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020-1411-20-000
Jisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division • INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name: City Village X Township Miller Homes of Hudson, LLC Hudson, Town of ST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER ~^~ , CAPACITY s Septic '1 ~ ~ i ~iS~-~~ 7~0~~ Dosing ~ Gr i Po t a tz., s Holding TANK SETBACK INFORMATION TANK TO ^ i JL /d" ( WELL BLDG. nVent to Airs ke rJ ROAD Septic 7 $D / ~ (~,., /'v ~~ ~ 33 1 ~-• Dosing 7 5'~+ ~ i.A ,l1Yf~" 3 3 + 3~ I -r Aeration Holding Pl1MP/SIPHON INFORMATION Manufacturer Demand ~ ~, GPM Model Number ~~~ '~b TDH Lit Frictign L~Z System Head Ft TDH ` ~~ / ~. 5 ~ 9 Forcemain Length / Dia. ~f Dist. to well /~ 47 ~ ~ f`t"' Cnll AQC/IDDTInAI CVCTFM county: St. Croix Sanitary Permit No: 506135 0 State Plan ID No: Parcel Tax No: 020-1411-20-000 Section/Town/Range/Map No: 13.29.19.2590 ELEVATION DATA STATION 7 Q l071•$ FS ~ E~ Benchmark ~ ~.~ Aft. BM ~: ~,.,.,~, ~oJ~e.._. S ~ `j(P Io/ . SiiCo Bldg. Sewer /t •35 9Jl •y~ SUHt Inlet ~Z• ~ 9'S • Z.? SUHt Outlet ~~• ~q 4.y c~ Dt Inlet 13. IS ~~• t ~ Dt Bottom ~ 59 ~j'!. Z 3 Header/Man. ~.9 y~ ~~ •,~ Dist. Pipe ~ 9 Z • ~oO ~ , Bot. System 7, ~Z /00 Final Grade e~~ S•7 ~Q~• q s St Cover 5• q (~ ~B ~• B` CA~~oJ~ ~ ~` ~ Tapp ~ `p,^ x. $ /~ 5 BEDITRENCH Width / Length / Trenc s No. PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7~ S ~ZV ~ ~~ ~" _" SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: INFORMATION Type O System: / . i ,/~ _ " - t ,/~ _ "" UNIT Model Number: ~ y '~ N I'C /V fj ~ 2S h.. IIICTDIRIITIf1A1 CVCTFM T. 1_ 1 Header/Manifold ~~ Distribution ~~ R // i Pipe(s) p c '7~ x Hole Si ~ it 'Q x Hole Spacing /J 3Z Ve to Air Intake ~~ ~ ~ Length Z • J Dia z ~ , y Length ~ 1 ~ ~ Dia ' Z `~ Spacing Z V _ ` Cr °r C/111 rrnicD ..,____..__ ~.._.......... .,..r., ,,., RA....nrl (lr er_r_r~rio Svetwme Only N!_ .- i~•~ Depth Over / Depth Over xx Depth of l ~ ` xx Seeded/Sodded ~ xx Mulche~`d ~J Bed/Trench Center / ~ G Bed/Trench Edges ~ Topsoil ~ T ~,~PS No "" x7es No / COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~ ~/ V ~ Ins ection #2: / 1 Location: 851 Hillside Trai•Hu on, WI 54016 (NE 1/4 SW 1/4 13 T29N R19W) Alexander Meadows Lot 20 , /I Parcel No: 13.29.19.2590 ~, ~ Jam- P~~~r' alt 1.) Alt BM Description = 2.) Bldg sewer length = ~ ~ ~ 6 ~- ~~ ~ - - -amount of cover = / ~ ~o Plan revision Required? ..:' Yes ~o ~ 2~ b~ ( ~(3 Use other side for additional Information. ~ ~ r Date Cert. No. SBD-6710 (R.3/97) Safely and Buildings Division 201 W. Washington Ave., P.O. Box 7162 I SCOrI Sl ft Madison, WI 53707 - 7162 (608)266-3151 De artment of Commerce Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for stxondary Purposes Pnva s 1. Application Information -Please 'nt otTttati n Property Owner's Name /' ~ ~ o-(/ f -t t:%~'11 cc ~ C- L ~- 2 D P RI~ `~ `` 2 0 - o© Prnnrrty Owner's Mailing Address ~,~, . C/'o ~Y ~ry permit Number (to be filled in by Co.) 50~ 13S ;tare Plan I.D. Number /-3 75 ~l T/b.. S ''~ '7 Z 3 0 $ l ~ : ~, i. 'roject Address (if different than mailing address) ri~f-~ ~ 1 ~ S i ~ ~. ~s~t -1.-~~So ~ Parcel 11 ~ Block s --~ Z O ~ property Location Z X~ , - / 3 1't .t y., ~w'/., Section Ciry, State I "'r ""-- ~ ~~ 3S'c~- 2 ~ 6 y circle e) T~ N: R-- "E F [I. Type of Building (chick all thatapply) ~ "tµ ~ ~~ v I ~ E ~ Subdivision Name CSM Number ~I or 2 Family Dwelling- Number of Bodrooms J, ~~~ QW S Qi d ^ PublicJCrxnrrtercial -Describe Use 0 ' ^Village ~fownship of ^Ciry 7, 5 x b ^ State Owned -Describe Use _ Type of Petyttit: (Check only one box on lice A. Complete line B if applicable) III . A' ^ Replacement System ^ TreatmentMolding Tank Replacement Only ^ Otlter Modification to Existing System New System ~~ List Previous Permit Numbu and Date Issued B. ^ Permit Renewal ^ Permit Revision ^ Change of ^~ertnit Transfer to New / Before Expiration Plumbu ~ 6 a IV. T of POWI'S S stem: Check all that a I of suitable soil ^ Mound < 24 in. of suitable soil 