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I I I n 3 m o I s ~ < o v, c ~+ ~ j ~ Q. ~ ~ N ~ N O _ w ~ ~' ~ ~ ~ ~ O m ~ Q N N ~ O O O ~ f! N 7~ ~ OD O A S tD c ~p CL _ n O ° cn z a I ~ ~ ~ ~ rn a ~ ~ ~ ~ c 1 ~ W ~ a N N N ~ O ~. ~, Ii W 00 ( ~ I Vi I ~ ~ ' ~ N c ~ (D a I I I O Z Z A O O ~ M N ~ O 3 M f~ ~ j ~ 7 ~ (~ C I ~ (D 7 I 1 ~ I Q Cl O v_ Z o I _ ~ I I I N I I p ~ O ~- c ~ ~ ~ ~ ~ ~ ~ v fD 3 ~: 3 ~: o ~ ~ I ~ ~. fD 00 y N W ~ 0. 7 C a 0010 A r O .-. ~I tD O O ~ O O 0 ~ , a. O O O ~_ ' w ~ N N ~ ~ ~ ~ ~ :°. ~ ~ cn ~ _: A ~ ~ ~ ~ ~' 7 .. D D o a 3 ~ o ', ~ n 9 ', o ~? v ~ ~ o - ~, = o 0 m ~ N ~ ~ OD V Q O O O O ~ O 7 O ~. y O C 3 :-r ~ .. ~ m ;-• cfl = m 0 n O m x y ~ ~ N A ? ~ A 2 O .. ~ Z N O ~ ~ C C G O a ~ ~ z ° ~ ~ o ^' z 3 g ~ ~! z m W A G C a I 'C ~' HI '.7 O "R O O A fi fp O ti N O O h A dQ li A ~ ti w ~y v 9 uyisconsip Department of Commerce `Safety and Buildings Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, X15.04 (1)(m)j. Perr~Cle~@~, ~~~'~~ ^ cty ^ 4'~~II~rRd~9~l'rP$wnshi CST BM Errle-v.;nn C-4w'!' i~1~dC. Insp. BM Elev.: BM Description: r.uk.~ a1E"' - -Ik) C~e,.,.,~Q TANK IN FORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ Cam, ~~ (~~ Dosing ~ ~~ ~ ll Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic 2 ` ) (ot -- NA Dosing u ~~~ It NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand p Model Number ' ~` (S'Z ~ 'lj~ GPM ~`~ Lift g~ Lriction~.~ Syetem.~f TDH l2~Ft i~• Forcemain Length + Dia: FiZu oist.Towen SOIL ABSORPTION SYSTEM count$t. Croix Sanitat~'~~t~No.: State Plan ID No.: (o2,8$D . (.b+.iS. 1.4 ~ Pa rcel~zl~q.086-09-000 STATION BS HI FS ELEV. Benchmark j> ~,/p ~~ . ~ r Bldg. Sewer 13.dt $3. lot St / Ht Inlet .2c~ ~ 90 St/ Ht Outlet Dt Inlet Dt Bottom 1~..~0 ~ x-9.00 Header /Man. ~"`~a $~ ?~ t Dist. Pipe ~~~° •RS - °~ &~•tS Bot. System ~ ~~~ ~ 3L $~ . ~ ~ r Final Grad ;(( (~ IZ~t "( fa.~ BED /TRENCH width ~ Le th ~ ~~ N f ' 4 ?~~ ~ PIT No. Of its Inside Dia. Liquid Depth DIMEN I N 5 . Z. 3 Q t '-~ DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN Manu rer: SETBACK N M b INFORMATION Type O + r (~~ um er: o System: ,- 33 "-" OR UNIT DISTRIBUTION SYSTEM( ~:~~.li.) (Lim ~'ns~~~ i(".~,.s~~..~ °~l -fit' ~ Header /Manifold tt ~ 2 L th 2 •~ Di Distribution Pipe(s) r / // ~ ~ Z S acin '2•s L n th ~ Di x Hole Si r 3/ x ole Spacin k it Intake eng a- g g p e a. ~6 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Ye N ^ Yes ^ No Rr/ COMMENTS: (Include code discrepancies, persons present, etc.)Ins ection #1: OS /1~/ 6 (Inspection #2: '-t--f- Location: 893 162nd Street, Hammond, WI 54015 (NW 1/4 NW 1/4 20 T29N R17W) - 202917629 Hammond Oaks -Lot 9 ,~I ~r~„~t.~ 5"> ~~~ ~p~ "'°~ ~ ~~ 1.) Alt BM Description = (~a+-~~ ~ +'~^'' `~'""'~" ~"li- ~`.~t~,,,~ ~ c'~aM 2.) Bldg sewer length = ((,,o G -amount of cover = ~`Fba• , ~ t•{,~ ^ ~ e,~,,P ca'~k~ °` ~:s.~(~' 3.) contour - gYo -~~s~"'~ g `~ X152 -~ ..-_ Pla~revis+on required? ^ Yes ~No Use other side for additional inforrrfation. ~ !