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Ch CD N R c O R n v s 3 O Z � S � CD 7 I N U 0 I o b � CD t tr N O 0 ro `r, COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 i Colfax, Wisconsin 54730 715 - 962 -3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO 02430/01 PAGE 1 ST. CROIX COMITY REPORT DATES 3/12/90 COURTHOUSE DATE RECEIVED! 3/07/90 HUDsm, WI 54016 ATTNS THOMAS C. NELSON OWNERS Brenda Westpaht ° LOCATIONS 1361 Hwy 35, HouLton COLLECTORS St. Croix Zoning SOURCE OF SAMPLES Kitchen faucet COLIFORMS 0 /100 ml INTERPRETATIONS Bacteriologically SAFE NITRATE -NS 14 ppm Under 10 ppm is safe for human consumption. Coliform Bacteria /100 mL Nitrate - Nitrogen, mg/L LAB TECHNICIANS Pam Gane WI Approved Lab No, 19 0 �A"oEVENp E'`}, < Means "LESS THAN' Detectable Level. Approved by! A � ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 Doi it: Ma 7 og .. .4 AMP 41 4: 112 do In AM 3' 0 k: Ji•�.. �;��r + 'it;.. 7 ��i_'�1si_ ' ; i'„ r'f .! -! WHllt!'tt l : �, f•MN 'a C � :[1 +;y `./.; "+c�3':• J t� ST. CROI: COUNTY ZONING OFFICE /J I ' 824 FOURTH STREET � I V HUDSON, WI., 54016 -- J zA / t/ ��^� (715) 3 - 4680 r` The St. Croix County Zoning Office offers the service of septic and water inspec- tions to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located Please provide the following information,enclose appropriate fee made payable to St. Croix County Zoning, and mail, along with form to the above address. Testing will'be done as soon as, possible after fee and form are received. WATER TESTING FEE: $25.00 For nitrates and coliform . SEPTIC SYSTEM INSPECTION . . . . . . . . . . . . . . FEE: $25.00 (Determines if system is properly functioning at time of inspection) 4. Z!' Property owner's name f— A � m a Legal Desc iption k of the k of Se ti on T N -R W Town of Lot Number Subdivision Name FIRE NUMBER c� LOCK BOX NUMBER rl (i Color pf house 'Reality ign by house? '�S,If so., list firm: PLEASE INC UDE, IF AT ALL POSSIBLE, A MAP, i.e,. COPY OF PLAT BOOK, WITH LOGATIQN SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be •.purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrange- ments with this office to ensure time when entry may be gained. g services: �� Firm or individual requesting K141 Lt i - 1v Phone No. REPORT TO BE SENT TO: (� 4 d r/4 CLOSING DATE: 12/85:mj Signed Agent or Individual Making Request i a Ii�IIl�II:'7!s'II7 C!?�]>•kl5� i 61oULYMMN Mlt NORM ®tCaLSi��I ^7aaa sea NEMuivam M80 0� 00 • �/ one D/ra WANNESS! G �yanooLstitNoneis• ©!ate® �t�ust'�4.27 ]tra: ago a� .IT �7IIwSL_>•EI?!7! 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'i +�1(; .:! 11 'r � rjl iL' R �.'EP '• T •I� 'y"�,;.�i;y`.1� �. k` i i ? �.�'��'��"' i y "i2i� '��t 7� ,. ST. CROIX COUNTY WISCONSIN ZONING OFFICE '. ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 1990 John Kimberly Realty World 1940 S. Greeley Stillwater, MN 55082 Dear Mr. Kimberly: An inspection of the septic system of Brenda Westphae of 1361 Hwy. 35, Houlton, WI was conducted on March 6, 1990. At the same time I also obtained a water sample and submitted it to the laboratory for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of the inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Mary Jenkins Assistant Zoning Administrator cj Wisconen Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: ry INSPECTION REPORT 488143 0 GENERAL INFORMATION (ATTACH TG