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018-1069-50-000
\~~S ,o• Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safeiy and Building Division r ,, ,a ~ 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 B'erstedt, Mark Hammond, Town of CST BM Elev: r Insp. BM Elev: / BM Description: pp.o T' Pic. = cs~Q~~( TANK INFORMATION ELEVATION DATA TYPE MANUFACTURERS rnt /-~ 1r4.~-N~o oTwtb ~t~C-- t~C CAPACITY Septic (~..~ I E; S ETA. (Ov 0 f SAO Dosing C~,µ~ , .~ „ ~- Aeration ~__.------- --__ ,~b,,,,,,.~ ate- i Holding /s TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7 ~~ f 2~' 3 0/ Dosing ~ t t< << .. u ~ ~ T Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demand GPM c~ Model Number ~~ (SZ ~ ~~. H Lift >,o.~g Friction Lo .~~ System Head 3.2.s TDH Ft s-g~- Forcemain Length ~ Dia. tt Dist. to well ~ 30 81111 ~RS1~RP'~'I(1N SYSTEM "' St. Croix ary Permit No: 487974 0 Plan ID No: f~ ~ Z = TY.-4~uS . /A .~ :I Tax No: 018-1069-50-000 on/Town/Range/Map No: 31.29.17.478 STATION BS HI FS ELEV. Benchmark Alt. BM S ~ '~ el 6 t Bldg. Se a ~ (~ 43. e `f' St/Ht Inlet ~ (,Z.~'~U r q2. 9 SUHt Outlet Ut inlet Dt Bottom )lo •IS~ •Z~{ Header/Man. ~{-~ / (~O•~R Dist. Pipe .-~ - o ~Bp •$ R f t~ Bot. System j .;0 100.09 Fi I Grade Vj w ~ ~j~, m~C'l ,, t~ CSPtRr Q1 St over 3 ~ 0 ~~ I d) S, 3g o s' 39 ~ (~. ~ <~~ ,530 a~D X09 ~ ~%~ (~~ ~.go q8 S9 , BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I ~ ~ z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufgctur~ .~,/~ INFORMATION CHAMBER OR ~ GG l Type f System -l/.~ ,! ( (Jp ~ 1 ~~' ~_ UNIT Model N mObe (7 i DISTRIBUTION SYSTEM ~~~. ~ o O.A,~--/..-d~ o \ ._--~i t~ ono p~'cP~^"'~4J/~~ °1~` '~'°-Pei-~~~"~• ) Header/Manifold t ~ t Length" ,~ •Dia ~ Distribution / ~\\• , 4 Length ~~~•) Dia Z -0 Spacing x Hole Siz 3~ ~,y ole S acin ~/ a ZZ. 2 7 Vent to Air Intake 01111 C11VER ., o.e~~..re s..~•om~ nnt.. YY Mn~~nrl nr Ot.Grarie Systems Oniv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil ~~ Yes ~_] No (l Yes No , COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: DIIJ ~ I I Z~a~~ ' Inspection #2: Location: 1524 60th Avenue Roberts, W 154023 (SW 1/~ ~,W~ 31 29c~~ A Lot 1.) Alt BM Description = t { ~ -, 2.) Bldg sewer length = ~-~j c` gu ('~. _ ~ /'I~ - amount of cover = ? 5',pt e.=i~ '~`, ~ ~.. _q y.a,(~_ 5~ ('~'~( >~ ~~ ~^- ~ Plan revision Required? l Yes No i~ I S "gF.a,.,~a' U<~ ther sid Ion a' I i ~ U '"'-~-~--' Parcel No: 3 .29.17.478 ~ s~ s~ ~ U-" ~ ~~~~ .,e o ` ----- -at -~ ---~q --.:~vr,~pctor's Signature ~\ ~~~~j s~ I SBD-6710 (R /97) ~ ~!J `~ ~' S ` S ~"x ~.Or~ _, /1 _ .11~ fl , JP~ ~_I I~ Safe and Buildings Division County 201 W hington Ave. P.O. Box 7162 ~, Cep t x , t~~~n~~~ tson, WI 53707 - 7162 Sanitary Permit Number (to filled in by Co.) De artment of Commerce 8) 266-3151 p-1 ~ 7 T Sanitary Permit Ap i State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, rsona 'nf do ou rod} p ~ II '2-.O ;3py Z ma be used for seconda ur oses Privac to sl m) ~ ~ ~` ~ ~ P t Add if diff t th ili dd y p ry p y roje ress ( eren ng a ress} an trra I. Application Information -Please Print All Information ST. CROIX COUN ZONING OFFICE Q, Property Own;er's Naine Parcel # I.ot # ~r~q. B.Ieele-fi- ? r // AA 0.r,(~ 1J V t/r'S L~ctC C~I$ - 5 - SU •-000 ~~ Prope y Owner's Maili Address Property Location . ZZ q[.[pd is a l U `'~` ~~ . ~' ~ (nl ~~ 3 ~ S ti S ~ ~~ City, State Z.ip Code Phone Number ec on "• '~ 0Of'_/'( S (~l-~J .~~~-L~ ~~~7r/~c-.5 ~~ R~~cEorW~) T~N II. Type of Building (check all that apply) ; 1 or 2 Family Dwelling - Number of Bedrooms ~ ~°~~ C~ ' Z2 PubliclCommercial -Describe Use - Q-Ci1R~ • ^ State Owned -Describe Use ^City_^Village Township of k h1 /'Las d III. Type trf Permit: (Cheek only one box on line A. Complete line B if applicable) A' ^ New S tem ys Re lacement S stem p y ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System $• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 11'. T e of POWTS S s tem: Check all that a 1 - ,~ ^ Non -Pressurized In-Grouttd ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Crround ^ Holdittg Tank ^ Pe•at Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaVfreatment Area Information: 2 p Design Flow (gpd) Design Soil Application Rate(gpdsfj Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elev lion / ~~ 9 8, ~~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New t3xisting Tanks Tanks Septic o okling Tank C DD X00 t) , ~ ~ Aerobic Treahnent Unit Dosing Clamber 0 v s'o d ` ~~~ ~ VII. Responsibility Statement- I, the undersigned, assume re nsi ' ' for installation of the POWTS shown on the attached plans. Plumber's Name (Print} Plumber' ign re ~ ~ /MPRS Number Business Phone Number 'k- ~~ / _ /!'~f z2~D~/"~ ~~ 7135 - ~/.3Z Plumber's Address ( t, City, State, Zip e ~~~5 ` ~w ~~ ~a~o~u.~ , ~.-~-- s ~~.s i VIII. Coun 1De artment Use t Approved ^ Disa roved Sanitary Permit Fee eludes Groundwater Date Issued Is wing ent Signature (No Stamps) ^ O ven Reason ial Surcharge Fee) ~~'__ ~ VI ~ 7 ~^~ lw t IX. Conditions pproval 3 ~ I ~'$ f S ~ RE ~V ~'- `~ ~ ;. v • - SYSTEM OWNER: ~ nf 1 Septic tank, effluent filter and _. I oa ~f' t~ dispersal cell must all be serviced / malnt i 0 C T 1 2005 ~ as per management plan provided by plum 2. All setback requirements must be maintained SAFE BUIL NGS SAF a ~ s per applicable code/ordinances. comp~e[e p~aus t[o me county only) for [ne system on paper nut less than S1R x I I Inches in size r f f . SW,SW,31,29,17W Hammond township ~.a St. Croix county LEGEND Sate t""-40° except where indicate BM: 104.' Tap of'I~" pvs pipe HIVI; 100.10' top of/~" pvc pipe Upper system elev. 99.311' on contour 98.