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HomeMy WebLinkAbout018-1098-22-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permil Holders Name: City Village X Township Werlein, Josh, Hammond, Town of CST BM Elev: ~ Insp. BM Elev: BM Description: ~• 20 ~ ~ ZD rr CST `7'- B nn ~-- Z ~L TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic , f- _, Dosing ~ ._ Aeration +. Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 7J ZC ~ ~ ! Dosing ~ ~/ ~\ ) 2,3( L 3 r Aeration ~ c ~ (~- - Holding ~~.1 / \ PUMP/SIPHON INFORMATION Manufacturer ~ ~~ odel Number _ '':E' v '..~'~ , TDH Lift Friction Loss System Head (~ .lti ~: 3t~ ~ • sb Forcemain Length Dt Dia. ~ « Dist. to Well SOIL ABSORPTION SYSTEM ~~ Demand GPM 2`~'~ TDH Ft z.~ • qa-- ELIEVATION DATA County: St. Cr01X Sanitary Permit No: 488258 ate Ian ID No: arcel Tax No: 018-1 o9s-22-ooc Section/Town/Range/Map No: 30.29.17.829 STATION BS HI FS ELEV. Benchmark ., / ~, , Alt. BM Bldg. Sewer . ~ ~ ,. ~_. !1 SUHt Inlet ~ ~ ~j ~ ~ ~~ `;,~- ~. } SUHt Outlet l~' ~i ~~ r ~ Dt Inlet j .~,. .r ~ ~...'` ~ J , ~ i••~..Q~(p ~ ~~ + Dt Bottom ~... u Lo r Header/Man. Q S-.3& ~,~ 0~! Dist. Pipe p t~o r Bot. System ' ~a q~• 3Z ! Fi al Grade ~ w ~ ~ ~e d p t L -} / s ed / lera St Cover D~e- u,l ~.fe •`s^ ~. !y •~~r ~gnn C°~ ~{. zz rD3~~Z~ ~q z~` ,~ p.6b ~j Width r Length ~ No. Of Tseriehee 1 PIT DIMENSIONS No. Of Pits Insi iquid Depth DIMENSIONS S O Z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LE G Manufacturer: INFORMATION C BER Type Of System: / UNIT , > /~ ~~ ~ t'IISTRIBIITI(]N SYSTEM HeaderlManifold r G ~ / Distribution , t .r t Pipe(s) I x Hole Size ~ rr I x Hole Spacing r Vent to Air Intake ~t Z • J`~ Di Z Z' ~ acin Z S th ~ '~ Dia L g 2 ' S 3 a Length g p eng C('111 CAVFR ,. ~.e a c.mtem~ n.,t.. YY Mnund Ar ot~radP SVStems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed(rrench Center BedlTrench Edges Topsoil ~ Yes ®No Q Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: G<• /;~_~_'~ Inspection #2: T GS ~_ Location: 761 154th Street Hammond, WI 54015 (SE 1/4 NW 1/4 30 T29N R17W) Emer~fd Acres Lbtf2'2 Parcel No: 30. 9.17.829 1.) Alt BM Description =~/VIj~J', 2.) Bldg sewer length = 1A~ tM. ~ / amou t of cover = ~ / Plan revision Required? Yes No ©'7. ~ ~ / Use other side for additional information. TT f D e Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division County ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 St. Croix ,~~~~~,~ Madison, WI 53707 - 7162 Sanitary Permit Nu ber (to be filled in by Co.) (608)266-3151 ~~ De artment of Commerce Sanitary Permit Application State Pl LD. NumbCer In accord with Comm 83.21, Wis. Adm. Code, person b 5 ' may be used for secondary purposes Privacy I. Application Informatio Please Print All Information Property Owner's Nam ~ ~~~~ Josh & Michellle erlein Property Owner's Mailing Address mo v w, sl ST. CROIX COUNTY Project Address (if different than mailing address) S~ ~ ~~/ ~~~~ ~: arcel # ~ Lo Block # 018-1098-22-000 22 Na opetTy Locati W3883 850s' Ave i Ste'/., Nw '/., Section 30 . City, State Zip Code Phone Number / S rin Valle , WI 54767 (715) 698-4148 T 29 N; R 17 w C ~ ~Z~ II. Type of Building (check all that apply) Dk ~c~ ~ Su~.cw..' X 1 or 2 Family Dwelling -Number of Bedroom 3 ~ q Subdivision Name CSM Number ^ Public/Commercial -Describe Use ~ ~J~'r ~" ~ Lot 22, Plat of Emerald Acres ^ State Owned -Describe Use 2 ~ lZ L-L ^City ^Village X Township of Hammond III. Type of Permit: (Check only one box on lime A. Complete line B if applicable) `~' X New System ^ Replacement System ^ Treatment/I-Ioiding Tank Replacement Only ^ Other Modification to Existing System 6 B ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued • Before Expiration Plumber Owner lv. T e of POWTS S stem: Check all that a 1 ^ Non -Pressurized In-Ground ^ X Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ r (ex lain) V. Dis rsaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s Dispersal Area Proposed sf) System Elevation: 96.9 ' 6" 450 gpd 1.o d/sq.ft ASTM C-33 sand 450.00 sq ~ 450.00 sq /v2 above 96.43' contour 0 s .ft native soil / °! ~ VI. Tank Info Capacity in Total Number Manufacturer refab Site Steel Fiber Plastic Gallons Gallons of Units Concre Constructed Glass New Existing to Tanks Tacks Septic or Holding Tank 1,000 1,000 I Weeks Concrete X Aerobic Treatment Unit W T~ n D°s;ng Chamber 800 800 Weeks Concrete V X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P is a MP/MPRS Number Business Phone Number Jimmy Boumeester MP #222904 (715) 386-9020 Plumber's Address (Street, City, State, Zip Code 1070 .35 N., Hudson, WI 4016 VII . Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Dat Issued suing Agen Signature tamps) Surcharge Fee) ~ ~~ ~U ~ ~ ~ ~ ^ Owner Given Reason for Denial '~ IX. Conditions of ApppprovaUReasons for Disapproval /~~ Q~ YSTEM ER: ~ ~`' STd-~-~ 1 eptic tank, effluent filter and ~~',~-~ ~~~° , dispersal cell must all be serviced /maintained ^ ~ ' ~ `y~ / as per management plan provided by plumber. ~/ ~~~ .~,1~.r ~ < iwn~ 2. All setback requirements must be maintained 7' 1 w a era licable codelordinances. Gi ~-G~ Attach complete pleas (to the County on or toe s on pa of less than S a 11 inches is size SBD-6398 (R. 01/03) Utf/la/LUUK 1U:14 t''AX 'f 15L4tS '!'/Cf4 A l: ~ JUlL 6G J1'1'~ OVAL. ~ UU1 ..~~ -'r J~4i/~f~Q~i(GC=i4YtPi ~ Fr~~'~ ~ c .¢) -~ EXis6' ~~ e~~ . ~ ;,.~~r y~,~ ~„~d q.~. ss:' aQra9` ~''Se.(. s/DA. d.G. ~/1d of ~ca~,~o~'s ICI 4c i 3 c~y/Po/r%/('/0~ e~F/kk.£ a~ 9s0'Cr»6~ur Z".5e~. ~{0 rr ~ 97 a . t!~ c~Kerx~er~, ~ i~ t r 8 r w /` i 2 , t !I ~;'. ~ r ~ i ~~ i i ~ / s~o ~ I I r , / ` ~ t f ~t .~~rr t ' /~ ~ii .' ~ t rr t ~ t ~i ~r r ~ 11 i rf , r r ~r Aroprased•tiou.~ota~ ~d•~3;ri~ ~'~ ;' < 'err ,'~ w/ S'k 9d'daoers~ ~~ ~cJo Cx) i •~' r,F . d:,rEr:bu.~.'dy /aferals ~~ /~ X ~~'~ ~ bps rv~ ~ ~~ori ~ "Ges StGa ttc+~ a~ .Z. S3 ~ ~ . ,8t.x- o 0 ~"p~ e p%Pe. A:sum Q..l pi~. ~ ~~-~r' p,-opdsad ~ Q.•~ 3 ba.~(Korrt ~I~f: danoC ~C weeds A`appaQ Ca acrc~e s,'~ fir, ~p~• E/ea.~= 99,.x. ~ - -- ~6' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 19, 2006 CUST ID No. 222904 JAMES W BOUMEESTER BOUMEESTER & SONS EXCAVATING INC 1070 HWY 35 N HUDSON WI 54016 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/19!2008 Identification Numbers Transaction ID No. 1280563 SITE• Site ID No. 714487 ~- Josh & Michelle Werlein .Please refer to both identification numbers, 761 154` Street above, in all cones ondence with the a enc. . Town of Hammond, St Croix County SE1/4, NWl/4, 530, T29N, R17W Lot: 22, Subdivision: Emerald Acres FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1081699 Maintenance required; 450 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), ' Pressure Distribution Component Manual -Version 2.0, SBD-10706-1' (N.O1/Oi) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Conk stats. ~~ The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders RTM~ DE ~ OF r,~ i. • This system is to be constructed and located in accordance with the enclosed approved plans and with the $EE CAP component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment' and .dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Seca 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS 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 JAMES W BOUMEESTER Page 2 6/19/2006 • . Comm•83 22('n A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspections authorized representatives of the Department which may include local inspectors. Owner Responsibilities: Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sinc/e1rely, Charles L Bratz '~ POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: James K Thompson , A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RECEIVED Project Name: Werlein 3-bedroom residential mound JUN - ~ 2~~6 Owner's Name: Josh & Michelle Werlein S,~FETY & BUILDINGS Owner's Address: W3880 850th Ave. Spring Valley, WI 54767 Parcel Address: 761 154th Street Legal Description: SE1/4NW1/4, Sec. 30, T.29N., R.17W. Township: Hammond County: St.Croix Subdivision Name: Emerlad Acres Lot Number: 22 Block Number: Parcel I.D. Number: 018-1098-22-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan 3~lrlly Page 7 Pump curve and specifications ~~ Page 8 Site Plan Page 9 Soil Evaluation Report ~F cor!~+,~ERCE ~Y U DINGS SPONDENCE~ Designer: Jim Boumeester License Number: 222904 Date: 06/01/ Phone Number: X715) 386-9020 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01!01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.01 (R. 09104) Page 1 of 9 Mound and Pressure Distribution Gomponent Design Design Worksheet ` Site Inforn (r or c) R 300.00 1.50 450.00 3.00 96.43 42.00 0.50 ration j Residential or Commercial Design Estimated Wastewater Flow (gpd} Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In-situ Soil Application Rate (gpd/ftz) Distribution Cell information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) a Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) 2.00 Forcemain Diameter (in) 175.00 Forcemain Length (ft) 82.