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Home My WebLink About018-1089-06-000Wisconsin DeparfMent 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)]. Permit Holder's Name: City Village x Township anello, A ril Hammond Townshi CS BM Elev: Insp. BM Elev: BM Des 'ption: r' IIVri IIVr'VKIYIHI IVIY TYPE MANUFACTURER CAPACITY Septic < a Dosing ~v A n Holdng - TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ~ , S'S' t ~, - ~ ; Q - ~' .~ Dosing , ~ , ~ , Holding PUMP/SIPHON INFORMATION 3 3 S c,,pr ~ e Manufacturer Demand ~ GPM Model Number ~' . q TDH Lift Friction Loss System Head TDH t Q,0 / ~ ,s' ~'. L Forcemain Len th Dia. ist. to well ~ ~ Z ~ a~ SOIL ABSORPTION SYSTEM BEDITRENCH Width Length DIMENSIONS / ~ ~ SETBACK SYSTEM TO INFORMATION Type Of System: DISTRIBUTIO SYSTEM t~7 / T CLCVAI IVIr U/11/1 county: St. Croix Sanitary Permit No: 395213 State Plan ID No: Parcel Tax No: 018-1089-06-000 STATION BS HI FS ELEV. Benchmark .~3 ,s3 Alt. BM 3. Bldg. Sewer ~, Q3.3 ~ tlnlet X39 ~~ SUHt O Dt Inlet Dt Bottom 3 ~' a Header/Man. ~ ~,~ ~~ Dist. Pipe 2 • p p, ~ ~ Bot. System 3. y(~ l Final Grade St Cover ,. ;~,,. >:;~ . -;~ PIT DIMENSIONS No. Of Pits :Dia. Llggid Depth CHAMBER OR ~ r_ UNIT Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ~ ri Length Dia ~ Pipe(s) rl ~ Length zy' Dia Spacing ~ ~ ~, N Z y ~'~ SOIL COVER Y Pracellre Systems Only YY Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~~/~ // I/nspection #2:~_/ L ~/~~ 1 S ,Q~~' ~ `~'t`SParcel No: 31.29.11.711 Location: 627 150th Street Hammond, WI 54015 (NW 1/4 SW 1/4 31 T29N R17W) Sunny Hi I Lotll+ `~ (! ,r _ n n r 1.) AIt BM Description = `~ d`Y T~~~n~ ~~ '~~~~ ~ a-~ ~ ~r.> ~~eG~' 2.) Bldg sewer length = /~, ~ ~ -amount of cover = y y 3.) Contour = `'; ~ 9 Y, OS ~ 3 - ? ~/ , U D ~ (~ ~ . 5~3 Plan revision Required? ^ Yes ] No Use other side for additional information. o S I ~ Date Insepctor's Si ture Cert. No. SBD-6710 (R.3/97) h~' ~~ p e -t~~ -~ l /5 ~/ °1 / Z ~ /.Sa ( ~ S ety & Buildings Division \ \,~! Sani t a Permit A lication rY PP 201 W. Washington Ave. 7 I _ PO Box 302 ~~C~~S~n In accord with Cotnm 83.21, Wis. Adm. Code Madison, WI 53707-7302 Department of Commerce Personal information you provide maybe ndary purposes (Submit completed form to county if not [Privacy Law, s. f ) ~ state owned. Attach com lete Tans to the coun co onl ot<,th stem, on a s than 8-I/2 x 11 inches in size. County State S ry Permit Number ck if~ri ' o previou ~ Raj ation State Plan D. Number t ~Z 5 ~ I. A lication Information -Please Print all Informatio ~ Location: Property Owner Name ~ i~ ~~ Property Location / ~ E ~. U ~- ~ it /4, T ,N,1F / W 1 /4 •- Property Owner's Mailing Address ~ ~ ; ,. -~ y Lot Number Block Numb f } l ~ ~ ~~( f~ ~~~ ~ ~ ~J / . _ - K City, State Zip Code ~ Subdivision Name or CSM Number II Type of Building: (check one) ^ 1 or 2 Family Dwelling - No. of Bedrooms ~~ ~ ~" j~ ^ City ^ Village ~~~y-~- ( ) ~- ^ Public/Commercial describe use : ~ Town of .~ j ^ State-owned c~~~2~~ III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road ~ 5• ~ •,~,` A) 1. I~AIew System 2. ^ Replacement 3. ^ Replacement of 4., ^ Addition to Parcel Tax Number(s) 3/. 