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018-2009-30-000
Parcel #: 018-2009-30-000 08/22/2007 09:54 AM PAGE 1 OF 1 __ _ __ Alt. Parcel #: 04.29.17.1014 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/28/2004 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -PETERSEN, BEAU W &NATALIE L BEAU W & NATALIE L PETERSEN 2083 HURON AVE N OAKDALE MN 55128 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description " 1177 178TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.140 Plat: 10/31-HILLSIDE HEIGHTS 018/04 LOTS 1/66 SEC 04 T29N R17W PT NE NE BEING HILLSIDE Block/Condo Bldg: LOT 30 ' 04) LOT 30 (3.140AC) HEIGHTS ( Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 04-29N-17W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 11/07/2006 838259 WD 02/28/2004 775409 10/31 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/19/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.140 29,400 7,900 37,300 NO 05 Totals for 2007: General Property 3.140 29,400 7,900 37,300 Woodland 0.000 0 0 Totals for 2006: General Property 3.140 29,400 0 29,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 WisC~nSin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. permit Holder's Name: City Village X Township Peterson, Beau & Natalie Hammond, Town of SST BM Elev: Insp. BM Elev: BM Description: /~ ~ ~ ~ G£, TANK INFORMATION TYPE MANUFACTURER ; ~s I CAPACITY Septic ~.. ` q ~ /Zoo Dosing /~ ,~,~.,(~ / C.i D ~ 1 ~ b ~O F-`~ ~vcs~ C~~b Cam.' Holding TANK SETBACK INFORMATION TANK TO ~ P L a WELL BLDG. vent to Air Intake ROAD Septic ~ , ~ 7 $a / '~fS ' t J Dosing ~~ ~ >cA i JU ~ / ~C J J Aeration Holding PUMP/SIPHON INFORMATION ~k Manufacturer ~ .}.~ Demand ~ GPM Model Number / `~ J ~ ~~ TDH Lift I7•bl Friction Loss ''r,59 System Head Z.5 TDH Ft Z~1+7 Forcemain Length / Dia. i/ 78 Dist. to well 1 z SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 499261 0 State Plan ID No: Parcel Tax No: Section/Town/Range/Map No: 04.29.17. STATION BS HI FS ELEV. Benchmark 5.3 los.3 ~o~, Alt. r~ el ~ 3.58 ~o I .7z Bldg. Se er ~, ~Z , ~~ $~ r `6 St/Ht Inlet ~ /.~ • a S7 ~ ~9 St/Ht Outlet ~ ~ Dtlnlet ` Dt Bottom Z~ . ~7 ~ 3 Header/Man. a~ do/+ 2.:1 Dist. Pipe ~+ / /~Y r /-~,p Bot. System ,/' 9 ~` ~~~~ Final Grade ,bg oZ.Z/ St Cover F; ~~ ~.1 leo.75 g , ~~ ~ 4 . 65 l q ,C ~ BEDITRENCH Width / Length / No. Of T nch PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS >~ o~ ~ `~ ~ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: RMA N ER OR CHA INFO TIO Type f System: a I D5 / 13(„ ~ 7 /5~ ~- /IJIA MIN Model Number: ~ ~ . I'115TRIRIITI(~N SYSTEM s.-..Y"" Header/Manifo~ +~ 3 Length Dia Z Distribution` ~ y, ' rl ~ Pipe(s) Sa ~ /~ 3 Length Dia Spacing x Hole Size ~/ 3/Ilo x Hole SpaLci~ng / T Ve~y~o Air Intake t+~ ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Q Depth Over d/T t ~ B h C Depth Over B n h Ed es d/T xx Depth of soil To ~-- xx Seeded/Sodded xx Mulched,," renc en er / , / e g ` re c e p ` -Yes No r~ res No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ( / d~ Inspection #2: ! /. Location: 1177 Dalton Farm Road Hammond, WI 54015 (NE 1/4 NE 1/4 4 T29N R17W) Hillside Heights Lot 30 ~ arcel No: 04.29.17. f ~... /' `O.Jve 1.) Alt BM Description = Gar4~ G1~e~.~ ~SC.k-~ ~+ ~ 2.) Bldg sewer length = JCS ~p - amount of cover = / 8 ~~ ~'~`~ e~~ ~~ ~ ~° P1ti,~., 61t Plan revision Required? ;Yes 7ly No ~ ~ ~ '' 'g (.~ _- _ _ _ - ~- -r _ ~ 3'- --S' Use other side for additional information. Date Inse tor's Si lure G . No. SBD-6710 (R.3/97) ~ ,r ` ' ' "" "afety and 13uildings Division 201 W. Washington Ave., P.O. )30 7162 Madi G 3 County - - C ('~ ~ ~ ~S ~ ~ ~~ ,~ s(bn~S ) ,~~ 30 162 ry Yennit Number (to be filled in by Co.