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HomeMy WebLinkAbout040-1000-70-045 F - Wisconsin'Department of Commer PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515259 0 GENERAL INFORMATION 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: Turn uist, Tanner I Troy, Town of 040- 1000 -70 -045 CST BM Elev. Insp. BM Elev: r Descripti Section/Town /Range/Map No: d v a 01.28.19.4A30 0 / 66 � TANK INFORMATION ELEVATION DATA S "dsk., as eb TYPE MANUFACTURER CAPACITY STATION BS HI FS EL�V. Septic WeL)6 /� X71 Benchmark ` �� !Q l l (� oa Dosing Alt. Aeration V Bldg. Sewer /3 7 `• Holding St/Ht Inlet O J 56 S St/Ht Outlet TANK SETBACK INFORMATION $' �5 f3 TANK TO P/L _ WELL BLDG. vent Air Intake ROAD Dtlet �3 �� �� fin d J Septic 7 t/ ' 3 I Dt Bottom /3-0 7033 3 Dosing 1 41- ` r I yU-r,_ Header /Man. ` /Of• Aeration C �b Dist. Pipe G Holding Bot. System vZ PUMP /SIPHON INFORMATION Final Grade 1 3. 16 Z • 6� Manufacturer Demand St Cover /� ,/� GPM F';'I � exT.� -er... G Model Number 36 Z ` TDH Li , � Friction Loss System H4 d 5 b TDI I � t KJ / r Forcemain Lengt f Dia. , I Dist. to Well > 5 2 SOIL ABSORPTION SYSTEM BEDITRENCH Width l Length / No. Of�,(enche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth c•V DIMENSIONS /_ l� f SETBACK SYSTEM TO P!L JB WELL LAKE /STREAM LEACHING Manufacturer: i INFORMATION CHAMBER OR Type Of ystem: \�,. / i /4— UNIT Model Number: 7 �J DISTRIB UT49N SYSTEM 123 heads anifol // Distribution /� / / x Hole Size j x Hole Spacing Vey�t to Air Intake ZS Pipe(s) L � r l L N Length Dia Length 7 /' T Dia ' �� Spacing g Z • S C, SOIL COVER / x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center J _ r Bed/Trench Edges ITopsoil No ?r: e 0 s No COMMENTS (Include code discrepencies persons present, etc.) Inspection #1: I / 3 Inspection #2: V lild 6 _t j Location: 578 Boundary Rd Hudson, WI'. ,5� 401166 (SE 1/4 NE 1/4 1 T28N R19W) NA Lot 7 l Parcel No: 01.28.19.4A30 1.) Alt BM Description = /v U , - V 2.) Bldg sewer length= , t /f�vt. �,,�� 4V - amount of cover = f ✓` ��� by Plan revision Required? Yes XNo Use other side for additional information. SBD -6710 (R.3/97) Date Insepcto/gnature Cert. No. I commerce.vvi,gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Madison, W l 53707 -7162 Sanitary Permit Number (to be ftlled in by Co.) sco nsin 515 z:5 I t i oepartment of Commerce State Transaction Number Sanitary Permit Application ���� in accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (ifdifferent thanmailit address) submitted to the Department of Commerce. Personal information you provide may be used for secondary / — I �D / (`y_ p urposes in accordance with the Privacy Law, s. 15.04 I) m), Stats. 5 /�Q �K U� 1. Application information - Please Print All informatio Parcel # Propert Ovnmer's Name ova• 1X0• moo- o4 Property Owner's Mailing Address Property Location U ST. CROIX COUNTY Govt. Lot 3D City, State Zip Code '' /A AJ 1� _'/<, Section ircle one P LL S .� �Dl T s �$ N: R �_ E o il. Type of Building (check all that apply) ok Lot # Subdivision Name Ab KI or 2 Family Dwelling - Number of Bedrooms E) Block # ❑ Public /Commercial - Describe Use - --�� ❑ City of CSM Number 6 to 0'7 ❑ Village of ❑ State Owned - Describe Use / f'O�j (� Town of / ?C' O✓ L11. Type of Permit: (Check only one box on line A. Complete line B if applicable A. ( New System ❑ Replacement System ❑ Treatment /Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) D. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber [0 Permit Transfer to New List Previous Permit Number and Date Issued r Before Expiration Owner IV. T y pe of POWTS S stem /Com onent/Device: Check all �l Gd r ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil .Mound < 24 in. of suitable soil ❑ Pretreatment Device (explain) t ❑ Holding Tank ❑ Other Dispersal Component (explain) V. Dis ersal/Trea eat Area information: Design Flow (gpd) Design Soil Application Rat gpdst) Dispersal Area Required (st Dispersal Area Proposed System Elevation _ ov U o U fo I 00 �S Vl. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 44 2 New Tanks Existing Tanks C o ;' ; 'n V. a J h, U v: m m wt7 w Septic or Holding Tank Dosing Chamber ggoo VIi. Responsibility Statement - 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI is mature MP /MFRS Number Business Phone Number TI IA Plumber's Address (Street, City, State, Zip Code) 1070 LJ1- f D V111. County/ e art nt Use Onl Petro Fee Date JJssued Issuing t Signature pproved =5aPPZt S / / Denial / IX. Condit i "WN# seasons for Disapproval `1 Septic tank, effluent tlfter and dispersal cell must all be services / maintained f t � QM 1% as per management plan provided by plumber, f^ ` ✓ 3. All setback f0t#rements must be maintained / Atrich to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 1 t inches in size SBD -6398 (R. 01/07) Valid thru 01/09 l � Soy /2da/ua-�o� • �O Csc�ed�,roo. S�� ca C: -SAO I `�r _ T an e r o e Ti•,'s /.a T u.i•n¢�c ; L oi 7. csrn�^tin �i s�" aim /o & /, Esir/ ✓a� !8, PJ 41 SEfS//J T28tf., cJ., Tn• o{ toy i� / o c./. bti,7 144o3 rgcoaa 1 � ��opose.d lylou.,u 27 6o X l2 3.71'-�l /* 29: S led; = iaa.ls'at 2 11"a6ovf. IN 3 F �o PoSCC� 'C�nCrt t /, 260 jw.. S.T. S,2S efe'/a r'/f1'a16 koad We /oCaA � •� �ropos 13� �� p� v ' e - � l�ro po sad c,J c ex's Cal � W ti t 0 ro oszd Sou.tG. /o�G'n 23't s�dred driv<way eetseme*l& � g o� .