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HomeMy WebLinkAbout018-2009-52-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION ' ~iTTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPrivacv Law, s.15.04 (1)(m)1. Permit Holder's Name: City Village X Township Johnson, Daniel Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: tom. c~ c, ~k ~o wow TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding ~,l c.. TANK SETBACK INFORMATION . en o it n a e ep +c ~ ~-O .~. pa 5~l -- - os+ng ~c r ~.- I t d ~ S` ~ `~ _._. era ion o ing PUMP/SIPHON INFORMATION anu ac urer eman ' ~~ GPM o e um er ~u{,~ ~~ ~ i ric ion oss ys em ea r rcemain eng I . ~ ,VIL AtiJVKY I IVIV JYJ I t1Vl County: St. Croix Sanitary Permit No: 488152 0 State Plan ID No: Parcel Tax No: 018-2009-52-000 Section/Town/Range/Map No; 04.29.17.1036 ELEVATION DATA STATION BS HI FS ELEV. Benchmark ..(~ Alt. BM f3cw~~w•~~.•~+ loo { 1. 1$ /~~• $$ Bldg. Sewe ~ Z ~ n.. ~n - G•3 94.7 t t./Ht Inlet ~v y.34+ ~5 . (e 8 t t ut et t ne 0 om ~d ? ~ ~ 3~ ea er an. - 31 s g`~ ,41 +s . +pe 3 Z 9~ 99.8 o. ysem • ~.~ q4 ~ 1 +na ra e over 'nj~ 'd--~. . ~ .tom /O~j... Gic~ DIMENSIONS % ~i ~ 0 , / `.C I ` INFORMATION CHAMBER O ~7 ~o~ , ~ ~ u, .~- Asa N / A UNIT IJIJ 1 1[16U 1 IVIV J i l l CIYI ~ Pipe(s) Z ~ Length 3 Dia I ~Z Length ~ Dia Spacing_~ 3 ~I~ ~~ ~' x Pressure Systems Only xx Mound Or At-Grade Systems Only Bed/Trench Center Bed/Trench Edges Topsoil Yes i ,I No !Yes No 'MMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / 1 / b ~kW P~,.. ~n: 1780 115th Avenue Hammond, WI 54015 (NE 1/4 SE 1/4 4 T29N R17W) Hillside Heights Lot 52 Parcel No: 04.29.17.1036 Description = >r length = ~$ ~ f cover = V -~ t k ~ed? I _1 Yes ~-~ No -/- ~ -~---- ~ I~lv ~1, litional information. t0 ~3 ©~ Bate - - -- -Insepctor's Signature ~r: Safety and $uildings Divisi~ 2()1 ' ~ ` County _ „~ , W. Vt~iihington Ave., P.O. S 16? ' ' ~7~ ('~2^/ K js ~ Q Madison, WI 5370? - 7162 ~~~~ ~ Ste„ tart' Permit Number (to be Pitied in by Co.) _,Department of Commerce p ~/~ ~SZ f Sanitary Permit Ap IiC ILO tare Plan I.D. Number In accord with Comm 83.21, Wis• Adm. Code, pars o ati xop)pfa~3e~e 2006 ~ may he used for sec r d ' Tv ~+ ~ Z (p 5 ~ ~~ on a y purposes cy , s S 4(t~ ) ~., rojeet Address (if different dean mailing address) I. Application Information - Please Print All Information ST. CR -_- ~-~ ~ ~ '?GO f ~ JC ~.~,~, Q, y~ . ! 00 `' "-, ' Property Owner's Name ~/ ,~ ~ ~ ~ Parcel # Lot # 131o ek q Gtfat ~ b~.~o~ _~n..__--~~w~ _ ,. ~ o~ V Property Owner's Marling Address / ~ " ~ ~ ' ~ Property .Location ts s s S95 f7c~ - T Um 7~.~- ~ %ity, State; Zip Code Ph N b ~'~ Sacrist ~'~'~ 5 ,~'~ one um er • ~~ ~ ~ J II. Type of Building (check al! that apply) Q o 1< as N; R~E l T> , ~or 2 Fatuity IhveUing -Nutttber of Bedrooms ~//~r~ ~~,~,~,~ ~• ~.f,~ Subdivision Name CSM Number ^ i'ubiiclCommercial-Dascribe Use _ _ ~~~a~'~`_--=~`t-`^- ~ •` ~ ~ ~16~~_ / ^StateOwned-Describe Use (p ~~~ QJ~ ~ ^City ^Village~ewnshipof-~62~-1 ITT. Type of Permit: (Check only one box on line A. Complete line B if applicable} ~ ~ _ _ Z _ A• ~ew System ^ R lacement S em ep yst ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System -- 13. ^ PerntiY Renewal ^ Permit Revision ^ Change of ^ Petmit'I'ransfer to New List Previous Permit Number and Date lssuai Before Expiration Plumber Owner TV. a of POWTS S stem: Check alt that a 1 Du ~• ^ orlon Yxessurized ln-(srouad ^ A~Iound >_ 24 in. of suitable soil ~haund < 24 tn. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ i:orsuvcted Worland ^ Pressurized Itt-Ground ^ Hording Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recircul ring Sand Filter ^ i ! Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other {explain) l V. Dis ersat/Treatment Area Information: ~ Des i/gn' Flow (gpd) Design Soii Application Ratp(gpdsfl Dispersal Area Required (sfJ Dispersal Area Proposed (sf) System Elevation l~ ~ / / '. '=' ~~ / / S ~'~~ ~ ~ O [i , ~ ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Units C C oncrete onstructed Glass New Existing Tanks Tanks 1 Septic or kioiding Tank i J AerobicTreatmem73nit Dosing Chamber VII. Res oASlbility Statement- 1, the undersigned, assuma sponsibi or Installation of the POWTS shown on the attached plans. Plumber'sffN_a~me (Print) Plumber's atur _ /MPRS Number Business Phone Number ' Plumber s Address (S~t et, Cityty, State, 'Lip od ~%%S 7 /~Gc~ ~c~ ~<1 ~, VII Coun /De artmeat Us n pproved tsapp Sanitary Permit Fee (includes Groundwarer Surcharge Fee} Dat tss d Issui gent Signs re o S s) O rven Reason Denial C ~~J ~ ~ ~ C ~7 , IY. Conditions of ApprovallReasons for Dtsapproval n ' I SYSTEM OWNER: 3~ Ce~~`d',~o/l.5 ,`.ti rj~A~ ~Qf o L~,~-e,t~ ` ^ 1. S tank, affhient Mtsr end ~•- W! D fd-t...5 ~ e.l^,n~., t ,~--, I cell must all be servikxs / maintained G,C~ i ,ti ~~~e as par management plan provided b lumber . y p 2. AM satMcclc requirements must bs nakttainad se par appWceblecode / adirietwes. ----v ....•oi • •~ ~~,.~... ,, . p.yc. ~,o..~n, auau e.~c x i ~ manes m stze b39$ (R. 01/03) N ~ ~ ~ B ~' ~ ~_/ a ~- o C _~ ~ ~ -g d 3 ~ .s ~~ ~v f s ~ v J o /ti ~ .~ ~ ~ ~. ac ~`~~' t:~~ ~~~ ~ M wit ~~ ~' +d ~ J ~ ~ ~~ x~ ~~ 3 P~ q ,_ s 31 ~~ ~ ~~~~ ~ ~ K\ w o ~ $ ~ g °~ ~ 0 Y~~ p A a ~ O ~ ICI ;~ ~~ ub• Q II i U ~^~ MI~M•~04000~~4~?~ ~~„ ••'w O o 'd o ~ II c y c II tH • E"' D ;, ~ ~!~ / ~ N J..~ ~ / J 1~'0 y ~~ / o~ 3 ~~ ~~ ~ / O i X ~ i ~ d,., s~ / i~ ~~ ~~~ r ~, %~ /~~ r R ~"~ ~ 7 ,~,,,;~ , • , ~°'{~ ~"`~./ X30 ~ ~ ~ . ~ cT" ~ ~ ~ .1 ~ d- ~ ~ 1 J ~; ~~ I4 0 il~ ~ J 0 ' J ~~ ~_/ Q _~ ~ ' -~ 1 s 4- 0~ J ~~ 0 9 c~ d- p~ 3 q ,_ s 31 ~~ ~ ~~~~ .s ~~ ~ ;`~ cr/ M ~ V 1 \/~ ~ lac ~ J~ ~ ~~~ ~~ ~ ` _ Sn • ~ J ~I ~ ~~ ~ ~ 1 J ~ 0 ~~ ~~ ~~~ ~ ~~ ~_~ ~o ~ i ~~ o s ~''~ ~~ ~ ~ ~ J // X i ~ ~ j..~ /: / ~, .~ LZ. I ~ O ~( g ~ ~ ~--ti .. ~ ~ o ~or.o~.o`~.~ ~~~~~ ~•~a u w u ^~w~4M„~04C0~~~ o II o y p II ~F• •F,O i' .' 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. coin merce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary Apri120 2006 CUST ID No. 225094 MICHAEL P ROGERS E4457 HWY 12 MENOMONIE WI 54751 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/20/2008 Identification Numbers Transaction ID No. 1265040 SITE: Site ID No. 711874 Dan and Angela Johnson Please refer to both identification numbers, County Hwy T above, in all wires ondence with the a~enc . Town of Hammond, St Croix County NElf4, SEI/4, S4, T29N, R17W Lot: 52, Subdivision: Hillside Heights FOR: Description: Four Bedroom Mound System - Object Type: POWTS Component Manual Regulated Object ID No.: 1072090 Maintenance required; 600 GPD Flow rate; 18 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.01/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, ('p,~l~ stats. The following conditions shall be met during construction or installation and-prior to occupancy or use: ~~ Q ARtMENI Reminders ~~~~~F Gr ~ • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRE component manuals listed above. • .Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the .requirements of Sec. 145.135 and 145.1.9, Wis. Stats. • 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 4/20/2006 ~ Comm 83.22(7 A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right. to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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. goy 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 Grote ..~ - 9 qp cF~~F s ~1 Dan & Angela Johnson -Mound qlC~ 9 boo ~ 6 Construction Materials and Techniques ~U/~O~ NG All materials must comply with Comm 84 and be installed in accordance with manufacturer's s specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /0l ) Pressure Distribution, SBD-10706-P (01/01) Location: Lot 52, Hillside Heights NE '/4, SE '/4, Sec. 4, T 29 N, R 17 W Town: Hammond County: St. Croix Date: April 20, 2006 Owner: Dan & Angela Johnson Address: 15595 170`h St. Jim Falls, WI 54748 Plumber: Mike Roger Signature: License: MP 225094 ~~'~y Attachments: SBD-10577 -Plan Approval Application ~~~ ~ ~'j'~ SBD-8330 Lo~.3sF~e ~ ~ Page 1: cover r b. ~ ~s a r' N~ 2: design criteria & calculations ENCE 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 ,; Design Criteria ~~'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 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 ~ ~-o gallons/day hydraulic load Design Calculations In situ designed loading rate o ,Za gallons/sq. ft. per day Depth to estimated high ground water ~~ ~ ~ in. Depth to bedrock ~ ~ ~ in. ( (~ l Cross slope at system ~'~s ~ % ~-a`~'^- "T"om'` Force