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apartment of Cc~nmerce PRIVATE SEWAGE SYSTEM 3uilding Division c, ~ INSPECTION REPORT .._ ,_F~:~1L sNFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Ulferts Famil Trust Hammond Townshi ;ST BM Elev: Insp. BM Elev: BM Description: (~ ~g o d~ ~J'G `0~ Z SANK INFORMATION EL NATION DATA TYPE MANUFACTURER CAPACITY Septic 0 ~ ~~(.JI.J Dosing '~M ~W Aeratio Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to A ir Intake ROAD Septic / ~ ~ (~ / 2 1 ' 2 g J ` t .~ Dosing ~~ ~ 1~ / ~~ f ~ p ~ 1 ~~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer O ~ ~ ~~ Demand GPM Model Number ~ F ~ Z TDH Lift ~,, r Frictio Lo - System Head LG 1 ~7 TD~ i r ~ p t Forcemain Length / Dia. ~ ~/ Dist. to Well / SOIL ABSORPTION SYSTEM (~ Count . St. Croix Sanitary Permit No: 430491 ~ 0 State Plan ID No: Parcel Tax No b~~-ib q- ~~~~ Section/Town/Range/Map No: 09.29.17. 3 STATION BS HI FS ELEV. Benchmark Z 7, Z /d ~J ~ Z. g 1 Alt. BM Bldg. Sewer ~, ~ ~~ SUHt Inlet ,O ~ ~,) C `~ 7 SUHt Outlet --~-_ Dt Inlet _-~ ,._..~ Dt Bottom ~ - / p ~f~ i eader/Man. ~ ~ d 1_ „ - 7 ~/ ~,~ ~Q Dist. Pipe ~~~ 5 . qq . / / Bot. System ~ + ~ // ~/ 6 ~ ~f ~ G ~ ~ ~ , I x.57 Final Grade t Cover ~ ~, (Z C~~.~-o~ ~- ~-r g.~' (,.tom 59. ~ O~ d~~~ BEDITRENCH DIMENSIONS Width t Length ~ 1 7 No. Of Trenches ~ k p PIT DIMENSIONS No. Of Pits ~ I 'de Dia. ~ wd Depth ~ ~ rs ~ ~ 1 ~i ~ , ~ r ~.~n ~v ,`~ ` SETBACK SYSTEM TO P/L BLDG WE LL LAKE/STREAM LEACHING Manuf r: INFORMATION CHAMBER OR Type Of tem: 1 j ` ! ~ UNIT Model rye Vim- Z7 ~~1 1 ! DISTRIBUTION SYSTEM Header/Manifold II Distribution , ~, x Hole Si e x Hole Spacing Vent to Ai r Intake Z Length ~ Dia Length ~~ Dia ~~ Spacing~_ 3 ~ Z Q ~ •v SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil es No - es ice. i No - .~ ~~ COMMENTS: (Include code di repencies, persons present, etc.) Inspection #1:_~/ 23 / by ~.y Inspection #2: ~ /` 23/~ ~ R Location: 1739 102nd Av(e~nu~e-Hammond, WI 54015 (SE 1/4 SW 1/4 9 T29N R17W) Ph sanlt Ridge 1st Lot 33 Parcel No: 09.29.17. 1.) Alt BM Description = ~`~~. ~ ~ DbS2~ \ow~ 61~, 2.) Bldg sewer length = 5~ + f ~ s~/~,,_Q,~Qf/ SGt/J~h~-.+ amount of cover - ~' ~., ~ 66~T ~ ~" `-'/ / Plan revision Re uired . Yes No ~ I Use other side for additional informatio 11_ ~ ~ _ _ _ J ~ W v ~_ _ ~-- --' SBD-6710 (R.3/97) Date epcto ignature Cert. No. /~ ' 1 ~ /~~/1~.f~vt ' ety and Buildings Division County .. C ~~ 201 W. Washington Ave., P.O. Box 7162 7 j i~cans~n Madison, Wl s3707 - 7162 )E (ta be,~Ded in by Co. t N De artment of Commerce (0266-31st ~ ~ ~ /~`/ ~S unitary Permit Application .:: smte P>an LD. Number `~ In aoattd with Comm 83.21, Wis. Adm. Code, paaatal informatim you ~DO~r$;~7 ~ maybe used for saeamdary purlwaes Prdv w a15.04(lxm) ~~~ admg addcrss) (rf diife~k_~ m A ~ ,~ ,I ~ 7 _r /pZ,l ~ v~ L Applicstxon ]fnformatlon -Please Print All Info n -. // ~ I11I49 /~r r Ownrr'a r>amc J ~ ~~ 1 6 2 U D 4 ~ ~ Pat~t ~ i.at # slack a Propeaty C?weer s Address 3~ i ~'r? u l x „i ~ i ~ fv ~ y l'o~OII ~~~`~~s ~~ ~ ONING OFFIC~_ ~'/ ~ '/. 3cctim Ci State Zip Code Phme Number ~, , /~~~v Gdr S D .S~ Z/S- "~00 ~~ ,.~( T ~`~a~`) L N; x! 1L Type of BuIIding (check aU that aPP1Y) crt . ._ , ,i,o ~ ~ b , or 2 Famlly Dwelling - Number of Balrmma er Subdivisim Name CSM Num ^ Publi~c«nmeroiat- Dtmcrlbe T s-~ P _ ^ Sttrte C),vnrd - Ddcn'be Use • 5 ~ I ~~ r ~1 .~ n, ~ Ullt)! l.J V I'118~e ~OWLa11lp Of ~/y/~ III. T ype of Permit: (Check only one bo: on Line A. Complete line B 1f appltcable) A' New System ^ Replacement System ^ 1~mmt/Hold'+ng Tank Replacement Only ^ C)tber Modifratim 1b Existing System B• ^ Pemtit Renewal t Revisim ^ Cbange of ^ Permit'I4amfer i4 New list Previous Permit N and Date sefore F.xpira<im Plumber owner y~j0~/ J/3~o ~j IV. of POWTS teen: Check aU that a ^ Nm -Preswrined h}Cino~md ^ Mamd _> 24 in. of suitable soil ^ Mound < 24 io. of suitable ao' At.C}rade 3iagte Paaa Sand Filter ^ C:imstruded Wetland ^ Pmawtized ht(3round ^ Holding Tank ^ Peat Ft7ter ^ Aerobic Treatment Unit ^ Recirculating 3aad Fiber ^ Recin~ula ' 3 Media Filter ^ Chamber ^ line ^ Gravel-1esa Pi ^ Ckl~ lain) V. Db al/Iyreatment A.rat ]laforntatioa: Design Flovi (gpd) Deign Soli Applicotim Rate(gpdst) Dispersal Area Required (s~ Dispersal Area (st) System EI ' ~ v .s- hod ~ t~~~~ 9S~ Vl. Tank Info Capacity in Ciellaoa Total (iallma Number of Units Manufacturer 0 tLE~uCo ~ i~-u.le ~ ~~) Concrete Site Cmstrrtcted Steel (class Plastic Now Existing Teaks Taub ~r~` ~' /Op0 PDO / ~ ~ Aerobic Tn~hnert Unit Doug Chamber / Q ,~` V1L Rea mibdli Statement- I, them ad, aw ndMY for imtaWHon of the POWTS shown on the attached Plumber's Name (Print) P 'a MP/MPRS Number Business Phme Numbs ~ trtP ~3g~~ ~ c - z,~ - u~ umbea's Address (st:eert, City, State, T+p I~Sb oQ `~ to~2owtvKl~ L S~G~ r! Vlll. Coen / De nt Use ved ;sa y d r Permit Fee (includes Clrotmdwater Date Issued 3i (No Stamps) pp Fa) ~ /~ ~ ~ 1 a en Re inr Denial I 6 /~ 1 tx Coaditioa P 3) ~ t S r cT1Q ~a SYSTEM OWNER: r---_ --- (/ 1 Septic tank effluent filter and ~Q ~ ~t ~... o t~1 , ,~,,,~, , rs dispersal cell must all be serviced / rnaintaingd ' ~" _ ~C t~ ~,J~ as per management plan provided by plumber. ~~-ti't~b+'~ ~ ~t 2. All setback requirements must be maintained °~ -~ ^~ ~ S ~ ~~M , as per applicable code/ordinances. ~ S 6t wares eomprte ptaua (a tae t:oraty oaq) ror tae syaswa e. paper rot lea taa^ stn s 11 Iataa u use yY SBD-6398 (R. 01/03) ,~; , y" ~ Np~ME; (Su n ~t LOT#~LEGAL DESCRIPTION:~1/4~1/4,S~'Tj~,N,R, I~- E(or~ i SCALE: 1"~ yU .