� . �nner�Ti'.s/.a Tcc,rnQoc,•s����. CX�a �•' /7ar t /ot /,:,e (\ p Zvi 7 at��o�oposcd C-%n eXis6" 3//. 98' 0 �J �o �l, �s 18, P�j 71/7, 6 E`5!/1 Eel' Sec, /, T. ,28/1,, �' /9cJ., Tn• { Toy S6 , C �x eo, 4A)/ hoc/ - 7o -ozS bur+ /444o3 t ac,-ca \. -b�k IP X lo'X CG //. /* "Y Z v ' �/ y6 * or / 4'e5es 444 cc d a 5 ysE ,, n e lev: = io0.2_T'a6.2V "a60 \ 80 98. cry' Pro sed W ec k' s evncrt c /, 2GO �aQ S.T. szsef AerW-�%• /6 -a� l b aoundV ti QO C p roposed iZoad Proposcd hell �oca=E:c» r3 v � f 5ded (,o t et' Cal o ro osed Sou. /otGnc 33N 5/�mrea! Cori ✓ <W 1 2ct5eme.nt� Safety and Buildings 10541N RANCH ROAD commerce.Wl.gov HAYWARD WI 54843 t i s consin Contact Through Relay www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary April 08, 2010 CUST ID No. 222904 ATTIC• POWTS Inspector JAMES W BOUMEESTER ZONING OFFICE BOUMEESTER & SONS EXCAVATING INC ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/08/2012 Identification Numbers Transaction ID No. 1781460 SITE• Site ID No. 755541 Tanner & Trisha Turnquist Please refer to both identification numbers, 578 Boundary Rd / 90TH St above, in all correspondence with the agenc Town of Troy St Croix County SETA, NE1 /4, S1, T28N, R19W Lot: 11, Subdivision: Csm VOL. 18, Pg 4747 FOR: Description: Mound, 4 bedroom residence P Object Type: POWTS Component Manual Regulated Object ID No.: 1261157 Maintenance required; 600 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade;;. System(s Mound Component Manual, SBD- 10572 -P (8..6/99), SSWMP Pub. 9.6; Effluent Filter I pip The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes DEPART a nd Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. dt/ 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: Key Item(s) • 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. • 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. 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. JAMES W BOUMEESTER Page 2 4/8/2010 • 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)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, Integrated Services WiSMART code- . 7633 . (715) 634 -7810, Fax: (715) 634-5150, M -th 8:00 - 4:45 pat.shandorf @wisconsin.gov •� cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. MDYiw °u, -a Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www. commerce. wi. p SB/ SB- BuildinizContractorProgram.html Note: Effective March 29, 2010, we are consolidating our Shawano full- service office with our Green Bay office. Please address all plans, correspondence, mail, etc. related to previous Shawano services, for delivery after that date, to: Division of Safety & Buildings, 2331 San Luis Place, Green Bay, WI 54304. If calling moved Shawano staff after that date, call (920)492 -5601. r JAMES W BOUMEESTER Page 2 4/8/2010 • 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)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ` Fee Required $ 250.00 Fee Received $ 250.00 ` / Balance Due $ 0.00 Patricia L Shandorf�,_ POWTS Plan Reviewer, Integrated Services WSMART code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -th 8:00 - 4:45 !� pat.shandorf @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. .Qrf ,7f] Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, w ••i b j material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a buildingproduct not on the building site. For further information, go to our website: www. commerce. wi. gov/ SB/ SB- BuildingContractorProgram.httnl Note: Effective March 29, 2010, we are consolidating our Shawano full- service office with our Green Bay office. Please address all plans, correspondence, mail, etc. related to previous Shawano services, for delivery after that date, to: Division of Safety & Buildings, 2331 San Luis Place, Green Bay, WI 54304. If calling moved Shawano staff after that date, call (920)492 -5601. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Turnquist 4 - bedroom residential mound Owner's Name: Tanner & Trisha Turnquist Owner's Address: 31 Heritage Blvd. Hudson, WI 54016 Site Address: Unassigned Legal Description: SE1 /4NE1 /4, Sec.1, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: Proposed CSM from Lot 1 of CSM Vol. 18, Pg. 4747 Lot Number: Proposed l ot 7 Block Number: Na Parcel I.D. Number: From 040 - 1000 -70 -025 ) w.j•g• titionallY Plan Transaction No.: Unknown IR ED Pagel Index and title VIEN� M Page 2 Data entry 00 Page 3 Mound drawings Page 4 Lateral and dose tank P CE Page 5 System maintenance specifications BRAES Page 6 Management and contingency plan �� Page 7 Pump curve and specifications Page 8 Site Plan ` Page 9 Attached soil evaluation reports Designer: Jim Boumeester License Number: 222904 Date: 03/23/10 �V Phone Number: (715) 386 -9020 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01101), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 9 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 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for � 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of <= 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) 98.25 Contour Line Elevation (ft) 12.00 Depth to Limiting Factor (in) I _ 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information _ 100.00 Dispersal Cell Length Along Contour (ft) = 6.00 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 F Y Pressure Disribution Information network? Enter Y or N (C or E) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft)_ 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.25 Estimated Orifice Spacing (ft) = 6.82 ft /orifice 2.00 Forcemain Diameter (in) 125.00 Forcemain Length (ft) Does the forcemain drain back? Y 90.