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030-1011-40-050 (2)
N -0 C) O O O O O ti Q v C C O O g y m ey CO c r- C y E N N p N .N N (0 fl•, L j C p N w ca 00 N Q = E rn°.E.o aL o 3 E o d N O m° E E c~ Ca.m v N r a m m m c m o2 0-6 a) 1° co Q o C C 0 C 0 O c6 N m M m 0 0 N O~m, mQ V-0L n m-c N O'N N co CO a a) ~ N m m E I' y N> cb c ° ur E N o m 4) Z -0 .2 .9 o U) CU M E Q U A m co 0, 8 3~ m c€° E m en o oo y cv m E° 00 E mLO > a~ E 12 N m II c; 30~ aM a° 2 E-0 v, o a) am w ° ~ O er aai N~ o 2 o m~ ° c m m ma 3c Z L ~ T mom mLO~ mcm z ~NE in M it i` n a Z Z ~ a`) T 3 N 7 io c c m m LL c aai a) a) CD m x-o v, oQ.S v° c U. c £ m m E -O N N 3 .-C C N .C .o N E m 2 0 N C o< a 0) ° r m co m 3 a0 E O V°i Fes- Fes- H ami .m c I=- c Cl W E o m Q w TQQQ E c m yQ E Q w m o 2 -L a I u O M N N Z y ~ pj W E E O ` O 9) CD Z a m a co M FN- U) ICI in 6 O Z co c m E o N H r C N d C Q1 C O 2 T E c E 07 d fn N a Y 2 C C N N .V 7 m _ ° N 0O O N O w O `a~ o Q N a~3Q z_=z v, M C. m m 'cr m m E o u' m _ m ca CL -2 ID N N N m c0 T d m N (N j o D O a a E o O O a m Wu E :3 w O E O !A f/) 0) t V U) fn N L F, U) •VNI, a a a a a a a m FL II v, w (D CD N N J C) = o o O = o o a) U) Q N N N Z .O O Q M Z t2 CD a O 0 O O Of N Z 0p r O O E Of p p o O O r _ r m O C a ~ U CO O C Q 4~O d N d. _ m p 'O Q A cn C o O o 0 3 N H C C C N N C O M O CL O O O E 0 d ° E CD O t cn ° ' d p p w U c V N O O) L C m m N N L C m o o U 0 } r °o `n U N N C7 1..1 N 7 L N a0.. 7 C C O L N w j' • M M c0 O O V7 A T m U l c6 rn O N N m O O W Y LO O Z W X W Y v p Z y Y CL O 4i 4i V~' E £ V~ y o € a a a L: a `I~i ~ o R~ 3~~ I c w~ _1 A U a 0 0) U O u u N v o h ~ o 3 0 , N N O M M 4 0 a o c o H X p Q. y0-. N U QN °_N ~j .2 1E E M O L N U N O' U1 .s ! O U 0 0 o!f CL •a M C m C_ L C C W C ~ `C 7 E O 4 O. C •C Q L N=- ~ O U O c C C O. L L C CO N C f0 N .O N > C !(A N U U.O.. O 0 -0L~J 3: 0) C O O c E 2 U E and C z 0 a) o a L N N O 7 f0 Z > V J cm C (D E 7 O y O X T C co y Q fn O d N dN > U C ~ Z H W £ O U) i O z~ a(D 4) rn ao M F- cn O Z ^y U I' 7 y O1 Z C ul N N H O d ~ o aD ~J N C7 •IV ~ c r m a a O a 0 z y M ~ O l0 lot U.) O O its ,s a ay c U) 04 ~ ~ alp ~'+J E > = 0 0 0 •N aaaa ~~1 U U z CD n ° ° O o o :3 co co rn C N a a Z 'cn co ° m C N y Is Q r.+ O M O! C H C N N O M O p W F- N •c C U d it 4. > H R C O O O N N V C N 0.4 Cq :3 • o o in 3 o z° y z z in O ~ I V1 a: o j €a 3 Lam t`1v o m C : 3 .s'o t A 0 n. 2 0 (1) 0 Wisconsin Departmen�of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safi ty and Fuilding IJiv'si�!n INSPECTION REPORT Sanitary Permit No: 499212 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:/ Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)i Permit Holder's Name: City Village X Township Parcel Tax No: Kath, Chris St. Joseph, Town of 030-�n'',.�,- -1� CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 06, Z) loo •D - ' <14,-<,, 03.29.19.5 lVr TANK INFORMATION ELEVATION DATA WE 30 WvA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark b / 101.0 Ob •U l� L� . o Dosing Alt. BM Aeration Bldg. r C h Holding St/Ht Inlet 2 2 6 .f St/Ht Outlet G TANK SETBACK INFORMATION TANK TO P/ S WELL BLDG. ent t Air Intake ROAD Dt Inlet ...-.- Septic i� I Z Dt Bottom �. > s� 7S /o /_ Dosin Wt A y% Header/M Aeration Dist.Pipe 4 -7 3 Holding Bot.0yster�l. /w l 3 Final Grade `f YY -5 %( PUMP/SIPHON INFORMATION ,(� (� p.f• /(O Manufacturer Demand St Cover ( 3 d Gjv,v GPM �d Model Number T �'�/'�, TDH Lift,, Fri Ls System H a TDH / Ft Y. S,- Forcemain IlLength 4- Dia. k IDist.to 11( T SOIL ABSORPTION SYSTEM ,fit I (ita-P� ja-fc BEDITRENCH Width Length I No.Of Trenche PITDIMENS1014S No.ADfPits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L W JBLDG W L E/STREAM ACHING Manufa INFORMATION HAMBER P1 Type f System: ,/ Model Number: 62 Vf D IBUTION SYSTEM �/V'�> �S Bader nitol Distributio / L - x Hole Size x Hole paci V Ie � / � 1�j► Pipe(s) k �N le, Length M 77 (a Length �/lJ Dia Spacing_ ° >1 A41 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only QAh"�^ Depth Over Depth Over xx Depth of 1xx Seeded/Sodded xx Mulched IV Bed/Trench Center ( I Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: ! 0 /d` 310 nspection#2: Location: 1106 Cty. Rd.A Hudson,WI 54016(SW 1/4 SE 1/4 2 T29N R19W) metes&bounds Lot 3 IY4 Parcel No: 03.29.19.55M 1.)Alt Description p' 2.)Bldg s ewer length Q' yO w/ /d -amount of cover SCa,j/� Required? --- - -_ Use other ls d de for additional information o l6 0�3 Date Insepctor's Si nature Cart.No SBD-6710(R.3/97) Safety and Buildings Division County W N 201 W.Washington Ave.,P.O.Box 7162 Cv. Zk ` 15consin Madison, 707-7162 Sanitary Permit Number(to be filled in by Co.) Department of Commerce (608) 315 A4 2 12— Sanitary Permit Applicat State Plan I.D.Number In accord with Comm 83.21,Wis.Adm.Code,personal information you 3 tO W�� 7"As. /Q. may be used for secondary purposes Privac C D 'Project Address(if different than mailing address) I. Application Information-Please Print All Infor ation L Property Owner's Name Parcel#N Lot# Block# V" llitr/ r COUNTY 12 Property Owner's Mailing Address Property Location �O ; ea efit A 3 City,State Zip Code Phone Number �• ���(�' Section l Al" � � �� T ZC? N, R!7�cir le on II.Type of Building(check all that apply) 2 Y1 or 2 Family Dwelling-Number of Bedrooms J Mme nn Q&h++h tuber_ t /;6:t W— rR C a�.dl kKc3 ❑Public/Commercial-Describe Use ❑State Owned-Describe Use ❑City_❑Villagek.Township of�rt�s tl k jww_ _QACA'S141-42 - �) III.Type of Permit: (Check only one box on line A. Convplete line i app le) 7 © O — (OIZ—20^t?Va CsTm, A, ❑New System Replacement System ❑Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Renewal El Permit Revision El Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV.Type of POWTS System: Check all that apply) XNon-Pressurized In-Ground ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑At-Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑Pressurized In-Ground ❑Holding Tank ❑Peat Filter ❑Aerobic Treatment Unit ❑Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑pripLine f❑Gravel-lqss Pipe Q Other plain) V.Dis ersal/I•reatment Area Information: Design Flow(gpd) Design Soil Application Rate(gpdsf) Di spersal Area Required(sf) Dispersal Area Proposed(s System Elevation Ila 151- VI.Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank , �" � � l i c-. G Aerobic Treatment Unit Dosing Chamber _ a i VII.Responsibility Statement- I,the undersigned,assume responsibility for in_qWlation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signature P PRS Number Business Phone Number Plumber's Address(Street,City,State,Zip Code VIII.Count- y/Department Use Only Approved ❑Disapproved Sanitary Permit Fe 'ncludes Groundwater Date Issued Issuin gent Signature o Stamps) Surcharge Fee) Owne nial IX.Conditions of Approval/Reasons for Disapproval 3 1 � �S Is SYSTEM OWNER: J �Il�u S� 1 Septic tank,effluent filter and ulus{LC 3 —�Q dispersal cell must all be serviced/maintained ( 6� as per management plan provided by plumber. D _ 2. All setback requirements must be maintained - 4WQ,J �` ,(� as per applicable code/ordinances. Attach complete plans(to the County only)for the s stem on pa er no�less t n 81/2 x 11 inches in size .t r SBD-6398 (R. 01/03) 1 S '4(k $e -e--Q w , / S` � `4"b 1M01 -63* C.O4_ l2 corer ct L aver CA r' f S Property OwnTr Willow River Inn t Parcel ID# M Page 2 of 3 i D 3 Boring# Boring ,F ` 100 Q 6 ft Pit ~ Ground surfaceelev.l . Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. K unsell ski.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 t 0-19 10yr3/3 - sil 2msbk mfr Gs lvf .(0�g" g 2 19-66 1 r5/4 - Sid 2msbk I mfr cw - .4 .6 3 66-100 10yr4/6 - rr s esg ml - _ .7 1.2 ❑ Boring# Boring pit Ground surface eiev. ft. Depth to limiting factor m. Soil Application Rate Horizon Depth D.Qminant Color Redox Descripl on Texture Structure _Consistence Boundaa Roots GPD/fg in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 r ❑ Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *0#2 f *Effluent#1 =BODS>30<220 mg&and TSS>30<150 rngA. "Effluent#2=BOD3<30 mg/_and TSS<30 mg/L t 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 608-26448777. SBD-MOTe t(R07100) I L r t Wisconsin Department of Commerce SOIL EVALUATION REPOR Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85,Wis, Adm. Code County St.Croix Attach complete site plan on paper not less than 8112 x 11 inches in size.Plan must Include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. / percent slope,scale or dimensions,north arrow,and location and distance to nearest road. p - )O 1-4-20_ppp t• SpIA Please prfnt aft information. Re by Dade for n a u oses(Privacy Law,s.15.04 t m . 1 Personal information you provide maybe used o seco d ryp rp ( y O( )) ,(� Property Owner „ .�Z Property Location Willow River Inn S� G vt.Lot tW 1/4,j F1/4 S 3 T.2 f N R lq EE((or)W Property Owner's Mailing Address RECEIVED Lo # Block# Subd.Nam orCSM# Cty.Rd.A City, State Zip Code Phoff�mrr6 2006 ity E]Vllage ElTown Nearest Road Hudson WI 1 54016 ( c Cty.A © New Construction Useo Residential NumtYei7o Melsl�—� Code de rived design flow rate GPD a Replacement Public or Parent material outwash over bedrock Flood Plain elevation if applicable N/A General comments $ysf--eoN\, and recommendations: E Boring# ❑ Boring a Pit Ground surface elev. �� ft. Depth to limiting factor�in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. "Eff#1 *Eff#2 1 0-15 IOyr3/2 sil 2msbk mfr cs lc ,� 8 2 15-28 10 r4/3 cl 2msbk mfr cs lvf .4 .6 3 28-40 10yr4/4 - sicl 2msbk mfr cs - .4 •6 4 40-54 IOyr3/6 scl 3msbk mfi cw - .4 .6 5 r3/6 c1FZ mfi cw - 4 6 6 58-75 IOyr5/ frag limestone - - np np 2 11 Boring _ # El Pit Ground surface elev. C// 54 ❑ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fte in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. "Eft#1 "Eff#2 1 0-14 10yr3/2 sil 2msbk mfr cs Ivf -�0,� .8 2 14-23 1 1 r4/4 sicl 2msbk mfr cs - .4 .6 3 23-54 10yr4/6 s Osg ml cs - .7 1.2 4 60 IOyr4/4 Ft .s M6 vfs Om m6 - - .4 .6 5 60-75 10yr5/6 timesto _ _ _ - - np np "Effluent#1=BOD >30:5 220 mg&and TSS>30<150 mg/L "Effluent#2=BOD <30 mgt.and TSS<30 mg/L CST Name(Please Print) ' ature CST Number Adam Schumaker 253309 Address Date Evaluation Conducted Telephone Number 1679 89th Street New Richmond,WI 54017 0411-06 715-760-0279 PAGE 3 OF NAME LOT# LEGAL DESCRIPTION 1/a 1/a,S T ,N,R E(OR)W SCALE: I" = go BM 1 ELEVATION too, U BM 1 DESCRIPTION (j,44"rri. 5,d"" c� BM 2 ELEVATION, 7'/',?7 CJ BM 2 DESCRIPTION fvD o Mc, n SYSTEM ELEVATION i,L s bfJQ--1 ��cQ SYSTEM TYPE C'c rt ye A{-L" nti �F'Cl +�a G v g (ems, SIGNATURE _ _. � DATE D {� w, Gc.7i//oLcJ Q�dP..rS h �OaI'�illd/14l Sec. T. °f ?o.5elol. 5E.cro e7 0 ql.3 2 EX.3f:� S s-E�„ � Y be a.6a,,,doned c cts�o�ev�e. � �, � Propos.c-d c.Jiesei CFmmer�e '!� z U S. W '04 y, K ao ./��. i iy�o sp E QeSvrvr /flea - PL- /a...,f a rI v cam# S tom»•, o � A . y we Ir r-- sue, Y o kd fib•�. °� S . � � \ �'� y y� c�• op, *4 � �. zo�� Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601-1831 TDD#:(608)264-8777 isconsin www.commer isco sin.go/ www.wisconsin.gov ti� epartment of Commerce Jim Doyle,Governor Mary P.Burke,Secretary September 14,2006 CUST ID No. 227990 ATTN:POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/14/2008 Identification Numbers SITE: Transaction ID No. 1318694 Willow River Inn Restaurant&Bar Site ID No. 718034 1106 CTH A Please refer to both identification numbers, Town of Saint Joseph h above, in all correspondence with the agency. St Croix County SW1/4, SE1/4, S3,T29N,R19W FOR: Description:Replacement Non-pressurized In-ground POWTS for Three unit apartment;(3 -one bedroom apts.) Object Type:POWTS Component Manual Regulated Object ID No.: 1096496 Maintenance required; Replacement system; 450 GPD Flow rate; 54 in Soil minimum depth to limiting factor from original grade; System(s): In-ground POWTS Component Manual, SBD-10705-P(N.01 101);pump chamber The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 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. • This system is to be located and constructed in accordance with the enclosed approved plans and with the component manual(s)referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. • Inspection of the POWTS installation is required.Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required.Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7),Wis.Adm.Code. • Comm 83.22(7)-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. ; WILLIAM C SCHUMAKER Page 2 9/14/2006 Owner Responsibilities: • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a)-The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2)-A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4)shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)utilized in the POWTS. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely,, Fee Required$ 175.00 Fee Received$ 175.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer,Integrated Services (608)789-7892,Mon-Fri, 7:15 am-4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky,Wastewater Specialist,(715)726-2544 NON-RESIDENTIAL CONVENTIONAL POWTS DESIGN INDEX AND TITLE SHEET Project: Willow River Inn-Dose Conventional Residential Rental Apartment Contact: Chris Kath Address: 1106 County Highway A _LJJ o N Hudson, WI 54016 L!J co m cc c `z Legal Description: SW1/4SE1/4, Sec. 3, T29N, R19W. Township: St. Joseph County: St. Croix Subdivision Name: Na Lot No.: Na Parcel ID Number: 030-1012-20-000 Plan Transaction Number: Index and title sheet Page 1 Site Plan Page 2 System design calculations Page 3 Pump Chamber Calculations& Page 4 Cross Section Pump Curve Page 5 System Cross Section Page 6 System Management Plan Page 7 Attached Soil Evaluation Report Page 8 Designer: Bill Schumaker/ License Number: 227990 Signature:; -�// ��______ Phone No.: (715)386-3121 Date: June 5, 2006 RI'diS�rFF of SAEGY;-kL, BIJ1 DINGS C�PdL'�ENCE ■ So,l eda • E/e daEior) N s %y s 6if., T. 5;c .7o5 ePC. S{.cro KG. x.31, i°` x+30 p`tiHtP C. Amiwl {, �2 U� be a6Q„do,�d / ,IZ P�oFz�c d cJFese� Canc��e as,oercv�e. `G � d LJ�,aQ�/Gcv �t?Cc.nbo. �pf,c9�•+K U °b S.r://�c. a/Foely/oe QaServc it"<a - P�-sus Park;n9 Qye/4carr�.rC s y s t�-,�, Fr I� � �"�,• i4 r•eA h EXiSfi��� da,i-� EXiSfi•� w�1., 9G.ao °tee �9G.s0' ,�plllGdX. �pUtt�iGh 0 F�O.cc7• Daily Flow & Design Calculations JOB DESCRIPTION: An existing Bar and One-one bedroom residential rental apartments are contained within one facility. Wastes generated from the residential apartments will be separated from the Bar waste and disposed of in a below grade dispersal cell located to the west of the structure. (Bar waste and waste generated by a proposed restaurant addition will be disposed of by discharging pre-treated effluent into a mound system located northeast of the structure.) ABSORPTION AREA SIZING CALCULATIONS: 1. Total daily wastewater flow: 450 00 GVd Design Flow (3 apartments)(l bedroomx100 gal)=300.00 Gpd (300.00 Gpd daily flowx 1.5 conversion factor)=450.00 Gpd design flow 2. Existing grade elevation: 96-50'at B-2 3. Depth to limiting factor: 54.': (elev.=92.00') 4. System Elev.: 19s.00' 5. Infiltrative capacity of natural soil=0-4 gpiSq ft. 6. Absorption area required: 1,125.0 s-ft 450.00 Gpd design flow/0.4 Gpd=1,125.00 sq.ft.sq.ft.absorption area required 7. Absorption area as proposed: 1,169 20 sq-ft_(60 chamber¢total=240 linear feed Infiltrator"Quick 4"EISA per chamber = 19.10 sq.ft,EISA/pair end caps=5.8 sq.ft. 1,125.00 sq.ft.-(5.8 x 4 pair end caps)= 1,101.80 sq.ft chamber area required 1,101.80 sq.ft./19.10=57.69 chambers required Number of trenches: 4 A 1.5 chamhers per trench Trench width: _34-W' Trench length: _62.40'_ Total system area w/3'trench spacing: 71'x 62' SEPTIC TANK CAPACITY CALCULATIONS: Manufacturer &Capacity: Wieser Concrete X71000-MR septic tank 1. Design flow=450.00 Gpd 2. 450.00 Gpd/75gpd/person=6.0 person equivalency 3. (450.00)+(11.61 x 6.0 x 3*)+(46.77 x 6.0)=93939,60 alan G minims ci sired *Requires a three-year service cycle. 4. Effluent filter: PolyLok PL-625 at septic tank outlet. PIJ?"CHAMBER CALCULATIONS: See page 4. EO11ALIZ.F.D EFFLUENT DISTRtR11T10N: Distribution manifold and header to be constructed to equally distribute effluent to all trenches. Pg.3 of 8 Willow River Inn Residential Apartment Pump chamber calculations 1. Force Main: Diameter 2" Length 30' Flow rate 50.00 galJminute f Friction loss 1.50 ft.(30')(4.99 ft./100ft.) 2. Total dynamic head: Min.supply pressure 0.00' Vertical lift �(elev.@ of float=91.0',high elevation at forcemain=95.75') Friction loss 1.50' Total dynamic head= 7.25' 4 -� 1.5�a< 3. Pump selection: Manufacturer: Goulds Model number: 3871 EP04 Pump will discharge 50.0±gpm @ 7.25' TDH 4. Dose chamber: Manufacturer&capacity: Wieser Concrete W1000/600-MR,51.00"Ca, 11.82 gal./inch(602.82 gal.actual) Sizing calculations and float settings: A)One day holding capacity: 30.00"=354.60 gal. B)Alarm setting: 2.00"= 23.64 sal. C)Dose volume+flow back: 7.00"= 82.74 sal. Max.dose=(450.00 gal.)(20%Design flow)+(.163 gal./ft flow back)(30')=94.89 gal. D)Reserve storage: 12.00"= 141.84 gal. TOTAL:51.00"= 602.82 sal. Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -10 Comm 16.28 WAC -- �4 in.min. Disconnect --11 Tank component is properly vented E- Alternate outlet location Forcemain diameter Wieser W1000/600MF Manufacturer _ 2 in. Capacityl 602.82 Gallons Volume 11.82 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 30.00 354.60 B 2.00 23.64 C Pump off elevation(ft) C 7.00 82.74 1 91.00 D 12.00 141.84 D Total 51.00 602.82 Dom se tank elevation(ft) 3" Bedding un er tank. 1 90.00 Alarm Manuafacturer Lev elArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number 3871 EP04 Pg.4 of 8 GOULDS PUMPS Submersible Effluent Pump 3871 EP04 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses heat transfer. ■Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation.Auto SP' Canadian Standards Association • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron Goulds Pumps is ISO 9001 Registered. • Dewatering assembled and preset at the for efficient heat transfer, factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and •Solids handling capability: float switch attachment points. maximum. ■ EP04 Impeller:Thermoplas- 0 Power Cable: Severe duty •Capacities: up to 60 GPM. tic Semi-open design with rated oil and water resistant. •Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1'/,," NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. •Temperature: 104--1` (40�C)continuous 140'1`(60'C) Intermittent. METERS FEET •Fasteners. 300 series stainless steel. 9 30 �Of 5GPM •Capable of running dry without damage to 8 z.s Fr components. 25 °a Motor: _ • EP04 Single phase: 0.4 HP, U 6 20 115 or 230 V, 60 Hz, 1550 a RPM, built in overload with > 5 0 15 automatic reset. 4 •EPOS Single phase: 0.5 HP, o EP05 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with 7.•Z5' automatic reset. ?�, 2 •Power cord: 10 foot 5 standard length, 16/3 1 S1TOW with three prong grounding plug. Optional 20 0 00 10 20 30 40 5P GPM foot length, 16/3 SJTW with �.�/0,� three prong grounding plug standard on EP05). 0 2 4 6 s 10 12 mlih CAPACITY Goulds Pumps 2002 Gourds Pumps ITT Ind stries �.Ec,vr-sFp,cR,eFr Zooz w N P,So�'B c/ v U o no 5cA/e p� 8 — P w v� e � O Z TI A � I 0 e � n � � less. •, ■w�sAWI n � fTl ue. z "'�, M ■�/ a < � y d MINN m T r7 z IL � V I � � A 3 3co 2 p I D I I I I o I � I Dose Conventional POVWTS Management Plan Pursuant to Comm 83.54,Wis.Adm.Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis.Adm.Code,and shall be maintained in accordance with component manual SBD-10705-P(N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code,by an individual certified to service septic tanks under s.281.48,Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank.The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated. Septic tank manholes risers,access risers,and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33,Wis.Adm.Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce,Safety and Buildings Division. Pump Tank The pump(dosing)tank shall be inspected at least once every two 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. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic(other than for vegetative maintenance)over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations(October- February)dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS,and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional,more frequent monitoring. Contingency 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. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber,Bill Schumaker at(715) 386-3121,or the St.Croix County Zoning Department. Pg.7 of 8 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buy Z el c : A`711 �.r/.✓ � Mailing Address_lld C e o lVej Property Address — (Verification required from Planning&Zoning Department for new construction.) �� City/State _ _ Parcel Identification Number o So_lo Oz- 24!) -MD . LEGAL DESCRIPTION Property Location ',/4 , S 1/4 , Sec. 3 T , T Z4? N R,�W, Town of Subdivision , Lot # Certified Sun7ey Map # , Volume , Page# Warranty Deed # Y�oo� Volume /�/Cs �, Page#� � Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in§Comm. 83.52(I)and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form, signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the.septic tank,is less than 1/3 full of sludge. I/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein, as set by the Department of Commerce and the Department of Natural Resources,State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& Zoning Department within 30 days of the three year expiration date. Lwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the.owners)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. NumberAof bedrooms 1 SIG ATURE F APPLICANTS) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.08/05) r ' /? STATE BAR OF WISCONSIN FORM 2-1999 KATHLEEN H. WALSH WARRANTY DEED RE6,18TER OF DEEDS Document Number I 5T- CROIX CO., WI This Deed,made between Larry Crowson and Jensine'Crowson, RECEIVED FOR RECORD husband and wife 04--17-2001 9:00 AM WARRANTY DEED EXr-MPT 4 Grantor,and Christopher Kath,a single person _ CERT COPY FEE: COPY FEE: TRANSFER FEE: 810.00 RECRDING FEE: 12.00 GAGES: 2 Grantee. Grantor,for a valuable consideration,conveys to Grantee the following described real estate in St.Croix County, State of Wisconsin(if more space is needed,please attach addendum): Recording Area Namd Rety Addr s See Attached Exhibit"A". /+� 030-1012-20 Parcel Identification Number(PIN) This is not homestead property. (N) (is not) Exceptions to warranties: Easements,restrictions and rights-of-way of record,if any. Dated this ��S_ day of April 2001 t • Lar owson • Ltfsin Crowson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. County ) authenticated this day of personally came before me this dio of April 2001 Larry Crowson and Jensine Crowson,h lyi • ^y TITLE:MEMBER STATE BAR OF WISCONSIN to me known to be the person(s)wxtcuted tforegoi (if not, instrument and acknowledged the s ' t authorized by §706.06,Wis. Stats.) —� pVBL�C THIS INSTRUMENT WAS DRAFTED BY + ••�... ... Attorney Kristina Ogland Notary Public,State of Wisconsin 'Jra+s Afs Hudson,Wl 5401 My Commission is permanent.(If not, state� f1lNfiblt ate: (Signatures may be authenticated or acknowledged.Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature. �n(ormelion P oreasionats company.F 6000-655-p21 STATE BAR OF WISCONSIN WARRANTY DEED FORM No.2-1999 • Y Y01. 1f�19�A�;, 627 EXHIBIT, "A" PART OF SW '/. OF SE %, OF SECTION 3, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT EAST LINE OF SAID SW%OF SE % 154 FEET NORTH OF NLY LINE OF COUNTY TRUNK HIGHWAY "A"; THENCE AT RIGHT ANGLES 200 FEET TO POINT OF BEGINNING; THENCE WEST AT RIGHT ANGLES TO SAID EAST LINE 210 FEET; THENCE SOUTH PARALLEL WITH SAID EAST LINE 154 FEET TO SAID NLY LINE OF HIGHWAY; THENCE ELY ON SAID NLY LINE 210 FEET, MORE OR LESS, TO POINT 154 FEET, MORE OR LESS, SOUTH OF POINT OF BEGINNING; THENCE NORTH 154 FEET, MORE OR LESS TO POINT OF BEGINNING COMMENCING AT NLY LINE OF COUNTY TRUNK HIGHWAY "A" 33 FEET WEST OF THE EAST LINE OF SAID SW%OF SE %; THENCE NORTH PARALLEL WITH 33 FEET WEST OF SAID EAST LINE 154 FEET; THENCE WEST AT RIGHT ANGLES 167 FEET; THENCE SOUTH PARALLEL AND 200 FEET WEST OF SAID EAST LINE TO NLY LINE OF HIGHWAY; THENCE EAST ON SAID NLY LINE TO POINT OF BEGINNING. ~-_I rosin Department *Commerce PRIVATE SEWAGE SYSTEM County St. Croix ,and ! uil>*ag Division a INSPECTION REPORT sanitary Pei nil No 500-22 92 0 NERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No ;oral information you provide may be used for secondary purposes [Privacy Law, s.15.04 (;)(m)]. mil Holder's Name: 1 /gyp City Village X Township Parcel Tax No: ath, Chris 1 V 0~ St. Joseph, Town of 030-1012-20-000 , P-1 ST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /00 A\~ d CIS 0329.19.55M TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r I Z$o 6, P. Septic- z j Benchmark l.•l F 1,~. 3 Z 5003 A A- aVK Alt. BM Po o lz ca S'z, : 5{ ffi,,,,6.k, S J r ,I 11 . 7J ° ( rt Bldg. Sewer Il/iaw►w4l- S !q~ 1ati . W.e4 1174"d ~i- 7 Z /07 b noldiny St/Ht Inlet 0(p J St/Ht Outlet ,S 4S5 /b(" , / TANK SETBACK INFORMATION LJ ot'ea(ti 1250 ' TANK TO P/Ir E L BLDG. Vent to Air Intake ROAD Dt•Ir - S 1 Se Jc , Dt Bottom ✓rc Cu / p 15 17-3 2-1 F -7-. 