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HomeMy WebLinkAbout018-1034-10-100,.isconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division a .~ INSPECTION REPORT i GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village x Township Schmidt, Mark Hammond Townshi CST BM Elev: Insp. BM Elev: BM Des/c~rip~tiorr TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic v~o Dosing 6a loo Aeration I~ O ~. t~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic \ ~ ~ Q / J / ~ ~-I-/ /-~ ; Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demand GPM Model Number ~ ~ ~ ~ i9~ 0 TDH Liftl r• ~ ~ 1 Friction L~s~ System ea~ ~ r TD ~ • ~t Forcemain Len th ~ ~ Dia.2 ,~ Dist. tq w~ ' i a N ~~ c nu w nc• ~nn~r~~u c+ ve.Trw• rv.~ rwvv~~~ ~ w~~ v ~ v ~ ~m 3EDITRENCH Width /A ~ Length O DIMENSIONS Qq1( (/O_ r ELEVATION DATA c°unty: St. Croix Sanitary Permit No: 420322 0 State Plan ID No: Parcel Tax No: 018-1034-10-100 STATION BS HI FS ELEV. Benchmark ~~~ ion. s" vo.v Alt. BM S~ ~ 9 G • 3 Bldg. Sewer ~D. d 2 . ~7 S t Inlet 35 9• Z SUHt Outlet / ~- Dt Inlet /~ ...-- Dt Bottom ~Z SYs.~' Header/Man. S. Dist. Pipe ~ 3 97 3S Bot. System _ jfJ. 4'~ ~o• 7 F al Grade ,~• St Co r/~~ / y ~` C INFORMATION T e Of f ~i,~'1 ~1 I_~ ~ ~ ~ CHAA v tr ~~ Model Number: DISTRIBUTION SYSTEM Header/Manifold I ~ n lI Length "~ Dia !/ Distribution Plpe(s) ` // ~ c ~i Jl, ! Length J J Dia ~' v Spacings x Hole Size 2 Il J x Hole Spacing y Vent to Air Intake ~a ~ SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Only 7S ~.r~, Depth Over ,r Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ' S ~edlTrench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (In repencies, persons present, etc.) Inspection #1:~/~/ ~v Inspection #2: ~~ /fir Location: 1153 ~ ~~,,a~mpmond, WI 54015 (NW 1/4 NE 1/4 17 T29N R17W) NA Lot "' Parcel No: 17.29.17. 4 1.) Alt BM Description = ST t.UV t/l~ 2.) Bldg sewer length = '7 $~ -amount of cover =~ ~' ~ 3.) Contour =~ ~` I D ( I--~ f~-----; ~ ~ ~ Yes ~ No ~ i Use otherls de foruadd tional nformation. L_~~L_`_~_i O ~ ~ ~ _ _ __ _ - - _ ~~~~ ~~~~ SBD-6710 (R.3/97) Date Insepctor's ig ature Cert. No. '~S~ ~ Sanitary Permit Application Safety & Buildings Division In accord with Cotnm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application 201 W. Washington Ave. PO Box 7302 7302 53707 isconsin oses d for seconda ur id b s i l i f - Madison, WI Department of Commerce ry p p e may e u e on you prov ormat n Persona rivacy Law s. 15.04(1)(m)] (Submit Completed form to County if not , y ,~Z ~9p state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ^ Check if revision to previous application ~ 2 State Plan I. D. Number 1~ ~~ ~T s ~~ ~ 2 . irea I. Application Information -Please Print all Informs ' -~-------~ Location: Propcrty Owner Name 6 ,,;.. - m ;.