~- o ( ~ SBD-6710 (R.3/97) Date Inspector's Signature ert No • ~ _~, ' _~. ~„ F, ~~ r3 . ~~F~ . , ~:.r~c~x _ _~ ~ 8`l3 x(02 S Sanit>3iry Per>mlit A ~ flan ~ ~' 1 Safely & Buildings Division In aooord with Comm 83.21, , ~tNGC1FFtCE ,-` , 201 W. Washington Ave. ~~ See revetsa aide for insaroetions for cxlm ~ lieett ~ ~/ PQ Box 7302 ~= ~~ ~ . Dopartrtq.tZt of ~Cammarce Persona] intotznation you provide entry ~ uscd ~ ` ~ ~ ,; ` , Madison, WI 53707-7302 • [Privacy I.aw, s. 15.04(1)(m)j t~~o{y~' (Submit oompleoed foniu to toasty if nor Atrac tom Jere n,-s to a coup co on for r e s stem, on er not loss than S-] x ~ s m size. sate owned. ~r LJ Sane t ec t nu ro prrAdL sppbcarion Sraze p umber ~ ~ 2850 . --"---~-~ Y----- -• ~- - ~ ' -i'Gl~~ ~1/4IL~a-9/a,S 'f~~,N,~~ ropatry wners g dress t ordc /l~'~ T 1 x ~ ~/ Ci .Slate lap Gods Phone Number Sn 'vision Name or CSM wabor .~ ~ ~ f~~ ~~n~~ D II. Type of Building; (cLeck ono) ~ ~Q. ~ 1 or 2 Family Awelling - No. of Bedrooms : S „~`- s ate O v page 1jyjGOn f~ ^ ]•'ubliclCotnmercial(dtseriba vsc)` ~T'owp of 4 Stato-Owned Z` /Z •~ j~P1 / 1 a `~ Ncsrest ~ $~~ S~ IIY. o of Permit; Chock Onl one box on line A. Check box otl line B if a licable .q,) I. ew 2. Replacement Replactrnenr pf 6. 'floe to S stem S tern Tank Onl p~~ stain B) i P 'twsa issued await >~ TV. Type of POWT Sy9tcot: (Cluck x11 that apply) ~l~ 4 Non-pressurIxed In-grottad ound O Sand Fiber D Constmcbed Wetlrnd . ^ Pt'eaauriza ~~r~ ~. ~ -~ , D kIoldina Tank O Single Pala ^ 13rip Line O At de .~(~ rho ^ Aerobie Trennncnt Unir O RacirauLtla, p Other. V. Di area xeatmentAsyaIniortnatloul t. gn ow isliersal,4rea 3. 'apcrae a. SoilApplie on erco on to stem on e Requittid Proposed Rate (OalaJday/aq. th), tM1n11nah) Plevatlan ~/ `~`~ ~~ Z Gr ~~ E p'. O f ~~ </ VII. 'Y'ank Capacity in Total * of Manufacturer Prefab Sitc Steel Fbar- Plastic Information Crallana C3allons Tanks Con- Con- glass ~' gxisting crate strutted Tanks Tanks ~~ ~,,~ -- ~ ~ v ^ VIIY. Respanefbility Start:ntotrt I the undcrai d nsaumo r oasibili o lnstallati PbWTS shown on the attached leis. umber rint ): uamew Ntmaber ?lambert w rraa (Sn+oet, City, State, Zb IX. Connty/Department Use 4n><p ^ D1Bapproved Sanitary let ~t Fes (Includes Groondwsur Date Isaavd 'a6 Agent S tt4e (Nlo stamps) '~ ,Apptovod ^ owner vivon Inma- Adve~e ~ 2 Sr ~ Z60 Deetrtttti on X. Conditlot-s of Approval oasons t r Disapproval: t~ ~ --~ lS ~` ~ _ , lS SBD-6398 R 7 tn/~tcl~`~ a.e ~ S `ts~vt, s. ~ la-~,l ~S _ ~ Hn cuw~a~t, s~cn. c~,.Q- ~ j,, - f r~ ~~ ) ~8 s ~ • _--- watt ~ T00/TOOI~j Z1dI5 QQO,L ~~~ .L1QdAIdO'I3r1~Q A.LN1100 1~INI11Q t360~ ZCZ STL T XV3 S~ ~ pi 3II.L OOOZ/pT1TT ~~ ~~ r ~ q ~ P ~ ~~ of a ~`_ [ u" ~: s o ~~ ~ r ~' ~^ o o '" < [, !~ S r ~ . ~~ r f d F v t ~v ~ ~ ~: os .~ e °. j i ~( ~ e ~ ~ I ~ ~ r ~ -~- ~ " ~~ ~ -----• r ~ w ~~ ~~ G7 ~ /• ~ ~ w ~ f ~~ ~~5 ~w\ O / _ AH o r ~ N O G ~ •~ s O < ~'r ~ r j~ o ~+ r, ~ i ~ P oQ -%f t ~ f' ~" t o ~ ~ ~~~ ~ -P ~~ ~/ ~,/ ~~ ~ V N ~~ ~^ x ~ ~ .c G ~C ~ , < ocr~ ~'po~ t '~ P ~~~ ~~ N k f r N P t i J 10 .y^ 9 s r _., ~. '' _~ £ a~ f f ~ G f ~ , s , -- r ~ ~ G P p f . f ~ o j°-~ .