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HomeMy WebLinkAbout018-1024-10-050Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division 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 Neubauer, Jerr Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~,~- ~ _ Aeration ~'` Hold' g ~%, .~..~ ~ _ -1 G -- ~. TANK SETBACK INFORMATION TANK TO PJL WELL BLDG. Vent to Air Intake ROAD Septic ~ i "~ -.;~ ~ ..._- ! - j r.~, __. Dosing ~• , ~ ~.. ~~ r _ _ -, Aeration ~.,~, Holding PUMP/SIPHON INFORMATION Manufacturer Demand .~ I ~.~ GPM Model Number TDH Lift Friction Loss System Head TDi~ Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: $t. CroiX Sanitary Permit No: 463039 0 State Plan ID No: Parcel Tax No: 018-1024-10-050 Section/Town/Range/Map No: 12.29.17.177A STATION BS HI FS ELEV. Benchmark _ Alt. BM .~. ~i: 1a. F")_~~.~ Bldg. Sewer ~t_c.~ y~:u~ SUHt Inlet iz . rf 9a. ~._ SUHt Outlet Dt Inlet Dt Bottom ~~,, ~~ •CJ ~ C> ~ G+'~ Header/Man. Dist. Pipe ~•° ,~. ~ ~~ ~ "~1,; i ~~- 3 io~7 Bot. System ~te..+~t- rt i I. ! j ~' - '~ Final Grade ~` ~ ~ ~ 1~ st Cover ~ ~ .-3 9~ . 5 ~ / i ` ~ 1~ ~C. l ~ l+) -~ ~ ~~y C~ G 32 .~ 9~. / ~. tli =;~,z7 BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 , i ~ t `7 I SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: Lc::7 ~, r.frt~ - U h ~ 'SU r 3 L "" ~ r °' /G' UNIT Mod I Number. , ~L/ DISTRIBUTION SYSTEM `-:'r ~ ~/f~' ,~_ Header/Manifold Distribution x Hole Size xHole-Spacing Vent to Air Intake ~ ~• Pipe(s) ..~ _~- ~ ~.~_ L.~ ~' ' Length Dia Length Dia Spacing * SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over t epth Over ~_. xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center ~ ` Bed/Trench Edges Topsoil ~ Yes L~ No , r,-, i ~I Yes ice. No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: % ~ / ~~~ /~' Inspection #2: / /_ Location: 2081 110th Avenue Hammond, WI 54015 (NE 114 NE 1/4 12 T29N R17W) NA Lot 1 ~ ~' Parcel No: 12.29.17.177A 1.) Alt BM Description = ~cLrfe,P~ ~'v ~'+ ~-rG. ~t ~^ - ~^ c!'c-_~ ~'~~ 2.) Bldg sewer length = ~~- Z`~ -amount of cover = ' ~ '~ Plan revision Required? Yes r J No ~ ~ ~ ~ ~, I ~ ~ Use other side for additional information. ~~___L_' J~ L ~"~-~ _i "710 (R.3/97) Date Insepctor's Signature Cert. No. --G.~c.'/'c.J :> r ~. Safety and B ivision 201 W Washingto Ave County ~ • t ` . ~~ M di . ~ ~~~5l~ a son, 537 ~~ (608) 266-3151 S ~y permit Number (to be filled in by Co.) Department of Commerce ' / 3 0 q I Sanitary Permit Applieat' n ~ ZU04 Ste Plan LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal inform ion yn~~rlX ~ ma b d f d ~ y e use or secon ary purposes Privacy Law, s 15.4 1)(m ~N I `, oFFlcE oject Address (if differ t than mailing address) I0~ 0 I. Application Information -Please Print All Information .o ~-v-C. 8 ~ 2 Property Owner's Name 3~r~r N Parcel # Lot # Block # ~~ Property O er's Mailing Address Property Loca t ion ~ e * ' C ~ City, State Zip Code Phone Number '~'• ~'~o, Section ~~. ~, Iti.