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HomeMy WebLinkAbout002-1020-60-000 County: � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEIt7i St. Croix Safety and Building Division' • INSPECTION REPORT Sanitary Permit No: 38 c 4t,8 6 (ATTACH TO PERMIT) 430459 L GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Haas, Bonnie I Baldwin Township 002 - 1020 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No ' ST BM Elev: Insp. BM Elev: 7 ' 10.29.16.140A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic L Benchmark (J�J . �. U l� V eonfo kA ✓ Dosing Alt. BM Aeration ,� G Bldg. Sewer t� -Z, , t U, �ot?s Holding • %" "' � St/Ht Inlet _... .............. Its v a / y TANK SETBACK INFORMATION St/Ht Outlet • TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Inlet +3 r r 3- 25 /Z lS Septic , X75 / > U Dt Bottom '4 QD•OS Dosing Z �_ _ ; Header /Man..,t, 1t .' •� Aeration -• Dist. Pipe * ( B.LS ;Cj Holding \ Bot. System y 5 _ f • '� _. 91,-It 9 .3t Final Grade 7 �� PUMP /SIPHON INFORMATION Manufacturer Demand St Cover �J 11 (3vuk,. 5 GPM �ttj ° Model Number // e TDH Lift Friction Loss System Head TDH Ft fl tt 7i iv t/ Forcemain Lenpp��th Dia. Dist. to Well 9 C.7 �tp V�•e -a J `j �s� l � S ° � vo. co SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7- SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size I x Hole Spacing Vent to Air Intake 1 . Pipe(s) r _ j u " Length U Dia Length �� •� �► Dia �2 Spacing - 7 30 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 L, Bed/Trench Edges -- - Topsoil - 71 Yes No l:J Yes V No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: ( 1 ! 04 / 0 -3 Inspection #2: Location: 1080 245th Street Woodville, WI 54028 (NE 114 NW 1/4 10 T29N R1 6W) NA Lot Parcel No: 10.29.16.140A 1.) Alt BM Description= .5" � ir� N { �` "� / S r/fo,4 r 4K SAN ''�, I O�� G_�•�. +o Sc ;` -- 2.) Bldg sewer length = '7'j 6 y-rao >P /�Chnt.R o✓ c` "ti`^�.`� o . - Sc , r , y .MC, = S fo - amount of cover = y(c, �j � s D14. poj� Q+ 3 A 6��oov 5 GCOI+vy+"t 5� �[ w.11 4sC <�.. t�. 5 C ,►tpr> other side for additional information. Z� 3� Use oth Isis dR O uared ? on a No L D -- -- - -" `_"_ - - -- __- 44W D ate In epctors Signature Safety and Buildings Division County CC,, _ Madison, 201 W. Washington Ave., P.O. Box 7162 cam.. C J i Is on, Wl 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) cons i Department of Commerce {608)266 - 3151 Sanitary Permit Application to Plan 1.D.Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide ,3061 y e �� • /D may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if different than mailing addr ) 1. Application Information - Please Print All Information REGENLU Pr y Owner's Name Parcel # -Bet# Bieek 0 i C 1 4 2003 onn a aQ.s tao2- /0,20 -�' .I Y�tE Property Owner's Mailing Address I 3 Property Location 1� 5 i . I t iX C ^ � o OD /`� 5C/ L i`: l FI= (i_. �' �i /. nW' /., Section !V re City, State ,,/ �`J Zip Co p P tone N / Q t t� u) 6o y/1 /� WA )66f �TdZ/ 7/ l 3 , � (circle one � I' N; R ��P �L H. Type of Building (check all that apply) or 2 Family Dwelling - Number of Bedr �} t, Subdivision Name CSM Number i1 ❑ Public/Comnrrcial - Describe ❑State Owned - Describe Use M ` j=(6, City_ ❑Villageia'lotvnshipof 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System System g Rep y g Y ❑ Treatment/Holding Tank Replacement Only El Modification to Existing System B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T yp, of POWTS S stem: Check all that appl ❑ Nor - Pressurized In - Ground 9<o und > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized in-Ground ❑ Holding Tank ❑ feat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pi PA Otb- ex lain V. DispersaliTreatment Area Information: A — ttSp Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation Aso d. / a ,a X45 916'0 s.r I 9,r oy' VI. Tank Info Capacity' Total `,Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Fxisting Tanks Tanks Septic or holding Tank Aerobic Treatment Unit Dosing Chamber W SU / / , 1 C W C _ VII. Responsibility Statement - 1, the unde igned, assume sp usibility for installation of the POWl'S shown on the attached plans. Plumber's Name (Print) Pl s Signature MP40M Number Business Phone Numb 0. d S 7-S / S��G Pl Zip s Address (S t, City, State, ode) YO. 65. 243 co t/i/le 6 S - VIII. Conn /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued ssu' g Agent Signature No Stamps) AAppmved El Disapproved Surcharge Fee) `i'1' - 35V' ❑ Owner Given Reason for Denial IX Conditions of Approval/Reasons for Disapproval 3 a1a ; SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintaiga- as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 8112 x r r inches In size SBD -6398 (R. 01/03) � ■ B.� q q o Proposed Moccnda£ /779 ,cfi_ S X 90'oc.s/1a -sa/ ce/(. Cor� /Q 6¢ra15 a E /yy X ErB. SS.'u�/ L,) S 0 I � i I P m Z F'orct ma;n. Propo-scd Weser Conc. �/•u, ssumed e led: = /UD.G37' fi ,,ce fS... i well � �4�o�orox. S80'o�' 30 3V 5kr�4 cc d ,`5 c.k.a X02 O 1 vzo � G ro 1 L.�/ Abe I A- /aD e glae rE 4 �•l�er'a� oatlL�• 1 /ocal on of �ic./y;el✓ a /tetiic suv: ce— _ — / �- ec rica/ Tinnsoco tree / 1�rive Jay / �_. ex/:56 SyoE c systtm. Y se�i. t/D R v C . / it bando.> QS g oer Code . bGtt ldi S"Ctl 7l be , NScc/a se _ ��____� 9s' as code. �1 j� 3cv' - 3 bedrobna r l d cc.�C Safety and Buildings ` 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264 -8777 *iSconsin www.commerce.s i.usts www.wiscon isconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary October 09, 2003 CUST ID No.223475 ATTN.• POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 j CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2005 Identification Numbers Transaction ID No. 930618 SITE: Site ID No. 666863 Bonnie Haas Please refer to both identification numbers, 1080 245TH Street above, in all correspondence with the agency. Town of Baldwin St Croix County Condidio NE1 /4, NW1l4, S10, T29N, R16W AP FOR: Object Type: POWT System Regulated Object ID No.: 926221 DEPARTMENT OF The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative C NIS Of SAFETY and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in C �,� ` chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. SEE ORRESI The following conditions shall be met during construction or installation and prior to occupancy or use: This plan action is subject to designer comments on the plan. #1. The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code. #2. Insulate piping per Comm 82.30 (11). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. JOE STANG Page 2 10/9/03 Sincerely, Fee Required $ 350.00 J Fee Received $ 350.00 C- Balance Due $ 0.00 Wesley C rube Plumbing Plan Reviewer, Integrated Services WiSMART code: 7633 (920)492 -5613 , M -r 7:00 - 16:30, F 7:00 - 11:00 wgrube @commerce. state. wi.us cc: James K Thompson, A.C.E. Soil and Site Evaluations James K Thompson, A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application RECEIVED INDEX AND TITLE PAGE OCT 0 6 2003 Project Name: Bonnie Haas 3 bedroom residential mounds stem SAFETY & BLDGS: DID Owner's Name: Bonnie Haas Owner's Address: 1080 245th Street Woodville, WI 54028 Legal Description: NE1/4NW114, Sec. 10, T.29N., R1 6W Township: Baldwin County: St. Croix Subdivision Name: NA pally Lot Number: NA Block Number: NA NED ---- -- COMMERCE AND WINGS Parcel I.D. Number: 002- 1020 -60 -000 -- Plan Transaction No.: 'ONDENCE Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Joe Stang License Number: 223475 Date: 10/01/ 3 Phone Number: (715) 684 -5166 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) conform of <- 36 inches. 