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018-1086-15-000
(7 ~ d N y p C\ ~ ,3. ~ fD ~ y O o ~ ~ O N ~ ~ 7 O ~ 3 ~ v w cn z D ~ m co D ~' ~ ~ W I 3 O Z I O I z -~ ~ =~ ~' ~ m 3 I o ~ m 1 m N Q Z O_ ~ ?N~~O ~- = •° o - ~ ~ m ~ ~ ~ ~ Q ~1 ~ ~ N ~ c w ~ a .. ad ~ m n~ 3 Z O > > > ~ y ~ ~ _ ~ ~ ~ j ~ 7 < C O 1 ~~ ~ o co W ~ ~' u~i ~~ o ~ Dvo ~~ ~ n ~~ ~ N ~ ~ N 7 O N CD ~. : c amp m~ ~ m m .-' 3 n i I ~ v i ~m ~ ~m °•c 3 o m-°i Z o a i _•a~ =~ 0 3 o a v ~ ~m~,ooFi~~o•~a~d o I •_. •m m~ m ~~' -~ « m ~ m m ~ o m ao ~ I a~•v; ~ v~ 3 $v m m ~ ~ ~ N N y ~.0 `G ~ N 3 o a 0 p 3 0 c~a~ x£ 3 c °-ac ~ m o = o ?~ ~ ~c0 f.~ o 0 3~ ~~ 3~ ~m ~~~ 3 ~ a?~ I ~ » » ~ ~ ~ ~ N ~ 7 O ~ - ~• ~ -tNn ~-0 0D- c °,• • ~ ~ ~ p ~ ~ ~' uS i m o I 7 O O L c ~ ~ ~ ~ ~ ~ ~ ~ ~ 3 o w ~ Q ? Vcp a L C N. ~ c J a a a CO\Jt N ~ w m p0 0 2 ? A 3 0 ~ ~ ~ a O O O - ~~~~ ~ N N ~ v v, ~ .~i N O ~ d ~ U7 A ~ °.: ID 7 fWD ~ a a a J A O 3 0 m y c Q fD O• W A a o ri 3 ~! z W c a 3 ~ c ~ ~ 3 ~o ~ = N O o -' a°o V D. O O) O ~ F O y O 7 v N O C 3 '"• 'o °: ~ w 3 3 O a O N -' -I fA `A Z ~ i ~ ~! A ~Z ; G cNp O ~ _~ Z V ~ ~ A d ~.• c ~~ FBI a O 'S O 0 ~1 e0 c 1• 0 0 • fi ~~ ~~ ~. O VI 0'q 11 A ~ V Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division °' ~ 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 Schmidt, Justin Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic O Dosing /~,~~~y~ (~ ~~ Aeration / /,, _/ '/ -7~~' Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ___--- ROAD Septic ~~ > ~ '~ t Dosing ~~ , Aeration Holding PUMP/SIPHON INFORMATION ~~~ Manufacturer Demand G>~ Model Number !~ ~ ~~ ~ ` TDH Li~ ~~ ~ Frictio~L~s System H~acJ,, ~ ~ • (~ T i F~ ~ Ft ~j Forcer Legg ~ ~ Dia .2 w Dist. to yell O / County: St. Croix Sanitary Permit No: 430699 0 State Plan ID No: Parcel Tax No: 018-1086-15-000 Section/Town/Range/Map No: 20.29.17.635 ELEVATION DATA STATION BS HI FS ELEV. Berr~h~,p~r ~~''l ~.[ Z ,off /03'`~ D t- ,~` ~ r-~ Bldg. Sewers ~ ~ ~~ -~l't ,~S 9~_~3 S Ht Inlet ia. s o -q r SUHt Outlet ~- Dt Inlet Bottom rj. $" .I- ~ -~- (7r / ! D U ~' eader/Man. n Dist. Pipe / ~ r 2 . ~~ /O ~ . S3 Bot. System ~ ~"`~ a~ ~ ~. L ~~, ~ / l7 Final Grade / ,5~- ~ a r- `~ St Cover / , ~~~ ~ -~~ ~ ~, Gf~ SOIL ABSORPTION SYSTEM /~,.~ ~~,~ ®/,~; t,/l~t ~/D. Z.) BED/TRENCH Width ~ Length No. Of Trenches PIT DIMEN IONS ~ No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ n / 2 S , V` ~~ / SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM L ACHI Manufacturer: INFORMATION CHA B OR Type stem: / \ , / l ~ ~~ ~ I Model Number: DISTRIBUTION SYSTEM -~,~ vIG,,P~ ~,,~r, ,~, ~„~ (J ~ ~ o_ /S ~ ~~ 2,,.~f -- S',p3'~rv~[~p~. Header/Manifold. Length Di -~ Distribution /` lc Pipe(s) ~7 !!~` r,~ / g I" /'~ Length Dia_~ Spacin x Hole Siz 3 (p r' x Hole Sp?a~i g J r Vent o Air In SOIL COVER ~ x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv pepth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ Bed/Trench Edges Topsoil Yes No `Yes No .. COMPtIIENTS: (Include code discrepencies, persons present, etc.) Inspection #1: -~ /~ ~ /~ Inspection #2: ~ /~~~Q~/ Location: 869 162nd Street Hammond, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) Hammond Oaks Lot 15 ~~f,~,~'P~el No: 20.29.1 .67~ 35 1.) Alt BM Description =~~ %) s~~ ~ 5P~-(-h.D-f' ~ -~ ) / /~,~ ~~~~~~ 2.) Bldg sewer length = 2 3' (/ ` ,_ h _ ~~Z~~h/ vu ~ _ `~' -amount of cover = \ y. / ~~~ ~ G~ f 1. J - - _ - _ -- - Plan revision Required? 'Yes No Use other side for additional information. I ___ _~!_ __ __! _ _ ! _ i - -- SBD-6710 (R.3/97) Date ~ Ins pctor's Signature Cert~lo / Lls~"'4 ~ ~'-'~ <' ~ ;Safety and Buildings Division ; ~ i~ ZOI ~?V W hi County ~` ~ - , . as ngton Ave., P.O. Box 7162 , ~ ` O ~ ~ ~S~O ~ ~ ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) UIX CU i Department of mm~~ v ~ r (608) 266-3151 q 30 ~ l Sanitary erml plieation State Plan T.