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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division + t ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal infomtation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Bowman, Jean Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: ~ ~ v /a~~o Bm ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic J ,l / u~ ~ ~ l. ~~~ c...- (/ ~~ C~ Dosing ~ ~ ~ D v Aeration ~~ / Holding j~-f TANK SETBACK INFORMATION ~~~~~"'~ TANK TO P~. WELL NL~ BLDG. Vent to Air Intake 9AD Septic ,,f O ~ ) r<r~ ~ / 2 r ~' Dosing Z ~ / Aeration l i ng Ho d PUMP/SIPHON INFORMATION ..,v Manufacturer Demand GPM Model Number / ~ y TDH Lift .p,b Friction Los ~.s~~ System ead .2S TDH Ft 2. 9 Forcemain Le gt t DiaL~ Dist. to~ell ~~ / SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 479447 0 State Plan ID No: / t~ ~~~,.`-. Parcel Tax No: Sectionlrown/ ange/Map No: 04.28.16. STATION B~ o HI FS ELEV. Benchmark / ~,ag /~ . ~ Alt. BM ~ S Bldg. Sewer / ~ r. S ~~ • ; / 'f ~/• / • SUHt Inlet p p d'd L SUHt Outlet ----. ~.~ Dt Inlet ./ ~~ Dt Bottom !~i->r. ~ 3 q S- Hea r/Ma ~ . ~ v /• ~a 7 - 5~ Dist. Pipe '7 , 7 ~ ~0 3 Bo~tem .Q f o 2. ~"'Y Fin21_Grade , a ~7l l ~ St Cover ~ / .~ Q 2 /Q ~ S ~t.~ - 3 . (a~ /D/- / ~orl~- 'S ~... ~3 L BED/TRENCH DIMENSIONS Width ~ / Length ~ ~~ No. Of Trenches ~~ PIT DIMENSIONS No. Of Pits aside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAK ST EAM EACH G Manufacturer. INFORMATION C R OR Type O System: ~ ~ ~~ ~ ~ , ! ~ ~ ' ` `~ T Model Number. r11CTRIR11Tl(7N SYSTEM /1A, n//n, Head /Manifold J, Distribution x Hole Size ng x Hole Spa ci e O / 0 ('~ Pipe(s) I `„ (.~ r S i Di ~ ~~ /' / ~ ~17.0~ ~ ~ Length Dia pac ng / Length a Cf111 RnVFR ., o.e~~...e c..~•e.,,~ n.,i.. .... Mn..n`1 nr Af.f:rarlta Svwfpms Only !~ V nt to Air Intake / U v~ ~ LQY+-~ Depth Over ,,, , ~ ~,,, ~ '" Depth Over xx Depth of xx Seeded/Sodded xx Mulched j V Y" ~ Bed/Trench Center l Bed/Trench Edges Topsoil ~~~ Yes L~ No L°'£j Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~'0 / Z-'0 / ~S Inspection #2: ~Q l~~ /V~5 ,. Location: 2348 50th Avenue Woodville, WI 54028 (SE, /4 S/jW, 1/4 4 T28N R16W) NA Lot 8 ~~ Parcel No: 04 8.1 ,~ 1.) Alt BM Description = ~~ ~~ ~(/jt./G~ /I r~,,,,~ ~ ~~ f fit( , /~~l sQ~,fi~z 2.) Bldg sewer length = ~ 2 ~ 1'/~ `TJW~''~'-`~ Jt:~ ela' '~Q.GJ 0(,,(~P~ ~/~. -amount of cover = > ~ / `~~ ~T- ~ ~ ~ -- ~_ -- j ~ s~ ~ _J Plan revision Re uired . :Yes o a ~ _i i~~- ~ a~''bs l u;cwH. ~_ Use other side for additional information. ~ `._ ~_-- ~ ___ _ ~~Z~ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division 201 W Wa hi A O County ~" C ~ ,~ . s ngton ve., P. . Box 7162 , ry 1 X Madison, WI 53707 - 7162 Sanit Permit Number to be filled in b Co. De artment of Commerce (608) 266-3151 ~~ Sanitary Permit Appliea state lan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, persona] informat~ y pr 'de ~ 1 ~ 8 ~ G 4q may be used for secondary purposes Privacy Law, s15.04(i) p --~,,' Project Address (if diff ent than mailing address) . ~ ~~s' Y A lication Information -Ple P i All I f S O . pp ase r nt n ormation p~~+~i~ ir~- ~s 1 Prope owner's NName ~"~ , \ `, e~ Pare # Lot # Block # Property Owner's Mailing Address roperty Hon 'p ~ ~ ~ ST. CROIX COUNTY FICE ZO N OF ~ e one City, State Zip Code u ' I ~ ~ ~ ,/4 , /., Section 3 IJL, ( , (~ ~ ~ 1 ~ J ~ D~- ~L~ (circle~~e) T~N ~ II. Type of Buildfng{check all that apply) ~~ ~ ; R Eo(W) `~-/ ~ ~ ~ ~ ~or 2 Family Dwelling -Number of Bedrooms Subdivision Name Number Z ~ ~ ~ ^ Public/Commercial - Describe U se 0 . '~igb~ p ~ / f ^ State Owned -Describe Use /[ ~Av^, (.Cl ~ ~ k ~ 0+1 (.Di'1~o d r ~ ~ l5 ^City_^Village`~fownship of III. Type of Fermit: (Check only one box on line A. Complete line B if applicable) `~' ew 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 Owner IV. T e of POWTS S s tem: Check all that a 1 ^ Non -Pressurized In•Ground ^ Mound > 24 in. of suitable soil ~ound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recircula ' Sand Filter ^ l Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) / + V. I?is ersaUTreatment Area Information: Design Flow (gp~ Design Soil Application Rate dsf) Dispersal Area Required (sf) Dispersal A rea Pr posed (sfj System Elevation VI. Tank Info. Capacity in Gallo Total G l Number Manufacturer Prefab Site Steel Fiber Plastic ns al ons of Units Concrete Constructed Glass New Existing ~' _ „ n ~ /~ ~+~ Tanks Tanks • Sepdc or Holding Tank ~ ~, Aerobic Treatment Unit Dosiug Chamber V VII. ReSptlnsibllity Statement- I, the undersigned, assume responsibjlity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' , ~ a '' MP/MPRS Number Busines hone Number _.._.._.~._.