450.00 Design Flow (gpd) 8.00 Site Slope ( %) 97.54 Contour Line Elevation (ft) 34.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? I Y -- 90.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 7.54 Vertical Lift (ft), 81.25 5x Void Volume (gal) 0.76 Friction Loss (ft) 87.77 Minimum Dose Volume (gal) 14.80 Total Dynamic Head (ft) 29.66 System Demand (gpm) Lateral Diame Selection Manifold Diameter Selection in. dia. options choice in. dia. options cho 0.75 1.25 x _ 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x _ 3.00 x j Gall /In ch Calculator (optional) Tre Tank Information 760.50 Total Tank Capacity (gal) 1000.00 1 Septic Tank Capacity (gal) 37 Total Working Liquid Depth (in) Wieser Concrete I Manufacturer r gal/in (enter result in cell B49) Dose Tank Information Effl Filt Information 760.501 Dose Tank Capacity (gal) Za _ Filter Manufacturer 20.281 Dose Tank Volume (gal /in) A10 ~� _ Filter Model Number Wieser Concrete I Manufacturer Project: Bonnie Haas 3 bedroom residential mound system Page 2 of 9 Mound Plan View T .: J FK Observation Pipe A W J .• . . . L. — . .. I .................. ........... ..... .... Lf • .. .......................... ................. I ....................... ............ ............................. ........................................ ............ ............................ ... ................ ........ ............ L j Mound Component Dimensions A 5.00 ft E 10.80 in H 1.00 ft K 7.48 ft B 90.00 ft F 9.50 in 1 8.65 ft L 104.95 ft D 6.00 in G 0.50 ft J 4.33 ft W 17.99 ft 450.00 (ft') Dispersal Cell Area 1 1228.62 (ft') Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 1 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.83 (ft) i► ;rrrrrrrf, . G H �' .rrrrrrrrr 2 ri ...... f. . r r r r rrr rrr�rrr F . ; . ; . . Dispersal Cell 98.54 (ft) Lateral 98.04 (ft)--10-: . Dispersal Cell .Q ; . . Elevation E D 97.54 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key Q c - T Dispersal Cell See lateral details on 0 Topsoil Cap o a 1.5 ft Page 4 for number, c © rrrrr Subsoil Cap to s ,-, ;r; •• • ° size, and spacing of ASTM C33 Sand F laterals. Laterals are k T • ic al Lateral Tilled Layer y 0.5 ft YP _ equally spaced from ❑5 Aggregate v o 4 — '•: the distribution cell's * A —* centerline in the distribution cell (AxB). Project: Bonnie Haas 3 bedroom residential mound system Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A &B dimension 0= Turn-up viball valve o r ales noutplu9 I P =Forcemain cal IF X -� I Holes drilled on the bottom or the lateral S equally spaced y ction via tee or cross to manifold at .any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30.5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 88.55 ft Orifices per Lateral 36 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 14.83 gpm Manifold Length 2.50 ft System Flow Rate 29.66 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.80 ft Forcemain Velocity 3.03 ft/sec Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E < Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer �_ 2 in. Capacit 760.50 Gallons Volume 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.00 385.28 B 2.00 40.56 C Pump off e levation (ft) C 4.50 91.30 91.00 