~,,, -~ ~: .• MIELEVATION: ~n0 • ~ g ~~ ~ ~' <<~ BM l DESCRIPTION: ~~L-e-~-G ~`~-- F~,1~ BM 2 ELEVATION: ~ ~ d U ;. .~~~,. BM 2 DESCRIPTION: d~ ~ ~d~c_~. /-~~~.h ~~ ..~ V ~ ~~a SYSTEM ELEVATION: 9 9~ - ,;, SYSTEM TYPE: ~' - Cs---ra- •wtvcrt. ,~~ %~ d J J - J +YA' a~ ~1 N° t~~~~z~ .~ S-~ ~~ PR6VATE SEWAGE SYSTEFII a e O1Z~~~ .~ F; ©IVISION OF SAFETY AI~tI ~UI~~II~Cs~ I ~' ~~~ ~~ r SEE CORRESF'OMDFf~CE , ~ d ~l `- 9.~' k ~S L~ roil` ~"'. l aS-~..~ Sdt~ow ~ g , e ~-~.5~~. ~~ r ~ \ j ~~ ,; S J~ Q-t~ ~o ~ c, Q I I ~~. H ~~. / ~ i I I ~V ~/ ~D y `~h ~~~ ~~.~a ~.~ ~evcrn tR.. e ~'~/ 1 1%t . ~~_ ~~ c-o-~.~.,p ~~` .30~~ "4;" a f~ commerce.viri.gov ^ r isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 10, 2004 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/10/2006 SITE: Glenn Knudtson 102ND Ave Town of Hammond Identification Numbers Transaction ID No. 1006827 Site ID No. 684749 Please refer to both identification numbers, above, in all corres ondence with the a enc . St Croix County SE1/4, SW1/4, S9, T29N, R17W Lot: 33, Subdivision: Pheasant Ridge FOR: Description: New 3BR At-Grade Object Type: POWTS Component Manual Regulated Object ID No.: 962550 Maintenance required; 56 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, SBD-10570-P (R.6/99), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Orenco FT 0822-14BA Biofilter PLO The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Corid and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in ~~ ~ I 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. DEPARTME stats. DMStON OF S The following conditions shall be met during construction or installation and prior to occupancy or use: ~~ SEE COF Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01 /01). • This system is to be constructed and located in accordance with the approved plans, and with publication SBD- 10570-P (R. 6/99) "At-grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems". 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. TODD L SINZ Page 2 0611012004 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, ~~•~.c,-u~~ Dennis R Sorenson Wastewater Specialist ,Integrated Services (608)785-9336 , doorenson@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 v ~' Glenn Knudtson - At-grade System 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-10706-P (01 /01) Location: Lot 33, Pheasant Ridge SE '/4, SW '/4, Sec. 9, T 29 N, R 17 W Town: Hammond County: St. Croix Date: Owner: Address: Plumber: Signature: License: Attachments: June 10, 2004 Glenn Knudtson SBD-10577 -Plan Approval Application SBD-8330 Page l: 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 RECEtUER SAFETY & BLDGS Dtl~. . page 1 of 8 ,.Onalt~ ~v~o 'V pMMER~' ~N6S SpoNOEN~E 1739 102°d Ave. Hammond, WI 54015 ~ ~ Design Criteria ~ ~~ 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 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system 3 Force main length ~ 5 Manifold/header length ~`-~ ~ Drain-back 1ST ~~ Lateral length ~` @ }1 ~ ~ Lateral elevation ~ ~ ~ 1 Lateral hole size ~~~~ in. @ X4.0 ~ g holes/lateral ~ b Lateral volume Z4-.4.5~ Total lateral discharge rate S~ ~ ~ b Network pressure compensation losses `o'~s~ Elevation difference ~-~ l Friction loss ~~~"~ Total dynamic head ~ S~ ~ ~ Pump/siphon ~~~ Z gpm @ 1 ~ Manufacturer woe-`lam" Dose volume ~ 2b. t~~ Lift/siphon tank ~`~ ~-~-~ ~ ~~ ~ ~ - ~~ ~ ~~o ~, ,, Septic tank ,, Effluent filter Cdr e~^ ~-o ~` ` ~ eZ.z.. ~4- ~ ~1 Measurement pump on and off 8 ~~~ Height alarm from tank bottom ~ `~ ~'~ Reserve capacity ~3s + specs.calcs.res Design Calculations ~ ~ ~ g ~ gallons/sq. ft. per day ~, S''b in. ~ ~`~ in. ft. of Z in. ft. of -' in. gallons ft. of Z in. ft. @ bottom of lateral in. ( Z ~ ° ft.) Spacing holes total gallons gallons/minute @ z ~ ~~ ft. head ft. ft. ft. @ sb gallons/minute ft. ft. of head Model # ~~ Z- gallons ~ ~ ° gallons ~ `~~ gallons m. in. gallons Page Z of g ;~;. i NAME; bu n ~'t LOT#~_LEGAL DESCRIPTION:~1/4~1/q,S~.TT~,N,R, {~- E(or~7 i SCALE: i"= U ~~ ~:. rp; p~,~n~ELEVATION: IC)y • 0 ~~" '•~ ` ~~ BM I DESCRIPTION:_ -Ion o ~ ~ `dJ~. .~ ~ F~'Ju~ J BM 2 ELEVATtON: ~ U V ,~;~~. ' ~ ~ BM 2 DESCRIPTION: ~~+~^• ~~ ~ ~~y`~ ~~'~ ~ u SYSTEM ELEVATION:_ 9 R ~ y ~~;t ~~ •V\: SYSTEM TYPE: ~' ~ C~-rn- •ntvtr4 "~{ ~~ ' ~, ~gv+v~ N,.~dt.d ~0~1`"1" a~ N`~ 4~' ~-~~ s~~~~e >4J(/~~ z" ~ ~. V,a~` ~ ~~ o ( ~+•• PFZiV~T~ ~~'#~~(~'~ SY~TE 4~ ' e ~~~ ~~;~ -~ ,~ , ,~ . ~~---- S~E CsG~~'I-~~. ~~~ ~.`'k. _ ~_'. `}'j ~ k \5 L hocr~. t 0.~..4~ S~t~o~. R 8,b w~~~- ~~; K ' / i 1 I ' f' ' 1' I I i .30~~, ~- ~~<< ,/ ,' ~~«~.~> 1 ~M n ~bSW~vc..~:Jy -----,. ~~4, b" r ! C4- ~ .~. e C1.sc.~ i ~~<« '~ +~~-M" Fabric- ~e-.. ~~,.~.~ Observation---~~ Wel! ~ r Distribution Lateral 12 ~ ~ .