$0' Lower system elev. 98.70' on contour 98.20' Observation @ i2' all lot l,n2s > ; tl(}ft. from system area No Comm 83 prohlems ~- _.. ~ ~~ ~` t7 3 (.~l~i ~/ SITE FLAN * day of system installation, existing septic tank to be pumped and filled in *'` existing drain field to be abandon, within SOH. setback from well ~eS ~~ ~~~ ~1.:1 ~ ~ ~. V. r gin, ,~._ ~..` . ~_, '. + ~ ti "gyp _... ~ ,~ v~ - `-~-~ `.~ `~ ',~ ~' ~) u Y C/' i * #t4~xr li ~ ~~t}~„u ~~ ~~ . ! - -_ ~~ f ~~ ~~ ~ ~; .~ i ~.~ Project: BJERSTEDT ~,#~ page 6 of 8 E.:. ` • cbmilmerce~.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 October 20, 2005 CUST ID No. 225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/20/2007 SITE: Identification Numbers Transaction ID No. 1203042 Site ID No. 705971 Mark Bjerstedt Please refer to both'identificatonmsmbers, 1524 60TH Ave 'above; in all corres ondence with the a enc . Town of Hammond, St Croix County SWl/4, SW1/4, S31, T29N, R17W FOR: Description: Three Bedroom At-Grade System Object Type: POWTS Individual Site Design Regulated Object ID No.: 1046525 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System: At Grade; Biofilter 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, ('~ stats. y P~:* ~,: The following conditions shall be met during construction or installation and prior to occupancy or use: +~~ a.= aRr- Reminders ~ of • This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in cCC accordance with the approved plans and ch. Comm. 83, Wis. Adm. Code. SEE CO • The pressure distribution network is to be install in accordance with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81). • Special construction techniques are required for the installation of this two cell At-Grade component. Procedures included in the plan are to be followed so as to insure soil compaction does not result in the cell areas. • 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 Sec. 145.135 and 145.19, Wis. Stats. MICHAEL P ROGERS Page 2 10/20/2005 • 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 • Comm 83 22(71 A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence 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. Sincerely, ~~~~ ~~~ Charles L Bratz J POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 300.00 Fee Received $ 300.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Loretta Larrabee ,.,I, .i.d ",'(,i'~ .:',p:_(U isCl.9::.tr~.'t 1.;<llitl.r?~.~'E: ' y ~; z,-,~. .. - r 1 ~ bs'i i ,~. e~ir s4~€!+,iz~?.i>r;a71 f'.c3:i;;rst933 uF}illrlitiitti I~'ru,~~t irar+t~: plJAc~f'";~f ~~p',. i)wnc~~'s rdarsdt;~_ h~iar3. 13,~er~t~'~~~~: l ~:~vr't"st;6''S ii.s~[fT~:sti~' 1 ~"'~ f5;)m ;; e'' idut,~ti'tt, 1~~t. .4~lb~e.;~ 'L4'~,ill C~~51:r1}71Cait: tnNi~ CiLh, ~,'^ I. !'iE%i`v%1t #.fa'*, ,Z C7~JJYtSI'1t}:: f (:ia*,riaitra;'1 ?G~?6.11V5'•.>SYl d:2iCd14;; ;,.tdA. i_.aroT iltd:]1.4':;:r Ta.,~. !~~3Ti YY:1."6ti~C:tdM.l 11 n(~' >i.~ "1+ I -~,~'~"`x~ ~a~c ! ~ ±,tle ~a~~~ ~'~'£i~,8 :~,~, k,Ftt~r1 trlCl%T. ~ IMi L"rtl t'~:it~?$r1Y ''~2>,~, -~ t`rt!a~ 18t1r; in€s~r;~taYias; Pn~;~ ~~ ~uc,t~ irtor!r~lala-: ~':~~,~ b ,~.e ~:an r>:~,~ i<~ :tutaheei?~:tri }roladt. ~t1SL'~'illSWiiYt^.~ 1`+~7}' oaf S:7d~ T4'st!« S~1i~f ~5 }7!an llestfr;der~ :arett~,'>4Fike ~tt~~r5 ~ sic:,.se ttuntber; ~~%:.'z~?~}4 ~' ^t,r C~ate~ (;ac,~#. y`r,;;(-t~s {'h~~d~~ a~ i 1`Gci~^-~;('!4 ctr?i5 X34-! i:i, 1 a .~ / '~ <;igrr:~ttu~::_._. -v_._._..~[~'.".J lnt::rl~ct: ~.~if3,~n °ia~~r,.,~.<< iEl' ~. `"c. - ~r "' ~`r33 ~..L~- vrf (~~~~iti%C~ I7cs?~rtCd Ftuisua,rt to tl~ Ac-Uracle ti'vmgarrnt h~a,tt.,,l f:tr r'C~'~,"T~ Vrr~iccra 2A `yP~..l Uf~e11-p tl~ fii,'tl t t, anr! 3:~'v~'AdP §'ut;lictt[ion'1.b l9csi~it arof ~r>:sstst°~ d?st;'ibuCi::n netw~rrk^. fc:r 5`z-5:y`i {61 R 1:S RECE~; A 0 C T ~ ~ Zp05 SAFi~ -~ ~ . , OCT 18,2005 22:31 Loretta Larrabee 715-664-8184 GENERAL ll~I)~'ORMATION Residential site, throe bedroom home, 450ga1 DWF Soil application rate of 0.5 i,imiting factor at 36 inches SitC Brea 5°~4 1000/500 Wieser Concrete tank with Orenco FT-0822 filter effluent quality is #t upper contour sine 98.80', 99.30'systern elev. (invert of lateral) lower contour line 98.20', 98.70' system elev. (invert of lateral) end fed system, l laterals orifice dia. 3116" (0.188) upper bed orifice spacin$1.83fl. (22'~ lower God orifice spacing 2.Ott. (24") linear rate of 3.75sq.ft. END -LATERAL LAYOUT DIAGYL4M irUR UPPER 8t LOWER BED (not to scale) 1 lateral {il 60fl (P) upper bed - 33orifices per lateral lower bed - 30 orifices per lateral lateral dia. 2" in. upper bed - 21.7$gpm {ower bead - 21.90gpm =tote! 43.68 gpm force main dia. tin. 2.5 pressure {n ft., 0.66gpm per orifice r n ~ C'u.i e ++ ,~ ~-_OO ~.1. ,S nce~.~ ~"~' ' F n .' V~ ,~a~~~. r~Ea __ .0.~.3~ _ al ~4°' Sq~°~ 5 ~1.3~ ~r Page 2 ;. ~ 6<<.,.~ Nu~i' ~~~ .~..- ~~ `~ eR~D~.c~ ~y~ o~ ~o'kDna,~_ 0 PR07ECT: B.IERSTADT PAGE 2 of 8 PLAN VIEW OF UPPER & LOWER AT-GRADE (not to scale) ..~m_.,~.~.. _ r ~..~...._-____.__.._.,..~.~....~. 5a 1 ___~.