D 12.00 243.36 D Tot 37.50 760.50 j� Do, se tank elevation (ft) 3" Bedding u 3e r tank. 90.00 Alarm Manuafacturer Leve �l Alarm Model Number DLV Pump Manufacturer Gou _ J Pump Model Number 3871 EP O4 Pump Must Deliver 1 29.66 gpm at 14.80 ft TDH Project: Bonnie Haas 3 bedroom residential mound system Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name J. Thom pson , POWTS#4819 - Phone 248 -7 767 POWTS Regulator's Name St. C roix C ounty Zon ing Phone (715) 386 - 4680 System Flow and Load Parameters Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliformr >10E4 ctu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals s hould be flushed and pressure tested every 1.5 years Mound Inspect fo ponding and seepag once every 3 years Other r Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis, Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •������������• •�������������• Grade \ 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution . Lateral '�-► Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Bonnie Haas 3 bedroom residential mound system Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure, if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. if an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design now specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Bonnie Haas 3 bedroom residential mound system Page 6 of 9 ' r V, " t T; I ' _ 1 I I Pump Specifications — —� ''3H P MtIEnS fEE' Up to 40 GPM Muo_L 387i Discharge size 1'/ NPT 9 30 � Up to ��0 GPA� � Solids - , ' /e" maximum a j f Motor 7 Single phase 115V q 6 20 i 0 Materials of Construction 1 Bra ssithermoplastic 5 Features and Benefits T ''� r a 3 10 0 •Top suction eliminates r`\ moeller clogging 2 5 j • Corrosion resistant r Collstructl0n r. o oo- __ 2 ' _.. ___.... .._ 0 -- - -- 0 JO 50 USO+� -Float actuated switch - -- - - - - -- ---- - -� - -- o a — c a a C W 1(E S FUT �_ - - - -- /•• 6.6 M. rni uirl SE,t�D�d7Y j Pump s nlo pecifications 6. Pump iR'' efits I I DEL ovPO3 e' 2u �/m and '/z HP • Ef 04 Irilpellc I tiellll 0.) 11 (les�g'I a with pump ou !a-,e a pr:llECl Maximum head to 3�' mechanical sea r • EP05 Ir�l encl )` ed C H:' l Discri rge size 1 / :' N' 1 pe. '° Solids -' /a" max,murll for improved !)er,or l,:cce ZY 2' Motor • Pugged glass- filiec t:n ' emicl) [:si� All motors feature cal casing and base ues.g l prcuj."� ar bearing construction. superior strength :l - ,erros cn " 0 5 10 is 20 25 ... 70 35 40 U. S.GPM resistance. Single phase ',15V U 2 4 6 © 10m'An •Cast iron mGt�( hU��l�l(j Ic'( _ caPACm Materials of Conslru',lion Cast iron efficient heat tMns!e rtet�� Therrnoolastic and durability Stainless s.ec • Corrosi)n res s'ant l sia nless steel shaft. •Availab e tot au;onrl.Jf ,nc manual opera!ic1n • CS4 'isied nlccels a:a All Modeis are designed for conlOuous operation and fea�ure srGin,'ess :'steel hardware. P� . ■ Sod e va/u az�, br, 1 d 00' Proposed OW lldaf /7 99x,c�ys ��eId I 11 /a6e- aStLlbtL'x68.5-5.'u� /r3 A �� o/`i�•,'ccs S ?.53; I �I I � � 'lv' 2 " do Pdc. F'or'ce ►na;n. Pro po - sc& W;eser Cone. zW �,., � P Aso _ M R� u.