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On June 9~`, 2404 Kevin Grabau, a zoning specialist, received a call from Lewis Bjork, plumber, that a septic system he was going to install contained redaximarphic features (a limiting factor for private sewer systems) concerning the plumber. This phone call led to an onsite appearance from Kevin Grabau which below grade septic system. During this onsite, at.~ point was there an (the original soil tester) to make me aware of the possible problem. This mistake jeopardizes the ease for the Colbeths. The plumber or zoning specialist may not have been in the correct tested area..i~fttt were dug on this property looking for a below grade site. Being the tested area had been untouched for nearly four years the astically with wild grasses and erosion. A miscalculation for the correct area could have easily been made. Also, this soil tests for this subdivision. Heavy equipment driving over this site would have destroyed the possibility of a below grade system~i~!!P that would have occurred. Another important fact is that when both soil tests are compared (mine and Lewis Bjorks) that my -test was within 12 feet of the foundation. One of my benchmarks was scaled inside of the foundation of the home. This tells me that much of my soil. test was destroyed during the construction of the house. Lastly .which also indicates that my test was in a different location that which Lewis Bjork and Kevin Grabau were conducting the onsite. This situation is a prune example of how important it was to contact the original soil tester before an onsite is conducted. The entire scenario against me is based on;j~,,,om Lewis Bjork and Kevin Grabau. Also zoning specialist Kevin Grabau is only certified as a soil tester. His credentials are equivalent to mine and Lewis Bjorks. The state inspector for this region, Leroy Janksi a soil scientist, make a decision with. so much cost difference at stake. Leroy Janski's credentials do exceed that of ours. If I had been notified of this situation 1 would have insisted on Leroy Janskis presence for he has extensive experience in these types of situations and makes the final. decision. A few of Leroy Janski's decisions during past onsites of mine have apposed decisions make by St. Croix Zoning specialists. This indicates the differences in soil observations taken by different individuals. That is what a sail test is. It is an at is taken by a state licensed sail taster stating his ar her opinion an each and every situation. Mr. Adam Schumaker i~ ~....,.~~ J, - ~-S ~. ~s d~~s 'c~'F~.~~---- l~ S.2aCz> C~ `S ~~ commerce.wi.gov ^ ~ isconsin Department of Commerce November 28, 2005 Chris Colbeth PO Box 474 Hammond WI 54015 Dear Mr. Colbeth: ~Ffw;~~~~.~ s~. c~oi.~ ci~u~~- ZONING OFFICE SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, Wisconsin 54729 (715)726-2544 http://www. commerce. wi.gov/sb httplhwvw. Wisconsin. gov Jim Doyle, Governor Mary P. Burke, Secretary During your to#ephone call today yo:~ asked if there were any state regulations that required tl ie St. Croix County Plarning & Zoning Department to request an onsite investigation by a Department of Commerce. representative when the accuracy of a certified soil tester's report is challenged. I am not aware of any state regulation or law that requires a Department of Commerce representative to automatically investigate the accuracy of soil and site reports when discrepancies or potential inaccuracies are noted by the county. Department representatives such as me are available for such purposes upon request, but there is no requirement for the county to request such assistance. If you have any other questions, please feel free to contact me. Sincerely, ~_ Leroy G. Jansky, PSS Wastewater Specialist (715) 726-2544 Office (715) 726-2549 Fax Lj ansky@commerce. state.wi. us St. Croix County Zoning & Planning Dept. -Kevin Grabau SBD-5524-E (R. 4/98) File Ref: C:\DOCUMENTS AND SETTINGSICOMMUSER\MY DOCUMENTS\BLANK REPORTS\REPORT FORMS\LETTERHEAD.DOC Credential Search M~~ ~7~ra~~ _ __ . Credential search Search results are posted at the bottom of the page. Page 1 of 2 Search for Individual or Comaanv by Credential ID here: Specific Credential ID 253976 Search Search for Tank Contractor Company by Tank Specialty here: Specialty Type Search Search for Individual. or Company by Category here: I Credential Type (required) Credential Status (required) Zip (or first three digits) Last or Business Name Search Clear 3 records were returned by your search. Please select a credential holder's name to review status and continuing education information. The continuing education information displayed here may not be accurate due to reporting, entry, or web retrieval errors. It is a credential holder's responsibility to keep track of their continuing education credits. Black=Approved Yellow=In Renewal Process Red=Expired or Not Valid Credential 1D Name City,State,Zip Type Expiration 253976 BJORK,_LEWIS C MENOMONIE WI 54751 Journeyman Plumber 03/31/06 ~~ http://apps.commerce.state.wi.us/SB_Credential/SB_CredentialApp?cred id=253976&form... 1/3/2006 • Credential Search Page 2 of 2 253 976 ~~BJORK, LEWIS C ~+MENOMONIE WI 54751 ~~Plumbing Apprentice ~~ 08/23/01 ~I 253976 BJ012K, LEWIS C ~ MENOMONIE WI 54751 Soil Tester 06/30/09 http://apps.commerce. state.wi.us/SB_CredentiaUSB_CredentialApp?cred_id=253976&form... 1 /3/2006 ..~ ~~ ~'~ti_ fff~IlffM^ f MEMO: TO FILE October 21, 2004 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 I received a phone call from Lewis Bjork, plumber employed by Sinz Plumbing, on the morning of June 9, 2004. He was calling to inform me that when digging the hole for placement of the septic tank that he was seeing white sands and possible cemented in place sands in the excavation. He was concerned since the soil borings for the system drain field started only five to ten feet away from the septic tank. He also dug a boring off the end of the system area to check the soils for compliance for a below grade trench- type system. He found sandstone bedrock and mottling (redoximorphic features) starting at approximately 33 inches below grade. He requested on onsite to verify soil conditions. I went to the site to check soil conditions. I was in agreement with Bjork's findings. The soils were mottled at 33 inches below grade next to Adam Schumaker's pit #1. Another pit was opened next to Schumaker's pit #2, and was found to have mottling starting at 40 inches below grade. The pits were also excavated to a depth of eight feet below grade to see if the mottling zone was less than 24 inches thick and a below grade system could be installed below the mottling, using the " 24 inch rule" listed in Comm. Chapter 85. The deeper the pit was dug, the more cemented the fine sands became. Cemented sands are determined to be bedrock, as per code requirements. According to Bjork, no other soil-tested area on this site would pass for a conventional system, and no other site was appropriate for a mound. Conclusion: A below grade system could not be installed in the soil tested area. The soils were not accurately described as listed by original soil tester Adam Schumaker. I told the plumber he would not be allowed to install a below grade system in the soils in this area. Anew soil test would have to be filed for a mound-type system. Also, no further excavation should take place in the soil-tested area, to preserve the „~1 integrity of the site for an above grade mound system. ~/ 1~~5es~d oil test report was submitted by Lewis Bjork and accurately described the soil conditions from the Juner6, 004 on site. A mound plan was approved by the Department of Commerce on July 06,2004, Trans.