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014-1061-60-000
e~ I =~ ~ ~ chi ~ ` ~ Z tW0 d O ~ ~ `C ~ • 0 N ~ (/~ N ~ ~ ~ N W ~ J ~ ,~~ goy o~ o~~ o o~~ ~ ~ ~o .~ n l ~ N N W ' d ~ O O ~ I p N I m fA Z D D w ~f i ~ a o a N so W ~ ~ o ~ a~ ~N N L ~ CT O :°. O I c Z m °003 N M c ~ ~ y 3 a '~ ~~ Z O O O I ~ N 3 ~~~ ~, D D 7 a ~ W ~' ~ ' ~ 'e e d N 3 d .. I °. ~ z .. 0 I =+ ~ ~ o ~ ~ c c ~ n a I ~ ~ I c I W m I Z ° ~ + ~ N A Z ~ . I N y J A ~ ~ I ~ .. ~ oov Z -{ N m~co a `° -' z ~ ~ %* B fn m ~ I y ~ ~ I v ~ W 07 I 3 0 a 3 n~ o ~ I ~ ~ _ T C ~ ~ o a m ~ ,. y ~ CD Q N I am r ~ x ~ I ~ m a ,e I n m b ~a ~ m 3 ~ a~ ~ ? c 3 ~ ~ ~`' I ~ ~ N o z 7 c o A ~ O ~ _ ~0 V ~ ~ A ~ ~ W O ~ ~ ti i,~' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Builcng Division, INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. Permit Holder's Name: City Village x Township Bartz, Kenneth Forest Townshi CST BM Elev: Insp. BM Elev: BM Description: > 1 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic fit. Dosing Ho TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic s lb , ~ d, ~3a, Dosing slb / 7ldd t ~3~ ~ ~ 3 ~ Aeratio - olding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ZS e ~ .~ TDH Lift Friction Loss System Head TDH Ft ~ ..~ z . 9. Forcemain Length Dia. ~ Dist. to well ~?~• Zr yl SOIL ABSORPTION SYSTEM 'ELEVATION DATA County: St. Croix Sanitary Permit No: 399407 State Plan ID No: Parcel Tax No: 014-1061-60-000 STATION BS HI FS ELEV. Benchmark OL 0 Alt. BM ~~ /4 / Bldg. Se er Ht Inlet ~~` Q SUHt O Dt Inlet Dt Bottom ~~ Header/Man. ~. - Il. 3 9 . Dist. Pipe 1l • `~ ~' Bot. System ~2 , v _ Final Grade ///J `!~ . ~J' ~ St Cover ~ Z. ~r '7 l BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Li DIMENSIONS ~ S ~ ~ L SETBACK SYSTEM TO P!L BLD WELL LAKE/STREAM LEACHING u r: INFORMATION CHAMBER Type Of System: spa' , ~ y/S~ ( - UN Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake i (~ ' 1~ Z ~ Pipe(s) ~ > Z ~ ~ Y b i S '~ ~6 ~ Dia Length ~ pac ng Length Dia SOIL COVER Y Praeenra Svs4ams Anty Yr Mnund Or At-Grade Svstem5 Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [] Yes No [] Yes No ~~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / V / (5 / 4 ~ Inspection #2:~/~/~~ Location: 1948 280th Street Ems erald, WI 54012 (NE 1/4 SE 1/4 29 T31N R15W) NA Lot NAS r1 Parcel No: 29.31.15.461 1.) Alt BM Description = `~j oT `~n.~ y) r°~ ~ /fO`^^~`~ ~~/ ~'~e ~~ / 2.) Bldg sewer length = d p~ S",~ (Sf ~titf+ec7'4r. ~5 ~t~rv ~wt~r~( GdQ.s //Geti`,S~s..~ - amount of cover = > ~/Z " sd~`~ l~is-~uyr ~6~~ o7.~otocreo( ?b be ~OD~ 3.) Contour = ~~) ~ 1, 9 a TRC r~ G!a S /2 ~~ s ~ ~ ~ ~~wp G~ ~"~ h c ~G'~ /D GLw~O Gur vc ~- Plan revision Required? ~] Yes [] No ~ f Use other side for additional information. ~ ~ Date / / ` e Insepctor's Signature Cert. No. SBD-6710(R.3/97) ~ ~,k~f.~l~~StGt[G~l d- rtnsfq,~( v~U~ ~oa~ ~U~r ~ ~. I~i r~eZ wcc~s 6~ .20 ~~ ~ ~~~ ~J ~~'c ~,~` ~,P,1l.~act,N.a.,~ ~~t4~,._ ~.4/ ~ G7 S"3 3 0 °~~ s~- ~~ ~ ~ ,t,~:+ ~ Attach otenphxe plant (to the County Daly) for the system on papa not lean than 81/2 a it inches In alts ~,,:.