~D D N ~~"~ ~ ~ ~ (circle 1 ~ ~ II. Type of Building (check all that apply) ~ ~ N; R. E oz w T or 2 Family Dwelling -Number of Bedrooms ~~~ S ~ ~ v}~io Name CSM Number 7 ^ Public(Commercial -Describe Use i~ ~(~j~ ~2 ^ State Owned-Describe Use 3~ ~~-E1J~~f ~L.L-S /„~ ~ - ~((?L~f (-~ ^City_^Village ~pwnship of~p 2 -F eve TIT. Type of Permit: (Check only one box on line A. Complete line B if applicable) ~ ~02 - O ~' O$D A' ~Iew S stem ^ R lacement S stem Y ep y ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS Sstem: Check al! that a 1 - ~- gt„ J ~! ~lon -Pressurized In-Ground ^ Mound > 24 in. of suitable s it ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pas ^ / Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat F ilt er ^ Aerobic Treatment Unit ^ Recir atin Sand F']t ^ u ~ ~ ~~ ^^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ~t~rravel-less Pipe ^ Other (explain) ~ ... V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) ev ~~ s ~ ( ~~ f Z.O'i~ i VI. Tank Info Capacity in Gallons Total Gallons Number of Units Manufacturer ~~ ~Q p, ~~ ~ 1 Prefab Concrete Site Constructed Ste Fib s astir New Tanks Existing Tanks J ~i ~~• Septic or Holding Tank ~ ~ , f ~•/~ Aerobic Treatment Unit Dosv~g Chamber t VII. Responsibility Statement- I, the undersigned, assume r spo ' - ity for installation of the POWTS shown on the attached plans. Plumber's~,/Name (Print) Plum, i re MP/MPRS Number Business Phone Number ~ a - 3 a. ' Plumber s Address (Stye City, State, Z p Code) VIII. Coun /De artment Onl ~P,pproved ^ Disapproved Sanitary Permit Fee includes Groundwater Date Issued ssu' g Agent Signatu (No Stamps) ^ Owner Given Reason for Denial Surcharge Fee) ~ ~'~ I ~ IX. Conditions of Approval/Reasons for Disapproval + [ SYSTEM QW NER: 3~ Sly ~- Y cA~~ ~ ~.~'- 1 Septic tank, effluent filter and ~+ ,uti ~ 1E S~ a~ ~ . _ , ~ dispersal cell must all be serviced /maintained ~_~~n ~n`l as per management plan provided by plumber. ~ rr~ t ~? 2 All setb k i . ac requ rements must be maintained ~ `~.~ ~- , ~ asper applicable code/ordinances. ~ ~ a Swe_r' •, oN'4~M. ............ --r•-•- r•^~° ~•° •~~ ~.,.....y .,..,y~ ,ur Luc sya,mu vu paper qo[ IeSS [R2n 61/L X 11 Igene3 Ia Stze SBD-6398 (R. 01/03) _ ~~ /JO ~ eve- ~~ ` a 3~o.9s' _,t _' _~ Y E/G~/at~i o.r ~~~ j ~ ~ ~ .SCA ~ 3 (3~~,. „~ ~a l,,~tari~~ 7"op a~' S~~f t ~*I~~~Sc'- I ~Clkx,.~03L~. ~ ~ .~~5 cc.wttd~~ i~ ~ ~ Q, t~-l. ~r IQD. cam; '~+a f ~~ .c _. - -_. _.. _._. .__ ~_ ~~- ~f. /DdO /~,~;~ / '~'v -,~ ~. ~. ~• ~t ~w ~ Erf~Y` t j,Z. YQ. s~~j ;~/ ` /, ~~' i .~ _' ~~~ ^r l X ~" O ~y (~ _- ~` C' ~.. ~. i~Q r `-+~ Qond Gi' COp~ ,~ _~...~..W.~....~.,.~._.H. ~` ~, • .~+` { I ~` ~` ~ ~ ~ ~~~' 83 ~#~c! ~Fei~cc ~/ ~a ~ ~~ ~' ~' 6 .( -_ ~~~ spa r \X Qand C"/ X*~: r ~ ~; /1D `~ ~lv~- r~ - ~ ~~'. y'.S' -~--- ~ ,5r0~/ et~als~a~:p~ G~4''{/r62~ItJrr -~~,~, ~ ~ ~ ' k'~ Ta a1' Stye ! ,~.r,yE ;~ a. ~ Fcltcac. f10 3 vt . a ~35 u.~t+td Q (Q.1I', 7i /G~. Cam: /mod®,/.cj: ~ ~% ~'~ ~ ~t` ~~ ~ ~ f w ~, Wisconsin Department of Comm@roe Di}rision of Saf~y and Buildings SOIL EVALUATION REPORT in arrnrilarv~L with r'_rurm AF Wic Orlrn.l'rvlp 1664 Page 1 of 3 A.C.E. Sal 8 Site Evaluations Attach complete site plan on paper not less than 8'~ x 11 inches in size. Plan must County St. Crooc include, but not limited to: vertical and horizontal reference point (BM), direction and --D Parcel I D percent slope, scale or amemsions, north anow, and loc~atiorr and distance to nea road. . . 018-1024-10-050 Please print all infnnnation. gy ate Persarei information you Provide may be u~d for secondary purposes (Privacy Lav, s. t5.04 (1) (m)). . 