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018-1086-28-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Sa*~ty and Buil~"nq Division ~ ~ t 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: Schmidt, Joshua City Village X Township Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION ~~ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION ~ ~ ~ ~ v Manufacturer em nd PM Model Number TDH Lift Friction Loss System Head T Ft Forcemain Length Dia. Dist. to well R('~II ORSORPTInN SYSTEM ELEVATION DATA county: St.~Croix Sanitary Permit No: 479289 0 State Plan ID No: Parcel Tax No: 018-1086-28-000 Section/Town/Range/Map No: 20.29.17.648 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom ad a . Di t. Pi Bo Sy em Fin I Grade St Cove BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. CHAMBER OR INFORMATION Type Of System: UNIT Model Number. r11CTRIR11TIr1N SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing Cf111 (:AVER ., u~e~~.~~e e..~•e..,~ n.,i.. ,.,. Mn~~nrl nr or.[;rade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No I~ Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /_ Location: 1602 86th Avenue Hammond, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) Hammond Oaks Lot 28 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Inspection #2: / / Parcel No: 20.29.17.648 T r--- Plan revision Required? ~] Yes ^ No ~ ~ ~ Use other side for additional information. I' i __-- ~-- -! Date Insepctors Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 " ~ ~ j ~ ~ ~sC~~~~~ M on, WI 53707 - 7162 Sani ta>y Per ( y ) it Number to be filled in b Co. De artment of Commerce ( -3151 m L-(~1 ~UQGiy ++ Sanitary it Ap licatio °- '~ ~t'°~' State Plan LD. Number hi accord with Comm 83.21, Wis. e, pens al info~~on ou provide ~ ~p I ~ ~ O ~ ~ 3 = 1 ~--~5 . /P may be used for secondary u s Priv y Law, sl'3:A4(l rr~ !,~f . Project Address (if dt~ent than mailing address) ~)~ I A lication Informati -Pl i t All P ~(PCZ . pp on ease r n ~/ ^ : ZOfV r ; U ~ ~ Nt F Property Owner's Name ~_ S Parcel # Lot # Block # ~ CJfrMIDT Qj ~ ~0 Prope Owner's Mailing Address ~-t. ~, ~ (n ~1 ~ ~ ~ I ~ -~ (~, , v 5 Property Location , ~ P r ~~~~ ~ ~ City, State Zip Code Phone Number ~`~ Section -=~ ~0' ~ >. `~~ i ~ f~ G~ crrcle qee~ ~ ~ II. Type of Bui ing (check all that apply) T N; R E or ~ ~ l,or 2 Family Dwelling -Number of Bedrooms ~3~ ~ ,~, ,~,, Subdivision Name CSM Number ,, F L! Public/Commercial -Describe Use - ff !~ '' II ~Ot-LMW1sl'~d OO- K `j ^ State Owned - Describe Use yip ~j ~p,,\ City_^Village wnship of LZt/1aa1tiL III. Type of Permit: (Check only one box on line A. Complete line B if applicable) © _ ~ (o _ _ ~-~ `~' ew S stem Y ^ 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 ~~ t ( rf I 1V. T e of POWTS S stem: Check all that a 1 , Qp ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information: = O 2. DS Design Flow (gpd) ~ Design Soil Ap ]ication a{gpdsf) ~ ~ Dispersal Area Requir d (sf) Dispersal Area Proposed f) System Elevatio S ~ 5~~ ~ ~ ~ ~ a s o ~.~~ i3 y~: ss ~ ~ ~ ~ • ~ VI. Tank Info Capacity in Gallons Total Gallons Number of Units Manufacturer w / ~~ ~ `' ~ ~ Prefab oncrete Site Constructed Steel Fiber Glass plastic New Existing ~ ~` ./ ( _ -t t ' "` Tacks Tanks ~ , 1 ~ Septic or Holding Tank 1 t E~ 5~ f Aerobic Treatment Unit Dosing Chamber ~ ..+ ~.5~~ VII. Responsibility Statement- I, the undersig ed, assume r stbili for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum Si MP/MPRS Number Business ]'hone Number __ 'k x~XS ~~ (~~'14 -~~~~ d3~-It"3 a! Plumber's Address (Stye City, State, Zip Code) . '1 ~ ~ ,1~.c,.~ l ~ ~ rn.$vu e ~ ~ VIII. Coun /De artment Onl ~Appmved tsap Sanitary Permit Fee (' eludes Groundwater Date Issued Is uing gent Signature o Stamps) ^ fii~+en Reason or Denial Surchazge Fee) ~ ~ d~~~ IX. Conditions pprov 3) ~ ~ I ~ ~ ~ P~~ SYSTEM OWNER: --~ 1 Septic tank, effluent filter and Sip (o ct~t~ a ~ l ~S dis l ll t ll b i d / i persa ce mus a e serv ce ma ntained ~ / as per management plan provided b ~"` S c~ ~ lumber ' ~~ y p . ate- ~ 2. All setback requirements must be maintained __ ~ as per applicable code/ordinances. •-••--° ~°•••r•°•~ r•°••~ ~•~ •~< <-~~~~y uu.y~_wr ice system n paper o[ ~ [nan tf r/L X 11 iRetteS iR S1Ze ~ ~ S C,t>r SBD-6398 (R. 01/03) S~`(~~ vv..up`~ ~ ~ a ~- x ~~~ 7 s' ~ i~y.9a. i3 ~ ~ ~, evp. o a-a ~`" ~ ja~ gr- #~ :: iov o~ ~~ ~. r ~f ~> ~:,_ . ~~,,.