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HomeMy WebLinkAbout020-1353-40-000 County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Bufiding Divisbn INSPECTION REPORT Sanitary Permit No: 156 ,40 Y GENERAL INFORMATION (ATTACH TO PERMIT) to l 10I ID N: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)1. p ( I (� 3 1 Permit Holder's Name: City Village X Township Parcel Tax No: Brand, John A. Hudson Township 020 - 1353 - 40-000 CST BM Elev: Ins p. BM Elev: BM De scri t' n: ag , 1 9F- 7 j i66,' frY7 .1Cr-- S p TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.. Septic Q d Benchmark ; /03 C f Dosing /t D ✓ I Alt. BM 2, q D ,.� Aeration C � y � A- -/� V � 3 r 11.41A iv 6t 8 C icS r — Holding St/Ht Inlet -fv--1-04%- 1:7 qq- gr St/Ht Outlet ,--, TANK SETBACK INFORMATION TANK TO P/L WEL BLDG. Vent t it Intake ROAD Dt Inlet Septic I -rl C e Dt Bottom Sb Dosing 4 lames Header „ /. o,, ,./ f jo /.l c 2, ?> `i /.3' Aeration DI°, Pipe r �, ^ ,o Z, C1 1 e 9 D s-- Holding B o ystem ern P Final Grade - �JSS PUMP /SIPHON INFORMATION -7: / 00-37 • Manufacturer Demand St Cover r f _ cy�i GPM /f arl � / /• 11 Model Number 5, 9 ,7/2 S TDH ILi /- Friction Loss System Hea �TDH 83 Ft r iAA_A, D.6./ , i, / n + Forcemain Length Dia. 7i </ Dist. to Well (pS SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length , No. Of Trenches PIT DIMENSI NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS pp ( r7 , t Ind SETBACK SYSTEM TO P /L BLDG WELL LAKE /STREAM L NG Manufacturer: INFORMATION 5 f l CHA ER OR Type q�f System: Z ` � vv l/ U Model Number: DISTRIBUTION SYSTEM cAro Header /Manifold Distributio 3 1 �5 x Hole Si x Hole Spacing Vent to Air Intake -fa Length �� Dia Length �o Dia 1 Spacing / `f / SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only _al. ,l Depth Over f tAr Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center I (i ° " Bed/Trench Edges Topsoil Yes f No AI Yes M No I COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / o3 Inspection #2: 0 ( / 0 7 Location: 860 Alex Lane Hudson, 54016 (NW 1/4 NW 1/4 36 9N R19W 5 ( ) Cottonwood g 369.1 WI N T2 ottonwood Rid a Lot 40 Parcel No: 9.2040 1.) Alt BM Description = S T ` CO ' 6 me "W S 10 ', .J rrn U� b �A 2.) Bldg sewer length = (4_ S4I :,ed �n. - amount of cover =) S 1 � J -ID kr la- -ei 7r.�n -iv/14 aka 'C4�'2a1 r Plan revision Required? r 1 Yes , No Use other side for additional information. _ Yln -� -_ - -i t -- L _ _- ' SBD -6710 (R.3/97) Insepctor' ignature Cert. No. 1 . b l°1— 135 3 - NC - a()b i m ,I 3 C, , 29 , / i i 2-0 Safety and Buildings Division qty I NVIsconsin 201 W. Washington Ave., P.O. Box 7082 v r f - A_C�C� Madison, WI 53707 - 7082 Sanitary Permit Number (to be fi Co. Department of Commerce (608) 261546 /// 52-- Sanitary Permit Application State Plan I.D. Number `1' in accord with Comm 83.21, Wis. Adm. Code, personal information you provide g 3 1 a 3 =- /D may be used for secondary purposes Privacy Law, s15.04(I Xm) ject Address (if different than mailing ad ■ s) I. Application Information - Please Print All Information :( V - I /'ice Property Owner's Name Parcel # t # 1/0 Block # 3y,_ 3A-6.Aa 6 ao -/35 z-lp - 000 Property Owner's Mailing Address Property Location C K V5 14Z 46 City, State Zip Code Phone Number A04 /�' Section I 1.► L N ] �' circle one) T C.� O T cn TI R E or W 4 4 -.` - ' I II. Type of Building ( f eck all that apply) a,. • Ot. . v Otj or 2 Family Dwelling - Number o edrooms _ , ,. r ! ..v ...... Subdivision Name CSM N ber ❑ Public/Commercial - Describe U � ' 8 .0 ( S�e vwi ❑ State O -Describe vie � r X (o ' Mota4 cite) .t , ❑City ❑Villa a own ip of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renews Permit Revihio • ' rChange of ❑ Permit Transfer to New List Previous Permit Number and Date issued Before Expiration , L 4000.• , Plumber Owner IV. Type of POWTS System. (Check all that apply iN a A ,) / c 4e s4i .t:J. �� ❑ Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ � Other ( xplain) V. Dispersal/Treatment Area Information: / -- Z-laa0 C-1 .... l . Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal A a Required (sf) Dispersal Area oposed (sf) System Elevation ‘00 Y! 62 00 6. 3 7e , 4, VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks t / Septic or Holding Tank /900 „^ / ,2 o . Aerobic Treatment Unit LA) 1 '\ Dosing Chamber QQQ .� c o I tt \ \ ��� /c VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum ' Na me (Print) Plumber' rgn ture /MPRS Number Business Phone Number is � v 11 + 3 • Rao3.- 74s aa 4?r.� `70 Plumber's Address (Street, City, S to ip Code) AU, .44 C. n - c - VO 1:1 7 VIII. County/Department Use Only Sanitary Permit F includes Groater • Date issued Issu Age rgnature (No S ps) p[ Approved ❑Disapproved Surcharge Fee) / 5 b - So--• , t ❑ Owner Given Reason for Denial $ 15 -3 1 tom. °o 4.e �( ° 1 f Za3 /� IX. Conditions of Approval/Reasons for Disapproval C.e...,t 4Z4...