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HomeMy WebLinkAbout018-1096-12-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildirtg Divisiei, INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Nieber al, Fred Hammond Townshi CST BM Elev: Insp. BEM} Elev: ~ BM Description: i - i ~ ~~ ~} '" ~ l ~ YI THC ~ ~ ~ -~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ ~~ Dosing ~ ~ Aeration „, / / ,, ~ ~ ~ -~{,t/ T~fi ~ / /l,, >o ~c.L/ 11 f Holding ~ / ~ ~ ~ ~:~ ~ TANK SETBACK INFORMATION TANK TO P/L, ~i?~ WELL T BLDG. Vent to Air Intake ~- ROAD Septic , ~' ~~ / ~~ ~ ~ / Dosing Aeration Holding PUMP/SIPHON INFORMATION 7Gvr~,p~~ _ Manufacturer ( ~ SZ ~1 Demand ~V e t GPM Model Number ~~ t~2 ~3 TDH Lift ~'L.2~ Friction loss 2.(03 System Head 325 TDH Ft ~Q,l~ Forcemain gth r ien Dia. a y Dist. to Well s ~ 2 ~ l SOIL ABSORPTION SYSTEM 'ELEVATION DATA county: St. Croix Sanitary Permit No: 430556 0 State Plan ID No: Parcel Tax No: 018-1096-12-000 Section/Town/Range/Map No: 09.29.17.787 STATION BS HI FS ELEV. Benchmark ,~ ~ Z 2+,-. o ~g . Alt. BM ~ 3, v Go 2- S Bld .Sewer h,:~ 3a~~ a.~ 9~-z SUHtlnlet/O Esc /,(~~p / d.G SUHt Outlet Dt Inlet Dt Bottom / ~' ~ (~ , eader/Man. C cn-~w ~~- 3-53 i ~ ~ ~ Z Dist. Pipe Ply} W~ 3.5~ ~ , ss ~ 8 .~qo Bot. System ~Z , ~7 Final Grade I Ft a~ p v~ a ~, ,,~.,. St Cover / ~~ ti ~~- .~ ~6- L/ ~S a a~- s~ Lu •'~ ..-.-t Y PZ.`~ 9~ . .Z U BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 / 1 ~ b ~ G.G SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: ~e' 87' 7y' /~ UNIT Model Number: r . DISTRIBUTION SY3'TEM Header/Manifold C.t. r ~ y Distribution) q / ~ ~ ~~ ~ ~ x Hole Size N 3~ x Hole Spacing ~ / Vent to~Air Intak-e- Length lv Dia Length l 1 1. ~ Dia Spacing ~j ~- ` p pQ-. SOIL COVER x Pressure Systems Only xx Mnund Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of / xx Seeded/Sodded xx Mulched Bed/Trench Center I ~ Bed/Trench Edges ~ / Topsoil ' ~~ Yes No ~ Yes o COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~~/~~ Inspection #2: ~ / z~ / ~ `~% Location: 1710 109th Avenue Hammond, WI 54015 (NW 1/4 NW 1/4 9 T29N R17W) Pheasant Ridge Lot 12_7 Parcel No: 09.29.17.787 /z~/z ,~~I6Y 1.) Alt BM Description = t5~ ~~ / 5 ~~ ~ f ~ 5~ ~, i- 2.) Bldg sewer length =Z~_/ ~ , ~ ~~>~al2 ~ ~b -amount of cover= y,2~ Mla$krCd C~S~ 5 ~~@5~~.e s~r~wu-- 81d~ St+we,,(q,,2y+~ ~~~°'e' 3~ R c, u, :.,~ cs ~ t,~~Q ~S f 1~~ ~v., ~icC.k1'~ra^I o/- w. t( ~ai~~ ~ ~ ~ u~ ,t-~°r ~1i~., i'le [~ ~..~ Plan revision Re uired? ('I Yes No ~ G ~ I I ~I ~,~,-.