Loading...
HomeMy WebLinkAbout030-2006-50-000 Nn O ;novaag w tp } z z z z N = _ U O O O o N M c (T C v y 0 z 0 0 0 0 d 06 IL y co v � t g IL LL n 1 m ML v c r O fl. *-4)' a m W W W W U. U } } } } m r p = N a N v a O O O O Z C4 EL 3 a p w t £ O N N �y O p O V L y E N N V O a c- OC .. R c Q, v�3 m a) a) co ++ i N c rte+ rn 7 7 ■� L y C7 C et cc C fn fn fA C. o — - M - - V! � U CJ Cfl O C /� c J c A\ —1 0. � to C'41 I V♦ N ov payslualdab w w O w 0 Y ;uelnooul } } Z } Z paueelo co co cn co LO Y �eWd alb A?O a� B p Io Ao W) � d auea � cn cn cn cn auejgweW c r w w w co jesnma E LM ' H 2 WGUed 0 Y Y Y Y r = y elggn9 U) s O O O O CL t0 V Z z z z O Q. C c +� a La 0 a H to N co m e N � t m cfl It co 3 LO ,Q) coJ w 'm M N = I✓/ _ ti N N M M d d o H o u rn N1 O 'a N d o m m a w It Un M O ti .. o C. N D N I r N O .- �. a U)c 0 `- � to L i II r O }no)leaj8 w O O O >- z z z N (S- o N 'a Y a = Z �' o Cl 0 IL A LU Go LO co LO o t o _ CO CO Cl) o � v ~ Q so 0Vil: E V- U. et O = fA U E co o �. �. 06 s Y Q « U W p C4 per, a' O O O M Z M N s E a N rn ry V �• O V a v E � N Z -V ys L - I- O '� O h o Q � O - - [1-i Ri CD (D cQ d , V as N o, payslualdaa Cl) co O Y >- z � ;ueln�oul s uea U) (1)pa I� cn c w w w O VII •_ �a�i j yid d >- >- � pv> Y �, ., �A �0 paueal� c cA co Cl) M y , so s auejquaaw r th e 7Q. jasng!(] E c LM cc' ward NY°' O O O alggn8 t00 � l v� N a °z ° ° zz .I..r Y u = •� d CL t=v O a Go~ C � m � � N U CD co m yo c � _j G> > �r •L ti F � _ a) N N M M d � '� y -- N N N N N N N d = 0 0 r w � to M O T ++ O ti N C14 in T _ _ o 0 (0 ;no)eaJ8 w >- Z Z vN _ c e 0 0 N '0 � L cC h (n C o = w no. Z o 0 * N...3 CZ Pi o a 0 2 = at w co IC O-I W N 1 re LL ,p J a_ U)M Z ‘S) O t V L O �, to 0. as --�' C LL -' m 10 W CO ' E M.A o. y a 7 d a N .�' O Edui U g 0 0 j O cN i. u 0.(O` Z 1 I L Q V O 0 op W .. ic- 0 w Y c U "a CO +. is 0 it c 2 t in Cf ....J CL = mom N u) N pat uaJdaa w O rnoou� >- >- Z paueam w co w _ !A yid co >- >- 0 to 1 as pe eal3 its cn cn >-a aueJq t �' !a E c cl C v ai� d used C', L 0 0 � asping � 0 ,� aL -* a O O 0 r✓ V Z Z a r m cc — l° 05 0 O Q G e w . cn co F- co r O moc o _ — O _ ° ,� `� E w / 3 t O O N C • v' _ _ 1� N N M M C .— O !0 h O u O) O O O O O co 2 ++ 'Z — N N N N m r co O C7 N L d7 N 0 _ c p - CD o 33 O 0 V a.1 `ili -L m A N N N + RT �► 0 1 O O — CD A• 3• O _• W N N V = = 'w '. V' C S C v c c22 .p. a s °_ Na . y 0 r. S CO 3r Mil Z m o A- D D O m- 0 Bubble C fD Pattern Z, = 6 Diffuser m = m N Membrane s o 1.0'n m Cleaned iii O -< m o Air Filter Cn Cleaned s -< Inoculant vi umi Replenished it N N rw - r 0 Cn co C c o o 2 \3 0. a, v - 3 = — Z CD g O i� 3 -' '' a c C) 0 O � C) y S till 0 0 -' fri a O 3 O vo v 0 -< n �� 3 2C) vs O - W. § o t. om / w O •I a a s -1 = W 0 „ C n 0 : Z CO G m m a 2 X Cr) o i F, y fTt ado m a °= � _ CD ;z � ;= � 1� OC a ry o % CO �x v O N Z 3 M 2 co C VI g- O = 0 O C S 12. CD x- CL i c N N .�^o.. y W w Q O 7 a -4 O N Breakout d p Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556387 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Permit Holder's Name: City Village X Township Parcel Tax No: Johnston, Terrance & Daneen St. Joseph, Town of 030-2006-50-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 34.30.19.373A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 177 Dosing Alt. BM i Aeration Bldg. Sewer ,y Holding f,M'' D St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ® Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION ~r r^~ Manufacturer / , hh Vi5mand St Cover VocJ(d°j GPM Model Number ern TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r ngth No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole 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 Bed/Trench Edges Topsoil Yes Efl No Yes :-]N, COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 669 Pine Valley Trail Hudson, WI 54016 (NW 1/4 NE 1/4 34 T30N R1 9W) NA Lot 4 / Parcel No: 34.30.19.373A 1.) Alt BM Description = 15 I%Z5 a 2.)Bldg sewer length = md~C~ - amount of cover = I Plan revision Required? 1-01 Yes No ~3 7 7 Use other side for additional informati n. _(nature ~ ~ - SBD-6710 (R.3/97) Date Insepctor's Si Cert. No. PLOT PLAN N Project Name: 669 Pine Valley Trail Legal Description: NW114, NE114, S34,T30N, R19W P. 1. D: 030-2006-50-000 Subdivision Name: CSM Volume 9, Page 2466 Lot 4 Township: ST. JOSEPH Parcel Size: 4.70 Acres SCALE: 1" = 60' County: ST. CROIX Contour Line Elevation: 100.88' Cell Dimensions: 6'X 63' 4 inch Sch 40 -ASTM D2665 System Elevation 101.88' Mound Dimensions: 25.8'X 84.4' 2 inch Sch 40 -ASTM D1785 Slope: 8% 11/2 Sch 40 -ASTM D1785 BM1 Elevation: 98.5 Dt Bottom 2 Elevation: ■ Backh RAL) Y rr'~ 1.4 sa ~l JDRIVC _ T 1000/&©G 130000® y HE(AS~ - ©,Lc if Cpl`,"7 € L 11V I I I J .•-v' County Safety and Buildings Division Is 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) R~ Madison, WI 53707-7162 ap, ~KJ O liganit P it Application Transaction Number In accordance with SPS 383.1i~capmission of this form to the appropriate governmental unit -J 97 - Z is required prior to obtaifto ii ary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1)(m), Stats. 15,4W rt 1. Application Information - Please Print All Information Property Owner's Name _ Parcel # J A FRENCC Q/-EA)5ToA) 'owe q vee) (9,q V5 7-0 /L/ Q D - zoo 6 -SO _000 Property Owner's Mailing Address' l J Property Location 373A 66 c/ A/lvF V 4LLEY / ,e_A7L Govt. of ~ City, State Zip Code Phone Number N V) yq 1 41 Section ",Oo/V V J 511016 circle one~ U. Type of Building (check all that apply) Lot # T © N; R ' E oj'l III or 2 Family Dwelling -Number of Bedrooms 3 Subdivision Name / Block # ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of VO L 7 Town of 57' J Esc III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System El Replacement System El Treatment/Holding Tank Replacement Only 19 Other Modification to Existing System (expla ) 7U W14<rF kJV16~? B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Perms Before Expiration Owner Z ! 9oZ Y 7 IV. Type of POWTS System/Component/Device: Check all that apply) ' r ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) (Pretreatment Device (explain) W ttt T16 /4CN 16 A-7' V. Dis rsal/I'reatment Area Information: D Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sfJ Dispersal Area Proposed (sf) System Elevation 41,5 C) /,Z X75- 37s /D© a~ VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units Adelr ~ 4e,-,h - ~ v y o New Tanks Existing Tanks c o y a U CIO- V ~ w C7 0. I V1 vlQ ~i~ Septic or Holding Tank OO© / ( at:FCU TT- X Dosing Chamber PV 0,90 1 FOA 14 C t-( 7T VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si tur MP/MPRS Number Business Phone Number OW 5c#o4111 ZZ376 D 71.5 -760~ovI? Plumber's Address (Street, City, State, Zip Cod ) (~/(o /5cD TN y--Ut` Se I~rIS T W j -102 VIII. oun /De artment Use Only Permit Fee Date Issued I ing A ent S gna e Approved El Disapproved D 11712, El Owner Given Reason for Denial $/~D 0 IX." roval/Reasons for Disapproval " nfllj (/Y1 1. Septic tank, effluent filter and U " dispersal cell must be serviced / maintained as per management plan Provided by Plumber. _ ~ti" ~t~ 0 2. All setback requirements must be maintained a,_4/z4a as Attac to com Plans for the syste and submit to the County only on paper not less than 81/2 x 1 r'hsches in size Wz~ f 6z QBD-6398 (R. 11/11) ATU COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: ATU 669 Pine Valley Trail Owners Name: Terence Johnston & Daneen A. Barneh-Johnston Owner's Address 669 Pine Valley Trail Hudson, WI 54025 Legal Description: NW1/4, NE1/4, S34, T30N, R19W Township St. Joseph County: St. Croix Subdivision Name: CSM Vol. 9, Page 2466 Lot Number: 4 Block Number Parcel I.D. Number 030-2006-50-000 Plan Transaction No. S97-20992 Page 1 Index and title Page 2 Plot Plan Page 3 ATU & Dose Tank Cross Section Page 4 & 5 ATU & Dose Tank Specifications Page 6 Effluent Filter Information Page 7 Pump Curve Page 8 & 9 Management & Maintenance Plan Page 10 & 11 ATU Service Contract Page 12 ATU Servicing Agreement Page 13 Septic Tank Maintenane Agreement Page 14 & 15 Deed Page 16 CSM Attachment # 1 Existing Mound Septic System Documents Attachment # 2 Mound 2012 Attachment # 3 White Knight Manual Attachment # 4 Soil Test Designer: John Schmitt Licnese Number: MPRS 223760 Date: 10/30/2012 Phone Number: 715-760-0486 Signature: PLOT PLAN N Project Name: 669 Pine Valley Trail Legal Description: NW114, NE114, S34,T30N, R19W P.I.D: 030-2006-50-000 Subdivision Name: CSM Volume 9, Page 2466 Lot 4 Township: ST. JOSEPH Parcel Size: 4.70 Acres SCALE: 11"= 60' County: ST. CROIX Contour Line Elevation: 100.88' Cell Dimensions: W X 63' 4 inch Sch 40 -ASTM D2665 System Elevation 101.88' Mound Dimensions: 125.8'X 84.4' 2 inch Sch 40 -ASTM D1785 Slope: 8% 11/2 Sch 40 -ASTM D1785 BM1 Elevation: 98.5 Dt Bottom Elevation: ■ Backh I Cdr Y 1-1 s, ~l DRIVE 7- o c S f C 1- ca s LtiKyC IJ S. P. C W~r r_/e0 ~N T 2 Sfryf~T~CH 9 ~ V H ousF - 21'-Z, fro ,LC r_ CC, IvT G (A f2 L l N SEPTIC TANK DETAIL / TWO COMPARTMENT WITH PUMP Owner's Name: 669 Pine Valley Trail, Hudson, WI 54016 Outlet Elevation 102.3 ft 102.52 ft inlet Elevation Finished Manholes w / locking devices and warning label Grade c 23" Min 23" Min Pressure Filter ■3■■■■■■■■■ ..■•I■■■. " - 00 v poll 4" stable & _ B? a weep hole approved piping Baffle ~ 4" stable & approved piping ' erve (a) A - - - alarm on ration (b) z pump on do lume (c) pump off dead (d) i i 3" Bedding Under Tank INTERNAL DIMENSIONS OF TANK Dimensions Inches Gallons Length 49 in a 24.93 356.22 Width 67 in b 2 28.586 Liquid Depth 42 in c 4.16 59.44 d 10.9 155.76 NOTE: Pump and alarm are to be installed on Total 42 600 separate circuits. Tank Manufacturer Huffcutt Concrete Pump Manufacturer Zoeller Tank Model 1000/600 Pump Model 98 Tank Capacity 600 gal Alarm Manufacturer Tank Volume 14.29 gal / in Alarm Model Filter Manufacturer Sim/ Tech Filter Model STF-100 DOSE VOLUME CALCULATIONS TOTAL DYNAMIC HEAD CALCULATIONS Design Flow (DWF) 450 gal/day Min Network Supply 3.25 ft Number of Doses 3.4 /day Passive Vertical Lift 2.97 ft ) ader/D. elev. - Pump intake Max. Dose Volume 118.58 gal elev.) Drain Back 2 gal Friction Loss 0.61+ 0.5 filter loss ft - (Forcemain Design Dose Volume 59.44 al Length x Friction gal Loss s Factor)/100 Total Dynamic Head 7.33 Min Discharge Rate 37.28 gpm Plumber/Designer Signature: License 223760 Date: 10/30/2012 F---------------- w , I I I Z°c ' td rl I ~ , a t=o tvl V rri 0 Z I I O I''7 3 2: A 55' rr- 5 l cy = Dw 47' 8' I 0 D m o 3' 44' Ul m 0 O ~7 DA w N iv < C3 rv ri Z vAi-1 O0 I mO C: O~ z m I w I w w L--------------------- a 20' 2' m m r m D Z 7C r to cc H cy ~ ril 0 m z _ rl D C7 1 2 C] N If If Zo Z 0 A N AA r am n o' < A Ai ro CIZ ~ o• rrl t=P N O A 7C 3 3' A tJ ~ A D OO D D ~ U 0 r t7 A 6' ru O D A Z .C~-. D D fN'i n 36 r m t7 D rnZ D 3 oo,i m~ n -f c63 r, Z f7D m m co - ow u u N X r) -i < m Ao~ o cz Am aw rn m Al m m D r m d ty a o m D~ Nrn 45' 10' A m = = D ey to .3 0 42' d m r< *t D O 0--f A m A Z r w D A m A r 0 g < lie) ;u D m< 0 v yZ --I l7 to z D D N -I O Z N PROJECT, 4154 123rd STREET o Fa N.P.C.A. CERW O PLANT HUFFCUTT CHIPPEWA FALLS. V1 54729 Ul 1,000/600 GALLON 09 of Q N PUMP SEPTIC TANK C Q A C a E T E, ~A C (715) 723-7446 t (800) 924-1516 se 9 MEMBER OF: FAX (715) 723-7111 ■ wn.huffcutt con NAW AL k wIS OM PRECAST COIF tM AS400AW6 INLET , I I BAFFLE N -t .D nd D D r- 0 u M K z c: 78, I 72' 1 1 1 67' I I I 'O m Z~ ZZ a~ o" vz a 10 LA Ln rj v L A UI ~ 78' I I 39 39' - m 0 i 4 O 21- W I I WTLET PROJECT: 4154 123rd STREET o N.P.C.A. coam PLANT HUFFCUTT CHIPPEVA FALLS, VI 54729 & 1,000/600 GALLON (U PUMP OR SEPTIC TANK C Q A C a E T E. A C (715) 723-7446 ■ (800) 924-1516 MEMBER OF: FAX (715) 723-7111 w www.huffcutt.com NATOM WSCOIISMI PRECAST CONOVE ASSOp TWS Toll Free 888-999-3290 Mailing Address Office 231-582-1020 1455 Lexamar Drive, Boyne City, MI 49712 Fax 231-582-7324 Email simtech@freeway.NET Web www.Qag-simtech.com INSTALLATION & SERVICE INSTRUCTIONS INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter to the desired height and a 2" union will need to be added to the outlet end of the filter. Always install the filters in a position where they can be easily serviced. **Always use caution when starting threads to avoid cross threading**. Plumb force main into the 2" sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface**. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the MW cap maybe dMkuk to remove. Keep the filtarin a warm area or pour warn water over Me cap belles mnwvkV Once the ffileris installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove W plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. Installation Service Instructions.doc TOTAL DYNAMIC HEAD/FLOW t5 ui LL PUMP PERFORMANCE CURVE PER MINUTE MODEL 98 EFFLUENT AND DEWATERING „N ~ g1µ 25 MODEL 98 Feet Meters Gal. Liters 3718 0 20 5 1.5 72 273 6 10 3.0 61 231 15 4.6 45 170 4 15 20 7.1 25 95 ro 4 Shut-o11 Head: 23 fL(7.0m) H t0 009971 I I O I I 2 5 i i i 0 121116 i 10 20 30 40 50 60 70 80 GALLON j LITERS 42102 0 80 160 240 FLOW PER MINUTE SM 102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied With an alarm and three phase systems • Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available for With or Without alarm switches variable level long cycle controls • Refer to FM 1922 and FM0806 for temperatures above 130°F 98 series control selection Model Vohs-Ph Mode Amps Simplex Duplex M98 115 1 Auto 9.4 1 4 N98 115 1 Non 9.4 2 or 3 4 D98 230 1 Auto 4.7 1 4 "Easy assembly' E98 230 1 Non 4.7 2 or 3 4 (DAP 8 d sd-pe Ppe notinduded.) SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. 3. See FM 1228 for correct model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM1663 fora residential altemator system. OPTIONAL PUMP STAND PIN 10-2421 . • Reduces potential dogging by debris. For information on additional Zoeller products refer to catalog on Piggyback Variable Level Replaces rocks or bricks under the pump. Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/ • Made of durable, noncorrosive ABS. Sewage Basins, FM0487; Single Phase Simplex Pump Control, FM1596; Alarm Systems, Raises pump 2' off bottom of basin. FM0732, Provides the ability to raise intake by adding sections of 1'W O CAUTION or 2' PVC piping. • Attaches securely to pump. All installation of controls, protection devices and wiring should be done by a Accommodates sump, dewatering and effluent applications. qualified licensed electrician. All electrical and safety codes should be followed NOTE: Make sure float is free from obstruction. including the most recent National Electrical Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. wuLTO Po. BOX 16347 Z • /j Louisville, KV 40156 0347 Manufacturers of.. O I~~` ~Q® SI T0: 3649 Cane Run Road I L wW L77l 273 KY 40211-1961 QVaUTYPUMPS FACE 19,79 www.zoetier.com PUMP !O. 1(O2 5) FAX (502) 77436248 PUMP m Copyright 2012 Zoeller Co. All rights reserved. Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning 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 375 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once eve 3 ears Aerobic Treatment Unit Maintain as per Knight Treatment Systems specifications Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, 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: 669 Pine Valley Trail Page 5 of 7 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] 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 SPS 383.33, 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow 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. Continnency 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 7 ST. CRO X COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ,E j7 M A) S r,9A.1 WV F>✓ . t4 Jar STV Mailing Addr.:ss Property Address $ 4ol e (Verification required from Planning & Zoning Department for new construction.) City/State [~MN 5D A.J U) 4r Parcel Identification Number ?O - Z oc, 6 ' - d LLCIAL DESCRIPTION Property Location Af IA/ '/4 , ,AL C'/a , Sec. , T. tQ N R~W, Town of 5Z.0,1V -7 41 Subdivision P,at:_ , Lot # Certified Survey Map # Z. , Volume Page # ~ r/(o Warranty Deed # 5{0 ~1-4$$ (before 2007)Volume Page # Spec house N yes Kno Lot lines identifiable Kyes U no MAINTENANCE NXNHM W R C RT CAL ION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can of iml the function ofthe septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal sy stem 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the §tmd #ra§ nt fort, harem, a §0 by itis: Peputinant of Qmmarw and the DS"ent of Nat t IRmolircm; Stato of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 34 days of the three year expiration date. I 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. / Number t(etl -37 SIGN,,~TURE/Qf APPLI , (S DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey snap if reference is made n the warranty deed. (R1uV. o9/" 8 1 0 3 0 4 7 Tx:4080862 966856 Document Number Document Title BETH PABST St. Croix County REGISTER OF DEEDS AEROBIC TREATMENT UNIT (ATU) ST. CROIX CO., WI SERVICING AGREEMENT RECEIVED FOR RECORD tatePlan Transaction Number -S97-2099 11/06/2012 12:29 PM EXEMPT Terence Johnston and Daneen A. Bameh-Johnston REC FEE' 30.00 Being duly sworn, states, under oath, that: He/she is the owner/part owner of the following parcel of land located in COPY FEE: 3.00 St. Croix County, Wisconsin, recorded in Volume 1130 Page 338 PAGES: 2 Document Number 568455 in the St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the NW %of the NE % of Section 34, Name and Return Address a Township 30 North, Range 19 W, Town of St. Joseph, St. Croix 616 John 50' Ave County, Wisconsin being dui described as follows: Lot 4 of Y Somerset, 025 I Certified Survey Map filed in Vol. "9", Page 2466, Doc. No. 480932 030-2006-50-000 ~;((JJ!!Yr ~o in the office of, the Register of Deeds for St. Croix County, Wisconsin, Except the Northerly part shown thereon as "Private Road Parcel tdendfication Number (PIN) Easement" and which excepted part is more fully described as follows. (See Exhibit A) Agreement Date: 10/27/2012 As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on the above-described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of SPS 383, Wis. Adm. Code relating to Aerobic Treatment Units (ATU) and the maintenance requirements for the proposed POWTS (Private Onsile Wastewater Treatment System) technology. If the owner fails to have the POWTS and ATU properly serviced In response to orders issued by the governmental unit or the Department of Safely & Professional Services (DSPS) to prevent or abate a human health hazard as described in s. 254.59. Slats., the governmental unit (St. Croix County) may enter upon the properly and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the lax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703. Stals. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer wil I podorm periodic inspections and maintenance as required by the manufacturer and the DSPS, Including, but not limited to: the blower, electrical controls, and treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. ' The owner agrees to contact the POWTS maintainer Immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59, Slats. 4. The owner recognizes that the county, DSPS, or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. The owner or the owners agent agrees to report to the department or designated agent at the completion of each Inspection, maintenance or servicing event In a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. .6. This agreement will remain in effect only until the county office responsible for the regulation of POWTS certifies that the aerobic treatment unit no longer serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded in a manner that will permit the existence of the agreement to be determined by reference to the property where the Aerobic Treatment Unit is installed. I Owner(s) Name(s) - Please Pant Subscribed and sworn to before me on this date: I0131 I Zo Z! Notarized ov~O tier' ignature(s) xma ublic ~ Rl S O = m G rn en I 'Official ante, Title - Please Print mission Expires Govern let Unit Official nature D fled by: tin l1 Z v 5c~~yr~iT P oral i matlon you provide may be used for secondary purposes (Privacy Law s. 15.04(1)(m)) ; "THIS PAGE IS PART OF THIS LEGAL DOCUMENT-DO NOT REMOVE" This information must be completed by submiher: document title. name & return address, and PIN (If required), Other information such as the granting clauses, legal description, etc, may be placed on this first page of the document or may be placed on additional pages of the document Nore: Use of this cover page adds one page to your document and $2.00 to the recording fee. Wisconsin Statutes. 59.517. 1 of 2 Document Number Document Title St. Croix County AEROBIC TREATMENT UNIT (ATU) SERVICING AGREEMENT tate Plan Transaction Number - S97-2099 Terence Johnston and Daneen A. Barneh-Johnston Being duly swom,"states, under oath, that: He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume 1130 Page 338 Document Number 568455 in the St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the NW '/a of the NE '/4 of Section 34, Name and Return Address John 30 North, Range 19 W, Town of St. Joseph, St. Croix Schmitt 616150 Ave County, Wisconsin, being duly described as follows: Lot 4 of Somerset, W 154025 Certified Survey Map fried in Vol. "9", Page 2466, Doc. No. 480932 030-2006-50-000 in the office of the Register of Deeds for St. Croix County, Wisconsin, Except the Northerly part shown thereon as "Private Road Parcel Identification Number (PIN) Easement" and which excepted part is more fully described as follows: ( See Exhibit A) Agreement Date: 10/27/2012 As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on the above-described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of SPS 383, Wis. Adm. Code relating to Aerobic Treatment Units (ATU) and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. If the owner fails to have the POWTS and ATU properly serviced in response to orders issued by the governmental unit or the Department of Safety s Professional Services (DSPS) to prevent or abate a human health hazard as described in s. 254.59. Stats., the govemmental unit (St. Croix County) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the DSPS, including, but not limited to: the blower, electrical controls, and treatment unit operation and sludge depth. These Inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. ' The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59, Stats. 4. The owner recognizes that the county, DSPS, or POWTS maintainer may make periodic Inspections of the components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each Inspection, maintenance or servicing event in a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6. This agreement will remain in effect only until the county office responsible for the regulation of POWTS certifies that the aerobic treatment unit no longer serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the own.nr, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded in a manner that will permit the existence of the agreement to be determined by reference to the property where the Aerobic Treatment Unit is installed. Owner(s) Name(s) -Please Print Subscribed and swom to before me on this dale: Notarized O er Signature(s) ola ubl,c N VT s /L ~ 57 ~ti~ C a V G m ,e Al ! Official ame, Title -Please Print mission Expires C>t,- LA c Governmental Unit Official Signature Drafted by: ± A Z 3 C Personal information you provide may be used for secondary purposes [Privacy Law s. 15.04(1)(m)) I "THIS PAGE IS PART OF THIS LEGAL DOCUMENT- DO NOT REMOVE" This information must be completed by submitter document title. name a return address. and PIN (!/required). Other information such as the granting clauses, legal description, etc, may be placed on this first page of the document or maybe placed on additional pages of the document. Note: Use of this cover page adds one page to your document and $2.00 to the recording fee. Wisconsin Statutes, 59.517. i A/nr /JrCt- -~fA/y 7-b Document Number Document Title , E= Maintenance Contract for Septic System This Maintenance Contract for a Private On-Site Wastewater Treatment System (POWTS) is Between Terence Johnston and Daneen A. Barneh- Johnston and John Schmitt. Recording Area Date of Contract: 10/27/2012 Name and Return Address: Location of POWTS: 669 Pine Valley Trail, Hudson, WI 54016 John Schmitt Legal Description of Property: NW 1/4, NE 1/4, S34, T30N, RI 9W 616 150a' Ave. *see attached legal description (Exhibit A) Somerset, WI 54025 030=2006-50-000 As Inducement to the County of St. Croix Zoning Department to Issue a State Sanitary Permit for the Above Described Property, We, the Owners Parcel Identification Number Agree to the Following: (PIN) 1. The Owner agrees to have the POWTS inspected and maintained by a qualified maintenance provider. 2. The owner agrees to provide access to the POWTS for the qualified maintenance provider in order to service and/or maintain any and all components of the POWTS. Accruing to the maintenance and monitoring schedule provided by the POWTS manufacturer (including Knight Treatment Systems, St. Croix County Zoning Department, and Wisconsin Department of Safety and Professional Services-Division of Services.) 