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014-1040-20-000
937 Herdert 5#. Ch-~p~ewu FaBa, WI. 54729 HUFFCUTT CON(:RETE iveo ~' ~ ~ `~ ~ 2004 October 22, 2004 Sr. CROIX COUNTY ZONING OFFICE St. Croix County Zoning Department, Shawn Bird, of Bird Plumbing, installed, a 1000\600 combination tank and a 2000 holding tank at the Eggerts Slaughterhouse in the Towu of Forrest on this date. The tank exceeded our approved depth of bury_ After reviewing the soil conditions with Shawn and detailing that Shawn will backfill with a sandy material we will warrant thi5~ lank, I would like to thank St. Croix County for bringing tl-is to Shawn's and our attention. We will be havrng our continuing Ed. class on llecember 9`~' and this wvill be one of the topics we discuss as we are seeing many more deep brtrie®. If you require more information or documentation please contact Mme, Sincerely, Steve Olson, President I~uffcutt Concrete Inc. ~a~ ---. Z0 3~bd Z TTTLEZL9TLT tb~IT b09ZIZZlOZ WisconsirrfJepartment of Commerce ,Saf~:ty and Building ~ivision PRIVATE SEWAGE SYSTEM INSPECTION REPORT ?~, GENERAL INFORMATION (ATTACH TO PERMIT) ~ .~ Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2 1(~ Permit Holder's Name: City Village X Township E ert, Kurt Forest Townshi CST BM Ele . Insp. BM Elev: BM D ' 93 ~DU•93 ~ '6~ Bm z TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~` 5~.. J '~„~/` ~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ,~, I U1) j ~~I 3~ ~ ~"' Dosing Lt. ~ ~~ Aeration Holding _ - PUMP/SIPHON INFORMATION Manufacturer ~ Demand GPM Model Number ~ ~ l5 ,yam. TDH Lift Friction Lo Syst Head TDH t Forcemain L~gth I Dia. 2 ~i Dist. to well ' SOIL ABSORPTI N SYSTEM County: $t. CrOiX Sanitary Permit No: 408214 0 State Plan ID No: rt~'~ Parce ax No: 014-1040-20-000 STATION ~~ Benchmark BS a 0 HI FS • DS ~ ELEV. I'~,y0 Q ~I!/_ i' Alt. BM j i1 (~ •' L~ tp T t Bldg. Sewer St/Ht Inlet ~•~ ~ ~q 1 I St/Ht Outlet Dt Inlet Dt Be4tem 2x.63 ,~ Header an. Z•~ t 02. Dist. Pipe i. ~$ ~ OZr 1 Bot. System'7'u. Irt . (P v ( c2-f Final Grade ~ W• (~~~ ~ ~ « St Cover - S~ rr J' I~ Q //'' ! /~~ ~ `L. S. (~ ~~' ~ '~ ' I ~ 7 Z BE Width ~ No. Qf F e~r Length PIT DIMENSIONS No. Of Pits Inside Dia. h IMENSIONS ~ ~ r ~~ ~ \J 1 4. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM AC G Ma acturer: INFORMATION CHA OR Type Of System: 'rte „ ' ~ I T odel Number: w~~ l fa o DISTRIBUTION SYSTEM Header/Manifold « , Distribution t ` x Hole Size u x Hole Spacing Vent to Air Intake 3' ~ ~ 3~ ~ ~ ~ Le ' Z- I~8 '.y1 11 Dia Length Spacing ngth a SOIL COVER Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched BedlTrench Center Bed/Trench Edges Topsuil , -I Yes ~l No ~.~ Yes j ] No CQ^AMEI~T,S: (I ~de odes iscre Gies, persons present, etc.) Inspection #1:~r /~~/ ov~ Inspection / 0~ P.~,1 ~,~j 6(,t,~,l' T ~ ~~ y ~ocation: 2683 21~~ve-nub Dc~FPa~, WI 54007 (NW 1/4 NE 1/4 19 T31N R15W) N Lot , Parcel No: .31.15.290 tv~-QQ- ~ ~ Ass~rnea W1 .