Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
515180 (2)
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM 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 X Township Lisowski, Mark & Elizabeth ::1Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY is MA 0I Dosing e ratio �"l1LJC�' T •-� Holding TANK SETBACK INFORMATION TANK TO /L WELL BL Vent t intake ROAD is M, IV '� eration "� f r Holding PUMP/SIPHON INFORMATION /YDT(nMM TV Manufacturer Id Demand GPM Model Number TDH Lift Friction Los System ead TDH Ft A Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 515180 0 State Plan ID No. - Parcel Tax No: 020-1479-06-000 Section/Town/Range/Map No: 36.29.19.3027 STATION BS HI FS ELEV. Benchmark t .S-S- Alt. BM` 7- f Bid9. 1a8,-,j0) --- Z... ,SWt Inlet. t Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade Sri ve r r...-�-. BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No, Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Type Of System: Model Number:. DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hale Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedJTrench Edges Topsoil Yes � j� No , _ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ 10-/01 Inspection #2:,P Location: 873 Yost Rd. Hudson WI 54016 SW 1/4 SE 1/4 36 T29N R19W Cottonwood South '07 Lot 6 Parcel No: 36-29.19.3027 1.) Alt BM Description = Y `7 +�Q� d L� tyr' �' �+t•'LG 2.) Bldg sewer length = 2p - amount of cover = �-. Plan revision Required? es No Use other i foradditional information.! l `�- U e side SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. -AI9. vo Tice"[ e ., a+ - MVA;,—CR7 Sl /-f WEILC. 7 2,,00 Acres- 87ol25 SO. FT* 200, 74k oww rb 4v"*0- **Wow + W~ a �lehN. .�---- o: -7� Adwww if III 1p a 4PUPOL V a 40APM 4 4 VFW* ff A *-Nqw ft a 40mvp 9 av-1-L. F`2- T" lJNE OF THE SEI/4 ��,' L rat to 07t oo ot c re5 7, Io7s S�, -�f, 12w56' 9 rf�u,.� 12a� �` 6��' -Iv �s� q wr��rr�r�- � 6 t fdo 2--oo ��� TOP VIEW SIDE VIEW WLP750-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 112" BOTTOM: 3" COVER: 4" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: SOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. OUTSIDE DIAMETER: 84" O.D. BE O.D. Cl 4" CAST -A -SEAL LIQUID LEVEL: 37" WEIGH :-. . LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WSCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: ACTUAL CAPACITY: 790 GALLONS OUTLET HOLE PLUGGED LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET DPTIONAL FLAT COVER TANK CAN BE USED AS: S AVAILABLE FOR EXCHANGE SEPTIC/ HOLDING/ PUMP OR SIPHON 70R DOME COVER. COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) OUTLET co 1-d- I TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE 30B INFORMATION CUSTOMER: 30B NAME: DATE NEEDED: APPROVED BY: APPROVAL DATE: o © Lu 0 0 C14 cr- < c C c < 0 IOU=- LJ61 �' PME La ca lo Ln cif '-�J- %-i z 00 LJ < w© o 00 0 o z Z < U-) r-_ 0- 0 C) LLI V) LLI 5; V) LLJ Ir SHEET NO. �oF P LJM P �HiAMEi ER CROSS SCC f I01J AKJD cjPEClFlCA`if0Q5 4"C.I. VEKJT PIPE 'I). Z 5' F R O rat 4OO R, WI>U00W OR rR E'S H AIR (UTAKE Is"MIIi, 1kJLLT .f CIL-EV. FT vl:IIJT CAP WEATHERPROOF JIJUCTIOU BOX GRACE I f I I i GOIJDUiT �—" ArPDOVED LOCKINJJ , MAMHOL E COVER PROVIDE +41RT{C.N7 $EAR ALARM *APPROVED JOINTS WITH APPROVED PIPE 3' ONTO SOLID SOIL COUCRETE BLOCK I � f ,4%. F 4 p tAIQ. * RISER EXIT PF.}ZMIiTED QAJI.,y Sr TAiJK MAIJLJFACTURLR HAS Sl3G}{ APPROVAL SEPTIC k SPECr[hIC.ATlOU y TA ki KS M A IJ Lt I` A C T U P F- R, : ZklL.11 8 E IR OF DOSES: PER i] A T'A �i � � 1� E f c� -4 &At,..LOWS DOSE VOLUME ALARM MAMUFACTURrLk: � �-�-lpl I"CLUIDiMG IBA--KFI-O 4 C7ALLOIJ� MODILL MUMBER, CAPACITIES,' = WMS OR- GALLOWS SWITCH THpE: p-c. '20• 2 $ = INC.14ES O 47 GALLOIUS PurAp MAMU FACTURE R: �� -_- _ c o:L -1K1Gwr-S OR !LlGALLOuS . �._. D tmCHES OR Aga, GALLC)W'� of E. PUMP J 1�l LA�t t I E TO 1' l tMUM DISCHARU RATE rpm INSTALLED OW SENARA►TF CIRCUITS VLKTICA%L DI I+ F kREPJCE bri.TWEEU PUMP OFF AMD 015TRIbLITIOM PIPE., % ' � FEET + MIMIMUM METWORK SUPPIl� PRESSURE lk 6LIF 4 .► �/�: E.' i" 'e7FEET OF FORCE MAID] '` '�E o�,FRICTIOU FACTOR_, � FEET TO TEA, L+ 0 �3 10A M I C- HEAD � � "`�► � �� FEET IMTERLIAL 0Ii'`r r.QSl0M!4 Or TAUK: LEKIGTH *WIDTH LIQUID DE PY H . 5IC7 UE 0 1� r - Lr `SE MUMBLr l� 4 R_ DATE. Seo 24I i01�111,40AM X GOULDS PUMPS APPLICATIONS p� speclificaliy designed for the following uses: Sewage systems Dewate6ng/Yfluent woer �trao5fer SPECIFICATIONS # k PUMPI • Solids Mndling capabllities; 2" Maximum. • 01schow Size: 2" NPT. * cepacite's.. tip to 185 GPM. * Total heads-. upIto 38 feet TDH, Temperature'. 1041F (400q continuous 14011F (60°C) 'Intermittent. See order numbers on inverse side for specific 14P, Vchage; phase and RPM's available. component damage on zicddent�l reverse rotation. H Fastener's: 300 series stainless steel. a Capable of running dry without damage to components. 0 DQ519ned for continuous operation when fully submerged, MOTORS s Fully submerged In NO grade turbine oil for lubrication and efficlent heat traflAr. Al ratings --are within the working limits of the motor. z Class B -insulation, Single phase (60 Hz): os All single phase model's feg,ure capacitor start motom for maximum starting torque. No, 2886 F. 1 Submersible Sewage Pump i MODEL 3886 WS_B Series Prusurance available for residential applicatons. CT72Y Built -In overload with automatic reset. SIT,OW or STOW severe duty oil and water res1stant power cards, • 1h and 'A HP models have NEMA, three prong grounding plugs. '/,, HP and larger units have bare lead cord ends. Three phase, (60 H* Class 10 overload protection mot be provided in separately ordered starter unit. STOW power cords all have bare lead cord ends. s Bearings: Upper and lower heavy duty ball bearing construction. m Designed for Continuous operation: Pump ratings are within the motor manufacwe6 recommended working limits, cin be operated continuously wRhout daMage when fully submerged. n power cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary rnolsture balder in case cf outer jacITt damage and to prevent oil wircl,l6ing, Swdard cord Is 20'. optonal Senqths are available. 0 Motor Cover 0-ring: Assure-1 Positive sea ling against contaminants and oil leakage, AGENCY LISTINGS CTesV4 to LIL 778 M4 GA 22.2109 Sta ndwd$ gy Qnadlan Stanc%VdS C us Re *LR38W Goulds PUMPS is 1509001 Fegl-IcTedd FEANKS MVAM R FT 50 B 15 'SEKIES W5_ im impeller. Cast, iron, sQmi- 1211 S0i,,,,,,(DS open, dynamically balanced, i RPM 1750 non -clog with pump out kianes F;0toov %Sol 7"" for mechanical seal protection. Optional Sillcon broM MI.OB WIWI 041% low. 41 impeller avallable, 1 01%0110 IN Ono jo Casing- Cwt iron volute type for maXIMUM efficiency, � � � M.rq, •^ : I � 1 1 I WS059 Designed for easy installation on Al 0-20 guide rall. 0 Mo-chanical Seals. SILICON CARBIDE VS. SILICON _7 CARBIDE sealing faces fOT 4 50perlor abtasive m5istance, stainlitspi steel metal parts, 0 '6611M 116 1 -4 WL0 o L 0 .410. .11, 1 BUNA-N elastomers, 20 40 60 60 100 IN 140 160 Igo 200 GPM w Shaft: Cartosion-Teslistant D 5 10 71 2D Z5 2 045 W/h stainless steel. Threaded CAPACTY design, Locku on all models cioul& Pumps to guard against 0 7001 GOU101' Plumps www,gaulds.cot" ITT industries Effef.%W4 NoveinbL%fo 93986 JAILS ON SHEET 3. UNLESS OTHERVASE �"T RUNOFF FROM DISTURBED �JND SEP11C AND STOCKPILE � ONS AS NEEDED SCALL NORTH .00 -�• 0 taI o as 1a ' ry� `` h'qy fir• --/ / x POND 2 1 \ \ �.. ,♦�� � � ,GR WL =103 9.0 . �a-� J "a;r-� � � ; ' � � `y`1� \ •\ � LBO-1041.0 -- 1°" �--� \ -- WIN 75FT OALWAL 26 SETBACK 1 _ x-J r OPP 00 24 17 LBO=1038.0 -� ` 20 LBO =1042.0 i'� ~ \ �\ \ \�` lei ,w.a ,� % j,_, 21 22\ ,.,, 23 x dl r` ._.�\ 1 r�' LBO=104Z0 of ! INFILTRATION - ! POND 6 1Q INl ,r\ Ile I I P DN D 5 =- J POMID HWL=1038.5 f y !--- — ' low III �I I f I ,Housaw 1� 1 I� House � I �I I �ocnnaN ! �I I I I 1�! I •fJ � I. I j �� I ! I I .r3 �! '! fi I I Lu 1 I J L80=1043.0 Y I I 15 I I a 4 J " III LBO=1043.0 J J I V I ( I I�, �I ' 'I� I ! I II I 1 '� / 14 j \ I I I )) LBO=1043.0 I I \ J �� t�' '� = POND 7 =- LEGEND EXISTING 1OFT CONTOURS EXISTING 2FT CONTOURS APPROXiWATE HOUSE LOCATION (ACTUAL HOUSE LOCATION MAY VARY) rI CONSTRUCTION VEHICULAR TRACKING PAD 75FT ORDINARY HIGH WATER MARK BUFFER �arwrron m mm��w 1 DO YR HIGH WATER LINE DRAINAGE EASEMENT — _ — —' LBO=XJOOLX LOWEST BUILDING OPENING ELEVATION M SELOU cl: 1, 12 o01 CIO LB0=1043.5 J i COMMOM �4--- _____l-__ _ • SEPTIC �. OUTLOT2`� e a e :" NA:� 13 Li .. _ LBO=1046.0 75FT O.H.W.. —T SETBACK I _1 // 4 f k�-- — . - - - - - - - - - - - - - 11 �� I p 7�_� - - - - - - - - - - 1. INSTALL EROSION MAT ON 4:1 SIDE SLOPES OR GREATER AS PER DE EROSION MAT TO BE WISDOT CLASS I TYPE B OR APPROVED EQUAL, NOTED. 