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018-1089-05-000
• ~. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO'PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Bannie, Ca Hammond, Town of CST BM Elev: Insp. BM EI v:' ~ BM Description: ~~~ ~ ~ ~, Ge~~. a TANK INFORMATION ELEVA ION DATA TYPE MANUFACTURERn~ K' S CAPACITY Septic r , , ~ ~ W I C..'SJP~-~ , z Dosing CI~.,,.•..1~ ~ ~s~ QF' ~ a 5 z Holding TANK SETBACK INFORMATION 5 ~~ . en o it n a e epic ~~/ 7 /~~ Z7~ Z7 -^ osmg ~~ 1 7/DO z.~ / Z 7 ( - era ion o ing PUMP/SIPHON INFORMATION ~ anu ac urer ~ eman GPM o e um er / ~ ~ ~Z i nc ion os~ ~ . ys em ea ~srj ~ ' S /'~ orcem i eng 5 a ia. ~I 2 ~ ~ /~ JVIL HD.7VRr' I IVIV .7 T J 1 CIYI STATION BS 3.S'7 HI /b5.3 FS ELEV. ir~t.7S Benchmark /~ 9~ ~d3 /~ ~~!• ~~ Alt. BM ~~! G 5 I I$ /ac 1 ry . - d~~. Bldg. Sewer , b~ 47.6 g tHtlnet t t ut et t net ~ -~., 0 om /3, i18 mil/ • g'(j~ ea er an. / 9g•~y is . ipe bs; 5'.O~" O .D ~ 1 (l• o . ys em S, ~-Z sr s.~z ~ • 3 ina ra e 3.~E`T ~r~5`i ~sd5 over -~,f~l~.~~ $, 1'~ 1 ~ ~ ! ~ ~ ~~~•~ ' s. ~z s. ~y S. 5~ ~~ L .. DIME S ? ~ J ' ~ 1 2., INFORMATION ~ CHAMBE / r 7 f ~ ~ UNIT . UIJ 1 r(I~V 1 IVIV J 1 J 1 GIYI ( I •.{n n.. D ~ 9f /_t 1 Length 15.0 Dia Z Pipes 1,,~Q' ~ t -y - - ~ Lengt l V'~ ia~? Spacing~~ p tt I 6 11 3D ~V1~ vvvel~ x rressure aysLems vnry xx rvwunu v..,•-~~a..~ .,y~.~.~~~ ..~~.y Bed/Trench Center ~ . r ~ ~ Bed/Trench Edges \ Topsoil \ c~~ Yes ~ ! No "Yes i ;l'~, No GUMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~ / i ~+`~ ,// _y~specuon Location: 631 150th Street Roberts, WI 54023 (NW 1/4 SW 1/4 31 T29N R17W) Sunny Hill Lot 5 G~~'ra~A. ~]v~ arcel 1.) Alt BM Description = L~' ~{"~ Ga~"~-~_ PtO^.+•IJ J~ 2.) Bldg sewer length = 3 1 ~ / ~~,'~'~ ~ 1 1 bv~ ~~ -amount of cover = 2 L"~ a'te' ~ Plan revision Required? ~ ! Yes ~ No it Q „ ( ,~~ Use other side for additional information. ~,__D(~atle_ 0 - 1 -_ - ---insepctor`s- to -- ~ __ SBD-6710 (R.3/97) 31.29.17.71 I ~~ IS + r ~~ I~ tµ ~ ~~ ~~ __ 1 _ Cert~No- _~_ -.. r o w ~, _ ~, t3i33 ~aa-- Y _ Safety and Buildings utvtston --- ~ ~ 201 W. Washington Ave., P.O. Box 7162 S~• C ` ~S~O~S~f~ Madison, WI 53707 - 7162 Sanitary Permit Nu ber (to be filled in by Co.) (608) 266-3 I S 1 t f g~ e De artment of Commerce State Plan I.D. Number Sanitary Permit Application 2 ~s~ _ S, ~q,~ In accord with Comm 83.21, Wis. Adm. Code, personae infottnatiort vt n+ay be used for socordary purposes Pri Law, s15.04(IXm) Project Address (ifditferutt ilin~ress) 1. Application Information -Please Priat All [ato ion ~ L-~ C~ - Q1 ~ - l50 9 -QS- Ada ~. ?~O C / Parcel N Lot N Block N property Owner's Name J/ t` 2 s ~',. (~, /' t7i. -'t. n ~ ~' V ` O property Location Property Owner's fling Address S T C (' ~ '~ / ! oro ~' S ~ ~ ROUX C N W y.,,si t,J v., Section City, State Zip Code Pho ber /Qa be H~ S ~r ~'`1o,2j 7r R6 7C'~v Ter- rN: R,/Z_Eot~) [[. Type of Building (check all that apply) ~ Subdivision N ~~+~' 1 or 2 Family Dwelling - Number of Bedrooms S ~ ~" ^ PubIKJComtnercial -Describe Use ^City ^~lillage ®'I'ownship of ~av~'+`~. ^ State Owrted - Destxibe Use liI. Type of Permit: (Check only one boz on lice A. Complete line B if applicable) '+' ^ New System ~. Replaoaneat System ^ Trcaunptt/[iolding Tank Replacematt Only ^ Other Modification to F•xisting System ~~~-~ List Previous Permit Number and~t i ~ ~~ B. ^ Permit Renewal ~ Permit Revision ^ Change of ^ Permit Transfer to New ~ ~yC, o ~ ~ ~~ Before Expiration ~-"- Plumber O~"r^a -~ b ~ e c ~ r~ ~ ~~ IY. T of POWTS S em: Check all that a I 2 3 k /cTU M011~ ^ Non.-preuuuriaed In-Ground ^ Mound> 24 in. of suitable soil Mound <24 in. of suitable soil ^ At-Gnrde ^ Singie Pass Sand Filter ^ Constnucted Welland ^ Pressurized In-Ground ^ HoMing Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Fitter ^ Recitwhtting Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-teas Pipe ^ Other (explain) _ V. Dis tsal/Tt,catmentArca Information: 1 prca Required (sf) persa pos em Elevation Design Flow (gpd) Design Soil Application Rate(gpdsf) ispersa is 1 Area Pro eel (sf) yn I G,~o I'~ ~4~ ~o~ ~pO Q4, 3y Y[. Tank Info Capacity in Total Numbs Manufacturer Prefab Site Steil Fiber Plastic Gallons Gallons of Units (~ ~ Concrote Constructed Glass New Existing t~.f~~ySL~ CT'tC-~'C'i ~-~e.~ Tanks Tanks Septic or Folding Tank ~ ~a s V ~ G.S Ls~e~-~.:.J !Y ~a '~ S~ •~' Aerobic Treatment Unit "'Y~l /~ ~.e-w-Q-''O / Lbsirtg Chamber .rj $D '~' VII. Responsibility Statement- I, the aadersigned, assume respoastbiGly f°r tastntlatioa of the POW15 shows oa the atmched plans. Plumber's Si tore MP/MPRS Number Business Phone Number Plumber's Name (Print) t'~ , ~ ! a .~ d s ~ 7 y Q , 3 ~ ~ Z Plumber's Address (Strcet, City, State, Zip Code) \' II. Count ~/De a ment Use Onl Sanitary Permit F (includes Grotl~tdvv~t to 1£syed/~ is in gent Sig o Stamps) Approved ^ D' pprov , , _ ~ ~_~tt(( oO(arr/ '"~~ Surcharge Fee) ~ ' /~~ ^ O iv Reason for Drnial ~~ ~~J ~ r r t ~ „ /~ e ,~ S la. Conditions o Approt• ~m Q ~ O ~, 4 J~` ~ ~.1~-~tJ1 vt-A_:C-61J SYSTEM OWNER: Cpl _ ~ °` ~"~_ ~°'r a ~~''~v~''t''~Te"~ 1 Septic tank, effluent filter and b~-~'~' - ~~ `(, ,_„ ~~.