~ ~~ ~~eo Pt-~,N ~ mac) ~z _fm. d kart..-h - • ~• Safety and Buildings Division County S T ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 ~a7 ~scons~n Madison, WI 53707 - 7162 Site Address ~ De artment of Commerce ~T 9 v~gd Sanitary Permit Application Sanitary Permit Number ~ ~ 9 ~} In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision ma be used for seco ses Privac Law, s15. 1 m I. Application Information -Please Print All Information 12 State lan I.D. Number ~ , . ~- ~ 223 Property Owner's Name ~ _ <,,` 'L ~ Z1 ' Parcel Number ~ Q 3 ~ . ! 5'; t7f (o J y~ t~~~ Z ~ o ~ ~-lob f - `o - wo Property Owner's Mailing Address •-. r~ . Property Location City, State Zip Code ,cam Pho~I ~; OOt1NTY Lot Number Block Number c/~,/ ~r ~ ,~j ~~YCrl7(TIG.E: `~ Subdivision Name CSM Number II. Type of Building (check all that apply) '' g ` ~'~ ^City 3 ~~~ ~ a~ ~1 or 2 Family Dwelling -Number of Bedrooms _ ^Village e b Use ^ Public/Commercial ~~ (n ownshi ~~ ~ ~ ~ ~ p ~""+ - ~D ^ State Owned Nearest Road ~ III. Type of Pertmt: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 ^ New 2 Replacement System 3 ^ Replacement of 6 ^ Addition to For County use stem Tank Onl Exis ' S stem B • ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued N. Type of Permit: (Check all that apply)(numbering scheme is for internal use) -~, /~-f0U - 44 ^ Non -Pressurized ht-Ground 2~'Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Reti=culating 30 ^ Other V. Dis ersal/Treatment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals.lDays/Sq.Ft.) (Min./Inch) 'Elevation ~~° ~~~ ~~i ,~ ~~ ---. . 90:9 ~~. 9 VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or W~ta~ ~~Ta+ 4 - p~/~ G/ r^ f~l~ /"/" Dosing Chamber ~-~ VII. Responsibility Statement- I, the anti ed, assume r iLity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl is Signa MP/MPRS Number Busicess Phone Number '~ n L N' ~~' 13~'-~(~ Z ~ZIS= Z3S = Z_llP~l Plumber's Address (Street, City, State, ) ~ ~ S- o ~ g ~~ /~ ~r ~4~7c~/ VIII. Coun /De artment Use Onl Approved ^ Disapproved ~~Y Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) _ ^ Owner Given Initial Adverse . Surcharge Fee) .. '~ Detenninadon , ~ 32S • . ZO Zep IX. Conditions oP Ann*nval/Reasons for Disapproval ~ ', ~" ti6t>i-y-r.S1( `~} J~Q,o~.~6 r ~o~ ~/ ~~~_, : ~ 5~1~`tc- ~ t••i ~ ~i Oo P~"j ~2.Kt ~ , Sq.~, 5~~~ b4 ~ ~ Io"~- - ORIGINAL «~ .$~ G-~+.~ ~ s~q.gS ~$3,> ~,.~s•4~ g ~` \".. \L/\ k M . ? ~ ~ 111 ~\.~~~. 1Y 4~ !~ t g ~ z ~ off' S~, Q,.~ r~ ~ c~;~~ ~ v0~ t'~~. -, ~ L~ ~w o r p~ c~ s. z1'~~r w~ ca ~` (°~~ f 411 5 wµ~,p `Q, w,0~1~,`~ ~'C S3 ,.-~. ~~ ~`~ 35, ~.`q, /~C.1. +~K VW ~Q YQ~ ~"P s ...~ - - - h1 ~' -St= -Z-~i,-1~ - \~ W 1 t ,o ~...... ; ~ o ~.et t' ~»4t.4J 1 \ e ~3wt ~-.w.o1 c..~ zz1'~~4 z .: ., ( J l Io9c ~ I `~'~. S• It a.- is w.` V1, M. ~~r ~1 \ -~\~ .. ~ a,.,,, S: I ~ ; , , l I~ ,,S.L~wtt ,~ ~}4' 4'' ,.~~ ~ /\ ~ nn rr ? ~ 2" ~ a~.o ~ l~ U w.~h S`o~ ~ 1 ( (v\( K ~- ~ ac~ ~ ~ p,,,~ ~ ~/J~Q ~(y~~~~ 1ro c.w. l: N `~ W Q v ~ (~ yP V V ~ 12 (1.