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018-2009-46-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENE~tAL 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 Gulick, Burton & Nicole Hammond, Town of CST BM Elev: ~ Insp. BM Elev: BM Des/r..ription: ;~• ~ -r r _ ~-~ -' '~-' `'~~ - .~~r ~k~~~~ ~ - ~ ~! TANK INFORMATION EL NATION DATA TYPE MANUFACTURER CAPACITY Septic ~- ~,- Dosing r ~ i ( t Aeration ----..__ -- - Holding ---_ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~_ . ~ ~'~ _{ _ i j ,~ ~ ~„ ; 2 L _. _.....__-_ Dosing t r ~~ 4 ~ ` c Aeration Holding `~_ PUMP/SIPHON INFORMATION ~'~. ~. f'' Manufacturer k;r -- Demand CsLl..L,~.__ - GPM Model Number '~ c-j:'f-}' Lift., ~~~/, Friction Loss Systg Head_ TDH Ft Forcemain Lengt~f, t Dia. ; , Dist. to Well - Still OBSnRPTI~N SYSTEM STATION BS HI FS ELEV. Benchma ~ ~ - - UZ• Alt. BM ~ `' _ Bldg. Sewer ~ 3 ~ . ~3.y, r StiHt Inlet ~ YS t ~ ~3~ t t St/Ht Outlet ~-,- Dt Inlet Dt Bottom gz•o ~0 .~ 1 Header/Man. Z,~ i Dist. Pipe 1 ~ ~~ . ~ f u Bot. System ~ ,~E3 l~ Find! Grade t L~ r 1 cr - , St GoveY ~, ~~ ~-.`~ .t .f OY.._ vH ~... I -'L,r YJ ~ ~ re- ~ ~ , ~ r ~"' ~ ( ~ rN'~"~ ~ ~'~ 02.26 1 / ~ ~ r K~~u,~!)wu.lf~ dc9~-~ ) ... B Width / Length i No. Of Trencftes ~ PIT DIMENSIO S No. Of Pits Inside Dia. Li uid Depth DIMENSIONS -. ~, ~ `~'~ - { ,'r ~' ( F liG~ ~ '~ ~`- ,} d ~(. >6 SETBACK SYSTEM TO P/L BLDG WELL LADE/S E LEACHI Manufacturer. I INFORMATION CHAMBERS U Type Of System• ! i f ~ ~ _ , umber. DISTRIBUTION SYSTEM (-6-~~ -t*k-- 1 Header/Manifold t r Distribution ; ~c r x Hole Size , x Hole Spacing Vent to Air Intake ^.- ~ r ~t` ~ ~ t t ~" ~ " ;' Pipe(s) :X r','r t , 'L ~ I ' S i g ~ ~ / ' i a ~~/ I ~ i ~ . t' % ter.,---- Dia ~ Length • pac n s Length ; . SC111 CnVFR ., o.e . e c.,~•e.,,~ n.,r., ,... nnr,.~.,rr nr Of.Arada Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil '~.-I Yes ICI No I !Yes (,~ No ~~~~,~~~: (Include code discrepencies, persons present, etc.) Ins {~j>-~ation: 1785 117th Avenue Hammond, WI 54015 (SE 1/4 NE 1/4 4 T29N R17V via-r~,:bYs+ GHC.er (, S.xCr' ~-~ ="~' 1.) Alt BM Description = ~:~- ~' ' ' -- 2.) Bldg sewer length = ~~ -amount of cover - 1 g ; .._ _ ~-- = _ -r---, - Plan revision Required? ~ j Yes jNo ~ ~" ~ ;~~ ~~~~ ~ ~ ~ ., j•. Use other side for additional information. ~ ~ 4_~~~t_ }~ ! _.._._. '_~-"_-~"t~~~ ~ ` '! -~ 't.. 9-1 Date Insepctors Signature I' SBr~6710 (R. 97) r ' ection#1: u"4~= [ i"•`'~~' Inspection#2:'~""-T-°~'~T-`-`' r-Hill~ide ti Parcel No: 04.29.17.1030 .~p.~ ~ .}~ Oh ~ -- T[ E-t=C = f oE, . ~ ~~~ ~ --~ (- Cert. No. .<f .ti_~ ~ ,~ Safety and Buildings t ' 201 W. Washington Ave., P.O. 62 County ~ " , ~~~u n~,~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ' Department of Commerce (608}266-3151 ~ 7~ ~' Sanitary Permit Appl' atio State Pl an LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide b ` C ~~ / 4' may e used for secondary purposes Privacy Law, s 15.Oq~l~}>~) F . ; ! ; '- Project Address (if different than mailing address) I. Application Information -Please Print Afl Information ,~,~~ .,~ SOU N (~ ~ 175 117 ~ ,8-tee.. ,. Property Owner's Name ~ '~ ~ Parcel # Lot # Block # B~~ °`~ ~ ' ' to Property wner s ailing Address ~ P rop erty Location ' ~ , $~ ~®Q QQ C~ ~ City, State Zip Co de Phone Number c ~~ %., ~/,, Section ~_ ~ ~ ~ ~ /r~ __ 9 ~' ~ 8 ~~P ctrcl~te,~ ~ ~ ' C ~ II. Type of Building (check all that apply) OIG a5 ~ sulorK ~ T N; R E of W 1 , ~~ `~ ,~y for 2 Family Dwelling -Number of Bedrooms P Subdivision Name CSM Number ^ Public/Commercial -Describe Use ~l ~ (~' ~l-~, ^ State Owned -Describe Use !