-~ y (X ~ S ~~cri ~ ~-~ JI ~X S. ' l~ k~`e Q ~ ~~, v5 2" Pvc'~b,P-,,~,~ ~ L~k ~.~ ~-~-~ k 2r4-~ Ie A -1 cx~ ~"~~ r ~=~^~- ~oett~,,., a~~u-a~a P~c~f ~"Pve 3 ~~e~ew . J~-h: ~rd~~. ~®~ 8 COpY ~~ 0 1~ ~„~, I1 ®3~~r~ ~ ~~va <? ,~~ \ ~,~ e~ ~~~,~ '~~~ ~.. .:~::~ ~i. ~~ ~~ ~~~ b~~ s ~~~~ -cd~a V ~~ i~r `~ RRE ~ ,.~ ~ ~~: N ,r' ~ / 5 3 c7 f3- / s~,9- i~ v 1"-3 ~~~ 3a r~ i3: ~ ~ ~ ; ioo. a ,~ j ~ ~~~ ~:~ '~ ~~ ~ ~-/ ~carVi~ c,rrs ,r~ ~. ..~--P r.=~- ,:. ?:3 ~ rfJ / ~ ~i/' wn .05 g- 4 boa `~ 2~ ~ PVC ~~~*{,~ {?~4 i. ;L°` y~:s ~-r4~f, (,vi e S mot" 1 Ooo~ "'p`~a~ . 2,~ ~a I.z A-t as ~',~ i-i y"'Pvc ~~~~ ~o ~ ~~ ~ ~~~ ~ ~ ~~ N o is 30 '~ L ~ s~,4 i~ ~~- J " _ 3 v ~::: -x . .~. ~~ 6\ 0 ~i p r~ kip ~ C -'~''~•> ~ a a.S~z; la-~A,r'aq ~Z. ~r, ~ , d~ J wail , i'i t?!~?'D'~~~ ~~rU2 ~~ ~ i ~ v w ~ ~' .~ 3 ~ 3 ~ ~ , commerce.wi.gov ^ ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 5460'1-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 27, 2005 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/27/2007 Identification Numbers Transaction ID No. 1150193 SITE: Site ID No. 700681 Tim Schmitt Please refer to both identification numbers, 86TH Ave above, in all corres ondence with the a enc . Town of Hammond, St Croix County SW1/4, NW1/4, 520, T29N, R17W Lot: 28, Subdivision: Hammond Oaks FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1025570 Maintenance required; 450 GPD Flow rate; 29 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/Ol); 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: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Co~tc ~P~ dE ARTMEI (i~1~N OF L ' SEE CORF • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat r MICHAEL P ROGERS Page 2 6/27/2005 • Comm 83.22(7) A copy of the approved Mans, specifications and this letter shall be on-site durine construction and open. to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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 are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~L"lz Z~~ ~~~~~~ ,~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 s T ' MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Mound Owner's Name: Tim Schmitt Owner's Address: Legal Description: SW1/4, NW1/4, S20, T29n, R17w Township: HAMMOND County: ST CROIX Subdivision Name: HAMMOND OAKS Lot Number: 28 Parcel I.D. Number: 018-1044-50-00 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings • a°~~'"'~f~~ Page 4 Lateral and dose tank • Page 5 System maintenance specifications ~jllXl y July ~ 2 2005 Page 6 Management and contingency plan ~~ Page 7 Pump curve and specifications ,~UII_~~NGS Page 8 Plot Plan FCOA~iMEl2CE SA~~~~ ~ Page 9 CSM ~U l~,~GS .~ ~PONDEN Designer: Mike Rogers License Number: 225094 Date: 06/20/05 Phone Number: 715-235-1132 Signature. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSW MP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 9 Block Number: 0B/27/2005 08:23 2350867 ROGERS PLUMBING, INC PAGE 02 ~ Y Mound and Pressure Distribution Component Design Design Worksheet Site Infor mation (r or c} R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%} 450.00 Design Flow (gpd) 4.00 Site Siope (%) 102.05 Contour Line Elevation {ft) 29.00 Depth to Limiting Factor (in) 0.40 in-situ Soil Application Rate (gpd/ftz) Distribution Ceil Information 75.00 Dispersal Cell Length Along Contour (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 influent Wastewater Quality (1 or 2) (c ore) Pressure c Disribution Information Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.188 Orifice Diameter (in} (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) 2.00 Forcemain Diameter (in) 75.00 Forcemain Length (ft) 91.00 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 11.30 Vertical Lift (ft) 1.59 Friction Loss (ft) 16.14 Totai Dynamic Head (ft) Lateral Diameter Selection in. die. o tions choice 0.7s 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Treatment lank Information 1000.00 Septic Tank Capacity (gal) Weiser Manufacturer Note: Sand fill (D) calcurations assume a Table B3-aa-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 9.38 ftz/orifice Does the forcemain drain back? ~ Y~ Enter Y or N 12.23 Forcemain Drainback (gal) 67.53 5x Void Volume (gal) 79.76 Minimum Dose Volume (gal) 31.46 System Demand (gpm) Manifold Diameter Selection in. die, o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional} Tote! Tank Capacity (gal} Total Working Liquid Depth (in) gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 16.76 Dose Tank Volume (gal/in) IA100 Fitter Model Number Wieser .Manufacturer Project: Mound Page 2 of 9 t Y Mound Plan View J i L Mound Component Dimensions Down slope toe extension made. A 6.00 ft E 9.88 in H 1.00 ft K 7.49 ft B 75.00 ft F 9.50 in z 9.00 ft L 89.97 ft D 7.00 in G 0.50 ft J 5.02 ft W 20.02 ft 450.00 (ftZ} Dispersal Cell Area 1125.00 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.43 (ft) //l1lff////t/lJ}}t}f/Jill/f/Jlf/ ~...:.. F Dispersal Cell 103.13 (ft) Lateral 102.63 (ft)--~ - y~ ~~~' a ~.;, Invert Dispersal Cell ~:::::.