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010-1078-60-000
/* ~'O0f`~" Oe~'t"'~a °e PRIVATE SEWAGE SYSTEM ~ eu~os ~~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Pwsortsl kttormarion you provide may be used for seoardary purposes [Privacy law, x15.04 (lxm)I. \•k~v~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~ ~ w ~ ~. cx~o ~ Dosing ~~ •-- Aeration . Holding ~ • TANK SETBACK INFORMATION TANK TO P/L WELL BLpG, Ventto Air retake ROAD septic > ~- S ' ~ 3 ~ ' -- NA ~~ a ~~ ~ t 3 I NA Aeration NA Holding PUMP/SIPHONINFORMATION Manufacturer `L ~ Demand Model Number S~e~ Q ~° GPM TOH Lift \b-~~ Friction3, ~ S em 3 ~ TOH 23~`aO Ft F'orcemain Length Dia. 2 U Dirt. To We lA~~ AQtA~~Ttf~~~ ~J/CTC11A ou~ty: Sanitary Permit No to P n No ZS :. T~«r. io.sE rc Tax NO.: FI FVeT10N DATA 3 • Z( 3~, ~• ~~ r y77.C3 STATION BS HI FS ELEV. Benchmark 3 `z~'' . 3 r ~ ~, r Bldg. Sewer ~ 8 . l b g3- ~ g St/Ht Inlet ~`~-?~ f~ -g2. f~21 St / Ht Outlet Ot Inlet ---~ of Bottom 22 ~q• 03 Header/Man. s~ ~b•3i9' Dist. Pipe s•.~ 3'•~-o S' S~ `~fo -30' Bot. System $-, o ~ S• D $ ~~ - Final Grade 13•~b~ g$'.i~$ ~ ~~ (.81~ ~0(8"~3 l~ . ~. id Depth Width ~ le - z ( N PIT SYSTEM TO P/L WELL tAKE/STR O.Of Pits Mside Dia. u n adurer: M r N NFORMATION ype System: nBQ. ~v ~ OR UNIT : um M e DISTRIBUTION SYSTEM l--~y,b ~• ~' = ~'°~'+" • He r / Mani o y Distribution Pipes rr r x H e Size x Hole Spacing Vent To Air Intake ~ cr ...-,-~ .. (,mgth oZ • s ~ Dia. ~' length ~ ra. ~ Spacing ~• S ~1 k SAIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes Q No ^ Yes Q No w n l~ 6 l COMMENTS: (Include code discrepancies, persons present, etc.) ~^r t T ~ `°/ Inspection #1: / Ig/ ~( Inspection #2: -t-t-' Location: 1240 230th Street, E erald, WI 54012 (NE 1/4 SE 1/4 32 T30N R16W) - 3230164776 1.) Alt BM Description = ~~'~• 2.) Bldg sewer length = 3"~- u -amount of cover =w-u (oc~ ~" `~Z aS~" ~ t ' ~~ 3.) contour = ati. 50'~ s~e~" ~' ~• ~'l •~''~ i to3. u Plan revlSion required? ^ Yes ~No O~ 19 ~ ~ ~/~~~ ~~ si a for addi ' ormation. ~~ 10 ~ `~ ~ ~ Date Inspectors Signature Cert•~. ~~ S~ lt^x+c vu~' CAS''-~'N-`~C o.~ a^csP2c~6r+ ~~ . 2~ f 0 2?jD Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. ~' '" ~' ~ See reverse side for instructions for completing this application PO Box 7302 W 7302 ' '' Uuriartntaa~r ~f Gamm~rcQ Personal infonnation you provide may be used for second ~ R ~> [Privacy Law s 15 04(1)(m)] - s ~ Madison, I 53707- Submit com leted form to coun tf not ( P h' , . . _ `;'~ ~.---.~..,~, s state owned. Attach com lete Tans (to the coun co only) for the s stem, of less an 8 =H xX 'nches in size. County State it Number ^ Check if revisi vious 1' n tat . Nu ber S ~ ~ 'l ~ I. A lication Information -Please Print all Information cati~6lfc Property Owner Name ` ~ ,~ ~ 1"' ~ p,rP~ . ~ ~ - I° !1 a 'on ! t ~ ny ~ . S r4 w S C' C rt O~ ' } 1/4f ~ . 1/4, S~ T I~,N, ROE o /(/ Property Owner's Mailing Address ~ ~Q;~yN'jy Lot Nryltber Block Number ~R S ' try ZONING ~ City, State Zip Code Phone Number C ' i ion Name or CSM Number II. Type of Building: (check one) ws s ~ ~ 3 ^ City ^ Villa e aM.S. 1 or 2 Family Dwelling - No. of Bedrooms : . h9~r.