~ ~i)uh Crc ~ ~' ~ pn ~p,~y(- ,1~ ^City_^Village~ownship of-~1-t III. Type of Permit: (Check only one box on line A. Complete line B if applicable) _. Z~c~ ~ ~ _ ~ O A' New S stem y ^ Replacement System ^ TreatmentrHolding 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 1V. T e of POWTS S stem: Check all that a 1 ^ Non Pressurized Itt-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 Fitter ^ Aerobic Treatment Unit ^ Recircula 'ng San d Filter ^ (r ~' 1 Recirculating Synthetic Media Filter ^ beaching Chamber ^ Drip Line ^ Gravel-less Pie ^ Other (explain) 5 ~ r1 . ~-d"" /, I ' dL /.3 V. Dis ersaUTreatment Area Information: ~ Design Flow (gpd)/ Design Soi`l~Application Rate(gpQsf) Disp rea Re quired (sf) ersal ~A Dispersal Area Pro~ os (sf) System Elevation p] f Q Q / t ' ~ VI. Tank Info. Capacity in Gallons Total G ll Number f Manufactu r Prefab Site Steel Fiber Plastic ons a o Units Concrete Constructed Glass New Tanks Existing Tanks ln~IO~PSL. ~ [~ 1, C- Septic or Holding Tank ,~ Aerobic Treatment Unit Dosing Chamber c. VIL Responsibility Statement- I, the undersigned, me r nsibility t installation of the POWTS shown on the attached plans. .Plumber's Name (Print Plume MPIMPRS Number Business Phone Number ----_ _ ~ I5 a35- t ~ 3 ' ' Plumber s Address (Street, C ,State, Zi de) ,X(__ ~T VIiI. Coon /De artment a Onl Approved ^ Di grave Sanitary Permit Fee (includes Groundwater Date Issu d Issuin gent Sign ore o St s) ^ en Reason for Denial Surcharge Fee) ~ Z5 ' ~ Q p 1 g DS IX. Conditions of Approval/Reasons for Disapproval 8YSTEM OWNER: 1. sepbfc t5nk, e147ueM alter and disposal ceq must all be services ! maint fined as psr management plan provided by plumber. 2. AN ssi~adt rocparsrrbnts must be msiMained es per eppNgble code /ordinances. A.a..,.l...,~ r -° r ---- ..- •--- --~.....y ....v~ •~• ...o oyaw... o~ yapcr uuucss cnau ouc x r i mcnes m size SBD-6398 (R. 01/03) .! ` ~~~ ~ v.~.c~~C. - ~~ ~ ~~ y ~ v + SaC S~-~~- ~~ I'4-za- ~~.~ `mss' ~ \ - - " l ~ r I S ~w `~ ^ ~ I O G. 2 i~ U ~.. --,~ ate` 4" 5~....Q, w a ~:~ ~ ~..1~ ~ w~ ; -, ~ ~} a ¢~(( Pte., \ Z~~ - ~S''~ C..9 ~r~O `~ 9-~,~. 7 4' Lv ~ ~` II ~~.~ . Cpri' ~~~,, -~ ~ •~~l Legend 1" = 40' • =Benchmark Elt. IOO.OOk`t Top of 3/4" pvc pipe •' Ah Benchmark Ele. 100.30Ft Top of 3/A" pvc pipe / D ~ Borings Boxing Elevations `~~~ B1=99.SOFt B2 = 99.SOFt B3 ~ 95.OOFt B4 = OO.OOFt ~'' ~ Y ~~ /~Y ~qg,~ ~ ~~•~ y l `~~ r ~`c~3 • acf ~.~ S~l. ~.~ ~~, 3/ x ~-$1 ~- o c.1~ ¢Q~. ~<<o~ ~~ ~ ~~ ~ hr~nc ~,,:~ ~' i. ~; ~+ 35'45 t off- 46, 1~:~~5;~.~ \~~; ~~ -~~'-14-zq, ~~.~ c ..l ~ S.~G ,,, ~ ~, ~-c. , . S~ i ~~ ~~;.~~ \ ~wL~ Legend 1" *~ 40' • = Btnchmark Ele. 100.00kt ~~ ~ ~ ~ ~ ' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 20, 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: 07/20/2007 SITE: Burton & Nicole Gulick CTH T Town of Hammond St Croix County SE1/4, NE1/4, S4, T29N, R17W Subdivision: Hillside Heights; lot: 46 Identification Numbers Transaction ID No. 1154059 Site ID No. 701777 Please refer to both identification numbers, above,. in all comes ondence with the. a enc . FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1029554 Maintenance required; 600 GPD Flow rate; 23 in Soil minimum depth to limiting factor from original grade System(s): 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: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. P.Q.~~~.T.~. C'c~~~r~i~~o~c~llV ~~ MICHAEL P ROGERS Page 2 7/20/2005 f• i • Comm 83.22(7) - A co~y of the approved plans, specifications and this letter shall be on-site during construction and oven to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@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 Henry F Grote ,Certified Soil Testing +" '~uL 13 2005 SAFE-~ & DUILDINGS Burton & Nicole Gulick -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 (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 46, Hillside Heights SE '/a, NE '/4, Sec. 4, T 29 N, R 17 W Town: Hammond County: St. Croix Date: July 18, 2005 Owner: Burton & Nicole Gulick Address: 1135 N. Nickelson Road Fowlerzille, MI 48836 Plumber: Mike Ro ers '~ Signature: License: 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 ETY 6 ILUiNGS ` t~l~`tStiON LNG ~~~ COFZRESP page 1 of 8 r~ 's s I Design Criteria ~ ~'S Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 1 SOmg/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 Measurement pump on and off S ` ° in. Height alarm from tank bottom ~ ~' ° in. Reserve capacity ~'~ ~ gallons specs.calcs.res Desi lations In situ designed loading rate ° ~~ 3 gallons/sq. ft. per day Depth to estimated high ground water ~~ Z3 in. Depth to bedrock ~ ~ ~ in. Cross slope at system ~ Force main