# 1 16641. The mound was installed on August 08, 2004. Kevin Grabau Zoning Specialist ' r ~ f Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~_ of _~ Ciuision of Safety and Buildings • in accoraance witn t;omm ao, wrs. Aom. was t Plan County , ~ , • ~ mus Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. ()~ ~ 22 ~~ ~ 7' Please print a!! lnibrmatlon. Personal information you provide maybe used for seoondary purposes (Privacy Law, s. 15.04 (1) (m)). '~~ by 'Date ~~ Pro Owner ~•4£ yJ Property Location Govt. Lot sly 1(4 ~~,t/4 S ((o T p~ N R 1, E (or) Property Owners Mailing Address la ` 7 ~ h 5r Lot # ~3 Block # Sutxl. Name or. GSM# ~1 ~5~~ 1'11 BLS -~.~ f~~A' City State Zip Code Phone Number ^ Ciry ^ Village Town Nearest Road New Construction Use: (~"Resldential /Number. of bedrooms _ __ Code derived design flow rate _ ~ -_-__.-_-_-- GPD ^ Replacement ^ Public or commercial -Describe: _-_---___~~~. -------------------- Parent materiala~~r..~25. ~-~~~..- ~--~.~ Flood plain elevation 'rf applicable __ ~_---_--_ tt General comments n/A`E ~ SyS~~ U~ IO0 ~~w ~ltil • ~ 5~d ~i~f 0~ and recommendations: /" , 4 ns~op ~ ~9~ . ~2 ~~ - ~- X 9o GIN p` 1 Boring ~~ Boring # ' ,~ Pit Ground surface elev. ~- ft. Depth to limiting factor ~- in. ~~ ication Rate i ti R d D Texture Structure Consistence Boundary Roots GPD/ft' Horizon Depth in. Dominant Color Mansell p on escr ox e Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eft#2 z.. y ~ ~.,~-Y/133 ----- s~ ~m rho 5 a~ .o 3 ~6_ ~ s ~ ~y .~- ~ 5 ~.~66k vie lF ~ ~ i~ 6 5 2 s --- r Sic/ l,ns6 ~ ~ ~ ~~' - _ ~ z • 3 Boring r t` Boring # ~~n pit Ground surface elev. __~ ~v____ ft. Depth to limiting factor _-~~ Soil A ication Rate l i t C tion dox Descri R Texture Structure Consistence Boundary Roots GPD/ft' Horizon Depth in. or nan o Dom Mansell p e Qu. Sz. Cunt Cobr Gr. Sz. Sh. •Eff#1 'Eff#t2 y 7.S ---' ~ ~ ,~, ~ . 7 y_ 3J ------ s CS 1. s ~ s ,s G v~,' -' - . 2. 3 Effluent #1 = BOD > 30 < 220 mgJL and. TSS >30 < 15U mglt. - tmuent sc =ova _ ou ny+~ ar ~u ~ ,moo ~ .,~ ~ ~ ~~ CST Name (Please Prin natur CST Number e1~1 ~~ Date Evaluation Conducted ~ Tele a Number Address ~~ w 3 • r LL ~ ~ of ~`'f 9 E Parcel ID # , „ , ,Page _ _ Property Owner _, _._-~ ` . • , ~~ ' ^ Boring Boring # ~( Pit Ground surtace elev. ___~~ ~. v ft. Depth to limiting factor _,r•..[..=.- in Soil A dicatlon Rate GPO/ft' Horizon Depth Dominant Color Redox De>:cription Texture SWdure Consistence Boundary Roots •E~ Eff#2 in, Munsell Qu. 3z. Cont. Cobr Gr. Sz. Sh. ` m .7 2 y ~r v~ [] Boring ~ Boring # ~ ., `~ th to limiUn factor _~_~.__ in• ^ Pit Ground surface elev. ~_.....~-- ft• ~ g Soil icaUon Rate Texture Swaure Consistence Boundary Roots GPD/ft' Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. 'Eff#1 'Eff#2 in. Munsell Qu. Sz. Cant Cobr [] Boring in. ^ Boring # Ground surface elev. ~ ft. Depth to Ilmitlng factor ~_ ~p baUon Rate ^ Pit '" Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ~Eff#1 PO/ft'Eff#2 Gr. Sz. Sh. in. Munsell' Qu. Sz. Cont. Cobr • Effluent #1 = BODE ~ 30 _< 220 mg/L and TSS >30 < 150 mg/l. ~ ~ ~ l _,_. 'Effluent #2 = BODE < 30 mglL and TSS <_ 30 mg/L 1'he Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternatc foanat, please contact the department, at 608-266-3151 or 'I"I'Y 608-264-8777: ssD-x~lntx.m~m~ • ~ ~ Y ~ `~' of ~rf 7 E Property Owner __ Parcel ID # , .._~ ~ .; ; Page ,.~ , ~~ . _ _ 3 a [] Boring Boring # ft, Plt Ground surface elev. ___1~[--i[- Depth to IImIUng factor „r.~ Soil A lice GPD/ft' Horizon Depth Dominant Color Redox De>icrlptbn Texture Swcture . Consistence Boundary .Roots .E~ Eff#2 In. Mansell Qu. 3z. Cont. Cobr Gr. Sz. Sh. ~ ~~ _~ ~ ? ~ ~ . 2y ~- - _y ~ .-~-- ~ ,~ ~, ~ . Z s yz -~ s n Boring # ^ Boring ~.,~ .. ~ ,x ;""7 :.... ^ Pit Ground surface-elq,V ~ • _ n• Horizon Depth in. Dominant Color Mansell Redox Descriptbn Du. Sz. Cont. Cobr Texture Boring D Boring # Ground surface elev; ^~~ ft, ^ Pit Horizon Depth Dominant Color Redox Description Textur in. Mansell Qu. Sz. Cont. Cobr Depth to limiting factor _^_~__ In, SoU icatlon Rare Structure Consistence Boundary Roots GPD/ft' Gr. Sz. Sh. 'Eff#1 'Eff#2 Depth to Ilmitlng factor ___.,_._.... In; SoU A IcaUon Ra e Structure Consistence Boundary Roots PD/ft' Gr. Sz• Sh. 'Eff#1 'Eff#2 ' Effluent #t = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgt 'Effluent #2 = BODE _< 30 ~ and TSS _< 30 mgti 1'he 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. suo-z~~n ~x.mim~ ~oN ~ ~ li f . l t ~~1 Ill F t~f r Ir "C ~4 t --. t _ l w..._,_~.~....,~~.-,.~.._ ...~..~ .., 1 Ou~l d~ ~ Arn rnp~ I_o} 5~ • 3ac1~ t-b~, p~~s . ~• TRptUis `~~ ~•,OCtq~ta'O~ ~ r lj~. C~o5c.51r to Sy~fFrn S~oWrJ IZCmt~•/L ~?~ . • 3m ~ i roa` Qasc ~~ Fl~+Syu( ~ ~~c i P ?_0 4a ~" -ti0 (,.-4-04 uN1e5s ~=d 3 3r.~1 rlppnn ~ ...._. ,_.__ u~w,~ ~ ' - _..~,~ Found a E .o,o '~~ ', __ 101.0' ~~ _ _. `-~~ Ci,~l~ < ~ ~cy~~t. ~. ~-_ loo.' ~ ~ ~ o N~~#c..t Ipoo 5~allun) Sap4,'~ ~w,v~ I,,a,~~, ~~a:w.o ago(-u~,e ~,i;~.K ~3 ° 103.2 ` t S VItE Cud ~~~,St -~o ~t.1 14Q,4' '; Q-2 1~~ ~! ~ 4y.s, ~ I~% '~ t--- i i 3k S r i a~3 `'~~ Q2 g ~-3 ~U1acK Dr~r•+- a~~E ~4u~s' ~-~ ~~ ._.y-- " i t ~~^~~>= ArE~ ~ISOt ~~ o~s3 4l ro Page 1 of 3 Kevin Grabau From: Kevin Grabau Sent: Wednesday, March 16, 2005 11:13 AM To: 'Becky Colbeth' Cc: Robert Bezek Subject: RE: 1762 96th Ave Lot 53 Pheasant Hills Hammond WI Hello Rebecca, RE: Pheasant Hills, Lot #53 Sorry it took a few days to get back to you. Information: A sanitary permit was issued on May 21, 2004 for a conventional below-grade type system. Sanitary Pemit Number: 453230 A revised sanitary permit was issued on July 12, 2004, to revise system to a mound type system. Sanitary Permit Number: 453381 Both permits were issued to plumber Todd L. Sinz of Sinz Plumbing. 1 } I do not see any comments on CST (Certified Soil Tester) Adam Schumaker's soil report that indicate that this site may not support a conventional below-grade system. Depth to any limiting factors is at 95, 110, and 86 inches below grade, as per his soil report. 2) I do not know what was discussed between Schumaker and the party who contracted him, about whether the site should be a mound. If the site was required to have a mound on it, the soil report should indicate such conditions. 3) I was contacted by the installing plumber on June 09, 2004. When the plumber was installing the septic tank, he noticed that the soils looked like they may not be suitable for a conventional below-grade system. He called me and I went out to the site that same morning. After reviewing the soils, I determined that a conventional below-grade system could not be installed in the soils. I found redoximorphic features at 33 inches below grade, next to Schumaker's pit #1, and at 49 inches below grade in other areas of the soil tested site. Redoximorphic features are indicators of seasonally saturated soils conditions. A system must be installed at least 36 inches above any redox features. Also, I found cemented fine sands starting at 40 to 48 inches below grade, next to Schumaker's pit #3. Cemented fine sands are by code, considered to be bedrock. Once again, a system elevation must be at least 36 inches above any cemented soils or bedrock. Due to both of these site conditions, I could not allow the system to be installed as designed. The system could not be installed at least below grade, and still maintain the code required 36 inches separation distance from system elevation to limiting factors (the cemented soils and redox features). These conditions were not reported on Schumaker's original submitted Soil Evaluation Report dated October 10, 2000. Since a system could not be installed below grade, a mound was required for this site. An At-Grade system could not be installed due to the redox features noted at 33" below grade. 