3. Minimum performance monitoring will include: a. Type of use b. Age of System c. Type of Fill Material Used (If Applicable) d. Nuisance Factors, Such as Odors or Complaints e. Mechanical Malfunction within the System. Including Problems with Valves, Mechanical or Plumbing Components f. Material Fatigue, Including Durability, Corrosion, or Integrity of Construction and Design. g. Neglect or Improper use of POWTS. Examples Include Exceeding the design rate, Poor Maintenance of vegetative cover, unapproved covers over the POWTS or inappropriate activity over the POWTS. h. Pump Malfunction. Examples Include Dosing Volume Problems, Pressurization Problems, Breakdown, Burnout, or Pump Cycling Problems. i. Ponding in Distribution Cell. Ponding Prior to Dosing is Evidence of a Developing Clogging Mat, or Reduced Infiltration Rates. j. Overflow or Seepage Problems. Often Apparent When Sewage Effluent has "Ponded" at Surface of Ground. 4. The Owner further agrees to pay the qualified maintenance provider for all charges incurred while inspecting, pumping, or otherwise servicing and/or maintaining the POWTS in such a manner as to prevent or abate any human health hazard caused by the POWTS. Contract Drafted by: John Schroeder 5. The Owner agrees that if required by the qualified maintenance provider, to have any components of the POWTS corrected by a Wisconsin Licensed Master Plumber that has knowledge regarding the installation and/or repair of the POWTS. 6. The Owner contract is binding for two years from the date in which the final inspection is made for the fully installed POWTS. This date will be located on the inspection report filed with the St. Croix County Zoning Department. 7. The Owner agrees to contact the qualified maintenance provider to have the POWTS inspected and maintained annually (or at intervals required by the county or state governmental unit) after the initial two years. (Additional evaluations may be required if warranted by operational condition of POWTS.) 8. A qualified maintenance provider shall possess a POWTS maintainer credential from the WI Department of Commerce. 9. The qualified maintenance provider shall agree to submit an inspection report to the St. Croix County Zoning Department on an annual basis. (Or intervals required by the county or state government unit.) 10. Recordation/Acceptance Conditions. This agreement shall, upon execution, Y obe rrded th the r its If and its successors of Deeds for St. Croix County, WL By the recording of the easement, assigns accepts and agrees to abide by all of the terms and conditions hereof. Lic. #223760 Qualified Maintenance Providers Name: John Schmitt John Schmitt Septic Syst S Servi es Qualified Maintenance Providers Signature: ---The Following Requires Notarization--- The Owner(s) Name: Owner(s) Signature: ~ . Terence Johnston 6--- ; Daneen A. Barneh-Johnston 2 2012, Personally came before me this --~I day of The above-name -T~ --e yv ck__ o-, o, x--11 'r" To me known to be the person(s) who executed the forgoing instrument and has/have acknowledge the same. N KUMM SO Eigaatture of Notary Public JACKIEt4otary public nsln pt° Wlsco Notary Public, State of: WI Contract Drafted by: John Schroeder I • 5131244 4 Stag ad! .+1 H i.c„min Form ? 1982 WARRANTY DEED Qp o(),U'tENT No 1~ JU' - ~O i,o 61 14 j~:5 _ _ rr► 11:45 Jerome R. Raile A• +rv Terence Johnston_aWl Ganeen_A• con%o, and arr nts to _ Barneh-Johnston, husband and wife, _ - - TM R: SPACE RESEPYED FOR RECJPplNu DATA - NAME ♦NO PETVPry ADDPE - the following described real estate in County. State of Wisconsin: (Parcel ldentificanon Numher) (See Attached Exhibit ttAt.) This _ yS{~_q not homescead property. ~~Ltl~ I IS not) Exception to warranties: EgSt?ffleilt5, restrictions and rights-of-way of record, if any. 19 95 v4-/Tt1Itt'_ day of Dated this - (SEAL) (SEAL) ^ - J ome R. _Rai e (SEAL) (SEAL) - - - - ACKNOWLEDGMENT AUTHENTICATION STATE OF WISCONSIN ~ ss Signature(s) - - - St. Croix County. (,Iv of .19 Personally came before me this - ,.med - authenticated this day of AM- TITLE: 19- Cj5 the abo• e MEMBER STATE BAR OF WISCONSIN **A. ' Q (1f not. to me known to be the person - - 11, 440 for ping instrument and kmiwle ~ ~ • ; authori-c1 by §706.06. Wis. Slats.) EXHIBIT "A" 011 Part of the NW1/4 or NEi/4 of Section 34, Township 30 Korth, St. Croix County, Wisconsin described as follows: Lot 4 Of Ratlge 19 west, Map riled ill V01. "9", Pipe 2466, Doc. No. 480932 in the fries of they C Rgister of Deeds for A. Croix County, wisconsin. ZXCEPT the Sly part shown thereon as Private Road Easesent" and which excepted part is more fully described as follows: A parcel of land located in Part of the NWl/4 Of the NE1/4 of Section 34, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; turther described as follows. Commencing at the 81/4 corner of said Section 34; thence •88429'49"Z, along the north line of the NE1/4 of said section, 1312.70 feet; thence S01017'37"1, along the east line of the YM114 of the NE1/4 of said section, $80.87 feet; thence 38$•55'29'9$, along the south line of Lot 1 of Certified Survey Map recorded in volate 4. Page 1063 at the St. Croix County Register of Deeds office, 44.34 feet ;0 the point of begi- ing of this description; thence 301004'31"Z, along the westerly right-of-way of County Trunk Highway "2", 66.00 feet to a point on a 752.27 foot radius curve, concave northerly, whose central angle measures 17006'47", inose chord bears it82031'07.5"V and measures 223.$5 feet; thence westerly, along the are of said curve and the southerly right•cf-war of a 66.00 toot wide private road easement as shown on Certified Survey flap recorded in volume 4, Page 1003 at said office. 224.69 feet to the point of tangency; thence N7305744"W, along the southerly right-of-way of said private road sea sent, 195.03 feet; thence NO1•:7'37"W. along the east line of Lit 3 of Certified Survey Map recorded in Volume 5, Page 1473 at said office, 69.14 test; thence S730 57'44"Z. along the south line of rot 1 of Certified Survey Map recorded in Vale" 4. Page 1063 at said office. 215.63 feet to the point of curvature of a 686.27 toot cmftus curve, concave northerly, whose central angle meson:ea 17"04.17", eheae eyerd boars 982031'07.!"t 6" measures 204.21 toot; thence easterly, along the are of said curve and said south line of Lot 1. 204.97 feet to the point of beginning. Above described parcel is subject to all easements of of record. FILED Z4 MAR 2 419920" 4 JAMES p•COW4ELL 490932 a a.e~ SHEET 1 OF 2 SHEETS CERTIFIED SURVEY MAP Located in part of the NW4 of the NEh of Section 34, T30W, R19W, Town of St. Joseph, St. Croix County, Wisconsin. LEGEND OWNER N o Aluminum County Section Monument Found Sandra (Kidd) Gilbert Y 14829 Hillside Plaza t • 1" Iron Pipe Found Omaha. NE 68154 o •O o 1" x 24" Iron Pipe Set, weighing 1.68 lbs. per tee, linear foot Y { V C ' / d ~ Existing Fenceline L Y Marsh Area Y N ~ ` e a Roadway Setback Line „ z m Oak Tree Occupying Corner Location N , an °o le m O C SCALE IN FEET NE Corner of 0 50 100 200 Section 34 N} Corner of North line of the NE} of Section 34 Section 34 N88o29'49"E NBSo29'49"E 1312.70' __F IM 2 4'% U PLATTLU LOT 1 - - it LANDS-- C.Q.M. IN COL. 4, P-. I063 m ST.C9MC01ltTY plaw*m - I ~ 7,3 co - - - y mo RW&o a" S7# Parks Camwlitl06 21 5. 63 441, E , IN88055'29"E 4, 4D -03 SEMEN' O _ 64 foot L71 - PQ ifjed ~.oad eases,,, -Q - I tnl p_I 9e 1063 and f~ NaPs In••Vol as shorn on I _ 1 lr, I V oluAe S, page 473, 11 L t ri 1 JI S N ' I Q,1 rI o JI C) I ~ I C7 I > I ~ m p : M LOT 4 O 4.70 Acres Including R/N I o --I _ 204,894 Sq. Ft. mill/ r-z - I r4 F- ~J11 3.63 Acres Excluding R/M o =I 0I n I tJ)I 158,204 Sq. Ft. h 1-I W _JI LEI oI Imo' I UI I'~i 1 I I CD _JI 406.06' t45.9411 S88046' 46"W 452.00 • - t-• a • 10 • 1 iii e South line of the NN} of the NE} of Section 34 50' 50' " SM,GLL T R A CT - This instrument drafted by Fran Bleskacek Proj. No. 81-09-191 PG. Z:11 18 Vol. 9 Page 2466 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: 669 Pine Valley Trail Owner's Name: Owner's Address: Legal Description: Township: County: Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: Plan Transaction No.: 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 Designer: License Number: Date: 11/04/12 Phone Number: Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 7 Mound Plan and Cross Section Views t . J 1/10 3❑ Observation Pipe - - K A O oil W :•:•:•1 B t - 3 I Mound Component Dimensions A 6.00 ft E 17.76 in H 1.00 ft K 9.10 ft B 62.50 ft F 9.50 in z ft L ft D 12.00 in G 0.50 ft J W 375.00 (ffz) Dispersal Cell Area 1058.80 (ftz) Basal Area Available 7.20 (gpd/ft) Linear Loading Rate 6.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.67 (ft) ♦ H l.. F Dispersal cell 102.38 (ft) Lateral 101.88 (ft)--* Invert 3':: Dispersal Cell ~ . . Elevation E D 100.88 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key a I - Dispersal Cell See lateral details on a Topsoil Cap c 1.5 ft Page 4 for number, size, 1❑ ~ ~ Subsoil Cap 2 and spacing of laterals. ASTM C33 Sand F Laterals are equally 0 Tilled Layer = 0.5 ft Typical Lateral spaced from the ❑5 0 .r c 50 I distribution cell's Aggregate -j- centerline in the A distribution cell (AxB). Project: 669 Pine Valley Trail Page 3 of 7 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 8.00 Site Slope 100.88 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 62.50 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.20 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point Check maximum dispersal cell loading rate in the distribution Y Pressure Disribution Information network? E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.250 Orifice Diameter (in) 4.00 Orifice Spacing (ft) = 11.72 ftz/orifice 2.00 Forcemain Diameter (in) 21.00 Forcemain Length (ft) Does the forcemain drain back? Y 98.50 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 3.43 Forcemain Drainback (gal) 2.97 Vertical Lift (ft) 56.02 5x Void Volume (gal) 0.61 Friction Loss (ft) 59.44 Minimum Dose Volume (gal) 0.50 In-line Filter Loss (ft) 37.28 System Demand (gpm) 7.33 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x Error 1.25 2.00 x 1.50 x Error 3.00 2.00 x 3.00 x Gallons/inch Calculator Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser I Manufacturer gal/in (enter result in cell 1349) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) Sim/ Tech Filter Manufacturer 14.29 Dose Tank Volume (gal/in) STF-100 Filter Model Number Weiser Manufacturer Project: 669 Pine Valley Trail Page 2 of 7 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension 0 = Turn-up vdball valve or cleanoutplug P .I All laterals are identical I<- X I Holes drilled on the bottom of the lateral S equally spaced Force main connection via tee or cross to manifold at anu Doint. Laterals Morcemain Sch 40 PVC per SPS Table 384.30-6 Number of Laterals 2 Orifice Diameter 0.25 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.07 ft Lateral Length (P) 61.05 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 11.72 ftZ/orifice Lateral Flow Rate 18.64 gpm Manifold Length 3.00 ft System Flow Rate 37.28 gpm Manifold Diameter 2.00 in Total Dynamic Head 7.33 ft Forcemain Velocity 3.81 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -0 SPS 316.300 WAC 4 in. min. Disconnect _ Tank component is properly vented F- Aftemate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 600.00 Gallons Volume 14.29 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 24.93 356.22 B 2.00 28.58 Pump off elevation (ft) C C 4.16 59.44 99.41 D r10.90 155.76 D Total 41.99 600.00 D~ ose tank elevation (ft) 3' Bedding under tank. 98.50 Alarm Manuafacturer Alarm Model Number Pump Manufacturer Zoeller Pump Model Number 98 Pump Must Deliver 37.28 gpm at 7.33 ft TDH Project: 669 Pine Valley Trail Page 4 of 7 White Knight Microbial Inoculator Generator TM US Patent # 7658851 I I I Design, Installation, Operation & Service Manual Updated October 2010 © 2010 Knight Treatment Systems, Inc. All Rights Reserved VYEMS 281 County Route 51 a, Oswego, NY. 13126 1-800-560-2454 TABLE OF CONTENTS I. Introduction to Enhanced Biological Augmentation II. Specifications & Diagrams III. Site Qualification IV. Installation V. Operation VI. Service & Maintenance VII. Forms I SO. WE V TREATMENT "We don't make the onsite treatmerl- irms, We make them better' (I) INTRODUCTION The Enhanced Biological Augmentation of Onsite Wastewater Treatment Systems is the methodology of introducing a group of task specific selected microorganisms though inoculums in tandem with a microbial inoculation generation device that is placed into an onsite wastewater treatment train, typically the septic tank, to significantly improve overall treatment system performance, rehabilitate