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HomeMy WebLinkAbout018-2011-70-000~ ~ , I ~ ~ 3 ~ ~~I. ~'o~' ~ ~ c C. ~ ~' I~~~ eo 9 ~ ~ ~ ~ ~ ~ ~ I " ~ M O A W O ~ ~~ O N O V 01 d O d (D N ~ 7 3 (Np N ~ N O O ! O ~ a ~ {~ ~ -~~° ~ I n `° I $ ~ ~ ~ ~ ~ I ~ c ~ ~ ~ ~ I ~ a ~! C cnzD ~ ~ e~ cfl D ~' ~-o. lA ! ~- W d =~--- o~ b z ~--~_"` o0 3 tQ O~~r- !T j i y w Q !r V 0' i '?'~' '~9 I ~ 3 y ~ ~ ~ o I = ~ ~ o v ~ ,. ~ H a ~, ~ ~ D .~- W 3 m I ~ N I D ~_+ o a 0 O ~ I ~ ~ ~ o ~ , h• I y i ~ N C ~ N N~ C a a !i m n ~ ~ ~ 1 ~ A ~ eD N ~ , ~ ~. n ~ ~ ~ I ~~ `2 cNC a ~ ~ z ~ i ~ ~ G %- i Z ~ 3 m fN Z ~ ~ A D I a ~I a ~ m ~ o ~' N O Q 0 O^ I W I N H I o O0 N Op b R I o Q ~ A p ~. j ~ a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal infonn~ation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Hblder's Name: City Village X Township Mann, Paul Hammond, Town of CST BM Elev: Insp. BM Elev: ~~~ BM Description: _ ~~ \ ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 3 e~ -- J~ / ~"' (j I/~,Q.. / Aeration Holding TANK SETBACK INFORMATION TANK TO P/.L` ~O(-lam. WELL BLDG. Vent to Air Intake ROAD Septic ~, ' ~ l Q / - 1 Dosing o Aeration Holding PUMP/SIPHON INFORMATION Loss Dist. to JUILAC55VKY1IVIV,YJICIYI g,, ELEVATION DATA County: St. CrOIX Sanitary Permit No: 479380 0 State Plan ID No: Parcel Tax No: 018-2011-70-000 SectionlTown/Range/Map No: 30.29.17.1085 STATION BS HI FS ELEV. Benchmark Z.~S ioZ.~r 16b Alt. BM,o ~~ e ~` ~ ~' ~~ wer Bldg. S ~' i5 ~~, SUHt Inlet y8 55.4'7 SUHt Outlet ~ 73 ~ y Dt Inlet ,,,_~ Dt Bottom ~ 1 Header/Man. ~ ,~ q/) ~ a~ Dist. Pipe ~. 35 4 3 , ~ Bot. System G '' ~x~, , O ~!3 ~ ~~ Final Grade ~ ~ 1 S ~ Cs St Cover r~ `` ir~~.. 3 . ~oZ 3 2 J „` ( y~ y3.o~ ~o, R2 .t~ BEDlTRENCH DIMENSIONS Width j 3 Length ~'~,ZS o. Of Trenches _~~ ~ _ /A~ ~p~hu/~U PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer. ~~/~~ ~ l_ ~r{.f"1 ~N ate. Type Of System: ~ v~•~2..w~~ ~ 50 ~~ / I' ~ `~ _ f ~ N UNIT Model Number. ~~ ~.r IIICTRIRI ITIf1N CVCTFM Header/Manifold r~ ~ ~ ~ Distribution Pip9s) \ `' \ i Di S x Hole Si e ~ x Hole Spacing ` Ve~njt to Air~nta~ 'Grl~a .C O c~~ Len th Dia 1 g n ac a Len th p g C(111 (_(1VFR ., o.~~~...e e..~~e..,~ n..~.. .... 1111n~~nr1 nr a+-f;rarlP SvetPms C+nly Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mul ed Bed/Trench Center ~ ~G ~ J Bed/Trench Edges ~ Topsoil \ _° Yes ~ ~ No ~ w;li Yes ~ -';] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 779 157th Street Hammond, WI 54015 (NW 1/4 NE 1/4 30 T29N R17W) Emerald Acres 1st Add Lot 70 1.) Alt BM Description = ~' ~'~ ~v..t~ ~(n,c,~,. ~b ~ ~,p~ ~ ~ 2.) Bldg sewer length = J 3 ~ - amount of cover = Z Us n th Irls de foruadditional information ' _/ V i ~ ~~~I e o e --. __ Date SBD-6710 (R.3/97) Inspection #2: / / Parcel No: 30.29.17.1085 ~,~ 3 - _. -_ Cert. No . Safety and Buildings Division County ` ~ ~ 201 W. Washington Ave., P.O. Box 7162 ~~ ~ ~seonsrn