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Home My WebLink About008-1079-20-050 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572850 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Pechuman, Jordan I Eau Galle, Town of 008-1079-20-050 CST BM Elev: Insp.BM Elev: BM Desgription: n ay Section/Town/Range/Map No: 1 LG� iJ jpJ� G' k ��- 28.28.16.417b10 TANK INFORMATION ELEVATION bATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se p tic Bench ak G �q C) Dosing Alt. BM L� Aeration Bldg.Sewer Holding , tom., MV4 W SILJnlet 00, St/Ht Outlet �D� 7-7 TANK SETBACK 4FORMATION TANK TO P/L WELL BLTDG_- Vent to Air Intake ROAD Dt Inlet Septic ��— Dt Bottom � Q� � �r wo Dosing - Heade Man. Dist. Pie p Aeration . 15 vs— /U /•l) s . 1,2 'd Holding Bot.System T' MP/ IPHON INFORMATION �e- urer Demand St Cover /P K GPM Model Number WOO 1i �,G►ti� ��. '� /_ TDH Lift Friction Loss System Head TDH Ft Forcemain Leng�l) Dia. �r Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No.Of Trenches PIT DIMENSIO S No.Of Pits Insid Liquid D th DIMENSIONS % -2 SETBACK SYSTEM TO �r P/ BLDG WEL LAKE/ST ACHING Manufacturer: INFORMATION CHA OR Type Of ystem: � � r a �r UNIT del Number: DISTRIBUTW SYSTEM 1<4rd44W 0-n o Header/ anifold Distribution I f x Hole ize f' x Hole Spacing / Vent to Air Intake �f Pipe(s) (p / Length Dia L Length 5y,4�Dia / Spacing- � � 2' �-j SOIL C VER x Pressure Systems Only Mound O)At-Grade Systems Only Depth Over Depth Over xx Depth o o xx Seeded/S dded ul xx M Bed/Trench Center Bed/Trench Edges Yes No Yes No C COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 2379 20th Avenue Baldwin,WI 54002(NE 1/4 NE 1/4 28 T28N R16W) NA Lot 1 Parcel No: 28.28.16.417b10 1.) Description �1�,.�, 6, fir. -amount of cover= �( /,_ -�., f a.1P,° LdYVi A.I Vl�4 © c"l.� Plan revision Required? es ❑ No ( l Use other side for additional information. Date Insepctor's Signa re Cert.No. SBD-6710(R.3/97) State o� Wisconsin ` Department of Industry, Labor and Human Relations SAFETY 8 BUILDINGS DIVISION Kevin ;'i U V JE' 201 E.Washington Avenue P.O. Box 7969 Page 11 Madison, Wisconsin 53707 Septeiabar '5, 1990 keviewe( Jy: S-- - ai Rockwei ,-,r, PL, CPSS Envir,onlaental Engineer - Supervisor, Onsi to Sera je Plan/Plat Departmentai Sigoature: C-f. r�f' �` V 1 .,�i( Ua.te: lit cr;ar. i-yLr, Axcritect ui rec tor, Office of Cli vi s i ors G-ad°s and Application I JQ:3y6lg Enc. cc: L,roy Jarisky, Private Sewaric i;()Tistt j utlt - lei stri c% U, i.ili ppevia Falls Trloi:ias Nelson, Zoning Ad,:i ri stra'tor - St. Croix County Aaby Plunbing tieating, iIIC. I SBD-8928(0.10/87) y N w N �r s "7V ONSITE 51=1VACE SYSTEM -_, DEPn s '^TIONS S '90 62 630 N(e) I V A V Iz � o r s 3 } C a s � �. h A. L ! �6 s S o 'r pC y .r DIVISION OF INDUSTRY SERVICES 1 vae ARTbFNfo� 7 l 3824 N CREEKSIDE LA Ili 1"R O rt !glz HOLMEN WI 54636 -v 1 Contact Through Relay If"tECIV www.dsps.wi.gov/sb/ www.wisconsin.gov +� ow A�° NOV 2 1 , Scott Walker,Governor 5'S1O"may Dave Ross,Secretary ST.CROIX f'.;;aUNI Y November 17,2014 Customer ID No.224832 CrONDITI APPR MARY JO 1 UPERT DEPT OF SA HOLLISTERS SOIL TESTING&DESIGN W9875 690TH AVE PROFESSION RIVER FALLS,WI. 54022 DIVISION OF INDUII CONDITIONAL APPROVAL-REVISION 4 r PLAN APPROVAL EXPIRES: 11/17/2016 A6h4Q'It EE CORRES SITE: Identification Numbers Jordan Pechuman Transaction ID No.2472857 2379 20TH Ave Site ID No. 807438 Town of Eau Galle Please refer to both identification numbers, St Croix County above,in all correspondence with the agency. NE1/4,NEIA, S28,T28N,R16W FOR: Description: Three Bedroom Mound System/4%slope/Dispersal Cell Re-core Object Type:POWTS Component Manual Regulated Object ID No.: 1509802 Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This approval was submitted and approved in order to correct elevation errors that were discovered by the county during an onsite inspection conducted on 11/13/14.This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. 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: Reminders: • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal component shall remain undisturbed.Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the ap rp oved 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. MARY JO HUPPERT Page 2 11/17/2014 , All contaminated POWTS components, (i.e. sand, rock, pipe and synthetic covering material), shall be abandoned per SPS 383.33, and NR 113,Wis. Adm. Code requirements. 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. • 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 i0er s. SPS 383.54(1). • 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, erard M Swim POWTS Plan Reviewer,Integrated Services (608)789-7892,Mon-Fri, 7:15 am-4:00 pm jeny.swiin@wisconsin.gov cc:Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Pam Quinn,Zoning Office St Croix County SPIA �I I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN e u a I � LcE inn INDEX AND TITLE PAGE ,., ._ Project Name: JORDAN PECHUMAN T Owner's Name: (same) _—� .•, T. Owner's Address: 811 130th Street Roberts, WI 54023 VFq<<Y Legal Description: NE 1/4 of the NE 1/4, Sec. 28, T28N, R16W SqNt) Township: Eau Galle �'pl4j.RV�CFS+ County: St. Croix SERV/c�$ Subdivision Name: NA �CF Lot Number: 1 Block Number: NA Parcel I.D. Number: 008- 1079-20-050 .`tr �. Plan Transaction No.: _ ( t4W`w t YAN 0`4�,i�tst€sl @�^Pf�l Page 1 Index and title i -: Vic 5�z ,per $ ��• Page 2 Data entry e ` W ` •• &' ! Page 3 Mound drawings f^ • Page 4 Lateral and dose tank v Page 5 System maintenance specifications r Page 6 Management and contingency plan 6 Page 7 Pump curve and specifications =RIVEER FAL Page 8 Plot plan •® raac i� Designer: Mary Jo Huppert License Number: 1859-007 Date: 10/15/14 Phone Number: 715-426- 1775 Signature: / Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P(N.01/01) Version 7.0 (R. 03/2012) Page 1 of 8 rkov 17 14 04: 39p Hollister 's Soil Testing 715-426-1775 p. 2 Mound and Pressure Distribution Component DEsign Design\Norksheet Site Information (I� or C) R Residential or Commercial Design Note: Sand fill(D)calculations assume a 300.00 Estimated Wastewater Flow(gpd) table 3a l colif in-of so l treatment for fecal cofiform of<_:6 inches. 1.50 Peaking Factor (e.g. 1.5= 150%) 45050 Design Flow(gpd) 4.00 Site Slope(%) 99.20 Contour Line Elevation (ft) 12.00 Depth to Limiting Factor(in) 0.40 In-situ Soil Application Rate (gpd 1ft2) Distribution Cell Information 56.25 Dispersal Cell Length Along Contour(ft) Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality(1 or 2) Are the laterals the hic hest point in the distribution Y Pressure Disribution Information network? Enter Y or `9 (C or E) c Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 2.50 Estimated Orifice Spacing (ft)= 10.23 ftz/orifice 2.00 Forcemain Diameter(in) 100.00 Forcemain Length (ft) Does the Forcemain drain back? Y 95.65 Pump Tank Elevation(ft) Enter 1'or ti 4.55 System Head (ft)x 1.3 16.31 Forcemain Drainback (gal) 7, Vertical Lift(ft) 22.35 5x Void Volume(gal) 1.b31 4-25 Friction Loss(ft) 38.66 Minimum Dose Volume(gal) 0.50 In-line Filter Loss(ft) 23.69 System Demand (gprn) Iq a 11-44 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 x x 1.50 x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallon_s/inch Calculator(options.l) Treatment Tank Information Total Tank Capacity ;gal) 1000.00 Tank Capacity(gal) Total Working Liquid Depth (in) Wieser Manufacturer � gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity(gal) Simtech Filter Manufacturer 9.84 Dose Tank Volume (gal/in) STF-100 Filter Model Number Weiser Manufacturer Project: JORDAN PECHUMAN Page 2 of 8 11-17-M Nov 17 14 04: 40p Hollister 's Soil Testing 715-42G- 1775 p. 3 Mound Plan and Cross Section Views 1/10 B J Observation Pipe K i:9.