4} ff compaction was an issue, a mound would be PROHIBITED on the site at that time. Since a mound is built on the surface of the ground, compaction would drastically affect the infiltration of the effluent moving down through the mound and into the natural soils. If I had found compaction in the area that the mound was to be constructed, I could not allow the construction of the mound at that particular site. Also, compaction would not cause the conditions of the soils noted at this site. The conventional system could not be installed due to soil conditons, and compaction would NOT cause redox features and cementing soils at the depths they were discovered. To answer your question in an short sentence, a mound was required due to soil condtions, not because of compaction. Again, if the surface soils were compacted a mound would not be allowed on the site, at that time. 3/16/2005 Page 2 of 3 I hope this answers your questions. Please feel free to contact me with any other questions or concerns. I am also sending a copy of this email to County Code Administrator, Robert Bezek. He is my immediate supervisor in the Planning and Zoning office. Kevin Grabau St. Croix County Zoning Department 1101 Carmichael Rd Hudson, WI 54016 715.386.4680 keying@co.saint-croix.wi. us Zoning Department Web Page <http://www.co.saint-croix.wi.us/Departments/Zoning/default.htm> -----Original Message----- From: Becky Colbeth lmailto:RCOLBETH@stpaultravelers.com] Sent: Friday, March 11, 2005 9:48 AM To: Kevin Grabau Subject: 1762 96th Ave Lot 53 Pheasant Hills Hammond WI Hello Kevin, My husband Chris spoke with you yesterday and said that you would help with the following: When we advised Adam Schumake that we were going to seek reimbursement from him for having to put in a mound system on a site he perked and recorded as being suitable for a conventional system he mentioned the developer and the previous lot owners had a letter from him that stated: They understood that the conditions of the site may change over time with construction compaction and it may not be suitable for a conventional system. He is taking the position that the party who he contracted with to do the perk knew that a mound system would be required and they should have told us.... We would like your professional opinion on the subject of compaction at this site. Was it even a factor when you determined that the site was not suitable for a conventional site? Rebecca Colbeth, Account Executive FPS Professional Liability St. Paul Travelers 800-356-4098 ext. 05732 Phone: 651-310-5732 Fax: 877-435-7775 rcolbeth@spt.com 3/16/2005 Page 3 of 3 This communication, together with any attachments hereto or links contained herein, is for the sole use of the intended recipient(s) and may contain information that is confidential or legally protected. If you are not the intended recipient, you are hereby notified that any review, disclosure, copying, dissemination, distribution or use of this communication is STRICTLY PROHIBITED. If you have received this communication in error, please notify the sender immediately by return e-mail message and delete the original and all copies of the communication, along with any attachments hereto or links herein, from your system. The St. Paul Travelers e-mail system made this annotation on 03!11/2005, 10:47:59 AM. 3116!2005 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety~and 9u"ding Division ~' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) y Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1 }(mjj. Permit Holder's Name: City Village X Township Colbeth, Ghris Hammond Townshi SST BM Elev: Insp. BM Elev: BM Descr' do ~ R TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic c~ Dos ~, ~ ~/ 6 ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO ~ ~ 4 P/~k WELL BLDG. vent to Air Intake ROAD Sep. ~ ~O/ !~ ~6 } Dosin ~~ / .N ~ Aeration Holding PUMPISIPHON INFORMATION G,~~~ Manufacturer f !^1-,/ ~ /-~~ (~ GPim~and Model Number ~ 2(Q ~~ TDH Lift .~ Friction Loss Syste~ea25 TD t Forcemain ~~ I avp Len th / Dia. ~ / 2, Dist. to well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 453381 0 State Plan ID No: Parcel Tax No: - 018-1090-53-000 Section/Town/Range/Map No: 16.29.17.718 STATION ~~ BS HI 11U. FS ELEV. /UO • 0 Benchmark ~ 1 ~ ~ - ~( I i ou.-o Alt. BM ~ 1' V W~ 'S~ j b ~ 7S Bldg. Sewer ~~I Sit/ t Inlet C6t~_ lO~ ~ / D a. 7 St/ t Outle /GYJ • ~ Dtln~ ~~•Sr d 0 1 ' Dt Bottom.- Heade /Man. ~~~ V ~' ~j W 0 / . ~.- / Dist. Pipe Bot. System q a 1• Final Gr ~-}- ~~~ /~ ~ 3 Cover Q / ~ o. y /L~• U 1S-~ `at.~ ~' BEDITRENCH DIMENSIONS Width t t~'~ Length f{ ~I 6J, No. Of Trenches ~,Q~ " c~- PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM L CHIN Manufacturer. INFORMATION CHAM OR Type f System: ~ 5 Z ~ ~j ~~~ b t ~ {~(~,N.t ~ I Model Number. DISTRIBUTION SYSTEM . ~, ~ 3 / o~ Header/Manifold n ? Distribution Pipe(s) '/ 2 • S Length ~' Dia / Length Dia^~ Spacing SOIL COVER x Pressure Svstems Only Depth Over Depth Over 6ed/Trench Center Bed/Trench Edges Topsoil ~] Yes ~ No [~'~ Yes (_1 No COMMENTS: (Include code discrepencies, persons present, etc.) Insp-e~ctio~n #1: g / / Inspection #2:~/ ~ ~ / Location: 1762 96th Ave Hammond WI 54015 SE 1/4 NE 1/4 16 T29N R17W Pheasant Hills 1st add-~ Parcel No: 1_6.29.17.7 8 1.) Alt BM Description = ~~~~ ( ) 1D~ ~,.,, /~t "", 2.) Bldg sewer length = 3a / ' ,,t7C.Un--~u ~-L~,S QI~fi~1~, - amount of cover = ~ ~ i ~ /r_~ ~ ,/V4f Lt/~L~Q,@~ ~~~~~~~. ~S~ ~lG, I•- j~ l~ Plan revision Required? Yes :~; No ~ ~ ~ ~ ~ ~ ~~ ~~~~~ - ~ - - I ~~~ ~ ~' i Use other side for additional information. ~ r __~;___; ___ i ~___ _ __ ~_ i ____ , SBD-6710 (R.3/97) Date Insepctor's S nature Cert. No. ~ ' x Hole Size x Hole Spacing y Ven C.(f 3~ l ~ 5"(o C:~o~-Ed xx Mound Or At-Grade Systems Only ~~~~~~ rn "~ xx Depth of xx Seeded/Sodded xx Mulched ~ ~ r ~d~./~,/.f~~J - (/.,C//UL~ ~ ~ ~G•-tit-~ ~ G Safety sad Buildings Division ~y /~~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 r~pJ ~~~~~~ Madison, Wl 53707 -'162 Sanitmy Permit Number (to be filled in by Co.) De artment of Commerce (~) 266-3151 T~ 3 2 O'+ - Sanitary Permit Application ~ ,~. Number state Plan m accamd with Comm 83.21, wta. Adm. code, peesanal Inr de,~~,,,~. • ~a ~' 0 (o~o`ft' = ~ Z ..y.. _ may ae wed for secamdusy purposes Privacy I.aw, a .W(i)~~ P'o ~ ~ t p~ " l"" e! . d1 ~ t ~~ ~ ss q~ r7 ~~ma~lu~g ~ddreu) L AppUcation information -Please Print All Informattoa 6 ~ r Q '' TO "'~3~~A~ p~,,~.~ • "R^"•y ()WDeI~y .. d. # t.Ot # B10C~L # ;, ~. ~'3 Property owners Address z o ^. r~ ~. , o ~ ~_ c. t.ocatiem ~ ~~ N~ ~~ ~~ City, 3 Zip Cade Numbs ~ '' -'-- lt. Type of Bending (check all thst apply) "i/ I or 2 Fatdly Dwelling -Numbered' ~ ~,3 ~ f~ Subdivision Name CSM N~umYer ~ ^ PublicJCommzss+cial - Desexlbe I mD • O I'('~' S ^ State Owned -Describe Use ~ • ^City_^Village.(~`t'ownship of lit. T ype of Permft: (Chock only one boz on line A. Completo line B H app cable) 'R" ^ New 3yst~t ^ Replacerstent System ^ Treatment/liddatg Tank Repiaor®ent Only OHter Modifi~ian to Existing System B• ^ Permit Renewal ^ Pamit Revision ^ Change at' ^ Permit Transfer to New List Preview Permit Number and Date Issued Before Expiratiaa Plumber Owner 11~"'~'~ 2 w S',.~„~ ~ '~? `-'•xJ IV. of POWTS ten: Check all thst a / ^ Nat Pressurised to-Grand ~Mormd _> 24 in. of suitable soil ^ Mound < 24 is of suitable soil ^ At~tirade ^ Singk Paaa Sand Filu7 ^ Comstrtrcted Wethmd ^ Pmssurizod In-Gmuad ^ Hokliag Tatilc ^ Peat Fifoer ^ AanobIc Tnstt~tt Unh ^ Reeireulsting Scrod Fileer ^ Recircula 3 Malin Filter ^ Chamber ^ Une ^ Qnvel-less Pt ^ (kher V. Dis al/I'resti meat Ares te[arsaatloe: Design Flow (gpd) Design Soil Apphcapion Dispersal Area {st) Dispersal Arm at) System Elevation -- A ~~ ~~ ro . ~Z Cr•o s~ ~o w~. „s VI. Tsnk Info Capacity iq Total Number Man Prefab Site Steel Fba Plastic Gallttna Gallats of Units Concrete Cat:hucted Glass Now Bxitioa Tarrlrs Tuts Sopnc or~_..r'A .....