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018-2001-23-000
N ~ N O ~ p ~ N ~ C O 3 ~ G cnZ tnz D ~n D ~'o D ~' a ~ a ~ 0 0 0 0 00 W 'V a a ~ o- o?i oSi ~ > > O m fD C fD m O' n m A n v A m •+ to (/~ d (D N N W ~ ~ a~ ~ o cn °-•~ N ~a~~y o ~ Qao n ° c' co ~ m ~ ~ ~ mad v, m Qm m y ~ v, y ao d m 0 ~nn~ ~ ~ m v° Z °.~.~ ? o av w •° ~ nc v m~ ~ o 3o~i ~_~ °c ° ° ~O~ m ° o ntA~ m ~~ °7 nao• °~~ ~ ~' ~ f ~~d o. m O~acoc oaN a CO'°? ~ p ~. n O cnD N~ U' n ~' N A O ~S_sc~ ° ~ ~.m do ~ ~ ~ f'D N O O (D . (~ ~~ N 01 d C ~ _ ~ ~. ~ Q O ~ S fp O" fl. O ~ a =~,cn o ~ a ~m o ° ~ m ~ ~ °-m c ~ ao ~ o o- oc a f o ~ m' ~(~ y C N 0 N d fD N 7~ n 0 O N ~ ~ _ O Vl (N y 7 C7 C ~ ~ 0 'm 0 0 ~ °o °o a c~tnp 3~v d r~ d ~, ~ 3 ^' ~~ ~ ~ ~ ~ Cy ~1 ;-• ~•- O N ~ ~ fD '' ~ I 3 ~ N ~ ~ ',, A ~ fn O ~ O ~° -•h ° n ~' n ao ~ N ~ ~ o c O A~ ~ ~ - y < ` S N O I ~C ~ _ e Gl a ° ~ ~ ~ l~ a m ° -' V ° ~ ~ N ~ i N CD 0 3 ~ n r cli O °A cn I;, 3 ~ ~ N ~ ~i ~ ~ 'C ~ ~ _ O'' ( ! ~ ~f d N T O w o ~ v v ~ N A ~ ~ ~ a °1 ~ m .. Oa c •• m cn v C W o I m ~' o • c n A ~ I I j O (D I c ..1 p 2 o~ v -~ ~ ~: A Z O m •• O O O I I m N A W ~ a I W ~ Z i 3 C A ~ ~ O :"•' I Z i N v ~ Ii ~ W ~ j _ A m c a I I fi y A as a °a N °o i ti ,b A cN w ~ ~ ~ went of Commerce y "vision PRIVATE SEWAGE SYSTEM ~ INSPECTION REPORT INFORMATION 1 (ATTACH TO PERMIT) . mation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ,~der's Name: City Village X Township ..ter, Steven & Violette Hammond Townshi f BM Elev: Insp. BM Elev: /e2, ~ X02., TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ` _ _ a) / , ~ ~ 3~-~- °1"t'u'/ " Dosing / l..U -'rt ~ U Aeration Holding TANK SETBACK INFORMATION TANK TO ~ P_ /~_ 61.~~~~ W/ i BLDG. Vent to Air Intake ROAD Septic , ~~ ~ / Z ~ Dosing !/ G Aerati Holding PUMP/SIPHON INFORMATION QTY Manufacturer Demand GPM Model Number ~ ,~ I I ~ ~ J /I TDH Lift Friction s Syste Hea • TDH ~Ft Forcemain Le th ~ ia. .• Dist. to ell 2 ~ /,J JJ 7 SOIL ABSORPTION SYSTEM County: St. CIroiX sanitary Permit No: 430644 0 State Plan ID No: Parcel Tax No: 018-2001-23-000 Section/Town/Range/Map No 14.29.17.887 STATION BS HI FS ELEV. Benchmark A4 ~~ Bldg. Sewer SUHt Inlet ~ ~ SUHt Outlet Dt Inlet Dt Bottom ~. 25 Header/Man. 2 ti ~. S /"02., Dist. Pipe 3• /62./ Bot. System Final Grade 3• s b t, ~o St Cover ( ~ Ia~. ~Q2 • ( ~ ~l,-~Oi.~-~ 3.3 goo - S .Z ~QV.C~ BED/TRENCH DIM Width ~ g Length C ~` No. Of Tren hes ~ PIT DIMENSIONS ~ No. Of Pits Inside Dia. Liquid Depth ENSIONS ~ ~ ~ ~ SETBACK SYSTEM TO P/Ls BLDG WELL LAKE/STREAM ACH Manufacturer: INFORMATION CH R OR Type OjSyste~ m: ,~ ,1/Y~ ,1WnY„r^u//- ~~~ ~ ~O ~ / I r/ T Model Number: DISTRIBUTION SYSTEM HeaderlManifold -.~""_ Length y Dia2i_ Distribution Pipe(s) L' Length J '~j~• Dia S a g_~ p cin x Hole Size ~ ~ ~ /I~ x Hole Spacin Zy ,, d SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Bed/Trench Center ' ~ Depth Over BedlTrench Edges xx Depth of Topsoil xx Seeded/Sodded L?~ Yes ~ No xx Mulched ~ i ~ j Yes _, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~/~ Inspection #2~: ~~'` /.~~ b/~~~ Location: 967 193rd Street Hammond, WI 54015 (SE 1/4 NW 14 T29N R17W) Forest Rid e Estate Lot 23 Parcel No~4 92 '17.SS7 1.) Alt BM Description = ST ~WVG r-~ - w ~~ ~~~~~ ~~ b i Y~~ 7LX~elC. /Ge .Q~G ~ f G~Grils ~_ 2.) Bldg sewer length -amount of cover ~ ~" ~ ~+,., /~ ,~,~;~,p~ .~ar;~~~ ~' - Q.~'L6~- ~~f~-~-~~p~y'-~`~^,~" r^"'r`"'" B/ / f Plan revision Required? Yes ' No i ` ~~~''~~ _J ~~ Use other side for additional information. _/- _-~~V!'~_'---- ! _ _--- 1 - - --_ J_~_--off __ _ ~~- SBD-6710 (R.3/97) Da Insepctor's Sig ature'_ • - /~ ~y~YtCe~rt. No. V~ G2~^7~' ~~~ ~~GQ O g Vent t Air Intake r Safety and Buildings Division t,•.ounty .` . ~~, ~ " 201 W. Washington Ave., P.O. Box 7082 WI 53707 - 7082 di o ~~ M `.~ ~ Sanitary Permit Number (to be Shed in by Co.) s n, a n (608) 26 i ~sconsl ,partment of Commerce Sanitary Permit Appli~ do State PIaaLD.Nutnber q ~. ~ 3 ~~ . TY~s • - A in accord with Comm 83.21, Wis. Adm. Code, personal info ~on you provide ~ ~04 fl s~ pr;v~y Law, s] .04(1)(~q)~p Q `t d for secondary P~Po ~ oJect Address (if different than rttailit-g address) Wray be use M f ' /i rd! 5~ Gf~orxcourJT~ I. AppUcatlon Information -Please Print All Information G pFFIGE ~. ~ ~w~ r~3 Parcel # Lot # Black # Property Owner's Na e ~ ~ _ ~ .~~ ~ C/~ . ~ Property Owner's ailing Addr Property Location ~ Ciq S t Zi Phone Number ~/ ~ !as/-3h1-'~"7 ~ ~ ~~LL ire] nt T~N: ~ E W II. T e of Building (cheek all that apply) ~ 720 -~7 -~ ~ Subdivision Ntune ~ CSM be - 2Family Dwelling - Number of Bedrooms _ ~ V f~~~ (] PublicJCammercial- Describe Use []City ~Yi1Lag~ ship of rr'T/1't. ^ Stau Owned - Desrnbe Use III. Type of Permit: (Cheek only one boz on line A. Complete line B If applicable) g -~ 2 D ~ - ~ ' U .