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018-2009-61-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL4INFOF2MATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. permit Holder's Name: City Village X Township MW Johnson Construction Hammond, Town of ;ST BM Elev: Insp. BM Elev: BM Description: Q~ ~ GS TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic l,J ` e5~-- `~ ~ Z.lJ ZS Dosing Go ~-~ ~~ A F,' b ~., ~.e~t_, ! Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~~) ~0~ / ~' ~ ~ / Dosing ~ ~ 1 $~ f / ~ r / Aeration Holding PUMP/SIPHON INFORMATION 1 Manufacturer ~ ~ ~ Demand ~.~ , p~ GPM Model Number / ~ ~ ~ ,1 ~ r, TDH Lift ~ Friction Loss System Head AS TDH Ft 9 ~r b .J /Z, J' Z, Forcemain Lengt ~ d Dia. ~ ~ Z Dist. to well $b~ S[)I1 ABSORPTION SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 479322 0 State Plan ID No: Parcel Tax No: 018-2009-61-000 Section/Town/Range/Map No: 04.29.17.1045 STATION BS Co •4~ HI /D ,9 FS ELEV. /~ Benchmark S~ SFS /a5 ~5 < oa B a (.~~ ~, 3 . ~ ~ L{ . 7~ Bldg. Sewer ~ ~ , 5 /b3 , 3l0 St/Ht Inlet G, ~5 ~~ ~ , ~3 SUHt Outlet Dt Inlet ~_ Dt Bottom ~ , 35 ID7.8`6 ~ i'~~j 9g : 5 3 Header/Man. /jj~J' ,5 Dist. Pipe /5Z Bot. System 2•I~ Final Grade O' .Ia D ~~ . 5 St Cover `~ ~ / , L (O ~ ' ~3 BED/TRENCH Width Length ~ No. Of Tre hes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ /~/~ w e ~ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Q,( system: / U / C~ ~ I j ~ ~ n _ Ir'~ UNIT Model Number: - l D U ~ I I ~ J ~ ~ l]ISTRIBl1T10N SYSTEM Un 1'eP Header/Manifold [ y ~ ~Z Length~~ Dia Distribution ~ ~ / f I ~ P'pe(S> DO L / Z 3 length / Dia Spacing x Hole Size t f `3 ~ ~ ~v x Hole Spacing, ~ 3 `~ Vent o Air Intake ~~~.~.,..loe,~. ~e Sell CnVFR ., Ds~~..rn C.r~4nm~ nnly ,... Mro,nrl r1r ~4-Rrarlw SVA4P_mS OnIV ~ ~'~^'~. Depth Over / Bedfrrench Center ' 7 Depth Over Bed/Trench Edges \ xx Depth of Topsoil ~-. xx Seeded/Sodded ] No es j xx Mulched ! es i ] No ~ 1 , ; COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / ~ ~ / d~ Inspection #2: / /_ Location: 1118 178th Street H mmond, WI 54015 (SE 1/4/SIE 114 4 T29N R17W) Hillside Heights Lot 61 ~ Parcel o: 04 .17.1045 1.) Alt BM Description = ~, ~ ~ ~ ~ ~-~ C V~o ~ rg ~" ~6~ d~ G~ ~ ~~ ~ I , ~ 2.) Bldg sewer length = Zrj I o W (~k, - amount of cover = ~ 2 ---~~ Plan revision Required? ~ __] Yes li ( ~JI, Use other side for additional information. ~ _.~~ ~~ _ ~ `_ _ _ _, Date SBD-6710 (R.3/97) tlY, /. Of ~~~ Cert. No. ~ ,,, ,~ -wla1G[ aIILL D1.fIQlt1 J 1J1V1J1Un 201 W. Washingto e., P.O. Box 7162 ~-UUIlI " { ~ ° t ISCt~/IS/lf Madison, 7 - 7162 Sanitary Permit Number (to be fie ed in by Co.) De artment of Commerce (608 2 - f15]~ ~ ~2C~ 2 Z ~ " ~~ J Sanitary Permit pp ~ State Plan LD. N umber ' Ill accord with Comm 83.21, Wis. Adm. Co e, personal informatl v ~ i ~- 3 3 3 ~7~}~ . /p. may be used for secondary purpos s Priva /Iraw, 615.04 1 m F~ O( ) ' , Project Address (if different than mailing address) ' .~ a, I. Application Information -Please Print All for tlt~n , . r,~ ~ ~/ _ l '7 r Z ~ ~' ~ ~ ~~ ~ / T ~ S`~ Property Owner's Name t.~ ~Sm t'< / G ( Parcel # Lot # Block # ~ ~ Proper t y Owner's Mailing Address J ~~ Property Locate - 7 ~ ' City, State Zip Code Phone Number '~°> Section ~_ Y-= ~°~ L e o y Ircl ~ J ~ I I/Type of Building {check all that apply) ., ~ g w.. T N; R E c~ W J ~.