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008-2001-95-000
J ~ s~~.grindoacommer~oe PRIVATE SEWAGE SYSTEM ;~ el~ldrrgs ~~ INSPECTION REPORT yC~ENERAL INFORMATION (ATTACH TO PERMIT) Pwsolld NMonrla6o11 you provloe maybe used for seoorl0ary plxposes [Privacy Law, s.15.04 (l xmjj. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ oosing ~ - X11 a o ~ . Ing TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ventto Airlntake ROAD septic > ~ ~ S f ~ ,~- ~ - - NA ~~ ~( ~ ~-~- ~ Z ~ ~ ~o?~, NA NA Holding Manufacturer ~6 e~/P r demand Model Number ~ Zj•3zGPM TDH Lift ~ Fnctlon S tem S TOH ~•Q Ft ,6 , Forcemain Length ~ y~ ~ Dia.Z ~' Dist. To Well > SS ~, a Haan i e~nunw~ iwscnoaa wr~nwr ~ ~ a SOIL ABSORPTION SYSTEM TION DATA ;' t~^ STATION BS HI FS ELEV. Benchmark U e , Bldg. Sewer St Ht Inlet .'~p ~ , ~ Ht Outlet Dt Bottom ~. L Header /Man. , SZ 0 , Z Dist. Pipe ~` ~j /D Bot. System ~'- 6 lG - 3 lQ Final Grade 8E0 /TRENCH Width i Le ~, No. o Trenches PIT No.Of Pits Inside Dia. liquid Depth n acturer. SETBACK SYSTEM TO P / L BLDG WELL LAKE / STR INFORMATION Ype • 7~ / .~- ~b l ~3 + ..~ OR UNIT R M r• System (] DISTRIBUTION SYSTEM H er /Mani o ~ ~ 3 Oia. Length Z ~ Oistributio~ Pipes/ ~ ~f ~ Length ~j Oia. ~ Spacing ~ I x Hole Size I J~ ~, << x Hole Spacing l s ~~ Vent To Air Intake Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No Q Yes ^ No SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only I~~~ COMMENTS: (Include code discrepancies, persons present, c.) ` QS ~,~..- ~'-`-'v~"~ Inspection #1: 9 /t` l o/ Inspection #2: ~ l z/Ol o/ Location: 19 CTY RD. B Wood~rille, WI 54028 (SW 1l4 SW 1/4 36 T28N /R16W) - 362816547 1.) Alt BM Description =~or°~ a`~ Wcl~ ~~;~~err~7(- ~vom CST -a Weld ee~a,,~/~- Gvas ~@~~ 2.) Bldg sewer length =.~~ y, I BSc¢~~ ~~,A u,;~s ~,,~ ;~ k B~~Py ~ -amount of cover - > y ~ J ~c~ d~,a~~ ,~~G,~ ,~ ,/~ U 6 s e ~~`. 3.) contour = lb. (,~~ ! o. ~5~~ % 9'9 D/ PIS revision required? ^ Yes ~ No Use other side for additional inforn+(ation. ZG p '~ S8O-6710 (R.9I9~ Oat Inspector' Sigr-ature Cert. No. ~r~n ~. ~~ ~ ~~3 ~~a ' Sanitary Y+erxnn Appucatiiuu ~~-~~ ~,~,•~ r In accord with Comm 83.21, Wis. Adm. Code, personal information You provide "Check if Revision ~ , ~ ~ used ~r Saco ses Priva Law s15.1T~i(1 m) ,~ Plan I.D. Number I. Application Information -Please Print All Information ~ i^_ ~~- ~ ' % Parcel Number 35~ .~. ~ ~ s Name Property Owner ~ U~~ -2oa( _ ~S ~ ~ h'1 U `S v Properly Location Property Owner's Address Y~ H S~ 7 ,S w ~,4S~li/~,S;S to T .~Z~N,R ~G• E ` l Zip Code Phone Number Lot Number Block Number Ciry, State Subdivision Name CSM Number / w~~ ~-c~ol7 ~ ~5~-2~/G -3/y3 ~/v G rc, II. Type of Bw7ding (check all that apply) OCtry or 2 Family Dwelling -Number of Bedrooms ~ ^Village ^ pubtic/Commercial -Describe Use ownship C,- Nearest Road ^ State Owned t. 1-~. III, Type of 't: (Check only one box on line A (numbering scheme for internal use). Complete line B if apglicable} ~ For County use 1 2 ^ Replacement System 3 ^ Replacemem of 6 ^ Addition to S Tank Oa! S stem Permit Number Date Issued ~.,~ B . NJ Cheat if sanitarry Permit Previonsty Issued 3 r~ , / / G ~ 3 - r ~ - G l IV. Type of Permit: (Check all that appiy)(numbering scheme is for interne! trsej d4 ^ Non -Pressurized In-Ground 21~ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland I ~ r'41 ~ ~ Pass 51 ^ Drip Line ~~, t ^ 5i ,~, e ttg p 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ~ r 4b ^ bic Unit 49 Recircttlatiug 30 ^ Other ~ - o 45 ^ At-Grade X 7 V. D' tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Sot! APP rcanon Percolation Rate System Elevation Final Grad osed Rate(C,als./Days/Sq.FtJ (Min./Inch) Etevati n Pro ~ g ~ ~ p Re iced . ~ o . ~l5 (~ ~-(s~~ ~~S v l . U ~. Tank Ir~o Capacity in Total Number biamtfacturer Prefab Co~rete Site Constructed Steel Fiber Glass Plastic Gallons Gallons of Tanks New Existing Tanks Tanks Septic or Holding Tani ~ - 1 V C9 0 ~ ~./ . ~ S C' /2 Dosing chamber U~j , . Rtrsponsibt'lity Statement- I, the : asstmre respoas~~y for brstallaNoa of the POWTS shown on the attached plans. VII . Plumber's Name (Point) Plum Signature MP114iPRS Number Business Phone Number Phtmixr's Address (Street, ity, State, Zip ode) VIII. Coon /De attment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Agent Signature (No Stamps) ~pproved ~ Disapproved Surcharge Fee) 0 0 0 ^ Owner Given Initial Adverse " /~ da /l~'!,~' O r `7f l Determination (( va l pr o isa p ons for D eas Approval/ R s of n IX. Conditio _ a ,; ~ i7 ~ /~ ~ p ~ ~ ~ i( ~ Yl.o,. ~ wlklrn,tvpn nl`.t~~~ ~ 1 rPno tr>!~-t~~i~l.P.P.Q ~K~~/.te.P .~-ftv ~t~ G/`Lf,~. l t~t.~{tU%~e~t' 1~0~0 ~~ e plans the only) f the system Papa' not,~ss tLna 81/2 x 11 Ineha in sizo SBD-6398 (lt. Q5141) Revist~n t r i1~ ~ - ~~aic Attacn com lete sans (to the county co ~ on1 ,1 for the m, of Bess roan a-1rz x i ~ mcnes m slze_ State ~ i County C-~ a~bemJit Number !] C ~ e~;i~ ~ - ~jj~-•i~g tication rate Plan !. D. N tuber ~,~ ~ J Cs 7 5 ^ I. A lication Information -Please Print alt Information h` ~C.k ' ~ Location: Property Owner Name / `~ ~.. p L~,ti ~ i \! ~ ~ni~ G ~ ~ Property Location ~ ~ ~ ~ ^ L( .._ ... G ~? h .S L C ~t ~ 1 /4 4/1 /4, S "7" .Kor) V+' .N, R Property Owners Mail ng Address ` ' q '~; ~~ a Lot Number Block Number ' City, State l / Zip Code 'P ne Num1~ ~: ~ Subdivision Name or CSM Numb er / / ~ (~~ !r1 ll l Gh ~ ~ h CJ ~ y G (~ ~'~'~5~ _)- . ~- ~ `7 ~ ~J ~ Cvir C vX II Type of Building: (check one) ~ ~--;_~~;._ f B d ^ city ~ v'ltage 1 or 2 Family Dwelling - No. o e rooms: (d Town of ^ Publie/Commercial (describe use): L- ~ . ~~~ ~ ^ State-owned k III Type of Permit: (Check only one box on line A. Check box on fine B if applicable) Nearest Read ~.~~ ~~ I ~. ~~~~ A) 1. IB'New System 2. O Replacemem 3. ~ Replacement of 4. D Addition to Parcel Tax Number(s) - ~ S, itl U D rl - ~ r' o ! S stem Tank Only Existin S stem t I B) Permit Number ~ ~ a2~ lb J!'t f ~ ~ ~ Date tssued ~ A Sanit Permit was reviousl ~ issued 1V. Type of POWT System: (Check all that apply) °' ^Noo-pressurized In-ground f9'[vlound ~ Sand Filter D Constructed Wetland ^,Pressurized in-ground ^ Holding Tank ~ Single Pass ~ Drip Line At-gra e , r „ ^ Aero 'c Treat nt Unit , ^ Recirculating ~ Oth `` ~ x~S' o .2a D .o UZ M Dis ersallTreatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate b. System Elevation 7. Final Grade ~s ~ Required ~~s~0 Proposed ~ Rate (Gals./day/sq. ft.) j ~ (MinJinch) 1 ~~ ~ ~ Elevation iG ~ s- ~~ ~ . VI Tank Capacity in Total # of Manufacturer Prefab Site Stee) Fiber- Plastic Information Ga{Ions Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks se r.'c- J G ~U C ~,'~Se 2 ^ ^ ^ ^ ~~u ~ ~ ~, G U ~ t, ^ o ^ D VII Responsibility Statement I, the undetsi ned, assume res onsibilit f installation of e POWTS shown on the attached Ions. Plumber's Name (print) ~~~ S~4 h Plum is Signature {no ): ~ !lv1PRS No. ~~ ~ ~'~ 7 ~~ Business Phone Number 7 ~5~- ~ j't(~ S~/~G Plumbe/r'Is/Address (S`treet, C/it . tale. Zip C e) /, /y//~ 1- // ///~/~ ~ l~ W ~ ~~~ a a ~/ ~ ~i r ~ ~ .