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HomeMy WebLinkAbout020-1126-70-000Vk'`;sconsin 9epartment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Frautschi, Christo her Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: ~ Q Y-~1 I G _ TANK INFORMATION ~ _ ~ ELEVATION DATA TYPE MANUFACTURER CAPACITY ~ 7 ~ Septic af1.R... 's.c~_ lGbO ~. ~ Cc•~d ~oQ~ Aeration S Holding TANK SETBACK INFORMATION TANK TO ~P/L d WELL BLDG. Vent to Air Intake ROAD Septic ~ ~~ /~ / ~ co Dosing ~ ~ / 5Q ! ~ / ~ / / - Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ l/~.~-~ ( )`~ Demand l/ GPM Model Number TDH ~ 0 . ZS Friction Loss$ System Head TD ~ / F 3 ~ 7 ~~ Forcemain Lenp~_~ Dia. Z // Dist. to well O / Roll ARSnRPTI(~N SYSTEM ~.. _ S County: St. CroiX Sanitary Permit No: 515120 0 State Plan ID No: Parcel Tax No: 020-1126-70-000 Section/Town/Range/Map No: 17.29.19.583 STATION BS HI FS ELEV. Benchmark a' ~~ ~M.~ w ~Q~$ Alt. BM' A , ~ dC I~ ZO e~ , 7~ Bldg. Sewer c~ .53 ~~~ ys SUHt Inlet ~ $~ c~~ , ~ ej SUHt Outlet ~ ~ Dt Inlet ~ ~ Dt Bottom /~, ~~i • 5~ Header/Man. ,1f f 5 77 ~ .~ Dist. Pipe t , ~~ 7 9~v ~ 33 Bot. System 5. $ Final Grade 2-d ~~ St Cov~ ~ v Z ~ ~ ~ - 'g$ BED/TRENCH Width i Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 / _~ ~P z i ~e~ _( _ ^ C ~, ~_ ~~ ~ SETBACK SYSTEM TO P/L BLDG W ELL LAKE/STREAM LEACHING Manufacturer: ~ ~~ I ~~ INFORMATION CHAMBER OR - Type Of System: Ga.n./ew~ro / IL ~ ~~ ~ ^ N•~-~ UNIT Mo DISTRIBUTION SYSTEM L _ ~ 1- del Number: ~ 6+l~=3z Header/Manifol~ /~ Distribution x Hole Size \ x Hole Spacing Ve~ A i r I n /ta ~ke ~ Pipe(s) ~ ~ ~ i th Di S \ .~. ~ - ~ c ~ Dia Length ng a pac Leng 1 SOIL COVER x Pressures Svstesms Only xx Mound Or At-Grade SVStemS OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ ~ Bed/Trench Edges \ Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 458 Green Mill Lane Hudson, WI 54016 (SW 1/4 NE 1/4 17 T29N R19W) Park View Estates Lot 2 Parcel No: 17.29.19.583 1.) Alt BM Description = G K0.i N-S O ~~ 2.) Bldg sewer length = /(~ I ~ ~ C~4•~~ - amount of cover = ~ ~ t.J~ ~' ~Q./L ~ v a~ 7 O ~- CY`-'t- - 6 Plan revision Required? ~ Yes ~No ~ I~ d~ - - ~ /_ ~(Z~C,L~{ Use other side for additional information. I L (p ~ v / ~ J~ SBD-6710 (R.3197) Date Insepctor's ignature Cert. No. ~~... ,~..~,.v Safety and Buildings Division ~ttY ,~, r C ~ © ` 201 W. Washington Avo., P.O. Box 7162 / x j /, ,~~~~~~~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled is by Co.) De artment of Commerce (608)266-3151 5/S~Za Sanitary Permit Application A ~ stare Plan LD. Number ffi sooord with Comm 83.21, Wir. Adm. Code, persmal information you provido may ba wed for soorntdary purposes Privacy Law, x15.04(1 Xm) a (if different than mailing addroee) ~`E~ rn •~ I. Application Wormadon -Please Print All Wormadon ~ ~5$ ' r Property Owner's Name ^ 2~~9 - •7 Patool # Lot # Bleok # ® pD EfE~ ~-~ UT C / i / - l ~ 2 6 -?0-000 o d Z Property Owner's Mailing Address PLANNING & ZONING OFF p~ ~ ~ E -`---y I'008UOri ~ g ~j~ GALE i~"l1LL L~~~ C~~~ ~1~•. • J y ~ y t y i. v. section City, State Zip Code Phone Number S , '' ,, rr 7 S ©/~ W ~ ~L~('/ ~ J ~ 'Z-~J - ~~J 7 T ~ N~ , on+ole cgLe) o~i II. Type of Building (check all that aPPly) ~j I Subdivision Name CSM Number q, 1 or 2 Family Dwelling - Number a~f Bedrooms / ^Pubh'o/Commeroiat--DoeeribeUee I~FN2.k VICW ts~arts ^ State Owned - Deeoribe U®e ~ ^City_^Vffiage (~'1'ownehip of ~~! p S ~ /~ III~'l ,ype df Permit: (Check only one box an line A. Complete line B if applicable) A' ^ New System ~ Replacement System ^ Treatment/Holding Tank Raplaoomont Only ^ Other Modifioatian to F,xisting System B• ^ Permit Ranowel BeforoFxpiratiort ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to Naw owner List Previous Permit Number and Date Leued p (1 ' ~A ,4 ~J' / 7 0 - ~ I[V. T of Pt)WTS tam: Check all drat a Non -Proasuriud In-Otamd ^ Maautd >_ 1A in. of suitable soil ^ Mamd < 24 ia. of suitable soil ^ At-Grade ^ Siagle Pass Sand Filter ^ end Filter ^ Conatruoted Wetland ^ Preeturizad In-Omund ^ Iioldiag Tank ^ Peat Fitter ^ Aembio Tmatment Unit ^ Reoiroulatin g S ,, ~ ~ c Reoirouletin S thetia Media Filler ^ Leaohin Chamber ^ Dri Lino ^ l3ravol-toes Pi ^ Other ( lain) .L/~'~~~~~ V. Dies rsal/Treatment Area Wormation: Design Flow (gpd) Design Soil Application Dispersal Area Requ' (sf) Dispersal A11rea Pmpa (sfj System ElcevationC / ~ D O r 7 g c//~ J ./ e~ I. ~ VI. 'l'ank Info Capacity in Total Numtar Manut)ioturer PrrBab Site Steal Fiber Plastic Oallnne Oallane of Unite Conoroto Conettuated Olaee New Bxistting ~~ Pa 1~ Tank Tanta x+ J Septic nr Hoklirg Tank / ~ ~ D ~ ` ~ x Aembio Tmatment Unit O r 1 Daiug Chamfer VII. R naibill Statement- I, the node ed, assume nee i 1br ImtalWion of the POWf3 shown on the attached phoe. Plumber's Name (Print) Pl 'e taro MP/1viPRS Number Busirtees Phone Number o Efrv .5'c~nt~~T r,~ ~ ~~37~ v 7is~_ 760 -D~/~'6 Plumber's Address (Street, City, State, zi ) ~ ~ D,-~ ~ ~ ~~~~,~~es~7 GPI' s ~l~s VIIL Coun / De artment Use ~Approvad ^ a d ~ Sanitary Permit Fee (includes Clrotmdwater Da Leuad Iesu' t Si (No ~~'~ ^ summa Fee) ~ `>f 75 . °O 8 ~3 d t , n Beeson u~7)enial IX. Conditions of ApprovaUReasona for Disapproval nn ~~ ~, r..,lOet~~ 3~ d~dL Sy~b~'~2~. $Y~TEM 01NNE ` R: 1. Septic tank; effluent filter and Q.a t'~b eiLQ. , dispersal cell must all be servFces /maintained i as per m>thayebeM plan provided by plumber. 2. All setbatk.~eitafements rnust be maintained •s Per ttpplioabb code r' txdinatfces. Attica comprte pleas (to rie Coraty Daly? for the system oa paper set tae rhea Slll z 11 hxWe V eW r ~~ SBD-6398 (R. Oi/03) ®~ N ~, ~ ~o l ,f ~ ~®r stoPr Z-.3x~t(Wu1~w ® +a~4C~CI~~E fir y ~ .I ~ l5 %~~r ~L. = ~~. Z ~ 8 ~ ®-, ~- 3 LOCO %~77 r~eecs ~ ~,E~~1 X11 L ~ ,~A,t 83 ~ ®*^ ^ .. ~- t C~S7'iN~ ~~~~ ^ ~~ i en .3 IB ~n(l~~o~ ~, h#ou~ ~ - ~ ~. ~ ~ ~ ~. ~,2r4w f~v 6 ~e e a ~l-I~k~~~T®~hf~Q ~~~U?SGH-/ ~-ludso~~ ~r ; y©~6 ~Ez+s~+N~ y, i ~EXiSt,Nte ~~~ W eCC S No7c : Ex~S~~rU[~ S ~3: ~.rt To X36 ~4~a10a~c0 ~~'~ntb B M1 ,~ /~ /.~ O~ r~ ~v~_ Y~l ~~S ~371~ ~ ~~ ^ . -h-.. -. -. _._ __ - _. _. _-. - -- _- --_- -." ~~ ~' I. r ' ~,. . -... -, _- - _ ^~ ~~ _- - N - --_ -_ _ _ - - ~.~~o - _ - 1'`=~/o` S[.oPC - _ - - - 2- 3 xlo ~l c4urky - ' &3 - - ' tc2.E~~C KES _ ~ 'BM ` BUG ~ ' ~~ _, FL. =/DO.be ToP o~ Z ~ ~ x1L7• /x/1'1 LL., _ ~ ~/ ~ (3a77o~ oC Si /1 iN(~ ® ~3~C!('lfOE ' ~iT _- - SLOE' E _ /. ~ yb _- _- - - -- - - _ - - - - _ - ' .- -6 -_ '~ ~X w G~ - _ tL • ~ ~ - -_ _ /Fib ~ '_' ' . - __ ~ _- ~Z.4/ - - ~ ~ ^ ' C"Xisr~wb_ Ace ~- -- ~ _ E G~~~ ~ ~3~n~o-~ -_ 6 ~ n - ___ R~_ '_- _ ti - _ - - House _ - - - ~ - - ~ 10~ ~~[ s, ~ ! I /~ Y~ - _. - _. _. _._ _.. jC.,i _- _ _ _ _-_- _ _ - Q/~ ~ --. --__.. - . I__.