+ry - A - I - .eJ a= I L Mound Component Dimensions. A 8.00 ft E 27.84 in H Mft ft K 11.73 ft B 56.25 ft F 9.00 in I 1 L 79.71 ft D 24.00 in G 0.50 ft J ft W 28.8 ft 450.00 (ft2) Dispersal Cell Area 1134.59 (ftz)Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 5.63 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.95 (ft) H F Dispersal Cell `' :.. 101.70 (ft) Lateral 101.20 (ft)---1-1 Invert D ell :_:.. Dispersal C P Elevation 4 l 99.20 (ft) Contour Elevation 4.0 %Site Slope Geotextile Fabric Cover Shading Key m a T Dispersal Cell See lateral details on .� Page 4 for number,size, 0 Topsoil Cap c 1.5 ft and spacing of laterals. Subsoil Cap 0 .0 ' - Laterals ar:equally Ci 0 ASTM C33 Sand F spaced fiom the :TypicalLateral ' ® Tilled Layer N 0.5.ft ;�,:,ra distribution cell's 5 r J.J Aggregate v o 'Q`' centerline in the ��°'w°��:>��y��=''�' :�'�:`s' .r.�:...-.... cent i _'A _ + distribution :ell(AxB). Project: JORDAN PECHUMAN Page 3 of 8 Nov 17 14 04: 40p Hollister 's Soil Testing 715-426- 1775 p. 4 Center Connection Lateral Layout Diagram Force main connection via tee m cross to manifold at ang poiet. L aterals are identic al ! P S •c Turin-up vWbalt valve or IfX��Ewt2 d2�! LaterarS aforcemain Sch 40 PVC cleairoutpluo 1 per SPS Table 384.30-6 Hones drilled cm the bottom of the laterat Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.61 ft Lateral Length (P) 27.41 ft Orifices per Lateral 11 Lateral Spacing(S) 4.00 ft Orifice Density 10.23 ft%rifice Lateral Flow Rate 5.92 gpm Manifold Length 4.00 ft System Flow Rate 23.69 gpm Manifold Diameter 1.25 in Total Dynamic Head t 4 ft Forcemain Velocity 2.42 fUsec Dose Tank Information Locking cover with warning label and lockinc device and sealed watertigh: Electrical as per NEC 300 and SPS 316.300 WAC 4 in.min. Disconnect Tank component is properly vented �- Alternate outlet locatior Forcemain d ameter Weiser Manufacturer in. Capacityl 500.00 Gallons — T Volume 9.84 gallinch A Weep hole cr anti- Dimension Inches Gallons B siphon device A 33.98 334.40 C B 2.00 19.68 Pump off a evation(ft)-t C 3.93 38.66 96.56 D 10.90 107.26 D r—T-o—ta-1 -1 50.811 500.00 Dom se tank aevation(ft) 3" Bedding under tank. F 95.65 Alarm Manuaaacturer SJE Rhombus Note: S�,vi:ches Alarm Model Number Tank Alert AB containin, mercury may not to used in Pump Manufacturer Gould this system. Pump Model Number WE30L 14.n3 Pump Must Deliver 1 23.69 gpm at F�1. ft TDH Project: JORDAN PECHUMAN Page 4 of 8 � W�s i -17-J`I Mound Svstem Maintenance and Operation Specifications Service Provider's Name Ron's SewerTMService Inc. Phone( 715-749-0153 a POWTS Regulator's Name wSt. Croix County Zornng Phoned 715 386-4680 J System Flow and Load Parameters Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ............... . . . . . . . . . . . . . . Grade v1 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JORDAN PECHUMAN Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code, and shall maintained in accordance with its'component manuals[SBD-10691-P(N.01/01),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N. 01/01)]and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However,if such products -are used they shall-be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS,30 mg/L TSS,10 mg/L FOG,and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as 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. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)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 by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: RVI�)J F 0gMAAP J Page 6 of 8 Wastewaters APPLICATIONS • SJTOW or STOW severe duty oil and water resistant Specifically designed for the following uses: power cords. • Homes, Farms,Trailer Courts, Motels,Schools, • '/3- 1 HP models have NEMA three prong grounding Hospitals, Industry,Effluent Systems plugs. • 1'/2 HP and larger units have bare lead cord ends. SPECIFICATIONS Three phase(60 Hz): Pump •Solids handling capabilities: 3/4" maximum • Class 10 overload protection must be provided in separately ordered starter unit. • Discharge size: 2" NPT • STOW power cords all have bare lead cord ends. •Capacities: up to 140 GPM •Total heads:up to 128 feet TDH • Designed for Continuous Operation: Pump ratings •Temperature: are within the motor manufacturer's recommended 1047(40°C)continuous, 140°F(60°C)intermittent. working limits,can be operated continuously with- • See order numbers on reverse side for specific HP, out damage when fully submerged. voltage, phase and RPM's available. • Bearings: Upper and lower heavy duty ball bearing construction. MOTORS • Power Cable: Severe duty rated, oil and water resis- tant.Epoxy seal on motor end provides secondary • Fully submerged in high-grade turbine oil for lubri- moisture barrier in case of outer jacket damage and cation and efficient heat transfer. to prevent oil wicking.Standard cord is 20'.Option- • Class B insulation on '/3- 1'/2 HP models. al lengths are available. • Class F insulation on 2 HP models. • O-ring:Assures positive sealing against contami- Single phase(60 Hz): nants and oil leakage. •Capacitor start motors for maximum starting torque. AGENCY LISTINGS • Built-in overload with automatic reset. ce, Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association File#LR38549 Us METERS FEET 40 130 .. . - - SERIES: WE15HH- 120 SIZE:3/a"S SOLIDS 35 - RPM:3500& 1750 110 WE20H - —► 5 GPM 30 100 5 FT - p 90 WE15H J. Q - = 25 80 WE10 Q 20 70 E07 } 60 15 50 WEO . O 40 10 30 / 20 WE03L .{ 5 10 0 0 0 10 20 - 30 40 50 60(M 70 80 (LI90 100 110 120 130 140 150 160 GPM 0 _�55 [ 10 15 20 25 30 35 m3/hr CAPACITY PAGE 2 Nov 17 14 04: 41p Hollister 's Soil Testing 715-426- 1775 p. 7 Plot Plan Page f,Of Property Owner �EcH Lv.,,,AN 1" = 40ft Legal Description A >y�'�;� (ex�'ept where noted) zs Tz N. P,if-a' CW&I OF EAU��_ L PUk-X ; Backhoe pit ��S6G� y9-u2� North A G 20 ` ,Av EN uU .2D ` % 3 i W i �- — — - p SO�Muf. Est BCDR oast � S6•?6' Zr E EX'STS t,z 7.31 oa �o9�o�w� The licensed plumber that will_be installing the replacement mound has determined that the failure is within the aggregate bed and approximately 2 inches into the sand fill. The sand will be removed to where the unclogged material starts. New ASTM C33 sand will be replaced to the required elevation of 102M feet. The trench will be excavated carefully and filled with aggregate per SPS 383 Wiscc nsin Administrative Code along with new distribution piping and gec,textile fabric. Site Location: The POWTS has been enlarged to meet current Code loading rases and ZO�k AVE. using a 0.4 soil loading rate per St. Croix County Zoning personr el. The 5�� X 6 - existing dispersal area is 8 x 47 feet and will be extended on bot h ends to 56.25 feet. 2`� A Simtech A-100 filter in be added in the pump tank. J�ef l 5�� vvi.gov Safety >r- County ,i 201 W.Was gran Ave P n Box 7162 -j L' n Madison,WI 53707-7162 Sanitary Permit Number(to be titled in by Co.) Commerce 2 SD ST.Mdlx caylSanitary Permit Application State Transaction Number Wis.Adm.Code,submission of this form to the appropriate governmental 91/ 7,2 eS 7 unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are project Address(if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary u ses in accordance with the Privacy Law,S.15. 