-~ ~ ¢S~ 1 or 2 Family Dwelling -Number of Bedrooms ~ S ~ Subdivision Nam CSi4i-?iumber+ ^ Public/Commercial -Describe Use ~ ~C ^ Mate Owned -Describe Use ^City_^Village (Township of III. T ype of Permit; (Check only one box on line A. Complete line B if applicable) p _ Ze~9 - ~ j- oaz~ a S `~' New S stem y ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Pernvt Number and Date Issued Before Expiration Plumber Owner ~~ t ~ t r r IV. T e of POWTS S stem: Check all that a 1 - ^ Non -Pressurized In-Ground ^ Mound >_ 24 in. of suitable sol ound < 24 in. of suitable soi ^ At-Grade Q-Single Pass Sand Filter Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recircu]ating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: __ ~y2 a Design Flow (gpd) Design Soil Application Rate(gpdsfj Dispersal Area Required (sf) Dispersal Area Proposed (sf) S stem Eleva6o ~ ~ 3~ ®~ I ~ /0~-~3 VI. Tanh Info Capacity in Tota] Number Manufacturer Prefab Site Steel ~ lc Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank • ~ ~ ` ~ Aerobic Treatment Unit Dosing Chamber r~ / W ., ,!!v, VII. Responsibility Statement- I, the undersig d, assume res ilityfof Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu s Si tur ... MP/MPRS Number Business Phone Number ~k~ - . a o~ 3 -,,3~ ' Plumber s Address (Stye t, ity, State, Zip Code3' s-~ . ~ ~ ~ ~~-' t ~ o~ $YL (~ ~ ~ c' VIII. Coun /De artment Us Onl Approved ^ Disapproved / Sanitary Permit Fee (includes Groundwater Surcharge Fee) Date Issued Issuing Agent Signature (No Stamps) ^ O ~ en Reason for Denial ~~// _ _(`Z~ J Z IX. Conditions Approv 1 SYSTEM OWNER: ~ ~ 5 `~ '~ Z ~ ~~`^^ 33 1 Septic tank, effluent #Ilter and -"'~ dis s l ll t !I b ~~~~ S~ ~ per a ce mus a e serviced /maintained - ~,- i as per management plan provided by plumber ~ l . ~ 2 All s tb k i ~ ^^~` ~ ~ . e ac requ rements must be maintained r - ^^ ~ "E ' ` ~~ as per applicable code/ordinances. ~ a~ o~,G~,~A6~ ~c(.~ ~-S `r `~ ~ - ._~Qn ~, Q e ~ Attach complete plans (to the County only) for the1s/ystem on p per no/t~less than 81/Z x 11 inches in size /; T~ Vvl. s~bC v'-lam C 6~i-2.~.a~ w ~ `~-(~ u-~-. SBD-6398 (R. 01/03) ~~~~ °~ ~~.-~ ~~ ~~ ~~~~ I~~vtd ~". St~~T ~"`~'1~t~°`r'~1 Cutti.z~~ ~~d~,~ ~'ouY`, ~,,L(" L.ic. #24~95~ S~ u4,~B1/4,54,'~9N,R1 y'1W Tawu of 7~1a~tti, St. Croix ~. ~illsir~e H~ig~ts, dot f 1 t AyR; ~:. i7~pr~ltt1~14~7+ L'.11~. 1 il~.~+w~"t ~+ ~ 1~.~ ~~~daC~r7Yl~ jf a~ZC. $~i.6 ~7~`f -` ~0~ ~~~~~ i~~~~fi~~~ $~ ~ 1~11.3~Ft ~2 = j O t.~(1I~`t ~~ ~ yo~.~~~e ~~. = it~.~Q~t N 994 2t]~ir~' St. l~~td, ~ S~U02 $x.(71 ~} d$4.56~~ ~~x.~'715) 6$4-3449 y~~~. r r acsS.e.. PrnPas~~ ~~ a ~' .~ y `~"` ~~u~~~~ f r ~~~ ~'f ~ ° ~ ~~~ C~p~ ~i ti~ b ~ ~ ~~ ~~ tl' ~~ F ~ z.a'~,l,e ~-.o~ ~° Za~!`~~s~' 13.E f.~" ~. ~ ~ ~ ~~~~ X6K1 d r+ ~s~-- 1 v z . ~t -~ °'~ ~~ ~~~^ ~'~ f x `~..` c;~~ -rte r /,, `? ~ , ~~ .,~„" ~~ ~~'~'° 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. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 13, 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: 06/13/2007 SITE: Cutting Edge Four #61 Hillside Heights Lot 61 Town of Hammond St Croix County SE1/4, SE1/4, S4, T29N, R17W Lot: 61, Subdivision: Hillside Heights Identification Numbers Transaction ID No. 1144333 Site ID No. 699934 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1022900 Maintenance required; 600 GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) Coil APP R7M OF SEE COF • Per manual cited above, limited activities are allowed in the area 1 S feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • 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 145.14, 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. Stat MICHAEL P ROGERS Page 2 6/l3/2005 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~j ~ ~i~ ,_ ,.