~ ~ vV V (•/ V W ~ (G 1 VIII CountylDepartment Use ©nly O Disapproved Sanitary Permit Fee (Includes Groundwater Date tssued s ing Agent Signature (No stamps) Approved ~ Owner Given Initial Adverse Surch Fee) ~~ ~ 2 ~ ~ t !~ Determination • - I[X. Conditions of A proval /Reasons for Disapproval: ~c- Or.r bu,.~na~ ~,e~ ~~ ~s'F" r~or~'l~.~a%~-~ I ef.~.~~C ~,t,t,aL„ 'E-~ SY'~l~ ' ~" ~ ~ -u ln CST ,n~c~-- _.ea~-~ ~ts~. ~~~~+ - l ~r~. Q ~c Q~ ~ta-k , . ~ t S r'~l~s t ~ ~,yyliu~/Wtnq l~ ..d~ .D~1~X.t~r~ 1 S vin a. ,^e.~ ~,,, ~ ~c:~+,~.w.~.inT~.~N~t~t s , ~ >` >; ~ • ~ - isconsin Department of Commerce September 13, 2001 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/13/2003 fry l ~. ~.. ~~ _ _ ,~ '~ ~~ r .x'- ~~ „arts` ;.ck~ ~-, -yam / 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 A7TN.• POIFTS lnspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 . SITE: Jeremy & Brenda Johnson - CTH B St. Croix County, Town of Eau Gaile SW1/4, SW1/4, S36, T28N, R16W FOR: Description: Three Bedroom Mound System -Revision Object Type: POWT System Regulated Object ID No.: 779971 Identification Numbers Transaction ID No. 673572 Site )(D No. 626197 Please refer to both identification numbers, above, in all cones ondence with the a enc . r The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on February 7, 2001. All other portions of the plan shall remain the same. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01lO1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.OI/O1). • 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 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. Stats. Owner Responsibilities: • [n 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 must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • 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. n s ~, ARTHiJR L WEGERER Page 2 9/l3/0l ~~ , • -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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, t Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7: I S AM to 4:30 PM jswim@commerce.state.wi.us FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 WiSMART code: 7633 t ti .• ~. TITLE SHEET IrOUND SYSTEi~1 FOR A 3 BEDROOrI RESIDENCE This plan has, been prepared in accordance raith the Mound Component Manual SBD-10691-P and the Pressure Distribution I•Ianual SBD-10706-P (N.O1I01) (N.O1/O1) LOCATED I~1 THE Sly 1 i 4 OF THE S1.U 1 /4 OF SECTION 3 6 , T ~-$' N, R ~ ~ 6d, TOWid OF ~``P~U 6~!-Lt,.~ , S'r_ e,~ 1K COU1bTY, WISCOPdSIIJ. PAGE 1 of 7 PAGE 2 Of 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 INDEX Page ~ of 1 v - ~~/~ TITLE SHEET 9~ ,q~ "F, SYS1Ei'i 't'IA:'dAGErIL;idT PLAiv' ~~ ~j~ ~~ PLOT PLAN „p ~~ `O DISTRIBUTIOROPIPE~LAYOUT Y'~~O^ Oar PU'r4PING CHAP~IBER CROSS SECTION ~~ PUMP PERFORI4ANCE CURVE O~~ PREPARED FOR ~~Y r~~o s~vq --SOtt~v-s~~.,P.O.W.T.S. ~-1~q ~~ e ~ s~-. _ __~pnditionaily - PROVE E f. ~P~MENT Of COMMERC ~! pEP BUILDINGS IVISIpN • PREPARED BY SP PENCE • SEE CpR~ WEGEFtEF2 SL3 = L - TEST S NG AND . • • DES = Gfit S~RV S CE P.O. Box 74 421 id.~fain St. River Falls, GTI 54022 ~~e~o~asa~~r Phone 715-425-0165 ~~° ,~~~;~~~,~ `~'~y Fax 715-425-6864 °~' .••••°•°N.`~~,~~, .• _ _ ~ ±• ~ ~Y1D L - Pr - . _~:1.57.O~J-o~`__'X;1-1ti~D=`~b~ u ~ ~;~ P 1}~ - - -_ c~~t~t~_ fi~~~v~::~tU ci~-~(~:, fl~~ L`C~ o3vfl~.: --so« ~ .. ~ ...r..~ _ '' ~ - v ~_V.V ~...._. ~/V~~ _ .. ~O~ ` ~ '-. ... L U. V ~.. _~~__.._y~-V~~ ~.'~'~~SpA i•~ aj ~ f' ~.~ ~1:J __? 5 -` _ ,vl V ~-2S-0~ JOB NO . O l -ZJ$ Mound System Management Plan Page Z of 7 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter 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 fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank= If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Puma 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 Qistrfbutfon System No trees or shrubs should.be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. tnftuent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may. not exceed maximum design flow specified in the. permit for this installation. The pressure distribution system is provided with a ftushirtg 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 perforated it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and it 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 grid local or state rules pertaining to system maintenance and maintenance , reporting. SBD -tObq.t,P (~tvo t tot) No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 relate wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component faits to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. uuestrons about the operation or maintenance of this system should be directed to: The County Zoning .Office at ~ )$~3eb, ~l_~90 5`~~L`.,Q~LX The system fns taller. at ~,'~.S'_ 6qg -ZL6 (~ SY''PC1~/G The tank manufacturer at ~QQ ~ 3Z,$' $ 6 ~ ~~~ The effluent ,filter manufacturer ~at ~'-pQ- ZZ/_- $Z~E.Z Zi~1'S3~ The pump manufacturer at ~ ~ - $'`C10- ajZ.~~ plJI~LQ - •Zp~s~R s ,, SO 1 t3 r'I i4-~'L~ Y11 N . / ~ 1 ~ ~~of o ~ 1~ I ti ~ ~ ~ ~ri ~ ~` ~DFZ Qvc 11 -~s ez.~oo~? " 1 ,~ ~x lo'oF ~ ~ Y'~PV C X00 ZS~ °~~ ~3~"9 th-~ ~ E'Z~{ 3 PLOT PLAN Scale 1"= ~Q' we ~~ 1 .~ 2~1 _. S~~ - ~ w1 L ~ ~ ~~ ~ D P- Page 3 of 7 Sg ~+~~ 1; L ~~ 1 1$rr r-~ ~~ DoT COwtPAel- o~Z ~ L3`N R.~ 7~f'1-S ~',A. _tJC~ ~ _- B_~t"~-! = ~L 1~~6,~_, ~ G~~~_~'-~3R3~--CZr.:RA~S5_~ S'T~L.___~~~ , -- - ~witF-z_ x,108 Z~. o+~r ~o~ o_~:.w~t~_ __ _ ---- ___ NOTES• 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1000 16so gallon capacity manufactured by 1~.~ LFS ~ G0~1 C~ w !3- ~~ o Z~C'8~1. H ~~.