24 in d Mound > G ^ At-Grade ^ Single Pass Sand Filter ^ ^ . _ roun ^ Non -Pressurizod.In- ^ Recirculating Sand Filter Tank ^ Pent Filter ^ Aerobic Treatment Unit d ^ Holdin g Consoucted Wetland ^ Pressurized In-Groun lat Chamber ^ Drip Line ^ Gravel-less Pipe' ^ Other (~P ) hin ^ L g eac Recirculating Synthetic Media Filter V. Dis rsaVTreatment Area Information: n Flow (gpd)/ Deign Soil Application te(gpdsf) Des ig - aired Dispersal Area proposed Dispersal Area Req !,~ System Elevation r ~ ©C>. ~ ~ ~ / ~ Prefab Site Steel Fiber Plas' VI. Tank Info Capacity in Total llons G Manufacturer Numbu ~O lC~ ~; f,t,~/ of Units ~ `' Concrete Constructed Glass Gal TJew a lons Exi:clog ~~, 5 Z Tanks Septic ar Holding Tank Tanks •'~S°J~t7 ' . 1 I~tJo,;, ~ t/ Aerobic Ttc~tnxnt Unit x • ., Dosing Chamber ~ (25O w @~ S Q' Y onsibility for installation of the PO e res d h edpho WTS shown oa the Butac b p , assum VII. Responsibility Statement- I, the undersigne MP/MPRS Number ' t ~ u ne Num s Si lure Plumber Plumber's Name (Print) ~ ~ Z -z --d / ~O _ ~/J - 7a~ ~- Z Z S /~ ~Q ~t ~ ~~ C Gi g r / Plumber's Address (Strcet, Ciry, State, Zip Code) u /o D u ~t'rt LlJ I D \'(Il. Count ~/De artment Use Onl Sanitary Permit Fee (includes Groundwater Date sued Issuing t Signal a Stam Approved ^ Surcharge Fce) / d0 a p (p ~ j' D ^ O even Reason for Denia 1~+-(~ I ~~,~~ '+"~ ('ems ~ ~.. b tnn,ct IX. Conditions of Approval/Reasons for Disapproval 3~ k effltteM fNter and (~ Q, o tank tf~ S tvt2 t,r.. o~..CO~~- c , sp 1. ~ f dispersal qeN must all be services / mairttalne as per management plan provided by plumber. 2. AN setback tequiri;»rterttsmest be maintained ~~ per appNcabkcode / ordinances. Attxh complete plam (to rho County oaty) for the sy+t«n oa wP~r aoc ta. th.u atrz : tt tact,cs to:ize SBD-6398 (R. Ol/03) / by 0. Som./ B/o3/oz s s'~~/,y/ ~~ ~- ~Op , 00 ~ Soy/at~a/uav~o~,a,•~ w~~~"'~-4 9'" ~ .. ~Co~~~ ~~k E o7~/~/1Xairc/4 _ _ .S ...~ cr-._.. ... _...~.. 0 -.,sew./3~19i1.,~P.i9w; ~.o~~dl~, s~.c~o,'~ . ~' ~~ ~cnc,k ~an~: To of ~~le ~rre d. ,Oc./. ~~-/y//•~o-ul S coot t . _ . , .: ~ • , . , ; , ~ , fir; ~ ,[ . ~., .._ i . ~. , / ~. / ~ ~ ,, /oca~on / ~ / ; ~~ ~ ~ , ,Q. : /use of ~ ~ "~ l / ~i% / e/tc,fia~.,sr4.~,n~~a f ° lp / i i ~ /1. cJ. Grncr E/ = y7.13 Jeia,c ~ 8a.ra'e: . SY~'~'E°+~R'"~f~b%yuX~. /// ! ~d, • ~ . .. ~,. Pao o ud ... // (/ `IQ` f ~`~ P ~ .•Propos~d ':;,. ,.•_.. i ' ~// ~ ,~(`i dts ~oftd, 3 bdc-rt.:..,.I ,s3 bolrrrt.. / ~/ Id3 ~ ~' ..._ , r~ ~ /'~ //~ / / r / /,~~ / / 82 ,~.~,~ ~ / / / is A~ /~ ~~, /~ ~/ ~ ~~ ~~ ,ti ,~ h ' qA~ , ? qq1' ~,~ P~oposcd ,~o~d~~~ .~~grX~3~ 6S' a`~ S,oattd a~ x.32' • ' ~~ ~ . Pg. 8 aF/`' ,:~.~ O _ - ~= ~,~'//.S/ 0/2 ~a i/ ~e nr~ Soi/eda/c~a ci'or, /rl~~~ by d • She/ B/o,3/oz So;/al/alic~l~io:~~o~~ 6 /Ctsor, y.~ ~j~~~a~/a-c~C e/EC: sew. /3,~z9il; -P, i9~v /.~9~" T.o~f~dr~, sE•c~c . ~/. ': To of ~t le /io„e d. P~/. ~0.~0 -~s///-~D - rt»u-rnca e - i i ' b i '' ' ~ f~- dsrir, <.,t / ~ / I i ~ , ~ ~ i I / / /' pp~ /, ~ / ~ ~ ' \Q` ~ / ! / ~o(~o s/ e..d wet/ / hh ` , ~ i i ~ '' ' ' j o ~J i cS E /' 4r~ C•~ei ttJ,;GCO /~t~ / I // ~ ~ ~ora~c i ~a.ra~e ScP{••cta..~,r,~(/.~/y,GK~ ij~~~i ~p'~i ,4/t. ,CS.~ : /~se of e /GC , fia., Sfrii'iy c/ ~ 6 //. w. Cor-.9G~ E/. = y7..z 1 ~ o~.-b1cE• ~ i NN 11 / i U Pro/+oud ~ Pro os~d i ~// ' ~~ cleSfroy.ed. 3 bdr,n, P I 36drrvl• ~/ 63 ' ~ ~ 4~ '1-oe,~wlioast ~ ~Wn house i~ ~/ /iii ~ ~5~ ~' ~'~ iii ~ ~ /,gyp. //~ ~ ~ ,r ~ittcr (t„crc~e w4sso-q'cQ ~ ~,~~ i ~u ~ /OumP c/,a.»ba.' ~ ~J~ '~~ ~,i .gyp`/l ~~~ `~ i '~ h ~ ~~ ~ ,o ' ~'~ , ~ ~ /s', b° / / ~~' 0~ / ~ ' ' qA~ q~ ~~ ~ P~oPostd ~t,~„da~ ~y9'rx/3B ~s' o~ S~actd a~ x.32' ~? ~,~' %~. ~ aF~ commerce.wi.gov ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 12, 2007 CUST ID No. 225036 MICHAEL P MC DONELL MILLER HOMES OF HUDSON, LLC 1070 HUNTER RIDGE RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/12/2009 SITE: Miller Homes of Hudson $'~ I ~~U Hillside Trail Town of Hudson St Croix County NE1/4, SW1/4, 513, T29N, R19W Lot: 20, Subdivision: Alexander Meadows ATTN.