HomeMy WebLinkAbout040-1277-60-000 wiscAsln De of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
399563
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: F City Village X Township Parcel Tax No:
Mohrland, Dou Troy Township 040 - 1277 -60 -000
CST BM Elev: Insp. BM Elev: BM Description:
TANK INFORMATION ELEVATION bATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
.'L
Septic � � ( 1 - 1 - ' Ben ma k _ � 4
Alt
Dosing I _ . M
7 /
Siltt�- fY1C, =1'1, slrd n- tyG,av
Aerat -_ - -- - —_� BI ' � Sewer 0 q2 tfl
Holding S t Inlet
r r 7, CD a2 3 l
TANK SETBACK INFORMATION S • t cutlet z 1 1 , 9 1 316 /
TANK TO P/L WELL BLDG. Vent to A^ Intake ROAD Dt Inl t Z ,
p Dt Bottom
Sept �/ f _ j / j ..�.C,� / 7
Dosing I tU Header /Man.
t7
Aeration Dist. Pipe 11 n. 3 .�, 7 p
Holdigg Bot. System
C "' , ,1-( - 'ti. t 4
_ Final Grade
PUMP /SIPHON INFORMATION
Manufacturer �� r Demand St over
UL. GPM
Model Number / 4z )�Tl_ `
TDH Lift r Friction Loss System He� TDH Ft
Forcemain Le th Dia. ,� Dist. to well
L
SOIL ABSORPTION SYSTEM
BED/TRENCH Wi h J Length I No. Of Trenches - PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS t I �f /,�
'(1 LEACHIN anufacturer.
SETBACK S STEM TO P/L BLDG WELL LAKE/STREAM
INFORMATION CHA OR
Type Of System: UNIT Model Nu
- r
DISTRIBUTION SYSTEM
Header /ManiYd Distribution �� r x Hole Size x Hole Spacing Vent to Air Intake
I l pipes) C� ( F J/ � / — 'l
Length / is ,� Length ZL Dia Spacing �i V
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of Seeded /Sodded xx Mulched
xx Bed/Trench Center Bed/Trench Edges Topsoil [] Yes [q] No [] Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection; /_Z�/_.0_ Inspection #2:
Location: 506 Omaha Road Ftud WI 54016 (NW 1/4 NW 1/416 T29N R19W) EAGLE OF Lat Parceli�lo: 6(28`t�.1548
IA _CrZl� >S
1.) Alt BM Description = 5i-Lb ,
2.) Bldg sewer length = 5 ' nG,c 67-C • I
amount of cover =- - Cr1 kL^ 4P' Pa � /
Plan revision Required. [ Yes I__J No
Use other side for additional information. -�- _ / �
SBD -6710 (R.3/97) I� Y '
Date Insepctor's Signa re Cert. No.
'I
I
i 41
V- y7ell
rl
P,P
-} -q , '�
� 201 W
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21. Wis. Adm. Code . Washington Ave.
Ah m See reverse side for instructions for completing this application B7 7302
�SCO Madison. WI 1 5 — Personal information you provide may be used for secondan purposes 537001 -730.^
Department of uommer je (Privacy Law. s. 15.04(I)(m)J (Submit completed form to county if r
state owner
Attach complete plans (to the county cop) only) for the system. on paper not less than 8 -1/2 x I I inches in size.
