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018-2021-19-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 597329 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Permit Holder's Name: City Village Township Parcel Tax No: OEVERING HOMES TOWN OF HAMMOND 018-2021-19-000 CST BM Elev: Insp. BM Elev: =BMDeon: Section/Town/Range/Map No 08.29.17.1300 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE , CAPACITY STATION BS HI FS ELEV. Septic f't A7,~ Benchmark '1K tl-CIJI/'1t t Dosing , Alt. Bll C JI 16L- Aeration , MA I 1• Bldg. Sewer • V Holding ~•3Lt b~ St/Ht Inlet 3•`1' ~t WC~ TANK SETBACK INFORMATION St/Ht Outlet 1 fir, a l TANK TO ;iL WELL BLDGnt to Air Intake ROAD DLlnlet - Septic Al IA I Dosing Header/Man. - Aeration 7• 3 ~to Dist. Pipe j cr z igeldin9 _ c - Bot. System ) lx~ P~ld ~ .J PUMP/SIPHON INFORMATION Final Grade 6Q Manufacturer T~ GPM nd St Cover . U.3 y 4~• /~J ~y Model Number Lift Friction Loss System Head TFt O~ HDF Lengt h - Dial. Dist. to Well _ .~y / 3 /S.rrt, w. S(fi OIL ABSORPTION SYSTEM BED/TRENCH EWidth Length No. Of Trenche~ PITDI Li NS No. Of its Inside ia. DIMENSIONS SETBACK TO P/L BWELL LAKE/STREAM LEACHING• Manuctur INFORMATION stemCHAMBER OR Ji o 33 ` &Y UNIT Mo DISTRIBUTION SYSTEM Header/Manifold Distribution 41 {A~ / ix Ho ix Hole S acing ` -I Veit to Air Int e t ►Y Pipe(s) , ( ~~`1 Jp 11-engthDia Length_ I Spacing Q SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Dep of xx Seeded/Sodded Bed/Trench Center Bed/Trench Eldges~/ opsoil y 3 3 Y s N' Yes r7 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1652102ND AVE chain S.4 Lat.Kt,d 1.) Alt BM Description = JT 2.) Bldg sewer length - amount of cover Plan revision Required? ❑ Yes No I Use other side for additional information. ~O SBD-6710 (R.3/97) Date Insepc gnature Cert. No. X County <I Safety and Buildings Division t" 8 201 W. Washington Ave., P.O. Box 7162 ~ K Madison, Wl 53707-7162 Sanitary Permit Number (to be filled in by Co.) r~ :;`M2uM ~ w~ RECEI E 5cl 73z Sanitary Permit ApplicationransaonNttmber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate gover~ta] l is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS s unit the Department of Safety and Professional Servies. Personal information you provide may be ddress (if different than mailing address) oses in accordance with the Priv Law, s. i5. 1) m), Stars. -00A _acy i en L Application Information - Please Print All In lion 111111 I e 3 Property Owner's Name Parcel i /7 ;l l Property Owners Mailing AA` css G'f X d _S t 9 l PIOpCIiy L°Cation ©S; 1 . V7, 1.3 V 4 'J City State ` Govt Lot 7 Zip Code Phone Number t •:.'w I i 'A F J, t I{' E.-f liy> t" - Section le on T* II. ype of Banding (check all that ap y) Lot # C T Z ' N> R/E W 1 or 2 Family Dwelling -Number of B ooAn L Subdi ion Name CJ{~ C"6 Bloc ` Q Public/Commercial - Describe Use ! d ' ' 0.1~_ dCity of Q State Owned - Describe Use CSM Number Village of 3 Town of O f` III. Type f Permit: (Check only one box n line A. Complete line B if applicable) A G e~w System ❑ Replacement System Q Treatment/Holding Tank Replacement only ❑ Other Modification to Existing System (explain) B- ❑ Permit Renewal ❑ Permit Revision Chan of Permit Transfer to New List Previous Permit Number and Date Issued ❑ ge Plumber ❑ Before Expiration Lt'C IV• ofPOWTS S stem/Com onentlDevice: (Check all that apply) O n-Pressli ized hi-Ground Q Pressurized In-Ground Q At-Grade Q Mound 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ~lQ Holding Tank Q Other Dispersal Component (explain /`J'~, ❑ Pretreatment Device (explain) e.