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HomeMy WebLinkAbout008-1041-60-100Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division e INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Peave ,Scott Eau Galle Townshi ST BM Elev: Insp. BM Elev: BM Description: •ANK INFORMATION (J ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic i oz~ a Dosing ~~,~ [ ~ ~~ „w''p ~~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L S~ WELL b BLDG. ~' Vent to Air Intake ROAD Septic , / ' t ~~/ ~,~ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer `L Q Demand GPM Model Number ~~ ~/1.0 TDH Lift 2/ Fricti~n~Lo~~ System Hea~/ ``' T IH • t7/Ft b Forcemain Len th Dia. Z~~ Dist. to Well ~ is o ~ County: $t. CrOIX Sanitary Permit No: 399656 0 State Plan ID No: Parcel Tax No: 008-1041-60-100 STATION BS HI FS ELEV. Benchmark i..Z ~p2. oo ' Alt. BM irk ~ S r' 3 O/~~ O Bldg. Sewer / ~ yO , p- !! O SUHt Inlet ~ g6 - Z SUHt Outlet ~ ~ Dt Inlet ~ Dt Bottom GGNr 9 • fl~~~w v rr .~9 x'6.3 Header/Man. _/~ /' ~ Dist. Pipe / `~ ~~ / ~ ~ .~ (vS ~' Bot. System 12" l ~l' ~ '~ 97- Final Gradg St C ve 7 SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ ~ Le ~ ~ ~ ~ No.%f Trenches PIT jID pl DIMENSIONS ,~.e~ SETBACK SYSTEM TO P/ BLDG WELL LAKE/; INFORMATION Type Of System: DISTRIBUTION SYSTEM .r}'et ..O -,.~ ,`.~~.~,/.,l Pits Ilnside Dia. Header/Manifold ~, s~~ / + ,WQI'Y~"'" (i Distribution ~ Pipe(s) i ~l ~ x Hole Size /, x Hole Spacing a // ~ ( h r Di L Z th Di 5 S acin L ~ ~~ /~ engt a p g eng a . SOIL COVER z Pressure Svstems Only xx Mound Or At-Grade Svstems Only r c3 Vent to Air Int e !' 1J~~0 I~'/lGf' Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded BedlTrench Center /~ Bed/Trench Edges Topsoil ,•,y,) Yes ~] No ~ ]Yes ~_] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection~j#1:~/~/ 00Jy Inspection #2:~~ 1 ~ ~-' Location: 299 250th Str~~ee~~t U~~n~~known (SW 1/4 SW 1/414 T28N R16W) NA Lot 1 ~- ` ~f K'jb /~"' - Parcel No: 14.28.1fi.211A10 1.) Alt BM Description =~7`l~a,i ~S~~he( dlh ~~~_/~~7_ / ~ G~ ~ ,./ 2.) Bldg sewer length = ~,, .JJ xx.~-d GGC~e"~~ - amount of cover =~ .7 . 3.) Contour = 7 r0 ~> ~- i f q ~ ,j Yes NO ' Z fJ 7/ ~ ---- -- - --_- - ~ , _.._ _--, Plan revision Re wired? ~ i, ~ /_~ 6 Use other side for additional information. ~- ~ I ~ I ~C~ ~{itil/YY'-.__ , __ Date Insepctor's Signature Cert. No. SBD-6710 (R.3197) xx Mulched 01 ~'~' a s~`U~ 5 ~''~ ~ ~ Sanitary Permit Application Safety & Buildings Division `~ In accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application 201 W. Washington Ave. ~f ~ ~ X31 PO Box 7302 SCOn //1 .S Personal information you provide may be us dary purposes , 1° 0 a Madison, WI 53707-7302 Department of Commerce [Privacy Law, s. 1 )] ~ / Submit COm feted form t0 COUn tf not ( p ty --L ~ state owned.) Attach complete plans (to the county copy only) f stem, o aper e an 8-1/2 x I 1 inches in size. County y St3 Sanitazy~ it Number if re~' ous 'c~ 'on bet y,~s ~ State Plan I. D. N ~ !! ` ~" ~ .-. ~E I. Application Information -Please Print all Information ~ Location: Property Owner Name j• Property Location t/~C9 SY CROIX '~ u /4 /4, S ~ T ,N, R (o W Property Owner's Mailing ddress 2~NNG f J Lot Number Block Number \//.~. J~ 'I y ~ ~~ l V (T y City, State ip Code Pho u 1LCr Subdivision Name or CSM Number II. Type of Building: check one) .{~~ -~ <v > ~ ~. 