HomeMy WebLinkAbout038-1207-10-000 i
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 420552 0
GENERAL iNMRMATION (ATTACH TO PERMIT) State Plan ID No:
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:
Strenke, Scott Star Prairie Township 038 - 1207 - 10-000
CST SM Elev: 1 Insp. BM Elev: nBIDescn t ion: c7D I� •a e =�sT B "c
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 1 I �* I! � �� Benchmark � , D
t �
Dosing Alt. BM
Aeration Bldg. Sewer i
lo •�° 2•S�
Holding St/Ht Inlet �� •O0 /
St/Ht Outlet
TANK SE BACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic S ✓� 81 Dt Bottom �- 0 q 6 v
+` Dosing r ` _ Hader /Ma -Sa . f
Aeration
J
it
T
Holding Bbt. Syste
Final Grade r
PUMP /SIPHON INFORMATION b to mi `
Manufacturer Demand St Cover
GPM Z•7•' ��•S - S
Model Number sv O !
TDH Lift Friction Loss System Head T Ft
IlD Forcemain Lengt Dia. Dist. to well
bal
SOIL AB ORP YSTE
4WkT RENCH idth Len No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIM ? r
J $1•S�A z
SETBACK SYSTEM TO P/L LDG IWELL LAKE /STREAM LEACHING Manyfact
INFORMATION r _
y�? u
CHAMBER OR ..L.r�]'-G
Type Of ystem: � UNIT
C i�V • • .+ Z,L Model Number: /!
DISTRIBUTION Y M
Head Manifold" istribution x Hole Size x Hole Spacing Vent to Air Intake
0
P ipe 11
Len 7h � Dia Length Dia Spacing
soih x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil r
Yes L No [j Yes
CO MENT ,S- (Incl ude codedisc�nr�j s-p�r ese t, etp.) �4spe tion # :1A' 1A (� specti S:
Location: 21 New Richmond, WI 5401 (SW 1/4 NNE 1/414 1 R1 8W) Pr irie iV ew Esta est Lot 21 No: 14.36.18.1116
1.) Alt BM Description -
2.) Bldg sewer length = S . 0 1
w
- amount of cover = 4'7_ v
3 � Z.�� A — « eK. -W
Plan revision Required? J es No
4 � ice Yes
Use other side for additional information. �� '
Date
SBD -6710 (R,3/97) Insepctor's Signature Cert. No.
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
14se6ns Personal information you provide may be used for second purposes
[Privacy Law, s. 15.04(1)(m)]
p Madison, WI 53707 -7302
Department th
artment of Commerce (Submit Completed form to County if not
3 P a- state owned.)
Attach complete plans (to the county copy only) for e s can pager -noE less an 8 -1/2 x 11 inches in size.
County State Sanitary Permit Number Chec s . V0 s appl ation State Plan I. D. Number
S` . C R D i x o 552 � ---- --
I. Application Information - Please Print all Information Location:
Property Owner Name /� (� l Property Location , /
SCOTT S - fKP R� s(A)1 /4 15 1 /4,S /Y T E (orcw
Property Owner's Mailing Address Lot Number Block Number
(o - L & WEST 87`h ST t.f ►i t r / 2-/
City, State Zip Code Phone Number Subdivision Name or CSM Number
� IC m W1 5q0 /7 ( v )zf & - PC? r-7 P(2ALalt= 0 t EW C5T TES
II. Type of Building: (check one) ' I a c Swb ❑ City
® 1 or 2 Family Dwelling - No. of Bedrooms: �1 �,, �. �Qo�ns . ❑ Village
❑Public /Commercial (describe use):_
■ Town of
❑ State -Owned 2 P R "e ( e
2 7, X e7 .SV S Nearest Road C T Y n
Z8 ETA Q ts A RD l N F i t_ T 2 A T o 2S P& r "'r`b ) p --ep0 (• 1116
III. Type of Permit: (Check only one box on line A. Check box on line B if applicable)
A) 1. 0 New 2. ❑ Replacement 3. ' ❑ Replacement of 4. 5. 6. ❑ Addition to
System System Tank Only Existing System
$) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) 4E A
■ Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
10o0 8s 8 4# E371 0 . - Q 3.90 Ci
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
E PT t c- 17-50 l zso ■ ❑ ❑ ❑ ❑
u - Gt,�TT TIC
Ou r"L P ZSD Z SO CDm80 TAAIK
VIII. Responsibility Statement Q I
1, the unde rsigned, assum responsibility for installation of the POWTS sho WjKn the attached plans.