dysfunctional systems and assure system longevity. The White Knight Microbial Inoculator Generator T14 (MIG) continuously inoculates a septic tank or other treatment vessel with naturally occurring selected strains of non-pathogenic bacteria selected for their ability to metabolize organic material. Continuous inoculation is mediated through in-situ cultivation of IOS-50OTM inoculumss. Through airlift mixing, recirculation, and fine bubble aeration principles the device brings the selected bacteria into contact with fixed film substrate and the suspended organic compounds in a septic tank, or other process treatment vessel. The introduced cultures of bacteria grow at logarithmic rates as they voraciously digest most of the organic constituents that are found in the wastewater in addition to the organic waste matter that has been transferred to the soil. The fine bubble driven airlift features of the White Knight Microbial Inoculator Generator(MIG) are designed to allow for more efficient transfer of oxygen and low maintenance, high rate circulation of wastewater through the device, and across the fixed film media. An abundant oxygen supply supports the introduced IOS-500TM bacterial cultures providing for more rapid digestion. The tubular configuration internal media is clog resistant and provides for uninterrupted flow across abundant surface area for the establishment of the selected fixed-film culture. Many of the natural bacteria found in wastewater such as the coliform group are not as aggressive at decomposition of the organic constituents found in wastewater and cannot compete with the IOS- 500TM introduced cultures. The tank serves as the breeding reactor that cultivates and releases the introduced bacteria that are carried by the effluent stream out to the soil enhancing its treatment capabilities and hydraulic functionality. (II) WHITE KNIGHT PRODUCT SPECIFICATIONS: White Knight Microbial Inoculation Generation (MIG) Device: 1. The MIG device shall be manufactured from a rotationally molded single piece HDPE outer plastic housing. 2. The MIG device's housing shall have an internally partitioned ballast area in the base of the unit that is easily filled with pea stone ballast material in the field. 3. The internal ballast partition shall serve as the primary anchoring member for the fine bubble diffusion mechanism. 4. The internal fixed film media shall consist of a tubular clog resistant configuration that allows for the in service cleaning of the fine bubble diffusion membrane without disassembly of the MIG or requiring its removal from the tank. 5. The location of the IOS-5001M inoculant must be fixed to the inoculating wand and placed in the vertical path of flow just above the fixed film media of the MIG and in contact with the flow stream while in operation. Air SUDDIy: 1. Air shall be provided to the MIG by an external 120-volt AC single-phase linear air pump supplied by Knight Treatment Systems. 2. The supplied Control Panel shall be UL listed, equipped with an audio / visual alarm system that senses the loss of air pressure and optional high water sensing contacts in a NEMA 4x enclosure with a air pump run elapsed time meter. 3. Air supply pumps may be located in either an outdoor weather resistant enclosure or in an indoor protected area. 4. All relevant electrical work must comply with the appropriate electrical codes. 5. Air supply lines shall be installed in such a manner that provides protection from damage due to frost heave, vehicular and/or foot traffic. Model Specifications: Model BOD # of Size of Minimum Minimum Approx Diffuser # loading Columns Column Air Pipe tank size Air Flow (CFM) mg/I/ @ per Model (dia" x ID @ 2 PSI 500 gpd height'l per unit WK-40 up to 1 16" x 1/z" 1000 Gal 1.5 750 27.5" WK-78 up to 2 16" x 3/a" 1500 Gal 3.4 1500 27.5" Residential Application Guidelines: 1. Model WK-40: 1 to 4 bedrooms based on minimum 1.5 day residency time of average daily flow within tank. 2. Model WK-78: 5 to 8 bedrooms based on minimum 1.5 day residency time of average daily flow within tank. Institutional & Commercial Application Guidelines: The use of multiple units may be required based on wastewater composition, existing tank size and average daily flow. Consult with Knight Treatment System s representative for each specific potential application. In general: 1. Institutional Waste Streams: Tank size must allow for minimum of 1.5 days residency time of average daily flow with 2 or more days preferred. (1) Model WK-78 unit per 2000 gallons or less of tank volume and up to 1500 mg/I/day BOD load @ 500 gpd. 2. Commercial Grease Interceptors: Tank size must allow for minimum of 2 days residency time of average daily flow with 3+ preferred. (1) Model WK-78 per 1500 gallons or less of interceptor volume and up to 1500 mg/I/day BOD load @ 500 gpd. Air Supply Specifications: Model # Minimum Maximum Amps Volts Output @ Air Pump 2 psi Sound (CFM) Level @ 3' WK-40 1.5 32 dBA 1.2 120 WK-78 3.4 36 dBA 2.1 120 UL Listed Alarm/Control Minimum Specifications: Model # Voltage Amps Failure Alarm Type Overload Switching Max sensing protection (amps) WK-40 110/120 8 Pressure drop Visual and 8 Normal/ +/or float Audible Silence only WK-78 110/120 8 Pressure drop Visual and 8 Normal/ +/or float Audible Silence only White Knight MIG Column Drawing I" FVC PIPING FIELD ADJUSTED TO HEIGHT 1/2` PVC Pipe ♦ 1200 INSIDE ZIP TIE: To Air Supply 1/4" THICK WALL IOS 500 INOCULANT PACKET 1/2- PIPIM r ! 54x 1" ID TUBULAR mEI)LA I, t' SECTION 1 N I. US FILTER FLEX DISC FINE BUBBLE DIFFUSER SECTION 1 91N. DIAMETER SECTION 2 1. 5" DIA. F341.A.S" P CCI4PAFM4EN T PLUG ' 10 X 1.50" CUSPATHD WRAP EQUALLY SPACED 1/2" PVC VERTICAL CROSSECTION SECTION 2 '-1 Tasaul~iot/Ornrbor snips i"". None ' ..ce 1 or 1 1RC05-1'_- DJN Kitchen Wastewater to Grease Interceptor: • Minimum 1 Day Retention vs Time of Total Daily Peak 4% Flow from Kitchen. white Knight microbial inoculator Generator"" ltecornmended commercial & Institutional System Configtraation Trash Tank with Effluent Filter: Receives Settled Grease General Notes: Interceptor Effluent, All Other Wastewater 1. All wastewater treatment processes generate Generated & SO% of EQ odor and its proper management is an important Tank Dose Cycle. element of achieving client satisfaction with • Minimum 1 Day Retention system performance. As such it is highly Time of Total Daily Peak recommended that all components of the Flow from Facility. treatment train be vented through an appropriately sized Wood Chip / Mulch Air Biofiiter. Technical assistance is available upon White Knight MIG Tank with Effluent request. Filter: 2. In lieu of using two individual tanks for the `Trash" & "White Knight MIG Tank" a single 2- Receives Trash Tank Effluent, compartment Precast Concrete Septic Tank may Minimum 2.5 Day Retention be substituted if modified in the following rime of Total Daily Peak Flow manner: from Facility. • Reverse tank end for end so that the inflow side Minimum (2) White Knight utilizes the smaller of the 2 compartments as the MIG Columns for 15' 1000 'Trash Tank' and the larger compartment then Gallon of Physical Volume. becomes the "White Knight MIG" Tank. • (1) Additional White Knight . Adjust inlet and outlet pipe elevations accordingly MIG Column for each at the appropriate locations to allow far gravity additional 1000 gallon (or flow through the tank. fraction) of physical volume. • Some precast concrete tank manufacturers only provide a pump out access cover that straddles _ the compartment wall in their septic tanks that Timed Equalized Dosing Chamber does not facilitate White Knight MIG Column Receives White Knight MIG Tank installation & maintenance. The tank may need to Effluent & Doses Absorption System: be special ordered with additional access openings in the appropriate locations to address • Minimum Volume Twice Total this issue. Daily Peak Flow. • AN other recommendations contained in this • Equip with Auxiliary Air document apply. Diffuser, (1) for each 1000 Gallon of Physical Volume For technical support or questions please contact: • Recirculate 50% of dose back Mark Noga, VP at 315-575,4676 to Trash Tank. e70M rnim" Tr =Vwum* Untoo . Inr Installation Diagrams: Important Note: All tanks must be water tight. Typical In Tank Installation WK-40 Cross Section View F 7] 3 4 4 INLET OUTLET . i 8 5 6 1. 120 volt electrical supply through Alarm/Control Panel to Air Pump 2. Air pump installed in weather tight basin, outdoor location 3. '/2H ID plastic air supply line from pump location 4. Service risers for monitoring and maintenance 5. White Knight Microbial Inoculator GeneratorTm Column in 1" compartment of 2 compartment tank. 6. Outlet equipped with Effluent Filter 7. System Alarm Panel 8. IOS-500TM Inoculant Packet Typical In Tank Installation WK-40 Plan View 3 5 6 4 4 Typical In Tank Installation WK-78 Cross Section View A~ 1 a 3 4 4 OUTLET INLET S 6 5 1. 120 volt electrical supply through Alarm/Control Panel to Air Pump 2. Air pump installed in weather tight basin, outdoor location 3. 3W ID plastic main air supply line from pump location to tee in riser. '/z" ID flexible air line from each side of tee to each column 4. Service risers for monitoring and maintenance 5. (2) White Knight Microbial Inoculator Generator TM Columns in 1St compartment of 2 compartment tank. 6. Outlet equipped with Effluent Filter 7. System Alarm Panel 8. IOS-500TM Inocuaant Packets Typical In Tank Installation WK-78 Plan View 3 5 6 4 4 Deployment: 1. MIG installation shall only be performed by a Knight Treatment Systems (KTS) trained and authorized provider in conformance with KTS's guidelines and in compliance with an local regulatory requirements. 2. The MIG shall only be placed in structurally sound watertight septic tanks. The MIG must not be installed in cesspools, block, steel, or other substandard tanks or in any septic tank of volume less than 750 gallons. 3. The septic tank shall provide for a minimum of 1.5 days residency time of the total estimated daily flow of wastewater from the property and in any situation no less than 750 gallons in volume. 4. The outlet of the septic tank must be equipped with an acceptable effluent filter. 5. The septic tank must have acceptable service risers meeting local regulatory requirements to facilitate monitoring and maintenance. 6. In repair situations, a verifiable history of successful performance of the absorption system prior to dysfunction in tandem with a comprehensive site qualification performed by an authorized provider trained by Knight Treatment Systems or a KTS authorized Distributor is required. Service & Warranty: 1. A manufacturer's component warranty program shall be provided to the property owner for each MIG installed. 2. A comprehensive service program shall be provided to the property owner for each MIG installed. 3. Service of the MIG shall only be conducted by KT'S trained and authorized providers in compliance with any local regulatory requirements and at a minimum of 6-month intervals. 4. A minimum initial one-year Operation & Maintenance (O & M) contract shall be provided with each unit installed. 5. A valid 0 & M contract shall be in place for the life of the MIG. (III) Site Qualification The White Knight Microbial Inoculator Generator's success is directly linked to the proper determination of the root cause of an onsite system's dysfunction. In order to determine whether or not the dysfunctional system is a candidate for enhanced biological rehabilitation a thorough site evaluation must be performed. To this end a competent authorized professional must perform a comprehensive site evaluation and owner/operator interview and record search in determining the actual nature of the problem(s) being experienced and to submit the appropriate permit application(s). The system's infrastructure must be sound and free of defect. Septic Tanks, Distribution Boxes and other components must be evaluated and repaired or replaced if found to be damaged or deficient. All such repairs, if required by local authority, must be performed under an approved repair permit and may be incorporated in the repair application in which the installation of the White Knight is specified. Crushed p. 'Irirhibits'Irlow 4-1 Corroded D-Box _ it ► ~ . rf. .2 . y . 