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HomeMy WebLinkAbout018-1099-43-000O cn O ~ ~ N fD O m a U1 Z N co D a c O Z O -~ N o ~ ~. d O 3 m m c m 3 m N a _a O N Z 0 m N °c ~ f 7 ~ ~ ~ 3 3 :: o a ~_ ~ ~ ~ ~ O 3 d N tll ~ ~ C ~ _ A ID Q A a = ~~ N = W O1 N 3 O O a O O O ~ ~~~o N N N vvv"' ~ O1 'C ~p <D D1 N 3 °-' ~ .. M ~ ~ D ~ a cb o d F a ~ ~ 3 d o 3 n ti ~ 'C X41 ~ IUD _ ~ o 07 ~ CNO ~ O v a oo ~ o G' w ~ o ~ o y O (Ap O C 3 .. ;~ w~ v N N .Z1, a m N ~ ~ A Z ~ ~ ~ Lr A Z O •• ,~ O ~ ~ m v m ~ a ~ Z o' 3 a ~ O 3 =• z m ~ ~ fR ~ i A F W G C 3 ~ a ~ d r.• FBI D O Z d ~• 0 ~• 1 ~~ fi O fD b9 Q O f o~ ... ti N O O ti '.. Vq ;C A ~ ti ~ ~, a epartment of Commerce PRIVATE SEWAGE SYSTEM Building Division INSPECTION REPORT FERAL INFORMATION (FQ~'TACIs TO PERMIT) onal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. rmit Holder's Name: / City Village X Township Stifter, Lorna / Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: icw, vU /;M ~ t Ss t..~~ GST TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic y ~_t,~~ ~,..~~ ~a~~~~~G~ Dosing Aeration Holding ~ ~~ w.a + L `~w~i~ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ sv = ~" .r ;r ,~ 5~ ""` 55 ' ._ Dosing 7 S~ t ~ K-- Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand ~~,~ GPM Model Number til ISZ •3~ TDH ~,3 riction Loss System Head TDH Ft Forcem ngth~, Dia. ~ Dist. to Weld y, SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 453115 0 State Plan ID No: Parcel Tax No 018-1099-43-000 Section/Town/Range/Map No 09.29.17.85 STATION BS HI FS ELEV. Benchmark ~. G 1u y-6 ~~~~. ~ Alt. BM Bldg. Sewer 5 ~ y~.~~ St/Htlnlet 9 ~ ~~ G SUHt Outlet Dtlnlet nr~y 3~~ q 0. ~ ea er an. S- Cl `~. ~ Dist. Pipe ot. System .. ! 3 ..T 3 7D .~7 Final Grade St Cover Cov,+cavrc S't 6.io 9e.cso k BED/TRENCH DIMENSIONS Width / ~ Length ~ ~~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside D' h SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN CHAMBER OR Manu cturer ' Type Of System: ^ 11"'t Gr c.~~' ~ ' ~ ~O r- fv e, T r ~ /~ / UNIT Mode umb DISTRIBUT{ON SYSTEM ~ ? ~' ~~,._ „~ ~ «,,. ~~..._~ ~ .v-~-- Z Z- S Header/Manifold Distribution x Hole Size x Mole Spacing Vent to Air Intake L th D ~ ~~ !! Pipe(s) St~.clS ~~ V / ~ !~ ~ 7 eng ia Length Dia Spacing 1 Y v SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over , Depth Over r xx Depth of ~ xx Seeded/Sodded xx Mulched Bed/Trench Center / Bed/Trench Edges / Topsoil ' l Yes f I No Yes r I! No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection # ~ ? / ~~ /o`f Inspection #2: ~ / ~~ /~ Location: 1041 174TH St Hammond, WI 54015 (NE 1/4 NE 1/4 9 T28N R17W) Pheasant t 43 Parcel No: 0~.29.17.8~ ~• ~loty ~K- 1.) AIt BM Description = j ~p11 c ~c,..~ Cu ~ a-~ - M : Ord ~c ~ ~ lr 2.) Bldg sewer length = ~- 'S`~ ~ c+ / (' cori..Y-t~ - ~ ~~~ 61 Ce..~./ GCCC.r~='.-~ '{t, f'~1.~~*/jzv lf~c.