Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
018-1086-24-000
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 purp~~ses [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village x Township Britten, Mar o Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: ~o.v ~ -~..~ ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic bb0 Dosing ~~' ~~~ Aeration 2 ~} .~L~ (f Holding TANK SETBACK INFORMATION TANK TO ~i~ST WELL BLDG. Vent to Air Intake ROAD Septic ~. / ~ ~ ~ Dosing ? ~ J ~ l ~ih,-~ .~ Aeration Holding PUMP/SIPHON INFORMATION ~~~- /~3 ELEVATION DATA county: St. Croix Sanitary Permit No: 420436 0 State Plan ID No: ~~G Parcel Tax No: 018-1086-24-000 STATION BS HI FS ELEV. Be~mark~~ ,~, .~ /D .~ / ~ ®v~ Alt. ' sT. v~,C._ - g~. ~.~ Bldg. Sewer I~,2 ~ 9~ -` ~. ~ y c~0 ~ G ~ oI SUHt Inlet /6.3 ~,vz SUHt Outlet Dt Inlet Dt Bottom ~ r, ~~ ~ y~~ /9.y 7 .~! Header/Man. ~p ~ • 9,~' Dist. Pipe L9/ 4 8:~t 9 Bot. System -~ 6~ ~d~ ~- G•ys ~T . Final Grade St Cover v ~ G~ ~ ~ , 3 q / ~'(~ - 9 ,3 9~ ~• 3 `~ ~ PIT DIMENSIONS INo. Of Pits Ilnside Dia. LAKE/STREAM INFORMATION ~ ,~y~~ CHAMg~(R OR T~~'~ //VV",(~ ~ ~! ~ ~ ~ ,k~IVIT'~, Model Number: y~ I_: 'l' DISTRIBUTION SYSTEM ~' _lt~r,AU~SW~A~~SCo~ ~~,,%Lo Header/Manifold Distribution x Hole Size x H le Spacing Vent t 'r Intake 1 2 / Z•S Di /• S-4 ~t 2'~/ 3,! ~ `~ / ~ ~ ~~'~ Length a Length Dia Spacing ! SOIL COVER x Pressure Svsterns Onlv xx Mound Or At-Grade Systems Onlv d~`/~•?.y~~'+~ Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil (~ Yes ~1 No [j Yes j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~U / / D 2 Inspection #2: ~ y ~~ / ~3~-' Location: 1611086th Avenue Hammond, WI 54015 (NW 1/4 SW 1/4 20 T29N R17W) Hammond Oaks of 24 Parcel No: 20.29.17.6/ [~ 1.) Alt BM Description = s~ =(,vy ~ `,~ylG-rt~ ~ .O~er d ~~~'"""`~j b ~~t~ S2.~tJ~~ £i:7^"""-- 2.) Bldg sewer length = ~/ ~-..~a~ ~+~~ ~~[al~~~~ /„~,, ~~~ ~y., - amount ofpcover = ~ /~ / . ~ ' -v 3.) Contour ="I r~ • t L ~ ~`•~- / ~~~~' ~" T r ~~! /~""~""~aP/tG~2~ttG~+ Plan revision Required? Yes No I /d 3 ~ ~2 i C ~~ J 7 Use other side for additional) information ~ ~ l r --~r-tt~- -, '~--~- ~ i --- _ _- - - -~,t~r_~ - --- - I~--- -- - Date Insepctor's i nature Cert. No. SBD-6710 (R.3/97) /, r~~ f Q_r,l~/~~ O 3 r o} SR~v~.d ~rDbrtb/~ ~u~ d ~GVQ 6~ ~d V -~oG~shct.,a~--f~ o~~ vn*'i~~..d ~ /hcu~t -~r..~•~ 3 >:/ Sloda.~ SOIL ABSORPTION SYSTEM BEDITRENCH Width ~ Length ~ No. Of Trenches DIMENSIONS ~~' /7.j Z I ~G.( SETBACK SYSTEM TO P/L BI'_DG WELL,.._.r D ' ~ Safety and Buildings Division County ® ~ ~ 201 W. Washington Ave., P.O. Box 7162 I S~~I1 SII~ Madison, WI 53707 - 7162 Site Address / Department of Commerce /u -~- o z 3 U~ ~ /(o( gL~"4.uQ Sanitary Permit A lication Sanitary Permit Number pp ~ In accord with Comm 83.21, Wis. Adm. Code, personal _ '~p~Q 3~ ^ Check if Revision ma be used for second oses Privac w, sl~ I. Application Information -Please Print All Informatio State Plan I.D. Number ~ P op Owner's Name Q02 Pazcel Number Prope Owner's ail' Address ZONING OFFICE Property Location ~ ?4 ~k; S T N, R ~ City, State Zip Code Phone Number Lot Nu a Block Number Subdivision Name CSM Number IL Type of Build' g (check all that pply) ^City 1 or 2 Family Dwelling -Number of Bedrooms ^Village ^ Public/Commercial -Describe Use o ~~ ~ wnship X 9~~ fiv/ ~ -t~,2 Gtf" ~/-ef/ J ~. ~'~ ^ State Owned /ZZ~ytp/ G// J Nearest Road , / ~, III. Type of Permit: (Check only one box on line A (numbering scheme for internal omplete line B if applicable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S s m Tank Onl Existin S stem B • ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued 1;V. Type of Permit:.