length 2 ~ ft. of Z in. ~,z~ Manifold/header length 4' ft. of ~ 1 z in. ~ ,~ ~ Drain-back ~ ~ ~' 3 gallons Lateral length ~" @ ~~--5~ ft. of ~~l Z in. Lateral elevation ~ ~ ~ q ft. @ bottom of lateral Lateral hole size ~~~ b in. @ 3 ~° ~ ~ in. ( ~ ' ~ ft.) Spacing ~ 3 holes/lateral S` Z holes total Lateral volume ~3~ ~ gallons Total lateral discharge rate ~ 4 ~ 3 Z i gallons/minute @ z ' ~ ft, head Network pressure compensation losses ~'~S~ ft. Elevation difference b ~ 4' ft. Friction loss ~ ' ~ Z r ft. @ 3 ~ gallons/minute Total dynamic head ~ ° ~ `~ ft, Pump/sip~ton S ~ gpm @ ~ a ft. of head Manufacturer ~ ° ~`l °nr Model # ~ ~ Z Dose volume `a°~~ gallons Lift/siphon tank ~ ` ~ ~. ~ 2'~ ~ ~s ° ~ ,.,-~.o ~'~~ gallons Septic tank ~' `' ~ z~~ gallons Effluent filter ~~0~-~-~ ~' ~`~ ZZ-~4~A ~- ~w~~G.C~ -~ ~ Page Z of g f _. .:,. 0 ~• ~ .. .. -4-- . . ., .. 1 ~ t' L sQ a,,, , ct a , ~ Q 1 1 d ~ .. ~ 3 w..Sti ` ~ b s~~co;1 i~~~ ~, ~ W, a.`~-N ~ 3 e.v ~.~ o~~~, ~ ec~ ~~ ate! k~~ ~0,~ - O,~ 3~ i i .. ]^~ ti-r n ~Fm. ~. . ,. ~. I~ o..,,~ ~J ; a ".. I .~,. ~ ~ - ,~ , -- -~- ~, ~ -~(- ' ~ ~o,~ r \S~p ~ o '. 4' ~ v L ~ . a.e~- o ~0 1 Q.r ~ . ~ o .. ~... s. I l ti ~ ~ 0 1T' o .~.. 1o y 1 ~ .n~ ~ ~7 ~, 1 l IL I {~ V ~. C c.~ ~ ~ nv~L 1~`~ 6rn0 ~.~a.a. ~. ~'~ h 1 .tar a.`S 1`'Z` PVC S~ 40 ~•..-, 1~ ~ %; % ~' I `rr ~S.` o ~ C n I{ ` ~ 4 \7 V O ~ L6. Y~ ~I V M`V t ~0 B • ~KiY A.~ t,Ati ~ l tl n \`~n.....~g 1 4,0~ 3,~ ~/~ b l~ 0 1 ~. S o y 1 -..`•~ Qt r.\ (G!L-~~ '`ter ~G 0 ~ O w \ 1~ •+ 1~ ~ 3 b ` O t~ el J(~ O~`~ T ~ , c' J b\ ~ mQ~'~' 1 0..~ -Gir0. \ J ~ ~b~ L~ 70T a,.` U U ' ~3-~ a.~ ~ o~ t~,4' ~~ ~r.4' 1 o-t~ ~ ~ r G- r--~ ----~ 4" P~~ 5~~ ~ P~o~ 3, O~j1b NOISTUReaEA ~SoIL T /ALS T ~ av~a.wc~ CtLSKET 3b.~IT'J Ru. PIIL 6Qrw E LT I o -+b F ~e~ ~ _. xiT `~ ti T~1~. -LOCKING COVER ""\ 4i,~i~'n~,w~ ,c ~BE.C . GL1CK D1~CDMViCT'~\ ~~,5~ C ~~~ ~;~~ :~ ~w~~L~ Or ~ r a,, c.p ~ ~ \ ~nLZ 131, ~,', 1 a~c~w z" ON ,o s ~~ OcF ~,. " F oar M~~~ wE-,T11ERPaooF n ,}vNCT10N J ~ 6c~cc `~~~wcty H O:L C~s~ ~ ~-~" i PtJFIP CoNC4ETF BcoCK i2~ ~~.,,~ n~ C„ YENT .I ~~.~ 4~ ~~~ sit. ~ 3' owTo ~ aouKo CI2.~5~ ~to~\L //. SEPTIC E _ SPECIFI~GATIQIJS ~ o 1~~~ 005C ~ ~~~ ~ ~ TAWKS M^1JUFACTURC:R: ~ IJUMD ER OF DOSES: ~ PER C~~ TAIJK SIZC : ~~~~ ~' ~'~~ G~l.UOAJS DOSE VOLUME , \ ALARFI N'1MlUFl-CTuRGit' S~ Ftaa.{-~° IIJCLU ~~-~ OILIG 6ACKiLOW: G~~.ONS MOOCL 1JUM~ER: ~ ° ~ ~~`' CAPAC /1 ITIES A = 31' ~ INCHES OR `~~~~~ W~~o~s B ° Z ~1JCME5 OR 2 W.~L0~..5 I PUMP /1AIJUFACTURCR; ~O 2\~Q.v C ^ S~ O iUCr+ES OR go,~ G~~.OuS MooE~ WUMDER; ~~ Z p~ 9.~ 14~',o Q ~ INCHES OR G~~.,.O~;S JWITCH TYPE: w. a+.`~... '~"~'~ -JOTE' PUMP AUp 1~LARM o.RC TO DC MIIJIMUN'~ DISCNARCsE RATC ~ ~_G/H INSTALLED 01J SEP/+RATC CIRCu',TS ~ ~ VERTICAL DtFFERCAICC DCTWCCIJ PUMP OF- A1,10 OIJTRIQUTIOAI PIPE.. ~ FEET I + Mi1.11MUM uETWORK SUPPUy PRELLUR E .. , ~ , z'S FLCT }"'~~ T / + 2O i'EET OF FORC[ MAIW X z_. ~ ~ F/pp~xiRICT10-,1 FACTOR. ~'~ Z' FEET ~ 3 ~ ~-, a - TOTAL Oy1JAMIC HEAD = to`~~ FEET IAITERAJAI. DIMEIJ510AJi 0/ TAAlK: LEIJG7H \Z1Z"11 . ;WIDTH 1 1, ~ q ; LIg UID DEPT H p 1 A V- l 6 ~ F O 9'' ~ ! ~, ~ . ~ i TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEwATERING 0 a w x z 8 } 0 a 0 a ~° %' t . _ !,~ p4 ....t' 0 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 foFoutdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series _____._ 1511153 MODELS Control Selection Model Volts•P~~ Mods Am Slm Isx Du Isx Nt52_ tt5 t Non 8.5 1 2«3 BN152 tt5 1 1 . __ Auto 8.5 InGuded 2«3 E t 52 _ _ 230 t Non 4.3 1 2 «3 _ BE t 52 230 1 Auto 4.3 Inducted 2 «3 N153 115 t Non 10.5 1 2 « 3 8N t 53 u 5 t Auto 10 5 Inducted 2 3 MODEL 152 153 feet Meters Gol. ~ L~iers Gol. Liters 5 1.5 69 ~ 261 77 291 10 3.1 61 231 ~ 70 ~ 265 ' 15 4.6 53 201 6t i 231 20 6.1 44 I 167 52 '97 25 7.6 34 r 129 42 '~, `5y 30 9.1 23 87 ?3 ~_ 35 10.7 -- -~ 22 C~ 40 12.2 __ __ ~, ~~ Lock Valve: 38.0 Ft. (l t.6m;jae 0 c. ;' ~ ~r"~ 3 27/ ousoe 1' -~ _= I --~~~=~~. F_ 1 ,_ ~z •./a ~ ~.