Loading...
HomeMy WebLinkAbout032-2093-30-000 Wisconsin Department of Comme PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453299 0 (ATTACH TOP�]'T) 1 GENERAL INFORMATION State Plan ID No: Personal information you provide AWe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Grand Pro es L.P. Somerset Township 032 - 2093 -30 -000 CST BM , 6ytiev: BM Description: Section/Town/Range/Map No: co 3 - Z_ 1 7, ��� _ �� 24.31.19.912 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. - z-4 . I .5i� 9 g•�� Septic Bench k Dosing Alt. BM 5 Z .�z 1a z . S`4 n Holding Bldg. Sew r U3 /e t , St/Ht Inlet ' TANK SETBACK INFORMATION St/Ht Outlet 1, 75. 576 , 9 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic C �/, 5 i Dt Bottom o -� e Dosing �., �� �/� 15 Header /Man. I �' (� q . 15 Aeration t � Dist. Pipe 1p coq AP Holding Bot. System 7oS 98.51 / Final Grade S • ioc: I a PUMP /SIPHON INFORMATION 6n v 6 Manufacturer Demand St Cover Z ? / p L _ 54 � GPM ' Model Number N� Vi I l i„ 7 7 W 7-7 TDH Lifter �� Friction Los System Head TD H Ft / i �7 -.z5 �.�1 Forcemain Len Dia.. if I Di:st.toWell AA_ SOIL ABSORPTION SYSTEM BEDITRENCH Width f Length No. f Tre hes PIT DIMENSIONS No. Of Pits Inside Dia Li uiq d Depth DIMENSIONS -7 ` SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Typ , CHAMBER OR `\ e pf,$ystem: � N I7 UNIT Model Number: �\ DISTRIBUTION SYSTEM Header /Manifo Length Dia Id Distribution x Hole Size 7 f x Hole S / Vent to Air Int ke ` Length 3� Dia f 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/Trench Edges Topsoil I Yes No Yes ! No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: g 1 / Z) Location: 2002 80th St Unknown (SE 1/4 SE 1/4 24 T31 R1 9W) Hanson's Turtle Lake Hills 1st Add Lot Parcel No: 24.31.19.912 S ki C 1.) Alt BM Description = 1 t 0 a 2.) Bldg sewer length = 1 7 - amount of cover = L4 ` PJ CJ J 3.) Cont r J7.7 * Si�g nat Plan revision R� ed? Yes No Use other side for additional informati 1 1 T . - - -- - SBD - 6710 (R.3/97) Date Insepcto Cert. No. �/ /J / / /,�11I. /� ■/I //I / /�I ■ol ONE ■� %I ■�� ■ ■ ■� // 88989990 ©corn ®8© _ Goes onalloolloollemoo ■ ■ ■ ■11 ■ ■��� ■ ■■■■ 0000000000000 © ® ■ ■■■■��:�■■■■■■■ oa00000a00000 ®900 .. _ ■���� ■ ■ ■ ■ ■ ■ ■ ■ ■� o0000080000008 ©DD . ■�� ■ ■ ■�� ■� ■� ■� . B000008800000 ©B9 © 800088008808809�� - 0000000000000 © ® ®0 000aa0000000a0000 oa0000000000000 ®0 :. - 000a0000000099099 _ � 000000009 ©000ao9o.. aooa00000009a ®99 © , .. o00000000a999999© o000000ao ©0900900 0000000 ® ©oo ©00000.. - 000aa00000ao9o9 © ®- _ `0000008 ©889999 ®0D 0000000000 © © © ©09� o 000008 ©9���999080 0000000000899 ®9D nalloomean co 0000000008 © © ©�� ©� 0000000©®00000000:.. 000000000 ©888809© '000000© ®89900000© - 00000© ©0000990990 .. oo ®� ®B ©9999999990''' .. 