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018-1086-05-000
I I n ~ ? m vii o ~ ~ ~ ~ N y p ~ ° ~ o ~ ~ o a ~ ~ I o ~ ° V I ~ cn z D ~ m in D ~' I ~ o. c° 3 I o ~' y I I o ~ ~ =+i ~ p ~ C m I o' v ~ c~ I ' ~ m N 3 n Z ° i ~ o O ~ I ' ~ .'fl C I w I °- cn ~ Z ~ I ° m N O I I I I I ~ coo ~ F ~c ~ a '~ fA m °1 I a a m~~=°° 0 0 0' =' m o mco I n'~ o m o ~c ~ ~ m ? ~ ~ ~ ~ j y ° aa a o ~~~~~ ~ . a mcoa ~ a o i Q, a~ ~ m ° a ~.»~.co c ° ~ ~ v a O ~ ~ ~ (D ~ ~ ~ O 7 a ~ ~ ` ~ ~ y O p~ M a 0 N 7 Q n~ mo av co I ' I Q 7 y IV a. o I I ~ I c O °o i. °c ~f'' ~ ~ ~ !i ~ ~ v eo ~~ r: o w z '~I fD ~ ~ II Ro 1 ~ I S'i ~ '~ a " ~ ~, a -~ o' 0 o c°DO' V j g ',, o D C fD 2 'ov~3 O O O 3 a U! U! W ~ O C s+ v m ~' •• H o 3 °-' cn ~ .. .' ~ ~ ~ ~ a °c a A O -~ 3 0 m y c d Q (D O ~ IUD a °o :' ~.~^. Z f w c a 3 ~ o ~• ~ ~ ~ ~ m = N O m o ~ 3 N c0 ~ 0 v °' °~' o ° `n b o0 N S a N ~.~. Q 3 ~ .. ~ 2 3 3 0 a O Ol y -~ -I tp A Z N ~ ~ A GZ,) ~ C ~ O <~ z ~ ~_ d t~ ~_ A~ A~ D O R ~• 0 ~y~,~• v~ i A VC ~C~ N 0 A N d0 N to ~ ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division o 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 M rlie, Orlin & Jud m o d To shi CST BM Elev: .~ Insp. BM Elev: ( BM Description: ii s'['l ) / d~ ~ L ~ `~ 1 5 A~~ [x~t TANK INFORMATION county: St. Croix Sanitary Permit No: 453027 0 State Plan ID No: Parcel Tax No: 018-1086-05-000 Section/Town/Range/Map No: 20.29.17.625 ~~`"~ ELEVATION DATA ~ -~- ,ham. ~ ian..~ TYPE MANUFACTURER CAPACITY Septic ` 0 Dosing /0 617 Aerati Holding TANK SETBACK INFORMATION TANK TO ,P/,~~ ~ WELL BLDG. Vent to Air Intake ROAD Septic f ~~ f ~ O i v-n Dosing Z 2' Aeration Holding PUMP/SIPHON INFORMATION ( b ~~ Manufacturer Demand GPM Model Number ~ ~~ r TDH Lif~ ~ Friction J.qs (` G System' Hga~ G TDB 1 ~ Ft J. Forcemain Len Z / Dia. ~ a Dist. to; etl ~ SOIL ABSORPTION SYSTEM BEDITRENCH DIMENSIONS Width / ~ Length ~ ~ ~ No. Of Trenches / ~~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL Tyt ~yste~ 1 ~~ ~r ~ STATIO BS 3.L HI a3 . Z FS ELEV. od _ d Ben hmark / ~~ . ~ Alt. ~ ~Q~,~ o 4G BI~~--'f r~' 0 t 0 ~ SSG U..Z SUHt Inlet S, ~ U 0 SUHt Outlet ~~ ~ Dt Inlet ~ Dt Bottom t,,,~ ~ .t- ,----- ~9 .z ~ ~, Header/Ma ~ r OO , Dist. Pipe ~, ~ ~ p o r®~. ~ Bot. System _~ s-_ 3 p , p Final Grade -~ /o~- S Cover ~~ lM- c~~- ~- " l is p o~ w~t?.ll PIT DI ENSIGNS No. Of Pi CE/STR Di Liquid epth DISTRIBLIT~ON SYSTEM )1~'1;. /~~ ~i~11Jv /J.C~t.,n / ) v ~Qe.,n.,/ /`w•ti.A (~. f d.~ Header anifold A~ Distribution r ole Size Hole Spacing Ven Air Intake L h Di ~ Pipe(s) ~ y ~' 2 ' ~ +'~ ~j ~ /i / / d S engt a Length Dia Spacing , SOIL COVER ~ x Pressure Systems Only xx Mnund Or At-Grade Systems Only Depth Over I Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center I To'- Bed/Trench Edges Topsoil Yes No 'Yes No 7 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~~J~ Inspection #2: ~ ! 2- Location: 1616 89th Avenue Hammond, WI ~5~4.01~5(~(NW 1/4 NW 1/4 20 T29N R17W) Hammond Oaks Lot 5 .`yJ"~1, e GParcel No: 20.29.17.625 1.) Alt BM Description = ~' ' ~~ ~~"~'"'' " ""'~ O rUr i~~ ~ ~ ~"-' (Y~ Z ~~~ 2.) Bldg sewer length = ! 0 ~ ~~~~ d ~~~~ ~1,~ -~y -~-p_.Q_ B~ ~~7~/b~j~G~/Q~~S/yS~C~-+•+ , - amount of cover = ~' 1 / I~L~?itiY! [~ -y~,p ~ ~Z.~Dit.L,U ~~'('.C-r~ O~un OG~~ Plan revision Required? 