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018-2019-46-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: City Village Township C & J Builders TOWN OF HAMMOND CST BM Elev: Insp. BM Elev: BM Description: �� w�..� o �� � d Mo � S e ti- k TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic �C5 ce (L q &D UZ1 -Z osin Aeration Hol TANK SETBACK INFORMATION TANK TO P/L a WELL BLDG. Vent to Air Intake ROAD .btV\ `L �. Septic ,� :k Do ng Aeration Holdin PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model umber TDH Lift Frictio oss System Head TDH Ft Forcemain Len Dia. Dist. to SOIL ABSQRPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651279 State Plan ID No: Parcel Tax No: 018-2019-46-000 Section/Town/Range/Map No: 29.29.17.1246 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St cover I 1 V \40 ee� � � ise o 3 r BED/TRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION S STEM TO P/L BLDG W LAKE/STREAM LEACHING CHAMBER OR UNIT Manufac Type f System: Model Number: DISTRIBUTION SYST Header/Manifold Distr; ution x Hole Size x Hole Spacing Vent to Air Intake Pipe,-, I Length Dia Z", - Length Dia I _01, SOIL COVER/ x Pressure Svstems Only xx Mou - radle Svstems On Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trenc enter Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 9�/� 2-023 Inspection #2: Location: 740 161 ST ST 1.) Alt BM Description = 2.) Bldg sewer length = o �S e- - amount of cover = e Plan revision Required? ❑ Yes No 9 Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. I L j L Industry Services Division Count-N St. Croix 45AV-7a 2,3 4822 Madison Yards Way AUGQ 23 Madison, WI 53705 P.O. Box 7162 Sanitary Pen -nit Number (to be filled in by Co.) ,Pf a\., .-7162 Madison, WI 53707 &57/ 2 COMM U n i lpdrm it Application i State Transaction Number Ise. 'Sk&CCA 081901486-C In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit mo UO-A Pro - )ect Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note.- Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary 740 161 st St purposes in accordance with the Privacy Law, s. 15.04(l Xm), Stats. 1. :i pplication Information — Please Print All Information Property Owner's Name &I A& Parcel 4 C & J Builders _31 jk I 018-2019-46-000 Property Owner's Mailing Address A 5 11V Property Location 316 Kamloops Place •Govt. Lot IJAJ 114, SW --'/4, Section 29 T29 N R 17 F or W City, State River Falls, Wl. Zip Code 54�022 Phone Number 715-222-9731 11. Type of Building (check all that apply) Lot # Subdivis] on Name zI or 2 Family Dwelling - Number of Bedrooms 4 46 [jub] ic/Commercial -Describe Use Rolling Hills Farm Block # rCity of .State Owned - Describe Use Ovillage of CSM Number RITown of Hammond III."Typeof POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applisp ile. ) then Modification to Existing System (explain) RIAdditional Pretreatment Unit F-INew System []Replacement System it (explain) Hoot 600 aolding Tank In -Ground DAt-Grade Mound Individual Site Design Other Type (explain) :1 (conventional) 2q F� Renewal Before Ej Revision 7hange of Plumber D-ransfer to New Owner ls�ued List Previous Permit NUMber and Date 0�_Ouwj 4 Expiration 6154 61 9/3/ 1 9e IV. Dispersal Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (st) System Elevation Existing Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units C,3 a �o . New Tanks Existing Tanks Septic or Holding Tank 400/921 1 Hoot/wieser Dosing Chamber I = = V. Responsibility Statement- 1, the undersigned, assume responsibility for instapation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signature MP/MPRS Number Business Phone Number Keith Knudtson 648443 651-470-1737 Plumber's Address (Street, City, State, Zip Code)7 GO 927 150th St. Roberts0i. 54023 VI. County/Department Use Only KApproved 11 Disapproved Permit Fee $ Date Issued Issuing Agent Signature C, 0 G_ �n.