PERMIT) sta Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) ( Z„5 Z. = Tz*u; Permit Holder's Name: City Village X Township Parcel Tax No: Tremont Hotel, LLC St. Joseph, Town of 030 - 2061 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: Im • O I �. O i 27.30.20.590 TANK INFORMATION EL ATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark �-T wo go o0 2.10 loz �•a Dosing �. Alt. BM Aeration Bldg. Sewer t� 6 . OS 9 6 •�S r T57d ing t t Inlet f S t /Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG en FAir e n e r � ep is f f )Z,, f0 0. gb osmg << u TS H eader/Man. r A eration D ist. Pipe z 4 . j F Fordmg t3 S yst em 6A) 3.4 i al Made 99r. P PUMP /SIPHON INFORMATION ;c (- 1'Z , ee u ac urer Dernanu br,(.;over ,, �[ � •o' er (I�tiiT GPM 1O w%t"e- a um / W 3•fs E R- 3S• .�o q ./n ./0 •� I ric ion OSS y S em ea � .30 1 0. 3.30 12.3$ J 3.9 3 3 0 9�•f� F orcema in L engtn ia. I i-L 1 7— n � 2— � 102 I � r mcrqk'n SOIL BSUKPTIUN 5Y5 F1=M DIMENSIONS r r F,o)- It 6(9 INFORMATION CHAMBER OR B3 ' UNIT 1. Pipe(s) {� u Length �— Dia Length ' O" Dia Spacing 2 x Pressure Systems Only xx Mound Or At -Grade Systems Only Bed/Trench Center Bed/Trench Edges Topsoil Yes ❑ No Yes ] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection � #1: -f{ p Inspection #2: aza Location: 1361 Main St. Houlton, WI 54082 (SW 1/4 NE 1/4 27 T30N R20W) �,I ge of HAfl Lot 46ik8 Parcel No: 27.30.20.590 1.) Alt BM Description = 5.T . �"'�""` `'mil O�l� • / r / 2.) Bldg sewer length = C Y amount of cover = Lf2- u+ Plan revision Requi d? 11_! Yes No , I � II I Use other side for additional information. SBD -6710 (R.3/97) Safety and Buildings Division County P p Box 7162 l eonsin 71 Sanitary e umber (to be filled in by Co.) "De artment of Commerce (608) 2661 00 00 3 Sanitary Permit rrniv-c�T-' aki;A006 State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Cod formation you provide may be used for secondary purposes oject Address (if different than mailin g address) I. Application Information - Please Print All Information t Mal Property Owner's Name P cel # Block # Property Owner's Mailing Address Property Locatio /0 E �. s,A) /<,J % Section City, State Zip Code Phone Number �j w 1 5 'f� 0 N: I I. Type of Building (check all that apply) I or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Public /Commercial - Describe Use v `/ ❑ State Owned - Describe Use ❑City Vil hip of 1II. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System > 11h ement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New ; List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type ofPOWTS System: Check all that apply) ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil At -Grade El Single Pass Sand Filter El Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic T ent Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamb ❑ Drip Line ❑ Gravel -less Pipe ❑ er (explain) V. Dispersal/Treatment A rea Information: Design Plow (gpd) Design Soil Application Rate(gpds S Dispersal Area Required (sf) Dispers Area Proposed (sf) ystem Elevation 3 aD - _S_ Il i �� b-Z..) 9 0-C) VI. Tank Info Capacity in Total Number r Manufacturer Prefab SAC Steel Fiber Plastic Gallons Gallons of Units w —t Ct7 Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank K Aerobic Treatment Unit �1 J� Dosing Chamber 0 VII. Responsibility Statement - 1, the undersign d ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' ature MP/MPRS Number Business