__ ~D ~ O ~ 1 V r ~~d~~' l~ o~-~ ~~~ Plumber's Address ( eet, City, State, Zi o e) VIII. Coun /De artment Onl Approved ^ sapprove Sanitary Permit Fee (includes Groundwater Date ssu d Issuing g t Signatur tamps) ^ O eason enia] Surcharge Fee) 00 IX. Conditions of Approval/Reasons for Dis proval >SYSTEIIiI OIIYNER: 1. ~Saplic titMc, eMAtent iNter and dispersal cell must all be services / tnsintainad as per management plan provided by plumber. 2. Ak setback requirements must be maintained as per applk:able f ordinances. --~-r•-•~ r•--~ ~•~ •~< <-~wL~y ~L,y~ .or .uo ay»+em uu paper noc Bess +nan a+it x u +nenes in size SBD-6398 (R. 01/03) ~2-0.+.i ~ ~l l'~ ~ ~av~ - ~~1 0 ~ 1 ~ c~~ --, ~ `~ ~ ~ ~ w. v. ', ~ C~ v,. ~ w L ~.. I i ~o~,~~` ~. '~ I ,~ `, ~ ~~ t- i-'--.~.1- ~. `~ /,o ~`" l,; „~., ~.J« Y~/~ ~~~u7 '7 ~ ', \~ ~ ... ai \_ t ~ _ I~ Legend N 1"=40' ~ =Benchmark Ele. 100.00 ft ~ Top of 3/4" pvc pipe ~` • =Alt Benchmark Ele. 100.75 ft ~`, Top of 3/4" pvc pipe i =Borings .' Boring Elevations ~~ x ~-$ ` ~,-o~l~c.¢-~l B 1 = 101.65 ft `Mi ~ ~ u,~- ~.~5 B2 = 101.65 ft `{ ~ s ~ o r~..~ ~ Q~ „ 63 = 100.95 ft ~~ ~ ~ ~ oo ,..,t ~ ~`- B4 = 0.00 ft +: l of ,ls ~'1-o~w 1. ~ : '~ ~p~- ,` ~ ~ / S:~t, IZ ~ ~ Oc.a~o~., ~~ ~~- y.. moo` g-`~ ~$~' S a. ~; ~ e n ~ ~ L., ~° ~°~ o ~ off'' ~. ~~~ ~~ `~- :~., , ~~ ~ iS 2" ~°~c sue. .\ _ ~" \ ~.` ~ '~. ~~ \ . ~~~ ~5~~ l `l.. `~.~f 1 / ~~~ y N`I'A, ~ i • ~~~o~~ ~', 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. g ov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 17, 2005 CUST ID No. 225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/17/2007 SITE: Jean Bowman 50TH Avenue Town of Eau Galle St Croix County ~~iEl/4,~W1/4, S~T28N, R16W CSM No. pending; lot 8 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1182949 Site ID No. 702957 Please refer to both identjfication numbers, above, in all corres ondence with the a enc . FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1033685 Maintenance required; 600 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-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: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83 22(7) - A coRy of the approved plans specifications and this letter shall be on-site during 'rs, construction and o en to inspection b authorized re resentatives of the Department which may include local P~~'~~ ~ Y p Gpnditiona t~~PR4~~ MICHAEL P ROGERS inspectors. Owner Responsibilities: Page 2 8/17/2005 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • .Comm 83.52(1)(a) -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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above le8 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@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 Henry F Grote ,Certified Soil Testing .. . ~ , r h^ ~~~~~~` Jean Bowman -Mound AUG © ~ 8 os Construction Materials and Techniques ~~ a ~, ~~~ ~, 1~~~~s All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/Ol) Location: Lot 8, Stave CSM ''(' ~7 `NE %4,~W '/4, Sec., T 28 N, R 16 W Town: au Galle County: St. Croix Date: July 15, 2005 Owner: Jean Bowman Address: POB 691 Baldwin, WI 54002 Plumber: Mi ers ____ Signature: License: MP 225094 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management ~' ~, ~. ;iRCE DEPARTMENT Or ~. ,. pl'VISIpN SAFETY ND Bt11LDiNlS SEE GORRE ONDENC~ page 1 of 8 r ,. ~ :.,, . v Design Criteria 1 L'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu1100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 ~ `~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~' 3 9 gallons/sq. ft. per day Depth to estimated high ground water ~~ ~ ~ in. Depth to bedrock } ~ in. Cross slope at system 2 ~ ~ % i Force main length ~ (i ~ ~ ft. of ~- in. z . 44- Manifold/header length '~ ~ ft. of ~~~z- in. c9. Drain-back 2 ~ ~ ~ gallons /f Lateral length `~ @ ~ ~-s~ ft. of 1y Z in. Lateral elevation `O3.35r ft. @ bottom of lateral Lateral hole size ~~~ ~ in. @ 3 b' ~ in. ( 3, ~ ft.) Spacing ~ holes/lateral ~ Z- holes total Lateral volume ~ 3, ~ gallons Total lateral discharge rate 3 ~'~Z gallons/minute @ 2.5~ ft. head Network pressure compensation losses ~'~~ '~ ft. ~levation difference ~$ ~ S~~' ft. Friction loss ~' ~ °l ft. @ 3 S~ gallons/minute Total dynamic head l Z.~~ ft. Pump/si~on S 3 gpm @ ft. of head Manufacturer ~ ° e'~ l~ Model # l ~ 2, Dose volume ~' o ~ b gallons Lift/si~hon tank`'`' ~ ~' °N ~ 2~'0 ~ ~ s~o ~ w.~o ~S~ gallons Septic tank ~~ ~~ ~~ ~~~ allons g Effluent filter ~ w ~ -~~'° ~i ~ `~ ei`~ '~- ~~ zZ~t4t3 ~ Measurement pump on and off S ~ ~ in. Height alarm from tank bottom ~ ~~ o in. Reserve capacity ~'`t q ~ gallons specs.calcs.res "~ 3 tj <rt x ,,.~ 4. k`~! Page Z of ~ ,~ . 2 1~1 ~ ~ ('l 0.~ r ~ 2 0.h ~ J l'~ ~-'ti .~ 0. ti. - r.~~~~~ ~ti'l ~j ~a\~-taw _~`~Z~-~b~ CI °I.i~~ ~\`. .