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tz /� / kR3 V�; %i7 W. � Cl) ;g ƒ z 0 & 2� ® 2 / : a 'D m k § . e y :3 o n , § 2 (D ( \ ( o § § / 2 G 0 a 2 o E E k / g C o © C > ¢ 0 3 CD » ) 2 A �. Q CD @ 8 § 3 / k E m 0 r- CO) § 9 2 § % \ o a o' ■ ` \ (a co co / / § / 0) J f M } 2 CL _ OD N) \�� CL 0 \ = z \_ S > E o \ g o T 7 �- ƒ r S & / 3 E CL \ k _ (D z m ` - . \ C G ) 9 . ■ / § 0 A \ / 2 o r « 7 2 �2 $ § @ = ®CL =ECD -ca CL CD CD CD 0 �� - noee \ / ° 2 mm9Lrm0 2)))[\Ea3o k '� 0 C $ IiE =Em & �CD o 73E ; eiE�m $ 7ia\ 2 aQo rs 124- £ §k_ a0im ) t ik f§§§ 0 ID CL k 'a �k\C /k�B �C 7 o � �_ £ a CD o 2 C _ . � § \ -o �2 §� �\ it I! !i 3� Ly I� ICA 4?1 C, e ., _., i k ',`_. ._ Pam Quinn From: Jansky, Leroy G - COMMERCE [Leroy.Jansky @Wisconsin.gov] Sent: Monday, December 14, 2009 10:57 AM To: Pam Quinn Subject: RE: Sampling results for Teens for Christ church I have reviewed the maintenance plan for the Teens for Christ Church and school. I believe that there are two options. Option #1 follows the approved management plan. High strength wastewater means aeration and pressure distribution would be implemented. If the wastewater strength is a little high and into the high strength category, then option two might be useful. 1. The Church implements the testing protocol as per their management plan by collecting and analyzing one dose tank wastewater sample each quarter for one year. If any of the quarterly grab samples are over the maximums for domestic wastewater then they are to take six samples over 30 days and the average of those samples will dictate if changes need to be made to reduce the contaminate load. If sampling reveals domestic strength wastewater, or better, then I believe the case is closed on the high strength issue (unless building use changes) and the system is operated like other systems with regards to treatment and maintenance. 2. Review and report on system operation and maintenance, conduct an inspection of the system and specifically note ponding levels, and take one wastewater sample from the dose tank. If there is no ponding and we find out that the strength is a little over the threshold for domestic quality, then a state plan revision may be in order as an at -risk system. Such systems would be on once a year inspections for ponding (no wastewater testing - usually). If severe ponding were observed at any point there would be a need to implement a contingency plan to eliminate the condition prior to massive hydraulic failure. This likely means aeration technology would be installed. We would check with the plan reviewer, Pat Shandorf, before going to option #2 to make sure that there are no pitfalls in the process. Leroy G. Jansky, CPSS POWTS Wastewater Specialist Wisconsin Dept. of Commerce Safety and Buildings Division 13 E. Spruce Street Suite 106 Chippewa Falls, WI 54729 (715) 726 -2544 - Office (715) 726 -2549 - Fax (715) 828 -5902 - Cell From: Pam Quinn [PamQ @CO.Saint- Croix.WI.US] Sent: Monday, December 14, 2009 8:54 To: Jansky, Leroy G - COMMERCE Subject: Sampling results for Teens for Christ church Hi Leroy, I am working on a zoning permit for the Teens for Christ church, which was approved for construction back in 2004 and Shaun Bird did the design for the POWTS. The system was installed May 2005 and Shaun's contingency plan called for 4 samples of effluent to document whether or not it qualified as High Strength. We have no testing result reports on file and I wanted to check with you before I call Shaun. This site is in section 4, town of Troy and the trans ID is #1123724 approved by Pat Shandorf 4/18/05. Our meeting with Dennis brought this to my attention while I was drafting the findings of fact section. Anyway, I don't want to raise an issue if there isn't one, but if Shaun never 1 followed through with the proposed sampling of effluent, he will be required to do so before the church will be allowed to amend their special exception permit. Thanks - hope the information isn't buried too deep in your files:) Pamela Quinn, Zoning Specialist (POWTS) St. Croix County Planning & Zoning Dept. 1101 Carmichael Road Hudson, WI 54016 715- 386 -4680 pamq @co. saint- croix.wi.us<mailto :pamq @co.saint - croix.wi.us> 2 Wisconsin Department oACommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safet; and Bufldtng Division ° INSPECTION REPORT Sanitary Permit No: 463422 0 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Teen's For Christ Youth Center Troy, Town of CST BM Elev Ins 4 M Elev: BM Description: Section/Town /Range /Ma No: S %, 15 LAI Zi 04.28.19, TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark �.5 �03.7i 11 7- ... Dosing �/ y b0 C2��o— A • f _ Aeration D Bid . Sewer ' S /� / L a ing �!i L�G�-� a.- / 6-0 L� S XUL (:Mh.,:A �ts , 0 2, tlet TANK SETBACK INFORMATION o TANK TO P/L WELL BAG. Vent to Air Intake OAD tD� e • -3 3 _ P >7�t'�G -o Septic Vw / Dt Bottom dA 3 G rp R� 4 D sing / Header /Man. 105 A4n 1i / Di t. Pi s ' l log a W , 0 0 Hg Bo t. System 92 1 Final Grade Q �- �� SD PUMP /SIPHON INFORMATION 3 3 . 17 qq ` Manufacturer 0 Dema St Cover , GPM 1S Model Number � � � � -3 TDH Lift c i n Loss System Hea ^ TDH Ft I �.�. d1 A ' For�rr} Length Dia. , F Dist " ,0j SOIL ABSORPTION SYSTEM 24f `y.'' - to.&•4 BED /TRENCH Width / Length, No. Of Trenc PIT DIMEN NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L N JBLDG I%EJI LAKE /STREAM ACHING Ma"'TtF61�� INFORMATION HAMBER ji��, �'�JJ Ty 171 0' p Of System: U' G 1 Model Number: DISTRIBUTION SYSTEM p V'O. -!A A" Header /Mani old Distribution x Hole Size x Hol� pacing Vent to Air Intake (/ Pipe {s} ZQ� I,, Length Di'� a Length Dia / "' Spacing -T , SOIL COV x Pressure Systems Only x Mound Or At r de Systems On y / Depth Over Depth Over xx Depth of j xx Seeded /Sodded l xx - MMched Bed /Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 1 05 Inspection Location: 538 Old Highway 35 Hudson, WI 54016 (NE 1/4 SW 1/4 4 T28N R19W) NA Lot Par g,. 