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040-1293-70-000
n (A 0 s m C °.: a O �. ° (D 0 m ,cn m z� O A O n m o W w v o '� $'�+• _ o _ y+ zy ZI W "'I N r C. 7 O(0 O 5 C' n N m 2 U) 0) :5 W 'Z 3 < 0 -' O �„ n (D ° N O C'7 O O co (D O Qo O N N W O . I ^� C d O G A m v; v D CD a A N C. (0 I -4 r : N N 3 ,:, O O N N ' o (D Z rn a n A•r 4 C O N N O CD < N ( p O (D O C N m O O O = CL �� c a 0 y o ti�aiO m N �(D v < ID m S ' (D Ln ° 3 C) N A rn �Do rD CD CD �• C N_ S N N (n 3 l< N CD rn -pt O (D N p 2 CD N p Z O Q � CD .. I y Cl) "'I Oo 'D m N V m (�D �_ Z o 3 A ° .. z 3 m N Z (D ? A :E t m E ��-i�� co0 D Z c Om (D 0 TO n ° 3 v o N c T2 n(D i0 N( �j� O CD 7 p7 =_ G 3 c m c) m =r z CL - 'm m v o • � a 'o D D }O N i a o _ . U (D 1° N z, 6 N a -^� 2 -m fO O O O < V F 7 CD I� N n (O O N d (>7 O CD N cZ CD (On (D O 0 ID ID ID j d 0 ° Ln ° 0 c 0 Co z O (1 CD C N� o n o 3 moo CD N C do a] m n r' (D fD O 0 (° = j CD O v N (D �( l V c O i N O c v 02/18/2010 07:42 7152350867 ROGERS PLUMBING PAGE 01/02 d 9.2 x p 1 X 9 o 0 8 s a s b gg � Q g a ' � 0 9 t. g �+ d 8 Y , A p Y $^ C 8 d o ro� o z ° a 51 I g,� a % X p � v Iro ° A be s O Sh A i a p e � g 8 s ° $ 8S'� 3''19 inn y W y 8K tl w ti. �� g O p a s •V��•]i VJ fi O 9e �i p � n 6f G { � r q ^ j yg s ` o 6 �d7 g cr LL ® o x� UJ c: C V uj 0 �] m O C 2� S N gig La V1N n Ig (D O w n G � a c Q K . ao 1 8 Q Cr 'I co m 1p w Q C) co e �i rC o w�o3i 0 O (81rnrn� 9 y V N N m W ID � NN $ m w F $ � oocnj� cf STO CROIX COUNTY PLANNING & ZONING January 2, 2008 Wayne Karls Or Current Property Owner 492 East Cove Rd Hudson, WI 54016 RE: Pretreatment System Service and Inspection Requirement CodeAdminisrrarrop Dear Property Owner: 715- 386 -4680 lln This property's Private On -site Wastewater Treatment System ( POWTS) includes a Lard Informatiom & Planning pretreatment component that must be inspected at intervals specified in its service contract. 715- 386 -4674 St. Croix County Sanitary Ordinance 12.7 and WI DComm 83.52 (1) state owner responsibilities for maintenance and inspection of POWTS that require evaluation and RealPropery monitoring at intervals of less than 12 months. The sanitary permit issued for installation of 715 - 3§66 ='677 this POWTS required that an ATU Service Agreement be recorded on the deed for this property. If ownership has changed, this must be corrected. Recycling 715- 386 -4675 Based on our records the pretreatment unit on this property is due for an inspection and maintenance service. Inspection and maintenance reporting for a pretreatment unit is separate from the routine pumping /inspection required for the septic tank. The certified septic tank pumper and the POWTS maintainer that inspect your system are required to submit reports to St. Croix County so that routine maintenance completed on residents' septic systems can be documented. Please return this form to St. Croix County Planning & Zoning office along with a copy of the pretreatment inspection form completed by the licensed POWTS maintainer to avoid enforcement actions. Please be advised that fines and/or forfeitures of not less than $100.00 and more than $500.00 per day everyday can be issued if the required service is not completed in a timely manner. If you have any questions about what is required feel free to contact me at 715 - 386 -4680. Sincerely, Ryan Yarrington ` Zoning Technician Pretreatment Component inspection and maintenance service date: POWTS maintainer Name and license number: POWTS Inspection Service Contract provider name: Address: Phone: Service Contract date and duration: ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 54016 715 -386 -4686 FAX PZPCO. SAINT- CROIX. Wl. US W W W . C O. SAV NT -C ROIX. W I . U S SAFETY AND BUILDINGS DIVISION commerce.wi.gov Integrated Services Bureau 13 East Spruce Street ■ Chippewa Falls, WI 54729 � + Ons+i _ INSPECTION REPORT www.commerc . s 1 tat .w 2544 Department of Commerce R E C E I V E (a Date of Inspection: June 27, 200 JUL 1 1 2006 Maintainer Name and Address: Project Name: Karls Mike Rogers, MP 225094 Use: Residential ST. CROIX COUNTY N4563 320th St Legal Description: SE, NE, 17, 8, 19W Menomonie, WI 54751 Site Number: 693513 Subdivision: Lot iney W oods Certified Soil Tester Name and Address: Municipality: Town of Troy Shaun Bird, CST 226900 County: St. Croix Plan Transaction Number: 1094792 Sanitary Permit Number: 463293 Own Name and Address. Wayne Karls Wastewater Flow: 450 gpd i 492 E. Cove Rd Persons Present: K. Grabau �,. Hudson, WI 54016 J This inspection was completed pursuant to s. 145.20 (3) (b) Wis. Stats., as part of the annual audit of the St. Croix County Private Onsite Wastewater Treatment System program. The following code discrepancies were noted at this site and require attention by the installing plumber. 1. The blower for the aerobic treatment unit is not working. The blower needs to be made functional immediately for this system to continue in use. The maintainer needs to service the blower and explain why it was not functional and why the alarm condition was not reported. 