4 0. r Surface water runoff infiltrating the system will have a major impact on the hydraulic performance and treatment efficiency of the absorption system contributing to its dysfunction. r Drains & Driveway Roof Drains flow to Runoff Discharges Septic Tank access Up Slope of System covers in paved 4 drivewav 1 Sources of concentrated flow from impermeable areas such as rooftops and driveways must be identified and directed away from system components. Visiting a dysfunctional system during or shortly after a significant rain event can be invaluable tool in assessing the drainage patterns of the property. s Y' { 4 *ll~ 11i. I . d Inflows from leaky plumbing fixtures place a tremendous burden on the absorption system. Water continuously trickling into the septic tank is a positive sign that either inflow and/or infiltration are taking place. Illicit discharge from sump pumps into the system may also be a contributing factor. Condensate from heating / air conditioning appliances and water softener backwash has been demonstrated to impact the processes of wastewater treatment systems. Conduct an in the home survey of all water using fixtures and any sump pump connections in the presence of the property owner and identify the appropriate corrective measures that would need to be taken. For a dysfunctional OWTS application the physical I a • ' t t verification of the existence of a clogging mat is an important evaluation practice. Typically the upslope edge of the leachfield is located with a probe and a small excavation is created in close proximity above the leachfield to a depth below the bottom of the leachfield. Once the initial excavation is made and ground water is not encountered the excavation is moved towards the leachfield's soil interface to establish the presence of the clogging mat. Typically the internal hydrostatic pressures of the leachfield will breach the clog mat and fill the hole with effluent. The thickness of a clog mat will vary and is dependent upon soil structure and texture. Loose granular soils exhibit a thicker and more pronounced appearance than tighter soils. Depth to ground water and its movement plays a major role in the functionality of a leachfield and its ability to treat wastewater. The hydrology of a lot can be impacted and dramatically change from r the time of original system siting due to neighboring development. In such a situation the w i installation of a swale, curtain or perimeter drain rll~ may be a necessity to protect the leachfield from becoming saturated. Consult with the appropriate regulatory authority for direction if ground water impacts are discovered during the site evaluation. (IV) Installation The following components are provided with each White Knight MIG supplied by Knight Treatment Systems: Model WK 40 - (1) Generator Column, H40 Air Pump, Air Pump Housing, (2) IOS-500TM Inoculant Packets, Pressure Sensing Alarm Panel with pump run hour meter, 25 Alarm Tubing with /i PVC SCH40 sensing tee, 1st year of component warranty coverage, 1' year of 6-month & 12-month service notifcatio IOS-500TM Inoculant Packet shipped at time of 12-month service notification. notifications, (1) Model WK 78 - (2) Generator Columns, H80 Air Pump, Air Pump Housing, (4) IOS-500TM Inoculant Packets, Pressure Sensing Alarm Panel with pump run hour meter, 25' Alarm Tubing with 1/2" PVC SCH40 sensing tee, 1st year of component warranty coverage, 1'~ year of 6-month & 12-month service notifications, (2) IOS-50OTM Inoculant Packet shipped at time of 12-month service notification. All other components for a complete and proper installation shall be supplied by the installer, which include but are not limited to: Air supply line between air pump and MIG column locations. • Air supply line transition fittings, glue, sealants, etc. • Electrical supply to Alarm Panel and Air Pump • Effluent filter. • Replacement tank if necessary. • Riser system if necessary. • All tools and services required for a complete and proper installation. Important Note: The following directions are provided with the assumption that those involved with the installation of the White Knight Microbial Inoculator Generator hold knowledge of, adhere to, practice and promote the protection of the heaKh and safety of their colleagues, the public and the environment. Becoming educated in and complying with all Industry and OSHA Safety Requirements and goveming Regulatory Requirements is the sole responsibility of the installer. Knight Treatment Systems, Inc. assumes no risk or liability for any omissions or actions of the installer or by others associated with the installation. 1) Expose the top of septic tank. The tank must be pumped, visually inspected and ALL solids removed prior to installation of the White Knight TM. Tanks and risers must be watertight. Openings, risers, and tank interior must be structurally sound and intact. Septic tanks found to be corrupt must x' be replaced with a tank that meets local requirements. ` a 2) A riser system meeting local regulatory requirements must be used where absent at the inlet location where the White KnightTM will be installed and at the outlet of the septic tank for effluent filter servicing. The minimum diameter of the opening for the White Knight should be 20 inches. Caution must be exercised in the modification of an existing opening for the installation of the White Knight. 3) All risers must be installed watertight and extend just above finished grade. Lids shall conform to any local regulatory requirements and prevent unauthorized entry. i t. 4) The Leachfield must also be drained of ponded effluent. This can be accomplished via access gained at the Distribution Box and by excavating at the lowest point of the Leachfield and pumping out the ponded effluent. Where absent, Knight Treatment Systems recommends that a Distribution Box Access Riser and Cover system be installed, be water tight and allows for the monitoring of system performance. IMPORTANT NOTE: Lines containing settled sludge must be jetted. Ponded Effluent Removal from v Leachfield T Ponded Effluent Removal from Distribution Box 5) The location for the White Knight MIG Column TM is the inlet side of both single compartment and two-compartment tanks, centered as illustrated by the diagrams below. Column should be placed equidistant from the near end and side walls. 171- ~r Single Compartment Tank Dual Compartment Tank 6) Installation and placement of the White Knight MIG Column must not interfere with the function of the inlet tee. If the tee is modified to facilitate installation it must be restored to code compliant condition. 7) Septic tank openings may need to be modified. If the White Knight Column cannot fit into an existing opening any opening modification must not compromise the overall integrity of the tank. a F 8) The optimum depth for the bottom of the White Knighem is 4 feet below the surface of the liquid in the tank. When tanks are encountered with liquid operating depths greater than 5 feet elevate the White KnightTM to the optimum depth. Utilizing 6 stainless steel 1.5' long screws securely fasten an inverted 5-gallon plastic bucket to the bottom of the tower with holes created in the base of the bucket to prevent floatation. Trim sides of the inverted bucket to achieve the optimum depth. For tanks with depths greater than 6 feet suspending the White Knight from the riser with non-corrosive attachments is also an acceptable practice. White Knight Dept A 'usbnent Illustration 30. Suspending Non- Corrosive Maximum 5' Operating Attachments or Depth Inverted Buckets Pedestal CAMON., NEVER ENTER A SEPTIC TANK OR OTHER CONFINED SPACE WITHOUT FOLLOWING OHSA REQUIREMENTS & PROCEEDURES! 9) Ballast must be added to the White Knight prior to its placement into the tank. Locate the plug near the base of the tower and completely fill ballast compartment with clean, small diameter pea stone replacing plug when completed. k 1 4% 'N 't i 1 1 1 R 0 i 10) A effluent filter is required. When absent is install an appropriate effluent filter and service riser system at the outlet of tank. Failure to install an effluent filter will result in ry voiding of any performance warranty. 11) Any baffling that has been removed to facilitate installation must be returned to a code compliant condition.y 12) The locations for the Alarm Panel and Air Pump Basin should facilitate running of airline to the White Knight riser and the related electrical connections for the panel and air pump. The location should shield the basin from direct sunlight and weather events in so much as possible. Air Pump Basins should be slightly elevated when flooding is a possibility and always placed on a 2" bed of washed gravel to facilitate drainage. Drill airline entry hole in bottom of basin over sizing the penetration to allow for the drainage of any water that may find its way into the basin. :X 13)A trench must be provided for the air supply line between the Air Pump location and the White Knight service riser. Excavation may be accomplished by either hand or with the use of power equipment. Trench should uniformly slope from the air pump location to the service riser to prevent any airline condensate from pooling. When performing an excavation make sure you are in compliance with local procedure and safety practices with regard to the protection of underground utilities. NOTE: Where an airline must cross vehicle traffic or parking areas such as a driveway the air supply line should be protected by placing it in a sleeve such as a 1" ID Schedule 80 PVC pipe installed a minimum of 12" below the surface of the traffic area. ti Mn .y . f J 14.The air supply line can be either Schedule 40 PVC or HDPE piping, 1/2" ID minimum for White Knight Model WK-40, 3/a" for White Knight Model WK-78. HDPE piping is recommended as it reduces the amount of connections to be made minimizing the potential for air leaks. W u r r 15. Place a 2" x 8" x 16" cinder or patio block in basin as a base for the Air Pump. Install airline through bottom of basin. Install the pressure-sensing tap near the Air Pump into the airline making the appropriate transitions in making connections. 16. Indoor air pump locations may create service complications due to lack of accessibility during property owner or tenant absences and should be avoided if possible. When indoor installation is necessary, locate indoor air pumps in an easily accessible area of the building's basement, a garage or a utility room on a stable base. 17. After positioning air pump, have an electrical contractor or qualified electrician, having obtained all necessary permits; connect the alarm panel and air pump according to the National Electrical Code, any applicable local codes, and in compliance with wiring diagram provided by Control / Alarm panel manufacturer. Do not turn on electricity at this point. f IMPORTANT NOTE: ALL EXTERIOR ELECTRICAL CONNECTIONS MUST BE INSTALLED AND PROTECTED BY NEMA LISTED EXTERIOR WEATHER TIGHT CONDUIT AND FITTINGS. 18. Run the airline into the riser. On installations where two White Knight towers are used, a tee /a" and valves are required to divide and balance the airflow between the towers. When using 3 piping for the main air supply line make the transition at the tee to 1/2" ID piping with adjustment valves to feed each tower. H. y: Piping and any manifolds should be configured so, that if necessary, the tower is capable of being removed without causing damage to the air supply line that enters the riser. Where an airline must cross vehicle traffic or parking areas such as a driveway the air supply line should be protected by placing it in a sleeve such as a 1" ID Schedule 80 PVC pipe installed a minimum of 12" below the surface of the traffic area. I 19. White Knight towers are manufactured to receive 1/2" ID Schedule 40 PVC pipe. A coupling is located at the top of the tower to one side for the air supply connection. PVC Solvent Weld Primer must be applied and PVC Solvent Weld Glue must be used. When gluing fittings together slowly twist the assembled components until a "set" can be felt. i e e ; The use of flexible piping between the tower and air line entry point in the riser is acceptable and may facilitate the placement of multiple towers through a single access opening. Threaded connections must be airtight and the use of a liquid Teflon pipe joint compound should be used, 20. With a length of airline connected to the tower lower the tower into place. For deep installations in may be necessary to place an extension onto the supplied lifting rope. Make sure that the unit is resting level on the bottom if a pedestal is used, stable and centered as close as possible in the tank compartment in which it is being installed but accessible from the service riser. Connect the air supply lines and secure the lift out line. I a ^A~ E ~I w 21. Activate the air pump and with the White Knight tower in place and refill the tank to normal operating level with clean water. Caution must be exercised for properties served by a well with regard to depleting the water supply. Always attain property owner permission to make use of their water supply. In situations where there is questionable well capacity water should be brought in to refill the tank. DO NOT REFILL TANK WITH SEPTAGE FROM PUMPER TRUCK. 