Phone Number Plumber's Addre s (Street, rty, State, Zi ) VIII. Coun /De artment Use Onl Approved ❑Disapproved % Sanitary Permit Fee 'ncludes Groundwater Date Issued Issuing gent Signature Stamps) Surcharge Fee) l � ❑ive anon IX. Condition o pprova SYSTEM OWNER; 3�� 5� 1 Septic tank, effluent filter and c9n dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x I1 inches in size SBD -6398 (R. 01/03) PLOT PLAN rremont Hotel LLC ADDRESS 105 E. Elm St. Box 10 River Falls Wi 54022 ,/4 NE 1 /4S 27 /T 30 N/R 20 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 98.9' BEDROOM 2 ; ONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK ✓IOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 IOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Bottom of Garage Siding ASSUME ELEVATION 100' Filter Zabel A -100 BOREHOLE O WELL * H. R. P. Same as Benchmark Hwy 35 AL AL Scale = 1/4" = 10' ST /DW O Old system is to be Property Line Existing pumped and buried 2 Bedroom House Tank is to be properly bedded and provided with lockdown covers with approved warning 0 labels Well Huffcutt Combo Tank Garage ❑B -1 Grading is to Area 15' below be done to B-3 system is to remain divert run -off undisturbed away from 2% Slope system B -2 99 98.9' 98.5' Property Line ovol C t • Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 'sco n s' n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, S April 12, 2006 CUST ID No. 226900 Anal. POWTS Inspector ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/12/2008 Identification Numbers Transaction ID No. 1259062 SITE: Site ID No. 711477 Tremont Hotel LLC Please refer to both identification numbers, 1361 State Hwy 35 above, in all corre ondence with the agenc Town of Saint Joseph, St Croix County SW1 /4,NE1 /4, Sec. 27,T30N,R20W FOR: Description: Two Bedroom At -Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1070612 Maintenance required; Replacement system; 300 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System: At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual, SBD - 10573 -P (8.6/99); Biofilter 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, r, stats. CW , The following conditions shall be met during construction or installation and prior to occupancy or use: AP Reminders DEPAItTMEFT OF S >Tl • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRE component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat SHAUN R BIRD Page 2 4/12/2006 • 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. Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. 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 $ 175.00 Fee Received $ 175.00 ✓,� v �� "`' � " ' '��� Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code : 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 4A 1 Sq o Dos Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 4/6/06 Owneffremont Hotel LLC Location:SW1 /4 NE1 /4 S 27T30 N,R20W 1361 Hwy 35 St. Joseph System type: At -Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section )F Y OAr,, f?cEF 6. Pump Curve '' S ' PO N�- CE 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature License number 226 0 PLOT PLAN PROTECT Tremont Hotel LLC ADDRESS 105 E. Elm St. Box 10 River Falls Wi 54022 SW ,1/4 N'E 1 /4s 27 /T 30 N/R 20 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 98.9' BEDROOM 2 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Bottom of Garage Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Hwy 35 Scale = 1/4" = 10' ST /DW Q Old system is to be Property Line Existing pumped and buried 2 Bedroom House Tank is to be properly bedded and provided with lockdown covers with approved warning Well labels Huffcutt Combo Tank Garage ❑B -1 Grading is to Area 15' below be done to B - 30 system is to remain divert run -off away from 2% Slope undisturbed system B -2 99 98.9' 98.5' Property Line i� >i B > 5 PY �13ALE.MAi [rt .