~-Q 7 ~ g dSfTown of --_ ^ Public/Commercial (describe use):_ State-Owned ~- ~, ~O Nearest Road ,~ o sr ~ 1 U u ' ',, A f) s D - ~. ~"~ ~ 9 V V `~Mr~. ~ t X~ ~• Z Pazcel Tax Number(s)O, / ~~ /4 7_ O- III. T e of Permit: Check onl one box online A. Check box on line B if a licable , 3 0 ,~ 6 7 8 A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to S stem S stem Tank Onl Existin S stem B) Permit Number Date Issued ^ A Sanita Pennit was reviousl issued IV. Type of POWT System: (Check all that apply) ~ w -t ^ Non-pressurized In-ground (Mound ^ Sand Filter ^ Constructed Wetland ,Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- ade ^ Aerobic Treatment Unit ^ Recirculatin ^ Other: V. Dis ersal/Treatment Area Information: I .Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation y~~~ ~ ~~ .~ , s .~ ~~~ as ~. 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 _ l °`' n ~ ~ ^ ^ ^ ^ 000 0 d o I ~ / ^ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersi ed, assume res onsibili for installation of the P WTS shown on the attached Tans. Plumber's Name (print) Plumbe Sign re no - ~ MP/MPRS No. Business Phone Number r~ o ~- s ----~ o ~s a _~ s- ~~3a Plumber's Address ( et, City State, Zip Code) l ~ ~~D s G /~ l/LJ ~ S IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ing Agent Signature (No stamps) Approved ^ Owner Given Initial Adverse Surc a Fee) ~ ~ ~~ e ~ `` ~ ` DetOnninafion • „ ~ .Q ~ ) X.^Coened~itions- A ~f~proval /Reaso~f~Di~seaJpproval: ~~ ~ ' n ~ ~ n ,^ - ~~/ *~ ~ ~`` _ ~~ ~ I~J14.0-EL 1~X~~{ F- T_~xy~' Ci ~ 1/ ~~ ~-'c-~'M4~ „ S 6~t ~ 'C ~6~~ c9nti '~, A- s~ --~ -b ~- ~.~. SBD-6398 R09/00 ~----' ~ ,,,e~.~, ww.e,~o~-~~1,t.S . vu 700 0 ..~^ P g fr p n -~ ~ ~- P 1~' m ~°~ d r ~ ~1a,A F a ~~ Z -F t ~~ ~~ ~~ ° ~~ ~~ ~ v f `V 0 6- ~~S r /' • O ~.~ Ir / .fl z~ ~~ ~ r /~\( °~ _ ~/// /w• S ~ ~j' ~^~ {~ __ / ~ t / . ~ \ O ~ l/~ ~PPj x ~/ Y N V~ ~ S ~„/~ ~ • r y~ ~ ~ k y ~- ~ - _ -~ n N o 1 N v ` v. o E r i `6 o ~. J f 6 Z ° ~/' ~~ r --~ ~ ~ N c' r b --~ ~~~ ~ - ~- ~~ g -- ~~ f ~~ s . f °~ ~ ~ ~ ~_~ f r fi l~ ~ C /l ~ f '~ q ~ ~1 Q~ ~ ~ ~ Y r ~ ~~,^ 0 Y ~ ~ ~ ~ ~~^^ ~ /t 0" `/ V ~, JV N A r.~r N ~/r /,' o. s s ,.r 1 L 0 ~{" l t I /~ J rQ ~ i f /' S ~~ rl ~- 3 N g ~ ~~ ~~ Wisconsin gepartment of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Bureau df Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and ~r ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # Page ~ of APPLICANT INFORMATION -Please print al q~r>)a i ~ Personal information you provide may be used for secondary rp~~ Cyt~,~s`~~^5~ t) (m)). R viewed by Date ~ ~~ Z6 ~ I Property Owner '` ~` j` : ix ~~'~r ~ ~~ ,' ~z ~~~~ F¢p rty Location _ ~~ of N~-' 1/4 SL 1l4,S ,3~ T~~ ,N,R < (O ~r)CJ Property Owner's Mailing Ad ress ; !,^,, Lo '#=r ~ ~~ Block# Subd. Name or CSM# City State Zip Code ~_ ~t?~on~~Nut~~•{f ;,~ '°^:at ~u ~ ~~~ i.M/~i S3`os~3 ~(:~`S'~~~.yI1~/~i ~C}4y ^ Village ® Town Nearest Road ',i ~.,~o _, ~,~/ I ~3n'`~ S~- (~ New Construction Use: ~ Residential / Nr~o sb~drobrr~s ~~ Addition to existing building ~__...-- ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~,~ gpd Recommended design loading rate - ,~` bed, gpd/ft2 ~ ~ trench, gpd/ft2 Absorption area required ~~S bed, ft2 .37~trench. ft2 Maximum design loading rate . Y bed, gpd/ft2 - S^ trench, gpd/ft2 Recommended infiltration surface elevation(s) ~(~• S`c~ ~ ft (as referred to site plan benchmark) Additional design/site considerations Parent material __ _ _ t~ ~rc.Cid.-/ ~~, ~ ~ Flood plain elevation, if applicable _~j/i~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill 'Holding Tank U = Unsuitable for system ^ S ®U LA'S ^ U ^ S (~ U ^ S (~ U ^ S ~ U ^ S ~ U SOIL DESCRIPTION REPORT Boring # C Ground elev. ~~ft. Depth to limiting factor ~~in. Boring # Ground Aiav .t. ~~ ?3 Depth to limiting Horizon Depth Dominant Color Mottles T t Structure i t C B d Ro ts GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ons s ence oun ary o Bed ,Trench ? 3% 7, S ~ ~/~5~ G?0 "7's'y a s- l S'~ ~/~ h'1 'r~i i.1 Remarks: ~ 7-60 7~S e,/~ .?f s~sys~r ..SGT ~~r /1/P ~ .,,~. rector a7 n. Remarks: T Name (Please Print) Signature Telephone No. ~icm J'~ ~ pis) S-z19~ Address Date CST Number S~~ ~ ~Ce>! ~/,P ~ rr~.'~ S~a~•t. car cam. G, /j, S~i/oa s' ~'-- 3--~ ~' a a ~ ya .~ . 5~ .~ .~ `~ ,~ PROPERTY OWNER /tCi,LtSG~ nd ~"" SOIL DESCRIPTION REPORT Page t~ <of PARCEL LD.# Boring # Ground elev. ~. Depth to limiting factor o~~in. Boring # Ground e ev. s,~ Depth to limiting factor m. Boring # Ground elev. ~~3ft. Depth to limiting factor ~n. Boring # Ground ev. ,3~'ft. Depth to limiting factor ~in. Remarks: SBD-8330 (R. 07/96) Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ~ Trench ©- 0 2-3/3 - - :'L ~~ ~Y- ~ .S'_ . y ~ ~ ~-:~ /y ca ~r s-y2s~~ s~~ ~ ~,' w ~ _ s : a Remarks: a o~.6 /o r/ - L ,.., ~ ~w ~ .S ~ 6-~a , s- ~/6 ,~,. !c a~s~ ~ w /~ . S~~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft~ in. Mu ns ell Qu. Sz. Cont. Color Gr . S z. Sh. ry Bed ~ Trench /Rd y /~ /) / P (~ ~/ -~L36' ~.J ~ c'a0 s-~y~ .~ sC f~/~/1 r~ - ~~,- r,~ -- ~3 „ ` S". -~y rS- R-~~~ /y1 3P 7.S't'i~s/6 ~~~~ ~ n Wile-' _ •~.. Remarks: a ©-~o /© ,r;s ~ wr.~P ', sy,e s/8 L M m ~ C c/ J ~ . 3 ' _ ~/' 3 ~ ~ ' ~ "~ ~ i36 ~ ` ao-36 S f ,e ,/ ~ i i. .e S ©i 1 ~ ~- r w • 3 ~ .. ~ y Y ~ 10 /`, ( "~ i J Ie / r '/ yy 7 / % l ~ 7~ `~j /Z 5~~6 <^~ / (, ~M. J D /L ` _ /' ` ~'~` ~.- ( ~ ~ .. J •s .~ •3 .~; . s" .~ t ~ , SOIL DESCRIPTION REPORT PF.OPERTYOWNER Q-L~S~~ v-A7~'~ Page o? of PARCEL LD.# Boring # 3 Ground elev. Depth to limiting factor iin. Boring # Ground e~~ Depth to limiting factor p2~J in. Boring # s' Ground e?~lev. Gb;b'3ft. Depth to limiting factor Lin. Boring # 6 Ground ev. ,3~'ft. Depth to limiting factor L in. Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trenc ~ ~ i o 6 L ~ / w,~~ cw i~ sr S` 9s S /~ 3P 's''fg L m~ /~/ Remarks: 3 6-~a , s- X1/6 ~-~-- ,ti, !c a~s~ w /~ ~ . o ~ ~.:-yiu- - ; - S Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed , Tren Remarks: a? o-a /o ,~s ,~ .