P ber's Name (print) ( II print) u ber's S stamps): MP PRS No. Business Phone Number
O IJI�LO H plETl2 le� r l � ��Co `l /5- 3 5 7- 3 � 1 6 Plumber's Address (Street, City, State, Zip C e)
lob W EST PQn S P � i� U L7 lkm tFki A W s
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued V g Agent Signa a (No stamps)
Approved ❑ Owner Given Initial Adverse Surcharg e) /
Determination 2 ZSJ_ ll ! X. Conditions Conditions of Approval /Reasons for Disapproval-
i5 ci d a C,otD�"e'- ��. 4a�a�wti.. P 15.2- •YC /1 ` n � t'tle+.�..
aJ tA - ��G TD
� ouQ 0.
�..� 0►rtQQ . V
AAk
SBD -6398 (R. 07/00)
` 5
r Cp MYW AL S61) - /070S- P o 'l . 01 10 1 J
Q7. ' 100,01
3 OS'
0.3
Pu r► TA k
2. G
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�ornE
Z$!o' z86r
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COt�iJ 1 "w y C 1 40 '
fl.M i z
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.305'
CROS-S SECTION/
_ 'I MF r
d �r
SEE an4elZ
i
NOTE CT
SCOTT STREh3v G7 PRIVATE RFS_16eoc -e tJEw SYSTEM
&Z& WEST fl'h 57" U 13 , OEWAMO mo n, b lJ I syu 1
5 //y d oq S I4- T31 N - R I 5VJ
_STA2 PRA IRIC TowAi s#4,P of ST CPO IA CounJTY
8.M I = BE0c14. _MARK AT ?oP_ - _ of IRO-A) P,AE _ is 4 T /DO,p
Q5 f3.M a- 2 gENe� Meek A r 'T oP._Q_F.__._I_ .u.N P,PL - is Ar 100,0
SYSTEM ELEvArtoAJ vs r _ 93.90
JPEc1 ( - �CATIOn15
_IZSO . 790 Com/3o SEPTi� 7AnJ 7(_ Cco wc 2E'TE -- h1urFCurrAl
j o-
A-8EL 1q.i do
ZoFLLE Q$ EFFLUCUr Pwrr P
6 1 NCOLC FloAr CoouTRvL SW,TCH
_SJELEGTRIC wr-o. LEV EL- ALA2vn
?i�).._ ( l r40 pA-R6 I NPILTRIAToRS
AL M4TERIAL USEA COLE APPRooeb
ALL M tN J MPtf( DISTAOCES 7 SE MET
" / t"
_ MP 14S$ !o
SEE' oT46 - 4 SAE
' t
Co rn P o n) E 1 j T M W 1,1(A 4 L S QO -- 10705 - P (
Q7.7' I oo. O . .
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tIO RT H t I 1rar• r �oo.�i
305
CRoss
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PROSE C T
SCOTT STREMV G PRtVgTE PESlrae 1c_E OE SYSTEM
&Z& W E ST aTh s utiir 1 3 , O m o w b UJ 1 s Yo 1
S ao 1 /y 0 E%y 5 i 4- T31 - R I aVJ
_STAR PR A,RIC T0vJ&J.5H t P aF ST C -A CokAn,
LEGEND
IJ Ct4 ._ M A A AT ?o P..__._oF_ .1 Qo.lJ P,pE _ � IS 4T /00,C)
M a 2 _ bEmco "A eK Art ToP _QF _ c.00" P - is Ar i00,0
SYSTEM ELe\)ArroAl is 4.r 93.9o'
JPECI �iC�}T1p►�S
_1 7-SO [79 COM60 I SE.PTic /PumP. 7ANl� cONC2�E = WgFFCur TIu j
_zP-CiEL �_rc70 �r� ?ER_ l
_ zoE E 4$ E 1=F LU C- uT Pum P
SINGLE"' Flo AT C001TRvL SWITCH
_SJ ELE -TRIC 4%r.4 LEVEL A L 4 P-m
Z j�) TrA t3 p A- A t t N P l LT R A R S
ALL MR T SP PAL u Coo A PPROVE
A LL M ►Nq Mk 6 - ro $E M e*T
e0l 7
S EE' CJN CR S/ 1 0 6 - ``
r
f Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3
Division of Safety a nd Buildings
in accordance with Comm 85, Wis Adm. Code
` " nth CrU1
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and S r 'I.
