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Home My WebLink About018-2019-79-000 (10)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15 04 (1)(ni Permit Holder'. Name City Village Township Rollinq Hills Farm Residential Property I TOWN OF HAMMOND CST BM Elev linsp BM Elev IbM Descrmtion 11 TANK INFORMATION uF TANK SETBACK INFORMATION TANK TO P/L WELL BLDG /ent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION to SUIL AldSUIZPTION SYSTEM ELEVATION DATA Bldg Sewer StlHt Inlet SUHt Outlet Dt Inlet Dt Bottom Pipe St Cover BED/TRENCH DIMENSIONS Xdth Length No Of Trenches PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer Type Of System Model Number DISTRIBUTION SYSTEM HeadeNManlfold Distribution x Hole Sue x Hole Spacing Vent to Air Intake Pipe(s) gth LenDia Length Die spacing x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of zx Seeded!Sodded xx Mulched Bedr rench Center BedJrench Edges Topsoil ❑ Yes I I, No — Yes COMMENTS: (Include code discrepencies. persons present, etc) Inspection #1 Location: No Address Available 1) Alt BM Description = 2) Bldg sewer length = - amount of cover = Plan revision Required? Yes _ No Use other side for additional information. SBD-6710 (R 3/97) Date insepctor's Signature Inspection #2 Cent No SHIN ,zaa 1 o�$5 County /p N Safety and Buildings Division St. Croix 201 W. Washington Ave, P O. Box 7162 Sanitary Permit Number (to be filled in by Cc) AUG 16 Z021 Madison, WI 53707-7162 338'72- s t � County Coin 1 0 ent ApplicationCk State Transaction Numher In aceordanw withSPS 383 ZI(_'), Wes AdenCode, submission df this form lot a slip p ental uyit Protect Address (if different than mailing address) is required prior to obtaining a sanitary permit, Note Application forms for state-owmxl WTS are submmed io the Department of Safety and Professional Servies Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s 15 04(l m), Stars 1. Application Information -Please Print All Information Property Owner's Name Parcel 4 Tyme Properties &C, E 018-2019-79-000 Property Owner's Mailing Address ' uv Property Location 3435 Labore Rd. Ste 150 Govt Lot NE / SW / Section 29 City, State Zip Code Phone Number Vadnais Heights, Mn. 55110 T 29 N. R17 (Circle o� 11. Type of Building (check all that apply) Lot 4 Subdivision Name �( 1 or 2 Family Dwelling- Number of Bedrooms 33— 3S Rolling Hills Farm Block ❑ Public/Commercial - Describe Use — ❑ City of ❑ State Owned Desenbe use ❑ Village of CSM Number Town of Hammond III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A El New System y ❑ Replacement System p ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Penns Renewal ❑ Penns Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration (Tuner tr f IV. Tvpe of POWTS S stem/Coin onent/Device: (Check all that a I f ❑ Non-Pressuneud In -Ground ❑ Pressurized In -Ground D At -Grade 16 Mound > 24 in of suitable scull ❑ Mound <24 in of suitable sod ❑ Holding Tank ❑ Other Dispersal Component pl%ain) ❑ Pr tment oe (explain) Hoots ATU�S to be a ded V. Dis tsallTreatment Area Information• 0 Design Flow (gpd) Design Sod Application Dispersal Area Required (sf) Dispersal Proposed (st) Syste Elevation 1200 .1 1200 1200 000 1072.50/1071.73 VI. Tank Info Capacity in Total 4 of Manu cturer Gallons Gallons limes 2 Sim tex filters v o d _ o NM Tanks Esisong Tanks a Lz .C.:7 .�- SePoc or Holding I ank liceingeILa'b 1250 11 1 Wieser x VII. Responsibility Statement- 1, the to deniga ed, —1-5APonsibiptv for ifist:Pfitiom of the PORTS shown on the attached plans. Plumber's Name (Print) PI igna[ure MP/MPRS Number Business Phone Number Keith Knudtson 3 651470.1737 Plumbers Address (Street, City, State, Zip Cade) 927 15Oth St. Roberts,Wi. 54023 Vill. Countyfflepartment Ilse Only Approved ❑ D p Permit Fee Issum Agentigram ❑ Owrier Grven Reaso r Denial /a/f�Issue 2� I Conditions pprov �eppraval •5\..i/ 5 �e� /' Q s �1t YSTEM OWN I r••U Q~`r j �p�p�"-may _1.. � I 1 /I . Septic tank effluent filter and ( . Y11.i �n t 33� 3� ERL'� k tPvI le l W to dispersal cell must be serviced l maintained bw� I A , I=�� as per management plan provided by plumber. All D t�.o�t,.t.11 . setback requirements must be maintained Pam.. • • asp rappll able code/oF1h146 ROB!!(lil<te for mesystem ind tthe Or not lea man 1l inch I t Q\ww- t/ts w 8 61/14laf-z . ,� to ;�GpP 21,761 E BM LOT 59 ar AP nr Wooded Bub Same ASSUMED ELEV. 107232' Sanitary Site Plan For: R.H.F. Residential Property Owners Ass. LLC Rolling Hills Farm Outlot 2 NE//4-9N-R]SWl17W Sec. 29 T29N-R1 Town of Hammond - St. Croix County WE[ e^y V LOOT 2,,7e3so Fr 61 CV V Top of Wooden Hub ^ 27.783 SO. Fr. \4t,�, `Ptt14068 Elev. 1072.52 �i 10% 42.71 Acres ,M f� Open Field Site Septic Easement #10 B#3 dS Proposed Duplex 1 A$ Sch. 40 PVC Rt 9ltt. Proposed Wieser Concrete w/ Duplex Pumps Dose Tank 1 w/Duplex Pumps and Simd t15 STF-I00 Filters Typical for lots 33-35 will be Four Bedroom Homes w/4- Sch. 40 PVC Bldg. Sewer Pipe. A Hoot H-600 Bio/Septic Tank connected to the dose by 4" Sch. 40 PVC or 4" Astm D-3034 PVC conveyance pipe. Clemrouts would be optional. LOT 36 LOT 37 14 , 21,7 SO FT. zi.7s1 So FT. L.B.O.=1057.50 �. t �t ��•n'� W wa0i41 LOT 38 ,781 SQ. Ff. _ .=1057.50 .05 58M ELEV. 10°24'25'E ' 1071.71 _ 62 •ram 1 •60� 21,702: ❑ BR1 L61 Sry.rb,� 67. 31.03, Proposed Two 6' x 100' Mound Dispersal Cells w/ the Upslope Cell located along the 1071.50' contour w/a S.E. of 1072.50'. The Down slope cell will be located along the 1070.73' contour w/a S.E. of 1071.73' / OUTILOT 2 -Na 735 WELL DEDICATED TO THE PUBLIC 1 —1079.20' 4'Ccrweyaoee Pipe 4' &dg. Sewer � 4• Comayer,ce hrya Pipe —1085.00' d OT sePrra� r� 21.7e, so. Fr. / 731 �4COZIOY� Bldg. Sewere .