2. The blower housing is not located on a stable concrete (or equivalent) base. The manhole riser used is not acceptable. A new vent needs to be installed on the blower housing to keep debris and critters out. 3. No maintenance reports have ever been filed for this system. The POWTS Maintainer shall submit all reports for 2005 and 2006 to the county by July 27, 2006. If you have any questions regarding this report, please contact me. Leroy G. nsky, W tewate pecialist leroy.jans y @wisconsin.gov E -mail 715/726 -2544 Voice 715/726 -2549 Fax cc: x❑County ❑ Plumber ❑ CST © Owner 9 Other AWiuT$iN&R r INCORPORATED 8450 Cole Pa'rltway Shawnee, KS 88227 ■ Phone: 913 - 422 -0707 ■ rax: 913 - 422 -0808 e -mail: onsite @biomicrobics.com ■ www.biomicrobios.com ■ 500 753 FAST(3278) MELD INSPECTION & SERVICE REPORT FAST wastewater treatment systems INSTALLATION AUTHORIZED SERVICE PROVIDER Ynstallsfipo Mdresq Dame ") S' Owner.Nme S Sheet lyiailAdc rntss .�9 �,l M Acldr cil Slate F ,/ cit lze4 (9v Ce state ► ��7�/ -phocae, Fax - 7 tr 9 J : %✓ Phone / ✓ ��Fax 7 ks� ,? Xf O-BG 7 a-0 ail &`mail 1NSTALLATI N nOORMATION Modcl No. ; . Blower Bmd and Serial No. bate of Ins Iftdm Date of last pump -ow skm . ra2 5 EQUHjW,jvT DETAILED CONIKO V'Z'S OF SITE CONDITIONS — OPE).2.A►TION YES NO MMN' TN ANCE PERFORMED Oli< litW'UV IED Elerrrica Panel(s) Visual Abm Opffaft Audio Alarm Operating if went Nowe s : Air .Inlet MUM Clean Blower hood Vmta Clear Excessive Nom Ekoe ssive Vihtatiop rf IT: atwat Ubit(s): 7 us" Odor Arm mt Zone Aerobic T reaIIndat a EFFLUENT: IdMTr RESULT FA*miated Dafty Flow pff Sttnnclard Units 6.9 S.U. Color clear 'Fam tore Dissolved 04gea dBumt) „ 2 mg/L Odor Slightly Musty odor' `1 J not oic OVMR SIGNATURE TF SERVICE DATE -7 - 3/ Z0 /Z0 39Vd 9NIawmd Sd3908 L980SEZSTL 60 :L1: 900Z /ZE/L0 ROGERS PLUMBING, INC. E4457 HIGHWAY 12 MENOMONIE, WI 54751 PHONE: (715) 235-1132 FAX: (715) 235 -0867 FAX COVER SHEET DATE: "7 COMPANY: 5 ATTENTION: / FAX #: (715)x, PAGES: (INCLUDING COVER SHEET) e� C , COMMENTS: y � THANKS, _ Z0 /T0 39Vd 9NISWf11d Sd39Oa L980SEZSTL 60 :LT 900Z /TE /L0 n§o E -0 o �(kr / MA M ® % E @ § X § � ƒ � E 3 ID ` E % } 9 - E \ 2 \ § % w e � D { § 2 i ƒ m 8 r � > w C 0 � \ \ � �� o � ® kJi � z § �' n r Q o § M E % § 0 0 0 �- _ ® \ 3 (A CO) ■ I 5 ) / q e 4 CD CL � @ � I § § o \§§_ � CL � # �k> \ 3k /) k � �cp � \E \ 2 _=E ; z- 777 +G$ 3 \\ / ' e a § / ' ® k 8 (a 0 % z § m Z : % 2 ® � aGg#2 § ¥[�m �E« c§ C =tCo @6 �'a _L -, )ocaCL C(��§f 22 20E ƒE)k� ® z % o0gL3wE\ \} k % =aS•@- - C /_ ;2 0 2 (��« z�c o 7 D \ \/ CD = =o RAE { q /i/ E_� m ¥ = ■ q{c \ E /\ x q :r CD }$R NJ CL 00= �� : / C L ` / \ . i / \/ «� o CL �k r ` Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must �� I include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. t 1 G percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 4 Q N Ft ND R oDiN-N L. 6e -I-ct SF, 1/4 1JSr 1/4 S l T Z-Ei N R V9 E (o W Property Owner s Mailing Address Lot # Block # Subd. Name or CSM# P l - �E''f V100�S S Cat 1 NNv IJ�IJ e — 7 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road \z L FPCUS by sq U ZZ ( 7 tS) LI ZS- L Z `T (= 3T e�uc l2p New Construction Use: Q Residential / Number of bedrooms Code derived design flow rate M GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Lo 'L�r� (3\eS LL Flood Plain elevation if applicable ''eft. General comments and recommendations: MO U lfl r k/ lq � Y -(.) - ) ' � lS 11Z l3 U'Y! U J�1 CL'Z L - � J14 A 0 4 h'1 ! 11v1 U wt r 0 F SAh� l- LL-, �Z ST CRO e0►�1`Tpv VZ L t�V . ) U 1.O ' COUNTY -z ZONtNOOFFIC M Boring # ❑ Boring 1 / �r+ y . 26D pit Ground surface elev. Z- Z fL Depth to limiting factor - S ( in. oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0 -9 101 z Z � `I - 3 � 1 D `� 2 3� � — s ;. ; � �.� .� ' ' irl � r• � fib — ^ S - $ S k P- Y S .2.- F11 Boring # ❑ Boring ® pit Ground surface elev. 100 ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell cu. Sz. Ccnt Color Gr. Sz. Sh. 'Eri#i - Eff#2 23 L Z 1oLIr23L6 — stI bk wt�- �w - • S - .� 3 l$ 3b 1 6LIP- Stl L sbk -3 �+f l / ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa re CST Number Arthur L. Wegerer 01-3 -7 220254 Address Date Evaluation Conducted Telephone Number W e g e r e r Soil Testing & Design Service 421 N. Ilain St. River Falls, UI 54022 —Vq -0` 715 -425 -0165 l s Property Owner Dpt H L - Parcel ID it IVQ l Y J G Page Z of F�l Boring # ❑ Boring ® Pit Ground surface elev. �Q- 3 ft. Depth to limiting factor 3 d in. Soil Application Rate Horizon 1, Depth I Dominant Color I Redox Description Textuv Structure Consistence Boundary Roots GPD 1ft In. Munsell Qu. Sz. Cont. Color _ _ Gr. Sz. Sh. •Eff #1 •Eff#2 1 0 -6 tTsbk m +l- C s - . s ,8 Z 6- 1 O `2tz- 316 — S% Z `�'�,b yrt C �1 • S �°► . b 3 1$ - 3u s rn v'Pt. ct� - .t�, 3o- 10 `1 fZ b !f f ig, S �i IZ Slg C)�� Yn U _ '`f ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description l Ixtulc Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color _ _ Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # Boring ❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Textum Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •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 Tlie 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 tl)c department at 608- 266 -3151 or TTY 608- 264 -8777. SBD -8330 (8.6/00) PLOT PLAN Page 3 of 3 Scale 1' =SU Lag . 