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HomeMy WebLinkAbout018-1068-50-100Wiscrtasiri Department of Commerce PRIVATE SEWAGE SYSTEM Safe and S'uilding 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)]. permit Holder's Name: City Village X Township Hawkins, David Hammond Townshi ST BM Elev: Insp. BM Elev: BM Description: loo b o o GcT ~ s b~ ~-/ I-ANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~++ hl,~" 10 t~ p Dosing GEC) ~ rati Idi TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic '~' 100 N a z3~ 2 4 ~ +/taD Dosing + I ~U ~ ~ ~. Ae t' n H din PUMP/SIPHON INFORMATION Manufacturer ~ Demand oy~ ~ 2. r" GPM Model Number I sa ~•~ TDH Lift 6.$ Friction Loss System Head TDH Ft ~.3a .z tl•3 Forcemain Length ®i Dia. ~~ Dist. to ell ~t SOIL ABSORPTION SYSTEM ELEVATION DATA 0~0~" St. Croix Sanitary 395243 State Plan ID No: Parcel Tax No: ~""r'r 018-1068-50-100 STATION BS HI FS ELEV. Benchmark ~ b ~ ~• 3 IOb Alt. BM 2~3~ A'a,l ~ Bldg. Sewer ~ S Inlet ~~ i it/.$' St/bAt Outlet Dt Inlet Dt Bottom ~t.3a ~ SPoS Header/Man. . AD q~; Dist. Pipe ~[ ~(•~ ~~~Q Bot. System ~ ~ ~~6 ~ Final Grade St Cover ~~ Ste. 9~ ~ r ~ BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~.~ ~~ ~ , SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manu r: INFORMATION Type Of System: CHA uNER OR Model Number: p# S"i'~ SSA N ~~- DISTRIBUTION SY TEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake .1 Length ~ Dia ~ Pipe(s) ~ ~~ ~, Length .S~d Dia ~ Spacing ; q ~/r a . SOIL COVER x Praceura Svslams Anly YY Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ ~ / ~~ / 0/ Inspection #2: /p / ~ ~ / G/ Location: 1563 70th Avenue Hammond, WI 54015 (NW 1/4 NE 1/4 21 T29N R17W) NA Lot 1 Parcel No: 31.29.17.4696 1.) Alt BM Description = 't,9 P ~ ~~~ ~V'L d"Wu~N~ ~W~Pr(, 2.) Bldg sewer length =d3' (~ - amount of cover = ~~'~ s~~ tu.~'~G~~r'oc.tG• 3 - Gw(t;dr .~.y}~( 7,~' ' 9'~~ G ~) S ~'~ st~ewloQ lar~- rE1rt~~'t"c.o~ ~ti'~t ~s tP ~~ Yl. w..Il _?''1 ~P PI n revision Req fired. Yes ^ No ~D '~ Ol _Q - ~ S.. 3 Use other side for additional information. 'mil Date Insep ors Signatun: SBD-6710 (R.3/97) Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 ~ L S ( (.`. ~seonsln Madison, WI 53707 - 7162 S;te Address .,•t, Department of Commerce ~J~tio T"C~'~' Sanitary Permit Application Sanitary Perm'` Number ~~~~~ In accord with Comm 83.21, Wis. Adm. Code, personal informed o idp ~ '~ '~~ 1 ^ Check if Revision ~ ma be used for seco ses Privac Law sl I. Application Information -Please Print All Information ~.~' ».~ ~ ~ State Plan LD. Number Property ner's Name a ~ Par 1 Number • ~ q ~,r~ y f ~ Property Owner's Mailin Address ~!'~ ~ ~ ~ ~ ~ X d~ ~~ ~ rty Locad ; g ~ `~, l ~ u, 'k~~',4• S Tr~ N, R~ City, State ~ Zip Code one 1` Lot b Block Number L~:;. !` SM Num rrj ~ ,/ S ~ II. Type oP Building (check all that apply) .w r ^Ciry ~ 11 __ -- -- -- -- /p~ ~1 or 2 Family Dwelling -Number of Bedrooms Y~+~ {Jl[l~ . ^Villa e g ^ Public/Commercial -Describe Use Township IeCLt~l7 ^ State Owned ~ ~ Nearest Road III. Type of it: (Check only one b on line A numbering scheme for internal use). Complete line B if applicable) A' 1 ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use ( - ~ d 6 -. ~ - S stem Tank Onl Existin S stem 3 , b B. ^ Check if Sattitary Permit Previously Issued Permit Number Date Issued 1V. Type of Permit: (Check all that apply)(numbering scheme is for internal use) Q--4b'D 44 ^ Non -Pressurized ht-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ surized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 4 At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other eatment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation j ~ l / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel -Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing T an ks Tanks Sep[iC OL~{Gi~'~~IiC F / )4'~y,~~ / / , ~* f/l.1 ' ~j ~+ ~ / ~~ Y/"~C/i+'l l Dosing Chamber ~„ J~ •,+ .