-~ t'JD /"'~"" ~ ~(va~~ 1.) Alt BM Description =/CeQ 0~ ~' ~yt,~•pl/t1 i I/r~ -~-L~L~ LNLs~, b~ 5 ja 2.) Bldg sewer length = _''11 ~ {,3fVl'Z ~ ~j2 , Qh" I'~~l~lrGl~'Z~. ~r ~ jv(Z -')p7~~rre~' ~yfl j Z - amount of cover = a z{•2 ~i5.(-yt bwd-+`t>~, C~ 6( ~{l ~ -'-~a-~t- t'h- I~yt~ w-N+ $3 ~ts~ pttY 3.) Contour = 5 • I ~ ~~~ • ~ ~~S• ((o ca~'~`~" ~~s~~~~ e ~ fi P ~"`. ~ CS't" S~fGP 1'vn, i _ _ _ i _- - - _ ---- ___ - - i _ _7.. __ Plan revision Required . es ' No q ' ~ '~ ~ ~~~/! Use other side for addition atl ~~_!~~~ R~°r'?- ~ _ - _ _ ___.- _ - ____- -- ~ --~ _.._ ' _ Date Ins ctor' i re ~ Cert. No. SBD-6710 (R.3/97) ~ ~~~ • OeptsrtR-ent at Commerce Safety & Buildings Division Sanitary Permit Application 201 w. Washington Ave. In accord with Comm 83.21, Wis. Adm• Code PO Box 7302 See reverse side far instructions for completing, this alsplicatian ~ Madison, WI 53707-7302 Persona! infottnatian you provide may be used for secondary purposes (Submit campieted form to county if not iPrivacv Law, s. 15.04(1)(m)] ~ ~-,~}Z~ state owned.) - ------ - ~~tY State Permit Number C] Glteck if revtstan Pre S ~. 5 ~ ~ ~ ~ t G A licatlon Information -Please Print all Information '°-° Owner Name ~y p ert Location: p Locatzan ,,~' ~ Zt ~7 ~ rop y ' ~G ~ .~ ~-~ / ~- 1!4 S r ` T~ IsN~R..I- Bloch Number -GI IZ~t Ptnptxty Owttds Mulittg trss ~ . ~ < ~ ~ Z~Q2 Lot N r ~ / ~ '" QRJt:~ dire ~`~" t~ C l ZiP Cad Phone ~^ ' ~ CO!J~~ ~-.., ' , . $ubdavision Namc or CSM Numbu City. State ~ ~ , ~~.~ L INGu R ~' ~ ~LZ72 fir t ~ C'C7 II. Type of Buiidang: {check one) ~~ ~,~ d City C 'S~iltage ' ~ 1 or 2 Family Dwelling - No, of Bedrooms :,.~- y ~Tawn of (~ pubhc/Conutterraai (describe use):_ - ~ _ ® State-Owned ~ / 7S ~ ~ O~~ ~~ C~n~u~~~ ~ Neatest Road ~ ~ . ~ X ' ~ /ii2d G~~~ ~ /t''10~7 ~ ..' ! _ ~OD . (p ' Parcel Tat Numbers , ' '=. ~• S~' Stud ~l/~ ~u r eat off- ` _ ~ o ... ..._.__ ..c ve..,,.;*• mheck only one box ott lisle A. ~ Cfteok boat; an line B if a lieable 6. Addition to } S stem Svsttm Tanis Ottl pate issued Permit Number B) ^ A Sanity Pertnit was reviousl issued iV. Type of PUWT System: (Cheek all that apply p Sand Filter O Constructed Wetland ^ Non-pressutiaed In-ground `S~Iviouad Q Single Pass Q Dzip Line D pressurized irt-ground L~ Holding Tank L7 At-trado ^ Aerobic Treahnent Unit ^ gecirculatin l~ Other. - N. Dis ersau a rcauuc~+< <*~ ..~ -••--- •------ -- 4. 3orl A lication t, DestBn Flaw p~~ 2. ptspetsal Area 3. DisPctsai Aces PP Required Proposed Rate (t3alslday/sq. ft.) 'VII. Tank Capacity in Total # of Manufacturer Information Gallons Gallons Tanks /~ New Existing W~ ~ /, VIII. Responsibility Statement ~. rer~roiaum, ~.~ _. _~ ------ - Elevation (MinJinch) ---~- ' S,~c. ~~z„ /D~ , r~3 / Id3~ Pzcfab Site Steel Fiber Plastic Con- fin- g ~~ Crete structed - ... ,-, ~,:~3"""" P~tttaber' Sign (no sp. ~4.y.... __ . 5~ 10 ~~ Z 5 ~ tPn >~~Z ~ . ~~~~- ..emu ~ plumJfer's Addttss (5ucet, t.nr•p'~G, ~~r ww~i ~ / rJ ". r IX. County/I3epartmeat Use Qnly t Signatstre stampsl _.._ Date issued uing Ag C7 Disapproved Sanitary Permit Fee (includes Groundwater ~ proved ^ Owner Given Initial Adverse Surcharge Fee) ~ 3~ 5-~ da ~/3 Q ~, G-Gvs~t~.. Dcterminadon ~-~-~ X. Conditions of Approval ~ea~ s fopro~~~ ~ 5.