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Home My WebLink About018-1040-00-100nsin Department of Commerce ~ ti PRIVATE SEWAGE SYSTEM ety and Building Division INSPECTION REPORT GENERaAL INFORMATION (ATTACH TO PERMIT) y Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)i. Permit Holder's Name: Booth, Kari City Village X Township Hammond Townshi CST Elev: 2,1 Insp. BM Elev: 92.- ~ BM Descri TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~Lr"~ ~~ ~~va Dosing ~ ~ ~~ ~~ ,~ i/ ~~J~ ,~/~ ,'~~ !~-~ Aeration 3 h Holding TANK SETBACK INFORMATION TANK TO P/L„~-- W~ BLD Vent to Air Intake ~` ROAD Septic ,. 16 J" -2 v r J ~s?, Dosing 3 a Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Frictior)'L~s / SysterA HeadS,~ 7 L TDH (~ Ft Forc i~ ngth ~ Dia. ~ r Dist. to Well county: St. Croix Sanitary Permit No: 463174 0 State Plan ID No: Parcel Tax No: 018-1040-00-100 Section/Town/Range/Map No: 18.29.17.276A10 ELEVATION DATA STATION BS HI FS ELEV. Benchmark / ~~,~, ~Z. 9~g.~ qz. i Alt. ^ ~~ ,~~ Bldg. Sewer ,~ p-y~f-o SI,~ _ b Z. St/ t Inlet ,t''•Z ~~. Co St/Ht Outlet ~. ~~ Dt Inlet _' Dt Bottom ~ ~ ~ o q 3. ~ Header/Ma~ ~,/ !. ~ o~S ~ ~. ?S" Dis/ e p I' f q ~ ~ ` ~LO Bot. System ~~~/ ~,- ~g,gS , g 5g. oS'' Final Grade „ f. /'] St Cgyer 2 1C~, a wc~ U~c.~a {e- 2 0 (v ~,7 J /r ~~~ ~. ~ ~~~~ SbIL ABSORPTION SYSTEM '. S ;(~~~~.(/ _ ~'~~(/LJS BED/TRENCH Width ~/ DIMENSIONS Length, G 1 ~ ~ No. Of T to chp es , ~ ~( PIT DIMENSIONS o. Of Pits Inside Dia. Liquid Depth 3 ' ,, ,,, SETBACK SYSTEM TO P/L S BLDG WE L LAKE/STREAM LEACH Manufacturer: INFORMATION C R OR Type f System: ~ ~~~ ~ ~ + ! ~ /2 O~GWG U~ prG( todel Number. DISTRI~TIQ,N SYSTEM ~'~ /m„ ~ ~ o .•/ -- ~~ t --. ~/t~ -.Plriyt, E'/ S~ Header anifot Distribu ion x Hole Size a Spacin Vent to Air Intake '~ 2 Pipe(s) ~ ~7 ~ ~ ' ~ C/ ~ ~ Length Dia Length Dia Spacing -/ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only / /) `~~ ..~t.~~Cj " Depth Over ,n ./1,t "~ ~ V """' Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center n ~ edlTrench Edges Topsoil ~ Yes ~ No ~ Yes [J' COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ l /~/~ Inspection #2: ~ ~ /~~ Location: 968 160th Street Hammond, WI 54015 (SE 1/4 NE 1/4 18 T29N R17W) NnnA Lot 1~~( ~ P rcel No: 18.29.17.276A1Q0. 1.) Alt BM Description ~j~ ~ ~ Z' K t? Cpl! ~~ ~~ ~ U 2.) Bldg sewer length = 3 ~ .-.. ~SL~~(;-~~.-~vr~---~ Lf - amount of cover = ,,~ n ~~.-- ~ ~ ~'C~,~ ~~ -~Vls~ ~ay ,$. r[,G{~~' Q~'` G -~ ~ Plan revision Required? , i Ye No QL~ ~~ .~d Use other side for additional formation. ~ ~/ 122 - Date Insepctor's Signat Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division CO11°~' St CrO1X 201 W. Washington Ave., P.O. Box 7162 iseonsin Madison, WI 53707 - 7162 d led in by Co.) 'tary Permit Number (to be i .r (~8) L / ~ 7 ~O 3 ~ Department of Commerce Sanitary Permit Application ` sta Plan I.D. Npumber ~~ ~~ ~~ In accord with Cotton 83.21, Wis. Adm. Code, personal informati n you prgyj¢e ~ ~ ~ 1~(~1} - o ° l``JiUU v may be used for secondary purposes Privacy Law, s15. 1)(m) n mailing address) f diff ere n t tt ta dress ( i Proj t Ad i g ~ 7 / / ~ ' ~ - `' t~D ~tPv STS I. Application Information -Please Print Atl Information LINING OFFIGE Property Owner's Nattie Parcel ll Lot # Block ~! Carl Booth 1 Property Owner's Mailing Address Property Location , ~~~ n `~ 968 160th Street 18 SE ,,I NE ~,y, Section City, State Zip Code Phone Number Hammond WI ~ 54015 715-796-2248 cucleone) ~ T 2 9 N, R 1 E~r W ) ~ (check all that a l e of Buildin Il T g pp y yp . "" " C b CSM N 3 r v ~ ( um er Subdivision Name 1 or 2 Family Dwelling -Number of Bedrooms ~ „ ry , ~ (L G ~ 3 ~ ~ / / ~ tP m V P Public/Commercial -Describe Use l T // L, State Owned -Describe Use y ~ X ~~ ~ ~-_J U ~ ~7 ~ City_ Village Township of Hammond III. T e (Check onty one box on tine A. Complete Line B if applicable) A' New System Replacement System TreatmendHolding Tank Replacement Only Other Modification to Existing System B. Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner ~ ~ /( Z O 1V. T of POWTS S stem: eck all that a 1 ) ~, Non -Pressurized In-Ground Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil At-Grade Single Pass Sand Filter Constructed Wetland Pressurized In-Gro o ding Tank Pea[ Filter Aerobic Treatment Unit Recirculating Sand Filter Recirculating Synthetic Media Filter Leaching Chamber Drip Line Gravel-less Pipe Other (explain) V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil Applicad n Rate(~f) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 ~'~ ~t~6 /•o ~"~ 450 480 98.' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber PI3SLiC Gallons Gallons of Units Concrete Constructed Glass New Exiuing Tanks Tattles Septic or Holding Tank x 12 5 0 1 H u f f e u t t X Aerobic Treatment Unit ~ A _ /~ nosing C]tamber x 7 5 0 1 Hu f f c u t t X VII. Responsibility Statement- I, the undersigned, assume responsibility for iastallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Lynn Misfeldt V~ ~-~~~~.(~~ 224628 715 720-8362 Plumber's Address (Street, City, State, Zip ) 7089 CTH K Chippewa Falls, WI 54729 VIII. Count /De artment Use Onl Appr ed Disapproved Sanitary Permit Fee (includes Groundwater Surcharge Fee) y~f ~, / Date Ipssued f~ I ing Age Signattu Stamps) ~l~ (~ (/ 0 Owner Given Reason for Denial . ~ ff ,~ / 1X. Conditions of ApprovaUReasons for Disapproval n ' • ~ v LL.~~~~~a~~ ~" U ~A'2.f ~ l ~~ dh ~ ,li Cfirti •~~~~~ ~~'~~~ ~ ~u~~ 2 "_ ~~ ~ ~~/ ~/D ~/ ~ S ~ may, . ~~/t-~''~- G~ !~ y~~-e-C~-v r ~ Attacb complete plans (to the t,ounty only) for me system on paper not less uwn oai~ x a. mwws ... ,.ao SBD-6398 (R. 01/03) 3~ , [~~ r ~ ~ a .. - ~ m ~ ,. .b o ~ ~ ~ ~ J ~ ~ ~. ~ (ten G ~cl ~ 6' ~ ~ ~ ~- ~- ~ ~ ~ C c f ~' ~ b ~ `'` V` V J ~ ~~ ,~, .. ~.