000009 ®09898888 ®0.... ; - = 00000889 ®99�99990 - - - 0008© ®90880® ®880 .. r N Safety and Building! Division County r 201 W. Washington Ave., P.O. Box 7082 pisconsin Madison, WI 5¢96 - ermit umber (to be filled in by Co.) De artment of Commerce ( 608 ) 261 1 - 6 5 46 C4'.1,.k�.f v/,c T 3 Z c�ct Sanitary Permit Application' �� /j�y j State PI I.D. N umber 9 g 927-= 4 � In accord with Comm 83.21, Wis. Adm. Code, personal information y u provlrli? + �+ ? f J S c 5Ae_ 14. ) may be used for secondary purposes Privacy w, sIS.04(Ix ) Project dress (r ifferent than mailing address) I. Application Information – Please Print All Inform t I ��� �ZO� NG Or r I( 7H Property Owner's Name Parcel k 2 �Lot N R ack N --.30 000 912 Property Owner's Mailing Address Property Loc0o 1c , %., Section �! City, State Zip Code Phone Number �2 � 7 yQ, 7_ T �Q (c E cle) II. Type of Building (check all that apply) S — �� N R J �T 1 or 2 Family Dwelling - Number o edrooms C , Subdivision Name CSM Number C1 Public/Commercial - Describe Use r }C CSC tCQ - R GE - s "'o) Cl State Owned - Describe Use ��L t` ^ 0 -IT- ! f F ❑Ciry ❑Village &Township of S5 F6 ,Q5er oq 7, i III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - A. 16 New System ys 11 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T ype orPOWTS System: Check all that a I ❑ Non - Pressurized In -Ground It Mound > 24 in. of suitable soil ❑ Mound _< 24 in. of suitable soil El At-Grade 11 Single Pass Sand Filter ❑ Constructed Wetland El Pressurized In- Ground El Holding Tank El Pear Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersaVrreat ent Area Information: D Flow (gpd) Design Soil Application Rate(gpdso Dispersal Area Required (sQ ispersal Area Proposed (sQ System Elevation ,s .moo VI. Tank Info Capacity in Total Numbcr Manufacturer Prefab Site Stocl Fiber Plastic Gallons Gallons of Units w/ 1 #�� / ` Concrete Constructed Glass New Existing 1 I Tanks Tanks / Septic or Holding Tank Aerobic Treatment Unit E Cr DosingCtumlxr . 84) 0 p VII. Responsibility Statement- I, the undersigned, assume responsibility for ins(aIl2q2 the POWTS shown on the attached plans. Plumber's Name (Print) nature I MP PRS ber Business Phone Number er's Sig i i Plumber's Address (Street, City, State, 2,p Code) g c VIII. Count /De art me t Use Onl VApproved El Di rove Sanitary Permit Fee (includes Groundwater Date Issued Is ing ent Signatur (No Stamps) 1 Surcharge Fee) L (5 ;e, Give cnial 3 S — Q IX. Conditions Approv royal SYSTEM O R:� 3) 1 Septic tank, effluent filter and _ .nl V dispersal cell must all be serviced / maintained 1 C- � Co.- I as per management plan provided by plumber. C) C t 2. All setback requirements must be maintained as per applicable code /ordinances. , Attack complete plans (to the County only) for the system on paper not less than 1111/2 111 Inches In size SBD -6398 (R. 08/02) Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than $ fi >4 �S n i Plan must include, but St. Croix not limited to vertical and horizontal reference irtt, direction W slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di taupe to nearest road. t� 032 - 2093 -30 IEWED BY APPLICANT INFO RMATION- PLEASE'PRINT At" INF4' VATIO PROPERTY OWNER: PEATY LOCATION ._. Richard Hansen ;t Y LOT SE 1/4 SE 1/4, T 31 N,R 19 )C:¢or) W PROPERTY OWNER':S MA!1.ING ADDRESS L T # BLOCK # SUBD. NAME OR CSM # 2720 N. Dale St. .Apt. #214 ,'+ 10 2 Hansens Turtle Lake Hills CITY, STATE ZIP CODE PHQNE NUMBER ❑CITY [ SOWN NEAREST ROAD Roseville, M. 55113 (613.484= 66.76,.' Somerset 