••� c�a.,j Gtr. 6 Li1fi�') O O � I ��. ssumcc( e led =1cV GO.' I wil � �t�o�oroz. Sgbo!' o - '/ �. S.T. r►•J. 303/ SkeFp cc el� e, /; ae. J � 1 & Pro posed cW OcV -Q 6 nIC / w/ zube I A- .M eWla9,11 � •�r'Ifer'a�oGet/e�• 1 � I / I — l�4rrieo�¢/tCtr'iesefvi — — — Yct- ca/ Trams cel rimer ep:s& 5t s d. C . / A b s per Code. bu; rd,n��gg se�,7ei; as�u cede. �I 3c» ry reSideoce i ,Zys S6 • 5 Bogy 1719 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 — of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8/z x 11 inches in size Plan muss County St. Croix _ include, but not limited to: vertical and horizontal reference point (BM), direction and - - - - --- - - - - - - -- percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 0_02_- 1_ -60- 00 0_____ Please print all information. Reviewed By Date Personal information you provide may be used for swondary purposes (Privacy Law, S. 15.04 (1) (m)) Property Owner Property Location Bonnie Haas Govt. Lot _ _NE 1 NW - 1/4 S _ 1 0_ _T_ 29 N R 16 W_ Property Owner's Mailing Address - Lot # Block # Subd. Name or CSM# 1 245t S �_ - -_- City State Zip Code Phone Number City _} Village ✓ Town Nearest Road Woodville WI 1 54028 1 715 - 684 - 3902 Baldvvin I 245Th Street Vi New Construction Use: yJ Residential / Number of bedrooms 3 f Code derived design flow rate _— 450 GPD Replacement Public or commercial -Describe: Parent material Glacial drift - _ - - -_ —_ Flood plain elevation, if applicable na — General comments and recommendations: Install mound system at elev. 98.04' at 6" above 97.54' contour. Boring # Boring - -- - -' Ground Surface elev. 95.71 ft. 4 _" in. Soil Application Rate Pit Depth to limiting factor — APp Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GPD /ft in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. "Eff#1 'Eff#2 1 0 -8 1 r3/3 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 8 -12 10yr5/4 none sil 2fsbk ds cs I 2f,lm 0.5 0.8 3 12 -19 7.5yr4/6 none gr sl 2msbk dsh cw 1f 0.5 0.9 4 19 -40 10yr4/6 none s & gr 0 sg dl cw - 0.7 1.2 5 40 -53 10yr4/6 f2d 7.5yr5/8 s & gr 0 sg dl cw - 0.7 1.2 6 53-69 7.5yr4/4 m2d7.5yr5/8 sl 1 csbk mfr - - 0.4 0.6 a 2 Boring # Boring iiiii Pit Ground Surface elev. _ _ _9_739 ft. Depth to limiting factor - -34 - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary 1 Roots 'Eff#1 PD / f F Eff#2 in Munsell Qu. Sz. Cont. Color Gr Sz. Sh. 1 0 -8 10yr3/3 none sil 2fcr mvfr as 12f,1m 0.5 0.8 2 8 -20 1 none sil 2fsbk ds cs j 2f,1m 0.5 0.8 3 20 -34 10yr4/6 none gr Is 1 msbk ds cw i 1f j 0.7 1.2 m3p 5 r5/8 & 4 34 -46 7.5yr5/8 f2 l /2 scl - - Om - -- —_ dl _ -- — 0.7 – 1_2 _ 1 I Effluent #1 = BOD ? 30 < 22A�mg/L d TSS >30 < _ 115 mg /L uent #2 = BOD < 30 ni and TSS <30 mg/L CST Name (Please Print) \Signatur . CST Number James K. T hompson o - --_ ___ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceo , Wt 54020 9/512003 715- 248 -7767 Rroperty'Owner Bonnie Haas Parcel ID # _ -1020- 60 _ ____ - -- Page 2 of 3 F Boring # Boring - Pit Ground Surface elev. _ 94.79 ft. Depth to limiting factor 42" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 8 -17 10yr5/4 none - - sil - 2fsbk _ ds Cs 2f,1m 0.5 0.8 3 17 -22 7.5yr4/6 none gr sl 2msbk dsh cw If 0.5 0.9 4 22-42 10yr4/6 none s & gr 0 sg dl cw 1 - 0.7 1.2 5 42 -56 10yr4/6 f2d 7.5yr5/8 s & gr 0 sg dl cw - 0 1.2 6 56-63 7.5yr4/4 m20.5yr5/8 sl 1 csbk mfr 0.4 0.6 4] Boring # L' Boring N Pit Ground Surface elev. -- 97.83 ft. Depth to limiting factor 45 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0 -8 10yr3/3 none sil 2fcr mvf as 2f,1m 0.5 0.8 2 8 -15 10yr5/4 none sil 2fsbk ds cs 2f,1m 0.5 0.8 3 15-24 7.5yr4/6 none gr sl 2msbk dsh cw If 0.5 0.9 4 24-45 10yr416 none s & gr 0 sg dl cw - 0.7 11� 1.2 5 45-60 10yr4/6 f2d 7.5yr5/8 s & gr 0 sg dl cw 0.7 1 1.2 6 60 -72 7.5yr5/8 m2d 5yr4/6 sl 1 csbk mfr - - 0.4 0.6 I F-1 Boring # Boring - - fPit Ground Surface elev. -- ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ' Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. Ifyou need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. • cGASui�.6 / Soi/ eUa /ua.