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Q c a .., N f~ x0 y e x °o N rv; i C O C `CS i • ~ .~ _~ '~"", .~ ~~ V r`Iv r V C 7 LL 3 m ~ Z y Z O ~/ LL V O L ~ Z °' r ' I ' w a m ~ Z N O Z d' ~ N O m Z r ~' y ~ ~ ~ ~ N C N _L N VI N C ~' ~ Z Z ~', C O ch ~ I I H l6 ~ ~ _ N ~ N d i p O D a S > _ ~ 0 Q m , ~ a a a n. o ~n ~ v ~ ', 2 ~ N i ~ ' ~- N .- of o O O O ~ '~ C ~ O ~ O 3 U a +~+ N 00 O_ C I, O N C r" O Q ~ ~ I ~ N M N ~ U: M .~- O I (A o ~ N E E .~ N ~ o ~ ~ v ~ ~ O = ~', I' ~ M O Yk ~, +-~ d ~~'_ ~ a ~ a ~ d ~ ~ ~~ j d m _ c ~ ci a ~','', ~ oin t~ w °o I 0 ~ I O I a I ~ I I 3 I f`9 I N U C d C I .~ ~ I O ~ (U ~ ~ O) Z ~ _m ~ ~ L N U C p N f6 Q ~ O p Q = O. I I I I I w C ~ I N KOJ O ~ I ~ (6 N ~ y-U_ O ~- N q Z O ~ I B ~~ ~ ~ C_ d ~ ~ I ~~ I Q ~ o I Z ~ o I Z N N O _ _ ~ 0. ~ ~ r y I 4 n ~m I O ~ d. O O N ~ ~ (3 ~ O p N O N ~ N N ~. Q7 I ~ ~ O U' U` w 3 W a0 I ~ C C ~ N ~ ~ a~i a~i '~ v Z `" Y Y ~ I I i I /* Nfiaconsin Department of Commerce ' safety >~ t3tu'Idirtgs Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal information you prevtce may txs used for secondary purposes (Pmacy taw, s.15.04 (1 xm)J. e~fln. :Name: ~ city ~a'mrl~io~c~~"owliship CST BM Elev.: Insp. BM E ev.: / BM Deuription: X9.331 gq•33 csT- r~~Z TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~^ ~ I~ Dosing ~ 18~~ , Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. vent to ROAD Airlntake Septic > (air ~. '3`t ~ NA Dosing 1 [oC r t ` ~•1 NA Aeration ~ ~ NA Holding ELEVATION DATA STATION BS roix ~3 j3Z =Trll~as • r o.~ :el Tax No.: y 18-1033-80-100 rfo~ Zq, I . ~.y I HI I FS I ELEV. `oc~ ~~nn.v... - .~. ~,. V 1 ' a J It. BM ~ ~ , 60 0 . ~ Bldg. Sewer ~ ~~•'Fp 2 • O , St / Ht Inlet ~ 13 ~Z r, }~/3, o ~~ 9 , r St / Ht Outlet --' Dt Inlet --• Ot Bottom ~ ~ 8.30 _ O Header /Man. ~ •°'$ ~ ao • SS" ~ Dist. Pipe 3.1~ r ~a (• 20 Bot. System `~ 0 typ , PUMP / HON INFORMATION .. S Final Grad .~ ;~( t,e, (Z'.'t- ~,,~,r-_ ~oo Manufacturer ~o ~~ Demand ~ Model Number #~ ~ o'1~'iGPM ~~ Z ~ ~ 30 `i= • 3 3 r • '~ TDH Lift I'~s~ Fridion~ ~g SYstem~~p TDH ~~~ t i ~, H ~~• Forcemain Length 2~r Dia. ZG Dist. TOWeII SOIL ABSORPTION SYSTEM D • 3D~ ~' ~ ~' ° ~ .~ Inside Dia. Liquid pth No.Of BED /TRENCH width r Length ~ ao. 6f~reraher PIT I EN I • Z 2 Ids IM N I N nu adurer: SYSTEM TO P / L BLDG WELL LAKE / STREA LEACHI SETBACK CH R e Num r• INFORMATION TYI~e 0 1 ~ ' ~ ~-"` OR UNIT ,,~- Q ~p { ~ $!) System: ' •`~ DISTRIBUTION SYSTEM ~ (3 x Hole Size x Hole Spacing Vent To Air Intake ~ Header / Ma ~ old rt Distribution Pi~j ~) ' ~ I { 1 rl ~ ~ Length ,~`) Dia. 2 Length '[ Dia. (~' Spacing ~'S 3 '~• O ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No sec Ion : 08 lab /a Ins ection #2: / COMMENTS: (Include code discrepancies, persons present, > > • Location: #990 County Road T, Hammond, WI 54015 (NE 114 NE 11416 T29N R17W) -162917241A10 - Lot 2 1.) Alt BM Description ='r~p ~~'~""`Q'~~0''~ . 2.) Bldg sewer length = ~t. (eo -amount of co er = (~ 5.~ s~~ ~J ~)~COn = C1~-•n'' ~ ,kj4 ~.,,,,2,Q,4-•~-(.s'2, QuM•Pt~.~,e_rP.e~o,~,e~ a.~ ~`~,p~e~la,.,. Plan ewslc~ or~l'regwred? Y ~] No Use other side for additio formation. \ Oate InspedoisSignature Cert No SBD-6710 (R.3J97) ' ~~~~p ,~~ _ /I~ d~~~P~~ ~n~'°'~ 5~1 MtC+QdC ~c~1 G~4?Y Safety and Buildings Division County ~~ n „~ l (~ „ ~ 201 W. Washington Ave., P.O. Box 7162 IS'CO~s"~'~ Madison, WI 53707 - 7162 Site Address .~-- De artment of Commerce ~ ~ ~_~ - Sanitary Permit Ap ~ ~tlUn ' . `~ , Sanitary Pecrmit Number ~O ~ 2"'23 In accord with Comm 83.21, Wis. Adm. Code, pe 6tinadon you providt: ' ^ Check if Revision ma be used for seco ses P c w, s15. I. Application Information -Please Print All Info RE~F,~ State Pl I.D. Number ' ` ~:,~~~ ~, 3 Property Owner's Name ~~~ ~ ~ ~QQ~ .` ~"' ~ Parcel Number Property Owner's Mailing Address G,ptt1 Property Location f, City, State Zip Code p1V'trri r,,~` Lot N r Block Number ~~ ^.. ` 1 ~ , ~ ~ ~ t~W ~~ ~ ~ ~~f ~{8'~~ 7l S ( Su 'sion ame CS Number ~ ~F v ,~ r~ 3 rr II. Type of $uilding (check aII that apply) ^Ciry np,~_ ~I or 2 Family Dwellitig -Number of Bedrooms 3 ~Y L.GC~i/1 ^Village ^ Public/Commer ial -Describe Use ~" p ~~~ ownshi 9~ • S Cj.~str,r o. ^ State Owned p C S~ K 41.2' ~u.tn,alL ~ "p "= i- S C I S a Nearest Road T III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line if applicable) A. 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use O (~/ _ I d 33 '' ~~ ~ ~ O S stem Tank Onl Existin S stem D B. ^ Check. if Sanitary Permit Previously Issued Permit Number t ~ •aq.l~. Date Issued 2Yr ~ -10 ]v. Type of Permit: (Check all that apply)(numbering scheme is for internal use) ~ --16U - 44 ^ Non -Pressurized In-Ground 21~'Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersaUTreatment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade ~/ '~~ Required Proposed Rate(Gals./Days/Sq.Ft.} (Min./Inch) Elevation ~? ~Od ~DU a ~ ~9 D jD j . . VI. Tatilc Info Capacity in Total Number Manufacturer Prefab Site Steel -Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing T anks Tanks Septic or~Fleldarg'Pank yy VDo Dosing Chamber ,~~ VII. Responsibility Statement- I, the untie geed, r bilIty for installation of the POWTS shown on the attached plans. Plumber's c (Print Pl s Si MP/MPRS Number Bu sin e ss P ho e Number n ~.~ 7i- ~ ~ ~¢ r - ~ r ~ ~ / [ J ` L.J ZU Plumber's Address (Street, City, State, Zip od -- ll c O ~ W T J~r1~~ VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing gent Signature Stamps) ^ Owner Given Initial Adverse . Surcharge Fee) Determination IX. Conditions of Approval/Reasons for Disapproval tlrLl seta-~.s w~` I~..