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040-1296-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 487944 0 GENEhAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) Q I Z0000 2 a Tra+s . tb.* Permit Holder's Name: City Village X Township Parcel Tax No: Norman, Bret & Stac Tro , T own of c sr 040 - 1296 -90 -000 CST BM Elev: Insp. BM Elev: IBM Description: c,4S Section/Town /Range /Map No: q Z • S 2. S7 ` — - VW" 19.28.19.1911 TANK INFORMATION ELEVATION DATA TYPE "" MANUFACTURE�j CAPACITY STATION BS HI FS ELEV. ( Z-6 C A too E . - E i I,je. ) Septic B nchrn W (�S62 12S0 ,g3� Dosing Alt. BM r✓SE:q— G —t ec • ?i - 3• °I�j oo •log Aeration ' - - 0 Bldg. Sewer T o Holding St/Ht Inlet A TANK SETBACK INFORMATION St/Ht outlet A 2� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Q Septic 48 i ' (00 ' too Dt Bottom A /0- Dosing O Header /Man. ( i f 2 s, too Aeration Dist. Pipe d 6 •/) l� . l 3 ro •( 44.35 Holding Bot. System F inal PUMP /SIPHON INFORMATION Grade 1 _^ L� 6e e� !2 + Manufacturer �Lt Demand St Cover 1 GPM n Model Number � IV 3 1.37-- � q/ TDH Lift Friction Loss System Head T Ft C ro I 6 o, (.`F 3 .2 S - )o. `` � wko 4 4t Forcemain Length , Dia i , Dist. to Well I Zo 2 > I Yul 2.&° 034? ) I • (O g SOIL ABSORPTION SYSTEM 5,,, �: = 0.1• /D,0 A oj E Width t Length t No. Of T•renehes PIT blMENSIONS No. Of Pits Inside Dia. Liquid Depth MENSIONS 6 44 cI � � 12- SETBACK SYSTEM TO P/L T BL WELL LAKE /STREAM LEACHIN Ma cturer: INFORMATION Type y (� , CHAMBER UNIT Model Number: >) a>, DISTRIBUTION SYSTEM e 9 . - riw ..J qv {fl P(L ft 4&-- - C6vt� ��P Header /Manifold Distribution �� Size Hole Spacing Vent to Air Intake n Plpe(s) i i 3 a Length 3' Dia Z'C Length S• z Dia Spacing 3 ZZ / /(0 3• / � SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No E] Yes E] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / ZZ 0 � I `�C p� Inspe t'on #Jo2�: ; 1 N 2 ""A".� Location: 211 Madison Circle Hudson, WI 54016 (SE 1/4 SE 1/4 19 T28N R19W) Trebus Valley � ta j tes of rce 9 � : .�19. 8.19.1911 1.) Alt BM Description = �eQ. �A �ec�r :c h44 2.) Bldg sewer length - amount of cover = ?� �\ I.....L� , r ' n n 3 �T6Q �e �ue>- tNtor�At `� �' .v . Sep. CA° Plan revi on Required? ❑ Yes X No . OZ C Use other side for additional information. L SBD -6710 (R.3/97) Date Insepctoes Signature Cart. No. Wisconsin Department of Commerce w PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: • • 487944 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Norman, Bret & Stacy Troy, Town of 040 - 1296 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range /Map No: 2 • ��� Z • lnvH -� 19.28.19.1911 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. w A -1 6-r•,14_ . A l�_ Septic S S U Benchmark 9 Dosing 017U AI B J �� — 1 i o6 6 Aeration Bldg. Seeweer� lo.) 0 Holding St/Ht Inlet TANK SETBACK INFORMAT St/Ht Outlet 1I TANK TO P/L WELL B Vent to Air Intake ROAD Dt Inlet A ,g Septic ( ( / Dt Bottom Do Dosing / y r l Uo > f f Header /Man. Aeration � t � Dist. Pipe Holding Bot. Syste PUMP /SIPHON INFORMATION Final de Manufacturer Demand S over D —t_LL GPM � Model Number (9 �� 3 o1,�i 2 ' t • - °( s"� N TDH Lift Friction Loss System Head TDH IF ' X � (0•5 O.b'-� 3.25 0.39 5: Z Forcemain Lengt�� IDia. ( I Dist.towell , I , } SOIL ABSORPTION SYSTEM ZS as g,M 68� BEDITRENCH Width Length No Of Troaclaec PIT - DIMENSIONS N Of Pits Inside-Bia. ILIguid Depth DIMENSIONS 3. Z � SETBACK SYSTEM TO P/L JBLDG IVELL LAKE /STREAM L RING anufacturer. INFORMATION CHAM R OR Type Of System: UN Mo -t FNumber DISTRIBUTION SYSTEM %POw Header /Manifold Distribution x Hole Size Hol Sp 'ng Vent to Air Intake Pipe(s) l I 3 Z2. 3 / ��o " 3 . [ (o Length Dia Length Dia SOIL COVER x Pressure SystqFS Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedlrrench Edge Topsoil Yes No ' Yes COMMENTS (Include code discrepencies, pe ons present, etc.) Inspection #1: / 2• Inspectio 2: p�� Dz /�i► Location: 211 Madison Circle Hudson, WI 5401 (SE 1/4 Ife 1/ N R1 9W) Trebus Valley Estate Lo Parcel No: 19.28.19.1911 1.) Alt BM Description = . 3 2.) Bldg sewer length - amount of cover = Q Plan revision Re cared . No Use other side for addlt — Date Inse JMRlISIL+� Cert. No. SBD -6710 (R.3/97) 1 ��11I�� �M,q- ,� ., �� � , ,� P PPV P Saht T —^ 201 W. WwWngtoa Ave., P.O. Box 7162 ST. CROIX k � M*dW% Wl 53707 — 71 (lobe sued mb Co.) De artment of Commerce (�8)2b6 -31 i V ., .� Sanitary Permit Aoglication sofa Mw L°. /26b Cho In *ft room► asx►, vim. Adm. Cone, pasmA you my be used for semki oy Wposes Pnvtw7 Ten, s1SA4(Ixm) Project Addraa diffetalt dm ntttttrj sddreas) M ISON CIRCLE L labrr�r- PUMPrbltAB ` 1 A t Pt wcaty ownces Name- Pared # # 1 9 Brock BRET A. & STACY A. NORMAN E pmpwW owmes HaT" Ad&w 4 794 WILLFOR SE y., SE yb, sectiea 19 cuy, soft zip CD& Pbmc 1Jtasbar t HUDSON WI 54016 651 -739 T 28 N R 19 aw ) IL 7�p of BWKdWg (dock alA tbut apply) — CSM [A er2F. WDwa tg- Nuniberof 4 PER SUB MITTED HOUSE PLANS Yee° � "�` ❑ PabKOUbmummmW Doc ibe L% TREBUS VA LLEY ❑ Owned- Dacrbe Use ocity 0't dimse arown" 6f TROY 11L Type of Ywak (Cbmk orb we box on was A. C*mpkla was B Ahppllwm>bie) A. 11cw Sy"M U R*Kwe t Syaom 0 7lresmtast/1lot&0 Tack Replecrotm A Omy ❑ Oder Modification toBciCms System B. ❑ Permit Rwav al 0 Pamir ltevisim 0 champ of ❑ Pettus T=n4u to New imt pmvims ratan Number vad Data brood Before Eaq►kxtko Plaliber Owner //ll IV. of POW P;A ! 