~ LAG? ~~:~ ~~Jjl~ ~~ Charles L Bratz ~J POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name Owner's Name: Owner's Address Legal Description Township: County: mound # 61 Cutting Edge Four E976 170th Street Hammond, W I. 54015 SE1/4, SE1/4, s4, t29n, r17w Hammond St Croix Subdivision Name: Hillside Hieghts Lot Number: 61 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 RE`iE~VED Page 2 Page 3 JUN g 205 Page 4 Page 5 SAFETY ~ DUILDiNGS Page 6 Page 7 Page 8 Page 9 Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications ~l?Qrry Management and contingency plan ~~~ Pump curve and specifications DFCOIt9MERCE Plot Plan ~y~~ Soil Test ~• ~~1GS SPONpENC Designer: Mike Rogers License Number: 225094 Date: 06/06/05 Phone Number: 715-235-1132 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c} R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 6.00 Site Slope (%) 102.90 Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.20 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 65.00 Forcemain Length (ft) 91.50 Pump Tank Elevation (ft) ~ / ~~ 4.55 System Head (ft) x 1.3 7 ~ // 12.73 Vertical Lift (ft) ~'~'~ ~ t0 1.63 Friction Loss (ft) 18.91 Total Dynamic Head (ft) ~i~ ( ~ Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Linear loading rate may be too higF Are the laterals the highest point in the distribution ~~ network? Enter Y or N If N above, enter the elevation ft) of the highest point. 9.38 ft2/orifice Does the Forcemain drain back? ~Y~ Enter Y or N 10.60 Forcemain Drainback (gal) 90.45 5x Void Volume (gal) 101.05 Minimum Dose Volume (gal) 34.46 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallonsllnch Calculator (optional) Treatment Tank Information ~ Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) y' Total Working Liquid Depth (in) wieser Manufacturer /C . / Z gal/in (enter result in cell 649) Dose Tank Information 7~_,7 G ` 759:96 Dose Tank Capacity (gal) 16.12 Dose Tank Volume (gal/in) wieser Manufacturer Project: mound # 61 Effluent Filter Information Zabel Filter Manufacturer A100 Filter Model Number Page 2 of 9 Mound Plan View 1_ -T -~ -~ -Y Mound Component Dimensions Down slope toe extension made. A 6.00 ft E 26.32 in H 1.00 ft K 11.42 ft B 100.00 ft F 9.50 in z 24.00 ft L 122.83 ft D 22.00 in G 0.50 ft J 7.94 ft W 37.94 ft 600.00 (ft2) Dispersal Cell Area 3000.00 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Linear loading rate may be too high Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.53 (ft) ~t~~~~~f z ~~~~, ,,,, F 104.73 (ft)~- - Dispersal Cell :::[]3 ::: ; ::::: Elevation ~I H Dispersal Cell w 105.23 (ft) Lateral "' ' ~ Invert E :::::;:::::~:~:~ D :~:~:~:;:::~3 ::~. . 102.90 (ft) Contour Elevation Shading Key 1^ ~ Topsoil Cap © ~'~'}' Subsoil Cap ®0 ASTM C33 Sand ® "=~:~.~, Tilled Layer ^5 Aggregate 6.0 % Site Slope 'a a. I - Dispersal Cell m y ~°- 1.5 ft o yo ~~ ~ m 0.5 ft Typical Lateral F ~ N T ~ ~ ~ u, ~-- A Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: mound # 61 Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection uia tee or cross to maniFold at any point. Laterals are idenkic al I P • =Turn-u p wi ba I I va lue or I~ ~{-j I~ xl2 I xl2-~I Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. S Number of Laterals 4 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 4~~J ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density Lateral Flow Rate 8.62 gpm Manifold Length System Flow Rate 34.46 gpm Manifold Diameter Total Dynamic Head 18.91 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -~ Comm 16.28 WAC I I Disconnect II ~ Tank component is properly vented Wieser ~ ~ Capacit 750.00 Volume 16.12 Manufacturer Gallons gal/inch Dimension Inches Gallons A 26.26 423.27 B 2.00 32.24 C 6.27 101.05 D 12.00 193.44 Total "7" 4C~ 750.00 A B C D ding under tank. Alarm Manuafacturer septronics Alarm Model Number mjj1 Pump Manufacturer Zoeller~~~ Pump Model Number BN152 Pump Must Deliver 34.46 gpm at 18.91 ft TDH 0.156 in 3. ft 16 9.38 ftZ/orifice 3.00 ft 1.50 in 3.52 ft/sec Locking cover with warning label and locking device and sealed watertight i 4 in. min. ~_ ~ Alternate outlet location Forcemain diameter ~f 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 92.50 ,Dose tank elevation (ft) ~ 91.50 