- r M44.a / ` S QA,a1 Si er0 -4 c o t •- tiNA,, a. Ces.tae.t ko - 0-41e elS - a- v w..,Q sy s4 c-'Q viu sr4-4 ( - e- stet 0..Attt . 4150 • 1 1 I A.rAA a , MILO' -9j a• U. 5- , i III - ' Att h omplete plans (to the ounty only) for t S system on paper not less than 81/2 x 11 Inch !' shit , S 54_____:„-....k"...""1/4__.* 1M."A��L w ". .ILL IN . fa Per- ww.lA..at go...._ (24. u-ad lv p,Liak 1 SBD - R b398 . 08/02) �/ n 08 03 71:293 David Steel ;15 -249 1085 p.l • - 1241 Wisconsin Cepartment of Comrgc SOIL EVALUATION REPORT Page I of _ 3 O MSIC4'. of Sa anc Burgs -in accordance with Comm 85, this P.am. Code ,steel Sort Servte 1. Attach compete rte plan on paper nut teas than S' /, xi! inches in s_.e. Plan rr:�st County • 'mode, but not limted :o: vertical anal twrierntal refen"ce min fEM), dvecidn.ar c Si. Croix Percent slope. s,:ulr• v1 aimelnsers. ;orir�. anon, anc ocatan and distance to rerest roan. aarce.1.D. • -- -- Please print all information. 020-1353-40-00U =e song in funreIrcn you prams rn Reviewer By Dare - pr ay Ps for :more :moron I :ft 5. 15.111(1) (Tit, f I McCabe Owner Homer �� 1 1 ►v Prcoeny Location f l McCarner Inc. \ I P r c Lot SW 114 NE w s 36 T 29 N R 19 W Perty wne s Mailing Address - -- - -- --- Lot ir y V Block # { Subs:. Nam na or CSM# 9 Osprey 1311.1d 1311.1d d 40 I �e Cet'onvrocd Ridge City State Z. p Code Phone Number City d v Town Nearit Road , Bayport I MN , 55003 • 651 - 351 -1018 - Hudson A1ex Ln, New Construction use: y_ Residential / Number of heirlooms _ 4 Cade derived cesigr flow rate f_CO APO Replacement Punk or commercial - Desalt*, - - -- _ __ Parent material PitteC outwas1 plains - - -- Ftocd plain elevs ion, if appficail a -_ -- na General comments - -. - - and recommendations; Mound design, system elevation 100.00ft based on contour line elevation 39.00ft 1 laming * _ 90 - Ing Y Pit Ground Surface elev. _1(4).40 R. Depth to limiting factor _.33_ _tn. ; Sc y q- R am Norton Cep r DorinantColor Reno* Description `ed.re Structure Cons;sterce I E •rnda'i j Roots GPDr'f' in lAmse'.l Ce1. R. Cant, Cale Gr. Sz. Sn. 1 i 'Etf+1t1 j •_ffriz ___......._. _ 0-9 10yr3J3 i none _ ' 2f 5 9 2 9-24 10yr4 /4 none I ... .-_ _i ' S 2msbk mfr _. - s! �msbk mfr gw na 5 3 • 24-33 1 7.5 r4n4 _ -- 1 33$0 7. 5yr4i4 f2do 5yr {i5 TS - ' -_ a I 4 + .6 4 I ; Y • none scl 2msbk rnfr I 1 2 1 Boring A __ .ring —f Y . Pit Ground Surface eii v. 100 ._ ..JC - Ii. Depth to In ding factor . ing .... . •. I app Rave j _ Horizon i Depth j DornirantCjor { RedoxDescription i Texture • Slruyure l Colaslence f 5 . rn ace in ntsed undary Rack _Sall �. St. Co i G kr J Gr. 52 Sh I I: + 'Eff1 EftiR2 1 0 18 to 10yr3l3 none sl 2msbk i mfr j gw I 1 c I .5 ' .9 2 I n none � s1 2msbk mfr 1 : .. -_ -�•. - •- 3 F 32-6 7.5yr414 c2d 7.5yr5/6 I sidlsl ' ^2msbk �, mfr I na � 1c j .4 1 .6 J - - - r - -- — IIII! - { --I- - --1— - r ' ' Effluent 1$1 = 3CD 30 c 220 m9 /L and TSS >30 q 15C ma'L ' Effluent #2 = 500 < Z 3 mg4_ and TSS c 30 ing. L 1 1 CST Name (Please Print) . - $ :gnature :., 4 . David J. Steel /3✓').. �i ;��' CST Number • °- 246956 4ddress Steel Soil Service — Oa* Evaluation Cord cued Telephone Number 1 • 1564 CR GG. New Richmond, WI 54017 117/2003 715. 246 -5085 _OZ ' d yc1:1i :>2 - - - • Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 Visconsin REC E NED TDD #: (608) 264 -8777 www.commerce.state.wi.us/sb Department of Commerce www.wisconsin.gov � '1 203 *a ` James Doyle, Governor ST OI'` `'k COU(� Cory L. Nettles, Secretary ZONING OF1 ='CE January 23, 2003 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/23/2005 Identification Numbers Transaction ID No. 831123 SITE Site ID No. 655068 John & Laurie Brand Please refer to both identification numbers, Alex Lane above, in all correspondence with the agency. Town of Hudson St Croix County SW l /4, NEI /4, S36, T29N, R19W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 888705 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • 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 private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - 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 consi e� 0 a n i ealth hazard. Conditionally ARTHUR L WEGERER Page 2 1/23/03 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page \ of 7 MOUND SYSTEM FOR A LI BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD - 10573 -P C. 6/9.9.) Cta. 6199) LOCATED IN THE S1,J 1/4 OF THE p•E 1/4 OF SECTION 1 (:),T Zq N,R 19 W, TOWN OF , ST. LfIX COUNTY, WISCONSIN. Li() O F CUST'N I`14J Ooh RAP - G INDEX 41d 1!C PAGE 1 of 7 TITLE SHEET c q PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION � � �Q Q O PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT `Q Q PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION �! PAGE 7 of 7 PUMP PERFORMANCE CURVE ,'- • PREPARED FOR S o ti - L3 i D `"\ S L..S 1-h c.0 - G p U►•1 R- \JOO�e J 1 IMN Sstzs PREPARED BY WEGERER SOIL TEST I NIG AND. 3D ES G;V SEFRV I CE - P .O. Box 74 421 N.Main St. ®�� N1 NeM� River Falls, WI 54022 f + ®�r�►d�s Phone 715- 425 -0165 •° Fax 715- 425 -6864 0 ' � ' nRM 0.915 ► I 1 141 WIS. wi4 ? DEPARTMENT OF COMMERCE DIVISION OF TY AND BUILDINGS SEE CORRESPO ENCE JOB NO .. 