Madison, WI 53707 - 7162 Sanitary Permit Number (tn be filled;n by Co.) De artment of Commerce (608)266-3151 q 3g~ Sanitary Permit Application smote Phm LD. Number la aooosd with Comm 83.21, Wis. Adm. Code, personal information yon provide may be uaod for secondary purposes Privacy Law, s15.04(lxm) rojeet Address (if different than mailing address) P ~ L Application Wormatian-Please Print All Wormati ~, .,.,. / C~ ~-~-~ ~~ ~ S~• ) ~y owner's xeme A U G 0 5 2 0 0 5 La a Bloom a P~r°~ ' u ~ / o Property Owner's Mailing Addraa S:'. C~OiX COUNT'r" Property Location /sy tis.vT 6/.4!' ZGN!NG OFFICE ~~ P ~~~~ ~~~ ~ S ' - City, State Zip Code Phone Number .S.s/.?y S.? y8 -.sd83 oucle e) N; I~Ea~V T~ IL Type of B~ditliftg (check all that aPPIY) ~ _ I~,e~ ~ ~1 or 2 Family Dwelling - Number of Bedrooms ~ ~ 1 S Subdivision Namo CSM Number ^Publio/Commaoial-Deaorrbeuae Ei~ L 6/!E sr OD r~®,/ ^ State ownod - Dea«ibee Use ~ ~ownahip of D IIL T ype of Permit: (Check ody one boz on line A. Complete line B if applicable) D, _ ?~ ( - tJUO Dg,s A' New System ^ Replacement System ^ TreatmeaUHdding Tank Replaceaent Only ^ Other ModiSoatien to E:riating System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Liat Previous Permit Number snd Date h>suod Before ISrpiratien Plumber Owns Iv of Powys Stem: Check au that a Non -Reaauriaed In-Gramd ^ Mound ? 24 in. of suitable soil ^ Mound < 24 in. suitable soil ^ At-Cttade ^ Singte Pasa Sam Fiity ^ Caoattuetod Wethmd ^ Pressurized in-Ground ^ Holding Talc ^ Peat Filter ^ Aerobic Tneattnent Unit ^ Reoiroulating Sand Filtce ^ Reoimula ' thetio Modia Filter ^ I.eaohin Chamber ^ Dri Line ^ Gravel-less Pi ^ Other ( lain) V. IKs rsal/I~eatment Area Lnformation: Design Flow (gpd) Design Soil Appfioation Rate(gpdst) Dispersal Area Required (st) Dispersal Area Propcaed (sf) System Elevation 600 . y /a'oo /513, 9 93 aJ 9.~ s~ 9a o ~ VL Tank Wo Capacity in Total Number Manufacturer Prefab Site Stcel Fiber Plastic Gallons Gallons of Units Concrete Coostruded Glass New Bxi.ting Teat Tacks sepna«Heklaglirc loo /a?ao I Lo.~I Gir`T'~ ~/i~serr. Aerobic Tent Unit Dasirg Cbsmber VIL Respo~nsibl'h'ty Statement- I, the rind a~tmse yea nsibility for imtaUatioa of the POWTS ahowo on the attached plain. Plumber's Name (Print) PI s MP/h~'Number Business Phone Number R6 EL.NE" ~ 3y/,Z ~/S 67.7-.5•?lC Plumber's Address (Street, City> State, Ztp Code) /V 6.798 Sr. Nr..7S (~/us~q..~D ~./.~ S'y7,~G VIIL Comr / De artment Use Onl Approved ^ ved Sanitary Permit Fce ' cludea Groundwater Date Issued L rsuing Signature Stamps) Surcharge Fce) 77~~ v ._-_ ~ O ^ on for Denial ~ . IIG Conditions ppro al S ~2-e-c~ ~a SYSTEM ER: 3~ ~ Q~ V 1 Septic tank, effluent 1•ilter and _~ ~.¢- - ~ Q~ ~ ,2 ~ `~" dispersal cell must all be serviced / rrlaintained ~ ' ^ r` 1 ~------- as per management plan provided by plumber. ~~.~~5- k~Xre~1 ~-~, ~ _ 2.. All setback requirements must be maintained °--' j ~' ~~ as per applicable code/ordinances. 