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018-2009-04-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building 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)]. ermit Holder's Name: City Village X Township Juen, Rand Hammond, Town of ST BM Elev: Insp. BM Elev: BM Description: /~ 1 G~ ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic (,,cl,' ~•~ lL5G ~~V i~r, L - ~ ~V LJ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Z7 ! 73~ 3 ~ b/ Dosing ~~ / 73~t CDC ~ r\~ V Aeration Holding PUMP/SIPHON INFORMATION ~- 1 ~ Manufacturer errand t3 ~.~~ ~ GPM / p Model Number ~ 3~,`~ ~~ ~~ TDH Lifft~ Friction Loss System Head TDH Ft ,, 17,I 3,8 Z.S z , Forcemain Length ~ Dia. i / Dist. to Weu ~~~ SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 463484 0 State Plan ID No: Parcel Tax No: 018-2009-04-000 Section/Town/Range/Map No: 04.29.17.988 ELEVATION DATA STATION BS Hl FS ELEV. Benchmark ®. 5'~ ~~ .5 /db Alt. BM_ ~C.~ ~~`- ~~' I ~~' Bldg. Sewer ~!' /~, 5 95 • Z SUHt Inlet Zt -$ ~~' , ~ ~ St/Ht Outlet Dt Inlet Dt Bottom Header/Man. q / ~5. ~o~ Dist. Pipe t~, 5g ~5~ 5 S Bot. System S~ S . S C ~7 y 9J Final Grade St Cover ~;1~ ~~ d3 ~~ ~ G~ ~ ~ ~ . og ~~. ~5 BEDITRENCH Width / Length i No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ °®-~ -'~ `°~ ~~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: _~ FORMATION I CHAMBER OR ~ N Type Qfj~y~ej : ~~ ~ ~~' ~~~ k ' UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Length~_Dia~// Distribution / I f ~ ~ Pipe(s) ~/ C Length~0 Dia I /L Spacing ~ x Hole Size ~ / ~ ~L x Hole Spacing 7 ~ Vent to Air Intake ~V ~~i. SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only - Depth Over Bed/Trench Center ~ o ~ Depth Over Bed/'rrench Edges ! ~ xx Depth of Topsoil xx Seeded/Sodded Yes No xx Mulched Yes No f ~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ ~~' U`~ ~ ~pection t/~: - _ _ _ --- G1,,,; -~. X10 Location: 1789 112th Avenue Hammond, WI 54015 (SE 1/4 SE 1/4 4 T29N R17W) Hillside H,peights of 4 ~ Parcef No: 04.29.17.988 1.)AItBMDescription= -~'`~,e'~ Cc'`~v`'~ ~~,; /~ p~~ rl~~ ~~~ 2.) Bldg sewer length = ~ 3~/ -amount of cover = ~ ,~L // O~ Df Plan revision Required? ; ;Yes o ~ k~ (~ ~~ y ~~ Use other side for additional informs ion. ~ ~ ~ ~ ~ U `~ - - = ~ - Date Cert. No. SBD-6710 (R.3/97) Safety and Building ivision 201 W W hi t A O Coun ~ ~ x ,,, ~ . as ng on ve., ~ . V ~ 1 • ~~~~~~ Department of Commerce Madison, WI $370 (608) 266-31 ~ 71 l tary P mit Number (to be filled in by Co.) (/`J ~ Q O Sanitary Permit A 0 Plan .D. Numb er In accord with Comm 83.21, Wis. Adm. Code, personal o 'deST. CROIX C / / ~/ ~ ` maybe used for secondary purposes Privacy Law, s ZONING OF I~lect Ad ress (if different than mailing address) Y. Application Information -Please Print All Information ,(.~_/ ~~ // Z ~ R~ , Prope Owner's Name arcel # Lot # Block # Property Owner's M ng Ad ess ~~ Property Location O ~ ~~ ~' ~~ ~ City, State i , ~ /-~(} ~r- ~ /q- '' ~~ Zip Code Phone Number /., ., Section _ W'~.,~-c'I / V t ~ ~~ ^~(~ T OC" ~ e Q ~ C IL T e of Buildin (check ll th t l G 1 N; R E o W yp g a a app y) p/ Q,~ . u 1 or 2 Family Dwelling -Number of Bedrooms `~~ ~r's$Y~S ~je,~~ Q /L.. Subdivision Name CSM Number P ~ ^ public/Commercial -Describe Use S l ! ^ State Owned -Describe Use (~~ $ ~''g ^City_^Village~ownship of / III. Type of Permit: (Check only one box on line A. Complete line B if applicable) r , A' ew S stem y ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S s tem: Check all that a I ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ / Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (exptain) Cp J ~ ~ V. Dis ersaUTreatment Area Information: / Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 4 t I `7c~ ~ ~ ~- . ~ Gl 51. S" VI. Tank Info Capacity in Gallons Total Gallons Number of Units Manufacturer D e r ~~ ~'~ ~fG~t Prefab Concrete Site Constructed ;eel Fiber Glass Plastic New Existing . Tanks Tanks Septic or Holding Tank i ~~ ~._ Aerobic Treatment Unit Dosing Chamber G ~ ~J C 1 ~ J ~ \/ ~C VII. Responsibility Statement- I, the undersigned, assume resg for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum to - ' MP/MPRS Number Business Phone Number a~ o q -t l 3 Plumber's Address (Stree , i ly, State, Zip Code lt ~1~ VIII. Coun ! De artment Use ni Approved ^ D' pr a Sanitary Permit Fee (includes Groundwater Dat Issue Issui gent Signatu o S mps) ^ Surcharge Fee) , I ~~ • 6~ ~- '• ~ f ~ `~ (J caner ven n for Denial ~ J IX. Conditions of ApprovaUReasons for Disapproval (~ tt ~- t1 . ~ ~~. ~~ "'~ o /~fj ]t J~. ~aw[_. tz e~xx STEM OWNER: 3~ C•,~ t~' M / 1. Septic tank, effluent finer and i ti ~,~ t..