—1083.00' Hoa&-M 00 /Septic7enk WEL n25gE 39 LOT 32 21,781 SO. FT. DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY UN 54304-5211 Contact Through Relay P$ .:i \lR�jss9p�rj�/ httpl/dsps.w.gov/programsrindustry-sem�s www.wisconsin.gov Tony Evers -Governor Dawn Crim - Secretary August 11, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-08-11 Plan Review: PWTS-082101888-C KEITH E STONER 23220 Woodcreek Rd Siren Wl 54872 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SITE: Rolling Hills Farms Lots 33-35 Shared Sanitary 735 163rd St. Hammond Township Town of HAMMOND SEE CORRESPONDENCE St. Croix County Total Amount: $325.00 FOR: Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) Desermdon: 1800 GPD GIRD Maintenance Required The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. "this system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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: • It is recommended to fence off dicoersal area prior and durng con tit ruction to asoid duht rba nce, compaction and use of the site. • NN ith new construction, it is recommended not to acticale the pump in the dose tank until the tanks are pumped prior to homeowner occupanc.N. • NN astewater generated from contractors cleaning of equipment and tools and/or- left -over construction products shall not be discharged into the drains discharging to the prisate onsite wastewater treatment system (PONN Ts). NN aste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • It is recommended to cuter short M possible and remove ground cover prior to tilling the ground surface for the dispersal area. • Electrical connections shall comply with SPS 316.300 and NEC 300 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewers beyond 30 feet per SPS 382.30 (I1)(c) • Well shall be located 50 feet from drainfield and 25 feet from treatment or pump tanks. • Verify property line location. • The homeowner must maintain a Servicing Contract with a POWTS Maintainer for the life of the private onsite wastewater treatment system using pretreatment technology. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance, and servicing. • The system was designed to meet the influent quality discharged into a POWTS dispersal component consisting in part of in situ soil to be equal to or less than all of the following: 1. A monthly average of 30 mg/L BOD5. 2. A monthly average of 30 mg/L TSS. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state, or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats I01.I2(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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation, or maintenance of the POWTS. Sincerely, Travis Wagner POWTS Wastewater Specialist, Division of Industry Services (608)598-0715 travis.wagnerPwi gov Index and Title Sheet Project Name: Rolling I lilts I arm Shared Samtar% Ssstem for Lots 33-35 j}yy Property 0%%ner: Rolling Ilills Farm Residential Propem OwConditionally nenAnRIJVED Address: GO of I}me Properties DEPT. OF SAFETY AND PROFESSIONAL 3435 Labore Rd. STL.150 SERVICES Vadnats Heights MN 55110 DIVISION OF INDUSTRY SERVICES Legal Description: Part of the NL of the S\1 Section 29129N-R 17 W Township: Hammond County: St. Croix Subdivision Namc: Rolling [fills Kann Outlot'_ Comp. #'Parcel ID: 0 18-20 19-79-000 CON ILl\NlS Page. I Plan Narrative Page: 2 Plot Plan Lots: BFratC S8WI5NFf35 Page: 3 Mound Plan View and Cross Sections a 4 fllpslope - Down slope Cells) Page. 4 1 ateral Layout ( typical) Page 5 Dose Chamber Cross -Section Page: 6 Pump C'ur%c Page: 7 A*B Duplev Pump Panel Specifications Page 8 1loot Systems H-600A lank Specs. and Hoot Service and Inspection Form Page 9 Management and Contmgencs Plan Attachments: Soil and Site Cvaluation Reports. Soil Verification Borings. Sample ATC Sen icing .Agreement and Hirt Systems LLC Product Approval N%ith maintenance requirements. Mound Component Manual Used = Version 2.0 SBD-10691-P (N.01 '01 R. 1012) Pressure Distribution Component Manual Version 2.0 SBD-10706-P (N 01 %01 R. 10/12) Designer Keith F Stone r.a' License # Desigmer 157-007 Signature: 6-25-202I Phone # (715) 653-2324 Page I of 9 Plan Narrative l"he following shared sanitary" system desig discussion foe scs on the proposed 12 Bedroom! 1800 gallon per day sanitary system to scree ots 33 th f the Rolling I tills Farm Subdivision. This plan complies with the St. Croix County" L nd Use and Development Ordinances. A "Conservation Development Rolling Hills Farm is designed for 77 lots serviced by 22 dispersal components located on common ground. Appropriate casements and maintenance language were required prior to final approval. The St, Croix County subdivision ordinance requires that each buildable lot has a soil and site evaluation completed. For these 3 lots the mound dispersal area will be located within Sanitar Easement Area 10 and the tested areas for lot 61 within the common area known as Outlot 2. A four bedroom maximum design flow has been established for each lot. The county will require a sanitary permit for each lot prior to construction for setting the septic/treatment components verifying the design flow for each lot. These lots will required to set an aerobic treatment tank with built in trash capacity that will be connected to a 4" conveyance pipe that will gravity flow to a common duplex dose tank located north of Lot 3Ss north lot line, that will alternately distribute the highly treated effluent to a common mound dispersal system consisting of two 6.0 ft. x 100 ft. mound dispersal cells. The soil tests completed by David Steel are provided. The Bl+l for the soil test for Lot 61 equals 100.00' or—1072.00' using NAVD 88 Datum. A surveyor was hired to locate the existing irons and staked the septic easement area as the agricultural fields within the subdivision had continued to be cropped and some of the irons and 'I -posts marking the lot comers had been disturbed as it has been 15 years since the original soil tests had been completed. Ae use a wooden hub set on the northeast comer of Septic Easement 410 with an elevation of 1072.52as our benchmark for the sanitar systems constructio�rimeter of the lease Went "as staked with shots taken on the existing easement iron. n� soil verification pits were du_* to verifi, the soil conditions and tied into the benchmark along with contours within the system area 21.M1 BM LOT 59 / t 1M op ofWoodedHob - Same MED ELEV. 1072,52' 10% 42.71 Acres f� / / r\ 70,E ryh \Gse Sanitary Site Plan F For: R.H.F. Residential Property Owners Ass. LLC Rolling Hills Farm Outlot 2 NE1/4-SW114 Sec. 29 T29N-R17W Town of Hammond - St. Croix County VT WEI 783SO1r.gOT Wooden HubJ 21,M SO Fr g Elev 1072.52 1 Open Field Site Septic Easement #10 gQ ❑ Ball L 'I Sn'1r"T 983& 31.Q1. Proposed Two 6' .x 100' Mound Dispersal Cells w/ the Upslope Cell located along the 1071.50' 13I3 p 7% contour "/a S.E. of 1072.50'. The Down slope cell will he located along the 1070.73' contour w!a S.L. of 1071.73' 107 soJ _ OtJTI.OT 2 73.34' d1 posed Duplex Sch.40PVC F.Ma p1" Proposed Wieser Concrete 5 w H'LPL.Dose dank w/ Duplex cs Pupu mps and Simtech SIF-100 Filters Typical fix lots 33-35 will be Four Bedroom Homes w/4' Sch. 40 PVC Bldg. Sewer Pipe A Hoot H-600 Bio/Sepnc Tank connected to the dose by 4" Sch. 40 PVC or 4" Astm D-3034 PVC conveyance pipe. Clean -outs would be optional. LOT 36 LOT 37 z1, s2 sa rr 21.7815o Fr L.B.O.