-- _ _. ~EXisriN~, _ -. - _- _ -- `\ -~~~~k1LS- __ --- ~ . ~ 7 f~C C E.S - _ IJOTC' f Xi ~ T. rU G _- S Y13 : E ~yl To !3 ~/Ll4W nv b Fro e ~ ~QA~l~ 6 8 ~ ` ! _ - _ _ - _ - _ __ - - - -- - ~udsoNj IiUT S~/4~6 ~'pr~rE~S~T ~I SYD,2S- - - - - _ / _ LrG~tL ` J l/~ ~~~(, Al ~_`Y, -S/7~ /z9/11r/S'l9ltJ _ l~l ~~S ZL37~ a _ -- - ~1--.."""'.~ #1615 ~~sconS/n SOIL EVALUATION REPORT ~. , Department of Commerce in accordance wkh Comm 85, Wis. Adm. Code ~'""'°` Page 1 of 4 Division of Safety and Buildings Schmitt Soil Testing, Inc. County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. Please print all information. 020- 126-7 000 Revi By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). g ~~ D Property Owner C~' Properly Location Frautschi, Christopher V vt. Lot SW1/4 NE1/ , S17, T29N, R19W Properly Owner's Mailing Address C Lot # Block # Subd. Na or CSM# 458 Green Mill Lane ~ 2 2 Park View Estates City State Zip Code'(q~i~o~~ ~ber ^ City ^ Village ^ Town Nearest Road Hudson i WI i 54016 i 651$2Jbv~-' Hudson ~ Green Mill Lane ^ New Construction Use: ^ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Replacement ^ Public or commercial -Describe: Parent material Outwash Sand (Burkhardt Flood plain elevation, ff applicable na ft. General comments and recommendations: Replacement area is suitable for conventional system with a 0.7,gpd/sgft rate. Possible system elevation of replacement area is 95.25'. A lift pump is needed. Slope is 1.5%. ~ Boring Boring # ^ Pit Ground surface elev. 98.61 ft . Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 ~Eff#2 1 0-il 10yr3/2 none sl 2fsbk mfr cs 2f,lvf .6 1.0 2 11-20 10yr3/4 none grsl 2msbk mfr gw 2vf .6 1.0 3 20-28 10yr4/4 none fs Osg ml cs lvf .7 1.6 4 28-38 10yr5/4 none s Osg ml cs ------ .7 1.6 5 38-59 10yr5/6 none cos Osg ml cs ------ .7 1.6 6 59-98 10yr6/4 none / s Osg ml ---- ------ .7 1.6 .~ tl tf 2 Boring # ~ Boring ^ Pk Ground surface elev. 99.1 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~Etf#1 *Eff#2 1 0-13 10yr3/2 none sl 2fsbk mvfr cs 2f,2vf .6 1.0 2 13-25 10yr3/4 none sl 2msbk mfr gw 2vf .6 1.0 3 25-36 10yr4/4 none s Osg ml a ivf .7 1.6 4 36-64 10yr6/4 none s Osg ml cs ------ .7 1.6 5 64-96 10yr5/6 none grs Osg ml ---- ------ .7 1.6 . Z~ ~ ,,z * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: ~J CST Number Thomas J. Schmitt c„~v~`~r~.~v~~ 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 8/7/2009 715-247-2941 SBD-8330(8.07/00) Property Owner Frautschi, Christopher Parcel ID # 020-1126-70-000 Page 2 of 4 Boring # ~ Boring pit Ground surface elev. 98.91 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 •Eff#2 1 0-18 10yr3/2 none sl 2fsbk mvfr gw 2f,2vf .6 1.0 2 18-28 10yr3/4 none sl 2msbk mfr cs 2vf .6 1.0 3 28-42 10yr4/4 none Is lcsbk mvfr cs ivf .7 1.6 4 42-72 10yr6/4 none s Osg ml cs ------ .7 1.6 5 72-97 10yr5/6 none grs Osg ml --- ------ .7 1.6 ~j. L ~ ~~ ^ Boring # ~ Boring ~ [~ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •EfF#1 'EtT#2 ^ Boring # ~ Boring Pit Ground surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 'Effluent #1 = BODS> 30 < 220 mglL and TSS >30 <150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) SChrnitt SOiI T25tin9, IfK. Page 3 of 4 ' Conducted hy: Conducted For: S~clunitt Sail Vesting Inc. Name: Christopher Frautschi - 'Thomas J. Schmitt, CST 227429 Address 458 Green Milt Lane I595 72nd St. City, State, Zip: Hudson, WI 54016 New Richmond, WI.540I7 Phone: 71~5/-2_47-2941 Subd.Name: Park View Estates s;~~~~~""~"'"`~' , Lot No.: 2 Dam ~_f~_I ~ Legal Description: SWl/4 NE/4 S17 T24N RI9W ® Backhoe pit Township, County: Hudson, St. Croix County ~, Bench Mark EI. I00.00' Top of 2" pvc pipe ~ Alternate Bench Mark El. 99.81' Bottom of siding on house Slope= f•~~o pI ~,` / ~' Y ~~l- P ~ 1 1-i 1 ~_ ~-~-- Scale l " = 40' ~ ~S/ ~~` ~ /1/0 fie; ,~ L,~~'~ ~.n~ ~,'1~ 1 ~ ,'~ ~' - ~ /° c /?