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HomeMy WebLinkAbout032-1005-60-000 0 3 10 0 m tv C1 A. o o m M I � O cn T 0 ° -4 v o ► ° mo w `C • = N < O CL CD CD W C 3 0 a p 61 O � N a m Q N co N 3 f�N N m cn z D (D CQ D N CL N `C CD CD co 3 a ° 0D m O O W l� L O CO �7 m n rur O v c i ° n o n 3 �» c CSV "a Ln d T • O O co a 3 fA fA (A (D m (j) � v o n 0 s CD N CL O Z D D O o @ CL �. C I I w co a 3 Z O A Z CCD -_ , o A Z O N Q 7 o. � C 0 < N CL z O " cn M N � � N W N N Q CCD O CD C D@ Z d CD G N fD 7 � C � A a 7 � CD O 0 V 6 N � O N � N A 0 A O CD DO W to O O q O L ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: ` (ATTACH TO PERMIT) 479408 0 GENERAL INFORMATION tate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. (02 ap , Few Permit Holder's Name: City Village X Township Parcel Tax No: Bass Lake Investments Somerset, Town of 032- 1005 -60 -000 CST BM Elev. BM Elev, BM Description: Section/Town /Range /Map No: bD • 0 00.0 C STg� Nc- 02.31.19.30A TANK INFORMATION EYEVATIO14 DATA TYPE MANUFACTURER CAPACITY STATION BS 0 HI FS 1pEL 3D, Septic Benchmark 4t7- r C= �%C'T' cAro /ban �� • Dosing / Alt. BM Aeration yy � Bldg. Sewer 1 Holding SUHt Inlet S��p •20 � SUHt Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 35 } OZ to Q t Dt Bottom �Z• 9z•ZO� Dosing K it 41 8 ^ 1 Header /Man. D L l Aeration Dist. Pipe •,SD O Holding Bot. System cc •s 1 Final Grade PUMP /SIPHON INFORMATION b w -II hrvt lZ + - Manufacturer �� Demand Cover 0 v t o tiodel Number &J p• 1 DH Lift • Frict Loss TDH System 4d 3• Ft o f Forcemaln L Dia. N Dist. to Well SOIL ABSORPTION SYSTEM RENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. th DIM d O SETBACK SYSTEM V TO P/L BLDG WELL LAKE /STREAM LEACHING nufacturer. INFORMATION T e Of System: CHAMBER O Yp Y UNIT Model er: DISTRIBUTION SYSTEM Se Header /Manifold Distributi x Hole Size x Hole Spacing Vent to Air Intake ✓ Pipes) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/rrench Edges Topsoil [ J 0 No [] Yes [] No Yes S: (include gcytt�lis ncie persons present, etc.) Inspection #1: 30 / e_7A DS "' Inspection #2: location: 2339 State Road 35 Sc merset, W 54025 (NW 1/4 S 1/4 2 T31 RI 9W) 40 a cel No: 02.31.19.30A 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = � u •h � � I /� � _ /� . ( � 4 Plan revision Required? Yes No Use other side for additional information. '{� X tp `_ ates t C Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Vf J Sa d Buildings Division County 201 W to Ave., P.O. Box 7162 rU I visConsirn adl ary Permit Number (to be filled in by Co.) 66 r F1VFI_? Department of Commerce Sta Plan I.D. Number Sanitary Permit Application r f ! 7_9 0 Q In accord with Comm 83.21, Wis. Adm. Code, personal information you'p Ode may be used for secondary purposes Privacy Law, s I5.04(1)(m) Pro act Address (if different than mailing address) I. Application Informa ion — Please Print All Informatio ZO� FICE Parcel # Lot # Block # Property Owner's Name Property Owner's Mailing Address Property Location Section City, State /� '" Zip Co Phone Number \ —5 ZiG/l CAL � T N; it eon J or W II. Type of Building (check all that apply) Subdivision Name CSM Number X or 2 Family Dwelling — Number of Bedrooms I ❑ Public /Commercial — Describe Use ❑City ❑Village;*ownsht of ❑ State Owned — Describe Use III. Type of Permit: (Check onl one box on line A. Complete line B if applicable) Z ^ A, ❑ New System Rep ment System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision El Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Tvpe of POWTS System: Check all that apply) El Non — Pressurized In- Ground El Mound,-!! oil -Grad 24 in. of suitable soil ❑ Mound < 24 in. of suitable se El Single Pass Sand Filter Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Dispersal Proposed (sf) System Elevation �� Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) P , 5 VI. Tank Info Capacity in Total Number Manufacturer Site Steel Fiber Plastic Constructed Gallons Gallons of Units rete cted Glass Q Septic or Holding Tank C Aerobic Treatment Unit Dosing Chamber VII. Responsibili ty ndersigned, ume responsibility for installation of the POWTS shown on the attached plans. lumber's ature MP/N1PRS Number Phone Number P l� is ame (Print) , Plumber's Address (Str, , , e) J 0) = ✓ VIII. Coun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuin gent Signatu (No ps) roved Surcharge Fee) p C / ` ❑ tsappr �.Re..n ial �� ' Od JD ` U � IX. ConditionsofApproval/Reasons for Disapproval SYSTEM OWNER: 1. 