2_ SILT -FENCE TO BE INSTALLED ON THE DOWNSLOPE SIDE TO INTERCE; AREAS OF THE SITE. ADDITIONAL SILT FENCE MAY BE REQUIRED ARO AREAS. SEE DETAIL SHEET 3 FOR SILT FENCE INSTALLATION. 3. INSTALL SEDIMENT LOGS AT CULVERT INLETS AND ANY OTHER LOCA1 SEE DETAIL. SHEET 3 FOR SEDIMENT LOG INSTALLATION. 4. SEEDING AND MULCHING ARE REQUIRED ON ALL DISTURBED AREAS Al TO SECTION 627 MULCHING AND SECTION 630 SEEDING OF THE STATI STANDARD SPECIFICATIONS. SEED MIXTURE NUMBER 20 SHALL BE Ur APPROVAL BY THE ENGINEER. TEMPORARY SEED SHOULD BE APPUEI EXTENDS PAST SEPTEMBER 1ST OF ANNUAL RYEGRASS AND OATS AT POUNDS PER 1000 S.F. OF AREA AND LEFT OVER WINTER. PERMANE COMPLETED THE FOLLOWING SPRING. IF TEMPORARY SEEDING CANNO BEFORE WINTER FREEZE UP THEN ALL DISTURBED AREAS WILL BE MU 120 POUNDS PER 1000 S.F. AND PERMANENT SEEDING SHALL BE COh• FOLLOWING SPRING. 5. INSTALL VEHICULAR TRACKING PADS AT DRIVEWAY LOCATIONS AS SH1 SHEET 3 FOR VEHICULAR TRACKING PAD INSTALLATION. commerceml.gov Safety and Buildings Division County M isconsin ttDepartmenl 201 W. Washington Ave., P.O. Box 7162 11 Madison, W1 5370P64 - c- C, Sanitary Permit Number (to be filled in by Co.) i% I of Commerce 5/45Y t —0 Sanitary Permit Application State Transaction umber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to die appropriate governmental Project Address (if different than mailing address) unit is required prior to obtaining (a sanitary permit, Note, Application forms for state-owned POWTS are submitted to the Department of Commerce. Personal information you provide may be used for secondary L)urposes in accordance with the Privacy Law, s. 15.04 1m), Stats. =elk Irl-n 4 7,3 ,5 4* r I V41C.-I cc lob V "W 1. Application Information -'Please Print All Inforpn4jon y%LkoCI Property Owner's Naive Parcel le, 62009 2 fy,7 Property Owner's Mailing Address Property Location Ne" cow�j pLANNING & ZONING OFFICE Govt, Lot 1/" section► City, State 0 Zip Qde Phone Number 40&f20,(% �� / (circle one) N7 It_EorW 11. Type of Building (check all that apply) Lot # or 2 Family Dwelling - Number of Bedroo Subdivision Name Block # ❑ Public/Commercial - Describe Use IVS*, Ej city Of _ _ .- �.---. H State Owned -- Describe Use CSM Number El Village of Town of Ill. Type Permit: (Check only one box on line A. Complete line B if applicable) A New System El Replacement System nTreatment!K%� Ta k Only El Other Modif ication to Exist ng Systei -n (explain) El Pen -nit Renewal Before I'Apiration El Permit Revision El Change of Plumber ❑ Perm it'rransfer to New Owner List Previous Permit Number and Date Issued IV. Type of POWTS System/Component/Device: (Check all that apply) Ll Non -Pressurized In -Ground El Pressurized In -Ground 11 At -Grade D Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank ❑El Other Dispersal Component (explain) Pretreatment Device (explain)-- V. Dispersalf Ureatment Area Information: Design Flow (9pd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (st) System Elevation V1. Tank Info Capacity in 'Total # of' Manufacturer Gallons Gallons Units, New Tanks Exisfing Tanks 4.) V) Septic or Holding Tank I -A VIL Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POW. S wnon the attached plans. Plumber's Name (Print) Plumber's Signature "PRS Number Business Phone Number 0! Plumber's Address (Street, City, State, Zip Code) VIII. County/ )epartment Use Only >kOA00ppproved sapproved Permit Fee Date I sued Issuin ent Signa re �Dt4al en Reason for IX. Conditi6ffGr7E*PMFRieasons for Disapproval 3) 1. Septic tank, effluent filter andj ` + 1 dispersal cell must all be services / maintained as per management plan provided by piumber. j I 2. All SeMaCK requirements Must be maintained as per applicable code / ordinances. Attach to complete plans ror the systemand submit to the County only or, paper not le,,, than 8 11, Y, I I inches in size L ve 01*Ye a AIL- VL S13D-63981 (R. 02/09) alid thru 02/11 1 A t5 F Document No. POWTS AGREEMENT Owner name and address: Mark J. & _Elizabetthh. A. Lisows i 873 Yost Dr. Hudson, WI 54016 This indenture, made by "owner" and their successors in interest, own a POWTS (Private Onsite Wastewater Treatment System) requiring regular monitoring and maintenance in accordance with the manufacturers recommended procedures. These procedures must be performed by a manufacturer authorized service provider licensed by the State of Wisconsin to perform these services. Results of these procedures shall be reported to the appropriate Governmental Unit as required by code. Location of POWTS: Lot: 6 Block: Na , Subdivision/CSM: Plat of Cottonwood South being part of: SW'/4 SE'/� Section 36 T. 29 ICI, R. 19 W. Tn. Of Hudsom St Croix CgMa. Wisconsin. POWTS DESCRIPTION: 111il 11111111111111111111111111111111111111 9 0 5 9 5 6 1 905958 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/26/2009 11:35AM AGREEMENT EXEMPT t REC FEE: 11.00 PAGES: 1 Return to: Jim Thompson 340 Paulson Lake Lane Osceola, WI 54020 Parcel ID#: 020-1479-ofi_o00 Wieser Concrete Bio-tank with Hoot systems H-600A pre-treatment unit, pre-treated effluent discharged to mound dispersal component constructed in compliance with Mound Component Manual, SBD- l 0 9r-P OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Ownere" is responsible for insuring inspection, operation and maintenance of POWTS. i to lzq to ( er ss store} (Date) (Owner signature) Acknowled gjent: (D90 10 Mark J. Lisowski, known to mek be the persan e ut' g the foregoing instrument. • cinbed d� sworn to before me thus day of 2009. a %maw, K� RY , • ,Mate of Wisconsin Aw M Co ' • 'E Tres: obey 2011 � : XP _O,glo _ 1 Instrument Drafted By: James K. Thomason 1 of 1 POWTS SERVICE CONTRACT The proper operation and maintenance of the components listed below will significantly influence the performance and life expectancy of the POWTS (Private Onsite Wastewater Treatment System). This a,ureement authorizes A.C.E. Soil & Site Evaluations, L.L.C. personnel (Service Provider) or their representative access to the POWTS components during regular business hours to perform regular inspections and routine maintenance of those components. It is herby agreed by and between Owner and Service Provider that in consideration of the paNnients provided for herein, Service Provider will provide a manufacturer trained and State licensed inspector to perform periodic inspections of the POWTS components as set forth below. Service Provider will prepare a written inspection report after each inspection containing any recommendations for the operation, maintenance, and or repair of the POWTS deemed appropriate by the Service Provider, A copy of the report will be provided to Owner and the appropriate Governmental Unit. Service Provider will supply additional services, parts, or labor only after authorization by purchaser. This agreement does not assume any responsibilities or obligations that are normally the responsibilities and obligations of the Owner and does not cover any costs associated with operation, maintenance and or repair of the POWTS. In no event shall Service Provider be responsible for any special or consequential damages, including but not limited to, loss of time, injury to person or property, or incidental economic loss due to equipment failure for any reason whatsoever. This agreement will be automatically renewed each year unless amended or cancelled by either party with 30 days written notice. This agreement may be cancelled by Purchaser only if replaced by a service contract with another service provider authorized to inspect and maintain the specific POWTS components in question. Purchaser agrees to pay Service Provider the SUM Of.$ 1?5.00 per inspection. FOUr (4) inspections will he provided over the first two-year period at six-month intervals. Payment for the first t'OLir inspections will be included in the cost of the POWTS design. One ( I ) inspection per year will be conducted thereafter �vlth inspection fees billed at the time of inspection. Any additional fees for effluent quality testing (if needed) will be approved by POWTS owner prior to sample collection and submittal to lab. POWTS DESCRIPTION: Wieser Concrete tank with Hoot Systems H-600A" pre-treatment unit, pre-treated effluent discharge to Mound dispersal component constructed in compliance with Mound Component Manual, SBD-10691-P (N.01/01). POWTS LOCATION: 873 Yost Dr., known as: Lot 6, Plat of Cotton Wood South, SWIG SE!