(Check all that gip yI~'mtm er scheme is for internal use) 44 ^ Nan -Fressurized In-Ground 21 Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersallTreatment Area Informati on: Design Flow (gpd) Dispersal Area Dispersal oil Application Percolation Rate System Elevation Final Grade ~/ Re qu ir ed Pro po s ' ~13~ te(Gals./Days/Sq.Ft.) (Min./Inch) i inV t%~ 'S Elevation /~ f~o r ~ / / I ~~ 0 ~ / ~~J ~~5ot ~ X12"_~' Q l 90~"r '~ ~~Q~(Q , ( ~ p VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks ~ H%Oib Oy (N Concrete Constructed Glass New Existing ~ ~ .~~ ~/ Q ~ i/11(?ilt Tanks Tanks ~ , Septic or Holding Tank _ / Dosing Chamber i i VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P is a MP/MPRS Number Business Phone Number ~ X15-- ~ - ~l Plumber's Address (Street, C' ,State, Zi o VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued suing Ag t Signature Stamps) ^ Owner Given Initial Adverse . Surcharge Fe ~ 3 a s CF~ ~ p/ / 3 / Determination ~ / InX. Conditions of Approv~l/Reasons for Disapproval ~ ~ /ten ~~- m SCt d f~ 6/ a~- ~PP ~~ ~ sl a(ts/o S~urLt-lc/ ~- - 3 r / ~ GvYi;/' /rt.~Gi-L ~ f Wt ~~~ C % ~ / 3 to u~. d ~~ i~~ c rr S stk. tom- ~r`rt.~~ Sao ~o ut.vk~¢.~/ u -P~tv~ /~t ~-• ~la..~ ~ c~~ °~ ~ c,~-f-o ICI 4 ~ , ~ ~ d 9 ~-~s-4~' /k a~.~z~,<:,,,, S s~rY, i ~. I~at,~¢. ~{l-R 1-~-~-~ -~t~.'l~° ~ /a`'`'"~ t.X.f:/ ~,wr`x~-~ ~ ~ r co.~m,P~~ P~ lto tae ~ousty oW ) ror the _ a~y~stem on pape~han Sl/Z x Il inches In size ~ l~N. ~G ~ ~~` `1 ~. ,~({,,.~JV,K.JC!/~'t, 5~1(/I1JLj0_ ~" K/-~_.t•N-'-`- ~ ~ p ~o'f" Ze(,vrt~ ~ ~'~~-f~.chP~/tG~it~ ~SBD-6398 (R. OS/Ol) Cl. Y ~ Y ' V 1 ~~ + P~ O T ~~ ~ e~ M L. p ~ Z"S`~ \'tY G. ~ v.n c 'YJ< vti ---• ~b~' ~ ~s . . tS3.gT~ Raw -. . I ~T*t L'~.'t.'i'3-~- C~l\ ~: c.~ ~ t yv.~ ~ o ~ sL`aq . f\ ~ ~ 1 mow` 4 ~ ~ ° t5 30 a.s..~.~ ~`~~'~ ~i.ob~ °v w. s. ~ ~ `. w is a Tt,„ st(~ S 5~y~ } (,~~.4 t s'` 4• • L ate... r.,~ W ~ ~~~ • ~ ~~~w ~• ~~~ ~y S` ~ ~a.~ bt.,..0~, b...~.. 40 ~o S-~.,,(F. T-- --------_ s a-^•~ ~2.~$, ` k '\ t. L' ~rac.~i. cre.~ So~low,s R~.~ ~ ~~~ t,.; ~, -_, ~s~. F ~' r a;.4) ~~l l ~~~', 1~ ~~~o I ~S ~~, ` ~~?~~~~ a_ _ > ~41~y; m F'cS', ~?~ i:: ~< - m=~;, ~,~,~s~; `~~~SX.Y >Z»D> ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. state. wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary August 19, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 A7TN: POWTSInspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 ~~aD `~ 3~ CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/19/2004 SITE: Margo Britten 86th Ave Town of Hammond St Croix County NW1/4, SWl/4, 520, T29N, R17W Subdivision: Hammond Oaks -lot 24 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 865731 Transaction ID No. 776478 Site ID No. 649081 .Please refer to both identification. numbers, above, in all correspondence with. the agency. 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans • 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. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(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. The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. I Identification Numbers I MICHAEL P ROGERS Page 2 8/19/02 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who aze responsible for the installation, operation or maintenance of the POWTS. Sincerely, %~ //`' V y erazd 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 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 Margo Britten -Mound Transaction # Construction Materials and Techniques . '~~c ~q~~ Fly s9F v ~ s . F4 FrY 'oo~ ~8~0 ~so~ v 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 (O1/O1) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 24, Hammond Oaks NW 1/4, SW 1/4, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: August 20, 2002 Owner: Margo Britten Address: 8447 Rigant Ave., # 108 Brooklyn Park, MN 55443 Plumber: Mike Rogers Signature: '._ License # MP 225094 Attachments: 674$-Plan Approval Application SBD-8330 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 ~-. ~- ~ r~~31/E D DEPARTMENT OF COMMERCE DIVISIQN OF /~~' V AND BUILDINGS SEE GORRESP DENCE page 1 of 8 • ~ Cl. Y `J ~' : ,~ 8~n _) \ o T ~~ ~ e~ y ~ ,o 'C Z~- ~ ~~ G~ w ~ o ".~X C~'~- ~ ~5 3.0 ~~.n,~, ~3 ~,. e, I t l o w is ei. ~~ ~ ~ ~~~~,~ ~ ~ s: 4 s ~..(~.~ 1S3,~iS~ ---• /~ I ~ .... ~., ; ~~ ~.......,.. o ( ~b~ ~~~. R/w t-1t-~r Z'l1.}'~- Sw~~ \((a.~1»a.a~ I~ ill `oa•: c..h, t r ~ eM~ \ o `st`gci Ni cq ~ ~^'e W t p"' ~~ ~.~~ ~~ `~ 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 cfu1100 mL Fats, oils, grease < 30 mg/L ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~ •3 ~- gallons/sq. ft. per day Depth to estimated high ground water ?~ 3 Z in. Depth to bedrock ? ~'~ in. Cross slope at system ~ •S % w..,,. Force main length ~ ft. of Z- in. Manifold/header length ~•' ft. of ~' in. Drain-back ~ ~' ~ l gallons Lateral length Z @ a ~ ' ~ ft. of ~ ~ l ~- in. Lateral elevation ~ ~ ~' ft. @ bottom of lateral Lateral hole size 3~~ b in. @ ~ ° • ° in. ( S • o ft.) Spacing ~ 9 holes/lateral 3 g holes total Lateral volume ~ b•'~O gallons Total lateral discharge rate z ~' ng"~ gallons/minute @ 2' ~ ft. head Network pressure compensation losses ~'~"S ft. Elevation difference Z 3, ~g 1 ^~ .L ~~ ft. i Friction loss ~~ t •t~ otal dynamic head ~~••~~- Pump/si~on ~ 4• gpm @ Z-'l Manufacturer ~m~~(oM Dose volume ~t ~•Z Lift/sip}~on tank ~-"' ~ ~+~ ~ ~' -~~ Co~`.o Septic tank `~ '' `' Effluent filter ~~~ ~ -~~ ft. @ z-~ gallons/minute ft. ft. of head Model # ~ ~ z- gallons ~ "~ gallons ~ ~ gallons Measurement pump on and off S~. g in. Height alarm from tank bottom l3, ~ in. Reserve capacity 3~'Z+- gallons specs.calcs.res Page ~ of ~ f :~ .:..,.......... ...,. - , `'~ I ~~~ `~~9 / r3 I ,. rOG.k 9~ 0.~~Mt ~~~ ~py~~ `'ji\ow~ Z'r t9 ~ti'Sr ao.a , 4~o pvt ~..~.,,..Q t~~w -~ ~ 1 gbh i~~co~1 a -~--- 13.9 z~,~r , N o~t.~. ~ e~~ ~.~ aHk~~ ~o" o.s~ 3' 1 1~~2,~ e.w~~-H~a~ie.dl t ~~~4~ O c x•' 1 `0.M ~ i~.~r~ ~~~s' -~ I4-la'` ~I ~- S~~f ~- SS~ Z~ Z~ 10 ~5 ~ 9,~' at.z, ~ ~t,t' ~9,~~ ~" 1 ~`IL~ Pvc s~ 4.0 ~~ v.-w~ l /~~o,~~ H.vw~.~11 '(("`~~/ '~~•~NL OOL c1r~.,~f ~-e Ci M.~ ~'^~.O~fjC`2( ~.~2<i~Oc "`~ 1,rw`vt yuXtL OM ~.~.vvrt.~2wT \ ,` ~ JJ P U L S c.. h `1"V 'T o~ a. ~ w e.'~ ~. . ~ `~ ~~~ ~ o\ ~ o .~. 1 .~~ Ate. ~ cam.... i cam. ~ c-~-~ c ... \ :.. ~ ~ n~ d ~ 0 " o,~p e~-~ ~ S', p ~ i O ~ ,~, ~, , ,~ I l.. k t'(' 1 J Lr ~ ~ I t~ -LIJ.CKING~GO~fiR ~--~ a:vAn'N ~,uc .c ~BE~C . Qv~cK c~~co.~w~cT--1 G ~-~ k a. t .