--T i ~_ ~ - ~- -L scow « SELECTION GUIDE _E 153 230 1 Non 5.3 1 2 «3 1. Sin le I back variable level float switch or double BE15J 230 i Auto 5.3 Inducted 2«3 9 P99Y Pt99Y~ck variable level float switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E•Pak. All installation of controls, protection dwkes and wiring should be done by a qualifled 3. Variable level control switch 10.0225 used as a control activator, specify duplex (3) 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). Or (4) float System. RESERVE POWERED DESIGN ~ 0 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAiI TO: P.O. BOX 16347 `r ~ Louisville, KY 40256-0347 ~' ~~'~ ManuracNrers o!. L!7 ~ SHIP TO: 3649 Cane Run Road L~ rj ~ ® Louisville, KY 40211.1961 QU.4l/TY PUMPS SNCE /939 Y». PUMP /-~ (502) 778.2731.1(800) 928•PUMP http://www.zoeller.com L FAX (502)114.3624 © Copyright 2000 Zoeller Co. All rights reserved. uTERS ' i I rt I _ _1- 0 80 160 240 320 e FLOW PER MINUTE r• ~ . ' ~ 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. I . 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. 1 I . 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. 5. 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. 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 83.54 (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 0?/05/2005 09:22 2350867 ROGERS PLUMBING, INC ,~.... .. PAGE 03 ~w '~. .> LOCATED ~N vAkr pc THE NORTHEAST 1/a OF rNE NORTHEAST T/4, T'HE SUUTHEASt 1/d OF~ THE NORTItiEAST T/a, THE. NORT'HEA$T 1/4 OF THE SOUTHkAST T/a, AND ThE SOUTHEAST t/a OF THC SOUTr1Ea5T T/q ALL iN SECTION 4, TOWN5H11~ 29 NOR TM, RANGE 17 WEST, TOWN OF HAMMONO, $T. CROTX COUNTY, WISGON5IN u z CV w ~ ~ tD ~I ~~ ~ \ ~I ~ W I o r C^V1 ~~~ `-~ V. W {oz z J ~- N 7 __ __.. ..~... ~-. ~ w \ w vl M L??J ~I ~ F• ~I ~ ~ (CV N ~I W LJ ~~ ~ W ~ ~ ~~ o 0 o ~~, ~z SEE SHEET 3 h.^ ,o~.se~_ ~~N ~ ~~-...._. ~'W~,~ .^ ~ ~ .:.~ , ,` ~ `~~ _/ vn A /--~ iy . . . ~ ~ 11 ~~ 1 1 ~ ~M ~~p ~ IAIOS~ 1' i i`~ I N e9•aT•oa" 'y ~ 1 ~ 1 ~ 1 ~ ~• 1~ ~ 1N 1 M 1_.1 !!: ._. ~• 1 1 l , `t \ N 79?8 1^`: ~ ~~ ` a~ f ~ `iOD ~~~N~~ `~`~~ '~,s'' ` w ` ••~S' ~ \ r~ • ~ \i, >, \ ~` O~\N, v w 4~ ~` ~ \ a~`, \ 55 ~~ 'g,\ ia6r1 S.f. x.98 ac' ~ 1 ,! ~~ Tr r 1' r, N / ~V /i u`,~ ! / 1 v 1 / l.v ~~ f. ~• U!/ ,: ,1/~. ` ~` C ~~~~ N ~ +- Waoa O ~ O N N i I I ~~ 1 ~~ nl I ~I ~I ~~ ,i L1 i~~~r., `,,~, 'J,I, ~.,1 ~-_ vd8'2~~Jc iv I, 5 ~y:\ ,'~I I :~,. ~ }~~ ~1 yl i 31 x' XI N ~ I u~ ~i ~~ ~ ,~ ., ' s ~J ~ ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety an BUII(fmgS in arrnrdanrp with Cnmm R5 Wis Adm Cede 1508 Page t of 3 Steel's Soil Service, Inc. °`"°°°^R;~" Attach complete site plan on papltt`rrotiess han 8'/: x 11 inches in size. Plan must County St. Croix indude, but not limited to: vertical and horizontal referehce point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . P.sr~ing Ol $ - ZCCS~- Please print all information. Reviewed By Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~' dS Property Owner Property Location Cutting Edge Four, LLC Govt. Lot N/A SE 1/4 NE 1/4 S 4 T 29 N R t~ W Property Owners Mailing Address Lot # Block # Subd. Name or CStiA# E976 170 TH Street 46 N/A Hillside Heights City State Zip Code Phone Number ~ City ~ Village t/ Town Nearest Road Hammond ~ WI 54015 715-796-2793 Hammond Cty Rd T New Construction Use: y-I Residential / Number of bedrooms 4 Code derived design flow rate 600 , GPD _j Replacement J Public or commercial - Describe:n/a Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, rf applicable n/a General comments 7?~'`f ~- ~ ~Z- and recommendations: Moun~ d design, system elevates ion _ Oft based on contour line elevation~8.30ft. Boring # ~ Boring ° Pit Ground Surface elev. 99.50 ft. Depth to limiting factor Z~ " rn• 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 0-12 10yr 3/1 none 1 2msbk mfr cs 1f .6 .8 2 12-24 10yr4/4 none scl 2msbk mfr cs 1vf .4 .6 3 24-48 10 yr 4/4 f1 d 7.5yr5/6 sid/scl om mfr n/a n/a .0 .0 Boring # J Boring , /„_f Pit Ground Surface elev. 99.50 fl. Depth to limiting factor ~'~ rn• Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Stnucture Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr 3/1 none sil 2msbk mfr cs 1f .6 .8 2 12-23 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 23-44 5yr4/4 c2d7.5yr5/6 sl om mfr gw n/a .2 .6 4 44-60 5yr4/4 c2d7.5yr5/6 scl om mfi n/a n/a .0 .0 ~~ * Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L CST Name (Please Print) re: n CST Number David J. Steel 'J'~-° 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/7/2004 715-684-5680 ~~ -tC Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 Boring # Boring / Pit Ground Surface elev. 95.00 ft. Depth to limiting factor 44 / in. Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Corrt. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr 3/1 none sl 2msbk mfr cs 1f .6 1.0 2 14-30 10yr4/4 none scl 2msbk mfr gw 1vf .4 .6 3 30-44 10yr 4/4 none sl 2msbk mfr gw n/a .6 1.0 4 44-72 5yr4/4 c2d7.5yr5/6 sl/scl om mfr 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 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. ~l gpplic~tion Rate Horizon Depth Dominant Color Redox Description Texture Stnucture 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 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. STEEL'S SOIL SERVICE INC. Page 3 of 3 David J. Steel 994 200` St. CST-POWTSM Cutting Edge Four, LLC Baldwin, WI 54002 LiC. #248956 SE1/4,NE1l4,S4,T29N,R17W $us.(715) 684-5680 Town of Hammond, St. Croix Co. Fax.(715) 684-3449 Hillside Heights, Lot 46 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend 1" = 40' • =Benchmark Ele. I OO.OOFt Top of 314" pvc pipe • =Alt Benchmark Ele. 100.30Ft Top of 3/4" pvc pipe ^ =Borings Boring Elevations B 1 = 99.SOFt B2 = 99.SOFt B3 = 95.OOFt B4 = OO.OOFt ~~ ,~~ /mot ~' ~` ~$i i ~b~~ t ~~~A /~' d ~( 7rs~~h ~~, k lei ~ ~~ ~° ~ aka-' ~0~1~ ~'~~ "` ,U ~`~// h `~' h! ~ (' p ~~'o~ ~ n~ h l ~ `sl 3 :~ ~~~9~ 9-~-~~ `~ ~~ ~ ~ N. B. 1.83 Ac. / ~ ~ / ~2 I ~ _ • ' ~~ ~~ ~ ~ ~ 6F~~94 S. F. , ~ ~ ~ ~ ~~ ~'~ _ 1.60 7~c----.'-~ ~ ~~~ ~ ~ ~ _ %- ~ ~ ~~ ~N$. 1.60 Ac. ~~~ ~~ , ~ > / ~ ~ i ~ ~/ ~ ' ~ ~ ~ / ~ ~ ~ ~' / i ~ ~ ~~ / ~~'~ / -~-$z ~ ~ ~ V-- ~ / / \-~_ ~~ ~ ~ 1013 S. F. ~ l,,i~ ~ ` ~ ~ ~ ~ j ~9~i ~ o ~ ~, N~ ~ X2.33 ~~po-- •~j1/, ~ ~ y~ ~ `'~ \ \ ~ ' \ N.B. 343 Ste. i ~ ~~ \ ~ CO ~ N.B. 2.12 Ac. '~ 101 X89 S llt '~'~ °p ~ ~ - ~ ~2! 33 Ac ~ \ ~ ~ i ~ ~ ~ ~~ , i ~ ~ ~ ~ ~ ~ ~ LBO = 1( ~ ~ ~ V ~ / ~ ~ \ 'V \ , 1 1 ~ I ~~n / I--- 1 L~".i W / / /~ ' ~ ., ,~ ,~o / / L! V ~ ) i ~ i/ W / / ~ u i , ~ ~ ~ ~~ ~~ O ~~ ~~ i. _ ,~~~ _~.~ l ~\ ~~1~7226 SF~ ~" ~ . - 023'` .F.`, N.B. s~s~ -~:~. - - ~ / 3.15 Ac. ~ ~, ~ ~ ~ N.B. 43 7 S.F. ~ ~ ~ ~ ~. Q7 .--- -- X1.8. t .58 Ac. _ N.$. 1. c. ~ _ - ' - , ' C_ E F3 -0~ TN-~ ~ LB~o94.0 o ~~ LSD = 1094.0' ~~ ____~ ~ ~ \ ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION _FORM OwnerBuyer Mailing Address Property Address ~C_-~~ lnc~~-2~~ ~// , (Verification required from Planning Department for new cons'trucuon) City/State "y~'~'m~~ ~`~" Parcel Identification Number 6 I~ - 2009 - y~(v LEGAL DESCRIPTION Property Locatior~(~ `/,, SE '/,, Sec. ~ , To2cl N-R l7 W, Town of ~rnD'~~ ~ s /' Subdivision Certified Survey Map # Volume f ~ ,Page # Lot # ~`~ . ~~~Sj Warranty Deed # ~d ~ ~~ _ ,Volume ZS"4~ Page # Z3 Spec house O yes ~ no Lot lines identifiable ~ yes O no ~-0 Y~~ 11~~+A ~el~~r -- ao~ SYSTEM MAINTENANCE • Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper uiainteaaace consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, j ourneyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is iu proper operating condition and/or (2) aRer i_.spection and g~?mping (lf necessary), the septic tank 1S less than 1/3 full Of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of th thr ye a piration date. SIGNA OF 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 ownet{s) of the property describe a ove, by virtue of a warranty deed recorded in Register of Deeds Office. ~~ SIGNA OF APPLICANT ~ DATE • 9 ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. a`**'~** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed c: _i li :;~ ., ~~:."e 7L. C"u 1. ;; ~.ULlit f. ~' ~fiarun I'iii Df?1'"'>'~ijGg~rS YJl3ilitJih~ ~>~i S"1".~:?'tr Eii~t C3F '+tsll~CZ7NSID'J r=C7FiI4t 1 - i 9+r5$ ~I~~~X~G~4D~~~ 1fVd~KtFtAh!'r'1' Ct~~ifa ~~ sFt6C~IR7idti Ft9t4 $Cs'GURli K-71.