-- ~QQ 4(~~ Aerobic Tiraamcnt Ue6 Dosing ctrsmhx ~ VII. Rea nsibni Statement- 4 the aw Ear hratanatlon of the POWTS shows on the attschad Pl P MPIMPRS Number Busatess Phase Number Plumbers Address (arrest, city, state, ) O 708 ~ilD r~~~ <,~/ S~?J~ VllL Coen /De et Use 7~ •OD ~ Gr-~• ~ r ~Appmved ^ Disapprnved SanitatY Permit Fee (' lodes Ground Date Issued ]suing Signature (No Stamps) ^ Owner Given Reason for Denial Surcharge Fee) '~ ' ~ ~~ IX. Conditions at Approvsl/Reawns for Disapproval 3` n SYSTEM OWNER: , S>9•+~~ - ` 1 Septic tank, effluent fitter and 23S `- dispersal cell must alt be serviced / maintai St>~ as per management plan provided b l b o~-Q4S y p um er. 2. Ait setback requiremr~ts must be maintained as per applicable code/ordinances. ~~ saner eamplste ptaas (M tre Corday nab) fir a>a sytkm a. paper cot ka tra. stn : t 1 Iada L airx SBD-6398 (R. 01 /03) ~"~ • Q +n - S ~ ~ S ~ Q ~~~ e~1 w-. - ~ ( ) . ' ~ ~ ~N~~~~~ ~b~- ~~~~ ~o+ S~ ~~xv4- I~~lls 1st Adc~,~o-v Ira ~ F ~l~ ic., Y~ ~ ~, , , `Cow~v o~ }~ A~.,Mo,~ e • '~,~k ucE P,4.S, . +I TILA Ni ~ ~ tic{. 4•o cn}~o~,z S , , `l ~-. ~'~~.f/.S ~ TO Sy~TE1'n S~4~Z QPYYIIK~~ 7 ~~0 ~ Bm ~ i loe' QAS or Fla--~" ?vc ~~pr , y ~ ~;. ~ $-~ # z ou~lcf c~ 5c~~ }r~r k X00 ~ S' ° ~ va ~o • ~3 ~4-b,4ck 1~ro6l~w~ -- W i(~!~ WAj~rL -_ ~~, a y~~ S ~p+,~ 1'1~N~, Tn sFn ~l~c~ > -so' ~~ ~1r~~.e 6 - 9 -0 4 1-0} uNIcSS ^~~d ~t~ W. y9 Ac.E s~~~. + . ~a[,~il i,e~,-+~.a 3 ~+d roo+h FouacW F a,~ ~~~ ~\ i ~ ~.,, ~~~~,,p ~ ~~ ~~ ~ (po boa ~a~-~- ~ ~'~~ \ ' ~Kt ~Od4 ~4~ X31 ~ tn3,Z ~ 5 4~ Septic ~,oN4 w~'.k Urw~,o $~t ~,(;~, ''~,, t ~a' ~ - 4-~' ~" 1~v~ s~ 4-0 D p(~ r $ i YO'r~Q.... y,~~h ~ 'V I31ac ~ D,~: ~ w '~~ ~, i - . ~ ~ e.o . ~~ \~ \\ ~._____ - ~ ~~~4,s EE CORRESPONDENCE '•~, `~ 1 -~'', ~l, `~, . ~--~-.__._r..- 1 ~ j~~ ~ ~~ ~ t ~Jr'~ N+~c~a R ~ E~ S+ x Ci c7~ Y °L `~ ~aC i i J" c u., ~ ~ i f1 _ ; j I i i ~ ~~ ~~50 ~ rl , I ~' - ~ ~ ~ y ~ i ~~ 1 ~~, d•' . t • ~ commerce.wi.gov lisconsin 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 July 06, 2004 OUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/06/2006 Identification Numbers Transaction ID No. 1016641 Site ID No. 685959 SITE: ',.~ Please refer to both identification numbers, Ron Bonte ~~S ~p~.~~~~-~ above, in all corres ondence with the a enc . 96TH Ave Town of Hammond St Croix County SW1/4, NE1/4, 516, T29N, R17W Lot: 53, Subdivision: Pheasant Hills 1ST Add'n FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 967106 Maintenance required; 450 GPD Flow rate; 33 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.OI/Ol ), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. COrtG 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: N OF General Approval Requirements: SEE CORE • This system is to be constructed and located in accordance with the enclosed approved plans and with the -y l "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.OI/Ol) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The pit areas that are located under the stone aggregate shall be inspected by the county for proper filling and compaction prior to plowing of the site. These areas maybe subject to settling after the construction of the mound component. The area of the pits shall not be considered as part of the effective absorption area. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c r c TODD L SINZ Page 2 7/6/04 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(Z)(d), Wis. Stat • Comm 83.22 7 A co of the a roved tans s ecifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the 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. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, "/~~G ~ ~~.~~~J ,.~~ ~` J Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing < E-mailed letter Vt`° .- ~, so.'oo' /, nwE- +o~e.z ~ )T 50 ~ ACRES ?2 S0. F T. ;~, N n N T n^' , LOT 5 l . +~-~ 2.81 ACRES ~ E 122, 531 S0. FT. +nv ~ / m ~ o LOT 53~ /$ 391.42 o ES u • ~. 1 I' E y 195, 615 S0. FT ,U N72 m DRAINAGE AREA-, / i!~%r X / i-f~ 00 LOT 52 ~ ~ ' h 2.34 ACRES ^ 1 D 1, 983 S0. F ~ %+~-/ / nwe- +oee.a 260. 00' DRAINAGE AREAI i LOT 54 3. T 1 ACRES 6 1, TOO SO. F T. LOT 520. 00' (TH ! S SHEE T A m rn LOT 55 3.54 ACRES ! 53, 984 SO. F T. ...... , ............................................... .. ......~. , I ......... ® .. 5£TBACK .... ....... .. ------ 9 .............. ..... --------------- 1O , 588.25' 24' f 302. T8' _ '------ 240.00' ___----- SETBACK ~ ~~ LOT 66 2.57 ACRES 1 i !, 895 S0. FT. TOWN OF HAMMOND, S T, NOTE: NO OWNER OR RESIT ~ WHICN WOULD fN7ERFERE I , OPERATfON OF THE APPRO' DRAINAGE AND SOfI EROS l/ I THIS INCLUDES BU7 1S N, `~e0 •'~'~~ , UPON, OBSTRUCTING, AL TI ~. S~.~o ,.Q~, ~ EXCAVATING OR PLANTING ~•., T~ ! WATER DRA f NAGE D f TCHES, I CULVERTS, BERMS OR GRA: , ------- `si9~ ~''~ ~+~~ '~•.~,qy ----------------NN----NE ' NE-NE_ ~'• ~ SW-NE F S --~-- SE-NE - '---~ 6~ ~ ~ . 3 S9, 3?~ ORAfNAGE REA ,'~" ~ UNPL A•T TED ~ LANDS `9 .. .. S89°28' 02"E 892. 09' (TO NE COR. 226.33'------ ® _ BI'21,- ~ -_ --------_----1_ `B3'3/~28'E 332. 8gro6.3/'- ~~---+-7e ~'162q•E _=;g~_`~1T5 ---- 3B. 33'- - - - - N83.3 /' 28 • W -"`.. --- _ -----~', ' . W 185. g8 H79. ° __ •41' 24 ~C © ®-Q'106.19'-_-_ 332.86' ROAD g _--- z>•.--- --- ................. - -'-226.67'.__ ST -__158•'36 ~ -~ J2 ~ Iv .......... ----- .,-- o L I NE DRAINAGE AREA b LOT 65 ~ g A 2.43 ACRES A A 106, 002 S0. FT °- U ~ U a / ~ a ~' A ~ ~ LOT 64 2.30 ACRES 100, 021 S0. FT. a ~ ~ j A / u i z 8 a LOT 63 ~: LOT E 2. 36 ACRES ~ 2, 6 / ACI ! 02, 707 S0. FT. ~ ! 13, 732 SG U fi RECEIVEp .~ JUN 3 0 2004 Ron Bonte -Mound SAFETY & g~ppS DIV. 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 (01 /01) Pressure Distribution, SBD-10706-P (Ol/O1) Location: Lot 53, Pheasant Hills, First Addition SW '/4, NE '/4, Sec. 16, T 29 N, R 17 W Town: Hammond County: St. Croix Date: July 6, 2004 Owner: Ron Bonte ~/~(,S ~p~. ~~+ Address: 1011 170' St. Hammond, W~ 54015 Plumber: `, Todd ~'nz ~ \ Signature: License: MP 1394` ;~yl~l y ~~~D Attachments: SBD-10577 -Plan Approval Application FCOMMERC~ SBD-8330 ~ cs Page 1: cover ~P~NDENCE 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 page 1 of 8 r- r ~; 1. f Design Criteria ~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 ~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length ~•~~ Drain-back ~'ec 3 Lateral length 4" @ ¢~`'~~~ Lateral elevation t `~ t ~ o Lateral hole size ~~1 b in, @ S ~ • ~ ~ ~ holes/lateral ~ Lateral volume 1 ~ ~ ~ ~ Total lateral discharge rate z b ~~ Network pressure compensation losses ©'~`~ Elevation difference ~ ~~~ Friction loss ~•~~' Total dynamic head ~`' 3 ~' Pump/siphon ~ ~ gpm @ ~ ~ -- -- Manufacturer ~~ ~ `~''' ° rt '~ 0.- `~~ Dose volume gR~ Lift/sip~on tank ~,5. ~~~ ~ c. ~~~r. ;. ,.~,~,~ - ~~~ G, ~'~~, ~., Septic tank , Effluent filter ~~~"~-~ ~ ' a E' ~-- (~- r~ ~'~ Measurement pump on and off ~O ` Height alarm from tank bottom ~ ~~ ~ Reserve capacity ~~ ~ Z~ •T specs.calcs.res Design Cal ~~Z2 7,~. 'S 3 >~~ 1e~© culations gallons/sq. ft. per day in. in. ft. of Z in. ft, of 2- in. gallons ft. of ~`r Z in. ~ ~ 3i"~ ft. @ bottom of lateral in. ( ~ ` ~' ~ ft.) Spacing holes total gallons gallons/minute @ ~ • ~ ft. head ft. ft. ft. @ ~` ~~ gallons/minute ft. ft. of head Model # ~ ~~' 'yam ~'J gallons ~~ `''~ gallons ~' ~''~ gallons m. in. gallons Page ~ of .~ -2 :, ~ {.. ~~~,~ ~~.~. 1.1~71~ 1st- Ad~,~~v nt ~' 4~ l31 ~1 ~~' ° 20 va ~," } y~` ~~~ u~lcss „~.cd ~, y~ ASE 5~}~. + Ttt.At~+S 5~^ci' l-,ocn~-ro•+}S, Ll,, GIO~S ~ +O Sys~EM S{wsJ~J Qeri,,+.~1.n. '~ ~oO . j . Bm ~' i tod' Q~-st o~ ~Agy~ a" ?uc ~~pt . ~;' • $tyt f# Z out-lc~ o~ Scp1~c ~n~k tipp. s' No. S3 S;.