1$ 10055-32- Dosing Header/Man. 2 e~~ .oooo Of , Aeration Dist. Pipe Air Z 90 Holding Bot. System yr 7 3 9 Final Grade i= /SIPHON INFORMATION ufacturer Demandet St Cover ' /Ocj, W Q. IlJ I Z GPM 5j Model Number Oc -r 6 /0-5.1 TDH Lift Friction Lo s System Head TDH ~j . zZ 7, S.sl auz-1n (x,50 17•0 „re, 13 Id io 3 Forcemain Length_22. Dia. , Dist. to Well .7 6.37- 93 Z SOIL ABSORPTION SYSTEM G¢_ ~f CAJ lF'-r' 77 BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia,. Liqui Depth DIMENSIONS 3 1419 -4 g 1ed,.C. SETBACK SYSTEM TO P/L v BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: -7 / I 7 1 > 50 ~ UNIT Model Number -4 f\j Co~,10 5 Zo J Q c.,,~ i 43 9(o v~o d~a 4$ DISTRIBUTION SYSTEM Ie 4a. Qunw,lou' 4: r01 Header/Manifold 00 Distribution ^ Hole Siiey~ tl x H ole Spacin~ Vent TAi~l{~tc~l<e co Z 1 Pipe(s) 6V Y Length Dia `f' Length Dia ' Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only G " Depth Over Depth Over xx Depti, of xx Seeded/Sodded xx Mulchea Bed/Trench Center Z Bed/Trench Edges Topsoil N`i-l Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1106 Cty. Rd. A Hudson, WI 54016 (SW 1/4 SE 1/4 3 T29N R19W) metes & bounds Lot Parcel No: 03.29.19.55M ~,,c~ 1`(~a~.,i~.J.~ coy c~, ~ -r; P. 5 - c~5 • c~ ~ 1.) Alt BM Description = r,^_ G,"( 2. Bldg sewer length - A 1 11, ~ S P - amount of cover = t wrte" ' 7~ a %J \00 G17S Plan revision Required? Yes No [I:t q a~ to Use other side for additional information. - - - - ` p Date Inse ctor's Sia ture ? N' SBD-6710 (R.3/97) v~o . ~o~ z - Zo - ~ 5~ clva ,p l~ F L INSPECTION & SERVICE REPORT JPN 2 a~N~' ~~GE G OF t;&3' TALLATION AUTHORIZED SERVICE PROVIDER In allation Address: v G (~a Name: --J~4•+~t~ or, Owner Name: ,tW Street: Mail Address: Same. Mail Address: ,351 a -sow u-ee ore I Ci State &J/.Zip S W16 city 6D SC24 i~4 State Will Zip __'5-546 20 Phone (pis) 3B6.22W1 Fax - Phone (7/S)1y8-7747Fax (7/6) 29B- 776 e-mail - e-mail c2-Se, F-,tnereenet. LE INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump-out Size 50810- 2T 2.5 . . /''n c)7o3 77.2/6/ a~ EQUIPMENT DETAIL D COMMENTS OF SI CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating' (if resent Blowers : Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Units : Unusual Odor v~ System Vent Pum out Required: Prima Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Dail Flow cv~ H Standard Units 6 9 S.U. Color Clear Tem erature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor not septic) OWNER SIGNATURE TE NICIAN SI URE SERVICE DATE Commercial Testing LaboratorY, Inc. 514 Main Street P.O. Box 526 Colfax, Wisconsin 54730 WWW.CTLCOLFAX.CO M Phone: 715-962-3121 Phone: 800-962-5227 Fax: 715-962-4030 ANALYTICAL REPORT Jim Thompson Report Number: 10000534 Page: 1 A.C.E Soil & Site Evaluations Report Date: 1/13/10 340 Paulson Lake Lane Date Received: l/ 8/10 Osceola WI 54020 Sample Date Number Sample ID Test Results Method LOD/LOG Analyzed 10-W735 W.R.I. Pump BOD (5 Day), mg/L 190 SM5210B 1/ 8/10 Willow River Tot.Suspended Solids,mg/L 76 SM25401) 1/11/10 Inn 1/ 7/10 III III I RESTAURANT WW;SAMPLE PICKED UP AT V.ROBERTS WI DNR Laboratory Certification Number: 617013980 Approved by: 03 . Lq. / 5. 55 /Y) F LD INSPECTION & SERVICE REPORT ii~~XG~NG ~~F s '<aG INSTALLATION AUTHORIZED SERVICE PROVIDER P~ Installation Address: 0(o c, I~L .4 Name: -ryrn Owner Name: L ' .e 5 Street: 3 $ Cgz2c Mail Address: Mail Addresss.C~ ~Q Sfld-2~ City State C icJ Zi 5006,61 City State Zip Phone (715)- 3&~, - Fax Phone (-7(5)-29&_ Fax (7/S-J ZVb - 77616 e-mail ;?-20/ e-mail 7767 INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump-out Size V FC6-08 p 2T- 9- .s , D T 1-7 7 2,16 7 ? z cc EQUIPMENT DETAILED COMMENTS OF SITE O DITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panels Visual Alarm Operating Audio Alarm Operating i (if resent l • Blowers : Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Units : Unusual Odor System Vent Pum out Required: Prima Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Dail Flow / H Standard Units 6 S.U. Color Clear Temperature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor not se tic OWNER SIGNATURE TE NICIAN SIGNATURE SERVICE DATE V Commercial Testing Lkoratory, Inc. 514 Main Street 16 P.O. Box 526 Colfax, Wisconsin 54730 WWW.CTLCOLFAX.CO M Phone: 715-962-3121 Phone: 800-962-5227 Fax: 715-962-4030 ANALYTICAL REPORT Jim Thompson Report Number: 09018175 Page: 1 A.C.E Soil & Site Evaluations Report Date: 8/11/09 340 Paulson Lake Lane Date Received: 8/ 5/09 Osceola WI 54020 Sample Date Number, Sample ID Test Results Method LOD/LOQ Analyzed 09-W21582 W.R.I. Surge BOD (5 Day), mg/L 644 SM5210B 8/ 6/09 8/ 4/09 pH (Lab) 6.8 SM4500H+ 8/ 5/09 Tot.Suspended Solids,mg/L 298 SM2540D 8/ 7/09 09-W21583 W.R.I. Pump BOD (5 Day), mg/L 66 SM5210B 8/ 5/09 8/ 4/09 pH (Lab) 7.0 SM4500H+ 8/ 5/09 Tot.Suspended Solids,mg/L 47 SM2540D 8/ 7/09 WI DNR Laboratory Certification Number: 617013980 Approved by: RECEIVED JUL 0 2 2009 G & ZONING OFFt iL~ FIELD INSPECTION & SERVICE REP(1' ROtXCOUNTY 3 /'~ff ~J 06-/d!/-09.650 INSTALLATION AUTHORIZED SERVICE PROVIDER Sf'~ Installation Address: p 14. /tc 5ur, Name:,..Ta. Owner Name: / Street: Mail Address:- Mail Address: 3140 a 5~+ 10-k4 4A,-1-X C,n State Zip city 05~~ ~ State Lo/. Zip 5*020 Phone (1is)396 -2.ZO/ Fax Phone (71V2_V&-7767 Fax (715)2V6-7.16X e-mail - e-mail ac-e5o)'Pf-essc.,ke.- Co,,, INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump-out size SoBr~-zT,2.54 A. c, 0&347711W 00- 5 ; EQUIPMENT DETAILED COMMENTS OF SITE C NDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED I Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating: (if resent) t/ i Blower(s : Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Units : !nusual Odor System Vent Pumpout Required: Prima Settling Zone A&zo _W uzz _e, Aerobic Treatment Zone y/ .EFFLUENT: LIMIT RESULT Estimated Dail Flow i pH (Standard Units 6-9 S,U. Color Clear Temperature Dissolved Ox ei Odor y odor O WNE GNATURE TE NICIAN SI URE SERVICE DATE Commercial Testing La6oratory, Inc. 514 Main Street ~ P.O. Box 526 ~ Colfax, Wisconsin 54730 NINW.CTLCOLFAX.COM Phone: 715-962-3121 Phone: 800-962-5227 Fax: 715-962-4030 ANALYTICAL REi~ORT Jim Thompson Report Number-: 09008203 Pace: 1 A.C.E Soil n Site Evaluations Report Date: 5/ 5/09 340 Paulson Lake Lane Date Received: 409 Osceola WI 5402'0 ~.ffp1e Date Number Sample ID Test Rn4S Method LOD/LOD Analyzed ___J-__ 0'3-'x;10749 WRI 07.04."22'.09 BOD (5 Day), mg/L M5E10B 4/E`/0 '=i 41/2'2'/09 Oil & 6rease(Fr,eon), mg/L c SM5220B 1/3 5/ 57~9 pH (Lab) 7.1 SM4500H+ 4/2'2'/09 Tot.Suspended Solids,mg/L 66 SM2540D 4/2'4/09 ate,,, ~ ~~~R C^ WILLOW RIVER INN WI DNR Laboratory Certification Number: 617013980 Approved by: POWTS SERVICE CONTRACT The proper operation and maintenance of the components listed below will significantly influence the performance and life expectancy of the POWTS (Private Onsite Wastewater Treatment System). This agreement authorizes A.C.E. Soil & Site Evaluations, L.L.C. personnel (Service Provider) or their representative access to the POWTS components during regular business hours to perform regular inspections and routine maintenance of those components. It is herby agreed by and between Purchaser and Service Provider that in consideration of the payments provided for herein, Service Provider will provide a manufacturer trained and State licensed inspector to perform periodic inspections of the POWTS components as set forth below. Service Provider will prepare a written inspection report after each inspection containing any recommendations for the operation, maintenance, and or repair of the POWTS deemed appropriate by the Service Provider. A copy of the report will be provided to Purchaser and the appropriate Governmental Unit. Service Provider will supply additional services, parts, or labor only after authorization by purchaser. This agreement does not assume any responsibilities or obligations that are normally the responsibilities and obligations of the purchaser and does not cover any costs associated with operation, maintenance and or repair of the POWTS. In no event shall Service Provider be responsible for any special or consequential damages, including but not limited to, loss of time, injury to person or property, or incidental economic loss due to equipment failure for any reason whatsoever. This agreement shall remain in effect for a period of two (2) years from the date of POWTS installation, and will be automatically renewed each year thereafter unless amended or cancelled by either party with 30 days written notice. This agreement may be cancelled by Purchaser only if replaced by a service contract with another service provider authorized to inspect and maintain the specific POWTS components in question. Purchaser agrees to pay Service Provider the sum Of 85.00 per inspection. Four (4) inspections will be provided over the first two-year period at six-month intervals. Payment for the first four inspections will be included in the cost of the POWTS design. One (1) inspection per year will be conducted thereafter with inspection fees billed at the time of inspection. POWTS DESCRIPTION: Wieser Concrete W5000 Bio-(2) tank with Bio-Microbics "Micro-fast 3.0" pre-treatment unit, pre- treated effluent discharge to In-ground dispersal component constructed in compliance with In- Ground Component Manual, SBD-10705-P (N.01/01). POWTS Location: 1106 County Hwy. A,_located in: SW '/4 SE '/4 of Sec. 3, T. 29 N., R. 19 W., Tn. of Hudson, St. Croix Co., WI, Parcel # 030-1012-20-000 Owner name and address: Christopher Kath 568 White Oak Lane Huds , WI 5401 y Z~ o~ er mgnatur (Date) Service Provider: Soil & Site Evaluations, L.L.C. 340 Pa lson Lake Road Osceol, WI 54020 74 p,o2.407 ice Provider signat e) (&e) Instrument Drafted By: James K. Thompson RECEIVED FIELD INSPEC 0f0& ~VkV CE REPORT ST. CROIX COUNTY ZONING OFFICE INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: O C.p Name: Owner Name: 0;/v2.0 eli - . " S Street: Mail Address: 1146 A , Mail Address 3yo emu, 2sa, Lo+~e city Statet D , Zip city ©GQp (A State t.D/. Zip SY0.0 Phone (?16)34% AW Fax Phone(li4,24-7767 Fax e-mail e-mail INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out Size s•S/IP. _l 'q G EQUIPMENT ETAI ED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blowers : Air Inlet Filter Cleans l~ Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Units : Unusual Odor System Vent Pum out Required: Prima Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Dail Flow H Standard Units 6-9 S.U. Color Clear Temperature Dissolved Oxygen effluent 2 m Odor Slightly Musty odor not se ' OWNER SIGNATURE TEC NIC A SI RE' S/JERVICE DATE s ~ ~r 2..2 Z~B Willow River Inn , Effluent Testing Results SAMPLE DATE SAMPLE ID PORT # RESULTS (Mg/L) B.O.D. T.S.S. Ph F.O.G. 4/10/08 4:00 PM WRI 01.04.10.08 8008343 30.00 15.00 7.90 2.00 5/9/08 7:00 AM WRI 02.05.09.08 8010800 27.00 40.00 7.30 2.00 5/15/08 11:45AM WRI03.05.15.08 8011623 14.00 35.00 7.50 1.00 5/23/08 8:00 AM WRI 04.05.23.08 8012211 8.00 16.00 7.10 1.50 5/28/08 7:30 AM WRI.05.05.28.08 8012439 12.00 6.00 7.00 1.50 6/2/08 7:30 AM WRI 06.06.02.08 8012834 20.00 25.00 7.10 1.00 . , Average: 18.50 22.83 7.32 1.50 RECEIVED JUN 2 4 2008 ST. CROIX COUNTY ZONING OFFICE FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: Q I-Adjar, Name:-:1ii -T ar„ Owner Name: Q, Street: Mail Address: Mail Address: 3q0 so, 1^16- 4A City State Zip city 05cLa (_Q State LOI, Zip sV0a_0 Phone (-j1s)396,-,z1o1 Fax _ Phone (7102-V6-7767 Fax(715)2V6-7_16X e-mail - e-mail ace.so; Pre,5.se„4C,- Cc,,, INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump-out Size ✓iC508F- 2_V-.ZS! A r. 07493477,V61 Od` EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel s Visual Alarm Operating Audio Alarm Operating' (if resent Blowers : Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s); Unusual Odor System Vent Pum out Required: Prima Settling Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Dail Flow pH Standard Units 6-9 S._ Color Clear Temperature Dissolved Oxygen effluent 2 m L Odor Slightly Musty odor not septic) OWNS GNATURE TE NICIAN SI URE SERVICE DATE llll111141111111 11111 11111 1111! 1111 111111 11111111 Document Number Document Title 857637 KATHLEEN H. WALSH St. Croix County REGISTER OF DEEDS ST. WI AEROBIC TREATMENT UNIT (ATU) RE CEIVEDIFORORECORD SERVICING AGREEMENT 08/15/2007 01:45PM AGREEMENT EXEMPT t l)I State Plan Transaction Number - ! 