~,~ ~ /i?~v`~9t~' G/GiN*d~ ~ ~''sfr~~' / ~l'1 p~wn,t< fG~JCa#ior. ` No ac~iun. Cwn. ~/rc-wL ~ rno~+.d B~t. 1,il z• s. 2) ~/of Goa, ~' rr, ~ Zs~ ~--a~+ ~'"~"k.. ~~`~~ 3 ~ ~~~ ~ ~ ~• ~•~~ ,~•~1„p' c~c. ~ DID 'C- ~`~ l~~ ~(yc rn r ~-~w /~ ~' - h'fr a ~r s ~ rs'~-b s~r 72~ ~ ~f ~~ t.v`~-~ •`~6i7 i ~~D r ~S ~~ "~,nn, l ~~~ y~ ~~~~ /~)) ~ , ~~~N~' ff r ~', - f-Dr212t~T" ~.. 1~~~/~ ~~~~~ qua ` Q~i ~~' a ~6~ ~~ ~ ,~ ,. ,~ ~ a ~ ~~~~ /~ ~" ~ rs~-b s~r .„ r.v`~~ ~j© ~~~ ~ ~ p,;;1 ,/' ~'Tr e~ !~ ~ ~ j 5'y~2s ~~ S' C ~J, ~~_~~~ /~~ /~, ~" t4c.o ns t~r - S ~~ ~ ~~ /X' `~'7 _, ._~ y~ ~n~ / f ~~O ~~~, ~~~' ~' ~c- rt=' ~ ~ ~~~~ [[~~ Ju K y- //~ ~ I /~, ~ P~?q~ ~ ~6~ ~~ _~ ~K Sc1.~Pu.~ a reS ~ ~ ~scons~n Department of Commerce Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary June 20, 2002 OUST ID No.224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 ST RD 64 BOYCEVILLE WI 54725 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2004 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Kurt Eggert 210TH Ave Town of Forest, 54012 St Croix County NW1/4, NE1/4, 519, T31N, R15W FOR: Description: Mound, 3 Bedroom Object Type: POWT System Regulated Object ID No.: 850633 DO ~~7 f Identification Numbers I Transaction ID No. 732516 Site ID No. 644381 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/O1). • The cell of the proposed mound is not to overhang the tested area by more than 5 feet. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. 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 Comm 84 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance ~ O j requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ Inspection of the private sewage system installation is required. Arrangements for inspe 'on sha~'g~~ade with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. ~ . ~ cp NOTE: The designer indicates per phone that although most of the plot plan is dimensioned, the area of the mound system is at a scale of 1 inch= 40 feet. However, the mound as drawn does not seem to be accurate per scale. Future plan submittals must contain a plot plan that is accurately to scale. LYLE J MYERS Page 2 6/20/02 A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe 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, Julia ALewis-Osborne POWTS Reviewer 2 ,Integrated Services (262) 548-8638, Fax: (262) 548-8614 j lewis@c ommerce. state. wi.us cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Mound System ae ~ ~ t; Cover Page RECEIVED JUN 1 0 2002 SAFETY & BLDGS. DIV. Project Name: Kurt Eggert Mound Owner's Name Kurt Eggert Owners Address 2088 C. T. H. H Deer Park, Wi. 54007 Legal Description Nw ~ ~/4, NE ~ '/4 Sec 19 T 31 N, R 15 W ~ Township Forest County Sairrt Crobt ~ Subdivision Lot# ParcellD# 014-1040-20-000 Table of Contents Pg• 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank /Pump Curve 