~ L~, Use other side for additional informat' n. i _ I"`° I ~1~ ~ _ _ _ __ __._ __-~ I~~ ~~ - Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) x F~-: _ Safety and Buildings Division County7~ ~0i v W. Washington Ave., P.O. Box 7162 ~C iseoinsin Madison, Wl 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce S PIanLD.Number Sanitary Perrru Applica 'on x (,~ In accord with Cotrtm $3.21, Wis. Adm. Code, personal info lion you1 provide ~ ~ ~ ~ /r-~ ~y be used for secondary purposes Privacy Law, sl 1 x~prl0 V 1 0 2003 '~ Aadras (if di$'erent thagjpailing address) /l/o / O~ x''11 ~i/~ 1. Application Information -Please Print All Information ST. CROIX COUNTY ~~ P el ~ Lot N Blak q Property Uwner's Name /~ ~~ ,, property Owner's Mailing Address M,,N~ Q Property LocaJn~on~ ~ , s-~~J '~j l / ~ ~ '/~, /~%, Section q / City, State ~~f Zip Cade Phase Nuutbher /~J W/17 .L ~~l ~ ~l/~~ ~b,,~,~/, N; RE / Eor~e) Il. Type of Building (check all that apply) ~• ~~'s ~/'rn"""' Subdivision Name / CSM Number ~or 2 Family Dwelling - Number of Bedrooms ~N , ,, /-~ / ~~ ~ /~~~ i;ff Ie^ PublidCommercial -Describe Use ~/.~~T~d ~f~K~"L ~ /C•[Ge ~1_ / y'P~~ -f- ~s-- ^City_^VDlage ownship of I~~ ^ State Owned -Describe Use T 111. Type of Permit: (Check only one boz on 1[ne A. Complete line B if applicable) A' New System ^ Replacetnetrt System ^ TreatrnmUHolding Tank Replacement Only ^ Other Modification to Existing System Y list Previous Permit Number and Date Issued B. ^ Permit Renewal ^ Pertntt Revisits - ^ Change of ^ Permit Transfer to New Before Expiration Plumber Owns' / 1V. T e of POWTS S stem: Check all that a I ^ ^ Non -Pressurized ln-Ground ^ Mound ? 24 in. of suitable soil ^ Mound < 24 in. of suitable soil At-Crrade ^ Single Pass Sand Filter ~~ ^ Constructed Wetland ^ Pressurized ln-Ground ^ Holding Tank ^ Peat FIlter ^ Aerobic Treatmnt Unit ^ Rxirotdating Sand Filter Recuculatutg Synthetic Media Fitts ^ Leaching Chamber ^ Drip line ^ Gravel-less Pipe ^ Other (explain) ~ T a-g i /1 ~'f' "/1j J V. Dis ersttl(I'reatment Area Information: P~ S stem Elevation Design Flow (gpd) Design Soil Application ltate(gpdsn Dispersal Area Required (sf) Dispersal Area Pro ed (sf) ~- ,// 900 9ov ~r z - Vl. Tank Lnfo Capacity w Total Number L Manufac err Prefab Site Steel Fiber plastic Gallons Gallons of Units 7" Concrete Constructed Glass Ncw Exirtina , Tadrs TarJts $cp~ic onL4~IJiwSF°rJc /(/~ ~~ (~ Aerobic Tmamunt Unic Du'inK Chamber /n Vll. Responslblll Statement- 1, the under d ass nslbWty for lnstattatlon of the POWTS shown on the attached tans. Plu Name (Print) PI s S' MPRvtPRS Number Business Phone Numbe P urnber's Address (Street, City, State, s g ,~ ~/ ~ ~ ~ Sri Vlll. oust /De artment Use Onl Sanitary Perurit Fee includes Groundwater Date Issued uing Age t Signahu proved ^ Disapproved Surcharge Fee) ~ ~ ~ ~ ~~ ( D ^ Owner Given Reason for Denial ` ~~'~(~pprovaUReasons forr Disap~ ~~~J ` _ - , ~ / ~~~~ an c, effluent filter and f ~>G%~~~ r.~u~C" " ~ ~~ ~ dispersal cell must all be serviced /maintained as per management plan provided by plumber. ~ ~.y~- ~.~ ~ - . All setback requirements must be maintained ~'~ as per applicable code/ordinances. /!~<f/63) ~~ ~~~Q~~~ Ca-~•• P3. ~f 3 -~ Attach complete plans (to We County only) for the rystem oo paper sot less than al/2 x It lacha In she SBD-6398 (R. 01/03) . •PAGE ~ OF g ~~ivi>; -` ~~ r~ 1 ~ LOT# ~~ L DESCRIPTI ~Nc•~l~ S ~ T Z ~.N.R. % ~ F;or x~i' SCA1.E:l"= yG BM 1 ELEV ATION ~~ O C) BM I DESCRIPTION ~p n.