~ ~ ~. N Q ~J ~ ~ .. _ _ ~ ~ ~scans~n Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. com me ice. state.wi. us/sb www.wisconsin.gov March 27, 2001 CUST ID No.139462 A7TN: POWTS Inspector ZONING OFFICE TODD L SINZ ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/27/2003 Identificat' hers Transaction ID No. 2988 Site ID No. 627425 SITE: Please refer to both identification numbers, SITE ID: 627425, MIKE & REGAN KRIEGER above, in all comes ondence with the a enc . ST CROIX COUNTY, TOWN OF HAMMOND; US HWY 12/160TH ST NW1/4, NW1/4, S20, T29N, R17W FOR: NEW MOUND, 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 784788 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: ~~ ~~~~~I General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the ~ `r! "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P ~.'i Fi ( N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment ~ Systems" SBD-10706-P (N.O1/O1). ~, /~/ • In the event this soil absorption system or any of its component parts malfunctions so as to create a health SSE hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of " the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Maintain well and waterline set backs per COMM 83.43(8)(1). TODD L SINZ Page 2 3/27/01 • The management plan /users manual must include the maintenance of the soil absorption cell (i.e. what activities may or may not take place on and around the mound system, including traffic, plantings, etc). Amend your plan and provide this information to the owner. • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. 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/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. ,-- Sincerely, CIA L SHANDORF POWTS PLAN REVIEWER , INTEG ED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE. STATE. WLUS DATE RECEIVED 03/15/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: MIKE KRIEGER . •f Mike & Regan Krieger -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Location: Date: Owner: Address: Plumber: Signature: License # Attachments: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Lot 9, Hammond Oaks NW 1/4, NW 1/4, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix March 14, 2001 Mike & Re Krieger 1106 M t Croix Driv 1 Hudso WI 54016 TodcYSfinz/I I l // 1 ~ MP T39462 ~ 6748-Plan Approval Application SBD-8330 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 ~.~. ~»~ially W ~ OF COM C .FETY ?RESPONDENCE ~~ / ' 8/CSv page 1 of 8 Design Criteria ~ t-''S 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 l~'~ Treated Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL 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 ~ @ ~O•° Lateral elevation ~ ~ ~ 1 3 Lateral hole size ~~b in. @ 1, o . o ~ ~ holes/lateral 3 ~ Lateral volume ~ b ~ t' Total lateral discharge rate 'fi`t •tfl4- Elevation difference ~ 2.3 5~ Friction loss t • S ~ Total dynamic head t ~-• 4 Z. Pump/s'l~t'ion ~ gpm @ Z- 1 Manufacturer 1 ~ ~ ~ ~ 0. Dose volume 9 ~- ~~ ~~ ~ ~ `'~' ~ ~ `w Lift/siphon tank • d• ~-o Septic tank '' " Effluent filter ~ a- ~ - ~'~ Measurement pump on and off ~ • S ^ Height alarm from tank bottom 1~ Reserve capacity ~`~~" specs.calcs Design Calculations ~ ~~ `~' gallons/sq. ft. per day ~~ Z- ~ in. ? 