„. Property Location ~ / ~ 1/4~~1/4,51~T~9N,Rf (or Property Owner's Mailing Address r~ ; ~ (~ ~ 2002 Lot Nu ber Block Number t' _ Cj,~, State Zip Code ~ Sub -v-s-on Name or CSM Number _ _ (~' ) (~'~-!~ Lt)S ~ 36 •~o~ aura- e~ ai II. Type of Building: (check one) ~ o-~c ~s "µ •''~t ^ ~'ty ~„~~yp~l,~ ^ Village 1 or 2 Family Dwelling - No. of Bedrooms : ~ ~^I'own of ^ Public/Commercial (describe use):_ ^ State-Owne l~o°`~/ a~ q S. 10 Nearest Road ?D yd. ~ ~^`T6~ -~ G~ 8 r x ~ r ^^ ~.~D tr . ~ r 6 'Z 4 ~ .1 Parcel Tax ~s ~3 T~~ ` III. Type of ermit: (Check only one box on line A. Check box on line B if applicable) a ~- p) i. ew 2. Replacement 3. Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Perm-tNumber Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ~ ~-/OD ^ Non-pressurized In-ground Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Dispersal/Treatment Area Information: .O 1. Design Flow (gpd) 2. Dispers Area .Dispersal Area 4. oil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Elevation Requi ®~SO roposed ~~~~) Rate (Gals./da /sq. ft.) (Min./inch) r ~ VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks VIII. Res onsibility Statement I, the undersigned, assume responsibility for stallati f OWTS shown on the attached plans. Plum 's Name r-nt) Plumb Signat (no ps): MP/MPRS No. Business Phone Number ~ ~ 23.E z-b~ ~L p /.~~~b z- Zl I obi t , City, State, Zip Co Plumber's Address St ree ( ~ / ~~f / ^~ /~i ~. f f ~ } IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issui Agent Signature (No stamps) Approved ^ Owner Given Initial Adverse Surcharge e) 32~~'- ~6 t Determination f~Approval /Reaso s for Disapp oval„N~~ ~ ~~ n_ / n ~ . C~o~ldit_i~s o X C Qe ~ C ,~ ~ ~ J ~ S~ d L ( ~ ,( ~ _ u- 3 N fil~ ~~ 1 ~ Z ~~~ ,.r .~ .~ a ~, .o ~~ x ~O ~ i ~~ ~_ ,~ 4 ~, 9 J ~ =.~ I J -F • s ~ ~: ~ ~ C~ J --s y ~ / ~ O/ J ~; 1 ~ T -~ M ~ J ~ N ~ ~ s t ..~^/ v ~~ 1 ~ j ~~ 03 J / n G• , ~ l i ~ 7 r ~~ `V J ,^ I ~ O ~~ ~~ d ~---h ....i .A ~J' ~' ~ v r1 $y ..- .~~ ~ ' ~~ // 0 ~ 1~ .~ l~ v', ~~ ~3 .I ~~ to w ~ o ~ _' "_' c ' "~ se M rc ~ • J~ ~ ~ 'i / A~ ~ S ° ~ ~ s ~ ~ --~ v v c' ~ ~p i / /'` ~ ,^ ~i ' w .~ 1 \ w' j ; ~ ~, ~ --~ a --i 00=4 j Q' ° b0. t~ ~ ~ v s ~ o' w ~~ ~r b ~~ ~~ S~+ J 7 ~~ r H} i( l s 0 a a d ~ ~ ~ o ~, J ~J ~ .~ 1 ~~ r C~ j 2~~ ~ ~ ~ ~ 4 (`~ 4 ~ G ~ j 9 `~ 1 ~ Q+ p ~~ ~ .~ ~° ~, ~ / _ ° ti ~ -'` °$ ' 3 ~ s 0 ^ y ~ ~ ~ ~ ~ rA 'J "~' f ~ t `/V ~ ~eJ ~ +~ ~ ~~ ~ J ~~ e ~~, _ 3=`~` _X~<:k Ff- __»>- rr V N !i' O`C 1~ 5 ~ ~ Z f t ~ ~ ~. ~i V .~-f d --f 0 G~ S d ~~ 0 ./ ~~ rr~-~ vJ .j y z ~ ~ c+' o '~' s ~ n o `~' ,, ~ ~ ~ =-~ ; --~ I ~/ J 4 • ~ • S ,,.. p r a~ ~' ~ N J .+ • -~ ~ ~ fl. ~ ~ ~ ~ ~ J o ~ c '' ~-3 v' -- ~. t cry .