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018-1086-50-000
' ~~ O I 3~ n d c °.: ~ m o c ~ ~ ~ ~ '.. ~ ~ ~ ~ ' I ~ c ~o d ~ ~ ~. r ~ ~ ~ '•' ~ ~ ~ Cy _ A~ O I ~ 3'i ~ ~ 7 Z ~ ~ O N (_~ _ ~ ~ ~ • ' a ~ ~ ~' 3 ~ ~ ~ ~ ~ M N N N A ~ "' O ~ ~. C w C ~ O _ y ° ° ~ fD ~ ~ ~ o o C ~ 7 ~ p C O ~ O a ~ a ~ N ~ O r• 7 N W ~ N S O a o w cn Z D m A ~ ~ a v' m co D N ~ a I ~ ~ ~ I o ~° ~ N ~ o c I Z o a c~rtn °w w° 2r 3 ~ a N~ ~~ ~ ~ ~ ~ o M o ~ '0 ~ ~ ~ ~+ cn = ~ m m 3 to to to ' ° ~ o ~ ~ ~ ° ° 3 3 i ~ ~ 0 n ~ ~ d I m ~ d I O 7 i N ~' ~ M Z 0 ~1 7 ~ i S ~ O ~ ~ ~ 3 I I ~, a ~ ~ a 3 o m Z to m N m C ' -' 1 fA A Z ~ ' y fG ~ I n ~ ~ L*. N w A~ 7 C N .. ~ 7 N O _. I W ~ ZZ N O < o 3 ~ ~z , ~ A ;U G w Z N C C < < Z W I 'o 'O D I ° w a ~ 3 =' ~ . I p d ~ I ~ Z a o a I a ~ ~ N O ~ O O A { N ~ n ~ O CO ~ W ~ ti p O N ~ ~ I ~ ~ O ~ I ~. ~ :A N ~ ~ rfl O ~ N O ~ L ti ~' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildinp~Divi'~on ,y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Stai, Gene Hammond Townshi CST BM Elev: / 60.0 Insp. BM Elev: 0D • a BM Description: s~ s-~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~~ D~ Dosing b a /_~ t~ Aeration Holding TANK SETBACK INFORMATION County: St. CroiX Sanitary Permit No: 420640 0 State Plan ID No: Parcel Tax No: 018-1086-50-000 ELEVATION DAT STATION BS HI Benchmark . o to Alt M _ X71 Bldg. Sewer ~~ d ~ ~L2 ~ IJLV a. [ Dt Inlet TANK TO P/L WELL BLDG. Vent t it Intake ROAD Septic ~~ / ~ ~ ~ ~ Dosing ~ ,t ~ U Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand ~l_C~2 GPM Model Number ~- ~ SZ O 2 TDH Lift System Head TDH Ft . ss Forcemain Length~~c Dia. ~ ~~ N i~1 G' ' Dist. to Well SOIL SORPTION SYSTEM /TRENC Width ~ Length ~ No. Of Trenches SETBACK SYSTEM TO P/L BLDG WELL INFORMATION Type ,OnfASystem: ~ / ~ ~ I ~~ tiQ ' l~l ~`'rfJ DISTRIBUTION SYSTEM Lav1.~ So, r// ••i<.a ree. ~ ~ 3• Z~•I t. Pipe Bot. System Final Grade at ~ ~u.s~.~ ~ l2 ~ c Ioo~ a (/ ~0~~ 3.5''! ~~6 7~ ~`~ ~•s~- 232 Z Gl ~ r-q. / ll ~~ti /I ~ 3.9 PIT DIMENSIONSTNo. Of Pits Inside Dia. Liquid Depth CHAMBER ~~ UNITS Header/Manifold Distribution Pi e(s) ~ // x Hole Size ~~ ~I x Hole Spacing tt ~ Vent to Air Intake p r-- to'~ ~~ 2 ~JZ 3S /y ~~ Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlfrench Center Bed/Trench Edges Topsoil Yes ~ No ~~ ~ ~~~ Yes C,~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~/~ L,n,,sp~ec~tion #2:_= ~_ -h.c l~-3 Location: 881 161st St Hammond, WI 54015 (NW 1/4 NW 1/4 20 T29N R17W) Hammond Oaks Lot 50 ~~ ,-~~~~~~~Parcel No: 20.2~9.C1.7~.670 1.) Alt BM Description = ~' " " ~ Slo) ~ ~ ~` U~`~1 _ 2.) Bldg sewer length = ' ~ t ~ ~~~'~-` ~ (a.~ -amount of cover = ` 3.) Contour = q(•0 ~+ ~r ~~ ~~ ~'- l i ~ _ _ .._ __ _--- ------- ----~ r- ------~ ! ---- Plan revision Required? r:~; Yes ~ .„ No ~ '' Use other side for additional information. I-_ i L __ - t- ____ ----.~ ~- SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ® _ ~ „ Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 _ ~SCOi~~IO Madison, WI 53707 - 7162 Site Address Department of Commerce 8 1 to I s-r. S Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision ~~ O ~ ~~ ma be used for second oses Privac Law, s15.04 1 (m I. Application Information -Please Print All Information State Plan I. Numbe Pro er's Name ~ Parcel Number 3 perry Owner's Mailing Address Property Location ST. CRUiX CUUN i. ~ i/s; S T N, R ~ City, State Zip Code Ph Lot N r Block Number I~.J h~~ C~2Gi~- ~l~ 1~ ~ ~~110 ~ /~~ JJ/ Subdivision Name CSM Number ~1-~~- Type of Building (check all that apply) n ~ //~~~ f uJ Wl'M~l+-t. ^City 1 or 2 Family Dwelling -Number of Bedrooms ^Village ^ Public/Commercial -Describe Use K (, ~~ Township ^ State Owned /~~ W t ~ jl/ X~~2,s- ~ (~~1~~3tt/t.. Gf~~ I) NearestRo ih- D, s 'sit d `< . Irv!- "D `' - ~ d / III. Type of Permit: (Check only one box on line A {numbering scheme fo internal use). Complete line B if ap is le) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin 5 stem B • ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued 1V. Type of Permit:.