'Septic tank, effluent filter and 1 dispersal cell must all be services / ma intaine as per management plan provided by pwmber. 2. AN setback d requirements must be maintained MM 11 q C', re, � Ekt'''�' f.J' S n per applicable code / ordinances. Attach complete plans ito the County only) for the system on paper not less than 81/2 x 11 inches in si t I� � dL t SBD -6398 (R. 01/03) t 60 V le-6-L Lass ,�,, jLOT PLAN PROJECT P.C. Collova Bldrs. Inc. ni� A DDRESS P.O. BOx 489 Somerset Wi 54025 NW 1/4 SE 1 /4S 2 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 100.5' 3 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND S E PTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA -100 ❑ BOREHOLE O WELL *H.R.P Same as Benchmark Scale = 1 /4" = 10' Well cr 0y Hwy 35 Existing 3 1 . Bedroom 3� House Drainfield location unknown! appears to be overflow in ditch Grading is to be done to divert run -off away from system Old Tank is to be pumped and buried �! B-3 Huffcutt Combo Tank 1 101.5' 100.5' Tank is to be properly bedded Property and provided with lockdown 6% Slope ❑ 99.5'1-ine covers with approved warning B-2 labels B M Alt. B.M. is top of 1/2" 175' Area 15' below pipe @ 101.3' system is to remain undisturbed Gass La �e ; sw. PLOT PLAN PROJECT P.C. Cpllova Bldrs. Inc. s 19 A DDRESS P.O. BOx 489 Somerset Wi 54025 NW 1/4 SE 1 /4S 2 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 100.5' BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE g allons allons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none IL BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100° Filter 7-abelA -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Scale = 1 /4" = 10' Well Hwy 35 Existing 3 Bedroom House Drainfield location unknown! appears to be overflow in ditch Grading is to be done to divert run -off away from system Old Tank is to be pumped and buried -1 B -3 Huffcutt Combo Tank B 101.5' 100.5 446' Tank is to be properly bedded Property and provided with lockdown 6% Slope ❑ 99.5�Line covers with approved warning B-2 labels B. M. * Alt. B.M. is top of 112" 175' Area 15' below pipe @ 101.3' system is to remain undisturbed r Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscons i n www.commer isco govsb, Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 12, 2005 CUST ID No. 226900 ATTN. POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/12/2007 • jj Identification Numbers SITE • � 55 C.a)6� ! n ve_c 1_27enA Transaction ID No. 1162906 Pc Collova Bldrs Site ID No. 702687 Hwy 35 Please refer to both identification numbers, Town of Somerset above, in all correspondence with the <a ' St Croix County NWl /4, SE1/4, S2, T3 IN, R19W FOR: Description: Three Bedroom Replacement At -grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1032664 Maintenance required; Replacement system; 450 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); 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, 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 approved plans, and with publication SBD - 10570 -P (R. 6/99) "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD- 10573 -P(R. 6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system 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. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. P.