main length ~ o ft. of ~ in. 3, z tp Manifold/header length ~ ft. of ~`l z,. in. o -Z ~ Drain-back 3 'S4 gallons Lateral length 4' @ 5~ ~ ~ ft. of 1~~ z- in. Lateral elevation q ~'~ ft. @ bottom of lateral 3 Lateral hole size ~~ ~ in. @ ~'~ ~~ in. ( ~' ~ ~ ft.) Spacing ~ 3 holes/lateral S Z- holes total Lateral volume ~ ~ ~ 4" gallons Total lateral discharge rate 34-3z i gallons/minute @ 2' ~ ft. head Network pressure compensation losses o'~ S~ ft. Elevation difference ~'~' ft. Friction loss o~S Z ft. @ ~ S~ gallons/minute Total dynamic head 1 t ~~'~ ft. Pump/s'i~on ~ ~ gpm @ ~ ~~ ft. of head Manufacturer ~O~ttQ'" Model # ~~ Z Dose volume ~ ~.`~'z gallons Lift/sip~`ion tank~~' ~Q^' ~z~~' ~~ ~~ ~"S'° gallons Septic tank ~' ~' ~~~ gallons Effluent filter ~ ^~° ~' t ~'-O Measurement pump on and off ~ ~ ~ in. Height alarm from tank bottom ~ ~' ~ in. Reserve capacity g~ ~ ~ gallons specscalcs.res Page ~ of g 'C v~o s: S ~ S ~. a. ~~ ,, ~ `~ ~~ ., ., ~~z'7'~~Z w...t~I..~ i ~\.v~ 3 0. Vt tit L" `O~1ow Z~~ 1 /~ 1r OC.~ 11 SOS 1 (~~ 1 (~ ~ o ~w. ~ ~ 1 ~ . Z ~ 1 tZtr.~ ~o ~ o,p t ~ •~ 1 - ~ ~~~ r 11~I, C.Sj \ h w.a~ ` ~ b i~~co:, i~w~ p 3 .~ r 2~ .~~ C '' ' ~ ,. .. ti ^. Y, I: g .. -- ;~- ~ r ~~, ~g~~ ~ 12,,E 1 l'~4,co ~ ~.Z.~ i ~Z`b,Z p '. 4' ? `~ C. ~ . a.c7- 01o t ar ., .'i. o .. ...... ~,1 ~ \o o ~' o •r o ~ < .nn~ L~~~~~ ~~~.:~ ~~ t~ 2 C'\\vc- z~~.4~ ~ ~, ~~ ~, ~h, ~ ~ ~ 2. n~ 12. o~ ( X90 , c7 ~ C -o _ 4 \'~VO ~•e.. 'Y ~C7~ ~I UM~Vt `~JO Bt ~KiV ~.\tw ~ ~, lit ~ u c ,~~. 40 ~~ ~~~.~~t sz ~,~~~ ~o~~~ ~~ ~ ~ o ~- g 2 ~, `~~ 4vc ta, ao _.... ~~ I ~ ~ ~ _, it ~ ` Hn~r. 7c 1T `~ ~ ~~ 11.. WEA'1"HERPROJF L4CKI-JC3 GOVfiR JUNCTION `(, GvA~N,wc ,c ABE~C . DNC.O~IV tGT GvIeK .. ~ ' 12 ~. Q , C-1 a.,.~ . ~ q 4" P ~~ T ~ Plod 3, n ~. oK1U NoISTUR6ED ~., \so,L. 2a`' Z.D. ~~ a~~ ~-a t~a+ua>~ ~ vE KT ~ ~~ ~~ ~A~S T i ~T~~~wLtD .. _ ~O,O NO:t GWQOVLD A [~ (~~L S~~ ~}o ~tiSKE.T 3bxr'J ~FLE \ 3' o•~To Ru. Plrc Q AL C~S~ J ~ (.Q+'w E LT I O a'+b -~~ ~"`~ ~ ..~ ...~C. 1 \ - ~ l}~ 2 ~ ~ ON ,,, c~ ~STVR~. aF ~t ~ , ~, v Co~Fr~ . C ~~~. } 6~ccK `. ~ o, ~ SEPTIC E SpECIFI•CATIQIJS Q oosC ~ ; ~~ • Tn-JKS M^-JUiAC7URER~ T^IJK SIZC : ~Zl~ ~' }~~ GI~LCOI,JS Al_ARr1 /'l1WUFACTURGR: S~ FI....L~° N10DCL AIUMDCR: ~ ° 1 1~1w SWITCH Ty/[: v.a~,.~..v~. `..1~, PUMP /1AIJUFACTURCR; ~O~`1¢'" MODEL -JUMDCR; ~~Z' .., SWITCH TyPC: ---~n.~.a.....,,~ ~~~ MI-JII'~UM OISCNARCs~ RATE 3~_G-M (.lUM~Eft OF DOSES: ~ ~~ PER D^~ pOSC VOLUME C;b -~Z ItJCLU~lAl6 bAGKFLOW: L~~~oNs CJ-PACITIES~ A= ~o~ ° wCHCS Oa 4~3'I° w~~o-;s ?` 1t ~ a= i-JCHES OR C.~~~Oa;S 9•`~ i4~,o 8 o~ INCHES oR ~~~..o~;s DOTE: PUMP A1JD At_ARM ARC TO DC INSTAlLEO 0-J SEP~.R~TE CtRCu~TS VCRTICAt.. DIFFEIIfIJCf DCTWC[U PUMP OF~1 /-1,f0 OISTRIDUT101J PIPE.. ~~ FEET + MiI.11MUM -UETWORK SUPPLY PRfttUR E . ~ ~ ~'~ FLCT+tO~~i~ J T / + 2'~ c"EET OF iORCC MAIW X ~._.. Sg F/pp ~xtrRICTl01,~ iAGTOR. ~ S Z' FEET ~ - -~, ~ ~~ - TOTAL Dy-JAMIC NEAO = 11'~k`~- FEET IUTERAJAL. DIME-J6101Jf; 01 TAA1K: LEI.l6TH ~Z~Z~~ _~.._;WIOTH ~ ~~ ~ 9 ;LtgUtD DEPT>i ., •:, ~~. ,I ~ ~ PUMP PERFORMANCE CURVE „ MODEL 151/152/153 50 to 45 t53 t2 a0 {.? '.' ~ w 35 152 = 10 30 0 6 25 151 ° 6 20 a~ - t0 z ~ 5 0 FLOW PER MINUTE ot{508A ~~NS~LT ~~CTi~RY POR ~PEC1A~. r~P~PLIC~iTI~NS • 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 FM 1420. • Over 130°F. (54°C.) special quotation required. 15i/1 ~~ZJ153 Series 151/15211 53 MODELS ConUol Selection Model ' Volts-Ph Mode Am Sim Du {ex N151 115 1 Non 8.0 1 2or3 BN151 115 1 Auto 6.0 Included 2 or 3 E 151 230 1 Non 32 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 N152 115 1 tJon B.5 1 2 or 3 BN152 115 1 Auto 6.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N753 115 1 Non 10.5 1 2 or 3 BN 153 115 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 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERIN~ MODEL 151 152 153 Feel Meters Gal. Lifers Gal. Users Gal. Users 5 1.5 50 189 69 281 77 29t 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 237 20 8.1 29 110 44 187 52 197 25 7.6 .18 81 34 129 42 159 _ 30 9.1 - 23 87 33 125 35 10.7 - - - - 22 85 40 . 