~ b" ~ 1 a.,, --~---~ 4" r~~ ,~~ PIPE 3' no Np15Tuae~D Sr>I~ 24u I.D, ~uC>~ t I tits r ~GW Rc7vrLD A ~ S~cET 3bNT'J t, Pitt 4 rw E C.T i o -~S -~ ~e~. - ,~-S D ~ ~~ 4~ ~'FLE, }~ \ ~ 2iv h O w'1' 1. a. COKCRFrc b~oGK ~~' j7/ 7%7,,~ ,.. P vc ~ ~~ 4 0 v ~ .ti- ,~ ~, ~ - - - --r. ~/^ ~~ _ ~L 4^ j 3' o~ c I u:y~-+o ~-~ . ~ . _ I L . '~- b_ .,,,Q SfPTiC t SPECIFI•CA7 ~ 101JS 0o s [ l.~ , Q.~ e~,• • • T S ~ ~ nu~. MA-1UFAGTURCR: IJUMBER OF OOSCS: ~ PEk 0~~ TA~lK SIZC; ~~ro~~~ GAl.LO-JS DOSC VOLUME _ 1 A~ARh I'11WUFACTURCR; S `~ `7l~'~-~"~`- 1K1CLU011JG 6AGKFl.OW~ ~~'Z' G~_,Cti: P'~ODCL -~UtkbCR~ • 1 ° ~ 1~ `~ CAPACITIES; A. Z2•Z IAJCHCS OK 3~'Z•~ ; :. ~ ~ W I T C H T y P L : `^"-Q.-•``~ ` `~ "~ 4' . , .: __ 2. '3 3 •S 2, Hc = ~ ^~ ~~ 'Ln2 uc soa .,_.~,.~ g :. , .Lv ruMP /1A-JUFACTURCR; C• S'$ iUCHE50H q~.t ;,~_.~.,~ ,~ MODEL 1JUMDCR', `~ Z _ (~ 1~,5 (a O~ INCHES GR SWITCH TtipE; ~~"`Y " ~ ~~..~~_: iJOTE: PUMP A1J0 ALARM ARC TO 8C MI-.IIMUM DISCMARG~ RATC Z~~~ GPM INSTALLED 0-J SE PARATC C~KC_ ", VERTICAL OIiFCRCIJCC DETWC[AJ PUMP OFf AUO OWTRIDUTIO-J PIPC..,q'~~ FELT + M~~InuM uCTWORK SuPPLy PRfttuRE , z'' FCCT~'~'''~-~ 1.39 fT,/ + FCET OF FORC[ MAIIJ X _....__,/o~~~,FRItTIO-J ~ FACTO1l.-- ~'~~ FECT ~ ~'~ ' .- ~, . R ~ . o '} ~'_~ ~ Y 0 TOTAL. Dy1.lAMIC HEAP F ET IuTER-,1AC. pIME-JSIDAJC •Of TA-JK: LE1.IC.7H ~~_ , - g ~ ~ I° 'WROTH ;LIQUID pLPT~-+ Pa~.~ 6 ~, a 8 _~ ~~, r ~` ~o2ct r'~R~w WEATNERPRO~F n .T1J t•1 CT t G r+ ~ 8c~c 'j.2.2 ~ H C>:~ 1 a~ .r- ON I ~g„ 3 ~„ OcF PwlP ~„ Q w x a z Y 0 a 0 TOTAL DYNAMIC NEA~/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters I Gol. , Liters Gol. Liters 5 '•.5 I 69 261 77 291 10 ~ 3.1 ~ 61 231 70 265 15 4,6 53 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 42 159 30 9.1 23 87 33 ~ ' 25 I, 35 10.7 -- ~ -- 22 I 85 ' 40 12.2 -- -- ! ? 1 ! 42 Lock Volve: ! 38.0 Ft. (1?.6m),~a4.0 Ft. ('3.4m) Ora508 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. Sealed Owik-Box available foPoutdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series _ 1521153 MODELS Control Selection _ Model Volts-Ph Mode Am s Sim lex Du lex N152 u5 1 Non 8.5 1 2or3 BN152 1 t5 1 - ~ Auto 8.5 Included 2 or 3 E 152 230 1 Non 4.3 1 2 or 3 B_E 152 ~ _230 1 Auto 4.3 Included 2 or 3 _ N 153 ~ 115 1 Non 10.5 1 2 or 3 _8_N153'__115_ 1 Auto 10.5 Included 2or3 E 153 ~ 230 1 Non 5.3 1 2 or 3 BE 153 ' 230 1 Auto 5.3 Included 2 or 3 A CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the moat recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 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. ~ ~~ ~ RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -" MAIL T0: P.O. BOX 16347 Z • '° `~'? T ~,~ Louisville, KY 40258-0341 0 'i _ ~ " SHIP TO: 3849 Cane Run Road Manulecturers of . . ~JE~ Louisville, KY 40211.1961 ~UauTY PUMPS SNCE ~,~,~~ http://www.zoelreccom PUMP CO (~2) 778.2731 ~ 1(800) 928-PUMP FAX 1502) 774.3824 0 3 17/32-~~a 518 I i ~ ~~ 3 '/tit -~ ~ ~ a 2;~~2 i _~^ ~ I ~I~ F-__-_> ~_ .~s _ i \~~ ~, sx2osa -L------ I ' -L © Copyrigh12000 Zoeller Co. All rights reserved ` V 0 80 160 240 320 ~~ 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, 715-235-1132, 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 tower 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. I . 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. ] 0. If septic or pump tanks are no longer used, they must be properly abandoned. 1 1. If construction timing and weathercould create a frozen infiltration system, weather-proofingwith plastic sheetingand 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. 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 1 .