1 m Stats. I. Application Information-Please Print All Information s --- Property Owner's Name Parcel# i1"oYela'x/ 147e C AL u mew e�- M79- 2-d U5t Properly Owner's Mailing Address Property Location 4/ (-7 B 7 2 3 9' a Q TX U-e Govt.Lot (• City,State Zip Code Phone Number /_y,, Al C '/,, Section 0 ZS 5--,V (Chock Ono) II.Type of Building(check all that apply) Lot# T r2 g N; R []E any K or 2 Family Dwelling-Number of Bedrooms 5 P l Sl 1 �ICVe / Subdivision Name 3 ❑Public/Commercial-Describe Use Bl k# City of ❑State Owned-Describe Use CSM Number 3 ^7 F1 Village of R ?� 3 ©Town of Ill.Type of Permit: (Check only one box on line A. Complete line B if pplicable) A. New System Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System(explain) :System .` - 1 +t + rf B. Permit Permit Revision ❑Change of Permit Transfer to List (Previous Permit Number and Date issued Renewal Before Plumber New Owner 7 l/ /C, ,fq 1 Expiration ; VV IV.Type of POWTS System/Component/Device: Check all that apply) Non-Pressurized In-Ground El Pressurized In-Ground Ll At-Grade Mound>24 in.of suitable soil Mound a 24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment D ( ain) �� 71 V.Dis rsal[Treatmcut Area Information: - ` Design Flow(gpd) Design Soil Applicati n Rate(gpdsf) Dispersal Area Req 'red(st) Dispersal Area Propo (sf) System Elevation q1 a VI.Tank Info Anpacity in Total '#of Manufacturer Materialtl Gallon Gallons Units ` New Tanks Existing Tanks ,.-1 Septic or Holding Tank ti a Dosing Chamber VII.Responsibility Statement-1,the undersigned,assume responsibility for installation of the POWTS on the attached plans. Plumber's Name(Print) Plumber's Signature P RS Number Business Phone Number f_u. // a 71,4 c h e. - 1 d?a '7`I�d ;7,,S 3d i z Plumber's Address(Street,City,State,Zip Code)off_ 0 /67B .j a-Gtf- V!K.County/De artment Use Only Approved _ Disapproved Permit Fee Da Issued A Issu' g Agent ignatu _Owner Given Reason for Denial IX.Conditions of Approval/Reasons for Disapproval '( f /y L, 11 C t SYSTEM OWNER: e 7 76 1.Septic tank,effluent filter and dispersal cell must be serviced/.maintained c y► ✓ 12G L ti!i/L� 1,4 koe.— P �1 C� S as per management plan provided by plumber. - a0�(J� 2. I setback re uirements must be maintained f as per applicableMtwft( fdm s for the system and submit to the County only on paper nocless oa S v2 x 11 inches in _75 ., 6 -. SBD-6398(R.01/07)Valid thru 01/09 ev'` I �� PRESSURE FILTER INSTALLATION &SERVICE INSTRUCTIONS 1455 Lexamar Drive Toll Free 888-999-3290 Office 231-582-1020 Boyne City,MI 49712 Fax 231-582-7324 Email safes,r&gae-simtech.com Web www.gaiz-simtech.com INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter(end opposite of the cap)to the desired height and a 2" union will need to be added to the outlet end(the end closest to the cap&on the side of the filter). Always install the filters in a position where they can be easily serviced. *"Always use caution when starting threads to avoid cross threading". Plumb force main into the 2"sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface". For best performance, if a check valve is installed it should only be after the outlet of the filter. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks(600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a"pump on light"that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4"cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour ware water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. I If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove%"plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range(3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material,freight or expenses required to replace, correct or reinstall the product. GAG SIM/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein,there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13. 2005 PARTagg,VT DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA a� f 1P " HOLMEN WI 54636 Q Contact Through Relay www.dsps.wi.gov/sb/ www.wisconsin.gov 2a p Ossror�tisw Scott Walker,Governor Dave Ross,Secretary ST.CROIX C00TY October 30,2014 r`Q��` -omMUNITY DEVELOPMENT OUST ID No. 224832 � 0'�000�U Otkl ATTN:POWTS Inspector G� p� MARY JO HUPPERT S�vN�� ZONING OFFICE HOLLISTERS SOIL TESTINQJ4 ESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/30/2016 SITE: Identification Numbers Jordan Pechuman Transaction ID No.2472857 2379 20TH Ave Site ID No. 807438 Town of Eau Galle Please refer to both identification numbers, St Croix County above,in all correspondence with the agency. NE1/4,NEIA, S28,T28N,R16W FOR: Description: Three Bedroom Mound System/4%slope/Dispersal Cell Re-core Object Type:POWTS Component Manual Regulated Object ID No.: 1509802 Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual-Ver.2.0, SBD-10691-P(N.01 101,R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01 101,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed- and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. CONDI No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, APP stats. DEPT OF The following conditions shall be met during construction or installation and prior to occupancy or use: PROFESSIO Reminders: DIVISION OF.IN • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made SEE COR E the designated county official in accordance with the provisions of Sec.-1I45.20(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-clearing of the-filter is required.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal component shall remain undisturbed.Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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 contaminated POWTS components, (i.e. sand, rock, pipe and synthetic covering material), shall be abandoned per SPS 383.33,and NR 113,Wis. Adm. Code requirements. MARY JO HUPPERT Page 2 10/30/2014 • � i 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. • 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. SPS 383.54(1). • 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. Gerard M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm f MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: JORDAN PECHUMAN p'` ' ,- Owner's Flame: (same) OCT 2 0 2014 Owner's Address: 811 130th Street IJ CTRY R\T Roberts,WI 54 023 Legal De:3cription: NE 1/4 of the NE 1/4, Sec, 28, T28N, R16W Townshir: Eau Galle County: St. Croix Subdivisi,)n Name: NA Lot Numi►er. 1 Block Number: NA 7OVED -y Parcel I.D. Number: 008- 1079-20-050 SAL 3EyAND Plan Transaction No.: USTRYSERVI �t�iiiiiif6llfl!