8.19. 1.) Alt BM Description = 6I e � �� lh ►fir — 2.) 4 2.) Bldg sewer length = z Ot ,.,C �'� u � � ,� (jam} d'- Ae - amount of cover =� / •� lJ' b ` �, / A Plan o� - -- Use other revis for information. Yes �lo � ✓ K� ��i�i �ZC/�!yh!. IoriJ C ert. �- i P •' ! G� K.r/�'' / l..11 u /� � x v " '� i Insepctor's Sig tu��r�.Yi�" No. SBD -6710 (R.3/97) G/r �,y �►e ei / w�h / PLOT PLAN PROJECT Teens for Christ ADDRESS P .O. Box 920 Hudson Wi 54016 NE 1/4 SW 1 /4S 4 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 95.0'4.5' below qrade GPD 2226 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 3048/1651 LIFT TANK SIZE 1362 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 3265 # of chambers 105 IL BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Zabel A -300 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Tower Road 444' Property Line Scale ,= 1/4" = 1 0' Old 1 1, highway 126' s � � B. #2 B - �i i B.M. * #1 Top of 3/4" steel pipe @ ! 1 i 130' 99.75' ' 3; Well is to meet all 0 lope setbacks found in Comm. 83 i i OSI H dros litter Odistrubution) r even J Pro Church ( see - jz 41 calculations I ♦Loc B-3 unit r' � To be >42' below are to be properly bedded and provided with locking covers with approved warning labels A Zabel Smart filter alarm will be installed nto filter y1 \A0 f � 6 2 0' � S - ' __ Sa _ fev Di on County `r 1 201 W. Was, 162 ��. ' '(D x k = a. Mac Sanitary Permit Number (to be filled in by Co.) Isconsin 60S 66- 15 D T epartment of Commerce _ A lic Plan ?].D. ber ionls _ s -tsi�^ _ Sanitary Permit pp T 2 In accord with Comm 8321, Wis. Adm. Code, personal infor-I e may be used for secondary purposes Privacy Law, s13.04(I �/j q-qo, � t Adss (if different mailing address) I. Application Information - Please Print All Information �C�c 53C;" O i1..1 3S Property Owner's Name Parcel # O Lot # i Block ## Property Owner's Mailing Address Pro cation I � P 0, )3 _ _ Nl�- Y4, 51 %., Section Z tate Zip Code � Phone Number LA—) T4?��N; R/ Eor 0-) II. Type of Building (check all that apply) Subdivision Narpe CSM Number ❑ 1 or2 Family Dwelling - Number ofBedrooms V61 blic /Commercial - Describe Use ai 19 tl .0 t C� ❑ State Owned - Describe Use __ _ __ ❑C�ty ❑ Vrll wnshtp o III. Type of Permit: (Check only one box on line A. Complete li are B if applicable) A. w System ❑ Replacement System ❑ Treatment H olding Tank Replacement Only ❑ Other Modification to Existing System "- - List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner lvjypc System: (Check all that a 1 2 is on - Pressurized In-Ground El Mound ? 24 in. of suitable i ] Mound < 24 in, of suitable soil ❑ At -Grade El Single Pass Sand Filter ❑ Constructed We ❑ Pressurized In- round El Holding Tank L Peat Filter 11 Aerobic Treatment Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑Drip Line 15 Gravel-less Pipe ❑ r (explain) V. Dis ersaVTreatment Area I orm 'on: �' Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Requi Dispersal ea Propo ed (s S em Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank J Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersig assume responsi ity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' gnature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code VIII. Coun /Department Use On! — _ Sanitary Permit Fee i elude Groundwater Date Issued I ing ent Signature Stamps) Approved ❑ D . pro Surcharge Fee) - U S te_ ❑ O even Reason for nial IX. Conditions Appro ,. SYSTE NER: 3° ' ?(°"" 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only fur the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Safety and Buildings ' t 10541N RANCH ROAD commerce .Wl.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 i s co n s i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Connmerce Jim Doyle, Governor Mary P. Burke, Se April 18, 2005 CUST ID No.226900 ATTIC• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/1812007 Identification Numbers Transaction ID No. 1123724 SITE• Site ID No. 696150 Teens For Christ Please refer to both identification numbers; Old Hwy 35 S above, in all correspondence with the agency. Town of Troy, 54022 St Croix County NE1 /4, SW1 /4, S4, T28N, R19W Lot: 1 FOR: Description: New non pressurized in ground system for church w/ kitchen & classroom Object Type: POWTS Component Manual Regulated Object ID No.: 1011443 Maintenance required; 2,226 GPD Flow rate; 98 in Soil minimum depth to limiting factor from original grade; System(s): In- ground POWTS Component Manual, SBD- 10705 -P (N.01 101); Commercial System, Metering and/or Monitoring Required The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. , No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, coI i stats. A The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: ! RTN4EN' OF sqp • This system is to be constructed and located in accordance with the enclosed approved plans and with t ---�_ design manuals noted above. SSE CUf �i • 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 the "In- Ground Soil Absorption Manual System" are complied with. A copy of this information must be given to the owner upon completion of the project. Key item(s) • This approval is for a non pressurized in- ground system that serves a 295 patron church with kitchen, 100 meals per day and not more than 25 students. • This system is designed for wastewater strength with monthly averages of less than or equal to 30 mg/L of fats, oils and grease, less than or equal to 220 mg /L of biochemical oxygen demand and less than or equal to 150 mg/L total suspended solids. • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. SHAUN R BIRD Page 2 4/18/2005 • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section COMM 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • Supply duplex pumps with duplex controls. Note • It is highly recommended that the owner keep on hand a spare pump of each ksize, in case tone of the pumps fails. • Please note: it may be necessary to provide pressurization to this system should pretreatment be require. • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. Reminder • Materials shall conform to the requirements of COMM 84. • Surface water drainage shall be diverted away from the system area. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Bed tank(s) per COMM 83.45(5). • Insulate building sewer per COMM 82.30(11)(c). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left add ee sha rovide a copy of this letter to the owner and any others who are responsible for the installation, oper ion or maint ance of the POWTS. Sin rely, Fee Required $ 275.00 Fee Received $ 275.00 Balance Due $ 0.00 Patricia POWTS Plan Reviewer, I tegrate Services WiSMART code: 7633 (715) 634 -7810, Fax: (715) 150, M-f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 3/29/05 Owneffeens for Christ Location: NE1 /4 SW1 /4 S4 T28 N,R19W Lot 1 Old Highway 35 Troy System type: In- ground absorbtion system (conventional) Manuals Used: In- ground absorbtion system (version 2.0) Pressure Distribution manual (version 2.0) Page# 1. Cover Page W T S. 2. Calculations for Grease interceptor and septic system '41011`clly 3. System plot plan MV 4.Grease interceptor cross section V O $ ERCE U1LD1N 5.Chamber Cross section 6. Dose tank cross section SPON EN E 7. Pump Curve 8 -9. Maintance and Conti cy plan 10 -12. Soil Test Signature �- License number 226900 [ i ' l r Here's the calculations for the Teen's for Christ Youth Center The building design for the center is being classified as a church by the designer of the structure. The building is to have a 295 person capacity church. There is going to be 3 classrooms but will only serve 5 students per classroom. So the system will be designed for 1 classroom(25 students). There will be a kitchen in the building but there will no meals served to the students. The church will have 13 employees and 5 floor drains. The kitchen will only serve 100 meals per day, the other 195 church members will go home. Grease interceptor: C= M x G x H /2xP 100 meals per day, 3 gallons per meal, 1 meal period 100 x 3 x 6 / 2x 1 = 900 gallons so we will use the code minimum of 1000 gallons Septic System calcs: The design of the system will be that of a church so Church with kitchen for 100 persons receiving meals is100 personX5 gpd /person= 500gpd Church with no kitchen for 195 persons no meals is 195 person x 2 gpd /person = 390 gpd 5 floor drains @ 25 gpd/ floor drain = 125 gpd 13 employees @ 13 gpd/ employee = 169 gpd 1 classroom (25 or less students) @ 300 gpd /classroom = 300 gpd Total gpd = 1484 gpd Peak flow = 1.5 X 1484gpd = 2226 gpd Septic tank size = 2226 gpd X 2.088 (Leroy's magic number for tank sizing ?) = 4,648 gallons I will use a Huffcutt 3048 gallons septic tank and a Huffcutt Combo tank of 1651 /1362gallons. Tanks will be in a series. Total septic tank size is 4699 gallons. System loading rate will be a .7gpd/ft^2 so... 2226 gpd /.7gpd/ft ^2 = 3180 ft ^2 3180 ft ^2/31.1 ft^2/biodiff user 11" leaching chamber= 103 chambers, I will use 105 to make each row even. Total ft ^2 = 3265 Duplex pumps will be used. See tank cross section for calcs. Maintenance and contingency plan addition information: Y The waste generated b this structure may(highly unlikely!) contain hi rength waste. Th ' en waste will go into a grease interceptor, into a se ' ank, into a another septic tank, through a Zabe 'Iter(1 /32" filtration) en into a dose tank. Sampling of waste will need to be done after system i _d and the church is up and running. The sample is to be taken from the tank. If the waste its of to be suitable, then further testing will need a done. After several tests are done, and th a waste is still not suitabl AST system could be installed after the grease interceptor and dump i the septic tank or directly into the dose tank. This should make the waste fall into guidelines set by Comm. 83. I 0pr 14 05 10:07p p• F Maintenance and Contingency Plan Additional for the ' Teens for Christ Youth � Center Samples of effluent are to be taken from the dose tank every 3 months once system has been used. After 4 tests are taken, if anyone of the tests falls under high strength requirements set forth in Comm. 83, 6 tests will be taken over a month period of time to see if the waste is high strength. The test result will be forward to Leroy Jansky and the St. Croix County Zoning office. If the 6 test average finds the strength of the waste to be high, the septic system then will be redesign to handle the problem. If after -lyea&of testing, the testin ill not need to n9 be continued if no tests come back as high strength and the usage of the center does not change.. r Shaun Bird #226900 4/14/05 PLOT PLAN PROJECT Teens for Christ ADDRESS P.O. Box 920 Hudson Wi 54016 NE 1/4 SW 1 /4S 4 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 95.0' 4.5' below qrade GPD 2 226 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 3048/1651 LIFT TANK SIZE 1362 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 3265 # of chambers 105 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Zabel A -300 ❑BOREHOLE O WELL *H. R. P. Same as Benchmark Tower Road 444' Property Line Scale = 1/4" = 10' Old highway unless otherwise stated 35 126' B.M. #2 B.M. * #1 g-L Top of 3/4" steel pipe @ B/. 