County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number
313q!;
I. Application Information - Please Print all Information r j Location:
Property Owner Name 1 A `.�. , Property Location
Lt.r ✓ / x;` ,. �� 1/4 A/tf 1/4, S T N. R or
Property Owner's M iling Address ` s.;y� Lot Number Block Number
/414
City, State Zip Code _ one uin er - �I' -,. Subdivision Name or CSM Number
(:
II Type of Building: (check one) A ❑ City
.? 01 G�
• 1 or 2 Family Dwelling - No. of Bedrooms: •�' ❑ Village
• Public /Commercial (describe use): °'� � )&Town of
• State -owned J r
III Type of Permit: (Check on!) one box on line A. Check box on line B if applicable) Nearest Road
0
A) 1. ANew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)
System Tank Onlv Existing System 77— (60-000
B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POINT System: (Check all that apply)
❑ Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
ed� round ❑ Holding Tank ❑ Single Pass ❑ Drip Line
1! !E5 ❑Aerobic Treatment Unit ❑Recirculating ❑Other:
V Dis ersaL'Treatment Area Information:
1. Design Flow (gpd) 2. DispersalArea T3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) ✓ Elevation
/to 11 // z 5 , �/ -- day 6 Fz,,,- . 3 3
VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks �' (Ob Con- Con- glass
New Existing crete structed
Tanks TanksL /�
❑ ❑ ❑ ❑
(1fd 6 0 0 / 1 edW4 ❑ ❑ ❑ ❑
I Respo sibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (print) Plumber' Signature (no s s): MP/MPRS No. Business Phone Number
/hn a�'Z - ��j Z yam 77Z
Plumber's ddress (Street, City, State, Zip Code)
z �h z
VIII County/Department Use Only
• Disapproved Sanitary Permit Fee (Includes Groundwater Date issued Issuing Agent Signature (No stamps)
"-Approved ❑Owner Given Initial Adverse Surcharge Fee) � �
Determination �lZ-S Oqb 'O t
IX. Conditions of Approval /Reasons for Disapproval: N - fin► FtOb - =kOOI=
011% Ufa t.►sevt t5 9.U,i?O&K -ic%C a-r POW(3 CPGt of �tU"Zh t IrtC�k- lrpCZltEn'/
Li 14v A m t ". ( a �NIC r(n t/�1• SP EU Ft �R Ttaale�
!TS� wt - (tk� F
Gouvt Pc `� w'�'frc•'7t��uD� D>:71F� 5 `IfR_F_ p.oPROffXL — 6 rTE occ Ct Ca J
SBD -6398 (R. 07/00)
r
Wisconsin Depanment of Commerce SOIL EVALUATION REPORT Page 1 of
Division of Safety.and Buildings
in accordance with Comm 85, Wis. Adm. Code
County sr, C ► X
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Reviewed by Date
Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
CHA RUES 5. C 001K Gevt +et- NW 1/4 t4 A 1/4 S 1 b T Zg N R 1 XadOn W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
I 1 q00 A GEPL ME- J S T. Ne , )(,o VA&L - e jLl,LFt
City Slate Zip Code Phone Number ❑ City ❑ Village ®Town Nearest Road
► JV E rAA 4 91 0 6 3 7 5 - 'Io - t YLO "fOwUU SllAt l .eY Rl�,
New Construction Use: ® Residential / Number of bedrooms t— Code derived design flow rate
� + ' GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material SA 510A3 Flood Plain elevation if applicable •
General comments AT - (,KPQG SYSTEM lz>✓W��tl2rz0 1 = ��f ,
and recommendations: CD N ►� � >rI,�V RTtOnI 9zy,53" S _
