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034-1074-30-000
Safety and Buildings Division County , 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 San* (608)266- 3151 ,Peerrmit, N (to be filled in by Co.) Departure of C coerce ' itary. Permk Application State Plan I.D. Number In rd Comm 83 )W Adm. Code, personal information you provide 9 3 � l-e .c4 be used for secondary purposes Privac Q4(1a(m) P Project Address (if different than mailing address) I. Appticatio fo tion - Please Print All Informa ,,/ 1 I Ply .s . /l Parcel # Lot # Block # Property Owner's Mailing Address nh P roperty Location • 7 2,D _. _. _ PAi City, State a Zap Code Phone Number %•, Qyti Section 1 S Q j 7 7A- �(ci ) II. Type of Building (check all that apply) T�Q N; R E o 1 or 2 Family Dwelling Number of Bedrooms Subdivision Name CSM Number ❑ PubliclCommeaclal - Describe Use 3 .1 x I--^ ❑ State Owned - Describe Use ,d /00 ❑Clty ❑ e PT?wnship III. Type of Permtt: (Check only one boz on lIne A. Complete line B if applicable) A. New System ❑ Replacement System ❑ TreatmentMolding Tank Replacement Only ❑ Other Modification to Existing System B• ❑ Permit Renewal Permit Revision ❑ Mange of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration -- Plumber Owner +� 2 a ! D 3 IV. of POWTS S tem: Check all that appl ❑ Non -Pressurized In- Ground ❑ Mound > 24 in. of suitable soil Mound < 24 in of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized 1,4round ❑ •Holding Tank 0 Peat Fiber ❑Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber DDnpLmo ❑ Gravel-less ipe ❑ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Applicad Rate(gpds� Dispersal Area iced s (t) Dispersal Area ed (sf) System Elevation - VI. ark Info Capacity in L - Number anufacturer fab Site Steel Fiber plastic Gallons Gallons - of Units Concrete Constructed Glass New Existing — _. .._..._.._ .. Tanks Tanks . Septic 'ark k Dosing C harnbow VII. Responsibility Statement - L the undersigned, assume responslb or tastallation of the POWTS shown on the attached plans. PI ber's Name (Print) Plu Signature WIMPRS Number Business Phone Number Plumber's Address S S (crept, City, fate, i VI un !De artment Us Onl Ad Approved ❑ Disapprovexi Sanitary P extnit F nchtdex t ter Dale ing Agee pignsture (N s) Surcharge Fex) ❑Owner Gives Reason for Denial u i IX. C nditio-ns of A, Pprova for Disappro n CGZ� G� •bGt a� a� . �Y(L Z 13 � �D n dam` � •G��l. 1,� tug S vt4 d Attach t Plaxs (to the Gusty only) for t& t on paper not less than 812 x I inches in ttme SBD -6398 (R. 01/03) N O N O o y 0 0 N Q co b c�D bo O b0 O O O C O r C ro c0 r C + c0 N N a) E W O '� Y G) w E W 0 y Y € C: z E v @ Y y o z Ev mo•n o 3 ° iv o.0 o 3 h C w+ cn N C E C .. + cq N 0 4i - +l U 7 y C y r > O U z C y r r s O Q oc mLO y a y of € mw > Q) C c*- w C C' L N C @ E U .0 w 0 r > _ , c C C O O C c0 O p C O . c - 0 C y. _w - O N. - O a a 8 y- O Ul- y � N a L"' i N a L«+ y U 1A y `� r U LO t N > 0 2 0 U O N C .S -0 L N> 0 2 U - a a 0 O1 d C m a y cp a C_ U D> .D C~ a y a C S y O@ p) y c6 .L-. w (0 .O a N m y O (C d y co CL .L-� O q. f0 0 'O ' N CL 1 y C N L + i11 > C cA N d •N Cl y L + 0> C� 0 0 ° c� m yo ° 3 c o ° c io wo 0 3 c a c yid + ao Z a�C0Cy3`� +a0— LL c C 7 2 s j y .� • 7 41 M a ' C C c C j �.� •] N M G i Y J C N C C 0 M v c0 O C O Y J C N C V M c0 G 3 �p Y 0 N O y O O y M N> N O a Y C N O y 0 O N M 0 > M 0 Q 020 C OM0) ao aEd E Q 0 20 c c)Mf4 co aka E M ' d N r Z y W D y d y O I ° ° y C f0 C L) c o I U) O O a� U r Z` C_ 4 = 7 C 4 = r _ cn d Z V y C C y 0 C C y O fn F- r N .0= Z N . Z N E 0 ° E y v C N (A C M N N M C C r j ' y •> N y N C N d C w y O ? N > O > > O o O Cap O cd N C w 4 2 m O O Z Z U U 'D U U d C C t0 E N N N N N N R N (0 @ c0 co CL m m C O a N N o o : o o 4 0 a C5 c7 z ( L 0 C9 Z 0 �aaa y a V1 J U 2 0 o Z Z Z Z O N N N �, O N t O O v LO o o 'o 'o •5 m ai :3 N m C C C- m C c d a j m Z Z U) � o Qzv� i Qz n o �l C 00 N C E E n O o ° - C °' o u = o r M � 'p U 0 ) C u IL - 0 N O) > C '° a. N V O n� N o •C c = v - 0 'N C = N c % 0 0 ( Gi W C N O W W a C N CO �� M d ! C (V o 2 O y o @ @ ( o y R U • N O M fn (n d' O Z C d' N z C 0' 0 U) E • O. d •V a� d = r .� ++ E °: 0 r A 0 2 jomci 0 Ch O 3 "U n d � 1 C :: > > 3 `G "a A CD rr ° N co Cl) m O •G 7. IV F�1 fD 0 (D t1 7 tD 8 � :3 j co O O ch to co O D �' ] a CL ° N O N v - O ..\ O O NC t\l C W t Z• G . O p l 0 0 0? � 5'3 (A CA N D -� -O � vvv,o n CD ~ Im m e I CD M c co V N C O 0 > > 7 r�l S c s o 2) o. U'< CD y c .v n� v sm� S cu N J . oo d cD = Z 0 y CD CD O tp p =r rn Z -I W 2` tto o W 21 ca . D (D a 3 A Z +s o " Z CD °— 3 m O N N Z C ` CDD U W Q c p G d C o n I I I I o c I Na I O O y ti o !� i m 0o v O ti ° � o I I o� Wisconsin Depalment of Cpmmerce PRIVATE SEWAGE SYSTEM County: St. Croix Safet; +and Building Division Sanit Permit No: W# a INSPECTION REPORT ry 420697 0 • GENERAL INFORMATION (ATTACH TO PERMIT) State Plan 15 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: S nyder, Michael & Sall Springfield Townshi 034 - 1074 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: jab , 8 2 33.29.15.499 TANK INFORMATION ELINATION DAT TYPE MANUFACTURER CAPACITY S TIO BS HI FS ELEV. 3 Benchma Dom Alt. 6 Aeration Bldg. Sewer r �0.2D q0, (fg Holdi t Inlet / St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG Vent to Air Intake ROAD Dt Inlet Septic , f i Dt Bottom •$ZY, / , ID Dosing 66 I Header / Man I Aeration D Dist. Pipe 02.2J Lo Cl . Z Holding B t. . ste ( 'a ' 4 40 I db. SID � •trr Final Grade PUMP /SIPHON INFORMATION Manufacturer A. em d St Cover - 2 �. �� GP �C hAndel Number I lb TDH Lift •L�JiI Friction Loss Syst ead TDH a . ! d D r Forcemain Length Dia. p Dist. to Well r a p O vi V T� SOIL AB SOR P TION SY STEM Q 7 d'l. 2� :� p? . BEDITRENCH Width Length No. Oflr�d _t I si Dia. Liquid ep DIMENSIONS 3 .9 Z 1 5 - �, ,g Qq) It --, ~l t SETBACK SYSTEM TO I P/L BL G WELL LAKE /STREAM LEACHIN facturer: INFORMATION COR T ype Of S , - �� � � Model Number. DISTR ON SYSTEM C e.e_ 1 Head r /Manifold Distribution f x rize x die Spacm Vent to Air Intake Pipe(s) �� \ ! /� J _ ' I! Length Dia Length � x �t5ia1? Spacing �• Sl SOIL COVER x Pressure Systems Only xx Mound y Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed /Trench Edges Topsoil Yes No Yes No Co MM TS: (I Jude co Inspection #2: dis r Gies, persons present, etc.) Inspection #1: /� l V q� Lcation: Q957 hwy 12 Wilson, WI 0 7 (NW 1/4 NE 1/4 33 T29N R15W) NA Lot rcel No: 33.29.15.499 qb 1.) Alt BM Description S.crw-ce d+�er. 0 ♦ . = "� 2.) Bldg sewer length t - amount of cover = Cdr✓ r! p w y' 3.) Contour P n revision equired? es' 2 �i qQ X. Use other side for additional information. SBD -6710 (R.3/97) r ( , — a pc r ignatwre q .