~ 4 . $ench marks S ~ ~ UU E zS~ .,;S,rl .toua ~ ~~ ~~ ~ ~. Divert surface water around system to prevent ponding at the uphill side. ,' , ~ tc Approved Synthetic Covering ASTi`i C33 Medium. SQnd Topsoil ~~ > ~~ 3 _ .. - Page ~ Or" istribution Pipe _ G tF Eiev. ~9 •Q, ~o - ,~ b s ~ 1 % Slope r ~ • Distribution Cell of For ce Moin ' - Z" to 2 Z" Aggregate From Pump CROSS SECTION OF A MO UVD SYSTEM A 6 Ft. Linear Loading .Rate= 6 • ~ GPD/LN FT B ~ S Ft. Design Loading Rate= 0.3-GpD/SQ FT I ~~~ Ft. J S Ft. - - K q Ft. Plowed - Layer ~ ~_~ Ft. E ~.Sp Ft. F o.~ Ft. & 0.5 Ft. h 1_~ Ft. ~ Position ~ ~j,3 Ft. OT Force Main ~ W ZS Ft. - I I • ~F I~ ~Observotion Pipe _~ $ I ~ I K ~.--------------------- --------------- ------- Box A ~ --'fib H - ~ • -t w •~ C__T_~ - --_- ~` ---- ----- ~ - ~ -- ~Distribution ~- Cell of 1 " 1 ~~ . ~ -~ to 2~ i Pipe _ a~;~regate - - Observation • Pipe - - - (1lachbr se~xrely9 , ~. PLAN DIET~T OF A MOUND SYSTE;:4 Distribution Pipe Layout p~oe S or sN • . • ' Place the holes at the bottom of the distribution pipes . at'e~ual spacing. Reaove aI1 burrs from the pipe and holes. Extend the end of each late-aI up with the use of long turn or 4~ ° fitting to a point within six ~~ inches of the 5nai grade. Tezminate the ends of the IateraIs with a valve,: threaded cap or .threaded plug. Provide aces from final grade for the valve; threaded eap or threaded plug. " ".~~.c`ss ~ox_ T`-t P 1 Ct~ L LZOS S S ~LT1~ 1y PVC ~ F~~` PV C Laterl ~ r- Maniiofd r- Laterl x x x z xlZ xQ x x x x =Lateral Length - ~ Lateral Length - P - PL~t~I V \~7 - o- - F C- `s=n R~ n>*cw P 3~ Ft . 5 3_ Ft. ~X 3 S inches ~Cl..~"S.S Bt]X - -o - --0 ' Note Diameter ~~~ Inch ---~ Lateral " ~ 1 Inches) Manifold ~ • Inches Force Main " ~ Inches ~ of holes/pipe 13 Invert Elevation of.Latera1s~00.3~ Ft. ~13X ~_V1= S33 X 1~.~ Z.1.3 Z GP~`~ ~: . .. , ~ ~ _ ~ ~- Combination Septic-Tank and '•. <; PU-MP CHAMBER CKO55 SECTiO~I ARID SPECIFICA' . ~; - nVEU7 GAP Tom' ~' n l Lit3P~101J P IPE~ W lT~l'LCL'n 6!~ tf(Q ' GRfip~ t ~a`nIN. - IAILET Approved joint w/ PVC pipe I~o`fL = PvJ 6~-_`T~~ N0= L~..- ti C.I. VENT PIPC '_10' Faort oooR, ~i~A100W OR FR ESN ALK wT/1KE -i ``+~W. 2 ~ . cor.~DU~r ~-- i ~~ ' ~, ~rS"~ 8 ~F'FLC A-too c L EY. g'1.OOf T. ~ IOUS ' PAGE ~~ OF ~ WEATHER PROOF . - ,~uucrlou eox ; APPRDVEp LOGKlI~G MAIJHQLE COVER l~Vi1k'i u.+ARlJ1sJG LA6EC.. - Y' xiu. F -1f ~~ ` ------- -- ' PROVIDE I ----- ~'j"A~RTIGHT SEAL I I' Ir I ( ( --A ~ i~I Approved I I III joint w/ + ALARM PVC pipe a -{ II ' I I 1 I ou C i ---7771 I PUMP --` '-~ oFr D coucRETE ' ~ e~ocx . Sb.oo ~ - ti ~- RISER EXIT PERMI~ED C)1.JLy IF TAUK MA1rUFACTURER HAS such APPROVAL~3,•A9~~~~ 6EDt? t N~ SEPTIC E ~ ~ SPECIFICATIOt~1S DOSE TANKS _ MAaJUFJ-CTURCR:w~~~Z ~~~~ IJUMBEA OF POSES: S'~ PER ElA~ TA1JK SIZE:- IOOO 1cjSO GALLO-JS DCSC VOLUME r ALARM MAUUFACTURI~R: S S.~Z~C~TtD S`'1g`Tt~1"!S Iruc~.uo~uG d~cKrtcw: ~ l0 Z CiALtOhI,~. . MODEL 1JUM6LR: ~~ f ~'w CAPACITIES: Ac ~~ IAICHES OR 3~ 6 aA~LDUs SWITCH TBPL: - ~~~2'T g = Z 411CHES'pR ~ G(~LLC1J5 PUMP MAIJUFAGTURCR: _ 0~~~ C = ~ wcHES OR ~ 0 Z CALLOUS MODEL 1JUMBER: ~~ ~ 0= 12 H OR 6 OT I;AEtpus ~ SWITCH TYPE: 1JOTE: PUMP AUO ALA ~ ~ RM ARE TO bC~~ MIUiMUM DISCHARGERATE 2-1-3~GPM INSTALLED OAl SEPILRATC CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP orf Au0..0i5TRt8UTt0u P-PE.. 13'3~FEE.T t lt+~di-lr 4~irt IJETWORK SUPPLY PRESSURE , ~ ~ ~ ~ 6•SCFEET ~-OX-~-3~ -~ ~S FEET OF FORCE !`1AItJ X ~~F~c F~,FRIC71011 FAL70R-. 0'~~ FEET TOTAL O~1~AM1C HEAD = Z_ a__~ZFEET As per manufacturer 1~1.,C~ gal/in. Liquid depth 3 g ~` ,. ' (~ ~~• W ~ . ~ ~ 30 8 2 0 = 6 v a 4 15 ~ 10 2 5 0 U.S. GALLONS LITERS 0 ~~ 7'1. ~ l~EtZ. ~jZbt'11~-~JCE CU~-U~ P~~. ~? o~ 7 HEAD CAPACITY CURVE 3 7/8 -;~ E ./a -~ MODEL "98" 4 5/8 10 20i 30 40~ 50 80 160 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTANOOEWATERING CAPACITY HEAD UNITSlMIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 20 6.10 25 95 Lock Valve 23' 240 CONSULT FACTORY FC Electrical altemators, for duplex systems, are available and supplied with an alarm. Mechanical altemators, for duplex systems, are available with or without alarm switches. Standard all models -Wei ht 39 lbs. -'/= H.P 70 80 3 5/8 4 3/16 I 4 3/16 SK7102 )R SPECIAL APPLiCAT10+NS • 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 Boat operated 2 pole mechanical switch, no external control required. 98 Series ConVol Selection Model Volts-Ph Mode Am Simplex Duplex M98 115 1 Auto 9.4 1 or 1 8 7 - N98 115 1 Non 9.4 2or2&6 3or485 D98 230 1 Auto 4.7 1 or 1 & 7 - E98 230 1 Non 4.7 2or286 3or4&5 2. Single piggyback vanable level float switch or double piggyback variable level, float switch. Refer to FM0477. 3. Mechanical alternator 10-0072 or 10-0075. 4. See FM0712, for correct model of Electrical Alternator, E-Pak. 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 6. Four (4) hole J-Pak, junction box, for watertight connection or wired-in simplex or duplex operation, 10-0002. 7. Two (2) hole J-Pak, for watertight connection or splice. CAUTION ForinfonnationaladditionalZoellerploductsreferrowWlogonCombinatronStarter,FM0514;Piggyback All installation of controls, protection devices and wiring should be done by a qualified Variable LevelSwitches, FM0477; ElecbicalAttemaror, FM0486; MechanicalAltemaror, FM0495; Sump1 licensed electrician. All electrical and safety codes should be followed including the most Sewage Basins, FM0487; and Sngle Phase Simplex Pump ControVAlann Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ,~ ,,,, :, ~ ,~... _. MAlL T0: P.O. BOX 16347 ~ Louisville, KY 40256.0347 Manufacturers of. . DELLfis' SHIPTO: 3649 Cane RunRcad Louisvlle, KY 40211-1961 Queurr/~uMps SNCE /~~.9~ ~~ PUMP !O. (502) 778.1731.1(800) 918-PUMP _ FAX(502)774-3624 1 1/2-11 1/2 NPT ~' -" ~ ~ ~sco~sin 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 PhiUp Edw. Albert, Acting Secretary September 13, 2001 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 ~~ A7TN.• POWTS Inspector ~! ZONING OFFICE ST CROIX COUNTY 1101 CARMICHAEL HUDSON WI 54016 S rA~h,. ~~\ l~y~ zoN~~~ `~~ ...~~.,: L t. .~.,> CONDITIONAL APPROVAL Identificatio umbe '-J ~., PLAN APPROVAL EXPIRES: 09/13/2003 Transaction ID No. 673572 _ SITE: Site ID No. 626197 Jeremy & Brenda Johnson - CTH B Please refer to both identification numbers, St. Croix County, Town of Eau Galle above, in all cones ondence with the a enc . SWl/4, SW1/4, S36, T28N, R16W FOR: ~ Description: Three Bedroom Mound System -Revision Object Type: POWT System Regulated Object ID No.: 779971 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on February 7, 2001. All other portions of the plan shall remain the same. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/O1). • 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 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. Stats. Owner Responsibilities: • 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 must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shat[ be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. . ~ ARTHUR L WEGERER Page 2 9/l3/0l • 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, e Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim@commerce.state.wi.us FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 WiSMART code:< 7633 y Wisconsin Department of Commerce ' Division of Safety and Buildings Attach complete site Ian on a r t I l~ 9 /7-0~ SOIL EVALUATION REPORT Page 1 of 3 in accordance with Comm 85, Wis. Adm. Code County Ste, L',~lx th p p pe no ass an 8 1/2 x 11 inches m size. Plan must ~ indude, but not limited to: vertical and horizontal reference point (BM), direction and cel . percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~ = ZQO ~ - ~S - Q00 Please prinf all information, Re ~ Da Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1 j (m)). ~'~- 6 Property Owner Property Location V ~~~~ ~ Q~~ ~N;'hJS~~ SJ~ 1/4 S w1/4 S 3 ~ T Z~ N R 1 ~ E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# l~~q ~~6 `fit ST. - - ~~b fteR.~. P~.ct~c.. City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road Nt~U R-(1^tfM ~v S~ol~ (~cS)Z~6-3~~3 C~~~~.= CT~I-`' g`' ~ New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate ^ GPD ^ Replacement ^ Public or commercial -Describe: •.<;,,' ,, Parent material L~.S OU ~ -T') L_L Flood Plain elevation if appfica a ~' /~ ft. General comments ~ r ~ • M1,; ~,iA,, and recommendations: 'MO U f~Jb bU ~ (~ ~K '7S f ~ lJ~,,i3U~R U>`i ~ZL ~ `° Y"1 dsv ! tit ~ 10 " O F- 5'P9~~ Fi Lt_ , ~ ~' ( 1 ? ~.~~~ C-C`~.t v ~~~ q. o' r ^ Boring ti' .. ZCM a Boring # \~ , - , Pit Ground surface elev. ~ s •8 ft. Depth to limiting factor Z~o ''yo. ~ '~~ '~ r r !, ( '+ 'Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eft#1 •Eff#2 o - q ~~~iZ~ iz - sll m.Q-~k h Cg 1-F .s -~ 3 6-y 2 ~Sytz ~ ~ ~.S`~2.,5~ sic ~.e~bk vn`~I~ • 2. .3 Boring # ^ Boring ® pit Ground surface elev. ~~ ~ - ~ ft. Depth to limiting factor Z'~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Du: Sz. Cont. Color Gr. Sz. Sh. " 'Eff#1 'Eff#2 ~ 9 l0`i2 31z - s i 1 Z~'sbk c~sl~ C.S Z~ .S .$ ~ °t-Z-~ ~0~231~ - Sit 3`f~Sbk 1~ e S 1V -S .8 3 2.g_ S `~2 4~l `Fle~.7.S`?lLS1~, c 1. ~.sbl~ m,`f'-^ - . Z •3 • 'Effluen t #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) 'gnature CST Number Arthur L. Wegerer ~ OI-Z~a 220254 Address E~ e g e r e r S o i l Testing & Design S e r v i c e Date Evaluation conducted Telephone Number 421 ~d. i~iain St. diver Falls, [TI 54022 ~-Z..~--Ql 715-425-0165 Property Owner ~O ~~}`J SQ)y Parcel ID # ~ ~ _ Z,IJ(1/ - 9'5-00 f7 o~„e Z ,,. 3 Boring # ^ Boring ® Pit Ground surface elev. a q _.3 ft. Depth to limiting factor 3d in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ' " 0-9 tip~R-3LZ ~ st`I Zrn.sbk c~.Sh ~-S 1~ -S -S Z x_30 !p ~231b _ si) ~ sblL ti-~`fr c s 1 V~ . s . ~ ~ 3~~~5 ~.s~rzyly t~ ~-S~t2s ~ c i t ~ ~ bk >n~~ _ • z ~ 3 ~. Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to Ilmidng factor in. Soll Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell pu. Sz. Gont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # ^ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ "Eff#1 •Eff#2 ' uen #1 = B De,-~30 < 221L and TSS >30 < 150 mg/L ' • Effluent #2 =BODE < 30 mg/L and TS _ L ~.. ~ . ~ ~~ ,.. ... ,. ent of Commerce ><s an equl 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. • S6D-8330 (R6/00) : ~ _ . _ . h +5~ PLOT PLAi1 Scale 1'=yp ` d9 _~ ~. tiw~- Zo _ 3 aU Ct-~1 e S~-tr ~ ~ ~ Q d • ~, 0 °' Page 3 of 3 °LUt~U~CZtTL. , a.R. 0 ' S Bot'toM o~- ~~ fit. aR.B~' ~o~o ~l~ Z S -~-" t IrTL1op 8 . ~5,~ 1 8• Z. 1 {.v~`L.L. ~ t 3wt t}-Z O°r~ ~ N . B .1~~ Q.Se ~1°to 1 ~. ~.too~? I `~ c ~-_.I ~ r ~0 b tS r,~ O B • 3 q(o g+~t+F~~ ez~3 DO 1voT CdLtPAer otiZ Dl3`N R.~ ~S ~°t~'c.~A $~1_~:-~-1~u0 ~b~' 4~-? -G ~=t~~?~ .~" ~~3~~ - ~r :R-A£s ~ s'T~C .3 --- ~,~ CST Signature g Z~_p~ 715-_425-0165 220254 O~-Z.l$ Date Telephone Ito. CST Tdo. Job P10. Wjsconsin Department of commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and 8uiidings r in accordance with Comm 85, Wis. Adm. Code county ST, C Attach complete site plan on paper not less than 8 1/2 x 11 inches in Size. Plan must v-k.~ ~,X include, but not limited to: vertical and horizontal reference point (6M), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. ~ moo I - ~s-ooo Please prinf a!! information, Reviewed by Date Personal information you provide may tae used for. secondary purposes (Privacy Law, s. 15.04 (1) (m)). Prooerty Owner .._-- ._ .. ~~ ~ ~ B«-~ ~ ~S <)1~ ~ Sw 1/4 S l,~}1/4 S 3 ~ T 2..~ N R . ~ I ~ E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1-1.-19 1~6 ~ ST. - - <<0 fl-~2.~. p~c~t City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road Nov 1~tfM Lv S~oi-~ c~tS) ~~~ -3i~ 3 G~t~= _ I CTS}-~' g `' ($ New Construction Use: ~ Residential /Number of bedrooms 3 Code derived design flow rate _ u S ~ GPD ^ Replacement ^ Public or commercial -Describe: Parent material Ln (~S U V ~'2 T) l.~ Flood Plain elevation if applipble N. A , ft Genera! comments and recommendations: '~0 V IVD lti~ 6 rK "ZS r~`~,C~..t~U`Cl U~.! ~'1..Cr , 1^'111v i h LJl`~ l0 '` 01=- S'Ph~ Ft L_t_ , o-Cxf~O~,~ ~.~.9.q.p' ---_, Boring # L.1 13onng ' ®Pit Ground surface elev. ~ S •8 ft. nc+nth t~ i~m~N~~ ~.~.,~ Z~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I o _ q ld~t23lZ - sil m4-bk ~ cg 1~ .s •g 2 °i_ZG I~KyZ31~ -- S~ I wl,sbk m.'Fh ctw ~V-~ .S •~ 3 6-~2 ~S`~2 yl ~ '~.S~iz.S~g s).c ~,~gbk yyl~'~, . Z .3 Boring # r^~ Boring c~ IKI Pit Ground surface elev. ~O O . g e no.,e, ~., r,,,:+s.,., s.,..•,,. Z<i r - - ~ ----- ~~~~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soli Appligtion Rate GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 ~ 1O~t2 3 Li - s i 1 Z~'sbk aCS~- e-S 1~ •S .~' ~ °t-Zg to~231ra - sit ~~sbk ~, ~ s lv -s .8 3 S'~2 sal `F1~7.S`'l(LS1~ c t~sbk -h.`~h - , z •3 ' Effluent #1 = 8ODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = GODS < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) gnature CST Number drthur L. Wegerer ~, ~ Cpl-Z.tB ~ 220254 ~r'~ tde g e r e r Soil Testing & Design S e r vi c e Date Evaluation conducted Telephone Number 421 ~1. ~~iain St. River Falls, (JI 54022 $-Z.