . � cui tStr Cor,cre. -�C WL / '+`"a S� �.t.L' �� - --..�, wiPoi /o,��•Gs� tf�iuc.,Er�vt:cr EX /S�inq ,ajar EXi itin ` S �'fy SEyS; Sec, 3, �9K., /t? /9w•, Tn.o{ SE. SoStPX, sE. C11 Co /, ��CSKran� 4 24 �° c.L . ti � �j3o - / o iz - Zo •coo b4, /. s�S acres 4 +� o3G. /O /9.,20 •uz� �;� �,sa cr Sur QtRaC�'� time c(7 ' u.�;eSu' Gmarc.EC W5aV 8 10•(Z) w 6.14..' 7 o{' "\ — Ex %se WC proposed Prc�j Cdfi�tan .9 5Su X d o, dda'�ai on e lcv; � /390' C . L e i�56a.6 /cd b�t..�eeh Q // Asp"C6 A *&-nJ A? w n e,q &,,j . I I �ttS•cr G+,cr�c w /2� �r'cct5c i�+Ecrte/oz uJifStrConCrcicWLN2SOO t' 4 S/. la, C 4f occf /CL% ,Sca /e: SE`y - C, 3, T zqA. A? /9w , ra n `9 4 24d 0 r« O.SO - / o rz - aC C' be. �creS # 030- 1013- w:escr Cov,c. y2oD � v dc��l u�,e5� Gmurt 1,JSC1� pjl0•(•Z� one (I) &0A(;cra6, .pt-'a 4 FAs y`3.0 Bx /s�;� uJerl. PrePescd Prcfj^ca.•fin�.+ -6 c�..,,t. A SSu.►i't d a dda'�%o� Asp"tt /�•�nJ /a w n y"-403 v P� /lisn� A Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i s c o n s i n w ww.coe.Vi.gov/sb/ sin.gov www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary June 07, 2007 CUST ID No. 227990 ATTN.- POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/07/2009 Identification Numbers Transaction ID No. 1393607 SITE: Site ID No. 718034 Willow River Inn Restaurant & Bar Please refer to both identification numbers, 1106 CTH A above, in all corres ondence with the a enc Town of Saint Joseph St Croix County SW1 /4, SE1 /4, S3, T29N, R19W FOR: Description: In- ground Pressure POWTS / Commercial System / Aerobic Treatment unit / Replacement construction Object Type: POWTS Component Manual Regulated Object ID No.: 1096443 Maintenance required; 3,023 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): In- ground Soil Absorption Component Manual - Version 2.0, SBD- 10705 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on 11/10/06 under Transaction ID No. 1318633. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. 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 component manual(s) referenced above. • A preconstructiommeeting with the installing plumber, the county inspector and/or the District Wastewater Specialist, to discuss construction procedures is recommended prior to the commencement of the system installation. Please contact the District Wastewater Specialist at the number shown on page 2 for your scheduling options if needed. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Comm 83.21(2)(c)4. The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber- restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. • A component specified in this POWTS design requires servicing at an interval of 12 months or less. Pursuant to s. Comm 83.21(2)(c)5, Wis. Adm. Code, if any part of a POWTS requires servicing or maintenance at an interval of 12 months or less, a notice of the need for such servicing or maintenance must be recorded with the deed for the property. If the maintenance or service notice has not been recorded, a sarutary_permit can not be P.O.W.T.S. issued by sanitary permit issuiniz agent. Conditional y APPROVE WILLIAM C SCHUMAKER Page 2 6/7/2007 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tanWfilter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • All timer settings and dose volumes shall be field calibrated to ensure the loads and flows will meet with the design parameters established in the ph i ns. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • 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 installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 t Fee Received $ 75.00 Balance Due $ 0.00 Oeerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim @wisconsin.gov cc: James K Thompson, A.C.E. Soil and Site Evaluations (Plans Mailed To) Leroy Jans POWTS Wastewater Specialist, 715 726 -2544 Friday, Y k3', P � ( ) Y, 7:00 A.M. To 3 :30 P.M. r r co 0 w o ® NON - RESIDENTIAL IN -GROUD PRESSURE POWTS DESIGN _> C " J = With pre- treated effluent W 011 �] Design based on Component manuals: V � Pressure Distribution Component Manual SBD- 10706 -P (N 01 /O1) 8 >_ In-Ground Soil Absorption Component Manual SBD- 10705 -P (N.01/01) LU INDEX AND TITLE SHEET d co Project: Willow River Inn Bar & Restaurant Contact: Chris Kath Address: 1106 County Highway A Hudson, WI 54016 Legal Description: SW1 /4SE1/4, Sec. 3, T29N, R19W. Township: St. Joseph County: St. Croix Subdivision: Na Lot No.: Na Parcel ID Number: 030 - 1012 -20 -000 Plan Transaction Number: 1393607 Index and title sheet Page 1 Site Plan Page 2 Daily flow calculations Page 3 Treatment tank sizing Page 3 & 4 Dispersal cell & Pressure distribution Page 5 network sizing calculations Pressure distribution network detail Page 6 Dose chamber cross section & Pump curve Page 7 System Cross section Page 8 System Management Plan Page 9 Attached soil evaluation report Page 10 Designer: Bill Schumaker License Number: 227990 Signature: Phone No.: (715) 386 -3121 Date: April 25, 2007 DEPARTMENT Of COMMERCE OIVISI(M Of SAFETY AND BUILDINGS SEE CORRESP DENCE Willow River Inn Bar & Restaurant Daily Flow & Design Calculations ,1013 1)1 Full service bar & restaurant with seating capacity for 75 patrons. Operating hours 10:00 A.M. -- 2:00 A.M. Anticipated peak wastewater flow to result from dinner traffic on Friday & Saturday evenings at 2,015.00 GPD (75 meals, 75 bar patrons & 5 employees). Estimated daily flow Sunday —Thursday anticipated to be 586 GPD (20 meals, 30 bar patrons & 2 employees). Owner has stated that food waste grinder will not be used, fried foods will be served on paper service, grease will be removed from the waste stream, etc. Accordingly, BOD levels assumed to be lower than normal for a �` typical restaurant use. PH IPOS.A Soil conditions at this site are suitable for an In- Ground POWTS. Installation will consist of a 1,250 - gallon grease interceptor to catch all and only kitchen wastes and a 2,500 - gallon trash tank. Both tanks will discharge to a 4,200 gallon surge tank that will contain primary and back -up sewage effluent pumps set to dose at one hour intervals to a pre- treatment tank containing one (1) Bio - Microbics HighStrengthFAST 3.0 pre - treatment unit set in a Wieser Concrete W5000 tank. W5000 tank has sufficient capacity to add second HighStrengthFAST 3.0 unit if post installation effluent testing indicates additional treatment is needed. Effluent will be transferred by gravity to a 2,000 gallon dose tank utilizing on -demand dosing to distribute effluent into two dispersal trenches located within the same mound system. Dose tank will contain backup pump to distribute effluent in the event of primary pump failure. AVERAGI DAILY DESIGN WASTEWATER FLOW CI ACID ATIONS• 1,491 4 3 gal (3,022.50 gal. peak design flow)(2 days) + (879.00 gal. non - peak design tlow)(5 days) = 10,440.00 gal. generated/? days = 1 gal average daily design flow PEAK I)F'SI(:N WASTFWATFR FL O" ('I ACUI ATIONS• 3,022.50 Cod demon ow (75 seating capacityx22 galf) = 1,650.00 Gpd (75 bar patrons)(4 gal. /patron) = 300.00 Gpd (5 employees)(13 gal.) = 65- Gpd 2,015.00 Gpd x 1.5 ^ 3,022.50 Gpd design flow NON -PEAK DESIGN WASTFWATFR FLOW CI ACU ATIONS• 879.00 Gpid Design Wastewater Flow: 979979 00 Gpd (20 meals /day)(22 gal /meal serve) 440.00 Gpd (30 bar patrons)(4 gal. /patron) = 120.00 Gpd 2 employees)(13 gal.) = '26-00 Gpd 586.00 Gpd estimated flow x 1.5 = 879.00 Gpd design flow GRLASE INTERCEPTOR• Manufacturer & Capacity: Wieser (oner t W 1 250 Crease Inn rceptor Grease Interceptor sized in accordance with Comm. 82.34(5), installed to collect all and only kitchen wastes. (75 -seat capacity)(' 12 operating hours per day)(1.25 appliance factor) ° 1,125.00 gal. minimum capacity SEPTIC TANK CAPACITY CAF CCUI ATIONS• Manufacturer & Capacity: Wieser Concrete W2500 MR septic tank = 2 52146 gal actual canacitT I . Capacity per Bio - Microbics design specifications = 12 hr. — 24 hr. retention time. 2. Peak DWF = 3,022.50 Gpd 3. 2,500 gal. tank retention time = 20 hrs. 2 minutes (2,522.46 capacity /3,022.50 Gpd Peak DWF) 4. PolyLok PL -625 effluent filter at outlet with high water alarm AERATION TREATMENT I IN IT CAPACITY CA Clll ATIONS• Manufacturer & Capacity: Rio Microhi s HighStrength FAST 3 0 designed to remove 6.0 I bs ROD /dar Average daily flow restaurant = 1,491.45 Gpd assumed at 500 mg/L B.O.D. = 6.21 Lbs BOD. /day Pg. 3 of 10 SURGE TANK CAPACITY* Manufacturer & Capacity: Wieser Concrete W4 00 se ptic , (7 00" SR R5 gal-/inch = 4'i2 .� , 7 9-0 gal actual capanitty M Control Panel: Orenco VP -SSF with redundant offflnats, current s.. ensnr,,� electrical dis nnn t switch Duplex pumps to be installed. Timed dosing proposed to allow retention & mitigation of peak flows. Minimum capacity = 3,062.13 surge + 62.38 gal. dose vol. + 706.20 gal. retained vol: 3,830.64 gal. surge tank SURGE. VOLUME: 3,062.13 Gallons Surge capacity to be 150% of largest surge volume. 