0 7 2000 ` `
ST oROIX ;
y, ZONING OFFiC
Boring gLS_8>3 bt7 E .�
[A] Boring # � Pit
Ground surface elev, ft. Depth to limiting factor lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda GPD /fP
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
l
0 -10 Ir7ytZ�t 3 f M 6 0�5
z 10 -lam l o U 3r'z - I I msbK a b 2 fi. 0 'LA 0,
3 17 O .3/ - 15 1 msbK cis a 2 F- 6 Z
L4 0 - 31� ,s 3 5 0 1 ate Zf 0 1 - 7 L - 2 -
S - 4D 11) 1 s 1 msbK d s 6L f 6• I Z
(I L40-4q- 5 y _ s Os d t �- b. I, 2
7 o l 0 3 I S ► msb d s I 01-7 I, z
A Boring # Ej Boring
(eopT.) ® Pit Ground surface elev. iL • ft. Depth to limiting factor _ in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `E�GPD/ Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
b0-6 U 3/f 7.5 ya-5�`► 5c1 0 rA A14 1-1 0.� — 6.0 0.0
q -bb I lo,4r" CZ4 5 0
Effluent #1 = BOD > 30 5 220 mg /L and TSS >30 150 mg /L ' Effluent #2 = BOD 5 30 mg/L and TSS 5 30 mg/L
CST Name (Please Print) Signature ' - CST Number
/hAn- .j0 HbI.UST 12 Z7-Li Z
Address Dale Evaluation Conducted Telephone Number
WG9 ?5 6RO e. Rk0Et2 zALl -S Lj 5y02z 10 - 26 -Dp C�IfS)4zb -1715
property Ovmer �• :Ground Parent lD S
e eortng In. Plt surface alev. Z3 n. Depth to Ilmi►a+g lei - Soll 1100 Rate
tenure Structure Conalstance BourW" Roots lee
Horizon Depth Dominant Color Radom DasalPOn or, 9z. Sh. $041 6002 In. Munsell Qu. 32. Cont. Color
I f r a•b
1 0'4 0`I �z t" O,
3 Q -19 51 2m 5bK to e-
{ ' SIb St 1 Fr 0.Z 0 ►
S { sl r 5t I I f d5 0. 3
41 r0 t, 0M �f i � IRr- 4.0 r2
x I y s p rK r — 0•'7 I• 2.
'7�
Bing L Drn Ground surface slev. z 3 n, Depth to limiting factor y 3 In, Still A 11on Role
Horizon Depth olor Redox Description Texture Structure Consistence BoundatY Roole GPD/fE dr. Sn sh. 'EI'2
In. Qu• Cont color
I 0 4rZZ1 ( 3f r rn g ,
Z •1 y y L
St 1 � Fr o .S
2f- O.y C6
IL - Iq b 0.2 0,3
3 I 1 rrls bK r 5 �
L4 1 -43 fr I�- O.'2- 0.1
S • 3 _� � � '1 I I rn sbic
0 fun d ti — — 0� 0�
b o -4
D
Redo
goring B Bating n, Depth to Ii WIN factor In. pit Ground surface elev. ��_. 6 "IFM
P }fin Depth porttlnant Cobr tt trscrlptlan Ta:ture structure Consistence Boundary R0013 O
In. MuMail Qu. BE. Cont. Color or. Sz sh.
I ,
•
EWk ent 01 ■ 800, ■ 30 S 220 MOIL and TSS >30 160 myll ' Effluent Y2 ■ BOD 130 wa& and TSS = 30 MWL
The Depariff Ont of Commerce is an equal opportunity service provider I e and employer. yer. 6y n you agni tans t sr -c77. services or
need material In en alternate format. please
reo -17�o A,�uvl
r
rte'
HOLLISTER'S BOIL TESTENG
!� Mary Jo Ba luster
WQ $7S (A Oth Avenue
Rive: Falls, WI 64422
(716) 426 -1775
Data
0
Property Owner _�K; �� RL�S Parcel ID # _ __ Page Z of
Boring # C] Boring
Pit Ground surface elev. _ x (2 3 , ft. Depth to limiting factor U7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2
1 0-4 tow I 47- I 3 f ar M\ITr O'b 0.5 0
Z LI 10�1 1Z — I b m (-b 3� o.S 0 1
3 P - 19 I o yr 3 /5 5 z►-,-, sbl mfr Cs 2-f- os 0->s
1$ - 1 7,5 '1 W- S11 I MShw m�r C 0 0,3
1 SI St I 1 I m 65 1 f -qa . O•Z- 0,3
�f7 -5 O V 41 k-1 0 M m-F; 0.W 1 � O,0 0.2
7 5q - 70 ► Dot a �, P -1 s D rr.l — 0•'1 1, 2.