~ y, Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Division of Safety and Buildings in accordance with s. ILNR 83,09, Wis. / unty Attach complete site plan on paper not less than 8 1/2 x 11 inches in 1{ze. Plan must,,!: include, but not limited to: vertical and horizontal reference point (~), direction and ; :, 1;-r? ~ ; percent slope, scale or dimensions, north arrow, and location and istance to nearest roe8:.` parcel :. a S7': GCE'-v-i~J -Ly I.D. # O ~~'f~ ~-R • gay APPLICANT INFORMATION -Please print all information. .; t .r, .; Rewewea oy Personal information you provide may be used for secondary purposes :(Privatiy La/w~, s: 15.04=Ft$(n-)1`= t,,,,~ Property ref -ft{ (~ P•1 Q l e0 L ~!V ~ ~ b ~ \,~ % Q Prope gtlon ~~ V a f'~ N'IJ ~~ 1 ~ ~ ~.7 `.; Govt. Lot. , , ~ " 1/4 N~1/4,S ~Q Property Owner's Mailing Address - ~6ot.f1 . BIOCk# $ubd. Name or CSM# 33Z M i uN~SoTA sT: EIS T I yo ~ ~F,~t~ro~vD City State Zip Code Phone Number ~ City ~ Village U ~ o~ ~ ST• Pnu~- i 1K~. 5Slo ~ ((oSl )z22.555$ Page / of Z •yv•vv •. SO•Ua Date o~•,~s Nearest Road ~Q l (,~ ib Q'~sidential /Number of bedrooms [+]~'New Construction Use: ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: 2 ~_ Recommended design loading rate bed, gpd/ft2 • ~ trench, gpd/tt Code derived daily flow 9Pd 2 C Absorption area required ~.~~bed, ft2 3 ~/ trench, tt2 Maximum design loading rate bed, gpd/ft2 ' trench, gpd/ft Recommended infiltration surface elevation(s) S~ • ~ ft (as referred to site plan benchmark) Additional designlsite considerations N~ ,I n __----- if applicable T elevation l i d Parent material /oErS DVa~ ~FNS~ ~~~~f __~ , n a Floo p S Suitable for system ~nventi~o.,na/l ~M~ou~nd ' ° ~ U r In-Ground rP-res~sure ~ S '-=' " AT-Grade ~ S ~ System inn Fill ~ S L~ H^oldS g TanU J U ~ U = Unsuitable for system ^ S L SOIL DESCRIPTION RE PORT GPD/ft2 BOritlg # Horizon Depth Dominant Color Mottles Munsell Qu. Sz. Cont. Color i Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench n. . ~oY 3~ - G s ~ • Ground el < MOWS s/CL l f S~t~ ~ ~- ~ . 2. ~ .~ 9~. fin. D S~4 . Depth to : limiting ' factor ~? 2_in. T~:~ ^-----'--• - Boring # 2;: Ground elev. ~''f • ~n. Depth to limiting factor '.ZZin. Remarks: CST Name (Please Print) R~~~R'T' 7~~~~GtiT Signature Telephone No. ~~s• 3s~ • ~- ~ s Date ~,a ~ r~umuv~ Address acf •22 • ~q~'f ~Z•4375 ~ uti.~..M• E Aoe....i..•..n ',!~ ~ VM $ ~ ~~ L ~'~v SOIL DESCRIPTION REPORT Page ~' of PROPERTY OWNER /~ :1 PARCELLD.~ ~~ ~ ~ !lAHf1O~v ~~ ~'S S ~~~ Boring # 3 Ground elev. ~~, ( tt. C./ ~ II~7 6e~hto limiting factor m. Boring # Ground elev. tt. Depth to limiting factor in. ttl M Structure t R 2 Horizon Depth in. Dominant Color Munsell es o Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench ~ o.~~ ~oy~e 3~ -- ~- ~~fa~ ~. ~5 ~f . ~ ~ .s 3 ,3 ~o 0, o S f i f M ofS ~~y~ ~~Z . /L ~ JCL Z fS/~ ~f ,~•S!> crQ S~- ~GQV cs ~S' - - - . S ; -~ ,.S . Z: ; . 3 Remarks: Remarks: Structure GPD/fl2 Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ;Trench Boring # Ground elev. tt. Depth to limiting factor In'. Boring # Ground elev. n. Depth to limiting factor In' Remarks: SBDW-8330 (R. 08/95) Remarks: Y y UM g ~ f2~ L ~a~ SOIL DESCRIPTION REPORT Page ~ of .3 PROPERTY OWN//ER /~ p ~ ~ Z l! A~fi h 0 ~~ ~~ ~ -S S ~ v PARCEL I.D. # h 2 Structure Boring # Horizon Depth in Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench . s ~ ~ o.