2,015.00 Peak estimated flow - 586.00 non -peak estimated flow = 1,429.00 gal, surge volume Largest surge carryover = 2,041.42 gallons (See chart below). Surge capacity = (2,041.42 gal.)(150 %) = 3,062.13 gal. r r Monda Tuesday Wednesda Thursd Thursday Friday Saturday Sunda Carryover surge volume 1 633.13 1,224,84 816.55 408.26 0 1,020.71 2,041.42 Daily estimated flow 586.00 586.00 586.00 586.00 2.015.00 10 586.00 24 hr. cumulative um volume 994.29 994.29 994.29 99429 994.29 994.29 994.29 Remaining surge volume 1,224.84 816.55 408.26 0 1,020.71 2,041.42 1 633.13 SURGE TANK TIME DOSE CAI CIJI ATIONS• Manufacturer & Capacity: Wieser Concrete W4 00 s ,ptic (72 00 Q SR R5 gal /inch = 4� 37 ?0 gal actual CSpSGiIX Duplex Goulds 3871 EPO4 pumps to be installed w/ Orenco MVP -SSF control panel w/ current sensor, redundant off floats, surge capact use, & electrical disconnect switch. Dose timer to be set to activate pump at lhr. intervals. D) High water alarm: - = 3,468 6262 gal C) Notification of surge capacity use: 0.00" = 0 00 gal B) Timed pump on/off: 1.06" = 6- 'tom (1,491.43 gal. /24 doses per day) = 62.15 gal. dose volume A) Redundant "Off' float: 12-W = 70 TOTAL: 72.00" = 4,23�gal DOSE CHAMBER CAPACITY & DEMAND DOSE CALCULATIONS ATIONS Manufacturer & Capacity: Wieser Concrete WI P1 50 -MR (36-00" 64 34-81 gal Anch = 1,260-07 gal achI4 Control Panel: Orenco MVP-SSE w/ redundant off floats, current sensnr,ge..:�� ical disconnect & anti event counter Duplex Goulds WE1018H pumps to be installed. Sizing: A) Additional holding capacity: 15.00 = 5?? 25 gal B) Alarm setting: 2.00" = 69 2 gal, C) Dose volume + flow back: 7.00" = 243 671 (1,491.43 gal. /5 doses per day) + (.163x45') = 298.29 + 7.34 = 305.62 gal. maximum dose volume (49' lateral lengthx0.064)(8x5) + (.163x45') = 125.44 + 7.34 = 132.78 gal. minimum dose volume D) Reserve storage: 12.00" = 417 V gal TOTAL: 36 00" = 1, 53 16 gal Pump selection: Manufacturer: Gould c Model number: 3R85 WF 10I RN Min. discharge rate required: 45 12 gnm Pump discharge: 97 0 gpm 20 R V TD14 _EQUALIZED EFFLUENT DISTRIBUTION Pressure distribution network to be constructed to equally distribute effluent to dispersal cells. See design calculations at page 5. Pg. 4 of 10 r - I ABSORPTION AREA SIZING CALCULATIONS (With Pre - Treated Effluent) 1. Total daily wastewater flow: 1,491.45 QA Design Flow 2. Existing grade elevation: 95.70' at B -2 3. Depth to limiting factor: 99" a, B -3 (elev. = 87.15') 4. System Elev.: 90.15' 5. Infiltrative capacity of natural soil = 1.6 gpd/sq. ft. 6. Absorption area required: 932.16 sg. ft. 1,491.45 Gpd design flow / 1.6 Gpd = 932.16 sq. ft, sq. ft. absorption area required 7. Absorption area as proposed: 953,44 sg ft (96 chambers total = 384 linear feet,) Infiltrator "Quick 4" = 9.64 sq.ft. ISA per chamber, Infiltrator "Quick 4" end cap (pair) = 3.50 sq.ft, ISA 932.16 sq. ft. — (8 pair endcaps)(3.50) = 904.16 sq. ft. 904.16 sq. ft./9.64 = 93.80 chambers required Number of trenches: a) 12 chambers per trench Trench width: 2,83' Trench length: 50.00' Total system area w/ 3' trench spacing and 4' manifold shelf: 20.33'x 104.00' PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing: Laterals per cell: 8 Lateral spacing: 5.83' Lateral length: 49.00' Lateral size: 1 Hole size: 1/8" Hole spacing (x): 24" ( 1st hole at 12" from manifold entrance into endcap) Holes per lateral: 25 Distribution network discharge rate: 82,00 g,4l. /minute (8 lateralsx25 holes/lateral)(0.41 gal/hole) = 82.00 gpm 2. Manifold sizing: Location: Center Length: 17.50' Diameter: 2" 3. Force Main: Diameter: 2 ZZ Length: Flow rate: 82.00 gal. /min. Friction loss: 5.62 (45'x12.49 ftJl00ft.) = 5.6205 ft. 2 4. Total dynamic head 20.81' Min. supply pressure: 6.50' Vertical lift: S •� Friction loss (Forcemain): _ ?' Z 16\ Friction loss (Manifold): 2.19' Total dynamic head: 20.81 Pg. 5 of 10 I - Lateral Network Construction Notes: 1. Pressure distribution laterals to be installed in accordance with manufacturer recommendations within "Installation Instructions For Quick 4 Pressure Distribution Systems ". 2. Distribution lateral to start at entrance through multi -port end -cap. I' hole to be located at 12" from entrance through end -cap. 3. Distribution laterals to be suspended from top of Infiltrator chambers by plastic pipe straps at every chamber connection. 4. %s" orifices to be drilled at 12 o'clock position with every 5` orifice drilled at 6 o'clock position to allow effluent drainage upon completion of dose cycle. 5. Sim/Tech stf -106 orifice shield to be installed on downward facing orifices to dissipate hydraulic pressure. 6. 1'/4" lateral cleanout extension to be brought to finished grade by use of long sweep 90 elbow or 2 - 45° elbows. Cleanouts to terminate within valve box. Center Connection Lateral Layout Daigram Force main oonneotion via tae or cross to manifold at any point. Laterals are identical P • - Turn-up with oleanout plug or ball valve I <- X--- )1Ex12 x�2 Holes drilled on the bottom of the lateral. laterals & force main of PVC sch 40 as per Comm Table 64.30 -6. Ads. Adm. Code Number of Laterals 8 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.00 ft Lateral Length (P) 49.00 ft Orifices per Lateral 25 Pg. 6 of 10 �I Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ---► Comm 16.28 WAC 4 in, min. Disconnect Tank component is properly vented f-- Alternate outlet location Forcemain diameter Wieser W1000 -MR Manufacturer 2 in. Capacity] 1253.16 Gallons Volume 34.81 gal/inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 15.00 522.25 C B _ 2.00 69.62 —t P♦ u mp off elevation (ft) C 7. 00 243.57 85.00 1 [7 D 1 2.0_0 417.72 D Total 36.00 1253.16 D ank elevation (ft) 3" Bedding uncTer tank. 84.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV Submersible Pump Manufacturer Goulds Pump Model Number 1 3885 WE1018H Effluent Pump to METERS FEET 3885 40 130 -__y_ , -._.._ _ _. - EYSH SERIES 3885 120 - - r - -. SIZE 'I SOLIDS 35 - "M 3510 & 110 WE2 H.: 5 PM .... _ 30 100 0 90 WE-t R ' W 25- 20 70 �0 H : -___ _ _ ___ _...__ 0 60 - - a 15 50f WEO - _ - EO ti t 0 40 0 30 EOM + r D � _ I t -• -- 4 a 0 00 10 20 30 40 50 60 70 8 90 0 110 120 130 140 150 160 GPM 0 5 10 15 20 25 30 35 m /hr C PACITY ,0 .A 4C&uu,Qd; Goulds Pu mp s 2 .0 '"'"'' ITT Industries www.goulds.com d q fi o � t 4x >� i 4 - •i:n ,� o o a o � G U �• b F � X i • Z00 /Z00 " vAa a,LIS v uos a o v b9LL 0 5TL xe,' 9S :90 LOOZ /LO /90 f In- Ground Dispersal Cell Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The In- Ground septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10706 -P (N.01 /01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Grease Interceptor An individual licensed by the Dep't of Commerce to inspect, install or service POWTS components shall inspect the grease interceptor on an annual basis. The interceptor shall be emptied of collected materials as needed to prevent their passage through the interceptor. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every year by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of the annual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once each year. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Dispersal Cell and Pressure Distribution System The dispersal cell shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the dispersal cell is not recommended. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 12 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Testing effluent quality The sewage effluent generated at this site may exceed the high strength effluent concentration levels as established by the Wisc. Dep't. of Commerce. Influent quality entering the mound dispersal component of the POWTS may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Periodic testing of effluent concentration will begin 45 days after the system is placed in service and will continue at 4 — 6 day intervals for a period of 30 days with 6 samples being collected within that period. If concentration levels exceed Dep't. of Commerce standards, a second Bio- Microbics HighStrength FAST 3.0 pretreatment component will be installed in the existing 5,000 gallon treatment tank. Effluent quality will be assessed as described earlier. Results of testing will be submitted to the County Zoning Dep't. with a copy forwarded to the Dep't of Commerce approving agent. Influent flow may not exceed maximum design flow specified in the system design and sanitary permit. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the aeration unit, dosing tank, pump, pump controls, alarm or related wiring become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the dispersal cell component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be replaced with a code compliant dispersal cell located immediately adjacent to the failed cell. A diversion valve will be installed to allow future re -use of the failed cell. Questions on the operation or maintenance of the system should be directed to the installing plumber or your county Zoning Inspector. P 9 I Pg. Of 0 FROH :SCHUMAKER PLUMBING FAX NO. :7153863121 May. 25 2007 11:17AM P1 ftsanutn Department a C -nmercx S OIL EVALUATION REPORT Nags _ -�.- of �•�_ Divi sion of Satety and Sui)d s ' in etx: wah Comm tlb. tlYts. Adm. Code � °•--� .".."' . Atwoi oomptete via plan on paper not lees than a IQ x 11 Inches In size. Plan must t irxcsudo, but not limited lo: venco and heAzontal mkwe=4 print (8M), direCdon and Pw)* U). percent slope, scale or dimensions, north a►rvw, wW location and d to noareet rottu. Please print all W017 etfon. Reviewer! t>y Dale Ps-Aml v#ormawrn You Prvv4& oily be vW tot wwrkery wrpoaes (i' Y—Y Low. s. t604 (t) (M)) ! Property Owner PAY (,� on L.J j GcN t tJ`z 1' I V1 VZ Govt. trot 1/4 114 8 7 N R E (a) W property Ow+r4es Mailing Address 4. f BklQK # SUbd tWttrte or CS. City p ode CMY Village Town Nearest RuaC ! q§� Now Constwa+nn Usw Q Residernlai ! Munbor of bedrooms � � T Coda dr owed design firm rata GPO []Replracenwit oortnnerdal - Doeatbe: — .— ...- .... • - - -.- I Parent materiat . 4�t1 6< S T__W_ -_ _. — ^�.. , Florad f�{a� B?+3 iw N applicable . �_._ � �! = -.. --- ft. 1 t �lt /J 1 er, r �tio�6. > y -4 �1^� �: � t u ,� � �► j- J i � A 7c' v r. l soft Sod t_ Q pit Ground surraCet elev..pu- ?-O 0ep6►1D ilirrr►liinq f2dvr f` � d — in r- Sa Rape r Hovi7 xi Depth Dominant ' Redox Desalption Texture Sbvctura COMIstence 8oundery� Roots — G P i In. Munsell ou. $z. Ccxd. Golor or, Sx, Sh. w fF!!1 'EfF#2 12 pc r � C vL �1 0 ' ®pit Ground suriaCe eleV. D K. tyeFrth t0 tirniting tarlOr _.L.&✓ in. Hod= Dept, Dmutant color Re(ft 08wro ion Texture 5t uawe Consteterm Box. gwy ROM C3POfff 41. Mu�M Qu. tie- Cant. Color Gr. Sz. gy '1"flltt ' 'Eft ( 6 5 JL, I j 3 1-10 a 3 VY ' Mom #1 = SOD 30 22D nvk and 1W a30 1 mgrl. • BIWAvd 1102 a BCX7 I n 30 FIX sid T3t3 <- 90 r*+B4 :,3T twxNo�+r ) �� - Delve E a cad Te1c +wn® tJUrnbK Address � L fw IC• ai.arunrW� 'W I FR01 :SCHUMAKFR PLUMBING FAX N0. :7153863121 Maq. 25 20C17 11:17AM F2 � )/ � of PravertY Owner -- �� � S�-�" ' ✓` Parw ►D # Q Page l30�in9 * r ! "- y � qs• tQ R DOO to Intl %Clw 1 C_._ 9oi1 "d_ban R&W Pk Ground swim* ele�+.._..�.-- .--..- �� ToXttJte a Cana►scence So�lary Roast t.,pom -- 1 I p Deth pprrrrtant Padvx taasrsl!>s 5 •1<pilt Sftt2 tn. Mur aW Qu. at Cart cow Gr. Sz• h, c S C Y # [] �tKi L� 430 ❑ PI! t3round Urfa" elay. _ -.._. �. Dapsh to '$ taztar ,,,.,_,.�_.....'._ in- "'�'j swLart Palo Ta r>J Strucatra GxtsisujC* Boundary Rtaob GPON man DeP>n t3onwnar+t Cdor Radvx psaaiptfon gtl�ft2 j in. MunzaK Qu, Sz, Cont. L'a Gr, Sz Sty, I Boring in. Geound sur%co slev. [)SO W Nmlli l +x .. »_ ._ r._ iogtf Rata i ❑pit pDp . 7�p,yy Stnt�ure Car�tatsrroe Houndary, , Kabta hior+zon Cuptl+ Dorm wg Rod= ' G in j2ql SL Cof+t Color or, SL SK s an I 1 • ><JNuant NJ a t30D y 30 W 7Ztl mWL rrrd TSS ;.3Q :! 450 rttg4. Efter t 02 Boo..! 30 nVt arm TW :30 191L teal null service provider ttad Mployc► if you recd asaism"t to as scrviaes ar ommerce is an *qua' oQ �' 60 8.26441 7 7. 1 he Uaparut�ent of C ent at 608 -266 - 1 Sl or TTY aecd material is an altemato format, piaasr cams the departin I sao-uso t� FROM :SCHUMAKER PLUMBING FAX NO. :7153863121 May. 25 2807 11:18AM P3 n a> w I-J 9 bJ �OW K air�7 t h �1 $GALlt 1 f � � BM 1 rLLiVA1"! *N IBM 1 0966 PT1ON y1� ISM a SL; VATION foo. C Lk BM 2 098CRIPT1ON na ► t � t` .r (�, y fall SCE " �� Ion ( -�v.s �'• sYll7tM ILEVAT1O .- �.-- -- -- SYSraM Type CL -- gy.-4c toe 6 ;3 DAYS Z7- /-r- 5 - r , 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 8 112 x 11 inches In sizift st i --�- include, but not limited to: vertical and horizontal reference point (SM), 490onmw LQ. percent slope, scale or dimensions, north arrow, and location and distance V. Please print alt informatffon. ►..,,,,� eview by D�Ile Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m) . c /s d Property Owner n Property Location Li " U CLj � i �f.�.r I 1V ED Govt. Lot _ 114 114 S T N R E (or) w Property Owner's Mailing Address lock # ubd. Name or CSI City zi p C 0 VNlage (Town Nearest Rona CA S —�• ' New Construction Use: ❑ Residents ! N s .�� Code derived design fk)w rate ® Repiacenment ( Public or comrnnercial - Describe: Parent material - C 4 1 , - - Flood Plain elevation if applicable General comi tents / t r f t/ e. and reowwrmandations: ,� t� �G 1 l /1 v r ❑ Borim Bori ® Pit Ground surface olev. 7 �' ft. Depth to limiting factor _f / o— in, r-- pication Rat sod Horizon Depth Dominant Color Redox Descrip6m Texture Structure Consistence Soundsry Roots P2Pff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eft#2 a_ o 13 •, -e Y C 1 . Z l2-gy la. r �{ ;� I ✓� CS Ll 3 � q a r L S vns` m-i'r- C — t3onng # 12 0 Boni ❑ Pit Ground outface elev. � t> It. Depth to 4miang factor _ -S in, Sail Ap icatIon Rate Horizon Depth Dominant Color Redox Description ~ Texture Structure Consistence Boundary Roots OPOM in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. `E 1 l *E7 2 I 6-5 e l S 1 IL t:t L.-A • Effluent #1 - SOD > 30 < 2211 art y![. and T3S ' 150 mgll. • Eilltent #2 - 901) 30 mglt. said TSS ! 30 rang CST Nam Fleasit► Print) Sig ^sS'T Number Address Date Evaluation Carmdtrded Telephone Number t... Property Omer cil s "`- '�" � �l ✓� Parcel ID N Page Z of C3 Bori Boeing # ng �j Q Pit Grrxend surface elev.q 1 �{fJ ft Depth to limiting fader _ ( it" Soil A�glic�rdon Rata Texture Stnactune Go_Sistence Boundary Roots GPt71Ff mi Horizon Depth Donant Color Ftedox Desariptkn •Effiif •Eff#2 In. Munsell Qu. Sz. Cont. Cola Cyr. Sz. Sh. c� s i C 8' U Boring # Boring 1 it ❑ Pit Ground surface elev. _�_ R. Depth to {imitieig facto+ . In. Aco licaton Rate Texture Structure Consistence t3aundary Roots _ GPDHP Horizon Depth Dominant Cola Redox Description . t •Eff#2 In. Munseil Qu. Sz. Cont. Color Gr. Sz Sh. Boring # lJ Boring in. Q Pit i3azwnd surface also. __,_. R. D to Wniting factor Soli icetlon Rate T Texture Structure , Consistence Boundari ; Roots GPDM' Horizon Depth Dorinant Color " godox Description. •Eff #1 *VW2 in. Munsell 61 Sz. Cont. Color Gr. 5z. Sh. • Effluent #1 BOD > 30 r 220 mg1L and'tSS >30 <_ 150 mgll: ` Effluent #2 x 600, 1 mWL and TSS 130 molt The Department of Commerce is an equal opportunity service provider and ompioyer if you need assistance to access Services or need material in sn alternate format, please contact the department at 608 - 266.3151 or TTY 608-264-8 sa"30 tttAWi L I PASS fdAMS TOW CL--f f I V CT�I T► N 'A �e�4 S T N R � OR W 13M r SLXVATION 1 40- � a m 1 ONSCRI GCS` ,`n r` � l em s 'SLEVATiGN / OU. d ,�.....,� BAIL 2 D Es e ttlPTION Yla SYSTEM ELS VAT►O N SYSTEM TYPE �G rL J e ►'� T �'` u v �q i C ;/ .n1 (� �o — � �10 k ' 6 DAYS SlGNATURlL!� ' Document No. POWTS AGREEMENT Owner name and address: Christopher Kath 568 White Oak Lane Hudson, WI 54016 This indenture, made by "owner" and their successors in interest, own a POWTS (Private Onsite Wastewater Treatment System) requiring regular monitoring and maintenance in accordance with the manufacturers recommended Return to: procedures. These procedures must be performed by a manufacturer authorized Christopher Kath service provider licensed by the State of Wisconsin to perform these services. Results of these procedures shall be reported to the appropriate Governmental 568 White Oak Lane Unit as required by code. Hudson, WI 54016 Location of POWTS: Parcel ID #: 030 - 1012 -20 -000 Lot Na , Block Na . Subdivision/CSM Na , being part of SW " /4 SE "/. of Section 3, T. 29 N., R. 19 W., Tn. Of Hudson, St, Croix County, Wisconsin. POWTS DESCRIPTION: Wieser Concrete W5000 Bio -(2) tank with Bio- Microbics "Micro -fast 3.0" pre- treatment unit, pre- treated effluent discharged to conventional dispersal component constructed in compliance with In- Ground Component Manual, SBD- 10705 -P (N.01 101). OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Owner" is responsible for insuring inspection, operation and maintenance of POWTS. y'1G' °7 � $Ownerigns e) (Date) (Owner signature) (Date) em nt: These name , Kernon Bast, known to me to be the p on executing the foregoing instrument. Subscribed and swom t before me this A( day of , 2007. - PUBLIC, State of Wisconsin My Commission Expires: 4� A ga; � Instrument Drafted By: James K. ThMson POWTS SERVICE CONTRACT The proper operation and maintenance of the components listed below will significantly influence the performance and life expectancy of the POWTS (Private Onsite Wastewater Treatment System). This agreement authorizes A.C.E. Soil & Site Evaluations, L.L.C. personnel (Service Provider) or their representative access to the POWTS components during regular business