130 El 99.75' Well is to meet all 0% Slope setbacks found in Comm. 83 OSI Hydrosplitter (for even distrubution) Pro Church ( see calculations) GI Location of FAST B-3 unit (if needed) ST Combo Tank To be >42' below grade Tanks are to be properly bedded and provided with locking covers with approved warning labels A Zabel Smart filter alarm will be installed into filter 620' V re .S Y` CROSS- SECTION t Approved Locking Manhole Cover !' - With Warning Label Attached Final Grade „ 4 Minimum 18" Minimum fitter Tight--° ®w "� SPEL:IFICATIONS TANK New � ' Exist n - Approved Joini Manu �� acture P� Size: w/ C.I. Pipe orrr�-r� a Gallons Extending 3" �E Onto Solid Soi ' R NUMBER OF BEDROOMS , ai r t GALLONS PER DAY ZL,(�, 3 of Bedding Under Tank Owner's Name:��� - s Address:�0„ Legal Discr p ion: ., ys d Township/Municipal ty County : .;5 PLUM ER /DESIGNER Signature: License Num er: Date: 7'TJiVl1� CSAMEtt CROSS Svti TION AND jP"CCXFICATIONS PA.G4__) N WITH DLT'x'LEX PUMPS . ,y 1►��4TEi [ R [ Ro 'f<aXe t t v� A LYE RWJFT '� "N'�- 2�A1�o'Vlt�.'RApf f ?" MzN�..,w� suiisc 11Y AAsr► 9001 Internal Tank Dimentions: A R Do t P' '" " Length ��„ i.nches Width w inches inahea.. toaklN� wAtoitd LARBt AVAtiil o Nk'11 W17[R i� _� at,w asp A 1 ! i . s �xr #N"N6 s F MUM G 't'Y %611P B' tot r .. .. J' � e Sazi i GRo�tt�p _.. t I i Note; ►�t( oiv ,. _ - > t Pump and Alarm are Separate circuits ; bF 7 � � D A�,1MP OFD COWAN" 61.00C l jr �1 le $" +� i3e d�ti� Gl.++lt►► Tow It CEifCW Tank Manufacturer; ' _ Number of Hosea : Perl3ay �/', Gallons Pet Day /# of p9dest _Gal. 'Panic Siz 13 Gallons Volume of Backflow: ._... - Gal. Alarm, Manufacturer: AO Dose Volume:......... �el ai.. Model Number: C CAPACXfiIi',S A inches or Gallons Switch T'yp+[: � � ��r�G� 8 or -�� Galiorts Sump Muanufacturer: z ��-c� '� a inches or Gallons Model Number: J /J' D 25 inches or�t�_Gallone Minimum Discharge Rate: � � ' Total....., Inohes;l �e3lone Vertical. Difference Between Pump Off and Distribution Pipet Feet kinimum Required Supply Pressure: + Feet '�> of force Mai x r rriotion motor /160 Feet: +71 Feet Foroe Main Diameter; c� ,,_znohes Total Dynomic mead; ....... t FROM BRIAN VAUGHT—PREFERRED PUMP FAX No. 7154258035 Mar. 30 2005 09:57AM PI i O Al IDYNAV 1 : Ili= Al ?/ • I : '- 1 ",)RVANCf CORVE 1 k MINUTE [FP_LJEN_l AND - --------- MODEL 153 Feet Meters Col. !i Col. I Utees I Goi 5 1.5 45 26 69 W 1132 i 10 3,11 42 231 61 4.6 5 20 15 36 20 6.1 28 167 44 10 52 129 J4 20 25 7.6 20 — 124 30 9.1 23 87 31 35 10 1 Z2 40 12.2 LS► ul-olf •tod: 30.0 it, (9.1m) 38 it. 16 20 40 60 so 100 GAI I ONS 0 80 160 240 320 FLCW PFR MINUTE Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 7/8 •5/8 7 -- -j • Timed dosing panels available. • Eleclft:al sherrialors, for duplex system, are available and supplied with an alarm. • Variahle level control switches are a4lable for ottritrolling 1 7/8 J 71/D single phase systems. ..L • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owilk-Box available to outdoor insWafioins. See FM1420- • Over 130'; (SA*C.) special quotation required. n ht /h6 15111SX153 Sedes 110111SVIS3 MODELS Ca"oll SdKftn Modell vd—tta Mode Amps Duou Nisi its i NM 6.0 ,.. �Lwsf 115 1 Auto 6. Included 2or3 W21 230 i _Non A 20x3 LBE15i 230 1 Auto 12 Included 200 +SiTEMP N152 Its I Ngn as t 2or ON152 115 1 Auld as litctuiled 203 ,- ils2 230 t RGA Q t ?Qrj i BE152 230 1 A,& 4.3 Included 2or3 Lwl . 115 1 MW 10.5 1 20r3 1 SWI531 tis I --- KUW — 1 _Lneww 20,3 SELECTION GUIDE I E153 1 230 1 Non 5.3 1 2or3 i all 153 230 i n ub 5 . 3 Wyded j 2 or 3 1, S"le pSgybad variable level that switch or do" piggybao variable Level float j j %vilich. Re* to FM0477- 1A CAU11bN 2, See FW712 for correct model of Electrical Aftemator E -Pak at invAllatiqn at cootrots. Protection dgwicoo and whing should be done by a quallfied 3, Variablefievel control switch 10-0225 used as a oonW activator,sparify duplex (3) ricensed electricim. All electrileal and safely coded should be followed including the most recent NafioAal Electric Code (NEC) and ItteftupStionall Sift Nd NQSMAct(DM or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety Factor is engineered into the design of every Zoeller pump. MNL 70.1 Aa " 1w) LDL*WKKY 40204ut SW 70. 3W CAno Run fted \ ° i J � , , L*6^04211-119111 jqwr, Pf&w S"" ms (Sa 778-7M - 1 (8M 929PUMP *ncom 774-IM ith ir•Knh# %nA7 7rwlitaw All Cross Section of Standard Biodiffuser Leaching Chamber Typical cross section for 2 of 5 cells Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area To be >1' above grade / Finish grade elevation Typical Installation 99.4' Vent Grade Vent 4' 4 4 , X30/34 Septic Tank 6' Long 155 5, 6' Long 1 „ Grade at System Elevation 34" Grade at System Elevation 34" Chambers are to be served by a Orenco HydroSplitter Spacing 5' 5 -3' X 132' Cells Same on other end Observation tubeNent 31' 1y / 21 chambers per cell System elevations: to be installed in the 5th All Chambers are to installed at 95.0' chamber and the 16th chamber �T PLAN Page of GEMS 8� MANAGE .� ER'S MANUAL SP6GlFICATIONS � D POWTS o SYSTEM C al ❑ NA Septic Tank �:alsaC uf�ai w . t>` G. ❑ NA t✓tt iNFOt2MA S septic Tank Mar► Owner. D NA p #. Effluent Filter manufacturer 13 NA Model Effluent Filter p NA pESIGN PAR�►ME7' -Tank CaPa c* / a al Number of Bedta0'ns Pump - NA Number Of COt Units allda Pum�T Manufacturer ❑ NA flow (average) d .Pumuf ct uef E Dean flaw {P�� (gym r � alld Pump Model Son RateRate tment Unit Monthly average d Sand�G '� Filter r3 Peat Fitter flugntiM cent Quality G rn9� O Mecf►anicat Aeration D Other_ In (FO Fats..Od 8, Grease ( Man ! g220 man- ❑Disinfection abdwml� Oxyge m 1 n Demand {BOSS Total impended Solids CT ) 515o 1_ ufaGfurer Monthly `� rsai Cell(s) ressurbWd) average Dispe p l (p Efflue Quaft n.ground (gravity) ❑ Mound I'netreated ( :530 mg/i C3 "rad ipl Oxygen Demand ( D Other_ B'ioChert� ded Solids (TSS) ❑ Dri norr oar W and Total suspen va mean) sit)` cfu /'l ppml ical for domesW ( Few CoGforrn (9 tuestYp �� I Y. inch diameter s eptic tma emuent ter t�laxirnurn Effluern Particle Size .. values typi� for pretctated w+sre+ Service Frequency MAINTENI�►NCE SCHEDULE ar(s) (Maximum 3 yrs.