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 14.43 Vertical Lift (ft) 3.32 Friction Loss (ft) 24.25 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assumes Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 6.25 ftz/orifice Does the forcemain drain back? Y Enter Y or N 28.55 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 109.79 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 805.12 Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Weeks Concrete Manufacturer 21.76 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 805.12 Dose Tank Capacity (gal) Pol lock Filter Manufacturer 21.76 Dose Tank Volume (gal/in) PL-525 Filter Model Number Weeks Concrete Manufacturer Project: Werlein 3-bedroom residential mound Page 2 of 9 Mound Pfan View 1_ 1y~_~ Q_ B Observation Pipe ~ ' L' t . :1 I L Mound Component Dimensions A 5.00 ft E 7.80 in B 90.00 ft F 9.50 in D 6.00 in G 0.50 ft 450.00 (ftz) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate H 1.00 ft z 6.40 ft d 4.93 ft -T -~ _~ -1 K 7.10 ft L 104.20 ft W 16.33 ft 1026.10 (ft2) Basat Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Crosa Section View Aggregate Dispersal Area Finished Grade 98.72 (ft) Z .rrrrrr F 96.93 (ft)-- '~' Dispersal Celt Elevation •. •. Shading Key [] ~ Topsoil Cap © {~'fi~ Subsoil Cap ' • ~ : ASTM C33 Sand ® Tilled Layer ^5 ~ r:rr Aggregate G ~ H Dispersal Cell ~ 97.43 (ft) Lateral :~ :, ~, ~ ~ ~ 3.0 % Site Stope c w o 1.5 ft 0.5 ft Invert E: :D ~: t ... .., ....... .. . ... .. . .......... .............. Dispersal Cell Lateral *---- q Project: Werlein 3-bedroom residential mound 96.43 (ft) Contour Elevation /~ Geotextile Fabric Cover Page 3 of 9 See lateral details on Page 4 for number, size, and spacing of laterals. F Laterals are equalty spaced from the distribution cell's centerNne in the distribution cell (Ax6). End Connection Lateral Layout Diagram Laterals centeredo4ert & drmensron •=Turn-upr.~ballvahre orclaanoutplug P .I All laterals are identioai 14- yc ~` Holes drilled on the botecm of tht lateral S egrtaAy spaded 1 FOtee rR21R C~rlneC[IOR Via tge Or CIOSS t0 R1iRlfOld 3t .any pO1Rt. Laterals & farce main of PVC Soh 40 [per COMM Table 84.30.5) Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 1.50 in 88.55 ft 2.50 ft 14.83 gpm 29.66 gpm 24.25 ft Orifice Diameter 0.125 in Orifice Spacing (X) 2.53 ft Orifices per Lateral 36 Orifice Density 6.25 ftz/oril Manifold Length 2.50 ft Manifold Diameter 1.50 in Forcemain Velocity 3.03 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ---- Comm 16.28 WAC ~ 4 in. min. Disconnect Tank component is properly vented Weeks Concrete Ca aci 805.12 Volume 21.76 Manufacturer Gallons gal/inch Dimension Inches Gallons A 17.95 390.69 B 2.00 43.52 C 5.05 109.79 D 12.00 261.12 Total 37.00 805.12 A 8 C D tan Alarm Manuafacturer LevelArm Alarm Model Number DLV '~~r Pump Manufacturer Zoeller _~ Pump Model Number BN 152 Pump Must Deliver 29.66 gpm at 24.25 ft TDH E---- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device Pump off elevation (ft 83.00 Do• se tank elevation tt) 82.00 Project: Werlein 3-bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Jim Boumeester Phone 715 386-9020 POWTS Regulator's Name r St. Croix County Zoning Phone 715-386-4680 Sxstem Flow and load Parametena Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should tes# month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84,30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up ©etail Finished •..•••........ .. ............... Grade ~~ 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bali Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Wertein 3-bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals~[SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no Longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected tar water tightness and soundness. Access openings used for service and assessment sfiall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed akx:ess openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in acxcordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at feast once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its cnntents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. if the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to tie perfom~ed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank pertormance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shalt be inspected a# least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should tie planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dilate that the mound ba heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, end 30 mg/L FOG for septic tank effluent or 30 mg/L GODS, 30 mglL TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each latera{ be flushed of accumulated solids at least once every 18 months. When a pressure test is perfomred it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same os equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, tt will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Werleln 3-bedroom residential mound Page 6 of 9 °Uli/la(XUUtS 1U:14 t''AX '!15 Z42f '!'1tS4 /Ay l: ~; aV1L & al'1'r; ~YAL. ~FJUU1 }rV / ;' ` Sear/ edd/r.~•ar, p• -~ EXisliCCr.