7S 3 ❑ New - Prawns wed lormuod . XXMauta> a4 i. of ui%bk sal ❑ Motma 4 24 st. of &A&W* sw7 ❑ At4 ade ❑ Sit& Pass ssm 1�er 0 eoasuuwed wed ma 0 Pte mw atd Aa�l] Talc ❑ Pat Faw ❑ Aerobic Theta tea unit ❑ Rsm Sword Finer ❑ h(edb Filwtr ❑ 0 U wd.le a 0 0dw (e*aht) v, - M -LVL1- OE P 5� D0* t F10w w Dwiso W1 Appfim ion . (o) a sy M"a" 600 .6 r/ 600 B v/ VL Tart into Capadgr in road Nt®ba Manabatmer Prefab 3iwe Steel Fbx Plastic ChOw 0011009 Of Units Cooaete c nstruaod iRses SepWOarHoldigrrt 1 1250 1 WIESER X ilryermeseunit D a@ h * CW m b a 1 1 11000 1 1 1 WIESER X VfL 9fater�ert- i, fie asimfg�ed fir wtf lEy1V1s ebowa n iia tttlechrd Pluatber a Name (Print) P Neeber Baflom Phone Numbs TODD FEATHERSTONE 715-381 PMmtba's AAduess (succ , City, StttG ) P.O. BOX 467 HUDSON WI 54015 VIDIL Use p &w4 y Perms Fee (' mu�um,� Rafe A/eat 5umhrye Fee) �G�� 1 / 0 Owner Gran Reaooa for DMW nf. Corditiera d Ap+prewaUReasoes far �wR� SYSTEM OWNER: 3 1 Septic tan , e vent filter and n d� dye„ yfrt�iy► -J dispersal cell must all be serviced / maintaied as per management plan provided by plumber. —, O �P' rtv►. '7 2. ac requiremen s as erapplicable code /ordinances. Atlori enpka pk -(atbo Cswow tir do gown w pow", Arr ef/2 s ft wl.e SBD -6398 (R. 01/03) From: TODD FEATHERSTONE To: LENNY KANTER Date: 10/3/2005 Time: 1:34:36 PM Page 2 of 6 I V I NN f� D aC ry 0. 0 JA) f� IL �o .a a � points of the contour line along the down slope edge of the distribution cell. The effective distribution cell length of the concave distribution cell is the distance between the furthest points along the contour line of the down slope edge of the concave distribution cell. See Figures 4 and 5. The deflection of a distribu *on cell on concave slopes is calculated using Formula 8. F�ila 8 Percent of Deflection = De�ection + E e distribution cell length) x 100 t ( f g ) Where: Deflection = Maximum distance between the down slope edge of a concave distribution cell to the length of a perpendicular line that intersects furthest points of the contour line along the down slope edge of the distribution cell Effective distribution cell length = Distance between the furthest points along the contour line of the down slope edge of the concave distribution cell 100 = Conversion factor The actual distribution cell length must be checked to determine if the cell area is sufficient. The actual distribution cell length is calculated using Formula 9. Feld;:' W kO I� Aao�L&'' Actual distribution cell length = [(�% of deflection x 0.00265) + 1 x effective distribution cell is Where: % of deflection = Determined by Formula 8 0.00265 = Conversion factor from percent to feet 1 = Constant 3 Percent of deflection = (Deflection 1 Effective Cell Length) x 100 Distribution Cell ' eflection �vnPl@ 4 Effe6tive Cerlf`L" ength of Concave Distri ution Cell L,W P.C. 2 0 r Vi O W Figure 4— Simple Concave Distribution Cell 15 of 44 Safety and Buildings commercem. ov PO BOX 7162 i > g MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsin www.commer isco sin.go / Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 03, 2005 CUST ID No. 242514 ATTN.• POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA PO BOX 467 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2007 Identification Numbers SITE• Transaction ID No. 1200002 Brett & Stacy Norman Site ID No. 705357 Cnty Hwy F Please refer to both identification numbers, Town of Troy, 54022 above, in all correspondence with the agency. St Croix County SE1 /4, SE1 /4, S19, T28N, R19W Lot: 19, Subdivision: Trebus Valley Estates FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1042598 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01101) 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: co, • This system is located on a site with a concave slope. This design has been reviewed and approved with the understanding that the degree of deflection of concavity (as per the Department's Mound Manual Version 2.0) does not exceed 10 %. ~' County personnel shall be present on the site at the time of installation. Elevations and degree of QIVI° N Of '0',4 concavity shall be confirmed on site by County personnel at the time of installation. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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. TODD C FEATHERSTONE Page 2 10/3/2005 Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Robert Kanter POWTS Plan Reviewer, Integrated Services WiSMART,code: 7633 (608)261-7735, Monday -friday 8:OOAM 4:45PM rkanter @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: CARDINAL BUILDERS Owner's Name: BRETT & STACY NORMAN Owner's Address: 794 WILLFORD ROAD HUDSON, WI 54016 Legal Description: SE1 /4, SE1 /4, S19,T28N,R19W Township: TROY County: ST CROIX R Subdivision Name: TREBUS VALLEY ESTATES Lot Number: 19 Block Number: ------- - - - - -- Parcel I.D. Number: 040 - 1296 -90 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry , Page 3 Mound drawings :'�'•� Page 4 Lateral and dose tank "ly Page 5 System maintenance specifications h. Page 6 Management and contingency plan .4rF Page 7 Pump curve and specifications cF C0A . ,i R .