} Department of Commerce ____ _ + y ~ ~ z ca Sanitary Permit Application lan I.D. Numbe r t In accord with Comm $3.21, Wis. Adm. Code, personal infornraiion you rovidc b d f u ~,3~ t0 ~ 5 (~ may e use or secondary purposes Privacy L ,'>~ ~~~ /Cry V GIJ Project Address (if different than mailing address) L.__ t. AF,plication Information -Please Print All Informat' I ~ ~ -•~~ ~ /J_ _ ,~ /,/'' ~J ~ / /'T~// ~J i Pro Jert~y O~wne~rL's-Na~me~j ~~~ l L(Ls J: 'YJ X COUNTY ~ ~ C P' cel =i Eiiock tt ~ I ~n - -. ____ - ... A T I Property Owner's Mailing Address ,~, „ , Property i.ocatio ~~__~~~ / t S i ~ I t,.tty, State a ~y ,~ 1 Zip Code 1 Phone A'umber ~ ~/r~~P ~' ~~C.. ~ /~" V ~. c~ I , ect on - ~ trcle C Ii 't f Buildi k h t! h N; k %~! E o~ . ype o ng {c ec a at apply) _ t 5~~~ ~ Q~ ~ ~ ~or 2 Family Dwelling -Number of Bedrooms ~ ~J.~ P~ Subdivision Name CSMNumber < i` ~_ q ~ i ^ 1'ubliclCommercial •-Describe Use t- /~~ ~ r~ ~ ^ State Owned -Describe Use „~, ~! _~~~ ;n, ,_~~~~ ~---~ ^City_^Village ~I'ownship of III. Type of Permit: (Check only one box nn line A. Complete line B if applicable) i A. pi New 5ystetn --~._~~ ^ Replacement System ^ TreatmenttIioiding Tank Replacement Only ^ Otber Modification to Existing System IS- ^ Permit Renewal ^ Perntit Revision ^ Change of ^ Permit "Iransfer to New List Previous Permit Number attd Date Issued Before Expiration Plumber Owner I`V. T e of POWTS S stem: Check a!1 that a Iv J I-- ^ :Non -Pressurized ln-Cn~ouxad ~M.ound > 24 in. of stritahle soil ^ Mound ~= 2d in. of suitable soil ^ At-Crrade ^ Single Pass Sartd Fitter ^ ~ C:otsC,•ucted Wetland ^ Pressurized hi-Ground ^ Holding Tank ^ Peat Filler ^ Aerobic Treatment Unit ^ Recircul 'ng Sand Filter ^ ~ 1 Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Qther (explain) lje,, .,,~ ~,,'~tj- r7 ~7 Ais ersallTreatment Area Information: '-=- Design Flow (gpd} Design. Soil Application Rate{gpdsf) Dispersal Area kequired (sf} Dispersal Area Proposed (sf) System Elevation ~ VI. Tank Info ?I Capacity in Gallons Total Gallons Number of Units Manufacturer Prefab Concrete Site Constructed Stee] Fiber Plastic Glass ~ New Existing Septic or Hotding Tank Ta~ilcs `~ Tanks / CYJ ( AerobioTreahnentUnit - ~ ~ -}----? t Dosing Ctuwrber : y ~, i E V11..12esponsibi!!ty Statement- 1, the un8ersigned, assume responsibility for installation of the POFVTS shown on the attached plans. Plumber's Name { Plumber's Si Iv1PiMPRS Number Business Phone Number ~ tni ~' ~~~ ~is~~s->~~a Phtmber's Address (Street, City, State, Zip Code) P, VIII. Conn /De artlnent Use On ~ Approved ^ Approved Sanitary Pemrit Fee (includes Groundwater Daze Issue Issuin gent Signature o Sta ps) ^ C1 en Reason nial Surcharge Fee) ~"~ ~ ~ `J ~z , / b 'T I;Y. Conditivns of ApprovaUReasons for llisapprovai n n SYSTEM OWNER: 3~ Cs ~~ ~ ~~ ~ I ~- 5~- (' ~ !' L' N`e l . ,~,~ a, ~. ~~ .. . 1. Septic tank, effluent filter and ~P~ ` ~ ~~~ L ~ dispersal cell must all be services /maintained c~ / ~"• S P e(`v"`'• ~• as per management plan provided by plumber. n 2. All setback requirements must be maintained //(~ T"v ~ 5~ o v~ i S /~. d as per applicable code /ordinances. JJ 11 r~ l~ ~I ~ ~ ~ ~ o J ~ C-~ ~ ~ ' j t ~ . / l t ---°^ ~~^•r•~•~ r••=•= ~•~ •~~ ~-v+.uay ou,y~ wr ore sye,cm an paper noc Bess man snc x 11 tnchfs in size SBD-6398 {R. 01103) 0 ~~ n \ I {~ Do .~ '~ ~ ~a a ~ g„o a S a!~ 1 ~m)) aY ~ i Y ~~ v~ _nQ /-'~ Q `` n .j J J (/~ f r s S ~--v, _~ ~ ~ ,~ d ~' J 9 C/~ ~~ ~- ~~ fN/1 4:. ~-~' ~ Q~ 2 V 1 rv ..~ /~ Qf ~"1 ~• ~- 44 ) \ . 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'" ,427 ao _ :a (31 i.6n ., ~~ - ~~ , N~0 2~' ~ - -- _ .;y r~ N~ ~ .3z n lf~ rs. -. j z ~I'') ~ 2.U9 Ac. tI ~ yl'. 13666 S S.F N .r ', ~~ iA NA6~_ CAS~M I~N:F J,.) ~. 3J ~, s, > ,~ ,;,ti 31r n. N •. '. 1.[NE TAI3L~. I , v L ', 7660F r ~~ „es ~~- -I~ _ 1 u~j~ .. -._.- 1.80 nc 'O. ~ '?