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040-1249-40-000
r Wiscz�nsin Departrraentof Commerce PRIVATE SEWAGE SYSTEM county: Stafetyar!l�9uildingDivisign INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.1 5.04 (1)(m)]. 384225 Permit Holder's Name: : ❑ City (] Village Town of: State Plan 10 No.: N roy Development Corporation, Troy Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 9 (ID: o / iT• 0/ 1 040- 1249 -40 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B FS ELEV. Septic S Benchmark tl , of Dosing 7 95-0 Alt. BM 102 -6-P Bldg. Sewer _ 0.7 f 3. dpi H g (9 Ht Inlet 0 5r if S( TANK SETBACK INFO MAT u et TANKTO / WELL BLB Ventto ROAD Air Intake Septic 3 d -� Z' ( NA Dt Bottom �, Sy¢ S! - 0 Dosing - L / `- 37, r NA Header/Man. 3 -s / OZ. O Dist. Pipe/) j `� OZ_ 3 H Bot. Syste PUMP/ SIPHON INFORMATION Final GradeIo Manufacturer mand . Model Number Q 3/� /'� 7q GPM, 6 rForcemain Lift ead Gj Friction,, , ?, Systemb Length Dia. F 2 Dist. To well }131 SOIL ABSORPTIO SYSTEM BED TRENCH width / Length / No.Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth N I N �� -_" DI acturer: SYSTEM TO BLDG WELL LAKE / STREAM LEACHI SETBACK ---- CHA R M e Num INFORMATION Type O >/15D �� UNIT System: DISTRIBUTION SYSTEM /�CcpsS�Xel G�,�ruh C Header /Mani old Distribution P T 1 x Hoe Size x Hole Spacing To intake Dia. length Dia. / ' / Spacing s SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over fi Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center ( Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No s ectwn #1: / /o Ins )ectio #2: /9 4'3-- / COMMENTS. (Include code discrepancies, persons present, et t" QS Pa Location: 266 Troon Court, Hudson, WI 54016 (SW 1/4 NW 1/4 19 T28N R19W) - 1928191 96 Troy Village -Lot 54 1.) Alt BM Description= +0, °C dS #-) ]� c l� r�dwri.q i',�S}al�P.clasa 2.) Bldg sewer length =ZS - amount of cover = *?5 3.) contour = y. iO q , 3 �I(ib : jU 0. /( / L /f {ry a U Geri bu ✓ li v.+< -� 4dx 1L ` r�_f Plan revision required? C Yes OX � d RAN Use other side for additional information. S8D -6710 (R.3197) Date Inspector's SkInature Cert No. �� � 4 'f � . f a i • V � ' ��� i i '1 I a196�r santy gu0dmgs Division �° �' 201 W. WwbiqPw AM. P -O, Box 7162 � i / C IYIadliOa. WI 53707 - 7162 SIM l (''�� ✓� �C..Q. (- Oe artment of Commerce Fame N+tmber Saner Permit Application In accord WA C KWW 83.21, Via. Aft. Code. Penaeai iaabem Minn You P rovide check 9 Revision am be used a P Law s I L Applic�m Infery aatim - Pkaise Plot AN id4mastlm RECEIVED Stsae Plso LD. Number 77 toQ Fatod Ntmaba propmV o.,we: Nmw AUG 19 Location Kwww 'sue ST. CROIX OIXCOUNTY SWA IJ"- -S r� T N,R L p Lot Number N C ity, stale Code Subdivis Name CSM Number ss i r iPubfidCommaviM d (eieck an dw apply) ` �Y D - Nwbber d Bedrooms CMAW — - Demft Use Nearest D Stale Owwd Comfit" Noe tL�V u r DL t* of Permit+ (Cho* oab me boat en lice A (nm®bert� sdow for an). B ) A 3 0 d 6 0 Addition i For CamdY use 1 New 2 0 I�aoe�at sy=sesa Tank' Dice Isawd a. rif Swiary pftmk ' hoed Pert Nesaber �2 IV. Type of PermW (C'lw all that ap*)(anasbtirlog scLeme is for b teraal on) 44 D Non Presa»'i=d in- Ciromad 214Mo nd 47 D Sad Filter so 0 coumucaa wedam 22 D Prerw,&W ft4komd 410 Holding Tadk 48 0 Sia=le Pass 510 Drip Line 45 E3 Ac -crane 46 D Aerobic. Tresmax unit 49 30 0 Other V. Arm MOP Flow (RPM Area soil Appticaiwn Par+ iva Rate syaaan Elerarioe Final tirade , 1 Proposed { /Dayal3q.R) 0ASAMW Stevatioo l �, 6®© Tetat Nmaber b Prefab Slte S Fiber Plastic VL Tank info 1° dTeub Cwta Gku It Tid � e vadacbmalber 5d fir iaad.ilMjsa d the POWIS shoes m the aslaebed Plmarws Pltm�ber'a /hdM Numb"' Bnsinesa ram Nuanber Pimsba "s Address city► . zip cede) U-) o t VIII. Una 0 Dam hsued hsniog ASM Sig0"M (M I ) San") � =AA*hvmWtMw � �) g� tmelodee t3roundrvsmr 0 ow= Given .21 2tlD IIt. Cos> ttoas of Appirwral/Rnsaw for nistpprmal 4 0,AAM - Aft& complete PhM is dw cow* V*) aw at .�. « .eN•.a aU2 a 11 Yrie. to a4ec QRn-AIAQR M (5!(111 ` r n9-� N+a Su, 19 T a,9 tjRt9w P �°LP s C ro Q_r` h 4 Ih ?oP d � P L 41- id ' ®Poop �'J96 ' AY1dls� r II I t �o — _ o i v o.v.tiRt«ti d Canntstr,,e SOIL EVALUATION REPORT pow l a r 3 oi�n a sal.�y.r� aurdrt�s in 400on0 PAW %VM C=mn W Wk, Adw cad. , caauy Aaaah A min arm. fte art J C r o + intltda, ifui eat pererirei toe wrar.na haelaonrt ea�ataet post ql*4 dYaa and i o_ o � u dop. aa+. a�d�O �.+ o d „ �,.wl�Aioa.wda.ao.awaanl�.o«o. b� U ' /� � Q ' 7 phose pmt am &*WMWAM I by o.r . A N a. a. a ywA .. l �••l► �+w++�••�•a•n►poom"O► .. ti.WPION* • 21 �QO n W r ,`` ro o A %D m� QwA Loi 5W IM O UJ W0 s T $ ld R W ,•�► rP / W# ktic! Subd. llwne a CON 3 D I'ct �aa�o Vftp Main Read r . tiawCWAmdlOn us.R0 I Aani�tJNunbarassdraon►s cbd.dNir.adsalyn rala LOU CIA ol GPo aoamwte ` ❑ pable:aaamaNecm - owua PneantrmAedal F1oodPlataallrat�iau if ap�it a61e A11A tL USA- and�oaaxeandllfoetr E 1 /crr� J � 2 / I U D a ftft Pli tieataeidaarlaaaalar �_,__ Oaphloriairttafaraorh Aaron amp& oaewianl ga s P08wpon Tu*m aunts Corj*bm a On memb V VA do appm # CAL at am Odor (h fie'. Sla •E#1 "Hal L f JQ Z 3 5 7 r i„o rn 7 6 to �i 56K �► 4 #...�3 # t Qe+oeaaatallroa4w. 9b • / tt fir ft Igor .35 h — I ar^ Dm*im4 aaft D Taiga. Btw :oa itrna. awn,Mey► sbeft h WkWAd QL St Cant Corr tar. fiG ok •E#1 'Ba2 t 6 -9 id h l5 i 5 and + / 7 5 m m��r ..►} 7 l� - -Y7 7A y s d s 1 1 n S nrrrr 0 i S 6o D �I I rr. A t/�rr - l dlMwnt _ >= ^.'!60wGLandT3 P M-90D = iiiwgLant!TW<30!ja : Add Dlle E'wietlaon Trlapttdrd 19 (a - t s " \ A,, N�L, k vr, ter S o i 'f 15 d b -SI i ►. " Raw MR ��WKZIMZT 73 - P9 w rt .A a rm � P P, l Troy no t - * 9 Gl1 \ A. 2f3� /go' Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 erce isconsin www. www•commw s i n.gov wisconin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary August 15, 2002 CUST ID No.220537 A7TN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/15/2004 Identification Numbers Transaction ID No. 776041 SITE: Site ID No. 649007 Troy Development Corp. Please refer to both identification numbers, 266 Troon Court above in all correspondence with the agency. Town of Troy St Croix County SW1 /4, NW1 /4, S19, T28N, R19W Subdivision: Troy Village - lot 54 FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 865397 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. • 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. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at iippe 1s appropriate for the component(s) utilized in the POWTS. C pll - W T S. °'j�'ly CALVIN W POWERS JR Page 2 8/15102 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 �A f DATE: --- C) )-, PAGE_L_OF_ MOUND SYSTEM FOR A J-) BEDROOM RESIDENCE This plan has been prepared in accordance with the Mou SBD- 1 0572 -P and the P '� Component Manual Pressure Distribution Manual SBD-1 0573 -P. V CR.6/99) (CR- 6199) LOCATED IN THESUJI /4 OF "THE N�1 /4 OF SECTION + y �O R1W, TOWN OF �- TE T a , ST. CROIX COUNTY, WISCONSIN. fc c U INDEX PAGE I OF 7 TITLE SHEET PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SECTION PAGE 4 OF 7 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 7 PUMP CHAMBER CROSS SECTION PAGE 6 OF 7 SYSTEM MANAGEMENT PLAN PAGE 7 OF 7 PUMP CURVE PRITARE FOR j a3a oy P P D BY POWERS EXCAVATING INC. 1969 185 AVE. NEW RICHMOND, WI S. 54017 PHONE. 715 -246 -5135 FAX: 715- 246 -5135 w � U ..,cNI OF Cp N of SAf cir AND MERLE Bu SEE CORRESp NDFNCE a T ro � '�"k 0 V\S-A d-�Ilf IV uj &,4, 0 ST C b l a,5 0 �7Sc� /� CoX ram 3 ed Z- A mz) �Uln "Toe d+ is o Lq PROP. ! IL cow ` U \ r Page Of . r r . Synthetic Cov :ring Distribution Pipe At Tm— C33 Medium Sand a Topsoil F SYS. ---1 I E o 3 % Slope Plowed Bad Of #*— 2 ,2 Farce Main Layer Aggregate D 4w E / 7,3 lk `,'' Cross Section Of A Mound System Using F ,d Ft. A Bad For The Absorption Area G ( Ft. A 1a Ft. H Ft. ,; .. Linear i oadin -, _eT B Ft. ZD Design - Oad Rate= :BPD /J� F K 93 Ft. L IJ�, Ft. 5, lv Ft. Position I Ft. of W aar` Ft. Force Main ��r• Observation Pipe fs IF T.