5 ~-- Attach eompMte plane (to the Cosmty only) far the rystem oa paper ant leas that 81/E : Il inches i_s_psi_p `~-~`~ SED-63~E (R. 01/03) ~Q ~~c~ S;-~ ~- ---~~ r ~,~,.r,~ ~ ~ l~ 5~~;-~ ~i. ~, ~. ~J i i ~- i w v ~ y 4 T O V` a CZ : ~ Q. N'baa,, `~ `a \ . 4 . a ' I `_ ~ ~ ~ v ~ J ~Ot ~ V V~:~~~ V d ~ ~~ ~ ~~ C `~ t ~ ~° ~ ~ ~ 4°, v ti A ` • ~ '/ ~ ~ p +V ~ y M ~ y \ V ~ ~~ ~~ o ~ ~°. ~° $ ~ V \ VV 0 G \~ M;~ ~s h-- l I 0 : 1 . ~C h _. e. . c ~ ~ ~- ~, ~, ~ ~ j ~ T = ' N O J ~ - ~ ,~,~ ~ ~ Q e c _~ o J ~ Q ~ ..~ t ~ ~ ~ ~' ~ t w b. J A t . S «f t ` . v ~ ~ ~ ~ ~ ~IW. ~ ~ ~. ~ .~ ~ ! 1 H ~` ; ~ "' ` ~~W 1 N ~\\ ~- ~1. h °I a ~~ ~- _ o` s J L ~ e ® Q r ~, ~~ t a V ~ ~ y ~~ o ~ t V ~~ v ~ Q t Z V { ~ Q ~~ O `~ T ~O ~ ~ ~- '~ ~ S N ~~ p \ ~b~ \ __ ~~ o r 1~ ~ o t ~~ ~ ~ t ~1~ oC NI V \ V ` ~ ~ ~ ~ (~- l l =1 .k h .. _. 3 o 1 ~ ~- ~x ~ ~ V :_ .M ~ M ~ ~ ~ ` ~ ~ ~ ~ A ~ ~ •? `~a.. o =; ~ _ H 1 T ~ p ~ A. ~ ~ ~ 'z ~ v ti ~ '~ ~ .. ~ ~ ~ ' V ~ ~ ~ A ~ I ~ . ~ ` ~ y ~ ~, v ~ ~± ~;; 1 ~ ~ ~( W ~ \ h I . Wi~consinDepartrnerlSotCummerce SOIL EVALUATION REPORT Uivis'ron of Selety and Bufkintgs (. O in acxordarn~e wiUl un 85, Wis. Adrn. Code County Altactt ccingtlete site plan ~ ss 0 1!2 x 1 brcire Plan must '--~~1-~--- Endude, hart not Ihnlfed to: vertip n iz~t ren point and parl>;I LU. percent ~ tope, scale or dimensions, 1 r o llon and dlsta t road. - ~ p // _~ 76 - GYJJ Please print al atlo~t./~'T ® av e Uate Penonel In/omrelron you provide mey be used for second y purer a~s (Pirvac+~ a 15.OA (r) (rn)). ~ S Q S l'rvperty owner Address ~. 2 ~ R~~ rty Lo lion . ON~NGXC~ t. Lot 1/ti ~,1l4 S ~j0 f~~ N R `~ E (or _ ~~- N---- _-~ of # Bkx:k # Sulnl. Name or CSh1# _ ~m~r~« ~Cre~ _. ~ ~T. r DYl ter ^ Cily U Villaye ~{-town Nearest Ruad ~.~lew Construc-lial Use: ~ Residential 1 Number of bedrvonls ~~_ Cude derived desiyn flow rate __ ~~ ~_Cn-V-S1-__ GPD ^ Replacement ^ Public or cvrnmercial - Uesctibe: __ ___-_____-______ _____________ _-_ r Patent rneleriel ~1~______ ____________ flood P/la~inel`evati/o~n if applicable _.____ ti ~ _ _______ R. GBnelaI OOlllinerlt3 (•~ (L.Pf/l 1....~( l..V r ~s` OO ~ / / 7 VJ~(~. ~i(/~'~~/ l~ ~ •"'/"'_'~j~ arxf raconmrendalials: 7 J r V` 1 /r`~' ® I 3~ ' mod. ~'~~~ G~~ ~ ~ ~ ~~'0?<642~ Rainy b Boring # t~-Pit Ground surface elev. ___ f ~ ~ ~ _ IL Ueplh to Ilmlliny lactor _ ~a____ in. -- - _ _ ____ Soil Application Rate florizon UepUl Dominant Color Redox Uescriplion Texture Sltuclae Calsistence Bowrdary Rcxtis GPUlIF in. Munseii Qu. Sz. Cent Cobr Gr. Sz. Sh_ __ _ __ 'E(f#1 'Eff#2 - 2 b-t2 12- (o I D - s~ ( S r i 2f~,shk S-~~. ~ tm~'r c 5 ~ 5 l v-~' ,'S , ~f ~ ~ ~ - -- ~ 5 -- . Cp /. p f -F - -- 5 ~ m vr~~ - -" ~-( . ~~ .. _ _..- Z 5.2 ~ ~ f. 2 ~~ Boring # ~ Bonny n -7 ,~it Ground surface elev. `~I~ ~ ~_it. Depth fu limiting factor- `~ __ in. _ Soa Application Rate Horizon DepUr Uaninant Color Redox Descriptan Texture Struduie Consistence Boundary Roots GP UlItt in. Munsell Du. 5z. Cant. Cobr Gr. Sz. Sh. 