12.2 - - - _ i t 42 Shutoff Head: 3011. (9.tm) 38 ft. (11.6m) 44 a. (13.4m) Ola5oe6 Model 151 i II a/t6 i i I O CAUTION All i~isiallation or controls, 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). ~- a 3/8 I 1 tst Models 152 / 153 3 z7/ 5 ,,; -~ a s/sue -f- --}- ,~ ~ ~-~I ~i t2 t/6 ~, ~, i ~ -----~- ,' t -_~ SELECTION 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 control activator, specify duplex (3i or (4) float system. RESERVE P01~ll~RED DESIGiV 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 Q ` ~ "~~ ` SHIP T0: 3649 Cane Run Road Manufacturers o! . . ® e ~" , " ~ m Louisville, KY 40211.1961 /7 (502f 778-2731.1(800) 928•PUMP 4~?+' PU,f/P9 ,SivCE X9,99 httpJ/wwwzoelle~.com ~` PUMP !O. FAX (502)774.3624 ® Copyright 2003 Zoeller Co. All rights reserved. ,p.,~.c, Qr ~. e ~ ~. 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. ;. 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. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.~~ (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 v * Department of Commerce Division of Safety and Buildings OIL EVALUATION REPORT ~~por~lap~ re~,85, Wis. Adm. Code #1500 Page 1 of 3 Steel's Soil Service County Attach complete site plan on paper not less han ~'~k 1 ''r'~c~e i e. Pla must include but not limited to ertical d h i l ef5 r~ t b bi di ~ St. Croix , : v or n an r r a c p n rect nand ( percent slope, scale or dimensions, north row, and location and distance t nearest road. Parcel I.D. S IX n ~ pe in COUNTY Please print al infor- ~ f~A. Review By Date Personal information you provide may be used for seco ac Law, .15.04 (1) (m}). ~ ~ t7~v Property Owner Property Location Cutting Edge Four, LLC Govt. Lot na NE1/4, S 1/4, 4, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or SM# E976 170 TH Street 52 na Hillside Heights City State Zip Code Phone Number ~ City ~ Village ~ Town Nearest Road Hammond WI 54015 715-796-2793 Hammond Cty Rd T New Construction Use: ~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ^ Replacement ^ Public or commercial -Describe: na Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 96.70 ft based on contour line elevation 98.20ft. ~ and recommendations: (~ ^ Boring # ~ ~ Ground surtace elev. 97.50 ft. Depth to limiting factor 26 ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 12-26 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 26-60 7.5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 ^ Boring # ^ ~ Ground surtace elev. 97.50 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon' Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 10-24 10yr4/4 none scl 2msbk mfr cs na .4 .6 3 24-31 7.5yr4/4 none scl om mfr cs na .0 .0 4 31-60 7.5yr4/4 c2d 7.5yr5/6 scl om mfi na na .0 .0 * Effluent #1 = BOD S> 30 < 220 mg/L and TSS >30 < 150 mg/L ~/ * Effluent #2 =GODS <30 mg/Land TSS <30 mg/L CST Name (Please Print) ~-- ~~~" ,Signature: ~ ~' i ~ CST Number David J. Steel -~~~` ~"` ` 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 9/2/2004 715-760-0347 SBD-8330 (8.07/00) Property Owner Cutting Edge Four, LLC Parcel ID # pending Page 2 of 3 a Boring # ~ Ground surface elev. 94.20 ft. Depth to limiting factor 18 '~ in, ^ Soil Application Rate Horizon Depth Dominant Color. Redox Description Texture Structure Consistence Boundary Roots GPDfft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Efr#2 1 0-11 10yr3/1 none sil 2msbk mfr cs ivf .6 .8 2 11-18 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 18-60 10yr4/4 f2d 7.5yr5/6 scl/sicl om mfr na na .0 .0 ^ Boring # ^ Ground surface elev. ft. Depth to limiting factor in. ^ Soil Application Rate `Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ^ Ground surface elev. ft. Depth to limiting factor in. ^ Soil Application Rate Horizon bepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 <150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) SLEEPS Soil Service STEEL'"S SOIL SERVICE INC. Page 3 of 3 David J. Steel 994 200th St. CST-POWTSM Cutting Edge Four, LLC Baldwin, WI 54002 Lic. #248956 NEI/4,SE1/4,S4,T29N,R17W Bus.(715} 684-5680 Town of Hammond, St. Croix Co, Fax.(715) 684-3449 Hillside Heights, Lot 52 This soil evaluation was conducted to satisfy a caning requirement, it may or may not be suitable for your use. Legend 1" = 40' • =Benchmark Ele. l OO.OOFt Top of 3/4" pvc pipe • =Alt Benchmark Ele. 99.70Ft Top of 3/4" pvc pipe ~ =Borings Boring Elevations B 1 = 97.SOFt B2 = 97.SOFt B3 = 94.20Ft B4 = OO.OOFt g'~ ~ y .., ~ 1, t~ / ~ -- 11.8. 