percent slope, scale or dimensions, north arrow, and location and distance near road.
Please print all information. e 00 ! ;--o .-- PY ie�rec� 0 x� to
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04
Prope Lora �. U'v - y
Property Owner ` �'G OFFICE
1 S < 1,1- Govt. Lot T N R E (or) W
Property Owners Mailing Address L T lock # Sum. Name or CSM#
�� U r'1 I ) ? f t i l t 1 V1 eto 5 -�
City State Zip Code Phone Number ❑ City ❑ Village [!o Town Nearest Road
V , lUt I 1 ( `715) 2 '`�l7 C-
14 New Construction Use: ® Residential / Number of bedrooms _ I Y Code derived design flow rate O' d GPD
❑ Replacement ❑ Public or commercial - Describe:
uja$`1 Flood Plain elevation if applicable .!/ /d
Parent material Qu4 ft.
General comments ,5' G � {U. !�7
and recommendations: .Jr
❑
! J Boring # Boring 99� ft, Depth to limiting factor 1 in.
I I
pit Ground surface elev. � g ft Soil Application Rate
I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
�- I CY-
(1:1- 2 /o3 . Z.-
❑
Boring # Boring , yd
[- Pit Ground surface elev. ft. Depth to limiting facto 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
C. 2 it 315 --- � LIV�C k n <-5 I J 5 �'
� 1
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig CST Number
- s3 a
Address 'f :7 Date Evaluation Conducted Telephone umber p�
P 3 U SO/Y j wI s Z� , - 3/- 0 e �7/s- Zy7� -y�0
Property Owner 5-f-(`C�. C Parcel ID # Page Z of
a Boring # ❑ Boring
• � El Pit Ground surface. elev. IM- ft. Depth to limiting factor !' f� in.
• : Soil Application F2a1
Horizon Depth Dominant Color Redox Description Texture , Structure Consistence Boundary Roots GPD /fl=
In. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. "" 'Elf #1 •Eff #2
Z I -31 ► S icl Zrn5b, I MQ c> �j G,
O 'm ► - - � r, 2
� / �r.Z
F-1 Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Fla
Horizon Depth Dominant Color Redox Description.... .Texture - Structure Consistence Boundary Roots GPD iltz
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff #2
Ej I
Boring # ❑ Boring
❑ Pit ' Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rai
Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD /II'
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #i 'Ell #2
• Effluent #1 = BODs > 30 < 220 mg/_ and TSS >30 < 150 mgA_ • Effluent #2 = BOD < 30 mg/t. and TSS < 30 mg /l.
The Department of Commerce is an erpral opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777.
SBD -3330 (R07MO)
PAGE '? OF 3
NAME L C e A G LOT# Z I LEGAL DESCRIPTION X X ,S T ,N,R, E(or)W
SCALE: I " = -- -- - - - -- — --
l BM 1 ELEVATION /00 • Q
BM 1 DESCRIPTION �„� r eo n P E
BM 2 ELEVATION 9
/ BM 2 DESCRIPTION o
SYSTEM ELEVATION O
SYSTEM TYPE 0a4 u1 n -�- ►'bna,
CONTOUR ELEVATION 1 , 0 0 • 3-0
•
� B -3
J
Q
GNATURE DATE
SYSTEM SPECIFICATIONS
In- ground Soil Absorption Component
Component Manual # B 1 D 7D 5 - p o l
Project Name: SCOT i STRErJI-ZL
Distribution Cell Type Septic Tank
Aggregate ❑ Leaching chambers Min. Septic Tank Vol. Req. gal.
