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018-1086-37-000
MEMO DATE: December 5, 2002 TO: Mike Rogers, Rogers Plumbing, Inc. FROM: Pam Quinn, St. Croix Zoning Contractor iZE: 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 Edinger 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 30 looks especially in need of some final soil cover, which may be the responsibility of the owner, for frost protection (see 83.43(8c)) . v Permit # Lot # Address Subdivision/Town 405181 4 1614 89th Ave. - final ins ection Hammond Oaks, Hammond 399667 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. ~~~ - f u<ea~. C~~ s/~3~Ow~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division t - r INsPECTI(~N REPORT GENERAL INFORMATION (~TTACH~i'O 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 Wetzler, Steven Hammond Townshi CST BM Elev: 1 InsJp./fB~)M')Elev: , BM Descrip tio?: t~ U (V v - ~ W ~'L TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ /~~ ~ Dosing /7 ~ ~ ,! ~ ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L (l"Tla WELL T BLDG. Vent to Air Intake ROAD septic +(1 Cja ~ ~ i~~ 3 5 ~ 3 s Dosing ~ ~~ ~~ iJ'^ ` Aeration Holding PUMP/SIPHON INFORMATION Manufacturer i / G _ ~ GP and Model Number S ~~~ C~ ~ (p TDH Lift ~, ! FrictionSs Syste 1 ~ ~ T~ H ~ t Forcemain Length Dia. h Dist. to well 7 ~, Z ~ ~. l ~ £_,7_ SOIL ABSORPTION SYSTEM BEDITRENCH Width ~ f Length ~ / No. Of T~ nc~ es DIMENSIONS Z dr@ SETBACK SYSTEM TO P/L BLDG 1 INFORMATION _ _ _ _ y~ ' { '~' ~~ DISTRIBUTION SYSTEM • ,t-~,,, D,~,;; County: St. CrOiX Sanitary Permit No: 420363 0 State Plan ID No: Parcel Tax No: 018-1086-37-000 ELEVATION DATA ~ ''~ .~~ fi Z ~~~ ATION ~•. (~{ BS HI FS ELEV. Benchmar Alt. BM sT • Coves //• 3a Bldg. Sewer . ~ ~~ , j d O St/Ht Inlet d 7.2 G SVHt Outle l Dt Inlet / / Dt Bottom Header/Man. 7' /~ Z ` 1 Dist. Pipe .~ /a. 97 Bot. Syste T /~ ' ~ S. 3q' i/a.~zd Final Gra e ! f- S ~ /~ t ov er ~ ~• S . ~ ~ /// • 3 // 1~ ~ ~ DIME ONS No. Of Pits Inside Dia. :E/STREAM LEA I Manufacturer: CHAM OR ~ NIT Model Number: Header/Ma if Id !r ~ istribution Oq~~ pipe(s) T r ~ ! f/ ~ x Hole Size f~ ~ / x Hole Spacing r- Length Dia ~ Length ~ ~ V Dia Spacing ~ ~ ` 35- SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only x > ~ fin .'~-21)+~ tQ~+t c~ S Vent t 'r Intake ~C~ Depth Over Depth Over xx Depth of xx Seeded/Sodded Mulched BedlTrench Center 'r ~ Bed/Trench Edges Topsoil ~~ Yes o ~,~/ ~ Yes COMMENTS: (Include oc de discrepencies, persons present, etc.) Inspection #1: /~/ ~ Z {nspection #2:~/ ~ / ~ l~ Location: 872 162nd Street Hammond, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) HarA nd Oaks Lot 37 Parcel No: 20.29.1 1.) Alt BM Description = `~~~ ~~ i 2.) Bldg sewer length = ~`J -amount of cover =• ($~r ~" 3.) Contour =p,.`/ I ~ ~. 2'i ---- --- -- - -- Plan revision Required? ~~ Yes [_ No I ~ /_ ~ /T ~ ~ ~ Use other side for additional information. ~~_~__~ ___ -- ~ L___ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ,. Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 , ~scQins~n Madison, WI 53707 - 7162 Site Address De artment of Commerce ~ Z. ~! ~Z g 7 a ' ~h,d. S.~C~ Sanitary Permit Application Samtary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal informati _ " j~ /~ heck if Revision / ~ / ~~ ~ ma be used for seco ses Privac Law, s15.04 )(m) I. Application Information -Please Print All Information Sta Plan I.D. Number _ Owner's Name 3 fi ~ ~y ~ tJ Par 1 Number ro Owner's Mailing Address ZONING OFFICE ~'o nY I-ocanon City, State Zip Code Phone Number S4;S ~~ T N,R/ Lot Nu r Block Number ~ ~/ . ~ A /' (j I ` ~~ I„ ^ ~ I `~ f n/'1 ~~ ~ _ h~~ ~ n~l~ ~ Q Su 'vision Name CSM Number II Type of Building (Check all that apply.) p O Cit 1 or 2 Family Dwelling -Number of Bedrooms y ^ ill Public/Commercial -Describe Use age ~,/~ ~., ^ State Owned /'tit a-t~yl d ~ ~ / / ~ f ~ wnshi a( , . ~4.