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HomeMy WebLinkAbout040-1308-00-151 7Safety sin [:epartmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix nd Bui lding Division INSPECTION REPORT Sanitary Permit No: ri 499233 v o l 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: Croix Homes, Inc. I Troy, Town of 040 - 1308 -00 -151 CST BM Elev: Insp. BM Elev: 7BM Description: Section/Town /Range /Map No: q 4s1 BIM #�- ( 24.28.20.1970 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER _ CAPACITY STATION BS HI FS ELEV. Ln z Septic Benchmark Z / Z. �JC� 7, D.S r- �'Ob,S � 8 ' Desiny p Alt. BM 1 (" - I l , P . I o �, 5 Z 5 F� r. ;S�sVt Gla t : r W4 a j �r F T3 -17, o Aeration Bldg. Sewer _.- --- - -- S ? 5 , y Holding St/Ht Inlet 5.�0 X95 . d TANK SETBACK INFORMATION St/Ht Outlet (0 2� 95 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic i � 1 i Dt Bottom — Z / /V� Zo' 7 4Z -- �. Dosing Header /Man. - 7. ZO Aeration Dist. Pipe 7 $Y � �3. 62 Holding Bot. System g 9 Z g9 Z PUMP /SIPHON INFORMATION Final Grade S, oZ qc/5 - 1 7 Manufacturer Demand St Cover � 2 ' / q C� GPM Model Number � r , TDH Lift Friction Loss System Head TDH Ft Forcemain Le Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width 1 1-ength 7 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufactur � INFORMATION CHAMBER OR T Of System ' n / Y e UNIT Model Number � o Y -l)G_- 13 i yz ) /� ; ,n�2 t � � DISTRIBUTION SYSTEM 5o04 Header /Manifold , Distribution x Hole Size x Hole Spacing Vent to r In ke // 1 Pipe(s) Length (O Dia 7 Length Dia ` Spacing e 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 \Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 310 Lindsay Road Hudson, WI 54016 (SE 1/4 SE 1/4 24 T28N I R20W) Troy Village 6th Addition Lot 151 Parcel No: 24.28.20.1970 1.) Alt BM Description = t[- � COJ �� `� �0' -'�5 d ✓,_ 2.) Bldg sewer length = 26 t - amount of cover = i Plan revision Required? Yes No I L v I / _ "93 7 S Use other side for additional information. Date Insepctor' Signatu Cert. 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 53 707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)266 -3151 Z 1 � 1 7 2-3 Sanitary Permit Application State Plan I.D. Number N a In accord with Comm 83.21, Wis. Adm. Code, personal information you sect Address (if different than mailing address) may be used for secondary purposes I rivacy Law s15.04(1 m) I. Application Information - Pies se int All Infor atio 310 Lindsay Road Property Owner's Name Parcel #: Pending Block # DEC 0 5 2006 040- 1308 -00 -15 lot 151 Na Croix Homes Inc. Property Owner's Mailing Address ST. CROIX COUNTY Property Location 625 Commerce Dr. Slut 116 SE '/4, SESE t /4, Section City, State Zip Code Phone Number Hudson, WI 54016 715) 381 -9896 T 28 N; R 20 W( o H. Type of Building (check all that apply) p�- oe a f,' Subdivision Name CSM Number ❑ I or 2 Family Dwelling - Number of Bedrooms 4 ❑ Public/Commercial - Describe Use AA TTO Village, 6 Addition El State Owned - Describe Use 7 �1 �'f a✓ZZ C�a ❑City_ ❑Village ❑XTownsh;p of Ttoy III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑X New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System g• ❑ Permit Renewal ❑X Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number an d Date Issued y 59 Z r Before Expiration Plumber Owner - - � , l � 3 O _ ✓, IV. Type of POWTS S stem: Check ail that a t e- ❑X