- w ~ o ~ ~ ~ ,~ o -b ~ -; ~ _ { '' ~> -~-~, _ ~` i 0 D~ /'9~ ' G ~/ ~ X r ~C' ~~ , ~ 3 ~ ~~ ~_ ~ " ~ /~+' t£~ ~. ~ ti 1' ~ ~ C ~ u .,~ n 0 G i R 3 i ~l p~ b n Campy ' 9 ~. commerce.wi.gov isconsin Department of Commerce Safety and Build+ngs 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 12, 2004 CUST ID No.224628 LYNN M MISFELDT MISFELDT SOIL & SEPTIC 7089 CTH K CHIPPEWA FALLS WI 54729 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/12/2006 SITE: Cari Booth 968 160TH St Town of Hammond Identification Numbers Transaction ID No. 1081028 Site ID No. 691214 Please refer to both identification numbers, above, in all corres ondence with the a enc . St Croix County SE1/4, NE1/4, S18, T29N, R17W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 992516 Maintenance required; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System: EZ-Flow Mound Component Manual, (N.6/03); 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, CQtid stats. ~ ®~'; The following conditions shall be met during construction or installation and prior to occupancy or use: ~" ~' DEFARTMEN -Ol,,,v~ ~ OF Approval Requirements: jr~21 • This system is to be constructed and7ocated in accordance with the enclosed approved plans and with the EZ FLOW Mound Component Manual (June 6, 2003). with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.O1/O1). • The pressure distribution network shall be sleeved through the 4-inch coiTUgated pipe located in the EZ-Flow product. One~out _of every five orifices in each dis rihntion Wipe shall be installed at the 6 o'clock position to allow for thorough drainage of the distribution pipe following each dose. The remaining our orifices shall be installed in the 12 o'clock position. All pipes must drain after dosing. • The observation pipes must be located at a junction point between two EZ-Flow products so as not to create separation of the bundles within a product. • 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. SEE CORR • 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 LYNN M MISFELDT Page 2 11/12/2004 • A Sanitary Pernut must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. 5tats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ~• Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on-site durine construction and open to inspection by authorized representatives of the Department which may include local inspectors • The changes made to this plan on 11/11/04 by this reviewer were acknowledged and approved by the system designer. 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, .--~ /? ~~ Charles L Bratz "" POWTS Reviewer II ,Integrated Services Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 . _- r ~~" m G~ EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT D N :y ~O Residential Application ~j QQ INDEX AND TITLE PAGE `Qn 4_ Project Name: Booth/Enu h EZ O'~"`.~~ t Owner's Name: Cari Booth Owner's Address: 968 160th Street Hammond, W 54015 Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: 715-796-2298 SE NE 18 29N 17W Hammond St. Croix CSM Vol. 17 Page 4596 1 Block Number: Page 1 Index and title Page 2 Data entry Page 3 EZFIow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Site Plan .~~~.~ Designer: L nn M. / •~ License Number: Date; 11/06/ `~~ ~ Phone Number: • ,~ Signature: ; ~,~-- a _.1 SSWMP Publication EZFIow Mound Version 1.2 (R. 02/04) ~~xll'v ~ ~~ ~ ii,.. CC4s~ERCE ~~ GS ~._._ s~~ 'ONQENCE _ D-1133 715-720-8362 to the wal (N. 06/Q3), and ibution Networks for ST-SAS (01/81) Page 1 of 9 EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) r Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor {e.g. 1.5 = 150%) 450.00 Design Fiow (gpd) 10.00 Site Slope (%) 97.50 Installation Contour Line Elevation (ft) 32.00 Depth to Limiting 1=actor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 6.00 Cell Width (ft) 3, 4, 6, 7, 9, or 10 Only 0.99 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) c Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 40.00 Forcemain Length {ft) 93.50 Inside Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 4.00 Vertical Lift (ft) 1.51 Friction Loss (ft) 10.06 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal ~liform of <= 36 inches. 100.00 Contour Length Available (ft) 80.00 =Dispersal Cell Length (ft) Are the laterals the highest point in the distribution ~ Y network? Enter Y or N If N above, enter the elevation (ft) of ttte highest point. ~-~ 6.00 ftz/orifice Does the forcemain drain back? ~ Y Enter Y or N 6.52 Forcemain Drainback (gal) 71.93 5x Void Volume (gal) 78.45 Minimum Dose Volume (gal) 43.08 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 x 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 768.00 Total Tank Capacity (gal) 1250.00 Se tic Tank Capacity (gal) 45.00 Total Working Liquid Depth (in) Huffcutt Manufacturer 17.07 gaUin (enter result in cell B49) Dose Tank Information Effluent Filter Information 768.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 17.07 Dose Tank Volume (gal/in) A100 Filter Model Number Huffcutt Manufacturer Project: Booth/Enugh EZ Page 2 of 9 Mound Plan View 1_ ............................................................... .... :~:-1/10 B ~:-:~:~:~:~:~:~:-:~:~:~:~:~:~:~:~:--'~'~'~' Observation Pipe •:~ :::::.::.:.:.:.:~•:~:-:- :K:::~f -:~:~:•.-.•.• ::::::::::.:.•.•.•.-.-.-.~.-:~: . ~'5~: :•:- ....................... B ..... ... ... .. .. :~: 3 :-:-:•:•:•: .-.-.-.•.•.-.•.-.-.-.•.•.•.•.•.-.-.-.-.•.•.•.•.•.•.•.•.•.•....•.•.•.•.-.•.-.•.•.~.-.•.•.-.•.•.• L Mound Component Dimensions A 6.00 ft E 13.20 in B 80.00 ft F 12.00 in D 6.00 in G 0.50 ft 480.00 (ft2) Dispersal Cell Area 5.63 (gpd/ft) Linear Loading Rate H 1.00 ft I 11.14 ft J 4.62 ft -T .} -~ -1 K 8.40 ft L 96.80 ft W 21.76 ft 1371.43 (ft2) Basal Area Available 8.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.00 (ft) ~~- ,,,,,,,,,,,,,,,,,.. G • H ,,,,,.,,,,,,,7r~,,,,,,.,,,,,,,, ,. F ~ :~ ':::::. Dispersal Cell 98.50 (ft) Lateral 98.00 (ft)--- - -6„~~~ ..... .... .:.:~~~~~~~~~~~~~::::. Invert Elevation ~:•. 1 Dispersa Celi ....:~ :.:.:.:.:.:.:.: ... ...... .... Elevation ~~` { ~~~r~r~ ;f t tir ~1~`t11~t xltlh 1.1.2.1 ~tr~ 1 , ~1~1 1 1. 4 X11 1... ~tt1.~ tt Ltt~~.M rtltt t4 ilt=.i~; ;`<ic~t;~;11 t11 t ll,~y4F~~1.~~t~^~1.11.1t1~c{l•. 1' h-1~t K'<~_'~ti:~~~~~.zz, ',~l~-.i~11-~~~]~.i, h~ a~ 111 ? ~•11l t.tl~ < ~ .. 97.50 (ft) Contour Elevation 10.0 % Site Slope Typical Dispersal Cell Shading Key ~ a ~ See Page 5 10 ,,,_ Topsoil Cap -~° 0 2 0 ft Geotextile Fabric Gover Q ,Subsoil Cap ~ • r_ -t- . err. :~:::::~: ASTM C33 Sand ~ ~ :r~r~.~r. ~ ~r:1.~ .,+~r,. 1. Tilled La er c °' ~ 5 `?~r ~r•r?` 5 F y ~ ~ 0.5 ft ~f `r` ~ r.,.,. Q EZFIow Media c -,~- ~::i, ~ ~' ,i:~?