2 9. (~_ ~`~ S stem Tank Onl Existin S stem / - - p - $) Permit Number Date Issued ^ A Sanita Permit was reviousl issued IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground .Mound (`~ k S-p ~~ ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V Dis ersaUTreatment Area Information: C r = -S' ~ 33 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./da /sq. t.) (Min./inch) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks r~~~ ^ ^ ^ ^ G ^ ^ ^ ^ ^ VII Responsibility Statement I, the undersi ed, assume res onsibilit for installation of the WTS shown on the attached lans. Plumberr's Name (print) Plumber's Signature (no mps): n MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) ~--,_..__. , ~'~ ~'` ~ i ~ ~~ ~s • ~~~ ~ ~~ --/ - ce-- ~~~ , ~, o' ~ ,~ 3 ~ VIII CountytDepartment Use Oniy ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued tssuin gent Signature (No stamps) ~1 Approved I v ^ Owner Given Initial Adverse Surcharge Fee) ~ ~ f~ - Determination ` z-.S V ~ IX. Conditions of Approval /Reasons for Disapproval: ~) ~ 10~0~45 Cd •~~ ~s { ~~ . cK. 5~~ 1~~~ ~ r~,r.a , ~. Certsrs~~f v~t-~ p ~'. ~ ~-~ l~ ~~!-~~GcL~..t ~i'(F¢/ !/d ~h i~wS,~wt~q Q~ .1!G~~t/rGeq ~¢!~ l+~~in~.11'FAC1'cc.Y~r~S /CGoi+in~h~'~i1~'~.5. i a~~~ , ~ i ~,-.., ,;,,_ , Satety and Buildings C*~~ 4003 N KINNEY COULEE RD ~ ~ ~,. ~ ~ ~t \~•' ~+~ !J _ lA CROSSE WI 54601-1831 ~~` ~,F,,~+~ ~ ~~' TDD #: (608) 264-8777 isconsin ~~ ~^ { www•commercestate.wi.us/sb '~, ~' ~ www.wisconsin.gov Department of Commerce ~ !`~`~ •` ~~'`~' ~~~,, - S~N~~F~G~ Scott McCallum, Governor `. e~('O Brenda J. Blanchard, Secretary :~ July 23, 2001 \; j i , _ ,.. ~ . , , CUST ID No.691727 ATTN: POWTS Inspector ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/23/2003 Identification Numbers Transaction ID No. 662591 SITE: Site ID No. 633282 APRIL RANALLO Please refer to both identification numbers, 150TH ST above, in all corres ondence with the a enc . TOWN OF HAMMOND ST CROIX COUNTY NW1/4, SW1/4, S31, T29N, R17W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT [D NO.: 803367 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDIT[ONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to pcoper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • 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). In addition, 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. • 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. ..• TITLE SHEET Page 1 of ~ FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance Faith the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573=P C CZ. b lq.q~ C R- 6 L~iq~ LOCATED IN THE NW 1 /4 OF THE S W 1 /4 OF SECTION 3 ~ , T Z ~ N, R 17 W, TOWid OF _ }-~-QSy,/1y~pyu~ ST-C~-UI}( COUNTY, WISCONSIN. _~-- -- - INDEX PAGE 1 of~7 TITLE SHEET PAGE 2 Of 7 SYSTEM riAI~TAGEMENT PLAPd PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEtJ-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.IPING CHAP~IBER CROSS SECTION PAGE, 7 of 7 PUriP PERFORI.IANCE CURVE PREPARED FOR Q-O- J3UX. 131 @~3-.. _ R~S~V l L\.L' ~ MN SS 1.13 PREPARED BY WEGEI~ER Sfl I L -TESTING AtYD . • DES = G;V S~RV I CE P.O. Box 74 421 Id.