a Boring # E] Boring
0 Pit Ground surface elev. 42- ft. Depth to limiting factor . in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF '
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-q Io yt2z1I 1 3 F r rn ift- 3,jf -m o•S O'$
Z 9 -I I() \1 51I Zm 5b! fr - M O.S 0, 1
3 1) -1 -19 Ib 5 C5 2-F 0.2-
Ll 1 -4 3 ,5YI- si I msbl< �r CS Z-F-*h 0.2 O,
S t.13 - 7,5 514, I I m 5bK ewfr a W 1 - f - 0. 2- 0,
b n -gz �stit�y sl 0r,
o
Boring I�SFi<iQC, 7b l3e La w.D�CTED {3�{it� GSf .
❑ 8 °ring # Pit Ground surface elev. _ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 - 264 -8777.
SBD-9330 (R.6 /00)
Safety and Buildings
10541 N RANCH ROAD
HAYWARD WI 54843
� TDD #: (608) 264 -8777
visconsin www.commerce.s i
www.wiscortsin.g n.gov
Department of Commerce
Scott McCallum, Governor
Philip Edw. Albert, Acting Secretary
October 30, 2001
CUST ID No.226524 ATTN: POWTS Inspector
ZONING OFFICE
ROGER L TIMM ST CROIX COUNTY SPIA
3128 20TH AVE 1101 CARMICHAEL RD
WILSON WI 54027 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/30/2003 Identification Numbers
Transaction ID No. 684.277
SITE: Site ID No. 637816
Doug Mohrland Residence Please refer to both identification numbers,
Omaha Rd above, in all correspondence with the agency.
Town of Troy
St Croix County
NW 1/4, NW 1/4, S 16, T28N, R19W
Lot: 16, Subdivision: Eagle Bluff
FOR: New at grade system, 450 GPD
Object Type: POWT System Regulated Object ID No.: 817300
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:
General Approval Conditions : --
• This system is to be constructed and located in accordance with the enclosed approved plans and with the A
Grade Component Manual, SBD- 10570 -P (R.6/99)" and the "Pressure Distribution Component Manual
Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99).
• In the event this soil absorption system malfunctions so as to create a health hazard, the property owner must
follow the contingency plan as described in the approved plans. In addition, the owner must insure that the
operation, maintenance and monitoring duties as described the At Grade Component Manual are complied
with. A copy of this information must be given to the owner upon completion of the project.
• 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 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 maintenance plan for this system must be given to the owner of the POWTS.
Site Specific Conditions:
• The orientation of the at grade system must be such that the longest dimension is oriented along the surface
contour per COMM 83.44(6)(a)2.
• Limit activities in the area 15' beyond the down slope edge of the at grade per At grade Component Manual.
• Surface water drainage shall be diverted away from the system area.
ROGER L TIMM Page 2 10/30/01
• Materials shall conform to the requirements of COMM 84.
• The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size.
Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic
tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations.
• Maintain well and waterline set backs per COMM 83.43(8)(i).
• Provide frost protection per COMM 83.43(8)(c).
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this cozresponde�ce may be made to me at the telephone number listed below, or at the address
on this letterhead.
i
Sincerely, Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
atiicia L Shandor
POWTS Plan Reviewer, Integrate Services WiSMART code: 7633
(715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm
pshandorf@commerce.state.wi.us
cc: Doug Mohrland
I
Doug Mohrland - At -grade System
Transaction #
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:
At- grade, SBD- 10570 -P (6/99)
Pressure Distribution, SBD- 10573 -P (6/99)
Location: Lot 16, Eagle Bluff
NW 114, NW 1/4, Sec. 16, T 28 N, R 19 W
Town: Troy
County: St. Croix
Date: October 16, 2001
Owner: Doug Mohrland
Address: 665 Herron Court, N.
