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HomeMy WebLinkAbout018-2009-37-000 Safety;and Buildings Division County _ a, 201 W. Washington e., Box 7162 ~ i ,~~~n~~~ Madison, WI 3707 ~f (608) 2 6-3 1 ~' ~ Sanitary Permit Number (to be filled in by Co.) De artment of Commerce ~ .~~ ;~ 7 79Z 7d Sanitary Permit Applicati n J~~~s =, State lan LD. Number In accord with Comm 83.21, Wis. Adm. Code, persona( informati n you rovide i',; ~~I(7fi ~ ~ ~- may be used for secondary purposes Privacy Law, s15.0 (1)(m} ~~ Pr ect Address (if different than mailin add ~~ ~x ~( g ress) }C/I I. Application Information -Please Print All Information /~ c ~ ~ -7Q C~ ~' q ~ ~~ ` ! ~ ! Property Owner's Name r ~ ~ ~ Parcel # Lot # Block # ~ ILL !/ i v9 6~' GC'V' .J~Ri. ~ Oc.,J ,~ 7 • ~~ PropertyaOwner's ailing-7Ad s ~ Prope rty Location 7 7la ~ / ~ ~~Y"'~'~~ r ~ ' ~' ~ City, State ~ Zip Code ` Phone Number G /,, /a, Section _ /Qij1/1~0 C{./~ S/7S / D ~S ~ ~ ~. 71 ~ cttcle one) T~N ~~ II T f B ildi h k ; R EorW . ype o u ng (c ec all that apply) L r 2 Family Dwelling -Number of Bedrooms o, D /~ ~~ Subdivision Name CSM Number ^ Public/Commercial -Describe Use Q,y~_ Q, ^ State Owned -Describe Use ~ ~ ~, W .}- ~ ,,~ ^City_^Villaga~ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ~ (g' ~ ZO _ _ b~ A. ew System ^ 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 stem: Check all that a 1 on -Pressurized 1n-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed We ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber ^ Drip Line ^ Grave]-less Pipe ^ Other (explain) Y. Dis ersaUTreatment Area Information: Des/ig~n Fl owl (gpd) Design Soil ApplicNation Rate(gpdsf) Dispersal Area Required. (~ f) Dispersal Area Proposed (sf) System Ele9vat'i on / / / { GQ ~ (.../ • l0 C~ (Q'f ZDd C~~ ~ ~ ~'- z T /(~ / / w (G VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Q C J/ ~~~ Aer `nit ' 'Zi¢~~'E ~ ~f~fa / Dosing Chamber O ,~ , ~ / VII. Responsibility. Statement- I, the undersi ed, assume re bility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl Si a MP/MPRS Number Business Phone Number a2 S~ ` /5 ~35-//3~ Plumber's A d dress treet, Cit y, State, tp de) // ~~ // / v ~ VIII. Coun /De artment Onl Approved. ^ D' ppro Sanitary Petmit Fee (includes Groundwater Date ssued Issui Agent Sign e m s) ^ O n Reason o enial Surcharge Fee) ~ ~~ + ~ ~ 2~ IX. Conditions of ApprovaUReasons for Disapproval ~ ` ~ nan a'`n, 3 ~J,~~ ,M J~~ 5 bt,,~,r\.Q ,~ , , ~ SYSTEM OWNER: 1. Septic thrlk, elflueM ~ rmd '" ~ lTO~a.t'..ot..J~~- ~serviees l m.inar~a Pc[_uY-l~" ~ disperael cell must alt ¢ , es per management plan Provided by pkx~ber. 2. AN setback requirrertletitsrnust tse trakteafrle~d is par spptictbls cods ! ordilrnees. ..,ate„ ,.~,.y„~.~ p,n,w ~w we ~,uuury umy~ ror [ne sys[em on paper no[ Bess [pan tllil x 11 inches in size SBD-6398 (R. 01/03) Raayy4i uMaf Yr tYayw~ivin •~Mw ~V. o ~~ ~~ 5~ ~1sU ~ ~~ l~,o ~~ ~ -~QS~ ~~~ a ~ ~~'~~~~ r~~~~ ~ ~~~~~~ ~ aas~~y ~bg@Ylt~ 1"=~' ~. ' j~~TiC112t18t~f Ele. 1QO.~OFt. Tap of 314" pvc pipe. • =Alt Bcnchuael'kBie. 100.1©Ft Tap of 3/4" pvc pipe ^ = Horrx-gs Barln~ Elevations H'1= 98.OO.Ft BZ w 9$.DOFt B3 = 96bOFt `~~% *- ?6' .~ ~ \ ~ ~ ~~ o~ V ~ . ~QPY 4~ ~lh ~~~ y~' ~f ~yr ~, ~1sr. S 5 ~1~~. ~ 3_ ~ ~sG ~ ~~ ~a~ ~-~ ~ ~~5~ ~re~ ~- ~ c~ ~-Z ~~o cJ ©1 ft~© ~u~~r~s ~~ ~ /" f ~ ~~s~ ~y Legend 1" = 40" B- = Benchmark Ele. 100.Q8Ft Tap of ~I4" pvC pipe . =.alt Be,~chmark Ble. 100.1UFt Top of 3/4" pvc pipe ^ =Borings Boring Elevations B L = 98.DOf+t 132 = 9$.OOFt B3 = 95.GOFt ~.. ~~ ~\ ~• ~ ~ ~ ~ ~ ~ ~~ ~ f ~ ~~ ~~ . ~N. ~QQ ~ ~ "~ \ Q~ ~~ 4 y7~ 4!