(Check all that apply)(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21 Mound 47 ^ Sand Filter 50 ^ Constructed Wefland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ erobic Trea ent Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/Treatment Area Informat ion ~ t 12. SX 1(0 ~ ~ . D Design Flow (gpd) Dispersal Area Di ersal Area Soil Application Percolation Rate Sy tem Elevation 'nal Grade Re~r ed )~~ 5'~ Prop o sed GlO Rate(Gals./Days(S .F~)~, `(Min.lInch) ~ ~ ntevation ~ 3, Q ~ Q ' ~ /'~ ~ q . i~o ~ r VI. Tank Info Capacity in .Total umber Manufact~zrer Prefab Site el Fiber plastic Gallons Gallons of Tanks , Concrete Constructed Glass New Existing ~ ,/~ I V °1[~ ~ -1 t~ -~ / / Tanks Tanks Septic or Holding Tank _ Dosing Chamber ~ VII. Responsibility Statement- I, the undersigned, assum possibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI 's ig tut MP/MPRS Number Business Phone Number ~ - -1l3~ Pl is Address (Street, City S te, Zip . ~~ VIII Count /De artment Use Onl Approved ^ Disapproved SatritarY Permit Fee (includes Groundwater Date Issued suin Agent Signature o Stamps) ^ Owner Given Initial Adverse . Surchalge Fee) ~#f ~ ~ / ~ J ' ~ ~O b ~ ~G~/yy' Determination l ~ Conk iti f A~pproryvaUReasons for Disapproval _ _ 3 ~ / s/~.c_ s~ " , ~` ,S"~ ~~ fLCiC:O.Q~L Qa~i4oc/ '~ttyn~~4~ , .~• ~ ~S'~~:~:t_- L~2-~ -.~~h~~a~~ /°ir~~/~ ' ~~ " 3..~ ~, art ~HGv `" /+ ~ ~.3 . !~ ~ (/+z ,. ~~'~ ri^~ (~~Li ~Ga G~~ ~rir~rc~ r / ' uc c h~ h S~~'.6~5 ~ ~/, <-O1'~t !~+ w ~/sue i T• 3 ~; ~o ~) /'/C~ ~~ o press t[oy~ ~~ f r te~p~Er t less tdan 251/2 ]j/ ches !n size L~ (~L ~ /vI~2- SBD-6398 (R. 05!01) ~it2c~ ~„~~ ~~~ ~/r"t ®C-- ~.~t~~~e~~.e- . ~ 1~t.w~.rR ~a..~ ~ ~e~ Ste' - ~~~o~ 1_ ~~.N r L•o~ Sb ~ ~..w.wo•.X O•~{ t'S ~~~w~~ t"= lo~ t~ o ~S Ec Y .~ ~` W t+•~ Lzt~~4 ~ t~ ~$b~t~ ,~ w`~~ 1 1 p v-ac..~ :~ ~ ~.s ~ ~ c9 ae.~ QK ~ . rep ~- s ~.,4 ~ / ~S~ ~o~~. Spa c ~.O M(~ u~3g ~ 5 S~ J (` ~ ~~~ I ~.. 1 "` J iiy ~.:~.,F ( '~ °d4 5 t.~~\ w : may,.. .~-v-o - to ono ~-e (,o ~~ 'ti t ~~~ % ~~ `~ 1 _~ ~ r ~~1 r~~s9 ~~ l`~~ ~4,. o~ Lo ~~ S c y~, m n ! ~ ~ ~ ~ t, '\ yQ/ ,, _„ ~ ~, Y , 4 '`~`2.S' ~ n..cc~ ~-4.l` ~`~ 1. :. - X o~~ ~ s' '"`z~a~.o~' / 6 C 4Z..o~ ~+ a ~ ~ 6~ ~ r ~ 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 December 11, 2002 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING N4563 320TH ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/11/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Gene Stai ,.Saa~I,ane "-' g~ 4 ) 6 ~ sr ST-. Town of Hammond St Croix County NW1/4, NW1/4, 520, T29N, R17W Subdivision: Hammond Oaks -lot 50 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 885166 ~~~o~O~fU Identification Numbe Transaction ID No. 818548 Site ID No. 654195 Please refer to both identification numbers, above, in all correspondence with the a~encv. 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. • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank out e i er is regmre a access grade with a watertight cover. • 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). A ~pytl~l ~~~ ~'' ~ , MICHAEL P ROGERS Owner Responsibilities Continued: Page 2 12/11/02 • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered. a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 T code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing r r Gene Stai -Mound Transaction # A ~'.. ''r ";''~ .. _ v>„ '^> ~~ ~' 7 n ~ ~ U®~ ._ ,'~, `~/`''~ 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 (01 /01) Location: Lot 50, Hammond Oaks NW 1/4, NW 1/4, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: December 10, 2002 Owner: Gene Stai Address: 1788 Elm St. White Bear Lake, MN 55110-5632 Plumber: Mike Ro ers ., ,:- Signature: License # MP 225094 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 '~„' - _.. ~ ~~ DEPARTMENT OF CCM~,~ERrE DfV15~DN 0 AFETY AND BUiLL'It~GS sLE coF~~ Porvr~~vcL ~h ~ ,; page 1 of 8 . .