`.:E Page 8 ^1�1 Soil Test LTY are iys�s Pages /a Soil Test Page if Plot Plan _- SPCNDENCE Page JV3 POWTS Application Page 1f- POWTS Mgmnt Plan Designer: TODD FEATHERSTON License Number: 242514 Date: 09/23/05 Phone Number: 715 - 381 -1704 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 Distribution Networks for ST -SAS (01/81) Version 3.11 (05/01) Pagel of 12 From: TODD FEATHERSTONE To: LENNY KANTER Date: 10/312005 Time: 1:34:36 PM Page 2 of 6 y , cz".) i ms ir ku � M a � R Z From: TODD FEATHERSTONE To: LENNY KANTER Date: 10/3/2005 Time: 1:34:36 PM Page 3 of 6 • BRETT & STACY NORMAN TRANSACTION ID NO - 1200002 SITE ID NO. - 705357 LOT 19 - TREBUS VALLEY ESTATES r HIV E'r�tl3 s �A G rc r©,�: ���. RaLz s FORMULA 8 Percent of Deflection - 81 91.00 x 1 D0 = 8.79 FORMULA 9 Actual Distribution cell length - [(8.79 x .00265) -#1 ] x 91 = 93.12 From: TODD FEATHERSTONE To: LENNY BANTER Date: 10/312005 Time: 1:34:36 PM Page 4 of 6 , Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sano fill (D) cakcula4ions assume a 400.00 Estimated Wastewater Flow (gpd) Table 83-44-3'"-sit" soil treatment for fecal cogorm of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 4 600.00 Design Flow (gpd) 13.00 Site Slope (%) 95.32 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (inj 0.60 A In -situ Soil Application Rate s PP (gP� ) Distribution Cell Information 93.121 Dispersal Cell Length Along Contour (ft) = 8.44 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpdtft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.22 Lateral Spacing (ft) If N above, enter the elevation (ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 10.00 ft /orifice 2.00 Forcemain Diameter (in) 20.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.50 Pump Tank Elevation (ft) Enter Y or N I 3.25 System Head (ft) x 1.3 3.28 Forcemain Drainback (gal) 6.24 Vertical Lift (ft) - 58.39 5x Void Volume (gal) 0.64 Friction Loss (ft) 61.65 Minimum Dose Volume (gal) 10.13 Total Dynardic Head (ft) 39.32 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 N 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Calculator (optional) Gallons/i o ! (p ) Treatment Tank Information Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) WIESER IManufacturer gal/in (enter result in cell B49) Information Effluent FI to fo ation 1000.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 27.831 Dose Tank Volume (gal/in) JA100 Filter Model Number WIESER IManufacturer Project. CARDINAL BUILDERS Page 2 of 7 From: TODD FEATHERSTONE To: LENNY KANTER Date: 10/3/2005 Time: 1:34:36 PM Page 5 of 6 Mound Plan View 1110 8 Observation Pipe �. Q K -+ A W 1• I .•.... B ..... .... ......• .. . .. Mound Component Dimensions Q�R4�r 9 b B 2 93.12 ft F 1 9.25 in 14.88 ft L 111.76 ft ��a,acr D 11.00 in G 0.50 ft J 4.72 ft W 26.04 ft / 600.00 (ft Dispersal Cell Area 1985.41 (ft) Basal Area Available ✓ b� 6.44 (gpd /ft) Linear Loading Rate 9.31 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98:01 (ft) — .� G I H ft 96-74 Lateral F Dispersal Cell ( ) 96.24 (ft) - -� — > ... Invert Dispersal Cell E t Elevation D 00 95. (ft) Contour Elevation 13.0 % Site Slope Geotextile Fabric Cover Shading Key $— Dispersal Cell See lateral details on 1❑ r Topsoil Cap °� 1.5 ft Page 4 for number, size, 0 Subsoil Cap c and spacing of laterals. ASTM C$3 Sand Laterals are equally Tilled Lay d 0 . 5 ft Tn"�I lateral F spaced from the 5 A re at 0 A — 5 I distribution cell's ❑ ❑ g9 g ........... T.........:.,.....,.: centerline in the distribution cell (AxB). Project: CARDINAL BUILDERS Page 3 of 7 From: TODD FEATHERSTONE To: LENNY KANTER Date: 10!3!2005 Time: 1:34:36 PM Page 6 of 6 Center Connection Lateral Layout Daigram Force main connection via tee or cross to maniWd at any point. Laterals are identic at P Y t1= Turn -u p vW ball valve or IF X — 4If sr2 ' X - 1 .)2->J Laterals & Force main of PVC Sch 40 Ilea n outplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 316 ft Lateral Length (P) 45.82 ft Orifices per Lateral 15 Lateral Spacing (S) 3.22 ft Orifice Density 10.00 ft /orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.22 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 10.13 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locking cover with waming label and locking device and U �~ sealed watertight Electrical as per NEC 300 and =♦ Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E--- Alternate outlet location Forcemain diameter WIESER Manufacturer 2 in. Capaci 1000.00 Gallons �r Volume 27.83 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.72 548.73 C B 2.00 55.66 Pump off elevation (ft) C 2.22 61.65 —f 1 90.50 D 12.00 333.96 D Total 35.93 1000.00 Dose tank elevation (ft) 3" Bedding un er tank. 89.50 Alarm Manuafacturer LEVEL Alarm Model Number LVL1 Pump Manufacturer JZOELLER Pump Model Number 198 Pump Must Deliver 39.32 gpm at 10.13 ft TDH Project: CARDINAL BUILDERS Page 4 of 7 i Mound Svstem Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXC. INC. Phone 715 - 381 -1704 POWTS ROIX CO. Phone 715 - 386 -4 Regulator's Name ST. 680 � C System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 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 yea rs Moundl Inspect for ponding and seepage once every 3 years 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 •...