~? :: ~1 ~""~ Ay~ See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Booth/Enugh EZ Page 3 of 9 r Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Force main connection vu tee or cross to manifold at any point. Laterals are identical Orifices point tap, except everyr 5th one ~_ P ~ pains down for drainage• ~ •~ Turrwp v4f t~a11 wlw or ~ X ~IErl2 d2~1 Laterals & Forty main of PVC sch 40 olNnoutplup per COMMA Table84.30-5 Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 4 1.50 in 39.20 ft NA ft 3.00 ft 10.77 gpm 43.08 gpm Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Ve{ociry Dose Tank Information Locking cover with warning label and locking device, and sealed watertight Electrical as per NEC 300 and ---~ 1~ Comm 16.28 WAC ~4 in. min. Disconnect _.,~_ Tank component is properly vented ~- Akernate outlet location Huffcutt Ca aci 768.00 Volume 17.07 Manufacturer Gallons gaUinch Dimension Inches Gallons A 26.40 450.57 B 2.00 34.14 C 4.60 78.45 D 12.00 204.84 Total 44.99 768.00 -~ A B C D Alarm Manufacturer S.J. Electro Alarm Model Number 101 HW Pump Manufacturer Zoeller Pump Model Number 98 ~- Pump Must Deliver 43.08 gpm at 10.06 ft TDH Project: Booth/Enugh EZ Forcemain diameter ~ 2 in. Weep hole or anti- siphon device p~ ump off elevation (ft) 94.50 nk elevation (ft) 93.50 Page 4 of 9 . d EZFIow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. 6 ft Wide ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" F1FIow Bundle - F11203HP, 5 or 10 Ft Lengths ~ 4" Distribution Pipe With Pressure Lateral Inside ~ Tumup Enclosure - - - - Lateral Distribution Cell Plan View Layout -Typical 6.00 Cell Width - A (ft) 80.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. ~~ Force Main - --------- ----------- 6ftWide Center Manifold Mound Svstem Maintenance and Operation Specifications Service Provider's Name Lynn Misfeldt Phone 715-720-8362 POWTS Regulator's Name St. Croix County Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 480 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ct and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for pondin and seeps a once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished . .............. ............... EZFIow Media ~ Distribution Lateral 1.31 Feet Lateral Cleanout tong Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Booth/Enugh EZ Page 6 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [E2FIow Mound Component manual 6/3/03 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the finer shall be serviced ff the alarm is activated continuously. Intermittent faker alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shalt be inspected at least once every 3 years. AN switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should t>e planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10" cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if tce leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Booth/Enugh EZ Page 7 of 9 ~• ~~ W PUMP PERFORMANCE CURVE ' MODEL 98 25 °a g 20 x U a 15 > 4 v J ~ 10 0 2. 5 0 10 20 30 40 50 60 70 80 GALLONS LITERS 0 80 160 240 FLOW PER MINUTE 00997TH TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 98 Feet Meters Gal. Liters 5 1.5 72 273 10 3.1 61 231 15 4.6 45 170 20 7.1 25 95 Shut-off Head: 23 ft.(7.Om) 00997TB CONSULT FACTORY FOR SPECIAL APPLICATIONS - 6 1/4 4 5/B +{ 1 1/2-II 1/2 NPT 16 SK1102 • Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. • Refer to FM1922 and FM0806 for temperatures above 130° F. 98 Series Control Selection Model Votts-Ph Mode Am Sim lex Du lex M98 115 1 Auto 9.4 1 4 N98 115 1 Non 9.4 2 or 3 4 D98 230 1 Auto 4.7 1 4 E98 230 1 Non 4.7 2 or 3 4 . SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. See FM1228 for correct model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM1663 for a residential alternator system. CAUTION For infomration on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qualified FM0477; Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/Sewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed including the most Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.0. BOX 16347 Louisville, KY 40256-0347 Manulecturers of . . ~O ~ SHIP TO: 3649 Cana Run Road ® fr,1 ® Louisville, KY 40211.1961 1jvauT~PaA+va SNCE 1939 PUMP !O. (502) 778-2731.1(800) 928•PUMP http://www.zcellercom FAX (502) 774-3624 © Copyright 2003 Zoeller Co. All rights reserved. .~ ~, N ~ O ~' J ~- ~ ~ ~ U ~ ~ ~ ~ ~ ~ v ~ F ~ f ~ n v M ,~/ r o Q 0 W r I~ `330 r ~ ~ ~' m ,. ~ t~ G -v _ ~ ~o ~ ~ ~c ~ - ~ ~ l~ ~' 3 ~ ~ ~- ~- ,~ ~ ~_ ~ ~ ~o ~ ~ ~= ~ 8 ~~ N. ;~ ,/~ B ~ ~ / ~ I ~` ~I I r ~~ i~ ,~ ~ ; r-- ~~~ ~' t ~~ /~ i~ ~. Cry 0 -d m ~ Z t~ ~° L 3 i i .~) q ~o~ b 0 ~~ ' 9 commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 12, 2004 CUST ID No.224628 LYNN M MISFELDT MISFELDT SOIL & SEPTIC 7089 CTH K CHIl'PEWA FALLS WI 54729 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/12/2006 SITE: Cari Booth 968 160TH St Town of Hammond Identification Numbers Transaction ID No. 1081028 Site ID No. 691214 Please refer to both identification numbers, above, in all corres ondence with the a enc . St Croix County SE1/4, NE1/4, S18, T29N, R17W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 992516 Maintenance required; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System: EZ-Flow Mound Component Manual, (N.6/03); 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. 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: Approval Requirements: ~ This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ FLOW Mound Component Manual (June 6, 2003). with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.O1/O1). • The pressure distribution network shall be sleeved through the 4-inch corrugated pipe located in the EZ-Flow product. One out of every five orifices in each distribution pipe shall be LYNN M MISFELDT Page 2 11/12/2004 installed at the 6 o'clock position to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o'clock position. All pipes must drain after dosing. • The observation pipes must be located at a junction point between two EZ-Flow products so as not to create separation of the bundles within a product. • 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 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 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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 Deparhrient, which may include local inspectors. • The changes made to this plan on 11/11/04 by this reviewer were acknowledged and approved by the system designer. 