} Service Event p months AL least once every uals one -third ��) °f ink volume inspect condition of tank(s) ilvhen combined sludge and scorn e4 r ( s ) (Maximum 3 yrs.) D month , Pump out contents of tanks) At )east once every :3 r(s) inspect dispersal cell(s) At least once every D months s) D NA effl faer D months Clean e At feast once every "`� D months D year(s) ONA Insped Pun'iP• pump controls & alarrsr At least once every Pressure test D months ©yeaKs) DNA Flush is and P At least once every D months 13 y ear{s) DNA � At least once every Otter_ cont one of the following licenses or ,MXTEHANCE INSTRUCTIONS t cells shall be made by an ind'ivlduai cariY nsPect°r. POV Maintainer, Septage tnsperr6OM of tanks and dispersal Plumber Restricted Sewer. POWT s to identify any missing or broken . Master Plumber. Master on of the tank(? rn and m check for any back up eerdfica fiorts'. ns must include a visual inspecti a and sees ervidn9 Operator- Tank inspec6o me- the volume of comb S ined slu W check )fie effluent ham, any em� or leaks. Th di5per celi( strati be visually insP ponding of effluent on the or ping of effluent or the ground surfer riding of effluent on the ground surface- the focal reg u �y a nd torah_ pipes and to Check for any Po Hires the Immediate notifx"tion of in the observation indreate a failing CO ndit�n and r� or more of the tank volume NR ground surface may and scum in any tank equals one ()4? o enti f in accordance When the combined accu slu with mutation of by Operator disposed entire contents of the tank shall be rem a Septage Servicing Ope and any in Admin>s tive Code. onents. pretreatlFment 113. Wlscons a certified POWTS Maintalner. n of effluent filters. mechanical Or pressurized POWTS comp be ce even The servici g o f completion of any servi mai ntenance o r meniitoring at intervals of 12 months thO A t S� O other mat � to the local regulatory au tY A s rACe report shah "be provi p ro d uc ts or other for t h e presence of painting are START UP AND OPERATION use of the I'OWTS check treatment tanks) e� cell(s). if hig For new dons>h. Pn a the treatment p ros and/or dama Pe ge #fie d15 opera prior to use_ im a se tage servicing chemicals that �Y � s removed by P e tank( s) nts of th _.._ detected have the oonte - Page . " ve surface. • . _ editions are frozen at the infilirati rt fair excem r When soil co result in the rn start up s hall not Occur . 1M ate. normal Wghwater levels. ' On g th cel(s) and may S es pump tanks 0141f cell($) in one large dose. p1t$nte urn tank removed by a During p ou f 1 arged to the disper T W o id this si�ion have 1 contents. a� Or POINTS Mair+t2iiner to �� d• ct wve of effl� power to the effluent pump or � tank. S ape S ng P ��s�n� tore normal feYe� within the . and daspers� Do not drive qr park over, or otherwise dsburb or oorrlpacx, Do nOt drive or park veWes � tanks any m ound or St-grade sol absorption area a �e �rfonnance �d Prolong the tl�e , ,in 15 feet down PB r stream may imps floss; di"M Me area s; den ta l from the �nrdstewa of tare folio ing cotton swabs; degreaser Reduces or eftmination �igatette butts; condoms; efin s asotine; gr herbicides; meat Of the POWT& antboo ; bab, water, fruit and vegetable Pe ..and wager softener brine. d tat; foul d�des: sanY napkins; tampons; ASANDOWMENT taken out of service the folt -33, steps shaft lar taken to Insure that she W1W the pOWTS falls andlar is Pe win cornP!'rance with nd chth_ Comm 83.33. VYrsconsin Administrative Code and safelY a�ar'� �� � ae abandoned pipe openings sealed - pro p erly system is dispos of by a Septage Servicing Operator. All piping tanks and P shall be removed and properly dispos ed and the void space 7, portents of a[[ tanks and p e vated and removed or their Crovers rsmo+r After pum ping, all tanks and p shall be ma • filled with soil, graereJ or another melt solid material. CONTI NGENCY PLAN the following measures have been, or. must be taken, to Provide a code if the POWTS tails and cannot be n, tacement soil nt replacement sYster for the location of a rePla and should not compga t.� has teen evaluated and may be utilized X . suitable r!ep n e mp tares should be protected from d lot and compa �' ` ab�P� SYs from existing and proposed structure. required setbao [ot [roes and welts- a suuitable be infringed upon by will result in the need for a new soil and site °evaluation t establish protect the replacement area ent s ystems must comply with the rules in effect at that Ba rring advances in PO replacement area. Rep cement area is laceR► L3 A suitable repla be ink Od the failed POWTS as a last resort to replace i technology a holding rank maY be a suitable replacement area Upon failure of the POWTS a soil and not been evaluated to identify ua p The site has to locate a suitable replacement area If no replacemen area Is available a site evaluation must be perfbaT rt to replace the failed pc)WTS_ removal of the biomat at holding tank may be installed as a last reso in ace fopov+ring IU Mound and Sits soil a bsorption systems may mu m ply with the rules in effect at that time. the infiWatNe Reconsbtrdsons of such sys tems «vVARNINGa> 174IEt� TANKS MAY CONTAIN L014AL GASSES AND /OR INSUFFICIENT OXYGEN. SEPTIC, PUMP AND OTHER A ' C r10 NOT ENTER A SEPTIC, PUMP OR O?HER TREATMENT TANK UNDER AAIY IRCUMSTANCES. DEATH MAY RESULT.. RESCUE IS 1 PERSON FROM THE OF A TANK Y MA SE DIFFiGt1LT OR IMPOSSIBLE. J ,aoomoNAL COMMENTS G �e, pOWT -S MAINTAINER POWTS 1NSTALLER ENam / `,/ Name u :-� c I !� ----- =� J Phone 2) o Z_ TORY Ai3THOR(TY LOCAL REGULATORY SEPTAGE SERVICING OPERATOR Pt1MPER� �/t Agency Name c ` .� S Phone 71'"''. 6— �� Phone �i — dowme lake Marquette and Waushara trpurtty Zonlag and SanftatiiM 290rdM 7>>Ts T1us aoarmem was drsRsd by go stairs of the tsen Code- Use of this Qowmer�t u,e minimum rr+avuen wits of ch_ Carlin $3 M ")(t)(d) &(t} and 83 ). (2) � (3). Wisconsin AdunlNs-ir8� GMW (V0t) guarantee the pedoatnance of the POWfS_ Safety and Buildings 10541N RANCH ROAD ' commerceml.