• POWTS Inspector ZONING OFFICE ST CROD~ COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1375798 Site ID No. 723081 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: Description: Mound /Six Bedroom /.Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 112.1221 Maintenance required; 900 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145:06, Cpi1~ stats. ~~ The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders Nttl•M • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE COi component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat MICHAEL P MC DONELL Page 2 3/12/2007 • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on-site durine construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, '.~~z~J G~ Charles ,L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. 9F~ MAUND AND PRESSURE DISTRIBUTION COMPONENT DE~~V ~9,p F~~~ Residential Application °~,~`° 08 0 INDEX AND TITLE PAGE ~~~~ ~O~j ~il% Project Name. Miller Momes of Hudson LLC - 4 bedroom residential mound ~s Owner's Name: Miller Homes of Hudson LLC Owner's Address: P.O. Box 10 Hudson, WI. 54016 Parcel Address: 850 Hillside Trail Legal Description: NE1/4 SW1/4, Sec. 13, T.29N., R. 19 W. Township: Hudson County: St.Croix Subdivision Name: Alexander Meadows Lot Number: 20 Block Number: Parcel LD. Number: 020-1411-20-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan ~yl'Arry Page 7 Pump curve and specifications Page 8 Site Plan ~~D Page 9 Soil Evaluation Report OF COMMERCE L01 _SPONDENC Designer: Mike McDonell License Number. 225036 ~ ""~~~-~~-~--~ -- ~- -- - Date: 01/30/07 Phone Number: (612) 865-1927 Signature: `~~~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD&10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 600.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 900.00 Design Flow (gpd) 9.00 Site Slope (%) 99.00 Contour Line Elevation (ft) 24.00 Depth to Limifing Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 120.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal CeN Design Loading Rate (gpd/ftz) 1 Influent Wastewater Duality (1 or 2) Pressure Disribution Information (c or e) c Center or End Manifold 2.50 Lateral Spacing (ft) 6 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.25 Estimated Orifice Spacing (ft} _ 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) 92.00 Pump Tank Elevation (ft) ~/ 6.50 System Head (ft) x 1.3 , 3 ~ ~ t ~- 7.50 Vertical Lift (ft) ~ 3.17 Friction Loss (ft) ~ 17.17 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tians choice 0.75 1.00 1.25 x x 7.50 x 2.00 x 3.00 x Treatment Tank Infanttation WLP 2000 Se tic Tank Capacity (gal) Wieser Concrete Manufacturer Dose Tank Information 1260.07 Dvse Tank Capacity (gel) 26.81 Dose Tank Volume (gat/in) Wieser Concrete Manufacturer Nate: Sand fiill (D) cak:ulations assume a Table 83.44-3 in-situ soil treatment for fecal colifomt of <= 36 inches. 7.50 Cell Width (ft) Are the laterals the highest int in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 5.77 ft2/orifice Does the forcemain drain back? Y Enter Y or N 8.52 Forcemain Drainback (gal) 113.09 5x Void Volume (gal) 11 Minimum Dose Volume {gal) stem Demand (gpm) Manffold Diameter Selection in. dia. o tions choice 1.25 ---x_-- 2.00 x x 3.00 Gallons/Inch Calculator (optional) 1260.07 Total Tank Capacity (gal) 47.00 Total Working Liquid Depth (in) 26.81 gal/in (enter result in cell 649) Effluent Filter Information Pol Lok Filter Manufacturer PL-525 Fitter Model Number Project: Miller Homes of Hudson LLC - 4 bedroom residential mound Page 2 of 9 Mound Plan View 1- I_ H 1.00 ft z 12.11 ft J 5.36 ft -f -1 K 9.33 ft L 138.65 ft W 24.97 ft 2352.74 (ft2) Basal Area Available 12.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.77 (ft) ---- ..rrrrrrf.... G ~ H ~ rrrfrrrrr 2 rrrrrrrr~r. rrrrrrrrrrrrrr rrr~rrrrrrrr sr. Dispersal Cell F .: ~ : ~' ....... 100.50 (ft) Invert I 100.00 (ft) -- Dispersal Cell ;~ ; ~ ~ ~ ' ~ ~ ~ Elevation E ~ D {-~~.~ vM1 ,~ ~.. • ^~ ~{ •. ~,~ ~ ~.~f',f{,.~_?.:-,`'~',, ~•.~.%~ t.