~' ~'~v~ S ~( +'~ J ~' CotM.w. $•3 ~ ~J Z. dispersal ceN must all be services ~ P /' Z. AM sNb~ R~ Pr~iditd by pkrxnbsr. t.~, ~~•{6~e ~/~• Ca~n,d.c~~' G/Ot55 ~o ~ ~ C ('-~.Q.L, ~ P~ ~ I adn~tws. 1 U Jam, ' ~ ~ 'f ~a NL CaLtM~,d ~' d raaa~u wmp~c~e p.aus tau zne ~ounry omy) for the system on pap n/~ot IesR•t6an SI/2 x I1 in es in size ^~/~ Its ~/G,ttA.ot.S,~ Cam. rtJ SBD-6398 (R. 01/03) d ~ p~ C~ ~d'C ' c~ ~0 ..liJ~. ~~ a ~ ~ 1~ 1~a~'d. d ~a1~,`~rti s d nn..i l.~ ~~ n ~~~ 4\~ V s /~ a ~oJ ~. A ~~ d '~ I Sp ~~~ ; H ~ J. ~' `.+- 3 N v s v' 1 d J ~' „r. ~s N a r .~ ~~ u ~r d ~ J ~ (< rt~ V `y~ O , 1' J F•, ~ ,, _ , ~~., ~ , . S' ~, STEEL'S S'OIL~ SERVICE INC. David J. Steel 994 200th St CST-POWYS Ctiittang Edge FOUr, LLC. Baldwin, WI 54002 Lic. #248956 SEl/4,SE1/4,S4,T29N~t17W Bus.(715) 760-0347 Town of Hammond, St. Croix Co ' Fax (715) 6843449 Hillside Heights, Lot 4 LCg@1111 1" = 40' ~ iz , 4~ ~ • =Benchmark Ele. 100.008 Top of 3/4" PVC Pipe ~ =Alt Benchmark Ele. 99.90ft 4'' S ~ ~-~ ~ ~ ~ 1=op of~3~" PVCPipe ~. o w, `~. B "°^~ ~ ~~ ~iC,~ Boring Elevations ,ti s~ B2 =94.55 ft T4. ~a '~ ~ B3 =90.25 ft ~'S IlN ~~ c '~ ° /` ~4S'" ~"(~'~~c S~ ~ 'rov~Q ww:h X\ ~ys 3~L- ~' ~r~g~( ~rec.~ ~'C k 4 ~ 3 y~.~ °~ t lm,..~, ~ ~ 1~, ~~~ ~ 3 q o~ ~ ba U >'~ `ii l~ 2~ 1. ~ ~ . ~ ~ E ~ r_1rn_/ 1 'b P J ~~ Z ~ - d ''~~ c/~ ~~ 0 r n W ~Z Q M1 ...~ 1N V i a J J 0 ~~ ~~ ~. ~ ~> ~. E` '~ ~ . ~. STEEL'S SOIL SERVICE INC. David J. Steel CST-POWYS Lic. #248956 ~ Zz 4a' ~o~ r~~~t ~\ ~'~. ~y sx+ \~ 994 200th St Baldwin, WI 54002 Bus.(715) 760-0347 Fax (715} 684-3449 Legend i" = 40' • =Benchmark Ele. 100.00ft Top of 3/4"PVC Pipe ~ =lilt Benchmark Ele. 99.90ft Top of 3/4" PVCPipe T a Borings Borinng,~Elevpations BIa94.55ft BZ =94.55 ft B3 =90.25 ft B4 = OO.OOft ~ . z o~i _'~ i .~ ~-n.r ~ Q-S nv ~ 2~ro - ~?- S~o ~° -~~ Cutting Edge Four, LLC. SEl/4,SE 1/4,S4,T29N~17W Town of Hammond, SL Croix Co. Hillside Heights, Lot 4 ~4s-~ z" ~'~~ S~ 40 ~ve2 ww,h ~%Y~ ~~ys ~,~ ~, h. ~. ~. \ , "~~ 4~ 14~~~1c- k 4~~~ °~ ~ lo,,,~, q ~-,q~' ~~~ ~~ k~_. oS p r g .---. 3 ~' 7~ ' commerce.wi.gov ^ ^ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m rn e rc e. w i. g o v/s b/ www.wisconsin.gov Jim Doyte, Governor Mary P. Burke, Secretary April 29, 2005 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/29/2007 SITE: Randy Juan & Jennifer Berg County Hwy T Town of Hammond, St Croix County SE1/4, SE1/4, S4, T29N, R17W Lot: 4, Subdivision: Hillside Heights Identification Numbers Transaction ID No. 1131691 Site ID No. 697461 Please refer to both identification numbers, above, in all comes ondence with the a enc . FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1014968 Maintenance required; 600 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, (~®3 stats. The following conditions shall be met during construction or installation and prior to occupancy or use: ~+ DERARTM N Approval Requirements: > C,~ ,~ SEE COI • 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.O1/O1). • Per manual cited above, 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. MICHAEL P ROGERS Page 2 4/29/2005 • 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. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site. during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • 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). • 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. • Comm 83.55 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. 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. 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, ~'l2 ~9 ~ ~~ ~ I~ Charles L Bratz `) POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Randy Juen & Jennifer Berg -Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (O1/O1) Pressure Distribution, SBD-10706-P (01 /01) Location: Lot 4, Hillside Heights SE'/4, SE'/4, Sec. 4, T 29 N, R 17 W Town: Hammond County: St. Croix Date: Apri127, 2005 Owner: Randy Juen & Jennifer Berg Address: c/o Rogers Plumbing E 4457 HW 12 Menomonie, WI 54751 Plumber: Mike Ro rs Signature: ~ -- License: MP 225094 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page 1: cover 2: design criteria & calculations 3 : plot plan -general 3a : Plot Plan-System Area Detail 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management RECEIVED APR 2 2 2005 SAFETY & BUILDINGS '~'~~Ity . ~® OF COMMERCE E~U tlVGS Jp~N~ENCE page 1 of 8 Design Criteria ~'~rS 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 4' 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 4' Lateral elevation Lateral hole size ~~~ b in. ~ 3 holes/lateral Design Cal o,~¢ >, 3 Z ~it~ tt, ~ z~ culations gallons/sq. ft. per day in. in. ft. of Z in. 35.84. ft. of ~ `~ z in. o . 