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HomeMy WebLinkAbout018-2003-02-000I I I I s m 3 n a I rn a ~. A m y o ~ ~ c o I o° n n a ~ ~ ~' o I ~ ~ v ~ u> z D ~ ~n D N i ~ ~ 3 ~- m { N I rt I o W ~ ~ c .~" ~ Q ~ ? ~ N Q z M M O o ~ I ' ~ I m c I W a ~ z ~ I o ~ 0 II ( I I m N a ~ 3 °- I a~ o I ~o v ~ ~ ~ o ~ ~ N ~a fD n O O O ~ ~ `~ I I O 7 N 69 ' O °o ~- ~ y 0 c :: ~ 3 ~ ~p ~ ~ ~ 3 3 ~: o ~ -o rn n rn rn n ~ c ID a' C. rn ° O N N N O O A A ~,y O O O = ~ O O ~ ~ ~ a m = ~ ~ °.: ~ ~ ~ ~ O 7 .r .. ~ W 7 a C ~a 0 0 m c m Q O W ~ a 3 O '~ 3 !~! Z N W m c a 3 m o 3 n 3 ~ a _ ~ o ~ ~ ~ CO o v °' °° b ~ p~j N o N O S 'O N K c 3 N (7 O x W 0 3 fD 1 8 azm~, ~ ~ n=.,' A 2 O .. ~ O m~00 -~ z A ~ z m A d .~+. A'+ O 'O ~1 0 ~• ~~yy,,,~,,,~• vy 0 ~~ fi 'e"' ~ vv NO A ~. ti Oiq i~ ~ A ti .q v Wisconsin Department of Commerce Safety and Bu^ding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT 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 P.C. COllova Builders, Inc. Hammond Townshi CST BM Elev: Insp. BM Elev: BM De'sc~``iptilom ~ ~~ /Bd ~ a 1J~i"S TANKINFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ ~ J,~~ Dosing ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 0 ~ / ~ / Dosing ~ Aeration Holding PUMP/SIPHON INFORMATION /I ~ I Manufacturer Demand (~ GPM Model Number ~ ~ ~ ~] / TDH Liftt O 3~ Friction Loss ~ System Head ' TDH Ft 5 • ~•3 3.3 t . Forcemain Length , Di~ ~~ Dist. to Well ~ ~ SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 430666 0 State Plan ID No: Parcel Tax No: v l~ "zob 3 - dz -~ Section/Town/Range/Map No: 18.29.17. STATION BS HI FS ELEV. Bench ark~~ ~- ~. ~ / D Z • t~v~ Alt. BM Bldg. Sewer ~ Ss SUHt Inlet g. ~ ~{ ~ SUHt Outlet ~~ _ Dt Inlet ~- - Dt Bottom 13.2a 90.7 Header/Man. 2. b /a~• o Dist. Pipe 2.915 I o ~. v Bot. system ~~od j p 0.3 Final Grade ~.3o Z•li St Cover ~ ~ ~~ 5•• 5~ / g~ !/•/ BED/TRENCH DIMENSIONS Width ~, Length ' No. O Trenches ~ Gl PIT DIMENSIONS No. its In Dia. Liq epth ~ S Ce SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Man INFORMATION CHAMBER OR Type Of System: y~1 _n Nt~t.q f ~'^~/ ~ ~' QQ ¢¢ ~ UL7 ' UNIT Model Nu DISTRIBUTION SYSTEM ~~' Header/Manifold ~/ / 2 ~~ Distribution Pipe(s) r"if, ~ ~ r~ ~' ~ x Hole Size 3 /~ J / r/ x Hole Spacing ~ Ve~}t tq Or In~ A `[ e~/ Length L Dia Len th Dia S acin ~1 _ ~! ~ _ g g p SOIL COVER x Pressure Svstems Only ~' xx Mound Or At-Grade Svstems Onlv ~~, 4 ~/k Depth Over Bed/Trench :,enter Depth Over Bed/Trench Edges xx Depth of ~ Topsoil ~ xx Seeded/Sodded xx Mulch d ' I , Yes ', No Yes No COMMENTS:(Include code discrepencies, persons present, etc.) Inspection #1: ~/ ~ / ~~~_ ~~ Inspection #2:~/.7V / C) ~~ Location: 990 158th Street Hammond WI 54015 NE 1/4 NE 1/4 18 T29N R17W Crick Bottom O rlo Lotr~2~~ Parcel No: 18.29.17. 1.) Alt BM Description = ~'''t"'t'' ~~'° L~'~ r ) C^ _~~ ~ 2.) Bldg sewer length = (Z.~ r/ (J ~ ~ . ~ ~ SA~t ~ I ~ GG~-OSj -amount of cover = ~~j Y - - ~~,~,,,~ \ ~/ /~~1 /~G~ ~ 4 Use otherls de for additional information. No ~a , ~~_~ ` - - i ~ ~ ~~. Date In pctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division ~ _ ~f ~~~ ~ 201 W. Washington Ave., P.O. Box 7 iseonsin Madison,) - HIV ED 608 61.6 _~,]L% 5m testy P it Nu//mb//er (to be filled in by Co.) 1010 b Department of Commerce Sanitary Permit Applicatio ~~ 2 2 200 star Plan LD. Number ~ ~~~ -T~,,, , ip , In accord witb Comm 83.21, Wis. Adm. Code, personal information ou pr be used for secondary Pw'poses Privacy law, x15.04(1 m) IX , ;OUN a address) l'Proje A ress (if different than mailing m y GR~ SZO t Alt Information i c ~ ~~ J~ n I. Application Information -Please Pr ~~ , I,ot . $i~# Parcel # ~~~ Property Owner's Name ~ ~ ~~~ / C ~ _, L./ ti n property Owner's ailing Address ~ 9 ? o Pro a Stx:tion ~'/ ~`/. 