+ ~~ / o ~ ~ ~ _~ T r-' ,d' ~ „'7 N r ~ ,~ y} ~ -~ .a ~` 6 ~ ,a a ,,~ ~ ; '~ ~ IO _~ ~ ---~ la J ~ M °i 0 ~ n cT u 3~ _J d 'r --t r-'Q`" N 0 ~ F--- 0 1 u 0 Liu n J .: a ~-' c --~ .+ ti V • .+ a f ~ ~ 0 V i i t A ,~ o' ~ ~ ., ., r~ _~ --~ ~ ~ v N v~ ,~ S^ Q.. 4..s ~) ~J d' ' ,~ r .. ~, ..~ • '3 ~' f f e s 0 a d p^0 ~ ~ ~ d J .~ ~° ~ ~~ r C~ j ~ ~ ~ ~ ~- '~ ~ ~ `~ a ~ ~ Q 9 `~ ~ d 5 ~ .~ ~ ~ ~~ ~~ ~ ~ ~ ~ ~ J r i ~ ~ ~ ~ ~ n ~ > ~.r" S 1 f ~ /~ rA "J o' ,~ d ~ ~ OSL ~ `~ J 'J ' rO v a r o ~~! ~ ~ j~ ,, c~7Gr ~=1 n _; < -_ £F~'`-_ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary August 02, 2002 CUST ID No.139462 TODD L SINZ T L-SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/02/2004 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Mark Schmidt 100TH Ave Town of Hammond St Croix County NWl/4, NE1/4, S17, T29N, R17W Lot: 1, FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 863168 Identification Numbers Transaction ID No. 772840 Site 1D No. 648341 Please refer to both identification numbers, above, in all cones ondence with the a enc . 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1lO1} and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • 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. Condi • 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 D PARTMEN' • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N OF AF 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 tI~EE CORRI designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. TODD L SINZ Page 2 8/2/02 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/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, G ~~~ ~~~` 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 I ~ . .l , Mark Schmidt -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 (O1/O1) ,/~~`^ Pressure Distribution, SBD-10706-P (O1/O1)s ~U ~i~ 'OFF ~ 1 F4 Location: Bonte Lot '1 ~,p 8~0~~ NW 1/4, NE 1/4, Sec. 17, T 29 N, R 17 W ~~O^ Town: Hammond yso County: St. Croix ~~ Date: July 30, 2002 Owner: Mark Schmidt Address: 517 CT W SS Robert WI 54023 Plumber: To inz „ A , Signature: License # M1~--Y39462 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan ~,~~~~,~,~ 4: system cross section :d 5: plan view, lateral detail ~ '~~_~~, 6: pump tank exit detail .o~,, s~^,~~.~ AND ~'t~"'} 7: pump curve ~«ttr~s 8: system management OIVpENC , page 1 of 8 y r J 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 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~ • Z b gallons/sq. ft. per day Depth to estimated high ground water ?