~ ~y~ ~- ~' 8s N~ J~ c t~' ~_ , ~- ~ r'~~ ".." -,.,, '` > , : -~.`. 1525 ~~~ ~~~}~ '~ IL EVALUATION REPORT Wisconsin Department of t',ommerce Page f of 3 Division of Safety and Bui~iings in accordance 'th Comm 85. Wis. Adm. Code Steel's Soil Service, Inc. a / Attach complete sit~'plan on paper not less thirrr txrr~ 11 inc ~es in sae. Plan must County St. Croix indude, but not limfted to: veiti4al and horizontal reference mt (BM), direction and D Parcel I percent slope, scabpr dim_emsions, nortlraaaw;and locati nand distance to nearest road. . . endi ~ forma n. Please prln~,alL!~re ~ Revie By Date s (Privacy Law, s. 15.04 (1) (m)). Personal information you provide may be used for secondary p Property Owner Property Location Cutting Edge Four, LLC Govt. Lot n/a SE 1/4 NE 1 S 4 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# E976 170 TH Street 37 n/a Hillside Heights City State Zip Code Phone Number ~ City J Village C 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 600 GPD Replacement ~} Public or commercial - Describe:n/a Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable n/a General comments and recommendations: Conventional system, system elevation 94.25 ft. Trenches spaced and depth to code 3.75 ft below gra e. Boring # Boring Pit Ground Surface elev. 98.00 fl. Depth to limiting factor 96 ~n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 8-36 10yr4/4 none sicl 2msbk mfr gw n/a .4 .6 3 7.5yr4/4 none sl 2msbk mfr n/a n/a .6 'r 1.0 Boring # ~ Boring i/ Pit Ground Surface elev. 98.00 ft. Depth to limiting factor 96 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft: in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/1 none sii 2msbk mfr cs 1f .6 .8 2 11-31 10yr4l4 none sicl 2msbk mfr gw n/a .4 .6 3 31-96 7.5yr4/4 none sl 2msbk mfr n/a n/a .6 ,~ 1.0 * Effluent #1 = BODS> 30 <_ 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and T55 < 3u mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/7/2004 715-684-5680 Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 Boring # ~ Boring Pit Ground Surface elev. 96,60 ft. Depth to limiting factor 96 m• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 10-29 10yr4/4 none sicl 2msbk mfr gw n/a .4 .6 3 29-85 7.5yr4/4 none sl 2msbk mfr cs n/a .6.~ 1.0 4 85-96 7.5yr4/6 none Is osg ml n/a n/a .7 1.6 ^ Boring # _1 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # --~ Boring _( Pit Ground Surface elev. ft. Depth to limiting factor in. Sod 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 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mglL 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 SE1/4,NE1/4,S4,T29N,R17W Bus.(715) 684-5680 Town of Hammond, St. Croix Co. Fax.(715) 684-3449 Hillside Heights, Lot 37 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. 100.1 OFt Top of 3/4" pvc pipe ^ =Borings Boring Elevations B 1 = 98.OOFt B2 = 98.OOFt B3 = 96.60Ft r ~o~~ ~o ~ ~ B4 Q° OO.OOFt l ..7, 5`~ ~,6o¢"a- ti~ ~ ~ 3 y, ~~ { '~ ~~~-~~ i L s ~ t/7.~ `,o ~- ~r ~~_~ 89 ~~ 89'37'51 1 i i7"51c" W 625.185"\ ~ ~ ~iYi \ I, / '~ ~ ' ' ` ~~ ~ \ I X63 ~ ~ ~ ~ I ~°' i ~ \ ~ \ ~ ~ J ~~ ~ ~ ,~~4;1 I ~- ~ ~ ~ ~ ~ 65499 S.F. \ 1 I rn 1 I ~\ ~ ',~ ~~ ~ o ~~ 1.50 Ac._ I ~ I i y - s \ ~~ \\ w \ ~~ ~ ~ ~ \ N.B. 654~J9-SfF. ~ / / / // I E / \I I \' ~ ~ ~ ~ N.B. 1.50 Ac. /f ~ / ~ / ~, 6574 6 S.F. ~ ~ 6516 S~~. ~_ -p~~'20 ~---~ -~_ / ~ , i 1 ~~1 Ac. / o ~ /~ .50 Act ---~3'~7 / I / ~ ~ ~ f o f, I- l ~ l ~~ 1 I •, N~6. 