1 1 JL7 ~ , ., City, State `, Zi(p~Codel Phone Number (~.~ I G ~C~ ~ --/ T ~ N; tf~Eclr II. ype of Building (check all that apply) ~ S ivistion a CSM Number 2 Family Dwelling -Number of Bedrooms t '" ~ ~ o ~ ( ^ publicJCommercial- Describe Use ~-~. ^City ~Villag ownship of ^ State Owned -Describe Use lIL Type of Permit: (Check only one box oa line A. Complete tine B if applicable) '~• Systt3n ^ Replacement System ^ TreatatenUHolding Tank Replacement Only ^ Other Modification to Existing System List Previous Perutit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Seforc Expiration Plumber Owner IV. T e of POW'I'S S stem: C eck all that a 1 ^ of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade (] Single Pass Sand Filter d > 24 in M n . oun ^ Non -Pressurized in-Ground Constructed Wetland ^ Pressurized in-Ground ~ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ' ) RecircutaCOg Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe Other expl r V. DJs traalrl'reatmeat Area Information: Dis rises( Area Proposed (sf) System Elevation cation Rate(gpdsf) D p Area Required (sf) Pe pli flow (gpd) Design Soil Ap gn Desi // // / ~ Prefab Site Steel Fiber Plastic Capacity in Totes] Number Manufaettrrer VI. Tank Info Galtorts Gallons of Units Concrete Constructed Glass New 1xisting Tanks Tanks Septic or Holding Talc Aerobic Treatment Unit Dosing Chamber VII. Responslbilfty Statement- I, the undersl d, assume responsibility for installation of the POWTS shown on the attached plans. ~~ mbe~ E usiness Phone Nu b~~~rrr ~ M~ pR a N _ ~~~ Plumber' Name (Print) Plumber' ignature ~ !~ Z v ~ ~~ J J Plumber's Address (Strcet, City, State, Zip ~~ _ / ~ ~~ O) VIII. oun /D artment Use Onl udes Groundwater Date Issued 1 suin Agent Signature o Stamps) Sanitary Permit Fee ( d Approved ~ Disapproved Surcharge Fce) ~~~_ ~ • ~ ~ Q Owner Given Reason for Ihmial • IX. Conditions of ApprovallReasons for Disapproval SYSTEM OWNER; 1 Septic tank, effluent ~Iter and dispersal cell must alt be serviced /maintained as per m8rlagement plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Attach eompkte plaaa,(te tLe County aoly) for the system oa paper not less than E12:11 (aches la sax SBD-b348 (R. 08JOZ) ` PLOT PLAN 'P.C. Colbva Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 %1/4 NE i/4S 18 /T 29 N/R 17 w TOWN Hammond COUNTY ST. CROIX RS Shaun Bird 226900 DATE 1 /8/04 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )00C SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Topof Survey Iron ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. same aS benchmark SYSTEM ELEVATION 98.5' B.M. * Alt. B.M Alt. B.M. is top of 2" Pipe @ 100.0' Pro rt Lin _ 3 Grading is to be done to divert run-off away . ~~, 9 8' from system 97.5' B-1 97, 5% Slope B - 2 uffcutt Combo Tank Area 15' bel w system is to Tank is to be properly bedded and remain provided with lockdown covers undisturbed with approved warning labels Pro 3 Well is to meet all Bedroom setbacks found in ~~ Comm. 83 p~ Scale = 1 /4" = 10' ~~ 158th St. isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD to CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary January 16, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/16/2006 Identification Numbers Transaction ID No. 959447 SITE: Site ID No. 670032 PC Collova Builders Please refer