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~ ~jJj~ s. maybe used for secondary purposes Privacy Law, s15.04(1)(m) s if different than mailing address) q ~ I. Application Information -Please Print All Information / 1 ~' 0"1 `^°e S"( ~ e'~ t ~~ m~oh ~ t5 Property Owner's Name ~~. SL~(1 ' t Ski Parcel # ~ b ~5\ Lot # J v Y i ~ n ~- r «, -1 ~ ~F ~ 1 ~ Propert y Owner's Mailing Address - Property Location ( ~ Q ~~'" ~ ~ l 0 0. CYv ~. v ~ t ~ ~ ~ ~ ` City, State Zip Code Phone Number ~°, tv w Y°, Section ~ (~ CL~ 1 t ~~ ~~-~P m " ~ ~` ~ ~ ~ (circle e) ~ II T f B il T ~_ N; R~E or V . ype o u ding (check all that apply) _ ~~ ~ ' ~ ' ' ' or 2 Family Dwelling -Number of e drooms -~t u w K e Subdivision Name CSM Number Q ^ Public/Commercial -Describe Us / ~• ~ ^ State Owned -Describe Use ~ ~~2 • ~ ~, ^City ^Village Township of ~ QvYlm Ong I D . rwi n.. _ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) '- A. New 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 lV. T e of POWTS S s tem: ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soi o 4 ' iC~I~s '.lam ^ At-Crrade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Cham r ^ Drip Line ^ Gravel-less Pip ^ Other x lai V. Dis ersallTreatment Area Information: -/pa ~ Design Flow (gpd) ~-5G Design Soil Applica ' n Rate(gpds ~ a 11 Dispersal Area Re red (sf) ~ ~s° Dispersal Area Pr ed (s System Elevatio ~ . x,,,,, P . . ~ ~5D . qo -~ VI. Tank Info Capacity in Total Number ufacturer prefab it Stee er Plastic Gallons Gallons of Units Concrete Constructed Glass New Tanks Existing Tanks / Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWYS shown on the attached plans. Plumber's Name (Print) Plumber's Signa P/MPRS Number Business Phone Number ~~.-, ~ -~ __ a o ~ - ,, Plumber's Address ( et, City, State, Zip Co e) ~. ~ 1 ~~~1 ~ ~W ~ ~~ VIII. Conn /De artment se Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued su' g Agent Signature (No Stamps) ^ Owner Given Reason for Denia] Surcharge Fee) 2 _,_ 350 ~ • 23 IX. Conditions of Approval/Reasons for Disapproval ~"~ n SYSTEM OWNER: 3~ ~ ~~~-'"y '-' ~:~;`ecQ ~ ~b " 1 Septic tank, effluent filter and ~--- _-~ I~ ~~ ~~~/ • dispersal cell must all be serviced / maintained 5~, t l itM~J as per management plan provided by plumber. / 2. All setback requirements must be maintained S~~`V' ~l~ ~~ C-~ (.•t,2_-'ee. as per applicable codelordinances. ~Q-~-~ f~ ~~ . .-...A.... ...,...p,~a~ p.au, ~w .uc ~uuury omy~ for cne stem on paper no[ less than 81/2 x 11 inches is size ~ ~~ SBD-6398 (R. 01/03) v1.o ~ w~u ~ ~`( t~~utiee c~ ~~ ~~ f~ o -_ • ~ ~ ~ ~ ~ ` f ~ --_--_. j'° ~ s _: =~-~ ~~ 4 `r It .-~ ll((o / , Y S O yt 1 J. 1 -' 3 3 s 1, -~ 3 --~' c~ _ ~ _.~ ~ ~~ ~ ~ ..r ~...~. ~ `. ~ o N . V' ~ N "~ ~ d ,. ~ s ~' ~ c~' a rn S ~ J ~ y ~~ _~ ~. a ~' `~/ ~_ ~/ I , ~' ~ ~~ y ~ c~ ~, ~ ~ ~~°~ ~ a x t ~ ~ ~ s 9 ~ 7 0 S' c7 ~~JJ}} min ~~ --~ `\J .~ o #~ E~ ~~ a~~ 3~ ~3 s~ s- a C~ y ~ of ~ ~ d ~. { `. ~~ ~g t--."~. O~ K /` O ~ ~~ ~, ;; ~ s"1-~~~ ~ ~~ ~' _Q coiv~+it V_ Q ,~ 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 January 30, 2004 CUST 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: 01/30/2006 SITE: Justin Schmidt 162nd Street Town of Hammond St Croix County SW1/4, NW1/4, 520, T29N, R17W Subdivision: Hammond Oaks; lot 15 Identification Numbers Transaction ID No. 9653. 97 Site ID No. 670401 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 940713 Maintenance required; 450 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade Systems: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans and with the "Mound Component Manual for POWTS -Version 2.0", SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for POWTS -Version 2.0, SBD-1070b-P (N.O1101). • 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. • 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 area aze - prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(71- A conv of the approved plans, specifications and this letter shall be on-site durin construction and open to inspection by authorized representatives of the Department which may include local inspectors. ~~ ~ } ~ ~ 4 ~' • ~' a'• ,~,' ~'' ~'d~p~~~~,~~~~. ,'..