Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-1277-00-000
n tn O ! 3 -0 0 C7 `r1 o � .Z "0 7! '. c 3 3 Q! \ 1 0 o N o p w 3 °' o c o3 N N H � p •0D ^ 3 N w V ` 1 C O O 7 CD n .a CD s O 7 N ( C m ` (8 D Cf) a CD m m W CD 4� ` O �t Cl) o Z c O 3 9 CL S 0 0 0 Y � 0 m co c fn fn to (r O cn CD CD CD �• � C !V N su •• N w N y �7 N D D o 0 CL CD C m I � q W C =r D) 7 N CD 3 o i --I fn v, p Z cD N � C i N M Q ? z 7 W Ul fn -i 00 w M m N co d s Z 3 a A ° o co y Z m (D ? A a O — N C o a m N I �r r NO H A fi NO N O A b °p CD dQ N 69 0 O N a, A rY\ 3 103.7T leb 'IN 'P10 nleu6!S kolodasul ales - uoi 9 f! lewjo ;u! leuo!J!ppe no; ap!s Sa43o asn ON sa,� [] 4pannbad uo!s!naJ ueld 181d Q� / = Janoo ;o 3unowe - 0 �gnjq = 436ua1 James 6 PI9 ('Z Yf, 02 = uo!ld!�osa0 W9 31`d (' L Zb9V61W*90 :ON lane , y�06 101.019 9 1 6 e3 (M6L2] N9Z1 b/6 3S vn 3S) 960b9 IM'LJOSP a1 0017 :uol ;eao� U " :Z# uo! ;oadsuI v � 9 / Z / :�#p uolloadsul (•ole'luesaid suosiad 'salouadajoslp apoo apnloul) :S1N3WW03 L ON Sa ON w Sak , posdol \ S96P3 y0u9Jl/P -/ / Jaluao youajLPag payolnlry xx PaPPoS /Papaes xx ;o yldap xx Jan0 Uldaa / Jan0 yldaa Alup swaasAS apea0 - ;y jp punoW xx Alup swelsAS ainssa.Id x 213 110S e � ..n' � 6u!oedg LL eta yl6uo' 71 eio yl6ual v [ U� e • 2 /� 4C1 £ (s)ed!d L r bu!oedS a!oH x ez!S BICH x I / t �� uo!lnquls!a P10J!ue1N /J9pe9H w e W31SAS NouneRI1SIa \ � q NI P W / L7 `� 3' r0 �a wn a o 11Nf1 / :walsAS JO adf1 HO H38WVHO NOI1VWaOdNI :jainlaelnuelN ONIHOV31 1NV3HiS /3>it9 - 113M 0019 `"d Ol W31SAS MW913S 9 1 SNOISN3W1a yldaa p!nb!l e!a ap!Sul sl!d JO 'ON SNOISN3WIa lld Sayouajl JO •oN yl6ua� / ylP!M HON3HLa39 W31SAS N011d110S8`d BIOS �Q _Z 0 r paM of •lSK1 It 1814 / 4l ual u!ewaoiod °>' ZZ , S e� wa s�( so uo!3ou L � •g ' 1 1 id Hal P H — 1 S l 3 Wl H01 � �'/ Q ' L b 2 T °) d) Z_ G s ' ` ' � jagwnN 1 cz S • g o? e ME) p 9z janoOIS puewa0 jainloe;nueyA1 • n Qf �� N0I1VWS0dN1 NOHdIS /dwnd apeJ0 leu!d Sb ZQ • S walsAS •109 6uIPIOH ad!d •ls!0 uopejay •uelnl /JapeaH f / I 6ulso0 1Z b ' r -lZ w X] I Z t S o t . S / o!ldaS lalul 30 0 d02i a>lelul J!b' of luau 0019 113M l/d II' Ol >iNtfl NOUVWHOdNI )10H813S )INVI lallno 1HAS laluI lHAS 6 u!PIOH 4_/-'!9t 'G(' Qpi v 7 �pZ �a aS '6PI9 Goo/ Zq ' poi 992 �Jewgoua9 " L ^�`^� 0!1daS 'n313 63 IH Se NOI1tf1S ),i10 'dV0 S 43Hnio` jnNVVY 3d"ll VIVO P011VAT13 NOIIHWNO:]NI NNVI Zt'9l'WgZ'80 �� t "W1(a C201 :oN delN /a6uea /uMol/uo!lnaS Q �� :uopdunsea Wa :n Wa •dsul :^a13 Wa ISO 000-00-LLZ6-0170 ;o unno oil pn�'o.giwO :ON xe1 !aoJed d!ysuMol X a6ep!n (3!O :aweN s,JaP!oH PwJad ((w)(6) b0 1'S 'noel A3enud) sasodmd tiepuooas jol pesn eq (ew aP!nad not uo!leuuo ;u! !euoSJad :ON al ue!d alelS (l1Wb3d Ol HOViId) NOUVWHOAN1 IVU3N30 0 £6££9t' :ON liwJad fJel!ueS 1U0d3H N01103dSNl uo!s!n!a 6wplma pue Ala ;eg F XIoiO • }S :(luno0 W319AS 9E)VM3S 31VAINd aojawwoo jopewliedea upugps!M 0 75 150 .5uu 12 0` 13 N '^ 2.495 ACRES N y 1.628 ACRES 108.698 S.F. v . 1 0,930 S.F. N LEGEND 3:13 1 IN g1� COUNTY SECTION CORNER MONUM ALUM I NUM CAP. FOUND. l5 12 5 63 to • IRON PIPE, FOUND (DIAMETER 2j n . I 9 14 ■ 3/4" REBAR. FOUND. ao 1.000 ACR 1 1 \ 43.560 S F. 2" x 30" I P I P E PE WEIGHING �� 2.042 ACRES \ e� o FOOT. SET. 1 x 24 IRON F �° r , p 1.68#/LINEAR FOOT SET AT AL 88,940 S.F. 1R . `$ o� ` �► SID OUTLOT CORNERS. 1" x 24" IRON PIPE WEIGHIW pp , 1.68#/LINEAR FOOT. SET. role: A 2.518 A RES�� ,� $ POINT OF BEGINNING U �+ 109.668 SY 6 NORTH LINE OF _ _ `_� °_ .� \ 0 578.17' 0 SECTI NNa E 7 d 5 ^ 4. s / �+�/ /�� S \ I T28N. R 19W �ryy . 2 VD 4.425 S 192,76 60 � 1: % I o 0 ao \ / .. $ c —� v \ \ BED .-k K: °� 18 \ i OF rlrE (7 o� Q R=80' J L \ �' 1.182 A \ \ \ ENAVD2 0! •927.00 2 51,478 f 3.000 ACRES g C19 cn I ( E X2'5 j7. 1 05.6 , �•, E \ ,.2-5148 561 1 130.689 S.F. ° 7 / o � ^' ° 1 ` \ \ N 8 4598' _ 2i r 2.515 ACRES w 33.3 R o = 109.563 S.F. �` 1 5 16 8 1.477 AC S.F. W 3 1.055 ACRES I : N 64.354 S.F. - CA 45.953 S.F. g h [ 5,601 1.470 ACRES c 1 N° . , ! n 64,045 S.F. 1 � o W I J L_ io ,1.95 g O I t -- 3 - a n � gj O � 33 Z C z 30 I 'o 100 :5 s Ct� •�— — ¢, ,T = 0 Vol S 810 73' - N 81.00 `E C65 4i C64 14,769 p0. 00 Q AOW 1578.09 40', 1 65.E �OMp,N ,3 - . 4 0 7- 2Q �D s ° 3 1 2 i 1.228 ACRES 68 C67 N N X53.509 S. 4 �, 1 L/ N o 1.299 ACRES 14. N t f o ' 56,580 SF w N° 32 - 33 + CIAO •o ti 3 1 • e � 34 ,� 1 �� �w ,�� 2.. ,. a gb 1 37 3 $$ �' $ $, - ` s d p �*! �f`. c`�` w 5� `1.093 ACRM e , i-? 7 1 M' CRE 36 - 8 . gg,, 1 , 47,619 S.F. - 11.063 ACRES �...�.e� 1 , � •� f - Safety and Buildings r 4003 N KINNEY COULEE RD commerce LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov isconsin Jim Doyle, Governor Mary P. Burke, Secretary July 05, 2006 CUST ID No. 225094 ATTN.• POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/05/2008 Transaction ID No. 1286682 SITE: Site ID No. 696435 Rudy Gmitro Please refer to both identification numbers, 400 Eagle Bluff ` above, in all correspondence with the agency. Town of Troy St Croix County SE1 /4, SETA, S8, T28N, R19W Lot: 10, Subdivision: Eagle Bluff FOR: Description: Proposed Four Bedroom Mound System; revision Object Type: POWTS Component Manual Regulated Object ID No.: 1010983 Revision; Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The V roved chat es will become an addendum to the plans that were previously approved on 3/31/05 under Transaction ID No. 1122956. 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 plumr_,g 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during A,. `N, construction and open to inspection by authorized representatives of the Department, which may include local 1� 44 inspectors. ►`�� �i' - I 0' 'ti o Note: The dispersal cell area shall be deep chisel plowed per the request of the St. Croix Co. Zoning Office. r MICHAEL P ROGERS Page 2 7/5/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 IN Fee Received $ 75.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon- Fri, 7:15 am - 4:00 pm WSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing RECEIVED Rudy Gmitro - Mound JUN 2 6 2006 Revision to Transaction # 1122956, Site ID # 696435 SAFETY & SUILOINGS Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) Location: Lot 10, Eagle Bluff SE 1 /4, SE 1 /4, Sec. 8, T 28 N, R 19W Town: Troy County: St. Croix Date: July 5, 2006 Owner: Rudy Gmitro Address: 4825 Willow Wood Drive Racine, WI 53403 I Plumber: Mike Rogers Signature: 1661� License: MP 225094 Attachments: SBD -10577 - Plan Approval Application SBD -8330 see previous application On -site contour plot plan Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 is a• F. Design Criteria Y Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 0 � gallons /day hydraulic load Design Calculations In situ designed loading rate n gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock in. Cross slope at system % C_A <C_ Force main length ft. of *2 - in. Manifold/header length ft. of V 4 in. 0.4 3 Drain -back gallons Lateral length ft. of ���+ in. Lateral elevation `� ft. @ bottom of lateral Lateral hole size ��- in. @ o, in. ( 3, S' ft.) Spacing holes /lateral S 1 holes total Lateral volume gallons Tota - 3,5 to � 4— 0 1 lateral discharge rate g gallons /minute @ ft. head Network pressure compensation losses Elevation difference Friction loss ft. @ 2 g gallons /minute Total dynamic head Pump /siphon 4 ' gpm @ , ft. of head Manufacturer ° e l Model # 1 Dose volume gallons Lift/siplion tank � ; -P-A p-� � ZSro - gallons Septic tank ' Z» gallons Effluent filter eQ V�-�ro �j �4 o s3 ZZ �4Q Measurement pump on and off o in. Height alarm from tank bottom , in. Reserve capacity gallons specs.calcs.res Page Z of g I i r / Co S7 0\1 �o� QJ � CQ-A OZ °l� F Spo 21�u, b ra�4— 1 • �.