80th. St. ( j New Construction Use [ i4 Residential 1 Number of bedrooms 3 ( ] Addition to existing building j ] Replacement ( ] Public or commercial describe Code derived daily flow 450 and Recommended design loading rate * 4 bed, gpd/ft SS trench, gpd/ft Absorption area required 375 bed, fiZ 375 trench, tt" Maammum design ioading rate • 4 bed, gpdmZ • 5 trench, gpo t Recommended infiltration surface elevation(s) 100.85 ft (as referred to site plan benchmark) Additional design /site considerations system el. based on contour line of el. 99.85' Parent material glacial drift Flood plain elevation, if applicable na ft S Ssystem CONVENTIONAL MOUND IN•GROUND PRESSURE AT•GRADE SYSTEM IN FILL HOLDING TANK CS ®U I ®S O U C3 IOU 0S I U O S ❑ S EI U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Bed 15iiiT 1 0 -11 10yr4 /3 none 1 2msbk mfr gw 2f .5 .6 ,(. 1 2 11 -24 7.5yr4/4 none sicl 2msbk mfr yw if .4 .5 4 Ground 3 24 -48 5yr4/4 none scl lfsbk mfr gw na .2 .3 Z 100 ft. 4 48 -78 5yr4/4 none scl M na na na np :.2 �n Depth to limiting factor 48" Remarks: Boring # 1 0 -11 10yr4 /3 none 1 2msbk mfr 9w 2f .5 1.6 <2'> 2 11 -26 7.5ry4/4 none sicl 2msbk mfr gw if .4 :.5 , cF 3 26 -37 5yr4/4 none scl lmsbk mfr gw na .2 .3 Z Ground 100 e e . ft 4 1 37-70 5yr4/4 none scl M na na na np : 1 .2 , o Depth to limiting factor 37 Remarks: CST Name:— Please Print Gary L. Steel Phone. 715-246- Address: 1554 200th. Ay e., New Richmon WI. 54017 11 -7 -95 cstm 02298 L L_ Sgnature: Z Date: CST Number: r t PROPERTY OWNER Richard Hansen SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 032 - 2093 -30 Boring # Horizon) Depth Dominant Color i Mottles (Texture 1 Structure Consistence Bwb3y I Roots GPD /ft in. Munsell Gnu. Sz. Cont Color I Gr. Sz. Sh. Bed iTmnch 1 0 -10 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 .� 3 2 10 -19 7.5ry4/4 none sic) 2msbk mfr 9w if .4 .5 Ground 3 19 -26 10yr5 /4 none sil lfsbk mfr 9w na .2 ;.3 ,Z 97e7v 4 2 48 10yr5 /4 c2p 2/5yr3/6 sicl M na na na np .2 ft. Depth to limiting factor 26 F _ Remarks: Boring # Ground elev. ft. Depth to fimiting factor Remarks: Boring # Ground elev. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor i Remarks: , Qnn_naanra n5K121 STEEL'S SOIL SjERVICE Gary L. Steel Richard Hansen 1554 200th Ave. CSTM2298 SE 4SE a S24- T31N -R19W New Richmond, WI 54017 MPRSW -3254 town of Somerset (715) 246 -6200 lot #10 -block 2- Turtle Lake Hills t N " =40' top of 1 steel pipe C el. 100' Alt. BM. = top of wooden fence post @ el. 104.15' � 1 jo O C 1 I I -- I 7P 1 c ,A J c 10 f�W l✓1 d o g �3s - 6 Gary L. Steel 11 -7 -95 Lk ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATIONTORM Owner/Buyer E&RAQ 0 fZ x,15 Mailing Address X2 9/v-0 O S 7__ Property Address O �� (Verification required from Planning Department for new construction) City/State S cy- z, =Ass,,F Parcel Identification Number s0 X093 —30 noor 9iz) LEGAL DESCRIPTION Property Location S6 ' /,, ,T' ` /., Sec. A!, T__3 _N -R_L2_W, Town of Subdivision A 4 N ,/ c S / 3 T /4,/7ar10 Lot # _(Q___ Certified Survey Map # , Volume . .Page # Warranty Deed # G7 9.0 , Volume / d? q , Page # 32 Spec house & yes ❑ no Lot lines