—/gOwner G' for Denial �2D Conditions 'A Pr al 3) ATCTEM OWNER: v 6o ty4�l S r 1. Sepfic tank, effluent filter and dispersal cell must be serviced / maintained as per van management plan provided by plumber. 2. All setback requirements must be rnantailned b7) AM &-6 beX 1* It 7- 0 g 52- as per applicable code / ordinances, Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R. 03/21) �� J zv R�LL,�iaN COPY MINIMUM BUILDING SETBACKS: FRONT 35 FT. SIDE 10 FT. REAR 10 FT. DIMENSIONS ARE SHOWN FROM LOT LINE To OUTSIDE WALL LEGEND FOUND IRON PIPE PER PLAT OR AS NOTED WOOD HUB SET AT 10' OFFSET OR ON BUILDING LINE EXTENSION T,O-H. TOP OF HUB ELEVATION T.O.P. TOP OF IRON PIPE ELEVATION x 100.0 EXISTING SPOT ELEVATION UTILITY & DRAINAGE EASEMENT DRAINAGE EASEMENT ALL EXTERIOR BUILDING CORNERS MARKED WITH PIN FLAGS 4 133H1S 1S191 066 SnONIM119 0 -4903 CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: C & J Builders Lot 46 Owner's Name-, C & J Builders Owner's Address: 316 Kamloops Place River Falls,Wi. 54022 Legal Description: NE 1/4 SW 1/4 S 29 T 29 R 17 W Township.- Hammond County- St. Croix Subdivision Name: Rolling Hils Farm Lot Number: 46 Parcel ID Number- 018-2019-46-000 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross -Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: Keith Knudtson License Number- 648443 Date- 08/21/2023 Phone Number (651) 470-1737 Signature Designed pursuant to the In -Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-1 0705-P (N.01/01). Page 1 Contractor Guidelines for ATU Septic Homes The septic system for this home will depend on the proper functioning of the Aerobic Treatment Unit (ATU), which is designed to treat and degrade solids prior to discharge into the shared septic system. As contractor/builder, please observe the following construction guidelines: • As part of design and construction, arrange for water from sump pumps to go to an external discharge. Backwash from water softeners should also be discharged externally, as doing so will extend the life of the septic system. Note: Regulations prohibit furnace condensate from being discharged externally. • Garbage disposals are not recommended. Avoid allowing any inert construction materials such as plastic, rubber, cigarette filters,, bandages, rags, cloth and towels to enter the system. Likewise, prevent construction chemicals and toxins such as paint and paint thinners, solvents, etc., from entering the system. • Contact Knudtson Plumbing and Contracting prior to siting house grade in order to confirm that adequate fall will exist to allow gravity flow between the house, the ATU and the shared septic line (which may be as shallow as 42 inches). Incorrect siting may require an additional pumping station and incur significantly higher costs. • The ATU manufacturer dues not recommend tank installation in frozen ground, and it will be done only at the contractor/builder's request and risk. Installation under these conditions will likely also incur added costs related to requirements such as snow removal, frost ripping, etc. • Frem warming: Water from furnace condensate lines or other sources, including sinks and Loilets, enteringffie system during winter construction can cause the tank and components to freeze and fait, as there is no bacterial action at this stage to heat. USc a salt sump to treat this water prior to entering drain lines. Contact Knudtson Plumbing and Contracting for a description. Builders failing to observe this precaution may be liable for system repair