~ h I N NUMBER UIHECt ON V, TA (C a ( j CYl ll ~ N 6304 22 E 08.01 LJ j[] I \ Leo - w 12 N 6 3 ] E 7.)0 IFS ~ j I R= 58d°52 30.E ~ i0P 0 ` II ON 4>IHC ~\ \\ ~1~ I ~ BO II o~ O ~~ on Del E I z 9 ~j~ N89'S1'16"E j ~1£vnnnN nv.6s A v II ~ / ~ N asaz'3s' w z L4 N 552823 E a<4.40 ~gj~~ ' 208.45' ~ N \ ~~'~ 1 ~ ! ~ 95 °~.% - - 'I - L6 N s5' s z3 E -sse sz ~ _ _ 39 7 q ~ ` Y S , >+t Lr__ N q5 a3 an E 152.21 ~I __.36_ - _ _! I t,A8.277 qs 04 W_ 209? ,\Pf' C471C .4 C48 J /f19~ 34 F. 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WN OE T . _ _JB ___ N 61'2]'31" W . _____ 312.53' _ __ O I Knn1LEEN DEINO OULT fLCCTFD. OVALIPIEO ANO ACTNO TREASURER Of ME LUSKI. ONO. HEREDY CERniT THAT IS IN A MOANCE w1H 1N RECORDS In M EEN'l. iHttPU ARE NNO KENNETN PETERSON, CNAIaunH ~ OAiC 5 ANY 6 ME LANp IN OEO I L]9 N 01'29'56" W 194.59' _ ~_ UNPAID TAXES CR SPECIAL ASSESUENIS E HEIGVTS LHO N fi5_30'08• W - 101.1.1' . NE AL OF NILLSIO HEREDY CERRFT LNAL THE COREGOINO IS A 1PUE COPT Uf A RESOLUTION AOOPiCO BY TIL IOV.N Or I.dt - L62 N 63'3531" E - __, _ - - - N 43"F )'09 W 216.83' - -- 1fi8.t8 ~ ~ HnMU0N0. ___ a - .3 a_-~- ~~ TREnSURER OAiE ' ~ D _, Kai LCEN CUSKI r ~ ___ lea --- - N 60'55'44" C t5}.81' , ___ ..__-_..._-- - .._ 6 Ld4 N 02'S9~51" f. i9d.]7' -~ ~ 5 Oii HEIND ,TOWN CLEPN SH FF7 3 OF 4 LHS N 02'SH'S1 l 6865' commerce.wi.gov i ^ --iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary November 27, 2006 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: 11/27/2008 SITE: Cutting Edge Four LLC 1177 178TH Street Town of Hammond St Croix County NE1/4, NEI/4, S4, T29N;R17W Lot: 30, Subdivision: Hillside Heights Identification Numbers Transaction ID No. 1346058 Site ID No. 720779 Please refer to both identification numbers, above; in all corres ondence with the aQenc . FOR: Description: Mound/ Four Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1108962 Maintenance required; 600 GPD Flow rate; 29 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 1 S feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. Coy • 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 DE RRTN' • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N OF requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ SEE CO • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ,, MICHAEL P ROGERS Page 2 11/27/2006 • Comm 83 22(7) A copy of the approved lap ns specifications and this letter shall be on-site durinlr construction and oven 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 components} 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 V~iSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing R Cutting Edge Four, LLC -Mound Construction Materials and Techniques 9F_ Noy c~~~F Sq~,,cc~~,, 2~1 ~ `~Y~ ~~G BU~~O/ ~~s 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: Pressure Distribution, SBD-10706-P (O1/O1) Mound, SBD-10691-P (01 /01) Location: Lot 30, Hillside Heights NE '/4, NE '/a, Sec. 4, T 29 N, R 17 W Town: Hammond County: St. Croix Date: November 20, 2006 Owner: Cutting Edge Four, LLC Address: E. 976 170`h St. Hammond, WI 54015 Plumber: Mike Rogers _ ______ Signature: License: MP 225094 Attachments: SBD-10577 -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 '~~~~xty ~~ page 1 of 8 of co€e~~~RC~ ~ LD(NGS ASP©NDEN 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 3 Lateral hole size ~~b in. @ `3 holes/lateral Lateral volume Total lateral dischazge rate Network pressure compensation losses Elevation difference Friction loss Total dynamic head Pump/s~hon ~~'~' gpm @ Manufacturer ~ ~.Q«a~ Design Calculations d,3~ 11 / ft d ?, Zit ~~ (s,-o ~1- ~ ~ z2~ 3 ~~,~5~ S'b,~ 10,1 4~g,~ 5Z 1Z,~ 34,3 z ~ ..t- s- ~ ~,~ ~~~g Z~,1 ~ Dose volume Lift/siphon tank ~`~ ~~ ~ z~~ -~~ ~, , , Septic tank Effluent filter ~ ~ A ~ i ~ Measurement pump on and off Height alarm from tank bottom Reserve capacity specs.calcs.res ~~ ~ in. ~ 8 ~~ in. Q"b~" ~ gallons Page Z of g \Z. g~ (..o ~o ga ons sq. .per ay in. in. ` ~a\~W`R ft. of Z. in. 3 ~, ~ c~ ft. of ~ `~ a- in. o . ~ a z gallons ft. of ~ ~~ 4 in. ft. @ bottom of lateral in. ( 4~ o ft.) Spacing holes total gallons . gallons/minute @ ~ ~ ~~ ft. head ft. ft. i ft. @ ~ S gallons/minute ft. ft. of head Model # ~ ~ 3 gallons ~'~~ gallons ~ ~-~ gallons ;: ` __ '`, w t: S ~ ~„ ¢, i-; ova ---- ,~ 3 rot `~ ~ C~~rs ~~~ ~S" tias.