Loading...
HomeMy WebLinkAbout004-1052-60-200Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ~,Safety and Building Division ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) Permit Holder's Name: City Village X Township Lamb, Matt Cad ,Town of CST BM Elev: Insp. BM Elev: BM Description: 9t~ .~ w~ ~ SANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Q Dosing i Aeration Holding TANK SETBACK INFORMAT{ON TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 7 5 ~ h~ (~ ~ y~ / cA v'~ _ Dosing (J~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number I~?/ ~ I ~ TDH Li ~ 2.36 Fric~ n~~ 7 System Head ~ 3. TDH/ . l~Ft (t, orcemain Lent ~ Dia. Dist. to well l Zr > ~Q SOIL ABSOR TION SYSTEM BED/TRENCH Width Lengt DIMENSIONS /.• -7 INFORMATION S• Of Trenches BLDG WELL ~!, ~ ~~ ELEVATION DATA County: $t. CrOIX Sanitary Permit No: 479301 0 State Plan ID No: Parcel Tax ryo: ctionlTownlt2a ge/Map No: 22.28.1 . STATIOtN `l ~' ... uBS 7 . HI . FS ~ELF,~/ r 6 Benchmark ~ , ~'t' 9~, 9, Alt. BM (~V v`~ ~. Bldg. Sewer ~ ~~ L ~~ 7o ~ a 1 Q . s t Inlet ~(~d '~ f s // Y q0• ~p SUHt Outlet ~- ~~ Dt Inlet ~ ,~- DtBottom ~~ / f ~ ~~ ~ !'~ (P Head /Man. ~~. 3 ~ , S (., G c 7 o7 Dime- ~ ~~ ~~ Bot. System ~ 3•~ l~ ~ Final Grade St Cover ! ~ ~ ~ '• OR Depth DIST . I N SYSTEM .fit, ~ - ~ vy.~t~ Heade Mani Id Distribution ~~ x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) (/ p Length Dia ~ - s Length ~ 3 • ~~Dia ~ ~~ Spacing ~ / i' a ~ r ~ a ' / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~ ti S 7"~ Depth Over ~- Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedffrench Center ~ S ,~y.9~ Bed/Trench Edges Topsoil ~ Yes [~ No [~ Yes [ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / 3 / ~ ~ Inspection #2: ~ /~/~ Location: 3040 20th Avenue Spring Valley, I 4767 SE 1/4 SW 1/4 22 T28N R15W) NA Lot 1 ~•~ ~~ Pa el No: 8.15. 1.) Alt BM Description = V v _~ /~~~,, " , / /~~~ / 2.) Bidg sewer length = 7i S' `Z11~:~ ~Gi~+/V~+'ur-- ~-CI»V~~4't /.+~r->,tG~LOZ- - amount of coves = ~ ~ ~ Plan revision Required? ^ Yes ~ o ~ ~, Use other side for additional information. ~ ~ iJ~ ~ ~~~'`-~ ~ Date Insepctor's Si ature Cert. No. SBD-6710 (R.3/97) 1 J i Safety and Buildings Division County - 201 W. Washington Ave., P.O. Box 7162 C' D~ - Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266-315I !~(~ 3 O ~ Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide j 7 may be used for secondary purposes Privacy Law, s 15.04(1)(m) Project A dress (if different than mailing address) I. Application Information -Please Print All Informati FF FF r~~~~~€: F~ h ~ 3 ~ l~b Zt~ V Property Owner's Name 0 7 2005 Lot # Block # rce # !vl ~- . ~ ~ JUI. ; ~ ~ Property Owner's Mailing Address T Ct~OIX COUNY}~ Property Location S C1 ~ t'%t/ L ~ ZONING OFFICE J Gj~ L, ~ Section ~~ ~` ~~ City, State . Zip Code Phone Number , ° -~- ° --~ G L~~rv L'"'006~ G _ ~~/G circle T ~ N; R E o W II. Type of Building (check all that apply) ~ ~~ a~ 5v~•N~: CSM Number e Subdivisio Na m 1 or 2 Family Dwelling -Number