and/or replacement due to freezing. Whenever possible, keep interior water lines turned off during winter until the time of occupancy. , r., 0 Tanks must be pumped prior to homeowner occupancy. '14e *0 Knudtson Plumbing and Contracting must be contacted bv the building contractor prior to home pgcupancy. Contractw a.i1i99-t-P-do so will be spiel y _responsible for any resultm'g darns Res! For questions regarding these construction guidelines, call: Knudtson Plumbing and Contracting, 651-470-1737 I have reviewed and underst nd the above guidelines, C&fralbtor L.1 G - --- Rolling Hills Lot # WAA Date ao a 3 o TREATMENT SYSTEMINITIAL SERVICE POLICY 6 T 4 016-1 HOOT Aerobic Systems, Inc. 2886 Highway 14 East Lake Charles,, Louisiana 70607 (337) 4742804 phone (337) 477-7904 fax Our Company, -wi operate and maintain the Hoot Aerobic System located 714 1P ire- at h k *L — /V ---,(legal description only) Permit # for the period of 2 years beginning- and ending This contract will provide for all required inspections, testing and service of your HOOT Aerobic Treatment System. The policy will include the following: inspections a year/service calls (at least one every months), for a total of over the two-year period including inspection, adjustment and servicing of the mechanical, electrical and other applicable component parts to ensure proper function. 'his includes inspecting control panel, air pumps, air filters, diffuser operation, and replacing or repairing any component not found to be functioning correctly, 2. An effluent quality inspection consisting of a visual check for color, turbidity, scum overflow and examination for odors. A test for chlorine residual and pH will be taken and reported as necessary. If any improper operation is observed, which cannot be corrected at the time of the service visit, you will be notified immediately in writing of the conditions and estimated date of correction. 4. The Homeowner is responsible for maintaining a chlorine residual of at least I mgfL in the treatment system. This can be accomplished by using chlorine tablets designed for wastewater use, NOT SWIMMING POOL TABLETS. Upon visit, if the system needs chlorine tablets the service provider will add them and charge the customer. If the customer fails in their responsibility to add the chlorine tablets, they are in violation of law and appropriate action will be taken. Initials of Installer---- Initials of Homeowner 5. Any additional visits, inspections or sample collections required by specific Municipalities, Water/River Authorities,, County Agencies the TNRCC or any other regulatory agency in your jurisdiction will be covered by this policy. At the conclusion of the initial service policy, the Service Provider will make available., for purchase on an annual basis,.a continuing service policy to cover labor for normal inspection, maintenance and repair. According to state law, all owners of aerobic systems must maintain a factory authorized service provider for the lifetime of the system. k The 1400T Homeowners Manual must be strictly followed or warranties are subject to invalidation. Pumping g of sludge 0 build-up, for reasons other than due to warrantied mechanical failure, are not covered by this policy and will result in additional charges. By signing this form, both Installer and Homeowner agree to the terms of this policy. By signing this In form, both the Installer and the Homeowner agree that the Homeowner has received a copy of the Homeowners Manual and the Installer has made a reasonable effort to explain all pertinent information to the Homeowner. HOOT is not responsible for service, it is the, SERVICE PROVIDER indicated below. HOME OWNER