~~ • dispersal cell must all ba serviced /maintained ~~" as per management plan provided by plumber. ~ C~_ ~~ ~~ 2. AN setback requirements must be maintained ~ 'lam _ as per applicable code/ordinances. Athch eempkte p4m (to the Ceunty.aiy) [or the systcot ea paper sot than i1f1:11 ha In size< .. ~,~ ~ ~+ ~. Q ,f-e C.P~Ul2¢~ SBD-6398 (R. 01/03) ~ 2 cs,-~ ~~, 2~(0. _~ .. ~I /S~~ 5{7'CG1< ~ 50,/ e da/c,a~a.~ ~; ~ • /a ca E~d/orofl s{~~ Sc.a/e.• / ~ o' ~P• ~iQ,/y8su~anrlG a4nn,~ Q • /7uJ. 7n, off' .~/o-,,,.new 56 . Coo i,~r Cb., ~~ /~S P/a ~ oolSknn), f/:/I ~'Xi.S fi n~ l.V2// e 4-;vecx~j, EJ`S~ii~Jg S~y'sE~in. Aba.a(en : 4go'~ o{ S.al,' 4 s~o.riE'ode. . E/ate _ ion ?5.' EX:s•E;~~ ~ ~ade 9 ~; Q I C~(lcent ~;'l~ciat S.T.Ou-~e-~. . o~- aba~c~~a~,oa,, -----~-•._.,., P(0~0 Sep t,tl~ f S ~~ eoy,cr~F .L.'//aC QC~~ Gc)/1S~~7s~'/~~ C~dh6inC~,oi r I E~~~ 9~0~ 97•s~ 980 ~ ~ ' ~ ~ ~ ~ ~ ~ ~ ' ~ i 1 ~~ i t ; i .1 ~~ ~ ~ ~,~ ; ~t ~ 97.tS ~' ~ e J1 ' ~ .!r-~ -~~, rau `~A~~a ~ ~ ~ ~' SyS{ant ~ 1 i ~ 1 ~ i ~ ~9ZAi~ 9B/~'~ ~ 97.%3' i ~, ~ ~ .~ ~~; r ~ ~ ~ 9Za/` ; 1 ~., ~ ~; ~Q/~: l.,rf, : Tai o f' /off ~-Ea~ EIe~ 97.68' ~X/S~i n Y po /! ~r'n TP off' .. e. ~cle = /ol,.Co, ~e'~~~'S%8/- ~-oPY P~. Bof'9 commerce.wi.gov i ^ ~scons~n 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 July 14, 2006 CUST ID No. 22771.0 WALTER F NECHVILLE 967 HWY 65 ROBERTS WI 54023-8510 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/14/2008 SITE: Cary Bannie 631 150` Street Town of Hammond 5t Croix County NW1/4, SW1/4, S31, T29N, R17W Lot: 5, Identification Numbers Transaction ID No. 1287586 Site ID No. 715142 Please refer to both identification numbers, above; in all corres ondence with the a~enc FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1084864 Maintenance required; Replacement system; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706=P (N.O1/O1); Biofilter The: submittal described above has been reviewed for conformance with applicable Wisconsin Adxiunistrative 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. IVo person may engage in or work at plumbing in the state unless licensed to do so by the. Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and (,'ps7n dispersal are prohibited. . ~~~ • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. OEPARTMEN • 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. $EE CORK • 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 WALTER F NECHVILLE Page 2 7/14/2006 • Comm 83.220 A cogv 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 pemuts 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, ~ ~~~~~ ~ ~i" V J Fee Required $ . 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45: am - 4:30 pm Monday -Friday charlie.bratz@wisconsin. gov WiSMART code: 7633 cc: James K Thompson , A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ,~, s'Q.t~ /G~ ~~/li MOUND AND PRESSURE DISTRIBUTION COMPONENT DESI~ 2~ ~~ INDEX AND TITLE PAGE ~(//l0 06 Residential Application ~ ~O /~ Project Name: Cary Bannie 4 bedroom replacement residential mound ~s Owner's Name: Cary & Susanne Bannie Owner's Address: 631 150th Ave. Roberts, WI 54023 Parcel Address: 631 150th Ave. Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: NW1/4 SW1l4, Sec. 31, T.29N., R. 17 W. Hammond St.Croix Sunny Hills 5 Block Number: 018-1089-05-000 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Walter Nechville License Number: 227710 Date: 06/20/06 Phone Number: 715) 749-3322 Signature: (>J o l~~" ' „ ~'~~'r~',~~ r Designed Pursuant to the y~'~,~,,,,~ Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and COM3l~'RrS SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) A ~ GS ,ONDE ~ Version 4.01 (R. 09/04) Page 1 of 9 NCE DATA ENTRY WORKSHEET ABSORPTION AREA SIZING 1. Daily wastewater load: 600 Gpd (4 bdrm)(]00 gaVbdrm)(150% peaking factor) 2. Depth to limiting factor: 18" 3. Land slope: 3% 4. Infiltrative capacity of soil at system elev.: 1.0 gpd/sq.ft. ASTM C33 med. Sand 5. Infiltrative capacity of native soil: 0.20 gpd/sq.ft. 6. Dispersal cell area: 600 sq. ft. area required b00 sq. ft. bed widths (A) Two cells a~ 3.0' bed lengths (B) Two cells a~ 100.0' MOUND DESIGN -CELL #1 I . Mound Height: Fill depth (D) 1.50'_(18") Downslope fill depth (E) 1.59' (19.08") 1.50' + (3% X 3.0') Depth of aggregate (F) 0.80' Cap depth (G) 1_0' Topsoil depth (H) 05' 2. Mound dimensions: End slope (K) 10.00' ((1.50' + 1.59')/2 + .80 + 1.0)3= 10.04 Total length (L) 120.0' (100.0')+ (2 X 10.0') = 120.0' Downslope width (I) 12.00'(downsiope toe extension made) (1.56' + .80' + 1)(3)(1.10) = 10.69' Upslope width (J) 9.06' (1.50' +. 