Non - Pressurized In- Ground ❑ 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 ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Disp ersal/Treatment Area Information: Forty Six 46 "Quick 4" Infiltrator Chambers at 19,1 sq. ft. EISA/chamber + 2 Pr end caps = 890.20 sq. ft. EISA Design Flow (gpd) Design Soil Application Rate( f) Dispersal Area Required (sf) Dispersal Area Proposed (sf) I System Elevation 600 gpd 0.7 gpd sq. ft. 857.15 sq R 890.20 sq ft EISA af- ev ✓ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass N e w Tanks nks Tanks Septic or Holding Tank 1,250 _ 1,250 1 Wieser Concrete X Aerobic Treatment Unit Dosing Chamber VII. Responsibility Stat ent I, the u dersigned, assume res ty for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signs MP/MPRS Number Business Phone Number James K. Thompson _ MPRS #30021 (715) 248 -7767 Plumber's Address (Street, City, S e, Zip Code 340 Paulson Lake Lanf, Osceola, WI 54020 VIII. C oun /De artment Use Only suing Ag Approved ❑ T Sanitary Permit Fee (includes ignature (No Groundwater Surcharge Fee) �r r Given Reason for ial IX. Conditions of Approval/Reasons for Disapproval SYSTEM O WNE R: 1. Septic tank, effluent titter and dispersal cell must all be services / maintained as per management plan provided by pklmbar. 2. AN setback requirements must be maintained, �-L. , a c.� �.L Via , vt cf�, u par eppNcabl code l ordutal 1m. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) • /aca t:c d Argo, .Stq� O L.� / G` - `aoW fo ray 4 - 9sfSEfY Sec. 5 7.".2811, ,P zok t T.Of'T�� S�•C/'oit'��cJ� 3 n j �Vo ►"�O/OOSCC✓K7icSc,'C.onel'e� ,� �o /yLoK PL -SAS PE'f /u.�E P�eP�d 51 6ed1a�n, , P. s,odence 1 51 ,4 i find 0 / �k Jy tr'� '00 P ropo se s/ �✓; S fu�sQ! c e // �P f / at a � Z;74'16r4fa. C/ra�rrb�,"s�ot�fi 1,. Cie Y ( a l E . A COPY Scale,. /" s /0' rt S 0 9f5 EA SeC.,2 5 7."29 ,Q .zo t j v '�+ ��o�sec✓u.7;cs�rCor�e✓'e'�e /�o /yLoX /oL -S2S Pf' {/ �n 0 �re Pcsid �6edret�n► 151,4 �iS,dtnce e � � 151 , r aPL Il p i cP t l P i P�o�osec/ �oc rs�z( ce ll \ 1 j Z'17 <,Ytra ta.- clean�b�rs ,o c� fic,xd . � g2 �� d 152A Ir 56t.4. 6 A^ = 893, 97 K.AC.S. R /eN. T ov - lot! a /GN 2054 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach to site an on County comp{e p paper not less than 8'/: x t 1 inches in size. Plan must St. Croix 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. 040-13/8- , 51 Please print all information. Review y =Date Personal intonation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Croix Custom Homes, INC. Govt. Lot SE 19 SE 1/4 S 2 T 28 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name 4r CSM# 625 Commerce Drive, Suite #116 151 Troy Village, 6Th Addition City State Zip Code Phone Number J City J Village 16 Town Nearest Road Hudson WI 1 54016 1 715 - 381 -9896 Troy Lindsay Road 0 New Construction U ✓_f Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement J Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conventional dispersal cell at 0.7 gpd loading rate. Recommended trench elev. 892.00'. Boring — I Boring g 0 Pit Ground Surface elev. 896.11 ft. Depth to limiting factor >113" in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDllft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 - Eff#2 1 0 -16 10yr3/2 none stl 2msbk mfr as 2f 0.6 0.8 2 16-36 10yr4/6 none sl 1msbk mfvr cw 1vf,f 0.4 0.6 3 36 -102 10yr5/6 none s Osg dl cw - 0.7 1.6 4 