~) Design Criteria ~L'~ 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 6`'s~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~ •Z4 gallons/sq. ft. per day Depth to estimated high ground water ~31 ~~ '~ ~ sal. s~Q ~~ 13-.3 Depth to bedrock ~- 4b in. Cross slope at system ~~ •~ % (`^~ ~"> Force main length ~ ft. of z in. Manifold/header length ~ ~ ft. of in. Drain-back ~ •5 2- gallons Lateral length ~ @ ~~'~•~ ft. of Z in. Lateral elevation _ `t2•° ft. @ bottom of lateral Lateral hole size S~;Z in. @ 35 ~~4 in. ( Z•`t~~'s ft.) Spacing hnlac/lateral 3 ~ holes total Lateral volume 1 ~:+~ Total lateral discharge rate ~~ •~ ~ Network pressure compensation losses t • ~ ~~ Elevation difference t ~•~~' Friction loss ° •~ Total dynamic head ~ b • ~ Pump/sip~,on g'~ gpm @ z a Manufacturer ~° e-<<°'" Dose volume ~ ~ • Lift/sipflvn tank `"~ ~ ~ °-'' ~ °-~' ' ~ `''O ~ ~~ Septic tank ~ ~ ~~ Effluent filter ~ ~-~ ~ -~~ Measurement pump on and off 5,~3 Height alarm from tank bottom ~ 3 •~3 Reserve capacity ~}3 t specs,calcs.res gallons gallons/minute @ 3 '~ ft. head ft. ft. ft. @ ~ t gallons/minute ft. ft. of head Model # ~~ 2- gallons ~ `''`~ gallons ' ~' gallons in. in. gallons Page Z of ~ . 1^l~w~.YR Lor.~. - l.~e~ Ste- c~~e~ ~~~.., ~o~ Sb ~ ~~.~v~wo~.rX pe.~ . Lilo,..» i 1 S .~..,...r ~- ~..9, ~V 5~~,~~ ~" z 30~ <~~~~~ ~~ t3 M n.~w ~~ ;~o~, . ~ ~ o.. \ o ~ ~` o b\ H.. ,,~- ~,.,zl t 'S {~~N w 3~ S:~ ~s~we9 ~e.n .~.r4~ / ~ ~ ~~~ ~~"~ ~, d: ~.~ N 1.0-..~ ~S~ oQOw~. S~fl C ~.~ ~`n Oy./'r 4a K ~ O.4.K ~.~,y ~.y u~3g ~ SSA CL° ~ J Z~ t3W (g4,`~~ I,I~~ ' ~l.r ~4 ~. o~ 7 o Lo ` \ ~ ~ \J\ t-. ~S b \/ \T' ~ ~,Y.~j' Y,4 F6 _„ ~, ~=1 m 0 m n '- - / ~ I ~~h,s z~~,o~ '~ G'~'~ ~ ~ ~~~ ~ 1~ / 6 ~., ~ r ~ ~-a) li a.l~„ ~~~a,( r ~; .r ~~t ` ~~ ~ t w p-i~ 3.Q~ ~ ~. v Y. ~ ~ ~ Z., ,., ~ Q ~ 1 ~ 1,~' ~ \ C~'~3 ao.ar J 7 a.,. « .r c.... a.•...a 4b o ~ t ~y ~ a~ `ter ~...rv.' ((~~} aXav. `t2,o / a ~ ~ O ~ Z 0.,~, o ~ R V .~ Z ~a ~ \ ~, ~o i ~+~ c o :, \ la`+~ ~` ~ `... Q„, a..V Z - o,~~~ qc_~ ~ ~~ , ~ ~w ~ tik 2.2' ~ 3.a~ ~ ~{-.J~ Y.z. ~~.~ Z2. p r o~t', ~ ock ~oa:~l ~t7~~ - O. g 3~ ~9 r~ ~ ~~1 ~i~ 2 ~, p~~ Z '' Ca v~e r a~v~-- p `P-e- - ~ ~ p r~ ~- o ~ g o z.~. z,o '" ~, t ~ ~_ ~.~ ~- 2 Z , p' ~z•8 Q.2' _~ 9.z~ E-- 112•x'' 1 So.9, p ; ~'~ ~ p v c c.... ~ ~ ..~ o b s c.~, v .~. +; a.,. .,.....\l 1 ~,. ~ o`T~ o .-, o ~ ~. e c.~ 1vo~', ~0.4~.rQ }Q.ry..:.~...~5 1,4~ .__._. ~bo.,,n o~.~ o~ ro~.`c `~ I~ " "N `~VL SV'l CC2'' ~'~~ 5~:, TOYC~ '~o.~ r ,~ ~ ~ `/cF 13 S .~4. v p ~ -S- r (( ((~_~ ~hYM Shyrr\!~~ w~(~~J ~~1~~~"V~1 ~'I~ ti /+Uy1~Q .. Q. 1gvOT•a~ ~N vw V N\ VO.. ~p1~.Lt Or ~ 4~K~O~w.'~~ / M • S/ 3 Z. ~ 01 ~--t O r. ' w. Q.y GA.v. QM O~ O ~v. ~~ ~ o ~ ~ ~~ ~-~ ~~ ~ S `/ 4 13 ~ lq.'' s o~ ~ ~~ ` ~ 2N W ~ ~ ~ O (Z C ~ ~ IY l :~i l; k C"~' 1~ ~>'r (a ~l. ~ WEA'fNERPROJF L4.CKING~GOVfiR .3tiNcT~oti i~ ll/A/t~N /NG .C ABED , QvIcK DI~C.owtcT--~ ~ 0 ~. 6~~ --~ ~, T .. ~ f'ti c ~ ~ t~ - j//i1i-~, i , PIPE 3' o~ no NOIST~aO~D ,~^ SD1L. 24u Z.'p, ~I I ~~_' MAHuo>.~ j I ~'~''' ~~ i~u r ~ , ' ~ ~[,~T' ~ - - I~~w~o ~ r; ; -- zi.z~" N~c ~ ~ ~ /~:, .. 4PDR.ovLD A ,~ I I~ 4 v SY.FT 3bKrJ ~ 11 ~FLE, 1 a~ I i i 3' o-r-c w+ E CT i O KS ~ w/ ZL .~ b .aQ, ~ - \ ~'O r 1 I Jwvhv _ C c " ~ I C~Fv. Y~ 2N :h Ow v ri~~~~' 3~ i 4~ to ,z~' Q>~F I I j . PurlP ~ ; p ~,~ Co~e~-~ l ~G" b~oGK }a'' IL,'}b- ^~ b 1;~. SCPr~c t SP_EC,~FI~CATIOIJg T~u~,S MA~JUFACTUi~CR: 5`~ 3 IJUMBCR OF DOSCS. ELK ~~- T^-JK SIZC: ~~~D~~~ _ 11 GALL0IJS DOSC VOLUME S J tT~ ~c.'r~s I-JCLUOIIJ(a OACKfI.Ob/: ~~ ~ A~ARh /y,U,JUFACTURCR: :,~-.:,ti: hODCL WUIh,',CR: \ °, \'~ ``~ CAPACITIES A = 2z.2~- IuCHCS Ok 3~3'~' :,:•__ ~, SWITCH TyPC; ~~` "lb Z ~3SZ,. %,~M.P /1AIJUFACTURCR; ~o~"\` - C ~ S,~-3 ~uc~CS OH 4~•r~ 7- MOpEL 1JUMDCR: \~ 2 ,/ ~ \~ ~~ ~^-_:.: D~ Iu~HES cR ,;~.__ _ SWITCH TyPC; ~~"`~ IJOTE' PUMD A-JD ALAR~~ ARC TC BC MIWIMUM DISCMI~RGF RAT'C Z~'~ OPHV INSTALLED 0-J SEP~RAr[ C~K._ '_ VORTICAL OIiF[Il[AJCf DCTWCCU PUMP OFf AUO OISTRIDUT101J PIPf,. ~,•~~' FEET + ,M~/1uI_MUM ~1ETWORK SUPPLY PRCLLUIITT,E~~. 3'~ FCCT+ ~~~~ t `~ FCET OF FORCC MAI-J X ,•~~ f/pO~xFKIGTIOIJ FACTOR. ~'~° FEET ~ Z I -~ ~ ~ .