2.3 j �r�3.3 25 l 1 �� RIOT" et1t U �/ "� / / � � !lZUIO � oa Dl S1v2.L3 `T112S i�D�} / / ) • Z6 a u�U Wt OF dZLL TZ.. LO L. S ' L OU D 31 b r_ pUC p1DN tivJ Cif - LIZ O►v "�'�('u -.1 3�� vDtg• LPL w LU't'I N. -- N N r � r✓1 l•-Lf fv rZL, L�s SOU L. 1?.U�i' \Z_�q_p� 715- 425 -0165 220254 CST Signature Date Telephone Flo. CST No. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings r in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must S T. C M IX 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 ODPr 14 L 6evt-W SE 1/4 MF- 1/4 S 1� T Z,8 N R l°t E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# p j.QF� wOOpg S°1 CW1 NNJ 7 — Clty State Zip Code Phone Number ❑ City ❑ Village Z Town Nearest Road I'lUIII FMXS I IJ) - 1 Sg(3ZZ tS) L4 ZS- L - )4Z 17Z)�, t="T evuc R.p. ® New Construction Use: El Residential / Number of bedrooms Y Code derived design flow rate 0 Gpp ❑ Replacement ❑ Public or commercial - Describe: Parent material LO CUUeSZ_'T,L(. Flood Plain elevation if applicable Ia, General comments and recommendations: YAO U)k b W f q 'Y— ' b kS l ZL t3 u'*Tf 0 ),l L' {2.L , 0 F- e-0hJ` uit Lt 1Ll1.O' a Boring # ❑ Boring 1 pit Ground surface elev. 0 Z- Z ft. Depth to limiting factor ' S I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 3 3 Z_S 17 . S k R Y/ — TS 1 c9t� CL S �1 — • 3 .5 Boring # ❑ Boring pit Ground surface elev. 1 y O - r ft. Depth to limiting factor SQ� in. Scil "':plica cn Rita Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cent Color Gr. Sz. Sh. 'Eff#2 O-L� LZ s 1 I Z';�SoiC Z L - LS !0 `l 31 � — sty Z`�Sb k 1vL`l� • S - $ 3 1 -36 )b Lire -v1 sll lesbk � s ccJ - •Z - 3 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = 130 D, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) • Signatyre CST Number Arthur L. Wegerer QA st ' 1. 01. -3 t$ — -7 220254 Address W e g e r e r Soil T e s t i n or & D e s i g n Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 1Z,lq_o) 715 -425 -0165 y Property Owner �Z b �/a H 1_ - Parcel ID 1L1 G Page Z of a Boring # ❑ Boring 3 ® Pit Ground surface elev. q Q 3 ft. Depth to limiting factor d In. on Rate Horizon Depth Dominant Color Redox Description Textuio Structure Consistence Boundary Roots Soli ApplicaGPD /titi In. Munsell Qu. Sz. Cont. Color _ Gr. Sz. Sh. TIM •Eff#2 .s yrt-f�- C� • S -- 2- SLl - _ s I 1 e-sb1� yn v�gi• ct�,, _ _� 3L)-qZ 10 y lz b A - k)'1 S ( •I IZ E C��n Yn v �►- - to F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description 1 Ixtulu Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color _ ' Gr. Sz. Sh. •Eff#1 •Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture I Structure Consistence Boundary Roots GPD /ft In. Munself Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 • Eff#2 _I • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L • Effluent #2 = SOD, < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service pro vi ler 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. 580.6130 (86/00) PLOT PLAN Pa 3 of 3 Scale 1 ' =SU i Sal �F 1 N �v v✓ � Zl�Zn� d1f Da fJOT cl)1 Pflr -r U i I "� / / • I o Dl Slv2.l3 THIS I'�2gQ • 26 t'r COwt� 1p1.p' Qu�H.t of U N J N r r (Y) ,✓1 i \39.23 r•- Lf- �v Yz -�, � e ou tr 1ZVA • � Sn�atur � e 715 - 425 -0165 220254 C� l -3L -1 CST ig Date Telephone �To. CST A1o. Job N0. a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 463293 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)]. Perm older's Name: City Village X Township Parcel Tax No: Ka Wa ne Troy, Town of 040 - 1293 -70 -000 CST BM Elev: Insp. BM Elev: Description: Section/Town /Range /Map No: / D O- (2 ((� � - b BM 17.28.19.1682 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 05 4 a Septic I , �' Benchmark � V V CJ� �• Dosing Alt. BM Z/ Drf�_� 7. / Aeration Bldg. Sewer u f b ing t ✓ b� L a G✓ 3. 106. / St/Ht outlet �� 3, 3 /0(0 TANK SETBACK IN RMATION TANK TO � 2 P/4 S WEB � BLDG. Vent to take ROAD DtInlet 1 134 Septic / l / I Dt Bottom 0 C � �'� L a �. �' � lod • 3 Dosing H er Man. a� /2 to 2- 9� Aeration - - - - -- D ist. Pipe r /05 ? �293 Holding Bot. System 3 03 /o Final Grade r' PUMP /SIPHON INFORMATION ��, / . VoV./ Manufacturer Demand St C iv GPM i f f 07� O Model Number TDH Lift Friction Los System Head TDH Ft 2.5 0 - of I _. S Forcemain Len t_5 DI . ,� Dist, to well > (� (/ 2 / G / " l to SOIL ABSORPTION SYSTEM A7iVV P Y a ;7S LJ BEDITRENCH Width Length f No. Of Trenches Pit DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHA R Type,.pf,$ystem: � � i 1 ` T Model Number: oil 0 DISTRIBUTION SYSTEM 7 Q.�_ Header /Manifold a Distribution I p z x Hole Size x Hole Spacing Vent lo Air I 9 Pipgs) 3L � p 9 -3 /� ✓' / C L Dia Len th Dia S acin (o / 1 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only AZ ry Depth Over Depth Over xx Depth of xx Seeded /Sodded 1 xx Mufflhed Bed /Trench Center \ I Bed/Trench Edges Topsoil / Yes No Yes vc COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / InspeeV #2:7/ 1' �S Location: 492 East Cove Road Hudson, WI 5401 (SE 1/4 NE 1/4 17 T29N R1 9W) Piney Wood sLbt 7 Pa� No: 17.28.1 .16� 1.) Alt BM Description = �T coves w /v ft - F (A Kt /C, ,, /fA Ir (/�2 Uj&_,1_ 2.) Bldg sewer length = /� / � 9 T / ter ✓ 0I� `�� a y t pry y . '7 f b40 j �- (/ - amount of cover = 9 1 Y Y , "1" W 1 /' -('�- ,q 7 !i Plan revision Required? Yes 1 /No —7 Use other side for additional information. Date Insepctor's Signa re Cent. No SBD -6710 (R.3/97) A , al" � ^ _ le_ 4✓ RA " 4 Safety and Buil g D