•..••••...• 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: CARDINAL BUILDERS Page 5 of 12 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 subj 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_ Seotic 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 tan shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assesse least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions a made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filtei 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 tan the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the ne) 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 used they shall be approved for septic tank use by the Department of Commerce. Pumo 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 Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seed 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 sr compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulcl as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOP150 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 specific 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 flus 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 le above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Pisn 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 pro operating condition_ If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repair 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 its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and re 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. i Project: CARDINAL BUILDERS Page 6 of 12 t� 3 7/8 6 1/4 Ile w HEAD CAPACP URVE s ` MODE 98 4 5/8 30 e 25 3 5/8 = 6 20 15 C a 4 4 3/16 1 � 2 �. s p t � 1 1/1 -11 1/2 NPT 0 GALLONS 10 20 30 0 50 60 70 80 LITERS 0 80 160 240 rLOW PER M UTE 3a- 3 MODEL 98 60 CYCLE 1 Feet jron.,,sj Meters I Liters 5 72 1.5 273 IQ 61 3.1 231 15 45 4.6 170 12 20 25 6.1 95 Lack Vol, 23' 003971 4 3/16 891182 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and Variable level float switches are available ror controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch. no external control required. Standard all models - Weight 39 lbs. - % H.P. 2. Single piggyback variable level float switch or double piggyback variable level, 88 Series Control Selection float switch. Refer to FM0477. Model VoNe -Ph Mods Amps Sim ex Duplex 3. Mechanical altemator 10 -0072 or 10-0075. M98 115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator. N98 115 1 Nan 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. D98 230 1 Auto 4.7 1 or 1 &7 — 6. Four (4) hole J -Pak, junction box, for watertight connection or wired-in E98 230 1 Non 4.7 2 a 2 & 6 3 or 4 & 5 simplex or duplex operation, 10-0002. 7. Two (2) We J -Pak, for watertight connection or splice. CAUTION For information on additional Zoeller prod.uis refer to catalog an P ggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qualified FM0177; EIedriralALmwz, FM0486; Medwim[ AhemeW. FM0495;SunVP, licensed electrician. All electrical and safety codes stwuklbefollowed including the most Single Phase Simplae Pump Control, I'M 1596; Alarm Systems, F1110732. recent National Electric Code (NEC) and the Occupational safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL To. P.O. 80X 16317 0 Lansvitr A34 402567 Maredacturersor.. D SFOP 1& 3649 X49 Cane KY 40211 1 d -1961 e l.otbsvile, -1961 Ate: /lwww zoefler corn ���P �0 (502) 7T&2731.1(8W) 928 -PIMP r SSE FAX(502) 774 -3824 2 MODEL 98.max 09/22/05 THU 0810 FAZ 7.18 386 4688 ST CRI CO ZONING 001 S`[1e FV�I I1jLT1AN RFPAQT b...f- 6a.1lS't . �II�WIIYnI LNIaFMMINNH{M 4NIIeIMMW ' - rye _ � � . �_ .. a71 On Of 5efle�r and in aCCtlfde�'keM�t4 Cam a5, YYie_ AdM Code A.0 L 00 & Gft Alfad�ao�npletes�ep4nartpqerndMWIun6 .Rtt CAUNLY SLCMk odedr~ iernoffiniedbaaYdendhoaoonW +sfwwotpaiM(�iJ�dwed0n �' .__ — _____ -- .�.._._ ............. Maanr "bas W.ar u W"UNIail % 1eMes dnv., on Wbo"I 4M slums N samue IOp ••• - 107 464000. M019 .303 PMM Poway hftmNAulk' f °� y 1 4 �RQYislrnd Qy ^ rk*A P.mn+infns�Yon FU Fame eg be asee br xdoigt:� *.a nd' R" i moerfvf Owner i fbra" � J. T .B Prpperla. N L.L P. C/O John W. Niels' ? _ "' S �' j let - -1 SE lM SE 1f4 8 It T_ 22 OR It W Owner^a Me>Yrao Addnsae - - -- ° `. S1 i" 9 I "'8 A i sid. Nine ar csN11i - 1564 West Unirersil T : �`���: ropes YBloy E s5 . I My Mde MCodde Plum►. —r"Qri � / ------ - - I �7 T`t Hweoe .n r.�w... FNer�!�. React Saint Paul I MN 1 55104 1 83 1 � � TMY County Ng" "F 4 ! NOW Cansbuckie USK i4 RseidenNal Number d bedraorna 3_ CoftWeireddas4nflow;A. - 450 GPD Repbwws a j P1lic er aamlereira - Desrnbs: Paepknalsaet .___..__. C4pcW Rood ._.... ...............__._...__ -_. ptens1s4e6ort,if I nap and ommmns4de cm Recommend Instaft mound system at eim = 86.82' at e" above 95.32' conwtw. I f "'"• 11 ps unun su cadev 95.43 ft Dom, b R g fadof r — Mmirm r fm di. I n w .* r i. I Pa— roe-w— T Ta _ - 1 A -i7 Alhw?M n� 2 ! 13-21 r..__ 1 ._..__..�_... .. norm mfr ^� ow ...._ 2f _.. W 3 2126 ; 1 414 none sd 2fsbk I mfr l OW I 1f 0.4 0_0 - _ . . `4 2538 7.5yr4M none al 2msbk mfi awr 1f 0.5 0.0 a 3a= r'1 iiryr•►io mm I.WrWa srMS um mtr J - - L,4M 0.6 ... � mss` �. 9= .� ...__! +. .