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 Designer Name: Lyle Myers License #: 224617 Date: 6/4/02 Ph. #: 715643 2520 y~':- F Mound System Design Methods Used ,F~! j per"Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) ~"c .. , ~~F per "Pressure Distributi~ai Component manual for Private Onsite Wastewater Treatment Systems° (Version 2.0) SBD-10706-P (N 01!01) ~~ ~~t` ~ . y~~~~ Oy ~e q~S Spreadsheet provided bY: 3bAdvisement N12486 220th St, 13oYceville, WI 54725 Ph: 715643-6058 err~l: 3ba~3badvis~neM.~,~ • Mound System Page 2 of 8 Mound Sizing Calculations Project Name: Kurt Eggert Mound Site Conditions Design of Entire Fill Project Type: i or 2 Famlly Dwelling ~ Cell depth at upslope edge (D): 19.0 in. Slope: 2 % Cell depth at downslope edge (E): 20.5 in. # of Bedrooms: 3 Distribution cell depth (F): 9.5 in. ~ Depth to limiting factor: 17 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gaVftZ/day Cover thickness over center (H): 12 in. Absorbtion rate of in-situ soil: 0.5 gal/ft2/day End slope width (K): 10.4 ft. Effluent quality Eff#1 • Fill length (L): 95.8 ft. Max BOD effluent value: 220 mg/I Upslope width (J): 8.2 ft. Max TSS effluent value: 150 mg/I Downslope width (Toe} (I): 9.6 ft. Fill Width (W): 23.8 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal/day Basal area required: 900 ft2 Distribution cell width (A): 6.00 ft Basal area available: 1170 ft2 Distribution cell length (B): 75.0 ft Area of Distribution Cell: 450.0 ft2 Observation Pipes Contour Elevation of Mound: 100.60 ft c.~ Location from end of cell (2): 12.5 ft System Elevation of Mound: 102.18 ft Final Grade of Mound: 103.98 ft Mound Plan View ~ rbservation Pipes ~ ~ ~~~~ K-~ o Distribution Cell B ILK I Tilled ArealFill Material L Mound Cross Section Final Grade ~_,..~=., iJbservation Pipe Synthetic Fabric ~ G Distribution Cell e S~rstem Elevation an ~ ; , ~ ~~•~. F 1 Lateral p 3 Cover Material E Fill Material jp2 ~ ~ Tilled Area Slope ~Forcemain System - Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(8) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. Mound System Pressure Distribution Calculations Pape 3 ~ 8 Project Name: Kurt Eggert Mound Lateral Layout Lateral/Manifold Design Lateral elevation: ~-~--__._ Lateral diameter: 1'i2 • In, Rows of Laterals: 2 • Lateral spacing (S): ~ ft Manifold type: center • Lateral to cell edge: 1.5 ft Orifice diameter: o.s2s • In. Lateral discharge rate: 7,83 gp # of Laterals: 4 System discharge rate: 31.31 g Distal Pressure: 5 ft Manifold diameter: 2 • In. Lateral Length: 37 ft Manifold length: 3 ft Orifice Spacing/Distribution Forcemain Friction Loss Orifice spacing (X}: 24.00 Inches Forcemain length: 100 ft Orifices per lateral: 19 Forcemain diameter: 2 • In. Avg. ft2/Orifice: 4 5:.52 ft2 Friction loss in forcemain: 2.098 ft Lateral Side View Lateral Plan View Lateral Lengkh ~ ~ ~ Turn-up wlball valve or cleanout plug Orifices on bottom of lateral equapy spaced Forcemain connection via tee of crass to manifold ak any post Clean Out Detail Clean-out plug nal Grade r or ball valve water tight cap or plug Sprinkler Box Long Sweep 90 P",IC lakerals and forcemain to comply wikh specifications per Comm 8d.30(2)(eJ Observation Pipes 6" Minimu~ Slot Note: Cbset Collar may be wed in place of 318" bar '`316" Bar //r ,Y 1~- c> ^' ~'~(~. ~ 4- 0- Hk.AI C/iPI1C1TY CURVE M UEL 152/15 ~o tJ3 ~ 40 ~ 1,i _ _.... .. 