~~ Q (,T LMK f0 ~~1177 u ~¢3 0~~ U ~ ~. ~ ~ '~ ' ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary September 17, 2001 CUST ID No.139462 ATTN: POWTS Inspector TODD L SINZ ZONING OFFICE T L SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/17/2003 Identific n hers Transaction ID N 674223 SITE: Site ID No. 635602 KENNETH BARTZ Please refer to both identification numbers, 280TH ST 'above, in all corres ondence with the a enc . TOWN OF FOREST ST CROIX COUNTY NE1/4, SE1/4, S29, T31N, R15W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810673 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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 Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.OI/O1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • When this tank is no longer used as a POWTS component, it shall be abandoned by complying with Comm 83.33. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. TODD L SINZ Page 2 9/17/01 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, 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. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • 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 copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~~. ~~~ FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce. state.wi.us WiSMART code: 7633 cc: KENNETH BARTZ ~~ , ~ r iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary September 17, 2001 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMON[E WI 54751-5520 ATTN.• POW7S Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/I7/2003 Identification Numbers Transaction ID No. 674223 SITE: Site ID No. 635602 KENNETH BARTZ Please refer to both identification numbers, 280TH ST above, in all comes ondence with the a enc . TOWN OF FOREST ST CROIX COUNTY ~ NE 1/4, SE I /4, 529, T3 l N, R 15 W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810673 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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 Systems VERS[ON 2.0" SBD-10691-P (N.01/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.OI/01). 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. [n addition, the owner must insure that the operation, maintenance and monitoring duties as described in section V[I[ of the Mound manual, and section V[ of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • When this tank is no longer used as a POWTS component, it shall be abandoned by complying with Cotnm 83.33. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. TODD L SINZ Page 2 9/l 7/O l • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, 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. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) sha[I be considered a human health hazard. • 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. Slats. • 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. Slats. 