/ps Page 1 Index and title CAS ��`��`��•�` � Page 2 Data entry a ® ��....,,` r'�r, Page 3 Mound drawings / Page 4 Lateral and dose tank NDENCE MAR'S JO Page 5 System maintenance specifications HUPPERT _ Page 6 Management and contingency plan D 1859 — Page 7 Pump curve and specifications 44RIVER F',�t.L L.= .� Page 8 Plot plan INa4 iflllMiEU►`��6��, Designer: Mary Jo Huppert License Number: 1859-007 Date: 10/15/14 ,( Phone Number: 715-426- 1775 Signature?: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P(N.01/01),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pn%ssure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01) Version 7.0(R. 03/2012) Pagel of 8 i Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) 4 Residential or Commercial Design Note: Sand fill(D)calculations assume a 300.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50' Peaking Factor(e.g. 1.5= 150%) fecal coliform of<=36 inches. 450.05 Design Flow(gpd) 4.00 Site Slope(%) 100.9iD° Contour Line Elevation (ft) 12.00 Depth to Limiting Factor(in) 0.40 In-situ Soil Application Rate(gpd/ftz) Distribution Cell Information 66.25' Dispersal Cell Length Along Contour(ft) = 8.00 Cell Width (ft) 1.00' Dispersal Cell Design Loading Rate(gpd/ft2) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressum Disribution Information network? Enter Y or N (C or E) c Center or End Manifold 4.0 Lateral Spacing (ft) If N above, enter the elevation (ft) 4' Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 2.50 Estimated Orifice Spacing (ft)= 10.23 ftz/orifice 2.00 Forcemain Diameter(in) 104.00 Forcemain Length(ft) Does the forcemain drain back? Y 95.65 Pump Tank Elevation(ft) Enter Y or N 4.55 System Head (ft)x 1.3 16.96 Forcemain Drainback(gal) 6.84 Vertical Lift(ft) 22.35 5x Void Volume(gal) 1.30 Friction Loss(ft) 39.32 Minimum Dose Volume(gal) 0.50 In-line Filter Loss(ft) 23.69 System Demand (gpm) 13.1 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. o tons choice in. dia. options I choice 0.75 1.25 x x 1.00 x x 1.50 x 1.25 x 1.50 x 3.00 2.00 3.00 x Gallons/Inch Calculator(optional) Treatment Tank Information Total Tank Capacity(gal) 1000.00 Septic Tank Capacity(gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tat k Information Effluent Filter Information 500.00' Dose Tank Capacity(gal) Slmtech Filter Manufacturer 9.84 Dose Tank Volume(gal/in) STF-100 Filter Model Number Weiser Manufacturer Project: JORDAN PECHUMAN Page 2 of 8 Mound Plan and Cross Section Views . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T 1110 B ':': J Observation Pipe K' n�4 a5.y".�" •. 'M.h..•.••».j:;°k.k.. 5•».9'.h.a•.::i»ti..:»'t:ti..•..h..•..».1..•.k..M1...�.ea '.:»�p«•�:�"..» A j' h`L�M1•N '4 �d'6."un•�:h"' J�«i sn°�:n` Lf a°� vim 3 k a 1 S'L,'M 1•b 9.7, a n•1•"n.h»k.e:".••.»1.•..•..^»ti 4«. "'l.» W i. I• — B z L Mound Component Dimensions A 8.00 ft E M9.25 in H 1.00 ft K 11.79 ft B 56.25 ft F in I 12.24 ft L 79.84 ft D 24.00 in G ft J 8.76 ft W 29.00 ft 450.0D (ft2) Dispersal Cell Area 1138.58 (fl?) Basal Area Available 3J(gpd/ft) Linear Loading Rate 1 5.63 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.67 (ft) —► ♦ H ......,11 ,..,.0.,... .. I F Dispersal Cell 103.40 (ft) Lateral 102.90 (ft)--► Invert Dispersal Cell ] :D v lion : � : : :•. Et e a 100.90 (ft)Contour Elevation 4.0 %Site Slope Geotextile Fabric Cover Shading Key Q T Dispersal Cell See lateral details on [Q MN Topsoil C.3p o a 1.5 ft y Page 4 for number,size, Subsoil Cap and spacing of laterals. ASTM C33 Sand Laterals are equally Tilled Lay;r 0.5 ft k` 7m,cai Patera F spaced from the © ® g9 distribution cell's �;h;•".. Aggregate o e9 atr, . centerline in the A * distribution cell(AxB). Project: JORDAN PECHUMAN Page 3 of 8 Center Connection Lateral Layout Diagram Force main ctnnect o via tee or cross to manifold at ang point. Laterals are identacat P •=Turn-rip vv'ballvatveor �E X---q J+02 102+) Laterals F�rorcemain Sch 40 PVC clearrout)lug per Spy Table 384.30.6 Mores dried.on 0#bottom of the lateral. Number a"Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.61 It Lateral Le igth (P) 27.41 It Orifices per Lateral 11 Lateral Spacing (S) 4.00 It Orifice Density 10.23 If/orifice Lateral Flcw Rate 5.92 gpm Manifold Length 4.00 ft System Flow Rate 23.69 gpm Manifold Diameter 1.25 in Total Dynamic Head 13.19 It Forcemain Velocity 2.42 1 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Ekrretrical as per NEC 300 and —► — SPS 316.300 WAC 4 in.min. Disconnect ------- Tank compo lent is properly vented E--'– Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Ca aci 500.00 Gallons _r Volume 1 9.84 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 33.92 333.75 B 2.00 19.68 C _ Pump off elevation(ft) C 4.00 39.32 f 96.56 D 10.90 107.26 D Total 50.81 r 500.001 iF Dose tank elevation(ft) 3"Bedding under tank. 1 95.65 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number 'Tank Alert AB containing mercury may not be used in Pump Manufacturer Gould this system. Pump Model Number 1 WE301 Pump Mu at Deliver I 23.69 gpm at 13.19 ft TDH Project JORDAN "ECHUMAN Page 4 of 8 J Mound System Maintenance and Operation Specifications Service Provider's Name Ron's Sewer Service Inc. Phone 715-749-0153 POWTS Regulator's Name St. Croix Coun Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 f:2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 yea rs Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •..•••......•• �,.. 000000000000000 Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JORDAN PECHUMAN Page 5 of 8 I�IV{,11IM Vyr�rav\�■ ��c��waJ.v•�•v..r • .ra.• Pursuant to SPS 383.54,VAs.Adm.Code General This system shall be openated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its'component manuals[SBD-10691-P(N.0^'!01),SSWMP Publication 9.6(01181),and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N. 01/01)]and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump tank mantole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessr ient shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be rep aced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the fitter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall ha%-e its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the ttnk are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However,if such products are used they shall be appro,+ed for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank s fall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs shouic be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as neka;ssary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on 4he mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compactions in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5,150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5,30 mg/L TSS,10 mg/L FOG,and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specked in the permit for thin installation. The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommended that each lateral be