//~qq ,Fi,~ 2l ~~ • ~na~E LYE ~rh r ~ ;,artr 6K: /d~:~ S~~ r 9.x.s~ we~~s d/a .1: C~'oCr'Q~t S.T c,~Po/r%vt'A~~ ~~o~ ~ r F~roP~S¢ d i ~l~:s: doaac of~~~s ~=-- eoricrc~e par+p Gha,r,bu' ~".se..~ ~ ~!a PJ c.1GKe~a;a ~ r r / i 1 i ! / ~ / 1 ~ ~ i // 1~ , ~~op~s~o/.y1oa•~oC ~~ id• ~3 ;/ io~I. ?A` ~ a(%.F~ibu.~:dn /1t~Cr'a/s eZ~ l~.r $~a~S'~ us/ ~ "aYi ~^G~S j~qu e4o~ a~ ~. S3 ~ '•~ ~C~ gs0'Ca~(~d~r- ~ , ~/ 9G:e 97 0. i~ ~. ~ i ~ • 8'Z ~ rr ~` 1 / .~ / ~ . j i-' ~ ~ !~ 1~ ~, f • ~1 r~ 1 ~1 ,37'~ /i ~ . ~~ I // ~ ~~ r ~! ~ 1~ r // ~ t R~ ~' ~ K ~, i ~ ~i / u'•.~n iitrrr~ err. = ~~-~a,' .9~. ~.~ : 7e~,o pfpF• Elm= 9A.~. 1 _ ._ c ~e' N tz -~ 35 to r~ ~ 30 . L.J C B 25 T'l~N. s5 15 4 10 i 2 5 0 PUMP PERFORMANCE CURVE MODEL 151/152/153 ~~ TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet AAetera Gal. Utere Oel Lhers Gel. Ubn 5 1.5 50 189 89 281 77 291 10 3.0 45 170 81 231 70 286 15 4.8 3a 144 53 201 81 231 20 8.1 29 110 44 187 b2 197 25 7.8 18 81 34 129 42 159 30 9.1 23 87 33 125 35 10.7 22 85 40 12.2 11 42 ShuloftHead: 30fl(9.1m) 38fl 11.Bm) 44fl(13.4m 01450BB 1 FLOW PFR MINUTE ataSasA ~.4.~0>'0cJ /~•M. ~i/limuirlSct~Ply /'d!r< ~~ o~ CONSULT FACTORY FOR SPECIAL APPLICATIONS • Toned dosing panels available. • Electrical alternators, for duplex systems, are avail~sie ::i td supplied with an alarm. • Variable level contrd switches are available for conlrcl; n~ single phase systems. • Double piggyback variable level float switches are a daiiable for variable level long and short cycle controls. • Sealed twuik-Box available for outdoor installation::.:; FM1420. • Over 130'F. (54•C.) special quotation required. 1511152/153 Series 1 5111 5 211 5 3 MODELS Control Sale: :',on Yodel VottsPh Mode Amps Simplex __ _ C ! r N151_ 115 1 Non 6.0 1 ~ura BN151 115 1 _ Auto 6.0 Included __ 1 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Aulo 3.2 Included _ N152 115 1 Nan 8.5 1 _ .:r 3 BN152 115 1 Auto 8.5 Included r'- i E152 230 1 I Non 4.3 1 BE152 230 i Auto 4.3 Included _ i N153 115 1 Nan 10.5 1 _ BN153 115 1 Auto 10.5 lnduded _ . ~~ > E153 230 1 Non 5.3 1 ; . r - - BE153 30 i Auto 5.3 Included _ O CAUTION All insar,ation of controls, protection devices and wiring s. cane try a qualified licensed electrician. All electrical and safety codes should b- ~cluding the most recent National Electric Code (NEC) and the Occupational 5,~ ~. althAd (OSHA}. Model 151 Models 152 1153 327132 snr32 327132 7 51re sKZUa SK2os~ SELECTION GUIDE 1. Single piggyback variable level float switch a double piggyback variable level Roat switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Atternatar E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. .SERVE POWERED DESIGN For unusual conditions ; ;rve safety factor is engineered into the design of every Zoeller pump. svu~ rv: r. u. rw,c 7oag7 ~, /-7~' Louavilk, KY 4 02 56-034 7 J ~ SHIP TO: 3849 Cane Run Road ® ~~ \~ Loursvilia, itY 40211-1981 hKPJ/www.zos~Jlercom / 1 (502) 77&2731.1(800) 828-PUMP _ _ __ P~~V~~~ ~ FAX (502) 774.3024 ;c pyright 2404 Zoeller Co. All rights reserved. ManufacdaBrs oi.. P~, ~a~P BOUMEESTEt~ EXC 7153779620 05/301@6 09t04am P. 00'1 ^ FAX NO_ Tidy. 25 2.606 12:15PM P1 t w"°°"~"' ~~'°""~'~' °r commarco SOIt~ EVALUATE W ~EP{)RT l ~ ~ Rtasion of 9eltry ant} autlamgs ~ et accordariro wim Comm 85. Wia, ndm, c,tt / AtWtCt+ onntptele site plan on paper not lass than e t R x t t t+tcttiaa m Sze. Plan rtrts County ~' • fsri r' indlWa+. Dut not6mfdad to: verticed tmd ha-Fzontel ~aferertce Para (Bt.>), dirortton and peroant slo~,e, scale or dirtlerteions, north almw, end lovalFOn and drstaaca w nuantst roan. Peresl f.0. P/saQe pryit! a!f krfOnnstton_ f t~vtewoti by r. Date f`usaul nrownNON yw an,Nao,my eo tr»d rar Moergp.r Pic tPrrvacl ~M R T S.Oa I t pa}}_ r Propeppr Dear I AS1 F .~ ~._t~.lk EL-i_.~ ~{ ~,7- A'O~' cetloh„ ,, f { ~ PmPertY~tletlt MBr4g} Addre~ir ~~7.~.~ Cdot+i. tot ,,,.) ;;, l ~ Ir ~Iv iJ4 9 ' %' T ~ ~ ~ A ~ ~p~ yy tat R ~ 9tib0. Name ar C6MLM Cibr ,r.y~c 1 slate p e one Ntrnbes y Yrllape own NeMea~Aoed rn r-tio~ NowL~nsRUWon U>v~t~aslderskttlNartbsrolbcdroorna~_'-~' L'odertleriveddesignflowrabe ~ `• D Gpp ~tielotecanrorn PuWroorcormterdat-DescgW¢: ~__..~ { Parery nlateAel ~..._~_{e 5 (^ .. ~. Rood P sleveAlert ~ +tPWlce~iB r ~ Oar-eral vortrnartle - G~~-.... R. endraoortursrtde~r SYs~•.. cl~sr- p~-S~ ~ ~ ~~ Ph 9rouna surreoe ale~v, _v~ tt. oeph ro ll~ tt>l5gg taaor Y 2 __, ~,. Horizon 091ot1e txxt~ratc Goiar Ftech-t Dexr~tFOnt ~ TetRUre 9tru Uatsltteffce Bnuatl2ry Roollt 8 GP is lYlutlseM t]u. f3x, Cant. Cobr Cv. 3 Sh. ~ •~ 1 i ~... 