�;I, �-� S 1x r. 4 e.� y. •�Z�S 102 O w � av • � � ,1 � O O n � 3 0 d o t N off•.'. i y l (` 1 Q'. �'� C e• K� 7p ,►.� � v C o `o S °�t'v �� o y �.. a 1 ` � � b a �'t o ... c� } r o c. K `� •�. SL . �►\ t tr. L LQI M� 1 1 '� T O \ �►T p�I. �` S I I \\ 1 4 k' v e. 4 0 0 I 4q 3.33' I T l ��tG.` +�. W►/ Vw,ve. �j�xaL Or' �.�.7vI�,�O+ tit � L L V y Y '. h T O v► �. \q... Tel • 5�..�• �'1 p` C� O r 1 `� jlJr Q�1� � a--- o�A 42, s o� � Fo2�K kXT ,� k' Till.. wEJ►TKERPaool= TACKING +COVfiR JUN CTIQN 6cac 14,W .,v 1,U6 X ABED . IL pvlcK G��C.OVViGT --� —� gltti k wolSTuR6ED \S°IL ?Q" %.D. I G„ �-o tuwulw� j YE NT s- i0%" r av�'acvcD Ja 31, o C i(ET 3D WrS S`I^ BAFFLE Au. PIK a AL C s� \ 3' o.rro GQKH E LT 10 K4 w V1 ) I*�T\.) b �— J, JL - U G Ro u ►+o 4 , I X3,5 ow SEPTIC t _ SPECIFI'CATIQtJS DOSE TAWKS MAWUFACTU0.CR: (JUMDER OF DOSES: Z PER DAB TAJJK SIZE: 1~No- GALLOWS DOSE VOLUME ALARh1 MAXJUFACTUitGR: IKICLUDIAJG 6ACKFI.OW: A 0 MODEL WUMDCR: 10 � 1aw O �1 ,� �R,� CAPACITIES: �= IuCHCS OR GAt_LOUS SWITCH TyP[• Bc �. i►JCHESOR � L 'I WL LOtiS PUMP NIAIJUFACT LIKE it O l � C in S` O iUCMES OR ' GAL.0�5 MODEL 1JUMDER: l�Z. I ----- Dm INCHES OR 1e+ ;,A..�tiS S W 1 CH T `J P E; `'. nom. a..v.,� h ,,,�,� JJOTE: PUMP AMD ALARM ARE TO DE MIA11MUr1 DISCHARfsC RATC '� G►M INSTALLEO OQ SEPARATE CIRCu:TS VORTICAL DiFFEREkXE DETWEEU PUMP OFF AAJO OISTRIDUTIOAJ PIPE.. l � S FEET + MluIMUM ►JETWORK SUPPLY PRELLUKC . . . • • . . . _ FCCT + ! 0 f CET OF FOR Ct 11A1W X (,-4-2- F y o ftFKICTIOW FACTOR. 1 ` S � FEET 2 g TOTAL DtJWAMIC. HEAD = �,1`� FEET ,I IIJTERUAL DIMLWSIOWS 0/ TAWK: LEWC•TH ;WIDTH .;LIQUID DEPTH 4 `' LL PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD /FLOW 50 PER MINUTE to 45 153 EFFLUENT AND DEWATERING 2 40 MODEL 151 152 153 10 35 152 Feet Meters Gal. Liters Gal. Liters Gal. Liters Y 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 c 8 25 151 15 4.6 38 144 53 201 61 231 D� 20 8.1 29 110 44 187 52 797 � 8 20 --- 25 7.6 18 81 34 129 12 159 15 30 9.1 - 23 87 33 125 4 35 10.7 - - _ _ 22 85 1p 40. 122 - - •• - 11 42 2 Shut If Head: 30 fl. (9.1m) 38 tl. (11.6m) 441t. (13.4m) 5 0 o t 45t1t36 10 20 D 40 50 60 GALLONS 70 80 90 100 LITERS 0 40 80 120 180 200 240 280 3 380 FLOW PER MINUTE 014508A Model 151 Models 152 / 153 CONSULT FACTORY FOR 6 7/32 SPECIAL APPLICATIONS l �-- 6 3 7/8 ��-�}� a 5/8 3 27/32- 4 5j8-� Timed dosing panels available. � �- Electrical alternators, for duplex systems, are available and I 3 7/8 = _ supplied with an alarm. _ • Variable level control switches are available for controlling ® 3 7/8 single phase systems. Double I back variable level float switches are available - L P 9gY � 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. i /t6 15i/1 x2/153 Series 12 1/8 �- ' 151/152/153 MODELS Control Selection I - M1 Model ' Votts -Ph Mode -- WMP3 Sim lex Duplex 4 3/8 � - N151 115 1 Non 6.0 1 2or3 BNt 51 115 1 Auto 6.0 Included 2or3 E151 230 1 Non 3.2 1 2or3 BE151 230 1 Auto 32 Included 2 or 1st SK2064 N152 115 1 Non 6.5 1 2or3 BN 152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 - W 1 52 230 1 Auto 4.3 Included 2 or - WI 5Y 115 1 Non 10.5 t 2or3 BN 153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 t 2or3 SELECTION GUIDE BE15.31 230 1 Auto L 5.3 1 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. o CAUTION 2. See FMO712 for correct model of Electrical Alternator E -Pak. All wsiallation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, s p ec if y du plex (3) hcansed electrician. All electrical and safety codes should be followed including the most Pec N P recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 - �` Louisville, KY 40256.0347 Manufacturers of. . ` O SHIP TO: 3649 Cane Run Road ® ` ® Louisville, KY 40211.1961 httpJ /wwwzoeller.com M PUMP !O. ( 502)778.2731.1(800)928 -PUMP �J�YPUMPS�/iNCE ���� FAX (502) 774 -3624 ® Copyright 2003 Zoeller Co. All rights reserved. 9 �. J System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715 -235- 1132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run - off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. 13. Note: The mound system footprint plus 15' down -slope must be fenced off prior to any on -site construction to prevent disturbance or compaction during construction. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 r — ., 41 T -- - — County o.in� ,d.,' Wisconsin Department of Commerce PRIVATE'88WAGESYSTEM S.t, Croix Safety and Building Division INSPECTION REPORT sanitary - PermR Na 463393 0 (ATTACH TO PERMIT),: G��''fERAL;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 Paroet Tax No: Gmitro, Rudy Troy, Town of 040- 1277 -00 -000 CST BM Elev: 777 BM Description: Section/Town /Range /Map No: 08.28.19.1542 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer H olding t n et S t/Ht Outle TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. V ent o Air Intake ROAD Dt I nlet ep is Dt Bottom osing ea er an. Aeration 'Dist. Pipe o ing Bot. bystem Final ra e PUMP /SIPHON INFORMATION anu ac urer Demana st Cover GPM m odel um er i ric ion LOSS ys em ea i0l". ", e in e g a. DIMENSIONS INFORMATION CHAMBER OR UNIT 11=01 111011113151. i Pipe(s) Length Dia Length Dia Spacing x Pressure Systems Only xx Mound Or At -Grade Systems Only f pw d/Trench Center Bed/Trench Edges Topsoil ;Yes 1- 1 No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 1 I Inspection #2: ! ! Location: 400 Eagle Bluff Court Hudson, WI 54016 (SE 1/4 SE 1/4 8 T28N R19W) Eagle Bluff Lot 10 Parcel No: 08.28.19.1542 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revi Required? Ye Use other No side for additional information 1 1 1 lnsepctor's Signature Cert'. No. SBD -6710 (R.3/97) r -- I Safety and Buildings Division County - >. „ 201 W. Washington Ave., P.O. Box 7162 . C ep isconsi i1� Madison, �VI 53707 - 7162 Sanitan• - - - " I rued in by Co.) _ Department of Commerce (608) 266-3151 Sanitary Permit Application smote runt r.rj. ,vumncr I In accord with Comm 83.21, Wis. Adm. Code, personal information 1z p 6 Z = Tf,*AX i may be used for secondary purposes Privacy Law, sis.04(i,'m) REC EIV El 1 dress (if different than mailin address) d c�it�lt B/ - 1. A pplication Information - Please Print All Information C7 Property ner's Name JUL 1 2 20 0 0 t Parcel. Lot # Block P (� ST. CROIX COU �® I Prope Orvner s Maili Address - Locatio t_,,ty State Zip Code Phone Number Section ,53 - �0 (circle o R �� II. 'type of Building (check all that apply) T� N. = - �- b.