®.W.T.S. Conditionally A ri P TROVED nrPAATMFWT nc rARAMACorC r SHAUN R BIRD Page 2 8/12/2005 • 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 inspec tors. 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 responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 6^e406-� Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608) -789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 c Avg ti 2005 Cover Page S PF�� �s Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 7 /29/05 Owner:P.C. Collova Bldrs. Inc. 4 5 S ire vr_ -s f,-n--E�o f S Location:NW1 /4 SE1 /4 S2 T31 N,R19W Lot 1 Hwy 35 Somerset System type: At -Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and C ntigency plan 9 -11. Soil test Shaun Bird Signature License nu m r 226900 - y' V DIVISIUN a fETY AND BUILDINGS w SEE GORRES DENCE 5t B PVC FoP%C mft tit ...� j -- 7 5 2 ..:TURN -- UPS `. W k-- DtsrAv%UTI0FJ LAY•ILRAL A SrAgiL: oftEXYATw%I WELL p _ � p > 5 t !16 B 1 1/68 l /2 L =� R. CELL of %z 2% AGGREG. &rE. lk4PKb%iF -b SYMTl4EnL Fabric Distribution Lateral STAI 1101r-D O bserva #ion--- -_.,,,. �-- Soil Cover Wei t „• 1'i. 6 vVE0 L A`lE2 2:5 A > 5' 4 /a �t_oPE Plan View and Cross Section of Wisconsin At- graEda Unit with a Single Absorption Area on a Sloping Site �i& i•1A RE : LiC sF- #: Page Of Distribution Pipe Detail For Lateral Network Ac c e r� t TuEtN -uP (CLER140 iT) -� - PVC Force Main r_ J PVC 'Distribution Pipe P * Last Hole Should Be Next To rutty -uF' �_ 6 r P Ft Hole Diamaeter / Inch X- inches Lateral Diameter Z- Inch(es) Y inches Force Main Diameter ' Z - Inches # Of Holes /Pipe 7 J� Invert Elevation Of laterals Ft. Signed: License Number: Date: f- SEPTIC TANK � P�3MP CHAMBER CROSS SECT:dN AtvD SPECZi ICATIONS w£AmRPR40F AFFROV ED ,ass GI VENT PIPE }2 141N. ABdVE GRADE � JUNCTION BOX MA NHOLE L'¢i1 FRBH D4Qk, WrNDOW OR WITH coNDUIT FRESI= W/ IR INTAKE ING LA BEL E Vf yv FIli � GL 4 MIN. / Ar t t INLET � t WATER TIGHT SEALS ' T TIGHT A • �PP�fED A SEAT s • ALM :lt3Y� TPIK LTF S D SO OLI IL APPROVED ' PIPE 3` / C ' FT om SOLID W C OFT . -+— SOIL pump or ELEV - __'___ D 3" AFFROVED BEDDING UNDER TANY, ONCRETE PAD SPyCIFICA DO SEPT SES ?ER DAY: _.�- -----~ IC DOSE ! ��. I� umBER �-- TlkaI3K MAN>IFACTURE �' DOSE ;I�3L37ME F C GAL - SEPTIC p�T� GAL _ TANK S IZES : - "-" GAL. - _ 2/ ;scuES _--r— p DOSE .CAPACITZ£S: A 3 0 _2 GAL. ALARM t4A fAC1IiRER. g = ," . INCH MODEL UMBER : r = _ 'S INCHES � I ` SWITCH TYPE' C pump m NUrACZ)RER = MODEL NJKBER : - /fir ' /� L' 16.23 WAC swITCH T3CPE= M "I'ING AS PER ILHR FEET pIP£ � D REQUIRM DISCHARGE RA ---- _ FEET I?I STR Z BUT I ON —=- PUMP OFF AND FEET VERTYCAL DIFFERENCE PEE _ - - FEET MINI R'�3M NETWORK SUPPiNRSR�'FfIt3il FT. FRiC'I'N�IAiEAD f FEET FORC£. —=—_ T£)TAL Di D IAMETER ---- -- J y� ;EYTH Fi�T£itNAI. DIMENSIONS or PUt4? `TANK: �,£i+iGTIT � �✓ I.IQi3ID -DATE= NUMBER LICEN SIGNED'- _ i188 FROM BRIAN VAUGHT-PREFERRED PUMP FAX NO. 7154258035 Mar. 30 2005 09:57AM I P' 1 W Al DYNA-Wr"' CURVE vP 1 \`)R' , /ANCi EFFI-U[N ANL) (),_�,'VAT, --------- ---------- T I b l� MODEL 5. ---------- Col. Lit I Goi Feet maters Col. ";teus O✓ 5 69 - - ---- f 6 231 61 2 . 1 1 ,51 I 10 3.1 42 - - ` J3 20 I 25; 30- .0 15 4. 201 .0 1 67 4" '.6 7_ -34 129 1 20 1 6 28 167 1 52 0 F 25 L_L6 20 129 54 129 23 4 0.7 22 35 40 Q 2 F it. Sh 2 40 60 80 1 00 r 14 1 ONS Jill !JRS ac 160 240 320 FLOW rTR MINUTE 6 Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS "J8 3 27/52–r__ +-4 • Tirtial dosing panels available. • Electrical allWakn- tr duplex systems, are ava and supoied with an alarm. • variable level COnlr0l switches are available for controlling single phase SyStWns. • Double AgybwX variable level float switches are available for variable level long and short cycle controls. • seam owik-Box available for outdoor instaill8tiOns S FW420. • Over 130'1:. (SA*C.) s p ec i a l quotation required. SVI 53 Series 12 1/5 i ­i_ __ ___T i 1 5,111SMS3 Cawsol ;d"Noll V =�U �A-ps OW N N jMo. d :el od, - �7_ - v 51 11 2or3 A FS 6.0 SJ415i Its 1 A 0 11!jtgjL_ Zor3 - _L 2w3 S42MA gist 2M WoR_ 32 -- _ sliTFJAP 230 1 ' Aura 12 lndww 2W3 Njj2 115 1 Ngq 8.5 — 1 2o,3 OWS2 Its I to I as Ifewed 2or3 I Eiii_ 236 1 Non 1 4.3- 1 2 1 Induced 2W3 1 BE152 711 Auto 43 L�ffl .115 or liq ! 