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 ' LI'NN M MISFELDT Page 3 11/12/2004 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, 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 z < Wisconsin Department of Commerce e SOIL EVALUATION REPORT Division of Safety and Buildings Page ~ of in accordance with Comm 85, Wis. AOm. woe ~y ~/ _Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Paroel LD. ~ U- Qj~~~•, ~ north arrow, and location and distance to nearest road. scale or dimensions e ercent slo 6 , , p p Please print all Information. evlew Date ~ Personal infomratlon you provide may be used for seconds 11• GC~ ~~ Z Q Y1~'l. Property Owner tt ~ I ~ arty c tion ) ~ 1/4 ~]/4 S ~ l ot Govt 9 N R i' ? E ( W n h U ~ . . ..: Property Owners Mailing Address ` B odc # Subd' Name CS - M# 73~ ~ ~'~ T. 97~ f 6d fi~ S City State Zip Code Phone ' mbar "', 0 I ity ^ Village own Nearest Road ~f - ~~~ "-'r S/G/ ( l 1"iGtwt w-oK cX U~ ~ - v+n OK New Construction Use: Residential / Number of bedrooms Coda derived design flow rate ~ r~ GPD ' ^ Replacement ^ Public or commercial - Desaibe: R ~ Parent material S ~ ~~ O~e~' fr ~ ~ Flood Plain elevation N applicable ; .. General comments ~ r,~pP.P~ ,~ ~ ~ ~ C ~ I ( S~ ~ k 7 S C~ / / ' `f /~ o ~ CoK'}r+u~'l 9~1 a. ` - and recommendatlons: n ~«. ~~ u - 9g- `t ~ ~,r S~KcQ c~vtcQer- ~~~'' 9~ ~~ -5 ~ ' - ("( Ot..~.. ~' - Tom- ~/ ,r; /~ Boring # U~ Boring U Pit Ground surface elev: l~ ft• Depth to limiting factor ~ in. ~ ~~ Rae ture St Consistence Boundary Roots ~'' Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz Cont. Color Texture ruc Gr. Sz Sh. ~E~i1 ~~ ' ~ O - _~ -n 0 ~ O~ o _.._ ~a ~ a h1-F~ ~,.~ t ~ F ~ ~ Boring # I~-1~Boring c~/" ~ r~ Pit Ground surface elev. ~ ft. Depth to limiting factor ~ in• ~ ~~ ~ ti r t T Structures Consistence Boundary Roots GP D/fP Horizon Depth Dominant Color on Redox Descrip ex u e •Etf#1 'Eff#2'~ in. Munsell Qu. Sz Cont. Color Gr. Sz Sh. 2 ~ ~ ~`` / b-/ ~ ~ ~ u~ ~~ C w . S t. ` .'7~j~ ` ~ t u ~" t ~ ( ~ ~ ~i 7~ta ~' ! 2 !.~ t QS .~C~ ~o n-e t ~ S sc 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 _< 1 50 mgll 'Effluent tX2 = BOD _< 30 mglL and TSS _< 30 mg/L CST Name (P Print) 1 ~ gnature ~ l CST Number 2.~ o ~ 9 ~ Address ~/~`1 .PSo~-. . -e nn~~ 1 r ~ l ~ ~L Da valuation Conducted Telephone Number ~7b fLc ~~~ ~rrrrt5 ey r ~ ~~-a a ~~~ ~~~ '-~7~~: ~y~,~ Property Owner v 2 ~~~ ., Parcel ID # Page ~ of 3 ~ s Boring # ^ Boring _~... ^~ Ground surface elev. ~ ft. Depth to limiting factor ~~ . in• Soil icadon Rate Horizon Depth Dominant Color Redox [:~esaiption Texture Strtuture Consistence Boundary Roots ~ GPD/fP zSh. 'Eff#1 .:. 'Eff#2.. in. Munsell Qu. Sz. cont. Color Gr: S / 3 to ~ -:- ~ S ~ o _._ (~~S ~~r /~o o ~. ~'o ~6 ~~~~ -~ o LJ Boring Boring # ^ Pit Ground surface elev. , ft. Depth to limiting factor in• Soit icatlon Rate Roots GPD/f! Horizon Depth Dominant Color Redox t)escription Texture Structure Consistence Boundary •Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. .. U Boring Boring # Ground surface ele+v, ft. Depth to limiting factor. in• ^ Pit Soil ication Rate Horizon Depth in. Dominant Color Munsell Redox I~esaiption Qu. Sz Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary .Roots GP 'Eff#1 D/ff 'Eff#2 'Effluent #1 =BODE > 30 _< 220 mgll and TSS >30 < 150 mglL 'Effluent #2 =BODE _< 30 mglL and TSS _< 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8730 (R.6/00) 1 C t ~~-- W r--.~~ _ ~~ ,. ~; s ,i , ~~ ~ ~~ ~ ~~v ~~~ n~ s ~~ ~h -a, ~ ~_ U o0 -r ~g o c i `r~ ~o sr~ ~ ~ ~- ~ ~~ '`~ ~, m m s ~ ~ m ~ ~ ~ iv g ~ ~ ~ ~ r / `~ r ~ '~ _ i ~f i r ~~ f ~~ / ~ ~~~ ~~ i ~, ,. %"~, ~ ~~ ~~ ~ a_ / ~ ~ i i ,~~ , r ~ ~ ~ ~ ~ ~ / ~ ~ / ~' 0 ~ , s~ ~,o ~ "' " _ C? T 4~ ~ ;~` ~ d 0 ~ r~ b~ - ~r Q~~o~O Se cr _l/"U~Pn /'y ~~-c f Q~ ~~ 0 Z ~o a y m~ ~ ~° T ~~- r- ~' o S' Cnl n /~©~~ ~ Safety and Buildings Division County St Croix 201 W. Washington Ave., P.O. Box 7162 ` iseonsin Madison, WI 53707 - Sanitary Permit Number (to be filled in by Co.) (~8) 266-31 3 Department of Commerce Sanitary Permit Application ~ State Plan I.D. Num -r•~•~ ~,,,~ r ~ ~ personal information ou provide 21 Wis Adm Code In accord with Comm 83 O ~' ~ 3 ` """'~'' ' . , . . , _ may be used for secondary purposes Privacy • s IVED o~ect Address (if different than mailing addre ) I. Application Information -Please Print All Information 9 6 8 1 6 0 t h~ Property Owner's Name Parcel # Lot # Block # Karl Booth ST: CROIX COUNTY Procerty Owner's Mailing Address Properly Location ~ ~ U ~ ~ ~~ ~ t <l~: ~ t f ~ , (Sr .3 Z - S E ,ti , !~4 . Section 1 8 ' ol.~ Ci State ~, Zip Code ~ W I ~' Phone Nttmber 7 9 6 2 2 9 8 ) i l t~ ~~~ ~ ~,~~ ~~ - rc e one 2 1 7 (c T N; R B or W k all that a l ) h f B ildi II T S '""" pp y ng (c ec ype o u . ~ 3 (~ SM Nttmb ' . _ ,, I or 2 Family Dwelling -Number of ~""c ~ ¢ ~- ~.1~~ ,/ ~ T S9 /O ~3 ~ ~"^" ' Public/Cotnmercial -Describe Use ' State Owned -Describe Use City_ Village Township of Hammond III. Type of Permit: (Check only one box on li A. Complete Gne if applicable) `~' New System ..~_, Replacement System Treatment/Holding Tank Replaceme Only O r odificatio to tem B. Permit Renewal Permit Revision Cha of Permit Tr fer to New List evio r Date Issued Before Expiration Plumber Owner , tl IV. T of POWTS S stem: (Check all that a 1) 20 = 'C • ~ Non -Pressurized In-Ground Mourd > 24 in. of suitable soil ound 24 in. of suitable soil At-Grade Single Pass Sand Filter Constructed Wetland Pressurized In-Ground Holding Tank filter Aerobic Treatment Unit Recirculating Sand Filter _ Recirculating Synthetic Media Filter Leaching Chamber Drip Line Gravel-less Pipe Other (explain) i V. Dis rsaUTreatment Area Information: ~ ~ ' Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area equired Dispe Area Propos (s System evaaon ~~ r , y~ 4 5 0 S/~"". 6 ~= o .~j' j~ 4 5 0 ~ /~/G 1 0 0.2 ' lae_ VI. Tank Info Capacity ' Total Number Manufacturer Prefab Concrete Site Constructed Steel Fiber Glass Pla tic Gallons Gallons of Units k-~ ~' New Existing ~ .~'~ (J~ ~~ Tanks Tanks Septic or Holding Tank x 1 0 0 0 ~ 1 u f f e u t t x Aerobic Treatment Unit Dos;ng Chamber x 6 0 0 1 H u f f e u t t VII. Responsibility Statement- I, the undersigned, ass a responsibility for inst of the POWTS sho on the attached plans. Plumber's Name (Print) Plumber's Signa PRS ber Business Phoce Ntunber Lynn Misfeldt •~; 224628 7 0-8362 Plumber's Address (Street, City, State, Zip ) , ( ~ ~ , 7089 CTH K Chippevaa Falls, WI 54729 VIII. unt /De artment Use Onl Sanitary Permit Fee (includes Groundwater Da Issued Issuing Agent Signature ps) Approved Disapproved Surcharge Fee) ~j~O ~~ ~ ~ O ~ Owner Given Reason for Decrial V J f 1X. Conditions of ApprovaUReaso~n+s or~Disapproval t~ l./'Y`~~..~.'.~(.~~i.~asttt,~ F • fJ ~ ~" YSTEM OWNF 2~ ._,,. c,.~(T-Yrrr' ~'?,•~ !~/U6~~'y'~~po~ f~j QZ P/f33 aS r 1 eptlc tank, effluent filter and $~. (yt ~ n ~ ~~c~,n,d ispersal cell must all fie serviced !maintained ,,, as per management plan provided by plumber. !~~ - ~ ~ ~ r~ 2. 