Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
022-1018-50-001
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 4374 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: - 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 Parcel Tax No: liv / Ray, James A. Jr. & Elaine I Kinnickinnic, Town of 022-1018-50- CST BM Elev: Insp.BM Elev: BM De iption: �j� Section/Town/Range/Map No: 07.28.18.104A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION �D/�f BS �I FS /OD,ELEV. Septic - Benchmark o U Dosing L c�^l i� r Alt. BM MHolding Bldg.Sewer'§t/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L VJ_L BLDG. Vent to Air Intake ROAD Dt Inlet '-7, 13 r ; Septic 5 / `�T f.✓� Dt Bottom Dosing '2 �.�� h4,r Head an. O Aeration -,-- DisJpe �/• �i ��Q Z Holding _ Bot. System Final Grade 1 �/ PUMP/SIPHON INFORMATION / t w 7 S /OZ Manufacturer Demand St Cover ' GPM i fe .2- ' It f .3 Model Number /�I _ Z/ yg 75 TDH Lift ,,7 Frictio` System Hgad TD H Ft Forcemain Len th� Dia. Dist.to Well { 3 A(� SOIL ABSORPTION SYSTEM BED/TRENCH Width Length� No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS — lop SETBACK SYSTEM TO P/L BLDG WELL T AKE/S AM LE G Manufacturer: INFORMATION CHAM OR Type Of System: >�D� , , /Ol ! � > NI Model Number: DISTRIB. TION SYSTEM `�- 3u 4+► Header/ anifold Distribution x ole Size x Hole Spacing Ve to Air�take Pipe(s) -76P Length Dia 'SI Length Dia s Spacing SOIL COVER x Pressure Systems Only xx Mound 04t-Gradde Sy Depth Over Depth Over xx Depth of Seeded/Sodded Mulched Bed/Trench Center Bed/Trench Edges Topso Yes No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: /C / `Y/ /\ Inspection#2:�/ / Location: 948 Coulee Trail Roberts,WI 54023(S 1/2 NW 1/4 7 T28N R18W) NA Lot 1 ti�) -/ -;Z/�:,'l i Parcel No: 07.28.18.104A 1.)Alt BM Description= Y/A7 e& MA'x"GA4 6-tvC !� 2.)Bldg sewer length= [� 40'-/�I--f -amount of cover=' / _L p �l l (/ri $1A � Plan revision Required? Yes Use other side for additional information. Date InsepctorqSi tu re Cert.No. SBD-6710(R.3/97) �oa�/ of .��,✓a►JC,r/„�,�+/c� Sr Cito� Lo. Ft O .to yo / ���rJoa,✓D -S TZ Z�7 X 4 = P/rs� ye f, 4AF a 4AZJ-I. / r"nw,ls. AA- aYsasaB A05 co JQ t t SPS .383,S'3 screAG,rs�E� � / 1 i r/LR�I.ffoANEA. Qot! � ® •/b i Q rJ.?/oy7/top of�,RCr pp 7 c 303/ moo®S EG6crn,cgt RAW, �6,w J'1l0,06SEO ObOJGGo DR/uEc+�Y Da�GIS FoA.LF MA/JG7o' 3 ro syge c X9648 O.? f i 9y.8 I LJooD S II' G x 78 �oG/[ o/sra a rio,✓ cECL �a az 7 x�oo.y ' 000 ars Srs. Et.-/oo,a /o.✓ 98.8/Go.J reu.(, - d D �a�u SAY -,?ASS ol AM r 9/Y �foNO LEUE�) ,�RA/wlAG[ gi. ��/sco L4tt/EatS " 9/Y � GRASS F/EGA qy a ro COULEE C-RAJL `IA QOt�wfOAR Y Al. 1� Industry Services Division County 1400 E Washington Ave r zddlX P."ox 7162 Sanitary Permit Number(to be filled in by Co.) M °r 3 7 G it Appliea i State4 )amber In accordance wi i.2 (_),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required pri' o taining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Services.Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s. 15.04(l m,Stats. I. Application Information-Please Print All Information C6U AlG D Property Owner's Name r Parcel /4MES f' G L.//.JE If Y 4A?-/0/8-SO - Property Owner's Mailing Address Property Location lotIA) V71 594 ref Govt.Lot City,State Zip Code Phone Number S£ '/<, ' /Vl,J /., Section �lQSenl �.r sfeia 7r.S h'�S-Gy!/d ctrcleone T .18 N. R /� �ot�T H.Type of Build ng(check all that apply) r Lot# f �'t f Xi or 2 Family Dwelling-Number of Bedrooms Subdivision Name i J; < <- Block# ❑Public/Commercial-Describe Use ❑State Owned-Describe Use CSM Number q�&U ilfage of V ?f r/_ �. ff Town of ��/.Jw/7GiKl�✓N/G G t 6/I III.Type of Permit: (Check only one box on line A. Complete line B if applicable) `4, XNew System ❑Replacement System y p y ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) B. ❑Permit Renewal Permit Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner ,S Y 737Y - 9-A?-a70/,y IV.Type of POWTS S stem/Com onent/Device: Check all that apply) ©Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil WMOUnd<24 in of suitable�� ._ ❑Holding Tani: ❑Other Dispersal Component(explain) I D Pretregitment Device(explain) V.Dis ersal/Treatment Area Information: W i Design Flow(gpd) Design Soil Applicat' n Rate(gpdsf) Dispersal Area Required(sf j Dispersal Area roposed(sf) System Elevation , So /.o ��. % S'So Z yGB�/rr 5 /oo.� oar 98.8 ire VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units _ o $ New Tanks Existing Tanks �j Q.�z-t �r� � 'V >~ ° i y a`U MW rn T,0 a Septic orKekieg4mth �GDO 000 / ewe,t 60,J44&rr Dosing Chamber Z00 Lb0 I it It VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's ure MPRt+WS Number Business Phone Number oy,✓ �E6kE a3/3 y6 rs G 7a-sa46 Plumber's Address(Street,City,State,Zip CodeZ51 �u RA�Q �JI' S5'7d VIII Coun /De artment Use Only Permit Fee Date Issued Jss d p&A a ignat ' Approved El Disapproved $ _ t-a� ; � �,�.. �/ C ��--- ❑Owner Given Reason for Denial 'S / IX.Conditions of Approval/Reasons for Disapproval � ✓� , ` � `. c SYSTEM OWNER: / f f Crk 1.Septic tank,effluent filter and dispersal cell must be serviced/maintained as per management plan provided by plumber. as per applicabl�t 51 15°r'�Pne er>1es or t e system and submit to the County only on paper not less than gin x 11 inches in size SBD-6398(1-08/14) O,PARTk DIVISION OF INDUSTRY SERVICES 10541N RANCH ROAD P 9� HAYWARD WI 54843 3 t Q Contact Through Relay ov/sb/ www.ds s.wi. P P 9 www.wisconsin.gov A O��SSIONAL�� Scott Walker,Governor Dave Ross,Secretary I September 05,2014 CUST ID No. 231346 ATTIC•POWTS Inspector JOHN HERBERT PELKE ZONING OFFICE PELKE PLUMBING ST CROIX COUNTY SPIA N6298 ST HWY 25 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/05/2016 Identification Numbers Transaction ID No.2452328 SITE: Site ID No. 805496 James&Elaine Ray Please refer to both identification numbers, Coulee Trail Rd above,in all correspondence with the agency. Town of Kinnickinnic St Croix County SE1/4,NW1/4, S7,T28N,R18W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1500331 Maintenance required; 450 GPD Flow rate; System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01, R. 10/12),Pressure Distribution Component Manual-Ver.2.0,SBD-10706-P(N.01/01,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This s Y stem is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner, as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. p.0. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Cote' stats. The following conditions shall be met during construction or installation and prior to occupancy or use: A1?P1 • A co of this approval letter and index sheet shall be attached to plans that correspond with the co on file Of S' PY PP P P PY 1• with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may r GLF in enforcement action under s. 145.10,Stats. • This system is to be constructed and located in accordance with the approved plans,and the"Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.01/01). • This system is to be constructed and located in accordance with the approved plans and with the"Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/O1). • Prior to construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil.Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4-inch wire, the site is too wet to prepare.If it crumbles,site preparation can proceed. If the site is too wet to prepare,do not proceed until it dries. JOHN HERBERT PELKE Page 2 10/3/2014 1.A monthly average of 30 mg/L fats,oil and grease. 2.A monthly average of 220 mg/L BOD5. 3.A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b)(b)The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection,maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection,maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS)in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection,evaluation,maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P(N.01/01;R. 10/12). 