~- ~.:o~.t,~~ is a ~~- ~ lei- ~.D ~ ~ t ~ O ~ ,~- ~.. v~. .u~.c . ,~~~~ l S JRS t~mii-yCt ~ ~ ~ ~ `~~ ~~ t S ~,~-~ ~~ ~ ~/~ ~^- ~~'(~ Cy~~~ a P ~ tw tae~~~A y r a tyatem on paper not tas than t31/Z s i1 Inches iu ahe :• SBDy6398 (R. 051011i`)',`•,~.xT l Y ~- ~~p,r•~na ,.v..,-~....._. - %~ L Wi T 1 SCALE: 1"~~ a BM 1 DESCRIPTION !fir o~ ~' ~' ~ ~ {-'-(1~ gM f-EI,>eVA'i'IQN 3 3 BM 2 DESCRIPi70N ~6oT ~t~~~'~- sYST~M E<,>rvA'I'loN 9Y Od ALTERNATE ELEVATION ~~~ COxtOUR E1,EVATION 9 ~ Sd ~~~ t~°~ Y ds" {,o - ~•r•r~ t4 x.57 `\~ ~ x ~ ~C.. ~ A~• \ s. I1`~ s ~` L~ ~i ~ ~~ ~ ~ ~, o' 4 Sa~~: ~e l Ot} 'V • (~ ~ Cq w ~wp •, ~~ ~ ~rl 1 \ . ~~. \.~: ---_._ •\ ~~ \~ 7~~ tt,~ t ~ o pia ~~~o •t s o~seQ~.~~.2~~~ou.~1c ~. p..1. \ 1d.~ ~~~cTkn i-oKl3' .~.~~.,_ oP~~`.{= 1'tR~o~t ~ Neti+t~'/uft~vt7 ~-t9 ~ytZ• (j re T10 1~1 ,. 4 ..~. 3 0 ~ ~ ~ ~ ~scons~n Department of CommercQ; May 18, 2001 CUST ID No.139462 TODD L SINZ E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/18/2003 c;~ i t7~FiGE .. ~, SITE: SITE ID: 630037, STEVE REED ST CROIX COUNTY, TOWN OF HAMMOND; CTH T NE1/4, NE1/4, S16, T29N, R17W LOT: 2, FOR: DESCRIPTION: MOUND DWELLING GPD 450 ATTN.• POWTS Inspector ZONING OFFICE ,,,,,~ ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 643132 Site ID No. 630037 Please refer to both identification numbers, "above, in all correspondence with the agency. OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 793274 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, /+ / ~ ROBERT KANTER POWTS PLAN REVIEWER., INTEGRATED SERVICES (608)261-7735 ,MONDAY-FRIDAY 8:OOAM - 4:45PM RKANTER@COMMERCE. STATE. WI.US ~~ ~ `~L.~rl i ~~i L,.S> "'7 Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary $T V4~Y+r ~j~}!'Y DATE RECEIVED 05/14/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7b33 cc: STEVE REED .. ' ~. ~~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary May i 8, 2001 CUST ID No.139462 TODD L SINZ 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: 05/18/2003 SITE: SITE ID: 630037, STEVE REED ST CROIX COUNTY, TOWN OF HAMMOND; CTH T NE1/4, NE1/4, S16, T29N, R17W LOT: 2, FOR: Identification Numbers Transaction ID No. 643132 Site ID No. 630037 Please refer to both identification numbers, above,_in all con-espondence with the agency. DESCRIPTION: MOUND DWELLING GPD 450 OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 793274 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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~f' / r ~ t on this letterhead. ~`" `~"'~ "' ' "~'`` Sincerely, ~~ ~.~ V ` ROBERT KANTER POWTS PLAN REVIEWER ,INTEGRATED SERVICES (608)261-7735 ,MONDAY-FRIDAY 8:OOAM - 4:45PM RKANTER@COMMERCE. STATE. WLUS ~. DATE RECEIVED 05/14/2001 Dd(,.,:~ ~,r t;i;~E FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 __,..__~_.~._ BALANCE DUE $ 0.00 ; ~ ~ G G F i : ~ i WiSMART code: 7633 cc: STEVE REED . .. , .~; h~[ u., u' +^a~ ~v._n'abe'RY" m....r,:YRR .. ~~w,. ....w...:. ,... 7 ~ w Steve Reed -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (0l /01) _ Pressure Distribution, SBD-10706-P (O1/O1) Location: NE 1/4, NE 1/4,. Sec. 1~,T 29 N, R 17 W Town: Hammond County: St. Croix Date: May 18, 2001 Owner: Steve Reed Address: 1430 Fifth e. Baldwin, I 54002 Plumber: Todd S' z Signature: License # MP 139462 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management R~~:~lVEQ ~QY t ~ zool ~;,;: ;-~ ~ ~ bLDGS. DIV. ~e . t T. , .~ _ ""',~ `,~ F " _ ~~~ ;uL~~~t= page 1 of 8 Design Criteria ~ ~'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank efrluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL l~~ Treated Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform <_ 10,000 cfu/100 mL ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated-high ground water Depth to bedrock Cross slope at system Z Force main length ~ b Manifold header length ~'~ Drain-back 14 ,4 3 Lateral length ~ @ 9 Lateral elevation ~ 9'Y Lateral hole size 3~1 ~ in. @ ~ ° • ° l `~ holes/lateral 3 ~ Lateral volume ~ b•S~b Total lateral discharge rate Z ~ ~ ° ~ Network pressure compensation losses ~' }~~ Elevation difference ~ 4 ~ }~ Friction loss ~ • z Total dynamic head ~ °~ • Z Pump/sipl~an ~ gpm @ 2 ~ _ Manufacturer ~ ~ •~"'~ `~•~- t Dose volume `~ g ~~' ""~ s'"~ 1 `~ ' V ~ Lift/sipi~0n tank w ~, Septic tank ~, ,, Effluent filter ~'•- ~ ' ~ `~ Measurement pump on and off ~'lo Height alarm from tank bottom ~ ~' '~ Reserve capacity ~$~ Design Calculations ~ • 3 ~ gallons/sq. ft. per day ~~ ~ ~ in. ~ 3 ° in specs.calcs ft. of Z' in. ft. of Z- in. gallons ft. of r' ~ z in. ft. @ bottom of lateral in. ( ~• ° ft.) Spacing holes total gallons gallons/minute @ Z•~ ft. head ft. ft. ft. @ Z ~~ gallons/minute ft. ft. of head Model # S 1-4 wC ~ gallons ~ `r" gallons ~ ~~ gallons in. m. gallons Page ~' of ~ "' i ~ N r ~^`t ." scr-t.~: t". d BM 1 p~gptIpt70N i~ o~ ~ gM ~-1~LEVA'!"ION 3 3 SM ~ DEg~ltIP770N 1~elro~•~x~_G_..C.'.~- ALT'!s>~!'lA'!E B1,EVA'ltON_ ~~~ n y(, ~` L "'•M r d." ~ j°•%~ ~4a;s7 ~ 9~. /~ , I1`~ ~` t~ \i ~. .~ I ~, o` 4 sovv: m~ l ~w~ • ~ ~ co...~.,p •, ~~ f X Sec,. ~ ~' s~ x ~~.2t' v oe.~ K~J~ "'! .Z ~.~.rQq + ~ ~ K,~ t \ o tea. ~v`~o .{ ~ / ~ ~;~ ~, \`'~ Y 9 (e' 2" ('~~ c c~, \ S C~te% ` }o~et ww`ti ~O N ~ t~ `~T'~'ti 11 }'e K 13' ei'~~:..~ ~°tR~o~t '~ Newt LT/Utt~vt7 ~-o KcT Q ~-c T o ~ 4 3 c~ ~ l~ _ ,..... _ ~- x- ~ _- ,. -o- ., r , It.~,~~ '' L ,....S~a~ ; ~ ~,vX 3 r oe.k ~ !.~ ~~ t ~ b, ' ~o.0 4.