~o.., Z„ 1 ~~, ~ ~ ~ ,~ ~ oro , ~, / 1 RtiTM b ~ o,p t ~ ~ 1 -- ~ O, lam' d ,~¢ c.S j \ h ~a~ \ ~0 1w~Co:1 ley ~ a~~~ ~. l o-o ~ o ~ ~,o ~~'7 ty ,. ~ l , (~ ~ .. `T 1y o~~~, v ec~ ~~ e.y k~~ 011 ~ O.~ 3~ k .. i ~ ~. ... .. 6~~ _~ (~~~' Z,, ~~ ~~ ~ ' O ~. 4' ~ L1 C ~ .~ ~ o M 13M V . 'ice a ... ~.,. t ~ 11 Tb b o ~ o ~+. o + t • ~~ l~l~~ S'\\~L s~~, 4~ e.tar ~1S ., Puc Sc~ 40 ~.•ll., 1e// (~ ~ ~-p ~ ~ 1 ( ~/ „ 1 `4 ~ u C 1 ~.~. 4~ ~ ~~1 b lh o\ e_S o .. 1 ~'~ Q r ~~ e_n..,."C ah 1p o ~ (o r \ 1; -~ a.-S ~ ~-g • c7 ~~ o,(J'(~~ e.~. `t ( ~ O \ ~ V~ J\ ~l-~ QI~r ~ R.. `t 1Lv ~` S Z ~ O \ L~ TOT ~,~ ~..J ~-•, -_ ~~~~o~g `~~~-~ l X4-,0' 4,Z' IZZ,4' . L .11 ~ ~ OQ L~( . M /~ i r~ WEATIIERPRaJF -n JUNCTION J ~ ~GD! G-.-.~~ -~ 4" p~c. s~~ ~ Plod 3, otwllb tioISTuRBED ~S01L \\ T ~Mti r IoW a~vi.D ~RSKET 3bNT'J Ru. PI/'6 GQrW ELTIOtib ELe~, X3.0 C ~ ~~ a 9" Z~c~o ALARM ~,~ ON ~.,, ~ ~~ ~~ ~ ~, 12~ V `~~wLCG N O:t C~S~ ~ a` `~.~" P~tP Co~rGtET~ BLOCK -,,,,,~, ~~ 4" ~- a YE 1~lT ~ ~ r L4,, nvG s~~ ~ 3' ono u•~nxa. G RouKo ~Z,p'. ~le,\L ~ SEPTIC E _ SPECIFI'GAT1 ~ ~~, 41~lS oosC ~ ; ~~ ~ ~ TA-,IKS MAWUFACTURCR: I.JUMDER OF DOSES: PER OAS TAWK SIZC; ~~'~~~' ~'~~ GI~Ll,01J5 1 DOSC VOLUME t 12 ~ Q- AUARh1 /'1MlUFACTURGR' S~ £1aa.i~° , , IWCLUOIN6 DACK/LOW G~~~ONS /'10DCL -JUM~CR: 10, ~`~' CAPACITIES A-~`~`O IlJCHES OR~IO~'~ W~uo-;S SWITCH Ty/[: ~ wa-,.aK,,~ r.~b Z ~Z.'Z 8 e 11JCHE5 OR W~~OLS PUMP /1AIJUFACTURCR; ~^° ~~ C ^ ~'~ wcMES OR 112'g~ G~~~oUS MODEL 1JUMDCR; ,~ 3 D ^ ~~~ INCHES OR 14~'O ~ ;,~~~~OuS JWITCN TYPE: ~0~`rb~"`~ `"`~'b IJOTC; PUMP A1J0 At.ARM ARC TO CC MI-JIMUP'~ DISCNARC~C RATC ~4'~ INSTALl.EO 01.1 SEP^R~Tf CIRCU~rS VERTICAL DIFFERfWCC OETWCCIJ PUKt OF/ AIJO OIJTRI~UTIOAJ PIPE.. , ~`, .FEET + MIuIMUM -~ETWORK SUPPLY -REtLURE .. 2'~~ FECT'~ O,'kS~ ~ ~ ~ ~ + 2Z'~ f E ET OF POiICC MAIIJ X Z~..~~ F~o ~EFRICTIOW FACTOR. ~ g g FEET ~ ~ ~.~ -,, -- °` X' TOTAL DyWI-MIC, HEAP z'~`~"3 FEET IIJTEFCIJAL. DIME-J610A1i 0/ TAWK~ LE1JGr7N `Z1Z1j 1 • -..--;WIDTH ~ ~ _; EIQUID DEPT H ~„ u ~ ..~'2' ,~1 of 12 a0' ~ 35, ,o z 0 6 26 ° g 20 t5 a 10 2 J.~ 0 GALLONS PUMP PERFORMANCE CURVE MODEL 1511521153 TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 169 89 281 77 291 10 3.0 45 170 81 231 70 265 15 6.8 38 144 53 201 61 231 20 8.1 29 110 44 167 52 197 25 7.8 18 81 34 129 42 ~ 759 30 9.1 -- 23 87 33 725 35 10,7 - - _ _ ~ 85 40. 12.2 - - -- - 11 42 Shul-olf Head: 30 fl. 9.tm) 38 ft. (11.8m) 44 h. (73.am) 0145J86 FLOW PER MINUTE olasoaA ~~N~DL~ ~~C~`GRY ~'O~S ~~ECIAL AP~LlC~TI~JNS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling singie 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. 151/?:211.53 Series 151/152/1 53 MODELS Control Selecdon Model ' Volta-Ph Mode Am Sim lex Du lex N151 115 1 Non 8.0 1 2or3 8N 151 115 1 Aulo B.0 Ir1cILWed 2 or 3 E151 230 1 Non 3.2 1 2or3 BE151 230 1 Auto 32 Included 2 or 3 N 152 115 1 (Jon B.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E752 230 1 Non 4.3 1 2or3 BE 152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E 153 230 1 Non 5.3 1 2 or 3 BE 153 230 1 Auto 5.3 Inducted 2 or 3 Model 151 3 27/ Models 152 / 153 li ~, ~'~ 12 t/8 ,..