Project: mound # 61 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name ~~~-~~ Rogers Plumbing Phone 715-235-1132 POWTS Regulator's Name Dunn County Zonin Phone 715-232-1401 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mglL Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftZ Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Inspect and/or service once ever 3 ears Should inspect and clean at least once ever 3 ears Test once ever 3 ears Should test month) Laterals should be flushed and pressure tested ever 1.5 ears Inspect for ponding and seepage once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ••........••.. ............... Grade ~ ~ . .. .. .. . 6-8" Diameter Lawn . ~ . . ~ . ~ Threaded Cleanout Sprinkler Valve Box ~ .:. ~ Plug or Ball Valve Distribution ' Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: mound # 61 Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10' cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: mound # 61 Page 6 of 9 i~ x z 0 0 i~~Jf`ia~iiJi..l ~>~ia ! ~R i ~~R ~E~I~I.. ~-PpLIC~1TI~I~S • Timed dosing panels available. • Electrical alternators, for duplt:x 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. • Scaled Qwik-Bax available for outdoor instal{ations. See FM1420. Over 130°F. (54°C.) special quotation required. 1 5111 5211 53 Series 151(152/1 53 MODELS Control Selection Model Volts-Ph Mode Am s Sim lex Du lex N151 115 1 Non fi.0 1 2or3 BN15T its 1 Auto 6.0 Included 2or3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 23D 1 Auto 4.3 Included 2 or 3 N153 115 1 Non ' 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 ~ 159 30 9.1 -- - 23 87 33 125 35 10.7 -- -- - - 22 BS 40 12.2 - - - - 11 42 Shut-dff bead: 30 ft. (9.1m) 38 ft. (11.6m) 44 ft. i13.4m) orasoee Model 151 I I I n ii/is ~ I ~- 4 3/8 I t 151 :,ELECTION GUIDE A CAUTION -Ali insta!{ation of controls, protection devices and wiring should be done by a qualified licensed electrician. All elecirical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). SK2064 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. I~ESEI~VE E~~~~~E.~ ELI For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. --'~ MAIL T0: P.0. BOX 16347 ~ ® ~~ `~ ~ ® Louisville, KY 40256-0347 Manufacturers of .. / 0 SHIP T0: 3649 Cane Run Road Louisville, KY 402 1 1-196 1 QUdL~TY ~UMPB J NCE ~~3,9 ~~ nrrp:~~rvww.zoeNer.~,,, PUMP !Q (502J 77FAX735n71 ~~0~9~ 8-PUMP 3 27 Models 152 / 153 ~z )L i I 12 1/6 _~-_ ~/t -_L © Copyright 2003 Zoeller Co. All rights reserved FLOW PER MINUTE 074508A .. / ~ SECTION: 3.20.014 QL/.4L/TY~L/MPb' ~N6'E /~L~~ ~ ,~ ~ ~ ~~~ - FM1919 ~~ 'y ~,~ ~ ~ 0403 ~~ ~' y Product information -»=^ ~~ ~ ~ ~ ~ ~-=~~~ ® ~ ~ Supersedes presented here reflects ~,~/~ ~ ' ~ %' ° 1202 conditions at time of ~~i~ifii'+iiW/ ~~'.9~~~~ ~~. publication. Consult factory regarding discrepancies or MAIL T0: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: inconsistencies. SH/P T0: 3649 Cane Run Road • Louisville, KY 40211-i96i hffl7://www.zoeller.com (502) 778-2731 • 1 (800) 928-PUMP • FAX (502) 774-3624 SO~~t ONSRE WAST6NIA7'ER PRODOCTS INTRODI/CI/YG 80~4L~R O~I/~rT~ `DOS~/II~IT~" SUMPS ~t~i4'il~l-(E ~3'i-E`.`fc 1=~~~i ~~~ v Durable cast iron construction. Model 151 comes standard with aglass-filled polypropylene base. Corrosion resistant powder coated epoxy finish. Stainless steel lifting handle. a Assembled with stainless steel bolts. Non-clogging engineered thermoplastic vortex impeller design. Model 151 -1/3 HP passes ~/z" solids. Model i52 - .4 NP passes 3/a" solids. . Model 153 - 1/2 HP passes 3/a" solids. Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected. CarbonlCeramic seals. m Upper sleeve bearing and lower bail bearing running in bath of oil. y 20 ft. UL Listed power cord with molded 3-wire plug. 1'/z" NPT vertical discharge. BN and BE standard models include a 20 ft. variable level float switch. Operates at temperatures to 130° F (54° C) in effluent applications. d All models include a 1'/2" x 2" PVC adapter fitting. Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or ...dosing timers. with nonautomatic pumps. ,, ~~~ ~:,~ - Manufacturers of .. . l Q, 151/152/153 EFFLUENT SERIES (For Pump Prefix Identification see News & Views 0052) ~s~ ~ ~ `J e ~ ~ ~, QL/i!L/TY /-UMP6 viNCE 1~~~/ ~ t ©Copyright 2003 Zoeller Co. All rights reserved. FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) AND ENHANCED FLOW STEP SYSTEMS SSPMA EFFLUENT MEMBER s°,~ SUBMERSIBLE o~". ~, ~~,~~A~ 1~/s" NPT DISCHARGE ~j 2 .y CRp~ ~~ ry~-~+-g~ ~+ - T~~vid. ~', St~~T ______~.. 9'94 200 fit. i..r~l ~ "'Y-R,/ Yl` 1-71Yi tr~{r1~Y.~~ L.:~ii~~ ~ Qlu y ~l..r~4..~ i?~~l~~y YV ~ ~Y~Lr Lic. #24956 s~~~~,s~lf4,s~+,~rz~r~;K~7w B~.(71Sj 684-Sb$~ Tcswx~ of ~Iazruucr~ui, Sr. Crai:c ~o. T'a-x.("715) f ~34r3449 l~lisic~ H~i~s, I.,~t b~. .. - l~~s.~,ta~ia~l~ Eli, IOQ,tSGFt '1'es~ ~~3l~'" ~xve p3~~ ~,lE:~s~~aa:hrnat'k f31e. ~~.bS~ °3'~~ ~f~14" Fvs pips Bc~ri~~ Et~v~tyotas ~1 ~_ ~~i1.3~Ft ~z = 1d1.311~`t ~.~ ~ X43-~4Fa ~~ = 1~#~.?AFt ~`~ i m~ LJ ~\ "lvuS+~. propas~a0 :~ J 7 ~• ,yn~Vc ,~ ,, ~~ ~ ~•`~ ~` ~ f ~~ 'fit . ° ~- ~~f ~i ~r~.~r~~ ,~` ~~ ~ a~r~l~ ~~~'~ ~ yY~ V M~ ~" Yt" hF ~`%\ r ~~=Y" ~~ ~d s t. , , .y Wisconsin Department of Commerce Division of Safety an~ Building's ~a~.> SOIL EVALUATION REPORT in ~rrnrci~nro wi}h Cnmm R5 Wic Adm CrufP 1541 Page 1 of 3 Steel's Soil Service, Inc. County Attach canpie site plai.on paper not less than S'lZ x 11 inches in size. Plan must St. Croix inGude, but td vrattia~[~rddk~prizontal reference point (BM), direaion and " Parcel I D ~orft-•arraa, and location and distance to nearest road. percent slope, scale or slim . . Pending Please print all information. iewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ 'Z Property Owner Property Location Cutting Edge Four, LLC Govt. Lot n/a SE 1/4 SE 1/4 S 4 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# E976 170 TH Street 61 n/a Hillside Heights City State Zip Code Phone Number J City J Village yJ 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:n/a Parent material Ground and end moraines, pitted glaical drift _ Flood plain elevation, if applicable General comments and recommendations: Mound design, system elevation 104.74 ft. based on contour line elevation 102.90 tt. 600 GPD n/a 1 ^ Boring# J Boring °'^ 19 uS-= s' ~ Pit Ground Surface elev. 101.30 ff. - B( f82 a Depth to limiting factor 14 in. 14+t, ~ 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 0-8 10yr3/1 none sit 2msbk mfr cs 1f .6 .8 2 8-14 10yr4/4 none sicl 2msbk mfr cs n/a .4 .6 3 1424 10yr4/4 f1f7.5yr5/6 sicl 2msbk mfr n/a n/a .4 .6 Boring # Boring Pit Ground Surface elev. 101.30 ff. Depth to limiting factor ~_in. Sod Application Rate Horizon 'Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIftZ in. Munsell Qu. Sz. Cont. Color Gr. St. Sh. *Eff#1 *Eff#2 1 0-16 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 16-35 10yr4l4 none sicl 2msbk mfr gw n/a .4 .6 3 35-50 7.5yr4/4 f2d7.5yr5/6 sl/scl om mfi n/a n/a .0 .0 * Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mglL * Effluent #2 =GODS <30 mg/Land T55 < 30 mgn_ CST Name (Please Print) ignatur ~ CST Number David J. Steel ~~~~ 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/10/2004 715$84-5680 Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 Boring # :J Boring Pit Ground Surface elev. 103.60 ft. Depth to limiting factor 20 in. Sod Application Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots P p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 8-20 10yr4/4 none sicl 2msbk mfr gw Na .4 .6 3 2 8 10yr4/4 f1f7.5yr5/6 scl n/a om n/a n/a .0 .0 ^ Boring # --~ Boring _j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Applicatan 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 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. ` ~ • • Page 3 of 3 jl~ 1''" STEEL'S SOIL SERVICE INC. David J. Steel 994 200"' St. CST-POWTSM Cutting Edge Four, LLC Baldwin, WI 54002 Lic. #248956 SEl/4,SE1/4,S4,T29N,R17W BuS.