~-. = TOTAL Dy1,JAMIC HfAp ~~°'~ FEEr'~ IIJTER-.1AL. DIMCIJ6101Jfi '0/ TAIJK; LE-.1fiTN I~~ ~g1' 3iO ;W~DTN ~ LIQUID DEPT H t'Au~ 6 ;; 0. ~ -~ r ,. • • ' TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 0 a w v a z r 0 a 0 FLOW PER MINUTE 0 MODEL ~ 152 -~ ~ 153 i Feet Meters I Gci. Lifers Gol. Liters 5 ?.5 'i 69 ~ 261 77 291 10 3.' ~ 61 i 23' i ?G I 265 15 4.6 53 20' 61 231 20 6.1 44 i t 67 I 52 I 197 , 25 7.6 I 34 129 42 'S9 30 9.1~ 23 ~ 87 33 '.25 G 0 ~ 12.2 - - ~ -- - ~ ~ ~ ,~ 2 lock Valve: '~~38.0 F !1' 6m,'^r 0 r~ '', gym,. oiasoe 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and shoR cycle controls. • Sealed Owik-Box available for`outdoor installations. See FM1420, • Over 130°F. (54°C.) special quotation required. 1521153 Series _ 152/153 MODELS Control Selection _ Mode_I_ Volts-Ph Mo ed Am s Slm lex Du lex Ni52 115 1 Non 8.5 1 2or3 BN 152 - -- . t 15 1 . _ -- Auto 8.5 Included 2 or 3 E152 230 1 ~, 4.3 1 2or3 _ BE 152 230 1 Auto 4.3 Included 2 or 3 Nt53_ 115 1 Non 10.5 1 2or3 BN 153 t 15 1 ~ Auto 10.5 Included 2 or 3 E 153 230 1 Non 5.3 1 2 or 3 BE 153 ~ 230 1 Auto 5.3 Included 2 or 3 ~ CAUTION All installation of controls, protection devices and wiring should be done by a quallfled licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). ---- -T~ i!. ~ -~ ~ --~- -r ~_ - - ~~ -1--- ~ i --L sKZO6+ SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. ~ ~~ ~ RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. --`-_' j MAIL T0: P.O. BOX 16347 7 q/// ~ ~` ' Louisville, KY 40256-0347 Manufacturers ol. . Z • ~I~~~ SHIP TO: 3649 Cane Run Road Louisville, KY 40211.1961 QVi1L/TY PUMPS SNCE ~iJc%! W ' PUMP l0. (502) 778.2731.1(800) 928-PUMP http://www.zoeller. com FAX (502J 774.3624 © Copyright 2000 Zoeller Co. All rights reserved ` " ~~' 0 80 160 240 320 1 system Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. [f problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-] 132, 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 . 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. ~. 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. I I . f f construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulchinU may be required to maintain a functional system at start-up. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. ?. I f necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. ~. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. I f 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 nvo 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 monitorin`; 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 '~ ~ " ~ ,~DRIGI~~L RECEIVED 1670 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certi ied Soil Testing Coun Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parc I.D. ST. CROIX COUNTY percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. ZONING OFFICE ID ~D -SO'- Please print all information. eviewed B Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~ ~ Property Owner Property Locatio Humbird Land Corp. Govt. Lot NW 1/4 NW 1/4 S 20 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 332 Minnesota St., East, 1404 50 Hammond Oaks City State Zip Code Phone Number :City ; Village Town Nearest Road Saint Paul ~ MN 55101 651-222-5555 Hammond Sandpiper Lane New Construction Use: V'l Residential l Number of bedrooms 3 Code derived design flow rate 450 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 cell mound w/ 0.5' sand fil 91.0 contour as upslope edge of rock for 3 br GPD Boring # ...' Boring /' Pit Ground Surface elev. 91.0 ft . Depth to limiting factor 42 in. Soil Application Rate Horizon ~ Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0-11 10YR 3/2 - sil 2 f-m sbk mvfr cs 1f/m .5 .8 2 `' 11-28 10YR 4/4 - sicl 2 m sbk mvfr cs 1 m .4 .6 3 28-42 10YR 5/8 - fs 0 sg ml as 1 m .5 ~ .9 4 42 4 10YR 4/4 f2d 10YR 6/2 sl 0 m mfr cs - .3 .5 5 44-70 10YR 7/4 f2d 7.5YR 4/6 fs 0 m mfr - - 0 0 horizon 5 is generally resistant to penetration; poorly sorted or somewhat weakly cemented , Boring # _ Boring /' Pit Ground Surface elev. 89.8 ft. pepth to limiting factor 42 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 ' 0-8 ' 10YR 3/2 - sil 2 f-m sbk mvfr cs 1f/m .5 .8 - -- -- 2 ~ 8-25 10YR 4/4 - sicl 2 m sbk mvfr cs 1 m .4 6 3 1 25-42 10YR 5/8 - fs 0 sg ml cs - .5 .9 4 42-44 10YR 5!8 f2d 7.5YR 5/8 fs 0 sg ml as - .5 .9 5 44-46 10YR 4/4 f2d 10YR 6/2 sl 0 m mfr cs - .3 .5 6 ~ 46+ SSBR horizon 6 is generally t to penetration; weakly cemented Effluent #1 = BODS> 30 _< 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 = D5 < 30 mg/L and TSS < 30 mgr SST Name (Please Print) S n tune: c~ CST Number henry F. Grote C~ 222774 address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 11/25/2002 715-233-0398 Property owner Humbird Land Corp. Parcel ID # Page 2 of 3 Borin # f Boring 3 g _~ /J Pit Ground Surface elev. 91.0 ft. Depth to limiting factor s(40 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun ary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10YR 3/2 - sil 2 f-m sbk mvfr cs 1f/m 5 .8 2 9-31 10YR 4/4 - sicl 2 m sbk mvfr cs 1 m ( .4 ~ .6 3 31- 0 10YR 4/4 c2d 7.5YR 4/6,5/3 sicl 1 m sbk mvfr cw 1f .2 .3 4 ~40-50 10YR 3/4 m2p 7.5YR 5/8,4/6 sicl 0 m mfr - - 0 0 /J ~~ ,lOtl Boring # :~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 Boring # ~ ' Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. S[3D-a33o (R.a7i0o) Certified Soil Testing t l ` (~ a ~-o'i Sb ~ ~rS..~ wwo..Q 0..~ N I~ `~ 1'1 ~` f/v V N ~ ~(' O M ,S 3o Y3..~py`` ~ ~O~ Uf~+V~O~.S ~Z"~. ttt'~'~4' I ~{~ !J (~y-~~ ato,• dew.<4~1(\0~ ~•U\A. ~o~ jv~_ U.. Q C M N ...rsg ~ SSA (`~~ ~~`~ ~~i ~g~.g~ ~ ~r r\s~ '~ o I Lo / I` 3 ~5 - AS ~ 6 G ~ ~ ~ ry i 0 C~-~~~ G,~\ `c 6 i~'^1 ~~~ 0 m i ry _ £`~~`m5i -~~v N Hb'~R~ ~9-rT~ 2~~'^-' =~=s~: ~~Ir' .7 0 «<" f=T-~ -.P»,- ...,TT~~~ ~?, ~~coc~ cc~ -- »»`>`> ~--.~i- `" ..p - ~,~ a ~ y 4 ~. . SOIL AND SITE EVALUATION ~ Wisconsin Department of Industry, Page ~ of Labor and Human Relations IS. Division of Safety and Buildings in accordance wii~~ ILMf~ 83~0,~,; ,r ~ r /~ Attach complete site plan on paper not less than 8 1/2 x t 1 inches in siz Rh' ~must~y~, r^ P.. ,`'r• "?; include, but not limited to: vertical and horizontal reference point (BM),~~ ion and k t `,;w= ',Y ~~ percent slope, scale or dimensions, north arrow, and location and dist~(noa.{o nej}a(rest road. ParceLl-:D 1 # O •• • ~1~~ 1 W f.eq .~ ~~ • /~ ~O • V 16 ~~ Date APPLICANT INFORMATION -Please prinf all informs „ Reviews y ~f`~ v ~~ ry la °f ~I Personal information you provide may be used for secondary purposes (Privacy La~irt ~,15.04;~~~~ , ~ ` d> i ~ - Property Owner (.~ V M a l eD L>Al~ D '1'toperty Location,- '' ~ ~/ 6 C d ~•, • ~ . ,X/4 ~W 1/4,S Z V T 3" 7 ,N.R ~' ~r (or) W V '~ Sv t1'~J ~~ li l ~O ti7 rcuv 4°t;/~/w . Property Owner's Mailing Address Lot # °'k# Subd. Name or CSM# 332. h i UN~SoTA ST: EAST l yo ~ Sa ~M~rowD og.,~f- Nearest Road W ~ Z.. City State Zip Code Phone Number ~ City ~] Village Town ~ (~ d ST• u~ Nu. SSId I . (~~S/ )zaZ •5555 ~Iesidential / Number of bedrooms 3 Addition to existing building []'New Construction Use: ^ Replacement ^ Public or commercial -Describe: . ~ ~ ~ trench, d/ft2 Code derived daily flow y~o 9Pd C Recommended design loading rate bed, gpd/ft2 9P ~_bed, ft2 37/ trench, ft2 Maximum design loading rate / bed, gpd/~~trench, gpd/ft2 Absorption area required Recommended infiltration surface elevation(s) S~ ~ ft (as referred to site plan benchmark) Additional design/site considerations N ft Parent material ~O Efts DV ~ O~NSF T~ ~~f Flood plain elevation, if applicable _...~ In-Ground Pres re AT-Grade System in Fill Holding Tank Conventional Moun~J. ~ S g Suitable for system ,_.,/ r-,/ ~ U ~ S ~ [] S ~ ^ S U U Unsuitable for system ^ S L~U L.~S SOIL DESCRIPTION REPORT GPD/ft2 Boring # Horizon Depth Dominant Color sell M Mottles Texture Sz. Cont. Color Qu Structure Gr. Sz. Sh. Consistence Boundary Roots ged ,Trench in, un . f `~~ s i / ./o ~oy~3~3 - G l shy S~. w / . • ioyR3/ --- SAC. ~fs6~ c5 - ~;,~. Z •L SQL / fS hiC 5 ~ 4S - . 