5 S~~"~ 7 l/ ` 1 or 2 Famil Dwelli - N f B ' '~ 4 5 d ^ City ^ Village j- ~ ~ y ng o. o e rooms : , ~,/ ^ Public/Commercial (describe use):_ I ~ Town of ~ i ^ State-Owned ~ Nearest Road !e o Parcel Tax Numbers ' ~ / III. Type of Permit: (Check only one box on line A. Check box on line B ifapplicable) /y. 2 ~ / . a 119 - (O A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ~ ~ ^ Non-pressurized In-ground Ib(Mound CN x ~~`~ f ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Dispersal/Treatment Area Information: ,, i ~/~ . ~ Z " S C 3 ~ 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ~~~ Required Propo}se~d ~ Rate (Gals./day/sq. ft.) / (Min./inch) q ~] Elevation ~ I ~+ ~ /w 1J ' / 1 0 `~ VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks s . l X ~ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibili or installatio of the POWTS shown on the attached plans. .Plumber's Name (print) u is Signatur p ): MP/MPRS No. Business Phone Number 0~7 a8 l 5 - 8 =583 Pl bet's dress (Street, City, State Zip e 5 IX. County/Departmen Only ' t'~1 Approved ^ Disapproved ^ Owner Given Initial Adverse Sanitary Permit Fee (Includes Groundwater Surchazge Fee Date Issued Issuing Agent Signature (No stamps) Determination ~ 3 Z S ~ ) Z ~ . Con di tions o f Appr oval /Reas ons f or Disapproval: / / /~ / ` , /! 1 / (~ / ~'F, i' lk e~Jf" T~ ~~C v `~D !~< ir15 ~aG~~~ 4lwG~ Jtti Q r r~.7Y i t~ e~ j ~ - " ` ~ ~ r Q k W A G 1 f G~ rd / S ~~ l/ YCGO~n~rw~~,r:~ SBD-6398 (R. 07/00) ..__ ic~..=.~.D.~_._._--..._....._ ................................__.......__..... -. F~ ~~. t . 'Y isconsin Department of Commerce Safety and Buildings 4003 N KINNEY •COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary November 27, 2001 CUST ID No.220728 CLARENCE L GLOTFELTY ENVIRO-TECH SYSTEMS & SERVICE N4955 SUNNY HILL RD WEYERHAEUSER WI 54895 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/27/2003 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Peavey, Scott Residence 250TH St Town of Eau Galle St Croix County SW1/4, SW1/4, S14, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 821540 Identification Numbers Transactia~n ID No. 691170 Site ID No. 639107 Please refer to both identification numbers, above, in all comes ondence with the a enc . 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. 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 enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/O1). 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • 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). In addition, 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. CLARENCE L GLOTFELTY Page 2 l I/27/Ol • 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 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. Slats. • 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. Slat • The changes made to this plan on 11/27/01 by this reviewer were acknowledged and approved by the system designer. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state slats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, jj C 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 ,+ MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project ~ ~~ Owner 5~~ ~~ay Address ~~ -. ~_ 7 I ~ - Ca4 8 - a3 Co ~ Legal Description ~~,~ ,N ,' $ ~ ~~ S (,~ycl ~ , i ~ ~ ~N ~~~ (,~ Township _~~~ ~~,`S County . S-~. °~Y-O~_ Subdivision Name ~~~, ~~, ~S~/V~ ~ Lot No. --'~ Parcel ID Number ~ ©y' - ~~ . Plan Transaction Number Index and title sheet ~ Page 1 L'Oll~t7nQ~ Mound calculations Page 2 APPRaVED Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 OFCOMMERCB TDH and pump tank drawing Page 5 N6t Pump specifications Page 6 ~" ~- a ~ ~~' Site plan Page 7 SEE CORRESPONDENCE Turn-up detail Page 8 Management plan Page 9 Designer CI enc Glotfelt License Number 220728 Signature Phone N o. (715) 868-5831 Date r U 0 o ~ 1 ct~ 1'v ~ ~~, ~reo.n rc.