~~ ~oy e 3~ - ~. ~~sa~ ~. ~ ~f . . ~ 3 ~ ~ i~ Z fsb~ ~ ~S . s ' -~- /o - , S. L Ground ~- Z ~ elev. ~ 3 o S -Fti f Mo JCL ~f'S~d ~GQV - - , 3 . . C / ~ r ~oy~e ~~Z . • 7 De~nto limiting factor m. Qemor~[C• ' Boring # Ground elev. tt. Depth to limiting factor in. n,...,.,..~~ Boring # Ground elev. ft. Depth to limiting tactor --~n• RomarkS' Boring # Ground elev. ft. Depth to limiting _ _ tactok -In. Remarks: SBDW-8330 (R. 08/95) M M ~--- Q N i~ w `~ vl O ~- ~ -_ ,~ J\ ``~ Vv ~: A o ~ 3 .~ 1 0~ .l s a /~ M ~4 O ~~ O ~ t. ~~ ~ ~ ~~ ~ O ~ , N ~ ~ w w~ ~ ,~ ~ ~ ~ w a ~. ~~ ~ •' ~ -~ v M t~ ~- _ o0 ~ 'r____-"' c `1 ~, a ~ C~w ~ ~ V_ p ..r---- ~N - ,. ~ I isconsin Department of Commerce August 19, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/19/2004 Identification Numbers Transaction ID No. 776478 SITE: Site ID No. 649081 Margo Britten Please refer to both identification 86th Ave numbers, above, in all Town of Hammond correspondence with the agency. St Croix County NW1/4, SW1/4, S20, T29N, R17W Subdivision: Hammond Oaks -lot 24 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No 865731 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans • 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. Safety and Buildings 4003 N KINNEY COULEE RD ~,.~-~-- LA CROSSE WI 54601-1831 RECEIVED TDD #: (608) 264-8777 www. com merce. state.wi. us/sb vaww.wisconsin.gov ;~~~~ 1 9 2002 Scott McCallum, Governor ST. CROIX COUNTY Philip Edw. Albert, Secretary ZONING OFFICE ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 • 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. MICHAEL P ROGERS Page 2 8/19/02 Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: Comm 83.52(1)(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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is 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 jswim@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 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE RMATIO ~ Owner Permit # DESIGN PARAMETE Number of Bedrooms 100gpd/6edroom ^ NA Number of Commercial Units ~-- NA Estimated flow (average)* gaUday Design flow (peak), estimated x 1.5* gallday Soil Application Rate , gaUday InfluentBffluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) ~ 220 mg/L Total Suspended Solids (TSS) 5 250 mg1L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) S 30 mg/L Total Suspended Solids (TSS) 5 30 mg/L Fecal Coliform (geometric meant <10+cfu/100m1 Maximum Effluent Particle Size ]/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 gat ^ 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 ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-gradeMound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulatio n Soil Application Rate~pd/fl Area Req. 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 October 1980 ^ SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6199) "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' (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 (8.6/99) "Single Pass Saud:Filter Component Manual" ^ SBD - 10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite WastewttterT~e~tment Units MAINTENANCE MONITORING Servfce Event Service Frequency Inspect condition of tank(s) At least once every ^ months j8(year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of volume Inspect dispersal cells At least once every ^ months t~year(s) um 3 Clean effluent filter 5 At-least once every ^ months