30 - - p 3,~'U .. U l 20 40 ~ALLUNS ultk~ 0 13n 1so i(i :1l i)"w141~!; H(A`.iC. kF'A:aIY •'r ~ IdfN,;T~ f"f .I fNI' ANIi :;:Yi,`,I l:hl~l; I.c::,l •ti~ t~, F«gl A~rlr:r~ ital. l.iterU.• . :~! I;lr:•:r ~ ~, t..'i ~ . 59 261 %/ _.. . !11 I: 1...°i ~i3 701 :i' 2}! . . • 7;: /.Ei S~ 12:2 47 ';i~? Tip 3 ~ 2.t r{ , ?i ~i • 7!'i ~pr,N VnPrc: :SR.a fl. ('l.tirn) ~^..C' ht ;l.S.~:r't a~acw ~- ~ T/32 'J~.'!~ i i ~ GO 80 100 zao CONSULT FACT FOR SPEC{A L{CATIONS • Treed daring panels available, • Elesfirical alternators, for duplex tams, are available turd supplied with en alarm • Variable level control switches are avalabee for controlling single phase systems. • Doable pggybadc variable level ftaat switcatres are available for variable igwl long and short cycle aonbols. • Sealed Qwik-Box available for outdoor Installations. See FM1420, • Over 130°F. (54°C.) special quotation required, 1521153 Serias Medal ~ ~ Yotb-Ph 1t5 1 Yoda tJm._ _ 8.5 Iru . 1 . Duiprra 9nr3 , aNt°i2 115,., 1 8:5 Inakrd~d 2 ur 3 E 152 ,_ 230 1 M0.7 4.3 ! 2 w 7 9E152 230 1 Auto 4.~ Inckded Z or 3 t ya 115 t t+lon _ 1 2 a 3 t3NtS1 t is 1 Auto 10.6 Inchxlcd 2 d O CA N All sudillitloll of oorltrOb, protedlon dwica end whiny ih0ula Dt tlOhG tyy w quWmee Ntensrtd Nactrklan. All sbctrical anr! tµkly wdea should he folbwad ktcludlny tha most nc~rrt Plaliona~ ElrcWe Cods (NEC) and tM Ocoupationsl 1tytMy and Naaah Ad (08HA~ ~~ gtrp:/n•ww.~oaNN: Dorn ,~~.r I~' 1 ~11~ ~~ ,, ' ~~ - l I, ~, ,, ~; y .. {~ •.M.. ~y~j {'''r ~ - ~ `L.. rAp~~ --- nK=rrs SELECTION GUIDE 1. S'utgk Dp4Yback veriygl~ luval duet stiMidt or double yiD9ybadc veriibq laval Oo~l switch. Refer to FM0477. 2. See FM0712 for coned model of Electrical Alternator Elk. 3. Variable k+vel control twitch 10.0225 used as al conUol activator, sQocdy duplQZ (3} or t4} Roar eyetem. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor ie engineered Into the design of every Zoeller pump. IfAIL 7t): P.O. eOX 103f7 a p'!// /P `~ LouuvdTs. KY ~023G+7341 S111A T0: 30<fl Csv Ruv R~1 LaukvW~.XYf02t1•lfl6i (30z1 nU•7~3! • ! (80LI1 D?&PUIdP AgmlaclcvCr~ Of . , Q~aurrPus,~~•vcE /999 gy L//~'~ FAX (NT1J TTd-382< © Copyrl9ht 2000 Zoeller Co. All rigtlts reserved. { B ~ X Mound System Elect. per Comm 16.28 and NEC 300 Septic, Pump and Dose Tank Project: Kurt Eggert Mound Tank Information Pump tank manufacturer: Pump tank size/model: Pump tank gaUinch: Tank bottom elevation (inside): Septic tank manufacturer. Septic tank size/model: Wieser Concrete 600 / 15.94 88 ft Wieser Concrete 1000 ~ Pump and Filter Pump Manufacturer: Little Giant Pump Model: __9EH Effluent Filter: ~'" Zabel A100 Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Pump Tank Diagram Watertight Locking Cover 4 Inch ~j With Warning Label ini; Minimum ,.