~F G~.t~t:r -amount of cover = P "• ~ CU +'1 Eoi+~Y 5~, O Use othertside foruadditional informaf n. No __ -- ___ _ ~~ __. _ _ SBD-6710 (R.3/97) Date nsepctor ature Cert. No. Safety and Buildings Division ~i ~,~ 201 W. Washington Ave., P.O. Box 7162 Cory ~ 1' ~ v< ` ,SCO~~~~ Mavison, WJ 53707 - 7162 Sanitary 1'ero>r~Nu~ (to be filled in by Co.) (60g) 266-31 S i -~Tl 5 31 ~ 5~ Department of Commerce Stan PIaaLD.Number Sanitary Permit Application ~` vtde ~~ ~,,,4. ~ tD accord with Comm 83.21, Wis. Aden Code, pt=somal infoTmatlon you pro _ (~~ t~~ L„~ address) + maybe used for secondary P~P06°s Pn Proiea Address (' .~r'^_ W1,d1,11~( .. ~~ ~ ~ _ _ 1. Application loformation -Please Print All Inform ion _ _ _ _ _ Paroel # tot ~ cuxx N Property Owner's Name APR 2 3 2004 ~ 9!{3 ~ g s ~~~ ~ 'e~ Property L.ocatioa property Owner's Mailing Address e> n l.Ui)iv ~ ~r /r j3~.t~ ~~~ Z INGOFFICEi ~€ ~ 9 ' T ~O '/~, %, Section Zip Codc Phonc Number rmle Ci State D JAL ~~ 557 T ~ ~f N; R.L.! E o ll. T of Building (check all that apply) (~ S `l' "" Subdivision Natne /'~ ~r ?Family Dwelling - Number of Bodrootns ~~~~~ C_, ~ do .r ^ PubliclCommcroinl - Describe U ^City_OVillage wnship of ~1~D ^ State Owoed -Describe Use I 0 X ~ z0 f • S3 3 - oon ll 1. Type of Perarlt: (Check only one boi on line A. Complete line B if applicable) Q -- 0 9 ~ "' ,~,~ laxuteat Only ^ Other ModiDoacioo to Existing System A. LSNCw System ^ Replacetrteat System ^ Tteatmeat/Holding Tank Rep list Previous Permit Nusnber and Date issued e of ^ Permit Ttans&r to New 13. ^ Permit Renewal ^ Permit Revisim ~~ Owner , Before Expiration IV, T e of POV>rLS S stem: Check all that a I ^ Single Pass Sand Fihe O ^ Noo -Pressurized la•t'3rtwnd ^ Mound ? 24 is of suitable soil O Mound < 24 m. of suiuble soi t-Grade Constructed Wetland ^ Pressurized In-Ground ^ Holding Teak ^ Peat Filter ^ Aerobic a ~ ~tlatn) Recirculating Sand Fiher ^ mamber ^ Dd Line ^ t:have6less Pi Rccirrulatirt S thetic Modia Filter ^ V. Dis ersal/I'reatmeat Area Information: s Dis rsal Area Roquuod (sf) Dispersal Ara Proposed (sl) System Elevation Desi //flow (gpd) Design Soil Application Ratt(gpd n po nOO l a• ~ ~s7~ •e ~ ~OV 7 Prefab Site !Steel Fiber Plastic Manufacture Glass Vl. Tank Info ~l~m Callous ofU~ Concrete Constructed New fi><i,eint{ TsrJcs TsrJtr ~ f Scpiic oi'4+eldiwtl`T+IJ~ O~ t ~fl !" Aerobic T~ce~mcru Unit DwinK CFwmbcr '~~ ~pa ' V11. Res aslblll Statement- 4 the under d, atrttme nslblJl for lastallatlon of the pOWfS shown on the Butun ss Phone Number PI s Si ~~p~ Nutrtber _ Plu Name(Pr' ) ~f ~39y 16Z- s - Z3S" ~'`~~ ~dpp L ~wZ Plumber's Address (Street, Ciry, State, ti C ~s'bn 9 70~ '~ ~tJ~ Gsla~ra~/~ ~,/t ~S ~~/ V111. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date lssuod lssu' Agept Si ter (No Stamps Approved O Disapproved Surcharge Fee) ~ ~ .~- 0 ~/23/0~ ^ Owner Given Reason for Denial _• I,,,~ ,_p_ r 1X. Conditions of ApprovaUReasoosfoc Disapproval 3) ~s-~,~,~ '""'~'~~ ~1 ~ ~ - d~' SYSTEM OWNED; p~su~v`e,".--~- °~^ Se~~` ~ ~-~~ / 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber 2. All setback requirements must ha maintain<~~' as per applicable Gode/ordir,r~,. ~. - Attuh Complete plas+ (to We County only) for..