Oakdale, MN 55128
.. - tiz�cs
Plumber: Roger Timm
Signature: E
License # MPRS 226524 2-
Attachments: 6748 -Plan Approval Application
SBD -8330
page 1: cover
2: design criteria & calculations
3: plot plan
4: plan view, system cross section
5: lateral detail
6: pump tank exit detail
7: pump curve
8: system management
page 1 of 8
1 Y
Design Criteria
Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L
a Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L
Fecal Coliform > 10,000 cfu/100 mL
Fats, oils, grease < 30 mg/L
3 Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load
i
Design Calculations
In situ designed loading rate m •4' gallons /sq. ft. per day
Depth to estimated high ground water 4 3 in.
Depth to bedrock Cd Z in.
Cross slope at system I°' 1 %
Force main length Z ft. of in.
Manifold/header length �� p ' ft. of in.
Drain -back 13.4 gallons
Lateral length Z @ ft. of Z in.
Lateral elevation ` ° ft. @ bottom of lateral
Lateral hole size 6 in. @ ��-� in. ( Z 'O ft.) Spacing
holes /lateral holes total
Lateral volume • s gallons
t
Total lateral discharge rate 3 V. gallons /minute @ ft. head
Network pressure compensation losses ° • �S� ft.
Elevation difference
Friction loss '2•� ft. @ 4 ' 0 gallons /minute
Total dynamic head 4 '•Z ft.
Pump /sip*n `' s gpm @ ft. of head
Manufacturer �' '°'~� ` Model #
Dose volume `' gallons
Lift/siphon tank �+� �o ���'- 6 gallons
Septic tank t wr° gallons
Effluent filter -��-
Measurement pump on and off in.
Height alarm from tank bottom ° in.
x Reserve capacity 4 "O i .9 gallons
specs.calcs.res
Page Z of
a r
PLOf PLAN
ROMPTY owV: C'm g-Lus L�CiENP:
LECA M5CklP 1 6 , EAGA-E r FF, PM- F L IN
k w - r"s m w► Yq oF Tt+Tc NW y 5ec. 0 AJ0 SUAFACE. 060 - Af
0
V. - tz - r w ST . WDWC-tJ STOKE
ORD IX UJJT Lb5 .0 �� 5O�1. [3OONG w/ 13ACKI.1O�
NO COMM 65 5MACK PVOPLrM5
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p •, cab ��,.., _�.w., `.�v. L` \
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Fabri Distribution Lateral
Observation— ,,,--Soil Cover
Well
2
6
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Fr ►� �oQ<Lr r'�.E3►w
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LOCKING.,.COVrLR JIJWCTION
bow
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pWCK CluouytGT --1
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i IL
44 777777777,;r;77;7;?")17;rMZWI
4° PIPE 3" ?
no ND16TURBED
SOIL. 24`' 2.�, 1I a 40
YENT
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A z..�
IAAPWPaoviC 4 0
SKET 3bNt'J �� F L E, AL 3' ow o
L P^ d 2 .. ON ' Vjwca , TVR.c.
MNEQTIOKS T `""/ : : e _ \ tQ CA t I t r G�DUwO
ELe�.