� �. 5� 2 �TUR11— UPS" �-- QtSTRt- �..s- �tTta�t iAT�RAL --t ! w ] A: STA$EL2 f-Ek 08:EV%XptTtbr4 VJEtL !{ >_ 5 €� ( 1 1/6B - F A = L = {- CELL OF - Z% A&t4tE.Q4TF- pt jP eaa,jF- a symTtimt Fabric j Distribution Lateral STAB11i1r-b Observation------, Soil Cover W£ l i t' '� 6 ° — t j �i4s1VED SAYER Io S�{?PE plan View and Crass Section of Wisconsin At -Srada Unit with a Single Absorption Area on a Sloping, Site nl �: Page Of Distribution Pipe Detail For Lateral )detwork AC�es�' TuRm -uP (CLptout) PVC Farce Main 4=4 PVC llistribution Pipe P * Last Hole Should Be Next To T P uRxi- � P Ft. Hol a Diameter Inch X `I Inches Lateral diameter �- Inch(es) Y � Inches Force Main Diameter � Inches Of Holes /Pipe invert Elevation Of Laterals �� Ft. Signed; License number: Dates .s MS£R CROSS SECT: 0,4 AND SpE CIT ICATIQI+FS SEPTIC TANK � =�3MF Ct,h �tEAtl�lER� Ott G. V £NT PIPE 1 .211 HIM- ABOVE GRADE � jUNCT1Dl4 BOX APPROVED WINDOW NDOW OR MANHOLE COVER s � F ROM DOOR. w ITH CONDUIT W1 PADLOCK FR£a " IIt IAtTAiCr` WAgAING LABEL GRADE 1 � � `�; L � " IN j a G.A. S wAT£R TIGHT SEALS i TIGHT, A SEAL Ai i"i WITH ON s APPIB)VEB SMID SOIL PIPE 3 C FF mm SO LID. c I' _ A SOIL pt3#4P OFT' EL£V - D 3 n AFF OY ED BEDDING Uk� TANS CONCRETE PAD CATIONS SEPTIC ! DOSE N1Y4f ER DOSS DAY: SIZES: SEPTIC T GAL. ANK 14ANUFAC- VRER: DpSE of wmr INCLdDIw d GAL - FUCK T NY, GAL. DOSE GAL. - irick ES = -- .�� Sr, J CAFACITI£S ALARM MANUTAC ; T�ERs g = RICHES MODEL NUM'SER= x GAL. SWITCH TYPE: ; cf c ' Q— C 5 INCHES PUMP INC - MODEL NUMBER: —� ✓ �� 16.23 WAC SWITCH TYPE= g ALJtR j �� itZR FEET I AS PER ILHR � , � G. 3'4 _I� ---- REQ4IRE3 DISCjL*jtr� RATE TT ON PIP£ - - FEET MP of F AND DISTRY _ 3 •.sue..._. -- FECT VERTICAL DIFFERENCE BETWEEN �URE - - - F ICTlQt4 FACTOR - - FEET i�iZNir'i`�i�'i N£TWLiRK gDPPLY X j / ! I'T>loo FT. + YN IC HEAD f �} FEET i' ORCEMAlN -_ TDTAL D / LENGTH IV,rZRNAL DIMENSION DE PUMP TANK: LlQtjlD rI I,IQi3II? � � --- r----- - DAT = LICENSE NUMBER SIGNED_ ;188 f' TOTAL DYNA�S1iiG HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEYI MODEL 152/153 r MODEL ; ! 152 i Feet Meters Gl Lfers Ga. Lifers 50 i f i 261 77 291 153 37 70 265 2 '2 40- 157 15 4.6 ` 53 201 61 231 i I a 20 . 6. , 1 44 , 167 i 52 ? 97 T - I 30 25 7.6 I 34 I 129 I 42 159 I Z 8 I 30 9.1 1 23 87 33 125 t 20 35 i 10.7 -- — 22 1 85 1 o _ 40 12.2 I _— __ 11 42 . - z st I 1za . r 11,6rr 4 ^..0 fi. m 4 I lock lrolva: X80 ... } 10 wands i 0 20 40 60 EO 100 GALLONS j LITERS ` 0 80 160 2f0 320 - 3-27/ 4 SIB j FLOW PER MINUTE ii l I I l 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS i —; i • Timed dosing panels available. ° - = ® 327./.2 • Electrical alternators, for duplex systems, are available and supplied with 1 i an alarm. !T • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are. available for variable 1 level long and short cycle controls. • Sealed Qwik - 8ox available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. I f 932!'1538eries 12 1 /3 Fr' r-• 1 