of Bedrooms dtryQ~ av`_ ^ Public/Commercial -Describe Use ~ y ~ ~ Si~CJ ~ ^ State Owned -Describe Use ~ X 7 s,ti 3 I ^City_ Village ~T'ownship of G Hr% III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ~ A. New System ~~ ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owmer IV. T e of POWTS Svstem: Check all that a l ^ Non -Pressurized In-Ground ^ ' Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter Constructed Wetland ^ Pressurized In-Ground ^ Holding ank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculaf Sand Filter ^ ~ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) ~ Design Soil Application Rate s~ Dispersal Area Required (s Dispersal Area Proposed (s System Elevationy~ i U / G D,lo ~• >a L/,y`G ~/mil/ /~'~~ VI. Tank Info Capacity in Total Number Manufa Prefab Site Steel Fiber plastic Gallons Gallons of Units Concrete Constructed Glass New Tanks fixisting Tanks ~ /~ ' ~ ~ (•-; ~ Septic or Holding Tank ~~ `~L, / ' / C ~ _ K ~^ Aerobic Treatment litut Dosing Chamber DL- DZ Yi C- ~ VII. Responsibility Statement- I, the undersi ned, assume responsibil' for installation of the POWTS shown on the attached plans. Plu tuber's Name (Print) Plumb 's 'gnature MPlMP~Tlumber Business Phone Number / Plumber's Address (Street, City, State, Zip Code) VIII. oun /De artment Use Onl Approved isapproved Sanitary Permit Fee (includes Groundwater Dat Issu d Issuin ent Signatur o S ps) eason for Dem Surcharge Fee) ZS . °O ~~ 7 `~ IX. Conditions of Approval/Reaeons for Disapproval ~ i i ( ~ ~ 3~ ~ ~~ d--~ ~ ,,/~ ~~ ~Qfa ~ lt1ISTE11i1 OWNER ~ : 1. ~ Sriplic tlmlc, etnt~nt finer and ' I Y u ,~,, r J 1 ~'V~~ i om ~' l ~ Ore ~ /t ~ ~ e.cs ' dlylers<al ceq must aN be service, i maintained M par ir1a11e~N11ent platrt provided by plumber. u Z. Ar f~dc ~ must be maintained tits pN atppYpbM code /ordinances. ~ __ - Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD-6398 (R. 01/03) ,~ ._.. .1 '' ~ _ `\ o l P~ G ~ ~ ~~, F ~ (jam ti' y ~l~ X s ~ ~~•4 ~w t~ .S Z ~ ~'T28 ti! ~ i ~a w v ~....- ~ ~ ~. ~ - - ~. i ~ q~ ~~'~~ ~ c o ,, ~ L Z f `~ `~' ~~. ~~~, 3r~t~l r lpa,a' ~ . r~,c t ~ '~ rx ~ I .. 9~. 9~' 1„~'t' _ ~7 ~~ ~2 = 91~,3~5 , 1~,.~..~-l ~t.~-s. ~s~°~ ~~~~.~ U ~`~` ~ ~L C.. to ~~ ,~.• 8Z ~ ) ~ w ~ ~' ~ /z .4. ,~ _ .S Z2~'T28 ~ ~ t 5 ~c.~ ~ ~ ~ T. C~,c,~~ Ceaw.~~r-~ ~' abet 't.~{,.,,Js~-~~ q~, ~d .~" 0 ~~ t~\ ~ 3 .~ rf -yam ,sto, ~ r ~ J .r 1 • /' I' ~ ~ ~L.~ ~ ~~.3~ z'fL'~ L ~~ f'~~` '~nc~( - f y.t .~ = ~~r.9~, G, (~AOF f~~r"~C ~I~ 4 ~`5GN- y ~ $ ~ _ ~G. y 2 ~~~Z CC ~+N 2 = ~ ' 7 `/ $ 1,3.5 r~c~;y~ .~ ~d, i ~~ cs~ ~ ~~ ~,~s ~ ~ 2 o t~.- ~. -f-~ . 1 a ~ ~- ~~. X ....~........_._, _.. ... . r ~ RECEO~IE ' 'MAY 0 2 2r~{y~ I T N REPORT P•9• ~ ~'-3 w~scons~n Uepanment o1 Commer r~ Drvispn of Selely and Buildings ~ '. CCprdenCe wilh Comm 5. Anacn complete sde gran on pa ~ not I~~ ~r~cnes ~ size. Plan ;n~!~E. ^_! !10! !imiled l0: YenKel a nl (B ). dreAion and PerCel LD. percent scope, scale or dirtwnsions, north arrow. snd bgtion a land to ^earest road. Data R. r dY P/ea~e pNnt aH In~vnrrstion. - g ~ c Ptrsonsi mlamauon you Drama TeY tk uad rar seoondsry p~Daes (PAY lew, s. i 5.01(1) (m)). Prop!rty^`M^4f Propertyl.ocatbn .