� A _ C rt. o. i f Safety and Buildings Division County at 201 W. Washington Ave., P.O. Box 7162 N Vk5C6n1S1rn Madison, WI 53707 - 7162 Sani Permit Num (t(�o.be filled in by Co.) Department of Commerce (608)266 - 3151 Vu/ � ,p / 2o G1 Sanitary Permit Application State Plan I.D. Number 1 / In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 1 3 lll�� " acy Law, s15.04(1)(m) Project Address (if different than mailing address) may be used for secondary purposes priv I. Application Information- Please Print All Information Property er's Na - Ntw Parcel # Lot # Block # Property Owner's Mailing Address operry Location I PA19 City, State Zip Code Phone Number �'�'/., Section � ' 7 0`' ,, ) II. Ty of Buildin T N; RE o yp g (c ec all that apply) 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Public/Commercial - Describe Use 3 M7 ❑ State Owned - Describe Use g ,6 Deity ❑ e Township Jkf. it III. Type of Permit: (Check only one box on line A. Complete line B If applicable) A. Iaj New System Replacement—System D Treatment/Holding Tank Replacement Only D Other Modification to Existing System B• D Permit Renewal P Revision ❑ Change of D Permit Transfer to New Last Previous Permit Number and Date Issued Before Expiration Plumber Owner ,[ / Z / � 7 — :P/o/03 IV. T TS e of POW System: Check &It that apply) 7 / D Non - Pressurized in- Ground ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil D At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑Pressurized In Ground ❑ Holding Tank Peat Fiber ❑. Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber D Drip Line D Gravel -less ipe ❑ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Applicati ltate(gpdst) Dispersal Area Req fired (sf) Dispersal Area Pro ed (sf) System Elevation .. I 0 15 3 /p r VI. T ank Info Capacity in Total Number / Manufacturer fab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic orilotdtngTank *)( c jA G )< Dosing Chamber VV /v K VII. Responsibility Statement- I, the undersigned, assume respond b or installation of the POWTS shown on the attached pleas. Pl ber's Name (Print) P Signature Mr/MPRS Number Business Phone Number rkw Plumber's Address (Street, City, tate, i Cod .. r IA kA V% i I JPJ J IA_� VII Coun /De artment Us Onl Approved D Disapproved Sanitary Permit F ee (includes Groundwater DO Issyed I Lp6ing (N s) Surcharge Fee) ❑ Owner Given Reason for Denial IX. C aditions of Approva easons for Disappro a1 T /Loj w ca I' 4-D s i �:e,�rnd vl ado � Attach complete plans (to the County only) for the syst6h on paper not less than 81/2 x 11 inches in size i SBD -6398 (R. 01/03) , ° c (D �• B 3 � 111 3 a' '! �r 0 @ O N O 0 p R p y 0 O N 7 'C W C, S 0) a er S @ o_ W •�+• O DTI 0 y d . N m O N ((D ( (B '' R A C C (A• o C y. O V l m (n O 0 n to p J o d ? ororo -4C m v 0 0g mo o to Qo 3 d c cn o cn z 0 Z D cn z w z D ma v m o' D rn D m i� D (a' D a < W W N 3 a a 3 °. a '.' 00 N v N 0 O 0 0 CD O O O O O O 2 A oW lA 0 ! C f (r 3 N z z 000 Or o Z C SS tc, G7 G) 'D 0 0 6) y y y 0 co O O c =� O O c CA fA W O N N 3 ( (D 3 - 0 O C I O o :v 0 (' A Ot ' y n n C7 C7 (�D d V N 0 (7(�� N 7 m O ' ( fD O- C ( Z Z O O N CD CD O a a o v a m o- m — m m 7 c N j C (D N W< C M< C S CD 7 7 N a 3 m 3 a 3 m 3 N Z ? (n m Z S (� (D O ( d ' O N. N , c W _y N C =h N C 0 "O (D 0 (�D O' A z o 7 c 3 7 C m Z w 7 0) 7 N W� ° (D ° (D p, 3 N CD S O A (D m Z cn Z i i A W I 3 - - 0 w (Awm ° 0 0 K D 3 -0 -0 oo U) w 0 ° 0 m< N W moo m 0 0 a O w< N W 0 0 0 (D 0 0 0 3 a ^ v, ° 0 =.ac°.. ti m ° c 3 se ° o . m -•ac v', m a aa0�� Wmca< aa>jAwmca`SOC(D O' a '� m + O j N m a =!: `=G D N ~' a d a C 7 m +C0 0 w m + m j '< p• 0 N °-.0 O m a 7 3 f o om A a> 0 o 9� om AF.m ao ° coo a a m 7< m 0. + S m 7 y. Q (D 0 7 °< m (D + S (D 7 y. Q (D CD (O Q O. 0 D N (N fD Dl m "0 (O (D O °' A 0) ( y (p D) O m '0_". w 0) m- w S �.N �ma N m . 0 = G''? AC m'o �� o yam o10 m'° m o p' saw 0. p n M N '� 0< (D C a j M 0 n 0 N 0 0 < O N a � y CD 0 7 m c .'l o (D 00 0 0 7 j 0 7 7 O , ° (D ° 0 7 Ve A m Er `< . 7 7 0 0 A N . O I x C my o m G mn� o V A QO ' �• D0.(p o A= C'� -<+ o. Dnm o fi ID o mono a :E o mc) a � m .+ N a 6 Z - - 7 S m C j fD fD (D C I'1 N N (p C N a ,A a 7a A A A O O N (DD OQ O f0 fl 69 � 0 EA (m 0 �.. a O • U7 O U� `t `2 p a (D (D O O O O 1 l o o :. o o a i N 10 At 0"ttAWiC HCA :; CAPA,N Y HE.AI) CAPACITY CURVE r - r .irNI' ANI' ^.ItKlW MODEL 152/154 _.. VON 50 Fp,CI Mrtrr.v Gal. titerE. 183 1.5 59 261 19 40 Iti 1 „, 51 701 6' 23 r it b.1 44 %121.42 13% B / 7:: /.fi S ” ... 20. fir. 7!17 -- 4 3P.5 n. ( i.i!:rj otaca 0 20 40 60 80 100 ' GALLONS ll1 0 80 160 240 3 0 FLOW PER fr11NUTC ' CONSUL FACTORY FOR SPECIAL PPLICATI ) • Tired dosing panels available. • Electrical altewtors, for duplex systems, are available and supplied witfl an alarm. • Variable level control switches are available for controlling single phase • Double kgMck variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik Box available for outdoor Installations. See FM1420, • Over 130'F. (54°C.) special quotation required, 1521153 31AW.CLS C Qnttd aelmoon I ' [ Medal Yo tp-M 11odv m a SNP_ OupMa 81 115.. 1 Am a.5 (nolyded 2 or 3' E152 _230 1 Mai 43 1 2or3 r aE162 290 1 ... Auto Included 2 or 3 tb3 1 116 t Non 1 2o 3 BM1531 Awo 106 Inckrdod 2or3 6MEC?IOHGUIDE Et53 Z30 t Non 5.3 1 2or3 9Et53 230 t Auto � ' M � 2 or 3 1 • Slt>91e piggyback vsr4atlla level 4w evdldt a double PiD9ybedc vargbq lava) float volch. Refer to F1610477. s CA 2. gee FW712 for comxt model of Electrical Alternator E AN instalUtlon of Controls, prolaaloa devices and w0log should 14 cone by a thuumed 3, variable level control twitch 104225 used as a control activator, specify duplex (3) acenead slecirlcta . AN electrical arW solely codes should be followed Including the ewat ncwd Notional Eleclrle Cede (NEC) and the occupational Serafy and Ream 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. YAWL M. P.r) BOX low • a taiT 3 402560347 AlaraulxfwcriOf.. � SW r0; 364>r 49 Goa Rur RVAl Loc*v* KY 40211.196 Z11ru la in S ANY' hff ww•aoa/Mr. ooen Pl1/ CO. 1602 nor yrlr • 1 (aay 9�uvL1P FAX(302) 174 - _ _.. © Copyright 2000 Zoeller Co. !U1 rights reserved. O PUM P ERFORMANCE PUMP PERFORMANCE CURVE L o l l ] EFFLUENT MODELS 3/8", 112" & 3/4"SOLID PASSING CAPACITY m ® ®mommmm ®m ®mmmmmmm®■mm mmee ° °° °mo ®mmmmmmmmm ®m �■ � ■ ■ ■■ ®meemee °eee°omm ®mmmmmm mme ° °°e °eases °ee°ee °ee ' , ■�� ■� ■■ � me °see ° °°ee ° °ee°ee °ea ., �■ ���� ■ ■� ®mmm ° °emm me mmoe ° ° ° o ■ ° e ° e °m 000�l11�� ■� ■ ■ ■ ■ ■ ■■ mmmmm , m mmmmmmmm ����►�������� ■ ■ ■ ■ ■■ mm ®0 aeammmmmm® ®m ®0 aeommmmm0m ®0 ®0 aevmmm ® ®mm W ■0I\11NI■00U ■ ■ ■ ■■ m� ®0 °e0mm0 ®00m 19 6 WEVEI■ ■\\ I■■■■■ mm mm ® °amm ®mom m ® ®momm ®mmmm0m0m QW01011►0MMMON\■■■■ �m ®® o ■m 0 ®mom 'NSIVINOM ■E1,� ■ ■ ■■ ° a ° eaa ®m °o ®mmm0m0m .. � a° °m eemmmmmm0m 9%1 W!+►11► I\■1a■■W\\■■ °° °■ ° �� ° ■��eme..�.eees00 !!