~Iain St. River Falls, ldI 54022 Phone 715-425-0165 Fax 715-425-6864 RfcEfvEQ JUL 1 6 2001 SUETY & BLDGS DIV. Conditionally ~PROVEo a~n~r of co~~ ~ E,. ~ `~ 1 Y+ ARTM,IR ~ ~ µlF~eFEA Dp15 P ElLSW(K{TH ~.~ ~~ , ~, ~- ~ z,v~ JOB N0. Ol-~~?~ Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code 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 enclosufe. 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 tanks 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, Safety and Buildings Division. Pumc 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 Svstem 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG. 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. W hen a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occuned 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] arid 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. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at ~~~J-3$~ - i,/6 gp ST`, ~-~2.V iX The system installer at The tank manufacturer at spa -32s_8 U s 6 W1 ~rz The effluent filter manufacturer at ~~0 - Z-2~ - Sal [ Z ZP~B~ The pump manufacturer at: gOO - q.~= p DL'Z~~--- - _.__. • PLOT PLAN Scale 1 "= U 0' /~1 ~ i Tb ,~ ~` DSO `x'1.1 S~'- ~°f0.00' t~l~' i ~? !5 ~\ a$ / ~~ ~~ \ \ ~b 0 6y S ~' o F \ Z~~PVe F. w,, f~ /.fib ~~ 7 a~ A ZJO NAT SJf~~- a R D ~s1v ~l~ wn, t 4' `--~ 3 Bp ~ ~M~ ~°~\ ~~ o~~ ~~~g'~, ~~ ~~ ---- ~=.~~ 0=~_p _~ ` G P~b2 ~ x ~6 se~1t~ ~~~ ~Lo ~RuN -o F ~t s~.~-__ ~ ' 7 Page 3 of 1 NOTES • - - -- - 1. Elevations shaven are existing ground elevations unless otherwise noted.. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1pp ~ S gallon capacity manufactured by l Eg ~ • Ct~J C R._-~ ,,~ ~ F} 18 00 Z ~ ~. F t ~`r-~z 4. $ench mark 5 S:wVL ~. Divert surface water around system to prevent ponding at the uphill side. P_pproved Synthetic Covering AST~i C33 Medium Sand Topsail ~_ - _1 i 3 _ }` .' Page ~ Of ~ Distribution Fipe I~ '~'~,Elev. ~T8 . Z Io ,~ . b ~. % Slope Distribution Cell of ~ ~ Force Main Z" to 2 2" Aggregate From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rate= G-~ GPD/LN FT Design Loading Rata=p,l~,SGPD/SQ FT • L- .} . 8 - r-- - ---- A ~- ~b.B---- -- . ~Oistributi~ Pipe 1 A ~; Ft. 8 5 O Ft. I 1 1 Ft. J ~ Ft. K ~ Ft. L .6~ Ft. w Z ~ Ft. Flowed Layer D O• S Ft. E 0.59 Ft. F ~.~ Ft. G ~ Ft. I' t. Q Ft. t ~I -Observation Pipe . ~ K ------ -----------------------~---0 Force Main ---=---=----- L ~~ ~3~zs fir' s~;~ o~ppc~s ~`rE ~ ~ ~ ~~~ to 2~„ QuD Cell of z s aggregate Observation Pipe ' ' PLAi~ VIED Or^ A MOUND SYSTEt4 Distribution Pipe Layout Page s of ~] Place the holes at the bottom of the distribution pipes . at equal spacing. Remove all burrs from the pipe and holes. Extend-the end of each lateral up with the use of long turn or 4~ ° fitting to a point within six ." inches of the final grade. Terminate the ends of the laterals with avalve,-threaded cap or . threaded plug. Provide access from final grade for the valve, threaded can or threaded plus. -ti?CC`ss B0~_ - T `i P_ 1 CTS L . _ Z,ZOS S . 