County s 201 W. Washington Ave., P. . Visconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 L! /_ 3 z q3 Sanitary Permit A PP I* ati n State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inform on you pro4 lt 6, may be used for secondary purposes Privacy Law, s1 4(1)(m) C��/� Project Address (if different than mailing address) I. Application Information - Please Print All Information S � C c � , 1 � J T L 12 6i CO v e7 F, b Property Owner's Name N/ , Parcel # Lot # Block # ow� ti/, Property Ow r s Mailing A dress Property Location S/ �C 5 T _ City, State Zip Code Phone Number �� '�0'� °> Section q(circle egg Z T !0 Ni R _ E orb` ,- II. Type of Building (check all that apply) or 2 Family Dwelling - Number of Bedrooms ubdivision Name CSM Number ❑ Public /Commercial - Describe Use c- ❑ State Owned - Describe Use cif dty; ;X C_ _ Villaget2Fewnship of III. Type of Permit: (Check only one box on line A. Complete line if applicable) D _ 29 _ 40 _ �� �, g2 A. 6CNew System y El Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner a 14 (yt / IV. Type of POWTS System: Check all that apply) A&e0&C_ IAI �(,r( AJ -i ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil f1gmound < 24 in. of suitable soil _EFAt- -Grade ❑ Single Pass Sand Filter u , Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other lain) V. Dispersal/Treatment Area Information: = O .$D &It Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area P osed (sf) System Elevation • y7 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank � - 7 5 64-- Aerobic Treatment Unit Dosing Chamber X sl> Lv/ tL Fj C� VII. Responsibility Statement- I, the undersigned, assume responsibR#1 for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ' a e --- MP/MPRS Number Business Phone Number ke. qtr © �� � -�/3 Z Plumber's Address Otreet, City, State, Zi Co e) VIII. County/]Department Use Ofil K Approved ❑ Di Sanitary Permit Fee flncluddess Groundwater Date Issued Issuing gent Signature(No Stamps) Surcharge Fee) Tr J 2 ��_ _ El Given Reason fo enia] , Z �S IX. Conditions o v4 - f Approv r = ^�� +ter *gin- -�- � 1 3� S /I _ �t r_ I SYSTEM OWNER: _ 1 Septic tank, effluent filter and C`^O S� 2AtAAMnQ,+)' dispersal cell must all be serviced /maintained r as per management plan provided by plumber. � ��N `i-✓ea•vts 2. All setback requirements must be maintained as per applicable code /ordinances Attach complete plans (to the County on_„ papur noc Jess man auz x ii mcnes in size SBD -6398 (R. 01/03) t:'►'_A , Ilk -a (�jj 4 (( ka •r , y� ct L'L � `ASS `' `�'" 3Z-Sc' r-i Frk' o •S :• +. tr t , l bA.c7� Iry r■, � =i t; r i � e SL Ir �^ Y NC( kw►4i� �W \� �� <i cro . J� mss-• � � � �'� � C O : L= ash- c.e S oL Safety and Buildings 4003 N KINNEY COULEE RD ` commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 t isconsin www.w w ww.coe.wi.gov/s / Department of Commerce isconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary December 17, 2004 CUST ID No.222774 ATTN: POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/17/2006 Identification Numbers Transaction ID No. 1094792 SITE• Site ID No. 693513 Wayne & Barb Karls Please refer to both identification numbers, East Cove Road above, in all correspondence with the agency. Town of Troy St Croix County SE1 /4, NE1 /4, S17, T28N, R19W Lot: 7, Subdivision: Piney Woods FOR: Description: Four Bedroom Mound System Object Type: POWTS Individual Site Design Regulated Object ID No.: 997627 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound; Aerobic Treatment Unit, Biofilter 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 C4nI1" til chapter 10 1.0 1 (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, p ip ' stats. � I TgT t DERARTM Tl The following conditions shall be met during construction or installation and prior to occupancy or use: OE ' Approval Requirements: SEE CO-;aRE • This system has been reviewed and approved as an Individual Site Design. This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans, the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01).and ch. Comm. 83, Wis. Adm. Code. • The FAST unit must be installed in accordance with the manufacture's printed instruction and system sizing - criteria found in Comm 83, Wis. Adm. Code. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • A maintenance and monitoring contract for the FAST unit is required for the life of the system. • Maintenance of the vegetative cover on steep slope sites poses a hazard to the maintainer. The methods of maintenance for this site are listed in the owner's manual found on page 8 of this plan. These methods are to be reviewed with the owner. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. i HENRY F GROTE Page 2 12(1712004 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left 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 $ 300.00 Fee Received $ 300.00 K�Ke?�, 16V5— Balance Due $ 0.00 Charless LLBratz POWTS Reviewer 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday chratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 James M Hurlburt , Eau Galle Plumbing (Plans Mailed To) r Wayne & Barb Karls - Mound 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 Manual: Pressure Distribution, SBD- 10706 -P (01 /01) Mound by Individual Site Design Location: Lot 7, Piney Woods SE 1 /4, NE 1 /4, Sec. 17, T 28 N, R 19W Town: Troy County: St. Croix Date: December 8, 2004 Owner: Wayne & Barb Karls Address: c/o Devine Custom Homes 519 Fourth St. \, North Hudson, WI 54016 Designer: He y Grote ` o ' X7 � 0 0 Signature: �N� �g• :c1ly `` Al, fM License: WI D-164-007 r �'�i pEg1G?