~ I i i 1 ,-- ` ,' t -.1 i I II !1/16 I i t O CAUTION iaU in,iailakion of controts, protection devices and wiring should be dons by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). SELECT-ION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10.0225 used as a conVOl activator, specify dupiez 13i or (4) float system. RESERVE Pt~y~ERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.D. 80X 16347 ~ +' `' ;' Louisville, KY 40256.0347 Manufacturers of . . Q ® e ,, ~® , ,. ~ ~ `~ SNlP T0: 3649 Cane Run Road H Louisville, KY 40211.1961 /7 httpJ/wwwzoeller.com ~` PVMP !O. (5021778.2731 ~ 1(800) 928•PUMP ~/~?r PUMP9 SNCE ~,9,~~ N FAX (502J 774.3624 © Copyright 2003 Zoeller Co. All rights reserved. '~ e ., ~. . %. ir' • 1 ~ ~w ~I~ a 3/6 i 151 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- 1 132, 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. 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. 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. The upslope toe of the mound system must 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. 5. [f 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. 1 1. 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 83.4 (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-._. . r ~ ~, -~~-ti 1532 Wisconsin Department of Co erce , ~ SOIL EVALUATION REPORT Page t of 3 Division of Safety and Buildins ~' ° -~ in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service, Inc. County Altach complete site pl on pap, riot less than 8'/: x 11 inches in size. Plan must St. Croix indude, but not limited : verticalagtl horfzormtal reference point (tiM), diriection and Parcel I D percent slope, scale or m ribrNT~rrgi~F,and location aril distance to nearest road. , . . Pe ding ~.,.,.~ Please print all inl75Tit*atip~r Review y Date Personal information you provide may be used for secondary purposes (Privacy t.~v, s. 15.04 (1) (m)). / z I~/ p (p Property Owner Property Location Cutting Edge Four, LLC Govt. Lot n/a NE 114 NE 1/4 S 4 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or SM# E976 170 TH Street 30 n/a Hillside Heights City State Zip Code Phone Number ~ City _ j Village ~+f 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 ~ Pubtic or commercial - Describe:nla Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable General comments and recommendations: Mound design, system elevation 97.79 ft, based on contour line elevation 97.20 ft. 600 GPD n/a Boring # ._1 Boring /J Pit Ground Surface elev. 97.70 ft. Depth to limiting factor 29 mn ~ Soil Applicafon Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. CoM. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-16 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 16-29 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 29-40 7.5yr4/4 f1f7.5yr5/6 scl om mfi gw n/a .0 .0 4 40-60 7.5yr4/4 f2d7.5yr5/6 sl om mfi n/a n/a .2 .6 Boring # :.:~ Boring Pit Ground Surface elev. 97.70 fl. Depth to limiting factor 32 mn• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 10-18 10yr4/4 none siG 2msbk mfr gw 1vf .4 .6 3 18-32 7.5yr4/4 none scl 2msbk mfr gw n/a .4 .6 4 32-60 7.5yr4/4 f2d7.5yr5/6 Is om mfi n/a n/a .2 .6 ~, * Effluent #1 = BODS> 30 <_ 220 mglL and TS5 >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land TSS <_30 mg/L CST Name (Please Print) S' ture: CST Number i David J. Steel 248956 Address Steel's Soit Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/10/2004 715-684-5680 Property owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 Boring # -~ Boring / Y' Pit Ground Surface elev. 95.80 ft• Depth to limiting factor 43 in. Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 14-19 10yr4/4 none scl 2msbk mfr gw n/a .4 .6 3 19-43 10yr4/4 none sl 2msbk mfr gw n/a .6 1.0 4 43-60 7.5yr4/4 c2d7.5yr5/6 scl om mfi n/a n/a .0 .0 ^ Boring # -.~ Boring _f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture SWcture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # --~ 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 * Effluent #1 = BOD 5> 30 < 220 mg/L and 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. 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 1~1E1/4,NE1/4,S4,T29N,R17w Bus.