5'~L'T101~7 PVC ~. FuC PVC Latera( Manifold /~ Lateral 1 c- _ P h psL11 FO LC a-- -- o-- `- i}cc,~s soK - -o PVC ~=o~C~ y~~ ---c ~'"~orn-, P 2. ~{ Ft. - S 3 Ft. X Z 3Inches _ ~q Hole Diameter ~/~ Inch ~ ~ ~ " - Lateral " ~ ) ~ Inches) - Manifold Z• Inches Force Main " ~ Inches - # of holes/pipe 13 ~ ~ " - Invert Elevation of.Laterals 9 g•7 Ft. 131L o•~l~l= 5-33 x.6 31.4F3 GPy"') " !~- L'PrN V ~ ~ --- . ..' _. •~ Combination Sept,3c~.Tank and • • PUMP CHAMBER CROSS SECTION AtJO SPECIFICATIOAIS ' PAGE _~ OF .. .._ ~- WEATHER PROOF • -VEIJT CAP • JUIJCTION 90X . ti C.I. VENT PIPC ~ APPROVED LOCKING ~ lO' FROM OOOR, ~ ~wARN1UG vLP. E~ ~sP~G10U p(pE :/~UOOW OR FRESH _ w!N•itzZlcttT- ~p ' F[ N 1$~ • G+~t'DE IS'KIN. IAILET APProved joint w/ PVC pipe A~IUTAKE ~ ~ ~• ~ -- j f,`+~w. ~-- q ~ S f ~ a .~. ~~ 8 gFPLt .q zPZe~. u~~ t~--1800 CLCV.°~!• OU fL COtlpltlT I 'i~ Hill. • ~__ _~ 18'Mlu. ' 1f ~ \ ---------- 1l --- PROVIDE I -- ~~ A-RTILHT SEAL I ~ I I (I~ -• ~ ~ ~~ I Approved ~ ~~~ joint w/ ALARM PVC pipe a ~ II i ! ~ I ou • c -I I _ I PUMP ~ -'~ ~ OFF D CO-1CRETE • DLOCK ~- RISER EXIT PERM17fED OIJLy !F TAIJK MA>JUFACTURCR HAS SUCH APPROVAL~3"1-APRotiEp BFDDtN~ SEPTIC E SPECIFICATIOI`15 DOSC T/~.1.IKS MAIJUFI-CTURCR: W~' /~~ ~~ C-2~T~ IJUMBER OF. DOSES: ~ • $ pER p,,,y TA1JK S-ZC: _ lOVb L E~ 50 GALLOAIS DOSE VOLUME r ALARYI MAUUFACTURCR: S Z'.~.~TTZn S~"~-~ g INCLUOIIJG 6ACKPIDW: ~ `~ Z GALLON: MODEL IJl1M8ER: ~~l Hw CAPACITIES: A= ~a IUCHESOR .30(-, • CALLOUS SWITCH T~PC: - ~ ~2CU~~f 8 = ~ IIJCHES`OR 3T G~LLOIJS PUMP MAIJUFAGTURCR: ~ ~--LIZ C= ~ IUL11E5 OR ~~Z CALLOUS MODEL NUM6ER:. ~.a •~~ - D= ~ Z INCHES OR ZD GAlLOlJS SWITCH TYPE: _ ~ ZL°,UIZ~ UOTE: PUMP AUD ALARMMARC TO DC1O MIIJIMUM DISCKAR6E RATE 3~-q~ CpK INSTALLED OA1 SEPARATF CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP OFF AUO..OISTR-BUTIO~I PIPE.. ,'~~ FEET + KINIMUM NETWORK SUPPLY PRESSURE . ; , , , , 6-SOFCET° ~S_Ost 1. 3~ 'F S ~ FEET OF FORCE MAIIJ X Z'' ~'6 F~o FCFRICTIOU FACTOR.. ~~'~~ FEET TOTAL Dy1JAMIC HE:AO = ~' S'Z -FEET -- As per >~anufacturer gal/in. Liquid dept~c~?~> ~~ ' , ' w ~, 3 7/6 ~' ~ 6 1/4 . ~ ~ HEAD CAPACITY CURVE ~ so MODEL "98" 4 5/8 -~ s - 25 ®~ ~ I i ~ ~ ~ 3 5/8 x 6 0 v ® Q I ~ i ~ 15 IS•~ 0 '~ 4 3/i6 0 10 I ® ~ 5 o-t--~~ U.S. GALLONS 1 LITERS 3 !. ~I 30 401 80 160 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTANO DEWATERING caPacrrr HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 20 6.10 25 95 Lock Valve 23' 60 1 70 80 240 4 3/16 ` ~ ~ _~ SK7102 CONSULT FACTORY FflR SPECIAL APPLICATIONS • Electrical altemators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available with Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls. SELECTION GUIDE Standard all models -Wei ht 39 IbS - Y2 H P 1. Integral float operated 2 pole mechanical switch, no external control required. 98 Series Control Selection Model Volts-Ph Mode Amps Simplex Duplex M98 115 1 Auto 9.4 1 or 1 8 7 - N98 115 1 Non 9.4 2or28;6 3or485 D98 230 1 Auto 4.7 1 or 18:7 - E98 230 1 Non 4.7 2or286 3or485 1 1/2-11 1/2 NPT 2. Single piggyback variable level float switch or double piggyback variable level, float switch. Refer to FM0477. 3. Mechanical alternator 10-0072 or 10-0075. 