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HomeMy WebLinkAbout030-2121-30-000 Wisconsin Depa %tment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safet�•3nd Builtiing Division INSPECTION REPORT Sanitary Permit No: 506103 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Hanson, Bruce R. I St. Joseph, Town of 030- 2121 -30 -000 CST BM Elev: Insp. BM Elev: , BM Description: Section/Town /Range /Map No: 9 f- D 1 '79 k /3/ Z 30.30.19.985 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER Aj , CAPACITY STATION BS 1 FS EI EV. IF Septic T.ti 49 Benchmark ems.. F•t I Dosing // ` Alt. BM . 9/" 3 1 p Bldg. Sewer -r ! I . r Holding St/Ht Inlet ``,, 1.97 n St/Ht Outlet � TANK SETBACK INF TION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ` Septic -7 5 ! t I / t _ Dt Bottom 1333 8(o • 13 Dosing 7 Jb 5 (p�j 1 t Heada Man. �. �5�� -4- Aeration _ _ Dist. Pipe z 47 /0/ 1� Holding —___ Bot. System 3. )? — PUMP /SIPHON INFORMATION final Grade 11�iK— ' Manufacturer Demand StCo [ -7 9 -z GPM '" t' Model Number 1_5Z, Z, 1 l � •Z TDH 1 1-7 ,5, 7 � Friction Los s System Head TDH Et 1 " 4 Forcemain Length # Dia. 2 t , Dist. to Well Z SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length / No. 0 s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS `�� r1 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LRAC.HING Manufacturer: INFORMATION C� Type yOSystem: 7ZS ' ! ^ Mod el Number: 1 ' LOc3 J �-$ DISTRIBUTION SYSTEM Header /Manifold, �, �� Distribution role Size I x Hole Spacing Ven Air Intake Pipe(s) S �' 1 �j Length ( Dia Length 4Z Dia / . � Spacing 3' 3 3 3Z Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only G °� Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / / L Bed /Trench Edges Topsoil ` ;• Yes :.I No Yes No COMMENTS: (Include code discrepencies persons present, etc.) nspection #1: /R/ Inspection #2: S / 6 Parcel No: ,3p.30.19,985 I� Location: 367 132nd Stir t Hudson, WI 540016 (SW 1/4 SE 1/4 30 T30N R19W) The Sanctuary Lot 3ff�� %��!'�'�' 1.) Alt BM Description = P 2.) Bldg sewer length = yI 7 (J - amount of cover = 4 , C D Plan revision Required? Yes No Use other side for additional information. 11 Date epctor's Sig ture Cert. No. SBD -6710 (R.3/97) 0 G Vq a , �o P V r Cl N x U a ' N � r p � COI'P1t11CYCe.wl.goV Safety and Buildings Division County < ;, • 201 W. Washington Ave., P.O. Box 7162 vr' sco n s i n Madison, WI 53707 - 7162 Sanitary Permit Number (to be ft led in by Co.) Department of Commerce L TJ 6 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21 2 Wis. Adm. Code submission ( )> b sslon of this form to the appropriate governmental 2- unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing ddress Department of g ) submitted to the De p Commerce. Personal information you provide may be used for secondary p urposes in accordance with the Privacy Law, s. 15.04 1 m 3/_ 1 , Stats. / 3 / I. Application Information - Please Print All Inform tion ((�fl J LG Property Ow is Name Parcel # Property Owner's Mailing Ad s Property Location / 2� G City, State Zip Code Phone Number <ow "t. Lot / 2 �t �W /., /4, Section Jt/ I fcircle ony4' _ afW 1 1 II. T T�_N, R uild o Bing (check all that apply) � Lot # E L/ or 2 Family Dwelling - Number of Bedrooms 9 Subd�ivisio�n Namme �,,,, /� �Cta2� Block # r I ILA �/�" 1 C4ft -t r Y ❑ Public /Commercial -Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number �❑ Vi�ll ge of �^ /� L�'Town of J III. Type of permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ermit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Z Before Expiration Owner v /_ / 43 3 ' 4 d 7 IV. Type ofPOWTS S stem /Com onent/Device: Check all that a I ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ound _> 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil ❑ Holding ank ❑ Other Dispersal Component (explain) g P p ( p ) ❑Pretreatment Device (explain) r---- V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(g dsf) Dispersal Area Req fired (st) Dispersal Area Pro sed (sf) S ystem Elevati D. 3 / olr ��. -71 y� VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o° ° New Tanks Existing Tanks w Q Septic or Holding Tank l b 0 G / Dosing Chamber /' Qd t/ (o v - xb,,4<7- VI I. Responsibility Statement- 1, the undersigned, assume responsibility for inst Ilation of the PgU1 own on the attached plans. Plumber's Name (Print) I mber's Signature Number Business Phone Number Plumber's. Address (Street, City, State, Zip Code ' /� 7 260 CTH- Eav 6n �� (�� 5 73 - 7 ' V111 /De artment Use Onl Approved ❑ Disapproved Permit Fee Da ;Issued Iss g Agent ignature �� Owner Given Reason for Denial Q Q ��� �k�G� -st- ' ` IX. Conditions of Approval /Reasons for Disapproval -4 Atta to cow Iete ph s r the system and submit to the County only on paper not less than 8 I/2 x 11 in h in size SBD -6398 (R. 01/07) Valid thru 01/09 d Q S � (' OK 1066 a r� Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www. commerce.wi.gov /sb/ isconsin t iepartment of Commerce Jim Doyle, Governor M ary P. Burke, Sec August 09, 2007 CUST ID No. 222997 ATTN. POWTS Inspector JAMES M HURLBURT ZONING OFFICE EAU GALLE PLUMBING ST CROIX COUNTY SPIA N 260 COUNTY HWY D 1101 CARMICHAEL RD EAU GALLE WI 54737 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/09/2009 Identification Numbers Transaction ED No. 1426099 SITE: /"�"' " — 11 Site ID No. 722906 Dan Schaaf Please refer to both identification numbers, Old E West above, in all correspondence with the a enc Town of Saint Joseph St Croix County - SWIA, SETA, S30, T30N, R19W -- Lot: 3, Subdivision: The Sanctuary FOR: Description: Three Bedroom Mound System / New construction / Revision Object Type: POWTS Component Manual Regulated Object ID No.: 1120149 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.0 1 /01), 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 annroved changes will become an addendum to the plans that were previously approved on 3/5/07 under Transaction ID No 1373913 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 sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during F �.�.-� S. construction and open to inspection by authorized representatives of the Department, which may include ]seal inspectors. i Zj72ditionally API ' DEPARTMENT OF COMMERCE JAMES M HURLBURT Page 2 8/9/2007 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. • 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). • In the event this soil absorption system or any of its component parts malfumctions 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. 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 Fee Received $ 75.00 C ZOV Balance Due $ 0.00 rand M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMARTcod'e: 7633" jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. Henry F Grote , Certified Soil Testing � Fib , FO Dan Schaaf - Mound 10 0 Construction Materials and TechniquesQ� Revision to Transaction # 1373913 Site ID # 722906 s All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Pressure Distribution, SBD- 10706 -P (01 /O1) Mound, SBD - 10691 -P (01 /01) Location: Lot 3, The Sanctuary SW 1 /4, SE 1 /4, Sec. 30, T 30 N, R 19W Town: St. Joseph County: St. Croix Date: August 8, 2007 Owner: Dan Schaaf Address: 1297 HW V Hudson, WI 54016 Plumber: Jim Hurlburt Signature: License: MP 222997 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Plot Plan Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section s 5: plan view, lateral detail 6: pump tank exit detail 4�r 7: pump curve SEE CORRE ONDENCE 8: system management Note: Revision required due to system relocation to minimize tree loss. page 1 of 8 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfa/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load Design Calculations In situ designed loading rate o , 3 S� gallons /sq. ft. per day Depth to estimated high ground water �� Z�� in. Depth to bedrock 8 in. Cross slope at system 2 % u Force main length ft. of Z in. Is, c,4 I)1aniffll 1/header length b b ft. of in. o Drain -back 3 s� �� gallons Lateral length 3 4 Z ft. of l' /4 in. Lateral elevation ft. @ bottom of lateral Lateral hole size S �3 Z in. @ �{ Z. in. ( 3. ft.) Spacing `3 holes /lateral 3 holes total Lateral volume 8' 0 gallons Total lateral discharge rate 21, b gallons /minute @ 3 . ft. head Network pressure compensation losses �� ft. Elevation difference Friction loss ft. @ Z-' gallons /minute Total dynamic head S %I ft. Pump /siltfon 1 0 gpm @ ft. of head Ns Manufacturer � �� ` Model # `� 2. ,/ MC u Dose volume 3 2 gallons dw-es ©7U/° Lifts on tan &To U o�o C--o _ - Lo crb gallons Lj Septic tank gallons Effluent filter 9_0 G- r ` o Measurement pump on and off 5 o in. Height alarm from tank bottom l in. Reserve capacity 3 gallons specs.calcs.res Page of s J � y d .i n. 4 Y rV �. CA rlr Ll eo J 5 1 6 J i 'QpJ i —4 I 9 I __ .Cros S 4L 46 v q IL o o p 3 h i l �• 3 1 O '. 