/Et~/J r /J . ,~ ~I ~~ ~ a rn ~~,~ ,s. 9'c~s~I' ~~ . 3q, ~~ v~ '+ v~e~~ S~ ~r~ ~`~~~ ~ ~~ ~©~^ ~~ ~~. ,- - k {~'~ C~~ ~ ~' L, n1 ~~- /~ ~ 4 ~~ '?`'~~ ~~~ LkiS~ J ~q,'~S ~~E~~~i~~ ~~~~ ~~of3 P~ . ~9 ~' y r s ~c. ,4~ ~~- i,_ t ~~ a,4.t 1, ~~ ~, j . Y ; .',_. gp ,~~ SCHMITT ~ SONS EXCA YATING INC. S86 VALLEY VIEW TRAIL SOMERSET, WI5402S IN-GROUND SOIL ABS'ORBTIDNSYS?EM FOR: CHRISTOPHER FRA uTSHCI ADDRESS 4S8 GREENMILL LA1V,~ HUDSON, WI 54016 LEGAL.• SW % NE % S17 T29N, RL9W TOWNSHIP.• HI.LDSON couNTr ST. CROIX CONTENTS Page 1 Page 2 Page 3 Page 4 Page S Page 6 &7 Plot Plan System Cross .Section Tank Specifications Dose Chamber Pump Curve Management Plan Attachment 1 Soil Evaluation Report In-Ground Soil Componentt Manual (I~ersion 2.0) SBD-10705 P (N. Ol/Ol) By: ~ zr~ NIPRS: 22376D Date: August 12, 2DD9 INFILTRATOR Quick 4® Standard Chamber Cross Section 4" PVC Inspection + Vent Pipe IT--~iT Approximate Grade EI. = 99.00' > ~~ ~• aw-oos ooo~M~3~i~ 95~g-5Z~-Opg 8002 'N`df '321 \ d p 9ooz ,~avnNVr ~31va os~tis ue •N~oa N301VW 'OLAMH Sfl 9LL£M ~yf1Nb'W OIld3S w 1MS~Ae rlMVaa ~13~~uo~ ~~~~I~ $ o° 31V4 'ON X321 . L = „4/ L ~3lV~S ~ W-009 000 lM `" ~ ~ J W Z Z F W W ~ ~_ W U ~ ~ J ~ O O W Q ° U W O ~ d' w o J w ~ Q J ^~ U Q~ ~ U a O J U W N p O° ~ d j ~ ~ Z 3 j ~~1// z F ~° ~o~ va a o - ~ ~ U LL O Q Om p~Q Z Z ~ > Z d F Z x \ ~ W \ Z Q J J J ~ ° U O Q I W O OJ ¢QU Q > U U d p O N m(n JWW ~U ~ z0 a O o O ~ ~ _ e m QQ LWi~N ~ pNp >~ N N O N U ~ rte, -°o~o~iino N~ mww ai~ ° Z j a c~ a ~ w v N N° _~ °~ J~ W Q¢ W N Q ~ ° 2 ~ d\ O O O //1 N~ ..J - J .. ~ (n w ~ Z ~' U N a- W U w W V/ o~~ 30~ ¢Y ow ¢ w x 3 m ~ cn w w O Y °aooawzp~ow z° a zNO ~ c~ YJ°z Q uwi o zz o N w-w- a~c~ ¢3... z3a Z Z ?i m U~ x J ?i m J~ ~ Z Q U Q U Q ~_ J J = Q ~ Y ~ N ~ Z Z ~ ~ ~ F O Z ~ ~ ~ U O Q F w N ~ ~ Z U ¢ W w a ~ N ~ Y H O Z Z ~ ~ ~ h e h ..~5 II ~ II i ~~\ ~ / ~ ~ \ ~~ I ~ ¢ . ~ ~ ~ as W_ W ~oo ~ ~ l ~ > ~ I I W I ~-~c ~~/ WoJ I O ~ . ` ~~ J Q ~ . ~ S I ~ \ ~ / i ..~ II .II u u F.,~., ~ N W J ..£6 z ~ „LS „~69 . ,~ ' Page Of ' SEPTIC TANK 8' PUMP CHAMBER CROSS SECTION AND SPECIFICATIONSpage 4 of 7 4" CI VENT PIPE >_ 25' FROM DOOR, FRESH AIR INTAKE 12" MIN. ABOVE GRADE ~ WINDOW OR FINISHED GRADE 18" IN. '6" MAX. I N LET I ~~ ~ WATER TIGHT SEALS APPROVED PUMP COMPARTMENT PIPE 3' 11.82 GAL/IN. ONTO SOLID SOIL ~ I PUMP OFF EL. A B C D WEATHERPROOF JUNCTION BOX WITH CONDUIT APPROVED MANHOLE COV EF W/ PADLOCK ~ WARNING LABEI " MIN. "~ '~ I '~ GAS- ; ' TIGHT ~ ~, SEAL ~ ~ r; ~ ~ I ~ *~ VAPPROVED JOINTS WITH ALM 11~PROVED PIPE ON 3' ONTO SOLID SOIL OFF '~'~ RISER EXIZ • PERMITTED ONL IF TANK MANUFACTURER HAS APPROVAL CONCRETE PAD W,e~'`-_ y~~ SPECIFICATIONS SEPTIC & DOSE TANK MANUFACTURER: WIL~'SER ~: TANK SIZE SEPTIC: 1000 GALLONS DOSE 1199,,GALLONS ALARM MANUFACTE~SEPTRONICS TANKMATE MODEL NUMBER: TM-1 SWITCH TYPE: MERCURY NUMBER OF DOSES: +or-5 PER DAY DOSE VOLUME INCLUDING BACKFLOW: 106.38 GALLONS CAPACI'T'IES: PUMP MANUFACTURER: ZOELLER MODEL NUMBER: 53 A= 26 INCHES OR 307.32 GALLONS B= 2 INCHES OR 23.64 GALLONS C= 9 INCHES OR 10638 GALLONS D=14 INCHES OR 165.48 GALLONS SWITCH TYPE: MECHANICAL NOTE: PUMP AND ALARM ARE TO BE o INSTALLED ON SEPARATE CIRCUITS MIIVIMUM DISCHARGE RATE: 00 GPM VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE: 10.00 FEET + 1~+OiNIMUM NETWORK SUPPLY PRESSURE: '4s~'FEE`F- O + 150 FEET OF FORCE MAIN X 2.58 FT/100FT FRICTION FACTOR: 3.87 FEET TOTAL DYNAMIC HEAD = 16.37 FEET ~~,~7 LIQ EPTH: S1INC ES SIGNED: ,4 LICENSE NUMBER: 223760 DATE: 8J12/09 N W W ~- w s ~ 20 0 Q w ~ 15 z 4 0 Q l0 0 21 5 0 ' U.S. GALLONS LITERS 25 HEAD CAPACITY CURVE MODELS 53-55-57-59 Model "53/55/57/59" Ft. Meters Gol. Ltrs. 5 1 .52 43 163 10 3.05 34 129 15 4.57 19 72 Lock Volve: 19.25 ft. (5.9m) --~3 =,~'_I--s 5/3z-- 110 ~> 30 40 SIC I 80 160 G FLOW PER MINUTE X9897 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Variable level Float Switches available. • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. • Alarm systems available. ' ° • Duplex systems available. Single Seal Control Sekdlon Listings Model Volts•Ph Mode Amps Simplex Duplex CSA UL M53155 & M57159 115 1 Auto 8.0 1 or 1 3 7 - Y Y N53155 & N57/59 115 1 Non 8.0 2 or 2 8 6 3 or 4 8 5 Y Y BN53 115 1 Auto 8.0 - Y Y BN57 115 1 Auto 8.0 - N Y BE53157 230 1 Auto 4.0 - Y Y D53155 & DS7I59 230 1 Auto 4.0 1 or 1 & 7 Y Y E53155 & E57159 230 1 Non 4.0 2 or 2& 6 3 or 4 8 5 Y Y Single piggyback switch induded. 3 3/32 _(_ SK858 SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. Mechanical alternator "M•Pak" 10-0072 or 10-0075. 4. See FM0712 for correct model of Electrical Altemator. 5. Variable level control switch 10-0225 used as a control activator, with Electrical Altemator (3) or (4) float system. 6. Four (4) hole J-Pak, junction box, for watertight connection orwired-in simplex or 2 pump operation, P/N 10-0002. 7. Two (2) hole J-Pak, junction box for watertight connection or splice, P/N 10-0003. .,- _-^ ForinfomtationonadditionalZcellerproductSrefertocatalogonPiggybackVariablelevelFloatSwitches,FM0477; Ail installation of controls, protection dev~ces~and wiring should be done by a qualified Electrical Altemator,FM0486;MechanicalAltemator,FM0495;SumplSewageBasins,FM0487;andSinglePhase licensed electrician. All electrical andsafetycodesshouldbefo!lowedincludingthemost Simplex Pump ControUAlann Systems, FM0732. recent National Electric Code (NEC) and the Cccupa6onal Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAlLTO: P,O. BOX 16347 ~ ~ a Louisville,KY 40256-0341 Manufacturersol.. ~ SHIP T0: 3649 Cane Run Road x m Louisville, KY 40211.1961 QUdI/TY PUMP9 SNCE ~iJili! ht<P:/,wwW.ZOa~le~.~om _ Pl1MP !O. (502) 77 x(502) X8003624-PUMP ® Copyright 1998 Zoeller Co. All rights reserved. 1 1/2 -11 1/2 i~'?- ~~~ 3 15/16 ~~ ~,, _ -~ 4 1/16 :. ,' POWTS OWNER'S MANUAL & MANAGEMENT PLAN P.o. _ a~ _ f~ u,(FOww-non+ Gwnw Christo her Frautschi fFerrrtit r ..~r~nu ueverutFTFRC Number of Bedrooms O NA (cumber of Public FaciUty Units O NA fstimsteo Lbw lavsragel 300 sUda Assign flow IpealcJ, ~ (Estimated x 1, 51 aUda Soil App(lcatlon Rate 0 . 