'Yes '~ ' l (UJ r Use other side for additional information. _~ ~_d"__ ~ _ __ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. r--- Safety and Buildings Division County " ~ ~n~,~ ~ ` 201 W. Washington Ave., P.O. Box 7162 V` ~ Madison WI 53707 - 7162 S i C , an tary ermit Numbe r (to be filled in by Co.) (608 ~ a p :rtment of Commerce 2 ~ ©~ T D Sanitary Permit Applie tion State Plan I.D. Number-~ q Zoa _ ~o. In accord with Comm 83.21, Wis. Adm. Code, personal info ation you fpvi~e cL ~QQ~ l,_(1 ~ b ~ a ~$ , ~ maybe used for secondary purposes Privacy Law, sl .04(1)(~p~ + ject Address (if different than mailing address) I. Application Information -Please Print All Information S f . G'~~ ~ , ~ ~ (o ~~~ ~ ~q~~~ ZCN;NG OFFICE r"~~Aw~rvt.b'v~C~~ ~ i Property Owner's Name Parcel # ( ~5~ Lot $lec}c~-~ ~ Property Owner's Mailing Address Property Location 3~~t fhb '2~a c City, State Zip Code Phone Number ~ ~`~ ~ ~ -y-~`~ Section ~_ (~ ~ ~ ~ 1rj T ~ N R t -~(cEeQe yrl~ ) II f B ildi h -~ ~ ",~ w . Typ u ng (c eck all that apply) . l + or 2 Family Dwelling -Number of edrooms ';~ Ir G 41 ~'V•1< 5 Subdivision Name CSM Number ^ Public/Commercial -Describe Use = y~. ~p r ^ State Owned -Describe Use ~ ~ . 2 r rr ` City_^Village~Township of (~ / III. Type of Permit: (Check only one box on line A. Complete line B f applicable) a. ew System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S s tem: ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soi 1 ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber Drip Line ^ Gravel-less Pipe ^ Other (ex ain) V. Dis ersaUTreatment Area Information: 0~ Design Flow (gpd) ~5~~ Design Soil Application Rate(gpdsfj Dispersal Area Required (sf) 3~ Dispersal Area Proposed (f) System Elevation ~ ~ a$~. ~ r ~ . ~ VI. Tank Info Capacity in Gallons Total Gallons Number of Units Manufacturer Prefab Concrete Site Constructed Steel Fiber Glass Plastic New Existing Tanks Tanks Septic or Holding Tank '~.f j~ (~ r` ~, is a ., ~ ' C j~~ J Aerobic Treatment Unit Dosing Chamber ~ ~ ~~ ~ ` i s ~'~ X VII. Responsibility Statement- I, the undersigne assu a respo for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb gn ~ MP/MPRS Number Business Phone Number ' Plumber s Address (Str City, State, Zip ode) ~~-5~ r-t i~ ~w i ~. IU ~ ~m s~-~ ~ ~ i S~-'~~~ t VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee ncludes Groundwater Surchar e Fee) .-• Date Issued Issui g ent ,~i_gnature o Stamps) ^ Owner Given Reason for Denial g ~~ tr~ J (J IX. Conditions of ApprovaUReasons for Disapproval 3~ Q pk,(~ ~ D ~Y~t~MC7WNER: ~aptlo tank, effluent tllter and i ~ ~~- .~ ~•S ~7~5 dispersal cell must alt be serviced !maintained , 1 1 t n bsi as per management plan provided by plumber # ~ S rrn~+~ ~ weQ ~ s C ~ '~ 1 'r - - -- - „ . , - ~ . ~ d ~. All setback requirements must be maintained ~ ~i_- y' ~S ~ ~ ~ as per appficablecode/ordinances. o~ ~Cx+ ~ ~ ~ ~- ---~ .l Yin..0. .. .....1.. ~.. _ .____.. ~,,,,,,,,,,,,, r.a... ~,,, ,,,~ ~,,,,,,,y vwy~ wr use s a[em n p p no ess tnaprs tea x 71 ~ es in ~ t ~•p,r a ~I~Ge.. SBD-6398 (R. 01/03) ;, (.6 ~ R" P~ c~c. ~v IAA ~~ ~, .~ S x 9 1. Z' ~ o cr~ta 6 ~ ~~ ~ b.y-~ ~-0~~ ~~ ~ ~3- 3 ~ Cq~'~~ ~ zp,~,.. ~~~~.,~b ~o~ c~OP`T ~~ -Z ~a~.sz~ rJ ~.~. ~ SQ~~e ~-c~ i _ t ~ S ~ t~ ~ i ~ ~ - Cj•~ o Z o 4~0 ~.1 ~zia ~ ~1b~;~~, ~ ..~w~ .~ `1 :~ 22Z'~ ~~ ~ ~ ', ~ h i~L~' .~ .- L~-~ h1w- N~-2o-zq-l~~-a ----~ 1 ~ ,.. ~ • `~ ..,..,,, a.. s~-~~-e 2~~ ~Z O i- g isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary February 25, 2004 GUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/25/2006 Identification Numbers Transaction ID No. 973202 SITE: Site ID No. 670997 Orlin & Judv Mvrlie Please refer to both identification numbers, 89TH Ave above, in all comes ondence with the a enc . Town of Hammond St Croix County NW1/4, NW1/4, S20, T29N, R]7W Lot: 5, Subdivision: Hammond Oaks FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 943670 Maintenance required; 450 GPD Flow. rate; 28 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-]0706-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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, COttl~t~tJ stats. ~~~~, The following conditions shall be met during construction or installation and prior to occupancy or use: DEFARTY~IT C General Approval Requirements: ~.l«~a~- SEE CORRES • 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. 