�� L..® F COMMERCE .YA B GS Attachments: SBD -10577 - Plan Approval Application SPONDENCE SBD -8330 Page 1: cover R 2: design criteria & calculations 3: plot plan DEC 1 4: system cross section 'y. . �.�r GS D 5: plan view, lateral detail SAFG l i & BL.D 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 Design Criteria 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 Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD5 Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 ml, Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load Design Calculations In situ designed loading rate A: gallons /sq. ft. per day Depth to estimated high ground water 6, in. Depth to bedrock 6<> in. Cross slope at system 22 % Force main length t5' _ ft. of t Z in. 1 Manifold/header length v ft. of 4 in. Drain -back 4 gallons Lateral length @ ft. of `�� in. Lateral elevation oZ. 9, ft. @ bottom of lateral Lateral hole size J «' in. @ L in. ( 1, ft.) Spacing -L holes /lateral holes total Lateral volume 4.16 gallons i Total lateral discharge rate gallons /minute @ ft. head Network pressure compensation losses Elevation difference Friction loss `f L ft. @ g gallons /minute Total dynamic head Pump /s1�on �`� gpm @ ft. of head Manufacturer Model # Dose volume 0,8 4 gallons Lift/sipPon tank _'S gallons Septic tank ° `s gallons v Effluent filter Measurement pump on and off o in. Height alarm from tank bottom 4 ' > in. Reserve capacity 4-664- gallons specs.calcs Page of 1 ig.lq� z � cfl 30 8 1 Cb QR b aC.e � .�•O � v 4' r. a 109.x5 /�� w rn �?t2J4 • �": �� cam- - eo-d , . I , s 6 rr S o� � -r '{ b•tZ' dt a.o , a.�eo ��.� cww ..� "' 46v Qv -P e►vL&— �� t-)v '� lip i i d- —� 4 Z i 14, 61 6-0,V O'. V PVc- c. 0�1a.rvo�Ft .�►a1�1 � by e+. t.s.� k+ �0614 ...1a�.�q }pow a..�{ •� �•aV -V b 1 Ltall Mp ' 1'1T0 � �.T Y.v � \S �`Z f v c s �•. 4-0 4. o' / r o f I t (( rettO.t�� `.�/ \►e<�vt �•xfC �`r �n -A q � JJJ 2, QVL icr� ev« QLL) I (D j I' VEIJT CAP "'ENT PIPE WEATHER PROOF APPROVED LOCKIAIG JUIJCTION BOX MANHOLE COVER 2� 20M DOOR, p `^Y w)ARN WJII DOW OR FRESH `Z Lgt1GL AIR IIJTAKE GRADE J 4" COKJDUIT -- z' PROVIDE AIRTIGHT SEAL 4 ko6A - CY-R" (as17(Lyis Z�,o•, APPROVED W/ PIPE V� I I ALARM EXTEWDIUG 3' % — o (1 w 1 C �,� I II ONTO SOLID SOIL 0 ►J PUMP ---- - -� OFF q `j 5LOCK wo �o,2g l� o 8 , s E ng i neer i ng 1 • , Pump CharwcterisWcs al2rmance Data ► tAaa Usd, s•�.eael►le + � � Aeteeeotk Melel>I SNEF3OAI Hatp.wer sD Fell lad Ar#s i.0 a >a Meta Sk d hb 14 ) R.RAL IPSO Fileee 8 1 t to .•.... _...._. .__ .., .._ .. _ _.. VeM 115 Han 60 l p+nPa*b►e 12" Aett`ieset urd,+is e►x o i e to » so t, ME11U Duife A 1N♦eh..r a �. , � ... ,.._ —. ..�.�.__ .....�.._ Mdetietl C1en A o She 1- I /Z'Nri 13" To �I N*w foot 4 i 12 16 20 g4 $#W Ham" 3/4. V%W 0'M 111,!.4 44 =i 29 2= 12 0 Wilt Woot 30 6L ?*we( cord 1 1/3, SM, 2D' 5ft D I ensional Data Materials of Construction �r''" �'" ' "' im i t UffiW e � M" Nee11e SWI&I: S1W ,r� my: IA iehl a/1I •.," l Iw ler t«eruew, p.r. UtIt ON Dielethk 01 ab ssfi,♦i Met" Heee Ceet kw w - wr ft —We d � WT lkt c eas♦.�owt* 4. M.turwttrrrk,onke S. &M6wO4Mwf R*im b .. P" od dot spdfookro eI11aA netke MleiLe" Seel Fenn Cato /Caaedc Skft Seal Sad w r An" Steil S'rle� SNiahn Stn! ll `. L 9W$: Iwn-N 15ONWw anffLw* „ oK GA kae Sleety �y �'l lawet ge w4 S1* Id !TS Rr+t letteet Platte tk (eel r�Ai� 76 Fusteela{ stikel Sues — C 1999 M ronvik' lumps, Ashknl, 06o. AI. R' Rmewd. I�,`� HYDRQMATIC EMMM 1840 lonty Recd AsNeed, Chin 44105 Isk 419.709.1047 Ric 419.211.4017 Web SH emr.aeldrl•naOM SALES OFFICES IN All NWOR CITIES AND COUNTRIES rlem w: W -0243350 1206 6M I �h 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 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. 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 and aerobic treatment 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. This system has an aerobic treatment tank which must be inspected every six months according to specifications and contract. 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 norrr►al service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs canbe made. 7. Avoid compaction such as vehicle traffic within 15' downslope 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. 