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HomeMy WebLinkAbout040-1229-20-000 f " (; � sion PRIVATE SEWAGE SYSTEM ounty: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Pe rmit Personal kd m*m you provics may be used for secondary purposes (Privacy Law 9.15.04 (1X m)). 384169 Permit H er s Name: 0 City Village CY, Town o : State Plan ID No.: Troy Township fig" In . BM E 7 g M Desc ' tion: Parce Tax No.: (V 4.2 �.5� /r/ y3, 7P/V O p 7 "' 040 1229 20-000 TANK INFORMATION ELEVATION DATA 9 TYPE MANUFACTURER CAPACITY STATION *Z BS HI FS ELEV. Septic l w Benchmark Dosing (� Alt. BM Bldg. Sewer d Z, 030 j ting / Ht Inlet TANK SETBACK INFORM A ION / Ht Outlet TANKTO P/L WELL BLDG. vent to ROAD Dt Inlet Air Intake Septic 71 7 / Z' NA Dt BOttOl�i� Dosing 2$ >& In, NA Header / Man. Y, 1p Y� • to Dist. Pipe to 9 Bot. System 0 '5 O PUMP/ SIPHON INFORMATION Final Grade Manufacturer e Il Demand St cover Model Number 2 . ?FPM TDH I Lift / Friction S tem TDH t Z Z6. [ Forcemain - Length Dia. Z /! Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width , Len s - r N f Trenc PIT No. Of Pits Inside Dia pth SETBACK DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA a,nu �tu r er: INFORMATION Type / CHA ER Moe . System: — 7 - O NIT DISTRIBUTION SYSTEM ' be_ C, - 4 S% ` y� = 40 :5 oP Header/Manifold Distribution Pipes) x Hole Size x Hole Spacing Vent To Air Intake Z Len th -� Dia. _ Spacing 3 1/ 2 . $"3 Length � Dia. g I 1 N 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 (I No C] Yes [I No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection A, /0 t Inspection 02: Location: 329 Soo Line Rd., Hudson, WI 54016 (NW 114 SE 1/416 T28N R19W) - 1628191122 G Station Addn. IV -Lot 57 Y) 4ys4* - cvas la Lo verccj; 1.) Alt BM Description =1.-p o� 5� �`w� Idle 4 ove tvogo 4vi'v._ 5k" 4o o4 4CIrh -tyO 2.) Bldg sewer length = /9.s ` added i4 auj dcG r ,tice - f- -amount of cover = }3' 'SDP 01C P-P�. Plgg In r contour — Q•Y3 �� revision re� Ired? ❑ Yes `0 No V'd Use other side for additional information. (� SBO - 6710 (R.3/97) / / Inspect C �(�o b r !� L., P(u"e✓ Lv&A per -t C W e / �nao� Z'��� o{ S�tuo� CJDV� h W�/f hn<SCorAn�ww Alw"C 5 de sl�hvr d ke.,tc ite^ dcs�y � (e3s gh\,4 w w r knr cofw 10Lk. ` t o , /.} r � 0-, ?Z9 'Soo L► .vE KJ1 Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 NViscons Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(I)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not le ss than 8 -1/2 x 11 inches in size. County State Sani Permit Number ❑ Check if revision to previous application /State Plan I. D. Number 4 3r. c.2oi (.ts* r (et9 I. Application Information - Please Print all Information Location: Property Owner Name Property Location I L- Ak (Lb &(L N W 1 /4S 114, S 16 T ,N, R (,rCW Property Owner's Mailing Address Lot Number Block Number 305 PA- c-rF►C- JQ6 . .5 � — City, State Zip Code Phone Number Subdivision Name or CSM Number 4wseqj . Uja- � S I(. ) &AVIK *OFf AJ II. Type of Building: (check one) 2 _ 5 wb w e ❑ City 4 1 or 2 Family Dwelling -No. of Bedrooms: J yNt ❑Village ❑ Public /Commercial (describe use):_ �P- } P-Town of ❑ State -Owned Nearest Road ... Lj j6- r x Parc Tax N2 er(s) III. a of Permit: (Check only one box on line A. Check box on line B if applicable) 77. Z . T T I I Z2 A) 1. KNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) 1:1 Permit Number Date Issued A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground .Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -gr e ❑ Aerobic Treatment Uni ❑ Recirculating ❑ Other: � lo42.Z0 D zq S V. Dispersal /Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. SystemOElevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation 4-50 `f' `FS ©- 1 o4 ` . 