-. - . Govt LOl S~ u{ $j;Jt/4 S .22 T 2 N R 15 ~% Pr ~ •^T's !.1aitms, ACd{ert: Lot f BtOCk X Subd. Nmna a CSINN Ov"0~~ n. . G ~ ~"~' Town Nearest Road City State Zip Code Phone Number ^ CNy ^ Vghge ~„ ~~ New ~;onsvuccion Use:~1 Residenlrel I Number d badroOrrla ._ 3 Coda darivs0 daslgn $Ow rite ~? U _ c;ru I ^ Reptaoement ^ Public a< ppmmerpal • Descnbe: - e~pnf ~ S 7'i.t 1 F Food Plain elevation d appbcabb h. Parern matenat ~ GeAeret comments ~ ~'p./70-t>/Lr ~I eM ryrnmm~ndel~MS~ ~ /v Y ~ V~J /N ~ ~~(. /.7 1 r----- \ ~ _ i ./ r-~ ~ Bor.ng ~ ~ ~I ~J tx;, pry p ~ Pit Ground surface elev. ~p1_ h. Depth b limiting talXor in. ~ q - lion Ra d B Roots rl;;nzar ~ Captr pcmirant Coto Rsdox Descriptions Cobr Coral Sz Qu Texture StrUCtun . Gr. SZ. Sh. Cottttttanca oun ary .Etta( 'EfM2 gyn. Munsell . . . . o 3 -3r ie~ fs v s r rn c,s ~ ~ , 5 ~. ~'~1 ~; y s ^ g~nn; L.._." J ® Pit Ground surface elev. %~•~~ n• Depth b limiting (actor 2 r . i i ~ i • Ertlwnt x ~ _ (300, ~ 30 _ 220 mg~l an /~ ~ ,,,, Pru~brly Ownbr ~I~7 r -A~•a Per+cM ID N r---- fl eorino . Pafle ~ of -3 ~ ~ ~ _ . r• =J ~~ ~ ~ PII Ground atxfaceaNv. ~ tt Depei b Nntitkq radon ~ ~ n. IL Soo lien Raq . d T Slrudtxe Caralstsnoe tBax+dary Roofs GP D/rr Horizon pepth in. Dominant Cobr MunaeA Radox Oetorlptlon Du. Sz Cant Cobr ure eT Gr. St Sh. •E~ 'Efat2 , 2 3 -¢ -Z~f o yR ~`/ y,~ ~/z. IDY~~`/2 .y7~s1~8'~'l~' air s S S fps m rh•e-~~~ S ~ - , 5 , 5 ' , .5• /- o /, o /.O I I .-fB I s~ ~ ~-'~ ~ ~ . f'-'1 _ n Boring I i ". ~. y .. _ m. ~J ^ Pil Ground suAace elev. R p Iml np Soil iglion Rate I Honzon I Depth in. Dominant Color Munson Redox Descrtption Du. Sz Cont. Color Texture Structure Gt. Sz. Sh. Consistence Boundary Roofs GPDRP 'ErtN~ 'Elttt2' ~ I ' T 0 ~~ n ~n9 J x'`~:y " Ground surtacs elev. n. uepu~ oo I~R,~u~y ~m..M _ .. ^ Pit Soil A ication Rale T t S6 cture Conaisterxoe Boundary Roofs Horizon Depth. in. Oorninsnt Munaep Rsdox peacriptfon Qu. Sz Carl Cobr uro ex v Gr. Sz Sh. 'E1Tr3t1 'Etgt2 I I • Ertluent trt ^ 1300s> 30 < Z20 mptL and T33 >30 _< 150 myl ' l:flkisnl awl : ~+. J0 myl eM TSS < 30 R+yl Thr tlcyaruuent of Cununerce is uT equal opportunity service provider and entp{ayar. If you naafi assistatTCa lu access srlvlucs ur need material in as alutmu formri, please contact the departtrtent at 608.266.3 I S I or Tf Y 608.264.8777. sno u:^ a r_e~.9o~ ~~l' 1 ~ Y S . l _: ,, _ 1 ,J r ~~ ~ r..; ~ F. S ~ ~1-¢ Sw',~4 S 22T2$tit~2, l5w S T C2c} we C °~s'~'~! Cq.~~ ~rw~St~~l'p 6+~ ~ ~ • 3~.t~1 lb0,o~ p o C %?~~ ~ 1~1/C I7~ AE B p - 9~. 9~' ~ ~ = 9~, $2 = 9~.3s ' 83 ~ 9~, /v ' S cal.6 („' fib. h~.~-f ~.~r~ 9~''~`~I '~ 83 ~ I ~- J ~ 3'f / ~ / o ~~ ~ %~.