-, VII. Responsibility Statement- I, the unde d, assume res 'bility for installation of the POWTS shown on the attached plans. Plumber's a (Print) Plumber's to MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State Zip C e) • VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Su h Date Issued Issu' Agent Signature (No Stamps) ^ Owner Given Initial Adverse . rc arge Fee) ~ ~~ ~ ,Zq ~ t T Determination IX. ontiitions of Approval/Reasons for Dis royal - ~ ~ ~ , j ~~ '_ -n All ~~tt~_ C,eoac NB~cC~ Attach wmplete plans (to the County only) !br the systlr3 on paper not less than 8112 a Il inches In size -~~: ~- SBDy6398 (R 05(01) ,, r 1/ ~" J ~ ~ O t J ~"ro SCALE: 1"+~~.,,, -- 1 s~! t ~v~rtaN BM I DESCRtFTtaN Rr~ ~ ! : n ~ ~~ HM ~ EL~VA1'ION,;,~,., q S' '~ ,~~, , ~M ? DFSptil+rt'TON }n~ o ~ -. ~ ~ -.~i..~-~-~~ SYSTEM BL~VATlO~N q's-/ o AL'1'~RAIATE E1.EVA7i0R`I~.d~~..~".~---- CONTOUR F_].EVATION Q~ G ~ ~~ ~f ~°~~ ^7 ~ ~ w.~ ~ ~ ~~15 fro ~i,o,.~ ~4.b~ c.W~jo.a, 7 `~/S v`\~1\tt //roe' ~~r z.~-g~.. ~a~ ~zo Sk~4~ ~~ ~~ ~. yr.~isw~ t?~tJ-t7 - V V't7 ~~ ~~ ~A •~ ~-s~ '~' i ~ ~ U Cq4.~~ !a`~~ 2" !°~~ s~ non ` w` 'Q. " 1 9 ~ ~ ~scons~n 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 Brenda J. Blanchard, Secretary August 07, 2001 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/07/2003 ATfN.• POWTS Inspector ZONING OFFICE -. ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: David Hawkins - 70~' Avenue St. Croix County, Town of Hammond NW1/4, NE1/4, S21, T29N, R17W FOR: Description: Three Bedroom At-grade System Object Type: POWT System Regulated Object [D No.: 805432 Identification Numbers Transaction ID No. 664811 Site ID No. 633934 Please refer to both identification numbers, above, in all cones ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At-grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD-10570-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (8.6/99). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The owner must insure that the operation, maintenance and monitoring duties as described in section V((( of the at-grade manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. 5tats. 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 83.52(2), Wis. Adm. Code - 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 83.52(3), Wis. Adm. Code -The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the PO WTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. TODD L SINZ Page 2 8/7/01 • 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. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ` In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~ erard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim@commerce.state.wi. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: David Hawkins David Hawkins - At-grade System Transaction # 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: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6/99} Location: NW 1/4, NE 1/4, Sec. 21, T 29 N, R 17 W Town: Hammond County: St. Croix P O W .T's~ D t l 30 2001 J ll itiona y Cond a e: y , u ~~ D Owner: David Haw 'n R~ , ~. ~~ ~ NT DF ~DMMERC ING~ ? PART UILD DE Address: 955 Char e St. pl istoNO Hammo , WI 54015 E Ct~RRESPO ENCE SE Plumber: Tod Si z ~ Signature: License # M 9462 Attachments: 6748-Plan Approval Application SBD-8330 page l: cover 2: design criteria & calculations 3: plot plan 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve 8: system management RECEfvED ,1111 2 7 2001 & gLDGS DIV. SAFETY page 1 of 8 r • i . Design Criteria ~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate `~`S~ gallons/sq. ft. per day Depth to estimated high ground water ~~ 3 ~ in. Depth to bedrock ~ 5 ¢ in. Cross slope at system ~ •~~ Force main length ~ ~ ft. of Z• in. Manifold/header length ~~ ft. of - in. Drain-back Z -~ gallons Lateral length ~ @ S``1•o ft. of Z. in. Lateral elevation `~ ~' ~ ft. @ bottom of lateral Lateral hole size ~~~~° in. @ Z4• o in, ( Z- ° ft.) Spacing ~ `° holes lateral ~' ~' holes total Lateral volume ~ `t•Z~ gallons Total lateral discharge rate ~ S ~ V gallons/minute @ Z •~ ~ ft. head Network pressure compensation losses ~'~'S~ ft. Elevation difference ~`'-SS~ ft. Friction loss i ~ • 5 ft. @ gallons/minute Total dynamic head 1 ~ • 3 ft. Pump/si~aon ~ gpm @ Z Z ft. of head Manufacturer ~ ~ ~~` °^' Model # ~ ~ Z Dose volume `~• °~ gallons Lift/siphon tank ~ ~ ~-~~ ~w~ t ~ - ~''~ ~~ ~`'~' gallons Septic tank • ~ ~ ~ ~ ~~ gallons Effluent filter ~«~~ ~ -~~ Measurement pump on and off Height alarm from tank bottom Reserve capacity specs.calcs.res ~•~ in. ~ g' •~' in. `~ ~~ gallons Page Z of dCi WbQ ~7 ,N ~',~, t ~ ~ 0 ZJ b~v A~~ SCALE: 1"'" ~ ~ BM Z DESCRiPTI0ri1 na ~ l ,' n ~ ~, HM ~ ~LfrVATION~... q ~' '~ s~ Eldl 2 D1=SCR1'fy1'1dN.Y~R-. ~ I .~ ~~ a .~ D r ac SYSTEM ELEVA'I'f0itd q'' - ~ ~ AL"~SRAIATE E~,EV11'fION._~I..~ -~..--~- GQT3TpLlR F.LEYATfUN,_ ~I ~ G o ._,....._r.. _ r..~.- 1 /` ~'S a IZQ~ Y'OC~ kw' ` w./ fro ~l,s„~„ ~t4•te~c.~•'~o~.,. <q4.~~ i } ~. f; ~,a Z.~-8~.'• ~p~' -~,.~, - ~ ~• M-~ ~~ 1 ~~, ~ 1 V ~w~OM ~ .~~ N ~;,,K.~..~ ova 'b'' .~ ~.' ..~ ~~ 4Z., b~N ~' i -~'' : ~a° Q V v 0 d ~ 8~ ~ ~~ ~ 2•~ ~~vc s~ ~ll ~aQ' ~:a S~a~ ~O ;~ . ; .. 5' 5' ~')o.o~ 5~ 5~ \~•o' ~2t ~.5 ,. I I I~~L~ ~ ~ bsa,.,w~:~., O W e.l 1 ~ a ~-...: t/ „ b., 4 Observation We I I .~rrc~ S.o Z.'1! tt t O: ObbPr.ua~to~. w..~~~ G1 sc--~- ~ ~~1~,. Distribution Lateral .~-Soil Cover 12 ~~ ~~~~ ~%'~?~ ~~~2~~\ ~~ :~••. .. ,I'• ~•.• L ~ a..v Gt ¢. b xZ -- ~.s ~ ~ •~ V ~~~a~ ~~ ~~ ~~; Z, o' -~~ k: 2 ~ v ~ S o4. a-o ,, ~.~ ~..~ ._...~., -T~.9 ... 2 a I I Z, c I t•o' It.~' I 2.0~ I S 4.0~ z. o ~ \ 11~.c9 ~ ~6lM V-M, t ~~ dw it J1 q o ~ ~ ` l `- ~ Z~ ~ b ~ ° t '~-i O 1 \ ~ ~ Jam. CS~-wT ~ ~io~ o ~. \ : •..ti ~ ~.~ p,~ •.~, 1. (~. p 1 '1 \ ~v l ~ V 3~ ~~~~ ~ ~~~,~~ l,o ~~ Q.~ B ~ hoe. ~+-'~ ~ ~~ ~ o~ g ~~~ ~V~ S.Si, ~ ~ -~~Q N~:.,- ~. G- ~-~ ~ ~t4r•g 1 B-., 4k Pv~ ~~~,~ ~'~ 4m PIP6 3' n v NDISTuRB~Q SOIL. i~ r ~ A W itovL.D Sl(ET 3~1NTJ V Pt-G _ ,-wEC.TIONS C~e~, ~~-,s~ ~w. b'~ .. ~ > '4., n~T,-~p~j~ •l. 24" 2.'D. truwuo~ ... . ;.- ., _ A I ____~_ ~AF'FLE li a ~- "^ic 1~1~ ~ ,~Q 6~ ~`~`vol D 25 to . ~' SEPTIC r _SPEGIFI~CATIOAIS 005E 14 g .~.R/,..4, U TAIJr.S MA-JUFACTURCR: ~"~~~"y` ~~ T IJUMBER OF POSES: PEK OAS TA1JK SIZE ; ~ ~~ ' ~~ GALL01J5 DOSC VOLUME ALARIh I''lA-JUFACTURCR: S `~ ~~~ ~t~d IAJCLUOIAlG 6ACKFLOW: ~' ~ GA~C ONS MOOCL -JU/MlCR: • 1 ° I ~'} ``~ CAPACITIES: A= Z~'3 ~~'~ UJCHCS OH GA~LO~.S SWITCH TyPi: ~~`w` "fib g B= Z I-JC-+ES OR 2~• GA~C0+.:5 PUMP MA-JUFACTURCR: ~O~ C a b~~ wCnES OH ~9'o G~~~O-.S 7a MODEL 1JUMDCR; ~' ~'~ ~" `u •~ D ~ ~: HES OR ~Q ~ V _, QJ1I 1w.