102 -113 10yr5/6 none cos & gr 0 sg ml - - 0.7 1.6 r Boring # Boring 1J Pit Ground Surface elev. 895.97 ft. Depth to limiting factor > 19 " in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 "Eff#2 1 0 -14 10yr3/2 none sit 2msbk mfr as 2f 0.6 0.8 2 14 -38 10yr4/6 none sl 1 msbk mfvr cw 1 vf,f 0.4 0.6 3 38 -108 10yr5/6 none s Osg dl cw - 0.7 1.6 4 108 -119 10yr5/6 none cos & gr 0 sg ml - - 0.7 1.6 rJ Effluent #1 = BOD 30 < 220 mg/L a TSS >30 < 1 mg/L fluent #2 = BOD S30 mg /L and TSS s mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson �_ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osce , WI 54020 12/5/2006 715 - 248 -7767 ,� • so ;i a��ua�a.� P ;� Yv sk,"'9'(5 Y Sec..2 5/ '7: zoki j P�oP. -se c✓uJTes �e � SAS P�f /u Ln E / V 0 0, PL' P�epastd S/6edrmn, �is.dence • pl e % i i OL l000l r i c Proposed c(;Sp« sal cep/ 1` �. Z;7 <, /t ra fog Clue.nbh s �atr fib . j d 16 5� 562.4. 'Cle 9YJ 97Kacs /�. B. i irl � T o�O O�'�Ot� E 1cam= 89.358'a a /u� Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix i sconsin Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)266 -3151 4 T7 Z3 3 Sanitary Permit Application N Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide Project Address (if different than mailing address) may be used for secondary purposes Privacy Law, s15.04( I. Application Information — Please 310 Lindsay Road RECE IVED Property Owner's Name cel #: Pending Block # Croix Homes Inc. OCT 1 2006 040- 1308 -00 -151 lot 151 Na Property Owner's Mailing Add s Property Location 625 Commerce Dr. Suit 116 ST. C;ROI7C COUNTY SE '/4, SE '/4, Section 24 City, State c one N 7-9896 (7 / \ Hudson, WI 54016 15) 3 T 28 N; R 20 W II. Type of Building (check all that ap ) 6k a. S nti �• µ e ❑ 1 or 2 Family Dwelling — Number of Bedroo 4 J Subdivision Name CSM Number ❑ Public /Commercial — Describe Use Troy Vill e, 6 Addition ❑ State Owned — Describe Use ❑City ❑Village ❑XTownship of Troy III. Type of Permit: (Check only one box on line Completeyfie B if applicable) A. ❑ New S stem ❑ Replacement System eaten olding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Ch of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plu er Owner 6 " IV. Type of POWTS System: Check all that apply1f X 61i, . . ❑X Non — Pressurized In - Ground ❑ Mound > 24 in. suitable soil ound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland Pressurized In- Ground ❑ olding Tank ❑ Peat 'ter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter aching e ❑ vel-less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Informatio Six "Quick 4" Infil at or bens at 19.1 sq. ft. EISA/chamber + 2 pr end caps = 890.20 sq. ft. EISA Design Flow (gpd) Design Soil Application Required Dispersal Area Proposed (sf) System Elevation 600 gpd 0.7 gpd sq. . / 857.15 sq ft / 890.20 sq ft EISA VI. Tank Info Capacity in Total Number Manufacture Prefab Site Steel Fiber Plastic Gallons Gallons of Units /� Concrete Constructed Glass T� T� g w T'a 1b Ec PL F`1 Septic or Holding Tank 1,250 _ 1,250 1 Wieser Concrete X Aerobic Treatment Unit Dosing Chamber VII. Responsibility Staterne4_1 the unde igne assume res ili installation of the POWTS own on the attached plans. Plumber's Name (Print) umber's S' ature MP RS Number Business Phone Number James K. Thompson I I MP R #30021 (715) 248 -7767 Plumber's Address (Street, City, japeZip Code) 340 Paulson Lake Lanef0sceola, WI 54020 VIII. County/Department Ilse Only Approved ❑ � yen Sanitary Perm it Fee (includes Date Issued Groundwater Su charge Fee) ❑ or Denial 6 (� IX. Conditions of Approval/Reasons for Disapproval SYS ` Q�`��/UeJe�o(�eti 47p Supp� ne ti J �ov�6w n�-� Ow and 1 Seplic dispersal) cell effluent all be services / mainteined W i o «1.ns� y �Ma w" , A cs2 D a as per management plan provided by plumber. I 2. All sWow* requirements must be muntained as per applicable code / a'dfnenaa. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) .�iiJCJSey �o ca/e,, ..� 'c�_ W /1SO�TSD Canbi:,a�in e6llusn6 4/z C P�ePastd 5/6edra�.�, ist A m will / I� 04 i// / oe v / {� / P r0 SeG✓G�iS r sat CE // at 3'X z� <.Ytr-YA�� Cl,senb�rs ,oc� fib COPY 162A 56s.0. E/e . = 6,?J 07K .1 C5: e I4k ! &. 8. ; off' /off 0,05-- - • /oca�e ..SiS2� 0 s o -0y, Sec. y, - 2S I p'!O- /.308 - op /S a � 3 � c�_ W�1Sb /7SO C'onGin¢�i'in C P�ePased S/6ed�ron, 1s1,4 - / 16 o i > p v r / / t P�e cep/ at 3'x Fsi'•v.t� 23 `QuI'rX - y' . R� i , O A Tq <, %try ��' Clra nb�rs �t� &arrg . d 1L� 162 A e: 7 o/�se� 5 893, g7Kae2s e ler. SS'a s. G.A e %A SOIL EVALUATION REPORT Page_ of Wisconsin i Wisconsin Department of Commerce i Division of Safety and Buildings i In accordance with Comm 85, Wis. Adm. Code l ST. C 1 I Attach complete site plan on paper not bas than 8 1/2 x 1 1 I hes In fy E p include, but not limited to: verllcal end horizontal reference nt (8M , r cn sn P I.D. l percent slope, scale or dimensions, north arrow. and location and distance to neatest road. I°ENOI pate Please print nf all Information 2 9 2003 v by '• Personal Information you provide may be used for secondary 0"(Pos (I Law. 1. 15.04 (i) Imll I On Property Owner 10 ING OFFIC 1 /0 5 T �j N R W SE �} CO N TI n1ENZAL OE rcl0P EM Lot a Bltxic a Subd. Name or csMa PropeM 1 Ovrner's Melling Address G� �1ab tJ I WQ f� EKZ 6T. E SutTE 100 51 Roy City Slate p Code Phone Number. (] City ❑ Village '� Town Nearest Road f L.At 55449 (76 7 -75(v$ oY LN A GPD New Construction User Resldentl ill Number of bedrooms Code derived design flow rate lv 00 _ ! C3 Repiau+menl (� Public or commercial - Oesuibe: — �- Parent nlatanal t A l - Flood Plaid elevation if applicabie ft. _�� 1 General commentsFt�tlfc5 j andrecommendatlons: Copi'4e ii no/JRL 3:M &W'0"0 0.1 t.O'Dwil I — F Bonng d9onng a pit Ground surface elev. 5 't. Depth to limiting factor �O n Hor Depth ominant D Color Redox Description Texture Structure Consistence Boundary Roots 12 i GPD/M 'Effa1 Etfa2 n. Munselt I Sz. Cont. Color Gr. Sz. Sh. i — L maw ASK at v o.S 0.'6 , SI ' 5t I Z-f-m td< ah -co t Z 7 -Ilr l � Z I j 3 b GO o y/ o' 0- fz o o S - lo - Z , 1 04 &j t S d °' Z SIgE Lv - S r � M094 WAN 5 t i a Boring © Sonng Pit Ground surface etev. �-_ ft. Depth to Ilmltlng tailor _ .n, Scll licaUa1 Rate Horizon Depth Dominant Col Redox Description `exture Structure Consistence Boundary Roots GPDffP in. 1 Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Effa1 *E"2 d 0.1 0 $ ! Z .zy 3 - 511 d h zvf -rtn . s 0. 3 S J c5 t y — I 5 p cs — - I 1 s 44 to R 5 / — a 5 W 0 c, — 1 aWo ' Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 150 mglL ' Effluent #2 a SOD _ 30 rng/L and TSS <_ 30 rngft Number CST Name (Please Print) Signature CST ± � Nl S4 H O L L ST E - 2Z 83Z Address Date Evaluation Conducted Telephone Number 1 W9V5 64o ~ E F As, Nzb AVE. p.1utlu - I1 5`�02Z 0 '50 -c3 ��15 -��75 I pf �OPERfYowwl! C � J Z jH E - - LEaW' ® -5G11. ROBING W/ I)Kn'G'- F 1 ,N1 AL N 1 � 5 � 3 `�opQ O " y, B151A LEV •' 81516 ELE ® r 152 898- ' w 8152A LEV• V 541 81528 ELEV . 