~ ~ " C p~'~- BM 2 ELEVATION C( ~ yU BM 2 DESCRIPTION 1 ~~ ~' -~ SYSTEM ELEVATION SYSTEM TYPE f=1- t - (~-rc.~c~',~ ~ CUN"POUR ELEVATION Oi ZU 1' ~ ~ ~ °"O f e c ~~ c.4rQ~ ~.,,i 2.0 ~ l o ti. a $. Z gym,,, ~-- -i ,, ® I ' ~- _ S ems. ~(--- -~- ~~...r~ S-ems- C~~ yy~,.a~O,p S..F.(~_ _7l ~,Jl' ~~ Z ^~~ ~~ P ~ a~ rr ~ ~,, Y~'' ~v ~a ~K ~ ~~ ~.., ~/ u ~ ~~ 1 ,\ w~~-~~,5 ~' ~' L~ ~.. ~~ 1 ~ ~ ~.~ I 1 ' f ~% ~ 4~c~ ~~e slo ~,.g ~ ~~ ~~ II G(/ Z ~ +•,~, r "~ ~ w M .ZF,~b LQS ~ i ~ ~ ~~ v I g F- ~ W 1 ~ q~ b iv / I F V ~~ , ~ ~ 00 I ~ , I O ~ J I ~ ~ W / M (~ / •.J ~ ; ..J M r ® N w f ~ • r~ a d M tip: £ z/ F / too ~. ..- , ' ,O£ • Ir ~ IrM N ` 0 ~ - ~ ~ ./So ON >, ~ r ~ y h •... W / ~ ^ i ~ 0 ~ ~ j : ~• I Gj , M06° 08~ 3 J a 4 ,91 oIOS ~.. o Mt '~_ c~ ~ r , ~ t 3 • ~ ~ 3"s~•SZoZ//y t ~ ~ Jtp ~ti: ~ ~ tO' I ao M ''~ I N W ~ ~ a~ a N ~~.o t, , s v^,°~ N a N d' ~ r.. / ~'~~C 41 ~ N ~r _ r uW. . ~O•tr / / t ~E M ~ '~ Q/~ , ! ~ ~' 0 ~ ~ , ~ ~ ` t, ( • B t ~ 1'tiJg -r S ~ r ~ ~ ,I '6££ ~ X °`~ ' ~ ,O N X~p ~ W I r O ' y Nr ~ ~t i ,, t .~ ~"'• W / a cfl W 4q p b a ®~ i M -- M` 1 W ~ca~ o N ~ cod Q p~~N o ~ ~ XM ~ O ~ Z N '" `~~ Mir ~: O~y~ - '~ ~' ro rnv ~ 40• ' 40' ~ ~ r~O .. g ~ -+ 75. ' e • . 1 - X ~ .. o 0' 76.85' ~ ' - - - - - - ~ o - ~_"~ i . - -. - - - - - - - - -- --- IBS T L ! NE OF THE NW 1 i4 ! 70T S TREE T •~ , s ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. coin me rce. state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 04, 2003 CUST ID No.li9462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/04/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMiCHAEL RD HUDSON W[ 54016 SITE: Ron Bonte Residence 110TH Ave Town of Hammond, 54002 St Croix County NW 1/4, NWl/4, S9, T29N, R17W Lot: 12, Subdivision: Pheasant Ridge FOR: Description: Three Bedroom At-Grade System Object Type:~POWT System Regu ate bject ID No.: 928624 Identification Numbers Transaction ID No. 937740 Site ID No. 667675 Please refer to both identification numbers, above, in all corres ondence with the a enc . 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At- grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570-P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • 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. Cotta • 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 r d ARTME! • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N 0 requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ SEE C~RF • 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 • Comm 83 22(7) A copy of the approved plans specifications and this letter shall be on-site durine construction and open to inspection by authorized representatives of the Department, which may include local inspectors. TODD L SINZ Owner Responsibilities: Page 2 11/4/03 • 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/instal