03-03 • Mound System Management Plan Page Z of Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. InterrNttent 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. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. • 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 S tem 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 infiltrative surface within the Y on of the e mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. 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 cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] 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. Continpency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption - and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at q 6 9 0 ST- C3141.X The system installer at -��S b °totS LiTGrr2D The tank manufacturer at _ qs6 The effluent filter manufacturer at - . _ZZ.1 _ S1(4 Z T e pump manufacturer at _ 1 O 3 -- U -�- l� i GOVt -bs - Scale 1 "- rip rage J of / ( '6 ti ti e�ti7b�4 _ 4 6 OF C , \* +\ � I 1 - I 601 b U iaT'C`( PPrz�- M i p / c:)11�. DISYkS I °D , � 1 �°"'''o`� / I • - - 3 6 �, 95 ` 8 ��� 1 0 o �1�PlrL J 1 `!� bS bFZ�VuC, lr M 1 F �6 � -z • WALL $ 7 Sq ` t{}�►,� r J `� M rAOU�.7b rC►�� 7 ' lrk-1 / g � / 1 / 'bb D L. _Y _^� - E. '8_� ' ap..j 1 �� y' s`r P, P ........... NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observatjon pipes with approved caps, (Z... required). 3 - Septic tank to be VDo /Oc gallon capacity manufactured by __) ' 1 Ltii/ — ! d C? 0 L J1 4. Eench mark Si D U 5. Divert surface t► around system to prevent . ponding at the uphill side. 01/22/2003 14:31 17154256864 WEGERER SOIL TESTING PAGE 03 4 _ . , . . . : Page / Of 7 Approve_ Synthetic Covering w ASTM C33 - Distribution Pipe Medium Sand . TOpsoil U (. slope . • Distribution Cell of Force Main Plowed • 1" to 21" Aggregate From Pump Layer D 0. Fi. - E 1 . )kt Ft. CROSS SECTION OF A MOUND SYSTEM F d Ft. • Gb.,5Ft. A 9 Ft. • H \. O Ft. Linear Loading Rate =a►•° GPD /LN FT 6 J Ft. Design Loading Ratep.V3t ;D /SQ FT I 1 Ft. • J 5 Ft. K Ft. L $3 ' Ft. . iswe? ,, ,– r W Z (a Ft. . - Observation Pipe • 1 —8 ► . K T . A o-4--- • - - -- me.._ .._ � W e-17.14-18 p_ � F arce Main - f_t cess utok Distribution n „ ' Pipe Cell of to 2.4 � aggregate •. __, • ,• Obs ervation. Pip 1 - L .. t�l achbr se osrely) PLAN VIEW OF A MOUND SYSTEM • . • Distribution Pipe Layout Page S of • • Place the holes at the bottom of the distribution pipes . at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45° fitting to a point within six inches of the final made. Terminate the ends of the laterals with a valve threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. C Lateral FV ` t PvC Manifold Lateral • x x x x x2 x/2 x x x x • Lateral Length — Lateral Length — P Distribution Line Lpr► p r\7-11L-o, 5, o -- Gq 4- .. >✓ k- Y'1 • P 3 3 Ft. Hole Diameter' ) Inch S _ Ft. • Lateral " ) • Inch(es) • X Zy Inches Manifold " Z• Inches Force Main " Z Inches # of holes /pipe \`1 • Invert Elevation of.Laterals ( A ° is f Ft. . 1-1 � y t = .9 b ; L/J. 8 2 6 P►i • • ' - Combination Sept4c;Tank arid PUMP CHAMBER CROSS SECTION AMO SPECIFICATIONS ' PAGE OF 7 . — VELIT CAP ' WER 1 1 JUUCTIOATHER M P OZ 00F. F 'C VEMT PIPC ■ . — APPROVED LOCKIUG jQ' FROM OOOR, • MAIJHOLE COVER k.;11 ASP % lJDOW OR FRESH 2 . wA(irJluG lP.6EL . lo>J P tpE AJK JIJTAKE — IP. 1 I j cos�Duir w /Prgz-Tlsttr �C•P) r , . ' Pi I . _ij . FJ -- -___ y a,9 i . , 1 Y 1',111 li ..v rLto • • fiJLET , '" PROVIDE I C — - AIRTIGHT SEAL I I • / 1 4 --- ;n BliFrL�JK�Y ' 1 \ \// Approved }zf�8 H� li _. 1 � 1 Approved joint w/ _\.app III joint w/ PVC pip a _ II ALARM PVC pipe 1 ■ . c _ I ► OW I [LEY. c l L) ' 3 FY. = --- - --J PUMP I.,. ■ OFF . COIJCRETE mow L -�Z) DO I aLOCK — 5 RISER. EXIT PERMI7rED OJJLY IF TAJJK MAIJUFACTURZR HAS SUCH APPROVAL 3 AD0PF �DDJrv4 SEPTIC f SPEC.IFICATIOMS DOSE TANKS MANUFACTURER: 1(31-Q a et?- MUMbER OF DOSES: 1 1-9 IZUU �0u PER DAB TA1JK SIZE: GALLOIJS DOSE VOLUME r ALARM 1 ' 4 AIJUFACTURLR: S J. Z.O •SLIZTElviS INCLUDJIJt:, OACKFLOW: 13/ L i GALLONS MODEL IJUMSER: 1 O 14W CAPACITIES: A= V8 406' 3 1JJCHES OR t GALLOI�g SWITCH TPC: � , 'Y g= Z IAICHES ."OR 44-54U-0145 PUMP MANUFACTURER: SC L C = 6 IIJCHES OR � 33 ' 1 GALLOi.lS MODEL MUFtHER: IF....