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040-1296-80-000
, n ■ o s n 2 g ■ : , 0 / J % k k z� F z a 0 0 0 1 B c CL ! § g e I «) ? - ( } U f / m A $ \ 2 R \ f / / § O CL � ■ e� � 7 � / § ± ¢ CL t i C. 2 2; / co . §9 0 §_ E i n r■ < \ -n E �. o o 0 91 " ! c I r y 2 2 § \ / � § 2 U, \ g� . « } k C o / § o §§ 7• C ) f/CD q §Ep ; \£� 0 ± w -4 C k / / z 0 E� Q R� � ] 0 % i T q § CO 77 C 0 q 7 / z % k . 0 0CD S. a � ■ _�, «E - 7 7 2 E \\ Co CD CL n { 3 77/ # E k % \ \ 2 ƒ £ ( k D f J \ $ { ) w U) % $ NJ k C a � FA \ \ CD t » / o k $ 0- . 4 � � • 'vgisconsip Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 499128 0 GENERAL INFORMATION (ATTACH TO PERMIT) 0 e Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 1 VTAtS. Q,* Permit Holder's Name: City Village X Township P rcel Tax No: Lo Huit, Homes Troy, Town of 040 - 1296 -80 -000 CST BM Elev: �j Insp . ev: BM Descnpti Section/Town /Range /Map No: G� c�- `a ', / 3 19.28.19. 1171 . TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. G Septic / Z Benchmark -) . 5 / U 3 74' /0 W-4 Ja Dosing !/ f op Aft. D, 06dr'l-� ,j .� / - 7• O Aeration Bldg � 2 , 6 2 Holding St/Ht Inlet ' -33 St/Ht Outlet `TANK SETBACK INFORMATION i TANK TO P/L WELL BLDG. Vent to Intake ROAD Dt Inlet Septic > 1 ! d Dt B Dosing i� t, / 3S f Header /Man. �. OD `I .S� , Aeration Dist. Pipe Holding Bot. System / S ,, ,� 2 •O I �'G - Final ade � J PUMP /SIPHON INFORMATION w / 2 + "Od Manufacturer De and t St Cover r .1i- L� *k `,, . kj,ModeI Number w 1 S �2 5 r / O • Lift 2.2D Frictio L ! Syst . H - e g ad T .21) . s � t Forcemain Length t Dia. Dist. to Well y �s 1 0.2•x( 3 _ 9 J SOIL ABSORPTION SYSTEM E Width Length No. Of Tiai�Q4a6 PIT DIMENSIONS No 4CHAR uisnle �i,:l MENSIONS `D(• 3. SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM nufacturer: INFORMATION Typp Of S / > 10Z Mo umber. DISTRIBUTION SYSTEM L- eft-k.cak Header /Manifold i / U Distribution 0 x Hole S* I x � x Hole Spacing Vent to Air Intake j es Length ' Dia 2 Length ( 1 • Dia (Z Spacin9 ✓ `� 2 - SOIL COVER x F6ssure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx P:Au10hed Bed/Trench Center Bed /Trench Edges Topsoil 2 ^� t COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: y�j �Q inspection 2. �� T, Location: 215 Madison Circle Unknown (SE 1/4 SE 1/4 19 T28N R19W) Trebus Valley Estates Lot 18 Parcel ..28.19. 1.) Alt BM Description = &; � A St 2.) Bldg sewer length = 7LZ ' �• I a - amount of cover Plan revision Required? Yes i No Use other side for additional information. Date fnsepctor's Signature Cen No SBD -6710 (R.3/97) I Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix Visconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266 -3151 Department of Commerce Y / 79 / Z Sanitary Permit Application State Plan I.' In accord with Comm 83.21, Wis. Adm. Code, personal information yo vide oject Address (if different mailing address) may be used for secondary purposes Privac / ,,n I. Application Information - Please Print All Informati k z /! 1 15 J1 t (ft' Prope Owner's � �e^ 1� 2 Parcel # t Block # 40 ✓r �- yttBU V AUG 18 2006 040- 1296 - 80-000 18 Na Property Owner's Mailing Address ST, CROIX COUNTY Property Location 1564 W University Ave. -- - - SE ��4, s�_ '�4, Section 19. City, State Zip Code one Number / ' / /1� St. Paul, MN 55104 ) T 2�_ N; R 19 w d / ��CJ II. Type of Building (check all that apply) tSk C,.n, 5 vb rv+: ri X I or 2 Family Dwelling -Number of Bedrooms 4 1 k . t ip Subdivision Name CSM Number ❑ Public /Commercial - Describe Use �(� Lot 18, Plat of Trebus Valle Estates El M State Owned - Describe Use �o X / / 33 / Il o ✓ 6e2 L.- ❑City ❑Village X Township of Troy III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. X New Syste ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ 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 IV. Type of POWTS System: Check all that apply) ❑ Non - Pressurized In- Ground ❑ X Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recircu�ing Sand Filter El El Recirculating Synthetic Media Filter Leaching Chamber [I Drip Line Gravel -less Pipe El Other (explain) S ,,- �. V. Dispersal/Treatment Area Information: o . Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s Dispersal Area Proposed Sy stem Elevation: 100.00' P 6 " 600 gpd ✓ 1.0gpd/sq.ft ASTM C - 33 sand 600.00 sq ft 600.00 sq ft U above 99.50' contour 0.5 s .ft native soil 3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks /61D evSd - Septic or Holding Tank 1,200 1,200 1 Wieser Concrete combination X ST/PC Aerobic Treatment Unit Dosing chamber 800 800 Wieser Concrete X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl s Sign MP/MPRS Number Business Phone Number Jimmy Boumeester I�l MP #222904 (715 ) 386 -9020 Plumber's Address (Street, City, State, Zip Cod 1070 Hwy. 35 N., Hudson, W1 54016 VIII. County/Depart ent Use Onl A pproved ❑ rov Sanitary Permit Fee (includes Groundwater Dat Issued Issui Agent Si o S ) Surcharge Fee) �3 O (, �n� ❑ iven Reason Denial { J J IX. Conditions of A ro easons for Disapproval 1 t sYSTS t i+t 3 J 8 d , l 1. Septic tank, e l rs t brgild t � I �4oAeoL_jv� - dispeal cell m must alll be services / rrtairttaktad a - 3 as per management plan provided by plumber. ftse,A& e n I 2. AN setback requirements must be maintained y(1 C � ` `/� 5� 2_ �dvc� 6 se per applicable code / ordinances. J , (tom , Attach complete plans (to the County only) for the systerVn paper not less than 81/2 x 11 inches in size 6+ew 4, L ; A— SBD -6398 (R. 01/03) � �: WC M3T2Y2 r 'Et• i4A Soil eva l"a4,o, ♦ - loda&on cQl :6a /o 14 A& 6 o-/" Tie.6 u S r/a& Fs es sEyysEdy, T. 28/x•, f /9cv T. �,pcued Town iPoacl 1 .9e `fir o , h a88r Bt of 3 0 ba-r. A s :sw► .ed leer. P�oposcd � �o`� Sl6tdroo. -� z °s�.