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 Fee Received$ 250.00 Balance Due $ 0.00 Edwin A Taylor Wastewater Specialist,Integrated Services WiSMART code:7633' (715)634-3484,Monday-Friday 8:00 am To 4:30 pm edwin.taylor @wisconsin.gov p ynRT, DIVISION OF INDUSTRY SERVICES T 10541 N RANCH ROAD HAYWARD WI 54843 3 q Contact Through Relay hftp://dsps.wi.gov/programs/industry-services www.wisconsin.gov A Jt �Q 'ssror'�L'w Scott Walker,Governor Dave Ross,Secretary October 03,2014 CUST ID No. 231346 ATTN:POWTS Inspector JOHN HERBERT PELKE ZONING OFFICE PELKE PLUMBING ST CROIX COUNTY SPIA N6298 ST HWY 25 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2016 Identification Numbers Transaction ID No.2463225 SITE: Site ID No. 806681 James&Elaine Ray Please refer to both identification numbers, ' Coulee Trail Rd above,in all correspondence with the agency. Town of Kinnickinnic St Croix County SETA,NWIA, S7,T28N,RI 8W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1505859 Maintenance required; 450 GPD Flow rate; System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01, R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12); Effluent Filter �_®• The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes AP and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. TMEN The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code DEPAR N a requirements. 7 F No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, SEE GOR stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may result in enforcement action under s. 145.10, Stats. • This system is to be constructed and located in accordance with the approved plans,and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.01/01). • This system is to be constructed and located in accordance with the approved plans and with the"Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • Prior to construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil.Proper soil moisture content can be determined by rolling a soil sample between the hands.If it rolls into a 1/4-inch wire, the site is too wet to prepare.If it crumbles,site preparation can proceed.If the site is too wet to prepare,do not proceed until it dries. • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 06. /of 9 Private Onsite Waste'w'ater Treatment System Wax and Me Page PmjedNMe.: _TAMrS f fLA/w/E �AY ^B //o�i.�.0 �'OtJ1 S S e: Owilea's Amass: yD'i/Oso.J. 6rJ-Z Sy0/G LaWDemdpdon: S E.1r A4 7 ijf Al e- LotNuomban BlockNumberr. i 0 y Pucel Pap I rt T E Si4� E1' of coMN� xcE T - Page 2 Page 3 CR oss-.SE C.rio.J ®4,I•✓ J Est/ F ou�lD 5 O D C,E Page 4 /L'/AE' 4.4 LC4.4,1 44 yda t' Pap 3 -- Szem T N x llwno Lour om Gezo.ts- SEG rio,J Page 6 _ 4owlo f"ERFoit�.v.✓aS G u�dE Page 7 Oa ,,,eA5 zy oy 'f/- f /'1A.JA�E�rE�s^ L.I.✓ RIM o it Ir ►r .i tr W 1`/L TE/L /•Jfo/L�ly s"ion Dame o€Desgner: o D i License Number: -471/,1 y¢ sige: Daft: 9-/9-�oi� tD fl Dedped;�6 o FoRowing POWn Camponent M-muW and a 5,4 5 81-85. A�&,Oo e's" .,1�-yr .Jose vEi�s�Ba ao 564-/Q6�r-F � -o/fal� _._✓JZFSSu�E d�L/STi2l8t�lJ.a.Q.t--to�y�6irr�.rs-�-/�,+/u�d d �rsio�v a'��-•�r��--ja7�6-�°.!N_.0�/6/ T�M�af FZO/,Oc IAY - ZO a �• .1 of 9 7/ 028 N/ /*A/ �Ca,J of ,C�i,��►a,ri„rr/c/ Sr. Cito,�x Co, Ft yG / /� • 44414DY A&AoPEO O .id y0 / `��/'JOUnhO S/TE 071911f > CJ = OF/r's/ yo 1 ,44dE �i1dLEG / T-o�wS. /.O.- aysasa8 /V t c SPS 383.Y3 f endocxs/ylrr / / / / dd �/ALKowr � / /lo,00SEO NnJOEA. jRAnldfoRNet ,�otl 6RA44r \ Xs �pt•o /oS!7 joP of b lf r p 5/ .Vat- 3039, �ooDS Ec6Gra/cvt PNn/fL i8a1� //LoP0.S6D OA/dEtuY !f/E.fE�( /DODIGGO �� �GOrgao tin//G onus Aoxzr/yA,��o. 3 too F'Pec` sNE,ot / /0 70 AL i CRRSS F/ELO 9'Y.8� a1 ooD S G X 78 Aoc/c o�sra a p-io„I GELt ���� �Ay `j)ASS f/ELD G�I�E/.✓d. EcE'v — /o0 7 r /QP�iso�. Gq e-r a it S GOB i �i1D/�+DLa WASH A /s`o [ci�utarS GRASS F/EL.O qv , via To COLILE6 v!!A/L I QDU,✓pAAr lt0. QD. 0 1�o rr. ss rr rs Ca � 0 c„ .64 clt Oft _ a �• - t _ h, H c _ c Z ��:t � � E h t ti _•A�AR k 4i�c t o Mcr to • � 111 yA, 0 A R � RRz N I-tHHH _ X a i O v � ^ �C te►'t M o `tz pv Olt h A f l h ��,�'^► n d C a r` �o so Page S Of 9 - SEPTIC TANK &' PUMP CHAMBER CROSS SECTION' AND SPECIFICATIONS „ 4 CI VENT PIPE 12'I MIN. ABOVE GRADE 9 WEATHERPROOF } /,0** FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER) .4 G W/ PADLOCK Gt9DE WARNING LABEL J --4" MIN. 18'j IN. INLET i Is I ; WATER TIGHT SEALS ,QEST' GAS- ATIGHT: i \)APPROVED SEAL PPROVED � F _.�_.. t JOINTS WITH B I ; ALM APPROVED PIPE i --I— i r4 ON C i PUMP OFF ELEV . 90 o FT. — -- OFF S` RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS EPTIC. / DOSE' 'ANK MANUFACTURER: ,�/jEsEa �cw�.aErF N`JMBER DOSES PER DAY: ANK SIZES: SEPTIC /oao GAL. DOSE VOLUME INCLUDING �9 3.3, DOSE ._._. 1,6o GAL.. FLOWBACK: 9„7. •GAL. LARM MANUFACTURER: _S,T• E. �No.,c�as ' CAPACITIES: A = ?,a.S_ INCHES fj L GAL. s---- MODEL NUMBER: _ TAww At6tr SWITCH TYPE: /fEcyq,yw� . /G, ?6 Gs�s. B = _,?_ INCHES = 33.S GAL. IMP MANUFACTURER: �oEttE'g `/acN C s S.S INCHES = 9.7.E GAL. MODEL NUMBER- SWITCH TYPE: /'>EC.s�.o.�i�.r� D - $,O INCHES = /3Y./ GAL. :QUZRED DISCHARGE RATE 6 ay GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC :RTICAL'DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE X0.'7 FEET MINIMUM NETWORK SUPPLY PRESSURE . . 3 FEET FEET FORCEMATN `X /�4 FT/100 FT. FRICTION FACTOR 6-3 FEET TOTAL DYNAMIC HEAD = �y 3 FEET !TERNAL DIMENSIONS OF PUMP TANK: LENGTH S3 " ; WIDTH 78 ; DIAMETER - LIQUID DEPTH 34 .11 Pi. G aF 9 ------ TOTAL DYNAMIC HEAD/FLOW — PUMP PERFORMANCE CURVE PER MINUTE LL MODEL 15111521153 EFFLUENT AND DEWATERING so 14 153 35 5 1.5 50 MODEL 151 152 153 12 40 Feet Meters Gal. Le rs Liters Gal. Liters Gel. Lite 0 189 69 261 77 291 = 10 152 10 3.0 45 170 61 23t 70 265 � 30 15 #4.6 38 744 53 201 Bt 231 ,51 20 29 110 44 167 52 197 25 . 16 61 34 129 42 159 0 6 30 9.1 – – 23 87 33 125 35 10.7 – – – – 22 85 15 40 12.2 – – – – 11 42 4 o Shutoff Head: 30 fi,(9.1 m) 38 fL(11.6m) 44 h(13.4m) 10 0,45088 2 5 0 Model 151 Models 1521153 10 20 30 40 50 60 70 80 90 100 87132— GALLONS - 67132 LfTERS 0 40 80 120 160 200 240 280 320 380 3718 45x8 3718 FLOW PER MINUTE + 01450M 3718 3718 —} : FACTORY FOB � I � 3718 l 3718..j,P �' 9PPI CAIO N I •Timed dosing panels available. —I •Electrical alternators,for duplex systems,are available and supplied with an alarm. •Variable level control switches are available for controlling single phase systems. •Double piggyback variable level float switches are available for variable level long and short cycle controls. i •Sealed Qwik-Box available for outdoor installations.See +++111a _ 12 718 FM1420. I i •Over 130°F(54°C)special quotation required. „ 47415/16 S SK2444 SK2064 1511152/153 MODELS Control Selection Model Volts Ph we Am Sim lex Duplex N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 to 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE'151 230 1 Auto 3.2 Included 2 or 3 "Easy assembly" N152 115 1 Non 1 8.5 1 2 or 3 (pump&disdlarge pipe BN152 115 1 Auto 8.5 Included 2 or 3 not included.) E152 1 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 1 115 1 Non 10.5 1 2 or 3 6N1531 115 1 Auto 10.5 Induded 2 or 3 E153 ' 230 1 Non 5.3 1 2 or 3 BE153 230 1 1 1 included 2 or 3 », � t 1. Single piggyback variable level float switch or double piggyback variable level a4� g etch. Reduces potential dogging by debris. float switch. Refer to FM0477. Replaces rocks or bricks under the pump. 2. See FM0712 for correct model of Electrical Altemator E-Pak. Made of durable,noncorrosive ABS. 3. Variable level control switch 10-0743 used as a control activator,specify duplex Raises pump 2"off bottom of basin. (3)or(4)float system. Provides the ability to raise intake by adding sections of 11/2" or 2"PVC piping. A CAUTION Attaches securely to pump. j V Accommodates sump,dewatering and effluent applications. c?av' G�;!i NOTE:Make sure float is he from obstruction. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ©Copyright 2008 Zoeller Co.All rights reserved. POWTS OWNER'S MANUAL-AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner T' roE f E41-41.4 I&f' Septic Tank Capacity opp gal ❑NA Permit# Septic Tank Manufacturer &)1e crA &.,g. Cl NA DESIGN PARAMETERS Effluent Filter Manufacturer ,Q rs T ❑NA Number of Bedrooms(100 d/bedroom) 3 Effluent Filter Model j„F-/a ❑NA Number of Commercial Units — Pump Tank Capacity Goo gal ❑NA Estimated flow(average) app gal/day Pum Tank Manufacturer A ll es sc Le,vc. ❑NA Design flow(DWF),estimated x 1.5 y/So gal/day Pump Manufacturer ZdELLfit ❑NA Soil Application Rate Pum Model S/ ❑NA /.O al/day tt Pretreatment Unit ANA Influent/Effluent Quality(NA❑) Monthly Average Fats.Oil&Grease(FOG) < 30 mg/L ❑ Sand/Gravel Fitter ❑ Peat Filter ❑ Biochemical Oxygen Demand(BODS) Mechanical Aeration ❑ Wetland Total Suspended Solids(TSS) 5 220 mg/L ❑ Disinfection ❑ Other: 5 150 mg/L Manufacturer: Model: Pretreated Effluent Quality ❑ Monthly Average Soil Absorption Component Biochemical Oxygen Demand(BOD5) 0 In-ground(gravity) [3 In-ground(pressurized) Total Suspended Solids(TSS) 30 mg/L El At-grade D'Mound Fecal Coliform(geometric mean) 5 30 mg/L ❑ Drip-line ❑ Other: 510 cm00ml ❑ Dispersal Units-Manufacturer Maximum Effluent Particle Size 1/8 inch diameter LEI Aggregate Cell(s) Model Calculations: Soil Dispersal (EISA)or DWF_Application rate=Area Required_(Aeereeate Trench Width)_#Units or Total Length of Aggregate Trench(s) = 7? DESIGN CRITERIA ❑ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems"Publication 9.6(SSWMP Manual) ❑ "ICC Flowtech Mound Component Manual'Version 1.2 ❑ "EzFlow Mound Component Manual'Version 8/20/2007 ❑ SBD- 10854–P(R.1/12)"At-Grade Component Manual Using Pressure Distribution"Version 2.0 ❑ SBD- 10705–P(N.01 101)"In Ground Soil Absorption Component Manual'Version 2.0 ZSBD- 10691P(N.01101)"Mound Component Manual'Version 2.0 ❑ SBD- 10657–P(R.6/99)"Drip-line Effluent Disposal Component Manual' $f SBD- 10706–P(N.01/01)"Pressure Distribution Component Manual'Version 2.0 ❑ Other- 4AINTENANCE MONITORING SCHEDULE-MAINTENANCE AND MANAGEMENT Service Event Service Frequency um /ins ect tank(s), inspect dispersal cell(s), clean filter At least once eve 13 months X3 years ❑ Other- is ect pum & um controls,alarm,pretreatment unit At least once every: ❑ months CW3 years ❑ NA lush and pressure test laterals At least once eve : ❑ months 3 years ❑ NA TART UP AND OPERATION: For new construction,prior to use of the POWTS check treatment tank(s)for the presence of ainting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s).If high concentrations •e detected have the contents of the tank(s)removed by a septage servicing operator prior to use. ystem start up shall not occur when soil conditions are frozen at the infiltrative surface. he property owner is responsible for the operation and maintenance of the POWTS and submission of required reports.The quantity id quality of the wastewater stream will affect the performance and longevity of your POWTS.The installation of water-saving )pliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water deners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface henever possible.Note: this does not include laundry waste,showers,dishwater,etc, its system is designed to handle domestic strength wastewater,however the disposal of food based greases and oils,vegetable/fruit els and seeds,bones,and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only per that should be discharged into the system.Other non-biodegradable items such as baby wipes,tampons,sanitary napkins ndoms,cigarette butts,dental floss,and cotton swabs should not enter the system. Chemicals such as petroleum products,paint, Page 7 of 9 disinfectants,pesticides,antibiotics,solvents,etc.,should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week.Avoid vehicle traffic over all system components. Compaction of snow over the may dispersal unit P y ca use it to freeze up. INSPECTIONS& MAINTENANCE: Inspection shall be made by an individual carrying one of the following licenses or certifications:Master Plumber,Master Plumber Restricted Sewer,POWTS Maintainer or Septage Servicing Operator(per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks,measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms.Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds one-third(1/3)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRl 13,Wisconsin Administrative Code. The outlet filter(s)shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications.Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Alarms should be tested on a regular basis by the home owner. If an alarm sounds,contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions,however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPS 383.33, 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 other inert solid material. CONTINGENCY PLAN: If the POWTS fails and cannot be repaired the following measures have been, or must be taken,to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area render it unusable. Replacement systems must comply with the rules in effect at the time of replacement. ❑ 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. ;1 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. c<WARNING>> SEPTIC,PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT :)KYGEN.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 MPOSSIBLE. #DDITIONAL COMMENTS 'OWTS INSTALLER POWTS MAINTAINER lame Z41N J-4XOr ^0-.1313 y6 Name Xay.1 ,ry r EL�CE 6a �ir� 'hone 7iS 4>w-5,746 Phone EPTAGE SERVICING OPERATOR um er - /n/X+.o w,l LOCAL REGULATORY AUTHORITY lame A enc -<r, �,t0, Z ids 4fiiG�' hone Phone 715' 386- jy4,po Page$of J�� T f3J fG 1D CD Z.% fD yy O CD I A fD i_. � iii �a° •• ro x 7 i 3 '^ 5D r3D m a`m e w m l I n a C! 1 ° CN xy CL 3 ro m a OC 1 ro 7 _. Mc n ip (p :y y.A ro 7 ."-p' i ( a • o� < � =o i 1 � � °,� is o' c � K i� 10 x iD m 9 Z ac -- + +i (1 Q H fp y ro O C to O II, O' ro ro y?c o 0 'o a = c ID m y N T N p ao a c .. agt'o rc 3z Uron— i �ro ID CD S _ 7+ f _. �D Zi ry B eD S N ✓ O N S Q- Mme'! !D , O trnNO n '!1 ro 7 2 1� C S c s $ n � Q O yy =� � A o fl4 fD ro 0) �• c <_. -• ^s a n � C N to O 3 . W m N D n tv o m CD w g O MD.C O s N jj• O O /� rD= O G O �' Lr O.n .T a --t : N O. N \i �y (il i N rD ^J� R aL RL a A a 11 µ z 3 a a vs 0 !'! _ :21 O 3 F Tro+ ► r=t fD o a m�° j j =- rD 3 o a = i ( s p fD O Nm � Property Owner JAMES h►E'S t Z441,01 14 Y Parcel ID# Page of -3.. F-21 _ . Wng# .r Pit Ground surface elev. 9,9 ft. Depth to fire"factor�,',� in. Rate Horizon Depth Donrinant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu.Sz. Cont-Color Gr.Sz.Sh. "Eff#1 1 *01#2 d r s - S l c�✓ d T snt ^t 44 e rJ d /a a Go,oit FAA�i+► .Jl"S LJD -'1� F-I Boring# �9 Pit Ground surface eiev. R Depth to uniting factor in. Sod Awfication Rate Horizon Depth Dominant Color Redox Description Texture SUuckm Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *EfW1 'Eff#2 FIBoring# Boit Ground surface elev. it. Depth to limiting factor in. Sol Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Efr#1 *01#2 'Effluent#1=BOD6>30:5 220 mg&and TSS>30:5 150 mg& *Effhrerd 42=BOD5<30 mg&and TSS<30 mgll sac O3o M07113) 111 1 of Safety and Professional Services 1 Division in �✓ SOi' EPORT pap / of 3 in accordance with SPS 383,Wis. Adm. Code County f \ �7 A etc r not less than 8112 x 11 inches in size.Plan must but n and horizontal reference point(SM),direction and Parcel I.D. I. dimensions,north arrow,and location and distance to nearest road. ��•��� Please pNnt all lt►formatlon. Re1 'r _ Date, information you Provide may be used for secomdary pub(Privacy Law.s.15.04(1)(m)). Ph-ZpeFtyOwner Property Location GovL Lot -S£ 1I4,yalM S 7 T a8 N R 18 &(Or& Property Owner's Mailing Address Lot# I Block# Subd.Name or CSWW 7 90 V Sr, State Zip Code Phone Number ge KITow Nearest Road New Construction Used Residential I Number of bedrooms 3 Code derived design flow rate YSO GPD Replacement 0 Public or commercial-Describe: Parent material -S,F,✓,s Y Zohm r/t c Flood Plain elevation if applicable AM General Comments ,r�1 � and recommendations: /�o��o /�ocJTS/ /. Y .fA�O iif>, /LEcororE�,O S.E . • /oo.