2 1 S. 9� VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ Y, � E�s� X ❑ ❑ ❑ ❑ � � w�s�e. VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the P WTS shown on the attached plans. Plumber's Name (print) Plumber' s: 72Z, No. Business Phone Number oat Sronr� - lumber's Address (Street, City, State, o e) 36t 2-0- "t, IX. County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss 'ng Agent Sign re (No stamps) Approved ❑ Owner Given Initial Adverse Surch a Fee) 1 4 Determination .��. �� 20 V 1 X. C nditions of Ap roval (Reasons for D• approval: ` S ZtA iS a 3 - BAev � t�a 1 ID 011VS n a 3 - �s , i s , 6a n,ew. - z a—k SBD -6398 (R. 07/00) r I f j A. i ! J_ !._. 1 - _ -- --1111 )vd I t '- - , •s 1 . - -- r j Li S! i O � ' I � X tom" . '_; � �� '_ ' � � � i � � : 4 • _ r r �" , I 1 t ( - d L _ * � i �• --}- _r-+ L 1 !. _� L . ; _.a ' .L_t.J. � l I 4. ... r - 1 - . _i .. � I ' �` _ I , ; 1 I . ; T I SS L �y- ;_ 1-� 4 -1.:.1 ' f _ .� ._ }.. J 1 I ' -: .•�- �. r f - - `_+'_ - F „ Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visco'nsin www.commerce.state.wi.us1SB Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary March 09, 2001 CUST ID No.242514 ATTN: POWTS Inspector ZONING OFFICE TODD C FEATHERSTONE ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 03/09/2003 Transaction ID No. 619730 SITE: Site I No. 626966 BRUCE LENZEN HOMES INC - RESIDENCE Please refer to both,identification numbers, ST CROIX COUNTY, TOWN OF TROY; SOO LINE RD above, in all correspondence with the agency NWl /4, SE1 /4, S16, T28N, R19W LOT: 57, SUBDIVISION: GLOVER STATION 4TH ADDITION FOR: DESCRIPTION: NEW MOUND SYSTEM / 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 783036 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: + On page 9, the direction and percent of the slope in the dispersal area was not shown as specified in the approved "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10691 -P (N.01 /01). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerel DATE RECEIVED 03/01/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 ETER E PAGEL BALANCE DUE $ 0.00 POWTS PLAN IEWER II , INTEGRATED SERVICES (608)266-2889, M - F, 0700 - 1530 HRS PEPAGEL @COMMERCE.STATE.WI.US Wi MART'040 cc: BILL MILDER r RECEIVED MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN MAR 0 3 2001 Residential Application SAFETY & BLDGS DIV. INDEX AND TITLE PAGE Project Name: BRUCE LENZEN HOMES INC Owner's Name: BILL MILDER Owner's Address: 369 S. PACIFIC ROAD HUDSON WI. 54016 Legal Description: NW1 /4, SE1 /4, S16, T28 N -R 19W, Township: TROY County: ST. CROIX Subdivision Name: GLOVER STATION, 4TH ADDITION Lot Number: 57 Block Number: Parcel I.D. Number: Plan Transaction No.: �p . 3C-1) Page 1 Index and title P 0 . W. T.S. Page 2 Data entry Condifdona,PV Page 3 Mound drawings C AP V Page 4 Lateral and dose tank 0 Page 5 Pump specifications 0 0, 1�0 DEP T NT OM , CE Page 6 Management plan p�,�. 4 DIVIS SAF AN 8 ILDI G Page 7 System and maintenance specifications SPO Q�lD N���j SEE CORRESPON NCE v� t sQ0 l07ca_9 /V o-! v/ Designer: TODD FEATHERSTON License Number: 242514 Date: 02/20/01 Phone Number: 715 - 381 -1704 Signature: Version 2.82 (10/5/00) Page 1 of g (-Cl a 5, - b- � x� Mound and Pressure Distribution Component Design Design Worksheet Site Information R Residential or Commercial Design (R or C) Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of 36 inches. 450.00 Design Flow (gpd) 2.00 Site Slope ( %) 1042.20 Contour L ine Elevation vatlon (ft) 12.