12. Note: The down -slope toe of this system is relatively steep @ 2.5:1 slope; it could be dangerous to mow this are with a riding mower due to potential tip -over; leave un -mowed or weed -whip or hand mow. Contingency Plan Wastewater monitoring of volume and quality is not 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 W,ticonsin Deprt er►tpD FComm }' ®N Code PORT Page of Division of Safe s U m accordance , Ws is. Adm. ff ��n 4 County C s Attach complete site plan on paper not less than 8 1/2 x izk PLn4,it include, but not limited to: vertical a nd horizontal referen direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and loMwoJ "it�oad. Please print all inform OFFICE e ' wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner Property Location j C 4 - � Govt. Lot S4651, 1/4 * 1 /4 S T N R / E (o w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# t`A Ot rx J 2 City State . Zip Code Phone Number ❑ City ❑ village own Nearest Road } v New Construction Use: esidential / Number of bedrooms Code derived design flow rate 6 GPD ❑ Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable � ft. General comments and recommendations: n El ring # Pit Ground surface elev� � t 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 z 3 1s -YE 14 s - iv1, 4 - ® Ong # ft Boring Pit Ground surface elev. . Depth to limiting factor 3 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 j G/ Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BOD < 30 mg/- and TSS < 30 mg/L CST Name (Please Print) Sig natu CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted_ Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ��✓�'� C 715 - 246 -4516 Property Owner _ Parcel ID # Page of Boring # ❑ Boring 1, A Pit Ground surface elev._ ft. Depth to limiting factor JAW 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 < < 3 e °✓J 1 F-1 Boring # ❑ E] pit 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 E Boring # E] Boring ❑ 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. SOD -8330 (8.6/00) t Soil Test Plot Plan Project Name Don Rodahl Shau d Address 597 Cinnook Lake River Falls Wi 54022 g#TM #226900 Lot 7 Subdivision PineyWoods Date 10/27/04 SE 1/4 NE 1/4S 17 T 28 N /R W Township Troy ring 0 Well PL Property Line County ST. CROIX lk BM r VRP Assume Elevation 100 ft. Top of 1/2" pipe stem Elevation *HRPSameasBenchmark Alternate Bench ark Top of 1/2" pipe @ 96.8' Scale is 1" = 40' 378' unless otherwise Property Line noted 378' Property Line 1t.B.M. 32 10' B. -1 9 , 120' 8' 6 ' 120 40' 5 ' 92' 50' B -3 15% Slope Please note: driveway must be installed on the most west or east side of property for mound system to work! East Cove Rd POWTS OWNERS MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner Xmv , Septic Tank Capacity - 7 S gal ❑ NA Permit # Septic Tank Manufacturer tv, ,c ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z ® ❑ NA Number of Bedrooms 100gpd/bedroom ❑ NA Effluent Filter Model my ❑ NA , Number of Commercial Units NA Pump Tank Capacity g ❑ NA Estimated flow (average)* y gal/day Pump Tank Manufacturer V Ste ❑ NA Design flow (peak), estimated x 1.5* 6 gal/day Pump Manufacturer ❑ NA Soil Application Rate gal/da y fe Pump Model S- / ❑ NA Influent/Effluent Quality (NA❑ Pretreatment Unit 13 NA ) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L echanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) < 220 mg/L ❑ Disinfection [I Other: Total Suspended Solids (TSS) Manufacturer: Model: <_ 250 mg/L Pretreated Effluent Quality El Monthly Cell(s) Monthly Average * ** P Biochemical Oxygen Demand (BODs) < 30 m [I In-ground (gravity) ❑ In -ground (pressurized) Total Suspended Solids (TSS) �" ❑ At -grade �B Mound < 30 mg/L [I Drip-line ❑Other: Fecal Coliform (geometric mean) <10 + cfu/100ml ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 inch diameter Model Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate _gp Area Req. (Other than bedroom based) Absorption Area Credit per unit ft Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate- min * * 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.a1.1990) ❑ "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" ❑ SBD - 10572 P (8.6/99) "Mound Component Manual" ❑ SBD - 10691 -P (N.01/01) '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.01101) "Pressure Distribution Component Manual' Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units a. MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months cn:�year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months J years) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months years) Inspect pump, pump controls & alarm At least once every ❑ months Wear(s) ❑ NA Flush laterals and pressure test At least once every 1 ❑ months jZyear(s) ❑ NA Valves At least once every ❑ months ❑ year(s) ANA Other: H At least once every ❑ months ear(s) ❑ NA �"v�� ln ®,�Sl{�s. rCr 7`�u�S Page of START 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. ❑ Valves 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. INPECTIONS 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 Mainteiiance Schedule). MeSeptic 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. I mp Chamber/Treatment Tanks Component 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. O 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 t7'i Mound, At- Grade, 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: p 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' existing 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 evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. E] 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 as a last resort to replace the failed POWTS. p The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding 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 INSTALLER POWTS TAINER Name e� �.-5 u u, K c Name S Phone a 3 _ �� V Phone // SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name I Agency .rd Phone Phone 3 t6 _ e16 1-0 K: \WPDATA\EH\POWTS OWNER'S MANUAL.doe Page of Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: Aze�'� via !