$" A• ty Syatw ^ Replacement System ^ Treatmeiu/Holdiag Tank Replacement Only ^ Other Modification to Existing System _ B. ^ Permit Renewal it Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued ~ ~, ^ ~ ~ I ~ r z ~ G Y , , ~V Before Expiration __ _ - Plumber Owner / ~~ IV. T of POW'I'S 3 stem: C eek aU that a 1 of suitable soil ^ Mound < 24 in. of suitable soil d ound > 24 in G ^ At-Gradt ^ Single Pass Sand Filter ~ . roun ~ Non -Pressurized In- Consaucted Wetland ^ Pressurized ]n1iround ®Holding Tank ^ Pnt Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter F-ctro,tsena Swthe6c Media Filer ^ LeSCbin$Cbat'nbeC ^ Drip Line ^ Gravel less Pipe ^ Otber (explain) ~ -~ Flow (gpd) utslgn you n iga / Tank Iafv C'~i~" Gallons Gallons ~ of Units real Area ~Jr Concrete I Constructed or Fiber (Plastic Glass VII. ResponalbWty Statement- I, the uadera[g some reaponsibiIlty for installation of the POW"I'S shown oo the attached plans Plumber' Name (Print) Plumb ~ MPlMPRS Number }'s sinrss Phone Nu ba Plumber's Address {Street, Ciry, State, ~ e) ~'f ~ /~~~~~ 1~ )~ ~ (~in~ Approved ~ ^ Disapproved ..-~, _ -._. Surcharge Fa) Owner Given Reason for Denial . Conditions of ApprovaUReasons for Disapproval SYSTEM OWNEf2: 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 be maintained as per applicable code/ordinances.. Attselt eompkte pLu (to tLe Cauary oal SBD-b398 (R. 48102) 'ee {"ndudea Groundwater ate s~dj„~,}' ss g Agent Signs re o ~ psl ~.~ v 0~ t~ti rn S S LI+M / ~^ - ~' ~ C1q ~ / CS! ~t l ~~~~~~ I for tLe system oa paper not kss tha I!2 z 11 lgc4es la rize ~ ~ n ~~ ~ .-_LLn- ~r~-C,S .~~ ~~ ' PLOT PLAN Steven Walter ADDRESS 967 193rd St. Hammond Wi 54015 ^~/4 f~11N 1/4S 14 /T 28 N/R 17 W TOWN Hammond COUNTY ST.CROIX ' 2/26/04 BEDROOM 3 V PRS Shaun Bird 226900 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 99.6' Scale = 1 /4" = 10' G~P~ Tank is to be properly bedded and provided with lockdown covers with approved warning labels Pro 3 Propert Line Bedroom ~ House tio~ Huffcutt Combo Tank Grading is to be done to divert run-off away from system 9 6'. 98.6' 100' a 98\ ~ B 10% Slope Area 15' below system is to remain undisturbed Well is to meet all setbacks found in Comm. 83 B-3 B.M. Pro Town Road to Cty Rd E 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 March 04, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/04/2006 SITE: Steven Walter CTH E Identification Numbers Transaction ID No. 974378 Site ID No. 671210 Please refer to both identification numbers, above, in all comes ondence with the a enc . Town of Hammond St Croix County SE1/4, NW1/4, S14, T29N, R17W Subdivision: Forest Ridge -lot 23 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 944556 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS -Version 2.0", SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with the "Pressure Distribution Component Manual for POWTS -Version 2.0", SBD-10706-P(NO1/O1). • 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. • 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. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(71- A copv of the approved plans. specifications and this letter shall be on-site durin construction and open to inspection by authorized representatives of the Department, which may include local inspectors. P o.~~.T:~. Ca~zdztionally ;~~~~~ DEPARTMENT OF COMMERCE I SHAUN R BIRD Owner Responsibilities: Page 2 3/4/04 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 ~c ~ ~~~~ ~'~ zoos 8~p~, sa~~, Date: 1 /26/04 Owner:Steve Walter Location:SE1/4 NW1/4 S 14 T29N,R 19W Lot 27 Forest Ridge Hammond System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01 /31) Pressure Distribution Manual version 2.0 (01 /31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil `--` Signature License n~ PLOT PLAN PROJECT Steven Walter , ~ ADDRESS 967 193rd St. Hammond Wi 54015 8E 114 NW 1/4S 14 /T 28 N/R 17 W TOWN Hammond COUNTY ST.CR01X MPRS Shaun Bird 226900 CONVENTIONAL AT-GRADE 2/26/04 BEDROOM 3 DATE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 99.6' Scale = 1 /4" = 10' Tank is to be properly bedded and provided with lockdown covers with approved warning labels Pro 3 Bedroom House Grading is to be done to divert run-off away from system 9 6' Pro Huffcutt Combo Tank 98.6' 98' 100' B 1~ 10% Slope Area 15' below system is to remain undisturbed Well is to meet all setbacks found in Comm. 83 B-3 B- B.M. Alt. B. Pro Town Road to Cty Rd E LinE =r_ • No D'esiga~r - Date (~ Topsoil Non-Woven Filter Fabric 7. Slope ~ ,~ i ~~r~~P~ f 4" Observation Pipe Perforated Below Filter Fabric AS11-I C-33 S o n d --~ r Flowed ~P E. F ' ~~ - G ~ , ii ~ J r ~.. L ~---- ~~ 4 Observotion PiPc--~ _ K j ------------------------------ -- - - . ~ A .' ---------- I Force Moin ..-. - `~ l° -._~_-~__..~_~_---_-___ -- From Pump 3 r ~ i~ ° Distribution Bed Of /2 - 2 2 ~ -Drain RocK Pipe I 4~Obtervotion Pipe~.~c.~~~~ Pcrmonent Mocker %fjl~,~-- ~ ~ ~vr~ bv>~~l~Pipe or Rods Pion Vicw Ot Mound Ucin A Bed For The Absorption Areo Qiitribuli0n. PiR~ l J r • ~' Forct Moin bed Ot f/~- 2'~ From Fump Drain Rock Cress Section Of A Mound S stem Usin A Bed For The Absorption Area p -~~ Ft . gJ' l Ft. I ~,5. Ft.