flushed of accumulated solidi at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within tie dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,and any levels above 6 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring. Continsaencv Plan If the septic tank or any o"its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump, Sump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component mails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present locattm by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and related piping,aid replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Pro ject:�aP>4A1 F G&1gAAA J Page 6 of 8 Wastewater APPLICATIONS •SJTOW or STOW severe duty oil and water resistant Specifically designed for the following uses: power cords. • '/3- 1 HP models have NEMA three prong roundin •Homes,Farms,Trailer Courts,Motels,Schools, p g g g Hospitals,Industry,Effluent Systems plugs. • 11/2 HP and larger units have bare lead cord ends. SPECIFICATIONS Three phase(60 Hz): Pump •Solids handling capabilities:3/a" maximum •Class 10 overload protection must be provided in separately ordered starter unit. • Discharge size:2" NPT 40 GPM •STOW power cords all have bare lead cord ends. •Capacities:up to 1 •Total heads:up to 40 feet TDH •Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended •Temperature: 104°F(40°C)continuous, 140°F(60°C)intermittent. working limits,can be operated continuously with- out damage when fully submerged. •See order numbers on reverse side for specific HP, .Bearings:Upper and lower heavy duty ball bearing voltage,phase and RPM'S available. construction. MOTORS •Power Cable:Severe duty rated,oil and water resis- •Fully submerged in high-grade turbine oil for lubri- tant.Epoxy seal on motor end provides secondary cation and efficient heat transfer. moisture barrier in case of outer jacket damage and to prevent oil wicking.Standard cord is 20.Option- •Class B insulation on%-11h HP models. al lengths are available. •Class F insulation on 2 HP models. •O-ring:Assures positive sealing against contami- Single phase(60 Hz): nants and oil leakage. •Capacitor start motors for maximum starting torque. AGENCY LISTINGS •Built-in overload with automatic reset. Op Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association File#LR38549 us METERS FEET 40 130 ISERIES.WE 120 VI E118Hk SIZE:1/4"SOLIDS I IRPM•3500& 35 1101 (1750 t I W$2(1H 5 GPM r , 30 100 i 90 1f11SH S FT � � I uT 25 8 r 0° � u 70 , t { 20 0 60, d r 15 50, 0 H O 40! 3 10 30 yOp*Mi ( i 20 00 L 10 I i OL 00 10 20 30 40 ? 50 60 (Lj 0 70 80 90 100 110 120 130 140 150 160 GPM 0 -;5 10 15 20 25 30 35 m3/hr CAPACITY PAGE .Jc► ,� c �,I/V1-A) FA) 4W1 _1 6f Plot Plan Page Y of Property Owner � e H Zk,vtA ti I" = 40 Legal Description A PA�.,ej- rev �mi< /UF,Yy 0f N>✓ (except where noted) .:p,d. z -rz'eN, R ji,#IV, ''Fawn: OF EAU a,:,jqUr Sr. eRCIX = Backhoe pit '— North o° 4�V 5rJ'M19. L r y` MKI STIMe- 7.3 The licensed plumber that will be installing the replacement mound has determined that the failure is within the aggregate bed and approximately 2 inches Into the sand fill. The sand will be removed to where the unclogged material starts. New ASTM C33 sand will be replaced to the required elevation of 1 02.90 feet. The trench will � be excavated carefully and filled with aggregate r SP5 383 g per Wisconsin Administrative Code along with new distribution piping and geotextile fabric. Site Location: The POWTS has been enlarged to meet current Code loading rates and -ML Avs.Y using a 0.4 soil loading rate per St.Croix County Zoning personnel. The 509,'X 6 existing dispersal area is 8 x 47 feet and will be extended on both ends n to 56.25 feet. � Srr.G 2` A Simtech A-100 filter in be added in the u p m tank. � P .71. l l(V11�U"U111 1 SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Jordan Pechuman Owner/Buyer 811 130th st Roberts Wi.54023 Mailing Address 2379 20th ave Baldwin Wi 54002 Property Address (Verification required from Planning&Zoning Department for new construction.) I City/State Parcel Identification Number LEGAL DESCRIPTION p rry .r 1 1/4, Sec. �� , T�N R1�W, Town of c��l� l� 6<z Me- Subdivision Location ,�lf� /4 Subdivision Plat: /L A , Lot# i Certified Survey Map# 0 , Volume , Page# j 2 3 Warranty Deed# 3 �U (before 2007)Volume 7S ,Page# -7 Spec house❑yesao Lot lines identifiable ByesOno 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§SPS.383.52(1)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. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services 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. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. 3 Nu er bed ro s 11 6 14 SIG+T OF NT(S) DATE * 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.04/12) 1 756 PATE•) l 7 �l STATE BAR OF WISCONSIN FORM 1-2000 WARRANTY DEED 6614a Document Number KATHLEEN H. WALSH REGISTER OF DEEDS This Deed,made between Kevin P. Hovde and ST. CROIX CO., WI Lisa L. Hovde, husband and wife RECEIVED FOR RECORD Grantor, 11-07-2001 9:30 AN and Jordan pechuman, a single parson WARRANTY DEED EX7?IPT # CERT COPY FEE: Grantee. COPY FEE: TRANSFER FEE: 558.00 Grantor,for a valuable consideration,conveys to Grantee the following RECORDING FEE: 11.00 described real estate in St. Croix County, State of PAGES: 1 Wisconsin(the"Property")(if more space is needed,please attach addendum): Lot 1 of Certified,Survey Map recorded in Volume 2 on page 323 as Document No. 336670 being part of the Northeast Quarter of Northeast Quarter (NE14 of NE'4) , Recording Area Section 28, Township 28 North, Range 16 West, Town Nmuc and Return Address of .Eau Gallo and the West 75 feet of Lot 2 of I Title One Premier Group, Inc. Certified Survey recorded in Volume 2 on poye 323 as 706 19th Street South Document No. 336670 being part of the Northeast Hudson, WI 54016 Quarter of the Northeast Quarter (NEVA of NE;a) , Section 28, Township 28 North, Range 16 West, Town of Eau Galle. 008-1079-20-000 and part of 008-1079-30-000 Parcel Identification Number(PIN) Together with all appurtenant rights,title and interests. This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this lot day of November , 2001 * *Ke in P. Hovde * 1sa L. Ho-rde AUTHENTICATION P ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) ) ss. St. Croix County, ) authenticated this day of 4 Personally came before me this lot day of November the above named * Kevin P. Hovd® and 9 TITLE:MEMBER STATE BAR OF W[SCO 1\ I�I f W1 Lisa L. Hovde (if not, �KIV��'� to me known to be the person s who executed authorized by§706.06, Wis.Slats.) the foe ng ins me acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * a V alm Michael H. Forecki Attorney No ary Public, State of Wisconsin Eau Claira, Wisconsin My Commission is permanent.(Ifnot,state expiration date: (Signatures may be authenticated or acknowledged.Both are not necessary.) camber 12 20 •Names of persons signing in any capacity must be typed or printed be'c w the.