'Eft#1 'ER#2 ~ -l i p 31 z .--- .~~' ( Zr~nS~ m~ C S ~~ • 5 2' l4-_'~p t L-k ~ S`1- Z S ~ c ~ - _~_ _-~ Effluent tM1 = BOD > 30 < 220 mglL arld TSS >30 < 1: U my/L ' ERluent t!2 = BUU < 30 my/L and TS5 < 30 mg/L CST Narne (Please P ' 'gnature CST Nwnber n Ate-, h ~~ ~«~- ~ ~ - -- zs_~ Ad ress Uate Evaluation Conducted Telephony utnbN er Payo _~. ~ _v Parcel ID # _-I-a ~ ~V___-------- Page ---~ of Property Ownor _ c-~_1_`^'---------- ~ LJ Boring -7 , j L L/ Bornrg # g5.(`~It Pit Growrd surface eiov. . UepUr to Gn-iting ( actor l~ in. Soil ~ 7 7licatirnr Rale r d B Roots PD~ Horizon 1 Z 3 DepUt in. b--I t - Dominant Color Mansell 10 ~3~Z 1 D ~1 ID ~5~ Redox Desc,7iplion Qu. Sz. CrntL Cobr ~ `i -~ Texlwe 5 SlrucxurE Gr. 5z. Sh. 2m5f~k ~ Consistence ~~- _ y a oun _ - ~S - 1 ~-~ - 'Efl!lG 5 . ~ 'Eftp2 _~_ _~- - - - ,~- y3.o ~ of z.s~o ~ ~z. ~ _ _ _ 2~ (moo o ~/~z- ^ Boring I~ Boring # in. - -- - n o:. .Ground surface elev. It. Ueplh to limiliny factor _-______ I Sall AUDIicaUUn Rale r i u r .. Texture 5dur -lure Consistence Boundary Rcx3ts GPDI(F Florizat UepUr in. Dominant Colr3r Mansell Redox Description Clu. Sz. Cont. Cobr . Gr. Sz. Sh. _ _ 'Elr#1 'Ett#2 U Bodny Boring # Ground swtace elev. ___-_____ It. Depth to limiliny factor ___.___-_____ in. ___ ^ pit ~ _ 5or1 /1 lica6ort Rale i ture T SUudure Consistenr,-e Boundary Rcx3ls GPD/tF Horizon DepUt in. Dominant Color Mansell ort Redox Descripl Qu. Sz. Cont. Cobr ex Gr. Sz. Sh. 'Eft#t 'E(f#2 'Effluent #1 = BODS > 3U < 220 mylL and 75S >3U < 150 rnylL ' Eflbent 1Y2 = BUUS < 30 my1L and T8S < 30 myll_ 'I rte Department of Cvnunerce is an equal opportunity service prowler and employer. if you aced assistance to access services or need material in an alternate fomtat, please contact the department at GOR-266-3151 or "1-fY GO8-264-8777. SaD-iV 301R.07IOrry ... I'n;e3 orb I,(_)I~i! ~ -.-:(~w. -)Ia~'It1-'~I~I~)t~l~Uw Il~la~ U~I,`~3o ~1~2Q,1'l,it~~ I:(ur NAME:J ~_- - __ - - ---- -- SCALL: I' °__ __0_ _ -- -- ---- - __ - I ~.: - . , ,, ~~( CLEVA'I'ION:___L00-_~_ - --- _-_ _ - ~-r Dht 1 DL• SCRIP IIOIJ: ~oQ_ a-~-_ j ~~G ~ ~t P-~--- E3h1 2 ~LCV~\"l luN: - _-~.~< (~-0-- -- - _ _ - - - - ~~` __ Se.e• _,~U_ - -- --- --- f _----- L [3M 2 DLSCRII'"I'IOI~1: ~,~sz-~__~ `tPyc- ~'`~2------ ~.: SYS'T'EM L•L[;Vi\'I'l~_)tJ: ~S ~ d U SYS"1'LM'1'YI'i;:_--(~Qnd4~'1~.n0.~___ _ _ -__-_ _ ~ 6~^2 --- - __ __ _ ----- --__._._ _ 6~` i~ --- -- 6 J \ \ Sy b1 f~- Z ~ s,, ~ ~ ~ - ~- '`~~„~ ~' ~ ~ Q~ o~ ~~'' ao C1 `rod ~~ G~ v'7'~ L i tiR NOTE - 60 ft. wide area disked and seeded for drainage easement. Does not appear to have dammed POWTS sites 0~. ~ of s Private On-Site Wastewater Treatment System (POWYS) Index _and Title Sheet Owner: ,out /yo,~,/ Project Name and System Type: ~u~ /~ N.~ -, y ~/c. /,~/~,~e~a Dow rs 4l i/ Location: ~o ~o ~'r Street Address ~^ /!