{, V y, J A ~ L J !J S~/~TCH TYPE; MOTE; PUMP A-JO ALARM ARC TO BL MIIJIMUM OISCMARCsC RATE 3`t•lO GSM INSTAELEO 0-J SEPARATE CIKC'..~T~ VERTICAL DIiFERCt,JCf DCTW[C1J PUMP OFf AUO pISTRI~UTIOAJ PIPE.. ~S"S_ FEET + M~uIMUM -UETWORK SUPPI.y PRftLURE .. ~•5~ } d,}S' ~ ._____ FEE T + ~~ FEET OF FORC[ MAIW X 3.3 FT,/ ~ -----~ /pp ~zFKICT101J FACTOR. O.~J FEET _ TOTAL. Dy1.JAMIC HEAP X1.3 ~ ~~ FEET I-JTERAJAL. DIMEIJSIOAJC '0/ TA1JK~ 1-E-~JC~TH \ ~_`„ 211 ~- Z ;WIDTH ~ LIgUI~ DEPT H ,•R ~~ L x ; + 1~ Q.+ ~ ; -WCKI-JG~COVER --~ ~t/A~N iivG ~C /~3E~ , Qv~cK D1«VLGT--~ 2 `~ ~02 ~1L • p'1n~H WEATNERPQOOF ~.T1,JNCT1aN ~c c{. I i~' i ~I 4" 40 .q i r - - - I a ~wc:.v s ...'ti j 40 1. A~ 3' o.rro 2" ON - u''`D~'rxc- G~uKo ~ ~ N 4~„ ocF Pw~tP ~„ Co^ru?E'T~ EscoCK }~ ~• H k.Al) (,/~P~C1TY CURVE MODEL 152/153 ,,, r ~+;~ w 50 17--~ 40 I i2 . .. L...... ..~ `~ 1 c > 30 .__..... .. ~ 8 U ~~ ~ 1U 0 4 lU 0 20 40 GO 80 1 Iii `.1 J°~u141~C H[A`.JCAF'A:;11'f 'r ~ R11N~TF' r-r .IrNr aNl; ::.•rJ.^,It:Knt; ~. Furl blrlcrx Gul. 7.iterG :~rl I~lc•~r I tl ~ I ti' 7.. s t ~ ~ ;;;', Iti 1.~i ~,3 I01 '~' ~~` r il. ~.1 •i4 il~? 5? 19i t r 'tor, Vofvc: 35.0 1'l. (' 1.6rn) r ^ t' I t '. I.i.~ :,,1 o+acot , s 7/3? 1,;~ ~., T LIItFl5 Q g0 160 24U 320 FLOW PER MINIITC CONSULT FACTORY FOR SPECIAL APPLICATIONS . Timed dosing panels avalable, • Electrical altema[ors, fot duplex systems, are available and supp4led wish an alarm. • Variable level control switches are available for controlling aingk phase systems. • Double piggyback variable level Aoat switches are avalaable for variable IovI long and short rycle controls, • Sealed Qwik-box available for outdoor Instaliafions. See FM14Z0, • Aver 130"F. (54°C.j special quotetbn required, 1521153 Series -_ ~itQOELa GA~ntrd aatactlon Modal Votb-Ph 1bda, m . 34 lax t)++Ala 1~ i 1 t5 5 IJan 6. . 1 . . 9 nr 3 BN152 115 , 1 ___ 8.5 ... Inoludad 2 of 3 E f 51 . ,_ 230 t Ngri d.1 1 7 w 7 -• aE152 230 1 Auto 4;~ Inck,dad 2a3 NU3 tab 1 Non _ _ 1 2or~ aN1SJ 115 ~~ ~1 Auw Inck,dod 7 or ~ E 153 230 1 .__.... Non 2 or 3 ~ ~ •- BE 153 . 230 1 Aulo 5: 2 or 3, I ed O CA All utst111+UOn 0} COnYOt3, R~+~~ ~'~+ +nd vArtny tinOUle Dt tlOne Oy E gtlprMM Nctnstd tiactrlclan. Alt abctrictl and ~tllly oodaa should ba followed inciudlny the most ncartt N:trontl Elrelrie Cods (NECt and lha Oeaupational tacky and Meakh Act (OSHA). rIr'I1 ~ 11~ ~ ~~ ,, _I I_., ' 1 ., , ~ ,~ r ~ -• ~~ !: ~rY SELECTION OUiDte RKJW~ 1. Sirt9le p'gQyback variyGta Wval IWet awlidt or doude pppybadc veriibk lat,vl flaal snvitctt. Refer to FM047T, 2. Ses fM0712 for correct model of Electrical Alternator E-?ak. 3, Variable level control switch 10-0Z25 used as a conbvi aoUvator, spocliy duplex (3) or t4) Aoa[ system, RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is anaineered Into the design of every Zoeller pump. t4UL Tt7: P, O. HOX 10717 ` Levutt7a, KY ~0256.173V7 SHIP T0: 304 Crrv Rwr Rrricl \~~/~/• . LoukvWa,KY 402r1.1a51 nlwa/www.:c.nr.com r°Y1/`1P !D: 15021 nu.?7yi • f (aay D2MUrAP FAX (50'1) 77(-38?d 10.6 h.3 1 Marnircfwcro of. , Q~autr Pinar S,vca /9~9 © Copyright 2000 Zoeller Co. NI rights reserved. ~ ~ g ~~ .r.. 6 'i 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 homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235- 2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 [nstall water-saving appNtances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. If 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, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. 