80' + 1)(3)(0.915) = 9.06' MOUND DESIGN -CELL #2 I. Mound Height: Fill depth (D) 1.92'(23.04") Downslope fill depth (E) 2.01' (24.12"1 1.92' + (3% X 3.0') Depth of aggregate (F) 0.80' Cap depth (G) 1_0' Topsoil depth (H) 0_5' 2. Mound dimensions: End slope (K) 11.30' ((1.92' + 2.01')/2 + .80 + 1.0)3= 11.30' Total length (L) 121.6' (100.0')+ (2 X 11.3') = 122.6' Downslope width (I) 12.28' (1.92' + .80' + 1)(3)(1.10) = 12.28' Upslope width (J) Na Total width (W) 39.34' 9.06' + 3.0' + 12.00' + 3.0' + 12.28' = 39.34' BASAL AREA & LINEAR LOADING RATE Basal area required 3,000 sq,. ft. 600gpdJ0.2 gal./sq.ft./day per CSTM = 3,000 Basal area provided 3,028 sq. ft. (100')(3'+12.00')+(100')(3'+12.28') =3,028 sq. ft. Linear loading rate 3.0 gal./linear foot 600 gal./(2)(100') = 3.0 Pg. 2a of 9 SYSTI~M' 1~~,EVATIONS Installation Contour elevations:. .97.84' & 97.42 Dispersal Gell aievations: 99.34' Highest Dist. Network invert elev.: 99.$4' Pump Chamber "Ofl" elevation: . 4' Lift: 7.50' FRE~SSURE~DISTRiSUTION NETWQRK ]. Distn'bution pipe sizing: Lateral length: Laterai size: Latest spacing: Sidewalt separation: Hole size: Hole spacing: Woles per: 2. Manifold suing: I.ocatior Length Diameter bistribution network discharge rate: 32.80 gal./minute (4 iateraisx20 holes/Iatera1~0.41 gal/hole) = 32.80 gpm 3. Force Main: Diameter Lengtfi Flow rate Friction loss 48.75' ._'la: 00" l8" 1/8" 30" 1St hole at 1S" from tanifold) 20 Center 180" t r" 2"~ SU' 32.80 gal.lmin. l .13' (50~(2.26ft./100ft.) = 1.13 R. 4. Total dynamic head:. 15.49' Min. supply pressure . 0' VeRical sift 7.50' 1?ricdon loss (Forcemain) 1,13' Friction loss ,(Manifold) ..0,36' Total dynamic head °_ 15.49' 5. Pump selection: Manufacturer. Zoeller Mode[ natnber: BN 1 S 1 Minunum discharge rate required: _3z.8a e»m Pump will discharge ~ 37 gpm (a~ 15.44' TDH 6. Dose chamber. Manufacturer. Wieser concrete WLF1.250/750 MR Com 'nation 3T/PC . Liquid Depth & capacity: 48.0" , . 16. t 2 cal./inch f 773.76 ,gal,, actual) Sizing: A) One day holding capacity: 2'7.50" = 44~,~0 gai. B) Alarm setting: 2.00" = . 3,2.24 gal. C) Dose volume + flow back: 6:50" = i 04.78 gel. (600gaEJ5 doses per day) +(.163}(50') = 128.15 gal. maximum dose volume ((t95' lateral length}(0.092}(5) =89.70 gal, + (.163)(5(}') ~ 97.85 minimum dose volume D) Reserve storage: 2~ 00=193.44 eaL TOTAL 48.0" = 773.76 aal. Pg, 2b of 9 Z00["(j "IyAS &LIS '8 'IIOS ~ ~ y ~9LL 8~Z 5iL ~3 Z~~9T 9002/TT/LO n,(Du~7al ~~acvi~9S z ~ sip S~S~m C('DSS SQ~id/~ -~ SC~.~G~ / =~5~ 3y~ --- - ---:c~..~ -- ---- 97 S',Z ~.,~~ e/eva~6'o~ z ~ s/a,~e 393y~ 97.8y Co~t~r-alcda.~a~ ~. 3d~'y ~21.roo Center Connection Lateral Layout Qaigram ,.E~ y~4ys ~ >, I IE ~Y~d ` :/.S~` L+grrits tk Ftuoa m+in of PVC Soh a0 (par COMM TabIQ 8~.30~51 F{otrtdrttledonthrbatto*+'~et:lhelatetal • ~TUta-upvidbalh-~hr~orol~~noutpluq squally spaa~d I yB7s' Dose Tank Information Electrical as per NEC 300 and -~- Comm 16.28 WAC `_,,, plsronnect Tank component is properly vented Wieser Concrete Ca aci 773.76 Vatume 16.12 Manufacturer Gallons gal/inch A B C D Dimension Rlnches Gallons A 27.45 442.46 B 2.00 32.24 C 6.55 105.62 D 12.00 193.44 Total 48.00 773.76 tan Alarm Manuafacturer LevefArm _~_ Alarm Modet Number DLV Pump Manufacturer Zoeller Pump Model Number BN151 Pump Must Deliver 32.8 gpm at 15.49 ft TDH Locking cover with warning label and Locking dev,ee and sealed watertight 4 in. min. ~-- Alternate ouNet Location Forcemaln diameter ~ 2 in. Weep hole or anti- siphon device ptzm off elevation pose tank elevation (it) ~__ " f Project: Cary Bannie 4 bedroom replacement residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Wlater Nechville Phone 715-749-3322 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 200 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 300 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ..~~~~~~~~.... Grade ~~ 6-8" Diameter Lawn Sprinkler Valve Box Distribution Lateral ............... Threaded Cleanout Plug or Ball Valve Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Cary Bannie 4 bedroom replacement residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1!3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Cary Bannie 4 bedroom replacement residential mound Page 6 of 9 T. D. P!!MP Pk'RFORMANCE GURVE MOpE1151115?J153 ;t s at,aofe 3x ~~~p•.rr. M:~ ~k.~, sw~p~y per' r~d C4NSl~i.T FACTaRY FOR SPECIAL APPLICATIt~NS 57e1 • Timed dOS111Q parlel6 L9vallebla, • Electrical alternators, !ar duplex systems, are available and strppliod with en alarm. • 1~riebie level txxard switches are available for con~ulhng t;utgb Phase rgsbalrts. • Rouble piggyback varlabla level float switches are available fa variable level Jong and short cycle controls. • Sealed QwA(-Box available for outdoor ins+ella6ons. Bee l=M9azo. • Over 130•F (54•C.J spedal quotation required, 15111521153 Series 161N62fiSS a6DElt3 Cppy~ sNrpypp YeeN Yhlb~Ptt Mvd~ Atn 81m uc D a Nt51" 11S , Nat 0,0 1 Za3 gN151 115 1 Auto 6.0 _ Intlueee Z a 3 E731 9Et51 230 S 230 t Nar Autp 3,2 3.2 1 lrtdueed 2 a 3 2 a S N162 t15 1 Npt 6,5 1 2 a 3 8Nt5Z 1t5 1 Auld Q.S Itidueed 2a3 E152 230 1 Nat 4, 1 2 a 3 t3E1 290 t Atdo 4.3 Inductee 2 a 3 N153 ti5 t Nat 90.5 ! 