~~~ i%~jr '~'' ~ ~ ' ' "f":':~ I • ~ ~,; .~•'• .. •;~; ' ~ i L 1 a.v ~B~t7 i ~2 ~ ~' Iu S' U ~ ~~ Soil Cover ~~w 49, ~ ~~ ~ e Z. ~V C So~ ~ ~~ z,. pV~ S-~h p v ~ t.9, 4" 4-o Q ~. ~, I,~~I I ~, Q1 1~ O,~' 3~ W~ ~ ` 1 t r J ` ` `~-~ ,( ~ + b o '~'~ ~ 1 N ~' l1~1r CS1..~,'} f2J.. 1 1 C~ w \ ~. v~ J,.~ ~ ~`t •Q M,'~• ~ . ~ 1 V" ~ V r ~ (' (~ o~. ! .ate- .~G~ '1--.s2.~.-..~~ ,,..~ ~ ~ . ~1 Ye o ~-. Q~,..~L.S 0 ~ ~- u e,. 1~ --~ ~ o~ ~ ' , ; • i I ~ ~~ , { -~ a ~ ~ ~~j 1 44 Ptic ~~~, ~~ 4m DIP6 3' no N~IsTUaa~D So1~ ~aWKOVC~. Grl~s\a4 T S 01 \J!'S ~~~ p~P~ c.o cvM~~T~ar~ C~e~ `t ~ • o s:~~F.., 24" I.D, MA~1~101F > '4~~ ' ~ A I _~ ~FL.E Il a ~- 4r~C 1~o F~' m ~'Lt- t4~3 A ~ Y~ \ ~~v h 0 w~~a.~ D 'L I I Z.~ 1 Al4iW ON b / S~ I ~~ 9" r II ~oR ~'< h ^ 1 N WEATNERPRC~JF n ,TLNCT~Or+ J ~~ ,~ ~wL..v N CI:G I ~ L'• PualP G o~F-,-~ b~oCK I_' i %i% 77;,'7 Pvc ~ ~" 4 0 Y c r~T . .~ K4 1~ i 1s~>"~ ~~ 4~ 3' o~c Soli :7~U-.0 I G I,~ " 14 g SEPTIC t SPEC.IFI~CATIOfJ$ ~~ ~~~ DO 5 E ~ ~ w ~~ `~,~ Tau, S MA-JUFACTURCR: IJUMBER OF DOSCS; 1 PEK C..~ TA-JK SIZC ; ` ~~ " ~~ GAL.l.OAIS • .DOSC VOLUME , ALAKr1 rw.,uiACruRCR; S~ ~~~`K-~Yd IAICLUOIIJG 6ACKPLOW: l"~I'~(~~ /'~OOCL -JU~bCR; • 1 ° I ~~' `~' CAPACITIES A czz ~ ~Z' IZ)~ IuCHCS OK C~_~C~ SWITCH TyP[;~'\""" `"<<o "Cof.I,~ B= Z IIJCHESOq ZQ~g :.~..~.: FUMP /1AIJUFACTURCR: ~•S ~Zb•(,S J C• iUCnE50H „~_~~: MOpEL -JUMDCR; lY Z- ~ •J ~ 3 4.1 D• 1~1t,HES GR ~e~..:.•.: SWITCH TyPC; ~^~'"`'v w. IJOTE: PUMP AUO ALARM ARC TO pL MI-JIMUI'~ DISCHAKC-g RATE S~'z- GPN INSTALLED 01.1 SEPnRATE C1/{te.\'rs VORTICAL DifFERC-JCf DfTWCCU PUMP OFF AUO DISTRIDUT101J PIPE.. ~I ` FCCT + M~u~uM uETWORK SUPPLY P ftcuRE ~ ~ ~ ~ ~ ~ ?,~ i ~~ FCCT ~-O~~-S + ~~ FEET OF FORCC MAIIJ X.~ F~o~CFRICTIOU FACTOR.' ~~ FEET ~ 1 T4TAl. Dy1.1AMIC HCAp ISloq FEET i'~ IIJTERIJAC. DIMEIJ6101JC Or TA-JK~ LE-JGTH 2 ~' ~ ~a'~ X211 4 ,. ~WiOTH ~ LIQUID DEPT H • PA~.~ 6 ~~ ¢ ~ --~ _ 1~ ~,~- ~xi~- ~;~ I -LOCKING COVfiR --~ LvAn'N iN~ ~ ~BE~ . QUICK ~1~C.OVVLCT---1 ~, 0 a w s v z ~- 0 a 0 ~- CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for'outdoor installations. See FM1420. • Overt 30°F. (54°C.) special quotation required. 1521153 Series 1 S9H 51 1~(1nF1 S Gnwnl CelnwHnn Model _ Volts•Ph Mode - Am s Sim lex Du lex _ N 152 115 1 ' Non 8.5 1 2 or 3 BN 152_ ~ 115 _ 1 Auto 8.5 Included 2 w 3 Et52 _130 1 ~ Non 4.3 1 2or3 BE152 ~ 230 1 Auto 4.3 Included Z a 3 N 153 115 1 Non 10.5 1 2 or 3 BN153 115 1 A t 105 I I ded 2 3 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEi. 152 153 Feet Meters Gci. ~ Uters Gal. Liters 5 1.5 ~ 69 i 261 , 77 291 10 3.' 61 ' 231 ~ 70 265 15 4.6 53 201 61 231 20 6.1 44 , 167 52 197 25 7.6 , 34 ! 24 ~ 42 ' S9 30 9.t I 23 ~ 87 33 j 125 35 I 10.7- -- i -~ 22 85 ~ 40 ~ 12.2 -- ~ -- '~ ' ~ Lock Voive 38.0 Ft. (1'.6m,';GaO Fl ;'3.ar^j! -- -~masoe ice-- o ~/a -~; v~32-i-+---~--a ~/s--, :~ .-~ -- -- ,.. I~ ~+ -----~ ~ 1 I ~, I ~ a i ~~ `_T~ --f-------- ' ~ ~ --~- sKZOw ___ _ _ uo ncu or SELECTION GUIDE E 153 ~ 230 it Non 5.3 1 2 or 3 f~8E153' 230 1 I Auto 5.3 Included 2or3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 4 CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. All installation of controls, protection devices and wiring should be done by a qualltfed 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. ~~~a 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 ~' n ' Louisville, KY 40256.0347 LO • ~ ~ ?,~ ~ SN1P T0: 3649 Cane Run Road Manulacturers ol. Louisville, KY 4021 t-1961 Qva[/TY PUMPS SNCE /9,99 http://www.zoeller.com PUMP rG O 021778.2731. 1(800) 928-PUMP FAX (502) 714-3624 0 © Copyright 2000 Zoeller Co. All rights reserved. `~ ~ `~ ~ ~ 0 80 160 240 320 FLOW PER MINUTE ~, o 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, TL 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 dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health, I . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garba~~e 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 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. If possible, the upslope toe of the system should be landscaped with additional fill to blend this area into the upslope natural ~~rade; 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 I . The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within IS' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling, of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Departrnent of Commerce SOIL EVALUATION REPORT Page ~~ of _,1 _ Division of Safety and Buildings in accordance wren t.;omm rso, wrs. f+am. t.oue t i i Pl - County . ze. an mus n s Attach complete site plan on paper not less than 8 1!2 x 1 i inctres include, but not limited to: vertigl and horizor-tal reference paint (BMj, dtrecdon~aarnads~ ad. percent slope, scale or dimensions, north arrow, an Patoei i.D. Please print a!I Info Personal inforrnarion you provide maybe uaed for second ~- i 8t11 . ' ~ ~ ~ ry purposes (Privacy Law, s. 15.04 (1j )). a awed b \ Date ~, Property Owner O ~ ~ ~ ~ `D , _; , , ... KY L lion .,Govt Lot ~ 1l4SCtJ 1!4 S T ~ ~ N R ~ -~'" E (°~ PropertyOwnel'sMailing~dressj ZUfJ(NG O~ f- /0 l ! / .:~~-- City/ State Zip Code Phone Number ~(v/j io'l d ~r~ (,N ~ ( ) ';~-t# lock# Sunbd. Na~m~CSM# ~n fl~~~~z [] City ^ village ®Town N est Road ~ m s't o^n ~ New Construction Use:l~ Residential /Number of bedrooms 3 =~ Code derived design flow rate _ y-~_ GO ~ ___ GPD ^ Replacement ~ , i !i~ or commercial -Describe: _ ~__ ---- Parent material _- ~ ( __-__-, Flood Plain efevatlon if applicable __,_/t/~ ~___ _ ft• General comments 5 S /~ ~ ~~ 2 i! ` ~~ ~ i-e~ ~ r ~ ~ e ~ ~ /~ ~ ~ ~ s and recommendations: Y t 4 { ~~ ~ ~~ ~ ore 1~'~ l ~S ~ f i- ~ ~ ~ t~--~`- (, ,,~ c~..