~b~ck 1~c'ob't~w~ -- ~~~~ wAx~~ ~JC~~u. ~'~~~ T^SFni~~c~ 7~50~ 6.9-opt y„ .~'' f ~, ..5rt Ian) S~Ph'c }"+NK 4N ~~. Ufw~,d ~.~o4wpC ~~tti..rj. .. ,, \ ,eb.op~1E ~\ Y ~ f EE CORRESPONDENCE \' \~ 9a9 -~"- ------- ~ 1'~ -f_ ~ ~--------~, ' 1 i E >~so' i~ { JS,-~- _-~, ~~ ST~-vcy~rvr~~~7~q ~^"~ 3 ~ ~ ~ ~ 6 i 1 1 i i i ~ hN1~ j ~ i .l ~1 t ` ((~~ +~ 3 ~ ('1 u. Vtq, R~t V~~ 9~ lOw u ~ ll ~ ` (d .tiS ~ ~ a.0y~, ~~e O ~ t ~- '`'~ r'G c. ~ v a.v i' ~ eat, p ~ t0 d~ 3 O ~..-C CN , l~w~ a,~w ~°~' ~' z o,v `w,„ ~ ~Yt~ , a l ~~~ 0 ~y ~, O ~!- --~~ ~ ~ ~ i. r ~ ,~~ ~ ~ ~C ~ ,3 W !. { IZC 1 . lire -~I ;q2,~ ~ K ~ K~1 ~ b ~ n ^~ ~t a~ ~l or o 1, T' t~,~ t 1 ` 1 1 Q~~~' ~ r O r Q K 1!~ O i Y"0 C.1,L ~ ~tX ~ ~. 4~ ~ o. ~ U ~ ~ v C o ~o b ~r v ~ ~-: o h ~... a1 ` ~ i-a b • i~ ~ o .., c~ ~ r o ~ ~C b i ~ ~~ 1f~ 'r ~ t, ~~ U L ~ ~O ~ ~ V ..a ,,r . ; .~. L ~ v C ~ 4-J ~ ~~ t ~ V L S L~ ~ 1 ~ oip ~c ~-o ~ r ;. ~-e ~ w~C ) c, \ ~~~~ U `~~ ~.. ~` i ~t a r ~` S P"~ t ~ 40 .,..l., ~~ l I r ~' ~ h (~ / ..1 . ,~ ~ I / ~ ~~ / i I I / ~~<< rim„ 1ZZ~~ 22` I a6 C ~3t"~ (; 3L'' ~ ~ o ~„~ l Q• I' VO~4. ~~ w/ Vh,V` ~0 Br ~K'~V S.\t.w.~ ~ Pf. r-~~i / II \ \ l ~ ~~ • ~! ~ ~ h o\ ~. S o ,.. 1 ~'~' n. t w.~ tyti,.~'t a,.~r \p J ~ O ~ \ : •. ~ ~ "~ S ~. 0 ~ a~ e,,,. ~ (~' ! ~o~ l0 ~~\y ~¢~. 1 a.~ sv.o..` T~ ~o\c1 }0~4-~.~ ( ~ \ ! -~ J ~ ~ -~ ~ o~ ~ ~' ~ -- ~ -- .. .. ~ ~ -LOCKINCy COVfiR --~ !i/Ai-'N iNG ,c ABED . G~V1CK D~~CGVVtGT--~ ~ ~.~ . i ~~oz -~-~ a" ~v~,~~ 4m DIP6 3' no NDISTUa6a:D So1~ ~ 0 W itOV1-~ Gr fh 1 \t k j s~~~~~ ~~~ (~~PL cre NMl~tlor c~e~. ~~.~' ~, i; ~:~~a~. ---7 ~ !,~.~ SEPTIC f DOSE 24`' Z.D, trta,~fuo~ . ~I > '4~' A _~ BAFFLE b dvo.KLO C 7~ D R''f' is'S'L'L-14\\~ 61 '/v ~ Ow~1.a..~ a~cw~ Zr~~ T ON ~,©„ vc~ , q„ - - -~+~ G~wL.G s~~ 4c 3' owT o SoLt~ ~ i GRou,~o 4z" i PuKP COn2RFTc bcoCK SPECIFI~CATIOtJS r '~ FoRt•C WEATHERPROOF ~,111NCTION 8c~c I~' Pv~ ~ 4" Q o Y ~ NT ~ ~~.'~ ' Tnu•.S MA-JUFACTURCR: "~~~"~ -- S ~ ~-^ IJU/M6Eii OF O -- TA-UK SIZ[; _ `~`~ ~ t,o~__yAl.~O-JS OSES: PEK C~~ . •DOSC VOLUME A~ARh1 /1/V,IJJFACTURCR: S `~ `}~+'~-~Y~ -~....~_ IKICLUOIWG 6ACKPl.OW: ~~ ~~ L~~.~Dn;; S ZS `© 3~ Z SWITCH TyPL: ~'~'~` w~10 . CAPACITIES A . wcHES oK c~•_.c;; G'UMP /1AIJUFACTURCR: 'O wat B 8= Z 11JCHE5OR 2Q~ G~._o.,_ MODEL WUMpLR; S ~~ ~ ~' C~ ~ •J ~3 4 1 JWITCH TbP[, ~l"~Q.~....ty w . D' INS HES GR ~„ , :: `. MI-JIMUM DISCMARCsF RATC.~,. ~~ ~ GrN uOTE: PUMP AUD ALARM ARC TJ 9C INSTACLEO OIJ SEPnRATC C1aLa~~Tg VCRTICAU DIFFERC-JCf OETWCCIJ PUh1P OF/ AUO OISTRIDUTIO-J PIPE ~j~5' ., FEET + MIWIh1UM WET WORK SUPPI.y PRELLURE ~ ~ ~ ~ ~ ~ 2.1_ ~l.p,~.S FECT + FEET OF FORCC MAIN X t.~ fT,~ FRiCT10 ~~ ~,~ -J loo /t ~ , FACTOR. FEE T --~ ._ TOT~I. Dy-JAMIC NE~p 0 ~3~ FE.Er IIJTERAIAI. OIME1J6101JL '0/ 7AAlK; LE-.lG7H 2 „ ~w'DTH ; LIgUlO OE PT N _~ ~~ ~•• •~y 3 • Pump Characteristics rwe Me1M Ilwll Se~li~ie AldewelNc Ideleli stiEraont Fo#1 Lead AN-i t,0 IMIa T SIaW t~ {4 ) R.r.Ai. 1 fsc rhaee e t VeM lif Nort: 60 lomp~ntero 1 ~0'f AArWenE NEF1U a~at A rlsoletio+~ aes A Ihe<{IOf She 1-~ ~1' tin {SIIIIIM} Sotlds Nee~inq 3/4' {14~w) u,al w.lsrl ao tn. ewer cad 1 s/>, sJTW, 20' sir. Perfermonte Data 1 ii 6 -~ 37 ^ I~~lo I o` i Gpch~l3,F/.ll 1 io fo M ro ht ~wnrS~al a ~ 1 + Tvtvl Ne~inl fvvt , i 13 iL ZO 4! d'M fU,3.f 4~ si 2! 2Z 12 O Dimensional Data I~wid ~ r+«.d~l ~. :, ~ ~., xr : I/1 ~~ Z My kr t~4vean pupw ubs nrlRd ti DYnnson ed twiFM r~ rot ~~ S. On/ON Nr~l o4uaohl~ d, Me twm Ar r~hl q etak~ n~ w sr prllttl etd tMt tgdtmiom t~lltrou nNk~ ~ ~~~ ; ~l. ~. ~ „~ >,~ ~~,~ 9z1;~ p•.,,~ ~ i' 1Y1 'i~tyy~ i (9h hA+i a-r I~ HYDRQMATIC w . e i8~0 Barry Rwd AsNanl, Oho 41105 Te1:119•It9•JOJ1 hz; 419•ytl4011 Was SUt: wrrr,peetdrpunp.COiq SAIFS OFFICES IN All MUJOA CITIES ANC COUNTRIES item u: Wdi~•6350 1200 5M ~ 1444 Mydrortv~tic' Purnps, Ashlorai, Ohio AI! R;gl - Yow Aulhor~sed Locd Otiurib~+or - ni ~, ~ ~+' ~41 ~, i I I 1 I I Materials of Construction System Management Management of this system is critical. As a condition of approval of these~plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, TL Sinz Plumbing, 715-235- 2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within I S' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 I . Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Parcel #: 018-1090-53-000 10/21 /2004 09:43 AM PAGE 1 OF 1 Alt. Parcel #: 16.29.17.718 018 -TOWN OF HAMMOND Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): ' =Current Owner COLBETH, CHRISTOPHER & REBECCA CHRISTOPHER & REBECCA COLBETH 207 W ASH ST ROBERTS WI 54023 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 1762 96TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.490 Plat: 2298-PHEASANT HILLS 1ST(47/68)01801 SEC 16 T29N R17W PT SW NE PHEASANT HILLS Block/Condo Bldg: LOT 53 1ST LOT 53 4.490AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-29N-17W SW NE Notes: Parcel History: Date Doc # Vol/Page Type 01 /08/2004 750997 2487/476 W D 01 /25/2002 669369 1823/264 W D 05/08/2001 644952 8/48 PLAT ~nnd c11MMeQV Bill #: Fair Market Value: Assessed with: -- - - - - ------- -- - - 46,700 Valuations: Last Changed: 05/14/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.490 40,200 0 40,200 NO Totals for 2004: General Property 4.490 40,200 0 40,200 Woodland 0.000 0 0 All 4.490 40,200 0 40,200 Totals for 2003: General Property 4.490 40,200 0 40,200 Woodland 0.000 0 0 Total 4.490 40,200 0 40,200 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSM ENT 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 SAFETY WARNING -Risk of electric shock. This pump is supplied with agrounding conductorand/orgrounding type attachment plug. To reduce the risk of electric shock, be certain that it is connected to a properly grounded grounding type receptacle. Your 115V effluent pump is .equipped with a 3-prong electrical plug. The third. prong is to ground the pump to prevent possible electrical shock hazard. Do not remove the third prong from the plug. A separate branch circuit is recommended. Do not use an extension cord. When a pump is in a basin, etc. do not touch motor, pipes or water until unit is unplugged or shut off. If your installation has wateror moisture present, do riottouch wet area until all power has been turned off. If shut-off box is not accessible, call the electric company to shut off service to the house, or call your local fire. department for instructions. Failure to follow this warning can result in fatal electrical shock. The flexible PVC jacketed cord assembly mounted to the pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice between the pump and the control panel must be made within ajunction boxand mounted outside ofthe basin, and comply with the National Electrical Code. Do not use the power cord for lifting the pump. The pump motor is equipped with an automatic resetting thermal projector and may restart unexpectedly. Projector tipping is an indication of motor overloading as a result of operating the pump at low heads (low discharge restriction), excessively high or low voltage, inadeq uate wiring, incorrect motor connections, or a defective motor or pump. ELUW- LITERS/MINUTE W w Q Q w 15. 0 1 z. s ~ W l o. o ~--- w ~. s i Q Q 5. 0 W S 2.s FLAW- GALLONS/MINUTE PUMP PERFORMANCE CURVE 115V 60HZ SAFETY GUIDELINES 1. Read all instructions and safety guidelines thoroughly. Failure to follow the guidelines and the instructions could result in serious. bodily injury and/or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR EXPLOSIVE FLUIDS SUCH AS `GASOLINE, FUEL OIL, KEROSENE, ETC. DO NOT USE IN EXPLOSIVE ATMOSPHERES OR HAZARDOUS LOCATIONS AS CLASSIFIED BY -NEC, ANSI/NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJIIRY AND/OR PROPERTY DAMAGE. 