� o,J 98.8 a/rj Cnsss f/rA01 14V. SLoi6 /1/o1-e: .SEA' 00iar A,�✓ � Boring F-/1 �# 0 12 Pit Ground surface elev. Q8•/ ft. Depth to limiting{actor 3/ in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOW in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. -EN#1 -Eff#2 /o YA 3/ 4' A&114 AA /s / 07 v4 Shlk ic s 3/-y A v/ sex rc�s .# a / ro .a S-110 4 co 4 ,f F-Al Boring# ❑ Boring © Pit Ground surface elev. 7./ fL Depth to limiting factor 1O in. [Soilplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF in. Munselt Qu.Sz. Cont color Gr.Sz.Sh. 'Eff#1 'Efrw ,�o.dG S r2 / c.t �d xY�a/a t / 6k �� - "/ 7 re Ar EfRuen#1=BOD >30:5 710 mg/L and TSS>30:5 1-%mgJL #2=BOD _<30 nV1 and TSS<—30 mg/L CS Name(Plem PrIrliichael J.Hassett Signature CST Number 1503 Faimax Lqt- 0&0 pz.'2�- Address Eau Claire,WI 54701 Date Eva �"aed Telephone Number H 715-834-8610 715-577-4383 9: / a/y CST,M(' S-224974,D-1152 Y S1aD-B30(807113) /dJorE: O414)ER AE tiEa7•ED o�NE Q r �Sola tar ,6 e:.rc.sE E AZRfRAy" AP/RovcO �ou,v,p s/r6 wo4�o SSE y/iNCa r,�,,,,/ y o ►� 0 0 c9i AL owl' �ELi'dATioe! �,ll f%f NO �ORAi�J.I i E aloTio,d t �' '� C'' 0 0 �✓ K G7 0 y o o t C.3 /♦ Acs�oor API°/loofo N / � � � /'/ou�l,p SITE •• � x • Z .. A= I°/rs / / , , � yot ACRE .0A4LEL / Z t4 R .SP.t 383.4/3 Sf rLSA6lrs / R� ok / ♦ ♦� / "` //lo�SL'p �CaoLa Q o0 I ♦ .6a. /ysE. � /106,415 - rodo of ` n / q �4000.sgo ti ,C�..v. /a Y.r :oP of ♦ GREY L LEGTA/6I1 PANEL /041,lt-W f 'gam( / 3 90.8 F ro S"Al L � 9t.8 /e 7. j 9yg. GS BRA�.� F•fLL1 � c A x= 9/.it (Aw. LEvtL� RP�aoX. Loo' i7Ar-^s,.aE "Arm ,BoT�ro.a iI/ eF X_ / QAtISEO L4Laferf� 9/.'Y ' �f.0 ��S sit E T'o Locrtfd �lt,I/L �0. ,604.✓L?AAY R0. County Industry Services Division r tea/ ©� � 1400 E Washington Ave Sanitary Permit Number(to be filled in by Co.) �. P S ,�• P.O. Box 7162 3 }! Madison,WI 537 162 J S e T nsacti Number � Sanitary Permit App ;t tin oL� In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s.15.04(1 m),Slats. q�/ �.. 1. Application•information-Please Print All Information /7• r!.MddE rf/l.fl L Property Owner's Name Parcel# Property Owner's Mailing Address ` ^� Property Location V 7 90 ✓O Govt.Lot �Cl YM City,h, Zip Code (� Tfttmber S E '/4, V&; A. Section 7 (circle one G106onJ L✓r .Syo/ i /.S y.�s- 6 VYR T N: R 1�_Zo� 11.Type of Buil mg(check all that apply) Lot# I •- Subdivision Name I or 2 Family/Dwelling-,Number of Bedrooms .3 1 JL / Block# 'oil AN ❑Public/Commdreial-Describe Used f ❑State Owned-Describe Use CSM Number /��/D�C ❑'trttfdge of ,/ 1/ Z& 7� (`�J j r I/ 19 Town of /e/NN/6�cdw pl e, 111.Type oLP r ' : (Check only one box on linphe.k ete line B if applicable 6/ A. XNew System j ❑ Replacement System Treat nttHolding Tank placeme my ❑Dthe o dification to Existing System(explain) B. / List Previous Permit Number and Date Issued ❑Permit Renewal El Revision of er Pe it Transfer Ne Before Expiration wne IV.Type of POWTS S stem/Com onent/Devicel that apply) ❑ Non-Pressu rized In-Ground ❑ Pressurized In-Ground ❑At-Grade ❑ Mound>14 in.of suitable sot .Mound<24 in.of suitable soil 1 ❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device exp am V.Dis ersaVrreatment Area Information: I Irl t l-L-rt'` 6 Design Flow(gpd) Design Soil Applica' n Rate(gpdsf) Dispersal Area Requi ed(sO Dispersal Area Pro sed(sf) System EI a ation e„i ro��R. V1.Tank Into Capacity in Total f#of manufactur Gallons Gallons Units New Tanks Existing Tanks U aj a a U i'n w' v a Septic or k /.004 000 ! A21E'sEit Ge.✓c,rEr£ Dosing Chamber `OO — LOO �� t► // VII.Responsibility Statement-1,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signa e , MP/N#R,S Number Business Phone Number ,✓ OELK£ - Plumber's Address(Street,City,State,Zip Code) /V La 98 fir. w y .?S r y7 V111,county/De artment Use Onl Approved ❑ Disapproved PermitFee�, L Date ssued. issuing ge S,,"�cure ❑Owner Given Reason for Denial I `44K IX.Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: ��7 � � i� - vlIL v - 1,Septic tank,effluent filter and dispersal cell must be serv_ieed f maintained `�` C��t as per management plan,provided by plumber. " Ail gjatbliiCk ements must be maintained d ��t���.f'CZ� OS per appliCadf�'�tfde4v�iRan+��the system and su mil to the County only on pap1r of less than 8 1/2 x 11 inches size SBA 6398(R0313) t1t i JOHN HERBERT PELKE Page 2 9/5/2014 ~ • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 1.A monthly average of 30 mg/L fats,oil and grease. 2.A monthly average of 220 mg/L BOD5. y 3.A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b)(b)The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection,maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection,maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS)in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection,evaluation,maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P(N.01/01;R. 10/12). • Insulate 4"0 conveyance pipe pursuant to SPS 3 82.3 0(11)(c),W.A.C. 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 �. Fee Received$ 250.00 �Taylor Balance Due $ 0.00 E in A Wastewater Specialist,Integrated Services j WiSMART code:7633 (715)634-3484,Monday-Friday 8:00 am To 4:30 pm edwin.taylor @wisconsin.gov o � vate Wastewater Treatinent System Ro and TrdePage P Oject Name: �.aw�-s f Ftglv"r Ay. -.,'? 4 /low�o low rs owmes Maine: OWnwss Add Lew: —llu,Oao4 wI syol� =airdDescztvdcw -_ SE; Wa oZ8i1! /8 i✓ RERZ VMHM city of COMAT. �t LllO,X ' �i1bd�93�LOIl�a�: - €,otiVunbcc 4BlockNumber. - Pam LD.Nunber. Page i Ap 2 -- li"loT G"�s..! R Page.3 ��oss- SEar /���,� ,J,E� o� rally Np 4 /per 4A j-4tAL 44yoa3' � Page 5 0✓59 0,CA Moss- SEGria.J i t owcs Page b �uw,o �E�,�or ..,��� �u��E Page CE Pap 8 -`-?w 9 l'!4 rxA 1-Jf-O Af4 raw) ?game of DedgeLar. o �✓ !�Est xE _ Licase Number W- our.?y4 Daft. Dedgned PufmmW to to PollovvmgPOWTS Compim Mamud and nsP s 8I-85: //�acraA C6i f/�foo,y�,y r .✓�r.�i ljEasiea d o .SB4-/aG 9J-P ��•o��a/� _._i"/dE.SSuil E .(l1lSTi2/BN?J�--�oMPGN�".rl�-;/��q`w/uifG l��lL?Yo•V i,�-¢--�l�Gt-j67a6-/��il/_.OlfB/, a , �t � Z CA o` � D A j o 44 c � o- a � Li p r x A NI h� ° 0 O of A �p 0 Z a n tA q rot � h N i r Q o \ I 0 t� ' I� n � O - �.• IL � = , . •. 9h tZO E � - W �'► _ - 'o� _ -tom., �� - h - .cy _ a � =sk•�i 4 t - �1 Pd It ZZ t -Z ti A ? s .. t �r a� RHo `C n H c+. t*7 �c P riMMrrl � C7 � rtrrnRz cn •r r r � n R' -n r It � a `c w k y t,�. Y•.� � w ^ ►mod, r 1� O M _ SEPTIC TANK E' PUMP CHAMBER CROSS SECTIOW Pig AND SPECIFICATIONS 4" Cl VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF ? /0 of FROM DOOR, WINDOW OR JU�iCTION B07! APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVERS F�H�.rNdO �i 3Etow W/ PADLOCK E G.tAoE WARNING LABEL •i 4" MIN. 18" LIN. LNLET � Its WATER TIGHT SEALS desr �, GAS• ` Gam_/o TIGHT \PPROVED 'PROVED An r� �_ SEAL � � JOINTS WITH IPE B r ALM APPROVED PIPE i --�•- ON C � . PUMP OFF ELEV . ?e.o FT, OFF '�'� RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS EPTIC. I DOSE* ANK MANUFACTURER: Wj6SEit Gonlcarr£ NUMBER DOSES PER DAY: ANK SIZES: SEPTIC /aoo GAL. ' DOSE VOLUME INCLUDING -7 3 = DOSE 46o GAL.. FLOWBACK: ,p .GAL. LARM MANUFACTURER: S.T£. CAPACITIES: A = ,?1 INCHES = _�_s-�' GAL. MODEL NUMBER: rv.