4 K l ►rr 22.The IOS-50OTM is placed into the system via a 1" PVC wand shipped with the unit that must be assembled. Wand Assembly The wand is then inserted into the center of the tower's tubular media with the IOS-500T" inoculant packet affixed to the "Tee" side of the coupling with the supplied plastic cable ties. The coupling serves a dual purpose, as a stop to prevent the tapered end of the wand from coming into contact with the fine bubble diffuser located beneath and the method to attach the upper portion of the wand. The upper portion serves as the point of attachment for the IOS-500TH inoculating packet and is provided with a "Tee" fitting which facilitates wand placement, removal and allows for maximum circulation of the air lifted effluent throughout the tank. The IOS-SOOT"' inoculant must not be put into Place until the system is active and the liquid level in the tank provides at least 2 1/2" of cover over the top of the tower. 23. Determine the amount of liquid that will cover the top of White Knight tower under normal operating conditions and adjust the inoculating wand so that the "Tee" of the wand protrudes 2" above the normal operating level of the wastewater. Y L x.E t` G ~ y~ yy 24. Fix the inoculant packet to the wand just above the coupling using the provided plastic cable ties. Trim tie ends and insert the wand into the center of the White Knight up flow until the coupling makes contact with the top of the tubular media. 25.The airlift action of White Knight should display a rolling robust circulation pattern at the surface of the liquid above the tower without noticeable glugs or gurgles. Visible bubbles should be very small in size and typically no larger than a small pea. An erratic flow I pattern, larger size bubbles and unusual sounds are indicators that an air leak is present or something is caught in the tower's media column interfering with the upward flow pattern and must be corrected. Debris may be cleared by inserting a 1/2 diameter pole or ridged plastic tube, with sharp edges broken, down through the tubular media repeating the process several times until the blockage breaks free. 26. Secure all access covers and restore excavated areas. Complete the White Knight MIGTM Installation Registration Form provided with the unit returning it to Knight Treatment Systems in a prompt fashion. 27. Areas of the absorption system that had broken out and have untreated sewage exposed must be addressed. Apply lime to the affected area followed by a thin layer of topsoil, seed and mulch. ICI ~ , _ III xY (M Operation: 1) Following installation, operational guidelines and the requirement of routine periodic maintenance must be reviewed with the Owner / Operator of the system. A "White Knight Microbial Inoculator Generator TM Owners-Operators Manual" is supplied by the manufacturer to assist with this task. 2) Each OWTS will develop its own unique operational personality over time based on operator input and change of usage patterns. Periodic adjustments may be required of the Owner- Operator as the operational personality evolves. (VI) Service & Maintenance 1) Routine residential service is conducted every 6 months through a maintenance contract with a KTS authorized provider. Commercial / Institutional system requirements will vary and must be tailored for each specific application. However, approximately two weeks following the White Knight installation a follow up visit must be conducted by the installer and reinoculation performed. The second IOS-500TM inoculant packet that was shipped with the White Knight is used for this purpose. Knight Treatment Systems, Inc. will notify each system's registered service provider 30 days in advance of a normal service visit. Following installation, routine service must be conducted at the scheduled intervals with reinoculation occurring annually. 2) Upon removal of the wand the packet should exhibit brownish colored biofilm. This biofilm may also form on other system components. The bubble ' pattern should be robust and rolling, as it was when the unit was first activated. 3) Wearing proper personal protection equipment, remove the old inoculant packet from the wand, open the packet and empty its contents back into the tank. Do not throw the used inoculant sack back into the tank. Place the sack and the removed zip ties into empty the plastic bag that the replacement a packet came in, carefully seal the bag and place this into another suitable container and dispose of with household trash. Affix new inoculant packet to the wand and reinsert the wand into the White Knight tower. 4) Effluent removed from the flow stream of the White Knight and placed into a clear container should be translucent and light in color with an appearance similar to that of "Lemon Aid" with no offensive odor. 5) As part of each service visit a 1/2" diameter pole or ridged plastic tube with sharp edges removed should be inserted down through the media column of the tower and the diffuser membrane gently bumped several times while in operation. Biofilm sometimes form on the membrane, which could 1 reduce fine bubble production if allowed to build up. ' "Bumping" the diffuser breaks free any biofilm. 6) The effluent filter must also be checked. It ` i should appear relatively free of undigested organic materials and will typically have light brownish biofilm on it. Inorganic materials should be removed and disposed of properly. Do not remove the beneficial biofilm. 7) Should extraordinary amounts of foaming be encountered it is typically caused by the over use of detergents or the use of high sudsing formulations. Spraying the foam with water from a garden hose will knock down the suds so that the system can be maintained. 8) Infrequent foaming events will not have a major impact on the overall performance of the White Knight but can cause nuisance concerns and trouble calls should the foaming become visible. The user must be made aware of the situation and corrective actions implemented. 9) The air pump's air filter must be removed and cleaned annually unless unusual dust conditions exist. The foam filter is easily cleaned by washing in a mild soap and water solution, rinsed and allowed to dry. Cleaning and rinse water should be disposed of at the inlet side of the tank. t. 10) The Absorption System should be inspected vis for sign of any breakout and its condition duly noted. 11) If present, Distribution Box Riser(s) should be opened and the depth of any liquid within the Distribution Box recorded. Observe personal protection procedures and clean the measuring instruments with a disinfectant immediately following use. 12) Complete the Service Visit Report. Leave a copy with the client and file appropriately. I FILE ' MAR 2 41992► 4 8093 ru_ , AMES O CONNELl FbOAt Of Deeds SHEET 1 OF 2 SfiE TS 9.Cwx Co,Vh CERTIFIED SURVEY MAP Located in part of the NA of the NEk of Section 34, T30W, R19W, Town of St. Joseph, St. Croix County, Wisconsin. LEGEND OWNER r O 1j 4 Aluminum County Section Monument Found Sandra (Kidd) Gilbert ' • V Iron Pipe Found 14829 Hillside Plaza Omaha, NE 68154 0 111 x 24" Iron Pipe Set, weighing 1.68 lbs. per M linear foot v U C ° Existing Fenceline 4J _ w, 4J `J Marsh Area o Roadway Setback line ce Q. U , W O z co ♦ Oak Tree Occupying Corner Location _ L 4J L. m u .C ,.r SCALE IN FEET 0 50 100 200 NE Corner of Section 34 N Corner of North line of the NE of Section 34 Section 34 N88°29'49"E N88° 29'49"E A. 1312,70' 1 aaa: 412, UNPL_ATTE=D L_07' 1 L A N D ,'S, C M . 1 IN N 'v L_ 4 ~ P v i J b ~ co T, CFO% COUNTY 7-3o co o Z 57 '44„E H 6,? ( Racks Conimittso 10' N88055'29"E wl"30dsYs,0t ti 7 i 5ji44 rr f 19s. 3, 1 v~,-,~F shal b► --I 66 O foot w L~) Certifie" id road e d' a s P S' a u ea _ w e 0_ I 9e 1063 an an maps.. in . as shown n y0lume S, a9e'4,....... tf'i l U') 1473' I I rn d I ~'i I JI 3 ;I G UI _ JI i I " CSI M a LOT 4 :>I LO W r, ~t LO ~?I ~ 4.70 Acres Including R/W ' W / - I --I .5.:f!5 y2 AAA D 2 Wwons+n Deoa•imert of Industry, ~)UIL Ut:Ir t lVir nL,r WI. i Labor and Human Relations -0 lot (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet) r.tadison, '0/2' 297-.57? 5 3 Ffti/. G/L-92"7- OYO 7 ~/77ZZ,O yil4el 4P/;-T Page CueTC►ErirW,/ 50l&VAL.0A1E CVRPBdT --1*0001" AMItTLATERUI el0►HAeIECT E. 9-20 - 9/ avow- /~o r 9. "3 /GP/;,v61 eve. 5~ `sr ~u:s P,f.TA~ti ss~r~ 5r. 'r0 0/'X SHiLOADNO O►Ow. 3 0 DORM NA) L«,' PON NE 3 30 t9 T~i..~ sf' JoSEP hL- TAx.AACELMAeER z GSM! # LOT BLOCK / SUBDIVISION PEAV iA36- ZNEW _REPLACE B • I Horizon EDeoth Dominant Color Mottles Structure Limiting Factor/ LoacingGPD'sq. h. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots BDepth Trench Bed ~ ye /o,~, y sbK -m 2 f Elev 4/d lie y/3 /0 4 1, z /wt,sd~ nK f f c~v 5 131 oo,~ (,-2-5 toy- A1+,Sbk fl* I f cw 7-.S yip' 4/~ f~ , 5 l,c) r2 rM v F cry, .yogis n7- 25' A G C 2 /-~0 5 yR y/- s I f n„L r.-, -e f I c eo y. 3 Acri S~DE~v / fi~G W s ee:~ 4 r a Pte' r o /7b,Pi eA.) w,f g P U O QED 13. 2 Horizon Depth Dominant Color Mottles Structure Limiting Factor Loading.GPdsq. N. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench Bed -q /D ye 4/2- /D.} rI f SA& 1;" rrf/Z 3 -F cw S Elev = Z y' S'/~ 4/¢ s /o," 2,f Shk a.., v f 2 C lay,a " S Q /-32 S`le 1¢ C' 2-2o sye 416 f, 2,f 51 v,f, M cLL, 3 zN y - 3 l1 ~iP~ Z N ~ODG D 4 '04` T 4 B-3 I Horizon Depth Dominant Color Mottles Structure Llmhing Factor/ LoadingGPUK h. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench Bed b - & /o Yi2 4/z /a f s 6,- 'kr vf/C 3f C60 .5 • 5/ Elev = ,c} 6-1S 5 y e 4¢ 10- 4-1 f sbr- /sm o f 2 f ccv - . 4 • S B )S- zk 5 yie 414 S/ z e, IQ net U f-p2 e w ~e s' C e-?o s Yie j Z1(-,P C1,41 ""e )c; C 11'~R%Z -1 00PDL e + 41D " B. I Horizon Depth Dominant Color Mottles Structure Llmlling Factor, LoadmgGPC)sq. h. In. Munsell u. Sz. Cont. Color Texture Gr. It. Sh. Consistence Roots Boundary Depth Trench Bed Elev = B. Horizon Depth Dominant Color Mottles Structure LlmIIing Factor Loadtrig.GPOfsq. it. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench Bed Elev = a Additional Remarks: RECOMMENDED SYSTEM TYPE: ('~t/ .SI TE SO/I ) rw~i'rif_ 4 cc r A J) M Iq M W - 0 U W 7 17 " ~ w v a ~ ~ I ~o n Q ~ J 3 VIA 2" i ~ - o o ST. CROIX COUNTY ,t lib a } WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 -~1W Oct. 2, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 'Madison, WI 53707 To whom it may concern: An on site investigation of the Jerome Raile property, located in the NW 1/4 of the NE 1/4 of Sec. 34, T30N-R19W, Town of St. Joseph, St. Croix County, revealed 25" of suitable soil making this site suitable for a mound. Should you have any questions, please feel free to contact this office. incerel , James K. Thompson, Assistant Zoning Administrator cj sMscontnDepanmentotlnouslry, ;,UILUCJt ttlt'tlVif nt.r Vni Labor and Human Rtlltrons "0 901 (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet) ~f Qp X61.1- 47/- S? S 3 GAL-9%,-7 DYo 7 1V1'7-1Z7,0 y/~9Ci t~ i01;rT Page / Z ClMM'S"kMA BOI tVK.oAf! Cvw0'iTW0UiHKOc40Vw P'~UAT6AV /po - M&Af 11 0.Q00 E r1 9-20 - 9/dODCV- %.f'~.~lEs f ►sr ILA N .COPW.. I STATE D co~ / Q y 31003 ~~p~jNG /fl/P• 5~ `sr 40uls 'V 7 J~~~ / ' `R01' a»T SOADOOOeaWA NO t~AT NE 3 3o tq tv S7c• JoS~P lf-- TAxvw*Lmsm&Pt "MI LOT BLOCK SUBDIVISION -SKEW _REOtACE B - I Houton Depth Dominant Color Mottles Structure Unuting Factor/ LoaQng.GPD'sq. h. In Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundar Depth Trench add /oy,P X13 moo- /o~,,r JfsdK>~,~ 1f c.w , rS , Clt v - 4 - IG o ly y/3 ~v /o.4,re 2,5~,~ f i^w .5 00,E 6-2-5 10VA 316 ~ s/ ,,,Sbk nr. 4-1 if cw C, 5 '7'5 y/Q 414, S I~C~ R nM U to cw IWS 4,- 25 - .6 $ c~ -osYAy/6, I~r sI f AcTi S~DEw / ffG co s ee~ r a .Pt T o //'oe/ a.v w7 S P vD L&D . 13.2 - Houton Depth Dominant Color Mottles Structure Limiting Factor/ Loa6ng.GPOisq. n. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench Bed ,4 -41 /0YR 4/2- /o4,1 f,Sb/~ f cw S IV Elev = q 2. y- ll S /R 44.y z,f sd>r ai,, v f z c 'f 40 . Co - S lOyb ,3 /-32 s ye 4/4 S/ 21 c, Mtvf,e L c ccv , C' 2-705y4 4116 2, -f- S/ 0'f' (f 40 3 B-3 ( Horizon Depth Dominant Color Mottles Structure UrnhIng Factor/ Loafing GPO~sq. h.. In. Munsell u. St. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounds Depth Trench Bed 4 yk 412 f s6K * vile 3f ccv . S - y Elev -!5 75VA4 ¢ Z0.4,11 zfsbk /,1,4 vf 2f eel.) - . 4 - S 00 . 