~oovt ~ L ~ '~ `~ ,~~,, g~.5~ / ~o \ 3 a~C <.v . ~ ~ 1 Rti~ ~o ~ o,p t .~ ~ 1 ~iq~o / 1 / Z ~•s' I.i,' x.53 ~ ~ w.~~ ~ e s,.b~o:1 fa~~ ~ 1 ,.,. 3 ,. zs,4;~ ~~ _, ._. ._ .. . ~ g '~~ ~, f' ~~ I~ 1 a r. ~ ~ : d ~.~. ~~~ ~s ' -~ ~ ~. sr ~ •s' ~. 1.tY `~~Sf ~I - ~ q .4' --~c-- r J Zs,~~ ft.c:~ A ~. to1 _I ~4•h' N Q 1 ~} i~ uC SC..`1 ~ V~..r..~~2L r 1 ~LQ1 Mp 'I ~tO `t H~~\S /v', , %/ `A ~'OX .~` i/~~V`~` ~, ~'~i'P v c s ~.L, 40 ~ ~~ .,....11 r ~, , ~~ - So' - s ~, I s J~ I Soy ~ ~ wv``h~.. •11 '^"'/ ~~~a.NC O~ c.ti,~M ~-e Ci M.a.~ q/v~/.~.OC.ss C' \r/1) t.tQ.~}~ ~""/ V~`Vt ~~tL Ot u.:vrt,~Q++V~ h ` ~tP fipl 1 L d C7 `".~ ~~ "` ~ O v. ~ .tea Tv _~ ` ~' ~ ~ -~w~ a~ ~ ~ ~ ~ J~ •--+ _ ,~ ~. ~., __._.__~~w~:....~~.. - _.._..____ .---~--1~ ~. .._.__. . ..................... • I~,~~N WEATHERPROOF LOCKING COVER ~ ,TUNtTtoN ~vA~tt~+ ~ ,c ABED . &nc Q1f1CK CI'~~COV~/GT--~ ..., a e b - , .g'~ ~. _ I 4 , ~~, ~ r7i,7r~n 4m PI P6 3' n () nfDlSTuaBFD SOIL. 24" I.D. ~I ~ 4" 40 M4HU01E .... ~ ' ( VENT ~ g~ ., i~ r • I .~, ~~wuo A 2~ ~ N~ ~„SPA ~ aWrtovcD k S1CET 3b~rr'J -~ ~FLE$ 4 ° V Pt/G 4 ~AL 3~ 0~+T0 •nWECT10NS w~ ~K`~. ~ -~~o ~ON (" GFVU-.c Clev, ~ L:` ~v ;h Ow a. b~b~~ AZh 4~4 •~ ~ °~ . PwlP D ~„ GOA~tRE-tr'c ~w, _ '~ 6~oCK • ~~ •~ 14 •g ~/; ~ ~ SEPTIC f SPEGIFI•GAT _ IOIJS U ~ DO 5 E ~ ~' ' .. ~ w w ~, t TAI,Jr.$ MAUUFACTURCit: S ~• IJUMBER OF OOSES: ~ PEk OAS TAfJK SIZE : ~ ~`~ ~ V~ GALLOI,JS • .DOSC VOLUME ci g ALAIth PlMJUiACTURCR: S S \''~ `t-~r~` IAJCi.UOIAJG DACK/LOW: GALLONS /"IODCL uU/hbfR: •, ° ~ W' ``~ CAPACITIES: A- 1~~ UJCfifS oft ~4 ~S r SWITCH TyPC: ~~„~~~~` "'"O ,ALLO~;s Z 2Q•8 ((~~~~ PUMP MAAIUFACTURCR: ~~C°`"'•'"`^- ~~ 8= IWC-+ES Oa W.t.I.0u5 ~$ ~•~ SHL~'i= ~ ,fir. MODEL iJUMDCR; iUCHESOR L~~~OuS C' ~ ~R~ SWITCH T>;1PC: ~~''"'Y " D~ INCHES OR GALLON~ _ IJOTE: PUMP A1JD ALARM ARC TO 9C MIIJIMUM DISCHARGE RATE Z; ' ~ G//K INSTALLED 01J SEPARI1Tf C~KC~~r~ VERTICAL DIFFERCf,1Cf DETWCCIJ PUMP OF/ AWO OIJTRI~UTIOAf PIPE..14'}S~ FECT + MIuIMUM -UETWORK SUPPLY PREitURE .. ~ ~ ~ ~ ~ ~ ~ ~ ~_ FEET + ~'}'~~ ~- FEET OF FORC[ M/-IN X 1~ F~ I'Z- ~ Z ~~ LOOILFRlCTl01.J FACTOR..~_ FEET "' ~~` G ~~ C TOTAL. Dy1JAMIC NEAP , a'Z' FEET , IfJTEFtAlA1, OIMC1Jb10A1i 0/ TA1JK: LEAIC.TH WIDTH ~2' ; ;LiqulC) DEPTH ' Pa~.~ 6 ~,F ~ ~1 HEAD/CAPACITY CURVE HEAD CAPACITY CURVE ~ ~ EFFLUENT MODELS & 3/4" SOLID PASSING CAPACITY MODEL 42 48 53/55 72 57/59 1 1 76 I 98 139 4140 152 153 _,~ \ l r 1~,~~~e HEAD CAPACITY CURVE SUMP 1 EFFLUENT MODELS 318",112" & 314" SOLIDS PASSING CAPACITY 161 4161 163 4163 165 4165 185 4185 186 4186 188 4188 189 4189 191 Gol. Liters Gal. Liters Gal. Liter Gal. Liles Gal. Lban Cal. Liters Cal. Liters Gal. liters 100 3l9 81 231 81 231 -- -- 56 220 145 549 115 549 IS 170 93 352 81 231 81 231 -- -- 58 220 110 530 110 530 45 170 85 322 fi0 227 6I 23f -- -- 5H 220 134 507 f35 571 45 170 79 29B 59 223 60 2T] -- -- SB 220 128 484 131 49fi 45 170 70 265 57 216 59 223 -- -- SB 220 122 162 125 173 45 170 62 235 55 206 58 220 85 322 58 220 116 439 120 454 45 170 45 170 46 172 55 206 70 285 58 220 104 394 109 413 45 170 20 76 33 125 50 169 51 193 5B 220 90 341 97 387 45 170 -- -- 15 57 39 148 32 121 58 220 ]1 289 BS 322 IS 1]0 - -- -- -- 23 87 9 J4 52 34 51 193 69 281 45 170 -- -- -- -- 10 36 -- -- 15 170 26 108 51 193 45 170 -- -- -- -- -- -- -- -- 31 117 2 8 34 129 45 170 - - -- - -- - -- -- 16 80 -- -- 17 84 40 151 __ __ __ __ __ __ __ __ 4 1S __ __ __ __ JO 111 i __ __ __ __ __ __ __ __ __ __ __ __ __ __ 20 78 __ __ __ __ __ __ __ __ __ __ __ __ __ __ 10 38 58k. (17.1 m) 66k. (20.1 m) 89k. (26.4m) 73k. (22.3m) 114k. (34.7m) 91w (27.7m) ItOk. (33.5m 137k. (41.8m 57,59 A CAUTION Model 185/4185 should not be subjected ,0 20 30 40 50 60 70 60 90 100 110 120 130 140 150 anuoNS - to less than 30 feet TD H. L'7ER~.' ~ g ,69 za9 3z0 ago abo ss6 NOTE: For Head Capacity on Model 112, Industrial column / ZS• IQ FLO Pee MwuT6 ex losion proof pump, see FM0219. 24 22 20 18 ~ 16 14 72 10 8 6 4 2 0 MOD ELS 264 266 2 67 268 270/4270 ___- HEAD CAPACITY CURVE Feet Meters Go.. Liters Gel. Liter= Ga. Liter= Ga. Liters Gel. Li,ers ~ 5 1.5 90 341 128 484 128 484 128 484 132 500 10 3.0 fi0 22] 89 337 89 337 89 33] 101 382 SEWAGE MODELS gc 15 4.fi 22.5 85 50 189 50 189 50 189 ]] 29, 20 6.1 - - 10 38 10 38 10 38 56 2,2 2" SOLIDS PASSING CAPACITY 75 25 7.6 - - - - - - - - 29 110 70 Lock Valve: 18 Ft (5.5 m) 21.5 Ft (6.6 m) 21.5 FI (6.6 m) 21.5 FI (6.6 m) - 29 Ft (8.8 m) 65 - 60 MODELS 282/4282 284/4284 292/4292 293/4293 294/4294 295/4295 55 Feel Meters Gal. Liters Gol. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters 5 1.5 127 481 179 - 678 140 530 - - 196 742 214 810 50 3 0 96 363 ]57 94 124 469 181 685 199 753 10 15 . 4.6 64 242 133 5 503 108 409 - 118 - 447 165 625 184 696 45 20 6.1 34 129 106 401 91 344 108 409 150 568 168 636 40 25 7 6 6 23 73 276 75 284 96 363 136 515 154 583 35 30 . 9.1 - - 42 159 56 212 82 310 127 458 140 530 35 10.7 - - - - 33 125 65 246 708 409 128 483 30 25 29,, 4_93 40 50 12.2 15.2 - - - - - - - - 10 - 38 - 48 - 182 - 94 58 356 220 115 89 435 337 282, 42 82 270, 60 18.3 - - - - - - - - 13 49 59 223 20 15 4270 - 70 21.3 Lock Valve: - - 26 Fl (7.9 m) - - 35 Ft (10.7 m) - - 42 Ft (12.8 m) - - 50 Ft (15.2 m) - - 62 Ft (18.9 m) 23 87 75 Fl (22.9 m) 70 aoeaoan 5 266, 267, 268 292, 284, 294, 295, 4292 4 284 4294 4295 A CAUTION Model 293/4293 should not be nLLONs ,o zo 3o no sc fio 7o go so 10o no 1zo 130 lac 1so 16o no ,gc ,9o zoo z1c zzo z3o subjected to less than 15 feet TDH. w c uTERS ~~-~~~ ~-~- 0 80 160 240 320 400 480 560 640 720 800 meeor FLOW PER MINUTE © Copyright 2001 Zoeller Co. All rights reserved. 