(715) 684-5680 Town of Hammond, St. Croix Co. Fax.(715) 684-3449 Hillside Heights, Lot 30 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 • =Alt Benchmark Ele. 99.30Ft Top of 3/4" pvc pipe ^ =Borings Boring Elevations B 1 = 97.70Ft B2 = 97.70Ft B3 = 95.80Ft B4 = OO.OOFt ~, ~ r~ . ~~~0~3 nv~1 ~o ~~~X ~~~ ~,. ~~` ~~°~ v jV/~' ~~ ~~~ ~ b ~~ a c3 ~ ~~' ~a ~ 5' ~o~~~ i ry'~~" 5 ~~~ ~ ~~~? ~~ 4~ II 1 11 i \ 393.66' i 23P~.03~ ~ I I I ~ t-- r ,C ~i X311 ~,~ _-__ ~ ~~ ~,I. ,I/x i ~ ~O - ~ - ( ~ 85~ 62! S.F~. I / ~ ~ i \ \ ~ 'LLJ ap J ! I Ix \I 1.96 (Ac.j j i '' ~ 136663 ~S.-F ~ , _ - ~ ~ ~"~ ! 1 I I ! N.B. 77441 S.F. I ~ ,I ~ ~ `~ ~ / `, - _ ~1 !~ 1 I ~ I ~ ~ x I I i : ~ ~ 3.14 Ac. ~ ~ -- N ! i I \ \ ~ N.B.\13666(3 S.F. ^ry ~ ~ ~ ~ O ~/(~ I I ~ ~ ~ \ ~ N.B\ 3.141 Ac. ~ / i ~ ~ ! I ~ LBO = (1104. \ ~ \ \ \ I ~ 1 / , -~ - I I I I ~! ~ ~ ~ ~ ~ ~ I / I i ~ ~I 1 I x ,( S, I ~ I 1 \ I \ i\ i.~i I I! ~ I E~~-~6L ~ 1 ~ 1 1 ~~ ~ ~~ (~l `~ / I((11 ~ ~g ~` ~, 11~~9a s.~.~\ 1 ~ i^4 i III \ ~ \ ~~ ~ IN 1~~9 ~~ ~ i ~ ~ I~ ~I ~ $5526\ S.F:~ l,, I \ ~ ~ I I~- ~~ \ 1,50 ~c. , I :~ i /~ ~ ~~~~~ N~ i 11111 ~ ~ O ~/.~~ "nos 1 - 1099. ~ .1 ~ E ~-- 1 \ \ \ ~ ,~ ~ ~ I ( I I ®\ ~ ~ Yn` I~11 X78' ~"- \ ~ ~ I ~ ~ I~(' I 1 \ \ l \ ` ~\ \ \ S \ N.~. 2.y9 Ac.\ \ ~!! ~ II~ ~ ~ \65 X1-7 S,. F. \ \ `p \ ~ ` ~ ~ ~ ! I (I ly ~ LBO 1 ~1.5~\Ac~i \\ \ \ \ \ ~ \~ ~ ~ \ ~ ~ ~ i~ ij I-I 1 I ~ N.B. \50207 S.F.\ ~ ~` \,~ ~ \ ~, ~,~, ~ \~ ,~~ I f~i b' ~ N.6. `1.1 s ~A~. 1 ~ 9~5 \W ~ 1 I .~ y ~ l ~ `\ \ \ \ \ ~ ~ \I lli I I `~ \ \ ,~ \ \ \ I III I-' 1 1 \ ~ \ \ ~ \ \ I 102'9 72 \S. F.\ \ \ ~ ! I 3 I I ,1 \\ \2.3~5y A~~ \\ \ \~ \\I ~ I 1 I'I it ~ N~iB. 7561 S.F. ~ \, \ ~ ~ \ ,,.,._,\ (~ l . I I l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~!="'`"-~' -~ ~' ~~ ~~' ` ~. ~= ~ ~~ `~ yr :.; ~:~ ~.-~ Mailing Address Property Address ~~~~ ~ ~f- , (Verification required from Plaiuiing Department for new City/State ~~ ~' ~!' n vc~ W ~" Parcel Identif cation Number ~ 4 T - 30 LEGAL DESCRIPTION Property Location /1/~ '/., N~ `/~, Sec.'' ,, T ~ `~ N-R / ~ W, Town of l'lq tiles ~ tiC/~. Subdivision I` ~ ; I) s ,` ~~ ~"f ~' ~ ~+~~'"-S ,Lot # ~. Certified Survey Mag # Volume ~ ~ ,Page # ~ ` ~ ~ Warranty Deed # .~ ~ ~ ~ ~ ~ ,Volume ,Page # Spec house O yes (~ no Lot lines identifiable I~ yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Propermainteaauce consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the SystCm can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner turd by a m v ..er plumber, jounner~Ylan plumber, restricted plumber or a licensed pumper verifying that '?) the on-site wastewaterdisposal systeia is in proper operating condition and/or (2) after inspecrion and pumping (if necessary), the septic tank is less than i/3 frill olshidge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage aisposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. CertifiCStiwi stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF4 APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the. ownu(s) of the property descnbed above, by virtue of a warranty deed recorded in Register of Deeds Office. ~r . _ , SIGNATURE OF APPLICANT ~ DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. *.'~***~ '* Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is trade in the warranty deed STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED Number h made between (SEAL) _ (SEAL) _ and Beau W. Petersen and Natalie L. Petersen. husband al wife ,Grantee. Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of Wisconsin (the "Property"): Grantor, R6TLbRIv TO: Burnet Title 7330 France Ave. S. Firslt Floor Edina, MTT 33135 A'1"f'P+1: Pc~=t X`1„cdn~ Central 018 2009 30 000 Pareel Ident~Cation Number (PIN) This.jg not homestead property. (is) (is not) Lot 30, Hillside Heights, Town of Hammond, St. Croix County, Wisconsin. Together with alt appurtenant rights, title and interests. Grantornts that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this day of November, 2006. " ~c~ ~~~. Cutting Edge Four, LLC By: David Dalton, member AUTHENTICATION Signature(s) WENOY SWATZiNA authenticated this~~'~ti~~ (SEAL) ACKNOWLEDGMENT State of Wisconsin, (SEAL) } ss. St. Croix Gounty /1/~ Personally came before me thi>3-~ day of November, 2006 the above named and a~knowtodae the same. 8 3 8 2 5 9 XATNLEEtI H. YALSH REGISTER QF DEEDS ST. CROIX CO.. MI REGEIVED FOR RECORD 11/07/2006 09:15AM MARRANTY DEED EXEMp1 t REC FEE: 11.00 TRANS FEE: 125.70 COPY FEE: CC FEE: PAGES: 1 to me - known to TITLE: MEMBER STATE BAR OF WISCONSIN in rumel (If not, authorized by §706.06, Wis. Stats) ~ THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet/Robert Nicholson 1301 Coulee Road Hudson, Wl 54016 6-43195 (Signatures may be authenticated or acknowledged. Both are not necessary.) WARRANTY DEED My commission is perimnnan~~ent. (If not, state expiration date: .~.~ ~i1,d •) STATE BAR OF WISCONSIN FORM No. 1 -1998 Wisconsin Legal Blank Co, Inc. Milwaukee, Wis. . // 1 oft POWTS OWNER'S MANUAL, MANAGEMENT PLAN FILE INIFORMATION caner t Permit # DESIGN PARAMETERS Number of Bedrooms IOOgpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (aerage)* C.+C~ gaUday Design flow, (peak), estimated x 1.5* gaUday Soil Application Rate gaUday influentlEffluentQuolity (NA©) Monthly Average*+ Fats. Oii 8t Grease (FOG) < 30 mg/L f Biochemical Oxygen Demand {BODs} 111j Total Suspended Solids {T'SS) ~ 220 mg/L ' Pretreated E€fluent Quality ^ < 250 xng/L Monthly Average*** Biochemical Oxygen Demand tBODs} ~ 30 mgt Total Suspended Solids (TSS) Fecal L;olifann {geometric mean) ~ 30 mglL <_I O+cfu/100m1 Jfaximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical far domestic (non-commercial wastewater and septic tank ef.Elucnt. * * *Values typical for pretreated wastewater, SYSTEM SPECIFICATIONS Septic Tank Capacity Septic Tank Manufacturer ~ c;,p gal ^ NA f.~i ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model / ~ ^ NA Pump Tank Capacity Pump Tank Manufacturer o ~ gal ^ NA ^ NA Pump Manufacturer ^ NA Pump Model ^ NA rreU'eauAeni Un1L _._l~ NA ^ SandJGravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Viretland ^ Disuxfection ^ Other: Manufacturer: Model: ~ ^ in-ground (gravity) ^ At-grade ^ Drip-line ^ Itt-ground (pressurized) is~Mound © Other: Model Approval Stipulation Soil Application Rate_.!„gpd/f~ Area Req. iu ft~ Absorption Area Credit per unit ~ Minimum Number of Chambers min inarenais: ail maLenats must comply with WI Adm.-Code COMM84 and be installed per manufacturers specifications and approval letters. DF,fiTf~1V C`RTTF12Td ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" {Converse et.a1.1990) ® "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Sepric Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/I-80-0I2 October 1980 ^ SBD -10570-P (R.6I99) "At-Grade Component Manual Using Pressure Distribution" ®SBD -1056?: P (B..S/99) "In Ground Absorption Component Manual" ^SBD -10705-P (Id.01/O1) "Tn Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD - I Ob56-P {N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^SBD - 10572 P $R:6/99) "Mound Component 1Vlanual" l~SBD - 10691 P (N.O1/fll) "Mound Component Manual" Version 2.0 ^ SBD - 10595-P (8.6/39) "Single Pass Sand Filter Component Manual" p SBD - 10657 P (8..6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -10573 P {R 6199) "Pressure Distribution Component Manual" ^ SBD - 10706--P {N.O1/Ol) "Pressure Distrlbution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-fla Onsite Wastewater Treatrnent Units .td1A1iV'f'1';tVA1VCE MONITORING SCHla:T1TTT.Ti: Service Event Service Frequency Inspect condttSon of tank{s) At least once every ^ months .year(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 