C'i- C, NT I 0 �:Al'1 Loo�S IP%,AGI A00ass c1tv 1 -731 J L5 Phr f 140A Owner SERVICE PROVIDER Nan 6 of Smq'ce CoompmyRepresentlOve 7— Addr' C' Phone 64ftkiiFe n cc Pfovidcr and icxnst THIS BOX MUST BE COMPLETED BY THE SERVICE PROVIDER HOOT Model Blower/Panel Serial # HOOT Mold # - -- te opy - Horneome Qwner Yel ow Copy Installer �int "opy - H88T oldenrod Copy: R ulatory A cy 'Julatory Age'n'c� nte Eopy - Owner Yellow Copy - Instal ler M Npy -If T oldenrod Copy RKCP- �� J zv R�LL,�iaN MINIMUM BUILDING SETBACKS: FRONT 35 FT. SETBACKS: SIDE 10 FT. REAR 10 FT. V DIMENSIONS ARE SHOWN FROM LOT LINE TO OUTSIDE WALL LEGEND FOUND IRON PIPE PER PLAT OR AS NOTED WOOD HUB SET AT 10' OFFSET OR ON BUILDING LINE EXTENSION T,O-H. TOP OF HUB ELEVATION T.O.P. TOP OF IRON PIPE ELEVATION x 100.0 EXISTING SPOT ELEVATION UTILITY & DRAINAGE EASEMENT DRAINAGE EASEMENT ALL EXTERIOR BUILDING CORNERS MARKED WITH PIN FLAGS 4 133!l1S 1SL9I 066 �S!]OIVIM119 3903 Sr Cao UNTY SANITARY SYSTEM "°"`_-- �� �1nlyOWNERSHIP/ADDRESS FORM I - - Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect pudic health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would life to view your issued sanitary permit online, you can do so by using the -PLO-pe[V FJiQs ed weblink. OWNER/BUYER INFORMATION Owner/Buyer f5v;1dCf6- C_ 4- Mailing Address 3 1 (0 KIa1i�OvF}�' City/State/Zlp W r ,fit -1<n �a, Phone Number (required) ck a 73'•� Email Address (required) J e 605b0�c�o M c R.5 r. (7 e7t Parcel Identification Number 5 14B ao 1 g y Co (5 6 0 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location 1/4 1/4 Sec. &9 T Xf N R o !Ahil 0dL7W, Town of A Subdivision Plat: _ko I I )::7A CA Lot # Certified Survey Map # Volume 5-o �q Warranty Deed # // 3 --(before 2006)Volume Number of bedrooms Spec house Wyes 13 no OFFICE USE ONLY New Property Address _740 5--r (Verification of new address required from C© `� �' 2- (Staff Initials) (Date) 61cs Page # Page# Lot lines identifiable Ayes 0 no iffy Development Department for new construction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: include with this form 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. 715-386-4680 Community Development Department — .and Use Division cddC5)sccw1_nnV St. Croix County Government Center 1101 Carmichael Road, Hudson,, 11 1 54016 715-245-4250 Fax - j7 State Bar of Wisconsin Form 1-2003 WARRANTY DEED DOMMM Nwaber I DwummtName BY TM DEED, VoranD'eSoto LLC, A MbMe50" limited liability company ( herefimfter 44 Gnintor, " whether one or more), conM and wan= to C & J Builders, Inc., 0 W'Konsin corporation ( ber6a�.er "Grantee," whether one or more), the following described real estate in St. Croix County, State of WLw ,onsin: Lot 46, Flat Of Rolling Hills Farm in the Town of Hammond, St. Croix County, Wisconsin. 11506743 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 03/25/2022 03:33 PM EXEMPT#: REC FEE 30.00 TRANS FEE 120.00 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Rwmftg Am Excepbon to warranties: easements Name and Rewm Addressrestricfions and covSt Croix Co mants of rword; highway and wity Absbw & Title Co, Inc. 575 N. Know)m Ave., Suite #B under street rights of way; and Municipal and zoning ordiiamm and lgremenb wered New Richmond, W1 54underthem; and fin-ffier except real estate taxes wxnjing in the Year of this conveyance. I 018-2019-"-000 Parcel IdeMific8don Number (PrN) efta JAMS S M)Aft" WNIT T d propwy. Notary Public State of Minnesota MY Commission Expires January 31, 2026 Dated MARLIA V VoranDeSotyLC, a Minnesota limited liability company (SEAL) *Pail Schreier, President AUTHENTICATION signature(s) on TrrLE'MEM1BER STATE BAR OF WISCONSIN (If no� authorized by Wis. Stat. § 706,06) ACKNOWLEDGMENT STATE ©F M11i OJIFS60k COUNTY RAPASIEY ss. Personally came before me on 3 41L.IA. 7 the above -named VorwaDeSoto LLC. sk Minnesota Undtod fiab%j12RMqLps & — . Paul Schromr, PresWtnt to me known to be the pawn(s) who executed the foregoing instrument and acknowledged the cam. THIS INSTRUMENT DRAFTED BY- pt ni 0 AA-0 Kier - St Croix County Abstract & Title Inc., *y Ashley Bonkoski at the direction of grantor. 