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018-1086-36-000
a o e ~ ~ y h 4 ery h O O N ~i O C b v c 7 LL I 3 `~ ~ M m > j Z Z ~ ~ = O ~ ~ rn Z a m N H In C (7 O Z ~ r m Z ~ N ~ ~ • (V C O ~ Z Z N y ~ .. m R E ~ v ~ ~ _ m 'A ~ E . "'' o ` o a ~~ww ~'~J m m 2 M ° N W to r O O O .~ m ~ a o ~ O y ~ ° ° cn~U E o o = N N O O m m o r- v y c m C O y ~ ~ O .r O C p y ~ OD N C CO O p M ~ ~ GO I N q it ~ ~ C W O O ~ ~ IH ~ N E L 7 ~ ~ y„i co O N 2 v W H O O CC ~ O T r CAS + ~ .._ . €a ~~ Q , c `Iv +~.+ a' v c ~ c ~ r~ r A vat Ov~it°~ ~o 3 0 O ~ m c 0 C O N N O. m y I ~ U L m .3 ~ n c x ~ M O y m Er o m ~ z Y m f6 N w C (0 ~ O y m a .y ~ Ha C O . ~ U .y-~ O O Z N E ~ N M .~ m ~ m ~ O ~ ~ U O z N v v ~ n ~ . °- ~ c m ,~~ a ~ o 'S ~ ~ } o Z ~ ~ 7 a o a m ~ c ~ Q n cA ~ m n ~ c C ~ . O ~ 'p N _ ~ •' > O ~ U CJ m «: ~' E ~ s ° ~ z a ~cn Wisconsin Department of Commerce ~ PRIVATE SEWAGE SYSTEM Safety and Building Divisiun ~ INSPECTION REPORT GENERAL INFORMATION (ATTAC ~ TO P.=KNIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)i. Permit Holder's Name: City Village Township Edhlund, Ian Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: ~ ~ ~ ~ ors ~ ~T ~ s TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic C(t7~" ~ DOD Dosing C~ La-o (~ b7~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L s WELL BLDG. Vent to Air Intake ~~ ROAD ~ h3 Septic S r y ~i dam/ +~ P Dosing Aeration Holding _ - = PUMP/SIPHON INFORMATION C~"'O~-d ~r''` a~ Manufacturer / Demand /~-/ 1 E ''~ ~ "'~ GPM Model Number ~ Z~ a ~y TDH Lift Fricti~ ~ s~ System H ~~ T ~ ~ Ft . !, 3. i Forcemain Lent Dia. a Dist. to Well Z ~ 6'I ~ r lJ t SOIL ABSORPTION SYSTEM 'D - ~~ ~v-v1_ ~ ~. a .O r ELEVATION DATA county: St. Croix Sanitary Permit No: 420474 0 State Plan ID No: ~~~' t/ Parcel Tax No: 018-1086-36-000 ~C~ lam' 3 s d~~ua'b~vr~- ~~~ >~~ STATION ''L BS ~~~ FS !ELEV. aD , ~ Benchmark ~ o .v~ [JD.Cod Alt. BM ~ ~ 0 (o. ~ Bldg. Sewer q~ /• r7 St/Ht Inlet //. `f ~/, St/Ht Outlet ,,,/~ Dt Inlet Dt Bo m ,n_ J 1.tM1 ~ /.3t-~~ c/8, O Header/Ma . ~. ~ ~~ ~3 Dist. Pipe ~ p o.~ r '% DSO ZS Bot. Syst m Final Grade ~ ~IyyKi ,,,,~,p St~ ~i ~ . O~ .7 IZ/ ~~ . , ice. cfCf~ I Q~ • !~ BED/TRENCH dth ,_ -+ + ~ ~ Length r No. Of renches - PIT DIMENSI No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ _ • ~ ~ SETBACK YS M TO P/L ~ BLDG WEL LAKE/STREAM EACHI Manufacturer: INFORMATION `- CH OR Type q{ S ^ em" - / t ~O~-/ ~ N ~ NI Model Number: ~ DISTRIBUTION SYSTEM ~ reOD~ ~ P...,L..,~- ~" Y• v Y' %:~,rsa d C~aa~/ o~'-- Header anifold Length ~ //~~ /~ Dia rt Distribution Pipe(s) 1 Length ~ Dia i ~ /'J ~ ~ / Spacing x Hole Size 3/! ~ .~ x Hole Spacing , / ~ `y' Veit to Air Intake ~ 8~ ~ ~ SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv B9ro?/tN'. II.u~.a~~ ~pth Over ,r Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed nch Center Bed/Trench Ed es g To soil p ~I Yes iJ No !~, Yes [I No µ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection/#1l1PQ~/ D~2. Inspection #2: ~~/~ / ll~ Location: 868 162nd Street Hamm^onDd, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) Halrriino~ Oaks Lot/36 Parcel No: 20. .17. 56 1.) Alt BM Description =//S~ ~V~r` / ~(.(iY+~.~ ~T~' ~~f ~ C /J~~'Or~~2 2.) Bldg sewer length = 10 4~ bQfy~~ ,~.s~o(l~a~ r~~i'v-'~ ~~1~S~IZ~~i~'l1% (~.(i~- ~ C~t,O u0 (~K . - amount of cover =~ ~ ~-- n/~ o 3.)Contour= ~!)~j.4o C&h,olE""~ ~~~~'~-~o$'"o~'~ Plan revision Required? Yes i L- !-~ -~ 1~1~ --_ _-- - - - ~ J 1 /~ ~~21 --~ Use other side for additional information. ~_-----_~_---~V--_- ~-----------__------------- --~~'(irit,_~_ CS! SBD-6710 (R.3/97) Date Insepctor's Signat a Cert. No. SSIIltBI'y' Pel'IIllt AppllCatlOII Satbty 1sc ttuudings uivision In accord with Comm 83.21, Wis. Adm. Code 201 W Washington Ave. PO Box 7302 ' See reverse side for instructions for completing this application Madison, WI 53707-7302 On.S~n ~S` Department of Commerce Personal information you provide may be used for secondary purposes _ ~ privacy Law, s. 15.04(1)(m)J ,3 ~d/ ~.