to both identification numbers, 990 158TH St above, in all corres ondence with the a enc . Town of Hammond St Croix County NE1/4, NW1/4, 518, T29N, R17W Lot: 2, Subdivision: Crick Bottom Overlook FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 938926 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ~-,~~jl 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. i The following conditions shall be met during construction or installation and prior to occupancy or use: D FARTMEI N QF General Approval Requirements: SEE CORF • 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.O1/O1) 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. • 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. SHAUN R BfRD Page 2 1/(6/04 • 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. I45.20(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. 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 (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 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 1 /08/04 Owner:P.C. Collova Bldrs. ~~ s ~q chi 9~ ti1 ~F ~;~ 3~o Q ~~ o~ ~O~ so~~ Location: NE1/4 NE1/4 S 18 T29N,R 17W Lot 2 Crick Bottom Overlook Hammond System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01 /31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil test Signature License number 226 0 y~ .~ #~ ~ C0~{MERCl; AND LQIpGS PONDEN PLOT PLAN PROJECT. P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 NW 1 / 4 NE i / 4 S 18 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1 /8/04 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )OOC SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none ,BENCHMARK V.R.P. Topof Survey Iron ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. same as benchmark SYSTEM ELEVATION 98.5' m B.M. 'Alt. B.Ma Alt. B.M. is top of 2" Pipe @ 100.0' B-1 -3 ~p\ 5% Slope B - 2 Area 15' below system is to remain undisturbed Grading is to be done to divert run-off away --~. 98' from system _.,_ 9 7.5' 9 7' uffcutt Combo Tank Tank is to be properly bedded and provided with lockdown covers with approved warning labels Pro 3 Well is to meet all Bedroom setbacks found in HOUSe Comm. 83 Scale = 1 /4" = 10' 158th St. 'Designer Date ~' - ...._ No r Non-Woven Filter Fabric ~DistriDution. Pipt -.. H G ~;z-~--- ~ o s~_ 4" Observation Pipe Perforated Below Filter Fabric AS12i C-33 5 o n d -.~ ~' Top>;oit ~. -----~ t \~ f E 7. Scope .fled Ot ~~~- 2 %2 Drain Rock f j< / ~4 ! ~ 1rLP'. Force Moen From Pump F'towe d l.oytr i ~~ 1 ~ .1~, F G ' _i t; ,~ . ~ Cress Section Of A Mound System Us;ncL A Bed For The Absorption Area q -~ - ft. g ~ / Ft. I ~Ft.~ K~ Ft. . ~ Ft. __. k,a~ Ft: L 4:~Observotion Pipe ~ _ e ~_ _ - _-`1»~.-- K ~-. ..~ ~.....r. - -------------------------- 00 ~.----------------- _ I - . a A ~ ~ Force Moin w "' ~° _.~_... - ---_-_.--_._---w------- From Pump _ - --- - 3 ° Distribution Bed Of %2~- 2 %2 o Pipt ~ Drain RocK I „ A ~I 4 Obt;ervotion Pipe ~'~a.~~ Permanent Morker ~s~." %/ ~ ~~~ bv,~~~,~~ ~ p~ or Rods Pton View Oi Mound Ucin A Bed For The Absorption Areo PA G E_,r,~„OF ~`l~~ t_ototed On Bottom, EquottY SROCee ERST 13C+I.L I~1iKT TO CaAf1tG}'G1 Ft. Ff. __..,. _ Signed: license Number: Oats: X `'~~Ir~c~+es Yv~ inches3 Hole Diameter, Inch lateral ~" `Inch{es~ Manifold ` Inches Force Main ~~- inches # of hcleslA1Ae_~ ~ Invert Flevdtiot~ Cf Laterals C~ Ft. Perforated P+Re Detoii CROSS SECTION AND SF£CIFFCAT'IONS SEPTIC TAN3C ~ P~3MP Ctihi'iR£R ~i£ATH£SFROf~F » CI BENT PIPE I2" 1~IN. ABOyE GRADE ~ ~i3~CTIflt~ $aX MA~~QLEDCQVElt w > ~S• fROH D44R, ~tINI?fl~ QR WFTf# CflNtsLtiT Wf FAA LOCK ~ FRESH AIR ;KT/iiCE ~ yiARK;AIG U1BFL gIK;SIi~D GRADE -- .