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 slats 101.12(2), nothing in this revi~w shalt relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~ ~~~~~ ~~ FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer [I- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi. us WiSMART code: 7633 cc: KENNETH BARTZ '~ Kenneth Bartz -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: NE 1/4, SE 1/4, Sec. 29, T 31 N, R 15 W Town: Forest County: St. Croix Date: ,August 30, 2001 Owner: Kenneth Bartz Address: 1948 8th St. Em a . WI 540 Plumber: To Sinz Signature: License # I~IP 1 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management 9G ~~ ~ ~~G `-'o Q O ~N G • APPROVED SEE CORRESPONDEN page 1 of 8 ~. Design Criteria ~~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length -~' @ Lateral elevation Lateral hole size 3~«°' in. @ ~ ~ holes/lateral Design Calculations O ~ Z 6 gallons/sq. ft. per day Tr 2,. ~ ln. ~~ 2-g in ~~ 2.0 i. ~ S •~ ~o•~ R1.~- (,~. ~ 3 S? Lateral volume ~ t'~ ~° Total lateral discharge rate Z.S • n ~ Network pressure compensation losses ©'a'~ ~' ~°~ Elevation difference Friction loss d' Z'8 Total dynamic head ~ ~ •~ g Pump/si~on ~• `l gpm @ _ lz - Manufacturer ~~ ~ "~ °` ~ Dose volume ~ ~' Lift/si~on tank ~~ '"~'"~~~~ ' "'~O ` ~"" ~' ""'~'0° Septic tank ~~ Effluent filter ~ ~`' ~ "~ tTO Measurement pump on and off 'S' ~ Height alarm from tank bottom ~ 3' ~ Reserve capacity ~Z° } specs.calcs.res ft. of Z in. ft. of ~' in. gallons ft. of ~~l ~ in. ft. @ bottom of lateral in. ( S' `~ ft.) Spacing holes total gallons gallons/minute @ L'~ ft. head ft. ft. ft. @ Z~~ gallons/minute ft. ft. of head Model # S ~`''~ 30 gallons ~'~''° gallons ~ d'`T'~ gallons in. m. gallons Page z- of g N~ -SL-2-q-11•~~`^~ ~ tl C"~S'4~ ~xKr~~•,ra ~"lq ~ i ~ Sio`1`lo..ti 1SS1 R.q b ~t~ C'~ 7 ~ ~.q J i .~ 4r+ I K~ c.e..~..w 1 ~~\ \ ~ ~3 rt (~ vo. 01 y zz1~~ ~ ~.~ ~ ~(a~~ l ~ ;~ '~~o s ~~ ~ w~,, ,LL~wtt w 44' 4'' . ~~ C Z.O Z. ~V ~ W M.`so ~9+ 5 w~t~p `Q„ w.Ow`~ ~ 6i2~• ~o.~oti o0 z n s ...~. ~30~~ . . ,' ``. ` ~ . S ,S }s.+M C. pro t S ~ ~. Q- i-~ cv~ 3 Y OC.~ ~~ 0. C~~M! L~ t ~y~ r b•t. 1 O w, Z'r s....S~ 1 3 o.vto.~ ~ °c.q t ~ ~ d `ice ~~~ 'I~_ Zs. g' Z•3' ,1e 4•t' ~ S~o 10.0' _~4.3' { 1 ,_ g I~ f ~ ar. ~ ;aM.. I~ la ~I O ~.as' t.~' +.sr~ I~15, -il . fi' b•5 S ~~ 2S•a~ 1 ~•; ~ . ~~Z'~, (' 1 S cr''1 4'O r ~ `..: 4e M~ '~ -. ~ o \ • ~F Pte. ~\ S ~,Qu~ o. a~ I .. l ~'~ t PVC S c.Y~ z" ' Qv~. ~`~ z`~ ~ ,~~ •, ~ ~ o -70"Lt, ~''~A~'~ I 5~a, I ~',~, ~o ~~ e xa.C ~ J . ~ b (~ O r ~ A-a^ Q13r. ~i. 0 O ~. " ~ ~ n - \ ' ~ 1 ~; ~ ~3~ ~c ~'~ab ~w \ _ ~S •0 g w ~c 1 1 ~~ / a~ JQ ~ S . J ~ A' \ ~~ v ~~ 2 . J" s ~~ "~~h ~ff~ . (,~9YY~+ -»11~CKtNC3 COVER ~"'~ gyuK G+ato•~,t>rCt+--1 WEA'f3i~RPROOF ~.T~J ~l 4T ~ 01r 8cac 6" ~ "'F' . ~,'4M I;' '~~ ~ ~ N ~ ~'~'~ 1~~ - jJfi~i%7.r 4'° PIPE. 3' v ~ ~ >'vc tp tvD~STURg,Ep ,., - k:, x Sa1L 24'' x.U. ii d 4~ t~4~tuQt,~ _.. ~ ., ~ ~ Y E hT i ~• /mss r ~'^~ ~- _ _ ~"r.rr~ ~_+, o W ~twct~ ~ 4 p (.><T Jbs.rrJ ~SAFFi..~S ~Q~ ~' ono P~ a N E L T I O KS ~^ '""/ ~ •t, ~ .r~, ~ - ~ V'l7 T 0~ ' G ~e~• b ~ ., PwiF' 1 ~ w ~ 4ca C+~ ' StPYIC t _ SPEGIJCJ~GATlblJS TAN•.S MAtJUFACTUPI~R: C'r ~,1J,tMeER pt* DOSES: ~'~ PEK O.