~ V. Dis rsal/Treatnaent Area Information: Design Flow (gpd) Design S 'I Application d$ r' f_' X.Zl Dispersal Areaquired (sfl Dispersal Area sed {st) lava[tion VL Tank Info ~ • .f ~ rT Capacity in Total # of anufacturrer r Gallons Gallons Units New Tanks Existing Tanta m v J ~ v Septic or Holding Tank I U s C~ l Dosing Chamber e.~ VII. Responsibility State t- F the undersigned, ass r ponsibil ty for installa on of the POWTS shown on the attached plans. Pltu)bet's ?dame (Print) Plumb ature r MP/MPRS ? umber Business Phon I'M Plumber's Address (sweet, City, State, Zi Dunty/De artment Use On} r , pproved Q Dis Permit Fee~j Date Issuuyed Issuing. t Signature Q Owner en easor, for Denial S -J t' .66> 5 / 1 -7 DL Conditl&l(UEA4J)ty hasous for Disapproval nn 7 Siptin tank, E~ 10ter rhd 3) 4.). e., e-C. rbJt V\. e_.,v 61µ.e c.~aa.~ dlspew i crll !-+ust all be swtit 2s; i~t}It?n w; ,LJ i a ? ~ k e , ~o f`w.~ Q~4 as per 7 , wt Bement plan pio tided by plumber. 2. 14U liP(~C Fe~1e1MP,r1ent51nUtit>t1e 1'FBitfte' If E*j as per aPFiicnbls cod? 3Mi t}ti1t;®•i. La C Q w.,e Attacb to eomPiete Plants for the stistrm and submit to [h Co ri oaly oa paper not less than 8 rrz z 11 inches in size SBD-6348 (RR 11/11) System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 114 SE 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 77.6/77.3/77.0 3.5' below grade 5/11 /17 3 DATE BEDROOM CONVENTIONAL CONVENTIONAL LIFT XX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 157 # of chambers 57 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B.M. Scale = 1/4" = 10' 439' 168' Property Line 435' Property Line 10' Pro 3 Bedroom House 40' B-2 81' 80' Huff cutt C Tank 0' 3-3' X 78' cells with >3 spacing 5% Slope 166th St. B-1 _ 90' 40' 102nd Ave Vents B-3 Vent 80' >6" Qu1ck4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area All piping shall be ASTM SDR 30/34, within 5.6ft^2/pair of end caps 12 10' of tank, piping shall be ASTM F891 4' Long 3 4" Grade at System Elevatio Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/11/17 Owner: Oevering Homes Location: SW 1/4 SE 1/4 S 8 T29 N,R17W 1652 102nd Ave Hammond System type: In-ground absorbtion system (conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump Curve 10.-12. Soil Tesit, Signature License number #226900 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 SE 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 77.6/77.3/77.0 3.5' below grade 5/11/17 BEDROOM 3 DATE CONVENTIONAL CONVENTIONAL LIFT XX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 157 # of chambers 57 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATI 100' ilter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' 439' 168' Property Line 435' Property Line 10' Pro 3 Bedroom House 40' B-2 81' 80' Huffcutt Combo Tank 0' 3-3' X 78' cells with >3 spacing 5% Slope 166th St. B-1 90' 40' 102nd Ave Vents B-3 Vent 80' >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area All piping shall be ASTM SDR 30/34, within 5.6ft^2/pair of end caps 12" 10' of tank, piping shall be ASTM F891 4 Long 34" Grade at System Elevatio Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 81.1' Vent Vent Grade 4' 431 4' _.,&~30/34 Septic Tank Long 5' 4' Long 1 34" Grade at System Elevation 34" Grade at System Elevation Spacing- 5' 34 X 78' Cells Observation tube/Vent Same on other end To be located on end of Cells %A B System elevations: C A-77.6' B-76.3' C-76.0' 19 chambers per cell ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT OWNERSHIP CERTDFICATION FORT 4 Owner/Buyer. Qe ue ' 1;l Mailing Address Property Address (Verification