~e ubmit coin leted form to county if not P state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. ~unty~ /) State Sanitary Permit N ~ ber Check if revision to previous application State P~ I. D. Numbe ~ (~ r ~ r0 , ~ I. A plication Information -Please Print all Information, .---~--,;. „. ~, ;, Location: Pro rty Owner Name ~ ;R L~ ;:- i S perty cation ~ / ~~ ~J N ~ ``.. ,/r~, cJWI/~ 1/4, S ~171'~,N, iL [c (or Property er's Mailing A dress ~ j~ ~ ~ ~ ° ; ~ { T ~~~ ~ ~ Lo Block Number ~~ , ~~ -~.N ~ Ci ,State ip e • Ph ne N ~~ ,~„~,~ ~~~,,;~ l~ ~i Wt ~~o~~ ( ~~> ~~-~~~ Sion Name or CSM Number ,~.coK,o Ones II. 'I~pe of Building: (check one) 3 / J~,~y~~ „Q,r„r /yu~',,.~;~"~ d : / / - f B il D lli N ^ City ~ Vdl~~ ~bylp rooms ( e o. o y we ng - 1 or 2 Fam Town of ^ Public/Commercial (describe use):_ ~a ^ State-Owned a `S~ rN ~ _ S / 3,X .7 ` , ~~ Nearest Road©! ~ ~/~~b _ ~ _ ©Da 7L ~~ ~l / ~ `rD o ~ , p ~ ~/ ~/ ox /0 3.6 ~ ~ ax um s o?o ~ III. Type of Permit: (Check only one box on 1' a A. ec ox on line B if a licable) A) 1. New 2. Replacement 3. Replacement of 4. S. 6. Addition to Existing System System S stem Tank Only B) PetmU um er ate Issue ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground ound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Dispersal/Treatment Area Information: Z = tt ~~~' 1. Design Flow (gpd) 2. Dispers Area .Dispersal Area 4. Soil App.ication Required ,~ Proposed ~y2's to (GalsJday/s . ft.) 5. Percolation Rate 6. System Elevation 7. Final Grade mJinch)~ Elevation ~ ~~D ~5 a ao~b ~ ~--~` ~ ~ ~D'~- to '~ l D 7, ~ r e VII. Tank Information Capacity in Gallons Total Gallons # Tanks Manufacturer ~r~0-}LC.~ ~ Pre ab Con- Site Con- Steel Fiber- glass Plastic New Existing - n ~ ~ Crete structed Tanks Tanks ~~ ~,r,2~ ^ ^ ^ ^ ~t° T~ L (o ou o0o ec~ ~'~ ~ )~ ~ ~" ~o _ ~ i u ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume res onsibility f install ton the POWTS shown on the attached plans. Plum ei's Namc (print P s ign o stamps : MP o. usmess Phone Number ~~ ~- NZ ~ (3~~~oZ 7(S Z~ Z~~S~ P-umber's Address (Street, City, State Zip C e ~ ~ ~ d~/E (,~J= . ~S ~(7r/ ~~~~ `708 IX. County/Departmeattise Only pproved Disapproved ^ Owner Given Initial Adverse Sanitary Permit Fee (Includes Groundwater Up Surcharge Fee) Date I ued .+,~•D ssuin Ag t Signatu stamps) ~ _ ~ ~ S /D ~ GG~YliJ~t le Determination r X. ConditionsG~o~~f,~Approval /Reasons for Disapproval:3~ ~~' ~ i ~ `~"~ "`"""0 ~ ~Zan~ -~ ~Pi~~~4.~ • ~~ ~ ~,~,tir.~,~,,.t~(, h~cu.e- ~. v-t,~.'.. -1 •a q~ aid 1~ U ~ ~ Ourn~ ~~a~c.,~i:c~ ~ rdoGVrs /yl~f,~.~,. Cuf-n~nzu-~~~.- ~Cw~ ., isconsin Department of Commerce Safety and Buildings .~ 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary October 02, 2002 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/02/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 ~~ ~ w SITE: Ian Euhlund 162nd Street Town of Hammond St Croix County SW1/4, NW1/4, S20, T29N, R17W Subdivision: Hammond Oaks -lot 36 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 871891 Transaction ID N 791719 Site ID No. 650871 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. / Owner Responsibilities: • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. CoP d~ onS' ally 16 w .... TODD L SINZ Page 2 10/2102 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us cc: Leroy Jansky -Wastewater Specialist, 715-726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 ,,~~ Ian Euhlund -Mound .~ ~~ -.,~ ~ ~ ~~ ~~ ~ ~~a~ Transaction # .