-the system oo paptr sot ku tans t1R i I Iseba Ia stn SBD-6398 (R. 01/03) ' r _...d.. v\B/~ ~ v ~- I v s ~ -- 11 ~ s ~ v ~ _ ~, M\ J 6 S J' v .Y 9 3 =6 d ~O o ~ ~ t -, Y N V ~b S "9 A 1f D { ^~ 0 ~. ~~~~~ ;~a~ ~ i oi ~/ r -- ~ 1 ~ ~ J ~~ n Z ~--- d +~ -~ ~ ~ s GOpY /~ a ~- ~ ~ ~~ o ~~ ~ ~ ~ ~ a ~~ ~ ~ t ~. N , ~ ~ J J N ~~-- ,/ / ~ / ~ • i~ I ~ S 6 `~; d ~ ~~ i a3. ~ ~~ Y: J -~ ~I ~ ~ '~: a ~ ~~ ~ a x i ~ p J ~ ~ o f ~ a f v -~ s -~ S o5 `~ ° ,,, ~ ~~ M ~ ~D ~ 9 Z 9 ~ ~ ~` a aY ~` ~..# G Jr:.~ f ^ p~~vnerBuyer _. Mailing Address Property Address ~~ ~ SSy ~ ~ City/State I ~1'r-"~~ ~" ~ Pal Identification Number LEGAL DESCRIP'T'ION ' I S~ ~ ~ T ~ N-~....w. Town of f~iO,.I~Y~nO Property Location ~ /4, /,, Sec. t'1t . _ --~ [~ ~ _ r -, Lot # Subdivision . Volume ~ , .Page # Certified Survey Map # _ # ~~'» S ~ Volume ~ °~ a Page # ~~ Warranty Deed Spec house ^ yes ~] no Lot lines identifiable ,~ yes ^ no SyS'TEM r~ ~ TNTF,N ANCE Improper use and marnteaanceof your septic system could result in its premature failure to handywastes. P~ into thctsystem out the septic tank every threw years or sooner, if needod by a licensed pumper. consists of pumping can affcd the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form' signed by the owner and by a lumber, restricted plumber or a licensed Pumper v°TifY~S mat (1) the on-site wastewater disposal system mastcrplumbcr, jouraeYa~nP d'n~essary), the septic tank is less than 1/3 full of sludge. is in proper operating condition and/or (2) aRer inspoction and pumping (• is and a to maintain the pnvate sewage disposal system wrth the standards I/we, the undcrsignod have read the above roquircmen ~ artmeat of Natural Resources, State of Wisconsin. Certification set forth, herein, as act by the Department of Commerce and the Dep Office within 30 mating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the throe year exprrahon data _ ~° ~ o ~~ - DATE GI~IAT[1RB F APPLIC OWNER CERTTFICATTON our knowledge. I (we) certify that all statements on this form are true to the best of my ( ) the property dcscnbcd above, by virtue of a warranty deed recorded in Register of Deeds Office. S GTIATURE OF APPLIC I (we) am (arc) the ownel{S) of / ~ DATE Any information that is mis-represented may result in the sanitary pct ~~ revoked by the Zoning Department. .,.... ST CROIX COUNTY SEPTIC TANK IvsAINTENANCB AGRE$~NT . AND OWNERSHIl' CERTIFICATION FORM ter r~c~ ~`~,~ ~t' ~ ~'t Cow 3~~ ~ ~ o.C.~ or`~ ~^ Iby 1 I`7~~~.~~ ~~~ (Verification required from Plannrng Department for new .««..~ •' Include with this appllcatlon: a stamped warranty deed from the Register of Deeds office a copy of the certifiod survey map if reference is made in the warranty deed commerce.wi.gov i ^ ~scons~n 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 April 08, 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: 04/08/2006 Identification Numbers Transaction ID No. 983675 SITE: Site ID No. 672410 Lorna Stiffer Please refer to both identification