(715) 684-5680 Town of Hammond, St. Croix Co. Fax.(715) 684-3449 Hillside Heights, Lot 61 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. I OO.OOFt Top of 314" pvc pipe • =Alt Benchmark Ele. 99.65Ft I V Top of 3/4" pvc pipe ^ =Borings Boring Elevations B1=101.30Ft B2 = 101.30Ft B3 = 103.60Ft B4 = 100.70Ft ~G ~ _ ~~--P~, ~- ~.r~ ~ Imo.. ~~ ~.,,,~ -~ yam. Ya--~'~ .~ = l~ P w..a- b . ~~~~ ~i~- aK~ ~~ g ~a ~~~' ~ ' ~r C6~1au: y /0 3, 6DFy ~a' -~~ a~3 ~~~ ~p3o~t- ~~~ 5% 3a~~-- .• 'S ., 1~ \ \\N ~6`e2~ 2 ,..~~ \ ~ \ ~ \ \ ~ \ \ N.B. . a ~ ~ \~ ,_ _ 6~\ \\, ~~, ~ - ~ \ ~ ~ 6 S.F. \ \ ~ ~ \ \ ~ 5457 S. F. \ ~ °' \ \1.56 ~A~. \ ~ ~ \ ~ ~ ~ ` 1~ ~ AC. ~ N.8~6\ 753 S.~ \ \ \ \ \ ~ - ~ W N.B. 1.rs6 Ac. \ \ ~ X ` 1X i ~~ ' 1~ 60530 S O' \ N--~'~-7' "\ ~ 1 ` ~ r. N.B. 1.39 A ,~" ~ ~ \ 394.84` x - ~ 0~ TEMPORARY M \ _ ~~ ~ ` - -~ / UL-DE-SAC ~ ~ \ \ / ~ I ASEMENT. TO ~ ~ ~ ~ ' UPON MOVED Z ~ \ ~ 68868 S.F` \ ~_ ~\ STERLY \\ 1.58 Ac. ~ ~ °'~ ~ ~ XTENSfON F ~ ~ OAD AY. NAB. 68868 S.F. ~ ~ =11.58 Ac. / ~ + 1 6 61 45' ~ ~ ~ ~ / o -` ~ 3p _ - N 89'51 W ~„~ ~ N ' o ' s~ cv >>'S8 45„ ~ co N 89'51 ' W r7j ~ S l o ~- -~ ~ ~ ~f ~- ~ ~ ~ ~ - 74627 S.F. / ~ ~ ~ ~`~ ~ r, i 1.71 Ac~~ ~ i~ i ~ ~ 1 _ ,. ~ N.B. 6~d0 S.F. (1 ( r ~ i ~ ~ N113! 1.fi0 Ac. ~ ~ _ ~ \\ ~ \ ~ ~ ~ V ( -32.1 fs' -- ~ ~ ~19~ I ,~ o ~ ,- , ~ ~ ,~ ,, ~ ~~ { d: 66828 S.F. ~ "~ rn 4599 s ~ ~ rn 1.53 Ac. CO ~ (~ ~ r O N.B. sss2s s.F. \~ ~(~ ~ (~ ~O i ~' W ~ - 8 ,5: N.B. 1.53 Ac. ~~ q -~32' ~ ' ~ 66 ~ , ~, ~~ l ~~~4~ ~ ~ ~ ~- z1 w 65341 S. POWTS OWNER'S MANUAL MANAGEMENT PLAN :FILE INFORMATION Owner • ° .(' (~'N.C Permit 3 2 Z DESIGN P TERS' Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow {average)* d gaUday Design' flow (peak), estimated x 1.5* gaUday Soil Application Rate aUday Influent/Effluent Quality (NA^) Mon y Average** Fats. Oil 8c Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mg/L 5 250 mg/L Pretreated Effluent Quality ^ Monthly Average** '::Biochemical Oxygen Demand (BODs) 5 30 mg/L Total Suspended Solids (TSS) Fecal Colforu~ (geometric wean) 5 30 mg/L 510+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter * WastewaterFlow Verification on and calculations: {Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer- ^ NA Effluent Filter Manufacturer p NA Effluent Filter Model ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At grade r~Mound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate_,gpd/fl Area Req. ~ eft Absorption Area Credit per unit ft Minimum Number of Chambers ^ Aggregate Design Flaw/Loading Rate= ~ min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. ~Publicatian 15.22 ^ "Design of Pressure Distribution Networks. for Septic Tank-Soil Absorption Systems" Publications 9.6 °`Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 Q SBD -:10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -.:10567-P (8.6/99) "In Ground Absorption Component Manual" SBII-10705-P (N.Ol/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628--P (N.6/99) "Recirculating Sand Filter System Component Manuai" p SBD -:10656--P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD -10572 P (8.6/99) "Mound Component Manual" j~SBD -10691-P {N.Ol/Ol) "Mound Component Manual" Version 2.0 Q SBD -1OSr15-P (86/99) "Single Pass Saud Filter Component 1VlanuaI" Cl SBD =1065?