5,' .n r- ~' s 1 ~ 5'- 3 9Z r~~G b w, 1 ~ ~ ~ ~' I 6{ 2~si0 f~ ~ t•^? ,.rYl'~_ ~'S n< °I, vr'l { ~ _... ~_ S/ Borl49>f ~~~ -- - Pil erourW stx}avec elev. _ l yt~ R CePIh to I ! .. raaor l~ ~ Iri Horizon Oirp[h ht. r ~ Z ( -- Dotnlntanl Gal Fledaoc DetnalOfion T®xture Mlurtaos Ou. S=. Gont Color 3/L '_ ~~ -~-~'---- Sir Goruastena~ Boundary tir, Sz. ~' ~f 5oY Rags Reous GPDAF tt?ffPl "Ett~12 v ~ ~ .. ~/~ 7 "S - _ f^1 F 7. SY~~e 'f~ ~ ~~ /- C s Qs~i 3 ~ ~ '~ L . D _ ~ . lip _ ' EtAUOnt fdti = Bd0 > 3p s 220 mfiA- and TES s30 ~ 150 ~ 6tfwwx 12 - Bt7p, 590 fflplL ana T5S N2tne lPlcaQp ~ ti0ue -~ r___._:~t- ~~.•~~, b'/L-MO~/1,6>P_ l.CJ"!. S'y~c../ 2. { ~-~ O~ ?i,~ 7Yi Q -og..~ ! i - ,_. r, 6 ~ •a nc+~c •nu Nn~nnu ~l ~aaK au~n~ wdlO~S 9002 'SZ 'Abu 60UMEESTER EXC 715977962fd 0S/~O/O6 O9:O4am P. 002 FROM = FF~f K0. P&rtel >b 8 ° ~ ~ Property UNhW ~-{ Oot1n0 ~ ~ BorY1® IL.~/c-,J4 Pit OrouhC tRltt~e e!e/. ~'-~}l pePtlt ea IWt Dornhulri Color ii+,aoz DeaaipRcr~ Teraute 91ruc~oa tloli¢pn depth A'. 8 . Sh. ih. Muneelt Qu. Sz Cont. Cofar t o~ .~ z -` S ~~ z~ k May. 25 12:16PM P3 f1e~r~S Page t_,,._4--'-~~ t~opt Ift. CoralsMMe 8twndary Roars r /. B~fltt~ ~ Ph ~ ~~ Around arfe~ elev. ft fxP6r to } BrnAirtp b~eter ~- in' F ~ ' . Sa i9aae HOiizon DepB1 Daft Re0ux oissaipiiaar S'anntte Slru Bite Cort9isoertoe 9oundory Roofs GP ~ DA!' '~Z it. t~4unsedl Ov. ~i Corti Color ~_ CX. S . Sl+. ~ { ~°"~'~ ~'}~~ Gtouncl~utaeraafew. _u, Oeplhta~6mgb-gtaclor In. hseu Anarrealon Rare tiarimn Doprrt h DorNrz~tt Co1ot Nktrrval Rodort das~pion Cht. SZ Cont. Ca1or Tednure SW tar. ftuw ~ , Sh Oorrslstan:x RauntlerY Aools 1 tap ~ 'RIMi --- 'E7((,R2 1 S G f e ' EIM+e~R,TS = 9OD,~ 30 s Z2v mgA_ enq TSS a30 S i50 tttglt. ~ ' EJ~uaeli M2 a Bt7O<<30 mArt- attic T98 ~90 rnBti 5 Tha 15epanznm+t of Corti-aerca is xn ue]rtlt] t~rtunky scr>•ica provider arr~ t>opioyer. tf yvu noctf sesismnce to uccusssaraiees nr Deed material i» au~ zloecnate !am¢tt, ~1 r~ contact ~ d aR 608-2CiG3 ! Sl or ITY 606- wu m.rnea,m~ t nrlr •n.. einennu a r 1H]H dry 1 na Wrl l0 ~ 5 900 'St ~1~~W BOUMEESTER EXC 7155779620 F R~ FRY, tsd. 05/30/06 09:04am P. 009 pyy, 25 2066 12 ~ 1.5Ph1 P2 ci C T ~ M_I4 TfLOR1W j~(gMg ~f7't'# ~-- l.E(eiAL DESCIi}1P'1'lON scA>.~. z -~ s y'p BM 7 ~L6VATtON ~Q ~ (} _ BAA i D88CRIP'['tON ~0 0~' 2 + ~VG ~t~Q~ Bai 2 RLEYAY'tON ~Q~~d o $M 2 DIttiSCRiF't'It]N ~p,~ Q ~ ~. a!!'c. Q'~~ sY~~ Et.Bv,~~rtcN~ q ~- sd SY3TEI~A TYPE y17Ly~.JACf ~S~ vv- 4 (J 6 .`. .- rb ~~ ~ lbw ~. O ! 11 a-~ ~ ~. ~ t____.. R .~~ ~~ ~. mac. 'h = ?.os ~'. Q~`~ - xw 1" .~ g--Y1 1 t _ ~+ . ~ ~., ~$ M' ... ~ $IGTNATVRE t i i L l7ATE ~, •~ nc+,c •nni ~f1S(Il1H t~~lda?i bNi{f3 i r ~/ V ' ~ 15 -- P f V~dtO ~5 9QOZ 'SZ ~AdNi Y Wisconsin Dep~tment of Commerce SOIL EVALUAT{ON REPORT Page j ot~ Division of $af~ty and Buildings m accoraance vnm Comm co, vris. Ham. ~.oae County ~~ ~ Plan must Attach com lete site lan on er not less than 8 1 /2 x 11 inches in size a ~ ; p . p p p include,•but not lirfiited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ll ~ ~ ~~ U percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~/ ~ P/esse print all inforir»afion. Re ewed ~ Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ` ,~~~ 7 b 06 Property Owner p ~ Property Location ~~ ~ ~ -1 Govt. Lot I /4 S 1 /4 ( T N R ~ 7 E (o Property Owner's Mailing Address ~ Lot # Blodc # Subd. Name or CS M# ~ ~rr• r~Ic:P ~fr 5 City State Zip Code Phone Number ~~ ity ~ i~//Ilage own Nearest ( ) t? at r-'f m o ~ ~~ New Construction Use Residential /Number of bedrooms ~ - Y Code derived design flow rate y~~~ Q d GPD Replacement ~ r ~ Public or commeraal -Describe: Parent material f)c~-~~ 5 (" Flood Plain ele anon it~~ ft. General comments SYS. lei ~~~U _ g ~~~ and recommendations: i- ~o~~~~ ~c-~`'- ~t~.°~' JUL 0 ~ 2006 {~ ~ ( ~ ~ ~ I ~ Boring Boring # ®Pit Ground surtace elev. ! ~~ ~f1 ft. Depth to limiting factor ~ 2 in. Soil A ica<ion 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 l IZ rc z - s~' Zmsb -~~ ~ s 1 r;~ S • 8' 3 z~- Yz ~ rr~~ - ~ rtn 1 ~ - ~ /~.. Borin # U Boring g ~ pit Ground surface elev. fro ~ Yo ft, Depth to limiting factor ~~ in. Soil A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fR in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 C a1 d L -- S," Z s6tc ~/' l S f fr ~ , Z i3-Z c - ~~ Z b ,~ ~ S , c. * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg1L * Etflue~il4" x'~D < 30 mg1L and TSS g 30 mg/L CST Narr~ (Please Print) nature CST Nurrtber ~, ' S3,~o ddress Date Evaluation Conducted Telephone Number IG ~9 ~~~s~ .GeLv,~~ ~hr>-t>r,~~ rrJl. s~yo~ ~- S-- z~ = a~ ~i~ 7ro o -oz~ ~' Property Owner Parcel ID # ! ° r L 2' ~ ~''~`l~ ~j'°S' Page Z of ,~ Boring # V Boring Pit Ground surtace elev. ~ft. Depth to limiting fa(_ in. Soil A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EffiY2 1 a-~~ ~z -- 5~~~ 2,n ~~' m~'~ c ..~ ..