Number of Bedrooms 4 Septic Tank Vol me / 2 SO gal.
2 Manufacturer t*u F CC 47 lNL'
Soil Application Rate (DLR) •7 gpd /ft
(Designed Loading Rate)
Effluent Filter
Wastewater Quality Manufacturer - Z A 69' L
Treated ❑ Untreated Model R -too
Combined wastewater: Pump Tank
Number of bedrooms Manufacturer ttUFFCAM K)C
gal /day /bedroom x 150 Volume '750
Daily Wastewater Flow (DWF) _ 1000 Model
Clear and graywater only: Distribution Component
Number of bedrooms Distribution Box ❑
gal /day /bedroom Hydro- splitter ❑
Other
Daily Wastewater Flow (DWF) = Manufacturer
Blackwater
Number of bedrooms
gal /day /bedroom cx 60
Daily Wastewater Flow (DVM _
Dispersal Area (Aggregate)
- fe
(5 (DLR)
Dispersal Area (leaching chambers)
Leaching Chamber STAN 1Z - R b t 0 F I LIP-s - 4To R S
Chamber size, EISA Rating 51 fe
System sizing = DWF = DLR = EISA
Ic( 0o . . 7_ ) + 3L1 - 27.S(a chambers (2-5 i"o /35' USE-O)
PWF) PLR) (EISA)
Diverter valve ❑yes Nno
Manufacture
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I1) PROJECTa 890248 H U F F C U T T CONCRETE (7151 723 -7446 * FAX (715) 723 -7111 MEMBERS OF.
$ 1250/750 GALLON TANK (800) 924 -1516 PRECAST CONCRETE ASSOCIATIOr.
N 737 HERBERT STREET
SEPTIC 6 PUMP TANK CHIPPEWA FALLS. WI 54729 THIS DRAWING SHALL 140T DE COPIED OR SUBMITTED TO OTHERS WITHOUT CONSENT OF THIS CDPPAN
78
39" 39
J
J
z
z
30" 12" 30" �
BAFFLE z
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TO
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68" z
I 72° 1 1 1
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39.. 38'.
78"
I
PROJECT 890248 H U F F C U T T CONCRETE MEMBERS OFA
(715) 723 -7446 * FAX (715) 723 115 NATIONAL E WISCONSIN
° 1250/750 GALLON TANK 737 HERBERT STREET (600) 924 -1515 PRECAST CONCRETE ASSOCIATIQt
',,Iv ,FPTTC h PUMP TANK CNTPPFWA FAIT R. WT 547PQ - -i —.vtw, pA11 M1T RF fOP1FO OR 41IRMITTFO TO OTHERS WITH03T CONSFNT OF THIS CONP—
page 0f—L
• COMBINATION SEPTIC TANK %PUMP CHAMBER
(No Scale) 41, vent Pipe with
,Approved Locking Manl Cover Approved Cap +lo'
With Warning Label Attached From Buildings
Weatherproof Approved
Warning Label Junctlori Box Vent Cap �?
Conduit 12" Minim,,
Final Grade- 6" Minimum 4" Minimum
1
6— Ml-aximum 4" quick
18" Minimum T Insp. Pipe Disconnect
1/4" we
Airtight � Ho l e
Baffles ~Seal '
* 1
A
r
79D O C m Ba Al a nn B
On 6
• C
• APPROVED Off d'
JOINTS WITH '
-APPROVED PIPE D Conc. B1r
3 ONTO
" SOLID SOIL• .