~ G~- J ` ~ ~ N R d o-n day-~z- ~/~ a ,cam 7~ _ 0 9' earest oa ~~o~ III. a 't: (Check only one box on line A. Numbering is for internal use.) (Compl ete line B, if applicable.) A. New s 2 ^ Re lacement S stem P y 3 O Replacement of Tank Onl 6 O Addition to Existitt S stem For County use B' OCheck if Sanitary Permit Previously Issued Permit Number Date Issued )V. Type. of POWT System: (Check all t Nutbering is for internal use.) 44 O Non -Pressurized In-Ground Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ~ Pressurized In-Ground 41 o ding Tank 48 ^ Single Pass ~ 51 ^ Drip Line 45 ^ At-Grade 46 OAerobic Treatment Unit 49 ^ Recirculating 30 ^Other V. Dis ersallZ~eatment Area Informat ion: - Z S , Design Flow (gpd) Dispersal Area Required ~S U Dispersal Area Proposed ~~ Soil Application Percola ' n Ra stem Elevs~on, Final Grade ~y / Rate(Gals /D /S Ft Mi . ays .) ( q. d n./Inch) w" ~ Elevation n Si ~ O. ~ VI. Tanl:Itlfo Capacity in o r Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed ~ Glass New Existing fit//z ~~(~v Tanks Tanks r- Septic or Holding Tank ' Dosing Chamber I 1 VII. Responsibility Statement- I, the undersigned, assume responsib' 'ty for installation of the POWTS shown on the attached plans. Plumber's Name (I'rintl Plumber's Si due MP/MFRS Number Business Phone Number I - -f Plumber's Address (Steee iry, State, Z1 C e) ~ a ?- 75 orn VIII. oust /De artment Use Onl Disapproved Date Issued Issuin ent Si Approved O Owner Given Initial Adverse Sanitary Permit Fee includes Groundwater g goature Ps) Surchar F ~ U ~ ' ge ee) ~ ~ Q Determination 3~-s. p . fCond~it-ikon-s of ApprovaULReaso-ns for Disapproval /J ~ ~-~ GV rtatit,L4yt..4 C~p'7ysu.~d G[•~' ~S-~.e G~~~r~,I-r/~.cx _.~~?.C~C(l/L ~f6~,1 ~D ~- YY[.u~af' bc- r~,L~ Cs.- ,~,Y ~`''~ ~~U~LV`~- S~r- r ....... ....... . . ~acw/~w y~y~. u[ IeSS i 31/L X 11 nICbCS ~D SIZE ..Q/ /' . ~~ ~` . isconsin Department of Commerce Safety and Buildings ' x 4003 N KINNEY COULEE RD 3 `` 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 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: Steven Wetzler 162ND St Town of Hammond St Croix County SW1/4, NW1/4, S20, T29N, R17W Lot: 37, Subdivision: Hammond Oaks / n , FOR: ~t~ Ltd ~ '~y~~'Lt/`~~ ~ ~ ~ ~ OT=C ` /d~~k~~'^a Descriptio . Thr a Bedroom Mound System ,~ ~~ ~~ //// 6,e /~j~~e4~~ Object Type. WT ystem egu a e Object ID No.: 865426 ~.rr~~~l..~.a(~v ~ ,~` 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 Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). /• Per manual cited above, limited activities are allowed in the area 15 feet down slo a of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment an ispersa are prohibited. COl'Z f • 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 D RTME • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N requirements of Sec. 145.135 and 145.19, Wis. Stats. '' SEE COR • 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 A777V.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 i~~i~t/!'~a ~~aa3~~ Identification Numbers Transaction ID No. 776080 Site ID No. 649011 Please refer to both identification numbers, above, in all correspondence with the aeencv. • 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. ' ~ MICHAEL P ROGERS Page 2 8/16/02 r c 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. 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 ~~ ,~.' 11 [r Steven Wetzler -Mound Transaction # REeE~VE D sgFE1'Y~v" ~ Z40z ~ g~pGS p~ V. 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 37, Hammond Oaks SW 1/4, NW 1/4, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: August 14, 2002 Owner: Steven Wetzler Address: 2608 E. 18th Ave. North St. Paul, MN 55109 Plumber: Mike Rogers Signature: License # MP 225094 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan :final y 4: system cross section ~v~p 5: plan view, lateral detail 6: pump tank exit detail ,F coMMERC~ 7: pump curve ~~ ~WN~g 8: system management ~PONpEN . page 1 of 8 ,~ ~ a~ 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 Depth to bedrock ~ 1' t° in. Cross slope at system ~ ~ % ~'` "•~ Force main length ~~ ft. of ~ in. Manifold/header length ~~ ~ ft. of in. Drain-back Z-¢' gallons Lateral length ~ @ ~ `~ q •~~ ft. of 2- in. Lateral elevation ~ 12 • b ft. @ bottom of lateral s Lateral hole size 13~ in. @ 3 ~^•~ 1 in. ( 2~~ b ft.) Spacing ~ 8 holes/lateral ~ $ holes total ~v; Is ~ /2 ~'6elow s~,.d `. p,~ Design Calculations ~in~r ~o~d~~~ ~.