~''~,i'•,,~.,c~. r ._ .rte,{ .l• . ,~ .~~,; _ ^~ ,,~ ~ •.~.~ ` ~`~• `• `•'~ 99.00 (ft) Contour Elevation 9.0 % Site Slope Shading Key 1[] ~ Topsoil Cap © rrrrr Subsoil Cap • ~ • ASTM C33 Sand ~' Tilled Layer 5 br:'r: A re ate ^ 99 9 1 /10 B • 'Observation Pipe :~' K ,b ~b• ••,•_, ••, •',• •b•b•b• ••, ~5 ~~, ~•.•5,••, e~o~. ~b ei ;~. ~'.,.• ,j. .I. :B: ' I . L? t . . ..1. -~• Mound Component Dimensions I ' L -~ A 7.50 ft E 20.10 in 6 120.00 ft F 9.25 in D 12.00 in G 0.50 ft 900.00 (ft2) Dispersal Cell Area 7.50 (gpolft) Linear Loading Rate ~ m ~ 'c 1 5 ft c ~ ~ o ~a . ~ ~ ° 0.5 ft -!- Dispersal Cell " F l .' ~r" l L i t a era rp ca A --* Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: Miller Homes of Hudson LLC - 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Farce mai n connection aria tee m cross to manifold at any paint. P i=Turn-upw~ballvahrear I~){--~IExf2 I xf2~l cleanoutplug Holes drilled on the bottom of the lateral. Laterals are identic a- S fi S Laterals & force main of PVC Sch 40 per COMhA Table 84.30.5 Number of Laterals 6 Orifice Diameter Lateral Diameter 1.25 in Orifice Spacing (X) Lateral Length (P) 59.16 ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate 10.71 gpm Manifold Length System Flow Rate 64.26 gpm Manifold Diameter Total Dynamic Head 17.17 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and ---- Comm 16.28 WAC Tank component is properly vented Wieser Concrete Ca aci 1260.07 Volume 26.81 Manufacturer Gallons gal/inch Dimension Inches Gallons A 28.54 765.12 B 2.00 53.62 C 4.46 119.61 D 12.00 321.72 Total 47.00 1260.07 3" Disconnect 0.125 in 2.32 ft 5.77 ft`/orii 5.00 ft 2.00 in 6.56 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min. E-- Alternate outlet location Forcemain diameter ~ 2 in. ~p '(~~ ,~/ do Weep hole or anti- siphon device P~ ump off elevation (ft) 93.00 tan Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoeller Pump Model Number BN140 Pump Must Deliver 64.26 gpm at 17.17 ft TDH A B C D Dose tank elevation (it) 92.00 Project: Miller Homes of Hudson LLC - 4 bedroom residential mound Page 4 of 9 Mound Svstem Maintenance and Ot~eration Saecifications Service Provider's Name Mike McDonell ~ Phone 612-865-1927 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 900 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 600 gpd Maximum BOD5 220 mg/L Septic Tank Capacity LP 2000- gal Maximum TSS 150 mg/L Soil Absorption Component Size 900 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ct and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ndin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1, Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ...~~,......•. ~~ ............... Grade ~~ 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral `~ '`~ long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Miller Homes of Hudson LLC - 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 finer cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the finer shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. tf the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice Leaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal Dell shall tie checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monftoring. Continoency 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 cemponent(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage otxurs or by removing biologically cogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Miller Homes of Hudson LLC - 4 bedroom residential mound Page 6 of 9 ~y ~ PUMP PERFORMANCE CURVE MODEL 140/4140 ss le u t2 4 to e 25 s 7./7, a T-v. t5 ,e 2 s X40, 440 oloe4o TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTAND DEWATERING MODEL 140/4140 Feet Meters Ctal. friers 5 1.5 86 325 10 3.0 80 303 15 4.5 73 278 20 6.1 fib 250 25 7.6 59 223 30 9.1 49 185 35 10.7 38 144 40 12.2 28 106 45 13.7 17 64 Shutoff Head: 50 R 15.2m ,: e~ 10 20 30 40 50 e0 70 80 80 laAL10f13 0 e0 19D 24 320 FLOW PEfi MINUfE L~zG •/+l. ~li/1%~YlGtn'1 ..s ~ /Ytt<G /~c~ Q~ CONSULT ~ACTORY FOR S~~ErCIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available wish or without alarms. • Control alarmsystemsareavailableforlphasepumpsusedinsimplexsystem. See FM0732. • Variable level control switches are available for controlling single phase sys- tems. • Double piggyback variable level float switches are available for variable level bng cycle controls. • Sealed Qwik~$ox available for outdoor installations. See FM1420. _ • Refer to FMO806 for applications above 130°F (54°C). 