~.L ,U %s ~' J~ - ~ 13D -1 D70ro - I~ Page 1 of 9 / v~ ~; MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximum design flow. Residential or commercial? ©(r or c) Slope ~ '1 % Design flow rate gpd Depth to limiting factor in In situ soil infiltration rate gpd/ft~ Contour line elevation ~ ft Use standard fill depths? OR Design depth? ~ ~ ' Place X in box to use standard depths (24 and A+4 - 9J inclusive) OR specify desi epth. ' Center or end manifold Orifice density Orifices per ft` Lateral spacing ® (o ore) Orificd diameter t in ft Use 0 lateral spacing for trenches. o.,25. o.,ss. o.,aa. o.2,s. o.2s. 0.28,. or o.3,3 inch only. Number of laterals ,'~ Estimated orifice space Pump tank elevati ft Not a final calculation. Forcemain length , ft on Forcemain diameter ft in Outside bottom of tank. 1.5.2, 3 or 4 inch only. , :~ Actual I.D. SYSTEM SOLUTIONS Design flow rate Absorption cell Application rate & area 1.0 sP~~ Linear loading rate (LLR) Design width (A) Cell length (B) Depth of cell (F) Sand filter Upsiope fill depth (D) Downslope fill depth (E) Basal area required (gpd/infiltration rate) Supporting components Topsoil depth Subsoil depth at center Subsoil depth at cell wall End slope toe length (K) Up slope toe length (J) Down slope toe length (I) Total mound length (L) Total mound width (W) Project: Transaction Number: ®gpd ~1 gpd/ft Q ft ft in ~ in in `1'D~ ft2 3.0 in 9.0 in 3.0 in ft _s. ft ft 3 ft a. ft DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 5/32 = 0.156 9/32 = 0.281 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 ,' Basal adjustment made. PagE p~ of MOUND PLAN VIEW observation pipes (typical) 't` 1/6 B ~'~ ~. ft ~y, '7 I J= r K K=_ ft 9S 1/66 = ~ ~t L -~ft i s ,~ typ. obs. pipe (anchored securely) I =down slope dimension =absorption cell (Ax6) J = up slope dimension ~ =plowed area (LxW) K =end slope dimension s• . ~' MOUND CROSS SECTION topsoil ~ H subsoil cap E _ 'Z• in~U r` lateral ' invert •3 ~ ______ . F = in elev. _____ ___ F G = 6.0 in T ASTM C33 H = 12.0 In y Sand Fill E jN ~ ~, sys. ,-T ft ~ y ~P~f elev. ~ 1 lft contour - w~ slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F =absorption cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across Ax6 media. The Celt H =subsoil + topsoil depth at cell center media is covered with geotextile fabric. er notes: j /I - y i •ek C 3 s S~,'b% 1^c 'rYrr~i.~e{'C'r .>~- Z" is iri~sC~ Lr~ ~'~rf '~~ Project: Transaction Number: Page3of ~ 1 ; _~ L PRESSURE DISTRIBUTION CALCULATIONS Lateral specifications Inch- ounds Metric Number laterals Hole spacing (X) 3 :3 in ~ cm Holes/lateral 0 .~/ holes Lateral length (P) 7.5- ~' `~ ft :, m Hole diameter 3 t . in mm Lat. dis. rate Sys. dis. rate .~ `7 ,~; gpm gpm Us ' Us Lateral diameter Designer musf "X" one choice from the options provided. _. is ,. ._ . ,_ ..,~._... Pipe diameter Design options Design choice 1 in (25 mm) 1.25 in 32 mm) x 1.5 in (40 mm) X 2 in (50 mm) X 3 in (75 mm) X Place X in red box of chosen diameter. LATERAL DIAGRAM -CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Do not press delete when lateral diagrams are in use. I P . I ~ Oti r • IF X~IExf2 ( xf2~l Last hole drilled Haut to end cap Holes drilled on t he bottom of the lateral, equally spaded ie vlacf -I'~ 7'ee Laterals & force main of PVC Sch i0 (per COMM Table 84.30-5) • =Turn-upvN'ball valve oroleanoutplug Lateral connection point Lateral length (P) Hole spacing (X) Hole diameter Lateral diameter Forcemain diameter Project: Transaction Number: Inch-pounds center 5- "' in in 1.5Q in 2.00 in Metric _m _ cm . mm 40 mm 50 mm Page of ~e ~,6q • ' . ~~ ' ~ ~~/Vi~`f-1~~/~~ ~~/~1f~G.