\11a� \\■■0001■ ■ ■ ►0 \11►. \\. \\■■■\■ ■■\ \ \121■1►� \►� \■■ ■■It ■ ■ ■li�� ■ ■ ■ ■ ■ ■ ■ ■ ■■ t o l e s s th an NOTE: For ' ' Pump umn explosion proof pump, see FMO219. SEWAGEAND m m� ®a MN � m m: m m m m m mm mmm mmm��® DEWATERING ■ ■ ■ 1 �� \�;��■ ■ \ 0000 less than 15 feet TDH. SUGGESTED METHODS OF FLOAT INSTALLATION OF On some installations it may be desirable to install an independent hanger for the level control switches to avoid possible hang ups on the pumps, piping, valves, etc. Float hangers are available from Zoeller Company on Catalog Sheet FM0526 or can be fabricated from standard pipe and fittings. ACCESS COVER A — o STANDARD PIPE FLANGE ' °I L -1111 _oAT TREE WI:N 3 FLOATS SHOWN PVC OR LIGHT WEIGHT -° ° ° = =° ° ° ° ° SK1218 PEAGRWEL STAINLESS STEEL PIPE SK1217 TYPICAL FLOAT HANGER ON CONCRETE PITS TYPICAL FLOAT HANGER ON STEEL COVER PITS OR SEPTIC TANK RISERS "EXTRA PROTECTION SYSTEMS" TWO PUMP SYSTEM ALARM The "Extra Protection" Two Pump system is an economical solution to the costly duplex (JUNCTION BON ANO PLUO N0 alternating pump system and it's easy to install. 0 The "Extra Protection" Two Pump Systems consists of: 0 a. The two nonautomatic pumps with VLFS of your choice b. One Alarm System c. Two Unicheck Valves as required Fol Lai ADVANTAGES a (1) The Two pump systems offers high pump performance without the high price. It is a system that fits your needs and your budget. PEAGRAVEL (2) Delivers more dependability than a single pump system and greatly reduces the chance of costly and time consuming problems associated with wear out or damages and the ALARM ON resulting system failures. PUMP 2 ON PUMP 1 ON (3) Affords greater satisfaction and peace of mind to all concerned by providing state of the art PUMP 2 OFF protection for costly and expensive surroundings. ® PUMP 1 OFF VARNBLE LEVEL FLOAT SWITCH (4) Ability to change lead and lag positions by changing pump plug connection. ® ® ( ALARM ) PUMP 2 PUMP 1 SK878 (5) Easy and economical t0 Install. 'MINIMUM DISTANCE 2" BETWEEN PUMPS THE BASEMENT SENTRY 12 Volt backup sump pump system model 507 & model 510 Application - For Clear Water, emergency backup usage when power is off or primary pump fails. Extra Protection - When the primary AC pump fails due to power outages or system problems. • Storms • Brownouts • Wiring or electrical problems Extra Protection -When the primary pump fails to keep up with excessive water due to rain or overloading.' Includes: MODEL 507 MODEL 510 Pump and control Charger TDH (ft) Flow (GPM) TDH (ft) Flow (GPM) _ Fitting 5 23.2 5 33.8 Battery Case 10 12.5 10 21.6 14 Shut -off Head 15 10.6 t� (Battery Not Included) 19.9 Shut -off Head For submersible or pedestal installations. See FM1311 (507) or FM1139 (510) for information. Suitably sized basin required. © Copyright 2003 Zoeller Co. All rights reserved. 5 a_ .. .......... _.........._ _ ....._....... .. ..................... r J.. .......-._............................_...._..................... ...........................f11� : a�. p..l. P� . - . em+.................... ...... . . ...5,,c... ...... ... ...... ,r...) _ _. __ .. ... _ .r;�l..c� .. 1�- �?�'.�/`�tt.... ........._._ ...... _ _........_fir �..�. 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Nettles, Secretary ST ; ZOP March 16, 2004 CUST ID No. 227387 ATTN: POWTS Inspector THOMAS C NELSON ZONING OFFICE ENVIRONMENTAL BY DESIGN ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/16/2006 Identification Numbers Transaction ID No. 937905 SITE: Michael & Sally Snyder Site ID No. 652884 Town of nn field, St Croix County Please refer to both identification numbers, NW 1/4, NE 1/4, S33, T29N, R15W above, in all correspondence with the age n cy. FOR: Object Type: POWTS Mound System 450 gpd Regulated Object ID No.: 879390 Revision 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: 1. Proper landscaping of the mound and land surface up slope of the mound is critical to proper system operation. See plans for details. 2. This approval is based in part on an interpretative determination approved pursuant to Comm 85.60(2), Wis. Adm. Code and recorded under Transaction Number 937902. It is subject to stipulations and conditions set forth in that approval. A copy of the approved report shall be part of the county sanitary permit file for this project. 3. Information on the septic tank outlet filter maintenance shall be given to thener. / — 4. The county shall be contacted for a stake inspection prior to plowing of the soil and sand placement so that the location of the mound may be verified in relation to the bench mark. 5. The common use of this POWTS by two buildings is only acceptable if the accessory building is for the private use of the owner and is incidental to the use of the residence. 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 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. THOMAS C NELSON Page 2 3/16/04 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 $ 60.00 Fee Received $ 60.00 Balance Due $ 0.00 Le oy G. Ja k Waste ater S ialist Integrated Services Bureau Wisl W& 7633 (715)726 -2544 Voice (715)726 -2549 Fax ljansky @commerce. state.wi.us i MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Snyder Owner's Name: Michael and Sally Snyder Owner's Address: 720 Main St Wilson WI 54027 P. ,W,T,S- Legal Description: NW, NE, 33, 29, 15W Co nditionally Township: Springfield AP P RO �D DEPARTMENT OF COMMERCE County: St. Croix DIV 1014 OF SAFETY AND BUILDINGS Subdivision Name: na Egp DENC Lot Number: na Block Number: na Parcel I.D. Number: t� Plan Transaction No.: •885tH (� 7 3 ` r/ 9 0 D Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site plan Designer: Clarence Glotfe *edPursu icense Number: 220728 Date: 1/ hone Number: 715/868 -5831 Signature: RECEIVED the Mound C omponent Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and MAR 1 5 2004 SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) SAFETY 8 BLDGS. DIV. Version 4.0 (R. 04/03) Page 1 of 8 r r Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 7.00 Site Slope ( %) 98.00 Contour Line Elevation (ft) 6.00 Depth to Limiting Factor (in) 0.15 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 115.00 1 Dispersal Cell Length Along Contour (ft) = 3.92 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent.Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 0.00 Lateral Spacing (ft) If N above, enter the elevation (ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 1.50 Estiimated Orifice Spacing (ft) = 5.93 ft /orifice 2.00 Forcemain Diameter (in) 290.00 Forcemain Length (ft) Does the forcemain drain back? Y •.