1 8 - 1 , t. ! 1 Muded 2or3 SELECTION GUIDE L1123 �230 1 2013 1. S"IepSgyba& variable WvNkat 23D 5.3 lied 2or3 • owfth. Refer Ill) FM0477. 2, See FW712 for =TW moo or Electlical AftBrnetor E -Pak. AS 11%9WladOfi Of d0"U01S. oro t e Wou d end wiring should be done by A 41AS11119d I vftbJ&W4j0wJr0Lswtkch joo225 used as a contivIadvalor. %Per* duplex (3) riteased elecbicWn. All C40CIIAC 2nd swFety coda should be followed W111 the most or (4) float SYsillm• rscvA Ntionel Electric Coda (NEC) and ith Cl glifft md HuM Ad (G M1, RESERVE POWERED DESIGN For unusual conditions a reserve safety kcwr is engineered into the design of every Zoeller pump. r a '-,�l���N• fly�ozrf -1�e� �,rrPc� S,vcf /.939 MK7&f cox 16M7 mod. . \'—.' htfpJhvww.zoaBeY P1/MP !O. N1x(ti�►n4�v All r;f #*$:A'^ - TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFF LUENT AND QE MODEL 152/153 MODEL 152 153 ' 50 Feet I Meters Gal. Liters Gol. Liters 5 1.5 69 261 77 291 153 10 3.1 61 231 70 i 265 12 40 152 15 4.6 53 201 61 231 20 6.1 I 44 I 167 52 197 = 30 25 7.6 34 129 42 159 8 30 9.1 23 87 33 ! 125 i ! 35 I . .7 i -- —•- 22 85 a 20 ?0 12.2 I -- -- 11 1 42 0 — Lock Volve: 38.0 ='•. (11.6m) 44.0 Ft. (13.4m) 4 eusoe 10 I 0 20 40 60 8p 100 GALLONS LITERS 0 80 160 240 320 _ 3 27/32 a 5/6 FLOW PER MINUTE I 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS �J I 3 27132 • Timed dosing panels available. 1 • Electrical alternators, for duplex systems, are available and supplied with an alarm. ' • Variable level control switches are available for controlling single phase systems. ! • Double piggyback variable level float switches are available for variable level long and short cycle controls. ^ ; • Sealed Qwik -Box available forautdoor installations. See FM1420. I , • Over 130 °F. (54 0 C.) special quotation required. 1 12 154M53 Series' ! 15?l153 MOD Control Set on _ !a<n s Sim lex Duplex Modell Volts -Ph bode N152 115 1 Non 8.5 1 2 or 3 ! f —�— slczoe4 SN152 115 1 Auto - 8.5 lnduded 2 or 3 1 E152 230 1 Non 4.3 1 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10 1 2 or 3 SELECTION GUIDE 8N153 115 1 Auto 10.5 Included 2 or 3 back variable level float _153 230 1 Non 5.3 1 ! 2 or 3 1. Single piggyback variable level float switch or double piggy BE153 230 1 Auto 5.3 lnduded 2 or 3 switch. Refer to FM0477. o CAUTION 2- See FM0712 for correct model of Electrical Allemator E All instagation of controls, Protection devices and wiring should be done by a qualified 3. variable level control switch 10-0225 used as a control actvatDr, spet9fy duplex (3) licensed electrician. Ali electrical and safety codes should be followed including the most, or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL To. P.o. BOX 16347 Louisville, KY 4025r,-0347 Manufac4uersof. . SHIP TO, 3649 Cane Run Road � O Louisville, KY 40211 -1961 Q /Ty PWAS SNCr �If s7 Qqp PAIM M, ( FAX (502) 774 -3624 502) 778- 2T31.1(80D) 928 -PUMP gyp; //lyww.z0eller.com © Copyright 2000 Zoeller Co. All rights reserved. ENT PLAN Page of NER'S MANUAL & MANAGE pOWTS 01N S prG lF1CATl 0 NS YSTEM S • . SePhc Tank ��� g ❑ Na FO RUATi ON FILE tN NA j >7 $ Tantc Manu1'aar�r ❑ NA Efflu FDte pawner a ss �a kc invc �frn Manufacturer Perrnk r 11-51 p NA Effluent Filter Model PARA DESIGN MET� ` D NA 1101- 0 NA Numbcr Of Belt r'S pump-Tank Capacrty tier of Comm Units purrlp Tank Mu{acturer Mum CSZ� alfda NA Es&nated flow (�) ! - i� atld Pump ManufaE r (Estimated x 1-5) p ' /; p�iQn flow (P � aUda► � mp Model pretreatrnent Unit t3oD App�oon Ram averdg ' Filter O Peat Filter Monthly a f} SandlGra uerrt Quality X30 mg/L p Mechanical Aeon 0 Wetland �{ ❑ Other. Fats, Oil &Grease (�G) Q20 mg/L p Disinfection Siodhemkel O�c W Demand (B ,d. 5 .I 50 m /L Man rer Total Suspended Sorsds {1'SS) arm Cell(s) ❑ {n -ground (pr,essur¢ed) _ Monthly average" O n�round (gravity) Pry Effluent Quality Rio mg/L Atgrade l:3 mound en Demand (soot 13 Other. B"eochemical S Solids (T SS) �o cwlDoml O Dri ine norroomrrierdal) Fe and Total Suspen metric rnean) tc ao t Fecal Colifo"n (9 Values ��c etRuent y inchdiameter Maurnnum Effluent particle Size values tyR>�. for pmtreated w's�er- Service Frequency MAINTENANCE SCHEDULE earls) (Maximum 3 yrs.