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f OOf 3� d 1 0 CD �• r.`I. CD \ 1 m C C/) CD C N 0 n M C CD N 0 O w Ot A • < < . O' < < . p a 7 N O` d 7 7 y CND = C 7 ,C •�' ^ 90 M a0 CD c c 0) OL m c d � W Q 3 3 v O c CA G CA cn z cn z D to z to z D o (D cQ D c& D �' m m' D co D 'n Q 3 ° ° = 3 ° Q o rn I O O CL O O cn v o 4 D o m !` n r N N N U ° w ° w ai 3 0 Q z Oro Z o cn C/) - o ° (n (n v — N Il i < z N N N N ld N ti w l D ._. Tcv O O O O --1 f� A .�. y ( V = a a 0. d � N N CA Q Q m .. z z O O =� =h co CD O O O ° c CD 3 CD o Q CD m 0 I c c 3 La w m' o Q 3 Q 3 8 -i N O O = C Z n A 9 oi CD A G o CC N U1 W < CO m z o" ; cn� N z I w CD a p y 0 W ' CD A Q co d p v O W ' CD O O a o. co a O N'O A 7 N O N Q �.R w� o 3 w 3 �•'� w- ( p �� 'm.a m . CD CD �. CD m 7. N •+ CD Q . y Q 7 T O Q. Cn RI m O QUO rn m Q? C 0= m �' x z m �'� �' X z o. �' Ol 0 * C.) m fD � N 7' N n � w � M Cn << j m 'y0 3 O m O CA rn 3 O rn N V O O- •O 'p C, m y J CL cn CD ad o (n CD 3 oCD 3v 3 3 �� �� �e CD CL CL Q o -4 Q c Q o �,— Qm X c ° ° <� CD Q Q ooa <� Q • ° = i N w p c m a CD c CD rA 0 c CD N p .O. O °• Qo °' +• p O O CD N �Q A O O* O O? N A O O O i. O 6 n ti r Wisconsr.4 t3 rtmeptofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix S and Building D t ision INSPECTION REPORT Sanitary Permit 0 N 430129 'Ill GENERAL INFOR*ATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). &MW Permit Holders Name: City Village X Township Parcel Tax No: Delander, Jamie __ Warren Township Z U — $5 - p CST BM Elev: Insp. BM Elev: BM I Description: Sectionlrown /Range /Map No: Foe , '7 rte,• s 6 rtwt 1 Tyr- q� 25.29 18. 3 , t3l a TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark o. o r� • � � � 0 Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt INoi Septic �.s 70 ; y;n Dt o Q / rs D 8} S.D�t Dosing , 7 Header /Man �- �- C Aeration Dist. Pipe 3 �c•c C.a���1S G . "T �� •/5 Holding Bot. System f 7. 7V 1 S — C C) S S S -r. 3 ? 5z Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover .- v_v GPM or Model Number 2�, ( ( o( t � ( �C3 0 1 ( c7 TDH Lift Friction Loss System Head TDH Ft 3,2 0-7�. 0 7 Forcemain Length Dia. Dist. to Well , 2 y L ,,, 9 )- - (3, M 2.85 I ce— 6 SOIL ABSORPTION SYSTEM br +� �•_� oz : K J =�- BED/TRENCH Width ength No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS L - C� f- CE, SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHI M d urer: INFORMATION _ CHAMBER Type Of System: ,- r 2 tL .`� Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution [, fv e x Hole Size x Hole Spacing ip ^? Vent to Air Intake Pipe(s) �• 5 f R 7(• c( �; Length Dia Length Dia Spacing , 106 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over , Depth Over T — — Mulched of xx Seeded /Sodded Mulched Bed/Trench Center �„ Bed/Trench Edges Topsoil Yes 0 No Yes [Eg No CO M NTS• Includ d I regencies, persons present, etc.) Inspection #1: D Inspection #2: /d / / S / Location: 705 140th St Roberts, WI 54023 (SW 1/4 SW 1/4 25 T29N R1 8W) NA Lot 1 �) Parcel No: 25.29.18. 1.) Alt BM Description 2.) Bldg sewer length amount of cover = T '�2 _ r tea ,_' E.&UL S so Plan revision Required? Yes E] No o si w de �fp�� additio al i for atjon. I __ �_ _____ _ ____ ___ _____ -6710 (R.3/97) �� Insepctoes Signature Cert. No. ,r SAFETY _ WARNING - Risk of electric shock. This pump is SAFETY GUIDELINES supplied with a grounding conductor and /or grounding 1. Read all instructions and safety guidelines type attachment plug. To reduce the risk of electric thoroughly. Failure to follow the guidelines and the shock, be certain that it is connected to a properly instructions could result in serious bodily injury grounded grounding type receptacle. and /or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR Your 115V effluent pump is equipped with a 3 -prong EXPLOSIVE FLUIDS SUCH AS GASOLINE, electrical plug. The third prong is to ground the pump to FUEL OIL, KEROSENE, ETC. DO NOT USE IN prevent possible electrical shock hazard. Do not remove EXPLOSIVE ATMOSPHERES OR HAZARDOUS the third prong from the plug. A separate branch circuit is LOCATIONS AS CLASSIFIED BY NEC, recommended. Do not use an extension cord. ANSI /NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJURY When a pump is in a basin, etc. do not touch motor, pipes AND /OR PROPERTY DAMAGE. or water until unit is unplugged or shut off. If your installation has water or moisture present, donottouchwet 3. During normal operation the pump is immersed in area until all power has been turned off. If shut -off box is water. Also, during rain storms, water may be not accessible, call the electriccompany to shutoff service present in the surrounding area of the pump. to the house, or call your local fire department for Caution must be used to prevent bodily injury when working near the pump: instructions. Failureto follow this warning can resultin fatal electrical shock. a. The plug must be removed from the receptacle The flexible PVC jacketed cord assembly mounted to the prior to touching, servicing or repairing the pump. pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice b. To minimize possible fatal electrical shock hazard, between the pump and the control panel must be made extreme care should be used when changing within a junction boxand mounted outside of the basin, and fuses. Do not stand in water while changing fuses comply with the National Electrical Code. Do not use the or insert your finger into the fuse socket. power cord for lifting the pump. 4. Do not run the pump in a dry basin. If the pump is The pump motor is equipped with an automatic resetting run in a dry basin, the surface temperature of the thermal projector and may restart unexpectedly. Projector pump will rise to a high level. This high level could tipping is an indication of motor overloading as a result of cause skin burns if the pump is touched and will operating the pump at low heads (low discharge restriction), cause serious damage to your pump. excessivelyhigh orlowvoltage, inadequate wiring, incorrect 5. Do not oil the motor. The pump housing is sealed. motor connections, or a defective motor or pump. A high grade dielectric oil devoid of water has FLOW- LITERS /MINUTE been put into the motor housing at the factory. Use o 80 160 zoo 320 of other oil could cause serious electric shock 60 and /or permanent damage to the pump. 15.0 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum 40 12 5 motor heat transfer and lifetime lubrication of the �- bearings. Use of any other lubricant could cause W 30 10 damage and void the warranty. This lubricant is non - toxic; however, if it escapes the motor housing, it should be removed from the surface Q 20 s Q quickly by placing newspapers or other absorbent w Q material on the water surface to soak it up, so = aquatic life is undisturbed. 