5 I EASY DO'S & DON'T'S FOR INSTALLING A SUMP PUMP _ DO read thoroughly all installation material provided with the pump. , DO inspect pump for any visible damage caused by shipping. Contact dealer if pump appears to be damaged. DO clean all debris from the sump. Be sure that the pump will have a hard, flat surface beneath it. DO NOT install on sand, gravel or dirt. DO be sure that the sump is large enough to allow proper clearance for the level control switch(es) to operate properly. F B f H dl' 7. 8. 9. 10. 11. 12. 13. DO Always Disconnect Pump rom Power Source a ore an mg. DO always connect to a separately protected and properly grounded circuit. SSPMA DO NOT ever cut, splice, or damage power cord (Only splice in a watertight junction box). MEMBER DO NOT carry or lift pump by its power cord. DO NOT use an extension cord with a sump pump. suMV DO install a check valve and a union in the discharge line. nNO sewace DO NOT use a discharge pipe smaller than the pump discharge. auMaMFRS.nssN. DO NOT use a sump pump as a trench or excavation pump, or for pumping sewage, gasoline, or other hazardous liquids. YOUR ASSURANCE DO test pump immediately after installation to be sure that the system is working properly. OF QUALITY DO cover sump with an adequate sump cover. DO review all applicable local and national codes and verify that the installation conforms to each of them. DO consult manufacturer for clarifications or questions. DO consider a Two Pump System with an alarm (Page 5) where an installation may become overloaded or primary pump failure would result in property damages. DO consider a D.C. Backup System (See the Basement Sentry page 5) where a sump or dewatering pump is necessary for the prevention of property damages from flooding due to A.C. Power disruptions, mechanical or electrical problems or system overloading. Service Checklist ® A WARNING ELECTRICAL PRECAUTIONS- Before servicing a pump, always shut off the main power breaker and then unplug the pump -making sure you are not standing in water and wearing insulated protective sole shoes. Under flooded conditions, contact your local electric company or a qualified licensed electrician for disconnecting electrical service prior to pump removal. A WARNING Submersible pumps contain oils which becomes pressurized and hot under operating conditions -allow 2Yz hours after disconnecting before attem~ting service. CONDITION COMMON CAUSES A. Pump will not start or run. Check fuse, low voltage, overload open, open or incorrectwiring, open switch, impeller or seal bound mechanicatly, defective capacitor or relay when used, motor or wiring shorted. Float assembly held down. Switch defective, damaged, or out of adjustment. ~, B. Motoroverheats andtripsoverload Incorrect voltage, negative head (discharge open lowerthan normal) impellerorseal bound mechanically, defective or blows fuse. capacitor or relay, motor shorted. C. Pump starts and stops too often. Float tight on rod, check valve stuck or none installed in long distance line, overload open, level switch(s) defective, sump pit too small. D. Pump will not shut off. Debrisunderfloatassembly,floatorfloatrodboundbypitsidesorother,switchdefective,damagedoroutofadjustment. E. Pump operates but delivers little or Check strainer housing, discharge pipe, or if check valve is used vent hole must be clear. Discharge head ex- no water. ceeds pump capacity. Low or incorrect voltage. Incorrect motor rotation. Capacitor defective. Incoming water containing air or causing air to enter pumping chamber. F. Drop in head and/or capacity after Increased pipe friction, clogged line oi• check valve. Abrasive material and adverse chemicals could possibly a period of use. deteriorate impeller and pump housing. Check line. Remove base and inspect. If the above checklist does not uncover the problem, consult the factory - Do not attempt to service or otherwise disassemble pump. Service must be by Zoeller Authorized Service Stations. Limited Warranty Zoeller Pump Company warrants, to the purchaser and subsequent owner during the warranty period, every new Zoeller Pump Company product to be free from defects in material and workmanship under normal use and service, when properly installed, used and maintained, for 1) Standard Warranty - a period of one year from date of installation or 18 months from date of warranty is in lieu of all other warranties expressed or implied; and we do not authorize any representative or other person to assume for us any other liability in connection with our products. Contact Zoeller Pump Company, 3649 Cane Run Road, Louisville, Kentucky 40211-1961, Attention: Customer Service Department to obtain any needed repair or replacement of part(s) or additional manufacturer, whichever comes first OR 2) Optional Three (3) Year Warranty - a period of three information pertaining to our warranty. (3) years from date of installation or 42 months from date of manufacturer whichever comes first. Parts thatfail,(withinstandardorthree(3)yearoptionalwarranty)thatinspectionsdetermineto ZOELLER PUMP COMPANY EXPRESSLY DISCLAIMS LIABILITY FOR SPECIAL, be defective in material or workmanship, will be repaired, replaced or remanufactured at Zoeller CONSEQUENTIAL OR INCIDENTAL DAMAGES OR BREACH OF EXPRESSED OR IMPLIED Pump Company's" option, provided however, that by so doing we will not be obligated to replace