3~N3flW0 • 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 ~~~~~u^~ >~3WW0~ • A Sanitary Permit must be obtained from the county where this project is located in accordance with the a~~~ requirements of Sec. 145.135 and 145.19, Wis. Stats. ~vu~ MICHAEL P ROGERS Page 2 2/25/04 • 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. 145.20(2)(d), Wis. Stat • Comm 83 22(7) A coRy 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. 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 con stru ction/instal I ation/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. Sincerel ,7 GC~~ ~v~ ~~~~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing Orlin & Judy Myrlie -Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 5, Hammond Oaks NW '/4 , NW '/a, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: February 23, 2004 Owner: Orlin & Judy Myrlie Address: 3621 Ashbury Road Eagan, MN 55122 Plumber: Mike Roger Signature: License : MP 225094 Attachments: SBD-10577 -Plan Approval Application SBD-8330 -Soil Evaluation Report Page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan. view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management ~~E1~~ F- W_ f~ ~, ~ ~ Oi.~ ~. SAFETY & BLDGS D11~. page 1 of 8 ~Ily QED MMES .ADEN ~~~ ~S tt~~ N~ 1~~~ puo,~ Design Criteria ~`'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L ' Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length ~ @ Lateral elevation Lateral hole size ~~~ b in. @ ~ ~ holes/lateral Design Calculations ° ,3~ gallons/sq. ft. per day '~ Z "~ in. ~ ~O in. ~ ' ~O ~ l° ft. of z in. ~~~ ft f ~ Lateral volume Total lateral discharge rate Network pressure compensation losses Elevation difference Friction loss Total dynamic head Pump/son ~4- gpm @ Manufacturer ~ o e-~~~ . o m. ~ ~ ~ ~ 2 gallons O ~ ° ~ ft. of ~ z in. a ~ ~~~ ft. @ bottom of lateral ~ ° ~ ° in. ( 5 ~ ~ ft.) Spacing 3 `~ holes total 1 b,s b gallons ~ 5 ` ° g gallons/minute @ Z' ~~ ft. head ~ ,~S ft. ~z.a~' ft. ~ ' Q Z ft. @ ~-~~ gallons/minute t ~, ~ Z ft. ~- ~ ft. of head Model # ~ ~ Z Dose volume ~ `~ ~~ ~ Lift/sip~on tank ~ ~ ~~ ~ ~~ - ~ ~ ~M-~ ,, Septic tank ,, ~, Effluent filter ~ ~-~ ~" ~ `~'~ Measurement pump on and off ~ ~ o Height alarm from tank bottom ~ }' ~ Reserve capacity 31 ~ ~ specs.calcs.res gallons ~ ~ gallons t i9"`rO gallons in. in. gallons Page ~ of g v Y" 1 ~ ~n 0.- ~ ~ ` v, : L _ ~~ p ~ \~ \ a w 1. O ~ S ~ 1'^~ a w. w. p ~ CJw,\'~ haw- N~-2o-Zq-«`~ ~ ~._..._ ,. .,r.,~.o~. -_ ~'t (.6' z" Pv~ c~. '~ L o^a•o~ ~~e' ~ _ _.__.~,4t.44 ~~~' 2~S I1~4' f S~'xgl.2~ Yoc~c.~} ~``I ~ ~ 0.(~ $y ~ ~ u.,y S 1 b S~k~e 2a~ tiZ Ri ~ - - lac -Z ~ ~g4.sz~ ~ ~.~r~ l„9 ~: et a.v ~ a,c . b co ~~~~ ~~ i ~ ~3- 3 Cq~•~~ . i , ¢ ,, 420 s~.~:.. i 1 ~~' oo uoi ~`~~~~~~~ ~o~ ~-~ ~q~.~5 3u~.i ~' H o c-w. is o ~ 1 v 2 0 4~0 y~ 222"~~~ ~ o~ g 1 -~ ~ S -z~-~.~, c~.ori S ~~. ~-;~, o.~, , C(~ . 4-~~ is ¢X ~.v , 4 ~b,G S lf- .. .. 1rOC.k ~ti.d( e. V~Vt R~~ ~^^~~ 9~1Ow/ Zw'~~ n ~t3 ~ ~ o.0 4.~s O V t ~w~ tLi. ~-'G C~ v ~+. 3 ~ ' e" ~e,~.~.1 ~ \ ~ b s..~to: Z~ ~i , ois.:. G~ e~l~ ~a:X s.yk.,~~ ~0~~ - 0.~ 3~ 1 \dM ~ ~Qv.~ ~~~5'~ I4-- ~ ~ I ' ~ 1 ~~~ ~~~ ' ~t,2:' - ~ 4,s ~.~ 1~o,Z o'. 4' ?v< <~/~ ~ ~ o~ 1a.rv.~••. ~..~.~~ti ~ ~v 10. t~' e... ~ t.~1~ h ~ ivo ~t; `vt ~,tv...s•.~.~ O,b i~~o~- tv.,~1 o.r.Y,i • 1~ Noc.{~ ~ ~` L~ Mp~ ~11T0 \ ~'T Cnr -`y' 9,% / . \ 1' I z P v c s ~.~. 4-0 r 2.s ' ~~ ~- - ~ I ~ y 5.~~ I s,o~ L ~( o . ~ 4 V h M ~ ~ ~ /\~'~~I T~ 1r 4~ ~ LL y~ ,~,p CS KY -y - ~r ~1~~ /1f~ r~~Q.t~~ ~"~/ VA`Vt ~•1(eC Oar ~q,:vR,`prrT ~~ 2 1 1 ~1 QVC. SC.. `~ 7 ~J ~O~t~ hA~~~^ ~, c ` V~ . 371 ~ ~ ~ p` v, o -~ l ~ T G.~ ~C C~..~.~i ~- 1p o~ o .-. 1 : ~ t.i ~. ~ ~' `~ a e.