& `a 2eF� i7/9 b h L 04 /ope Cod's elk 0 �tnclt po4' /f /Ovc. ,pine, A ssuMed c ted: - ; iQO. 4'a I(Ou-) \ o' I ° Carn • • Corn •�', Id • rl • • • EX /.YEi c�Rxin�e�� ® • uV 5wf��aec dfSCJ.a�2, �T`r«�sti.• �� � cl¢cfilc5er ✓i t✓'Xisdln� Sc�Of,c dan v wa A banda a5 Code. p I {.►�,>):} y • of Sri, n�9 • Fle✓ I/9'/7' • Corn Ae ld s 1719 Wwormn Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Bui in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site n on not less than 8'f x 11 inches in size. Plan must County p plan p� St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and locates and distance to nearest road. Parcel 1. By 002 Please print all information. Dat Personal infomabon you p�� may be used for secondary purposes (Pnvwy Law, s. 15.04 (1) (m)). 0 Property Owner Property Location Bonnie Haas Govt. Lot NE 114 NW 114 S 10 T 29 N R 16 W Property Owner's Mailing Address Lot # Bk►ck # Subd. Name or CSM# 1080 245th St. City State Zip Code Phone Number J City _j Village ff Town Nearest Road Woodville WI 1 54028 715 - 3902 Baldwin I 245Th Street II New Construction Use: tl' Residential J Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 98.04' at 6' above 97.54' contour. Boring # Boring tgel Pit Ground Surface elev. 95.71 ft. Depth to limiting factor 40 ,- in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 8-12 1Oyr5/4 none sil 2fsbk ds cs 2f,1m 0.5 0.8 3 12 -19 7.5yr416 none gr sl 2msbk dsh cw if 0.5 0.9 4 19-40 1 Oyr4/6 none s & gr 0 sg dl cw - 0.7 1.2 5 40-53 10yr4/6 f2d 7.5yr5/8 s & gr 0 sg di cw - 0.7 1.2 6 53 -69 7.5yr4/4 m2d7.5yr5/8 sl 1 csbk mfr - - 0.4 0.6 o Boring # Boring Pit Ground Surface elev. 97.39 ft. 34 " min Sal Application Rate Depth to limiting factor —� App Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *092 1 0 -8 1Oyr3/3 none sil 2fcr mvfr as 2f,lm 0.5 0.8 2 8-20 1 Oyr5 /4 none sil 2fsbk ds CS 2f,1 m 0.5 0.8 3 20 -34 1Oyr4/6 none gr Is 1msbk ds cw 1f 0.7 1.2 4 -46 7.5yr5/8 3p i /8 & s Om dl - - 0.7 1.2 f2 p ' Effluent #1 = BOD ? 30 < 220 mg/L TSS >30 < 1 mg/L uent #2 = BOD < 30 mg/L and TSS < �10 mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson 5 --� 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, WI 54020 9/5/2003 715- 248 -7767 ti Property Owner Bonnie Haas Parcel ID # 002- 1020 -60-000 Page 2 of 3 F 3 Boring ] Boring # 94.79 ft. Depo g factor 42" n. Soil ii+r' Pit Ground Surface elev. th t limiting Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fcr mvfr as 21,1 m 0.5 0.8 2 8 -17 10yr5/4 none sil 2fsbk ds cs 2f,1 m 0.5 0.8 3 17 -22 7.5yr4/6 none gr sl 2msbk dsh cw if 0.5 0.9 4 22-42 10yr4/6 none s & gr 0 sg dl cw - 0.7 1.2 5 42 -56 10yr4/6 f2d 7.5yr5/8 s & gr 0 sg dl cw - 0.7 1.2 6 56-63 7.5yr4/4 m2d7.5yr5/8 sl 1 csbk mfr - - 0.4 0.6 Bering # I Boring to limiting factor 45" Pit Ground Surface elev. 97.83 ft. Depth g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/3 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 8 -15 10yr5/4 none sil 2fsbk ds cs 2f,1 m 0.5 0.8 3 15-24 7.5yr4/6 none gr sl 2msbk dsh cw If 0.5 0.9 4 24-45 10yr4/6 none s & gr 0 sg dl cw - 0.7 1.2 5 45-60 10yr4/6 f2d 7.5yr5/8 s & gr 0 sg dl cw - 0.7 1.2 6 60-72 7.5yr5/8 m2d 5yr4/6 sl 1 csbk mfr - - 0.4 0.6 F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <30 mg& The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. • ctAS / ul{Ct 6/Q Soi/ e.1/a /KQ Pi� i a APO Y( X 719 N N L d f�8�s/aec w nods �cnch h1a/ � 1s, /OV,,C. • p' 0. \,o 1 ° corn +'re.ld • • Corn -';c I'd • • s 0 EX /.SEi�j o%t:n�}e/d� "V :5"rz drsc 11 _ Q p ray. /o caZ on a F c�i�i.lsF « burPia1 cI¢ctr2Svou• rXi3cin Scpf.c ba,r iv ww as per code. p tt�f•A.,�, I3ot i of <7 ,, Corn �'fC Id ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owners -ao i h i C! /a t Mailing Address / o fl0 S/S 5� (.J G tl 1/Q I • Sao Property Address (Verification required from Planning Department for new construction) City /State l,J rJ y;11Q Q/. Parcel Identification Number aDz - �O - �'�l • �� J LEGAL DESCRIPTION 3 •© CV Property Location �I '/4, /1� ' /a, Sec. JO ' T 2 -5' N -R Toc of 6 ;n // Subdivision ✓) -e-�s 4 Lot # . 