~ s~s-~e w~ (5 '~ LAY ~ r ~c ,~ ~a C~ to s~-- ~ ~ sue,- Fa ~ (6rf d ,~r-o~ (Z ct,-1~~, d,~-~ ~ -t~-t ~L- J ' [~ Boring 9 Borin # ~ Plt Ground surface elev. ~~' ~~ ft. Depth to (smiting factor_ ~_~/_.~irt:- Soil A lica6on Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff p in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 1 a -~3 0 /Z f /' ® Boring # ~ Boring pi( Ground surface elev. qD ` ~~ _ ft. Depth to {smiting factor ~ in. Soo A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsefl Qu. Sz. Con!. Cobr Gr. Sz. Sh. 'Eff#1 ~ 'Eff.#2 r--- I ' Effluent ;M1 = BOD > 30 < 220 mglL and TSS >30 <_ 150 mg/L ' E(ftuent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Name (Please Print) ~ Signature CST Number - Date Evaluation Conducted Telepho a Number Address Z r l ~ ~~~ ~ S ~ -So ~ r ~~, r~/. S`yo z S .S_ ~ y _~ ~ 7~.5` - ~t? 0- oZ ~9 ~~ ,~ ,~ .~ ,--- .~ .~ ~~ ,,~~. . 1i of Page ~°~ ~~ Parcel ID # - - _r-- _ __ -- Property Owner __ 3 [] Boring ~~ Q~ eorin # J- ~--ft. g ®Pit Ground surface elev. ~ Depth to Gmidrt9 factor,~__.__. in' Soo A icatton Ra ~ Horizon Depth Dominant Color Redox Description Texture Structure Sz Sh. Gr Consisten a Boundary Roots •~GPDlft E(f#2 in. Munsell Qu. Sz. Cont Cobr ` , ~~ e s ~( 1 ~L .s~- > U ~ Q -! ~ w .~lz `~ ~, rn- - ~ ~~ ~- Z ~ st: ~a /Y/~ - 5~~. '"' - - /t S~Gr .--- /d ~3~Le Z -6 r , ~--- try m.~h ~ [] Boring ^ Boring # ___ ft. Cepth to {imi5ng factor __ 'n• Soit A licatien Rate ^ Pit Ground surface elev Horzon Depth Dominant Cokx Redox Descnphon Texturo ~ Gr. SzuSh. ~,onsistence Boundary Roots ~Eff#GPDitt'E~2 in. Munsell Qu. Sz. Cont. Color ~ Boring a Boring # Ground surfvice elev. _________ ft• Depth to limiting factor _,__, in. Soil A plication Rate ^ Pit Horizon Depth Dominant Calor Redox Des:;ription Texture SWctun: Consistence Boundary Roots .E~GPDIftiB~z in. Munselt Qu. Sz. Cont_ Color Gr. Sz Sh. Eifluent'~#1 = BODS > 3C < 220 mg/L and TSS >30 <'150 mg,`t_ ' "tff;uer< < = BCDt < 30 mg;'~ ar:d TSS < 30 mgl~ "fhe Department of Commerce is an equal opportunity service provider and employer. I f you need assistance to access serv~ccs or need material in an alternate fcrmat, please contact the department at 603-266-3151 or TTY 603-264-8777. .~ Y .~ ~-- snn~si3o in.a~ioa~ PAGE~OF~ NAME: ~~ n ~~ LOT#~_LEGAL DESCRIPTION:~I/45~,1~4,S~T~,N~R, ~~'E(~'~ ~, _. ~ Safoty and Buildings Division • 201 W. Washington A o WI 5 07 - 1CEIV di M Cotmty r ~~X Mary P 't Number (to be filled in by Co.) a s n, ~ ~~~O~~, a (608) 26 I5I , 30 1 Department of Commerce Sanitary Permit Application ~ OCY 2 7 Plan D. Number uu.+ rovide o i f P on y ormat !n accord with Cottttn 83.21, Wis. Adm Code, personal in may be used for secondary ptapo¢es privacy law, s15.04(lxm $T. CROIX CO W~ (if di8'erent than mailingess) ,~>_ ~ ~ X39 ' oz a,~a. i. Application information -Please Print All Information property Owner's Name Parse) N l,ot >f loc,k it L. ~.r~s i, ',~dsr~ o Property Owner's Mailing Address ~ Property Location 9 ' s~ ID// ~70 s~ ,,~ ate,,, ~on City,/S'~`e_ ~,/ Zip Code / Phone Nu~mbper jkK'j N/~ ~~0 JA ~ J ' / / '~ ~D ~q T ~ / N. E oe W e) g w rw I1. Type of Buildtng (c k all that apply) S ~ Subdivisi ame CSM Number or ?Family Dwelling - N of Bodr tns • s~ /~' ~ r ^ Public/Commereial -Describe ^Village~ownship of ^ • ^ State Owned -Describe Use _ 111. Type of Permit: (Check only on oz on line A. Complete line B if applicable) ~ A' New System ^ Replacement um ^ TreatmenUHolding Tank Replacement Onl h ^ Other ModiScation to Existing Syst B. ^ Permit Renewal ^ Permit Revision e of ^ Chang ^ Permit T'rangfer New list Previotrs Permit Number and Date 1 Before Expiration Plumber Owner 1V. T e of POWTS S stem: Check all that a 1 itable soi ^ Single P s Iter 24 ' f ^ ' su Mound < I ~Noa -Pressurized !n-Ground ^ Mound ? 24 in. of suitable Consnuded Wetland ^ Pressurized In-Ground ^ Holding T ^ Peat Fester ^ Aerobic t ecirctrll~inFilter Recircu-atin S thetic Media Filter ^ Leas ' Chamber ^ !ki ^ vel-less P' ^ V. llis ersal/Treat nt Area information: em ;~ o Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Ar equired (sf) Dispersal Area Propos n ~a . ~ /lS~o.~ •~ S b Pl i tee Yl. Tank Info Cap~ih' ~ Total Number M acturer Concrete Consttn, d es c Gi as[ Gallons Ga110llS Of lirllt5 ~ Ncw Exiatin¢ Tanka Tanka scpiicwibk~'~a~ /ODO f©DO ~ / Ff~i/~T Aerobic Tn:a[mcru Unit Dw i my Cho m bcr D Vll. Res nslbili Statement- 1, the under ne asibiU for installation of the P'O shown oa the attached lens. MP/MPRS Number B.