~ ~ o In situ designed loadin ra e o~.o ~~tg gallons/sq. ft. per day ,~P~~~ Depth to estimated high ground water ~~ Z-~ in. Lateral volume ~ ~ , ~~S' Total lateral discharge rate z~'~ Z- Network pressure compensation losses ~ Elevation difference ~,~5~ Friction loss °•t~ Total dynamic head 13 •S~~ Pump/si~on Z 3 gpm @ 1 b Manufacturer ~~ ~~~•~.~ Dose volume q ~ ~ z Lift/sip'lron tank ~^•9 ~ ~ 1 u-u-~ - ~~ ~~~ ,, ~, Septic tank „ Effluent filter ~ w ~ `t `~ Measurement pump on and off s • s' Height alarm from tank bottom -~- Reserve capacity ~~} `" specs.calcs.res gallons gallons/minute @ ~'S~ ft. head ft. ft. ft. @ Z ~ gallons/minute ft. ft. of head Model # ~ ~'~' L ~ ~ ~ gallons ~ ~-o gallons ~ `}`r'° gallons ~ in. in. gallons Page Z of g '~RIG91~~1L > 1585 Wisconsin Department of Commerce SOIL EVACUATION REPORT Page J of 2 Division of Safety and Buildings in acenrrianca ~•~i+h rte...... Q~ .vv~-,a~r,r~ndP Certified Soil Testing ~° ~~' ~. Att h l it l t t l th 11 h i~' i 8' st County ac comp e p an on paper no e e s ess an es /: x nc PTaTtifr u i l St. Croix nc ude, but not limited to: vertical and horizontal referen point (BM), direction and percent slope, scale or dimemsions, north arrow, and loc ion and distance to neare t o(~ ~ I ~' ~ ~ ~~'" parcel I.D. 018-1044-40-00/018-1044-50-00 Please print all informa on. ` Reviewed By Date Personal information you provide may be used for secondary pu ses (gri~~~1G Q4,(J)\(mJJ: ` Property Owner ~ n Wetzler, Steven Govt. Lot SW 1/4 NW 1/4 S 20 T 29 N R 17 W Property Owner's Mailing Addre$ Lot # Block # Subd. Name or CSM# 2608 E. 18th Ave. 37 Hammond Oaks City State Zip Code Phone Number ~ City Village /, Town Nearest Road Saint Paul ~ MN 55109 651-283-8713 Hammond 162Nd St. N. /" New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _,. Replacement ~ Public or commercial -Describe: Parent material _ loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4' x 112.5' rock bed mound on 111.2 contour as upslope edge of rock w/ 0.9' sand fill-Supplement to Ulbricht report, 11/4/99 Boring # - Boring Pit Ground Surface elev. 111.1 ft. Depth to limiting factor 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-7 7.5YR 3/2 - sl 2 m gr mvfr cs 1f/m .5 .9 2 7-26 7.5YR 4/6 - Is 2 m gr ds cs 1m .7 1.2 3 26-38 7.5YR 5/8 - s 0 sg ml cs - .7 1.2 4 38-44 7.5YR 3/4 f2d 7.5YR 5/3 sl hand dug pit to 28"; auger boring below; some gr & cob to 26" Boring # 'Boring /I Pit Ground Surface elev. 110.7 ft. Depth to limiting factor ~ 28 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 7.5YR 3/2 - sl 2 m gr mvfr cs 1f/m .5 .9 2 I _~ i 8-28 7.5YR 4/4 - Is 2 m gr ds cs 1 m .7 1.2 -----T __ I hand dug pit to 28; considerable gr & cob all horizons trriuent ~i =thus > ;iD < 2zD mg/L and T5S >30 < 50 mg/L "Effluent #2 = BODS < 30 mg/Land TSS < 30 mgr CST Name (Please Print) Signature CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 7/29/2002 715-233-0398 _; d r q F~ V 1 fl ~ ~ 3 ~- 9 J I ~' ~I a _/ `-+1~ 0 _/ ~/ .~ f~ ~- i ' "° '~ ~ ~ ~ v e~ a r y-"^ 1'~ M st---- ~ H V ~ o .O e~ b ..~. jQ, / - " s i' }~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ d ~ d~ ~(~ , ~ ~ 0 ~~ •3 Y ~! -x .. ,~ f ~ ~ ~ j ~ ~ ... ~~ ~ ~~ ~ j '' D ~ n - ~ ~ o ~ "-"~ ~ ~ ~ ,~ ~ ~ U '~ "'f ., ~.~ M ~ n ~f i V ~ ~ O C* V v ~ C1 e~+ ^ 6p r A ~ ~~J O ~ s 4 ~. h~ G Jx O f i sow r f o ~- ~ a~ i 4 4 ~. i d -f' s o ~ ~~ d ;~. o ~' 3 ~ ~ ~- ~ 9 J ~' ~ \ V ' ~ ~ ~ ~ ~ ~ 7 • ~ ~~ Gr ~ 3 ~ J I rh 9° c t~' d d r ~-"^ q 0 ~ 1'~ M :~ ~_- ~ .~ ~, o ~ ~, ~' .~ ° r ' ; ~~~ N ~ ~~ d 9 r ....1. .~ f a r •- ~ .~ ; ~ ~ ...i ~~ ° ~ Y ~ V d 3 ~ ~y d~ r .~~ ~~ ~~ .3 ~~ s j ,~ N ~ ~ .~ Y ~ d ~ -P j 1 '' D ~ (,1 .~ ~ ~ f d C .~- 0 f~ d ~ J © 0 ~~ J .! ~f C~ ,: i~ J d ~~ 9 .a J f c..l J ~J, ~ i J ~ Jpr~ s o ~~ `~ ~~ ~~ r ~~ ~~ ~ ~ t~ J ~' ~ ..