--P0-5 !] _ (f°CAZ 10 INCHES OR 2 � Z ' V GALLOMS SWITCH T MOTE: PUMP AUD ALARM ARSE TO 'E0� MIMIMUP1 DISCHARGE RATE y 1 •• GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE (JETWCEu PUMP OFF A PIPE., 8 - FEET ± MIkJIM M I�JETWORK SUPPLY PRESSURE 6- 5U FEET( r •D X 1. 3� l� s 3_ T. + FEET OF FORCE MAIM X _ S 9 F / O FLFKICTIO►,J FACTOR.. x' 33 FEET TOTAL D HEAD = \14° FEET As per manufacturer ZZ : gal /in. Liquid depth 3 ' 4 • Goulds c I °F 7 , few 1 : : �I Submersible Ef fluent Pump p r.. MODEL i LJ EPO4 • ;'.-' t - \ EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high • Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. • Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Motor Available for automatic an • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and • Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. SPECIFICATIONS • EPO5 Single phase: 0.5 HP • ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design 3 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard Iength, 16/3 SJTO mechanical seal protection. SP • Canadian standards Association • Total heads: up to 24 feet. with three prong grounding • Discharge size:1 /2" NPT. plug. Optional 20 foot • EPO5 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SEW with plastic enclosed design for improved performance. end in "F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug p BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 - I I • Capable of running ( I : -14 l dry without damage to 9 - 30 - _' components. i � SGPM Pump: EPO5 - � sF — r • Solids handling capability: 0 25 ---I I 3 /4" maximum. a 7 - •Capacities: up to 60 GPM. x 6 - 20 • Total heads: up to 31 feet. 2 • Discharge size: l'/2 "NPT. z 5 _ — li Id I -- • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, _ , - r_ BUNA -N elastomers. 0 4 ' -- u � $ /EP • Temperature: '- 3 - 10 104 °F (40 °C) continuous i ! ERN 140 °F (60 °C) intermittent. 2 - -- i — � _ v, -- I 1 i 0 - 0 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m °/h CAPACITY © 1995 Goulds Pumps, Inc. Effective May. 1995 7-.- 1241 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete site plan on paper not less than 8% x11 inches in size. Plan must St. Croix include, but not limite. to: vertical and horizontal reference point (BM), direction and percent slope, «:le r dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 020 - 1353 -40 -000 u� , « lease pri►t all i E D Re iewed By Date n n.. 1 • Ilion provide may be used for secondar purposes (Privacy Law, 15.04 (1) (m)). Y ?lam 3 Property Owner ` 1 ', j 0 9 2 003 Property Location , II McCabe Homes Inc. Govt. Lot SW 114 NE 1/4 S 36 T 29 N R 19 W Property Owner's Mailing Address 5 F COX COUNT Lot # Block # Subd. Name or CSM# 935 Osprey Blvd 7.ONINV OFFICE 40 na Cottonwood Ridge City State Zip Code Phone Number J City J Village a Town Nearest Road Bayport 1 MN 1 55003 1 651 - 351 -1018 Hudson I Alex Ln. ✓J New Construction Use rI Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement J Public or commercial - Describe: Parent material Pitted outwash plains Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 100.00ft based on contour line elevation 99.00ft 1 Boring # J Boring 1 I Pit Ground Surface elev. 100.40 ft. Depth to limiting factor 3 l 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 "Eff#2 1 0 -9 10yr3/3 none sl 2msbk mfr cs 2f .5 .9 2 9 -24 10yr4/4 none sl 2msbk mfr gw na .5 .9 3 24 -33 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 J60 7.5yr4/4 f2d7.5yr5/6 ms osg ml na na .7 1.2 2 Boring # ___I Boring 1A Pit Ground Surface elev. 100.30 ft. Depth to limiting factor 32_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 - 18 10yr3/3 none sl 2msbk mfr gw lc .5 .9 2 18 -32 10yr4/2 none sl 2msbk mfr gw lc .5 .9 3 32-.1 7.5yr4/4 c2d 7.5yr5/6 sicl /sI 2msbk mfr na 1c .4 .6 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg /L CST Name (Please Print) 1 S CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 1/7/2003 715 -246 -5085 r Jan 09 03 12:50p David Steel 715 -246 -5085 p.l Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST POWTSM McCabe Homes Inc. New Richmond,WI 54017 Lic. #248956 NSW /4,NE1/4,S36,T29N,R19W Bus.(715) 246 -6200 Town of Hammond. StCroix Co. Res.(715) 246 -5085 Cottowood Ridge Lot 40 R E C EI VE D Legend • A • = Benchmark Ele. 100.00Ft Top of l `/4" steel pipe 9 2 • = Alt Benchmark Ele. 98.70Ft Top of 1 V. steel pipe ST Cf�O1X Cou, 17 = Borings ZON ING OFFIC Y Boring Elevations B 1 = 100.40Ft B2 = 100.30Ft // B3 = 97.70Ft 259. z 4/Uar f In f A•` B4 = 97.30Ft ��sX \ / _ / / /DO qtr �- AS' C`,. `f67 c£1- /) &tor 0C. /Dd.4' r fr 1z - `J/ . ' 4. OP rib' \c: G,riL� lVt S/o7 4[ Ne II I 1\et ' Ait 0 70 \ma 4.2,6 zz 4-61"-- ` \ D3 (v3' •X 1 1' ail ii' 4. ' 91 9' ?:-... - , i _________( - 2/ Z/ al. i -7 -a r Safety and Buildings Division County 1► � 2 201 W. Washington Ave., P.O. Box 7162 -+ C / ' 1 I SCOfSI fl Madison, WI 53707 - 7162 Site Address 4 169 Department of Commerce 6 1 (_r44/ Sanitary Permit Application 3 , ( 0 Sanitary Permit Numbe In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 4f71-° 5-62 3.