numbers, 100TH Ave above, in all cones ondence with the a enc . Town of Hammond St Croix County NE1/4, SW1/4, S9, T29N, R17W Lot: 43, Subdivision: Pheasant Ridge 1ST Addition FOR: Description: Three Bedroom At-Grade Stem Object Type: POWTS Component Manual Regulated Object ID No.: 949253 Maintenance required; 450 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, 5BD-10706-P (N.O1J01); 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, COndr't~ stats. ~~ ~ ~ The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT 0 ~}S OF E General Approval Requirements: C ' -'~ SEE CORRES • 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. • 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 145.19, Wis. Stats. TODD L SINZ Page 2 4/8/04 • 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 during construction and open to inspection by authorized representatives of the DeQartment 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 PO WTS 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 thss letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, r Charles L Bratz 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 Henry F Grote _.. .._ v 9 .~ ~. ~ ~ FC q~ qA F/!~ . ~~ ~ ~1 FO Lorna Stifter - At-grade System ~~` 10~~ ors Construction Materials and Techniques O,~ 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 (O1/O1) Location: Lot 43, Pheasant Ridge, First Addition NE '/4, S W '/4, Sec. 9, T 29 N, R 17 W Town: Hammond County: St. Croix Date: March 31, 2004 Owner: Lorna Stifter Address: 14600 13 f lace, N. Plvmout 55447 Plumber: Todd Signature: License: MP 13 Attachments: SBD-10577 -Plan Approval Application SBD-8330 -Soil Evaluation Report Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plari.view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management ~~~ P k,',~~vv/ 94~ ~~ '~NttRC~ 'J INGS NDENC page 1 of 8 .~ Design Criteria YES 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 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~ '4' gallons/sq. ft. per day Depth to estimated high ground water ~i ~ g in. Depth to bedrock ~ 9 ~ in. Cross slope at system ~ ~ % "" '~ `~ Force main length ~ ~ ft. of Z in. Manifold/header length y`~'A ft. of -' in. Drain-back ~~b3 gallons Lateral length ~ @ Sq'O ft. of ~- in. Lateral elevation Q 8 ~~ ft. @ bottom of lateral ~ Lateral hole size ~ b in. @ ~~ ~ ~ in. ( ~`•~ ft.) Spacing 3 ~ holes/lateral ~ n holes total Lateral volume ` a..2~ ~ gallons Total lateral discharge rate ~ ~ ~ ~ i gallons/minute @ 2' S ft. head Network pressure compensation losses d'~S~ ft. Elevation difference ~-.S ft. Friction loss n ~~ 3 ft. @ ~ gallons/minute Total dynamic head g' ° p ft. Pump/s~hon ~ ~ gpm @ ~ ~ ft. of head Manufacturer ~ ~ ~« ~ Model # `~ Z Dose volume ~ 'o ~ ~ 3 gallons Lift/si~l4on tank ~'~ ~ ~ ~ c K~' ~ ~ ~ ~~ co ~c b c~ro gallons Septic tank `~ ~ '~'~ gallons Effluent filter O ~ ~ ~-o G° ~ gz~' ~ ~ ~ ~ Measurement pump on and off ~~ b in. Height alarm from tank bottom ~ ~ ~ ~ in. Reserve capacity ~ ~ ~~ b gallons specs.calcs.res Page Z of g ~. ~~, ~- ~; g .