2• . • 3 Ground elev. 3 Q •3 . /Q R O '~ Q ~~ f MOf s ~/~fL ~ v f' - ~ 5 ' 9/. 3-~ft~ Q ~ / . io Depth to limiting ; factor in. ~ Boring # Z~ Ground ~~ 3e1 ft. Depth to limiting factor .. -~ ... Remarks: ~' ( ) Ro13~RT- ?a~i3(~1iC1~1' Signature ~ 6 wv ` L~""'~ ~ ~ Telep one__'.~ S CST Name Please Print l7F f 7~.5. 3 ~G -~- Date ~~' ^" " Remarks: h No ;~ L ~a~ SOIL DESCRIPTION REPORT ~uHg~+20 PROPERTY OWNER C~ !f AM f1 O ~~ ~~ ~. -s S d g PARCEL LD.# Ga ~ / .~ '.~ a Page ~' of Mottles Structure Consistence Boundary Roots Bed , Trenc BOring # Horizon Depth Dominant Color Texture Gr. Sz. Sh. C in. Munsell Qu. Sz. Cont. Color ~ c ~ ~ /~ 7 L (f shy ~ cS 1 . Gr ~ •t ~ f oTS SIcL ! uh ` c 5 '`" elev. , ~ 7 S ~?~ ,,., N Depth to ~, ~Z ~ Q~ limiting 1 0 ~ ~~ / ' C~ factor m. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. ~Depih to limiting factor in' Remarks: Boring # Ground elev. ft. Depth to limiting _ '~ L>~a~ SOIL DESCRIPTION REPORT Page, ~ of 3 ~uH $~ i20 ~ROPERTyOWNER ~~Mho~~ ~~ ~S S (7g~ PARCEL LD.ff ~~_.--= ~ 2 Structure Consistence Boundary Roots ged , Trerx Mottles Gr. Sz. Sh. Boring # Horizon Depth Dominant Color Texture in. Munsell Du. Sz. Cont. Color ~ /~ C~~ ~ ~ ~ ~~ ~ ~ 5 .. Ground ~D ""~' ,5/ L V ~ . C ~ . - . ~ ~ •,~ elev. ~ /~ y S ~ ~ STS S/GL ~ , ~ ~ ~ y,, ,u Depth to ~, ~ O+ S , limiting ~ 0 • ~~ ~~ factor ~in. Remarks: Boring # : , Ground ~ , elev. n. Depth to limiting factor • in. Rern~rks: , Rtn:rture .._....:...e.,~o RnundaN ROOt3 ~_a Boring # Ground elev. ft. Depth to .limiting factor in. Boling # Remarks: Ground elev. n. . .._---- Depth to . limiting ' ~~ 3 0-~3 Uibricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis• 54018 C5 ~ 2zC~3-7S ~i loTSo M o~N~ s~'sT. l~. `~ .s~~a f,~l1 ~l~v. ~v~~-t~ 9a . 3~ ~~ ~ ~ 2 g3 ~,~' ~ 81r • ~~ ~~ 33 So • Lo T ~ • 1,___.~..__.. ~.... .~...._.. _ _ ._ .._ . ~Y Zgs ' ~ ~~ ' ~ ~ I T~aT~-~ ~~or si~ _ ~,~C~-~ P~f ~-5 s w ~~ ~ ~ ~'s y~ ~ U~~~ i ''~~~ ~. ~ ~o~ ~.p 1~~ ~ i 1 D,%' a ~/' Cdr' 39 ~ ~. i y Owner: Private On-Site Wastewater Treatment System (POWYS) Indeac and Title Sheet .._ ~i o Project Name and System Type: Location: ~ C i ;o ~ ~ - - - Contents: Street Address i ~ Page 1: Page 2: Page 3: Page 4: Page 5: Page 6: Page 7: 0 Page 8: Page 9: Attachments: Plumber/Designer: _ 1"~~(,y~ ~l Signed; Credential Number: Date: ~ POWTS OWNER'S MANUAL MANAGEMENT PLAN FII.E IN RMATIO Owner Permit DESIGN PARAME RS` Number of Bedrooms 100gpd/bedroom p NA Number of Commercial. Units - NA Estimated flow (average}* ' gaUday Design flow (peak), estimated x 1.5* gallday Soil Application Rate , gal/day InfluentBffluent Qual tv (NA~___ q) ____ Monthly Average* ats. Oil & Grease (FOG) 5 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) 5 30 mg/L Total Suspended Solids (TSS) 5 30 mg/L Fecal Coliform (geometric means ' <IQsfuJ OOmI Maximum Effluent Particle Size 1/8 inch diame * 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 p NA Pump Tank Manufacturer ^ NA Pump Manufacriuer ^ NA Pump Model ^ N Pretreatment Unit A ^ Sand/Gravel Filter O Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-gradeMound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer Model Approval Stipulatio n Soil Application Rate~gpd/fl Area Req. Absorption Area Credit per unit fta 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 & C;onstruchon Manuat° (converse et.ai.lyyu) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625!1-80-012 October 1980 ^ SBD -10570-P {R6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567-F (8.6/99) "In Ground. Absorption Component Manual" ^SBD -10705=P (N.01/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -1062.8-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculatuig Sand Filter System Component Manual" D D -10572 P (8.6/99) "Mound Component Manual" ~SBBD =10691 P {N.O1/Ol) "Mound Component Manual" Version 2.0 ^ SBD -10595-P (8.6/99) "Single Pass Saud Filter Component Manual" ^ SBD -1065? P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ ~iD -10573-P (R 