--ignature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No.1-2000 ttorney Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701-4627 Phone:(7 t 5)835-3029 Fax: (715)835-4112 Michael H.Forecki T6128750.ZFX Produced with ZQForm" by RE FennsNet,LLC 15025 Fineen Mile Road.Chnto Township,Michigan 48035,(800)383.OW5 bEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION I~QAQItSOf~~1ty 5377 State Plan I.D. Number: 1 4, ~VJf~+ 4 eC . 28 , T28-R16 El CONVENTIONAL El ALTERATIVE I (If assigned) Town of Eau Galle 20th Ave . ❑ Holding Tank ❑ In-Ground Pressure Mound A NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: ArIC-) 17 Kevin Hovde Rt. l Wilson WI 54027 /azlza S LIF TFI PT. EL US BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: RIFF. PT. E I Jlff).d Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: - Stephen Aab 5184 St. C ix 128797 SEPTIC TANK/HOLDING TANK MANUFACTURER: LIQUID CAPACITY: TANK INL T TANK OUT L V.: WARNING LABEL LOCKING COVE / PROVIDE PROVIDED: /c' v ES ❑ NO ❑ YES O 1/ 7 BEDDING: VENT DIA.: VENT MATL.: HIGHWATEfll NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO SH ALARM: FEET FROM LINE: / I AIR IN T: ❑ YES O ❑ YE NEAREST •-I 7 _C4V 6)DOSING CHAMBE FY'7. 7j = 107.75 1 6o am o = MANUFACTURER: BE w-_ I LIQUID CAPACITY: MODEL: PUMP/slf"aN MANUFACTURER: WARNING LABEL LOCKING COVER n~ p 4 / PROVIDE PROVID ❑ YES E91 ISO 5uV ~j 0 OS GGwe CbS UPYtS EJ NO EETTES ❑ NO GALLONS PER CYCLE: Ll ~ PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: V RE (DIFFERENCE BETWEEN FEET FROM LINE: / ~b IR INLET: PUMP ON AND OFF ES ED NO NEAREST ! Cb SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERI LAND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN /140 It the soil is dry enough to continue.) 4'57`/71" CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH MATERIAL: PIT DEPTH DIMENSIONS G EPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: 70.DD . NU PROPER TY WELL: BUILDING: VENT TO FR LOW PIPESABOVE COVER: ELEV. INLET: ELEV. END: FEET FROM E: Al NEAREST MOUND SYSTEM oz' 3 = G2~ 11 ~Q Mound site plowed perpi I lar to Check the t to a of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mou s to make certain that it ON REVERSE SIDE. SHOW LJ YES ❑ NO me rit is for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; J I CSI✓< / c_) YES ❑ NO YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER RENCH/BED 7PTHSOFTOPSOIL: SODDED: SEEDED: MULCHED: CENTER: ' I / EDGES: , f I ;I (o ❑ YES E S ED NO L~'Yts ❑ NO -1 1 PRESSURIZED DISTRIBUTION SYSTEM 3 .32 ' ?o 4-~Kr = b 3, 3 6 / 4, 1 ( vfa, WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TRENCH t TRENCHES: DIMENSIONS g 't MANIFOLD PUMP MANIF LD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION I MA ERIAL & MARKING: ELEVATION AND ELEV.: ELEV.' DIA.: 2 q ELEV.: PIPES: DIA.: P Z M DISTRIBUTION 16, 0 o~~ HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATER AL: VERTICAL LIFT CORRESPONDS TO r INFORMATION 4 V0 /I APPROVED PLANS ❑ NO Co-! ❑ YES 10 PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: / BU ING: COMMENTS: FEET FROM LINE: S- YES ❑ NO %YES ❑ NO I NEAREST Is 00 611P ~ f d ~J ~(/.p F /v`!y1 U~j .f f" l..N-7- a!. GAY r e1 ~r G -,C ~L~ • oT ~e/G+I~ td3~ 'GYNL~=''-~--Q-?~^~'~"'~'L`"`L.~-~' ~L12•~~+ C ~crf;'` -~'~~,~/J ci +r-<:- , ~T 2 a0~~' ~o o,•.Q~ ~{Q~o7.. ~.-~iat~ l z. = loaf, n, ~ 1 ~IJ¢ R tarnmcou file for audit. Sketch Syst n CyE~~ Y T~ f~ Reverse Side. SIGNATU TITLE SBD-6710 (R. 06/88) SANITARY PERMIT APPLICATION TU~LHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY _.e...~.,e....,..,_ C u STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 / -7 (~`7 8% x 11 inches in size. c .fevis on to pr wous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ' U '/a , %a, S ,'yL T 9, N, R / 45(or)® PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER e G S0 /n. all, 6x-, 1(97d,)31)_R? II. TYPE OF BUILDING: (Check one) 1:1 State Owned ❑ L.J CITY ❑ Public KII or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(5) /-07Y- - 50- III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo f 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 12E] Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.0 New 2. 9 Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Z Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-in-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION U U / O Feet O 3 Feet VII. TANK CAPACITY Prefab. Site in allons Total # of Manufacturer's Name Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holdin Tank dd ,iii & S.~ rL Lift Pump Tank/Si hon Chamber 00 , X I El F] [I I [I F1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) / MP/MPRSW No.: Business Phone Number: / Plum is Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date issued Iss ng Agent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) / Adverse Determination (J X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS • 1. A sanitary permit is valid for two (2) years. 2.1 Your sanitary permit: may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submjtted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questidns concerning your onsite'sewage system, contact your local code administrator or the State of Wisconsin, Safety i3; Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) ali ;sizing information. _ - - - - - - - - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The r-ponies collected through these surcharges are used for monitoring groundwater, ground-- water contamination investigations and a§lablishment of standards. SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property I/ V Location of Property 11/x.- 1%, Section or k , TN-R_Z W Township cr,q 6 C f Mailing Address G Y 4 d~ Address of Site Z" 2 W,,IF Subdivision Name Lot Number Previous Owner of Property 0)q6.C /c_ S G ti Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes AZ D No Volume . and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) ceAtijy that a t statements on this 6otm aAe tAue to the best o5 my (om) know.Zedge; that I (we) am (are) the owner (s) o6 the pAopenty des ch i.bed in thi,6 in6o4mati.on 6oAm, by vi tue o5 a wa4Aanty deed tecokded in the 064ice o6 the County Reg.i6 ten o6 Deeds as Document No. > :5- ; and that I (We) pnesentZy own the proposed site 6oA the sewage po,sat y- ~ste.m (o& I (we) have obtained an easement, to nun with the above dan bed pnopenty, 6oA the constAucti.on o6 said system, and the same has been duty neconded in the 04jice o6 the County Reg"teA o6 Deeds, as Document No. y~ / QS ) SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) C711 7 0 DA E SIGNED DATE SIGNED ~I . THIS NO. STATE BAR OF WISCONSIN FORM 1-19821 SPACE RESERVED FOR RECORDING DATA 461285 voW "P GE 44 IIII - REGISTER'S OFFICE This Deed, made between __Steven E. Erickson, ST. CROIXCO., WI s-in le- individual------------- _ _ I~ Rec'd for Record - and. tor, at ~iiJG 131G90 - Gra Kevin P. Hovde and Lisa L-- Hovdei husban~ - t 8:30 A. M "w ife as survivorship--marital.property.---_--..-..._----- i ~ C~nti~,QQ - r Of Deeds Grantee, Witnesseth, That the said Grantor, for a valuable consideration-.