22-S31636 Notary r, State of 3kisco-on-in.. MY Commission (is Permanent) (expires: (SiMtNru Nnay be avdmWated or ackisawkdged.nemry.) NOTT; THIS IS A STANDARD FORK ANy MODBqCATIONS T1D TMS FORM SEP01 u TM BF WARRANTYDEED0 2003 STATE BAR OiF WISCONSIN CLEARLV IDENMED, * Type nam bdow ognaturn. FORM NO. 1-203 St. Croix County 1150643 Page 1 of 1 r,-,,LEFT ELEVATION 4trl-IM. .,Q. Z;- ,;FRONT ELEVATION "-0- E�!ELEVATION ,��4 W-ALEL's. i' RIGWT ELEVATION ul. AS 1407ED Dbw By DEP IWIRAL Dd 04 20 07 WT IFTFA Al H rJ comr.01i DUO U m p WAU DL* 04 20 07 MAIN LEVEL PLAN CA 08 73 1.--3 &C FT L v-,ir. AREA PW I A3 oil goo . �G •,.y'Lr 'rr'r'' 1 1 i34i r . h -�.^.lit 1 •5 � !'1 � Y �� I ' ;� .', •,i � .. �a r=.i u:�r' 1 ,I. 11'•( s( � ti ' •. � '''i. '� ,r' � '. its 1 � Y 51i-�';nr° `' ',� � A Y �•• - '•� ..�. �:: 1, :.� � ' �} ._ �' 1 �' • • ..� �� 5 �Y ,'+, ''I�, yY 1�1 '`•1�1 � SH'��i� i� �. '�' �. ± " 1' ���, ��'� t'i .t-1 iS� ��•.�;�� r�•: ': •�:,':' �'l: `• �-1 "' - .,I. .. , ' 1 ,+ - , {,,, •., '. '•..51• � �'1 .•. .:I •IYi' r� '� ti'I ,�.�1 �1,. ..`"1 ry J• .+F .�i,. `1 rt��'r �l, �•.11''l.+ I,�*•iia.' �� ''�� I. ',• i � ' � ,.J. �•:'ti, ° - .��,�,.�..• .�'��i'f ��� ��r�r,% � *�' 1.� '�+ it�� � �} �41};i ! , 1„rI � •r' r ,`'y. ��-s ��r,�IF ,'M,Y�k is ob JC' Safety and Buildings Divisk)n 201 W. Washington Ave.. P.O. Box 7162 p Madison. WM 162, A Sanitary Perm -it App►l i&titan -Loa- It, iJarwc "iih SPOS I X i 'I CI j, Wi, Adm. Ctjdc. p q I, I Ih I., tsvM I I ,I he qjIf" I[* 1.11t: clilnwmal 11rill is scquacd ffi4,.r is +(%Niunjne. a imitasN ivitria NtAc. AjnA3%:jIj4k:i 14nis 1'4,tr 6%%4T":d PoW IS wc %uhmitted to the Mrwirticni t if Safcvv m-od Pr-, I v,,,4md Veriuvial al I's wt";I114141 %I sli )'It'% flk awl' bc USC41 fOr %ccolklAIN 1Airrv%v4,ins kv,4w4JAncc W11h 1hV III I k 1 ;t%. N 15 114( 1 it t1l). Mit,, 1. ApOicalkm Infornintiom Pleaw Print %11 InfornintIMI PIN f . Ow"er, Mmc Robing Hills Farm Owners Association Inc Pnjx"y ( hk 1,,%- 7 % Mail inv, A d0rc.-v, 3435 Labore Rd. STE 150 Cov. Stale Vadnais Heights Mn 11. Type of Building (check all that appl, 0 1 "1 " 1"Millk D%vdimp N um her rwi I ts: i1ri C1 lk%oibc I Nc C, ounts St.Croix Pcirmst Ntanboct flo bc filkd rn In co) 081901486-C 018-2019-71P-'000 — littllvm Localwo 7 j 1 Go t L(A f �'�` �� SW 1/4, SIMI h in 29 1,29 (circic . ( nic I N'. R NUtXjIVI%I4W1 NX114: k 4RoNing Hills Farm fa_0 WIA fill %:k U CoN / ( SM Numtvr U Np 111AVC 411 sitalc 0%%TWd Dewilhc I I%C/ 1,41" Of Hammond fit k only one box on line Complete line R if applicable) 7 Lj x iu. t M4 *,j it iii t%► 1,-x I si i n rvi i i: sc. s� .,cm 0bRCpI,WCMCr1l %%-%Wm 0 1 I'VAItTWIll"I Lolding I ank kvp1.WC"lC1l1 (hik llvrmit NcrwN%;sI 11crmil Rvvismi *hanVv of 111ismhol-r 10cirtnItTimister to Nvv- [kii-irc Lxptratttm 14�jy Of N MI S.S1YS1CMXCMM *p0DtUt/Dr% ire: heck all that a w — 20L4_ [I Ntvv-Pmswi/cd In4irimmi U Pirc%%tai/cd Iti4itomood 0 At Mt VI U h I lit <rt .Ultabic .,11 U ILLI-od 24 "'1. ol'Nuttabic %osl I'll of vw 11wilt fk vwv o:XPIA311 1/000"- cu %C&A t S�sicm Fk%ahon Dcuprl I Tki VD%,.;Vr%N4,d ApphIc vc r q 1800 1.6 1128 '1�i j C` �� .f . %,� VI. Tank Infil 4A, Sim I ec V Ilters tF r"; Nrw T-rtnk% larlk•- 22 F, binikk7 11250 11250 Wieser Concrete X N I I Rr%jt4on%jbd11t# StateMent- 1. Me osader%igawd, *%%unit rr%#%*n%11k4Wf0r inijallgWou t&f The H)% -1-s %bo*% n 4.n tho, attacbed jiinn-%. 