<L or 2 Family Dwelling - Number of Bedrooms q Subdivision Name CSM Number ;iii ❑ Public/Commercial -- Describe Use 14c 6! ❑ State Owned - Describe Use T�,, _ ❑City Village township of v �,/ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0 _ �Z�.� _ ��s — A. ANew System ❑ Replacement System ❑ Treatment'I1olding Tank Replacement Only ❑ Other Modification to Existing System ( B• ❑ Permit Renewal 'Ot Permit Revision ❑ Change of C3 Pemtit'Transfar to New List Previous Permit NurydS d to is ed 11 Before Expiration Plumber Owner I 4 4 3 3 9� 1 I C l // IV. T e of Pt?WTS S s #em: Check all that a 1 _ Q Non - Pressurized 3n- Ground ❑ Mound > 24 in. of suitable soil ieMound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic •Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Dtip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsl) Dispersal Area Required (sf) Dispersal Area Proposed (sf) { System ev 'on co �VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic i Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or folding Tank cZ v el / Aerobic Treatment Unit DossngChamber 7 Sv - V VII..Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plu Name Print) Plumber's S'gna re MPIMPRS Number Business Phone Number S6 9 Plumber's Address t9treet, City, State, Zip Code) e- VIII. Conn /De artment a On Approved ❑ Disap r ved Sanitary Permit Fee (includes Groundwater Date Issued ssul7w AS ignature Stamps) Surcharge Fee) El O R r Denial IX. Conditions prov 1 , SYSTEM OWNER: 3) `� p ��`__ 4 a. 'La crit e� 1 Septic tank, effluent filter and C ��I � ►•. /3 dispersal cell must all be serviced I maintained r�• /a /► � - - - as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable codetordinance. t l l p-t PD A ` Attach complete plans (to the County only) for the syste*0 an 1f2 x 11 inches in size � SBD -6398 (R. 01/03) -- 6 -� s f _moo -o� 0L1<-� -�� ED x QJ 1 oZ,q> s of da Ie�q— c o lp* Safety and Buildings commerce.wi. OV RECEIVED 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin 1 2 2006 www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov ST. CROIX COUNTY Jim Doyle, Governor Mary P. Burke, Secretary July 05, 2006 CUST ID No. 225094 ATTN.• POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON W1 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/05/2008 Identification Numbers Transaction ID No. 1286682 SITE• Site ID No. 696435 Rudy Gmitro Please refer to both identification numbers, 400 Eagle Bluff Court above, in all correspondence with the agency. Town of Troy St Croix County SETA, SE1 /4, S8, T28N, R19W Lot: 10, Subdivision: Eagle Bluff FOR: Description: Proposed Four Bedroom Mound System; revision Object Type: POWTS Component Manual Regulated Object ID No.: 1010983 Revision; Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on 3/31/05 under Transaction ID No. 1122956. 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. L4 co • Comm 83.22(7) - 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. 0 e Note: The dispersal cell area shall be deep chisel plowed per the request of the St. Croix Co. Zoning Office. 4• xx V 'X i 41= Q 0 " MICHAEL P ROGERS Page 2 7/5/2006 r r Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing I RECEIVED Rudy Gmitro - Mound JUN 2 6 2006 Revision to Transaction # 1122956, Site ID # 69645AFETY & BUILDINGS Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) Location: Lot 10, Eagle Bluff SE 1 /4, SE 1 /4, Sec. 8 T 28 N R 19W Town: Troy County: St. Croix Date: July 5, 2006 Owner: Rudy Gmitro Address: 4825 Willow Wood Drive Racine, WI 53403 Plumber: Mike Rogers Signature: /&4 - License: MP 225094 Attachments: SBD -10577 - Plan Approval Application SBD -8330 see previous application J4U- On -site contour plot plan Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 t Design Criteria t,. Residential Wastewater Contaminant Load: 30 mg /L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 0s gallons /day hydraulic load Design Calculations In situ designed loading rate .3 gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock in. Cross slope at system + % Force main length ft. of '2- in. Manifold/header length ft. of V 4 in. 0.43 Drain -back L gallons Lateral length 3 @ S-6 ft. of ��+ in. Lateral elevation q `� ( ft. @ bottom of lateral Lateral hole size ��- in. @ �� o in. ( 3 ft.) Spacing holes /lateral S 1 holes total Lateral volume gallons i Total lateral discharge rate gallons /minute @ 3 ' S ft. head Network pressure compensation losses ' ° �� ft. Elevation difference S' ft. Friction loss @ �' g gallons /minute Total dynamic head ft. Pump /sip's n 3 4 gpm @ — ft. of head Manufacturer ° e l Model # 1 2 Dose volume 1 9 o , b gallons Lift/sip on tank -e-.% gallons Septic tank gallons Effluent filter eQ to - 7 �: 7 _\ O gZ2 X4'6 Measurement pump on and off S o in. Height alarm from tank bottom in. Reserve capacity �� gallons specs.calcs.res Page Z ' of g w N Co Cog) c U ? �S D o / p ScI� 4-0 x � �� o �. 1� r- •ate..: �-�Q, � � � � , � Z�' O ,\ o p QJ a.,, r o 4 7 ,S" Z- Q kI's X02\ o - 3 0�� a-1 kv TV. eX <.,, b C 0�1 L46k� \ qD s Q ,1�► O I I b 41 Q 1 1 1 2.0' N o'Yb, 4T G++ 4S �QJM w.`. w� w w Q � •, �•� �''+ lC� 7P � � v C o �e S 9gry ._� o y ,+. a` 1 \ i-� b � +� �4 0 ... c� � roc. 1� b I • S / ��, 1'1 p\ C� O h 1 �� RJ' QG.ti Q-r` 0�j O ,.► \ i .. t S 42. a • .� M IH %c l T 1 E WEATl{ERPI?OOF LOCKING.,�CovER J'uNCTION GvAn'N A Bca QUICK DI�C.OrAIY�CT - 4 ". p vc, T 4P Q IP t 3' g11U No15TuR&ED ���, k S \SOIL. 24" T.D. /Alts T � wLLP c�aovtD A 3t/0" ►+ac 4 nv� CIiSKl:T �i.1'T'J 5�1, �ro Au. nips BAFFLE CAIKH E LT 10 044 `"'/ '� .. - \ l? Q ON ` r ) uKL�sZLiRa c 1 1 ( 4 t I P(Ap v BLOC$C �? 2 SEPTIC t _SPEC IFI'CATIOMS DOSE ; MAC I p TAWKS MAWU FACT URCR: QutAbER OF DOSES: -11 Z PER Day TAWK SIZE: \ %Y llry-t� GALLOWS DOSE VOLUME ALARr9 MANUFACTUPr6t: S� � -��o INCLUDING CACKPLOW: MODEL QUMDEK: ' U►PACITIESt A= 11JCHf5 OR ' GAt_LOuS SWITCH TYPE; g Z WCMES OR � C.ALL0k. PUMP '1AQUFACTURCR; t � O ISZ C • s ' O IUCMES OR �0, �, uA,.045 MODEL WUMDER; D ■ 9 ' 0 WCHESOR ' °g 3A, S JWITCH TYPE; Q07E; PUMP AWD ALARM ARC TO DC M"JIh1UM DISCNAIlt" RATE �'�'� GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWE[►J PUMP OFF AJJD OISTRIpUTION PIPE.. FEET + ►JETWORK SUPPLY PKt&SUKE .. . . . . . . 1 T F LIT ,/ _ �I + FEET OF FORE[ f'1AIN X �'? F /Ipo /CFRICTl FACTOR. t ` S � FEET TOTAL DyWAMIC, HEAD = � FEET I►JTEKAJAI. DIME1J510WG OF TAWK: t - Et`I6YH ;WIDTH ,LIQUID OCPTH 0 R r - • ' PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD/FLOW y 50 PER MINUTE 14 45 153 EFFLUENT AND DEWATERING 2 40 MODEL 151 152 153 35 to 152 Feet Meters Gal. Liters Gal. Liters Gal. liters 30 5 1.5 50 189 69 261 77 291 o a 151 10 3.0 45 170 61 231 70 265 25- 15 4.6 38 144 53 201 61 231 20 6.1 28 1 110 44 167 1 52 197 00 8 20 25 7.6 18 1 61 34 129 42 159 15 30 9.1 — 23 87 33 125 a 35 10.7 - 22 85 10 40 12.2 - - - 11 42 2 Shul•ofl Head: 30 it. 9.tm) 38 ft. (11.6m) 44 ft. (13.4m) 5 014 ae6 0 GALLONS 10 20 30 40 50 60 70 a0 90 100 LITERS 0 0 4 80 120 160 200 240 2 320 FLOW PER MINUTE 01 450eA Model 151 Models 152 / 153 CONSULT FACTORY FOR j-.