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 20.39 Forcemain Drainback (gal) 9.75 Vertical Lift (ft) 62.74 5x Void Volume (gal) 3.44 Friction Loss (ft) 83.13 Minimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) 36.25 System Demand (gpm) 3 19.69 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection 1 in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 x 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x _ _ _ Gallons /Inch Calculator (optional) Treatment Tank Information 805.12 Total Tank Capacity (gal) 1260.001 Septic Tan Capacity (gal) 37.001 Total Working Liquid Depth (in) Weeks Concrete Manufacturer 21.76 gal /in (enter result in cell B49) Dose Tank Information Effluen Filter Inf ormation 805.12 Dose Tank Capacity (gal) Pol Lok_ Filter Manufacturer 21.76 Dose Tank Volume (gal /in) P -525 Filter Model Number Weeks Concrete 'j Manufacturer Project: Turnquist 4 - bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views ..... ......... .......... ..................... ..... T 1/10 B :;:;:;:;:;:;:; :::::: ::::::::::::: ;::.............:. ; ...... J Observation Pipe 3 f• f 5 A W 1. �. B •••� •.• . nn ................ ............................... I l�J ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::.. . L Mound Component Dimensions A 6.00 ft E 28.32 in H Aft ft K 11.85 ft B 100.00 ft F 9.25 in z ft L 123.71 ft D 24.00 in G 0.50 ft J ft W 27.60 600.00 (ft Dispersal Cell Area 1 1928.35 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.02 (ft) —� ♦ H G 1 I .................... F 100.75 (ft) L atera l Dispersal Cell 100.25 (ft)- -► — Invert Dispersal Cell ::[i ..:::: Elevation D A :: :. :� ,.',;.[..� ............. .�`L ice �. 98.25 (ft) Contour Elevation 6.0 %Site Slope Geotextile Fabric Cover Shading Key �. Dispersal Cell See lateral details on 10 _ Topsoil Cap o Subsoil Cap N c a 1.5 ft �•-� :•:.:.:; Page 4 for number, size, r' '' ' and spacing of laterals. ��'• �` �`'� © ASTM C33 Sand 14 ` " Laterals are equally `a Z ` F spaced from the ® Tilled Layer H 0. ft Typical Lateral y : .. , . gg 9 ,;;ti distribution cell's © �M A re ate o :a': centerline in the - A distribution cell (AxB). Project: Turnquist 4 - bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identic al �E p S tam Turn -up vrlball valves or Ip X-- 41+xl2 I xf2-)I Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.29 ft Lateral Length (P) 49.24 ft Orifices per Lateral 22 Lateral Spacing (S) 3.00 ft Orifice Density 6.82 ft /orifice Lateral Flow Rate 9.06 gpm Manifold Length 3.00 ft System Flow Rate r :: : 36.25 qpm Manifold Diameter 1.25 in Total Dynamic Head 1969 . ft Forcemain Velocity 3.70 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -� ale Comm 16.28 WAC j Disconnect 4 in. min. --- ---ttt- Tank component is properly vented E Alternate outlet location Forcemain diameter Weeks Concrete Manufacturer _� 2 in. Ca acit 805.12 Gallons Volume 21.76 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.18 417.35 B 2.00 43.52 C P = ump off elevation (ft) C 3.82 8 3.13 —t 91.00 11 D I 12.00! 261.12 D Total 37.00 805.12 1 Do se tank elevation (ft) 3" Bedding under tank. 90.00 Alarm Manuafacturer (Zo Alarm Model Number A Pack 10 -1494 Pump Manufacturer :Zoeller Pump Model Number;' BN 152 Pump Must Deliver 36.25 gpm at 19.69 ft TDH Project: Turnquist 4 - bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Jim Boumeester Phone' 715 386-T020 1 POWTS Regulator's Name ' St Croix County Zoning Dep't Phone 1(715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1260 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater 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 month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Ott; 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 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Turnquist 4 - bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General 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), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01)) 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 8- 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. Puma 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 BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow 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 u v 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. Pretreatment Units The information and schedule of fo nd manana ement maintenance r p pretreatment devices such as aerobic treatment units or disinfection g a t units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW MODEL 15111521153 PER MINUTE 14 153 EFFLUENT AND DEWATERING 12 \ MODEL 151 152 153 g Z to t52 Feel Motors Gel. Ulers Gal. liters Gal. Utors 5 ib 50 189 69 261 77 291 10 3.0 45 170 61 231 70 285 o B 151 15 4.6 38 144 63 201 81 231 & R ��/ 6 20 6.1 29 110 44 167 52 197 25 7.6 18 61 34 129 42 159 +5 30 9.1 - 23 87 33 125 4 35 10.7 10 40 12.2 2 Shut-off Head 30 ft. (9. 