-'3" of Beddi nq Under Tarok
Note: Pump and Alarm Are On Separate Cirtults: Number of Doses: q Per Daly
Gallons Per Day /1 of 3a0 . Gallon
Volume of Backflow: ...... .+ Gallon
Tank Manufacturer: 44 u-r IAJC ' Total Dose Volume: ........ .s 3b7 . gallon
Tank Size- Septic /Pump: ►zsv Gallons
Alarm Manufacturer: 53' ELiar2tC
Model Number: t � Capacities+ B / L/ z inches or — Gal l on,
Switch Type: Sr nICLE
Pump Manufacturer: 7_oEcLL + C inches or gag Gallone
Model Number: + Dinches vrGallOr"
Minimum Discharge Pat p Total r , _ inches or — 2(., n,
Vertical Difference Between Pump.Off and Distribution Pipe: /0.0 Feet
Minimum Required Supply Pressure: .......... ....::::...... + 's eet
vS Feet of .Force Main x 1_55 Friction Factor/100 Feet: + y.O eet
Inc', Diameter Force Main
Total ,Dynamic Head:...- U.5 Feet
Internal Tank Dimensions: Length SV; bbl h Liquid Dept Gallons /1-11 . 17•D
Signature - License Number/5 o Date //- 7--0-
SECTION: 2.20.035
` �LWlrr/ 7 /7 1JUag SNCE /�93�9 FM0973
� 0700
Product information
® Supersedes
presented here reflects U� PUMP !O. 0198
conditions at time of
publication. Consult factory
regarding discrepancies or MAIL TO: P.O. BOX 16347 - Louisville, KY 40256 -0347 visit our Web site:
inconsistencies. SHIP TO: 3649 Cane Run Road • Louisville, KY 40211 -1961 http 11WVwv.zoe 11er.com
(502) 778 -2731 • 1 (800) 928 -PUMP • FAX (502) 774 -3624
COMPARE THESE FEATURES
AO' 'gyp
• Non - clogging engineered plastic vortex 98 Cast Iron Series
design. impeller r U` " FLOW -MATE " �` am,�• _
•
impeller res istant
BCRP
• Durable cast construction. Cast switch case, (FOR PUMP PREFIX IDENTIFICATION SEE NEWS & VIEWS 0052)
motor and pump housing and base. No FOR SEPTIC TANK
sheet metal parts to rust or corrode. LOW PRESSURE PIPE (LPP)
• Castings - All cast iron class 25 -30 25000#
tensile strength. AND ENHANCED FLOW STEP SYSTEMS
• Bearings - Upper & lower oil fed cast iron. EFFLUENT S A
• Stainless steel screws, guard, handle and
arm and seal assembly. OR DEWATERING PUMP
CIR ME B R
" "
• Float operated submersible (NEMA 6) SUBMERSIBLE
2 - pole mechanical switch. 1 NPT DISCHARGE
• Oil- filled motor — hermetically sealed.
• Permanent split capacitor motor
• Entire unit pressure tested after assembly.
Automatic reset thermal overload
protection.
• Carbon and ceramic shaft seal.
• Watertight neoprene "❑" ring between MODELS AVAILABLE a
m Automatic or Nonautomatic
motor and pump housing.
1 /2 H. P., 1 Ph., 115V or 230V
• Maximum temperature for effluent or • Available with Piggyback
dewatering 130° F. - 54° C. Variable Level Float Switch.
• 60 cycles, 1725 RPM.
• Passes 1 /2 inch solids (sphere).
• No screens to clog.
• Standard cord length 15 (UL listed). MODEL 98
• 1'/2" NPT Discharge (1 X 2" PVC Adapter
included with BN & BE Models).
• On point - 9
• Off point - 3"
• Major width - 10
• Height - 12" POWDER
COATED
SIMPLEX AND DUPLEX TOUGH'
SYSTEMS AVAILABLE
PACKAGED SYSTEMS
AVAILABLE
MODEL BN98
Note: The sizing of effluent systems normally requires
variable level float(s) controls and properly sized
basins to achieve required pumping cycles.
0 Copyright 2000 Zoeller Co. All rights reserved.
LO 3 718 6 114
HEAD CAMCITY CURVE
MODEL 98 a 5/6 �{ .
25
k 4 /
g 20 + z 4 o 10 1 1/2 - 11 1/2 NPT
2
5
U.S. GALLONS 20 30 40 50 60 70 80
LITERS 0099»
0 80 160 240 12
FLOW PER MINUTE
4 3/16
L SKI 102
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single
supplied with an alarm. and three phase systems.