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 residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hau ling 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 w ~ ~ cone SOIL ENAL.UATION REPORT `~ t)ivision aF Safety and Bum ~ ~ aooordanoe with Comm 86. Ulfis. Adm. Cade County pooh cmriplete site plan on paper not le>~ ltiain 81/2 x 11 ~ and Paroel LD. indude. htrt not i'nnited to: vertical and hotimri~t refererwe point (BM?, perrxrit sbpe, scs~ ar cgnlensians, north arrow 11 n and dlstanoe to nearest road ~, Please pri ,~` ~,~ ~ ~ > ~ ~ tp,i„acy ts~,. s. ,s.o4 c~) t~i)~ ~.,~ r Property Low Property prigier ,~ `'~' ~,~ i~ Govt. Lot ~/W 1 i4~1/ L 1/4 S prop~jr Owriei's Mai'~ng Address r ~ ~ ~ r ` S ~nt~ Lot # l3locic ~ subd. Name or Page _,(.__ot.~_ YZ3 ~ 1C Date T 7 q N R ~~ E (or) QV ~S C hc~r j~~- S ;' ^ ~ ^ ~~ ®Town Nearest Road Sfate Zp ~.~ ... f ~_ w` vNa p t~ ~~.. ~-ravhma~cSl i,/l ,~ U( ~. ~ IS) 7°F~-. "'Z,Y~~ j~ New Consfrudior+ flee: ® Residential / ~..- Cade derived design flow rate ~f So /~ o o GPD D went ^ Public or aominer+ael -Describe: ~~ !¢ _ R Parent material ~; / ( - Food Plain elevation if applicable Goorrvnerits Sy,s~try~. c,l c ~. QS• ~U and reoomrner>dations: ~ Lt, e/c ~, qy~ 6 0 ~ ~ D 3~ in. ^ ®Pit Ground sruface elmr. 95! I ~ ft. Depth to listing favor' -~--~- S~ - - Ra tiar¢on Depth t>ominant Colo Redox Description Texture Sttirdure C.orrsiMenoe Boundary Roots GPD/ft~ Gr. Sz 5h. 'Ef~1 'Etf#2 in. Murtseti Qu. ~ ~- Color p-1Z 0 3/ - S~'I Zrnab -fir C S V , S ~' Z„~uek w~ ~ G s - , y . ~ Z iz-3(o ~o ry -" 5~~./ .3 3G -S~ o r ~Z C Z . S r y~(o ~ S O 5 VY~ ( -" - S- O ~~ ~ Z - ~ elev. ~/ `7~C1 ft Depth to Nrrriting factor 3T_ in. ( # ®Pit Ground surface .~---- ~ ~, . Sure otr9~riae C Boundary Rows GPL~ liotizcri Depth in Dorri~nt Color MunseN Redox Descr~O[i Qu. Sz Coat Color Teidtue Gr. Sz Sh. . 'E#f#1 'E1f#2 . Z //'3 `~ /0 /~ r ' 3 Z?-S ID,~rrY/Z CZP 7S r G ~ OS l - -' .S ' Effluent ~ = CST Name (Please Prird) 30 c ~0 mglL and TSS >30 <_ 150 mgft. ' Eti>tient ~ ° CDs ~ ~ Signature Dais Evaluation i:ont 5_ZS--o and TSS _< ~ mg CST Number ~~ Telaptiorw ! ~~71 ~) 2.4 ~ property owner I-1 cz r,.~ k-,• ~` S ^i ~ Z ~ ~ Paroel tD # o # o ^ Pit Horizon Depth Dom t in. tNurraeN ~. ~. tZedox Deaaiption (hr. Sz. Cont. Cdor ~ 9 factor' 3 ~ in. to i far2or in. Texture I Struchxe Gr. Sz. S'h. 'Et~'i I . > < and TSS >30 <_ 150 mglt_ ` t~llrx~rrt ~ = 9DO5 ~ 30 mgA. and TSS <_ 30 m~ t #'1 = t30D~ 30 _ 220 rrrgll The Deparameait of Con+n+erce is an equal oppo~dmitY service P aad ce"~'a• If you need assistance to acxess services or Hoed rnabaial in as ai~a'mee fnrrtmt, Please coact ~ ~ at 608-266-3151 ar TTY 608-264-8777- 3orrto~door ^ P;t Cor~enae BorxdarY i2o~ GPDNI= Horizon Depth ftedoot TexNx~e Shucgrre in. tiAWteeii t2u. SZ. Cont. Cdor . Gr. Sz. Sh. 'Eif~1 'Ef~t2 ~- t I PAGE_~OF_~ NAME f~k, ,.,~ LOT# LEGAL DESCRIPTION,//u~'/4,at'/<,S 31TLa,N,R 1 ~-E (or)~}V scALE:I°°= y0' x BM I ELEVATION GG • O BM 1 DESCRIPTION /1 a ~ I ~' ~ 3o YYt a P (~ - + - BM 2 ELEVATION ~ S~ ~ ~ $ cG. 3 I ~ BM 2 DESCRIPTION ~o pTc~ ~ ~ Z I~_~ ~ P ~ SYSTEM ELEVATION ~(S. / O ALTERNATE ELEVATION itJ /~- CONTOUR ELEVATION 9~• Co 0 `ICJ ~- ~ ~ ~ ~ ~ $r,,, u o~ v .C v u ~av , t qa `' a "~ ~~ k~ C~ ~' ~"` ~jo ~ 4-3 ~/ I- Q -n Z d ~ cry otd ~cd V01~` - 7-d~ ST CROIX COIJiv'I'Y SEPTIC TANK MAIN'~'I'3NANCE AC~RBBMF3NT AND OWNBRSHIP CERTIFICATION FARM ASS Ca~.r~~ ~~ 5 vLailiag I s. ~ ~ o ~' ,,~e.- Aaaross far new ~? .