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N C Center or End Manifold (C or E) 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? Y 1024.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 19.37 Vertical Lift (ft) i 3 G / 100 46.75 5x Void Volume (gal) 1.90 Friction Loss (ft) 69.59 Minimum Dose Volume (gal) 27.76 Total Dynamic Head (ft) 24.72 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. I options choice in. dia. options choice 1.00 x 1.25 x 1.25 x X 1.50 x 1.50 x 2.00 x x 2.00 x 3.00 3.00 x Treatment Tank Information Gallons /Inch Calculator (optional) 1000.00 1 Se tic Tank Capacity (gal) Total Tank Capacity (gal) Weiser Manufacturer Total Working Liquid Depth (in) gal /in (enter result in cell B48) Dose Tank Information 750.001 Dose Tank Capacity (gal) Effluent Filter Information 20.281 Dose Tank Volume (gal /in) lZabel Filter Manufacturer Weiser Manufacturer A100 Filter Model Number Project: BRUCE LENZEN HOMES INC Page 2 of Mound Plan View 1 / 6 B Observation Pipe 3 — A W R I ....... . L Mound Component Dimensions A 6.00 ft E 25.44 in H [ Aft ft K 11.49 ft B 75.00 ft F 9.25 in z ft L 97.99 ft D 24.00 in G 0.50 ft J ft W 26.08 450.00 (ft Dispersal Cell Area 1261.64 (ft 2 ) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 12.50 (ft) 1/6B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 1045.97 (ft) —� .ter / /flrff.. G H .rErrrrrrr 2rrrrrrrf.. frrr rrrrr,. F Dispersal Cell 70 ( ft) L a teral 1044. 1044.20 (ft)� . . . . . . . . . . . . :: Invert ::.: Dispersal Cell Elevation E . D : . . . . . . ... • � •� 1042.20 (ft) Contour Elevation 2.0 % Site Slope Shading Key Dispersal Cell Geotextile Fabric Cover TOpS011 Cap a See lateral details 1❑ O � � r r r r, Subsoil Cap h 2 5 y r page 4 for number of �• ''� '�'� x "� '` `laterals, size, and ©0 ASTM C33 Sand F �, 0.5 ft r Typical Lateral , spacing. Laterals are Tilled Layer � s a , ; Y P g 05 Y Y Aggregate v c r Yxr x y ; ; Y 5 centered in the Ax13 — A distribution cell. Project: BRUCE LENZEN HOMES INC Page 3 of Lateral Layout Diagram Force mai n connection via tee or cross to manifold at any point. Laterals are identical P i= Turn -u p w0bal I valve or IE — 3I�xf2 I 024 Laterals Laterals &farce main of PVC Sch 40 cleanoutplug per COMM Table f14.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 6.18 gpm Manifold Length 3.00 ft System Flow Rate 24.72 gpm Manifold Diameter 2.00 in Total Dynamic Head 27.76 ft Forcemain Velocity 2.52 ft/sec Dose Tank Information Locking cover with warning Ve label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC � 4 in. min. Disconnect 7 ea --ii -- Tank component is properly vented s ;: F-- Alternate outlet location Forcemain diameter Weiser Manufacturer # 2 in. Capacity Capacityl 750.00 Gallons Volume 1 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 15.55 315.37 C B 2.00 40.56 Pump off elevation (ft) C 3.43 69.59 — 025,33 71 D 16.00 324.48 D Total 1 36.981 750.00 Dose elevation (ft) 1024.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number DLV Pump Manufacturer ZOELLER Pump Model Number I BN140 Pump Must Deliver 24.72 gpm at 27.76 ft TDH Project: BRUCE LENZEN HOMES INC Page 4 of cn w W HEAD CAPACIT CURVE TRIAL DYNAMIC HEAD; CAPACITY W PER MINUTE MODELS `140 4140" EFFLUEN- AND DEWATERINC j J Ft. Meters I Gol. Ltrs. 14 - 5 1.52 91 3 - i '0 3.05 84 - - -� - - - - 3: B -+-` - - -'--I t -. 4 12 40 1 'S 4.57 76 288 _ - \ .. 140 20 6.10 Be 257 w, 35 25 7.82 59 223 I 10 I ! 30 .__10.67 - ._ - -38 144 I �� -- — 40 - _ 12.19 21 79 1111 25. 45 '3.72 5 t9 t Iw � 1 l Lock V..­ 46' T D 1t t ..