�= --------- - - - - -- ----------- - - - - -- - - -- e &K Distribution�_ Of 1 Pipe,- Aggregate Observgtion Pipe anchor Se cv rM-�r Pion vlew Of Mound Using A Bed For The Absorption Area r - r DiSLributioa Pipe Layout p�8e 4 of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. eo* I+ wd Mp *6 to use of IMS tum or 45' &Mg oo a pout iredda suc Teosimb dire cub of the 1mob vA* a Valvw tlseabd sip or km lied gore fw the *dye* t#aeaded ap or Meade I pb#. .ACC� tia�_ �ctJ L CQQS s sew ►y JJ *vC vMa�iiirr , *v G iADNi Leo" _ p F Hour Diameter �{� Inch 5 .A Ft Lsttral hwh(es) AA- jrch es Manifold hick" Force loin a Indies 0 of holes/pips-013 Invert Elevation of Laterals AM'S Ft. SEPTIC TANK 6''PUMP C_ A� CROSS SECTION Hny �r��"• .- � 5 j r WEATHER PROOF APPROVED 4" Cl VENT PIPE 12" MIN. ABOVE GRADE S JUNCTION BOX COVER 25' FROM.DOOR, WINDOW-OR WITH CONDUIT MANHOLE. FRESH AIR INTAKE W/ PADLOCK 4" Cl RISER WARNING LABEL 6" MIN. .- - x_4 +1 MIN. ABOVE G ADE 18" IN [ 14LID ti t � WATER TIGHT SEALS --�-- TIGHT t A SEAL APPROVED y „ A10p -L,. ALM JOINTSW/ CI CI B ' PIPE 3 ' ONTO 3' -- f ON SOLID SOIL SO C 409F �t RISER EXIT SOPUMP OFF ELEV . /AFT. — — PERMITTED 0NL`. D Jr. TANK . MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE m��NllM F. ER 'DOSES PER DAY: TANK MANUFACTURER: TANK SIZES SEPTIC GAL. DOSE VOLUME FLOWBACK:______ GAL. DOSE 5C? GAL. 401.6 GAL - ALARM MANUFACTURER: _ i CAPACITIES: A = INCHES = _,__ MODEL NUMBER: o B = 2 INCHES GAL. SWITCH TYPE: 141 C = 34 7 INCHES = GAL. PUMP MANUFACTURER: vL — 1$0.5 MODEL NUMBER: l D INCHES i9� GAL SWITCH TYPE: REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR�16.23 Qd Q /D FEET � . VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ---� -5 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . • ••. • . . . ' .%. 3 FEET + � � FEET FORCEMAIN X 3 FT /100 FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD = INTERNAL DIMENSIONS OF PUMP TANK: LENGTH �_.i WIDTH DIAMETER -- - r 77 i DIAM E TER LIQUID DEPTH _ 1± z • MANAGEMENT PLAN Page on POWTS OWNER'S MANUAL & � ;6 F" BM TIM S YSU M cwTwNS v O/` [Elf eptic Tank COY � 5 0 NA Permit !� spt(c Tank Manufacturer c S 0 NA It(EflM6N PA� flnueaR Fiber fyflannufscinear Z 0 NA Number of Bedrooms © NA Effkuant Filar Mods A 100 0 NA Number of Pubic facility Units 0 NA Pump Tank Capacity -75 o , 0 NA Estimated flow (average) Pump Tank Manufacturer c r4-s D NA Design flow (peak). (Estimated x 1.5) g aVday . AMW (7 NA Soll Application Rate r Pnanp Mom W SD 3 6 0 NA Standard InfluentAtfhrent Quality moottiov average" Preno msnt Unit d NA Fats, Oil b Grease fFOGI 530 mg& 0 SwWlGmvel Fitter 0 Peat Fitter Biochemical Oxygen Demand f8ODj 5220 mg/L 0 NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids iTSS) 5150 mg/L 0 Disinfection Q Other: Pretreated Effluent Quarity Monthly average Dispersal CeN(s) ❑ NA Bloc honical Oxygen Demand 4t3OD 530 rmg/l. O In -Ground (gravity) ❑ ln- Grotucid (pied) Total Suspended Salida (TSS) S30 mg/L "A 0 At -Grade }Mound Fecal CoNonn fgeometric mean) 510 cfu/100mt 0 Drip -Line (7 Otter: Maximum Effluent Particle Size ys in dia. 0 NA Other: 0 NA Ether. 0 NA fir: ❑ NA *Vekm typical for domestic westewsw and septic tank effkhem. Off: 0 NA MAlRENAMCE SCHWULE Service Event Service, Fmquaw Inspect condition of tank(s) At least once every: � (Mgx mom 3 yew Cl NA t Pump out contents of tankis) When combined skx#p and scum equals one (Yl of tank volume C] NA 0 month(s) PAwdi 13 ve—) 0 NA inspect dispersal rxNfs) At West once every: Z orywp Clean effluent fitter At bast once every: � n (s) 0 NA . a � (s) 17 NA Inspect pump. pump controls &alarm At least once every: 0 Rush laterals and pressure test At least once every: 3 0 man th( s) DNA Esher. At feast once every: 0 0 monthis) 0 NA Other. 0 NA HISTFOXTiONS Inspections of tanks and dispersal oaks shad be made by an individual carrying one of the follovmV Gemrhses Of certift6tions: Master Plumber, Master Plurnber Restricted Sewer: POWTS Inapector. POWTS Maintainer,• Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(*) to identify any missing or broken Hardware identify any cracks or teaks, measure the volume of combined sludge and scwn and to check for any back up or ponding of effkmnt an the ground surface. The dispersal celNs) OwN be visually inspected to check the effluent levels la the observation pipe: and to check for any Ponding of effluent an the ground surf ace. The ponding of effluent an the ground surf ace may indicate a failing corndiition and requires the immediate notification of the local regulatory authardy. When the combined accumulation of sludge and scum in any tank equals one -third Jyp or more of the tank volume. the entire contents of the tank shall be removed by a SeMage 'Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. AN other services. kx*m kig but not limited to the servicing of effluent filers. mechanical or pressurized components, pretreatrnemt whits, and any servicing at intervals of 512 months, shy be performed by a certified POWTS Maintainer. A service report shah be provided to the local regulatory authority within 10 days of completion of any service event. GMW tams! MART UP AND OPERATgp �'•ga of For new constructio Prior to use of the POWTS check treatment tanklsl for the presence of oduct shay inMhede the �in9 that Pr s or o troattrhent ther rd►errhioad Of the tankts? r Process atnoved ard/ar °the sal t if Mgh conaantratttxhs are detected have the content by s saptago servicing opeator prior to use. System start up shall not occur when sell conditions are frozen at the nfihrative surface. During Power outages pump tanks maY fill above normal highwstw low . When Power is restored the excess wastewater will b discharged to the dispersal to.Nlsi in one age does, overloaing the cIelllsl and nosy result in the backup or surface discharge o affluent. TO avoid this situation have the contents of the PMV tank removed by a S"tape U"IckV Opt►~ Poor to restoring Power to the efNuartt pump or contact a Plumber or POWTS Maintains+ to assist o in manually peraating the pump controls tr e ra rhormd *0 - a within the putmp tank. i too not drive of park vehicles War tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the seer within 15 fast down slope of arty mound or st.grade stall absorption area. Redaction or elimination of the following from the wastewater stream may improve the performance and prolong the We of the POWTS: ; baby wiPss; cigarette butts. condoms; cotton swabs; dsgressers; dental floes; diapers; dis rdectarift let; fa n t ihn pr drain (am* pumpl water; fruit and vagatable a► Datung Pro p INN ng0. gsooitue: grease; herbicides; m an e scraps; medications; oil; ducts; Pasticidas; sanitary napkins; tanVons; and water softener brine. ABANDONMENT When the POWTS fails &nd/or is Patently ;elan out of service the following steps shah be taken to insure that the system is PrOPorAY and 1114141V abandoned in COMPIldnee with chapter Comm 83.33, Wisconsin Administrative Code; • All Pig to tanks and pits shall be disconnected and the abandoned pips openhirpe sealed. • The contents of all tanks and pits Wu N be removed and Properly disposed of by a Septage Servicing operator. • After pumping. all tanks and pits shall be excavated and ran ived or their covers removed and the void space filled with 9011. gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fault and cannot be repaired the following measunn have bear. or must be taken, to provide a cede compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systeru. The replacement area should be protected from disturbanim and eonWaction and should not be nfrnged ;;pooh by required setbacks from exigtingl and Proposed structure. lot lines and walls. Failure to protect the replacement area will result in the need for a now staff and site evaluation to establish a suitable replacement area. iReplacarnent systems must GOMPI ► with the rules in eNect at that time_ © A suitable replacernent area is not available due to setback and/or so11 Imitations. Barring advances in POWTS tacuhoiogy a holding tank may be natWW as a last resort to replace the failed POWTS. O The *a has not bean evaluated to identity a suitable raplecwrmm area. Upon failure of the POWTS a sod and site evaluation must be Performed to locate a suitable replacement area. If no replacement area is eva4able a holding tank maY be instated as a last resort to replace the failed POWTS. 