-P {R.6/99) "Drip-line Effluent Disposal Component Manual" O SBD - l OS73-P (R b/99) "Pressure Distribution Component Manual" SBD -10706-P (N.Ol/O1) "Pressure Distribution Component Manual" Version 2.0 p .Drip-line: Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months ear(s) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cells} At least once every ^ months ear(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) inspect pump; pump controls & alarm At least once every p months ear(s) ^ NA Flush laterals: and pressure test At least once every ^ months year(s) ^ NA Valves At least once every p months .year(s) ^ NA Other: At least once every ^ months °^ year(s) NA Page of START 1[JP 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 startup shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The. property owner is responsible. for the operation and maintenance of the POWTS and submission of required reports. The quantity .and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances .and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface ' whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/finit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minimized. Toilet tissue is the only paper that should be discharged 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. Maintaia a rem°ular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. Valves aloes shall be operated in the following manner: (Alarms ////// '~~`"Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service PCtWTS, 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 Flumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardwaze, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly .corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective .locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum i-~ any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ,Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ^ ln-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate 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 evidencg of surface seepage or dischazge. 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 unpending hydraulic failure necessitating snore 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 . ens that e use ual distiribution of effluent is occurrin to romote the lon evi of the s stem. q 8 P g tY Y REFORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned incompliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all t d i anks an is shall be removed and ro erl dis osed of b a Se to a Se 'cin P rn erator. P P Y P Y P g g OP - ARer pumping, all-tanks .and pits shall be excavated aad 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 infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. A suitablereplacement 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. ^ 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 azea is available a holding tank maybe installed as a last`resort to replace the failed POWTS. Mound and at. grade soil-absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface.. Reconstructions of such systems must comply with the rules in effect at that time. «WAI;NING» ~ . SEPTIC, PUMP AND -OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. -DEATH :MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IIYIPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name Phone . SEPTAGE SERVICING OPERATOR (Pumper) Name Phone. K:IWPDATA~EH~POWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTIiORITY Agency Phone Page of J:tl l :3= 04.4~i~~ L+suE Dalton F75i:~+E~l2l't~ti 15:13 61'2'~82i3ti~ KEFTN 1+.+n GE1 L'5 ~3:24p Dav~+ Ifalton 11 y - i"y5-575 1 ?15-796-5?S1 sT cROtx cauivrx SEPTIC TANK MAINTENANCE AGREEMENT AND pWNESRSkE,P/~C.EFtT~EF2CATtaty F~~ M'ai1vnn A.d'rtfiks t ~ --- ~-~~.~~~_~~~~ City/Slate (Vvr:ficstio~p+'cr~~aai f':aai'rnuwatg for aew .t ?itGE ©2 p.2 p.i Ut~- ~ U ~ Cdetiti'fication Number Properly Lacstian %, '!