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 47.30 Forcemain Drainback (gal) 00 Vertical Lift (ft) 51.96 5x Void Volume (gal) 6.08 Friction Loss (ft) 99.26 Minimum Dose Volume (gal) .58 Total Dynamic Head (ft) 31.31 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 2.00 1.50 x x L 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 1 ptic Tank Capacity (gal) Total Working Liquid Depth (in) y� 6 + Manufacturer gal /in (enter result in cell B49) Dose Tank Information - 7, � Effluent Filter 1 .formation d0 Dose Tank C�acity (gal) 04 �A P o I Filter Manufacturer D se Tank Volume (gal /in) Filter Model Number Manufacturer Project: Sny a Page 2 of 8 Mound Plan View 'Ib otvm � - J B �' Observation Pipe K .� <Y;x „ °� >.. . �° x� ,�.. >�x > °,<x « aa x xe,ora�K « <,� « ° <.., r + S W J � x�. °� : °: — ��a.f B . 3 . . . . . . . . NU Mound Component Dimensions Down slop toe extension made. W klv-� 0.V A 3.92 ft E L 33.29 in H 1.00 ft K 13.29 ft B 115.00 ft F 9.50 in I 22.17 ft L 141.57 ft LM o �' D 0. G 0.50 ft J 9.40 ft W 35.49 ft 450.80 (ft 2 ) Dispersal Cell Area 1 3000.00 (ft Basal Area Available 3.91 (gpd /ft) Linear Loading Rate I 11.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.29 (ft) —D G H 2 riiirrrr;. 1 ..rriirriirrrrri rrrir�ir�rirri,.. I F Dispersal Cell 0.0 1 1 0 (ft) Lateral 100.50 (ft)- ► — Invert -{-� Dispersal Cell It E' D Elevation --- ^ nnrtrt M . . �.,....... •. .. M •..,�' ,4,F�c'• �r.�pFti::: 98.00 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover 5t, Shading Key m a Dispersal Cell See lateral details on r• 9 y 'a �°.. « ° « r ° °, «° Page 4 for number, size, [] Topsoil Cap o 1.5 ft :axax`:T.. «x ° « , •.�. t rrrrr w o and spacing of laterals. © Subsoil Cap, © C ASTM C33 Sand `-° ca %° N N k” Laterals are equally `o Z ya, F spaced from the 05 . ft Typical Lateral '' Tilled Layer c w r ' distribution cell's g []5 Aggregate o .< centerline in the A . distribution cell (AxB)1. 1 72� f Project: Snyder / Page c f 8 I r Center Connection Lateral Layout Diagram Place Lateral Diagram Here ( P � I IE X IE x12 I x12 4I Laterals & force main of PVC Sch 40 (per COMM Table 84.30.5) Holes drilled on the bottom of the lateral, 0 = Turn -up weballvalve or olesnoutplug equallyspaced Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.51 ft Lateral Length (P) . 56.63 ft Orifices per Lateral 38 Lateral Spacing (S) 0.00 ft Orifice Density 5.93 ft /orifice Lateral Flow Rate 15.65 gpm Manifold Length 0.00 ft System Flow Rate 31.31 gpm Manifold Diameter 0.00 in Total Dynamic Head 23.58 ft Forcemain Velocity 3.20 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented E-- Alternate outlet location Forcemain diameter Manufacturer 2 in. C cit .1 Gallons Volume 3 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A C B 2.0 P ump off e levation (ft) � a 7 3 D L' D Total 2 -6 '2 7-1-- 1: iF Dose tank elevation ft ., a „00 3 Bedding under tank. 9 Alarm Manufacturer SJ Electro Alarm Model Number 1101 Pump Manufacturer Zoeller Pump Model Number W— /S3 Pump Must Deliver 31.31 gpm at x58 ft TDH Project: Snyder Page 4 of 8 t Mound System Maintenance and Operation Specifications Service Provider's Name , 6 Phone POWTS Regulator's Name St. Croix County Zonin Phone 715/386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450.8 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion • and help reduce frost penetration. Lateral Turn -up Detail Finished ••............ ............... Grade \ ,I 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral - Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Snyder Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code J Genera This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than B- inches In diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum 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 a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. _Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD5, 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design now specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Snyder Page 6 of 8 w PUMP PERFORMANCE CURVE MODEL 15111521153 TOTAL DYNAMIC HEAD/FLOW 50 PER MINUTE 14 45 153 EFFLUENT AND DEWATERING 12 40 MODEL 151 152 153 10 152 Feet Meters Gal. Uters Gel. Liters Gal. Ubrs 30 5 1b 50 189 as 261 T7 291 10 3.0 45 170 61 231 70 265 e 151 15 4A 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 6 20 25 7.6 16 61 34 129 42 159 30 9.1 — 23 87 33 125 15 35 10.7 22 85 40 12.2 — 11 42 10 Shut-off Head 38 ft 11.6m) 449 13.4m 2 5 01460x6 0 10 20 30 b 50 60 70 80 90 100 GALLONS tffEtffi 0 40 80 1 160 200 240 280 320 360 FLOW PER MINUTE 014WM Model 151 Models 1521 153 CONSULT FACTORY FOR 6 7/32 6 1/4 SPECIAL APPLICATIONS 3 7j8 4 5j8 3 27/32 4 5/8 • Timed dosing panels available. , , /6 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. - - • Variable level control switches are available for controlling ® 3 1j8 ® 3 27/32 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. � t • Over 130•F. (54 °C.) special quotation required. I I 7 15111521153 Series 11 71/16 12 1/8 151M52M53 MODELS Control Selectlon 5 1/8 Model Voft -Ph Node s a 3/ / 6 N151 115 1 Non 6.0 1 2 or 3 8N151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 161 aK2064 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Aub 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 8052 230 1 Aub 4.3 Irduded 2 or 3 N153 115 1 Non 10.5 1 2a3 BN153 116 1 Aldo 10.5 Included 2or3 E153 230 1 Non 5.3 1 2 or 3 SELECTION GUIDE BE153 230 1 Aura 5.3 Included 1-1 O CAUT1014 All inddstlon of controle, pm"on devices and wiring should be done by a qudifled gamed dsWltdan. All deetriai and safely codes should be followed including the most recent National EleeMc Code (NEC) and the Occupational Safety and Haft Ad (OSHA} RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AE% TO: P.O. BOX 16347 � `, Lot 49 Cane Ru 347 Manulactuersol, . Q. SHIP M 3 3 649 Cane Run Road �/® Laps *, KY 40211 -1961 zhulryAIAIIv Slay Aff htgs ✓Aanvw.zo m No com PUMP !O. (502) 778 - 2731.1(800) 928 -PUMP FAx(5DZ 774 .3624 0 Copyright 2003 Zoeller Co. All rights reserved. y , ............. ...._ ... ............. .......1.......L� I ........ _..... ....... ..._. .........._...... ....... ...... . ....... . _ .._. _ .. `'!. _ .. .- 1 ............ .. ........... .... _ ....... ...__ . _.......�. ss r. r^ i , � I ... .... c.. o ....R Q..,............ _ ..... ... _...._...._. ................._.......... ................. ...._......... ... ...... ..... _ ........................ ........_ _............. _.. _ ... _... ......... .. . ... ... .......... ...................... /.:'�c,c _ •5. .......... ........ ........... ......... .. .... :..... ...' ..... .... _ .. ..... ........ ............ .! .. ... .... ..... ....... ... .... _ ......... .. ... ...... .. _ _ .