4 \ ? V C c � �c7- O� 1 a.v� v � �Fi � r �.. a.' l � 't � ` � • � o �+• • t • �� 1 ,1 1 L 1..� �w p �1 1 O \ �.1 A•�r �\ S ` i 1 (1 CL L C �J(2% 3,33 I QVL C\ IL { News from CPSC U.S. Consumer Product Safety Commission Office of Information and Public Affairs Washington, DC 20207 For Immediate Release Firm's Recall Hotline: (800) 928 -7867 February 14, 2007 CPSC Recall Hotline: (800) 638 -2772 Release #07 -104 CPSC Media Contact: (301) 504 -7908 Zoeller Pump Co. Recalls Septic Pumps Due to Shock Hazard WASHINGTON, D.C. —The U.S. Consumer Product Safety Commission, in cooperation with the firm named below, today announced a voluntary recall of the following consumer product. (To access color photos of the following recalled products, see CPSC's Web site at www.cpsc.gov.) Name of Product: Zoeller Brand Septic Pumps with a 20 -foot black cord with a plug. Units: About 2,300 Manufacturer: Zoeller Pump Co., of Louisville, Ky. Hazard: The plug on the pumps could have a grounding problem that could pose an electrical shock hazard to consumers. Incidents /Injuries: None reported. Description: The recalled Zoeller amps have a 20 -foot blac rd with a plu 1 57, 15 15 nd 153 th date code is printed on the namep a e on the top of the pum . On Model WM48 the date co e is prm a on 11 1 s amped on the plug. A list of specific part numbers, model numbers, date codes and UPC codes can be found at www.zoeller.com. Pumps that have already been hard wired during installation (where the plug has been removed) are not included in the recall. Sold by: Zoeller distributors nationwide from September 2006 through December 2006 for between $125 and $375. Manufactured in: Philippines (Cord with plug), United States (Septic Pumps) Remedy: Consumers should contact Zoeller to schedule an inspection, replacement and return of affected pumps. Customer Contact: For additional information, contact Zoeller Pump Co. at (800) 928 - 7867 between 8 a.m. and 4:30 p.m. ET Monday through Friday, e -mail Zoeller I 2 Mn H WEAtNERPROJF LOCk)WG+ G0VER 7L "`T,C QUICK DI4C.OVV1CT — Grade, elev. 6 ----� IL 4 PVC sch 40, 3' onto solid ground 4" PVC 24" T.D. II I sch 40 ' vent , MAH uoL� .... � I �?•� iolv" r /nW J a0vLD. A j ZO.O 4 11 PVC 4 ET 3bNTJ FL. / sch 40, r4LL PIM Al 3' onto c -;-- ON solid C + ground CLev, ��T�v h Ow}�a.� i P "kp p 9" F L��, e33.ZI, 6L0 CK 5EPTIc 5PCC,IFI'CATI0Q DOS[ T�uKS MAUUFACTURCR; EA 21k- kILMBER OF DoJEs: _ per day TA QK SIZ C ; \ 0 - L -. C S DOSE VOLUME ALAR,'% ^J UFACTLjKLR; S ,-- l" - , , IWCLUDIWG 5ACKFI.0W: ` � gallons /'SODCL QU{MSCR ° 14 _ CAPACITIES. A= 2o 35 s 2 _ IUCHfS CR gallons SWITCH TYPE; V--<bo -s I3.5 Z 8 = �" IuC►+Es OR gallons PUMP - NAWUFACTURER: � e ' `� C o S, ` � IutwE 5 OR ' � gallons MODEL ►JUMDCR; lSZ- 150,� D • � INCHES OR gallons QJ SWITCH TbPC: �Mv�+�v w WT E: PUMP AIJD ALARr', ARE TO CE MIQIMUM DISCHARGE RATE ZI C; ►h1 INSTALLED OW SEPnRnhE circuits VERTICAL DIFFCIlCA1Cf bETWECW PUh1P OFF AWD DISTRIbUTIOW PIPE,. �` FEET + MIuIKUM WITWORK SUPPLY PKEtLUKE I , I , , . 3•S' �� o ��' FCCT t FEET OF FORCE MA11J X — Y ptFKICTIOU FACTOR. —° FEET 2 � TOTAL O'JkJkMIG. HEAD = ZS', R� - FF.E T � - � IoTH "a IIJTERQAL 0 IMLQ61OWL OF TAWK. LEQ(#TH ;w 3 6 ; Llqulo DEPTH w PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD /FLOW MODEL 151/152/153 PER MINUTE 5° EFFLUENT AND DEWATERING 14 46 153 12 0 - MODEL 151 152 153 0 0 3 n Feet Meters Gal. Liters Gal. Liters Gal. Liters 10 152 ry 4Y/ 5 1.5 50 189 69 261 77 291 y C. 10 3.0 45 170 61 231 70 265 e 51 v it LP 15 4.6 38 144 53 201 61 231 VVV 20 6.1 29 110 44 167 52 197 0 6 pp 25 7.6 16 61 34 129 42 159 30 9.1 — 23 87 33 125 5 35 10.7 22 85 4 40 12.2 — — 11 42 0 Shut -off Head: 30 ff. (9.1m) 38 ff. (11.6m) 44 h. (13.4m) 2 5 0145088 p 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 60 120 160 200 240 280 320 360 FLOW PER MINUTE 014508A Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67132 r - 67/32 — 37/8 4518 3718 4518 - -1 Timed dosing panels available. Electrical alternators, for duplex systems, are available and 3716 375 supplied with an alarm. 