-- 6 7/32 SPECIAL APPLICATIONS 3 7/6 �—.}� a 5/6 3 27/32 I 4 5/8� • Timed dosing panels available. i 7 • Electrical alternators, for duplex systems, are available and 3 7/8 = supplied with an alarm. • Variable level control switches are available for controlling ® 3 6 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 (54 °C.) special quotation required. LIU I 7 I y � 12 /a 1 1151M-2/153 Series -r I 15111521 1 5 3 MODELS Control Selection Model ' Volts -Ph Mode Amps Slm lex Duplex 4 3/a = N151 115 1 Non 6.0 1 2 or 3 1 I BNt51 115 1 Auto 8.0 Included 2or3 E 151 230 1 Non 3.2 1 2 or 3 BET 230 1 Auto 32 Included 2 or 3 151 sxzosa N152 115 1 Non 8.5 1 2 or 3 BN 152 115 1 Auto 8.5 Included 2 or 3 Et 52 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 BN153 115 1 Auto 10.5 Included 2 or 3 Et53 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 230 1 Auto 5.3 Included I 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. A CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. Aii 1116iallation of cuntr01s, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify dupiex (31 licansed electrician. All electrical and safety codes should be followed including the most scent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA), or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. Box 16347 Louisville, KY 40256- Manufacturers of. . O NA SHIP TO, 3649 Cane Run Road Louisville, KY 40211.1961 vas ?YPUMPS SvCE /9,,7,9 Q http / /wwwzoeller.com MP a(49. (502) 778.2731. 1(800) 928 -PUMP FAX (502) 774 -3624 0 Copyright 2003 Zoeller Co. All rights reserved. e System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235 - 1132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run - off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. 13. Note: The mound system footprint plus 15' down -slope must be fenced off prior to any on -site construction to prevent disturbance or compaction during construction. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, septic tank must be pumped to remove solids and scum pumping is required if the combined scum and solids Y, P P P >P P g q volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Page 1 of 1 r Pam Quinn From: Swim, Jerry Oswim @commerce.state.wi.us] Sent: Wednesday, July 05, 2006 10:16 AM To: Pam Quinn Subject: Gmitro revision Hi Pam! - I'm reviewing a plan in the Eagle Bluff Subdivision; lot 10 (Rudy Gmitro); Town of Troy. The original plan was approved March 31, 2005. Henry Grote went out to do some revision work and the elevations /scales do not correspond to the original plot plan. In addition, there are only 2 borings near the mound, but a third is on the neighboring lot about 30' away. I emailed you a copy of the hold letter and would like to get your thoughts on this one when you have some time to discuss it. Please call at your convenience. Thanks! .terry Swim POWTS Plan Reviewer WI. Dept. of Commerce Safety & Buildings Division 4003 N. Kinney Coulee Rd. La Crosse, WE 54601- (608)789 -7892 - voice (608)785 -9330 - fax jerry.swim @wisconsin.gov 7/5/2006 IXA•��� Co OWf ORIGINAL i " v \ �-ot C � Jr S p o � a-u . b� t a�4- 1 • c o-;% /�-� eA o ) `ra-dC � c'�T K2.S bat O w AMMS Viewer Page 1 of 2 147.E � 1� � � E co 1' y s 10 3 CD 1542 a 17� i g � a TTY, 2 u http: //72.21. 230.178/ website /LRPortal /ARCIMS /MapFrame.asp ?PIN= 6/20/2006 Safety and Buildings Division County N vis C nin ,� 201 W. Washington Ave., P.O. Box 7162 —�- Madison, 8 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 3 Sanitary Permit Applicati n S ta a Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, pe nal informati you pi'pyide 2 6 2006 ✓ may be used for secondary purposes P .04 1)(m) J UU �V Pro ect Address (if different than raailing / a � d � dress) � I. Application Information — Please Print All Informa 1 0 0 E q° c Pronertv Own 's Name , / u Parcel # t # Block # 3 Property Owner' ailing Address 2 2005 ro Lo %n 11)) City, State '/4,'114, Section! �S J Zip Code Pho e 6OFFICE G 340 II. Type of Building (check all that apply) sp V 1 or 2 Family Dwelling - Number of Bedrooms " 1C. ,r ❑ Public /Commercial - Describe U e 11 State O„ red - Describe Use (n t ^_ - i , � � _(._._.�. �...._._.r- 44_44._ ._ :,.. III. Type of Permit: (Check only one box on line A. Complete line B if applicable __ e,' A. _ New El Replacement System El Treatment/Holding Tank Replacement Only { t B. El Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. a of POWTS S stem: Check all that appl Non Pressurized In- Ground 11 Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil Constructed Wetland C1 Pressurized In- Ground 11 Holding Tank ❑ Peat Filter ❑Aerobic Recirculating Synthetic NTanksTauks ❑ Leaching Chamber ❑ Line 11 Gravel-less Pipe ❑ Ott V. Dispersal/Treatment nformation: - -- — ---- - _ -_ - - Design Flow (gpd) V Applicati n Rate( dsf) Dispersal Area Requi ed Dispersal Area Proposed (sf) System Elevation DD > .0 1( t47 (��. 18 5 o -- -� 1111 VI. Tank Info y in Total Number Manufacturer Prefab Site Steel Fiber Plastic s Gallons of Units Concrete Constructed Glass xisting anks Septic or Holding Tank ' i Aerobic Treatment Unit � ^� �' Dosing Chamber `� l oo �V J� I VII. ReSpons lbillty Statement- I, the undersigned, assume responsibil' or installation of the POWTS shown on the att ached plans. Plumber's Name (Print) Plumber' a /MPRS Number Business Phone Number t �� 0 �a5 q4 ����a -II Pl umber's Address (Stye City, State, Zi o e) VIIL oun /De artment Us Oul w or Approved ❑Disapproved Sanitary Permit Fe includes Groundwater I Date Issue suing Ag Si a o Stamps) Z l 11 Owner Fee) Owner Given Reason for Denial �� IX. Conditions of Approval/Reasons for Disapproval _ I L, _ STEM OWNE C � r /mil__ , d � 1� ,SY STEM is Fa reffluent filter and dispersal cell must all be serviced / maintained Gl/4� tZt * tiy► �!! ~� �' P�K as per mana em rovided a plumber. �f ,10 / 2. setback requirements must be main ained d as per applicable code /ordinances 77 30/ u�� b �t ar �( e S �� Attach complete plans (to the my only) for he system on paper not less than x 11 es in Mae SBD -6398 (R. 01/03) J �� � � /2v� 5�►l(� vlSt "bl�- ��t.�t .dG�4- ��''`�' PLAN �� o SITE 5 l� ooa \0 4Z 1.1 4z) , r �, ea. 1 � w.