~ l ~G.3ti N 0 a, ~ "~ 2a commerce.wi.gov ^ ^ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 09, 2005 CUST ID No.227064 STEVEN G OLSON VERNON M OLSON & SONS INC E3333 BENRUD LANE EAU CLAIRE WI 54701 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/09/2007 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1134687 SITE: Site ID No. 698143 Matt Lamb Please refer to both i lentification numbers, 20TH Ave above, in all cones ondence with the a enc Town of Cady St Croix County SE1/4, SW1/4, S22, T28N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1017249 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. Co~tdi • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption ~~ area. chs. NR 811 & 812c DERARTMENT • A Sanitary Permit must be obtained from the county where this project is located in accordance with the iV OF requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ ~ ~ -C''r SEE CORRE • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat STEVEN G OLSON Page 2 5/9/2005 • Comm 83 227) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, G ~~12~~? ~ ~~l ^~ E ~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday =Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Matt Lamb Mound System Owner's Name: Matt Lamb Owner's Address: 306 W Elm St. Glenwood City Legal Description: se 1/4 sw 1/4 s 22 tn. 28 n r 15 w Township: Cady County: St. Croix Subdivision Name: n.a. Lot Number: n.a. Block Number: n.a. Parcel I.D. Number: n.a. 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 Page 8 Septic Filter Maintenance Page 9 Plot Plan RE~E~~E~ Mp`! 0 g 2005 SP Designer: Steven Olson License Number: 227064 Date: 05/01/05 Phone Number: (715) 878-4502 R; ~~~, .Y Signature: ~~ ~~d Designed Pursuant to the ~ CoMi4tERCE Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and ~U 1NG3 SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) SF ONDENCE. Version 3.11 (R. 06/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 2.00 Site Slope (%) ~ y~,Q 96.93 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ftz) (core) 3~ ~o ~~ ~Z D,4 U Distribution CeN Information 75.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information e Center or End Manifold 3.00 Lateral Spacing (ft) 2 Number of Laterals 0.188 Orifice Diameter (in) (e.g. 0.25) 4.00 Estimated Orifice Spacing (ft) _ rcemain Diameter (in) 100.00 orcemain Length (ft) .90 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 5.20 Vertical Lift (ft) 1.3 fiction Loss (ft) 9.82 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 11.84 ftz/orifice Does the forcemain drain back? Y Enter Y or N 16.31 Forcemain Drainback (gal) 67.38 5x Void Volume (gal) 83.70 Minimum Dose Volume (gal) 24.90 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Huffcutt Inc Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 14.90 Dose Tank Volume (gal/in) A100 Filter Model Number Huffcutt Inc Manufacturer Project: Matt Lamb Mound System Page 2 of 9 Mound Plan View 1- 1_ -T _} -~ -1 I L Mound Component Dimensions A 6.00 ft E 13.44 in H 1.00 ft K 8.56 ft B 75.00 ft F 9.50 in z 7.70 ft L 92.11 ft D 12.00 in G 0.50 ft J 6.49 ft W 20.18 ft 450.00 (ft2) Dispersal Cell Area 1027.26 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.72 (ft) --- ,,,,,,,,,,,,, * H .,,,,,;;,,,, ,,,,;;;,,,,.. G 1• ~ .,,,,,,,,,,,,,,,,,~2 ,,,,,,,,,,.,,,,,.. .:. .............. ...................... F Dispersal Cell 98.43 (ft) Latera I ~~~~~~~~~~~~ ~~~~~~~~~~~~~~~ I 97.93 (ft)~ - Invert .::::::: Dispersal Cell .:.:[] ::::::::::::::: ...... . ..:::::::::.:.:............... Elevation ,.