lation/operation. [n 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, ~~~~~~~ Charles L Bratz POWTS Reviewer 1I ,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 Henry F Grote ,Certified Soil Testing w s N ~ ~ ~~~C" onte - At-grade System Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6/99) Location: Lot 12, Pheasant Ridge NW 1/4, NW 1/4, Sec. 9, T 29 N, R 17 W Town: Hammond County: St. Croix Date: Owner: Address: Plumber: Signature: License # Attachments: November 4, 2003 Ron Bonte 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve 8: system management RECEIVED O C 1- 2 2 2003 SAFETY & BLDGS DIV. page 1 of 8 >~aldy D =COMMERCE ~D DING PONDEN 1011 170th St. Hammond, WI 54015 • . _` Design Criteria Y~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfuI100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 45'b gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length Z @ Lateral elevation Lateral hole size 31~e in. @ 2s holes/lateral Design Calculations '•~ gallons/sq. ft. per day >, 3 ~ in. ~ z ,-, 3.~ `3 N (~ ~t,~ X1-9 • o °t ~ .'~ ~,4 . o S-o Lateral volume ~ s • ~ ~-`~ Total lateral discharge rate 33 • ~ Network pressure compensation losses ~ •~-~ Elevation difference ~ 3' ~ Friction loss 3•x"3 Total dynamic head ~-°•3S? Pump/siphon 3 4' gpm @ ~'~ Manufacturer ~ ~~ << ate, Dose volume ~ ~ 4.3 Liftlsiphon tank `~ ~ ~- ~ ~ ~~' t ~, _ ~,,~ Co...S~ •, Septic tank , . Effluent filter ~"Q'"`~a F' o ~zZ - i 4- 3W Measurement pump on and off ~' ~ Height alarm from tank bottom ~ 8 • ~ Reserve capacity 3 5~ } specs.calcs.res in. W fi V ft. of Z• in. ft. of in. gallons ft. of 2• in. ft. @ bottom of lateral in. ( Z• o ft.) Spacing holes total gallons gallons/minute @ Z•' ft. head ft. ft. ft. @ ~'~ gallons/minute ft. ft. of head Model # ~~ Z- gallons ~'~ gallons ~ `~'`~'" gallons in. in. gallons Page ~ of ~ ' . •PAGE 3 OF g `~t~SF `<~ r~ 1 C, LOT#~7 L CTAT D S RIPTION ~(l~ ~Nc~~~ S ~ T Z ~',N R ~ ~ F~o~kn' SCAIE: t"= ~/CG BM l ELEVATION (()Q, U BM (DESCRIPTION-~pT ~ ~ ~~~r' BM 2 ELEVATION Cf yD BM 2 DESCRIPTION ~{-___Q ~~ ~ ~~P UCH P~~ -Q SYSTEM ELEVATION ~ ~SU SYSTEM TYPE ~ f - (9-YCcG~-P CUN"POUR ELEVATION ~S~ ZC~ oO tom`` `/ ~' r ~ ~.a..Q~ ~0.~°~'h~s - ~~~~ ~~lo~,,, 9g,Z ~~ let ~ ~ ~ ,$3 ~~ ~' ~~ 1 ~ °c4~o~, I it i i i \,~ 3 ~ s; ~ ~ ~~~ p f nn_ , ~..C~ d~' u.i ` ~ - vo ca..l.,o ~.,,., i. ~~,- ~. oa 5 ~, 4-L, ~.. ,~ ~~.... ; ~ s l o ~,,.Q ~ ~"' "' "~ ~ k to f~,. ~~ ~~ i ~, 5~ 5- ~.~.o' l-,~, s'' ~ \ t7. t~ 5~ ~~.~'. iii _--_--- -----_~ i LL---------°-J o b s o,,, ., ~.~-: ~. ~~4~ b" x ~~' .a.,. Ly ~ I ~ ~ t a c (1~ 1 ...,.. ~ PJ ~Q ~ QIr ~! 0. Tj O M W~ Qi~ 1 ~~~« " ~ -~' Fabric - Observation Well ~ Distribution Lateral 12 ~~ ~~~~~~~%'~7~ ~'~„~ -.- 2 ~~ ~ ,., ... - /~\ / C..N q 8.2., ~~~ S~ ~. . --- .--- z ~ ~ ~ Soil Cover ~1 a,,, 4 '8.~ V W A -~ S~ U ~ ~' ~i 2 ~ ~ V C S n~ 4-q ' ``~~ 2" , pv c t.9, 4~ . n 2.r~' 11.0' I ~.p' I 2.0' ~ S3•~` 2 ? v ~ s.