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HomeMy WebLinkAbout040-1234-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: t 399421 GENERAL INFORMATION (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: Lee, Kerri I Troy Township 040 - 1234 -80 -000 CST BM Elev: Insp. SM Elev: BM Description:�� / TANK INFIORMATION ( � Q ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM ration Bldg. Sewer /,3 9z -z9 Holdin t Inlet TANK SETBACK INFORMATION Ht Outlet 13 ,3 / 67, 3 S TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � Dt Bottom 7.5 - 3d a Dosing / Header /Man. - o o6 - ��g �� Aeration Dist. Pipe / - bd•3 f H ldin9 Bot. System j �l Final Grade PUMP /SIPHON INFORMATION Hs,-w . Z • LL 104 Manufacturer Demand' St Cover GPM !, 9 Z 4 Model Number / U Y .l u 9 3 0 /0 Z. TDH ILA Friction Loss System Head j TDH Ft Forcemain Length Dia Dist. to Well y /Y SOIL ABSORPTION SYSTEM BED/TRENCH Width ` Length No. Of Trenches PIT IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L jBLbG IWELL LAKE/STREAM LEACHI Manufacturer: INFORMATION Type Of System: CHAMB IT R Model er: ��3 ' (D DISTRIBUTION SYSTEM ro Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake r L 0 Pipe(s) 3 r Length 3 Dia Length Dia Spacing Z . _— 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 Bedrrrench Center Bedfrrench Edges Topsoil Yes [] No [_] Y COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 1 / L Inspection #2: / Z I /_QQ / Location: 509 Trillium Lane Hudson WI 54016 NE 114 SW 114 3 T28N R19 Count �ood�Ad"dn. 17 Parcel No: 03.28.19.1174 (z17 - -PR � ryw / f ( S 1.) Alt BM Description - 0 , We _ y) i 2.) Bldg sewer length - ,j� AO a m o unt fc= a o 0 o r 3.) Contour = I( - S -5 (J� Plan revision Required? ( A Yes it No —T � Use other side for additional informatidn. Ll SBD -6710 (R.3l97) Date L .J Insepctor's Sig ature Cert. No. J qs- 4 5 p °t Ti21u -1 wift L.aVC 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 I*Iscimns Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of commerce [Privacy Law, s. 15.04(l)(m)) (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number 5 -1- 2� I. Application Information - Please Print all Information Location: Property Owner Name Property Location ep ( f 2.e_ ` G ze lYr ,5 ' 1A, S 2 T ,; R 1 (or Property Owner's Mailing Address Lot Number Block Number City, State �(/ Zip Code Phone Number Subdivision Name or CSM Number II. Type of Building: (check one) / ,ts P ,, s ❑ City ,l$ 1 or 2 Family Dwelling - No. of Bedrooms: �uat,(.;,e. �f a.s' ❑ Village .G�Town of �� 11 Public /Commercial (describe use):_ 7 ❑ State -Owned , i 11,A� �--.... nn ,.3 - /� ^0 // Nearest Road g� ' S / V V t�tlC1C .� 4 tZ • r 1- c1 / Parcel/ ? bts) D - d III. Type of Permit: (Check o nly one box on line A. Check box on line B if applicable) A) 1. RNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade r ❑ Aerobic Treatment Unit ❑ Recirculati ❑ Other: V. Dispersal/Treatment A rea Infor mation: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Re Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation yG Y ysz to l. a 7 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 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ rjA VIII. Resp nsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber' e o ): MP/MPRS No. Business Phone Number ft /G�� A�� Plumber's Address (Street, ity, State, Zip Code) IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issui g Agent Signature (No stamps) ,Approved ❑ Owner Given Initial Adverse Surch a Fee) OD Determination 325, " �I Ztro� X. Conditio of Approval /Reasons � approval: h ,U ���� ,X N�a� — � t"`St C., - sltcr- SBD -6398 (R. 07/00) z �• -7 40Z .84 I VY J J . �• p O � O J / d / al Y C)-->P o r O� / ty ow m � n• �� 4 Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 f TDD #: (608) 264 -8777 �sconsin www.commerce.state.wi.us /sb Department of Commerce ?