~ ~ ~ 3-3 ~~~ _----__- ~ ~~,}9. ~ v 9 W 1~ ~ Q r o ~~~ ~ ~ ~ 3 N w v ~. I , \ / / ./ ~ ~- ~~~ ~~ ~ 1 a 0 a v t~ O Mf ~^ a /, o M 1: ~ ,~ ~ O { 4 ~ ~X \,, c~° +' ~~ t ,~ `~ a ri ~. 1 ~_~ m <s ~~_= ! ~----- y =~-==_ »s»> -~. ..: _ . ' ~ ~ ~ ~ 5~ ~z~~.~, __ ._~ c~os~s ' S ~~~. ~;o~ . ~ . ., ~, ,,p~ / t9 ~ ~S & a.a ~ a nn \ w.a~X ~ b s..~co t1 1~»SZ ~\~.... Q.`w , o.v a.r.„ 111. Z'~ ~ o~ ~ r ~ r ~. , i ~ S ~'~' y . 4•~' ~' z.~-9 ' t ~,z , lo,t,' _,~ to,le~ ~ 1~2.r' 13i,~., p' ~• ~ p v ~ c..w ~ •.~ o \o" s a.~, v a. ~: a,.. .«.L\~ L ~~. ~ oTT o ..-. o ~ ~ e c.~ ~a s~ `\ !v o~e,~, ~ e~•~ o~v .-Q ~Q.r w.:.~....~5 t .S ~ ~ ~ o w. 0..~ o ~ t o~ ~ ~ s~ ~ s.s t" 13s.s i" 4~ \.,~~ 3T•SZ'~ 13 S-~2` 1 O(~a .(~~' ' 1 r ` (~ ~,rra.hr~ w/ 'Yt\r~w•~,1~X `GS•NQ '+u is•~w\ /yU~/vw1M.Q Q. ,,re~at ~~ "W VN\VL ~ON•e.S dr w~1J c~\W.~ ~, S • /~ 2 Y~ c 1 ~ C h ' ~.~ ~. GA..,. Q.,.. b O 1 ~ ' a ~.~. l : » !J~ 3 ~ •~ Z, " Ol. .~-~ ~Z..9 6 ~ ~~ ~o~ ~ ~~ ~~ ~ W ~~ s o~ ~ rn }` r ~ /, ! ~ . ` i W.CKING~GOVfiR --~ . IIJA~N /NG Z /~BE~ . Ql11GK G~~COVV-CT-1 G-,z~ ii -~-- oa~0a')~n~~nn F~o^, ~ _`--~ a4 ~~ ,~~ PIPE 3~ no NO~Sjua6~ED SDIL 24`' 2.D. Mgi1 t10LE .... 2." i\ FoQc~ ~'~~l~w WEATHERPROOF (~ ,,JZJ N (T , o N ~, 8r.~c T j7/,77',;'7 P .sc 4"401 -I ~~ i~s.t r ~dWROVL.O A \ S1(E7 3bM"J -~ ~ Pars a rtr+ E oT ~ o r+S c D ~~~ 1'O 3.0 ~F \ ~ 4JV h 0 w T 1. L. 24.'S ' ~~ 111111 `' N~ .1 AL .~T--- ON sus" 3 l„" C)c.F PuriP ~„ Co~c~'c 6~oCK • IL.`~'b ~~•~. - - -.. 4 %~ ,~ 4c 3' o~c u-cA:'Vtt_ V-'+iJMO SEPTIC t _SPECIFICAT101.15 • 0 o s ~ l~ ; ~.~ ems,. T O ~ ~ ~u,.S MA-JUFACTURCR: ~ (JUM6ER OF OOSCS: PEK G~~ TA-JK SIZ C:: ~ ~~D ~ ~'"° GALL0IJ 5 DOSC VOLUME S J ~-~ ~c.,~-v ALAFI'1 /°~~UiACTUf~CR; S ` . IIJCLUOI/JG 6ACKFLOW~ ~ Z Z u~._~~i; /"1000L -JUIM~CR: • 1 ° ~ ~~' ``~ CAPACITIES: A- 22.E IUCNCS OK 3~~''~ ; :. ~ , ._ __ /uI~`,P /1AIJUFACTURCR: ° '"`^~ ~< `~ S ~~ ~~ ~~ S.J ~ R 2.2 C • iuCnf 5 OK ~~..:: a MODEL NUMDCR: ~~~5(a D• ~ INCHES GR ;,~..;, ~wITCH TAPE; ~~"`Y " uOTE' PUnP AWD ALAR~~ ARC TO BC MIIJIMUM pISCNAR(~E RATC Zo.l° GSM INSTALLED Ou SEP/.a~rC c~KC.. -~ VORTICAL DIFFCRCWCE DfTWCCIJ PUMA 0 OISTRIDUT{OIJ PIPE.. ~`~S' FEET + MI>JIMUM NETWORK SUPPLY PRfCtURE ~•~ FCCT il`o5~ ~ T/ . + 1~ FEET OF PORCC MAIfJ X ~_~I FF/ooicFRIGTIOU FACTOR.- ~'f~ FEET ~ ~••~, ,+„ _ -~ TOTAL Dy-JAMIL HEAP 1S.~S ~FEEr / ~~T ~, ~, ~ 6 3 IIJTER-JAC. DIME1J6101JC Of TANK: LE-.1G7H ;WIDTH ;LIQUID DE PT ~-1 6 a g P ~, Au~ _~ r' .; ~'. ~. y • Pump Characteristics - /Mots Udt SrrLeserswle AvteemHt Ash SNEiS0A1 Nas•pew•t .38 Fell lead Atst's 1.0 IMNa Shied h1e (4 1 R,~,M, 1 SSC -haee @ 1 Ysit 11 S N•rt: 60 i•nlpaeter• 1 ~0'F AtltNn+t NEMA D•siSe A Sts.iet#oe Gas A t>iccMa Sh• 1-1 /2' Mfl lSiesa~ Solids Nee~q 1/4' I19~+utl Uelt 11F•igltt ~0 Its. hwe Cord 1!1/Sy, S1TWr x0' ssi. Materials of Consfruttion Needl• -r--~ SseieMs: Sorel lebr<c oe ole~t~ of {Aster N•es Cest ka Czei Cast Meal { Awclet~lcd Shaft Seal S•ei faces: Cesiett/tatttdc Seel Ied+p Aeeii:•i St.d S~ri.~ Srri~ess Steel wss Iwa-N r E 1k Gst free Slaw lows Rew laq Attetsi flet• f 1k ~ ~ Fast•nas Ste{•less Steel ,. « P~rfnranehce Dai'a a. ~w~ l~ leliaW ~ letaeaaalel ~. z (eesto•ett AereYoe~ m•r r.r : I/1 ied l NM (x cMe4ueint pu-sse ~~ ~~~ tai ~ S. 0~ n bll hvd aAustoYs 6, We raem ar ryn a eleh q~lp. b eu prYun sd thu spudiooiom rMoU netke Il. ` ~ 11' 7/L (J91) 9z1~f ~z•~e ~ -r ,~„- ~, i s~.ys s'~~ , (16) ~t- I~,° HYDaoMATIC w !840 Barer Reod Ashond, Oho 44{0i Td: 419.269.5011 hx, 419-'t91.40{7 Web Site: www.penhslrpunp.rom S1lES QFFKtS IN All NUJOR CRIES ANO COUNTRIES iUm u: W-1;4.8350 1208 5M Q 1909 Hydr~ornGic' Purnps, Ashland, C~++o. N! Rg -Your Avthonz•d Lord C>;srnbutor - ~• Dimensit~nal Data System N,~anagement . 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. 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. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 1 1. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. aintenance I . The septic tank must be inspected every three years by roperly licens erson. 