�,c AtEa r ./ SWITCH TYPE: /LJEL/t�iYN/GAL B = _2_ INCHES = GAL. /L. 74 4.4 IMP MANUFACTURER: _ ZoELtE2 C = ss INCHES = 9a.R GAL. MODEL NUMBER: SWITCH TYPE: /�EGNiy.✓/a,�t D = 7 S INCHES = ,/s GAL. :QUIRED DISCHARGE RATE d .o GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC :RTICAL*DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 8.� FEET MINIMUM NETWORK SUPPLY PRESSURE . . . 3` 3 FEET do FEET FORCEMAIN -•X AFT/100 FT. FRICTION FACTOR y r FEET T-OTAL DYNAMIC HEAD - _- ,149 FEET TERNAL DIMENSIONS OF PUMP TANK: LENGTH ." "/; WIDTH 78 ; DIAMETER - LIQUID 6 .� Q 3 i TOTAL DYNAMIC HEAD/FLOW f�4:• ` o F 9 SILL PUMP PERFORMANCE CURVE PER MINUTE MODEL 151/152/153 EFFLUENT AND DEWATERING 14 45 153 tz 0_ MODEL 151 152 153 feet Meters Gal. Liters Gal. Liters Gal. Liters 10- 35 152 5 1.5 50 189 69 261 77 291 - 10 3.0 45 170 61 231 70 265 15 4.6 36 144 53 201 61 231 0 8 25 t51 20 6.1 29 110 44 167 52 197 0 25 7.6 16 61 34 129 42 159 6 30 9.1 — — 23 87 33 125 15 35 10.7 - - - - 22 85 4 A 40 12.2 - - - - 11 42 to- Shut-off Head: 30 ft.(9.1m) 38 iL(11.6m) 44 ft.(13.4m) 2 '` 0145088 s D Model 15 Models 1521153 10 20 30 4D 50 60 70 80 90 100 GALLONS LITERS 6 7132 _ Imo—17132--.►i I 0 40 80 120 160 200 240 260 320 380 3 W8 -•-t 4 518 3 718 518 I FLOW PER MINUTE 014508A - —�— 1 �C1..J1VS1. L FACT � 1���, � 3718 �� � `'� 3718 SPECIAL.APPLICATIONS �. 3 718 t� 3118 i •Timed dosing panels available. t •Electrical alternators,for duplex systems,are available and I supplied with an alarm. •Variable level control switches are available for controlling j single phase systems. t •Double piggyback variable level float switches are available for variable level long and short cycle controls. •Sealed Qwik-Box available for outdoor installations.See 1111116 ,zh,a — FM1420. °'�- III Iii i 1 I ��� •Over 130 0 F(54°C)special quotation required. -..n _ 415116 - 5 318 1511152,1152,Series 1 _ SK2444 SK2064 15IM521153 MODELS Control Selection Model I Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 BN151 i 115 1 Auto 6.0 Included 2 or3 E151 i 230 1 Non 3.2 1 2 or 3 BE151 i Z161-i Auto 3.2 : Included 2 or 3 N152 115 1 I Non --8.s It 1_ 2or3 "Easy assembly" BN152 115 1 —!Auto— 8.5 j Included 2 or 3 (pump&discharge pipe E152 230 1 Non 4.3 1 2 or 3 not included.) BE152 230 1 ! Auto 4.3 i Included i 2or3 N153 115 1 1 Non 10.5 .�-1 - 2 or 3___- =" _BN153 11' Auto 1_ Auto 10.5 Included 2 or 3 E153 230 1_ Non 1 5.3 1 2 or 3 BE153 230 t i Auto i 5.3 ! Included j 2 or 3 5 E:7'3N �,' W'_. 1. Single piggyback variable level float switch or double piggyback variable level 1 A— PUMP STAND ?!1V 110-2213 float switch. Refer to FM0477. Reduces potential clogging by debris. 2. See FM0712 for correct model of Electrical Alternator E-Pak. Replaces rocks or bricks under the pump. 3. Variable level control switch 10-0743 used as a control activator,specify duplex Made of durable,noncorrosive ABS. • Raises pump 2"off bottom of basin. (3)or(4)float system. Provides the ability to raise intake by adding sections of 11/z" O CAUTION or 2"PVC piping. Attaches securely to pump. eL Y 4 Accommodates sump,dewatering and effluent applications. :; ,. .,t,.. .._�,r.• . •_U_ : :�� rte.._,.- ;,.;; NOTE:Make sure float is free from obstruction. RESERVE 0(.�1/`ERED, t�ESi�N For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ©Copyright 2008 Zoeller Co.All rights reserved. POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner .4~y -g a Septic Tank Capacity loop gal ❑NA Permit# 5- Septic Tank Manufacturer !// Loan. ❑NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑NA Number of Bedrooms(100 d/bedroom)L 3 Effluent Filter Model /, - /o ❑NA Number of Commercial Units A Pump Tank Capacity Goo gal ❑ NA Estimated flow(average) Jo o gal/day Pump Tank Manufacturer !.liESCn. eve. ❑NA Design flow(DWF),estimated x 1.5 ySO galJdav Pump Manufacturer Z o E6 ❑ NA Soil Application Rate / p gal/day Pump Model /S/ ❑NA Influent/Effluent Quality Pretreatment Unit JWNA Q ty(NA❑) Monthly Average ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil &Grease(FOG) < 30 m L ❑ Wetland Biochemical Oxygen Demand (BODS) mg/L Aeration Total Suspended Solids(TSS) `—220 mgt ❑ Disinfection El Other: _< 150 mg/L -Manufacturer: Model: ?retreated Effluent Quality ❑ Monthly Average Soil Absorption Component i Biochemical Oxygen Demand(HODS) ❑ In-ground(gravity) ❑ In-ground(pressurized) Total Suspended Solids(TSS) 30 mg/L ❑ At-grade ®'Mound Fecal Coliform(geometric mean) 30 mg/L ❑Drip-line ❑ Other: 510 cfu/I00ml ❑ Dispersal Units-Manufacturer vlaximum Effluent Particle Size 1/8 inch diameter ❑ Aggregate Cell(s) Model calculations: Soil Dispersal (EISA)or DWF_Application rate Area Required_(Aggregate Trench Width)_ Units or Total Length of Aggregate Trench(s) 90 )ESIGN CRITERIA ❑ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems"Publication 9.6(SSWMP Manual) ❑ "ICC Flowtech Mound Component Manual"Version 1.2 ❑ "EzFlow Mound Component Manual"Version 8/20/2007 ❑ SBD- 10854—P(8.1/12)"At-Grade Component Manual Using Pressure Distribution"Version 2.0 ❑ SBD- 10705—P(N.01/01)"In Ground Soil Absorption Component Manual"Version 2.0 37SBD- 10691—P(N.01 101)"Mound Component Manual"Version 2.0 ❑ SBD-10657 P(8.6/99)"Drip-line Effluent Disposal Component Manual" *SBD- 10706—P(N.01/01)"Pressure Distribution Component Manual"Version 2.0 ❑ Other- ✓IAINTENANCE MONITORING SCHEDULE-MAINTENANCE AND MANAGEMENT Service Event Service Frequency lump/inspect tank(s), inspect dispersal cell (s).clean filter At least once every: (r 13 months C'3 years ❑ Other- ns ect Dump&pump controls,alarm, pretreatment unit At least once every: [3 months (2 3 years [3 NA 'lush and pressure test laterals At least once every: ❑ months Ig 3 years ❑ NA TART UP AND OPERATION: For new construction,prior to use of the POWTS check treatment tank(s)for the presence of ainting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations re detected have the contents of the tank(s)removed by a septage servicing operator prior to use. ystem start up shall not occur when soil conditions are frozen at the infiltrative surface. 'he property owner is responsible for the operation and maintenance of the POWTS and submission of required reports.The quantity nd quality of the wastewater stream will affect the performance and longevity of your POWTS.The installation of water-saving ppliances and fixtures along with prompt repair of leaks reduces the wastewater volume.Also the brine or waste from water 3fteners, iron removal units,other clear water treatment devices and foundation drains should be discharged to the ground surface ,henever possible.Note:this does not include laundry waste,showers,dishwater, etc. 'his system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils,vegetable/fruit ,els and seeds,bones,and food solids such as those produced by a garbage disposal should be minimized.Toilet tissue is the only aper that should be discharged into the system.Other non-biodegradable items such as baby wipes,tampons,sanitary napkins )ndoms,cigarette butts,dental floss,and cotton swabs should not enter the system.Chemicals such as petroleum products,paint, Page 7 of disinfectants,pesticides,antibiotics,solvents,etc.,should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week.Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. INSPECTIONS&MAINTENANCE: Inspection shall be made by an individual carrying one of the following licenses or certifications:Master Plumber,Master Plumber Restricted Sewer,POWTS Maintainer or Septage Servicing Operator(per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks,measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms.Any defects shall be promptly corrected.Exposed openings greater than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds one-third(1/3)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113,Wisconsin Administrative Code. The outlet filter(s)shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications.Solids washed from the filter shall be retained in the tank.Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Alarms should be tested on a regular basis by the home owner. If an alarm sounds,contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions,however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPS 383.33,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 other inert solid material. CONTINGENCY PLAN: If the POWTS fails and cannot be repaired the following measures have been,or must be taken,to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area render it unusable. Replacement systems must comply with the rules in effect at the time of replacement. ❑ 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. j$( 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 CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN.DO NOT ENTER A SEPTIC,PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT.RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER fo/hV / ELK£ /'lI�-o?3/d y� Name �dN�/ EL E El,�c6 L .d'i.�s Phone S s'7?_ .7 Phone 7/S `>a-S-.?LL 3EPTAGE SERVICING OPERATOR(Pumper)—!./.v Vame Ar.uaaa LOCAL REGULATORY AUTHORITY phone Agency . e.44VK Lo. Ffie Phone J? - O Page A of CD rn.. eN o Pr ww c i "h _ < c y a rD rD 3 w z ri - A D V M N Ci m i A .m—. m a; S ry A 3�p •�' � G ` F�l 0 cam' _ <p A (D , N � -' a� � O N 7 I 41 c r c m c° = c o a c rt o ? CD o .ti e c � J 1 cc y^ 75 �. – r " 0 30 0 "w CD 7 T= FD ^ - .R•. rAD rJ A ^ N g –A =-o a– m - -- + � n r �,O�w y ' u ID J O N a 1 O �.od o sM a'Z:) a tA n > � J N e•• o a'a •• m 7 CD m T F 1 m m A R 3 ^ c z c T 0 o LA -J rD ° � r+ m (D m QTi m CL m g r }ss6 ate`– < A a n^ O ro O Q 0 y '-1 r3• 'C•.� 3 m T A ID 1 Pq 3 rD g o Ng t, ° s7 zfe Q Foy ® T �G - _ rJ v. tJ•to tD i ^ O rD n r V O to O a m (D I� 1 } 9 � q PAX � AL wisaontit Department of Commerce SOIL EV N REPORT Page J-_.-of Division of Safety and SuMNs In arxor darica whit Comm t35,Wis Adm. Code Attach complete alts plan on paper not less!hare 8112 x 11 Inches d+ 1m.Punt must M direction and � Itdud trot not Amlted to:vertical and hodzotttai reterernce � Parcel I.D. e. point(8 ) roent slope,scale or dimensions,nonh arrow,and iom bon and durance to nearest road. — �d -0©-0 �/D Please print all Informafi �� Kew Dace ? P«.onrl lMennsYoe you provWe My b.ua.d for t Ti.1&04 HMIN 1 J 2 p�typwner Props lien R 44 I t a 1/4 1/4 r7 T� NR,JAS E(cry W Property Owner's Mailing Address tw# loch: SUM Name CSMti. 7 a wv u S �t q 5� it 00 is . .— MY qte mp cky U Va"s ®Tow i Nearest Road 9GIL 15 9 • K,ww�c . ' 1 ® Now Construction Use. Residential 1 tNwrJw of bedrooms,75 Code derived design flow rata GPO ❑Replacemett ❑ Publio or commerdai-Describe: Pamnt material Ljcg&Aj L i✓,eC7b!j 'r t'laod Plain elevation if applicable G614W oorrunenta T»S7 A L.L 4`x f I2.5 C ELL rk A • M U U N D W 7T N M19, OF J.6 6 and mcomrnendatians`• o F A PP R OV WD F f L L aBodng� ❑ spring I, ® pit Ground surface elev... ],9 ft Depth to Itnubng tartar Soft kViloation Rate Horizon Qepth Dominant COW Redox Desaiptlon Texture Structure Consistence 8=dary Roots p In. Munseft Qu.Sz Cont.Color Gr.Sz.Sh. •E 1 l4 F L +� !. "� 0 4, ag 2d 2.55 Yfl sc m °b ~' 7t ❑ eo>�g Boring# ® Pit � Ground surface W..-"—'s�_ft. Depth to limiting factor I [—In. W Application Rate Horizon Depth Dominant Color RedoxDescription Texture Structure Consistence I loundary Roots GPD(fE In. Munsell Qu,Sz Cont.Color Or.Sz.Sh. •EffX1 •EfI#2 D- to amab vfr cs 10 0,4 o, 1 d •—^ F5L mabK ; SG m m •Effluent#1-Boo,,,30_22g mgtL and TSS>30<150 mg/L •EMdent tit=BOO 130 a4L and TS3 S 30 ngL CST Nara(Please PciMJ ` CS?Ntarrbw Address Date Evalusuf Conduc ad Telephorm NtvNxr a t71a"� c.. etj4t Falls w oweter Parcel In#•_. 9.a` 10 18 -50,a11 Page-.O Ground a urfum elev.IlGs_.1....-ft: . : Depth to IIRaUnp lauxar n In San leartior►r'tate Pit , Redox Oeaert CM TexWte Structure Corafuslsance I Runts (3PCl1t` Fforizorr GPft+ Dwtrin I 1 1. 'Elf2 In. Mtx+sed Cu SL Cont.C0for dr.St.Sh. x� 13_f !L ,� ✓ v d 0 I ft. Depth to 1bitinp factor 1In. L.�..J ❑ pit Ground s'ufaca°iay..---w-• Scd AWkadW Rau° Hemm� Depth Daninane Redox De=P4on Twin MICKxe Ca>sistenea Boundary Roos GPDlltz in. MtrnseU Q�.Sz Cart.Color or.Sz Sh. 'E}Nt1 f 'EM I �" # Q eadc�q Ground surface elev. ft• Depth to iimilfnp factor_..�}ht Sqt on Rate iL Pte t•tarf= Depth Dominant Color Redox Description Texttre Structure C.xes owes Boundary took �INc2 In. Munson Qu.SL Govt Gotar Gr.8z Sh. . i I i I a •Efrium t#1 s SW,:,.30:s 220 mgli.and TSS>30'150 mg& •EfAuerd#2=800,S�30 nV&and TM S 30 MWL The Department of Commerce is an equal opportunity service provider and emplayer- if you red assistance to access services or need material E:R are alternate format,please contact the degartttacnt at 608.266-3131 or TTY 608•Zb4-8777: aec•rsao a � y .TAKI;4S FLAINE RAY _..... . .. . . .P. 3 OF 3 ... PLOT PL S 4 o Q C PA R CC L SL V4 16"W SCAL E I it $7141 1 Z ADED. NAIL tN tV000 p65,7'.8 A®op6 G24Df A 55UME Ft 106,00- i y j3! '*2 70 P' I� PVC. 9#RB06RAdG: A75 `EEL PosT w` EL. 93,q a o 82 �l Q3• ; i 9 i ST. CROIX COUNTY SEPTIC TANK MAINTENANCIiAGREEMENT AND OWNERSHIP CERTIFICATION FOR Owner/ffiiyer 0-.VVL e__ Mailing Address 7- Proj)erty Address 9 y d Co u /r* e- 7-ro-i I (Verification required from Planlung&Zoning Department ft r grew ons�uctian. ('1ity/State 14L)C'So"A Parcel Identification Number LEGAL DESCRIPTION 11roperty LocatiOlISE- '/4 ,N-W '/4 , Sec. T .2 9 N R W, 'I-own of Lot 9 Certified Survey Map # �J7 -(U-0 E? Volume Pageg 6 01 / Vl'i'arrau y Deed 4-1 Volume Page 4 Spec house yes Lot lines identifiable yes 110 SYSTEM rVIAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper W:)intenance consists of pumping out the septic tank every three years or sooner, if needed,by a licensed pumper. What you put into ffi� systern can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance r(�ponsibilities are specified in§Comrn. 83.52(l)and in Chapter 12- St,Croix County Sanitary Ordinance, J'he property owner agrees to submit to St. Croix County Planning&Zoning Department a certification form,signed by the owuer and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site "vastcwlter disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank-is le.,; than 1/3 full of sludge. IhAre,the undersigned have read the above requirements and agree to maintain.the private sewage disposal system with the Aalidards set forth,herein, as set by the Department of Corrinierce and the Department of Natural Resources,State of Wisconsin. Ccrtification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& "oning Department within 30 days of the three year expiration date. I/we certify that all statements oil this form are trite to the best of nay/our knowledge, l/we am/are the owner(s)of the p operty described above.,by virtue of a warranty deed recorded in Register of Deeds Office. Natuber of bedroonis AO/4/ I.T��E z SIG NAT JiR OF APPIICCX�NN DATE "Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning,Department. li)chide with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if tc-fciencc is made in the warranty deed. 11 FV.08105) • • 996089 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Certified Survey Map 05/19/2014 09:33 AM EXEMPT 7f': James A. Jr. and Elaine A. Ray REC FEE: 30.00 COPY FEE: 3.00 Part of the Southeast % of the Northwest Ye of Section 7, Township PAGES: 2 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. North 114 Car. Sec. 7, T26N, R18W, (Bemtsen Alum.Mon.Fd.) N U!V-)Iatted Lands S 86°55'21"E 493.07' y - t Pond ,`v 2 L w w wl Q + m 527 Acre or 84,31;4 5 .F ' 6. 