required from Plannin g & Zoning Department for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION oe} l r i T r' Property Location- In , r 1 n, „ V4,Sec.., T/ JjW, Subdivision ( N R Town of f j Certified Survey Map # Let # n --ti Volume - ---------'Warranty Deed # l 0~J'1 r , page # Volume - Spec house/ Page # Yes no S.YST{, Lot lines ideatifiabl yes na MAINTENANCE AND OWNER CERTIb'ICATIOlV ImProper use and maintenance of yourseptc maintenance consists of primping out the septic jA a system could result in its premature failure to handle l.~po bmilltr aff are ect the function of the septic ` every three years or sooner, if needed, b wastes. Proper censed pumper pecified in Co tarllc as a treatment stage in the waste dis y a li 83-52(1) and in Chapter 12 - St. Croix Posal sY stem What you put into . Owner mauitenance The property owner agrees to sub County Sanitary Ordinance. owner and by a roaster plumber, submit to St. Croix County plan Wastewater disposal system is irJourneyman Plumber, restricted g & Lontng Department a ce less than 1 r Proper operating Plumber or a licensed rt►ficati) form, signed by the full of sludge. condition and/or (2) after inspectionand er verifying that 1 p~p~ the on-site Ping (it-necessary), the septic tank is I/We, the undersigned have read forth, herein, as set by the D the sete above requirements and agree to maintain Certification stating that your tics ate ePartment of Commerce and the De _ the Private sewage disposals stem s has Z°~g Department Within 30 d ays of the three been maintained must be Natural Resources, S Y with the State of Wisconsi. Year expiration date, completed and returned to the St Croix Count I/we certi 3' planning n& pro e ~ that all statements o this form are P ity described above, by virtue of a o to the best of my/our knowledge. I/we am/are the o Number of bedroo arranty deed recorded in Register of Deeds Office wner(s) of the ms IGNA OF APPLICANT(S) Any information that is misrepresented DATE may result in the sanitary permit being revoked by the Planning gz Zoning Department. rnclude with this application a recorded warranty deed from reference is made in the Warranty deed. the ester of Deeds Office and a co py of the certified stoney map if (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner SYSTEM SPECIFICATIONS Septic Tank Capacity Permit # , al ❑ NA ` Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Number of Bedrooms ❑ NA ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ;G3 NA Pump Tank Cap ~ Estimated flow {average) A al NA .779 gall/day Pump Tank Manufacturer , Design flaw NA (peak), (Estimated x 1.5) tyl al/day Pump Manufacturer Soil Application Rate 1~~t NA al/da /ftz Pump Model NA Standard Influent/Effluent Quality Monthly average Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 m L 11 ~ ❑ Sand/Gravel Fitter O Peat Filter Biochemical Oxygen Demand (BOD3) sc220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection Pretreated Effluent Quality Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BODs) <30 mg/L ❑ NA 7440,-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L lj?