identifiable 0 yes ❑ no ' SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a eel cation form, signed by the owner and by a mastcr plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septickystem has been maintained must be completed and returned to the St. Croix County Zoning office within 30 days Othe three vear expira*q date. SIGN b APPLICXNT DATE OWNER CERTIFICATION I (we) certify khat all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the o wner(s) of f the ,pmperty describe,o abovo; by virtue of a warranty deed recorded in Register of Deeds Office. 5 /ad to v SIGNA APPLICANT DATE «•+ +fit :Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. « « « « ++ «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is trade in the warranty deed r i , lYl G 11111 � -'i � �IAu5EN I-4A N — MILLS F /r25T /40ri�C1J ALr an loe CCN'I CU E; LAN' $cC A L. � M- �N1 O - TCP o r'VC hoc c aL s.,. PROPCS : 16 (,>}P-A6 PRO P06 6 0 a At 7. S o C p 0< Z PV �L = 99,3 W ! ZABcL R-iCG 3 66 Deoclh DRIdrWA�( ® 13ce — S� � Neu ( - 010 ouR yin,.= �d. _ -roz PR� oscb SlePF = /(% . SV' Z" Gee(E H14lN LO G o 1 2 i l g6 STREET R w 71 2- RiuN D $7. _ -su.rc /OD _ _ /(� - -_ /SD 4 v -e Safety and Buildings 4003 N KINNEY COULEE RD comme c mi. o + C e g V LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 ti sconsin www•commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 10, 2004 CUST ID No.223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/10/2006 Identification Numbers Transaction ID No. 993927 SITE: Site ID No. 682595 Mike Germain / Grand Properties Please refer to both identification numbers, 80TH St above, in all correspondence with the agency. Town of Somerset, 54025 St Croix County SE 1/4, SE 1/4, S24, T31N, R19W I ,III 1fall l isle ;ms's T Hi I ST Addition FOR: ' Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 955307 Maintenance required; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /O1); 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, Cpndi r stats. The following conditions shall be met during construction or installation and prior to occupancy or use: APP DER RTMENT O I = OFEY) General Approval Requirements: SEE CORRESP • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. JOHN F SCHMITT Page 2 5110104 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 SCHAHTT & SONS EXCAVATING 586 Valley View Trail Somerset, Fff 54025 715 549 -6651 MOUND) SYS For : _ _ ( ;kAAJQ PRC)Pei2TICS C/f1 I KE (StF;emA.nJ Address: - 71 2 A v.4 e ip :5 7. ' LI l i r zoo SV P I ce5 LIB i Legal. S C y 5Y �y S a y / JQ / y Township: SV II r ,� i County: Si . Ce Eel X Le'r JO t4AJV561US - n4p LAKE 14'LCS I -,r ADOIi ICAJ Cont Page I Plot Plan Page 2 System Cross Section Page 3 Pipe Lateral Layout Page 4 Dosing Chamber Page 5 Pump Curve Page 6 Management Plan Attachment d Soil Evaluation Report Attachment 2 MA Mound Component Manual (Version 2.0) SBD- 10691 -P(N. 01/01) « L • � . 4 , n Pressure .Distribution Component Manual (Version 2.0) SBD-1 0 706-P(N 01101) O MERCE AM DINGS By: c.,i IJ IV Cg, MPRSW Date. RECEIVED APR 2 6 201 SAFETY & BLDGS DIV. Aix sit CCN7CU 2 LAN i $CC C AL. P. PV C r / CC.0 i &VC C-A4. 