• Mechanical alternators, for duplex systems, are available • Double piggyback variable level float switches are available
with or without alarm switches. for variable level long cycle controls.
I
Standard all models - Weight 39 lbs. - 1 /2 H.P.
SELECTION GUIDE
98 Series Control Selection 1. Integral float operated 2 -pole mechanical switch, no external control required.
Model Volts -Ph Mode Amps simplex Duplex 2. Single piggyback variable level float switch or double piggyback variable level,
M98 115 1 Auto 9.4 1 or 1 & 7 — float switch. Refer to FMO477.
N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 3. Mechanical alternator 10 -0072 or 10 -0075.
D98 230 1 Auto 4.7 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator.
I h 10 -0225 used as a control activator s pecify d or 4
E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 5. Cont tem. p y 3 p () ( )
-
float system.
I -
CAUTION
For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All Installation of controls, protection devices and wiring should be done
by a qualified
FMO477; Electrical Alternator, FMO486; Mechanical Alternator, FMO495; Sump/Sewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed including
the most
Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA).
i 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. .
Zo SMP TO. 3649 Cane Run Road rip Louisville KY 40211.1961 QV.4L /7Y PUMP6 91N11 � -99 lz !O. (502) 778 - 2731.1(800) 928 -PUMP
httpJAvww.zoeHer.com FAX (502) 774 -3624
0 Copyright 2000 Zoeller Co. All rights reserved.
• POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMAjION SYSTEM SPECIFICATIONS
Owner fJ' COT T STRC01 KE Septic Tank Capacity 1 al ❑ NA
Permit # 5 Septic Tank Manufacturer WqF CU.7"r �iUC ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ZA ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model 09-too ❑ NA
Number of Public Facility Units NA Pump Tank Capacity a l ❑ NA
Estimated flow (average) 16'0� al /day Pump Tank Manufacturer F�cc�T ❑ NA
Design flow (peak), (Estimated x 1.5) to CM g al/day Pump Manufacturer ZoEt� A ❑ NA
Soil Application Rate 0 7 al /day /ft2 Pump Model Qg ❑ NA
Standard Influent /Effluent Quality Monthly average" Pretreatment Unit VJA
Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Tota Susp ended Solids (TSS) :5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD :530 mg /L I - Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) :_10 cfu /100ml ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y in dia. ❑ NA other: STA - 061412 D iNlt LXP_QrroP51 ❑ NA
Other: ❑ NA Other: ❑ NA
'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA
Inspect dispersal cellls) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
myear(s)
Clean effluent filter At least once every: ❑ month(s) ❑ NA
year(s)
Inspect pump, pump controls & alarm At least once every: months) ❑ NA
❑ year(s)
Flush laterals and pressure test At least once every: ❑ mo nth ❑ yeaarr (s) (s) ) ❑ NA
Other: At least once every: ❑ month(s) ❑ NA
❑ yearls)
Other: ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
GMW (4/01)
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 o 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:
Ilk 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.
❑ 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
V. �( P 4!5 Name
ja& Phone 7/5_ &S-7— e rp 7— �� /� Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name CAM OC , r (, /
Phone Phone S, 3� `C
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
%-iunvtNTIUNAL SYSTEM OWNER'S MANUAL
This septic system Is designed and approved'to meet specific requirements outlined in Comm 83 and 84 Wis. Ad ►n. Code, so
that it wilt provide safe treatment of wastewater, thereby reducing human health hazards caused by Improperly treated
wastewater. -'Fhe longevity of tits system depends greatly on proper and timely maintenance and system use within the limits it
was designed to handle. The owner of the system is responsible for the operation and maintenance of all components.
Following Is information that will assist you in increasing lhe.life of your system.
Septic Tank:
The operating condition of the septic lank 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 filler 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 lite filter Is
equipped with an alarm, the filter shad be serviced Id the alarm is activated continuously. Intermittent filler alai ins n► ►y ltxficate
surge flows or an Impending continuous alarm. The septic tank shall have Its contents removed when lite volume of scurn and
sludge in the tank exceeds 1/3 the liquid volume of the lank. If the contents of the lank are not removed at the tiine of an
assessment, maintenance personnel shall advise the owner of when the nest service needs to be performed to maintain less
Von maximum sctrrn and slWge accumulation in the tank.