/4, Sec. 36, T. 29 N., R. 19 W., Tn. of Hudson, St. Croix Co., Wl, Parcel 4 020-1479-06-000 Owner name and address: Mark J. & Elizabeth A. Lisowksi 62 Loughnev Bay Hudson, W1 54016 wv n s azure) 'Prvlrp Prnvidpr- A-t"F. So Site Evaluations, L.L.C. 0 James K. h mpson T I T 340 Paulson ake Road Osceola, WI-45 4 01 121 — --74— ,icc Provider signatUIC) Instrument Drafted By: James K. Thompson i { 4,-T 1 0 1 (Date) -.rzi� (Date:) 18484 xOW Ism- 212,400 ,OOh-- co w LU To—e, L d i +...i , r pall., � sv V'�9?7 �AL�N7�N iri'g � ;•yi4 FxMi;�•*ifliy f rr�r•�s•�JD i•♦ i i• r i i t Hoot Aerobic systems - Hoot Aerobic System Page 1 of 2 HOOT SYST MS., Homeowners Manual Maintenance Items to Avoid Medication Warning Water Softener Info Troublesho{ TO E-MAIL HOOT Hoot H9.QI_.._.BN_R LA Hoot Louisiana Hoot Commercial Help Me Choose Page HOOT SYSTEM TREATMENT PROCES! The efficient five -stage HOOT treatment system is designed with 1. Pretreatment tank where influent enters. 2. Aeration chamber where oxygen is pumped into the waste water. 3. Clarifier chamber where the clear, odorless effluent rises. 4. Chlorinator where the clear effluent passes through for disinfection. 5. Holding tank for disinfected* effluent ready for discharge. 6. Extremely quiet, efficient aerator and pump. 7. Unique solid-state HOOT Control Center monitors and controls the 8. Discharge Pump The HOOT Aerobic Treatment System is a complete five -stage, one P treatment system. This feature -packed aerobic treatment system open municipal treatment plant. o The simple one-piece design of the Hoot System saves installatioi money. http://www.hootsystems.com/systems/hoot.html 10/27/2009 Green Choice Applications: Single and Multi -Family Dwellings, light commercial, Churches, and other similar Residential strength uses. Performance: 98% Reduction CBODs 99% Reduction TSS 99% Conversion of Ammonia (NH3) Fecal <1,000 w/o disinfection Range of Sizes: 500, 600, 750 & 1000 GPD High performance, low cost, energy efficient treatment system The H-Series Gravity Treatment System provides high performance at a price comparable to most entry level ATU's. Producing effluent of less than 3 mg/L on CBOD5 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 40%. 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 facilities, rather than in the field, to ensure reliable performance with local support. Energy efficient, environmental protection 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. Drainfield and Vertical Separation Reductions 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 1 to 2 feet. Make the green choice for wastewater treatment 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. Wieser Concrete Products Inc. 1-800-325-8456 www.wieserconcrete,com 11oo't Aerobic systems - Hoot Aerobic System Page 2 of 2 0 A long -life, state of the art computer manages the system. It open for efficient, effective low cost operation. 0 The Hoot System computer monitors and verifies that every comp properly, without opening the system. It is much more than an idiot lig 0 Committed to the protection of the environment, we have made th preferred wastewater treatment system when there is no sewer connE poor soil conditions or there isn't enough space for a traditional syster 0 With our Warranty we stand behind the Hoot Aerobic Treatment S percent longer than the industry standard. We can do this because of design and manufacture. 0 Contact your local Hoot Aerobic Treatment System Area RepreSE more information. Site design by CPU Grahics. Inc - Conywrite by I -loot Aerobic Systems. Inc. 2005 http://www.hootsystenis.coiii/systeins/hoot.hti-iil 10/2) T/2 0 0 9 VA -;bp L A* e WAD Vj f a la Z- CAM r VAO.L CROW (_%fA1rTPJrV%7 AL i._j �../ A 1 t. -i� , T A A 4r7,ff-% A r 1 AN -1 OWNERSHIP CERT FICATION FORM A/ C7 ION ON PrMertY Address L) V 44L;TA1jC4j U111 jrJAIMIKIR & I i JRR Denartrrvnt (nr newrnnahmr,-#;-%*_ % City/State Parcel Identi rV afion Wi .1mber egoZz - 19� z Property Locafi ion 1/4 Sec. 3- PT 2.9 N R_ PI" W,'Fown of 'Swubdivision Ab L&j 50 j 1.juk if Certified Survey A4sp # Volume Page # 7 A. 4,15 C, it SPec Wose yes no Lot lines identifmble yes no AND OwNw a jrvv-rT"*r_#-, Al"PIN-ArlaWiF '"W'uPeT use and numitenance Of your W-Oc sYstem could r!s.ift in, Eft 0 its prcnuture failuire to handle waMs. ProM t ►ucnauce cOnsists of piing out the septic tank ewry three yesm C r he #y4feW 800ner. if neeAed, by a I ic-med purnper, you 1-mi an A-LL "AIL, AuRcuon ox the septic taO as a tr AL L two re Mf re in the wate. diTos- r RAI%. 3iik`i_iTi1-% •11" I)roPenY Owtler ages to sub to St Croix County Pie m ing & Zon* De nxnt a cerjif payt Icati Owner aW by a nuster Plumber) j0tMWYn1an Plumber, restricted farm, signed by the 11 - i Ployrt-wr lio-emed puraper T!..A-244_ - it- . 1 1% Wmrmte-v-�V:4�!ef UAW08al system is - - C_�_ v " il YLAA9 Wal fi Aj the on -site It) PrOPer operatinf! condition a 4 1 !11 � - I nd/or 'egm 6hon 404 Iry O.r . i,. 1 inmectfiorn at 1, - -IF I - - - _?� � *,tl ;a I " dM 8 a/ we, I'm Unaetalgred have read ft above requirenrmts and _19-re to nWOtRin the private sewage disposal Mtem with &,e 'Mdar& sot fortk herebk as sot by the DeParUwnt of Commeme six� tt e Tiapartr" rVA. P SL -z-, stat'14 that Your sePuc system has been maintained fntw- h t0fNintza, Rcsourceis, )kd,-C car VV ISCOWIZL 7=ip co"Tieted and eaw I/ we cem ty stateinents- on this PtWerty described above form am true tO the be: c f my/our knowledge, .Uwe arWare the oNmw�s) of the y by virtue of a Ws"ant-V deed ,.orded zin Roo"mis - ofDezdi�r%ri- 104— W jNATURE OF A PP__j_,"j'r,4ANT(cj 4 &_jp 4p les L..AA, rMy reSUt in the sallitary I ern it being revoked by the Planning & Zcv ing Deparunmt l0clude- with this- Applicafion a I-ecOrded WU=ty deed from the Regis- eir c f Der A ref iS Ir 'Ade %ilk taw waftoni rV^_--%e4 ME- Office and a STATE BAR OF WISCONSIN FORM 2- 2000 WARRANTYDEED THIS DEED, nude betwem Kennon J. Bast and DmIda J. Spear. Bast,, WsbaM and wife, Grantor, aid Mark J. Lia aad Elmbeth A. LisawsK husband and wife, Grantee. Cramr, for a valuable castsidetadon, conveys and wars lints to Ca**Ce the following jimu real estate in St. C mix Coendyb Slate of Wiwsin: Pmet 1. Lot f, Coftoamod South, St. Croix County, WWm3in. AND Parcel 2: Togedwr with an undivided 116* Wtcmt in O u" 2, Cottonwood Soud4 St Cfoix Comity, Wes. Exceptiom to a►aorrmfiea: Hssemmts, rest and rota -of -way of recoffd, if any. Metro I.ega1 Ser I'm EDRET 871705 A AU WaNI ATiON Signatures} autbenticated this 9th day of July, 2009 TITLE: MEMBER STATE BAR OF VILSCONM (If not, authorized by § 706.E Wis. Statts.j THIS MMUMEW WAS EftFMD BY Pherson Fraw & Bow Siren H. Bruns 50 Fit Fitt Street, St Psi, MN 55101 tSi mtlm may be Boer am not nacem.} *Names of in any a"chy ~ be typed or p *md below dirk aipr+e I of ! IIll��i� 111 1111 will # e 7 1 s 878716 KATHLEEN H. MALSH REGISTER Of DEEDS ST. (R011f CO., Wi RECEIVED FOR RECORD 07121/2009 03:00PM 4PAWANTlt DEED REC FEE: 11,00 TRANS FEE: 353.70 PAGES: 1 l and R twn Edi T, [nc. S. -- Suite I Is $71705 Owe! himsiication Afvrba (Pik This is t hon estesd Property. 1� r ' • •71'. 1•' 1'�«. �� N(71- ACKNOMMEDCAIFENT STATE OF WISCONSIN } ST. CROIX COUNTY, ss. Personalty cam befen me to July 4, 2009 the above named Kern= J. But and Donalda J. Speer -Bast 1-k-u- d and wife to r e known to be the person(s) who txccutod tic opettirs.at and wbwwledpd tic same. *Pauzk A. Wffimaa Notary Public, State of Wiscomin My v ersion is persmanovat. (If not, state expim icw date: 1l2i2411 ) Pamla A. VOnM NOWY Pt State & Wisconsin FORM Nab CoMmerce.m. gov -Safety wid Bui,idings Div-�T�_,,__ I I I Count,, 201 W. Wash- onAv- P.O. B43x71621 M ad i �;o n W 1 5.370 7-716 2 P iunsin Sanlyr), er,ijrja um r (to tit filled in 6-V Co.) DePartment cyt Com"circe StateT Transaction Number Sanitary Permit Applicatioll ` 3 3CCOrd;ince u-itj, s. (,c)-I)m, 83.,, 1 6 (,1), W,s. .-,,r Code, submissIun ofuhl-s form to Uie apwOpriittt, -a-avernmenw) 13�Y _ 13 U1,1:1 ;.s requuta pi*t(.,,,r to obtaining a sanitary ;xerrlijl. 