2 a 3 QN159 tts t Auto io.5 h,dueoe 2a3 E153 230 1 Nan 5.3 1 2 a 3 BE153 30 i sub 5.3 Itxludpd 2 a 3 TOTAL DYNAMIC liE4D1FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 159 ~ 152 153 r-ee{ meters ou. utsn oa u1.a cam. u~a b 1b 60 1s? 80 241 Ti 2Y7 tD 3,0 4d 170 4! 831 70 8~ 15 4.e 30 144 53 201 69 291 20 8,1 Zo 110 44 1e7 52 te7 26 79 10 4! 34 12i 42 154 90 4.1 23 e7 23 126 d6 l0.7 _ _ 22 65 40 18,8. 11 42 9hulwlr Nead: 3Qti .tm 9en. t t 44 A, l a,4m Mode1151 Models 152 ! 153 s zrr~ i2nu i 2rra2 I II I II tine ~ I lztre ~~~ t 4SQ -~ sx2su SELECTION GUIOE 1. single pggype0k vari0bl4 level Aot<t switch Or QouWe pi90Yb9Ck variabW level poet ~~ switch, Rarer to FM04J7. An inttafttion or oontrpla, ~obctfon OoWese and wfrin4 should he done by a qup{iflp4 2, $ee FM0712tOrCOReCtmOdelOt EI4t;trIGYlAItlrfMtOr E~P6k hcemrp olrptrlcun. AO ela:rned end adety catlea shouttl Go iollowatl ineluan0 the mess IsefM Naeona! Elaciric Codr (NfC) PM the Oeeupe110ne1 Eef-ry one health Aet (06HA). 3. Vtarta61a Iepe1 tAntr01 ywih;h 10-0n$ need a3 a COn4'oI ta6tlVffior Sp6Cfty QupreX (3) Or (4J fbet System, RESERVE .POWERED DESIGN Foe unusual condtions >e reserve safety factor is engineered into the design of every toeller pump. MAJr. t0: P, 0. 90X itCkT ~Cr/ Y; ; ~~~,~~~~ /{lI Lvukrfdv NY 4016tFOJIl Alanulachnent ol.. Q ~ • ~~ SM1P 70: 394lr Carty Run Road lAUkNJro XY 40211-0D6f ~ ~/`'Q !jj (502) ne•2731.1 ieool sns-vU,up '/~ut~,~ir~s /~9~~ rirr~1lWH79Si0eiMK t;orrl ~~,//~/r y L/_ • uv ~cnn~ nt e~ni ~oor~ C) Copyright 2004 Zoeller Ca, A!I rights raserved. "I~AR ~.LIS '8 'IIOS ~ 0 ~' . ~. 7 ~~9 b9Ll 8~Z 5TL X~d Z~~9T 9002/TT/LO ~ EX~'s~:~q~Zde 2/ed. • /a ca Ec.dPro/Q S~r~ Sca/e.' / ~ O" ~• (i4./j/8su,~anl7C Qann,~ Q • /7uJ., T, o,o f,/a~nr~e~ S~ . Croi~r Cb.~ ~~ /O~ S, P/a ~ o~ Scc n ny /~/~ / str c c~ ~,riSfJng We// e / E~~~ 9~0" 97•s" 980 i i ~ i t ,/ ~~ ~ ~ 8f'~ i ~ t 1 - ~ ~~ ~~ o { ~ ~ . ~ t ~ ~ ~ ~ , r 26 ~, I ,,, t ~ 4 ~i ~ g t 7.1a ~ ,i ' 9xw' ~i ~i '~ ~ , ~ - ; ~ ~ 9ze3 ". 9713' i '. i ~ ~ ~ •; r ~ 97,E ~ 1 ~ ~ ,~~ a.~ : T p o f /o~ ~~~. EIe~C~ 97. s8, Dr;/ec~7a 3 s6cn. A(X.no(en •. ~.r 4g6f~oj.y~ o{S,oI,C/ . E/EV` r /O/. 75.E EJ~i S'~i ~ /~/O~e a~~ownC/a~:on ~ /007 ~ r Off- a.bedc c~/'ew,d Polo/ _____-,_-__~, Proud u~reS~/ Cor,cra.~e .~..'//aC Qlt~~ Lc~ /1ST/7S-O '/X~ CG^'i bi na E. o~ ~`..,`-^"` I I S : r. /P. c , w/Poly /cK P[ - Sz s Cif' lu en t ~;'(~ ~i a t S,T Ou-~/~ 3 ~ 5/a°e Sys{.M 53.2 -9B./B ~x/S~r n 7 Po /~ ~~~ P%°? ~ j 97.9(' ~ ~ 1~! :, B~ _ year 8/' P.8~9 WerDepaMrertofCornnrefce SOIL EVALUATION REPORT Page 1 of 3 rti~icinn of Cakaly and BuildlflOS - - in accordance with Comm 86, Vvrs. nom. ~.oae Corsty StCroix Attach complete efts plan an paper rat Tess than 81R x 11 irahes in sae. Plan waist erdude, but not fruited to: vertical and horaortal reference Poet (BM), direction and Parcel ID. and oration and distance to nearest road. north arroav scale or dimensions t b e , , Percen s p , Piease print aU %nlbnnat%011. Reviewed by Date Personal iMonoation you Provide may be used for secondary Pins t~uY i-~+. s. 15.04 (1) (m)). Property Owner ~~ Lor:abon Came Bennie Govt. Lot NW 1/4 SW 1/4 S 31 T 29 N R 17 E (or) W Orrt>er's ~~ ~~ pl Lot if Block ~ Sr~d. Name or CSIIE y 631 150th St 5 Sunny Hill COY Stale Zip (lode Ptane Number ®ViQage own Nearest Road Roberts WI 54023 ( 7~ 5 796-7028 150thStreet New Cora;xnx4on llse~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD R ~ PubGc or oorrrnem3al- Descnbe: R - Parent nar'barial Flood Plain elevation if applicable General c«mlerl~ ~& mss Ke~.sud Rlraa-did inspacL t~~a _ • Pc .?r4,and dulmu~irm ~~~ - features. Their opion was redox features were not present in the top two hosizzo®s, and a mound system would be required. BoringN 1 had redox featru~es at the second horizon. 1 Bonro 12 ~~ # ~ pd Ground surface elev. 9T 11" A. Depth to ~ facto ~- Sot Rate t T Stnrc4ue Cor>sisbence Boudary Roots GPD dII= horizon Depth in Dome-art Munse® Redox D~aiption Qu Sz. Coot Cobr ure ex GY. Sz. Sh. 'Et#1 'EtT~2 1 0-12 lOYR?l2 - • SL 2 M GR ML C 2 F 0.6 1.0 2 12-24 7_SYR3/2 M 2 D ioYR3/3 SCL p M ML C 2 F 0.0 0.0 3 2431 10~t4/4 C 3 D 7.SYR3/3 - _ SCL 0 M . .. - IVII, . C -1 F 0.0 0.0 4 31-72 10YR7/3 F S 0 SG ML 0.5 i.0 Bore-y ~ ~ ~ Boring 18 pd Ground surface elev. 9611 ~ Depth TA ~ factor ~ Soil Rate i ti Texture Struclrre Cor~tence Boundary Roots GPDNP Floraon Depth n Dominant Munsea p on Redox Descr Qu. Sz.. Cort_ Cobr Gr. Sz. Sh..- _ 'EfM1 'EtiC2 1 4-9 10YR3/2 SL 2 M BK ML C 2 F 0.6 1.0 2 9-18 7.SYR3/3 SCL 1 F BK ML C I F 0.2 0.3 3 18-27 7.SYR4/6 c 2 n 1ont7r~ S 0 SG ML 0.7 1.6 ~1 = BOD > 30 < 220 ngll and TSS >30 < 190 mg/L ' E • Eteuert < 30 mB/L and TSS < 30 mglL. . - CST Name (Please Print) Smnatuue ' . CST Number Dale R: Stewart 220879 Address ~ acted Telephone Number 757107th St Robesits, WI 54023 04/11/2006 t-nd 04lI3f2006 7l5 749-0145 Bade, Came properly Owner 0~~ ~~ ~ Grourasurfaoeele~r. Panel ID lk ~ ~ Page 20 ~. 