1 Property Owner Property Location Randy Paul , -, , Govt. Lot NE 114 NE 1/4 S 12 T 29 N R 17 W Property Owner's 11Aailing Addt~ess Lot # Block # Subd. Name or CSM# 2066110th Ave. 1 CSM Vol. 9, Pg. 2667 City State Ztp Code Phone Numbe~ ~ City _j vilage f~' Town Nearest Road Baldwin ~ WI 54002 715.684-3054 Hammond 110Th Ave. /~ New Construction l1se: ~ Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD ~ Replacement J Public or commercial -Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and rex~ornmer-dations: Install 3 trenches at elev. = 91.00' using 39 leaching chambers. Each trench to be 3' x 81.25' using 13 chambers per trench. ~~ # ~ Bonng Pit Ground Surface elev. 95.55 ft. Depth to limiting factor ~~~~ in. Sal Application 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 1 0-12 10yr4/3 none sl 2fcr mvfr as 2P,1m 0.5 0.9 2 12-18 7.5yr4/4 none scl 2fsbk mvfr cs 2f 0.4 0.6 3 18-29 7.5yr4/6 none sl 2fsbk mfr Lwv 1f 0.5 0.9 4 29-38 5yrr4/4 none sl 2msbk mfr cs 1f 0.5 0.9 5 38-96 10yr5/6 none s 0 sg ml - - 0.5 0.9 H #5 corrtains 112" - 3" bands of tOyrM4 Om Is at 4 - 12" intervals. Loading rate adjusted to relfect permiability restriction associated with banding. Boring # Boring Pit Ground Surface elev. 95.35 ft. >95" in. Soil nation Rate Depth to limiting factor App!' Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-12 10yr3/3 none sil 2fcr ds as 2f 0.5 0.8 2 12 25 10yr5l4 none sit 2fsbk ds a 1f 0.5 0.8 3 25-51 7.5yr4/6 none gr sl 2msbk dsh gs - 0.5 0.9 4 51-95 10yr6/4 none fs,1s 2msbk/Osg mvfr/ml - - 0.5 0.9 • tP ,~ .~ (P . (o • ~O . ~~- * Effluent #1 = BOD ~ 30 <_220 mg/L and T >30 < 150 ant #2 = BOD <30 mg/L and TSS <30 mg/L CST Name (Please Print) 'nature: CST Number James K. Thompson z~ 3602 Address A.C.E. Soil & Site Evaluations ate Evaluation Conducted Telephone Number 3dn Poi dsrx, 1 aka r ana nsranla wt 7/10/2003 715-248-7767 property, Owner Randy Paul Parcel ID # 018-1024-10-050 Page 2 of 3 ~~ # ~ Bonng Y Y' Pit Graind Surface elev. 92.65 ft. Depth to limiting factor >98" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-9 10yr3/3 none sil 2fcr ds as 2f 0.5 0.8 2 9-18 10yr514 none sil 2tsbk ds a 1f 0.5 0.8 3 18-33 7.5yr4/6 none gr sl 2msbk dsh ai - 0.5 0.9 4 33-41 10yr516 none Is 1 msbk mvfr ai - 0.7 1.2 5 41-98 10yr6/4 none s 0 sg ml - - 0.5 0.9 H tf.5 contains 1/8" -1"bands of 10yrM4 Om is at 7' -10" intervals. Loading rate adjusted to relfect permeability restriction associated with banding. ^ ~~ # J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth porninant Color Redox Descr~tion Texture Stnrcture Consistence Boundary Raots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efl#1 'Effttr2 ~;~ # _J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munself Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 *Eff#2 .~ .~ .~ .~ * Effluent #1 = BOD y> 30 < 720 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mglL and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 1 Qe~'. r~ /bG ~[ //~~~v~. 330, ~s ~ EltJa~c~r`on l p~ ~ ~~e ~ ~ " ~' ~ I ti s ~~„c.t, Ma~IC~ ToP e~' Stet r Fenac~Dos~. AssuA,2d ~, S/d8'~ ^ ~t /5C5'= /% ~/ ~ c 9~ ~ S/ep¢ ~ ~ ~~ r~ . B..rc~: Top of i i ~j'~y B 3 ~,[.er ~'tACt, ~ ~' fir{ %~' ii f r ~c9 i,// ~d L~ q~ ~ , t ,. ~ ~\ s~s~ ~~ o ~+ ` ~ ~ .Q ~~ fie„ d 330, 75 3 ~'3 r, i r , Private On-Site Wastewater Treatment System (POWYS) Index and Title Sheet t)wner: ~r Project Name and System Type: ~ jp .¢, d.Y' O p YY1 Cori J ~ rt~ + 6~Q Location: ~ ~ d ~ T~ Z1~ (/~ (.1.~~. Street Add.