~~pl 715-G25-0165 ,~ Property Owner ~O lt?LJ S01V Parcel ID # ~~- Z.OO/ - ~!S-OOa Page Z- of ~ a Boring # ^ Boring ® pit Ground surface elev. q q _ .3 ft. Depth to limiting factor 3~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, •Eff#1 •Eff#Z o~q w~ta-31Z - s~~ zrn.s bk cQsh ~ s 1~ -s - S Z ~ _30 tp ~rz 31 b - s l 1 3 sblz Yn`Fr c S 1 ~~ - s • ~ ~ 3~..~ s ~.S y 2 y! y ~ ~ ~ •S~r2 s/8 c I l ~ s bk m ~~ _ • Z ~ 3 Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 a goring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Conslstence Boundary Roots GPO/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent tY2 = BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer: If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. S$D-6330 (R.6/00) ., :~ U ?~ PLOT PLAit Scale 1'=4Q' ~.w,- -co _ 3 ~~ CtwJ s. SC+~-~~- ~ ~"1L. /- •~ ti i O -f 1 a Pale 3 of 3 S Bot'ro~ of e~.~ ~t_ag.BY' `od ~b zS~ -~ << ~,~oos' ~ 1 $' Z ~ ~ W ~l..c_ ~ SO ~ ~ t~ R58 Qr"11~Z ps~'T'11N, g.1~ ~`~~~ ~ ~r eti~oo~? x t ~- ~~' ~ U ~ . ,~~1r ZS^_ ~oo1 ~ B•3 °~ Do 1~oT CO-~tPAer L~r11F ~ l ~L.4q 3 01Z D 1.3`N R.~ ~S ~~ -~= Lam- Zu6 :b:~c~ -G tiov*~9= =~T_~!~3 ~ OT A~SG_~ _S'~tr~_-_1~ , ~r CST Signature g Z~-D1 715-425-0165 220254 O~-Zla Date Telephone ITo. CST Ido. Job P10. Wiscoil~{n Department of Industry, SOIL AND SITE EVALUATION • Lat3fsr and Human Relations Page 1 of ~ .Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. /•Preliminar Site Eva 'ion Attac complete site plan on paper not less than 8 1/2 x i1 inches in size. Pian must County ~ e~`~ - ;r~~ include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # ~ .~ ~r APPLICANT INFORMATION -Please print all information. Re iewed b~ -~ k -~ i ;;,Date "" =~4 n Personal informaYron you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ;°~rt`~f ~ Z SDI Property Owner Property Location `~~ .~'`~ ~~-~~ F ''°~ ~ *"`~ ~ Kevin & Valerie Anderson Govt. Lot SW 1/4 SW 1/4~~6~~,~T 28~'~'{}~',R ~i~ W Property Owner's Mailing Address Lot # Block# Subd. Name or C :~ .i ~ t c/o Timm Excavating, 3128 20th Ave. _~ ~~ Ci Wilson, WI 54027State Zip Code Phone Number Nearest Road ( 715 ) 772-3214 ^ City ^ Village ®Town CTHW 8/Pierce St. Croix Rd (~ New Construction Use: ®Residential /Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow 450 gpd Recommended design loading rate bed, gpd/fl2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material loess Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u = Unsuitable for system ^ s x^ u ^ s ~1 u ^ s ®u ^ s p u ^ s ®u C~ s ^ u Boring # 1-7 Ground elev. ft. Depth to limiting factor 6(9) in. SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles T re t Structure Consistence Bounda Roots GPD/ft2 in. Munseil Qu. Sz. Cont. Color ex u Gr. Sz. Sh. ry Bed ,Trench 1 0-6(9 10YR 3/2 - sil 2 f sbk mvfr cs 1f/m .5 .6 2 6(9)- 6 10YR 5/4 m2p 7.SYR 4/6 sicl 0 m - P ~ .2 Sev n pit dug in all re esentative topo to ations a out open fi ld in SW c rner of 0 acre ite•' All pits acked A+4" wit mottling obvious d rectly b low A-horiz n; not sui able for an t of ystem nder current c de & county regula ions Remarks: in. rtemarlcs: :ST Name (Please Print) Signature t~ ` ~ f'~`r~~J \ Telephone No. Henry F. Grote ~-y (~.~v\ 715-665-2681 Address Date CST Number PO Box 57, Knapp, WI 54749-0057 3/26/96 3065 Wiscon~ pepartment of Industry, SOIL AND SITE EVALUATION Later and Hunian Relations Page 1 of ~ "Division of Safety and Buildings s. ILHR 83.09, WIS. Preliminary -Soils Only Attach complete site plan on paper not less than 81 x 11 a site. Ian must County include, but not limited to: vertical and horizontal reference point (BM), direction and St . Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # APPLICANT INFORMATION -Please print all information. Re iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ 12 Property Owner Property Location N 1 /2 Kevin/Valerie Anderson Govt. Lot SW f/4 SW 1/4,S 36 T 28 ,N,R 16 ~~r) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# N 8694 CTHW B City Spring Va11R~e WI Zrp Code Phone Number Eau Galle Nearest Road I 154767 I ( 715 ) 698-2916 ^ City ^ Village [~ Town CTHW B I Y~ New Construction Use: ~ Residential / Number of bedrooms Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 .trench, gpd/it2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/fl2 trench, gpd/ft2 Recommended inflltratlon surface elevation(s) ft (as referred to site plan benchmark) Additional desigNsite considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ^ S U ®S ^ U ^ S Q U ^ S C^X U ^ S ~] U ^ S ® U SOIL DESCRIPTION REPORT F~-J ~ 2vov ~ rum telQ~ `K'""`(`' Boring # __. 1 Ground elev. 98.9 ft. Depth to limiting factor 3~7 'In. Boring # ,. Ground ~be1": 2ft. Depth to limiting factor ~l •S .S- . ~' . S" ,~ HemarKS: ST Name (Please Print) 'gnature Telephone No. Henry F. Grote ~ 715-6 - ~ddrese Date CST Number PO Box 57, Knapp, WI 54749-0057 7/22/96 3065 Horizon Depth Dominant Color Mottles r T t Structure n C i t B nd R t GPD/ft2 in. Munsell Qu. Sz. Cont. Cokx ex u e Gr. Sz. Sh. ons s e ce ou ary oo s Bed ,Trench 1 0-10 10YR 3/2 - sil 2 f sbk mvfr cs 2f/m .5 ~.6 2 10-24 10YR 4/4 - sil 3 m sbk mvfr gs 1f .5 '.6 3 24-37 7.SYR 4/4 - sl 2 m sbk mvfr cs 1f .5 ,.6 w occasion 1 gr ; 4 37-46 7.SYR 4/4 f3p 7.5YR 5/8 sl 1 c sbk mfr - - .4 '.5 Remarks: 1 0-11 10YR 3/2 - sil 2 f sbk mvfr cs 1f/m 2 11-25 10YR 4/4 - sil 2 m sbk mfr s 1m .5 3 25-32 7.SYR 4/4 f2p 7.SYR 5/8 sl 1 c sbk mfr - - '.5 9 -' ~ , PROPERTY OWNER Kevin/Valerie Anderson PARCEL I.D. Boring # 3 Ground elev. 101.2 tt. Depth to limiting f~~tor ~in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor _ in. Boring # Ground elev. n. SOIL DESCRIPTION REPORT 2 ~3 Page of . ,_ . "> Horizon Depth Dominant Color Mottles T t Structure n i tenc C B da Roots 2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. s s e o ry oun Bed ,Trench 1 0-12 10YR 3/2 - sil 2 f sbk mvfr cs 1f/m .5 .6 2 12-25 10YR 4/4 - sicl 2 m sbk mfr cs 1f .4 .5 3 25-3 7.5YR 4/4 f7d 10YR 6/2 scl 1 c sbk mvfr - - .2 .3 Remarks: ~S' .~ Remarks: Horizon Depth Dominant Color Mottles Structure i t C B d Roots PD/ in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ence ons s oun ary Bed ,Trench Remarks: ~~ ~ limiting factor 'n' Remarks: SBDW-8330 (R. 08/95) „ . j .- p ~ ( (~~ ~1 '~ Q. v •.,. V 1.` .G.~ ~ ~ •,.~.W.+ - ~ ~ e ~ ~ ` e,,~ t~l'/L . S w . i w . 