1[ Mound and at-Wade still absorption systems may be reconstructed in place toitowng removal of the blornet at the (� infiltrative surface_ %constructions of such systems must comply with the rules in effect at that tune. < < WARNIN> > 30 ' 1 x. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL. GASSES ANDMR MIlSUFFlCIENT OXYGIM. DO NOT ENT6I A SI FM PUMP OR OTHER TREATMii91R TANK UNM ANY ClCUMSTANCES. DEATH MAY RESULT. RESCUE OF A SON FP M THE WTERI R OF A TANK MAY aE DVRCUL OR &APOSSME. ADDITIONAL COMMENTS POMiTiI; MSTAU ER POWTS MAHINTAiIaER Noun i None Phone t 3S I j ail�TAtE s OPGIRATOR LOCAL REG TO RY AUTHDH1ITY Nacre Nartha Pfone talonha _ this documsM was dratasd in cnnnpliance with wets Canon 83.22(2)fbN i Ndli}ffl and 8 i_"I t. f21 A t31. where h Adrriirriatrative ;:ode. Goulds PC, - et �:.. Subirwi ibte Eff luent Fume 3885 APPLICATIDNS • Overload protection must smooth operation. Silicon can be operated continuously be provided in starter unit. bronze impeller available as without damage. Specifically designed for the ,.«��, following uses: •Shaft: threaded, 400 series an option. ., ,,... � In Bearings: Upper and Homes stainless steel. ■ Casing: Cast iron Volute lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. construction. • Trailer courts upper and lower. 7 NPT discharge adaptable ■ Power Cable: Severe duty • Motels • Power cord: 20 foot for slide rail systems. rated, oil and water resistant. standard length (optional • Schools ■Mechanical Seal: SILICON Epoxy seal on motor end lengths available). • Hospitals CAIIBIDE YS. SILICON provides secondary moisture Industry Single phase: CARBIDE sealing faces. barrier in case of outer jacket • % and % HP —1613 SJTO damage and to prevent oil • Effluent systems with 115 V or 230 V three Stainless steel metal parts, ng ping. BUNA - elasstomers. wi• prong SPECIFICATIONS • prong HP g. STO with a Shaft: Corrosion- resistant ■ O-ring: Assures positive bare leads stainless steel. Threaded sealing against contaminants Pump design. Locknut on three and oil leakage. • Solids handling capabilities: Three phase: W maximum. • %-1 % HP —14/4 STO phase models to guard • Discharge size: 2' NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: size. . i28 GPM. fisted models — 20 toot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor, Fully submerged in - �" " � �� TDH. are standard. high -grade turbine OR for unduwr m Lab=Wft • Mechanical seal: silicon lubrication and etticlent heat 00 carbide -rotary seatisilicon FEATURES transfer. carbide- stationary seat, 300 ■ Designed tar Continuous a impeller. Cast iron, semi - series stainless steel metal Operation: Pump ratings are open, non -clog with pump - Parts, BUNG -N elastomers. within the motor manufacturer's • Temperature: out vanes for mechanical sea! recommended working limits, 104 °F (40 °C) continuous protection. Balanced for 140 °F (60 °C) intermittent. ME1, c1s FEET • Fasteners: 300 series stainless steel. SERIES: so�uos • Capable of running dry. 25 eo WE1 RM VARI qI without damage to components. 70 ' WE U I sf'r Motor 60 Single phase: _ —Im EM • h HP, 115 V, 200 V, 1s 230 V, so 60 Hz, 1750 RPM; 4 HP, z 115 V, 60 Hz, 3500 RPM; n 40 n1E 'S HP — 1 % HP, 230 V. 60 Hz, 3500 RPM. S 10 30 • Buift -in overload with automatic reset. 20 • Class B insulation. s Three phase: :10 • A HP —1 HP 200/230/ o 0 460 V. 60 Hz, 3500 RPM. o 10 20 3T 40 50 eo 70 80 go 1o0 110 120 130GPid • Class B insulation. 0 10 20 30 m31h CAPACITY Effective May. 1995 0 1995 Goulds ('amps - - -- io► Sanitary Permit Application Safay dt Buildings Mid" T - - to ACA=d with Cotmn 23.2 Win, Adm. code 201 W. WashLtg M Arc, � O Sao ravorsc shit ror � ft � swiation FO Box 7302 t=ectx��tt:ot<fiortu rem pa"uat iof0mutioa YOU p may be usW for smowlwy ptnpom Madison, Wt 5 07 -7302 Ney lAW, s. 1S.OgIxm)) (Submit cmpktad form to County if not , A sate ownod. Go" tea than &1/2 x i finbcs in L Agplicatlon Information - Please paint all Information Y Oww name lion: V7E Wn agRI� imm W �' dr 0 $ C rte. Stan - c ? e? > qk Q f ` N � �01J tVamear Nnmbot r. II, a of Building: ch ( on MVG QFFC " )S Q1 t or 2 Family 8 . No. W C" c Pub1kPCcmntadal (d iba 'ade°°°'n P j —� D State-0 Iowa of r� Ice's K I tL1r -w,c. � P I P , PM. T III. of Permit: check one box tine A• Check box online B if a Ii c ;Z 8) I. S teen 2. �t of 4. S. on to 1 Sani it on NuMbw EX ng Sync= IV. Type of POWT System. ail that apply) — ICU p M ❑ Sand Filter O Consttucted Wetland Hold D At iorp�o O Aerobia aak ifiit O Sb* Pass O Oth ! V. D tntent Area Information: y t. I1tta t � Raquhod p I p ftwkfim to 1 ftVati ftatioa Vile 7`an& Capacity in Total o op Site Stall Fin Plastic ^,�,+ Inf ( Qap T can- Boat- t;� � New ctete " sttueted I Tanks T CZ) O O O D li, espossibility &tktmcnt t the uo&rslwie& asm n a of the m'M shoran on the attached - tae r�at+eeraAadraratsa F ! S-- Ca �!� M CountylDepartment Use ly , Dhappcoved SataiG Patton Fat (lnelud" Gwandwow Date Issued a Paj npp<oYOd 0 � Initial Adverts Fat) S'• t 12 zcp I .J X. nditlaas of Approval /Reasons for Disapproval: . ou� ' a. PA v � erg � { AL : i . l w 1 y ^• 1 1 , I 1 f. x r ` i r dr I 1 , , I f 1 1 ; I , l , tt 7 V f : I — f r r s I � 1 , 1 f { { 1 i f • , ? ! I i i i , I , . 1 I , I I 1 a I i I i I i ' 1 t i { I s , t Safety and Buildings < s 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www. commerce.state.wi. us /sb Visconsin www.wisconsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary June 04, 2001 CUST ID No.285102 ATTIC POWTS Inspector ZONING OFFICE CALVIN POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RIC OND WI 54017 HUDSON WI 54016 CONDITION APPROVAL PLAN APPROV EXPIRES: 06/04/2003 Idowification Numbers Transaction ID No. 648604 SITE: Site ID Xo. 173683 Troy Bume Village - 54 Plea } refer to both identification numbers, St. Croix County, Town Troy - 266 Troon Ct. ab Ve, in all correspondence with the agency, SW1 /4, NW1 /4, S19, 728 , 19W FOR: Description: Four Bedroom Mo System - Revision Object Type: POWTS System R lated Object No.: 472298 The submittal described above has been revs ed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has bee CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans previously ap ved. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in a dance with the enclosed approved plans. In the event this soil absorption system or any of its component parts if inctions so as to create a health hazard, the property owner must follow the contingency plan as described ' e approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as cribed in section VIII of the mound manual, and section VI of the pressure distribution component manual ar omplied 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 pr' ct is located in accordance with the requirements of Sec. 145.135 and "145.19, Wis. Stats. J • Inspection of the private sewage system installation is required. Arrange nts for inspection shall be made with the designated county offcig 'm accordance with the provisions of Sec. 1 0(2)(d), Wis. Stats. If • The owner is responsibl or submitting a maintenance verification report acc ' ble to the county for maintenance tracking oses. Reports shall be submitted at intervals appropn for the component(s) utilized in the POWTS. Note: A POWTS M tainer, and Septage Servicing Operator must be identified prior to issue of the sanitary permit. A copy of the approved plans, specifications and this letter shall be on -site during construction a open to inspection by authorized representatives of the Department, which may include local inspectors. A ermits 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. T CALVIN POWERS JR Page 2 6/4/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 'u BALANCE DUE $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services 608 - 789 -7892 Mon - Fri 7:15 AM to 4:30 PM WiSMART code: 7633 jswim@conunerce.state.wi.us lit:�►�jtSlA ' APPLICATION FOR REVIEW POWTS "n;w of °eaisnWW - Complete all pages - Safety & Buildings Division ( } Check if confirmation is Desired: ( ) faxed, () mailed Bureau of Integrated Services NOTE: Personal Information you provide may be used for secondary Confirmation of assignment to a reviewer. pub Uldvacy Law s- 15.04(1)(m). Sb ts.j Transaction ID: 1. Private Seises Submits 2. Type of Submittal: Previous Related Trans. ID: s a 7 System Type ( ) Now ( ) Soil Saturation (>q Revision Estimated Completion Date: Determination Report ( ) Interpretive { ) Replacement Assigned Reviewer. Determination ( ) Petition (attach form SBD -9890) riled Office: (n POWTS System ( ) Experiment, approval# A� ( } At Grates ( ) Component Manual {Include each Circle your choice of offices below: ( ) Holding Tank } Noripressuriud In- component manual name. #and Ground date on title page of plan) Next availabie appointment in any office. 