} id Service Event C3 months At least once every ua[s one- ti�ird (Y) of ranK volume inspedmndr6on ottank(s) When combined sludge and scum r(s) (Maximum 3 yrs.) is of tanks) ❑ month R , out oonten least once every pu mp At r(s) cell(s) ❑months Insped disperses At least once every �• s ) ❑ NA Clean e ffl ue nt utter [3 mon At (east once every E3 months s) 0 NA Inspect Pump. PUMP controls & alarm At least once every and pressure test Q months 0 Years) 0 NA Flush laterals At least once every s ) O NA � ❑months Ll Yom( At least once every Plumber. ort�sr ONS e of the following tamKrEWWCE INSTRUCTI on licenses e real pails shad be made by an ind'nr(dual carrying O ctor PV1rrS Ma�ir►tame S r: eptage { MS of tanks and dispe Master plumber Restricted Sewer: pOVVTS Inspe s to iden* any rr"slN or broken Master r: m and to check for any back up �� ns muss induce a visual i of the ge and scu the e ffluent levels o k insP� the O Sar�icn9 tr. Tank packs or teaks, measure volume of combined studg The �nd� of e ffl u ent on the hardware. ground ground sur d surface_ The dispersal MKS shall be visually 1nsPect� or pw400 of effluent on the g for any ponding of effluent on the face ulato7 author* and to check ulnas the immediate notification of the local rag to the observation' Pipes or more of the tank volume, the groun Si nce may indicate a failing condition and requires e and scum in any tank equais one -gird (3j) of In accordance v�h. c'`• NR When the combined accumulation of studg a Septage Servicing Operator and disposed online contents of the tank shall be removed by nt � and 811Y 113, W lgconsin Administrative Code pOWTS Components. pretreat Maintainer. anicai or pressurized by a �fted PO The servicing of effluent flltern, m i GIs of 12 months or less shall be performed letion of any service event. other mWntenance or rnoartoring reg ulatory authority within 10 days of comp A Orvige MPS shail.be provided to the local rag or other the Presence of painting products START UP AND OPERATION POWTS check treatment tank(S) c; Pres high conoen�ao� are . c Fo new o onsbucdon, P� to use of the s ancl!!ar damage the disp tti ma y rm a the treab'nent pt xes opera prior to use - Chemicals d�t3d the n � of the tank(s) removed by a septage servicing Pe page - of are frozen at the infiltrative surface- Sysbeni start up shalt not O=r when soil is restored the excess es pump tanks may fill above normal highwater levels. When paver During p ver Outag m the drspersal califs? in one large dose, overloading the oe8(s} and may result in the r vwN be d t To avoid this situation have the contents of the PAP tank removed by a eras b or s�irtace cr a Of d power to the effluent pump or contact operator Plumber or POWTS Malritainer to age Serve *V conh to reStore normal levels within the pump tank assist in manually drive or tfc over or othenNise disttub or oartpact, dis f(s_ Do not d Pa Do not drive or park Vehicles over tanks and F�� ce within 1s feet down stops of arty mound or at -grade sal absorption area - the area from the wastewater stream may improve the performance and prolong the fife Reduction or-eranination of the following . d r8asem; denW floss; diapers dgarette butts; condoms; cotton swabs; � of the PGVVTS: antibiotics; baby vvlp�' um water; fruit and vegetable peelings gasoline; grease; herbicides; meat d s ; n - bt foundation draft (sutnp P p} and water softener brine. scraps, rttedica ons: flit; 0"ng pro pestiades: sanitary napkins: tampons: ABANDONSMENT taken out of service the following steps shall tie taken to insure that the When the POWTS fails and/or is per�ttatle[tilY comp li ance with ch. Comm 83.33, Wisconsin Adminish'ative Code: system is properly and safety abandoned in All piping to tanks and pits shall •be di and the abandoned Pipe Openings seated _me contents of all tanks and pits shaU be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the veld space fitted with salt, gravel or another inert solid materiaL CONTINGENCY PLAN repaired the following measures have been, or must be taken, to Provide a code if the POWTS fads and cannot be compliant replacement system: O A suitable nePlaoer»ent "area has been evaluated and may be utilized for the Location of a replacement sod absorption system- The replacement area should be protected from disturbance and compaction and should not required setbacks from exis ting and proposed stricture. Iot lines and welts_ Failure to be infringed upon by r area will result in the need for a new soil and site �evafuation to establish a -suitable the replacem ent [ with the rules in effect at that time. replacement area. Replacement systems must comply O A suitable replacement area is not available' due to setback and/or soil limitations- Barring advances In POVVTS technology a holding tank may be Installed as a last resort to replace the failed POWTS_ identify a suitable replacement area. Upon failure of the POWTS a sod and The site has not been evaluated to evaluation must be performed to locate a suitable replacement area. if no replacement area is available a hoi >ng tank m ay be installed as a last resort to replace the faded POVVTS_ the aiomat at d and at -grade sail abwfpWn systems may be reconstructed in place following removal of the t - e surface. Reconsbuctions of such systems must campty with the rules in effect at that time_ ccyf/ARNIN{>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSE C IRCUMSTANCES. INSU TH MAY DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POINTS INSTALLER POWTS MAINTAINER Name Name , I Phone /��� —' �J� Phone _ L SEPTAGE SERVICING OPERATOR PUMPER ) LOCAL_. REGULATORY AUTHORfTY Name 6 �✓ Agency Phone ?ice zor'.a , Phone ��� .►'�" . �r7 �� This doaxnent was dratted by the stagy of die Green Lake, Marquette and Waushara County Zoning and Sankaticxl the minimum m4 uin ments of ctL agendas This doattnent > Comm $3 2X2}(6 XiXQ)&(0 and 83.56(1}. (2) & (3), Wisconsin AQminIJ3&e Ccde. Use of ttis doamuW does not guarantee the performance of the POWTS. GMW (Ml) Wisconsin Department of Comme OIL h �1QN REPORT Page of Division of Safety and Buildings `' rr�' ., PObrdance h Comm 85, Wis. Ad �t e ,�� � J ".. Coun ty L Attach complete site plan on paper not le /2 11 inches 1f1 >3ize; Ptan, ust include, but not limited to: vertical and horiz I f re ce PPgqff��t (BM), direction parcel L percent slope, scale or dimensions, north arro , and I tion IAid( ce to neare §t roa Please print all information. pFFUNT} Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, 04 (1) ( Q Property Owner Property Location r `® �� Govt. Lot A & J A �rl A S T N R E ( ) W Prope er's Mailing Address Lot k Block # Subd. Name or CSM# o; 13 `� 1 ..._.. State . Zip Code Phone Number 0 C4 1:1 Village Town Nearest Road it Construction Use- esidential / Number of bedrooms < Code derived design flow rate GPD Replacement ] �, ublic or commercial - Describe: _ material �i �%% Flood Plain elevation if applicable #7 v General comments and recommendations: r Oro 5 a goring # FI Boring J`" " it Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0 Z � z Ong # ❑ Boring *� A Pit Ground surface elev. -fly—ilft. Depth to limiting factor tn. 