5,7. -- PROPCS:'d (,.qeA6 PRePosgo a 1447.8 %cp a Pvc 6:1, = 99,3 W�Z/3� C R -iC0 3 eocin DPW 'WAY ®Y�eQE NOGrs - — i�eu 9 71 c « w� LP� o _ _ i h � N _ 1'' = so' o Z S @TN STREET R W . -7 1.Z _R!vN )eD Si-- su ire' _0 Page � Cf 1 Strew, Marsh Hoy, Or Synthetic Covering AS7AQC33 Distribution Pipe Medium Send 6 Topsoil ><: ..�= F G SY& IDLEV. /( G 3 5E '%► Slope Bed Of !��- a force Main Plowed Aggregate Layer (6" Below Pipe) p Yom a Ft. E L. 7 Ft . Gross Section Of A Mound System Using F � Ft. A Sod for The Absorption area G �.� p ft. A 0 Ft. H Ft. Signed: 8 7S Ft �376 0 K .2�..1... Ft . L icense N 91 ber : o L t 1,a Ft. Date y �a i - o �/ , � Ft Alternate Position I 173 Ft. of W 7.`/ Ft. Force Main L" -- Ob�vtt�ion Pipe 11148 ram Stld of 9ed 115 To K A .0 - ---I Farce Moin W �.. I/ ..r' �✓ rr .�� -�..�r �r war Sl Bed Of. �pistribution Ag gregate Pipe i�0 ' ' perr�►anent Markers observation Pipe jj5 To ilio B From End of Bed Plan Vie,+ 01 Mound Using A Sod Fo -rho AbaoYption Area Page 3 of 6 Tum-up with Cleanout gcoe8s 8 Plug of Bah Valve � PvC Faroe Main DisWbution Lateral S PVC Manifold - Px�x x I X!2 Distribution Lateral Layout P 36.25 .S 3.0 Ft. X 30 Inche - Hole Diameter 3/16 Inch Signed; Lateral 1'2 Inch(t ld 1 � inches License bars 223760 Manifo 2 Inches Force Main — Date: # of holes /pipe 15� Invert Elevation of LateraIsj!�6 i F4GC 4 Uf 6 • PUM? CHAMLER CROSS S£CT!O►J' ANO SPCCIFICA7'IOA•'S . VEWT C AP APPROVED LOCKIAIC. K 'C.S, vCWT PIPE wCAT)4CK FROOP MAUHOLE COVICK ,tua.SG710A3 box I � .rtrJUUw ux ►xl`� I AIK IIJTAKE LILADC I f COWCUIT — -- PROVIDE I J IA1LC T AiRTtc:►i7 SCAB. � i � ( ` I I I I I APFKPVLO ,101► APPROVLO JOtu'f f A I II w /C. PIPE w/ c.z. rl re I I ALARM LVEM0I 3' CKTLNDI►7L 011T0 iCLiD K O►ITO i01.1G •OIL 21.76 Gal./Inch I 1 J I Otu 1 I � I L L C V. [Jt`- f T P U rKA P '-` Orr COUCKETE D , R15CR EXI1" Pf RMITfCG WJLy IF TAI,JII MAJJUPACTURCR 40%9 SUCH J►PFILOJAL 'j gtOgl SpEC,IFICAT1OW sEPrlc f DOSE Week's C.P. W"# OF Doses: +or -5 P>rR DAy T�� M�►yUiACTURCK: TAJJiC 5=6 : 8 __ GALLOW DOSE VOLUME 87 • Septronics Ta nkmate I►.1CL.IJ0114cv *AG . KF6OW: ______T sr�uo► ALA K/WIIP 'AGTUICCR. ,. e► 1C1UMDtRt TM - 1 t►tPACITICS: A a 19 1UCHCS gR4 3 .44 (HALLO► iwlTGal ?yPt: _. Mercury �� 011 4._3 • 5?C.tLt.Gi P UMP MAAlUPAtTURER: Zoeller C ,+, 4 IWCHEL OR 87 - 0 (ALL01 MJOtL 152 D 12� IMC14ES 01t: 1 2 GALLOI SWITC)t TUPLI _ ... Mechanical upT[; PUMP AND ALARM ARE `r0 OC 39.6 INSTA6LEO 0►J SEPARATE CIICCUIT8 Mi1JIMUI"1 p15C1�ARGE RATE .�CrA VEICTICAL DIFf&PLEMLE CETWEEIJ PtiMP OPo AIJD.OtST6tIBUT10W PIPE.. O • 0 FEET + t1,jLjI hUM WETWOKK SUPPI.B PKE$sUvtC . . . . . . . . . 3- FL CT + 4 5V rC E T OF FORCE I%AIAI x 3 - 2- X00 rt"1C."OU FACYOa.._L = TOT41– DJUA -MIC kj:AD 1y�87 FILET i1JTLR►lAl. D1rME.iJSt0A7� OF TAWX% LLNCsTM - -- ;WIDTM ;LluUlo DEP 33 ' ...— SIGWED: LICcUSE IJUMBER: x376 0 DATE: A 64 '� PRbe 50,-r,6 TOTAL D "NAMIC H�"A_J /CAPACI- HEAD CAPACITY CURVE t� MIN LTFLUENT AND _bATERiNC LO MODEL 152/153 I , w w MODEL 152 153 50- Feet Me'ers 153 5 5 69 2J" 12- 40 152 0 15 4.6 1 53 61 1 23 a w z 22 6.1 44 5 9? v 30 — 8 25 7.6 34 29 ! 42 159 0 30 9. 