~__._~_____.__ a _ _ ____ ._. ~~ _ _v_ 7 -----~-----~"_--~.~- ~t? I ( ~~ ~ zf ~~Fow _ ~~ ~~.43 E~~~ ~~~ s~~-~~~t ~f~,~~ i ~~ ~__ ~. ,,.....~.~ 4~..~.._„_ ~__ v._ F ~ ~ .-~:. ~;., ~ .~ ' urn r>. ~ ~. ~3 ~ ~ ~ .~-, CROSS SECTION OF AT-GRADE (not to scale} ~,. ~ e P ~. a ! ~:,~i ~ ~~ ~~~ ~ ~ y fi ~ ~ ~~ ~~~ ~` ~° ... ~ .r- t~rr.,. .w19~. ~.! .....y , S-5~ '~ ° ~ ~~~ ---~-~ I ~ 2,' ~ ~~ ~~a~~ ._ ____ o_ ___.._~. _ ,~,, ~-- ~. ,,~ ~~ ~~ ~ r`; ~ it ~ S ,~, ~ ~ /~ J ?~/ i , ,. ~, _ . ~yy,~r, y- -, _ _.. ~.,....~ ._~~~_r m._._..._? ~-- ~ _.__..~, ~ ~ 5 to.~e,~i °~rauP.r€. ~~l.~~° !a#~~a,1 °sna~A~¢ R`a,3p! PROJECT: BJERSTADT PAGE 3 of 8 OCT 18,2005 22:31 Loretta Larrabee 715-664-8184 Page 3 COMBINATION SEP7fC TANK/PUMP CHAMBER (No Scale) Approved Locking Manho]e Cover With Warning Label Attache d Weatherproof Warning i abe1--~--~---~ Junction Box I ~ 4~-c~ , Final 18" Minimum ~. . ~u Approved Ygr]t Gap 12" Minimum 4" Minimum Quick M Disconnect 1/a" Weep . Hole Baffle r ~ypproved Joy nt w/y"s.A4~ Ptip~ Extending 3' Onto Solid Soil F1ev _ A Alarm ~ On ~ ~ ~ C Of f d" ~, Approved Joint w/~" sc~O flpt Extending ~' Onto Solid Soi Canc. Stock 3" of Bedding Under Tank-/' S o ~~ Not®: Pump and Alarm Ara Dn Separate Circuits q q, 8p Tank Manufacturer: U~. Ib Tank Size-Septic/Pump: -oo0 500 ~ a ons al P~ Q. $~} Alarm Manufacturer:, ~ tc.b. 9 / "•' Ca acities: A inches or oSO Gallons Model Number: s 1 p -~-. -~--`-~ Switch Type: ~ -m.o~L+amfra~ _ _ + g ~_~nches or ~9, Gallons Pum Manufacturer: ~. + C~1! _~nches or o l Gallons Model Number: ~ 9S + D S inches or~7~~llons Minimum Discharge ate :~~~3. 68 Total ... - , `~i ncries or cl . $ Ga11 ons Vertical Difference, Between Pump Off and Distribution Pipe:~Fept Minimum Required Supply Pressure:.. ~:~.:~`. ~:~• . - • • • •f 3.75 Feet 5b Feet of Forte Minn x ~•il .Friction Factor/100~Feet: +2.~o~eet 2 Inch Diameter Force Main ~~~ Total Dynamic Nead:...= Feet PR0.7~GT: ~~S~L7T image 4 of $ ,~f/.4LFT1' /-Uri~dRS ~NCE ~~~it E~radUe9 inPorrna3ron - __" ~resea~ted here r~ireeEs , e~~a~datnsa~s at 4ir~e ©~ ~ ~' ~~~;r~~t~o~ e~~~~~~ r~~~~r~ F - ~ r~ardtre,g d~s~repasre~es a~ ~`~' ~ a~~,p~srs4enerea ~~' http:~/wwkv.zoetfe~.COtn ~, ~ f f \ if ~ \ E ~' ~ ~, PL//IiI~° f`L7. ° FD; P.Q. ~X fo3~i Lou~svrtle. KY »~t256-0347 SHtP FE3. 3649 Carne R~aa Road • tou~svitte. KY 402+?-?961 (5E~2~ 7~7~-273t • f i8fA~J 92&-PF~MP • FAX E502j 774-3624 y COMPARE THESE FEATURES • Nan-clogging engineered plastic vortex impeller design. • Curable Est construction. Cast switch case, motor and pump housing and base. Na sheet metal parts to rust or corrode. • Castings -All cast iron class 25-30 25000# tensile strength. • Bearings -tapper & lower ail fed east iron, • Stainless steel screws, guard„ handle and arm and seal assembly. ° Float operated submersikale (NE~MA 6) 2 pale mechanical switch. ° Oil filled motor-hermeticati}~ sea.ied. • Permanent split capacitor motor • Entire unit pressure tested after assembly. • Automatic reset thermal overload protection. ° Carbon and ceramic shaft seal. • 11~latertight neoprene "Ca" ring between motor and pump hauling. • Maximum temperature for effluent or dewatenng 130° F. - 5,4° C. • 60 cycles, 172'5 RPM. • Passes f~ inch solids ~sphere~~. • No screens to clog. • Standard cord length 15' (taL listed}. • 15/x" NPT Clischarge ~ 1'/z"` ~C 2" PAC Adapter included with BN ~ BE Models. • On point - 9'/z' • Off point - 3.". • Major width - 10 "/~". • Height - 12"' SIMPLEX AND DUPLEX SYSTEMS AVAILABLE PACKAGED SYSTEMS AVAILABLE N©te: the six~rxg cat eflluzent s~ste~~ls ncrbttali~ rectuires Variable ie~el fi~i(s) car~trals and' ~roperiy sized t~asiris to aetaieue re4~uired rrtarr~t~ina r:v~l~s .. ~~o~~C I o ~ ~ 12S ~' b i SECTlQi~t: 2.20.Q35 FM0973 ut98 Sul~ersetfes E~17 ~ 98 Cast fron Series°~'~ FL®W-MATE (FOR PUMP PREFtX tQENTlFfCATiQN SEE NEWS & VIEWS 0052) FOR SEPTIC TANK LUW PRESSURE PIPE (LPP) AND ENHANCED FLOW STEP SYSTEMS EFFLUENT ~} S~ OR DEWATERING PUMP ~ SUBMERSIBLE 1'/Z" NPT DISCFfARGE MOC . ~ • k/ . p 4 ~l~GE 5 0~ 8 FLOW PER fAIh14YAE MOREL 9~ 60 C~CtE EeeQ G®I~ons Meters U,iters s ~ i s ~a~ ' tq &/ 3.1 ?11 1°~ ax 4,6 tP0 20 P5 &.A 9`~ lock Voke_ 23' 009977 J ti.l ~~ ~ ~~ ~& CONSULT FACTORY FO EI®ctrical alternators, for duplex systems„ era available artd supplied with art alarm. I+eterhanical attemators, for duplex systems, era available with ~ without alarm switches. Standard all modPlc - WPinht ~U the _ ~/ H D S~fA902 R SPECIAL APPLICATIONS • 1Jariable lav$J float switches era available f9r oi~n~Ning sirx,~le and three phase systerrts, • l3ouble piggyback variable level float switches era available irar variable level Irartg Ia controls. 98 3ariss C®art~l M®et~l volts-fah M®ds tex ~ AA98 115 1 Auto 9,4 1 or 1 8 7 - 115 1 Mon 9.~ 2ar28S 3or4$5 D~8 230 1 Auto a.7 1 a~ b 8< 7 - E~ 230 1 IJoar 4.7 2 ~r 2 8 S 3 or 4 8 S CAUTION rrorirdomml~nanad~Nat>elZoe~kerpradudsreierta>~PikVEitvei$Nytz~s, All installation of controls, protection devices and wiring should be done by a qualified FAtD477;Eler~lA~artaaata,FMp186;lNApematoGFf~19$;t$uugaf$ayvggeBasir>S,EMp4g7; licensed electrician. All electrical and safety codes should be followed including the most Srgle i~s5ii~PtxrQs;otltrsDl, FMt~6;AlarrnSysterra, Fld~1732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safely factor is engineered `lnto the design of every ~creller pump. ittAt~ re; P..o. i~tX 1634P -- >~ ~r r r-rsaa ~a~:er«,,.