'Vote, AppllcLalon forms Y,cr submiticd 10 the C01%lMerce. f7rQieci Address Ordifferent than mailing address, ISO-nal )t)Ij you providc n-jay bt used roi- sezc;r,4a.e ackOvdancc wire the Pnvacv Lav". S. 1' 5.0 f i )i rrt), S tz ��p IiCafiOn 114011112ti011 - Pleas MAW All Information P;:, P,,GPt1"y0v/nei'i-. Name 'E� Farce # _T hp Oper'.V Ovvners 114ai I ing Address APR 2 4 L-OF FToperty Location ev "Ovt Lot ZIP Ccide iw�40�COUNTY (c,rcte one' N. R Eo,-& 5 If. Type of Building (check all that apply Lot rivi 00rV.. Ubelvislon Name e- zz Eflock er 0 C Iry of S <z %V1 1 it 1 0 All C'd 1) L'S C! S t; Villa �zown ut' Lem M. Type of PeriaiL- (Check on1v one box Oa line A. Comp toe t, UPP A. Treal M 'I - Svsltni r2i Replacement SV',t'-ITI CE 4T,-ealm *,,!Ho)dir.g Tank Replacm-itr: On JY Offic-'Moal ficaticill to X11, Suing System (explain' List Previous Permit Number and Date 6'sited B. Perm)" Renewal 7��er�nkt Revision Change t:A'PluiTribber Mjt Tiransfer to.NvA, ision Pt TO 6 7 IV. �eof" PONVTSSysteni '4mj)One11t/DA heck -all tilat App-h . -/ Non-Tressurtzed In-(around-ound A! A;Aiade El Moitnul > 24 In of le 5S..041 �VOkl�� < 1.0 177 All, Holding Tank O?h-r Dispersa' Componen! jexpla ?I-et-realme- Device (explain) A Mspersal/Trealnitat Area Information, FAnzidn Flo%v (.gpu) Design soil Application Paltic, -per Area R,�-qui-e,! `SO Art�a Proposed Isl) Sysien" Ejltvat:�;- ._.pdsfl, Dis Dispersa, 41 j�j VI Tank Irtfo C4pacay in of SvlaiiLifaciurer Gallons Gailar,.s. Unas I New Tanks Ezistsig Tanks a .-)Cpuc or H1oidu1gTzMk fi7 Dosing C"hanibc-F 4- 4X__ V11. Res onsibilivy Statenwnt- 1, the under4ped, assume resporo&ibilicy for installation of the POW'TS S n on the uttached p12n_--. F, 3-h Business ?'rlom. NUTI .4naru PRS Numbet bei 7 ( ity, Sate. Zip Code) Ile zd ulltv,'Devartment Use Only Pem-, it F�,e Date I' Wd A,,'�suing Agent Signat re D,.s,,uppvuved 1`7 O%vner Owen Reason for Denjair — C�--- i 7 IX Cpnd,ftions ofApPru%,a1/Re&son,% fcw Disapproval A I CV/ 46t! to 10 WOW m Plahs I'fbe syV;ni) and submit to the Counts. Dills- Oil paper 1IGt Itif than a 1.11 X I I inf0ft r, F1-039S 'R. 0'/0'?7) Vi 0 d h ru 01 /0 /VO /� /�,Q _7 L/ A7T sin Departure}a of commerce PRIVATE SEWAGE SYSTEM nd gilding Division INSPECTION REPORT U._NERAL 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 X Township Bast, n ���-� as , Ke no �6,03,k� Hudson Town of CST BM Elev: llnsp. BM'' Elev: BM Description: t TANK INFORMATION A TYPE MANUFACTURER CAPACITY Septi - Dosing LJ q � t P?% Aeration Q Holding TANK SETBACK INFORMATION TANK TO PLr `� WELL BLDG. V o Air Intake ROAD S tic 4 � > 70` Dosinj AM, IJ _ 1A— eration Q Holding `_&, PUMP/SIPHON INFORMATION 5i14_rffrL�S M r rufacturer - 1 Demand ' 7C't L J GPM ; L - L2-)O�� ITDH I LiftY) , 35% Friction Los tem Hea �. TDH F r .100 [::7 in Length Dia. �i Dist. to Well A)A 6 �-- SOIL ABSORPTION SYSTEM ELE) ATIOW DATA ' County: St. Croix Sanitary Permit No: 506145 0 State Plan ID No: Parcel Tax No: 7`9 0 - � Sectio k! nge /Map No: 36.29 . 1 9.4.44�4 36Z7 STATION BS HI FS ! ELEV. Benchmark 7 le+-7 Alt. BM � / 'c>. v-ra l• C J Bldg. Sew 13. , OV i S#IHt Inlet I Y3,37 • suk Out 9i Ut ne 19/01 4V Dt Bottom 13 i , Header/Man. Dist. Pipe Bot. System 40001, Final Grade St Cover i X. 1 C » ` 7r.-i `T 9.4 C3_ * __ �1'r "'or•44 Nve, BEDlTRENCH DIMENSIONS-3 Width i; Length No. Of Trenches PIT DIMENSIONS No. Of Ptts Inside Dia. Liquid'Depth SETBACK INFORMATION SYSTEM TO PIL BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer. Type Of System: c"h Z - A VAr fv A) 4 Model Number. ` DISTRIBUTION SYSTEM Header/Manifold 1 Distribution ; Pipe(s) x Hole Size x Hole Spacing Vent to Air Intake Length �� Dia Length 166 Dia . Spacing 3 SOIL COVER x Pressure Svstems Onlv xx Mound Or At -Grade Svstems Only Depth Over ! Bed/Trench Center Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded! dded xx Mulched , J Yes No Yes No COMMENTS. (include code discrepencies, persons present, etc.) Inspection #1: 1 I 0"7 Inspection #2:_I I 1 Location: Hudson, WI 54016 (SE 114 SW 114 36 T29N R19W) Cottonw d Ridge Lk-L t .� Parcel No: 36.29.19.444�A .1 �11 6� 4ALP_ U_� t i I, 1.) Alt BM Description p2.) Bldg sewer length r f � �amount of cover h`•,-S =��' - X1 00 Plan revision Required? :, Yes >5000NO %� 1 Use other side for additional information. I I� Date Inse or's Si u Cert. No- SBD-6710 (R.3l97) 1A commerce.wi.gov isconsin Department of Commerce April 17, 2007 CUST ID No. 222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/17/2009 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary AT7N. POWT'S Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1386134 SITE: Site ID No. 720623 Cottonwood Ridge South Please refer to both identification numbers, County Road N above; m all corres ondence with the agency..enc. Town of Hudson, 54016 St Croix County SETA, SW1/4, S36, T29N, R19W Lot: 6-7-8-9, Subdivision: Cottonwood Ridge South FOR: Description: Pressurized In -Ground / Commercial (4 houses) / ATU Object Type: POWTS Component Manual Regulated Object ID No.: 1108003 Revision; Maintenance required; .2,400 GPD Flow rate; 110 in Soil minimum depth. to limiting factor from original grade; System: In -ground POWTS Component Manual, SBD-10705-P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01 /01); Aerobic Treatment Unit, B iofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance -with the enclosed approved plans and with the component manuals listed above. • The Biornicrobics, FAST 0.75 units (one installed at each house) must be installed in accordance with the manufacture's printed instruction and system sizing criteria found in Comm 83, Wis. Adm. Code. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • A maintenance and monitoring contract for the Biomicrobics, FAST 0.75 unit is required for as long as the units are in service. • The observation pipes must be located at a junction point between two EZ-Flow products so as not to create separation of the bundles within a product. Cond me, C/e�nvP of COS HENRY F GRGTE Page 2 4/17/2007 • The wells must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection -of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in -accordance with the provisions of Sec.145.20(2)(d), Wis. Stat • Comm 83.22(7)_A copy of the approved pans, 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. 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, Charles L Bratz POWTS Reviewer II. Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 , Friday, 7:00 A.M. To 3:30 P.M. Cottonwood Ridge South - Common In -ground System Revision to Transaction 4 1343361, Site ID # 720623 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: In -Ground, SBD-10705-P (Ol/O1) Pressure Distribution, SBD- I 0706-P (O1/O1) Location: Lots 6, 71 8) 9; Cottonwood Ridge South S E 1/4, SW '/4,, See. 3 6, T 29 N, R 19 W Town: Hudson County: St. Croix Date: April 20, 2007 Owner: Kernon Bast Address: 948 Labarge Road 0 /Vsb 0.10 Hudson, WI 54016 HENRY F mom Designer: Henry Gr e GROTE —1699 ENOmONIE Signature: • WIS. �S I GtAt�%6\NZb License: WI D - 1 9-007 1/4 11 I%%%\ * Attachments: SBD-10577 - Plan Approval Application SBD-8330 10 Affidavit of maintenance (copy) 7011,711V Prior approval letter (copy) wOVED - OF COMMERCLE Page 1: cover "EYD 8o#MNGS 2. overview 9: general system management design criteria & calculations 10: system specific management tESPONDENCE 4: absorption area plot plan 11: general lot plot plan system cross section 12: duplex dose pump check valve detail 6: plan view, lateral detail 7: dose tank exit detail 8: dose pump curve page 1 of 12 Cottonwood Ridge South - Overview The revised plans differ from the original, approved plans in that the aerobic treatment units are decentralized onto each lot and incorporated into combination septic-ATU tanks. The in -ground trench system is shifted to the southern portion of the tested area due to changes in the subdivision final grading plan which will improve overall site surface drainage. Approximately three feet of landscape fill is proposed over the existing grade in the trench system area bringing final, filled grade to about 103 with about seven feet of backfill above the system synthetic aggregate. Final settled slope should be a nominal 2 percent to the southwest. In general the Cottonwood Ridge South Subdivision lots will have individual, on -lot septic systems. Four lots, lots 6, 7, 8, and 9, have soils which are poorly suited for on -lot systems. Each of these four lots will have on -lot, combination, septic-ATU tanks to produce highly treated effluent. Four bedroom homes are anticipated and designs will be limited to four bedrooms which will require the installation of Wieser 975/1425 SEPTICBIO tanks. Septic compartment outlets will be equipped with filters and filter alarms to ensure timely filter servicing. ATU units are Biomicrobics, FAST 0.75. Highly treated effluent will either flow by gravity or be transferred