4. See FM0712, for correct model of Electrical Alternator, E-Pak. 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 6. Four (4) hole J-Pak, junction box, for watertight connection or wired-in simplex or duplex operation, 10-0002. 7. Two (2) hole J-Pak, for watertight connection or splice. CAUTION ForinfortnalanonadditionalZoelkrproductsrefertocatalogonCombinationStarter,FM0514;Piggyback All installation of controls, protection devices and wiring should be done by a qualified Variable LevelSwitches, FM0477; Electrical Alternator, FM0486; MechanicalAltemator, FM0495;Sump/ licensed electrician. All electrical and safety codes should be followed including the most Sewage Basins, FM0487; and Single Phase Simplex Pump ControUAlarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -~ ~, ,. ~ ,.o.,,, MAIL T0: P.O. BOX 16347 OELLER L~1 k ~ ~~~' Manufacturers o1. . ~ SHIP T0: 3649 Cane Run Road ~ Lorasville, Ky 40211-19x1 %jaeurrPuwvs S,vcE /939 PL/MP !O. - (soz~ ns-2731.1(son~ 928-PUMP FAX(502)774-3824 ARTHUR L WEGERER Page 2 7/23/01 • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Pemut 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 private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~~ ~~~~~ Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce. state. wi. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: APRIL RANALLO «• !/- . °" ~ SOIL EVALUATION REPORT • Wisconsin Department of Commerce Division of Safety and Buildings ,.,.~, ,.,,,,,,,~ QS ur e.~.,, r,,,~ 1334 Page 1 d 3 AC.E. Sal 8< Site Evaluations ~~ Attach canplebe site plan an paper not less than 8i4 x 11 inches'ar size. Plan must St. Crobc include, but not 6nQed to vertical and twr¢oMai reference point (Bluff, dxection and Parcel I D percent slope, scale a danemsions, oath craw, and location and distance to nearest road. . . 018-1069-40-050 Please print all infonr-atlopi.___ 04 (1) tm)) t 15 ~ Peisanal hformalion be used ror sao~M~a oses (Pmrac ou rovide me ro Revieuved gy Date • Y ` . Y p Y ry p p / , : ~ ..' ::,= Property owner ~ ~1rt. ~ a~operty I~cation Steven 8< Rene Heinbuch Fami T S ~''*~ r ~, ~ . '-• ~ ~ NW 1/4 SW 1/4 S 31 T 29 N R ~ 17 W Property Owners Marring Address ~~r ~• ~L'af Block # Subd. Name a CSAA~ 1624 Co. Hwy. C ~.; ~~ Sunny Hill City State'~ip~odeQbone urt'iber '-,;~ Cily ' ?; village ~ T ~,~ Road Hammond ~ WI !,54015 7~~-,795521 ~ ~ ~1l.i Hammond ~ - --~,,+' ~° Th Street - .IBC V1V~ 1 h \ l / NewCarrstruction Use: ~ Resfderrtial~ dbedrootns•':.! ~ 4 .~) oI r~EIVLU •' 0 GPD Rep lacerrrent - ~ Public o( y Y ` Parent material . Glacial drift over weathered sa3- ~ ~ edrock plain , ~ ` ~O! I ~ `''' na Genera l oormrent s ~ %. ` . ~ ' ~ ~ ` ~ ~.t ~q "' ~' , ' r and rerc arr>mendav orrs: Recommended system elev. = 9 con 8.20' at 6" above 97.70 ~~ p~ - ~ cP Za't I ,, C ~ c ' ' ~' ; 2 ~ Pd Ground Surface stay 98.31 tt Depttr to 6rttitin9 factor Sal App6ca6on Rabe Haaon Depth Domhiant Color Redox Description Texture Stnxtirre Consistence Boundary Roots ~~GPD!