~ - ~ ~ ~~ ~ Ft. K~< Ft. L~~Ft. ~,~~0~ Ft G PAG E,~,- ~r C1~4 E.otatsd On Bottom, s Squatty SRacea ERST 1ir?l.L NLKT Ta CennsG}nor Ft. F#. Signed: Lfcense Number: Gate: X ~ Inches ~° `'~ Inches ~ Ho a e 1)1$meter sir ~ Inch Laterai ." ~ : Inch{es} _._ San ~ foi d Z' Inches Force Main ~-~ Inches # of h¢Ies/Q1pe~~ ;evert tievdtion of Laterai~s/ a, Ft. pFr¢oratad Ripe Oetoii r' ~° CTiGN pNt~ gP£CT~ I~aTZOrrS SEPTIC TANK ~ ?'UM' CtIRMB~ CROSS S£ ~EkTN£#tpR4Qf ApFRpV £D " 2~ZN. ASOVE GRADE ~ JUNCTT~N $flX MANHOLE CO~EA y,+ ~;. VENT PIPE I4diNI70w 4R WITM CflNg(3IT w/ PADLiKK E >_ ._~fl` FRBH D4flR. ytAItKING LABE:. FRES~r ~.IR INTAKE y ~~r,~;~ ~ c ,~T.r~~~g~ ~~r~s~ HIN• i~ ~, FI~f~ ~''-~ GRADE ,~ zY s. a. T,+N~~• TT ` = s 38° i~- • T _ j `• . INLET .. ` ` _ C,A,S- ~ ~jpPR~QYE4 -'~' TIGHT ~ ~ JpIt1TS kITH ieiATER TIGHT SEALS gEAL • #'' ~ ALM /1PPROYED PIPE Fr 3 tT ER ''- $ ~ QN 3' OlRO ~_ ~ ~ SIC SOIL pPP~pDYEA C ? ' PIPE 3` dFF Splil'0 SOLID }~3MP dE'F ELEV - ~~~y FT' D sEDDII+t6 UI+IDER TANK CONCRETE PAS ~" APPROV ~ /r I ` ~ ~~ SPECIE ZCATIONS _ 7OS ES ?ER DAY ' --"~'---- DOSE 2~tiMBER SEPTIC ! ~-~,;,, ~ . cII~~I~ FACTURER: s ME LN ~,~ GAL- T AN K MANU CA% • DflS E ~ O ..U F LONSAC IC = ,,, SEPTIC I '~~--•-- GAL - - _ GAL TANK SIZES = DOSE ~~iC2---~- '~ ~' J INCHES h CAPACITIES= A ---"' V~GAL- MA~tt1FAC1T~iRER;~ ~ ~. '~ . ~ GFsL, MpD£L ~~E ~~~~, n" ~<~`uu~ C = ~ . ~ ;NCMES = ~ TCN ~ / ~ _ ~^p _ (3 ~ GAL- FACT~tRER = `~ II -.tom Z14CI~ES _..----~- pUliP MAMJ tSBER % " ~' , L I I,,HR 15.23 wAC i~OD £L NV ~,, ,, . -.thy ~ TYPE: ~ ~~ ALARP'f 47IRZNG E-S P SyiITCH ~ol'i ~p~f~-!P ~ ~ EET REQUIRED DISCHARGE RATE ~--- .. AND DZSTRIBU'EION PIPE- • -a~ FEET pUMP Or F ;yCAL nIFFERENCE $~yEPRESSURE - ~, • FRICTION FpCTQR • _ -3+?~~-~ FEET +~MIN;I'4tN'~ tiET~iORK SUPPL ~ ~ f T/ IO t3 L` NAI~ZC fiI:AU l.._------"' FEET FORCF,MA.IN X ~-.--- TpTAL pY~ ~ Dlpi''lETER ~.~.-- ~~ .~ ~i i„I~;3ID ~.~----~ y DLMENgZDNS i3F PUMP TANtC: L£NGTH 1 N'I£RNA SIGptED- _ pA:£= L F C ENS £ AitJ ~'! 8 KR : t-------.-_..---- if88 °a w x z I 0 J 0 r TOTAL DYNAMIC rEAD/CAPACITY PER MINUTE EFFLUENT ANG DEWATERING MODEL I 152 153 Feet Meters Gol. ~ Lifers Gol. Lifers i 5 1.5 69 261 77 291 1C 3.i ' 61 231 70 265 15 4.6 53 ~ 201 61 231 20 6.1 44 I 167 52 197 25 7.6 34 1129 42 159 30 ~I 9.1 23 ~ 87 33 i 125 35 10.? i -- i _- 22 8~1 I 40 ; 12.2 -- ~ -- 11 42 ~ Lo~k Volve: 38.0 fit. (1'.Srn) 144.0 Ft. (13.4m) 0 3 27/ 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 fornutdoor installations. See FM1420, • Over 130°F. (54°C.) special quotation required. 15?1153 Series 152N53 MODELS Control Selection Model Volts~Ph Mode Am s Sim lex Du lex N752 BN152 115 1 115 1 Non Auto 8.5 B.5 1 Included 2 or 3 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E 153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 O CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code fNEC) and the Occupational Safety and Health Act (OSHA). I tz 1/s i I J__- SELECTION GUIDE G74~W 32 32 3 sKZOe+ 1. Single piggyback variable level float switch or double piggyback variable level Float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TD: P. D. BOX 16347 ~~ n '~ " ~ '~ -~-, .. Louisville, KY 40256-0347 Manufacturersof. . ~ a ~~ ~- ; ~ SHIP T0: 3649 Cane Run Road ~ L' rrLr"t~lV ® Louisville, KY 40211-1961 Q//q[/TY/'UMPS ~7/.YCE ~ji~iJ ~ ~ / ~ (502)178-2731 ~ 1(800) 928-PUMP http://www.z0eller.com `~ ~ ~ PUMP ~~ FAX (502)774-3624 ©Copyright 2000 Zoeller Co. All rights reserved. UIGn.7 D 8D 160 L4U JLV FLOW PER MINUTE _ , _ • PO FILE INFORMATI Owner ~' ~' I Petmrt #. 3 D '~ ~-{ ~' DESIGN C' ~ Number of Bednxxns Number of Commercial Units Estimated flow (average) oesian flow (p~~, (Estimated x 1.5) Sod App(k~~ Rate ~- influertUEffluent Quafity FOG) Fats. OiI 8~ Grease BOOS Bioehemical Oxygen Demand Total Suspended Solids (TSS) Pretreated Effluent Quality g'ioc;hemical Oxygen Demand (SODS) Total Suspended Solids (TSS) Fecal Colifocm (geometric mean) Maximum Efnuent Partite Size - MAINTENANCE SCHEDULE Service Event Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) Clean effluent filter Inspect pump,. Pump c;onirols 8 alarm Flush laterals and pressure test PLAN NUAL 8~ MANAGEMEN ' Page °t- S MA SYSTEM SPECIFICATIONS "-'-- Septic Tank Capacity a1 ^ ~ Septic Tank Manufacturer ~ ~ ~ Effluent Filter Manufacturer ^ NA `~~ Effluent Filter-Model ' ~ ^ NA ~ d NA Tank CapacltY Pump ' al O NA Tank Manufacturer } ~ aUda Pump ~ ~ ~ Pump Manufadufer -• ~ ^ NA . at/d Model ~-~ __„a,,.,r~ Pump '~ ^ ~ / .~a Monthly average' ~i0 mg~- 920 mg/t_ s_ mg/l. Monthly average" S30 mg/L 530 mg/L 510' cfu/100m1 Y, inchdiameter rlGU C.~.....~.