~.~,,.~4" M213. /i • Y r. a. w 18° IR. "~i _: j i . z1~LET ~ ` iiAT£R TIGHT 5 EALS ~ c,A,s- , TIGHT • ~ '~~tFPROYED ~p=NTS ~iITli ~iLT£fi A ~ SEAL . f AL2i APPR4YED ¢tP£ _ 7~~~ Il f1~~lWTLY - ~ ~ 1 ~ . FIFE 3` (NATO SOLID ~~bFT. C ~ ~ r OFF . pD~P OFF gLEY < ~ OV ED gEDDI I+t6 V NDF~t TAI+iIC ~ s' ~ C itETE PAS GV%~~~ SEPTIC f DOSE TAAiK 24ANUFACT~1RgR: TAIiK SIZES : SEPTIC flflSE ALARK MA#R1FAC113RER~: lrIODEL ~KS£R Sf~ZTCi~ TYPE: ~ pt7TSP MANVFI~-C2~iR£R KppEL NtTi#BER : . S'~1I3'CH TtPE= SP£CZFZCATIONS r~/~ I~tU?'4BER OflSES ~~ ~{~E V£);,,UME I~TC~DIN6 ~, GAL- GAi.. F LC3WSA~C(K: _ GAL. `_ ~/ ' J"~;N,CHES = ~ ~ GAL. ~;, ~.~ CAPACITZF.S: A ~ GAL. •=fx' 8 - ~ 2 23~1CBES - 2 ~~~ C ~ _s;NCi3ES ~ 7_.._` ~ GAL' Q-~ ~ Ir~KES =1.3~ cAi. PiTi'3P S ALARM WZRIHG AS PER ILHR ~_ GPti ~ FEET R£tWIRED DISCHARCiF BATE PUMP OFF AMB DISTRZ~'FIE)N PIPE 3 ,~.~,,.~.-FEET vER'FICA3. DIFFERENCE BETWEEN -T------ FEET ,, M H N£TNOSK St3PPLY PRESSURg'FJ1Dg •FT'. FRZCTIBN FACTOR . /~--- FEET ~J 1"E£T F4RCETSA.IN x.~_..3 ~'flTAL DY~~IC Ii~J4D ~ ~ =U= - ~-. + <-sG~ ~pTH - DIAHET~ ~......- MENSIDN$ fl~ PUMp Tt~K: ~,gI3GTH F.IQ~3ID ~~~-------"""'"' 1NZ~t~AL DI S fGWED: _ 4AT£= LICENSE NUMBEg~ :t8s ~~ g ~ TOTAL DYNAMIC HEAD/CAPACITY HEAD .CAPACITY CURVE PER MwurE EFFLUENT AND DEWATERING MODEL 152/ 153 153 12 40 152 ~, 30 z $ r 0 20 0 4 10 0 20 40 60 80 100 GALLONS LITERS ~ 80 160 240 320 MODEL 152 153 feet Meters Gol. Liters Gol. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 265 15 4.6 53` 201 61 231 20 - 6.1 44 167 52 197 25 7.6 34 129 42 159 30 9.1 23 87 33 125 35 10.7 -- -- 22 85 40 12.2 -- -- 11 42 Lock Volve: 38.0 fc. (11.6m) 44.0 ( ) 3 ~7 FLOW PER --MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle`controls. • Sealed Qwik-Box available foroutdoor installations. See FM1420. • Over 130°F.(54°C.) special quotation required. 1521153-Series 1 152/153 MODES Contro SelecLOn Model Vohs•Ph Mode a Sim lex Du lex N152 115 f Non 8.5 1 2 or 3 BN152 115 .1 Auto 8.5 : Included 2 or 3 E152 230 t Non 4:3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Aulo 5.3 Included 2 or 3 1z 1/s _~ sKZOSa SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level. float switch. Refer to FM0477. o cnurloN 2. See FM0712 for correct model of Electricat Aflemator E-Pak. All inatallatlon of controls, protection devices and wiring should be done ny a quaUfiad 3. Variable level conVOl switch 10-0225 used as a Control activator, specify duplex (3) licensed electrician. Ail electrical and safety codes should be followed including the most recent National Electric Coda (NEC)and the Occupational Safety and Heakh Act{OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. A4AIL TD: P.O. BOX 16347 ~' - Louisville, KY 40256-0347 Menufacturersof. . o SHIP Tt)r-3649 Cane Run Road ~~? O Louisville, KY 40211-1961 Q!/QL/Tl'PUMP6 ~7/NCE ~~~a7 N httpJlwww.zoeller.com PUMP !O. ® rSazl 7782731.1(800) 928-PUMP FAX (502) 774-3624 ft. 13.4m orasoa 32 S2 l,; - ©Copyright 2000 Zoeller Co. All rights reserved POWTS OWNER'S MANUAL 8~ MANAGEMENT PLAN SCHEDULE Service Frequency Page of Service Event v ^ months S ar(s) (Maximum 3 yrs.) inspect condition of tank(s) ery At least once e mbined stud a and scum equals g of tank volume one-third (ly) Pump out contents of tank{s) When co ^ month ar(s) (Maximum 3 yrs.) Inspect dispersal cell(s) At feast once every p month ~ ar(s) At feast once every / Clean effluent filter (~ months r(s) ~ NA um controls ~ alarm Inspect pump,. P P At Least once every nce every t p month ~ r(s) ^ NA Flush laterals and pressure test o At leas ., p months ~ year(s) ^ NA ~~. At least once every ^ months ~ year(s) ^ NA other At (east once every MAINTENANCE INSTRUCTIONS tnspedions of tanks and dispersal cells shaft be made by an ind'tvidPaO1~S fnsopector, POVYTSnMaiatainer, Septage cerafic~itions: Master Plumber, Master Plumber Restricted Sewer, ~ identi a missing or broken g~cing pperator. Tank inspections must include a visual inspection of the tank(s) fY nY han~ware. identify any txacks or teaks, measure the volume of combined sludge and scum andot~~ e e~Ue~ie~vels or ponding of effluent on the ground surface- The dispersal cell(s) shalt round surface.. Ttte pondtng of effluent on the in the observation pipes and to check for any ponding of effluent on the g authority. ground surface may indigte a failing condition and requires the immediate notification of the local regulatory uals one-third (Y,) or more of the tank volume, the When the combined accumulation of sludge and scum ~ Set'vicin O rator and disposed of in accordance ~~ ~• NR entire contents of the tank shall be removed by a Septag 9 Pe 113, Wisconsin Administrative Code. - vents; and any The servicing of effluent filters, mechanical or pressurized POWTS components, pefedtreaaf~fi~ pOWTS Maintainer. other maintenance or monitoring at intervals of 12 months or less shall be perms ~ tetion of an service event A servk~e report shaft be provided to the local regulatory authority within 10 days of comp Y STARTUP ANO OPERATION roducts or other For new construction, prior to use of the POWT s and/or~damage tfie dispersal cell(s). nl h g col ncentratiorts are chemicals that may impede the treatment prOCE'.S 'a septage servicing operator Prior to use. detected have the contents of the tanks} removed by • Values typical for domestic (nor--oomme-da1) wastewater ane septic tank effluent. .« Values typical ~ Pretreatee wastewater. ~;-,--, ( ~ oii~conditions are frozen at the infiitrattve surface. Page of System stag up shall not occxu when s wer ig restored the excess During power outages pump tanks may ftti above normal highwater levels. Wt-en Po wastewater will be discharged 1yo the dispersal Dell(s) in one large dose. overloading the cegms~ tank removed t in the backup oc surface discharge of effluent To avoid this situation have the contents of the pu p by a Septage Servicng Operaboc P~-~ r+estonng power to the effluent pump or contact a Plumber or POWTS Maintainerto assist in manually operating the Pump contrnis to restore norrnal levels within the pump lank Do not drive or park vehides over Tanks and dispersal cells. Do not drive or park over. or othetwise disturb or compacx, the area within 15 feet dawn slops of any mound or at-grade srn7 absorption area. Reduction or•eliminatton of the fotiow"tng from the wastewater strum may improve the performance and prolong the life of the POWTS: antibiotics:baby wipes; dgar!et#e butts; condoms; cotton swabs; degreasers; dental floss; diapers; d~sinfedants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbiddes; meat scraps; rrtedirations; oil; Painting products; pesflcides; sanitary naptans: tampons:'and wafer softerter brine. ABANOONMNIt.NT When ttre POWTS falls and/or is permanerniy.taken out of service the following steps shall i~ taken to insure that the system is properly and safey abandoned in compliance with ch_ Comm 83.33, lA/isconsin Administrative Code: • Ali piping to tanks and pits shaii be disconnected