3 3~ c} 7 REC FEE: 13.00 I Y1Yl5~OP~1~ PAGES: 2 'Name - (Owner) Typed or printed Being duly sworn, states, under oath, that: 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume I (o Page (oZ Document Number (P4 300(o St. Croix County Register 2 of Deeds Office: Recording Area 1 3 A parcel of land located in the-5Z--) '/4 of theft/4 of Section Name and Return Address s , T .2 9 N - R L9 W, Town of Cl"C,-Z~, St. Croix County, Wisconsin, being //otp Gt2J duly described as follows (include lot no. and subdivision/ M or detailed legal description): st? {~-G o36 - /oiZ - Zo - CL~O ~Y Parcel Identification Number (PIN) Agreement Date: 4 l S~ 7 Z! Ir As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on the above-described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Comm 83, Wis. Adm. Code relating to Aerobic Treatment Units (ATU) and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. If the owner fails to have the POWTS and ATU properly serviced in response to orders issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stats., the governmental unit (Town) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Slats. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the Department, including, but not limited to: the blower, electrical controls, and treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59. Stats. 4. The owner recognizes that the county, Department of Commerce, or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event In a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6. This agreement will remain in effect only until the county office responsible for the regulation of POWTS certifies that the aerobic treatment unit no longer serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded in a manner that will permit the existence of the agreement to be determined by reference to the property where the Aerobic Treatment Unit is Installed. Owner(s) Name(s) - Please Print Subscribed and sworn to before me on this date: S _ d7 n'I jrNotaLzed Owne Signature(s) Notary Public %ernmental nit Offici I Name, Title - Please Print My Co ission Expires 3„ 9 _Ie Go rnmental Officia Sig tune DrFed by: lJ P 8 )cxn Personal in rmation p be used for secon ry purposes jPrivagy Law s. 15. IVY. "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" 1 2 f This information must be completed by submitter, document titre. name & return address. and per( (if required). Other /nf ormetlon such as the granting clauses, legs/ description, etc. may be placed on this first page of the document or may be placed on addfNonal pages of the document. Note: Use of this cover page adds one page to your document and 52.00 to the recording fee. 1Msconsin Statutes 59.917 Document No. POWTS AGREEMENT Owner name and address: Christopher Kath 568 White Oak Lane Hudson, WI 54016 This indenture, made by "owner" and their successors in interest, own a POWTS (Private Onsite Wastewater Treatment System) requiring regular monitoring and maintenance in accordance with the manufacturers recommended Return to: procedures. These procedures must be performed by a manufacturer authorized Christopher Kath service provider licensed by the State of Wisconsin to perform these services. Results of these procedures shall be reported to the appropriate Governmental 568 White Oak Lane Unit as required by code. Hudson, WI 54016 Location of POWTS: Parcel ID#:_030-1012-20-000 Lot:Na , Block: Na . Subdivision/CSM: Na . being part of SW 1/4 SE 114 of Section 3, T. 29 N., R. 19 W., Tn. Of Hudson, St, Croix County, Wisconsin. POWTS DESCRIPTION: Wieser Concrete W5000 Bio-(2) tank with Bio-Microbics "Micro-fast 3.0" pre-treatment unit, pre-treated effluent discharged to conventional dispersal component constructed in compliance with In-Ground Component Manual, SBD-10705-P (N.01/01). OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "owner" as described holds sole ownership rights. "Owner" is responsible for insuring inspection, operation and maintenance of PO WTS. Nll~ AA7LL y-.2-:1.. -07 Owner signs ) (Date) (Owner signature) (Date) ement: (!T e name Kernon Bast, known to me to be the p on executing the foregoing instrument. Subscribed sworn t before me this P-i day of 2007. ARY PUBLIC, State of isconsin My Commission Expires: A 0"CZ7 Instrument Drafted By: James K. Thomason r • 7 Courts Commeraeml.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 c Madison, W1 53707-71162 Sanitary Permit Number (to be filled in by Co.) 4ti Department of Cottnmevee 56 tv Z9 2 " State Transaction Number Sanitary Permit Application 3 53 Ca d In accordance with s. Curtin. $3.21(2), Wis. Adm. Code, submission of this form to the appropriate governmentwl unit is required prior to 'obtaining a sanitary permit. Note, Application forms for state-owned POWTS are Project Address (ifdifferentthanmailingaddress) submitted to the Department of Commerce, Personal infornutlion you pro may be used for secondary 1 f~ a A- m noses in accordance with the Privacy Law, s. 15.01 m Stats. l I. Application Informs on - Please Print All Inform It !'roputy Owner's Nanw Parcel t< Property Owner's Mailing Address Property Location l A 11101f AUG 1 5 2007 Govt. Lit City, State Zip Code Phone Number !'h, Section ST. CROIX COUNTY (circle one) 'J T N; Ra Eore 11. Type of Building (check all that apply) Subdivisiat Name 1:3 1 or 2 Family Duviling - Number of Bedrooms Black tl Public/Commercial -Describe Use ❑ city of CSM Number ❑ Village of W~ State Owned - Dcscribr Use Town of ~5---5/dSi~~ - r•-- 1-C ~ ~2 L r°4" Ill. Type of Permit: (Check only o fie box on line A. Complete litre B if applicable) System ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) A. New System ❑ Replacement n. Q Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Pemut Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner (l-(~~_ I V. Type of POWTS System/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground 0 Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. ofsu' soil ❑ Mound < 24 in. of suitable soil 1 ❑ Holding Tank ❑ Other Dispersal Component (explain) _ Pretrearment Device (explain). R" M i ~Cobt c-5 ~e`5~ 3' c) V. pis ersal/Treatment Area Information: _ eesign Flow (gpd) es in Soil Application Rate~gpdsl) Dispersal Area Required (sf) Cispersa! Area P sed 3 ,rSystem Eleva Vl. Tank Info Capacity in Total # of l Manufacturer c Gallons Gallons Units ~i✓/ +C` S~ t j~a~ _ y KVG~ New Tanks Existing Tanks w ~a) o 1 I K a U rn 'i+ w {7 Cs» pa. - Septic OF Holding Tank ~ / t~Y ) (`rig r' Dosing t Camber J/ ~J ` ~i'c t/ ✓ V IL Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POV1'TS wu on the attached pans. Plumber's Name (Print) Plumber :a Signature rW V-4/MPRS Number Business Phone Number /V Plumber's Address (Street. City, State. Zip Code) VIII. C unt /De artment Use Only Perr • cM Date 1 sued Issuing gent Signature Approved Disapproved ` ti t~ 5 ,,I ! r Given [season far Deltial 05C ' $ / 1X. Condlo~~ r v !Reasons for Disap),roval '~1 nn C 1S.~Sepfic tsttku lMler and 3, Co r. d~ . ~n.S 1 r`. S~G•~-•e- ~C'~ ,M. dispersal Call rT:~iN be services / maitttaitted C;,~¢r i J` e as per man0gemW t plan provided by pluftw. L 2 All saback ftlquirMtarrtts must be maintakW f omp e : me system and submit to 0, County only on paper not less tkan s 1/2 x 11 inches in size SBD-6398 (R. 01107) Valid thtu 01/09 ~,vresc.- ~.»crstc wisuu ~rGCtsc rots.-eepmr; • ' cui lScr ConCrG~e W[ ~ zSOO tra,j! ~a.~,~ ~ ~w/Po/y/ot~~'•Gs? c{F/cru~E ~;y~ar ~ c~ o~+ 4E occt/t~Sca/8: EX%S n, E.ri st~.'n 54,yy SEyy Sec. 3, Z91(y k, /9cu. ~~CS aran~ ~aray<{n6.e r a 2 <d ,a c.G, T4 5 030 - /O/.2.20 • coo be. yS acre' 4 0 030. 161.3-20 -GW 6ii~q jn'ljS6[f wreser Co,~c. 0 V200 ~ o d wrg/iY c,.);eS« Ccnu-c.6e W5aV 8~G CZ~ one 0) &o/~;crob.'cs ~./►1.: 7,/0 o~!' //,5A.pii'er 4 F,asT3.0 Bx/sf a9 Feu. PraPoscd .9 SScc ~ d a dd~'~+on Ebu inSt~6/ed 6<een Q11 /a w n y ".3035/ A to b c t,. San c+/oyi ea( 0 ~ 6s L.JrcSsi Cort/'t~t bh - damanp~dO,S~nq \ l -P kk \ .21.5. \ L e , \ ~orCG rNa \ ZX A J 62. Vr \ d \ \ \ J ~ \ C'~J \ 9 6. D ' ~ieS.cr G»Cre~e W/2G~ ~rcctSc i~+EcreePz~r; tcJiCSrrCo~+crc WL/0.ZSOo t'"aS4 -6a,, ,e o2 y/ot'~' GS? t~~/uenE 04 04t/tf-I - SC4/Q: ~ ~,7/o~J ~i tlCl~n n S EY`/Sr"ysi ~ Ey/S~n 5wyy SEfy Scc, T Z9A. h1 /9w•, 7-n 56. roSCPX, Sb.C-ro,K Co, ".21. $~CS~auran ~ara9t do 4.e r a cd V s 030 - /,0 /z - ?o - CdO bQ; YS u~ 1,r: acro atres ~ Ao30- /o/3-20 W:cstr CQ„c, w yzoo ~ c.~te5~' Gmer<,Ee W5~7 81G-~~ On C C'-" 6.4.: To/o o{' !!%~ti s~/crir ~ FrisT3.o Proposed Prc~^tafin~.+ b an,'~ . axis we'll, Ais"' lta' add~'~ion eltc; . //.3.90' Asp la C~ $.,~;nJ /a ra n Zl e Co . /hwy. A Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LACROSSE WI 54601-1831 TDD (608) 264-8777 i sco n s i n www•commerce.wi.gov/sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary June 07, 2007 CUST ID No. 227990 ATTN.• POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 - HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/07/2009 Identification Numbers Transaction ID No. 1393607 SITE: Site ID No. 718034 Willow River Inn Restaurant & Bar Please refer to both identification numbers, 1106 CTH A above, in all corres ondeuce with the agency. Town of Saint Joseph St Croix County SWIA, SETA, S3, T29N, R19W FOR: Description: In-ground Pressure POWTS / Commercial System / Aerobic Treatment unit / Replacement construction Object Type: POWTS Component Manual Regulated Object ID No.: 1096443 Maintenance required; 3,023 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): In-ground Soil Absorption Component Manual - Version 2.0, SBD-10705-P (N.0110 1), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101) 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 11/10/06 under Transaction ID No. 1318633. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A preconstruction meeting with the installing plumber, the county inspector and/or the District Wastewater Specialist to discuss construction procedures is recommended prior to the commencement of the system installation Please contact the District Wastewater Specialist at the number shown on page 2 for your scheduling options if needed. • 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. • Comm 83.21(2)(c)4. The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber-restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. • A component specified in this POWTS design requires servicing at an interval of 12 months or less. Pursuant to s. Comm 83.21(2)(c)5, Wis. Adm. Code, if any part of a POWTS requires servicing or maintenance at an interval of 12 months or less, a notice of the need for such servicing or maintenance must be recorded with the deed for the property. If the maintenance or service notice has not been recorded a sanitary permit can not be P.O.W.T.S. issued by the sanitary permit issuing aent. Conditionally APPROW1 WILLIAM C SCHUMAKER Page 2 6/7/2007 • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is'required. Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • All timer settings and dose volumes shall be field calibrated to ensure the loads and flows will meet with the design parameters established in the pl nays. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS'occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • 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 pemnits 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. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 id /rJ Fee Received $ 75.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: James K Thompson, A.C.E. Soil and Site Evaluations (Plans Mailed To) Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. r co w o o NON-RESIDENTIAL IN-GROUD PRESSURE POWTS DESIGN > V-CNJ 4 = With pre-treated effluent W m Design based on Component manuals: C46 Pressure Distribution Component Manual SBD-10706-P (N 01/01) In-Ground Soil Absorption Component Manual SBD-10705-P (N.01/01) INDEX AND TITLE SHEET Lt- cry Project: Willow River Inn Bar & Restaurant Contact: Chris Kath Address: 1106 County Highway A Hudson, WI 54016 Legal Description: SW1/4SE1/4, Sec. 3, T29N, R19W. Township: St. Joseph County: St. Croix Subdivision: Na Lot No.: Na Parcel ID Number: 030-1012-20-000 Plan Transaction Number: 1393607 Index and title sheet Page 1 Site Plan Page 2 Daily flow calculations Page 3 Treatment tank sizing Page 3 & 4 Dispersal cell & Pressure distribution Page 5 network sizing calculations Pressure distribution network detail Page 6 Dose chamber cross section & Pump curve Page 7 System Cross section Page 8 System Management Plan Page 9 Attached soil evaluation report Page 10 Designer: Bill Schumaker License Number: 227990 Signature: Phone No.: (715) 386-3121 Date: April 25, 2007 DEPARTMENT OF COMMERCE ~j DIVISION Of SAFETY AND BUILDINGS SEE CQRRESP DENCE SURGE. TANK CAPACITY: Manufacturer & Capacity: Wieser Concrete W4200 septic (79 00" 58.85 gal-/inch = 4,237-20 gal. actual caTarity Control Panel: Orenco MVP-;SF with redundant nff floats, .urr .nt s .nsnrr.6 electrical disconnect switch Duplex pumps to be installed. Timed dosing proposed to allow retention & mitigation of peak flows. Minimum capacity = 3,062.13 surge + 62.38 gal. dose vol. + 706.20 gal. retained vol.