(t= 1 0-11 ~ 10yi2/2 none sil 2fsbk mvfr as 2im 0.5 0.8 2 11-25 10ry4/4 none - s0 2fsbk mvfr cs 2f,1m 0.5 0.8 3 252 10yr5/4 none sil 2msbk mfr cw 1 im 0.5 0.8 4 322 10yr5/4 m 1 p 7.5yr5/8 sl 1 msbk mfr aw 1 f 0.2 0.3 5 420 7.5yr4/4 f2d 10yr5/8 sl Om mfi gw - 0.3 0.5 6 60-94 10yr8/2 map 7.5yr5/8 vfs Om mfi - - 0.4 0.6 Y1 Pit Ground Surface slay 96.98 R per, to uniting factor 40" ~- Sal Application Rate a~~# ~~~ Haracn Depth Domiurnt Color Redox Desaiptiorr Texture Stnklure Consistence Boundary Rook ~ GPDIit: 1 0-11 10yr2/2 none s~ 2fsbk mvfr as 2im 0.5 0.8 2 11-20 10ry4/4 none sti 2fsbk mvfr cs 2f,1m 0.5 0.8 " 3 20-31 ~ 10yr5/4 none sil 2msbk mfr cw 1fm 0.5 0.8 4 31 ~0 ,10yr5/4 ~ none sl 1 msbk mfr aw i f 0.2 0.3 5 405 7.5yr4/4 f2d 10yr5/8 sl Om mfi gw - 0.3 0.5 ~. 6 45-86 - 10yr8/2 map 7.5yr5/8 vfs Om mfi = - 0.4 - 0.6 Eta #'I = BOD ~ 30 < 220 mglt. and TSS > < 150 mglL '_ #2 = BOD <_30 rtrgA. and TSS <~30 mg/L . CST Name (Please Pnrd) ~> S" CST Nrrrrber .. _... ,...y. ,.,. +w...X,.a. := -3602 .. .' - .'..,' 'C~-i+ - James K Thompson ~:-~ ~~ `A.C.E'Sal 8 Site Ev®luatiars •' valuatiar Carduaed Teleptrone Nurtrber ' 340 Par~scri Lake Lane,' Osoeda, VVI 11 /16100 715-248 7767 n~, . ~, Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ......,..~'r.~....e..,ar, !`n.v.m AS Wic Atim r:rYia 1334 pie 1 of 3 A.C.E. Sal & Site Evaluations ------ --- -- - County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Crooc include, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to nearest road. north arrow scale or dimemsions e ercent slo Parcel I.D. , , , p p 018-10690-050 Please print all Informatl~pi.___ By ~ p Personal ir>formatbn you provide may be used fo~sgcondary purposes (Privacyt'a~wys. 15.04 (1) (m)). Property Owner ,'.`.~~`~.. ~r / roperty Location t `T' r• •-r•-•;'~ '1 -. Steven & Rene Heinbuch Family Tr Goat. Lot NW 1/4 SW 1/4 S 31 T 29 N R 17 W Property Owner's Mailing Address --~ t'~ ° ""' ~ 1 ' ~ Lof # Block # Subd. Name or CSM# . ~ 1624 Co. Hwy. G "~;; ~, ~n - -.--~ Sunny Hill er City State ;Lode; . ur1'tib ~ City _j village Town Nearest Road ~ _ ~x Hammond ~ WI °;541115 7 ~ - .5521 ~ Hammond 150Th Street ~,rzi~FY~'-' Use: ~" "`~`~~ Code derived des- n flaw rate i+" New Construction ~ Residenti~i /. mbar of bedroQnis~> ; 4 ~9 J Replacerrrent J Public e3[ coynr~rcisl= q~sbri~= Parent material Glacial drift over weathered sarid'stotTe"5~edrock Flood plain elevation, rf applicable General comments and recommendations: Recommended system elev. = 98.20' at 6" above 97.70' contour. bUU na vru Bonng # -~ ~~ iV' Pit Ground Surface elev. 98.31 ft. pepth to limiting factor 32" in. Soil Application Rate l n i ti D R d Texture Structure Consistence Boundary Roots GP Dff t2 Horizon Depth or Dominant Co escr p o ox e *Eff#1 *Eff#2 1 0-11 10yr2/2 none sil 2fsbk mvfr as 2fm 0.5 / 0.8 ~ 2 ~ 11-25 10ry4/4 none sil 2fsbk mvfr cs 2f,1m 0.5 ~ 0.8 / 3 - 25-32 10yr5/4 none sil 2msbk mfr cw 1fm 0.5 / 0.8 ~ 4 32-42 10yr5/4 m 1 p 7.5yr5/8 sil 1 msbk mfr aw 1 f 0.2 0.3 ,/ 5 ~ 42-60 7.5yr4/4 f2d 10yr5/8 sl Om mfi gw - 0.3 0.5 6 r 60-94 10yr8/2 map 7.5yr5/8 vfs Om mfi - - 0.4 ~ 0.6.i Boring # ~ Boring 1/ Pit Ground Surface elev. 96.98 ft. pepth to limiting factor - 40" in. Soil Application Rate l i D C D scri tion