/!/ ~/~~.,3~0 .7 9~-J~ /7 !/ Lv r 7o G/YE•/LALD ~ta~s /~'r~~o~rie./ Legal Description , // o w, Township/County Contents: Page 1: /N.®~-X r ~ r~~ ~.y~~s- Page 2: ~a r ~.. ~ ~ Cie sr - Si'c r~..~ Page 3 : ~a w t1 0~,,. E~ `s iro./u.. ~ ~" ~1i,/.R s ~.Y ~,.~ r- ®a...r Page 4: ,~ ~~ .~ , ~ Page 5: Page 6: Page 7: ' Page 8: Page 9: Attachments: J O/6 ~yo~ uA r~.,/ `Gd~aa ?~ ZAG!'L ~/L 7'E,t ~i~/w/ ~"sri/A.~6! /i/fo Plumber/I3ter: ~`~~a `..E-~~~r Signed: Credential Number: /~~- mss'/Z. - - Date: 7- .? - 6S ~, b F ~• ~ ,. ~ % r3 ,, Maintenance The interval for servicing septic tanks is set by. state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel'" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. !f your filter contains a SmartFilter"' alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: 'Servicing any zabe/ filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the septic tank. While holding tl the access ope cartridge with fr careful to nnse all 'Note: !t is not 'spotless'. The axles in the prat be left on the lilh maybe Remove the tanl and pump the necessary to F any sollc escaping to tt when the Firmly pull the filter h and slide the cartridt of the 'Note: A tee handle ma to be used it the tiller is below Around level to Contact Zabel for info handles Insert the back in the sure the fit Replace ~~ MADE IN USA The product(s) shown are covered by one or more of the following patents: •U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683;577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 • Website http://www.zabeLcom A100/300•I•M,61499 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE Il~FORMATION Owner ui .~./ Permit # ~ 11F.CiGN PARAMETERS Number of Bedrooms 100 room ^ NA Number of Commercial Units - NA Estimated flow (average)* aUda Design flow (peak), estimated x 1.5* Goo aUda Soil Application Rate y al/da ft Influent/Effluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) 5 220 mg/L Total Suspended Solids (TSS) <_ 250 m Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) 5 30 mg/L Total`Suspended Solids (TSS) 5 30 mg/L Fecal Coliform (geometric mean) <10 cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter *Wastewater Flow Verification and Calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank e$luent. ***Values ical for retreated wastewater. SYSTEM SPECIFICATIONS Se tic Tank Ca ci .?ao ^ NA Se tic Tank Manufacriu'er sE.c ^ NA Effluent Filter Manufacturer Z.o6~t ^ NA Effluent Filter Model - oo ^ NA Pum Tank Ca ci A Pum Tank Manufacturer ^ NA Pum Manufacturer ^ NA Pum Model DNA Pretreatment Unit ~`'NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ound ressurized) In-ground (gravity) ^ In-gr (p ^ At-grade D Mound ~.7 Dri -line D Otlier: Leaching Chamber Manufacturer /ir/fit y-~t~ rec oriel Sr-.o./o,~.-o Laying Lengtlt/Chamber 6. ,?S Soil Application Rate! gpd/ftZ Area Req. /Soo ftZ Infiltrative Surface/Chamber-ESIA Rating .