~? Lam c~7"~~~~ ..... . „ . -~,.n.~_.~ . sue, ~) y~~ PyGVENT. PIPE 12" MIN. ABOVL' GR~.JE ~ > f0' FROM DOOR , bJI ND04J Olt FRESH AIR INTAKE FINISHED GRADE ~ \I w~. y ~ .. _ la" IN ;_ ~~ ~ I . INLET ' ,\ WATER TIG H'I` . ~" Plasfic ~- i3~r-r--~-~- ~~c-r-~ u~i~T PIPE ~'~-- l ~~ 41EATHER PROOr JUtJCTIO(J BOX APPJ20V~:D t~c~~Ns --~IITH CONDUIT MANHOLE COVER W/ PADLOCK b ~_~-WARNING L/{BEl ~~ ~ ~'~~ ~ , GAS- I ~ TIGHT ~ ~, SEAL ..:~ .v APPROVED ~C ALM JOINTS Y1/plas~'ia ON PIPE 3' ONTO SOLID SOIL orF Sd3` RISER EXIT ('L•'EtMI'i'TED ONLY. IF TANK MANUFACTURER HAS ApFROVAL _I L' 1- 1 D j n i 3 APPROVED BEDDING UNDER TANK ~~ CONCRETE. PAD SPECIFICATIONS ys©X . ~o = 9v . SC~G/DOSE ~IUMBER DOSES ER DAY: ~~~ TANK MA UFACTURER : ~ ~ x - J 57 X , KoH ~ C CAI.,. I~OSi60Q~.JMI: 7 CI.UnT.NG~ TANK SIZES: ,,EP1I /G~ FLOWBACK: -~~ ~ GAL. DOSE ~ GAL. j/.c~b + ~t5.7 -~-~5'1'_ 3oc~ ~i CAPACITIES: A =~-~ INCHES = ~~GAL. ALARM MANUFACTURER: MODEL NUMBER: I~ B 2 INCITES =. ~(~GAL. SWITCIi TYPE: gee a«~~ ~y 'a8 q~~k~ (; c ~ ~ INCHES = ~ o GAL. PUMP MANUFACTURER : 7~~~ ~~ ~.~ ~ y MODEL NUMI3LR: /~/ 4~ - D •-~ INCHES = GAL. • SWITCH TYPE: ~.,~ple. ~a~ -- REQUIRED DISCHARGE RATE GPM PUMP 6 nLARM WIRING AS PER ILHR 16.23 WAC -~~ FEET ~3 Z VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE .~ ° FEET 3 ~S + MINIMUM NETWORK SUPPLY PRESSURr ~ ~ _rc~1~~--~~ FEET ~ ~ y~ + ~ FEET FORCEMAIN X `~~T/ 100 FT. FRICTION FACTOR • - • -fir FEET ~ 'TOTAL DYNAMIC HEAD - ~~,~..LL~~--... ' /' ~ ~ ~ r ~ /( IN NAL DIMENSIONS OF PUMP TANK: LCNG~'Ei L~D_; IJIDTi-1 ~; D • `, LT QU i ll ll lr Y'1 H __.. y,0~ ~~ ._ SIGNED: 1/BE LICENSE iJUM©rR: DATE: ~~ _____~_ ~i MIN . ~, ~~ ~~- ~ 9 I; t ~• ,f ;:• HEAD CAPACITY CURVE • '• ~ MODEL "98" 30 - S a '~i1•~ I f5 0 4 ~- ~ t0 U.S. GJU.LONS LITERS TOiAIDhMMICHGdFIOW/ER MafUTE EFiIUENTANDDEMMTERaq CAPACtiY HFJ10 UNRS/MIN iEteT METERS OATS LTRS S 1.52 72 277 fo 7.os e1 nt 1s ~s7 ~s na zo s.fa 2s ss odi van.. ~ Ir 80 I 70 80 240 CONSULT FACTORY FC • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mecltanipl alternators, for duplex systems, are available with or without alarm switches. Standard all models -Wei lit 39 lbs. •'/~ H.P. -~ 3 5/8 . 4 3/t6 4 3/16 '. eKU02 ' ~R SPECIAL APPLICATIONS •~ Variable level float switches are available for controlling single and three phase systems. • Double piggyback variable level float switches are available . for variable level long cycle controls. ' SELECTION GUIDE 1. Integral Ilwt operated 2 pok mechanical switch, no external cor:rol required. 9d Serfea ConUOI Selection Model Volb•Ph Mode Am Slm lex Ou lex M98 113 t Auto 9.t 1 or 1 3 7 - N98 115 1 Non 9.s or 6 8 1 4 d 098 270 1 Auto ~.7 1 or 1 b 7 - E99 270 1 Non 4.7 2 or 2 3 8 3 or 4 d 5 2. Single pf90Yback varwble level that switch or double piggyback ;enable level, Iloet switch. Refer to ftd0177. 7. Meehankel allemalor to-0072 or 10-0075. ~. See fM0712• far correct model of ElecWeal Alternator, E•PaY S. Canlrol switch 10-0225 used as a canUol activator, speufy duplex (7] or (~) lbal system. 