( 1/L�" , 5 Project Name and System Type: vt Location: Street Address i9ic - a rr y Leg Description wnship /County r Contents: Page 1: 9 a Page 2: Page 3: Page 4: / 0!5;.e � O� A_ Page 5: Page 6: Page 7: Page 8: Page 9: Attachments: Plumber/Designer: 11 e �C o �i,- ' _ Signed��� - Credential Number: _� 5 Date: / p Vaype & Barb Kar is - Mound Construction Materials and. 'Fechniques X l materials must comply with Comm 84 and be installed in accordance with manufacturer's Specifications, Construction methods rnxxst comply wrath the following Component Manual. _ Pmswe Distribution, SBD -107 06-P (01;00) Mound by Individual Site Design L.ocatiun: Lot 7, Piney Woods SE 14, ICE %, Sec. 17, "x 28 N, R 19 'W' Town: 'Troy County: St. Croix Date: December 8, 2004 Owner: Wayne & Barb Karls ;address: c/ o Devine Custom Ho..mes 519 Fourth St. `e`` O N S� North Hudson, WI 54016 < �,, ....... r �• � Designer Henry Grote � �: �AG��1�� Signature: License: WI D -i , -007 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: purtip tank exit detail 7: pump curve 8: system management page I of 8 ?-d 411dStr:SO SOON OT 1Nz L?S 68'Z T';9 'ON XHd 'ONI S3N6bS 01/19/2005 11:47 2350067 ROGERS PLUMBING, INC, PAGE 03 i N C 0 R P 0 R A T 9 0 84,50 Cate 0 arkway ■ Shawnee, KS 66227 Phone: 913-422-0707 6 Fax: 913-422•CS08 e-mail: onsite•g)biornic(obics.com • www.bicrnic(obics•rom w 800-753-FAST(3278) MAINTENANCE INSPECTION AGREEMENT For Bia-MicroblaY, Inc. Authorized Technician It is hereby agreed this /F day of,J_A �-Y'4 LUAxid- � by and between -4 - fService NO that in e&3idemtion of the pahmnts provided for herein, will provide the services of a factory-trained representative to Perform a Preventative Maintenance l ns lion of the equipment described herein on the frequency ibown below. Each inspection of the equipment shall be followed by a written report to the Purchaser. The inspection report will describe the operational status of the system. It will also imiude recommendations for any preventative maintenance deemed nemsay by the inspector as Well as a list Of any replacement parts needed. This agreement does not assulne any responsibilities or obligations which are normally the responsibilities of Purchaser's maintenance department (if applicable) as related to parts or labor and dots not extend to cover any os s that my be associated with any recommendations made under this agreement. can only supply parts or labor after receipt of Purchaser's purchase order. Hit for inspection IRps shall be made on a basis. In no event shall Bin-Microbics, Inc. or be responsi for special or Consequential damages, including but not limited to, losg of time, injury to perdbn or property or any other consequential damages or incidental of economic loss due to equipment failure or for any other reason wbatsoever. This agreement shall remAin In force beginning 0 , , . fr—W Fi0e, Equipment Cgvered Under This A$re&mg Nowtuclature Serial Number I Location Min No. of Anneal Trips Andusi Rate Purchaser: Service ProVider S Sign: im: Print: V Date; Date: _42,A Address: 1472az 6 AddreW. ZCR I I — V Address: V- - Address: Phone: L / Z - S _,V.3 0 Phone 7 -, 5 Fax: 7 E -mail: IAI� E-mail: AEROBIC TREATMENT UNIT (ATU) SERVICING AGREEMENT This agreement is made pursuant to Comm 83.21(2)(c)(5), Wis. Adm. Code Agreement Date Plan Transaction Number i oOt If 71 2- Property Oyvner(s) wc,.y r� •. ��• r bc. v�. K�-� �5 Legal Description of Property � 11 Lo4--7 PinQ t JdodS Name a d return address Parcel identifier n er �{o- as r _ 700c2 As an inducement to the county to issue a sanitary permit for a POW T S equipped with an aerobic treatment unit on the above - described property, we agree to do the following: 1) The owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to aerobic treatment units and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. 2) The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the department, including, but not limited to: the blower, electrical controls, treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3) The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59, Stats. 4) The owner recognizes that the county, department or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5) The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event in a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6) This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the property is no longer served by the aerobic treatment unit. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7) This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the aerobic treatment unit is installed. Owner Name (Print) f f-a A Subscribed and sworn to before me on this date: "tom � n �� ��s � ✓' l rJl�� �.� Notarized Owner Si ature Not nature My m ion e r` JENNIFER L. AKBAY 1y Notary Public Drafted By `1 2{-� �1�0.Y(�v� Minnesota My Commission Expires Jan. 31, 2005 ` t `S S Sf Cra tt - , r C -dam �f'�C o•r� I t1 t� � - 2 � 7� ..