3 ~ ~ : 3 gallons @ , ~ 3~.5 ft. of 1 /z in. ~ s ~45~ ft. @ bottom of lateral @ 3 b. o in. ( ~• ~ ft.) Spacing S ~ holes total Lateral volume 13 ~ `~ gallons Total lateral discharge rate 343 Z allons/minute ~~ 5 ft. ea g h d Network pressure compensation losses o ~ ~ ~' ft. Elevation difference ~ ~~~ ft, Friction loss ~'3 2 ft. 3 ~ allons/minute @ g ~ ~ Total dynamic head z3 ~ ° ~ ft. Pump/si~on ~'Z- gpm @~ 2~ ft. of head Manufacturer °~-< < °^' Model # ~ ~ ~ Dose volume 1 ~ ~ • g 4 gallons Lift/si~ron tanker ~ •~~ ~ Z~~ - ~S`'o ~ M-~o ~~~ gallons Septic tank `~ ~` `' ~ Z'~ gallons Effluent filter dr ~'^~-~ GT ~ ~ zz.- ~4'~A `~i ~`~ ~- ~-' u~ Measurement pump on and off ~• ~ in. Height alarm from tank bottom ~ g' ° in. Reserve capacity ~"b~•~ gallons specs.caics.res Page ~ of g ~ r _ _ ,~ ~ .. .. -~ y 7X ^ - ... 1 11 11 3 ` (~ %~ ~r oe.k ~O ~-di / ` e. Mt 4 C~~ t ~ ~.~t ~1j \ow Ii ~ ~ Z p ~ ~,.r~ fv •Q ~ / l C ~ 1 tZ ~ ~ 40 . ~ . O V ~ C. w w Or Q S ~ `h ' 4N ~ \ J / 1 t O t7 i ^ Q^ \ n /~ Rti \ ~ o, , ~.~ z S 5 1,3g ~a~ \ b" i~~co:1 lay ~ p 1 ~.,.. S Q^1~ ~ .. o,,,..._ ~ 414-5' ~~, ~'_ ~~~ .. _ _ 1 z~ ~' ,. N ,i , 1:. -t A 1 1 Qh 1 Q. bN~ ~. _ L ~ ..,r 1 -- ~c- ~~ ~ ~ _-`~- t4~4' O 4 ~ ~ v L ~ . a.cy- o ~o l Q.r v . ~ o ~. ~..~. e. l l 1 ~ b o TT' o ~.. a ~ r . e.~ ~ ~1 0 1Q \ a ~ Pte. ~ ~......: r..r ~ ~ ~ ~' hie ~..~ Q~ c3 `~ ~ ~-c. ~ b rti~ •Qh ~~ ~J ~T•' H l ( N ~1 ~~ ~~ QVL 1e1.`~ 40 ~~ba.a. v„a~h \i'L ~UC lc.~ 4-~ /Z ~ V L S L~ ~ 1 ~ o p ~.d( `40 GCJ~ r it ~ ~ W. `C ` ~ " U 1 \ `` L f.~ 4.Y7 ~ 4TH 1 \ ' / /I I /~~~0` (~ v. v M - w ~ w/ -Yc, v Va.Q, j~ ~. ~; w nX. ..~. 11 11 -`^' 11 ( ~/I ~~. t ~ o\ rL 5 o h 1 1 '~' a. t a_~ a, C.0..... 'L'am ` a .r.. ~ ~G c ~ ~ ; N ~ ~ ~ ~ , t7 ' 1 ` ~ b, o ~~ ems. ~ / J\ t.~ ,Yj 2.~r U \ ` 1 4. `~ SlX O.. ` S Z 1 1 ` ~1 D \ t~ 1 ` 'Y O't' ~,~ ~ ~~ ~ G', ~' ~ ~ o ~ 4 $' ~ ~~6' ...-.r. naf,r-~-.ter--~,.y ..._._ ':y .. y, ,, .... ~' `~ ~x~•T ,~ k' Till.. r-~~~H ;, WE1~T'NERPROOF _ •~ 1 ., LOCKING~COVER JUNCTIQN , BLDG ` Cv,(i~N ~ .t ~BE•C . NICK DIAC.OHYIGT--'\ ,~. ""c iruzsry ~' 12 ~~ r-ice.,. ~ ~ ~ ,g„ 4" P ~~ . , , ~ ~- 'pK'ib NOISTuRe,ED ~•, ~~I` 24'' Z.D. ~ ~ d Ertl t~uo,F ~ 41 K I .. ~~S T . W• ~ I ~ _ _ ~~wGCn H p;.L ~-'itOVtD A Za' 0~1 g,. PvL Sc.~ CRSK>=T 3b~rT'J ~FLE 3' ono `R~. PIK a a~ C~s~ \ .' f.QrtN E CT 1 O /+b ~'~ ~ ...`!X ~ _ ` trQ ~ ON ~' ` °~'` ) tycr.-sTUCa. •~ ~ C 1 1 01 ~~` ~3 F Lev , }; \ 1-~-~. ~ ~ o .. ~r~a. ~• ~~ ', ~ 14~C~ OtF ~z,o ~~ PIxlP co~t~-F . C u~" BcoCK s,: ,w,' ~I ~O ~te,~z ~.Q~, ~? sEPnc t _ SPECIFI•GAT141JS Q ~~• 's~ T~-JK$ M^-JUFACTURC:R: IJUMDER OF DOSES: ~' PER 0~~ TA1JK SIZC : j, \~~~ ~' ~~~ G~LLOUS DOSC VOLUME S~ F1~~~•ro iWCLU011Jfa 6ACK/I.OW: 112'g¢ ALARM /'1MIUFACTURCR: GA~~ON$ ~ 01 l~i w ~ hODCL 1JUMDCR: CAPACITIES Az ~~'c0 IuCHCS OR ~~~'~ WLL045 swlTCH Tyre: wa~.~wv~. ~~6 p ~ ~ ~ucHes oR ~z~2 wLLO~,s PUMP PIAWUFACTURCR: ~O~l°'`r C• ~~~ iuCME$ OR 112'x¢ G~u~04$ MODEL -JUMDCR: ~S ~ 0~ 9`~ INGHES OR i4~'O g u~~~.OtiS JWITCN TYPE; ~''^OJit'"``'~ ~`'~~~ IJOTE: PUMP AWD ALARM ARC TO DC MIAIIMUM OISCMARCsC RATE 3~_~ (,-M I/N,S~TALIEO 0-J SEP~RATC CIRCu~TS ERTIC^l. Olff ~~~`~/ V EREIJCf ~CTWCCW PUM1P Oi- A UO OI~TRIDUT AJ P ' 10 PI E.. FEET I + MI-,11MUM tJETWORK SUPPLY PRfLSURE ~ ~ ~'~ FCCT'4"O'~'~ + ~`~S i'EET OF FORCC MAIA1 X ~'S e F~ b'3 Z ~S/ IoolxiRlCTlOry iALTOR.._^ FEET ~, -~ ~~~, - TOTAL OyWAMIC NEAO = ~~~ Z FEET ,t ~;~; 11JTERIJAI. DIME1J6101JG 0/ TAA1K: LELI6TH `•Z--? -~ , " ~„ 'WIDTH ~ ~ ; LIgUID DEPT H r~ HEAD CAPACITY CURVE MODEL 152/153 W~ ~W W ~~ 50 _ 1 12 40 152 w 30 - - - ~, a 8 z 0 20 a 0 r 4 10 0 20 40 60 80 100 GALLONS LITERS ousoe 0 80 160 240 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS Timed dosing panels available. Electrical alternators, for duplex systems, are available and supplied with an alarm. variable level control switches are available for controlling single phase systems. Double piggyback variable level float switches are available for variable level long and short cycle controls. Sealed Qwik-Box available for'outdoor installations. See FM1420. Over 130°F. (54°C.) special quotation required. 