8. Four (4) hole J-Pak lunctlon boz, for watertight connsctlon or wired-in sknplex of duplex operetlon, 10-0002. 7. Two (2) hole J•Pak for watsrUght conneetlon or splice. CAUTION farlnfaewbnmadaNbrWlwiNrproduetsnfarbotsbgonComOk~atlon51ar1er,FMOS1~;Pggyttaek All Insbllatba o/ eonbels, prolsetloR dericss snd wiring ehoald be dons by t qualUted VuW M lewl3eAkha, FM0177; Eleeefeal Apemabr, f M0r8e; MechaniW Allemabr, FM01e3; Surt~pl licensed slaolrieian. All electrical and safety coda fhould be followed Including the most Sewsee Baa4n, FMOee7; and SngM Phese SingNa Pump Conhol/Alarm Syelams. FM0772. ~ recent NsUonal Electric Coc'e (NEC) end the Oecupatlonal Sefety atnd Ileeltn Act (OSI1A1. • ' ~ RESERVE POWERED DES1c~ ~ ~.. . For unusual conditions a reserve safety factor Is engineered into the sign of every Zoeller pump. L" O 5 ~10 20 40 eo 3z ao o FI.OVY ER niINUTE :~ _ ' - - c.... NAIL T0: P.O. BOX 16317 OfLLE~' touis-i6s, XY 10156-0317 .Manulx(uers d.. SHIP T0: J619 Carts Run Red 1 ,. Lousle6e, KY !0111•!96! Q~ L.rll-s S,ree " PU/V/P !O (~1) 77d-1771.1(600) 916•P!/MP ~~ ~- a 5/8 -~ 1 t/Z-11 1/2 NPT --, , _. , _ ,r n __ .Q _, ~l. Typical Turn-up Cross Section Detail Finished Grade t t < < ( > > , ) ) < < < < < < < t < < < t > > > > Y t <> < < ( < < i < < < > > ) > > < < <> < > < > < t<t<<<<<<t.<t <<tt<<tt<t<< > <~;, <,. Soli Material <<<<< <t<<t ; <, <, < tttt... <<<<<<< ..<<"< <<<<<<< <<< "`~ Threaded " " " " t<<<<<< >>>>>>>> <<<<<<t > > > > > r > < < < < t < a a > > > > > < t < < < < > > > > > > < e < < < < t•t < < t " " " <<<<t<< >,>>>> <ttt<tt > > > > > > t < t < < < < > > > > > > < < < t < < < > > > > > > < < < < < < < < < e < < < t " ` << >>> <<~ > > < > < > Cleanout P1ug > < t < < < < C t ( ) < ) < C ) < Y ),) T ~)! >;>;>`>` 6" Diameter >;>~>;>;>` ;~;~;~;< Lawn Sprinkler <,<,<,<,t) <><>:>< Valve Box <>~><><>< >>> >>>>>>>>>>>>>>>>>>>> <<<<<<<< <<<<<<<<<< >>>>>>> >>>>>>>>>>> <<<<<<< <<<<<<<<<<<< <<<< <<t<<tt<<<<<<< >> >>>>>>>>>>>>>> < t<<<t<t<<<<<t<t <t<<<<t<<<ttt<<< >>>>>>>>>>>>>>>>>> <t<<<<t<<<<<t<<<< >>>>>>>>>>>>>>>> <<<<t<<<<<<<<t<t<` >>>>> > ><><><>:>< Soil Material >;> > > > > > > ' < < < < < <' e' < ~ <' t • < • e • < • <' < < < > > > > > > > > > a > > > > > > < < < < e < < < < < e t < e < < > > > > > > > > > > > > > a > > < t e < < e t < t < < < < t t < > a > a > > > > > > > > > > f < e t t<<< t t< t<<< e > ) > > > > Y > >. > ) > < < < t < < t Long Sweep 90 > ~ ~ ~ ' <<t<t~ or Two 45 Bends to Vertical Distribution Lateral Mound System Management Pian Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 feast 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 approved for septic tank use by the Department of Commerce, Safety and Buildings Division. 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 conpaction may hinder aeration of he 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 for frost protection. 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 testis peformed 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual (SBD-10572-P (R. li/99)] and local or state rules pertaining to system maintence 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 the tang. Continaencv 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 shall be repaired or replaced immediately 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 removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your county zoning or health inspector ~~ 9,dq Wisconsin Department of Commerce Division of Safety and Buildings ORIGINAL SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1266 Page 1 of 3 Certified Soil Testing Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must oun y St. Croix include but not limited to: vertical and horizontal referenc oint (BM di ti d , ), e p rec on an p l I D percent slope, scale or dimemsions, no cation and distance to nearest road. arce . . CSM from 008-1041-60-000 Please a / r i 2i \ (~ a 9/ R iew By Date Personal information you pro ' ~m used for sei~ndary pur r~hcacy Law, s. 15.04 (1) (m)). ~~ !! ~ ~ ropey wner .` E ropey oca ion Peavey, Scott ~ ~ Govt. Lot SW 1/4 SW 1/4 S 14 28 N R 16 W roperty wner s al mg ss ~ ' ~~ 2 ~ ~~o' w Lot # Block # Subd. Name or CSM 2530 CTHW N ~~ ~ 1 Peavey CSM City ~ tale Zip ne Nu ~ Cit Village Town Nearest Road Woodville ~ ,'W1, >~ ~~- - 61 Eau Galle 250Th St. ~ _ 'r._ ~l _ \ Y New Construction Use: ;; ~s' e~F~of bedrooms 3 Code derived design flow rate Replacement Pu ercial -Describe: Parent material loess over till Flood plain elevation, if applicable General comments and recommendations: install 5' x 91.2' rock unit mound on 96.7 contour as upslope edge of rock w/ 1' sand fill NA GPD a Boring # Boring Pit Ground Surface elev. 96.1 ft. De th to limitin factor 24 in. P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIfN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-6 7.5YR 2.5/2 - sl 2 m gr mvfr cs 1 f .5 / .9 ~ 2 6-18 7.5YR 4/3 - sl 2 m sbk mvfr gs 1 m .5 / .9 ~ 3 18-24 7.5YR 4/4 - sl 3 m sbk mfr cs 1 m .5 ~ 9 / 4 24-30 7.5YR 4/4 f2p 7.5YR 5/8,5/3 scl 2 m sbk mfr - - .4 / .6 / occasion gy si coa s on pe s e ow Boring # Boring Pit Ground Surface elev. 96.7 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Cclor Redox Description Texture Structure Ccnsistence Boundary Roots GP DIft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-4 7.5YR 2.5/2 - sl 2 m gr mvfr cs 1f .5 ~ .9 ~ 2 4-15 7.5YR 4/3 - sl 2 m sbk mvfr gs 1 m .5 ~ .9 ~ 3 15-26 7.5YR 4/4 - sl 3 m sbk mfr cs 1 m .5 i .9 / 4 ., 26-38 7.5YR 4/4 f2p 7.5YR 5/8,5/3 scl 2 m sbk mfr - - .4 ~ 6 / occasions gy sf coa s on pe s e ow 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L ame ease nn i a ure: um er Henry F. Grote ` 222774 Address Certified Soil Testing Date Evaluation onducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 3/17/2001 715-233-0398 '~ Property Owner Peavey, Scott Parcel ID # CSM from 008-1041-60-000 Page z of 3 ^ Boring # Boring Pit Ground Surface elev. 94.7 ft. Depth to limiting factor ~ 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots : in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-8 7.5YR 2.5/2 _ sl 2 m gr mvfr cs 1f/m .5 ~ .9 ~ 2 8-24 7.5YR 4/3 - sl 2 m sbk mvfr cs 1 m .5 / .9 3 24-34 7.5YR 4/4 - sl 2 m sbk mfr cs 1 m .5 ~ .9 4 34-48 7.5YR 4/4 f1 d 7.5YR 5/8 sl 0 m mfr - - .3 .4 / occasions gr co st a ow 4 ^ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I I ^ Boring # ~J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I I 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. 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. Certified Sal Testlng .~ } ; ~ ~a8 ~ 1~[ ~1~li.~13K `o%, (QiQ 1 ~ ca1E. ~,~ ' i `1 ~ ~/~ ~ Cqq }~ J y (~tl..~r ~ ~ ~ q~.~~ d Zo ` ~'w 1- ~ ~a,. e~ \ ~ bra z.z1~}4 (101.0) ~ Y nn (0.4.15 .,,,.o • a~i( s ~.``~ C A s.~) ~ ~ ci-~ CrA ~S~~.L~Av ~~ ~qo.o~ L4z~.s a4% ~ C..`SM row c~m~-\~!}l-~sd•ooo~ 1 I ~~ i ~ zoo`' ~~ o,c~ ~~,~,.