hours to perform regular inspections and routine maintenance of those components. It is herby agreed by and between Purchaser and Service Provider that in consideration of the payments provided for herein, Service Provider will provide a manufacturer trained and State licensed inspector to perform periodic inspections of the POWTS components as set forth below. Service Provider will prepare a written inspection report after each inspection containing any recommendations for the operation, maintenance, and or repair of the POWTS deemed appropriate by the Service Provider. A copy of the report will be provided to Purchaser and the appropriate Governmental Unit. Service Provider will supply additional services, parts, or labor only after authorization by purchaser. This agreement does not assume any responsibilities or obligations that are normally the responsibilities and obligations of the purchaser and does not cover any costs associated with operation, maintenance and or repair of the POWTS. In no event shall Service Provider be responsible for any special or consequential damages, including but not limited to, loss of time, injury to person or property, or incidental economic loss due to equipment failure for any reason whatsoever. This agreement shall remain in effect for a period of two (2) years from the date of POWTS installation, and will be automatically renewed each year thereafter unless amended or cancelled by either party with 30 days written notice. This agreement may be cancelled by Purchaser only if replaced by a service contract with another service provider authorized to inspect and maintain the specific POWTS components in question. Purchaser agrees to pay Service Provider the sum Of 85.00 per inspection. Four (4) inspections will be provided over the first two -year period at six -month intervals. Payment for the first four inspections will be included in the cost of the POWTS design. One (1) inspection per year will be conducted thereafter with inspection fees billed at the time of inspection. POWTS DESCRIPTION: Wieser Concrete W5000 Bio -(2) tank with Bio- Microbics "Micro -fast 3.0" pre - treatment unit, pre- treated effluent discharge to In- ground dispersal component constructed in compliance with In- Ground Component Manual, SBD- 10705 -P (N.01/01). POWTS Location: 1106 County Hwy. A,_located in: SW 1 /4 SE' /4 of Sec. 3, T. 29 N., R. 19 W., Tn. of Hudson, St. Croix Co., WI, Parcel # 030 - 1012 -20 -000 Owner name and address: Christopher Kath 568 White Oak Lane Huds , WI 5401 ZP/ 07 er signaiur (Date) Service Provider: Soil & Site Evaluations, L.L.C. 340 Pa ,son Lake Road Osceol , WI 54020 s_--- u �l�,�7 ice Provider signat ) (Me) Instrument Drafted By: James K. Thompson r - Vc- STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH WARRANTY DEED REG3STER OF DEEDS Document Number I ST. CROIX Co., WI This Deed, made between Larry Crowson and Jensine Crowson, RECEIVED FOR RECORD husband and wife 04 --17 -2001 9:00 AN WARRANTY DEED EXEMPT 9 Grantor, and Christopher Kath, a single person _ CERT COPY FEE: COPY FEE: TRANSFER FEE: 810.00 RECORDING FEE: 12.00 PAGES: 2 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 T Nd Retqr Addr s f // See Attached Exhibit "A ". / / / r / ��� w / { � � / f/ (/ ` z� 030- 1012 -20 Parcel Identification Number (PIN) This is not homestead property. (N) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of April 2001 �i�lL� •��:� arsr► • =1,xrr76rovWv.on * sin Crowson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. County ) authenticated this day of Personally came before me this /eZ day of April - ' 2001 oso Larry Crowson and Jensine Crowson, h * TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) wow ^ xfcuted t3�foregoi (If not, instrument and ackno the s�$'�. s n U Q V �,`+ authorized by § 706.06, Wis. Stats.) r THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson,Wl 54016 My Commission is permanent. (If not, state ate: (Signatures maybe authenticated or acknowledged. Both are not necessary.) -- _ Q,2— _) * Names of persons signing in any capacity must be typed or printed below their signature- inrormation Pmfess — als company. Ford du Lac. vin 800- 655-2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 627 EXHIBIT "A" PART OF SW % OF SE % OF SECTION 3, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT EAST LINE OF SAID SW %. OF SE '/. 154 FEET NORTH OF NLY LINE OF COUNTY TRUNK HIGHWAY "A "; THENCE AT RIGHT ANGLES 200 FEET TO POINT OF BEGINNING; THENCE WEST AT RIGHT ANGLES TO SAID EAST LINE 210 FEET; THENCE SOUTH PARALLEL WITH SAID EAST LINE 154 FEET TO SAID NLY LINE OF HIGHWAY; THENCE ELY ON SAID NLY LINE 210 FEET, MORE OR LESS, TO POINT 154 FEET, MORE OR LESS, SOUTH OF POINT OF BEGINNING; THENCE NORTH 154 FEET. MORE OR LESS TO POINT OF BEGINNING COMMENCING AT NLY LINE OF COUNTY TRUNK HIGHWAY "A" 33 FEET WEST OF THE EAST LINE OF SAID SW % OF SE %; THENCE NORTH PARALLEL WITH 33 FEET WEST OF SAID EAST LINE 154 FEET; THENCE WEST AT RIGHT ANGLES 167 FEET; THENCE SOUTH PARALLEL AND 200 FEET WEST OF SAID EAST LINE TO NLY LINE OF HIGHWAY; THENCE EAST ON SAID NLY LINE TO POINT OF BEGINNING. i lillll !1411 1! {!!lull 1lN !!!!! 11111!1{!! !!Il {!I{ Document Number Document Title 857637 KATHLEEN H. WALSH St. C roix County REGISTER OF DEEDS AEROBIC TREATMENT UNIT (ATU) RECEIVED SERVICING AGREEMENT 08/15/2007 01:45PM AGREEMENT EXEMPf t late Plan Transaction Number - ,l3 3a4 REC FEE: 13.00 PAGES: 2 Name - ( caner) Typed or printed Being duly sworn, states, under oath, that: 1. He /she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume I (D 1 Page (oZ Document Number (Pq 3oo(o St. Croix County Register 1 of Deeds Office: Recording A rea A parcel of land located in the -) '/4 of the -! , '/4 of Section Name and Return Addross s , T ,2 9 N - R % 9 W, Town of k .S?'.���s St. Croix County, Wisconsin, being duly described as follows (include lot no. and subdivision/ M 01 ` SY ra /� 030- �b�z -zo -� detailed legal description): S6c- /- 4r-C- { � Parcel Identification Number (PIN) Agreement Date: 4 l �� 7 As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on the above - described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Comm 83, Wis. Adm. Code relating to Aerobic Treatment Units (ATU) and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. If the owner falls to have the POWTS and ATU property serviced in response to orders issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s, 254.59, Slats., the governmental unit (Town) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Slats. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the Department, including, but not limited to: the blower, electrical controls, and treatment unit operation and sludge depth. These Inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59. Slats. 4. The owner recognizes that the county, Department of Commerce, or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event in a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6. This agreement will remain in effect only until the county office responsible for the regulation of POWTS certifies that the aerobic treatment unit no longer serves the property, In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded in a manner that will permit the existence of the agreement to be determined by reference to the property where the Aerobic Treatment Unit is installed. Owner(s) Name(s) - Please Print Subscribed and sworn to y before me on this date: _ r S_ 07 � Y�i �?� K a 4__O� ota 'zed Own""' Signatures) Notary Public , Ot #j� 06 - vernmenta l Wnit Offici I \ erne, Title - Please Print My Co fission Expires -:f U y'� C l Ck t cti.CC ,' ,n C)p Zo,n; Go rnmentai Officla Sig lure Dr ed by: a C. Personal inf rmation p be used for sewn ry purposes [Privy Law s. 15. �% 111111 /t� "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" t f This information must be completed by subrnftter. document Me. name 4tratum address. and E& (if required). Other info) metion such as the granting clauses. /age/ description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Ng AL Use of this cover page adds one page to your document and 52.00 to the recordino fee. Wisconsin Stetutas. SO- s17 i Willow River Inn Effluent Testins Results SAMPLE DATE SAMPLE ID REPORT # RESULTS (Mg/L) B.O.D. T.S.S. Ph F.O.G. 4/10/08 4:00 PM WRI 01.04.10.08 8008343 30.00 15.00 7.90 2.00 5/9/08 7:00 AM WRI 02.05.09.08 8010800 27.00 40.00 7.30 2.00 5/15/08 11:45AM WRI 03.05.15.08 8011623 14.00 35.00 7.50 1.00 5/23108 8:00 AM WRI 04.05.23.08 8012211 8.00 16.00 7.10 1.50 5/28/08 7:30 AM WRI.05.05.28.08 8012439 12.00 6.00 7.00 1.50 6/2/08 7:30 AM WRI 06.06.02.08 8012834 20.00 25.00 7.10 1.00 Average: 18.50 22.83 7.32 1.50 RECEIVED JUN 2 4 Z0 88 ST. CROIX COUNTY ZONING OFFICE FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 0 /4scJ.sar, Name :_TZ Owner Name: Q Street: Mail Address: ,, Mail Address: 3�0 5 City State Zip city 05c-Le �_t State LO/ Zip 5 Phone (115) AW Fax Phone , 18 - 77 0 Fax(71S)2V$ - e -mail a -mail aces0 A- 05'e'4C - COPM INSTALLATION INFORMATION Model No. Blower" Brand and Serial No. Date of Installation Date of last pump -out Size ✓PC 5080 . S!, A Co 07,934 771 t6 Od` EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS — OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Visual Alarm Operatin Audio Alarm Operating' (if resent Blower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor System Vent Pum out Required: Primary Settling Zone Aerobic Treatment Zone ✓ EFFLUENT: LIMIT RESULT Estimated Daily Flow H Standard Units 6 -9 S.U. Color Clear Temperature Dissolved Oxygen effluent 2 m Odor Slightly Musty odor not septic OWNE GNATURE TEQftNICIAN SIGNATURE SERVICE DATE RECEIVED FIELD INSPEC ON kV CE REPORT ST. CROIX COUNTY ZONING OFFICE INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: // eegov Name: / Owner Name: 40;11o$,0 Street: Mail Address: / /O(p , 4 Mail Address / 3,/0 City - f9AX(50Vj StataA) . Zip /(, C tY OICAP (A State i.,7 /. Zip Svb.