'A setTf"- bacTc requlrem~s musf6e maln~aineT a as per applicable code/ordinances. ~ ._ b S ~ F~ ` ~`~ ~ Attach c~ puns (tq~g c:of}q[y ~[Yl [oy[a`ls}'s[eq~ os 8 ~ ~p/~ ~yj, •L~~~ ••• SBD- 398" (R. 01/03 GC CQ~/ 0 [~ 0'fU( ~~' 4/~ Z~" ',~~. ~- 0 ~~ ~~ J .~ f, `~ ~ ~° r ~; .~ fi ~ _ %. ~` ._ ~ - ~~ -~ o , ~ ~ ~ ~~ i i ~ ~ W o ,, , ~ ~- ,,~ G ~ ~~ ~ ~ s , ,~'' - ~ i , i ~; ~ ~~ r ~ ~ s // / ~ ~~/ ~ ~i/ i ~ ~ ' / r~ i / ~ o ~~ ~ i ~ ~ ~ ~ _, , r s ~ ~ / v ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ v ~ ~- ~~- ~1 ~ ° ~ ~ ~ ~ (' o ~~r .: ~ ~~ . f ~v '~ ~ ~ ~ i ~~ ~ ~ ~ r ~ 8 ~~ _~ N, ,~ g _ $ ~~ ~ ~ ~ ~~ ,. ~,~: r . ;,;,, . s';,. EROSION & SEDIMENT CONTROL PLAN 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 Parcel # 18.29.17.276A-10 Site• 968 160th St Lot 1 Hammond Twp. -Owner(s) Karina Booth Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. Erosion control is a requirement of the Certified Survey Map recorded for this lot. The Owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance with the plan: The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. Surface drainage flows southwesterly toward Girard's Creek, a tributary of the Kinnickinnic River. The proposed septic system lies 75' north of the south lot line, which appears to be outside the creek's Ordinary High Water Mark based on the USGS map. 2. Intercept and route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches). Do not allow diverted runoff to be directed into surface water conveyances. (See specification sheet for temporary diversions provided by Zoning Dept.) If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of other products may not be necessary. However, silt fence, straw wattles, or other approved sediment control products will be required if sediment cannot be contained on owner's property with diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for complianceth the ESC Plan. Please feel free to contact me with questions regarding erosion & sedime contro odd ~r "j°tallatiork . Owner acknowledgement of ESC Plan requirements: `J ~ t / /2004 cornh~erce.wi.gov r - isconsin Departmer of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 mrww.commerce.wi.govJsb! www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 19, 2004 CUST ID No. 224628 LYNN M MISFELDT MISFELDT SOIL & SEPTIC 7089 CTH K CHIPPEWA FALLS WI 54729 A7TN: POWTSInspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL , PLAN APPROVAL EXPIRES: 10/19!2006 SITE: Kari Booth 968 160TH St Town of Hammond, St Croix County SE 1/4, NE 1/4, 518, T29N, R17W Identification Numbers Transaction ID No. 1071003 Site ID No. 691214 Please refer to both identification niunbers, above, in all correspondence tivith the '' a' encv . FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 987529 Maintenance required; 450 GPD Flow rate System(s): Ezflow Mound Component Manual, (N.6/03) 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. 1Vo person may engage iii or work at plumbing in the state unless licensed to do soby the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. ~[ • This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ /~'' FLOW Mound Component Manual (3une 6, 2003). • Prior to installing the electrical service to the pump and alarm, check with an electrician to ensure adequate cable size is used to prevent an excessive voltage drop that may adversely affect pump performance and longevity. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. LYNN M MISFELDT Page 2 10/19/04 Inquiries concerning this correspondence maybe 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, Fee Required $ 175.00 Fee Received $ 175.00 ~. - Balance Due $ 0.00 Leroy Jansky, Wastewater ecialist Integrated Services Bureau Wi'SNIART cede:''7633 (715)726-2544 Voice ljansky@commerce. state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (7I5) 726-2544 EZFLOW MOUND AND PRESSURE D(STRIBUTiON COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Both Mound Owner's Name: Kari Booth Owner`s Address: ~~7$160th Street Legal Description: Township: County: Subdivision Name: Hammond, WI 54015 715-796-2298 SE NE 18 29N 17W Hammond St. Croix CSM Vol. 17 Page 4596 Lot Number: 1 Block Number: Parcel I.D. Number: cc~~ Plan Transaction No.: ~ O ~ 1 O O c,) Page 1 p.Q.1~l.T.~. Page 2 Cc~~ac~i~~or2ally Page 3 ~± ~'.. ~ ~ Page 4 Page 5 / DEPARTMENT of coM~~EI•<cE Page 6 DIV15~ N of: SAFETY AND BUILDINGS Page 7 Page 8 ge 9 SEE CO F~ESPO ENCE Designer. Lynn M• Date: 10/08/a Signature: EZi=tow ~ SSWMP Publication 9.6 D Index and title Data entry EZFIow mound drawings Lateral and dose tank Distribution media System maintenance specifications Management and contingency plan Pump curve and specifications Site Plan ~~r~~+~- /~ •,. ~~~f~-I:.'"~ense Number: D-1133 Ph ne Number: 715-720-8362 ~~~ ~, ~ r - ~. • ! ~~u to tt~ any (N. 06/03), and js>i-'f~iution Networks for ST-SAS (01181) EZFIow Mound Version 1.2 (R. 02/04) Page 1 of 9 Pam Quinn ~ ` From: Jansky, Leroy [Ijansky@commerce.state.wi.us] Sent: Tuesday, November 02, 2004 9:43 AM To: ~ Pam Quinn Subject: RE: Trans. #1071003 -Booth Pian Sounds good to me. -----Original Message----- From: Pam Quinn [mailto:PamQ@CO.Saint-Croix.WI.US] Sent: Tuesday, November 02, 2004 8:23 AM To: Leroy Jansky (E-mail) Subject: Trans. #1071003 - Booth Plan FYI - I talked with Lynn Misfeldt this a.m. and she apparently didn't overlay her plot plan & Bennie's site plan accurately. (The borings are 90' apart and her distances from lot lines weren't same as his- We discussed the need to make sure the distribution cell does not run through the backfilled test pits and may need to drop the actual contour at installation down to 99.5' to accomplish this. She should have made sure to plot the borings on her plan to avoid confusion. Will issue permit based on our telecon now that she knows this will be part of pemit conditions. Pamela Quinn, Zoning Specialist St. Croix Co. Zoning Dept. pamq@co.saint-croix.wi.us 1 -~ ~ d ~ .'+'~ ~- ~ s • ~ 0 .~ .; ,~ E ~ ~ +~ V ~o N s •P; .~ n ~s /^ I J ~_ • -, i I / ''~ ~~~ ~ ~r ~ /~/ , ~~ I / ~~t ~ ~ ~~ / ' ~' / ;'~ r ~ ,~/ ~' - ,i ,~/ ~, ~l ~a ~ `~ / ~ ~ ~/~ i ~ ~/ 1D ~~ ~ 1, ~ ~' M ,'1 y `~ ~~ g a L J,r K `~ ..