~~ - S ~ 1~1 0 ~~S S t~ \p a c It ,~yy 0 ~0 \ ~-"y 3 oS 3 ~' z w~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer _ Mailing Address , properly Address City/State Parcel Identification Number ~~ `~ ~y~ ~~ LEGAL DESCRIPTION Property Locatior~~-1/4, ~`/~, Sec. ~ ~ T~N-R W~ Town of ~ 7 Lot # ~ Certified Survey Map # ~ ~ ,Volume ~ ~ ..Page # y~ z Z Warranty Deed #~~~ ,Volume ~ ~" ~ ~ .Page # S~ Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ 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 is the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCrplumber, journeymanplumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal 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. Uwe, 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 Departmcnt 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 Office Rnthm 30 days of the three year expiration date. .,'i'` Q DATE SIGNATURE OF APPLICANT 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 descnbed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT / / DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** a `~ /1~ ~~~ (Verification required from Planning Department for new construction) 1.~ ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is trade in the warranty deed vo, 1 re~PAGE579 I STATE BAR OF W[SCONSIN FORM 3.1999 Documtnt Number QUIT CLAIM DEED This Deed, made between Wi[tiam Peavey, a/Wa William E. Peavey and Jean Peavey, a/k/a Jean L. Peavey, husband and wife Grantor, and Scott W. Peavey, a single person "- Grantee. Graruor quit claims to Gtarrtee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of the Southwest Quarter of the Southwest Quarter (SW 1/4 of SW 1/4) of Section Fourteen (14) and in the Northwest Quarter of the Northwest Quarter (NW 1/4 ofNW 1/4) of Section Twenty-three (23), al] in Township Twenty-eight (28) North, Range Sixteen (16) West, Town of Earn Galle, St. Croix Cow~ty, Wisconsin, more particularly described as follows: Lot One (I) of Certified Swvey Maps filed July 2, 2001, in Volwne ] S of Certified Suvey Maps, Page 4122, as Document No. 650039, office of the Register of Deeds for St. Croix Cowtly, Wisconsin. TOtiETHER WITH a 66 foot wide joint driveway easement as shown on the above-described Certified Survey Map. Together withal] appurtenant rights, title and interests. Dated this ~-_ day of NDtJPM ~~p-' 2001 ' .__ ~ ----- Signature(s) AUTHENTICATION authenticated this day of TITLES MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Slats.) - THIS INSTRUMENT WAS DRAF!'ED BY Thomas A. McCormack a win, 54 ' --- (Signatures may be authenticated oracknowledged. Both are not necessary.) Names otpersons signing m any capacity must be typed or printed below thei QUIT CLAIM nEEn 662026 IfFlTHLEEN H. WALSH kEGISTEk OF DEEDS S7. CkOIX CO., WI RECEIVED FOk RECORD i1-14-2001 3:30 AN QUIT CLAIM DEE- E~~MPT N 8 CERT CQPY FEE: COPY FEE: TRRHSFER FEE: RECORDING FEE: 11.00 PAGES: 1 Recording Area Name and Koltun Address Thomas A. McCormack PO Boz 2120 Beldwln, WI54002 009-10410 Parcel Identification Ntmtber (PIN) - This is not _ _ homestead properly, (nD (ice not) „ ~ G~' ,,.vim ~ - --- • WiUlam E. Peavey • Jea Peavey - ----- ACKNOWLEDGMENT STATE OF WISCONSIN ~ ss. SC Croiz _ County ~ Personally came before me this ~~ _ day of ~1l'e+U+e 2001 the above named William peavey, s/k/s WilUam E~ Peavey and Jean Peavey, a/k/a Jean L Peavey _'-- --`- --`- to'me own to e e person s to e~ cute a oregomg instrument and atknAh$edaed ~P enm ' Ltd (R 1p1~ *u~.rWt~--~.