---------- may be used for secondary purposes Privacy Law, s15.04(1�(m) // —Z —l) 2- ❑Check if Revisio, I. Application Information - Please Print All Information - _ -- State Plan I.D. . ..ber /1/4.. /4 Property Owner's Name 6e,,i -1 "'"�'` • x Parcel Num.. Zd RRAr0 }.,, , . 0 i t! "002 ©Z 1353 10 ' o 0 Property Owner's Mailing Address , Prope . ` .cation / J • A/ e •�p, 415-- 415-- ,J a L L /9b �i QOM , 1 ' �k /� : S _, TC� ( 1 � 0 / lit." City, State Zip Code Phona Number s .... umber r :lock Number C /� ��/� q • bdivision Name CSM Number ) i 0 , , 654-4-0Ai Ltid Atitie2& II. Type of Building (check all that apply) f Zd,�1,pi / , ❑City • r 2 Family s ' g - Number of Bedrooms / � ' - ' ' ❑Village ❑ Public /Commercial - ► :be Use _ \ 6.i1^. Township llkedf7 Al' ❑ State Owned .2f' eh ' • ' 3 - /o p r Nearest Road v� 0//0 0C CC tp,J r y ad AR J-(L4A1 .". III. Type of' Permit: (Check only one on line A (numbering scheme for '' rnal use). Complete line B if applicable) A. 1 A.New 2 ❑ Replacement System ❑ Replacement of 6 El Addi . ' to For County use. System .. Only Existing tem B • ❑ Check if Sanitary Permit Previously Issued . 't Number Date Issued P/. a of Permit: (Check all that a 1 numberin s • e is fo. ternal /I y � P ( PP Y) ( g use) ! J YS S . 3/.1 t jCh441i laglAc • 44 xi Non - Pressurized In- Ground 210 Mound 4 A Sand Filter 50 ❑ Constructed Wetland p 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank . R Single Pass 51 ❑ Drip Line • aa. 45 ❑ At -Grade 46 ❑ Aerobic Treatment Uni 49 ■ ' culating 30 ❑ Other V. Dispersal /Treatment Area Information: $ ' ‹.. /H-� a . 5 L Fpa Design Flow (gpd) Dispersal Area Dispersal A il Application Percolation Rate Syste eva o Final Grade ri c__- Required Pro S' i ate( /Days /Sq.Ft.) 4 ' .finch) Elevation 6 -7 ) 'sg , ' ,7 9 , 7 9'x.51 40 VI. Tank Info Capacity in Total N . r Manufacturer b Site Steel Fiber Plastic Gallons Gallons of ' .z fr - /Q7> Co' Constructed , Glass New Existing Tanks Tanks fgG'fO Septic or Holding Tank / '.. / _ ./ � Dosing Chamber g /-- / I/Il , 0 — r VII. Responsibility Statement I, the undersi , d, assume responsib' installation of the PO alto . e attached . Pl is Name (Print) Plumber' • ignatur MP' - - = • umber Business Phone •. ber 6 4/6C112^/ ✓ 24 K9 Z7,?- Plumber' Address (Street, City, State, Zip . VIII ounty/Department Use Only Approved 0 Disapproved Sanitary Permit Fe • e .. ludes G Date Issued , `, - _,.. ruse Stamps) Surcharge Fee) . Determination Given .' • Adverse . ( W .d C-i �Y / ) 4 1 ->>. , i /4._ / k IX. Conditions of Approv. • ons for Disapproval 0 Pius /��� �� r .14''' /'Yi ua Ire P44iel----/-(iii,--hi,,,,k f i x tri,-, Lei--� - 6- l�''�'`�" l � g� � �- � � ' 5 Attach complete plans (to the County only) for the system on paper not less than 81/2:11 inches in size SBD -6398 (R. 05/01) 1 4 ' . . a .., , , . V , 0 1 ,,. 4 • ..?,. 4of .114S NI, 6 ibkii / fix .., „mum. 110. ei," el , ( 110 , , . 40, , „,,,. fiL-a-/- MAW zg-© /1A) eq1 cR-LE ,►« 60 14 4' �o f fo << ;M L ywL Br 414 A-Lk. o I PtL /JO ...Ira /Iv P) fco-LE / « 60 , 4 ' LL r f aati‘q 4 iv, l/ it- 04") • A • Bn►t 4o • i 111. - . -- z Beml) Combination Septdc. E.nd . P OM? CHAP115ER CROSS SECTION AUD -;:p2,.C1 ,7 1(2ATiOK.: • • (---) V C 1'j'. CA i., 4. AP = -3 _ , E C. ..C 1 C.I. VT! ■ I 10 FROF.\660-: ..E - :,,,'", , , Eic ':- wiuDOW OR FRCSH A.U21)JTAK E i1'r 6. ti-r e-tyFA )4 • . i t - , ' ..----er • bi . - 1 1 1 "tt‘' In 4- ,-.-...L,.. -t• L.............L.i. r 1 , i„. , Id' AII.I. I • .._ I 1 . I ` 4 - .--...■■••••..J 1111 \t t k 1 }:, ..... . , .-- /■ ■ ' PROVIDE __ I - •t — ,, 7. ---.4 ----7,JLET ,...._ :■%' , 7 PaRTI:.HT Ei..kL ; ..... .7,/,.::: :1' / ..i -- .:1,FFL A .. . - APPgDYE,C .10-4IT: APPROVED Joihrt r . lZf'01 r-i.Li-t-Ril .. wic.I. Pi , wic.I PIP Tank cons truction , • shall comply with / • ILHR fl3.15 and 83.20 a 111L)., / ' !, v , '1 / 1 / • 1 , i• C CSETC _ • U , i -/pt.ocK- I • — — • -- / • * RIsEg. Exil pER.r1i \,,,s 01.1L. IF TAug. 'M.A. F AG T u FS.7. - 5• -.. roi"R.(; 4.L. , B zool ,,, ic . __1.... SEPTIC E CIF / ATIOL1S ___.... DOSE I Nft TA1JK$ mAI.JurAcTuRER. • kAil IQUP\ bER or Doscs:_ _PER. DA., • • TA).1K :JIZE • /73e / VOT G / • LO+. DC5I vOL'...ME ALARM fitAktuFACTuKzR: S:3', 0 Li • 11 , 5AcKrt.ck.. • /5 - f l : 15- C.A.L.i..01,s mooct.. kILIME)ER; LOL HIA) • "ACITIES i k:.-. 