-- - a ^ Sand/Gr8ve1 Ffltef ^ Mechanical Aeration ^ Disinfection Disp al Cell(s) O In-ground (gravity) ^ At-grade ^ Dri ine N ^ peat Finer ^ Wetiand ^ Other. ^ n-ground (pressurized) and ^ Other. Ical for domestic (non-comme-da9 ~s~ater end Values typ septic tank effluent. Values typal [or pretreated ~stewater. Service Frequency ^ months ~ar(s) ~ (Maximum 3 yrs.) At Least once every y m equals one-third (,) of tank volume When combined sludg e and scu a s) [( (Maximum 3 yrs.) At feast once every ^ months ~ ar(s) At feast once every ^ months ~ar(s) ^ months ^ NA At least once every ar(s) ^ NA At (east once every ~ ^ months ^ year(s) h ^ NA At least once every s ^ mont ^ months ^ year(s) ^ NA At least once every n one of the following Licenses or MAINTENANCE INSTRUCTIONS ctor, POWT-S Maintainer, Septage Inspections of tanks and dispersal cells shall be made try an individual car[YI 9 an missing or broken certibCcations: Master Plumber: Master Plumber Restricted Sewer; POWTS inspe s to identify Y ~~ up Servrdng pe lons must include a visual inspection of the tae and scum and to check for any O rator. Tank inspect' pew to ~~ the effluent levels hardware. identify any cracks or leaks, measure the volu~l ~lcemshall~bel vlas ally ins ndi of effluent on the or ponding of effluent on the ground surface. The dispe () round surface. The Po ~ and to check for any ponding of effluent on the g ulatory authority. in the observation PIPeS uires the immediate notification of the local reg ground surface may indicate a failing condition and req ua{s one-third (K) or more of the tank volume, the When the combined accumulation of sludge and scum in any tank eq be removed by a Septage Servicing Operator and disposed of in accordance Huth ch. N entire contents of the tank shall ~ vents, and any 113, Wisconsin Administrative Code_ onents, pretreatgment compo rfortned by a certified POWTS Maintainer. The servicing of effluent fintio nma~ tervals of12 mo the orOless sta be pe com letion of any service event other maintenance or mo g ulato authority within 10 days of P A SetViC~e report shall 1~ provided to the local reg rY resence of painting products or other STARTUP ANO OPERATION for the p For new construction, poor to use of the POWTS check treatment tank(s) ersal cell(s). If high concentrations are chem'lc~ats that may impede the treatment process and/or damae s tie ng pe nor to use. removed by a septag o rator p detected have the contents of the tank(s) ..-~.-. _ ' ~ ~ fr en at the infiltrative surface. Page of shall not occur when sorl condrUons are Oz en is restored the excess System startup r outages Pump tanks rnaY fill above normal highwater levels. ~- During pow tsal raft(s) in one large dose, overloading the cetims) ink removed tby a e wastewater v~n'll be discharged to the dispe or surface discharge of effi,}>ter-t. To SVOid this situation have the o nt~en~~ P' ~~~ ~ POWTS Maintainer to badwp rloc ~ resiiocing power to the effluent pump Septage Servicing Opera' p um corttr+~is to restore normal levels within the pump tank assist in manually operating fhe p p .. rk over, or otherwise disf~rb or compact, Do not drive or park vetudes over tanks and dispersal rails. Do not drive or pa the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or~et"imtnation of the following from the wastewater stream may improve the Perfom~ance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers: dental fuss; diapers: sump pumpl water, fruit and vegetable peelings. gasoline; grease; herbiddes; meat disinfectants; fat; foundation dialn ( tildes; ~~anr napkins; tampons;'and water softener brine. scraps; medicat<ons; oil; painting prtaduds: P~ ABANI)OPI~MEM rmanentl taken out of service the following steps shalt ire taken to insure that the When the pOWTS falls and/or is pe Y Hance with ch. Comm 83.33, 1Arsconsin Administrative Code: system is property and. safety abandoned in come nl s sealed. • Al! piping to tanks and pits shaA be disconnected and the abandodnied psis Fyn ~P~ge ~rvicing Operator. The contents of alt tanks and pits shall be removed and property Po • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with coif, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired th8 following measures have been, or must be taken, to provide a e compliant replacement system: ^ A suffable replacement~arealac~ement arealshoeudld be pro tact flrom d st rbance and compaction and should not absorption system. The rep be infringed upon by required setbacks from existing and proposed structure, tot lines and wells. Failure o protect the replacement area a l~ rsP.s tams must comply with the'rules n effect at thatttimetablish asuitable replacement area_ Replacem Ys ^ A suitable replacement area fs notrn ~'~ ~ as a fast resort to reptarce Ithe failed POWTSn9 advances in POVVT technology a holding tank. may ~ n failure of the POWTS a soil and site has not been evaluated to identify a suitable replacement area. Upo site evaluation must tie performed to locate a suitable replacement area. If no replacement area is available a olding tank may tie installed as a last resort to replace the failed POVYTS. curd and at-grade soil absorption systems may be reconstructed in Place following removal of the biomat at ~i~~ ' e surface. Reconstructions of such