~ t ~ in. Depth to bedrock ~ Z ~ in. Cross slope at system ~ ~ • g % ~ ~- Force main length ZS ft. of Z- in. Manifold/header length ~ ft. of Z in. Drain-back ~' ~ gallons Lateral length ~ @ ~~•~ ft. of t,ly in. Lateral elevation ~ ~' Z ft. @ bottom of lateral Lateral hole size ~~~ e in. @ ~ ~ • ° in. ( Z • ° ft.) Spacing Z ~ holes/lateral ~ holes total Lateral volume ~'~ ,4•Lig gallons Total lateral discharge rate ~l.•4" gallons/minute @ ~'s ft. head Network pressure compens at ion losses ~'}S~ ft. Q ~ Elevation difference ~ ~. ~`7 $'~ ft. Friction loss ~ ``~ ft. @ Z~' gallons/minute Total dynamic head ~ Z • ~ ft. Pump/si~}jron ~°~ gpm @ ~ Z ft. of head Manufacturer `~ •.~,~ d ~.~. ~ ~ ~ Model # S ~ L ~ ~ o Dose volume ~ ~ gallons ~ ~ -~ Lift/si~hon tank ~~ w~~ ~w~ ~ ~ • ti pro ~`^~ ~ `rO gallons Septic tank ~~ ~' `~ ~ °~O gallons Effluent filter ~°~~ C-1- ~ `~ Measurement pump on and off 3•`' in. Height alarm from tank bottom ~ ~- q in. i Reserve capacity ~•~ gallons specs.calcs.res Page Z of ~ ..~ . 3' rt' s N [~ U' ~ ~ 2 r t 9 ~-,- (- 0 ~ ~~ r ~' ~ ~°, ~' : -~ ~ ~~ ~. r ~~ s a ~ .,~ ~~ -r ///~ lj `~-' V ~~ ~~ s ~~ s,~ ~~ ,f ~~ ~ o J ~~~ y j _~' .,% ~ ~ ~0 ~ i ~~ `.~ ~$~ ~~ l~' ~ ~ Q ab i ~. a .~ -~ ~,. '~ .. ^ a ~ ~ ~_ ~ ~ ' ~ Se ~ ~ +` „,i A~ ~ 0 ,/` U S ~ s ^ v v r ---- y ~ ~ i ~t f p / gyn. ,. ~ .~ = 80 ~ d" so --~ r M y; J ~ ~ I q r ~, { ~ ~ N / - ~ I ~~ 3~ f ~~ •f ~ ~ ~ a ~ `~ ,~ $ ,~ cr, \J ~~ I - ~3 ` a~ 1 ; - . ,, ~. ., --~ ~ ~ ---3 ~ ~. ~ v s ~ N Cf' ~J ~~ b Ml ~~ n.., !~ ~J ~ ~~ 1 .. ~, .i• • ~~ ~ s s e r j 0 a a ~ Oy 0 `f `~ f t ~ I j ~ f ~ ..~' ~f ~-'Q`~' ~ a ' a ~ N o ~ o ~ ~ ~ J d' ~~ :_ N ~ ~ ~ ~ „ ~ ~--- , 3 -~ ., r ; ~ -~ ~ ~ ,~ ~, o .. > 3 a ~ ,J r0 4 0~ r p ~' r ~~~ x~rK~. k_ _Y ~~= =_»>- ~i .,' »>_ . ,. ; ,_ .~ J ` S}t,.w~ _.. _,., ~v~v4S ~ ` ta. }~oW ,~ I/z'~~fL wa..Z~~ I ~~.v~l 3 ~ Yoe.k ~ae~ 0.ZS~v~ ..~~ ~" ~:~c.,,,~ Z„ ., ~ ~ ~ l 1 /V\ 7 ~- w c... a~ .~ ax e o ~ t \ ~C Q.N ~ ~ T . ~Z. ~ \ ~ 1 ~o O .. < V \ ~ ~11 i, ~ ' / ~ IK ~ ~ RtiT~ o~~ V ' 1 o~ \ y h i« ~ 1 ~ w Q,`t.V z o.v ~w_ a S , ~ o~ ~, . 0 C p ~ vw ~.y, 3s~~q N o~~: ~ o~~ ~.~ aH k~~ ~o" o.~ 3' ~ ,. ~ ~ f .L e.w~~-~..~ a ~c.~ t t9 . ~--R i .~. mss' l- 1 c~ ~ V ~ 2~~ s.~i - _ 4 .,, - --- ~ _. __ _ 2.,,, 0 Into' `'• ~i- I i.. 5~`~ 0 ~- ~l• _ ~;'L - l~m.o~ 13.t' $l~•~i-~ r1 11 (` I .S" N o ~ c ~ ~ 4 ~ a.. M t T QJv~ w.', w o. T¢. ~~ "Y w w e ~ ~. ~ G.14- u ~'. O,' ~^ L 4 U~~ 1_ V C O b 5 ~^t V L~ O y ~+-~4l 1~ YO v~ ~4 ~ O ". O 'F ~f O L ~l \1 C 1V o ~ Qhn.rv<. ~r.L )t ~w M: ~F ~S v~ `D..a `, ~7 g~6Zt~~b ~C~~Q ~`, O.~ 7~ Gi.2~\k~+0~ ,~„ `_ P v L s c..`, 40 ~......, ~-. ~ ~c Y. Ld ~., p ~~ '~ O ` ~ T P.v ~ S `1~ Z' PVC S ~ 4-O ~~~Ru....\S `T*O~ ~~ / d~ .J ~~ ~ ~ ~ ~ ~ ~ a~ ~ /~ f ~ A_ p J .'1 Y ~_ ~r~ ~- ~,, , T .~~ ~ 3s.g ~- Z~.3' ~~ I ~ _ _._ _- --- -- ., ., ;'.. ,, _. _ _ . _. . ~ _. . Z " I"1 n ~ H WEATNERPRpOF lDCKING GOVfiR .TVNCT-or+ ~/Ait'N ~iUG ~ ABED(. BoDc Giv-cK C~aco~~tcT--~ ~ ~~ 6.. -~- ... • 4. R ., G l a.., ~ .. ~, .4 ~ , ~' ~'-j .