~a TANK SIZC : t tr~ - V~ GALt,.OUb • .DOSE V0~4tMC Al.Aar~ ruw~~~cruRca; s'~ ~~'~~'~-~~~- IIJCLt1DIlJG b.nGKFLDW: ~~ G~L~O>JS MpOCL -.1~1N4btKi . 1 e 1 Nr v~ CAPAGITlFS: A: ~b wtHCS ox w~~ o~; s $=.~,Z _IIJGxES OR Z'ad~~ (+ALLp'ti5 ?UMP /'~J+UUt'ACTURrR; y~A -G C ~ ~~ WGHC6 OH ~U7OG~~~Ot.;S ' MPDEL AIUMDLR: 5 E ~ .... 0 ~-+--.. 11at. M E S G R ~ a~ G -, l L G +~ , JwITCN T!lPtti: ~Q.H..~v •~. ~~ uQ7' PUMP AtJO AUARM ARC 7J DG MIAJIMUM DISCKAIq(iC RAT ~., °~'~ GIr1 INSTA~UEO p-U SE PAFtATC CtKC~~r; IERTICAL pripCRCI•!tf OETWCt41 PUI"-P pttr Ay0 Dlsl•ttbtJT{ptJ PlPE•, ~.65~FEtY t n,ulMUM ~cT`~/OfIK SUPPi.y rREL~uRT,~/.... .. ~ ...~_ FECT _ + ~FCE7 Of POIIGi MAItJ X (~ PI~gP~LFR1CTlO~.1 ~ACTOit. 'a$ fEET ~ ~S TpTAL >7y1JAMtC HCAp +~c ~~'.~B f!<Er ,, ,, .~~„ 42•. J7 [R-.1AL, DIME1J41O1J>i •dF T/11JK; LEA3GTN -r- ~~ -,..;W,bTH .~..~~ i I.,IQUID pEr PT H Zd Wdti0:60 Z00z ~Z 'h~'W 860 ~~Z SZZ 'ON Xd~ ~JNIlS~l BIOS Q~I~Il~i~J w0'u~ Pump rugs but delivers only small amount of water. 1. Pump~may be air locked. Start and stop several times by plugging and unplugging cord. Check vent hole in pump case for plugging. 2. Pump head may be too high. Pump cannot deliver water over 24' vertical lift. Horizontal distance does not affect pumping, except loss due to friction through discharge pipe. 3. Inlet in pump base may be clogged. Remove pump and clean out openings. 4. Impeller or volute openings may be plugged or partially plugged. Remove pump and clean out. 5. Pump impeller may be partially clogged causing motor to run slow, resulting in motor overload. Clear impeller. Fuse blows or circuit breaker trips when pump starts. 1. Inlet in pump base may be clogged. Remove pump and clean out openings. 2. Impeller or volute openings may be plugged or partially plugged. Remove pump and clean out. 3. Pump impeller may be partially clogged causing motor to run slow, resulting in motor overload. Clear impeller. 4. Fuse size or circuit breaker is too small. 5. Defective motor stator: return to Authorized HYDROMATIC Service Center for verification. 4 Motor runs for short time then stops. Then after short period starts again. Indicates tripping overload caused by symptom shown. 1. Inlet in pump base may be clogged. Remove pump and clean out openings. 2. Impeller or volute openings may be plugged or partially plugged. Remove pump and clean out. ,s 3. Pump impeller may be partially clogged causing motor to run slow, resulting in motor overload. Clear impeller. 4. Defective motor stator: return to Authorized HYDROMATIC Service Center. 9 30 s ~ 20 s 3 10 0 0 (apoidy-U.S. G.i.IA. 0 10 20 30 ~0 SO liUn/S~cond 0 I 2 3 ,~ 7 SHEF30 Performance Curve ,. i PuE1nu Characteristics ~~ Ptan< /Meter lhdt SYbnxrslMlr Aidontitk flAodels SNEi30A1 HonepawK .