R d Texture Structure Consistence Boundary Roots GP DIft= Horizon Depth or nant o om p ox e e *Eff#1 *Eff#2 1 0-11 10yr2/2 none sil 2fsbk mvfr as 2fm 0.5 0.8 ~ 2 ~ 11-20 10ry4/4 none sil 2fsbk mvfr cs 2f,1m 0.5 ,~ 0.8 / 3 20-31 10yr5/4 none sil 2msbk mfr cw 1fm 0.5 / 0.8 ~ 4 31-40 10yr5/4 none sil 1 msbk mfr aw 1 f 0.2 0.3 ~ 5 40-45 7.5yr4/4 f2d 10yr5l8 sl Om mfi gw - 0.3 0.5 6 45-86 10yr8/2 map 7.5yr5/8 vfs Om mfi - - 0.4 0.6 * Effluent #1 = BOD 5> 30 <_ 220 mg/L and TSS > < 150 mg/L * u #2 = BODS < 30 mglL and TSS <~0 mg/L CST Name (Please Print) Sign re: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Dat Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osa~la, WI 20 11 /16/00 715-248-7767 '~ property Owner Steven & Rene Heinbuch Family Parcel ID # 018-1069-40-050 page 2 of 3 p,vinn # ..:~ t3onng rt ""' ° °J ~ Pit Ground Surface elev. 97.40 ft. Depth to limiting factor 30 ___ in. ~. application. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-11 10yr2/2 none sil 2fsbk mvfr as 2f,1m 0.5 / 0.8 ~ 2 ~ 11-24 10ry4/4 none sil 2msbk mfr cs 2f 0.5 0.8 3 24-30 1Dyr5/4 none st 2msbk mvfr aw if 0.5 0.9 4 30-36 10yr7/2 f2d 7.5yr5/8 fs 1 csbk mvfr aw - 0.4 / 0.6 5 36-68 1 Oyr8/2 m2d 7.5yr5/8 & f2f 10yr6/2 SSBR Om mfi - - A.0 0.0 Boring # ~ Borir~ J Pit Ground Surface elev. _~_-___._ ft• Depth to limiting factor in. Sc>it Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots : *Eff#1 *Eff#2 Ong # ~ Boring ~ Pit Ground Surface elev. ft. -Depth to limding factor in. Soil Appacation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/8Z _____.. 'Eff#1 *Eff#2 * Effluent #1 = BOO ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. n ~. 3 ~'3 ST CROIX COUNTY • SEPTIC TANK MAINTENANCE AGREL'Mt?NT ' AND OwrrERSl;tr CERTIFICATION FORM Owner/Iiuyer , Mailing Address 1 . (~ ~ ^ j (~ 3 ` ~ (-~ ~'l ~-~.) I ?j ~a Property Address 15 C~ ~ s -f- (Vcrifiatioa rcquinod from Planning Dcparfxncnt for new City~ta~ ___t~l~ ~~`"` ~tic~ (NL Parcel Identification Number It.EGAL DE.SCI2IPT'XON Property Location ~ %, S W %, Sec. ~ T o?~N-R 17 W, Town of _ mn~c~.r,~. Subdivision Lot # __~ ___ Cerfitied Stuvep Map # Yolumc .Page # Wturstaty Deed # .` =y.L_°~~ _ .Volume ~ ~ P e # Spot douse D yes ~ no Lot Lines identifiable yes ^ no • ~pac=tnae~daoeofy~acrsq~tictys~coald:csaltiai~s consists of patttpiog oat the tic tank evrxy throe 3~ ~ pcr.~aicaic~a~src to Candle wastes. Properc can aBect~e ~tian of the if neodad by a Yi~oeasod pma~pcr. What you pat. mto the system ~~-i ttiratmeat tt;ge i~ the araste disposaLsy~, - Z]re Y over sgnoes to ud~ to St C<va~ Zoaiug,Dcput~t ~ eatadication font, signd[ by the ~owatx and ky t `Pyntmplu~er;z~ictodplcmbaoca Iiocasodt~ifyiagg~at~ij tb,e oa~eiFrasteovat,~x is is ProP~ eP~$ eondition:ndlar (~) after inspoctioa and puatpiag (tf ne~sary), the tcptictank~is less .titan 1f3'tnII oftlwdgc. . r/~, ffie Ise read the abome and sgroe to aaaiat:ia due pavate sewage ~ with ma staadatds _~ ~• ~ as by the Deputment of Qommecoe and the Department of tlamrai R,esouroes; State of Wisconsin.. tcxtion ~~ 3~ ~'~ ~.bo~must 6e complctod sndretvao,od to the St Qmix-Cocurty Zoning Offx witbia 