60789 F. / N.B. 65516 S.F. I 401 / / I Z ' ~ I ~ t 6539 S.~. / / ~2 N.B. 1 /40~ Ac. (/ N.B. 1~0 Ac. W ~ f 1.5 r A~ / / o' y ttt q ~ / J /, // _ W N.B. 65~393~ S.F.// // 1 i C~ I ~ t ~ j ! / N.B. 1 501 Ac. i / ~ 5.9-8!-- I cr- ----~~4.59' / =~~16~-3-2'i~ -.p1-86"x'-~" I~--t--~8i ~. ,~ N ,~9°28' W ~ 21~ ~ ~., I 16/7 ~ 330 ~1 ~ -~ / ! ( ~ ~ /~ -- I I t I c.~ ~// i/ l I I I i\ I 1 Nt ,(s ~\ ! ~ ~ i ~ ~ IZI ~1 t ,, ~ ~ ~ ~ ~ `70744 S. F. /I ~; ~ i / I ~ o ~ ~ ~ ~ 9~ 1.62 Ac. t / - s~7792 /S.F. / t,,, - 6 40~ S.F ~ ~~ '~, i ; 11.56 /A c. / i o ~ I I ~ '~-~ / / ~~ / ~ N.B. 7744 S.F. t / / ., 11.50 Ac ~ 79894 S.F~ N.B. X1.62 Ac. / / I ~ I / ~ / t 1~.8, 6779fL S.F. / t I 1.83 A / / N.B.~ 65409 .F. q ` J / t N.B. 1 6 Ac. / / ) LL / / ~ N.~. 1.50/ A L / N.B. 79894 S.F. / ~ / ~ ~/ / ~ t / C ~ I N.B. 1.83 Ac. / / / Z ~ . / 4~ / ~ / I ~~ .~~~ Chamber SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Soil Absorption Systems lot 37 Owner's Name 5/10/05 Review Date n~Y or N Highly Pretreated Effluent 3 ft Suitable Soil Below System ~ 12 in Chamber/Unit Height 2 8 ft Maximum Bury Depth s 600 gpd Estimated Daily Peak Flow 0.60 gpd/ft1 In-situ Wastewater Infiltration Rate 93.60 ft Proposed SAS Elevation Soil Surface Boring Grade Number Elevation I 1 98.00 2 98.00 3 96.60 Ezflow EZ1203HP & EZ102H ~ 1000.00 ft~ Chamber/Unit Area 50.00 EISA ft2 /Unit 20 # of Chambers/Units 26.50 Bottom Area ft` /Unit Limitation SAS Elevation (ft) Acceptable System Depth (in) Lowest Highest Elevation? 96 93.00 97.00 Yes 96 93.00 97.00 Yes 96 91.60 95.60 Yes 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is finished grade may be required to meet minimum or maximum code standards. Finished Grade EL a (ft) Minimum Maximum 95.60 102.60 Version 4.0 TDH Calculations TOTAL DYNAMIC HEAD CALCULATIONS Gravity or Pressure Dosed Systems lot 37 Owner's Name 5/10/05 Review Date X g Gravity Dosed, or gpd Design Wastewater Flow X Pressure Dosed ft Total Combined Lateral Length Y or N n Forcemain Drainback in Lateral Diameter 50 ft Forcemain Length 2 in Forcemain Diameter O 20 gpm System Flow Rate ~- ~J 0.00 ft Minimum Design Head S~ !~ 15.00 ft Vertical Lift 0.46 ft Forcemain Friction Loss ~ 15.46 ft Total Dynamic Head 2.04 ft/sec Forcemain Effluent Velocity Choose Pump That Discharges At Least: 20.00 gpm at 15.46 feet TDH Maximum dose volume is >20°I° of design wastewater flow gal Maximum Dose 0.0 gal 0.00 gal Forcemain Drainback 0.00 gal #VALUE! gal Maximum Dose Volume 0.0 gal 5x Lateral Void Volume Forcemain Drainback Minimum Dose Volume Version 4.1 (07/03) LL PUMP PERFQRMANCE CURVE MODEL 1511152/153 50 14 45 153 12 40 35 152 10 30 0 8 25 151 a 20 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters. Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15- 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 ~ 159 30 9.1 -- - 23 87 33 125 35 10.7 -- -- -- - 22 85 40 12.2 -- -- -- -- 11 42 Shut-off Head: 30 ft. (9.1m) 38 ft, (11.6m) 44 ft. (13.4m) oi4soaa GALLONS FLOW PER MINUTE oiasoan i~t1aJ~~~LJG.1 ~F9L+~T1~ ~~~ ~~~, A~P~~C~-`~IONS • 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 FM142~. • Qver 130°F. (54°C.) special quotation required. 