~0 ~ l~oatd aeiry e.o Rueter Stinted Dolt f4 1 R.PJA. I SSa /ftase 0 1 Yolt i 1 S Hart: b0 1omPtnNr• 1 ZO'F Atsddent NEIIIA pasiln A ilstlotiot C,ss A Dit<fwr Sh. i-t /z• lln 13terta) soled: Nten~'tsy s~{• 119r+a) Veit Waight sa ffAS. Power {ad 18/3, Sl'IW, x0' ttd. Materials of Canstructian Nead~ Stadtltss Strtl labrketirg 011 Dltltctric a flbtor Nets (ari ka+ fat ~ lroa 5 Met:hmlaal Shoff 3+ai Soel ~: ~RI>It~~ertltdC sett fied~s Aee~d St.el Sp~1~ sttahaltta steel IeMwsz Ei~M r E tlc Gri fret S1eew l o w s ltar fltN ^ _ y ~ totteti lhet~ J- e E tff FotltAtlrt Stainless Steel DariArsns~ES~Ce Da+e M ~ I i I ~ r.. t ~ p ..... .......,.~............_. , 1..._~._. -- ~ ... -,__-. ~ ~ ' o t. io . ... .............~. _._....~........._~......._.... ..., ~ f I I 0 o to so >o to sa r~rerus,oa,w. a ~..... ......~.,_...._........._~,..........~. twnlf«aa a i 2 ~ tot*I flltwil hit 4 i 12 16 40 4~ O~lfl ~II.S.f 44 sb ~9 ZS ! Z 0 biminsienal Data i. All ~ee~ierts n indMt. IR~W ~ ~,« e,.. x (oegoentt Ae+seaats moy ter: iro ~~ •.va 3. aW bt cNebuawn puryes~ 'mot utdes nATied rye 1. aletertdartott otl esipib a~ ~lMROE ~ i. 6n/Oil bwl al{ustohle 1, yh rewrw the riFM a nteke ~br ro art prNott ad their fpl3imMpp d110fa Mika ~I /J~,.,. ^,.t: t t' 7/6 p (a'ipt) ~2~7} ~~h~PO~I p ~~ HYDR4MATIC `~ ~ • ~ * • 1849 9anay Reod Ashland, Ohio 44805 TJ: 419.184.3011 Fax; 419•~614p11 Web Site: www.penioirpump.rom SALfS OfFKES IN All FRAJQR CRIES ANO COiINTRIES nam u: W-04.8350 t2p8 6M ~: 1949 Hydn~rtxitic' Purnpe, Ashlarn;i, C~+ta AI! R' is Raserved. - Yow Auihor~zed Lord Dietriburor - NIL U t, System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants; the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. ~. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible, The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and!or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ~ ~_a~~~~ Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not Tess than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and ~~~j ~- p / x percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # cam/ `-f ~- /O 6/" ~O - o od APPLICANT INFORMATION -Please print all information. R viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~ ~ Property Owner Property Location ~ Govt. Lot ~/~ 1/4s~ 1/4,S T / ,N,R ls` E Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# y ~~ ~ State Zip Code Phone Number ^ City ^ Village ,J~Town Nearest Road ~C ^ New Construction Use: ,~iesidential / Number of bedrooms ~ Addition to existing building Replacement ^ Public or commercial -Describe: Code derived daily flow ~ gpd Recommended design loading rate • ~ bed, gpd/ft2 - ~ trench, gpd/ft2 Absorption area required ~~"~ bed, ft2 _3aJ trench, ft2 Maximum desi n loadin rate . g g _ ~ bed, gpd/ft2=`trench, gpd/ft2 Recommended infiltration surface elevation(s) ~07• ~- ft (as referred to site plan benchmark) Additional design/site considerations ~~ Parent material C3'~!x c, ~ti ` / 1~~7° U».GO'~~~/ ~~lood pl in elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ~ S ^ U '~1-S ^ U ~ S ^ U 1~ ^ U ^ S ~ U ^ S ~' U PIA11 ArI'. /~I'1111TIA\I Ar'1A1"1T Boring # Ground elev. ~~ft. Depth to limiting fact r v?