3 (o . Z 1~ • i c. ~ ~o....,~~ L qy r----- ... ~(~ ...~-~a(. J--O ~:,...e.,~ `o..~ (~~(~ s 1+~~+~ ~1~t,2~ ~\ n ~~~ ~a -~ t~-z '. •W'° ~ A U v 1V t S t ~~ ~°~ 9 g •`~S • e ~3 K ae~ ~, b riQ o } ~ \ ~d+~X S l~~a ~1 ou.c)~ ~l ~` 3 .~ 3 ~~- 1 MuY l[ • • .. ~' 'rI{1i1d ~i{s'4ri 1 •,.~ , ., ~,, •C A _OI f . ~ Frt~~xty ~1~ ~ :9 " ~ ~ > ~.• .Q~.~ ~~ G~J, S5~Oa2 ~ . .. ;tia-.ir~~e,sait~oui . .. -} ~::~:idoo~r Do8-cool - 9S . ,r.., 2' •.• ~ ~ PropaciyLa~adam ~~ f~. $fil ., ~~?~. o~--.~:~',~~.:~.~2~~ - ~ ~'; Tbwr. of ~~ Ga *~= ,~, .: kart !~ ,,,~,"__. ssoaaq.= ~~~f,.:. ~ i..' • ~~a.~ ~ • ~ .•~..~~•'la0__1 _ ~~~ 076 " / ;Spec h~isc ~ yss (~ aQ ~ ~-~.~~ ~:tit:,s;#~b~e i~ yes ~ a~ ,a;:' .. ' 1a~p4'gpetuse.egtsals~.t~.tD~!~'' ~~, `~iecs~oo~'~',~ ut;ics~s~:maf~saiAu~:- 6~~~:sr+_s. ~ropersvQlnsseac::e . of pa~.apba$':o~ tt~e Si~ac ~ aa'~ eed~t;~f»Fig a }icet~3 ~~. ;test uoo pt2 Ito tie sp:teta Cd~18~:C1 t5C f+tLCdOg 01' Fht septic•~4ic, ~ - ~ ' ISS' Thct~1~G:~1fpp5al a; SE's ..:: ~}iG OY1sC.3tg~DOS 4y1. ~ • ,'[,. 3•ceft~~e rQ*_ia, si~lpd i~ tnr cwsCt st3c1 '7y a ,. RP~10~~. _ ~'~ ,, pi~3tbat;tj#£:.can-sfl~:Fratordialopsatsvrte;a. ia9a pt¢~or aptta~g eood.°aandndlmr ' 'aad: {~naec~~Ay}. tie sag~io Gmk ~ i~ ~a~a 313 itzfl of sludgy. ~;. lf~rt. ffia ~wdt~ have. sra+d ~ • • ., ..•:.~ 's.,.•- ~ • ~' ~ ~'' ~d ~•~b~s,~. ~~ ^ • ~9 a~$'i~`.~,L~'~sc. P~sa'Bi,E sevrga aI s;ev~tt'7 tQe S~dacds set fattl:, ftotcir, ~ set tly. ~ ' ' ''' `'~'t'&o $orsave''s~'~ati:e+s~ Resa~ces, Ra:L ~ ~7 ~~. -$t~a ' 3tMip fit OUV•i o 6 'StesG ~ZS ~.-~ ~ a ~ ..; •-L~/9'., : t £O .~ St. Lr~~ C • .daps d#'tie thltie yatexps$tiofl d:t~s.' • :a`=` ~ ~ . -• ~ .. , t (wo; etitif~ tbat ~Ib s!sla'";~ " •,~ ase~~.~ Itt+e:iieat~ipF'at~ (aar) i~os~=ieQ~e. i !c.•~i ua (sre)13fe o4vaei(s} of t&c pr~nssy d~i!'~ad abovr, MV .r'~ittlc. ~:dt~d•'taop[d~. iii: ke~l~rr of ~ee~s O~iu. '.l: • .as..t ~Y ~tiaadoa tltas Js taasia~,h~ . '... , ~ tewtf ia'tk(e,~tyrpeatft try :evak^.d b t'tc~ •Zx-i~g IXgi~asett ~ ~•'""• ` . .e IaGtuQs 161t~i Ibis appifcatioQ: ~a • ~ ~ • •. • d~ed,nie. Rag3~. rt ~seds t~ce . ~ ~ .~aos?s~r~sgB`'i~:;u#eicsca:is~ m,~1c ~n Etc ~~rr~cly deed I ... .....,_...._.... _..... . Zd WdLb : ZT t00Z 90 'aPW ~I9b 8LL SZL 'ON Xdd QN I JN I 1t1f1t1QX8 NOS I11dW WO?J.~ /o av~ r S5U2U9 DOCUMENT NO. STATE BAR OF WISCONSIN FORM I - .1982 WARRANTY DEED YOL ~.~~~. PAGED~~ Grantee, Witnesseth, That the said Grantor, for a valuable cnnsidetation conveys to Grantee the following described real estate in St. CC'OtX County; State of Wisconsin: The Southwest ter of the Southwest Quarter (SWu of SW4) of Sect'son Thirty-six (36 Township Twenty-eight (28), Range Sixteeen (16) West. .~- ~- __ ~..-R--= -~~-a ' -~ ~ a~. ~~~ ~`_ r `, .. iitr'd #~ Recertl 'GCT i 190 ; ~~ 10:30 A. ~v ~$ ~)~ t~eplst~~caf ~~,.^ct, 15 ~ _ THIS SPACE RESERVED FOR RECORDING DATA NAM/= AtJO RETURN AUURESS I ''' fiHf f1R~T "'^.T!>'?~l.;~L BANK , fsvn t ~~ ~~ `1V,ER BALLS, WlSCO~SIlV 54022 008-2001-95 PARCEL IDk'iVTiFii:ATION NUMBER $ 7~ This 1 S not homestead property. (is) (is not} Together wf[h all and singular the hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except all easements, restrictions and rights of way of record. and will warrant and defend the same. Dated this ~~ ~ day of September ,19 96 AUTHENTICATION Signature(s) (SEAL? ~~ ~ - ~ (SEAL) * Kevif/n D, Ander~s(on_ ~/'® ~,~, (SEAL) ~ (jLd.d..0 ~ 7~ ~7L>~-~~i'Yt) (SEAL) * Valerie G. Anderson ~;~.. , ~~~ ,o,,~~~~:>t~~ >~,irr~i ~,1~CL ~,''r. s ACICNOWLG~~]T'.a1„,' '' State of Wisconsin,N~ c.; A M r ..i ~. This Deed, made between Kevin D. Anderson and Valerie G. Anderson, husband and wife and each in +hnir n~nm rirYht The Southwest Quarter of the Southwest Quarter (SW~ of SW~) of Section Thirty-six (36J, Township Twenty-eight (28), Range Sixteeen (16J West. .. ~' TN~F F(R~T h«,Ti`_?~!:r~'L, ~r1~NK ;~ fIV;~R ~=ELLS, 4VISGOCJSIN 54022 ~w_w-=~_~-__~:____ __..~___ 008-2001 ~-95 PAgCEI IDENTIFICATi01~ NUMBER $ RA~SFER Tltis i5 nOt homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and Cree and clear of encumbrances except all easements, restrictions and rights of way of record. and will warrant and defend the same. Dated this ~ ~ day of __ September ,19 96 . l ~ ` ~~~,~r..~ (SEAL) (SEAL) f {SEAL) AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR G'F ~'VIS~~NSIIti? ([f not, authorized by §706.06, Wis. Stars.) elT~'HIS INf~,-/S+T1PRUMENT WAS DRAFTED BY RLsi=R t ~. R! ~1.•~!n Il~.\/JV'1`Y Kevin D. Anderson G/~LQ~I-~ P ~~ ~~~~~~ (sEAL) Valerie G. Anderson f ,~h,.L y'~y~~". ~r~~ujuaii ril~r . ',l' sk,'` ~ {.. ,'r~ y: ~ ~ r ~I ACKNOWLIG~ 'I` ' • V- ~_ State of Wisconsin ~ ~ ~ 0 J ~' ~x =~= ~:•'~ ~ '~ ~:, ~ t Personally a before me 4h ~ ~ ~. - f[4~ ~. 19g' ,the ~bove'hamed KEVIN D. ANDE125JN AND VALtRTE"G. 19 ANDERSt~T tp me known to be the person who executed the foregoing instrument and acknowledge the same. -~~.~~ - w ~i fi ! r r a r „~ • YL/J N ..67 Attnrnp~s ~~ I ativ^.~ - ., -. ,-, Sn:^':nn vZ:::+v sue: .;; hr '! (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (It not, state expiration _d~te: ~~! ~ ~ >,.. -~ ~s ~- ik ...• ., r,r ri ii =a in -f ~ ~ ~_., __~. It--- -__. _.. _...- _.. __. _. ~! s nr...__. _ - _ ii : Nc -a.;.....p IA ../ ..avw.,.r +..vuw :ir .r1+~u vC vi i~~icu G~.vw i. t.. Sl~e.n4.u a, ,. c~r. .ixb r- zar,..^.-,x.er~i ...r .'-_ ti _~..~,.. i. ~.-. ~~ WAxRANl'Y DEED form iu. i - 1982 R!lh+vatskas, ~1Jls /' I _ ~ I1~ f" V 1 Q ~~ • ~cc .~ --F ~ Y, / ~ D lout- Z-O sc~L~ "/ V OF C.~L ~Z.., I~Z.Z ~ y 6 \ ~~ i\~ \CJ s 6 G~~ uoT ern~~ne-r o1L DI~TtiRl~ ~ -~i ~S RRl°.'A. 1 I I .5.. ~ .~ ~~ _ w_~:~ -~o---:s_E - -°r-r tics r so , ~ti.-: _~ ~~,~,~ _~?1~~ T' _U~l-:--~?F' X1:0:.:fib-~?~. :P~ i?c~z_:.:_ - 1=S .: ~. 10.0 ' -1=,~Uw1 _ -!,~UU~U D _- _.. _ - - - - ~~ ~ ~~ ---- .. _ NOTES • .. _ ~ .. -_ . 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved .ca s. 3. Septic tank to be tpop ~ 6 oo gallon capacity manufacturedrbyuired). 1NILS~IZ COdJC,ZLs~ (~1wIJUC1'g ln,/~ Zir'II~Z ~~'~LuN~IT Fl L7ZSTZ 4. $ench mark • ~-.10o_O'o-.~ 62~-pL ~T 13RSE of l~~tGGC~ S7'L~Z ST~~ • 5. Divert surface water around system to-prevent ponding at the uphill side. .J' ~/isconsin Department of Commerce February 07, 2001 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 ~~.