151/152/ 53 Series 151N5211 53 MODELS Control Selection Model Volts-Rh Mode Am s Sim lex Du lex N151 1:15 1 Non 6.0 1 2or3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 ' 230 ' 1 Non 3.2 1 2 or 3 BE151 230 1 Auro 3.2 Included 2 or 3 N152 ti5 1 Non 8.5 1 2or3 BN152 115 1 Auto 8:5 Included 2 or 3 E152 Z30 1 ' Non 4.3 1 2 or 3 BE152 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 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 Model 151 6 7/32 3 7/8 4 5/8 ~® 0 ®~ I 11 11/16 ~ i A CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent idational 'electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3 27 tst SELECTION GUIDE ~2 s2 a sKZOSa 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 control activator, specify duplex (3) or (4) float system. RESERVE Pt~~IE~~D DE~I~iV For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 ~ ~~~ ~~ ~ Louisville, KY 40256-0347 Manufacturers o(. . 0 ~ \ ~ SHIP TO: 3649 Cane Run Road ~~;; p ® Louisville, KY 40211-1961 QV,4L/TYPUItlP9,,/iNCE f~3~/ htTp//www.zoeller.com ~ PVMP !O (502J 7 FAX7 502174036246-PUMP ~- 4 3/8 1 Models 152 / 153 I I 12 1/6 5 .j I ~_ © Copyright 2003 Zoeller Co. All rights reserved. • POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Owner ,,,f' Permit # mz*eTn_ hr u AU AMTTTP72C Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* ®4 gaUday Design flow (peak), estimated x 1.5* gaUday :Soil Application Rate gaUday Influent/Eflluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) 5 30 mg/L Biochemical Oxygen. Demand (BODs) 5 220 mg/L Total Suspended Solids (TSS) <_ 250 mg/L .Pretreated Effluent Quality ^ Monthly Average*** .Biochemical Oxygen Demand (BODs) < 30 mg/L Total Suspended Solids (TSS) 5 30 mg/L Fecal Colifonn {geometric meant <10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter *WastewaterFlow Verification on and calculations: {Other than bedroom based) * * V alues typical for domestic (non-commercial wastewater and septic tank effluent. ***Valves typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity v gal ^ NA Septic Tank Manufacturer- ~~ i eg ^ NA Effluent Filter Manufacturer ~ ^ NA Effluent Filter Model .,~ ~ ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer /,vP~S•~- ^ NA Pump Manufacturer 2,y ,~,,- ^ NA Pump Model ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) -ground (gravity) ^ In-ground (pressurized) ^ At-grade ^ Mound ^ 'p-line ^ Other: Ching Chamber Manufacturer --- Model = Z Z~ Approval Stipulation - Soil Application Rate d/fl Area Req. ' ~a~ft Absorption Area Credit per unit ~ i'oo0 ft2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading te= 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.at.lyyU) ^ "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 Septic Tank-Soil Absorption Systems" Publications 9.6 ~°Design of Conventional Soil Absorption Trenches and Beds". RJ. Oias - 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" ^5BD-10705-P (N.Ol/Ol) "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 (8.6/99) "Mound Component Manual" ^ SBD -10691 P {N.O1/O1) "Mound Component Manual" Version 2.0 SBD - 10595-P (R6/99) "Single Pass Sand Filter Component Manual" ^ 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.O1/Ol) "Pressure Distribution Component Manual" Version 2.0 p Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units err c~f"1T7TTTTf T 1Yj~1T1L`1~L'~l\trL:t lllVl\ll Vi~u~vv 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 an scum equals one-third (1/3) of tank volume .:Inspect: dispersal cells} At least once every ^ months ear(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) Inspect pump, pump controls & alarm At least once every ^ months ear(s) ^ NA Flush laterals and pressure test At least once every ^ months ar(s) ^ NA Valves At least once every ^ months ^ year(s) NA Om~; At least once every ^ months = ^ year(s) A DORP of - -a- START 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 the treatment process and/or damage the dispersal cell(s). If high concentrations aze 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 The 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 gazbage 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 launary washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over. the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in the following manner: ~i~rms 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 regulaz 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). gptic Tanks .Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding 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 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 Gode. 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. ~yp ChamberlTreatment 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. 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 dischazge 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 overloadipg or impending hydraulic failure necessitating more frequent monitoring. Page of ^ iviound, 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 discharge. Any discharge 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 distribution 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 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 incompliance 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 andpits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGEI~TCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant re l`ac~ent system: ~~~`~. 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'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. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a .holding. tanicmay bn 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 lastresort 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 CIltCUMSTANCES. DEATH MAY RESULT RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IIVIPOSSIBLE. ADDITIONAL .COMMENTS POWTS MAINT K;\WFAATAIEH~POWTS OWNER'S MANUAL.doc Name Phone LOCAL REGULATORY AUTHORITY Agency G~ ~ Gem Z Phone _ g Page of ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMEN'T' •AND OWNERSHIP CERTIFICATION FO1tM Dwner/Buyer Mailing Address ~- ~~ Properly Address / ~ ~ S ~ l ~ ~ ~ ~`~ City/State (Verification required from Planning Department for new LEGAL DESCRIPTION Property Location '/,, Subdivision Lot # Certified Survey Map # _ ,Volume ..Page # Warranty Deed # -~ / ~ / ~ 7 ,Volume 251 ~' ,Page #~ ~J`17 Spec house ~ yes ^ no ~G,~~ b 3 ~ Lot lines identifiable dyes ^ no ~l SYSTEM MAINTENANCE Lnproper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal systeu~. The properly owner agrees to submit to St. Croix Zoning Department a cepcation form, signed by the owne sal s stem mastorplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdispo y is in proper operating condition and/or (2) atler inspection and pumping (if necessary), We septic tank is less than I/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Conunerce and the Depadiuent of Natural Resources, State of WisconsO~~ ~~ 30 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three year expiration date. ,_,,, ~~ DATE SIGNA F APPLICANT OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the