by small pumps to the system effluent collection line located in a thirty foot wide sanitary easement. Solids free effluent will flow downhill in the common effluent collection line to a pump tank located on lots 12 and 13. The common effluent collection line must be constructed with schedule 40 PVC and installed in accord with Comm 82.30(11)(e). In particular the trench bottom must be over -excavated a minimum of three inches and the elevation of the pipe established at the pipe invert with at least three inches of clean sand. Pipe backfill shall be in accord with Comm 82.30(11)(e)2.a for the initial twelve inches. Cleanouts with frost sleeves will be constructed at each lot line. The 1000 gallon dose tank is equipped with duplex pumps controlled by duplex controls. The duplex control alternates pumps to periodically send effluent to the in -ground trench system. At full designed flow of 2400 gallons the in -ground system will be dosed three hundred gallons eight times a day, approximately every three hours. The "conventional" in -ground trench system consists of six 3' x 105' trenches constructed with E-Z Flow synthetic aggregate. Equal distribution is assured by pressurized laterals with 118 inch diameter holes in the centers of each trench.' In -situ soils loading is a maximum of 1.6 gallons per day per square foot requiring at least 1600 square feet of adsorption area. System design is conservative at 1890 square feet giving an in - situ loading rate at full design flow of 1.27 gallons per day per square foot. System elevation is set to ensure system elevation about 2.0 feet below the sand horizon interface with heavier soil textures in the upper 24-34 inches of reported soil profiles. Page 2of12 ' Note that friction loss calculations include the first two segments of the center fed manifold due to significant friction losses in the 1.5 inch manifold; terminal segment manifold losses are covered by the 30% system loss calculation. Design Criteria �gS Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL YES Treated. Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank +'°highly -treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL Bedrooms x 100 gaUbedroom/day x 1.5 2,40-0 gallons/day hydraulic load Design Calculations In situ designed loading rate k , Z �+ gallons/sq. ft. per day Depth to estimated high ground water %) � A-4 in. Depth to bedrock ' i44 in. Cross slope at system A_ % System surge/dose tank �JL"4 F o s e tank filter S t }-, `'�` w tP t� *A(L 5 r fi L a gallons _ r/ -, L'1 A-r- 71 M-e- op IST r A60 e- Force main length 5 ft. of in. I.-* Cz"er_�77 NJ Manifold/header length o ft. of 1 '!z in. 1, g Drain -back gallons Lateral length ft. of �'/-L in. Lateral elevation ft. @ bottom of lateral Lateral hole size �� q in.@ 16.0 in.(__--3, 0 ft.) Spacing g holes/lateral :0 0 holesytotal Lateral volume 59 . 0 6 �- gallons Total lateral discharge rate b gallons/minute @ft. head Network pressure compensation losses y i ft. Elevation difference Force main fricti n loss 0ft. d . �s ft. b �' 6%'/ � g. ,� @ gallons/minute Manifold, first segment friction loss ft. @gallons/minute (x2�����`�►�� Manifold, second segment friction loss ft. @ gallons/minute (x2) C�"/\ F i � ft. Total dynamic head ft. Dose pumps gpm @ �-Sy ft. of head, duplex pumps and controls Manufacturer o u� n t g Model Dose volume o 6, \ 3 gallons Measurement pump on and off t te'. 0 in. A. Height alarm from tank bottom X1. 0 in. Septic/ATU tanks ( a 6" �-s" �4-Z� S��r` �o gallons, on each lot Septic tank effluent filters (4) b ono ma`s` n t zz- t4- a A with filter alarms ATU � i o K � c. rz o a. t" '-fNk a w-jv< �L 41-" o-� 4- -"J.6Q sDecs.ulcs /7 � I`1 �V1J�il'i�`�� � I�'rs Page 3 of 1z �v llilk AOv a.CIA Z�Q, -�v 0� �Q I b O Fc O �m--,rf C)\ y --I C>�) -1) -4 %, Y\9 v -% ) 1. 0-0 1 63')7 b rv-b va I C) %-ZF — a 'v IIIA A-r � �q --.-) Q \ --�) -�o --� r\ -%* r\ /,, Ty 0 A JI( � .� �, � ,� -. -� .., � BYO � � 5 c,�1 .-, .., ►. -.-. IN rT- -"-6 r ,--A 1) vp --n 0 1. r. J-� 'S C-) 0 -D G---\ r M 0 -ZF 0 ^,,-D -a A i ` 'o ;...� (t �S"�c' ) 3��� 3.0 3,J' � 3•'�" I 3.a` 3.0` 3,b' � 3.�' �3� �,J` � � \ � L.ti 0 � ` � � �I1r a..� �.,� QJ� C� Q1���JV � : �Q� � 1 �w• -�.�1� ��IIL cam, O Min. 2'vc,-lr, F"Pe "Ath "F �_ 10' frorr,:�oor, vAr%Jow or frc5h air intake t V I Elev. I ,_,"s W � , PUMP �HAM6ER CROSS SECTION Page of �Z La be I MICA 4 186 MIN 5 4" E L E V, ft- s/ in. 'Pe'r D a. Y Gallons Gallons • For Homes Farms Trailer courts • Motels 0 Schools • Hospitals • Industry • Effluent Systems anywhere effluent or drainage must be disposed of quickly, quietly and efficiently. Heavy -Duty Solids Handling Dependable Capability to 3/4it f � .- 1h, 1/2 H.P. 60 Hz Single Phase 115, 230 Volt. 1/2, 3/4, 1, 11h H.P. 60 Hz Single Phase 230 Volt. Three Phase 208-230, 460 Volt. 90 80 70 w w 60 Q w 5 20 U q 40 Z 0 30 J H O 20 10 0 s■ EMENEENEEMINE 0 IME MODEL RPM 1 1011 1750/3450 W5 %MEE- mon . O-WE03L A%lxMftZ Bulletin CL2,1A July 8, 1983 GOULDS Model 3885 (Supersedes Model 3870) Submersible Effluent Pumps Pump Specifications Solids Handllny Cdpabilrty to Discharge Size 2" MIT Semi -Open Impeller 3 vent. dc�sign1 r llrlit5 U5t' Ir11,+l.�It:r IIJ�►�I;.:i l.> �I���,+ _�� �: baCk-off P0111,D Out � ir)Cj On Dal'nj,�:c 101, ur01L? :(1�_;1= of Casing vollllt� t'i ill'} ii)f ;11,ixlrl'i:.;1l Stainless Steel Fasteners Series 300 s:ainlcas s;t e i cor; c,•,� resistance Mechanical Seal sprIny C'trtJ N Maximum Temperature 1 60.- F Capable of Running Dry WIMOL)l cdamc,ge to %:%)fi�poni enis Motor Specifications Motor Fully Submerged In n1g1) boil of efficient nc:i'. er1v1 r01)r 1)L'r l i y 1 -,jgi ucl leis,, iron Bearings Stainless Steel Shag L•( IL'S _.iOu _•:,lit Single Phase Units All j111�Jll' 'l .i i L L,t+il� Three Phan:- units 'i �)l,i 1v1(:., T•' t'...:!'.7 �1 +.. CIS. "i2 ... Power Cord �ii111�1�r• t�_ ,, ll.nl-'� � .�Jrr,�_ _ _._'' Y!IH Id 11L;I Single Phd�,t Units - C SPECIFICATIONS Ar_�E `,EJECT 7C. WITHOUT NOTICE 0 10 20 30 40 50 60 70 80 90 100 110 120 L � U GALLONS PER MINUTE - � LDS PUMPS, ! N C. .)ENEC4i , S `_Z 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 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 dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tanks are installed prior to sheet -rock and/or painting, pump the septic tanks 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. Aerobic tank effluent must be less than or equal to the design criteria specified in page 3 of these plans. 10. If septic, treatment or dose 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 tanks must be inspected every three years by a properly licensed person. 2. If necessary, the septic tanks 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 tanks are pumped, any solids in the bottom of the dose tanks and aerobic treatment tank must be pumped, and the filters must be back -washed into the septic tanks to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the septic compartment filters should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner 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. This system has an aerobic treatment tank which must be inspected every six months according to specifications and contract. 6. The aerobic treatment system has a blower which runs continuously; if blower operation has stopped a licensed plumber should be notified. for service as soon as possible. 7. The pumping components for this system include alarms which must be installed and remain on separate circuits from the pumps. If alarms are 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. 8. Avoid compaction such as vehicle traffic above or within 15' of the adsorption system. 9. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 10. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 1 l . Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 12. Warning: Do not enter septic, dose 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; 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 may be necessary. Page 9 of 12 System Specific Maintenance The developer is responsible for all required maintenance. A properly licensed, experienced plumber should be under a maintenance contract. Treatment Systems 1. The aerobic treatment unit blowers should be periodically checked and the inlet screens cleaned approximately every six months or after any periods when debris such as leaves or mowed grass might have been air -borne in quantities. 2. The aerobic treatment units should never smell septic; if unusual odor occurs, notify the installing plumber or contractual maintainer. 