152-83 MODELS control Selection I h Im h Anode Am i Sim lei I Du fez 1 Non 8.5 1 2or3 j 1 Auto 8.5 induded 2.13 I i yL Non 4.3 1 2 or 3 Auto 4.3 lnduded 2 or 3 Non 10.5 1 2 or 3 9N153 115 1 Auto 10.5 lnduded 2 or 3 SELECTION GUIDE E153 230 1 1 Non 53 1 i 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level That SE153 230 1 Auto 5.3 included 2 or 3 ' switch. Refer is FM4477. d CAUTION 2. See FM0712 for correct model of Electrical Ahamator E-Pak Au installation of controls, protection devices and wiring should be done by a qualified 3 Variable level control switch 10-OW used as a control activator, specify duplex (3) licensed electrician. AU 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 n For unusual conditions of ons a reserve safety factor is engineered into the g every Zoeller p ump, L TO: P.O. BOX 16347 agar _ Louisville, KY 40256- 0347�� Q SHIP TO: 3649 Cane Run Road FAX (502) 7 Wzff'' Louisville. ICY 40217 -1961 Pzr/j" i502) 77 74 -3624 PUMP http: //srwwsoellercom 9 Copyright 2000 Zoeller Co. All rights reserved. paWTS OWNER'S MANUAL & MANA GEMEN PLAID Page of SYSTEM SPEGIFtCATIOHS p(LE rNFORMATIOH Septic TanK Capacity L� al ❑ NA L �u�>�° t3 Owner � � ruun� Se p ti c Tanis Manufa�urEr ,(� Permit - 3 Effluent titter Manufacturer DNA DESIGN PIN � � MEM -0 Efl9uent Ff ter - Model r r3 NA �" NA Number Of B01foor is � Pump-Tank Capacity �� d aJ D Number Of Comore U"' , Pump Tank Mariufacsurer lc. D NA J a Yd Q NA' I s6rriaJed flow (aver4e) - Pump Manuf ctmef v 5 � aVd I J/ ''Z- ❑ NA pesWn flow (Pew). { c� Pump Model Rabe 1-1 aVd � p nt. Unit SoII APP On Monthly zvers9e` ravel Filter Peat Fitter irtfluentlEfltus Quay S30 mg/1_ II �� nical Aeration O Wetland Fatst Off & Grease (FOG) 130fl mgll. ❑ Mechanical on 0 Other. BrocFierrhica! Oxyg� Demand (BODs) 0 Disinfecd Totar ,%=peril Bo frSS) 5150 m IL Manufacturer Hq Monthly averages" Dispel Cell(s) p "round (pressurized) Pretreated went Quard Sao mg/L © ground (gra�rRy) p Mound BkX hemiC;W- oxygen Demand (SODS) "grade !7 Other Tota S Solids (TSS) -530 mgr- 0 Dfi ne Fecal Car (geometric mean) 510` cfum oomI _ Y inch diameter v alues typical for domestic (non- n+J �pW tank etRuent Maximum Effluen Particle Size .. values tyP� for p ro uested w+sbe�r N[NN ENANCE SCHEDULE Service Frequency S erv i ce Event C3 months earls) (Ma)dmu.n 3 yrs.) At feast once every one - third (y) of tank volume Inspect condition of tank(s) When combined sludge and scum e q u als ecl tai(s) (M 3 Sts -) Pump out contents of tank(s) �•5 p months Atieast once every - [nspect dispersal ce11(s) 13 months r(s) At least ante every , s) C3 [HA Clean e ffl u ent fitter `? 0 months C0 A alarm At least once every v s) O NA inspect pump, pu m p Q months At least arse every c� Flush laterals and pressure test Q months © year(s) D NA At least once every At least Once every Q months II years) tit NA other_ MAlgrEN ANCE INSTRUCTIONS one of the following fiaenses or d tnsreiietss of twks and cells shad be made by an individual carrying c tor. POWTS Mai ntamer. Septage ins: Master Plumber. Master. Plumber Restricted or b roken r wer, POWt"S Inspe ctor S OpaMtor. Tank inspections must include a visual Inspection of the tank(s) ties identify arty m fo any balc UP hardware, ident:tY any � or leaks, measure the 'volume of combined sludge and spurn and check th effluent levels The dispersal c e1J shad be visually inspe o �� of effluent on the or ponding of effluent