2. Careen Bay, 3. Hayward, Pressurizer! In- { ) Individual Ste Design 4. LaCrosse, S Madison. 6. Simawano, 7. Waukesha Ground Mound 3, Project Information - FRI in all krign informa 'on. { Aerobic Treatment Unit p ft Name 1J f ) Sand Filter single pass Location, Number 3 if unknown, Indicated nearest road Stroet � f _n3s u latln g s-e� �: 5 >� w S! N ( ) Cow end Cou l%C ro Village Town of ( ) DTip Lim { l Other 4. After puns are reviewed. phase: (chedc sU that apply} Building Type (check one }: g, 1 family _ Call customer 1, 2, 3, 4 (circle number)* 'Refers to customer number from below Publidcormm e ( Requesting party will pick up ubliclr cisl Building Mad plans to customs 1o, 3, 4 (circle number)* { } State owned Building Gallons per Day 6. Complete the foUowkq designerfawrodrequesting information. Utilize the check boxes when designer, owner or requesting tarty is the same to avoid information WL i Last Name Customer N e Last Name Customer Number por4iony Nary �� �. � Na ncuravcu Address 1 2:40&% Address 12001 " 9. , 12 C"""L - o t "T ) CRY - SAFETY & BMGS DI�:+° `9d" Phone Number (area code) Fax or Internet cell Phone Phone Number (area code) Fax or tntemet 715- au (2 -- St — 7 f5 I as Check otheit itapptcabie Check others if applicataie Payer Owner oll Pa R Owner First Na Last Name Customer Number First Name Last Name Customer Number me Company Name Adder Address city le (9d�) city MW Slate Ztp+4 (9digits) Phone Nunber (wee code) Fax or Internet Phone Numbo (area code) Fax or Internet ity Check others N applicable Check others if applicable ( } Payer t ) Parr t } Other MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE $ I)• Attach check hefye Rem Code 7633 6. Plan Review Fees for Private Onsite Wastewater Treatment Systems Type ofProject (CIRCLE THE APPROPRIATE FEE BELOW) FEE 1, All treatment components are previously approved under s. Comm 84.10 (2) or (3): Design wastewater flow of the proposed system: 1,000 gpd or less ..................... ........ ... .... .............. ..... $175M 1,001-2.00090 ....................................... .............................. ............................ ....................... .5225.00 .......................................... _ $ 225 . 00 2 ,001 - 5,000 gpd - - - - � ... .................. ........................................................... .................................. $275-00 greater than 5,000 gpd .................. --- .................................................................. ............. $300.00 plus $0.051gid 2. One or more treabyterit components are not previously approved under s. Comm 84.10 (2) or (3) (individual site deson/deviation from component manuals and use of components without product approval): Design wastewater flow of the proposed system: 1,000 gpd or less ............................. .............. ....................................................... ......................... .......... ................................. - 4300 . 00 1,001 - 2,000 god ................ .............. ....... ........ ................................................. ................... 2.001 - 5,000 gpd ........................................ .................... ...................................... ........................ ..................... ............. .................. 55W.00 greater 5,000 gpd ....................................... ........................... ................................................. $600.00 plus $0.05191d HOLDING TANKS ONLY 3. Holding tanks previously approved under s. Comm 54.10 (2) (3 Design wastewater flow of the proposed system: 5 ,000 gpd or Was ........................ -.- ................. ............................................................................ $60.00 5 ,001 - 14.000 gpd - ........................................ ................. ......................................................... $100.00 greater 10,000 gpd ........ ................................................................................................. .......$150.00 4. Holding tanks NOT previously approved under s. Comm 84.10 (2) or (3) and site constructed tanks Design wastewater flow of the proposed system: 5 ,000 gpd or less .......................................................................... ................. - ............. ......... $120.00 5,001 -10,000 gpd .................................................... ............................... .................... .................. $200.00 greater 10,000 gpd .............. .................... ........................................................................... .... $300.00 Experimental System (additional one time fee) ............................................................ ....................................... .... $300.00 Revisions Approved Plan .............................. .......................... -- ...... . ........................ ............................ ....... $60.00 Petition for Variance (Include form SBD-9890) ..................................... .................................. -- ....... I _..............$225.00 Revision to a roved Petition for Variance ....... ....... . ...... . I .................................................................. $75.00 Sol Saturation Determination Report - Per Site (other than a proposed subdivision) ...... ...... . ...3100.00 Interpretive Determination Report: ........................................................................... ................ ............. ........... ...• $100.00 Subtotal .................... ............... Priority Review: Enter some amount as subtotal .................................... Prior approval from a section chief is required for a priority review. if approval is granted, the priority will be reviewed within 5 days of receipt, Enter TOTAL (rounded to the nearest dollar) here $ (.COS. and on bottom of FRONT PAGE Note. Fees are pursuant to Ch. Comm 2 and are subject to change annually please contact any of the offices listed below for the most recent coW of this Rim. Comm 2 provides W a partial fee refund If a plan action has not been taken within the 1 days of receipt of all required information. 7. Appointment. Scheduling *06irmotion, and Plan Subm�ftal Checklists. POVM schedulij is not available. Plans will be assorted to a reviewer after receipt of plans. It you wish to receive confirmation of the assigned reviewer and estimated completion data please che& the box in the upper right comer of the front page. Also note in the same location that you can designate a specific office W review. If you Select 8 SPOCift office Your estimated completion date may be considerably greater than what would be possible in another offkxL Submittals received without a specific office indicated on the form may be assigned to offices other then the receiving office depending on reviewer availability. To obtain a submittal chaddist calf the material WOW unit at 608-266-1818 or one of the a full serum offices listed below. iAadi S&ED Hqyward S& - Lacrosse M. OWNitino WW Green Say S&SD Waukes S& BD 201 WWaSt*VtDn Ave 110541N Ranch Rd 4003 N Kinney 1340 E Green Say 2331 San Luis Place 401 Pilot Court 53703 Hayward WI 54843 Coulee Rd Shawano WI 54166 Green Say, W 54304 Waukesha WI 53188 PO Box 7162 LaCrosse WI 54801- ' Madison W 63707-7162 715 870 t831 715-524-3626 920-492-5601 262-5484*W 608-266-3151 1 Far 715-634-5150 Fax 715-524-3633 FAX. 920-492-5604 Fax. 262-548-11614 Fax 608-267-9566 Emall: haywardsch@ 606-765-9334 Email: shawanoschQ Email gmwftyschQ Emsit waukeshaschQ MD 608-264-8777 cornmemeAtate.wi.us Fjw- 606-785 -9330 commercestatewi.us 001TWOM-StVA-VA-us C0110'. Atoeml.us Emai• madisonschO Email: tacrossescho commerce.state.wims r TITLE SHEET PAGEJ OFA MOUND SYSTEM FOR A4 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P. CR. 6/99) (CR- 6/99) LOCATED IN THE ) 1/4 OF THE N 0 1/4 OF SECTION / ! ,T)1, R, , TOWN OF ST. CROIX COUNTY, WISCONSIN. INDEX `rJ PAGE 1 OF I 1 TIE SHEET PAGES 2 -5 OF 11 ,,WORK SHEET PAGE 6 OF 11./ PLOT PLAN PAGE 7 OF,Vf PLANVIEW CROSS SECTION PA 8 OF 11 DISTRIBUTION PIPE LAYOUT PA 9 F 11 G PUMP CHAMBER CROSS SECTION E PA OF 11 SYSTEM MANAGEMENT PLAN PAGE OF 11 PUMP CURVE PREP tt FOR 01 � � i v " � v ARED BY 0-1-1 RECEIVED POWERS EXCAVATING INC. MAY 2 1 2001 NEW RICHMOND, WIS. 54017 S AFETY & BLOGS DIV. PHONE: 715- 246 -5135 FAX: 715 -246 -5135 p,O.W.T. C • - � PROVE NCIMto ot COMMERCE pEP plVl� SEE � RR � Np�1�►E ' � T '' '? �... i.. , r r .