1 23 33 125 20 35 0.7 — -- 1 22 1 8� 40 1 2.2 - - -- 11 42 4— �c k c 36 L Ft m « � =t. 13.4 10 014508 0 20 40 60 80 100 GALLONS LITERS a 0 80 160 240 320 c 'i -- 3 27j32 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS e, . • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with \ 9 j 3 27/3 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 for outdoor installations. See FM1420. • Over 1307. (54 °C.) special quotation required. j 1521153 Series 1 1/8 CT j 1521153 MODELS Control Selection —� Model Volts -Ph Mode Amps Sim lex Duplex 5 t/B N152 115 1 Non 8.5 1 2 or 3 I BN1521 115 1 Auto 8.5 Included 2or3 + sK2064 E152 1 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 SN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level Float switch. Refer to FM0477. A CAUTION 71 2. See FM0712 for correct model of Electrical Alternator E - Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. 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 40256 -0347 Manufacturers of . . SHIP TO: 3649 Cane Run Road Z �7p Louisville, KY 40211 -1961 QV.dL /TY �UMP9 S NCE ��Jil N lAvww.zoeller.com P!/MP !O. (�2) - F X(50 1(800) 928 -PUMP http. lAvww.zoe l ler.com FAX (502) 774 -3624 © Copyright 2001 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ' Effluent CIFICATIONS FlLE INFORMATION Capacity 1000 al ❑ NA Owner Grand Pro erties Z • P • ❑ NA Manufacturer , P . Permit #► ❑ NA r Manufacturer Za DESIGN PARAMETERS A -100 N Pump Tank Capacity 800 al ❑ NA ❑ NA Effluent Filter Model Number of Bedrooms ❑ NA ❑ NA Number of Public Facility Units ❑ NA al /da Pump Tank Manufacturer Estimated flow (average) 300 ❑ NA Pump Manufacturer Zoeller Design flow (peak), (Estimated x 1.5) 4 5 0 al /da ❑ NA i �7 al /da /ft2 Pump Model Application Rate ® NA Monthly average' Pretreatment Unit Standard Influent /Effluent Quality ❑ Sand /Gravel Filter ❑Peat Filter Fats, Oil & Grease (FOG) 530 mg /L 5220 mg /L ❑ NA ❑Mechanical Aeration ❑Wetland Biochemical Oxygen Demand (BOD61 ❑Disinfection ❑ Other: Total Suspended Solids (TSS) 5150 mg /L ❑ NA Monthly avera¢b Dispersal Cell(s) Pretreated Effluent Quality ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Biochemical Oxygen Demand (BOD 530 mg /L 0 Mound ❑ At -Grade Total Suspended Solids IT SS) 530 mg /L d NA ❑ Other: ❑ Drip -Line Fecal Coliform (geometric mean) 510` cfu /100m1 Other: ❑ NA Maximum Effluent Particle Size Y , in dia. ❑ NA Other: ❑ NA Other: ❑ NA ❑ NA Other: s' 'Values typical for domestic wastewater and septic tank effluent, MAINTENANCE SCHEDULE Service Frequency Service Event ❑ monthls► ❑ NA. At least once every: 3 0 ear(s) s Inspect condition of tank(s) (Maximum 3 years) , ; m equals one -third (Y of tank volume ❑ NA When combined sludge and scu Pump out contents oft ank (s ) ❑ month(s) (M 3 years) ❑ NA, Inspect dispersal cell(s) At least once every: 3 ® year(iO ❑ month(s) ❑ NA_ Clean effluent filter At least once every: 1 , ® yearlsl s ❑ month(s) ❑ NA every: 1 ■ year(s) ` Inspect pump, pump controls &alarm At least once ❑month(s) ❑ NA` At least once every: 1 N yearlsl Flush laterals and pressure test r ❑ monthls( ❑ NA Other: At least once every: ❑yearlsl =[03 Other: MAINTENANCE