~3 :::: ; : ; : ~ E ~ ~ Elevation ~, - -- 102.05 (ft) Contour Elevation 4.0 % Site Slope Shading Key 10 0 Topsoil Cap 2^ ~{~{,, Subsoil Cap © 0 ASTM C33 Sand ® .~`~:~":x`° Tilled Layer ^5 Aggregate -~ °' ~ a ~- c a 1.5 ft tlJ O ~ •.-.. w 0 ~ ~ 0.5 ft T Dispersal Cell ^ ~ F Typit 1' ~ a~?r~' ~A-~ Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). T -f _~ -1 Project: Mound Page 3 of 9 06/27/2005 08:23 2350867 ROGERS PLUMBING, INC PAGE 03 . Center Connection Lateral Layout Daigram Force mal n connection pia trr or cross to manifold at any point. E P •~-turn-upm'ballv^IVe or Ify«~E-xl2~xr2~l cleanoutplug 111IIIII''II Holes drilled on the bottom of the lateral. 11 Laterals 6 Force main of PVC Soh i0 per COMM Table 84.30-5 "I~ Number of Laterals 4 Lateral Diameter 1.50 in Lateral Length (P) 36.80 ft Lateral Spacing (S) 3.00 ft Lateral Flow Rate 7.86 gpm System Flow Rate 31.46 gpm Total Dynamic Head 16.14 ft Orifice Diameter Orifice Spacing (X} Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Laterals are ideneio al 0.188 in 3.20 ft 12 9.38 ft2/orifice 3.00 ft 1.50 in 3.21 ft/sec Dose Tank Information Locking Cove with warning label and locking device and ~~~ sealed watertight electrical as per NBC 300 and ---- --- Comm 16.28 WAC ~ 4 in. min. Disconnect ~~ Tank component is properly ventetl Weiser Ce acit 600.00 Volume 16.76 Manufacturer Gallons gal/inch Dimension Inches Gallons A 19.04 319.12 B 2.00 33.52 C 4.76 79.76 D 10.00 167.60 Total 35.80 600.00 3" A B C D tan Alarm Manuafacturer se tropics ~ ___. Alarm Model Number mjj1 Pump Manufacturer zoeller ~ Pump Model Number ^_~~^ BN152 ~~ Pump Must Deliver 31.46 gpm at 16.14 ft TDH F- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- sipnon device p~ ump off elevation (ft) 91.83 `Dose tank elevation (ft) ~~ 91.00 Project: Mound -Page 4 of 9 ~ k Mound System Maintenance and Operation Specifications Service Provider's Name Rogers Plumbing-~~ Phone 715-235-1132 POWTS Regulator's Name St Croix Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Control Alarm Pressure System Mounc Other Inspect and/or service once ever 3 ears Should inspect and clean at least once eve 3 ears Test once ever 3 ears Should test month) Laterals should be flushed and pressure tested ever 1.5 ears Inspect for ponding and seepage once ever 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ••............ ............... Grade \ , .~.~. .~.~.~.~.~.~ ~. 6-8" Diameter Lawn ~/_ ~ ~ ~ ~ ~ ~ . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution ' ' ' ' ' Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mound Page 5 of 9 ' Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shah be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Mound Page 6 of 9 /7 ~+ pr~ p -~-'" ~-- SECTION: 3.20.014 ~~E/.4L/T-YI-UMPv'',1/NCE I,1c~J ~~ ~ ~ ~ ~~~ ~~~~~~ FM1919 / ~/~ ~ !' 0403 •~~ / _.. ,~~\~„ ~~~~ ® ~ Supersedes Product information a' r presented here reflects ~.-~~ ~ ~~ ® 1202 conditions at time of ~~: ~ .~'~~~ ~~., publication. Consult factory regarding discrepancies or MAIL T0: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: inconsistencies. SHIP T0: 3649 Cane Run Road • Louisville, KY 40211-1961 http://wvwvzoeller.com (502) 778-2731 • 1 (800) 928-PUMP • FAX (502) 774-3624 ZQ~~L~R ON-SLT~ W~LST~IN~LT~R PRODUCTS /IY~ODUCIJI/6 SODLL~/~ OJY~lPE "DOS~rMISITD" Pl!/IIPs +~.•'~f1li~~~~ iB'iL.s~i"x'~'.. a ~Y1161#~iL.9 Durable cast iron construction. 