�loprc, Propase.d lci h a nd �°, clrla:.� M ° i0003' yc- v Pr GJ;GSf r Ct�Crt� � o fib al�c{ pe /y /o,-, -S .s` P Pe. Fit.*. = 9por J efF /ae.� 6 ,o: ��dtsr. cud /e,t ♦ oz� o pe.1 -e-Ld \ �Or C C14-- de - Sac. pq.PJ 0� /O ■ Soi/ eva /"" ,4, ♦ E /4�auo� Lo /6, qty ESb es, sEyYSEdy, Sec . /9, T. 2B//•, of 194J., T. M Troy, sd . cra �X G., "o p d T wn load 1 w h a g gi rJ.rhark Top of (e,bo r. A55umZd 1pt P�oposcd A �0 �6cdroor• Z "sc�•110eAC. Proposed will ko.�.te. �'ceNj�a:n ,� e Prpto a<-d l.J:eser'C&,crc4z � S.T /P, a. L/ lie / /o�c'�ic O Pe. F1 e% =9, / ef,� /aen 6 F-fEera.tsr. ou�/�t � oz pe.,i+ - e,l d LJo�c�e� \ �D� Cu.L- de- Sac. )F' THE SOUTHEAST 1/4 AND ALL EACH PARCEL SHOWN THEAST 1/4 AND ALL OF THE COUNTY AND TOWNSH 1/4 OF SECTION 19, TOWNSHIP 28 WETLANDS, MINIMUM L PURCHASING OR DEVE ROY, ST. CROI X COUNTY, CROIX COUNTY ZONIN( FOR ADVICE. \ 12 21 i / / �' / \ C-4 7 4 0T\ 908.1' 4546 S �y O� DRAINAGE M g � j . /' �. 4"8c. , a � � ' 4 � �' ,32 �33 LO' 4 1 ti 55�� �� / ,� �" �' ° �,� 1401 Iti� 3.: iEET 2 — 0 s 3g •6� O, 9 / EASEMENT x •92• MBE 2 r 00 Lot 1-8 � 3 B>S6 ./ S 4501'19' W 64.97' 1-27 Z 1-4400 S.F. �A s HwE = 2.40 Ac, � 902.0' 0 _ / Z.�O\ M.F.E. — 908 SEES h � k L HWE 901.2' .� co 2 8• \ C.7 2_ --_/ a 1.25 \ 31 68. f w 3 ' 3 i LO T 21 N 11117 42 -.F. / — — 2.57 Ac.� / tig M.r\E. = 903' s. / LOT 22 o 170984 S. F. W LOT 2( Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 It 'lisconsin www.commerce.wi.gov /sb/ www.wisconsin.gov epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 16, 2006 CUST ID No. 222904 ATTN.• POWTS Inspector ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08/16/2008 Transaction ID No. 1309685 Site ID No. 716818 SITE: Please refer to both identification numbers, Lohuit Homes CTH F above, in all corres ondence with the a enc Town of Troy St Croix County SETA, SETA, S19, T28N, R19W Subdivision: Tebus Valley Estates; lot 18 FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1091566 Maintenance required; 600 GPD Flow rate; 34 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (1.01/01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be located and constructed in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • Comm 83.22(7) A cony 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 ma include local inspectors. Gonditionall, APPROVED nr- PARTMFMT nF rnmMFRr.F JAMES W BOUMEESTER Page 2 8/16/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 &rar M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART�code:3633' jeffy.swini@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application RECE11'',C-® INDEX AND TITLE PAGE A IG e 7 Zoos Project Name: Lohuit Homes 3- bedroom residential mound SAFE / Owner's Name: J.T.B. Properties, LLP Owner's Address: 1564 W University Ave. St. Paul, WI. 55104 Parcel Address: 215 Madison Circle Legal Description: SE1 /4SE1 /4, Sec. 19, T.28N., R.19W. Township: Troy County: St.Croix Subdivision Name: Trebus Valley Estates Lot Number: 18 Block Number: Parcel I.D. Number: 040- 1296 -80 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Distribution cell deflection calculat Page 10 Soil Evaluation Report Designer: Jim Boumeester License Number: 222904 Date: 08/03 /06 Phone Number: (715) 386 -9020 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Dist' Networks for ST -SAS (01/81) E y p gull. ` Version 4.01 (R. 09/04) 0tV1 Pagel of 10 SEE GORFZESP ENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (0) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 4.00 Site Slope ( %) 99.50 Contour Line Elevation (ft) 34.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information --� 1 101.331 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 0.991 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.60 ft /orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? Y 85.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 14.58 Vertical Lift (ft) 91.61 5x Void Volume (gal) 2.31 Friction Loss (ft) 107.92 Minimum Dose Volume (gal) 23.39 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter $election Manifold Diameter Selection in, dia. options choi in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 1 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonsiinch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 22.24 gaVin (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.641 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 22.241 Dose Tank Volume (gal /in) PL -525 Filter Model Number Wieser WLP1200 /800 Manufacturer Project: Lohuit Homes 3- bedroom residential mound Page 2 of 10 Mound Plan View 1y Q B observation Pipe . ' J B . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions A 6.00 ft E 8.88 in H 1.00 ft K 7.24 ft B 101.33 ft F 9.50 in z 6.93 ft L 115.80 ft D 6.00 in G 0.50 ft J 4.80 ft W 17.73 ft 607.98 (ft Dispersal Cell Area 1 1309.81 (ft) Basal Area Available 5.92 (gpd /ft) Linear Loading Rate 1 10.13 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.79 (ft) ---► H 1 ffffff�fe 2 lfffrif... F ; : ; : .... Dispe 100.50 (ft) Lateral lfff ff flf f f }ff /i1. Dispersal Cell 100.00 (ft) Invert Dispersal Cell ... .. ..... .. Elevation E avy 1 V, , q y � � y A., ,� ?,� tip'•✓' . ' �,_� _ A A 99.50 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key �j, Dispersal Cell See lateral details on 1❑ — Topsoil Cap c 1 ° 1.5 ft • r : ; f ,. Page 4 for number, size, © ffrif c ;�. ; 1': °; ' •`'r� r .?4�� and s Subsoil Cap a pacing of laterals. a • • °•.• Laterals are e q uall y M C33 Sand �,ti F eq Y AST �]Q ❑ Tilled Layer d 0.5 ft Typical Lateral �;•w spaced from the ❑ a:•'••ti Aggr ° ° °''• •••`•• distribution cells 5 .:•:• A re ate .r o °:;:,•,.;: „�.=� ce nterline in the 00 —A — * distribution cell (AxB). Project: Lohuit Homes 3- bedroom residential mound Page 3 of 10 End Connection Lateral Layout Diagram Laterals centered over the A& dimension 0 =Turn- upvdball valve or r oroomain p entical I f �{—�' Holes drilled on the bottom of the lateral equally spaced nection Via tev or Crofts to manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.56 ft Lateral Length (P) 99.84 ft Orifices per Lateral 40 Lateral Spacing (S) 3.00 ft Orifice Density 7.60 ft /orifice Lateral Flow Rate 16.48 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 23.39 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and —► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented E— Alternate outlet location Forcemain diameter Wieser WLP1200 /800 Manufacturer - 2 in. Capacityl 800.64 Gallons Volume 22.24 gal/inch A Weep hole or anti - Dimension Inches G allon s B siphon device A 18.15 403.60 B 2.00 44.48 C P ump off elevation (ft) C 4.85 107.92 85.92 D 11.00 244.64 D Total 1 36.001 800.64 D� tank elevation (ft) 3" Bedding uncTer tank. 85.00 Alarm Manuafacturer JLeveIArrn Alarm Model Number JDLV T Pump Manufacturer JZoeller Pump Model Number I BN 152 Pump Must Deliver 32.95 gpm at 23.39 ft TDH Project: Lohuit Homes 3- bedroom residential mound Page 4 of 10 Mound Svstem Maintenance and Operation Specifications Service Provider's Name (� Jim Boumeester Phone 715 386 -9020 POWTS Regulator's Name St. Croix County Zonin Phone 1 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 607.98 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound Ins ect for ondin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • .. ...... •.•. • 0 0 0 0 0 * 0 0 0 0 0 0•• Grade 6 -8" Diameter Lawn �. Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral ---- -- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Lohuit Homes 3- bedroom residential mound Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The finer cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fiker when removed from its enclosure. If the fiker is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Lohuit Homes 3- bedroom residential mound Page 6 of 10 N PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD /FLOW MODEL 151/152/153 PER MINUTE 14 45 153 EFFLUENT AND DEWATERING a ' 35 MODEL 151 152 153 75 152 Feet Meters Gal. titers Gal. uters Gel. filers = t0 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 39 a 25 151 15 4.6 38 144 53 201 61 231 20 8.1 29 110 44 167 52 197 r B � �111 4 25 7.6 16 61 34 129 42 159 30 9.1 - 23 87 33 125 • 15 35 10.7 22 85 4 40 122 - -- - 11 42 to Shut-off Head: 30 fL (9.1m) 38 fl, (11.8m) 441L (13.4m) A/ s 0145088 0 10 20 30 40 Bo e0 90 1 GALLONS LITERS 6 40 90 1 40 2bO 24 40 3 3k ROW PER MIMITE 0145089 Model 151 Models 1521153 3.2.9S M ;nl�srce.n s�yoP�y rc , r d. CONSULT FACTORY FOR !/ SPECIAL APPLICATIONS 67/32 6 1/4 3 718 4W/8 327/32 4% • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. 