6.370 Acre or 77,465 Spro Ft Excludin Ro d R.O-yyyl!!! ,o CM Z S coo N 86°5 200 100 O 200 5'21'W 285:38' ^ -�zo 4� Pond All bearings referenced to the I C V. E1 W Y,line of Sec. 7, T 26 N, R 18 W'. assumed N 88*11'55W Ll1 -ac�i O Owner's Address: I N o co co cn 471 90Th St. C I g Hudson, W1 54016 ( Z c W 114 Car. Sec. T, U t 22' T 28 N,R 18 W, East 114 Car.Sec. 7, (Bemtsen Alum.Mon.Fd.) �°11'55 E T 28 N,R 18 W, 207.53' (Bemtsen Alum.Mon.Fd_) A9 2 . /1 2 o , 207.53' 2605.36' 1 E1 114 Line,9 �� t � � r N 86°11'55'W 5285.12'R(West 5285.00)- .13 I I COUIee Trail Lot 1, C_S_M., Vol_ 13, Page 3699 CU j o Unplatted Lands of — c-; C4 1p N (n (D S 114 Car. Sec. 7, Legend: I Cj ii 2 1/4° N R I B Pipe Fd.) o indicates 1 '4"O.D. x 18"iron pipe set. e- (min: weight 1.13 Ibs.Ain. ft.) lo•I o Indicates 1 Y44"O.D. iron pipe found. rl-- R(10.00)Indicates previously recorded data. Indicates fence. \SCONS��i LAU ° W M RPCE HY °- 1713 :W= Dated: December 25, 2013 yypgTM.:�o W{ Sheet 9 of 2 Sheets Vol. 26 Page 6011 St.Croix County 996089 Page 1 of 2 00Ct_UNEt! t40. sav1E 31R oF -WI9C"SSn-F0wr t WAt1AM"�a , FHAS SPACE RESOWED MR NECORDING'MAN A L.,546_ 1 c G- REGISMS OFFICE THIS DEED, ease beaweeen Geor E. Turman and Eleanor _ ST. Git©IX CO.,4X95. �. M. TianeVmn. husband and wife. -- 9tec'd. for R000rd thus 27th > Grantor day of A.-O. 199 and -James A. Ray. Jr. . and Etalne A. Ray, husband ,and aB 7 •t,t � N1. r Grantee= } y Wilaessev h, Thai the sal=?Grantor, for a valuable consideration -- €necy-Ei.ge Thou-sand (295 OO+G.00S kollars -------------- ' —..--- RETURN To :D- cenccp-s to C.MnLaa the(0110wing described real catat*in St. Croix county, Ssrse cf Wisconsin- The S-Ij of the SWk of Section 6, Town- ship 28 North, Range 18 West. and the NWk of Section. 7, Town a ship 21a North, RavGe 18 !test, except the following parcels; A parcel of 2.0 acres located .Ln the Silk of NWk of Section - 7-28-L8, flwrUlLer dcscrib!!-d as follows: beginning at the SW corneMa r,_y into. of saf.tl S6Pk of Wt,- tltance N along the W line of said Section 7 a distance of 252.5 feet, thence E parallel with the quarter line a distance of 345.0 feet, thence S parallel with the W line of Section 7, rt distance of 252.5 feet, thence W along the quarter line a dis- tance of 345.0 feet to the polat of beginning; the W and S 33 feet of the parcel being used3 for public road; and a parcel of .1.0 acres located in the SWk of the INVk cf Section 7, Township 28 Korth, flange 18 West, furiher described as follows: beginning at a point on the W line of said Section 7 a di-scarce of 252.5 feet N of the SW corner of said NWk, thence continue N along the section line 66.0 feet, thence 4 parallel with the quarter line 411.0 11 feet, thence S pn>:allel with the section line 318.5 feet, thence W along the quarter line 66.0 feet, thence N parallel with the section line 252.5 feet, thence W parallel with the quartet Line 345 :feet to the point of beginning; the W 33 feet and the extreme S 33 feet of said � parcel being used foie public road. THIS DEED IS GIVEN IN Fl!'CFIi.LMEAta OF TB.AT CERTAIN LAND CONTRACT DATED MARCH 31 1973 and b -a•,tk-r: Continued on reverse side . . . This 1s --hon.estead property, (ix) its not) s TaCF:4yer witb all and singular the herediv5,ments and appurtenances thereunto be:onging; And ��eor_ge F�l�mrnerm�n and E1earor M Limmermsa,_husband and wife. y warrants that the title is good. indefe4sible in fee simple and free and clear of encumbrances except ing and liens or k encumbrances created or suffered to be created by the actions or defaults of the grantees. `1 G sand will waaesani and defend the same. Tn[Lt .C7 E Dstcd Otis 27th dap of April , ]g 79 S FEE SEAL —(SEAL) (SEAL) SEAL t — Geor. E. Timmerman Y1 I �- ✓ �,-� SEAL Eleanor M. Timmerman 'a AUTHENTICATION ACKNOWLEDGMENT n. Si natures authenticated this. 2.7th day, F'of STATE O WISCONSIN °pc�iI- 19 79 t(ss. {�{ County. ) 3 Get !?�.lts_%�%-C rat• Personally came before me, this day of Jehn W. Davison the above named TITLE: MEMBER STATE BAR OF WISCONSCN (If not, -- authorized by 5 706.06, Wis. Stars.) _ sr This instrument was drafted by John W. Davison to me known to be the person_who executed the fore- going instrument and acknowledged the same. River Falls, 141 54022 _ (Signatures may be authenticated or acknowledged. Both t— --- --- are not necessary.) Notary Public— — County, Wis. My Commission is permanent. (If not, state expiration date:_ __, 19 T.) ':dames �f pe.s•Fr^signing in any caoacity must be typed or printed beto%v their signatures. WARRANTY DEED–STATE CAR OF WISCONSIN. FORM No. 1-1977 ' 71 ** Continued from front side ' recorded April 4, 1973, 3:30 A.-H. as Documaat' -No. 315334 in book .1:96 of Records, Page 1G2, 103, Register of Deed's office, Sc. Croix County, Hudson. Wisconsin. property ONmer Tn m e5 Parcel to d aa_ 10/8 -50 ,000 Pape _of ® °# ❑t 8annp pp� pp 4N pit Ground surface elev._1�L1—ft. Depth to IimaUnp factor l� In Horizon Depth Dominant Col Redox Description Texture Structure Coraiatence Boundary Roots flPCfff tn. Munsell Du.Sz. Cont.Color Gr.Sz.Sh. 'EffNt I •EM m a F M 6/� rr Y A , 9-1 3 © Q 3 3 v C 2 SC �►+ s »► i Fq-� # in. C] Pit Ground surface il. Depth to tirnift factor SoN Rate ✓/ Honzon Depth Dominant Col Redox Descnntion Texture Structure Consistence Boundary Rooms GPOIf!' in. Mansell Clu.Sz. Cont.Color Gr.Sz.Sh. 'EffK1 'Eff#2 /D Vle 31Z.,! 5�- Zrns /!'!�' C 21( N� �a 2 1 -75 ies` s"'I 2 s k' r- Sczng# ❑ Boring In. ❑ Pit Ground surface elev..._.�___ft. Depth to limiting factor In. Rate Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Riots POfI! In. Munsell Cu.Sz. Cont Color Gr.Sz.Sh. 'Efip� 1-11#2 Y I I Effluent#1 :BO0,>30<220 nxYL and TSS 40 1150 mg1L 'Effluent#2=800r S 30 mg1L and TSS 130 rngfL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services er need material in an alternate format, please contact ft department at 608-266-3151 or TTY 608-264-8777. sac-9330("09) ori�, PA s »w1 AL 'Wisconsin Department of Commerce SOIL AL N REPORT ���page � � Division of Safety and Buildings In accordance with Comm 85,Wfs. Adm. Code County S - Attach complete site plan on paper not less than 81/2 x 11 Inches In'size.Plan must Include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. - j 0 a — 50 - 0 p� /O Please print all lnformatio ���!!!! view Date Personal Information you provide may be used for s LlWDs 13.04 )(m)). G��jj l 3 2 Property Owner Property lion Q.yy E ` e t6t.Lot s F_ 114 V W 1/4 S r7 T,?T,?R N RIB E(or)W Property Owner's Mailing Address # lock# Subd.Name or CSM# 1 o ST Sz. otx o `l0 22Jzes City State Tip Code Phon City ❑Village ®T Nearest Road j941to 15 a - 4 l► K►ww t C tv a rat CK New Construction Use:5� Residential/Number of bedrooms 7_ Code derived design flow rate -450 GPD n ❑Replacement `/_�,,', I or mm rdal-D s be: l 1l 1!ti Pamnt_ miaterial lal c.at s h S 6vi e� �� Flood Plain elevation If applicable w A R ' General con menu INSTALL 4'>012.5 C ELL I N A MOUND W 7 T N MU, OF I, Qi 6 and rsc«nmendadons:- 4j7APPP,0VFV -SA F j L >(000 S Boring# ❑ oring p a ® pit Ground surface elev. V, 7 ft. Depth to limiting factor _in. Soli lip licatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsel! Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 0.- 2 ma,bk m V r C5 V+ 0 —/6 10 •F5 L o,,q 0 51 L 2 2, 7ZI rnsbk rn , 4 2 0, 3 F2_1 Boring# C] Boring ® pi( . Ground surface elev. ft. Depth to limiting factor l g in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munse!! Qu.Sz Cont.Color Gr.Sz.Sh. 'Eff#1 I -Eff#2 0 -8 1,C) Y R v- SI amx, A r Cs Ivy 0,6 0, R-1 9 16 Y F5L ,n abk r 0 0. 3 SC >�I b' m — 0, 2- �.3 Effluent#1 =BOD >30<220 mg/L and TSS>30:5 150 mgA. 'Effluent#2=B00,:5 30 mgA-and TSS 130 mg1L CST Name(Please Print) Ignature n CST Number e')Sv 1a Address Date Evaluadc7nducted Telephone Number RR05 22 0 c- tUGy F'115 715-4,P5-94 f,9 _ZAKES4,ELAINE RAY PLAT PLAN 3. OF 3 40aC PARCEL SE y4 NW 5? T291 R 18 W 5CAL E 1 " = 46' Y c BM 1 2 NFADED NA L r N Shoo 0 PosT .6 A©ovE G RA o f A' SuME El 106.00' .3M*?