~ess - ~ ~~ ~.N~ 'i~ S ~ ~-- 1 ~g N .2 l'1 tiJ Le al Description n cc n - _ ~W16Y1oQ. ~ V~• lX y ~ ~C Township/County ~` ~ n Contents: Page 1: ~s[~{-- I ~p(°, LA~Yt~ 1 Y lC~l,~,42~~.1~1,Q,wC~ ~'--P~~ Page 2: ~~ Page 3: << Page 4: Page 5: Page 6: Page 7: ~`J~P,(` ~ ~ `~~ Page 8: ~~ `~ ~1 ~V~ Page 9: Attachments Plumber/Designer: Credential. Number: Date: ~ I ~ ~ ~ `C+ Chamber SAS ~~(S~EI~ ELE~I'~4~'aDhl ACID SIZING C~4LDULATI~ONS Below Grade Soil Absorption Systems JERRY NEUBAUER~Owner's Name 918/04 Review Date N~~~Y or N Highly Pretreated Effluent 3 ft Suitable Soil Below System ~ 12 in Chamber/Unit Height2 8 ft Maximum Bury Depth s 600 gpd Estimated Daily Peak Flow 0.50 gpd/ft~ fn-situ Wastewater Infiltration Rate 91.00 ~ft Proposed SAS Elevation Soil Surface Boring Grade Number Elevation ~ 1 95.55 3 Ezflow EZ1203HP & EZ102H ~ 1200.00 ft` Chamber/Unit Area 50.00 EISA ftz /Unit 24 # of Chambers/Units 26.50 Bottom Area ft` /Unit Limitation SAS Elevation (ft) Acceptable System Depth (in) Lowest Highest Elevation? 96 90.55 94.55 Yes ' 95 90.43 94.35 Yes 98 87.48 91.65 Yes 1. Depth. of suitable soil required below the infiltrative surtace for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is finished grade may be required to meet minimum or maximum code standards. Finished Grade EL a (ft) Minimum Maximum 93.00 100.00 Fill required rsion 4.0 TDH Calcu{ations TOTAL DYNAMIC HEAD CALCULATIONS Gravity or Pressure Dosed Systems JERRY NEUBAUER Owner's Name 9/8/04 Review Date X X Gravity Dosed, or gpd Design Wastewater Flow X Pressure Dosed ft Total Combined Lateral Length Y or N Y Forcemain Drainback in Lateral Diameter Must use 4 ire. pipe with gravity closed 35 ft Forcemain Length 2 in Forcemain Diameter 25 gpm System Flow Rate 0.00 ft Minimum Design Head 8.00 ft Vertical Lift 0.48 ft Forcemain Friction Loss ~ 8.48 ft Total Dynamic Head 2.'55 ft/sec Forcemain Effluent Velocity Choose Pump That Discharges At Least: 25.00 gpm at 8.48 feet TDH 0.0 gal Maximum Dose 5.71 gal Forcemain Drainback 5.71 gal Maximum Dose Volume 3 S' ~~.- t/ ~;= 0.0 gal 5x Lateral Void Volume 5.71 gal Forcemain Drainback 5.7 gal Minimum Dose Volume Version 4.1 (07/03) -~ SECTION: 3.20.014 %tr~r/rr !~L/iYIRS ~%vcE /~~~ ~ ~ ~_ ~"~~j~1 ^~. ~~ 1 ;~ FM1919 % / ~ ~~ 1 ~ `~ \ ~ 0403 Ptaduct information ~ -._.... _ ~ ~ ~\..~~ ® ~ Supersedes presented here reflects `~ i - ;-; ® 1202 conditions at time of ~ J-- ~ , `v- ~ - - f publication. Consult factory J regarding discrapancies or MAIL T0: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: if;eonsistancias. SHIP T0: 3649 Cane Run Road • Louisville, KY 402 1 1-1961 htfp.//WWW.zoeller.eom (502) 778-2731 • 1 (800) 928-PUMP • FAX (502) 774-3624 SOE6LEH ONSITE WpSTEWA'PER PRODUCTS l~lil!'T/filJ~'!l~''~C n SQ'DISiGDJ? !!JY-SITS "DOS~rMATB" PUMPS Durable cast iron construction. Model 151 comes standard with aglass-filled -_ polypropylene base. Corrosion resistant powder coated epoxy finish. Stainless steel lifting handle. Assembled with stainless steel bolts. Non-clogging engineered thermoplastic vortex impeller design. Model 151 -1l3 HP passes'f2" solids. Model 152 - .4 HP passes 3/d' solids. Model 153 -1/2 HP passes 3/a" solids. Motar - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected. 4 Carbon/Ceramie seals. Upper sleeve bearing and lower ball bearing running in bath of oil. - 20 f#. UL Listed power cord with molded 3-wire plug. 11/2" NPT vertical discharge. Bt~l and BE standard models include a 20 ft. variable level float switch, operates at #emperatures to 130° F (54° C) in effluent applications. Alt models. include a 11/2" x 2" PVC adapter fitting. Dote: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. _._-- /i , , ~J~il !