>w.~r~wr.~on /®~~P l~ ts~ 7a~-z~a • r ~ ~ .,~ ,~ Fr~ctso~na ~, SITE PLA}l~i SW,SW,31,29,17W Hammond. townshita St. Crosx county . LEGEND Sale I ~"° - ~#0' except. where indicate ~?~: 1UtJ,' Top of 3/~" pvc pipe BM: 1 UO.Ii?' trap of ?~~" pvc pipe Upper system elev, 99,3U' on contour 98.8U' Lower system elev. 98.7Q' an contour 98.24' Observation ~ t2' all lot 1'et'1?S f i v~~. from system area No Comm. 83 problems * day of system installation, existing septic tank to be pumped and filled in * * existing drain field. to be abandon, within 508. setback from. well c ~ ~ ~ X . w ~~ ~ ~ ~ ~ ~. ~ ~ ~. ~_ -rte - - `'- ~ .'~ _' . ~~ ~ -_ ~ .~ . `--~.. .~ ~ .,.~ .,~ ~ ~ ~~ -~ d~ '~ `' i' ' 7 _... ~ L..~~ ~~ ~~ r ~ ~ ( ee tt .ry ~ ., .. ' ~- ti (r'',~~ -. ~ 1 i i f r _. i -~GG-.i-ta. ! Project: BJERSTEI}T page 6 of 8 `~~rs~ ~u~ ~grGVSt~~r`'w ~,E~~'t~ _`~ f ~Sl1lfl`1~C3~_~,m..~,7~c.. __~ #~;~~tt~ ~(y~ ~& 5 _ti ~~,~~ >.w,_ _. _ _. r 4~~. CQtx~1~_~tA _ ~''t1Cal~~~?!.:G.~ 6-.~-. ~._.'~fAiSO :~r~~ ~lavr ~~sr! 9~aael,_f~ar~~rr~~tcr jj }}i n ( ~.j.._1_-._~_y.., L. l c~ ~ .'f ~f:..~~M t ~t ~... ~~f'd 1~~~''''"'{.i r-~V p, ,~} ~i V e t't [ i"Fs^~ { t~ p ~_] ^! t l~ ~ { ~ p ~'4 ~ IY?s.R,r+.S Ft~k11t"r #~~31.{:F~ . f ; ;4 F~u.r \Ea~i$Y *.. 8 f ~ ~r _~~...~~.#.{_j.~ ~! { . 7 ~ry~ 1 f ff ~! bb ~~ ((. pp^^' ry ~J~~I~'4c~A~~d f'l~ 6'4vF?' 1831 ~VQ " ~ ~ { ( ' ~ p ~ ~ }( ~ ( y +'~F".a CY{R~rY.arrlf.bf~ Y.7 ~l kt~ .~.»_.. )/ ' ~ ~£L.d r~~l~ e~1at; l ar~k ~~~~ ,°s~ it~~ 4,,?4.~E9 ,.~)SCJf~~E~rt ~c'~ri~r~f~rle :, -~' ~ Z t~ Q ~~t( ~~~i~'ia~~ T~~` ~°"~ ~l ` ~ ~ ~ ,...,,_.,........ _ 4~{3 ~ rnglL ` t art hililr3 ~ .~ ~} CT~f~fL ~y~ a~ ~ ,las~ewater £~csrnesgic~ _._ _._..~. ~~lexis`rrr~rr7 ~<'c:~! ~~?lif~*rcx~~ t _ ~'1t~~4 ._...._.~ _ ~ .. cfuflQJ .~~!_ sic rer,~z~~cs F'~~ Mfr, ,3~, ' ~~ ~-4~ ~res;~f,~r~~ <~~, u~.. ~ ~' ` ~i~F ~r$se~:t rtril~ar ~~~ :c~ c~~ every ~~_~~.°~ ___ T..~.m_ l~r~~an clew T past ar~ce ever ~ e~~r _.~.._ . .~.m_._ e ti ~ ~ Y F~€~s~ ~~~~ ever .~ emirs _.,a.~... _~._. .._.... .___- ~,.~.~..~_._.._ _~.,._...a...~.., _. hc~~l fes# rns~r~th! A~aferais sl~rr~4.~ld el~a~hes~ ar~d~ssre tes~e~ eve._ _1.~~ ears !; s~~ fer~ac~l±~t~anc~ see ~c a canes eve 3 ears stia!! ~t~lter shec~lc~ ~ cl~teclce~# ear! tt~ c~e~errx-lrtc~ elearain ~~c~~ A~l~ce#ler~e~a~ ~~snatriactder~ arz~# iNdai~srs`af~ ~~~~arr#~ t. ~t~s~rvalier~ ~:>i~a a~°e sl~kla~ ~~ rr~aterie4s r~~fcar~ 8c~ gale Cc~rT"s3Ti ~.:~~~-1, have a walertiyht eat, ar~d are se~,urec~ in as shawr~ in the at-~rad~ rarrt~Car~nt anual. ~. L~srs~s3 t~e!! a~re~;«~e earafa~s t~, f;~ara~rr~ ~4.;3~3 (}~l~, Wls. ~~rr~. i;`,;crc~a. ~. ~6! gravity ar~c~ t'esr.ar~ ~d~if~ rrzaieri,a! r ~a^fc~c t~s e r~slre€~er~ts irs ~c~rr~rr f~, ~Vis. ~ldca~. t~oeie. 4. s i!la~e psi i` : ~ lases! area is ac~:arr~~lishec! ~vit~a a ;~~aod ,~r ~s~° else! flaw. ~. at•-~7., ..x~f~rre arzc~ s~tP~er ~sst~res areas €!! t: seep! ar~cf ~~~l! tc larevestt sc'ssl erc~s?~n ar~ci fae,~ ,: ~~c~; frost brae€ra~ter~. . =areas ~vltl ,:~ 1 l'eec a~ tl~e r3aslc~ t vii!! rateate trara~t earr~at~ic~n. ~'. ~&! c±tl~*r ra~~st~.ag~tir,:n €~fasl~; are as der the afr€~~.3+~ earea er~t rx°aar~ual ~E~U-~ ~~4.~_~: (~. 6l~3) l~atera! ~'asr€~~ 6~e~alf a~ a a° a e w s e ~' ° e m..emwva. a a s o s 0~ a w o gi: o s ~M.waaE 0.®d~w+4m~alV Bm~d..YJ..o-refa.. ~l (rJ . e _ `1+14../ _ l~€:~krit~i~~~~r~ / ~y... t~tre~ac~~~d Cl~artc;;~t ~-°?~:~;~ ar Eta?i',~alve ~`!&: l~~L~r~'t£3 L79-~f?CAS 6"a~f?1€? .~ At-grade System Management ~'1an Pursuant to Catnrrt 83.54, 1Mas. Adm. Dade r~rt~f~l Ttais sys~trsna say be aperated in accardance with C;amm #2-8~ vYis Adm. Cade, and shay maintained in ~tccardanre ils' campanent manual (SEit3-tt)57CJ_p (~. D6I99} and S5tA1f~fA €~ssb. g.t; (Oil~t}j and local ar state rr.tlsax pertairHng to system maintenance acrd mainrtenance ret?txr'.is;g. h#a arse shauid ever enter a septic ar pump tank sirtc:e dangerous gases may tR~ pr+~sent treat a~wrld cause death. Septic artd pump tank ataartdanmsnt shall be in accardar?ce wits: Cantor &3.33, v1r`is Adm. Cade wtsen lire tanks are no ianger used as pC~~TS eomponenfs. Septic ar pump tank manhole risers. access risers and covers should be insperted tar water tightness and saundness, Access. openings used for serice and assessment stsatC be sated watertrg€st upon tlte: cortspletion at service.. Arty opening deemed unsotmd, defective, or sutaiect to tailsrre m<tst be replaced. Exposed access apenings greater risen 8-inches irk diameter sfaay lee sery,rred ray an Affective Cocking device to prevent accidental ar unasathcsrt'zed entry into a tank ar sarnPonent. Se~t7c ,Tank 7r~e set>tic tank shah bA maintained try an iruiividual certiCAd to service septic tanks ursder s. 2~t.d3, Sta+,,~. 