3. Annual inspection is recommended of sludge depths in the septic (trash) compartments and in the treatment compartments. 4. Unusual noise from the blower units should be referred to the installing plumber. 5. Manufacturer's specifications for initial inspections every six months for two years must be followed; follow-up inspections required at yearly intervals. 6. The installing plumber must include the required initial six month inspections in the installation price according to NSF specifications. 7. Individual septic (trash) tank compartments with effluent filters are located on each of the four lots served by this system. The effluent filters have alarms to notify the homeowners if filter service is needed. If alarms are activated the homeowners need to notify the developer or contractual maintainer. 8. House locations and topography may require combination septic -pump tank installations (STEP systems) where the effluent is pumped up to the system effluent collection piping. The pump compartments in these cases will be equipped with alarms to indicate any problems with the pumping systems. If the alarms sound the homeowners need to notify the developer or contractual maintainer. 9. All alarm systems should be checked annually to ensure proper operating condition. Dispersal System 1. If any alarm sounds or indicates a problem, notify the installing plumber or contractual maintainer. 2. The dose alarm system should be checked at least annually to verify proper operating order. 3. The area above the dispersal cells should not be mowed after August 31 to allow_ vegetative growth prior to cold weather. 4. Traffic of any kind is not permitted across the dispersal area; the perimeter of the area must be delineated with a decorative fence/barrier which must be maintained in a manner to prevent incursions by vehicles, "four -wheelers," snowmobiles or other equipment which might compact or damage the area. 5. Annual inspections of the dispersal system must be conducted; the surface above the dispersal cells should be of relatively uniform appearance with no unusually wet locations. Observation wells must be inspected to look for evidence of significant or prolonged ponding in the trench system.. 6. Manufacturer's supplied operation and maintenance manuals will be followed. Page 10 of 12 i Z � v � � S� �. �- o � � �'.`� a 5 � Z � �, J� �' b • '`-r-�- ; �l -tom \ ,. � � � J `�1 J C "mil • CA O v� �► o �..�D '^+ 'a 1.O 10 o 0 C7 ---- .t'1{ - 't..�'�t��' - , ► o' R ► , a�� - ----� a��°l� - ��-�°��ICL�� , - v Te SL —1 VIN T Itischonsin cDepartment of Commerce INSPECTION REPORT Date ofInspection: April 21,2O10 Project Name: Lisowaki/Bas Use: Residential Legal Description: SW, SE, 38.2B.18VV Site Number: 720823 Subdivision: Lot Cotton Ridge South Municipality: Town ofHudson County: St. Croix Plan Transaction Number: 1343381 Sanitary Permit Number: 515180 Wastewater Flow: GOOgpd Persons Present: Owner, P.Quinn, R.Yarington SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, WI 54729 Aaron Olver, Secretary Plumber Name and Address: William Bohumaker.MP227B9O 1O7OScott Rd Hudson, WI 54016 Certified Soil Tester Name and Address: Dave Steel, CST 248956 Owner Name and Address: N1arkUoowoki 873Yost Or Hudson.VVi 54018 This inspection was completed pursuant to s.145.20 (3)(b) Wis. Stats,as part of the annual audit of the St. Croix County Private Dnsite Wastewater Treatment System program. The following code discrepancies were noted at this site and require attention by the installing plumber. 1.The home onLot Bis occupied and is not connected to a functional private onsite wastewater treatment system (POVVTS). Suitable provisions have not been make for the treatment and dispersal of wastewater from the dwelling on Lot G which is a violation of section Comm 82.10(2)(d).VVio. Adm. Code. 2. |norder for the building onLot 8toremain occupied the PDVVTSdescribed inplan transaction 1343381 shall bemake fully operational. 3. Items not incompliance include: a. Plans shall bosubmitted and approved bythe county for the exterior sanitary sump. The design and installation shall conform to a. Comm 82.30(10)(d). Wis. Adm. Code. b. Electrical service at the exterior sanitary sump shall comply with s. Comm 16.300 and NBC3O0. Approved wiring methods shall beused. AmLBfitting isnot adequate to contain the wiring methods required tomeet minimum code standards. o. The aerobic treatment unit is not functional. The air pump is not installed. d. The final dose tank isnot operational. There ionopower, pumps orcontrol panel installed. e. The manhole riser sgthe final dose tank shall beatleast 4inches above finished grade. In addition, the electrical opening in the manhole riser ring was not sealed water tight when installed and this has allowed surface water 10enter the tank. All tanks shall be pumped out by a licensed pumper to remove excess water and any deleterious materials that may have entered the tanks. f. C|eanoutoalong the private interceptor main sewer need tobefinished. Their terminations shall be in accordance s. Comm 82.35(2)(d) and (5)(a), Wis. Adm. Code and the desires ofthe owner(a). 4. Until this system isapproved for use the owner ofLot 0will need tomaintain the sanitary sump ae a holding tank so as not to allow wastewater to flow to nonfunctional down stream components. 5. It is recommended that there be a method be utilized to remove and service the sewage pump in the exterior sanitary sump from outside ofthe tank. The present arrangement, although not a code violation, will present a major problem from aoonfined/hazardous space entry perspective Page 2of2 April 21, 2010 Lot 6, Cotton Ridge South Please see that the above discrepancies are corrected by May 21, 2010. The plumber will need to contact either the county inspector or me for an inspection of the corrected installation. If you have any questions regarding this report, please contact me. Leroy G. Ja4ky, PSW, Wastd*ater Specialist leroy.jansky@wisconsin.gov E-mail 715/726-2544 Voice 715/726-2549 Fax cc: ®County Z Plumber ❑ CST ® owner ® Kernon Bast, Developer sin Departme; J of Commerce nci&jilding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) b.:NERAL INFORMATION Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. lermit Holder's Name/g,, f I City Village X Township Bast, Kennon 11060316 Hudson, Town of ;ST BM Eiev, llnsp. BM Elev: BiM Description, -ANK INFORMATION n ELEVATION/DATA' TYPE MANUFACTURER CAPACITY Se 17M a�d Dosing LJ Aeration Holding TANK SETBACK INFORMATION TANK TO PL VVEL L BLDG. Vent to Air Intake T ROAD , PSeptic 7 Do s i ni i eration Holding , f PUMP/SIPHON INFORMATION( Manufacturer - f' Demand kq 4 d'i le 1. 6 C. -,tA LJ-50%GPM N4" C�6 p #7 TDH I Lift Friction Loss ry:�te Hea MH1 ` 35 DO `� Forcemain r D ngth Ia. 41 Dist to Well 3C I SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 506145 -e- State Plan ID No: Parcel Tax No: 4) 2-b - 14 71 - P40 -Z N 4 - O SectiobtbLn/F1 :/Man No, 36.29.19. d "A 3az7 STATION BS HI FS Benchmark q 7 164 11 Alt. BM JG�� - 4� . /_!� �7 I - 10 I-,' Bldg. SewerC,����j 13. . 7. StIInlet .0 V 3 J 7 .t� Out 6t _0) _�, L7 ne t7.1 �kTl Dt Bottom Header/Man. Dist. Pipe 4 Bot. System Final Grade St Cover 9 X_ 'T 9 C `1 , 9 N4r,'0" BEDITRENCH Width Length No, Of Trenches PIT DIMENSIONS No. Of Pats lnsice'Ll'ia. Liquid Depth DIMENSIONS SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Mianufacturer, UNIT Type Of System, 7 <)A- Model Number: DISTRIBUTION SYSTEM r-1 _. 01., .+-" 66, +e- "... (:A7 e "Le !