10 2.5 7. In any installation where property damage and /or personal injury might result from an inoperative or 0 0 leaking pump due to power outages, discharge 0 20 40 60 eo 100 line blockage, or any other reason, a backup FLOW- GALL ❑NS /MINUTE system(s) and /or alarm should be used. PUMP PERFORMANCE CURVE 115V 60HZ 3 t INSTALLATION Pump must be installed in a suitable gas tight basin which REMOTE FLOAT SWITCH is at least 18" in diameter and 24" deep, and vented in LEVEL CONTROL accordance with local plumbing codes. The RFS series pumps are equipped with a remote float Pump features a 1%Z' female NPT discharge. NOTE: DO switch level control. This level control is sealed in a NOT OVERTIGHTEN DISCHARGE PIPE INTO PUMP polypropylene float cylinder. For automatic operation, the VOLUTE DISCHARGE. pump must be plugged or wired into a remote float switch. Pump can be installed with ABS, PVC, polyethylene or Pump will run continuously if plugged directly into an galvanized steel pipe. Proper adapters are required to electrical outlet. connect plastic pipe to pump. When the level rises in the basin, the cylinder floats up with Pump must be placed on a hard level surface. Never place the level. When the cylinder position is at an angle of about pump directly on clay, earth or gravel surfaces. 45 degrees, the switch activates and startsthe pump motor. A check valve must be used in the discharge line to prevent As the level draws down, the cylinder floats down and back flow of liquid into the basin. The check valve should when it is again at an angle of about 45 degrees, the switch be a free flow valve that will easily pass solids. deactivates, and the pump motor stops. CAUTION: For best performance of check valves, when NOTE: BE CERTAIN PUMP IS SECURE IN BASIN AND handling solids install in a horizontal position or at angle of CYLINDER FLOATS UNOBSTRUCTED WITHOUT no more than 45 Do not install check valve in a vertical TOUCHING THE BASIN WALLS OR PLUMBING. position as solids may settle in valve and prevent opening REMOTE FLOAT SWITCH on start-up. INSTALLATION When a check valve is used drill a 3/16" hole in the 1. The float switch consists of four parts: discharge pipe approximately 1" to 2" above the pump a) switch; discharge connection and below check valve to prevent air b) cord clamp; locking of the pump. c) clamp screw. WIRING d) cable tie NOTE: If screw is lost, use a #10 -16 X 1/2" long Check local electrical and building codes before tapping screw, longer screws can crack the cover. installation. The installation must be in accordance with their regulations as well as the most recent National 2. Attach cord clamp to pump cover as shown in the Electrical Code (NEC). switch instruction manual packaged with the switch. The clamp and pump handle must be To conform to the National Electrical Code all pumps must positioned as shown to allow free operation of be wired with 14 AWG or larger wire. For runs to 250 feet float. Be sure to locate pump and switch power 14 AWG wire is sufficient. For longer runs consult a cords away from switch float. qualified electrician or the factory. 3. A 2/" tether length is recommended. When a Pump should be connected or wired to its own circuit with tether length of 2/" is used, a minimum basin no other outlets or equipment in the circuit line. Fuses and diameter of 18" is recommended. The tether circuit breaker should be of ample capacity in the electrical length is measured as shown in illustration at right. circuit. See chart below. 4. After desired tether length is established hand tighten clamp screw. H.P. VOLTAGE FUSE OR CIRCUIT 5. TESTING: Without water in basin plug BREAKER AMPS p g pump p power cord into switch in -line -plug. Plug switch 4/10 115 20 into outlet. Lift float and watch for pump to operate. 4/10 230 15 Do not run pump for more than 5 seconds. 4 Safety and Buildings Division County 201 W. Washington Ave Madison, ., er P•O. Box 7162 tir o 1 ` on, W1 53707 - 7162 Sanitary Pmit Number (to be filled in by Co.) IScOnsin (608) 266 -3151 r) f 2 1 Department of Commerce to Plan D. Number Sanitary Permit Applications t g2b`tZ p� in accord with Comm 83.21, Wis. Adm. Code, personal information you provide .� Address (if dtffereat than mailing address ) may be used for secondary poses urp Privacy Law, sI5.04(lxm) 7 14 1. Application Information - Please Print All Information Property O is Name Parcel H Lot N Bltxk a f. beLA_jSV_-6t I Property Owner's Mailing Address Property Location 5 D 2 1A) V4, Section City, S �+� t �/�, � Zip Code Phone Number Q �( circle IW 13 .5 ? �t07/� ' �7 ) T 7 N; R _ E or�J - Ti. Type of Building (check all that apply) SM Number eor 2 Family Dwelling - Number of o0 3 • f? D sr�tF ❑ Public/Commercial - Describe Use �t`'E•� 0 • Cl ge ❑Township of ❑ State Owned - Describe Use u • 111. Type of Permit: (Check only one box online A. Complete line B if applicable) A. New System ❑ Replacement System ❑ TmatmmUHolding Tank Replacement Only ❑ Other Modification to Existing System list Previous Permit Number and Date Issued B. ❑ Permit Renew Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner X1/1 Z, 1V, Type of POWTS System: Check all that aPPI ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil Irmound < 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 SyRthetic Media Filter ❑ ❑ Dd Line ❑ Gra -i P' ❑ Iain) V. Dis ersaVrreatment Area information: Design Flow (gpd) Design Soil Application te(gpd Dispersal Area Req ed sf) Dispersal Area Proposed sf) System Elevation ` • , do op 3 V° s qoo Soo ysrp 741, �, t I • Vl. Tank Info Capacity m Total Number Manufac Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass '=W Ncw Existing . Tufts Scpric or•+letdrtr6•�*� WQ Aerobic Trcarmcru Unit Dosing Chamber VII. Responsibility Statement - 1, *u-sdered, as1bW for In$t allatlon of the POWTS shown on the attached leas Plu Name (Print) MP/MPRS Number Phone Number 70 21f Z. � PILun is Address (Street, City, State, Vlll. Count /De artment Use Onl Sanitary Permit Fee includes Groundwater Date Issued lssu' ent Signature (No tamps) X Approved ❑ Disapproved Sumbarge Fee) +— 2 , ❑ Owns Given Reason for Denial � _ 1X. Conditions of Approval/Reasons for Disapproval Z� P a �jaZt t?a+.% -��, SYSTEM OWNER: p j L (S h P.Q,I�w )_oCi 1 Septic tank, effluent filter and V ( ` C _ dispersal cell must all be serviced / malntain� n I� os per management plan provided by plumber. t- w ,�, ."SRO[ •tor Co- ,u�aA` 0L_ 2. All setbsGk requirements must be maintained �S S1 fit.. ${m�E¢�1 ae per applicable code /ordinances. reC.�ti Attach complete plaw (to the County cal r on r n • ' SBD -6398 (R. 01/03) (52.Z>; .w l • 1 n�..... W wv�t..� I . CA ' 4 —C t �h t, C tsv.,A L 1, TL H -31w �n1W •.. 4v 4 " C S�•o-46.6') xt, L a4•o� 1 �� t J - o fI �R. V4 i\mY+� �e 8�s. u��n �►c� tQ �v Q o Z o I to � '� � bim C -te�•c z.zi � i 8 n ^. AZ i�f �oN l% VU L COPY � Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �sconsin www ,Nww.commerc .wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary October 03, 2003 CUST ID No. 139462 ATTN: POWTS Inspector TODD L SINZ ZONING OFFICE T L SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 10/03/2005 Transaction ID No. 924692 SITE: Site ID No. 665755 Jamie Delander Please refer to both identification numbers, 705 140TH St above, in all correspondence with the agency. Town of Warren St Croix County SWl /4, SW1 /4, S25, T29N, R18W Lot: 1, FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 922801 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01 (10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. 0' 11 1 ,h • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption ll # area. chs. NR 811 & 812c G PIART,V. - -N' �I N Of ^AF • 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. SEE CG[�.RI • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. TODD L SINZ Page 2 10/3/03 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@conunerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote , Certified Soil Testing RECEIVED . LN 1 6 LuUj Jamie Delander - Mound SAFET Y Q_ nl OG�` DJV� j Transaction # SAFETY F A A D 1. Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD- 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) Location: Lot 1, CSM # 718732 SW 1/4, SW 1/4, Sec. 25, T 29 N, R 18 W Town: Warren County: St. Croix Date: September 26, 2003 Owner: Jamie Delander Address: 302 W. Elm St. Roberts WI 023 Plumber: Todd Sin Signature: License # MP 1 2 Attachments: 6748 -Plan Approval Application SBD -8330 Bjork plot plan original Schumaker report sanitary permit application page 1: cover 2: design criteria & calculations ti rf 3: plot plan': 4: system cross section 5: lan view, lateral detail OF COMMER p rE 6: pump tank exit detail urtcI Gs 7: pump curve = SPONDE E 8: system management page 1 of 8 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg /L Anticipated septic tank effluent 30 mg /L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg /L 3 Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load Design Calculations In situ designed loading rate 0.71 gallons /sq. ft. per day Depth to estimated high ground water ->. 3 in. Depth to bedrock '71 3 3 in. Cross slope at system 2 -� % —� Force main length 23 Y ft. of Z in. Manifold /header length NPC ft. of in. Drain -back T. 3 gallons Lateral length @ S5. ft. of , `lZ in. Lateral elevation `t 6. c. ft. @ bottom of lateral Lateral hole size ���� in. @ 36•0 in. ( 3 •° ft.) Spacing t `( holes /lateral SIR holes total Lateral volume ° • z' Z gallons Total lateral discharge rate 2,S, gallons /minute @ �'S� ft. head Network pressure compensation losses C) ' Iry ft. Elevation difference tos � ft. -- Friction loss 2} ft. @ Z �� gallons /minute Total dynamic head ft. Pump /sign 4 ' 4 gpm @ ZO ft. of head Manufacturer w. Model # �' z Dose volume 4'•3 gallons Lift /siplton tank t &t-uj • bao C o 6 o-o gallons Septic tank gallons Effluent filter Measurement pump on and off in. Height alarm from tank bottom g ' ° in. Reserve capacity gallons specs.calcs.res Page Z _ of S? 0.^'i L �� Q..l A.� � ���o'S ��` ww _. Le'F' �, � C'�1!"� �'��` }S Z. ' n — C ( l ei 3 A �h/ ���•o "tC xt, C- q4.o) �'^ IT4 2 s Jt„ i` m Y� �O bC+. wM `►cY ttiSl -„s,9. Z.'a TD , ' c.t'e'►t zZt � i � _ / s 18 ti �•'l ¢� <-�, O •. � v we �uw• -� �_ - t {� L V u 4L UP 45.5' / Ati�•� (o +opa�', ' 0'S - +R r 1 l n. 1 a CA Av L �7 a i i i N y �'\.'Q 5�.0'_ .j SA � Q• �' � IL ,vr p : 4 ` P VC c.� � �-O� o�p• sQ.�. v «.'Y� a,,. w....`�,1 'Y.. �/J c� o �-. v i �r o c.l� b s� „ •ui- QAr ox 3.v' � I 3•d I t.S' �.S' I 3.0' 'L o' I 3.0 ��''S � SS'•S' • �'` � �o � o l o� o ., \ .. `� Qa..J< cs�.�.J�w bO � \ � o �.. \ : »a.. � � �o- � � � 3 , c� ' � a. a.a T ti ck 1,L.Q 3 a v WEATNERPRCSJF LACKING COVER JU NCTION QUICK DI4C.OVVICT — tI er 2 , IL _ � 3' ' i/,'77;,'7 no NDISTURBED SDIL 24 " Z.D. II C" 40 MAKU4IE i Y " 40 c" r n li VILIP awRwco A Z Nc L. Pin BAFFLE � p AL 3' o- c ,KN E C.T I O r+S O r o. Lo F'C' m tit - 14 1 3 f1 2 O C (( nn - z- D PualP I 9 it � CONZ.RF'1'� bc0CK SEPTIC f SPECIF'I'CATIOQ5 c 0051 ` { w �r `�� , TAU. S MAQUFACTURCR; �-} b- IJU (o MBER OF DO�CS: PE K Cam, TA►UK SIZE ; � ')- GALLOWS .DOSE VOLUME r ALAR N \ /*A UFACTLIKLR: S `� `t Ys IMCLUOIKIG 6ACKFLOW: 0 � MODEL QU)AOCR ° l 14 CAPACITIES; A= 2 �' ° 11J c�: $wITCH TAP[; P UMP P'1AWUFACTURCit IWCmE$ OR uChES OR .