-~_-. Notary Public S iacopain; +' My Commisaiottl ;perm .; no , sta exptratron~afe: IatUle. ~ F'. ,~ ~ omwtion Piofeseionala c«ro.ny, Fontl tlu t.ac, YN eco~sss~ozt (~ STATE BAR OF WISCONSIN FORM No. 3 -1999 x cn.-+ mJW ~ ii o 0 0 ~ o QW n ti '.i ,... cv 3 A w o ' 1' 1 V ~ w . ti. ri s ~;y 0=~ X ~ S'am' O ti A r., O f= u- WLWa. qq ti W iR 4 OC W JCfJU w ~ o 4.t-Ula. tLA -~-zi-y-~p~ s CERTIFIED SURVEY MAP William and Jean Peavey Located in the Southwest 1/4 of the Southwest 1/4 of Section 14 and in the Northwest 1/4 of the Northwest 1/4 of Section 23, all in T 28 N, R 16 W, Town of Eau Galle, St. Croix County, Wisconsin APPROVED ST. CROIX COUNTY Planning Zoning and Parks Corpmlttee .IUL 0 2 201 West Quarter Corner Section 14, T 28 N, R 16 W ;' (Found 1"Iron Pipe) OWNER'S ADDRESS " " '~ ~ ~ 2530 .T.H. N Woodvile, WL 54028 ~ N~ UNPLATTEp LANDS ---------- S 86°36'15" E 331.06' ~ I ,.I ~ ~ ~ ':33~ 298.00' ~ I • ~ ~ ~I ~ Lot 1_ $ ~ ~ ~~ • ~~ ~ Ce-fified Survey Map = ~ ~ ~ , ~ ' • ~ V41~ime 6, page 1690 ~ Z ~ ~; ~ ~~ x ~~ I ~ LoT 1 • ~ I z 3.013 acres or 131,233 eq. {t. I Southwest C I 1 Section 14, T 28 N, R 16 W ~ Northwest Comer Section 23) (Found 3/4" Iron Rod) m ~, - ro _~ 30th Avenue~- ( nc . 33' 33' I 2.711 acres or 1 8, 98 aq. {t. (Excl. R/w) . I , _ g01~ - -298.00' . . 3 ~ $ r~ ~~ Z NI ~ O M ~~ 3 to I M ~ ~; ~ ~I ~ OI cc~~ N ~I ~ S ti~ ~ ~ ~I z ' ~ z ' ~I a, ~ 33 ~ ~~ 33 33t ZI ~! 8 I z ., If not recacled wri~in 3~0 days _of aptxtinral slate atpproval shad ~ a+wM arnd void 0~ Z~ ~: °w ~' ~ ~ ~ a.; Z' ~I LEGEND o Indicates 1" x 24" Iron Pipe Set (Min. Wt. -1.13 Ibs./lin. ft.) Indicates Soil Boring 0 Section Corner Monument (as noted) h~ ~1 S~gcA _ , ~ ~, - - S 86°36'15" E 383.00' . - . ~ ,.SO ° I 66.,41 r45°E • ~ i 5 89°36'1g" DRIVEWA YEASEMENT I Z; I,OT 2 3.002 acres or 130,756 eq. {t. w (Intl R/W) 2.764 acres or 120,395 eq. {t. ;-~ W; ~' (Excl. R/W) ~ g. ~T ~ ~~ CERTIFIED SURVEY MAP William and Jean Peavey Located in the Southwest 1/4 of the Southwest 1/4 of Section 14 and in the Northwest 1 /4 of the Northwest 1 /4 of Section 23, all in T 28 N, R 16 W, Town of Eau Galle, St. Croix County, Wisconsin DESCRIPTION: That certain parcel of land located in the Southwest 1/4 of the Southwest 1/4 of Section 14 and in the Northwest 1/4 of the Northwest 1/4 of Section 23, all in T 28 N, R 16 W, Town of Eau Galle, St. Croix County, Wisconsin, more fully described as follows: Beginning at the Southwest corner of said Section 14; thence North (assumed bearing on the West line of the Southwest 1/4 of said Section 14) a distance of 399.04 ; thence S 86'36' I S" E, 331.06 ;thence South, 397.00 ; thence S 86°36' 15" E, 85.00 ;thence S 00° 17' 45" E, 315.00 ; thence N 86°36' 15" W, 416.07' to a point on the West line of the Northwest 1/4 of said Section 23; thence, along said West line, N OOP 17' 45" W, 312.96' to the Point of Beginning, containing 6.014 acres or 261,989 square feet, being subject to an easement for 250th Street over the Westerly 33.00' of this parcel,to the joint driveway easement as shown on this map, and to any other easements, covenants or restrictions of record. GENERAL NOTICE STATEMENT: Note: Each parcel shown on this map is subject to State, County and Township 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 appropriate Town Board for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, William and Jean Peavey, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. Dated :March 28 , 2001. oooo~`SGONSj~ ~~Op G o GO ~ GGGSS °°°LAURENCE~ ° W- MURPH ~ ~ S 1 ° A ° IVER '~ n °. FALLS. .,° .0