= 3,830.64 gal. surge tank SURGE VOLUME: 3,062.13 Gallons Surge capacity to be 150% of largest surge volume. 2,015.00 Peak estimated flow - 586.00 non-peak estimated flow = 1,429.00 gal. surge volume Largest surge carryover =2,041.42 gallons (See chart below). Surge capacity = (2,041.42 gal.)(150%) = 3,062.13 gal. Monday Tuesday Wednesday T sda Frida Saturday Sunda Carryover sure volume 1,633.13 1,224,84 816.55 408.26 0 1,020.71 2.041.42 Daily estimated flow 586.00 586.00 86.00 586.00 2.015.00 2,015.00 586.00 24 hr. cumulative um volume 994.29 994.29 994.2 994.29 994.29 994.29 994.29 Remaining surge volume 1,224.84 816.55 408.2 0 1,020.71 2,041.42 1,633.13 SURGE. TANK TIME. DOSE CA CI ATIONS• Manufacturer & Capacity: Wieser Concrete W4 00 c %i (22_ 00" 4 58.85 gal /inch = 4,237 0 gal_ actual capacity- Duplex Goulds 3871 EP04 pumps to be installed w/ Orenco MVP-SSF control panel w/ current sensor, redundant off floats, surge capacl y use, & electrical disconnect switch. Dose timer to be set to activate pump at 1 hr. intervals. D) High water alarm: 58.94" = 3,468 6gal C) Notification of surge capacity use: 0.00" = 0-000 gal B) Timed pump on/off: 1-06" = 62.3.8 g?l (1,491.43 gal./24 doses per day) = 62.15 gal. dose volume A) Redundant "Off' float: 1200"= 706.20 gat TOTAL: 72.00" = 4,237-20 gal DOSE CHAMBER CAPACITY DEMAND DOSE CALCULATIONS: Manufacturer & Capacity: Wieser Concrete W1,21250-MR (16-00" 34,81 gal-/inch = 1,260 07 gal actual) Control Panel: Orenco MVP-SSE w/ redundant of floats, current sensor, electrical disconnect & and event counter Duplex Goulds WE 1018H pumps to be installed. Sizing: A) Additional holding capacity: 15.00" = 522 25-gal, B) Alarm setting: 2.00" = 69.62 gal C) Dose volume + flow back: 7.00" = 243. 7 Aal (1,491.43 gal./5 doses per day) + (.163x45') = 298.29 + 7.34 = 305.62 gal. maximum dose volume (49' lateral lengthx0.064)(8x5) + (.163x45') = 125.44 + 7.34 = 132.78 gal. minimum dose volume D) Reserve storage: 12.00" = 417.72 gall TOTAL: 3600" = 1,253-16 gaL Pump selection: Manufacturer: rn ,Ids Model number: 3RR5 WF.101 RH Min. discharge rate required: 45 1 smm Pump discharge: 97-00 m (p~ 20_R 1' TDH EQUALIZED F.FFI,IJF.NT DISTRIBUTION- Pressure distribution network to be constructed to equally distribute effluent to dispersal cells. See design calculations at page 5. Pg. 4 of 10 Willow River Inn Bar & Restaurant Daily Flow & Design Calculations JOB DESCRIPTION: Full service bar & restaurant with seating capacity for 75 patrons. Operating hours 10:00 A.M. - 2:00 A.M. Anticipated peak wastewater flow to result from dinner traffic on Friday & Saturday evenings at 2,015.00 GPD (75 meals, 75 bar patrons & 5 employees). Estimated daily flow Sunday -Thursday anticipated to be 586 GPD (20 meals, 30 bar patrons & 2 employees). Owner has stated that food waste grinder will not be used, fried foods will be served on paper service, grease will be removed from the waste stream, etc. Accordingly, BOD levels assumed to be lower than normal froo~typical restaurant use. PROPOSAL: Soil conditions at this site are suitable for an In-Ground POWTS. Installation will consist of a 1,250-gallon grease interceptor to catch all and only kitchen wastes and a 2,500-gallon trash tank. Both tanks will discharge to a 4,200 gallon surge tank that will contain primary and back-up sewage effluent pumps set to dose at one hour intervals to a pre- treatment tank containing one (1) Bio-Microbics HighStrengthFAST 3.0 pre-treatment unit set in a Wieser Concrete W5000 tank. W5000 tank has sufficient capacity to add second HighStrengthFAST 3.0 unit if post installation effluent testing indicates additional treatment is needed. Effluent will be transferred by gravity to a 2,000 gallon dose tank utilizing on-demand dosing to distribute effluent into two dispersal trenches located within the same mound system. Dose tank will contain backup pump to distribute effluent in the event of primary pump failure. AVERAGE DAILY DESIC:N WASTEWATER FLOW CI ACtll ATIONS• 1,491 43 gaL (3,022.50 gal. peak design flow)(2 days) + (879.00 gal. non-peak design tlow)(5 days) = 10,440.00 gal. generated/7 days = 1,491.43 gal. average daily design flow PEAK DESIGN WASTEWATER FLOW CI ACt1LATIONS• 3,022.50 Cnd design flow (75 seating capacityx22 gal/) = 1,650.00 Gpd (75 bar patrons)(4 gal./patron) = 300.00 Gpd (5 employees)(13 gal.) = 65 00 GVd 2,015.00 Gpd x 1.5 = 3,022.50 Gpd design flow NON-PEAK DESIGN WASTEWATER FLOW C ACt'I ATIONS• 879000pd Design Wastewater Flow: 879_00 Gpd (20 meals/day)(22 gal/meal serve) 440.00 Gpd (30 bar patrons)(4 gal./patron) = 120.00 Gpd 2 employees)(13 gal.) = 26.00 T 586.00 Gpd estimated flow x i.5 = 879.00 Gpd design flow GREASE INTERCEPTOR: Manufacturer & Capacity: Wieser Concrete W 1 250 Grease Inter ptnr Grease Interceptor sized in accordance with Comm. 82.34(5), installed to collect all and only kitchen wastes. (75-seat capacity)(12 operating hours per day)(1.25 appliance factor) ° 1,125.00 gal. minimum capacity SEPTIC TANK CAPACITY CALCULATIONSe Manufacturer & Capacity: Wieser Concrete W2500-MR septic tank = 522 46 gal actiml ca aci I . Capacity per Bio-Microbics design specifications = 12 hr. - 24 hr. retention time. 2. Peak DWF = 3,022.50 Gpd 3. 2,500 gal. tank retention time = 20 hrs. 2 minutes (2,522.46 capacity/3,022.50 Gpd Peak DWF) 4. PolyLok PL-625 effluent filter at outlet with high water alarm AF:R.ATION TREATMENT tlNIT CAPACITY CAL CU ATIONS• Manufacturer & Capacity: Rio-Microhics Hi Str .ngth FAST't 0 designed to remove 6.0 1 hs ROD/day Average daily flow restaurant = 1,491.45 Gpd assumed at 500 mg/L B.O.U. = 6.21 Lbs BOD./day Pe. 3 of 10 ABSORPTION AREA SIZING CALCULATIONS (With Pre-Treated Effluent) 1. Total daily wastewater flow: 1.491.45 Gpd Design Flow 2. Existing grade elevation: 95.70' at B-2 3. Depth to limiting factor: 99" B-3 (elev. = 87.15') 4. System Elev.: 90.15' 5. Infiltrative capacity of natural soil = 1.6 gpd/sg. ft. 6. Absorption area required: 932.16 sq. ft. 1,491.45 Gpd design flow / 1.6 Gpd = 932.16 sq. ft. sq. ft. absorption area required 7. Absorption area as proposed: 953.44 sa. ft. (96 chambers total = 384 linear feet Infiltrator "Quick 4" = 9.64 sq.ft. ISA per chamber, Infiltrator "Quick 4" end cap (pair) = 3.50 sq.ft, ISA 932.16 sq. ft. - (8 pair endcapsx3.50) = 904.16 sq. ft. 904.16 sq. ft./9.64 = 93.80 chambers required Number of trenches: 8 (a7 12 chambers per trench Trench width: 2.83' Trench length: 50.00' Total system area w/ 3' trench spacing and 4' manifold shelf: 20.33'x 104.00' PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing: Laterals per cell: 8 Lateral spacing: 5.83' Lateral length: 49.00' Lateral size: 1'/." Hole size: 1/8" Hole spacing (x): 24" 1 st hole at 12" from manifold entrance into endcap) Holes per lateral: 25 Distribution network discharge rate: 82,00'ga1. /minute (8 lateralsx25 holes/lateralx0.4I gal/hole) = 82.00 gpm 2. Manifold sizing: Location: Center Length: 17.50' Diameter: 2" 3. Force Main: Diameter: 2" Length: W2, Flow rate: 82.00 gal./min. /min. Friction loss: 5.62 (45'x12.49 U1001) = 5.6205 ft. 2 4. Total dynamic head: 20.81' Min. supply pressure: 6.50' Vertical lift: W, 15 Friction loss (Forcemain): _ X Z.`6k Friction loss (Manifold): 2.19' Total dynamic head: 20.81, Pg. 5 of 10 i Lateral Network Construction Notes: 1. Pressure distribution laterals to be installed in accordance with manufacturer recommendations within "Installation Instructions For Quick 4 Pressure Distribution Systems". 2. Distribution lateral to start at entrance through multi-port end-cap. I" hole to be located at 12" from entrance through end-cap. 3. Distribution laterals to be suspended from top of Infiltrator chambers by plastic pipe straps at every chamber connection. 4. ''/s" orifices to be drilled at 12 o'clock position with every 5`b orifice drilled at 6 o'clock position to allow effluent drainage upon completion of dose cycle. 5. Sim/Tech stf-106 orifice shield to be installed on downward facing orifices to dissipate hydraulic pressure. 6. 1'/4" lateral cleanout extension to be brought to finished grade by use of long sweep 901 elbow or 2 - 45° elbows. Cleanouts to terminate within valve box. Center Connection Lateral Layout Daigram Foroe main oonnection via tee or oross to manifold at any point. Laterals are identical P • - Tum-up with cleanout plug or ball valve (E-x-- m.12 x12 xf2-~ Holes drilled on the bottom of the lateral. laterals & force main of PVC soh 40 as per Comm Table 64.30-6, Ws. Fdm. Code Number of Laterals 8 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.00 ft Lateral Length (P) 49.00 ft Orifices per Lateral 25 Pg. 6 of 10 Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --10 Comm 16.28 WAC4 in. min. Disconnect Tank component is properly vented E - Alternate outlet location Forcemain diameter Wieser W1000-MR Manufacturer 2 in. Capaci~Lj 1253.16 Gallons Volume 34.81 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 15.00 522.25 B 2.00 69.62 C Pump oft elevation (ft) C 7.00 243.57 t 85.00 D 417.72 D Total 36.00 1253,161 if 1 Dank elevation (ft) 3" Bedding un er tank. 84.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV - Submersible Pump Manufacturer Goulds ~ Effluent Pump Pump Model Number X3885 WE1O18H 11 3885 METERS FEET 40 130 - EYSH I - - _ ISERIES: 3885 120 SIZE SOLIDS 35 - - RPM 3500 & 5 PM . + 1750.._.. - 110rWE2 H 30 1001 . , ( I I S FT I 0 90 WE-1 H ...1_ w 25- J 0 H_ a 20- z 60 - a 15 50 r-WEO N - + - _ - - - _ 4 I 0 40f - I- t 30 _WE0 i • 5 10~ - - } - - - - -a 0 OQ 110 20 -3t0 40 50 60 70~-8 _ 90 _ 0 _110 120 130 140 150 ^160 GPM 0 5 10 15 20 25 30 35 m31hr C PACm Goulds Pumps 'O ITT Industries www.goulds,com /t . 0 IPJ. 7,00 1 -7 fi 0 •/:'gin. ..K• \ N ~ }4 it r1k e M1 R ~ M I ~ qo l Y~. ~ a ~ a o U ' w a, g ♦ it Tir -I LPN k 'Ila k ~ ~ a r >vi S%'i. qy q. h t I Z00/ZOp~ ' IVAa nIS v 'IIOS a a v ~V9LL BVZABTL XVd 90:90 L0091LO190 In-Ground Dispersal Cell Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The In-Ground septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10706-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes 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 shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Grease Interceptor An individual licensed by the Dep't of Commerce to inspect, install or service POWTS components shall inspect the grease interceptor on an annual basis. The interceptor shall be emptied of collected materials as needed to prevent their passage through the interceptor. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every year by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of the annual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once each year. 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. Dispersal Cell and Pressure Distribution System The dispersal cell shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the dispersal cell is not recommended. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 12 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine 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. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Testing effluent Quality The sewage effluent generated at this site may exceed the high strength effluent concentration levels as established by the Wisc. Dep't. of Commerce. Influent quality entering the mound dispersal component of the POWTS may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Periodic testing of effluent concentration will begin 45 days after the system is placed in service and will continue at 4 - 6 day intervals for a period of 30 days with 6 samples being collected within that period. If concentration levels exceed Dep't. of Commerce standards, a second Bio-Microbics HighStrength FAST 3.0 pretreatment component will be installed in the existing 5,000 gallon treatment tank. Effluent quality will be assessed as described earlier. Results of testing will be submitted to the County Zoning Dep't. with a copy forwarded to the Dep't of Commerce approving agent. Influent flow may not exceed maximum design flow specified in the system design and sanitary permit. Contingency 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 aeration unit, dosing tank, pump, pump controls, alarm or related wiring become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the dispersal cell component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be replaced with a code compliant dispersal cell located immediately adjacent to the failed cell. A diversion valve will be installed to allow future re-use of the failed cell. Questions on the operation or maintenance of the system should be directed to the installing plumber or your county Zoning Inspector. Pg. 9 Of 10 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page-/ of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 inches in siz an st 10 i, include, but not limited to: vertical and horizontal referenctr point (BM), ion LL`. percent siope, scale or dimensions, north arrow, and location and distance d• Please print all intormation. eview by late Personal information you provide may be used for secondary purposes (Privacy Lave, s. 15,04 (1) (m) I`5 d Property Owner Pnirerty Location i U E D Govt. Wt 114 I M S T N R E (or) W Property Owner's Mailing Address Lot ff Block # Subd. Name or t;SM# 6i -0 p07 City FU_ft__ Zip PhOM Number City VUtage Town Nearest Roane ~pUNTY CJ m P'New Construction Use: ❑ Residerr 1 N ooms Code derived design flaw rate GPD El Repiacentent B Public or commercial - Describe: Parent material v--W C-s Flood Plain e4vation if applicable ft. General comments and recommendation Boring p Ong # ® pit Ground surface elev. 7 y' ?_OFt. Depth to limiting factor il d In. icatfon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundstry Roots CPD(fT? in. Munsell Qu. Sz. Cork. Color Gr. Sz. Sh, 'Eff#1 "Eff#2 q141 ew Z' UL Z L6 S v1I\ l._Z Q Being Boring # Ground surface elev.Z//9~f 2q ft. Depth to limiting factor _L15- Pit _ in. Scul ~icetion Rate Horizon Depth Dominant Color - Redox Desenpticiri Texture Structure Consistence Boundary Roots GPD1ff 41. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 °Efw I G-5 l6\4(,313__ 1 r Z -yo 61 DPW, Effluent #1 -SOP, > 30 _ 220 mgfL and TSS 4150 mgll. ' Effluent #2 BOD 30 me& trod TSS = 30 9VL 46- CST Nam (Piea~ Prj) Siena ^,5T Number YW N'\ S Address Date Evaluation Conduced Telephone Number 25WIL 7- 0 7- fu/ ~ wt c f Page of Property Omer r ~i ~~~(k c~ r Ji° /''I Parcel ID # ❑ Boring sodMwaiion gate i l Ong # Pit Ground surface elev.q~'_1yU ft., Depth to IWfing factor In. L~ Lt nce Boundary Roots GPD~ Strut re Consists •Sff#1 -F-11#2 Hortzon DepthDominant Color Redox Description Texture Sh. In. Munsell ou. Sx. Cont. Color Gr. Sz. z 31 CS i C Z i z-uo S' C~ nit 17 /Z Z ? 5 L WL lid I i I~ Boring # ❑ Boring Soil llcatlon Rate Pit Ground surface elev. _ - ft• Depth to Eimi~ng factor , _ In. Horizon Depth Dominant Dolor Redcuc Description Texture Structure Consistence Boundary Roots GPDHP '001 *E92 In. Munselt Qu. Sx. Cont Color Cr. Sz. Sh. C] Boring in. Boring # ❑ Pit Ground surface elev. ft. Depth to Nrtsiting r _ Soli ksetion Rate .~J Texture Structure H:ConsistwrA dar; ;Roots GPD/M Horizon Depth Dominant Color " PpWx Description • `Eff#1 'Eff#2 In, MumseN Oa, Sz. Cont. Color Gr, Sz. Sh. 3ih • EMuerd #2 m Boo• 13o nqL and TSS 5 30 mWL ' Effluent #1 ~ 80D&,> 30:E 220 mg/l. and 'TSB 2,30;S 150 mgll. The DepartMent of Commerce is an equal oppotrtunity 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. sewtw tt%AWt ^ PA439 --LOF-3-- L AL, n !•TI N !V R S (01t )w Td AM IG TO(nS IC ire f h Ot M Vf SCALV I" HM I CLlYVATION jOC) - r r~ j= eM t ®siCRIrrION rtcc4'1 ~ am 3 SLtVAr10N LL, 0 - - BM 2 06SCRIPTION YIa "I c rl~Q(o 1 n u SYXTRM LLZVATION $4' ~dw (30 SYSTEM TYri ~G rlLI-e al a ~C7 C ~r I _-o C( q L~. 5~5~ e~ I VIA Vol .tea b 17 SIONA*URS ~ C~AT'a ~~-57- c-._-I-olz~ 1616"Af 626 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH WARRANTY DEED RE133STER OF DEEDS Document Number ST CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Larry Crowson and Jensine Crowson,' husband and wife 04--?7-2001 9:00 AN WARRANTY DEED EXrNPT 4 Grantor, and Christopher Kath, a single person _ CERT COPY FEE: COPY FEE: TRANSFER FEE: 810.00 RECOP.DIRG FEE: 12.00 PAGES: 2 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Namd Retyr Addr s See Attached Exhibit "A". . tj(/~~,, ~ 030-1012-20 Parcel Identification Number (PIN) This is not homestead property. CK) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this - day of April 2001 • Lar owson r * .letfsin Crowson r AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ' ^ ) ss. ro j , County ) authenticated this day of Personally came before me this day of April 2001.. ` Larry Crowson and Jensine Crowson, It w TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) wlbrxfcuted tl~foregoi (if not, instrument and acknowledged the s P'i7Q~ o authorized by § 706.06, Wis. Stars.) i1 U ^ o A r~oaaaN T THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin JF- ~JF 15~ ' u"Zon,Wl 5401 My Commission is permanent. (If not, state ~x)fiMgf#+J}t• ate: Z" ) (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any capacity must be typed or printed below their signature. information Prmfessimats company. Food du Lac, V41 STATE BAR OF WISCONSIN 800-6555-2021 * WARRANTY DEED FORM No. 2 - 1999 J V01- 1619"A( 627 EXHIBIT "A" PART OF SW % OF SE % OF SECTION 3, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT EAST LINE OF SAID SW A OF SE'/. 154 FEET NORTH OF NLY LINE OF COUNTY TRUNK HIGHWAY "A"; THENCE AT RIGHT ANGLES 200 FEET TO POINT OF BEGINNING; THENCE WEST AT RIGHT ANGLES TO SAID EAST LINE 210 FEET; THENCE SOUTH PARALLEL WITH SAID EAST LINE 154 FEET TO SAID NLY LINE OF HIGHWAY; THENCE ELY ON SAID NLY LINE 210 FEET, SOUTH OF POINT OF BEGINNING; THENCE MORE OR LESS, TO POINT 154 FEET, MORE OR NORTH 54 FEET, MORE OR LESS TO POINT OF BEGINNING COMMENCING AT NLY LINE OF COUNTY TRUNK HIGHWAY "A" 33 FEET WEST OF THE EAST LINE OF SAID SW % OF SE THENCE NORTH PARALLEL WITH 33 FEET WEST OF SAID EAST LINE 154 FEET; THENCE WEST AT RIGHT ANGLES 167 FEET; THENCE SOUTH PARALLEL AND 200 FEET WEST OF SAID EAST LINE TO NLY LINE OF HIGHWAY; THENCE EAST ON SAID NLY LINE TO POINT OF BEGINNING. J s.n Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach Oomplete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM); direction and Parcel I.D. percent slope, s*e or dimensions, north arrow, and location and distance to nearest road. Please pant all inform 8'n. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ;i Property Owner Property Location 114 ~1/4 T ■ Q N R /!p ©r Willow River Inn c;Mot Property Owner's Mailing Address Lot # Block # Subd. Name or. CSM# Cry. Rd. A City State Zip Code honeNrTerl 6 2006 ty QVillage ElTown Nearest Road Hudson WI 54016 Cty. A E] New Construction Use[] Residential / N mber of bedrooms de derived design flow. rate GPD F] Replacement Q Public or commercial - Describe: Saloon Parent material outwash over bedrock Flood Plain elevation if applicable er!A General comments 5'Y 5/ , n~ 2 V _ q (l . b and recommendations: 0✓l ys 0 U 1 Boring # ❑ Boring Ground surface elev. Z a ft. Depth to limiting factor 38 Spit in. Soil Appli2gjD Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-14 10yr3/2 sil 2msbk mfr cs lc .5 .8 t 2 14-38 1 r4/4 sicl 2msbk mfr cis lvf s .4 .6 3 38-39 10yr4/4 F1P7.5yr4/6 sicl 2msbk mfr cs .4 .6 - 4 39-50 10yr516 frag limestone - - u np F2 Boring # 0 Boring 26 Q pit Ground surface elev. U ft. Depth to limiting factor --in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDH in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#9 1 0-19 10yr3/2 sil 2msbk mfr cs lc .5 .8 2 19-26 1 r4/4 sicl 2msbk cs lvf .4 .6 3 26-28 10yr4/4 F1PT54/6 sicl 2msbk mfr cs _ .4 .6 4 28-45 10yr5/6 frag limestone np np * Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L " Efflue #2 = BOD 5 30 mg& and TSS 5,30 mg/L CST Name (Please Print) Si re CST Number 253309 m Schumaker - Address -ffed-e Evaluation Conducted Telephone Number 1679 89th Street New Richmond, WI 54017 0411-06 715-760-0279 y' Property Owner Willow River Inn Parcel ID # 2 Page of 113 t ~ Boring # Boring 0 pit Ground surface elev. 93, qo ft. Depth toll 31 mitilf"tactor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-13 10yr3/2 - sil 2msbk mfr cs Ic .5 .8 2 13-31 1 r414 - sic] 2msbk mfr cs lvf .4 .6 3 31-34 10yr4/4 F1P7.5yr4/6 sicl 2msbk mfr 4 6 3450 4 10yr5/6 - frag limestone rip rip 3 ❑ J- 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # H Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal AmAcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 e * Effluent #1 = BOD5> 30 < 220 mgt- and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mgA_ and TSS < 30 mgt- 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 fcarmat, please contact the department at 608-266-3151 or TTY 608-2644M7. SM-MUrest (R.07l00) NAME.' LOT# LEQAL DESC IP SCALE: _ r-.-- BM I ELEVATI( Qp C) BM I DESCRIPTION 4,,D O e : c BM Z ELEVATION - BM 2 DESCRIPTION SYSTEM ELEVATION f ig - SYSTEM TYPE ;M d0 A 00 Z~3 Ifs f Q - Z F l Hl efrd, "Z 6-1 c, 4! ' r J bv` W eM ~P ~4 SIGNATURE DATA, Q w low& ,.,.~r...., w +,...r y.}ww.....«. 4F fr Safety and Buildings commerce.wi. 4003 N KINNEY COULEE RD RECEIVED LACROSSE WI 54601-1831 gov TDD (608) 264-8777 NOV 2 8 006 www.commerce.wi.gov/sb/ isconsin www.wisconsin.gov Department of Commerce ST. CROIX COUNTY Jim Doyle, Governor Mary P. Burke, Secretary November 10, 2006 CUST ID No. 227990 ATTN: POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 11/10/2008 Transaction ID No. 1318633 SITE: Site ID No. 718034 Willow River Inn Restaurant & Bar Please refer to both identification numbers, 1106 CTH A above, in all correspondence with the agency. Town of Saint Joseph St Croix County SW1/4, SEl/4, S3, T29N, R19W FOR: Description: Replacement Commercial Mound System w/Aerobic Treatment unit Object Type: POWTS Component Manual Regulated Object ID No.: 1096443 Maintenance required; Replacement system; 3,023 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01/01); Aerobic Treatment Unit, Commercial System The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • A preconstruction meeting with the installing plumber, the county inspector and/or the District Wastewater Specialist to discuss construction procedures is recommended prior to the commencement of the system installation Please contact the District Wastewater Specialist at the number shown on page 2 for your scheduling options if needed. • 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. • Comm 83.21(2)(c)4. The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber-restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. • A component specified in this POWTS design requires servicing at an interval of 12 months or less. Pursuant to s. Comm 83.21(2)(c)5, Wis. Adm. Code, if any part of a POWTS requires servicing or maintenance at an interval of 12 months or less, a notice of the need for such servicing or maintenance must be recorded with the deed for the property. If the maintenance or service notice has not been recorded a sanitary permit can not be issued by the sanitary permit issuing agent. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20 2 d Wi S ats. Coniilonally 11".1" PR~DVED DtPARTM NT OF COMMERCE WILLIAM C SCHUMAKER Page 2 11/10/2006 • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • All timer settings and dose volumes shall be field calibrated to ensure the loads and flows will meet with the design parameters established in the plans. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved. management plan or as required under s. Comm 83.54(4) shall be considered a-human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Note: Comm 83 22(7) - 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 275.00 Fee Received $ 275.00 Balance Due $ 0.00 Gerard ,M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: James K Thompson, A.C.E. Soil and Site Evaluations Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 =mow NON-RESIDENTIAL MOUND POWTS DESIGN INDEX AND TITLE SHEET Project: Willow River Inn Bar & Restaurant Contact: Chris Kath Address: 1106 County Highway A Hudson, WI 54016 Legal Description: SW1/4SE1/4, Sec. 3. T29N. R19W. Township: St. Joseph County: St. Croix Subdivision: Na Lot No.: Na Parcel ID Number: 030-1012-20-000 Plan Transaction Number: 1318633 Index and title sheet Page 1 Site Plan Page 2 Daily flow calculations Page 3 RECEIVED Treatment tank sizing . Page 3 & 4 Mound sizing Page 5 OCT 19? 