��! I www.wisconsin.gov , Rnn� Scott McCallum, Governor c Brenda J. Blanchard, Secretary 5 1 September 06, 2001 1 100 CUST ID No.242514 ATTN: POWTS Inspector ZONING OFFICE TODD C FEATHERSTONE ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAT: APPROVAL EXPIRES. 09/06/2003 Identification Numbers Transaction ID No. 674254 SITE: Site ID No. 635615 AUST CONSTRUCTION - RESIDENCE Please refer to both identification numbers, TOWER RD above, in all correspondence with the agency. TOWN OF TROY, ST CROIX COUNTY NEIA, SW1 /4, S3, T28N, R19W LOT: 37, SUBDIVISION: COUNTRY WOOD 1ST ADD. FOR: DESCRIPTION: NEW MOUND SYSTEM / 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810699 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 3, the aggregate in the dispersal cell shall be covered with approved geotextile fabric that conforms to s. Comm 84.30(6)(g)., Wis. Adm. Code. 2. On page 3, observation pipes shall be provided with a suitable means of anchoring. See Figure 8 of the approved mound system component manual for complete details. 3. On page 4, the dose tank for this project is manufactured by Weiser Concrete Products, Inc. and has a model number of WLP 750 -MR. The manufacturer and model number as listed in the Wisconsin Plumbing Products Register must be shown on the plans. 4. On page 8, the benchmark has not been defined as specified in the approved mound system component manual. Refer to the soil test report plot plan for this information. 5. On page 8, the contour lines have not been properly labeled as specified in the approved mound system component manual. Each contour line must be identified by the elevation that it represents. 6. The soil test plot plan does not show all of the lot lines or provide the parcel size as specified in s. Comm 85.40(3)(a)4., Wis. Adm. Code. 7. On page 8, all of the lot lines and the parcel size was not shown as specified in the approved mound system component manual. This approval assumes that the actual lot line locations will not impact any part of the onsite sewage system and that the entire system is located on the same parcel as the residence it serves. TODD C FEATHERSTONE Page 2 9/6/01 1 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. Sincerely FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 ` BALANCE DUE $ 0.00 TER E PAG POWTS PLAN REV R 11, INTEGRATED SERVICES W S 4KA 76313 (608)266-2889, M - F, 0630 - 1500 HRS PEPAGEL @COMMERCE. STATE. WI.US cc: KERRI LEE, AUST CONSTRUCTION i IF AuG r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application Q+iiC INDEX AND TITLE PAGE 4 � Project Name: AUST CONST Owner's Name: KERRI LEE & GREG MILLER Owner's Address: 1623 MELISSA LN WHITE BEAR LAKE MN 55110 Legal Description: NE1 /4, SW1 /4, S3,T28, N, R19 W Township: TROY County: ST. CROIX CO. Subdivision Name: COUNTRY WOOD FIRST ADDITION Lot Number: 37 Block Number: Parcel I.D. Number: 040 - 1234 -80 -000 Plan Transaction No.: 2 5j �Q Page 1 Index and title (;FFC �FCIIO�/ P.O.W.T.S. Page 2 Data entry Conditionally und drawings .y Page Lateral and dose tank NC� A System maintenance specifications Page 6 Management and contingency plan DEPA T of MER Page 7 Pump curve and specifications DIVISI , 0 > E D BU Di GS a e SITE PLAN C Page 9 SOIL TEST %,¢, a( S E CORRESPONDEN Designer: TODD FEATHERSTON License Number: 242514 Date: 08/28/01 Phone Number: 715 381 1704 Signature Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (05/01) Page 1 of 9 s Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 450.00 Design Flow (gpd) 6.00 Site Slope ( %) 98.30 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.00 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 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. 