� 'A- MODEL IJUMDCR; �3 4 SWITCH T p �.J INC GR ,1 G�. C. IJOTE: PUMP AWD ALARM ARC TO BC MIUIMUNI DISCMA RATE 2s�� GSM INSTALLED 0►J SEPARATC VERTICAL DIFFCREAJ CCTWEEIJ PUMP OFF AA10 OISTRlbUTlow PIPE.. 'O r FEET -t- /*"JIMUM METWORK SUPPLY PRESSUKE . . , , , . 2 + ;� FEET OF FORCE MAItJ X 1.3-1 rT,� FE CT 4 -0 -'A-!( ZS� � -- Xi00 fEFKICT101J FACTOII. — FEET TOTAL. DyUAMIC. HEAP FEET 1uTERUAI, DIME►J610KIC �or TA►JK: l.E►JG7H 2 ;WIDTH j LIgUID 0 PT H TOTAL DYNAMIC HEALS /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING LO MODEL 152/153 w w MODEL 1 152 153 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 ! 231 70 265 0 15 4.6 53 201 61 231 z 20 6.1 44 167 1 52 197 30 7.6 34 129 42 59 a 8— 25 r 30 9.1 23 87 33 125 o a 20 35 10.7 1 -- 22 85 r– ° 4 0 j 12.2 I — -- 42 4 10 Lock five. _38.0 Ft. (IT,'i44_O fit- . ('3.�m), 014506 O 20 40 60 80 100 GALLONS LITERS 0 8 1 240 320 6 a 3 27 /32 a 5/8 - �1 FLOW PER MINUTE 3 CONSULT FACTORY FOR SPECIAL APPLICATIONS e Timed dosing panels available. e • Electrical altemators, for duplex systems, are available and supplied with an alarm. 1 - • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. T jl Sealed Qwik -Box available for'outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 1521153 Series 1521153 MODELS Control Selection Mod el _Volts-Ph Mode Amps Simplex Duplex N152 1 1 Non 8.5 1 2or3 BN 15 2 115 1 Auto 8.5 Included 2 or 3 sKZOSe E15 230 1 Non 4.3 1 2 or 3 --�— BE 152 - 2 30 1 Auto 4.3 Included 2 or 3 ' N153 115 1 Non 10.5 1 2 or 3 BN153' _115_ 1 Auto 10.5 included 2or3 SELECTION GUIDE E 153 230 1 Non 5.3 1 2 or 3 i 1. Single back variable level float switch or double back variable level float _B_E153~ 230 1 Auto 5.3 Included 2or3 t p iggyback p t 99Y switch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed 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). or (4) float system. 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 40256 -0347 Manufacturers of . . O SHIP TO: 3649 Cane Run Road Louisville, KY 40211.1961 PL (502) 77FAX (502) 774-362g6•PUMP http: / /www.zoeller.com © Copyright 2000 Zoeller Co. All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715- 235 -2644, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements wit[ accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing . and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 t 'ORIGIMA,: 1855 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page t of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel L D. RECEIVE Please print all information. eviewed B Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). S E P 6 2003 Property Owner Property Location /3 03 } Delander, Jamie Govt. Lot SW 1/4 SW 1/4 25 ST. R C l 8 Property Owner's Mailing Address Lot # Block # Subd. Name or 302 W. Elm St. 1 I CSM # 718732 City State Zip Code Phone Number City �j Village 16 Town Nearest Road Roberts WI 1 54023 1 715 - 749 -3708 Warren 1 140Th St. — 70 � V' New Construction Use: jo Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement _j Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4'x 114' rock cell mound on 95.0 - 94.6 design line as upslope edge of rock w! 0.5'- 0.9' sand fill � a X29 P -1 Boring # __ Boring Yj, Pit Ground Surface elev. 95.1 ft. Depth to limiting factor — 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10YR 3/3 - sil 2 f -m sbk mvfr cs if .5 .8 2 10 -31 10YR 3/4 - sil 2 m sbk mfr cs 1m .5 .8 3 31 -34 2.5Y 8/2 f2d 10YR 7/6 fs 0 sg ml cs - .5 .9 4 34 -66 —^ SSBR i SSBR by resistance to penetration; weakly cemented Boring # Boring Pit Ground Surface elev. 94.5 ft. Depth to limiting factor 46 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oundary Roots GPD /ft' in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10YR 3/2 - sil 2 m gr mvfr cs if .5 .8 2 4 -11 10YR 3/2 - sil 2 f sbk ds cs 1m .5 .8 3 11 -26 7.5YR 4/4 - sl 1 m sbk dh gs 1m .4 .6 4 26 -38 7.5YR 4/4 - sl 0 m din cw 1 m .3 .5 5 38 -46 7.5YR 4/4 - s 0 sg dl as .7 1.2 6 4 - 9 5YR 414 f2d 10YR 6!2 sl 0 m mfi cs - .3 .5 7 49 -59 S!!Rj wk cemented * Effluent #1 = BOD 30 < 220 mg /L and TSS > 0 < 150 mg /L * Effluent #2 = BOP < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Sign to e: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 9113/2003 715- 233 -0398 Property Owner Delander, Jamie Parcel ID # Page 2 0_3 3 ] F Boring # Boring 16 Pit Ground Surface elev. 94.1 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10YR 3/2 - sil 2 m gr mvfr cs 1f .5 .8 i 2 4 -11 10YR 3/2 - sil 2 f sbk ds cs 1m .5 .8 3 11 -27 10YR 4/4 - sil 2 m sbk mfr IDS 1m .5 .8 4 27 -33 10YR 7/3 - fs 0 sg dl cs - .5 .9 5 33 -43 SSBR wk cemented 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I j j I I i ❑ Boring # .. j 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I I I i Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 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. SBD -8330 (R.07 /00) Certified Soil Testing y t �Aw.Tt r� Q.I A�w�,F•M _ ���e"S i�`.�,w �e� �,,, 1 CA s� flu �' - f� K P V K /W Opt;2�A k; 6 ee Q ZJ uT1 M•`+d' m2 1 O 0 ns' 1 ♦ Z � �` � d K 1 ��.. • T V9 iTy' � 0 c / , n § r k � 7 z 2 c e « w @ co ° ®•9 cr c \ § k § E E £ =r 8 �k / > 7 # 2 $ _ } 2 m z 2 E n r■ o & / $ & � 0 0 0 Oro � I P \ co CA CA § / > T,0 k� V _0 § = § 9 � m k i (D o o k t n k 7 & g 3 m � } E C. _ . § k z \ f z E k R 9 co cm § z § \ 7 2 » CA 2 / m co = m > �7 s Ab \ [BCD £ < — § � 3 C 0 CD \%7o % 0 \EE� =Q } }f§W K CD ƒ �:ECL CL 0 @ 0 . C %:3 g (D C D ?� >\ w E % B E i � 0 < § 0 ? % � S �2 T.L. Sinz Plumbing Inc. E5609 708th Ave. Phone: (715) 235 -2644 Menomonie, WI 54751 Fax: (715) 235 -2592 www.tisinzplumbing.com �,�•t a,� rev,ry ( (Vt-4 s 6'L- • L r t. r l 1 Z� wtudn� 4v r-t &'t � Q�dtsI nA Judy Kahler Subject: Sinz/ Delander/ 430129 Location: Warren Start: Wed 9/3/2003 1:00 PM End: Wed 9/312003 2:00 PM Recurrence: (none) Conventional i L. sic � q�y �� /3 /° ?