1.58 Ac. ~ - -N.B.Q. c. ~ ~ ~~t' _ ~ ~ ~ C EF3 -0~` TFT~ ~ ~e~os4.o ~ .~ I / L~0 = 1094.0' ~, / ~ ~' ~~ \ ~ .~ f ~ X X 1 ~~ ~ ~ S` ~ ~ \ ~ ~ ~ 864E xi l~ \ ~ $6`229 ~F. \\ \~ ~ ~(` / ' \\\ \\ \~ ` ~ l N.B. E ~ ~ N.B.~1.98 Ac.~ ~ '~j ~ ~ \ ~ ~ ~ I I 1 1 \ ~ ~ ~ i~~ ~ ~ ~ ~ ~\ ~ ~N~.J67,50~J ~.F.~ ( ~ J l ~ ~ ~- / / 898.4 S.F` ~ ~ ~ ~ ~"~ \ ~ _' ~~'' .- ~ / / ~R 52655 ~~ ~ ~~ ~ X2..05 A~,\ ~~ ~, x_ 1~ti ~ ~~ ~/ / ~:~50 ~ yx ~ ~ N.B. 893~~ ~F. ` ~ ~ ~ ~ ~~~' * `~ i ~ , / ~ ~. 10816fi ~ ~N$. 2.05 Ac. -- , N_ ~- ~ _ ,- go' ~ II '~ r -- n ~ x ~\ N o 0 \x ¢ W ~ x i- LL ~` o w+ z~ x W x s -_ ~ ` / ~ - ~ /~, LSO-~1~85.0' / ~ ~, ~ / ~ ~~ D~ Ac. ~ ,. / ~// ' ~i ~ / / V ~ ~~ ~ l ~ I I r~ I t f 1 !50' r ~ I ~ ~~ / ~ ~ ~ ~~ i ~ ~ rr r N`6. E / ~ / 1 t I I 1 / i ~ ~. ~ I ~~'~ ~~ t H.B. / ~' / ~ ~ / S'I' CP~OIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Euyer ~Q~-~- Mailing Address Property Address City/State Parcel Iden'tifcation Number ~~ d ~-- ~ ~Ug -`~~ "~~ LEGAL DESCRIPTION Property Location `/<, ,~~ `/+, Sec. ~, T ~-R~W, Town of ~ ~~ Subdivision Certified Survey Map # \Varranty Deed # Spec house ^ yes ^ no Lot # y1~,._. t Volume ,Page # Volume ,Page # Lot lines identif able ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of 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 system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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. CertiStation 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. SIGNAT OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements onlthis form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deed's Office. 7~YJC~,t ~C~ ~~~~ ~~~~~5~ 5 il.~~ ~S SIGNATURE OF APPLICANT ~ ~ DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department.'s'~***~ '1 yg l~ ~ (Verification required from Platuiing Department for new `• 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 STATE BAR OF W i$CONSIN FORM 1 -1998 WARRANTY DEED Document Number Grantor, and Daniel R. Johnson and Anoela Rae Suther{and Johnson. Husband and Wife, Grantee. Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of Wisconsin (the "Property"): 018 1008 50 000 Parcel Identiflcatlon Number (PIN) This Is not homestead property. (ts) (•Is not) Lot 52, Hillside Heights, 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 free and clear of encumbrances except Dated this 13th day of Mav, 2005. (SEAL) (SEAL) David Dalton, Organizer Cutting Edge Four, LLC. (SEAL) (SEAL) AUTHENTICATIO ATZINA ACKNOWLEDGMENT VVCNDY ~ NOTARY P~RLIC Signature(s) _ ,.r ~~.Ss`ONSIN State of Wisconsin, } ss. St. Croix County authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats} THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet 1301 Coulee Road Hudson, WI 54016 5-32227 (Signatures may be authenticated or acknowledged. Both are not necessary.) Personally came before me this 13th day of Mav, 2005 the above named David Dalton as Orcanizer of Cu t o E F r LLC. a Corporation to me known to be the person who executed the foregoing instrument and acknowledge t e sa e. l.~ 211. SvJ ~~Z~ ~ Notary Public, State of isconsin My commission is permanent. (If not, state expiration date: or STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE IN>~'ORMATI0111 Owner ~~-~- Permit # DESIGN PARAMETERS Number of Bedrooms 100gpd/bedroom DNA Number of Commercial Units NA Estimated IIaw {average) ~© gaUday Design flow {p ), estimated x l.5* ®~ gaUday Soli Application Rate ~ gaUday InfiuenUEffluent Quality {NAL'1) Monthly Average** Fats. Oil ~& Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mglL 5 250 mg/L Preheated Effluent Quality p Monthty Average*** Biochemical Oxygen Demand (Baps) 5 30 mgt Total Suspended Solids (TSS) Fecal Colifonn {geometric mean) ~ 30 mg/i. <10+cfu/100m1 .Maximum E1IlLient Particle Size 1/8 mch diameter rvasLewalerriow venncauon on and calculations: (Other than bedroom based) and septic tank effluent. ***Values typical for non-commercta! wastewater wastewater, SYSTEM SPECIF)<CATIONS Septic Tank Capacity Septic Tank Manufacturer M~ gal p NA ,,/j ,.