— �.1^I tf— SK^524A 4 t Q 1 2 �• �• S • - U_S. GALLONS to 20 30 40 50 60 W 70 80 90 100 110 •. - LITERS �I •`ip..l - 1 , 80 160 240 320 400 -(' 0 FLOW PER MINUTE 010940 �•' "��'��- { l' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with • an alarm. • Mechanical alternators, for duplex systems, are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplex r - , sKSZ4e system. See FM0732. - — • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable SELECTION GUIDE level long cycle controls, 1. Single piggyback variable level float switch or double piggyback variable level • Sealed Qwik -Box available for outdoor installations. See FM1420, float switch. Refer to FMO477. • Over 130 ° F. (54 °C.) special quotation required. 2. Mechanical alternator M -Pak 10.0072 or 10 -0075. • Refer to FMOB06 for 2D0' F. applications. 3. See FM0712 for correct model of Electrical Alternator E -Pak. 4. Variable level control switch 1 0225 used as a control activator, specify duplex (3) or (4) float system. 5 Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex 140 Series - 53 lbs. 4140 Series - 73 lbs. or 2 pump operation, 10 -0002. 14014140 — MODELS control Selection —� -- -- -- - -- Model l Mode - =Volts -Ph_ Mode Amps _ � x Duplex 14140 144140 115 1 on 15.0 1 or t &5 2 or 3 & 4 CAUTION SN41 6144140 2 30 1 iro 1 7.5 1 or 1 & 5 z or 3 s 4 Al installation of controls, prdecdon devices and wilfttg should be done by 40 115 Non 15.0 I 1 o r,1 & 5 2 or 3 d 4 1:0 BE4140 230 Non 7.5 1 or 1 8 2 or 3 & 4 a qualified licensed electrician. All elecbigl and safety codes should be followed including the most recent National Elecbt Code (NEC) and the Double seal pu.rips are available 0h optional moisture Sensors. seal Fail indicator light available in NEMA 1 or NEMA 4X occupational Safety and Health Act (OSHA). Control panels. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MIUL T0: P.O. BOX 16347 LOUlSVi#B, KY 11,211-IN, Manulacu ners of. SHIP O f TO. 3649 Cann Run Road Lowsw#e, KY 4024f -1961 PUMP !D (502) 776.2731.1(600) 926 -PUMP err Pur vs S.vcE 1 xS " FAX (502) 774 -3624 l�rUce --_ L�� tee•, ��s �..,� Pte- s��� �' I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil conpaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /LTSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is peformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. nJa General (' This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component al or state rules p ertaini n g to s ystem maintence and maintenance rep orting. k � r � / 0 - 9- .S�l/- 1�71%�'l0 and local p g Y one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank U ,,? abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. ���(/ Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your designer, installer, service provider, county zoning office or local health inspector. See Page 7 for the name and telephone number of your local POWTS regulator. Project: BRUCE LENZEN HOMES INC Page 6 of Mound System Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXC INC Phone 715 - 381 -1704 POWTS Regulator's Name TODD FEATHERSTONE Phone 715 - 381 -1704 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect once a year and clean once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals flushed and pressure tested once every 1.5 years Mound Inspect once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted or perforated and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 6)(i), Wis. Adm. Code. P 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion. Lateral Turn -up Detail Finished • .............. ................ Grade 6" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: BRUCE LENZEN HOMES INC Page 7 of FEB.- 20'01(TUE) 10:50 BRUCE LENZEN INC TEL:7153861999 P. 003 ,y... ...... .. ... ...... �' r ' 1 i � 5 ,�. le p A a A d, Z"t 57 Or V I .>� 2. ria �L. ` •\ I r • �^ �. OGDEN EIMMEERING CO. Civil Engines i Land SiArfeYWO ' t 113 w. walnut St. River Falls. wI 54022 (716) 4257621 / a , UALE = 1" • 100' 0 SO t00 I00 300 400 FEET _2• CCNTOYA INTIIRVAL I E FEET I y' •.•• TOPOGRAPt1T BY MOTOGAAMMETRIC METM004 FROM AERIAL FNOTOGRAP"I YAKLN IN'duNE, 018% WISCCRON STATE PLA111 COORDINATE SYSTEM, I . • / •'�• CENTRAL ZONE. SHGAM AT SOG FOOT INTERVALS J MIMICAL DATUM rs AFF ROX IIMTELY MEAN SEA L[tl a , / ••'•• r �+ ' _ -'� 1 LEGEND I + 215 Menlo" he" C? TNtt !COMMA#* NN+N womwe rsn • ` want ..,�� MILNOANI Q ixxww wraa [1lNTIreL POINT ; PENCE X NNW MaRs IwLmn; M.3 FELD *p"V L4lwTkan I r......r WALL 0 UTILITT MR reffa7 PLOT/LN 11.{MATHM CNLKW AMNOrIwATK LOC4TIO01 ! LARL OA NNNO U1 emus gANM awaa NlwR I0tAT10N vim - • AAAOrwRt NMlt14� ' � • • � 1 � . I •••••••••••• BOLMARY OF SOL CLASSIFICATIC14 l $ • I 1 i 0'. wnr a _ ! I J. ol F- t 1 r .l � . .lily_ L - j r� Ci a� , I � f , 'YIIT I ; } I I ' JJ f 1 ` I .i G I TT ti FI S r . L oil I o C o r ' f (t - - -_ r IL L Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with IL ? Adm. Code COUNTY ST. C_k .o I X Attach complete site plan on paper not less than 8 1/2 x 1 Ynches in size. Plan m t de, but not limited to vertical and horizontal reference point (B dit action and 9$'q elope, e PARCEL LD. # dimensioned, north arrow, and location and distance t nQar'est road.. i R IEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT L-L INFORMATION PROPERTYOWNER: PROPERTY, ION C• M- B�•f E �1J \ S S �� L Z °'w 1/4 S F 1 /4,S I b T 'Z8 ,N,R 1 q E{ w PROPERTY OWNER':S MAILING ADDRESS " L # . # SUBD. NAME OR CSM # GL�U t=1Z Sltt'DO►J LI Pt t) I CITY, STATE ZIP CODE PHONE NUMBE []VILLAGE MOWN NEAREST ROAD R.LUkff V_ FlkLLS.kJI S OLZ_ ( 0_U- Bl6 pY :SW LI.WI�' R tVtl , M New Construction Use. [j Residential /Number of bedrooms [ ] Addition to efdsfing building [ I Replacement [ ] Public or commercial describe Code derived dally lbw 600 gpd Recommended design loading rate ° ' y bed, gpolft? trench, gpoltt Absorption area required Stu bed, ft 'S010 trench, ft Maximum design loading rate o • S bed, gpd/ft 0. L trench, gpd/ft Recommended infiltration surface elevation(s) 14'k q - Z • It (as referred to site plan benchmark) SSE-t- /v G Additional design/ site oonsiderations RJL l V l 9�.& Vqk Vt. D w 8'X b 3 B ® Z' o (= S Ll . F OL.1 lift iS ` 3 Parent material s4M try t)V r / rf LL, / Ou LQ+g tre Flood plain elevation, Uapp6rabW N ft S = Suitable for system CONVENTIONAL MOUND IN000ND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TALC U = Unsuitable for system ❑ S ®U ®S ❑ U ❑ S ®U [IS o U [IS ®U [IS IO U SOIL DESCRIPTION REPORT__- a M N (Z(7� Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Cordstence Both o Bed T iench 1 0 - �0�2 51Z _ 'Ri l Z� Sbk �A C- S - 0•S o.6 .S' ru - _ o,S o.L z � zo IK *-*-M V/3 si Z �sbk Yh �s .s Ground 3 Zo Zj 7 • S `1lZ 3 / - c) 1 ►+� s hk tint f h e. S _ o - z o _ 3 ` elev. �o �t.o ft. y z -3o �o �►��if3 - � - - — Depth to limiting factor Remarks: Boring # I - S C o S 6 S KEW `a C4� Z 6 -z3 �otitz Yl3 ' S e\ Z, sdk w► `fl. cS 3 i3 z6 - 1 . y 3l — c1 1 Sb > ` �s -z v.3 . Ground elev. Z . l u � a-S l 3 ft Depth to limiting factor -T-1 Remarks: T Name.