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 i s c o n s i n w ww.ce.wi.gov/sb/ sin.gov www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary April 12, 2005 CUST ID No.226900 .4 TTN.• Plumbing Inspector SHAUN R BIRD MUNICIPAL CLERK BIRD PLUMBING, INC TOWN OF TROY 1008 192 ND AVE 654 GLOVER RD NEW RICHMOND WI 54017 HUDSON WI 54016 -8211 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/12/2007 Identification Numbers Transaction ID No. 1123730 SITE: Site ID No. 696150 Teens For Christ Please refer to both identification numbers, Old Hwy 35 S above, in all correspondence with the agency. Town of Troy, 54022 St Croix County NE1/4, SWl /4, S4, T28N, R19W Lot: 1, FOR: Description: 1000 gal. Exterior Grease Interceptor Object Type: Plumbing System Regulated Object ID No.: 1011446 Plan Type: New; 1 Grease Interceptor(s) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No ma erson in or work at plumbing in the state unless licensed to do so by the Department per P Y engage e g g P g s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • The plumbing system shall be installed in accordance with approved plans. 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 vl 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. « r Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. C Sin ✓ Fee Required $ 70.00 % Fee Received $ 70.00 Thomas E Devereaux Balance Due $ 0.00 -' Plumbing / POWTS Reviewer II , Integrated Services (715)634-3026, 7:15 am - 4:00 pm Mon. - Fri. tevereaux@commerce.state.wi.us WiSMART code: 7657 cc: James E Wehinger Sr, Plumbing Consultant, (608) 339-7430, Teens For Christ Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 3/29/05 Owner:Teens for Christ Location: NE1 /4 SW1 /4 S4 T28 N,R19W Lot 1 Old Highway 35 Troy System type: Grease interceptor Manuals Used: Comm. 83 Page# 1. Cover Page 2 -3. Calculations for Greas i terceptor 4. System plot plan 5.Grease interceptor cro section Signature License number 22 0 i ®l (illy , E, 10� Np 6 1LD�N�S ,r SPF � �� GOR �� ;t� Here's the calculations for the Teens for Christ Youth Center The building design for the center is being classified as a church by the designer of the structure. The building is to have a 295 person capacity church. There is going to be 3 classrooms but will only serve 5 students per classroom. So the system will be designed for 1 classroom(25 students). There will be a kitchen in the building but there will no meals served to the students. The church will have 13 employees and 5 floor drains. The kitchen will only serve 100 meals per day, the other 195 church members will go home. Grease interceptor: C= M x G x H /2xP 100 meals per day, 3 gallons per meal, 1 meal period 100 x 3 x 6 / 2x 1 = 900 gallons so we will use the code minimum of 1000 gallons Septic System caics: The design of the system will be that of a church so Church with kitchen for 100 persons receiving meals isl00 personX5 gpd /person= 500gpd Church with no kitchen for 195 persons no meals is 195 person x 2 gpd /person = 390 gpd 5 floor drains @ 25 gpd /floor drain = 125 gpd 13 employees @ 13 gpd/ employee = 169 gpd 1 classroom (25 or less students) @ 300 gpd /classroom = 300 gpd Total gpd = 1484 gpd Peak flow = 1.5 X 1484gpd = 2226 gpd Septic tank size = 2226 gpd X 2.088 (Leroy's magic number for tank sizing ?) = 4,648 gallons I will use a Huffcutt 3048 gallons septic tank and a Huffcutt Combo tank of 1651 /1362gallons. Tanks will be in a series. Total septic tank size is 4699 gallons. System loading rate will be a .7gpd/ft "2 so... 2226 gpd /.7gpd/ft ^2 = 3180 ft ^2 3180 ft ^2/31.1 ft^2/biodiffuser 11 " leaching chamber= 103 chambers, I will use 105 to make each row even. Total ft^2 = 3265 Duplex pumps will be used. See tank cross section for calcs. Maintenance and contingency plan addition information: The waste generated by this structure may(highly unlikely!) contain high strength waste. The kitchen waste will go into a grease interceptor, into a septic tank, into a another septic tank, through a Zabel A -300 filter(1 /32" filtration) and then into a dose tank. Sampling of waste will need to be done after system is installed and the church is up and running. The sample is to be taken from the dose tank. If the waste is found not to be suitable, then further testing will need to be done. After several tests are done, and then if the waste is still not suitable, a FAST system could be installed after the grease interceptor and then dump into the septic tank or directly into the dose tank. This should make the waste fall into the guidelines set by Comm. 83. - �` PLOT PLAN PRG„ T Teens for Christ ADDRESS P.O. Box 920 Hudson Wi 54016 NE 1/4 SW 1 /4S 4 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX -°YSTEM ELEVATION 95.0' 4.5' below qrade GPD 2226 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT )= HOLDING TANK MOUND SEPTIC TANK SIZE 3048/1651 LIFT TANK SIZE 1362 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE •7 ABSORPTION AREA 3265 # of chambers 105 i e , T V.R.P. Op of 3/4 p p ASSUME ELEVATION 100 Filter Zabel A -300 ❑ BOREHOLE WELL *H.R.P, Same as Benchmark 0 Tower Road 444 Property Line Scale = 1/4 = 10 ' Old highway unless otherwise stated 35 126' B.M. #2 B.M. * #1 B -2 B -1 130' Top of 3/4" steel pipe @ 0 0 99.75' Well is to meet all 0% Slope setbacks found in Comm. 83 OSI Hydrosplitter (for even distrubution) Pro Church ( see calculations) GI ♦ Location of FAST B-3 unit (if needed) ST Combo Tank To be >42' below grade Tanks are to be properly bedded and provided with locking covers with approved warning labels A Zabel Smart filter alarm will be installed into filter 620' r CROSS - SECTION 6c Ap p roved Locking ed M 1 Manhole an Co PA :_7r With Warning Label Attached Final Grade 4" Minimum 18" Minimum rv . .deter Tight Seal - " SPELIF ICATIONS w. TANK New rov d Manu Existing _ APP e Joini of ctt�rer. w/ C. I, Pipe Tank Size. ��3 ?