~ ' • ~` ,, ,\ ~, ~o~'t _~ hJ~ 1~~~ '\ W« ~''~~ ~,~u~j ~~ %>,~~ ~ «M \~ Legend N 1"=40' I • =Benchmark Ele. 100.00 ft ~ Top of 3/4" pvc pipe `~ • = Ait Benchmark Ele. 100.75 ft ~`, Top of 3/4" pvc pipe i =Borings ~~~ Boring Elevations ~~ x ~-$ ~ ~o~c-~Q-~l B 1= I O I.65 ft ~ ~"'Y ~ ~ u,`~ ~- ~ S 62 = 101.65 ft i `~ yc s ~ o ~R. ~O B3 = 100.95 ft ,, 0 ~ (~ o ~ (~ lS B4 = 0 00 ft ~~ / S~~ ('~ ~\~ .c ~ OL0.d-:O~ ,-- I~, ~~ .. , . , , 11~-Z.~ ~ b P~ O W wy~ W t Q-1 [~.~ ~ O ~-°~° o it ~ : U \` . ., \~ ~\ •~. ~G~`~5~~ / b~' S~f~ ~'-~ r ~~a~g #' .. ---~' Y ~~ ... ;, at _..~., ~~ .,., ., ,/S'~1~=' V~~S~~~ ~~rV~ ;. W ~a~ ~ L ~ ~ .ti ; ~ •< i ~ w. w. c•v.+...~ wl about \\ 1 ..Q a.,, , 1 ~ 3 „ 3 ~ ~ .S ~ i n ~ 'Y ~N . lo2.gS ~ ~ tytr.y \ ' \ /1 b ~o~pt~~1 SI I,gl,~ ~~~ ~ ~ b i~`oco:1 ` s~~~ 2,g~~ , ~,Z ~.o~ -~ ~,~~ 3,i' ,. ~~, g ` , .~ ~~ .---. o ~ - '• ~ _ r ~` ati V : mow... ~_ ..~ ale' ~~. `~ 1 ~I lt~~ ~' T ~+ g `~~ z~'~r --.-'r ~~, g ~. - .l -121` ..~Z l' ~,3' ~"d ~ o ~ 1z,3i ~~z, b' 1,~ /\`~ 1 I 1 I\ 1 '~ Q O M Q wQ Q ~i V'^O C.1L 1 V O T e '. l 4~ ~V c~ ` S ~ Qh h.: ti a, 'T" C O. 4^ ~ 4 U CJ ~ n V C O b J ~r v~ ~•; o .~ .,,. al l~ ~-O b~ i~ o ... O~ r o ~ K b L i c.h ~ ~~ \\ t ~.tar..`S Z' Pvc c~, ~ ~ ~. ~9 ~ , 3~,5 1 J 1 .1\'~ ~\t .r~ car-. ` °.''r ~ J ~ 1 l\0 ~. \ (:\~+ ~` ~ a~ r- T 1 ~ • ~ 1 4. 'i S./r 4..~ 1 ~ ~ ~ D \ L~ 7 O T t.` ~ ~~ ~ ~~. ~ S ~, ~ ~~ ~~ -- --- ~i 2~` nv ~r1 , ~~. 40• ~ .....~ ,.1~ •, l ~~ ~, z ~~ n..~\S ~~/1p l ~ o\ LS o y -LOCKItVC3 COVER -'~ GWICK D~~GON~ILT-1 Cs-^-4-~. ~~ Ooe:O~oo~ ~~, C1a.,,. ~~`~~ ,9~~ ---~i 4" ~' ~L 5 c,~ " ~ Plod 3' otI1U NoISTuR~D ~~~ 24'' I.D. M4+Ku0.tF Ali[.t T q \ 31, 0`' nwaovcc `I`SkET J'>~s~fi'J gA,FFLE ~. ALASW Ru. PIS _ a z„ E~O~ti'+EC.T10-~b ~-- ~'"~ ~...`s]C. , \ -` V'O ~ O~ - E~e~ , o ~IZ~~.~~~ ~~, ~,.~~. 2 ~~ F oQ~~i I"1 /~ 1 N wE~-TuERPaooF ~,31JNCTiON 6cac r~~w~D N O:r C~s~ ~ c°'S` ~-~-" i ~o~ET~ e~o~.~ 12~ -~~~~~i~ ~~ ~~ 4" ~- o YE-JT ... ~1~ 1 4~~ n~~ sal, ~ , 3' p•~o u.c~;~snxa. G aou-+o ~ SEPTIC E SpECIFI'GAT1 Q 1". 4iJS OOSC ~,~~ , ~ ~ T~-~-c5 MA-JUiACTURCR: (JUMDCR OF pOSCS: ' PER p..n T^A1K SIZC ; ~1'1~ ~' }S~ Ca~LU0U5 DOSC VOLUME ~o,l ALARh1 /"1MlUFACTURCR; S~ F~a~~r° o IIJCLUOIIJG 6AGK/LOb/: GA~~oNS MODCL WUMDCR: ~O~ ~`'' OPACITIES; A=3i'O IuCNCSOa 4`c4'~' w~I.o4s SWITCH Ty-t: - wa~.a..v~. r.~b ~~~~~ Z ~t•2 g ~ ~uc-+ES oa w~~o.,s l PUMP IIAAJUFAGTURCR: C,• S O IUC-+ES OR ~O, ° G~~~OuS MOOEI. AJUMOCR: ~~ Z 0~ 9`° INCHES oR 1~~'OQ GA~l oti5 SWITCH TYPE; _ ~"`a'""""'~ w~b . 1JpTE; PUMP A1Jp ALARM ARC TO pC MIAIIMUf'~ DISCFIARGC RATC~_4" G-M INST ALLEO OIJ SEPARATC CiRCu~TS ~ ,I a VCRTICAL OIf1 ERCIJCf ~CTW[CU PUMP Oif /WO OISTRIpi1TIO W PIPE.. ~ g .FEET + Mi-.I~MUM -~ETWORK SUPPI.y PRfttURE .. 2'S FCCT'k"O'~~ ?j-Z ~ ~ ~ + FEET OF FORC[ MAIIJ X ~~~ F~ FEET ioo-x/RICTIOfJ i/-CTOR...~~~~ ~~ ~~-~ TOTAL, DyWAMIC NERD = yZ"' FEET ~a.~ ~.Z~ Z ~~ I-JTER-JAI, DIME-J6-OIJi OF TAIJK: LEAIbTH_____ ~~ 9 „ ~ „ ;WIDTH ~,~;LIQU10 DEPTH --- ~ l~ca~.~ 6 ~ F ~ W x cv a z r 0 a ~- 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for conUolling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik•Box available foPOUtdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 152h53 Series _____________ 152/153 MODELS Control Selection , _ Model _Volts•Ph Mode Am Sim lex Du lex Nt52 i15 t Non 8.5 1 2a3 BN 152_; t t 5 t - Auto 8.5 Irtduded 2 a 3 Et52 230 t Non 4.3 1 2a3 8E t 52 ' 230 1 Auto 4.3 Included 2 a 3 iV 153 115 t Nan 10.5 1 2 a 3 BNt53 115 t Auto 105 Included 2 3 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. Liters Gal. Liters 5 t.5 69 26t 77 291 10 3.1 61 23t ~ 70 ~ 265 ' 15 4.6 53 201 61 231 20 6.1 44 167 52 ! 97 25 7.6 34 ~ 129 ~ 42 ' S9 30 9.t 23 87 ; ?3 '~~ 35 10.7 -- ' -- 22 6~ 40 12.2 -- -- '. ~ L2 Lock Volve: 38.0 FL (1 1.6m; ~ cc 0 Ft. (~ 3 cr^;' 3 27/32 ousoe t.. ~.-. 1 ~-~s== t2 ,/F _ _ ~_ ' _-L sKZOw a SELECTION GUIDE E t 53 230 t Non 5.3 t 2 a 3 BE 153 230 1 Auto 5.3 Included 2 a 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0471. a CAUTION 2. See FM0712 for correct model of Electrical Alternator E•Pak. All installation of control:, protection devices and wiring should be done try ~ qualMied 3. Variable level Control switch 1l)-0225 used as a Control activator, spetity duplex (3) licensed electrician. All electrical and safety codes should be followed Including fhe most recent National Electric Code (NEC) and the Occupational Safety and Health Ad (OSHA). or (4) float Syst@m. w~ ~ C ~ a RESERVE POWERED DESIGN ~ 0 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -MAIL TO: P.O. BOX 18347 7 Laulsv8le, KY 40258-0347 L Manulacrurers of . . Ld SHIP T0: 3619 Cane Run Road o Louisvi9e, KY 40211.1961 p qp PUMP !O. (502) 778.2731 ~ 1(800) 928•PUMP QU4L~TY PUMPS SNCE ~~cl/ ° http://www.zoeller. corn FAX r5n21 770.362d 0 ® Copyright 2000 Zoeller Co. Ali rights reserved. " 0 80 160 240 320 FLOW PER MINUTE ___ .. d System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. [f necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain Lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ~j,$cp/~gj/i SOIL EVALUATI PORT #1666 Department of Commerce in accordance with Comm .Adm. Code Page 1 of 3 w Sfar±l'c Snil Servirp- Inc_ vwiaivi~ ~~ .