__ ..... ... ..._.. .._._.... .. _ __.... .... _.... ..... -- - - - - -- ........... . ..... - ....._......:..... __.... _ _ .._ ._ .. . .. � r- oN �. .. .............._.; Pc3?�o�.�v,. - `?.. _.. _.._.....:..... _ _ ........... _ .....:.............. ... _........ - -:.._ ..__ ......... _............ ......._...._.........._. .....:......... ...........:.... _._...._..:. a._.... . :....::. :__._ .: ......... ........... :...... ...... .... .. ..... _. _ .. _ _.. _ . _ - _... _ _....._.- .......:.... �cn� - -__ .....,._ .................... ... ............. ....._ .__�_ _.._ - ..._._....._.__. _.........._._..._......_.._ . . ._. - -- !_ _._._._.._.._ _... _ . ...... _.._ .. _ . -_.. � I ' ' t i I : f I I I i i i _ ,i t ' A ♦ 11 i l r FOTAL DYNAMIC HEAI,'Cx- ACIf', HEAD CAPACITY CURVE PER MIN01' EFFLUENT AND DE''. \fEmr-:c ,_ M 0 D F I 152 / 153 - - - -- -- - - -- - - -- - - - -- MODEL 152 IS3 50- — - -- — Feet Metei Gal. Lite I.i - 15:; ~ 5 _ 1 H 26 - �7 I 191 12- ' 10- -- - - -- l 0 3.1 -- 61 23 -- - ; -- 152 _ _ _ 16 Z65 C) 15 4.6 53 20 - 61 Z31 .. 20 6.1 44 16 $L 197 £3 25 7.6 34 12 yL 159 30 41. t 23 8 -�- 33 125 ?0 - - -- - -- — - -- - — - — - 7- - - - -. -, o — -- — -- - �- - -- - 40 12.2 - f l yL 10- — - Luck Valve: - 38.0 :CT (11.( 1 4'•.0 f _ 0 - -- 20 40 60 80 100 GALLONS LIFERS 0 - -- 80 - 160 240 320 6 1 - 3 27/32 - FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS - ✓�� • Timed dosing g panels available. • Electrical alternators, for duplex systems, are available and supplied with 4, - �. an alarm. • Variable level control switches are available for controlling single phase systems. 1 • 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. t • Over 130 °F. (54 °C,) special quotation required. 1521153 Series 12 i/a _ _ 1521153 MODELS Control Selec tion i Model Volts -Ph Mode Amps Sim lex Du lex _ N152 115 1 Non �.5 Included 2or3 _I 2 or 3 B N 1 52 115 - - 1 Auto 0.5 In ?� - -- f - f E152 23 1 Non 43 _ 1 _ _2or3 B E 15 23 _ 1 Auto 4.3 Included_ 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION G'IIDE E 1 53 230 1 Non 5.3 1 — 2 or 3 B 230 1 Aut o_ 5. 3 inc luded 2 or 3 1. Single piggyback variable level float switch o AlLblo piggyi a ;1 la 0bie a e'. foil switch. Refer to FM0477. n cnunoN 2, See FM0712 for correct model of Electrical 6 tamator E - F'a ;. All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most 3. Variable level Control Switch 10 -0225 Used as 1(Cnt!01 aCtloah ir, 51 ciig d r)b .K (3) 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 I ulnf'. MAIL TO: P.O. BOX 16347 - -- - -- - -`- - - -- Louisville, KY 40256.0347 • J�� ` SHIP TO: 3649 Cane Run Road Manufac ..n�rsu' . . ® Louisville, KY 40211 -1961 hhp; / /www,zneller.cwn / (502) 778 -2131. 1(800) 928 -PUMP FAX (502) 774 -3624 © Copyright 2000 Zoeller Co. All rights reserved. V VUisconsin Department ofCommerce SOIL EVALUATION REPORT P age 1 o f 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must 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 ' ce to nearest road. Please print all inform n. Reviewed by Date Personal information you provide may be used for second purposes (Privacy La s. 1 .04 (1) (m)). Property Owner rty Location Michael & Sally Snyder L NW 1/4 NE 1/4 S 33 T 29 N R 15 E(r)® Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# 720 Main - - - City State Zip Code Phone ; Ci ty Village ■ Town Nearest Road Wilson WI 54027 ( 715 77 9 STH 12 Springfield Q New Construction LlseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Q Replacement Public or commercial - Describe: Parent material L oess over glacial till Flood Plain elevation if applicable N A ft. Genes Oomments If* fine roots were found on boring 1 at a depth of 26 ", in boring 2 they were found at a depth of 24 ", and in and recommendations: boring 3 at a depth of 21 ". Worm burrows were also found at depths of 10" M Boring # 0 Boring In Pit Ground surface elev. 98.18 ft. Depth to limiting factor 6 in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsefl Ou. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Ef1#2 1 0 -6 10yr3/3 sit 2mgr dsh as 2f .5 .8 2 6 -9 1 5/4 cld5yr64 /6 sil lmpl dsh cs if .2 .3 3 9 -14 10yr5 /4 m2d5yr4/6 sil lmpl dh cs if .2 .3 4 14 -30 10yr5 /4 m2p5yr5 /8 sicl 1m 1 dh - I .2 .3 2 Boring # Boring 98 28 6 pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f� in. Munsell Ou. Sz. Cont. Color Gr. Sz. SK *Eff#1 *Efl#2 1 0-6 10yr3 /3 A 2m dsh cs 2f .5 .8 2 6 -10 1 5/4 cld5yr4 16 sil linpl dsh cs if .2 .3 3 11 -19 10yr4 /6 & c2d5yr4 /6 sil dh cs if .2 .3 4 19-32 10yr4 /6 & m2p5yr4 /6 scl lmpl I dh cs If* .2 .3 5 32 -36 10yr4/6 & m2p5yr4 /6 scl Om dvh - - •0 .0 *Effluent #1 = BOD > 30 220 mg/L and TSS >30 _< 150 mg/L * Effluent #2 = OD < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Signature_ CST Number Thomas C Nelson T ` 227387 Address Date Evalu Telephone Number 1432 120th Street, New Richmond, WI 8!21/03 715- 246 -2454 Properly Owner Snyder Parcel ID # Page 2 of 3 3 Bonn # Boring Boring El Pit Ground surface elev. 96.40 ft. Depth to limiting factor 6 in. Soil Applicalion 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 *Etf#2 1 0 -6 10yr3 /3 - sil 2mgr dsh as 2f .5 .8 2 6 -12 I 5/4 cld5 5/8 sil 2msbk dsh cs if .2 .3 3 12-39 10yr5/4 c2d5yr6 /8 sil Imsbk dh - If* .2 .3 El 1-1 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/tF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 F Boring # Fit oring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eft#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. saD.9330Te■ (F-07/00) Michael Snyder NWI /4, N €1 /4, Section33 T29N, R9 5W, Town of Springfield Prot ay t b rTA 1-2, odh ea o ,boo 1 s qc f s AL u ado OCALR I~ -so• B]tI TON ON COBDVIT 100• Bm3 TON OF ONIYB 100.46' B196.18 3298.28 B3 97.16• Thomas Nebon 227.397 �CA o amo d e O 7 z O N 7 - 0 W W • G N O O �G 7 . IV H N N ( N I cb w zr o O OW go (n z D D CL IW a o co C �l O N -4 ` �I Co O 0 0 Z w ; � r a 000 '' "y �0' z 3 to to to D _Q TC)D . w N ., I A /'-- o c CD 6 OM m p o° a I g= mo O CD j• N y (D W G. O Vi : N C 5.d a7 7 (D (n y @ N ! 