~, ~ ~ _~~.Q Ctr h w ! ~"/ ~-~((+~~v .' va~a ~` ~ ii a a1[ Cyr q ,~y~ 0 ~ ~~b h.°`+-'S O.~ ~ y"}-A+~. CS3..1't~ ~'3o I 1 vw \~.•..t1 ~ ~~•O r.t ~~.p~ ) ~~ ~~ ~ o~ ~ -' ~. x .. M n „v :I G- ~~ L 1 ov . Q $ bi. aM arc ~ 77T,n ~~, 4m PIP6 3' no NDIs1uRe~o ~~~ 24" I.D, t~a~+ua~ /4WiiGVLD SKET ~KT'J L DIYG r~W+EC.TIOhtS j IC~e~. F: t ~ $ S., o C l.Pv. ---~ ~~~o ~` SEPTIC f j oosc ' A \ ____~--- BAF Fl. E a r n.K C.O ~ ~~~ D LOCKING COVfiR ^--~ ItJA/t'N iN6 ~ ~BE~ . QV1CK C>l~C.o~+.11G7-1 > .4'?F' ~ r~~ n' T , F`~' m gtit_ l`4`~3 A iv ~ : h O w'} 1. n~ 1 WEATHERPROJF ~,TLNCTION 8cac 'v ~wC.~ H Ca.L a~ ~-- ON ~ o„ 4z.. OGF PwlP 9., Cb c~K c I I _.SLLPECIFI~CATIOIJt TAU..S MA-JUFACTURCR: ~ y` ~~~~ 1 r TA-JK SIZC; ~ ~ ~ - ~~ GALl.0U5 ALAFI'1 /'tiM1UiACTURCR; S c1 ~~~ ~.tvs MODCL IJU{hpCR; . \ e 1 1-1~ ~ SWITCH T y P C; ~"`~'~' `"~ ` '"~ b VUMP MAIJUFACTURCR: ~OQ1'` ;~ MODEL 1JUMDCR; lL Z' JWITCH TaPC' ~/"~QJvw.v w ___U rc~ 2~ ~, r UMBER 4F DOSCS. I. P.,c 4" 4 ~ vEti~ .J ~ ~' / „ ,. '' ` S..ti 4c 3' o-~o ~~ o ~~~ PEK C~~ DOSC VOLUME , ~~ 3 IIJCLUDIAJG OACKPLOW~ C.~~~Or.:S CAPACITIES: A= ~''~'~ hJCHCS OK ~~~'~° ~_~D`: 8= Z 11JCHES Oa 2Q.B G~~_~.,_ S ' 1JOTE' PUHP A1Jp ALARM ARC TJ BC MtUIMU!"1 pISCNARGF RATE 33'° GIN INSrALl.EO ou SOP~RATO CiK:._ -_ VORTICAL DIFfERCIJCC CCTWCCU PUMP OiF /-UO DISTRIDUTIOAJ PIPE,. ,~'~ FECT + MI-JIMUM -JETWORK SUPPLY PREtLURE ~ ~ ~ ~ 2•i' ~.ECTyo,}~ + 133 FEET OF FORCC MAIIJ X 2.5~ F~ 3.43~-'~~ / loo /iFRiCT101J fAGTOR..- FEET 3 ~ _ TOTAL Dy1JAMIC HCAp ZO.38 0 FEET ~ ~~~, ~2„ 4 ,, IUTER-,1AL, pIME1J610A1t •0I TAIJK~ LE-.1G7N 2 ;WIDTH ~ LIC~U10 OE PT H PAu~ 6 ~, Q g ~~ e HEAD CAPACITY CURVE MODEL 152/153 ~~ w ~`' ~ ~ 50 153 12 40 152 o ~ w x 30 ~, z 8 0 20 - o O, 4 /'~ 10 v TOTAL DYNAMIC HEA~/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gal. Liters Gal. Liters 5 t.5 69 261 77 291 , 10 3.1 6! I 231 70 265 , 15 4.6 53 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 42 ~ 159 '. 30 9.1 I 23 ! 87 ~ 33 ~, 125 j 35 10.7 ~~ -- ' -- ~ 22 85 ~I 40 12.2 -- -- I~ ' ? 42 Lock Velve: j 38.0 Ft. (1 1.6m) ~ LS.O Ft. ('~ 3.4m) I, uiwue 0 20 40 60 LITERS 0 80 160 240 FLOW PER MINUTE 80 100 320 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik-Box available for'outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series 1511153 MODELS -- Control Selection --- -- i ModelTVolts•Ph Mode Am : Sim lex Du lex N 152 115 1 Non 8.5 1 2 or 3 _ 115 t BN 152 I Auto 8.5 Included 2 or 3 _ r E 152 ~ 230 1 Non 4.3 t 2 or 3 I BE 152 ~ 230 1 Auto 4.3 Included 2 a 3 '. N 153 ' 115 1 Non 10.5 1 2 or 3 3 27/32 ,, ,2 --~!~ ----~= ~. 'iF i ~ -'~ ~~ ii , is I I ~ __~ sKZava BN153, t15 1 Auto 10.5 Included 2or3 SELECTION GUIDE Et 53 '~, 23o t Non 5.3 t 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE t 53 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. v CAUTION 2. See FM0712 for correct model of Electrical Alternator E•Pak. All installation of conUOls, protection devices and wiring should be done by a qualified 3. Variable level Control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. ~ ~ -~--. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -- =" MAIL T0: P.O. BOX 16347 ~`<~ Louisville, KY 40258-0347 Manufacturers o(. . • / ~` A ~! ~ `~~ SHIP T0: 3649 Cane Run Road Louisville, KY 40211.1961 QU.CL/TY PUMPS SNCE ~~Ji1 http://www.zoeiler.com P~MP CO (~2J 778-2731 ~ 1(800 928•PUMP FAX (502) 774.3824 © Copyright 2000 Zoeller Co. All rights reserved. ~, 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 homeowner, and the homeowner must be provided with a complete set of plans including this management section. [f problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235- 2644, 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 pump tank or compartment to allow a dose to be accumulated, a pump and controls, 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 residential 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. 0. If septic or pump tanks are no longer used, they must be properly abandoned. 11. [f 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. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, pump 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 residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 r • r ~ Wrsoons)n Department of Commerce SOIL EVALUATION REPORT ~ Page ~ of 3 Division of Safety and Buildings =- ---_~..~~ ..ear n___ er ~~r._ w~~ ~+_.~.. 11a O\AMVP..K. n.Ya VVIau11 W, ..,J. llV.1a. VW~i County ~ Cf '~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ' ~ indude, but not limited to: vertigl and horizontal reference point (BM), direction and parcel I.D. Q f ~ - O/ P Z - dd d percent slope, scale or dimensions, north arrow, and loption and distance to nearest road. / p ~ _ Please print all ' atie vie by Date Personal information you provide may be sect fode~r Priva Law. s. 15.04 (1) (m)). l!/YJ~ G~y v 3 ~ ~ 3 Property Owner Property Location UN 1 0 2002 Govt. Lot ,~ ~ 1/4(U ~ 1/4 S Q T 2 g N R ~ -] E (or W Property Owners Mailing Address CROIX COUCEY ST 1~ '° Lot # ~ Block # Sutxi. Name or CSM# Ph . ~ l© l~j\ ~ Z ea City State Zip ^ City ^ village ^•Town Barest Road '-New Construction User Residential /Number of bedrooms ~'~ Code derived design flow rate 450 ~(voh0 GPD ^ Replacement ^ Public or commercial -Describe: Parent material ~ ( Flood Plain elevation if applicable N l ~ ft. General comments ~~/ PWt 'P Q V ~ ~~ $ •/,/ f ~,~~ ~6~~ ~~ fj/-~3 'and recommendations: ~, O ~ ! _ ~ ~ e ~ e v , C~ l~, ~ 6 v "~~,~.~/ ~- S S ~ To ~~z~ ~ }/ Boring # r^, Boring ~(J~ lam; pit Ground surface elev. ~ . w ft. Depth to limiting factor ~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munseli Qu. Sz. ConL Color Gr. Sz Sh. 'Eft#1 'Eff#2 sal-7U (O r `F~3 ~I P 7-5 `f ~~ ~~I 2~rn31c~ m~; _ . ~( . Co Boring # [^7I Boring n (~/, \1 et, pit Ground surface elev. "/ 7 ~ (V ft. Depth to limiting factor ~ '~ in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. S h . 