~a~cry anu vuu~n~y~ .. ~~~~ County Attach complete site plan on paper not less than 8% 11 in st St. Croix include, but not limited to: vertical and horizontal refe nce point (BM), direction and Parcel I D percent slope, scale or dimensions, north arrow, and ocatio and distance to nearest ~iAY 0 2 2005 . . oos-1 11-60- 0 Please print all inform 'on. Reviewed By Personal information you provide may be used for seconds purpa~s (LP1(a~~~~94 (1) )). c Property Owner Lora on CC R16W S~ T28N wW1/4 E1/4 Stave, Timothy , , „ Govt. Lot na Property Owner's Mailing Address Lot !1 Block # Subd. Name or CSM# 2326 55th Ave. 0 na CSM Pending City State Zip Code Phone Number ^ ity ^ Village ^ Town Nearest Road Baldwin WI 54002 715-684-2283 Eau Galfe 50Th Ave ^ New Construction Use: ^ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ^ Replacement ^ Public or commercial -Describe: na Parent material End moraines, ground morarines, drainageways Flood plain elevation, if applicable na ft. General comments ound desi n, system elevation 102.82ft based on contour line elevation 101.15ft. and recommendations: ~--~-` ~'~-- Boring # ~ Ground surface elev. 101.65 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 1 0-10 10yr3/2 none sil 2msbk mfr cs ivf .6 .8 2 10-18 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 18-48 5yr4/4 c2d7.5yr5/6 sl om mfr na na .2 .6 Boring # ~ Ground surface elev. 101.65 ft. Depth to limiting factor 38 ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr cs ivf .6 .8 2 9-22 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 22-38 10yr4/4 none scl 2msbk mfr gw na .4 .6 4 38-48 5yr4/4 cid7.5yr5/6 sl om mfr na na .2 .6 * ece...,..~ x~ _ onn ~ en .eon .....n ..a ree man , a en ..,..n • esa..e..~ ~e - nnn ~ zn mn/1 ~nr! TCS a 4!1 mn/l CST Name (Please Print) Signature: /- CST Number David J. Steel N^ 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 4/27/2005 715-760-0347 Prdperty Owner Stave, Timothy Parcel ID # 008-1011-60-000 Page 2 of 3 Boring # ^ Ground surface elev. 100.95 ft. Depth to limiting factor 16 " in. ® Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EtT#2 1 0-9 10yr3/2 none sil 2msbk mfr cs ivf .6 .8 2 9-16 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 16-40 5yr4/4 c2d7.5yr5/6 sl om mfr na na .2 .6 Boring # ^ Ground surface elev. ft. Depth to limiting factor in. ^ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffl~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ^ Ground surface elev. ft. Depth to limiting factor in. ^ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eif#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L " Effluent #2 = BODS < 30 mg/Land TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/001 St2El'S SOiI $ENiCE. IfIC. s r 30f3 STEEL'S SOIL SERVICE INC. David J. Steel Timothy Stave 994 200' St. CST-POWTSM !-~ IyE1/4,~w1/4,S~T28N,R16w Baldwin, WI 54002 Lic. #248956 Town of Eau Galle, St. Croat Co. Cell(715) 760-0347 Lot $, Pending Fax.(715) 684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1"-40' • =Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 100.75 ft Top of 3/4" pvc pipe \\ 1 =Borings ~ Boring Elevations ~~ ~` B 1 = 101.65 ft ~ ~ B2 = 101.65 ft ~~~ B3 = 100.95 ft B4 = 0.00 ft ~ ,~ w ~S~ ago _ ~n ~ /~ ~ 7 ~ ~ ~ S~/bp~ ~ ~7 aS- ~1' ~~ ~~ ~ ~ a \ iS1u \~ ~~ ~ _\\ \~ ~~~~~ ~ LIJu-`~ ~ ~V ~ ~ ~\ \ On ~6S"!~r~.r \, ~ \ \ l~ ~~~ ~ /° 5 i ~ ~ ~ l/x- ~~~, U 2839P 233 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number Douument Name THIS DEED, made between Timothy R Stave and Pamela L. Stave, husband and wife ("Grantor," whether one or more), and Jean A. Bowman, a single person ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Part of the Southeast Quarter of the Southwest Quarter (SE 1/4 of SW 1/4) of Section Four (4), Township Twenty-eight (28) North, Range Sixteen{ (16) West, Town of Eau Galie, St. Croix County, Wisconsin, being Lot 1 of the Certified Survey Map Volume 14, Page 3855, more particualry described as follows: Lot Eight (8) of Certified Survey Map filed June 30, 2005,.in Volume 2n or Certified Survey Maps, Psge 5006, as Document No. 799042, office of the Register of Deeds for St. Croix County,-~Vis~il5in. Exceptions to watrartties: easements and restrictions of record. Dated ~(~,,( Z , 2005 7'9740 ,~ KATHLEEN H. M(ALSH REGISTER OF DEEDS ST. CROIK CO. , MI RECEIVED FOR RECORD 07/08/2005 09:~AM YARRAHTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 99.