___- j conveys to Grantee the following described real estate in RETURN TO ~i County, State of Wisconsin: I CC-~s,/l. ~G ; yftf G Lot One (1) in the Northeast Quarter of the Tax Parcel No: Northeast Quarter (NEk of NE'k), Section Twenty- Eight (28), Town Twenty-Eight North (28N), Range Sixteen West (16W), Certified Survey Map in Volume II, page 323, ORD. MNJEWE_ FHE This is not homestead property. (is) (is not) Together ~}v ith all an sin ular a hereditaments and appurtenances thereunto belonging; Jteven h. Fr1CTSOri And----- - - - - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this 25th.......................... day of 'July 90.. 19.... . t - • ----.-.------(SEAL) Steven E. Erickson - - (SEAL) --------(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN SS. Pierce •-------•------..----County. authenticated this day of--------------------------- 19------ Personally came before me this 25th ---day of i July , 19.90__ the above named S_teyen E_rc~CSOI? TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me kn 'i( t6111r~00 sVn who executed the foregoi ~z . ept;, * 7o ledge the same. THIS INSTRUMENT WAS DRAFTED BY - - n Marsha 6 Notary Public v ----------County, Wis. (Signatures may be authenticated or acknowledged. Both My ColianiSSV A-,I*s, nt. cif not, state expiration are not necessary.) la'r^ date: - ---v---------------------------------- - 19.93_.) Wft... -Names of persons signing in any capacity should be typed or printed below- their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Leval Blank Co. Inc. FORM No. 1-1982 Milwaukee, Wis. • H z Cn H a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z ty a OWNER/BUYER (/Of/i_. M ROUTE/BOX NUMBER j a x 31 Fire Numbera371 .CITY/STATE Jim (/IJ~ ZIP PROPERTY LOCATION:Q~ , It, Section , T,2? N, R /6 (J Town of .6~ « G atLA_ St. Croix County, Subdivision Loi number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- b ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE T? /2 c~ St. Croix County Zoning Office P.O. Box 98, Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY' DIVISION LABOR P.O. BOX HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 OLHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK- NO.: SUBDIVISION NAME: F /UfN/R/4JF(-,kWQ zt COUNTY: MAILING ADDRESS: o f v t/t V Z fr1 G~/iL S' w L[/ L/ d .Z USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DES RION: . IPT esidence ❑New ia►teplace 11517/Z-20s 9-7-201 RATING: S= Site suitable for system U- Sitteunsuitable for system ONVENTI NAL: MOUND: IN-GROUND PRESSURE: S STEM-IN-FILL OLDtNG TANK: RECOMMENDED SYSTEM: (optional) DS ~U NS U DS NU DS NU r1lS,®U ~QuH~! If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: 1 &/9 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HET TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- B-~ ? lf C T 7- 4. 6- 13-3 6' .~%ti - o.s' c t DoT B- PERCOLATION TESTS EST DEPTH . WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 P RI D PE Rr6l" PER INCH P- O f V A-% 1 'Z o At F_ -2 P- G i 3 3 /3 • 3 ..a Ur P- o ' y a 14Z- ?2 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ~ ~ SYSTEM ELEVATION. ~__4._ I E l N 1 ! I j 1 i 1 ` i 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. 1 NAME print : TESTS WERE COMPLETED ON: A 1, 7- 4740 ADDRESS I CERTIFICATION NUMBER: PHONE NUMBER (optional): L T is ' A1 T 4/ 0 6 ~'~C/ o o ~v t L 4t,, (mot/ / ~T 49 W. CST SIG ATURE: K2 - DISTRIBUTION: Original and one copy to Local Authority. Property Owner and Soil Tester. nil HRSFtn_#; i95 (R 1(1/83) - OVER - L!1 ' i o M b M O 0. cep ~ 890 0,2 O~ 4, u 4 ~v N K Ivy ~ ' L KRys i t ~ State of Wisconsin \ Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY & BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 AABY PLUMBING 124 MAIN STREET WOODVILLE, WI 54028 I RE: Plan Number: S90-02630 Date Approved: September 26, 1990 Gallons Per Day: 450 Date Received: September 13, 1990 Project Name: HOVDE, KEVIN - RESIDENCE Location: NE,NE,28,28,16W Town of EAU GALLE County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when made. inspections can be This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 266-3937. Sincerely, MES QUINLAN Section of Private Sewage Division of Safety and Buildings PPP012/0009n/ 6 cc: -Private Sewage Consultant -County _UW-SSWMP -Plumbing Consultant -Owner -Plumber -Environmental Health SBD-6423 (R. 08/88) L :mot, State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & DUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 SePtei;T"ler, Z5, 1 ° ::L} Madison, Wisconsin 53707 Kevin iivv(-€? 'I P cii I son, 101 Plan 1.0. ;;o. S3C)-026:;U-P dear Jr. liovde: ,W: Kevin lrlovde i)nsi to Sewa ja Syst:oi;i i1SL Town of Fau, A_;a l l e, 3t uroi x COUri t~ , ':'l Your petition for variance to s-:action lbdk .23 (1)(6), Asconsin AdOinistrative Code, iias C)een revi:: qed. The rule +.jei nfi peti ti ones! r`equl res a r"Iou d syster.l si to to have i i rlinulir of 24 i never s of sui taol o natural soil. 1'iiv. variance ri,ciues 4eu was to install a reel acv:,rLtit rioun(l svstei,; on a site with 16 inches of sui tao i e natural soil. The *oilot ing c'oi;;',-ients °~l4r x i'dadv in t 6e p--Aition a 111'i'✓sis: ` 1. lo nevi ewi nj Uie petition, it was note,! that t-,., request was siiai l ar to oti er, petit-ions accepter by 41.-!'ids un(iii r nuo-ibers S69-03304, St9-03318, uti S90-0JU12". rlase, on 'Wne -r ceOent estac'>l i sned u,/ Lhe jrevi u,~: )F. i p. titiuns, this petition for variance is uei rig process fs as ibj Ji sconsi n Statute Section 1011.02- (6)(9). 0epat-twental Rc (-J~)n: A,')proved. This approval is granted :+itn l'n,-~ ur; ~rst' lsi 1^ t;iat all of the petitioner's state ents arks any condi t-i ons of approval ei tc~d above J 11 be carried out. PrepiK r-ud by: ~/_~r7 J C. nl J Plan Exairir►flr 011si t4 Sowage ; Ccti oii SBD-6928 (R. 10/87) - - State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION Kevin . IUD 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 Jeptet;ILi~~r t3, 1 by: Sao ocK. ei er, PE, CPSS Envir,oni:iental Et)gineer - Supervisor, l 0epartr,,qenta 1 Signature: r~ t~ f!^(C. ~t-` ! Date: :lClidr°~'.'y'i:r, rtrCt'7'tF'CC Oiroctor, ill t'ics' of r}ivision 'Or"5 and Application JQ: 3961 Enc. CC: Eer{Jf Jurisky, Private Sawa^:' i:71i5ttliuitt - District 0, ,iiippewa Falls T hwias 10el son, Toning AttiA ni stra t or - St. Croix C .Limy I e`t.z"tby Pl ui bi ng i `,ieziti ng, Dic. t SBD-6928 (H. 10/87) ~ Q ONSITE SEWACE SYSTEM DEPA TI;'~_ : ATIOMS r----T U,/J r- C0RRE,,..":...._.d~CE 90 - d 2630 ~C1 N 19,00 c wj _ a L s ~ N CC y .r u irk Page _ Of - Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand Topsoll F 3 E D ORISITE S'E" Ste. e I~I~p C ~T,-,> Bed Of Z~- 2 j'-'2 Force Main Plowed - Aggregate From Pump Layer DEPART,=~:'i' D 2. , U Vt V1~ ~ iyL S~oYQNion Of A Mound System Using A Bed For The Absorption Area F SEE COR G.~_ REST O° 10.Yc A Signed: Ft. N B -7 Ft. License Number: A Ft. Date: J Ft. 8 0.. S71 K 4!!&. Ft. 02 L Ft. ° - - ' F 3 ~W Z!~- Ft. ` t f' 'i 190 a_ C J Observation Pipe "A! i~.