6/99) "Pressure Distribution Component Manual" BD -10706-P (N.O1/Ol) "Pressure Distribution Component Manual" Version 2.0 D Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAiNTF.NANf'F. MnNiT(1RTNC SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months yeaz(s) (Maximum 3 yrs.) Primp out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months ~ year(s) (Maximum 3 yrs.) lean effluent filter Atleast once every D months j~,yeaz(s) Inspect pump, pump controls & alarm At least once every ^ months ~ year(s) NA Flush laterals and pressure test At least once every ~- 2 onths ^ year(s) ^ NA Naives At least once every ^ months ^ year(s) ^ NA Other: At least once every ^ months °^ year(s) ^ NA rage t ui aTART UP . For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a seppage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The. quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note:. this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ^ Valves Valves shall be operated in the following manner: Alarms Alarms should be tested an a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regulaz operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). eptic Tanks. Component Tank inspections must include a<visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume; the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filte s shall be ' ected and cleaned to remove any accumulated solids accordin to manufacturer's specifications. Provisions are to be made to retain solids in the tank. F ter cleaning may be necessary at more freq erva an m e mam nance sc p~mp Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alanus and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ^ In-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 Z of 3 ~~' \.~ ~ound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 7S% 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 lea ~ ce eve three (3}years. Pressure checks of systems with multiple laterals should be done to ensure that equal ' tribution of effiuent 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 andlor is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned incompliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of ail tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and 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 azea will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement azea will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. 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 azea. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement azea is available a holding tank maybe installed 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 ANDlOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.. ADDITIONAL COMMENTS: Phone Phone K:\WPDATA\EH\POWTS OWNER'S MANQAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Agency S . G d ! ~- ~ /~/~ Phone ~ Page,,,~of~ 1 1 i 7ri ~mrn1 ~ ~~ fim rr1 ~~i1 ~rrr TgirTidki7 I Irr~dr' r'f11 ITT1f t1i'Ik`r' 81 . ~.u~~ i.vwi..+ i vri~uain..i ~nr~ IvV. f1J G..7.3yrlCgf UGL. CJ GYJ/JC R74:~~'I'~ I"Cf ~~~~~ c1~,-!i~ ~`i3 V1Z~,~ Si•?~''1''['C; '~Ar1~;, h~Ali ~'1'1:Pd,'~NC~ A(3~~CASIiI*I'1' A N'L' ~~ o•ri'1:~1~ rr.ltz~r~iCA7'?ora 1~Oi~Nt ~ d i1tivnarfB u.yc+r ~+~.~~,, ?~4ailirl~ A,ddrt'ss ~ ~ d~ ~ _, /sc..~6r~'" . c ~,+aT~ ..~'+'i~c" i//-~C! ~3 /~ Prciport}r Addrass ~' '~" - (V:FiFication requirr.d from pf~knai,nffi t)cla~ri~~cnt fa;>, new cansmaedo CityJ~tatt" Pstrcei Idenrificslior! :v'amber ~~~~ '~'~- G/~ ~. n~sCz~>C.>P~%'orr ' p:t~gcttiy C.ac;ari.c~z~~'l~, ~~v"f~, Sec, i ~ ,, ~N-R~W, Ta~vit et r, $ubdivi~.on ,~Z,~C~~~ _-- ,/,~ '~ _ .Lot # ~..--- - CeI-tlfied Survey hlap ~ ,_...___ ,.,,,,,~ V«I~tt~c' ~... . Pegc #f 1~~~2TAAty Deed # 'V'ot>jme T'a ...