� a- Header/Manifold VF Distribution Plpe(s) k # I i / S x Hole Size e 1( x Hole Spacing / ! V to Air Intake — Length Dia Z t Length Dia 7, Spacing SOIL COVER x Pressure Svstems Onlv xx Mound Or At -Grade Systems Only -%. Depth Over Depth Over xx Depth of xx Seeded/S dded xx Mulched i Bed/Trench Center Bed/Trench Edges Topsoil yes No S� Yes Na *"*��y s No I CCOMMENTS: (include code discrepencies, persons present, etc.) inspection #I://c>Inspection #2: Location: Hudson, WI 54016 (SE 1/4 SW 1/4 36 T129N R19W) CottonwOA)d Ridge Lot 6 Parcel No, 36.29.19.444A 6� 1.) Alt BM Description .......... CV1 ,� 2.) Bldg sewer length ;: - amount of cover = i Sr f'I`rsf Plan revision Required? Y e s No Use other side for additional information. --------- Date Inse tor's Si Cert, No. SBD-6710 (R.3/97) 84-84 2 1 ZMY ell 400%1- 3NOW* Ao IL♦ , V'CW7 WELL Nt 'Ilk 2,00 Acres 1*4 No R t..,[ 670125 SO,, FT4 200,74' r7 4 a &A"& s 'o most* wow + * am" A, 4 mo*a WIMP w 4 W~ 4406W1 IM SOJMOW 4P IR fip*jpw It ApMVjW WWI* 4 ♦ +V"qW .4, 200,74w 40 I\V ��d�pv� L 1-1 oo ot c re5 87, /o?S 5q, � +10 aao.z5' A 212.5G 41Ad No 4 TH UNE OF THE SE114 � I i' o� wry � L�Cppy Document No. POWTS AGREEMENT Owner name and address: Mark J. & Elizabeth A. Lisowski 873 Yost Dr. Hudn. WI 54Q 1 f 141�IL Illll lllil llll! I1i111441� lily llllll llli llil * 9 0 5 9 5 8 1 905958 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/28/2009 11:35AM AGREEMENT EXENPT E REC FEE: 11.00 PAGES: 1 This indenture, made by "owner" and their successors in interest, own a POWTS (Private Onsite Wastewater Treatment System) requiring regular monitoring and maintenance in accordance with the manufacturers recommended procedures. These procedures must be performed by a manufacturer authorized service provider licensed by the State of Wisconsin to perform these services. Results of these procedures shall be reported to the appropriate Governmental Unit as required by code. Location of POWTS: Return to: Jim Thompson 340 Paulson Lake Lane Osceola, WI 54020 Parcel ID#: 020-1479-0 -000 Lot: 6 Block: Na . Subdivision/CSM: Plat of Qgttonw9pd South being part of: _ SV�'/4 SE'/�. Section 36. T. 29 Ri19�W•, Tn. Of Hudson St. Croix County Wisconsin. -.. POWTS DESCRIPTION: Wieser Concrete Bio-tank with Moot systems H-600A pre-treatment unit, pre-treated effluent discharged to mound dispersal component constructed in compliance with Mound Component Manual, SBD-10691-P (N.0110 l ). OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Ownere" is responsible for insuring inspection, operation and maintenance of POWTS. 46� la L s1 AtIiTC) (Datt) (Ova na sipaturc) Acknowledgement: Mae) ,1V�ark J. Lisowski, known to me be the pers n e ut' the foregoing instrument. ., �rlbed� d� sworn to before me this day of , 2049. RY B,� state of Wisconsin M*Comv%��.Expires: O ober 23. 2011 Instrument Drafted By: dames K. Thompson 1 of 1 RECEIVED 7 JAN I J SL (;k(ULA y PLANNING & ZONM OFRM CE OZG Y-747-- 6c)(f) FIELD INSPECTION S SERVICE REPORT INSTALLATION AUTI-IORIZED -SERVICE PRON!"I D F-, R A 5-6 Zr -ve N am e: A d r,- s s � 6 73 o %,\'ame: 4-s Ics ed &-) Street., Au&45OW7 4.k. C.4 `,cress: 13 73 Y o ma i I A d d r e s s uk, sty I c. s - Z_ I p C I st.11tc L A 2 20 39�13 F ax I Phorw (;r/ si xfooLmr i L INSTALLATION INFORMATION I Blower Brans and Serial No. Date of Installation Date of last Size F. Q LA P.N I E N T DETAILED COMMENTS OF SITE CONDVI_10%,',� 0MAINTENANCE PERFORMED OR REQUMEA) PE - I�ATION YES N 0 F -lultrical Panel(s) . . . .............................. 1 Alarm Operating T 10 alarm Operating; J. present) r S): �i ie, Filter Clean k< .3 'o 0 0 J C11 s Clear — --------- T ��,�tssive Noise b, urilt(s): .,sual Odor rem Vent l'u;rlf)ULJt Required: Sen I I n --! Zone ro," I c. Treatiliclit Zone — � ._.-.�.�_ .._._. _;_ _ ..--------____..� _ _ .� _ -- _---. - _ _ - _ . E F F L, U- E N T-6 LIMIT RE S U L'I" S I I III a ( e d 1)aik Flo�,v ;_-H_iStaridard Unit S.U. Ca i Y or CiCar L`issoj�cd Oxygen (effluent) 12 In i4/'—' o r ,Musty odor (rlo! sen, . 'i T R- TECH 'ICI:\N S E SERVICE DATL SIGNATURE. 1� T r v �w s I r x ° a .. S r � P w , r e ! Bw � 1 e 7� rr ' `� •�*Y Sri J >1 �, � I� w � kip w 9 aw v .w 5, a s° o-•� a: ,� a1 M , 1 r fi a � , M ,k ui o w i 1 fi r' r G i a t•'a xV Y t 14 ik f aii M 1 m r x y 4 a � h M a x Y M0 . 4( ppS � mX� JAI m 0, 4w X 4 � N k " ar � M 0. 'v g, r � f A 1 4 y i` d � , r. meµ` V S y � e � 4 i r p ♦W, � � 8 � Y k " y r d ". yf/ "� / � ,�"r "�, Mrs � 1. . • .� � "1 11.. t... t 1 R "' 4 I� ° io I � f A r vt 04 IW Rig.. F j 0" y a + tx n r f�r � , '1 r °i �. ate. ��+ �" �� " t� r ,�•,� I �' `"_ � i4" 4 1 � r 1 y " 4' e� WL 40!11111ii��m Ati } 3 " r A • tl + �t � 1 Itisconsin Department of Commerce INSPECTION REPORT Date of Inspection: April 21, 2010 Project Name: Lisowaki/Bae Use: Residential Legal Description: SVV, BE, 36. 29. 18VV Site Number: 720623 Subdivision: Lot GCotton Ridge South Municipality: Town of Hudson County: St. Croix Plan Transaction Number: 1343381 Sanitary Permit Number: 515180 Wastewater Flow: GOOgpd Persons Present: Owner, P.Quinn, R.Yarhngton SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, Wl 54729 Aaron Olver, Secretary Plumber Name and Address: William Bohumaker, N1P2278RO 1O7OScott Rd Certified Soil Tester Name and Address: Dave Steel, CST 248956 Owner Name and Address: MarkUsowski 873Yost Dr Hudson, WI 54018 This inspection was completed pursuant to s. 145.20 (3) (b) Wis. 8tato.^ as part of the annual audit of the St. Croix County Private Dnaite Wastewater Treatment System program. The following code discrepancies were noted at this site and require attention by the installing plumber. 1. The home onLot 8isoccupied and ianot connected toafunctional private oneitewastewater treatment system(POWTS). Suitable provisions have not been make for the treatment and dispersal ofwastewater from the dwelling onLot Gwhich ivaviolation ofsection Comm 82.10(2)(d).VVia. Adm. Coda. 2. |norder for the building onLot 8toremain occupied the pDVVTSdescribed inplan transaction 1343361 shall bemake fully operational. 3. Items not in compliance include: a. Plans shall besubmitted and approved bythe county for the exterior sanitary sump. The design and installation shall conform to a. Comm 82.30(10)(d). Wis. Adm. Code. b. Electrical service at the exterior sanitary sump shall comply with o. Comm 10.300 and NEC3OQ. Approved wiring methods shall beused. AnLBfitting ionot adequate to contain the wiring methods required tomeet minimum code standards. o. The aerobic treatment unit is not functional. The air pump is not installed. d. The final dose tank isnot operational. There (snopower, pumps orcontrol panel installed. e. The manhole riser at the final dose tank shall be at least 4 inches above finished grade. In addition, the electrical opening in the manhole riser ring was not sealed water tight when installed and this has allowed surface water toenter the tank. All tanks shall be pumped out byalicensed pumper toremove excess water and any deleterious materials that may have entered the tanks. f. C|eanoutaalong the private interceptor main sewer need tobefinished. Their terminations shall beinaccordance s.Comm 82.35(2)(d)and (5)(e).Wis. Adm. Code and the desires of the owner(o). 4. Until this system isapproved for use the owner ofLot Gwill need tomaintain the sanitary sump ao a holding tank so as not to allow wastewater to flow to nonfunctional down stream components. S. It is recommended that there be a method be utilized to remove and service the sewage pump in the exterior sanitary sump from outside ofthe tank. The present arrangement, although not a code violation, will present a major problem from a confined/hazardous space entry perspective Page 2 of 2 April 21, 2010 Lot 6, Cotton Ridge South Please see that the above discrepancies are corrected by May 21, 2010. The plumber will need to contact either the county inspector or me for an inspection of the corrected installation. If you have any questions regarding this report, please contact me. Leroy G. Ja ky, PS , Wast " ater Specialist leroy.jansky@wisconsin.gov wisconsin.gov E-mail 715/726-2544 Voice 715/726-2549 Fax cc; ®County E Plumber ❑ CST Z Owner E Kernon Bast, Developer SAMPLE PROJECT NARRATIVE (Lot — Cottonwood South) Written Description and Request: The project site is located on Lot within the Cottonwood South Subdivision located in Section 365 T29N, R19W9 Town of Hudson, St. Croix County, Wisconsin. The project will include the construction of a single residential driveway and activities associated with the construction of a private single family residence. A private well and private septic (system or service line) will also be installed for this residence. The project will include the disturbance of more than 10,000 s.f. within the 1000 ft of the Ordinary High Water Mark (OHWM) of a navigable waterway/pond. This submittal is a requirement of a consolidated special exception permit that was granted in March of 2008 for all lots within the Cottonwood South Subdivision. A site plan has been developed for this lot and is included for review (see attached plan). The stormwater management plan for this lot was previously submitted, approved and implemented with the overall development of the Cottonwood South Subdivision. A copy of the Stormwater Management Plan and associated calculations should be on file with the St. Croix County Zoning Department and the Land & Water Conservation Department. No additional stormwater management is required for this lot to meet the county stormwater requirements or the performance standards described in NR 151. Stormwater ponds were constructed as part of the original development to treat runoff from individual homesites prior to discharging to existing waterways/ponds. Drainage easements have been established for all drainage ways and ponding areas necessary for stormwater management and their locations can be found on the plat of Cottonwood South. Approximate Construction Schedule: From: To: Month/Yr Month/Yr Z�2 0�1 0 <� -Initial Erosion Control Installation MAY U&Aq 4wesilt Fence & Tracking Pad rA et� 4t-61-u Wa -Initial Site Rough Grading/Building Excavation -Rough Grade Driveway -Construct House -Gravel Driveway -Continuous Maintenance of Erosion Control Devices /� r C +%+ -Final Lot Grading -Final Erosion Control Installation *Erosion Mat (or Sod) & Seed/Mulch, as, required -Remove temporary erosion control devices once a minimum of 70% vegetation has been established on the entire site 61 CHECKLIST (Lot - Cottonwood South) Submittal Documents Copy of Warranty Deed. Ef Copy of Sanitary and Building Pen -nit (if issucd). 