=1057.50 �w lit `�TO4\ w)0'41 LOT 38 ,781 SO Fr. =1057.50 228 59 1071.71 Ott I: J WELL DEDICATED TO THE PUBLIC 183RDISTREET -1079 20' 4•Canveyance Pipe 4- Bldg S \ 4\^B/I/tl\/9) Sewer 4' Ca Pipe re VryA Pipe -1085.00' g OT Tank i' 21. e1 So Fr / e 4as'i 1' corneyerloa 4' Bldg. 3eww Pipe .—1083.00' L�Tank 33FNk 51VEL g2x`'39 , LOT 32 21.761 SO. FT. 3150��2, R Page 3a of 9 A T Cross Section of a Mound System Using Two Cells for the Absorption Area ],to ��acrva rorr rrpc -B id O K O O E B • Q e L � t [ti�1111 r ii Note:separation. Mound Cross Section View for the Upslope Aggregate Dispersal Area Finished Grade r t Lateml ---1=— 7 % Site Slope Detail of Typical Dispersal Cell Shading Key ® Topsoil Cap ® Subsoil Cap ASTM C33 Sand ® Tilled Laver ® Aggregate a A b Note: Prepare Mound Site per Component Manual Constuction Procedures. / ( (ft) Contour Elevation = System Elev. leotextile Fabric Cover 4" Obsenvanon Pipe % h+alerproofcap and ancbored secureh ud31" re -rod or alternme method 6" slot Cross Section of a Mound System Using Two Cells for the Absorption Area I;10 Obsenation Pipe —j —B-O O O B B ffl12 F 9.511 C G D 1200 ,y I In',el ti)�mm Ih,p:nal \ria 6.00 1_pd It rr\ar I oadlrx Rat: Note: C dimension = cell separation. Lateral I n\ ert I - Page 3b of q K H K gl A91 71 3 O(N) IIt'i naal \r,, \tadahl. 111.0(1' Iln1 lu R()b, Pqa Pta,cncnl Mound Cross Section View for the Down Slope Cell Aggregate Dispersal Area Finished Grade 107: 6(' ® F I070.73 (it) Contour [Iccation I(171J3 — System Fle\. shading Key ® Fopsoil Cap ® Subsoil Cap AS I M C'3 3 Sand I Illed La\er Aggregate � ohtxr,al ( Old Rf❑ 7 0 % Snc Slope Detail of _�:v.-.r-.. _..ate-..•_.. I�1 �I1�1 slo Ts A Note: Prepare Motind Site per Component Manual Constuction Procedures. Page 4 of 9 Lateral Layout Typical of Both Cells rCA, End Connection Lateral Layout Diagra So� — P Fsa• S t aterali and I ,rcc %tam of P%l Bch 41) rwr til'ti 50' Iahlc 194 :Ii-i X I urn- p rr hall r ehe or Jean X 5Q, nut PI c Laterals centered ooer the AR13 distension Number of I aterals - Orfice Diameter .156/5/32" in. Lateral Diameter i 1'1 in. Orifice Spacing (X) 3.00 ft. Lateral Length (PI 99.it. Orifices per I ateral 34 00' Lateral Spacing (S) 3 00 fit. Orifice DensrtN 8'82 fi'/ onfice Lateral Flo%. Rate I i 18.36 epm Manifold Length 3.00' fi Cell Flow Rate 36.72 gpm Manifold Diameter 1.50 n Satem flonk Rate 73.44 gpm Total D%namlip 13.59-DN13.23 ti. Lateral Turn -up Detail Finished Grade Plug or Ball 6" to 8" diameter Lawn Sprinkler Ro\ � v r 000000 Long Sweep 90 or Two 45' Bends Same O 0 Diameter as Lateral O O O O 0 000000 0,0 O Distribution Lateral Note : Lateral ends at last orifice" here variable length to cleanout begins. Page 5 of 9 Duplex Pump Dosel'ank Component Cross Section Approved Manhole Corers With Warning Labels and Locking Device 4" Min. Abewc Final Grade Weather Proof Junction Box Electric per NFC 300 R SPS 4" Sch. 10 Vent 316.012 WAC or = to 12" Abose Final Grade n i Disconnect Note: SJU Rhumhus type 122Duplex I Demand Dose) L i I op nl inlet - - 1 t168.411 I Set by Installer! Simtech STF I001liter J Note: Pump stsnch and alaml to be A w ired to separate circuits. B C N' I .1) 12 i0-M R Gallon Lank Mfr. Wiesen Concrete D Vertical Ditlerence Between Pump Off and Distribution Pipe = Minimum Required Supph Pressure ......... .......... .... _.......... , 32' 1 1 . of Force Main x 194 Friction Factor I(NT 1.... — Notc: Maximum dose per Pressure Loss I hrouch Filter ................... cell 180 eallons. total Dynamic Head ................... Min. dux per cell = 01.08 gals. Alternate Outlet I ovation W"Approved 4" Sleeve Force Main Diam. 2 Weep Hole or Anti Siphon Dcvice Duplex Force Mains Pump Off Eles. 1065AV Duplex Pumps Dose Tank Flc\r 1064 90' 7.60' 6.83 Down Slope cell 4.55 . 1 94' .35 50 13.59' 13.?3' Number of Doses...--5.40 Per Day Gal. Per Day +;ul'Doses- 166.5Kial. (Duplex Volume of Baektlow ................. ................ ........... ___ ....... = 7.50 Gal, Pumps.Alternatine Total Dose Volume .......... .......................... ........ ....... ..... 174.0 WL bet"cen cells ) Pump IankCapacity I_'S3.16 Gallons Pump Inches Gallons Pump lank Volune 34.81 Gal Inch A _'0.50 661.39 Pump Mfr. Goulds B ; __ 69.6_' C' 174.05 Pump Model F.P05 D 10 348.10 Minimum Discharge Rate 36.72 GPM per pump Alarm Mir. S..I.F. Rhombus Total— 36.00 1253.16 Alarm Model lank AlertI Bed Tank per SPS. 383.45(5) Anchor Tank as necessary to negate buoyant forces per SPS 383.43(8Hg). Note: rank to have two outlets. Note: Down slope Cell force main -- 14 ft. longer. Llpslope cell will receise 2.28 gals. more per dose. Nastewater METERS, FEET 10 9 30 8 25 G 7 2 _V 6 20 Q 2 5 } G 15 J Q 4 r O ~ 3 10 2 5 1 0 0 0 10 Page 6 of 9 --N� f-5GPM j I 25 Fr 20 30 40 50 4 6 8 10 1 CAPACITY 5 GPM mt/h Order HP Vohs Amps Minimum Circuit Phase Float Cord Discharge Minimum Minimum Minimum Maximum Shipping ! Number Breaker Switch Style Length Connection On Level Off Level Basin Solids Weight 9 Diameter, Size Ibs.kg t 04I1 Plug No Sw�td: ifi' 1n, Manual Manual 2 0/9.1 EPO411A F•iggyback i 12 6' �1 11� 12 20 VJde-Angle - // 5 � Plu i 20' Manual Manual 20/91 .4 fEP0411AC Piggyback/ W.de Angle 1'/' 15, G 20 1T 6- 21 / 9.5 EP0411 230 I 6 10 plug No Swaw,tch 10' --- Manuel Manual 20191 S / Nolug 20' Manual Manual 20/9_1 EP0412F Plug/ No Switch 20, Manual Manual 22 / 10 EPOS/1F 5 115 13 20 EP0511AC Piggyback/ 4V de -Angle 10 I 20' -L 12' Manual 6' Manual 23 / 10 4 FP0512F 730 6 5 10 -Plug i NO sw't'h 22 / 0 Single phase, duplex alternating pump control with override. Page 7a + b of 9 The Model 122 control penal is designed to aftematey control two 120, 208, or 240 VAC single phase pumps in water and sewage installations. The alternating action equalizes pump wear. In addition to the altertrolleg pump control, this system provides override control should either pump fail. If an alarm condition occurs, an alarm switch activates the audiovisual alarm system. Common applications include pump chambers, sump pump basins, lrigabon systems and lift stations. 