3 718 , M2 • Variable level control switches are available for controlling 3 x 1 9 s 718 M single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130'F. (54'C.) special quotation required. I I t I 1511 1521153 Series + +118 121/8 151111116211153 MODELS Control SNecflon T ModN Volts -Ph I Mode Amps Simplex Duplex I 434 stx N151 115 1 1 Non 6.0 1 2 or 3 BN151 115 1 1 Auto 8.0 Included 2 or 3 E151 230 1 1 Nan 12 1 2 or 3 R 52 230 1 Auto 3.2 Included 2 or 3 sK2M4 SK2064 115 1 Non 8.5 1 2 or 3 115 1 Auto 8.5 Included 2 or 3 230 1 Non 4.3 1 2 or 3 230 1 Auto 4.3 Included 2 or 3 115 1 Nan 10.5 1 2 or 3 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 SELECTION GUIDE 6E153 30 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float A CAUTION switch. Refer to FM0477. All installation of controls, protection devices ana wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E licenses electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control switch 10-0225 used as a control activator specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO P0. BOX 16347 Louisville, KY 40258 0347 Manufacturers of.. 0 SHIP T0: 3649 Cane Run Road kL Loulsvlle, KY 40211 -1961 (502) 778.2731 1(800) eicom 928 PUMP �0 FAX (502) 7743624 ® Copyright 2004 Zoeller Co. All rights reserved. P O - Distribution Cell - Concave Deflection Worksheet JTB Properties 4 bedroom residential mound Lot 18, Plat of Trebus Valley Estates, Tn. of Troy, St. Croix Co., WI. Site Information: 1. Design wastewater flow: 600 apd (4 bedroom)(100 gal/bedroom )(1.5 peaking factor) 2. Depth to limiting factor: 34" 3. Land slope: 4% 4. Infiltrative capacity of soil at system elevation: 0.50 apd 5. System elevation: 100.00' at 6" above 99.50' contour. Dispersal cell sizini: 600 sq.ft. required (600 gpd / 1.0 gpd/sq.ft. ASTM C33 med. sand) Cell length (B) 100.00' Cell width (A) 6.00' Dispersal cell deflection: 1. Percent deflection: (5'deflection/100' down slope effective cell length)(100) = 5.00% 2. Adjusted cell length: [(5.00 x 0.00265) + 1] x 100' contour effective cell length= 101.33. 3. Actual cell length along contour= 101.33'. Pg. 9 of 10 1511 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of __ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must _S Cro include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 040 - 1 - 50 I_D_ # 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 J.T.B. Properties, L .L.P. C /O J W Nie ot _ _ E_1/4 SE 1/4 S 19 T 28 N R 19 W Govt. Lot _ _ -- -- _ _- - _ _ _ _ -- _ Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 1564 West _University Avenue 18_ _ Trebus Valley Estates City State Zip Code Phone Number ty Village Ci Vill e ✓. Town Nearest Road Saint Paul MN i 55104 1 651 -646 -1967 Troy County Highway r/_ New Construction Use: j/ Residential / Number of bedrooms _ 3__ Code derived design flow rate - - 4 _ GPD Replacement € Public or commercial - Describe: Parent material Glacial daft _ _ _ _ Flood plain elevation, if applicable _ _ _ na .. ..... General comments and recommendations: Recommend installing mound system at elev. = 100.53' at 6" above 100.03' contour. ❑ Boring # Lj Boring -- __ -- 01 Pit Ground Surface elev. _100.48 ft. Depth to limiting factor - 34" in. Soil Application Rate Hcnzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots E GPD /ftl 1 012 10yr3/3 none sl 2fsbk - mvfr cs 2fm 0.5 0.9 none sll 2fsbk I _ - - -- -- -- - -� -- - - -- - - 2 12 -21 10yr4 /4 i mvfr - cs 2f 1 m 0.5 0.8 3 21-26 7.5 r4/4 none sl 2msbk mfr - - - - - -- -- - - — - - -- cs if 0.5 0.9 I - - -- - - - - - 4 26 -34 7.5yr4/6 none scl 2msb k mfr cw 1 I 0.4 0.6 i 5 34 -41 7.5yr4/6 f2f 7.5yr 5/8 Is 1 msbk mvfr I cw 1 f 0.7 1.2 - - - - - -- - - - -- - -- -- - - -- - -- - - -- - - -- I- - 6 41-74 7.5yr4/4 i .- _ f2f 7.5yr 5/8 fsl lfsbk dsh i - _ -- __ 0.4 -- - 0.6 - H#6 contains an unsorted mix of 10yr5 /6 - lmsbk Ifs & Om sl and lcsbk sd. ❑Boring # &-I Boring _ _ - Pit Ground Surface elev. 1 ft. Depth to limiting factor -- - 41 °_ in. Soil Application Rate Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ _ GPDift' - I 1 0 -12 10yr3/3 none sl 2fsbk mvfr as 2f,1m 0.5 j 0.9 - - - -- - -- -- -- - - -- -- - - - - -- ----- ;- - - - - -- - - - -- - -j -- - -- 7 -- 2 12 -17 10yr3/2 none sl 2msbk mfr as - - 2f - I 0.5 0 9 3 17 -21 10yr4/4 i none - - sl - 2msbk rnfr i -- cw - 1 f 0.5 0.9 - 4 21-41 10yr4/6 none sl 2msbk mft g 1f 0.5 0.9 5 41-62 10yr4 /6 m2d 7.5yr 518 Is/sl 1 csbk rnfr i _ 1 f 0.4 0.6 H# 5 contains an unsorted ma of t msbk Is & l csbk sl. Redox concentrations appear at tertface o - - - - - -- - - - -- - - - - in - - - textural changes throughout horizon. Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >4< 150 mg /L ` Effluei #2 = BOD -i mg/L and TSS <_,30 mg /L CST Name (Please Print) Signa e: CST Number James K. Thompson -v' 36 02 ---- - - - - -- - - ---- - - - - -- -- - - - - -- Address A.C.E. Soil &Site Evaluations ate Evaluation Conducted Telephone Number 12/5/01 715-248-7767 340 Paulson Lake Lane, Osceola, WI 54020 Property Owner J.T.B. P Ope!tIesj.L.P. C/O John__ Parcel ID #. 040- 1078 - -00 0, ID #19.28.303 Page _ 2_ of__4 _ 7 Boring # J Boring J✓ -- -- - -- — — _ Pit Ground Surface elev. _ 98.9_0- ft. Depth to limiting factor 48" in. Soil Application Rata Horizon Depth Dominant Color Redox Description Texture Structure 1 Consistence Boundary FRoots `Eff41 Eff#2 - - -- -- - - - - -' 1 ! 0-20 10 y as r3 /3 none sl 2fsbk mvfr as 2fm 0.5 0.9 2 20 -32 10yr3/2 none sl 2msbk mfr as 2f,1m 0.5 0.9 3 32 -44 10yr3 /3 none sl 2msbk mfr cw 2f 0 9 - -- - y- - - - -. - - _ - - -- - - - - -- - - --- -- - - -- - - -- - _� . 