__ Alternate Outlet Loca#ion Weep Hole or Anti- 5iphon Device Pump must be capable of: and head pressure of: H/". • a \ 'C~ ~eaas Dosage Volume Does forcemain drain back to tank? Lateral void volume: 15.6 gal Dosage to absorbtion Cell: 78.2 gal Forcemain volume: 17.4 gal Total dosage: 95.6 gal Total Dynamic Head Are laterals highest point? if not, enter highest elevation: 0 ft System head (distal x 1.3) 6.50 ft~ Vertical Lift ("D" to lateral) 13.85 ft -~ Friction loss in forcemain: 2.10 ft ~ Pressure loss from filter: I ~Ift Total dynamic head (TDH): 22.45 Dose Tank Levels In. Gal A Reserve 19.6 313.1 B Pump off to Alarm 2.0 31.9 C Total Dosage 6.0 95.6 D Effluent depth for pump 10.0_ 159.4 J e Total Capacity: 37.6 600.0 C ~ Pump Curve: 9EH ~ FLAW- LITERS/FIOUR 0 1000 2000 3000 1 f0 ti~ W 7,S g ~~~yyy 31.3 GPM\, Q s ' 22.5 Feet ~ to = 2.s ~l~ 0 0 D 20 40 ~ n _ Little Giant FLOW- GALLUNS/MINUTE Q,~;Y/ _ 9EH PUMP PERFORMANCE CURV 115V 60HZ -- Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: ~`/IZ ~~' Septic tank(s) are to be insngc utinely and maintained by department approved individuals when J'"JO (~~?G~~ necessary in accordance wi t eir approvals. The use of chemical/biological "treatments" is not required or SOi-I t~S recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety ~r~?''~ and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to kee solids 1 ~~~`- from assing the septic unng removal. Na more an 1/3 of the usa a tank volume may be occupied by sludge/scum. 3 year inspection: tank has greater than 113 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 113 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent filter has been installed in the pump/dose tank, it must be removed & cleaned as necessary' with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component mus# remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. -` Performance Monitoring: Pertormance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pymps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. J e 9 s • Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVP~~.IJ'A~ION~R~R,ORT i ~~ ~ ~ ~~ Page .' cf rn accordance witn Comm po, vvis. Nam. y~ua . _ r~ - Court r~ -, r~ n nw ? Pl '~t; i i ' c i ~ ~p I `< `-' ' 1 ~, a s ze. es n s Attach complete site plan on paper not less than 8 1/2 x 11 inch ir+.clude, but not limited to: vertical and horizontal reference poinh(BMI, direction and scale or dimensions, north arrow, and location ~nddjstanC~ fb nearest road. percent scope paw I O I y - ~ Qy ~_ ZO - tJ ~ , r-: ~':;~ Please print all information.' R ew y Cate Personal information you provide may be used for seco aw, s. 15.OQ.~'t)1m)). ~'~'- ~ ~'~~ r ~ ~~ Property Owner (~ `,l`.,' ~ k' : t1.fZT ~~'~rt'- P Perty Locdt7on L L{~ D 1-~ o v- G O ~N L ~t-Eet N t~1 1la N~ vas I~ T 3; N R '•,~ ~j W Property Gwner's Mailing Address Lot # Block # Subd. Name or CSM# zo g c.T. N. ~+ - - City State Zip Code Phone Number ^ City ^ Village ~ Town Nearest Roao New Construction User- Residential / Number of bedrooms ~ Code derived design flow rate ~C~ GPO ^ Replacement ^ Public or commercial -Describe: a . ~ ft. Parent material 't-~q ~ -' r '- TI ~!