— Please Print Arthur L. W e e r e r Pho 715-425-0165 egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022 Signature: Date: CST Number: Gq -30Z- S M00576 PROPERTY OWNER B`tE — sC-WJ -TZ SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # w Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, Bed Trench >+ >i :�< � o — � ti � `t �Z 3 ! Z '� s i 1 2�' S b12 � � �. C S _ o . S o • � . � o. b .s Ground 3 Ly -31 lkw-1 kL 3 Aa yv, C$ o •q r S elev. lb `1R /L •S KQS J5 C. it~ e4 Depth to 5 3 s _L10 t 2 b 1 LS B R - limiting factor 3 � ' Remarks: Boring # \�<;«.;:::: >: I ° -� Lo�.Q 312 � s1 z� sb k ��� Cs - o•So.� ,s 1�6t. V- V13 s i ( Z Sbh Wn cS o. S o_ L �. SyR31 �l Zen sb►� ►n'�'►- �S °'y °•s Ground s elev. y Zq - �O 4 tz LS @ R ro Yo.4 ft. Depth to limiting factor Remarks: Boring # i ?i€ Ground elev. ft. Depth to limiting factor i Remarks: Boring # ^Fti Ground elev. ft. Depth to limiting factor I Remarks: SBD- 8330(8.05/92) PLOT PLA Page 3 of 3 "SCALE 1 "= 1 40' \- T S `1 M pT S b M ,/ G� 0� .'ti �� Rio vjo c- wL 0\k �� otSTv�tB `T*LS PM0K. N toyl ° — to< - - N LL.) Oq \ b y Z ►� tGN, 3'ti,,t p�� s v C Tb aE ttkm ou�� e1 �oyz ? S vz� - S OIL � �Ti�.tc� E�sEnE�r EL. toy�•�B dry �•` ����N ptPE NOTE: House to be at least 25' from mound. Well to be at least 50' from mound. For a 3 bedroom house, design the mound with a 6' by 63' bed. NOTE: The 2 ridge shown is to be carefully removed prior to mound construction. Care must be taken to prevent compaction of the mound site or the area 25' downslope of the mound site. This has been discussed with Leroy Jansky, wastewater specialist. 3� -45 ( 715 ) 42 q - 0169 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry. SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations 'Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but I.D. # C7) x not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL . # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION C. M - B-t E V 1' U 17 �T1J1`l \ S S C L Z 60VF-L-ffF NuJ 114 S 114,S It T Z8 ,N,R 1 9 E( W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # — 1 110 N. m w 1j S T S1 - IG W)Lrit 5MV13 t! V PtD PoN CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD R.LU2T PU S OLZ. (hIS) 141S %161 pY I Z LIME R4ttD [4 New Construction Use.[ Residential /Number of bedrooms [ I Addiikn fo ebsting building ] Replacement [ ] Public or commercial describe Code derived daffy flow 600 gpd Recommended design loading rate o • y bed, gpolft ' trench. gpd&l Absorption area retatrired S %R1 bed, ft 'S60 trench, ft Mabmum design loading rate o - S bed, ti o- L trench, 9polft Recommended infiltration surface elevation(s) toy, q. Z • ft (as referred to site plan benchmark} S L ti OTC Additional design / site considerations RZMt"►Yl w Wy- b 3' t3 Z' o F S FILL. FO>Z PW IS - 3 Parent material SSb 9-i 0v T ) T7 L. / O U QOM t T Flood plain elevatiot, l applicable N ft t %SS = Sttftable for system c�rn►aJnoNal MouND IN01OINND PRESSURE AT -GRADE SYSTEId IN FILL HOLDING TANK U = Unsuitable for tem ❑ S ®U ®S ❑ U ❑ S IO U ❑ S I� U ❑ S ®U ❑ S loll SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consislf a Bmxxl3y Roots GPD /ft in. Munsell C Sz. Corn Color Gr. Sz. Sh. Bed Tmndh I 1 0 -1 X% -It� 3[i _ T � Z- � Sbk �iM c.S - 0 -S o.6 z -7- io '-QZ V/3 - Si I 2 sbk vn v C S - c, s o- l Ground 3 Z Z7 S `1ft 3 l - C tin S bk elev. v3 .D ft. Lj - n -30 - Depth to limiting factor Remarks: Boring # o -L Lt, 3tt - Sil z�Sb1� 1'4 '�b. CS E l Sit Z`Fsd1T 1n`�1- cS - o•Su.