4 gw 1f 0_5 0_9 44 -48 10 r4/6 none Ifs 2csbk mfr TI 5 48 -63 10 r4/6 f2f7.5yr5/8 Is /sl 1csbk mfr - 1f 0.4 0.6 i -- H#5 contains an unsorted mix of 1 msbk Is & 1 csbk sl. Redox concentrations appear at intertf ace of textural changes throughout horizon. ❑Boring # � Boring - - - - - -- -_- - — _J Pit Ground Surface elev. _ _ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GIDDIfe- `Eff#1 `Eff#2 I I i Boring # 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 GPJ) /ft' I `Eff#1 `Eff #2 I ` Eff luent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOO < mg /L and TSS < 30 mg /L the Depa anent of Commerce is an equal opportunity service; provider acid employer. if you need assistance to access service, or need material ur an adtemate format. alerse contact the department at 608 -266 -3151 or TTY 608- 264 -8777. • SOIL AND SITE EVALUATION [_ 511 Page _3 _ of 4 PROPERTY OWNER: I.T.B. Prooeerties,L.L.P. CIO John W. Nielsen PARCEL LD.# 1D# 9,28303 A.C.E. Soil k Site Fvaluation; REPORT MEMO Soil evaluation completed for plat review purposes and prior to clearing or lot monumentation. Results indicate that the soils at this location are suitable for a mound septic system. This site is physically limited. Additional soil evaluation and clarification of system location /design may be required prior to POWTS design and sanitary permit acquisition. ♦ � Joi/ 2V(2 ,J, ♦ E/e da wow cad -6a, I� P�,pastd Toc�n �oacl l �8 o , ow' � a g gi AsSu.�.ed c.le% _ loo.cn� �� X00,03' v 0 L,. =To of ire "p, ✓,e Flu =9pop' � 3� y � l \ �Oroposed C L, L- de- Sac, /f 5COL 1511 ,♦ . Wisconsin Department of Commerce SOIL EVALUATION REPORT /VA-f d B s/ Page 1 of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site an on not less than 8 %x 11 inches in sae. Plan must County P pI P� St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel D - percent slope, scale or dimemsions, north arrow, and loc�tioa ' to nearest road. 040 - 1078- 50 -000, ID #19.28.303 Please print all info don ," s :' ` . E ! - ' �� ,. ✓� Reviewed By Date Personal information you provide may be used for PcorgAry purposes�rivacy Law, s, t04 (m)). Property Owner �C` Prtertx Location J.T.B. Properties, L.L.P. C/O John W N en Govt 1_6t'� SE 1/4 SE 19 S 19 T 28 N R 19 W Property Owner's Mailing Address Lot # - Block # Subd. Name or GSM# 1564 West University Avenue 1,$ Trebus Valley Estates City State Zip `,Phone N" yam Ity �j Village ej Town Nearest Road Saint Paul MN i 551 W 650�9 67 ,:! Troy County Highway "F" New Construction Use: jA Residential Fyedr 3 Code derived design flaw rate 450 GIRD Replacement ' Public or commercr - e: Parent material Glacial drift Flood plan elevation, if applicable na General comments and recommendations: Recommend installing mound system at elev. = 100.53' at 6" above 100.03' contour. ❑ Banrg # _J Boring oA �� 16 Pit Ground Surface elev. 100.48 ft. Depth to limiting factor 4" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' *Eff#1 *E 1 0 -12 10yr3/3 none sl 2%bk mvfr cs 2fm 0.5 0.9 ( 2 12 -21 10yr4 /4 none sit 2fsbk mvfr cs 20m 0.5 0.8 , ( 3 21 -26 7.5yr4/4 none sl 2msbk mfr Cs if 0.5 0.9 4 26 - 34 7.5yr4/6 none scl 2msbk mfr cw if 0.4 0.6 5 _4-41 7.5yr4/6 f 7.5yr 5 1 8 Is 1 msbk mvfr Cw 1 f 0.7 1.2 6 41 -74 7.5yr4/4 f2f 7.5 5/8 fsl 1 fsbk dsh - - 0.4 0.6 H#6 contains an unsorted mbc of 10yr5/61 msbk Ifs & Om sl and 1 csbk sil. F] Boring # �j Boring Pit Ground Surface elev. 100.11 ft. Depth to limiting factor 41 ° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF *Eff#1 *Eff#2 1 0 -12 10yr3 /3 none sl 2fsbk mvfr as 2f,1m 0.5 0.9 ( 2 12 -17 10yr3/2 none sl 2msbk mfr as 2f 0.5 0.9 3 17 -21 10yr4/4 none sl 2msbk mfr cw 1f 0.5 0.9 4 21-41 10yr4/6 none sl 2msbk mfi gw 1f 0.5 0.9 5 41-62 10yr4 /6 m2d 7.5yr 5/8 Is/sl 1 csbk mfr - 1 f 0.4 0.6 r FI# 5 contains an unsorted mix of 1 msbk Is & 1 csbk sl. Redox concentrations appear at intertface of textural changes throughout horizon. * Effluent #1 = BOD ? 30 < 220 mg/L and TSS > <_150 mgll * Effl #2 = BOD < 30 mglL and TSS a 30 mglL ' CST Name Please Pont S ign CST Number James K. Thompson S� 3602 Address A.C.E. Sal & Site Evaluations ate Evaluation Conducted Telephone Number 340 Paulson take Lane, Osceola WI 54020 12/5/01 715- 248 -7767 property Owner J.T.B. Properties, L.L.P. C/O John peel ID # 040- 1078 -50 -000, ID# 19.28.303 Page 2 of 4 Boring Boring # Id Pit Ground Surface elev. 98.90 ft. Depth to limiting factor _ 4$" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 *Eff#2 1 0 -20 10yr3/3 none sl 2fsbk mvfr as 2fm 0.5 0.9 , (o 2 20 -32 10yr3/2 none sl 2msbk mfr as 2f,1 m 0.5 0.9 , ( 3 32-44 10yr3/3 none sl 2msbk mfr cw 2f 0.5 0.9 , 4 44-48 10yr4 /6 none Ifs 2csbk mfr gw 1f 0.5 0.9 5 48-63 10yr4/6 f2f 7.5yr5 /8 Is /sl 1 csbk mfr - 1 f 0.4 0.6 H# 5 contains an unsorted mix of lmsbk Is & lcsbk A Redox concentrations appear at intertface of textural changes throughout horizon. F Boring # � Boring _„f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 Boring F # -i � - Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * — < < 30 _ < T S > < 150 Effluent #2 — BOD 30 and TSS Effluent #1 BOD � 30 220 mg/L and S 30 _ mg/L s _ mglL _ mglL 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, alease contact the department at 608 - 266 -3151 or TTY 6M264 -8777. I - SOIL AND SITE EVALUATION 1511 Page 3 of 4 PROPERTY OWNER: J.T.B. Properties, L.L.P. CIO J ohn W. Nielsen PARR I.D.