� .. _ py S Y Any }. S t� dam'"* r. � ,4 � � ,1t F �,r., ." � _ vD � "0. ,. w�. .WORKSHEET_- MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a 6 i t The site characteristics are: Depth to groundwater or bedrock ; � Landslope • C t x z $ 9&, In. Percolation rate - : -- m`� Distance from dose chamber to distribution system g ft. Elevation difference between pump and distribution system ft. Step 1. WASTEWATER LOAD = AM gal.' Step 2. SIZE THE ABSORPTION AREA Z A) Area required = t � sq. ft. B) Bed o r trench length (B) _ �� �—' — ft. '< C) Bed or trench width (A) = Ln --- ft. Trench spicing (C)`: 2 B ft. .. .. Wastewater load : .24 gal /ft /day = tren hes Step 3. MOUND HEIGHT A) Fill depth (D) _ . ft. B) Fill depth (E) D + slope (A)+P) ft. C) Bed or trench depth (F) _ ' ft. D) Cap and topsoil depth (G)`= ft. E) Cap and topsoil depth = 1� 5 ft. Step 4. MOUND LENGTH A) End slope (K) _ /D + E + F + N x3 = 3 ft. B) Total mound leng (L) = B + 2(K) _ ft. 11 84 Step 5. MOUND WIDTH ' Al) Upslope correction factor `7�5 � 7F15 A2) Upslope width (J) (D + F + G)(3)(factor) _ ft. Bl) Downslope correction factor = " 1.39 B2) Downslope width (I) _ (E + F + G (3)(factor) _ ►� ft. (1,elf,83 4 1 ) 3 x 1, 38 = //, Cl) Total mound width (W) for bed = J + A + I = 23 . ft. S.5 + 6 +l,,I :a3A ` C2) Total nd width for trenches J + + (nog aches - 1)(c) + A + I = ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil = gal. /ft /4ay B) Basal area required = wastewater flow natural soil infiltrative. capacity = (gyp 15 : /a sq. ft. Cl) Basal area available for bed for sloping sites = B x (A + I) _ sq, ft. C2) Bas are Z avai le for trench for sloping sites = B WSJ + _ �sq. ft. C3) Basal area available for trench or bed for level sites = B x W = sq. ft. r ' Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM in. 1) Hole size = in. 2) Hole spacing _! 3) Distribution pipe length a �yq in. 4) Distribution pipe diameter 5) Spacing between distribution pipes ,� I = in. distribution pipe in. 6) Distance from sidewall to yj • ft. 78 DISTRIBUTION PIPE DISCHARGE RATE 1) Number of holes per pipe 1&4. GPM 2) Flow per pipe = .._..— 7C) SIZE MANIFOLD 1) Manifold is ( central / end ft. 2) Manifold length 3) Number of distribution lines a 4) Manifold diameter = 7D) SIZE FORCE MAIN _ GPM 1) Minimum dosing rate in. 2) Force main diameter = 33 X $5 ft. 3) Friction loss = 0 `�. ---- 7E) TOTAL DYNAMIC HEAD f0 ft. 1) Vertical lift = ft. 2) Friction loss ft. 3) System head a 5 4) Total dynamic head : -- i _ 1 7F PUMP SELECTION 1) Pump selected will discharge 4,3 GPM at ft. total dynamic head. 2) Pump model and manufacturer i 7G) DOSE VOLUME S X , 00 x t1b = 4 .). 1) X times void volume of distribution lines =_ gal.icyc' {Jrrk� r fs C*C k 2) _ gal. /cyc' 03 X 4. 3 = S.3 3) Minimum dose volume = _ gal . /cyc' 711) DOSE CHAMBER 16v�j l = •4 as 1) Minimum capacity required ■ 5 01 7-5 gal. • ! r r 4 8 t I r r to 4 , r ( _ .... --------- i _ — p r ! r 1 ll j � r d ,_ .. ! - y 1 I ] [ „ r vo i t ( 1 ( 7 1 f r t t { f ? I t , p aim L i i f 1 i t t `i Page 2- of d Synthetic Cov ;ring Aqm- C33 Distribution Pipe Medium Sand � Topsoil a F `l�• 7 3 � E u D 3 % Slope Bed Of 2 2 Force Main Plowed Aggregate Layer D +-'-> Ft. Cross Section Of A Mound System Using E 1 ' 0 Y Ft. A Bed For The Absorption Area F • 83 Ft. 6 Ft. A Ft. H I. S Ft. Design c�adirl R- tee- �E? BPD /3 FT B Ft. L /! 9 4o Ft. 5+ ra Ft. Position I Ft. of Force Main W d3,1 Ft. L Observation Pipe 8 K A B o �,Distributlon- 0 f % 2 2 2 Pipe.- Aggregate t Observation Pipe anchor s c%4 r%LI Plan View Of Mound Using A Bed For The Absorption Area Distribution Pie Lay page of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from tiie pipe and holes. E=00d the sod of csch up with the use of long tumor 43' Sscag to a poiat within sic of The Sod 1m- TecminM the ends of dw kwds wilt a valve,- d cw or tbmded pbng. Provide amw from £md Wa & for dhe valM tiaerded asp or &wkded ph* Z �c� L rays s rbe J pVG 'PIC �vG IN ��� MsnaMe t.�twN s � t' h rt1J1 POND S �tt,C$ t+tfpv P I Ft. Bole Diameter in Inch S 3. Ft. Lateral " Inch(es) x = .�- ..Inclks Manifold Inches Force Main " °� Inches / of holes /piPe Invert Elevation of.Laterals_2 U, Ft. ... -_.. •.... r • ....w Y•Y•.Y•ul..r /♦ VYIYYV VYV AA V I I tYll✓ ✓• y.r •w .• -•.. +.- �j o,y�c. "G 4" 'Cl VENT PIPE 12" MIN. ABOVE GRADE WEATHER PROOF 25' FROM, DOOR, WINDOW -OR JUNCTION BOX APPROVED FRESH AIR _INTAKE r-- ---- -- WITH CONDUIT MANHOLE COVER 4" Cl RISER W/ PADLOCK S 6" MIN. - rf WARNING LABEL ABOVE G RADE #-- -4" MIN. 18" VIN t : H LET t i 1° WATER TIGHT SEALS GAS- I TIGHT i 4 11 Ato A SEAL 1 % APPROVED '.I PIPE ��� --�- j,'ALM JOINTS W/ CI I' ONTO B PIPE 3' ONTO 30LID SOLID SOI L C SOIL PUMP OFF ELEV . FT. ► ---- RISER EXIT D PERMITTED ONLY IF-TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE SANK MANUFACTURER: �� �S NUMBER DOSES PER DAY: ___5___ TANK SIZES SEPTIC ia,Sa GAL. DOSE VOLUME INCLUDING •� GAL. DOSE GAL. FLOWBACK: NL11Rt4 MANUFACTURER: ,,,,CAPACITIES: A = �$.l INCHES = �J,3 GAL. MODEL NUMBER: SWITCH TYPE: B = 2 INCHES = v`�g� GAL. PUMP MANUFACTURER: ���aS �,�� C = ?,� INCHES = 7 GAL• MODEL NUMBER: 3 g gS SWITCH TYPE: ���.�'t D = INCHES = _ GAL. REQUIRED DISCHARGE RATE GPM PUMP 8 ALARM WIRING AS PER ILHR 16. 23 WAC JERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ID. FEET + MINIMUM NETWORK SUPPLY PRE SURE . . . . . . °. .5 FEET * FEET FORCEMAIN X ;�FT /100 FT. FRICTION FACTOR . FEET TOTAL DYNAMIC HEAD = FEET 2 o.Z.' INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPT • ��f1,7 Mound System Management Plan p L, of Pursuant to Comm 83.54, Wis. Adm. Code ;"s Tait The a+Atic tank shall be maintained by an individual certified to service septic tanks under a. 281.48, Stats. The contents of the septic tank shag be disposed of M accordance with NR 113, Wis. Adm Code. The operating condMon of the sePtla tank and outlet Ater shag be assessed at least one *very 3 years by MWW*M. The 0" Nlsr shah be cleaned so rncessany to anwre proper opwatlon. The later cartridge should not be r'amoveo ulom pre visions m made to retain solids in 6% tank that May slough of/ the filter when removed fiorn Its enclosure. if 4% MW is equipped with an alarm, the filler shall be servicad it tin Bann is salivated Conti wuurly. kownitNnt fetter alarms M inaeaa arege Bows or an impending contirw+oes alarm. The sapdc tank shaft have its contents removed whon the wolun of sludge and scorn in the Conk exceeds 1/3 tiro Nggwd Volume of the tntdt. 11 the awft of the tank are not nrroved at the time of a trwmW assessment. mOrAw nce perso del shag advise *0 owner of when the nod service needs to be psifpmed to mairWn tags ow meAremh num and Mudge soe xMd0tion M the tank. The addtMon of biolo W or chemical additives to si0w a septic tank pmfomwm Is generally rot required. "Owsver. If subhh products are used they shall be approved !or septic tank use by the Deparenart of Commerce. Safely and BkdWAVa Olvislon_ The POOP (dosing) tank 0 be Inspected at tease once every 3 years. AN swftahes, aranm. and pumps shag be tested to v* ft Poper operation. It an efltnt filter is insWled wgl m the tank it shah the WApetbed and servioad as necessary. No Uses at shrubs should be ptanted on the mound. Plantings may be n►ade around the mound's perimeter. and the mound shell be seeded and mwdwd ai r»assart► io prevent aysion and to provide some W*Wdon frpm frost penetration. TMffic Other than for vegetative malr*ronce) on the mound is not meommerided since soy wmpaatlon may hirder aeration of the infteretive surface with k the mound avid snow compaction in 111 wirdw vet promote kae pene0raation. Cold weather 4n0411atlone (October - February) di AN! that the mound be how *y muthed tw ftt protection. rOu" gwWy Vft the mound seamen may not sricee4 220 rnplt. 