4~ in. ~ ~ ft. of Z in. Z • ~ ft. of ~• in. ~ 3 • ~° allons g ft. of ~ ~ z in. ft. @ bottom of lateral in. ( S' ° ft.) Spacing holes total gallons ~ gallons/minute @ Z's ft. head ft. ft. @ 3 ° gallons/minute ft. ft. of head Model # S ~ `~ 4 gallons 6 ~ gallons ~ `"'"n gallons in. in. gallons Page Z of g 3 ~ ~ ~ ~/ e ` ~ a ~ a J ~ ~ 3 ~ ~ ~j' .'~ = ~ ~ ~ ~ ~ ~ 0 0 3 (" ~ Z J s d ~- ~n ~~ 0 1 t s a .~ X r ~ , ~# t 9 II \ c.~~ ~ O '~ r ,i _. d o --~ i~~ ~f~• r ~- ~ ~~o 0 > i c ~'~c~ ~~ ~ t ~~ ~-~-'~ °' ~~ ` `~ o 'f ~ #; md~3 _ J t ~'/- O ~t ~~ r. ..iQ' / V i ~9~ J ~..1 ~ ~ J j 0 l ~ ~~ fn rt ,~ ~ ~- ~./ ~1 1..~' M~ f ~; .. .. , ~ 5 . . s.~~.~, c ~o s s.~ 5 ..~. ~-: ~, --Q ---. ., .. 3 ~~ ~ / _ _ \ r ee.~ ~o t~ a. re O~ ~ ~~t (i" ~p.a,~o.... Zu 1 ~..~ ~.~ cwv„ ~ ~ ~ e opt (t9 ~t'Z' St..o . 4 Ol a.v ~ ~ . 1 ~ e n ~ -~ nn aX sv . ~ t~ ~ ,. ~o + o,p t ~ ;1 tir*ti w.su~ b s..~co:1 ~ay~ 1 a,-...~. 8 bz~ 3 ~ ~ 2 'Z l . . , -, c~~; ~ oe.~ ~~ ~.y k.M,o,.~ ~~~~ a p.~ 3 ~ C~ ~'1~,~ e.w~c...~a~e.~, t cU~}A~ ', , i ~, ~ ~ ~ ~ ~ . _. ~ _ ~ ~. _~ ~. _.~. ~ ~ i l i ~ u 1 1 10.r- ~ ~ii.~... If~S~~~ ~ ~.Lr' 2.Y ~ ..t. li- I ~ ' -il ,r ~~ i ~, b S'• c.~' Z2, l ~ a, s' q,a' q~,z' . ~q•q' ~~~.o' Not; `~rw.~`~~ ~tv.rs~...~, (9~(.~ ir•e~- o...y-t •~ ~~c.~ bs,.~ ~„ 1 (' PVC- S C~`1 ~i~0 v. w ..: ~-e ~ /. `~~s„ Pvc s~, a4 S ~' ~ I S ~ / c~ S l I 5 I ~' ~l O,c~ ~-~ ,Z," PUL ic.h g-O l` ~0`-t~ hA~,v~ •~~ ~ CJ's ~ L 4. (9 v. Y ~, h ~ p an- .. K.. tV ~ ~ a~ ~ ~,~ s ~~ __ .. ... ~• ' . ~ Z I"1n~w WEATHERPROOF LOCKING GOV~R .TUNCT~oH lv~vn'ivi~ .(/~BE~ . 8ooc QUICK Giaco~~LGT--1 cr ~.~ ~' 6,. -~ ..~ •~.. ,~ ~ ~ •. ,, •4,, I ,, . ;~~„ ~ -~-.~ 4m PIPE 3' ~ 0 No-STURBED ,P~,1~ SOIL. 24„ 2.D. ~, a" 40 Mgwuo~ ~,. ~ ' vEr~r .. ~~ ~~~ i~ r • GY/rL~l , - - - +I ~~wciv ~WROVLO A _ Z~•~ ~~ NU.G ~„SP~c. SKET 3b~rr'~ _~ ~'FL.ES 1 4 0 ~ PIP6 _ a .L Ac 3' o•Ro (~ u~:.~ru.. rwECTI ONS ~~ '""/ ~ el ~ .~X, ~ - \ V`l~ ~ ON - OFOUKo PWiP D ~„ Co~~~ Lfrv. 6~oCK `' 14 ~ q /;-~ SEPTIC f SPECIFI•CATI~i\.IS 00 S C ~ (,ti ~-5- ~ ti,~,~ TI~1~l~.S MAtJUFACTURCR: C'~' IJUMBER OF DOS¢5: S PEK 0~~ TA1.IK SIZ!` : ~ J`~ ' ~~ taALL01J5 • .DOSC VOLUME ALARM MAJJUiACTUitCR: S `~ ~~~ o.~}y,~ IAICLUOING 6ACKFLOW: ~ ~ GALLONS MoocL uu~ER: • ~ ° ~ ~~ ~ CAPACITIES: A = ~~'~/ wcNCS oK 4`°4'}S C.AL~.ous SWITCH TypC: ~~`~" "\~ B= ~' IIJCNES Oa ZQ_~ GALL0~.J5 PUMP MA{JUFAGTURCR: ° "'`~ `~ _-T ~'~, '~'~~~ C++ ~~S iULHES OR G~~~OUS :7M• MODEL AIUMDCR: ~~~` ~'l7 D~ ~ Iu~HES OR ~R~GALLONL OWITCN T!lPC: ~MG~1r~v w IJOTE: PUMP A1J0 ALARM ARC TO 9C MIIJIMUN'1 DISCHARGE RATE~_GPM INSTALLED 01,1 SEP^R11TC CIKCu~T~ VERTICAL DIFFERCNLf ~ETWL[IJ PUMP pFf AUO OISTRI~UTION PIPE.. \~ FEET + MICIIMUM ~JETWORK SUPPLY PREi>;URE .. ~ ~ ~ ~'~ FLET + ~ I FEET OF PORC[ MAIN X ~_ ~'~ Ff loo ILFRItTIO1J FACTOR. ~ `~} FEET ~ ~ ~ ..•. _ ~_~ ` TOTAL. Dy1JAMIG HEAD = ~ ~`~Z' FEET IAITERIJAL. DIMEI•.ISIOAJ>Z O/ TA1JK: L.EAIC~TH~_~~,,~;pTH ~_..~LIQUID DEPTH --~ ;~ , d. ~.