+-~ ( S . (~ r ' 1', -~ a ~ ~ s ~~ J~ a ~ 1{ LA.CKING~GOVfiR -~ ~vA~N ~N~ ,t ~BE~ . GwcK C>i~ca,v~GT-~ G~ , g `~i- ~~~ ~ ~ PIP6 3~ ? no No-STua6~ED SD1L 24w Z.D. r~uo~s 4,, FoQc~ h-~a~w WEA'(NERPROpF n ,TLNCTiOH J ~ ~ I~' iii 7~,,~ P v.~ 4++ ~~ 4 O _ Yc~~ J ~8' ~`~ -- -, G-w~.o ~ ow a.ovi.o A 1 ~ , o" ' L s ~~ SicFT 3t~rrrS F L E. ~ 4 0 ~ ' 3" ow- c ~Al L. P~ a 2.. ON waLL'uc:.. -W E LT ~ O KS ~ `""/(' ~ K b .t..Q, ~ ' ~ Q1~ ~ I I ~7 -:..+ w O C 1:~ ~~v : h ~ T ~~ 11 i PwyP p q„ i Co~rueF-r~ ~~ b~oCK ~;ti. S 1; 11e'~6 SCPTiC t _ SPECIFI•CATIOIJS ~oSC ~ • T~u..S MA-JUFACTURCR: ~ ~~~~ IJUh1~CR OF DOSCS: S~ ~~ PEK 0.~ E T^-.JK SIZC; ~~~~~µO CALLOUS •.DOSC VOLUME ~ ~c ,~~ 7 S ~1 \7~ti~r~ IAICLUOIAJG 6ACKfL04/: ;,~..;,ti; ALARr'1 /'ti/UJUiAC7Vi~CR: hODC1. UlSIhpCR: • ~ ° ~ ,'~' ``~ CAPACITIES: A= ~~~ ~ I~,JCHCS OK 3~g,4~ ;.;._.:..: w•~a.,...~. wlb swITCM TyPC: _ g ~ Z ~ucNCS oa 3S'sZ ' ;,...__ ~uMP /1AAJUFACTUR[R: ~0~~~ G.~~~wL~fs OK `~'S 10 ;,•...:~: MODEL AJUMgCR; \~" ~ 9 ~SU•8¢ _ ~^ INCHES GR ~~,_~•__ ~wiTCH TyPC; ~~"`~ IJ`OTE' PUMP AUD ALARr~ ARC TD DC r'111JIf~1Uf'~ DISCNARGfi RATC~~ G/M INSTAlLEO 0-J SEP~RATC CiKC.. ": VERTICAL DIiFC0.CAJCC OCTWCCU PUMP pF/ AUD OISTRIDUT{DU PIPC.,1~ SS FECT /~~ + r1i-JIMUM uCTWORK SUPPLY PiICtLURC .. ~'S FCCT'~"~'~S~ + ~b FCET OF FORCC MAIIJ X >,~q fF/p01LFRICTIOIJ fALTOR. ~~~? FEET ~ ~~ ~ ~,,,~ ~ - TOTAL. D~-JAMIC HC AD = FEET IUTERAJl1l. DIh1CU5tOUi '0/ TAUK: LEUl.7H I~~,1 ~g'i ~ LIQUID pCPT H 3 b __ ; w ~ D T N _._,_~ 11oa~.~ 6 ~, a ~, _~ •~ . HEAD CAPACITY CURVE MODEL 152/153 w~ r w w ~ ~ 50 153 12 40 152 ° a w s ~ 30 z 8 0 a 20 0 ~- a 10 0 GALLONS 20 40 60 80 100 LITERS ~ 80 160 240 320 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an atal•m. • 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 Owik-Box available for'outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 152h 53 Series 1521753 MODELS Control Selection ___ Volts•Ph Model Mods _ Am S(m lex Du lex _ N152 tt5 t Non 8.5 t 2or3 ^ BN 152 t t 5 1 Auto 8.5 Included 2 or 3 _ _ E t 52 230 t Non 4.3 1 2 or 3 _ BE 152 230 1 Auto 4.3 Included 2 or 3 N153 tt5 1 Non 10.5 1 2or3 ~---T- TOTAL DYNAMIC HEAd/CAPACITY PER MINUTE EFFLUENT AND DEWATERING DEL ~MO t52 153 ~ i FI eel Meters Gci. i Uiers i Gol. Liters 5 '.5 69 I~ 261 77 291 10 3.' j 61 ! 231 ~ 70 265 15 4.6 S3 ' 201 61 231 20 6. ~ 4a j 167 52 197 25 7.6 ~~ 34 t29 42 t59 i 30 ~ 9.i 23 87 33 ~~~ 125 I 35 ~ ; 10.7 ~_ ~ - 22 ; ~ 85 a0 ~ 12.2 i -- i -- t a2 ; Lock Vcive_ _' 38.0 Ft. (t ! 6m;_i Lc.O ~t (' 3.4r.,)f ousoa ~-- c ; a ---~,, i 3 2~/3~-~- `~ - a 5/°y- ~ , ± _,; t, I a ~ -f -- L 2'/.. r Y. ~- ~ ; I j_ I I ~ ~_ ~- - ~_ I ; ~_ srczow BNt53' tt5 t Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Sin le I back variable level float switch or double I dt variable level float BE 153 ' 230 1 i Auto 5.3 Included 2 or 3 9 p 99Y p 99Y~ switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. au installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10.0225 used as a control activator, speGry duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float System. A RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Z ~~ /~,, Louisville, KY 40258-0347 Manu/aclurers oI ~ • If/L1tr'~~~,~J~ SHIP TO: 3649 Cane Run Road !~ ® Louisville, KY 40211.1981 PUMP !O. (502) 778'2731.1(800) 928•PUMP Que[/Tr P~MOS SHOE /9.99 http://www.zoeller.com FAX(502J 774-3824 O Copyright 2000 Zoeller Co. All rights reserved. e System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1 132, or the St. Croix County Zoning Office, 715-386-46$0, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 1 I . If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 I . Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and!or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ~~ . ~ ,~ Wisconsin Department of Industry, SOIL AND SITE E ATION / Z Labor and Human Relations ~ ~ , ~~,_ Page of Division of Safety and Buildings in accordance wi , . Ili ..,~_I~,09,~ ~i ~, , Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz ~fgr~'i~must r ' County ' include, but not limited to: vertical and horizontal reference point (BM), ~~ on and ~ `. rT ' ~ ~, • ~~~~•~ percent slope, scale or dimensions, north arrow, and location and dista ce t0 ne 1road. ~?~;~ § Parcel f.D. ~ O APPLICANT INFORMATION -please print all informah~ny-`. , ,,, ',; ~~ Reviery Date Personal information you provide may be used for secondary purposes (Privacy Law `1,5:04 (1`~iti{))~ ,~pM.~-f,~ ,',`~ ~ / ~ Properly Owner ~ u M G3 ~ eO .. L>q~ ~ ~ d Cad ~ Property Location `~ (~ ~ Std N'AJ ~~ 1 l l~ ~ ~;, ot) ~ .,f 4 ~1l4,S `O T Z. .N,R ~' E (or W. Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 33z. x Ii uN~sora sr. Ens r I yo ~ 5" ~M,~o~n o~y-,~s' City State Zip Code Phone Number ~ Nearest Road KJ ~ Z.. $T• PAUL- I Mme. i ~S/O ~ I ((os/ )Z22 •.555,5 ^ city~}~4 ~ vii~iaeN~ -'"m I ~ (~ob _ [r]'(Jew Construction Use: residential /Number of bedrooms 3 Addition to existing building ^ Replacement ~•' ^ Public or commercial -Describe: Gode derived daily flow ysoo gpd ,' ~ Recommended design loading rate bed, gpd/fl2! ,trench, gpd/fl2 Absorption area required _.31 S bed, ft2 ~ trench, ft2 Maximum design loading rate bed, gpd/ft2 ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) •su~ Q 3 ft (as referred to site plan benchmark) Additional designlsite considerations Parent material ~oFt;s oG~ Q~N•SL~ T/~~f _ Flood plain elevation, if applicable N~!~`ft S = Suitable for system Conventional ,M,ou~nd In-Ground,P~res~s re AT-Grade,/ System,i~n Fill Holding TF U = Unsuitable for system ^ S ~ U 5 ^ U ^ S LK U ^ S L~'U ^ S LYU ^ S C SOIL DESCRIPTION REPORT Boring # Ground elev. Depth to limiting factor ~_in. Boring # 2 ~~ Horizon Depth Dominant Color Mottles Structure i C t B nda Roots GPD/fl2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ons ence s ou ry Bed ,Trench • 3 /o ,C ! f t f Mors S/ ~C. l7`s~d~ M+ ~i •- - • Z ~ • 3 ~• , Remarks: y ~ • a o _--- sip z~ s! ,,~ ~,e ~s -- . s C ~ Mo tf ; Ground elev. qg'~-n. Depth to limiting factor ~,~' in. Remarks: CST Name (Please Print) R~Q~RT- ~L C~-r Signature Telephone No. ~~s• 3gG • ~~ ~ •s Address ^! - ~ • ~~ D~ ~ ~ ~Ct 3 7 5 r U16richt & AssoClates - /~ Private Sewage Cons 655 O'Neil Rd. Nu~icnn Wis_ 5bl)18 ~ , UH $ ~ f2D L ~'~~~ SOIL DESCRIPTION REPORT PROPERTY OWNER [~ !~ ~^ c PARCELI.D.N L'U~ / S I/~MMO~(J 6~~J J ~~~ Boring # 3 Ground elev. ~/ ,eft. v Depth to limiting factor ~~in. Page ~' of Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench G2 hod L ~ ~ ~- ~ ~ ' ,~o ~n 4~z . ~ . ~ ; Remarks: Boring # Ground elev. n. Depth to limiting factor in. Remarks: coring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Horizon Depth Dominant Color Mottles T t Structure n iste C Bound Root PD/ft2 in. Munsell Qu: Sz. Cont. Color ex ure Gr. Sz. Sh. o s nce ary s Bed ,Trench Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) Remarks: ~~ > ~ ,, Gv~S T Lo T L. . ~C ~ ~1 ~ `~ N ~ ~~ ~ ~ c ~, 0 O 4 ~. i -~ 0 fi W to °' ~ ~ ~~ ~ ~ `v J n w~W ~ ~ '1 , r r ~ n ~ ~ °O ~ ~ N N N ~' t~-~~ ~ ~ ~ ,~ C N c ~ n, ,~ ',, a ~ ~~ `'1 ~ `^ o ,C ~ ~~ ~ ~ 4~ N ~ ~~ y I ti :, c•: • ~~ Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet Owner: °~~r 1 tTVI ~~ 1 fA ~ U M u~ ~ I Project Name and System Type: ~~ 1D e d t ~ ~m rY \ oi~,t'1 d Location: Street Address ~.l,n.L~~~, N vJ `/~., fee. ~~ . T~.~ ~`Zt ~ w Legal Description ~ ~ ~ ~ ~~ ~ , . , ^ ~ Contents: Page 1: i Page 2: ~(~~ Page 3: ' Page 4: ' ` Page 5:.~~'"`t_` Page 6:,,~1 Page 7: h,`.`~ /~ ,. Page 8: Page 9: Attachments: T ~es-l I avv~ S Plumber/Designer: ~ ~ ~2 ~ q P~ 5 Signe Credential Numbe • ~f Date: ~l~,aw (' ~, 3 ,,_~ ~Q~- ~aso9'~ ~: POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Owner i h `~- Y t ~, Permit # -~- 1J1~i.