7 sUda /ft3 Standard Influent/Effluent Quality Monthly average ' Fats, OU & Grease (FOGI S30 mg/l Biochsmical Oxygen demand (6001 5220 mg/l. O NA Total Suspended SoUds (TSSI 5160 mg/l. pretreated Effluent Quality Monthly averaQi Biochemical Oxygen Demand (BOD~I S30 mg/l Total Suspended Solids (TSS) 530 mg/l. O NA Fscsl Colltorm (geometric mean) S10' ctu/100m1 µaxirfwm Effluent Particle Size Ya in die. O NA Othu: ~ O NA •Vak+aa typical for domestic wastewater and septic tank ellluant. ~vQa~su ~ocr_tctr_aT10NS Septic Tank Capacity ~ 1 000 sl O NA S.piic Tank Manufacturer er C . P . Effluent Filter Manufacturer poi lok O NA O NA Effluent Fltsr Model 525 O NA Pump Tank Capaciry ' ~~~ al O NA Pump Tank Manufacturer r O NA Pump Manufacturer e 11 e r o NA Pump Model 5 O NA Pretreatment Unit O Sand/Gravel Filter O Mechanical Aeration O Oisintection O Peat Fitter O Wetland O Other: O NA pispersal Celllsl {~ In-Ground Igravityl O At•Grsde O prip•l_ine O NA O In•Ground lpressurizedl Mound O Other: Other: O NA Other: O NA Olhar: O NA ~jyt CryjurNG V~I(1WVK Service Evsnt Service Frequency lrtspsct condition of tsnklsl At least once every: O monthlsl (Maximum 3 years) 3 q earls) O NA. pump out contents of tank(s) When combined sludg e and scum equals ono-third lY,l of tank volume O NA. Inspect dispersal cell(s) At least once every: m esr(sllsi lMaxlmum 3 years) 3 O NA. lsl ® esnjs O NA Cisan effluent (titer At least Once every: l 1 O month(s) O NA Insp+ct pump, pump controls & alarm At least once every: 1 ~ ^ oarlsl • n ...,..,.tir<~ push laterals and pressure Lost At least once every: ~ yearla~ ~ U NA~! Othw: O monthlsl O NA. At least once every: O yearlsl n,n..~ O NA' MAINTENANCE INSTRUCTIONS Inspectbns of tanks and dispersal cells shall bo made by an individual cerrying one of rho Iollowing licenses or cortitications. Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septsgo Servicing Operator. inspections must inGude a vlsua! lnspectlon of the tank(s) co identify any missing or broken hardware, identity any cracks or leak•:~ e the volume Of Combined sludge and scum and to Check for any beck up or pending of effluent on the ground surface. The dispersal ceUis) shall b~ visuaAy Inspected to check the effluent levels in the observation pipes and to chock for any pond,in{ of ellluent on the ground surface. The pending of effluent on the Around surface may indicate a (ailing condition and roquiros:tht trstmedia[e notification of the local regulatory suthoriry. , When the combined accumulation of sludge and scum in any tank equals ono•third lY~l or more of the tank volume, the entire contents o1 the tank shall be removed by a Saptsge Servicing Operator and disposed of in accordance .with chapter NR•1:~3 Wisconsin ndr*>vnisiratlve Code. /W other services; 4tcluding but not limltsd to the servicing of effluent filters, mechanical or pressurized components. protrnatmnn units, and any servicing at 4ttervais•of S12 months, shall be performed by a certified POWTS Maintainer. '=~ ~t A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ,~ •- , Papa of STARTUP AHD QpEItATWN . foot sew cottatrtt~ion. prbr to ti=e of the POWTS check treatment tank(s) for the presence of paintirtp products or other ctsenrlcala that tasy.impede the treattttant proosss aruUor damage tt-e dlspersaJ cell(s). If high concentrations are detected have the contenU of the tankW removed by a saptape servlclrtg operator prior to use. Systene start uP shall not occur when soil tsondltions are troten at the tnfutrative surfacs. OurhO power ouugss pump teaks tray ttlJ above nomtial htghwater levels. When power is restored the excess