WARRANTY; AND ANY IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE an entire assembly, the entire mechanism or the complete unit. No allowance will be made for AND OF MERCHANTABILITY SHALL BE LIMITED TO THE DURATION OF THE EXPRESSED shipping charges, damages, labor or other charges that may occur due to product failure, repair WARRANTY. or replacement. This warranty does not apply to any material that has been disassembled without prior approval of Zoeller Pump Company, subjected to misuse, misapplication, neglect, alteration, accident or act of God; that has not been installed, operated or maintained in accordance with Zoeller Pump Company installation instructions; that has been exposed to but not limited to the following: sand, gravel, cement, mud, tar, hydrocarbons or hydrocarbon derivatives (oil, gasoline, solvents, etc), wash towels or feminine sanitary products, etc. or other abrasive or corrosive substances. This Some states do not allow limitations on the duration of an implied warranty, so the above limitation may not apply to you. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. This warranty gives you specif c legal rights and you may also have other rights which vary from state to state. © Copyright 2001 Zoeller Co. All rights reserved. • ~. .. r Deerri~ Characteristics /nleeer help ._.. feluer~h N~ seullalAl fH~11M9 r Aeiorenk Alai~b SMMIOA2 SIFFFADAi Nes Ynr 110 FtY Iwid 19 i! Abter Siieiil hle 4 A.~.~. Issa rluw 1!1 veh 11S flip ibrre ~ T e 120' F Alec, iMii{ NiAIA A haed~rlee Qew A Stre 11 NI'T SeAds S 4• 2i lie. new« Cnd ups, smw 94' alt t~0' eltfe.ep Materia#s of Consh'y~lF~on Sial~ ~ ~/ sKws sedreee saes ~, I Igirwr~ t~e.~* I ., I~ HYDROMaTIC ~' .e 1910 eaney Road lshlond, 06io 4~o0S Td: X19.29!•9042 pax: 419.2E1•~a67 yye6 Site: Mww.peeMlrpunp.saA SHIES OIpI~ES IN All AIAlOA Qfi1S AND WIArIRiL3 Refer fo "pumps' in do yelow pales of you phase dUectory for your luol Olarlbuioi performance Do+a to 34 ~ 20 10 ,~~s2 ~~~ ~ ~ 30 ~a 3o ao ~o GPM Tr1p1 N tfist) 1 a 1 I 17 Z i 9ts 4t 30 ,~ m 4. 6.1 3 .7 tU! } 70 60 SO 40 30 90 10 0 Di i~~i SWROM l . A11 dfnNaians to Indies. tNehk ~Or inferrlptioool iae). 2. Cooipooeid dleieirsfons maY ruty t 1(3 inch. 9. Nol (er consiredbe purpose unless cerflAed. sioAS and rrei9hts ere fe. 5. WI r the r 1 to dale ~ rerisioas pro0rd and lhek ' spedflmtioAS f police. -Your Authorisod metal Distrib~ror - ~~~ 8 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 Dunn County Zoning Office, 715-232-1401, 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 [nstall 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. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. S. 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. l 1. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for 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 SOIL EVALUATION REPORT Pace ~ ~ 3 1,SIn Dep'aM,er-t of COmmer'Ce O'nrision of Safely and Buildings ~ ~ ~ with Comm 85, Vlfis. Adm. Code county S~ . ~ ro i u Atlb~h cbmpiete site plan on Paper not less than S x 11 inches in size. Plan-must indude, but not limited to: vertical arxt hor¢orrtal oe point (BM), d'lreption and Parcel I.D. percent slope. scale or dimensions. nortt- , `bc~f;or- and distance do nearest road. Date P/@aS~ Qfliflr a~~f ,• !, af~0/1. _ ~ ~ Personal information you provide may be used fob sc~d~Pu~~ (P~+aoY law, s. 15.04 (1) (m)). ~Z Property Ouvner n Property Locatwr- S{2ve R e~ Govt Lot N E 1/4 N L 114 S f f~ T zQ N R L~ E (~~ Property Owners Maifing Address `L e ' ;; ` ; ' . ' Lot # Block # Subd. P ~CCS~ ~~ o ~ u e. Z 1' State ~ Code Phone Number ^ City ^ ~~ [$Tovm Nearest Road t.A.., ~ ~., .,, ~ ~~,~,.~ ~ r-,i~f t„~y_U~33 _ l~t.wl.mor`c4 C'~ Qc~ T New Construction Use: (~ Residential / Number of bedrooms 3=~/ - Code derived design fkriv rate _y50 ~(o GO~ GPD .[].Replacement / ^ Public or eorrarreraal -Describe: ~/ ~ j Parent material 7'r ~~ Food Plain elevation if applicable General oommerrts S ys,~ twt 2 l C U• 9 9 ~~ ~~ and n3oommendations: ~o~ ~ e1tU- 9~ Sd Z `~ ~ in. Ground surface ekr. ~~~-5- Depth to lanidrfg factor ~'g # ®~ Soil Rate sistence C Boundary Roots GP D/P!= Horizon Depth in Dominant Color Mansell Redox Desaiption Qu. Sz. Cont Cobr Texture Struchire Gr. Sz. Sh. on ~~ ~~ I . d-12 Ib r313 '- 5~ 2 bk ~r LS 1 v~ . 5 5 • $ 8 Z 12 -2~( I y 14 J- S i t Z k m ~~ c - - • . ( 3 24-30 ~ ~~ to C2P 1.5 ~ Sic_.1 Z,-,~gblC rn-Fr -- . y o , r-'1 f"l l3orina „ _ t3on~ ~ ~ Pit Ground surface. env. q ~ X00_ ft Depth b Irtniting factor GU in. . Soft Rate Horizon ~ Z Depth in. b -tb -p -26 Dominant Cob Mansell ~ b 13 p y Redox Description t1u. Sz. Cont Cabr ~ -- Texture 5, I S,r 1 Structure Gr. Sz Sh. 2 n~nbk 2mabk Corrs~erioe rr,~" r~r Boundary c ~ S Roots l v~ - GP 'Efflfl . 5 • 5 D/ff *Ett#2 . S ~ ~ 20-Z`l ~ yl P~.S V~ 5; ~J 2-~bk rr~r ~-( * Eit~nt #'I = BOD > 30 < 720 ~- and TSS >30 <_ 150 mgA. * Effluent #2 = BODS <_ 30 mg/L and TSS _< 30 mglL CST Name (Please Print) ignature CST Number Z ~7 A~tess Date Evaluation acted TelePtione Number - ,. - -- Properly owner ~ e ~ f""-t f-l amino Parcel iD # sr ~ 2 ~- 3~--~--... U eon ~ Q' Pit Grourxi surface eMev. q~ . qo ft. ~ ~ r " in. hoots s B ~ GPDlili Horizon Depth in Dominant Munsetl Redact Oesrxiption Qu. Sz. Copt Color Te~dure Strucdue thr. Sz Sh. Cis outx ary 'EtfaK1 'Eff#2 ~ 2 . ~-~ $- i g ID r3f3 ! ~- - Si I Si 1 Zn-,abk Z.rY,abk- m~~' nn ~~ c.S c s (.r.~ - . 5 . 5 . 