8005. 150 mg/L TSS, and 30 mWL FOG. tntiuent flow may not aoweed mandrnum design flow speoftd in the permit for on ineWAdon. The pesssuts d[stnbution sysism is lumided wNh a flashing point at the and of each t owo, and it is rswm aerded that each lateral be Suehed of WMWA tslsd solids at least once every i1i months. When a pressure test is perlitrnnd it should be ou>w4MW to the NU teal when t system was ivisialisd b determine i< WON doggkV has occurrsd and if ortoe charting is ragUkW to mah Oak equal du&RxAon wtatirt tie dispareai Cell. Observation Pipes vMhln the dlaiwast cog shat be chocked for aftwa pondkip. Pordrp ieveis shag be reported to ins owner. and any levels above 4 Inches Considered an an irhperedlrg hydraulic farlwe requirVG addWonat, nacre *squsnt mwftw lag . This system shell be operated in a=wdwwe with Corset 82-" Wis. Adm. Coft and shell maintakted in acxordance wnh iW Component marled (580 - 10672 -P (R. fill H and local or sate Mss pertaining to system maintenance and maintenance 11011011111 No one shouid ever enter a septla or pump tarok swots dangerous gasse may be prsaent that could caws death. Septic and MOM bank abandocrmerti shag be in eeCordaroo with Comm 83 33, WCs. Adm. Cods when "a tanks are no longer used ss POWTS 000nponenft. Septk of pump lank manhole ri>ers aces rises and Covers *WUW be srspecaed for waler tighuneas and soundness. Access openings used for ssevioe and ateseament at" be sealed v�rsssrtight upon the completion of service. Any open ft downed unsound. defied". or subject 10 bilure must be replaced. Exposed access open1hps greater than 8- inches in diernew shag be secured by an 000Ctive locking device to prevent 6004e +tsl or unsudwzed entry into a tank or component. Conrino= Plan K the sapfk tank or any of its components become defeaove the tank 9r component shall be repaired or replaced to keep the syatam in Proper operating condition. K the dOWV tarn.. PUMP. PUMP Controls. alarm or reistsd wiring becomes defective the deteWva component shag be I+t y repaired or replaced with a component of V* am* or equal performance. If 00 amund ld � t ags 10 a cce vv pt aslewater or begins to discharge waxteweler to the ground surface. k will be repaired e. and and media- loc do by basal area if In leaks ooaus or by removing blologicipy dogged edsm"on 0 t�ondttl di Pte hsaeg . and rep said compotw is as deemed necessary to "M tie system 4h10 proper Rpm &M Questions on the operation or maintenance of this system should be directed to the County Zoning office at '113-1186- vt,eo or to the licensed plumber who installed the system. 4 P0. o�K Goulds SubnW Bible Effluent Pump �....M.: tt I 3885 APPLICATIONS • Overload protection must smooth operation Silicon can be operated continuously Specifically designed for the be provided in starter unit: bronze impeller available as without damage. following uses: Shaft: threaded, 400 series an option. ,,;, +r _ • .. ■ Bearings: Upper and • Homes stainless steel ■ Casing: Cast iron volute lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. cons.ruction. upper and lower. Z NPTdischarge adaptable • Trailer courts P ■Power Cable: Severe duty • Power cord: 20 foot ys rated, oil and water resistant. • Motels standard length (optional for slide rails terns. • Schools lengths available). ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals CARBIDE VS. SILICON provides secondary moisture Industry Single phase: • ! and 'h HP — 16/3 SJTO CARBIDE sea ling faces. barrier in case of outer Jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil With i 15 V or 230 V three BUNA -N elastomers. wicking. SPECIFICATIONS prong plug. •'/4.1 Yz HP —14/3 STO with ■Shaft: Corrosion- resistant ■ O-ring: Assures p ositive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. K' maximum. • Yr1 % HP —14/4 STO phase models to guard • Discharge size: 2' NPT. with bare leads. On GSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor. Fully submerged in Si► Canadian Standards Association TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat �L Underwriters t'°0�1oi�"� carbide- rotary seatisilicon FEATURES transfer. carbide- stationary seat, 300 ■ Designed for Continuous o series stainless steel metal Impeller. Cast iron, semi- Operation: Pump ratings are open, non -clog with pump - parts, BUNA -N elastomers. within the motor manufacturer's out vanes for mechanical seal • Temperature: protection. Balanced for recommended working limits, 104 (40°C) continuous 140 °F (60 °C) intermittent. Mss FEET - • Fasteners: 300 series 90 SERIES seas stainless steel. �' SIZE WSOLIDS • Capable of running dry. 25 80 "rE' RPM: VARIOUS without damage to - —► 5GPM — components. WEI sFr Motor A Single phase: so o { • % HP, 115 V, 200 V, 230 V, 60 Hz, 1750 RPM; % HP, 15 115 V, 60 Hz, 3500 RPM; b 40 £ 'h HP -1%HP, 23OV, S to 3 60 Hz, 3500 RPM. ,. • Built -in overload with we automatic reset. 5 • Class 8 insulation. Three phase: 10 • HP —1 HP 200/230/ 0 0 460 V, 60 Hz, 3500 RPM. o to 20 304 50 60 70 eo 4o too 110 120 130GPM • Class B insulation. ` ` 0 to io 30 mo CAPACITY ®1995 Goulds Pumps Effective May. 1995 RIM.; Wiwonsini)gpartment of Corirmmerpe SOIL AND SITE EVALUATION Page _ 1 of 3, Dirsbn of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code : exuz�enssl By D=&r. Atlach complete site pian on paper not less than 8% x 11 inches in size. Plan must �� include, tad 00 r n*W to: vertical and horizontal reference point (13M), direction and St. Croix percerd �Pe, scale or d mems ions. north arrow. and bcaWn distance too nearest road. Pam l,D.# APPLICANT FORMATION - FNa me print all iMQrnotion. - -- _ -- _ P«mond wk-*!— You P used mvy be ud for ser wWwy ptrpows {Privacy Law, s. 15.04 ( 1 ) (m))- RevieMiEtl BY Date Property Owner P mperly Location ontine Dev Owners Mail ing Address e�ment Govt. Lot SW 1t4 NW 1t4 S 19 T 28 N,R 19 W Property Lot # Moth # - ._..I Subd. Name or CSM# - 1 301 Centr Avenue NE, Suite 230 54 � - _. Tr� �rn e Vil lage state Zip Code PhoneNumber F_' Cdr 1 VSage � ;iTown Nearest Road Minneapolis MN 5543 Troy St. Andrews Drive New Consruction I r"' ► �? Use: Residential! Number of bedroorns 4 _.�Adtfition to existing building Pubes or =Wnercial describe Code Derived daily flaw 600 gpd Recommended design loading rare 1.2 bed, gpow 1,2 french, gpw APp tion area required - - 5000 _ bed, fF 500 bench, ft- Maximum design bong rate 1.2 bed, gpw 1.2 tr ench, 9 iff Ree m Wed irtfftrabon surface elevatioi (s) 96.80 ft (as referred to site plan benchm2r Additional design I site consideration Paivit material Loess over glacial wtwash Food pWn elovaf n, ti nil ft S=StJi a for SyS#em Cortverrtiona! Mound !n- Gtound Premure AT Grade I S = thlsfiihdbfe for i ystem in FA! Holding Tsr:k U ❑sou j s u i LISDu i_ S13 } us zu 0 S EA u SOIL DESCRIPTION REPORT 3mri Horizon i .>h Color Texture ! lir Consistence Boundary ! Roots ! ____ -- GPD/11� - - in. i Munsdi Qu. Sz. Cont Color I S i i Bed Trench 1 [ 0 -17 1 Oyr3 /3 i _ i Is 1 rnsbk mvfr cw 2f .5 .6 round - - - -- - { 1 msbk } _ m v f r - cw -4 I f .5 .6 2 17 -38 1 3/2 I Is i 3 138 -50 7 5yr4�6 flf5yr5 /8 ) sl E lmsbk # mute y - � - ; 5 6 06.16 ft r. 'th to _ - -- - Act as Remarks: ---------- .---- ______ _ - - - -_ - _- - -__ -- 1 0-18 I Oyr3 /3 Is I msbk mvfr cW 21' -5 6 2 i 18-34 10 yr3/2 Is Imsbk mvfr i cW_ if 5 .6 ound -- r W 3 34-46 - -^ ?. Syr4 /6 f1 SyrS!$ I sl l msbk mvfx -5 6__ - — - -- -- - - -- I 5.73 ft I _ T-- Ah t;3 -� 1 FletriarlCS; ` � :ST Name (Please Print) Signature:, .. __- T41ephFin§ Nib, Thorruis C. Nelson 715- 246 -2454 kdftw Envimrtrrzntal By Design Date CST Number Ret # 1432 120th Street, New Wl 54017 �. 