~'~®~ so `~ Construction Materials and Techniques ~~/ All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (Ol/O1) Location: Lot 36, Hammond Oaks SW 1/4, NW 1/4, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: September 27, 2002 Owner: Ian Euhlund Address: 4 36th St. merset, W 54025 Plumber: dd Sin Signature: License # Mlh 1139462 Attachments: 6748-Plan Approval Application SBD-8330 page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management -. ~ r r~-~ ~' ~ D DEPARTMENT OF COMMERCE DIVlSlAN O~aSAFETY AND BUILDINGS SEE CORREgPONDENCE page 1 of 8 4 Design Criteria ~~'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~"~~° gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length ~ @ Lateral elevation Lateral hole size 3~t b in. @ 1 ~ holes/lateral Design Calculations ~ • 2. gallons/sq. ft. per day '~ L~ in. ~ ~"`~ in l~ 25~ 14,~t ~-~ ~Z.. a \ o s^. l 4-~ . ~ 5~ Lateral volume 1~.Z4$ Total lateral discharge rate 2,~''•o g Network pressure compensation losses ~ ~ Elevation difference l,•3~ Friction loss ~•~~ ~ Total dynamic head 9 •~ ~ Pump/sip't~bn 32•~~ gpm @ Manufacturer ~~ -~,~. o ~..«, ~•~ Dose volume ~-3•~ i I Lift/sipl~'on tank l•~~-~~ ~~~' ~~ -~~ cor.~ Septic tank `' ' ' ' 1-;ff]uent filter ~ ~~~o ~'T ~ $'L'L - t4. 4 ~ Measurement pump on and off `~' • ~ Height alarm from tank bottom ~ Z•g Reserve capacity 433 ~• specs.calcs.res ~..... k ft. of 2 in, ft. of Z- in. gallons ft. of ++~ Z in. ~" ft. @ bottom of lateral in. ( ~'• ~ ft.) Spacing holes total gallons gallons/minute @ 2•~ ft. head ft. ft. i ft. @ Z ~ gallons/minute ft. ~~~ ft. of head V G~ Model # ~ ~+~ ~ ~~ / gallons ~ ~'° gallons + ~+~ gallons tn. tn. gallons Page ~- of ~ i . ~" ~I 3i ~I elf a Z 3~ N ~ f ~ J ..S 1 9 o e~ _~ ~-4 I I t I ~~ -e ^/~ \~ 3 /~ f d Y .:v r d ~ - ~ ~ ~ p , N ~9 ~~ ~ O r a ~ x ~-- , ~ ~'- ~ '~ ~~ ~ o y~./~ r1' d r ~ : ~ S .~ ~ .-h .~ .~- ~ ~ ~ ? ~ ~ ~ ~ J ~ ~ ~ ~~ ~ i 0 0 d ~ i ~o ' ~ .1 - .a 9 ~ ~ ~~ b -9 "j ~ i ~ ~ ~ o .~ ~ a S 1 J l~ X fl d a 1 ~. ~+ 1i ~ ~ ~ ~O r t ~, Q p ~ Mr ~ A o H 11 , j , r ~ ~ ~ . os c.; ~ d d /a .~.r ~ , ~ J ~ ~ 1 ~ ~ s a ~ ~ ,~ ~ L ~ ~ ~ =~ a f ~ ~~ ~ V~ a.i f ~ n 0 ~~ ~ O 0 d 0 ~6 ~~ 0 ~! ' / ~N M -~' ~ o N 6" e ~y~ .~ V ..l i- ~ ff ~ J ~ ~ ~ f s > ~ ~ v } \ C~' ~~ ~ s ~ j '' `~ ~ ; Y t3 a ~~~ ;_ . ~ i~ F7 * ~ r~ s s F ~~ pp O ;, ~ ~ ~ v ~ '•i s ~ a (r S ~ r ]a~~ , V r' ~ ~ I~ ~ ~ ~ r I Q Q' ¢- N N / ~ i ~ i i ~w 0 ~ ~~ ° Z~ P w ~ s a t ~ P F P d j ~ ~' ~' r ,~-, r g• ~, f ~ 1 P H ) ~ 1.'. ~ ) ~~~ ~ 0 ! - ` I P . ' ~ p ~,.~ ~ ~ r° f °~ ~ ~ ~ , s ~ ~' ~ O M ``" ~^ !L• ~ ~' ~ t ~ o F- ~ • .. n ~` r_ ~ 6 r ^_J r t ~~ o r r, r- ~ o ~ s K r r- • , ,. ~- ~ t ~ / \, A \ J J , r ~ ~~ / ~~ , .i e - r ~~ ~A 9 0 0 ~1 r ~. 0 Y r~ ~~ ~~ r f.~ ~ r ~~~' ~-, ~~ 6 ,#'' ~. f , r~ Q (/ ~' j.. ~: P ~ x .r f ~~ s f ~ ~ ~ r G ~ ~ :~ ~ ~ ~~~ Y p 0 0 ~. v S. ~v f r ~ ,- -s N N_ ~~ r ~ ~ e `^ ~ ~ 0 ~~ F g ?%~. f~ r .+ v a+ .~1~ 0 /~ r ~ _~ Z Y: ~.I 0. I r ` ~. N H P n t c J P f r, s J ~ ~ ~ v~ Vc~ ~ ! S ~ ~-c.+t o.. II N N Z }v~,~,~~a'l `fit . 'L~/~ ...~~..~~ 4wJS f ., t t c~...~.. a i." b~1••, o• t ,.L.re ( n .. Y 1 1 w wS`L ~~-ovwoX "~i ~ y~w 1 ~•, ~1 KS V 1\ ~ti ~~ t~ I _ ~~ a .~~ "'~ ~ ~ ` ` 1 ww / 'ter ~I y 1 ~, t~~~~ ~.~~11\ `-M1'. Lhi J, 1 • 1'~3~-vK ~Z S (~ ~ ~ '~` \ ~ ~~W, ~J \ ~+os.b~~ 3L.$2.~ -~' 1~e}e.; c,v.~~ow. `-03b~ ~S l.`$~ s-ov.~.wt tv ~5~~ r••» ~. ~: ~. ~- ~ w. ~ ~ w ~ ~ ate. ~ ~'. 1~ w q ~ 1` o r - __ ._ .~..~.~:~~...,...K._.....~..._..._..__._...., ........:.,...,. \0.ti ~;'2.~..... --~-- b ~o w~.y _~ ~~ -~' -- I ~(q.z' ~\ ~ ~ 2 ~, \ -0.'t- ~ a.l s ? ¢. ~ v.. t ~n ,, t- ~ Iz.~' ~.z~ y 3. ~~ 3 b.$Z~ ~ ~Y ~' .3 ~r ~, 11• SCE ~~n~ ~~ ~ ~ ~ r ~~ ~~~~~ ~S,z` 0 ~, C`.~~ PVC, t~. ~`7~.~ p~~vr~~`:or. wp~~t ~u Wo~or.. • ~ ~ee.l` • •a,~X.c{ UC ~~li, Pic s~-, 40 ~~ 4~0' I 4,0~ ~ ~ I 4,~, I 4,0, 4 Vt~.. w t ...~ .~.~~ a.~ a~ cI'ti~~J~y\\+~~{~ .4..0 lei wM ~..`0~. a' ~N~}Q~, ~`.P W.~ ~J 4`Vt VJe xQC Qr' K~ 1G~Y~ ~~ ~ J C l` • 3~,-~ ~( ~\ O\ G~ O ... 