0188 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 0 0 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? Y 80.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 18.47 Vertical Lift (ft) 46.83 5x Void Volume (gal) 6.27 Friction Loss (ft) 69.67 Minimum Dose Volume (gal) 27.99 Total Dynamic Head (ft) 47.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 750.00 Total Tank Capacity (gal) 1000.00 Septi Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) WEISER Manufacturer 20.27 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 20.27 Dose Tank Volume (gal /in) A100 Filter Model Number WEISER Manufacturer Project: AUST CONST Page 2 of 9 Mound Plan View T 0 B .. 3 J Observation Pipe . . s A - - B �. . I .......................... L Mound Component Dimensions A 6.00 ft E 16.32 in H 1.00 ft K 8.85 ft B 75.00 ft F 9.25 in z 9.63 ft L 92.71 ft D 12.00 in G 0.50 ft J 5.77 ft W 21.40 ft 450.00 (ft Dispersal Cell Area 1171.88 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.07 (ft) F Dispersal Cell 80 ( ft) Lateral teral 99.30 (ft)� — Invert Dispersal Cell ; :. ; .... . Elevation E D : �:::::..... \ \ \ \ \ \ \ \ \ \ 98.30 (ft) Contour Elevation 6.0 %Site Slope teo xtite Fab Cover Shading Key $— Dispersal Ce 1 s on l 1[] Topsoil Cap 1.5 ft: >; > .> >> Page 4 for number, size, Subsoil Cap g > and spacing of laterals. © R \ Laterals are equally �': ASTM C33 Sand 5 F = Tilled Layer 0.5 ft Typical Lateral F spaced from the ❑5 ��`�'��'� Aggregate c distribution cell's A' centerline l the distribution cell (Ax6). Project: AUST CONST� �I� N� Page 3 of 9 5 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P 4<-X----)1+xl2 teral Diagram Here S 0= Turn -up r�ball valve or Laterals & force main of PVC Sch 40 clean out pl u g p COMM Table 84.30 -5 Holes drilled on the bottom of the latera Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 36.75 ft Orifices per Lateral 18 Lateral Spacing (S) 3.00 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 11.80 gpm Manifold Length 3.00 ft System Flow Rate 47.19 gpm Manifold Diameter 2.00 in Total Dynamic Head 27.99 ft Forcemain Velocity 4.82 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight ( Electrical as per NEC 300 and Q Comm 28 WAC 4 in. min. 16 Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter WEISER Man facturer 2 in. a Ions Volume 1 20.27 gal/inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 15.56 315.47 C B 2.00 40.54 P ump off elevation (ft) C 3.44 69.67 81.33 D 16.00 324.32 D Total 1 37.001 750.00 Dose se tank elevation (ft) 3" Bedding un er tank. 80.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number LVL 1 Pump Manufacturer IZOELLER Pump Model Number 1140 Pump Must Deliver 47.19 gpm at 1 27.99 ft TDH Project: AUST CONST Page 4 of 9 r Mound System Maintenance and Operation Specifications Service Provider's Name TRI CO SANATATION I Phone 715 - 386 -2130 POWTS Regulator's Name ST CROIX CO ZONING Phone[- 15 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 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 Wears Mound Inspect for pondin and see a e once eve 3 Othe r 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 Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: AUST CONST 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) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 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, Slats. 