14 Certified Survey Map # I'l A - , Volume YL Az , Page # 1��4 Warranty Deed # Volume �- Page # 9 Spec house ❑ yes 2-no Lot lines identifiable des ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put Sato the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, j ourneyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be c omp l itted and re ;arned to the St. Cro--- Coun Zoning nfficP vrirhlmn M day of the three year expiratio date. X /D l 119/ D 3 SrGN M OF PLI ANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperiy described above, b virtue of a warranty deed recorded in Register of Deeds Office. 4 � /6 IGNATURE OF PLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed k : ..m". �..:.h DOtiiuMNo; WARNANTT $11110 STATE OF WISOONSIN —FOAM 1 "no VACK MUVIS M RECe1DD10 DATA t 'REGISTERS OFFIldE TMO MD � � - Made this,...... day of ............ .. .. ST. CROIX CO. WIS A. D., I�:?...:, betwedtt :�_.bert• W, �)Etnrer. and Sandra ............ Reed for Redd this_.3oth w hudj!gg..and .and eaob in tbe . own .. $ gha +; day Of - A -rii_ __A.D.1973 T ` ..__......... .. ��_ ............................................................................... .................. ............. 8 $30 A ,. M ........... .........part.. *PA ...of the first part and M. _. -... .....- , Hennetir ti. ; Hsao - _ and - . Bonita- A....Haas. husband -- end wife...- - - - - - o RMIMir and . ......:. .- .._... ae pint tenants ...:....... ...... .... ......... ......-....-.............. ............................... . ...................:...................._...-...........-..........---....-.........-......................-..........-..-.......-.. ............- .....- ..- ..- . -.. -. part -. ip e. :.of the second part, R E T N R N TO WI t n e s • e t h, That the aid part .... ie 8-.of the first part, for and in consideration { of the sum of- ..... '!' my -nin ® and -. nof 100 - Dollars --------- - - - - - - :........_ .................................................................................. ........... .............. .... .. :.-._ ............ .......................... _ ...................... to ....... thM ......... in hand paid by the said part . -ie A.of the second part, the receipt whereof is hereby confessed and acknowledged, ha- .-- 1!.0 ... given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do ............ give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said partie e- - - -of the second partf. ?heirs and assigns forever, the following described real estate situated in the County of ...... U- R ... UQLK ... ...... .......:and State of Wisconsin, to -wit: Y Conmt+encing_at the northeast corner of- Northwest Quarter of Section 10, Township 29 North Range 16 West; thence 5btxth.. 1230 feet; ,thence West 708 feet; thence North 1230 feet; thence Feet 7dS feet to place of subject to highway right —of —way of records Y � EER 00 (IF NECESSARY, CON'T'INUE DESCRIPTION ON REVERSE SIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said parti.e.s....of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. -. -- .To Hrtse.and To Hold the said premise as above described with the hereditaments and appurtenances, unto the said part. .i @S.oF the