~, Sec. . T N.gl,_,.'W, Town of ~' ~~, ~a ~ ~= -~~ 1~~~~ ______ .Lot # .. ~ ~ . t Sut~dzviaa:: ~-_ Cartifaed Survey Mttp !1 ., ~ ,. Volurnt „r____, Page # t~arrar-t,+ ;7Kd is ,_,,.,~~„Q__~~ . Vcl:ctttc _~_? , Psgc ~ ~~ ---- 5pee house O yrs D ato Lat Imes identifiable C] yes ©tao Impropot ale a~ miistca.ace of your septic syettru could rcsuit in its prem,aturr fiilrees to bACdle aAdes. Fsopxmas~e t:oasists ofpmapats our !be aevdc tssJc every Ibrra yeas to aaaaar, if xoededby a liaeast+~ ptuayet» Wl:Ai y!+n ppx iQtr. ~0 iYs~ cao select L'.i Y1+G'St"G a' ^i:::arpde uu4ie as a aeaaueat stAge io ~aue waste duposAi syarrm. ?~,. p:o~~enr ovvtt.r a„>t~ rs ca .ubr.~r en ~~ ~~ Zoamg DtC,araneat s cettilScatioa foamy ritoed by ~w owsurs aed br a masteapl:tizE+ot,j:.t:rs~s«t»sa±-1^mocti, restrictedpl+:~b+ncradic,oc+s-dp~a~prcvecfjiatthat(I}~:oot!-tiitewasoswatesdE~aeAtsyAtem is un ptopeC aPcr :rs f Cor,~t'tLaL i~G~i s (2~ i?uac Sara ~ccvn west; astPsag (it ascessn~.Y), t3a scpua trolc is lass d:sa Ild AdI o~s~ad6e. t/we, the ttedarsigaed blue rcad thr above ragvucmcnts sad igttc to mointa4a the privste sewsgedtsposel system wide the titltodAtds set :artb, h`:r~'s, ss aaz'a> dse nepaaoepts of ~omtnerce and the Aepathtier:t of TTasucY) Reso:tct:~, Stato of Wiieoasia. L11 00 stAdttg thAt your ee9de system his been tt~'tatained must be atsmpletsd end rLtlta-sd to !hc St t,satx Goaaty 2aafus tl~tce xittdo 30 dA c year expisatioa date. ~._.... ~,2~,c5~ s1G?~fA ~ ,y J~J'PZ.1CAPiT ~ DA1Ts QWN.~t$~C~?~I4N ! (we} cotttiy that oll smt.motsra osathis tOtm ue ttva to the best of osy (tier) ;mewtadge. X {we} am (Aso} tbte otrtirsl(i) o! cribets Abcve, by Virtue Ot A watisaty dtEd tsGDrdCd En 1beQistu of DeCd's Ofi~. ~~ SI OF APPT.lCAM DA?E ' S •• •••• Any iufotmation t5at is mil-represeateda:Ay result in thr asnimty pertait bciAg reuokod t:y for ZouintDepartzo~eat rsaa• •• IneludA wlfk this epp~lieAtioct: s ctasnprd warrux7r deed fsoon tfle Rtgistrs of Deems offer A aapy of the ecadGed suevey map if rcfcrcAtx is aside iA the Nsa'Aaty deed U 2832P 178 STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED Grantor, and MW J_QIHNS_ _ Grantee. Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of Wisconsin (the "Property"): St. Croix County ~ D (_Jl_~ Parcel kfentiflcation Number (PINj Q 1$- i008 - SO-dam This is not homestead property. (is) (is not) Plat of Hillside Heights in the Town of Hammond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 27th day of June, 2005. ave Dalton, Organizer Cutting Edge Four, LLC. AUTHENTICATION Signature(s) (SEAL) _ (SEAL) _ WENDY SWATZiNA ~Ny.,OpTARY PUBLIC authenticated this-.P7~R 1 ~ ,-. ...~.... TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats) THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet 1301 Coulee Road Hudson, WI 54016 5-37127 (Signatures may be authenticated or acknowledged. Both are not necessary.) WARRANTY DEED ~'~ae-~ ~ KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIx CO., WI RECEIVED FOR RECORD 06/29/2005 08:30AN 1tARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 116.70 COPY FEE: CC FEE: PAGES: L State of Wisconsin, (SEAL) (SEAL) } ss. Personally came before me this 27th day of June, 2005 the above named Dave Dalton as Organizer of Cutting. Edge Four. LLC. a Corooration to me known to be the person ~_ who executed the foregoing instrument and acknowledge the me. W4..~v t~~~Z1f10~-% Notary Public, Stat$of Wisconsin My commission is ermanent. (If not, state expiration date: ~~~a~. .) STATE BAR OF WISCONSIN FORM No. 1 - 1998 ACKNOWLEDGMENT Wisconsin Legal Blank Co, Inc. Milwaukee, Wis. tl R-D-W> - - cfl1 ~ ~ `V~ 65453 S. F. ~ I iv I ^ I I CI o t I ~'~ ; i O NI 1.50 Ac. i I U #~ .~~,8/ ~ ~ ~ 68 06 S. 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