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 fifter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the finer 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 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L 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 If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: AUST CONST Page 6 of 9 W W HEAD CAPACITY CURVE 701AL DYNAMIC HEAD /GAPAC!Tv W IL PER MINUTE i MODELS "14014140 EFFLUENT AND DEWATERING Ft. Meters 14 5 1.72 91 3 45- '0 3A5 94 3�a 5 1.57 76 tae 12 20 6.10 6e 257 35 25 7.62 59 123 I lo-- 30 914 49 165 i�...- 10 – 35 10.67 39 114 Ll 40 12.19 21 79 I 1 { i li I t3 25 45 '1,12 5 19 W 1 Lock 4 46 . i • �_..... J.. _ -:4� 2 6 20 O 4 4 10— — D ouble Seal D esign 2 'J.S. GALLONS t0 20 30 40 50 60 70 60 90 100 110 �.. _ITERS K0 160 240 320 400 - - O FLOW PER MINUTE 010940 ! I •I' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with - an alarm. L._L Mechanic :afaltemators,for duplex systems, are available with or without - -- , _ -.- alarms. • Control alarm systems are available for t phase pumps used in simplex r _ r system. Sea FM0732. 14e • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable SELECTION GUIDE level long cycle controls. 1. Single piggyback variable level float switch or double piggyback variable level • Sealed CWk - Box available for outdoor installations. See FM1420, float switch. Refer to FM0477. • Over 130 °F. (54 °C.) special quotation required. 2. Mechanical allemator M -Pak 10.0072 or 10 -0075. • Refer to FM0606 for 200° F. applications. 3. See FM0712 for correct model of Electrical Alternator E -Pak. 4. Variable level control switcht0-0225 used asa control activator. specify duplex or fiat 1 3 ) 4 t) sY m. e 5 Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex 140 Series - 53 lbs. 4140 Series - 73 lbs. or 2 pump operation, 10 -0002. 14014 MAW MODELS control Selection —� Modal Moda =YoltWh Mode Amps Simplex Duplex N140 4140 115 1 Non � 15.0 � 1 a 1 8 5 � :.r3&4 IV � CA UTIO N E140 I E4140 230 1 lio — "*i. 1 or 1 3 5 z x a s a Al installaBon of oonhols, pro4ec6on devices and wrktg should bed" by BN140 SN4140 115 Non ~ 1 5.o 1 o r - 1 & 5 2 or 3 & 4 BE140 ' NOW 7.5 1 or 1 8 2 or 3 8 4 a quarlfled licensed eleChlCtan' AD electrical and Safety Codes should be U=4140 230 1 followed Including the most recent National Electric Code (NEC) and the eal p.I •« Double snpa are avallable w .h optional InOislure sensors. Seel Fail indicator 10t Night evai{aWe in NEA1A 1 a��NEAIA 4x OceU IOrlal and Iteaitll Act , 06HA p� Safety (OSHA) control s. panel RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. hWL r0: P 0. BOX 16,347 LowsWo, KY 40256.0347 l Manulaaurersof . . SHfP T0: 3649 Cann Run Road ® Lousvide ,KY40211.19ET PUMP !D, (502) 779 - 2731.1(900) 92 &PLWP FAX (502) 774 -3624 4;, ��04 f � :�Po i 77-sl sF��� 1 � ��• i o F � OF � w � C 4 ` AM . • on paper not lass than a 112 x 11 inches in size. Plan must include, but St. Croix j horizor4d mhrenca PARCEL EL i.0. # rwti µ...... N. ,.. point (8M). dsed'an and X of stops, scale or ;;;•::.; ►+ ++'i,��' �.. comu Mond, north arrow, std loo fm and distance to nearest road. 'Q B Y REYI B DATE - _ PPLICANT INFORMATION PLEASE PRINT ALL INFORMATION OWNER: F71 PERTY oW PROPERTY LOCATION R OW Scout GOVT. LOT NE u4 SW v4A 3 T 28 ,N.R 19 � W PERTY OWNER'S MAILING ADDRESS LOT i BLOCK M SURD. NAIVE OR x To 353 Awatukee Trl - NEAREST ROAD STATE ZIP CODE PHONE NUMBER CRY LLAGE OWN Rd. [713 549 -6731 Tro 139 New corlstfucom Use (x] Redidentiei t Number al bedroottts 3 (1 Addition to ebs*V WON 1 1 Repamrneall ( 1 Pufilc a commercial desalee PW Code derived del doMr 450 9Pd Re0°^ design loading ' 4 bed, . 