~/. / ft2 Minimum Number of Chambers ^ Aggre ate Desi Flow/Loadin Rate= rr-in Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and a royal letters. r~rT!'~t-r nDrTL`DiA ^ "Wisconsin At-grade Soil Absorption System, Siring, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design 8c Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "DesignManual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD - 10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" SBD - 10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-P (N.O1/O1) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD - 10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD - 10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD -10572-P (R.6/99) "Mound Component Manual" ^ SBD -10691-P (N.O1/O1) "Mound Component Manual" Version 2.0 ^ SBD -10595-P (8.6/99) "Single Pass Sand Filter Component Manual" ^ SBD -10657 P (8.6/99} "Drip-line Effluent Disposal Component Manual" ^ SBD • 10573-P (R 6/99) "Pressure Distribution Component Manual" D SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units .. ~.r ~ V ~ !'~T. 1~dTi lUT 1riH11\ 1 L' 1\ hl\ t.r. t'u~ l/ au~i .. MAINTENANCE MONITORING SCHEDULE av ~...~... - Service Event Ins t condition of tank(s) At least once eve Service Fre uenc ^ months ,3 ear(s) (Maximum 3 s. Pum out contents of tank(s) When combined slud a and scum uals one-third 1/3) of tank volume ' In t dis rsal cell s) At least once eve ^ months 3 ear s) mum 3 Clean effluent filter At least once eve / ~ ~f months ^ ear(s) Ins ct um , um controls & alarm At least once eve ^ months ^ ear(s) NA ^ NA Flush laterals and ressure test At least once eve ^ months ^ ear(s NA l At least once eve ^ months ^ ear(s) ^ ves Va ^ months ^ ear(s) ^ NA Other: At least once eve Page 3 of START 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 aze detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions aze 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 dischazged 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 regulaz 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 on a regulaz basis by the home owner. If an alazm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INSPECTIONS 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): Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hazdwaze, 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 ari effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ^ Pump Chamber/Treatment Tanks Component The inspection must include a test of alt electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hazdwaze and the condition of any filters. 