— F we 5 aonRiirls >a usaad iiiors 6�m Leduc oanaenbMl ores eppeMrat InIMRFroe of iMMufa�! eAa�geeupF�ofiiiormon f - -- q a1Q:g e Jac" 0 owe to hfpv factor � _ � � Sd ApOiC W Rare . D*M CoWnwC.atr _ ftW=VmcWw TW&w i SYm*m I CairWWW � NO&� - a - _TM - anal f i 03 low= none sJ ! 2fsbk mvfr i as 2f,1m 0.'J 0.9 ,(¢ r F - 2 .._ . 8-13 .....__� 2msbk . I mfr . (... ss2 � i .� !- 3 -:. 13-25 i 1 �n _.._ d mfi cW if 0.5 - 0.8 9 �a-so tuyme4 name $a tms mo gw i it n-�5 --� s 38-83 7.Svr414 M 7 Syr". M % n A He 6 ranfans an irisavaed +ioi d ims6k Is a twbil at Aeaoa coilo.�rarolspapr Afaoo o► iialEwsTaMr` - of wBlwe�iiw�`on= - ' Draft 11 1 =BWr W — ! ZSn% s dT'$:> �0 {180 92 =BOD�190mrJ4.R�dTSS C-W"1. CST "M MGM Ponn - 7 c Janos K Thompson �. �--- 3802 1WcMess /0.c 9 SeM It 3N* FuM ,Mi vw Dam eymuidon Condu[ W Teimherle tvumhnr d q l�arg4n t,�e �rraR Ospeft yea MOD 1218101 7154484767 Friday, September 23, 2005 (3).max r�-� 06/22/05' THU 08:11 FAZ 715 386 44 686 - - -- - - ------ ST ZONING IZ002 tTn Ow.wn.ai .. r r n "� -, _ •• — T , =r� ` "i.. es fog irN -JLW &-Y -UW. ILWIY.iGlf303 Bak - L+..J PR Grelrid 37rum elev. .. 92,57 R DapIh b 8nog factor t r..M , Do r ! DN*N riCOW ! Redo Duc Wm r F .. - mo o...... e -- - - -- 'EfNh "EttR�2 1 nuns '- al i 7 wN. %� — i,iiii V'V f V - O 2 &18 I 7 .5Y► none I sl i 2WM Mir- r_c 14 _1m I n a ( no y� L S 1 � iCl?' i none s8 ; 2mabk I mfr I _ an i 1! ! 0.5 _. 43345 ' fDyrW I f2d 7 51$ sU I 2(obk n r gar 'f 0.4 ad jj 5 I 45M ! 10yrU4 I�t2f75Y ......1 - -- a 0.2 0.3 H85 oonta an uraarted a!bt d *n ft b dr loft a Re*x. canoen mm a mw at rtmftm nf tfthwa1 rim wad U �JPk GrOtrfQ$sfaoealev. _ ft EIhbinirr�frOlar _Irt SdA Mftft P Wj `.fglfte I uOdA lmj Body' .. ! Pft 2 � soft _ J e ..d s.raoe stele ft okf&>o firwlna ram in. f Z2 A-A—M . Oepdr Dmnsit PlIft DMVM TfMMt SruAae Cam 9=d - - - *EM TOM 1 I fOBt M91 =am. 30c220 and Tw >30ct50"L M" 92 OW, SMn#LandMt -0nvL -- nrrct nw,nriat in fk—. .S.we + ftes �+rs __•wows rns +.s. n...... Friday, September 23, 2005 (3).max i 00/22/06 TW 08:11 FAX 715 360 4686 ST CRI CO ZONING 9 063 L . • - ,(� ■ � /cue /act -Een n: < ♦ E/e�txda.� « i 6P� •� ttd � 3, . jr p,'pt. oco-Ld P Pe'-- Elzw i. Friday, September 23, 2005 (3 ).max �� ... ........................................................ ............................... no .14 ' v &V •VR 4aa A as eT ("DY m MAW T Vr T�fnn. Now a ,�►� s� �! ; . 14 0146 ST.. . i A IM 3 Ar, SPY �f � •�I .. • f i ...�•nrrrw. � it r L. IITV � � :Pt L r Saw t!7 411 JL%f ot T X 1 0 1 33 M S.F. LOT 20 c _ Friday, September 23, 2005 (3).max • 1512 sconsin Department of Commerce SOIL EVALUATION REPORT A, f a S page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code AC.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/2 x 11 inch County ys+n s7e�Plar+su t St. Croix _ include, but not limited to: vertical and horizontal (), directi6n iln Parcel LD. percent slope, scale or dimemsiions, north arrow, and 1 - and distance to nearest rr 40 -1 78- 50 -000, ID#19.28.303 Please print all fnforAldoyi. �► \ R D ate Personal information you provide may be used for nth Orposes 504 (1) Property Owner Loot lon J.T.B. Properties, L.L.P. C/O John W. Nie ! f I of !.-...-,1 SE 1 SE 1/4 S 19 T 28 N R 19 W Property Owner s Mailing Address ST of # ! ock # Subd. Name or CSM# 1564 West University Avenue °" C FiCl19 Trebus Valley Estates City State Zip Code P 6' _j Village a Town Nearest Road Saint Paul MN 1 55104 6 =64 Troy i County Highway "F" New Constriction Use: Residential r Number of bedrooms 3 Code derived design flow rate 450 GIRD Replacement Public or commercial - Describe. Parent material Gla drift Flood plain elevation, if applicable na General comments tlAU ` and recommendations: Recommend installing mound system at elev. = 95.82' at 6" above 95.32' contour. /1&4,e4'U ZrnD :(4 F(I Boring # 'j �9 16 Pit Ground Surface elev. 9 5.43 ft. Depth to limiting factor 38" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -13 10yr3/3 none sl 2fsbk mvfr cs 2f,1m 0.5 0.9 2 13 -21 1Oyr4 /3 none sil 2fsbk mfr cw 2f 0.5 0.8 b 3 21 -26 10yr4 /4 none scl 2fsbk mfr cw 1f 0.4 0.6 , 4 26 -38 7.5yr4/4 none sl 2msbk mfi aw 1 f 0.5 0.9 ( 5 38 -71 1 Oyr4 /6 m2d 7.5yr 518 s/{fS Om mfr _ - ,e-9 0.6 — ti# 5 contains an unsorted ma of Osg s & Om Ifs. Red,. concentrations appear at intertface �tlural change�tlh F Baring # I Boring 38" in. Sal Application Rate 01 Pit Ground Surface elev. Depth to limiting factor Horizon Depth Dominant Color Redox Description Texture Structure Consistence ndary Roots GPD/ft *Eff#'I "Eff#2 1 0-8 1 Oyr3 /3 none sl 2fsbk mvfr as 2f,1m 0.5 0.9 2 8 -13 10yr3/2 none sl 2msbk mfr as 2f,1m 0.5 0.9 3 13 -25 1Oyr3 /3 none sin 2fsbk mfr cw 1f 0.5 0.8 4 25 -38 10yr4/4 none sl 2msbk mfi gw 1f 0.5 0.9 5 38-63 7.5yr4/4 f2f 7.5yr 5/8 sl 1 csbk mfi - - 0.4 0.6 H msb # 5 contains an unsorted mix of lk Is & 1csbk sl. Redox concentrations appear at intertface of textural changes throughout — horizon. * Effkm t #1 = BOD ? 30 < 220 mg/L and TSS < 50 mg/ #2 = BOD S mg/L and TSS <_30 mg/L CST Name (Please Print) S' ature: CST Number James K . Thompson 3602 Address A.C.E. Sal & Site Evaluations rate Evaluation Conducted Telephone Number 340 Paulson lake Lane, Osceola, W{ �20 12/5/01 715- 248 -7767 property Owner J.T.B. Properties, L.L.P. C/O John Parcel ID # 040 - 1078 -50 -000, ID# 19.28.303 Page 2 of 3 3� F pM,,,,. # .r Boring n "`^ R! Pit Ground Surface elev. 92.57 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Bounder Roots *Eff#i *Eff#2 1 0-8 10yr3/3 none sl 2fsbk mvfr cs 2f,1m 0.5 0.9 , ( 2 8 -18 7.5yr4/4 none sl 2msbk mvfr cs 2f,1 m 0.5 0.9 , 3 18 -33 10yr4/3 none sit 2msbk mfr aw 1f 0.5 0.8 . 