1~.year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months ,@.. year(s) inspect pum ,pump controls & alarm At east once every ^ months ,® year(s) ^ NA Flush laterals and pressure test At least once every ^ months ZO year(s) ^ NA Valves At least once every ^ months ^ year{s) ^ NA Other: A# least once every ^ months ^ year(s) ^ NA Yage of S'I`ART 1J'Y l3or new construction, prior to use ofthe POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells}. If high concentrations are detected have the contents of the tanks} removed by a septage servicing operator prior to use. System. startup shall not occur when soil conditions are frozen at the infiltrative surface. f~I'ERA.TIfJ1V The property owner is responsible for the operation and maintenance of the PUWTS 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 ar 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 caftan 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; ~iarms Alanms 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. I1~IPECTIONS Inspection shall be made by an individual carrying ono of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). I~Septic Tanks Component Tauk inspections must include a visual inspection of the tank to identify any missing ar broken hazdwaze, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or pending of effluent to the ground surface. Access .openings used for service or assessment shall be sealed and/or 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 to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum iz any tank exceeds one-third (1/3} or mare 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 NRI 13, Wisconsin Administrative Code. The outlet 5her(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 inspect9on must include a test of ail 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 far 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 95% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ,bound, At-Grade, Irt-Ground `Pressure The inspection shall include recording the levels of pending, 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. Pending 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) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of e#Iluent is occurring to promote the longevity of the system. 12EI''ORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT `J~Ihen 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 aad pits shall be disconnected and the abandoned pipe openings sealed, - The contents of. ail tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - Afterpuniping, all tanks and pits shall be excavated and removed or their covets removed and tae void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN if the POWTS fai]s and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: Cl 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..FaiIure to protect the replacement area will result in the need for a 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 area. Replacement systems must comply with the rules in effect at that time. L7 A suitable replacement area is not available due to setback and/or soil 1unitatians. Barring advances in POWTS technology a holding tank may be installed as a Last resort to replace the failed POWTS. C7 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 maybe 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» 5EPTTC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES ANb/OR INSUFFICIENT OXYGEN.. DO NOT ENTER A SEPTIC, PUMP' OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR I1VIl'OSSIBLE. ADDTTIONAL COMMENTS POWTS STALLER PUWTS TAINER - Name p - Name Glyj r Phone / r7.~~ - t~ Phone '7 , " / SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTIiORITY Name Agency - / Cy1 ! 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