systems must comply with the rules in effect at that time. the infiltraW «WARNING» SEPTIC, PUMP AND OTHER TRFAO OTHER TKREATMENT TTANK UNDER ANY GIRCUMDSTOANCESF DEATH MAY DO NOT ENTER A SEPTIC, PUMP RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~,~n/} ` f"' Phone ~ J ~-- LL POVYTS MAINTAINER Name /j,~u.'ti' Phone ~~~~--- ~~- LOCAL REGULATORY AUTHORfTY , SEPTAGE SERVICING OPERATOR P MPER Name r ~ /~~ Agency ~ ./~~/~ .i Phone ~~ ~` `... `-~ L °.S~ L Phone ~~~'-° J'~ ~ , this aoarment was diafied try, the staffs of the Green Lake. Marquette and Waushara County Zoning and Sanitation agendas. ThIs document meets the minimum requirements of ch. Comm 83.22(2)(b)(t}(d)~(f) and 83.54(1 }, (2) ~ (3). Wisconsin Adminlstrative Code. ilsb of this document does not GiNW (7J01) guarantee the performance of the Pp1tYTS. Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page of In aGGUIUdnVC Wllll l..VrnTTI OA, VVIS. AUrn. I,VUC County - - ~ ' er not less than 8 1/2 x 11 inches in size Plan must Attach com lete site lan on a ~ Y' p p . p p indude, 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. evi ed by Date Personal iMorrnatlon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ P r Properly location ~ ~ ~~ _ Govt. Lot S 1 /4 S 1 /4 Ta N R E or) Property Owner's Mailing Addre Lot # Block # Subd. Name M# /' City State ~ Zip Code Phone Number ^ CflY ^ Village Barest Ro d ~~ New Construction Us esidential I Number of bedrooms -3 Code derived design flow rate y.J ~ GPD ^ Replacement ^ Public r commerdal -Describe: ________ __ ___ J Parent material ~~(.~~(''~ , ~l/i1',L ,~s~.n /~' Flood Plain elevation if applicable _,~'/f ~ ft. General corrxner>is and recommendations: ~ t~5~ (~ ~'~/~ ~ ~~ Boring Boring # ~ y in. pepth to limiting factor ~ Ground surface ele ~~ ft ~.D ~. ~ ,,~,,,,,,,,fin~ y Pit , . ~- ~,~ Soil ica6on Rate E=-4.I~,t! Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP ~~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 6 -7 ~ p3i~ ~---- s " ~ G' ~ ~ . S ~ ~ Z ~ --~ o , .~- - a~sb~ ~ . ~- ~ Jr7h In~,r f'/ 3 ~~.. invr ~ G ''i~?- m f," ~/ d ti- N1 ~} . ~ .._ ~ Bori # Boring ~~ pit Ground surface ele . ft. Depth to limiting factor ~_ in. Soil lication Rate Horizon Depth Dominant Color Redox DescxipGon Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 2 ~b ~ ~ ~---- ~ ~. ~ L~ - J ~ ~ ~-~ .3 ~ ~~ ~ -r-m~ ,~~ ~; - c~ , d Etnuent ir1 = BUU > 3U < ZlU mg/L ano I ~ >;su < 't ' tmuenl sr[ = rsvu ~ .w mgi~ ana 1 ~ ~ .w rrlcy~ CST Name (Please Print) - - e CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluatio Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 ~'.~- ' •,~p - 715-246-4516 r~ . (O Property Owner Parcel ID # k .~ Page of Boring # ^ Boring Pit Ground surface elev. ~ ~ ft. Depth to IimiGng factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Z az y' ~--- ~ ~ .~ ~ a ~~ # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor ~n• Soil lication Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GP D/ff in. ' Munsell Qu. Sz. Copt Color Gr. Sz. Sh. •Eff#1 •Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Etf#1 'Eff#2 'Effluent #1 = BODE > 30 < 220 mglL 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. ~~ ,~ 580.8330 (8.6/00) Soil Test Plot Plan Project Name Steven Waiter Shaun Bir Address g67 193rd St. Hammond Wi 54015 CST #226900 Lot 23 Subdivision Forest Ridge SE 1/4 N W 1/4S 14 T 29 N/R17 W [] Boring 0 Well PL Property Line BM or VRP Assume Elevation 100 ft. Date 2/1 /04 Township Hammond County ST. CROIX Top of Steel Fence Post System Elevation 99.6 *HRPSame as Benchmark Alt. BM Top of Survey Iron @ 96.7' LinE Wisconsin 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 secondaN purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Walter, Steven & Violette City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic tc't= w..T'T / (~ W Dosing II ~v,.~,,-2D . ~ t Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 430644 0 State Plan ID No: Parcel Tax No: SectionlTown/Range/Map No: 14.29.17. STATION BS HI FS ELEV. Benchmark P~w~ s~,'s f Sao I os r . D Alt. BM ~-, Bldg. Sewer ct' 2~ ~O,'fS f St/Ht Inlet 10.3o I S, `f U SbHt Outlet Dt Inlet Dt Bottom ~~~ ~ ~ ~ ZS f Header/Man. Dist. Pipe Bot. System Final Grade St Cover 3./ o `O~• O f BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedJTrench Edges Topsoil ~ [_~ Yes ~ No j .._, Yes it No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: [ ~L/ 1~ Inspection #2: / / Location: 967 193rd Street Hammond, WI 54015 (SE 1/4 NW 1!4 14 T29N R17W) Forest I ge E~1~Lot 23 Parcel No: 14.29.17. 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = - ~ - q r -_ ~~- ~ - I i Use otherlside for addition rmatlon. No 1 _- L ~ I ~--- -' I _ -- ----- --- ---- - - ---~ ~ --- - - ~ SBD-6710 (R.3l97) ~ 5 ~ `~ _~-}- `~~~ _~ ,..,~-- G` C~ epctor' S~atpt~ ~Xl~/ ~_, /J_ Cert. No. ~~~JJJ ~ VW/~ "'~-(w`~n~ a,tj Q~l'Qn -- ale D Y C Safety and Builditi~s Division ' ~ 201 W. Washington Avc., P.O. Box 7082 ~CO~~~~ Madison, WI 53707 - 7082 ((Og) 261.