` Flood Plain elevation if applicable ~l . General comments - and recommendations: ~ ~ Mb W..D 1 i ~J Boring Boring # ~ Pit Ground surface elev. ' 0~_ ' ~ ft. Depth to limiting factor ~ ~ in• Soil r,^.c;;cacon Rate i t T Structure Consistence Boundary Roots =:?C' Horizon Depth in. Dominant Color Munsell ption Redox Descr Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ~Eff''*' ~~ff#2 J (~ ~~ _ : 4 _, ..... ~ I Boring ~~ 9 „"-i,_ I Borin # ~ P r Ground surface ele ~ `` • '= ft. Depth to limiting facio~~ in. Soli Aeoiiwdon Rata _ a D Texture Structure Corsistence ! Bourdar,~ Roots ~ r_?r=ift` '• Horizon Depth in. nt Color Domin Munsell es n Redox Qu. Sz. Cont. Color ~ Gr. Sz. Sh. 'Erf#1 'Eff#2 i Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 15u mgn_ CST Name (Please Print) - ignatw V ~ fJ V CIIIUtlIII ftG ~ ~•y •_ •• •"~ ~ -- - -' _ ~ CST Number ~~~ "_'`--' j ~ ~ Lz4g 3~. Date Evaluation Conducted Telephone Number '-d ,!! {, ~~ ~~Property~wr+er ~~~ -. / ~ u~¢~(~^~~'^"^•"l^^JJ~"""'°'~r~~~e~. ;~. ~~O ~. ~+aYIMYIIgdO{AVI ..., ~ ~'~n. " 4 ~Y ,Ic(-i, _ roSoil- ~hcetton f2ate ._ tiotizon :Depth Dorrinardl~l Redox~esrxip4on 'Texture 5tructtae . ~ - il8oundary .a~2oots,, '~^~`'°'GP D/ff in. ~.Mut>sed Qu: 5z. Coat Color Gr. Sz.'Sh. ~~ ~ '~ft#1 ^~ft#2 .~- S. 3 3 --" $1 ~ Qg ~ S 3 l 1-l 3 "~ ~{ - rr~ ~ 1-7- ,. Oy 3 ,5 ti ~ - CS ~ - 5 z-z 1B s spy ~~ -_ r p,Z 0~3 ~• Boring # ~ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Appliption Rate Horizon Depth Dominant Color Redox Desaiption Texture Structure Consistence Boundary Roots GPD/f~ in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eft#1 `Eff#2 I y R~ ~ ~ ^ Boring ~~ v U Pit vrounasunacee~ev. n. ueNu~ w ~~~~~~~~.y ~au.,~ ~. Soil lication Rate ri H th de Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff zon o p in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 'Eff#2 tl i 9 E i - i `Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(RbR10) - L . .~,.~Rc;+.w.a..rr~.i>-e'wr„e'r"..v..are.:a~.wi~~ryw~.~:~~M~,iwA'sta! ~r.e+~,.pr...'.4 -_ c.-.........._. .-,. ~„^~y= *'' ;; r x~' ;. ~ ~ &~ ~" -~-~ r Yk~. "~ _. .~ .> . _ p1.01" pI.AN '~1 I,~G~Nn, '~ ya ~ Enc ~: 7 iti~}~ E~ ='fH~ ~ C3M- G120UN D Su~F~cE ~T FEJ~Ice_ r~,,~~ - ~.,~rl nF ~ yi s~uM~p 100, U ~ ~/~'' r I - 1 - N1~ Sla(~- .SCE ltS FtNCr, f-n.57. . ~~ `~' ~, ~s5011. C30f;ING W/ f3ACKN0i; p (~='"' ~~.~_ NO COMM 83 S~T13ACK pf?OC31.~M5 ~'~' Do NUT p~s-~U.tZI3 I~~z ~L 99.83 51TE 15 Pf'r~K~~Y, ~r~iD` 5UUT1~ o ~ ~~ ~o ~ ~, 3 2 Q~~ i E l_. loo .--15 E C: l= O l1~ QJ~ K . Ca ~3. EL ~~0.0$' U#~ OoNOT D~STURL~ O Mr 335 5111; I.OCA110N; I Zlo-~~ Avg, ,i, TRE,~ U~JE- SOUS N X10 1..1~ ~ p~~3 .~ i F r SIGN~f7 CST" 0 r MO39O~ f7AT>;; 0 $- 2~I-0 p OwnerBuyer Mailing Address ~~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM z(~v C_ Yu ~ Property Address o~ ~ ~--~ ~ / C.