30 days of fife flute 'oa data. r' SI 1T3RE OF APPLICANT DATE OWNER• GERTA~TCA.xTON ~ ~~~ ~fY stag oa this form ate tcuc to the best of my (ovr) I<noarlcdgc. Sae descabod, by vic~ne of i warranty flood t~,dcd is Register of Dads Office. ~ `SIGNAtUIt}3 OF APPLICANT i (we) am (are) the ownex(s) of I ~ / ~~ DATE assaaa ~y iafotmation that is mis-rcpmsented may t+csult in the unitary Pmt bciug rtvokcd by the Zoctiag Department. ssssss ss Indade with this application: a ttampai warranty dxd ti+am the Register of Dads otlicc a Dopy of the cectifiod nuvcy map if rcfcrenoe is made in the warranty dcod ' ` Document Number vei .~G8?PAGE383 STATE BAR GF WISCONSIN FARM 7 • 1998 TRUSTEE'S DEED 6521 14 KRTHLEEN H. WRLSH kEGISTEk OF DEEDS Herman R. Heinbuch and Delores C. Heinbuch ST. CROTX C17., WI kECEIVED FOk RECORD -- -- - - - ~- - 07-i?5-2001 11:15 AM _ _ _ as Trustee of Heinbuch Trust dated July 10, 1996 - - - - - - - ----- - -- .- .- . _ TRUSTEES DEED --.-_..-------- EXEtlDTti ------ -.____ _ __ _ CERT CORY FEE: ___ __ for a valuable consideration conveys without warran t A il M R t COPY FEE: r o , anallo Y P._ __,-_ TRANSFER FEE: 78.00 _ - - --- -----.-_-- _ F,ECORDIHG FEE: 10.00 _ -.-.-~~_-- - ~ PAGES: 1 Grantee, the following described real estate in St. Croix County, State of Wisconsin' Part of the Northwest Quarter of the Southwest Quarter (N W I/4 of S W 1/4) of Section Thirty-one (31), Township Twen[y-nine North (T29N), Range Seventeen West (R17W), more particularly described as: Lot 6, Plat of Sunny Hill in the Town of Hammond, St. Croix County, Wisconsin. Dated this ~~ day of T~~t~ 200] -$-' - Name and Return Address Thomas A. McCormack 1020 10th Ave, Baldwin, WI54002 U18-1069_40 Parcel identification Number (PIN) Heinbuch Trust \ Heinbuch Trust * Herman R. Heinbuch w Delores C. Heinbuch Trustee Trustee AUTHENTICATION Signature(s) authenticated [his clay of TITLE' MEMBER STATE BAR OF WISCONSIN (If not, authorized by 4 706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack _ Baldwin, WI SJ00_2_ _ (Signatures may be authenticated or acknowledged. Bath are not necessary.) ACKNOWLEDGMENT STATE OF WISCQNSIN ~ _. _---Iss. St. Croix__ - County.) / Z:- Personally came before me this _/~ day of 2001 _ the above named emu 'T'rustTiy Herman R. ieinbuch, Trustee and Delores C. Heinbuch, Trustee to me known to be the person(s) who ecuted t f ~.~.`,~ , ry instrument a k '~ ~ ac nowledge the sa e. ~ . ~` ~ ~_ 0 I ~ - ~~~~.~~~a .. : a J Notary Public, State of Wisconsin O ' 4.,.,,. 0~ My Commission is permanent. not, stale explr ~r ~ t 1y ,. -.._. - ~. .d ~ ... 'Namts of persons signing in any capacity should be typed or printed below their signatures TRUSTEE'S DEED STATg BAR OF WISCONSIN FORM No. 7. 7998 INFORMATION PROFESSIONALS CDMPArvY FOND DU I,AC, WI800-655-Zt1Z I ~ Q ~ ~ ~ m ~w~~ ~ _ _. ~ - O _ _ _ _.. _. ._. Z ~ ~ ~ U a ~$~ ~ N W 17f ~~N Q r 8 N N ~I~ N ~ N O~ _ ______ _ _ _.__ r ~I ai ~~ ~ a~ w LL Z w f- W Z J 0 GARAGE 1 y ~~~JJJ ~ ~_ ~ > ~ ~ ® d 0 .......~. ~~'o ..... ............. ti ~ $ i+,5 '00'061 ~l8'£l£L ,9L~E r~ ~ M. LY~S 1o00N q/4MS 3H1 ~0.3NI11S3M --~ ~~~ ~Q~ Q~r]~~d l~ (~l