# 040-108-50-000,1]3#19.28.303 A.C.E. Soil & Site Evaluations REPORT MEMO Soil evaluation completed for plat review purposes and prior to clearing or lot monumentation. Results indicate that the soils at this location are suitable for a mound septic system. This site is physically limited. Additional soil evaluation and clarification of system location /design may be required prior to POWTS design and sanitary permit acquisition. • e � So%I 2bq IttII -�+'on A El��a�ron N ca P ro pasc d Town >�oad 1 �8 9 , c9 h Assumed Lle✓ _ /OO.CD- rob,o3' v Ate . 6.,�.: �a a l Yz" p. ✓, r (J P C Fla.,/: o pa.o I \ �ropose -d Ck de sac, . `/ of y 2.75 Ac. S LOT 1 140148 SX r 3.22 Ac. LMFJMT 910, w tCL4400 S.F. MW i 2.40 Aic, Me �' m.F.E. 9D8' 3 �� � Sm SHEET � LOT 19 "le- 133859 S.F. w 3. c. LOT LOT 21 •44- w 11172 . F. 2.57 Ac. u 1kr- a 9031 l 8,� 1 - 7`;4 DOCUMENT NUMBER WARRANTY DEED K A T H i EE N H. W A l in REOISTER OF UEED .. CFi X ,.:�i. , w J. T. B. Properties, LLP, A Minnesota Limited Liability Partnership RECEIVED FOR REcGRL +08/ 09/2006 10 :00AM conveys and warrants to Lohuit Homes LLC, a Wisconsin Limited Liability WARRANTY DEED Company - the following described real estate in St. Croix County; State of Wisconsin: RE(; FEE: 11.00 TRANS FEE. 336.00 col - y FEE. Lot 18, Plat of Trebus Valley Estates in the Town of Troy, LC FEE: St. Croix County, Wisconsin PAGES;; I River Valley Abstract & Title Inc. THIS R C eW ' G Zffl NAME AND RETURa0 149 Hudson, WI 64016.0 413 t 1A 040 - 1296 -80 -000 PARCEL I.D. NUMBER OR G.I.S. This is not homestead property. (is) (is not) Exception to warranties: TOGETHER WITH AND SUBJECT TO any other easements, covenants, reservations or restrictions of record, if any, but this shall not be deemed to extend any such other recorded encumbrances beyond the term established by law therefor. 4 ) Af a — t i e - & this y of u �ust , A.D., 2006. (Seal (Seal) * Loh W. Nielsen Partner Bradley S Diller Partner AUTHENTICATION ACKNOWLEDGMENT WISCONSIN STATE OF WISC } } Signature(s) St. Croix COUNTY } authenticated this day „QQ Personally came before me this 20 Cj day of August 2006, the above - named John W. Nielsen and radle S. Diller * Partners S TITLE MEMBER STATE BAR OF WISCONSIN (If not, 1 authorized by §706.06, Wis. Stats.) to me known to be the persons who executed THIS INSTRUMENT WAS DRAFTED BY: %PulbliL, t and acknowledge the C A . Hu H. Gwin GWIN LAW FIRM S.C. i� 430 Second Street Hudson, WI, 54016 (Signatures may be authenticated or St. Croix County, W1. acknowledged. Both are not necessary.) My commission is pe1m ent (if not, state, expiration date: - . 20 C Q 1of1 93/88/20 17:43 7153350727 LUHUITHOMES PAGE 83/04 11 crA.TF RAR Or wiscolsis N room, 1 1962 1, C}•41 !::v C> WARRANTY DEED KATHL5EN N. WALSH REGISTER OF DEEDS DOCUMENT NO. ST. CROIX Co., WI 1 RECEIVED FOR _ Decd, . _ ttEG miD nek between Dar tt�ra L. Li trap f /k /a Rar L. W elter ` R3 -20 -2041 t:20 pM f WARRANTY WD EXEMPT N 17 Grantaq CERT COPY FEE.: and 11 11 Prsif s i_!P a Jl illOP_Sri Li.ml t l i iii nart CQRY VrE. TRANSFER FEE! PAGES- FEE: 22 .00 ' ^ Gnnlcc, Witnesseth, That. dhc said Grluttar, for n wrlunbii, tvrts)dar,linn � Q r „g ood. and v_� udble co convey: to Grantee the following dr :r;Tlbcd real estate In . _SS._ CCp i1>` rNla ePACt REBERVIM FOR nrt:GRDINC OArA Gouney, Stntc of NAME AND A�TVRN AOORE wtcconsln• _ :: .... .... .... ..... SA_ 5 attached Exhibit F1 Lams Title, Inc. 1900 Silver Lake Roa<I #200 New Brighton, P'Pi 55112 'S 04(r•w78- 20 -sou, Gt:o lo7,ry�p =ouo;" *id N Numor. 1 This Warranty Deed is in fulfi1?mart of a Land Contract recorded liovetlt)er 22, 1999 in Volim..7,473, page 102 �! as Docurent Nwber 614325. 1 Thi- iS exit ._ homestead property. 00 (Is exit) Together whit all and singular the hcred and nppurlcnances 111 belonging. And I �3SEf1t5�RlS11fl C _ _ t1S�l .. v eF i �ts of r i f a±tv warrants that 11hc title IF good, indcfCasibie in fee ;inl avid free alld Clear o(emcuntbrances except I I } and will warrant and defend the same. Dated this 2 /ttl -.._.— day of , February -- — (SEAL) (SFAL) (Sr�At) - Bar ra L. Liptrap II (seAU /AUTHENTICATION A,CKNOW).VDIs MENT State of rft4 RwrRttYlt(. Mirmsota I I AA. ►�4 Kok _..._ Gotvr yz authentiew,A this day or__ h9� Personally came befnre me thin �`/ day nr 1 the above named �38 rlklra 1 _ 1 j,p,�ap.� QaC bara L- Wd�er- ,_ i TITLE: MEMBER STA'[ BAR OF WISCONSIN (If not, authorized by 4706.06, Wig, Stats.) nnwr to be the pan-on who executed the foregoing �} JEFFREY M. CHfiIsj� It and acknowledge the sane. ' T#41S INSTRUMENT WAS DAAFTtS[') nv a' NOTA PUgI� MINNESOTA Gregory A. Booth My coeaR, r„preo JAA, ai- �ta.aar M _ ,,, �^ ,.... ► 1900 Si ver Lake Road Suite 200 tY 7/i Nora f u f1 , J County, i ~ (Signauitts m :iut en a�n ar7 r ocknowk'lgcd. 11u1h are not My commis. nn if pertnancnl, (If not, state expualiun dale: accessary,) 'i to Names of pr..nna a ;eras IN a ^r• Iapxny u,m,Ip b >' iYprn nr pr,nlrA b iOw dale rla ^aura - Y, ..... _.