� J . V ISCemisin Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Madison, W1 53707 — 71 Sani Permit Number (to be filled in by Co.) (608)266 -3151 Department of Commerce I wa�_�an �o / glA Numip e er Sanitary Permit Application Plan I D. N � In accord with Comm 83.2 1, Wis. Aden Code, personal information you provide S may be used for secondary purposes Privacxl ', s15 04(lxm) Project Address (if 'fi than mailing address) P 705 / y 0 ST. 1. Application Information — Please Print All informatittl k - Property Owner's Name Parcel # Lot # Block # ego. Property Owner's Mailing Address N Property Location i 3bz &A4 r- C4,094 sr 1M_._.� r.. _ _ 4,v ' 9%d V4, motion &;Zr City, S to z Code Phone Numbber �f o Q 1 4 4 0 .,G�5 f/`�i 74o Z -its ?`I " 3I0I I / N; R�Eo ) (� 11. Type of Building (check all that a r2 •-�C Subdivision Name � CSM Number or 2 Family Dwelling — Number of Bedroo .J / - ❑ Public/Commercial — Describe Use r ❑ State Owned — Describe Use��7 City_ ❑VillagrTownship of /� 111. Type of Permit: (Check only one box on line A. mplete line fif applicable) / FB 2NeW System ❑ Replacement System ❑ T \_t/HoI g TanL-tabl. t Only ❑ Oth cation to E ' y El Permit Renewal ❑ Permit Revision ❑ Change ❑ P to New list ious P Issued Before Expiration Plumber Ow 1V. Type of POWTS Syste Ch eck all that appl Non — Pressurized In- Ground El Mound > 24 in. of suitable soil ❑ Mound le soil ❑ At -Grade ❑ S' gle Pass Sand Filter ❑ Constructed Wetland El Pressurized In -Ground El Holding T El Peat Filteic Treatment Unit ❑ ecirculating SS Recirculating Synthetic Media Filter Leaching Chamber Drip lug El Grave 0 explain) V. Dispersal/Treatment Area Information: 3 Design Flow (gpd) Design Soil Application Rate(g spersal Area Required ( ispersal Proposed (sf) ystem Elev ation M o 1r2�` so 97 a VI. Tank Info Capacity in Total N rber Manufac er Prefab Site Steel Fiber Plastic Gallons Gallons o is W/ l / b / l Concrete Constructed Glass Ncw Existing Jp Tanks Tanks TTT��� Septic oaiisidee�TaAlt ,�v /t�0 ! Gt��T P b Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the under V d, ry6WIbi0ty for installation of the POWTS shown on Lattached plans. ^ 1 s Name (Print) PI ignat MP RS Number ss Phone Number Z:X - 7-4 1 1K Plumber's Address (Street, City, State VIII. ount /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued ssumg Ag t Si Stamps) Approved El Disapproved Surcharge Fee) Cllr i ❑ Owner Given Rea for Denial�� J 7 1X. Conditions of Approval/Reasons for Disapproval �� ( •�• L'sryl { uk 40 rM' Ok- S � � CA,7 n,- W4A- ` c� 4Z2 w de __6 2 m l 4 c l , D • ���5 Co 1(� z .�r��,G -�, n�,t,c� --P � u� �'aurrs ✓t'l �-, � / ,�]�/ J ./ /r, �{,,,, A h c plans (to te Co ty )fir the rystc o paper not Ilcsa than Sl z 11 ire ��it�{ "^ 4 r t 4 v ' �` � �, �`� T.L. Sinz Plumbing Inc. E5609 708th Ave. �EL.�,JdF�'L Phone: (715) 235 -2644 Menomonie, WI 54751 3�2 W�tT �L,yr ST Fax: (715) 235 -2592 G L SynZ3 WWWAlsinzplumbing.com ZqS NO-- -I-I, I o4- f w� L�IkAf4GiJ o !f 0 0 i 2 s Z 7� S -rte C /7 '70 J PVe 3 20 ✓" I .. .. .. .... .. I ON ' wE�.t'KERPao�F LOCKING COVER JUNCTIo" �� x /'V'dw � . Q�oc QUICK DItCOVVIGT -1 _ > I T M7777J, �° PiP6 3' L) DISTuRUD vwc k5, SDIL ° 'x''24" I.D. I 4 4 /A" r c,:v ?kov , .T - urJ �^ WFLES J, 4 0 P I ►t a 7- aL 3' O-cr o E LT 1 OH-4 tA, :h OwYla.� Cr;~ � P u � g CoAZR�'c l i � v �' 6coCK tPT c f 4 _ SPECIFI�CATI�S o s E �. w ,1-�- � tip' s' o AIJ r.) /-,A►JUFACTURCR; IJUMBER OF DOSES: PEK DA4 TA1JK SIZE ; 1 ' Y � - 6T"o 1 GALLO US DOSE VOLUME LAR1-� UFAC7URCR: S ` I ' -� IMCLUDING 5ACKPLOW: y GALLONS ,`�ODCL 1JUAtER: 1 e 1 1 - 1 CAPACITIES; A ? '� O WCHCS OK �S WLL0I5 SWITCH TYPE: �`-�'` 8c I►JC OR GAIIOLS I nAQUFACTURCK', ' ^ �� / /� . C ■ �o IUCMES OR (,A��.OL�; /�OOEL 1JUMDCR; S H L>j= �v 0' INJHES OR 0AL J)J: JWITCH TbPC; �v w IJOTE: PUMP AWD ALARM ARC TO BC I''QIMUM DISCHARCIX RATC GFM INSTALLED OW SEPARATC CIKCLir., '.RTIC ^�- DIFfCREWCC DETWECU PUMP OFF ALJO OISTRIDUTIOW PIPE.. FEET h1iAjIh\UM �JCTWORK SUPPL PpIc"LIKE . , • • . . . . FEET . lGG F C E T OF FORCE tl1AIW X 1' 911 PT ,/ A ?� --- --• �10o /LFRICTIOU FACTOR. ' FEET TOTAL OyJWAMIC, HEAo FEET fER�A� DIMIW610►JC Of TAUK: LEWC,TH -` ;WIDTH �2 LIQUID C)EPTH `T T.L. Sin' z Plumbing Inc. E5609 708th Ave. �� �EL�DFrL Phone: (715) 235 -2644 Menomonie, WI 54751 ST Fax: (715) 235 - 2592 o i3 ,E L S y 02 3 www.tlsinzplumbtng.com FEU % /yt(\J . 1-o T r I lot) ' w PUC Pr PE �ic�Tit'tl 3� 5 / PV I Q Wholesale Products Page: 6350 -1 Performance ' Section: Performance Data Data Dated: January 2001 RPM: 1550 Discharge: 1 -1 /Z" Solids: 3/4" v 12 40 9 30 tz W t/1 LL W Z 6 20 SkF'30 3 0-1- 0 Capacity-U.S. G.P.M. 10 20 30 40 50 Liters /Second 0 1 2 3 The curves reflect maximum performance characteristics without exceeding full load (Nameplate) horsepower. All pumps have a service factor of 1.2. Operation is recommended in the bounded area with operational point within the curve limit. Performance curves are based on actual tests with clear water at 70° F. and 1280 feet site elevation. Conditions of Service: GPM: TDH: 1'r j l?' D HYDROMATIC T pap W ��, � of �„ SOIL EVALUATIO N REPORT Division ► and Buildings in accordance with comet 85, Wo. Adm. code CounlY attach complste site plan on pier not bey than 8112 x 11 inches in size. ltr must includel bnt not ftMd /a vertical amd holm lml mWer oe point (BM). d'sect Pam d M percents", scale or dimensions, north arrow, and tor�or�i ark d , s}lgr�amst ! Data please print air Permnd kdammeaon you prorift may be oasd for pwpoms IP+kwr Low, ProperkyOwner but 114 -5A/ 114 S ZS T Zr N R / e E (or)dh 0- De ja y j r # Subd. Name c owners Mating Address � = 4 �Ry�NG � 32 5? L-r r !0 I� SW City State Code Phone CiY ❑ \lilage @ Toam Nearest Road -' w s oZ ( ) 7yY -3�d � G�Ia rt✓I /' � - [] New Construction Use: ® Residenlial I Number of bedrooms 3 ` `� Code derived design tiow rate _ y <�� //, �2 0 _ GPD ❑ Re 0 or meroiai - Describe: — /(// I. ft. Parent materiel___. T; s 4 � � . 