~,r~ tC~re~cteristits JAaror War fishMnrstib EAsw.i lw+iek sllEf~allt S11B~IIe7 Auie~siNk l~ s111F~o,1 SMM4oA2 Nw wnr ~ 10 Fs~ ~ 17 i.i NIN~r Slniil hb 4 R.RIII. I SSO MNR t Veh 11S 2i1 ~e ~ T ~ l ie• F nlut. FMii tniMA A lsarl~rlM 4~ A S1rs+ I1 ItNT S~Asls 3 4" !i fir. ro~ tRa to/~smx.r+. Materials of Construction ll~~L~.~.~.rwwa 1°lwtl~n r w" ^~^ ^..~...~~ 40 , 30 ~ 2p 1p p ip 20 30 40 30 6p t0 GPM T~tpl liseed (~i 10 14 17 Z1 33 Z3 30 3S (rn) 4. ib.t 0.S 1 .7 GPM {U! OPM) 70 60 SO 40 30 30 10 0 s>~ 1. 011011 Data 1. A11 ~nleedons in Inches. (Ketrk for interrlati0e0i IISe~. 2. Coelpore111 i*110e~ons mar vary 31/1 inch. 9. Uio1 for callstrrdton purpose unlrsr rertlfled. 4. Dielensioes and vreyhts ere ~pro>rimete. S. W1 reserve the ri t to nloke recisions to ow v acl and !heir spedficatioes rrkflout notice. ~r 1998 Mydromand" i'umpt, Ae ond, Ohio. All Riflhn Rs+ssr~ed. ~~ HYDROMATIC ~ -Your Au+horisad Icrcol Distributor - s•r 180 eaney Aoad Ishlond, Ohio 44e05 Td: X19.281.9042 roK: 419•~il •lOE1 Weh SBe: www.peehirpunp.com SALES OEII~ES IN All MIAIOR OTlES ANO G0111(1RIE3 ~ '~', : `, ~, ~ ~y Refa +o "Pumps' in Iho ydow pales of your pfiene direttory for your lernl Olstrlbulot ' ^ /~~ I+emN; W04•b690 1198 SM '"s U O 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 homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential 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. 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. 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, and 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. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential 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 EVALUATION Page ! of Labor and Human Relations Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. 1 ~' ~ i` Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. P Q`r~~s#~ ` ~ Cotl~ty s~ C, Av', y include, but not limited to: vertical and horizontal reference point (BM) dir ry nd ~, '~ /~' /` percent slope, scale or dimensions, north arrow, and location and distan @.td riearest~r~d ,=r'~ parcel 1.D~1 # O • ~ b~ • ~a y • So • oa APPLICANT INFORMATION -Please print all informat~pn. ~' ~~'- ° '~: ;. ~eviewed Date Personal information you provide may be used for secondary purposes (Privacy La~v;'s. 15.04 (1) (ra)): C;=;;:~;; f; r~ ~':. Property Owner ~ V M Q L Q~ /.~l19 ~ C (y Q Pry ~. V ' ~ S~ON•~J (3~4 i ~ t0~ ~ Govt Lot 'K4,-.. ~/4,S ZQ T 2 ,N,R ~~ f(or) W Property owner's Mailing Address t:~ tlock#'~ S` .Name or CSM# 332- h i U~~S ©T~! ST. E~15 T - yo ~ ~~ ~' ~F~r.HOwD oi¢~f's' Ciiy Staute Zip Code Phone Number Nearest Road w ~ ~- ~J•r• pAV~- I /-~,U. I ~$/D) I (fOS~ )222 •SSss ^ City ^ Village Town q_ D t~/b Q'l~lew Construction Use: ~r•tesidential /Number of bedrooms '3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: ~f Code derived daily flow y~~ gpd Recommended design loading rate 1(, bed, gpd/fl2 • s trench, gpd/ft2 Absorption area required ~_bed, ft2 3 ~~ trench, ft 2 Maximum design loading rate l bed, gpd/ti2 s trench, gpd/ft2 Recommended infiltration surface elevation(s) Sl.C 3 ft (as referred to site plan benchmark) Additional design/site considerations ,/ Parent material /DEcS DVS QFN.SL~ T/~~s Flood plain elevation, if applicable N~T ft S = Suitable for system Conventional M~ou/nd In-Ground ~Pres~s a AT-Grad~e.,/ System,in Fill/ Holding Tank U = Unsuitable for system ^ S U U trJ 5 ^ U ^ S LJ U ^ S L~' U ^ S L~U ^ S Cnil r1FCCRIPTInN REPORT Boring # ;:€ Ground elev. 8~.