1 4~ R.J+ ~-~C fll~ ~ Q~ ~ 0 , 1 O ~-. \ ~ .. ~ ~ "~ + O,, A N- l ~ ' ~' \~ `~ ~ \ c..1 9.N \ 4~ fL- vC ~ ~ o\ C 1 ~-O -F ~ a~ ~ ILA ~ ~ .. (4~~L~ SAFETY WARNING -Risk of electric shock. This pump is supplied with a grounding conductor and/or grounding type attachment plug. To reduce the risk of electric shock, be certain that it is connected to a properly grounded grounding type receptacle. Your 115V effluent pump is equipped with a 3-prong electrical plug. The third prong is to ground the pump to prevent possible electrical shock hazard. Do not remove the third prong from the plug. A separate branch circuit is recommended. Do not use an extension cord. When a pump is in a basin, etc. do not touch motor, pipes or water until unit is unplugged or shut off. If your installation has wateror moisture present, do nottouch wet area until all power has been turned off. If shut-off box is not accessible, call the electric company to sh ut off service to the house, or call your local fire department for instructions. Failureto followthis warning can result in fatal electrical shock. The flexible PVC jacketed cord assembly mounted to the pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice between the pump and the control panel must be made within a junction boxand mounted outside ofthe basin, and comply with the National Electrical Code. Do not use the power cord for lifting the pump. The pump motor is equipped with an automatic resetting thermal projector and may restart unexpectedly. Projector tipping is an indication of motor overloading as a result of operating the pump at low heads (low discharge restriction), excessively high or low voltage, inadequate wiring, incorrect motor connections, or a defective motor or pump. FL^W- LITEFS/MINUTE 80 160 240 320 w w Q a w I 1 s. o 12. s ~ w l o. o ~- w ~. s i ca Q s.0 L,J 2. s FL^W- GALL^NS/MINUTE PUMP PERFORMANCE CURVE 115V 60HZ ~I~L`i~~/ ~~ 7 SAFETY GUIDELINES 1. Read all instructions and safety guidelines thoroughly. Failure to follow the guidelines and the instructions could result in serious bodily injury and/or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR EXPLOSIVE FLUIDS SUCH AS GASOLINE, FUEL OIL, KEROSENE, ETC. DO NOT USE IN EXPLOSIVE ATMOSPHERES OR HAZARDOUS LOCATIONS AS CLASSIFIED BY NEC, ANSI/NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJURY AND/OR PROPERTY DAMAGE. 3. During normal operation the pump is immersed in water. Also, during rain storms, water may be present in the surrounding area of the pump. Caution must be used to prevent bodily injury when working near the pump: a. The plug must be removed from the receptacle prior to touching, servicing or repairing the pump. b. To minimize possible fatal electrical shock hazard, extreme care should be used when changing fuses. Do not stand in water while changing fuses or insert your finger into the fuse socket. 4. Do not run the pump in a dry basin. If the pump is run in a dry basin, the surface temperature of the pump will rise to a high level. This high level could cause skin burns if the pump is touched and will cause serious damage to your pump. 5. Do not oil the motor. The pump housing is sealed. A high grade dielectric oil devoid of water has been put into the motor housing at the factory. Use of other oil could cause serious electric shock and/or permanent damage to the pump. 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum motor heat transfer and lifetime lubrication of the bearings. Use of any other lubricant could cause damage and void the warranty. This lubricant is non-toxic; however, if it escapes the motor housing, it should be removed from the surface quickly by placing newspapers or other absorbent material on the water surface to soak it up, so aquatic life is undisturbed. 7. In any installation where property damage and/or personal injury might result from an inoperative or leaking pump due to power outages, discharge line blockage, or any other reason, a backup system(s) and/or alarm should be used. 3 0 20 40 60 80 100 ("~Rir WEATHERPROOF LACKING~COVfiR .TLNCT~orr QUICK Dl~GOVVtGT-1 +'"-~ 4 ~ 4 ~, I~' ----~ ~ 4" arc ,~~, ~' 4 ~ GIP 6 3 ' ~ /7/~7T~;,~I .~. (1 U NDISTURf~D Puc. Solt' 24" I.D. ~I 4" 40 MMty01E ~ i YchT .. ~, -. 3, 5 /MLf T n ~ G~lTL ~ / ^ - - - '.a W L.._ P 5..~ sI~:.T ~xr'J _ ~ BAFFLE ~ 4 c ~ P,r~ a Ac 3' ow-fo ~ E C.T i o r+S ~ d Y °^~ c.-o F Y ° 'Cti L- 14 ~3 F1 -Zr- ON - w~Duivcc.. ~ 1 ~ G~UrtO ~ "l' 4Z„ p PwlP ~ ~~ b~oCK 4~•0 sEPr~c E SPECIFI~CATIOIJS 14 ~ ~~' "S`~' DOSE I ( K ~r `~~ Ts,~„~, MA-JUFACTURCR: r-} b- ~.~ IJUMBER OF DOSES: PEk 0~~ TA-UK SIZE: `~~- ~~ GALlO-JS DOSC VOLUME ALAFt'1 ruwuFACruRcR: S `~ `710K-~~s IAICLUDIAJG 6AGKFl.OW: ~~•`~~ GA~~Jl.;j /'1ODCU 1JUIhbER: \ e 1 1-~ ~ _ ?i4,1 ~~~• w~ CAPACITIES; A_ IAJCHCS OK ~r31.(~ `.A`Lol~ SWITCH TyPf; (~ ~ ~ /1AIJUFAGTURCR; - ~~~ 8' ~ IIJCHES OR ZQ. C.~..C..j ~ ~~ r~^, ~ o ~,. ~, Z L~, `t 1 1 C. ° iUC HE 5 OH ~3.0 ~ MODEL IJUMDCR; ~ ~'i~ ~-' ~p "^~-~~= p. ~' IN~,HES GR ~4L~', SWITCH TAPE: ~MR.V~v .,^..~,_: IJOTE' PUMP AWD ALARM ARC TJ BC I"11-JIMUPy DISCHARGE RATe ~'` GSM INSTALLED 01J SE PAR^TC CiKC.. T~ VERTICAL DIFfER(1J~f DfTWCCU PUMP OF/ ~.3j~ 0 OISTRIDUT101J PIPE,. FEET ~ M~uIMUM uETWORK SUPPI.y PRELSURE ~ 2.~ i ~,~-s~ • ~ FECT + ~ FEET OF FORCC MAIIJ X ~.~~ FT,~ Iool[FRICTIOU FACTOR. FEET ~ ZJ TOTAL D~UAMIC HEAP - a~9~ -` vu - FEET I~;TER-.1/~l~ DIME1JbIO/.JG •Of TA1JK: LE-JC.7H ` 11 ~Z.'1 ---~~ _ ~ w ~ D T H __________ 4- 2 ~Iqul~ DEPT H ~ ,. , .- ~ ~ r- .. .~ . • - s Puma Chdractaristica - /Meter lhit Swbe+essttib Aetowatit Models StlEF30A1 Norsepawa .SO Fell load Attsp l.0 1Mta S~haled tot, 14 1 R.-Jd. 13SC -fwee 0 l Vak i1S Hert: 60 lempentwr 1 ZO'F A~lottf NEMlA Desi3e A ~,~etia a,: A D'euhru Sh. 1-1 /2' qn tsat+l.f sands Naditry s/4' flan.) u>Wt Wetgrt so ~. hover Cord 16/3, S1TW, 20' srtL Materials of Construction NeeoNNr SMYtMs~ Steel lubrtr on llielectric tH fl4etor Nea Ceq ka Cm Cat kart Mletkplcal Shaft Sed S«i Fetes: Cariott/Ceratak Sed Ndrs Aee~ 6teel SRri.~ ShiNbst Steel wss IwirN r E Gst kart Slaw lows Row Mp tetten -lHe E >k Fasteewr ~ StttWess Steel Perferrnehsre Dtt><to ~ ~• so 6 ••~ ~ 3 s fi~ I r t io to >o ra ~ cpur,~s,ra.e. r ueis~s~a.e a ~ t t Tvt~l N~ f~~t 0 i 12 1• 20 41 0'M pl.l.1 44 S~ 2' 2= l s 0 Dimensit~-nal Data i . ~ A~wri«s ~ I ~ fetwee6ena~ ~. x 1 ~. mry ,.y: I~A~ •.va 7. Np (x c~upwn pu}ra ->.~ ~ ~ w•. t oYanfans all wipla an aairoa eprreekau S. On/OH level aAuaohle b. 'Ih merre ~!e ~ a aqt. R~or a sr prYud sd thei pdbosao.NlaA ndka ~,, • •`~ i ~l, ~ ~ 1(JOr)~ gz1;f ~---f ~'~ ~ r v, s; 1'° (%) r~~~r ~~j° HYDROMATic w a w i 849 Barry Rwd dsNand, Ohio 441»5 Tel: 419.189.3011 hx; 419-~61 ~40E1 Web SBe: wrrr.pantdro~D rom SALES C1fFK[S IN 4ll IRAJOR CITIES ANO COUNTRIES qem u: W-~i4.83S0 1208 3M w 1999 H drandic' Purnpa, Ashlor~~i, OF+~o ~,I! R' fs Rew+ved. - Ywr AuthonYad to:d Caistriburor - i ,. __... . _..._ I _...,. ..._...... ~i , . _._~,...T. ~ i f . _ ,~ ~ ~ % System Management ~ ~oZ.O~ Management of this system is critical. As a condition of approval of these plans this system management section ttiust 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, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . I f the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. ~. Never pour grease or oil down any drain or stool. ~. Garbage disposals are not recommended; if you must have one, use it sparingly. 5. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 3. Avoid surge flows of water; try to spread laundry throughout the week. 3. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. I I . I f 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. ~VIaintenance 1. The septic tank must be in pected every three years by a properly licensed person. 2..1~ecessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third o t e tan vo ume. ~y/~_ ~ ~(~ 3. Went e 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 se tic tank to remove accumulated materi 1. ~~ /~~.~~ ~y~S, 4. eriodic observation_ptne inspections should be made by the homeowner to ermine the state of the in-situ soil adsorption cell Quarterly inspections are recommended; a Itcensed 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 IS' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 I . 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 .., i# Wisconsin Department of Industry, SOIL AND SITE EVALUATION Page ~ of Z Labor and Human Relations -- Division of Safety and Buildings in accordance w' S. ILHR 83.09, Wis. Cdunty. ~• Attach complete site plan on paper not less than 8 1/2 x 11 inches in si~'.••~Plen mu$t• - ; `. , ...~ ,. s/ • ~'~` Q/ ~- include, but not limited to: vertical and horizontal reference point (BM~ cUrection and • ~- - • percent slope, scale or dimensions, north arrow, and location and dist~RSe to nearest road. Parcel f. . # O '" • ( -` -, Date APPLICANT INFORMATION -Please print all informai~.~osir ,`a Revtewe by Personal information you provide maybe used for secondary purposes (Privacy La s ;~f A4~ff~r!,; t,,~c:iGE ~ , ~. t,d' Pro 'e Owner P ope[ty Location d aLL~ {~ vf. 'oY~ 1/4 /VG/j/4,S ~ T ,~. / ,N,R ~ 7 ~ (or) W Property Owner's Mailing Address Lot # ock# Subd. Name qr CSM# 332- 11 i viv~SoTA ST E~1s T ~ yo ~ 3Ce ~1'MMON1.7 o~4•~f' ~~ Nearest Road w ~ ~- City State Zip Code Phone Number ~ ~ City ~ Village LJ Town ~ (O d ST• Pnv~ i /H~. 5Slo I (~oS/ )zaZ •55S []'New Construction Use: ~tesidential /Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: ~ Recommended design loading rate • 2 bed, gpd/f12~ tench, gpdfft2 Code derived daily flow ~_ 9Pd ~,' S Absorption area required ~_bed, ft2 trench, ft2 Maximum design loading rate ' Z bed, gpd/ft? trench, gpdfft2 Recommended infiltration surface elevation(s) sr~ ~ ft (as referred to site plan benchmark) ~RE'~vGG,, TY/a~' ~lOU.Iv~ S!/S T• /PEQlJiiE~~ Additional design/site considerations N/ ft Parent material ~DE•s'S ~V~ O~NSL~" T/~~f Flood plain elevation, if applicable Conventional Moupd' In-Ground Press a AT-Grade System in Fill Holding Tan S = Suitable for system ~ ~/ ~ U ~ S ~ S ~ ~ g ~ ^ S U U = Unsuitable for system ^ S L~ ~ SOIL DESCRIPTION REPORT Boring # ;t __ t Ground elev. /03 .~~--ft. Depth to limiting factor ~in. Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Textu o•~ ~o ye z/ i.. _. s~ z D •t ~o yR 3it3 •- Si 3 io vR 3/ ~- S•y •oYR 3/ v~// ~ f hots i o YiC Y!G Boring # ~. _. Ground elegy. ~b3 Cc~ ft. Depth to limiting Remarks: ,, ,o y,~ zz _-- s, 3 ~•3/ ~O ~ 3 /o Yie 3 to ~2 s/G s~ factor ',1y_[__in. Remarks: /C~ST Name (Please Print) Rp$~R'~"" ~`~RiC.~T re t GPD/f12 re u Struc Gr. Sz. Sh. Consistence Boundary Roots ged ,Trench L /f S ~ nM 7~~E' CS ! f • 2• ~ • 3 S hie fie W /f' . z . 3 ~~sh~ •~,,~' cs ~t • Z ; • 3 • ~.~ 2 ,N, ,~~ .wi ~i C - , 5 / sh M+ ~i• ~c 'L L ~'G Date Address ~/~ • 2 Z I ~l ~l ~t Telepnone rvo. ~~s• 3gG • ~- ~ s CST Number ~tZ.4375 ,~ V,el 8 ~ ~?~ L ~'~~ SOIL DESCRIPTION REPORT PROPERTY OWNER ~~ ~ ~ s ~ ~ ,(1 • PARCEL I.D.# L~ ~ ~~ /rAMMo'v~ L/ Page ~' of Texture Structure Consistence Boundary Roots BOCIng # Horizon Depth Dominant Color Mottles Gr. Sz. Sh. Bed ,Trench in. Munsell Qu. Sz. Cont. Color ~d ~ ~ ~ • Z ; • z _._- S~~ lfsb~r /c y 3, ~o a 3 S~ L/ Shy _ - - SAC ~..~» ~-~ ~ 4 S • S ', • ~ Ground ~ ~ r. ~ Z-' , 3 ~ ioy y!