�,.o S ve �c may' / tZ o wee 7 13 C.O+wS� S{ l n i \ B -P 19 CA V y CL C— 0 \ P28 o 0 NOTE: Bench marks are ground eieva o base of a b A �� � r 4 wooden lath near each boring-location. V 3 a k3 G �� Wisconsin Dep�rtmerrt of Commerce County: Safety and Buading Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: 463393 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Gmitro, Rudy Troy, Town of 040 - 1217 -00 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 08.28.19.1542 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. T uid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing 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 Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 400 Eagle Bluff Court Hudson, WI 54016 (SE 1/4 SE 1/4 8 T28N R1 9W) Eagle Bluff Lot 10 Parcel No: 08.28.19.1542 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? !:Yes l i No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) c Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 --� C r v 1 ) , iicons n Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) ent of Commerce (608) 266 - 3151 2 J Departm Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, pe nal information you provide may be used for secondary purposes P 04(1)(m) Project Address (if different Tilailing address) I. Application Information — Please Print All Informah p 4a o -°� all-Z ,ii Nu Proper Own 's Name rur Parcel # t # Block # 3 Property Owner' ailing Address 2 2005 kN; n °I o /o, /., Section � /S , 7 City, Zip Code PhoneL W OFFICE S 340 circ�l ) D Rff E" W II. Type of ding (check all that apply) �Ow �l or 2 Family fling — Number of Bedrooms I" Subdivision Name CSM Number El Public /Commercia escnbe U e /b�'1 ❑ State Owned — Describ e Q7? 6 n ' • Q t ❑City_ illage),Towns of III. Type of Permit: (Che my one box online A. Complete line B if applicab A. New System / � EIN acement System ❑ Treatment/Holding Tank R cement Only ❑Other Modification s B. ❑ Permit Renewal El Permit Sion El Change of 1r i to w ist revious 1�� sued Before Expiration Plumber IV. Type of POWTS Sy stem: Check all t I ❑ Non — Pressurized hi- Ground ❑ Mound > 24 in. itable soil < and 24 in. of _ suitab o ❑ Si e P and Filter ❑ Constructed Wetland 11 Pressurized In- Ground F1 Ho Tank Peat Filter El Aerobi e t Rec' Latin lte Recirculating Synthetic Media Filter 11 Leaching Chamber Line ❑Gravel -less Pipe th lain) V. Dispersal/Treatment A rea Information Design Flow (gpd) Dessi Soil Applicati n Rate( dsf) sp 1 Area Requi fed Dispersal a Prop (sf) em Elevation a n 3 02 1 .09 ' 'I( t47 &001 I8 �5 p ,. VI. Tank Info Capacity in Total : kVber Manufacturer #Tefab f9ite Steel Fiber Plastic Gallons Gallons Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank a f° Aerobic Treatment Unit Dosing Chamber 7� t VII. Responsibility Statement- I, th dersigned, assume responsibil' or installation of th WTS shown on the attached plans. Plumber's Name (Print) lumber' a /MPRS Number Business Phone Number k� Xq Pl umber's Address (Stye City, e, Zi o e) 17 - , + , + S ' t v 1 Cv�Yn �e w 1 VIII. oun /De artment Us Onl Approved ❑Disapproved Sanitary Permit Fe includes Groundwater Date Issue suing Ag Si a o Stamps) Surcharge Fee) l L ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval (� SY STEM OWNE t"e� o/ (1 1 is an , ef fluent filter and dispersal cell must all be serviced / maintained rA��V J" U 'p �� _� ���jjj222 per mana eme rovided by plumber. U .� f'K� a►%l �V Tai; %� Z setback requirements must be main ained GGt.Ld as per applicable code /ordinances p3o, u� L4 0-n L 6-r /( e y p rjX q_S-,yWA;Z�40, �( Attach complete plans (to the my only) for hl system on paper not less than X Inc es in size 1 SBD -6398 (R. 01/03) G�� ��/,f?S. O1.D r 0 -� ,� ,�`' '�� � i ,�. � � '� .. �� ,� '� 1 � % T PLAN SI TE (I p \042�o.Y (lo 47-) C �QJ+.t Q �( V M 8 —P19 �OL d� P28 2. NOTE: Bench marks a�rt elevation at w � ase of r A �� c,r t b 4 ' wooden lath near each boring location. V 3 0 w f copy Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commer isco govsbt Department of Commerce www•wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 31, 2005 CUST ID No.225094 ATTN: POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/31/2007 Identificat' umbers Transaction ID N 122956 SITE: Site ID No. 69 Rudy Gm Please Zrefeboth identification numbers, 400 Eagle B Court above, i correspondence with the agency. Town of Troy St Croix County SE1/4, SE1 /4, S8, T2 R19W Lot: 10, Subdivision: Ea Bluff FOR: Description: Proposed Four oom Mound System Object Type: POWTS Comport Manual Regulated Obje DN90401098 Maintenance required; 600 GPD w rate; 17 in Soil mi um d lit( it f r from original ade System(s): Mound Component Man - Version 2.0, SB 10691- (N.O1 ) sure Dis4bution onent� Manual - Version 2.0, SBD- 10706 -P 1 /01); Biofi The submittal described above has been reviewe r c ormance with le Wiscoc A Codes and Wisconsin Statutes. The submittal has been C TIONALLY APPROV . The , a defined chapter 101.01(10), Wisconsin Statutes, is responsi r compliance with all uir a s. No person may engage in or work at plumbing in state less licensed to do artmen r s 5.06, stats. The following conditions shall be met during nstruction or ins ation and prior t cupanc r use: • This system is to be constructed and to ted in accordance with approved plans, an a "Mown omponent Manual for Private Onsite Wastewat ystems Version 2.0" SBD- 691- P(N.01 /01 • The pressure network is to be cons cted in accordance with publicati SBD -1 6- P(NO1 /01) "Pressure Distribution Component Manual Private Onsite Wastewater Treatmen stems - Version 2.0" and/or the sizing methods of publication " MP Publication 9.6 Design of Pressure tribution Networks for ST -SAS (01/8 1)". • A sanitary permit must be ob ned from the county where this project is Io ccordance with the requirements of Sec. 145.13 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. 0. % ®1 . � .� . ■ �f , . $ ? � i � Al ^� . � >a: MICHAEL P ROGERS Page 2 3/31/2005 • Comm 83.22(7) - 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. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote , Certified Soil Testing r . FCEIVF� MAR 3 0 2005 Rudy Gmitro -Mound SAF BUIL Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD - 10706 -P (01/01) Location: Lot 10, Eagle Bluff SE 1 /4, SE '/4, Sec. 8, T 28 N, R 19W Town: Troy County: St. Croix Date: March 30, 2005 Owner: Rudy Gmitro Address: 4825 Willow Wood Drive Racine, WI 53403 Plumber: Mike R gers Signature: License: MP 225094 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations It 3: plot plan II4 I ARTME_NT Of COMMERCE 4: system cross section DiVISiGN OF SAFETY AND BUILDINGS ` 5: plan view, lateral detail 6: pump tank exit detail SEE �pK�ES ONDENCE 7: pump curve 8: system management page 1 of 8 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L Anticipated septic tank effluent 30 mg /L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 60-a gallons /day hydraulic load Design Calculations In situ designed loading rate O . 3 Z ✓ gallons /sq. ft. per day Depth to estimated high ground water 5 - 4- in. Depth to bedrock t/ '1 t —4 in. ( nn Cross slope at system /o Force main length Q ° ft. of in. 4. Manifold /header length ft. of �`� Z in. O S s' Drain -back gallons Lateral length 3 @ 6 ' . ° ft. of `� Z in. Lateral elevation ft. @ bottom of lateral Lateral hole size l ho in. @ 4 g' ° in. ( ¢' ° ft.) Spacing -4 holes /lateral S \ holes total Lateral volume 66 gallons i Total lateral discharge rate lib gallons /minute @ 2 S ft. head Network pressure compensation losses ft. Elevation difference `� ft. i Friction loss Z Z ft. @ S gallons /minute Total dynamic head ft. Pump /si'phon 4 °'Z- gpm @ ft. of head Manufacturer ��e"Q^' Model # Dose volume gallons Lift/si�hon tank gallons Septic tank Z'`� gallons Effluent filter Measurement pump on and off ` S in. Height alarm from tank bottom �,S in. Reserve capacity 4 ' gallons specs.calcs.res Page �` of g o SITE PLAN Qom.. c 2.a S; 11 n B -P 19 C-0 4 C- 2.93) P28 >, te' o \ I O � O � I ,\ > �gL ( w e � �T Lam?' o rJ 6 NOTE: Bench marks d elevation at base of 4 'w ooden lath near each boring location. v :o S..