on the ground surface- nding of effluent air th ground surface. e ffluent on t in the obser+ration Pipes and to check for any p° indicate a f condjWn and reciltrres Me'irnmediate notification of the [oval raga k volume, the gmund V AX* may or more of the tan accu mulation of sludge and scxr in any tank equals to posed of in accordanc>° with � NR When the combined ac cu a Septage Servicing (ape entire contents of the tank shall be removed by 113, Wisconsin AdminJstrative Code- reireat"ent pO ponents; and anY cformed by a �� VYts Meer The setridng of effluent fitters, mechanical Or 2 months o.l all be p? . p .� event other malnWance or monitoring at i h e 10 o f c ompletion of any send Aser'mqe repoatshati - be Provided to the Jacat regulatory authority wifltin 1Q days START UP AND OPERATION Pres For new OOnstr Cd0n, p of Qain P n5 are other rior to use of the Pp1+YfS n and/ tr d a mage tank( is far the P e the treatrrteni process and/ damage the d cetl(s). If high conCert6a chemicals that may imped o p e rator prior to use_ dEat�d have the contents of the tanks) removed by a septage servfcing I� shah not occctr when s�j c onditlons are frozen at the "infiltrative surface_ System start up is restored the excess p ,g power outages pump fanks may, fill above normal highwater levels. When � „ be diset,anged W the dspe� cen(s) in one large dose, overloading the MKS) and may result in the badcug ar surface d'rscf�auge of etli_uent To avoid this sduation have the contents of the P( nip lank removed by a Sepjage Servicing Operator prior3o restonng Power to the eftiuent pump or contact a Plumber or POINTS &talttiaaner t a in ff=u* opmfing the pump c ontrols to restore normal levels wifizin the pump tank. Do n ot drive or park over tanks and dlspersal cefts. Do not drive of park over, or ofherwise dishub or c=pact, the area withln 15 feet dawn slope of XW mound or at -grade soil absorption area- Reduction or- elimination of the following from the wastewater stream may improve the perform and prolong ft Slfe of the P01fYTS. atltibto6tx; frabyysrlp�+: olgatte butt; condoms; cotton swabs; degrleasers; dental Boss; diapers; of PO trts; t anti itid on drain {sump pump) water, fruft and vegetable peelings; gasaline; grease; herfucides; meat scraps; mesons; 011; �ainSnS products. pesd�= �5v napkins: tampons; and water safffer brine. ABANDOA*MENT VYtten the POINTS faits ,and/or is penTl2nengy- taken out of service the foIIowlng steps shall fie taken to Insure that the system is pmPedy•and Safely abandoned in eornprrance with ch_ Comm 83.33, Wisconsin AdmMlstraWe Code: All piping to tanks and pits shall .be disconnected and the abandoned Pipe openln$s The contents of al[ tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or th covers removed-and the void space fit[ed with soli, gravel or another inert Solid Material. CONTINGENCY PLAN If the POWYS fails and Cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacerent system: 0 A suitable r7eplacernent has been evaluated and may be utilized for the location of a replacement sod absorption me ter_ The replacement area should be protected from disturbance and Compaction and should not be infringed upon by required setb.ac ks from eidsting and proposed structure. lot lines and wells_ Failure to will protect the replacement area ll result in the need for a new soil and site evaluation to establish a suitable replacement area_ Replacement