~~i^~« phone Nurnbes ' t Plumber Plumbe~yt~+acne (Print) /o~v L ~N ~-. ~lP/396 Z ?lS- Z3S= Z~r ~ Plumber's Address (Street, City, State, Zip C Gd ~~/?~f"/ r bd ~ ~ /~ l~li~l~1tE ,~S Vill. Conn /De artment Use On ent Si tore o S s Sanitary Perurit Fee 'dudes Groundwater Date Issued g Ag gna tamp ) Approved ^ Disapproved Surcharge Fee) ~ n~ ~_ ~ ~/30/0 • L• ! ^ Owner Giv for Denial ......ms~s~` 1X. Conditions of Appro Reasons for Disapproval ~-_ ~ w.,O~wnc 3~ ` ~ ~ ~~ ~~ SYSTEM O R: ~~ ~ 1 Septic k, efFluent filter and a ~ ~ dispersal cell must all be serviced I maintained ~,,,`. ~,~, Z 0 ~ ~ plumber lan rovided b nt ~ . y p p as per manageme ~ ~~~ ~ ~A t 2. All setback requirements must be maintained i ~ `~~ ~~ •~ as per applicable code/ordinances. .... ............ ....r ~., thin ¢7 /2 x It Inehea In aloe nnaen comp~cac pwu ~... w~ w.....r .....J~ ....._ ~ ~( S8D-6398 (R. 01103) U l FPZis ~~r~ / y %~'/s r'- ~G,/eH lCnv t"so~~ ' Lo T 33 ~iti~ra-sr~ T" ~o~yE ~~ ~ 9 ~ 9 / 7W ~"?u~r ~ dw~c1'~k~ r ~~ .,/ .~ ~ - a,~ x So. $e ~p ~a ~ ~ I o ~rL ~~ ~ ~o~~ ~~ S ~-Pw~ ~ REV •~" ~t- ~9/ ~ loa nd ~. ~- ~2 ~~~~~ ~~"2P (J l F~2is ~~i / y %~'/~ /~ Cl%/eN lG?v TSon) Lo T 33 ~~~-s~v T ~~qE ~~ ~ ~ ~ 9 / 7W ~~"~~.~ r.~ d .~1'a4~' ~1 R ~~ ~6/~ . ~~0~' :~ /6,~ ~ 2 ~~~ ~~ ~~ :~~ r ,. /oa n~ '~ ~2 3 ~--~' ~sr~ 2- ar7~ ~~.~,~ ~ 3 ~,rJ r , i-{r~~12S ~~ ~ G ( ©~~ ~~ ~ ~ ~o~~ ~~.:~~, ~~ / ~`~ ~~, ~~Q~ ~~~L ~~Gr~ ~,~r-Gi Z~1-E ~-i~ ~ ~~~ v ~~,~. , ~ , f . f .Wisconsin Department of Commerce SOIL EVALUATION REPORT Page __L._ of _ ~_ Division of Safety and Buildings m accordance with Comm 85, Wis. Adm. Gode County ~ - /` Plan must er not less than 8 1t2 x 11 inches in size Att h m l t sit l n . t` t . p e an o pap ac co e e p include, but not limited to: vertical and horizontal reference point (BM), direction and pawl l,p, percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all »formation. _ _~_ _ R. d b -~ Date, Personal information you provide may ba used fors condar~r~~ s. 15.04 (1) (m)). !j(~~ytiy..-- ~ ~ fJ`~j Property Owner Pro rty Location ~`' ;C c Govt. Lot - 1/4jhj 1t4 S ~ T ~~ N R i-I E (or W Property Owner's Mailing Address L22ot # Bloc # Subd. Name or CSM# 1 ~ ~I 1 ~~"` -~ ST. GIZiJiX Cu., ~~~ J ~~l"~' ST P,~ City State Zip Code hone Ntl6al~iVG c~FFICC= ^ ity ^ ~Itage mown Near t Road --__ _ New Construction Use: ~ Residential t Number of bedrooms ~ _y _ Code derived design flow rate _~~>!~? ~ ~ ______ GPD ^ Replacement ^ Public or commercial -Describe: ____________~________-_~-__~~_-_____ Parent material _~_~ I ~ ~_ __ _ __ _(G_ ___~ Fbod Plain elevationrf applicable _ ti 1 /q__,_____~____ ft. General comments r~ Y5~ ~ rye A P(C J ! d ~ ~ ~ / • ~~~~ ~~Li Gt't? ~ ~ Z ' and recommendations: ~ ~ l ~ ~ . ~?~o-~'i%t ~. ~ ~ ~e-r~ tl ~~ - 7~• 3 , sy5~- U9.fC $ ~"f J7 I ( I Boring # '-' `""""~ 9~ ~o pit vrouna surrace e+ev. _____ ___ n. ueprn ro nm+ony racwr __ Sod ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DJftz in. Munsell Qu. Sz. Cont Cobr Gr. Sz. Sh. `Eft#1 `Eff#2 ~ -ft~ ( --- Si I Z ~r ~ 5 I v -~ 5 • c4' Z to- t U l -- Sc ~ m-~',- ~ S . ~ .3 ~ ~ 1 Cif~~.5 4i1~ cl ~ bk ~ - - `j ~ t> ~~ d ~ LZJ°LX~ C3 r ~. 1 _. f"L. s v ~ C'a~v''' 1 J I Boring # ~ Boring r„~~ ~.~ ~ a. ~" 1 l~' Pit vrouno surtace elev. i w • cw tt. uepm m umrang racwr _,~.~_ rn. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dift= in. Munsel- Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 `Eff#2 ~ (~-i2 ( ° ~ Zrr~S r c^ ~v~ .J - Z Z- 58 j j _`-` Sc I 2r~-~sbk c , y . ~ ' Effluent #1 = BOD > 30 < 220 m9n-and TSS >30 < 150 mgtL • Effluent #2 = BOD < 30 mglL and TSS < 30 mg/L Name (Please Print) Signature ~ CST Number S~ h „.~- ----~ 25 3309 s Date Evaluation Conducted Telephone Number ~S~T~ 5-~ • ~ame -~ t~,]t ~dZS /- ~- 0 3 ~~t ) Z~F7-~tw8' '.~l Property Owner ~ ~ L~~~ ~_-_-____ ParcellD # Y ---- Page __~ of _ ~? , Boring # ~ Boring ~~^^yy / _ pit Ground surface elev. '_7~ •~U _ ft. Depth to limiting factor _ ~o~- in. Sod A IicaGon Rate Horizon Depth Dominant Color Redox Description Texture Structure Cansistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ o-~~ t~ -~ ,~~ Z ~. ~5 -.,.~ .5 .g 3 -~ ~ 3~4~ ~7~ ~~4 5ci s i _ .4 ~ l~'t ~ `' = ~ -~' ^ Boring # ^ Boring [) pit Ground surface elev. _________ ft. Depth to limiting factor ______ in. SoN A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Diftz in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Ef(#2 [~ Boring Boring # Ground surface elev. _________ ft. Depih to limiting factor _-__- in. ^ Pit 5oi1 A lication Rate Horizon Depth Dominant Color Redox Descrpton Texture Structure Consistence Boundary Roots GP Dlff? in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 "Eff#2 `Effluent #1 =GODS > 30 < 220 mglL and TSS >30 < 150 mgfL 'Effluent #2 = GODS ~ 30 mgfL and TSS <_ 30 mglL The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. PAGE ,~ OF 3 NAME fi ~ (-~ /"~ S LOT# ~ ~ LEGAL DESCRIPTION S L `~ ~ i4 ,,~ `l T Z Y ,N,R, l ~ E(ori'l~ SCALE:1"= ~6 -~ BM I ELEVATION /GO~ U BM I DESCRIPTION To ~ o.~ iy Sir e( ~p~ BM 2 ELEVATION ~' k', Z ~ BM 2 DESCRIPTION ~o~ v-f %y S~-P e~ ~c ' ~ SYSTEM ELEVATION ~~ ~ ~ ~ SYSTEM TYPE ~o n u ~'rt7` .'