~-ft. Depth to limiting f ctor ,l.~in. Boring # Ground 8~ el v. n. Depth to limiting f for ~in. Horizon Depth Dominant Color Mottles Structure B d R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence ary oun oo s Bed ,Trench I 0 • / /o die Z/ L ---- GS l ~+ j/~ nh v-~i~ k> ~7~ . ~ ~ . $ ~- p • io YR 2/3 - L i~'s,b~ ~» fiZ S -- . ~{ ; . S 3 !o ye 3~3 -- S rL L fS 6~ ,,,~-,F,~ cw _ , s ; . ~ Remarks: /o ~ 3 3 ----- ~~~- / S~ unfit'. w -- . i.~ • 3~ /~'~ Remarks: Telephone No. ~!s• 3gG • ~~ ~ •s CST Name (Please Print) ~~~C~~- ul.Ok'iiekT" Signature Address Date CST Number Private Sewage Consultants ~~~ n'Nail Rd. ,~ ``'' ~l V~1 $1 t2D L ~'~~ SOIL DESCRIPTION REPORT PROPERTY OWNER 9 ~ 6 ~s sog PARCEL I.D Boring # 3 Ground elev. 8 ~TP'tt' Depth to limiting factor ~in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. tt. Depth to limiting factor in. Boring # Ground Page Z of .a ~D f' A~ i o,v~ /~ ~ Horizon Depth Dominant Color i Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench t f H ~/ ~ Shy ~'~7'~ - .L' ~ •.3 ~ o yie 4rL RPmarks~ Remarks: Horizon Depth Dominant Color i' Mottles Structure pp/rye Texture Consistence Boundary Roots in. Munsell ~ Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench elev. ft. Depth to limiting factor , . ~ , 'n' Remarks: n SBDW-8330 (R. 08/95) ~,~ ~1 UH $) ~~ L ~'~~ SOIL DESCRIPTION REPORT PROPERTY OWNER GJ ~f !~ c~ R PARCEL I.D,# ~ ~ / " AMh 0 ~!J ~~ ~ ~ `~ ~ " Boring # 3 Ground elev. 8 s--~-tt~ Depth to limiting factor ~in. Boring # Ground elev. n. Depth to limiting factor in. Boring # Ground elev. n. Depth to limiting factor in. Boring # Ground ~' Page ~" of Horzon Depth Dominant Color Mottles Structure i ~ Bo d R t 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Cons stence un ary oo s Bed ,Trench Z ~a - L 1 f b ~~. -- ~. s . , ~ S/ ~ Shy ~ ~... _ -- . Z~ ~ •,3 i oY~ ~ Z Remarks: Remarks: Horizon Depth Dominant Color Mottles Structure i B d R t / in. Munsell .Qu. Sz, Cont. Color Texture Gr. Sz. Sh.. stence Cons oun ary oo s Bed ,Trench Remarks: ~ - elev. ' n. , Depth to . limiting factor . ,. 'n' Remarks: SBDW-8330 (R. OS/95) M~ 2 SST. ~ ~~ p'~ ~~ gg,sy ,, ,, ~.~ U r ~_____ _..--- N~ I'~t ~l = ~D~N~ SvKuEYo~'s y ~- C3 Pr'T' N ~. C o~°,v~ ~' l~U, = /00.0' ~.---- DoT 8> /(p9 _--_ L n ~" 9 ~~ ti ~ C', L , ' ~ l~ ~~0 ~~ Pj2 • , ~o ~ ovti~ sy~ r-. ~/,~v ~ l~ ~~ s~-ti,~ ~~~~~ 87,0' i'-'-° Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54018 _~ w ,, 5«/E: ~ = 30 ~ ~~ . /''~ TS CS7~12~3 7s ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT • AND OWNEQRSHIP CERTIFICATION FORM OwnerBuyer !k~ ~~ ~~i~ ~rL Mailing Address ~/~~~ /'~ld~/ ~D/X ~iiF. ~~ ~St~I ~,u'~I" ~~Q/~ Property Address ~ ~ ~ ~ ~ ~~-/ !