9 Model 151 comes standard with aglass-filled polypropylene base. Corrosion resistant powder coated epoxy finish. Stainless steel lifting handle. Assembled with stainless steel bolts. g Non-clogging engineered thermoplastic vortex .impeller design. J Modei 151 -1/3 HP passes 1I2" solids. Model 152 - .4 HP passes 3/a" solids. . Model 153 - 1/2 HP passes 3/a" solids. Motor. - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected. W Carbon/Ceramic seals. Upper sleeve bearing and lower ball bearing running in bath of oil. 20 ft. IJL Listed power cord with molded 3-wire plug. 11/2" NPT vertical discharge. r BN and BE standard models include a 20 ft. variable .level float switch. g Operates at temperatures to 130° F (54° C) in effluent applications. All models include a 11/z" x 2" PVC adapter fitting. Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. .ice: ,- ~, f _ x ~,, Manufacturers of .. . t~ 151/752/153 EFFLUENT SERIES (For Pump Prefix Identification see News & Views 0052) `~ 's cnn~ `Q!/.QL/TY PUMPB ~NCE /~./~L,/ ,/ ©Copyright 2003 Zoeller Co. All rights reserved. FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) AND ENHANCED FLOW STEP SYSTEMS SSPMA EFFLUENT MEMBER SUBMERSIBLE o°v~f"T,"~9~F SUA/P PU PMFRSAASSN. ~~/2 t' NPT DISCHARGE ~ 2 ''__ r< W PUMP PERFORMANCE CURVE. MODEL 151/152!153 50 14 ,~ 153 35 i 10 ~ 30 0 8 25 6 20 1 41 t TOTAL DYNAMIC HEAD/FLOW x ~ • ' PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 30 9.1 -- -- 23 87 33 125 35 10.7 - -- -- -- 22 85 40 12.2 - - -- -- 11 42 Shut-off Head: 30 ft. (9.1 m) 38 ft. (11.6m) 44 ft. (13.4m) 0745088 0 FLOW PER MINUTE o745oaA ~~i~~~i.~ IrA~TC"3~Y ~~~ ~~~C~i~L >i~PPL~C~T~C~l~S • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 1.30°F. (54°C.) special quotation required. 151/157J153 Series 151/15211 53 MODELS Control Selection Model Volts-Ph Mode Am Sim lex Du lex N151 115 1 Nan 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 ar 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 Model 151 E 7/32 3 7/8 ~' 4 ~/8 ~I 3 7/8 i °~ - I ~ ~® \~ ! ~ , 3 7/a i, ~~ _1 i i ~ I I 11 tt/ts r~ i!i ~ i~ -__ - i i 4 3/8 _~ tst A CAUTION A!I insiaflation of controls, protection devices and wiriny should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Cade (NEC) and the Occupational Safety and Health Act (OSHA). sKZOSa 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. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -_'~ MAIL T0: P.O. BOX 16347 Z - ~' Louisville, KY 40256-0347 Manufacturers of . . ~ ~ SHIP T0: 3649 Cane Run Road Louisville, KV 40211-1961 ~! ~7p ® 502 778-2731.1 800 928-PUMP QV.4L/TY PUMP9 ~/iNCE ~~J~/ ~~ 6ttp//WWw.zOBlIE!LCOli7 ~ PVMP !O. f ) FAX 15021774.3624 Models 152 / 153 3 27 i2 ;~ I i ~z t/a --r t !, ~ ~ 1 ~ © Copyright 2003 Zoeller Co. All rights reserved J 4 ~ ~ ~- ',rte .~:P. -J ~-a m ~~ y~ 51~~ 1 ~,/ r / .~-° ~ n ~~~~ Q ~~oa,o5 $ Lod -~ S~ ~ ~ *~~ =~ ioo _o ~ su~~.~~~~r~ i,~~ ~. P. =- , '`" ~~ (o X 7 5 ~oLt`~ '~ z ,~ Q Lc~t a SW / Oo.ca~.~ ~"~r, , 2a-~O la A -1 rxs Fir = ~-~v- ~oF fI ~t^ ~ltJ - ASvt p+t +~ y'' pvc N o ~5 3© 1 ~ I 5c,9- l ~ 1 3v rj ,~'~°,oir Y~'L.. ~,ara ~ Pv s ~a3 /-i ~ rte +z.' . ~ ~~Ow ~. { i ~o `~. ~~ ~ o Lr~r`J~r~ta~a i V ' ~,: ~ ~ o n ~` ~ _ _ ~ - - S89'36'39"W _ - - 283.27 - ~ ~ ~: ~ ' ri I A ~'' n m 589'x5'23"'W 29G. ~ ~ ~ ~ N 1~ ~ ~ O U j .... w ' ~ ~ ° I I ~ . i ° _ 1oO~ D ~ ~ w~ y °' W p ~ ON ~ m o I O rn a (( 1 m w C7 c^n L~ I D W i I ~ I ~ ~~ r I l ^ V ~~ ~ ~ ~ ~^r i ~ - '~ O ~' ~ " --( ~ i ® ~ 0 588'58'06"W 28x.25' I I -+ ~= _ T ~ i I ~ =~ y ~ ~ .,~ ~ 589'44'22"W 26 76' / %i'' 7 '`~ ~ I S8 9'45'23'W 290.GC Y~ ;, ~,, , I ~ o ~ < ~. \ ~ . ~ Q ~ .\ ,,~ ~ O ~ ~ , w r O OD O I I ' cam,, ~ A N -i _ ; ~ ~ 1 ~ O ~r ~ pw N ° ~ -~ ~ ~ ~ o ,. = iii ~ r*~ N D ~ O to --( ~ i N ~ ~ / n~~ ~ `` ~ ~ ( N ~ I ~ ~ D \\ S~~Y i I 589'45'23"W 290.0( ' 4 o ~ ?> I F ~ ( ~ ~ ~ o ~3, ~~; t ~ ~ rn ~ ~c, ~. -- j ~~ I _, ~ -y t ~ Q nn' l ~ ~ ~ ~ ONr - W 1 7 z ~ 60• of ornp (( ° ' ~ A ~w ~ 1 ~I ~,w ~~i t~ a. ~ a+. ~ 7 ~p~ ~I I '(. cn r I N o r O N O 1 I I ~ O~ ~ ' ~ ~ ~' ~ ~ ~ " u' ~ ~ n N ~ I Ti ~ _, ( O i ~ ~ _ ' N ~ ~ Q r~ w ti -' < O o ~" ~' ~ ~ w `~il• C7 Q W A ~ ' p ~ U l ~ i~ 589'45'23"W 290.OG' Ci V ~ O O n i_ ( J'1 r- pS, f *I ~ D ~ ~+ ~ c~~n cNn ~ 4i rn ~+ ~ ~ D cn cn rn ~' ,,; ~ D cn a ~ c> 1 ~ r i ~ ~ CJ~ ~ cn I C7 O ~7 - C7 D ~ 6` f TI I o W ~ p ~ ~ ~ ( ~ ~ Vl ~ (~l TI ~ d'• D 1 ~ ~ -~ ~ I a ~ I N W ~ ~ I m ~ ~ N +~ ?• z ~ t I t 108.20' 235.61' 232.50' 57 215' - - - - - - - - ' - - - ' ~~~ 33~ 1`92' 7 82.93 153.93' ' . ' 290.00 ~ - -- h . ----- ' 153.93 78.74 229.77' --- - - - S89'a5 23"w 923.56' - - - - - - ~~Q~ I ~ ^' A N ~A p 3' {a O O 9 ~ r ~ f °- W~ O ~ N I 4 O ~! O N O a r u N O f A a ~ v ~ ~ U7 (,V O C,J . ~ 1 -I ~ ~ "'~ ri D ~ N D Vl i ~ r o N v -1 y fTl a ~ a ~ N ~ i ~~iflo ~ V1 N ~ £)ca ~ r ~ ~ O p~ m ~~~ 6, ,-~~ ~ I ~ .: ~ ~ ' ~ ~ ~ cn -~ ~ o ~r ~~ _ --- - - g ? ( z ~-- - - -- _ . 