1 e • Variable level control switches are available for controlling 4, 4 single phase systems. � 3718 Double piggyback variable level float switches are available t„ for variable level long and short cycle controls. Sealed Qwik -Box available for outdoor installations. See FM1420, Over 1307 (54 °C) special quotation required. I 151/152/153 Series " " "6 121/8 i 1511152/153 MODELS Control Selection Model , Volts-Ph Mode Amps Simplex Duplex 415/16 5 ve N151 115 1 Non 6.0 1 2or3 BN151 115 1 Auto 6.0 Included 2 or 3' E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 SK2444 N152 1 115 1 Non 8.5 1 2 or 3 SN1521 115 1 Auto 8.5 Included 2 or 3 x E152 230 1 Non 4.3 1 2 or 3 BE1521 230 1 Auto 4.3 Included 2 or 3 N153 1 115 1 Non 10.5 1 2 or 3 BN 153 i 115 1 Auto 10.5 Included 2 or 3 E153 1 230 1 Non 5.3 1 2or3 SELECTION GUIDE SE153 ! 230 1 Auto 5.3 Included 1 2o,3 1. Single piggyback variable level float switch or double piggyback variable level floai D CAUTION switch. Refer to FM0477. All installation of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E -Pak. licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control switch 10 -0743 used as a control activator, specify duplex 1 3) or (4) float system. � � o RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Z oeller pump. MAIL TO: P.O. BOX 16347 z r z" Louisville, KY 40256.0347 Manufacturers of.. SHIP TO: 3649 Cane Run Road �+ Louisville, KY 40211.1961 Qva[ /TV PUMPS , /JNCE P4 (502) 778.2 FAX (502) 928-PUMP www.zoeller.com FAX( 774.374.3 624 © Copyright 2006 Zoeller Co. All rights reserved. I ` • System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Jim Hurlburt, 715- 283 -4851, or the St. Croix County Zoning Department, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 1 I . If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run - off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system al lo\� s reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitorin; may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83. �4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 '?`7 #2597 P A i sconsin EVALUATION REPORT Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Certified Soil Testing, LLC Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and — percent slope, scale or dimensions, north arrow, and location and distance to near�"oad. Parcel I.D. 0- 2121 -30 -000 Please print all information. 2eviewe Date Personal information you provide may be used for sewn rposes aw, s. 15.04 (1) (m)). 6 Property Owner �, y Location Schaaf, Dan RE Govt. Lot SW1 /4, SE1 /4, S30, T30N, R19W Property Owner's Mai li Address �OQ� Lot # Block # Subd. Name or CSMA 1297 County Road V L 3 3 The Sanctuary City State Zip Coo one umber City '`I Village Z Town Nearest Road Hudson JXfl %016 Nfkh St.Joseph 1 367132 Ave. New Construction Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ;— Public or commercial - Describe: Parent material loess over till Flood plain elevation, if applicable NA ft. General comments install 10'x 45' rock cell mound on 101.6 as upslope edge of rock w/ 1.0' sand fill @ 0.4 gpd /sq ft basal and recommendations: loading 1 Boring # -- Boring X, Pit Ground surface elev. 100.5 ft. Depth to limiting factor 35 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -4 7.5YR 3/2 - sil 2 m gr ds gs 1f /m .6 8 2 4 -12 7.5YR 3/2 - Si 11 1 m sbk dsh gs lm i .4 .6 3 12 -32 7.5YR 3/4 - sl 1 m sbk dsh gs lm 1 .4 .7 4 1 32 -35 5YR 4/4 - sl 0 m dh cs - .2 .6 5 35 -56 5YR 4/4 f2d 7.5YR 5/3 sl 0 m dh - .2 .6 i Boring # - -= Boring Z Pit Ground surface elev. 102.3 ft. Depth to limiting factor > 58 in. ISoii Application Rate Horizon Depth Dominant Color- Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff #2 1 0 -5 7.5YR 3/2 - sil 1 f sbk ds gs 1m . .6 2 5 -9 7.5YR 3/2 - sil 1 m sbk ds gs 1m /c .4 ! .6 3 9 -36 7.5YR 3/4 - sl 0 m dh gs 1m .2 6 4 36 -58 5YR 4/4 - sl 0 m dsh - .2 .6 I H4 has some Is inclusions ` Effluent #1 = BOD 30 < 220 mg /L and TSS >3 < 150 mg L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L IQ P CST Name (Please Print) Signatu : CST Number Henry F. Grote ( 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 7/12/2007 715- 233 -0398 SBD -8-01R 0 "N01 Property Owner Schaaf, Dan Parcel ID # 030 - 2121 -30 -000 : ' Page 2 of 3 3 Boring Boring # pit Ground surface elev. 99.2 ft. Depth to limiting factor 25 in. Soil Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh'. 