2 of ~ 3 ~, Rate d Rods GP DI~ Hor¢on Depth in Dorrw~ant MunseY Redcrr Description Qu. Sz. Coat Cabr Textrie Stiuchre CY. Sz Sh. Cortsistenoe arY Borm 'EfJlj'I 'Eft 1 a9 10YR3/3 SL 2 M BK ML C 2 F 0.6 1.0 2 9-20 7.SYR4/6 SCL 1 F BK ML C 02 0.3 3 20-40 7.SYR5/8 C 2 F SYR3/4 S 0 SG ML 0.7 1.6 4 pft Ground surface elev. 9S 11 ft. ~~ ~ C factor n• Soa - Rate ~~# ~~ ~ 20 xdre T Structure Cor>sisterrce Boundary Rods GPI Hor¢on Depth in Dominant UAun®ep Redox Desrliption Qu. Sz. Coat Color e Gr. Sz. Sh. 'Ett#1 'Elm 1 all lOXx3n sL 2 M BK ML C 2 M 0.6 I.0 2 12_20 SCL 1 F BK ML C 1 F 02 0.3 3 2x30 7.SYR5/8 C 2F 10YR3/6 S 0 SG ML 0.7 1.6 F 2 D 10YR7/3 a Boring 9G5" 27 ~~ # ~ ~ Grourd surface elev. R Depth to firr~irrg factor ~. Soi t~cation Rate t R GP Df~ Horizon Depth in. Dominant Murarell Redox Descr~tion Qu Sz. Cont. Color Texture Stnx~ure Gr. Sz. Sh. Corisisterrce BorxrdarY oo s 'Eft#t 'Etftr2 1 a19 10YR4n SL 2 M BK Ml- C 2 F 0.6 1.0 2 19-27 SCL 2 M BK ML C 1 F 0.4 0.6 3 27-42 7.SYRSB C 2 D SYRSB S 0 SG ML 1 F 0.7 1-6 C 2 D 7.SYR3/4 • Effluent ~1 = BODs > 30 < 220 rngll. and TSS >30 < 150 mg/L ` EflYierd ~ = BODs < 30 mg/t and TSS < 30 tnglL The Department of Commerce is an equal opportunity service provider and employer. If yon need assistance to access services or need material in an alternate fomnat, Please contact the departanent at 608-266-3151 or TTY 608-264-87T7. san-ffimr.~(R.unoo) .. ,~' 4 fz ~ ti~ G~r~~x~ SANN~ ZZD Psi ~ ~ 3 d ISO`t" ~ ~T ~~~~-~ ~ ~j= ~~ ~ ~, uo ~z ~Cr ~. `' -~ ?-__ 9 - 9~ ~=. ~ 3 9S _ !~ ~4 ~ s ~~, s., '~ h ~X~ $ ~~ NL~ Pc~ ~ ~- s ~~ r c.~. a s ~;~ 6t' ~ a ~- visa '~ ~ ,~ g' ~,o n¢~~ qs- r~ -, ~; ~Q . ~ - . ~ ~ 'E^ ro--v- N ~t1 / ~~ ~~ ~ ~ f ~I v/ Sec, s l 7'~ 9 R 7 ~'o~JN o f t~ A M~ o N~ ~o -~' S s ~ Nay N ~ ~..~... ~X;~i -~g ~, ~~ c ~s.~ -~ z °~ r +., ~~ v~ i ~~ ~ I ~ ~: ~ ~~~ ~ ~ rid app a~ ~ PVC P_r~~~' SI ~~) 'fm`s 'S-~. 2'~ s~Q - >~- ~ ~°,~`E ~ Wiscoris~ Department of SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buiklirgs nce with Comm 85, Wis. Adm. Code ~Y StCroix Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must include, but not limited to: vefical and horaor~l reference point (BM), direction and paroel I.p_ ~ d percent sbpe, scale ordimensions, rarth arrow, and krcation and distance to nearest road. ~ Please print - - ~.-~. iRe ~ by Personal information you provide may be u d for s~e o363{F4e~acy L s. 15.04 (1) (m)). Property Owner Property Location Came ~e 31 T 29 N R 17 E ^ AUG 0 3 2006 Govt. Lot NW 1/4 sw 1/4 S (ors Property Owner's Mating Address Lot ft Bock ft Subd. Name ar CSMAk 63l 150th t ST. CROtX COUNTY 5 Sunny Dill Ciy State z4 Phone N ~Ytlage ^ own Nearest Road Roberts WI 54023 ( 7~ 5 796-7028 150thStreet New Corrstniction tJse~ Residential / Number of bedrooms 4 Code derived design Aovv rate 600 GPD Replacement ~ Public or oommerclal -Describe: Parent material Flood Plain elevation if applicable ft. C'~~ ~ 't-" department inspectors Kevin and Ryan did inspect boring sites 2-4 and did confirm the presence of redox and recommendab°ns. features. Their opion was redox features were not present in the top two horizons, and a mouml system would be required. Boring# 1 had redox features at the second horizon. ~~ ft ~ Boring Q plt Ground surface elev. 9T I 1 " ft. Depth to imting factor 12 in. Soi ication Rate Horzon Depth Dominant Cob Redox Description Textun: Stnicture Consistence Boundary Roofs GP DHF in. Murrell Qu. Sz. Coat. Color Gr. Sz. Sh. 'Efilrl 'EffAr2 1 0-12 10YR2/2 SL 2 M GR ML C 2 F 0.6 1.0 2 12-24 7 SYR3/2 M 2 D 10YR3/3 SCL O M Ml- C 2 F 0.0 0.0 3 24-31 ]OYR4/4 C 3 D 7.SYR3/3 SCL O M ML C 1 F 0.0 0.0 4 31-72 IOYR7/3 F S 0 SG MI- 0.5 1.0 2 ~~ft ~ a Boring 96'11" 18 _ _._. pjt Ground surface elev. ft. Depth to imil,'ng factor ~ J in. Soil ication Rafe Horizon Depth Dominant Cob Redox Description Texture Stnx~ure Consistence Boundary Roots GPDIIF in. MunseN Qu. Sz. Cunt Cobr Gr. Sz_ Sh. 'EfIr1 'Efllle2 1 0-9 10YR3/2 SL 2 M BK ML C 2 F 0.6 1.0 2 9-18 7 Sy~~ SCL 1 F BK ML C 1 F 0.2 0.3 3 18-27 7.SYR4/6 c 2 D 1oYx7r~ S 0 SG ML 0.7 1.6 'Effluent tt1 = 80D > 30 < 220 mg/L and TSS >30 < 150 mg/L ` E < 3o mgrL ara i 5s ~ ~ mgi~ CST Name (Pl~se Print) Signature CST Number Dale R. Stewart 220879 Address va uafion Conducted Telephone Number 757107th St Roberts, WI 54023 04/11/2006 a~ (1q/13/ZOpb ~ 715 749-0I45 Properly Owner Bannie, Carrie Parcel ID ~ Page of 3 U ~~~ Boring ~ ~ Pit Ground surface elev. ~ ft. Depth to imiing factor 20 irL Soil ~ n Rabe Horizon Depth Dominant Colo Redox Description Texhre Stratton: Consistence Boundary Roots GPDJIF in. Mansell Qu. Sz. Cord. Cobr Gr. Sz. Sh. 'Effl~1 'E1FK2 1 0-9 l OYR3/3 SL 2 M BK ML C 2 F 0.6 1.0 2 9-20 7.SYR4/6 SCL 1 F BK ML C 0.2 0.3 3 20-40 7.SYRS/8 C 2 F SYR3/4 S 0 SG ML 0.7 1.6 Borirg #I ~ BO°"g 95'11" 20 . pit Ground surface elev. ft. Depth to liming factor _.