~~'~~ ~ -'7 Manufacturers of .. . ~ ,QL/.4L/TY /-L/MP,S ~,/ .. 151!152/153 EFFLUENT SERIES (For Pump Prefix Identification see News &,-.Views 0052) ~t FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) AND ENHANCED FLOW STEP SYSTEMS ssp~lA EFFLUENT ~ MEMBER ~ SUBMERSfBLE p,,T>-M9 I SUMP pp OJei*a+~F A°'°Sc WA°` 1'/2" NPT DISCHARGE PUf.1P L1FRS. ASSN. 2 o ~ ~mp~ Gs CRAft~'eD S~® r 1V~v~:i t~i:~/1'dl.7 P ~, ~•~. v aumi;t ~ Tested to UL Standard Ut778 1 " and Certified t° CSA ~c t`r""77t Standard CSA22.2 No. 108 iVsv_i._ ,~.-. ~__ • N751/N152/N153 & E151/E152/E153 nonautomatic • BN151/BN152/BN153 & BE151/BE152/BE153 packaged with Piggyback Variable Level Float Switch 113, .4 & 112 HP, 1 Ph 115V or 230V k ~~1 1 POWDER COATED - TOUGN'" iVlocieC Bfv35rr.~:~S-:~- - y. High f-eetid ,~ Lt'r;ua~ ti /NCE ~~~~ © Copyright 2003 Zoeller Co. All rights reserved. ~~ ~w 50 ',} 4s 1a_ 40- S a5 !0- _~ 3U- n g_ 25 ~ ~_ 20- I 1,. a~ 1c =1 5. 01 10 ZO 3U 40 50 fi0 70 80 90 100 GALLONS LITERS 0 40 80 20 180 200 240 280 320 60 FLOW PER MINUTE otaSOaA v ;~; -,~., ~ , ,~.;;-, , ~, ;emu ~..~..r~~~a~, r~f"'~`'3..a~..r,>tie~ ~~~~ Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. Variable ieyel 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 FIN1420. • Qver 130°F. (54°C.) special quotation requirEd. l;a'111:~2Y1s3 Sreries ^_ 151115?11 ~ 53 MQDELS Control Selection atilodel Volts-Ph Mode Am s Sim ex Du ex idi51 115 1 Non 6.0 1 2or3 BN151 1]5 7 Auto 6.0 Included 2or3 E151 230 t Non 3.2 1 2 or 3 BG15t 230 t Auto 3.2 Included 2 or 3 Nt52 115 t Non 8.5 1 2 or 3 BN152 115 t Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BEt52 230 1 Auto 4.3 Included 2 or 3 N153 f15 1 Man 10.5 1 2or3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 .230 1 Non 5.3 1 2 or 3 BC=153 230 1 Auto 5.3 tncludeq 2 or 3 d CAUTION TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet fvtetars Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 30 9.1 -- -- 23 87 33 125 35 10.7 -- -- -- -- 22 85 40 72.2 -- -- -- -- 11 42 Shut-orf Head: 30 R. (9.1mi 38 h. (11.6m) 44 h. (13.4m) 0145046 Model 151 ~; ~ _ ~__~ ~ ' 3 ?/8 ~,~,, ~~6 ,~~ ,~ ~~ ~~ - r- ----~- - --~ ~, I ~~ ~_ ~ ; s- -- -__ i ~ ~- ~.- i I I i~ i i_T-r-~ #_ - ~'ai ~ 8 a I _L___, ~ -- _.L r rt ~.L.t;! 601V Cli01sL xii ircia8viion of euntlnls, t.rotectian devices and wirUec3 should he dune uy a qualified +ie~used electrician. ~tii aiectric:tl and SaP2ty codes should be follovved includin0 fhe most r~ce~~t National electric Code (NLC}and the Occupational Safety and Nealth Act (OStlr;). t. __.L. s;zcsa 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3j or (4) float system. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump _~ MAIL T0: P.0. BOX 16347 `` ~~ ~~ Loursvdle, KY 40256 0347 ~~ Manufacturers of . . ~Q 1 SNIP T0: 3649 Cane Run Road ~~ p ® / Lowsvrlle, KY 40211-1961 /,1~L7TY/3U,yPS,-/INCE ~~~fV hf#p//www.zoefier.COm PL/~P r~ {502J 778-2731 • i (800) 928-PUMP FAX (502) 774-3624 © Copyright 2003 Zoetler Co. A(I nghts reserved. PUMA PERFORMANCE CURVE MODEL 151(152(153 tsa `~~ 152 ~ '`.\ 151 ~ ~ ~ ~ ~ ~`~ ~\\ ~~ ~ .