8 $ ^ Pit Ground surface elev. ft ~P~ ~ 9 factor m. Sod Rate O~# U Horizon Depth Dominant Redox Desn Texdee Strudune CorrsiMenoe Boundary RoaFs GPD/fF in. MunseN tlu. Sz. Cont. Color Gr. Sz. Sh. "Eit#1 'Eff#2 ~9 # ^ Pit Ground surface elev. R Depth b limi4ng fscxor in. ~ licafion Rate U ~~ Horuon Dominant {fox Damon Texture Strut~rxe Cence Boundary Roots GPD/f~ in. Munsdl flu. Sz. Cord. Color Gr. Sz. Sh. 'Eff~'! "EtT#2 • EfAuetrt #'I =BODE > 30 < 220 mglL and TSS >30 <_ 150 mglL ` Etfluant #2 = BODE < 30 mgA-and TSS <_ 30 mgll- The Department of Commence is an equal opportunity service provider and employer. If you treed assistance to access services or need material in an alternate format, Please contact the departrnent at 608-266-3151 or TTY 60&264-8777. seu-as3o tte.o~ao~ ., PAGE -3 OF 3 NAME R G c d. LOT# Z LEGAL DESCRiPT10N ar: '/< n+E'/4 S /~ T 29 N R t 7 E (or) ~ SCALE: 1"= yG X ~BM 1 ELEVATION /G~0 • d BM 1 DESCRIPTION fop c ~' 3/y f'o~Q~ r A_0? ~BM 2 ELEVATION G]~ 3 ~ S~c• b BM 2 DESCRIPTION 7~aP o ~ .3/y ~, ~ OQP Pr p •0? _ SYSTEM ELEVATION ~ 9 Od ALTERNATE ELEVATION ~ ~' CONTOUR ELEVATION 9 7. Sd ~~~ 3-~S Owner/Buyer Mailing Address Property Address 1~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT .-AND (OWNERSHIP CERTIFICATION FORM V1PP th AU T W ~ S X00 a O (Verification required from Planning Department for new Ci /State T~0.~rr1~0~, ~-~ Parcel Identification Number ~)R 1033-gQ~-~-~ ty o I g-Jo3~-ao-goo TJEGAL DESCRIPTION *, q E ' J ~`~ '/., Sec. ~ ~ , T a 1 N-R~w, Town of h'~0 Property Location /~, Lot # Subdivision a~ ~ ,Volume ~ ~ _~ Page # ~ ~_ Certified Survey Map # Warranty Deed # Spec house ^ yes' no Volume ,Page # Lot lines identifiable ~l yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof you septic system could result in its premature failure to handle~waastou Put int the system consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumpe • y P can affect 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 mastorplumber, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of WisconsO ff~ ~ 3~ stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three year expiration date. S` is i~ /~r~ DATE SIGNATURE OF APPLICANT OWNER CERTIhICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. / d /~ .~.~.~. ~~--~i~ ~ DATE SIGNATURE OF AP LICANT Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** •*s**« ** include with th[s application: 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 ., .MPacar~inDepartmantofCommerce SOlL EVALUATfON REPORT ''Division of 88ftity and BuiEdings in aucardar.ce with Camm Q5, Wis. Adm. Code County s Attach complete sit® plan an paper nat Lass than 8 t!2 x 11 inches in size. Plan must irtciude, but riot limited to: vertica; and horizon#al rofBrence point (BM), dir®ction and pa, r i ,p. percent slop®, scale or dimensions, northprrt5sa, ~~ Ip r And distance to nearest ro8d. if~.-~..-~ . i Reviewed by Please p~'i~rt Ali InformaU~ ~ P®rbonai intormation you provide rnay'ba for ~p~ory,,pplposea~ryu~y Law, s. 15.04 (4! (m}}, Page _! of 3 d ~~ Date Prop~ry Owner ~.• ~ ~ ~-~s> Property Location I ' a ~rJ a.d fie- -•- , ±^ ~• n '~ QQ ~~.__ ~ Govt. Lot ~' 1t4,{/~ i/4 8 /G T 'l `~ N R / ~ E ;.or~ Property Owner's Meiling Address , ,:. " "' ST ~ciOiX t' ;~ J ~ ~ ` " Lot # 8locic # 5uixi. Name or CSM# .~ E S?'n •: ~... -outv'~ ! ST" /o !/ 110 ~ a ,4~u~r ~! V ll rty tale p e r~ City Village Town Nearest Road i • ,; ~~ j_~!a3ris~/o.ud iw~ !~''~c~/..S'' (~~5~?4~`GC-`Ss ~/D ~ ~~/~m,,,ud I CfHw7 Qgj, !vew Construction Use: ~ Residential 1 Number oi~oedrooms 3 /y Code derived design fix rate , ~~' SD ~P10 GPD ^ Rep!2cemeni [~ Public or comrttarCial -Describe: Partnt materia# ~ ~// Flood Plain eteva~.iort if applicable ¢• t3eneral asmrnents and rexrmrnendationa~ ~ o,~ fad. v - ~~-e v ~~• 7S i I e...:.,n ~ .. Boring r.~ ~•.~ IL..._-_..~ - ~ ~ Pit Ground surface 9t®v o ro . ~.~ ft. Depth to itm~nng lector ~_~...__ sn. tion Texture Siruoture CorsistenCB Boundary Roots Descri i C l d D R $oil A icatior•, Rata P !f~ ~ Harizcn l peptn tn. or r;ant o om lvtunseil p e ox Du. Sz. Gont. Color Gr. Sz. Sh. ~ "Eff#1 'Eff#2 3 ' a9- ~ ~. s .~ ~' ~ ~ s 3 sl s ,~ s I i _ ~ i I ! i ''"--' ^ Boring rJ , Bering ~ rr•a 04' Qn _:.,,._ :_...... 2/_ ~., _ f ~y -~c v~uu~ ~u sw pow v~v.. u ..,r ,.. ~or•, • ••• •,........v .__._ - dox Descxiptian Texture $tructur~t Consiatertce r R tCnl th O i ' Bautt~ary Roots Solt ~IC GP BLiQn rca[@ D/fl' HoriLDn ; , ~ Dep in. ~ om nart o Mansell e Qu. St. Cont. Color Gr, 3z. Sh. ! "Eff#t 'Eff#~ 2 -.3G /4Y Sl ~ s - ~ 's ~ ~ ~ ~ 3 6-sa . s y ~.~ .s s' st sb ~,. s ~ ~ ~- ~~ I z ~ ~ ~ 'Effluent N1 = BOD, > 3t } < 220 mglL and TS$ >3t} < 1 5tl mglL ' Eftiuent ~2 • BODE < 30 mg/L and TSS ~ 30 mglL - CgT Number GST Name (Pleads PrinYl Signawre ~%~sr~'- Cu,`ll,~~sn sc`ic.~ ~ ~G~ v ~a~QQd Address Dats Eva;uation Conducted Telephone plumber 1~~~ s ~ o ~ ~~./ ~~. ~so.v ~~ , ` ~~61c 9/l~/oD _._ ~~ 5 - ~~6 -.~~z1,.~J .., Progeny Av~r~~er O.,r/~e- Percei fD # ~~ ~ Borng 3 f3ori~}g # ~--- ' ^ Pit Ground su-facsalev. Q~• d J ti. Depth to iimit'~ng faCaor 3~0 !n Papa ,_,~,__ or ~ „~ Sol~oati::,atior: Rate :: Harizar: Depth gyn. f]orninant Cotor A~Sun~i1 ~ t~edox iJes~ipt+on Qu. Sz. Cant Color 4 Texture StrucWre ~ Consistence Gr. Sz. Spy, ; Esoundary Raets ~,~,,,GPGIfR ____ti ~ •frff#~ ~~ '(.,_,~ j 2 ~ D~ ~.r.~~ ,S .