* Phone (915)ul� Aw Fax Phone(114-24 Fax e -mail e-mail INSTALLATION INFORMATION Model No. Blower Brand and I Serial No. Date of Installation Date of last pump -out Size 2•5A. f $aBQ-Z?' 4 Co' m cs O 3Z 7 7 T EQUIPMENT b ETAILED COMMENTS OF SITE CONDITIONS – OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s Visual Alarm Operatin Audio Alarm Operating if resent Blower(s): Air Inlet Filter Clean eat Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor - System Vent Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Daily Flow H Standard Units 6 -9 S,U. Color Clear - Temperature Dissolved Oxygen effluent 2 m Odor Slightly Musty odor not septi O WNER SIGNATURE TEC NIC SI RE RVICE DATE 4 Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 o f 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach *omplete site plan on paper not less than 8112 x 11 inches in size. Plant must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD percent slope, swe or dimensions, north arrow, and location and distance to nearest road. Pease print all informaffin. Revie by Date / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location p Willow River Inn Lot 1/4 �1/4 ,� TaQ N R%! ©r)W ST. CROIX C" Property Owner's Mailing Address Lot # Block # Subd. Name ouCSM# Cty. Rd. A city State Zip code honeQi�ih�et� 6 2 y E]Village • own Nearest Road Hudson WI -W16 ( Cty. A New Construction UseE] Residential / N I tuber of bedroo C derived design flow. rate GPD Replacement E] Public or commercial - Describe: saloon Parent material outwash over bedrock Flood Plain elevation if applicable N/A i< General comments 5 2 l eV . �( G and recommendations: FTI ( �vui' P( yS � � Boring # ❑ Boring 1 a pif Ground s urface elev. �� � z O ft. Depth to limiting factor 38 in. Soil ApplicaUon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 1 0 -14 10yr3/2 sil 2msbk mfr cs lc .5 .8 2 14-38 1 r4/4 sicl 2msbk mfr cs lvf r .4 .6 3 38 -39 10yr4/4 FiP7.5yr4/6 sict 2msbk mfr cs .4 • 4 39_50 10yr5 16 frag limestone - - - np np 2 Boring # Boring Q U 26 Q Pit Ground surface elev. ��� ft. Depth to limiting factor in. Soil AV plication 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 1 0 -19 10yr3/2 sil 2msbk mfr cs lc .5 .8 2 19 -26 10yr4/4 sicl 2msbk — ilif cs lvf .4 .6 3 26 10yr4/4 F1P7.54/6 sicl 2msbk mfr cs _ .4 .6 4 28-45 10yr5 /6 frag limestone - - - np np * Effluent #1 = BOD > 30 220 mgA. and TSS >30 150 mgA- * Efflue = BOD 5 30 mgt. and TSS S 30 mgft. CST Name (Please Print) Si re CST Number dam Schumaker 253309 Address ate Evaluation Conducted Telephone Number 1679 89th Street New Richmond, WI 54017 04 -11-06 715- 760 -0279 l Willow Rive Inn 2 t 3 Property Owner _ Parcel ID # Page of t 3 Boring # — ing 31 / ■ pit Ground surface elev. %3 q v ft. Depth to limitiif_'Yactor 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 1 0 -13 10yr3 12 - sil 2msbk mfr cs lc .5 .8 2 13 -31 1 r4/4 - sicl 2msbk mfr cs 1vf .4 .6 3 3134 10y,4/4 F11?7.5yr4/6 sicl 2msbk mfr - - .4 .6 4 34-50 10yr5/6 - frag limestone _ _ _ np np 3 ❑ 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 Boring F-1 Borng # Ground surface elev. ft. Depth to limiting factor in. 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 n * Effluent #1 = BOD 30 < 220 mgA_ and TSS >30 < 150 mgA_ ' Effluent #2 = BOD < 30 mg& and TSS < 30 mgA_ 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 famat, please contact the department at 606- 266 -3151 or TTY 608 -264 SM- 83West(R.(Y100) t � s�4-c,; NAME 41,'1 n Q<L�r +2 LOT# L E0AL DESC IP 6i E OR W r.. SCALE! = r BM I ELEVATId" /Q O U BM I D ESCRIPTIO N , © G./ // kV �z c.Y BM 2 ELEVATION BM 2 DESCRIPTION a /� SYSTEM ELEVATION SYSTEM TYPE ✓Yl OG 4G•�` Q Q etg'd. L J (ICSJ1 +� r Oro- J zit SIGNATURE '' DATZ 1 wµ • y.}rf+�. Yar rr r . mow, n. w v..� •IMw' i a•..►elierp, .. a�.i _.. a-•, � a, ... .�y/II�Mr ..r a.., .. .. f Safety and Buildings t 7 A commerce.Wl. g LA ov RECEIVED L N KINNEY COULEE RD CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin 2 s 2006 www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov i t ST. CROIX COUNTY Jim Doyle, Governor Mary P. Burke, Secretary November 10, 2006 CUST ID No. 227990 ATTN POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/10/2008 Identification Numbers Transaction ID No. 1318633 SITE: Site ID No. 718034 Willow River Inn Restaurant & Bar Please refer to both identification numbers, 1106 CTH A above, in all correspondence with the agency. Town of Saint Joseph St Croix County SW1 /4, SE1 /4, S3, T29N, R19W FOR: Description: Replacement Commercial Mound System w /Aerobic Treatment unit Object Type: POWTS Component Manual Regulated Object ID No.: 1096443 Maintenance required; Replacement system; 3,023 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Aerobic Treatment Unit, Commercial System 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • A preconstruction meeting with the installing plumber, the county inspector and/or the District Wastewater Specialist to discuss construction procedures is recommended prior to the commencement of the s stem installation Please contact the District Wastewater Specialist at the number shown on page 2 for your scheduling options if needed. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Comm 83.21(2)(c)4. The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber- restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. • A component specified in this POWTS design requires servicing at an interval of 12 months or less. Pursuant to s. Comm 83.21(2)(c)5, Wis. Adm. Code, if any part of a POWTS requires servicing or maintenance at an interval of 12 months or less, a notice of the need for such servicing or maintenance must be recorded with the deed for the property. If the maintenance or service notice has not been recorded, a sanitary permit can not be issued by the sanitary permit issuing agent. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20L2)`), Wis. S ats. o Coat Wonally [TIPROVED L DEPARTMENT OF COMMERCE + WILLIAM C SCHUMAKER Page 2 11/10/2006 • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • All timer settings and dose volumes shall be field calibrated to ensure the loads and flows will meet with the design parameters established in the plans. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved - management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Note: Comm 83.22(7) - 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. 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 installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 275.00 f���� � Fee Received $ 275.00 Balance Due $ 0.00 Gerard .M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: James K Thompson, A.C.E. Soil and Site Evaluations Leroy G Jansky, POWTS Wastewater Specialist, (715) 726 -2544 NON- RESIDENTIAL MOUND POWTS DESIGN INDEX AND TITLE SHEET Project: Willow River Inn Bar & Restaurant Contact: Chris Kath Address: 1106 County Highway A Hudson, WI 54016 Legal description: SW1 /4SE1 /4. Sec. 3. T29N. R19W. Township: St. Joseph County: St. Croix Subdivision: Na Lot No.: Na Parcel ID Number: 030 - 1012 -20 -000 Plan Transaction Number: 1318633 Index and title sheet Page 1 Site Plan Page 2 Daily flow calculations Page 3 RECEIVED Treatment tank sizing Page 3 & 4 Mound sizing Page 5 OCT 16 2006 Pressure distribution network sizing Page Dose chamber cross section & Pump curve Page 7 SAFETY &BUILDINGS System Cross section Page 8 System Management Plan Page 9 Attached soil evaluation report Page 10 Designer: Bill Schumaker License Number: 227990 Signature: GJ Phone No.: (715) 386 -3121 Date: June 6, 2006 DIVISION OF SAF TY ANU buu.ui b4 SEE CORRESP DENCE SO;/ e(Aa /uR 6'o $ca /�•� flD lam: /�OcJ ,P'd n l %o(v G. yOy. , 4 S ee-. 