- TD P I PVC 4"A ROUE GRADE AT STEF L PosT EL. 93.9 w J 1 0 i b�O 82 �3 9 Pam Quinn From: Pam Quinn Sent: Tuesday, September 02, 2014 4:39 PM To: 'Taylor, Edwin - DSPS' Cc: Ryan Yarrington;john@pelkeplumbing.com Subject: RE: soil on-site for Ray property in Sec. 7 of Kinnickinnic Hi Ed, Ryan and I went out to the Ray site and based on the site plan,we dug a hole approx. 20" deep near Carl's B2 test pit location. The soils were different colors than reported, but depth to limiting factor-18" below surface. We observed 0 -10 plow layer 10 YR 3/2 silt loam, with a clear/smooth boundary to 2nd horizon 10/YR 4/3 silt loam that gradually contained more clay as we dug deeper and had a diffuse wavy boundary with 3rd horizon 10 YR 5/4 silty clay loam containing redox features c2d 7.5 YR 5/6. Definitely more than 4 below the A-horizon, so a conventional mound design should be fine. The site has a moderate continuous easterly slope that will get good exposure to sunlight and standard chisel plowing will work well if the current grass/alfalfa/clover is mowed short before installation. Pam Quinn, Land'Use Specialist CI-IO I'S) St. Croix County Community Development Dept. imi. Carmi;chaeCRoad Hudson, tiVY 54o16 715-386-468o pam quinnQco.saint-Croix.wi.us From: Taylor, Edwin - DSPS [mailto:Edwin Taylor wisconsin.gov] Sent: Tuesday, September 02, 2014 8:33 AM To: Pam Quinn Subject: RE: soil on-site for Ray property in Sec. 7 of Kinnickinnic Thanks Pam. I'll be anxious to find out what you see. From: Pam Quinn [mailto•Pam Quinn @co.saint-croix.wi.us] Sent: Friday, August 29, 2014 2:48 PM To: Taylor, Edwin - DSPS Cc: Ryan Yarrington; iohn@)pelkeplumbinci.com Subject: soil on-site for Ray property in Sec. 7 of Kinnickinnic Hi Guys, Ryan and I were going out to check the site today, but it's extremely overcast and raining this afternoon, which are poor conditions to determine whether we've got an A+4 site or not. I checked the soils map and tried to transfer Carl's site plan onto an air photo with soil layers& it looks like his site is in an area of Magnor and Santiago series soils. We'll check site conditions w/regard to crop&cultivation impacts and see if we can find the BM shown on the north fence line. Hopefully light and soil moisture conditions will be better on Tuesday, since the office is closed Monday. Luckily it doesn't appear that Shoreland overlay zoning applies as the site is>1000'to a pond on the west side of the parcel. Will do our on-site ASAP and report back. Pam Quinn, Land 11se Specialist (PO^WTS) St. Croix County Community Development Dept. not Carmich.aeCToad Hudson, -W1 54o16 1 JOHN HERBERT PELKE Page 2 8/28/2014 cc:Pelke Plumbing&Well Drilling Inc Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Zoning Office St Croix County Spia I `�EeaxTar �, DIVISION OF INDUSTRY SERVICES yet' RECEIVED 10541NRANCHROAD a2 i 9 HAYWARD WI 54843 si $ Contact Through Relay y www.dsps.wi.gov/sb/ ww.dsps.wi.gov/sb/ SE _ 2(114 www.wisconsin.gov SOS, ST.CROIX COUNTY Scott Walker,Governor "O A-nJIJ !TY I)_VE OPMENT. Dave Ross,Secretary August 28,2014 CUST ID No. 231346 JOHN HERBERT PELKE PELKE PLUMBING N6298 ST HWY 25 DURAND WI 54736 REQUEST FOR ADDITIONAL INFORMATION SITE: James&Elaine Ray Coulee Trail Rd Identification Numbers Town of Kinnickinnic Transaction ID No.2452328 St Croix County Site ID No.805496 SEl/4,NW1/4, S7,T28N,R18W Please refer to both identification numbers,above, FOR: in all correspondence with the agency. Object Type:POWTS Component Manual Regulated Object ID No.: 1500331 Maintenance required; 450 GPD Flow rate; System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01, R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12); Effluent Filter The submittal described above has been placed on HOLD and the review and approval is pending subject to receipt of ADDITIONAL INFORMATION and a possible Interpretive Determination Report. The sample soil profile descriptions on the Soil Evaluation Report submitted with this plan indicate that the proposed mound site lacks the"A+4"condition. (CST horizons 1 and 2,based on reported colors,compose an"A"horizon with mottles reported immediately beneath it.) It also appears that the proposed site is in a Magnor silt loam soil map unit of the USDA-NRCS soil survey. The Magnor Series has a somewhat poorly drained soil moisture regime which is consistent with the CST's sample profile descriptions. If the CST profile descriptions are correct,then an Interpretive Determination review and approval would be required prior to mound plan approval. Thus,personnel from the St.Croix County Zoning Department have been requested to examine soil conditions on the site. If they report that the CST profile descriptions are correct,then the mound plan in question can not be reviewed without prior review and approval of an Interpretive Determination Report pursuant to SPS 385.30(2), Wisc.Admin. Code. You will be informed on the status of this plan within 5 days of receiving a soil report from the St.Croix County Zoning Department. Zoning personnel may also request soil verification by the district DSPS Wastewater Specialist. If you have any questions,after reading the above comments and related code sections cited,please call me at the telephone number below. -1 Sincerely, Fee Received$ 250.00 WSMART code:7633 Edwin A Taylor Wastewater Specialist,Integrated Services (715)634-3484,Monday-Friday 8:00 am To 4:30 pm edwin.taylor @wisconsin.gov r DEPA:RTME14TOF REPORT ON SOIL BORINGS �R/ ✓ FETY & BUILDINGS IND TRY, DIVISION LAB�R lkND PERCOLATION TESTS (11 ° �' P.O. BOX 7969 HUMAN RELATIONS t DISON,WI 53707 (H63.090) & Chapter 145.045) 1 ® i x LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT 4i�-. BLK. alb N ME: 1/4W/ -7 /TzBN/R i 8 E ( )W \c_v-,\\N,3ti 1 C- COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: tJ S7.CR01 �Pt1v�ES R . RED`{ R�'• \ Ufl� O �� USE DATES OB V ADE NO.BEDRS : COMMER IAL DESCRIPTION: ROs=.ILE DESCRIPTIONS: PERCOLATION TESTS:I,0Residence 3 ®New ❑Replace 12-V- RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) ❑S 3U ZS [ ❑S ®U ❑S ElU ❑SU DESIGN RATE: If Percolation Tests are NOT required If an portion of the testr-�area is in the Y �]l under s.H63.09(5)(b),indicate: Floodplain, indicate Flooctnlain elevation: / PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- CHARACTER OF SOIL WITH i HICKNESS, COLOR,TEXTURE, AND DEPTH NUMBER DEPTH UL ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) try C>`17. B- B- B- AZ D1G B.s s.\ T s.' 3- 'Y•Bu s L; 15'RpN .aEw��s t�L+ o� :lO ¢.�15 .So .e� '3�s;\T•s \.gz 'agNs:\� z.os, ,st���a��; \.(013! Rd 5tL wEr� B- 4- g •�Z Q1 .\oS !J"J\�E g-•°Z I C3.J S;\T.S� .e1 t\3.� s.\ 3-ZS'R6t�NEt.V( 5tt�. t. Z 4_Z.'R6.+VT1E1P,.v1< SQL. H�- 4,4Z �B.�S 3 .83 3•ZS� 1'C3lJSt>LT.S� \ ' `tCiN 8 103.2 QDQE 7 5 .58 _'15`c S��rs. \'� �� ; 3•>33 RaN s>� . 5.5 4' , PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-IN_-HES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD 3 PER INCH P- 3 ZQ 3� Z 3110 3/,� 3 P N P_ a PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indiicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. FC, .-\S So\L SvQVE`( ��V SYSTEM ELEVATION °�°�•Z , SF�u'"C1AGO 5��-� �aA•� i � - H*o REV- 'i4 b � � ti�`T•E: ; St�E ��*�Z� �o 1e -- - - r____ V� —- - __ - - -- _ —`OF T HL' 3�1--J�IOf� s E�-N`�q• G 5C � i y, i r i —�----t--- -- �--__- - -_ - - .— �--vryx-211=1. �$.p ELC�V. \•p. I 1 I _ IN!-- ' cEpa,tz .tao.00 I r _N - _ 3 6) P3 °7 c1 154- 7 { 5owz OL Ct , I ' taus �--�� 1.►00.,__ � ..3 x — SCALE 1 ''= 4p' ExCEFC' Pl' Sk�w� SEG•'1 1, the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowse•dge and belief. NAME(print): TESTS 10%-ERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): GNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DI LHR-SBD-6395 (R.02/82) -OVER-