systems must comply With the rules in effect at that time_ D A suitable replacement area is not available due to setback and/or soil limitations_ Barring advances in POWYS technology a holding tank tray be installed as a last resort to replace the faded POWYS_ sere has not been evaluated to identify a suitable replacement area Upon failure of the POWTS a sod -and site evaluation must be performed to locate a suitable replacement area if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWT - S_ M and at soil absorption systems may be reconstructed in place hollowing removal of the biomat at me IIntifrrattve surface. R of such systems must comply with the rules in effect at that time. <<v vARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGE=N. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT_ RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY 13E DIFFICULT OR IMPOSSIRI E. ADDITIONAL COMMENTS POWYS INSTALLER POWYS MAINTAINER Nam? Marne �Q u w I j � Phone `� J �__� Pflcne j 7 J SEPTAGE SERVICING OPERATOR PUMPE p_aCAL REGULATQRY 1fU�NORIT / Y 2 Name �',�yw } Ay �S l 0lk_' / 2. Z This duasneM was dratted by, the staffs of the Green take. Marquette and W teshara County Z.crtlag srtd Sanifafion agefldes- This dW=ent mt9ts the n i*nwn requirernent; of ctr Comm 8322( M)(lXQ)&(0 acrd 83-54(l). & (3), Wisconsin Adrnlhlsfra[nve Code� the of ft document 6WS tint guamatee file performance of the POW 'S. RECEIVED Wisconsin Department mmerce SOIL f �,&UATI N REPORT Page of Division of Safety and Buildings A D R 1 U U u in acco ante wlt Comm 85, Wis. Adm. ode County paper not less � Y Attach complete site plan on pap than 1/2 r 615QVir "tVlan mu include, but not limited to: vertical and horizontal ference point (BM), dire dlna� Parcel I.D. percent slope, scale or dimensions, north arrow, istance to nearest road. Please print all information. / 161 t4 Reviewed Date (��l 3 -� Personal information you provide maybe used for secondary purposes (Privacy Law, s. 19x04 (1) (m)). Property Owner Property Location e/nvj ' l � � . , Govt. Lot S&O 114A,,/ 7 114 S )T3 D N R pZ 0 E (or Property Owner's Mailing A ress Lot # Block # Subd. Name or CSM# State Zip Code Phone Number E) City ❑ Village Town Nearest Road _AI r, ❑ New Construction Use Residential / Number of bedrooms Z Code derived design flow rate 3 GPD Replacement ❑ Pyblic or commer ' Describe: Parent material Flood Plain elevati n if applicable General comments Li / Li `L' and reconurren dations: �` System Type �cJy' System Elevation / d • / / © Boring # ❑ Boring ® � - -) ,z pit Ground surface elev..� ft. Depth to limiting factor � n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I •Eff#2 0 - 1 z 3 1z- �;' G.� • 6 -B - 3 l0 (O Al" "04 - O '0 ® Boring # X� Bonn Pit Ground surface elevfff"'K— ft. Depth to limiting factor 4 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 � 12 3 �' ,>, �; 'dam . 6 Z 12- Y O /Ot . ! - Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST flame (Please Print) S' CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation onducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 —Q 715- 246 -4516 Property Owner _ E] Boring Parcel ID # / Page of [3-1 Boring # 99 Pit Ground surface elevJ�_ 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 r F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. — So�ilApplicafion 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 ❑ Bodrig # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L i 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.M00) Soil Test Plot Plan Project Name Tremont Hotel LLC Shaun Bir Address 105 E. Elm St. Box 10 River Falls Wi 54022 CST 226900 Lot ------ Subdivision -------- Date 4/M6 S W 1J4 NE 1/4S 27 T 30 N /R W Township St. Joseph Boring Q Well PL Property Line County ST. CROIX IL BM or VRP Assume Elevation 100 ft. Bottom of Garage Siding System Elevation 98.9' *HRPSame as Benchmark temate enc hmark Bottom of stucco c 101.2 Hwy 35 ST /DW Scale is 1" = 40' 0 unless otherwise Property Line Existing noted 2 Bedroom AtI.B.M. House —► 0 Well All neighboring wells are Garage >100' from system B. M. os -1 13-3 2% Slope B -2 99 98.9' 98.5' Property Line Property Line ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 71C v o - - A" zz C Mailing Address lb S' ,�. �=�� Sal / b s i I Property Address 1.3 2 1 _ hL � - (Verification r ed from Planning & Zoning Department for new construction.) City /State Parcel Identification Number 030 –'2-6& LEGAL DESCRIPTION l Property Locationc 1 /4 , 0 1 /4 , Sec. 27 , T 30N R W, Town of 5T , Subdivision Ui l , Lot # / Certified Survey Map # , Volume , Page # Warranty Deed # Volume Page # Spec house no Lot lines identifiable Cr 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. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of r om Z- 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) 04/17/2006 M ON 16 45 FAX 715 386 4687 SS CROIX 00 REG OF DEEDS 2002/002 - f b !K • l • Of , 9� a' Al.om •� 5 - WR,C +•. �. it ArcIMS Viewer Page 1 of 1 AN s �i••° tGTY Nu � .r CBII 1fy2rZ i,arl ncr rva fr• Wrivv ^� mo uaac C 1 r !IG i1 !iG ?14 !7r ^IGI N. 1 i 3 1 3 Z 1 K^° 7 !sn NT LOT a .,y WC 2 i 3 ED C +u 1 !'!a CK 2 s HLfJ�K $ m, ' yK !s. 114-NE 1R !,F , � •�� c { �., s Ka :� _ Luc 84! CK O „ 3 3 T 3 E�EJD CK MDC 4 MID http: //72.21. 230.178/ website /LP,Portal /ARCIMS /MapFrame.asp ?PIN= 4/20/2006 ,� • - y 9EH SERIES SUMP /EFFLUENT PUMP 11.65 8.95 O 0 Specifications MODEL CAT. SOLIDS Sul RUNNING PERFORMANCE (GPM @ READ) SHUTOFF PWR. CRD. WEIGHT DIMENSIONS No. NO. LISTING NP VOLTS ( AMPSIWATTB P.S.I. 5' 10' 15' 20' IF<I IFt► IIAs.► IN x L: W) 9EH - CIM 509330 UUCSA 4110 115 3/4 13.0 1000 70 54 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 9EH•CIM 509340 UUCSA 4/10 230 3/4 6.5 1000 70 64 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 9EH - CIA -AFS 509350 UUCSA 4/10 115 3/4 13.0 1000 70 64 55 41 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH- CIA -AFS 509360 UUCSA 4/10 230 3/4 6.5 1000 70 64 55 41 32 13.6 20' 27 9.11 x 11.64 x 8.94 Continuous Duty Rated — "Little Giant Wastewater pumps are rated continuous duty as long asthey are run within the published ratings forthese pumps." FLOW- LITERS /HOUR Construction 0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron Impeller Material Poly Carbonate 30 10 Impeller Type Closed Vane Volute ABS W V) W Power Cord SJTW -A L 20 W Mechanical Shaft Seal Nitrile with carbon and �rl,� p • ceramic faces Q s East eners Stainless Steel 10 Li Shaft Stainless Steel 2.s Bearings Upper Sleeve and Lower Ball Bearings 0 0 0 20 40 60 80 FLOW- GA LONS /MINUTE PUMP PERF RMANCE CURVE rlr!!Y a'••'o.r4" Little Giant Pump Co . 11s 60HZ r � PO Box 12010.Oklahoma City, OK 73157 Phone: 405.947.2511 • Fax: 405.228.1550 E -mail: customerservice @littlegiant.com www.LittleGiantPump.com A� Form 995235 — 07/03