-- (Verification flan Planniaog Dopartmeat ~~~~ ~~ ~ W ~ Parcel Ide~tiflcation Ntunbor n ~~„ y., ~ y., Soc. ~~ . T, ~ 11 .N-R ~ . ~ W, Town of _~~^_a ____ Lot # gubdivistoa Cert#tled Snrve3- Map # ~~~ ~-~ Volume -~ . Pao # Warranty Dced # _ - .Volume ---~ Page # - - Spot house D yos`~ no Lot Linos identifiable ~ Yes O no astrsa~d ms~aQaaceof your aeptia xysoem o~ nt~elt is its 'e iaiZe'ra ~° »a ~ a~f P'om~6 out 6~a a'°~+R~a t~ ava'Y dnea 3~s ac soa~cr- if ~a ~'y' a mod p~pec• W~St' p'ou P~ m~0 ~e sys~am ens af~bot the ~m~ct~on of the sapttc taair as s tcea-meeo~t stage ~ fire ~vas+te ~°~" 'j'am p~roQerty osmrac sgreos tD sew b St. C~ ?.onirr$ ~ a ~ ~°' by tha owner and by a p~nbe~3oaraaymsnp ~ttictedpiumbaraalica~odPS~(t} t4rea~das wasba~wabecdi~oaat s ~ Iia l caattition tmdl4c (~ sRmc imq~eeNoa amd puaap~8 (~ aooos~autYk ~ tank is less tl~aa 1/3 f~a11 of sludge. tom, ~ ~, bare rend the ttbo~re ~~ snd ~ gi maina~ia ~ i ° disposal sysa~at ~- ttar staa~dstds set iatb. la~ta, ss set by flta Depsttmastitaf Oomeaeroo.uat fire D oaf Nafmal RASOUroes, Ststa of 0 saes tln~t y~ septic system ms born: nraingsiaed mask be oc snd returned ~ ere st. Ct~c cauoty Zonias days af' the throe = ~ ~- 7~- DATE SIC$~IA O APPLICANT I (~) tlttt at1 Vii: on this form are true do tta best of my (ant)18°• I (~) ~' tom) th° ownex{s) of eho try virtue of a wanrsaty deed rooorded in Raglstier ~ Deeds t>~ca. ~~ d ~ APPLICANT DATE t rovoloodby tha Zoning Departmaa~ "•:.~• ••~•• • Any iafaayation chat is mis-~seetea may rt~sutt in ma sanihur3- pexmi 1~8 •+ Indndc wtth ttR[s appitestion: a stamped wsa~anty flood froa- tha R of Doody office a copy of the certified sarv~oy msp if t+afar+en~oe is mach is the warranty deed ~ ~; ~, oocun+EH~`rlo. STATE-BAR 0~ R+ISCgNSIN FORd( 3-i9ttf' 4Jsd3~ QUIT CLAIM DEED ;~ . c~ James H. Hawkins and Dolores A. Hawkins,"husband and ..wi Vie, ..ar-d..LoiY .'f.:..Hawkiris-'arid~MarIys-'M: ~~Hairititt~ ~ ............... ..fis6aiicl~-and-'wife .........................:...........:.................................... »rt-claim[ to ...J~s H. Hawkins and Dolores A. ~iawkiris;-' -~'"~' q ...... .................. husband and wife, holding as survivorship ~mar3£aY"~-""'""" .. .propertyr-_ 3. one-half ~ntere::t as tenants irl ~c~oiiinori;-arid .-Ihh.~~cxX..~x-.Fiav(k~ci~..arls~..M~>`:~,~s ~t,.Hawkilis~..tiusband::aiia::wife, .IYi~~~~t~~-s~~'~~srl'~c~al propertyr.. a_one-half...... the following described real estate to .......... St. Croix ...................................... County, State of Wisconsin: TMIe [LAG[ 71[lt11V[D 1011 IICCOIIDINO DATA ' REGISTER'S O~FIC;E ~T. CROIX GO., W1 ~d ~ R@tfl~ FEB 211330 ~ 11:15 A M a +- AtoMwo~Owdt AtTVAN 70 Tax Parcel No :.............................. The South Half of the Southwest Quarter (S'~ of SW's) of Section Thirty (30), Township Twenty-Nine North (T29N), Range Seventeen West (R17W), excepting carmencing at the Southwest corner thereof, thence Easton the South line of said Southwest Quarter (SW~) 316 feet; thence North 672.6 feet; thence East 185 feet; thence North to the North line of said South Half of the Southwest Quarter (S~ of SW~(); thence West on said North line 501 feet to the Northwest corner of said South Half of the Southwest Quarter (S~ of SW~); thence South on the West line of said South Half of the Southwest .Quarter (S~ of SWg) to the place of beginning. The West Half of the Northwest Quarter (W'~ of NWa) of Section Eight (8); the West Half of the Southeast Quarter (W~ of SE's) of Section 'itlirty (30);-.the West Half of the Northeast Quarter (W~ of NEB) of Section Thirty-One (31); the North ;calf of the Southwest Quarter {N~ of SW's); the Southwest Quarter of the Northwest (SW~ of NW4) and the South Half of the Northwest Quarter of the Northwest Quarter (S~ of NWT( of NW~) of Section~Thirty-Two (32); all in Township Twenty-Nine North (29N), kange Seventeen West (R17W). Tnia ..........is ............. (ia) (~q homestead property. Dated this - --.......