'E ft #1 ff-E2 'E /~.-+ ( , (((]77 [ /~/~(~'-~y- ~Q l (z~ Z ID ~ Sic k ~r ~-~ -- . ~( 3 ~-yU. 3~ ~S 1 v-~r ~ ~ - . ~7 (. Z ~t ct P~ ~ ~ 5~1 2 ~ _ ~ ~ . ~ 'Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CAST Name (Pl~asg Print) , ~ /Signature` _~ CST Number ~ +~ Properly Owner Parce11O # ` ~~ ~ C~ Page ' ~ of Boring # ^ Bonng pit Ground surface elev. ((~ ~0 ft. Depth t0 limiting factor ~_Q_ in. ~- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/itz in. Mansell Qu. Sz. Cont. Color ~ Gr. Sz. Sh. 'Eff#1 - 'Etf#2 i D-~Z. io 31Z r-- Sr r ~ ~s (~ . 5 , ~ Z ~2-Z~ r ~I ~ 'mil Z ~ c - . ~( ~ 3 Z ~ ~ - I~,-, ~,v ~ s ~ .~ ~. z Boring # ^ Boring pit Ground surface elev. R Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture _Sbvcture Consistence Boundary Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EH#'1 'EtT#2 ^ Boring # ^ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal Appliption Rate Hor¢on Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Mansell Qu. Sz. Cont Caor Gr. Sz. Sh. 'Eff#1 'Eff#2 - 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS < 30 mglL and TSS < 30 mglL 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. SBI18330 (R07/00) -. • PAGE ~ OF 3 ~; ~~F ~ n ~ ~ LOT#~ 7 LEGAL DESCRIPTION -(lam ~Nc~l to ,S ~ T Z ~-.N.R. l ~- E(or~/ SCALE:I"= C/~J BM 1 ELEVATION (GO, U BM 1 DESCRIPTION ~p ~~.' ~ ~ ~ D_y~ ,~~` BM 2 ELEVATION q . y~ ~ BM 2 DESCRIPTION_Q ~ ~ ~~ UL ~_(~~ SYSTEM ELEVATION ~~, SYSTEM TYPE (~ f - (9-rc~cQ.~ CONTOUR ELEVATION ~~i Z C> N © ~ ._ -~- - l ~ eG, ~~~ Z gel ~, ti ~~~, i 1 1 ~' fi~ > ,~ ~' 19 ,~~ ~~~ N , o , ~ ~, b-Z ~` 9 3 ~ `' \~~~o ~3 Opp SIGNATURE ~~ ;=- ~~---~--? DATE ~ -9'- Q roperty 'mP~Y ST CROIX COUNTY SEPTIC TANK MAIN'TBNANCB AGRBBMBNT •-AND OWNERSHIP CBRTIFICATION FORM S ~ ,~ 11 rf`~ 1~`t ~ /~ ~J ~ ~ ,~ (Verification required from Planning Department for new consuucaon~ ~~-~ ~rv~~t•1~b ~ W ~~ Parcel Identification Number ~ ~ g _ ~ ~ ~ ~ /~ ~'~ ~ PTION a ~ $'~ ~~ ~~ . `/4, ~ `/<, Sec. ~ . T ~ N-R W, CJ`Y~ MG r~Cr Town of Lot # Survey Map # _, Volume .Page # p~v a _ Volume ~_____- Page # ~' Decd # Spec hose ~ yes D no Lot lines identifiable D yes ~1 no ~' mpu use ~~~ of your septic system could result in its premature failure to handle wastes. Proper maintenance out the tic tank every three years or sooner, if needed by a hcensod p What you Put info the system ocosists o l~P~B ~' can aff the function of the septic tank as a treatment stage in the waste. disposal system' a ~~ form, signed by the owner and by a property owner agrees to submit to St. Croix Zoning v~enfymgtbat(1)theca-citawastewsterdisPos~sY~~ ourneymaaplumber, r~ridedplumboror a licxnsedpuml~ operating conditionand/or (Z) aRcr inspection and pumpm$ (rf n~~')~ the septic tank. is 1~ess than I/3 full of sludge. to maintain rho Private sewage disposal system with the standards Ili ~ 'gpod have read the above requirements and agzee