1111J11z-kl r Naaw (1,11110 Mwmbcr'S SIPMOurt, MPAIPRN Ntimfwr Isusirico. I%nw ~under Keith Knucitson eyl, 648443 /1 11 L I'lumhcr % AJdj I SIICCl. CAV. SUIC, / Ip ( *4 kk-) 927 150th St. Roberts Wi 54023 I IX. C for I )IN a ppr It% a I. I-4 vfk: qN-f Y� S%.♦ -4ccp^6 4 0. 1U101 ail hu., ptr -nierjwwl plar f )A4$nDe_ p.tw 114011 U All &0hvk Mljtj4 w sew NVerbli %tuwb to 16r dsyem *n4 %wh4 uIloe M&V p# I" icot-,s 2 2 Homeowner Guidelines for homes equipped with Aerobic Treatment Units The septic system for your home depends on the proper functioning of the Aerobic Treatment Unit (AM, which is designed to treat and degrade solids prior to discharge into the shared septic system. To avoid breakdowns and costly repairs, please observe the following guidelines: • Avoid allowing any inert materials such as plastic, rubber, scouring pads, dental floss, cigarette filters, bandages, hair, mop strings, lint, rags, cloth and towels to enter the system. These materials can build up in the tank, resulting in system malfunction, clogging and premature pump failure. • Do not flush or drain chemicals and toxins into the system, as they kill the microbes necessary for treatment. These include paint and paint thinners, solvents, drain cleaners, automotive fluids, fuels, pesticides, herbicides, fertilizers, metals, disinfectants and sanitlzers. • Paper products including disposable diapers, paper towels, baby wipes, facial tissues and moist toilet paper are not designed to dissolve in your on -site treatment systems. Neither will excessive amounts of toilet tissue decompose. • Limit garbage disposal use to food waste that cannot be scooped and thrown in the trash. Do not put animal fats and bones, grease, coffee grounds, citrus and melon rinds, corn cobs, egg shells, etc. down the sink. Also avoid putting spoiled dairy products and yeasts from baking into the system. • Do not put medicinal materials, automatic disinfection tablets and similar items into the system. Also, septic tank additives generally do more harm than good. • If possible, spread laundry practices out over several days, rather than one "wash day," so the ATU can more efficiently process the water as it enters the system. Liquid detergents are recommended over powder; fabric softener sheets are preferred over liquid softeners. Use bleach sparingly, at half the recommended rate. • Clear water waste from dehumidifiers, HVAC units, gutters, whole house treatment systems and sump pumps can increase the flow to both your on -site system and the shared system, leading to shorter life. Both clear water and backwash from water softener regeneration should be discharged to an alternate outlet. Talk to your contractor. Do not disconnect power from the unit! Your ATU is equipped with an alarm that will notify you of a malfunction. If the alarm does sound, for diagnostics, service and repair call: Knudtson Plumbing and Contracting 651-470-1737 - S: .4: 4" GAS POLILQK 12" ACCESS LID (TYP; � sir rmsam (rn) SIDL f . TANKS ARE MANUFAOTURED TO MEET CR EXCEED A81M 0-1227 REW MCM t. . O0 QPD 4 A HMEfY'BTEM H- eoo A' IE6NK 5PECM. AMQUE DIMEN9IM& , w • 3! BOTTOM: ap CO 4* MANHOM 2m & 24' t,M PLASTIC F430 HEiG; 70O.Do . � LENM I or 0606 $ WIDTR 74 1 It 004 KLOW I . 