`Fk Models 152 / 153 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION OWI1G'r Permit # p DESIGN PARAME RS Number of Bedrooms 100gpd/bedroom ^ NA Number of CommercialUnits NA Estixnated flow. (average)* gaUday Design flow (peak), estimated x 1.5* gal/day Soil Application Rate gal/day Influent/Effluent Quality (NA ^) Monthly Average* Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mg/L S 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) < 30 mg/L Total Suspended Solids (TSS) Fecal Coliform (geometric mean) ~ 30 m <10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model ~ by ^ NA Pump Tank Capacity gal DNA Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model ^ NA Pretreatment Unit ^ NA D Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection D Other: Manufacturer: Model: D' persal Cell(s) In-ground (gravity) ^ In-ground (pressurized) ^ At-grade D Mound D Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate~pd/fl Area Req. t~ Absorption Area Credit per unit ~ Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA Cl "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 D "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 62511-80-012 October 1980 D SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6/99) "In Ground Absorption Component Manual" d SBD -10705-P (N.O1/41) "In Ground Soil Absorption Component Manual" Version 2.0 p SBD -1062$-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD -10572 P (8.6/99) "Mound Component Manual" p SBD -10691 P (N.O1/Oi) "Mound Component Manual" Version 2.0 D SBD - 10595-P (86/99) "Single Pass Saud Filter Component Manual" D SBD - 10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" D SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAll~ITENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months eaz(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) Inspect pump, pump controls & alarm At least once every 3 p months year(s) DNA Flush terals and pressure test At least once every ^ months year(s) p NA Valves At leastunce every p months ^ year(s) NA ..Other: At least once every ^ months = p year(s) NA Page of 5 T'AYtT iTP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank{s) xemoved by a seepage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other cleaz water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fiuit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minimized. Toilet tissue is the only paper that should be dischazged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ~] V"alves alves shah be operated in the following manner: Alarms arms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regulaz operating conditions, however water should be conserved until any problems with the system. are corrected to prevent back-up of sewage into the dwelling or surfacing. Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). p Septic Tanks Component Tank inspections must include a visual inspection of the tank 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 backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. F..xposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of siudge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet Slter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning maybe necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ~~•Bump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hazdwaze and the condition of the filter. Any service needs or repairs shall be promptly taken Gaze of. ~In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ^ lvlound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory . authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, .inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned 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 other inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from e~cisting and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the. rules in effect at that time. ^ A suitable replacement 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 azea. 