4 33-45 10yr4 /4 f2d 7.5yr 5/8 sicl 2fsbk mfr gw If 0.4 0.6 5 45-68 10yr4/4 f2f 7.5yr 518 sit 1 csbk mvfr - - 0.2 0.3 H# 5 contains an unsorted mbc of 1 msbk Is & 1 csbk sl. Redox concentrations appear at intertface of textural changes throughout horizon. 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 F-1 Boring # -i 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 ' *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg& and TSS >30 < 150 mg& * Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. ` ■ moo, /e✓a /ua-�,on�l;� ca/ 6 OPT �• cCd 3 s 8z . lot l8 e. 0,,oe. Jcodad a2 fllE. B.rh, :Top of lJi "p, ✓,a. ® Q y L 4Say &.1" Wiare Fo or 3 1,g , - . 43 �� R s5u m es1 e l e = rLb. cU 9Z 9'/• S� � •p CSC- �e- Sac POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 RLE INFORMATION SYSTEM SPECIFICATIONS owner BRET NORMAN Septic Tank Capacity 1250 gal » NA Permit 0 - Septic Tank Manufacturer WI SER 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer ZABEL ❑ NA I Number of Bedrooms 0 NA Effluent Filter Model p1100 0 NA I Number of Public Facility Units ❑ NA Pump Tank Capacity 1000 gal 0 NA G Estimated flow (average) 400 al fd Pump Tank Manufacturer WIESER 13 NA Design flow (peak), (Estimated x 1.5) 000 gallday Pump Manufacturer ZOELLER 0 NA Soil Application Rate .6 gal/day/ft' Pump Model 98 0 NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit 11 NA Fats. Oil & Grease (FOG) s30 mg /L 0 Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L A NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection 0 Other: Pretreated Effluent Quality Monthly average_ Disparsal Cells) 4 NA Biochemical Oxygen Demand IBOD ,,) 530 mg /L ❑ In- Ground {gravity) 0 In -Ground (pressurizedl Total Suspended Solids (TSS) 530 mgfL )0 NA 0 At -Grade 0 Mound Fecal Coliform Igeometric mean) < fUAQOmI 0 Drip -Lire 0 Other: Maximum Effluent Particle Size Y in dia. NA Other. XXNA Oar- 10 NA Other: & NA `'Values typical for domestic wastewater and septic tank effluent. Other' IXNA r MAINTENANCE SCHEDULE Service Even Service Frequency Inspect condition of tank(s) At least once every: O ° s j s) (Maximum 3 years) ❑ NA Pump out contents of tanks) When combined sludge and scum equals one -third (Y,) of tank volume 0 NA Inspect dispersal cell(s) At least once every; D morrth(s) 13 y ) {Maximum 3 yews) 0 NA Clean effluent filter AS N At least once every: ar�sjts) 0 NA Inspect pump, pump controls & alarm At least once every: 0 m 0 ye a rls) rls)) [7 NX Flush laterals and pressure test At least once every: 0 month(s) 0 NX 0 yearls) Other. At least once every: 0 month(s) Cl NA Ocher. 0 NA MAINTENANCE INSTRUCTIONS 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 Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cellls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and sc third iY) or more of the tank volume, the entire contents of the tank shall y a Septage Servicing Operator and disposed of an ac h chapter NR 113, Wisconsin Admin ive 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 repo ays o cam r • Page 2 of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankis) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged 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 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 area 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. ABANDONMENT 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: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or 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: 0 A suitable replacement area has been evaluated and may be utilized for the location of a replacement will 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. _ D 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. © The s has not been evaluated to identity a s uitabl e replacement area. Upon failure of the POWTS a sod and site ova" tion must be rf ed to locatr w uitaabile replacement area. If no replacern available a holding tank instated asfea last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biom the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNI > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANWOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name TODD FEATHERSTONE Marne FEATHERSTONE EXC. INC. Phone 715- 381 -1704 Phone 715 -381-1704 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S Name ST. CROIX CO. Phone 651 - 439 -4847 Phone 715 386 - 4860 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f1 and 83.54(1), (2) & (3), Wisconsin Administrative Code. �I From TODD FEATHERSTONE To: TOW � Date: 812512M Time: 3: Page 2 of 3 ST CROIX COUNI'X' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owncr/guyer MaNiI4 Adds 't` h : w e c �. $ S- 4u 1 SoL\ 4 0! b P ly A Un (Vcnfmtioa ngwmd (mm Pbmmg Dspartamm for saw boa) C W& Aft T� -► Tv _; W T PSI Ida,ar Ntm*w _bit © - tin 90 _B LEGAL DEscamni©N Property Location !C y, 2L Y, sx_ _ 1 43 , TIL W, Town of Cwh sKs Moo II _ volume - pw # V Deed a�7°7y Z(o S v Wuiadt II �ottm�c # Spec loose ❑ y��` no _ Lot Fines idetm� yes Q no - I t�ttttpermaaod�oeaf �c�q, �csyst�eo6uldaesaitin�spoea�cefaiia�etoLa��e�la .Pmpaa�i�ne aoa�a afptmtpigd out the xqdm ft* &=e ye= or mmm ifttemudby a Noma Is IN - What yaer pint idle dw essom caduffu dw Amedeaofthe Sep&taoir eta seakwa sup into waft4kpomlt7sdam_ gee pimpatf a wsm as is $*Wale St Cmk7AmbgDq=bmm9taxfifiCsfift1=k stmd by dw owm esd by a ' piambe; m�ceedpiuubaara�x000dpMmpet�afYmfimt(1 ;6ean��raskwtNerdisl�oaats�lem is itsp perapeneiosaoadoiosl aaidlsr(Z} ateerienpectisnasdpmq >i�.