7'Ite Ca;Rertts of the S,epttC #ank si;asl be disposed of in aca;ordance witty N~ 113, V4(rs. Adm. Code. The operating randitson of the septi:; tank and sorrel fetter shad be assessed at ~=past ante every 3 years by irxspecrion. The ~xrtlet filter shall lac leaned as necer,.sary to ensure proper operatinn The filter cartridge sha,:ld net tsA removed unless provisions are n}ade to retain sands ka the tank that may slough of€ rite fitter when removed tram its encioserre. tf tyre fatter is eganpPed veittr art alarm, the fiber shay ire serviced if the alarm is activated continuously. Intermitterst fslter stators may indicate surge Rows or an impending cosrtitxlous alarm. ThA septic tank shay have its contents removed when dire vo~me of sludge and scvm ire Rte tank exceeds 1 /3 rise 6gtrid volume of rise tank. Ct the cortterrts of #re tank are net removed at the time of a frierxtial assessment, maintenance pet`sonnel shay advise the esaerser of when the next service rseexds to lac performed fo rnagttairs Tess ttsan maximum scum and stodge accumt~tatiars in the tank.. The adr~tticirr of biological or micat addRives to er~sance septic tank performance is generally trot reganso-ed. However, if such prodrrc:LS are :tsed tftey sCk~y be approved for septic tank use by Stye i7epar#merrt of Commerce. Purrep Tank Tire pump dosing) tank shay be ktspcctsd at least once every 3 years. Ail switches, afarrns, and pumps shay be tested to verify proper caper~tson. I€ an efflucrrt filter is installed withirs the tank R stsaG be inspected and serviced as necessary. At~rar#e arsd Pressure DisWbutiors SsrCt;°m No trees or s#ut~ts stroaald be piarrted ort ttre at~rade. P~la seeded and muk~tect as rstings may tae made arourxt the at-~~ade's perimeter, and the at-grade shah be ry to Prevent crosiers arsd to provide some protection from frost Pcrsetration. Traffic (other than for vegetative r»aistenarsec} on the at~ade ks trot recommend ~ cornPactiors may trier aeration of the irsfdtrative surface veittsirs tree motxrd and sna*hr rxsmPact~rs itt the des wad Promote frost penetration. Cold weather irrstattaatiorss gUctoterr-Fefiansanl) dsctate t#~t ttwe at-grade be tseavs'iy mulched as Pr fresrrs tr g- tnfitrerrt q+safttytsto the at-grade syystem may not exceed ~1Q mgA„ gpi~5 t54 mgJ4. TSS, and 3t} mg/L Fc.~G for septic tank ef#fuerd or 30 mgt! i~t3f35.3t1 mgJL TSS, t tF mgt FtJG, and i Ct` ciit/t t>(1 mt. for highly treated effkrerst. influerst flow may not exceed maximum design flow specified in the permit for irntattation. pre~stx-e system is provided witfs a ~ Paairrt at the end of each laferat, and k is recommended that each lateral lac tkrsltcd of accumulated st~Gds at least once every 1 a morsttss. tr'Ufsen a pre~ssae test is pey-formed g stt~ould be compared to lire initial test often system was instatlert to dAtermirse if orifice c:taggptg has oca.xred and r¢ orifice dearungl is rec~xred to mairsta'srs equal distributian wittsars rises persai cey. Obscervafion poses within tine dispersal aey stray tae ricked for ctits.tent ponding, Porsd'sng levers shaft be reported to the owner, and any levers above # ksc#aes cotasidered as an impending hyds-aukr, faikare realuirurg additianai, more frerluent monitoring. Corttittq------e~y_ f'~?~ Ct thA septic tank oa` any of i4s components became defective tfse tank or com ~yatem kt prtsper operating corsrfitiarr. ponent stray be repaired ar replaced to keep the if the tank, Putttp, Pump controls, alarm or related wirirsg taet;omes defective the defective components} shay be inmmediately repaired >r replaced vents a oomporserst of same or equal Performance. Cf the at•~`arte cvmporrcrst fads to accept wastewater or begiats to rSsscharge wastewater tars #tse groteart surface, k w~ be r s its' pr kacatian by irsrxeasing beset area if toe leakage aecrx^s or by renovating trse b" cpaaed or rcPiaced astatyng new piping, and repiar~tg sitter components as deemed necessary to txti,g gscapy r~otf 9ed absorptia7 and disParsat mecka, `}e system kris !XC#~ operating cortriitiran. See Page'`l a€ this plan €or tite name anti te~.phorve rsurvatzer ref your kacai c>C~,n S regutatcar and service pravider. Mark Bjerstedt Construction Mttnxgemcnt of At-Grade trans id. 1203042 I .} Lower At-(,rade Bed to he constncGted first. Plowed, F-% Flow and lateral in4tallal from the upper side of system 2.} Upper At-Grade Bed to be eottstructed second. Plowed. Ir-L Flow and lateral installed from the uppr,-t side of system 3.} Tup soil to be pushed on with enough depth of cover under tracks of machine, nut to damage nor move (J-Z Flow 4.) "1'hc ,5ft. void area between beds to be filled with top sail. Void area t~ be of Cnish grttcic of-that of the bed area, not to trap rain tall run-otT"". C`.onstructing the upper bed second, compaction that may occtcr wig l be broke up by plowing; oi. the system. Cancavc site Proposed bed area, i200sq.ft, exceeds the required t 125sq.ft. Compensate for the lower area of system bein~* concave. Z' #17ss /$,~~p/~$j/~ SOIL EVALUATION REPORT Department of Commerce in accordance w'_^~~ s5, Wis. Adm. Code Page i of 3 Division of Safety and Buildings ~- Steel's Soil Service, Inc. C ^ Boring # ~ ® Ground surface elev. 99.10 fl. Depth to limiting factor 47 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/flz in. Munself Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •E(f#2 1 0-8 10yr3/1 none sil 2msbk mfr cs 1c .6 .8 2 8-23 10yr4/4 none sicl 2msbk mfr gw 2f .4 .6 3 23-36 10yr4/6 none sl 2msbk mfr cs na .6 1.0 4 36-47 10yr4/6 none Is osg ml a na .7 1.6 5 47-53 10yr4/6 fid 7.5yr5/6 cl om mfi cs na .0 .0 6 53-72 10yr7/6 c2d 7.5yr5/6 andstonr residuum mvFr na na .0 .0 Boring # ~ Ground surface elev. 98.80 ft. De th to limitin factor 36 in. ® P 9 Soil Application Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'EffAf2 