�.��, a 606Mt ,Lt w.. ...tv. ' w► a� � b s ' . .. . . O ^� o Q T l q,2 N o'Y6� l ..� a.�L Tom' �"��� r,,.. �. ..`� , '7r W w �`�"� � S• F.C14 1A •,:'[ O •• 4^ C- 4 � U ►-a. � v C o �o S �r v �� o y �,. a1 ` � +-O b . •� t o ... c� � r o c. k b *� I L T a. �-d� ,..� '� -. } o \ �.4 0�. �\ S 1 I ( 2 • I �'� V G. S.Y� �I'`7 I / I I � I 3 y / T i .vv..�.�, -•� �•�•�•J[ obi �- 1.,r.t � �1N.�►.+ �j,X�.d�.a. �` I 1 (� • II b 1 O\ CA a-, 1 `A {2J'� Q.II/ti �r O O �"� \ i ." • O A b� ( � � k iT k' TVA IL_ WE�Tu ERPaooF LOCKING COVER .TIJNCTION 6ccc [vilil'M QUICK DI�C.OMV�GT —, IL —� gJTU 7 iSTURBED SOI 2 4" Z.D. I C YENT M4xu01� � � u iMC r � p�QDVLD s�� � CIZSKET SITS _� WFLE L 3' O TO pin V, C �- SZ \ (iQ1WEC.TI K4 �� �.,.�...Q 1 \ -� lT� � �� � (�RDU►�O o I c9� ems, s.p F — c�SsZZ- pw C � " 9 1 C L�� ecoc•c SEPTIC t _15 C, I F I'C AT 10 Kj S DOSE TAWKS MAWUFACTURCR: �Ak QUMDER OF DOSES: PER 0^zj TAWK SIZE : 0.v-0 } �� GALLOWS • DOSE VOLUME 04•� ALARM M/WUFACTUILCR' S� 'iF IWCLUDING OACKFI.OW: MODEL WUMb*ER: 10 � `' CAPACITIES: A= 2R.1� WCHES OR 6,-y CALLOaS SWITCH Ty rE: -- 0 '"'`'"` � I "1� iu CME S 0R _ L PUMP h1A1JUFACTURCR; `� C ■ � i' ILAME5 DR TOT ;,A_0. .5 MODEL QUMDER; 1 � On 9,0 IN CHES OR 1 0 8 :,A..Cti; SWITCH TYPE; __ �^ '1 �'� MOTE: PUMP AMD ALARM ARC TO DL MIW OISCHARC*E RATE } _GPM INSTALLEO 01.1 SEPARATE CIRC_.TS 1 �, � VORTICAL DIFFERENCE OfTW[CU PUMP OFF AAJO DISTRIDIJTION PIPE.. FEET — a ct 1� + uETWORK SUPPLY PRELLUKC . . . , , . . . S/ FLCT c O + R0 FEET OF FORCE M X AIN 2_Sg IFF oICFKICTIOu FACTOR. 2 FEET Io TOTAL DyWAMIC. HEAD — FEET IQTERQAI DIMEWSIOWG Of TAWK: LF-KICTH `t l L ;WIDTH � � ;LIQUID DEPTH TOTAL DYNAMIC HEAd /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 W w MODEL 152 153 50 Feet Meters Gal. Liters Gol. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 0 15 4.6 53 201 61 231 a w_ 20 6.1 44 167 52 1 .97 L 30 a 8 25 7.6 34 r 129 42 1 59 z r 30 9.1 23 8 7 :3 o a 20- 35 10.7 -- 22 65 o — 40 12.2 -- -- -_ a 10 Lock Valve: _138.0 Ft. (1'.6,;'_440 r 34r,, — 0;4W8 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 /° 3 27/32 4 5%9-1 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS a Timed dosing panels available. ® e Electrical alternators, for duplex systems, are available and supplied with an alarm. ! ^� Variable level control switches are available for controlling single phase systems. Double piggyback variable level float switches are available for variable level long and short cycle controls. �— �I • Sealed Owik•Box available for`outdoor installations. See FM1420. F- j , - = Over 130 °F. (54 °C.) special quotation required. - 1521153 Series 12 /8 152/153 MODELS Control Selection l Model-----volts-Ph Mode Amps Simplex I Du lex N152_115 1 ' Non 8.5 1 2or3 BN 15 t t S 1 ; Auto 8.5 Included 2 or 3 E 15 2 230 1' Nat 4.3 1 2 or 3 sKZOS4 t - BE1 230 1 to 4.3 Included 2 or 3 N153 15 1 Non 10.5 1 2 or 3 B_N 1 1 Auto 10.5 Included 2 3 SELECTION GUIDE E 153 230 1 Non 5.3 1 2 or 3 - 1 153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA), or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO; P.O. BOX 16347 [�'� Louisville, KY 40256.0347 Manufacturers L° SHIP TO: 3649 Cane Run Road /7 of • Louisville, KY 40211.1961 QUaI /TY P UMPS �NCE /9�9 PUMP f0 / 021778. 1(800) 928-PUMP http: / /www.zoeller.com FAX (502) 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715 -235- 1132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic - tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. 13. Note: The mound system footprint plus 15' down -slope must be fenced off prior to any on -site construction to prevent disturbance or compaction during construction. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 1 If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 I vVfsoormn 0eoarttnew of Conmteroe SOIL EVALUATION REPORT R l ot Ohnston of Safeq and 8utldtrt9s in accordance wdh Comm 83. As. Adm. Code COMW S T . C RO I X AttaCt complete sits PUM on P=w not lees utan 8 112 x 11 i has in sms. Plan must inc lugW txtt not liritfted verdW and ttord:Dfttal refarertes P01int (fMM). direcsioft and Parcel I.O. percent slops. scale or dimensions. ncM anew. and locatwn and distance to nearest road. Ple m print all iRfOrilt ! Reviewed by A�T Permnf rl clawmemwboun e for a+mWraeY Pm)WtYOww CHARLES S. COOK q �+� 16 7 CONTINENTAL DEVELOPMENT C . ~ RATIl9t�-I - 1/4 -- 1/a S T28 N R19 Eg(pr W PropertyOwnefsAAWWtgAddress --I 'V®{/ 0 7 Lot 4.., # Sum Name 11800 ABERDEEN ST. NE ST -100 0 �a - EAGLE BLUFF Stale 23a Code mid COUNTY a v0m0 (3 Town N esreatRoad BLAINE MN 55449 76 OY (EAGLE BLUFF DR. ® New COnMucbott Use: Resident al / Number of — danved daW now rate 600 GPO ❑ Replsoefeent 0 Public or commercial - Oeectba: Pwant material Loess. D o 1 c1m i t e . Mood Plain eievatton if applicable N.A. rt General cornnimtts / �5 7 and rsoomrrteftdattortx / w > J�., S "", — u� l/ /e �l (� � d ,mac a6 P 30 # ❑ a°""g © Pit Ground surface siev. 1039.7 ft. Ospttt to lirimmq fam 5 7 in. Sod A Rate Hoicio t Oepn l oormwitcolorRedox Dest:M ton Texwte shxame Commence SoundwY Roos GPORI' in. Munsio Qu. SZ Cont. Color Gr. Sm Slt. ' A 0 -5 10YR 3/2 -- sil 2fgr avf r gw 3vf -m 0.5 0.8 B1 5 -28 10YR 3/4 sil 2mabk ds Cw 2vf - 0.5 0•.8 B2 28 -57 7.5YR 4/6 -- sil llcsbk dsh cw lvf 0.2 0.3 R 57 -60 10YR 8/6 lmst -- - -- -- -- -- El Ekx h # r � eon Pit Ground surfaceemv. 1039.3 ft. OepM to line" fackx 36 in. Sod A icatan Rata Hor¢on OepMt Dominant Color Redox Oammption Texture I Structure C,ortsetartce' Boundary Roots GPD/fP in. Munsell Ou. Sz. Cont. Color Ge. SZ Sh. 'E A 0 -4 10YR 3/2 -- sil 2fgr mvfr -- 2vf -m 0.5 0.8 B1 4 -25 10YR 4/6 -- sil 12mabk ds -- 2vf -m 0.5 0.8 B2 25 -36 10YR 4/4 -- sl lcsbk ds -- 2vf -m 0.4 0.6 R 36 -40 TORY 8/6 -- lmst -- -- -- lvf -- -- Efllttent #1 = 800, 30 < 220 "191L and T5S >30 < 50 mgfL _Effluent #2 = 800 30 mgfL and TSS < 30 mgfL CST Name (Please Pm) switi aue CST Number JAMES D. FILKINS //. O 222952 Address OGDEN ENGINEERING COMPANY Date Evaluation Conducted Teepnone Number 11 -22 -99 113 WEST WALNUT ST., RIVER FALLS, WI 54022 3 -7 -00 3 -8 -00 715 -425 -7631 RAGE 3OF3 SITE PLAN \ \ P31 7047 \ 8 —P5 J w \\ odNO ,$YST� — 30 NOTE: Bench marks are ground elevation at base of 4' wooden lath near each boring location. ` OGDEN ENGINEERING CO. JAWS D. FILKINS, 222952 Civil Engineers & land Surveyors 113 v; . Walnut St. River Falls. WI 54022 LATE: �`` 7 B� (715) 426 -7631 12 13 B -P32 B _ P ® B -P23 B -P53 B -P24 B -P22 B -P31 B -P57 B -P25 B -P56 B -P21 14 11 B -P30 ® B -P26 B -P20 ® B -P62 B -P54 B -P29 ® ® B -P59 B -P58 B -P 19 P27 B -P28 10 Q B -P2® i -9B 9C B -P36 ® B -9A � ® -7- J B -P4 B -P1 <� L _j 0 B -P60® J UD U B -P 18 -4M B -P5 B -P9 O B -P 17 G B -P6 ® B -P 10 9 B -P61 B -P 15 B- 16 B -P7 ® ® 7 B -P8 B -P11 ® B -P 14 B -P 13 B -P 12 0 19 vvwuormncacu ment SOIL EVALUATION REPORT Prlge 1 of Oiwsion of satety and Buddings in acoordanceYvn Comm 83, M Adm. Code Ccunh ST. CROIX Y Attain Complete sMe plan an paper not lees than 8 112 x 11 inchee in size. Plan must i cxkude, qut not linnteo to: v g P o l a n d hormontai ratersroe paint (BM). direction and Parcel I.D. peroent slope. scale or danemsnm norm amen. and lotauon \ 1 ` l ta�anc4to nearest road. Pfsrsar print ail ; ,� ___ ._ ..1 ,1 % R oat. Pwoona kweiffie tin ym Imewmemey bewea for seoon 0ur0_ _ _ I- �►t aw. S. f5A 1(rnm PmMWO�w CHARLES S. COOK :_> - - g CONTINENTAL DEVELOPMENT 40pORATION t�Ot' - 114 -- 114 S I6 T28 N R19 Ijr(prXw Proparry Ownef s Marling Address - # ; # Su= Name or CSM ST 11800 ABERDEEN ST. NE S 100 rs cAOlx 1 -- EAGLE BLUFF c* Stela nods ONINGOF�I EI F w" (Town NeweaRosd BLAINE MN 55449 ( 7631 c: ROY 'EAGLE BLUFF DR. New Conatn=W Usac ® Repdennai l Number of ' Code derived tleatgn dow rats 6 0 0 GPO Q Replacement Q Pubta or commercial - Oesatbec Paient materml Loess. Dolom Flood Plain elevation if apphi able N .A. (t anti r al oatKnen a1'6 -1i4 P 19 BON # Q Bdrm9 Pit Gnoundsurfaceelev. 1036.9 ft. Oepth to limning factor 19 n• Sod A ication Rate D� Donnrmrrt Redox Oesmptiam - rem" Structure C,orrsrstanoe ndary Roots GPO/ff in. Munsw au. Sz. Corn Color I Gr. Sz. Sh. - EM" Eflte2 A 0 -5 10YR 3/2 -- s 2fgr mvfr cw 13vf -m 0.5 0.8 1 5 -19 110YR 4/4 -- sil 13mabk dsh cw 3f -co 0.5 0.8 R 19 -30 110YR 8/6 -- lms -- -- -- if -m -- -- i P28 g Q 8anng Pit G nd � 1032.7 h Depth to linntktg factor 17 in Sod Aogm=tion Rate Horizon oepmh )onnnant Redox DevaVoon Texture Structure Conswitence Boundary Roots GP01fF in. Munsell I Qu. SL ConL Cobr I Gr. Sz Sh. I 'EfrA" I 'E"2 0 -5 110YR 3/2 1 sil f r mvf r aw 2f -m 0.5 0.8 B 5 -17 j1OYR 4/4 3il 3f abk - rn 0.5 0.8 R 17 -30 10YR 8/6 Lmst lf -m -- I Effluent #1 = SOD > 30 < 220 mtyL and TSS >30 < 150 mglL ' Effluent n = 1301]1 30 mglL and TSS < 30 mglL CST Name (Please Print) sigmturo CST Number JAMES D. FILKINS 1/,7 0a• 222952 Address OGDEN ENGINEERING COMPANY ate Evaluation Contlucteo Telephone Number 11 -22 -99 113 WEST WALNUT ST., RIVER FALLS, WI 4022 3 -7 -00 3 -8 -00 715- 425 -7631 pmQ6tyOwner CHARLES S. COOK pa 10 # paw 2 of 3 . Cl Bonng Li � -- M�� d S ❑x pit erev. 139.7 R oetxh ca limiting taco 57 in. Solt A Rate �i.acmort Depth oomirmwCow R edmc 0 l IN ohm Tetatss SMMM Cocrsulwtce Boundary R oots GPOW in. Munsed Qu. SL Cont. Color Gr. Sm Sh. fM 1 . A 0 -5 10YR 3/2 -- sii 2fgr mvfr gw 3vf -m 0.5 0.8 B1 5 -28 LOYR 3/4 -- sil 2mabk ds cw 2vf -m 0.5 0•.8 B2 28 -57 7.5YR 4/6 -- sil lcsbk dsh cw lvf 0.2 0.3 R 57 -60 10YR 8/6 -- ms -- - -- -- -- -- � L P 2 9 eorirtg # Q eon 1038.4 2 7 ® pit �� strrfac:e � h• Depth to limltit3g factor in. Sod Afaication Rate Depth Dominant Cow Room Oeeatption Texture Structure Consistence Boundary Roots GPO/ft .n. Munaed Qu. 3z. Cont. Color Ge. SZ Sh. �(fiK1 •Eff#2 A 0 -5 10YR 3/2 -- sil 2fgr vfr aw 3vf -m 0.5 0.8 B1 5 -22 10YR 4/6 -- sil �2ma k ds 1 2W v -m 0.5 0.8 ± B2 22 -27 10YR 4/6 -- sl 1cGbk s cw 2f -m 0.4 0.6 27 -30 10YR 8/6 -- Lmst -- -- -- lvf -_ __ P58 Q Boring Q Pit Ground surfaoeelev 1040.8 ft. 0 to lirnttlng factor 24 in. Sod Atipl icabon Rate iiamm� Depot Dominant R edox Oeaai ohm n Texture Structure, C.orMMl;;ca Boundary Roots GPO/ft m. MunseN Qu. SL Corn Color Ge. SL Sh. 'Eff#1 I EffMQ A 0.5 0.8 0 -5 10YR 3/2 -- sil 2f r mfr cw 3vf -m BI 1 9-11 10YR 4 Si 12msbk mfr QW 2f -co 0.5 0.8 B2 13 -24 10YR 4/6 -- sicl 2mabk mfr cw 2f - 0.4 0.6 R 24 -26 10YR 8/6 -- lmst lif Eftent #1 = 800, > 30 <_ 220 mgL and TSS >30 1150 mg1L ' Wtient #2 = 000, 30 rngL and TSS <_ 30 rnq L. The Department of Commerce is an equal opportunity service provider and emplover. If you need assistance to access services or need material in an altemate tormat. please contact the department at 608 - 266 -3151 or TTY 608-264-8777. ,;BO- 63301A.07A01 1 1 II i ti FLq PAGE 3 OF 3 SITE PLAN R � 3 \tiy� -P2 u , \ < \ 8 y \ o \ \ io \ 8 —P 19 0 1 NO . Bench marks are ground elevation at base of p� 4' wooden lath near each boring location. J w OGDEN ENGINEERING CO. 1 JM69 D. F KINS, 222952 � Civil Engineer 8. Land Surveyor 113 Vk. Walnut St. River Fails, Wl 54022 DATE: ,�� �' Da �� /,� (715) 425 -7631 Ff '.Gf °1 : pARtF--S, INC. FAX NO. : X5,1 13c39327 Plar. 17 2'005 10: OOAM P5 ST CROIA COU • SEPTIC TANK MAINT'ENA.NCE AGMEEMENT AND OWNERSHIP CERTIFICATION F01W MaiLng Address Properly Address 4f6 (Vorificstiatt ro gtrirrd fro P1aaag // ,t to ow aorst:ue »oa) - City /smic G(J - I'atael Id=tifeaasoa Number OV1 ,� /..� -7 7- fY6 -C V l o L'�AL Y)�SL`171PTT�1�1 Propsxt + i oe tiara ., i /•. ' ., `I'- r,'.R &w', Town of T� oxj subdivision C1 i c�"t �r -- - -- - Lot # ..1,Q,_. Cerdfw Survey Nup # L ` Vol= Page # W*rMUty Doed # �7 `i (J lS �..._._ Vo, Spec hom El Yas 14 no Lot liars idcud able yes 0 no of3si'+mold>xtlt bt iew bsadtrvrasx� Picipexxs rams u of pawp=g oat tbx aptbr tU& "ItY dwOO Y*W Or if =smoded'by a t€nted pmapw. Wh&t yoo pelt into the XyU= am ZZMA the of the =960 t Mk 43 s ftWM= t'tsga 30 ffia vV46,- Vw propmty clw= f4ma to # to St Qvix Zsig j1 t a =dM=tLw fixm% siew by &e uvruct<, Knd by a p at s li edger V=ifybtgt at (1) 94 on-obtwaswwatadbpow rjw= is fU peapp aperatiag =D& bort all&W (Z) s�t.asspecti end p ( }'). tau septic UMk is I= dui L l full of d**. Vwl� tba edc=,gwd bars rmd *a abo" x q *= mrats and 14p= to ==U& ft private sawagc dLV=d syt= wi& Qx standbsds id fcut k b=ir, as set by ibe Deparwnit of Cmcw= m d j fps or Natmai Reaomt:&, Suac at Vliw Zarin. moo &"t 3O' hu b*M =ai bM*d mcst ba corapl=d sad ==Cd to &e St. Chair Catmty Z*AWg OW= wda 30 days of dst. s ri t rr MM I (twre) oeidfy >tt t a1f ou ? am (at+q; the aa+a«( cr Vime of it SlG9AlUMffF APPLICANT 14*6008 Any tafw=t oa thtt is ftk Depumnam .¢so.. "" Caclude rritis this apptirstity�t: a ttxmgstti . - __. .... _ _.