1521153 Series - --- _ ___ 1521153 MODELS Control Selection _ Model _Volts-Ph ~ Mode e Am Slm lax Du lex Nt52 tt5 t Non 8.5 1 2a3 8N t 52 t 15 t ~ Auto 8.5 _ Irxiuded 2 a 3 E t 52 _ 230 t Non 4.3 1 2 a 3 BE t 52~ 230 1 ~ Aulo 4.3 Included Z a 3 N153 tt5 t Non 10.5 1 2a3 BN t 53 1 t 5 t Auld 10 5 Included 2 3 TOTAL DYNAMIC HEAd/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. Liters Gol. Liters i 5 1.5 69 26 t 77 29 t 10 3.1 61 231 ~ 70 ~, 265 15 4.6 53 20t 61 23t 20 6.1 44 167 52 ' 97 25 7.6 34 ~ 129 ~ 42 'i ' S9 30 35 9.1 10.7 23 -~ 87 ~3 ' '~~ ', -- 22~--_8J_ 40 12.2 -- -- ', t ci Lock Volve: 38.0 Ft. (11.6m);~e0 F; ('~[M' 3 27/32 a 5/9 +; , -~- -~ - ? -~%j: ® . 2~-~_ ~ i ',~il -.--- -,,-. 12 ~/E ~ ,I i __-~ , = - ~_ L sKZOe+ Et53 230 1 ~ Non 5.3 t 2a3 SELECTION GUIDE BE t 53 ' 230 t Auto 5.3 Included 2 a 3 1. Single piggyback variable level float switch or double pggyback variable level fI0a1 switch. Refer to FM0477. O CAUTION 2. See FM0712 fa correct model of Electrical Alternator E-Pak. All inatallatlon of controls, protection daviua and wiring should ba done by a qualified 3. Variable level conUol switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codas should ba followed Including the most recent National Electric Code (NEC) and the occupational Safety and Health Aet (OStiAi. Or (4) fl08t System. a~ RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.0. 80X 16347 7 LouGvdle, KY 40256-0347 Z SHIP T0: 3&9 Cane Run Road Manufacturers o1 c Loulaville, KY 40211.1961 Qua[/Tr /~uuvs SNCF /9,99 (502) 776-?731 ~ 1(800) 928-PUMP http://www.zoeller.com PUMP !O, FAX (502)174.3614 © Copyright 2000 Zoeller Co. All rights reserved. ~~scansln Department of Commerce rlivisinn of Safofv and Ruilrlinnc SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #,629 Page 1 of 3 Steel's Soil Service, Inc. County Attach complete site plan on paper not less than 8'/2 x 11 i i si .Plan must St. Croix include, but not limited to: vertical and horizontal reference poin irection and percent slope, scale or dimensions, north arcow, and Location a i nc~to Barest road. _ ~ Parcel I.D. pendi 9 Please pri id P l i f ti b p~(+ f d6 ~ ~ ~d 1 Reviewed B Date ersona n orma on you prov e may e u or s a oj u ivacy ) (m)). ( Property Owner roperty Location Cutting Edge Four, LLC APR 1 3 2005 ovt. Lot na SE1/4, SE1 , S4, T29N, R17W Property Owner's Mailing Address of # Block # Subd. Name or CSM# E976 170 TH Street ST. CROIX COUNTY 4 na Hillside Heights City State ~ City ~ Village ®Town Nearest Road Hammond WI 54015 715-796-2793 Hammond Cty Rd T ^ New Construction Use: ~ Residential / Number of bedrooms 4 Code derived design flow rate ^ Replacement ^ Public or commercial -Describe: na Parent material Ground and end moraines, Flood plain elevation, if applicable General comments Mound design, system elevation 95.45ft based on contour line elevation 94.45ft. and recommendations: ' ~~ r 600 GPD na ft. ra, ^ Boring # ~ Ground surface elev. 94.55 fl. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Texture Structure Consistence Boundary Roots GP Dlftz in. Munsell 1 0-10 10yr3/1 none sil 2msbk mfr cs ivf .6 .8 2 10-29 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 29-110 7.5yr4/6 none ms osg ml na na .7 1.6 ^ Boring # Ground surface elev. 94.55 ft. Depth to limiting factor 48 in. Soil Application Rate Horizon Depth Dominant Color Texture Structure Consistence Boundary Roots GP D/ftz . in. Munsell 1 0-9 10yr3/1 none sil 2msbk mfr cs ivf .6 .8 2 9-48 10yr4/4 none scl/sl 2msbk mfr gw na .4 .6 3 48-82 7.5yr4/4 fif 7.5yr5/6 sl om mfr na na .2 .6 * Effluent #1 = BOD ~> 30 < 220 mg/L and TSS >30 <_ 150 mg/L "Effluent #2 = BOD< < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) 'nature: CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 4/5/2005 715-760-0347 J SBD-833018.07/001 Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 ^ Boring # ~ 90.25 ft. Depth to limitin factor ® Ground surface elev. 9 32 in. Soil Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 1 0-18 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 18-32 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 32-48 7.5yr4/4 c2d 7.5yr5/6 sl 2msbk mfr na na .6 1.0 ^ Boring # ^ ft. Depth to limitin factor in. ^ Ground Surface elev. 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Etl#2 ^ Boring # ^ fl. Depth to limitin factor in. ^ Ground surface elev. 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eif#2 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L 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 (8071001 S68EI~5 5011 S~vi~• InC- Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200th St CST-POWYS Cutting Edge Four, LLC. Baldwin, wI 54002 Lic. #248956 SEl/4,SE1/4,S4,T29N,R17W Bus.