3"'Project Narrative. Contractor's List. a*'`Slte plan. 3" reconstruction Notice. 100 application fee. $300 cash compliance deposit. �L � Uf V, A C(rn�' ��i� /� 6w•foS �,(J� 13'0'Photographs of the site following the completion of construction. Site Plan — General Rego .cements 13 1/ Lot Parcel dimensions, easements, and setbacks. Q/ Location of all existing and proposed stnictures. a Location of all existing and proposed POWTS, wells, driveways, trees and other features. a Ucation of navigable waters, OHWrM, and highwater elevations associated with storm ponds. Site Plan — Erosion Control 2rSilt fence installed on the downslope side to intercept runoff from disturbed areas of the site including the septic system and stockpiles of materials. Existing vegetative buffers may be ,psed in lieu of silt fence depending upon site conditions. Ez�pevices installed to protect existing trees. 13 Ditch checks/silt fence installed to protect road ditch and culvert as needed. 2( Vehicle tmcking pad - driveway entrance. 2"' Proposed direction of surface flow upon final site grading. [?I -Winter Cessation plan/temporary seeding (if applicable). Site Parameters[Limitations *A separate pen-nit(s) may be required by St. Croix County Planning and Zoning Department and/or the W1 DNR if construction on an individual lot includes any of the following: 11A 1:1 >1 Acre of total disturbed area on the site. 0 >I 0,000 sq. ft. of disturbed area within 75' of the OHWM. El >12% of the lot area consists of impervious surface (Additional storrnwater analysis may be required to demonstrate that existing stormwater facilities aTC sufficient). 11 Any activities that would require a deviation from the original stormwater management plan recorded for the overall development of Cottonwood South. / C/ J 7/Q�% County of St Croix Finance Department Check Number: Vendor Number: Vendor: Hokeness Construction Jon & Julie Hokeness 907 Alex Ln Hudson, W1 54016 Check Date: Total Check Amount: 300.00 Approved: �/ File Date:. (-)//,0 Invoice Invoice Invoice L—Date Number Amount Description 11 Account Number H Amount 11/11/2010 $300.00 Compliance Dep refund - Cottonwood S. Lot 6 100-26901 $300.00 Lisowski Total Check $300.00 ST CROIX CO UNTY AAJ11L PLANNING& ONING 1 Jon & Julie Hokeness c/o Hokeness Construction, Inc. 907 Alex Lane Hudson, WI 54016 Code Administra RE: Compliance deposit refund for Cottonwood South '07 Lot 6 715-386-4680 Section 36, Town of Hudson Land Information Dear Jon & Julie: Planning 715-386-4674 I inspected site conditions at Lot 6 today to determine its compliance with requi rements Real Pro for erosion and sediment control. Thanks very much for doing such a good job making providing 715-3 77 repairs to eroded areas - erosion blankets installed are rovidin protection of the soil 6 while grass seed takes hold. This past few weeks of mild weather has allowed the grass Re to achieve the minimum 80% coverage for exposed soil and it should be in good shape -386-4675 for next spring. Your company made the $400 deposit on behalf of the lot owners, Mark and Beth Lisowski on 10/21/09. 1 can now authorize your $300 refund. 7 cerely, Pam Quinn, Z Wing Specialist Cc: Mark & Beth Lisowski, lot 6 property owners Sr CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715.386-4686 FAX P �CO.SAl1VT-CROUGWI.US WWW.CO.SAINT-_CROiX.WI.US �; u�� i�'lY2P� u ccs�2e-� cal -„�, �,� �: �,,� c��� C�7 DATE886964 RECEIVED FROM 0 FOR RENT OFOR_ iF 2: 0 CASH ACCOUNT MONEY 0 DER FROM TO DAVRAENT CHECK BAL. DUE CREDIT BY CARD !k i 118 ........ ....... Julie Hokeness c/o Hokeness Construction, Inc. 907 Alex Lane Hudson, WI 54016 RE: Compliance deposit refund for Cottonwood South '07 Lot 6 Section 36, Town of Hudson Code Admin.astrat Dear Ms. Hokeness- 715-386-4680 Land Information Per your request, I inspected site cond itions at the above -reference lot today to Planning determine its compliance with requirements for erosion and sediment control. The Board 715-386-4674 of Adjustment Decision that approved the subdivision required compliance deposits for every lot developed per Condition #5- Real Prope , "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash 715-3864677 compliance deposit for the lot. The compliance deposit for the six lots under construction Re cling shall be $1 100 each, and the compliance deposit for the remaining lots in the -386-4675 subdivision shall be $300 each. The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established and the project is found to be in compliance with the conditions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Administrator photos of the 7) n ucual, and certification from the project gineer 1 'ect en at the construction has been completed as approved to serve as proof of compliance." Your company made the $400 deposit on behalf of the lot owners Mark and Beth Lisowski on 10/21/09. You will be eligible to receive a $300 refund when the entire yard 8 has permanent vegetation that provi es mum P ---------- 80%© coverage of the exposed soT' Photos taken April 7, 2010 show the yard had been graded, but no cover had been applied to exposed soil to prevent erosion. Now there is patchy cover (50% or less) of crabgrass that is not adequate to control erosion. Areas of concentrated runoff have washed sediment Into the road ditch on either side of the driveway and partially filled the culvert pipe. The accumulated sediment must be removed from the ditch to prevent blocking flow of road runoff. You need to discuss with the owners whether they intend to install sod or grass seed and mulch yet this fall to establish adequate cover for erosio n control. When we have received photos that document compliance with erosion and sediment control requirements for this lot, your deposit refund will be processed. PZPCO.SAINT-CROLX W1 US ST. CROIX COUNTY GOVERNMENT CENTER 10 1 CA RA41CHA EL ROAD, HUDSON, W1 54016 715-386-4686 FAx WWW.Q0.SA1NT-QR01X.W1.US r i v. T CO � r :1 U) .0.0601. ' 115' 1511 P OF REBAR .............. 1 TI'ON 1057.99 c �� .......................... .... � 189-4Y xi,............ a — — 199.93' Sao 4 — -- _ 212.40 —_. YOST DRIVE ! cc A ul R 46'4rW 1 00.5.15' •a....... ..................... .......... • `_ a ................ 213.77' 438E 135,00' • a • ........ �OT 1 CRES CENTER OF My RADA SQ. FT. a � b US TEMPORARY CUt -DE-SAC -� EASEMENT �,,� �•,O �! �. E REMOVED o, vm a Cq AT THE TIME OF ROAD T EXTENSIO 3.27 Acres 1429341 SQ. FT. ` 2.00 Acres �. 87,125 SQ. FT. IOTINGS 2.00 Acres 87,125 SO. FT. i8"VI► 150.00222,74' S89052'58"E 573.46 $ 240.74` v3 N89°5258"IN 575,38' .!.►!•.!•.l .. l,.l .a l..l 372.74' .. r..l ,.l.al..li 200.741 M iCoi T Lo r- 372.76' 1033125HE 1 326.80' LOT CORNER IS -- OCCUPIED BY TREE rh C4 v- 200.75' SOUTH LINE OF THE SE1/4 212.56' 314"X 1 W IRON REBAR SET, WEIGI LINEAR FOOT r 1" DIAMETER STEEL "SURVEY MA ....•.••...... 0.............. 5V ROADWAY SETBACK LINE 12' UTILITY EASEMENT DRIVE L.B.O. = LOWEST BUILDING OPENING ELI f HVIlL 1048.00i N'; HIGH WATER LINE ELEVATION %\ -- '4 .. (O.H.W.M.) ORDINARY HIGH WA SE CORNER SECTION 36 N89033'25'E 13266W • FNOTE. CROIX COUNTY, LOTS 9, 109 11 & 18 WILI CT TO SHORELAND ZONING. CONTACT Tr PRIOR TO BUILDING +ON SAID LOTS TO D Y REQUIREMENTS. OUTLOT 1 TO BE DEEDED TO THE GERMAN SE I PRESERVATION SOCIETY FOR PRESERVATION OF ASSUMED GERMAN SETTLEMENT AREA.