'Eff #1 'Eff #z 1 0 -6 7.5YR 3/2 - sil 2 f sbk ds cs lm 6 .8 2 6 -25 10YR 4/4 - sil 4 w,C.i bk dsh cs 1m /c .4 .6 T 3 25 -68 10YR 5/4 f2d 10YR 6/3 sil °'""+8rrt d - lm 0 .2 I i T I redox features become c2p 7.5YR 5/8 - 10YR 6/3 below 60 "; 1 m roots to 40" ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing, LLC �'( f f r Q / J � II�LLL C7 ct s 80 s� 0 �r A --t D ; � o � e � 3 0 o ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND W � m OWNERSHI CERTIFICATION FORM OOwner/Buyer Ar 04e _ Mailing Address O � w NO Property Address l a7 �? . % { S ay�i c��zr �22 kOfXoe_ ;5� (Verification requir d from Planning & Zoning Department for new cons ction.) City /State Parcel Identification Number b 30 - Z 17 - 3 D (DOC) LEGAL DESCRIPTION Property Location 5 t^ '/4 , _`J '/4 , Sec. 30 , T 36 N R W, Town of Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # qi 5 7 3 2- , Volume , 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 requirements 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. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Num edrooms SIGNATURE OF 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. 08/05) Parcel #: 030 - 2121 -30 -000 03/19/2007 09:03 AM PAGE 1 OF 1 Alt. Parcel #: 30.30.19.985 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HANSON, BRUCE R & SARAH M BRUCE R & SARAH M HANSON 2488 BELMONT LN ST PAUL MN 55109 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 367 132ND AVE SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.216 Plat: 2433- SANCTUARY,THE 01 SEC 30 T30N R1 9W PRT SW SE LOT 3 THE Block/Condo Bldg: LOT 3 SANCTUARY Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 30N -19W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 03/05/2007 845732 WD 03/05/2007 845731 WD 06/08/2006 818861 LC 03/26/2002 674618 1861/330 ALC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.216 121,900 0 121,900 NO Totals for 2007: General Property 3.216 121,900 0 121,900 Woodland 0.000 0 0 Totals for 2006: General Property 3.216 121,900 0 121,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 126 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r X4.73 State Bar of Wisconsin Form 1 -2003 KATHLEEN H. tIALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., BFI Document Number Document Name RECEIVED FOR RECORD 03/05/2007 09:00AK WARRANTY DEED THIS DEED, made between RWP Investments, LLC, a Minnesota limited EXEMPT # liability company, REG FEE: 11.00 TRANS FEE: 435.00 COPY FEE: ( "Grantor," whether one or more), and Bruce R. Hanson and Sarah M. Hanson, GC FEE: husband and wife, as survivorship marital property PAGES: 1 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address St. Croix County, State of Wisconsin ( "Property") (if more space is Scenic Title & Abstract, Inc. needed, please attach addendum): 220 Locust Street Hudson, WI 54016 Lot 3, The Sanctuary, Town of St. Joseph, St. Croix County, Wisconsin 0-3o-2121-30-000 Parcel Identification Number (PIN) This is not homestead property. (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: covenants, easements, restrictions, and rights -of -way of record, including without limitation the Declaration of Covenants and Restrictions of the White Eagle Homeowner's Association and its bylaws, rules, restrictions, and other regulations; if any, and the Architectural Design, Landscaping & Wildlife Management Guidelines. Dated September 14, 2006 R VESTMENTS, (SEAL) (SEAL) oge lath (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. authenticated on ST. CROIX COUNTY) Personally came before me on September 14, 2006 * the above -named RWP Investments, LLC, a Minnesota limited TITLE: MEMBER STATE BAR OF WISCONSIN liability company, by its Chief Manager, Roger Plath (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. instrument and acknowledged the same. tary Public X THIS INSTRUMENT DRAFTER to of Wisconsin Brent R. Johnson, Esq. Notary Public, State of WISCONSIN Lommen, Abdo, Cole, King, and Stageber , P.A My commission (is permanent) (expires: gt11- ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. FORM NO. 1-2003 WARRANTY DEED STATE BAR OF WISCONSIN *Type name below signatures. ©State Bar of Wisconsin 2003 INFO - PRO'"' Legal Forms • (800 )655-2021 ' mfoproforms.com eommerc&Wt.90V Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix S c©n s i n Madtson, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 5 Ok-o 10 Sanitary Permit Application State Transaction Number In accordance. with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental 1373913 unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if differerrt than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary purp oses in accordance with the Privacy Law a. 15.04(l m Stats. 