__ POWTS OWNER'S MANUAL MANAGEMENT PLAN FILI' INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA ]DESIGN PARAMMTERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms I00gpd/bedroom 4 ❑ NA Effluent Filter Model - o ❑ NA Number of Commercial Units NA Pump Tank Capacity gal ❑ NA Estimated flow (average)* gal/day Pump Tank Manufacturer wian ❑ NA Design flow (peak), estimated x 1.5* gal/day Pump Manufacturer ❑ NA Soil Application Rate al/day W Pump Model l ❑ NA Pretreatment Unit A Influeut/Effluent Quality (NA ❑) Monthly Average** ❑ Sand/Gravel Filter ❑Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) [] Disinfection E3 Other: Total Suspended Solids (TSS) 220 mg/L _< 250 mg/L Manufacturer: Model: # Dispersal ( s ) Pretreated Effluent Qu ❑ tMon Average Cell ❑ In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Dem. (BOD 0 mg/L [3 A t -grade WMound Total Suspended Soli 0 m ❑P ❑Other: Fecal Cofifonn tric mean) cfu/100m1 ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 inch diameter Model Approval Stipulation * Application Rate fl Wastewater Flow Verification on and calculations: Soil App �gp d/ Area Req. (Other than bedroom based) Absorption Area Credit per unit f 2 Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= Jemln * * Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications * **Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) V "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ . "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R-J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD — 10570 —P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ❑ SBD — 10567 P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD — 10705 —P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 -P (N.6199) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" V) SBD - 10572 P (8.6/99) "Mound Component Manual" trSBD - 10691 P (N.01101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 —P (8.6/99) "Single Pass Saud Filter Component Manual" ❑ SBD - 10657—P (8.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 — P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 —P (N.01 /01) "Pressure Distribution Component Manual' Version 2.0 ❑ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every 3 ❑ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one- d (1/3) of tank volume s At least once every 3 E3 months ear(s) (Maximum 3 yrs.) 1�: Clean effluent filter At least once every ❑months ear(s) ec p controls & alarm At least once every ❑months ear(s) ❑ NA Flush laterals and pressure test At least once every ❑ months years) ❑ NA Valves At least once every ❑ months ❑ year(s) Iq NA Other: At least once every ❑ months = ❑ year(s) - NA Page of I STAkr up, For, new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. 'qLyalves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). *Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank When the combination of sludge and scum in any tank exceeds one -third (1 /3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. % Pump Chamber/Treatment Tanks Component NTI The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. [3 in- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ❑ Mound, At- tirade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ 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 txisting and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil 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 gvaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed asAjast resort to replace the failed POWTS. e si not en valuate to entify s "table rep nt area. on 'lure of S il an uation us a rfo ed to 1 a suitab acem . If no re ent area ' able a ho g tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS STALLE POWTS MAINTAINER Name 6 7z�-, Name Phone E - 23 6 - / 3 Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency 4! Phone Phone - 2 it — ZIA Z K:IWPDATAIEW0WTS OWNER'S MANUAL.doc Page of r Parcel #: 040- 1277 -00 -000 04/13/2005 08:20 AM PAGE 1 OF 1 Alt. Parcel #: 08.28.19.1542 040 - TOWN OF TROY Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GMITRO, RUDY G RUDY G GMITRO 4825 WILLOW WOOD DR RACINE WI 53403 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 400 EAGLE BLUFF CT OR 400 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.518 Plat: 1924 -EAGLE BLUFF 01 SEC 08 T28N R19W S1/2 SE1 /4 LOT 10 EAGLE Block/Condo Bldg: LOT 10 BLUFF 400 EAGLE BLUFF DR Tract(s): (Sec- Twn -Rng 401/4 1601/4) 08- 28N -19W SE Notes: Parcel History: Date Doc # Vol /Page Type 10117/2003 744083 2438/510 WD 02/21/2001 638939 1589/491 TD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 28296 199,500 Valuations: Last Changed: 11/08/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.518 199,900 0 199,900 NO Totals for 2004: General Property 2.518 199,900 0 199,900 Woodland 0.000 0 0 Totals for 2003: General Property 2.518 199,900 0 199,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FR M BARNES INC. FAX NO. : 6517389327 Mar. 17 2005 10:02AP1 P7 a 2438P 520 �ti•��� • STATE hAk OF WISCONSIN rORV t - 1031 KATHLEEN pF DELDS WARRANTY DEED ST. CROix Co. , w[ UocumeM w,rr.uar RECEIVED F RECORD This 1aad, maoebrtwoon 10/17/2000 11: 15AK T row* .I!_&� nt CCq sat a — i i' tfin C orporation., WARRANTY DEED EXEMPT g an HIJOY G. Mt t"O —• Cranlor. RSC FRgg 11 1.80 - -- - ---- TRAAS FETE t 599. _— COPY FER: —� -- --- -- CC FEE. PAGES: 1 r,rania. for a vawabie constderAtion, conveys to Grantec Me foliowtna t�ri5ed r"I estate in $t • Croi% County. State of Wisconsin (tha 'Proverty7; tot IO Of the Plait Of Eagle Bluff in the Town of NtNW rW Rrs ✓w -Aso". Troy, St. Croix County. Wisconsin. dy G. - ro subject to neclaratione of Covenants, conditions and 25 allow wo Drive Jteatrict�ions for Cagle Sluff, recorded in vol. 1589 i a T � a3403/ Pag1a X16 , as DOC. No.�4f� as ap in th e office of the R2g39te> Of Deeds for St. Croix County. Wisconsin, and such other easements, 040-12 77 -00-040 restrictions and reBezvationta of record, or in ursc, and the "Buyer' obligations contained in the pwow Iaentroswo Numtw cWn1 Purohase Agreement for this lot. Th:s is not homos+cad property (+s) (is not) tagether wAh all appurtenant rights, tine and intereati- Cranuor warrants that the dice t0 III* POOparty it good. inoaeastble in f ,� simple ano free and char of encumbrances except Daled [[P his 13th day of October 2003 L• S (SEAL) Charles B. Cock, President rOy Development Co (STEAL) AUTHENTICATION ACKNOWLEDGMENT ${g.:atlara{s} �" t1! nnt?sota State of 1r4+ssenttiir N. Anoka _ counq. aulircnticatvd Ihn ,,,,,,,.,� day O! Pe —ugly ea ,w twror., — u.1> 13th J,y or Octob _ 2003 , the sixave named Troy rArialoyment Corpor TITLE! MEWIER STATW RAR OP WISCONSIN J M ~� to Or not, — alm known to be the p0man — whe executed the foregoing authorized by 67(36.08. Wis. Slats) instmit — and aauwwradga the mil, a. TMIS ING704000ENT WAS ORAFTEO BY Tra Cer f�reticn _ Rick tInh n s o n Notary Puatie.Stttrcu3Mltsegsln Anoka County, HirLn. Chii, S. COOke President My commisston !s permana,u. (if ncn. State exyi. inn te. (Signatmrm may be autiwnticat(w or aeknoww ed. &ru) are not Jonaary 31 b •1 rx+rttsv/ry.) ftauw m t.v vac va+.ry; ,. y,y,.qu, ur ea.v ra• , yt•d w wunal k✓vw m +. ueirnur • STATE 8AR OF WLSf.QtlS:xl ec W.tRR.tNTY nssa a tw �Ha. l - I7aa RICK A JOK4SON . wr. hoompLaux-.- -w JANU R 91. 2= •7J1ea' •. iMt /�I�A,�Ai,t/NH111.�M+tMF4�PL1 Private On -Site Wastewater Treatment System ( POWTS) Index & Title Sheet Owner: Project Name and 4stem Type: Location: 4 f Street Address SF'4, EM S T' , R19W Legal Description qq T. Cr i Towns /County Contents: Page 1: Sanitary Permit Application Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance Agreement Page 6: Warranty Deed Page 7: POWTS Owner's Manual Management Plan Page 8: POWTS Owner's Manual Management Plan Page 9: POWTS Owner's Manual Management Plan Page 10: Certified Survey Map Page 11: Copy of House Plans Attachments: Plumber /Designer: Mike Rogers Signe . Credential Number: 225094 Date: