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HomeMy WebLinkAbout018-1086-35-000 ntn0 3~c) d t'~ c :: ~ ~ °' ? ~ 3 ~1 ~ ~1• o ~ ~ ~ ~ c~ v ~ ~ ~ ~ ~ ~ ^ I ~ ~ 3 " '~ ~ ~ ~ ` 1 ~" Q ~ a v o~ o o N v m °~ `~ • ~ ? ~ ~ c t"D W ~ 3 N ~ ~ I~ a A p m m y o m 3 fO o ~, N d ~ N ~ I d~ ~ 7 DO C C~ fD ~ ~ n , ~ W O ~ fT ~ O I ~" 3 a i g y ~ ~ °o "~" tll o O p m (n Z D A a N! I m co D w a o, I ~ a W o o h I ~ O `° °° m ~ ~ rn w i N t N N 3 N .* Q 3 o ,a ~+ ' ' ~ • o 0 0 0 ~ i, • • i ~ T1 '0 ~ ~ W = v' l ~ `ic I m m 3 I ~ ~ ~ y ~ ~ o ~ ~ ~ y Cn I, ~ ~ ~ ~ ~o a x ~ m N a ~ y ~` I Z ~ 0 D D o 0 I =~ ' O m~ ~ ~ ~ ~ ~ 1 1 ~' h 1 a .ZI ~' m a o 7 7 C ~ ~ i ° ~ O m I ~ o ~ °: fD ~ m > c p Z eyD I r. --. ~ N ~ ~ ~ .n. 1 ~ ~ y c A z~ w - m ~ I ~ m o 0 C ~ ~ ~ N 3 ~ ~ ~ C ~ O < c ~ a ~ 3 ~_ Z ~ ~ ~ m °o " <z< ~ ~ W ~ ~ ~ N fND a ~I! p j ~ ~~~mo a ~ i '-2d j yrn ~ ~vm0 °? ~ ~ o ° ' ~ c F m • • I aN a~ ai ' u - =. a .Q I ~ ~ ~ o i 0 O fD 4 a . n O ~. 01 ~ A ~~ ~ n x ~ v A I v N ~ '` ? Q I O o • ~ p 7 n K W C I o°-~c ~ I y o s o; N ~ ~ y ° O ° I -co v a o . I °. r. I o b '" m ~ ~ ~» O m ~., °a ~ ~ ~, a i o ~ ~ MEMO DATE: December 5, 2002 TO: Mike Rogers, Rogers Plumbing, Inc. FROM: Pam Quinn, St. Croix Zoning Contractor RE: Mound sites in Hammond Oaks Subdivision, Hammond Twp. There are five (5) other systems in Hammond Oaks that still require your attention. The mound locations below were included in a drive-by inspection of Hammond Oaks Subdivision by myself and Rod Eslinger on 12/2/02. These mounds require access boxes or other protective enclosures for lateral turn ups and additional soil and/or mulch cover to meet requirements in the mound and pressure distribution component manuals (see Table 3, "Turn ups" in version 2.0 of Pressure Distribution manual). Lot 301ooks especially in need of some final soil cover, which may be the responsibility of the owner, for frost protection (see 83.43(8c)) . Permit # Lot # Address Subdivision/Town 405181 4 1614 89th Ave. - final ins ection Hammond Oaks, Hammond 3 9667 7 1622 89th Ave. -final ins ection Hammond Oaks, Hammond 420360 35 866 162nd Street -final ins ection Hammond Oaks, Hammond 420363 37 872 162nd Street -final ins ection Hammond Oaks, Hammond 420359 31 1614 86th Ave. - final ins ection Hammond Oaks, Hammond You and I had previously discussed the need for installing access covers during 10/31/02 inspections for lots 24 and 25. It was my understanding that you intended to get covers installed as part of other plumbing jobs in the subdivision. Please provide the Zoning Dept. with a date that these five mounds can be inspected and verified that state code requirements have been met. ~ ~ ~~ Cti~~.~~i ~z~ C~~,c~~~ ~~ Wisconsin Deparment of Commerce ' PRIVATE SEWAGE SYSTEM Safety~and Building.~ivision ` ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Maxwell, Jeff Hammond Townshi CST BM Elev: Insp. BM E lev: BM Description: - ~ ~~ yy ~ V p ~.o T ~~ TANK INFORMATION ' ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~QUd lv6 ~ Dosing W r' ~ Aeration Holding TANK SETBACK INFORMATION TANK TO f~/L ~..! WELL O BLDG. ~ Ve~ Air Intake ROAD Septic > ~ ~ ~ / E ~d ~ 0 ~~' Dosing 7 ~~}U i Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ C-' Demand L GPM Model Number tj -,~ .3d 2 , TDH Lif Friction o s System He~ / TDH Ft Forcemain Len ~ Dia. ~~ Dist. to Well ~ Z ~~ i~ ~ SOIL.A$SORPTION SYSTEM county: St. Croix Sanitary Permit No: 420360 0 State Plan ID No: Parcel Tax No: wb 018-10 -35-000 TATI N s ~ BS s~ HI ,t7s FS 3 ELEV. BeIlch~ma, rK r Alt. M o -~dt,~.. ~,,.~ ST o S' ~a~ Bldg. Sewer -rb ~ 3 - 2 ,02- ~ SUHt Inlet •.~ lb SUHt Outlet I / Dt Inlet Dt Bottom ~. G ~ 8, p-3 Header/ an. ~~s;fii Z•3 /03. ~~ Dist. Pipe ''f3~ ~ 3 $ /0 3. ~Z. Bot. System /~~•• . ~- ~~Z,y'- ~,~ Z.qL 42. Final ade ~ .~5~, is y-~- S Cov r • ~ ~0 ~.vn..~~ v . /al. / ~ ~ :~~U-ems - - --~ BED REN H Width ~ Length ~ No. Of Trenches~~ / IT DIME IONS No. Of Pits Inside Dia. Liquid Depth DIMENSI S ~.,_. ~ ~ ~ ~ ~ IZ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM AC G Manufacturer: INFORMATION CHA OR Type Of System: ~ ~ / IT Model Number: ~~oo DISTRIBUTION SYSTEM Header/Manifold .,~/Y~ Z l~ h Distribution ~1 ` r ~ `~ t L ~ ~ ' ~ ~ J / x Hole Size ~/ ~ ~ x Hole(S~p-apcing 7 a /, Vent to AK Intake Lengt Dia ength Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~° fi4t ~~'''•~'~ Depth Over Bedffrench Center ~ ~ ~ Q `~ Depth Over 8ed(french Edges xx Depth of Topsoil xx Seeded/Sodded xx Mulched ,~ .S~'p. - [~ Yes to C Yes o COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~~~ /~/ ~ 2 Inspection #2~•~/ ~/ ~~ Location: 866 162nd Street Hammond, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) Hammc7nt7'Oa~s Lot 5 ~ Parcel No: 2Q.29.17.655 1.) Alt BM Description = ST' C.o ~~ ~~ ~ 2J Bldg sewer length= S~~ ,/ ~`~~~"f~+~1~c~QG~..e~`- ~'L/~~ -amount of cover = ~~//D 2 06se,-red sue, ~ I'~FiYrLalre~~-f~ w~~: is ~ v~ r~.d ~-e- 3.) Contour = /~/, ~ l0~ ~ ~il-~ Ytti~ uJ~~~rrde d av+~~ -" dl~.H-~~ 7na~ li~c~S~,,s~? >~~/Tp -~-, Plan revision Required? [l Yes ;_N'No i~9 I ~ Use other side for additional information. ~/-,.__ ; ~__ J ~ ~~ ate Insepctor's Signature Cert. No. /J SBD-6710 (R.3/97) -f~ ~_ u,~~, ~a?~ia~/ ) ~~f/~ Z ~Ctd ~° //~((C+~- i~~ l2e (~/i~~~t~' ~~n~J~~- ~ ar~ui'~gR' c ~p~/,'~~ ~. -tom O~ ~1.(T,[(, SG cC (V~~~ ~ S:,e'L~ Q.~"T' t~° ~Q/K s / I `~'~`~ 1' ~ 6~~D6y v Safety and Buildings Division County ` ,. ~ 201 W. Washington Ave., P.O. Box 7162 ~ ~sconsirn Madison, WI 53707 - 7162 Site Address Department of Commerce ~(o~ ~~~~ ~f-• Sanitary Permit Applic ior~E ~, c~r~ ~ Samtary Permit Number o In accord with Comm 83.21, Wis. Adm.' Cade, personal info lion you provide ~ a~ .~ ~d Ch i R ma be used for second ses Privac Law, s 5.04(1)(m) eck evision I. Application Information -Please Print All Information A ~ V ~ ~ ,~02 State Plan I.D. Number Owner's Name ST. CROIX COUNTY Z / ZONING Parcel Number ~ OFFICE fj~~ _ / ~ - 3 C.~ ~d Property Owner's M ' g Address Property Location ~ y ~ ~ % Guile; S D T o19 N, R~ City, Sate Zip Code Phpre Number Lo Block Number / ~~~ ~ ~ ~/ ~ ~ S Name // CSM Number -O / ~ di41~5 II. Type of 'ding (Check all that apply.) ~ ~ O Cit ~--1 or 2 Family Dwelling -Number of Bedrooms y ^ Public/Cotnmerciai -Describe Use ^ Village ^ State Owned ~ ~ ti vNV s ~~ri s ownshi . a Gr~ ~ t w/ N R d 3 /X 7S~ T ed ~u r"CQe~ oa./ ' ~ earest oa /~O ~ III. Type of Permit: (Check only one box on line A. Numbering is for se.) (Compl ete line B, if applicable.) A. New S stem 2 O Re lacement S stem p y 3 O Replacement of Tank Onl 6 O Addition to Existin S stem For County use B' ^Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type. of POWT System: (Check all that apply. Numbering is for internal use.) .z O,.S~~h~ , 44 O Non -Pressurized In-Ground /Mound 47 ^ Sand Filter 22 0 Pressurized In-Ground 41 ~ Holding Tank 48 ~ Single Pass ~ 51 ~ Drip Line 45 O At-Grade 46 Aerobic Treatment Unit 49 ~ Recirculating 30 Other V. Dis aUTreatment Area Informati on: - Design Flow (gpd) Dis tsal Area Requjred / ~ is rsal Area .}, _ `C ~~ed Soil Application R~ (G l /D /S F Percolation Rate M S stem Elevation /l S ~ ' Final Grade ~~ ~~ e a s. ays q. t.) ( in./Inch) Jn ~ / s~ f ~ b Elevation .Sj ~S n Si ~- ir+~ a vf ~~~ ~ aso ~ d l; ~,,. ~ r / ' ~ ~o oy VI. Tani: Info Capacity in onl N „ r Manufacturer rrefab ~..e ,Steel e Fiber Plastic Gallons Gallons of Tanks ~~r_ Concrete Constructed Glass New Existing Tanks Tanks ', / [/V ~ ~~~ ~~ Septic or Holding Tank 1 !~ t t-- , / ~ Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. -- Plumber's Name (Print) Plumber's Slgna a MP/MPRS Number Business Phone Number ~~ ~ - / Z ' lumber s Addr Street, Ciry, State, Zip ode) ! ~ VIII. unt /De aliment Use Onl Disapproved D e Issued ~ suin A t Si natty o tam s Approved O Owner Given Initial Adverse S~~' Permit Fee (' Ludes Groundwater v g P) c Surcharge Fee) ~ 3 a ~ dv o ~3 Det i i a erm nat on , l •~on~-p~porovaUReasons for isapproval ~/ ~LcJ73 M9q,~~ ~~. ~y~'~'~~ - ~ ~T ' s~'~ ~ ~~ U ..~t~,t,~ on- ~ , ~ `~ w ~.,. ~ 3, ~3 ~ ~ . ANo..{. n mw\w.s ..ln.... l•...L- n 3 ~ ~~`~ryVU'7y r~••~ r•-•••' \w We tic n u.u» .va um a>aiom uu gaper IIO[ less roan to%! X 11 inches in SIZC ~ ' sai Cvn ~Sy4~u ~.~~~~u~t-c,(a~t~~ ~ /Y1.dLtJ~j'~E I/'Q~~f~~'6' `,p-n. /~i /~Zd FROM CERTIFIED SOIL TESTING d r ~ {j(~ FAX N0. 715 233 0398 Aug. 15 2002 06:26AM P3 j ~ ~ ~ ~ c~` f t^ ~° ~ 3 ~~{ ~ ~ ' 1' f , r i - ~ 1 ~ ~ f awn i ~. 9 i ~ Q ~~~ ; ~ ~ f c~13 ~_____- r ~' x ;~~ t , f l 1; ~ ~./~ 0 a ~ ~ ~-~"' ~~~ ~, M3 r ~ ~,-' ~ ~°~ ~;~ 3 ~~~ ~ ~~i `~ ~o ~t S 3 _.+- 0 ^l^ l~ i d 2 ~~ a~ ~; 1 n 1 O 1 -..~ .. ~ a o •~ ~ o :~ - -- ~ - ----r--~ . N ~J ~3 ~ ~ ~ ~~ ~~ S t ~~ ~, ~ ~~ c e.~~ ~ `~ ~_ o a f ~~ ,~ T ~ ~ --t i 3 v ~ ~~ z ~ ~w ~" O tr, ~ Sp 3 ~' ~~ n` )~ ~~ ~~~~ : G~ i / J Z ~ 7 J 1 ~ f ~ ~ ~~ ~ ~''~ ~ ~ ~ ~ ,_ ~i N `~ c J ~~~~ ~~ ~ ~ I ~ 3 ~ ~ ~M ~~~ ~ ~~~~ ~~ ~~ 0 ~O a isconsin 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.wisconsjn.gov Scott McCallum, Governor Philip Edw. Albert, Secretary August 16, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/16/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Jeff Maxwell 162ND St Town of Hammond St Croix County SW1/4, NWl/4, S20, T29N, R17W Lot: 35, Subdivis' ammond Oaks FOR: Description Three Be room Mound System Object Type: System Regulated Object ID No.: 864770 Identification Numbers Transaction ID No. 775106 Site ID No. 648880 Please refer to both identification numbers, above,. in all cones ondence with the a enc . 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 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 "Pressure Distribution Component Manual for Private Qnsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/01). Per manual cited above, limited activities are allowed in the area 15 feet down slo a of the com onent area. of compaction excavation, vehicular tra is and other similar activities that impact the treatment a_nd dispersa are prohibited. CUB / • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption A-PP area. chs. NR 811 & 812c PARTME • 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. S~ 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 • 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. • The changes made to this plan on 8/16/02 by this reviewer were acknowledged and approved by the system esi~ -- ' , MICHAEL P ROGERS Page 2 8/16/02 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. omm 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 shalt 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, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code:'7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing Jeff Maxwell -Mound Transaction # REC~~~ ED ..lU~ ;~ ~ tt~(!C SgFE~' ~ BL n ~~ Construction Materials and Techniques DyS ~~r.- 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 35, Hammond Oaks SW 1/4, NW 1/4, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: August 10, 2002 Owner: Jeff Maxwell Address: 1513 N. Innsbrook Fridley, MN 55432 Plumber: Mike Roge s Signature: --- License # MP 225094 Attachments: 6748-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 Y~v~al~ ~~~ D I~DMMERC~ caik~s pONDENC~~ page 1 of 8 FROM CERTIFIED SOIL TESTING FAX N0. 715 233 0398 Aug. 15 2002 06:25AM P2 ~~s ~~~ pesign Criteria ~~~ Residential Wastewater Contaminant Load: Anticipated septic tank effluent ~ Bedrooms x 100 gal/bedroom/day x 1.5 30 mg/L < BODS < 220 mg/L 30 mg/L < TSS < 150mg/I. Fecal Californt > 10,000 c!u/100 mL Fats, oils, grease < 30 mg/L Q~e'L~ _ gallons/day hydraulic load Design Calculations ~ ~~ ,~ ,(~Q ~ y ~,~- in situ de~~ ed toadin rate'~'° ~~ ~~~0 ~ •Z gallons/sq. ft. per day i~'~~~ z r Depth to estimated high ground water '~~ ~ in• a c~QQs 3 ~-~s' , Depth to bedrock ~ ~~' in. 1 ~ ~,Qp,,.~~lti• Cross slope at system ~ % ~~ `~ ~WF`'f~ J ~~ Force main length ~~ ft. of Z _ in. 3 ~~1~~ /day Manifold/header length ~ s Drain-back ~'' ~ s~ Lateral length Z @ ~-z. o i_at2ral elevation ~ °S' 1 Lateral hole sire 3~tt' _ in. @ ~ ' ° t ~ holes/lateral ~ $ Latera! volume 13,z4~ ~ ~ Total lateral discharge rate ' ~' B ' S \~~twork pressure compensation losses °' ~"~~ Etevation difference ~' ~ ~ Friction loss ~''Zg -~.-~ Total dynamic head ! Z. ~. $ Pump/sip~n Z~ gpm @ i4' Manufacturer ``~ -~-" ° "`"' ~'` Dose volume ~~ • `~"' 1_iftrsiplaon tank ~ ~ ~'' ~'" ~ "''~'`~ ` ~''"' ~ ., Septic tank ,, ., Frfluent filter ~ ~ ~ " ~ `~'° 'vleasurement pump on and o 4'~ Height alarm from tank bottom ~ ~ '~~ ~ ~' ~ ~ Reserve capacsty i~dCS .31CS ~C5 ft. of ~` in. gallons ft. of ~ t~ ~- in. ft. @ bottom of lateral in. ( 4' ° ft.}Spacing holes total gallons gallons/minute @ Z•~~ ft. head ft. ft. ~ ft. @ ZS gallons/minute ft. ft. of hea Model # S ~ ~~` ~ gallons t9 ~ gallons t ~~ gallons gyn. tn, gallons 1'abe ~ of FROM CERTIFIED SOIL TESTING j-Y /p 3 ~~~ ~ ~ ~' r ( ,, i - ,~ ;~ ~ z .~.~ ; j ~ ~`~' o 9 ~/ ~ 3 ~ ~ s X13 ~~~ 9i x ~ ~' i a ~ ~ a ; ~ v^' ~ ~~~ M~i 3 r ~ ~~~ ~~ ~;~ ~ ~;~ ~ ~ ~ ~~~ i -o ~ ~~ a1 ~ ~ ~~ ,i N J ~ ~ i O ~ ~~-yy ~' ~ ' ~. / ~~ ~ 7 ~ ~ X ~ ,! 2 cl 3 ° f l C/D "vJ T ~ G~ a ~_ ~ ~ . ..° o, i ~ ~ a q ~' ~ Cf" ~ ,, ~, o 9 ~., 0 /~ ~ 9~ FAX N0. 715 233 0398 Aug. 15 2002 06:26AM P3 ~~ ~~ T ~ ~ ...t ~ ~ ~ _..- .~ ' ~ ~ u Y ~ j ~ 3 /7 e.~~ ~` `~ ~_ o a i o~ ~- 0 v ~~ s ~ ~-. ~ ~ ~ 3 ~~ ~~ `~sa~ y ,~~. J 1 ~ J ~ ~~ ~~~~ o . ( ~~~ ~3 N "~ O ~ ~~ ,.,z~ _„9 'a.g-• ~ ~ .~ ~o~ M 3 y~ ~ a~r~~ T _.~ ~ .~ ~; ~o I r" ~° ~S m ~1 -,w 0 ~o ym V ~c FROM CERTIFIED SOIL TESTING FAX N0. 715 233 0398 _ _ __ ._-- ~--~--~' -------- ---_---- ----- -- _+-- ---1------- Z•S. ~l ~. X ~.e1~1 ~~~~~b Aug. 15 2002 06:26AM P4 1 N M n 1. +v.~.._~K art • t~~~ `` ~• •t~~~~.•~4 ~ q .s.~~~a l." ~o.l.r 4 ;.. titr..q a (~ ., _ s 1 ~~ • iw~ .-1 v 1, M. T ~- __ ~~' ~~ x r~ 1 1` ~ / y ~~ t.. \ tiles, ~ ~ 3. l .1 ~~ p ~ ~ . k ~y~~/ ~--- ~V ~ S O~~ ~....c2L S a ~.QS' t ~ CF ~ ` ` `` l=1 w, \ l ~~.~ l ~ -y 3. o ~ ~Z . p' '3 . o ' g~' ~^-~--~ 3.3 --a (~ ' , 3 •~ c~.,~ta.r~.. ~ ~p 1' w ~- r FROM CERTIFIED SOIL TESTING FAX N0. 715 233 0398 Aug. 15 2002 06:26AM PS • , _-__- _-_. __ _~... '~..4,:.z-...yam to ~.i hc, 's .........~„_.. ~.. ~....... ~.. .._.-..- ... ~ _ __-_-__. . -. + y l ~ 3 ~o 1 ~,, 1 Y Y V ~.~. W p ~- ~ ~ ~ '4 ~ Qom` a l S "r 2 v ~...1 h ti ~ ~ .'„`«"' ~S~ ^a1~ 3.0 ' lZ.~,' ~~ 3.0 ~' I:Z ~~ ~~ Sox7S = a.~-S ~ ~ O ~ [~,~~ PVC L~. Sla~i~ ovi~44yA`:o~ /j~~.~ t~ C n .. • 1~ V L S. GR ~ 4Y. K K . 7 O ~ lb_/~~ (~//~~ ~ i M. ~ I i ~ QT o"« .•~p~t,~ iu SpolTo~h ~ 1 (~ ~ ~~'cuC ~~ 2. ~ Yse.la, ~MOweX,tt \,~. QVC 5~., 4-o r T~~ ~ ~ I (~, p / I 1 1 ~ 4., ~ 0 , ~ ~ . p ~. , c~ ~ ~ ~Z•0~ ' ( ~4rtw 4. ~'i~ (\x'11/ T1~4~ rror C{.~,W ~p Ci K4l ~N4dl.4. I1Q 3 Q ~ ~ 1 ~ r ~ 4- 4 L ~ `. f~` ~""/ ~J h1 Y f. 1[ t L ©Y y.: V A6 1 B.Mr T W • ~ JJJ QVL SC..~ ~ ~" ~pr<< y4~.M \ ~~ J ' 3/ti~ ~( \~ 01 Lt, o -^ 1 e~~ i2X 21~.~ ~ ~ o~ O w 1 ~ ~ t~ ~i 4~~ p o..~ a''~ ( ~ ~ ~ ~ .~,~. \\\ ~ ~ ~~ ~ ~w ~ ~~ ~ ~ ~5 0 ~;"~' . FROM CERTIFIED SOIL TESTING FAX N0. 715 233 0398 Aug. 15 2002 06:27AM P6 k ~~ `-r .-..1~.~ i n.~ ~~ 4k !'tic- , `,, 7TTi 4° ?,P6 3' :ip I{ND1S~uR~D \ 501 L 1 q.p~aovc.C ~T ~~1T-J ~ ~ p trc rttrEL'rtO-+S l-LQv S~ ~3 ~ 75~~ b" ~~~:~~tu I.OCK--~G~GOV~R ~'~ Lt/rO~N iNG L /~BE~ , Qy1CiG D+ac~µlL'>'~ eau x.n. j~A~111G1~ A \ ~~ ~` y a gAl= FtrE, i~ ~ T QJv M Q '.+. -C~ ~r ~ li~.._. `t Z ,~ " we:a.rNt~;Pao~: i`1 .SL N CT ~ v N ~ F+ 8c~ ~~w~ H U:G Co.rr,~e~r~ ~ . 1~~DCK ~Z~~ Y /~/i'!~'rr7 r v .~ .~, G"ti4o` •. (o.s t .. .. ~ _ _ 1 o ~ r ~ ,, ~~ ~ ,~~ ~ 4 ;-. 3, ~-~ i 1 ~~~~ 3c,'~~~ I 1~,~'b ')C'-'~~~ti. SPEGIFICA7101J5 v S C F T; C F ~~r..~~ ooSE ~ ; ~.~~ ~ uuMaca of posES~ ~~~~' aE k ~..~ 7.,x,;..5 MA-~UiACTL,JR~R~ TA-.+K SEz i` : ~ ~~ ~ ~µ° CALLOUS ~ D05C VOLUME S ~ `~~at.~rr` IIJC:LUOIIJG OACKF~.D~I~ ~S ~~ .,~.-:.tii A'..AF,1'1 P4J~.-SUfACTU(~£R; aOOCL UuNMCR: •~°~ 1~~" CApACITIES~ A=Z-~'~ IuCkC50k 3`~~~~;:,~_..~._ ?~M•F n~,uuFAC7uRCR: °~°' '~' C^ ~.S ~ucHC50k ~~'4 ;.,~_.~tiz S~'Et= ~ p. ~ tu~HES ca 1w~.5(~ J~ -~--. ~ r~aDEt. >JUMDCR; ~WITCN TilPf: ~2.v~+~,v `*~ ...~.. 1JOTE' PUMG A-JO j1LQRM nR- TO 6C N1tUt1'1UP1 DiSCHARf,L R~7'L z~'~ G-K INSTAtt_ED pu SEP~~~rC C:KC., '_ vt~Tl.^:. Dlt:ffR[1JGf D~YWCGU Puy OFf /-up plsTklDUT10-J PIP£,. ~_ F!`CT .~ µ:j.:Ir1uM -JCTWORK SUPPLE PRi4tSLIRC 2~r FOCT~v.~-~ ~+ ~'~ fCET O~ PORCC MAIM X ~~~q f/oorLFRIGT1o-S FACTQU. ~'Z~ 1=E~T ~ 2~ Lt.~ti' ~"~ ~S'.... 70TAL C)yUi~MIG N£AD - EET 0 • • 14-4 ` ~' 3 (~ I>,ITERI.JAL C)IMC)J6tp1.1z OP T1x-..IK: L.~1JG7H~,.,..,...~,~;W~O7H~~;LIQutO pCPY~-+ ~,S,S~ ~. ~,~ QL~W'I ,~..r QN ~~•~ , ~~ ' ~ ~, ~,. .'' . • Purne Characteristics -~. M.rw u.l, Srr~rs~l+ A+rlsnmtk IAe/~l~ fN11]OAI NonaptwK .30 F.II lead Anry i.0 IMIa Shied Iele {4 1 R.rJtl. I SSC nc~u 6 I YeM 11S NKr: 60 lernper.tR~ 1 ~0'F Mdti«d NEN41- D~si~e A bs>aetio~ a„ ~ Diular Sire 1-1/Z' MIT {Sitrr~ SoYds NudliRq 3/4' (19rw1 Uelr Wetg11 30 6s. P~rfermehrte Data ~. wwi~ It~aa ~ ~«~,~I ~. z (arrrtt dln+wloK mry ..y, In ~a •.,~ ~. Iw iK ~Mauaw~ ~ r~i v~~.tTia wn l OYnnisn od +a1M re oK.~ott ~~ S. On/oH ~ ~~ e, w.~~~o~ w ar prfhn sd thw pdkown.Nlom twMn ~• ~•,, "~ 11. ~ ~ ,,.,,~ t~,i -7~( ~. ~, I 1999 H drornotit' Pumps, Ashlorna, Ohio t~ R' Ranved. ~rl~j° HYDRUMATICw -ro,,,~„thon=.dl~:dQ~e~,- e ~ 810 Raney Rwd AsNand, Cho 41{OS 1~I:119•IB9•~~1 hr 419-~i1 a0i1 W~6 Site: wrr.antdrounprom A, • SALES C)ffKIS IN Ail MAJOR CRIES ANC COUNTRIES nom u: WU1.8350 t20o 5M ~"'~ Dimensional Data Materials of Construction i 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 lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock andlor painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 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. a. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. [f septic or pump tanks are no longer used, they must be properly abandoned. 1 1. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance I . 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. ~. 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. 11. 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 83.4 (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 f 1 ~, ', , ~: Wisconsin Department of Industry, SOIL AND SIT Ea[ u~ Labor and Human Relations \ 1 ~~ 1 ~3Q, Division of Safety and Buildings in accordant I~ ,. ~; 9 !"" r Attach complete site plan on paper not less than 81/2 x 11 inches i j~a;'Plan r~.,.. '~ include, but not limited to: vertical and horizontal reference point ( direction hti` ` ' ° ~- `? percent slope, scale or dimensions, north arrow, and location and ~r~ce t¢,nearest road`` ~ 3~ ~a t. ~ ~,~ I .. i;~~~,~~ APPLICANT INFORMATION -Please print all infor " n. ,;;,y-r,,- Personal in(ortnation you provide may be used for secondary purposes (Privacy aw„s: ,i 5~4~Ih''(ki~FF1z;~ Property Owner ~{ V N a I ep L ~AI-.9 D d b ~`tParfY . ~ ~! ~ Sd ~•l~ ~~ 1 ~ ~i~ A) Lot # Lb Property Owner's Mailing Address s,r E~S,7,- I ~~ ~1 3S 33~- h i uN~5oT~4 . City State Zip Code Phone Number ST. DAUL. I /'~N. 15Slo ~ i ((o.S/ )22~. •,SS55 ~ city TION ~' Page / of - i;~~~IS. ., ~'Q" ,rT' ~~Pv~'J~ ~ by Date/ ~W 1/4 /y 1/+4,S ~,0 T ~-~, N R /. ~ck# Subd. Name or CSM# /~HMON~ O~~f • Nearest Road w ~ ~- ^ Village.. ~ A~own I ~ ~'~ d [~-iesidential (Number of bedrooms 3 Addition to existing building []'(Jew Construction Use: ^ Replacement ^ Public or commercial -Describe: ~•~ Recommended design loading rate ' ~ bed, gpd/ft2~trench, gpd/ft2 Code derived daily flow ~7 - 9Pd Absorption area required ~-bed, ft2 3 ~ S trench, ft2 Maximum design load'+ng rate + Z bed, gpd/fl2 trench, gpd/ft2 Recommended infiltration surface elevation(s) Su ~ _ ft (as referred to site plan benchmark) Additional design/site considerations N ft Parent material ~D E'sS• D L~ 0 N•S~ ~ Flood plain elevation, if applicable Conventional Mound In-Ground Pressu a AT-Grade System,i~n,Fil/l Holding T S = Suitable for system ~.., / ~-,!^ U ~ S ~ ~ S U ^ S I.'~ U ^ S U = Unsuitable for system ^ S Lld~ ly, SOIL DESCRIPTION REPORT -, Boring # 1 nonzon I vel t it ~ I / 10•i Z- Ground elev. ~0' • ~ft. ` Depth to limiting factor /./ f1 in. 7~ Remarks: Boring # Z. r.~ . Ground I e~~ev. T~'~- ~' ppQQft. ~0 3 D~th to limiting J o •/p /o Vle ?-l l o•~ /oV 3l3 - S ./ io y 3 .~ ~ S io ~ --~ s factor 3~_in. Rernarks: CST Name (Please Print) (Zp13~,R'T" 21~4RiC1.~1' Signature Date Address .... ... _ . ----'-•-- ~ri,~ • 2.S • ~ ~ ~7 .~ ~ ~~s~ ~G Z ~. /L z ~n~i' ~/ / . t ~ /N1 ~i w ~ f ' ••3 .Z~ r • . S ~ +G c .~ • S ; -- •L ;. 3 Teiepnone rvv. ~~s• 3g~ • ~~ ~ s CST Number ~Z.4375 ;~ 1 I , i a ~ . VH $ ~ ~~ L ~a~ SOIL DESCRIPTION REPORT page •~ of '~ PROPERTY OWNER /~ ~j4 ~ ~ S ~ (~ ,(~ " AM I''(O ~~ l7 L/ PARCEL I.D.# BOfing # Horizon Mottles Texture Structure Depth Dominant Color Gr. Sz. Sh. Munsell Du. Sz. Cont. Color Consistence Boundary 2 Roots Bed 1 Trench 3 in. i0 ~~ y! -- SiG /fs1~/C ~ n~~IP /~ . p . S/L I-fsh~' /a y~ - ~'~~ `~ ' a ~ ' 3 ~ ! ~ ~ Ground elev. --~ ! -- J ~L ~ /~ [' /1~V1 T/ ~ G7 / C~ ~' • J ' ~ CO ~. i Z~ • 3 Depth to ,a yie ~ z ; limiting ~ ~ , factor m. Boring # Ground elev. ft. Depth to limiting factor in. ---- Remarks: -. Mottles Structure Consistence Boundary Roots "' - " - Horizon Depth Dominant,Color Texture Gr. Sz. Sh. Bed ,Trench in. Munsell Qu. Sz. Cont. Color , Boring # , Ground - ' elev. , n. Depth to limiting factor Boring # ground elev. ft. Depth to limiting factor in. Remarks: ., SC~4GE % / ~ ~ = ZO -~ ~~ ~~~. ~. LoT L. b ~ ~M ~ I Z 1~4 ` ~a 7`u~ /00, O ' ~aT 3~~ ~ o -~-~ 35 f 2y' ~i z(o ~~ ~ z StJ~PUE VD~PS ~ ~~ ~~ ~ , __ _ - /d 0 __ __. Fs I 2 ~c h ou.~~ SysT~ ~~~~ ~ , io w/ 1Z`~ s~N~ f,-~~ /03.0 w lo, ~ ~3 ~ o~,o~ ~, c. ` ~ ~ ~~af 3~> 1~ .tiY', ,i 7 Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet Owner: cJ ~ -~ -F- ~f ~/~ Project Name and System Type: ~,9 Location: 1. d~ ,3 ~ ~~.~r~~ Street Address SGv % ,~~ ~ r~ Legal Description ~ Y [.~ P // /~ X u,v // /~o~~r1 X ,~~~.~~~,q.es s ao -Ta ~ ,,~i ~ w 5~- C' ' -- n / -~ , Township/County Contents: Page 1: _ P~ Cu T S ~ m ~,vi1 cP~--5 /~~ / ~1 h u ,4, ~ ~p r~ Page 2: ~~~ ~~ ~~ ~~ -~ Page 3: ~" ~/ ~/ Page 4: Page 5: _~ ~p -~ i4 .~z /~ ///iQr.~s~ ~ ~ v ~~~.~"' Page 6: ~ v Page 7: _ S`~~ ~~ ~ ~D~~d~ W~Ar~ s Page 8: Page 9: Attachments: ~~--/~ ~ ~ ~ D~, Plumber/Designer: .Credential Number: ~~ ~O ~ s ~ ~scons~n Department of Commerce August 16, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/16/2004 SITE: Jeff Maxwell 162ND St Town of Hammond St Croix County SW1/4, NW1/4, S20, Lot: 35, Subdivision: FOR: T29N, R17W Hammond Oaks RECEIVED qd G 1 9 2002 ST. CROIX COUNTY ZONING OFFICE Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi, us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 775106 Site ID No. 648880 .Please refer to both identification numbers, above, in all ;pondence with the agen Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 864770 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 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.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/01). • 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 ~, , MICHAEL P ROGERS Page 2 8/16/02 • 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. Stat • 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. • The changes made to this plan on 8/16/02 by this reviewer were acknowledged and approved by the system designer. 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 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. r > 2 Sincerely, ' MICHAEL P ROGERS Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Page 3 8/16/02 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 Sf?.Fa'T'Ic:' "1"AN1'; h-9,~411!'1"I?ll~~Nt•~iz ~,.GT~?I?~11sN~' A 111 (~WNlfk:~fl-fl.i' C.')~S~'!'Il~It:'A"!'ft:ri~! f=`C)ltlvi t.i~4,ttr~i3tavet. ti...: ,:..!'~(1.~..~.._+`..1_-_ ..~_.~.,..,.,, J/ ,.,~ i~ l :t i l i a ic, A d t i r C r.:s ..J~ / Y' ~iS~.L~{./~~.LL.~4!1..~.[.1~.~G:J~f I°a~il,t~tt~r !1,~.i~iac~s g(~ (Co2 ~ ~~~....... ~...1 " -- t -- ; .-. ~.,_.....k....'U,~^r,l fur n?t=h• ~,tans,tPUt`iioaa) .~,- I,V1.rifi~ulilatt rcc,.tia,•ci t9c,itt ! ~uru,iii~ l','c ,;~. ~ _ -" . -..-.._._.- 4~;iiy~sttate ~~~Y~.C~ ~ t'~~t'~:~1 lc'li•'~iil;i:;ltit>,~ t~f;r~~t,l.re1~ ..~~ - /D 3~„~ 3S.~Cr~ i.1i.t.;A,.1.., 1)t~;~t'I~;l,f.?"I'ft')N ~''1'1)l''Ct'l}' J,,frC~ili'ipi1 ~~i, ~,~t/ti, :i~'~7,c~ ~` > ~f~.r,~.C,.../. j~,l~ .4.~ ~... ~, ~~t!~~'J'f1 tah ~ (~7~ LLLLI~1.Lr:1.-1~`~(~ ,171 '~'~ ~'tih~itvi~rcttt _ 1.. ...,,,..,,,....._~---~... - - ~,._. _.....: (''rrtitied Survey !~'~.a}r a~k _....,_........~.._..r.....~.__.,..~~....., Vi,lutta~: _..... , , ~'~tge ~t ~.....• '1~'arrurtty 1f)ee:tl. ~ ...,~..__.r..~..T..~.~_, Vt.)lttni~+ ., --~ 1.'agr. !'~ r,,..._. apc4 lt.utssu ~y'cN 1-1 nu L.c:=i i~tt~.:; idcttii(ittltl~ l~ ,y~:~; C,:::1 ttt.t ~~'S~"~+;I1i. I,LI.A,.I~Iy'~' 2N.ANC] imprc)pet' use and naainlcttancc.ot'yua.t.r sciatic sy.stclia ca~ul~.i r~-:;t~ft in ils [,t'en>tatt-re Fuiluxt: to }antr~tle wn>:P~as. Prapcrm.atir.,t1'u~tac~e (:UZ].tii515 irf ~}l6lalplat}; t+LLt tYIC SC]7fa~ till't}:, Cucr~+ t1;reG ycuranr s<~,!n~r, ii'r,et^ded h)~ a liect.a3e+i j~ut.atfter. Whal yott ;~u1. into lire :;ystt~u7 can pttG,'t the i7.anctiun caf ttac scpt°ic lu)tk: as a tt:cattrtent stai;c in tlic tvu~lo ~fisi7r3;•;,tl syslCnt. The property i,tvucr agrees to sul~,arit tt, S't. ~:t'aix Gonin,~ l'lepat'ICnCl~l a certfftCation t'va7q, siS;nc+.i by lira: owner urld bye a a:rsstc,rpfurulqtr,Jc-utacytiu+uplutotl~et',~cstrir,tc,dl~lumttcrnrali~~,~aa~;r,:a.tur~rt7crvcrit'yinf;~lj.at(!)tFtc~~n siicwarst4;wtilcrdispuatalsyulctit iy ila l,t't~pcr operatitat; Gnud.itiou ancl,'ur (7.) i1t'ier it,~;~e,:•lio~~. Atari lnttnni!tl.; (ii' ncrc;s~uty), tfac scpiic t1tu1: is Icss dawn il;~ full oC staa~.lgc. llwo, trsc uaatjs:r.;it;sacd haul. read 11ae ;above rcltttccttrct7t.9 sta~l sg,rrt: t1R ntuintsita tlar,~ privste r;cwagc ei{sirrtsal system wi1la tl7e sta;aQxtus SGt Cori.la, laCt'Citt, .RS s~k by t.i,e i~)~;lasrtmc.ta.l of C'utr.7rrter~~c; attc! the^. 1.rGlr:trtrnCtri o('13alu.tsl Itt°srrunes, ,iWt OC Wiscut:tsia'a, C'.ettiticatinr,, stutil.a~ th.ttt your srPtiC. 5Y51t'rat i.tws brt~ti rnxir~.tais7ctl nau:;t bar r.~,rc~I,let,a<i an:I r•Ilirru:d to lilt St, (:'t1.aix C:outaty 7..uuitsg ClCtit:c W'sthit; '.i0 days of tiiC three yl'i1r' CXI)ii'wI~i11a li3lL`. ~~ ` ", !~~. ~l 1k.I{ I7 A>'1'1. C'AAl"i" C)ATt3 I (wT) ,~eriit'y that 1111 stotcnicntra nn. Unit, t"ortn err true trt tlx' lat)sl ul'tuy (Dori L+.tanwleri~,n. I (wo) am (art:} ilac o~rnct(~) tai ttae ptc~perty deacril')r_,~ 111wvc, f.;y vitiue ;:,!' 3 ~atsrrattly rie~d rc~c~nrlr=i i,a i?~l;ister ol: t~~:c<1w QftICC. ~,it:;N,~'1"lRl~ Crl~^~Pt't.it''Ai~IT .,,1.-L: ,.. L7A'I'I? 'T°•'*• Any irtfc>ma,tliurt tiro! i~; atlis•,rci~rescutr.c.l'tnay rc)ntit iit tlac s~ti,iRury t,Crlatit h~iaal; rc.vtalket! by tJte 7.oniaag ~rparltaacaal, ~"'""•"' '~` luciude. tvitFt this Alai~iitatiltsra: 1i sturnirccl warrcrcuy clued fa:am the }~.c~;istcr c)C ll~ods Ufl'aGC a copy vt tl.:e certii'ied susvcy na~I~ iC te.!'C.rc.ace iy ttusde in lire vfiam+uty de,tad ~d l4d~~:~L Z~~ bI '6~ 999SL~SiS9 'ON kL-t~ ~~~ '~,lI(10~ 3JOH i1~115NI WO~~ POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Owner Permit # DESIGN PARAMETERS ~~ Number of Bedrooms 100gpd/bedroom ^ NA Number of CommercialUnits NA Estimated flow (average)* 36a gaUday Design flow. (peak), estimated x 1.5* gaUday Soil Application Rate gaUday )n#Iuelit7E went Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) 5 30 mg/L Biochemical Oxygen Demand (BODs) ~ 220 mg1L Total Suspended Solids (TSS) _< 250 mg/L Pretrea Monthly Average* Biochemical Oxygen Demand (BODs) 5 30 mg/L Total Suspended Solids (TSS) S 30 mg/L Fecal Coliform (geometric mean) S10{cfu110 Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and c th er than bedroom base d) (O ~ r ' / IV ~ ,~ ~ ~!/V ~ ~ tS~O.S~ ~ ** Values cal for domestic (non-commercial wastewater and septic tank effluent. ` * * * V slues typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity pw gal ^ NA Septic Tank Manufacturer , ~ s,e ^ NA Effluent Filter Manufacturer zd! ~ ^ NA Effluent Filter Model p ^ NA Pump Tank Capacity (o pp gal ^ NA Pump Tank Manufacturer w, ~ s „~ ^ NA Pump Manufacturer Z~ ,~,~ ^ NA Pump Model ~ ~ ^ NA Pretreatment Unit ~ ^ SandlGravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ressurized) ^ At-grade Mound ^ Drip-line er: ^ Leaching Chamber Manufacturer Model Approval Stipulation Soil Application Rate_gpd/ftz Area Req. Absorption Area Credit per unit fl 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 (R.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-P (N.O1/O1) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD - 10572 P (8.6/99) "Mound Component Manual" SBD =10691 P (N.O1/O1) "Mound Component Manual" Version 2.0 ^ SBD - 10595-P (R.6/y9) "Single Pass Saud Filter Component Manual" ^ SBD - 10657 P (R.6/99) "Drip-line Effluent Disposal Component Manual" p SBD -10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTE1~jA~l E AGE NT MAINTENANCE MONITORING SCHEDULE f ~ Service Event Service Frequency pect 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 pect dispersal cell(s) At least once every ^ months ~yeaz(s) (Maximum 3 yrs.) ean effluent filter At least once every ^ months ~ year(s) ect pump, pump controls & alarm At least once every ^ months ®, yea(s) ^ NA lush laterals and pressure test At least once every ^ months ®year(s) ^ NA Valves At least once every ^ months ^ year(s) ~„ NA Other: At Least once every ^ months ° ^ year(s) ~ NA L (/ Page 1 of .> START T]P 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/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minhnized. 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: Bz,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 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 Tnspeciion 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 bmken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be 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. O 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 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 Z of~ ;~ ~s Mound, At•Grade,ln-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 Iaterals 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 azea has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement azea should be protected from disturbance and compaction and should not be iniiinged upon by required setbacks from existing and proposed structure, Iot lines and wells. Failure to protect the replacement azea will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement azea is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. D The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement azea is available a holding tank maybe installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~t?i,Y.L ~u~,v~-5 Phone g s s- ii 3i SEPTAGE SERVICING OPERATOR (Pumper) Name Phone K:\WPDATA\EH\POWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone ~ LOCAL REGULATORY AUTHORITY Agency Phone Page ~ of FRDM : INSTANT HDME EQUITY, LLC FAX ND. 6515015566 r;l'A'('1's L1,1N tYl+w+acU'Nxty utlttW ~. I~>aµ v~,~rt1~~N~rY i-t~>``u t)ouummtr Nu,ll6vr _ _ _~ Tpiy ;11µ1:d, made k+elwaeu Ilucuatlnnd I.Ilud,'!.L(', q ~Thurcrctua fwd l.irlriift~l;otnpuny ._ .._..__ .._..._... .. ...,,_..... ., .. ~ __........:i.,., ._.... ..._... ........____...., .. ! well ... __....., _.. . Grnucor, iuld ffn:r C. 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