1 � ,� �d P I, do � eiaimbon is e / snents S S�er✓� 2.1 - C v ! �• - -- wlW !l� �-YY General corrivnerils I and recorvernendefions: TTI i'S , 's Y-7 CAf — e h�� ►� chi �� a Boring # 0 Booms ® Pit Ground sxface elev. o Q tt Depth to MrritlnS facbr .S �. Sol Agftndon Rate Horit�on Debi DominerdColor Redox Description Texture Strudexe Corisistenoe Boundary Roots GPD1fl= in. Mcaseli Qu. Sz. Cont. Color Gr. Sz- Sh. *M1 'Efi#2 2 u4 ; Io -�o a ffA c — , Y , 6 4A T7 s -- FT # 0 Boring ® Pit Ground smiam elev. 1 ft- Depth IND 60" 1e0101' � Q In. Sol Rate Modzon , Depth Dominant Color Redox t>�iplion Texttxe Sbuckm Consistence BocatdarY Roots GPOW kL Qu. SL Cont, Color' Gr. ft Sh. -EM '0102 a 0 ,-3 3 Sr m�� �s )L - Etiirerr[ IM1 800 > 30 220 nrgA arMFTSS >at1 < 15p mgil • E#km t #2.= 80D <_ 30.n4t.. erid M: <_ ao mgr. CST Name (Please(* Signattue' ZSM ress ` 4 Dale Evaluation Condixfed - Telephone Nuii�er 1� 3 so Page Z of 3 p� �e Ice ✓l ►' A2 c� ParoelID# y Boring # ®p�g Grourdsrnfaoselev. r. B = R. Depth 1°in 9iacbr In. Sol Rye Hartman Depth DominattCalor Rsdou n Texture Strudwe Cornzklenoe earxdary Roots t in. areeM tlu. Sz. Cont Color Or. Sr- Sh. I QiM 1 0 -(� 6/Z F -I �� # ❑Pit else. ft. Depth b balling for in. Spp Annk2tOmR Rate Roots GPDNF Horiaon Depth Dominant Cdw Redarc Description Texture Sh ure C Y in. mumsd Ou. Sz. Cant. Color Gr. Sz. Sh. -Elf#Z �9 # Q Ground s xbm dw. 8. Depth to timtii1 tsdor in F-I pit Sail Rate Hartman Depth Dominant Color Redox Description Texture Structure Coneisfenos ear Wwy Roots GPDAY in. mumsell Cu. Sz. Cont Color Gr. Sz. Sh. '1a1 - EtNt2 - Eguent #1 = BOD,> 30 <_ 220 aqk and TSS >30 <_ 150 n*k ' I Mrertt 22 = BOD.:S 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 m au alternate format, Please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. ssD4330rrt IOM 4 r r PAGE_OF 3 NAME: De la PLU r LOT# LEGAL DESCRIPTION75W 1 /4501 /4,�T,2�,N,R,IfE(or)w SCALE: F'= y'0 ELEVATION: /Oar u BM 1 DESCRIPTION: -, e- BM 2 ELEVATION: BM 2 DESCRIPTION: 4, P a z 0 ✓G p - , <, z SYSTEM ELEVATION: 4 SYSTEM TYPE: I I L 1, r V I� r SIGNATURE: f ' �'� _ DATE: ` � r I _ PAGE .3OF 3 .NAME: De `a y,G r LOT #LEGAL DESCRIPTION W_1 /45w 1/4,W--r,-TM N,R, Wor� SCALE: 1"= �0 ELEVATION: /Oo • u ZBJ� S N^ 0 ; j P� BM 1 DESCRIPTION: -a n of i ' OVG p e- 2 00'SOu' df BM 2 ELEVATION: YO n r L, L BM 2 DESCRIPTION: 6 D 0 ✓c J e SYSTEM ELEVATION: SYSTEM TYPE: &yrn���c�l s ys -�i''� ? ZR s'� G N � C,��� -� ���,�- c-SW� �lrn -S — Sc�-✓e aY �s y r 44.e- - s4vvvnCe_ Le4 -b_�e �� 131 too not l•7, � r N I tel 41— �. /41 l =� o IGNATURE: DATE: �C:_.._._ ... _-- } ,.,. _ t �o-� ���t� rr'a �;` h�� � 5��� • q �a- .ri � r4/�,�.��� t:�.t�'�� ti �1�},� w:'*,.� r 7 f rtfi . 9 >` vL M Wwlu W, Ilk x� p All b F3" F !4'4 ,t f. �. t ` �. T x a ° �, :' `E �,�. .�..f ... 6° � . 14 r �y� - f • i 4 T • .... � _ _ids_ Y ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buyer Mailing Address Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number 2 — _y !O '� I AI, D ESCRIPTION l W N -R V, , � , Z T Z c 1 �W. Town of � A R�E property Location 5 /4, � W � , Sec. � Lo Lot # — L — • Subdivision Certified Survey Map # 1(1 - 7 3 Z . Volume .. _ _�_Z _____ Page # � 14�9 Page #Volume Warma Spec house ❑yes $.no Lot lines identifiable K yes ❑ no I'EM MAMM nmatun failure to handle wastes. Proper maintenance Improper use and mawenanceof your septic system could result in its p What you put into the system consists of pum p i ng out the septic tank every three years or sooner, if needed by a licensed Pumper. can affect the function of the septic tank as a treatment stage in the waste disposal system a certi5cation form, signed by the owner and by a The p owner agrees W submit to St. Croix Zoning Department that (1) the on site wastewater system m � p l um ��� o wzymanplumber, re strictedplumberora =VedfY1IIg tic tank is less than ter full sludge. is in proper operating condition and/or (2) after inspection and pumping (if necessary), the the pri vate sewage disposal system with the standards the Departmen VvM the undersigned have read the above requirements and agree to maintain Pri State l Wisconsin- Certification eat of Natural Resources, in. C within on t of Commerce and the Department set forth, herein, as set by stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three year expiration date. DATE SIGN OF APPLICANT O fERTIF)<CATIO knowledge I (we) am (arc) the owners) of I (we) certify that all statements on this form are true to the best of my (Our) ads Office. the property described above by v' a of a warranty deed recorded to Register SIGN OF APPLICANT De artrnent. Any information that is mis s••s•• - represented may result in the sanitary perm b revoked by the Zoning p warranty deed from the Register of Deeds office ** Include with this application: a Stamped e is made in the warranty deed a copy of the certified survey reap referenc J 38. O1 TUE 15:11 FAX 715 386 4686 ST CRx CO ZONING � Z X / r A POWTS OWNER MANUAL eL P7ANAyCt` t:r#i rLA14 FILE INFORMATION SYSTEM SPECIFICATIONS Owner �JA'l t LAW Septic Tank Capacity ODD ga l ❑ NA Permit # Septic Tank Manufacturer A A5Ct jr ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ?Axl.z ❑ NA Number of Bedrooms 3 CI NA. E}Yluent Filter Model .4 --(0a ❑ NA Number of Commercial Units � A Pump Tank Capacity p gal [2 NA Estimated flow (average} Sop g alJd ay Pump Wank Manufacturer Q NA �� Design now (peak), (Estimated x 1.5) t.