1 0-10 10yt3/1 none sil 2msbk mfr cs ivf .6 .8 2 10-36 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 36-42 10yr7/6 fid 7.5yr5/6 Is osg mvFr gw na .7 1.6 4 42-65 10yr8/2 c2d 7.5yr5/6 ~andstorn residuum mvfr na na .0 .0 "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L "Effluent #2 = BODS <_30 mg/L antl T55 <_3U mglL CST Name (Please Prin Si CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephorie Number 994 200th St. Baldwin, WI 54002 8/20/2005 715-760-0347 " '~ ~ m County ust Attach complete site plan on paper not less than 8%z x 11 inches in size. a ' St. CroiX o indude, but not limited to: vertical and horizontal reference point (BM), dire Parcel I D ad. percent slope, scale or dimensions, north arrow, and location and distance to e . . 18-1069-50-000 _ Please prin O Personal information you provide may be u for ~pr~si~ivacy , s. 15.04 (1) ( )). Re revved Date ~ 7 05~ Property Owner roperty Location Bjerstedt, Mark '~ ~~ 4° ~i ~ ') ~ ovt. Lot na SW1/4, SW1/4, S31, T29N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1524 60th Ave. ST. CROIX COUN na na 41 Acres City State NI~Koi6~Alifdrber ~ City ~ Village ®Town Nearest Road Roberts WI 54023 715-796-5547 Hammond 60Th Ave. w Construction Use: ®Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Replacement ~ ~ ^ Public orcommercial -Describe: na a ,Sandstone uplands Flood plain elevation, if applicable n a ft. General comments At Grade Design, Two Cell 10x45ft system elevations 99.80ft and 99.208 based on contour line elevations and recommendations: 98.80ft and 98.20ft. n ~L J~~ °~V~~Z{/?~c~.~ - 7ro ~ ~ ~~s~iZ..~ ssn..s~so rRO~rooi Property owner Bjerstedt, Mark Parcel ID # 018-1069-50-000 Page 2 of 3 Boring # ~ Ground surface elev. 97.50 ff. Depth to limiting factor 38 in. ® Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ffZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eft#t *Eft#2 1 0-8 10yr3/i none sil 2msbk mfr cs ivf .6 .8 2 8-38 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 38-57 10yr7/6 fid 7.5yr5/6 Is osg mvfr gw na .7 1.6 4 57-65 10yr8/2 c2d 7.5yr5/6 andstort residuum mvfr na na .0 .0 Boring # ~ Ground surface elev. ff. Depth to limiting factor in. Soil Applkxrtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHt~ in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 t~~ ~a ,r • ~; 1 ~ ~ ~ ,~~; ~ ~ ~ /°M- V ~ ^ B ring # ~ Ground surface elev. ff. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sa. Cont. Color Gr. Sz. Sh. *Eff#1 *Efr#2 o~/ . 1 ~ 2ct~ S .ems ~ e c~~ awe. a.. d o ~C~ • Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 ~ 150 mg/L ..--- * Effluent #2 = BODS <_ 30 mg/L and TS <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 60$-266-3151 or TTY 608-264-8777. SBD-8330 (8.07/001 ~•5 ~ • ~• STEEL'S SOIL SERVICE INC. David J. Steel CST-POWTSM Lic. #248956 Mark Bjerstedt S W l /4,S W l /4,S31,T29N,R 17 W Town of Hammoad, St Croix Co. 41 Acres ~~ ~- ,~ v5' t ~ ~e 3of3 994 200' St. Baldwin., WI 54002 Direct 715-760-0347 Fax 715-684-3449 Legend 1" = 40' • =Benchmark Ele. 1 Top of 314" pvc pipe • = Ah Benchmark Ele. 1 Top of 3/4" pvc pipe d =Borings Boring Elevations B1= 99.lOft B2 = 98.80 ft B3 = 97.50 ft N 00.00 ft I 00.10 ft i~Z~f- ~en~c ~,;,~..~ POWTS OWNER'S MANUAL MANAGEMENT PLAN r~ILh INIFORMATION ~~t}~mer / ,tZr- L der°trtit # 9 DESIGN PARAMETERS Number of Bedrooms 100gpd/bedroom ^ NA !Number of Commercial Units NA Estimated flow (average)* gaUday Design flow. {peak), estimated x 1.5* gaUday Soil Application Rate p ,~O gaUday ~ Influent/Effluent Quality (NA^) Monthly Average** ! Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids {TSS) ~ 220 mg/L 5 250 mg/L 'retreated Effluent Quality ^ Monthly Average*** ~ Biochemical Oxygen Demand (BODs) < 30 mg/L i Total Suspended Solids (TSS) Fecal Coliform (geometric mean) _<10 cfWl Oml Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) * * Values typical for domestic (non-commercial wastewater F ~uYd septic tank effluent. ~ * * * Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer -z „~ ^ NA Effluent Filter Model _ rya ^ NA Pump Tank Capacity ~ gal ^ NA Pump Tank Manufacturer u,, ~~ ^ NA Pump Manufacturer G1,lL ^ NA Pump Model Z ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ~t-grade D Mound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer _ Model Approval Stipulation Soil Application Rate_____gpd/ftzArea Req. ft Absorption Area Credit per unit ft2 Minimum Number of Chambers ^ Aggregate Design Flow/Loading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) CI "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 p "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -10570-P (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" L~ SBD - 10572-P {R.6f99) "Mound Component Manual" ^ SBD - 10691 P {N.O1/O1) "Mound Component Manual" Version 2.0 ^ SBD - 1O5y5-P (R.6/y9) "Single Pass Saud Filter Component Manual" ^ SBD - 10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -10573-P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.OI/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units iVIAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every D months ear s () (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge an scum equals one-third (1/3) of tank volume