~ ; v~-I vrt 9 ._'"' s N I Q S ~ v ~,~ M\ J S J' v ... f .i Q ..6 r J o o ~ t v3 ~~,. ~' ~~ o--~ ~ e ~^ D ~ ~ ~ t o ~ ~~~ . ~o ter. ~ o N ~ d ~~ x _- ~ ~ v -~ J ~ 8.~ s ~ Q ~ 9 .~ 7~ ~' ~ ~_ `~ n ~ - d -~ I ~ ~ nn V ~` s ~~ d ~ 3 ~~ ,,,,y ~ 0 1 d- a ~ j ' d ~ ~ / 1 N 3 r .~- ~,^ ! .rl- iy o o ~ .~ ..~ ., A /v T 6 pp .~ d ~~ ~~ ~ ,' Y ~' j ~~ ~` o Y n ~' ~ ~! !// +~' /" 4 +~ f~ 0 ~t ~ ~° .~' ~ a d £ 'I d ~ ~ ~~--yy V± ~ .~ •~ ~ ~ ~ 6 x I a ,~ ~ ~ ~• ~ - O ~ 1 .~ ~ u f ~ -` d ~ n a -~ ° $ .~ S ~ `~ ° ~ ~ J ~ ~ ~ ~ D + 9 ~ 9 ~/ „ b,. 4 ' C1.sc~ ~~~« ~~ Observation We11 ~ ~~ Distribution Lateral 2 ~ ~ ~~~~~ ~,~'~?~ ~„~-T 2ii Soil Cover ~~`~ ~ ~ • • ~ ~ ~. ' / L ' ~~ ~ / V N~..A Y 4$~c~ I ~~ 5~ r 2z. ~ ~1~ ~fg~~ ~~~~~ ~ ~ ~ T ~~ ~J ~ V C S~ 4^9~ I / , ~. ~~..~, I.o li.~p ~ ?, p~ l\~~o ~ `, P V ~ S.St~ ^'~ ~~ (~~p iffy ~]( q yy\p 3~ w, ~ 1 l \ ,( '~ ~ b ° s-S O 1 N ~ Ate. CA...'T tL~. ~ c~ w 1 ~. •..ti ~ ~`f .O s+~} ~. p i ~~ ~~ ~...7 ~ ~ ~ a ~ ~..~.. x . .. ; r LfJCKIUG GOVfiR'''~\ lvv~~u iNC .c ~BE~ . \ QUICK DI~C,oaVtGT--1 ~ ~\ 1 w . . '~F" ~ c>-~ o ~, 4 ~, a" ~r~~ D 4m PIP6 3` , nU N~ISTuR6ED ~'~ 24`' 2.D, MA~1u01E r ~ ~ F o R ~ ~ . 2 M/~~N WEATNERPRp~F ~,~1N(.TION Box ~ :' i~i,~;,~ P uc k.;, d" 4 0 Ycr.T, ~ '^ 3 I iMU r ~ -~ GY/rc ~ ~ - '.i ~wL.P I S cras~.4 T• j _ ~~~ a ~ ~ ('IPA `C.~r°.`ticr0 F~' is~'L1-l ~ ON I Soli ~~Nnl~~ror~ ~ ~~ 4~3A ~ i , c ` j ~ JRVU~o ~ 4 ~ ~ c~cr PuKP ~ q„ GoNt~tFr'c s~~F~ bcoCK SEPTIC t SPECIFI~CATIOIJS ` ~ 405E ~ 1 ` T~u,.s MAUUFACTURCR; ~ `" ~~`"~ ~ ,~ ---.--_ (JUM B E R O F p O S[ S: P E k ~ ~ TA-JK SIZ1`' l trirO - ~~ ' _ GALL01J5 • .DOSE VOLUME ALAR-~1 /~IV,IUFACTUR,CR: S `, ~y~ ~'~-~Y` IIJCLUOIAJG 6ACKPl.OW: ` ~ ~'~ v~'.~~hj MOOCL 1JUK>'JCR: . 1 e 1 1-~ ~ CAPACITIES; A c Z~'O 3 ~~}. (,~ , IAJCHCS Ok ,,,~.__~~. SWITCH TyPC: ~'~"'`'` "'`b g Nur~a /1AIJUFACTURfR; o~ ~ ~' MODEL -JUMDCR~ ~3 4•.I C)~ et.J INCHES OR ra^,.~•__ JWITCN T>jPE; V`eQ,~'""`r `^. 1JOTE: PUMP A1Jp l+LARM ARC TJ pC r111JIMUh1 DISCNARCsr< RATC~ .lo GrM wsrA~LEO oN SEP~RATC C,ats,.~Tg VERTICAL DIFFCRCAJCf OfTW[CU PUMP pFf A ~'S~ UD DISTRI~UTIOu PIPE.._____.__ FEET + MiulhtuM NETWORK SUPPLY PREtsURE ~ ~ ~ ~ S~ . ~` FCCT ~ o~'~-S~ + I O FEET OF PORCC M/-IIJ X ~'~ ~~ 33 -oo rLFItICTIOU FACTOR. ©• FEET TOTAL. Dy-JAMIC HCAp =. _-~ ~~ ~~08 FEET ~~ 4 IUTER-.IAC. pIME1.lS10Af1; •0/ TAUK: LE-.1GTH 2 ~~ ~ 2 'W'OTH ; I.IgUlO DEPT H tAu~ 6 a ~ V^ i I -~ r y • `~ V - HEAD CAPACITY CURVE MODEL 152/153 w~ w w 50 153 12 40 152 °¢ w 30 ~, z 8 r 20 0 4 10 orssoe 0 80 160 240 320 FLOW. PER MINUTE 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 C!wik-Box available foFoutdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. G 20 0 60 80 100 GALLONS LITERS 1521153 Series 1521153 MODELS Control Selection M_o_del_' _ Volts•Ph Mode Am a Sfm lex Du lex ~N 152 T t 15 1 Non 8.5 1 2 or 3 BN 152 115 1 Auto 8.5 Incuded 2 or 3 E 152 _230 1 Non 4.3 1 2 or 3 ^_ BE 152 230 1 Auto 4.3 Included 2 or 3 N 153 115 1 Non 10.5 1 2 or 3 BNt53~ 115 1 A t t0 