INSTRUCTIONS I POWTS Maintainer; Septage Servicing Operao. "Tank tr. Ins actions of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or cracks orleaks'; p _. Master Plumber; Master Plumber Restricted Sewer; PO p or onding of effluent on the ground `surface.. inspections must include a visual inspection of th measure the volume of combined sludge and h scum and ► to o check for any back gup bro hardware, i d en tif y y any onding The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any. p r: of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires they immediate notification of the local regulatory authority. the en • When the combined accumulation of sludge and scum in tank erator and disposedlofrin accordance w th chapter: NR =1.13 contents of the tank shall be removed by a Septage Servicing pretreatment Wisconsin Administrative Code. components, p ; ; e tke servicing of All other services, including but not limited r shall be performed med a certifiednPOWTS Maintainer. units, and any sery icing at intervals of A service report shall be provided to the local regulatory authority within 10 days of completlorr of any service event. J 1 tj Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall 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 void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name John Schmitt Name Owners choice Phone 549 -6651 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name wners choice Name St. Croix Ct . Zoning Phone Phone ( 7 15) 386-4680 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), l21 & (3), Wisconsin Administrative Code. 1162 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 032- 2093 -30 -000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Hansen, Robert Govt. Lot SE 19 SE 19 S 24 T 31 N R 19 W Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# 2685 Sumac Ridge 10 2 Hansens Turtle Lake Hills 1 St Add City State Zip Code Phone Number City Village ✓ Town Nearest Road Saint Paul MN 1 55110 1 Somerset 1 80Th St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 98.46' based on a contour line established at 97.71'. Slope is 16 %. Boring # Boring ✓ Pit Ground Surface elev. 99.06 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff #2 1 0-6 10yr3/3 none I 2mgr mfr Is 2f .5 .8 2 6-16 10yr4/4 none I 2fsbk mfr gw if .5 .8 3 16-27 10yr3 /4 none sil 2msbk mfr gw --- .5 .8 4 27 -56 10yr5/4 m3Q%r86 /2 sil 2msbk mfr gw - - -- .5 .8 5 56 -78 5yr416 m2d 105/6/2 7.5yr /6 st lmsbk mfi - -- - -- .4 .6 Boring # Boring ✓ Pit Ground Surface elev. 99.09 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none I 2mgr mfr gw 2f .5 .8 2 9 -21 10yr3/3 none I 2fsbk mfr gw 1f .5 .8 3 21 -29 10yr5/4 none sl 2msbk mfr gw - -- .5 .9 4 29 -55 7.55/4/4 m2d 7.5yr6/2 7.5yr6/6 sl 1msbk mfr gw - - -- 4 6 5 55 -74 55/4/4 m2Syr6/8 /2 sl Oma mfi = -- _ - -- .3 .5 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD L30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: �' CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 6/14/03 715 -247 -2941 I� Property Owner Hansen Robert Parcel ID # 032 - 2093 -30 -000 Page 2 of 3 3] Boring # Boring I be Pit Ground