1. Enclosure measures 10 X 10 X 6 inches (25.4 X 25 4 X 15.24 cm). Choice of NEMA 1 (steel for indoor use), or NEMA 4X (ultraviolet stabilized thermoplastic with removable mounting feet for outdoor or indoor use). Note: Options selected may increase enclosure size and change component layout. 2. Magnetic Motor Contactors control pumps by switching elecincal tines. 3. MOA Switches for manual pump control (mounted on circuit board). 4. Control Circuit Board provides pump control and alternation. 5. Green pump Run Indicator Lights (mourned on circuit board). S. Circuit Breakers (optional) provide pump disconnect and branch circuit protection- T. Ground Lugs 8. Float Status Indicator Lights (mounted on circuit board). 9. Control and Alarm Power Indicator tights (mounted on circuit board) 10. Auxiliary Alarm Contact, form C (mounted on circuit board). NOTE: Schematic is located inside the panel on enclosure cover. STANDARD ALARM FAC "F 11. Red Alarm Beacon provides 3W visual check of alarm condition. Note: NEMA 1 style utilizes a door mounted indicator in lieu of a beacon. 12. Akwm Mom provides audio warning of alarm condition (83 to 85 decibel rating). Note: NEMA 1 style utilizes an internally mounted buzzer in lieu of horn. 13. Exterior Alarm Test/NonnaMlence Switch allows hom and light to be tested and hom to be silenced in an alarm condition. Alarm automatically resets once alarm condition is cleared. 14. Mom Silence Relay (mounted on circuit board) NOTE: other options available. Ar Entire control system (panel and switches) is UL Listed to meet and/or exceed industry safety standards Ar Dual safety certification for the United States and Canada AF Standard package includes three 20r SJE SignalMester• control switches Ar Complete with step-by-step installation instructions Ar Five-year limited warranty Model Shown 1221W114XBA SE, Jwwnhus. PO Box 1708, Detroit Lakes, MN 56502 1-888-DIAL-SJE • 1-218-847-1317 1-218-847.4617 Fax 122 C MODEL 122 ALARM PACKAGE T T 0 = select options or no alarm package 1 = alarm package (includes tesVnorrnal/silence switch, fuse, red light, & hom) ENCLOSURE RATING ®I = Indoor, NEMA 1 (metal) I W = Weatherproof, NEMA 4X (engineered thermoplastic) STARTING DEVICE 1 = magnetic motor contactor 120/208/240V 9 = magnetic motor contactor 120V only PUMP FULL LOAD AMPS 0 = 0-7 FLA 1 = 7-15 FLA 2 = 15-20 FLA 3 = 20-30 FLA PUMP DISCONNECTS Ed0 = no pump disconnect 4 = circuit breaker 120V (select STARTING DEVICE option 9 above) 1202081240V (select STARTING DEVICE option 1 above) FLOAT SWITCH APPLICATION H or L = pump down or pump up (select 17 option) X = no floats OPTIONS u~osiDw ENCLOSURE UPSIZE - If you selected one or more of cue * optom, or two ** options, a one-time enclosure upsae fee would apply. CODE DIMCRrraw Q 1A Red beacon only /rho audio CODE cescwP*10a (must sebct'0-foralermpackage) **10K Mlicondarnaeon heater Q 1C Hom only / no visual 11C NEMA 1 alarm panel (must seled T' far alarm package) 11 D NEMA 4X alarm panel ** 3A Alarm Rashes * 148 Main disconnect (rotary style, mounted through door, non -fused) * 36 Manual alarm reset (must Select crud breaker) *4A Redemdam off * 0-20 FLA (metal of both pupa) (select Option 4D if floats included) * 20L0 FLA (Iolal of bah pumps) 48 Red redundant off indicator 8 alarm Iy—d1 16A 1 O' cord in lieu of 2V (per Resat) (must seed Option 4A also) (�l 160 15' cord m lieu of 20' (per Roery (] 4D Redundant off float a 16C 30' cord in lieu of 2V (par Root) (must select 4A option) (soled 17 option) 16D 40' cord in lieu of 20' (per float) * 5A Thermal rxtoutteat sensor auto reset 17A SJE SlgnalMastW 1 pipe damp 9 (par Foal) (for pumps w1thermal switch bads) 176 SJE SignalMaster- / enernaRy weighted 0 (pm float) * 5E Seal failure circuit d red indicalr (2 wire) 17C Sensor Float* / intemafly, we~ A (per Foary 6A Auxiliary alarm contact, form C 17D Sensor Float' / externally weighted A (per Root) (included as standwd) 17E Sensor Foal° Mini / pope damp L (par Root) * BA Ebpaed time meter 17F Sensor Float° Mini / externally weighted A (per float) * 8C Evert (cycle) counter 17J Sensor Fbat° / pipe damp A (per float) * 9_A Pump overload 196 Lead lag selector switch specify amperage alter number 9 Mowed by letler'A'_ _. 19F Fourth float to separate alarm Ramesh prom lap Example 912A = 12 amp pump 19T TOA (TestKMAubma6c) swathes and pump inn lights * 0-25 FLA through doe mounted * 2530 FLA O 19U HOA (Ham"Auomahc) swtdhes and pang run lights 10E Lockable latch - NEMA 4X through door mooned IOE Lockable latch - NEMA 1 0 19X Door mounted pump inn indicator * IOF Lghtnsp arrestor (seAed puny can d ereekso 0 Mechanically -activated A Mercury -activated ff additfonal features are required, call trio factory for a quote on an Engineered Custom control Parfet. SAMPLE MODEL 122� W 9 0 4 H 6A 8AC 17A Alarm Package Eoclosure Rating Starting Device Pump Full Load Amps um Pp Disconnect Float Switch Application Options: Amiltary alarm contact, form C. Elapsed time motor, evert (cycle) counter, H• •T www.hootsystems.com 106" 31 }' 1 74j" •ram--��=•=[7-^^)�• ---� aI IIII II 4" CAS �/ 4" CAS m.. fir a n � I� — •II IIII POLYLOK 12" ACCESS LID (TYP) �� JI� — — — _„ J. — 1 41' 40" EZ SET RISER (TYP) 'ANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 600 GPD GRAVITY DISCHARGE SYSTEM WA H-600 A TANKSPECIFICATIONS DIMENSIONS WALL 3' BOTTOM: 3' o .7 ` COVER: 4' MANHOLE: 12' h 24' I.D. PLASTIC RISER 8 HEIGHT: 70" O.D. g LENGTH 106" O.D. 