~ 2 ~ , z ~ /~' y Sri ~~na~~ ( Y ~ ~ ~' C $ r ~ . ~ ~ 1 3G _s 7~5- ~'v ~ a F ~S 3 S sb F ' S ,~ ( ~ i ~~ E~ofing;'! ~ Boring ~____~ C] pit Grcunt5 surface eieti, ft. Depth tc (uniting factor in. ,----- ---~-~-`--""' ! Scnl Anriii;attar~ Rate i F{o:;4or, Depth Dominant Coior Redox Descr,ptlon , Texture ~ Structure Consistence Boundary ::too',s ~ GPD'ff ( ( in, Sz Cont. Coior fufGnseN ~ Qu i ~ ~, G*, 8z~ Sh. ~ "tff#t ~ 'Ef=#2 ~~ ~ ~ ~~ ~ i ~ I ~ i ~ w l ~ I ~~ ~ ( y t i ~ ( j ~ i t ~ { r ~ ~ 1 ~ ^ boring Bvring # Gr~unC surr`aCe 8lev it. Dean to Netting i'~.or gyn. _._...~... M----^---~ J Pit ~a Aoo(icati~an Ra,e ,~ a.rizor; i Depth Dominan±Coior Radox Gescruption Texture i Structure Consistenc,2 ! f3ounclary Roota Palrt:--, ~ i in. MunBeall flu, Sz. Cont. Color Gr. Sz. Sh. `Eff#7 'Eff#2 ~ I .. .. ,. I 4 ....~..-.~,.~ i ~ I 3 ~ ~ I ~ i ~~~~ ( i ~ ~ i + ± ~ ~ i ~ ( 1 i ' ( • Effuent #~ = BOisE > 30 ~ 224 mglL ana T3S -3t? ~ t 54 mgrt. 'Effluent #2 ~ BODa c 3tl mg/L and T$S < 3d mgiL ":'he G~epartrnen;: at~~ommerce is are equal opportiun;ty ser:icr proc~idre and errp;oy:r. if yoe: Hare assistance tc access ser~;ces :~r need material ;r. an alternate fonn$t, pleast contact the deFartm~.nt 3t 605-266-3151 or TTY dr38-264-8;?7. ~r~rs,~t; ~? cn;t;~: ,. ,~~. ~ $ 3 i ~ o~ G'a,{/7yu Y ga c 7.J s 8/ ig~ ~~ ~ "~oTi~•;d~e D/~ , o a 1Dd, S7o,~b ~ /-~DU ~ ~•t~fi S V ~`l 3 J - T Wisccm~Departmept of Commerce '~R~f ;~~ I ND SITE EVALUATION Page 1 of 3 ~,'ivision of.S~ty and Buildings `~h"~Iith Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must Count y include, but not limited to: vertical and horizontal referepce-~nt~(BM), direction and St. Croix ercent slo e scale or dimemsions north row at5~ Igc arest road tip i ' t e t p p , ,. . , ar ~ ry an anc o ne ~ - ; ; , ~ APPLICANT INFORMATION - Please~print ll info '~~ t' a~3 arcel LD.# Personal information ou rovide ma be used for seconds ut 7oq ~a ' cy ~ ~ O ( )). ,( y p y ~p $96 nva L yv!s. 5.04 1 m ~~ Reviewed B Date Y . Property Owner ~ Bonte, Ron °~ `~L~~ ? °. ~~ ` , perty Locate NE 1/4 NE 1/4 16 29 17 W ~o t. Lot S T N,R Property Owner's Mailing Address ..`r'~ ' 1. # Block # Subd. Name or CSM# 1011 170th St. ~ , ,-.;,~N~ 2 CSM Pending City State Zi Code P~~ftl er~ ~:,,=° d 5 1 `~ City Village ®Town Nearest Road d CTHW T ~ Hammon WI 5 71 796-52. 0 ammon ~ Residerittal-~~ ~ edrooms 3 ^Addition to existing building New Construction Use: ^' Replacement ~ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/ftz •6 trench, gpolftz Absorption area required 900 bed, ftz 750 trench, ftz Maximum design loading rate •5 bed, gpd/ftz •6 trench, gpd/ftz Recommended infiltration surface elevation(s) 93.9 ft (as referred to site plan benchmar Additional design /site considerations install 4' x 95' rock bed mound on 92.9 contour as upslope edge of rock w/ 1' sand fill Parent material till Flood lain elevation, if a licable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ ®U ®S ^ U ^ S ®U ^ S ®U ^ S ®U ^~ S ~ U •7VIL UCJVRIr 1 IVIY RCrVR 1 Boring# l Ground elev 92.9 ft Depth to limiting factor 28" -~ Ground elev 92.9 ft Depth to limiting factor 31" Horizon Depth Dominant Color Mottles Texture Structure Consistenc Bounda Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ~ Trench 1 0-4 7.SYR 3/2 - sl 2 m gr ds cs if/m .5 .6 2 4-12 7.SYR 3!2 - sl 2 f-m sbk dsh cs if .5 .6 3 12-20 lOYR 4/4 - sl 2 m sbk mfr gs if .5 .6 4 20-28 7.SYR 4/4 - s1 2 m sbk mvfr cs if .5 .6 5 28-36 7.SYR 4/4 flf 7.SYR 4/6,5/3 sl 2 m sbk mvfr cs - .5 .6 6 36-60 7.SYR 4/4 f2p 7.SYR 5/8,5/3 sl 0 m mfr - - .3 .4 Remarks: 1 0-4 7.SYR 3/2 - sl 2 m gr ds cs 1f/m .5 .6 2 4-11 Z.SYR 3/2 - sl 2 f sbk dsh cs if .5 .6 3 11-19 l OYR 4/4 - sl 2 m sbk mfr gs 1 f .5 .6 4 19-31 7.SYR4/4 - sl 1 m sbk mfr cs if .4 .5 5 31-41 7.SYR 4/4 flp lOYR 6/2 sl 1 m sbk mfr cs - .4 .5 6 41-68 7.SYR 4/4 flp lOYr 6/2 sl 0 m mfr - - .3 .4 Remarks: ~ST Name (Please Print) Signature: - Telephone No. Henry F. Grote ~ 713-233-0398 4ddress ertt to of estmg D to CST Number Ref # E. 4366 353rd Ave., Menomonie, WI 54751 56/2000 222774 1108 PROPERTY OWNER: Bonte, Ron P SOIL DESCRIPTION REPORT ~ ~rrt>~ pale 2 3 CoKified Soil ing ARCEL LD .# ' Horizon Depth i Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPDIftZ Bed Trench n ; 1 0-4 7.SYR 3/2 - sI 2 m gr ds cs 1f/m .5 .6 ~ 2 4-11 7.SYR 3/2 - sl 2 f sbk dsh cs if .5 .6 Ground 3 11-25 lOYR 4/4 - sl 2 m sbk mfr cs if .5 .6 elev 91.8 ft 4 25-32 lOYR 4/4 flf 7.SYR 4/6,5/3 sl 2 m sbk mfr cs if .5 .6 Depth to i 5 32-69 7.SYR 4/4 f2d 7.SYR 5/8,5/3 sl 0 m mfr - - .3 .4 ng limit factor 25' Remarks: Ground elev Depth to limiting factor Ground elev Depth to limiting factor Ground elev Depth to limiting factor .~, o .f ~ f `' r d t ~ ~ r `J s I c~ 3 ~ ° G ~ 3 ~ cr a .~ ~ ~ ~_ N' ty ~ ~ o ~ ~ ~~ o u J 7 d G fl `.ice d ~~~/~ Cj: 0 ~b t ~~ f, J ~' ~3 ~~u 0 ~i ~, ~ 3 a 0 i ~ ~~ r ~ 7 e ~ ,~ f-s .~ J i f 0 6 `~ 1 9 J Y .i .~ f -~ J~ 1 r MJ l~' 4 ~~ a ~, ~ M i^ ~~ M ,.. o ~ ,,~ d~ c ~~ De ~ % Cr, ~ ~ ~ ~dJ N u ~ ~ ~ od ~ 3 ~ ~~ tb o -~ ~ ~ ~ ~n ~ .~ ~ ..i ~ ~ t ~ 0 ~ ~ ~~./1 ..~ ~ ~ ..-1 d d ~ t d ~ e~ 7 Q 9 '_ s ~ ~ ~ ~~ 0 (/~v ~' ~+ . ~ va!.1 ~~~ PAGE Q~ STATE BAR OF WISCONSIN FORM 1 - 1998 ~. WARRANTY DEED Document Number This Deed, made between Ronald C . Bonte and Glenn Knudtson i4 G . Reed _ Grantor, i, ''. and S P_VP_n ~an~ Fri cka M Reed.; husband and Wi f _ as ~ ~rvi vc~rchi n mari ta, 1 p rn= Pri-T!` Grantee. s~ Grantor, for a valuable consideration, conveys to Grantee the following ', '.i described real estate in St Cr-L11X County, State of Wisconsin IEi~'~'`'~'9~ itif` i~LE'E;~f N. ~J~L.aH k~F~!;:[STEM OF' DEEDS ,s t .. L,riCii'~, GCI. s WL RECEIVED FOR SdECORD b8-G8-ROQG 9:34 A~ WARRAhl3Y IIEEU ~XG~~T !