301 N D N A -� ' ca t W - q o ! � N ( 6 A CD 0 0 N O N (D N 5 C W fD ' a A G w z D a o. ;u ! m +Ep C '. I z o com • N y y z I m < o o CD m W a i a CL c z a I o Q ° I d� y w Q CD 0. °-0 o 3 0 O (D 7 A I I N I 4 O p ti N (D Dro A W EA Q `v pp o CL O p SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, WI 54729 N visconsin INSPECTION REPORT www.commerce.state.wi.us/sb (715) 726 -2544 Department of Commerce Date of Inspection: August 21, 2003 Plumber Name and Address CEIVED Project Name: Snyder Clarence Glotfeity, MP 22 28 Use: New Residential N4995 Sunny Hill Rd SEP 19 2003 Legal Description: NW, NE, 33, 29, 15W Weyerhaeuser, WI 5489 i Site Number: 652884 ST. CROIX COUNT; t Subdivision: NA Certified Soil Tester Name and �ING OFFICE Municipality: Town of Springfield Thomas C. Nelson, CST 227387 County: St. Croix 1432 120" Street New Richmond, WI 54017 Plan Transaction Number: 805113 Sanitary Permit Number: Owner Name and Address: Michael & Sally Snyder Wastewater Flow: 450 gpd Persons Present: T. Nelson, M. Snyder An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon (see August 14 report). Based on the results of an investigation conducted on August 14 and today, it is my opinion that the area originally chosen is likely the best location for a system in the immediate area of the proposed home. An interpretive report describing and identifying soil and site conditions that may allow a mound system installation should be completed. Recommendations for this site include the possible use of a mound system designed to overcome limitations of a high level of seasonal soil saturation and slow permeability present in the subsoil. A soil saturation determination pursuant to Comm 85.60 must be completed by a CST and approved by the department to certify that this site has at least 6 inches of soil free of saturated conditions for seven or more consecutive days. Should a mound design be pursued for use at this site, the linear loading rate should not exceed 4.5 gpd /ft and the basal wastewater application rated should not exceed 0.2 gpd /ft At least 30 inches of sand lift must be used when applying septic tank effluent to the distribution cell. The longest portion of the mound must be orientated along the contour. The mound shall be constructed to divert surface water around the mound structure as much as possible. In addition, an up slope surface water diversion ditch should be constructed to intercept overland flow and divert it away from the proposed mound area. Side slopes on this mound should be less steep (4:1 to 5:1) than normal designs to lessen the possibility of toe seepage. The additional basal area will partially compensate for the gentle land slope and prevent wastewater leakage at the mound toe. If there are any questions regarding this report, please contact me. L roy G. J sky, ewater pecialist Ljansky@ ommereslate.wims E -mail 715/726 -2544 Voice 715/726 -2549 Fax cc: 'County Plumber] CST ❑ Owner ❑ Other SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street INSPECTION REPORT Chippewa Falls, WI 54729 Nvisconsin www.commerce.state.wims/sb Department of Commerce (715) 726 -2544 Date of Inspection: August 14, 2003 Plumber Name and Address: Project Name: Snyder Clarence Glotfelty, MP 220728 Use: New Residential 7,7,W99> Sunny Hill Rd Legal Description: NW, NE, 33, 29, 15J ._Weyerhaeuser, WI 54895 Site Number: 652884 Subdivision: NA cgrtq* SoffTester Name and Address: Municipality: Town of Springfield ' Thomas C. Nelson, CST 227387 County: St. Croix 1432 120" Street - New FlIchmond, WI 54017 Plan Transaction Number: 805113 Sanitary Permit Number: Owner Name and Address: Michael & Sally Snyder Wastewater Flow: 450 gpd Persons Present: R. Esliger This onsite was requested by the county because of questionable soil conditions observed during an inspection prior to plowing for the mound sand placement. One soil boring was constructed in the approximate center of the proposed mound area near the installation contour line. T -1 00 -06" 10YR 3/2 sil, 2f -mgr, dsh, aw. 06 -09" 10YR 3/2 sil, 2csbk, dsh, cw. 09 -15" 10YR 5/3 sil, 2cpl parting to 2msbk, mfr, w /m3d 10YR 5/8 and 6/2 rmfs. Based on the results of this investigation, it is my opinion that the mounds stem as designed is not P Y 9 acceptable for this site due to a high level of seasonal soil saturation. Onsite testing must be conducted to determine if this, or another site, can be used for a mound system installation. If there are any questions regarding this report, please contact me. 3u' bep6y G. Jhdsky, W ewater Oecialist Ljansky@commerce1;tate.wi.us E -mail 715/726 -2544 Voice 7151726 -2549 Fax cc: 1 AlCounty ❑ Plumber CST ❑ Owner ❑ Other Jane Hansen Subject: Clarence Glotfelty 420697 Location: Springfield Start: Thu 08/14/2003 11:00 AM Q End: Thu 08/14/2003 12:00 PM Recurrence: (none) Ae e P7( &(A� r-- � I P S � � Safety and Buildings Division County 201 W � C �� W. Washington Ave., P.O. Box 7162 - � C �os ll Madison, WI 53707 - 7162 Department of Commerce +-� Z Sanitary Permit Application s ber Code, = In accord with Comm 83.21, Wis. Adm. �►M� SID rsonal ' o pe mf n n y e 4� �^ may be used for second purposes Privacy Law, s15. 1)(m ❑ Check if Revision I. Application pp infortnaUon - Please Print All Information �C Y bey t[ Property Owner's Name 3 b � T S /o y� f 3 ?��, j arcell - N - tiffiRr 034 / 0 .40 N Property Owner's Mailing Address <) , Property Location �4i G �,� ,4: S N. R City, Sate Zip Code Phone Number Lot Number ock Number LU • Subdivision Name CSM Number U. Type of Building (check all that apply) Yww hipp I or 2 Family Dwelling - Number of Bedrooms C1 Public/Commer r - scribe Uss C1 Sate Owned l et'�^ 'O tl S f' t? KY � ► R � x /'� D r Mop `� Q 2S "�2. DI Barest w III. Type of Per it: (Check only one box on line A k=bering scheme for internal use). omplete ' if applicabl ) A. I ;k New 2 ❑ Replacement System 3 ❑ Repla nt of 6 ❑ Addition to F County S stem Tank Only Existing System B. C1 Check if Sanitary Permit Previously Issued Pertwt Num I ed IV. Type of Permit: (Check all that apply)(numbering scheme for internal us ., VIAMP 44 C1 Non - Pressurized In- Ground 21% Mound Sand Fil SO ❑ Contwcted Wetland 22 11 Pressurized In -Ground 41 U Holding Tank 48 Single s 51 C1 Drip Line 45 ❑ At -Grade 46 C1 Aerobic Treatment Unit 49 ❑ i atin 30 ❑ Other V. Dis ersaUTreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Applicado Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Da /Sq. .) (Min./inch) Elevation VI . Tank Info Capacity in Toni Number anufacturer Prefab 91 Steen Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks X Dosing Chamber 0 r x i VII. Responsibility Statement- I, the trade e P Y <abl ` t ^�r Insl0atlop of We PO AS shown on the attached plant. Plumber's Name (Print) P` d umber Business Phone Number -07 i - - S B 3 Plumber's Address (Street, City, StAe i 1 VIM. Countv/Deaartment Use OtQlyj 1 "�tl 1aa Approved ❑ Disapproved Sanity ermit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) v' Surchoge Fee) ❑ Owner Given Initial Adverse ���� Determination IX. Conditions of A proval/Reasons or Disa groval -tom s�;1 "askpw 54J6L e. 4w_ Q 1 S `� Sos C,w�e l S of rte" {iu,,,ndC to Noe. aQ �tr+�7� tar w�cyg a 1tit ',a t� SOZ(s 4WISIU 7 �Q -�+r r Ge S w c� tre ' Alta tg ere p tto a soot Drily) for stem on paper not less t�h�ag p �dl /2 .r 11 Inches In 3 l ;e =t►�b r a , � � C l•.�1�yt,�w�Q C 1 a►+rxLBa�w►�.�_. (fj SY OdtQer` txs 6398 0[5t < , i • i i ' �i w m I • ♦} i� y '.