`L.NA ❑ At-Grade Fecal Coliform (geometric mean) <104 cfu/100m1 ❑ Mound ❑ Drip-Line ❑ Other: iMaximum Effluent Particle Size ❑ NA Other. Other. ❑ NA NA Other: typical for domestic wastewater and septic tank effluent Other. ANA "Values IAINTENANCE SCHEDULE Service Event Service Frequency ifnspect condition of tank(s) At least once every: -11 11 months} I'f ears (Maximum 3 years) ❑ NA ;Pump out contents of tank(s) When combined sludge and scum ' equals one-third ('f3) of tank volume ❑ NA lInspect dispersal cell(s) At least once every: ' qq month(s) (Maximum 3 years) 13 NA ;aft s) year( Clean effluent filter At least once every: dearth s) 11 NA Inspect pump, pump controls & alarm At least once every: 1 0 nth(s) ❑ NA 1=lush laterals and pressure test At least once every: p ear(th) ether. (s) NA Y At least once every: ❑ month(s) ~7ther: ❑ year(s) NA 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 tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of icembined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for an g of on the groun surface. The ponding of effluent on the ground surface may indicate a failing condition and requires n hleimmed atet notification fthe local -egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third ' I:he tank shall be removed by a Septage Servicing Operator and disposed of~inoacco danceewith chapter tNRe1113, Wisco sin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of <12 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. START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals theft may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thia tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are from at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will by discharged to the dispersal ceg(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park Vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POW r$, antibiotics; baby wipes; cigarette butts; -condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting producgs; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is Permanently taken out of service the following steps shall be taken to insure that the system is propefly 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 property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fags and cannot be repaired the following measures have been, or must be taken, to provide a code compAont replacement system: I;V A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systepn. The replacement area should be protected from disturbance and compaction and should not be infringed upon by nequioed setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the ne" for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the n,te*t in effect at that time. O A suitable replacerrMA area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWT'S a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name, e Nam l~ Phone ~y Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name r - . 1 I Name MIR Phone v Phone This doctement was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3). Wisconsin Administrative Code. . ~ A %1 ~S'~'~;4 'C C i U ` lV ~ ~ ~ ~ . ~`.J~ ~ I v" , ~ ~ \ fit,, . ; ~y , li , d ~ ~ ° °-r ~ ~ ~ - S . ~ j j! ~ j i __o a J o o~ _ - --o _ _ _.__A_ i P i 0 i i ~ ~ ' _ ____-.____J L I P I I I j 4... ..:.i i - I I I ~ ~j - . ~~~r ~ ,t~;l ~i I _ _ _ I ~ ~I~ ~ p;,~ ~ I ~ I I„ ~ - Y ' - i~ I ~ _ i _ ._ti, r ..j._._._ Imo..,. L _ Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer 4 d- ' Pump Manufacturer Tank Model Number 7 F % Pump Model Number Total Tank Capacity f ? Alarm Manufacturer Max. Bury Depth r ' Alarm Model Number u-✓ Switch Type Filter Manufacturer Total Dynamic Head (I'DH) - Feet Filter Model Number ? ? Elevation Head Distal Pressure Network Loss Minimum Pump performance Required Force Main Loss GPMl Ft TDH Total Outlet Manhole Min. 4" Above Grade With Locking Deice. Inlet Manhole Manhole Min. 4" Above Grade < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device ~Grade Weather-proof Junction Box - Firx•~ . . -ft - 7M Vent Min. 12" Disconnect Above Grade Means With Vent Cap > ><I Outlet Filter - - - - Inlet 'Inlet Bale - X. < A Switch Settings and Reserve Capacity • 1~4" . > Tank Volume = GPI Weep Dimension: Inches Volume Gal. B Role (reserve) A (ala=) B 2 O Elevation C ~•Ft ` (dose) C Bottom D Elevation {dead} D - - . > Total 4 2, C) Ft GENERAL INSTALLATION: The septic1dose tank is bedded and back filled m accordance with the manufacturer's product. approval specifications. Maximum depth of buryas specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an, effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve. is sealed watertight. Electrical service complies with NEC 300 and Comm 16.2:1. Page of 02105 U W _w TOTAL DYNAMIC HEAD/CAPACITY HEAD C PA ITY CURVE V;ODELS 53 55/57/59 DER :MINUTE 25 EFFLUENT AND DEINATER'NG Model 53/5-5/57/59 6 20 o a I Ft- Meters I ! trs = I~ i 1 Ga. 5 15 5 43 '63 0 3.. a ff 9 j 1,0 ~ I 'S 4.6 19 \ 0 j Shut-off Hecd 19.25 ft. (5.9m 2 \I 5 -;3 151156 5/32--{ O--- c56 '/2 -11 12 NP- U.S. GALLONS j 1C 2 30 40 50 LITERS I i ' 0 60 160 5/16 'LOW PER MINUTE 009897 - 4 ' /1 5 J I 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. 0 Duplex systems available. 4 1;16 i 3 3,32 ~I :ro,M SK858 Single Seaf Control Selection Model Volts Phase Mode Listings Amps Simplex Duplex CSA UL M53/55 & M57/59 115 1 Auto 9.7 1 1. Integral float operated mechanical switch no external control required. N53/55 & N57/59 11 1 Y Y 2. Single piggyback-variable level float switch or double pIggyback variable level Non 9.7 2 3 or 4& 5 Y Y BN53 115 1 Auto 9.7 float switch. Refer to FM0477. ` BN57 Y Y B5 115 j 1 Auto 9.7 N Y 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. - 23o - 1 Auto 4.8 Y y 4. See FM0712 for correct model of Electrical Alternator. D53/55 & D57/59 230 1 Auto 4.8 1 _ -Y Y~ 5. Variable level control switch 10-0225 used as a control activator, with Electrical I--, & E57/59 230 1 Non ! 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system. Single piggyback switch included. or information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches, FM0477: n cnuT oN Fiectrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump/Sewage Basins, FMO487, and Single Phase Simplex Pump Control/Alarm Systems, FM0732. c r:c - c For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. SOX F217 N_ Louisville, 49 R Manufacturers SHIP T0: 3649 Cane ane Run Road of. . ® ® Louisville, KY 40211-1961 PUMP LO (502) 778-2731.1(800) 928-PUMP http.,IAvww.zoeller.com QU~✓TY PUMPS ~NCE f~~~ - - FAX (502) 774-3624 © Copyright 2002 Zoeller Co. All rights reserved. z 2s550S 89'20'10" W 217.62' 0 )T 16 _ LOT 17 A9 55 W 177)' - goo ,03' NRt,2 SI 9• 2 6 ..r a22 TOP OF 3/4' IRON P:N i n,_ ELE-10-5121' 36., n r, r S 6 LOT 18 n a ~ 6.1.93 " 3 . LOT 21 O 1 93 Ac o> /V O 60. e 96a S. 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LOT 3 / 1.96 Ac. 7 ~O 'y 'A JD BO lo---C, -lE2 / 4 / 10.29'- >>'23 QD 05.. .2 i 21.02 0l ~o Cl/ N _ S 89'34'18" E 200.48' 2tg LOT 28 FB, 011 o pia = a o h g~"4 Q Q SP' z >~a ~~~w,w yao f U LLJ hum 111i'l > LL W ~ a Cl) J LL j r U W ~ I NJ m ? ,zF ~~DD❑ EDDD Q~ L-JLILJ ~LLJ DD I ~ I 5 ~ ~ iDDDO mo ~.r blv I J 'Sr1'tt { ~ W4 F wq _ 1 ;frlCi:,... it HIRE ( ( ) b I NNp I1 II h ars e~ i 1 I z~is _ 111 II LL Wm 9 HH~oWH~. o O s. oi ~ N Z F- N H LL o 3~ g~ 2 Q N F,7 fl%.? 11M.