1 ~ __~ 185.32 L ~' _ 122.39' 753.93' ---- --- 153.93' Z ~ 230.67 ' " i ( o - _ w N89'45 23 E 923.43' 86th AVE _ . ' ' ~- w N89'45'2 3"E 923.39' ' j ~~ - t78.43' ----- o 129.24' -------- 153.93' ------ 153.93' ` -- _ 144, 93' - - ~ - ~ !Q k ~ ~ ~ - T - - O ~- - - ~ - - - - c - - I I=_ ~ ' C ~ oo ~~ ~ r 1 o~ ~ -~ ~ ~ --` A w -' ~ ^~ ~' Q r7 ~z ~ { ~ O 1 ~ W (' N D -1 ?~ ~' O 01 r O O' ON,, ~ ~ O c0 r N v Qo O , ~ r' O A v ~ r0 ~ ~^: N. r^ ~ W p ~ 4i 1V ~ -' ~ n ua ~~-..{ l7 f~ N E D ~ D uj "~ y ~ p ri tom: ~. z C1 N ~ ~ a ~] V ~ {TI C.I C7 D N ~ D) (+1 n O Z1 C71 O ~ D ? (7 ~ ~ ~'+ 'r -' i.N ~ O ~-' O ~ ~ ~ ~ N (+1 Vl ~ W U1 ~ O . ~ Vl T O N O '~ D W fT7 N D N -i iJ - . iv LV C] ~ i A ~ O N -1 p~ I '1 ~ ~ "*1 O A C S ~ N m cn -~ ~ ~ 33.00' I x ~ ~ _- -- 923.25' 148.37 159.16' i 53.93' t 53,93' 144 93' i CSM VOL. S89'45'08"W 1312 26' . 16~ I~ i ~ ?S~ 2621 . IJNPLATTED~LANDS EAST-WEST ~: ~. Wisconsin Department of Industry, Labor and Human Relations Division of Safety and Buildings SOIL AND SITE EVALUATION in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and ` ~' percent slope, scale or dimensions, north arrow, and location and distance to nearest roa~dr ~ ~`r 1 APPLICANT INFORMATION -Please print all infori<nation.~ •"'- ~ ~ sti Personal information you provide may be used for secondary purposes (Priva~ ls~w,js•' 15.04 tr?~_ • }s' y O Property Owner t.t (~ H a ~ Qafl jr•l~ll9 © ~ d ~ `\-/,~f~' ~S~ l~ ~ ~~ ~'/J ~~ 1 ~ ~~ A) - ~ , Govt. Lot . Property Owner's Mailing Address ` L'of,+# I ~ `B 332. MiI~N~soT14 sT: EAST I yob City State Zip Code Phone Nu~2~ • c~sr ^ C fly ST• Pf1uL- i Mme. i 55~o I c~S! ~ •7 .7 Page , of Parcel I.D. # ~O~ n.........L,.i r,... .. Dat@ ~..J___S-ll~~ ,~ti5`% a~1/4;S Z~ T~ ` ,N,R ~' t(or) W Subd. Name or, CSM# ~'FMMOND pi9'~'S " Nearest Road w ~ Z village • ~oHm , ~ l (/ d [~rsesidential / Number of bedrooms 3 Addition to existing building ['Flew Construction Use: ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~_ 9Pd Recommended design loading rate bed, gpd/f12 ' ~ trench, gpd/ft2 Absorption area required ~^bed, ft2 3~ trench, ft2 Maximum design loading rate G bed, gpd/fl2 ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) S~ ~ ft (as referred to site plan benchmark) Additional design/site considerations ft Parent material ID E'sS D Ul~7 D~NS~' T/ ~~S Flood plain elevation, if applicable N~ S = Suitable for system Conventional M~ou~ In-Ground Press AT-Grade System in Fill ' "^°IdS 9 C y ^s ~ ~'S ~~ ^S ~s ~s Lr~/ U = Unsuitable fors stem BOfing # Horizon Depth i Dominant Color Munsell n. ~ i o•8 ioyR 3/3 z g•ifb ~oy~3/ Ground ~ g•~ ~01I1 /, elev ~na~tt. io SOIL DESCRIPTION REPORT Mottles Texture Structure Consistence Boundary Roots Qu. Sz. Cont. Color Gr. Sz. Sh. L /fshK s~. cs /~ ~~ v~~&~z S/L 2 G ~ If sc~ ., CS S ~S !~ .~ -' Bed ,Trench ,~,.5 .S ~•Co .~{ ~, . s ,.s -- (ss/ao ~d) ol;f;a-nnaf3s aotoe; 6uiliwll *. UN ~ 1 ~~ ~ ~a~ SOIL DESCRIPTION REPORT PROPERTY OWNER Lp~'' 2.g ffAMho~t~ ~~ ~S S ~~fl ' PARCEL I.D.# Boring # 3 Ground .;. elev. /00 ~S-n. Depth to limiting factor z- ~ } Page Z of Structure 2 Horizon Depth i Dominant Cotor Mottles Munsell Du. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ;Trench n. s~ ~ fR c S ~ f ~. s i o •r3 io y~2 3 3 -- ~ l ~ Zf S ~~ nrr fR tJ . S ' . ~ . L ~ p ~ - -.. . f . ..~. . S . c, Z , o ~ ~ ~s ' ` S o _-- ~~n. o....,~.L~• Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color in. Munsell Boring # Ground elev. tt. Depth to limiting factor.. in. Boring # Ground elev. ft. Remarks: Mottles Structure ~ "„` Texture Consistence Boundary Roots Bed . Trencl Qu. Sz. Cont. Color Gr. Sz. Sh. M Ld "f' \ 5~ ) / D/ 1 Ge ~~07` 5~~ - ~~ ~M # 'f a u.c~ t'~ 5' v E yo 2 ' S ~~ , ~ T ~ ~ ~~~~~~ , ~~ 5 ~ ,4 T- N U, ~ v T ~o RN-ti- ~ ~~ d ~ ~~~ ^ ~ o~ ~' 0' Ib 43 ~P~,s~ t~ • ~o ~I . ~1~ j • (vZ,o7 ~~ ~` A J ~ ~ ~ ~ N i~ Fob ('p,u fv~lz J ~ ~ ~N-e (u .C. c..