~~n c~ / _ ..}- - CONTOUR ELEVATION ~~ ~-~ ~~~~ ~ ~J I ~oa.~l~L oT D/mENSio.JS NAT Arc v2/~~ `~ S^Gq~LE ~ ~~t` A?7~GF-lam Co~"~'~/~z ~nfl~ n~ 3 ,Z ,o~.v SIGNATURE ~~,o~ I i _ ~ i l~ ~~ ~,r,c ,, .n }' i~~_ I ,, / ~. \ ~` 9e o • per, a i ~ ~ ~ N • / • (O ~ V ~ 2" • ~ j. o ~ ~ i o3 I 118.3 ' 8i / S ~ 3 o ~,0 ~ ,. c. or 9 \ h ~ B3 ~ ,/ i. 84 RES ~ ~ - i ~ ~ e8 A i ~ ~ ' / ~ ~ - ~ ~ ~~ ~J ~ ( 9 ~ ti ~ 2 ~ ~ \ ~ O ~ ~ ~ L T 8 309 ~ ~ ~ y 2.0 AC ES ~ tlW i ~ • ~ p! i ~ ry ~ ~ °° ~ ~ / try ~ R~ ' :r / ~ ~ ~ ~ , ~ ~ \~ h h ~ •' ~ ti. ~, ~ • e' i ~~• i 9y. ~~ ti ~ • O s pf / ~ ~~. / ~O ~ ' O ~: ~ . ~ Q. ~Ai~ o~ ,~0 /' ~~ / y ~ ~l• ~~ x~ ' • ~ ' ° ~ loss '~ ~1 . .... .;...... ~ ~y. ~ ~ I 5 CA ... ... .. ....... ~, ~ x ~ 6 • 9 1 ~ 1086.8 ~/`J 'i2•+ r-- QS.s-- `~ -----~ --- ~ Q ~ --~~9•_ 9 17~ 108 $ .... - --1 _ _ I x ~ ~ ` ~.~. I WCKING~COU~R '~ LvA~N iN6 ~ ABED . av~cK ~~~co.+y~cT--~ .r r- i~ ~m PIP6 3' D t~NDISTuR2~ED \ So I ~ itic.~ r ~aP~'KOvLD .T ,Xirri-J v, r~ E C.'r i o -+S e~. 6'~ r~uw u o.~ ~~ ~ .~~ _~_ ~ g0.' F L E S ~~ V 4 ~ ~~v :h Ow~1.a..~ D F~ ~ ~ ~- ______ ,~ 2„ ~~ Fo«4~i A i N WEAYNERPROJF ~,JLNCTIOH I I'_' ~~~ T P .st, k:. (I~ ~~ 4 ° li ~ YEh^T ~ww q P` 1 .- h 40 3' o•rr o ~~ ~c,~uwo 4z° ~~ GO+vU?Ft"c b~.oCK 14 ~ ~ .~ /;.~, ,EPr~c t SPECIFIC 10-J (~ OSC r ~ ~b-c..w~ / "nu. ,~, MA-JUFACTURCR. IJUMBE OF DOSCS: `~ PEK 0~~ TANK SlZ C ; l ~~ ~ ~'~ GALL 5 DOSC VOL C "[~~ ~ LA0.r~ 1 ~"~~1UFACTURCR; S `~ ~"y~ `~-~"Y` ~j~ IAJCLUDIIJG KP1.04I: d (All ONS nOOCL -~U1.1~0[R; . 1 0 ~ 1-1• v CAPACITIES, /1= WCHCS OK ~3Z W~~O~ S SWITCH TyPC; ~`Q'~~v w` 8 ~ "~' 1JC E . ac~ &y ~ i la ~ N 5 OR GA~~CiS .JMp /1A1JUi'ACTURCR: " "`^' ~ 7~ S H ~'D 'M i / ODEL /.1UMDCIC; D~ ~ TWITCH TaPC; V"~Q~~+v w INGHE~ R ~- ~'1~ Gnu,;,,,;: IJOTE: PUMP A1J0 ALARM ARC BC MI-JIMUM DISCHARGE RATC ~"~ G-N INSTALUEO 0-J SEPARATC KC...*, :RTICA~. DIFFERCIJCf DfTWCCU PU OF/ AUO OI~TRIDUTI O/J PIPC,._ly FELT • M~~,~IMUM u[TWOaK SUPPL PRfisUR E . FCfT • ~~ ,, // rCET OF l-ORC[ X ~'g ~/oo-~FKICTIOU FACTOR. `/L FEET I ~_ .. .,-. - TOT~IL Oy-JAMIC NCAp 3~/lO FEET V 7ERUA_ CIME),J610AJG •Of TA1JK: L.E-JC.7H ~_` ;WIDTH : 2' ____ _. ~;LIQ UIO DCPTH _. ~ J JA~..~ !~ u R x pun,e~ CheractarisHts - ~lMe1M Utah sYlleler~le Aartoeatk Modals SNEI]OAI ~P+wK .SQ F.ll food Aqs 1.0 M4o-a Slated lsio {4 ) M,-~, I SSO Plasr e ~ y,k 11S Nom ~ ienaperehro 1 ~0'F Aa11Nnt NEMU CwsiFe A Melotia au A t she I-l /z• Nn tsba+l.3 So1Ws No.dfirab 3/4' (19rw) Udt Wob1t JO 6s. -ower C;ad 1 b/7, 51TMb 40' s:d. Materials of Construction Need4t Stadolees Stoll taatrrtrtrSl.y tM a Motor Noa Ga ka ca, Cat M 1 Mede+lkd Slaft Sod Sal Foos: Cst~iotl/Grade Sold Mipt Aoodt:od 3irard Spri.F StldoMa Stool beiewss iwirM r E Ga Iroal Sletrw lower Rsw lap tattoo F{oto ftk "~""' ^ ~ FetlydNri SteiidMS Stwl Dat~re~nrlCA fete ....._.. 1 r• ~ ~ -~ to ^ t Irk ~o 1 I ~ t io » » a sa ~...... ura~s.~r e ~ 1 1 Total M~ hot ~ i 12 1 ~ 20 94 a~aw tu.sa ~ ., si ~: ss ~ = o Dim~nsiondl Dale t. Al alYrta~oue b iRhn (aaaa kr ~«to~ ht. 2 (aiawn Snrdor nn ,~ 3 1n ed a_ ~ fa ,~,~~ ~ mYs twttia ~ eMnian+d.tis~r ~ got ,~,,,emtu S. On/OH Itnl a{wtYt 1. -k awr,t M rjla a nkt w ru t:Yua sd rhtt . ,y,ciim~oe.aAan mrk- n. `. ~ ` I „~ ,n Ixtl ~ ~ (1~f1~ - s~dn I I~ HYDROMATIC X810 Boner Rwd Ashket, Oho 41105 iQ:119•Ii9•J012 h>G 11~511.1pi1 Wtb Silt: w,rw.amolrrunrxrora SAItS CIiIKIS IN ~!l MAJOR CRIES AND COUN7Al[S Clem a: Wdi4.i0S0 1200 6M Q 1909 Hydron+dic' P„rnOf, AsMor~i, C~a ~I! Rigl - Yw~ A~ihor,std Locd Dismburor - ~~ i I ~ I . _. ~~ .. .-- - l.._ _.. POWTS OWNER'S MANUAL 8Z MANAGEMENT PLAN Page of FILE INFORMATION Owner L/CP~ ~ ~ r,Pa/ST Permit # , ~ L{ DESIGN PARAMETERS Number of Bedrooms '1j ^ NA. Number of Commercial Uniu ~'NA Estimated flow (average) ~p ~ gal/day Design flow (peak), (Estimated x 1.5) o gal/day Soil Application Rate , gal/day/ft1 Influent/Effluent Quality Monthly average* Fau, Oil ~ Grease (FOG) _<30 mg/L Biochemical Oxygen Demand (BODs) <_220 mg/L Total Suspended Solids (TSS) <_ 150 mg/L Pretreated Effluent Quality ^ NA Monthly average** Biochemica( Oxygen Demand (BODs) 530 mg/L Total Suspended Solids (TSS) <_30 mg/L Fecal Coliform (geometric mean) <_10' civ/100m1 Maximum Effluent Particle Size ~ inch diameter SYSTEM SPECIFICATIONS Septic Tank Capacity AD~- gal ^ NA Septic Tank Manufacturer `~7 ^ NA Effluent Filter Manufacturer 2j~{-~$ t,E ^ NA Effluent Filter Model ~p p ^ NA Pump Tank Capacity ~~ gal ^ NA Pump Tank Manufacturer ~IJNlT ^ NA Pump Manufacturer ,pr~~~p NA Pump Model s {£ic' 3 0 ^ NA Pretreatment Unit ~"NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland O Disinfection ^ Other: Manufacturer Dispersal Ce(I(s) ground {gravity) ^ In-ground (pressurized) ^ At-grade ^ Mound ^ Drip-line ^ Other: * Values typical for domestic (non-commercial) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE 5Gt1EDULE Service Event Service Frequency Inspect condition of tank(s) At least once every Z~3 ^ months year(s) (Maximum 3 yrs. ) Pump out contents of tank(s) When combined sludge and scum equals one-third (~) of tank volume Inspect dispersal cell(s) At least once every f/'3 ^ months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every /~ ^ months year(s) ~~ ~ /t'~ °'~ Inspect pump, pump controls 8t:alarm At least once every ?,.