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 y of .5~ ^ Mound, 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 arty evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory ' authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shat: be removed zd properly disposed of by :~ Septi~ge Se: vicirg Gperator. - 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 rep ent system: A suitable replacement azea has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that dme. ^ 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 azea. If no replacement azea is available a holding tank maybe installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems maybe reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM i IIE L'~~TERIOIi OF A TANK MAY BE DIFFICULT OR IIVIPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name £ie6 E'~,KE /~i°- 3 yiZ Phone 7/S ~ >.z - sa a ~ SEPTAGE SERVICING OPERATOR (Pum er - G1,.ixror.J Name Phone POWTS MAINTAINER Name Firs ~6t.rE C f'E' ~ Luira~~s ~ Phone 7/S ~7-? -SAIL LOCAL REGULATORY AUTHORITY A enc r' C fox to o,/,w~ D ~i~E Phone /S 3r~6 • 680 K:\WPDATA\EH\POWTS OWNER'S MANUAL.doc Page S of S PELKE PLUMBING Fax~715-672-5267 f~.tg 4 '05 957 P. 02 as'1' CKOnC COIJN7.'Y SBP~'IC TANK MAII~1T8i~'AN(~ A,t~RESMB;+1"i' n n ~~'~~ C~RTIF~~AT~ON FORM Owa~atP9uya~ ~"~ A' 3 ~ ~ ~ ~ ~ 5~~3 ~Ve~tfao s+eq~wed han Puaoing Daputraent fcr Aswr coasAndl - .._ ~~~~~ -~.T~.~~ ., p~raC1 IdCntlfiatiOA NttmbCt _ ©l~"' Zol 1 ` - crsD (. /o$'S~ x tJ ~ y., ~ ~, seg. ~o - T~~w. ram of ~, se~iv ~~~_ Stoney Map p _ - Yaltttaa , ,,,,~~_.Pa~ge # ~,.-_ Warra~ Deed # ~d ~- 3 S~(~t ~ ~S . -, .~L~ ~ -~......~,,,_...` Volume Page # y Q~~ I~,t liaa ideatireble ~ yee t~ uo ~ gad t4aioaaa~cee~tyatut ay~egtvoold remit ie ~ p edb~ to bendte ~vaatea. Pt+opat mmatcmace ee~ta et pumpi~ ~ t6e septic ~ wee >~ a eooaar, if ~ooaod by . iioauted Wht y~ put iuw the sy~ oae a~ot ~ lltoaeioat of tie !eP~ teglc as a traabmerlt steps is tint rrasea di~posil ay~epmm. '~ Fa'aPmq- ate' a~ ~ atb~oyft oa St. tax XoeiM Departoemt . Sao d by the offer aamd by a °P~p4~eC. eoedplw~bar or a pats aai~or tbst (1) ~c an-site a~actse-aoetdiq~oeai ayetattt is is ptepet apseatioe ovsdit;oa aed/dr (~) afar iaspoetiaa sed pnmpi~ (if naoessaty~, the sepobc tsar ie ias than i/31l~t1 of slad~e. ~ Ibe ~ teed ftaa •bo~a r qya Npee to m6st~ the pclvsts essw«s dips0aai sys0em with Hte e°t ~. ~ sat h7 ~ Dapaelmeaet of Caaomace.od tba Daparemeat of Naaara! Raearoos, 5uee of Wiscasrttn. t~etf6awtion ~i ~ y~ ae~tia ~ been ms+i~sui~ed mast ba acsmplete~ tvd rstur~d sa daa &. GYoit ~ Zoom 4fficc witls~a ~o o fltae year g a.s-' $it3NJ~-T[JilB 0~ Ap1'~ICANP DA'i'B I (tMe) vetbtfy that all dai~eaamta oat tb4 tortQ ate true to ttie bent of mY (oath Imo~-1ed;e• I (we) am (src) tha o~vaez(s) of ~ 'of+~Y wed above, by rieare o[ a ~vacteo~ty dood twa+ded is Ra~lstar of 1)oeds OfIlu. Sit~iATDitS t7F ~11~PLtCA1VT DATE sr~rs ~ b tbet is ediis~mpnC#eabed mer t+~uk cap dre :saftary peanut besad reY+oleed by the Zoom` Departmeat. erra.rr •r t+adada w~t15 ttile sae-: a seata~ed , dad from tie of Deeds awe a oop~- de4~e eaditisd esrGwy map ff eedlae-es iac scads ~ tise .v~r deed Lbn~ Lb: w~ ~'~ P~~'~~ .