12 NVT ~,s~r,, 12 NPr ac152AB 14 0/4140 MODELS Control Selection Model Model Yolts-Ph Mode Amps Simplex Duple N140 N4140 115 1 Non 12.0 1 or2 3 E140 E4140 230 1 Non ~ 6.0 1 or 2 3 BN140 BN4140 115 1 Auto 12.0 - BE140 BE4140 230 1 Auto 6.0 - 'Single piggyback switch included. SELECTION GUIDE 1. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM1228 for correct model of simplex control panel. 3. See FM0712 for correct model of duplex control panel. o cnunoN All installation of controls, protection devices and wiring should be done by a qualfied licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Heatth Acl (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safely factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 ` Louisville, KY 40256-0341 Manufactu7ers o/.. ~ SHIP ib: 3649 Cane Run Road ~ ~~~ Louisvr7le, KY 40211-1961 /7~~~ ~Y~LG/PB SMCE ~~,~~, PUMP !O_ (502) 776-2731.1(600) 928-PUMP yf°"~ W W W.Z09/16/.CO/!1 ce v iFn~1 1~e_aMJA ® Copyright 2005 Zoeller Co. All rights reserved P~• 7~'9 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance wNh Comm 85. Wis. Adm. Code x. 2063 ~' age 1 of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper rat less dean 8'/: x 11 inches in size. Plan must St. Croix include, twt rbt limited to: veRical and horizorrta8 reference pant {8M), direction and Parcel I D peroeM slope. scale w dirrrerrrsiorrs, north arrow, and location arnl distance to nearest road. . . 0 0-1 11-20-000 Please prfnt all infprmation. ~ • gy Da Personal iMormation you provxle be u , s,15.04(11(m)1• Z Z ( O 7 Property Owner Property Location Miller Homes Of Hudson, LL Govt. lot NE 1!4 SW /4 S 13 T 29 N R 19 W Property Owner's Mailing Address F E g p 2 Q ~ Lot # Block # Subd. Name or CSM# P.O. Box 10 ZO Alexander Meadows City St to ~ip-~agleBlAOB6)AIOtr~E~er J City J Village ~ Town Nearest Road Hudson I 54 Hudson Hillside Trail New Construction Use: #~ Residential / Number of bedrooms 6 Code derived design fkrvu rate 900 ;J Replacement ~ Public or commercial -Describe: Parent material gtadal outwash Flood plain elevation, if applicable na General comments and recommendations: Evaluation completed to verity soil suitability dovvnslope of originally tested area. Site is suitable for mound system placed on 99.00' contour. System elevation = 100.00'. GPD a Boring # J Boring Pit Ground Surface elev. 95.39 ft. Depth to limiting factor 50" in• Sod Application Rate Horizon Depth Dominant Color Redox Description texture Stnuture Consistence Boundary Roots in. MunseN lZtt. Sz. Cont. Cobr Gr. Sz Sh. "Etf#1 'Eff#2 1 0-16 10yr3/2 none si 2fsbk mvir as 2fm 0.8 1.0 2 18-26 10yr4/4 none sit 2fsbk mvfi' cs 2fm 0.8 0.8 3 28-50 7.5yr4/6 none sid 2msbk mfr cw 1vf,f 0.4 0.8 4 50-82 10yr5l4 m2d 7.5yr5/8 sl/is/s/fs 1 csbk mfdml - - 0.4 0.7 consists o an unsorted mixture s s/s/fs. edox. concentrations associated with textural changes. ~~ ___ _ -- 'Effluent #1 * BODS> 30 <_ 2 mg/L and TSS 30 <_ 150 mg/L 'Effluent #2 = 80D < 30 mglL and TSS < 30 mglL CST Name (Please Print) ignatu CST Number James K. Thompson 5 3602 Address A.C.E. Soil 8 Site Evalu ns Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceola. W154020 1!30/2007 715-248-7767 ~~ by ~. Sfec/ 8/o.~jc~ ~jj, .~7Tiorn~sm l/se. ~ ~ o~a%f e~ ~Or°~. Sf~.~e nee{. ~ ~S CC1 /e: / 0 ~ zoG~ f/, ~//s. ~e Ta; / ~ 'E . ,c3. /7. ~ Base of C(/.