~._ ^ NA Effluent Filter Manufacturer ^ NA Effluart Filter Model - p G ~ NA Pump Tank Capacity Pump Tank Manufacturer o a gal ^ NA ry ~ t2 S •~- D NA Pump Manufacturer D ,~. p NA Pump Mode ~, DNA s 1GiiGill,tilGllL UII1L [1 NA ^ Sand/Gravel Filter p Peat Filter ^ Mechanical Aeration p Wetland p Disinfection O Odlcy.: Manufachrer: Model: ^ Jn-ground (gravity) D At-grade ^ Drip-fine ^ In-ground (pressurized) GJ~und ^ Other. ^ Leaching Chamber Manufacturer Model Approval Stipulatio ~ Soil Application Rate_____,gpd/f~ Area Rey, ft Absorption Area Credit per unit ~ Minimum Number of Chambers ~ D Aggregate Design Flow/Loading Rate= __ min materials: alt materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. >;)F4T(~N rurr~u~re u _ -- ~ - ---o- ~ __-.,~..- .................. ~wuvctac ct.a1.177V) D 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 O "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". BPA 625/1-80-012 October 1980- © SBD -10570-I' (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD --10567: P (8.6199) "In Ground Absorption Component Manual" D SBD -10705=P (N.O1101) "Tn Ground Soil Absorption Component Manual" Version 2.0 D SBD -10628-~ {N.6/99) "Recirculating Sand Filter System Component Manual" v SBD -10656--P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" fp SSD -1fl572 P (86/49) "Mound Component Manual" ^ SBD -10641 P (N.01/01) "Mound Component Manual" Version 2.0 p SBD - 10545-P {lt•6/99) "Single Pass Sand Filter Component Manual" C7 SBD- - 10657 P (8.6/99) "Drip-line EfIIuent Disposal Component Manual" ^ SBD -10573 P {R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1101) "Pressure Distribution Component Manual" Version 2.0 D Drip-line Effluent Dispersal Component Manual for Multi-flo Unsite Wastewater Treatment Units lritiu~ariv~tc:~ mc~nrrczKin-c: ~r-us,nrrr.~ __ rvlce Event __ Service Frequency Inspect condition of tank(s) Pump out contents of tanks At least once every When combin sed e an D months agar(s) (Maximum 3 yrs.) scu l hi d Inspect dispers cell s} g At least once every m equa s one ^ months -t r {1 ) of t ~grgar(s) ank vohune (Maximum 3 yrs.) lean effluent ter At least once every p months ear(s) Inspect pump, pump controls & alarm At least once every _.. p months year(s) ^ NA Flush laterals rend pressure test At least once every - ^ months s p NA Valves Other: At least once every p months p ye s) r~NA At least once every t7 months •p years) NA Page of ~4aund, At Grade, in-Cround`Pressure The inspection shad 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 reguladory authority, Pending greater than 7S /o 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 dish7bution of of fluent is occurring to promote the longevity of the system. i2EPORT5 Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the l'OWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed, - The contents of all tanks and pits shad 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: C] 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 iafriuged 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 iu 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. t7 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding lank may be installed as a last resort to replace the failed POVJTS. ® The site has not been evaluated to idendify a suitable replacement area. Upon failure of the 1'OWTS a soil and site evaluation must be performed to locate a suitable replacement area, If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. `Mound-and at grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconshuctions of such systems must comply with the rules in effect at that time. e{W'ARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR IlYSfiJFFiCIENT OXYGEN.. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATI4IENT TANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT. RESCCIE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS ST POWTS MAINTAWER Name ~ ~ o« i ~ ~ Name Phone ~ ~ ~ Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY blame Agency S Gf ~• f2o Phone Phone /S- -- Ks1V4Jt'DATAIEHIPOWTS OWIVER'5 MANUALdoc Page ~ of S"'I`AIiT U#' 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 treatrneni 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 priox to use. System start up shall not occur whey soil conditions are frozen at the infiltrative surface. +C)PERA.TION The property owner is responsible for the operation and maintenance of the }'OWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity ofyour )?OWTS. The installadan 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 surf'ace 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 discharged into the system. Outer non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cation 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. 