and the abandoned pipe openings sealed. • The contents of a!t tanks and pits sha(1 be removed and properly disposed of by a Sepfage Servicing Operator. • After pumping, alt tanks and pits shalt be excavated and removed or their covers removed and the void space filled with soft, gravel or another inert solid material. CONTINGENCY PLAN If the POVYTS.faiis and cannot be repaired the following measures have been. or must be taken. to Provide a Dade compliant replacement system: ~ A suitable repiacement'area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing ar~d proposed structure, lot lines and wells_ Failure to protect the rppiacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area_ Replacement systems must comply with the rules in effect at that time. O A suitable replacement area is not awailabie due to setback and/or soiE (imitations. Barring advances in POWTS echnology a holding tank. may fse installed as a Last resort to replace the failed POWTS. The site has not been evaluated tom ens assailable eepiacemen seea. Uf no replacement area rs availablena site evaluation must be perfom~ed olding tank may be instaped as a last resort to replace the failed POWTS. sound and at-grade so7 absorption systems may be reconstructed in place fo(k~wing removal of the biomat at the rnfittrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «VYARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTiC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE 1NTERlOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADORIONAL COMMENTS POYYTS INSTALLER Name ~,}~/f' Phone ~~ - ~ ,~ "` -~L POVYTS MAINTAINER Name ~l.^~ ~ ~,~ Phone ~ ~"~- ~ ~ ~ ~ -~ SEPTAGE SERViCtNG OPERATOR UMPER LOCAL REGULATORY AUTHORITY n Name •~•->~. l/ ~ ;rte, Agency 7",+ ~ T~ Phone /J ~--oc, ~~3 ~~ Phone ~~-'f Zj (.~. rnis aocument was dratted by the staffs of the Green Lake. Marquette and Waushara County Zoning and Sanitation agendas. This dowment meets the minimum requirements of cfi. Comm 83.22(2)(b)(t)(d)&(~ and 83.54(1}, (2) b (3), Wisconsin Admtntsfrativ'e Code. Use of this document does not guarantee the performance of the POWTS. Gnrtvv (~>> . ' ` Wisoarsin Department of Commerce SOIL EVALUATION REPORT Page of Div~icn ~ Safety and Btdldings in accordance with Comm 85. Wis. Adm. Code County ~ e Attach oompiete site plan on paper n~ less than 81/2 x 11 inches in size. Pian must ~ ~ include. tart not limited to: vertical and horizontal ref Parcel I.D. percent slope, scale or dimensions, north arras. and oce est Please Tint all ir-fo anon. ~ Date A Persons inrormatia+you provide mar be used for purvo>jy~t9five~ (~) t ))~ ~ ' 2'Z Property Owner n Property 'on ~~ t 0! Q ~- J T CROIXC l~ytyt.ot 1/4 ~1/4 S~ T N R E( W Ow.nnA.r Auww''c \A~ilieva A'Irlwec ..w / _. # Sl~. Name Or CSMI/ ~ /J City ~ Tp Code Phone Number ^ City ^ ViNage Tatim Ltl1 New Corrstruc~on Use: I / Number of bedrooms Gale derived design flow rate ~ ~ GPD ^ Replaoemant ^ ~ or, - Desaibe: - Parentmaterial ~ Flood Plain elevation "rf applicable 1'`~ / ~' ff. and tecarrrrrrendadions: ~~ ,5~~,,,, ~ ,`~ ~] ~ - Ground surface elev. J~~ r / . ft. Doh to Cxnidng factor ~ ~ in. Pit Sol Ra6s i H th D D i t iion daor Desai R Texdrre Strur~tne Consistence Baurdaay Roots GP D/ft= or zon ep in. om nan Murrsep p e (lu. Sz. Cont. Color Gr. Sz, Sh. 'Efgf1 'Ett;tR2 ~ a-~ !~ ~--- s , s ~ 2. 