'm S WIDTH: 74 1/2' O.D. BELOW INLET: 57" O.D. 0j LIQUID LEVEL: 51" ff c C WEIGHT: 11.135 LEIS. W g � x INLET AND OUTLET: L 4' CAST -A -SEAL (CAS) BOOT OR EQUAL * UD COVER: MIX DESIGN #8 (NO FIBER) in TANK: MIX DESIGN #9 (SMALL FIBER) � � 60 CUSTOMIZED TANKS: FOR CUSTOM = N TANKS CONTACT WIESER CONCRETE r1 W� I 00 W ro e Q Q 3 a � F DRAWINGS SUBMITTED 8 FOR APPROVAL APPROVED BY: SHEET APPROVAL DATE: PRODUCTS NEEDED BY: ,OF Hoot Service and Inspection Form This testing and reporting shall be completed, signed and dated after each inspection. One copy shall be retained by the maintenance company. The second copy is sent to the local permitting authority and the third copy is sent to the system owner along with an invoice for services by the maintenance company. 1. Actual Date of Visit: 2. System Inspection of Owner: Address: City, St., Zip: Inspected Items: Operational Inoperative Not Applicable Aerator................................... C 7 C Aeration Plumbing ................. 7 p p Air Filter ................................. J 7 Effluent Pump (if applicable)....... C Q Chlorinator ............................. C OK System Light .................... 0 C Alarm. ................. ................ 0 C 0 D-Box .............................. 0 0 C Air Finer must be cleaned each service visit. Operation of effluent disposal system must be made each visit (if pumped). A system with greater than 70% Settleable Solids in the aeration chamber must be pumped to avoid solids leaving the tank for the drainfield. 3. Repairs to system (list all components replaced): 4. Tests Required and Results: Test BOD (Grab) TSS (Grab) Fecal Coliform 5.Comments: Required Results Test Method G C C Signature of Inspector: Installer 11 or WW Lic Private Onsite Wastewater Treatment System Mound Management Plan Pursuant to SPS 383.54 Wis. Adm. Code each Private Onsite Wastewater Treatment S}stem (PON''I S) Shall Include intbrmation and procedures for maintaining the system NN ithin the parameters of SPS 38 3 and 384. and the conditions of approval by the department. agent. or go\ ctnntental unit. -1 he appro\ cd plans and permits for the sN stem ill he filed \sith the county zoning or health department. This management plan complies with SPS 38 3.54, k1'is Adm. Code, the Mound Component Manual for Private Onsite Wastewater 1 reatment Systems (Version 2.0) SBD-10691-P (N.01,101 ) R. 1012 and the Pressure Distribution Component Manual (Version 2.0) SBD-10706-P (N 0 1 -0 1 ) R. 10/12 Table 1: System Design Specifications - - - - - - ---- - - -- - -- - - Senitar% Permit Number Number of Bedrooms 12 }— -- Design Flux% (GPD) i 1800 - --- Soil-- Absorption Component Size (sq ft.) - 12_00 (Pretreated Hfllucnt) Trash "lank Capacity Gal. 400- PunicTiamber Capacit} Gal. 1250_gallons -- Type of WasteHater_ Pretreated Domestic — -_ Pre_TreatmenLt nit installed 600 r structure 1 iOOT SYS'I EMS H-A it Table Soil Absorption Component - Limits of Reliable Operation Septic Tank Component _Soil Absorption Component Design Floss-Peak (GPD) 60 er structure 1800 V1ax. Influent Particle size NA 1/� 8 Inch -- -- -- Maximum i (mg%11 -A s 30 mg l - �9aximum TSS (mg/II — \A _:5 10mg' I \tasimumFOG— - NA - - NA Table 3: Maintenance Schedule Septic Tank I Inspect and/or scr ice once exery 3 }ears Dose Tank In- Line Filter I Should inspect once a Near and clean c%erg 3 vears Pump Chamber Inspect once ever 3 years Soil Absorption Component Flush laterals eNcn 18 months. 11061 S1'S IEMS H-600 A Ser ice eNcrry 6 months for first 2 years. Then annually there alter per maintenance agreement. See attached. Page 9of9a,b+c Scptic_ 1 ant: The septic tank shall be maintained by an mdi%idual certified to service septic tanks under sec. 2R 1 8, Slats. T he contents of the septic tank shall be disposed of in accordance w ith NR 113. %k is. Adm. Code (Sery icing Septic or holding Tanks. Pumping Chambers, Grease Interceptors. Seepage Beds. Seepage flits, Seepage I renches, Pm ies, or Portable Restrooms). I he operating condition of the septic tank and outlet filter shall be assessed at least once every .i years by inspection. The outlet titter shall be cleaned as necessary to ensure proper operation. he filter cartridge should not be removed unless protisrons are made to retain solids in the tank that may slough off the filter %Shen removed from its enclosure, If the filter is equipped v%ith an alann, the filter shall be serviced if the alarm is activ ated continuousk. Intermittent filter alarms ma% indicate surge flo%%s or an impending continuous alarm. The septic tank shall have its contents rento%cd %%hen the volume of scum and sludge in the tank exceeds 1!3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall ad%ise the owner of when the next service needs to be performed to maintain less than maXimmlln scum and sludge accumulation in the tank. Pump Chamber I he pump chamber also requires monitoring once c%ery three years or the time of problem. complaint or failure. Inspection should include checking the dose rate, volume and IFequency. Warning: the dose chamber may fill due to flow- continuing during pump malfunction or po%%cr outages. One large dose %Then the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. I his may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Note: A Simtech STF-100 effluent filter will be installed in the dose tank for each force main to provide the filtering of the effluent to the dispersal cell. Septic tank and Pump chamber risers, access risen and covers should be inspected for %rater tightness and soundness. Access openings used for scry ice and assessment shall be scaled %%atertight upon the completion of sery ice. Any opening deemed unsound, defective. or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured b an effective hiking de ice to prevent accidental or unauthorized entry to the tank Warning: No one should enter aseptic or other treatment or holding lank for any reason without being in full compliance with OSHA standards for entering a confined space. I'he ahnosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. ank abandonment shall he accordance w ith SPS 381.33. "'is Adm. Code when the tank is no longer used as a PON''rs component. Page 9 of 9 a, h + c Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table'_. The longevity of a soil absorption component depends greatly on proper and timeh maintenance. and system use within or below the limits of reliable operation- (tout water conservation practices bN all occupants and the installation of water consery ine plumbing fixtures are hey factors in extending the useful life of this component. 