~ 4 ~v~ ,~~ PIPE 3' - i IlU ND-STua6~D Soil. 24" t.D• ~I ~ 4" 40 I I K ~~ c+vrc~ 1. ^ , ' ~ ~~wuo HCtiG P~ ~ awKwcO. A - 30,E ~ S.-~, SKET ~NT'J ~ BAFFLE 4 0 V D-IG ~ 4 1 ~ Al 3' p.rrp ~rtr+ E C.T I o 1.15 ~,' ~...~ ~ b .~, t~ .. 1 v-p -r- ON - w~~uzucc_ ~ t c t ` i ^ Gcau-.o `g `8.~-S ~ aGF p PuKP ~ 1` COAlGRET~ ~~~. bco~K ~$.~ SEPTIC E _ SPECIFI~CATIOI~IS 14 ~ (~~' "~' DOSE 1t ^ TA1,1~.5 MA-JUFACTURER: t"~"-~'d-~k`~"t' ~ ~,~ IJUMBER OF DOSES: PEK DAB TA-J ~ tT~v - (, K SIZE . _~ 1 GALLOIJS • .DOSE VOLUME ALA0.11 /"IIWUFACTURCQ; S `~ ~^~~ °-c-i~vd IAICI.UDIAJG 6ACKFLOW: `~ g GALLONS rIOOtL I,JUIh$CR' . \ e l 1,} ~ ` CAPACITIES: A= ~~'~ ilJCHCS OK 4.8.3 GACLp~;S SWITCH TyPf; r~'~'~` `~ PUMP MAIJUFACTURCR; - F~~ o r.. ~ 8` Z IuCHES pi( 2q~g G.~~~CtiS T.g :~ MODEL 1JUMDfR: S1~F~ '~~ ~- C' r iuCMESOH Sg'O G~~~oUS SWITCH T p ~MPJv~v .~, D• l~ INCHES GR ~R~GA~lp1~~ ~ E• IJOTE: MIAIIMUN'1 DISCHARGE RATE ZI''~ PUMP A1J0 ALARM AR( TO bC G-M INSTAll.EO 0-.1 SE PA RATC CICCCu~r; VERTICAL DIFFERfAJCE CfTWCCU PUMP Oi- AI~JO OISTRI~UTIOAJ PIPE., ~`~/ FEET + MIuIMUM uETWORK SUPPLY PRELLURE . ~ ~ ~ 2.~ ~ FEET 1 ~,'~~ + 2S FEET OF FORCC MAIW X 1.1e1 FT,~ o, 'L ---~--~ioo1LFRICT101J FACTOR. ~ FEET ~ ~ y~ TOTAL DyE1AMIC HEAP ~ ~Z•1 '~ ~a ~ FEET I-JTERAIA~, DIME1Jb10AJC •O/ ` ,~ ~,2" TA1JK: LEAJC,TH --- ~~ -:W;pTN ~ LIgUID DEPTH 2 P a ~. ;. 6 ._ ~ ~ f r• ..~ , ,~_ ~ ~ Puree Chab~ECteristiftfts -sms /MafM lhdf St~r4111o MdotrwHc Atodol~ SN[ib0A1 Honapewer .30 FeRI load Ae~s f1.0 IM-er Sf~od Pete 14 1 It.PJII. i SSC Phase 0 1 Vok ils Norf: b0 lempentare 140'F AFIfMaft NEIMA t>es-b. A Mfdetfa Gus A ihscfwa• SFto 1-) /1' NP7 ~Jb~ sabds N1uii~ 3/4' nt-~lt~ fi,ilt Watg~l so ~. Pawor Gerd 1 b/3, SJ1W, 20' std. Materials of Construction Neftlle ~~ 5taloins Steal fabric oM ol.l~trr< t+i Meter N~ Cosf ka cos Celt ker t ~. sf+oft S+al s.el coos: ca>r~ea JCerafaic Seth flettys Aee~.d Steel sste~iNlets steer wss ftwn-N r E t Gsh frog Slaw lows Boer Iwf) batten flH~ F stk legs F~Iteerd ltMnee/fesik FlntaiNft Sttiless Sleet P~,rferb~enee DcsEfa f ~ 6 -~ p :fi~w L 0' 0 cp«h+u,~t.r. 4 to to M ro St ~,...,...._.._._..__.1..•.,..__. ..~._._...__. ,...__t__. uwlshwa+ a t f ~ >rot.i fr.~ ~..t ~ fi ~ s i ~ so s~ d~fff ql.s.! 44 si ~! Z= 12 0 Dimensional Data i. /N is F i1d~s Ind ~ r~«~ia~l1~. z. (se~esad ~.asr ~r rsry: 1/1;,ra 3. Na Ix nlosruown pAsw ~~ ~ ~~r. ros Thnew S. On/DH burl eAtmoYr a. w rrssm n. r~ln a ~ b~~.d11~ fpldkolpD MIIOtA M1ks ~~' • •~~, ..,,.,.._ i'1. ~ ~ 11 ~ 7/i (J91) ~ ~ 1041 h+-~ ~dn ~~ HYDRQMATICw . - e i8~0 Bartr Rwd AsNa1d, d1o 44l~S iel: i19•I89.90~1 hx 419-Yi1~4011 Weh Site: w•w.psMdrvunv.rom SdIES (3FFIC[S IN l!l IKAJON CRIES ANQ COUN7tIE1 4~m u: W-ti2.83S0 t2G8 GSM CJ 1999 Hydronidic' Pumps, Ashland, ph~o N! Rig - Yw~ Aulhonsed lord Casrnburo~ - \~41 ~ ~ ~' i I .._t ._ _...t...