properly described above, by virtue of a warranty deed recorded iu Register of Deeds Office. SIGNAT a Or APPLICANT /`~" DATE ««««*« ««««+* Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. s« Include with th[s application: a stamped warranty decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Parcel Identification Number '/,, Sec. . T a ~ N-RAW, Town of U 2576P 397 STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED Document Number p This Deed, made between John J. Dalton and Carolyn G. Dalton. husband and wife ,Grantor, and Cutting Edae Four, LLC. ,Grantee. Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of Wisconsin (the "Property"): X 6 3 1 9 7 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 05/20/2004 09:30AM MARRA?1TY DEED E%E!!pT t REC FEE: 11.00 TRANS FEE: 2952.30 COPY FEE: CC FEE: PAGES: 1 Area Mme and Return Address ~i J e-+" ~-k- pa Bax '7`-r7 St G~E'd~>< acs c,~i s~o.~y 018100690000 018100850000 Parcel identificatlon Number (PIN) This is homestead property. (is) (IS not) The East one-half of the Northeast Quarter, except that portion of property described as Lot One of Certified Survey Map filed in Volume 12, Page 3414, and the East one-half of the Southeast Quarter of Section Four (4) all in Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and tree and clear of encumbrances except Dated this ~ day of Mav, 2004. (SEAL) ~ ~ ~ (SEAL) "J n J. D on Carolyn G. alton (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, w C authenticated this~~~~f pl LBL IC% • STATE OF WISCONSIN I I I Lt: MtMBtK S1 ATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats) } ss. St. Croix County Personally came before me this day of Mav, 2004 the above named John J. Dalton and Carolyn G. Dalton, husband and wife to me known to be the erson who executed the ore1g g instr,,1ument a ackno ge the same. ,Il~ Q KYJIt ~~~~ -_ ~ THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet 1301 Coulee Road Hudson, WI 54016 4-26689 (Signatures may be authenticated or acknowledged. Both are not necessary.) "Names of persons sionina in any caoacRv must be tvoed c Notary Public, Stale of V~sconsin My commiJs~ ~o\n i p anent. (If not, state expiration date: Parcel #: • 018-2009-37-000 06/24/2005 08:22 AM PAGE 1 OF 1 Alt. Parcel #: 04.29.17.1021 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): ' =Current Owner * CUTTING EDGE FOUR LLC CUTTING EDGE FOUR LLC PO BOX 268 HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description " 1785 119TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.510 Plat: 10/31-HILLSIDE HEIGHTS 018/04 LOTS 1/66 SEC 04 T29N R17W PT NE NE BEING HILLSIDE Block/Condo Bldg: LOT 37 ' HEIGHTS ( 04) LOT 37 (1.510AC) Tract(s): Sec-Twn-Rng 40 1/4 160 1/4) 04-29N-17W 1~ NE Notes: Parcel History: Date Doc # Vol/Page Type 02/28/2004 775409 10/31 PLAT 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Land Totals for 2005: General Property 0.000 0 Woodland 0.000 0 Last Changed: 03/23/2005 Improve Total State Reason 0 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 __- 05f1UiU5 TUE 19:56 FAX 715 586 9686 ~UO1 ~, , '' '~ ' ~ 1 VALUATION REPORT Ppge t of 3 ~...s ;~'i~~''A'=+n. "SOLE -- Wisconsin Department of Gomnterce -.'..~~ Steel's Soil SaroiCl, inc. Dlvisi0rl QE Safely and Buiidings ,. ,_ , ; •„Hy ar,,cord8fnce p~rifh Comm 83, Wis. Adm- Code Ccunty ~?n~"c3 ' St. Croix ~~. Algch complete sde pion en paver not Niss m5rt t 1 Inr9res in ~• Plan must hdude, but not wnAed io: +rerYadl;?