~in. Boring # ~, ', Ground v ft. Depth to limiting VVIV VVVVIIIr I IVI~ IILI VIII ~I Horizon Depth Dominant Color Mottles T t Structure i t C B d R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ons s ence oun ary s oo Bed ,Trench o `6 ~~~ rj, ~JJ r ~ •,j"~ ~ c ~ Gn~ t ' Remarks: ,..,- p r / anc/~ .t. , r cw Remarks: CST,N~e (Please Pri/nt~) Signature 7 Telephonde No. U'-~ Yea `t/l ,l^c ~ /` ~. / <~~~ l~ Addre C /~ ,~J Date CST Number 1~ ~~~/ .lIv~ 1/7in ~r ~ /,Gyi d~~0®~ .3 /7' l`'i` v2~ o~a7 IS s= -S~ .~ PROPERTY OWNER ~/7 ~r~L SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # ~~ Ground elev. ~,. ~~ff. Depth to limiting fact r in. Boring # '~ Ground elev. /ft. Depth to limiting factor ~in. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ... r- , , Remarks: ~~ Page . of 0_ ,/~ 5~ G 2 c~ ~~ [~~ L~ ~- Remarks: f-vr~ ~~~c`2 Gr~a,~ i'z5 ®~ ~~iac/'f~~~_ I' Horizon Depth Dominant Color Mottles Texture Structure Consistence Bo nd R t GPD/fit in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. u ary oo s Bed ,Trench Ground elev. tt. Depth to limiting factor in. Boring # Ground elev. ft. Remarks: Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) ' ~ Soil Test Plot Plan Project Name ~~,~~ ~,,~~ Byron Bird Jr. Address /~~~ ~~~,~ ~~ -~ r Lot ~--~ Subdivision - Date ~---~ ~-- ~C 1 /4~~' 1 /4S ~c~T~~ N/R,~S-W-.- Township ~rc s Boring O Well PL Property Line County ~~,'~ G,,-~~~~ ~' / BM or VRP Assume Elevation 100 ft. ~~~~ ~~" S¢~~,cs~O~~~~~m~ System Elevation /jam ~- *HRP 5~u~-~ ~s ~,~ ~~f~j,J.~~-3~O~f`~~~~~~ ~'° ~a~ 3~~~ u" ~B"~' ( O ~( / \ ~ ~d `, ~ ~ I \ ` ~~ 1 ~r ~ v~wK d ~°~'~~~. ~ ~1 ~ ~o~,.,~i o ''~ Q3 ~O ~`~ ~ ~ ~t~ ~ : ~ /fa~.~ ~ _ ~yy ~o ~ ~,~ a-~ 5' ~ ~~ ,Mg'~~ ~~ / ~a v ~Q I . -- ~ 0 l f G- ~ ~, c Scale 1/4" = 10 Ft. When Dimensions aren't stated ii6. OZ- pp FRI 14:71 F~1 i15 736 ~163d ST r,RX CO ZONING f~jpgl sx cRO~c covN•rx SEPTIC TANK MAINT'ENANCB AQRBEMSNT' AND OWt~IERSHIP CERTIFICATION DORM OwnerBuyer _ /~ ~iU~/ G ~ /r~7'~ Z Mailing Address . ~ q~ ~ ~~ ~ S ~ Property Address -S~ ~ /'~~ tl (Verification required from Planning Deparhneat for new construction) City/State I~'L~ ~~ Parcel Identification Number D ~ ' !~~ ~~ ~Q -Ora I,,,EGA.L UESCRIP'X`ION Property Location `/<, ~ %,, Sec. 0~9 . T ~~ N-R,1j~Town of ~~'~s ~ .--.-_ Subdivision Lot # ~-~ Certified Survey Map # ~ •r-- _, Volume page # warranty ]heed # _ ~I~ ~e~ ,Volume IoB~ Page # 1 Z.~" Spec house ^ yes i~ no Lot lines identifiable ^ yes ^ no SYSTEM MAllV'I~NANCE Im{xoper use and tnaintenanc'-c of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank Query three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the scprie tank as a treatment sffige in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Daparlmcnt a eertif"ieation form, signed by the owner and by a masterplumbcr, ]~cY~"+p plumber, restrictcdplumbcr or a Licensed pumper verifying that (I) the on-alto wastewater disposal system ~ in proper operating condition and/or (2) aflcr inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. T/we, the np.