-l~ (Verification required from Planning Department for new construction) City/State Parcel Identification Number O / ~ ~- / o ~(D - C~~ -~C.1'~ LEGAL DESCRIPTION Property Location ~~~ '/<, ~ '/4, Sec. ,~, T ~ ~ N-R~~Town of 11i ~GYI Subdivision Lot # ~. Certified Survey Map # ,Volume ~- ,Page # Warranty Deed # X30 3 ! 2 ,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 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 masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in 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 days of the three year expiration date. SIr~TURE OF APPLI / / 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~a~ ~ I~,~~. ~~ SIGN OF APPLICt~P T ,~ / O DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** 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 '~ W~. 1544PAG:414 ,. ~ ` STATE BAR OF WISCONSIN FORM 2 • 1998 630 12 WARRANTY DEED KATHLEEN H. WALSH RF:GISTEk OF DEEDS Document Number ST. CROIX CO. WI , This Deed, made between Humbird Land Corporation, a RECEIVED FOR RECORD Minnesota Corporation ______ ---_.- __-_-- 09-1-2000 10:30 AM _ ARRRAHTY DEED Grantor, and MICHAEL E. KRIEGER AND REGAN C. KRIEGER, EXEMPT M T P HUSBAND AND WIFE -- _ _ _-_ CER CO Y FEE: COPY FEE: -- ~ ------- TRANSFER FEE: 62.70 --- RECOkDIN6 FEE: 10.00 Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the fol{owing described real estate in St. Croix County, State of Wisconsin' Recordin Area Name and Retum Add•ess G 7~ L T I~AMMOND OAKS, SUB.IECT TO AN EASEMENT RESERVED WESTCONSIN CREDIT UNION GRANTOR FOR THE CONSTRUCTION ANA MAINTAINENCE PO BOX 308 OF A ROAD AND ROAD RIGHT OF WAY TO BE PLACED WITHIN THE RIVER FALLS WI 54022 FOLLOWING AREA: A PART OF LOT 9, HAMMOND OAKS SUBDIVISION IN THE NW 1/4 OF THE NW 1/4, SECTION 20, T29N,R17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN 018-1086-09-000 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: Parcel Identification Number (P1N) COMMENCING AT THE NORTHWEST CORNER SAID SECTION 20, ° This rs not homestead properly. THENCE N89 41'48" E ALONG THE NORTH LINE OF THE NW 114 SAID ° (is) (is not) SECTION 20 1313.52 FEET; THENCE S00 23'21'B 608.86 FEET TO THE POINT OF BEGINNING; THENCE S00° 23'21"E 27.00 FEET; THENCE S89°36'39"W 290.00 FEET; THENCE N00'2 3'21"W 27.00 FEET;THENCE N89~ 36'39"E 290.00 FFET TO THE POINT OF BEGINNING, SAID PARCEL CONTAWS .19 ACRES MORE OR LESS. Exceptions to warranties: Subject to easements,restrictions,covenants and rights of way of record, if any. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed herein, that being the sum of $ 20,900.00. Dated this 11TH day of SEPTEMBER - 2000 AUTHENTICATION Signature(s) authenticated this _ day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY (Signatwes may be authenticated or acknowledged. Both are not necessary.} Humbird Land Corporation . by - A' President . Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey County.) Personally came before me this 11TH day of SEPTEMBER , 2000 _ the above ruuned Austin J. Baillon to me known to be the person(s) who executed the foregoing instrument and acknowled¢e the same. ' PAULA. BAILLON ~ P$n1 A. Bail10n -~~~; NOrANY PUBLIGAIINNESOTA Notary Public, State of Wisco in a1a My Commission is permanent. , January 31 2005 ) 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATC BAR OF WIBCON9IN POAM No. 3 - 199a INFORMATION PROFESSIONALS COMPANY FOND DL' LAC. WI B00.655SU21 A? ~~E D;~.