~_.... I _... I i I c• .~ ~ - System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. ~. 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 pump tanks are no longer used, they must be properly abandoned. 1 l . If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance I . The septic tank must be inspected every three years by a properly licensed person, 2. f f 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. ~. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. if the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 I . Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.4 (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 r~ ~' ti ~' wisconsinDepartment•ofCommerce SOIL EVALUATION REPORT Page ~ of~ Division of Safety and Buildings rn accoraance wrm Comm tsa, vvis. raam. ~,oae must i Pl 11 i h i --- County c C ~ ~' J n s ze. an nc es Attach complete site plan on paper not less than S 1/2 x inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. 04 (1) (m)) L 15 i P Reviewed by Date ~ J~ Q ~~'`' . aw, s. . r vacy Personal information you provide may be used for secondary purposes ( . j ti, Property Owner Property Location ~ In ~ „~ Govt. Lot ~/(~J 1 /4,~/ („ 1 /4 S ~~ T Z g N R/ 7 E (or~ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 3~ u- o ~ Gc c C'rty State Zip Code .Phone Number ^ City ^ Village, [Town Nearest Road ~;rm rvi ~ n~ w t SYo ~ ) G SLyd rrwn~ !OV'~ ~'e [~ New Construction Use: ~ Residential / Number of bedrooms ._3.--"'~_ Code derived design flow rate l® C? d GPD ^ Replacement ^ Public or commercial -Describe: Parent material ~ ~ ~/ Flood Plain elevation if applicable ft• General comments SYf~C -'-~ G~ Q-v ' ~~ • ~ps and recommendations:~.~~yJt G~ •G V • Y5 , © Boring # ^ Boring p• O [c]~•,t " Ground surface elev. ~G•o ft. Depth to limiting factor~_ in. Soil A lication Rate th D l D i t C tion Redox Descri Texture Structure Consistence Boundary Roots GPD/ftt Horizon ep in. or om nan o Munsell p Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Z _ ~ --2 o /o r -- ~ r ,~ ~,-~~ rYL C - . S- . y .~ Boring # ~ Boring ~ '~ ~'7'j Pit Ground surtace elev. ti ~ ft. Depth to limiting factor in. Soil lication Rate H i De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF or zon p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I --9 3/ Z -- ~ mG~k c 5 1 v ~ • 5" z ~ - ~' : mablc m~~ S • S~ * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/t_ ~ tmuent ~z = tsvu ~ ou rnyi~ nnu ~ J~ _ ~~ ~~~~~ CST Name (Please Print) S' ture CST Number ~G _ _ ~ 2 a y Address Date Evaluation Conducted Telephone Number l L ~ ~U ~ ~-/ ~ Ivu.r~ ~~-, Gf~ / SLa~ ~ 7 Z -G c~ 7/5 =Z y7 - ~~ ~. • ~ r 1 ~ .~ Property Owner IDC1 Y~'~"'~ Parcel ID # Page ~ of Boring # ^ Boring ~~,~( ~/ [t~p i} Ground surtace elev. ~ ft. Depth to limiting factor Z T in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont, Color Gr. Sz. Sh. 'Eff#1 *Eff#2 9-Zy ~ r ~'/~v -- ~ S ~ - Boring # ~ Boring ^ Pit Ground surtace elev. ft. Depth to limiting factor in. Soil Ap lication Rate Horizon th De olor Dominant: Redox Description Texture Structure Consistence Boundary Roots GP D/fg p in. , Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Boring Boring # Ground surtace elev. ft. Depth to limiting factor in. ^ Pit Soil A lication Rate i D th lor i t C D Redox Description Texture Structure Consistence Boundary Roots GP D/ft? Hor zon ep in. nan o om Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 `Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.6/00) .,- ~, ; PAGE~OF~- NAME ~o,•~ [Son ~-c LOT# ! LEGAL DESCRIPTION .I~~'/4 f~~r' a,S !7 T Z ~N,R/ 7 E (or) ~1 SCALE: 1 "_ /d d K BM I ELEVATION /Q(,J • C~ r BM I DESCRIPTION ~; l ; n `'l `` ~~P~t _ + BM 2 ELEVATION ~~f. /~ / BM 2 DESCRIPTION ~,ya~ y "cioK je r .O•De W/ ~Ay` h / SYSTEM ELEVATION ~G • ~! ALTERNATE ELEVATION ~(/~ ('(lNT(ITTR FT FVATTnN U~'~n Tom-- s ~ y~~S ~ ia.~ s; z~ nQt ~o s~'t ~ti 4 ? ~ ~e, , ~ 3 .'n ~. _ t.T" B~ \ ~ cS 4~ n ~~ -=~` ~~ ~ `~~ DATE ~- ~ ~ ~ ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIiIP CERTIFICATION FORM OwnerBuyer / `U~V' ~C ~~ ~ ~~ i ~ ~ Mailing Address ~ ~ ~ Property Address ~ ~ ~a~--fs , u~ ~ S~~ ~-3 ~"It~~ ~ ~4 v~ 53 ~eus~- o~ ~~v~'~ (Verification required from Planning Department for new City/State ~~m~t~ , ~~ Parcel Identification Number o- g -)034-- ~ , ~ - ib~i-]U OI~--(o3~-0~ LEGAL DESCRIPTION W _ Q.pntrc~91~. Properly Location ~ '/., ~ /4, Sec. ~ T o'` 1 N R I / W, Towa of Subdivision .Lot # Certi£ed Survey Map # ~ ~~'~°~' ~ ,Volume 4 ~ ~ ~ ..Page # ~ tv Warranty Deed # ,Volume ,Page # Spec house ^ yes `~ no Lot lines identifiable~l yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) aRer inspection and pumping (if necessary), the septic tank is less than I/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 Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three y ar expiration date. G~ / / /~ S GNATURE OF APPLICANT DATE OWNER CERTIFICATION I (wc) certify that all statements on this forth 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. / ~ /~ SIGNATURE OF APPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** sss*** «« Include with this 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 SKATE BAR OF WISCONSIN FORM 1 - 1998 636424 WARRANTY DEED KATHLEEN H, wai.sH p REGISTEk OF DEEDS