11~iaintain a regular steady flow by spreading laundry washing throughout the weep. Avoid vehicle traffic overall system components. Compaction of snow over the dispersal unit may cause it to freeze up. C~ Valves Vatves shall be operated in the following manner: s 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 i 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. IlYPECTIOiVS 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 Sexvicing Operator (fir the attached Maintenance SeheduIe). pile Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or Teaks, 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 lank exceeds one-third (1/3) ar mare of the tack volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR.1 I3, 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. ~,,~p 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. d Tn-Grround Gravity Component llispersal Cells The inspection shall inchuie 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 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ~ ~ ~- - ~1. B. 1.58 Ac. ~ ~-~ ~ / ~ ~ ~ ~ ~ - -N.B. ,. ~. ~ ~ L~0 = 1094.0' --" ~ ~ \ ~ ' ~~EA~~~ ~E~T 1 ~ ~- / , \ X ' ,, _ x --x-79 ~`' ~ ~ ~ ~ ~ \ 1 ` c ~s \ , \ I ~X I ,~ ~~ ~ ~ ; s ~ \ \ ~ ~~ I 864E ~ { ~ ~ $6229 \~F. \ \ ~ ~ , 1 I ~\ \ \ ~ ~ N.B. 8• \ 1. Ac.\ \ \ ~ \ ~ ~ \ _ ~ 1 \ x - N~ 86229~S.F. \ ~~~ \ ~ I I ` I I ~ ~ `~ ~ ~ ~ \ .B.~.ss A~ ~ ~ ~ \ ~ ~ \~ o I I I 1 ~ I + I ~ ~ ~ \ ~~ ~ ~ I I 898,4 S.F: , ~ ~ ~`~. ~ -- - ~ /~ ~ ~ / ~ ~f 52655 \ ~ ~ \/ ~.OS A`~ ~ ~ ~ ~ , x_ ~~ ~ ~ ~ i ~ x:50 P ~ ~ ti O ' ~ , ~ i N~. 1os~e~ \ x ` ~ \ N.B. 893$4, S F. ~ ~ , ~ i ~~ ` ~'N-@. 2.05 Ac. ~ / ~ \ ~ Oj- - ~ / N-B/'~.48 . ~- ~ f ~~ ^~ /~ ~1 ~ ~ ~ ~ _ / / ,, ~. x ~ 177503 S.F~ ~ ~ / ,~ ~ w 4.07 Ac. ~~ ~ ~ j ~ ~~ ~~ ~-~ / ~~ ~~ x N.B. 84214 S.F. / ~/ i i i // / // ~-- \ N.B. 1.93 Ac. / / / / // I / i ~ 1150 z~ ' i // ~/ ~ iii ~~ ~~ ~ ~ I~ 1, ~ t , / ~i~ ~ ~ ~ N B E JOI-INSON WINDSOR FRONT ELEVATION JOHNSON WINDSOR REAR ELEVATION s~~~,- No HAMMOI~.W1 ~~T°°=°~°=~~~~~-~~~~ . WINDbOR A Tenor Homes as t~ oor~m rra. wE ~r os ~n ree w~ .wr ouee --~ -~ DATE: 3/IVOb P.°s02 vat BRAND NAME QUAi17Y aava-aavn ~..at DEfAII. L1tAFfED GE MRiI® ~11N LBS~L -L110M. 71E MGI/IBT/G~B! MWL MO'f BE ~ .wr ns+ee oc n~ °oaesns SCA1,E: U8~•f-0~ DRAWN BY: JAG _.. ta~ .mr.,wnre.swaavie.rm.e a....u o.ev.+nr..o JOHNSON WINDSOR RICsHT ELEVATION 0 JOHNSON WINDSOR LEFT ELEVATION s"~~" NO ~ ~'°~,~°°~`.°~"`~.,~°~~.~ ,o.~~r.~r. ,~..~.TO~,~ . A Tenor Homes a ~,~..~,~.~ar~~.N,r~ ~..~.our „~.~,ra caev,r ~. .,~.~.~ 2 O~ 5 ~..,.~ ~..,.,,.~. ~~ ~~ ~~~ ~ coN,,,um np,w ~e~r of corrroaNr rieorrcna,..o DATE: 3/il/Ob •neor„a BRAND NAMH QUALITY rAO~MS*:°'""m DETAII. (2tAFfBD ee pRa~ wn+ ~eaw ..enw. ne ~toee~we eNw~ Nor ~ sae r^" cause °" nEeE °°'°~°'"° SGALE: I/B'.I~-0' DRAWN BY: JAC ... ~~ry .,.c.•...a.e...yxwwaw.®.u.a+se.e,.a....rs s 1 1 ~ 1 ~ .----- i ------------------- ---- - -----• ~--- i ~ ------- i ---- ---------- i 1 ~ . , s 1 1 i s s i i , 1 1•-414• ; 1 ' ~ 1 1 j'_3iy' ' 1 , i ° ' 4t•-4~4' i i 1 ~ i s ; 1 1 ' 1 1 i i FUTUR£ BEDR ~4 1 1 ! ! 1 1 0 t 1 i ~ 1 i 1 i i 1 i i F1ITURE STORAGE ~ i n i .' ` c3 s i ~ ~ ~~ ~ ~ 1 1 1 1 s i i i FUTUI2£ FAHILY ROOK ~ ~I i 4 ~ ~ •~' ~/+~• 1 i 1 i 1 i ' i i I 1 ~:~ 1 - i i i i i~1i i-----__ 1 i i i i i „a ;: 1 i i ; ... s .~___~___r_ ~ i s s 1 i i 1 ~~ ~ °~' 1 i 1 I, 14 i% ~~~ 1 ; i ~ 1 s 1 ~ i ~ ° i ~ = i i i i, i4 i ~ ~w~. i 1 ~ ~ i 1 i i " 1 1 .___~ _ i 4 _ 1 ;1 1 t i ~ ~i i ' i i I.; ; 1 0 i 1 i i 1• 1. " __.S ii • 1 1 ° ' ' ~ s 1 ~ s i 1 s ~ 1 s ~ i I i c __ ~ 11 =~ 11 1 1 ~ i s s i 1 ii 1 1 1 s c = s i 1 s , s Ii - 1 i ~ ~-----~ c ~ i 1= 1 s i -~ -~ -~_--~------- - -----------; ~ =-------------r s i 4 1 1 ~ / s ,o 1 i s i ~ i 1 ' - 14 aoarl hers ~ O.G. i ' i ~ ~ i ~ Q ; ; 1 I 1 m i I ~ ~ i s s ~ i s ° s ~ t ~ i UNEXGAVATED i E i i i 1 - c. ~, i ~ - - ---, ' ! i i -- i i a a i -- ~ ; s s 1 s - - -- ~ s ~ i ~ - ---- -- - 1 1 1 ' 1 i 1 i i s 1 4 - s 1 ~ s , i o - ~__._._~__~______F..:r____ __~_~-__ ____ __ 1 ~_ i 1 s i -~ 1 i 1 i _ _ ~ _: 1 1 ~ ! 