367 132nd Ave. L Application Information - Please Print All Information Property Owner's Name Parcel # (LL9.,C.,e 12. > �ws RECEIVED 030- 2121 -30 -000 Property Owner's Mailing Address P operty Location g 5 1297 HW v MAR 1 9 2007 vt, Lot ' City, State Zip Code Ph me Number SW V4, SE '/1, Section 30 Hudson, WI 54016 RO X COUNTY (circle o Type of Building (check all that apply) e fC Lo 30 N, R 19 1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name 1 5 Block# The Sanctuary ❑ Public/Commercial - Describe Use City of ❑ State Owned - Describe Use CSM Number Villag of g 57' m J ce T St. Joseph IIL Type ofPermit: (Check only one box I on line A. Complete line B if app 'cable) A. New System ❑ Replacement System ❑ Trealment/Holding T Is y Other Modification to Existing System (explain) B- ❑ Permit Renewal ❑ Permit Revision El Change of Plumber etmit Tr er o New List evious Permit Number and Date Before Expiration er / 4Zt C2 IV. Type of POWTS System/Component/Device: Check all that a 1 p ❑ NorrPresstuized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil i&ound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Deice (explain) V. Dispersal/Tre Ar ea Information: w , Design Flow (gpd) Design Soil Appl77' dsf) Dispersal Ar equired (sf) Dispersal Area Propo (sf) System Elevation 450 7 0.41 1 7 m 1 1105.8 %0 VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Exdsting Tanks a F' i 4 U Septic orFiolduigTank 1000 1000 1 Wieser 1000 -600 combo X Dosing Chamber 600 600 1 it it it it x VII. Responsibility Statement 1, the undersigned, assame responsibtlHy for lnsfaIIaaon of the POWTS shown on the attached plans Plumber's Name (Print) ;Plumber's Signature MP/MPRS Number Business Phone Number Jim Hurlburt MP 222997 715- 283 -4851 t Plumber's Address (Street, City, State, Zip Code). ; - 11C�lJ 77 �91 N 260 CTHW D, Eau Galle, WI 54737 VIII Coln /De pertinent Use Only 3� Approved ❑ Permit Fee Date Issued Issuing ent Signature $ � a�� en R,easo or Denial X00 • 3 � 7 IX. Condi �&SA*Reasons for Disapproval t. Septic tank, efNuent filter and dispersal cell must all be services / maintained as per management plan provided by plumber. 2 AN setback requirements must be maintained as Code I ordinentCes. Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 incbes in size County Commerce Plumber Owner C � o N \, r N d \ 1 1 a 9 �o l s 1 ` c. ii OS J N a ° a o s l 0 3 —f I J { c/1 0 i N ^ _ s ° 0 .rJ s..� V i r Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n w ww.commerce.wi.gov/sb/ www.wisco isconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary March 05, 2007 CUST ID No. 222997 ATTIC• POWTS Inspector JAMES M HURLBURT ZONING OFFICE EAU GALLE PLUMBING ST CROIX COUNTY SPIA N 260 COUNTY HWY D 1101 CARMICHAEL RD EAU GALLE WI 54737 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/05/2009 Identification Numbers Transaction ID No. 1373913 SITE• Site ID No. 722906 Dan Schaaf Please refer to both identification numbers, Old E West above, in all correspondence with the agenc Town of Saint Joseph St Croix County SW1 /4, SE1 /4, S30, TON, R19W Lot: 3, Subdivision: The Sanctuary FOR: Description: Three Bedroom Mound System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1120149 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -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 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 sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • 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 filter for cleaning must be provided per Comm 84 product approval conditions. • 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 mayinclude local inspectors. RO '1- 3. Conditionally P R I � E D I I DEPARTMENT OF COMMERCE JAMES M HURLBURT Page 2 3/5/2007 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. 