~.~~ HC~M E SA1:.:ES 'gk%ldtwg„(our i~r~aw~s awd ours, . ~Ow~ Fbwt.C at a .1-~~~, AM-4$9 WITH OPTIONAL 6/l.2 HIP ROOF, DOiJBLE D- ^',""` __ . ,;._ __ _ , .. _. ~._,.... ^.,...L~, SUNBURST, AND WINDOW GRIDS. GA.~ ' . ~~. ,„,.'"~.~."'....... --• -~.~ NY q/~../ i f t. 11 A ~ • K`•~! M ~./~Ei1 ~r~T ~/ J ~ I ~~ ~ FA1411~ r ' ~ ~ ~ ' H!)OM ~ . ~ ~ `'; 28x60!68 1749 Sq. k't. ~ ~ 3 BEI~RQOMS 2 H,A,THS ~ ~r a ~ ~~ ~~~ `~ ~~ American Home Sales N66f10 County Road Q Knapp V4'~ 54749 (7I5)665-?l55 (.866)900-? l 5 S ,,.~ menomonie~a~americanhoinesales.org ~~: ~----- .-.rcz - . _ .. ,x_......0:9 -~~:i~-•~_------ • .o~;9f .-..._ .s-:r-- ' 1 ~~ .e-.~x.o-.e ~~ i N i ~ 1 ~1 1 ~~ ~ N ~ a:-~ . ~ ~ 4 ~I ~ ~ I I 1~ ~ ~ K ~` ' ~ .. "~ O ~ ~ ,~ ~" ~ ~ ~1~ ,I ~ ~ k a ~ I , ~ i IV - .i ~ ---._......B-Al . .. . -.li~~l f L gib{' ~~ L. .~- ~ 1_ *~f I ~ i I .8'59 a.9'.t ~9 X.9 iti I ~ /~ II ~ - ~ ;~ b. :~ .~~j;: k ~ ~ ~~~~' ~ ~ 1 ~ N. 'fir t ry~ ~ ~1 _... ' i..... -- 4 iY ~~ ~ ~~~ ~~ ~ '4 ~ O 3'-0'x N~` ~ ~ ~ y .k--. b'•f0'•--~--- - T•f0' I~ 1 M ,( , cct?o QQ ~ ~G19 .. _.- t'+~-_.-.-___ r2~ra 2I31N3-Ha31-73?JnW wa e~:se se-s~-Nnr U 2858P lyy STATE BAR OF WISCONSIN FORM 2- 2000 Document Number I WARRANTY DEED THIS DEED, made between Kernon J. Bast, a married person and Richard O. Stout, a married person, tenants in common, Grantor, and Paul K. Mann and Pauline Mann, both single ' Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee wing described real estate in St. Croix County, State of Wisconsin: Lot 70, ~merald Acres First Addition, Town of Hammond, St. Croix Wisconsin. Recnrdine Area Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. 802356 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIx CO. , MI RECEIVED FOR RECORD @8/04/20@5 11:20AM HARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 185.70 COPY FEE: CC FEE: PAGES: 1 Return to: Title One Premier Group, Inc 706 19th Street South Hudson, WI 54016 018-1066-60-000 Parcel Identification Number (PIN) This is not homestead property. .Dated th'}s 3rd day of August, 2005. Kernon J. Bast Ric tout B * K on J. Bast, A e In Fact for Richard O. Stout AUTHENTICATION Signature(s)r authenticated s 3rd d ~~~ ~, Itl y.~ ~ .` TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Peterson, Fram & Bergman -Steven H. Bruns 50 East Fifth Street, St. Paul; MN 55101 (Signatures maybe authenticated or aclmowledged. Both are not necessary.) "Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this August 3, 2005 the above named Kernon J. Bast, Attorney In Fact for Richard O. Stout to me lrnown to be the person(s) who executed the foregoing ent and acknowle ed the same. *Ti ry u 'c S to f Wisconsin My co permanent. (If not, state expiration date: 6/ 14/2009 1 STATE BAR OF WISCONSIN FORM No.2-2000 ~-C~1r'1~..~ ~~ Y Z 1- ~~ ~_ ~O z~ ~~ ~~ ~' ~ w ZOo O a O O w m L'! 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