(ifsera�c�►�ibe�almkls ksst�m if3 afi>me. YW4 dig 11mdeuku dLena readd D liban sagommw sasdmame ummi ia are pt vale SMP&Vwd sYAMwig dw sat hrk bmk n set by ate DepatimW afd7earNtteaae and d m D of mWd R,e UOM Site of WbD dL- +�6Od]'wapfit=yskmLn bom mmosioedxwd be compiooadudte1 1 ladle 9L C ookCai0ty 7A t6 09FM 30 days of are dttux ] ti tiMUTURE( APPUCANT DATE QMM CE 1 i 1'�ON . I (via) amf4 dirt al data ae d t: ioem arse Titre to *e best of vW (Gw) l000rriedpe- I (vm) sm (are) arc awoet(a) of the pmp mty dawlmd sf a wammty deod =add raRAddacof Dm& Office. l25v 05 Yt7RB OF APM:IGtNT DATE 1 ° Amps fi& m kdm tort ig alkaqwmemledway a wk ire are smihtypetttrit beiaa nvoimd by the Z N* D FIMMeat. �•••� midis UM NJ aptttiaadiM' 2 dlUlD d wmaaty doed foam ft Rq&W of Dw& office 11 0 U 2656P 900 - 7 - 7 4-3s9 �t DOCUMENT NUMBER WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS J.T.B. Properties, LLP, a Minnesota Limited Liability Partnership ST. CROIX Co. WI RECEIVED FOR RECORD conveys and warrants to Bret A. Norman and Stacy A. Norman husband and 0911512004 10: 20AN wife as survivorship marital property WARRANTY DEED the following described real estate in St. Croix County; State of Wisconsin: EMPT # LOT 19, PLAT OF TREBUS VALLEY ESTATES IN THE TOWN OF TROY, REC FEE: 11.00 TRANS FEE: 336.70 ST. CROIX COUNTY, WISCONSIN. COPY FEE: CC FEE: PAGES: 1 THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS: The First National Bank PO Box 89 New Richmond, WI 54011 040- 1296 -90 -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. Datel day of ugq s t A.D., 2004 (Seal) (Seal) * Z J hn W. Nielsen e i ' (Seal) (Seal) � * Bradley S. er. Partner AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN } authenticated this day of St. Croix COUNTY } * Personally came before me this 3 TITLE MEMBER STATE BAR OF WISCONSIN day of August , 2004, the above - (If not, named John W. Nielsen and Bradley S. Diller, authorized by §706.06, Wis. Scats.) Partners THIS INSTRUMENT WAS DRAFTED BY: to me known to be the persons who executed ,` ``MuiT the foregoing instrument and acknowledge thQ,�`, � , ..�S'j•� Attu. Hugh H. Gwin, GWIN LAW FIRM. S C same. T.4'9 430 Second Street, Hudson, WI. 54016 (Signatures may be authenticated or * f -acknowledged. Both are not necessary.) 8l^� Notary Public, St. Croix County, VGl. F ' • g� Z iO4 W1SG My commission is perma =t (if not, stake, ... 4 t , 4tn101"N � expiration date: ( , 20 V I APPLICATION FOR REVIEW tlsprrtnrsrxorllowmaroe - convieft all Pages POWTS Sat sty & B ug dinys Division NOTE Personal information you provide may be used fir Bureau of irdegralved Services seoondwy puiposses PdYSLV Law a. 15.04(txm). Stets.) For plan status. d>edr Our website at fdto ! /www consmrrce Mai usJSB ($AzVjj Rey- imN§%4n_4W_chhhal Several counties have been delegSW certain authority to review plans to lieu of Convnerce. For a arrant Rat of awls counties and their ci ftelion dma our webs to at hnp:liwww.corm>ermdaWidA s1SMIS -POwIs mIM 1. Project hrtornrallon - Fig hk all known 6domtMiam Conlinnallon of aselgranerit to a °reW&W- Narrne CARDINAL BUILDERS Transaetlon to: ProjecMie Location. Number A Sirset.of prtpd Cif unknown. Indcated nearest road) Previops Related Trans. ID. 211 MADISON CIRCLE - TREBUS VALLEY ESTATES - CO.RD.F Es1d CoarpleKon Ds1x Legai Description: 1 4, 19, 28N, R19W . Assigned RevWwer. Coady ST. CROIX () C8y ( ?tillage 00 Town of TROY Asslnad OtRos: Mail to your alma of CWC@ bahnw: 2. After plans are mlawod, please: (dock all OW apply) Gwen Bay, "Wpm d, t aQOaae, madisoe, shommo, waotsispss _ Ceti Gust 2 (circle numiber)� NOTE: pale reserve the right to ve- distributs Plans to 1 ing 9 party f up another allies if needed to reasonably belanw X Mail plans to customer 1,1I QWX%VCXX uIrnaround times. 'Reims to customer number from below 3. Complete the WNW&" d rAdwgenating information. WNW lira Cheek boxes wines de$IWW, owner Of ner(tas/brg pww is tins sales 10 avoid repeating kdor ation. Designer Information (Customer 1) commerce Otter Please Specify (Customer 21 _ Commerce '111556 FEATHERSTONE Lost '242514 C Number F7 1 OI�t WIENER Last o ust~ Number Company Name Company Ahrens FEATHERSTONE EXCAVATING, INC. CARDINAL BUILDERS, INC. A lft OX 467 VTNAYWARD AVE. NO, #100 State ZP+ {0digits) cl stame 2Ip►4 (9ft b) coy HUDSON, Wl 54016 8AKDALE, MN 55128 !t-% -�J 0ft386 5 rraemet ' re� YMt ' 65' -711M o" omm Ctreck oft" it applicable Chock clhera V applicable ( ) Oamer ( ) 4. Infomatlon and Plan SLbmitlMi Checklists. POWTS sdwdtAng is not available. Plans will be assigned to a reviewer Oiler receipt of plans. If you select a speaflo office your estenaW oompletion date may be conskknk ly greater than