`~1liP! YA KA M N: j'jijt~5' .Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial"Units NA Estimated flow (average}* (~ j gaUday Design flow (peak), estimated x 1.5* () gaUday Soil Application Rate m 3 ~ gaUday Influent/Effluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mg/L 5 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) < 30 mg/L Total Suspended Solids (TSS) Fecal Coliform (geometric mean) ~ 30 m X10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) * * Values typical for domestic (non-commercial wastewater and septic tank effluent. * * * Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ; e .S~ ^ NA Effluent Filter Manufacturer 'Loy. ^ NA Effluent Filter Model - L O ^ NA Pump Tank Capacity p U gal ^ NA Pump Tank Manufacturer • ~ •,~ ~~ ^ NA Pump Manufacturer P.~r ^ NA Pump Model ~ ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-grade L~Mound ^ Drip-line Other: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate~gpd/ftz Area Req. - f~ Absorption Area Credit per unit ft2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ --"Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 Octoher 1980 ^ SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD. -10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-P (N.O1/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" SBD -10572 P (8.6/99) "Mound Component Manual" SBD -10691 P (N.O1/Ol) "Mound Component Manual" Version 2.0 ^ SBD - 10595-P (8.6/99) "Single Pass SaudFilter Component Manual" ^ SBD - 10657 (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -.10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD -10706-F (N.O1/01) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal. Component Manual for Multi-flo Onsite Wastewater Treatment Units MAIl'dTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect. condition of tank(s) At least once every ^ months year(s) (Maximum 3 yrs J Pump: out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Chan effluent filter At least once every ^ months year(s) inspect pump, pump controls & alarm At least once every ^ months year(s) ^ NA Flush laterals and pressure test At least once every ^ months ~ year(s) p NA Valves At least once every ^ months ^ year(s) NA Othea': At least once every ^ months • ^ year(s) _ NA Page of START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions aze frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be dischazged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimi~pd. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading launary washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regulaz operating conditions, however water should be conserved until any problems with the system aze corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). ~j Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed andlor locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking. device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning maybe necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ~Yiound, At-Grade, In-Ground Pressure // The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement azea has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement azea is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. ~, Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface.. Reconsh actions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIItCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR Il'1~IPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name M i Y.+2. r~"~ Phone S• 235 / Z SEPTAGE S VICING OPERATOR (Pumper) Name Phone K:IWPDATAIEHIPOWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Agency S, l1C CDUtd~l N 1 N Phone Page of Feb 27 2004 4:05PM Fiom4Me, Inc 651-423-6286 p.2 • ~::t'1'xL 'I':~Nbk iti•i~'1I::N.~NCL ACJl~,1,hl~~fE~.';' _ ..