~.:. ..t;=. `.~, ~ ~~":; _ 1 ; ~ .~~ ~~ ~~ ~~~ i i x~ i, Y„A. ~, Y~ r ~ ~ l t~ '~, L l ~ x ~ i s ? Y, i <i,' ~L t ~. x 1.~ z~i ~i . . 't [~ 1 1 _ . .,l. ,i .l. ~ '. f'. ~~~ ~ ~ ~ 96.93 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key 'a c. ~- Dispersal Cell See lateral details on 10 -Topsoil Cap ~ = 1.5 ft ~ :~ ~: ;4 ~ Page 4 for number, size, """"" Subsoil Cap ~ ~ 1 ~1~.~t< a ~ and spacing of laterals. ASTM C33 Sand ~ t ~ ~ F Laterals are equally ® ~~ Tilled Layer ~ m 0.5 ft Typical Lateral spaced from the ~L'~4~9~1~~ • ~ ~ ~v I distribution cell's centerline in the A ~ distribution cell (AxB}. Project: Matt Lamb Mound System Page 3 of 9 End Connection Lateral Layout Diagram LalteralroenterndauertheAtk nsian •=Turn-upwl hellvelvearoltrenputplup ~I All laterals are Identical ~. ~-~ I Noles driQrd on the bottom of ehe lateral . S equally spaced FI7fCG n'IiUt CpItllGCtiDn VIa LOG Or ortxss to mmIF01d 8t .any paint. Laterals 14 Ftxce madn of PVC Sch 40 (per Cl7NM Table 84.30-5) Number of Latcrolo 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (Pj 73.44 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft orrice Density Lateral Flvw Rate 12.45 gpm .Manifold Length system Ffow Rate 24.90 gpm Manifold Diameter Total Dynamic Head 19.49 ft Forcemain Velocity dose Tank Information Electrical as per NEC 300 and ---- ..~...-.-- Comm 16.28 wAC ~_, Disconnect .y 0.188 in 4.08 11.84 ft'loriflce 3.00 ft 1 50 in 2.54 ftlsec Locking Cover with warning Zabel and locking device and sealed watertight ~a in. min. -~ Tank component is properly vented Huffcutt Inc Ca cit 600.00 Volume 14.90 Manufacturer Gallons gallinch ~~ A l3 C D Dimension Inches Gallons A 24.65 367.30 s 2.00 29.aa C 5,62 83.70 D 8.00 119.20 Total 40.27 600.00 under tan F--- Alternate outlet location ~OrCemaln diamet9r ~f 2 in. We®p hole ar anti- siphon device P~ ump off el®vation (ft) 83.57 po• se tank @I@vation (ft} 82.90 Alarm Manuafacturer S.J ~IectroniGs Alarm Model Number HW 101 Pump Manufacturer Zoeller Pump Model Number 152 ~ (~~~ Pump Must Deliver 24.90 gpm at 19,49 TDH~ project: Matt Lamb Mound System Page 4 of 9 Z0 3~Jt7d NOS~O N3/1315 06bb8L85TL 0b :50 500Z/60/50 Mound System Maintenance and Operation Specifications Service Provider's Name ~ Steven Olson Phone 715-878-4502 POWTS Regulator's Name St Croix Coun Zonin Phone System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 frz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •..~~,........ ............... .................. Grade v1 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: Matt Lamb Mound System Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank Performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem 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 BODS, 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° ctu/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. Contins~ency 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. Project: Matt Lamb Mound System Page 6 of 9 - _ ---_ yna~ic Head /Ca~acfy... . .... On-Site !" ~',w PUMP PERFORMANCE CURVE ~''~ EFFLUENT MODELS 318", 1/2" & 3/4" SOLID PASSING CAPACITY 1ao az~ I ! I i 135 ~ T i- ~-' I 40 , 191 ii -~ 730 -~ i I it I 36 -1 125 '., -_ F__..__ ._-_ i 720 36 ~, 186 I '', 4186 ' '' 115 ~ ~'~ ! ~, 34 ~ ~ i ~~ n0 III ~ I 32 ~ 105 iD0 ~ I ~ ', 30 -'II i I 28 i 26 I ~~. ~ ~ '~ 2a e0 1s5 i I -. ~ 4165 w > ~. I 75 I 24 - 70 ~ __ 1fi3 o 4167 i 2p-I 65 __.__ ~~ \ ~ i ~ 60 i6-. 161 ~ _. ___ ~ ~~ . 189 ~ I I I ' 4161 I X6189 i 1 I~ I I I 18 140 I ~ q ~ ~, I so 61a0 I -, - - I I ~. ' 18B ~- I L ' I 14168 14 66 ~+ .~.__ _ 12 -~ ^ 15 i ~ ' '.. ., 153 10 151 _ I 4165 B 25 ' , ~: - 34 9B 6_ zB I - R -- --=, 4 I ~ I 10 \ - I I 2_ ~, 53,55 i 57,59 0 ' 10 20 30 40 50 60 70 BO 90 700 110 120 130 140 150 120 112 104 ss ee 80 a 72 64 '0 56 0 48 40 32 za 16 0 -' ~ PUMP PERFORMANCECURVE ' LL Models 5030 Effluent Turbine -10 GPM 1 1/4" NPT DISCHARGE 400 314 HP-12 STAGE 360 320 zao 1 n HP- s sTAGE - 240 200 112 HP-6 STAGE I 760 120 I ~ 60 - ~ w 2 4 6 B 10 12 14 ifi 1B GALLONS LITERS 0 6 i6 24 32 60 48 56 fi4 015413 FLOW PER MINUTE w PUMP PERFORMANCE CURVE Models 5032 EtAuent Turbine - 27 GPM 1 1/4" NPT DISCHARGE s6 320 1 ill HP- 10 STAGE 300 66 280 80 260 72 240 iHP-7STAGE -J 220 - ~ _ 64 314 HP - 200 6 ST AGE 56 i iB0 U_ ~ i d8 160 a0 140 112 HP-4STAGE ~ ~l 120 - - 32 100 24 80 1s a o 6 20 0 015045 FLOW PER MINUTE GALLONS '~ ~ LITERS ~ LL 014243 0 BO 160 240 320 d00 4B0 560 _ FLOW PER MINUTE ' ILL A CAUTION Model 185/4185 should not be subjected to less than ! 2B0 80 - 30 feet TDH~ '2-. 2°° ~ ~ 200 a 56 i 4B ~ 160 40 I ,20 32 ~ F 24 -'. 60 i6 - d0 6 -. 0 PUMP PERFORMANCE CURVE Models 5031 EfOuent Turbine -19 GPM 1'/." NPT DISCHARGE -. 1HP-9STAG E I 34 HP ' 7 STAGE _ \~- 1n HP \\ SSTAGE ~'- \~. '. 56 180 48 :760 140 40 - ~ 120 32 i 100 ¢ 24 ~ 80 o I so i6 ~ B I 20 PUMP PERFORMANCE CURVE Models 5033 ElRuent Turbine - 35 GPM 2"NPT DISCHARGE 1-1R HP-SSTAGE ' I 1 HP ___ 4STAGE - I t~ ~ ~ 314 HP I 35TAGE . 1218 HP 25TA ESTA E ' ~. l-' i; I I ~~ .~ 5 10 75 20 25 30 i 10 20 30 d0 50 fi0 GALLONS GALLONS LITERS ~~ LITERS~B~1 0 20 d0 60 60 170 015414 FLOW PER MINUTE 015044 FLOW PER MINUTE © Copyright 2003 Zoeller Co. All rights reserved. daa~ fh~ Iprr oattr~N~ b1l tfRM~ K o~ a 1h. ira~it L, tiproy thi oartrldAo taba wMh a hooo yo ntnow maarlai atlaidip a thorn. lylala aun dta ring wear rum baok Ntt~ tIN ank. ~ inapaae dtn wnt AoN and modWatlnl origaa, 8pnrr~Nan alasr of am dam Iloplaoo 1ho aarb~idAo. 0a wro a anop tho oartiidAo Mok Into d» addis kola atdia ap of 1M oartrbl~a+nult, ~ M alarm a optlorut and wIM ~lw noda that tha Alan rmada RtlhNion baton dw bwtdUp aawar baoko up. h you haro an alannti olwak m malat aw'a h a workNp b91111tMp tlH Hoot owAah and aoundNp 1ba aMrn~. d Raaanl thatyou haro oManod tbo t1Mor srtd, K applloablo, ohaakod tho alarm. AMo aonk nNat Nry other oboorvatbna aboat the dnk a aytam. MMoa sus tv c~ar- up thoreiuphhr rMrrr 1!