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address ..lE'Gt~ ~ go~,~,w1 Thomas A. Mc ack i pip Qn ~ 102010 venue t?D (3. (off I in, WI 5400 k,t^ttc~= - ~~~ 008-1011-60-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) (SEAL) --- Signature(s) authenticated on AUTHENTICATION (SEAL) ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX Personally came before me on the above-named Timothy R. ss. ~+ .~ TITLE: MEMBER STATE BAR OF WISCONSIN _ _ ~ ~' ~ ([f not, _ to me known to be the pe on(s) w executed t}~r riig~mg authorized by Wis. Stat. § 706.06) instrument and owled d the e. / fb r A ;(E d THIS INSTRUMENT DRAFTED BY: ~ -~-~4~ ~(, ~Lt~~y'~~, __ Thomas A. McCormack Notary Public, State of WISCONSIN ____ _ Baldwin, WI 54002 My commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM NO. Z-2003 'Type name below signatures. ®State Bar of Wisconsin 2003 INFO-PRO TM' Legal Forms • ~e0o~ss202t - irdoproForms.com 799042 VqL 20 PAGE 5006 REGISTER OF DEEDS ST. GROIIC CO. WI RECEIVED FOR ~tECORD 06/30/2005 11:S0AN CERTIFIED SURVEY MAP l+u!'Y FEE: 3.00 CERTIFIED SURVEY MAP PAGES: 2 LOCATED !N THE SE i/4 OF THE SW 1 4 OF SECTION 4, T.28N., R.16W., TOWN OF EAU GALLS, ST• CROIX COUNTY WISCONSIN, BEING LOT 1 OF THE CERTIFIED SURVEY MAP VOLUME 14, PAGE 3855. PREPARED FOR: BEARINGS REFERENCED TO THE SOUTH 77M STAVE L1NE OF THE SW 1/4, SECTION 4. NORTH QUARTER CORNER MEASURED AS N86'48'OS "W. (ST. CROIX CO. COORD. SYSTEM) SECTION 4 - FOUND 2" JRON PIPE o c,,, o II i j so + ~ l_ M. H. DEVELOPMENT !I ~ I u,) SE- ~~~ ~ 5~ - NORTH L/NE OF THE SE-SW °p I ~ =W ~f- :n ~~ ~ ~ b ~ : : ~ ~ i O N : O Z cn . - cb : cp N 4 -1 z ........ ..........i d 2 rTl ~ J m ~ I ~ ~~ .I 5W SE- S86'48'05 'E ~18 .s2' ~~c cz°O~ ~~y ~~n 0 ~o~ "E -'l ` ~ 36.63' " 494.27 Sort sr ,~3 o 530.90 + si t"' ¢ O A ,,, I'A c C_ I~•"=°~ ;3. 96'AC. EXC R W~ tNp 1 ~ 172,262 SOFT. ~"~ ~~N833g'14"ly 5'33.17' I 1 ~ I LOT 2 I I ( e~- ......... ...5? O 1 .................... 1 ~ o I ~ 1 I LOT 3 =~ f I N ~ a, I a ..I ...................... ..a ° I Z =W ~ I LOT 4 '.=' ~ 1 N 1 ' •v I oa r-- -~-=~- ___ '~ 1310.54' )273.9 f ' 779.64 ' +SOlL TEST APPROX. 6' WEST SITE OF N/S F/L LOT 6 17.02 ACRES 741, 481 SQ. FT. 16.97 AC. EXC. R/W 739, 300 SQ. FT. S 86'48'OS'E 717.08' w LOT 7 °; 3 2S AC. 141 657 SQ.FT.` -2.98 'AC. EXC. R/W a 129, 989 SO. FT. ,SOIL TEST SITf m .....• LOT 8 3.27 AC. 142, 551 SQ. F-T O AC. EXC. R/i 789 SQ. FT. ... J~'rESr... ~ 76.1 sirE ~,- w NW-SE NE COR. SE-SW O Gi w ~ A` ~ N y O o ~' z• V f+~j .p c7 ~o a z N w ~ "~' ~cnn .ao:. ~ ~ ; ~ I\j =~ ;~~:~ oo to N• ~:ca 0 ~: ~. I i ? x a N rn ~ S ~ N Q x r I I I 1` N 86'48 05-` W 776.05' .- ' `. V ~• ~ + SOUTH L1~1'VE OF THE 5E-SW I 1 2673.97' SOUTH QUARTER CORIIJER 1 • LOT . 4 ~ SECTION 4 - FOUND ~ C S M VOL 75 ALUMINUM CAP MONUMENT °z z ~ LEGEND . ..:......:....:... LOT . 5_ I PAGE 4182 -„` co O = SET 1 " O.D. X 18" IRON PIPE WEIGH/NG z 1.13 LBS. PER LINEAR FOOT '~ • = 1 " O. D. IRON P/PE FOUND 1 "=300' 0 150 300 600 SHEET ~ OF 2 2005032 THIS INSTRUMENT DRAFTED BY JlM WEBER Vol 20 Page 5006 ~~gGOMs'ti ~' 1NE~B$ER ~ ~'t ~ O ~~ Q' ~-,~,o s v~~o ~ W - 804 7MAR~tA~SU~YJNG, JNC. CERTIF/ED SURVEY MAP LOCATED 1N THE SE 1/4 OF THE SW 1 /4 OF SECTION 4, T 28N., R. 16W., TOWN OF EAU GALLS, ST. CROIX COUNTY WISCONSIN, 8ElNG LOT 1 OF THE CERTIFIED SURVEY MAP VOLUME 14, PAGE 3855. DESCRIPTION A parcel of land located in the Southeast'/, of the Southwest Y, of Section 4, Township 28 North, Range 16 West, Town of Eau Galle, St. Croiz County, Wisconsin, being Lot 1 of the Certified Survey Map recorded in Volume 14 of Certified Survey Maps, Page 3855, more fully described as follows: Beginning at the South Quarter Corner of said Section 4; thence, North 86°48'05" West, along the south line of said southwest',i, 776.05 feet; thence, North 00°24' 14" East, 957.04 feet; thence, North 83°39'14" West, 533,17 feet to a point on the west line of said Southeast'/, of the Southwest'/,; thence North 00°24'14" East along said line 332.55 feet; thence, South 86°52'45" East, along the north line of said Southeast '/• of the Southwest'/,, 1310.54 feet to the northeast corner of said Southeast'/, of the Southwest 1/.; thence, South 00°33'42" West, along the east tine of said Southeast '/, of the Southwest '/,, 1320.52 feet to the point of beginning, Contains 27.78 acres subject to right of way for 233"' Street and SO"' Avenue as shown. Also subject to any and ail 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 Tim Stave, I have surveyed, divided, and mapped the above described parcel of land and that this is a correct representation thereof. Dated this ~^~ day of ~~~~ , 2005. h ~`$CO --~ ti . ~ --z-' m ---- JMtES M. James M. Weber S-1804 APPROVEQ ~ ~~ LANDMARK SURVEYING, INC. sT. cROt~c cry ~ ~Y JUN 3 0 2005 ' NOTE' If not recwded within 3o days of approval date approval shall be The parcels shown on this map are subject to StMtttl.