1m) M R (116m) Mil (13.4m) LLIJ 5 0146088 0 10 20 30 40 &D 60 10 110 a0 1 cN.LONs LrfEiS 0 40 8 To 1 0 2 0 2 0 280 3 FLOW PER MINUTE 01450BA 310, 2 S�•P• rrf:nr ht ca.r+ S. /Y /• �.a6c rep V Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67712 61/4 Tun 3 7/6 4 5re 3 Vrs 4 5s Timed dosing panels available. Electrical altematm, for duplex systems, are available and supplied with an alarm. 3716 327a2 • Variable level control switches are available for controlling ® ,;B 3 z� single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130'F. 54'C. ( ) special quotation required. 15111521153 Series it 11/16 +z +re 151n521163 YODELS Control selection — T - Yodel Volt Ph Mode Am Simplex Duplex 411 s ve N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 8.0 Included 2 or 3 1151 230 1 Non 3.2 1 2 or 3 BEf51 230 1 Auto 3.2 Included 2 a 3 Sx2444 3x2064 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Induded 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 a 3 N153 115 1 Non 10.5 1 2 or 3 B4153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 t 2a3 SELECTION GUIDE BEi 53 30 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float A CAUTION switch. Refer to FM0477. Al, nsialianon of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E-Pak. ncensed eiectncian All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a r safe factor i s engineered i nto t design of every Zoeller pump. �., MAIL TO: P.O. Box 16347 — LoulcNBe, KY 40256.0347 ManulacWrers of.. 0 F SHIP TO: 3649 Carom Run Road ® u h e ( 1 3 LouisvlHe, KY 40111.1961 501 n 8 7 1. 1 800 9 2 8-PUMP aurr Awmr S,vcE INN h1>p:/flYWW.ZOe11471.torn -�: PVMP !O. 1 ( 1 _ FAX (502) 774-3e24 0 Copyright 2004 Zoeller Co. All rights reserved. 4 7 0�9 f m V:�& 1,jk14 Q-i- 5- wrsoorrsin Departrnant of Ca"mer'e SOIL EVALUATION REPORT Pa of Division of Safety and m*bvs in accordance with Conn 85. Wis. Adm Code Caurty 5T. C90! AU30 sie plan on paper not less therr 8 UZ x 11 ixhes in size- Plan mug awkWe, taA not bv&od to vertical and horb ontal rem point (M) dnK*m and Pared lD• P skM scale adrrr . earth arrow. and loc�ion �d a' t° "� by Deft Please print all is kWM* Personal tnforar�on you a� � be reed to . A 15.04 (1) (m)1- praperlyLocation Pn Y ter � ✓ ' i`. I M AE; 114 I T Zg N R 19 tWW Propert)t Awnet's g Address Bludr Subd iJarrry or t^�' gi L fps - � Nearest �1 7 . (`O ttr� Staff p�ZONiNG OF Q Cxy ❑ fown I *1b ui (A SOS 'y a / (1 6 ) F JZ R Code derived design GPD teoartrerrr ❑ Prrhie a oorrrnerciai - Flood Pfain eie+�ion A Parent A;.-A. 1 L.L C,ar malconinwft lV►41,CAW 5'�S't'El'�- O.S G4khDts;� R•t}TE t �►Z' 5AMD FW -u- 1Jtr TgoP °.'t JA M . p � A'... i ' , ;, t. a a�?�'"' > � ter ', J' e .: Boring ,SSE in R� o 9 0 pT � Ground s�asace G elev. Q 7. L'S R Depth >o ra rr9 factor Snit FkK is am` TexUue S4rutsure Corrce Bound�xY Hoiinon Depot t)on*wd Red= ^ Gr. Sr- Sh 'EtitF1 in. Munsd tlo. S7_ Cont. Color L ]Z 7 0 R 2 a5 Q.s -U1 0..s z - 0 v 3 - I YiC3 Si� ��r _vK d s s p. S O•S s:l d _ 4L& . LF l z0 •0 51� -rrt .2 4,i sa It t F 5-1 # ° eon stdale+►. D..& to 6rnitiw.uctar -- in. P a ge Tait c Teodras Stt11�1ra Rooms 7L Horizon Depth Dominant Redox DesallAen Gr. Sz Sh *EM - Qu. Sz. Cont. Color w"Asell (0vo - �' 2 -1 I ����.3 ? nR .� ' Gi 3 r�. zfWW 2�t� � ICI - ov 5bK h - ©.� o. s e 6 � � z� •Efued = an <30"g1LdTW <_ • t tt #1 = 8W > 30 < 210 mglL and TSS > _< 30 150 mglL CST Number CST Name tPkm Prix" t t �i al "l:\�? �Q �i !'." E I� JII' F Dade Telephone Numlter Address �< W90 ?S bin " vlr..7' r -. � +Lt< LAS 21OZ2- r _ C mt a u rLlvr rL.'M FAZ RCI'OYNV-- aAA iNlLUAIA CAI Wtr-- : (/0 EXCErr w+teKf--AM utNt,��: �a+crtsoa �4N1E1; sl: o rt A>� SFC. ! rz8n) GROWD 5WUW - S )) 10 0.0 0 lR F T CD .&Z —Pl S, W TM VF ( i cRO t F WI c t. E l- 50L t W/ 6ALK a jZ•�v ts�n - TO L0 t O COMM M %BALK CMS 44,Nut) zm "A) KMS 20 ,�\C_RES Py4R.Z4 ►� 1 �110 3 w6 � t EL.47 -�i x T 0 CA- loaf ru4 ! IIlIlI IIIII I' "` "'lf! Ilill IIIII Ilif Illilf IIII Ilil O h 0 9 4 2 906094 BETH PABST REGISTER OF DEEDS CERTIFIED SURVEY MAP ST. CROIX CO., 11I RECEIVED FOR RECORD LOCATED IN PART OF THE SE 1/4 OF THE NE 1/4 OF y'EC710N 1� T28N, 10/28/2009 02:30PM R19W. TOWN OF TROY. ST- CROIX COUNTY, WISCONSIN, BANG LOT 1 OF CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP VOLUME 18. PAGE 4747. VOL: 24 PAGE: 5664 OWNERS REC FEE: 13.00 NOTE. 3 .00 TANNER & PATRICIA TURNQUIST SHARED DRIVEWAY IS FOR PRIVATE COPY FEE: PAGES: 2 2 637 WILDFLOWER LN RESIDENTI USE BY LOTS HUDSON, WI 34018 ONLY, SH NOT BE 3. 8, AND 7 EXPANDED AND REPRESENTS AN OR SURVEYOR: EXCEPTION TO ORDINANCE –BASED TOWN DOUGLAS J. ZAHLER ROAD STANDARDS. AS ISSUED BY THE S & N LAND SURVEYING INC. ROY TOWN BOARD ON 09- 10-09. NE CORNER 2920 ENLOE STREET –SUI TE 101 SECTION 1 HUDSON, WI 54018 7 LL7OOTTAL 7 AREA =132.027 SQ. FT. (3.03 AC.) C. R =116.682 SQ. FT. 2.88 AC. V NORTH LINE OF THE SE1 /4 OF THE NE1 /4 JLQ-T-1.3 "us C.8_M VOL. 5 PG_1324 I ' - Soo 44w5ww 132�0 .73' ............. 967.72' ` .x.. A 311.98 » - ..» ................................. ............................... - A. ......353 OJ • 4J.03' I Z I LOT 6 A r w A I 281.886 SQ. FT (3.78 AC.) r ,.rr . ' 2 LOT 7 ni I j 1 N% ................. ...