3,T af/t- �9cv., T. ie' s�.JoscP�, 1 roP05 Mount! QE 7I GI X / 3S.o� �WOCN d,s G k lzo: Eac.� ce!!Ea knee t d t �res�/ �osZcli J /cs•/ G�c� e S�oa c� c✓ a .Z 5�" c�n c�vEc wy2ct7 tu scrx) 600 - sox* -Z r w/ �u /5c K o/ on2g.'e/Yl:erobicsN��h ,6 �adosinq of , p/ Fs�S'�3.0 PeA.�tut6rn.+, E 35� �yj -, &— area p 349 " tufts// G+,c! c �P 63 -' Li -2-W ?!'we o 0 0 �s" /��oii,b, cd v %s�arba.,cc i4�ca W�tSUCc.orc�c H !�G _ FuJLA25ZO J ash I 1 "(0 OSC 61 d ;;6i4 rr j (3cposc�ttJiis�/ r. CcmCrf ( ressu.re E.ri1f+. i Pu. CAA", b4 W/ VPi Q�G. one den,4,d &Sin I �sIV dee / o«,,,,os, I � r-coa --- l�rdposeesl o�dd;on EX�:s�i� 9 8ar- 0 4 EX,�Sv�' cJe /% f�sScu►acd i Willow River Inn Bar & Restaurant Daily Flow & Design Calculations JOB DESCRIPTION: Full service bar & restaurant with seating capacity for 75 patrons. Operating hours 10:00 A.M. — 2:00 A.M. Anticipated peak wastewater flow to result from dinner traffic on Friday & Saturday evenings at 2,015.00 GPD (75 meals, 75 bar patrons & 5 employees). Estimated daily flow Sunday — Thursday anticipated to be 586 GPD (20 meals, 30 bar patrons & 2 employees). Owner has stated that food waste grinder will not be used, fried foods will be served on paper service, grease will be removed from the waste stream, etc. Accordingly, BOD levels assumed to be lower than normal for typical restaurant use. PROPOSAL: Soil conditions at this site require a mound POWTS. Installation will consist of 1,250 - gallon grease interceptor to catch all and only kitchen wastes and a 2,500- gallon trash tank. Both tanks will discharge to a 4,200 gallon surge tank that will contain primary and back -up sewage effluent pumps set to dose at one hour intervals to a pre - treatment tank containing one (1) Bio - Microbics HighStrengthFAST 3.0 pre - treatment unit set in a Wieser Concrete W5000 tank. W5000 tank has sufficient capacity to add second HighStrengthFAST 3.0 unit if post installation effluent testing indicates additional treatment is needed. Effluent will be transferred by gravity to a 2,000 gallon dose tank utilizing on- demand dosing to distribute effluent into two dispersal trenches located within the same mound system. Dose tank will contain backup pump to distribute effluent in the event of primary pump failure. AVERAGE. DAILY DESIGN WASTEWATER FLOW CLAC 1LATIONS• 1.491.43 gal (3,022.50 gal. peak design flow)(2 days) + (879.00 gal. non -peak design flow )(5 days) = 10,440.00 gal. generated/7 days = 1,491.43 gal. _average. daily design flow PEAK DESIGN WASTEWATER FLOW CAACULATIONS• 3,022.50 Gpd design flow (75 seating capacity)(22 gal /) = 1,650.00 Gpd (75 bar patrons)(4 gal. /patron) = 300.00 Gpd (5 employees)(13 gal.) _ 65, 00 Gpd 2,015.00 Gpd x 1.5 = 3,022.50 Gpd design flow LYON -PEAK DESIGN WASTEWATER FLOW CAACULATIONS: 879.00 Gpd Design Wastewater Flow: R79.00Gpd (20 meals /day)(22 gal /meal serve) 440.00 Gpd (30 bar patrons)(4 gal. /patron) = 120.00 Gpd 2 employees)(13 gal.) _ _2r -nom 586000 Gpd estimated flow x 1.5 = 879.00 Gpd design flow GREASE INTERCEPTOR* Manufacturer & Capacity: Wieser Concrete W 1 250 Grease Interce Grease Interceptor sized in accordance with Comm. 82.34(5), installed to collect all and only kitchen wastes. (75 - seat capacity)( 12 operating hours per day)(1.25 appliance factor) -= 1,125.00 gal. minimum capacity SEPTIC TANK CAPACITY CALCULATIONS: Manufacturer & Capacity: Wieser Concrete W2500 septic tank = 2,522 46 gal_ actual capaci 1. Capacity per Bio - Microbics design specifications = 12 hr. — 24 hr. retention time. 2. Peak DWF = 3,022.50 Gpd 3. 2,500 gal, tank retention time = 20 hrs. 2 minutes (2,522.46 capacity/3,022.50 Gpd Peak DWF) 4. PolyLok PL -625 effluent filter at outlet with high water alarm AERATION TREATMENT UNIT CAPACITY CALCULATIONS: Manufacturer & Capacity: _Rio - Microbics HighSttr n�uth FAST 30 designed to remove 60 I.hs BOD /daT Average daily flow restaurant = 1,491.45 Gpd assumed at 500 mg/L B.O.D. = 6.21 Lbs BOD. /day Pg. 3 of 10 STIRGF TANK CAPACITY: Manufacturer & Capacity Weser Concrete W4200 septic U2 00" 58 - 85 gal = 4,73�gall actuai�acit�v Control Panel: Orenco MVP - SSF with recfiindant off floats, ct�rr�nt sensor electrical disconnect twitch Duplex pumps to be installed. Timed dosing proposed to allow retention & mitigation of peak flows. Minimum capacity = 3,062.13 surge + 62.38 gal. dose vol. + 706.20 gal. retained vol.= 3,830.64 gal. surge tank SURGE. VOLi1MF: 3,062.13 Ggllnns Surge capacity to be 150% of largest surge volume. 2,015.00 Peak estimated flow - 586.00 non -peak estimated flow = 1,429.00 gal. surge volume Largest surge carryover = 2,041.42 gallons (See chart below). Surge capacity = (2,041.42 gal.)(150%) = 3,062.13 gal. Mon juesLiu Wednesday Thursda F 'da Saturda Sun Carryover surge volume 1,633.13 1224.84 816.55 408.26 0 1,029.71 2,041.42 Daily estimated flow 586-00 586.00 586.00 586.00 2.015.00 2.015.00 1 586.00 24 hr. cumulative um volume 994,29 994.29 994.29 994.29 994.29 994.29 994.29 Remaining surge volume 1,224.84 816.55 408.26 0 1,020.71 2,041.42 1,633.13 SURGE TANK TiMF, DOSE CALCULATiONS: Manufacturer & Capacity Weser (- nn ,rete 3- 1 -0 pt c (72,00" A 58.95 galJineh = 4,217.20 gal. Tc!WI capacity Duplex pumps to be installed w/ Orenco MVP -SSF control panel w/ current sensor, redundant off floats, surge capacity use, & electrical disconnect switch. Dose timer to be set to activate pump at lhr. intervals. D) High water alarm: 59 -94" = 3,468 -62g C) Notification of surge capacity use: 000" = 0.00 gal. B) Timed pump on/off. 1 6238 gall (1,491.43 ga1J24 doses per day) = 62.15 gal. dose volume A) Redundant "Off' float: 1 .0m' = 70610_gnt TOTAL: _ 72.00" = 4,137-20 gal- DOSE. CHAMBER CAPACITY & DEMAND DOSE. CALC ULATiONSe Manufacturer & Capacity: Wieser Concrete W1 250- M(47 -00" ?6-$1 galAnc = 1,260 -07 ga 1. actual) Control Panel Orenco MVP -SSF w/ redundant off floats, current sensM electrical disconnect & and event counter Duplex pumps to be installed. Sizing: A) One day holding capacity: 23 -75" = 616 7A_ga2_ B) Alarm setting: 2-W' 51.62 gal_ C) Dose volume + flow back: 925" = 247.99 gat (1,491.43 gal. /5 doses per day) +(.163)(105') = 315.40 gal. maximum dose volume ((354' lateral length)(0.064x5) = 113.28 gal. + (.163x105') =130.40 gal. minimum dose volume D) Reserve storage: 12-00 = 32172 gal TOTAL 47.00" = 1,960 07 gal Pump selection: Manufacturer: moulds Model number. 3885 WF,02H Minimum discharge rate required: x..60 gpm Pump will discharge 88.00 gpm @7a 30.00' Ti )H ,EQUALiZ.E,D E.EEiIIENT DiSTRiUTIMN: Pressure distribution valve to be installed to equally distribute effluent to dispersal cells and provide alternating distribution to dispersal cells. ARSORPTTON ARE.A,,SiZWG CALCULATIONS: See Mound Design at Pg. 5. Pg. 4 of 10 MOUND WORKSHEET Willow River Inn Restaurant Mound ABSORPTION AREA SIZING 1. Design wastewater load: 1,491.45 GPD 2. Depth to limiting factor: 26" 3. Land slope: 4. Infiltrative capacity of soil at system elev.: 2.0 gpdjsq.ft. ASTM C33 med. sand with pretreated effluent - BOD5 &TSS <_ 30mg/L 5. Dispersal cell area required: 745.73 4. ft. Dispersal cell area proposed: 1,440.00 sq. ft. Bed width (A) 6.0' Bed length (B) 120.0' MOUND DESIGN - CELL #1 MOUND DESIGN - CELL #2 1. Mound Height: 1. Mound Height: Fill depth (D) 0.50'(6") Fill depth (D) 0.50'(6" Downslope fill depth (E) 0.71' (8.52") Downslope fill depth (E) 0.71' (8.52 ") 0.50' + (3.5% X 6.0') 0.50'+ (3.5% X 6.0') Depth of aggregate (F) 0.78' Depth of aggregate (F) 0.78' Cap depth (G) 0_5' Cap depth (G) 0_5' Topsoil depth (H) 0.5' Topsoil depth (H) 0_5' 2. Mound dimensions: 2. Mound dimensions: End slope (K) 7.50' End slope (K) 7.50' ((0.50' + 0.71')/2 +.78 + 1.0) 3= 7.155 ((0.50' + 0.71')/2 +.78 + 1.0) 3= 7.155 Total length (L) 135.00' Total length (L) 135.00' (120.0')+ (2 X 7.16') = 134.32 (120.0')+ (2 X 7.50') = 134.32 Downslope width (I) 8.52' Downslope width (I) 8.52' (0.71'+.78 + 1)(3)(1.14) = 8.52' (0.71'+.78'+ 1 X3X 1.14) = 8.52' Upslope width (J) 6.09' Upslope width (J) 6.09' (0,50' +. 78' + 1)(3)(0.89) = 6.09' (0.50' +. 