~ :' ~^ f~ ~ ~rr~'~14~~~ ~ ~~1 K {~ Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/S B Scott McCallum, Governor Brenda J. Blanchard, Secretary ~~ ~ ~rIL~' ~~~ ~ C' ~ ` - ~~~'~~~~~ ` A7TN: POWTS Inspector `- ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL ~ PLAN APPROVAL EXPIRES: 02/07/2003 Ide fication Numbers Transactio No. 614070 Site ID .626197 S[TE: Ple refer to both identification numbers, SITE ID: 626197, Jeremy & Brenda Johnson ab in all cgrres ondence with the a ene ; St. Croix County, Town of Eau Galle SW 1l4, SW 114, S36, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: The submittal described above has been reviewed for confo nce with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDIT NALLY APPROVED. The following conditions shalt be met during construction or installation and prior too pancy or use: • This system is to be constructed and located in ordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank uent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Co onent Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). ' • In the event this soil absorption syste r any of its component parts malfunctions so as to create a health hazard, the property owner must fol the contingency plan as described in the approved plans. In addition, the owner must insure that the ope ion, maintenance and monitoring duties as described in section VIII of the mound component manual complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit mutt be tained from the county where this project is located in accordance with the requirements of Sec. 145 5 and 145.19, Wis. Stats. • Inspection of the pri~ sewage system installation is required. Arrangements for inspection shall be made with the designated coon official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approvesplans, 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. [n 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. e~ r ~n '~ '/ ` ARTHUR L WEGERER Page 2 2/7/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM j swim@commerce. state. w i. us DATE RECEIVED 02/02/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiS1~gART code: 7633 ~, s ~ ~scons-n 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/S B Scott,Mo6eHany,Govemor Brenda"S. Blan~h~rrl,~@e~tary _ _; February 07, 2001 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/07/2003 SITE: SITE ID: 626197, Jeremy & Brenda Johnson St. Croix County, Town of Eau Galle SW1/4, SW1/4, 536, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: The submittal described above has been reviewed for and Wisconsin Statutes. The submittal has been COl` be met during construction or installation and prior tq .€ =~ A7TN: POWTS Inspector r ^ ~, ,~ ZONING OFFICE ar ' ST CROIX COUNTY SPIA ,~SOI~ FF4Gt 1101 CARMICHAEL RD /~,.~r}~' HUDSON WI 54016 Identification Numbers Transaction ID No. 614070 Site ID No. 626197 Please refer to bot tification numbers, above, in all e pondence with the asencv. mce with applicable Wisconsin Administrative Codes ALLY APPROVED. The following conditions shall cy or use: • This system is to be constructed and locate accordance with the enclosed approved plans and with the "Mound Component Manual for Septic T Effluent for Private Onsite Wastewater Systems" SBD-10572-P (8.6/99) and the "Pressure Distribution mponent Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). ` ' • In the event this soil absorption sy m or any of its component parts malfunctions so as to create a health hazard, the property owner must llow the contingency plan as described in the approved plans. In addition, the owner must insure that the eration, maintenance and monitoring duties as described in section VIII of the mound component manu are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit mus a obtained from the county where this project is located in accordance with the requirements of Sec. 5.135 and 145.19, Wis. Stats. • Inspection of the vate sewage system installation is required. Arrangements for inspection shall be made with the designated c ty official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the appr ed plans, specifications and this letter shall be on-site during construction and open to inspection by au rued representatives of the Department, which may include local inspectors. All permits required by the to or the local municipality shall be obtained prior to commencement of 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. .. r~cv~St ~~t ~~ ,. y ~ ARTHUR L WEGERER Page 2 2/7/01 Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~---a-~-,_ Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM j swim@commerce. state.wi.us r DATE RECEIVED 02/02/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMAKT code: 76?3 ~. a „j TITLE SHEET FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE Page 1 of -1 This plan .has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P CCz. blg9.~ ~"tz. b14g~ LOCATED Ii~d THE S~1 /4 OF THE SW 1 /4 OF SECTION 3~ , T ZS N, R ! b W- TOWi1 OF Li9-t~ G~LL~, gT'• L-I~ULx COUNTY, WISCONSIN. INDEX • PAGE 1 o f 7 PAGE 2 0 f 7 PAGE 3 of 7 PAGE 4 o f 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE SHEET SYSTEti 2IAI~TAGEi~ENT PLAN PLOT PLAN PLAN VIEZl-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUI.4PING CHAP~4BER CROSS SECTION PUrIP PERFORMANCE CURVE PREPARED FOR l ~,.~ q 1~ b `~+ srTz~ wC~w RT~~-~UJ~D, 1.v1, 5~1.0l7__.__ ,~~ PREPARED BY ~~ ~~ ~~~~ ~~ ~B` ~°~~ O~~ WEGEE~ER SOIL .TEST = NG /~ AND . ~ - DES = GN S1ER~1 I CE ~ P.O. Box- 74 421 Id.ifain St. River Falls, LdI 54022 Phone 715-425-0165 Fax 715-425-6864 C9 P•~•. . w'~nalty Conditio D ~A ~ov~~E p ~ ' S pF COMMER 1~~ ~EPARS~E~ q ~~~ ` gNtis-oN F SAF S PENCE C~~~EE GORftE JOB N0. ~- ~~' ~~~~~.~y~~~~~ ~ ~-4. ~~ ann:;~e L Yr F;+EFt.iN tysr'S f' n ELLJ4`.~'JH'iH. ~ 3.•01 o l_Zo Mound System Management Plan page Z of ~ 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, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte shall be cleaned as necessary to ensure proper ooerati n_ The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter 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 flaws 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 Gme of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. _Pumo Tank - The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at feast once every 18 months. When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 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, 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 immediately repaired or replaced with a component of the same or equal performance. If the mound component faits to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system Into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at 1.LS-386.