-~ ~,~~ ~~:~ ~ ~ ~~:~ ' {~ N W^ ' ~~ ,-• -~, . oo r°s ~ ,' J ~ o ~ ~ ~~ ~ ~ ~ ~ ~ D ~ - ., _ ~ ~ ~~ .f w ~ .. ~ ~ ~ ~ ~ S ° '° . N ~ ~ +' T \A { ~ a ",. ~ ~\ ~~O . EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 6.00 Site Slope (%) 99.70 Installation Contour Line Elevation (ft) 30.00 Depth to Limiting factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Ceil information 4.00 Cell Width (ft) 3, 4, 6, 7, 9, or 10 Only 0.95 Dispersal Cell Design Loading Rate (gpd/ft2} 1 Influent Wastewater Quality (1 or 2) Pressure Disribution information (c or e) c Center or End Manifold 0.00 Lateral Spacing (ft) 2 Number of Laterals 0.188 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.0 Forcemain Diameter (in) C.~(~ . 40.00 rcemain Length (ft) 94.40 Inside Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 (),~ 5.70 Vertical Lift (ft) 0.85 Friction Loss (ft) 9.80 Total Dynamic Head (ft) lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal colifomt of <= 36 inches. 140.00 Contour Length Available (ft) 120.00 =Dispersal Cell Length (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 10.00 ftz/orifice Does the forcemain drain back? Y Enter Y or N 6.52 Forcemain Drainback (gal) 54.34 5x Void Volume (gal) 60.86 Minimum Dose Volume (gal) 31.46 System Demand (gpm) Manifold Diameter Selection ~ in. dia. options choice ~ 1.50 2.00 Gallons/Inch Calculator (optional) Treatment Tank Information 620.04 Total Tank Capacity (gat} 1000.00 Semitic Tank Capacity (gal) 47.00 Total Working Liquid Depth (in) Huffcutt Manufacturer 13.19 gaUin (enter result in cell 649) Dose Tank Information Effluent Filter Information 620.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 13.19 Dose Tank Volume (gal/in) A100 Filter Model Number Huffcutt Manufacturer Project: Both Mound Page 2 of 9 Mound Ptan View 1_ ............................................................... .•.•.•. .... • • • • • ObservaYwn ipe ..... . ~`5•: :::• 3 •:::::::::::•.-.•.•.•.•.-.•.•.•.-.•.•.•.•.•.•.•.•.•.•.•.•.-.-.•.•.•.•.•.•.-.•.•.•-•.....•..•........ . .~ L Mound Component Dimensions A 4.00 ft E 8.88 in B 120.00 ft F 12.00 in D 6.00 in G 0.50 ft 480.00 (ft2) Dispersal Cetl Area 3.75 (gpd/ft) Linear Loading Rate -t -f _~ -1 H 1.00 ft K 7.86 ft z 8.20 ft L 135.72 ft J 5.08ft W 17.28ft 1463.41 (ft2) Basal Area Available 12.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.20 (ft) 100.20 (ft) --- • Dispersal Cell Elevation .~,rt .tllll~e`. 1.ttt2lt~I~ 1•l.~Lti1„~.1.~ I. F ~ ~• .. Dispersa{ CeN ::::: E D 6.0 % Site Slope G • H j 100.70 (ft) Latera{ Invert Elevation rrtt ; ~ tilll~ .1~1~1~1+1.1'.1~L ~t~ 99.70 (ft) Contour Elevation Typical Dispersal Ceii Shading Key ~ a ~ See Page 5 (] ~ Topsoil Cap a o 2.0 ft Geotextile Fabric Gover Q ,,.,,,,,,, Subsoil Cap ~ ~i:~ . 1 ... + :r ' -~- ASTM C33 Sand b ~ ''`'~~~" `?''~~' . Tilled La er m `'~'~~ ' `'.~r:r. " . ~` :~r~r 5 i` ti 0~ EZFIow Media o •~_ :•r~.~.•?•.• rr~.~.~: See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown an page 5. Project: Both Mound Page 3 of 9 Project: Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below ~ P I~ X-CIE:12 I ~2~I L~erals & force main of PVC Sah 40 Orifices point up except every (per COMM Table 84.34-5] Stl't one points down for drainage • =Turn-up wi'balh+ahre or aleanoutplug Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.52 ft Lateral Length (P) 59.22 ft Orifices per Lateral 24 Lateral End (Z) NA ft Orifice Density 10.00 ftz/ori~ Lateral Spacing (S) 0.00 ft Manifold Length 0.00 ft Lateral Flow Rate 15.73 gpm Manifold Diameter NA in System Flow Rate 31.46 gpm Forcemain Velocity 3.21 ft/sec Dose Tank Information Electrical as per NEC 300 and --- Comm 16.28 WAC _ lank component is properly vented Huffcutt Ca aci 620.00 Volume 13.19 Manufacturer ~_ Gallons gal/inch A Dimension Inches Gallons A 28.39 374.48 B 2.00 26.38 C 4.61 60.86 D 12.00 158.28 Total 47.01 620.00 B C D Disconnect ~ Min. 3" Bedding under tank. Alarm Manufacturer S.J. Electro Alarm Model Number 101 HW Pump Manufacturer Zoeller Pump Model Number 98 Pump Must Deliver 31.46 gpm at 9.80 ft TDH Both Mound Locking cover with warning label and locking device, and sealed watertight ~4 in. min. --~._ E- ARernate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (R) 95.00 D~tank elevation (ft) 94.00 Page 4 of 9 EZFIow Distribution Cell Media Layout 4.00 Cell Width (ft) 2.00 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. 4 ft Wide ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths ~ 4" Distribution Pipe With Pressure Lateral Inside ~ Tumup Enclosure - - - - Lateral Distribution Cell Plan View Layout -Typical 4.00 Cell Width - A (ft) 120.00 Cell Length - B (ft) Center Connection Lateral L -~ ~-~ ~` ~`"""'~ Force Main Drag appropriate drawi~g~ir6f i lerr co space oelow. 4 ft Wide __ ____~____ Center Connection Mound System Maintenance and Operation Specifications Service Provider's Name L nn Misfeldt Phone 715-720-8362 POWTS Regulator's Name ST. Croix Coun Zonin Phone System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 480 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ct and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for pondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6!3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ... ......... ............... .. Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Sox - Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins EZFIow Media ~---Distribution Lateral 1.28 Feet Lateral Cleanout Long Sweep 90 or Two 45 Degree Sends Same Diameter as Lateral Project: Both Mound Page 6 of 9 Mound System Management Pian Pursuant to Comm 83.54, Wis. Adm. Code General This system shad be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZFIow Mound Component manual 613!03 and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic 'Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filer shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the finer when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filer alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design fkrnr specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continnencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective cemponent(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Both Mound Page 7 of 9 ~~ , w PUMP PERFORMANCE CsURVE MODEL 98 2s a g 20 x U a 15 > 4 0 J r 10 2 5 0 10 20 30 40 50 60 70 80 GALLONS LITERS 0 80 160 240 FLOW PER MINUTE ooss7ln TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 98 Feet Meters Gal. Liters 5 1.5 72 273 10 3.1 61 231 15 4.6 45 170 20 7.1 25 95 Shut-off Head: 23 ft.