JStyear(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 p 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 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 are 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 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/fiuit 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: p 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 are 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). ^ 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 (I/3) ormore 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% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ~~ `~~ ^ Mound, 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 dischazge. 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) 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 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 area has been evaluated and maybe 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 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. Bamng 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 CIItCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWT STALL R Name Phone f SEPTAGE SER CING OPERATOR (Pumper) Name Phone K:\WPDATA~EH~POWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Agency Phone Page of FROM ROGERS PLUMBING ~~~vncr/Buyer ~~ FAX N0. 715 235 0567 Sep. 13 2002 11:05AM P1 S'1' cn~,T~~ C~UUN'I'S.' SrP'T'1C TANK I\ZArt~I'I'i?PdANC.L~ AGFEZA~N1' A N77 t7 WNEIt,S (~:1I' CrT?'t' fl"1(_ ATtON FO1tM A~:ailing Address ~ t~ .. ~6 x 7~ / ~~ o ~ ~ /'~~ ,~ it..1 5~/ 7 -a Pr~pcrty Address 1 /D !~ g ~~',~4 Ve. ~Q `~ ("Vcritiration required from I'lunning Dzj,;~rtmrnt fur new constructi Ciry/State f/ct't7)/?~dy~T(,{f~s~'(/ , Parce! IdNntificalion Number()lg-'/~86-a7~'~a ~ECAi, ~3,~SCRIPTXON Property LocationN~'~,, ~ r/~, St;c. ~, 7`N-R~,W, To~~vn of Subdivision }fa-~nrn.~ oa~5 ~ _ ~,,ot # ~_. Certitfied Survt'~r >v~ap # ~~'arranty Deed # Volume _ Page # Volume ,Page # Spec house ^ yes ~ no Lot lines identifabl~ ~ yes ^ no S~,rSTFAI MA3N7`ENANCE Improper use aAd maintananceof your septic system could rest,lt in its premature failure is htrnd]e wastes. Proper maintenance consists of pumping out [hc septic tank every three years or soonor, if peeded by a licensed puutpcr. What you put into the system can afl:cct the function of the septic Bank as a ucatmcnt stage. in the waste disposal systett~. - The property owner agrees to submit to St. CroixLorting Dcpamncnt a cefificution form, signed by the owner and by a tnast~rplutnber, journeyt~.ttpltunbcr, restricted plut~ber or a -iceused pumper verifying that (1) the nn-site wastewatcrdisposnl system is in proper operating condition and/or (2) after inspcc.t-iou and grtm[ting (if necessary), tine septic Wnk is less tb.an ll3 full of sludge. Uwe, the undersigned have triad the above requirements and agree to maintai.u the private srwagc disposal system with the standards act forth, herein, as set by tlt~: DepErlmcnt of Cottuncrcc and tltc prpartment af. Natural l~esottreey, State of Wisconsin. Certi.ficafiocr Stating that your stptie system has been uiaincain.ed must be comrlr.trd and returned [o the St. Croix County Zpning Ot~Fice within, ~0 d ys of the three year a •pi-~ation dsfc- ~:,~- r 3, b-~-- GNA OF APPX,ICANT Dp~~ (]'~'lrNElt CF'RTIT~'T.CA„'I'~(~ I (wc) certify that all statctzt~cots on this form are. txue to [hr. best of my (our) TmoWledgc. I (wc) am (ate) tkre o~vuer(s) of the