~ ............... X .....James H. Hawkins. :._.Dolores..A... Hawkins AIITH$NTICATION ..... day of ...? *r1t:Pv~i.e!~, ............, 19.~.... ~j .........(SEAL) .... ~...,ll"'.f'.t'~2vt~vJ...........(SEAL) ......... Lory T. Hawkins ..... ......................................... qq~~~~ f( ~~,,.~~...~~ .............(SEAL) ......... (SEAL) ...... .~ ......1 !.!. ~...T~U.i]~Q.. ..._._..- Marl s, M. Hawkins ... .. ............. .. .. .......... e:, s,tnature(a> ..~..~.r N .~ - ---- ..~-~.:~s..~ :................... ~° authentic ed L 3a ~ ~ day ot..l~~ - `~ ' -...... 19.[.(x. ...- ,:r: TITLE: MEMBER STATF. BAR OF WISCONSIN ([f not . ................... .. ........ .:... authorized b ~ ~ ~ -"'-'-""-'-'--~ y ~ 706.06, Wis. Stat.•:)- THIS INSTRUMENT WA$ ORA FTEO BY Thanas A McCormack Baldwin, WI 54002 ..................................... (Signatures may be authenticated or ack rowledeed. F ACHNOWLBDOMSNT STATE OF WISCONSIN I ss. ter: cROZx r : j .........................~.:---.....County. Personally came before me this ~.~f`.-.-,-day of ~~~/~.....--•:e ................... 19......-. il;! ~I+oYg named James H. Hawk 1115' j I7010reS A. HdwklnS, .......................................................... ... _ to me known to be the person ...5..... - e ujed the -~• fore~oingL/n~rument an~acknowled~e ~ me,., • ~~* Notary Public . St. CroiX •~A ~ ~~:,' ' .................. ............ =~'.Cou ~•, Wis., ~fs• Commission i9 .,a...,n...,.,t . re __. _,.._ .. Description A parcel of land located in the Northwest quarter of the Northeast quarter of Section 31, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, de- scribed as follows: Commencing at the North quarter corner of Section 31; thence North 89 degrees 58 minutes 06 seconds East 517.44 feet along the North line of the Northeast quarter to the Point of Begin- . ping; thence continuing along said North line North 89 degrees 58 minutes 06 seconds East 284.77 feet; thence South 00 degrees 09 minutes 17 seconds East 444.09 feet; thence South 89 degrees 58 minutes 06 seconds West 303.76 feet; thence North 02 degrees 17 minutes 42 sec- onds East 444.46 feet to the Point of Beginning, containing 130,680 sgilare feet (3.000 acres) more or less, and being subject to all easements, restrictions and covenants of record. I, Harvey G. Johnson, registered Wisconsin Land Surveyor, hereby certify that under direc- tion of Dave and Linda Hawkins, purchasers, and Lory Hawkins, owner, I have surveyed and mapped the above described property; that such map is a true and correct representation of the exterior boundaries of the land surveyed, and that I have fully complied with the provisions of Section 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision Ordinance and the Town of Hammond Subdivision Ordinance to the best of my professional knowledge, under- standing and belief. ,NIt111gt~/~~~ .ti ~+ARY~ ~ ~ HARVEY G, ~ Harvey G. on 5-1899 ~ JOHNSON Johnson Surveying, Ina + Nub ~ON r ~ 216 Meadow Drive North ~ VVIS f •` Hudson, Wisconsin 54016-1128 ,,g~i~o No ~suR~~~ ~'~,,,` o~~Fl0111I/1',,~~ Each parcel shown on this map is subject to state, county and township laws, rules and regula- tions (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and appropriate town board for advice. . ~ E,52412 Y,ATHLEEN H. WALSH kEGISTEk OF DEEDS ST. CkOIX CO. WI kECEIVEO FOR RECdRD 07-30-2001 9:00 AM C ER T I~ I ED SURVEY M,4 P Located in the Northwest quarter of the Northeast quarter of Section 31, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. Owned by: James & Lory Hawkins, Etal. 655 Cty Rd "J" Roberts, Wi. 54023 NE Corner Section 31-29-17 UNPLATTED LANDS - (2 „ iron pipe -- __ _- - -- -_ ---- ----- __ _ ~ - - ----- - ---- -- - ----- ----- - - - found) . _ 70th m ` N 89'58'06"E 284.77 ' M AV _ E. _-~' ,-v - NB ~6~E "~ N1/4 Corner snaa' ° ~ NORTh' L!N NEl/4 ~'~ ~, n ~ g m !B3/.9/' Section 31-29-17 ---- (PK nail found). - - - N 89'38'06"E 288. l8' - -- ~; LD _ ~ _..._.. !00~. .SETBACK __.LJNf. _. ... ... --__ .. O Lot Area O~ Z' Q 'Q cn ~ ~L ~ ~ 130680 Sq.ft.(3.00 acres) -+~ ~ ~ Q O i Z~ including right-of-way. W W ~~ 121259 Sq.ft.(2.78 acres) m ^ m excluding right-of-way. ~ ~ °, sr+E O °. ~ .. ~i Irv .+ v , 01 ~ r,~g1N11p11~!!, ti i H ~~ ~ ~ p O i W ' Q $ ~ HC+F"~Y G. ~~~ j' Z fA a ~ • JCl~.;.;SON ~ • 2 _ -ii',^9 ~ JI Iti~:??iSCJ~I t • ~ fi ' J r l ! Q- • n ,O 1~ . ? A , . .~ , J ~ J~ ,~. ids! `~ ti'U , S I ,` i1~~~ 9!!j':3 9io S 89'58'06"W 303.76' UNPLATTED LANDS Legend St.Croix County section corner monument (as noted). • I "X24" Iron pipe weighing 1 .68 pounds ~ r ~ per Iin. foot set. ~ ~ `. c a Bearings referenced to the North line of the W ~~,~ o M- ~ Northeast quarter, assumed N 89~58'06"E. ~~a: ~ > o ~ SCALE /N FEET t°= t00~ - M p O. ~ [ J u ~O~ c o O /00 200 O Q y ~ "~ . ~ e ~ ~ ~ ~ s This instrument drafted by-~~ J ~~ ( 4012708 C~ Vo1.15 Page 4140 Description A parcel of land located in the Northwest quarter of the Northeast quarter of Section 31, Township 29 North, Range 17 West, Town of Hammond, St, Croix County, Wisconsin, de- scribed as follows: Commencing at the North quarter comer of Section 31; thence North 89 degrees 58 minutes 06 seconds East 517.44 feet along the North line of the Northeast quarter to the Point of Begin- ning; thence continuing along said North line North 89 degrees 58 minutes 06 seconds East 284.77 feet; thence South 00 degrees 09 minutes 17 seconds East 444.09 feet; thence South 89 degrees 58 minutes 06 seconds West 303.76 feet; thence North 02 degrees 17 minutes 42 sec- onds East 444.46 feet to the Point of Beginning, containing 130,680 square feet (3.000 acres) more or less, and being subject to all easements, restrictions and covenants of record. 1, Harvey G. Johnson, registered Wisconsin Land Surveyor, hereby certify that under direc- tion ofDave and Linda Hawkins, purchasers, and Lory Hawkins, owner, I have surveyed and mapped the above described property; that such map is a true and correct representatioq of the exterior boundaries of the land surveyed, and that I have fully complied with the provisions of Section 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision Ordinance and the Town of Hammond Subdivision Ordinance to the best of my professional knowledge, under- standing and belief. __K~p~~~~+,,_ ~r`'~~~, 5C DNS ~~~• d X} HARVEY G ~ Harvey G. on S-1899 ~ d~H~.'SON Johnson Surveying, Inc. Z ''''~~9 HUr:: SON 216 Meadow Drive North 4yis ,+ ~ Hudson, Wisconsin 54016-1128 ~+lr~<y ~~~,,..• ~pF`~~ ~ • , SUR~~~~~ ~~Ii ~ Each parcel shown on this map is subject to state, county and township laws, rules and regula- tions (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and appropriate town board for advice. ~~ Vol. l S Page 4140 ~~