~ s, ~.. ~~~~ MICHAEL P ROGERS Owner Responsibilities: Page 2 1/30/04 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(I)(a) -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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ~ . . w . ' ' ~~~ Justin Schmidt -Mound 9,~F v ~ ~ ':.. ~~ ~~ l~J~~ Construction Materials and Techniques ~~Oj~A ~v All materials must comply with Comm 84 and be installed in accordance with manufacturer's O~fE 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 15, Hammond Oaks SW '/a, NW '/a, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: January 28, 2004 Owner: Justin Schmidt Address: ~-/~ Great American Homes 1915 Wilson Menomonie, WI 54751 Plumber: Signature: License Attachments: SBD-10577 -Plan Approval Application SBD-8330 -Soil Evaluation Report Page 1: 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 ~~ UtPARTMENT OF CO'gPJIERCE DIVISION OF SAFET AND BUILDINGS -~ SEE CORRE ONDENCE page 1 of 8 .. Design Criteria YES Residential Wastewater Contaminant Load: 30 mglL < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10;000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~bZ- gallons/sq. ft. per day Depth to estimated high ground water ~~3 ~ in. Depth to bedrock ~ s Z in. Cross slope at system Z. ~ Force main length ~ 2 ° ~ ft. of Z in. Manifold/header length N'~ ft. of in. Drain-back 33 • ~( gallons Lateral length ~ @ S'~'~ ft. of 1`~ ~ in. Lateral elevation ~ o-~ ~ ~ ft. @ bottom of lateral Lateral hole size 3~~ b in. @ 3 b. 0 in. ( 3• ~ ft.) Spacing ~ holes/lateral ~ g holes total Lateral volume ~ ~ ,Z~Z gallons Total lateral discharge rate Z ~~ ° g gallons/minute @ ~' ~ ft. head Network pressure compensation losses ~ '~S~ ft. Elevation difference ~~ ft, Friction loss 2~ g ~ ft. @ Z~~ gallons/minute Total dynamic head 2 ° ~~~ ft. Pumplsi~on ~ ~ gpm @ ZS~ ft. of head Manufacturer ~ ~ e-"~- Model # ~ ~ Z Dose volume `~ 2. ~ g gallons Lift/si#ion tank ~ ~ ~ n~ ~ ~ - ~ ~ ~ ~-~o ~ `r`te gallons Septic tank ~ ~ ~~ ~ ``~`r~ gallons Effluent filter ~ ~ ' ~ ~ Measurement pump on and off S' ~ in. Height alarm from tank bottom 1 ~~~~ in. Reserve capacity ~ zb ~ gallons specs.calcs.res Page z of g d -f +4 ~ i o ~ 0 ~ a rJ -~ ~` 3 s 3 ~ ~ h ~, 0 3 ~ ~ ( ~~ 1_ ' ~ ~ ~. ~~~v. c/~ -1{' i .S' ~~ V' '(v N Y S ~ i ~ ~ . d ~ ~ _~ y I ~~ ~ ~ l `~ `C"' d M ~/' o ~° 4 ~~- .. o ~ ~~ r 9 6 1~' ri J f ~ -~' a I 1 ~ ~~~ ~ y ~ ~O~ d ~ d x ~- # a , w ~ N 9 JJJ _) i -~' j ~/ a ~~ ~/ 0 v ~ ~ ,fir ~ ~ f , --~ -~-- d 3 "~ /-~~',~ J~ 9 ° 3 ~ ~' J ~3 s~ ~ y O ~ y ~J ~ o 0~ c7c~ a ~( ~6 ~ ~ -~ 4 /~ J O a~~ ~ 3` I ;; .. ... =-a-- ., 3 y~ ee.k ~a t.2( a..~~re A~t, ('" ~ps~ ow Z,~ 1 S ~ ~ ~ ~ ~~ ~y ~ av <w Y ~..rv ., O a..v , ~ ~ , ~ ~/ ~ ~ ~'~ . IQs 1 \ ,~ ~ ~1 ~ . ,. ,~ ~ tLtir+ o opa~ 1,9 q 1 . ~ \ ~ c.'l I l ~ O , ~ Oct'( w.•SL ~ h b s..~to:1 ` ~, s~~~ ~, ~ ~ l3 ~,~ o,,,~.~ . ~ q .4 2, ~ ~ ~.~' 3,~' ~-. o' ~Z.~' 3.z' ,.! kf O ~~ ~~1 t' 1.~ ~ v ; ~.,.~,. Ir-- ~ ~' --->I ~~ ~ ~ -.~l c~.s cJ,4 ~~~11 Y6;~~ ' ~~z.~'. lZq.~' p; ~~, Pvc c..~ ..~ o~-tw..,.~ ~~ +:a... .......~~.L ~,. boT~o.-, o~ ~.o~~ ~s, Nd~or. ~a~~YQ-s ~~w.:.,....~c. O.~S' S~o.~, o,.S~ o~ row\~ ~.~ ~` f KYM \. r/ ~ ~, ~fA.O t~J ZN ~ \ q..7~1I o.JG.s ~`~ Z pv c c ~~ qv g,S. ~..~ _.. ` ` I I S'S~S ~ ~ SS.~ ~1\,~~ •~~~ Viola; o.. `..~Qa..~X cph, bO~o~... `~.a- ~ 3{~o~i ) 3.~ ~ T (( c ` 4 ~O ~..r. 1 ~ ~, o~ ~ ~. ~ c~~r ems, ~ 3 ~ ~a 1.~ ~+O ~~ ~3g~ Co.~l~ ~ \ _ 2~,~g .,.,, / V O'3'4r ~7Y 0'F Q.4T TtiVN w(/1~~/11~~ ~~ V' 0.11 e ~V h o-'~ ..r : V w. \ QM. e.~ •~..: ~-o~-S~ ~ ' ~ Z~s' ~. ~ s~ ~ g ~' "~ _ - . 4 ~ ~~ Fla.., ~~~•~ ---~ ~'~ ('YC ~.~ 7JJJ PIPE 3` no ND-STua6FD Sol L irs.t r ~ctovt.O SI(ET JbNTJ L D Ali. ~WELTtON~ C~e~, ~~•~ ~~~. GvA~'N /iUG ,t /~BE~ . avIGK DI~GOU~IGT--1 i 1` ~oQcE ~`~.Qtw WEATHERPROOF (`'~ JL N cT t G N ~~ -r i~ P v~ ~ ~~ 4 0 v~ti -~ ~' ~ . 