~ , Depth to ; limiting . ~ , factor ~in. Boring # Ground elev. ft. Depth to limiting factor in. --;- Remarks: ' Horizon Depth Dominant Color ~~in. Munsell Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. -~--• Mottles Texture Structure Consistence Boundary Roots "' Gr. Sz. Sh. Bed , (]u. Sz. Cont.. Color Remarks: ;~ ' L>~al] ~u~ 8i f20 SOIL DESCRIPTION REPORT page Z of 3 PROPERTY OWNER ~ ~ T ~~ ~ ~ S ~ p {~ 3~ ~AM h o ~~ ~l [/ PARCEL I.D.N 2 Boring # Horizon Depth Mottles Texture Structure Dominant Color Gr. Sz. Sh. Sz. Cont. Color l{ Qu M Consistence Boundary Roots Bed ;Trench , ~ in. •t3 unse 012 / . __ - Gd ~ l ~ Z ~ .3 h ~~ ~S - . 2 3 S~~ / S y y 3 • ~v s~~ Z.,~ ,w,~. 4. S ; , ~ Ground elev. ~ ~ ~ ~~ ~ I'~it 0'1'S ~/~ ! ~ ~~~ 1 ..f~ z: ~r,~,Q~ft. - o ~o y ~ y Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor in. -~ Remarks: Mottles Structure Corisistenre Boundary Roots g~ Trench ' Horizon Depth Dominant.Color Texture Gr. Sz. Sh. in, Munsell Qu. Sz. Cont.. Color . Boring # Ground elev. ft. Depth to ' limiting factor in. Boring # Ground elev. ft. - Depth to limiting factor In' Remarks: ........~ e~nnn ro na/oRl -. ~ ~ s 0 G ~a ~b v1 C G ~~ O 4~C ~~ h OI c r~ 0 O 0 v0 1 1` ~m ~_~ ~1 W ~ W • l ~ / I N ~r 1 ..o l r' ~ ~ ~ ~ ~ ~ c G ~ ~ N ~~ ~ a o o ~ ~ ~ o ~ ~ d w ~ H 1~ s~ / ~ 0 7 r b 0 3 ~ \ ~ xc~bc ~ ~<~ ~ , o ~ m z W ~ -':Nae ~ m o C~l~ \'j Q o ~' 0 :C ~ p~ N\ N v • i J ~ HH \v_\ C - 1 ~ r 0 y w 5~ ent By: MN/DOT OFFICE OF CONSTRUCTION; 65129B8773 ; Sep-2B-O2 12:12PM; Page 2/2 Q8/E5r2t)Q2 d~:81 fiA~. Y715Y352582 TLSINZPLI.I~TNG [~42 ri$:rJ;.bn FEtt in~sl fi'!tT TIS 786 J&66 ST fRY CQ 2UNING ~tICiI ST' CItl4LY COC!'~'IY SEFTIG 'TANK t~SA~Ct$MANCB Aar A'!+]D O'Wt1~R.SF•aP CERZ'IFLCA'PIQ~1 F~~M {~wrsecBuytx _ x an d ~ 1 ..:. - ~~i. mars~~•Si ~~. r 1 ~e,a R.G4,--..d ~t S'tal~ Mailis~ Adt3rass Ps~oporty ~ddrtssi ~ ~ ~ ~ L '~ `"~ S } t-f ~.,..~...,,~ c.~ ~ (V~i4catioasequ~ltor>i 1~1t-atusd lwt fnr twyu caQSasscdoo) ~-.,~ k Parsec! t~ieritification Numbt:r a t $ - i U ~ L • ~~ - ptys~tste ~ ~-~,~..a ~~ Pmptxt~- X,ccx~oa c~ Y~ , `~. y. Sec. ~„ ° .~ T a~ Iy-R:! '* W~ Taws ~f 1-~~.... , ti S`ubditrisitm ~a'-,"ta 4.~.s Irvt # ~_,L . Certified St:svey Map # ., , ~ Volume Pale # '4Vtsrrsgty Did # _~ `~ Q ~Q9 ,Volume _~ ~ ~ 3 .Papa # ~~, `~ $pe~e ht~c C7 yts C~ no Lat tines idcnn8,abtc Q Y~ C1 nra ~~~ 1~1 ~ ~ ~eog }~ s~tp~c s~ry4em co,slctm~utt ~o it~-pre~aty~ Sii+ca m hsadinw~ste~ Pn+par msi~~rt Z°° ~ reomr. s! p..dedby ~ lioenssd~rtmpa ~4bat you Pnt >~ the dam e f pig apt the tsaic ava~sy dsKae dean' e~ slFect ~a et! tha rep~ic task as a a+oatment stsgG irx t3tt waste dssPoraS sr+~ -me prD~rty +awo~r apC+~ to avb~ to 5t Cato'lx T•vafng T?eFsrtat~at a aecdfi~~ fotaL t ~ 1~e t1Wi-ec tad ~y i s,~~' pt~pllKStar slic~osoradp~r+~ °~ ~at~(l~ t4sa en~-aim wRS~st~dimposai i~srem is m peaipac ~ti~ ppsptdeaa aadJor C2) alter inspeeteoa aad f~"~ f~al~?~ ~ Ts'o]c it ld~ t9o~pu 1~31b~1 of i1nd~C. ~, ~ tslaiutaln tblC pefYits• t d~~; ~ittis ~V(t6t t~ stattdaid5 ~~ ~ Sed ALs+R 1+rAd qsa .have requiteateats ot~faeessiRasaaor~.9tase aC Wes- ~~ti'0a ~ Q1nc*~°~ ~ be °empi~~u~i eo +he s~. cavi~ tY ~°$ osl~ea 30 da.y~ 4t tbG tii1C Q~tQ. 9 r?~~a pA'th SICIi~iAS1[TRS O~ AP~L~CAN"C cent that slt stst~meutx pti ~tR t's~ern arc #uc ~o dia tsrst o! myr (our) toaowledBo_ i (tee) aa~ (stt:) fttc ti>--ea(a~ 4f I ~~"°} ~ r-tvc of I1GS.dt QIltee. ~ Pte' dessssba! .eve. by rittue of a a-arra~rry decd eecorded :a Res °l~a1 -.. DA•[~ gyGeU~'[t1Al~ OF ~FL.1C1.~' .~FiI7 •• •••• Atry ~atvrtsr8K4n tklal is Y~fs-teprGSeated ~,e~• result i~ We sadtary pts~'t ~'~ x•~aleed ~ tb~e Zianln$ ~pa~'tat rr ~a4s ^Nih tlds rppt[esttee: a lesmpad avarranry dead Croat tha Kra of Dregs aR'~sr s oap7 of 1IsC ocrti>yod trsr'vmY ~P ~ °'O is wads ius ~a vvatYfst!- load ent By: MN/DOT bFFICE OF CONSTRUCTION; 6512988773 ; Sep-25-02 1:54PM; Page 2/2 - ~~ 1 87''~R'CF. D.4R {)F WISCONSIN FORM 2 - l998 WA~,~R~RAI+i`~Y I)l~'E+~D Tbi3 deed, made bGtv,+Een Hsmatond Lant], ~.LC, n.'f~inaes~a Limited 13abiiity Company .. ., - _ . . / ...