1 he soil absorption component's operation must be assessed b% inspection at (cast once even 3 xcars I ateral turn ups are prm ided at the ends of the laterals tier the purpose of flushing the lines of am solids. Flushing these lines should be done evcry 18 months. I'he inspection shall include recording levels of ponding, if any. in the observation pipes, and visual inspection for any evidence of surface discharge from the component On steeply sloping sites. areas of erosion should be identified and reported to the ow ncr tar repair. fhe surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard Traffic around or over the soil absorption component should be at oided particularlN during winter months. The compaction or removal of snow cover over the component ma} lead to h}draulic failure h\ freciing. Phis type of failure is usuall} temporary. but is difficult or impossible to repair until weather conditions improve In eencral, soil compaction over this component will reduce diffusion ofoxygcn into the soil and dispersal cell. which may lead to more intense. and earlier. clogging of the soil. Planting of deep rooted trees and shrubs directh ovrr or vv ithin 10 feet of the component should be avoided since root intrusion into the component ❑up obstruct wastewater flow. Contincencv Plan In the case of septic or dose tank component damage. measures shall be taken to repair or replace the tanks to there original operating condition. Problems vv ith the pretreatment unit should be addressed to the PO" TS Maintainer. fli-anubale annual inspections should prevent any complete failure. Should failure of the distribution cell component happen, the system shall be inspected to determine the cause of failure, effluent quality testing and wastewater flows. Steps taken to repair or replace the dispersal cell ma\ invoke the removal of a hio-mat which would require cleaning or replacement of the distribution nctyvork as well as replacing the aggregate s}stem and clogged portions of the sand fill. Component Owners Contact List Keith Knudtson St Croix County Zoning Wieser Concrete Products Septic Pumper — I K)UT S t,S1-EMS LLC Page 9of9a.h4 C Plumber ATl_; Maintainer 1 (651) 470-1737 (715) ;86-1680 Maiden Rock WI 1 (800) +36-3416 Powers Sanitation - �l- ?4y__ �I[-6110,A (888)878-4668 —� 2 Visoonsin � 01892 SOIL EVALUATION REPORT Department of Commerce m accordance with Comm 85. Wis Adm Code 1 _ of 3 Division of Safety and Buildings Sleers Soil Service Attach complete site plan on paper not less Man BX x 11 inches inCounty trze Plan must S1. Croix include but not kmaed towerlrral and honzontal reference point (BM). direction and I D O percent slope, scab or dimensions parcel north avow. and location and distance to nearest road /-1,n.1I1 Please print all information. _ /may/�/� -t—P_ (_J0 —p— Dole Perwna nlom,aaw, you PnNide may be used for e 1 Lac a 15 04 (1) (m)) Rom / ✓, , — — , ay/JOr/d Rolling Hills Of Hammond L Gout La no NE114, SW1/4, S29. T29N, R17W - --- - - 6 _ Block ----- Property Oartrera Mailxig Addra � (� 2� Lola BbrJ< a � Subd Name or CSMI// 400 2nd at �UL 61 na Roging Hills Farm N�Z Cry S Z'PCode_OIj�16AvS bar CM Village _ _ _Town —Nearest Road Hudson 54116 30 Hammond 160Th St New Construction Use esidential I Number of bedrooms 4 Code demred design flow rate _ _60_0GPD Replacement Pubkc or commercial . Describe na Parent material SAY sediment and underlying reddish sandy loam 101 `bod plain elevation. it applicable _ — _-^a_ k 3eneral comments Mound design, system elevation 101 OtR based on contour line elevation 99 60ft. Minimum of 17 inches and recommendations. of ASTM C33 mound sand. Fng s Boring 100.25 }actor 19 — pn Grouts surface etev h Depth to binding _ _ m Soil Application Rota; Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ' Roots '_ GPDW inMunsell Qu. Sz Cont Color I Gr Sz Sh •Eaa1 T -EIr12 1 0-9 10yr3/1 none sd 2msbk mfr CS lvf _6�_8 -- 2 9.19 10yr4/4 1 none Sid 2msbk mfr cs no 1 i t- _ - _4 _6 3 19-26 . 10yr4/4 1 f2d 7.5yr5/6 srcJ 2msbk no gw no .4 .6 -- ... ..- - t- " -- - - r- - - - -7 - - -I - - - - - - - - - - - - - -f-- - - 4 26-SS 5yr4/4 c2d 7.5yrS/6 St/Sd om na no no .0 .0 —1 --t- — — ---r — — --- - " I --- - � — --- I f— —+-- 1 ' Bonny a Ong _ Pit Gmund surface ekv _ 100.25 It Depth to tuning factor _ 55 m _ _ _ ADPkcatcn Rate Horizon Depth Dominant Color Redox Description Texture Structure Conant Boundary Roots «� __GP01W in. Munaee ! t]u Sz Cant Color Gr Sz S6 1 •Em1 'Eas2 0-9 10yr3/1 clone sfl 2msbk mfr cs if — — - J -- - �-- —� -- - 2 9-24 1Dyrr4/4 none Sid 2msbk I gw if I '4 .6 — -._ -mfr 3 24-37 ' 7.5yr5/8 clone cobsd 2msbk I mtr gw If .4 .6 4 37.55 7.5yr4/4 I clone grsl 2msbk mfr gw no i .6 1 1.0 5 55-70 10yr6/6 c2d 7.5yr5/6 IS/sd om na no 1 na .0 1 .2 'Effluent a1 = SODS> 30 < 220 mg)L and TSS >30 < 150 mg/L ' Effluent a2 = B005 < 30 mg/L and TSS < 30 rrig/L CST Name (Please Print) Signature i __ CST Number David J. Steel------248VA ----- -Da i--- ---- ------ -- - — - - Address Steel's Sou Service - _ - - - Date Evaluation Conducted Telephone Number 994200M St Baklwn, WI 54002 6/12/2006 715-760-0347 ,ew...: r• o.�wr Property Owner g Hills Of Hammond LLC. Parcel ID a _Pe^d!ng Page 2 of _3 a Boraga Boring Pa Ground surface elev. _ 98.40 _ fl. Depth to londnlg factor 30 m. oil Appkzboin Rate Horizon Depth Dominant Color Redox Description Texture Structure Conseeencel Boundary Roots ! GPDAr in Muted Ou Sz. Cont Color Gr Sz. Sh _ •Erin -EM2 10yr3/1 none- I 2msbk m6 6 lvf .6 .8 ---1 —_0-10 - I "-- -- 1 - _ I ' it3yr4/4 none sl- I 2msbk i m6 w na .4 I .6 3 3042 IOyrS/8 c2d 7.5 r5/6 Y _ i sd om - �--9w--T- na he j .0 ! .0 4 42-75 10yr6/6 f2d 7.SyrS16 Is osg - -- mvfr na i na .7 - 1.6 Boring __ Boring _ Pk Ground surface ekv R Depth to limiting factor _ m _ Sal Application Rae Honor Depth DommaM Color Redox Descrphon Texture Structure Conwstence, Boundary Rook GPDIM in Munsell Qu. Sz Cent Color Gr Sz Sh- 'Eaft •EMIR _ I I I I ❑ Boring is - Boring I - Pit Ground surface ekv — - _— ft. Depth to limdirg factor in, " Applicatpn Rab Horizon Depth Dominant Color