24" t.fl. MAHNOLF A \ a C Q ' gAF' F L El, 1~q•S ~~ .1.. ALU.riW -fit--- ON S ~ ~~ ~~~ 4,~ r - - -r. -_ --+ w C,. o Hwc q" ~~ ~~~ 40 3' ono ~a-;,rutt,_ 3 i,m" I G:.~uwo PwlP CONCRtTc bcoCK 1 SfPTiC t _ SPEGIFI•CAT ~ ~~.. IOf`.IS OOSC ~ ; ~~~ • T ~ ~ H-.Ir.S MA-JUFACTURCR: , (JUMDER OF DOSCS: PEK OAS TNIJK SIZ C : 1 ~~ ~ ~~ _ GALLOIJS •.OOSC VOLUME 9Z l~ S J `7~ ~c.~YV A~ARJ'1 P1/WUFACTUfICR: I*1CLUa{AJG OAGKfLOW: G~.~~~:5 /1O0CL -~UH•DCR: ~ ~ ° I ~~• ~ CAPACITIES A e\ ~~~ IAJCHES OK ~Z'~'•g ;,F , ; ~ SWITCH TyPC: ~~~`~ " ``O _ . , 33•S2. • : g e Z' IuCNf S Oa PUMP MA-JUFAGTUR[R: ~Oe"l ._T ..._.~..: S S X2,18 l~ L C • = tucH[s OK c.~.,c~.~ " MODEL WUMDCR: '~.g¢ D^ 9 INCHES GR ;,~„~._: SwITCN TyPC; ~Q'~""~ " {JppE; pUMP A1J0 ALARM ARC TO DC P'1YIJ1MUr'1 DISCHARGC RATC 2--~_G-h1 INSTALLED 0-J SEP~dATf CtKC.. "~ VORTICAL DIFffIICIJCC gCTWCCU PUMP OF/ AUO OISTRIDUTIOAJ PIDC,.'~`~ FECT + MtuIMUM uCTWORK SUPP~.y PitftsuRE . . ~ FCCT '~ o~~-j + 2i0 FEET OF FORCC MJ-ItJ X 1 `~ ~ F~o ~xFRICTIOU FACTOR. Z' ~ ~ FEET ~ Z~/ .. _ . ~ ._,~ ~ ~ 2 0 TOTAL oy-JAMIC HEAP ' ~ FEEr ' • 14-4" 11JTERIJAL DIMCIJ61OAlC 01 TAIJK: LEAIC,TH---_ ,, ;w~oTH ~g ;LIQUID pCPTH 3b -~ ~„'. rr ~. . TOTAL DYNAMIC HEAd/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 0 w x v a z r 0 O ~- MODEL 152 153 Feet Meters Gcl. Liters Gal. 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 4a t67 52 197 25 7.6 34 129 42 159 i 30 9.1 23 ~ 87 ~ 33 ~ 125 35 10.7 ~ -- ~ -- ~ 22 ~ 85 T -- 40 12.2 -- i -- -- ~ , 1 ', a2 Lock Volve: 38.0 Ft. (i'..6m);4~-0 Ft. ('3.4m)', ois5oe FLOW PER MINUTE 0 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 Owik-Box available for'outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. f 52H s3 series 1521153 MODELS ---- - -- Control Selection - Model! Volta•Ph Mode Am Sim lex Du lex N152 tt5 1 Non 8.5 1 2or3 8N 152 ' t 15 1 Auto 8.5 Included 2 or 3 E 152 ~ _ 230 1 Nan 4.3 1 2 or 3 BE 152 ~, 230 1 Auto 4.3 Included 2 or 3 N 153 ! 115 1 Non 10.5 1 2 or 3 BN i 53 115 _ 1 Auto 10.5 Included 2 or 3 E 153 '! 230 1 Non 5.3 1 2 or 3 i BE153! 230 1 Auto 5.3 Included 2 or3 O CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes ahouW be followed including the oast recent National Electric Code (NEC) and the Occupatbnal Safety and Health Act (OSHA). 3 27/ t~ :~ ~~ /4 ', ~ ~ ~ ~ i~ - •~ /c I ~r- ~ ,' __~ sKZOw i SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. } o~ RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TA: P.O. 80X 16347 Z Louisville, KY 40256-0347 r%• t i"7 Manufacturersol.. ~ ~' SHIP T0: 3649 Cane Run Road Louisviue, Kv aoz11-1ss1 Q~aurr P~~+as S,vcE /9,x,9 • ~///~,/p /-/T (502) 778-2731.1(800) 928-PUMP http://www.zoeller.com LJ~Y~/-" LL/~ FAX (502)714.3624 © Copyright 2000 Zoeller Co. All rights reserved. `~ ~ `~ ~J 0 80 160 240 320 rte. y ~ ~ 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, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 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 1. 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 1. 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 r „~ Wisconsin Department of Industry, Labor and Human Relations Division of Safety and Buildings SOIL AND SITE EVALUATION in accordance w' s I~.I~f~l~3~0~, lfVis. Page / of Z Attach complete site plan on paper not less than 6 1/2 x 11 inches in si a ~?)t'in mint. _'°~'" • ~ Couit ~~ c/P0~ y /~ but not limited to: vertical and horizontal reference point (BM , direction and. _ ~ include ° \ , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ;.. Parcef I. . # O • s ~ ,...., .SD • ~a E d~ /d • APPLIGANT INFORMATION -Please print all inform~tio~. ~ Review Date Personal information you provide may be used for secgndary purposes (Privacy L9w, s, 15.04, (t~(!In)). , ,/~ /~- Z Property Owner M ~ /~ G b . ~} v a iep >A~ % Property Location •• ~ ~ /~ .; ^' G ~ , /V mil/ i•(or) W N R ~ S T i1/4 1/4 ~ ! ~ SdN'Il~ f2 ~ 1 `~O~ ( , , , , j 1,, _Govt. Lot . Property Ovmer's Mailing Address 332_ hiUN~SoT~4 ST: EAST IyO~ Lot #` "~" 8fock# Subd. Name or CSM# j,~ ~FMMOND" O/~~S' City State Zip Code Phone Number ST. ut- JLIN. S'S/0~ ((a.'S~ )z22'SSSS Nearest Road k~ ~ Z. ^ Ciry ^ Village L~~n ~Q (lob [~}'f'Jew Construction Use: l~i-tesidential / Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: ~ trench, gpd/fi2 Code derived daily flow ~l~D gpd c Recommended design loading rate ' 2' bed, gpd/fl2 ' 2 ~ trench, gpd/ft , ft2 Maximum design loading rate • ~ bed, gpd/ft~ Absorption area required ~~bed, ft2 3 ~J trench ? s 3 _ ft as referred to site plan benchmark) ~ ( Recommended infiltration surface elevation(s) /~r ~/~F ~ T y~~ ~OV~~ ~ ~ uf~ c y • Additional design/site considerations /a EsS ~ U~ ~FiVSF' T/ //S Flood plain elevation, if applicable N T h Parent material S = Suitable for system Conventional ~ Mou In-Ground Pre~s re AT-Grade System in Fill ~ Holding Tank ^ S U ^ S ,W-,~/ ^ S / ~ ^ U ^ S , _ , '--' ~ ~U U = Unsuitable for system ^ S L td nn.. r~rc~n~mT~n~i QCDAQT Boring # _. i Ground elev. • ~n. Depth to limiting factor Lin. l vM Structure R t GPD/ft2 Horizon Depth in. Dominant Color Munsell es ott Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench . ~ ,o yie 3~3 _ ~ i s ,~ ~ ~ w ~~ . ~ :. s i 7•/~ <o Y~ 3l - SQL / s v c s - . z; . 3 3 ~o ,fe - s/ L. ids ~ dv~, c - . t , • 3 Remarks: Boring # Z Ground elev. Depth to limiting •L •s --~ SC~ If - 3 ~ .Z~. i ~~ ( ~ • ~ 1 • Y1 ' , ~ 2 Trots S/~ ! s v -- - • Z ; • 3 < !Z fa :tor in. Remarks: CST Name (Please Print) RpQ~RI-- ZIL(3Rt<ek'T' Signature Address ~d•m}e CCUlsM6 P`nnei~lfsnfe Telephone No. ~~s•3g~•g~gs Date CST Number •3. 114 h _ ~~.4375 ,~ , V H Q) ~~ L ~'~~ I ~, SOIL DESCRIPTION REPORT Page Z of 3 PROPERTY OWNER / '~' ffAMM~~~ `~'4 ~S S ~g fl PARCEL I.D.# ~"~ ~ ~~ Boring # 3 Ground Q elev. l ~•-~ft. ' Depth to limiting factor ~in. H i th De Dominant Color Mottles Structure d B t R 2 zon or p in. Munsell . Sz. Cont. Color Texture Gr. Sz. Sh. Consistence oun ary s oo Bed ,Trench I ~ •/C~ /0 I/ 3 o Y~ 3l -+--- L SSG. lfSlr /7`shi~ G°S~ ~~ cS ~~- - . Y ~ . S . Z ; • 3 ~ s p ~- c2~Q Mofs 1. S ,S'/CL ~~ ,~,~' ~. ,) -. • S L ~ • 3 /~ !/ ~ Z ; Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft Depth to limiting factor in. Boring # Ground elev. ft. Remarks: l t C i Mottles Structure d R t GP /ft2 Horizon Depth in. or nan o Dom Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boun ary oo s Bed ,Trench Depth to I I I I ( I I I limiting factor • ~ in. / Remarks: ~~ SBDW-8330 (R. 08/95) ~, :# Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Division of Safety and Buildings in accordance wit s I~AR 3~0_ ,Wis. Page ~ of Z ~~'. Attach complete site plan on paper not less than S 1/2 x 1 t Inches in si e.~~l n mu~t~, ~ ~~~ JC~ ~/P0i include, but not limited to: vertical and horizontal reference point (BM , 6R~ction an~,;_-,;;~(~lw. percent slope, scale or dimensions, north arrow, and location and disc nc_e to nearest road. parcel I. . # Q ' E ~.~; a T~,~, b/ ~ /d • SO.O~ APPUGANT INFORMATION -Please print all Inform~flo~. ~ ~ '~~ ~ Review Date ~. ° ni;,,l n Personal information you provide may be used for secondary purposes (Privacy l.~w; s,`15.04,~t~,~r1i~)~ OrFICE ' Property Over ~ V M Q l pp L>AJI~ ~ C O `Property Location" ~ ~ /,• , .~ ^ G ~'~ ' /V l(/ Ll! (~ SO N'IJ ~74 1 I o ~ Govt. Lot - ,~j'(/~ J /4 1/4,S T .NCR ~ . i(or) W Properly Owner's Mailing Address Lot #~"` "13Tock# Subd. Name or CSM# ' 332. h luN~SoTA s•1` ~ ~~15 T I yo ~ /~ ~1•~t,MDwD ~ o~~s City State Zip Code Phone Number D City D Villa a Town Nearest Road w Sr. tnu~ 11`'- N • I BSI ~ I i (`SI )i22.555,5 I !