5 , J t ea m ow 375 bed, A2 375 _ tr®nctt, it Lia*ntxn design ba*q rape • 4 bed, gpdJR • . !> Remmmmttded i>NfmMon swwe elevations) 99.30 K (as relerred to site plan bertoht» ark) Additional deMp / SM ooflSideral m - sys p. ba on =t Mr Jim of - eL 283 30' Parentmatertal pitted glacial drift Flood plain elff"Mn 4apocable na R S. Subtle tot sya"m co couvEmnom ® a ❑ U W4 PRESSURE 0 g 9]U [1 S® U n 3 ! 1 U a ftilibtble IOf SOIL DESCRIPTION REPORT Depth OorMnaf+t Color fiAotdee Structure Corgis roe �„ Roots GPDItt goring # Hori Texture tar. Sh. 13ed in. Munsell Q u. Sz.OWL color 1 1; 0- 2 none 1 2msblc mfr cs 2f .5 .6 sicl 2msbk mfr 9w if .4 .5 2 12 -24 10yr4 /4 none _ Ground 3 24 -35 10 r4/4 none is OS9 _ mvfr rw na . Anp -7 2 it 4 35 -50 10 r4 3 c2 7.5 r5 /8 m na _ na na na n to Long i Remarks: i Boring d 1 2mst�k mfr cs 2f • � •6 ffA4'340'22 1 r none - 2 sicl 2ms bk.. - - mfr 9w if •4 .5 19 1 r4 4 none -- ; 32 7.5 r4/4 none is Os y alvf gw na .7 t • Ground na na na np np 55 10 r5 4 22 7.5 r5/6 c1 _ nl n-1 11. . 08010 1 1 Remarks: -- - T me: - plume t X p� .....Phone: Na 715- 6200 5T C� s 1554 th. Ave.. �Iqbm�o 7 -22 -690 MEN MEN MIN MIS ME IMM MIN MEN MIN MEN MEN MINE 110 SOME oo mm MEN MEN MEN MEN MIN MEN MEME MIN MEN MIN M. MEN MEN MEN IN INN No MEN mo ME MININ MINE •� STEEL'S SOIL SERVICE "nry L. S #eel Richard stout : , . 1554 200th Ave. .3 U2298 NE SW 53 T28N - RI 9W New RWwnond, W 54 017 MPRSW3254 town of Troy (715) 24&6200 1 lot #37- Country Wood N 1 "=40' EM.= top of SE lot Stake 0 el'. 100 �P M 61 &W "s lopE C��wL bt Gary L. Steel 7 -22 -96 Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 �sc onsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary September 06, 2001 CUST ID No.242514 ATTN: POWTS Inspector ZONING OFFICE TODD C FEATHERSTONE ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/06/2003 Transaction ID No. 674254 SITE: Site ID No. 635615 AUST CONSTRUCTION - RESIDENCE Please refer try both identification numbers, TOWER RD above, in all correspondence with the agency. TOWN OF TROY, ST CROIX COUNTY NEIA, SWl /4, S3, T28N, R19W LOT: 37, SUBDIVISION: COUNTRY WOOD 1 ST ADD. FOR: DESCRIPTION: NEW MOUND SYSTEM / 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810699 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: On page 3, the aggregate in the dispersal cell shall be covered with approved geotextile fabric that conforms to s. Comm 84.30(6)(8)., Wis. Adm. Code. ,2` On page 3, observation pipes shall be provided with a suitable means of anchoring. See Figure 8 of the approved mound system component manual for complete details. I/< On page 4, the dose tank for this project is manufactured by Weiser Concrete Products, Inc. and has a model number of WLP 750 -MR. The manufacturer and model number as listed in the Wisconsin Plumbing Products Register must be shown on the plans. Ar. r On page 8, the benchmark has not been defined as specified in the approved mound system component manual. Refer to the soil test report plot plan for this information. ,S'! On page 8, the contour lines have not been properly labeled as specified in the approved mound system component manual. Each contour line must be identified by the elevation that it represents. 