157" O Do . LIQUID LEVEU $i ~ W100"t 11035 LeS. INLET VD OUTUM � 4 CWJ A -,-SEAL (CAS) BOOT OR EQUAL �p COYM MIX DE8lON NO nBOt TA+NKs MIX DE8f0N A (UML RM) C D TANK& FOR CUSTOM%TAWS CONVICT W OM CONCRM N r O DRAWINGS SUBMITTED FOR APPROVAL m"avm ar; woman" NO* Avmwu an: q PPDWCR NLM BY7 HmSeries Gravity Treatment System High pe�formante, low cosh, energy► cient treatment sys'e�n CNN" N�lAMM M�■r�/ Green Choke Applications: Single and Multi -Family Dwellings, light commercial, Churches, and other similar Residential strength uses. Performance: 98% Reduction CBQD5 99% Reduction TS S 99% Conversion of Ammonia (NH3) F°c.?! <1,n� «'/Q disinfection Range of Saes: 500, 600, 750 & 1000 GPD The H-Series Gravity Treatment System provides high performance at a price comparable to most entry level ARA. Producing effluent of less than 3 mg/L on CBQDs and 2 mg/L on TSS, it far exceeds the secondary standards of 25 mg/L on CBODS and 30 mg/L on TSS. With these results, many locations allow reductions in disposal areas between 25 and Oft. Because the H-Series completely transforms ammonia into nitrate, it is best suited for applications with rich organic soil content, surface plant growth and depth to groundwater to prevent nitrogen pollution of the water table. Simple installation, reliable performance, low cost of ownership This level of performance is enhanced by its simple installation, energy efficient performance and low cost long term maintenance and ownership. The systems components are assembled at controlled manufacturing fa dies, rather than In the field, to ensure reliable performance with local support. Enerent, en ronnmentall p on Made of locally available and manufactured concrete, the H-Series features an energy efficient linear compressor that uses less power than an average light bulb. its polyethylene clarifier hopper is made of recycled milk jugs. Choose Hoot, and you make a sensible, decision to protect the environment as you protect our most precious resource, our water. Mal1fIejd and Vwtkal Separation Reducdons With gravity flow discharge, the H--Series allows you to choose your disposal application from conventional lateral lines, leeching chambers, other alternative drainfield materials. in some areas direct discharge Is an option as well. Reductions of vertical separations to groundwater and impermeable layers such as rock range from I to 2 feet, Make the green choice for WWOO&WWWO&Wr ent Your wastewater system is the most expensive and important appliance you will ever purchase. Don't settle for just any system. Protect your family and the environment with a Hoot H-Series System. Mlieser t.�ncrefe Products Inc. 1-800-325-8456 .wieservo .corn anal ................................. 1- 7 JED Mod g911b1�IlA�Lelp9dY�tAaYN�twaaNaoem�esllhaSFFr dq�is'f!r law 'Atka Ib i4bl7ldoa1M�A4'Y�/4IR11Mnpg01oA6tlnlei9�A1MInF�M'1WrNYN4��'nbc�Rf6�6A0. 1AISktwt�[u�0edlPbeioei+l6dYAORiA�6YAA�/tiFY�!�91�9ftpdmidri#B��S� b�uM�Y�il�nen9w iramn�MirM ae4Ga few �l1NN�d6#�M�iWaf�led�Mi4�1Te6�M+�ebleietl�+lt.ee�1 uuiedrt�,readwdr uiu �rt5sw�nprleert�fl�eRYMWR ".!WORM a n arifillgdtwfb. Iw w sim 4-i ion t OW ALP wer-4smAL 4.9 WN ]raw so" 41L --0-- dap- OIL Ir lumv WNW j- M� . i APR 16 ZOZO St. ,Croix county _..� 17iMi41�11 � \ ��Mwc #sm�rfr�l��4ai�q� des u meo� RK rW+r.�.cx oneIQ woat�` �erra�eets 2m - , 76.ysiC�bosaidkr6Ymlori�k� p4�e�� �MAW �IYWd41�� � �Sgpps 8PS 3821MYf� �. �Ideoseb�AtlulYia�� 1SOd4 � Imam *NOWos lroOn�ei�illke�dYs�VY�omeLAAuiAbWhia aThemeTub �vp�oM�M�i tioi W au0p►Mq TarsePPam�!M���a�i[i1M�daa1MM'1�i�61i�Pawol�siM�' ' Thisrnn0 rd4 Ion VA00Mw- talaMa011pu�(�k 7ldririkerWlettoY�niabdY�EI'ti�'lWIIMRUN �l� - .. iD dM*vtQ*WAIL �'Yftpwv �6a�ua�rrwWNeeKMAMirp�p� YIIiAN/�M�{If1�9lop dR$RfIwen ftldlMiUL Iola A�k.L'ws _ IL Fog aw OWN lk agar . �in�.�l�oero�u�ta�enniurq�s�+►+4�+ r py�yrwwAi�rtaeBoYu�I�oaNlosu��tAim9�aAel�t4+�w:10�� 9dR.a'l0idMNlr. l�Aut cede. t�pd�hMe>�r etlwM6nNM1 40iy�OoeUs01"wf4Yr��iiM'�a(yB . Sanitary Site Plate 81 7 c') For: Tine Properties LLC ,� 3111 87` 08143E 160.52 Rolling Hids F urm Oizitlot Z � � r� 7 '1 s � ,r Lots 46-48 fart the S'WJ ' ram ,/ %` `� ` ' ` y ` Toil n of Hammon - S, . Croix C.ountr?i�,:, Serstic OUTLOT 2 ci C3 c.3t2V C12 C ~-�42.71 ACRES —y LOT 48 �! �.