~ d ['Flew Construction Use: L!7nesidentlal / Number of bedrooms 3 Addition to existing building ^ Replacement ~'n ^ Public or commercial -Describe: Code derived daily flow ~~ gpd c- Recommended design loading rate ' ~' bed, gpd/f12 ' ~ trench, gpd/fl~ Absorption area required ~"~bed, ft2 3 7J trench, ft2 Maximum design loading rate • Z' bed, gpd/it2~trench, gpol'ft2 Recommended infiltration surface elevation(s) SI.G 3 ft (as referred to site plan. benchmark) Additional designlsite considerations ,/ Parent materiel /DEsS DGa~ OFN.SL~" T/YES Flood plain elevation, if applicable Nf T~-ft S = Suitable for system ~nventional ~ M~ou~ In-Ground P~res~'re AT-Grade System in Fill ~ Holding T~ u = Unsuitable for system ^ S I,_J,~,'u/ [J's ^ u ^ s I~'u ^ s u D s .lt-rv/ ^ s C inn neer~nroTrnru R~DnRT Boring # ~ ~. Ground ,y elev. • ~ft. Depth to limiting factor ~in. Boring # 4 ~~ ~. Ground elev. l~l yin. Depth to limiting fa :tor 1 in. Remarks: CST Name (Please Print) R~13~.RT- N~ Address l C i Mottles Structure R t GPD/ft2 Horizon Depth in. or o nant Dom Munsel{ Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench Z . ~ 7•/~o .o yie 3l3 eoY~ 3l ?.S ~ - ..-. ~ SQL GS i s ~ / s /~ ~ ~ v w cs 2S ~,~ _ - . ~ :. s . Z` .3 . ~ ~ . • , Remarks: ~ •~o /0 3 s . ~( ~ . S• • -~ ` . ~ 2 moots ~S/GL / s v -- -_ • Z ; • 3 ~Z , zrates Pth-ata 8ewape Consultants C~-T' Signature Date v•3 • ~g4 TAlephone NO. ~~s• 38G • ~- ~ s CST Number ~zt~375 ,.: .; .s • LvT Iy~ 'J~0 . G o 7- ~, . CO I?N ~-- ~'lev~= ioo,O' ,~w.,, ------------ . ___ ._ . - - _ .. _ ---- --- n 1~ ~.. ~ , I S (33 • SC.4G~~/'~=ZO • _ /3 ~cl~~ P ~` Ts ~o~~~ sysT ~'/.~v- ~;~ ~~, '~ S•4N .jO , Go 7' ~ ~2 ~ • ZZ 3~ r ~~ i (~ ~.~ ~,C,~~ ~y. y~ , u~ ~ , ~° v pop of %~~ =.13. S t' LDT h~- ~~' POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION .Owner l~ ~~ Permit # p DESIGN PARAMETERS" Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* ga]/~y Design flow. (peak), estimated x 1.5* ~~ gaUday Soil Application Rate .o . sa,Q 0 2 al/day 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 Colifonn {geometric mean) 5 30 m <10+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 Q(~ gal ^ NA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model - ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer `~ - ^ NA Pump Manufacturer ~~~ ~ ~ ^ NA Pump Model ^ NA Pretreatment Unit ANA ^ Sand/Gravel Filter ^ Peat Fi lter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-grade I~Mound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipu Soil Applica ' n Rate,_gpd/fl Are q. Absorption Are edit per unit ft Minimum Number o h ^ Aggregate Design ding Rate= min Materials: all m als must comp WI Adm. Code COMM be installed per manufacturer pecifications and approval letters. DFSTC.N C'RTTF.RTA ^ "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 October 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/O1) "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/O1) "Mound Component Manual" Version 2.0 SBD -10595-P (RS/99) "Single Pass Saud Filter Component Manual" ^ SBD -10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" p SBD -10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 p Drip-.line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months year(s) (Maximum 3 yrs.) 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.) Clean 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) ^ NA Valves At least once every ^ months ^ year(s) NA .Other: 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 andlor 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 factures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other cleaz water treatment devices and foundation drains should be discharged 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 gazbage disposal should be minimized. 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 laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ^ valves Valves shall be operated in the following manner: ~AIarms 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 regular 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. 