- t°rranRc~t, and ism A. >a.~kstund Grantee. Gr3ritOr, for a vatuablC COnsit}~eralion, conYe~~s and warstints to Grantee the follgwing described real estate in St. Croix _ County, State ofi+YisCOttsin: of 3b struntmd t7a1s3 SubtiijsYSYOn,Tovr~ of Hond., Sc. Crain CQUntY} .n N~ attd Reliua Addraaa F~lu'crt idtest3fuation blyesher SPIN} ,~ This ~ m?t homestead property. (is} (is not} Exceptions to warranties: Sub}eCl to rotes, easements,restrictiot~s,cQVaryan[s and si~,~ts of way of ruar-~, if ~3', including but nat limited to terse f'ar dtninage,wat~er tetenttor4Ponding,~i o~' ~3ities acgaaty be,'d4~wn tva.tt~c gla~t of Hammond Dales Stddivision recorded in Vol, S of Plats, page 2, St. Croix Connty, W~ffi~• 'T~~c warrrnties of tbws deed, either expressed or implied are limited by the grantor to Uye ~otee, 4i anycinc in t~ chain of title, to the consideration expressed lavrein, thaE being the Suet of 523,90O.Ob. Dated this _ 23rd day of Mxy Z(i(12 _, -..._ . e A[iTH$JVTtCA7'lON gignuture(s} authenticated this „ day of Kammond Land, LLC _ . Aust_iin J. Tlaifton ACKNOVf-LEDCMENT STATF? (7F WISCONSIN 1 ~ ~- `_.. Ralttscy County. I'crsont~lty csmo before me this 23rd day of __ •" . May , 7AO2 the above Warned -•-..-'. Austin J. $aiilou _--- TITLE: lV~'MHLR STATE: D~t1R 4F 4YI3C~N5IN {If not. uttdtoFizca by ~ ~ros.~, w ~. stag.) TIiIS iNSTRtiMEN'I' WAS nR,4I~TEI7 BY P~1t+1 A. ~tillon, Attorney at L~iw_ {:3ignatures may lje a~atfu~tte.~ted os ~ael~swwle~ge~d_ S~sttt aze not uecessar}r.~ to me known to be the person(s) who executed the for~cgDtttg inetrum end acknowtaed the same. __.~~ -• ~° NOTAA~ Nt113LICd41UJNF.~'(A '" Pax-t A Bmuifloa '~'~ ~Y CUM~Ai3';IfjN C]I4't(9E4 ~ z~.~ ~,., Notary Public, State of My Commission i:l peFCnanrnt- {!f nat, state expiragDU a c: Namer of pen~on9 eigaing iD any capacity should bt tyt+ed a printed hataw fhnir tign~~ree aZAFE 6A l; ~P ~IIS[:Cl~t'dlN VRARRA~TY DRSD XORIYA No. Z .1944 SriPU%3~iA.Tir1M PAKYFESSSYJ~LA~..S COMIsANY F4ND DU LAC, lYl SDb-d33-1~1 s ~ ~scons~n Department of Commerce .-.~7 ~, ,..,` .~.,q ~ ~ 7~~~~ Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commercestate.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary October 02, 2002 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/02/2004 Identification Numbers Transaction ID No. 791719 SITE: Site ID No. 650871 Ian Euhlund Please refer to both identification 162nd Street numbers, above, in all Town of Hammond correspondence with the agency, St Croix County SW1/4, NW1/4, S20, T29N, R17W Subdivision: Hammond Oaks -lot 36 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 871891 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. i. ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. TODD L SINZ Page 2 10/2/02 * ~' • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Ptan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us cc: Leroy Jansky -Wastewater Specialist, 715-726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ~~} ~~,v; ;t?ivi Ei'T y,:~s='~•~ i,?E- ~•;~i~Tw: t::. Ti?~ E+ti.'`:'•:~~E=: a_a?7 1~ I IE ° ai Y i'..__Y-_~..~. j~ 6 :J !E. -~' '3 ~ •3 Y Y. ~: Y C .p ... C .~....._~:&'^ EI ~ . 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O i Q L ~ '} A s r ~~ .~ ~ '~,~ a 4 ~ ~ o a. `~ -~ a+ o a ~ 3 o -~ ~ ~. c c' 4/ F efed NORTH '! 50.1 r- -~ r- ~~ 4 ~ ~ ~' cn ~ C~8 O '~' c:± a~ a c,,~ NQ ~ ~ C.~a '~ ro ~ rn ~ 'v _ ~ ,..~ _ - ~.,... ~ 3U.0 t 5.Q~~ tptp .c 3Q.0 i ro -a r ~ ~x! 'ate, ~y 1 n ~ ~ s (31 ~~ ~ ~''~ 28.0 ~ 0 l ~ Q ~ Of Q OI aa _30.0 `'~ 6.5 _ .- - ~~4 15. j- x ~ ~ c~ ~ ~ a •~- ~ ~~ ~ ~~~ ~ ~ ~~ a j .~ WQ~~H ~ ~ 1 ~~1~0 ~~~~~ 7os.4Y .102.9 x - - -- -- -~----~- - ~ - •`~VdtrZ~E ~0-tr-~aa -` ELLB96~G5~3 -``NOll~nd.LSNaa d4 30IddQ 1Qa/NVY ~~8 qua