~ CER1 COP`f FEE: CtiF''f FEE: TF;A»SFER FEt: 15o,4Q FiEI:;IftDlP~ii FEE: f4. Qt? ?AGES ~ i '; ', ',~ (ihe Property'): Recording Area ~. _ _. _. _ ~ _ _ m: -_ _ _ _.. _ Name and Return Address ;' Lot of Certified Survey Map recorded in ' '' Volume 14, Page 3911, Document #527100, all in Section 16, T29N, R17W, Town of Hammon , St. Croix County, Wisconsin. '; ;! TOGETHER WITH the right of ingress and egress :1 over the North 66 feet of_ Lot 3 of said l Certified Survey Map. EC ~~. +: __-- -~ l ~I ~I ~f i i4 Together with all appurtenant rights, title and interests. First National Bank-Baldwin 990 Main Street Baldwin, WI 54002 018-1033-80~ad© 018-1034-Op=lov `~' Parcel Identification Number (PIN) ~: This ~~ homestead property. i (is) (is not) i~ ~; ~3 iii i~ I: 3 Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Easements, licenses, zoning ordinances, and restrictions of record ' Dated this ~~'r~~ day of August 2000 `~ X ~ ~ L- (SEAL) ~ (SEAL) Ronald C_ Ronte Glenn Knudtson * AUTHENTICATION Signature (s) authenticated this day of (SEAL) '' TITLE: MEMBER STATE BAR OF WISCONSIN * State of Wisconsin, ACKNOWLEDGMENT St. Croix SS County. (SEAL} Personally came before me this day of Augu S t 2 0 0 0 ,the above named G1 c~nn A Kriutl.tsrari Ronald ~, Rnnte to s ~(s•Q~\5 o~Gp.. ,, ~Gl Sv- ~a v L nx- 3 (, 5 vn l ~l (3 `~ l l CER T 1 F 1 ED SURVEY MAP L OCA TEp 1 N THE NE I i4 OF THE NE / i4 AND / NCL UD I NG LOT I OF A CERT 1 F 1 ED SURVEY MAP RECORDED 1 N VOLUME 6, PAGE J T 14, ALL ! N SECT ! ON ~ T. 29N. , R. 17'W. , TOWN OF HAA~IOND, ST. CR01 X COUNTY, W 1 SCONS 1 N PREPARED FOR: RON BONTE ~ ~„/•- NORTHEAST CORNER • SECT 10N /6 -FOUND :nm ! i ALUMINUM CAPPED MONUMENT :cnp I ,A I o :3:Z •UNPL AT TED LANDS rn ~ w ;~ I • VOL': '1'529; "PG. 2T I -' cn 66' WIDE ACCESS F.ASEMF.NT $ I ~ l N90°00' 00"E) , I ~ m~ S8T°43' 08"f 1329. 38' I o' 829, 23~ 66. 08 r"+ww'..+.. `~~~ ~ ._._4.54~20~J48.84' cn a o7y~+~~/~ 5~. 15' (50.;06') up' o~yi '' ~ I O ~ ~ cn I p ° : C7 $ ; y ~n ° ~ p~,;'LOT 3 ~ ~ A ~ ~• r ° ^i • I" ~ ` r T ~ ~ ' 6. 35 ACRES ~ a,~ a ~I rn m : 2 n ~ "~'-'"~ - 2T6 T4 / S0. FT:~ ~I m ~~ .= a ~ : ~ -f o : m 15. 65 ACRES + w ~ 5. T2 AcRE S Exc.: RiW •• ~, ~ ~ n m N : ~ 681, T56 S0. FT. ~ ~ 249, 14T S0. FT. a wl _ .a m : y 'r' ao `m ~ ~ 500.OU' :nZi ro N) ~~ m :4 : O v m FOf/ND 1 " 1 RON PIPE ~~ ° 445.95 100' ~ ; ]~ yN8 Og IT W :~ (n a, „~ S52°08` 25"E 0.37 O (N89°3T' 51'E) 62T. 60 ; ~j FROM SET IRON w O 50' ~ ~ ~ .,, o - w w . UNP~. A,T TEQ I i 5°•' ~, LANDS ~ SOUTH LINE OF THE NE-NEB ~ ••~••••••~•~ rn m EAST QUARTER CORNER N88 ° pg' p4' W TOO, 28' - - - _ _ .~ ,-~ cwn ~ SECTION 16 -FOUND ALUMINUM CAPPED MONUMENT i ~~` ~ APPROX. 10' S. , ~ UNPLATTED LANDS OF Fil E. AND ~ ~ .................... .........._ 1' W. OF Fil S. ~ APPROVED sr. cRO-x Coun,TY Planning Zoning and P~r-cs Committee ~ JUI. 2 6 2000 LEGEND If not rawrded within 30 days of approval data approval shall be • = FOUND 1 " 1 RON P 1 PE null and void 0 - SET 1 "X24" IRON PIPE WEIGHING l . 13 L BS. PER LINEAR f OOT ( ) RECORD DATA 0 ~ EXISTING BUILDING ~ "IAM v'~ ~ WEBER • ~ BEARINGS REFERENCED TO THE EAST 831804 1 NEB ~OF^THE NE I i4, SECT ION 16. i VALLEY. - /* peparfinent of Gorrlrnerce gugdinps Division GEN~NAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) °5'~`yCroix prtyy~y,P~~mit No.: t S 44LL ss ao 10 No.: t P ta e 6 3 32 ~Tvllln~. • i o'~ arce Tax No.: 018-1033-80-100 •persor-.al iltfor+lnation you provice maybe used for secondary purposes (Privacy . s.t6.04 (1xm)). ~+~~' s Name: ~~ ~8 ~! al~l0 fJ ~fiwliship T 8M E v.: , Insp. BM E ev.: ~ BM Oeuription: ~ ~ • 33 ~ 4.3 c s-t- ,~~ z... TANK fNFORMATION TYPE MANUFACTURER CAPACITY Septic ~i ~ ~ I~ Dosing r (1'9 ~,~-~--l~O . Aeration Holding TANK SETBACK INFORMATION a TANK TO P / L WELL tiLOG. vent to Air Mtake ROAD Septic > (aft ,~ 3~ t NA Dosing lloo r ~ ` „~~ NA Aeration ' ~ NA Holding PUMP /'3((HON INFORMATION Manufacturer ~eQ~,@~ Demand S ~p Model Number ~k SZ- o1S•~GPM '~ TDH Lift I~s~ Friction~~ 5 temZ~p TOH ~~~ t ~ ~"~~ Forcemain Length 2~ Dia. -Z,~' oist.Towelt ~r-u w DCADDTIAI\I CVCTCI-ll 1. ~.Y ~ \• ) U \ M \R ELEVATIDN DAt A '~` - - ' STATION BS HI FS ELEV. Benchmark', 2, ~ 5 , ~ ~ It. BM ~ , 60 0 ~ ~ r Bldg. Sewer a Il• ~0 2 , o St/ Ht Inlet ~ 13 ~Za ~~3• ° ~~ 1 St/ Ht Outlet -~ '---'~ of tntet --- ^--" Ot Bottom ~ t ~ 8.3p _ O Header /Man. ~ •°'~ ~ bo • ST ~ Dist. Pipe 3.to to (. 20 ~ Sot. System `~ D ep , Final Grad ~ ~,( Gx tZ'~ ~~ _ ~~ ~~ Z ~ ~30 ~-33 f~ln in~-~ f'g,07 _ - _ -_ ' Ui id liquid ptfi BED /TRENCH length f No.6f~rerni+rr PIT Width r • Z 2 i DIM I SYSTEM TO P / L BLDG WELL LAKE / STREA ts No.Of LEACHII a. Ins e nu acturer: CH R Num er• NFORMATION -- Type 1 system: ~~ ~ ~ ~ ~Sp ` ) OR UNIT -. e I DISTRIBUTION SYSTEM • f'3 Hea er / Ma i o d K ~ Distribution Pi (s) r x Hole Size x Hole Spacing Vent To Air Intake Length ~5 Oia. 2 length ~~ Oia. ~ l~,L'- Spacing ~'S I 31irs r! , ~• 0 i SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded 1 Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, sec fon : 08 b6 j Ins ection #2: / Location: #990 County Road T, Hammond, WI 54015 (NE 1/4 NE 1/4 16, T~9N R17W) -162917241A10 - 1.) Alt BM Description ='Top ~+~~~^^Qd7~°"` • ~~J'T L(Ar~/~,4 s'~~--rc s./ -T-o S~ 2.) Bldg sewer length = ^. G~ iv t-l~,2E ~!a use ~bVED -- /LfD U/~ ~' -amount of co er = (? 5.o s„l cw«~ ~~,~/iGS' ,c},Q~ ~n,f S~~ [ccA~l 3.) contour = •~~ ~ ~ ~~#~-c5"2 • Qw~.P ~~. rPr~a,e~ '~ ``~,`e \ a ~J Pla~revisio required? 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