Redox Description Texture Structure ,'Consistence Boundary Roots GPD_IR' inMunses Qu Sz Cent Color ! Gr. Sz. Sh. •EM I •Eeaz Y I _ i Effluent K7 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L • Effluent #2 = B005 < 30 mgtL and TSS < 30 mgA. The Department of Carnmerce is an equal opportunity service provider and employer If you need assistance to access services or Maed material in an alternate fnvnat, please rnntact the department at 608-2(,6-3151 or IlY 608-264-9777 SBLLili. IR n-. rx? s1Ri5 $01$pY•2 STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200s' St. CST-POWTSM NEI/4,SW1/4,S29.T28N,RI7W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Fans Lot 61 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1" = 40' ♦ = Benchmark Ele. 100 00 ft Top of 3/4" pvc pipe • = Aft Benchmark Ele. 9995 ft Top of 314" pvc pipe = Borings Boring Elevations I BI = 100.25 ft j B2 = 10025 ft B3 = 98.40 ft B4 = 0,00 ft i I 3o' 9' 97' Ilk Sod 33 t5 � s/l a aZ- c�8, r1l.G'�SF� H /gyp"Zli�f 3of3 Nisconsn 0evabnent of Safety and Professional Services Division ofMustrySWAM SOIL EVALUATION REPORT in accordance with SPS 385. W ts. Adm. Code Page 1 of 1 Keith Stoner CST Attach Complete Site plan on paper not less than 81h x 11 inchesinchesinCounty size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - - --- — --- Parcel I.D. -- "- percent slope, scale or dimensions, north arrow, and location arid distance to nearest road. 018-2019.79-000 please pdM all MMnnallon. Reviewed By — — _ Date Persoral mbrmafion you PMrWe may be used la SecorMary puemas (Privacy taw. S- 15.04 (1) (m)) Property Owner Property Locabon R.H.F. Residential Property Owners Ass. _ Govt. Lot NEt/4, SW 7/4, S29, T29N, R17W Property Owners Mailing Address Lot X Block p Subd. Name or CSM/ 3435 Labore Rd, Ste 150 33 - 35 I Rolling Hills Farm Outlet 2 City State Zip Code Phone Number 0 City ❑ Village ® Town Nearest Road Vadnais Heights I MN 55110 Hammond 75Th Ave ® New Construction Use: ® Residential i Number of bedrooms _ Cafe derived design flow rate GPD ❑ Replacement ❑ Publa or commercial - Describe. Parent material Flood plain elevation. g applicable !t General comments Verification boangs for soil test completed for Lot 61 that fel within Septic Easernerll #10. and recommendations. ❑ Boring 1 Boring ft ® Pit Ground surface elev 1069.0• • if. Depth to limiting factor >42 in. Soa Apphcapon flate Horizon Depth Dominant Color i Redox Description Texture Structure Consistence Boundary Roots i GPD/ t2 in. Munsee Ou. Sz. Cont. Color Gf. Sz. Sh. - 'EfM1 T 'E M2 1 0-12 10YR2/2 sit 2msbk mvfr Cs 3f-m 0.6 0.8 2 12-25 10YR4/3 - Sid 2ni mfr gs 2f-m I 0.4 y 0.6 3 25-34 10YR414 sl 2f-msbk mvfr gs if 0.6 1.0 4 34-42 10YR4/4 Is 0sg nV 0.7 1.6 . ❑ Boring Boring M ® Pit Ground surtace elev. 1068.9L4 h. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistencel Boundary Roots _ _ G_PD/ftT_ in. Munsea Cu. Sz. Cont. Color Gr. Sz. Sh. 'EIMt •Ens'? 1 0-9 10YR2/2 sil 2msbk mvfr cs X-rn 0.6 0.8 2 9-16 10YR4/3 sid 2msbk mfr gs i 2f-m 0.4 0.6 3 16-26 10YR4/4 - st 2msbk ni gs if 0.6 1.0 - i- 4 26-36 10YR4/4 c2d5YR6/2 sl if-msbk mvfr 0.4 0.7 I ' Effluent X1 = BODs> 30 < 220 nrgr - and TSS >30 s 150 mgll-reuent e2 = BOD5 S30 mg+L and TSS 5 30 mg+L CST Name (Please Print) Signature: r CST Number Ke th Stoner _ / _ _ 224059_ _ Address Keith Stoner CST — - -- _ - — Dare Evaluaaon Condreted Telephone Number 23220 Wood Creek Rd Siren, W 154872 5i272021 715-566-09W seu rS11R 0'/1 b I AEROBIC TREATMENT UNIT (ATU) SERVICING AGREEMENT I his :yfeelMnt is radc PLIP,a1nt to 5 l'\ t•¢a''ll 211111?I NI, Win rude ' '\greilltent Date ' t'1'UPCrt\ I1N pert,) i VI AN IS Equipment Ucsc'nption — - _Leval Oe>cnption ul Prupertr I Wadi cep\ of dccd 11 HCCCIIan I \htnulacovcr and hbldcl Similar% N'asteNater Aerobic Hoot Systems LLC Treatment Unit Hoot H-000 A Rcrurdme :\rca III Rmum I u \t t un l mini\ fit r_ mmunm Ikrclnpmcm Ihpl \, an mducemm"i to the ( oumry nI St. Croix io Lslu e .,.mien remit for a P/ )\\ I \ equipped loth an •Iamblt treatment mill ill the abo\c Jonahcd Properk. \\c aercc to du the Inllunme The miner agree, «, condom] to all applicable requlrclncnD of ( It S111.3 83. \\ is :\elm (ode relating to aerobic treatment and the maintenance requiremenb for the propo cd PON), 11, I I'l-k ate ( )mite Wastewater treatment S\ stem I icchr lug\ I he corner agree, to maintain a contract w nh a livened I'(J\1 1'1, Maintalncr for the We of the ,\ stem the 1101,1i I S \tamtdmenull perform periodic Irl,rccI i on, and main cTr an(c aI req ulred IN the mailu l.Itturer and the department. incl ud lug. but nut Inmled to: the IN er. electrical control,, treatment inn operation: and sludge depth_ I hey: m,pccuon, are to he Scheduled e\cn 6 months for the lint ow tear, ofoperanon and \earh there ticr n 1 he owner agree, to contatt the I'( M 1 S h4mnLuncr Imilledlatclt upon an\ nla Ill n c'I tun ut the Ireatnlenl Intl ,cod to manta mi the unit al as to not create a human health Iward a, de,tnhed in , _'53.59. ',I'll, J the nttncr recocniie> that the .oum\ department or PI l\1 IS Maintainer min make periodic inSpecltons of the enmptments to complete performance n]nnitoring of the unit - I lie mner or the o%tner , dgcm duce, ID report Io the deparunclit Or dt itnatcd a ctil .it IIIC C(MINio011 OI CaCh In,rcction maintenance oi ,en Icing el ei t in a manner pecillcd h\ the derdnmCnl or designated agent orthin ill calendar da\, 0nm the date of InSpecnon. nlaintemence or .er%Ieng, I his agreement will remain In cttett unlS until the unuu\ O lice respon,IMe tier the reindarlon of pn\nle on,ne \\aorta Ater treatment s\,tem, LC11311c, Ih,11 the proper[\ 11 no loneer ,cued (I. the aeruhlc treatment unit In addlhun. this agreement mar\ he ennccllcJ bS exetuttng and recording said cerutiedtion w ith icference in this ugrcement in such manner whlcn \t ill permit the exlctence of the terld icat ion to he d,lermmea ht relerencc to th. pn,pcm. I his agreement ,hall he hmding upon the uw\ncr the heir, ul'the oat ncr. and iSsignecs of the oo per I he owner ,hall Submit thn agreenwill to the Register of OeedS, and the agreement shall he recorded h\ the Register of Deed, ill .I manner. tthlch will permit the ev,tence of the agrcenri to he determined h\ rclerencc to the propertN where the acrohlc treatment unit Is Installed. IL se BLAC'6 Ink On-1- _ _ — _ ("Very,)\anie,l ,)(Print) \otarved uwner(si\Ignaturc(,) - - Suh.crihcddnd Swomtnbetore mcon thu dale.