2. If necessary, the septic tank must be pumped to remove solids an scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a Licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 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 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 FROh1 IhJSTAhIT NbM~ C-GlLfITY, Lf_C FAX N0. 6515015666 Aug. 19 2002 03: 41 PM P2 stP~:~[cws '!'.~.rs.1; h•s_nlr'~~l'l:~ ~ ~r~~-,,:. n,c:,.l~.I~r:.n~{~:~r~'~• A*•lf1 / U~4rryl•;I:.~lll.1' ("'!?I','l'fl'I(:''~J'l(>r•d l~~ilw.r. .,. 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Praprrt7laiutrnanC~~ COlJ,9is'ty gP~tti111]JJ1b auk tl'tc Sa~iir tattle Hurry l.lu•ce yoars u.' giulnC~', ii` r;rc'cJ4c! l;y~ a li~c.,tsrcl !'r,u11,c•r. 1~lC,at you liu! itttG Uar 9y1i:tCt17 pan q(taCt t'.Ite tuacpAtl ct!' the ac(5fic tUrtlt tta n trcacir,cut wt:i;,r ir7 tlYC waste. ~liei;uuul systc,,1~, ri7~ prorerty o~vnar n~;rr.~s to sul'+in.it !a St. (.'rt'Yix .',t~rf.ini>,' 1~.,i•J+a rt[[[cr.,t u ocrtific•u,ir.+:; Donn, ai(;nr.d Uy the awuar u,YCI k,y A insstCr~lun7brr, jolutroynta(tl~,i[tmbar, restrict~:dltlur7it:Ycrus-a l;:~r•u:ndl;utlriYr.rvcrilyiul,~ 11i.tst (I) ti7ci[,l•sifcwnstrwttrerdislsustt; sy:;tr.u! is isa pt't~E,cr crpvratitig Gotttlitiou a,leilur (2) aiic.r il,sl,rctictl7 s,td l;ttrlytirt}; (if ttecr;:r,ary},isle acl;tic turd, iS lcs«; t1;aA !13 lull ul'slu~iZ,~~. 1Jwn, tlts uxtrlcr'signed t,ave•,nud rite albuvn rCCluirentel7fs nn~f l:tY('t;C to tnuir7tuir7 tltc l:.,ivutc scwubc dis13~sa1:;yst,:u, wfiti l1tC stuudtr'da sCt fw~rth, tlrrcillt, iry 3c! I,y t11C ~L•~Cftt27cl1i (,E L.'un7friCicG and tha I.iC(Y;lftl,l~1li tll.'r:~tllrAl I'..(:$C)tlr(':C;i, ~tntu G1 YYtSCGnsit7. (,ClltJl,'~1t:l~i! st:~t'iuy tl:u;t ynlu srl7t'ic syatr.rn ia:,s Urrs7 n7Jrit,tuiried niu:;t !Yr. r~Yrr7pii•icd (Y,iU relurrrctl IQ rite St, l''rtrix Courtly 7.(snin} Uiticc witl>ii~ ~0 drys t~r° t.llc tl,rsc r rxpArttinn dote, r~ -•~- ~ ~ ~ 4 all.lAlA'1~r1"l.c+ ate ~1~I..It.:An•r uA~'f~ '1'' I;JI2 t'~ Y"~'.! 7 li l i"`A7'1•t) N I (wc) Crl1'!fy IhAT Ell starw:u~.r.ttt;; o,; tlti~ l:om~ n,c tsiic rn r1l.c Vast Ott my (uct~) {i'nllYX~fCClt;n• I (wcl un7 (Gie} rite t,a~rYC.,(s} of tJ~c :,r;~prrty dcxcri d uI},'.t~~t, I'cy' vii~uc ni' a r,i~ururlty <trrd r~~cor,lc•..i ir, ltrg,ryt,:! nf' Dc,cci~ ('ll'ticr.. ~~~ .. , !~lCir~lA'1''t.l1'~li t'7}. qp >~ °~~ ~ / ~~`~! d~' F r;.l~'AN7' t) A'I'li ""'•'" Ally itiJu,'177t7liitn t17af i~~ nYis•rcPrGSCfrlccl u'7ay t,suli irr th<` ;3u,iiluiyl;e,tltit bein~t rcvutceil Uy tkYe lu:tiu~ r3apatlnrr.rst. ""++•+"' `' 1:t1ClLLt[B tYftll tl,[s upl~lictltiAU; u stattipcd wurrar7t}~ c.icrd !'rnrn rf,c i'tcgi°;tcr ~,f Ut:otl;; u!1';i;c a co~7y of Il.t<r cet~ifttd survr.y ruzs[; if refe•rrncr. 19 St1:1(1C it1 111C \'d'+it'CQt]i~ (1CC(1 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION ~ l Owner Permit # ap 3 DESIGN PARAMETERS ~~ Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Uzuts NA Estimated flow (average)* QGl gaUday Design flow (peak), estimated x 1.5* gaUday Soil Application Rate gaUday Influent/Effluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) ~ 220 mg/L Total Suspended Solids {TSS) _< 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) ~ 30 mg/L Total Suspended Solids (TSS) Fecal Coliform (geometric meant s 30 mg/L <10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ` * * * Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer- ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer ^ NA Pump Manufacturer ~" ^ NA Pump Model ^ N Pretreatment Unit 1~,2 A ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In- and (pressurized) ^ At-grade Moun ^ -line ^ er: eaching ChamberManufacturer Model Approval Stipulatio n Soil Application Rate~gpd/fl Area Req. Absorption Area Credit per unit fi? 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". R.J. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6/99) "ln Ground Absorption Component Manual" ^ SBD -10705-P (N.O1/O1) "In Ground Soil Absorption Component Manual" Version 2.0 D 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 (8.6/99) "Single Pass Sand Filter Component Manual" ^ SBD - 10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/Ol) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months ~ year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (113) of tank volume Inspect dispersal cell(s) At least once every ^ months ~1 year(s) (Maximum 3 yrs.) Clean effluent filter At-least once every ^ months year(s) inspect pump, pump controls & alarm At least once every ^ months ~ year(s) ^ NA Flush laterals and pressure test At least once every ^ months D year(s) ^ NA Naives At least once every ^ months ^ year(s) ^ NA Other: At least once every ^ months ^ year(s) ^ NA Page~_of~_ aTaxT UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that ' may impede the treatment process and/or damage the dispersal ce?,~(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/frnit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, .disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in the following manner: ^ 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. INPECTI.ONS 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). p Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardwaze, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (I/3} 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 aze 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. p 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 discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page ?' of~ ~~ ^ Mound, At-Grade; In-Ground Pressure The inspection shall include recording the levels of pomling, 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 distribution system is provided with an opening at the end of each lateral to be used for flushing, The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant ' replacement system: ^ A suitable replacement azea 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 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 area 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. ^ 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 area is available a holding tank maybe installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» ~ . SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIItCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS Phone Phone K:IWPDATA~EH~POWTS OWNER'S MANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Agency 57~ 1 I Phone `- Page 3 of3 U_ 1961P 171 ' ' ~ ~ 688490 v R TfiR O EGIS F DfifiDS ST. CROIX CO. , yI Document Number Document Title RECEIVED FOR RECORD St. Croix County 08-28-2002 11:45 AM Ep0IN6 AFFIDAVIT Occupancy Afifidavilt E~PT # REC FEE: 11.00 ~a"elf2 W e~ t ~P ~ A~ ~ .Sltver ~4 GSt:fzll?,~ TRANS FEE: R OP E CE T C Y F E Name - (Owner) Typed or printed PAGES: 1 being duly sworn ,states, under oath, that: 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume ~i~ I~ Page Z4 3 Document Ntunber b ZQ St. Croix County Register of Deeds Office: Recordin Area A parcel of land located in the sy~'/. of th ~/ d/, of Section ~ 0 ' ~ Name and Return Address ~ W t~~ ~ S~ T o ~~ N - R 17 W, Town of _ ~/h /yM~ , St. Croix " ~4 6 1~ A~~L County, Wisconsin, being duly described as follows (include lot no. and 2.6v ~~ ~,~ s~, ~~,( ~ N 5~~~~i subdivision/CSM or detailed legal description): ~ 1 d'/ P - /D ~G ~ 3 3 - 0011 ~ vr ~~' 31 ~( NC ~kS P l Id i N b ~ , arce entificat on um er (PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of ~ g d. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently /occupants living in this residence; ~O occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to accomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that 1 will make this information available to any future parties interested in purchasing this property. Dated this ~ day of ~V.S~" luU'L * ~evt W ~It~/` Signature(s) AUTHENTICATION authenitcated this day of TITLE: MEMBER STATE BAR OF WISCONSIN ACKNOWLEDGMENT STATE OF WISCONSIN ) ass. St. Croix County. ) Personally came before me this ~ ~ day of ~'~ ~S~ 010o a-the above named e ~ e e e~-- (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) . - •;;'. '' ~~~` instrument and acknowledge the same. ~ ` THIS INSTRUMENT WAS DRAFTED B y+ 1.S~yRth~~ti~ 5 ~v is W ~Z ~ ~ ''~ ~ + ~~'°~itT ~'-~ . PO ~ -" ~ : ~?