� 3 23 -7-201 SID- 31Y C) Sbk ti Ground elev. Z$ -2ta 10 , i 12$ t3 - LS T3 - � 0qz fL Depth to limiting factor Remarks: T Name : - Please Print Arthur L. tde ever Phone: 715 -4 2 5 -016 5 Add ress: egerer Soil Testing & Design Service – P.O. ` Box 74 River Falls,WI 54022 *nafure: CST Number: G y -3oZ- s7 -30 -gS M00576 PROPERTYOWNE4 II`t — sCt{V �.1'Z SOIL DESCRIPTION REPORT Page Z of 3 PARCEL W. # Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence BourxJary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends �:13�:t I:' o -� 1�7�Z �lz � sit Z Sbk w���. �s o•S o.` {k b_zy 1v `t IZ 3! o. 6 Ground tike, 1 lL 3 /( e) •�( O.S 1 elev. Io 31 -35 �•Syli WC E •S Depth to S 35 -L10 1 oI1R b 13 — LS BR - — — limiting factor Remarks: Boring # , C, r : - `?� �Oyg 3/2 S1 Z`�3Uk �`F�. C S - o •S o. s 1 o_ L ` y . Z � -�'1 1�'-1, R- Y!3 � S i ( Z. Slah yn'F►. cS , Ground 3 n - Z• �.S b tZ 3! 0_1 Z>K S Ut ►m o• 4 �I• S n• S elev. y 7 y -33 �o U tz 9 / 3 — LS �o Depth to limiting I - factor i Remarks: Boring # t i Ground elev. ft. Depth to limiting factor ! I Remarks; Boring �a. I Ground elev. ft. Depth to limiting factor - Remarks: SBD- 8330(R.05/92) PLOT PLAN Page 3 of 3 r SCALE I"= y0 ' \..oT S7 > LOT S m a� lts\%T%n `T*LS PMV,. N Z- \Dyt S AL �' vT«� E�csErlE�a — tt. \byl_S %' `„ Vc - PIPE S oo t._.) 1 kb PcD NOTE: House to be at least 25' from mound. Well to be at least 50' from mound. For a 3 bedroom house, design the mound with a 6' by 63' bed. NOTE: The 2'+ ridge shown is to be carefully removed prior to mound construction. Care must be taken to prevent compaction of the mound site or the area 25' downslope of the mound site. This has been discussed with Leroy Jansky, wastewater specialist. q y -3oZ _s� 3u -4S ( 715 ) 4L-0165 M00576 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer BL fl + CD h n i P. M1 I c1P r Mailing Address ®Q C/ P/ C Rim l Ala-, 'y z'111 � jo .Z Or 5 C to v e Q �o �v 3z �1 •C ,PLO Property Address ✓ (Verification required from Planning Department for new construction) City /State 1) � S'D IV , VV Parcel Identification Number (f-� LEGAL DESCRIPTION _ Property Location N4 ' /4, SE - i /4, Sec. . T aA N -R / L W, Town of — FoeA ►f Subdivision /0 i e r SVa ll d jI )Hh IMPI /0/I Lot # . Certified Survey Map # Volume , Page # Warranty Deed. # ��-- , Volume . Page # Spec house ❑ yes J no Lot lines identifiable �4 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result is its premature failureto. handle wastes. Proper maintenance consists_ of pumping out the septic tank every three years or sooner, if needed by a. licensed pumper. What you put into the system a disposal can affect the- function of the septic .tank stn in the waste ank as a treatment g drsp system. The property owner agrees to submit to St. Croix Zoning Department'a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or licensedpumper verifying that (1) the on -site wastewater disposal system is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic syste has been maintained must be. completed and returned to the St. Croix County Zoning Office within 30 days the three yeea a on date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all staTTe ats on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the j!erty ( described above, of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Ineiude with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ' STA 1f9 *6 109 1 - 1982 Es01332 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO, ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between C. M. Bye individually; 04 ^15 -1999 1:15 PM R. & Sandra C. Schultz Revocable Trust, Dennis R. Schultz & Sandra C. Schultz, Trustees, OARRANTY DEED both with full power of sale or encumbrancing Grantor, EXEMPT R CERT COPY FEE: and C William P. Milder & Connie A. Milder. COPY FEE: as marital survivorship property _ TRARSFER FEE 167.50 RECORDING FEE: 10.00 Grantee, PAGES: I Witnesseth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS ,y� Lot Glover Station Fourth Additio in the W14 ) A� m • E� Town of Troy, St. Croix County, Wisconsin. 