(715) 760-0347 Town of Hammond, St. Croix Co. Hillside Heights, Lot 4 7, ~ sr'c'`' ~y \sx~ Fax (715) 684-3449 Legend 1" = 40' • =Benchmark Ele. 100.00ft Top of 3/4" PVC Pipe • =Alt Benchmark Ele. 99.908 Top of 3/4" PVCPipe ~ =Borings Boring Elevations B1= 94.55 ft B2 =94.55 ft B3 =90.25 ft B4 =00.00$ ~ v g,, I'' ~ ~cr~ s/~ 33 a Hof ~ ~ ~~o ~' psi ~ 3~' ~~ s~ ~s ~ys ~ 3~ 37~/` ~7 z~ r - _ ~ w ~ ~ l~ ~ 1 'i ~ / l ~ ! 1 / ~~ i / , ~ '" I i ~ ~ ~` 1 ~ .~ ~ ~ ~ r - -~ --Ll ~t---~ / 1 .~ dam- ~ /~ ~ ~ .x ~ ~~C /`r~~~ i / ~ /•- ail z ~ / ~ ~~-~ 60 /°° ~I I~! i ~ i i /___~_~~/ ~ ~ /~ ~ ~ ~ I i + I X41 ~ ,, ~ / 1~ - I I / /~ / J / ~ ` , ~,~ ~U o / p? ~ // // ~ ~ ~ I I ~r ~~ ~ ! ~ '; L III ! ~ i ~ ~~~ •~! ~ ! ~~ U a ~ ~ ! ~ r / ! ~J /~ ~" / ~ ~ / / I ~ ~ ~ ~ ~ ~ .~ ~ / / / / ~ / / (/) v vi Q / ~ s / / ~ ~ Z / c~ 00 ~ .. f ~ ~ ~, ~ ~ v oo ~. (n / a oo ~` -~} ~ Ns co ~ z ~ ~ / ~ ~/~ `n/ '" ~ / //r` ~ m ~ j l _ / (/~/Z Z_! / ~ ~ ~ n .\ ~" ~~\ ~ n7 x I cS X ~ v / \ ~ if / /~ ~ / \ \~ ~ J ~~ / \ ~- ~ ~~ ~ - :~€"Z ~_ ~_ !~ ~ ~ J ~ ~ / i `" SOIL EVALUATION REPORT Repartment of Commerce in accordance with Comm 85, Wis. Adm. Code Division. of Safety and 8uildinns #1629 Page 1 of 3 Steel's Soil Service, Ina Attach complete site plan on paper not less than 8%z x 11 inches in size. Plan must i l d t t li it b d t rti l t l d h i f County St. Croix nc u u no m e, e o; ve ca a re an . or zon erence point (BM), direction and percent stops, scale or dimensions, north arrow, and location and distance to nearest road. parcel LD. Pending Please print all ipformation. Reviewed By Date Personal information you provide may be used for s,P,condary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Cutting Edge Four, LLC Govt. Lot na SE1/4, SE1/4, S4, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# E976 170 TH Street 4 na Hillside Heights City State Zip Code Phone Number ~ City ~ Village ®Town Nearest Road Hammond WI 54015 715-796-2793 Hammond Cty Rd T New Construction Use: ®Residential / Number of bedrooms 4 Code derived design flow rate ^ Replacement- ^ Public or commercial -Describe: na Parent material Ground and end moraines, Flood plain elevation, if applicable General comments. Mound design, system elevation 95.45ft based on contour line elevation 94.45ft. and recommendations: 600 GPD na ft. U Boring # Ground surface elev. 94.55 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Texture Structure Consistence Boundary Roots- GP D/ft2 in. Munsell 1 0-10 10yr3/1 none sil 2msbk mfr cs ivf .6 .8 2 10-29 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 -29-110 7.5yr4/6 none ms osg ml na na .7 1.6 Boring # Ground surface elev. 94.55 ft. Depth to limiting factor 48 in. Soil Application Rate Horizon '-Depth Dominant Color Texture Structure Consistence Boundary Roots GP Dlft2 _ in. ` Munsell 1 0-9 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 9~}$ 10yr4/4 none scl/sl 2msbk mfr gw na .4 .6 3 48-82 7.5yr4/4 fif 7.5yr5/6 sl om mfr na na .2 .6 'Effluent #1 = BOD 5> 30 < 220 mg/Land TSS >30 < 150 mg/ `Effluent #2 = BODS <30 mg/L and TSS <_30 mg/L CST Name {Please Print) ignature: CST Number David J. Steel .,-y ~ ~ 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 4!5/2005 715-760-0347 Ce~- y (n / ~ m "'' ~ W L ~\~4 J [^r, ° ~ pip ~ D ~ ~~ //l / / ~' \ v `~ ~ ~' / ~ ~f . I 'i~' 6fl; - (t~ ."' og°~~ ~~ 1 ~ Cv ~ 3 / / / % ~ \ ~ ' 9~, / X x ~ \~~ ~ ~ ~ ~ l E x / ~~ ~ ~ \ / / cr~_ ~ l // i `- / . ~ / f ~/ E ~ ~ ; ~ ~ ~' I ~ / / ~ I~ ~ / i ~ ~ 1 l ~- l~ ~ tom. f~ • I j (~ -~ ~~ ~ f~ ~ ~ / / ~ ~`. / PCB `~ ~ ~ / / x ~~ ~ i aft \ ~n~ ~ 1 f ~~,/rte. f x ` X ~~~ ~~~~ f r~ •<t f ~ / i'''~' t ~ ~ / / y I ~ ( ~ ~ / / % / -7---/ ~Z/ ~ ~cnl ~ ~ x f/ ~ /z ~/ /rn ~, ~ f -~ ,, ~~! ~ ;~~' ~ /~i / 1 ~ ~ f f '1 f f f f '~°T~ ~ ~ ~~"78~ 5fi6 STATE BAR OF WISCONSiN FORM 1 - 1998 WARRANTY DEED tuts uaery' madebetween. Cuttin Ed e F ur LLC_ a Corporation, Grantor, and f2andv S ,)lien i ennrfer Bera ~. r ~- _ Grantor, for a ualuable consideration conveys to Grantee fhe foi ow nge described real estate in St. Croix YYisconsin {the "l~ro e - County State of p rty"): AGKNQWLEDGMENT ~u.t~~- ~T ~e 1 ~ 5D ~ramca R~ ~~rnC~ YYi~ ~5~35 O/ 8 -/moo - o - o0 0 Parcel Idenfirication Number (PIN) This is not homestead property. (s) (is not) Lot 4, Hillside Heights, Town of Hammond, St. Croix County, Wisconsin. Together with all aRPUrtenant rights, title and interests. Grantor warrants .that the title 1o the parties good .m,deteasiele in s7mple flee and free and clear of encumbrances except .Dated this th dayof A ril 005. [SEAT ~~ _ ~ a ~"~„~~ David Daltcm, Qrganiaer Gutting, E~cj® Four, LLC. (SF..AL) AU'(-HENTICATIaN Si~tr>ature(s) . a4Atkuan#icatecS Uhis - STATE 4F tr/ISCUNSIN TlT'LE` iVIE(S/(gE~-STATE 6AR OF WtSCO1VSIN (if not, ' authorized by §?06.1)6, Wis. Stats) TNiS (NISTRUMENT WAS DRAFTED BY Coldwel! Banker Burnet 73Q1:Goulee Road Hudson, WI 54018 -`~-2t}?91 (Slgnatut'es maybe. au#ttenticated or acknowledged. E3oih are not necessary.) WAR1FLAi,1+iTY D>;ED State of YVisconsitr, 7911 .