~6~0 ST. ~lzUlx -The system .installer iSlR ,;~ `` The tank manufacturer at ~pp_3ZS_ $~lSb t. W1~'3LsR The effluent, filter manufacturer at SOp- ZZI - 574 Z Zl°r~t; t; The pump manufacturer at OtJ-- q?-8---t-'-b1gp- __-- ----_---~o~C`~,~__--------L----- • •~ i Q p ~ F- 1 .~ ~ ~ ~ 1 I Page 3 of ~ ~ s ~~ :s' r~o x~oT e~~~r~-T i ~• pcc b lsTv -z \3 \ ~ ~ ~s tttz.~A, -fib of ~~- ~, I~Z.Z ~ .~ ~- -T9~ . ~T SST _ 2.S ' F~ZUH ~fta/1zS __-=?~L~r.-L.Ih1l-=_~F !lo Pte-1~.__..P~?~~~Z_-- NOTES • ..._ . 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be ~Oo0~6oo gallon capacity manufactured by 1N1~SNlZ C4aJ~,Z,I~ I~Ru4~c~'S iN/ Zfri3~Z ~T~LU~7vT F1 ~n~ 4. $ench mark • LsL.lOo_o ' o-.~ G2ft-pL ~T 3flSE of f=L~GG~ S1-L~Z, STf~-ham , ~. Divert surface water around system to~prevent ponding at the uphill side. Ur.nm vr.n~.T Scale 1 "_ ~) p S1'}t~j • ~ ' ` s .'r .~ Approved Synthetic Covering` AST! C33 Medium. Sand Topsoil ~'" t -~~ 4C 3 _ Page ~ Of ~ Distribution Fipe G F Elev. )02. D •_ .. - ., b ~ 1 ~~2 % Slope • Distribution Cell of Force Mbin 2" to 2 2" Aggregate From Pump CROSS SECTION OF A MOUND STEM Linear Loading Rate= b .o GPD/LN FT Design Loading Rate=p.3.GPD/SQ FT ~e Pos i ti.on of Force Main ., L B A ~ J ------ ---- __~6 $ _ w •~_ - -- - --. A Ft. B ~ 5 Ft. L ~ Ft. J ~ Ft. K to Ft. L °IS Ft. W Z(o Ft. Plowed Layer D ~•~ Ft. E ~.6q Ft. 'Fo.B Ft. 6 0.5 Ft. ~; 1. ~ Ft . ~• -Observation Pipe I -_ ~-(- -- - ---~ ~ eo ~s --------- ----- ~-a -~---- Distribution ~--Cell of 2" to 2~" Pipe ~ aggregate Observation' Pipe ~ • (Anchor securely) • ~ PLAN VIET~ OF A MOUND SYSTEI4 , < ., ', ' ,. ~, Distribution Pipe Layout M~~~~ Place the holes at the bottom of the distribution pipes . at equal spacing. ~temove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Ion; turn or 4~ ° fitting to a point within six ~~ inches of the final grade. Terminate the ends of the laterals with a valve,:threaded cap or • threaded plug. Provide access from final grade for the valve; threaded can or threaded plug. " . ,-',. T~ . t~ Lt~-N ` o- _ ~ P o:- -- P 37 Ft. S ~. Ft. . ~X Z~ Inches • e ~=ocZC~ r,t~w Page S of 7 ~ ~~ s~~ - -~ Hole Diameter 316 Inch~~ ~-~"~ Lateral ~) 1~y . InchEes) Manifoid ~- Inches Force Main " ~~ Inches - . ~. # of holes/pipe 19 - . Invert Elevation of.Latera1s10Z•7 Ft. ss' ~ "- ~ -•-•---•----••- " ~- ~ _ ~ ~~ - Combination Sept,3.c~ Tank and w - ~ ~ PLI~MP CHAMBER CRO55 SECTIOIJ AND SPECIFICATIONS ' = PAGE 6 .OF 7. •- - • 'VEiJT CAP ~~- WEATN£R PROOF JUIJCTIOL! 90X . ti C.Z. VEIJT PIPC ~ oIPPROVED LOCKIIJG ~ lO' FROM DOOR, MAIJHOLE COVER wl~{ :ilA1DOW OR FRCSH ~ 1.uA(iN1uG l.Pt6EC.. w rh ~a~~rnp ~ /+rR ttJTIIKE t ~ cor.,Cutr I . L w.' ~ ... .. ~ I ' Ft iei tgl}© ~ ~ E3Z' l 0 3 S .~ I I ~f' HIA.l. G!~DE ~ ~. 18'/rll~l. 1 ~-- _________ 18'KIAI. - ' Z.:~ --'--- ---- `~~ `• . .. - -- ~ - ~ 1' 1 i-~ PROVIDE I IAILET c~,•, ~ ----- '' -j' Ats;TtL1iT SEAL I I (~ • :"' II S lapF~~S I I Approved Z~~- `~~~ "A I III Approved Joint w/ I III Joint w/ ALtiRM PVC pipe . PVC pipe _ ~I tl a 1 I I ou c •i 1 LLE1r.~1~.01 Z fT ( . UKP ~ --~ OFF COUCRETE . ~N~ ' O! y _ 0 p ~ ~ DLOCK ~: RISER EXIT PERMIT•EO OtJLy IF TA MAIJUFAGTURCR HAS SUCF{ APPROVAL~3NAD~~t~ B6p0 t N~ SEPTIC E ~ SPECI ICATIOIJS _ DOSC TA1JK MA-JUFACTUiZCR:w~~ ~ ~~ IJUMBEA OF DOSES: ~- SS PER ~~ TA1JK SIZC: 1000 ~ 6C)U LLOtJ5 DOSE VOLUME r ALARr1 MAUUFACTURCR: S J ~ ~ S'-!S`~~S IIUCLUD1uG 6ACKfLOW: 100• to GALLON: MODEL IJUMBER: 1'~! 1`~w CAPACITIES: A- ~ S 301.-1 UJCHCS OR GALLOyS SWITCH TyPC: ~~~~ Z * 33. S 8 = _ INCHES OR G~LLOIJS PUMP MAIJUFACTURCR: Z-d ~- Z. CO , C= 6 IUCtiES OR 1pU' ~ GALLOIlS MODEL IJUM9ER:. ~ g R- •~ - D= 10 it~HE~S 'OR ~ ~~' ~' GALt.01J5 SWITCH TYPE: IJOTE: PUMP AUD ALARM ARE TO t5E MItJiMUM DISCHARGE -R E Ste- « GpM INSTAlLEO OA] SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWCEU UMP OFF AuO..DiSTRIBUTiOtJ PIPE..?'~~ FEET -!- Ktt.11MUM 1JETWORK SUP y PRESSURE . ; ~ ... ~ , 3-ZS'FE.ET ~Z..Sx~-3~ ~- ~_ FEET OF FORCE MAttJ X 5'O~F~oFt,FRICTIOU FAGTOR.,a' S0 FEET TOTAL Oy1JAMIC HERO =- ~' S3 •FEET 4 • As per Manufacturer l ~•~ 6 gal/in. Liquid depth 3 (; ~ ~ ~ HEAD CAPACITY CURVE ~3 ~/8-~ ~ MODEL "98" 8 = 6 U a 1 ~ 4 0 F.. 1 11.53 50 0 LfTERS • Electrical altemators, for du le supplied with an alarm. • Mechanical altemators, for or without alarm switches. S+anrlarrt all mnrlals 98 Series Model Volts-Ph Mode M98 115 1 Auto N98 115 1 Non D98 230 1 Auto E98 230 1 Non ForinfonnatfononadditanalZoellerproductsrefertocatalogonCom inationStaner,FM0514;Piggyback Variable Level Switches, FM0477; Electrical Aftemator, FM0486; Mechanical Alternator, FM0495;Sump/ Sewage Basins, FM0487; and Single Phase Simplex Pump ControUAlann Systems, FM0732. 10 201 30 401 50 80 160 FLOW PER MINUTE CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 _ `~ ~ ~ .~/'J >° Louisville. KY 40256-0347 ~ Manufacturers of. . ~O ` ~ ;(" %~ SHIP T0: 3649 Cane Run Road ,,, ~ ~ Louisville, KY 40211.1961 QvrurrPauvsS,vcE /9.99 /PUMP ~~ (502) 778.2731.1(8AD) 928-PUMP ~,. ,, - FAX (501) 774624 '' :~' ', %~.~ r.. .t TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTAND DEWATERING CAPACRY HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 20 6.10 25 95 Lock Valve 23' 60 70 80 ~ 240 12 p pC-gl. ~ 0 t= 6 1/4 ~- F 4 5/8 -~{ ® ~J\ 3 5/8 ® I, v O ~ 1 4 3/16 1 1/2-11 1/2 NPT 4 3/16 _ __ -~ ~l_/ SK1102 CONSULT FACTO FOR SPECIAL APPLICATIONS Alex systems, are availa and Variable level float switches are available for controlling sing and three phase systems. duplex systems, are av table with Double piggyback variable level float switches are available for variable level long cycle controls. i ~; SELECTION GUIDE ~ 1. Integral float operated 2 pole mechanical switch, no external control required. - Wei ht 39 lbs. - /: H.P. 2. Single piggyback variable level float switch or double piggyback variable level, Contro Selection float switch. Refer to FM0477. Am Sim lex Du lex 3. Mechanical alternator 10-0072 or 10-0075. 9.4 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator, E-Pak. 9.4 2 or 2 8 6 3 or 4 & 5 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 4.7 1 or 1 & - 6. Four (4) hole J-Pak, junction box, for watertight connection or wired-in 4.7 2 or 2 & 3 or 4 & 5 simplex or duplex operation, 10-0002. 7. Two (2) hole J-Pak, for watertight connection or splice.