~ ~ ~ ~~ ~ ~ J / ioa.o S ~---- 30 _ e ' ~ ~ ~.. X02' O J ~ V N t~ S S T~'`~ ,~ M o y __ .._ „ __ ~~ r 1~f ~ 1 ~ POWTS OWNER'S MANUAL MANAGEMENT PLAN .FILE INFORMATION (Jwner - Permit # Z ..DESIGN 1'ARAMETEI~ Number of Bedrooms 1 OOgpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* gaUday Design flaw (peak), estimated x 1.5* gaUday Soil Application Rate aUday Influent/Effluent Quality (NA^) Mon y Average** Fats.. OiI & Grease (FOG) ~ 30 mg/L Biochemical Oxygen Demand (BODs) 5 220 mg/L Total Suspended Solids (TSS) 5 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) 5 30 mg/L Total Suspended Solids (TSS) 5 30 mg/L Fecal Colifonn (geometric„mean) _<l0+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter *WastewaterFlow 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 O gal ^ NA Septic Tank Manufacturer c ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model - ~ ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacriuer f - ^ NA Pump Manufacturer ., ,r- ^ NA Pump Model ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ J,n-ground (pressurized) ^ At grade 'Mound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate_gpd/fl Area Req. ~f Absorption Area Credit per unit ft2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufachuers 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 p "Design. of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Ansite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD --14570-P (8.6/99) "At Grade Component Manual Using Pressure Distribution" ^SBD -10567.-P (8.6/99) "In Ground Absorption Component Manual" p SBD -10705-P (N.O1/OI) "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 F (8.6/99) "Mound Component Manual" BD -14691-P (N.Ol/01) "Mound Component Manual" Version 2.0 'SBD -10595-P (86/99) "Single Pass Sand 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.O1101) "Pressure Distribution Component Manual" Version 2.0 Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAIl~ITENANCE 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 yeaz(s) (Maximum 3 yrs.) Clean effluent filter At least once every ~ ^ months ear(s) Inspect gump,: pump controls & alarm At least once every ^ months year(s) ^ NA blush laterals and pressure test At least once every ^ months ear(s) ^ NA Valves ' At least once every ^ months year(s) ^ NA Other: At least once every ^ months =^ year(s) NA rage or :START UP For~ne~y 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 processand/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 propertyowner 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 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 garbage 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 scow over the dispersal unit may cause it to freeze up. Valves alves shall be operated in the following manner: Alarms. ~Alaxms 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 are corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). 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 shaIl be promptly .corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unautharized 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 is 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. ^;In GroundGravity 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 dischazge 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 Mouajd, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distnbution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should: be #lushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWYS 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 incompliance 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 removeu or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the :POWYS 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 may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need fora new soil from existing and proposed structure, lot lines and wells. Failure to rotect the re lacement area will P P 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. Barring advances in POWYS technology a holding tank maybe installed as a last resort to replace the failed POWYS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWYS a soil and site evaluation mustbe 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 POWYS. 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 THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWYS-INSTALLER ...Name M l - S ~.twt. ~ Phone ~/S. 2 3 ~ / 3 Z SEPTA E SERVICING OPERATOR (Pumper) Name ~ _ ~r S Phon ~'"" c~° ~c2 POWYS AINER Name Phone LOCAL REGULATORY AUTHORITY Agency (~ I ~C ~ N ~oN //V Phone (s: $~, to IC:\WPpATA~EH\POWTS UWNER'S MAIVUAL.doc Page of ~ 5 ; ' SBPTYC 'r'~}V~ 7v1AIN'i•~NP.NCE A~C~~ ~1D Q'~ C~R,'i"J:FI:CA'I'i4N FOAM iv::ti:]31~ metes / t~ {'~lhrifftsati~ ~aquired fio]xt Planning DeparErrtear for ae•w ~sry/Ssr~.t~ ~' g~ 1~ar~1 ~da~stific~ta~~ Dumber. O!g- /086 -?