of Ilatutal Resources, State of Wisconsin. Certification sd forth, as set by the Department of Commerce and' the Department to the St. Qroix Cotmty Zoning Office within 30 stating t your septic system has been maintained must be completed and retiuned f Yom' expiration data. ~~~ t3jo3 «. DATB . w F APPLICANT c ~,~na ar ~...h. ~ }••• • our ioaowledge. (wc) certify that all statements on this form are true to the best of my ( ) Irv dcss~i'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. OF APPLICANT ,v ~~3~03 DATB Any information that is mis-represented may result in the sanitary pecaut bc>n8 evoked by the Zoning Department. I (we) am (are) the ownccts) of •iifE• se Ilcatton: a etaaiped warranty deed from the Register of Deeds office Intl de with this app d'rcfercnce is made in the warranty deed a copy of the certified survey map . 245yP 585 STATE BAR OF WISCONSIN FORM 7 - 2000 TRUSTEE'S DEED Document Number tine M. Bonte as Trustee of Karl M. Ulferts and Katherina G. Ulferts Family Trust for a valuable consideration conveys without warranty to Frederick Niebergall and Virginia Niebergall * NiJV 1 S 2003 Grantee, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 12 Pheasant Ridge, Toxn of Hammond, 3t. Croix County, Wisconsin. day of October , 200 a is h l ~ _ Y7 D _ iL~~i1rJ1 / / y , ~/~(,~ S * Dine M. Some Trustee AUTHENTICATION Signature(s) authenticated this day of 7464 1 7 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIR CO.. MI RECEIVED FOR RECORD 11/12/2003 10:00A)i TRUSTEES DEED EXEt~T # REC FEE: 11.00 TRANS FEE: 105.00 COPY FEE: CC FEE: RECEIVED ACKNOWLEDGMENT STATE OF WISCONSIN ) County. ) Personally came before me this 1 ~'t~ day of ~'td ~r , ~~ the above named .,~ l3dntc TITLE: MEMBER STATE BAR OF WISCONSIN to me lmown to be the person who executed (If not, ,~~utuutt~~oregoing instrument and aclatowledged the same. authorized by § 706.06, Wis. StatsJ ~~.~ PR~~,A• ~,, . G •• •. THIS INSTRUMENT WAS DRAFTED BY .`~ , • ~O T,q ~~ Rick L. Pendercest ~ ' ~' Notat~~lic, State of Wisconsin A ~v - - (Signatures may be authenticated or aclrnowledged. ~ ~BL1~y~nn'fttssion is permanent.L(If ot, state expiration dam,) not necessary.) ~'._ F „ • . • ~`o~a`~~ ~ `~` ~ l ~ ~" •Names of pcrson4 signing in anY capacity must be typed or printed below A'fl ~t~~ TRUSTEE'S DEED STATE BAR OF WLSCONSIIV FORM Na 7-2YB9 WhiteRidge Real Estate LLC 1420 Davis Sk Hammond WI 54015-9624 Phone: (715) 760-1189 Fax: J W Fletch WhiteRidge Real Es T6913970ZFX PfoduCSd wMh ZJpFOrtn"' by RE FomiaNa, LLC 18025 FaE9ln Mile Roatl, C6nEOn Township, MkxMpan 48036, (800) 393.680E Rewrding ~ ST. CROIX COUNTY Name and Before fired e,r ~'c~.. 1~-'e~~e~.a..u~. ~~o~ i,QU~" ramie . RtS~aer~s 1 UJI 5 y d a3 18-1096-12-000 Parcel Ideati5cation Number (PIN) Trustee Q ~ h0 ~ 0 ~ $ ~! ! 6b bL ~ J~~ '~ ®i Mao ~pw ! ! ^~ '~, . ! ~ • ,SZ • i ~~ p~j ~~ ~/ ~ ! / ~ ln~' ~ 346_-3. 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