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 systems must comply with the rules in effect at that time. «WARNING» ' ' SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCC7E OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR I1~IPOSSIBLE. ADDITIQNAL COMMENTS POWTS INSTALLER J Name 11~1KE- QoC~,N~.S - K~oG~. S 12u.~^~ ( Phone ~-{'S'. 2 3S' ~ I l 3 Z-- SEPTAGE SERVICING OPERATOR (Pumper) Name Phone K:IWPDATAIEH~1'OWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Agency `,~". G4A qC c9U. N /U Phone / Page of SEPTIC TANK IvIAINPENANCE AGREEMENT AND OWNERSI~:IP CERTIFICATION FORM ('Verification required from Planning Department for new construction) ~„~ . is>i~E1St<:ttc ~~~,~ Parcel Identification Number Q <<7 "' /O ~"~"" ~~=~, ~E,SCI~`l~`IO~I ~~~~ ~~.~~ope~cy Lo4aiion ~ %, .~_ r/~, Sec. ~ ~.. , T a~9 N-R l~_W, Town of ~_ a,~Wl,~, n ~~~~~~~sxo~ Lot # 1 ~3s29 :: ~,~ rifitc.t~ S urx~ey iYiap # -~ , V e ltune q ,Page # (o ~o ~~~~'~.~~a~Iy ~eec~ # ~ 7z 2. ~ ~ Volume o2 % ~S .Page # Y ~ ~~:~, i~~lzse ^ yes ~no Lot lines identifiable ^ yes ^ no ~'~"~IYi 1LS:~rNTENANCE Imprtsper use and tuaintenance of your septic system could result in its premature failure to handle wastes. Proper tnainreuancc Wut3SiSt5 gfpumping out tFie septic tank every three years or scatter, if neededby a licensed pumper. What you put into the syscem :;du tsif'cnt the function of the septic tank as a treatment stage in the waste disposal sysrem. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and b}~ :~ its=plux~bcr, joctrneymaAplumber, restriotedplumber or a licensed pumper verifying that (1) the on-site wastewater disposal systems i5 ii1 proper operating candit%on and/or (2) after inspection and pumping (if necessary), the septic. tank is less than 1/3 full of sludge. ll~e'c, the undersigned have read the above requirements and agree to rnaiutain the private sewage disposal system with the sr~dards sec fortlx, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certiticatiar stating that your septic system has been maintained must be completed and returned to the St, Croix County Zoning Office wict! i 1 3 U d;i• three Gxpirati date, ~ ~~o~ O]i APPLICANT DATE '~~I~T'E12 CERTYEICAT~aN I (vre) certify that all statements on this forni are true to the best of my (our) knowledge. 1 (we) am (are) the o~vuer(s) of iltc deserita above, by virtue of a warranty deed recorded in Register of Deeds Office. ~ ~ E~ ~ AZ 4F APPLICANT DATE '~'~~*"* Any information that is rnis-represented may result in the sanitary permit being revoked by the Zoning Department. }~"~" ~~ I-;aclude ~tvtth this uppiicatiou: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 26`15P y53 DOCUMENT NO. ~ STATE BAR OF WISCONSIN FORM 1-1982 WARRANTY DEED THIS DEED made between Randall L. Paul and Linda L. Paul, Husband and Wife, holding Title as Survivorship Marital Property ("Grantor") and Jerry Neubauer and Stephanie J. Neubauer, Husband and Wife as Survivorship Marital Property ("Grantee"), WITNESSETH, that the said Grantor, for valuable consideration conveys to Grantee the following described real estate in ST. CROIX County, State of Wisconsin: S ~-,t,.