-�� \olan Public IRmU Nolan I-uhhe 1 VOnatmrtll kh connnis,iou c\pire,. ` /J weed lit lwrnh L .Frnerr 23 "6 IG,o,1 ( ),vA Rd Aire. It I 4.S DIVISION OF INDUSTRY SERVICES Plumbing Product Review P.0 Box 7302 Y) V Madison, Wiswnriln 53701-2558 �! s/ TTY: Contact Through Relay o Governor Scott Walker Laura Gutierrez, Secretary =AbONA� S May 10, 2018 HOOT SYSTEMS, LLC RON SUCHECKI 2885 HWY 14E LAKE CHARLES LA 70607 Re, Description: SEWAGE TREATMENT APPARATUS Manufacturer: HOOT SYSTEMS, LLC Product Name: (trans id 3097849) H-SERIES HOOT Model Number(s) H-500-A (MAX. DWF 600 GPD) Product File No: 20180134 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of May 2023, This approval supersedes the approval issued on March 12, 2013 under product file number 20120398 This approval is contingent upon compliance with the following stipulation(s). • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • This product may not receive backwash discharge from a water softener. Water softener backwash discharge must be discharged in another method acceptable to chs. SPS 382 and 383 (formerly Comm 82 and 83), Wis. Admin. Code. • The maximum daily wastewater flow, which may discharge through this product, is 600 gallons per day. • When this product receives wastewater from dwellings, it will produce an effluent quality with a maximum monthly average value for BOD5 of less than or equal to 30 mg/L, TSS of less than or equal to 30 mg/L TSS and F O.G. of less than 30 mg/L and fecal coliform of less than or equal to 10,000 cfu/100ml. • Plan review for the installation of this product must be obtained from the department In accordance with SPS 382.20 (1) of the Wis Adm. Code • This product must have installed a department -approved effluent filter capable of filtering particles of 1/8 inch in size or larger Hoot Systems LLC May 10, 2018 Page 2 of 2 Product File No.: 20160134 Table 1 Maintenance, InsDection. Pumpino Requirements PRODUCT/ Models H-500 600 aVda InitiaUStartu Inspection/ Maintenance 2-yr. service agreement w/manufacturer Ongoing Pumping Cycle And/Or Requirements 2-yr pumping (trash tank only), unless more restncfive by local or state regulation; for aeration chamber, see Inspection resuks Back -Wash Cycle N/A Effluent Performance Levels NSF-40 Class I BOD5 Credit For Downsizing Distribution Area YES Fecal Credit For Reduction Of Vertical Separation YES Additional Comments I none • These tanks shall be fitted with locking manhole covers In accordance with s. SPS 384.25 (7) (h) Wis. Adm. Code. The manhole cover must be secured to the riser using screws which are not standard or Philps head to be considered an effective locking device. • These tanks shall bear warning labels, that are visible after installation, that conform to s. SPS 384.25 (8) • The tank is not recommended to be installed where saturated soil or seasonal high ground water tables are indicated between the bottom of the tank and the ground surface. • BEDDING: 3-inches of compacted bedding shall be provided. The bedding material shall be dry, sandy loam material, or coarser s % diameter in the largest dimension. • BACKFILLING: must be compacted at s 6-inch intervals. Backflll material shall be free -flowing soil or gravel s 4 inches in diameter in the largest dimension. The department is in no way endorsing this product or any advertising and is not responsible for any situation which may result from its use. Sincerely, / �� glen W. Schlueter 'Plumbing Product Reviewer Department of Safety and Professional Services Division of Industry Services Bureau of Technical Services (608) 267-1401 Phone (608) 267-9723 Fax glen.schlueter@wi.gov E-mail LOT LOT __ b �., .HVF .... H 1�674 7gs w 56 57 LOT 58 M \l� ry `�I ^121.Si' 99 C2 / ( LOT W,Bz. I r N 59 , LOT ' m . / C3 �� S02' g'aa g1gB� �/' / �%ELEV \ / 21,781 So. / 60 , /�• • 10w ° • • • •�.,.. 1p92 80 21,781 So. FT, LOT a 'I / } N lob" s °�� 61 " LOT f N9 '6o 001 _ r' 21.783130. FT. / " n I LOT �Vb 62 ti,70 / /,p 21,783SO- FT.r 63T ' 64 ` 't J' Fl. BB Y u,' I 21,782 SO. Fr g 21,781 SO. FT. zki 5 / �'s��ozn48ElSBe4�/ x 04 z ��ci /l N Iz at Mal /a ao ?w So.BB off/ b J ¢e ,, _/ LW j ' `� V � S77y445 31.03'_-85.18' 713.29' �°53;2 / r p E9B.33, N6N87W0'30'E 3°19'11,y �N13.5N75E12 � / o/ ,i � � � � N80°I2'13•W 6 � IT/ 68.87 NO2°8400"E _ _ w w—dE_"`rN80"p8`D4"W a "t , N73arQ $ l/l / 45 a\, N ate_ ' ` �'98.34' js 8 = OUTLOT 2 ' STORMWATER ri1, a01 .y� ma 11 11 'a i° # a _: 42.71 ACRES MANAGEMENT AREAya$° I °TAB\ LS83°19'll'E� 1,880,359 SO. FT. LOT 36 ss-26 64 r 3i a C LOT 35 I H.W.L. 1055.2 //. 4/ 21,702 So. FT. 21,701 SO. FT. // CyF I eph LOT 37 'q z �1^ LOT 34 y 65s, 21.781 SO. FT. P r , 21,781 s •' f 'j4�g0,y3W a 60, \ '. S �a\ \ L`B.O.=1057.50' •�. . �qy il+ � � \ •�� ,,,. �. I _Mtn \ ,2p;a+� >�gE i � U:\ ,y\ 1` Y\�' DEDICATED TO LOT 33 1 1 +\. `& �AQ, \ LOT 38 THE PUBLIC \35: 21,781 SO. FT. 21,761 SO. FT. LB.O=1057.50 Ir _ /i / SI4°59 O Bp 2428E 2280 ELEV ��A1�g 31.81' s 47 f ®a LOT 32 T°'s 21.781 SO. FT. Al Q�\ N e� PQ� �q�' y �� A LOT 31 I I /a ^p'/ P Q c'°,ry�, , .'/ 9k�•.• 21,761 SO. FT. ( MOWA f�4 �DTS 33 - 35 ) ifTAPIK COUNTY NO. 633892 STATE SANITARY PERMIT AL PREVIOUS NO. Rowu4 IRW WV4 Rfti��,•�(aCHA"I- OWNP�� jVy wA�/1 Au "WnO ` , TER 145.135(2) ONSIN STATUTES y N (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on PLUMBER regulations in force permit the date d approval. LIC # specified The sanitary permit is valid and may be renewed for a • f� specified period. TOWN OF sanitary Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on SEC ��,T N, R regulations u force at the time renewal is sought and that changed sanitary bons may impede renewal. (f) The sanitary permit is transferable. AND/OR u.'Plao"i BLOCK �� History: 1977 c. 1h8; 1979 c. 34,221; 1981 c. 314 Note: if you wish to renew the permit, or transfer ownership of SUBDIVISION-[he permit, please contact the county authority. ORI D ISSUING OFFICER - DATE HIS PERMIT EXPIRES 7 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)