~Y i~LNlt~ 11:2.: pri I~rrIIr+tcsr, ~rsd __ Eit•~t'~tr,i~k !! anr! !r}_IaaD~ Art. L~iulir.,k, hs.;> &gyana_ aesd ti Y.::v"r;JritayC~J. Kiirantar, for ~ sr~311.s;;akst~ c~rss:ida~ratlarr aar~veys tr3 e3rarste~~rr tl;~ foslowin~ ~~>w~rib~trl r;~at ~r~t~t~ in „_, ._ t. ~rutss __ County vl~t:a of tt'~i~:aorts~ist (tD~s "'3~rots:~rty"}: €x~aT ,a 1C'82AtIt"s RAE': 2+dsa.7~i' CC3F~Y iF€>s CSRCsa`".Si 1 ana rcansm hvasresae ~~ ~~~~-0 ~~ ~ ~~z~ ~~~~ .~ ~~i ~ ~ i ~ Oi {;Cp ~ Tt9ii5 ib nnS __,,,~ tl6tflasttl8d t:ri)tJal'()'. (Dy) Us not) t~i+~a, 1Hili;oid~s Hlwi~yht~c, tavrrs of i•~rnrnvnd, fit. Cr+ciss +G~unxy, Yltitsrx3rtsetlrs. 1"rrg+sathbr with ap ~cp~ur~st~r7t rigizts, titles :~r~:i 1+ ~tr~re~ts. ~riirl#fiu' W&try~l'i~t4 Yrt th6s titim tt~ th8 prppertisg gaad, lndtyfa~~sible ils sirnp6c fu3ri arx.1 fr~si~ ;ur,~y ul~ar hf encumbrencec @AQEii3t D~"E£tEtQ tt1t5+~~~" Qua! Uf s~x. C1flti• sL~r7~T~att'can, C~r~anizr~r -____~~ Cuttiny~ Edy+a Fs:aur, Lt_C:. s~u~~i>~,ro~~ra~a-~-c-i~ (S~'~ ~ _ (SivAL) _ bsutt',c~ntiGasC~td Ea~.L. ~jr oi+U ti S G J N 5~ too -~.. -~~~~.~ rn~t~~D~~ d~A~'~ ~~~ ~~ vwrscr~~r~tta (if rtryt, _ authOrl~t3 by ~7Qd;.t?6, UYis. ~tat~ j Tr'ti~ it+iS"I`C13N!C:iV'1' irVF4'~u Dt~F7cL~ Ci'Y CKtlrisnr~l! E~drska~r E3urn~t/F~nber•C tViatroataan 1311 ~auf>t:~s Rosxd ~+ iiuefson, Wt 54Fb't~ ,r .~-+~1'~.~~ (iy~ntWt4r'e~a rztrayr nc~ aa+aths~ntBuaten or +:a~:t<rr~snri+s~J~~ct. Both ara rant 11~t„~6n.faly.j lltua~t?7.~t•1'rY 1<3ir:EL9 (St=AL) ~,c~cNOwa~~a~~ ~ r~s~i-i° ~tmte tst" rir(ssocsneErs, ('SE'AL} i au. ;;t. Cs'•~ix County Ftorf~c~tasilly c..ma ttiafarc~ ns~ Chic '~1~t Oay of ttse above rta3med ~, L72i' tYEtari e1~ t7r[58iCjj~~~ bi i1.1!'i~ P1+t'. f~9_C.,. ,Frt^ C:arBQr~Si~sn , _ t9 me know~rr to be the Kmerewrl g,+__ who 1?`.ceauted tha foragu~srsg indirurr+ent enzi ncirnov~ied~e ihr~ ~~me~ ~ r NOY.81f j! {'SUYYIiL`. St6i:~.f9M1`V~I~bC LllC~.e.~.r-.~.....~.~.._..~.. a,~y ~:tJiY'iYii{B61C!(1 IdL }7,fafTT'{&TIE4CeL {if n6i, o~t6 fl9CplCl3t90(1 ~SH1B: t3YJiTE Csi4E~ Gd^ 'IfV€~~:r"~'r,9Bi1~1 P~tRNf airs. ~ - 1 ib5itt YVi>u~;oes3in Ln~r51 k~lank Mo, Inc. Mliwveuicea, VL'I>s. POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Clwner .~- ~ Permit DESIGN PARAMETERS Number of Bedrooms 100gpd/bedroom DNA Number of Commercial Units NA Estimated flow (average)* gal/~y Design. flow. (peak), estimated x 1.5* gaUday Soil' Application Rate gaUday Influent/EflluentQuality.(NAD) Monthly Average** Fats. 0i1 & Grease (FOG) S 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids {TSS) 5 220 mg/L 5 250 mg/L Pretreated Effluent Quality D Monthly Average** Biochemical Oxygen Demand (BODs) 5 30 mg/L Total Suspended. Solids (TSS) Fecal Colifonn (geometric mean) 5 30 mg/L c10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter Wastewater Flow Verification on and calculations: (Other than. bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tame effluen#. ***Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal DNA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model DNA Pump Tank Capacity gal DNA Pump Tank Manufacturer j DNA Pump Manufacturer ^ NA Pump Model DNA Pretreatment Unit DNA D Sand/Gravel Filter D Peat Filter ^ Mechanical Aeration ^ Wetland D Disinfection D Other: Manufacturer: Model: Dispersal Cell(s) D ln-ground (gravity) ^ In-ground (pressurized) ^ At-grade "`'Mound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate~d/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 D "Wisconsin At grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 D ."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) "Ai Grade Component Manual Using Pressure Distribution" SBD -10567-P (8.6/99) "In Ground Absorption. Component Manual" ^ SBD -10705=P (N.O i/O l) "In Ground Soil Absorption Component. Manual" Version 2.0 Q SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" D SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" D SBD:. -10572-P (8.6199) "Mound Component Manual" "~BD -10691-P (N.O1/Ol) "Mound Component Manual" Version 2.0 ~ SBD -1QSyS-P (8.6/99) "Single Pass Saud Filter Component Manual" p SBD ' -.10657-P (8.6/99) "Drip-line Effluent Disposal Component Manual" D SBD -10573: P (R 6199) `Tressure Distribution Component Manual" BD -10706.