(•Sp gal/day Pump Manufacturer ❑ NR Soil Application Rate r`f ¢aVday /ft Pump Model S F 30 0 NA Monthl average` Pretreatment Unit e0 influentlEfftuent Quality y p Sand/Gravel Filter D Peat Filter Fats, Oil 6Z Grease (FOG) s30 mg/i. p Mechanical Aeration D Weiland Biochemical Oxygen Demand (BODs) X220 mg /l ❑ Disinfection M Other: Total Suspended Solids ( T55) ' 150 "1 Manufacturer Pretreated Effluent Quality ❑ NA Monthly average" Dispersal Cell(s) Blochemical Oxygen Demand (BODs) <_30 mg/l. ! otn- ground (gravity) Q In- ground (pressurized} Total Suspended SoUds (TSS) 530 mg/l. ❑ At -grade ❑ Mound Fecal Golifotm ( mean x10 cftt /10omi t7 Dri -line C3 Other- : Maximum Effluent Particle Size � Inch diameter * Values typical for domenfc (non - commercial) wa$T&W2ter and septic tank effluent. • * values typical for pretreawd wastewater. MAINTENANCE SCHEDULE $,sluice Event Service Frequency Inspect condition of tank(s) At least once every ❑ months P"year(s) (Maximum 3 Yrs. Pump out contents of tank(s) When combined sludge and scum equals one -third (h) of tank volume Inspect dispersal cell(s) At least once every 3 © months Rryear(s) (Ma)dmun► 3 Yrs.) Clean effluent filter At least once every / 0 months earls} p,� �c A I nspect pump, pump controls et:alarm At least once every 0 months At year(s) 0 NA Flush laterals and pressure test At least once every O months ❑ year(s) [7 NA ther: At least once every © months ❑ year(s) M NA other. At least once every 0 months Q year(s) Ci NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an Individual tarrying one of the following licenses or certifications: catlons: Mas Plumbe Master Plumber Restricted Sewer, POWTS inspector; POWTS Malntalner; Septage Servicing Operator. Tank Inspection must include a visual Inspection of the tank disp es) to identify any missing or broken hardware, identify any sacks or leaks, meu re t volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface The rsal cell(s) shall be visually Inspected to check the effluent levels in the observation pipes to check f or d any r epo requires die immediate ate the ground surface. The ponding of effluent on the ground surface may indicate a g c ondi tion nodflcation of the local regulatory authority. the endre When the combined a all be removed sludge y a Septage Servicing operator and disposed of in accordance e volume, with ch.NR 13, Mscons': i contents of the tank sh Administrative Code. The servicing of effluent filters, mechanical or pressurized poWrS components, pretrtatement components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Mafntalner- A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemic; that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the conterr nr rh rank(s) romcws d b a ientare servicing optrator Pao" to use. 01 TBE 15:11 FAX. 715 386 1686 ST CRX. CO ZONING Z 002 Y � " Pact System start up shall not %Qr when $oli oonditlons are frow at the Inf9traalve wrfacu. Durint povvmr outages pump tanks may fill above nomtal hlghWAW kveis. When power b ►+atoned tht excess wastewater will be discharged to tht dispersal cel *) in one lame dose, overloading tale cells) and may result (n the backup or surface discharge v? ofi°iucnt. To avoid this situation have the carunts of the pump tank removed by a Sgstap Servking Operato r-prior to r estodot power to the effluent pump or contact a Plumt►er or POWTS Maintalsw 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 ovtr, or otherwise disturb or compact, the area within 15 Net down slope of any mound or at -grade sod absotptivn area. Reduction or elimination of the following front the wastewater sV*am pla i mprow the perforistaes+ce and prolong the life or ht POWTS: antibiotics; bapy wipes; cillarvtfA butts, condor s; c000n twabt, dtgMUers; defnUl flostl diapers; distnfectinu; fat; foundation drain (sump pump) water; fruit and vta>t+tuble peelinim 9"9110, Rxaset herbisidss; meat scraps; mtdicatwns; ail; aalntinst croducis: oestiddes: saniury naokins: tampons: and waver sofuner brine. AVANDONEMENT When the POW75 fails and /or is pemraneritty taken out of service the following steps shall bo taken to Insure that the system is properly and safely abandoned In compliance with ch. Comm 03-3 So Wisconsin Adminlnraaive Codel e All piping to tanks and pia shall bt dlsconnocted and the abandoned pip+ opeMngs staled. • The contents of all tanks and plu stall be removed and property disposed of by a Septage Servicing Operator. • After purnping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravei or another Incrt solid matrrlal. CONTINGENCY PLAN if the POWTS falls ants cannot be repalred the following measures, have I»en, or must be taken, ta provide a code compliant replacement system: A suitable replacement area has lien evaluated and may be utilized for the location of a repUcemsnt soil absorrodort system. The replacement area should be protktted from dhwrbance and compaction and shotsdd not be InfrfiVed upon, b required setbacks from exisdn` and proposed sv%icwm, lot tina. and wells, failure to protect the replacement ar ea will result In the need for a new soil and rite evalu to estalNlsh a suluMe replac ement area. Replacement sync nn must comply with the rules In effect at Out time. Q A sutta0lc replacenunt area Is not available due W stUmCk and/or soli tlmltatlons. 04mirt; advances In POWfS technoiQP a holding tank maY be Ildttll+e:d as a Ion resort to replace then faced POWTS. C7 The site has not been evaluated 10 Identify a rrtrltabte reptxernern AM. %JPQ" failure of the POWTS a seal and size revaluation must bt performed to locate a suluWe replacewntnea. if" replacement area is available a holding tank may W installed as a last rows to replace the failed POWTS, p Mound and at -grade soil absorption sysulms may be recoNumic ed In place following removal of the biomat at the Infilvattve surlate. Keconivuctioru of such systems mst.cvtnply with the rules In effect at that time. < e WARNING > > SEr TIC, PUMP AND OTHER TREATMENT TANKS MAY CONTJUW LET14AL GASSES AND /Olt INSUFItIG1Et'tT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTNtX TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT, RESCUE OF A PERSON FROM TKE INTERIOR OIL A TANK MAY ii DIFFICULT OR IMPldC�1Rl i ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER 'Name L ;W& 6-- Nau rie C— S <o/ Z- �' lIt/c.r SEPTAGE SERVICINe3 OPERATOR tPUMPER1 &*M 9 G TORY AUTN Hama AprtcY s moge fbgnt 3 b J 2 2 7 2 P 4 4 7X5497 STATE BAR OF WISCONSIN FORM 3 - 1999 XATHLEEH H. MALSH QUIT CLAIM DEED REGISTER OF DEEDS Document Number ST. CROIX Co., NI This Deed, made between Lin K_ Delande RECEIVED FOR RECORD __- - -- -- --- - - - - -- 06/12/2m 10:15AM __- QUIT CLAIM DEED EIiW i Grantor, and i b oth s Jamie A. D elander and Mel A. Pearson, single -- _ _ _ _ -_ - -_. g _ REC FEE: 11.80 persons , TRAMS FEE- 57.88 COPY FEE: CC FEE: PAGES: 1 Grantee. - - -- � - -- Grantor quit claims to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of SW 'A of SW 'A of Section 25, Township 29 Notch, Range 18 West, St. Croix Name and Return Address County, Wisconsin described as follows: Lot 1 of Certified Survey Map filed April Ave e A D e d t1 dev - 24. 