� .......................... .............................! N S89 , 45 1 50"W 666.65' -_ -- - - - -- - - -- . 4» .... ............................... Z7rW. 6.00• I �j S k6 �ip 311.98 6. 1 F., N89'45*5 rq 01 • I • I ° W LOT s -6600 I •1 SCALE IN FEET 1" = 200' • 1 �C3� p .T � r„ , �-- _--- ____ -- f 200 so O �.o w ey • , S� LEGEND 200 .�:�,� o $ 'S°•' �` FOUND ALUMINUM COUNTY SECTION CORNER MONUMENT HOUND 1 OUTSIDE DIAMETER IRON PIPE --------- - - - - -- (– 1, � SET I" OUTSIDE DIAMETER BY -j r 0 18' LONG IRON PIPE. WEIGHING �Of wilts ( I 1.13 LBS. PER LINEAR FOOT , f.. m y DOUGLAS J. I FOUND 3/4 IRON ROD * ZAHLER 9 -2145 * E1 C ION 1 CORNER PROPOSED DRIVE HU SET ................. BUILDING SETBACK LINE DISTANCE AS SHOWN A SOIL BORING D 0 9 - -TOWER s6. — (XX ") RECORDED BEARING ON CSM VOL 18. PG. 4747 1` EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE. COUNTYY v AND TOWNSHIP LAWS. RULES AND REGULATION (I. E.. WETLANDS. OR DEVELOPING ANY PARCEL CONTACT THE C E G ZONING OFFICE AND THE TOWN OF TROY FOR gT: CR COUNTY ADVICE. THIS INSTRUMENT WAS DRAFTED By6 DOUG ZAHLER NP02M- O O SHEET 1 OF 2 Vol, 24 Page 5664 POWTS OWNER'S FIFAt_ & MANAGEMENT Pl./1N (1 hpe fit wner SYSTEM SPECIFICATIONS P9trnil N %Ptir, Tank Capacity - ja JONA 1 - ank iUlanl/lArtUteC Dtr'SlQN PARAMETERS Fffhrgnt Fliter Mamda(aurer� Number of Bedrooms _.-- ------ -� P O � - r� Nn Elfluenl Filter Model Number of Ptrtriic FACilit _ ��' Y Units - 'R Nn -. Pu, »p 'tank f ni,nr:it•y Estimated flow favgragel U - �� ,_.�.._ -- _ -_ —_ _- -- yal /day Pump Tank Manufacturer 8. - fLal_ DNA y Design flow Ipeakl, (Estimated x 1.51 - __ _W�� D NA Sop A -- _ - v gallday Ptnnp an Mufor:tl►rpr pptication Nate _ - -- � _ 11 -- _ Z�e�ltn D NA Standard Influent /Effluent ptratit— galldaylh' Pu +np Model ____ _ g I SM oNA y Monthly average _ . _ - _ Fats. OII & � PlearrArit _ 9n . t Ultil_ •--- -- (irB:IS9 lro rj <30 r,rg /l.. O NA 8 lnchen►iral Oxygen Demnnrl IRr)ir l I ` + 1 nrl /rravPl rifle► c77r), I I NA l.i PPat rifle► Total Suspended Solids iTSS) st5t3 n►g /l 1 i Mgcl,rn,ir:ni /1e,nlin„ t 1 WgtlAnd - - -- . Pretreated Effluent Otraiity - - -- - - t)isb►rA( Iton Mgl►tidV RvPtaw.. IJ Oliver: Oxygen Der»»nrf Disl,Prss,l (;gll(a) t600 !M n►q!E D NA Total Suspended Solids ITSS) x� I lot (1 (q►avirvl C1 rn (p Around rassurized) Fecal Colifonn 0 r U Nn I-1 At rrndq - -• -- ( rnear►) . t 04 rf tr110()rr,l ff Mnund -- E -- i_1 Drill i-inn M aximum Effluent Particle 5i�e - _- C] Othrx: Y,� in rlia. _._._. - r 1N,r!r i'1 Nn �ir,. ❑ NA i.1 Nn __._ ._..� — �VRiOea tyhiGRt tf,r doMrstfr. WaQtr'WAlpf s,n,r srrr rnr nithrnnt S)thrr. - -- ___ ❑ NA MAINTENANCE SCHEDULE NA Service Event Inspect condition of tanktal Servke Frequency -" - - - -- At (eRSt onre every: '1 rnonth(s1 mp out contents of tanklsi 4 IMextmlum 3 _-. _ __-.......-- -- -- e sl _ _ .._ ._....__ --_Y_ i yaept O NA `— '— When combined sludge Arid scam equals I One-third Inspect dispersal cel!(a► _____— ----- - - - - -- - - -- lyl of lank volume O NA Clean effluent filter At IgA9t OnCq gVAry; D 11 10r1tl1lal —__— IMaximtmt ___._..__._..— ._ - - -._ ._.._.........._year(s{ 3 yewrsi O NA A t least rnmq over V ( nspect pump, pun ►p rhntrals &alar ce every: .-- m- Ye_ar(s) DNA - - -__ At least on - -` - ®nuts ►Is► _ ush iaterats and pressure test -- d NA — -- - - -- At least once every; O ntonth(s) _ yea D NA At least once every. ❑ rntintl►Isl _.___ �tther, --- - ---_- — - -_ - El NA AINTENANCE iNSTRUCTipNS EJ NA Inspections of WAS and dispersal cells shell be Master Plumber made by an individual carrying one of the following ticen . Master Plumber Restricted Seer• nspectitms must include a- visual inspection of the tankf PO to identity any missing or broken r. Se ass or era titicetion SOWN; k r POWTS Inspector, PUWTS Maintainer; Septage Servlcinp Operator. Tank treasure the volume of combined sludge and up or ponding scum and to check for any back of ere, Ide n tif y tify any cr acks or leaks, i fha dispersal eeplsl shall be visually inspected to Check the elf if effluent 1N1 the ground surface. The o luent levers in the observation pipes and to check for for a n y sin ' mmed(ate notification of the local r p nding o f effluent on the ground surlare may indicate a failing g Bgrrlalory authority, g condition and requires the Vhen the combined accumulation of sludge and scum in an ontents of the tank shall be re+noved b Y tank equals one -third vlOconsin Administrative Code, y a Septa0e Servicing ppetAtor And ri' (Y,l or more of the tank volume, the entire rspOSed Of In AC COfflsanta •..HL _r ART UP AND OPERATION Pace -- of a new construetIo n, prior to use of the POWTS check treatment tankla) for the presence of painting products or other chsndcah tat may Impede the treatment process and /or damage the dispersal celllal. If high concentrstlons are detected have the contents f the tanks 1 1 r emoved by a septage servicing operator prior to use. ystem start up shall not occur when Boll conditions are frozen at the infiltrative surface. wring power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will be lacherged to the dispersal celiisi in one large dose, overloading the ce111s) and may result In the backup or surface