-P (N.O 1/O1) "Pressure Distribution Component Manual" Version 2.0 Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SC~DULE Service Event Service Frequency Inspect :condition of tank(s) At least once every D 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 D months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every 3 D months year(s) inspect ump, pump controls & alarm At least once every ^ months year(s) DNA Flush: laterals and ressure test At least once every ^ months year(s) DNA Valves At least once every D months year(s) DNA Other: At least once every ^ months • D year(s) NA Page of S`T'ART 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 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 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 slang with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water so8eners, iron removal units, other cleaz water treatment devices and foundation drains should be dischazged 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 minim;~eri, 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 trat~c over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. aloes aloes shall be operated in the following manner: •p(Alar3ns 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 ~ the attached Maintenance Schedule). Septic 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 • lacking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in anytank 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. Q'~n,-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 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) 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 Gode. 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 and pits shall be excavated and removed 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 infiinged 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 azea. Replacement systems must comply with the rules in effect at that time. p A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. p 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 ~ j 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. ~<WARNITTG» SEPT><C, 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 IIVIPOSSIBLE. ADDITIONAL COMMENTS Pt?W'TS INST ER POWTS MAINTAINER Nams` " ~ p Name Phone / ' + ~y -- Z Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency ('a..r Ce n. ~ .n Phone: Phone 8'l0 -- K:IWPDATAIEH~POWTS OWNER'S MANUAL.doc Page ~ of ----,-. I ~~ \ I N.B. 1.83 Ac. / ~ \ ~ ~2 ~ ~ ~ ~ ' ~h~ .~. ao- ~ \ -) ~ -- - - , ~ qa ~ \ 6~~-94 S. F. ~ ~ ~ ~ ~.~ \ ~ 1.60 Ac-----_', ~~ /~ ~`~ ~ \ __ , ~ ~ \ ~\ ~tV$. 1.60 Ac. ~ ~ ~ / / ~\~ ~ ~ ~ ~ i ~ ~--~_ ~~ ~ 1013 S.F. ~~ /,,~~ ~ \ \ ~ ~ ~ j ~-~g ~~ o ~ ~ N~ ~ X2.33 X1¢00-- ,61/ ~ a l \ '' ~ \ i \ ` ~ W~ , ~ N.B. 343 S.F.~ ~ , ~ ~ / ~ ~ ~,..1 acop ~ ~N.B. z.1 z Ac. ~ "~ 101 X89 . -~ ~' ~-- ~ ~2l33 A~ \ ~ ~ ~ ~ ~ LBO = ~ ' \ ~ ~ ~ ~ - ~ ~ ~ _ \~ 1 l ~ ~ ~ W / ~~ ~ ~ f /, ~J ~ ~ ~ ~ / ~.J~ / / i ~ ~ / ~ ~ / ~~ ,~ O i ~~ ~ \ ~ , . ,--~~ ~- t ~ /~1~7226 SF.~ _ ~" ' ~ / 0239' .F~, N.B. s~s.1. ;~. - - ~ 3.15 Ac. ~ ~,~ ~ ~ N.B. 43 7 S.F. ~ '~ ~ ~- ~ --- - ~.B. 1.58 Ac. \ ~ ~ . - - - ~ - -N.B. t. c. .i i . - _ ,, _~ o~ , LSD = 1094.0' / ~ '~ ~ .---, ~ \ ~,.. ~ ~D4-- ~ PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT O v c m v 00 m 0 w U D O OC a 1Df1a021d Ib~NOIldDfla3 ~IS3QOlflb~ Nb~ Jl8 43Df1a02Jd PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT O v c m v 00 m 0 W V D O a 1Df14021d ~b~NOIlb~Df143 ~S3aOlfltJ N`d A8 a3Df100?Jd PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT O v c n m v m 0 w U O a 1Df1a021d ~b~NOIlb~Df143 ~S3aOlflb~ Nb~ A8 a3Df1a021d Private On-Site Wastewater Treatment System (POWYS) Index & Title Sheet Owner: ~ ((a/'~~bYl ~' ~ ' CO ~ `~ ~ u j i ~' Project Name and System Type: Location: s~ d~ +~~ ownship/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 Surve~p Page 11: Copy of House Plans Attachments: Plumber/Designer: Mike Rogers Signed' G Credential Number: 225094 Date: b GT~-E T Street Address Parcel #: 018-2009-46-000 08/18/2005 08:46 AM PAGE 1 OF 1 ' Ali. Parcel #: 04.29.17.1030 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 -GULICK II, BURTON J & NICOLE M BURTON J & NICOLE M GULICK II 1135 N NICHOLSON RD