233 c_L,...,, 4.k..7ALL.,,! WITCH i ?" s 13 =_- ,,Jc. Via Gf\Li.".)LS PuMP MALWFACTUR,zit: ‘14-1,L , x 7 - E:i oR MODEL LIUM5ER.: i . D - _ , •lc r H -, oR i.....L,ALLO).L. SWITCH TPE:, ILA ;JOT::: PU•‘,P AAJO , i,^1 , I t MILIIMLIM DISCIIARG' R.ATE, 05 GF/A • INE !,:.:,N E. F RAI CIRCUITS • NN VERTICAL DIFFEKEACE DET ■ EU PUMP OFF AuD..DI5TR15UTICLI pIPE.. _it_ t. EET Ni 1- POKIIMUM WETWOR UPPL. PRESSURE _12_ FUT + 7- FEET OF Fr EL MAN X . ttirriZoft,FRICTIOLI FACTOR-- /......... FEET • . - TOTAL 17.,1A■MIC. HEAD = ......L FE..."'" - . As per ,manufacturer 4-.71.1 ID . - ,gallin: ----- - , • • 4A Gin • M E40 series -� 4/10 HP Effluent g ' and Crain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE • 0 50 100 150 200 250 300 350 40 immil 12 • • 35 30 i0 r 25 8 20 • V 15 10 F • • • 5 z 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE • F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1:29 419/289 -1144 FAX 419/289 -8658 Telex 98 -7443 • o mmINIMMOMMNOMMII K3328 7/91 Fr;Mtod iii U S A 10/21/02 12:05 FAX Q002 10/21/02 08:01 FAX 6087843596 OFFICE SERVICES 9 HUDSI ► I • -. 0002/004 • a4 Ai 73/Z.A4) "I r IsaNsin Department of Commerce 1, :. - _ . . � ' of integrated Services v r ' rfcq v ■ i, I yu I S.1U 88) 1� Wis. in. Code of f rr Meth - sah cbmple6a site plan ''+ r - • m'Fir- - j include, but not limited tc i n , a `( 2" ' A ' kM), direction • - Cy-01 r I' j slope, soak; or di is K . I .^. j . : J - 4, IQ Tarsal road- l - • Parcel i.d. # ` . E , srC : � DD) - 13S3 - 4/0--0 APPLICANT INFORk `- , r1 r �,� ` > U l :• b!► pate pans' information you prinfidr. t pawns' ' /) 0 q '�Ci )) , . n •63 l L., 7 1 "• P ptriy Owner .`( di , }_fi tiii. �� 6 • • , Owner's Marling Add f L ot 8 9fockfr • . , er CSMb l G1 • - - Tr. '-10 )` - rd.L P .4. � _ c ay State Zip Phone Number ❑ any ❑ Vmage Than Nearest Road 1 Id _pus_ 1 1 4.OLLo (1t5 - ,l -- .7 - a . C e7`fo a g.-sn i 4r 151-New Canstrutdioh use: *Residential / Number of bedrooms I- "t Additwn to existing budding ❑ RaPtara'ment ❑ Pubilc or commercial - t 6Cdbe: Code derived daffy (tow tA0o god Recommended design loading rate • 7 wed, gptlift 9Pd Absorption area required R a`3 bed. rt it Maximum design loading rate gybed, wet' ♦ S trend,, gpdflt Recommended krBitradon surface eellevalion(s) ?d, O "7 - _ 8-6 Parent referred to site plan benchinarfc) Additional desigi*Ite consider4one ,-r • i. or" !- I O K Parent mQlerial - : : plain elevation, If appicdie i%. + -- 9HZ a ft S = Suitable for system Conventional Mou In•Croumd Pressure AT -Made System M Nuking Tank u= Unsuitable for system j$ ❑ u I 11S ❑ u ®s ❑ u I s D u l m m f] S (Si u D s Cif' u _ SOIL DESCRIPTION REPORT _ ► : r .' # Horizon Depth Dominant Color monies Structure ' I S Texture Consistence 9cWtdary Roots in. Munself Qu- Sz Cent Color Gr. Ss, $h, 1 Bed , Trendi ..---1 .11 (_ 0 ID �r3 / . $1.... I MA* Oler , C 5 ; I C • 4 : • 5 ' t I•yr 4 4 / G l oR a rot c 5 ' -_ -rl_; • j_ G round ifi Iy iig r `1 r r a mi, C.S .1. -1 :. r O arov , S t a - — t _ i 1171,W- IF ■ ,, . • Remarks; rq 1 r 3I?- _ Si, 1 t• - abk ; Boring * 1 E 1-( • 4 : . Ground 1111111.11511 • 4 /1. elev. - . ..f`. - , . Depth to 111111111111111111111111111 ( - , Remarks: ,�,i ✓/ w- ept.e.A.— CST Name (Please Print) Signature TelephOlte No. flclGm Schufrtadtet- 'I16 -2. 7- ‘400S Address pate CST Number 1 -40,s ( Aer f - 4`1 'I er :St' WI 540215 r y - 15 49 25'5309 10/21/02 12:05 FAX el 003 10/21/02 08 :02 FAX 6087843596 OFFICE SERVICES -► HUDSON DOWNTOWN I003/O04 , PRaP vYVN� sv � SOIL DESCRIPTION REPORT Page of PAS LE.* Boring # Horizon Depth Dominant cox Mottles Texture Strsulrrre a DOundery Roots --r. r ; _ in, . Walsall Qu. Sz. Coat. Cola Gr. Sz. Sh. Bed . T Iy 0 j r .3t2- .�_ `5L Imo-bk. [ytfr' cS ! C . (.4 ' • S • 1,- 1 _ s.- 05 L S 5 Nil r 5 -- -` Z : y Gmund � �A/i i�:TE, ! s r y /'-i •-•-- rrtli 5 ,'!� ti Cs ' -- `-I : F' ' il ' 41 to � I : — ellp 115 irt. (4%.• 1, t."1 (:-------' ---,...----...— Remarks: Boring # _ t 13 10-1r i `—_ ___St i �rra7k rrt c. S t fi . 4'. :'', el Gaut elev. — 9. 2 r Y, t d = Q _ to _ ■ IUndng S�` •_ - factor — . . . - -- _ • Remarks: .-. Horizon Depth OOmtrr rtt odor MOttles Tefdutb Structure Consistence boundary Roots Gime in. Munsetl du. t Cont. Cotor Gr. Sm. Sn. Bed . Trench Boring 4 1 , ZZ 61 .312. .�[' .: rL r L m{ (-g S Y ,. /MI 4( ��� 4 .. - fts m S - -1 Grormd 1 Wow. V limiting 0 'C. ail' Remarks: Boring # µ . . :Y GrpuAtl zlev. limning _ factor — l '' Remark 590.6330 (R. 07N0) _ 1po/21/02 12:06 A g II 004 1 1&'Z1 /oL OS:02 AI 6087843596 OFFICE SERVICES H DOWNTOWN 004/004 Seal- t 8 -6- 6(Z - r i _ t.<tu' /CrP. 1 ' J_ ________ �eG lc1 t �4 C7 Svc,frw.. 4o.a 3 6 cry- 4.s-c.) 1 , X1-1_ ...cat 1 Q J. 'f, l i eint i [35" s t S O I Dint , l • Q N. ,m„ ,_, 11111"■111"111n.rw • C i) C v 0 c c } a 1 � a6 � f I' N � u, =2- ( a It tGLL L. i U la N*111 r U 0 �" i I 0 o glmm ■ 1 I E X N U e N vi el F- `o . n J co. Z z %) Lin 0 MI ---.. Ilirrn 7r : C Y ei et im 0 v N j < Ill • i'5 Z *5 j. a xii.: t W x el , ..... , , t Wir----. 