` = 97.2.3. one//s o ~'/~ff/,/~lsor-~ /4-G O~/~/~'lli7C~Cr. 5 /~ FdS~ S cci%y ~ c• ~ '. i9~., T . o{~ S t . e~iX Cv; cv~ !O- /S~//-~-o-c~G • ~ ~~~, Wis~nsinDepartmentofCommerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code 1058 Page 1 of 3 Steel Soil Service County Attach complete site plan on paper not less than 8'/z x 11 inches in s¢e. Plan must St. Cron include, but not limited to: vertical and horizontal refen:nce point (BM), direction and percent slope, scale or dimemsior~, north arrow, and location and distance to nearest road. Parcel I.D.OZQ - /~ L~~ - ~~ pendin~ Please print all information. R By Date Personal information you provide maybe for peppr~ pwppFeS ~2n~y Lerv, s# t5.(kt (1) (m)). Property Owner Property Location LaCasse Development , Inc. Govt. Lot NE 114 SW 1!4 S 13 T 29 N R 19 W Property Owner's Mailing Address ~' ~ ~ ~ ~ 7 ~ ~ 2 Lot # Block # Subd. Name ~ CSM# 573 Cty Rd " A" 20 20 Alexander Meadows City State ip C City Village Town Nearest Road °`~c~i~f~ ~~`~ Y Hudson WI - - Hudson Alexander Rd. #~ New Construction Use: ~' Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD .:Replacement Public or commercial -Describe: Parent material Glacial Drift Flood plain eletration, if applicable na General comments and recommendations: Mound design, system elevation 100.50 ft based on contour tine 99.10 ft Boring # Boring M ~ Pit d S f G l 99 50 ' 3~~~ . roun ur ace e ev. fl. . Depth to limib ng factor n~ Sod Ap plication Rate Horizon Depth Dominant Cotor Redox Description Texture Stntcture Consistence Boundary Roots GPDHtz 'Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 10-36 10yr4/4 none sl 2msbk mfr gw 1vf .5 .9 3 36-50 7.5yr4/4 none sl 2msbk mfr gw na .5 .9. ~-- 4 50-72 - 7.5yr4/4 c2d 7.5yr5/6 sUls 2msbk mfr gw na .5 .9 5 72-96 5yr4/4 c2d7.5yr5/6 scl om na na na .0 .0 Horizon # 4 has stratified layers and # 5 is wet Boring # Boring ` 1/ Pit Ground Surface elev. 99.50 ft. Depth to limiting factor 24 in . Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cons~tence Boundary Roots GPD/ft2 *Eff#1 "Eff#2 1 0-12 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 12-24 10yr4/4 none sl 2msbk mfr gw na .4 .6 3 24 4 7.5yr4/4 c2d 7.5yr 5/6 Is osg mfr gw na .7 1.2 4 64-96 5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 Horizon # 4 mottling streaks and bands - tmuent ~y = rsw ~ 3u < zzU mcyL ano T55 >30 < 150 mg/L * Effluent #2 = BODS< 30 mg/L and TSS < 3p mg/L CST Name (Please Print) Signature: CST Number David J. Steel ~~- 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/3/2002 175-246-5085 - Property Owner LaCasse Development , Inc. Parcel ID # Pending Page 2 of 3 Boring # _- Boring ' 50 95 Depth to ft Limiting factor 96 i Pit Ground Surface elev. ~~ . . n. Soi Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft2 *Eff#1 *Eff#2 1 0-19 10yr3/2 none sil 2msbk mft gw 1f .5 .8 2 19-32 10yr4/4 none sl 2msbk mfr gw na .5 .9 3 32-60 7.5yr4l4 none scl 2msbk mfr gw na .4 .6 4 60-96 7.5yr4/4 none sVls 2msbk mfr na na .5 .9 Horizon # 3 is wet and # 4 has stratified layers and wet Boring # :Boring * Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 =GODS <30 mglL and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. ff you need assistance to access services or I I Borinct # Boring - - .. .. ... _ . Page 3 of 3 s~~~~~~ so~~, s~~v~c~ David ~. Steel i 564 cty Rd GG CST-POWTrSiVi LaCasse Dev., Inc. New Richmond, WI 540'1'7 Lic. # 248956 NE1/4,SW1/4,S13,T29,R19W (715) 246-6200 'own of Hudson, St. Croix Co. {? 15) 246-5485 Alexander Meadows, Lot 20 This soil evaluation was conducted t~ satisfy a zoning requirement, i# may or may not be suitable for your -use. The lecation of the test may or -may net be as shewn as perms-next lot lines were not established at the time the test was conducted. I /f 3~f3~~' h~.y1r~U' / ~',~'~r' l "= ~ ' n ° ,~`~ ~ ToP c~ ~~2~ ~/c ~,'~-~- ('t'/1 ~ ~~~C rki.~'ron S ~ j3~ = 5g,.s~~ S~~ r~ 133= ys,so~'-~ \b cl~ d~ ti ~~~ ~~ ~ ~ti . i' ~ ~~u r S ~ ~ .~ I--irt~e ~' 3-a~ S 1: ~. ~ ~7'`( y7, b~ N~ i 9~ 7~ ' ~~_ - ~ ~ .~ .~-"''""~~ ~~~ ~ ~ ~ d .~. ,p .pet W o w a ~ ~ ~ ~~ -~,~_ ,~ ~~, ,~ .W ~-~' -'~~~~ 50'~' ,Si ~~ ~~ ~,~~s I _ ~~ ~o~ . ,~~ ~- :.