~t9AlAnty, 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 OtTice and the Town of Eau GaUe for advice. 2005032 This instrument drafted by Jim Weber SHEET 2 OF 2 Vol 20 Page 5006 POWTS OWNER'S MANUAL MANAGEMENT PLAN 1"~E INFORMATION Owner Permit # DESIGN PARAMETERS` Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial"Units NA Estimated flow (average)* g~/day Design flow (peak), estimated x 1.5* gaUday Soil Application Rate gaUday Tnfluent/Effluent Quality (NA^) Monthly Average** Fats, 0i1 & Grease (FOG) 5 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) 5 220 mg/L <_ 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** 'Biochemical Oxygen Demand (BODs) < 30 mg/L Total Suspended Solids (TSS) Fecal Coliform,(geometric meant 5 30 mg/L <I O+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter Wastewater Flow Verification on and calculattons: (tither than bedroom based) * * ' Vatues typical for domestic (non-commercial wastewater and septic tank effluent. **Valves typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity p i'~ i gal ^ NA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model - p~ ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model 1 ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-grade et~Mound ^ Drip-line ~~^ ther: ^ Leaching Chamber Manufacturer Model Approval Stipulatio n Soil Application Rate_gpd/fl Area Req. Absorption Area Credit per unit ft Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: atl materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specif cations and approval letters. DESIGN CRITERIA `Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^'--"Design ofPressureDistribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design, of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 SBD --10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" p .SBD - l O5S7-P (R.6/99j "In Ground Absorption Component Manual" ^ SBD -10705-P (N,Ol/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 SBD -10628-P (A1.6/99) "Recirculating Sand Filter System Component Manual" SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" SBD -10572 P (8.6/99) "Mound Component Manual" ~LSBD ~ 10691 P (N,Ol/Ol) "Mound Gomponent Manual" Version 2.0 ^ SBD -10595-P (R.6I99) "Single Pass Saud Filter Component Manual" ^SBD -10657-P (8.6/99) "Drip-line Effluent Disposal Component Manual" L7 SBD -10573-P (R 6/99) "Pressure Distribution Component Manual" SBD -.:10706-P (N.Ol/Ol) "PressureDistribution Component Manual" Version 2.0 L`i Drip-line Effluent Dispersal Component Manual for Multi flo C+nsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect-condition of tank(s) At least once every ^ months year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-thud (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months ear(s) (Maximum 3 yrs.) C can effluent fit#er At least once every ^ months eaz(s) Inspect pump, pump controls & alarm At least once every 3 ^ months ear(s) ^ NA Flush laterals and pressure test At least once every ^ months ear(s) ^ NA Valves At leastnnce every ^ months ear(s) ^ NA Other;' At least once every ^ months ~ ^ year(s) Page of S'T'ART UP For new construction, prier to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System startup shall not occur when soil conditions aze frozen at the infiltrative surface. OPERATION The. property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be dischazged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This. system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fiuit :..peels .and suds, banes, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system.. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts,. dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, :pesticides,. antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your. drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over All system components. Compaction of :snow over the dispersal unit may cause it to freeze up. `Valves // Valves shall. be operated in the following manner: \~Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service PC-WTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems-with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. TNPECTTONS' Inspection shall be made by an individual carrying one of the following licenses or certifiications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Facposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-tivrd (113) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according. to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning maybe necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump ChamberlTreatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made far leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ^ In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of .round, At-Grade, In-Ground Pressure The inspection-shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence: of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75°!0 of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at -least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that. equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, .inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT `When the POWTS fails and/or is permanentlytaken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of. all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel. ox other. inert solid material. :...'CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ~ A suitable. replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement azea should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structuxe, lot lines and wells. Failure to protect the replacement area-will result in the need for a new sail from existing and proposed structure, lot lines and wells. Failure to protect the replacement azea will result in the needfor a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. A suitable'replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a lastresortto replace the failed POWTS. ^ The site has notbeen evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. Mound and at grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT :RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE: ADDITIONAL COMMENTS POWTS INST POWTS MAINTAINER Name ~ nc~c 5 Name Phone - ~ 5 ~ // 3 Z Phone SEPTAGE'SERYI ING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency ~ ~' ,' Phone Phone ~ - K:\WPDATA\EHIPOWTS OWNER'S MANUAL.doc Page ~ of Private On-Site Wastewater Treatment System (POWYS) Index & Title Sheet Owner: Project Name and System Type: ~ ~~,~,Y`BP~YI~ 'Y1~1g1tiNl-~ Location: ~~~ ,~ ~ Street Address Contents: Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance Agreement Page 6: Warranty Deed Page 7: POWYS Owner's Manual Management Plan Page 8: POWYS Owner's Manual Management Plan Page 9: POWYS Owner's Manual Management Plan Page 10: Certified Surve~p Page 11: Copy of House Plans Attachments: Plumber/Designer: Mike Ro ers S Credential Number: 225094 Date: g ~ I Q ~~ S Page 1: Sanitary Permit Application ST CROlX COUNTY SEPTIC TANK MAINTENANCE AGREEIvILNT •AND OWNERSIiIP CERTIFICATION FO1tM .._._- ~wner/IIuyer ltiailing Address ~ X rl Address ~ 3 ~ ~~ Props y (Verification required from Planning Department for new constniction)-----=-r-T- i ~ ,.J, , ~ ~ ~b~ L______ Parcel Identification Number ~~ City/State ~ ~ ~~~ LLGAL D~CRipTION ~ ' ' , • l N_R-~W, Town of _~5.~~ Location ~~'/«,1~''/,, Sec. ,~ T~ Property Lot # ~_• Subdivision Q _, Volume d2~ •Page # Certified Survey Map # Volume .Page # Warranty Deed # Lot lines identifiable D yes D no Spec house O yes ~• no STEM ~,~NANCE remature failure to handle wastes. Proper mat nteaance Improper use and maintenance of yo«r septic system could result in its P a licensed pumper. What you put into tti c system ~nsis~ o f pumping out the septic tank every three years or sooner, if needed by e is the waste disposal system. can affect the function of the septic tank as a treatment stag si ed by the owner and by a owner a to submit to St. Croix Zoni~-g Depart°nt a certification form, gn The property grces verifying that (1) the on-site wastewaterdtspo:,al system nosst~rplumber, joumeymanplumber, restrictedplumber or a lice~ucd pumper the s tic tank is less than 1/3 full c f sludge. to rf necessary), eP is in proper operating conditioaand/or (2) a fter inspection and pump' g (~ e sal system with the standards ce to tnaissiain the Private sewag ~sPo of Wisconsin. Cepcation I/we, the undersigned have read the above requirements and agr aruuent of Natural Resources, Zoning O~co ~~ 30 set forth, herein, as set by the Department of Commerce sad the Dep stating that your septic system has bcen maintained must be completed and returned to the St. Croix County ~ f the three Year eXphation date. .~ / DATE ONATURB OF APPLICANT - OWNER CERTITICATT.ON our laiowledge. I (we) am (are) th°''wpOds) °f I (we) certify that all statements on this form are true to the best o' er of Deeds Office. the pr crly descn'bed above y vidue of a warranty deed recorded in Reg O s • DATE SI ATURE OF APPLICANT ««s«** ernrit being revoked by the Zoning Departm ,nt• .s•+«• Any information that is mis-represented may result in the sanitary p ** Include with this application: a stamped warranty decd from the Rf icferea llis madetn t11o warranty deed a copy of the certified sucvay maI ~~~~~~.~ RC4d~+~Bo-n iV~. 39~~.~.