wastewater wUl bt discharged to the dkpersal oallW b one large dose, overloadtnp the cents) and may'rssuit H the backup or surface discharge o eNluent. To avoid this situatba have the contents of the pump tank removed by a Sepugs Servicing Operator Prior to restorin( power to the eNluent pump of caniact s Plumber or POVYTS Malntalnet to assist in manually operating the pump conVOls u restore normal levsk within the pump tank. Do not drive tx psrk vehicles over tanks and dkporsal ceW. Do not drive or park over, or otherwke disturb or compact, the are. within 16 feet down sbpe of any mound or at-grade soil absorption area. 'Reduciton or elimination of the tolbwktp from the wastewater stream may improve the performance and probng the Ufe of thi POWTS: antibiotics; baby wipes; cigarette butt:; condoms; cotton swabs; dogreasers; dental floss; diapers; diskttectanu; tat fotusdatlon drata (sump pump) water, fruit and vogetable peelings; pasoUne; proasa; herbicldos; meat scraps; medicatbns; oil painting products; pesticides; sanitary napkins; tampons; and water softenor brine. ASANDONAdENT When the POWfS tans andlot is permanently taken out of service tho following steps shall bo taken to Insure that the system i; properly and safely abandoned in compUsncs with chapter Comm 83.33, Wisconsin Administrative Codo: • A11 piping to tanks and pits shall be dkconnected and the abandoned pipe openings sealed. • The contents of ail tanks and pits shall be removed and properly disposed of by a Soptafls Servicing Operator. • After pumping, all tanks and pits shaA be excavated and removed of their covors removed and the void spaco tAled wit! soil, gravel of another inert solid mstorial. CpNTW(3ENGY PLAN . if the POWTS faik and cannot ba repaired the following measures have bean, or, must ba taken, to provide a code cornplian replacement system: ' O A soluble replacement area has bean evaluated and may be utilized for rho location of s replacement soU absorptia system. The replacement area should be protected from disturbance and compaction and should not be iniringod upon b~ cequked setbacks from existing •r-d proposed structure, lot lines and wells. FaUure to protect the replacement.area wi result in the need for a new sol! and site evaluation to sstsbUsh a suitable replacement area. Replacement systems mus coatply with the ewes H eNect at that time. O A suitable replacerttent area is not available due to setback and/or soU limitations. Barring .advances in POWT teclusobgy a holding tank may be installed as a last resort to replace the taAed POWTS. ~ The site has not been evaluated to identify a sulubli replacomont ties. Upon failure of the POWTS a soil and sit evaluation must be performed to bcata a witable replacement area. It no replacomont area Is avaUable a holding tan may be installed as a fast resort to replace the tolled POWTS. Mound and at-Srade :oil absorption systems may bs reconstructed in place following romoval of the biomat at th - int'rltrative surface. RacoruuuctIons of such systems must comply with the rules in effect at that time. «WARNINQ» . SEP'T1C, PUAd!' AND OTHFR TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NO FMFA A SEPTIC, PUbdl' OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF_. PERSON FROM TE(E INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADD1170NAL COMMENTS oAVIrTC iNST01_I.ER Nam n Schmitt ~'e 715 549-6651 POWTS MAINTAINER Name John Schmitt Phone SEPTAQE SERVICWQ OPERATOR (PUMPER) LOCAL REGULATORY AUTHORfTY Name Ron's Sewer Service Inc. ~~ - 8 -1402 Name st. Croix Ct Zonin Phone _.r 15_ -4680 `'' ~ AdmWstrative Code ' ray doasnerrt was dratted b eompuance with chapter Comm 83.22(2)1b1I11(dl&lp and 83.ti4(1), (2) & l3), Wisconsin ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~H 12 / 5 ~ ®~ h~Fl~' 1~~X} /i/ 7,SC //I Mailing Address ~/5g G~tEN rIT~GC L ~4~'~ Property Address 5,4~/ r" (Verification required from Planning ~ Zoning Department for new construction.) City/State ~G1D 5 ©N ~ .r Pazcel Identification Number ®2©~ //Z~ ' 7©~ Od LEGAL DE~SGRIPT'I,O/ N ' J Property Location S ~~/ t/a , ~ t t/a ,Sec. ~, T Z ~ N R f q W, Town of ~f N ~JS O ~ Subdivision ~~ ~ /s U ~ Ell) ~S T~ T~ S ,Lot # Z Certified Survey Map # ! 7 • z cl ~ / ~l S $ 3 ,Volume ,Page # ~~ 3 warranty Deed # ~~ ~g g ~ ,volume 1 S~ ~ ,Page # Z~3 (o Spec house yes Lot lines identifiable ~ 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 yeazs or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read tbe 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 yeaz expiration date. I/we certify that all statements on this form aze true to the best of my/our knowledge. Uwe amJare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of rooms -3 SIGNATURE OF APPLICANT(S) ~?//21Dq 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/OS) ib 1524P~~E23fi n l_ ~ 6~~s,~~ Y.RTHLEEN H. WAL5H STATF. BAR OF WISCONSIIV FORM 2 - 1999 F(E(^,j$TER OF DEEDS WARRANTY DEED ST. CROIX CO., WI Document Number VED FOR RECORD RECEI 'Phis Deed, made between T~~s H Montaomerv and Jov 97-05-2000 9:30 AM H MontaomerV husband and wife Y DEED MARKANT EXEMPT N Grantor, CERT COPY FEE: and Christopher Frautschi a single person GDPY fEE: TRANSFER FEE: 459.00 10 00 G FEE . : RECORDIN PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: (if more space is needed, please attach addendum): Lot 2, of the Plat of Park View Estates in the Town of Hudson Recording Area Name and Return Address i i ~=(~ ~~ ~'f'u-~ ~~~~ ons to warrant es: Except - eas~ttents, roadways and restrictions of record 170(D ~~~h ~~* c~ n~ 020-1126-70-000 Dated thi ~1"~ • ~ day of ~ ~'~--~ * * AUTHENTICATION Signature(s) authenticated this day of , * TITLE: MEMBER STATE BAR OP WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRC)MENT WAS DRAFTED BY Michael H. Foraclci Attorn6v x'~~ Claire Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary.) Yarcel Identification Number (PIN) This is homestead property. (is) (is not) * s H. Mont * M n ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County,~,~ t , Personally came before me this -~~ day of r~ ~,~ ~ 'the above named James H Montaomerv and Jov H Montaomarv to me known to be the person who executed ths-fOlegoing rostrum nd nowledged the same. * Trar.'V T Turner Notary Public, State of Wisconsin My Comm sion is permane~(If not, state expiration date: ~~~-- .) `Names of persons signing in any capacin~ must be typed or printed below then sigruiture. rvcn(al y ruan.a. wwx[twlvrv nt;>En sTa ~~ No wis'c~oNSUV State of Wisconsin Produoad W81 ZipFoml° by RE FwnpN~t, l1C 18025 F7tesn M6M Road, C~rllon TownWdp Mchi6sa IBWB.1800) 383.6806 ptwmey A-Lclud H Fomcki 1 ^3a Bnrfclt Ave, Fiu Clue WI 54701-4(.27 3'ho~A: (TI ~ R35-3029 Fu: (7[ ~ d75-1112 l~(~~-S