5 I I ded 2 3 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gol. ~ Liters Gal. Liters 5 1.5 69 261 77 291 10 3.t ~ 61 ~ 23t 70 265 15 4.6 53 201 61 231 20 6.1 44 i 167 52 t 97 25 7.6 34 129 42 ~ 159 ~, 30 9.1 23 87 33 ~ 125 35 10.7 '~ - -~ ~ 22 i 85 I 40 I 12.2 -- -- ~ t t 42 ~, Lock Voive: 1 38.0 Ft. (11.6m; ec 0 r1 ('3.4r^j', 3 27/32 z~ ,--r ~ ~ - , I,j -~--_. - ,_ ~_' ~ s~oea _ uo ncu or SELECTION GUIDE E i 53 230 1 Non 5.3 1 2 or 3 1. Sin le I back variable level float switch or double I back variable level float BE 153 ' 230 1 Auto 53 Included 2 or 3 g p 99Y p 99y switch. Refer to FM0477. O 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 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, ~~~a RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. 80X 16347 Z ~' ~ '~ Louisville, KY 40256-0347 O ~" `~' `' ~•" ~ SHIP T0: 3649 Cane Run Road Manufacturers of . . ~~~~~~ Louisville, KY 40211.1961 QU.4L/TY PUMPS SNCE ~~cJtl u /- (502J 778-2731 ~ 1(800) 928•PUMP http://www.zoeller.com ~ PUMP LO FAX (502) 774-3624 © Copyright 2000 Zoeller Co. All rights reserved r ~r i' 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, 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 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. 1 1. 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. 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. System use may require more frequent filter cleaning. 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; 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 I . 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 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 .~~- ~, `I~'isconsiri Department of Commerce SOIL EVALUATION REPORT Page _L of _3 Division of Safety and Buildings m accoroance wrm Comm aa, vvts. r~arn. a.wn County c 1 ~ r~ Plan must lan on er not less than 8 1/2 x 11 inches in size lete site Att h a ~f t p . p comp p ac include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. - eviewe by Date Personal information you provide mey be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~~//~~ g O`'~/ p 3 Property Owner k=; ^ Prope Location I - ~{~ r I U° ~ Govt. L}ot /U _ 1 /4~1 1 /4 S q T 2 `j N R/ "i E (or~ Property`\Owner's Mailing dress (,) Y).~t # ~ Block # Su .Name or CSM# ~~/ ^ ,~ ,, ~ 34 City State Zip Code P one I>jlum¢er ^ Ci ^ Village Town Ne st Road - ; J ~ 7b [~ New Construction Use: [Residential / Number of bedrooms ~ =L__ Code derived design flow rate _~ ~~~ U ^____ GPD ^ Replacement ^ Public orcommercial -Describe: __________~_________- .- __--_-_-_ Parent material _~1 ~ Li ________ __ __ Fbod Plain elevation n applicable _ _~ _~ ft. ~U -- s'~t~> 36 sr eo21~c7 General comments S ys~ fm .e%(~ r ~ ~. ~ and recommendations: o ~ e' ~ ~ ~ n ~ , S-~ ~~~f d,Q_ ~ >~ U ~ 7 j( i~o ~ -~Lu t 60 ~ vl ~~~ ~ ~- - f DD ,~~~aGt.~ d ~. d / 8 ~ say/ ~.~' a.s- d ><f' t~aa~-2 n. Boring # ~ Boring s~- - - - -~ -- ® pi( Ground surface elev.