~ - Oc7o ~• ~ `I ~) ~C>C~~~~ { ••L~LJ'=111 ~.I~~T'S` ~~ `~~ :~Py ~ocatran y~ ,~ '/~, sec. , T r' ~,,1~-~,~_y~, Town of ~lle~t~nyy~ ~'~bd~.icr~ Lot # ~• - -- ~::.~.e.~. ~t~v~y lt~~p # - - - - -- ~--- . Zrolume ^ --= Page ~ `~`__ '~~~t~ ~ce~. ~ ~ ~ ~ ~- t~'o1um~ ~20~ ,Page # _--~?-~ -- ---• ~r~e~'~us~ C7 yes CI uo Lot linos identifiable ^ yes d no • Tenp~xuscsad~eofyct~,s Septic sysrcm could resulY in i'69 p~tanste fa.ilurc bo beadle v~lARtP4 $LUpti'Yl3dLnCdtL9]lCC c4 af.`g e~Ut'~te n tar>ic o~es~- lea yoars or sootlo9G, if ttpodod by a licensed pumper. ~V$st ydu pWE iata sry$rern ;:;~~, sffCCtthe fa~t.'of't>xa Sbpt~c i's~ as a tream~zvx stage is ~,,a ~xraste disposal sysram, • 'fie p~o~~eig.awaer agrees w subutair ro Sr. C,to~ zoni~ag Depazirc~onL a acaman~%rm, sited try the o+' end b}~ a a~st~rpl'f~pb~~nrsmcYmaxuph~Cz, r~ated~•lt~et ar a Li~enscd p[trapeac verl$-lsig s~iat (1) flee ou~si~5~a~a~sttwa~rdispasal sysxe~u ~ ~opor op~atiug oattdil~ozt. aad,~su {2) x~ iaspeerinn and pumping (~.' nCC08SSiy), the septic tank iS less than 113 full. a~' ekudge. l:~~e, thG ~d~l seed tb~ $.bnrro ,~,~=T~~p~~,~ and agro~a to s-~lura;n. the priYate se~ata$9 dss~+offsl b5lste~u wid: dae srsndx.rds b:.i•:,~zrilt,.7xcac~ as s~Gb~ tl>p Departsn~ni of Commerce sad die bepnt of Ilatutal Resaurr Stara ~pf Wiscansm. Cextificatiact =~.ts~ thgY your gaptlasystesxs has been. ~+,9?*~srad ~,ust be coraplated and r4'tusz~ed re '[he St G~oix. Ca~ir~j+ ~oai~,g ~ffs~ wiCli y 3 ~~ 1~eys a$' ~Tare~ /Lion, data S•1` i*iATCJp~ CXI~ Ap~C,~Nr DATI~ ~~ "~`~_ Y ~yG~a). certify ttta~k ~ stareooaertxs oa min forte axe 'aue ro rht bast of my {oltr) knon~rledge. Y (•wo) aui (~) ma Oti'r¢es(s) c~ ~e pca ddscribod. 4f by ~rirtiLO of a ~uvaxeq~a3y dead uebrded in R,egls~bs 4f Deeds dt$c;e_ . ~~ ~ ~ ~~~ µ~~}~^~' ~ ~p~msiinn xhat is mis-saproeontcd may result iii the sa.nltazY pexaut being ravolccd by d~c ~niug bepa~sdox. '"'~*'~ ~'" "a ~Cltida ~rF~ tais applScxtlurs: a sramped warrsnCy dCGd Pram the l~oglBtOr o~ L7eods aft a aap~+ of i6e certified sux+iey ~ogap if xr,~areatae is ado ~ th~o wastamGy deed i6/Te 3eJ'dd S3W^H hIG'~IZf3W~d l~~ ib9b5E~5iL 85 ~89 500Z/'~0/~6 i00 ~ %V3 gi~~TZ ~iOZ/9Z/CO • a S1~11111~1e~ _ Optional Elevation ©2000. Wausau I-Tomes Inc. E1ll rights reserved. J 207DP 001 ~, ,. 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 Joshua L. Schmidt Grantee. ---- --- ------ --- ---- - Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in SL Croix County, State of Wisconsin: 7 0 1 0 9 7 REGISTER OF DE DS sT. cROIx co. , t+I RECEIVED FOR RECORD 12/06!2002 08:30AM EXEIPT t REC FEE: 11.00 TRANS FEE: 80.70 COPY FEE: CERT COPY FEE: PAGES: 1 Name and Retum Address Lot 2 Hammond Oaks Subdivision,Town of Hammond, St. Croix County, So s ~ • - - L . Sn_6. vv` ~ a~f Isconsln Woo~~ w t~~ , .u ,tl .~.5/ Z S' 018-1086-28-000 __ Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subject to notes, easetnents,restrictions,covenants 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 526,900.00. Dated this 25th day of November 2002 Hammond Land, LLC AUTHENTICATION Signature(s) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Paul A. Baillon, Attorney at Law (Signatures may be authenticated or acknowledged. Both are not necessary) . by GGC~,,t_ ~G. President . Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey __ _ - _ County. ) Personally came before me this 25th day of November , 2002 the above named Austin J. Baillon to me known to be the person(s) who executed the foregoing instrum t and acknowledge a sa~,~n£„N,~, ,~,~,~,",~-r~,,,,.,,.~ ~,,,,PiI. ~ EAU-~or~ ~~NNFS ~~.'• ' Paul A. Baillon ~- ~ ~ G-=.ES +-a z~us ~ - s Notary Public, State of Wisconsia,~'~f-~_, ,,, ,,,,,,.,,,v,.,~,:Y~,,,.,.,,~r: My Commission is permanent. (If not, state expiration date: January 31 2U05 ~ ) (1 • Names of persons signing in any capacity should be typed or printed below their signatures STATE BAR OF WISCONSIN WARRANTY GEED I•'OliM No 2 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800-611-2021 L~ ~ ~~ 4.~.~},~3 Q. FT, 3,(ata AGES ~,~, ~8;~, ~ 3 ~~ ~- ~ .w +c../ ~ - G C a/11t W ~ ~ 1 • ~ J r ~~ ~.QT Zg { ~~ i °` 1.Q~ ACi~ES ~ 33 ~ 33 ~~ ~- ~ °~ N T s. ~ 9 ~' ~ A'€ ~' «~ _.._...~t~ .......Y.. ..~ ~a~~5 so. ~- x. c. ~~ ~~ ... rry- ~~~.3$~ x"}.04` ..,. war wr~rrrrrWrr wrrr~rr ~O~MM - 1rYq~11M ,i~~ aA11`IIM1~ ~'` ~y,~ ~yw/y'. ,nrrr wrrw~w wirw+r www. ~..M1rnr.. .r~.wnr y Mir +r~+...r ....r..rr. ir~rw .riMiwr ~r1M.r +M~IrMMt .MM+~iflr~ .