-I 11%, 11;151 5.m M LL U) ~a z,oa ZU, J J I I -g ~e}s m a I ___,I I f I ~o zs, s3sslyi wov av 11 i ~ ~ i ~ I I II I ~ I I I I II Ib f O A i zv <~c r I ~4 ~ 1 8c~ I ~ - - - I I r-Jb i d33ddd$ 1 1 b - - k I ® 3 I--_- I I I 1 I ~ I RI b I I I I ~ I b N I I ~ I I O I I I--_-_-_ I ~ b~ 1 1 1 I I I i n b I I I I e I I % ~0 • I 1 l__________I I IR ~ Cc~= I I I ~ I C I 1 5 § ~ I --J I L J N b I I g a ca as r pp b I I 1 I b I 1 Itg: - I r s,3rroeo..noaruaraoz, ` I aa~806 _ w§ S° o O $ ion BM"W rn a JOI = CD m 8<~ -.N s'-N d IJ,J b N u rya ~ ~ ~ ~ oR J Q J Q LU ~ > i 30 oW z C) m a ma s>~M ~o., ~ I ~ s w I i ~ .s: I mry I ~e fI9 R b ~ I VV~ s G i ~M _ ® I WWWWW 4 b p $ O ~-p o --s s--_ 9 4 I _ 5 ti I „ I _ N s z Is a 34 " _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ m R - - - _ _ _ _ _ _ tr 1 _ I o, x4: I I a ° I aa~a~yNn r ~ 5 I I ;S~ I I x~- arum 1 SpN ~wsmruuKO[, ~QaxH3ee Bst Wi ~~~5 i i ,'a~~ ~4 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division c'r Safety and Buildings _ in accordance with Comm 85, Wis. Adm. Code County C f 0 l` Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ~J f , /q~ nnil percent slope, scale or dimensions, north arrow, and location and distance to nearest road. v / C•~~ Please print all information. Revi ed by Date ~z Personal information you provide may be used for s. '.5. (1) (m)). L~lt Property Owner / Prop Location NO Govt. of CL 1 1 /4 l ~ 114 9 T 2 ~ N R f ~E (o W Or' t.? r` / r✓9, l3 i tl1~© L- Cl"l Pr rty Owner's Mailkig Address Lot # Block # Sl bd. Name or CSM# _ 7 IXCOU Yl~~~ ~'~;`fzt$o City y~ tate p Code P e umber C3 Village Town Nearest Roa New Construction UseA Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Pu is or commercial - D scribe: Parent material .4-1 Gn Flood Plain elevation if applicable ft. General coma tents and r ridations: i. ~ /'J' ZZE System Elevation / System Type~~ ~r/J~ .t 1'i~~'' C / cr/1~1 Boring # Boring a apit Ground surface elev. - ft. Depth to limiting factor in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 / 2-]Borlnq F # 0 Boring ~ ( t R Pit Ground surface elev. ft. Depth to limiting factor inSolt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 r( - Effluent #1 = BOD > 30 < 220 mg1L and TSS >30:5 150 ' Effluent #2 = BOD 130 mg/L. and TSS < 30 m91L CST Nam (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird rte` 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 a-2_ 0 715-246-4516 6 7 l6 Property Owner Parcel ID # Page of ® Boring # Boring Ground surface elev. S--ft. Depth to limiting factor in. Soil Application Rate Pit' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsellll~ Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 °Eff#2 0-i L_ 6. rr _7 2 i iylc ! .~r7~~ ~S 1 , i n% C- r n ns~k- c, 5 ! c i5 C `"~t' ~ •LJ ` yl ~ ~ y~ lj I ryy I7 LZ r^1 GZ 11 F-1 Boring # ® Boring pit Ground surface elev. ft. Depth to limiting factor in. SoiE placation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Boring # E] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 s ' Effluent #1 = GODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD5 < 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 608-2648777. SB"330 (RAW) Soil Test Plot Plan,/ Project Name Oevering Homes LLC Sha ird~ Address P.O. Box 179 / s New Richmond Wi 54017 >STM #226900 Lot 19 Subdivision Hammond Hills Estates Date;' 6/2/07 S W 1/4 SE 1/4S 8 T 29 N/R17 W Township Hammond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron @ NW Lot Corner of Lot 21 System Elevation 77.6/77.3/77.0 *HRpSame as Benchmark B.M. Please note: survey was not complete at the time of testing, 439' installer must check all setbacks prior to installation. Scale is 1" = 40' unless otherwise noted 168' Property Line 435' Property Line B-2 81' 80' 0' 5% Slope B-1 90' 40' 102nd Ave B-3 30' 80' 166th St.