~ in. Sod n Rafe Horizon Depth Dominant Cob Redox Description Texture Stnxdure Consisterx:e Boundary Roots GPD/ll: in. Mansell Qu. Sz. Cord. Cobr Gr. Sz. Sh. 'Etf~1 'Et~2 1 0-11 10YR3/2 SL 2 M BK ML C 2 M 0.6 1.0 2 12-20 7.5 M6 SCL 1 F BK ML C 1 F 0.2 0.3 3 20-30 7.SYR5/8 G 2F 10YR3/6 S 0 SG ML 0.7 1.6 F 2 D 10YR7/3 5 Borirg " Boris ~ • Pit Ground surface elev. 96'5 ft. Depth to liming factor 27 -- `n. Soil ication Rate Horizon Depth Dominant Cob Redox Description Texture Stricture Consistence Boundary Roots GP D~ in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Et6lt1 'Eflllt2 1 0-19 10YR4/2 SL 2 M BK Ml-- C 2 F 0.6 1.0 2 19-27 7.5 /4 SCL 2 M BK ML C 1F 0.4 0.6 3 27-42 7.SYRSB C 2 D SYRS/8 S 0 SG ML 1 F 0.1 1.6 C 2 D 7.SYR3/4 ' Effluent ~1 = BODS > 30 < 220 mg/L and TSS >30 < 19D mglL ' Eflh~ent 11'Z = GODS < 30 rtgfL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. sari-s~3ar~rix m~ooa ~ - r ~r3.~~ ~F ~~ 22~ ~~ °~ rf ~` a' tom,, t~x ~~°~~' `~ ~~ "£i rr~ ego 9~ ~ . ~~~ , s F. ~~~ ~ ~ a ~, ~~ W~'.~ ~. ~~ ~~ ,~ ti+1 ~ L~ 8~ . ~_ 8 fit' ~' ~.~~, ~ ~ nt~ ~. ~~ t~~ ~~ ~,. -~ ~-,-~ ~~°-~ ~.~~ ~ q.~' ~~ `' 96 .~ ~ ~ ~ ~ ~ ~~: e~.~4 ~~q R1?v~ ~~,lN ®~' ~~ ~ ~ ~0~1,~ ~~~~~ ~~ s ~~ ~~ ---~'~ z °~ ~ rye ~. ~~ ~a~` P =, ~.~ ~, _._ _-_.~,~ _.. _ ~~...~___ . ~f ~ ~ ~~.`~ ~ 1 N ~ ~3o Rz N'Cr ~ 2, 9 ` ' it S 3 9 b ~~ °. ~ ~ 9~ ,! ~c~,LE' l''= ~.v ~ ~'x~ s T Z NL7 Pa ~N T s as p~y~l~ ~~. ~~ o 61~~ L~nte~, a f ~~ ~ Q .~ _e n e 2 cis ° ~~ • `76 ~ ~ i s~5 ~'^ ~ #° Vie,.,, B 3 k fl ~f X00 ~.~ ~ ° ? h z % f3 rn ~~d ~~ P~~G PT G~'~-2.T"~ BgNNr~ 63l 15b1" N ST R68ER~-5 G/~ ,5'023 ~i 3 ~5 N ~t %. o f S ~J %~ sec, s l 7"3q R ~?~ 1'v~N s~ ~-F a M M©N~ ~ ~o ~ S s u Nniy N r. CL ~,c; ti ng D,,,,et~ ~ ~~ h~f N ~C R~ U R _~ ~ ~ ~ _ ~~ ~ T`om' ,,, Pay 2 - __ Safety and Buildings Division County a -~, ^ 62 +® isconsin Oe artment of Commerce 201 W. Washin Ave .O. Box 71 M~ 53 - 7 Sanitary n u ©(to be filled in by Co.) ~ tau Plan I.D. Number Sanitary Permit Applic tion ~ In accord with Comm 83.21, Wis. Adm. Code, pusonal inf ~de~ 2 Q Q 6 may be used for secondary purposes Privacy I.aw, 15.114( rojea Address (if different tha ailing address) ~ N -E: C~~ , 3 1. Application Intortnation -Please Print All Information ST. CROIX COUNTY artd N t N Block N i ~ Property Owner's Name ~ ~ ''` ~ ~ ~, i1 n r ~. ~.a ,~ . Property O 's Mailing Address Property n l0 3 ~ / ~p ~ $ t, ~~ ~~ ~~., Section ~_ ~ , City, State R ^ i s " S i, b Zip Code yo ~~ 5 Phone Number ?[S-7Rlo- 7o a-8 (circle e) ~E o T N; R .. i ~ o [L Type of Buil (check all that apply) t , ubdivision Name CSM Number ~ ~° 1 . 1~J or 2 Family Dwe16 - Number of Bedrooms y s y ` ~' ' be Use ^ publiclCommacial- ^City ^Yillage ~,To , ^ State Owned -Describe Use III. T ype of Permit: (Check on ne box on line A. Complete line B if applicable) p - O - d S - O ~'o ~' O t A' ^ New System ~ Rep t System ^ Treatrnent/Holding Tank Reply t Only ^ Other Modificati Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Pertnit nsfa to New List it umber and Date Issued ~ Before Expicatfon Plumbs Owner ~ ~ IV. T of POWTS S em: Check alt that a - Filter ^ it -Grade ^ Singi ' a ~[ Non ...pressurised In-Cnound ^ Mound >_ 24 ie. of su le ^ Mo 4 in. of su ' n ilia Constructed Wetland ^ Pressurised In{rround ^ HoldingTank <, ilta ^ Aero t Unit ^ Reci •c C Rxirculating Synthetic Media Fitter ~I.eaching Chamber ^ Drip G ^ Gravel-less Pipe (O la 2 V. Dis tsaVTreatment Area Information: Design Flow (Bpd) Design Soil Application Rate(gpdtf) Dispersal aired (sf) D'tspe[sal Area Pro etn Elevation SYn 9~ l'ooo o a' / no /~ S ~ ite S Plant Vy. Tank Info / Capacity in Gallons Exiuin N Total Number Gallons of Units Mat~uf cturer W /-7 ~ (tlfl (T ` ~,~ to Constructed Glass E Septic err Ftolding Tank ew Tanks / / 8 Tanks _ ~~' „~p ~ ` f~ i3~I~""'r cs ~~ ~ ~ Aerobic Tnatman Unit Oosing Chamber ~ VII. Responsibility Statement- I, the andersign assame respoaslbility for iastaltatioa of the POWTS' wa on the attached plans. Business Phone Plumber's Name (Print) Plumbs' ignaturo MP/MP1tS Number 7«- ~v - 3 3 z 3. ~ -t ~~~ t~ ~ ~-~ ~ ~n Plumber's Address (Street, City, State, Zip a't.~u~O f L' J p t/r^~ ~- ~t~ ~Y~a3 l~ ~ !1 VI[l. Coon ~/De artment Use Onl Sanitary Permit F includes Groundwater Date Issued Agent Signature o Stamps) Issu' H ved APPro ^ Disa Borchert a Fce g ~ ~' /,~ 1 c l c ^ i n n Cor Denial I~. Conditions A provesj~ lw`' S ~~ tS ~ t~ q' i ~ ~ ' i SYSTEM R ~ ~ r _ ~~ ~ ~ ~ ^^ ~ 1 Septic tank, vent filter and ~^ ~ g~ ~ n dispersal ce ust all be serviced /maintained o-^0-- ~..S~r~ c-a U as per ma Bement plan provided by plumber. (~ _ ~ (1 J ~ .1- 0uro ~ ~t"~ ~e I o . 2. All setba requirements must be maintained r a~ as per applicable code/ordinances. S 0 ~~ an paper sot t t n l l~ z 11 ~ ~ ~ ~ ~s~ ~ ^a ~ . ~ } ~ O1/0) v SBD-6398 (R . ~ ~ f~~~n.A~ ~~` hr...