Manhole risers acces$ risers and covers should be Inspected for water tightness and soundness. Access openings used for
service and assessment shall Us sealed watertight upon the compleflon of service. Any opening deemed unsound, defective, of
StMect to failure must be replaced. An effective locking device to prevent accidental or unauthorized entry into lice tank shall
secure exposed access openings, greater than 8- Inches in diameter.
No one should enter a septic or other treatment or holding tank for any reason without being in full
compliance with OSHA standards for entering a confined space. The atmosphere within the septic or
other treatment or holding tank may contain lethal gases, and rescue of a person from the Interior of
the tank may be difficult or impossible.
Tank abandonment shall be In accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a rowrs
component.
Boll Absorption Component (Drainfield):
The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility.
Good water conservation practices by all occupants and the Irlstallation of water conserving plumbing fixtures are key fnclors fn
extending the useful life of this component.
The soli absorption componert's operation must be assesses by inspection at least once every three years. The Inspection
awl include recording the levels of ponding, If any, In the observation pipes, and a visual Inspection for any evidence or surface
seepage or discharge from the component. On steeply sloped sites, areas of erosion should be identified and reported to the
owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and
oonsidered a human health hazard. '
Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or
lemoval of snow cover over the component may lead to freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions Improve.
Planting of deep - tooted trees and Strube directly over or within ten feet of the component should be avoided since root 1; drusiun
into the component may obstruct wastewater flow.
Performance Monitoring:
Performance monitoring must be done at least once every three years following the installation or at lite time of a ptobiern,
complaint, or failure.
Contingency Plan:
It the septic tank or other components therein (including floats, alarms, etc) become detective, the detective tank or component
must be replaced Immediately to ensure that the system can operate as designed. if the absorption component cannot accept
wastewatet or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by ►emoving
the clogged bacterial mat, aggregatelleaching chamber cell, and distribution piping within time cell and replacinsr tailing
components in order to return system to proper working order as required. If repair is not feasible, a new system 13 to be
constructed In a designated replacement area.
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer SW= STR1r IJ K E
Mailing Address 62(a (BEST S ST2EE`i uti4 IS - � LlJRtWmo -u0 W I -SqO 17
Property Address P /4 1 f o2G S.
i
(Verification required from Planning Department for new construction �—
City /State Parcel Identification Number 03 - 20? - 10 - 000
LE GAL DESCRIPTION
Property Location SUJ M G 'A, Sec. l�, T 3 N - R IS W Town of STRR PRA 1 I'2[�
Subdivision _PRA 1 R19 O tE W Ei S?A4TFS , Lot # 2 �
Certified Survey Map # �_ , Volume , Page #
Warranty Deed # �,..b9� t Z lbz. , Volume 2 038 , Page # Z�Z
Spec house O yes R no Lot lines identifiable ® yes O 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
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
da of the three year expiration date.
~ IGNATURE OF APPLICANT
DATE
OWNER CERTIFICATION K
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 dcsc 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office.
1 / l cJZ
Z NATURE OF APPLICANT DATE
• * *• ** 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 made in the warranty deed
U 2038P 20
STATE BAR OF WISCONSIN FORM 2 - 1999
Documet Number WARRANTY DEED r=9 7 4 0 a
KATHLEEN H. VALSH
REGISTER OF DEEDS
This Deed, made between EWLEN Properties, Ltd., a Texas ST. CROIX CO.. V1
Limited Partnership, RECEIVED FOR RECORD
11 -06 -2002 3:30 PM
Grantor, and Scott A. Strenke a
is lg a person spy DEED
EXEMPT #
REC FEE: 11.00
TRANS FEE: 94.50
Grantee. COPY FEE:
Grantor, for a valuable consideration, conveys to Grantee the CERT COPY FEE:
following described real estate in St. Croix County, PAGES: 1
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
Wsconi'sm. Prairie View Estates, Town of Star Prairie, St. Croix County,
Lot
and Return Address
T� f I -- o- & w'
�I *% e`
I�t%fug '�ear' L&k', t��
038 - 1207 -10 -000
Parcel Identification Number (PIN)
This is not homestead property.