<MMmd r~ ~- U; 283$P .2.65 I STATE BAR OF WISCONSIN FORM 2 - 2000 Document Number 1 WARRANTY DEED This Deed, made between Andrew C. Lamb and Jessica M. Lamb, husband and wife Grantor, and Matthew Lamb and Chandra Lamb, husband and wife as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Lot 1 of Certified Survey Map 798997 recorded at the Office of the Register of Deeds for St. Croix County, Wisconsin on the 30th day of June, 2005 in Volume 20, Page 5003. Jessica M. Lamb joins in this conveyance for the sole purpose of conveying any and all interests that she may have in the above described property pursuant to the Wisconsin Marital Property Act. Exceptions to warranties: Restrictions, easements and rights-of--way of record, if any. Dated this ~~ day of June * AUTHENTICATION Signature(s) authenticated this day of * Jorv R. Gavic TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Jorv R. Gavic day of the above named to n to a perso s} who executed the foregoing ins a ovule the same. * Notary Public, State of WISCONSIN Spring Valley, WI 54767 My Commission is permanent. (If not, state expiration te: (Signatures may be authenticated or acknowledged. Both aze rwt necessary.) ~~ • ~Z ~ ~~ •) 2005 Area ~99~ii KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORD 87/07/2805 09:30AK MARRANTY DEED EXEMIRT # REC FEE: 11.00 TRANS FEE: 19.50 COPY FEE: CC FEE: PAGES: 1 Name and Return Address Jorv R. Gavic ~,D Gavic Law Offices „r,(1 P.O. Box 400 Spring Valley, WI 54767 Part of004-1052-60-050 Parcel Identification Number (PIN) This is not homestead property. (R~ (is not) STATE OF WISCONSIN ) ss. County ) Personally came before me this June 2005 Andrew C. Lamb and Jessica M. Lamb * Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 2000 INFO-PRO (800)655-2021 www.infoproforms.com ACKNOWLEDGMENT ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~i'j-ekf ~ C~I ~'rn~"I t/'~ ~ t7t n~1 Mailing Address ~ ~ ~ ~ ~ ~T~ ~~io' ~~~ ~'~, ~~~~~{ W _I ~ Property Address ~ p a. C~ '~ "/ ,(Verifcation required from Planning Department for new construction.) City/State ~/v ,~ pSd vl W-1- Parcel Identification Number ; LEGAL DESCRIPTION Property Location 5 ~ v4 , ~~ '/4 ,Sec. ~~ , T ~~ N R ~ ~ W, Town of ~~ Subdivision Lot # Certified Survey Map # ~ ~ ~~~ ~ ,Volume ~~ ,Page # ~ U~ 3 Warranty Deed # ~ ~ ~ ~~ ~ r ,Volume Z ~S 3~ ,Page # Zoo 5 Spec house ~ yes~o Lot lines identifiable~Cyes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Depart f the three year expiration date. ?171Q`~ S NA OF APPLICANT DATE OWNER CERTIFICATION I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property d vi a of a warranty deed recorded in Register of Deeds Office. ~~ ~i~~ S NA APPLICANT DATE ****** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ****** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. 