Surface elev. 93.34 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 1Oyr3/2 none sl 2mgr mfr cs 2f .5 .9 2 6 -15 1Oyr4/6 none sl 2fsbk mfr gw 1f .5 .9 3 15-28 7.5yr4/6 none sl 2msbk mfr gw - -- .5 .9 4 28-47 7.5yr4/6 c2d I Oyr6 /2 SI 1 msbk mfr w - - - -- 4 6 7.5 6/6 9 5 47 -64 5yr4/4 c2d I0yr6l2 sl Oma mfi - -- --- -- .3 .5 7.Syr5/8 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 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 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 m s - _ e _ g/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or nnAi1 m�tP';ol ;. on olts+matn fn*.,.ot nlr..ocP rnnt.�rt th.+ APnorh.,.a,.r of AnR_744_11 Q 1 n 7 4n2 -71.A -2777 Lo /0 - rui4l e eke .?o _lei 1 P1 ,00 , a L/G , - L a �`' q _ 3 �° P P 1a-e- � r I r� / for � �� • � 7.71 ' 1 r1 6 7 L IlXd F7, 7/ ,5"� -e A. 'o (� e /0 Bl ,? G T &1 .3? 7 / S% 1 J rur mle lcc klc �i�i ��S is s 7 S1 , C Vl J / \ — — — — — / J / \ C:: D D --- —I \ —Z 0"� o W 00 0O� / / O m D '- \ V) m \ l 14.5 CD I � a c,� ^90 am ° 10 CD O J - co I VL � f . ° o / U1 O / O LA o Suo LO ° _ X CO r - -�5 ZA 10 -115 X X X -_ _ RSS AD .......... .............. .............. T rl ti re 'Fe'7°° U 2589? 529 7Ear+943 STATE BAR OF WISCONSIN FORM I - 2000 KATHLEEN H WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Robert J. Hansen RECEIVED FOR RECORD 06/07/2004 88:45AK Grantor, WARRANTY DEED and Michael J. and Michelle X. Germain EXEWT # REC FEE: 11.00 TRAITS FEE: 127.50 Grantee. COPY FEE: 2.00 Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: described real estate in St. Croix County, State of PAGES: 1 W' (the "Property") (if more space is needed, please attach addendum): Lot 10 Blk 2 Hansen's Turtle Lake Hills First ltion. Recording Area Name and Return Address Xike Germain 712 Rivard St. Somerset, W1 54025 032 - 2093 -30 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, right -of -ways and covenants or record. Dated th' th ay of Xay 2004 , Robe it J. a se * * AUTHENTICATION ACKNOWLEDGMENT STATE OF -WfSGQ A 10 j L u )�:, , ) Signature(s) ) ss. County. ) authenticated this day of Personally came before me this !a_ day of TLAa, e , .2,1 the above named * " & e- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who executed authorized by §706.06, Wis. Stats.) the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * IY1 Notary Pub9c, State of Wisconsin My Commissio is ermanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necess *Names of persons signing in any capacity must be typed or printed below their signature.It WARRANTY DEED STATE BAR OF WISCONSIN F( RE/MAX Team I Realty 712 Rivard St Ste 100, Somerset WI 54025 -7386 Phone: (715) 247 -5900 Fax: (715) 247 -3622 M. J. Hinz 7.ZFX Produced with ZipForm- by RE FormsNet LLC 18025 Fifteen Mile Road, Clinton Township, ry o NO .' „ VL l OO C N 0. 3722 PA GE ~ N 55 N0. 1088 y y O 159,600 sq. ft co N o , 90 , � e IL 87°5 #*W 11 0 o 570.00 '� h jai N W tr �t /O O N o O ? Ai N 14 0,031 Sq. ft. N h (9 2 190 r� N87 5" (po0 528.30 N ' 0 GD W 131 2830 Sq, ft. ?: N J+ V �- N 87 57 O5 W 0 00 3 485.79 A (p , �V �190 to '33 A o2�,29 , 8O9 sq. ft. - - 9 V19 , N87 °57'05", w 2�,