~-~ S ~~ 1 ~ ~ ~ i 1. (~p.~,~ ~ ~~~ _ ~ ~ ~~ -_ ~ ~. .~. C~I~~W~ J~J h,~_ QMJ1I S . ~ •~~~ G°,D.~ 9 `~® ~ ~e h ~ 6° ~ k ,tea ~~ '~ v w..d:9 d~.4 "~ ~ ~~ ~ ~ __ ~ h '.~ ~ • ~ :~ ~~a a~~ ~ ~ ~~`~ ~ r I~ a3 ~® ~~~ -~ . ~._ ~~ ' ~ Bp ~. ~~ 0 rv,y. ~' ~, ~, I ~ r.:'C: c.N1t~r. ~`°" `"~ ~~ lT ~ ~~. -~ ~~ - 11 ~° ' Q ~ n ~- 0 ~ ~ ° -'-~ ~~ ~~~ 8~~ ~®f ~~ ri I;I I~I !:4~'I~ ~'il ~~~ 111 ~~~ I~ ~. , ,~,~ cam. ~_~ ~ ~ ~ - G- ~T 61 (y: A /~a 2.1I ~~~ ~~ ,~%e ~v'~F ~ . ~, 9 9~e~~ ~~ °' ~' ~~ ~~ ~ ~~S ~ d... y ~3 e _..e_..>._P k~ ^^N' 'V M M 5-- ~, Z~-. s ~' r~ a v ~ ~ N 1 3 ~ ~~ 9 ~~ ~~ ~~ ~~ ~~ 3 ~ T i d d a ~ ~~ 3 ~-- ..- Y Omer Ba>mie, Carrie Parcel ID ~ 2 3 Page of 3 V Botir~ ~ ~ ~ ~ ~~ ~ ~ ptt Ground surface elev. ~ 4 t~ ~ Depth to irriiirg factor ~~ n Soi Rate Horizon Depth Domirrar-t Redox Description Texture Strucfire Cor~stence Bandary Rods GP D/~ in. Mu~eeY (1u. Sz. ConL Cdor Gr. Sz. Sh. 'Etf>«1 'Et~2 1 0-14 10YR2/2 SL 2 M SG ML C 2 F 0.6 1.0 2 1423 10YR3Ka C 2 D 10YR3/2 SCL O M ML C 1 F 0.0 0.0 3 14-36 7,~YR5/g COS, O SG ML C 0.7 1.6 4 3086 l0 8!1 Z FS O SG ML 0.5 1.0 /! Z ~~ ~~ ~ ~~ ~ !'.1 q~.~~ pit Ground surface elev. ~ 4 R. Depth to ~9 factor ~~ in- Sol Rate Horizon Depth Donrnar-t Redox Description Texture Struc4r~e Consistence l3andary Rods GpDJR' ~. Hansel Qu. Sz. Cont Color Gr. Sz. Sh. 'Et~1 'E1fR2 1 0-10 10YR2/1 SL 2 M GR ML C 2 M 0.6 l .0 2 10-24 7. YR3~4 SCL O M ML C 2 M 0.0 0.0 3 24-48 7.SYR4/6 S O SG ML C 1 F 0.7 1.6 4 48-84 10 7!2 Z ~ SF O SG ML 0.5 1.0 t/ ~, ~. ~ ~I SID ^ ~ Grarnd surface elev. it. DepM to 6rrrting factor in. wren ~ ' Etluent !l1 = t30Da > 30 < 220 rrgll and TSS >30 < 190 mglL ' ERluent t1!2 =130Ds < 30 mglL and TSS < 30 rngll. The Department of Commerce is an equal opportunity service provider and employer. If yon need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-877'7. sao-a~3ar~~x.o7roo) ,~ ~~~,`~s: ~ ~ 9~° ~ ,a ~~~, ~ „ N 1~ ~~ ~.~ ~~ ~~ ; h I~ F i P'~~~ ~~~ -~ ~ .. S~C3l l Z~~R17W` L ~ T U 1t~ Y ~l ~~~~~~ ,- ~.~ ~ ~~ q ,r CJ 1 ~ ~~ f le"` `~ CQtt _ 1 ~~~~//~ ~' G l i° ~~ • ArcIMS Viewer Page I of 1 ~o~ . C f ~ i cx.~ ~i (ol /c ~, , ~~CZ I r ~~v I' http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 2/1 /2006 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of ~- FILE INFORMATION Owner ~ ~ Permit # ~~'~''© ~S DESIGN PARAMETERS Number of Bedrooms ~ ^ NA Number of Public Facility Units ~ NA Estimated flow (average) ~ o o al/day Design flow Ipeakl, (Estimated x 1.5) (o 0 o al/day Soil Application Rate r ~ galldaylftZ Standard Influent/Effluent Quality Monthly average " Fats, Oil & Grease (FOG- 530 mg/L Biochemical Oxygen Demand (BODS) <_220 mg/L ^ NA Total Suspended Solids (TSS) _<150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) <_30 mg/L Total Suspended Solids (TSS) <_30 mg/L (i~NA Fecal Coliform (geometric mean) <_10° cfu/100m1 Maximum Effluent Particle Size Y8 in dia. ^ NA Other: Lr9, NA "'Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity /eZ~d al ^ NA Septic Tank Manufacturer W ~,,.,1.s~~ ^ NA Effluent Filter Manufacturer ~ o~.Q ^ NA Effluent Filter Model ~- - !oo ^ NA Pump Tank Capacity _ al ~ NA Pump Tank Manufacturer = ~- ~ NA Pump Manufacturer _ _ M NA Pump Model - ~ e NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ~NA Dispersal Cells! - ~n-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ®NA Other: ®NA Other: ~ NA MAINTENANCE CCHFrflll F Service Event Service Frequency Inspect condition of tankls) At feast once every: ^ month(s) (Maximum 3 years) earls) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third IY31 of tank volume ^ NA Inspect dispersal celllsl At Least once every: ,3 6~ year(s) s) (Maximum 3 years) ^ NA Clean effluent filter At least once every: ^ month(s) ,. ,~ ~ yearls) oz o.a. ^ NA '~'-cn ra Inspec=t , ... ,,; ~cr~.~ ~ alarm At least once every: month(s) ; ~ year(s) ^ NA Flush laterals and pressure test At least once every: ^ monthlsl ^yearls) (!S NA Other: At least once every: ^ month(s) ^yearls) ®NA Other: ~ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visua{ inspection of the tankls) to identify any missing or broken hardware, identify any cracks or Peaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY31 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical. or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) Page ~ of ~- START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of pairting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the cellls) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ® The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN 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 IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~ i Phone ~ ! $-- '7 ~ Q - 3j 7J ,r'_,2 SEPTAGE SERVICING OPERATOR (PUMPER) Name ' S.2c.a4-4 S~„ri.t-p ~~ Phone `i L S - "1 .L Q - ~ / ~~ POWTS MAINTAINER Name o.