2003 in Vol. 17, Page 4504, Doc. No. 718732. 302' W. ICIM S+ kbQ.As vt_ s oZ 042 1 069 -95- Parcel Identification Number (PIN) This is not ___ - - homestead property. QK) (is not) Together with all appurtenant rights, title and interests. Dated this j A day of June 2003 V6 - I , + +Linda K. Delander AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATV OF WISCONSIN ) County ) authenticated this day of - -- - — - -• - Personally came before me this _ -� day of June 2003 the above named Linda Delander, ____.__ TITLE: MEMBER STATE BAR OF WISCONSIN to e o n to be the person(s) who xecuted tht foregoing (If not, s ���and. -arc o ledgee C. authorized by § 706.06, Wis. ) Y _ THIS INSTRUMENT W D AFTE Y 7 ' `' - - -- - Attorney Kristina Ogl and __ Notary Public, State of Wisconsin H udson W 6 My Commission is permanent. (If not, state expiration date: Si be authenticated or (Signatures may ed. essary.) ) Y + Names oi persons signing in any capacity below their signature. t^+*^'tp^ eror'fi °" cO "' 0 "" ' F ow ass 7W1 TATE BAR OF WISCONSIN QUIT CLAIM DF.F.D FORM No. 3 - 1999 �I 716732 VOL 17 PAGE 4504 KAT H. WXESV REGISTER OF DEEDS ST. CROIX Co., NI RECEIVED FOR RECORD 04/24/2003 04:30PM CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP REC FEE: 13.00 LOCATED IN PART OF THE SW1 /4 OF THE SW1 / 4 OF COPY FEE: 3.00 SECTION 25, T29N, R18W, TOWN OF WARREN, APPROVEu PAGES: 2 ST. CROIX COUNTY, WISCONSIN. ST. CROIX COUNTY Planninn 70ninn .1.4 P"kc APR 2 4 2003 PREPARED FOR: OWNER: if not recoroeo wimm au oays o, JAMIE DELANDER LINDA DELANDER approval date approval shall be 302 WEST ELM STREET 721 140TH STREET nul! and "o'd ROBERTS, WI 54023 ROBERTS, WI 54023 SURVEYOR: WEST 114 CORNER OF S &N LAND SURVEYING SECTION 25, T29N, R1 8W 2920 ENLOE STREET I LUI PL11 - 071 DD dCaG`1DD HUDSON, WI 54016 S00 °1245 "VV 1 ------ --" - -- 1325.20' 328'80 N89 0 40'45' W SW CORNER OF '295.80' EXISTING DRIVEWAY NORTH LINE OF THE THE NW 1/4 OF S LEGEND THE SW 1/4 0 i� HOUSE W1 /4 OF THE SW 1/4 FOUND ALUMINUM ST. CROIX COUNTY m : ` SECTION CORNER MONUMENT 133 FOUND 1" OUTSIDE DIAMETER IRON PIPE b 3 O SET 1 5/16" OUTSIDE DIAMETER BY 0 —__ 18" LONG IRON PIPE, WEIGHING 1.68 N HE LBS. PER LINEAR FOOT I %- EXISTING DRIVEWAY FOUND 2" IRON PIPE I r o ® EXISTING WELL W( r o C6 0 2 EXISTING SEPTIC W ' l r N 5.3 r, ACRES O EXISTING LP TANK cc I m (231,098 SQ. FT.) ® EXISTING ELECTRIC PAD y i O INCLUDING RW _ I 100' BUILDING SETBACK LINE I N 4.77 ACRES �l = I (207,895 SO. FT.) 9 ♦ SOIL BORINGS i O I N EXCLUDING RW N Q 1 Of WISG' py � T I r rn r Q I rn w o vj DOUGLAS J. �� W a N _ o ZAHLER Z 9 °46'5 "E 328. 1LN] 1 tQ S IA a [� o m S -2145 I s 5. 1 U v Wa HUD ON, [� I N LO 1 N W U) WI O M c 4. 0 RES r Y a� U o 1 1 Q ° 29 SQ, FT.) O J °�i ui � _ M �� INCLUDING RW m I 'L = v � I N 4.00 ACRES Z I `` 1 1 �� ✓ I b (174,240,SQ. FT.) O ¢ S � I "' CLUDING RW z Z p P POSE pGQG 4 O 4 ¢ a us w v o DRi EWAY% ° m ?� N. O J N O (V ; LOC N U O O^ J : O ww �n o,U) — AT �rO: SCALE IN FEET 1" = 200' r aj c L Z . 33 00' SW CORNER OF 200 0 200 SECTION 25, ) SOUTH LINE OF T29N, R18W . 6'53 "W 29 H SW1 /4 7 0T H AV ENUE_ 1§9 28.80' — MGvJG?d UMP LLQG�]D :1! Imo! M[ pLLQ5�4C D LLa 1D� Q191 I I DRAWN BY: BRIANA GEISSINGER JOB NO. 6266 -01 DATE: 04/09/2003 REVISED: 04/17/2003 SHEET 1 OF 2 SHEETS Vol. 17 Page 4504 r CERTIFIED SURVEY MAP LOCATED IN PART OF THE SW OF THE SW1 /4 OF SECTION 2 T 0 5, 29N, R18W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: OWNER: JAMIE DELANDER LINDA DELANDER 302 WEST ELM STREET 721 140TH STREET ROBERTS, WI 54023 ROBERTS, W 54023 APPROV CROIX COUNTY SURVEYOR P larwnrn 7oninn ^n 0-1— flm —MPp S &N LAND SURVEYING A PR 2 4 2003 2920 ENLOE STREET HUDSON, WI 54016 {vNq c;ays or date appmal shall be SURVEYOR'S CERTIFICATE I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify: That I have surveyed, divided and mapped that part of the Southwest Quarter of the Southwest Quarter; Section 25, Township 29 North, Range.18 West, Town of Warren, St. Croix County, Wisconsin, described as follows: Beginning at the southwest corner of said Section 25; thence South 89 degrees 46 minutes 53 seconds East, along the south line of the Southwest Quarter, a distance of 328.80 feet; thence North 00 degrees 12 minutes 45 seconds East, a distance of 1324.61 feet, to the north line of the Southwest Quarter of the Southwest Quarter; thence North 89 degrees 40 minutes 45 seconds West, a distance of 328.80 feet to the west line of the Southwest Quarter; thence South 00 degrees 12 minutes 45 seconds West, along said west line of said Southwest Quarter of Section 25, a distance of 1325.19 feet to the point of beginning. Containing 10.00 acres, more or less. Subject to a roadway easement over, under and across that part taken by 140th Street and 70th Avenue and all other easements and restrictions of record, if any. That I have made such survey by the direction of Jamie Delander. That such is a correct representation of all of the exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the subdivision regulations of the Town of Warren and St. Croix County, in surveying, dividing and mapping the same. of W y DOUGLAS J. �Z 06 A ZAHLER S -2145 Douglas J. ahl r 145 HUDSON, Date: April 17, 2003 Wis. SUFN Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Warren for advice. DRAWN BY: BRIANA GEISSINGER JOB NO. 6266-01 DATE: 04/09/2003 REVISED: 04/17/2003 SHEET 2 OF .2 SHEETS Vol. 17 Page 4504