`-~ REGISTER OF a~EDS ST. CROIX CO_ , iri RIrCEIVED FOR RECORp 04/06!2005 10:45AtY NARRAHTY OEEG IXE~ipT # REG FEE : 21. 0Q1 TRAMS FEES 134.7fd CORY FEE: CC FEE; PAGES: 1 (sF~L> (SEAL) St. Croix County } ~' Personally came before me this 5th day of April, 2005 the above named David Dalto O rY f C 'n F r L C. _Co~oration to me known to be the person who executed the foregoing instrument and acknowledge the same. h 11 ~ 0.-7' ti c+u Notary Pubitc, State or wisconsrn i.+iy commission is p rmanent. (if not, state expiration date: STATE BAR OF WISCONSIN FORM No. t -1998 Wisconsin t.,ggal Blank Co, Inc. Mi1wa{akee, Wis. Y ~ , 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, Rogers Plumbing, 715-235- 1132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, 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. S. 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. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner 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. S. 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, dose 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 $I?PTIC TANK. NL~LIN~i'BNANCE AGREEMElit I' A.ivrD O~NNER.SHIP CERTIFICATION FORi~T 1~itaiilll~, ~itilll'~SS ~•O IZ$9 is E ~u}~rc_y= Ac~d2e~s _ (Verit3catian required fiorr for new construction) ~1ls~d~. ~iz~f?Sr;;tle ~~~~_rn~!l.~,b,~_ Parccl Ide~~titication Number - - ~.'~:~~.~:.. ~~ESC~P1'I~N ..~ ".~- i ~'~ %4 Sec. ~ T_o~ ,N-It~ZVt', Town of -~( ~ttu~iviso:tl _ ~ i ~ ~ s ~ ~ ~ "e~ rs~iei S ur~vey li~~a~ # Lot # _,,.~_. Voltune ,Page # '=~ ~~~~~a~.iy ~ee~ # ~~ ~ 5 ~ Z. , ~lolume Z 7 7~ ,Page # ~O Pte house ^ yes (~ rio Lot lines identifiable ^ yes ^ no ~~`S~'En~ NTENANCE Inipraper use and maintenance of your septic system could restat in its premature failure to handle wastes. Proper maintcn:~ttcc ctiu:;ists of pumping out the septic tank every three years or sooaer, if needed by a licensed pumper. What you put into the si s tern .;ua affect the function of the septic tank as a treatment stage in the waste disposal system. 'itte property owner agrees to submit to St. L~oix Zoning Department a certification forth, signed by the owner and by :. mast~rplutnber, journeymanplumber, restrictedplumber or alicensed ptunperverifying that (1) the an site wastewaterdisposal systei~i 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. a11t~`e, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards ;et rordt, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cerrincaticr siating that your septic system has been maintained must be completed and returned to the St, Croix County Zoning Office withh ~~ y 3 u ;says of the tiuee year expiration date. DATE S1G ©F APPLICANT ~i~Il:~2 CERTY~+~ICATION Y (we} certify that all statements on this forni are trite to the best of my (otu) lmowledge. tiic property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~s>:Gr~ of APPLICANT ~"~ I (we) am (are) the o~~e1<5) of ;~ ~ 7i ~ ~ DATE '~~`~"'~* Any information that is mis-represented may result in the sanitary pernut being revoked by the 2oniag Departmenr. }'~~"" ~'~ luclude 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 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Owner ~• Permit # DESIGN P TERS Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* gaUday Design flow (peak), estimated x 1.5* gaUday Soil Application Rate gaUday Influent/Effluent Quality (NA^} Mon ly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) 5 220 mg/L Total Suspended Solids (TSS) S 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) ~ 30 mg/L Total Suspended Solids (TSS) S 30 mg/L Fecal Coliform (geometric mean) _<l0+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter *WastewaterFlow Verification on and calculations: (Other than bedroom based) * * Values typical for domestic (non-commercial wastewater and septic tank effluent. * * * Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model ~' NA Pump Tank Capacity g A Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-gradeMound ^ Drip-line Other: ^ Leaching Chamber Manufacturer Model Approval Stipulatio n Soil Application Rate~pd/fl Area Req. Absorption Area Credit per unit ft2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) 1~`Wisconsvn Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567-P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705=P (N.O1101) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" SBD -10572 P (8.6/94) "Mound Component Manual" ~$BD -10691 P (N.O1/O1) "Mound Component Manual" Version 2.0 ^ SBD - 10595-P (R6/99) "Single Pass Saud Filter Component 1Vlanual" ^ SBD -10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O 1lOl) "Pressure Distribution Component Manual" Version 2.0 Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) ..Inspect pump, pum controls & alarm At least once every ^ months year(s) ^ NA Flush laterals and pressure test At least once every ^ months year(s) ^ NA Valves At least once every ^ months ^ year(s) NA Other: At least once every ^ months ~.^ year(s) - A Page of STAIi;T UP For new construction, prior to use of the POWTS check treatment tank{s) for the presence of painting products or other chemicals that may impede fire treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION T}~e property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances. and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible... Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be dischazged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents,. etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. .Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ~©' Valves "`valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). 'L~eptic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or IeaTcs, measure the volume of combined sledge and scum and to check forany-backup er ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed andlor locked upon completion of service. Any defects shall. be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device tvprevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The. outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ~, Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority.. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ^ Mound, At-Grade, In-Ground Pressure .,,The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure. distn'bution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removeci or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The. replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need. fora new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank maybe installed as a last resort to replace the failed POWTS. ^ The site has not been. evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» ' . SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIItCUMSTANCES. .DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IllIPOSSIBLE. ADDITIQNAL COMMENTS POWTS S ALLE POWTS MAINTAINER Name ~ C Name Phone ~ - Z ~ - ~/ 3Z~ Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency G r ~" ~ a Phone Phone K:\WFDATA\EH~POWTS OWNER'S MANUAL.doc Page of Private On-Site Wastewater Treatment System (POWYS) Index & Title Sheet Owner: Project Na Location: Contents: Street Address (J fJ ~~_-~, ~S F~ %} 4 ~T,~.q~l 1Z t1 I~ Le al Description Township/County Page 1: Sanitary Permit Application Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance A rgeement_ Page 6: Warranty Deed Page 7: POWYS Owner's Manual Management Plan Page 8: POWYS Owner's Manual Management Plan Page 9: POWYS Owner's Manual Management Plan Page 10: Certified Survey Map Page 11: Copt/ of House Plans Attachments: Plumber/Designer: Mike Ro ers Signed: Credential Number: 225094 _ Date: ~~p,/2 s ~~~ 1548 Wisconsin Department of Commerce ---•°~~-'-°--~~'~~LUATION REPORT Page 1 of 3 ro~ ~ r~°s"w Division of Safet and Buildin s ~ ~ ~ ~ '~` •' - ' " ~ Steel's Soil Service, Inc. y g in afire uwt~ Comm 8b, Wis. Adm. Code s County ---- Attach com etc site plan on r n PI Pape less than $%: X 11 inghes jn, ~. Plan must ~ St. Croix include, but not limited to: vertical an percent slope, scale or dimemsions, directioq and r¢onP~ (~1~renDt' pbint!