~~ ~ ~, tia,,~ ~~~ ~ I ~ t ~``' I 1 ~ ~ m ~ ~ I ~ ~ ~ ~1 ~ ,osZ . v ~ J ~ ~ ~ .. st • ~ , ~ l • -- ab~~ ,' ~..~ ~ s ^'~~ ~ I ~, . ~\ ~ ~ ~, ,~ ' ' ~~ ~ v ~ ~~ ~ I 3 3 i rU ~~, I r ~ ~ ~~ . \.' 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NND AE par 71p11®, paIIID Na AC1NC aNAnMMA 6 AN aum a SI, alma 1uo1 mnlJ' Mfr aE lNa1M N n ma Nw w u7[lmin m rats JJO ao wx1 ma M ratan S 1Ra[ NlK qN M a110[tq, p011~ NO ACNIC IOM IRAWNII a tE mM a aoJM lour aaNr ANr N wAroNrt 77 NN ItmINS x pp[ NN po urN1 ruin dl SItoJ1 ulwdn a NWIN ~ P. ti10 113alanua NpM17aJNOVaN rat R.II a Nnwm1~ aDl _alMratcuJO«alomNmnnra Nt1kaEA YflaaA IM a Ia w ~-~,~ q a5 0~. ot>E M 1J>E ntultl NAT f 01 t NIRfI 1a wssn nlcM n saw u4 a n Iml-Ol av a/Ilplm 7aa aN/7m /o X a ... 1~'~ /Yl9,~Q'OcIJ S ~~rt ~ ~O POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE~INFORMATION SYSTEM SPECIFICATIONS Owner r~ ~ ~ G G Permit # DESIGN PARAMETERS Number of Bedrooms (o ^ NA Number of Public Facility Units ~NA Estimated flow (average) (yea al/da Design flow (peak), (Estimated x 1.5) ~ D ~ al/da Soil Application Rate ~ ~ al/da /ft~ Standard Influent/Effluent Quality Monthly average` Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ~ NA Fecal Coliform (geometric mean) 510` cfu/100m1 Maximum Effluent Particle Size YB in dia. ^ NA Other: ^ NA `V$lues typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEt1l1LE Septic Tank Capacity Z o 0 4 al ^ NA Septic Tank Manufacturer I:,t~m.~ s ~„r ^ NA Effluent Filter Manufacturer jam- o l - ~ e ^ NA Effluent Filter Model '~ L - S2 j ^ NA Pump Tank Capacity ~ 2So al ^ NA Pump Tank Manufacturer Wes` ~- ^ NA Pump Manufacturer 2ollaL.- ^ NA Pump Model ~ ~( ~ (~{ O ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: ^ NA Dispersal Cell(s) ^ NA ^ In-Ground (gravity) ^ In-Ground (pressurized) ^ At-Grade ,~ Mound ^ Drip-Line ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: f . ( O ear( -Is) (Maximum 3 years) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third (Y,1 of tank volume ^~ NA Inspect dispersal cellls) At least once every: ~ ^ earl Ilsl (Maximum 3 years) ^ NA Clean effluent filter At least once every: ~ , ~ ^ month(s) ^ saris) ^ NA Inspect pump, pump controls & alarm At least once every: ^ monthlsl ^ ear(s) ^ NA Flush laterals and pressure test At least once every: ' ^ month(s) ^ year(s) ^ NA Other: At least once every: ~ y a~(slls) ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal celllsl shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY,1 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and dispo$ed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ~~~~~Q/ ~L1Yj'(R- S A.~~~k~~, ~~,~~w~ Polylok PL-525 Support Stand tort ~ z~ Should you feel it necessary to add additional support to the PL-525 filter, use asix-inch Schedule 40 or SDR 35 pipe to extend from the base of the filter to the bottom of the tank. The exterftion pipe needs to be anchored to the filter housing with one or two #1 Q X 112" SS screws. Anchor 1-2 Stainless steel screws through housing and into pipe, Use #10 X 112" :, -- 6"Schedule 40 Pipe _._ Pipe rests on bottom of tank i ~i Page ~ of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemical that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the content of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge c affluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorin power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls t restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the are within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of th POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fa foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; of painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system i properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled wit soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliar replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptio system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wi result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems mu: comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWT technology a holding tank may be installed as a last resort to replace the failed POWTS. alua ' o mg an !