3bf 5. bco gxd /4tAdSaN , 14 - , C Soo /6 Computer N 040 - 1229 -20 -000 Parcel Identification Number PAR# 16.28.19.1122 This is not homestead property. is is rot) Together with all and singular the hereditaments and appurtenances thereunto belonging; And C. M. Bye, Dennis R. Schultz and Sandra C. Schultz warrants that the title is good, iMefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this 9 day of > I1J t t.� \' /1 . 1999 . _00' (SEAL) —ORA., Ih � (SEAL) C. M. Bye • Dennis R. Sch (SEAL) �h/% .L f n - r `A���1 i (SEAL) v - f r • Sandra C. Schultz AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN, 1 I as. St. Crnix County. authenticated this day of 19_ Personally carne before me this day of �AQ '19 5 , the above named U. M. Bye, Dennis R. Schultz and Sandra C. Schultz TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person v` who executed die foregoing authorized by E 706.06. Wis. Slats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY C. M. Bye • A me La d Attorney at Law Ntaary Public, ssj -.Coumy, WIS. • t�(II) riYa (Signatures may be authenticated or acknowledged. Commission is permanem. wledged. Bo are not : ta aE y . `lix ration date: necessary,) i g 3 y'Z g�oo� r •Namcr afpv,prn,igninain any capacity AmW be typed w primed belo ftir siSmurer. ^��••'.. ����; 71).ii.pppt STATE BAR OF WMONSM Of 1If(SGO� ,• 0•-Ot t889 WARRANTY DEED forty N•. 1.1961 FEB,- 20'01(TUE) 10:50 BRUCE LENZEN (NC TEL;7153861999 P.003 .. ,.�.... . — •- Av 5 . A d `r ti � V .` �j M , r of loe or \ .ter- ' • : J oo i OGDEN ENGINEVONG CO.. / oe Civil EnEinam i Lsnd MAMOYMM 1 • ! 113 w. walnut Si. River Falls, w1 54022 / 715 42S•7d91 / { ) ' a , SCALE = I' • 100' .� O 50 100 200 700 400 F11E71 CONTOUR INT7<RVAL I E FlET 1 y � w � TOPOGRAPr7 BY PN0 *06AAMMETRIC I11E71 FROM �r Y AERIAL, PHOTOORAP141 TAKEN IN•juVE, 007 . WMCOMN STATE PLANE COORDINXTE SYSTEM, I . • �' .•••• CENTRAL. ZONE, SHOON AT 300 FOOT INTERVALS J r � VERTICAL 6ATuki a A1PPA0NMTELY MEIN SEA L1�ra / / •• r ERTI LE + 2L3 / pN SOY �..� TO[[ � / ; ' � •. =zoom" so" wgA 1 ` TRAM. PHMM an I* � : � r ; •' � z�: + r Nr,uoA>t Q IIONsOfTAL eaMnfEl POW x IRK" NAM �;• I WALL DIAL M.] S sacrsy [lL1 / •• / w•�� WALL . • uTlu Isi F&SAP Puirm 169MATION 1 ; 3 F� PAW" APPIRO.IMAT9 LOCATION r LANG 04 AMMO ,j. CONr[M / •// ; OrAYr A/. 141M kMArI0M •NNO.NAT[ lONYW,NOf ' J • - i I I soi.lFioAay of soil cu►sslFicl►zlcK 1 33 4M J FOURTH ADDITION 1/4 OF THE SE 1/4, THE NE 1/4 OF THE SW 1/4 AND I, R 19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. L — I GLOVER_ ST /Q E—C D _ _ A DDITIONI DETAL OF DRIVEWAY EASEMENT FOR LOT 70 & LOT 71 SCALE. 1' 5a / T ' 6 s er £S00I ERN P.s C1F _ROAD — _ —1 70 LOT n u / _ 71 11 ae�O w ' / �0 59 1 ' N W '~ 1 <p S� 31 2 . 124 2.539 3 32 1 � � 1 � 1 R S e9 23' E 523271' y 1 GLOVER STA 4/E 1/4 CORNER _SOT 51 THIRD ADDITION SECTION 16 1 / EXISTING WIDE 4 DE POWER LINE EASEM /T28N, R1 263 5 2639.96. 1 54 ^i 35 ee. e .. — .....zosso.. —.- _ _431.971 • •73.53• ..4 1i.. s 69.11' 23" E 9967• 79.57 1/4 SECTION 60 LINE 2.397 AC 104.419 SF . •6 56 / / / / J � s 15 19 w 3.694 AC / 17.77' IKOOI SF . 'R. 2.000 AC 67.116 SF / 58 2.131 AC 93,695 SF Cc) 2.110 6 1 ,a 2.1110 AC 91,922 SF 777 4 510 DETAIL. OF DRIVEWAY EASE FOR s SKAM FOR 9 / � EASEMENT FOR LOT 58 & LOT 61 W" LOT �, Wf LOTS s6 a66, - ' / SCAM r-50• T 63 7-003 AC