~L A n~ U S --..~ _ 30' ... _ ~ 61~ - ... ~. S TA ~'F S TA T ~r _ _. ~ ~. . .?at.~ls~ . _ ~, A ESS F7ESTi~'IcTEp a1-UNG H WY t 2 ~991y' _ ~_ ,~ . t~ i.97 ~ _I. ~ DDT HIGHWAY ~ 5f: rf~Ae-c LINE . U7 c~ Ct~ CN ~ _ c~ C7t r- ~ /ri ~._ w COUNTY HIGHWAY ,~y M ~ - _. ... N . C,. ,U ~ r.. ~4r .r ~, ,~~, . O ra ~ • ~ ~ I ~~ ~' ~ ~0 ~, v r' ~ ~ t II ~U Cn ~ ~~/`„ ~ lt ~ ' S. ~ ~~ ~ ~~ ~~~ "~ j ~ _ ` ~ ti ~ w ~ :L~ ® ~ ~ `'" ,.... (~~, ~~. 414 ~ 1 '-i ~ ' ~ ~',7. V ~ ~» ~,` ° ~ ~ r, '~ , I ~~ ~ ` .i cn ~ ~ ~ ~ "j. ~L 9 Q ~ cy7 cn ~ `. ` \ 4 ~7 t., v G. ~`~ ~4 ` ref ~ ~ ~ ~' ~ t.. ~J .rte ~ ~ ~~ ~u., sa c~ ~~ ~- / .._. _._ ..... .__ ~ i C/+ d ~ C.~ t'i~ :,~6' ~ ~i~'~'~g"W 79{3 (}0' v ~,;.. "'--~ I ~ _. D A+NA(,~ cyt UTILITY ~AS~IuFf.N1 .t*+ V- ~„ r ~, ~ -..~ ~ ~•, • _ w---W-..._._. --~ ~, ~ ~ ~N S89'4S`2.3'W 290 00' ~~' c ,~ . ~ T ~ Vt ~ C~ CYt .,,r _ ~ 'Y1 ~ n't Iii ~1l ~t°ta1111C ~f4~iCkpA^.IIY •'r ~ RfrfY.iTl:' f'f .IfNI' ANIi :;:Yl.`Ith'I~l: GC'9 'h1 1~:3 C«Cr Mrlcrr t:cd. titerc•- ~::rr I ilex :, t.!i ti7 261 ; ~ 9y1 ~~ ' ~!).' -- L' Rr 7.7 __ I ~_ 1 1 4? CONSULT FACTORY FOR SPECIAL APPL{CATIONS • Tined dosing panels available. • Electrical altetnators, for duplex aystarns, are available end supplied with en alarm • Variable Nvel rortttol switches ere avalable for conirolGrtg aingb phase uysterrts. • Double pg9Ybadc variable level float switdtes are avalable for variable Jowl ~8 and short rycle oonirols. • Seabd Qwik-Box available for outdoor InsfaNafions. See FM14Z0. • Over 130"F. (54°C.) special quotation required. 15?J153 Sexes Model Yotb-Ah lbda n iln !ax DypNar t ~";is t Non.- e. t ~~ra BN15z tt.~._ 1 s.5 Inokidad ... 2orJ Et61 230 1 AYkt 4.3 1 7x7 BE162 230 1 Auld 4.~ Inckdad 2 ar 3 '~ rya tt6 t Nm ~ ~ a,3 ' BN1S7 t is i Aux 10.6 InaMrdad 7 x 3 s cA Aq iaUlltWe of corNrob, protec0oa davicas and vAriny shoul0 >n cone by ~ nuartneo Ilcanttad Yactrtcian. A6 abctrical and vakty sodas should ha ro6oaNd hcludYtp tha most meant National Eunrle Coda (NEC) and tha Ocoupadorai tatrty and Nsaah Atl (08HA} SELEC710N GUIDE 1. Sittigk PiQQYbetk vartuWr lavul boat switch a doude pppybadc varWgq lawl float swdtcFl. Refer b FMOd77. 2. gee fM0712 lot cortect model of Eletricad Akernalor Elk. 3. Veria!>fa la+rel control switch 10.0225 treed es a control activator, specify duplQx (3) or 14) tloa[ system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor Is engirt0ored Into the design of every Zoeller pump. ~O nroa:uwww~onr oon- • PL/MP !O. © Copyright 2000 Zoeller Co. Ap rights reserved. ~ ro: P.a t3wr rea17 LAUiwtd7a, KY 10256-0t347 syrr to- 361a c.N Rur Jt~l LouravM4r.xY 1o2tta~r /30T1 ne.Y~Jf • t {60ty p?Mt/LIP FAX (Sfl?) 771-38?! AtarnAsdwcva of. , ~aurr Pitrcac .~iivct• /9.99 • 'LAC4 Vohc: 3i!.a fl. ('1.6rn) ~"..Q Ft !LS.~rnI ..... ._.. .. Data v IfI i ~ 7/32 y~.~.~ 1 _ ~. I ~ .,i ~ `~ ~ ~~ ., l ~~ ~ ~~~, ~~. a~g FLOW PER MINUTC