1~ ?9813'9? VOL 20 PAGE 5003 KATALEEA H. li7lZ3A' ' REGISTER OF DEEDS ST. CROIX CQ. M1I RECEIVED FOR ~?ECORD 06/30/2005 10:15AM CERTIFIED SURVEY MAP £T--F£~-.-~3. COPY FEE : 3.00 PAGES: 2 CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE SW 1/4 OF SECTION 22, T28N, R15W, TDWN OF CADY, ST.CRl7IX CpUNTY, WISCpNSIN. ~ PREPARED F©Rr 0 Z ANDY LAMB NORTH 1/4 CORNER pF SECTIpN 22. O ~ (FOUND ALUMINUM CAP) UNPL A T TED ..LANDS . o pp o NOTE: BEARINGS ARE REFERENCED ~ W Tp THE SpUTH LINE pF THE SW 1/4 I ~ pF SECTIpN 22. (ASSUMED). S 89'48'29'E 200.00' LET 1 2 ~ 2,25 ACRES ~ : C :2 98,146 SQ. FT. ~ :2 ~ 2 2.10 AC. EXC. R/W ti a ~ ~ a ~ 91,546 SQ. FT. STEM -~- o ~ a y o SY SITE SE ES ~ W ~ ~ u~ : ~1 R~ : ~1 1 1 b r- ~ ~ " ~ ~ °~ . :~ b ~ ~ v ~ 2 Z : :~ o © ,- : b :~ V V Z V V ~ HIGHWAY SETBACK LINE ............................... 0 0 0 0 SpUTHWEST CORNER o o SOUTH 1/4 CORNER pF SECTICIN 22. o N 89°48'29'W 200.00' ~ pF SECTIpN 22. (FpUND ALUMINUM CAP) CFpUND ALUMINUM CAP) ``' 20TH AVENUE w 2431.63' `"' .. . S 89°48'29"E w N 89'48'29'W 24Q.00' w SOUTH LINE pF THE SW 1/4 2631.63' UNPLATTED .LANDS, LEGEND o= SET 1' O.D. X 18` IRON PIPE WEIGHING ~ ~~SCOkS ~ 1.13 L BS PER LINEAR FDOT. ti B = GpVERNMENT CpRNER AS NO TED. ~ JAME3 M. WEBER '~ 8.1004 BPRW ~Y~ VYI ~ Q' 1' = 100' ~j~ „~~ ~ S Rv aa~ o so lov 200 SHEET 1 OF 2 _ W 80 LANDMARK SURVEYIN INC. DATED ~-2-3'~~ 2005037 THIS INSTRUMENT DRAFTED BY JIM WEBER Vol 20 Page 5003 CER TIMED SURVEY MAP LOCATED IN THE SE 1/4 OF THE SW 1/4 OF SECTION 22, T28N, R15W, TOWN OF CADY, ST.CROIX COUNTY, WISCONSIN. DESCRIPTION A parcel of land located in the SE'/4 of the SW'/4 of Section 22, T28N, RISW, Town of Cady, St.Croix County, Wisconsin, more fully described as follows: Beginning at the S'/4 corner of Section 22, T28N, R15W: Thence N89°48'29"W along the south line of the SW'/4, 200.00'; Thence N00°30'33"W 490.77'; Thence S89°48'29"E 200.00' to a point on the North-South Quarter Section Line of said Section 22; Thence S00°30'33"E along said line 490.77' to the poirrt of beginning. Contains 2.25 acres subject to 20a` Avenue right-of--way and any and all additional easements, right- of-ways or conveyances of record. SURVEYOR' S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Andy Lamb, I have surveyed and mapped the hereon described parcel of land and that this map is a correct representation of the boundary thereof. Dated this Z 3 ~''~ day of M~ 2005. •t~~SG O _~~_-_ ..~ ..~ ~- ~--, JAMES M. James M. Weber 5-1804 '~' WEBER Landmark Surveying, Inc. $-~~ >iv~r, ~ m ~ Rv ~na~u+~+~'- NOTE: The parcel shown on this map is subject to State, County and Town laws, rules and regulations. (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St.Croix County Zoning Office and the Town of Cady for advice. ~~~~~~~~ s'r. c~eoix cout~trY ~Mq t Zatkq Cone JUN 3 0 2005 If not rewr~ed within 30 tlays of approval date approval shall be null and void Sheet 2 of 2 2005037 This instrument drafted by Jim Weber Vol 20 Page 5003