12/9/98 2605 120 3 RUPE1ZTlf OWNER eoatit - -- - - SOIL DESCRIPTION REPORT L' 1 > r i2o _. Page 2 of F.nvirontnental W Dmi ninant Color Mottles S 1 Teo Dor ' I tnrcwM GPDRF Horizon in. I MwvxM Qu. Sz Coat Cobr I Texture Gr. Sz Sh. Boundary R oof - -- _ _ - -- - 1 Bed ;Trench 3 _ __�_ _.__ 0-34 1(?yr3 /3 _ I is lmsblc mvfr 2f cw 5 t - -..—._ - - - - - -- i -- - b r I ! r - — -- - fi - - - -- - - - - - - - Z 34-48 1 X312 - Is I msbk mvfr ; cw j if E 5 6 Gmund elev 3 48-58 7.5yr4/6 fl P5yr5 /8 A 1 msbk mfi r { - — -- - -- -- - - - 5 6 — - } :actor I Remarks: { r Remarks: , t — -- - - - F r - k_ 7 - -- i - - - Remarks: i mid -- -t - -- - -- - -- i tih to — ..t - -- of f i i Remarries: NV190NMENTRL BY DE51GN 1432 120 "' STREET, NEW RICHMOND, WISCONSIN 71.5 -246 -2454 Troy Burne Villager ! P ,�� , .. , PAGE 3 $W Y4 N W ', SECTION 19 T 2_$ N, R -- 1 _W TOWNSHIP T Q COUNTY St..-C Wisconsin C --6 d J u- l� r Xd a A3 b SCALE 1" X40' Tom Nelson 8 " 1- TOP OF SE Lot Corner j00 am 2. Top OF S I,a Stake Elevation 95.99' 217 Wiftribin % artme6l: of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Ws. Adm. Code Em-tal By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must include, tart not limited to: vertical and horizontal reference point (BM), direction and County St. CiOlX percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print all information. Personal information you provide ma be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). V iewed B Date ZDo Property Owner Property Location Continental Develop Govt. Lot SW 1/4 NW 1/4 S 19 T 28 N,R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 12301 Central Avenue NE, Suite 230 54 Troy Burne Village City State Zip Code PhoneNumber City [] Village ®Town Nearest Road Minneapolis MN 55434 Troy I St. Andrews Drive y New Construction Use: Residential / Number of bedrooms 4 ❑Addition tQ existing building ❑ Replacement � Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate __ j, . 2 .2 bed, gpd/W 1.2 trench, gpdfftz Absorption area required 500 bed, W 500 trench, ft Maximum design loading rate 1.2 bed, gpdfftz 1.2 tr ench, gpdf F Recommended infiltration surface elevation(s) 96.80 ft (as referred to site plan benchmar Additional design / site consideration Parent material Loess over glacial outwash Flood plain elevation, if applicable na ft S - - Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ❑ S N U N S ❑ U ❑ S N U I ❑ S N U I ❑ S MU I ❑ S N U SOIL DESCRIPTION REPORT u,J ,, uc 1 r � Depth Dominant Color Modes Texture Structure nsistenc Boundary Roots GPDf E #k Boring# Horizon in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. ry Bed Trench 1 1 1 0 -17 10yr3 /3 - is Imsbk mvfr cw 2f .5 .6 2 17 -38 10yr3/2 - is Imsbk mvfr cur if .5 i .6 , Ground 3 38 -50 7.5yr4/6 flf5yr5 /8 sl Imsbk mvfi - - .5 ' .6 — elev 106.16 ft Depth to limiting factor Remarks: 2 1 0-18 10yr3/3 - Is 1 msbk mvfr cur 2f .5 .6 2 18 -34 10yr3/2 - is Imsbk mvfr cur if .5 .6 �- Ground i t elev 3 34-46 7.Syr4/6 flf5yr5 /8 s1 Imsbk m �,- ___�_.. _ iii 5 6 95.73 ft Depth to y f.� limiting U 2 f j factor 34NOI Remarks: CST Name (Please Print) Signature /l -,, T ep n Thomas C. Nelson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 12/9/98 2605 120 PROPERTY OWNER: EontinentatDevetopment SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LDJ Environmental By D-ign Horizon Depth Dominant Color I Mottles Texture Structure nsistencel Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ; Trench 3 1 0 -34 10yr3/3 - is lmsbk mvfr cw 2f .5 .6 2 34 -48 10yr3/2 - is lmsbk mvfr cw if .5 ! .6 Ground . elev 3 48 7. Syr4 /6 f1 f5yr5 /8 sil l msbk mfi - - .5 .6 92.37 ft Depth to limiting factor 48 Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: B Y D 51GN EN�I{ 0NrNI 1��T fi 1432 120 STREET, NEW RICHMOND, WISCONSIN 71.5 -246 -2454 Troy Burne Village 1" 41 � : a �� PAGE 3 SW y4 NW %, SECTION 1 T_ 28 N, R- 1 - 9 .- W TOWNSHIP TROY COUNTY SW-:10 WiK r kr c/1 L^ I u " C S M o %nd .9rea � p O v , O - 3g3�Z b ill SCALE 1" =40' Tom Nelson BM I. TOP OF SE Lot Corner 100' ������ BM 2. Top OF S Lot Stake Elevation 95.99' Wisconsin 0epartrrwnt of Indusay, SOIL AND SITE EVALUATION REPORT Pag I of _j_ ,Labor, ant'.. � luman AM4uo -5 Division of Salow s 9 in accord with ILHR 83.05, Wis. Adm. Cade COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 i e. Plan must include, T. CROIX ude, but PARCELI.O, x not limited to vertical and horizontal reference pant (g on , atAdP/� pe, scale or dimensioned, north arrow, and location and distance nearest road. APPLICANT INFORMATION PLEASE PRIM -4 INFR T N REVIEWED BY DATE PROPERTY OWNER P LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB U � � � O 114W 1/ 19T 29 NR 19 -640 W PROPERTY OWNER:S MAILING AOORESS - ST C 30i,x LO s -BW(N(v SU80. NAME OR CSM # 260 COUNTY ROAD F COUNn TROY VILLAGE CITY STATE ZIP CODE P FICE (]VILLAGE OWN NEAREST ROAD HUDSON W 54016 h 1 r ��pON uirr New Consttuc don Use ¢C J Residential / Number oi 4idieia 4 (J Addition to existing building L I Replacement ( J Public or commercial de$Cnbe Code derived daily flow 600 gpd Recommended design loading rate ed. gpd9t � trertctt. gpollt Absorption area required OO bed. ft2 ,S trench, ft Maximum design loading rate Q. r bed. 9pd/1t O• G trettctt, gpdM Recommended infiltration surface elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations S" NOTE5 OO/ pie : Parent material 55 TLL OvTw� Flood plain elevation, if applicable N/A ft S = Suitable for System CONVENTIONAL MOUND 114-GROUNO PRESSURE AT -GRADE SYSTIBA IN fU HOLDING TANK U s Unstutable for system I Q S ('U I ($(S ❑ U ❑ S Iff I ❑ S Izu I Cl S Wu I ❑ S �l1 SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure GPD /ft in. Munsell p Sz, Cora Color Texture r. h. Qnststwce Roots Boring # �— I A 1 0-16 I1OYR 4/2 I mvfr i I2v: fl 0.5 0.6 295 : - B1 16 -42 10YR 3/2 - -- 1 I lvf —fl 0.4 0.5 B2 42- 64I10YR 5/4 I - -- ( mvfr 1,cw lvf 11 0.5 0.6 Ground elev. B3 64 -801 10YR 5/6 Iflf 5YR 5/8 sil 13mabk mfi 1 --- - -- 88 1 ft. ` Depth to limiting factor 11 1 Remarks: Oeptn ' Dominant Cstor NAGMes (Texture I Structure ICOr1S�ltinGelE�t»Y I RooaI G ?0 /fte goring is INanzoni in. I counsel au. Sz. Carl Color i Gr. Sz. Sh. 1 Bea njrtat A J 0 -20 10YR 3/2 - -- sl �2m—csbk mvfr Jaw J v - J 0-5 10.6 '< 57S# B1 120 -261 lOYA 4/3 - -- I sit 2msbk `mfr Igw of —fl 0.5 ___ 0, Grpt(p B2 1 26 -4 lOYR 5/6 1 sic I l 2mabk (mfr — eMv' , 1 I s jOsg ml Ias lvf 1 ' ; tifl,,�. , t C1 42 -60 Ofa�lttto C2 60 -721 10YR 5/6 Iflf 7.5YR 3/4 1 s � Os - g ml I I lvf I faux 1 ( I 1 1 60" Remarks: FNa Pnm ,DAMES D. FILKWS P1 1w (715) 425 -7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, M 54022 r Oar ° 97 CST CSTM039881 PROPEAI"'r OWNER SOIL DESCRIPTION REPORT Page _.L of 3_ PAIiCM.l.D. i _ ` •, r I Oepttt Oomrnant Color Moores Structure GP0ift4 Horizon Texture C I Roots in M n ll Color Gr. Sz. Sh. Bed 1 , rrwm I Boring A 10 -17 110YR 2/2 I - -- 1 is 4sbk l mvfr Igw 3vf !0.7 0.8 >463. B 117- 36I10YR 3/1 - -- I is csbk invf r �w 12vf 10.7 _0.8 C 136 -65 110YR 3/4 1 - -_ 1 f s IOsg ml I - -- of 10.5 0. Ground I 1 I 1 I I I elev. 8 8fL..2 ft. oeptn to linnttng 1 " I I I I I I Remarks: Horizons A & B h sRots of JQXJ 2/2. Boring # 1 ( 1 H ' ..ate 1 Ground 1 I Nev. ft. ! Depth to I linmting factor 1 I I � Remarks: Boring # I I ( ` 1 i I � Ground 1 1 1 I 1 Nev. ft. I 1 Oeptn to limiting factor I 1 ! Remarks: Boring # I Grotutd elev. ft 000 to limrcng factor I Remarks: - 38o- eZ'rOfR.0�1 � R a PAGE 3OF3 SITE PLAN SCALE: 1 " = 40' G a 7- S a , S �vcy� //✓ $o XELOE,e E z ek" = $8/. �Z a � � 39 ¢ G T s3 o �via� �s�SE,yIE,vT l NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. 22 OGDEN ENGINEERING CO. JAM D. FILKINS, CSTM03988 Civil Engineers & Land Surveyors 7 113 Y; . Walnut 425 River -7631 Falls. WI 54022 DATE: .4 7, - ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer T� p� -OIS� CO Q-i� G N ►'�R1 -� S CL } .5 Mailing Address 1 G �N1 �.. �V�� 22v ����1 �Nt {�,� + Property Address 71 44P(0 7P06Q WV (Verification required from Planning Department for new construction) City/State � WM Parcel Identification Number 0 10 — 12AL6 —'��► LEGAL DESCRIPTION Property Location 5: V., `/4, Sec. . T ZS N R W, Town of Subdivision Lot # S 4 — . Certified Survey Map # . Volume . Page # Warranty Deed # 55 Volume 12-4 . Page # - - 2-574 — Spec house yes O no Lot lines identifiable A yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplpmber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration &V d ate. V 44VI& —S. SIGNATURE 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office. e, SIGNATURE OF APPLICANT ATE « « « * «* Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department."" •« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed t lnamaeal•a�iJtlt__al - -- - W .J•1 *MAY, 2 T lot cud Groner. 