~~•_7~ ft. Depth to limiting factor `.J S _ in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/Ftz in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. `Eff#_1 'Eff#2 C1- t I U 3 ~ S t' I 2„-,~ rYl~ r c. ~ I ~ ~' . 5 . 8 3 ~s-So ~U C 3P 7.S 5~ I Zmsbk vn~t' - . ~( Boring # ~ Boring ((~~,, 30 0 Pit Ground surface elev. `7~Q_ ft. Depth to limiflng factor-___- in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlftz in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'E 'Eff#2 I U-1Z (U~ r3l -- Sr ( 2m~bk rY-,~'r c - I~~ 5 , ~ 2- ~2- r y S; ~I Zrr,S~ v>~r ~ - - ~ 3 ~B-~ IU .~c~ c3P ~.5 ~/cam s~i Z,-.Sb~- ,-,~,~ _ - . ~~ . ~ 'Effluent #1 = BODS> 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) nature CST Number fk~ir,r. Scht_,yv-raker- ~ ~-------- z5 3309' Address " Date Evaluation Conducted Telephone Number ~ lt3 F~U~' ~ . Sc~merse~-, tAll SyUZS ~z'S `OZ- C 7/5)Zy ~-yovF~ Property Owner l~1~~-I~ ~1 ~ l_~_~ Y U~ Parcel ID # Page __ ` of__~ Boring # ^ Baring 8 Pit Ground surface elev. ___ `~ ft. Depth to limiting factor ______ in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffz in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ a-i3 io ,~3i3 s.1 2~bk~ mfr` ~5 ~~~' S ~ ~ 2 3- ~0 13 - s t~ ~l mfr ~5 ~ y - ~_5 10 r ~lo C 3P 7 . ~j Sc i Zrr thk ~' ~ ~ . ~( • <o ^ Boring # ^ Boring ^ Pit Ground surface elev. _________ ft. Depth to limiting factor ______ in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlFiz in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring Boring # Ground surface elev. ________ ft. Depth to limiting factor _ _ in. ^ Pit Soil A lication Rate Horizon Depth Dominant Color Redox Descr~tion Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 •Eff#2 'Effluent #1 = BODS > 30 <_ 220 mg/L and TSS >30 < 150 mglL '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. SDD-8330 (R.07I00) s NAME U I Fer ~'S LOT# ~-/ ~ T EGAL DESCRIPTION N'~ ~ Sw 14 ,~ ~/ T Z `~ ,N,R, / ~" E(c r~ ~c . j - .-{ - ~~ ~~. SIGNATURE ~o ~~, ~ ~ ,~ ~,~ ~~ .~ ~'$ ~ ~ PAGE -~ OF~ c ~~ ti ~~ ~~ ~; ~~ c ~~ \k ;~ U` ~ i DATE ~ ~~ ~ O~ \.1 I \ .~. s 5 5 - o ' E 8p - " • 35~ ~, ~ X° ' ° x . q ~~ 3s ~" .n. '' q ~ ' 3g ~ x 0 . gSfii~N O• ; ~ ~ '• m '~L ~ (V O .;A~ _ j ~~_ ~ W a ~ ~, _ it ,~- .n ~, ~ ` h ~r ~ ~r ' l 1 X • ti ~ft ~ .z L •~ { .xY ro ;,k4h• . ~ t ~J ~ _ p O 601 V1 1~ (N _ ~ '' z~ 'x ~ ~ r ' ^~ ~ o _ .y`-• ,~ ~ ~'. .. ,:~ 3 ~ i ` ~ 0 • ~ ~ \ • 4f' ; .. , ~r:~w , ~~ \ ~ ~ W ~ ~ ~ ~ ~ ~ `~~~/ N { ter ' ~ .''• ~ ' - ~ - a z w ~ .~ ,• ~ ' , v n _ ~ ~ ~ ~~. , ~ N2 y I ~ 1 __ ~~ °~ , a 0 ro N X t 1 43 9 ~ ~ a- ®~ ~ ~ , ~ ~.. v ~, n ,, ~ .. ..... ~ ~ ' o '`' w W i w it vo ~ ,. ~ ~ ~ X o n / ~ ' ' r ~ ~ ~' -- ~ ~ t-+ ~ / ~ I __ ~ .Z ~ ~ ~~ ~ ~ ''~/' v ~ ~ , y • , ~~ Ali W /_ ~ X83 0 ~ ~ ~0 6 ~ t ~ I ~ ~ e l O n ~ ~p ~ ~ X IV . t y ~ ~~ ~ 4_ T N `_ 1 1 •' • 1 2292E 30`f STATE BAR OF WISCONSIN FORM 7 - 1999 TRUSTEE'S DEED Document Number Dine M. Bonte ~ - ---- - as Trustee of Karl M. Ulferts and Katherina G. Ulferts Family Trust ~ for a valuable consideration conveys without warranty to Lorna A. Stifter Grantee, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 43, Pheasant Ridge 1st Addition, Town of Hammond, St. Croix County, Wisconsin. Recording Area 727'754 KATHLEEN H. MALSH REGIST)':R OF DEEDS ST. CROIX CO. , NI RECEIVED FOR RECORD @6/27l:Z@@3 89:30AK TRUSTElSS DEED EXc`1~T # REC FEE: 11.00 TRAILS FfiE: 267.00 COPY FEfi CC FEE: PAGES: 1 t^r ~ Q~2~ Estreen $; O~talju v-~~ ~~ ,~o ' 3~4 Locust Street ~~'~ Fludson, 'd1!! 