~P ~, sy,e s-8 L /~ ~ ~ C ~/ 1 ~ - 3 : _ S 3 atr36 ~S ~ ~/~ ~i3r° '"~~'~%6 SC. ©~I r-, ~ w . 3 ; _ Vh S6~ /~~~/` • Remarks: SBD-8330 (R. 07/96) PROPEiiTY aiNNER ~itc~SG ~' r~o ~ SOIL DESCRIPTION REPORT PARCEL I.D.# Baring # Ground ev. ft. Depth to limiting factor ~_in. Boring # g Ground elev. ~iLft. Depth to limiting factor ~_in. Boring # Page ~L of Horizon Depth Dominant Color Motties Structure R t 2 in. Munsell Qu. Sz. Cont, Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench 3 6- ~~sR ~ s~ ~sd~ -~~ w l~' s" o ~ -S// - 2 ~/~ y-'J.~P ~,syt y d .S`C. ,..., s 6 ~ ~ ~i ~ rrJ . fr ~ ,s- ' ~ ~ ~' mod' '~ - P s S~/-S 6 ~ ~i vrr3p ' %' $c ~. Q/r~l i- 1^~ ; _ . Remarks: Remarks: Horizon Depth Dominant Coior Mottles Structure i B d R t in. Munselt Qu. Sz. Cont. Color Texture Gr. Sz. Sh. stence Cons oun ary oo s . Bed , Trench Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. 4t. Depth to limiting factor in. Remarks: Remarks: S8D-8330 {A. 07!96} ~ ~ ~scons~n Department of Commerce March 16, 2001 CUST ID No.225094 MICHAEL P ROGERS N4563 320TH ST MENOMONIE WI 54751 ATTN: POWTS Inspector Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. commerce.state.wi. us/S B Scott McCallum, Governor Brenda J. Blanchard, Secretary ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/16/2003 Identification Numbers Transaction ID No. 628769 Site ID No. 627327 SITE: Please refer to both identification numbers, SITE ID: 627327, SCOTT RAUSCHNOT above, in all comes ondence with the a enc . ST CROIX COUNTY, TOWN OF EMERALD; 230TH ST NE1/4, SE1/4, S32, T30N, R16W FOR: OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 784458 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-1061-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/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 component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • The maintenance plan for this system must be given to the owner of the POWTS. Sue Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. ~.~ •' C'~~~c~it~~ ~:~''~ ~~ e,s. Rz. ~r~f c F SAFEI ~tV~ ' ~----' ~~~- "- IvIICHAEL P ROGERS Page 2 3/16/01 • Deep and thorough chisel plowing must be done to the absorption area to break up any compaction or platy structure which may exist. • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • The management plan /users manual must contain maintenance of the soil absorption cell (i.e. what activities may or may not take place on and around the mound system, including traffic, plantings, etc). Amend your plan and provide this information to the owner. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Insulate building sewer per COMM 82.30(11)(c). • The elevation at Boring 2 is 93.73 per the CST. The soil test that is filed with the county shall be corrected. 