�� T 1 `�I t' I ' ,� i i � I raw ■■/ /■■■■■■ ■/S VA f . , �s■ ■ ■■ ■D/■ ■!1 ■/1 I/��■ // A■�►'�■■DD ■■ ■//■1■■■■■ ■11! �■lli■i�iL.• ..�sQ%>• ■ ■ ►�■ ■■I� ■ ■ ■ ■� ■ ■il■ ■fiiE ■■■■ ■■■■m■■►■il !/ ■■■mom�■i ■/��li / / ■ ■ ■ ■ ■ ■ ■ ■ ■:� ■ ■ ►■ ■� ■ ■ ■ ■�� /■ a ■Ri■ ■■■■■■■■■nn■■ ■■■■■■■i HYMN �■■ ■Ii■ ■ ■■■ ■ ■■■ ■■■.�■ s ■�� ■�i�! ■■■ //!!!� ;,,, � : _ �,�!!� ■ ■■■ /1 No slymp. YAM isms INS I■■ r -� � _ . r y Safety and Buildings 10541 N RANCH ROAD 4 HAYWARD WI 54843 visconsin TDD #: (608) 264 -8777 www.commerce.state.wi.us/sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary November 20, 2002 CUST ID No.220728 ATTN. POWTS Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO -TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/20/2004 Identification Numbers j Transaction ID No. 805113 SITE: Site ID No. 652884 Michael & Sally Snyder Please refer to both identification numbers, St Hwy 12 above, in all correspondence with the agenc Town of Springfield St Croix County NW1 /4, NE1 /4, S33, T29N, R15W FOR: New mound, 450 GPD Object Type:. POWT System Regulated Object ID No.: 879390 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. The following conditions shall be met during construction or installation and prior to occupancy or use: , P General Approval Conditions: Co7 ( • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ( N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment NW ;, Systems" SBD- 10706 -P (N.01101). C 1 • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Note • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • The management plan / users manual must contain the telephone numbers of persons to contact in case of any component failure (generally the installer of the system and the county agency). CLARENCE L GLOTFELTY Page 2 11/20/02 • The bottom of the distribution cell shall be level per the Mound Component Manual. • The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. • Provide frost protection per COMM 83.43(8)(c). 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 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 shal ovide a copy of this letter to the owner and any others who are responsible for the installation, operation o min of the POWTS. Sincerel Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shandor POWTS Plan Reviewer, , Integr ted S ices WiSMART Code; (715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm pshandorf@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximum design flow. Residential or commercial? ©(r or c) Slope % Design flow rate gp d Depth to limiting factor in In situ soil infiltration rate L gpd /ft Contour line elevation ,� ft Use standard fill depths? --- OR Design depth? (� Place X in box to use standard depths (24 and A +4 inclusive) OR specify : es i depth. Orifice density // Z � Orifices per ft` Center or end manifold (c or e) Orifice diameter In 0 . 12 5, 0.156, 0.188, 0.219, 0.25, Lateral spacing It Use 0 lateral spacing for trenches. 0.281. or 0.313 inch only. Estimated orifice space , ft Not a final calculation. Number of laterals Z Pump tank elevation Forcernain length ft Forcemain diameter Z' � ft Outside bottom of tank. Z, Q in 1.5, 2, 3 or 4 inch only. ;n Actual I.D. DIAMETER CONVERSIONS SYSTEM SOLUTIONS 1/8 = 0.125 1/4 = 0.250 Design flow rate 5/32 = 0.156 9/32 = 0.281 ®gpd 3/16 = 0.188 5/16 = 0.313 = Absorption cell 7/32 0.219 Application rate & area 1.0 gpd /ft2 'IJfl ft` Linear loading rate (LLR) �j;(' gpd /ft Design width (A) ft Cell length (B) , Q ft Depth of cell (F) .5 in Sand filter Upslope fill depth (D) �5 in Downslope fill depth (E) in Basal area required (gpd /infiltration rate) (� in r•+ os� q 1 2- Supporting components p Topsoil depth 3.0 in Subsoil depth at center 9,0 in Subsoil depth at cell wall 3.0 in End slope toe length (K) ft Up slope toe length (J) Vz t Down slope toe length (1) 2, ft Total mound length (L) ' Basal adjustment made. / Jay ft Total mound width (W) 5.. ft Project: Transaction Number: q Pagf Lof MOUND PLAN VIEW observation pipes (typical) T 1/6 B A = ft ."._" ft I: =: :: 5:: ::::: : q� B = ft J = ft W M T �.... B ... I ft �I K K 1/613 M L — 1136 --� typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension = plowed area (L ..' ^�' K = end slope dimension M S + A+ y, 6° I MOUND CROSS SECTION subsoil cap . D = � in lateral to G H E = s, Invert [ 15e - -- - = in -- - -- F cl. T ASTM C33 H = ]2.0 in —M — D Sand Fill E S y s. I /tea elev. � ft contour slope '. D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric w i d-N. o�hd F I I 1 Desi ner notes: a hi f ° ► r s a t o fn b, i -) U 0 T v� 4 't 0 O Project: Transaction Number: Page 30f7 Typical Turn -up Cross Section Detail Finished Grade 6" Diameter <<<<<<<<<<<<<<<<<< Lawn Sprinkler <� < < < < < < < < < < < < < < < < < Valve Box > < Soil Material <<<<<<<< <<<<<<<<<< > > > > > >> > > > > > > > > > >> Threaded < < < < e < < < < < e < < < t < < Cleanout > > > > > > > > > > > > > > > > > < < < < < < < < < < < < e < < <<<<<<<<<<<<<<<< Plug > > > > > > > > > > > > > > >> Soil Material < <<<<<<<<<<<<<< .......... .............. ......................... F g Sweep 90 > > > >> <<<<< > > >Y Two 45 Bends to Vertical Distribution Lateral .. .......... . RAAFE ��9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum 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 a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent pending. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintence and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tang. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your county zoning or health inspector. 'wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, an d. Please print all In fo ati�i E C E I V E D Reviewed by Date Personal information you provide may be used for second iry purposes (Privacy Law, s. 15.04 (1) )). 11013 Property Owner L tion Michael & Sally Snyder Govt Lot NW 1/4 NE 1/4 S 33 T 29 N R 15 1:1 )W Property Owner's Mailing Address ZONINGOF I lock# Subd. Name or CSW 720 Main - - - City State Zip Code Phone Number ity []village • Town Nearest Road Wilson WI 1 54027 1 ( 715 7724569 STH 12 1 Springfield E] New Construction UseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement Public or commercial - Describe: Parent material L RPRS wee* glacial till Flood Plain elevation if applicable 11 ft. General comments Site meets the requirements for an A +4 mound and recommendations: F -71 Boring # [] Boring El Pit Ground surface elev. 98.03 ft. Depth to limiting factor 1 2T n. 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 1 0-6 10yr3 /3 A 2msbk mfr cs 2f .5 .8 2 6 - 12 1 5/4 - sil 2msbk mfr cs If .5 • 3 12 - 10)r5 /4 c2d5y /8 sil lmsbk mf - - .2 .3 ❑ 2 Boring # Boring 100.41 11 l Pit Ground surface elev. ft. Depth to limiting factor G i n. 