2006 Pressure distribution network sizing Page 5 Dose chamber cross section & Pump curve Page 7 System Cross section Page 8 SAFETY & BUILDINGS System Management Plan Page 9 Attached soil evaluation report Page 10 Designer: Bill Schumaker License Number: 227990 Signature: 41) Phone No.: (715) 386-3121 Date: June 6, 2006 DlVi~lUf~ OF SAF,~TY-ANI~ tsUiLuiNU~ b G,r/l/L,fQ` SEIE CORRESP DENCE ~ soi/ eda/uA6o~ P"'E Wsc,ale:ls yon LJ//ou.7 ~•ver~n h , //o& CA. y~y. A s wy~ s~i~ See. 3,729/1; s~ . Jose ol,, 56. Crt,;,r Co., c ~Y ~ropos~ Mou.riG~ `~/.G/X ~3S.o0 ~w/ ~wo(rz~ c1,s~orr5a/CcG/sa~GSrato Eac~ce//{~ leave 5. x (v) cra/s v r kv" 5-9 % °arl 'c e S P~opoSed t,e~resQi ~~ose,di.JrescrCencr~iEe S~oacc.c✓a~ ,zyi" c,ncrtwk wN2ci7 wscrw 6a0-so a7 Ea,1,r; w/ ~c~rSL(~nKW~ CA Y" wc'e I~ F,gST3.O P~~•Efta~m•n~ IAM 3.S °Jo 15/01 ¢ :rnt~oSinq °~`~N/Zl' ucc~L K5-&' 01-e4 34 9 w .zco 8rcnsc o 0 0 I ~s /~~oli,b~ cd v%sEarba.,cc i4r ca _ . i w~ csti Co,.,rc~c H I.?D' I ~ c.o9• t Gmcr~e~ar~so-MQ Pre55L.Lre O t ~ ~ on cma„d Gros%n I ~ t ~(solwC~ Axe,/)q A-ea i l~repo.X asl 0.dd; {-.Jo r~ U Ex,361 1q 8a,- 0 4 EX~~q c.~Je!/. Assu.~.c~ ti to Pi. 2-0F Willow River Inn Bar & Restaurant Daily Flow & Design Calculations JOB DESCRIPTION: Full service bar & restaurant with seating capacity for 75 patrons. Operating hours 10:00 A.M. - 2:00 A.M. Anticipated peak wastewater flow to result from dinner traffic on Friday & Saturday evenings at 2,015.00 GPD (75 meals, 75 bar patrons & 5 employees). Estimated daily flow Sunday - Thursday anticipated to be 586 GPD (20 meals, 30 bar patrons & 2 employees). Owner has stated that food waste grinder will not be used, fried foods will be served on paper service, grease will be removed from the waste stream, etc. Accordingly, BOD levels assumed to be lower than normal for typical restaurant use. PROPOSA 1.: Soil conditions at this site require a mound POWTS. Installation will consist of a 1,250-gallon grease interceptor to catch all and only kitchen wastes and a 2,500-gallon trash tank. Both tanks will discharge to a 4,200 gallon surge tank that will contain primary and back-up sewage effluent pumps set to dose at one hour intervals to a pre-treatment tank containing one (1) Bio-Microbics HighStrengthFAST 3.0 pre-treatment unit set in a Wieser Concrete W5000 tank. W5000 tank has sufficient capacity to add second H ighStrength FAST 3.0 unit if post installation effluent testing indicates additional treatment is needed. Effluent will be transferred by gravity to a 2,000 gallon dose tank utilizing on- demand dosing to distribute effluent into two dispersal trenches located within the same mound system. Dose tank will contain backup pump to distribute effluent in the event of primary pump failure. AVERAGE DAILY DESIGN WASTEWATER FLOW CLACULATIONS• 1,491 43 gal (3,022.50 gal. peak design flow)(2 days) + (879.00 gal. non-peak design flow)(5 days) = 10,440.00 gal. generated/7 days = 1,491.43 gal. average daily design flow PEAK DESIGN WASTEWATER FLOW CLACU .ATIONS• 3,022-50 G ddesign flow (75 seating capacity)(22 gal/) = 1,650.00 Gpd (75 bar patrons)(4 gal./patron) = 300.00 Gpd (5 employees)(13 gal.) = 65.00 Gpd 2,015.00 Gpd x 1.5 = 3,022.50 Gpd design flow NON-PEAK DESIGN WASTEWATER FLOW CLACULATIONS• 879.00 Cnd Design Wastewater Flow: 879 00 r_pd (20 meals/day)(22 gal/meal serve) 440.00 Gpd (30 bar patrons)(4 gal./patron) = 120.00 Gpd 2 employees)(13 gal.) = 26-00 Gpd 586.00 Gpd estimated flow x 1.5 = 879.00 Gpd design flow GREASE INTERCEPTOR- Manufacturer & Capacity: Wieser Concrete W 1250 Grease Inter eptnr Grease Interceptor sized in accordance with Comm. 82.34(5), installed to collect all and only kitchen wastes. (75-seat capacity)(12 operating hours per day)(1.25 appliance factor)_= 1,125.00 gal. minimum capacity SEPTIC TANK CAPACITY CALCULAT1ONS6 Manufacturer & Capacity: Wieser Concrete W 500-MR septic tank = 2,5 2 46ga1 actual a i 1. Capacity per Bio-Microbics design specifications = 12 hr. - 24 hr. retention time. 2. Peak DWF = 3,022.50 Gpd 3. 2,500 gal. tank retention time = 20 hrs. 2 minutes (2,522.46 capacity/3,022.50 Gpd Peak DWF) 4. PolyLok PL-625 effluent filter at outlet with high water alarm AERATION TREATMENT UNIT CAPACITY CALCULATIONS• Manufacturer & Capacity: Rio-Microbics Hig Str .ngth FAST 3.0 designed to remove 6.0 I .bs R_ OD/d T Average daily flow restaurant = 1,491.45 Gpd assumed at 500 mg/L B.O.D. = 6.21 Lbs BOD./day Pg.3of 10 ST1RC.. TANK CAPA -TTY: Manufacturer & Capacity: Wieser Concrete W420Qceptic (22 00@ 5R.R5 gal-/inch = 4,737-20 gal_ actnai .anadJy Control Panel: Orenco MVP-SSF with redundant off floats, niren_t sencnr, & electrical dis .nnn ct ud ch Duplex pumps to be installed. Timed dosing proposed to allow retention & mitigation of peak flows. Minimum capacity = 3,062.13 surge + 62.38 gal. ddse vol. + 706.20 gal. retained vol.= 3,830.64 gal. surge tank S TRC . VOT.TTMF: 3,062.13 Gallons Surge capacity to be 150% of largest surge volume. 2,015.00 Peak estimated flow - 586.00 non-peak estimated flow =1,429.00 gal. surge volume Largest surge carryover x,041.42 gallons (See chart below). Surge capacity= (2,041.42 gal.)(150%) = 3,062.13 gal. Mona Tues Wednesday Thursday Edda Saturday Sunda Carryover surge volume 1,633.13 1224.84 816.55 408.26 0 1,029.71- 2,041.42 Daily estimated flow 586.00 586.00 586.00 86.00 2 .015,.00 2.015.00 586.00 24 hr. cumulative um volume 994,29 994.29 994.29 994.29 994.29 994.29 994.29 Remaining surge volume 1,224.84 816.55 408. 6 0 1,020.71 1041.42 1,633.13 SURGE TANK TTMF, DOSE. CALCULATIONS: Manufacturer & Capacity: Wieser Concrete W4200 ce{ii~7 00" SR_R5 gal-/inch = 49237-20 gal- actr_ ial caMily Duplex pumps to be installed w/ Orenco MVP-SSF control panel w/ current sensor, redundant off floats, surge capacity use, & electrical disconnect switch. Dose timer to be set to activate pump at Mr. intervals. D) High water alarm: 58 K'= ,46867gal- C) Notification of surge capacity use: W" = 0-00 B) Timed pump on/off: 1-067 = 62-38 gal- (1,491.43 ga1J24 doses per day) = 62.15 gal. dose volume A) Redundant "Off" float: l'Y-W'-- '706-20 gal, TOTAL: 72-00" =X37. 0 gal- DOW CHAMBER CAPACITY & DEMAND DOSE. CATEIJI.ATTONS: Manufacturer & Capacity: Wieser C'oncrete,WI?50-MR 07-00" @ 26_81_ gal-finch `U6~7 an] -gatual) Control Panel: O n n R4VP 44F w/ redundant off floats, current electrical disconnect Rr and event eolmter Duplex pumps to be installed Sizing. A) One day holding capacity: ?3-75" = 636-74-g 1- B) Alarm setting: 2.00" = 53.62 gal_ C) Dose volume + flow back: 99 25.99 gaL (1,491.43 gal./5 doses per day) +(.163)(105') = 315.40 gal. maximum dose volume ((354' lateral length)(0.064x5) =113.28 gal. + (.163x105)= 130.40 gal. minimum dose volume D) Reserve storage: 12-00" = 32117 gaL TOTAL 47-00" _ 1,260-07 ,gal Pump selection: Manufacturer: Goulds Model number. 3885 VilFA2H Minimum discharge rate required: 94.60 gpm H Pump will discharge 88.00 gpm @ NAM F,QTTA .T . D F, . TENT DTSTRTBTTTTON: Pressure distribution valve to be installed to equally distribute effluent to dispersal cells and provide alternating distribution to dispersal cells. ABSORPTION AREA SIZING C'AT. FLATTONS: See Mound Design at Pg. 5. Pg. 4 of 10 MOUND WORKSHEET Willow River Inn Restaurant Mound ABSORPTION AREA SIZING 1. Design wastewater load: 1,491.45 GPD 2. Depth to limiting factor: 26" 3. Land slope: 31% 4. Infiltrative capacity of soil at system elev.: 2.0 gp ksq.ft. ASTM C33 med. sand with pretreated effluent - BOD5 &TSS 30mg/L 5. Dispersal cell area required: 745.73 sq. ft. Dispersal cell area proposed: 1,440.00 sq, ft. Bed width (A) 6.0' Bed length (B) 120.0' I MOUND DESIGN - CELL #1 MOUND DESIGN - CELL #2 1. Mound Height: 1. Mound Height: Fill depth (D) 0.50'(6") Fill depth (D) 0.50'(6" ) Downslope fill depth (E) 0.71' (8.52") Downslope fill depth (E) 0.71' (8.52") 0.50' + (3.5% X 6.0') 0.50'+ (3.5% X 6.0') Depth of aggregate (F) 0.78' Depth of aggregate (F) 0.78' Cap depth (G) 0.5' Cap depth (G) 0_5' Topsoil depth (H) 0.5' Topsoil depth (H) 0_5' 2. Mound dimensions: 2. Mound dimensions: End slope (K) 7.50' End slope (K) 7.50' ((0.50' + 0.711)/2 +.78 + 1.0) 3= 7.155 ((0.50' + 0.71')/2 +.78 + 1.0) 3= 7.155 Total length (L) 135.00' Total length (L) 135.00' (120.01)+ (2 X 7.16') = 134.32 (120.0')+ (2 X 7.50') = 134.32 Downslope width (I) 8.52' Downslope width (I) 8.52' (0.71' + .78' + 1)(3)(1.14) = 8.52' (0.71' + .78' + 1)(3x1.14) = 8.52' Upslope width (J) 6.09' Upslope width (J) 6.09' (0.50' 78' + 1)(3)(0.89) = 6.09' (0.50' 78' + 1)(3)(0.89) = 6.09' Total width (W) 21.00' Total width (W) 21.00' 6.09'+6.0'+8.52'=20.61' 6.09'+6.0'+8.52'=20.6P SYSTEM ELEVATIONS BASAL AREA & LINEAR LOADING RATE Installation Contour elevation: 95.00' & 94.50' Basal area required: 3.216.26. ft. Dispersal Cell elevation: 95.50' & 95.00' 1,286.25 gpd./0.8 gal./sq.ft./day = 1,608.13 x 2 = 3,216.26 Highest Dist. Network elev.: %.00' Basal area provided: 3,484.80 sq. ft. Pump Chamber elevation: 88.00' (120'x6' + 8.52') = 1,742.40 sq. ft. x 2 = 3,484.80 Lift: 8.00' Linear loading rate: 10.72 gal. /linear foot 1,286.25 gal. /120'= 10.72 Pg. 5 of 10 PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing: Laterals per cell: 6 Lateral length: 59.00' Lateral size: 1 ''/a" Lateral spacing (s): 24" Sidewall separation: 12" Hole size: 1/8" Hole spacing (x): 24" 1 st hole at 12" from manifold) Holes per lateral: 30 Distribution network discharge rate: 84.60 gal. /minute (6 laterals)(30 holes/lateral)(0.47gal/hole) = 84.60 gpm 2. Manifold sizing: Location Center ' Length 4_0' Diameter 2" 3. Force Main: Diameter 2" Length 75' Flow rate 85.00± gal./min. /min. Friction loss 10.02' (75)(13.36 ft./100ft.) =10.02ft. 4. Total dynamic head: 56.06' Min. supply pressure 6.50' Vertical lift 8.00' Friction loss (Forcemain) 10.02' Friction loss (Manifold) 0.54' Friction loss (Distributing valve) 31.00' (Orenco automatic distributing valve - V6402A) Total dynamic head = 56.06' Center Connection Lateral Layout Daigrarn Force main connection via tee or cross to manifold at any point. Laterals are identical S a ~E- P S • = Turn-up m' ba I Iva Ive or 41(-X---->j<-02 Laterals & force main of PVC Sch 40 clean out pl u g per COMM Table 84.30-5 Holes drilled on the bottom of the lateraPg.6of10 Dose Tank Information Locking cover with warning label and lacking device and sealed watertight Electrical as per NEC 300 anA-711, Comm 16.28 WAC 4 in. min. Disconnect ~i Tank component is properly vented Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacityl 1260.07 Gallons Volume 26.81 gat/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 23.75 636.78 B 2.00 53.62 C P~ ump off elevation (ft) C 9.25 247.95 -t 89.00 D 12.00 321.72 D Total 47.00 1260.07 Dank elevation (ft) 3" Bedding un er tank. 88.00 Alarm Manuafacturer ' LevelArm Alarm Model Number gV Pump Manufacturer Goulds~ Pump Model Number WE20H MGOULDS PUMPS-.- Submersible Effluent Pump 3885 Pllu[w1 PVMP n PROSURANCE AVAILABLE FOR RESIDENTIAL METERS FEET APPLICATIONS. ( _ -t 1 iSERIE5:3885 40 130 E151-10 _ ~SIZE. /a" SOLIDS t -_i RPM: 3500 & 120 1HaII P ERFORMAN CEM RATINGS H` j : ► 1 SGPM ' WE2 wE1oHefWEI15H1eWE05HH WEtSHH 35 1 r..•. - 117 0 Order 30 00 No. --:4 - 5FT HP 'h '/t '/a 1 1'/<• 90 WE4 _ I I ` j. - t r . . 5 - a RPM 1750 1750 3500 3500 3500 3500 3500 3500 = 25 ` 80 . t'>i _r~.. C ` - - - - - EO H i i 10 70 63 78 - - - 58 - a 20 3 15 52 50 70 90 - - 53 - } ~6or 20 27 35 60 83 98 123 49 90 H 25 - 48 76 94 117 45 87 15 50r Eo _ } 30 - - 35 67 88 110 40 83 ° 40~ - - 35 - - 20 57 82 103 35 80 10- 30 t.WE0M_ 40 - - - 45 .74 95 30 77 _I i t I - G 45 - - - 35 64 86 25 14 201WE031. ~ 50 - - - 25 53 77 - 10 10 r - . ~ N _ 55 - - - - 40 67 - 66 0 0 60 - - - - 30 56 - 63 0 10 20 30 40 50 60 70 80 90 10 110 120 130 140 150 160 GP 0 65 - - - - 20 45 - 58 55 0 5 10 15 20 «25 30 35 ml/h- CITY 51 ac~ccaI[d st~ia~jgelbr>~ 75 - - - - - 25 - 47 B GO m. in,"Rimu,rn J t e u;~lo/ 90 Goulds Pumps - - - - - - - APP ,W 90 - - - - - - - 37 100 - - - - - - - 28 _ 7, c Mound Cross' Section View Aggregate Dispersal Area Finished Grade 97.27 (ft) rrrrr. H G /////rrr//r/// /i/////rr/r//r.. • F Dispersal Cell 96,00 (ft) Lateral 95.50 (ft)-► - Invert Dispersal Cell E : i Elevation D 95.00 (ft) Contour Elevation 3.5 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on Topsoil cap o 1.5 ft Page 4 for number, Subsoil cap y 2 p 0 /*o size, and spacing of ASTM C33 Sand Y © L Z F laterals. Laterals are ® Tilled Layer c 0.5 ft Typical Lateral _ y equally spaced from 05 ] Aggregate v o the distribution cell's * A centerline in the distribution cell (AxB). Mound Cross Section View Aggregate Dispersal Area Finished Grade 96.77 (ft) H G rrrr.•,.frrrrrrr~T}rr~rr,.rrrrr/r.. I F Dispersal Cell 95.50 (ft) Lateral 95.00 (ft) -10. - Invert Dispersal Cell Elevation E D . . . ' . . . 