______ -- a ons � 'Extending 3" Onto Solid Soi = - Me _ c NUMBER OF BE E G ALLONS ONS P ER DAY --- -- v " 3 of Bedding Under Tank Owner's Name: lee t_r-- 7'4, C' r� s Add res s: �, � v 41- 1 �� Legal Di on: scr pt �� r To�rnshi �s%� O c �'� X12 g p/Munici alit ; P Y � Co unty PLUMBER /DESIGNER Signature: License X er: Date: F0!K�/ �os�i tu,�c.v . ,,? �1ov 3 1 Wisconsin Departrnent of SOIL EVALUATION REPORT P Bge / o f 2 Division of Sa*y and r . GCS '+ 1 ac5oordanoe with "m 85. Wis. Adm. Code Cam- Attach complete site plan on less 1` is 11 i in size. Plan must County G � O ! Indude, but not limited to: ve 1 and I (BM), direction and Parcel I.D. percent slope, scale or a'nd location and distance to nearest road. Please print all information. by PeraonM Iaror -b- YOU WavWi may be used IN seMWWy p xPOM (Privacy Law. S. 15.04 (1) (m)). 2 Pmpefv owner Property t ocatimn T GoAr Lot .S C� 1/45W1/4 S T N R �9 '(or)W Property Owner's Makg Address Lot # I Block # Subd or C*W State Zip code Phone Number ❑ City ❑ Village Town Nearest Road Ml New C.onstnrctim ,. Use: ❑ Residential / Number of bedrooms —Code cWved des' n flow rate u N tib w N GPD Replace nrertt IN Public or commerc=ial - Describe: �G G � S �! /t i S T • • Parent m*MW /OLI: S S DU,Gf S.�i iVDY Flood Plain elevation d applicable . l 1 4 4 ft. General comments o ur 4/& . and recommendations: .d.t slyer, Flows To 4f- F71 # B«1� D > Q � Pit Ground swtwq elev. g _• 8. Depth to fiimtt V tactor � d in. Sal Rate Horizon Depth Dominant Color Red= Desce4AM Te)d re Structure Consistence Boundary Roots GPOW IM Mundell ChL Sz. Cont. Color Gr. Sz Sh. •Effff1 I •Eif#2 / ()• i3 /&� Yk y/ SiL IF s K nrt 2 43 .3 G 2 13. /o k' VIA ---- .S /z- 2f s b i cs f LS • 3 /o ---- Si L Z f S fo k "+ 1' a, 5 v 6 . 8 31 -59 7• SY 5 S d. So c 7 5f fM /o 2 - -5 D, F 2_ ] # Pit CRound s 1,, e1e,,. q 9• Depth to limiting factor in. Rye - Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Mtnseb Qu. Sz. Cont. Color Gr. Sz. Sh. - E&l TOM / d• �� /d 1 k Y3 e W t 16 - 3 o Yke 51L 21f 5b I 3 7•S `2 -- n0-4 . - aso CS — / 7 s • EAluent #1 = BoD > 30 < 220 mg/L and TSS >30 150 mg1L • Effluent #2 = BOD 130 mg1L and TSS 130 mg1L CST Name ram E T ^ IhR 1 i 9 4 '- 7 s Addren Date Evaluation Conducted Telephone Nmber - 2 - 0 - 0 !Z ! 77a 3 q y Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. - PAR T O Spring Valley, WI 54767 (e •7 3 P1` AJS d 1/6 ,161q. ®, d 4� GINA.�L o� 0 o , / 015 . t t /3 .i e Property Owner Parcel 10 # Page of Q Boring # ❑ Bw"s �' q , 3 5 j- Pit Ground surface elev. 11. Depth to limiting » r in. a „ soil Rate Horizon Depth Dominant C0104 Redox Description Texture Structure Consistence Boundary Roots GPDNf° in. Munsell du. Sz. Cont. Color Gr. Sz- Sh. •Eff#1 *E}yt2 / 0.)5 io /Z y 511 /fShK nr f9 w f . y • G 2- - /,o L of 5 bit � a.5 l .� i w S L S 1 z _ ROC ) 2f T v F i 6 Ye 0 1D Z I 5► L D, new. nM o f a o •/ f o -- s D Se4 �. a C] Boring D Bori� Pit Ground surface elev. _ ft. Depth to limiting factor in. Sob Appkaffon Rate Horizon Depth Dominant Cokx Redox Description Texture Structure Consistence Boundary Roots GPW in. Munsel Qu. Sz Conti. Color C.C. 1 Sh. 1 *EM F-1 Boring # ❑ �g D Pit Ground surface dev. ft Depth to Urni ft factor in. Sob Awlicadon Rate Horizon Depth Dornvsnt Cokx Red x Description. T Structure . Casistenee Boundary . Roots GPD f< in. Munsd Qu. Sz Cont Odor Gr. Sz. Sh. •Eff#1 'Eff#2 ' Ef 1uent #1 = BOD 30 1220 mg& and TSS >30 1150 mg& • EfRuent 92 = BODS <_ 30 rrg& and TSS ; 30 mgfL The Department of C merce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. aeo- auo(R.aioo� Properw owner Lo T / Z 3 P ID # Page of a Bori ng 5 F Ground surface elev. � q , 3 ft. Depth Ila knMV (fir > 1 U v in. Rate Hod= Depth Don*mt COH Rsdox Description Texture Stnxxure Consistence Boundary Roots F POAF In. Munsa Qu. sz. Cor t: Color Gr. S7_ Sh. o • ►5 io R.. "( ---- -- sr� fShK f 4 fR 'oA C. 2- b� D.. 7, 5 y , i w 5 S POG v / Y R I StL. d, n.t nM a O $«in O ewi t�prt Gr«,nd stafaqe elev. ft pepti, to fiffilft factor &n. Rate Horizon Depth Dw*wdCokx Redox Description Texture Struck" Cortstierice Boundary Roots GPDYI� In. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. `Ei t • O ' /U !d 12 -7 S L Z M5 IG- 0. _16 x Y sC L iv 2.3 = ..f Ye s;�D f SCE 3 -SI A Ve SiGc — M y:� F� Bwft S # roiard surface e1en. ft ❑ Pit G Depth to factor In. Sol Rate Horiaon � Dorm Redox Desa%*on. T ShuckNe _ Consistence Boundary . (loots GPDfl� in. Munsell Qu. Sz Cont. Color Gr. S7_ Sh. *MI 'Eff#2 Effluent #1 = BOD 30. < �0 and TSS >30 =150 mglE ' Effluent #2 = BOD mg& and TSS' 30 n#L The Department pf merce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, Please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. aerww(R.aroo1 I t v , b n 12,5 31 -ra W � 1 e ol 7 k F LL I NI y { b ` W j t 4 } x , ref /�� , • 4P Aws _ /VO Gov S Ulbricht Associates Private Sewage Consultants 2812 1 Oth Aire Spring Valley, wt. -14767 7 7 6 9 7 3 VOL19 PAGE 4858 KATHLEEN K. V'A Z% -- ' -- REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 10/14/2004 08:00AA CERTIFIED SURVEY MAP REC FEE. 1'3_ AA PAGES: E 2 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NORTHEAST 1/4 OF THE SOUTHWEST 1/4 AND IN PART OF THE SOUTHEAST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 4, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX CJUNTY, WISCONSIN. TOWER ROAD R -O -W EAST - WEST 1/4 LI - W 1/ 4 COR N� E S 02'13'12" W E 1/ 4 COR - '" SEC 4 FOUND N 8852'44 / � 33.00' SEC 4 FOUND 3" ALUM. MON. -- S 88'33'41" E _5284.79' -- �� ` 3" ALUM. MON. JM9 2583.38' - Q S 88'33'4 ".E S 88'33'41" E S 88'33'41" 443.9 00.0 2701.41' ENCROACH \ S 88'33'41" E 1 cn S 02'13'12" W 20.00' 15.00' 1 E I pl 1 \ • 60'3 I.