~ • ~{ ^ Boring # ~ Boring Pit Ground surtace elev. ft. Depth to limiting factor in. Soil A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff;#22 ^ Boring # Boring Pit Ground surtace elev. ft. Depth to limiting factor in. StNhA e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. #f ~ '£ff#2~° * Effluent #1 = BOD3 > 30 < 220 mg/L and TSS >30 < 150 m9n- * Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL 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 608-2648777. S$D-8330Test (R.07/00) '~ PAC3E ~OF~ NAME '"~~ LOT# ~~ LEGAL DESCRIPTION ~/a ~/a,S T ,N,R E(OR)W e SCALE: i'~ _ ~Q ' BM i ELEVATION ~Q C~ , (~ BM i DESCRIPTION ~p ®~ Z ~~ ~JIJG ~i_T' BM 2 ELEVATION gQ~ZC3 BM 2 DESCRIPTION ~~ cd~t~"~ ~ ~O~''~ Q Q-2- SYSTEM ELEVATION / 1'• //~__~ SYSTEM TYPE {NJUy/1~ ~ C7~- ~'-'~ T ~lii~ R~ `~ _ ~-V Y/~~ Q~l` . ~~~' .~ v ~~ ~-i --~~ ,~ ~j- 3 ~J~k~r ~ S ~ (~ 1 l 20d' Ic.Q ~ ~'. v r .~ X ~~~X' ~~ S16NATURE DATE S"Z.S-! Jun 22 06 03:32p Ben Christensen 715-531-0916 ZOU6-Jun-LL U;3.~tl YM .3M 671l~73rU'~1 Jun 22 DG 03:26p Btn CttYistertst*n 715--531-p916 ~~ p.2 WIXIGCOIrYt L~+4. .+voflVU[.M Vv. -.vrw .rw•~..v.. , - ST. CitOIX COUNTX SEPTIC TANK h?fA1N'1'BNANCE AGRL~Ml:NT ,, AND U'WN1~9HS.P CBRTII'1CATION 1~(~1ZIv1 C)a+nel'lf3uy~z~` i j•-~ru1~LL.t+ ~.jF~i1,..1 Maili-1gAddress -~ 3 cs~o $Sh"~µ ~. ~~ -tc~.lc. tIAL>.~r t.~-r f S~~iy7 Ptropctty Atidre~s '~ b I J j "f ~ Sr. 1~~~-~' i.~ S S-t t~ =-? _ ~ (Verificntion rsgraired 6orr-phmuing dl:'GoaiuQ Dcpatttncnt for new caatatruc inn) Laity/State ~5, ~{ parct:Ikiq~jttsatitmNumbet t~%B°-%098°~~ GL2~ li~aAa. nx~alu>~xarl Pcopetty I.ot:ation _~E 'l. , .1*I I...t 1a ,Soc. ~4 , T 2~ N R i'~ W, Tuwn of ~MD1Y~ Stitbtlivicitm ~t~~-lam ~ __ _ __, l..ot At ~-~ =- Gerti6~ Survey Map # _-.- _ , Volotne - !~ _„_ ~, _ Warraaiq DeeA # ~~ ~~ V~luwe ,Pugs # 9px ttotne yC+ sin l,otlmcs ide+Aifiahle /ye..,! no Sl~'~~ MAiNTBNANCIs,A1riD >DP-'NER C~R'~fk'ICAIlUN ~.~ hnpmper aSC atti t»ointtstraoc of your septic system routd iesu2t in tics nrerrgturt: failure to hattdle wASteu. Proper tuutttcttouce ennsitu of pntttpir,g out tLt: septic tank ovrcy three ytaor or saoser, il"ttoodad, 6y a licwscd ptartpcr. WMt you put into tbt systtas can •ffcct the tattUiarn o[ the scpuc tank ~ a aroatltnetN Shgt is the grasie disposal ayalcan. Oarter rmiolcrwute ratpamtbiSNes ate syeti6W m SCnmm. 83.S~t1) +atd in t3yspta 12 - St. Cra>, County Sstita,y Ordionnce, 'fhe property owner rgrcee to rubnnit m St. t~oix Cotusry Planning d4.tosins; Dcprtmca,i a certifigNat loam, sidyned by the owner apd by a iws-er ptnmbet, jnurneyrawn pluaal,er- rri.hicttd plumber as a ticenred parapet vctifyisg 11Wt (1) the on-sha •mstciwtet dKpoai system isat Pml~ olxt'+t~lt e+orxtitian andlor {2) nt3er ia+peetioa and rwtoDuot (ff'aete;smYl, the aspbe uxk it tear utut t13 fall of Mudge. Uwe, -l+e urtetersigncd love rea.t O= »lwrc requiremt:MS estd sRrec to ttti 11tWia the private ecvrage diepanl sgcitta w itA the strrtdards set fsnA, Aerein, as net by e1,o pcparta+ent ofCommeree snd tha Acpartoroat olN,.tu~l Reootates, Sate of Wtscomsin. Cettiflcstioa stating dot yntrc septic: system has been mainta~ed mmt be etnapielcd And saatttted to tttc St. Croix County Plnmmg do 7anigg Deptrittuet ttdthiu 30 days: of the lhzuo yrar expnaation date. Ilan: ~ofy tlat alt 9d11ctMttts ott thus iottg ata true io Utc best of atyloos kauwlcdgc, llwe am/ats the owrtet(s) of the propmry descrtZ+n! above, by virtue of a t+rarsattty deed reeotdexl is Re6ictet o! ThteJs UQ-ter- EYe~ of bed - . ~s 1 C 3 -- SKiI~1ATIJRE Ol~ APPLICAIJI'{5~ la~ ~~ DAT73 -"°'Aay iafurmation drat is taiarep:eseNcti tray result in pre s~nituy patmit being s,rokcd by die Plamtiag dt Z~~ Departmcrtt. "r Include with thie nppliution a raorded warraary d>rrd from tse Register of Deeds Offica and a copy of the ea[tilted awTCy mtp if refrtgtCe is made iu the watrasRy deed. P-2 1! 1 tjRJ~V. tttths) FILE INFORMa SYSTEM SPECIFICATIONS Septic Tank Capacity Septic Tank Manufacturer ~ Effluent Filter Manufacturer Effluent Filter Model Pump Tank Capacity Pump Tank Manufacturer Pump Manufacturer Pump Model Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection Dispersal Cell(s) ^ In-Ground (gravity) ^ At-Grade ^ Drip-Line Other: Page __~ of (/ I ODU b - trJ~~e~s 2~ e ~-e ~-Ill! ~-e-e S Z~.e t R ~ 1J 1 S ~ O Peat Filter ^ Wetland ^ NA ^ NA ^ NA D NA D NA ^ NA ^ NA ^ NA ~ NA ^ NA ^ In-Ground (pressurized) ,~IMound ^ Other: ^ NA Other: - --------- ^ NA POWTS OWNER'S MANUAL & MANAGEMENT PLAN MAINTENANCE SCHEDULE Service Event Inspect condition of tank(s) At least o~ Pump out contents of tank(s) When con Inspect dispersal cell(s) At least of Clean effluent filter At least or Inspect pump, pump controls & alarm At least or Flush laterals and pressure test At least or Other: At least or Other: MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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 