~7U C)4~lIV:E~1-i!1' CELT ~l~A'1~l~~N ~ ~i~1~'i ..__..llll,.,„i ~;ti;.iress - ~ ~~~Cv'~ m,J 5 I z'x- ..-_ ,;iai~y- li~ltli~~3 _ I.E~/V~M.Otit O OAF'1L5 ~' (~ - - O T__~ 'TDui~J C)F N-f~'wlrv~OlJl~ k fi ~~r~3iiiu;titi0L1 rOtZltlJ~i~ rlOrti i'}.~.itirtri~ L7:pa[~~r~nr tar ucw co[].4t7ucltGG) -. - :•„~t:~t~. 1-i~l~mmor~D w2 OF ~ - (b Sr (o- b ~ - r3o0 - ~ ^-- - ~ ,,,. ~ ti'a ~: C L. i ll L'UP, l l L ; ~ :1 C l O l? N C!-lYl b C f ~' _._~____ /~~ _ ~~; Cc,. ,--..r_~ ~l _._.___ ='~ `,~ '~'ow~z o: 14A-min. ory .__....',~viS1aiW _ ~•F'A~tYLmt~•117 nl~c~-S -. LOt Ff J ._.:,i11LLl:u ~uY~C~ 1Y~1211J iT ~ - • `~~~~t1-113V _.A.~.. • ~i~o~` rf :-'r~:ill.itil~f ~CCLL ~'C _ -, [, ~~ ~~ , ~+ `-'t:ltliliG 2S I Z - YaQa ~ ^~~~ Lar lin:,s Lden~ifi3bLe ^ veS ^ uo _s x 5 ~'~: Y~ 3~~VT~h£r~N CL; l.u~properuac and mJLiALenancC of your septic sy~tcm to~,ld r.s:tll ii: its prec3;:ttuo iailurc w haadic wastes, Prapcr ut»i~ -...also DI irrrtatputg out eho sepGlc trss~ every tluac yea.cs or so~ncr, ii accdcd 6y a lictrt~e3 pt:rxt;xr. Whst you put into ~L, :. . . ,;;,i::lizocr ire itiwcdon of the septic >;an~e as a u~acm,=ur surge , cL• a wa>r~ diepos~l systc;~:t. . 'I'tir, prapert}' s~ttet ai;nes tc sui~ta.it to at. C.~411C '?o:,is,~ Lepxrutear tl C.',mt'1CSCt3a ,'OCL7, signal by [hc ow~cr _. _ :ussc4.rplu::uUca, jotu~n.„yLUan.pluaabor, restricLOdpluruberor a iicctuoo ~:t.itnpcrveLfyiu~ tkac (:j the ot;-sue wastewatercl;spv_:;:. .:. _. :s iu;~r~o;ter opor~arirt:g Coa3it;iott an~r'u: (2) aftor inspc~Lica eau uurttniLt~ (if nzecssarY j, the 3cprir un~: is :ess than 1!? toil ,_,: _..... ,~1.~c, 1:1:c undecaigvi.d have rzitd the above requirartel:zs x~ at;-ccc ro n~..ai.atb.in [he private sow> ci:sp~sal system rviCtt t;:~ :._:....:... sec Turt:tl, hcrcciuu, tts sbi by the Degara»etat of C w~morce aad t!:e Dcpat~.ant eP Natt,.~1 Resotuees, State of W:scorsin. C~:-..:~..._. stafiu~ t~:.r~: your septio system ha3 brew ed must be ~on5plated and raturne3 to tnc St Croix County r.~eing Ctiii_. ,:::. :.t:ys c rtsr yaa/t~e~xp tier ,~i[a7ca. ~ ~/ % ~ ,/ ~iisltiA•I'~: LI ~'~_~_~'7 DATE ~ ~YIy1i:t2. CL:RTI:n''!tC ~'~~n~ ., I (vt~c} certify that: all statcuLCnts. this Iota aee true to the: host ~~f r.~y sour} ~owiecgc. : {vtc) a.a {arej eir: c.~::-:. t..>;: r°pr,~ty described above, by vil tt warranty aced rec;;rLLe;_. in Register of Dae~ OftTcc. 2; ~T~3i1A G NPLi .~.NT ~~,I~ °""' ~,uy in,ioLnlation thae is ulis-rCFrSCSC4tG~ Ct13y tcsolt is the s~uiwry per~.lit being rer~uhc~ ~~, tae ?,oL.ing Dcpawicl °" is+,cluda wiCh this upplicxtiuu: a sr,tuped wdTaul}' deed 1i;~r1 ttc tic~uter of Lech otiie~ a copy of itle cetriflasi survey a~r;~ if refc;rencc is trade is the w;.lranty deed U. 2512P 056 STATE BAR OF WISCONSIN FORM 2 • 1998 WARRANTY DEED Document This Deed, made between Hammond Land, LLC, a Minnesota Limited Liability Company Grantor, and Orlin D. M~rlie and Judith A. Myrlie, husband and wife. Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St Croiz County, State of Wisconsin: Lot 5 Hammond Oaks Subdivision,Town of Hammond, St. Croix County, Wisconsin 7545.76 KATHLEEN H. MALSN REGISTER OF DEEDS 5T. CROIK CO.. MI RECEIVED FOR RECORD 02/18/2004 01:48PM MARRANTY DEED E%l7tPT t REC FEE: 11.00 TRANS FE£s 80.70 COPY FEE: CC FEE: PAGES: 1 Name and Retum Addreu 018-]086A5 Parcel IdrntificNion Numlxr (PIN) This ~ not homestead property. (is) (is not) Exceptions to warranties: Subject W rotes, easements,restrictions,covettants and rights of way of record, if arty, including but rot limited to those for drailtage,water retentionponding,and or utilities as may be shown on the plat of Hammond Oaks Subdivision recorded in Vol. 8 of Plats, page 2, St. Croix County, Wisconsin. The warranties of this dced, , either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to an amount not to exceed the