~~ ~renc;e pGMa (BM?, diredron and Parcel t.a. pervOrri eiopQ, , ,.,,., .. a~j~ location and distance to nearest rtad. Pending _ Please F+~~i'~'~'~-~g Reviewed By Personas irtbrmet0o you moy be used for aetoondary pJrpos~ (PrNacy l~r, s 15 o4lt} (ml?• ProgbrlY Owner Property Lpoation govt. Lot Na SE 114 NE 11rF $ 4 T 24 N R 17 _ W Coffin E e Four, LLC PropeK!-Owner'~ Melling Address Lot * ~~ Bbdr a Subd. Name or CSA~ Eg76170 TH Street 37 Na 1. Hillside H$ _ City Stele Zip Code Phone Number Clty ;;~ ViNage ~ Town Nearest RoAd WI 54015 715-796.2763 Hammond Cty Rd T Hammond New Construction Ube: ~ F2e«idlentiAl / Numtaar of bedrooms _4 Code derived design ttow raga _. 8U0 ~GPD R2placert>Qnt ] PuWiC or commercial - pescribe:n/a . parent maWripl Ground end end moraines 'fled laical drift _ Flood pain elevation,'rF applicable nls ,- General eomments and recommendatlona: Conventional system, system elevation 94.25 R Trenches spaced and depth to code 3.7 ow grade. ~~ ~ ~ coring - - Pit Ground Surfsae elev. 98A~ fl. Depth to limiting factor . ~ -•-rn~ ~ ADp Rate ...~,.., Ronson Degh ~, uannsrM Naar til;usdt RO{N7f rrp,nlrXM1 flu. 8z cont. CCtO~ •...u,. 1 0-8 ~ 1Uy~1 none sit 2 I $-3B 10yr4J4 none sad - 8 ! ~- 36.98 7.5yr414 none sl } l `boring ~ ~ boring LL__„__JJ ~ Pit Ground 5urfaoe ebev. 98.00 ft. 1 0.11 10yr311 none sit 2 11-31 10yr414 none sad 3~31~96 7.Syr4l4 I none sl * EfOuent #1 = BOD 5> 3{? < 220 mg1L end TSS X30 < 15Q mg/L David J. Steel address suers soil sen-io S6uotura Concistenc+ee Boundary cr. sL Sb, 2msbk mfr cs 2msbk mfr t~ 2msbk mfr nla ~ 1f .6 .8 Na .4 ,6 Na ,6 1.0 Depth to limiting favor gam.-in. Saudur@ consistence Boundarry 3r. Sz. Sh. 2msbk mfr l - cs ~ - 2msbk 2msbk mfr m~ 9w Na 1 i .8 .8 Na .4 .6 Na .8 l 1.0 Effluerrt #Z = f80D5 ~30 mglL and T85 < 3t) mg1L .. Number a4s~ Date Evaluation Conducted Tel4p-~ Number onr~rvtie. 715.684-8880 05!10!05 TUE 14:57 FAX 715 386 4686 @IU04 ` ~ 89,37, -1,~ ~-.- M, } + ~ ~ ~! ~~ ~ ~ ~ II " ~ ~ ~ - a9 ~~ 51 w sz5.~85 ~ ~ ~ ,-~ ~ • __ w1 ` -~-~-1~; .~.-,~ ~ ! y .3~-3.31- '~ ~ ~1 l ~:..f .,-~" 1 I~ ~i ~ ~ ~ 65499 S.F. ,~ ~ , `'T ~ ~ ~ ` 1 ~ ~, W ` • N.B. 6549-SUF. f ~ 1 ! ' I k 1 ~~ ~ fiS7~ fi S.F. ~. 65516 5~~. ~-~ ~~ 0~7 ~ -~--{`" 11 ~ I 1 ~1 Ac. ,~ o /~ .50 Act ~..y-- I ! I r1 f ~ i .. N!e. so7$s~s.~. I N.B. s55~ s.F. ~i ~ 6539 S.l~'. I 1 .~ N.e. t.4d Ac. ~,~ N.B. 1~o Ac- u, / 1.581 A~? 1 l o• Z , / /; ~ I- ~ N.B. 65~393~S.F.1 ! ( ! ~ O. 1 / N.B. 1 ~50I Ac. 1 I ~ w r 4.39'" ~ !~ 15'S~-r 1617.41~~1 `~ ~ ~ ~ ~ ~ 330. 1 ~-""T T~ I i i j~ ~~ ~, ~ / ~ i r s r 1 ~~ r • - 1 ~ "' ,.'0744 S.F. l+ ~; L/ ~ I ..t~ - ~'' ,9~ 1.67 Ac. 77 2 ~.F. ~' ~ I I c,~ - 6~40~ S•F~ ~ f ~j~~, ! .~ ! 1.56 /Ac. / ~ o, 11.50+ Ac. y . f ~~ .' N.B. 7744 S.F.I ( / / + L _ ~ f r+ ~ f79$94 S.F~~ ~ N.@. h.62 Ac. ~ ty~8. 6779 S.F. r + I ~ ~ 1 . $~ A fC:' ~ ~ I I N.B. 1 Ac. ~ !J N.6.~ 65409 .F. `~\ f ~ , f N.~. t.so1 I ~ ~ ~~~ 1\ N.B. S.P~3 ac. / ~/ <b 1..,,~7 •~0 11 6 ~ 5~`~. 1`- \ f ~~ 4 . , =~f ... .. .., , L.,.,, ,ae.. _ , .. Private On-Site Wastewater Treatment System (POWYS) Index & Title Sheet Owner: [ ,~.~ 7''T ~ ,-~ a f ~~v~ -~, Project Name and System Type: C~ ~( ~/ Location: Street Address S~ % yE" ~ _5' ~ z~ 0~9 r ~~ Legal Dgscription n j ,, Township/County Contents: Page 1: Sanitary Permit Application Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance Agreement 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 Rogers U~ Credential Number: 225094 Date: ~~