3. During normal operation the pump is immersed in water. Also, during rain storms, water may be present in the surrounding area of the pump. Caution must be used to prevent bodily injury when working near the pump: a. The plug must be removed from the receptacle prior to touching, servicing or repairing the pump. b. To minimize possible fatal electrical shock hazard, extreme care should be used when changing fuses. Do not stand in water while changing fuses or insert your finger into the fuse socket. 4. Do not run the pump in a dry basin. If the pump is run in a dry basin, the surface temperature of the pump will rise to a high level. This high level could cause skin burns if the pump is touched and will cause serious damage to your pump. 5. Do not oil the motor. The pump housing is sealed. A high grade dielectric oil devoid of water has been put into the motor housing at the factory. Use of other oil could cause serious electric shock. and/or permanent damage to the pump. 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum motor heat transfer and lifetime lubrication of the bearings. Use of any other lubricant could cause damage and void the warranty. This lubricant is non-toxic; however, if it escapes the motor, housing, it should be removed from the surface quickly by placing newspapers or other absorbent material on the water surface to soak it up, so aquatic life is undisturbed. 7. In any installation where property damage and/or personal injury might result from an inoperative or leaking pump due to power outages, discharge line blockage, or any other reason, a backup system(s) and/or alarm should be used. 3 0 80 260 240 320 INSTALLATION Pump must be installed in a suitable gas tight basin which REtiAOTE FLOAT SWITCH is at least 18" in diameter and 24" deep, and vented in LEVEL CONTROL accordance with local plumbing codes. Pump features a 1?2" female NPT discharge. NOTE: DO NOT OVERTIGHTEN DISCHARGE PIPE INTO PUMP VOLUTE DISCHARGE. Pump can be installed with ABS, PVC, polyethylene or galvanized steel pipe. Proper: adapters are required to connect plastic pipe to pump. Pump must be placed on a hard level surface. Never place pump directly on clay, earth or gravel surfaces. A check valve must be.used in the discharge line to prevent back flow of liquid into the basin. The check valve should be a free flow valve that will easily pass solids. CAUTION: For best performance of check valves, when handling solids install in a horizontal position or at angle of no more than 45°. Do not install check valve in a vertical position as solids may settle in valve and prevent opening on start-up. When a check valve is used drill a 3/16" hole in the discharge pipe approximately 1" to 2" above the pump discharge connection and below check valve to prevent air locking of the pump. WIRING Check local electrical. and building codes before installation. The installation must be in accordance with their regulations as well as the most recent National Electrical Code (NEC). To conform to the National Electrical Code all pumps must be wired with 14 AWG or larger wire. For runs to 250 feet 14 AWG wire is sufFcient. For longer runs consult a qualified electrician or the factory. Pump should be connected or wired to its own circuit with no other outlets or equipment in the circuit line. Fuses and circuit breaker should be of ample capacity in the electrical circuit. See chart below. H.P. VOLTAGE FUSE OR CiRGUIT BREAKER AMPS 4/10 115 20 4/10 230 15 The RFS series pumps are equipped with a remote float switch level control. This- level control is sealed in a polypropylene float cylinder. For automatic operation, the pump must be plugged or wired into a remote float switch. Pump will run continuously if plugged directly into an electrical outlet. When the level rises in the basin, the cylinder floats up with the level. When the cylinder position is at an angle of about 45 degrees, the switch activates and starts the pump motor. As the level draws down, the cylinder floats down and when it is again at an angle of about 45 degrees, the switch deactivates, and the pump motor stops. NOTE: BE CERTAIN PUMP IS SECURE IN BASIN AND CYLINDER FLOATS UNOBSTRUCTED WITHOUT TOUCHING THE BASIN WALLS OR PLUMBING. REMOTE FLOAT SWITCH INSTALLATION 1. The float switch consists of four parts: a) switch; b) cord clamp; c) clamp screw. d) cable tie NOTE: If screw is lost, use a #10-16 X 1/2" long tapping screw, longerscrews can crackthe cover. 2. Attach cord clamp to pump cover as shown in the switch instruction manual packaged with the switch. The clamp and pump handle must be positioned as shown to allow free operation of float. Be sure to locate pump and switch power cords away from switch float. 3. A 2lz' tether length is recommended. When a tether length of 2/" is used, a minimum basin diameter of 18" is recommended. The tether length is measured as shown in illustration at right. 4. After desired tether length is established hand tighten clamp screw. 5. TESTING: Without water in basin plug pump power cord into switch in-line-plug. Plug switch into outlet. Lift float and watch for pump to operate. Do not run pump for more than 5 seconds. 4 Wiscon$in DepWrtment of Commerce PRIVATE SEWAGE SYSTEM i'afety and Building Division - INSPECTION REPORT GENERAL INFORMATION (ATTA~I•~"TO HERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Colbeth, Chris City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing 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. CrDIX Sanitary Permit No: 4532 0 ~ State Plan ID o: Parcel Tax o: 8- 090-53-000 Section/Town/Ra ge/Map No: 16.29.17.718 STATION I BS ~ HI I FS I ELEV. SUHt Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System BEDlTRENCH 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 Only xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~z Yes ~ No [~~] Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 1762 96th Ave Hammond, WI 54015 (SE 1/4 NE 1/4 16 T29N R17W) Pheasant Hills Lot 53 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Plan revision Required? L~] Yes ] No ( ~ ~ Use other side for additional information. ___ Date Insepctor's Signature SBD-6710 (R.3/97) Inspection #2: / / Parcel No: 16.29.17.718 i._._. ---- --- -- -- -_ - JI Cert. No. w~~ s~~ ~~~ ~.'~~}the County ody) fior the ~m er pa not flan 91n~.:x-11 t.eea ir.itt J 'alr~'..v rr/ ~ ~~~ v T ~ ~ S `~ ` ~ S CX.rX-C ~ ~ "rl s SBD-639$ (R. 01/03) t ~ ~ V i ~ ~oC~ sue. (.~.,~ `~ . ~ ~-~~ -° ~ p z~,w~i~7t-ate •~ , sin , ,.n ~1~a31 -,~-~ r ~ m Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 Counh' ~~ ~/t') l t/' ~~~0~~,~ Madison, Wl 53707 - 71.62 Sanitary Permit Number (to be filled in by Co.) ( Department of Commerce (60$)?66-351 Sanitary Permit Application state Plan LD. Number ]n accord with Comm 83.21, Wis. Adm Code, personal information you provide may be used for secondary purposes Privacy Law, s 15.04(1 xm) ~ (if defferent than mailing ad Project Address ~ p a~ Z 6 ~~ ti i t All I ti 1 A li ti I f Pl P f < orma on - ease orma . pp ca on n r n n on ~! _ _„___, ..,- . ~ ~~0'S'~' Property Owner's Name G /S ~ L/3,t:Td~ - ~~ ~ Parcel # Lot # Black # ~ r---- Property Owner's Mailing Address ~ ' tion 7 ~/F~ i ~ ~T 5~ ~~ ~~, Section Ib City State 7rp C ~ , L ~~ ~.l %G ~ T ~~ ~_-r -= Z circle T N; R~E o W~ ll. Type of Building (c all that apply) ~ ~~JJ ~~y/ ~i or 2 Family Dwelling - N of Bedrooms /~Yw/1J „~~~~ Name CSM Number ~ / ~ ~ ~ A ~ ^ PubliclCommercial-Describe (•~ //~r!!'