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). `E~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 and/or 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 discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75°l0 of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ~Niound, At-Grade, In-Ground Pressure The inspe~iion 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 dischazge 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) yeazs. 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 aad 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 azea 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 azea 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. ^ A suitable replacement area is not available due to setback and/or soil limitations. Baring 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 azea. 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. Reconstructions 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 CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THF, INTERIOR OF A TANK MAY BE DIFFICULT OR I11'IPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name rul,l Phone '~-fS. Z3s -l3L SEPTAGE SERVICING OPERATOR (Pumper) Name Phone IC;\WPDATA\EH~POWTS OWNER'S MANUAL.doc POWTS MAIN'PAINER Name Phone LOCAL REGULATORY AUTHORITY Agency L /K tw,n-~i z'~snli Phone Page of ~ T cRa~ couNTrY SEPTIC TANK MAINTENANCE AGREEMENT AND C7WNEI2SHIP CERTIFICATION FOR1~1 ~~r~vr/:t~uyer 4a_iiluii Address _ 50 "1 I 11~i c~ct R oc~d W'n 1 ~-~~t.c~ V ~, a ~~ I\/1 ~I h ~ ~ I d T- '~~;il~erf}' Ac7.dr~SS _~i~`'I - I ~ "~ h {~ferifieation requited from Planning Department for new cons ~ii,~;`tState ~~11~1'11`Yll;i'1r.~ VV I S~~ - Parcel Identification Number ~ ( `I~$~p-~~(7i~O ~~~~ UESC]~llI~TION • ~O 3~/ i'~:orserty f.ocaliou ~ '/+, N HIV 1/4, Sec. ~, T ~~N-R~W, Town of ~, ~a~dtviStori _..,L~.S~,c.~....~.~_ Lot # ~_. ~~;i-tZflt4t~ S~trwey lY~ap # V " 1 f ~ Volume `~. Page # ~- 4~~~ arrauty ~3eed # ~D ~ Jc' oZ (Q~ .Volume ~ ~ Page # 3 ~,~- ;per douse Q des ~no Lot lines identifiable yes D no S'1'S`1["EM ~I~ITENANCE " Improper use and maintenance of your septic system could resttlt in its premature failure to handle wastes. Proper maintenance .:tiusiSts cafpumpiztg out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system ~.:au a~oct the fiunction of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to subuut to St. Croix Zoning Deparnnent a certification form., signed by the owner and by a Yi1:tSt~rplumber, journeyn~anplumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal syst~~ is in pmper operating condition andlor (2} after inspection and pumping (if necessary), the septic. tank is less than 1/3 full of sludge. ll'wc, the undersignedhave read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as sei by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Ceniiicatior~ statiu that your tic system has been maintained must be completed and returned to the St. Croix County Zoning Office with_~ ~ ~ U da "the tlir a yea expiratioa date, ~ ~ ~~. oL/ ;~~ SIGld OF APPLICANT DATE i7'TER ~ERTT~rCATI~N I {we) certify that aIl statements on this form are true to the best of my (our) knowledge. I (we) am (are) the o~vuer(s j of roperty ~ ed above, by virtue of a warranty deed recorded in Register of Deeds Office. ~/ ~ / (.~ I ~, 4R APPLICANT DATE '~**"*~` Any information that is uris-represented may result in the sanitary permit being revoked by the Zoning Department. '~*~~~" '~* Iaclutie with this application; a stamped warranry deed front the Register of Deeds af~ice a copy of the certified survey map if reference is made in the warranty deed 02/12/2004 10:41 7152354841 GREAT AMERICAN HOMES PAGE 02 ~~Rc~e,q ~S~l,r-~-:d ,~.a+ ~.s l-~~q,~.n~,~.~ C~-!CS RIdER dALLEY ABSTRACT Fax:715-386-7664 Feb 12 2004 12:48 9 ~ • !