78' + 1)(3X0.89) = 6.09' Total width (W) 21.00' Total width (W) 21.00' 6.09' +6.0' +8.52'= 20.61' 6.09' +6.0' +8.52'= 20.61' SYSTEM ELEVATIONS BASAL AREA & LINEAR LOADING RATE Installation Contour elevation: 95.00' & 94.50' Basal area required: 3,216.26. ft. Dispersal Cell elevation: 95,50' & 95.00' 1,286.25 gpd. /0.8 gal, /sq.ft. /day = 1,608.13 x 2 = 3,216.26 Highest Dist. Network elev.: 96.00' Basal area provided: 3,484.80 sq. ft. Pump Chamber elevation: 88.00' (120' )(6' + 8.52') = 1,742.40 sq. ft. x 2 = 3,484.80 Lift: 8.00' Linear loading rate: 10.72 gal. /linear foot 1,286.25 gal. /120'= 10.72 Pg. 5 of 10 PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing: Laterals per cell: 6 Lateral length: 59.00' Lateral size: 1 %4" Lateral spacing (s): 24" Sidewall separation: 12" Hole size: 1/8" Hole spacing (x): 24" (1st hole at 12" from manifold) Holes per lateral: 30 Distribution network discharge rate: 84.60 gal. /minute (6 laterals)(30 holes/lateral)(0.47gal/hole) = 84.60 gpm 2. Manifold sizing: Location Center ' Length 4_0' Diameter 2" 3. Force Main: Diameter 2" Length 75' Flow rate 85.00± gal. /min. Friction loss 10.02' (75')(13.36 ft. /1001) = 10.02ft. 4. Total dynamic head 56.06' Min. supply pressure 6.50' Vertical lift 8.00' Friction loss (Forcemain) 10.02' Friction loss (Manifold) 0.54' Friction loss (Distributing valve) 31.00' (Orenco automatic distributing valve - V6402A) Total dynamic head = 56.06' Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical 3 b I P S • = Turn-up wl ba I I valve or I4(�-X­41(42 Laterals & force main of PVC Sch 40 clean out pl u g p COMM Table 84.30 -5 Holes drilled on the bottom of the lateral Pg. 6of10 Dose Tank Information Locking cover with warning label and locking device and sealed watertight Efectrical as per NEC 300 and ----► Comm 16.28 WAC 4 In. min. Disconnect Tank component is properly vented x < Aftemate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacity 1260.07 Gallons Volume 26.81 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 23.75 636.78 C B 2.00 53.62 Pump off elevation (ft) C 9.25 247.95 —t 89.00 D 12.00 321.72 D Total 47.00 1260.07 ii D ose tank elevation (ft) ,-J ---- 3 7 ' — Bedding uncT tank. 88.00 . Alarm Manuafacturer ' l-ev Alarm Model Number DLV - Pump Manufacturer Goulds Pump Model Number W 20H MIGOULDS PUMPS, -_ _...._._ . Submersible Effluent Pump 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL METERS FEET APPLICATIONS. 40 130 _. ._......- - - .T- •-•_.... EtSHr♦ - - SERIES: 3885 SIZE: /." SODS LI 'ERFORMANCE RATINGS (gallons per minute) 35 1zo _ ,R75 3500 & 110 Order ` WE2 H . No. WE03L WE03M WE05H WE07H WE10H WE15H WEOSHH WE15HH 30 y00 SGPM — _ ' S FT HP 'h 1 /7 '/t '/a 1 1' /,• '/t 1' /.' o 90 WE1 H--- -- —4-4— .. RPM 17 1750 3500 3500 3500 3500 3500 3500 = 25 801- T 0 Fr - -I ---- t — `• - �---_ - .. t0 70 63 78 - - - 58 - �70 --_{ a zo Eo3H E 25 52 50 70 90 - - 53 - } 60r _ _ _ �_ ___ _ _ — 1 V- _ 27 35 60 83 98 123 49 90 W i } - 48 76 94 117 45 87 15 501 - EO H - - 35 67 88 110 40 83 ° 40E weo 35 - - 20 57 82 103 35 80 10 M_ ,_ _ __ B 40 - - - 45 74 95 30 77 30 j i 45 - - - 35 64 86 25 74 5 201 AEO -Ir _. -- - -••_ - -- ...:.__ 50 - - - 25 53 77 - 70 -- 55 - - - - 40 67 - 66 . 60 - - - - 30 56 - 63 0 0 0 10 20 30 40 50 60 70 80 90 10 110 120 130 140 150 160 GP _S 65 - - - - 20 45 - 58 70 - - - - - 35 - 55 0 5 10 15 20 25 X3"0" 35 m /h- 75 - - - - - 25 - -- T: 1 CAP CITY 80 - - - - - - - 47 93�60y m ;1; nu�3�jd� er-e�u;�ca/ Goulds Pumps 90 100 1 1 - - Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.27 (ft) T H G F Dispersal Cell 96.00 (ft) Lateral 95.50 (ft) Invert . . ..... ..... . . ..... ....... . . . . . . . . . . . Dispersal Cell E • Elevation . . . . . . . . D . . . . . . . . . . . . .............. ........ ......... s 95.00 (ft) Contour Elevation 3,5 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on 17 IM Topsoil Ca p .2 F7 1. 0 r" 5 ft Page 4 for number, - 7 -- 7777 Subsoil Cap 0 0 size, and spacing of ASTIVI C33 Sand Z F laterals. Laterals are 47 Tilled Layer c 4) 0.5 ft Typical Lateral — 0 equally spaced from 05 Aggregate M El - 0 H I the distribution cell's A centerline in the distribution cell (AxB). Mound Cross Section View Aggregate Dispersal Area Finished Grade 96.77 (ft) 21; H G 77 F 95.50 (ft) Lateral Dispersal Cell 95.00 (ft) ► . . . . . . Invert . . . . . . . . . Dispersal Cell . . . . . . . . . . . . . Elevation E . . . . . D ...... .... . ......... . . ....... . . . . . . . . . . . . . . ............. . ......... .......... ............... .... ..... . . . . . . . . ............. ............ j 14R 94.50 (ft) Contour Elevation 3.5 % Site Slope Geotextile Fabric Cover Shading Key a Dispersal Cell See lateral details on Topsoil Cap Z CL 1.5 ft Pag 4 for number, Subsoil Cap U) 0 /— * o .0 size, and spacing of `i M / ASTM C33 Sand Z F laterals. Laterals are [47 0 Tilled Layer 0.5 ft Typical Lateral equally spaced from 75 0 Aggregate le .0 0 the distribution cell's A centerline in the distribution cell (AxB). Project: Willow River Inn i Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10691 -P (N.0 1 /0 1). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes risers, access risers, and covers should be � inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed waterti g upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Grease Ipterce0or An individual licensed by the Dep't of Commerce to inspect, install or service POWTS components shall inspect the grease interceptor on an annual basis. The interceptor shall be emptied of collected materials as needed to prevent their passage through the interceptor. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every year by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of the annual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once each year. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Testine effluent quality The sewage effluent generated at this site may exceed the high strength effluent concentration levels as established by the Wisc. Dep't. of Commerce. Influent quality entering the mound dispersal component of the POWTS may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Periodic testing of effluent concentration will begin 45 days after the system is placed in service and will continue at 4 — 6 day intervals for a period of 30 days with 6 samples being collected within that period. If concentration levels exceed Dep't. of Commerce standards, a second Bio- Microbics HighStrength FAST 3.0 pretreatment component will be installed in the existing 5,000 gallon treatment tank. Effluent quality will be assessed as described earlier. Results of testing will be submitted to the County Zoning Dep't. with a copy forwarded to the Dep't of Commerce approving agent. Influent flow may not exceed maximum design flow specified in the system design and sanitary permit. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. if the aeration unit, dosing tank, pump, pump controls, alarm or related wiring become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber or your county Zoning Inspector. Pg. 9 Of 10 i I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _! _ of Division of Safety and Buildings in accordance with Comm 85, Wis Adrn. Code County St, c roi.x Attach complete site plan on paper not less than fi 1/2 x 11 inches in size. Plan must - inciude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I. D peroant slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. Reviewed by Date Personal information you provide may be used for seoondarj purposes (Privacy Law, s. 15.04 (1) (m)). I Property Owner Property Location Willow River Ina 5 "4 e ( Govt. Lot 1/4 1/ S T N R E (or W ? Property Owner's Mailing Address ;Lot Block # Subd. Name or CSM# City Rd. A City State Zip phone Number ty aVlllaye • own Nearest Road L Hudson WI 1 54016 Ll i Cl —_J New Construction Use D Residential /Number of bedrooms _ Code derived design flow rate .. ��A_ GPD I� Replacement a Public or commercial Describe Parent material outw ash over bedrock _ - -- Flood Plain elevation if applicable - -_ -,_ General comments 5 {4P „.. I-e -u and recommendations: 0C"I k U r U, yS, o 0 Boring # 11 Boring Y Pit Ground surface elev J Z_�? _ ft. Depth to limiting factor 3 8 _ in. _ Soil A icebon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff — I in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh 'Eff#1 'Eff#2 1 1 0 -14 10yr3 /2 — siI 2msbk m cs Ic a 8 2 14-38 1 r4i4 sicl 2msbk mfr cs 1 v( 4 6 I 3 38 -39 10yr4/4 1711?75yr4 �6 Biel 2msbk mfr cs - _`f 4 39:50 10yr5 /6 fra limestone n up 1 i r � n ' Boring # � Boring G 1 26 Pit Ground surface elev _/ d �_ tt. Deoth to limiting falctor, _ Soil A icatior. Rate Horizon Depth Dominant Color Redox Desrrfptiun� Texture Structure Consistence Boundary Roots GPD/V in _ Munsell Cu. Sz. Cont Color Gr. Sz Sri. 'E ff*l 1 0 -19 10yr3 /2 sil 2msbk mfr cs lc .5 8 �2 19 -26 10 r4!4 _ T ~ sicl 2msbk cs 1vf C- 3 26-28 10yr44 FIP7.su6 - si cl 2msbk mfr l 6 I 4 28-45 10yr5/6 -- - flag limestone — - np np - I i i Effluent # t = BOD > 30!5 220 mg& and TSS >30S 15 mgA. E tBua #2 _ r3 D� 30 mgA. and TS 5 30 mgAL CST Name (Please Print) -- - - -- UrP -- CST Number f Adam S bumaker �i ; _ - _. 