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 responsibIGT6r the installation, operation or maintenance of the POWTS. Sincerely, ! Fee Required $ 175.00 Fee Received $ 175.00 --- — 1 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WSMART "code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. Henry F Grote , Certified Soil Testing Dan Schaaf - Mound SAF FEB 2 7 2007 Construction Materials and Techniques BU ItDI, s All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Pressure Distribution, SBD- 10706 -P (01/01) Mound, SBD- 10691 -P (01 /01) Location: Lot 3, The Sanctuary SW V4, SE 1 /4, Sec. 30,T30N,R 19W Town: St. Joseph County: St. Croix Date: February 27, 2007 Owner: Dan Schaaf Address: 1297 HW V Hudson, WI 54016 Plumber: Jim Hurlburt j Pk Signature: License: V MP 222997 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Plot Plan Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail D " "�' ��►�u�r�cs O SE 7 : pump curve 8: system management E GORR PONDENCE page Iof8 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 4T-C> gallons /day hydraulic load Design Calculations In situ designed loading rate b ,4 ' 1 gallons /sq. ft. per day Depth to estimated high ground water >' Z O in. Depth to bedrock > 4- in. Cross slope at system 3 % Force main length ft. of Z ' in. 3 z Manifold/header length o ft. of y Z in. 0 3 Drain -back gallons Lateral length 7-1 @ �� ft. of �Vz in. Lateral elevation ft. @ bottom of lateral Lateral hole size 11 (o in. in. ( 3 • ° ft.) Spacing � 5 holes /lateral g holes total Lateral volume 9 � b gallons Total lateral discharge rate g zS' d � gallons /minute @ z • � ft. head Network pressure compensation losses 0 ' 1 �� ft. Elevation difference k S 9 ft, Friction loss Z. ft. @ �� gallons /minute Total dynamic head Pump /si*n 34r gpm @ Z� ft. of head Manufacturer Model # �s Z Dose volume ° `s b gallons Lift/sip *on tank gallons Septic tank gallons Effluent filter Measurement lo. r� s rement pump on and off in. Height alarm from tank bottom in. Reserve capacity 3 8 + gallons specs.calcs.res Page �' of j I J S� t PA pol I d ✓^ t o os ri s u� a _ o / t J J e 3� y '' `•v'v4' a 4L a. Vt Ott (r" `ps�o.... Z�, oo r 111 �O�O�Vi1 OL 3` 44A • « �OC.1F \p t t1 I i.1,yy �q `1 N.qI� I�fi►b�Q, Q" •a 1 0 4 jt 1 Lati� \ 66 I A ev . WEATNERPROJF LOCKING COVER Lt/.4J�Jv iNC Z ABE'4 DVICK DI�C.O�VICT -1 l \ C t I Grade elev. IL 4 PVC sch 40, 3' onto solid ground \4" PVC �\ 24 D. tch 40 vent ,� � MAKupLE 7V� i4" r i � U / HOLE / A pW►2OvtD r 4 PVC �ASlCET 3bNT ✓ sch 40, WFLE qL6 Pin 4 Al 3' onto c� w+ E c.T � o ►+S � ..,� .T._. ON — solid l 11 ground 0 _ �.0" PwyP C o,vc�e E-r� �L��, bLoGK X3 5[PT C _SPEGIFI•CATIOIJ$ 005E � ;� 41410- • TJ,uKS MAUUFACT Usk E R; QUh16CR OF 004CS: �' — per day TA>JK SIZE,: �}" _�f>-0 GALLOWS DOS[ VOLUME A�ARr1 Iy1WUiACTURCR; S `� y* `K-�` IWCLUDING 6ACKFi.OW: 1 ' gallons hODCL ►JUVb[R: CAPACITIES: A= ����4 I►JCHES OR gallons 5wiTCH TYPE; V-Qv `_' ` "`�' Z" 33•SZ gallons iuCNES OR C E 5 Oq 8= PUMP r1AUUFACTURCR: � b g allons ■ '` � iutH �� qO�S _ mDOEL QUMDER; 1s Z. (SO, gc� 0■ q INCHES O R gallons uorc: PUMP AWD ALARM ARE TO pE Mi► iMLJM DISCHARGE RATE 2 �' ` G /h1 INSTALLEO OW SEPARATE circuits VCRTiCA,L o rFCA[uCf 6CTW[[u PUMP OFF AUO OISTRIbUTIow PIPE,. tS _ 'q FEET - t - ^• >JiMUM Q[TWORK SUPPLY "'C"URE . . . , , . , , . . . w FCCT�o,�S' + Z� F E E T OF FORC[ MAIN X k ' %'4 F � loo rtFRICTIOIJ FACTOR. FEET z5' TOTAL OyWAMIC. HEAD = �'1' FF.ET t IWTER►JAL DIMLW6jOWfi ' OF TAWK: LCKICPTH 3 :WIDTH �� � LIQUID pC PT H 6 iv ' W w x PUMP, PERFORMANCE CURVE fi MODEL 151I152N53 TOTAL DYNAMIC HEAD /FLOW 50 PER MINUTE to 45 153 EFFLUENT AND DEWATERING 12 40 35 MODEL 151 152 153 = 10 52 Feet Meters Gal. Liters Gal. Liters Gal. Liters 30 5 1.5 50 189 69 261 77 291 6 26 t51 10 3.0 45 170 61 231 70 265 15 4.5 38 144 53 201 61 231 20 6.1 29 110 44 167 1 52 197 6 20 25 7.6 .16 61 34 129 1 42 159 t5 30 9.1 — 23 87 33 125 a 35 10.7 22 85 10 40 122 — — 11 42 2 Shutoff Head: 30 a. 9.1m) 38 ft. 11.6m 44 ft. 03.4m) 5 Ot45086 0 S 10 20 30 40 50 60 70 80 90 100 GALLON LITERS 0 40 80 120 160 200 240 260 310 360 FLOW PER MINUTE 0145W Model 151 Models 152 / 153 vONSULT FACTORY FOR 6 7(32 SPE=CIAL APPLICATIONS 3 7 /a. F 6 a s/a 3 27/32- 4 5/ � • Timed dosing panels available. 3 7/8 • Electrical alternators, for duplex systems, are available and supplied with an alarm. _ • Variable level control switches are available for controlling ® 3 7/8 single phase systems. �99Y p • Double p variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. I I t 1511 ?151/1F52/153 it 11/16 t2 /B 2/153 Series 1 151/1521153 MODELS Control Selection r. Model ' Volts -Ph Mode Amps I Sim lea Duplex 4 3/8 N151 115 1 1 Non 1 6.0 1 1 2 or 3 1 RN 151 115 1 Auto 8.0 Included 2 or 3 E151 230 1 I Non 3.2 1 2 or 3 BE 551 230 1 1 Auto 3.2 Included 2 or 3 151 SK2061 N152 115 1 Ilion 8.5 1 2 or 3 BN152 115 1 Aulo 8.5 Included 2 or 3 El 52 230 1 Non 4.3 1 2 or 3 BE 152 230 1 Auto 4.3 Included 2 