0 'C Cr C 10.111■co -., -...... 1 f__. c ,., g : 1 • minlill .€ I lir --- - a illr.. ..v MR—r-----=. N • Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 44 6 Number of Bedrooms Design Flow - Peak (gpd) 6?0 Estimated Flow - Average (gpd) 60 Septic Tank Capacity (gal) / 25-0 Soil Absorption Component Size (ft') Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) (o7gb Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the • Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain Tess than maximum scum and sludge accumulation in the 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the g p ubs y component should be avoided since root intrusion into the component may obstruct wastewater flow. AjecsoAi ptg, 7(5 'a 73 7/5 6C 7 231/ olK co �s'w s+ c g � z ? - �cL� co, z �. Jr �6 -77c 3 6 74 3 Oct -15 -02 09:OOA Alexander home builders 651 4366916 P_O1 FROM : Zappa Brothers Inc. FAX NO. : 715 - 386 -0323 Apr, 19 2001 11:14Af1 P1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer UD Mailing Address 15 S tai ) Z men-. 72_„, _ .. oiktaw tr W igle° as Property Address Late.& • (Verification rewire d from Planning Dcptuvnent for now construction) City/State e• >> l -1— Parcel Identification Number 0.10-/31.,_._3:-,10 -000 ✓ LEGAL S C,$JPT(QN Property Location k/ %,, LY-- %., Sec, 36 , T o9 N R 17 W, Town oft4ov` Subdivision Cn+ alit t od ' \ 1 d , Lot # 70 - • Certified Survey Map # . , Volume , Page # Warranty Deed # 67 cito 7 Volume / 860 Page # 3 3 2 - Spec house ❑ yes(no Lot lines identifiable ❑ yes 0 no =UM MAMM improper use and maintenance of your septic system could result in its premature failure to ltandlewastes, Proper maintenance consists of putttpiag out the septic teak every three yeah or sooner, if needed by a licensed pumper. What you put into the system can affect the lUncboa of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to Si. Croix Zoning Department a certification fort, signed by the owner and by a master plumber, jou¢aeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on - site wastewaterdispoaai system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic'tank is less than 1/3 Atli of sludgy. 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 Depatt rent 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 Zoning Office within 30 days of the three year expiration data. --- 4 1 4 11111110 4111 (k/Z5/ a--- STONA - Oi s DATE OWNER CE$TI`CICATIO111 I (we) certify that all statements on this foam are but to the best of my (out) knowledge. I (we) am (are) the owncr(s) of the Evers above, by virtue of a warranty dad recorded in Register of Deeds Office. /6/3, 6 �- J.• OF APPLICANT DATE • Any information that is rtes- representcdmay result in the sanitary permit being revoked by the Zoning Department, - " *" •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made 111 the wamtnty deed r U 1860P 33 11 • STATE BAR OF WISCONSIN FORM I - 2000 l6 • W ARRANTY DEED 4 4 8 7 KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ' This Deed, made between Robert L. Burke and ST. CROIX CO., WI Sandra J. Burke, husband and wife RECEIVED FOR RECORD Grantor, 03 -25 -2002 2:30 P11 and John A B rand and Laurie brand, husband and wife WARRANTY DEED as survivorship marital property EXEMPT A REC FEE: 11.00 Grantee. TRANS FEE: 229.50 Grantor, for a valuable consideration, conveys to Grantee the following COPY FEE: described real estate in St. Croix County, State of CERT COPY FEE: Wisconsin (the "Property ") (if more space is needed, please attach addendum): PAGES: 1 Lot 40, Cottonwood Ridge, Town of Hudson Recording Area Nance and Return Address Title One Premier Group, Inc. 706 19th Street South Hudson, Wisconsin 54016 020- 1353 -40 -000 •arcel ldentificali.. • . •er (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this 22nd day of March , 2002 . / , Y Of *Robert L. Burke •r 1i I - 0 . * Sandra J . u rke AUTHENT[CATION .� P ACKNOWLEDGMENT 0 "N _ . STATE OF WISCONS[N ) Signature(s) ) ss. St. Croix County. ) authenticated this day of f • y Personally came before me this 22nd day of March , 2002 the above named s' Robert L. Burke and ' 6/ 9l c 0 U1t5C4�$ Sandra J. Burke TITI -E. MEMBER STATE BAR OF WISCONS 1 .. Of not, to nie known to be the erson s who executed authorized by §706.06. Wis. Stats.) the for goin nt nd acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * palm Michael H. Forecki, Attorney Notary Public, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) December 12 .t 2004 .) 'Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 - 2000 .lttorney Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701 -4627 Phone: (715) 835 -3029 Fax. (715) 035-4112 Michael H. Forecki T6529676.ZFX p p produced wen ZipForm '' by RE FormaNet. LLC 18025 Fifteen Mile Road, Clinton Townstup, Michigan 48035, (8W) 383-8805 7�S H.W.L 982.5 ,. 