94.50 (ft) Contour Elevation 3.5 % Site Slope Geotextile Fabric Cover Shading Key o Dispersal Cell See lateral details on Topsoil Cap a c 1.5 ft Page 4 for number, Subsoil Cap N o O size, and spacing of ©0 ASTM C33 Sand F laterals. Laterals are Tilled Layer y 0.5 ft Typical Lateral equally spaced from [5] Aggregate v o 5 the distribution cell's -417 A * centerline in the distribution cell (AxB). Project: Willow River Inn A, B o~ /o Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10691-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight b e replaced. to failure must upon the completion of service. Any opening deemed unsound defective or sub) Placed. Exposed access openings shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Grease Interceptor An individual licensed by the Dep't of Commerce to inspect, install or service POWTS components shall inspect the grease interceptor on an annual basis. The interceptor shall be emptied of collected materials as needed to prevent their passage through the interceptor. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every year by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of the annual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1 /3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of biological or chemical additives to enhance septic tank performance is generally not required. 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 each year. 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 The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine 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. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Testing effluent quality The sewage effluent generated at this site may exceed the high strength effluent concentration levels as established by the Wisc. Dep't. of Commerce. Influent quality entering the mound dispersal component of the POWTS may not exceed 220mg/L BODs, 150 MG/L TSS, and 30 mg/L FOG. Periodic testing of effluent concentration will begin 45 days after the system is placed in service and will continue at 4 - 6 day intervals for a period of 30 days with 6 samples being collected within that period. If concentration levels exceed Dep't. of Commerce standards, a second Bio-Microbics HighStrength FAST 3.0 pretreatment component will be installed in the existing 5,000 gallon treatment tank. Effluent quality will be assessed as described earlier. Results of testing will be submitted to the County Zoning Dep't. with a copy forwarded to the Dep't of Commerce approving agent. Influent flow may not exceed maximum design flow specified in the system design and sanitary permit. Contingency 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 aeration unit, dosing tank, pump, pump controls, alarm or related wiring become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber or your county Zoning Inspector. Pg. 9 Of 10 i Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis.. Adm. Code County St. C ruix Attach complete site plan on. paper not less than d 1!2 x 1 1 inches in size. Plan must - - inciude, but not limited to vertical and horizontal reference poirt (BM), direction and Parcel 1.0 peroant slope, scale or dimensions, north arrow, and location and distance to nearest road Please prlat all lnlormdtion. ' Reviewed by Date j Personal rntormatlon you provide may be used for seeandary purposes (Privacy l.aw, s. 15.04 (1) (m)). + Property Owner Property Location 1 lL~1► Willow River Inn Govt Lot 114 1l4 S T N R EE((or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# - j Cty. Rd. A City State Zip Code Phone Number ity ~Vlllaye own Nearest Road Hudson i WI i 54016 I ( Ct.. ,4 I ❑ New Construction Use[] Residential i Number of bedrooms _ Code derived design flow rate Gi'D Ir.1 Replacement in Public or commercial Descnbe Parent material outwash ever bedrock Flood Plain elevation if applicable General comments S Sf Q w~ (e- - C~ G ' G I and recommendations Y 0C"I k Ur U, i El Boring Boring Q Pit Ground surface elevZ_~? ft. Depth to limiting factor 38 _ in. Soil Application Rate Horizon Depth Dominant Color Reciox Description Texture Structure Consistence Boundary Roots GPDff - I in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh 'Eff#t Ett#2 l 1 0-14 1 Oyr312 sil ''msbk mfr cs ]c .5 8 2 14-38 1 r4/4 sicl 2msbk mfr cs 1vf 4 6 j 3 38-39 10yr414 FtP7.5yr416 sict 2msbk mfr cs- +4 6 4 39.50 10yr5l6 fra limestone ❑ nnp i 2 i Boring # 1..~ Boring 26 Pit Ground surface elev d C 1 tt Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in - Munsell Cu. Sz. Cont_Coior Gr. Sz, Sri. 'Eff#1 1 0-19 10yr312 sil 2msbk mfr cs Ic .5 8 _ 2 19-26 10 414 sicl 2msbk cs 1 of 4 II _h C 3 26-28 10yr44 I 1 P7.54 6. - s iel - -t- _ _ ..msbk mfr cs_ 4 G 4 28-=15 10yr5,'6 fra limestone - aPM nP i _J Effluent #11 = BOD6 > 30 5 220 mg/L and TSS >30 150 mgA- ' Efflue #2 "-.B00 , 30 mgA and TSS 530 nlgn CST Name (Please Print) 61 DiA+re - CST Number L~ Adam Schumaker _ 29309 1 Address ate Evaluation Conducted Telephone Number - i L 167989th Street New Richmond, W1 54017 04-11-06 715-760-0279 t. Property Owner Willow River Ian Parcel ID # Page 2 of 3 Bonng #-0 Boring L_J Pit Ground surface elev. 13._ _ ft. Depth to limiting factor i 1_ in _ Soil Application R IHonzon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GPDlff _ in. Munsell Qu. Sz. Cont. Color G_ r. Sz. Sh _ 'Eff#; 'Eff#2 < g r 1 0-13 , 10yr3/2 sil 'm-sbk mfr es Ic i 13-31 l0 r4i4 stcl 2ntsbk mfr cs 1vf 4 .6 3 31-34 10yr414 FIF'7.5yr4/6 sic] 2msbk mfr 4 6 4 34-50 10Y r5i6 _frag limestone rip rip i Boring Boring p,t Ground surface elev. ft Depth to limiting factor in. Soil Application Rate r Honzon 'depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr Sz. Sh. 'Eff#1 `Eff#2 i Boring # Boring in. Pit Ground surface elev. it. Depth to limiting factor Soil Applicafio R Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in Munsell Qu. Sz Cont. Color Gr Sz. Sh. ~W 'Eff#1 Etfl12 ' Effluent #1 = BODS > 30 < 220 mgk_ and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg1L The F)epartrneut of Commerce is an equal opporturrty service provider and emplover. If you need assistance to access services or need material in an alternate format, plea?e contact the department at 608-266-3151 or TTY 608-264-8777 ~BU~3C'ics'!7 C".09i I~ s PAGE OF - NAME W.1{o,,,,j e, j", In,ti LOT# LEGAL DESCRIPTION 1/4 1/4,S T N,R E(OR)W SCALE'. 1" - ~lJ BM 1 ELEVATION BM 1 DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION__ SYSTEM TYPE pis ~C~'" LI l (3 ~ 1 r tt~ LJ ~ (f J O IC. r1 cn~ C Cn~ jtj2ll c L I ~.1 {T SIGNATURE - - DATE- Comm I N C 0 R P 0 R A T E 0 8450 Cole Parkway • Shawnee, KS 66227 • Phone: 913-422-0707 Fax: 913-422-0808 E-mail: onsite@biomicrobics.com • www.biomicrobics.com • 800-753-FAST (3278) November 8, 2006 Sent Via Email Phil Lundman Petersen Supply LLC 421 Wheeler Ave. Fredonia, WI 53021-0340 Re: Onsite Wastewater treatment with High StrengthFAST@ For LaCrosse D.O.C. Dear Mr. Lundman, We have reviewed the sizing for this project. The influent information that was provided to us is as follows: Influent design flow of 1500 gpd based on the average daily peak flow, and influent BOD of 500 mg/L. We suggest a single High StrengthFAST@ 3.0. Flow equalization would be a requirement in order to meet the average flow of 1500gpd and the influent cannot exceed expectations in pounds per day in order for the proposed system to meet effluent values of 30/30 mg/L BOD/TSS. Proper performance considers there is no toxicity or temperature issues with the waste and the plant is installed and operated correctly. A grease trap should be installed at this site and the trap must be maintained as needed by pumping out the grease. Use of enzymes or bacteria is not an acceptable substitute for pumping. Sincerely, Tess Lane Applications Engineer Bio-Microbics, Inc. cc: File, Petersen Supply LLc. 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A Z CA A z 0 cn - I a m < CND Z C P .Z1 p I y ~ m ~ C O v I ~ G7 po D a I y fD T C o D) C md°-' z a ~ A o O7 ~p =r m fO A y W iy y 7r y D Y O t`^ fD CD y Q Qnv j O O O o~ O CD 6p O fn O 0 a a O L ti 06 10:7 A ,parcel 030-1012-20-000 07/26/20 PAGE 1 OF 1 Alt. Parcel 03.29.19.55M 030 - TOWN OF SAINT JOSEPH Current j X, ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - KATH, CHRISTOPHER CHRISTOPHER KATH 568 WHITE OAK LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1106 CTY RD A SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 3 T29N R19W PT SW SE COM N LN HWY Block/Condo Bldg: "A" 33 FT W OF E LN, TH N 154 FT, TH W 377 FT, S TO N LN HWY TH ELY ALG HWY TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) POB RESTAURANT 03-29N-19W Notes: Parcel History: J" Date Doc # Vol/Page Type 04/17/2001 643006 1619/626 WD 03/27/2001 641388 1608/221 WD 0 07/23/1997 870/43 07/23/1997 568/314 more... 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.000 83,900 178,300 262,200 NO Totals for 2006: General Property 0.000 83,900 178,300 262,2000 Woodland 0.000 0 Totals for 2005: General Property 0.000 83,900 178,300 262,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 RECEIVED NOV 21 2008 FIELD INSPECTION & SERV C]r,.WQRT INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 0 / .san Name:,Sa. -T1'oy» Owner Name: 0JjjjQy2 Q, Street: Mail Address: Mail Address: 3q0 5~►~ City State Zip City 05c-Lo (a State LAW Zip 5-1010 Phone (v3)39&-,7-W1 Fax _ Phone C7/~x~8-7767 Fax (7~5) 2~j8-776f~ e-mail - e-mail ac so;/ t4wse„4~- com INSTALLATION INFORMATION Model No. Blower. Brand and Serial No. Date of Installation Date of last pump-out Size ✓~C508 ZT,?.Sly Q; G O 03477,Z1(0/ 0/0 EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blowers : Air Inlet Filter Clean LIZ Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Units : Unusual Odor System Vent Pum out Required: Prima Settling Zone ` ` d e-com rACY, L, 6-w Aerobic Treatment Zone EFFLUENT: LIMIT RESULT Estimated Dail Flow H Standard Units 6-9 S.U. Color Clear Temperature A Dissolved Oxygen effluent 2 m Odor Slightly Musty odor {,~S not se x. OWN R SIGNATURE TEC NICIAN SI TURE SERVICE DATE 9 4 SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street commercemi.gov Chippewa Falls, Wisconsin 54729 (715) 726-2544 http://www.commerce. wi. gov/sb isconsin httpJ/wwwwisconsin.gov Jim Doyle, Governor Department of COR1t11erCe Jack L Fisher, A. I. A., Secretary September 15, 2008 RECEIVED Ab" 1p122~ SEP 17 2008 p3' ~N g~ William Schumaker, MP 227990 ST. Croix COUNTY 1070 Scott Rd ZONING OFFICE Hudson, WI 54016 Dear: Mr. Schumaker: Re: Willow River Inn Site ID Number: 718034 1106 Cty Hwy A Transaction ID Number: 1393607 Hudson, WI 54016 On September 11, 2008, Pam Quinn and I conducted an inspection of the above referenced facility and noted the following discrepancies that need your attention. 1. The manhole over the aerobic treatment unit needs to be raised to at least 4 inches. above finished grade. 2. The aerobic treatment unit needs to be vented according to manufacturer's recommendations. If you choose not to provide properly sized vent please provide documentation from the manufacturer that states/shows that the vent is unnecessary. 3. Final filtration to less than or equal to 1/8 inch diameter is necessary immediately prior to the discharge of treated effluent to the dispersal cells. An inline force main filter will likely meet this requirement. The filters should be installed so that they can be easily serviced from outside the tank. 4. The vent cap on one of the observation pipes in the dispersal cell needs to be changed to an end cap or the pipe extended to at least 12 inches above finished grade that would allow for the use of a vent cap. 5. Provide both the county zoning office and me with the results for the field calibration of the timers used to dose effluent to the aerobic treatment unit. This calibration will also verify the volume of wastewater in the dosing event. 6. Provide both the county zoning office and me with a copy of the approved plans for the grease interceptor. 7. Please contact the electrician for this project regarding the use of PVC conduit between the building and the aerobic treatment unit. This conduit may be subject to foot traffic and may not adequately protect the conductors within. See NEC 300.4 regarding adequate protection against physical damage. Page 2 Willow River Inn All work to get this installation into complete compliance with the department approval and applicable rules needs to be done by September 30, 2008, and you need to contact me for an inspection when the work is finished. If you have any questions regarding this letter or the discrepancies noted, please contact me as soon as possible. Sincerely, Leroy XJa221:! A ist POWTS Wa (715) 726-2544 Office (715) 726-2549 Fax leroy.jansky@wisconsin.gov cc: Ryan Yarrington, St. Croix County Zoning Dept. SBD-5524-E (R. 4/98) File Ref: C:\MY DOCUMENTS\LETTERS\ST CROMSCHUMAKER WILLOW RIVER 2.DOC