discharge of Ifhrsnt. `ro avoid this situation have the contents of the pump tank removed by a Septege Servicing Operator prior to restoring ewer to the effluent pump or contact a Plumber or POWTS Malntalner to assist in manually operating the pump controls to lstore normal levels within the pump tank. o not drive or park vehicles over tanks and dispersal cells. Do not drive or park over or otherwise disturb or compact. the area 4thin 16 feet down slope of any mound or at -grade sell absorption area. leduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the 'OWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; d ressers• dental floss• diapers; disinfea s• fat; eA tart acre Ywndation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meet scraps; medications; oil; sinting products; pesticides; sanitary napkins; tampons; and water softener brine. ANDONMENT then the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is roperly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code- 0 All piping to tanks and pits shall be disconnected and the abandoned pipe opening@ sealed. N M 01MON&A. l i iii( difilild bait( Otto yiiwil 016 Wks * IY Wrr" PAWhiU111110111111I 11II111 le i its * oa hi*41414s WP " iNti • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with gall, gravel or another Inert solid material. I INGENCY PLAN the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant rpleeement system: �• A suitable replacement area has been evaluated and .may be utilized for the location of a replacement soil absorption` system. The replacement area should be protected from disturbance and compaction and should not be.infringed upon by required setbacks from existing and proposed structure, lot Ones and wells. Fallure to protect the replacement area wo result in the need for a new soil and site evaluation to establish a suitable rephKmnent area. Replacement system must comply with the rules in effect at that time. O A suitable replacement are* is not available due to setback and /or soh limitations. Barring advances M POWTS technology a holding tank may be installed as a isat resort to replace the failed POWTS. 13 The she has` not been evaluated to identify a suitable replacement arse. 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 lest resort to replace the.faw POWTS. tR Mound and at - grade evil abeorptkl be reconstructed in piece following rwnovel ofh1lN bksrmat at the intlltretive surface. Aeconetruatlo ern must comply with the rules In effect at thetlSMteElttt ►+ UFM. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICENT OXYGEN. 00 NOT ENTER A SEPTIC. PUMP OR OTHER TREATNM TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE{ DlLT OR IMPOSSIBLE. DWTIONAL COMMENTS ,, + r Flo • i ,, , . ���; _ : -: . r$�.S x•11 ,, DWT8 INSTALLER TkrmvN -k6 AV ee., POWS MAINTANER •' ��► •;► Name Name i` Phone 8 v ± ►, , I Phone i ;.l EPTAGE SERVICING ) ( OPERATOR PUMPER LOCAL REGULATORY AUTHORITY °; r 1l�J fib :yl��l�, Name S Cep aN1 1 Nettle +c�• rMl�Y�il�l -: Phone ,S S' t b ;Ea � oF` ..:,. Phone ,J • h(t �t u. w.., ..�..........+..a.a .......... n.. �� ...a.. e•....� as %sM�e�...0 ua►`u� ....+ 0-2 KAM , -H s +v1 un........�.. • :.�:..:.:.+ : ►.� e•�. ART UP AND OPERATIO N Pegs -- of or new construction, prior to use of the POWTS check treatment tankfal for the presence of painting products or other chertticais tat may Impede the treatment process and /or damage the dispersal callful• If high concentrations are detected have the contents f the tankfsl removed by a septage servicing operator prior to use. ystem start up shall not occur when Boil conditions are frozen at the infiltrative surface. tiring power outages pump tanks may fill above normal hlghwetw levels. When power Is restored the excess wastewater will be ischarged to the dispersal ceNlsi in one large dose, ovwloadjng the cell(s) and may result In the backup or surface disahsrge of ifiyiant. `ro avoid this situation have the( contents of the pump tank removed by a Septage Servicing Operator prior to restoring ewer to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to ietore normal levels within the pump tank. o not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area . ►ithin 16 feet down slope of any mound or at -grade soil absorption area. leduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the OWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degresaws, dental floss; diapers; disinfectants; fat; mWetfon drain (Bump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; sintirtg products; pesticides; sanitary napkins; tampons; and water softener brine. ANDONMENT then the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is roperiy and safely abandoned In compliance with chapter Comm 83.33, Wisconsin Administrative Code: e AN piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. M ail ilryliMifllfi wi fill 1tlUlllli too M/tw wWi0#'I fill 4&"i►#d* wra wriimmriff d1*011 a ii4 iris o tprWiwll r rr4141ha ePM+e11ItlWN e 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. *TINOENCY PLAN i the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant splecament system: • A suitable replacement area has been evaluated and .may be utilized for the location of a repleconent soil absorptlon' system. The replacement area should be protected from disturbance and compaction and should not be Inf*mW 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. 