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--=.._ _.. f PATRICIA L SHANDORF POWTS PLAN REVIEWER ,INTEGRATED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMNIERCE. STATE. W LUS cc: THOMAS J SCHMITT SCOTT RAUSCHNOT DATE RECEIVED 03/14/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ,, 4 . . Scott Rauschnot -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (O1/O1) Pressure Distribution, SBD-10706-P (O1/O1) Location: NE 1/4, SE 1/4, Sec. 32, T 30 N, R 16 W Town: Emerald County: St. Croix Date: Mazch 6, 2001 Owner: Scott Rauschnot Address: 16610 15th St., S. Lakeland, MN 55043 Plumber: Mike Rogers - ~ ~~~ '''" _,.. Signature: License # MP 225094 Attachments: 6748-Plan Approval Application SBD-8330 page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management .. ~;~~~i~y ,A~ ...: c ...,E-,~,.,,,- ~a~~~9 page 1 of 8 Design Criteria L'S Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mglL < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL ~~ Treated Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back 2 b• t Lateral length 2- @ g ~ •~ Lateral elevation Q l~.~s~ Lateral hole size ~~~~- in. @ (moo- o 1 ~ holes/lateral 3 g Lateral volume ~ b•~ to Total lateral discharge rate Za, lo~ Elevation difference Z ~- • ~ Friction loss S •~ ~ Total dynamic head 3 z , s ~ Pump/s1~on 4 ~' gpm @ 3 ~~ Manufacturer ~'~ ° ~--~_ Dose volume 1 0 ~ Lift/si~on tank ~ ~~ ~~~ ~ `~ ~~ ~ ~o -l~s~ Septic tank ~ ~ ' ` Effluent filter ~ A- ~ -t ~ Measurement pump on and off ~ • ~ Height alarm from tank bottom ~ ~ ~~' Reserve capacity Oro 1 -~- specs.calcs . o m. gallons ft. of ~ `~ Z in. ft. @ bottom of lateral in. ( 5 • o ft.) Spacing holes total gallons ~ gallons/minute @ ~ ' ~ ft. head ft. ft. @ 3 c' gallons/minute ft. ft. of head Model # S ~~'~ ~ ~ gallons ~~~ gallons ~ `?`~'° gallons in. tn. gallons Page Z of Design Calculations ~ ~ ~ t gallons/sq. ft. per day >- 2~ in. ? to ~ in. t ~ 8 ft. of 2 in. 2.~ ft f Z d ~ (~( 1 I ~, ~ J ~~ f W r~ ~~ f r .~ 0 r d j d J c/~ J -N ~ 1~ M N n fl ~~.! • J ~ ~ f ~ ~ N ~s ~ ~- c ~ ~ ~ ' ~- -~ a ~ t ~' s ~~ S ~~ .f ~~,. ,,~ ~~ ~`~ ~ 3 p /l ~~ n c! .~g;~ ., _ J~ '°- k J Q i ~, s l~~~J N ~ /~ X ! ~ \ R ~~ ~ ~ ~ / ~ ~ S ~Q -- J 9+~ ~~~, ~ ~ ~~ 3 Y ~ ~' , ~~ .... ~~- ~ `"'J ~~ ~ J ~ Z- S ~ `~ ~ t u P~` ~ ~ o ~v~, I / ~ tP i~ ~ iV nr ~ ~ ~, ~ ~~ 3 J p ~~ V p~ ~, ~.~ J ~ ~J ~ ~ 3 ~~ ~ s ,~ _ "~ ~ ,~ ~M ~ ~ ~ ~~ d ~~ ~ ~~ ~ J" ~ 0 0 ~~ a ~I ~; 5 s~4~, c~osi ~ 5..~~-;o,~ --a-- ., .. 1~Z • •~+1 ~ L w e-s~s.~ ~ ~ ~.v X aX s i .. ~ ~ o p t ~ ~, .v . 9 (0 2 ~' / 1 Atir-~ o , 1 / , r c.-S 3 w-s~ \ c , l~y~ ~ 7 1 ~ v... ~y„,vV _ Z ~ s.v mow.. q S' .,' ~~~ 2 .S~ r~ ~.ct.' ~S~~o' r ~{ r ~.~ 3 . __ _ 22.E ~. _ _ ~r~~~~ e..w~,s•~.~a~s.~ t (` C9~~~ ~3, i ' ._ , ~ ~ ~ o _, P 1 0.M ~ i o. ~.,. ~~ ~5' -~ Q t.2r1 z.~' ~.,<Y ~ 1 li-\ S -il ~~ ~~' ~- I1, ~ ` Q."g1 X11.2' 4.g' 1\0.~ O'. 4' ?VC_ ~~ ~ 01. ta.r`v.'Ft... ...a1lS T. b. X1'0.., i t.~~ ~~ ~1~ 1 1 L~-O MV1 111T0 ~~T O~'~`S ~ ~~• •M,.~ l Z•' ' ./. .~~ ((~~~ o . ~ , 11 (~ ( /~ ~4Y h~w~1 "r/ .~~v L/J(. ~ L4.~ 1"O CSK~ ~vOGA. ~" ' ~~ ~~ `~ u (~o.p„ o. ~1 ) ~ O r ~IIIn ~ C` ~ O r 1 ~-~C RJv R~.~~ fir. ~ 0~ O ~ 1 i ~ f..s ~ - "t (` X38 ~ o.-~ ~ ~ = z~, ~~-' .~ ~o~..l ~:~ ~w ~ 3-~~' ~~ ~ ~ > a~ ~ ~~~ s ~~ ~ 1 • ~ ~o n.~~ t-L4CKING~COV~R •~,r.,~,u,w~ ,c ABED . WVICK p1~~~VSGT--'\ ~~ ----~ ~'+ Pvc ,.