DOt:umanl Number ty 1573PAGE 1U8 ST. CfiOIX CO. , wI RECEIVED FOR RECORD This Deed, made between Ronald C. Bonte O1-D6-2001 11:09 AM YRRRANTf DEED Grantor, EXEMPT 1 Mar A. Schmidt and Emil A. Schmidt CERi CODY FEE: and CDPY FEE; us an an w e as survivorship TRANSFER FEE: 2e5.90 mar a proper y RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate In St • CroiX County. Slate of Wisconsin (the 'Property ): Recording Area A parcel of land located in the NW Nana arW Return AOdreba } of the NE }, SW} of NE}, and in the SE a of the NE ~ of Section 16, T29N. R17W, Town of Hammond, St, Croix County, First National Bank-Baldwin Wisconsin, described as follows: 930 Main Street Baldwin, WI 54002 Beginning at the N ~ corner of said Section 16: Thence S87°42'55"E along the north line of the 018-1034-30 NW ~ Of the NE ~, 1003.71'; Thence SOS°37'58"W 018-103<-iu along the West line of the Certified Survey 018-1034-10• Map, Volume 1 4, Page 3896, 463.37' ; Thence FareetldentirtcationNumber(PJr,q S87°43'08"E along the South line of said Thts ;~ nnr homesleadpropeny. Certified Survey Map 401.23' to a point on (ls) (knot) the East line of the NW } of the NE ~; Thence S00°40'02"E along said line 874.76' to the southeast corner of said NW ~ of the NE ~; Thence 588°05'09"E along the North line of the SE ~ of the NE }, 700.29'; Thence 500°35'45"E 186.99'; Thence N89°28'.02" W 892.09'; Thence N53°59'37"W 603.59'; Thence S89°15'45"W 650,00' to a point on the West line of the NW ~ of the NE ~ of said Section 16; Thence N00°44,'15W along said line 1244.53' to the point of beginning. Except Lot 1 of Cert' Map recorded in Volume 14, Page 3984 This parcel conta' s 36.67 acres. Together wtth all appurtenant rights, title and Interests. Grantor warrants that the title to the Property Js good. Indefeasible In tee sJmple and free and clear of encumbrances except 100th Avenue right-of-way, additianal easements, Dated this ~.nd _ d~ajy,~of~ Tanuary ~nnt , ' iC~u-' ' ""~- (SEAL) , Ronald C, Bonte AUTHENTICATION Signature(s) (SEAL) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorlud by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Ronald C. Bonte 1011 170th St Hammond, WI 54014 (SJgnatures may be authenticated or acknowledged. Both are not necessary.) or conveyances of record. ACKNt.'WLEDC,RiENT (SEAL) (SEAL) State of Wisconsin, ss. St. CTO1X County. Pe naD came before me this n day of ~an~tary 200 ,the above named ona on e me known to be lnsttvment attillE Notary My cc to who executed the foregoing Of not, state _explraUon date: ' Names of pusons signing In sny upscity mutt M typed or printed below tMk sigMW n. WARRANTY DEED STATE 8AR OF WISCONSIN Wiuonsn Lsgal Blatsk Co., Inc. FORM No. 1 - 199g Mt,,,aeyy y~