� r + ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT • AND OWNERSHIP CERTIFICATION FORM Owner/Buyer n vuc `-r L � ✓t Mailing Address I �� �"�'^� 'e-, S � . '� t"V'N Property Address 0 1 0<1 A-(' 35o -\ L--- (Verification required from Planning Department for new construction.) City/State y So n Parcel Identification Number y `{ - l D - 9 3 - 7 d - CHO C3 LEGAL DESCRIPTION Property Location S 61 '/a , L "'/4 , Sec. I , T N R 1 W, Town of Subdivision j Y n�m w y o j , Lot # 41 Certified Survey Map # / , Volume , Page # Warranty Deed # _ (,a C5 a'` , Volume a S , Page # I O v Spec house yes ono Lot lines identifiable es no • SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the three year expiration date. SI NATURE OF APPLICANT DATE OWNER CERTIFICATION I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property dpscribed above, by virtue of a warranty deed recorded in Register of Deeds Office SIGNATURE OF APPLICANT DATE • * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. r • t �s 3 5 P 5 l 74B 5610E, KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document Title ST. CROIX CO., WI RECEIVED FOR RECORD St. Croix County 01/24/2005 @8:5@AN Occupancy Affidavit AFFIDAVIT _ i ( / EXERT # r^�( yl 1-s'` 1 S i/ J'1 Y �`� /d . r' 1 S TRANS : 11.00 Name - (Owner) Typed or printed COPY FEE: CC FE: being duly swom , states, under oath, that: PAGES: 1 1. He/she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume ? 5 % 1 Page 10b Document Number 7105 aoa St. Croix County Register of Deeds Office: Recording Area Name Vk nd Return Ao Tess / A parcel of land located in the t `b of th0J6 V, of Section 17 e q' L�,� /�G✓'!1 � T N - R � W, Town of St Croix ��. G� V P . County, Wisconsin, being duly described as foil ws (include lot no. and / b subdivision/CSM or detailed legal description): .S Lc4 7, poe.y &JoocJs d 40 Jo - 70000 Parcel Identification Number (PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of to 00 gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently ,_ occupants living in this residence; j'5-- occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, l understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to accomodate any increased wastewater flows and /or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this ;;\q day of J a.nu - a.00S �* AUTHENTICATION F KNOW GMENT Signatures) TSTTE OF ) � 1�W - authenitcated this day of 6'�°X county- M�'� Personally came before me this day of Ati1Uh (? the above med � K�S TITLE: MEMBER STATE BAR OF WISCONSIN song (If not, to me authorized by § 706.06 Wis. s tats .) i a I�NfFj WAY THIS INSTRUMENT was DRAFTED BY y N ublic °' S alr ion Notary P c. state of "1 N 0690 (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. If not state W01"80011 date: necessary.) Date SIkIOWNL4 3 "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" This kakmu tion must be cowed by submider aW ay @f jeulukedl Other Inform idon such as the granting causec leapd despr AWL oft Bray be pl aced on bYs Brae page or ft docrxr Od or nray be placbd on addilonaf pees of the document (ypjL Use of this coNerpwe adds one page to your docu wot arrd $Ztb to the raoordmor fee. Wfaconsin Statutes. 59.517. ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPARTMENT r / / r r ■ rrrrr ST. CROIX COUNTY GOVERNMENT CENTER 110 1 Carmichael Road Hudson, WI 54016 -7710 r Phone: (715)386 -4680 Fax (715)386 -4686 FAX T o YW l(C� ( 91 C (LS From: Nj Fax: � 23 S� Ogb Pages: (3) Phone: Z 3 s, 13 Z Date: Re. mper . 44d . Z - rU 56f - VEC jAJ CC ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle op bC --E-PS ( 1 7 55202 U 2 8 9 1 F 1 0 8 KATHLEEN N. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX Co., WI RECEIVED FOR RECORD This Deed, made between Donald O. Rodahl and Joyce J. Rodahl. 06/07/2004 02:45PH husband and wife Grantor, and Wayne Karls and Barbara A. Karls. WARRANTY DEED husband and wife as survivorship marital property Grantee. EXENRT t Grantor, for a valuable consideration, conveys and wan to Grantee the following described real estate in St. Croix County, State of Wisconsin (if REC FEE: 11.00 more space is needed, please attach addendum): TRANS FEE: 270.00 COPY FEE: LOT SEVEN (7), PINEY WOODS SUBDIVISION IN THE TOWN OF CC FEE: TROY. PAGES: 1 Recording Area Name and Return Address St. C Valle Servcies, Inc. P.0 B Ri Falls, W 22 -0750 u�QYi� I 'd aq— k 119N S1 5'05 040- 1293 - 70-000 Parcel identification Number (PIN) This i n t homestead property. (is) (is not) Exceptions to warranties: easements, restrictions and rights of way of record, if any. Dated this / 6� day of June. 2004 * * Donald O. Rodahl * - * ce J. Rodahi AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ) )Ss' PIERCE County. ) authenticated this dery of Personally came before me this day of June 2004 the above named �' ► ='':` r Donald O. Rodahl and Joyce J. Rodahl 1 t S . E BAR OF WISCOI ,WLENE A. CARSON +1 Notary Public to me (mown to be the person(s) who executed the foregoing a'liithorizedbv 06 Wis. Stats.) State of Wisconsin instrumen d acknowledged same. $i19 INST&U NT WAS DRAFTED BY � 11 —Q ` Joseph D: Boies - Attorney at Law River Fails. WI' 54022 Notary Public. State of My Commission is De en (If not, state exviration date: (Signatures may be authenticates! or acknowledged. Both are not necessary) D tt 1 b r I ) • Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655.2021 www.infoproforms.com STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 20M EAGLE B!. UFF �val WAS CGRA 1. SECTION #F - f ILLUNIMNM CA' 6 7 . 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