2_ 53309 Address ate Evaluation Conducted Telephone Number 1679 89th Street New Richmond, WI 54017 - -- � 04- 11 -Ocr 715 - 700 -027,9 —1 Property Owner _ Will River Ian 2 3 Parcel ID # _ _ Page of Bonng #� Boring Pit Ground surface elev. Lr _ ft. Depth to limiting factor 3 I' in _ So Appl ication R ate Horizon Depth -Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff' _ _in. Munsell Qu. Sz Cont. Color Gr. S z. Sh _ Eri #; Eff#2 1 0 -13 10yt3 /2 — sil 2msbk mfr cs lc J i 8 13 -31 10 44 Sid 2msbk mfr cs IV 4 .6 3 31-34 I Oyr4i4 f "I F7.5yr4 /6 sic] 2msbk mfr 4 6 4 3450 10yrSi6 frag limestone _ _ n n ' - J Boring # Boring PQ Ground surface elev. __— -- ft Depth to limiting factor ___�_ in. Soil A ication Rate rHOnzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf in. Munsell Qu. Sz. Cont. Color —_ Gr Sz. Sh. 'Eft #1 'Eff#2 Boring # Boring Pit Ground surt -- ace eiev. fl. Depth to limiting factor ^.. in. _ Soil Application Ra Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in Munsell Qu Sz Cont. Color Gr. Sz. Sh. `Ett #t `Etf#2 i V I I Effluent #1 = BOO > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mgA- The rkpartruent of Commerce is an equal oppor tunity 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 -8" . SHLl zL?30Les.;7 C ".Cni • PAGE 0 F 4-e- NAME t;;.'((o,Ai Vtrjt LOT# LEGAL DESCRIPTION 1 /4 1 /4,S T , N,R E(OR)W SCALE; I" = BM I ELEVATION ILOO C) N BM I DESCRIPTION 4,, j2 r � BM 2 ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION SYSTEM TYPE tr of n,;t o n4c, r ... ........ ........................................ ' 6k SIGNATURE DATE e . N C O R P O R A T E D 8450 Cole Parkway Shawnee, KS 66227 Phone: 913- 422 -0707 Fax: 913 - 422 -0808 E -mail: onsite @biomicrobics.com • www.biomicrobics.com • 800 - 753 -FAST (3278) November 8, 2006 Sent Via Email Phil Lundman Petersen Supply LLC 421 Wheeler Ave. Fredonia, WI 53021 -0340 Re: Onsite Wastewater treatment with HighStrengthFASTO For LaCrosse D.O.C. Dear Mr. Lundman, We have reviewed the sizing for this project. The influent information that was provided to us is as follows: Influent design flow of 1500 gpd based on the average daily peak flow, and influent BOD of 500 mg /L. We suggest a single High Strength FASTO 3.0. Flow equalization would be a requirement in order to meet the average flow of 1500gpd and the influent cannot exceed expectations in pounds per day in order for the proposed system to meet effluent values of 30/30 mg /L BOD /TSS. Proper performance considers there is no toxicity or temperature issues with the waste and the plant is installed and operated correctly. A grease trap should be installed at this site and the trap must be maintained as needed by pumping out the grease. Use of enzymes or bacteria is not an acceptable substitute for pumping. Sincerely, Tess Lane Applications Engineer Bio- Microbics, Inc. cc: File, Petersen Supply LLc. Correspondence, 2006 71" 93" 57' S t I I N N I I D I D I I m m m I 6" m Ln to 62" _ � S i m „ m i �y° m=o I ; W O DRr NOZ I . \ mr /. \ m / Z �. 54i .. O''. r<*1 � � z m D -� al m D C Z C ' D m O m �o z z O o p r D r p - r. c m m m i DD n D Z DO Z CW�rx�n oag(A O z� M D DMZ L7 ()C O C7 O�Z a;Z OMEjrr' ODD• Z z r D - (n G7 C - G7 z < - r (AN 07 prV1 O Cm D m 2C) 00 Spb C) c ): A Orcn m m C'.) m S L/) �- Z D m 0 D O -� _ S -+ O .. K Z < �(n � m Z ( � •• m O c 2 c r rrl ? D O - Z m D m o o m m G Ln -t . 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N C Z N �m { �I m Gr01 -'1 D rn Z� -1 Am spn? _ ;0 -i m O au W D .. o r i 0 a O N rn O ;o o D N ° nm m D w m m r �W. C) C7 m -0 N C r r co s W m cj O z A N W N 0 o Z O C7 y r O 0 D O Z T � T . I D D O N n m O 0 (7 ° c: V I v 0 z m N m N C O D N N r x rn O � � D p TT N C Z m � m l m Z R ' N _ REV NO. DATE: O W1250 -MR MIESER COt1CAETE DRAWN BY:SWT 2 SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK, W 54750 DATE: JANUARY 2001 c \0 REV. JAN. 2004 800- 325 -8456 FILE: Wl 250GI-MR 0 CO) 0 0 r Im ff� T m X z z z 0 0 L . CD - 0 S . 5 . m k CL CL CD ( 0 A (D U) z > 2 CL > 03 @ CD z co to o r (a 0 OD OD 0 C !T ty 000 E Ch CO) (1) U) 3 0 cr V 0 a m CD a F - a - m K §' CL m a) m z z > > Cl) 0 (D CD CL a 3 C CD :3 CL G 0 G) w T CD m 0 co C L z 0 r! cn co m C) = n> 3 w 0 (D 1-3 3 (D 0 a 0 @ C SL 0 0) CL 3 C :F CD m e t M R =r 0) Cb CK �� � 0 CD < iA 0 C) 0 ■ Parcel #: 030 - 1012 -20 -000 07126/2006 10:27 AM PAGE 1 OF 1 } Alt. Parcel #: 03.29.19.55M 030 - TOWN OF SAINT JOSEPH Current IX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner CHRISTOPHER KATH 0 - KATH, CHRISTOPHER 568 WHITE OAK LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1106 CTY RD A SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 3 T29N R19W PT SW SE COM N LN HWY Block/Condo Bldg: "A" 33 FT W OF E LN, TH N 154 FT, TH W 377 FT, S TO N LN HWY TH ELY ALG HWY TO Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) POB RESTAURANT 03- 29N -19W Notes- Parcel History: Date Doc # Vol /Page Type 04/17/2001 643006 1619/626 WD Q 03/27/2001 641388 1608/221 WD 0 07/23/1997 870/43 07/23/1997 568/314 more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.000 83,900 178,300 262,200 NO Totals for 2006: General Property 0.000 83,900 178,300 262,200 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 83,900 178,300 262,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 RECEIVED Nov 21 2008 FIELD INSPECTION & SERVt Cr,=YQRT , INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 0 1 c" 6J Name:,:a. ar„ Owner Name: / Q , Street: Mail Address: ,�� Mail Address: 3q0 5� City State Zip city 05c-co �q State c,0 /, Zip s5 Phone (11s)39b -z2D1 Fax — Phone C -j/V2 , /8 - ?767 Fax e -mail — e -mail ac_e soil a P^e554.,kc .. Cor INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump -out Size ✓�C5081� 2T,?.Sb A. t'o O 03477z1(o/ Od` EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS – OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Visual Alarm Operatin Audio Alarm Operating' if resent Blower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor System Vent Pum out Required: Primary Settling Zone ' ' Lp eafe Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Daily Flow H Standard Units 6 -9 S.U. AA- Color Clear Temperature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor �,�5 not se ,z. /? OWN FR SIGNATURE I TEC NICIAN SIgMTURE SERVICE DATE p &AA� d 9 aco r SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street commerce Chippewa Falls, Wisconsin 54729 (715) 726 -2544 ii http. //www.commerce. wi. gov /sb S C o n S n httpi Doyl Govern t Department of Commerce Jim Doyle, Governor Jack L Fisher, A. I. A, Secretary September 15, 2008 RECEIVED ,Z ,1 oIZ�,1�1 SEP 17 2008 � 9; 5� William Schumaker, MP 227990 ST. CPOlx COUNTY 1070 Scott Rd ZONING OFFICE Hudson, WI 54016 Dear: Mr. Schumaker: Re: Willow River Inn Site ID Number: 718034 1106 Cty Hwy A Transaction ID Number: 1393607 Hudson, WI 54016 On September 11, 2008, Pam Quinn and I conducted an inspection of the above referenced facility and noted the following discrepancies that need your attention. 1. The manhole over the aerobic treatment unit needs to be raised to at least 4 inches, above finished grade. 2. The aerobic treatment unit needs to be vented according to manufacturer's recommendations. If you choose not to provide properly sized vent please provide documentation from the manufacturer that states /shows that the vent is unnecessary. 3. Final filtration to less than or equal to 1/8 inch diameter is necessary immediately prior to the discharge of treated effluent to the dispersal cells. An inline force main filter will likely meet this requirement. The filters should be installed so that they can be easily serviced from outside the tank. 4. The vent cap on one of the observation pipes in the dispersal cell needs to be changed to an end cap or the pipe extended to at least 12 inches above finished grade that would allow for the use of a vent cap. 5. Provide both the county zoning office and me with the results for the field calibration of the timers used to dose effluent to the aerobic treatment unit. This calibration will also verify the volume of wastewater in the dosing event. 6. Provide both the county zoning office and me with a copy of the approved plans for the grease interceptor. 7. Please contact the electrician for this project regarding the use of PVC conduit between the building and the aerobic treatment unit. This conduit may be subject to foot traffic and may not adequately protect the conductors within. See NEC 300.4 regarding adequate protection against physical damage. Page 2 Willow River Inn All work to get this installation into complete compliance with the department approval and applicable rules needs to be done by September 30, 2008, and you need to contact me for an inspection when the work is finished. If you have any questions regarding this letter or the discrepancies noted, please contact me as soon as possible. Sincerely, A; Leroy Jansky, SS POWTS Wastewater Specia ist (715) 726 -2544 Office (715) 726 -2549 Fax leroy.jansky @wisconsin.gov cc: Ryan Yarrington, St. Croix County Zoning Dept. SBD- 5524 -E (R. 4/98) File Ref: CAMY DOCUMENT&LETTER&ST CROMSCHUMAKER WILLOW RIVER 2.130C