__.. ...,. ..... ... ... .. . . . ) II i WARR.t NI V DErin 9TATI! aAR a. C of 1 wiscoNCIN 14t.2 wl�rororn I.1 Rlo^a , - New k Ch. 08/09/2006 19:18 7153860727 LOHUITHOMES PAGE 02/02 • BOUPEESTFJ4 "L; 11557796= oei vei ze dTc ^. h. Oxen ST. CR C OUNW RECEIVED SEPTIC TANK MAINTENANCE AGRMNOW Ara AUG 1 8 2006 OWNERSHIP CERTIFICATION FORM Owner/Buyer 1;irxt i S ST. CROIX COUNTY Mailing Address ( �� . tAwt Property Address 215 K IV (S 0 IJ gaf- (Wrificatiort. requited Jim Plaaning & Zoning Department ftOr now ccmstruction.) City/State a l Parcel IdentifaCation NumGer SAL DlE3CRIPTION Property I.ocatiolt '! , S '/ , Soc. `� , I' ?-9 1V >3 (� W, Town of _ _ r • i Subdivision $V i0�- t..�t+( S7 S' Cat it Cerdited Survey Map # , Volume , page # Warranty Deed # (0 ` 1 5�0 � , Volume page Spec house dq� no lot lines Wentfable 0a no SXL &M 4MT11>CA714N IttVoper 05* and ntais►tenatux of Yaw septic VOW oWM result in its premature failure to handle watts, Proper mait'tenaaoe cos>s{M ofpun pbg out rite septic tank every tbrec years or now, if ncoded, by a licensed ptuspe r. What you put into die system can affect the function of tie septic taok as a treatment sptgt in the waste disposal system. Owner mWatenance resperNibilib" are Vcdfwd in lit omm. 83.52(l) and in Chapter 12 - St Ooix Caslty 8mitary Ordinaries. The property owmar agrees to submit to St, Croix County Platting eie Zonis& Department a ce:iifiication, l'bM signal by the Owner and by a rmetar plumberr, jouauymen plumber, m *icted phtm ber or a licamd pumper verifying that (1) the on-the wastewster disposal system is in prolw operating condkion andlor (2) after inspection and putnpimg (if nemwary), the sapdc male ha lees than 1/3 full of sludge. Uwe, the undtxaiped have read the.abova scents sod agree to mairttWa lbe private sewage disposal syslam with tic Mad" set ft &, herein, as act by the Dqm meat o(Cotmne a and &a Depa amen ot<Nattald Resourom4 State of Wismamin. Cettifix ation Ruling fiat your septic aystemn has beat maintained intist be completed AM returned to the St. Croix County Planning & Zonb g'Deputmatt within 30 days of the thame year eatpiratim dak. I/wc aortify that all Pammuts on this fbnn ate true to the beat of my1ma knowledge. Uwe amlare the: awauer(s) of to a dasctibed above, virtue of a l� rtY t~ Y aranratrty dead recorded to Register of Deeds Office. NuMbe thrls Alp R.E OF APPUCANT(S) DATE '" "Any isttformation that is misrepresented my Milk in tits sanitary punk being revolted by the Plaru'ing & Zoming Department. " iWJWc will' this appiicatoa a raectded warranty dead ftni to Register of Deeds Office and a copy of the codified survey neap if refr.m M¢e is made in the warranty deed. I POWTS OWNER'S MANUAL & MANAGEMENT PLAN P e B=ILE INFORMATION p - or - - -- Owner SYSTEM SPECIFICATIONS - U..� Septic Tank Capacity Permit Ar - / 0100 ❑ NA _ _ al tw1.tQ� Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent C'P f5 nt Filter Manufacturer ❑ NA Number of Bedrooms --- - P ❑ NA Effluent Filter Model 10 b O NA Number of Public Facility Unit9 - - - - -- - - �3.NA Pump Tank C:apacit.v al O NA Estimated flow (average) - - _O� - - - - -- - -- - -- - gal /dad Pum1, Tank Manufacturer tow SL 101 NA D esign flow (peak), (Estimated x 1.51 _ - - -- - - -_ -- ----- _ - - - -- gal /day Pump Manufacturer U�')Z ❑ NA Soil Application Rate _ - -- - — gallday /ft' Pump Model 1 S O NA Standard Influent /Effluent Quality J Month) average - - - Monthly 9 Pretreatment Unit 11 NA Biochemical Ox Fats, Oil & Gre ase (<30 rng /L ❑Sand /Gravel Filter O Peat Filter ygen Demand (B<220 mg /L t:1 NA 11 Mechanical Aeration ❑Wetland Total Suspended Solids (<150 mg /L ❑Disinfection Pretreated Effluent Quality a - - - -- El Other. M onthly avers _._.._._ .. _ 9 Uisl,ersal Coil(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L Total Suspended Solids (TSS) 530 mg /L O NA El At G rade (gravity) 11 Ili (pressurized) Fecal Coliforr11 (geometric mean) 510 cfu /1001 > Mound _ ❑Drip Lire ❑ Other: Maximum Effluent Particle Size Y in din. ❑ NA ❑ NA O NA 001Pr: ❑ "values t NA yf)ICPI for do mestic Wastewater a11rI RP.nti, tank P,fflllpilt, Other! O NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s1 ❑ month(s) At least once every: (Maximum 3 year(s) years) 101 NA Pump out contents of tank Is) _ - When combined sludge and scum equals one -third W of tank volume Inspect dispersal celi(s) - - -- ❑ NA At least once every: -� year)) IMaximum 3 years) 11 NA .. -- Clean effluent filter - -- ' -- -- At least once every: // m� onthlsl -` _ _/ �G ❑ year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s s) Flush laterals and pressure test -_- ❑ Years) ❑ NA At least once every: a ❑ month(s) Other: year(s) ❑ NA At least once every: O