c � \ � ems., . , 0 .... •� 1..A T t .0
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Pu�IP
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SEPTIC t _ SPEGIFI'CATIOIL.lS
DOSE
TAWS /'MAWUFACTURCR: (DUMBER OF DOSES: PEK Dk:j
TAWK SIZC; 6"O GALLOWS DOSE VOLUME
S
ALARM rUwuFACruR .� �r IWCLUDIWG 5ACKFLOW: C,ALLON$
^ODEL WUYWCK: 14 CAPACITIES: A 34f ` U,WCHES OK 401.4 CsALLOWS
SWITCH TYPE: ge Z INCMESOR Z � Cook LL ^ vV5
PUMP t1AWU FACT URCR:
_ � g} I C j 9 ' J I►JLHCS OR GALLOLiS
� MODEL WUMDER;
O■ INL;HES OR GAlLGti1:
SWITCH TYPE: AAA, ►DOTE: PUMP AWD ALARIA ARC TO BE
3`8.3 INSTALLED j0kJ 5E PA CIKCL MIWIMUM OISCHARU RATE G ►M 7? ;
VERTICAL DIFFEIIEWCC DETWCCU PUMP OFF AIJO DISTRIbUTIOW PIPE.. FECTI
+ MI►UIMUM WETWORK SUPPLY PRESSURTTE �/. . , . , . . , FLET
+ gZ FEET OF FORCE MAIW X �•; F /, 0 0F t FKICTIOW FACTOR. Z ' }I FEET
TOTAL DyWAMIC. HEAD = Z I FEET o
IUTERIIAL• DIMCWbIOAJC OF TAUK: LEkl(,TH !� ;WIDTH 9 ;LIQUID DEPTH
o il-
g
1
/ • / M OD EL •
•
Su
1
w
Wit
Z f
GOULDS
��r t
i
Pump Specifications
- a M €IFRS FEE - -- -
J TC � PM 91 � MoDEL
r.ha ge size v, IVPT --
I
�naxlmum
Motor 25
S �',;!e l j f ,- ,se 115V
00
Materials of Construction
stic
Features and Benefits o - - -
— - -- -
• � .. � � mates a � ,o.
• _ _ _ _ es�tant
� ,_
CAPACITY
- -- - Pump Specifications Features and Benefits
MODEL DVP03
c anc! : HP • EP01 --
Uo tc 60 Gp`,, tr -
Maxlraum !read to 32,>>e� «.�..;
z Discharge size 1'_ PJPT • EP05
_ Solids' maximum
- Motor • R:,gge�! Bass r,
All motors feature Dai. Caslnc a case
o
25 30 35 as u s GPM �earlllg CTIS11 LjC IUf
Slagle phase 11 5 1 :
8 10 m'4u • C, 1 -
CAPACITY Materials of Construction
CaS1 mi"
Theimoplastic :,
Stal0iess Steel
a i n. l :;re oesgnea for continuous o ration and feature stalniess stee �Tar�� are
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 homeowner, and the homeowner must be provided with a complete set of plans including this management section.
If roblems develop with the adsorption system or others ste components, the installing plumber, Timm Excavating, 715- 772 -3214,
P P rP Y an Y Y m
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 pump tank or
compartment to allow a dose to be accumulated, a pump and controls, 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 residential 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.
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 pump tank must be pumped, and the filter must be back - washed into
the septic tank to remove accumulated material.
4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell.
Quarterly inspections are recommended, and 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, pump 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 residential 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
PLOT PLAN pAGp y
pKOppp1Y OWK; l.�6W:
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Jun -11 -04 02:06A
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address
Property Address 5 I /A &xtuL
(Variftcstion required from Planning Department for new construction)
City/State _
¢ Parecl Identification Number
L DES RI (v -
Property Location �/ ' ` /., q" '/+, Sec. _ 1 T -- _j
Town of
/e r— Lot #-
Subdivision
Certified Survey Map # Volume Page #
Warranty Deed # S Z Z Volumc 75�� Page # �� _•
Spec house O yes)m no Lot lines ideatifiableA yes Q no
SYSTEM MAUMNAN
Improper use and maintenance of your septic system could result in its ptensature failure to handle wastes• Proper maintenance
consists of pumping out the septic tank every three years of soon=. if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatmcat stage in the waste disposal system.
The property owner agrem to subunit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restrictedph mber of a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection sad pu mpiag (if necessary), the septic tank is less than 1/3 full of sludge.