4S ",'� • \ • as, ~...., / '. / / ti , 0 8 8 H.W.L .. _ . / ®:• 971.5 • / ' , / ,� NACRES / / i /. , 2 SQ.FT. / i r i ®l i / ,/ ,'/ 3.678 ACRES H.W.L ,,/ 180,232 SQ.FT. 959.0 ; + ./ Q j i „� �+ + ' " 1 / 'sz • 3 98 .-, �. • { ,: 15 i -- — 419 .. &42 ., 2,24 ACRES • i ' 1 39 — _ _ :'''101,241 SQ.FT. : i , I I`_._._._.— 2.923 ACRES • n ; • !4r 33 33 • IN • 127,331 SQ. FT. • • iN • I I 1+ • 1 • • x • • • —.i I H.W.L — — — •._. Z I ' • 58.0 • 1 L T:: H P ' 4 9 'j'E 411.84' —• -- - -•— . — { c, '�-.— • ao I - 9 § - , — 5 68. c� _ 2 i m _ 3 H.W.L.. = 942.0 : o + o o 4 + 1.3 — . +i 2.01 9A ACRES ' sso • 1 � �� �., 87,947 + 38 Si � 14 ,947 SQ. FT. + �E � so P : , 50 • • MIN FFE = 943.0 1 , 2.614 ACRES w / / 113,883 SQ.FT. 1' I e • R 41 • i N + • _._._.— _ + 2.008 ACRES I y & / _ �@9_42'�9_' 4 214.1R1.___ _ J 1 . t 9 i 87,482 SQ. FT. - - - - -- : _ -- - - - - -, - ,' .'• • / I • k . ,-- ; -.,... :,,-• - ..-1 . , 4 4 11 k i 4 ., I j zi 2.022 ACRES w I ` ' et • + • i 88,091 SQ.FT. _ • • ' i l i S85. 4 n 4 , : 1W .„ .cf „ • • • r $ 04.8'46 "I'�•��• - ( + i� N89 "E 449,64' �• 9. 8 i 12 • 1 \ . • ...' \ �2 • t• \ s• • : i N 1 n e n• ww..•.. • ' 9 L `Wisconsin Department of Commerce SOIL AN$ EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordy rice With s. ILHR 83.0, Wis. Adm. Code • l,� �` , County Attach complete site plan on paper not less than 8 1/2 x 11, in sizes P tptf include, but not limited to: vertical and horizontal referencl poirit (BM), direction ah . C:( 0 X percent slope, scale or dimensions, north arrow, and locatp..and dyltSr a is rparest road. 1 Parcel I.D. # ': APPLICANT INFORMATION - Please print air jnformatuf, '' t: -`,,� Reviewed by Date Personal information you provide may be used for secondary II . / � 7 7 j ' y p y secondary purposes:(Prrv�cy Law s�LT�Qtygm)), "_ °r '/ Property Owner . (�� �., .. Property':' ation �G1ChOQfd --- "' Govt E t mA) 1/4 4/4A, 1/4,53 6 T 2 et ,N,R f? E (or)e Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# , t J 3 Au kee. fir° . L-10 CZvi - k)nL Oczi Q k ei ❑ City State Zip Code Phone Number 51 City ❑ Village - Town Nearest Roa h ud5C)r) i i. 5 0 i I (lt5 tLEq- 031 -kUC i-1 I cot A tAraoe 4r, -New Construction Use: Residential / Number of bedrooms T S" 'i Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow LW gpd Recommended design loading rate ' 7 bed, gpd /ft $ ' trench, gpd /ft O Absorption area required 051 bed, ft - It() trench, ft 2 Maximum design loading rate • 7 bed, gpd/ft / r trench, gpd /ft Recommended infiltration surface elevation(s) c 10, O 7 ft (as referred to site plan benchmark) Additional design /site considerations ✓4 - /c'". v er T3. $'e /�r,.�rr- `l /• g'v Parent material Gta.0 n1 C.`.J1 AUL)r- tC) Flood plain elevation, if applicable (54, w, a. 9'i'?. v ft S _ Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U - Unsuitable for system g s ❑ U E S ❑ U ® S ❑ U �] S❑ U i J S Ni U ❑ S Cif U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench I 1 o -rat I(�yr3 /2_ L I rr�c l_K nrf C 5 I C . r,{ , 5 :.: ..................:... 2 /9 -44.3 t ©yr LI /3 — LS 1 l ri fy1{ c 5 -- - - 6 Ground A-Il& 1 // 0yr L I l4 rrl5 3 1-(1( E3 ,. 1 , elev. 9? r ft. , Depth to limiting factor It in. Remarks: Boring # t � ' 1 11-1 { Ic 312 SL I n'abk rr1-Cy c. s 1' • ti ; . 5 1 9 1 IN�rLI/ Lem Irr m c,� Ground elev. Waft. . Depth to limiting factor t \loin. Remarks: CST Name (Please Print) Signature Telephone No. HciCtm 5chun- c &er ` 2`><7 - g008 Address Date CST Number 2- 4 & S & Jer 54 • • ` SO r5'4 (...4)I 5yo23 y - 15 -99 25334)9 PROPERTY OWNER .S /0cit` SOIL DESCRIPTION REPORT 2— - Page of PARCEL I.D.# Boring # H orizon Depth Dominant Color Mottles Structure G D /ft 9 Texture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 ■ 015 1 r 3I 5-- C • L I 5 2. 15-45 01,- tm tYt S� 1 < 5 - Ground 3 -1t' t 7 r t tJ�� MS of-5 YY l C - . elev. 3 ft. Depth to limiting factor Itsin. (ca �t° �S 1S Remarks: Boring # (b -11 1 0 - . 0 , 3 12 — SL 1 me ►r � L 5 IC- -Lt 21 -44 ( fr LI I 3 LS t frt_S ml c S l • X Ground elev. PK, 7d ft. Depth to limiting factor /di in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ( 6-22 tc)yr312 5L-- 1 rhahi I lCr C 5 1 ' f . 5 5 z 22 `iZ 1(') r 41 LS l mS Y111 c-S - - 3 42.411 rLI 114 ns m( c s Ground elev. - Depth to limiting Of/ r t Ft.L factor —lain Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) sfso Lv f YO n LAJcioa ,2er..15-e.. — 13"N I - etto- /01),c) Ra il e tCP oONt Q. Z et-ev. (Uo.v N sysfst+� 2l2U YU.O� 3 6 ue 93.Sv A+ . $° OPt I � 3m2 • • • el 4 Woof_ 6 / • • f 13m 1 4p„ VNZ,O (h