540 6 Part 018-1018-60-000 Parcel Identification Number (PIN) Dated this ~__ day of June ~OOJ ~Z~ y,~~r1?~ - 7`r'Crs f e2 Trustee AUTHENTICATION Signature(s) Dine M. Bonte, Trustee of Karl M. Ulferts and Katherina G. Ulferts Family Trust authenticated this day of June * Kristine Ogland _ 2003 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson, WI 54016 (Signatures may be authenticatcd or acknowledged. Both are not necessary.) * Names oFpersons signing in any capacity must be typed or printed below thei TRUSTEE'S DEED Trustee ACKNOWLEDGMENT STATE OF WISCONSIN ) ~1 ~ `- ) ss. '~~ ~l.-.~~/7~ County) ``'''' ersonally came before me this /f~~l day of _ _^_____ , ~Q 3 theuabove named L) i n e M . e. to me known to be the p ~ {J)°Wtt~' ~d the foregoir.; instrument ~ acknowlge~~e~ari~ ' Notary Public, StatGo~Wi~ n I/y Commission is'~t~yaaenY. ~f~~tCs~~ezpiration datj: esmmraia wmpar ry, rune uu e.ay v•r 800.655-20Y7 \~ ....b.. w.... STATE BAR OF WISCONSIN FORM No. 7 - 1999 .FIRST ADDITIO N ' OF THE SW I i4, THE Sf I i4 OF THE NW I'i4, ' THE SW I i4 OF SECTION 9, T29N, R 17W, ~Y. W I SCONS 1 N. .9 0\ ~. -- -- - ~ 5 _ i ~ i __ _ , , ~ ~-` _ _ ~~ - - -- - ~ ~ - - SE_ I i4 - _NW / i4 __ NE li4 - - / ~ \ - SW I i4 22°'~2 "~ . - '' LOT 41 ~~ , i ~ ~ 2.43 ACRES ~`a. 103, 993 S0 FT ~ ~ ~, .,G2 C?~ . ~o ''~ i I ~ ~p . . ~h \ •~ ~. . ~ ~ I ~ CD ~ ~ i to ~ d' \ ~ \ A '• ~ ~ ~ ~~ '..~Q ' / W '' ~ LOT 40 / \ 03 \ ti ` ` N1. ~ .,.~ ~ ~•.~ti / 1.81 ACRES / 78, 902 S0. FT ~ ~ h ^% a ~ . ~ ~ . ' ~~ \ ~~ ~ N S ~ LOT 42 , d ` s3. I / / 'S4•/2, 1. 88 ACRES ........ 81, 890 S0. FT. ~ `~ ~"'~ ~' ~ LOT 39 512° ~ '~, ~ $ o. J ~ 1. T9 ACRES / , V ~ ~ , ,, ~ \ ~ • 77, 891 S0. FT. ' ~ Leo coed ®; , ~ : W ' -~ ~ !!•~ ~ ' ~ ~ ~ °D r- ~ ® LOT ~ _ ' 43 • • ~~' ~'' I ' 1.5° ~ 1. 75 tn a b ~ 76, 143 S0. FT. ~ ''l'~ '• ..4...... • ~ :1 ., .,, ... ® ~ 1, E 45 4 . ° 32 •'• 0' ' . 1 : ~ S 13.23' 49' E • ``` ; , ` ~~ N13.23'49'W' '• .43.8T' ~'.'• 1 ~~ 0 ,r• •, ~ LOT 38 43.87' •', a ~ *~. ~\ 1.97 ACRES 85, 753 S0. FT. ,~ ~ o ~ •. . ~A ~ ~ %'. ~ HBO ,060' . ~•p ,~--=~.~ ~.,, .,~ LOT 44 / % ` : ~ JO,, ~~ , ~ 1.71 ACRES ~ ~ 74, 372 S0. FT -- - \ . . ~ E N7 - ,• ,~ ~ ~, ~, . • , , E-- ~ ' " -~ .~ O ~ ;- - © - ' LOT 53 ,, 24 ~~ 8 I' 29 ~--------" \ •••, i ; f• ' / 1.32 ACRES , 66, 017 S0 FT ,,'~ .` © f ~--PUB~ ~ 1 ~ ^ . . ~t . W ~ S8 f e 2~' 24 ~ j^ ~ ~ . ~ I ~ryt ^ , ~ ~ I ------- -_.314.6 --- ~ _. ~ s ...... . \ ;' b ~: V ;' , ~ ~ 7 ~`~' `33 • f '346. ~ ~0' . I ; h ~ ~ ' " n i, ~ •v ~ / ~3. 33, ~ , ~ ` LOT 4~ ^ ^ 'V ~ 386. 02' ~ • r ~, ~ / ; ~ ; 8 ~ 1.65 ACRES ' ~ 71, 796 S0 FT ~ 0' . . , M / l=J /i:. :I ~/ ll