6_2_k S VR "14 - Sl Z e, P, 'I" U 3~~ c w . (e , s C 8-~o s YR 4 71cp 51 o c, 'M" e 3 C f /P% Z ~OAD4 B- (Horizon Depth Dominant Color Mottles 'Structure Llmlling Factor/ LoaongGPOlsq.h. In. Munsell u. Sr. Cont. Color Texture Gr. Si. Sh. Consistence Roots Bounds Depth Trench Bed Elev B- Houton Depth Dominant Color Mottles Structure It actor/ Drsq. h. In. Munsell u. St. Cont. Color Texture Gr. Sr. Sh. Consistence Roots Boandar, 4 epm Ti d 0 Elev = ` J Additional Remarks: RECOMMENDED SYSTEM TYPE: /~1GUw1~ d'V 42 dti .S17,6- Svi'/ Ti CA-) Cvi'rrG, 1% t~ ~4/~M . iq r ,_1 W ~ v = O ~ ~~T Lam! ~ X ry) ~ 'Z a- W q 0 7 17 ejo • M L 1 `r" 11s11~11~JJ~~ ~ csa a ~ a ST. CROIX COUNTY ZONING DEPARTMENT AS 9BUILT SANITARY REPORT Owner Address (Q A 9 City/State Legal Description: Lot 1*/ Block Subdivision/CSM # IA &L411. Abjc, Sec. _j_y, T_3_01-RI W, Town of r PIN # Q4~A _ aQQ -154 SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer. Size ST/PC /oa°/ 60a Setback from: House -23-! Well - P/L Pump manufacturer t Model / yD Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: A-t Width ~o ( Length 6 3 Number of Trenches Setback from: House Well P/L Vent to fresh air intake ELEVATIONS: Description of benchmark N of A.A T~~ - /Cl0 Elevation AD 6 / Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet 3. $ PC Inlet 3 , PC Bottom 7 S~D Header/Manifold S Top of ST/PC Manhole Cover Distribution Lines { } _3, S~/ { ) Bottom of System { } ~(Z { } ( ) Final Grade { } ( } ( ) Date of installation /l(1 Permit number _ 79 (tQz? State plan number S9 309clo? Plumber's signature AL-~, 20-1~'N License number 0, Date Inspector !j~ Complete plot plan or rr "1l. r" 1.J{'~ ! NOTICE: Please provide the following: • A Plan view sketch showing everything I 7 within 100 feet of th ;system. • Two horizontal reference points to center of septic tank in, )e cover.F"`s • Show alternate benchmark, if applicable. PLAN VIEW 31 144 q 1 ' INDICATE NORTH ARROW ,Wisconsiw Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 299021 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: JOHNSTON, TERENCE ST. JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 030-2006-50-000 TANK INFORMATION ELEVATION DATA A9700341 9 / - TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /_)j Dosing Aeration ' Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent irIto ntake ROAD Dt Inlet • TANK TO P/L WELL BLDG. A Septic NA Dt Bottom 1/sv 9 Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss Head Forcemai n Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width I Length No. Of Trenches PIT No. Of Pits Inside Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATICf~N•ST. y JOSEPH ~34.30.19. 373A NW,NE 669 PINE VALLEY " TRAIL LOT 4 of I ( r 'L u / r t ; ~ tl`; -~o k c X m 'W , Plan revision required ❑ Yes at No 8~ a~ Use other side for addi tional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~ - s u~-lj h Safety and Buildings Division r.~■~■■■~ SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County r than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State SanAitarryy Permit Number application The information you provide may be used by other government agency programs ❑ Check it revision tprevious ca- ~ [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION 3 5 7 Prerty Owner Name Property Location r/ 0114 1/4,S 3 7 T o, N,RZ ?A (or Property Owner's Mailing Address Lot Number Block Number 1 3v. . City, St me Zip Code (ho; ) n7ber Ou Subc~vi ion Nam r CSM Numb 6`90 L ~f,~/ II. TYPE F U LDING: (check one) ❑ State Owned ❑ Cityy Nearest Road ❑ Village ❑ Public 1 or 2 Famil Dwellin - No. of bedrooms Town of , m. BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) 4036 - a00- D 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. X New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _____System System Tank Only______________ Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 [kMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade. L,l4- Re red (sq. ft.) Proposed d((sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation (J Feet Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank Al- MA ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum Signature:( o tam 40 Business Phone Number: D~~5 ►~_2Cp~- C~gq.S P umber's Ad ess (Stree ity, State, Zip de): 'P-b- IX. COUNTY / DEPARTMENT USE ON Y ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issue Is i g Agent Signat a (No Stamps) d .Approved i/ Surcharge Fee) ❑OwnerGiven Initial ~rj p'i1 Adverse Determination p 0 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: original to County, One copy To: Safety & Buildings Dive ion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. if you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide thE~ legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use_ If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce August 22, 1997 15837 USH 63 Route 8, Box 8072 Hayward WI 54843 UTGARD, BRADY PO 221 AMERY WI 54001 RE: PLAN 597-20992 FEE RECEIVED: 180.00 JOHNSTON, TERRANCE NW,NE,34,30,19W TOWN OF ST JOSEPH COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Yerpoy V.-I 9111~ Jansky Wastewater Specialist Senior Section of Private Sewage (715) 726-2544 Friday's 5643R/ 1 SBD-7997 (8.11/96) NOV713-01 03:01P P_02 • T RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project TERRANCE JOHNSTON Owner TERRACE JOHNSTONE Address 1565 ST. PAUL AVE ST. PAUL MN. 55116 Legal Description GOVT. LOT NW 1/4 NE 1/4,S 34 T 30,N,R 19 W Township ST. JOSEPH County ST. CROIX Subdivision Name CSM Lot No. 4 Parcel ID Number 030-200-650 Plan ID Number S97-20992S97-20992 INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE PRES. DIST. CALCS. & LATERALS PAGE FOUR PUMP TANK DRAWINGS PAGE FIVE PUMP SPECIFICATIONS PAGE SIX SITE PLAN PAGE SEVEN Designer BRADY UTGARD License Number MP 7456 Signature Phone No. 715-268-6995 Date 7-15-97 Notice: Tampering with this flie by unauthorized persons Is prohibited. Dellberate modification will result to disciplinary action under s. 146.10, Wis. Stats. SBD-10462-E (N.05W _ Page 1 of 7 RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) n Is the system constructed over creviced bedrock? Slope 8 % Number of bedrooms 3 Wastewater flow rate t45O gpd 1703.3 Lpd Depth to limiting factor 0 in 101.6 cm In situ soil infiltration rate e) 0.5 gpd/ft 20.4 Um` Contour line below the upslope edge of absorption cell 98.8 ft 30.42 m Use standard fill depths? OR Designer speed depth _ 0 in -1cm Place X In boar to use standard depths (12, 24, A+4 Inclusive) OR specify design 1111 depth. Center or end manifold a (c ore) Estimated hole space 4 ft Not a llnal calculation. Lateral spacing 3 It Minimum dose 10 times void volume Use a 0lateral spacing for trenches. Pump tank elevation 88 ft Outside bottom. Force main length 150 It Force main diameter 2 in Force main actual dia. 2.067 in SYSTEM SOLUTIONS Inch-pounds Metric Cell media "x" one only. Estimated daily flow 450 gpd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 gpdW 375.0 ft 34.84 m` (Linear load rate 7.1 gpd/ft 88.0 Lpd/m Design width (A) 6 ft 1.83 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 9.7 in 24.6 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 17.8 in 45.2 cm Basal area required (gpdrinfltration rate) 900 ft2 83.61 m2 Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (IQ 10.7 ft 3.26 m Upslope toe length (J) 6.8 ft 2.07 m Downslope toe length (1) 13.0 ft 3.96 m Total mound length (L) 84.4 ft 25.73 m Total mound width (111x) 25.8 ft 7.86 m Project: TERRANCE JOHNSTON Plan I.D. S97-20992 Page 2 of 7 • r MOUND PLAN VIEW observation pipes (tyrpical) .I W= 25.8ft A A= 6.Oft 1.83m 7.86m 10 - B= 63 ft 19.2m B K J= 6.8 ft 2.07m i 1 = 13.0 ft 3.96m K = 10.7 ft 3.3 m L = 84.4 ft 25.7 m ~i typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downsiope width K = end slope dimension 6^ (150 mm) T MOUND CROSS SECTION subsoil cap D = 12.0 in 30.5 cm lateral topsoil E = 17.8 in 45.2 cm invert 101.3 ff F = 9.7 in 24.6 cm elev. 30.88 m see note F G = 12.0 in 30.4 cm D E ASTM H =F18.01 in 45.6 cm C33 sys. 100.8 ft Sand Fill elev. 30.72 m 99.8 ft contour 8% 30.42 m slope Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified x Aggregate G = subsoil + topsoil depth at cell wall at right. Chamber H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project: TERRANCE JOHNSTON Plan I.D. S97-20992 Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 6 ft 1.83 m Length (B) 63.0 ft 19.2 m Lateral specifications Number laterals 2 Holestlaterai 16 holes Lateral length 60.0 ft 18.3 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 18.64 gpm 1.2 Us Sys. dis. rate 37.28 gpm 2.4 Us Hole spacing 48 in 121.9 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm P ace X in red Wn one choice 1 1/41nr32 mm box of chosen from the options 1 1/21rd40 mm x diameter. provided. 2!n= mm x 3irV75 mm X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in125 mm W" one choice 1 imn/32 mm Place X in red from the options 1 1/2in/4o mm x box of chosen provided. 21n50 mm x x diameter 31n/75 mm X 4irV100 mm x LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. ateraht cemered over the d Last hole drilled next to end cap i ap 4 P • AN laterals are identical I+ X -3I Holes drilled on the bottom of the lateral S equally spaced • Force main comection Wa tee or cross to mardfold at ang polm Laterals & force main of PVC Soh 40 • - permanent end marker (per COMM Table 04.30-5) Inch -pounds Metric Lateral length (P) 60.0 ft 18.29 m Lateral spacing (S) 3 ft 0.91 m Hole spacing (X) 48.0 in 121.9 cm Hole diameter 0.25 in 6.35 mm Lateral diameter in j, S mm Number of holes per pipe 16 Invert elevation of laterals 101.3 ft 30.777m Project: TERRACE JOHNSTONE Plan I.D. S97-20992 Page 4 of 7 Total dynamic head System head = 23.48 26 ft 0.99 m Vertical lift = .40 ft 3.47 m Are laterals the highest point in the Friction loss = ft 1.06 m system? Yes "X" here. Total dynamic head .13 ft 5.53 m If no, what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 9.3 gal 35.2 L Force main drain Minimum dose = 112.5 gal 425.9 L back to tank? ("x" one) Drain back = 26.1 gal 98.8 L x Yes Dose volume = 138.6 gal 524.7 L No Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per COMM 83.20(3) WAC. approved manhole cover I weather proof wMamina label and padlock grade Levels junction box rade levels y quick disconect g alternate 4' vent pipe electric as per NEC 300 and outlet COMM 16.28 WAC location 18" (46 cm) min. 'wall of pump approved chamber or outlet combination PI/4"weep joint tak A Grade levels alarm on pump tank manhole = 4" min. above finished grade pump on B necessary pump tank man. =100 mm min above finished grade C vent = 12" min. above finished grade pump 89.9 ft vent= 300 mm min. above finished grade off elev. 27.4 m D 3 " 75 mm of bedding under tank and anchor tank as necessary 89.0 ft Pump tank elevation 27.1 m bottom of tank Tank specifications: HUFFCUT Pump tank = 14.29 gal/in Pump tank volume = 600 gal Capacities: Inches Gallons A= 22.3 318.5 Pump manufacturer: ZOELLER B= 2 28.6 Pump model number: 140 C= 9.7 138.6 D= 8 114.3 Project: TERRANCE JOHNSTON Plan I.D. S97-20992 Page 5 of 7 y TOTAL DYNAMIC NERD/CAPACITY 1.1 PER MINUTE A ti • i H CAPACITY V i EFFLUENT AND OEWATERING t T ' MODELS L- C MODELS 137/139 140/4140 to e5 0 fl. MNa,6 Gal" Ltrs" Got. Ltre. 3 1.52 e3 33i e. 33e D 12 W .0 Spa Is 2" eo N1 _ _J a+a 1s wort N 2.2 63 20 1 35' e.,o Is +zs » zie 10 as tort 6 f0 63 23e a 1 1/2- - 11 112 NPT ]0 30 e.,. - - a3 to, a ,137,139 n loan - - v +u 1 25 s q.zz - - e s. l 6- S 20 1 t•c• V•1n: 2i' .e' U b 'S r I a O 10 F 1J S"73 5 0 OM21 A B C D E F u s GALLONS 0 20 so 4o so ao 7o so so 0o no 1371139 4314 7 3M 1 8118 4314 12 314 4 LI1ER5 1ao 240 ]20 •00 140 4 Y4 6 5116 8 13132 4 33/4 15 61f4 D FLOW PER MINUTE 14 4 314 8 5116 813132 4 39 18 25132 61/4 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200208V or 230V -137/139 Models. • Variable level control switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback variable level float switches are available for variable level • Mechanical alternators, for duplex systems, are available available with long cycle controls. or without alarm switches. • Long cords are available in lengths of 15.25.35-50 feet (Maximum 25' length • Combination starters are available for 3 phase pumps. for 140/4140 models @ 115V) • Control alarm systems are available for 1 phase pumps. • Over 1WF. (54•C.) special quotation required. 137 Series • 47 lbs. 139 Series - 51 ft 140 Series - 53 bs. 4140 Series - 60 tbs. ' Refer to FMO806 for 200° F. applications. single Satz co" I Pon 4" MOON VOMs-Ph Molt AMP Skq*x 0 CSA UL M1371139 115 1 Alb 107 1 or 1 b6 - Y Y SELECTIOti GUIDE N1371139 115 t Non 10.7 2 or 2 8 7 3 or 5 b 6 Y Y 1. Integral float operated 2 pole mechanical switch, no external control required- 8N 137 115 1 Aub 10.7 Y Y 2. Single piggyback variable level float switch or double piggybacks variable level 01377139 230 1 Aub 5.8 1 or 13 8 Y Y float switch" Refer to FM0447. E 1371139 230 1 Non 5.8 2 or 8 7 3 or 5 8 6 Y Y 3. Mechanical 2ltemetor •M-Pak• 10.0072 or 10.0075. 