~ '7T PIPE 3' t1 p NpIbTuA8r:0 Sol ~ i~ r ~pWc~vtQ SKI=T 3OMJ ~. Dt/G rwECTIONS C l.ev ~ ~ ~ ~~ u~v. b„ ~-- o.. > 4'' . ~ r,~r~n 24u I.D. MgHy01E ..... •\ I A \ a C D U(/TL~Y I ,~. 7 3,~ BAFFLES i+ \ T ~v : h O w't~ v T Ot F ~„ ON_- ~,, ~„ WEATHERPROOF JUNCTION 8ooc ~~wcca H U.L ~$"I PuKP CO~/tJtF'rc bcoCK I~~ n~,~~;~ ~ 4~ 40 YENT --~ k q 4" P~ s~~ 40 3' ono uK~-:.zUte. GcouKo ~`°'a • 1~ ~`j,~ sEPTIc E _ SPEGIFI GATIOtJS DOSC M~,dl w.~t ~r~-~~ s . ~~ TA-J..S MAIJUFAGTURCR: IJUMDER OF DOSfS: PEK D~~ TI-1JK SIZC:: ~ ~~ `iO~ GAL,LOUS • ,DOSC VOLUME ~~q ALARr'1 M/WiJFACTUR,CR: S `~ ~~~ `'-~'~~ IAlCLU011JG OACKPLOW: (,Al.l ONS MODCL 1JU{hbCR: • ~ ° 1 ~'4 ``~ CAPACITIES A=~'3~~0 WCHCS OR ~1' ~" W~LOuS SWITCH TyPLt ~y~` ~'`~O ~~, e = Z ~ucMfs oa 3 4 GALLONS PUMP MAWUFAGTURCR: '"""~ ~ C • b'~ iuL ES 1~ :fir MODEL -JUMDCR: 4a~ S"'b M OR G~~~ou5 ~cZ D~ ~ SWITCH TaPC: ~~"`Y `~' IN~NE~OR G~l~ONS ATE: PUMP AWD ALARM ARC TO Df M11JIM1UM DISCHARGE RATE~_~/M INSTAILEO OAJ SEP~R~rC CII(CUiT~ VORTICAL DIFFCR[1JCf CETWiCU PUMP Off AAlO OISTRI~UTIOAJ PIPE.. 2~ FECT + MIu1MUM uETWORK SUPPLY PREis;URE .. . ~ ~ ~ 3'S FCCT ~ _ + ~5~ FEET OF FORCt MAIIJ X 1_ q~~~o~fFRICTIOU FACTOR. ~'o~ fEET ~ ~~ "' TOTAL Dy-JAMIC HEAP FEET IIJTERIJAE. OIME-JSIOIJi OP TA1JK: LE-JbTN _ ;W;oTH .....~..r; LIQUID DEPT H • / t'a~.~ 6 ~ ~ g Pump Chdractoristics -o /Motor Unit Subeaslhie Alaeuol Medals SO M1 M2 M3 M/ MI5 Arteesetit Molds AI d2 Mor» wu 1 2 Full Lead A s IS.O 7.6/7.1 3.Z 1.1 1.b 1.2 Motor T Ce dtor itvrt 3 8 R.PJM. 3450 Phase 1 e 3 e Vohe a 115 2 08.230 208.2]0 ~6A 57S Mensrol Motel (100 M2 M3 M4 M6 au~ temotls Mod01s A2 - Hr e+se~ew+r 1 Full lead Am s t s.-; tar e.e/s.o 2.t 1.9 i Mote t Co edte+ Start 3 9 APM 3110 F'lrnu i 0 _ - 3 0 Yvlt e 408-230 208.330 i60 575 Men: 10 Te er>lrtre 140' F Max flux iew . NGAA Oesi n l t Insdotbn Class t Disther a Site 2" MPT Std. Shcds Mortdle 7 4' Unit W ' h1 S8 bs. SO) 6S Ibs.1100) dower Cord I1IY, 14/3, SHWA; 230Y, 1q, lij3 STWA; 3a ]6/1, SIWA, AU cads 30' std, -ritit 30' opt. Mclterials of Construction Mande Steidess Steel lubrirotiny Orl Dielectric DII Motor MousieS Coat Ifoe Pump Cesltp Cost Irne 51+vft Stoidns Stn{ Merhaakvl Sham Seel Sad Faes: CeAweJCeonAc Seel todY: Bross Sprlepl Stefelese Steal BeNews; 6oro-N knpoior En~lneeree TherrnepMstic Upper teorirg Sin~ie Row tdl Beaiet laws Baying Sintie Row tdl temiet lofram Plate Prsiyestes Gaoled Steel F05'lnere St0lydfie Steed legs En/innnd Theeteplestk ~~~ ~~....~. i ; I I I i !8 X60 :_ ~1 ~ I SHff50 SHEF100 %~ . ~ ~ '~- ~ ~ ~ ... - I 7i~ b 2(1 p CcpadtyU.S. ,P. , liids/S I ' ` 1 " .. _. ..... ~... .,... ............ 0 80 ~ 2~. _ , 80 00 6 rotd Neat (lost) 16 ZS _ 65 li _ 90 nl 4.9 1.6 16.1 15.1 16.8 19.8 22,5 21 1/2 HP (US GPM) 63 Si 41 SS I8 -.. •- - _ _ 1 MP (U5 GPM) -•r 8I 81 14 65 SO 3R 0 (I s~ - 5.S S.1 4.1 4J 3.2 2.0 G ~ Dimensional Data 1. All drtroneions in inches. 2, Component dimunt;itxts tl'tay vary +h 1r8 inch, 3. Not tar construction purposos unless canines 4. Dimgn6lon8 Knd weights are approximate. 