mvnthls) other: ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS ❑ NA Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Ser Operator. Tank Inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware identi measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on he ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for an Of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a tailing condition and requi he immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third W 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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of c0r11pletior► of any service event. I START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may Impede the treatment process and /or damage the dispersal collie). If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrathe surface. During power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater win be discharged to the dispersal cell(s) In one large dose, overloadjng the cell(s) and may result in the backup or surface discharge of effluent. + To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the areq , within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. BANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. 0 0011 tlifiO401 iii 0 Ilookoi am% 0141 rO rli ea obo"001110 "Me 00600#10 01000 060 oil wy a 60116460 10#40won"* 410 004411104 • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material ,CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption, system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wM 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. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances I POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 tankt may be installed as a last resort to replace the failed POWTS. t_; AS Mound and at -grade soil absorption,'systems may be reconstructed in place following removed of -the biomat at the infiltrative surface. .Reconstructions q ch systems must comply with the rules in effect at thattlRt 4wil► 0 ` < <WARMING> > �.., SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN 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 MAYBE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTH ORITY Name , 1 , . i ,!1 t Name C ,C Jr h? l73t1i1�{ .i ` r / ��� Phone ;, , Phone This document was drafted in compliance with chapter Comm 83.2212)(b)(1)1d1 &M and 83.5411), (2) & (31, Wisconsin Administrative Code. IA" UP AND OPERATION Page of For now construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals he may Impede the treatment process and /or damage the dispersal cattle). If high concentrations are detected have the contents Yf 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 infiltrathle surface. )Uring power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be lischarged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. + To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring wwet to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to eatore normal levels within the pump tank. M not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the areal vithin 15 feet down slope of any mound or at -grade soil absorption area. leduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the 'OWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat 'oundetion drain (sump Pump) - water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; Writing products; pesticides; sanitary napkins; tampons; and water softener brine. IANDONMENT Vhen the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is roperly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. Iii 480) 000040041 do Ali 1100 Maaw 0144$ dootio l Aw W *00104+4111 AnM 00001 111N1i 441111 111 ww « Somalia "."#tiro* ""0046104 • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. INTINGENCY PLAN f the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant eplacement system: E3 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 Ones 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. 17 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. O 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. _�M Mound and at -grade soil absorption'.systema ;may be reconstructed in place following removal of -the biomet at the Infiltrative surface. .Reconstructions O�suah systems must comply with the rules in effect at thattww ; < WARNING > >.: iEPTiC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT. OXYGEN. DO NOT WM A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A' OWN FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. -.. . • -. 1OITIONAL COMMENTS )WTS INSTALLER POWTS MAINTAINER Name Name Phone q Uip . J Phone ..7 BPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Nwm ' ' ,�� Name �x Phone -f - 1144 5_ Phone its document was drafted in compliance with chapter Comm 83.22(211b)I11(d) &(Il and 83.54111, 121 & 131, Wisconsin Administrative Cods. �� t �I � �T tii'^' �. � :i.!��.�:� _� "fi ��'i� ' � ..i�A zn �r ►`: rind. 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