~L Phone 7 (S - ? Y Q - 7j ~ ~ ~ LOCAL REGULATORY AUTHORITY Name fit', ~ , Phone `7tS- ?jv°6- y(p$o This document was drafted in compliance with chapter Comm 83.2212)Ib)(111d)&If) and 83.54(1-, (2) & 13), Wisconsin Administrative Code. - -- ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~ OWNERSHIP CERTIFICATION FORM OwnerBuyer - ~ ~`~'- , Mailing Address ~ 3 l 1 v~b ~ ~ ~' , Property Address (Verification required from Planning Department for new construction) CitylState ~ o'er ~ ` Pazcel Identification Number o ~ 8 - ! o~R - K ~ - o ~ ~,EGAL DESCRIPTION Property Location ~ ~ i/4, ~ ~ `/4, Sec. _ 3 I ~ T ~ ~ N-R > 7 W, Town of /~ Subdivision S ~~ ~ ~ -~~ __ ,Lot # Certified Survey Map # .Volume .Page # Warranty Deed # ~ y S y b q ,Volume ! 8 3 S ,Page # ~ 3 a Spec house ^ yes ®no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on site wastewaterdisposal 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 Zoning Office within 30 days of the three year expiration date. SIGNAT OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. >Z/Zu~aS SIGNS OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ':i?1.. ~Uc~.3~PAGE U~O STATE BAR OF WISCONSINFORM 7 - 1999 TRUSTEE'S DEED Herman R. Heinbuch and Delores C. Hein as Trustee of The Heinbuch Trust dated July 10, 1996 _ for a valjj}}~~ble consideration conveys without warranty to Ca snnie and _ Suzanne`~annie, husband and wife _ Grantee, the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendum): Lot S, Sunny Bill, St. Croix County, Wisconsin. • Delores C. Heinbuch Dated this ~3 day of April 2001 - i • Herman R. Heinbuch Trustee AUTHENTICATION Signature(s) authenticated this day of Nota Public s TITLE: MEMBER {if not, authorized by ~ 706.06, Wis. Stats.) 6.-4 S 46.'9 Y.ATHLEEN H. WALSH i:EGFSTER OF DEEDS ST. CROIX CO., WI RECEIVED fOR RECORD 05-14-2001 3:00 PM TRU5TEES DEED El(ENPT M CERT COPY FEE: COPY FEE: TRANSFER FEE: 462.00 RECORDING FEE: 20.00 PAGES: 1 Recording Area ; Name and ReW Address ~k~.~s~h, ~~ -~. 3~a 23 ~ 01 . -- ~arcel Identific lion Number (PIN) Trustee ACKNiOWLEDGMENT STATE OF WISCONSIN ) • ) ss. . ~ (X County } Personally came before me this v~s -~ aay of APril 2001 the above named Herman R. Heinbuch and )Qelores C. Heinbuch as Trustees of the Heinbuch Trust dated July 10, 1996 to me known to be the peCSOn(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney 1Cristina Ogland • Hudson, WI 54016 Notary Public, State of Wisconsin My Commission is permainent. (Ifr ot, state expiration date: (Signatures may be authenticated or aclmowledged. Both are not necessary.) ~!r"' S~ aG O a-- ,) Names of persons signing in any capacity must be typed or printed below their signature. ~ntormalion vroressionais company, Forty du tae, Wf eao-ess-zozi STATE IBAR OF W ISCONSIN TRCI5TEE•S DEED FORM No. 7 - 1999 Mf~.IC°~~4~'C~D_~D~ OC~1G~J[~D ~ ~7 O`t~]G(~3~3 1;E~OTH ~~~ ,, WEST LINE OF THE SW1/4 NOO°15 41 'W 1313.8 DEDIC N00°15'41'W 1313.86' ~.~, 231.00' ,so.oo'_ - - ____ . - - 364.76' - - . y ~ ~ ~t- o s m ~' ~- tio ~ ............ ..........., ~, .® ' ~` ~ ~ ~ O < ~ O~ ~ r r Z ~ ~ 00 ~ ~ ~ ao ~ ~ 66.C 3Jb~!!`d~J z ?I ~ $ ~ ~~ ~ami ~~ ~ I 7nn7[[ I ~ 1 ~ _ ~' ~ ~N ~ ~ QV ' 1 ~ '~ • ^~ 1f./ ,~ c~'n c~ _ m ® ~ ~ I ~ ~ ~ ~_ ~ _ N ~ 'y~' f W I ~ V N • rlj ~ ~8 55~~ Ili to n N AO'4EZ 3.14,54000 Go fJ ~ i ~ ~ • ~ I • I J ® • I AO'O6l3.lb,5L000S ~ * I j I f w ~_ I I • ~ I I ,E.9'S9E 3.44~5L000S I ..a ~ ~ `;y Z ~ •. O ' ~ O _ ~ W _ ~ OrZ ~rZ iN ~ T (TI - V ~D~ g;~~ ow •~ ;a /n cmn ~~ v' m p ~ ~ umi ~ / O/.a ~o~ DoT .n~,n commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.govlsb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 14, 2006 CUST ID No. 227710 WALTER F NECHVILLE 967 HWY 65 ROBERTS WI 54023-8510 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/14/2008 SITE: Cary Bannie 631 150th Street Town of Hammond St Croix County NW1/4, SW1/4, S31, T29N, R17W Lot: 5, FOR: Identification Numbers Transaction ID No. 1287586 Site ID No. 715142 Please refer to both identification numbers, above, in all with the Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1084864 Maintenance required; Replacement system; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); 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. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities WALTER F NECHVILLE Page 2 7/14/2006 that impact the treatment and dispersal are prohibited. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the 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(7) A cop~of the approved plans, specifications and this letter shall be on-site during construction and open to inspection bXauthorized 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 may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. WALTER F NECHVILLE Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov Page 3 7/14/2006 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: James K Thompson , A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726-2544