{546 rtment of Commerce ~ s Sanitary Permit Appliea~ n is accord with Comm 8311, Wis. Adm- Code, ixtsonal iafottnatio you provide ~ ~~ ,~ ~~ F may be used for secondary Pytposea Privacy Law, s15.t?4{1 m) J P~ .:.,~ infermatiDn -Please Print All Information ~~ G~0\~ ~~'~,~ ":, Nattu l,l~, ata~c y'ype o ding (check stll that apply) .Qh G or 2 Family !; - Nu:nbcr of Hodrooms _ _ C ~~ ~ S PublidComtnercial tribe Use ^ State Owned - Describe 3 / ~~ Idress (if i eatJ~' mailing address) ~(0 ~ ' l (312x. S7- .n .,n T ~s Lots ...,,,.k,. anon /~ {C1rC De) ,N;~R E r ,,,;~ T;mne CSM Numb ^Ciry lII. Type of Permit: (Check ly one boa oa llne A. Complete line B if applicable) J° """ ' t ~ ^ Other Modifi A• w Sysraa ^ Rep at System ^ Treattneat/Holding Teak Rep Y 'st Previous Pe ^ Change of ^ Permi[ ~ sfer to New ~ B. ^ Permit Renewal ^ Permit Revi plumber Owner ~ Hefote F~tpitstion _ r yb~ ~ p~saurtzed In-Ground ^ Mound _> 24 ia. of Constructed Wetland ^ Pressurized in~'rrouad ^ ] e~_....i..:.,- c.,nrhedc Media Filterh~g ~ YL Tank Info Capactty'a Gallons New l.aistiog Tanks Tanks Septic oc Holdia5 Tsoic Aerobic Troatmeoi Uaic 17asiaL Chamber YII. ResponsibiUty Statetneat- I, the Plumbey's Name (Pant) ~ T ~pproved ^ Disapproved ^ Owner Criven Reason for X. Conditions of Approvalr'Reasons foi Surcharge Pee) ~ 'l ~~ ~ / a, of ~ iYSTEM OWNE_ R: ,_ ?i ~ ~ j eptlc tank, effluent filter and ed ~ maintains S ~ U~ ~ ~ l/ 7 J ~ ' 3/?~ J dispersal cell must all be se lumber. ~ ~`~ -~ ~~~, t Ian p ided by p ~ `L~ /~,~ Glass _~ ~/ >K) ~~ / I _ ' as per managemen p U~ ~ ~,, Q - ~ ~ ~.p ~'" ~`~ 2. All setback requirements st be maintained ~ - _ _A u-~ `~ .Q~`L'' ~'~'r as per applicable codel finances. Z~~Z~ Cam' 3• '~ ~ ~~~~ / ~ , Attach eompkk plans (to rite Caualy only) for the system oa paper so kss [tea' ti' LKit~- ~1-Q~Pp~ I /~ `'~`" ~/f. 08102 ~ / '~ d - 398 ~-~.~ ~~~ _ J""" G~~ V i ai - - - e soil ^ Mound < in. of suitable soil U t anlc ^ Peat F' ^ Aerobic 'p Line Gravel-less Pi Other pvp Required (sty Dispersal Proposed t~/y~r~ ~ Pr~efab~ n ~~%1 , //I /~ Concteu 1 Gallons ~ of Units for iastal]arioa of the WTS~ahowa oa the amcbed plans MPlMPRS Number Easiness Phone PLOT PLAN PROJECT Steven and Violette Walt r ADDRESS 967 193rd St. Hammond Wi 54015 SE 1/4 N1IV 1/4S 14 / 9 N/R 17 W TOWN Hammond COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE1/8/04 BEDROOM 3 CONVENTIONAL IN- UND PRESSURE CONVENTIONAL LIFT )44C HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chamber 39 ,BENCHMARK V.R.P. Top of 1" Pipe @ 1182.05 ~C P-~ f ,o~ci,~1r~ d 1 A-100 ~ rc~un _ i~ 1178.8/1180.3/1180.$ 1.2' below sir ~ Vent >6" of Cover 11" 6' Long at System 3 Well is to make all setbacks required by WDNR / ~~ ti B?A3 ~~ ,~ 0 ^ BOREHOLE O WELL •H.R.P. Same as Benchmark ~ s B.M. #2 is @ 11_ 8_ 1.76 Vents B.M. #1/S1.M. #2 _~ 5' SYSTEM ELEVAT Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area S P-B48 Plans Designed Using Conventional Powts Manual Version 2.0 Y G~ Goo r ~ ~ O C:~! .f ~/ ~ b~- cap.-~'rr~ 1 ~ ~°i` Huffcutt Combo Tank Gt.~ -~° B 50 T. a , 0 ~ ~ ~ ~d~, 3-3 X 83 Cells with >3 Spacing Please note: elevations, soils and dime 'ons will be verified by ins prior to C PLOT PLAN PROJECT Steven and Violette Watt r ADDRESS 967 193rd St. Hammond Wi 54015 S E i / 4 N1N i / 4 S 14 / 9 N/R 17 W TOWN Hammond COUNTY ST. CROIX 1 /8/04 3 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL IN- UND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chamber 39 ,BENCHMARK V.R.P. Top of 1" Pipe @ 1182.05 ^ BOREHOLE O WELL *y,g,p, Same as Benchmark Filter Zabel A-100 SYSTEM ELEVATION 1178.8/1180.3/1180.8 1.2' below grade Vent >6» Standard Biodiffuser Plans Designed Using of Cover Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 11" 6' Long „ , „ Grade at System Elevation • ~~,• Pro 3 Bedroom ~I House Well is to make all setbacks required by WDNR Huffcutt C 5% Slope BZA3 0~ ~. 3-3' X 8 ells with >3' Spacing B.M. #2 is @ 50' 1181.76 Vents Please note: All elevations, B.M, soils and dimensions will be #1 . #2 verified by installer prior to installation 5 ~ 40' P-B48 10' x CROSS 5£CTIC~'~ AND SP£CIFFCATIOnS SEPTIC TAl3K £ PE3MP CiiAMS£R u== C; ~IENT P'I'PE ~2" MIS. ;ggpvE GRADE ~ ~ 25' FRflli Dflf~R. WINDd~ (1R FRESH AIR ii~TA.KE ~ F I!3 ~8" 1'IIH. IN AppTtDVEfl PIPE 3` tl~ 50Z• SOI! GRADE ~. (, ~.~ . y"~.z, t~~aws~a ~~f L~iATER TIGfiT SEALS "'~"- A. ~ f tT £.R ""~ ~_ B '~" C pL3~'fP {?FF ELEV - ~I! ~T . '~ 3;' APPRUVF-D BE~3DII~6 UNDER '£, p£CIFICATI SEPTic / DasE TA13K NAr1iiFACTURL"R =. . TAtiK SIZES= SEPTIC DOSE AyAgM 1KARUfAC143RER MODEL I+IUKSER' ss~x'rcx TY~~: pfJi'iF MA~'1EJFACTT~IRER MSf~tITC~T~~ REQUIRELI DISCI~ARGE RATE VERTICA3. DIFFERENCE H£TNEE + MINIHUI~ ~£ETflFt~RC£t'IAZR ; + ~_._,_ IN'f£RNAL DIMENSIONS S IGPtED GAL. GAL. GPif WEAt!#~tPROtIf Jll NCTION BMX ~ITK C€}NDUIT s. t~. :.