(7.Om) 008971a CONSULT FACTORY FOR SPECIAL APPLICATIONS _ 6 ,/, 4 5/8 +{ ~~`~~\ 3/16 ~_ 1 1/2-I1 1/Z NPT SK1102 16 • Electrical alternators, for duplex systems, are available and Variable level float switches area available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. • Refer to FM1922 and FM0806 for temperatures above 130° F. 98 Series Control Selection Model Volts-Ph Mode Amps Sim lex Du lex M98 115 1 Auto 9.4 1 4 N98 115 1 Non 9.4 2 or 3 4 D98 230 1 Auto 4.7 1 4 E98 230 1 Non 4.7 2 or 3 4 SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. See FM1228 for correct model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM1663 for a residential alternator system. CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qualified FM0477; ElectricalAttemator, FM0486; MechanicalAtternator, FM0495; Sump/Sewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed including the most Single Phase Simplex Pump Control, FM1596; Alann Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factgr is engineered into the design of every Zoeller pump. MAIL T0: P.0. BOX 16347 ` Louisville, KY 40256-0347 Manu(acfurers o1. . SHIP T0: 3649 Cane Run Road ~~~~ ~ Louisville, Kv 40211.1961 S /999• ~ PL//1~1P ~0 (502) 778.2731.1(800) 928-PUMP Quuirr Parivs ivcE http//www.zoellercom FAX (502)774-3624 © Copyright 2003 Zoeller Co. All rights reserved. ,, SB CredentialDetail Page 1 of I GYJSCC)1~151lV .n; ; { ~ nor t ~ ~ ~~t~rx:ft ~Yr~~ is tc~, , r .,~~ ~ ~ , ~130~! Co-r*c*-r~rce ~:r,i~~st ~~+rr~r'~~r+i4p ?rfertsatiwn~l F, ~-.; ~t#~ Pragtas~rz~ S~I~t•~ l;viacn~s ~rfr~(o~rravftl Customer Details Name LYNN M MISFELDT Contact Info CHIPPEWA FALLS,WI 54729 Specific contact information is not available for this customer. Credentials listed for MISFELDT, LYNN M Black=A roved Yeiior~~ In Re~~er~°al Process Red=Expired or Not Valid Credential ~ CE Hours CE Needed Type Expiration Needed By Master Plumber-Restricted Service 03/31/05 ~0 12/30/04 POWTS MAINTAINER 09/07/05 0 06/08/05 Soil Tester 06/30/05 r ~ ~ 03/31/05 http://apps.commerce.state.wi.us/SB_Credential/SB_CredentialList?cust id=224628 11/2/2004 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings . in accordance with Comm 85, Wis. Adm. Code ~ty X Attach complete site plan on paper not less than 8112 x 11 inches In size. Plan must `~~ ~~~/+~-- include, 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 riot all In Re wed by ~~ F ~~ ~~ Personal infomtaHon you provide may be used for dary pu ~ acy tsw, s. 15.04 ( (m)). Z 2 Property Owner ~ lion ~~, ~ ~ ~ `a~ 0 1 Govt Lot S ~ 1/4 ~,~1/4 S ~ ~ T ~ N R ~ E Property Ownets Mailing A /ress -}- L , i~iX GO ~~ low # ~' Name or ~~ ~ ' ~R Sl ~~/ ,, ~~JG OF ICE'- ~ .^ r :ltv State Zia Code Phon ^ City ^ Village own Nearest Road New Construction Use: ^ Residential / Number of bedrooms Code derived design flow rate -~d f~PD ^ Replacement ^ Public or ~merciai -Describe: Parent material b u Psr ~ . ! Flood Plain elecvation if appNcable A General comments ~ ~ ~ e ~ (1 (~ P~ ,~~ ~ oT G' ~ ~~ ~'~ ~~ s, ~~Lci- ~ 9 ~ 1 and recommendations:~.5~ G k ~ `~ ~ / ~/ /~ / <, S ~ ~ ~ J . !" l Ou.~~C~, J y~ f min r/eU. ~~ ~ 7' co J .~To~ rip .y ~r~.~.cb~ `mil ® Boring # ~ j ~ ~ ~ y~ DJ~ Pit Ground surface elev: ~~~ ~ ft. Depth to limiting factor -s~`_7'""' Soli icatiort Rate C--~,a cture St Consistence Boundary Root P - Horizon Depth in. Dominant Color Munsell Redox Desaipdon Qu. Sz. Cont. Color Texture ru Gr. Sz. Sh. •Eff#1 'Ef~2 ' - y I o~n ~ .--. 2 ~ k -S a n ~ ~ ~ r ~ \ ~ ~~ ~ .s ~~ ~ t----- ~;, `~ °'~ Boring # ~ Boring qqqq ''~~ it Ground surtace elev. _L____.! ft. Depth to limiting favor ~ fn. Soil ~ T t Structure Consistence Boundary Roots GP DIfEr Horizon / Depth in. C7- ~ Dominant Color Munsell ~ Redox Description Qu. Sz. Cont. Color `- ex ure ~ Gr. Sz. Sh. a ~s ~~ 1 ~- ~ ~ 'Eff#1 ~ 'Etf#2 ~-- ~ 1~~~ 3 -~ ~` ~k ~~ , ~r ~: ____-, • Effluent #1= BOD > 30 _< 220 mgll. and TSS >30 _< 1 50 mglL ' Efluent #2 = BOD < 30 mglL. and TSS _< 30 mglL CST Pia - lease Print) r Signature t~ Nkunber ~h ~ ~ ` ~-1 e o ~ ~.~- ~ ~aa ~~ Address Date Ev uaNon Conducted Telephone Number l.1~1 ~~ ~ 776 fi~ . ,~~-~- ~~ ~~ ~ ~~~c ~ ~-~ ~"~ ~~.~ 77~ =~7' ,~ . lA . (P _--- .~ ,~ .~ 9 6-~ Property Owner ~=~~- ~ti ''\ ,~ ParcellD # Page ~ of -3 LJ Boring ~. _ •.. __.. . B oring # th to Urni factor ^ pit Ground surface elev. _, ~ 7 ft. ~P ~9 Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff; 'Eff#2 + 'Eff#1 in. Munsell Qu. Sz. Cont. Color Gr: Sz. Sh. .. . .. I i -, O . ~- ._..-. .~ - , ,~ ~ ~ , S ~ ~ ~ ~ S ~- s- S b~ ~- ~~ ~ o U Boring Boring # ^ pit Ground surface elev. _ ft. Depth to limiting fador ~n• Soil ication Rate Horizon Depth Dominant Coior Redox Description Texture Structure Consistence Boundary Roots •E~GPD/ff?E~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ,. U Boring Boring # Ground surface elev. ft. Depth to limiting factor In• ^ Pit Shc ication Rate GPD/f~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eif#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Effluent #1 = BODb > 30 <_ 220 mglL and TSS >30 <_ 150 mglL 'Effluent #2 = BODs _< 30 m811. 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•8730 (R.6/00) ~ F (~ J O ~~ ~'~~~e _ ~ hh /V~- \J 0 ~ / l~ ~ ~~ _ ~ 0 ~ (~ v -~ ~ -c> c ~ .~ ~~~ ~ ~ ~ ~ •~ / f ~ G ~ ~~ ~~ S DTI ,( ~ n !` c ~~ w '~ ~ c ~, ~ O rn ~ J ~ v ~r -~c y ~ ~ ,~, 'A (? > ~t ~ n ~, ~ ~ b ~ -r-> s ~3 s 1~ C~ °a- ~. ~1~~ ~~ X ~ n ~~ ~ ~ ~ G s to ~~ ~ ~ ~l ~. n ~ ~ i ~ / ,-r-r 5 ' -' T ~p 0 f 0 b Z z +,, ST CROLX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM OwnerJBuyer Mailing Address ~ Q ~ (.~~ ~ ~ ~ ~ U~° ref .S ~ ~' SOU Property Address ~~ ~ ~(oG~ ~'~ ~./~lititcP'~ ~ ~~ ~ 5 ~y~s.- (Verification required from Planning Department for new construction) City/State ~GC~'6'1~07'1 ~ . ~ ~ Parcel Identification Number lJ~~ ~ I D ~d -- ~ ~~ LEGAL DESCRIPTION q ,, a-~~ f} ~~ Property Location ~ '/., ~ %., Sec. r ~ ' T ~ / N-R~W, Town of ~• Subdivision Lot # Certified Survey Map # ~ `3 ~ 7 ~ ~ .Volume ~ Page # y~ Warranty Deed # 3 ~ Volume w Z~ s ~ -Page # / Z3 Spec house ^ yes no Lot lines identifiable 'yes ^ no SYSTEM MAi1VTENANCE 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 mastCrplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. I/we, 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 da the three year expirati~on~ date. ~G~C~ Lam- /~ /a7/ G . IGNATURE OF APPLICANT /DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p perry desca'b/e~d above, by virtue of a warranty deed recorded in Register of Deeds Office. SI ATURL OF APPLICANT DATE s****« Any information that is mis-representedmay result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty dced from the Register of Deeds office a copy of the certified survey map if reference is made is the warranty deed Parcel #: 018-1040-00-100 11!01/2004 08:09 AM PAGE 1 OF 1 Alt. Parcel #: 18.29.17.276A-10 018 -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 '` BOOTH, KARINA ANNE IWRINA ANNE BOOTH PO BOX 201 ROBERTS WI 54023 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 968 160TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.660 Plat: 1777-CSM 17-4596 018103 SEC 18 T29N R17W PT SE NE BEING LOT 1 OF Block/Condo Bldg: LOT 01 CSM 9/2410 (10.02AC) NKA CSM 17-4596 LOT 1 (4.660AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 18-29N-17W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 09!07/2004 773666 2651/123 WD 09/05/2003 738975 2401 /543 LC 08/27/2003 737766 17/4596 CSM 04/16/2003 717468 2207/406 (~C mo ... 