� -�- - ' '_ 1 i86019 sV.. � 21 781 SCE. FT a sc • 1- % �; ?�? CT w 60' c0 34' DWF- ;:_" 1800 a s ,` - 1125 5 h , -- 14j +' CJ + '4 L -- r' i 1 i C 1 i LctS 46-48 Typ ca of each 'ot wiH be 4' S::n 40 PVC Blu j Sehi?r i, -N 4' Scr 4C PVC or Astrr D-3034 PVC Conveyar;,e Pipe. 161 st St. LOT 47_..�- ' S:1) 4ZPVC , Pry csecj D� lex 2 SCh 4 Pic F I.i t 21.1 1 Sty_ =T "� � � p ' uj � 1 i "WoodltjA gl Elty - 1 cos 53' .1 , 30 23 5 its (1) 82 _45 r lcy : flog g` �'' 131 L46 C ,fit i W[- { r -1- DWF = 600 god Ha sec. c LO 4 �k M ID J 2 4,781 SO FT 0064 � C35 P%)oosed Wieser Cancrete 1� Site is at-, ``Pen %l+ire 44 243,Sg1 WLPt 250-BAR vv. Duplex P-j r e '� .a frw small t cct� . 6 39119 w. S rrnec*, STc-'r?C Fiefs. ` = Prorx)sec 8 x .4' Mourd Disowsal CO. .R _ .,r,1 6y - locw.ed a ong the '064.28 co L r w:a 6 1 LOT 45 Sys' 7~ E ev of 1 1' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. Permit Holder's Name: City Village Township Roping Hills Farm Owners Associatiorb TOWN OF HAMMOND CST BM Elev: In BM Elev, BM Description- ) (%18 - z % I ugo of TANK INFORMATION TYPE MANUFACTURE CAPACITY Septic Dosing ► e, Aeration f A TANK SETBACK INFORMATION TANK TO P/L LA WELL BLDG. Vent to Air Intake ROAD Septic Dosing Z, kot Alc AA Aeration Holding PUMP/SIPHON INFORMATION Pir OhmmArp �S,�Z rManufacturer 7 Demand GPM I Model Number (lo q TDH Litfflow-,. Friction Loss �2) r System Hqad.6 T H Ft f) 15 Tor"ce-main Le th 1 '10, Dia Dist. to Well A.A LT.911W±1 -Wei 0.42 NIS] 0 &V&01 1:1 ky, ELEVATION DATA 0996 County: St. C ro ix Sanitary Permit No, 6 15461 State Plan ID No: Parcel Tax No: 018-2019-46-000 Sectlonffown/Range/Map No- 29.29.17.1246 L-7 int.. 10 1.4 Q 7 STATION 113,�j HI FS ELEV. Benchmark 2,S Alt. BM Bldg. Sewer ( dvw^vin 1 -1 St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom T`' ZK L-0 kq Header/Man. 2,7 Dist. Pipe Z, A L Bot, System Final Grade St Cojoer A ;Mr pvi,� BEDITRENCH DIMENSIONS VVi d t h Len th 1 21 es ci 5k, PIT DIMENSIONS No. Of Pits n Inside Dia. Liquid Depth I SETBACK SYSTEM TO P/L BLDG WELL LAKE/STR!JIVY JLEACI 06 G llhll� Ma fa rer: INFORMATION C AM R on IT Type Of System: V AA oriel NuMer: DISTRIBUTION SYSTEM SOIL COVER 9 .0% a x PrAn-qurp SvetA ms C)nlv xx Mound Or At -Grade vstems OnIv riff r I Q A4 6,0-4 dMa 1 P601; ovef— �>A 4% 41 BeterrentiTtenter Depth Over Bed/Trench Edges xx Depth of ,.s Topsoil 7 xx Seeded/Sodded A Yes Nc M �4 xx ulched 4-,& Yes No I I al of _X COMMENTS: (Include code discrepencies, persons present, etc.) Location: 740 161 ST ST Clxr- V;16VA�5 1.) Alt BM1,Description 2.) Bldg sewer length = ormww,� L.A� - amount of cover (0 1 Y�5 6,4-4 Ott ct�/ N Plan revision Required? Yes o Use other side for additional informatio Date S B D-6 710 (R, 3197) fl � 11 Inspection #1: �114/z 9) Inspection #2: � � � f � [�� tv, ���c �b(4d�sI� 6L b �� � f, &.eA4--J--, Sc rl-+2- 6`4 sc ram-cr.-}� Insepctor"rSigana ure Cert No. CK�rx COUNTY OWNER c;: ?>vlftw� Lu i..D�CS ,�i�rc. AV oil L 6 trif kAJQ10 OAf L I (.�o 0 0 WN v"' F Sr-jU N9 xx AND/I I" !& F b LLI- MIG.., L . .. ....... ........... su, AUTHORIZED ISSUING OFFICER AAA . ........ ..... ...... . ..... . -f-IL . . ........ . . . ............ . ..... CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. c The sanitary permit is valid and may be renewed for a �� YP Y specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, lease contact the coup authori P tY tY. xx -urt'URIE T"AT V I r-j '"X-ff"h1RE` NL S S REN'" , W" , TIRTIS ..... ..... . ... ... . ... SBD-06499 (RI 1/20)