~ :, T = •• GA,S- ~ , TIGHT= f SEAL ~ ' AL _ s ~ p~ ~ , r,, Y !' ApPROV ED ~~tRQLE COv ER W/ PAI7LflCK ~ WARtiI~dG LABE:. -q=' MIN. tam Mils• Jt?IfiJT5 NITii pppROY£D PIPE ~Itf SOIL OATERETE PAD 5 ~~~~ y ,~ 2+It3r'~$ DOSES ?£R DAY : ~{~SE V{3~ME INtCi.UDIMG 9 ~ GAL- E LC~BA!/C K . `~_.- /~ ~~J I NGHES = ,~..~ G L - CAFACITIES: '~ ---- GAL. 8 = .^. 2-- I~iCHES ~J INCHES 7_ ~ ~L z ~-- il~CfiES = l~ GAL D 6 A5 PER I LHR 16.23 ~' PUMP ALARM FIZRZNG / ?IP£ - 6 ~ _. FEET TI ~ FEET r pvxg o~F Ares OIS - - ------- FEET ESSURE - .FRZCTI FACTOR FEET ~FT! 1Q g FT - F1~D TOTAL DYNE ~ ~/ ~ WISH DiAMET£R M? TANK: LENGTH Y ya LIQUID ~~-------"_"_'~ . ~2~~~~ ~~ ` o aA:E=~ LICENSE ~~1B£'R - l ~ . 1188 0 v } 0 J Q r O r HEADICAPACITY CURVE " ~ EFFLUENT and DEWATERING weRNiNr,• M~de~ X8514185 should not be subjected to less than 30 feetTDH. Note: For Head Capacity on Model 112, industrial column-explosion proooT purliN, ~~~ ~ ~~~~- ~-~ r ~ t t ~, 2 r~~~ ~ ~~.~ L/ i ~(.~f 5 Wlsoonsln Departrnent of Commerce Dlvl•lon of Safety and Buildings SOIL EVALUATION REPORT Page __(•, of w~ a,.~anvanw w,u, wn„n oa, •ns. Warn. wan County Anadr complote site plan or1 paper not less than B 1!2 x 1 1 Inchos In tlze Plen must r' X 04 X . Inciuda, put not limited to: vertical rind hortiontal reference point (8M), direction and per( ( percent slope, scats or dim•nelona, north avow, and location and distance to nearest road. NO Pl'eagda prlf)f ~Ii In(O/lylal'IpR, evtewed u ete O Per~on~l Inlom,r~bn you provl0~ may D~ w~0 rOr mm~dary purpo~e~ (Pr~reey law, ~. IS.O~ (~) (mfi. __ / + / ~ O __ Property Owner Property locatlo AQ Lt_.A ` ~ 1/d/~W,rd s /y T 2 N R 17 W Property Ownei a Mailing Address L N lock N Subd. Name or t„SRAN ttl~ W, O~d-S-oN sT . -- or~.EST Rive ~TAT~S ply Slate 7Jp Coda Phone Number^ Cl Q Village ~ Town Nearest Road R~~Et<t (/l~11.L5 wL sti0z c'11s ~tzb-4So N~ AAD I e.rk: E New Constructlon Usa:~' Resk3antlal / Number of bedrooms ___ Code derived design M1ow rate ,_,,_____ ~D~ __~__,. _ GPD ^ Replacamertt Q PuWk: or carrxnerciel • Oesutbe: _ Parent maienai _ ~1trL '~-,,,~A S -1L~ ~_ Flootl Fain etevetlon if a Mcaole ~' ~ M1• General oommenls E and recommendatlons: pk~._ c'o~~~ S~ls''~~ O.5 lAfiOr,.iJ6 R•>n'~~ n '' - / Q~ B S~ / ~ L +~v ~ rG~ r >2 ~ ~v~~~"6ulL '1- 7C G /~ ~ ;: ~ ~ ~~z _ , .. r ~ { o ~ ~ .~ ...... a ^ Boring ~~! V, a~ ~ ct..l..t ~ K i B or ng p(( Ground surtaa atev. 1174.9'7 n. ~ D•plh 10 limitlng factor __~ in '- _ Sal 4catron Rate Horizon OeDth Oominanl Color Redox Oescripiton Toxture StNCture Consistence boundary Roots PO in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Effort 'ERN2 _ Z Il-1,~1 y 3 f~ .._ s l.. sb orb 2~r~-r-^ ~ .Z 3 - 0 /0 Y 3 5 m( C 5 -rat 0. I, 2 4 1f0 S8 3 - cs ~ a l s -m 0 I• a ^ Bortng l S f 5 SLt ,~ ~~'t, ~. ~ c 1 / ~ s ~ ® ~ ~ ,~,y ~,,,_ Boring N ~ 53 ~ Plt Ground •urftce et 114 t_'S7 fi. Dapth to Ymldng lector In. _ _, _ -""' Soa caGOn Rate Horizon Qapih Dominant Color Redox D•scrl _ Texture SUUCture Consistence Boundary Roots GPDIfP in. Munsell t]u. Sz. Cont. Color Gr. Sz. Sh. 'ERNt 'E(Nt2 ~ ~ - I - ~ a.b J z 3 _ r -mabK d .S 0. g 4 -33 4 -~ s ~ _ lr b d s orb ~ Z~ . ~f 1 0. g-s3 o sJ -- s d I -- -- 0,`1 I, z _ • Effluent N1 = 800 > 30 < 220 myt and TS5 >30 ~ 150 mg/L ' Eflfuent a2 ^ B00 < 50 rngll and TSS < 30 rrgfl GST Neme (Please PMt) gnature CST Number MA •~0 N l.~~STEt'~ 2Z Address ~ Dale Evaluatkx+ Conducted TetapFrone Number ~J9a?S ~9o~``Ade,,~yEa,F*~~ t,rJl 54o2z 0&o5-oz ~-S yZb-~"t~S 6~ 3y~ ~{E~ kStO .O9- Ig- Cf~ ,~_ ~a r x ~~o-~ ~~ Property Owner _,~{~_S~.L-~"'~ ---- /1 ~ BoAnq t'-y$ 13ortnp s' I~ (urr r~itv)~ Pil Ground surtrace elev. n Gi -~~ ~/~/l~ J~ U'" I Q~ HoAzon DapN Oomsrwnt Color Ftedox Oescriptlon ~ 7exlure S ~ In. Munsep Qu. Sz. Cont. Color Gr 1 0-53 1 s t L ; Z- q-l`I 3,/z 'r S '.~ Iy-tl t0 ~'~ ~ ~ ~' ~ Z1- (0`I M ( ~ r 5 0-~9 l0 5 o X10 4 ~, ~---- D ~^^~ eorinq a CL4S 20~ ® Pit Ground aurtace elev. _ 'The Ueparlmenr oCCommerec is an equal opportunity service provider anA employer. If you need saxistance to acce:s xarvicea or need material in sn alternate format, ptca~c contact the department at G08-IGb•3 t S I or TTY fi08-2fi4-8777. xau~~l>o tx •~r • Elttuent at • 800 > >fl :220 rrlprL and TSS >30 _ t50 mpJl. ' Efltwnl fr2 •800 <_ y0 myl and TSS _< 30 rtg11. ,- .,. y' J 1, V )~~ ,• .. - . ~. ,~ (~SQ~KE ~-~1GROU.ND \~~' ~y~~ ~~ i ~ o ' - << ~ _ - ~ V I . .~....~. I ' ` y I I ~ A ' \ ~ - W y , I ~ I \~. ~ I /• (~~ ~ j , Q ~ / ~ ~ ~ ~ ~, . -~ ~ , ' ,~ , l Cod ~Q a • ~'` .~-•~ ~ iv ' ~ ",~. I ~'' \~ l 1 , 1 .~ ,~,4tt41.7 ~ -- bM11~1 •• ,1 ~• ,, 1~ FoR~sr R~aGE ~~-r~-r~s LpT 23 ~,~ yn, ,; ~ Pc. 3 of 3 = gM~l- PVcv~P~ ~ ~ 1. o' i! bcd ~ ~~ ~ ~*~M SEc, t`+ Tzga~Kt~~ ~ 8M~'Z=SPLICE I~ 'j'1~E . G8 ~ Ar~~ t~ G RCC.tnl D -. '~ , o ..g,~7s~ E ~ ~•~ g 3 - '~.----_ z 'tour - ~s ~. • ` ~~ • •, ~. ~ --- __ 1 ~84~~ S. ~.... ~~' 2.49 Ac. ~„~x d ~~ a ~ i i _ ___ N 89-•38 57 ~ ,... 8~ .~._ p .._ _.-.