8g Iq -� i r C G.Oi 15�� (P�n - — Property Owner _�T1t��3TflL OE ��PMeJt1T Parcel ID # Page � � I Boring Co►CP•� t n is 2 ❑ g �� p r, T21 Boring # X 97. q _ Pit Ground surface elev. _— ft. Depth to limiting factor Q ! n• Soil Applicaton Rate i v Horizon EDominant Color Redox Description I Texture Structure Consistence Boundary Roots GPD/ff Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EtT #1 10 s,1 - 4a.t„< d w , S 0, ' 7- - 3 1 1 -33 3/ s J.I as Z �f•n .� I z q 3 48- W K`+/ - ��3 S d- s -7 Z r ! Y ta 04- r S13 i 17 11 ❑ Boring # Boring ❑ Pit Ground surface elev. !�_— ft. Depth to limiting factor __ in• I Soil Ao liration Rate <: Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOfff � I in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 Ef( #2 t i 1 z ❑ ❑ Boring ng # Ground surface elev. _ ft. Depth to limiting factor .... in. ❑ pit Soil Application Rate Horizon Depth Dominant Colori Redox Description Texture Structure Consistence Boundary Roots GPO/ff in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'tff#1 'Eft#2 Effluent #1 = BOO, > 30 < 220 mg/L and TSS >30 < mg 150 /L ' Effluent #2 = BOD < 30 mg/L and TSS 130 mglL _ y I 'rhe 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. y , S9D•8330 (N.6/00) - i 1 1 h r i dir rr LEGrND: l �� y0 � t'ROPEM OWNU: Ca T Coe 3M- • -� 0 F I' ' ._ ) PES A 755CRIPTION LIT I 51 TROY V it x CA — qp — ST w C P rd ug T WAI QF T1 W) <cr CXQ 4u..:Sy pbEp 0 '0 g -501L i MNG W/ 3P qa NO COMM 83 5cTACK PPOPaM5 The site \Nas u'raded after soil cvaluolions �ccre completed Iscc pa;zc kith final tirade Cievations). n Scstem ctcvtitio. should not be ailected_ but L T depth below _Tadc ill nccd to be determined based on the amount cut or till 11\1 15 1 N elevations should pace ICim ned constant. pp' y. B 151 A O ff, LEV. 898.5 Oj ` -- - B151B ELEV. $98.2 f / ELEV. s ss � 2s, B152A LEV. 897.9 wry ELEV. 893.58 51GNW C5T IJ I C C I � • I I � � I �u Ta � W Li o V C OW N d� o A MvE �. a S ®0 j `o � m ��Irr � f " z O oIw. a .� C ° > ®!!10 0 .- '•�q W (® Odr i ag■ V < ' ago O M aus Z ®fir a- � � y u h U N E Al y V , C _ d O � I Croix Custom Homes 4 bedroom Dose Conventional Pump Chamber Calculations 1. Force Main: Diameter 2 Length 40' Flow rate 39.00 alg /min. Friction loss 1.03' (40')(2.58ft./104ft.) =1.032 ft. 2. Total dynamic head: Min. supply pressure 0.00' Vertical lift 6.00' friction loss 1.03' Total dynamic head = 7.03' 3. Pump selection: Manufacturer. Zoeller Model number: BN 53 Pump will discharge approx. 39.0 gpm @ 7.03' TDH 4. Dose Volume: 5 (Design wastewater flow = 600 gpd )(20 %) = 125 gallons per dose S. Dose chamber: Manufacturer & capacity: Wieser WLP 1250/750 MR Combination ST/PC Liquid depth: 47.00" Q 16.12..gal. /inch ( 757.64 gal. actual) Sizing: A) One day holding capacity: 25.50" = 410.98 gal. B) Alarm setting: 2.00" = 33.52 al. C) Dose volume: 7.50" = 120.98 gal. (450ga1.x20 Design flow) + (A 64x40) = 96.56 gal. Max. Dose D) Reserve storage: 12.00" = 193.44 gal. TOTAL 47.00" = 757.64 gal. Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ---� Comm 16.28 WAC 8 Disconnect 4 in. min. Tank component is properly vented E— Alternate outlet location Forcemain diameter Wieser W1250/75OM Manufacturer 2 in. Ca aci 757.64 Gallons Volume 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 25.50 410.98 2.00 32.24 C P�um�off elevation (ft) C 7.50 120.98 890.00 D 12.00 193.44 D Total 1 47.00 757.64 Dose tank elevation (ft) 3" Bedding un er tank. 889.00 Alarm Manuafacturer LevelArm_ Alarm Model Number I DLV — � Pump Manufacturer jZoeller Pump Model Number I BN53 I� Of Of TOTAL DYNAMIC HEAD /FLOW W w PER MINUTE i U- PUMP PERFORMANCE CURVE MODELS 53/55/57/59 EFFLUENTAND DEWATERING s 20 MODEL 53/55/57/59 i Feet Meters Gal. Liters 15 5 1.5 43 163 r 4 10 3.0 34 129 o 10 15 4.6 19 72 Shut -oft Head: 19.25 ft.(5.9m) 006967 2 5 3118 83118 a 5M 1 12 -11 12 WIT 0 � 0 20 30 to 50 37 /8 GALLONS ' LITERS 0 80 160 �l� FLOW PER MINUTE 3g y7p�y ¢ oli 3�G ' °"" ® 4 CONSULT FACTORY ! ! I I FOR SPECIAL APPLICATIONS • Variable level float switches available. • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. • Alarm systems available. 101/16 I I • Duplex systems available. i i 3 3132 i _J_ SK856 Singl SOW Control Selection Us NY SELECTION GUIDE Model Volts Phew Mode Am Sim ax Duplex CSA 1. Integral float operated mechanical switch, no external control required. M53155 & U57/59 115 1 Auto 9.7 1 - -- Y 2. Single piggyback variable level float switch or double piggyback variable level N5365 8 N57/59 115 1 Non 9.7 2 3 or 4 & 5 Y float switch. Refer to FM0477. BN53 115 1 Auto 9.7 -- Y BN57 115 1 Auto 9.7 - -- N 3. Mechanical alternator 'M-Pak' 100072 or 10-0075. ' BE5Y57 230 1 Auto 4.8 __ Y 4. See FM0712 for correct model of Electrical Alternator. D53M & D57M 1 230 1 1 1 Auto a.8 1 _ y y 5. Variable level control switch 10 -0225 used as a control activator, with Electrical E53r55 8 E57159 230 1 Non 1 4.8 1 2 _ 1-4&5 Y Y Alternator (3) or (4) float system. • Singe piggyback switch included. ♦ c unoN For informalion on additional Zoelerproducts refer tocatalog on Piggyback Variable Level FloatSwitches, FM0477; All installation of controls, protection devices and wiring should be done by a qualified Bec"Alternator, FMO486; Mechanical Aternator, FMO495, Sump/Sewage Basins, IM0487, and Single Pt" licensed electrician. All electrical and safety codes should be followed including the Simplex Pimp CanlroUAfartn Systems, FM0732. most 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 T0: P.O. Box 16347 ` Louisville, KY 402580347 Manufacturersof,. SHIP T0: 3649 Cane Run Road O ® ��If��s�/V• Louisvl8e, KY 4f 211 -1951 �irrPLW" SNCE smq (502) 778.2731. 1(800) 928PUMP htrp:1/www.zoetlercom PUMP !O_ FAX 502 774 0 Copyright 2004 Zoeller Co. All rights reserved. Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01 /01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(l)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are 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 filter shall be serviced if the alarm is activated. Septic tank manholes 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 the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October- March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 3864680. f ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /EWM ('i/oi,/ C &.0", /, rte s Mailing Address G,Z 6 e°""n°^iu 41'1'11c, 5cA.i�c Property Address -? /'0 �;, ds lgv eat d Ll�_ (Verification require from Planning & Zoning Department for new construction.) City /State 14e U VV�7, CI-9/ Parcel Identification Number O - 1,3o,? ck�9 " /s/ LEGAL DESCRIPTION Property Location S c 1/ , SE t/ , Sec. Z T -2 8 N R - W, Town of T osi Subdivision 7 // llaY9 e. 4, bl a ale/ t6 o,-7 , Lot # / 5 Certified Survey Map # , Volume , Page # '- Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) io N .................... \ \ \ \ \\IIII / /�,�� ap ..................... 