~Mllllj. ~yM 1 [ ~~~~' %a"a i'. ~Iv1M0`ND OAKS SUBD i ,~ t ~+~~,~'~~ y ~ " IVISION ,~~~ ~,~t~~fi PART OF THE NWI./4 OF THE NWt/4 MIO THE Swt/4 OF THE MMf(4 OiSECTION 20. TOWNSHIP 29 NOR .RANGE l7 NEST, TOMN OF HAM110N0 ST CROIX 00 T , . , 0N Y, MiSCONSIN _ UNPIATTED LANDS 107 16` ' - ----~-- cnw 1. trvc yr mE 7l1I t s U` THE NW 1 4 . :16!.76 f55.00 ' 75L06' 16s,64' 164.44' 1N.64' 101.4!' R IOl•DlF -- 2241.23 - ~ ~ ' f ~ ~ 8 8 8 ~ 8 ~ ' ~ ~ 0 LOT i? s LOT 13 LOT d4 LOT t5 LOi 16 ~ LOT t7 ^• l0i t8 ~ LOT t9 ~ ( g 43.93 50 FT. ~ 1.01 ACRES 46852 50 FT 48802 'SO. FT ; ~ s ~ ~', i ~ SP ' . . R 7 p8 ACRES 1.12 ACRES ~ 44951 S0. FT. 43813 S0. FT ~ 47746 S0. FT. R 47,745 S0. FT. ~ x7,748 S0. FT. ~ 48174 S0. F~. I aq4' . tR 1.03 ACRES R 1.01 ACRES ~ 1.70 ACRES ~ 1.10 ACRES ~` t,t0 ACRES ~ t.il ACRES ~ n ~ n ~ ~ No' LOT 21 ~ $ S $ ~ S ~ !" ~ 43.655 SOFT ~ '" ~ ~ N ~ s I v f . ~ I 1.00 ACRE! i i -__ - .. I 161.16' ... __ _.__ ..__ t6B 76 _.. _ 15500 _ __ --. 1500' 10461' ", 16461' 164 d•' __i 163.75'., 1 1 . - - - ---- " ^ __.. _ __ _ _ __..__ ..--~- Ttsznast . u ' 3 21 302.03' SO'23'2t'E 7753.13' ~ 50~3'2t'E 302.03' Z ln' ~ t5o7,. ~SOxr ,5o n' Z - ;5o.xi' .- 1so7,' no,ii` \ r9o.oo' _ - __ .. _-- _ ' ~ ._ --_. .- _ -.. _ _ ~ _ . ..-_ - -- _. ._. 2000' . t_ . ~- ~0', DRAI n0E EASEMENT e g I , , ~ ~ _... _. ._. _._. _ .. e & 8 8 ~ ~I ~ ~ lOT 22 40 LOt 39 LOT 38 ~ ~ 8 ~ I I « LOT 33 492n 50. FT. s I SO.FTn 43.561 SOFT. x3,567 SOFT. ; LOT 37 s LOT 36 ^ LOT 35 LOT 34 t I x4,500 50. FT o~ ~ ~a6 7.02 ACRES ~. 7.13 ACRES acres ~ 7.00 acres 1.00 acres ^' 43,561 SOFT, ' 43,567 SOFT. ~ 4},56f SOFT. %, 49.367 SOFT. i. ~ o`1 iA TA' 1,00 acres ^ P R 1.00 acres ~ 7.00 titres ~~ ~ 1.13 acres I $ 7 ~ i N19 - i. ~ {w~ 9 ' ` 507]3t'E J07.04' ot 3 ~ I t LOT 32 i R'.. d i ~ t 2 43.776 SO. FT ---- b' --_----- 150.71' 5o07S21'E _ _ 150.71' 12?1.68'___-__ 150.71' ________ _ 110.21' _____ 150 Tt' _ _ __ _ _ 170.11 - I 1 I i I d I ^ 44,777 SO. fT. ~ 1,OJ ACRES ~ ~~ ~~ . ~ 1.01 ACRES 256.55' 153.05' 153.05' 739.46' 255 5' I N T ' ~.. _ _ _ _ _ _ _ _ _ _ _ _ ~--20' DRAINAGE EASEMENT _H %+ I 90.23'71'[ 790-00' SO7J'11Y 302 ~' 8 m ~ ~ 7 i " ~ ~A i LOT 5a I s 'n ~ LOT 50 ~ 43926 SOFT LOT 51 n LOT 52 ^ LOT 53 ; ~ 53751 SOFT. ~ e I I ~ LOT 3t .~: • I °~ ,~ ~ '. ~ LOT 24 . ~ ' 1.01 ACRES 43,584 SOFT, ; ^ 43,987 SOFT. s 43812 SOFT. ;~ ~ 7.23 ACRES 66 6 „ _ I 44,640 S0. Fi a N X5_2 46.496 50. FT. ~ ~ 7.00 ACRES .~ 1.07 ACRES g 1.01 ACRES ~ / 9 1 R 1.02 ACRES ! a' W I . 1.07 ACRES • 7 ~X7 ___ __ : ~ _._ / ~ s 5073'71•[ 190.00' ~ h ~ 507]'711 ]07.06' _ . 7 LOT 55 n; ^ %, v . _. _._ _ ._. _ _. ~.... _ ~ ~ 43561 SOFT. n ~~ j LOT 30 ~ a ~ _ ~ ^ ~ LOT 25 ' ~ ' 1.00 ACRES w ,^~ ~ 44,640 50. FT. of I ~ ~ ,~ _ 46.498 $0. f T. t3 _ . S,T4_. 15614 ~® ' - , 7,02 ACRES , 1.07 ACRES 60.00' RAO ®. 300'32 23 E 297.83 w O ~ ' ,p5v2'47"c 2yq.°6 , I I , I _. _._ u 60.00 R40. . ® 161st S T. u ' ' ' ' ' ~ ` LOT 56 I I SOZJ 71 [ 790.00 ~ ~ 5773 71 1: 301.09' ® • "`N00'J2 7S'W NO'J1'1J'W 43,603 SOFT. $I~ ~ ' ' , 9013' ~~ 130, 70 1.00 ACRES ~ LOT 29 ~ «, I LOT ?6 - - - _~ -- 1 33' 33' ~ - 7 ° I 44,277 SO. FT. _f ' ' ~~ 43581 50, FT. 1 h, I ~ t, ~ I .. s16 b n rv I ~ 1.02 ACRES J 33 ~ 33 ~ ; _~' ~ .00 ACRES ~ I c " __ o ~ r i ~ --. jy.w I T 7 ' T 47 •.° LOT 46 , ~' SOFT. 51,373 SO.PL` ~ I ~ R ~ s ~• LOT SB At7 s4 ~ LOT 57 , j I ^6 ~ i ~ I '. l0/10b4 ! ti 36 1 ' ~ •CRES = Q ~ ~, LOT 59 ~ 43567 SO ft. :~• 47500 SOFT. 017 ~ ~ i , ' ' N 25 ACRES ~, k t. ~ _._. .___ __. .._ ~. ~ S B27 SOFT, ,71 ~ « ___ ,~• .. 1.00 ACRES ... _. __.. _... _._ $~ 1.09 ACRES _ __ .__. . .. _. ..._ ... 1_ __ _ ~ 2~ ~ « ~ I i LOT 27 i ^ ~ ~ I n 6n 3 1.T9 ACRES ! ~ ~ 1 _ ~ __ 449x5 50. F7. ~ ^ .>: •._ "'49.62 `S0. "fT. - -- ' ~ ~~, T4.,~ _ tA3 ACRES 44 ~ ' i~ L.~ 7.13 ACRES __ 916 -- 20 «' '. " 719.16' .. _ . _ _ .~_ - ~_ . ____ . _ 66~J0• (_-. 1x!.40' _..-. -260.45' __. _...__ 767:]5... __.. _ c 290.Y0' ,----,1' ~ _ ` ,.:109.10`. 160TH STREET ' ---- ---- -N ' ' ' '-- ~----- -- `~' Mn1 00 2t 59 W 2535.04 H - 'n^ WEST LINE OF NW t/4 OF SEC. 20 N00'21'S9'W 2518.50' ~ _ UNPLATTED LANDS .. _ _..~ - - _' _ GCNEPAL ILOt10E S7AT[MEt11 ~tiT t/4 CAR X25'•:: U$.ITr CA9itiEMiS lCC. 70 77911, R77 . ~ . M1A011p ~C` ALL euu.owcs Ta ![ coNSTeuclEO M nRa>,A6rv uo+ GARCEL cHO~47 oN t14s 9AO IPLAr1 to wa4:cT ro sate. Cd1N1Y AND .- -- _ --