---------------._---- - - orce Main I•----- tjIF W - From Pump r s 3 ~ Distribution Bed Of 2 Pipe z Aggregate I Observation Pipe Permanent Markers t Plan View Of Mound Using A Bed For The Absorption Area Page _ Of _ Perloroted Pipe Detail j X End View Perloroted End Cop PVC Pipe lY' ar,oe~e c~ ae~ Holes Located On Bottom. S Are Equally Spaced r • * PVC Force Main 49 ®x., a , '0 From Pump c~ ~V PVC 1 Morwlold Pipe s 19, 00 Alternate, Position 01 OratPinbpeution Fence ~JlCirr Ftorn P:ump r. . Lost Hole Should Be i Nest To End Cop End Cap Distribution Pipe Layout 2 2. P R S Signed: 7, Hole Diameter Inch E~ Lateral~Inch(es) License Number: Manifold ~,.Inches Date: Force Main 7 :Inches f 9 h 6I,C4 Ipipe, E Ata~-. q .T GORR, SFF ti• ~ j r 4 SEPTIC TANK & PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE & WEATHER PROOF > 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER FINISHED GRADE 4" CI RISER W/ PADLOCK l; 6" MIN. i WARNING LABEL ABOVE G ATE r _ ,4" MIN. 18" IN. 6" MAX. INLET WATER TIGHT SEALS GAS- ' ~ f 4 11 TIGHT: CI PIPE BAFFLE A- SEAL APPROVED ALM JOINTS W/ CI SOLIODTO ONSI'TE Er'~,"a-`,`TEM ON PIPE 3' ONTO ~ SOLID SOIL SOIL L'P PIOFF --E' ~Ey . FT. -C OFF icy RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER DEPART►,' 3„ APPROIl.EI1.Bs1_,~. S UNDER 7, 7 HAS APPROVAL „ ANK. , ONCRETE PAD t'FIttIFICATIONS ~E SEPTIC / DOS 0'-02 n TANK MANUFACTURER: NUMBER-IYOSES- PER 'DAY: V TANK SIZES: SEPTIC (UU ~j GAL. DOSE VOLUME INCLUDING 2 S ✓ ' ' DOSE_ GAL. FLOWBACK: 11SIS3 GAL. ALARM MANUFACTURER: kt}r"t'i` CAPACITIES: A = 32- INCHES = 31 GAL. MODEL NUMBER: SWITCH TYPE: G B = 2 INCHES = GAL. PUMP MANUFACTURER: C = INCHES = GAL. MODEL NUMBER: SWITCH TYPE:h D = INCHES = 99' GAL. . REQUIRED DISCHARGE RATE UPS GPM PUMP 6 ALARM WIRING AS PER ILHR 16. 23 WAC VERTICAL DIFFERENCE BETWEEN PUMP O::F AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSURE + I UO FEET FORCEMAIN X 2.5 FEET i L j FT/100. FT. FRICTION FACTOR . - 1,3 ~ FEET TOTAL DYNAMIC HEAD = Z, 6 FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER LIQUID DEPTH 1 !IGNED: LICENSE NUMBER: l c~ DATE: 2s' 7 1/88 Bulletin CL21A July 8, 1983 • For Homes Farms GOULDS • • Trailer courts Motels Model 3885 • ~ (Supersedes Model 3870) Schools • . Submersible '7: 9 Hospitals 1.e. eelu.aIPut%) Effluent • - Pumps Industry • Effluent Systems Pump Specifications anywhere effluent Solids Handling Capablrify`td : a or drainage must be Discharge Size a) disposed of quickly, a 2° NI' p~ n quietly and efficiently. Sen1i-$e ei*9,0I~P 0 2 6 3 0 3 vane design. thivaded on shaft Three phase units use Impeller locknut to prevent accidental back-ofl. Purnp out vanes on backside of impeller for protection of mechanical seal. Casing Volute type for maximum efficiency. Heavy-Duty Solids Handlin Stainless Steel Fasteners 9 Series 300 stainless steel for corrosion Dependable Capability to 3/4" mowftl_-~ resistance. k1l Mechanical Seal Ceramic vs. Carbon sealing faces, stainless steel spring and Buna N elastomers. Maximum Temperature 'A 1/2 H.P. 60 Hz ; i 160`F. Single Phase 115, 230 Volt. Capable of Running Dry without damage to components. Motor Specifications lk 11 3/4, 1, /2 H.P. 60 HZ Motor Fully Submerged j in high grade turbine oil for permanent lubrica- Single Phase 230 Volt. Three tion of bearings and mechanical seal and Phase 208-230, 460 Volt. efficient heat dissipation. Motor sealed from environment by rugged cast iron enclosure. • Bearings JI Heavy-duty all ball bearing construction. Stainless Steel Shaft ® Series 300 stainless steel for corrosion resistance. Threaded shaft. Single Phase Units 90 All single phase units have built-in thermal overload protection with automatic reset. 80 Three Phase Units Overload protection in starter unit. 208-230 or t 70 460 volts. Threaded shaft 60 Hz operation. III Power Cord LL 60 Water and oil resistant. Epoxy seal on motor end Q acts as a secondary moisture barrier in case of = 50 damage to outer jacketing. Corrosion resistant gland not U Q 40 Single Phase Units H 1 11 rod0t, equipped with 15' of 16.3 2 } SJ1 O with 3-pn,ng grounding plug 1, 1H P. 0 30 models equrppud with 15' of 14;3 S (O power J Cord O0 20 SPECIFICATIONS ARE SUBJECT TO CHANGE 10 WITHOUT NOTICE. 0 0 10 20 30 G40 50 60 70 ALLONS PER MINUTE 80 90 100 110 120 MGOULDS PUMPS. INC. u SENECA FAUS PEW YCW 13146 ~~~~A~ ~ State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 SL tE'i:l e'r h,1J) Madison, Wisconsin 53707 Kevin hovde wi1son, 0 54028 plan I .i,. to. S90-02 30-p Dear !tr. t;ovdc: Re: Kovi n tIovd oJnsi to ,sewalq'_' sy.sten Twvin of Eau ;,ally, St Croix Gounty, F1'I Your petition for variance to section IL+ ~ 83.23 ( I ) ki) , Ii i sconsi n ive Code, itcls been r+ L'itlai' . t, d Adi3inistrat 'rhe rule bein; petition c( requires a Bound systen site to (rave a iirinirruri of 21' i naes of sui taul:: natural snd 'i . Tne variance requi stw4i was to i nsta i l a r. pi acei, C n L O3oond systet;i on a site iii tii 16 i nch s of sui tal)l e natural soi 1 . The fotloAng rol.i jents .`L:ro io L is "t ti cion jna1.Y` ls: 1. In ruwielwin3 tile petition, it !.-4as ooteJ t4"tat tiff-, r,,--,quest was siiliiiar to other petitions accelsted by this Vie'' i ti un ru,libers S33-03304, Based on Lie j:3recetJ.2nt estdolis}ie.,i of the proviCads petitions, this i 'ti ti on I" vzrr° i once is be i rig proc LL sscil as Jeri ii t -ed by Ai sconsi n S u tuft' Sec l-i on 101.02 (f6) (g) . Oeparzu+rentai Faction: Apiproveci. r )i s approval is yranze o ,J to the understan(J w) that a i 1 of the petitioner's statei;ients an:f any co; dl,i ti o n s of apprUva 1 ci ted dt:+oV '„'i 1 I oe carri eel out. ro arcs D, • 11y~ ~~_.y _ ai^s ;gun nl an Plan Lx&J nor !)nSl b, 3,& a jc Set; J oil SBD-6928 (R. 10/87) - - State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue Kevin iluvde P.O. Box 7969 it je - Madison, Wisconsin 53707 r:~'V1e~fLati Sall Rock.'we ter, PE, CI SS EnvironLiental Engineer - ;supervisor, y~,) ;;nsi to S:,tra je PI an/pl at o v i 0 -,party: ental Signature: %~(t' Bate: ,ti char L e or, rchi tec t irectcr,+fiic::: of visior, C,_~des and Application JQ:3961 nc . cc: Luray Jansly, Private Seware Consultaot - District 6, Chippewa Falls Thonas :;el sore, Zoning - St. Croix County Aab,y Pl ui, bi n., t~ heat i n , Inc. 8BD-6928 (R. 10/87) State of Wisconsin ` Department of Industry, Labor and Human Relations }r p, is } F'va'i1rP + fj '+i : t =.i SAFETY & BUILDINGS DIVISION zf: ~n SBD-6423 (R. 08/88) ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 I (715) 386-4680 Aug. 31, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Kevin Hovde property located at the NE 1/4 of the NE 1/4 of Sec. 28, T28N- R16W, Town of Eau Galle, St. Croix County revealed suitable soils at a depth of 16 inches below which seasonable high ground water was noted. This site should have an additional sand fill of 8 inches. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, James K. Thompson Assistant Zoning Administrator cj ST. CROIX COUNTY r"r WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 5401 xr. , - (715) 386-4680 Aug. 27, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Kevin Hovde property, located at the NE 1/4 of the NE 1/4 of Sec. 28, T28N-R16W, Town of Eau Galle, St. Croix County, revealed suitable soils at a depth of 24 inches below which seasonable high ground water was noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, ames K. Thompson Assistant Zoning Administrator cj