~7 A ~'eetuct of N6iCk ~t~ildlns x~stems, rnc. _ P.O. BS~X 53U - Marshrleld, kill 54449 ^ (715 3B7•?.55T NaAE~f~n•RFT S21D~drd~lpi ,attach Pr111~ cn this aa~e 1 i ~ I I 1 F _ ~ u, t ~ ` i i ~ .~. __. i:z •~ ~ ~~ ~ ` + ~ ~ ~ ~~. j~j 74 .h l ..rq.. 1 {'~` i:, a ~^: • ~ : . e ;r 5 U ~~ ~. ; a A 1 Y: O r ~~; ± 1 t ~ -. --- - 2T-~" { ~ ` ~. '~ ~ ~ ~~ 1 ~~ c.~ ~ fir. ~ ~~~ `• t ~ ~ ~..- ~; ~~. ,.- ~_~~ ~~ F F ~* t~G~l S1 ~! ~¢ . ~~ ~ ~ ~ ~- Vi=i ~ R ~v~`CO/1S%l! SOIL EVALUATION REPORT Repartme~t of Commerce in acxordance with Comm 85, Wis. Adm. Code AA,;c n4 C~foiv ~nri. R~,ilrlinnc #1666 Page 1 of 3 steers Soil Service, Inc. - - --_ County Aftach complete site plan an paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel LD percent slope, scale ordimensions, north arrow, and location and distance to nearest road. . 008-1011-60-000 Please print ail information. Reviewed By Date Personal information you provide may be used for secondary purposes (Pmacy Law, s. 15.04 (1) (m)): Property Owner Property Location Stave, Timothy Govt. Lot na NE1/4, NW1/4, S9, T28N, R16W _ _ Property Owner's Mailing Address lot # Blodc # Subd. Name or CSM# 2326 55th Ave. ,~ ' na CSM Pending _ __ ___ _ City ~ State Zip Code Phone Number ~ City ~ Village [~ Town Nearest Road Baldwin WI 54002 715-6842283 Eau Galle 50Th Ave 600 _ _ GPD ;.] Residential / Number of bedrooms 4 Code derived design flow rate ( ~] New Construction lJse: (~ _ - (_[ Replacement ~ ~ Public or commercial -Describe: na _ Parent material End moraines, ground morarines, drainageways Flood plain elevation, rf applicable na ft. General comments Mound design, system elevation 102.82ft based on contour line elevation 101.15ft. and recommendations: Boring # U Ground surface elev. 101.65 ft. De th to timitin factor 18 in. ~~ P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots t,,P D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 •Eft#2 1 0-10 10yr3/2 none sil 2msbk mfr cs lvf .6 .8 2 10-18 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 18-48 5yr4/4 c2d7.5yr5/6 _. sl am mfr na na .2 .6 Boring # ~ ~ Ground surface elev. 101.65 ft. De th to limitin factor _ 38 in. [;>;~ P g _ Soil Application Rate Horizan~ Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft2 in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Etf#2 1 0-9 10yr3/2 none sil 2msbk mfr cs ivf .6 .8 2 9-22 10yr4/4 none std 2msbk mfr gw na .4 .6 3 22-38 10yr4/4 none sd 2msbk mfr gw na .4 .6 4 38-48 5yr4/4 c1d7.5yr5/6 sl om mfr na na .2 .6 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS <_30 mg/L and TSS < 30 mg/L CST Name (Please Print) - -Signature: -? CST Number David J. Steel ~ _ _-, ~~ .-= ~~/ _ 248956 -- --_------- Address Steel's Soil Service, Inc. ~~ Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 4/27!2005 715-760-0347 sun-x;:v ik o7ioui Praparty Owner Sta~+e, Timgthy _______ __ Parcel ID # 008-10.11-60-000 Page 2 0~ L` Boring # Ground surface elev. __ 100.95 ft. Depth to limiting factor 16 in. (`,,j _ ___ Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots G__P_D_ /ftZ _ 'EffsEi •En#2 1 0-9 10yr3/2 none sit 2msbk mfr cs lvf .6 .8 2 9-16 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 16-40 5yr4/4 c2d7.5yr5/6 sl om mfr na na .2 .6 Bonng # ' Ground surface elev.. __ _ ft. Depth to limiting factor in. ~ i __.._-.__ _ Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence) Boundary Roots GPD/ft= __. - •Eff#t •Eff#z __- _. _ _____ _. _ _ ___ , _ _1 . , _ L --------- --__ --- -- _--- __ _ _. _ -_ ti Boring # ~ ~ ft_ Depth to limitin factor (j Ground surface elev. ______-_ 9 __, _ _ _ in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' •Erf#t •Effrr2 - --------_ _ --- - _ _-- -_ _ _---___ _ 1 _ _ - l - ~ . - _ _ _ -- ---- - -- - - -- _ E _ __--- * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <_150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. li'you need assistance to access services or need material in an alternate formal please contact the department at 608-266-3 151 or TTY 608-264-8777. 580.8330 (R.07J001 ~ Steel's Soil Service. Ire. STEEL'S SOIL SERVICE INC. 3 of 3 David. J. Steel Timothy Stave 994 200`x' St. CST-POWTSM NEI/4,Nwll4,S9,T2sN,R16w Baldwin, WI 54002 Lie. #24$956 Town of Eau Galle, St. Croix Co. Cell(715) 760-0347 Lot 2, Pending Fax.(715) 684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The Location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil testwas conducted. Legend N I" ° 40' I ~~ • =Benchmark Ele. 100.00 ft '~ Top of 3/4" pvc pipe ~ ~ . =Alt Benchmark Ele. 100.75 ft ~I `.. ~ Top of 3/4" pvc pipe ~ 1 =Borings ~ ~ Boring Elevations ~' B1= 101.65ft i B2 = 101.65 ft ~` ~ ~ B3 = 100.95 ft ,\ `~` B4 = 0.00 ft ~~ ~ \ ~; `\ ,~ , /-fit f ., ~ P ~ ~~ S I ~ o ``. ~ ~ c .~ -}~ ~ ~` - ;Slur ~, '~ i~ ~, ~c;u-`~ i , ` i ~'•1 ~ ~ op, y~f ,~ ~ r `~ , ,, ..~