~~ . J~d ^ State Owned-Describe Use ^City_^Village~I'ownslrip o ~(ri/ lll. Type of Permit: (Check only one on line A. Complete line B if applica ~ ( - pQQ - `~' New System ^ Replacement S ^ TreatmentlHolding Tank lacentent Only ^ Otter Modification to Existing S B• ^ Pemut Renewal ^ Permit Revision e of ^ Chang Pemrit Transfer ew st 't Number and Date Issued Before Expiration umber Owner ' 1V. of POWTS S stem• °ck all that a I `Non -Pressurized In-Gmrmd and > 24 in. of suitable s ^ Mound < 24 in. of suitable soil At-Grade ^ S' a Pas Fil ^ Constructed Wetland ^ Pressurized In-Ground ^ Hol " ank Peat Filter ^ Aerobic T t Unit ^ Sand F' ^ Recitcula ' Symhetic Media Fiber ping ^ Dri Gravel-less Pi ^ lain) V. Dis rsal/I'reatment Ares Information: /!mss Design Flow (gpd) ~ Design Soil Applicatiasr fl ~ Dispersal aired (sf) Dispersal ~ I ~QD Vl. Tank Info Capacity in Total Number Man er Site Fiber pies Gall Gallons of Units C G Ncw sting T Tacks ~M ~ ~ ~~~~ ~ ~~ Aerobic TrcatmcrU M d,,,..~.`G ~ ' 1 sibihty for inafallsHon of the PO f wn on the athched u MP RS Number A ,f` „ , ~j Business umber C ~ ka ~~ ,~~ ` ` a . ~ ~ ~~ ~i39~/a ~ C ~ P /.S ~ ZSS= Zb ,~ ,~ , -~ ~ SwJ ~' ,~~~,/~ e _ " Q> >" ' f Sanitary Permit Fee includes C>rotmdwater Date Issued Signature Stamps) ~. 4i-~ ~ . ~.. Surcharge Fee) ~ 6666 ~~„ , ~ z ~- z/ Zc~ ~ ~ loc~a+-- S~-~i~er/w ~ c~ ' `~ ~ cN- ~~- ~~ aintairaed -- n~-'~ _~ plumber. / (6f.~~ ~ ~ ~ /~ (/?1.+ intained Cam- ~~ wiE L. ,r ~8C ~~~/ pr ~~~ldyJG ~~ .~~d iX ~o, ~v T S3 ,~~~s~T ~i~/s 1 sr~1J. 3r~~~.~ T.~1ST~tvJ !~ t? Ltaoa ycn ctirrlm Sw ~ T.r~k l~~~i Z~~.E c Fl~ke. ,. b D ~ ~ "~31 $Z r ~ =loo' ~ (3M12 s `tQ~ ~3 '~NSTv~rt Z_ -~ ~f 9L' Q~ic.~e ~F .ZvtFi r{S stews DrR-r n /+g E /~~' Q~ G~ h ~( ~iS ~~~ g~~~ ~~ T ~~~/ ~ % it/~ %{ S/lo T2~ ~17 G/ 3 6em~eod.~t ~ST~I f~,1GFe~7lovo u',~, ~~ Gl~, Q3 b ~n ~ aW;~.~ ~ ~~ r .. ~ /3~t = ~~ 13 p _ "131 8Z DNS fv~-rl Z- Z.7 ~ 9L' Q ~ i <1 t,~ 1-'i 6~i~r2s ~S s~ s DrR7 n ~ ~ ~~'~ /1 _ \ . . ~w~,d ~I V~~~~~ ~~ "V1fr$o6nsin.Departmerrt o1 Commerce SOtt_ EVALUATION REPORT Divisan of SateN and Sutidinos ~~~ 3 • in aocoroanoe vvnn Vornm tso, vvrs. ~uorrr. was t Pl 1 i i ~y _- Cra • an mus inures n s ze. Attach compete site plan on paper not lei than 8112 x 1 include. but not limited to: vertical and horizontal ), direction and to nearest road. percent slope, scale or dunensions, north arrow,,arr~ a~° Parcel LD. O/ r / 0 ~- ~~ -~(~ ~ .. ; , •~~ Please print aZfio~t by ` ~ , Persons h~formation you provide may be used laiw~ 8 X15.04 (1) (m)). /O Properly '~ ~ ` ! Prey ~~ ~ /~ Q ~. !' ` t ~ L:i~:U h '.Govt. Lot (,~ f 114~(f ~ 1 /4 S R E (orj® ~j T s Property Owner's Maikng A~ddres O~ ST .C RQ~ X i:ot # Bbdc # Subd. Name ~ CSMl1 :. y .~, ~D '.7.' f ' CGUNT`~' F~ ' City State ZP ~ City ^ Vdiage Town Nearest Road ~ ~a _ wi ~ ~% New Construclion tJse: [7-Resid~al / Number of bedrooms „~,_~ Code derfired design flow rate ~ Q CJ GPD ^ Replac~mer-t ^ Pubtic or commercial -Describe: Parent material ~: ~/ Food Plain elevation if appCrcable ~ttf Gerreralaorrrrtrents SYS,~tna ~/-ev • ~P 9/ SC1 G-~w~r" ~O. Sd ~J2~., ~Q,o~ s'Z 7 and reoannrendations~~ • C rt v. ~ y. So w~,., Gf' y3 . Sd ~ V,;,r' -wP~ sy ~ ~1 ~ a ~~~ ~.~ 1. rJ ~I Pit Ground surface erev. ~.~•~V n i.repm m ramm~g ~ac~r .v gyn. th Dominant Cob Redox Description Texture Structure Consisbenoe Boundary Roois H n De r¢ Soti Rate G o o p in. Mansell Qu. Sz. Coot Cobr Gr. Sz. Sh. 'E~ `E~ -, 2 ~ - ~I ~--. Sr_ c - 9 y- p Z S 5 ~ `~ ~ •sv z #o ~, Pit Ground surface elev. 93,,,,,_=.~ R Depth to lirnfing factor, ~ ~~ in. Soti Rate Horizon Depth Dominant Redox Description Texture 5Wc~ure Cor>sis~roe Boundary Roots GP D/tl? in. Mansell Qu. Sz. Coot Cobr Gr. Sz. Sh. 'Eff#'1 *Effif2 2 r _ s _ 3 ~ 1 ~--- sr: m~. .~ 9 y I ~ .~ r. - -- 5 .9 * Effluent #1 = ~ > 3d < 220 mew and TSS >30 < i 50 mdL " Effluent ii2 = BOD. <_ 30 mglL and TSS < 30 mglL CST Name ( Prir-t) Signature CST Nurrrb~ q Date EvaNiation Condutled Telephone Number 21 ~ 3 ~U ~ S~ ~omerse~ ly~~`{ozs t D iy od 7~~-~ ~~- ~bd~' r , Property Owner ~ Te Parcel ID # ~: Page ~ of ~? 3 ^ ~~9 Boring # m. Soil icatior- Rate ~ Pit Ground surface elev. 9g,~ro ft. Depth t° limiting fac>lor ~.. tion i D R Texture Stnxxurs Consistanoe Boundary Roots GP D/f~ horizon t)epth in. Dominant Cobr Mansell p escr ector Qu. Sz. Cont Color Gr. Sz Sh. 'Ef'f#i 'Eif#2 .. . Z ~ s' ~ Z k I ,~ .8 9 ^ Boring # ^ Boring . ^ Pit Ground surface ebv. ft. Depth to limiting factor in. ~ Rate Horizon Depth Dominant Cobr Rector Description Texture Strudune Consiste--oe Boundary Roots GPD!(~ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "'EtT#2 ^ Pit Ground surface elev. ft. Depth b limning facnor in. ~~ # ^ ~9 Soil Rate D~a~tion R ct Texture Structure ~ Boundary Roots GP DIIf Horizon Depth in. Dominant Cobr Mansell or e Gtu. Sz. Cont Cobr Gr. Sz. Sh. 'Etf#'I *Efi#2 " Effbent #1 = BOD9 > 30 < 720 mglL and TSS >30 <_ 150 mglL ' Effluent #2 = BODg < 30 m9lt-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. SBD~8330 (R07Po0) wst~Deparanentofcommeroe ~ SOIL EVALUATION REPORT Page~of 3 t~vision of'Saliety and Buddmgs in aooordanoe oath corrrm tom, vvrs. ~-am. was ~- C ' ro qtt~ ~rnpletie site plan on paper not lase than 8 ,/Z x „ inches in stae. Plan must indude, but trot I'wruled b: vertical and horizontal ~ ditectian and Paroal I.D. scale or dsnensions, north arrow, to neen3st road. percent slope , P1AAS@ pY~ftf' / ~` ~, \ Reviewed by D~ Personal lnfornwtion YW P ~Y bs wed ~s f` 15.04 (1) (m)j. ~ ~. .,. ~ ~~~ Q t ~ G~'~ ' Govt. ~~ ~ t~ 1l4~(/~,Nf S G T N R E (or}~ property Owner's Mailing a' gT C ROI x ~~;# Block # . Subd. Name or CSl1AlF .. ~. ~ CbUN?Y ~ ~ City StateTiP Code City ^ Town Nearest Road "~ ~ r New Corrstrucbion Use: [~-Residerrtisl /Number Of bedroorns;~1T Code derTM'ed desgn flow tale ~ Q d - GPD ^ Reprent ^ Public or oonunercial - Descxbe: Parent malerlal ~: ~~ Flood Plain elevation if app~able R oral conxnents S ys,~r= rn ~/{ v • f~+P 9/ Sd L.ow~r y/4. Sd and recornmendations~l. ~ r{ v. qy. so ~w ~- ~3 . sd ~P~ ^~ i3ora-g # Pit Ground eurface elev. g3.S'o ft Depth to lim~rt9 factor `f in. ~ ~bi n D R d Tex~ne Structure Consis~oe Bourxiary Roots Haaon Depth in. Qominant Muns~ aoc esa o e t1u. Sz Cont Cobr Gr. Sz Sh. 'Etfll`, `Elf~2 ~ ~, ~ `~ ~ tv •5 2 ~ - ~l ---- St, c - 9 V - L5 - • 7 Z #a f~ Pit Grol,ncl surfaceelev. 93~,~ oath m lirrtrtmg ~ !0 in. ~ ~ Fl i ttt D Dominant C~a Redox Descxiption Texture SWdure Cor-sistenoe Boundary Roofs GP DVt~ zon or • ep ~. MunseN Qu. Sz. Corrf. Cobr Gr. Sz Sh. 'Efiflk, 'Eff#2 ~ b-1 -----~ ~ r- c ~ 2 r s "' 3 y ~ ..I ~ I ~ --- ...---. s~ a ~~ - -- --~ 5 .9 9 • l #, _ BOD > ~ < 2Zl) mil. and TSS >~ <, - so mgn. • Fa~,errt ll~ = BaD < 3o mgn. and Tss < 3o mgn. ~ CST Number f~T Name -P~ a q c- ~ 1 Dale Evaluation Condlrcfad Ted N~~' 7 )1 ~, ~~ ~ 77` ~/1rnPr^.5e`i~ ~/ )/ ~~7L rD /~ ~d ~~~~-,-~ ~7- d • `. i •, PAGE~OF~ NAME v rl~'~. LOT#~ 3 LEGAL DESCRIPTIONSW ''/4/~''/a,S 16 TZq,N,R 1 ~E (or)~ SCALE: 1"= ~OC~ BM I ELEVATION ~~~ ' U BM I DESCRIPTION ~° P ° ~ ~ c o ndZv ~ + ~-- -- BM 2 ELEVATION ~ ~ • f 3 x ~ ~~ BM 2 DESCRIPTION~O P o-~ z Co n.cQ y e t SYSTEM ELEVATION~o q ~• b o ~3o f-~-e,rv~~lO•Sd ALTERNATE ELEVATION ~pP Q~ S/~ l3v~m f/~.5~ ('(1NT(lT 1R FT F~/ A TTfIAT /vl Q ~~~ ,~ FILE INFORMATION POWTS OWNER'S MANUAL 8T MANAGEMENT PLAN Page of _ Owner LAS dL~,~~ Permit # '{S3 Z,zfp DESIGN PARAMETERS Number of Bedrooms ^ NA, Number of Commercial Uniu A Estimated flow (average) ~G~ gallday Design flow (peak), (Estimated x 1.5) ~D gal/day Soli Application Rate , gallday/ft2 lnfluentlEffluent Quality Monthly average* Fats, Oil 8z Grease (FOG) s30 mg/L Biochemical Oxygen Demand (BODs) <_220 mg/L Total Suspended Solids (TSS) <_150 mg/L Pretreated Effluent Quality ^ NA Monthly average** Biochemical Oxygen Demand (BODs) s30 mg/L Total Suspended Solids (TSS) <_30 mg/L Fecal Coliform (geometric mean) <_ 10' clot l OOmI Maximum Effluent Particle Size rf3 inch diameter S~ISTEM SPECIFICATIONS Septic Tank Capacity ~,GY gal ^ NA Septic Tank Manufacturer ~j`~j~ ^ NA Effluent Filter Manufacturer ~ ^ NA