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 -3 ---- -- v l -7 Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring # ❑ Boring j ait Ground surface eleyl/ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 1 0L, 3 -L- 5 I d r^ti � YVA F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 E Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.W00) Property Owner _ Parcel ID # Page of a Boring # ❑ Boring it Ground surface eley�X-ft. De pth to limiting factor in. p*Effff#1 A Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence FB Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#2 F Ong # ❑ 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 GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 •Eff#2 F Boring # a Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. ' Sal ication Rate Horizon Depth Dominant Color Redox Description. Texture Stricture Consistence. Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 1220 mglL and TSS >30 < 150 mgA. ' Effluent #2 = BOD < 30 mg/l. and TSS _< 30 mg1L 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. SBD4330 MAW) 1 Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Shaun Bird Address P.O. Box 489 Somerset Wi 54025 CSTM 6900 Lot 1 Subdivision - ----- -- Date 7/29/ 5 NW 1/4 SE 1/4S 2 T 31 N /R W Township Somerset R Boring Q Well PL Property Line County ST. CROIX IL BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation 100.5' *HRpSameasBenchmark Scale = 1/4" = 10' Scale is 1" = 40' unless otherwise noted Well Hwy 35 Existing 3 Bedroom House Drainfield location unknown) appears to be overflow in ditch B -3 B -1 101.5' 100.5 446' Property 6 0 %/6 Slope E03 99 B -2 B. M. * Alt. B.M. is top of 1/2" 175' pipe @ 101.3' ST CROIX COUNTY SEPTIC TANK MA1NTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwaerBuyer C L v Y �/ ��/� a ' Address ` 0 �' Property Mailing - Address for new construction) cation required from Planning Department (Verification parcel Identification Number D 3 City/Sw � D FS - CRIpTION N w, Town of /� /� Z .Sec. � T 4 o {" j , property n Lot # Siibdi� Page # Volume Certified Survey Map # �Z page # 7 ci -777 Volume Warranty Deed # es Lot lines identifiab� 0 no Spec house. � 0 no to handle wastes. Proper mainte�ce SYSTEM NT -UNAN system could result in its premature failure what you put into the system use and maintenanceof your septic sys if Hess by a license pumper. Improper tank every three years or sooner, consists of pimping out the septic s al system . can affect the function of the septic tank as a treatment stage in the waste disposal by the owner and by a t a �ification form, signs system owner agrees to submit to St. Croix Zoning Departmen (1) the on -site wastewater The proPe�Y lumber or a licensedpumpeT . lumber, journeyi�p , restrictep lion and pumpMg (if vemsar9)' the septic tank is less than 1/3 full of sl udg e n°SSW condition and/or (2) after with the standards is in proper operating _ the private sewage disposal Certification meats and agree to maintain f 1latural Resourcm State of Zonin O within 30 llwr the uu d = have read the above requue the Department t of Commerce to the St. Croix Cow set forth, herein, as set by the Departme��e must be completed and returns staff that your septic system has been days of the three Year expiration date. rl J� DATE PLICANT 4 AP ON our knowledge. l (we) am (are) the owner(s) 01 OWNER CERTIFICATI Office. are I (we) certify that all statements on warranty deed rrecorded in R of Deeds the property described above, by virtue of a tY / / DA'L'E OF APPLICA , eat• * *� SIGMA revoked by the Zoning Dep Any information that is mis- representedmay result in the sanitary permit being warranty deed from the Register of Deeds office deed a copy ss Include with this application: a stamped warranty certified survey map if reference is made in the Wamty 797779 t U 2 8 ?