-_ 2v ~ ~~ ~ Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan ption #1. system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 551 361 5356 r Run . r Nx riu 11.13.36 a.m U1-OS-2004 Jan. 1~ ~bld4 11: SFJHM P2 5T CRC?TX COUNTY SEPTIC "TANK MAIi'7TENANCE AGREEMENT AND OwNERS1~IIP CF~'Y'IFICArION FORM Owr<terfBuyer ~ i 1 e. ~e Mett~ng Address ~"}` ,~ ~ ~- ~ ~ ~ ~~~) ~ Property Addroa~s 2 l2 {V'etitiaation ragaireci from P'lanaiag De~ptrtayeot for aew coaat:vatioa) ~'~~ ~~" ~~._ Parcel Ydentl~oation Nt>znber (7.~C~ -- Q `- ~~ . P ~--- Propaty Y.vcstian~ '/~~ ~ e/s, ScC. ,~,,,, T',~N R~W, TOw1~ of SubdivlsioA (.ertiQed Survey Map # Lot # 01~ Volwmc Page # w.rntaty Deed # __7 ~~ ~l~'_ ._, Volumo Z ~f X02 paw # ~a.,3 it/zS-~o3 Spex ~~ o y°~ao Y.ot Iinas id~nt~Salbi ~ ao ~'0~~s ~anilaasnsaeeofl~'saptic aystetaeoiatdYesoltin ita p~aa0a:+e.t:~eto he~adlewaitee, propermainteaaoca t Ot Olit BiE ~ ~~ CVieT~I thl+ee ~ 0! :sitter, }~ tterdod ~- i 1#oCUSad puaapec What ~ pot m00 th0 sySt~ ~ ifl'OEt 1~1e O~ fbe faplfC tap1C at i ttutayeef srigre $1 the tYaate dlaposai sy;beia. 13e pf~Ojietiy owaet a~+aw 1D snbmi! b St, t;Yaiit TAi~ Depsetmeiit a OOp~t fiosm- aimed by 13ie o9vaer sad b]- a ~PPtttm'ber,s~trtetedplum~aror aliamsedpllmpesvet~Q-iagtT~at{1) foe ott sins wracewttterdls~iosaisyatnm P ~~8 ~itdldatt aad/a (2) itRar mspsodon sad 1~u1S (if necessary}, tliea st~pdc tack is less than 113 fell of aby~e. t/twe, the tntdetsi~sed have rad tbt: shove cngr>3~met<h sad adtee b msia~iu the lor€vabe sewage dispoart ~ with the r<oindards ~ ~. . as ;ter ay the c of Cammoer~e and fbe Dcgartment of Natsnai Resou~, sate of Wisaaasiu. Ccat~ ~# ~ ~ +ep~s ai"~ bas 6caa ma$itaiaed msut be eoa~leted sad retu~aed m t!m 3t. t~oix county 7.aoi~ Otiice withic, 30 days of dye times year aotpi:atifla date. luc~~v~e a~ ~zlc~u~r ~~--~ Y (vte) oerdly that isl! :fsaem,~ oa this farm see hue goo the bau of atY {ouz) ~. I {wc) am (are) tha owaea{s) of t1m pc+bp~art~- deacr~ed above, by yiitiu of a a+artsttty- deed xacaadod la Register of Deeds d /~ ~ ~ ~~ ~~ DATE *•Nwa ~' i~ttllifiOR Chit is Rill-1~1~t[Comsy loalit i1i tlye sa6itttY Ptl~Okt bCtit~ itsVOkiOd by tf~e 2.oaiag Dep~cimcat. r~e~.a r^ •• iaelsaie with lids y+plieatioa: a stasopad warraary dceti ~m t5e ifcgistef of Daads oD'rce a copy of the oeziified aihre;! rasp !f tetesmnce !s made hi die waistiaty deed FORTIS 2~id FL South 1,~~. Document Number U 2'i62P `~23 1 STATE BAR OF WISCONSIN FORM 2 - 1999 WARRANTY DEED This Deed, made between E. W. Homes, Inc., a Wisconsin C~rDOration Grantor, and Steven H Walter and Violette F. Walter Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin {if more space is needed, please attach addendum): Lot 23, Forest Ridge Estates. St. Croix County, Wisconsin. -7'4~4~8 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FGR RECORD 11/25/2003 10:00AM MARRANTY DEED EXEMPT 11 REC FEE: 11.00 TRANS FEE: 189.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address KRISTl~fA OG~r4ND ATTCRiLEY AT LAW P.O. L30X 359 HUDSON, WI 54016 018-1030-40-000 ~~ d Parcel Identification Number (PIN) This is not _ homestead property (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this ~ ~ day of November 2003 E. W. Hfom~e~s, Inc. * * By: Mark B. a, President * AUTI~NTICATION Signature(s) E. W. Homes, Inc., a Wisconsin Corporation, by Mark B. Sylla, President _ ___ authenticated th's ~ ~ y of November _ _ , 2003 --- - --- * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland _ Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) * _._ ACKNOWLEDGMENT STATE OF - ) ss. County ) Personally came before me this __ __ day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Notary Public, State of My Commission is permanent. (If not, state expiration date: •) c~ * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du t.:.•., wl STATE BAR OF WISCONSIN 800-65~ 202! WARRANTY DEED FORM No. 2 -1999 ~_' rn - - ~ -----) - _ -_ ~! 1 ~ x i I I~ i~ ~. l .~ ~' i / ~ 1 1 1 _ I N ~~ a ~ I ~ t ~ Si ~ I~ km ~ ~ ~r,, ~ ~ ~ ~~ i ~ ~ -cn fiT C7 O - - ~ / `~ \ , , ,~ ; ~ \ \ 14,626 S ``~~'fi~ ,'' \ , (O \~ ~ ~ \ `~v x.30 Ac. ,' I I to \ ~ ~ X 1162.6 \ N.~ 143626~S.F. ~ ~ I it \ ~ I ~ \ \\ N.B. 3:~0 Ac. //~~~ I ~ ~ ~ x ~ q.~.._ ~ IV 8~ 38_~~~~ 479.56' ' - J X 116"5 - -C- ~- L ~ ~L \ ,~~ -7 - / I ~~ \ ~ / ~ \ ~- i _ ~ ~, LOOT' 25,' ~ J N ~ \ / X 1167.1 / '~ I~ `~ 1 b$4~3,9 0 ~ `~• F. N.~ \08409 S.F. I 'I /~~~, ~~.~9~ Ac. ~i' N.B. 1.49 Ac. I-, ~~ ~~ ~ ~ i ~'- ~f -- -- -._. N X89' 'S7~ E 479.81' x 11x8.4 \ I r z ~1_. t/ Il .I ~_\ \ \ ~ ` ~ ~ Z _ ____ I ~ ~ W / ~I ~ ~ ~ ~ ~ ~ N 1 1.~ ~ ,~-~~~'198466-S:~-#.~,,as4ss s.F.\~ o x ~~ r'~~• ~~•~~ AC. N.B. 2.49 Ac~~ SEE SH1~~T 3` ~ - _ _ _ _ _ ~ i ~ ~ ~~__ ~± ~N ~8'57~ ~ -4gg.86~ - - i - ~l ~ ~ ~ ~ ~~~ ~~~ 2 ~~ ~~~ _~ r~T~ ~_ ' 1186.9 ~ ~ \\~~~ `~10852~' ~F. ~ \08523 s.~: ~ ~~ ~ )`:"i ~ ~` 2,49 AC. ~ ~ N.B. 2.4J~Ac. ~ . /~ ~` ~ ~ 1% 9J /` ` \ \ \ ` ~ ~~ ~ 'r ~ - - ~ 9'38'57"~~ 480.32' - - _ ~- . l_ 1 ~ ~~ \ i _~~ x ~ ~ ~\ ~~ /^'~. N IZ ~ / Iv~_~ ~~ /i~;' n ~ ~. m ~ ~~~° ' i ID ~ r/ ~i / r ~ ~ // 1 ~ / ' I / I r x / 1169.4 ~/ ~~ ,- , / u ~ ~~~ --~ _ i b .~~ ~ ., ., `_ _~ ~~~ ``_` `~~ \ ~-