1 6 ~ .mss s' 4 --~ - 3 ,. ~ s , 1 -~ - s Q # o Pit Ground stxtace elev. [~ ft. Depth t0 lgTrltlrlg factor. ~. S0~ Rele Horimn th De tbminant Cd Redox Description Texture Structure C.ons+stence Barndary Roots GP DVfE` p in. MurrseA (~u. Sz CoM, Color Gr. Sz. Sh. '~1 ~~ -12 0 r 3 2 --~ S L ~ rn 'Y (L CS a l r g Z ~. s = s ~ rn 1 F a -- ~ Y ~ F ~ ~ ~ /F - rn N ~4 N ~ ~ r Effluent #'! = BOD > so < 220 mgll and TSS >30 < 1 - - 50 • Effluent #2 =Boo <_ 3o mgn_ and Tss _< ao mgn. csr Number (Ple~e Pry f ( Date Evahratiat Cortducted Thane Number A //~~ 14~~~~ .o , /~ /,o, ~ /,/11,, .v.. ~/~) l L/!~I ~ ~o2'y-..rL ~~f'''a_"~6~'~-ff ', ~~~~ ParcellD # _ ---_- -_ -_-- -_ _ Page of - Boring # ^ 8on~ ~~~ ~~ Pit Ground surface elev.--r-~I!' -~~ ft. Depth t0 limiting fe~ ~ irl. S~ Rate Horimn Dominant Redox Description Texture Stye Consistence Boundary Roots GP DifF 'ur. Mur~fl Qu. Sz Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ w P ~ c~ r 3 S Z- r 1~'1=~'t2 ~_ ~ a m r S ~ ~ ~ s _ 5~ m ~ ~ E~ oS ,$ ^ ^ Pit Ground surface elev. it. Depth ~ limiting factor ut. # ^ ~~ Sod Rate Horizon Depth Domir~arrt Cd Redox Description Texture Structure Corrsistenoe Boundary Roots GP D/fP in. Mur~efl Qu. Sz. Cord. Color Gr. Sz Sh. 'Eff#1 'Eff#2 a Bor~# ^ ^ Pit Ground surface elev. ft. Depth to Cmdting factor In. Sod Retie Horizon Dominant Redox Oesor~tiort. Texture Struchrre Cor>sisterroe Boturday Roots GP D/fF in. MunseN t1cr. Sz. Cord. Cobr Gr. Sz Sh. 'Eff#1 'Eff#2 ' Etfluerd #1 = BODs > 30 < 220 mglL and TSS >30 _< 150 mglL • Effluent #2 = BODs < 30 mgA. 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 608-26b-3151 or TTY 608-264-8777. Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Sha Address P.O. Box 487 Somerset Wi 54025 STM #226900 Lot 2 Subdivision Crick Bolton to 12/4/02 1 /4 NE 1 /4S 18 T 29 N/R17 W Township Hammond Boring 0 Well PL Property Line County ST. CROIX BM r VRP Assume Elevation 100 ft. =Top of Survey Iron ~~,,,,~-~ em Elevation 98.5' *HRPSame as Benchmark It. BM _ Top of 2" Pipe @ 100.0 ; B.M. 240' Property Line Alt .M. B-3 0' 0' 40' 35' 98 B-1 10' 97' 5%Slope B-2 a~ c ... a a 0 ~o 00 M ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer P• C. Collova Builders, Inc. Mailing Address P O Box 489 Somerset, WI 54025 Property Address ~b"`n S~ City/State (Verification required from Planning Department for new Hammond, WI LEGAL DESCRIPTION Parcel Identification Number I Property Location ~ %,, ~1/,, Ste, 1 g , T 29 N-R 1 ~ W, Town of Hammond Subdivision _~i c.12. ~~-~-~om Overlook Lot # ~ • . Certified Survey Map # Volume r- ,Page # Warranty Deed # ~~, ~' y ~ Volume `~S~ ,page # Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its prcmature.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 masterplumber, journeymanplumber, nestrictedplumber or a liceasedpumperverifyingthat (1) the on-site wastewaterdisposal system is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 of the three ye expiration date. ' P. C. COLLOVA ~UiLCE~RS, INC. / / / p SIGN OF APPLICANT (715) 247-2742 P.O. Box 46~ DATE SOMERSET, WISCONSIN 54025 OWNER CERTIFICATION I (we) certify that all statements oa this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p pe desc 'b e, by virtue of a warranty deed recorded in Register of Deeds Office. P. C. COLLOVA BUIL®~R~, INC. (715) 247-2742 / 6 / (,~ SIN O APPLICANT P.O. Box 485 DATE SOMERSET, WISCONSIN 54025 ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** r.. ** 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 U 1950P 5281 STATE BAR OF W ISCONSIN FORM 1-1998 WARRANTY DEED I husband and wife .Grantor, and 3 C Cdtova 6uliCers. Inc. . ter. Grantor, for a valuable consideration wnveys to Grantee the fellow described real estate in St. Crobc County