0 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. CI The site has" not been .evaluated to Identify a suitable replacement ores. 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 hoMkV tank`, may be installed as a lost resort to replace the.falled POWTS. tq Mound and at-grade Boil absorptla �� ? be reconstructed in place following remov@Vgf Ills bbmat at the Infiltrative surface. Aeconstructlortsft inns must comply with the rules in effect at ths4stIlt , MM, PUMP AND OTHER TREATMENT `' 4%NK8 MAY'' CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT. ENTER A $EPTiC, PUMP OR OTHER TR1sA'TMFNT TANK -UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PRISON FROM THE 1NTERtOR OF A TANK MAY DlFIIYILT OR IMPOSSIBLE. 6B DDITKINAL COMMENTS - 1- -'�:� i}�Y `bbl:'•', i�� -90 4 L OWTBINSTALLER ruuar's�y''e«i POWTS MAINTAINER Name a01r' yr i .peg, ° r - . Hams � +tf �4s' �Ili�,• Phone ; '� ►.'.r Phone ,v4s�t.„ 4 v :�,�.. -A WAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name pin lvt l ..:arttk Via; , °,.; Name 5 Lg,c a N J i�t Phone 1 S ' t p �tEr� 3 - Phone • J..I......r.........• A..,4..1 f. .....�..Jl+........t.1...1...r� n.....» A 00 18 -it Mi I 411.41ALS41 ....1 09 RAf 11 1'l1 E 101 UUt.w.....1.. • w.w:r.i.:.ai1.. n wA. ST. C: ROIX COUNTY SEPTIC: TANK MAINTENANCE AGREEME �'' A1-1a; OWNFRSHIP CERTirii ATION FORM ' Owncr/Buye: Mailing Address Pt peat -.f Address ('v erification required from P) ring &Zoning VepartTttet!t for ieeu e:.::strt;cti`n. j Ca y /Stag �4.4��. a Parcel latent -fca or. Nuoiber LEGAL DESCRIPTION P;oFeriy Local on i4, AL %a, Sec. , T N R W, Tnwti of �- Subdivision _VPL O se� C5 y'r1 tt uh _I ofi c S M _ of �' P ly N - I , Lot # 7 Certified Survey Mai �€ , Vnlnn�e. � , Page # Warranty Deed # _ , Volume _ Pate # _- Spec house ycs :io Lot Imes identifiable yes no SYSTEM AIALNTENANCE AN OWNER CERTIFICATION !mprop use and :maintenance of your septic system could result in its premature failure to handle wastes. proper t!naiztetmt:; c consists of pumping out the septic tank every three years or sooner, if needed, by a licensed 4f at you pL. ZYlt3 *e system. can afl the function of the septic tank as a treatment stage in the waste disposal system 0- --net maintenance rese :a- Mlifit a are specined in §Comm. 63.52(1) and in Chapter 12 - St. Croix Cotwty Sanitary Ordinance. "he cP'oPefry UvVner agrees to submit to St. Croix County Planning & Zoning Department a certification fort», signed by the owner and is; a na - Iter plu. joeuneyma n plumber, restricted plumber or a licensed pumper verifying that (1) the on -site p"-'swimter disposal syewm is sn Proper operating condition and/or (2) after inspection and pumping of necesury,), the septic tr* is less than 113 full of sludge. 1!vrt, the undersigned 'nave read t 'G nts and agree to rtuuntain the private sewage dittpood ayste m v iL': th Standards set fo thy, herein, as set by tine ce and the Department of Natural Resources, State of %=nsin. 0- ificseeon stating that your septic system bl" tned must be co feted and teturned to the St • C njj CoW4 Plat & nkW t>e�i:rCa step �• � Zoning`Department witlt:a 30 days of the three on date. Ilia ccrtifS; fya. all statements on this fatn►turo ttac to tht: best of my /our knowledge. Uwe arnlare the 4-^w s) of the p €o f dese;ibed above. ay v itlttc Of a v�err>tiat;►dt�ed tet;�ded in Register of Deeds Office. Number of bedrooms 7F SI'NI -AST ,.E QE APPLILANT(S) DATE ¢$ I it fennation that is rttisrepresented nay mwk in &e sanitary permit being revoked by the Planning & Zaraing Department. "* Inciude with this application a recorded xa,,, - t - y &W from the Register of Deeds Oil - ice and a copy of the cerbf' aed survey map if reference is Marie in the warranty deed. I I Illill IIIII iNll Illli Illll ili {I IIN IIIIiI IIII (Ill 9 0 2 3 4 0 1 State Bar of Wisconsin Form 2 -2003 902340 WARRANTY DEED BETH PABST REGISTER OF DEEDS Document Number Document Name ST CROIX Co., WI RECEIVED FOR RECORD 08/20/2009 08:30AM THIS DEED, made between Brent E. Johnson and Sonja M. Hall- Johnson, WARRANTY DEED formerly husband and wife, now both single persons EXEMPT I ( "Grantor," whether one or more), REC FEE: 11.00 and Tanner N. Tunnguist and Patricia K. Turnguist, husband and wife as TRANS FEE: 645.00 survivorship marital property PAGES' 1 ( "Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following Recording Area described real estate, together with the rents, profits, fixtures and other appurtenant + I' interests, in St. Croix County, State of Wisconsin ("Property") (if more Name and Return Address space is needed, please attach addendum): River valley Abstract & Tide, Inc. That part of SE '/4 of the NE '/4 of Section 1, Township 28 North, Range 19 West, St. 1200 Hosford Street, Suite 201 Croix County, Wisconsin described as follows: Lot I of Certified Survey Map Hudson WI 54016 recorded in Vol. 18 of Certified Survey Maps, page 4747, Doc. No. 762523 2803276 040 - 1000-70 -025 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, Restrictions and Covenants of record, if any. Dated August 18, 2009 (SEAL M - AL) * Brent 4 Joh Yon * Son a M. Ha - Johnson (SEAL) (SEAL) w * A ACKNOWLEDGMENT Signature(s) ROGER D. REVERS STATE OF WISCONSIN ) NOTARY ) ss. authenticated on STATE OF WIS N I St. Croix COUNTY ) Personally came before me on August 18, 2009 , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Brent E. Johnson and Sonja M. Hall - (If not, Johnson, husband and wife authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing in t a owledged the same. THIS INSTRUMENT DRAFTED BY: * Douglas Berg Notary Public, State of Wisconsin / 1200 Hosford St. #201, Hudson, WI 54016 My Commission (is permanent) (expires ,Qs/ +� (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. 