74 O cmc g— �j \ w 3 W io co 3 / "Cb 'lam 1 / A . - I / JS 3/1 �!D 3V/ 7 1SY3 Eno .00'9 \ It. JI � U / / 1 00'SL l • • � U CIq r- Ir If L0 m cn n 1� �: — L T / N W W 1 r A \ ` \ , � _ - � \ amm gr ovi d hi• � � . \ 8 � Z n o ion 10 ` 46- 1 / \ 3 : E3 3 6 9 6 7 STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX Co., W Document Number RECEIVED FOR RECORD This Deed, made between Troy Development Corpor 10/19/2006 10:36AN WARRANTY DEED - EXEMPT • Grantor, Croix Custom Homes Inc. REC FEE: 11.00 and TRANS FEE: 389.70 COPY FEE: _ CC FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: R� Lot 151 of the Plat of Troy Village 6th Addition in the Town - - - - -- to _ __,_. _. ____. _ ._- .----- _- -, - -._ of Troy; St. Croix County, Wisconsin Name and Return Address .�roix Custom , Subject to the Declaration of Covenants, Conditions and Restrictions 6t7 �I6'� &�lI nb1 for Troy Village, recorded in Vol. 1241, Page 256, as Doc. No. 559964, H d `� �O . Ste. ?O1 and the Declaration of Golf Course Covenants, Conditions and Easements, P.O. Box 149 recorded in Vol. 1241, Page 301, as Doc. No. 559969, all as appearing Hudson, WI 54016 -0149 in the office of the Register of Deeds for St. Croix County, Wisconsin, and such other easements, restrictions and reservations of record, or in use, and the " Buyer" obligations and conditions contained in 040 - 1308 -00 -151 the Purchase Agreemeflt for this lot and any addendum thereto between Parcef ide^""oati«, Number (P I N) Grantor and Grantee herein, Which incl without 1 i mi tati on, This i S not homestead property. requirements for approval of plans by an Architectural Review (is) (is not) Cw0 ttee, approval of home bui l der by Grantor, compliance with Grantor's approved builder requirements, payment of the Developer Service Fee and camencenent of construction deadlines together with related rights of redemption, all of which shall survive closing and conveyance of this property and shall be binding upon Grandee, and his /her /their successors and assigns. Exceptions to warranties: Dated this 16th day of October 2006 s: (SEAL) (SEAL) �f _ Richard Halup , ice President Troy Development Corporation (SEAL) (SEAL) w: AUTHENTICATION ACKNOWLEDGMENT Minnesota ' Signature (s) State of AV01D00KXW, ` ss. Anoka I � authenticated this day of Personally came before me this Co 6 th day of ttI October 2006 t h e above named Richard Haluptzolc Vice PreSidmt Troy Development Corporation a TITLE: MEMBER STATE BAR OF WISCONSIN (If not, me known to be the person who executed the foregoing authorized by 5706.06. Wis. 5tats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY i ' a Troy Development Corporation David F. Lamers Notary Public, State of 9VQ261biSifaC Mi nnesota Charles S. Cook, President My commission is permanent (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not January 31 2009 ) i necessary.) _y h� pr in t ed LAMES • Names of perstms signing In an ca must be or red below their s - him. DAVID F i STATE EAR o. WISCO Logo] Blank ee, oV4ARRANTY DEED is FORM No. 2 - 198a OIDfANY��'� � „,� Idarvaukee, W is . ,