FOWLERVILLE MI 48836 Districts: SC =School SP =Special Property Address(es): • =Primary Type Dist # Description " 1785 117TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.330 Plat: 10/31-HILLSIDE HEIGHTS 018/04 LOTS 1/66 SEC 04 T29N R17W PT SE NE BEING HILLSIDE Block/Condo Bldg: LOT 46 ' HEIGHTS ( 04) LOT 46 (2.330AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-29N-17W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 07/21/2005 801020 2848/233 WD 02/28/2004 775409 10/31 PLAT ~nn~ ci innnneQV Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Land Improve Last Changed: 03/23/2005 Total State Reason Totals for 2005: General Property 0.000 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 0 0 0 0 0 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 „.~ , ,... n ~~~~ ~~. Wisconsin Departure t of Commerce ~ / ,/(~',1~ ~` SOIL EVALUATION REPORT Division of Safety an Buildltl~sCli Uin ~ ` in,accord~nce with Comm $5, Wig; Adm. Code 1508 Page 1 of 3 Steel's Soil Service, Inc. Attach complete site plan. on pa t~tece+:~„n 8%: x ~1 inches in s¢e. Plan must ~ include, but not limited to; vertical and hor¢onta~'~ ce point (BM) direction and County St. Croix , percent slope, Scale or dimemsions, north arrow, and location and distance to nearest road. Parcel LD. Please rint all i f ti Pending p n orma on. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1} (m}}. Reviewed By Date Property Owner Property Location Cuttin Ed a Four, LLC Govt. Lot N/A SE 1/4 NE 1/4 S 4 T 29 N R 17 W Property Owner`s Mailing Address Lot # Block # Subd. Name or CSM# E976 170 TH Street 46 N/A Hillside Heights City State Zip Code Phone Number ~ City ~ Village f Town Nearest Road Hammond WI 54015 715-796-2793 Hammond Cty Rd T }~ New Cpnstructipn 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 cscommendations: Mound design, system elevation 99.30ft based on contour line elevation 98.30ft. Boring # ~ Boring iy Pit Ground Surface elev. 99.50 ft. Depth to limiting factor ~in. Sod 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 0-12 10yr 3/1 none I 2msbk mfr cs 1f .6 .8 2 12-24 10yr4/4 none scl 2msbk mfr cs 1vf .4 .6 3 24-48 10 yr4/4 f1d 7.5yr5/6 sid/scl our mfr n/a n/a .0 .0 j l {.Boring # J Boring L,.._,_,.J r~l Pit Ground Surface elev: 99.50 ft. Depth to limiting factor ~'~ . in. Soil Application Rate Horizon Depth Dominant Color Redox Descripton Texture Structure Consistence Boundary Roots GP D/(t= in. Munsell Qu. Sz. CoM. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr 3/1 none sit 2msbk mfr cs 1f .6 .8 2 12-23 10yr 414 none sicl 2msbk mfr cs 1 of .4 .6 3 23-44 5yr4/4 c2d7.5yr5/6 sl our mfr'` gw n/a .2 .6 4 44-60 5yr4/4 c2d7.5yr5/6 scl our mfi n/a n/a .0 .0 - cmuenr ~ r = rsuu5~ su < zzu mgiL and T55 >30 < 150 mg/L * EfBuent #2 = BODS < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) re: CST Number David J. S#eel ~- 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 Paap ~ of '~ $1 Boring # J Boring - ,~ Pit Ground Surface elev. 95.00 ft. Depth to limiting factor 44 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Coat: Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr 3/1 none sl 2msbk mfr cs 1f .6 1.0 2 14-30 10yr4/4 none scl 2msbk mfr gw 1vf .4 .6 3 30-44 10yr 4/4 none sl 2msbk mfr gw Na .6 1.0 4 44-72 5yr4/4 c2d7.5yr5/6 sl/scl om mfr n/a n/a .0 .0 Boring # J Boring ~,;~( 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. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1= BOD S> 30 ~ 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/Land TSS <30 mg/L The. De artment of Commerce is p 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 608-26 - 6 3151 or TTY 608-2648777. i ! Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200' St. CST-POWTSM Cutting Edge Four, LLC Baldwin, WI 54002 Lie. #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 46 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. 100.30Ft Top of 3/4" pvc pipe ^ =Borings Boring Elevations B1 =99.SOFt B2 = 99.54Ft B3 = 95.OOFt B4 = OO.OOFt / ~ ,~ , ~ a~ ~~. ~y ~,~~ ~ ~.,. , ~~-~ ~~ C U ~~ rg` ~~ ~~A b . ~ ~.~y~-~'0~~~~, l.~ ~o p° 15, ~' ~/' `~c S~~ i ~3v~~~' ~~ ~~. ~, g ~ c"