~ ~1 9~ 3 5 F y saran salt of wlscozvsnv ~ox~[ a - i99s WARRANTY A~~A ~ ~Documeat Ncmba~r ~ j Tltas Deed, made between Hamuoo-osd Land, I.1LC, a Minnesota _ A Linouted Liablai#p Cosupany ~~ __ -- - - C~tvz, ra Sin le Fexsona Me an .A.nn '. Fra~cha erson as Joint Tenancy with Ri ht REC of Surv3vors>a~ip . CEO Grantee. PA Crzaz~toz, for a valuable consideration, comieys and waxza~ats to Grantee the following described real estate in St C~roiz County, State of Wisconsin: ' Aastin J BaRion ~-c>~NOw~ $'Z',A,7~E a~ WZSCO~ISX[J ~9ol8ey C Oaks Sul:divisiaa,TOwz! o€ ~Tammona,• St. Croix Co~urtY, ~~ 018-1086-15;-000 Psrcal Zdio~ NumUet (PIld) This, homestead property. (is) (~ Exceptions to warranties: Subject to rotes, easeme~s,:reslxxr.'do~as,covenants and rights of w3~ of s+ecoid; if a~-, including but not liAaited to those for drainagewatex zet:~tioxtpo~pding,and or utilities as may be sbowu oa tbe`plat of Hammond Oaks $ubdrvision recorded in Vol. S of Pte, page 2, St Croix County, Wisco~ia. The twarranties ofthis deed, eitbez: expressed or implied are limits by thus gzamtoz to the g~autee, or anyone in the cbai~a of title, to the consideration expressed hezeiua, that beirrg the sum a~f~24,900.00. Dated this _ x9tlw day of July _, 20QZ l~atnmond Land, r T.c AvTHEIV'ictc,~TZOIv Signature(s) ' P. 02 ~8~~6'~ ~-ril~,~l ~. weLSl~ RfiG3STEB OF DBfii,B ST, CRL?I71 CO. , MI ~ECEI1iED FODR RECORD '-29-2882 10:88 Al! IfiRl~llltY IIEEb APT # FEE: 1]..80 ,A8 FBS: 7A.78 ;7y' ~Y 'FEE: iES: 1 1zne~sldemt SS. ,) ~ • A T O ~ P L 2~, NOTES: ~ ~ EAST 1/4 CORNER SEC. 20, T29N, R17W . . v / ALL BUIl01NGS TO BE CONSTRUCTED IN PRO7OMITY WITH HIGH WATER EASEMENTS SHALL HAVE A w - ~ FNO. ALUM. CNTY MONUMENT O / ~/ ~ FINISHED FLOOR OR WINDOW WELL ELEVATION NOT LESS SHOWN ER ELEV ~ ~ Off, v ~ / S U B D I VI S I 0 N / 0 ~ Q'/ O ~/ . THAN TWO(2) FEET ABOVE THE HIGH WAT All R-O-W WITHIN THE PLAT BOUNDARY SHALL EiE ~ < ~ m rn , 2 ((~~ v/ 1~-j i ~ i DEDICATED TO THE PUBLIC ~ ri ~ i / ~/ t~, ~ 2/ ~ z ~ p ~~/ a~/ J/ J/ BEINGS REFERENCED TO THEN TH LINE THE N 1/4 OF SEC. 20 ASSUMED AR N '41'4 "E - Qj ~/ ~N / i ,_ ~` ~ r i; ~% ~°/ ~' ' I / -°-~ - - - ~_ ~_ tT. 4 ~ ~ I I 0 _ •r ~` I 0 ~ I ® ~. T ~ a ~ I U ~ ~ I 4 I L 5 r Ft 438 50 , lOT ~ 7 SQ lOT F 4 ~ SO T 18 7,745 S0. LIDT 19 ~+ 4 Q. i ~ L T 1 ~ ~ r7, ~50. Fl~. . . 1-ACRE . YO E _ CR 1 7 0 0 4 . T o 2 / ASR : 1.09 ® S i. ACRES _ . N T - , w ~ 0 )90 ® INSTA , RO O 1 . 1 E / ~, ~ / 2 ' ~ ' o / e/ ~/ O/ 3 2. 0 . ,~ / ~ w VI ~ Z / Q 2,t~ o/ q J ,`ti ~~ ~i w ~ w/ ' ~ O/ Q7 I ~ ~ a I / ~ _ ® ~ a i -rt - - r '~ 44, 4 0. T 1 LOT L I1. 2 ~ 25~~~;,° - .. ' 561 ~,' I s I 1113 F ~ v/ ~ 0 ~ r"p' ~ I rT` ~ ® / ~ ~ J `~ L 1 ~ 4 4 K 4 .4 7 S S 0 ~ ~ r 150ar _ _ Q , .6 ® ®- 2 - _ : ---~~ --- _l07 ~ ~ ~ ~~~~ ~ ~ I ® L ~ ~ ~ ® ~~ / L0 ~' ~ ,0 S ,1 F . „ FT. 8 Q ` T. ~/ // ~ 5 ` 1 RES / 0 ~ ® S 0 C E ~// 3 6 . N& 4 ,111 1,/ ; / N9. ,. al a Q/ 2~~ ~. o I ~ d '~' -29& / o/ M/ \ so' o. ~ N 4 Ne 1.zA ~ A E ~ 1 7 $ 07 A F . R ~~ ' 49 az'oF3o'c" w s L T , ~ `~ I - o ° ~ 44 77 S ° ~,, " 2 I®~ o _ -®'I LO Y m C ~` v1Li' 8C RAO. YP.) - ' 'i4b ~\o3A ~ I 4 SSO F 4.47 0. ® ,^ ~~y~i , ._ e r~ $s/ - 1. C$ 1. 7 C S ~ ~ ~~/ ~ I ~~ i - OT 5 ' L ~ S14hti L ~T 8. 29 f ~~~ 1.1,wY i tl0 Q F~.® 1® _ rc'.: r J 4~ 7 .~,~e°rF~ 8 ~ 11 ~° _ ~~ ~ \ ~ r~~ ~~ S R17W / ` r N } \ ~ \ ~ ~ ~ ~ SECT20 T29N Drnl6 ~b DS APPROVING AUTHORITY . DEDICATED TO FND. RAILROAD SPIKE T E Pu c ~ . H eu ST. CROIX PLANNING, ZONING, AND PARKS COMMISSION TOWN OF HAMMOND ;INFER SURVEYOR . HUMPHREY LYLE ElLIOTT VILLAGE OF HAMMOND LOCATED IN PART OF THE NW1/4-NW1/4 ANO THE SW1/4-NWI/4 .Y ENGINEERING P.O. BOX 594 OBJECTING AUTHORITY SECTION 20. TOWNSHIP 29 NORTH. RANGE 17 WEST J STREET HUDSON, WI 54016 DEPARTMENT OF ADMINISTRATION TOWN OF HAMMOND. ST. CROIX COUNTY. WISCONSIN _E, WI 54028 DEPARTMENT OF COMMERCE DEPARTMENT OF TRANSPORTATION = w~~ Sots~er. ~ ~~ ~~- ~~ ~~ ° .`° PROJECT: ^--~ ~ Ct,~.{t-d ~•~weS ~('Oy~S m sNEEr Nk ~ H A M M O N D OAKS ~ r «~aw~ ar ~~ OY: RF,c SUBDIVISION 3trast linginaara ~ ` ~i ~~ CHECKED 9Y: RLN 252 Land Sur•eyon TOWN OF HAMMOND e Ga = ~ lf( 54028 Construction Managers _R9R_3440 Faz:7ts-69a-s44t SEPTIC, SOIL BORINGS, & WELL OWC FKE: 177-001 JOB NUMBER: ,77-001