Inspect. dispersal cell(s) At least once every ^ months az(s} (Maximum 3 yrs.) Clean affluent filter At least once every ~ ^ months eaz(s) Inspect pump, pump controls & alarm At least once every ~ ^ months ear(s) p NA Flush laterals and pressure test At least once every ^ months ear(s) ^ NA Valves At least once every ^ months ^ year(s) NA Other: At least once every ^ months p year(s) NA Page of S"I'A12T lJp Igor 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 trea'tmet~t process andlor damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions 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/fiuit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. lviaintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ~ Valves Valves shall be operated in the following manner: -ms Alarms should be tested on a regulaz basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, -There is normally a 1 day7eserve underregulaz operating conditions, however water should be conserved un#il any problems with the system aze corrected to prevent back-up of sewage into the dwelling or surfacing. 1NPECTIONS 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). C~ Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (iii) 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 maybe necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. dump Chamber/Tr~atment'I'unks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken caze 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 dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of ~ound, At-Glade; In-iGround Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection- for any evidence of surface seepage or dischazge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After puaipzng, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement 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 area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. ~ound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» . SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT.. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR 111'IPOSSIBLE. ADDITIONAL COMMENTS PUWTS STALLER ~ POWTS AINER Name ~ ,~.,5 ~~ ~ ~7 y Name ~.- ~ Phone / Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITX Name Agency ~. GpOx, C ~/N~t _ a Phone Phone ~/S'. ~, ~(,&b K:\WPDATA\EH\POWTS OWNER'S MANUAL.doc Page of ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address ~ ~015~ ~i D '~ ~r6 Property Address % S~ / ~o ~4 ~vF (Verification required from Planning & Zoning Department for new construction.) City/State ~ 6,t~-~ ~/? Parcel Identification Number ~ ~ ~~ /06 - 50 - oc~v . yam') LEGAL DESCRIPTION Property Location SW '/a , S ~ t/a ,Sec. .3~ , T ~ 9 N R~W, Town of ~A~~~~~ Subdivision _ .fi /.9 T~' ~'2 ~~ C_ ,Lot # Certified Survey Map # _/fi~,~ ,Volume ,Page # Warranty Deed # ~/ g ~ 3va ,Volume 9 yd ,Page # ~ d Spec house yes no^~ Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF A LICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) bi~~~V\Y IR-4i . , ,i+x' c.c hg it ,1. ti'If. tL(:4, Yl :•U Y, ~` i , Wit. ~~~{X ~,~., L' i ~t~c'ci for ~~7coryrc~ ~' 8:30 A. hi ~1i~~}} f ~ f) 4r,;,y~ (J lam''`' ~ kayis+ar of weds LI:.IITED WARRANTY DEED TN(~' (NDF.N'TliRE, made this 30th day r,f March , (y 91 b.:tµ.een Farm Credit Bank of St. Paul _ a federalh chartcrcd corporation, with a past office address of 375Jackson St. _ ~ St. Paul, MN 55101 _ -~ i Mark R. B erstedt and Lee Ann ___ party „f the tint part, and ~_ -- _ Everson, husband and wife in survivorship marital property - whu,c p~st attire address is _ ROUCe ;+F1, Box 33, Roberts, WI __ ` 540?3 --~ i parrs t~C the ,.xrund pert. ih~remalicr tc!errrd l„ a~ pa,tt ~~hrthrr wt~u!a:.+r plur:dt. \\'(T"r SSETH, that the .aiu pang ut the hnt part. [:x and in e~,rni,!~rau,ut „f the utnt nt Flfty Four_Thou5and and 00/100,_ -------------------------------- DULL.~n$. Qet~:ru:ne 'rr;h rcnisn,a, --------- ;y ~4,OUO.OC t, to it paid by th_ .ai.i perty .,t iP,~ x~:,nd part.:he rcrcipt µhrrcof t, herehy arhrusskdgrd, d,ws .rant. bar,_l:n. ,ctl, end ti~,usc}' unto thr ,.ud party „C the ,crund part. hi,!her their heirs. wccc,uurs and as,igro tixcvcr, the fallowing desinhed re.tl e,tate- ,+tuated ur the County of ~_--- St. Croix ----._.______. and State of _ Sdiseonsin __ to-w u: S[d} oY Std} of Section 3l, T"?9\, R17W. *_ ~„ t.X~,c.((nT 3 .7 'a;7 ~~~ "~ . _ ::`"_~~_ ,,~ X42 ._:fC1 ~, _ (.~ W-i"1"ivESS WFIFREOF, tht +aid party rrt~ the lint past, has cau.tir~l these prcxnts to he ezrxutecf in its curporate name the Jay :..td year =;:1t 3I1CrVC Wil tltn. p I a'i:VF:.S5ii55: F'AKDI CKFUIT RANK t>F.S'f. PAUI. 1 = ~ / ------------ ____ By:~-y /~-~ ~ ~~ _- ,~Y9Y~r Lehnertz Regional Vice President ~~ „~ Farm Credit Services of Northwest Acting as A[tomey-in-fact for Farm Credit Bank of St. Paul. ' ur: t --~--------_..-".--- "--__--- ~1ukr ~6':.)'F: i>F __ __Wisc~~nsin__-__--- ---- -11 1 ss. Ct)t ~"hV" t)M St; ._ Cros - - -- ---------- ,"~, i„ur, m,u~ur,rr„r a,r~ ,,,(,i,~„1.~;l~rd hr(,r, .,,~ ... „~...~ ?[ranch 30th, 199 ,.,,; Jgrrv Lehnertz - -- -------~.__ _ - ---- nn ,r .Reg onal Vice President ~r Fang Cc~1 r_Ser~a ~.s_a> wrt,hwe~~ ;~.,~~i,ia, FLI..a - c,~ Ua vet i,y~;, [, rrt_/-1-~.al t;, ~lr f ~ .. -..._----- - ___._...-.-_ -----_. r ' r (, tip' P.. ..tt'. ~lSd~ : ,~ r:ri,'t?jefrlt-,..