what would be possible in another office. Submittals rep mN*d without a speck office indicated on the form may be assigned to offices other than the nmhaV office depending on reviewer availabiGty. Submittal cheddists can be found in each appiicabte component martual. You nay emai technical coda questionsto ma3rce.ebta-vA.us. Madh= S&BD Hayward Mao LaCrosse 9481). Shawano WO Gruen a" S3BD Wisidwsta S&SID 201 W Washington Ave 10541N Ranch Rd - 4003 N Kinney 1340 E Green Bay 2331 San Luis Filets 141 NW Barstow St PO Box 7162 Haywwd vw 54843 Coulee Rd Shawano WI 54166 Green Bay, vvi 54304 4" Floor Matism " 53707 -7162 71545344870 LaCrosse 1M 54801- 71x524 3826 920- 182 -b601 Waukesha W 53185- 608-286-3151 Fax 71545344160 1831 Fax 715524 -3638 FAX: 920-492-5804 3789 .Fax: WO-267-OW Erred: 608- 785 -9334 Email: Email: PlanSd*xkde® 262448-MW TOO 608. 264-8777 Plan8cheduied? Fax 608- 785 -9330 PlanSctreduleQ cotrrnercestate.wims Fax: 262315.8614 Emat: Plan$dwduie@ owwrieme.state.wims Email: comlreroe.state.wLus Email: Piansdw&ds@ commerce.state.wims PlanSchedulei§ commeree•sbie wi•us conmrernx.state.wF.ua MME CHECKS PAYABLE TO DEPT OF COMMERCE TOTIl. AMOUNT DUE $ 175.00 Mitch check here Ravbvii Coda 7i38 Sso -1oa ? (R.1 VAN) THIS FORM 4 VALID ONLY FROM 011G1MN to 0101"? FOR THE MOST CURRENT APPL)CAW N, CHECK OUR WEBSITE AT www. commemx .nab.sd.uwSSISS- OWFomWPOWrS /A W T • T w ui ° $�o 8888$ oa ogro 8 8 $ ,p 8 •o °8 z 8 9 ; M N h A `�� yg�' •g h UM M p v' w im pgy b A I l ti � CL i s o G s ° EF a m. s. 1 E 9 OI 1 1 0 q 1 s g O� E `r� g m ; § $ E ° z a .' s _ _ to l � IL g � a 1 1' •x n o _ m s a .. �g � � " ,��` °� � � •:� of � � �� $rn x �' 13 SS l � ' xew'9�13anIne IVN1(RIVO �( ! T ' 5 I \ S . ft ta ' I rn j e IL / I Y / �~ ®r i o •® 5 50 -4-4 -4 -4 -+ -+ rrl P299MUM (A x� t6 tw A �9 m i1�Q a _�� d1N11 4D g 2 a6�S �► Mpg E ft In A zm� Na 'O z m A S 044 14" W r 1 Wisconsin Department of Coerce �V N REPORT page I of 3 Division of Safety and Buildings in a rdanog�oComr1 85, Wis. Adm Code U County St. Croix Attach complete site plan on`Oser n 8 V2 x 11 inches in ?95lan st include, but not limited to: vertica reftfirCR - t BM), direction nd Parcel I.D. e " percent slope, scale or dimensions, n rd to n rest road. Please print all information. CPF /CE �V� D personal information you provide may be used for secondary purposes (Privacy Law, s. .04(11)(m)). L ` tJ Property Owner Property Location Bret Norman of SE 1/4 SE 114 S 19 T 28 N R 19 E (or© Property Owner's Mailing Address of # Block # Subd. Name or CSM# 794 Willford Road 19 Trebus Valley Estates City State Zip Code Phone Number ❑ Village OTown Nearest Road Hudson WI 1 54016 ( ) County Trk F New Construction UseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement ❑ Public or commercial - Describe: Parent material Loess over glacial till Flood Plain elevation if applicable _ General comments This site is suitable for a conventional system --- Mot�0 - 7 &4 and recommendations: �j '! d with pockets of is 7.5yr4/4, Osg W a Boring # ❑ Boring Q Pit Ground surface elev. 90.60 ft. Depth to limiting factor X90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eif#1 I 'Eff#2 1 0-10 10yr3 /2 sil 2msbk mfr cw 2f .6 .8 2 10 -19 10 4/4 sil 2msbk mfr cw if .6 .8 3 _ 19-11 _ siel lmsbk mfr cw - .2 •3 4 31 -61 7.5yr4/4 sl O mfi c - .2 .6 5 61 - 90 7.5yr4/3 vfs Om mfi - - .2 .5 ❑ 2 Boring # ❑ Boring 89.35 >90 Q pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0 -12 10yr3 /2 A 2msbk mfr cw 2f .6 .8 2 12 -21 1 4/4 sil 2m mfr cw If •6 .8 3 21 -27 7.5yr4/4 sl Om mfi cw _ 2 6 4 27-39- -- 7.5yr4/4 — — _— �_.- - - 9s - CW - 7 1.6 39 -69 7.5yr4/4 Om mfi cw _ F.7 .6 6 69 -90 7.5yr5/4 s Osg ml - - 1.6 ` Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg& CST Name (Please Print) Signature CST Number Thomas C Nelson �`-" 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 8/3/05 715 -246 -2454 rmr. min mnn w'., Property Owner Norman Parcel ID # Pending page 2 of 3 Boring # L] Boring 81.00 >90 F] 0 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 - sil 2msbk mfr cw 2f .6 .8 2 10 -19 1 10 4/4 - sil 2msbk mfr cw 2f .6 .8 3 19 -36 10 _ sicl Ims§k mfi cw _ .2 .3 4 -48 7.5yr4/ - * mfi cw - .2 .6 5 - 7.5yr4/4 _ sl lmsb mfr - - .4 .6 F-1 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 GPD/fr= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring It Boring Ground Pit roun surface l ft Depth t limiting factor in ace eev. . epo mng ac. Soil AplAication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 rrglL. and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg& and TSS < 30 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, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. san- Mures[ M07/00) • i Bret N $ca1s 1 „ a U l Lot 19 Trebus Val ley estates BM1 Top of iron pipe 100.00' i3M2 Top of iron pipe 94.66' 6190.60' 0299.35 8381.00 N ort 1� r �r t 43 ,� t C � k -40 a $ SOL/J A V I r go AO �1 t Thomas N wn 227587 • � 3 r� �i�Nw�aE t LOT 140146 S.F. 3.22 Ac. I„ � L „ a 4m w IA L04rt8 ISO. u_ — 44 S.F. � h '�b• � ,:; 2.40 Ac M.F.E. 908 y 1 SEA SHEET LOT 19 a 1 1 133859 S.F. w� \ - f 3.07+c --- --- _..� ._.. f4 """ F. -- � � I � 1 i j LOT 20 I $ J 435187 S.F. 6 . s 9.99 Ac. "' 4 • r v //J C �� / (j J U ,� / � i _ '� / � y ",. v , �� 0 v � i' ��