back up or ponding of effluent on the ground surface. The dispersal celllsl shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (/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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. other: D NA Service Frequency ,ce every: ^ month(s) C~ earls) (Maximum 3 years) ^ NA ibined sludge and scum equals one-third (Y3) of tank volume ^ NA ice every; ~ yea~jsl(si (Maximum 3 years) Iii; NA ice every: ~ month(s) ~3 ^ year(s) ^ NA ice every: '~ ^ month(s) 13~ year(s) DNA y: ice ever ! ^ month(s) _ ~ I a year(s) ^ NA ce every: ^ month(s) ^ yearlsl ~FNA ~NA DESIGN PARdMETFac va~ues cyprcai for Domestic wastewater and septic tank effluent. Page ~ of START UP AND OPERATION 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 celllsl. If high concentrations are detected have the contents of the tanklsl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellls) in one large dose, overloading the cellls) and may result in the backup or surface discharge of effluent. '~fo avoid this situation have the' contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oih painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • `1`MM •YiM\rnt. tlf 1111 t1~MN~ MHM -YhM iMAll Mr r«rHMV~M MtiM prwMMFI~ MIi~INiiMM A/ MV M •II~IM4~yM MbIVIMIMfi pI~IM/MIIM~~ • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with . soil, gravel or another 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: t~ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need 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 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 may be 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: +~~~rr ~'- < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY. BE DIFFICULT OR IMPOSSIBLE. - ADDITIONAL COMMENTS POWTS INSTALLER Name ~~ ~ '6 ~ ~,; ~q~ ~ Phone pip SEPTAGE SERVICfhNG OPERATIIOR (PUMPER) LOCAL REGULATORY AUTHORITY ``' ~ '' ''' ~' Name V Ka R. `S Phone ~'~ a~ '' ~ Q ~, POWTS MAINTAINER . ,~ , Name .: ,~~~~... Phone ' • ' ~'` Name ~ .~ .~- Gnu'>>o 'Za. ,~ ~ •~ Phone ~ ~~ "~G (ju •. This document was drafted in compliance with chapter Comm 83.221211b11111d1&If) and 83.54111, (21 & 131, Wisconsin Administrative Code. Jun 26 06 12:32p Hen Christensen STATE BAR flF WISCONSIN FORM 2- 2444 WARRANTY DEED THIS DEED, made between Richard O. Stout and Janet P. Stout, husband and wife, Grantor, and Joshua Werlein, a single person, and Michele Newhouse, a single person, as joint tenants, Grantee. Grantor, fof a valuable consideration, conveys and warrants to Grantee the fo1]awing described real estate in St. Croix County, State of Wisconsin- Lot 22, Plat of Enxra]d Acres >n the town of Hammond, St. GYoix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. 715-531-0916 p.2 8'~~7'tS89 !/ KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., KZ RECEIVED FOR RECORD 06/19!2006 10:3AAK irARRANTY DEJ:D EXEJIDT of RI:C FEE: 11.00 TRANS FEE ; ,~,3 !, a o COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address: Edina Keatry Titre, Inc. 4}x1 S. 2nd St. - 5uitc 115 Hudson. W1540I6 018-1098-22-000 Parcel Identification Wumber (P[N) This i of homestead property. Signature(s) STATE OF WISCONSIN ) ._ ..rT$tOW ST. CRaIX COUNTY. ) ss. authenticated this 31 st day of May, 2006 ~~ PU~~tiC ~p~r~'~ O,~slrt. Personally came before me this May 31, 2006 the above w ~~a named Keeton Y. Bast, Attorney in Fact for Richard O. Stout TITLE: MEMBER STATE BAR OF WISCONSNV and Janet P. Stout to me known to be the person(s) who executed f egoin instrument and acknowledged the same. (If not, authorized by § ?46.06, Wis. Stars.) TNtS ti+iSTK1iMt4NtT WA$ })RAFTED SY Peterson, Fratn 8c Berkman -Steven H. Bruns 50 East FiRIt Street, St. Faut, MN 55]t)] (5ignatans may ix authenticated m acknowledged. 8otfi are not nceessaryJ +Names orpe~sons signing in any capxity muss be typed or printed below tiuir signature 'Cheri Blown Notary Public, State of Wisconsin My commission is pennancnt. (lfnot, state expiration date: 3111/2007 ) WARRANTY DEED STATE $AR OF WISC01dSt1Y toff FORM tto.2-2000 ACKN©WLEDGMENT Dated this 3lst day of May, 2Wb. , Parcel #: 018-1098-22-000 06/29/2006 03:52 PM PAGE 1 OF 1 Alt. Parcel #: 30.29.17.829 018 -TOWN OF HAMMOND Current !,_X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -STOUT, RICHARD O & JANET P RICHARD O & JANET P STOUT 1353 AWATUKEE TRL HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ` =Primary Type Dist # Description " 761 154TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.000 Plat: 1933-EMERALD ACRES 1/35 018/02 SEC 30 T29N R17W PT SE NW EMERALD ACRES LOT 22 5 0AC 0 Block/Condo Bidg: LOT 22 ( . 