Effluent Filter Model ~G_frjrj ^ NA Pump Tank Capacity gal .E3'I~A Pump Tank Manufacturer ~0'FIA Pump Manufacturer .0'1VA Pump Model ~A Pretreatment Unit ~K1A ^ Sand/Gravel Filter ^ Peat Filter O Mechanical Aeration ^ Wetland O Disinfection ^ Other: Manufacturer Dispersal Cell(s) ,[~'In-ground (gravity) ^ !n-ground (pressuriz ed) ^ At-grade ^ Mound ^ Drip-line ^ Other: * Values typical for domestic (non-commercial) wastewater and septic tank effluent. * * Values typical for preveated wastewater. MAINTENANCE SGNEDULE Service Event Service Frequency Inspect condition of tank(s) At least once everypZ /a3 ^ months j~'year(s) (Maximum 3 yrs. ) Pump out contenu of tank(s) When combined sludge and scum equals one-third (ifs) of tank volume Inspect dispersal cell(s) At least once every p2~~ ^ months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) d~ /fS inspect pump, pump controls at:alarm At least once every ^ months ^ year(s) ^ NA Flush laterals and pressure test At least once every ^ months ^ year(s) ^ NA other: At least once every ^ months ^ year(s) ^ NA other: At least once every ^ months ^ year(s) ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Maste Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any t;:nk equals one-third (ys) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer.. A service report shall be provided to the local regulatory authority within 10 days of completion of any service, event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicai< that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contenu ~~ ~ System start up shall not occur when soil conditions are frozen at the infiltrative surface. Page of ` During power outages pump tanks may fill above normal highwater tevels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butu; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; gaintin~ products; uesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: A[( piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant repia ment rystem: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot tines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be Installed as a last resort, to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such rystems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR tMpncctRi.~. ADDITIONAL COMMENTS POWTS INSTALLER Name 7L ~lr/z Y N~ Phone 7~~ ~ ..- SEPTAGE SERVICING OPERATOR (PUMPER) Name POWTS MAINTAINER Name lyZ ~~~ ,~L Phone _ Z3 _ yy~ LOCAL REGULATORY AUTHORITY Agency ST ~i~ ~ Z~!/N~ Phone ?J1'~- ~6 - 5~ ~ ST CROIX COUN'T'Y SBPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CgR'TIFI~ATION FORM OwnerBuyer ~-- h ~ ~ Mailing Address ~~~ W~S-E- Rsl• ~sE I~a1~~5 ~ , pro Address t ? ~ ~~" ~ "~ ~ ~~ coon ~ r~Y (Verification required from Planning DeParia-ent for ne~v c~^stru ) ~o~o ~ S 3 --~~ City/State ~(~.~ imp Y~ ~ ~ Parcet Identification Number ~ ~`~ ran ,. t n><-cr`_RiPTION .on Cj~ y,, ~~ property Locatt _____ subdivision '/4, Sec. ~ W . T °' ~ N-R ~ _W, Tawn o ~` ~'' c) ~ ~- ~,~~-~' i a ~ .Lot # ~. ~~ .Volume r`" . ,Page # Certified Survey Map # - u ~(~~ ~ Volume ~ ~~~ • Page # r Warranty Decd # Lot lines identifiable ;~ yes' ^ no Spot house ^ yes ~1 no evg~M lyI AiNTENANCE remature failure to handle wastes. Proper ma-iuteaancc use and matateuanceof your septic system could result in its b a licensed pumper. What You put into the system oonsis~ of pumping out the septic tank every three years or sooner, if needed Y can affoct the fundivn of the septic tank as a treatment stage is the waste ~~' a certification form, signed by the owner and by a The property owner agroes to submit to St. Croix Zoning Departm~~g That (1) the ou site'wastnwaterdisposal system p~~y~plyunber'rc;stactedglumberor a licensod ~)~ ~ tic tatilc is less than 1/3 full of sludge. is is proper operating condition and/or (x) after inspoction and pumping (~ vote sews a system with the standards Il~ve. ~ have read the above ztiagairrameats and agr+oe to maintain the pri g of Natural Resources, State of Wisconsin. Certification ~ forth, herein, as set by the Dcpattrneat of Commerce and the I;kpa OfI'icc within 30 sq~g that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days f the .year expirati~ te. ~ ~ ~~~ DATE SIGNATURE OF APPLICANT OWNER CER'~CA'I'~ON our knowiedga I (wc) am (arc) the ownct{s) of I (we) ce~Y that all statements on this form i~~~ in R g~fster of Dads Office. ~ 'bed a e, b virtue of a wam-nty t f _ s, ~ ,~`[ DATE SIGNATURE OF APPLIG De ardment. «««««~ «««««« Any information that is mis-represented may result in the sanitary pernut being revoked by the Zoning p ~~ «« Ilcation: a stamped warranty dead from the Register of Doody office Include with this app a ooPY of the certified survey map if reference is made in the warranty deed . ~ THE D 1 STURBANCE OF A SURVEY STAKE BY ANYONE SECT ION 236. 32 OF W 1 SCONS I N STATUTES. UT t l t 1 ~ ~ r ~ SET FORTH ARE FOR THE USE OF PURL IC BODIES t HAVING THE RIGHT TO SERVE TO AREA. LOT F2 2.61 ACRES 3, 732 S0. FT. ___ ,4 ~ ~~~ _S_NE_E_T_ 95. 3p~~ BENCHMARK ELEV. • 1127. 73 _ ~_~9== ~o°E ~ _ 2e~• BOI M79o55, ~o~'`-,M 3'79 /2;`- ..._ 2~6. 43 `~ -_. . ro z S .~a _o. f ~~ .~ 0 v_ 239. O I ' 01 ' (TO SE COR. PLAT ) 4S T 4UAR TER CORNER ) I NG THAT WOULD AL TER QTY OF THE STORM WATER AREA I S PROH I8 t TED. ~ • O • NOTE --T--- - l HWF • L.~ O C ~ ~o "t' ~ 9 LEGEND FOUND I ' I ROM P f PE FOUND 2' ! RON P 1 PE SET 2' X 30' 1 RON 3. 65 L BS. PER LINE SET I " X 24' IRON I. 13 L BS. PER LINE, OTHER LOT CORNERS UT 1 L I TY EASEMENT SETBACKS DR 1 VEWAY L OCAT f ONS RECORD DATA HIGH WATER ELEVATit 100-YEAR FLOOD ELEI S Rt~~~cl~ic~ d~,~ LOT 6 ! ~'•t~~~ Rs~+~t #~«,or 8~ .da ~ ~~ ~~ • ~~~~ ~Is~r f BEARINGS REFERENCED TO QUARTER LINE OF SECT ION AS S89°27' l7'E. f ST. CR( COORDINATE SYSTEM) 100 0 100 GRAPHIC SCALE - FEET ' ~' STATC BAR OF WISCONSW FORM 2.1999 KATHLEEN H. M1LSH thxumau Number WARRANTY DEi:D STS. ICR~OIJi co.~MI lbis Deed, made bttwecn Ric J. Mechelke and MicheNe 8EC81 VED FtIR REC~tD ~echtdka hraabrand shad wile Grantor, B] ~88/7.f~4 09: ditAfl and (~ristonher Colbetb and Rebtcca~Caiitetb~hn~and and'wife - ' 11ARRANTY UEltiD • -- Grantee. EXt7~'T a Grantor, for a valuable coasidtratio®, conveys end warrants to Grantee REC FEE : 11.00 the following described rCal estate is 3t. Croix County, State of Wisconsin TRANS FEE: 187. S8 if a space is needed, please atuch addendttat): COPY FEE: Lot 53 Pheasant Hills ~ Addition. St. Croix County, Wisconsin. !~ FEEt PAGES: 1 Rccorditt~ Area dame and Rehm Address i , K!" ~ ~"f INA OGLAND A i TC~9NEY AT LAW P.O.60X 369 HUDSON, Wl 54018 ~~~~ Pucd Identification Plumber (PIN) Ibis is rsot homestead propertp (is) (is not) Exceptions to warranties: Eaeewents, reserictioas •nd t•igltttl-o( way of record. if sny. Dated dtis i day Of D.mnerar ,~OQ3 . AUTHENTICATION 5ignatwe(s~ tRick J. Mac6alkt! rand Mtchelte Meebdke, Irtssbend sad wife (~„' authentiwtcd this ~ day of Dectmtber ,2003 ~•- ' !{riatittd OeHnd -., T1TLB: MEMBER STATE BAR OF WISCONSIN (If not. authorized by ; 706.015, Wis. Stars.) THl51NSTRUMENT WAS DRAFTED HY Auoraey Kristian Oelaod _ Hudson, WI51016 ~~ (Sigreaues may be atrhertdau4 or aeknowkdged. Born are oat ' 'ck J, rrehelka _- ' Micbelk MeebeNts I ~~~~ ACKNOWLEDGMENT STA4'E OF ) sa. County ) Pecsotnlly came before me this , _ ___ dry of '. ._.. _. _.___.. the ab0~e parted to taro known to bo the person(s) who executed the forcYoiits'..+_. insttttrttent and acknowledged the same. i~ • Nar+><s of persons sigttitt~ lrl soy capacity murtt be typed yr prin WARRANTY DEED _,,,~~ Notary Public. State of _ -___ My Commission is permu>em. gf not, state expiration date: necestary.) ~ •) red bchw their ai`oaNrc. Inrormadon Frofu:iomrlr Co.. 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