(; rth arrow, and location and distance to dlearest road. ~ Parcel I.D. Pending Please pri all li5lfarmatiw~~ ` ~ ~ ~~ ~ ` (' ) r ~ ~ ~ ~- Reviewed B y Date Personal information you provide maybe ,5"'95.04 (1) (m)). ~ ~ ' Property Owner Property Location Cutting Edge Four, LLC Govt. Lot n/a SE 1/4 SE 1!4 S 4 T 29 N R 17 W Properly Owner's Mailing Address Lot # Block # Subd. Name or CSM# E976 170 TH Street 4 n/a Hillside Heights City State Zip Code Phone Number _f City J Village l' Town Nearest Road Hammond ~ WI 54015 715-796-2793 Hammond Cty Rd T ~/( New Construction l1se: Residential / Number of bedrooms 4 Code derived design flow rate Replacement Public or commercial - Describe:na Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable General comments and recommendations: Mound design, system elevation 97.09 tt. based on contour line elevation 95.75 tt. 600 GPD n/a Boring # Boring Pit Ground Surface elev. 96.75 ff . Depth to limiting factor 20 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3l1 none 1 2msbk mfr cs 1f .6 .8 2 10-20 10yr4/4 none scl 2msbk mfr cs n/a .4 .6 3 20-50 7.5yr4/4 f1 f7.5yr5/6 sl om mfi gw n/a .2 .6 4 50-86 5yr4/4 c2d7.5yr5/6 sl/sicl om mfr n/a n/a .0 .0 Boring # Boring Pit Ground Surface elev. 96.75 ff. Depth to limiting factor 40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr311 none sil 2msbk mfr cs 1f .6 .8 2 11-27 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 27-40 7.5yr4/4 none sl 2msbk mfr gw n/a .6 1.0 4 40-72 10yr4l4 none sicl om mfr nJa n/a .0 .0 * Effluent #1 = BODS> 30 <_ 22 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L CST Name (Please Print) ignature: ~\ CST Number David J. Steel ~ ~ 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/11/2004 715-684-5680 Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 Boring # .~ Boring ~J Pit Ground Surface elev. 91.95 ft. Depth to limiting factor 25 in. Soy Application Rate Horizon De th Dominant Color Redox Description Texture Structure Cons~tence Boundary Roots p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/1 none sil 2msbk mfr cs 1f .ti .8 2 8-25 7.5yr4/4 none scl 2msbk mfr cs n/a .4 .6 3 25-48 7.5yr4/4 c2d 7.5yr5/6 scl om mfi n/a n/a .0 .0 ^ Boring # J Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # J Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. ~~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land TSS <30 mg/L 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. . ~ _. ~ ~ ~ '' _ x ~ ~N.& 67844 S'F. ' ~ ~ - ~ ~ ~_ ~ ~ ~ ~- ~ 1' ~ ~ N.B. 1.56~1c- ~ _ g-~ -., ~ _ _ - _ ~~ - ~k.• ~ ~% _ ,, X 1 X ~ ~ ~ X XJ `-L ~ ~ ` X X ~ X x -' LDc- ~. ~~ `~ ~~ - ~~ - ~ ao- ~~ ~ r~-.~-sso9s s.F. ~~ _ _ _x_.,51 ~' ~ ~ ` f ~ - - - LQO~- ta78. - - - ~;g~6.344RS.F` ~ ~ _ _ _ _ ~ ~ ~ 1~ 5 ~~ `* '~ ~ ~ , \ \ / ~ 3 . 3 / / \ ~ ~, • 3p 1 l y , ~ _ `_ _ i ,~ i -, . / /I i ~ ~' E I ~ ~ ~ i ~ ~ ~ \ i _ ~. / ~ r / ~_''~ / i ~' -' J l ~' Ate-- ~` _ ~ ~ -- '' ' 4 599 S.t': -- \ ~ . _ ~ \ ~ - - _ _ r ~ / LBO ~ x'078.5' ~ ~ ~ \ \ \ i t~ \ 1 I '-API--8 '° 5" ~---~ I ~ \\~,\\ \\ \\ \ I` I I 33~8~~\ ~`F . \\ ,~ \\ 2 S~jPTIC 'I 1 I AREA 7.7~\ \~C.\\ \ \\ \ w r 65341 S.F. i ~ ~ ~ i ~ \N.B~~~~5670, s.~~ ~ ~ ~ \ 1 1.50 Ac. I ~ ~ / \ N.B~ \ ~7 A~~ ~ ~ ~ ~ \ ~' ~ \ `' ~ N.B. 65341 S.F. ' \ ~ ~ ~ ,~ ... ~% / ~ ~ \ N.B. 1.50 Ac. I !+ ~' I , / ~ ~ I ~. n ~-~ ~ ~ ~ ~ Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200' St. CST-POWTSM Cutting Edge Four, LLC Baldwin, WI 54002 Lic. #248956 SE1/4,SE1/4,S4,T29N,R17W Bus.(715) 684-5680 Town of Hammond, St. Croix Co. Fax.(715) 684-3449 Hillside Heights, Lot 4 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend 1" = 40' • =Benchmark Ele. 100.00Ft Top of 3/4" pvc pipe ~ 1tii ~~ • =Alt Benchmark Ele. 100.00Ft k Top of 3/4" pvc pipe r ^ =Borings ~l fl Boring Elevations a7 ~ B 1 = 96.75Ft B2 = 96.75Ft / B3 = 91.95Ft B4 = OO.OOFt ~~r i ra ~0 5'f~- N I ~~ ~~~ r~~ g' ~~r l~r ~~ ~~~ ~- ~ ~ -~~~.7SF ~G ~~ihe ne f~~: gs;1s'ff- fv jti. 1,9s~~ ~'a, ~y ~` ~~ ~- ~ ~ ~ ~ ` ,, X ` 7'1.11 b / 84Y J.~ . r- . ,~ --_.~~ ' ~ ~. ~ ~ ~ N.B. 1.56~1c- - ~ XT---- -'~~ ~ X~X _ S•~' .~ '~ ~ '~ ~X ~~_ ~ ~~ ~! ~~ ~~ -~ ~ -~ - 80- ~~ ~ rTa.--ssoss s-F. ~ ,..- - 1.51 ~ ~ ~ ` ~ ~t.8. X51. Ac. ~ ~ , ~ ~ ~ ~ - - moo` ,a~a. - - n~:a-c~4aR s.~: ~ ~ / -~ ~ ~ ~ - ~ a ~- -~`4} ~~ ~» ~ 3. \ ~ ~ \ ~ \\~+ i \ \ / \ ~ \ \ I \ \~ 3~ ~ 1 ' 1 1 ~° ~ `- ._ e6 ~ ~ ~ l //~ /\ / ~ " \ ,'196 • - ,- ~J" Rte: l ,, ~~ ~ 4 599 S.f': -- \ ~ ~ ._ -- '~ .__. - r \ \ ~ / LBO j X78.5' ~ ~ \ \ t \ r ~\ t 1 ~-2.58:-~-~' ~~ ~ F' ~ ~~ \\~ ~ \ t \ ~ \ 1 t 33$1,`9 ~ F . \ z ~ ~~ 5E~`PTIC 7.~~~C ~ \\ \\ \\ ' { AREA \ \ \ \ ~ ~ ~ ~ 65341 S.F. ~ i ~ N.B~ 567q s.~~ ~ ~ ~ ` N.B. 65341 S.F. ~~ \ N.B. 1.50 Ac. ~ ~ f ~ / f ~ ~ f ~'~i ~ ~ \ ,.. ~ L80 = 1078.E _1 ~r i vt (~1 \ . n ~ O