7nlld c1 1MMeRV Bill #: Fair Market Value: Assessed with: 169,200 Valuations: Description Class Acres Land RESIDENTIAL G1 4.660 34,000 Totals for 2004: General Property 4.660 34,000 Woodland 0.000 0 Last Changed: 07/1512004 Improve Total State Reason 0 34,000 NO 0 34,000 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code 010-GARBAGE Category SPECIAL ASSESSMENT Amount 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 ?"73666. -I' STATE BAR QF WISCONSIN FORM 1 - 1998 WARRANTY DEED ~ ' P ~ Z KATHLEEN N. YALSH REGIST : - . U 2 6 5 1 ER aF DBEDS ST. CROIX CO., MI Document Number _.. _ RECEIVED FOR RECORD This Deed, made between p/4Y't D R . ~.NGff -___-________-_--_ N9'/07/2004 N1:00P1! --_~---- '+ MARRANTY DEED __-----.•-..._..__.._.._.._..---- _ ___ _ _ _ _._T - _ --------._.-.._ _..._.. _ ------ EXERT ~ 17 - - ~ ~ Grantor. ` REC FEE 11 00 - --- -- - --- and --- _ ARiN~_~LtKE - ,~O~GTf=1~---~--.----.--- : . S FEE: ' COPY FE -___-_ _____._-------____-_-- , CC FEE: ---------------------------------- PAGES: 1 ---------------------------------°-----------~ Grantee. !; Grantor. Cor a valuable consideration, corn•eys to Grantee the following -JT- CQai1i Count ~~ described real estate in _ y. State of Wisconsin (the "Property'): .e~: n ~ ~~:<, -.-. -. , ~~ ~~- ~ ~ - :. r T~iaR'I o f ~t-he. S E - '/y vT J~(~. ~ 1 /q o~ S~ c+i or.+ ~ g~ NamTe~and Raturn Address li At1 S 0 Q • ~ t~1~'t E4 c~ TovJr.lsifi~ .>29 rloRtil~ ~~ac i7 'vJESt, S•~-C'Ro~X ~ °t~ 2 - l~0*3 S+-, CD~,,~ ~~ , t•`! f sc>~is ~ ~ d~s~ai ~~~ As : wt t of ~m+rtoN~, 1~~ 54cr~Z. -2bo3 fr•! ~!o(urut~ t7 ~1f'6E ~{S4fo Rs 1o~ o o1g-- ~~c~.-------- ~ ~73r1766 ~GUrvtENT n1o . _. . - - Parcel Identification Number (PIN) ~ . This IS L{:~7 homestead property Together with all appurtenant rights, title and interests. (is) (1s nol.) Granto~ryw~ar-rants that the title to the Property is good. Indefeasible in fee simple and free and clear of encumbrances except Dated this g / 7.Lo1f day of - -_ ~-----------^ ~ - (SEAL) ----- ------------------------ - 17. Zvi i~. R. mil t{ Signature (s) ', authenticated this _-_-_ day of TITLE: MEMBER STATE BAR OF WISCONSIN O``~ Rp` E~iQ~' ~~`,. G (If not. ------•--- ~~~~ ~ t•~ , authorized by §706.06. Wis. Stats.) ?~P• _ ~. IS INSTT AFTED BY j *'- (SEAL) ACKNOWLEDGMENT AUTHENTICATION (SEAL) (SEAL) - - State of Wisconsin, "o?~,l ~/Zd ~ X County. ss. Persona)ly came before me this --___----~ ~~-_ day of SC.O ~ .rt ai a/ yoo y' the above Warned ~~i --------.-----------------._.-._.------- to ~% me known to be the person -~_ who executed the foregoing . ae % str ant and acknowledge the same. a • _ `J o .~t .aJ G . /Z.sr irtit3 ~ /1 rS-------- 'j•~_ n ~i~4jEttyli't~Qi~~~+`' Notary Public, State of Wisconsin _.L/K-(,)(b R EN E4 ____ _ _ My commission is permanent. (If not. state expfratfon date: (Signatures may be authentlcated or acknowledged. Iioth are not _.-_.- /O .~.-~- o ~ , -_-____.__.~) necessary) Names of persona signing in any rapaafly muss be typed or printed below their signature. - STATE BAR OF WISCONSIN w~sconsm Lapel Blank Co., Inc. WAHRAN7'Y DEED FORM No. I - 1998 nnawaukea, w+s. SEP 29 '04 11 87 FR COMMODORE SALES DEPT 2195333251 TO NORTH TOWNE ~ ~ J ~ ~-.7 ~} ~ 1~tr# MOdNlAh JlV9 1d0 V b000 011vd 1J0 • C ~~ ~ •~. ~~.~.-` '_ ° W d t e ~~o -' G CS ~ ~ V Y1 W ~ 1.~ In V7 sue- jw ~ YS -+0. ~~ i ~c _. c~ xa 6 0. = 0 a K< a c w~ C O u ©i ~w~.uC- W O W W a r r ~ < ~ W u W { 4. ~ ~ r eJw AC~u u~.. r-.! oco~ .mow W ~ W S W Yi r d ~a `V .Z u ~ o~'c tC'h ~ •-~' V O k ~_ ~~ J w nn o r '1 ~ ~ o 0 D O ~ ~ .av ~. ~~ z ~ { z /~ c0 , v -~ N 0 ~ t-- ~ ~ .. m ~ U ~. d r~ ~~;~ N!Z ~ N ~ ~ a ~ O ~ ~a Jl i ~ ~ `i~ ~~i~ Z ii ~ ~~~ ~ ~~ "~ _ I i i i .~ _ i <~ G ~ \~~ N • N 11 = `- `~`. N CV Q `- < u `.~ ~ i tl~ `. ~. ,~ _ ' .._..-- = i o ~- ~~~ ^ . ~ cn ~ 0 ~ N ~ ~ i1: ~ q ~~ .Q- a$ ,0~ P.05i05 Y v J ~- X O L ~. E ••--~ '~k" CV E ,~ V• V~ `~ ,a Q W • Q J y ~ N ~ 7 a W ~ Z ~ ~ we 0.°'~V. 0 . ~ J ~ ~ 4 <r N` 6U ~i ?C f/1 ., W ~ 6 4 6 .'.. Q ~ UJ .W- J N cn M J a W J + ,,. `f L.~-j b 0 o ~ ! o ~, _o O t~ 1~ O ab ** TOTAL PAGE.05 ~* J ._1 ~ Z W ~ Q ~ ~ . ~ ~ - a 4 Q ,~- V ? U '73?7'66 VqL ~ 7 PAGE 4596 REGISTER OF DEEDS RECEIVEDxF R~kECORp 08/27/2003 03:15PH CERTIFIED SURYEY MAP -3~E8 x"-,66 r ice. 00=--- COPY FEE: PAGE5: 1 I 1 1 , z I I I a ~ ~ • ~ , t-. p O -i~0 C ~ Om ~ K ~ r O Z ~ 1 ~ ° ~ rNi -+ D ri z o ~ oo a ,O N ~ Dm ~ z o "' - R ` ~ ~ ~ Z ~, n rSi ' L <n C O~ Z 2 D ~ ~Om Od O rYi W ~. v)~C7~ < ~ r~~N XI ~ 1 y yp Dm+-V r4 r~+1 ~~~~ "-~ cZi ( ~~~~b~ ~ A m ?FOZ ~v~ a p C ~i ~ ~m p '+1 Z t~ -- > TJ S to -{2 a N o~m~~~ oN~-a m ya z ~-"~x > ~ir , m o m a~uzi ~~0~ ~mroq o~ ro y ~ C~ Q ~ z N tl K ~ 3, N -. 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Field checked 1975 Hydrography compiled from information furnished by Wisconsin Department of Natural Resources Projection and 10,000-foot grid ticks: Wisconsin coordinate system, central zone (Lambert conformal conic) 1000-meter Universal Transverse Mercator grid, zone 15 1927 North American datum Fine red dashed lines indicate selected fence and field lines where generally visible on aerial photographs. This information is unchecked .. - :yYJ_ I O O O y0 .° ~ ~ so I ~ - O I ~ ~ ° o • /026 ~ 9 / 5 ~ I o 0~ D I ~ ~ oQ I o~ - - ~ ~ o ~ I ~`~a-~ I I I . 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In Business Since 1947 FREE ESTIMATES WE WILL MOVE THE EARTH FOR YOU! OFFICE: 715-684-2124 Joe: 715-684-2949 120 Hwy 12 E. Cotton: 715-684-2510 P.O. Box 104 FAX: 715-684-2848 Baldwin, WI 54002 '~AtOOD'~l`1LL~E 1~t0'1'~L .~ ~ ~ • ~~•~ ~ • • ..;~ Exit I-94 & County Rd. B (Exit 24) Woodville, WI 54028 Phone (715) 698-2481 Fax (715) 698-3260 • Exceptionally Clean, Quiet & Comfortable • Direct Dia Phones, Color P ~g Ins ~ No SmokingrRolomsrds Accept