6. The soil test plot plan does not show all of the lot lines or provide the parcel size as specified in s. Comm 85.40(3)(a)4., Wis. Adm. Code. 7. On page 8, all of the lot lines and the parcel size was not shown as specified in the approved mound system component manual. This approval assumes that the actual lot line locations will not impact any part of the onsite sewage system and that the entire system is located on the same parcel as the residence it serves. i TODD C FEATHERSTONE Page 2 9/6/01 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. Sincerely, /,:' FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 P ER E AGEL POWTS PLAN REVIEWER , INTEGRATED SERVICES WiSM AR'T OdO.Q6"! (608)266-2889, M - F, 0630 - 1500 HRS PEPAGEL @COMMERCE. STATE. WI.US cc: KERRI LEE, AUST CONSTRUCTION Wisc. i Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labr .d Human Relations ^` of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # c1 d dimensioned, north arrow, and location and distance to nearest road. � ` )2- APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION E EWED BY DATE �° orlo PROPERTY OWNER: PROPERTY LOCATION Richard Stout GOVT. LOT NE 1/4 SW 114,S3 T 28 N,R 19 Tor) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 1353 Awatukee Trl. 37 1 na lCountry Wood -Firs A dn. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE SOWN NEAREST ROAD Hudson (715 549 -6731 Troy Tower Rd. [ New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gld Recommended design loading rate • 4 bed, gpd /ft • trench, gpd/ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft2 - 5 trench, gpd/ft Recommended infiltration surface elevation(s) 99.30 ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour line of el. 98.30' Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 1 ❑ S z2rU [NS ❑ U ❑ S 97 U ❑ S ®U 0 S 91 U ❑ S M SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bo Roots Bed ITrench ''....1..... 1 0 - 12 10 r4 2 none 1 2msbk mfr cs 2f .5 .6 .S - 2 12 -24 10yr4/4 none sicl 2msbk mfr 9'W if .4 .5. 2 s os: mvfr w na .7 .8 . 24-35 �0 r4 4 none 1 9 Ground 3 / 3 • � Y elev. 97 ft. 4 35 -50 10 r4/3 c2 7.5 r5/8 m na na na na np np Depth to limiting factor 35" Remarks: Boring # - - 1 0 -10 10 r4 2 none 1 2msbk mfr cs 2f .5 .6 .� 2 '" 2 10 -19 10 r4 4 none sicl 2msbk mfr gw if .4 i.5 •`f 3 19 -32 7.5 r4/4 none 1s osg mvf gw na .7 '.8 } Ground elev. 4 32 -55 10 r5/4 c2 7.5 r5/6 cl m na na na np np 99.9_ ft. Depth to / limiting factor 32 cJ C! t� Remarks: " CST Name: Please Print Phone: Gary L. Steel 715 �415�6200 Address: +CE 1554 0th. Ave., ichmo d, WI. 54017 D ' �� zo ��8 Signature: 7- 22 -9�te: CS Number: t PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 2' 3 PARCEL I.D. # C 10' - 12 - S� c 1 16 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /f4 Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -13 10 r3/3 none sil 2msbk mfr cs 2f .5 .6 •S' 2 1 13 - 29 10yr4 /4 none sicl I 2msbk mfr 9 if .4 .5 �( Ground 3 1 29-48 10yr5/4 c2d7.5yr5/6 cl m na na na np np elev. 9 6.8 ft, Depth to limiting f +29 Remarks: Boring # ............ + i Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor F- Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) . Y STEEL'S SOIL SERVICE Gary L. Steel Richard Stout 1554 200th Ave. CSTM2298 NE4SW4 S3- T28N -R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246 -6200 lot #37- Country Wood N 1 =40' BM.= top of SE lot Stake C el. 100' tvi 3/ Gary L. Steel 7 -22 -96 I yep -13 -01 01:43P Aust Construction Inc 653 1548 P_01 ST MIX COUm 39MC TANK MAiMi MANM AORRObMfr ' AND d WNSItSW CERMC. AIRON P(ltM OWIN A3UY4I mu I FR MMft AAdr4A _ lR23 AA,�L.I. = L UMHITE I LK MN. 55110 .t 11 .�^.._ PlVaty AddnM .1 L•� 0. ne. (vwfflolRise wgeYM >� !4� D.peolpd414 tlrrw �� ^.