consideration expressed herein, that being the sum of 526,900.00. Dated this 13th day of February ,2004 Hammond Land, LLC AUTHENTICATION Signature(s) authenticated this _ day of . by (~/~JI,f,Q(,AQ ~7~Vice President . Caroline B. Bowersoz ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey County. ) Personally came before me this 13th day of February , 2004 the above named Caroline B. Bowersoz TITLE: MEMBER STATE HAR OF WISCONSIN (If rtot, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT W AS DRAE1'ED BY Paul A. Baillon, Attorney at Law (Signatures may be authenticated or acknowledged. Both are not necessary.) to me known to be the person(s) who executed the foregoing rostrum~~,~ndpacknowledge the same. • Paul A. Bai110n ;PAULA. BAILLON Notary Public, State of Wisc ,rrcoluatissaxa r.xPIPFS Islaaoa My Commission is perm e a January 31 ~ 0 ) 'Names of penorm signing in any capacity should be typed or printed below Chair eig+erurea WARRANTY OBHD aTAT6 RAR OP W 19CONSM FORaa No. i - 1f9a INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI BOG655-2021 r~~~i~~~s c~r-r~ciG ST,CROT~ CU.~111.>. Itec:Givcdfcsl2ecOrdthis/O~ ay ,_c-clock~M. Recorded is 'Voltune~ cr _ a "there are no objections to this plat with respect to Secs. 236.1 ~, 236.16, 236?0 and 236.21 (1) and (2), 4V is. Scats., ch. Trans 233 and ch. Comm 85 Wis. Admin. Code as provided by Sec. 236.13 (6), Wis. ~`- fv i'fri i~ GGili~lER ~~~~~ StatS. ~ - i - _~: ~ ~ ~~o, i2~i>I, z?tiw ~ Certified 20 _ ~ ~;~ 'i ocRiJSt€IiJ S7Er.L ~ J.v~"T1~, ~ b!)1VL1' ivit+RKE12 ~ ,,.i ~ ~ , i : _ ~:a.uu UfVPLATTED LAI~IDS epanment of Adm nistrat' ~ .~ SOO"23''~i" c ----------- ~ + EAST LI F THE NW 1/4 OF r I. - . <~ t-c, fu' 219.35' 235.75' I 187.98' t Y ~:. I _. ~~ . i ? ';; ~ i 127' 39' I k t o I o °' l o z I o ~ ~ 1} ~ I sii` d_ I N f I N I ~ ~ j I I `goo,- LOT 8 w~ LOT 9 ~ ~ Q I LOT 10 LGT - - I o F 52311 SQ. FT. l ~, W I 54513 SQ. FT. ~ z~ y i - o, 496 49 S REST ~- ~ F I 1.25 ACRES ? 41 O8 r„~(;;. ~ 1.20 ACRES I ,.~ LOT 7 `~~~ s I o n I o +-~~: N 1,63373 SQ. FT. `~~. ~'. I °~ ° t m I 4 ~ g~ ~ V. ~,'T3. 'i.45 ACRES \ I ~' ~ I t v~7 1 ~ ~' ,, ~ ' I E ~ ~ -- -~ --t- -- ' ~ r ~~, ~ iya$ ,--o I ~I - i^ ~ i t t 5.65' ~ 187.98' _ 154. vo v3 t ,- ~ `~' ~ .~C l ~ LOT 6 f ` ,45205 SQ. FT. Ai ® - - _ __. '' {{ 1 ?( 1.04 ACRES ~~ ~ v f t ~ Y / ~ ~ 84.54' _ ~ _ _ 156.91'- _ _ _ 150.21' _ _- ___- :.t i [> } ¢ S3 ~ ~ -- l 241.45' -- o: ~ cy ~ ` ~ I jys ~ i ~_ _ - _ - L (~"7 ~ *.r i I vii `s~' i I - OT ~ ~ ° z j ~ - °v'I °m ~' I w ~` ~ ~ uI44022 SQ. FT ~ ~~ ~I LOT 4 u~ I }~ 1,01 ACR~S '~ I 2 3 LOT 41 s } ~' ~'~ { cl ~ 0 © ~ ~iY ~I 96027 SQ.FT. N 43,561 SQ.FT ~ -~- ~- , $ I o ~ ~' n \ ~~~~. of 2.20 acres ~ 1.00 ocres q _~ t ~~ N 45'37 E 255.64' \ 7 ~ t 1~Q -'"( I 6~ ~72.$y. v N10'43'3g..E 415.S7' I ~ I ~ ~:~+.t. ~ ( I I i ~ ~ 9C>\ 178:94' I _ ( ttJ a i~,tf ~ M { ~ ~ 9. \257.53, --- -_ ~ k _ ,,._I mz I L IUT 4 I ~ j ~ DRAINAGE & \ ~*s~ 764.04. ~ ~ 150.21' I { ~~rt t i~' ~1356:~ SQ. FT. ri ~ ~, UTILITY \9~, ii 163.06' \ I i ~+~-i „~ 1.00 ACRES ~ ~; I ~ \ EASEMENT v~ \~ T ` '-" ~ fir- 1 ~' \ HIGH WATER "~ \~~ BENCHMARK u t =1 5045 6` ' ~~\\ ELEVATION °~' \ \ TOP OF IRON PW i C21 ,~ ~ W 256.05' \~ 1043.90' ~ \ ELEV. 1043.29' LOT 49 ~ LL } 1~ ~'•„.. ~ I I 33'1 33' ~ i LOT 43 f \>. ~ ~ ASSUMED 85078 5~:~.~ . C? 1 E oI ~~0 9 554 SOFT. a \ `w ~ 1 ~t ~o I LC~T 3 I a° m \ N. 1 2.18 ACRcS z ~ ~~~ .n ~.19 acres '~.\ 0 1 ;, ~ t ;;,t 435 '8 sq. ft ~ ^ ~ \ - "' I 1.0~ Acres ~ ,n ~ \ 11 >3, i J~ t ,~ ~ u-7 I ~ \ 7p t 1 ~ I ~ `~ I \ ,pz 9$ ( ~ ~ ~ ~O~ n` 256.24' j~ i ~ a2.a3 \\ 1 ~ 51332.7 ~ I ~ d' a 2 W 3,S a~ \ ~ 1 i ~'W ~ s'o. s.~ . t.:~-~ a I LfJT 2 ~ ~ i v I N'$3aoa \\~,~ m II ~ LOT 48 iQ ~ ~ rn } ~ `~ }h 3.6-4 SQ. FT. N z z LOT 44 \ ~ 1 N 85916 SOFT. i ~ } ~ 1.0~ ACRES ~ ~~ i 65,530 SOFT. \ I 1 ct ~ .-~ _ A ~ ~ l 1.97 ACRES a