(lersigned have read the above requirements and agree to maintain the Private sewage disposal system with rho standards set forth, herein, as set by the Department of Commerce and the D epa.rtmcnt of Natural Resources, State of W isconsi ~oCertiti~ti30 stating that your septic system has been maintained must be corn feted and returned to the St. Croix County Zoning days f the three year expization dart. l IQ SIGNA OF AP ICANT DATE OWNTIR CER'I7FICATXON I (we) certify that all statements on this forni are true to the best of my (our) lmowledgc. 1 (we) am (arc} the owner(s) of the property described above, by virtue of a warranty decd recorded in Register of Deeds O[lice. I !Q DATE ~SIGNA'~ OF LI NT Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department "'`"`"~` "..... ++ Xnelude with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey trap if rcferen~ee is made in rho warranty deed DOCUMENT NO. Si~2E~,'~ WARRANTY DEED STATE BAR OF WISCONSIN FORyt `l -1982 Y~ 1.034ra~f127 THIS SPA; .E RE3CRV EO FOR ' Lis C:-:~ ~.. Y~! Calvin M, King,_a._s~ngle man. _.-._ __. ~~ ' JUN 2 4 1994 _ .. '_. _.~ ~.~....... ~ .......... .... ~ ,.,, 12:25 P.p.~ conveys and warrants to .1Cenne.th Bartz .and Fl-Ord Bdrt2 dba ~~ •ti ~ ~~' ~- - f,'~ r Bartz Enterprises, a) so know, as. KennQth. M,. Bartz and... "'~"~'~ .... ... ..- .. .. ~.~!'d~ti Flora M. Bartz .. .. Taz Parcel No:..-----•-•------------•---•--• Southwest Quarter of the Northeast Quarter (SWI NEI) and the North One-half of the Southeast Quarter (N# SE}), all in Section Twenty-nine (29), Township Thirty-one (31) North, Range Fifteen (15) West. This deed is given in satisfaction of that certain land contract dated September 1, 1917, and recorded September 6, 1977, in Volume 560 °~cords, page 276, Document No. 342879 in the Office of the Register of Deeds for St. Croix County, Wisconsin, which land contract was assigned February 15. 1988 and recorded February 29, 1988, in Volume 804 Records, page 42, Document No. 434802 in the office of the Register of Deeds for St. Croix County, Wisconsin. _. .r, ,, . ~ - r~'- Tel ~'..!'~:vti~~ ~1r~ This ._.-.-.~5....-....---_., homestead property. (is) (is notj E:ception to warranties: easements, roadways, rights of way, zoning restrictions and any liens or encumbrances created by the acts or defaults of Grantee. Dated this .._ _ ... ,~~ .. -• - .... day of - - MaY _ ... .. _ 19.94. . __ .-.._._. - --- - --- - --- - ---(SEAL) - .._........----- ._ -- ----------- --- --- ---(SEAL) AIITHLrNTICATION 5ignatare(aj .__Gd-1-v-iA-M.--1(.1114---------- ----------------- ~i aut~~ J~U-- Pt~--day-----------~ >:s94-. ..~ . . . David L. Grindell TITLE: )[EMBER STATE BAR OF WISCONSIN I antborized by ~ 706.06, Wis. Stata.) ~! Tt!eS INSTRV MENT WAS ORAFTEO BY !~ David L, Grindell i~1002628 !; hRINUELt-L'A1~7-DFF'ICE-S; _~-:~:"-------------------------- c ~,/li - - ...(SEAL) /. ' ~~~ • .C.al.vin_M-,.-King. _-._ _ - - - - _ -.... _ .(SEAL) ACHNOWLEDGMENT STATE OF WISCONSIN ss. •-•---•-----°--------------•-••-----.County. Personally came before me this _ _.__ day of f~l 1hn ~r - qm .i to me known to be the person __._._.__.._ who executed the foregoing instrument and acknowledge the same.