~'S ^ months ,t~year(s) ^ NA Flush laterals and pressure test At least once every ^ months ^ year(s) NA other: At least once every ^ months ^ year(s) NA other: At least once every ^ months ^ year(s) NA MAINTENANCE INSTRliCT10NS inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Maste Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell{s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (fs) or more of the tank volume, the entire contenu of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement componenu, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START VP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting produce or other chemical that may impede the treatment process and/or damage the dispersal cell(s). (f high concentrations are detected have the contenu Page of _ System start up shall not occur when soil conditions are frozen at the Infiltrative surface. During porveroutages pump tanks may fill above normal highwater Levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior. to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within l 5 feet down slope of any mound or at-grade soil absorption area. ` Reduction or elimination of the following from the wastewater stream may dn3prove the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; aaintine products: pesticides; sanitary napkins: tampons: and water softener brine. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shal{ be taken to insure 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 shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another 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 and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable Ceplacement 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 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. Reconstructions of such rystems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN 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 IMP[1Q.CIRI.i. ADDITIONAL COMMENTS POWTS INSTALLER Name (,~ !l!N'L, b~ NL Phone ~~.. 2 Ste' ''~ ~f~ SEPTAGE SERVICING OPERATOR POWTS MAINTAINER Name Phone LOCAL REGULATORY A,pU~THORITY Agency S~t~O! ~ (:o ! Phone 'ZIP 38~' ti ST CROIX COUNTY S8P TIC TANK Ni~INTBNANCB AGRBBMF3NT ' •-AND OWNRRSHIP CBRTII~ICATION FORM sailing ~}d~ -F= tnpetty p'I7.ON '•~ W Town of l ~C~Irv~ 1^nOr~ -~~ .:/a, 5 ~ '/., Sec. ~ . T._N R - ~ - 1 ~~~h ~~ (Yarif~catian requited from Planning Department for new 1-7 3`~ -~ ~ ~0.rn ~ ~ y ~ ~ Parcel Identification Number ~ ~ ~ ^~ ~~l° ~ - -~ ~~ Survey Map # --~'"~~-. Volume '"-'~ -,,Page # '''"`- r Deed # ~ o~~~, ~ .Volume I -~ Page # Spot hose ^ yes ~ no Lot lines identifiable ~ Yes D no roper nse and anaintenaaaeof your septic system could result in its premature failure to handle wastes. Proper maiatenaaca eoosists pumping out the septic tank every three ycara or sooner, if rueded by a licxnaod Wl~t you pat indo ~ ~~ pin -the function of the septic tank as a treatment atage is the waste. disposal syst~- a cetti$catien four, signed by tha owner and by a propexty owner agroes to submit w SL Croix Zoning Dept that(1) thaon~sitows~ewstpsystem ~~Pl restcietadplumber or a iiccnsedpumper verifying ~ tank is lass than 1/3 full of sludge. is in operating condition antllor (Z) after inspection and pumping (if nooessarY), ~ maintatin the private sewage disposal system with the standards ~ ~ havo read the abova r+egttirrrneats and agroe of Natural Resources, State of V~SCOns~- ~Qcation oet forth. as sat by tha Deputmeat of Commarce and the ~ to tha S't. Cmix - Z,oning Office within 30 ~8 t your optic system has been maintained must be completod and returned ~n ~ throe year axp lion as 1© ~. DATE . cn~tA OF APPLICANT OW R ~'CA~~ our koowl c I we am (arc) the owucc{s) of I (we) ccrtlfy that all statements on this fo ty ara true to the best of ~yof Deeds Office, . ( ) ~ dexc~ibed above by virtue of a warraa deed recorded is Rtgtst ~~ b~~ DATB ~{}NA OF APPLICANT Any information that is mis-representedmay result in the sanitary pemait being revok~:d by th,e Zoning Department. •`««s. ssssss ss Ie-d de vrith this appiicatlon: a stamped waaaaty decd from the Register of Deeds office : copy of the ccstiIIcd survay map if reference ~ made ~ tha warranty deed t, ,.,.o..A..-.... DOCUMENT NO. QVZT CLAIM DiiD n ~ Kul N. Olferts and Katherina G. Vlferts, a/k/a Kathariaa O. Ulferta, a/k/a Katherina Vlferts, a/k/a Kate Vlferts, s/k/a Kathariaa Ulfarts, hus:.