~ Sp+~ ~r~w~w ~J yea ~ no Lol 1in.es tientiliKble ~7 yes ~ no •~'~'~~`+IAI~fCE I~properuse and meintoissaeeafCycureeptxosystem ruuld rsaul! ita its prerstaturofeilure±o $srtd]e wastes. Proper tnaini'naa.aor. cvasists' of pumping oat tlto Qoptic tsa3c every three years ar sno,ter, if nezdcd by a liaekat9ed p-aa~per. 1N3~nt you put taro tha ay¢trm esa sifeet tTae fFumctiaa at' siaa ssntic task as a rtet;tzncnt ata,ga in ttizc west: disposal systes~t. Tile praperry owner dgraat to ntbtnit to 3Y, Groix ~unin~ Drpsrtmcr_t a oart3.~catiat5 form, signed by the ow70,or and by ~ rwaa'tvt gluakelec:, jeura~7maa pturahcr, , ~sL.t~ tc1 k,lupabar cr a 314~tt54r~ pu;17p¢r `~crttyt>>~ that [~ } ttlc Axz.sate vYaStCtiirater diS~6881 systoal ~ 3n gznp~ apt:ratst'1g pptfd;rian avdlor(2) a$er inspecrion and purr~t>in,~ (if aeeesssty), the septic t~aAls is ICES t7.utu 113 full of studir. tlwre, Cbe ttacla=si,l~aod hate read Ync ahcve requlrernent9 sad agrto+s to n1a'stttaitt the privets sewage disposal tyatrtnwith the starsd.ards set f+?t'itl,, ht:raia, as set by the Department of C~oztwrxarcn aid the l:cpartrncnr of Nstursl ~t,e58ttrCes; Stgto ot'~Yrscansist. Cer'i!'snt!lior~ StS ' ~ tbs,t your septic systatt! been maintaitlGd mtyst bt. cotn~riet~ed p,ae1 Tett]rnCd t~ the 5i. Croix Caunry Zotl,Gi~ Qf!'iec`, witYli~ 30 of t3sm tisrrm yc, r pits o dst~. / t7NATVA~ Q'~ AI'PLIC~lN'1' DATE ar>GFZC T><o T (We) Ctrt~3~ thsS liil statemenrs on this f'onn sea try n, h;k ;h,ts bast of my (otit) h"ruowfcd~a. I (wr.} sam (are) the owncr{s) Rr rrz6 pony descrlbet~ aitpvt, b vi G off' a Wpi7anCy d.eC:i rrr,.grdcd in 'fte~istrt 4±Dt'CitB L~ffice. >:~l~hrrrl~ a ~,r~rie~l~rr ~~~- DA'I`~ ssssse ~~ iafortaatioe rktat 1s CuS•rcpreSOaterS'riyay rs,s~ait i.n ~1zn saraie*ryr+armi!'bcing rcrrti'~ced r;,y tha Zaoia~ 1~epartmcnt. "~•`** ** Ioeiudo 11'itla i;15i5 ttpQ[ic>:tioa; a stamped warxxtaty door ftgnt ttaa Eicgister of Deeds aaf'~taa a Copy of the ecnifed suzvey map itta>:'ercnce is n.,adt ie 1,he warrsaty decd 12/3612662 12:12 6515615666 INSTANT HOME EC~UIT`~ ' ~ Z~l{~71' ~2~ '9$372 ' ' STn'Pr; D.:R q!' Wt560VSP' FVRhr 7. IPPH I RATNL6LaK H. vALSN t~orul Numbct w+'~~~AlVTY [1~+~);1 REGTgq'!<p RF DBE ~'• cROix ca. , Tile hoed, mark6clweerl iinmm[sn[1 Lund, LLC, a M17irn~otn RECSLYED FOR REtORD ~- -~..-_ Grantor. d Gcap A. ~txl • I ....- __ .__ _-~~ -- - EXIIPT I • _ _ _ _ RSC FSE• 11, 0A - -- •- °-• - • .- • - -- - ,_ - ' -.,~ ~ `~ -..- -.- ~1~d6~6$ r 63.78 1 Grantee. ._-r.~,-,._.-~,..-,.~..--. I Grantor, fpr o valasblc consideration, co[tvtyr Rad wRrrdnta to j Grantee the followigg deteribed real paiatc In St Croix Counh',.Slardofwitcond~n: - --_ .----_,._- RPGZN ry Ann tiAdx and Rett[rn ApdraP, LM SU Ham tOnd Oakv $ubdivisiertrown afl-lStrnnfpMl, $t. Crpl!f COttrty, WISCOr~sln ~ CAL-~1~',~ Tvicel:don[i ClTntleeNunh9r(PfM1) ~~-- This ~a,nat- hpmc,tPld prapcrly, (is) (ia npI} Exc9utionstawprrnnliep'• SuUjcotlo[wlcs,casements,rcatri~~io[u,tovcnpntsan¢rghtsofwsyofrecard,;fa~}•, ioCludin~ but [sat limited to t1[o.e for drairlage.YVator rctcmlo.n,penctistg,and orgtlli[ias r..s may he shown on the plat of Hammond Oaks SuUdivision rceordCd in Vqi. A of Plats, page 2, St. Croix Conaty, Wicparsin. Tim wart'entics of [Iola deed, etlher expressed es-impliod arc limited by dte gtsntnr ro the gmrttee. oranyora in the pluiricFtiuc, to ihcconsidcratient~ressce heroin, shatboing ttlc wm aP527,90A,DU. Jptcd this - ,,33rd - doy' of OetaMcr- _ , __ ~_ 2t)OZ ETsmmwtd Land. LLC ~U'fHENTIChT10N SiBnatLLro(s) aYalan liealed Ihir ~ dqy nf•_ TI'fJ:I:: MEiMnL'ft ~'('ATIS DAR C7b' WlSC(7Ng .-.._ . IN of not, nuQTDrtieiTh-y ~ / rte, titr, tw is. smlr.? -'"-- . I: Mt:\'T WAR DRnf't'FtT ._rrrla y ......__..._..._- nr ' Attnrne nt L:pa~ t url ^i ~alll ri~.~~..-... .. ~_.....__ rSipiiulwas may lk nuiha~n[ieatod ar ooknrnr)cdge3. $o(}I arc urn nu~ct~w17,1 " by PreVdent -«~~ , - -- • AU3tin J. BRrlson . ~-_-- ~.... _.-...~.. J nc;KNOWC.Enq;MErr7 .._ ._- _ S'inT1i :)P FY15CC.NSIN ~ 6p, Rasn[tay _ C:attnsy ) P~rsonuily come beferc me this 23rd day of October _ , 28UE thcnhove unmet! Austin d. SgiTirln _ - -' to :rtq known [n be ;he [for9efrr(s7 W!1P. eKCCULQd lie t'nrcgoin~ 'us!nnmcnt ant! acknowhrlae soma _ _. ~?r~/.r .~1... 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