pmpcrt}~ desc[~il~ed bove, by virtue of a warranty deed rec.ordrd in Register of Deeds Of~icc. /~3/Q SIGNAT OF APk~T.ICANT pp,~ '""•** Any it,formstiop that is rnis-rcprescrttcd'may result in ilre sanitary prrtnir being revoked by the Zoning Department. ~`"`~~"* '~"` lucludo with this applicRtiotz: a stumped warranty decd front the Rcbistcr of Dccds office a copy of tiro certified survey map if t'cfcrcztce is made itt the warranty deed L -.: ~' ~ ' ~ r L . ^ 1 ! tiyl y ti ~ . ~~ ~1 .,. '~' ~- d ~1~ 4 ~ :~ ~"~ ~"'~ ~~ ~' ~ ~ ~= ~ -~ a ~, ~~ ~ ~ ~ ~ - ~~ ~ .~ r`'~ r' e~ F" T`~ ~'1 - ~i ~" ! ~~ ~ ~~ # ~y~ ~~~ ~~ 3Jl h- ~` i ~~ ~ ~` ~'~ ~"i r L F~ ~~ ~~ ~ ~ ~~ ~~~ ~t~~~~~ 1 •! ~_!_,._ FI ~ ~` 1 .~ d -€~ ~ r--~ l~'# Li ft.r~ `~ r-- ~ ~ ]''~ £ ~ ~ . ~- ~~ `~`.~ ~ i ~~~ ~~ ~_ ~~ ~ .~~ 'tai ~ _ iJ rti "~ - }- ~ t~ '~' ~' ~' • ~.- .,~ ~ ~~ ~ ~~ ~~ +~r •• _ _ ~.~... h- . J ~ ,~~ ~~ t i *~~ ~ f ~ ~-' ~~ ~ . ~ ~~ • ~ ~ "~' ~~ ~ ~ r ~ - "~ r .~ ~ ~ ~ ~ . .,. .~.~~1 ~ ~~' ~~ ~ - ~ - -- ~ -- ~ ~ ...k • a u 1y73P 6y0 STATE BAR OF WISCONSIN FORM 2 • 1998 WARRANTY DEED Document Number This Deed, made between Hammond Land, LLC, a Minnesota Limited Liability Company Grantor, and Margo L. Britten Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the Following described real estate in SL Croiz County, State of Wisconsin: Lot 24 Hammond Oaks Subdivision,Town of Harrunond, St. Croix County, Wisco 'n 6 6 9 9 6 8 REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 09-11-2002 10:00 A!! NHRRANiy IIEEO E%EMPT t REC FEE: 11.00 'TRANS FEE: 83.70 COPY FEE: CERT COPY FEE: PAGES: 1 Name and Retum Address Z OlS-[086-24-000 Parcel Identification Number (PIN) This Is not homestead property. (is) (is not) Exceptions to warranties: Subject to rates, easements,restrietions,covertants and rights of way of record, if any, including but not limited to those for drainage,water retention,ponding,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 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 $27,900.tX). Dated this 8th day of August , 2002 Hammond Land, LLC AUTHENTICATION Signature(s) authenticatcd this _ day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, W is. Stats.) THIS INSTRUMENT WAS DRAFTED BY Paul A. Baillon, Attorney at Law (Signatures may be authenticated or acknowledged. Both are not necessary) • by ~M ~ ,~~~ President . Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey County. ) Personally came before me this 8th day of August , 2002 the above named Austin J. Baillon to me known to be the person(s) who executed the foregoing ins[rum and acknowle a the ame. • Paul A. Baillon _ FAUL k BAlLLON • AI INNE507h Notary Public, State Of 511V7 CDMMiS51DN EXPIRES 1.37• My Commission is pemulrl~;gj.~ tate~ex_pirati° January 31 ~~'""~ ',) 'Names of persons signing in any capacity should be typed or printed ba{ow their signatures WARRANTY DBaD 9TATG 8AR OP W ISCONSIN FORM No. Z • 1998 INFORMATION PAOFGSSIONALS COMPANY FOND DU LAC, WI 800-655-20'.I r ,~ +, Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet _ rr1 o , , Owner: I ~ l(.Vl(1 U Project Name and System Type: ~ ~_~/,~r '[)Urn 1 ~` l (~U_Yl[~ Location: ~~p~ ~:QJ Street A~ddre~s//t/ iyl_ 1 1 /~ l ~' h ,~ T' ~n n I 1~ !I-y 1. f Contents: Legal ' tion' ' Township/County ~ Page 1: Page 2: Page 3: Page 4: Page 5: '`Page 6: „Page 7: .Page 8: Page 9: Attachments: 1~ ~ ii ~~ !r '~ Plumber/Designer: Signed: -- Credential Number: Date: 'p~a - ~ r~t~