or 3 Nt53 115 1 Non 10.5 1 2or3 BN 153 7 15 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 t 2or3 SELECTION GUIDE BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level boat switch, Refer to FMO477. o CAUTION 2, See FM0712 for correct model of Electrical Alternator E•Pak. All klsiallation of cuntrols, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify dupiex (3i licansea electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA), or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacturers of. . f SHIP TO: 3649 Cane Run Road /7 ® e (5021776.2731K 4021 - 19611 9 N &/TyPUMP9SNCr httpYlwwwzooller.com PUMP !O. FAX (502) 774 624 0 Copyright 2003 Zoeller Co. All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Jim Hurlburt, 715- 283 -4851, or the St. Croix County Zoning Department, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, septic system, is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 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 81/2 size. Plan must S include, but riot limited to: vertical and horizontal i11i�(B on and Parcel I.D. percent slope, scale or dimensions, north a nd l , Wripe nearest road. Revi by Date Please print a jpfol na one► Personal information you provide may be used se�Cndary p+l�i�y Law. Y. d5. (1) (m))• Property Owner Piopeily Location Govt. 1/4 ^ 1/4 T N R E (or Property owner's Maili Add X Block Subd. Name or CSK9 OQi/lrlTY l Oily fate Zip Code umber City Village Town Neare Road New Construction User Residential / Number of bedrooms " 3_ 'S� Code derived design flow rate �S� i - �YS GPD ❑ Replacement 0 Public pr copwriercial - Describe: �= Parent material Flood Plain elevation if applicable ,�/ ft. General comments mend a and recommendations: ons: � / /� ' �� mendti aye � � s 6 Boring # D Boring Pit Ground surface elev. ' ft. Depth to limiting factor _ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff M. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 - r ? J Boring # ❑77 Boring tXl Pit Ground surface elev. .q�z ft. Depth to limiting factor � in. S ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. •Eff#1 -Eff#2 � r± s _ 1 , • Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 1 Effluent #2 = SOD 130 mg& and TSS 130 mg/L CST , Si L CST Number 2t Address Date Evaluation Conducted Telephone Number Properly Owner Bic) �� .A.� I Parcel ID # Page -1; ❑ Bori ng # C] Boring 3 ./ ® Pit Ground surface elev. ,9 , l ft. Depth to limiting factor in. J !Eff#1 ff#1 icetion Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM J in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#2 Bonig 3 / r _ G. F - 1 # ° Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in Soii lication Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDIff In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •042 F Boring # Boring ° ❑ Pit Ground surface elev. ft Depth to luniting factor in. • Sal Application Rate Horizon Depth Dominant Color Redox Description. Texture Stricture Consistence Boundary Roots GPDIff? In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •E01 'Eff#2 • Effluent #1 = BOD > 30 1 220 nV& and TSS >30 _< 150 mgA- • Effluent #2 = BOD < 30 mg& and TSS 130 mglL 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. seesaw LRAM) r\ Property Owner. Bit) )� �p� L_ Parcel ID # Page -c O # ❑ Boring �O } ✓ ® Pit Ground surface elev. , 2,CSZ ft. Depth to limiting factor _ in. Soti Application Rate Horizon Depth Dominant Coloc Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 Boring - 3 C. # ❑ Boring F ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Shc Ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 E BorkV # Boring ❑ Pit Ground surface eteV. ft. Depth to limiting factor in. SoA Application Rate Horizon Depth Dominant Color Redox Description. Texture Str Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 •Eff#2 • Effluent #1 = SOD > 30 < 220 nV& and TSS >30 < 150 mg1L • Effluent #2 = BOD, < 30 n & and TSS 5 30 mglL 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. seo-&M (RAM) } Jr- If IL a e1/�4.0 a6 I , ', _... _. .. s . , ' � > ,/�- . - - _ - _ _ _ - -- Nit( E � Ai I. THE SANCTUARY fl'TSH a ta; 0CATEVIN THE NW 1,�4 OF T1f SE 1/4 K THE SW 1/4 OF T 1A (J� ^^ arr SECTION'' 3C T3N R19W' CLIM PAR OF IOTS'2 "3 AND �4 OF T HE .^p : { Y 45 50, SURVEw VAP KcmED N-v E 8, E'RE. CUC i T UMBER 1 TOWN OF ST �C� . 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