1 T'-4' WINDSOR A FOUNDAtION SCALE: va'.I'-0' 1,586 sa. FT. t ' ~'~` ~ ~O ~ A ~ V Par"w/1ro'. aNr ~.~i1wr~.,~ar~r w c~r air . JTT G I W IND OR A Tenor Homes ~,.~,IF..~ ~11 pF T16111p.t~.,D~IG11E3P ~~-~~~~~~~~ L~ O>= 5 d4.Migl.pAN.,1NfiH.1?.lOII Tm~~ ~,~.~.~...b ~ ,~~~~ ~~~1~1 . DATE: 3/16/06 aeuawlAVnsr~~ UAll1Y BRAND NAME II . -de .wr Isle[ a nee[ aocu>ene. Q DEfA . CRAF[ID... ..:,~d...~......:. ..,~..~..m.®. . SCALE: VS'•I~-0' .DRAWN BY: JAG A . .n.~.. ~.o.~..., Parcel #: 018-2009-52-000 05/01/2006 os:os AM PAGE 1 OF 1 Alt. Parcel #: 04.29.17.1036 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 N DANIEL R JOHNSON OH SON, ANGELA RAE -SUTHERLAND C ANGELA RAE SUTHERLAND JOHNSON 5528 165TH ST CHIPPEWA FALLS WI 54729 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 1780 115TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.980 Plat: 10/31-HILLSIDE HEIGHTS 018/04 LOTS 1/66 SEC 04 T29N R17W PT NE SE BEING HILLSIDE Block/Condo Bldg: LOT 52 ' HEIGHTS ( 04) LOT 52 (1.980AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-29N-17W NE SE Notes: Parcel History: Date Doc # Vol/Page Type 06/08/2005 797049 2818/159 WD 02/28/2004 775409 10/31 PLAT 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations' Last Changed: 08/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.980 25,900 0 25,900 NO Totals for 2006: General Property 1.980 25,900 0 25,900 Woodland 0.000 0 0 Totals for 2005: General Property 1.980 25,900 0 25,900 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 Total 0.00 0.00 0.00 B t Wisconsin Department of Cor}~merce Division of Safety and Buildings...., ~,~ 7~ r l;t`' SOS EVALUATION REPORT /> in adcordance with Comm 85. Wis. Adm. Code 1500 Page 1 of 3 Steel's Soil Service, Inc. ' Attach complete site plan on paper not less than'/x4~aG~es~n size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference poinF(BM), direction and Parcel I D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . . pending Please print all information. Reviewed By Date Personal infomrafion you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Cutting Edge Four, LLC Govt. Lot na NE 1/4 SE 1/4 S 4 T 29 N R 17 W Property Owners Mailing Address Lot # 81odc # Subd. Name or CSM# E976 170 TH Street 52 na Hillside Heights City State Zip Code Phone Number City Village / Town Nearest Road Hammond ~ WI 54015 715-796-2793 Hammond Cty Rd T / New Construction Use: / Residential / Number of bedrooms 4 Code derived design flow rate Replacement Public or commercial - Describe:na Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable General comments ~ 1 and recommendations: Mound design, system elevation 98.20 ft based on contour line elevation 98.20ft. 600 GPD na Boring # 'Boring / Pit Ground Surface elev. 97.50 ft. Depth to limiting factor 26 in. Sal 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 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 12-26 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 26-60 7.5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 Boring # Boring / Pit Ground Surface elev. 97.50 ft. Depth to limiting factor 24 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlflz 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 10-24 10yr4/4 none scl 2msbk mfr a na .4 .6 3 24-31 7.5yr4/4 none scl om mfr cs na .0 .0 4 31-60 7.5yr4/4 c2d 7.5yr5/6 scl om mfi na na .0 .0 * Efnuent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S' nature: CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/2/2004 715-684-5680 Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 Boring # Boring / Pit Ground Surface elev. 94.20 ft. Depth to limiting factor 18 in. 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 0-11 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 11-18 10yr4/4 none scl Zmsbk mfr gw na .4 .6 3 18-60 10yr4/4 f2d 7.5yr5/6 scl/sicl om mfr na na .0 .0 ^ 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 PD 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. ~~ gpplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 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. 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