_ 3 P 6 3 7 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., W1 RECEIVED FOR RECORD Document Number Document Name 06/16/2005 09:36AK WARRANTY DEED EXEIPT # THIS DEED, made between Gerald J. LaVenture and Jennifer L. LaVenture. husband and wife REC FEE: 13.00 ( "Grantor," whether one or more), C 3750.00 and Bass Lake Investments. LLC, a Wisconsin Limited Liability Company CC FEE: PAGES: 2 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): See Attached Exhibit "A" 032 - 1005 - 50-000: 032 - 1003- 60 -025: 032- 1005 -60- 000:032- 1003 -40-075 Parcel Identification Number (PIN) This is homestead property. Exceptions tow anties: Easements, restrictions and rights-of- way of record, if any. (is) (is not) Dated J (SEAL) 14 11 � (SEAL) * *Gerald J. L enture (SEAL) (SEAL) * * nifer L. LaVenture AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gerald J. LaVenture and Jennifer L. LaVenture. husband and wife STATE OF ) ss. authenticated on COUNTY ) Personally came before me on , n e * Kristine Oeland the ve -named TITLE: MEMBER STATE BAR OF WISCONSIN to own to be the as ) who executed the foregoing (If not, ins t d ac wa e. authorized by Wis. Stat. §'7�0�6.06) L Tuber THIS INSTRUMENT DRAFTED BY O t ary public N WISC OnS (Ro tary Public, S to f Attorney Kristina Oland �tP. O My Commission (is permanent) (expires: 1 ) Hudson. WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO, 2 -2003 * Type name below signatures. INFO-PRO" Legal Forms 800 -655 -2021 www.inloprolorms.com U 2823P 638 EXHIBIT " A " A parcel of land located in the SE 1/4 and the SW 1/4 of the fractional NE 1/4 of the NE 1/4 of the SE 1/4 and the NW 1 4 of th 4 of Section 2 Township 31 North, Range 19 West, Town of Somerset, St. Croix ounty, isconsin, MM er described as follows: Beginning at the East 1/4 corner of said Section 2; thence South 01 degrees 39 minutes 27 seconds East 1334.67 feet along the East line of the SE 1/4 to the South line of the North 1/2 of the SE 1/4; thence South 88 degrees 54 minutes 44 seconds West 2344.11 feet along said South line to the Easterly right-of-way line of State Trunk Highway 35; thence North 11 degrees 44 minutes 15 seconds West 985.18 feet along said Easterly right -of -way line; thence North 89 degrees 42 minutes 02 seconds East 790.96 feet; thence North 00 degrees 25 minutes 07 seconds West 1704.57 feet to the North line of the South 1/2 of the Fractional NE 1/4 of said Section 2; thence North 88 degrees 37 minutes 49 seconds East 1694.37 feet along said North line to the East line of the fractional NE 1/4 of said Section 2; thence South 01 degrees 25 minutes 13 seconds East 1335.53 feet along said East line to the point of beginning. Also Part of the SW 1/4 of the Fractional NE 1/4 of Section 2, Township 31 North, Range 19 West, St.Croix County, Wisconsin described as follows: Outlot 1 of Certified Survey May filed September 10, 2003 in Vol. 17, page 4607, as Doc. No. 739521. Subject to an Easement for ingress and egress to Lots 4 and 5 of said Certified Survey Map. Parcel #: 032 - 1005 -60 -000 08/19/2005 02:59 PM PAGE 1 OF 1 Alt. Parcel M 2.31.19.30A 032 - TOWN OF SOMERSET 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 GERALD J & JENNIFER L LAVENTURE O - LAVENTURE, GERALD J & JENNIFER L 2339 HWY 35 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 2339 HWY 35 SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 37.500 Plat: N/A -NOT AVAILABLE SEC 2 T31 N R1 9W 37.50A NW SE EXC PT W OF Block/Condo Bldg: HWY EZ -UT- 1529/322 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 02-31N-19W Notes: Parcel History: Date Doc # Vol /Page Type 06/26/1998 581903 1335/372 WD 06/26/1998 581902 1335/369 TI 07/23/1997 1007/430 LC 2005 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 80,400 128,400 NO AGRICULTURAL G4 34.500 3,600 0 3,600 NO Totals for 2005: General Property 37.500 51,600 80,400 132,000 Woodland 0.000 0 0 Totals for 2004: General Property 37.500 52,500 80,400 132,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 515 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00