~5 _~r3iv --_-.__ G„uuc. [Jisconsin r,__ -.__________ l;c !mnu ~ernn rq~r rrs APrll '3 fy 9} S'C1SF: (>F ~ ~ss. tY)l \i'1 OP ._.__. talc 1 _... __-`- -- __ ~ ,[.:~ CSC c..l~i{ y , i.ee: \„rttn.est t.:i~~~;;n:=in, FLC:~ ...-, ..,li., .,~ si)-- .tlc ,~urwn,rr•~n ripe re. _. V.. `1 ~ 'l ~, ~q ---- . ,a~r~,~ ~~F~C1 ~,.~,,{~ ~ ~ ,1~! X42 r~.. .~ - IN WITNESS WHEREOF, the wid party of the first part, has caused these presents to be executed in its rnrporate name the day a.td year first shove written. WITN~SSFtiS: _ FARM CREDIT HANK OF 5f. PAUL By ~, ~! Lehner[z Regional Vice President _rNamer fn11e1 „f Farm Credit Services of Northwest Acting as Attorney-in-fact for Farm Credit Hank of St. Paul. or: Hy: ~i ~~~rrxr ITitlet.. tiI'•l"rE OF' Wisconsin 1S. ('Ol'N'fY OF' -___St-. Croix } - -- /br' prn'qutn~ irt+trunte'ru n'r!e urkarrrr/rrlpr•d h<'/irrr ntr• na /r/ul<'/ March 30th, 1992 h~ orr,rrrr't Je"rry- Lehnertz __` _ ttiy~,t Regional Vice President - --- ,j ._Farrt CrCd~_t Serv-ices of- Northwest ~risconait~_ FLCA - - - _. u.c 7I//Vr<ht;r-iy`-din t Irr~j,~~(rtlj n/ finer ('rr•rlil Krtrtk ul S! Pctd Do~~TMM. 1~ ~ ~ / ~ry: . f , .turu;;'fl l ,~ ~ix N'b,r''r• '~'-~•~-- Gnutnt Wisconsin ,b1i rv,rrunrs.~inrr erptrrs _ April 9 /y 95 - -- _ _: ('OC~-rr nF' - t , cs, y !hc t.,rr „~rrr.. „r.nrurnrrt ntn urlmmlrrhr'rl br1'rrr nr<• nrt trLur) __ _ ' - ;., ~•h n,•e.r (lillrl -. ... ... .,r - - _~. .•.r r.,it,dl ~•1 ..u.l r,.tJavr+ltntt - - _ ~- ~- _"~ ,ti _ - ~ .' --~ . d--,: 1„t.rrt PubJu - --------- (~nrurtc - -- --- -. ~~---- Sh' runurri~urm r•.rpirc.c ~ ~_, /y _ _ _ ~ ' !r. , r,; r . ~~, rrr ,. r, ,tr.rt.rrt h~ " g .~ Farm Credit Services of northwest i~LSCOnS1R, FLCA ~ R. Anderson, P.0. Hux ly9 `~" River Fa11s, Ivf 54022 ~ ~ - ~ rl _ ~. _ .. 1, i i~ 481300 IIWI ~C~ ~f .c br~. AfA. Ff$ FtL'A. PIAi !~ .~~. . ~ ~,r L1.IIITED WARRANTY DEED ST. CROiX CO., ttV1 R~c'd for R~ccrd f,'=-<. U ± 1932 ty1 8:30 A. M a G~~2 Register of Seeds Rea,rdim Inlittmatlnn ,_ . t ..., , H. THIS INDENTURE, made this 30th day of March t9 92 ,between Farm Credit Bank of St. Paul a federally chartcrcd corporation, with a post office address of 375 Jackson St. St. Paul, MN 55101 party of tht first pert, and Mark R. B,jecstedt and Lee Ann Iverson, husband and wife in survivorship marital property whose pest office address is _ Route #1, Box 33, Roberts, WI 54023 party of the xcund part. IhrreinaRcr nfcrrcd ui as party Nhether sulgu!ar err plural, WITH°SSETH, that the said party of the tiro part. for and in comidcratiun of the sum of Fifty Four Thousand and 70/ 100-- --------------------------°------------- DOLLARS. ,5 54,000.00 1, t0 rt paid hY th•_ Bald party of the second part. ;he receipt whereof is hcrctry ackrnnvlctilgeJ, drks grant, bargain. v-11, and comcy unto the said party of the second part. his/herthcir heirs, wccessurs and assigns forever. the ti)Ilowing deuritreYl real esute..nuata! in the County of 5t. Croix ,and State of Wisconsin , to-wit. SW} of SW} of Section 31, T29N, R17W. ---~~ . .~/ w 19- ct 8- l:] a 4- 0 20 ~AILUNS _ LlttkS 0 80 40 r 60 80 100 16 24U 320 ~3,68'rt n. FLOW ER tAf C li) :tl ~t°~v1WtC ~f4~iC APA.^.ItY •'r ~ tAMl,,7~ r-r .IrNr aNU :ic7l.~I th-~t.: IrC:il '1~ 15 ~ F«CI Alrlarx ital. literc- ;:rl I~lr:•.v :, 1.~ $J 261 i/ 5!dl 3~ 3." 2.< il/ 3.3 'iii _pr,4 V<,Ivc: 3~A fl. {" 1.6rn) ~ ^..C~ I t (t.t! rn i ..... ._.. - otsca ~6•:. I ~- s 7/32 S Y /j !i i CONSULT FACTORY FOR SPECIAL APPL{CATIONS • Ttrned dosing panels available. • Ete~icai aNtamators, let duplex systems, ere eveiiable end supplied with en afamt • Variable level control swiUches are available tot corttrolUllg single phase ~~. < Double pip9Yback variable level float swltdles are available for variable level k^9 and short ryck oontrcls. ° Sealed Qwik-Box available for outdoor Instsilations. See FM1420. • Over 130"F. (54°C.) special quotation required. 15?JiS3 Se•ies fNedal i Yotb•?h ii5 s lbda -Jon. n ~ e.5 ilm -~l~r t _ Dupl°ac 9nr3 aN152 11'x _ 1 _ !.6 Inokidad ~~ ~ 2 of J E152 . 230 1 hrY! 1.3 1 2, a ~ BEt62 •730 1 Auto Its Included 2 or 3 t' 115 1 Non 1 2 ar 3 eN7SJ tt5 t Au,o 10.6 InCMdcd 7a3 Eo53 8EtS9 _230 t 430 1 Non Auto b.3 ~ S.S 1 1a3 Int;luded - 2 a 3 o cA AR ir,aWatton of CorNrob, protedloa davlt:aa end wiring >Wltwgt lot Done Cy ~ gttMmea Ilcentad alaetrfcian. AU abctricel and viktY eodta ahouW ba foliated Including the molt Heard Nationst Eteeule Code {NECI and the Oeoupatlanal fahty and ttaakh Ael (OSHA} ~~l ~ i ' - l ;, ~~ ~ . •1 .. .: 1 ~ K sEi.ECrfoN aut~F 1. Sirgk p'tpQytzlcit vsriaWu luval iMtet >twltdl or double pigpybedc veryblt lava flos! switch. Refer ~ FM0477. 2. gee PM0712 for tbrrect model d Electrical Alternator E-Pak. 3. Variable level control twitch 104225 teed es a control ectivelor, spocify duplex (3) of (4) Aoa(aystem. RESERVE POWERED DESIGN For unusual conditions a reserve safety facltx is engineered Into the design of every Zoeller pump. - -- - !(A!L T0: P.Q 130V( 16Ji7 ` • • Lo,"evAe, KY ~023QQr41 AfuMrafac~l Or. . 0 8NlP TO: 304D Gnv Rur Rov~l /,/e i«,re>-w.,xY ~osr1•ar>sr ~aurrPuaacS•~ /999" yi(p:Nwtww•ro~H~r.oom /d~/-'/1 ~0 (302177W775i • i (bOL(I D?MUTAP FAX (6UZJ 17I.3Q21 © CoPY~Oht 2000 Zoeller Co. Alf rights reserved. ~ ~ }~"e"~ ~L ,: HEAI> CAPACIN CURVE MouE~ 152/53 ri0 tJJ 1 ~i 30 -- - ZU tU