1 of 1 C E O j 2�SExS S Cl) 4 N w�Y; W .a h , Ni a. _ 3� L r� T > ;n w ..__.—_._._._.__.__.__—__._.._....__.—........_.....___._._..__ ...... ......._.... __.__.__..__.._.... J ui LL W -- .......... LL Z T I_TI'I� ° o LU uuuu ❑C❑❑ yz ❑❑❑❑ i I I ►� !I► I� l MH Ll I II III �� u�uu y \ rc?' ,I I� IIIIIII�II :jr � I i., W i Il ll�jlll�ill ll , �� I LI (`� I � J 1 I 1 „ -'1 ' Il lillilll Ili �I+ I �T w I II J I II TE l�l I . l 1 I \ w : z 5 8' o^ Sfi LLJ Ilk 2 l ch NJ M LU F J w � J I � _ i ^ Q .... .� ...... ..... ♦. I l .._ .'_. .... ........ L 5 _ ......_ _....... _- y v. II 3 „ I d F „• -- 1 I II 41v ji \ , F I � a ( ° ... ... . ......... _ ...♦ s I k I - n � r. fi �I I o / ,. ... ti i 3 / F p I = 1 a I r i .....__ ...._.__.. _...__. . ........... . ........ .............................. ....... G_ _ 11I1_I�; _11 IT 17 7 1 F. - a g N O r e SSi a S e" s a I 1 � t — -- — -- . _ -. — X.. IM ' i •. fi six �w;7.o, I I - \' � I 1 I I IIJj I I -1 ,�J ... .. ........... tt 5 % I I f I M .. L ------- - - - - -- - '�------- - - - - -� ._ __.. .. .._ �; ... 3 _ ... .._.. ... _._ _. . �c O" .�� ST CROIX U NTY AA IL PLANNING &. ZONING MEMO DATE April 6, 2006 To: Mary Jo Hollister, CST #224832 CodeAdminisav FROM Pam Quinn, POWTS Inspector #665054 715 - 386 -4680 RE: Brent & Sonja Johnson /Country View Construction Pl anning Land Information & CSM #762523 Lots 1, 2, 3 & 4, Section 1, Town of Troy 715 - 386 -4674 On April 5th, I visited all four lots for this CSM to verify data submitted on Real Prop March 16 amended soil reports. With your assistance in re- flagging some of the 715-3 677 test pits and hand borings, I was able to confirm locations for all tested areas. I apologize if previous memos made it appear that work had not been completed, but Re -3 675 the discrepancies between lot lines for concept and final CSM, the surveyor's soil boring markers on the map, plus the use of two test pits by Dave Fogerty all made it very difficult to identify the tested areas. Lot 1: There are two soil reports for this lot. The BM #2 for the 3/13/06 revised site plan was not visible anywhere near B2, but BM #1 is flagged in.blue and available for use in mound installation. The tested area on soil report dated 10/23/03 has pink flagging and reported A ±0" conditions, which would require a state on -site soil determination for mound design approval. See requirement for Lot 4. Lot 2: There are also two valid soil reports for this lot. Your BM #1 is a nail on west side of tree 21 feet south of B2 and flagged with blue tape, as are 61 and B2 (both excavated pits). BM #2 is the "top of PVC pipe" at 23" above grade and the 98.78' elevation should be double- checked. Dave Fogerty's soil report extends south of Mary Jo's tested area and allows flexibility in mound location and design. The site has not been altered and the contours indicated adequately represent the existing topography. I Lot 3: My only criticism is that Comm 85.20(2)(b) specifically requires "at least one soil profile evaluation excavation per treatment or dispersal site shall be constructed as a soil pit" for estimated DWF of <1,000 gallons per day. This lot has three hand borings, with B3 being a hand -auger hole that was done while frost was still in the ground. The nearest excavated test pit is Dave Fogerty's B 1, which is on Lot 2 >40 feet away. The new hand boring B3 is 77 feet southeast of a flagged as B1, which is 16 feet south of the north lot line. The "existing pit from Fogerty" (61) is 41 feet northeast of your B1. The PVC pipe shown as BM #2 has been flagged in pink tape and B2 is flagged next to it. ST CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON W1 54016 715 - 386 FAx PZ @CO.SAINTGROIX.WI.US WWW.CO.SAINT- CROIX.WI.US r � L ouna 6oth blue- agged benchmarks and excavatea test excavate pis 131 an 3 92 b cou n ecifically locate B3. B2 had standing water in it and the entire lot's soils were saturated at t e ground surface. This lot requires an on -site soil evaluation by the state to determine if t e is A + 4 inches of soil above seasonal soil saturation. BM #2 is approx. 1V inches above gra nd needs to have its 102.96' elevation corrected (it is next to B2 at 100.3'). Le to schedule the on -site for Lot 4 and the additional excavated test pit for the same day an (with elevation corrections requested) these four soil reports should be ready for use in P TS design and sanitary permit applications. ST. CRO /X COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD HUDSON W1 54016 715- 386 FAX PZC)CO. SAINT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US ,