3:15 !M Tmr D•v.lons•nr P••�•.••� -- — - �,� --� — ' itita�swtraietatt attttta� WMaosasHs, Tbat the sold Grmror, Ibr a nlssbM ooltadnaelon +ww.•�wrraysust •11SM D - nolArpaa ooareys 10 t3rerNca tha folbwhte Qlscnb•d real atss'aa _ Sf`�C�ety County, Stan) of wlscomin. I� . I •� sawt ldus8atlaa P1M1� Lots 1 thMgh 43, Las 47 63 and Lets 64 dretgb 70 Ofdw Plat of Troy Villas 9; Croix Cowy. ai•eonsin and that Po"ion of ()utkw f of the Plst of Troy vlltW i ON fthihit A 0991W broto. maid Outbn 1 and 110 the Plat at ltoy Vuhm 9t. cmk Count) , whieomb A t+ ofJu stw.r Isst•iv•J po'wp Jtl_ bmmmW l j -- q rf Geaseas, lob ). ttsaanfe s d g A ao•rrb (s)4sa d Tortisr via an sad $hgla r sb b&WWMWY ssd aaa m diwewu txd"Aft AsJ Gsaam •taws uw t1• •d• is p•d iddanlb a In swrb mad asssddtr atawwA .a•. . ometnmts, otwenanta, muictions NW w0way Aillrs dvm 0(moed ad wat w ants and 4:h•d Ow sm s, 9iW MAW --lbomma Alm L. !i _ _/_'i' Y • t AUTH104PICATION ACiNOWUMMLM SiM•tanls) !T.ATZ Of W13COWnd ti. Ott. an+thmticated Chia of May M coeft Oppwp— W-- � .... + P<rat)tvlly � b•?oct u>, this _ _ dq of y the above named Ir Till .& MF •. ATE iR OF WtSCO WSIH i tt"L mats "d y Swo& WiL sws) w no Itaotett to be the octant wb daaeoled the tams ms ivaaame A old admawlsop In ama. TIIK IL7AttNSW WAS MAPPIM JIM Hamood A Cyst. Ir— AMW R J • _ . . A►oatsy Ptablio Comity. wit. xwmme• n r M arse•Mamm n w awkds•r "o•++ INy commission is; (If nano wtOirdim d@W ws+srI 1�1 itr hl* •Ma1�p I 3►41 Fo133S 1/1 Mi(1 s - ►uaoN U y� W in RT l eg .f9'eCIZ At zoo N < Z ySD p W A Q W WWp �•'" p Z �� _� LJ c i � LA � , � C)l ,y M .. co.00.Fd III y VQp T \ 1QyyJ y/ � Oab � W Z or I - �� " o LJ d W z : „ Q ZN - - - - - - j Lit F OW J �O \ 2 st N $ C4 - \ J F— N w It --W 89 ..00.00. O 1�� z \w � \ wLS O F 8 ^- .D� to 40 991 M , p^ . .p091`al rn � wZL1Z o yy L i Z O o) ►— 8. Vf �, b OD 0. cc OD oo N LiJ 1�- LA Qr r < h �~ w .Se 0 \ - , tee r I f— I \ " 3 N Z sp, I� < < h M _ - W p P J O �'° r6a i o .'r r y sol 8 + =. ~ ` V �Q 8 j it / / j.sr yP " , e " ` �. ©e 1 o LO C4 i ro O H 0 7 -0 0 - ) 4 j C, to _ Lop C W QrS�:; of to ►— Q y ,e s o w S � (n ---�� n NOaFcp` c,ieio .• 1 p. ^ry = I y L S� . .1.00 1 ` - �- � •. 1 6 �6� �+/ °' • s� 1 � r f tL • d• _ _ — W .zz•ol yq " # R 8 � • p - N 1 \F"� W V Y • -.J ' 8 V i NQ r�0 I . (n0 W QQ \ 2 e!' o a ^ R y " Y (� n _ S 06'00 00" 1 ���� I.. I ;7 Yt `, � � � � ♦ na 1 Q y � � eel Wisconsin Oe panmont of Indusvy. SOIL AND SITE EVALUATION R EPORT Page 1 of 3 _ Labor and Human R*iaWns g vision of Safety S B+xiditigs • in accord wittt ILHR 83.05. Wis. Adm. Cade COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (8M), % of slope. scale or PARCEL I.O. a dimensioned, north arrow, and location and distance n t �o�cit APPLICANT INFORMATION— PLEASE PR I INFOAIATIOM'. REVIEYVEDBY GATE PROPERTY OWNER: Q RRO .ERTY LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARB ` LOT 114W 1/2S 19T 29 NR 19 4(41 W PROPERTY OWNER ".S MAILING ADDRESS L� -oweit s SU80. NAME OR CSM 8 260 COUNTY ROAD F STCRQt %_ TROY VILLAGE CITY, STATE ZIP CODE NE ILLAGE MrOWN NEAREST ROAD HUDSON WISCONSTN 54016 f MR&CE Y I -r V o o AJ Q 6 0 12'r D( New Constnnu lion Use (X ] Residentiai / Ntim Addition to existing bauiding j ] Replaaernent (j Public or commercial d escn Code derived daily flow 600 gpd Recommended design loading rate O 7 bed. gpdr11 4. 0 trench, gpdgt Absorption area required 105r7 bed. ft 7S trench, 9 Maximum design loading rate 0. 7 bed. gpd/ft D.8 trerich. gpol(t Recommended infiltration surface elevations) BY DESIGNER It (as referred to site plan benchmark) Additional design / site considerations SEE NoTes ON � //-� E 3 Patent material TGG D�TwFf�jf� Flood plain elevation, if applicable N/A It S = Stutable for system CONVENTIONAL MOUND IN.GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TAW U- Unstutable for system I (A S❑ U I B S Q U I Is S U I Cs MU 1 ❑ S 15LI 1 ❑ S 9U SOIL DESCRIPTION REPORT x Hartzon� 080m Oomfnartt Calor Mot:m (Texture I Structure I GP'] /tt Baring in. Munsefl I Qu. Sz. Cam Cauor Gr. Sz. Sh. i to i'renct A IO -9 IlOYR 2/2 I - -- is 1lcsbk I 12f 0.710.8 579# C1 1 9 -14 17.5YR 4/4 I - -- I is sg I ml ICs 2vf 1 0.70.8 Ground C2 1 14 4 10YR 5/6 I - -- 1 s bsg I ml -- lvf 1 0.710.8 elm. 8 6g _ s tt 080 t MEN f actor i2w �(o I I Remarks: Boring 4 A 10 -7 110YR 2/2 1 - -- I sl 1 2m —csbk I mfr I as 12vf —d 0.5 '0.6 -: b80 .s B 17 -25 10YR 4/4 1 - -- I sl 12csbk (mfr I cs I2vf 1 0.5 0.6 C1 25- 41110YR 4/6 I - -- is IOS2 Imi Ics I 1 0.7 0.8 Ground elan. C2 141 82 OYR 6/6 1 - -- i s IOs Iml I - -- lvf 1 0.7 '0.8 8 6- _ S 't. I I I I I I l I I 08M to lid Remarks: Narnr. --Flew Print JAMES D. FiLKWS (715) 425 -7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Sgnaare. 0atr `/ / ?7 CST Nu CSTMO3988 pROPE9 N OWNER SOIL OESCSIPTION REPORT Page Hof 3_ PARCEL I.O. x " 0eptn Dominant Cotor 140t11es Texture Stru cture C em„miy Roots GPOirt� Honzon 8onnq A 0 - 1 10YR 2/1 1 - -- I sl I 2m — csbk �afr Lw 1 2vf 1 0.5:0.6 y576 s Cl 1 16 -251 7.5YR 4/4 1 - -- 1 is Ilcsbk �vfr 6w 12vf I 0.7 C2 125- 3617.5YR 5/6 1 - -- ( s Lg Li w I lvf 1 0.7:0.8 Ground I - -- 1 L C3 136 -7 1 lluf 0-7:0-R elm. 8 �rt. 1 1 I i I 1 I D epth to I I 1 I I I I I ifnlOnQ I 1 I I I I I I I Remarks: Sonng A A IO -21 110YR 2/1 I - -- Isl "2m—csbk Imfr icw 2vf —$ 0.5 0.6 , 577; B 121 - 110YR 4/3 I - -- 1 sl 1 2msbk Imfr 1 cw 12vf 1 0.5 0.6 C1 1 30 -471 7.5YR 4/6 1 - -- I is Ilcsbk Lvfr Ics 7 2vf I 0.7 0.8 Gicund 147- 75110YR 5/6 I - -- L-- I I 865- ,..Ltt. 1 I i I I 1 I 11 acm to > 751; Remarks: 8onng # EC2 0 -12 110YR 2i1 1 - -- sl I2m —csbk mfr law 2vf —fl 0.5 0.6 578;` 12- 24110YR 4/3 1 - -- scl 12msbk mfr Icw I2vf I 0.4 0.5 24 -39 7.5YR 4/6 ( - -- is lcsbk mvfr cs of 0.7:0.8 Ground �• 39 75 O YR 5/6 - -- s Osg 1 - -- of 0.7 0.8 86 tt ( I I 09M to 1 I 1 1 lilld0ng Remarks: Sonng # I Ground ew. It NO to I imtOng factor I Remarks: S>a0.a�0(R.o6l�Z1 I r PAGE 3 OF 3 SITE PLAN 8� S7G 'F sa G oT - / F ❑ g s�� o 7 S� SCALE: 1 " = 40' NOTES: DRAINFIELD TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. Zito o v ? �o OGDEN ENGINEERING CO. JAMES DLPILKINS, CSTM03988 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: ��l °�� 7 (715) 425 -7631 Safety and Buildings 4003 N KINNEY COULEE RD f ' LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.state.wi.us /sb Vhsconsin www.wisconsin.gov Department of Commerce Scott McCallum, Governor r - Brenda J. Blanchard, Secretary June 04, 2001'�`�� � CUST ID No.285102 i- G i 1 : POWTS Inspector ZONING OFFICE CALVIN POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/04/2003 Identification Numbers Transaction ID No. 648604 SITE• Site ID No. 173683 Troy Bume Village - lot 54 Please refer to both identification numbers, St. Croix County, Town of Troy - 266 Troon Ct. above, in all correspondence with the agency. SW1 /4, NW1 /4, S19, T28N, R19W FOR: Description: Four Bedroom Mound System - Revision Object Type: POWTS System Regulated Object No.: 472298 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans previously approved. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution 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 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. Note: A POWTS Maintainer, and Septage Servicing Operator must be identified prior to the issue of the sanitary permit. 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. CALVIN POWERS JR Page 2 6/4/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, i FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 fierard M. Swim POWTS Plan Reviewer - Integrated Services 608 - 789 -7892 Mon - Fri 7:15 AM to 4:30 PM WiSMA_ RT code: 7633 jswim@conunerce.state.wi.us