-'~ =, : ~ iJVotary Public, State of Wisconsin (Signatures may be authenticated or acknowledged c8oth ar~ot '~ ~ -~ ' My Commission is permanent. If not, state expiration date: necessary.) + ("" ~~_. Date: /' o~ ' ~ 3 "THIS PAGE IS PARTOF THIS LEGAL DOCUMENT - DO NOT REMOVE" This information must be completed by submitter. document title. name 6 return address. and PIN (-f required). Other information such as the granting clauses, leaga/ description, etc. maybe placed on this first page of the document or may be placed on additional pages of the document. Note: Use of this cover page adds one page to your document and $2.00 to the recording fee. Wisconsin Statutes, 59.517. FROM I NSTf~JT HOME Ei~U I TY, LLC FAX NO. 651501~6b6 ILL: g. 19 2002 03: a2PM P4 i Sl'N{Y'• Ii0.R fJY W [SGON61rt YUItA1 Z • 199N Fs ®`~ ~ t~J ~ iCA'PHLR tf. MALSH WAr2#tA>YfY l)k,Ll) REG1S'i'~ 01' DRpDS tloc.,man[ Nuv,l;a4 S7'. CktlFB Ct3. ~-.. y.._!~. __..... _. _ad _, 7t;agtar..... REClrilrEp MOR R~CURA ....__........ isi)etld,ntt;de6etw~e11 #igmtnund{.a....,#.I.C,_g1Nim• 0628-2r>I82 $s:~ AM I.iu7iretf LiahilCl CuNI calf _ • . ....~_..,....... MIWMWIY OEL`fi Gratusrr„{nA At.eveu A. Wetzl'cr_.... __..._....._.~. .. - F.~' ~ __~.._... __ ..._ . .., .... j REG F E8 i ; . ta0 . _._._.. .... TSiMS FEE: 1.70 .___._.,..._._......_.... ....__ COPY YEEs CrrBgru...... ... ... .._~,.......... __...__.._._._..._ ._. _,. .. ~ cl;k7 COPY' P&R: PAOE3s Grantor, fo! it YnJ4)rti)la Cu+tsider~tin7i, cpilvuya dnd wtlrsF{ssl8 t0 Crar)let: the ralit,w'ing ileeait7ad 71;p1 aetpte is St C'ruiitc Gpuuly,51!<let!(Wllepg6iq' -_..._...~.~ .__ _. li6roaa Lot 37 blltl nd Claks 9u1x1ivisipryTowrl pf #lquimond, SI. Gmix I:punly, YJISCOIISI(I tf J A- I naa-37~lilG ' r+,rllaerntr)I;luiu,tsv~inbarcr ) j "b~ls !s...".t?~ ...._. hc?rai • tx•uWrty. bxet~tions M wxrrsrtioa: Subjla:t to rtnfnc, r~t~mct-tti,t'exfYYCtiotIS,CGimtrrnt- auyj tip})tfi pf wAy pP rvc;utd, Ct'gny, iru::udtnp pltt {IOt firllllgd lU 11m6e tnr drultglEtC,WNiCr rcLLIltio[r,pulxiing,Nrui ur utiliticq d6 may C)e sLowu usl tlw plHt of linttttdpr{d ()dlu 5r)!)divisiwt rtx:orded iu Vol. A pf Plulr, pnge 2, St, f:roi7: C;~pnty, Wisccaa,;n. 7'he wu+'rtUMIOG or Ilu¢ dotd, eitlu:r cxprecu:d er implitsd tUU lirt)iwd Cty dai f;rgr{inr W tl'te Lmtttlx, ur nr>,yotxs in t11t! ch{tin ottille, to the ctYnciddr:diur'a axC»'C`ceaf heroin, Hurt being U)c suni of t 23,SCt)C1.06. Dntod this eit{i • •~ ~y of ~une_ 2442 1tNwtarr»d r..NBd, #a,.C ....~_. .................. _..r... ~........... AICTF#FNTICATrOM SIg7WIUla~(a) nulhxrluuev7al q[is _,,,,,,,~„ dny of tf'l:.L' MC:MIIC?}i 6'C'ATl? IfAit trl' 'Wiiti!'s::`rNb[tJ pf riot. uuttuNir.,ed~lry § 7Pfi pf ~ VJia ~9lrits.) _..._~._-... .Illh INK1'N'uus:N'I' WAq I)E+nN't'li'.S DS' q, ALturultY of Law pawl A, flail{o. _ . _......... _......... _.._... (9i~ngtures n)qy bn auNesnjlgted pr u~knowletittd.. v _... ~ . )34LCr qse nut ilf4'etWray.! _.....y ~ .......: ~.Y .G~ ..__ - ..... rtAitt^nl AugtinJ. N{tilli)tf _ ACKNOWC.I%t)G IM1EN'1 ..._~_._ s~'n'IZt ter wtscc>ivisrrv i ~ Na. 3txn)~Y.. raadv > Pcraulwfy atlr:n ix~lu,u me iLiM dth tiq}' pt' Juar; 2f142 .. _._.._, ... ... ...... (Jte lilX)YC IxtlitL/t At7atin J. !#8IY#on Lu mc~k7ta.,wrl :a haallo C~eraulKa) wAr. 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Y Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet Owner: ~JTC,~,/~L Project Name and System Type: Location: Street Address , ~ ~ ~~ ~ ~ / ~ .~~ ~ n ~ ~ ~ ~ ~ l Legal Lescnpnon ~~ ~~ ~ of ~ am rn. d , .