`~~ T b e ai a ~R ~i-~ 18 TTF.~ ~ ~ H/~1~/ LpNS7R tIG~I D ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at th infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NO ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.. ADDITIONAL COMMENTS POWTS INSTALLER Name ~ k ~ ~~~ ~ Phone 7/ ~ - 7 ~ ~ L Z~- POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S C ~ ZO~I ~l~ Phone Phone ~/S- 3g(~_ (p (~ This document was drafted in compliance with chapter Comm 83.22(211b)1111d1&lfl and 83.54111, 12) & 13), Wisconsin Administrytive Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND n,, i OWNERSHII' CERTIFICATION FORM OwnerBuyer / ~'' ~ 1 ~c~-,i ~ S ~, L ~- Mailing Address ~~o ~ ~~ ~~ N ~~~ ~-("Ils' Property Address - , c~ (Verification required from Planning & Zoning Department for new construction.) City/State ~ ,~ h y, L,t~ / Parcel Identification Number C'~2 0 - ) `f ~ ~ - d i - 000 LEGAL DESCRIPTION Property Location N~ '/, , s,(~ 1/a ,Sec. ~,3 , T z~ N R l W Town of ~v~0 r! w Subdivision O ~.~/ Certified Survey Map # ~ ~°2(0 ~~ ,Volume ,Page # Lot # Z O. ~~ Warranty Deed # ~~/' ~ ~ Lf Z ,Volume ~S~_, page # / ~~' Spec hou yes no Lot lines identifiable ye no SYSTEM MAINTENANCE AND OWNER CERTIFICATION _, Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three •years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a'treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St, Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~_ S AT O APPLICANT(S) .~ /a~/ O~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) U. ~813P 185 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between BMW Residential, LLC ("Grantor," whether one or more), and Miller Homes of Hudson, LLC, A Wisconsin Limited Liability Company ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 20, Plat of Alexander Meadows in the Town of Hudson, St. Croix County, Wisconsin. Z(ob~~Q3~ Number (PM) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated BMW Residentia L v _ (SEAL) (SEAL) * * By: Brian Whitemarsh, Member (SEAL) _ * .-~ AUTHENTICATION ACKNOWLEDGMENT Signature(s) BMW Residential. LLC Bv: Brian Whitemarsh. Member: --'- ' STATE OF ~J~.~--~ authenticated on ~, X ~~ COUNTY *Kristina Oeland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Attorney Kristina OEland Hudson, WI 54016 796442 1{ATHLEEH H. WALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 06/02/2005 09:45A?f MARRAHTY DEED EXEIPT i) TRANSEFEE: 25500 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address Personally came before me on S - the above-named to me known to be the person(s) who exe instrument and acknowledged the same. (SEAL; ss. «, ,~~ WIS ••. ~, ~ ....... ,C ••i ^•~Y~y'. A 'L `~i,~'.M• is Notar~Public, State of U -- My Commission (is permanent) (expires: //'~ ~ - <~~ ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. INFO-PRO"' Legal Forms 800-655-2021 www.infoproforms.com Parcel #: 020-1411-2-000 04/16/2007 03:33 PM PAGE 1 OF 1 Alt. Parcel #: 13.29.19.2590 020 -TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -MILLER HOMES OF HUDSON LLC MILLER HOMES OF HUDSON LLC PO BOX 10 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 850 HILLSIDE TRL SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.001 Plat: 0012-ALEXANDER MEADOWS 1/22 020/02 SEC 13 T29N R19W PT NE SW ALEXANDER Block/Condo Bldg: LOT 20 T T MEADOWS LO 20 TWIN HOME LO (3.001AC) ~.- Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4) 13-29N-19W NE SW Notes: Parcel History: Date Doc # Vol/Page Type 06/02/2005 796442 2813/185 WD 10/17/2002 694570 2014/230 WD 10/17/2002 694569 2014/229 WD 10/02/2002 692626 9/38 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.001 73,000 0 73,000 NO Totals for 2007: General Property 3.001 73,000 0 73,000 Woodland 0.000 0 0 Totals for 2006: General Property 3.001 73,000 0 73,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00