� SCALE: 1' - 200 -------------------- --------- -- ---- - - - -- �-- 1 O 3 11 \\ i l 1 1 v `r2 of 0 5a 100 200 1 \ o i " 3, 1 �I� >Ico lal 1 \ z OT 1 AT M 10l Il r- 1 \ % � 370117 I o � ` r7 C 6 NOTE: 1 \'� v o Ac. '_lm BEARINGS ARE 1 22 p n \ 1 210' I 5I ,6I REFERENCED TO THE \� 1 cn � m - a c ) I EAST -WEST 1/4 LINE ; od OF SECTION 4, 1 `v - ASSUMED TO BEAR 1 1 �� 150' �I r S88'33'41 E. \ 50A \y \ II `' o OWNER: - _ - - __ SURVEY CONDUCTED 1 \ \\ \ o N 87'48'44" W w �II NI�1 AT THE REQUEST o OF THE OWNER: \ \ n �\ - - - -- 525.92' o III �1 ^I TODD BJERSTEDT \ \� �'' ;� "`�____� 60' 60' I I a. 392 OMAHA CT. \ 1� jp �I HUDSON. WI 54016 \ n \ 1 ( � SETBACK NOTE: \ \\ LOT : 150' FRONT SETBACK = 150' \ " 358257 S.F. SIDE SETBACK = 50' \ 5n 50 ,� 8.22 Ac. i � I REAR SETS = 50' \ j n 1 o v RIES 1 1 I ER LYNN HUMPHREY 1 \\ \\ y ZI 5-2188 I \ `,\ � .o I �I 00 5I `y IN II LOT 2 CSM \ \`� v/fRIES L VOL 3 LEGEND PG. 7 SET 3/4" BY 18" IRON — ~ \ \ i I �IcnI PIN WT, 1.50 LBS. /FT. \ ci I zlQl FOUND 1" IRON PIPE N 1 FOUND 3/4" REROD COUNTY SECTION MONUMENT I \ \ \ N 1 �I (FOUND AS NOTED) I \ 1 dal C2 - - -- BUILDING SETBACK LINE L L 2583 11 - VOL. � - PROPOSED DRIVEWAY THIS INSTRUMENT DRAFTED BY KEVIN SAMUEL SHEET 1 OF 2 HUMPHREY ENGINEERING Vol 19 Page 4858 ST CROI K COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r ? Mailing Address Property Address 35 (Verification required from Planning Department for ne nstructio ® Parcel Identification Number City /State LEGAL DESCRIPTION Property Locatio_� Imo '/4" w '/4, Sec. , T 2 '� N -R W, Town of 1 P �1 W� —� Subdivision Lot # Certified Survey Map # , Volume Page # Warranty Deed # , Volume E-7 -7 . Page # Spec house ❑ yes 4o Lot lines identifiable ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master, plumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three ear expira ' n date. ' 6 7 SIGNA DATE OF APPLICANT Ma X OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGN O LIC DATE * * * * ** A Formation that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. «� Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed - 7 '3 .1 028 U, 2 7 7 5 P 2 8 6 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST CROIX CO., w I DOCUMENT NO. RECEIVED FOR RECORD 03/31;2005 04:15PN WARRANTY I1EED This Deed made between TODD ALLEN EXFMG? t HOMES, INC., a Minnesota corporation, Grantor and REC FEE 11.00 TEENS FOR CHRIS INC., a Wisconsin non - profit TRANSFFEE 608.00 COPY corporation, Grantee, CC FEE: PAGES: 1 Witnesseth, That the said Grantor conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: RETURN TO: Lot f a Certified Survey Map recorded in the office of D. Peter Seguin MUDGE, PORTER ET AL. the Register of Deeds for St. Croix County on October 14 110 Second St, PO Box 469 2004 in Volume 1 9 of Certified Survey Maps, Pa . e 485 as Hudson, WI 54016 Doc. No. 776973. Tax ID# This is not homestead property. '9' • 0 y0 — )() i5 80 -040 Together with all and singular the hereditaments and appurtenances thereunto belonging; and Todd Allen Homes, Inc. warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. D Is day of 2004. TOD LLEN HOME INC. (SEAL) y: Todd . B' rs d Its: Iden AUTHENTICATION ACKNOWLEDGMENT Signature of Todd A. Bjerstedt as P sident of Todd Allen Homes Inc. STATE OF WISCONSIN ) 8 J , authenticated this day of ) SS 2004• COUNTY OF ST. CROIX ) �� zfipi�z4� TITLE: EMBER ATE OF WISCONSIN Personally came before me this day of 2004, the above named Todd A. Bjerstedt, President of Todd Allen (Signatures may be authenticated or acknowledged. Both are not Homes, Inc., to me known to be the person who executed the foregoing instrument and acknowledged the same. necessary) THIS INSTRUMENT DRAFTED BY: D. Peter Seguin MUDGE, PORTER, LUNDEEN & SEGUIN S.C. Notary Public, State of Wisconsin. 110 Second Street, Post Office Box 469 My Commission (expires): Hudson, Wisconsin 54016 7 7 6 9 7 3 VOL19 PAGE 4858 KATHLEEN H. V -- -- REGISTER OF DEEDS ST. CROIX Co., MI RECEIVED FOR RECORD 10/14/2004 08:00AM CERTIFIED SURVEY MAP REC O&P F E PAGES: 2 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NORTHEAST 1/4 OF THE SOUTHWEST 1/4 AND IN PART OF THE SOUTHEAST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 4, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. TOWER ROAD R -O -W EAST - WEST 1/4 LINE --- - W 1/ 4 COR S 02'13'12" W E 1/ 4 COR SEC 4 FOUND - -- B . A. - N 88'52'44" E ` 33.00' SEC 4 FOUND 3" ALUM. MON. -- S 88'33'41" E _5284.79' -- �� 3" ALUM. MON. -TO 2583. -R O ADS Q S 88'33' 4-)",E S 88'33'41" E S 88'33'41" E 443.94' 200.00' 2701.41' ENCROACHMENT - r - - \ S 88'33'41" E o S 02'13'12" W 20.00' \ 15.00' N 02'13'12" E I al 1 \ 15.00' 60'331>1co 200' 1 \ ------ - - - - -- -� ---- - - - - -- I 'v�iIto of 0 50 c0o 200 11 \\ c o 3 I UI� LOT D SF. I o l a alto MCD NOTE: 1 \ v 8.50 Ac. co �lal BEARINGS ARE 1 ZZ 0' n\ 12p' I 01,61 REFERENCED TO THE EAST -WEST 1/4 LINE 1 \` 0d I- �- - OF SECTION 4, 1 `y Go - - ASSUMED TO BEAR 1 11n �� 588'33'41" E. 1 a 50'� i 150' 3 @7 I \� IN * CIA II OWNER: : 1\ �---- - - - - -- -- ;, 111 al SURVEY CONDUCTED \ \ I= N 8 r 1 I > IM \ o 7'48'44" W w 91 1 ca 1 AT THE REQUEST o 1 OF THE OWNER: \ n 525.92' cn y Oil - TODD BJERSTEDT \w `''------- - - - - -- 60' 60' � _ o I 392 OMAHA CT. 0 HUDSON, WI 54016 n \ I 3Ja 1 SETBACK NOTE: \ \ LOT 2 FRONT SETBACK = 150' \ \ 358257 S.F. 150' SIDE SETBACK = 50' \ °' 50 \ 8.22 Ac. ; 1 REAR _ S , ET r S = 50' Go d� � oI \\ �` \ I 1 J 1 �•••`r" '�_ J1 \ V RTES I p ROGER LYNM� C3 \ \ 1 I d \ C' HUMPHREY 1 \ \ I ZI 5-2188 O�VI Ami IN 1 1 \ i 4 je�a. Wmrr ec\ V RIES I — — — LOT 2 CSM \ p� 1 cl LEGEND: VOL 3 \ \ PG. 720 \\ 1 1 SET 3/4" BY 18" IRON cq 1 ¢lcnl PIN WT. 1.50 LBS. /FT. \ ci 1 z1 ° z1 FOUND 1" IRON PIPE � 1 1 A FOUND 3/4" REROD -40- COUNTY SECTION MONUMENT 1 \ \ \ C 1 ` (FOUND AS NOTED) - - 1 1 al - -- BUILDING SETBACK LINE LOT 1 CSM VOL. � \ C2 rn 1 1 M1 PG. 25 PROPOSED DRIVEWAY THIS INSTRUMENT DRAFTED BY KEVIN SAMUEL SHEET 1 OF 2 HUMPHREY ENGINEERING Vol 19 Page 4858