�._ dt)0960 -. TRQY — WI Pamd Wftftcalm NuMbW 0740- 1294 -80 C)00 PROM kV i Uodi= IlE.__ K SW V4 Sea _ 3 _ , T 28 _ _ W. "1`erwA Ot TROY ad [aa op _.. COUNTRY WOOD FIRST AD ITIQN to R aT wrarar miw Dud / 6 31M Ve}tims _ 485 , P'�p 5 30 1pm home Q yu {] taro Lot SIoeM Undfi" O yap Q no Now st O a f="& tat4 "WtmyowereawlgVenda4b�►It /fir M�rwartrYr►ll+ dft eeae� eti»..ptiarE e■ � seel■eet eul�e h �r ��Iae at�wi+4ws. . � > �� eSleee r Malt r alt. Cwbr; twin Depwrwlt � ellalatMerlesl, �� �!► dre alwec ee�i b • i�� {�adytl�� al �V+4'�b��n�lyMdlt��■b�+af�ardq� legeatls plavpMS (K.d�s �� M akr 41Me Ui � �[iMMe- . �ielwieuipol)r�ewMw�alwM agiaer. 4iaad�peswe�Mr' dttllepdwte4raapidoeleie��Ma1111�04 i M* � M i�rlasrilAraDgr�4�aCN�dSr4�rM ■►ptrat�MlrlMa. C�tlAwiis eru, d. r. a,a �4r, tw.. �l�. ��rta�aaalr�t.c�Lw<c�••�►om..+� A DATE adts4► tl�t OR ed1lm ea f ew tub to bW GtMW baMegMe. [ tm) m (m*3 do owmd* et � �areeltx+d abtr *Mrr aIf ■ woYr �ee4.ee�,d M �e�irta' � Deedr O1Ree. CWAPPEIrAP r OATS a ....•• 1►+ khmsdft tlrt is mWwpwmAodm ► amk k *s it *W pm* bgq - s JW do Zre ft D*mu=L ••• r* 12*6 90 06 qOUUNW ! SMWW WON" dW 6M do 2 o f Dee& ON= a $W eC 17,e a4116ed +wr*!► � it nAiwae M eee�r M the �+a' died 08/29/01 MON 14:37 FAX 715 386 4687 REGISTER OF DEEDS l P STATE BAR OF WISCONSIN FORM 2 - isvia C11L WARRANTY DEFD KATHLEEN H. WALSH REGISTER OF DEEDs Dooun'&W Numbor JAQ5pA,�630 ST. CROIX CO., WI REMYO FOR RECORD This Deed. made OuLmon—, AN WARRANTY WED EXEMPT k CEAT IMPY FED and KNERT LEE COPY FEE; TRANSFER 5EE-. 143.70 PAM. REMINS FEE: 10.00 ... . . ..... I Gnardar, fora valuable cmAdemdon. conweysand Warrants to Grwiuw the rollowing ;IcxrlNd real czmo in County. Stara of Wisconsln' Lot 37, Plat of Country Wood First Addition, Nat- and ftturnAMPM Town of Troy, St. CroiX County, Wisconsin; TOqgtb*r with an easement for A private septic sewer system and drainfiald in and under art of Lot 25, Plat of Country Wood as dercrded in Vol. 1233, FA90 275, DOC. No. 558032. ThIsiS not holliestaodpmpemy (is) (W nut) Exeaptlonstoww%ntles: easements, restrictions, rights-of-way and covenants of record. Gated thlS 2 1 a t-- day of --_-Zazj 200 0. Richard 0. Stout (SEAL) (SCAQ ... ... (SEAL) AUTHENTICATION ACKNOWLEDCMENT 3igrretlue(� _. Stato of Wisconsin, St_ Croix County. autheaucatearnis Personally came beram me thif, - day or ...Aanuary 22p Q_ the �boyeaamed NOTARY PHRLIQ, TITLE: MEMSFR STA;11-.'BAR 06 WISCONSIN STATE OE 1U1SI ra me kncwn In he iffiffiL the FCM;j01nP .L1WClZed DY §706,06, Wis. Slats,) d acknowle4e3tic sanw, TH5 1N!sTF1UU9Nf WAS DAA;!rro ey Janet P. Stout 1 35 Awatukc-a Tr. Hudson, W1- 54016 No Public. state of ruin P �- . MY in) Tj (Signatureb may be auth*rd-rAM or ;4n�WVJ- Bat ari! not MT& RM OF MSCONSIN L"Ai amw Co., 11th. WARRANTY DEED FORM N. 2 - 19114 MIIwo-l�aa RAF.. ` 1 C J• a iX x Y N ,r � r ' r SEPTIC EASEMENT FOR LOT 37 COUNTRY WOOD FIRST ADDITION Located in part of Lot 25 of the plat of County Wood, Town of Troy, St. Croix County, Wisconsin; further described as follows: Commencing at the southeasterly corner of said Lot 25; thence N32 along the northeasterly line said Lot 25, 119.85 feet to the point of beginning thence continuing N32 11 W, along said northeasterly line, 253.17 feet; thence S00 11 E, 208.70 feet; thence S87 0 35 1 32 11 E, 134.68 feet to the point of beginning I� 1 u to C6 i O ri 4 CY I— co N a C� I N M1 °. OD \ ,69'L0b 3 „0£,Sb M„ 6s, S£ ZCS L,_ g CSI to p \� CvI 0 I— Z -JI o o m OD O n j R II LAJ I /Z W fI = G(' ' V 5 Ln I VVI LAJ N 0 r -J1 �" N w .. 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