•nd and wife folding as aur~ivorahip marital property, quit-claims to Kul N. Vlferts and Katharine 0. Vlferts Family Trust, Dine M. Bonte, Trustee, Ronald C. eonte, fat Alternative Trustee, having full power to sell and encumber, the following deocribed real estate in Se. Croix and Pepin County, State of Wisconsin: See attached Exhibit "A^ Eor zeal estate description. The purpose of this putt Claim Deed is ~o terminate that occupancy ri31~t as originall/ reserved by the Grantors by deed as originally dated September 1, 1995, recorded in St. Croix County Register of Deeds on November 1, 1995, at 10:00 a.m. in Volume 1147 of Records, Pages 22- e~, as Document Number 535679 and recorded in Pepin County Reglater of Deeds on ll~i•ember 13, 1975, at 9:00 a.m. in Volume 106 of Records, Frges 291-295, as Document Number 091145. EXDKPT PER WISCONSIN STATUTE 77.21(1) Thie is homestea~ropecty. Dated this ~ ! day of August, 1998. AUTB=NTICATION Signatures of Karl K. Vlferts and at arias C. Vlferts authentic s da of August, 1998. • Leo A. Beskar TITLB: MEMBER STATH BAR OP WISCONSIN (If not, authorize by 5706.06, W1s. Stets. THZS INSTRVI~NT WA9 DRAPTHD BYE Leo A. Heskar, Attorney RODLI, BESKAR, BOLES i KRUEGER, 3.C. 219 North Main Street, P. 0. Box !38 River Palls, NI 54022 ST. CRG;X CO., WI Rata !ur Raca~d AUG ~ ~ 1998 3:30 P~,i Re0)I+if at Qeadf NAME AND RETURN ADDRESS Leo A. Beskar, Attorney RODLI, BESKAR, BOLES & KRUEGER, S.C. 219 North Main Street, P. O. Box 138 River Falls, idI 54022 Pepin County 010-484-0000; 010-510-0000; 010-507-0000 St. Croix County 002-1026-80; 002-125-40; 018-1018-20; 018-1018-30; 018-1018-40; 018-1018-50; 018-1018-60; 018-1018-70; 018-1018-80; Farce I eat fi^atlon Nu er (PIN 018-1018-90; 018-1015-%C; 018-1015-70; 018-1015-80; 013-1015-90: 018-1019-00 (SEAL) / w L4 ~ 1~ 1~!~~'-1'~?.~.~ fCE4L) Karl N. V errs - y/ fC, l /~ (SEAL) `~~' ULt1l~'I ~" `••~/~ ,' l~ ~ ( ) Kathariaa G. Vlferts ACKNOWLYDGIhYNT STATB OP WISCONSIN 1 1 ea. COUNTY ) Personally came before me this day of , 19 t~ above namef. to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Notary Public County, wia. My commission is permanent. I not, exparation date: 1 i., i~i''.t .'.~~.~ iR ;;y ~ c._jx`~-Jf:%~~}~``~'~•~•. a~t~l~~~ 9_,.11 {Et; ,-. f~~k-~ '.G~ '~%'~t?; ~~tp. t+dF'1'~-'~`P4ia Tir L7Fr`,''•"Sr"-7!~~"~•'.'t~~}y M•ni~~-,i .,•r f . ', F t7, t.. .. r •. _ _ _._..~__ ...~...._.,_r,......,__._. --.. _.. __ ____----~ _...~.___~__. ... ........... _., - -- s • ~' ~ y f J EXH161T "A" s Real Estate (St. Croix County, Wisconsin) ~ Northeast Quarter (:dE 1/4) of Section Eight ($), Township Twenty Nine (29) tlorth, Range Seventeen (17) West. AND; j I West Half (W 1/2) of Section Nine (9), Townsh~p Twenty Nine (29) North, Range Seventeen (17) West, EXCEPT Commencing at the Southeast corner of said West Half of Sect.fon'9; thence North on quarter section line 341.8 feet; thence N82°W 340.Oo eet; thence 552°W 170.0 feet; thence S39°W 170.0 feet; thence 856 W 263.7 feet to section Line; thence East on section line 798.78 feet to Place of Beginning. i AND; 1 South Half of South rest Quarter of Southwest Ql~arter (S 1/2 of SW 1/4 of SW 1/4) of Section Twelve (12j; ~ And Northwest Quarter of yorthwest Quarter (NW~1/4 of NW 1/4) of Section Thirteen (13); j All ir. Township Twenty `line (29) North, Range Sixteen (16) West. Real Estate (Pepin County, Wisconsin) ~ Lot Five (5), Block Two (2), Klampe Subdivision to Town of Pepin, Pepin County, Wisconsin. AND; i Lot 4, B:Lock 4 of the Klampe Subdivision in ithe Town of Pepin, Pepin County, Wisconsin; AND Part of Lot 1, Block 5, First Addition to~Klaa-pe Subdivision, described as follows: Commencing at the Southwest corner of said Lott which is the Point of Beginning; thence North 46°8' East, 135 feet; thence South 43 52' East, 91.40 feet; thence South 80°14~ West, 163.03 feet to the Point of Beginning. ~ ~ Located in GovernmEnt lot 2 of Section Twent~I-One (21), Township Twenty-three (23) North, Range Fifteen (15) West, all in TCWN OF PEPIN, Pepin County, Wisconsin. s ~' ~ 1 ~ ~< RECEIVED APR X 5 2004 ST. CROlX COUNTY ZONING OFFICE CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE SW 1/4, THE SW 1/4 OF THE SW 1/4 THE NE 1 /4 OF THE SW 1 /4 AND IN THE SE 1 /4 OF THE SW 1 /4 OF SECTION 9, T29N, R 17W, TOWN OF HAMMOND, ST. CROIX CO., Wl. BEING LOTS 33, 34, 35 AND 36 OF PHEASANT R/DGE FIRST ADDITION. PREPARED FOR: RON BONTE eVr5 ~ ~ ~ / wy~e/ : (~~t ~ ~ 1 ~ ~ i ~ /~ . ~ S8T26'Q 1 "EI 386.02 :•~. / ~ N ' j \ I ~h . \ Q I \ I ~ ~ I NOTE: BEARINGS ARE REFERENCED I 36 ( \ LOT TD THE WESTERLY LINE OF LOTS 35 AND 36. • 50' ~ I I RECORD BEARING. o. \ 86, 669 ~ SQ. FT. ~ V ~ ' ~ L ~ \ ~ ~ 1 l OT 52 LOT 54 ~ w`P ~ . o , \ , N \ ~ o_~ \ p i ~ I \ X06 \ ~ i ' ~~'~~• ~ \ ~[ ~E 3 \ , ~~ . ~ ~2\15 ~J - ' ~\ \ THIS MAP :SHOWS AN _ BETWEEN L015 ARE ~ ~ ~ N '~ N~ \ INS7RUMENI: 1ED B1' TH C --~ 1 ~` w ~ ` ... • o,~ cn ' \ ......... . ~, ~ LOT 35 •, • • \ M d~ \1.79 ACRES • • 1 ~ \ N ~~ I \77, 987 SQ. FT.. • ~ • •'• ~~ ~ \ \ ~v w~.~T Z I ~2~~0'28"~ 3--'" -- ~~~ \\ LOT 51 G ~ ~~ \ ~'~'s~ ~ ~ ~ 1.82 ACRES •~~ ~, ~,\ `~ S60'23 19 E ~ / i ( rn ,~• ,P ~`c5~ CD~ C~ ~ e 5, :o I v\ 79,221 so.Fr..,. ,\` ,. \ \\ 27.03 i ~ / / ~~ :~~°\ o ~ \\ ~E 2951-~= ~~. ~'•~ ~ ~ // •~ o :a ~~ \ LOT 33 : ~ ; , O ~ 51.73 ~ g ~ '~ 2.61 ACRES:• ; ~ ~ ~ • . LOT 49 :~ ~ i ~ \\114, 620 SQ.FT. ~ / / o .~ ,o~ \ vIp -!o`~~:-331 ~v. ~ .~ `~cL~A~_Z~. ~~~. r ov\ 50 j ' 4J I a =SET 1 ° O.D. X 18" IRON PIPE I N ~„\ V - I~ I • WEIGHING 1.13LBS PER LINEAR FOOT. i ' ~ p,\\ ~ . p I O ~ ~i~ks o = 2 ° IRON PIPE FOUND. + ~~ ~ \ ; p I ~") I ~S ~~I I Z `~~ \ I N~ I • = 1 ° IRON PIPE FOUND. ~' \ ~ I ~ i JAMES nn. \ : i ; N ~ WEBER ~