~ (Verification required from Planning Department for new c L~. . ~ `~C)c~ 7 City/State Parcel Identification Number U~ l `~- /C:' ~C~ --,~t1 -c`~~c> LEGAL DESCRIPTION Property Location ~ t~ 1/a, ~~ '/,, Sec. ~ T,~_N-RL.~ W, Town of ~~2~sT Subdivision ,Lot # ~~ Certified Survey Map # N/ ~ .Volume ~ R Page # /q Warranty Deed # ~ ~~'3 8'"S~' ,Volume ~ 7 Sits ,Page # a f Spec house ^ yes ~ no Lot lines identifiable yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the 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 Zoning Office within 30 da o e ee ear expiration date. S GNATURE PLICANT DA OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the r erty described above, by vi a of a warranty deed recorded in Register of Deeds Office. ^~, ~.~_ V ~/ `SIGNATURE OF AP I ANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed t _~~ .~.~_ ~, ~. ~~ v ` i f:7i J ` q i\ry\M ~V^ 4 ~C ~ ~~ ~ ~= ~ ~ ~~ Y/` j ~ I ~~~ 1 ~ ~ ...,, ~, .~. 9 .~ ~ ~.~~ 1~ bQ V s STATE BAR OF WISCONSIN FORM 2 - 1998 _ 659385 - WARRANTY DEED r;aTilLEErI i1. WALSH 1740 REGISTER OF DEEDS owument Number YD:.. PAGE 245 ST. %kOIX CO. ~ WI This Deed, made between Vera Houc~hdahl_aka RECEIVED FOR RECORD Vera A c woman 14-18-E001 9:45 AM -~ -- WARRANTY DEED ---- __._, Grantor, EXE!1DT N and Kurtis Robert Eggert ~ CERT CBPY FEE: -- COFY FEE: --- TkANSFEk FEE: 30.00 RECORDING FEE: 11.40 ', __-__ _____ Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following ~, described real estate In St CrOlX County, State of Wisconsin: ' ... .: Name end Return Address °Don Paul Novitzke NOVITZKE GUST SEMPF & WHITLEY 314 Keller Ave N #399 Amery WI 54001 4-10 ~ ,. Parcel Identification Number (PIN) This 1S not homestead property. / X~l~ (is not) v/T/he Northwest Quarter of the Northeast Quarter (NW} NE}), Section 19, Township 31 North, Range 15 West. Exceptions to warranties: Subject to municipal and zoning ordinances of record and recorded easemetns'and restrictions, if any. Dated this 12th day of October 2001 day of .~ Signature(s) _ authendcated this ~~~> .fife a~3d ~~_ • Vera Houahdahl aka Vera A_.Houghdahl (SEAL) ACKNOWLEDGMENT State of Wisconsin, ss. POLK County. Personally came before me this 12th day of October ,2001 ,the above named Vera Houahdahl __._ TITLE: MEMBER STATE BAR OF WISCONSIN _ _.___.._ to (If not, me known [o be lfse person who exetuled the foregoing authorl2ed by §706.06, Wls. Stats.) instru edge a stgte. ,t,'• T ~• V THIS INSTRUMENT WAS DRAFTED BV ~ _ P~OTARY Don Paul Novitzke #1009006 ckieoY,thi b ___ _ ______ NOVITZKE GUST SEMPF & WHITLEY ~'' _ t10~.~yFl~f ~ ns[n Amery WI 54001 M sston f 7n ent. ([f not, state exptration date: (Signatures may be authenticated or acknowledged. Both are not X Tres 11-24-Q2 __.) necessary.) Names or persons signing In any capacity muH be typal or printed below their algnaUlrc. STATE BAR OF WISCONSIN wlsconsin Legal Blank Co., Inc. WARRANTY DEED FORM No. 2 - 1998 Mawauhee. Wa. AUTHENTICATION (SEAL) (SEAL)