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. 00 (is not)
Dated this _0 day of October 2002
EEV^EN Pr ��Ftjes, Ltd
*
• By: Paul Anderson, Manager EWLEN Asset Management,
LLC, General Partner
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF TEXA$
) ss.
County )
authenticated this day of
Personally came before me this day of
October , 2002 the above named
* Ewlen Properties, Ltd., a Texas Limited Partnership, by
EWLEN Asset Managem4C P er dYSddrtlld�gq TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the ngTe authorized by § 706.06, Wis. Stats.)
instrument and acknowlMYCommi Exliir
AWW 23, 2006
THIS INSTRUMENT WAS DRAFTED BY s
Attorney Kristina Ogland
Hudson, WI 34016 Notary Public, State ofAbllkl£NAM Texas
My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) _ a ';� , 00 ,)
* Names of persons signing in any capacity must be typed or printed below their signature. information PnNanionats company, Fond du Lac, wl
WARRANTY DEED STATE BAR OF WISCONSIN 900. 855 -2021
FORM No. 2 - 1999
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
' Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
St ix
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ✓D ��� 7,�v
percent slope, scale or dimensions, north arrow, and location anddista_nce to nearest road. ruli
Please print all information. viewed by Date
Personal information you provide may be used for econdary purpo (Privacy Law, s. 1$,04 (1) (m)). �� ,
Property Owner " i Property Lo coo
-' ,, Govt: L�t 1/4 114 S T N R V{ (or) W NTP 14
Property Owner's Mailing Address 1 `° Lo # Block # Subd. Name or CSM#
1430 220th Ave. C ri�'r na Pr ir' w Estates
City State Zip Code Phone NumbeO fFIG r ❑ Village R) Town Nearest Road
O
New Richmond I WI . 1 54017 '( 15 _) 2 �� T313 - Star Prairie
[R New Construction Use: [2 Residential / Numbera oor fi ,s� _ Code derived design flow rate A00 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent matm'& OUtWaGh Flood Plain el vation if applicable na ft•
General comments
and recommendations:
trenches @ el. 96.20'
n El Boring /h/ tf
I 1 I Boring # 99.80
Pit Ground surface elev. ft. epth to limiting factor +96 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 -9 0 2/2 none L 2msbk mfr cs if 5 8
2
3 6 -96 .5 4 4 none ms o
Borin Boring # Bo 100.00 t f +96 in
i
®Pit Ground surface elev. ft. Depth o limitin itin g actor Soil lication 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
2 2 -36 5 4 4 none si 1
3 6 -96 5 4 4 none ms os
' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ffluent #2 = PPD < 30 mg/L and TSS < 30 mg/L
Number
CST Name (Please Print) Signature CST 02298
Gary L. Steel
Address Date aluatio n u e ^ Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 11 -30 -2000 715- 246 -6200
i
Property Owner Men Propertie Ltd. Parcel ID # pending Page 2 of 3
a Boring # E] Boring Boring 100.20 +100
U Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -9 10 2 2 non
2 9 -25 7 5 4 4 non
3 25 -36 10 5/4 c2 7.5 5 8 sil M na na 0 2
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil ligtion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # E] Boring
F
F1 Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
Effluent #1 = BOD > 30 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 mglL and TSS < 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777.
SBD -8330 (R.&=)
I
STEEL'S SOIL SERVICE
Gary L. Steel Ewlen Properties, Ltd. 1554 200th Ave.
CSTM2298 SW4NEJ S14- T31N -R18w New Richmond, WI 54017
MPRSW -3254 town of Star Prairie (715) 246 -6200
lot #21- Prarie View Estates
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shorn
as permanent lot lines were not established at the time the test was conducted.
N
1 =40'
BM.= top of 1" pvc pipe @ el. 100.00'
Alt. BM.= top of 1" pvc pipe @ el. 100.00'
O
D
5� •'�
` V
h
Gary L. Steel
11 -30 -2000
i