5. Wa r~Cirrvp lhy right to make revisions to our products and thou spaCrflCaUOns wllripul •tutiot7, E. loot switch sufgmt,uc m~idela only). `"IS 1 j~` > iw ~'i'1~ M:CyPhi r a.r q i I ' usunuu:o rr.^ i rrli neuoeu i ~' ~ J~K..r'i:t "1, o.:m .r, Bw TC^,. rw .r ~~ ~.: rr ,.,.~,,.., .. .1 ,.~~~ a ~ I 1 ~........ I ~~ HYDROMATIC~ 1x40 8sney Road Ashland, Ohio 446Q5 Tel: (418) 289-3042 ~~~" ... ~. 6'~` .. . •'y ~- r \` o~ ~ ~~ System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-1132, or the St. Croix County Zoning Office, 715- 386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant lo~d design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections aze recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a sepazate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer SC© 7"7~ ~~ ti S ~'/1~ rid ~ Mailing Address /~o ~/~ / ~'`~ S7` ~~~ ~~~ ~~ ~r ° , ~ Property Address ~ S (Verification required from Planning Department for new City/State Parcel Identification Number LEGAL DESCRIPTION ._. Property Location ~ '/4, ~ '/., Sec. ~z , T 3~ N-R~W, Town of - ,,~ Lot # /l/~ ~a~- P«.~e.Q. ~--Efl I q9 ~~ Certified Survey Map # ~/6~ ~ ,Volume .Page # Warranty Deed # '~~3 ~ < < ,Volume ~~ Page # Subdivision 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 in 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 masterplumber, joumeymanplumber, restrictedplumber or a licensedpumper verifying that (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 standazds set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the th.-r~ee year expiration dat . r d~ /~~ / ~ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form aze true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the~property~described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~f a I ~~ _ _ I j II '• / 7J PASE Q (J DOCUMENT NO. STATE P/! R OF WISCONSIN FORM 1--1A81; TMs ~•wcs Rgisvw row accowiNa owu WARRANTY DEED ~ .REGISTER'S OFFK,'~ ~ R~c'd for Record Thi!! Dee(], made between ._~1V~);_.~'~~~5_.S_L>3_C_~_~,Elll~,_...._.... iI Dec. 23, 1987 _ _ ............................... . ...•--•--•-- --.._.......----- ---•-•-----------•-----.....-•----....._... ~ 8:30 A M ................................................••--•--..-.._._.......--•----•--•---•----.__._..... Grantor, ii and----..Scott.-J.:.BauschnoL,..a..sirgle--person-----_..----•----- - - ------ i, ~rof0~~dt - ----- it ~a~~ ..............................•---••---..__........-•----_._., Grantee, I W'tn.@S @th, That the said Grantor, for a valuable rnnsiderstion__ Qile __ --._ . _ Dollar -,~$1-.00 .. ard-.other -good _and.. yaluabla. co)1s.~dexati.on. ,p"'_- _ ~~ R[TU11N TO conveys to Grant"e the following de+cribed real estate in .-.St...._CrO.