0 ) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-29N-17W SE NW Notes: Parcel History: Date Doc # Vol/Page Type 06/03/2003 724308 2262/406 EZ-U 09/10/2002 689889 9/33 PLAT 9A(IR Cl IMMARV Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class RESIDENTIAL G1 Totals for 2006: General Property Woodland Totals for 2005: General Property Woodland Last Changed: 06/30/2003 Acres Land Improve Total State Reason 5.000 52,500 0 52,500 NO 5.000 52,500 0 52,500 0.000 0 0 5.000 52,500 0 52,500 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 of Commerce Buildings ~~nzo~ SOIL EVALUATION REPORT Page ~ of -3 111 QVWIVGIItrG WIUI liVll 1111 VJ, YYIJ. f1V 111. VVUG County -~ C y plan on paper not less than 8 1/2 x 11 inches in size. Plan must . ro :d to: vertical and horizontal reference point (BM), direction and Parcel I.D. (~ p (>~ ~ ~~~v l ~ `U~ or dimensions, north arrow, and location and distance to nearest road. p 0 ' Please print all information. Re ' e _ Date eu provide may be used for secondary purposes (Privacy law, s. 15.OA (1) (m}). E ~-~ Property Location "~ Govt. Lot s~ 1/4~(/t:/i/4 S~O T zR' N R ~~- E (or)~ .g Address Lot # Block # Subd. Name or CSM# t~ ~J ~ee ~~ ~~ ~n-)a-~~c~ es City State Zip Code Phone Number ^ City ^ Village I~Town Nearest Road ®New Construction __ Use: ® Residential !Number of bedrooms 3 ~6~ Code derived design flow rate Gi'.S^d O U GPD ^ Replacement ^ Public or commercial -Describe: ~ // / ~ Parent material ice _ ` f ~ Flood Plain elevation if applicable f '' ~ ft. General comments SYs~a//l '~'~ ~% gl Qo, . ~.;: ~ '',• ;' ~ o ~`;., ~` " and recommendations: C~.~~o. ~r~v•9~-pO ' --~ ~/ -~ l ,B~ns 6~~~ / ~~~~~,~-~ 6 ~.a~~ ..__ /z ~ o~~~-~r~ 1 Borin # u Boring v ~`~~ ~CAGp~rF~'` 9 ®pit Ground surface elev. ~~• 9~ ft. Depth to limiting factor Z ~ ~~., Z~~~ .., ; Soil ' p tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun Roots ~.. PD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ D~~Z J 2 - 5 ~'~ Zm ~ ~S ~ ~l ' `J . ~ 2 /Z-z~ !o r -- 5~ / Zmab~ wl-~r c s - • 5 • g 3 Z~-3~F D ~Z .5 r~//.e 5~ Zm bk- wtF/ ~ _ .5 •~ Boring # t~~ Boring qr Pit Ground surface elev. / ~' ~ ~ ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ o_i cd r312 - s'/ Zr>~6~. h~r~'r cS l v - S .~ Z ly-Z~ ~ 1 --~ ; ~ z~~ r ~s ~ .5 , g 3 ! r l C2P 7. ' ~l ~co 5~ Zm ~. ,~ ~ - ---- . 5 * Effluent #1 = BODS > 30 < 220 mgiL and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print Signature CST Number ~dar-~-, ~c~um~.ke~- ~~~ _ ~ ~ Z s33a9 Address Date Evaluation Conducted Telephone Number 2~i3 `~~~'~_ ~bmer5ef, CcJ! ~~d25 ~Z-~~-off ~7~s~2y~-yao~ con Q~~n ron~/nm `. Property Owner S~-a ~-~ Parcel ID # Page Z of Boring # ^ Boring ' Pit Ground surface elev. g~ ~~ ft. Depth to limiting factor ~`~ in• Sal Application Rate H i De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz or zon p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I --I Z ~ S i ~5 (~ • s _ ~ 2 s,~ Z c - g 3 ~-~ CZP - co S~ 2rn5bk _ ~ 5 . `~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in• Soil Application Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ 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 GPD/ftz 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 608-264-877?. SBD-8330 (R.07/00) ~~ L '~ ,r PAGE~OF~ ~~- # ~ I SCALE: I"= '~7~G ~ B~ i ELEVATION /p0 , o BM 1 DESCRIPTION -~~I o ~ l ~~ Dr C BM 2 ELEVATION 9 9. / O BM 2 DESCRIPTION~P ~~ / „p~G SYSTEM ELEVATIC-N ~8'~~ SYSTEM TYPE Al ou rid S~ ~~t ~ CONTC+UR ELEVATION ~~`• d d N ~~~ ~ V~~ l j =~ " ~ ,~~ % ~ /~' D ~ ~ tN L~(~ HIV I Y-- .~~ . . o~q po Q~.~ ~. I3" ~ 1 ~.o~ SIGNATURE (i°~ 8'~ _ ~ ~~~ `~ L r- .- -F ~ I tt§' ec. 3 0 ~~ F~ Z DATE ~~ ~.c E SE1/4 OF 1/4 OF TN E MOND, $T. ~ N7/4 CORNER 8ECTION 80 W N NORTH UNE OF THE 8E1/4 OF THE NW1/g A _~_~~~ -- ~ om -- ------------------ ii I I ~ o~ } ~ ~ ~ ~ i ~ = I I i ~ = = 20 ' ~ I m I sii °.eo~so ! ~ i I ~~~I '~ ~ a~~ ~ ~ ~ f I ~o0 4~ = 1 ~ 19 = i~ o~ ~ ~ ,~ ~~ ~ ~~ ~ ~,~e ,~ ,- . tes4.so I I ~, i ~ = s.oo~wcwES I ~ tt~.sot so Fr ~ !~ I ~ I L ' ~ i ----_____~ .~~ , ~'~ Ne0YS02t e7a~a FVfURE ROAD STUB D'-- - - - - - TO BE~CONO'TH~ERUS~O - - iY1.1R 9e9.46'02'W e7A7f I ..-'j.---~- ~ _ ~ s.o22i ~s / •~~/ ~ ~ 1 ~ a, _ ~ a».soo ao Fr ~ ~ ,~ ~ ~ L ,Q li is I ~ i = .~ ; ~ +s J s,9oo 6o I + i ! - / i I ~ !i! ? % Z j ~ I i /~~j ~ ~/ t i Z~~ ~ ~ ~/// 23 r ~ ° t ~ a ~ i ~e~. ~ ~ suRVE,noR: ~ j f ~ I ~ O ~ ! ~~ DOUGLAS J. zAHLER I o~ a I i SiN LAND SURVEYING INC M/1TCH LINE SEE 8HEET 2 2120 ENLOE STREET q a ~ SUITE 101 -9lf1'9' - - HUDSON, WI 64018 ~ - (716) X66-2007 39 I i ' I I I ! ENGINEER: 1 RUTH CONBULTING A88001ATE8 I I 2920 ENtAE STREET i SURE lOa I I 24 HuosoN, vw a4ote Z nts~ asta2n I ~ PRE~+wRED FOR: I RlcwwD o. aTOi,r j j .ewer P. Srovr 1 aaa wwwTUlQe TRAIL i - HUDSON,tnr164o1e ~~: o~/o2/oz oRAwN 81F IavIN REED SHEET 3 OF a JOB NO: eoOZ-09 ~pl~+ Io~S i ~"~° -,~