State of Wisconsin (the "PropeRy'}: 687242 KATHLEER H. MALSR REGISTEB OR Ots'EDS ST. CROIX CO.. YI RECEIVfiD FOR RfiCORD 08-16-2002 9:00 AM EYQPT tit ~ REC FEE: 13.00 TRABS FEE: 1155.80 CAPY FEE: CERT COPY FEE: PAGESs 2 ~~ ~ :; . ~2~C~ ~ ~ OV E ~L(,oK ~ of 2 ~CoBOVa BuUdara.Inc. x Avsm:e mood , WI 54015 ~~~ 9s~o 9 O18-1039-20-•000 / 018-1039- 018 1039 80 000 Parcel {dentlticatlon Number (PIN) Thla Is not homestead property. (IS) (Is not) See Exhibit A attached hereto Together with all appurtenant rights, title and Interests. none Grantor warrants that the title to the Properties goad, indefeasible in simple fee and free and clear of encumbrances except Dated this 15th day of August. 2002. (SEAL) hn J ` Itan (SEAL) AIJ~C -~ i t~'~ ~F W7 Slgnattue(s) authenticated this NO '~C y~~E~~t~ TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by §706.06, Wis. Stets) // A~_ (SEAL) arolyn G.~Batton (SEAL) ACKNOWLEDGMENT State of Wisconsin, } ss. St Croix County Personally came before me this 1;~ day of Au°wL ~0 the above med a a roi It a nd W If • W.c u ~wSkZ~rw.~ Notary Public. Slate(of Wisconsin THIS INSTRUMENT WAS DRAFTED BY My commisabn is pe~TT'anent. (If not. state expiration date: Caldwell Banker Bumet Q~G) V~ 1301 Coulee Road e ~l~lLll •j Hudson, WI 54016 2-32470 (Signatures maybe authenticated or acknowledged. Both are not necessary) STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Ina WARRANTY OP.ED FORM No.1-1998 Milwaukee, Wis. ... ::•~ .. .. .•, ~; __ . .. .. .1~.' '~.9 S.U., 5..2,~..,.~1. :. ~ .. ,~, ;. .,. ~.ca....ca...._- ... '. .. ~ .. A part of the NE'/. of the NE /and In part of the NW y. of the NE'/, and fn part of the SW` Y. of ~', ~~ Lam' ~u~M the NE '/. of Section 18, Township 29 Noah, Range 17 bleat, Town of Hammond, St. Croix County, W+sc:onsin and more partlwlarfy described as; Begitnring ~ the Northeast comer of said 6 V ~~U ~ Section 18; thence S89.33'31'W 372:Ot feet along the North line of the NE '/. of thence S89'33'31°W along the North fine of the NE '/. of said Section 18 775.94 f e thence S00°52'23"E 250,Q0 feet; thence S89.33'31'W 968.24 feet* thence S00°52'23"E 420.00 feet; 2 of thence S89.33'31'W 528.00 feet; thence S00°52'23'E along the North~outh Quarter Section Ilne of said Section 18 1311.77 feet; thence N89.33'39°E 626,33 feet; thence N00°31'25"W 330.23 feet; thence N89'33'24'E 692.76 feet; thence N00.52'23"W a-~g the East line of the SW NE % 330.31 feet; thence N89°33'24'E along the South line of the NE Y. of the NE '/s 94g,09,~feet; thence N00'52'24'W 1321.19 feet t0 the Point of Beginning. _.._.,,. __ 'ti4. .: ~'•t~... ~ tel. '.\~ ~ r4 ~,. ... >. ~- ° ~ ~ UNPLATTED LANDS ~~~~ N 89 33 31 E ~ _ 1494.24' NORTH LINE OF THE NE 1 /4 M ~ N 89'33'31" E 775.9 M C° N 89'33'31" E 775.94' NORTH 1/4 _ _ _ _ , CORNER, Z w 354.51' - -1 66. 0' ~ - SECTION 18, o 0 o I cn z l T29N, R17w. ~ ~ o LOT 1 ~ o 0 o o N N 76566 S.F. ~I o f o I o °- w ~ 1.76 Ac. ~ o I o g I° o LOT 4 ° - SMALL TRACT ~ '~ ~ - - N N ~ N 89'33' 31 " E 351.20' I C I ~_ N_ Oo N 89'33'31" E N 89'33'31" E 240.14' oI I~ 242.05' -~ 193.38 ~ ~ Q Q ~ LOT 4 o LOT 3 ' o LOT 2 ~ ° ' I O 76393 S.F. ~ 72277 S.F. ~ 6 148 ~ 1.75 Ac. ~ 1.66 Ac. 1.59 Ac.~ ~ / L ~ ~ ~ ~ w ~ 33 o ~ °' ~ / i 33, / ~ N ~, ~ / / / ~ / i ~. ~ . ,~ ~ ~o ~ ~ - ~ ~ ~ --- / i / / ,~ - _ _ ~ O LOT ' -' \ 70229 ~ i ~~S.s~9.3 ' ~.,~1 2 ~i 18 `~'~. ~ ~ ~ 1.61 i ~ : ~ N 89 33' 31 " E , ~ T O ~- ~ ./~ ' `,~ ~' i //,.., . ~ e 119.46 ~ i ~~`~~. _ ~ _ _ _ ~ ~ \ ~ LOT 24 ~ ~ , ~ ~ ', /~ s s`~~. 69518 S.F. ~~~~ \~ ~• ~ 1.60 Ac. Q ~ \ Qh • \ LOT 22 F