~.x ............. County, State of Wisconsin: Tai Parcel No: __..._.._ S~ of NEB of SEA; E~ of R'W~ of SEA IXCEPT North 16 rods thereof and SEA of ' SF~, All in Section 32, Township 30 North, Range 16 West, EXCEPT parts to Northern States .Power Company in Vol "656", Page 391 and in Volune "656", P e 400. ALSO EXCEPT that certain parcel of land located in the SF~ of the SE~ of Section 32, Township 30 North, Range 16 West, Town of Emerald, St. Croix County, Wisconsin, more fully described as follows; Commencing at the Southeast corner of said Section 32, thence N. 87°08'17" W. (recorded bearing on the South line of the Southeast 1/4 of said Section 32) a distance of 391.27' to the POINT OF BEGINNING, of the parcel to be herein described; thence continue N. 87°08'17" W. 923.13' on said line; thence N. 00°08'27" W. 859.18' on the [Jest line of the SEA of the SEA of said Section 32; thence S. 87°08'17" E. 1316.51'; thence S. 00°00'00" E. 368.75' on the East line of the SEA of said Section 32; thence N. 87°03'57" W. 369.35' (recorded as N. 87°08'17" W. 369.32' more or less); thence S. 02°33'47" W. 490.18' to the POINT OF BEGINNING, containing 21.63 acres, being subject to township and county road easements, reservations restrictions of record. _ ~. t~ 1`~ A ,-,~i9° 2° . This _._.__..15._nA.t.__..... homestead property. jntX (ia not) Together with all and singular the hereditaments and apr.;:r: n~n~ea thereunto belonging; And --•--.G>;SI1kQl:---•---••------•-•-•-•--------------•-----•---•----._...._---- ----- -•- • -•-- ...----- ..-..........................._.._._ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, reservations, covenants and reservations of mineral rights, if any of record, and highway rights-of-way. and will warrant and/defend the same. Dated this ..-. _. __.d'~.'f!t ............. .•---.... day of -------•-- ----•--December---- ---•------------•- --..._.., 19._87 R FALLS STATE E ~ •~ ------------•-- - ---- ---------------------•- -----•----•-- --...(SEAL) By'-- - --•---- ---••------•_..,tL'~.-----•-- -....-.- _..--•--._..._...-•--•---•-•• ............. (SEAL) STATE OF WISCONSIN (SEAL) Donald -._-LarsoPresident---.------ ---- -- ---~t..._../~_ ..----...--••------•-- •-----......(SEAL) David A. Gilles Vice-President-Cashier ss. PIERCE COUNZY ) Personally came before l;ie this 21st day of December, 1987, Donald W. Larson, President, anti David A. Gilles, Vice President-Cashier, of the above named corporation, to me lmown to be the persons who executed the foregoing instrl~•nent, and to me [mown tc be such President and Vice President-Cashier of said corporation, and acimowledged that they executed the foregoing instrument as such officers as the deed of said corporation, by its authority. THIS INSTRUMENT WAS DRAFTED BV Fdwa~•d..Ft_.Yl~ck,._AAVISOl1t.&-VL,A~I~ ----- 200--E'--..lm,__Riye;~Falls,--~I~..54Q2~2 _-~=~------••- (Signature may be ata,' ticated or acknowl~edgei.. Both are not her ssary.) A• ~ i/ •• LY\ '-- - Sher!b~-C.,_.4lilson------------------•---•------------- - Nota*~.~ ~thli ~~ ,. Pierce -- -County, Wis- 5 • r------..._ . :Ofp Commis9lon i~rpermanent. (if not, state expiration a t • ~''•'• Ma 13 s 90 a e. -- ----~•--•---•---- Y-- ----------------•--- --• 1 - - - > _ ~ \~~ l: '. •Names of Deraon+l rifnin6 in any capacity ehould be typed or Drteted below theij e~~¢nata ree. WARRANTY DBBD~ aTATF BAR OF Wi5CUN31N H'i<rnnsio Deal Blank Co. ine. FOR31 No. 1 - t991 YI:I ..auke.. wt!.