~- C~~D r Z(~ Township/County Contents: Page 1 • `~ ~ ~l Page 2: I ~ l 1 Page 3: +~ ~ ~ II 11 Page 4: Page 5: Page 6: Page 7: Page 8: Page 9: -1 I ~ 1 Attachments: Plumber/Designer; Signe Credential Number: ~ ~ 0 9,~ Date: °" .r { ~ ' ~ f ~scons~n Department of Commerce August 16, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 Safety and Buildings 4003 N KINNEY COULEE RD v ~~ ~ LACROSSEWI 54601-1831 TDD #: (608) 264-8777 RECE~~CD www.commerce.state.wi.us/sb C www.wisconsin.gov ~~~ 1 9 Scott McCallum, Governor 20Q2 Philip Edw. Albert, Secretary ST. CROIX COUNTY ZONING OFFICE CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/16/2004 ATTN: POVI/TS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 776080 SITE: Site ID No. 649011 Steven Wetzler Please refer to both identification 162ND St numbel-s, above, in all Town of Hammond correspondence with the agency. St Croix County SW1/4, NW1/4, S20, T29N, R17W Lot: 37, Subdivision: Hammond Oaks FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No. 865426 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 MICHAEL P ROGERS Page 2 8/16/02 ~, • a t 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. 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. 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 Sincerely, MICHAEL P ROGERS ~ w ! .: .i 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 ~~ _ ~ t , ~ ~ i Page / of Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~' labor and Human Relations ~° Division of Safety and Buildings in accordanc~~h;s 1{-WR a3.U9, Wis. -.~ ~ k xouMY J` GiPO/ /~ Attach complete site plan on paper not less than 8 1/2 x 11 inche n size. Pla~mu~ ~ ~; include, but not limited to: vertical and horizontal reference poin (~I)~directi~i?~a~ ~;F ~ I ';, percent slope, Scale or dimensions, north arrow, and location a d'is(ance to nearest roa7S. parcel LD. # O ~ • ~ ~ a- :-~ .S~ • fs~ ~.a ,.: ~,, ~ E ~, d / • /d Date APPLICANT INFORMATION -Please print all inf r->h~tion ~' t ~:cZx. Re ed by _ ly ~ a Personal information you provide may be used for secondary purposes (Pn grtltw, sZ ~ J ~,~y~, Property locatiQri` Q Property O ~ec ~ (~ N Q / Q~ ~.~I19 ~ ~ d s r~: o ti 1!4 N~ 1/4,S 2. ~ T ~ l ,N.R ~' E (or) W Property Owner's Mailing Address lock# Subd. Name or CSM# 332.. H i UN~SoTA ST E~1S T I yo ~ 37 - ~MMOND o~4,~s' City State Zip Code Phone Number Nearest Road w ~ Z s ^ City ^ Village Town 1 ~ d 5T• u~. lH~. SSIo I c~S/ )ziZ •55S (]'Klew Construction Use: L7Hesidential /Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: (~ trench, /ft2 Code derived daily flow y~0 gpd Recommended design loading rate r bed, gpd/ft2~~ 9pd 2 p d/f" J trench, gpd/ft2 Absorption area required bed, ft 3 7 ~ trench, ft Maximum design loading rate bed, gp Recommended infiltration surface elevation(s) ~u ~ ft (as referred to site plan benchmark) Additional design/site considerations ft Parent material ~~ E'ts ~ iJ~ ~FNSF T/ ~~f Flood plain elevation, if applicable N~ Conventional Mou In-Ground Press AT-Grade System in Fill Holding Tank S Suitable for system ~,,/ ~~ U ~ S ~ S ^ S L~'~- S U Unsuitable for system ^ S L7 U ~,~ SOIL DESCRIPTION REPORT ' Structure GPDlft2 BOfing # Horizon Depth Dominant Color Mottles Texture Consistence Boundary Roots d ,Trench in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Ground O Y fl "F M p'l's L ~ f M^ "Fly- _ _ • ~ ~ ` S elev. ~ ' ~oS,~n. Depth to limiting ' factor ~_in. ---~--. Boring # 2~ Ground elev. ~o5,~ft. Depth to limiting factor ~ ~in. Remarks: CST Name (Please Print) Rp13~RT Address Signature r~~_ reiepnone rv~ . c~T ~G~(9 ~~s • 3 gG • ~ ~ Da a CST Number ~~n~~. y - 4~'4 ~ i4 3 7 5 n s 4, ., V N 8) ~Q L ~a~/ SOIL DESCRIPTION REPORT PROPERTY OWNER ~~ ~ S. s ~ ~ ~1 PARCEL I.D.# ~ ~ ~ ~~NM~'J~ [/ Boring # 3 Ground elev 10~ Depth to limiting factor ~in Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft Depth to limiting " factor . in. Boring # Ground elev. ft. Depth to limiting factor in. RcmarkS' -.. «_. ~~ r page Z of '' M ~o M -~ ~L mo m M ~~ ~ ~ ~m ~ ~~m~ ~ z ~ 1.. ~o ~ N ~ ~ '~ ° C~ maw= M ~I O --.~ ~ ~ :. ry ~~ o ~ N i~ ~. ~ J1 Qp ill ~ `~ ~~ • ~ Q (~ ~ `U ,` (~ ~.. Q ~ 2 ~ ~ a ~ p V 6 ~, /~ _c q~ 00 • ~ ~o FROM INSTANT HOME EQUITY, LLC x ~ 3'1~~` .~ ~ ~* FAX N0. 6S1S01S666 ~ . ~ ,"~ ~ ..~.~- ~. ~~~ ~ ~~ ~. ~~ ,R .~ .; .~ ~~ ~~,~~ r~. ~~ ~ ~~ ~ r /"! " ~~ i ~~ ~ r. ~i ~ ~~ ~~~ .. .__ ~ ~~ ~~ ~ ~.~~ ~ ~ Aug. 19 2002 03:42PM P3 ~"~' +~- ... .~ ~ .~ 8 0 .x ~~~ ~~ 'I~t+~' !0~ 53 ~3~12 Sp.F~