E Uwe, the undersigned have read the above requ and agree to maintain the private sewage disposal system with the sanc n
set forth, herein. as set by the Department of Commerce and the Departa+cat of Natural Resources, State of W isconsia Certifica
sp • g t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
daY3 f th three year lion date -
61A r S1GNA OF APPLICANT DATE
QWNER CERTIFICATION
I (we) certify that all statements on this form are true to the bast of my (our) knowledge. I (we) am (are) the owner(s) of
p operry descry d above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGN OF APPLICANT DATE
•••••• Any information that is mis rapt esentedmay result in the sanitary permit being revoked by the Zoning Department. •'•••'
•• Include with this applie*tion: a stamped warranty deed from the Register of Deeds Office
a copy or the ccnified survey a►ap if reference is made in the wutanry deed
R ; V� 171UPAM r4
STATE BAR OF WISCONSIN FORM I - 1998 Y. 65522 H
WARRANTY DEED RESISTER OF DEEDS
3T. CROIX CO., WI
lbc st eta N~
RECEIVED FOR RECORD
Th is Deed, made between rporat 08- 3:-2001 8:20 AM
Troy Do ?lopment Corporat on, a Minnesota Coion
WARRANTY DEED
Grantor. EXEMAT 8
T and an h e L CERT COPY FEE:
.nd MO r an usba a T�R�EER FEE: 270.00
_ MORDIWO FEE: 10.00
__ Granwe. PAGES: 1
Cantor, for a valuable consideration, conveys to Grantee oho following
described real estate In St. Croix C ou nty. State of Wisconsin
(the •Propertyl:
Nytte yte Rqurn Aebee3
Lot 16 of the Plat of Eagle Bluff in the Town of mug and Michelle 14ohrland
Troy, St. Croix County, Wisconsin. 665 Herron Court N.
Subject to Declarations of Covenants, Conditions and Oakdale, 141 55128
Restrictions for Eagle Bluff, recorded in Vol. 1589
>P
page 516 , as Doc. No. 638946 , as appearing•in
the office of the Register of Deeds for St. Croix
County, Wisconsin, and such other easements, 040-1277- 60-000
restrictions and reservations of record, or in use, ParoM 140,11 adart N~ F"
and the "Buyer" obligations contained in the This m
is not homestead property.
Purchase Agreement for, this lot. (Is) (is no0
Together with 0-U appurtenant rights, title and interests.
Grantor warrAM that the title to the Property is good, Indefeasible In ice simple still froo 31x1 clear or encumbralces except
Dated rn13 23rd d or
Au 2001
(SEAL) (SEAL)
. Charles S. Cook, President
T roy Detrelopmtnt corporation
(SFItII (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Slgmture(s) Minnesota
State of Wisree:it►t
ss.
Annlea County.
Person cattle before tyre this 23rd ay of
authenticated this day °f Auaust - 2&1 — . t he named
Charles s Cook, Pres
Troy n,...eJ n t Cor=gation
TITLE: MEMBER STATE BAR OF WISCONSIN t0
Of root me known to be the person _who executed the foregoing
authorized by $706.06. Wis. Stars.) Instrument and adutowledge the same.
rNIS IN3TRVMENT WAS DRArTEO BY
Trov Dt;<veloanftnt Corporation N L. alift
Notary Public. Anoka County, 14inn.
Charles S. Cook, president My commission is permanant. (If not. siau .expt2t�5 dale'
($1gnaN feS may be authenticated or acknowledged. Both are not
January 31 )
ttn'.essary)
• Mane• ur Iw.. S1,,k,% i., ".y c., my — ,w W typed w VwAW Oslo. thrw $4 YpepMn licit bane . W� Net.
STATE MR OF WISCONSIN
WARRANT' DEED FORM No. I - 1990- q ova.
w
dA01JA9V 31, ft6
** TOTAL PAGE.06 **
l
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CORNER �" ' 1308.15'
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TED L AND TEMPORARY CUL -DE -SAC SOUTH LINE OF THE
EASEMENTS, R =80' .
1 LAND
N 04 E 80.00' UNPL A T TED _ _ _
' I Tn o e rul is DrNINT
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