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 1 0-6 10yr3 /3 sil 2msbk mfr cs 2f .5 .8 2 6-11 1 5/4 sil 2msbk mfr Cs 1 f .5 .8 3 11-38 10yr5/4 c /8 sil lmsbk mfi - _ .2 .3 Effluent #1 = SOD > 30 220 mg1L and TSS >30 150 mg/L " Effluent #2 = < 30 mg/L and TSS < 30 mg& CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, W1 ' • ' -Z 2 46-2454 tl /2/t7L ! 1J nnr. nn•n mnnmm f Property Owner Snyder Parcel ID # Page 2 of 3 Boring 3 Boring # n pi Ground surface elev. _ 96_40 ft Depth to limitinq factor _�__ in. Soli Appiicafion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10yr3/3 - sil 2msbk mfr cs 2f .5 .8 2 tir12 1l1..G /A _ cil 7mchk mfr ra if R 3 12 -39 10yr5 /4 c2d5yr6 /8 sil lmsbk mfi - - .2 .3 t t (� 1 1 I I f I f I I I I I F 4 1 Borin # © Boring g �{ oit Ground surface elev. 97.31 ft. Depth to limiting factor l �n. 500 Appl ication Kate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF in. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 10yr3.3 - sil 2msbk mfr cs 2f .5 .8 2 6-12 1ov /4 cil 2mchk mfr cc if 5 R 3 12 -38 10yr5 /4 c2d5 6/8 sil lmsbk mfi _ - .2 .3 i I I I 1 I i i I D Boring # ED 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 5 30 mg/L and TSS < 30 rnglL The Deparimeni of Commerce is an equal opporiunity service provider and employer. if you need assisiance io access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SM- 8330Tat (R.07 /00) 4 o''f 1 00 0 �$s 4 K 14 I O coil aK f Da. X14 Q ! 98of �o E3 t t3 !° L 8S /Q 9731 /y S 3 'ci d 100 I 's o n 2 2 3 ST CROIX COUNTY ' SEPTIC TANK MAINTENANCE AGREEMENT ka AND a _ OWNERSHIP CERTIFICATION FORM 0 1 ,Buypar 1 il e-AL C-A Mailing Address S Property Address (Verification required from Planning Department for new constriction) City /State W , L o J W � S "c 2'? Parcel Identification Number ; 3 a q 1 5 9- - LEGAL DESCRIPTION Property Location 1 /,, , Y �% t /., Sec. 3 . T�N -R�W, Town of �C- P �Y Subdivision . Lot # Certified Survey Map # , Volume -, Page # �- 6K773 Warranty Deed # , Volume , Page # 2� Spec house ❑ yes ❑ no Lot lines identifiable Q 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 certification form, signed by the owner and by a mastorplumber, journeys anplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three ye xp9tion dat SI ATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property des iled above, by virtue o� a warranty deed recorded in Register of Deeds Office. TE SIGNATURVOF A11PLICANT DA artment. « « « * «« « « « « «« An information that is mis- represented may result in the sanitary permit being revoked by the Zoning De p «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r P' r I VOL 13 59 p4a 50 r-85 973 STATE BAR OF WISCONSIN FORM 1 — 1982 WARRANTY DEED DOCUMENT NO. This Deed madebetween Edith Sweitzer a /k /a Edith �T. 5 wietzer a /k /a Edit Leibke Sweitzer a /k /a Edi Marie CR OX On +; Le ibke a /k /a Edith M a /k /a Edith M. S _ pry QQA a single person ., Grantor, A EG and Michael J. S and Sally L. Snyder- hushiand n wife as 5Mrjt . rrhip marital property — ta�� ►.�► _ ,Grantee, Re 131W d 04 Witnesseth That the said Grantor, for a valuable considerati conveys to Grantee the following described real estate in 5t Croix THIS SPACE RESERVED FOR RECORDING DATA County, State of Wisconsin: NAME AND nETURN ADDRESS 399 Richardson Law Uttice J All that part of the St:uthwest Qu of S outheast p, p, Bo Quar (SWJ of SWy) o ec on Twenty -eight (28), Spring Valley, WI 54767 C 3� - lobz, - 9 lying on the South and So • side of the right - nfD e1ttidl' , ' of - way of the sago, St. Paul, Minneapolis S Omaha Railway Company. ( * so a.c.�) -000 Also all that part of the West Half of the Northeast 4 074 - 30 - 00 •034 1074 - 45000 PARCEL IDENTIFICATION NUM Quarter (W} of NEI) of Section Thirty -three (33) lying mouth or Southerly of said right of way, all being in Township Twenty -nine (29) Nurth. Range Fifteen 1 3 3 2�. / s `f l9 TRANSFER 4 UtJL- 3 3. ZI • (S. Sin) F out- S/ 499 A 40- &-o Ko St, Zq ( This i homestead property. 33 (is) k. not) �,0f- 30 'lao /Togethor with all and singular the hereditatrents and appurenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances : scept all easements, restrictions and rights of way of record; ail highway conveyances of record. and will warrant and defend the same. Dated this ? day of August l9 98 _ (SEAL) a vy� 4C_ (SEAL) • Leon lth M n%welfier — in — ct for (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Leona Wang. Attorn — —Fact State of Wisconsin, for E dith M S weitzer 5s. County. authenticated this 20 _ J+S F gUSt 19 98_ Personally came be`orc me this day of l9 , the above named a n — TITLE: MEMBER STATE BAR OF WISCONSIN (If not, — authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY BERT I _ ggpp J. DSO N �Cttorne at w Spring �/alleX,, WI .54767 _ Notary Public, County, Wu. (Signatures may be witherfticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary) 19 J • Nam" of persons signing in any .ap.aoy should by typed or pnmed below then sign .yes. STATE BAR OF WISCONSIN W L"W Bran* Co., Inc. WARRANTY DEED Form No. 1 - 1982 M 1 a.kee. Ws- Glenn a Dianne Johnson Laum erne o co A �! h o Bruce a Donald Rc , M'akein a► $ Gara cn Leroy Don H S 75 giola 40 :E Seim Haines c i 40 80 7 G4an H oward N 240 111 s y oo Robert r IO rorest Graham 93 a Jettoifer 'y as ~ ac Pamela 1rcw 9 s� v 3 �d O �r7 qq s4 Matthew & J ith& tl J ohn & Harold g N Larson enendall I . 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S o� pkh.- L�oeter� 159 F 80 C ' � Mellon 97 � Cc a T N 80th AVE n ldm & Charles Hoppe 338 t7 ' L� 29a°dehr ± Imm 40 60 albets p 4! ^'b ear3 ch 80 40 �� � +�' ° = Julianne & � Smith i7 Donald a oo glen 4 02 189 Frederick I N Implement ' W K H (! 4s w Leneriz ' c Co 109 A U o 40 , f > 3s o 127 �' a hem 12 °i t k 4o Lois Lero + x c Larson DO ao m : ertes Danov- '� a Y— 40 sky Robert n 3 8 u I u o sow. 40 AE t 75 AVE 4 & Dale lam Hetmke Kuhn 3 40 zqU RR fi Hiciwd �o ' { g n Reuben. Donald O Mabel Larry `& could a s r i H $ NN 00 Thompson Eleanor 20 35aa° a r Chu 78 40 Trust 207 Mousel 61 u Bruce d t Ovila 1 14 y Sh String F- 79 75 =$L. Steve 42 � t 19 E dt Avis David Lee a " n Kdth & u & Mo h aema �� tJ S d Elln - l I F r a nces u M Erickso u a } C11 40 74 L ey t 2 4l °° s NN Humid Ann x'. `b 6 168 ' ,., �+ at»es& 2 y aaroa S Marl 8' d ' N ° °b ►� N °` pPt 8 .�v'ppp �' 45 G _ Trust .ma .�?, 40 ' 4o tl 39. 60th AVE CADY PAGE 24 B rs>_ �'' oodvil Uc C, arehou WILSON WI and Distributir Dry Vans - Reefers - Augers - Hoppers - Brokerage Dry Refrigerated Phone: (715) 698 -2442 and Cross Dod Fax: 7 - Fax: ( 715) 698 2962 107 Hagen Drive • Woodvi Toll Free: 1- 800 - 219 -6926 Phone: (715) 698 -2712 • Fax. 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