~„-c~c.- ~J ~.J a.-~'" (SEAL) *Linda L. Paul Lot 1 of Certified Survey Map #2667 recorded in Volume 9 of Certified Survey "fiT"""`iO f Maps, Page 2667 as Document #503529. Being a part of the NE 1/4 of the NE 1 /4 ~ .e rr' ~y ~~ ~ U {~ ~ cJ Ctr` of Section 12, Township 29 North, Range 17 West, Town of Hammond, St. Croix J ~ ~ ~. v ~ County, Wisconsin. ~~ ~ ~ ~ a- y ` N /Yt,a~ 1 c~~~d, !'~J ! ! 7 Tax Parcel No: 918-302410.050 This is not homestead property. (is)(is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Randall L. Paul and Linda L. Paul warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements, restrictions, snd encroachments of record. and will warrLan~t-La`nd defend the same. Dated thisl~?' day of ~- U A l~s'~ .2004. " \ ~ (SEAL) (SEAL) * *Randa L. Paul Signature(s) AUTHENTICATION (SEAL) authenticated this day of .2004 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY '772904 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 08/30/2004 10:00A1! MARRAHTY DEED EXEifP7 i REC FEE s 11.00 TRANS FEE: 420.00 COPY FEE: CC FEE: PAGES: 1 ACKNOWLEDGMENT C~ STATE OF WISCONSIN 1 ss. ST. CROIX County V1 Personally came before me this ~ day of l) ~~ _, 2004 the above named Randall L. Peul aad Linda .Paul to me known to be j~e persons who executed the foregoing instrument and aclmov~ttXlxe/~11e same. , _ 11 ~ , Rick L. Pender¢ast * " ~ ~ ~ j ~"' ~ a ~ Notary Public k / ~ ~ Y ~ Attorney-At-Law My Commission is permanent. (If i Jt~ H (Signatures may be authenticated or acknowledged. Both are not ) ~: r necessary.) d b; C *Names of persons signing in any capacity should be typed or printed below their signatures. _ >p ~ a _ Cp WARRANTY DEED File # cr i ~~ '':~~ `~~ ? m _~ !M vfebn For,n 8DD03WI Rev. 01/76/96 so3szs F-~~~ ~ AUG 0 61333•- JAMES O'CONNELL aecJister c1 De3ds ESL CrOrx Co. N/! ~ CERTIFIED SURVEY MAP Located in part of the NE3t of the NEB of Section 12, T29N, R17W, in the Town of Hammond, St.Croix County, Wisconsin. o N x m ~ w rt T ~' ~v r ~o w A d u o m C -M n rt n a ~ -„ rr -a o ~ n m o ~ ~ n n ,e m o a ^, -q rt N N O ~ A b A rt o~ z ~o~ v o+ cQO9 N~ CORNERS OF SECTION 12 IC t-'O Ir I~ I-I IC.'~ IJ I J ~ i-'i~'RC~VEi~c OWNER Randall Paul 2066 110th Ave. Baldwin, Wi. 54002 LEGEND Aluainum County Seetion Monuwent Found O 1~~ x 24° Iron Pipe Set, weighing 1.68 lbs. per linear foot •••••-°- 100 Roadway Setback UI~IPI_F11 TCD ! M1~II~S "-a Fenceline W NORTH'LINE OF 7HE NE1W ' ~9°~16~ S89 0416 W 330.75 0, ~''- S89°04' 16"W 330.75 990.16% - -,- - E CG W W 3' ~ O r m ~ ~rn ~ = N m ~ m ~'r - sT . coax cour~lrr omp~ohonsivo Piane+irlfl ZOr~il9 arld -zr:ts Comrnilteo If t+oC r~cord~d ~' 2 within 3O days of a~pravai deco 3t~ov~ ahiN bs •Mdf ~ void SCALE IN FEET 0 50 100 200 LOT i 5.OOACRES INC.R/W 217,797 SQ. FT. INC. R/W 4.78 ACRES EXC. R/W 206,882 SQ. FT. EXC. R/ W Noto: Approval of this minor subdivlaTon does not moon approval for building site or septic system. Refer to DILHR 83.03 // POND B.50' 302.25' N89 04` i6"E 330.75` UI~P! a i i to L~~If~S VOLUME 9 PAGE 2667 z IC o ~~ .}~° ID ~ I~ Irl I~ ly 1~ I'J~ OF -. N o' N m d o. T w i 0 ..:t~= - b :'_~ `. .ti s - 2 ; .¢- j cr '~j' ~y-I r.~ . 40~~ :~: `w,... .~. O' ~ Y_1`. .'ti