1137n71139 208 200.208 1 Au Non to 5.5.5 1 25S7 8 3or5b6 - Y Y N N 4 CCmbin" Starter. Refer to FM0514. • 1 J137/139 200.206 3 NO" 2.6 2&4 3b4 orM6 Y Y 5. See FMO712 for correct model of Electrical Attwnator'E-Pak'. F1371139 230 3 Non 2.6 2&4 3b4 or 5b6 Y Y 6. Variable level control switch 10.0225 used as a control activator, specify duplex 0137 460 3 Non 1.4 2114 384 or586 N N (3) or (4) Nost system. G139 460 3 NO. 1.4 284 364or5b6 N N 7. Four(4)hole 'J-?ak-,junction box. for water tgMconnection orwiredinsirnplexc or 2 pump 14014140"' MODELS CatrW Selecaon Lisdn operation, 10.0002. ModN Model Yolts-Ph MOda B. Two (2) hole "J Pak'. for watertight connection or splice, 100003. 0 SA UL N140 N4140 115 1 Non 15 2a267 3or5b8 N N E140 E4140 2.1 1 Non 15 2or2a,7 3or5b8 N N • No "okw Sngia P99Ybadl srr4dl itldlafed DW* sad part Ora it"W M will alill" trtoieetre seesas. Sall Fa l Awtu 40 11"11 lore n NOM 1 or NOM 4X a01" peals. CAUTION At installation of controls, probcii" dances and wiring should be done by Pumps not be operated in upright position" a 4uatlliad licensed electrician, AN electrical and sally Codes :!could be followed Including Nts aost mleent National Electric Coda (NEC) and the Three phase mitt require a oontiol with to operate an 0110mal magnetic orcombirration starter. Occupational Safety and Health Act (OSHA). For iMamrstion on additional Zoeller products rerer to ca" on combination starter, FMO514; Plggoadrvariable Leve1 FbMSwitohes,FM0477:Elee2 CMAllemator,FM04e6;MerdlaniealAtpms- t0r, FMO495; Alarm Package, FMO513, and SumpfSewage ansrls, FM0407. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. , aft. TO: P.O. Box 16347 Lwsmft KY 40256-0347 iNavwfaclurarsar. . Q ~ SW TOE 3280 Old Milner: Lane '+~J~~ Lotaioila, KY 40216 ~~P~~ PUMfI' L 0 (502)77&2731.1 few) 928 puw FAX'(502)774.3824 " fl 4~ oooo;L I= qo A NW - N,E - -5 -,3V - 7-,30 419aW a"14 Iv ~ 0 f t~~ 46A-L iM...ror►o.raNU.~+~a +w1r. BOIL AND SfTE EVALUATION REPORT + in WCord with iU{R 81.05. wia. Adm. Coda Croix Mash oenivl p alen pan on-p w not Mm *an 0 W x 11 indws in sin. Pan nud in We. bt A t e na lwAod a hdrtior and hminorral ralnanoa point! 0M. d►ao>fon and % d rope. aoala or dowrwonoM Arrow. sed bonbon and dkt "m So r 6 81 road 030-300-650 DATE APPLICANT MIFORMATWO-PLEA6E POINT ALL INFORMATION PROf1EA111 daNdl PRO'EIRY UMATION QW. LOT NM 19 N$ 1K$ 34 T 30 AA 19 Irr * PROP917Y 011MliER 1M~IN3 LOT $ BI~OCI(! SISO. NIIIE OR CSM • 1S6S St. pad XV0. . STA R Rl/r0E OYY~1 MEUMI w e 6 30 St. Anwh 124 Thar Conftd m ulw k) ROAM! rl I NWFAW olbedrooies 3 t) Addition 19 owl" bo" I ) MOM"" t) Pubk or cOrttn,MdN tlssor+bt► GOdit dsNwdtNlyr Iow 450 !I~ Raoonasrntdsd tMsiah lotrd(rq ralo - Z._.5._+aerto~. 6 AWwp w sw ngtM 75 eeC 0 375 -001d R2 MitooeMl~n tMign baQRq rAM _bAd. ~._rb_.. 4 6 R (at ralonad b > plln bandtrntt IboomelntMtl bongos surfm aw4ftn(s) 199.20 A1obw deer / aib IN old, lk hs atvatin of >~arad nn r mkft - 3 4 ^F el 99 RQ PxW awWW pitted Glacial drift Rood 02h QWVKon, if applc*b R two u= 0 5 MU t Lqs Jju L fi7S Du ~S au os IOU OS 6~u FtL SOIL DESCRIPTION REPORT SorMp 4 FIOfiZOn Doph Oondnent Color moon Uxtura Sm wm own o m ewdmy p GP In. Mur"11 Ou:SLCont.0ota or. &z. Sh. so 1 o and dov. .24PX' 1 Q= AM JUM Biel -left* 1Q~jjR o.ph to two +T~R d LLL _1 I Aa+narks: 9oe+tg t 2 lQYr 4 - _AU_ __AmmL_ Met aw in :.6 GMUM 103M 414 If -2 j wv. lgun .6 amp0l ia iin>NrtD 4045 SU AM idor Remarks: csr rraw:..t!te..o i.. Ss4ei Pi Map 115-1A6-624 AML- NMRkh=nd NJ is 0 17 Si f /1...,/ Doha; - w~ t~T iVWwIMF wwtf~0~ $OIL DESCRt►Tion RE►ORT p -Z- 3~- o s01% - Zoy • s DOM DoTinant C.olo► ~I~oEos Tam ~ ~ GP im MunsO Ou. Sz Cast Color Gr. SL Sh. Ba"by PAM Be0 nmoh 3 841 2 8-21 1 r 4 sLOf1# Oil 21 ma mfr if .5 .6 Ground uMr - .2 .3 9T_a It 5 98-50 5 r 4 c2d7.5 5 ec1 m lydor as no vW .2 460 f H~enarNr_ all, Gm" NN. R DoO~ b t~gor eprinp # Ground MNr. k Dom fi~nitq iCbr _ Remarks: BoNnp r Gnwu+d d ow. n Crplr b iCbr Gary L. scab SE'S S..OI L SERVICE CSTM2298 MPRS 7 S34-T3M-jagW Mew RWwM, 00Yt Av NMkM* S3f VY~ 5017 toln off. Josh 1 (713) 24642M N 1^x40• SLID hail in Ping tare 0 al. loo' Alt. lKs s nail in pine tree ! al. .96.35 Plove,Alley ~zr °Jo C4 601 1 i o' Ary' Gary L. StMI 6-26-97 ee 3-Wd edsr IC Qh~CO iCtrion„n ti FILED ~ MAR2 41992► 4 480932 JAMBS QCOIVFtEL` (~MAr 000th SHEET 1 OF -2 SHEETS 9t(0°.~' CERTIFIED SURVEY MAP Located in part of the NWh of the NEo of Section 34, T30W, R19W, Town of St. Joseph, St. Croix County, Wisconsin. c NT LEGEND OWNER z o W 4J Aluminum County Section Monument Found Sandra (Kidd) Gilbert s y • I" Iron Pipe Found 14829 Hillside Plaza Omaha, NE 68154 °I~ 0 1" x 24" Iron Pipe Set, weighing 1.68 lbs. per s :`M linear foot Existing Fenceline W 14 W U • p• J . 1' v 0, L_' `J Marsh Area L Ol ~ f Roadway Setback Line p•, ~y ~0-'Y o, 0 ♦ Oak Tree Occupying Corner Location rid 00 L. 41 C- CU W N v- CD rr < . SCALE IN FEET N 0 50 100 200 NE Corner of NI Corner of North line of the NEI of Section 34 Section 34 Section 34 N8802914911E N880.29149"E 1312.701 1 I I I^1 ^T[=r U 1 t Oil2 4/92 U NPLfA lT I - L0-1 1 W Ls^aN D,-:- C . M . I N 'vUL . 4 , rG . 10 6 3 Go ST. CRAM COUNTY \ S ^mWeh"ve PtannhV 3,0 S71 co 0 2o~ag 215 44 "E I N Parks COnvWtt" • 63 1 Of N88055' 29 "E O ; within 30 daXs.Oir S~3os4 ~KO C M - - - - - - - - %*oval date shay be • 03 S 0 F N T - - C7runt_~_ko~ -I ~e }~04 Wider 03 - JI c71 - Tie, d" °ed eas N L) Page 1p Suryey.. ement as ® = I ;t rnl ~ and in V lea m volume 4°Mn..~.. LX I lfil 5. Pa ge 4 1IN I z ~ ~ rn s 1'ri I cr% 1 73• 41 UI 3 I o _JI > I I Ci M co co I _ > I _ LOT4 o x 0 4.70 Acres I MI --I ncluding R/W I M IMP n., Wisconsin Department of Industry, L.a SOIL AND SITE EVALUATION REPORT Page 1 of A6r-arid Human Relations Division of Safety & Buildings ri 3.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not lein sf an must include, but St. Croix not limited to vertical and horizontal refeand f lope, scale or PARCEL I.D. # dimensioned, north arrow, and location a a~~d.. 030-200-650 APPLICANT INFORMATION-PLEA 1TI ?REVIEWED BY DATE PROPERTY OWNER: 001mly If r~ ROPERTY LOCATION Terrance Johnston GOVT. LOT NW 1/4 NE 1l4,S 34 T 30 ,N,R 19 :k(or) W PROPERTY OWNERS MAILING ADDRESS ~ Z LOT # BLOCK # SUBD. NAME OR CSM # 1565 St. Paul Ave. c CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ZrOWN NEAREST ROAD St-. - paill 99116 612)690-0430 St. Joseph [ New Construction Use [X ] Residential ! Number of bedrooms 3 [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2--,6_trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate . ci_bed, gpd/ft2-trench, gpd/ft2 Recommended infiltration surface elevation(s) 100.80 ft (as referred to site plan benchmark) Additional design / site considerations system el based on cont-onr 1 i nP of e1 99.80' Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ❑ S ®U Fr7 S ❑ U ❑ S @U ❑ S ®U ❑ S X U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-12 10yr 3/2 Sill none 2M .5 .6 Ground _ elev. 101.2ft. Depth to limiting factor +5811 Remarks: Boring # 2 9-19 10 r 4/4 none sil 2msbk mfr lm .5 .6 Ground - elev. 4 26-40 7.5 r 4/4 none sl 2m r mvfr na .5 , .6 101.2 ft. Depth to 40-65 n .2 limiting factor 401, Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246)-6)200 Address: 1554 200th. New Richmond I 54017 Signature: Date: CST Number: m02298 6-26-97 PROPERTY OWNER Tprrarc rc} sty- SOIL DESCRIPTION REPORT Page of _3_ PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend ``,..3.. _ .6 2 8-21 10 r 4/4 none sil 2msbk mfr 9w if .5 .6 Ground 4 none sicl lcsbk mfr w if .2 .3 elev. 97.4 ft. 34-48 7.5yr 4/4 none S1 2m r mvfr na .5 .6 Depth to 5 48-60 5 r 4/4 c2d7.5yr 5/6 scl m na na na np .2 limiting factor 48" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 4?}}}}}}:4iiiiii Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Terrance Johnston New Richmond, WI 54017 MPRSW 3254 NW-14 4 S34-T30N-R19W (715) 246-6200 town of St. Joseph lot #4-csm N 1"=40' BM.= nail in Pine tree @ el. 100, Alt. BM;= nail in Pine tree C el. .96.35' 1~Ir~c ~Allcy ✓f r \ool+ y~ J V~ r J 01 Y I~ 4'j Gary L. Steel 6-26-97 i S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when 01 the property is sold and submitted to this office with the appropriate deed recording. Owner of property Location of propertyAZl,) 1/4. Al 1/4, Section Z L , T 36 N-R~W ~ll Township Mailing address 156 S ~i f> 44np Address of site- (0 t, q AA _ Subdivision name Lot no. other homes on property? Yes r No T Previous owner of property Total size of property _T.._ 00 Total size of parcel V. Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes __Z_'--No Volume_ and Page Number / ii as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the county Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. 6 Signature of licant Co-Applicant v hak-a n /Finn, t ire F ~i~rn7tiira STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER r Z N o ~r • MAILING ADDRESS l ! _a f All' s t- -7 i PROPERTY ADDRESS (location of septic system) Please obtain from th Planning Dept. CITY/STATE PROPERTY LOCATION t(1 1/4, /~JL 1/4, Section _ fir{ T .3C` N-R W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME Y PAGE Z/t G~ ~ LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. 77te property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned t t. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE:' St. Croix County Zoning Office Government Center 1101 Carmichael Road 'Hudson, WI 54016 11193 J ~~2 =4 Stale Ba ul"i con,in Farm 1982 WARRANT, D££DQQ Coo -,U11ENT NO - Jerome.R. RLile 11:45 A. co • n.ea and . arr nts to Terence Johnston_ and_baneen Barneh-Johnston, husband_and_wife; _ SPACE RESERVED FOR RECRD~NG DATA NAME AND RETURN ADDRESS + t.. i'-~H\ St Croix _ the follo.+ing described real estate in - County. State of `Visconsin. (Parcel identification Number) fRP'N T+a' (See Attached Exhibit "A") -~4`0 This is not,.,----- homestead property. (is not) p~ ECCCp UOn to Warra'ntes: Easements, restrictions and rights-of-way of record, if any. 19 95 day of _ June - - Dated this (SEAL) (SEAL) - J ome R Rai e ISEALI (SEAL) _ ACKNOWLEDGMENT AUTHENTICATION STATE OF WISCONSIN Signature(s) St. Croix count. q - r 1v of Personally came before me this 19 June-- . 19 95 the abo, a ..med authenticated this day of - --Jerome_R _Raile_____ TITI E'. MEMBER STATE BAR OF WISCONSIN to me kn,)w'n to be the person (if not, _ authori cd by §706.06. Wis. Stats.) } for Ding instrument and •kno.sle IM 3 ' ~a It 30 EXHIBIT "A" Part of the NWi/4 of NE1/4 of Section 34, Township 30 North, Range 19 west, Survey St. Croix County, Wisconsin Page 246edD follows: oW480932 t in 4 Of the of fire of the Nap filed in Vol . 9", Pag part shown thereon egister as of ees DYr ivate rRoSt. Croi ad Easement" tandWwhichs exc pEXCEPT t part Sly more fully R described as follows; A parcel of land located in part of the "WI/4 01 the NoEI/4 of Section 34, 9130N, R19W, Town of Ste Joseph, St. Crix County. Wisconsin; further described as follows: thence CoRmeacin9 at the N114 corner of said section 34' omme'40"E, along the north line of the NEJ/4 of said id 9 t section, 1312.70 Pest: thence Sol°17'37"E, along line of the NW114 of the NE1/4 of said section, eas 8 feet; thence 589e55'29,w, along the south line of Lot 1 of Page 1063 at the Certified Survey Map recorder in Volume 4, office, 44.34 feat ~o the 5t. Croix County Register of Deeds description; thence S01°04'31„E» point of begi.•_ing of this Highway I ' along the Westerly right-of-Way of county Truukurve, concave 66.00 fret who we central angle measures 17a06'4'?", chose northerly, chord bearsl a2° the0arc'•afasaid ccurve saad3the southerly a of a 66.00 foot ride ?rivate road ease-men as right-of-way aCe shown on Certified Survey Map recorded in volume 4, Page agcy; 1063 at said office. 224.69 feet to the point ct tang he southerly right-of-way of said thence N73057'44"W, along t thence NO1°:7'37"W, private road easement, 195.03 feet; .14 feet; along the east line of Lit 1473 atrsaideof`•icecy69Map recorded in Volume s, page 1 at thence S73°57'44 E. along the south line o=page 1063 at said Certified Survey Nap recorded in volume 4, office. 2 1 .63 feet to the point of curvatu eeOf al686.2e foot radius curve, concave northerly mcaouvea 17"06117", whooc chord bcnrs Sat"31,theSarcaof said measures 20421 feet; thence easterly, along curve and said south linerof I- parecltis9subj*C. totallpoint of beginnin4- casements of of record. { 3