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Rap1 Z - � . 0�, : o+� � s �I lcL 1 � " ►�t3o u � G�2 o � «,. _ "I ltL cl S &IIYU CA wa-4l�- U W ( a � �- - $ _ U p j 7 15 - 425 -0165 220254 DI -S' CST Signature Date Telephone No. CST Ito. Job No. , , S P 1; . nn ` X e , .. �.. ��.., r?&.ran at , ... .... Vi.µ .. . �... _ MPFISW 242514 J� Mound Plan View T ...:.:.:.:.::.:..... J 1/10 B Observation 3 .. Pipe ❑ �.... — K :.: . 5 A W — 1 ...... . ..... . . B _ .. . I ° . a : Mound Component Dimensions A 6.67 ft E 21.80 in H 1.00 ft K aft ft B 90.00 ft F 9.50 in z 11.37 ft L ft D 17.00 in G 0.50 ft J 6.89 ft W 600.00 (ft 2 ) Dispersal Cell Area 1623.48 (ft Area Available 6.67 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.21 (ft) ❑ ; G ..................... 100.92 ft Lateral F ' £ "'' Dispersal Cell ( ) ........... <• 100.42 (ft )--* Invert ( Dispersal Cell ,:;: ? ::..,[� E D . Elevation fA .'' : . : . : . : . : . : . : . : :.. : . : . :: . : . : . : :.............. : :........ ....::...............:........ I r l irs.? r," r,'' f7)) j7 J3J3iiiiii )7J7J77J)7 /JJ})?J) ?i/7JJ)J) ? ?/%%)%) „ ? ?/�l•,U) ? ?! ? 4 J Jif /J/ /////J/ / ////f /ii J))i))))ii)i)J)f)/iiJi; )1) iif)Ji�ei •• ?. >.>>.: :.,. .., ,... 99.00 (ft) Contour Elevation ' + 6.0 % Site Slope Geotextile Fabric Cover Shading Key c. T Dispersal Cell See lateral details on 1❑ s Topsoil Cap c C 1.5 ft ;:: ;::;:;;;;;;;;;;;;:.: Page 4 for number, size, Subsoil Ca a o s andspacing of laterals. © p R R Laterals are equally ASTM C33 Sand v F Tilled Layer c h 0.5 ft Typical Lateral spaced from the distribution cell's ❑5 o Aggregate >.::.: .::. ::::::::::.;:;::::::;:;.:.::.;: centerline in the A distribution cell (AxB). Project: DIXON Page 3 of 9 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division w y INSPECTION REPORT Sanitary Permit No: 420473 0 GENERAL INFORMATION (ATTACH M PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. (QSZ) 7 Permit Holder's Name: City Village x Township Parcel Tax No: Dixen, Troy Kinnickinnic Township 022 - 1019 -10 -050 CST BM Elev: Insp. BM Elev: BM Des TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION DS HI FS ELEV. Septic 2� BencWarkg U Od• bm Dosing K (� \ Alt. BM � /� (J W 9 2 4:3 Aeration Bld Holding S t Inlet �. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inl q Septic J / Dt Bott rat ,� 3 I�0 / ,,j Z t G Co t L 3 Dosing H er /Man. Aeration Dist. P ''p�. z Q / D o' I vt� y 3 611 Holding Bot. System �f 3 5 00 3Z t/ PUMP /SIPHON INFORMATION Final �r,�de,/ 2 • 2 "(L (0Z, d / Manufacturer Demand St Coye���5a�� ZAT GPM � ! 1/l,Y,e 4 Model Number / S VJ / �v d -sun- l• 3 9 9S TDH Lift Friction Loss Syste Head TDH t :� 2..12- .s a •-?� Forcemain Length D Dist. to Well AI YET SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Tr ches PIT DI NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /„ /.'7 / G� /� f / SETBACK SYSTEM TO 1 v P/L BLDG WEL r LAKE /STREAM ACHI Manufacturer: INFORMATION CHA OR Type f stem: / � -51 / / D Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution I x Hole Size I x Hole Spacing Ven Air Intake Length � Dia 2 h Pipe(s) ngth - 71 / Dia I �✓ t Spacing t /' SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over TT p Depth of xx Seeded /Sodded xx Mulched g Bed/Trench Center I �U "'^ C� Bed/Trench Edges soil sal tea Yes No Yes ft COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1J ( / / Inspectio / �'1 / 0. Location: ?`^ Parcel No: 7.28.18.10 428 County Road S WI 5&2 E 1/4 SE / 1/4 7 T28�N R18W) NA Lot 4 1.) Alt BM Description = � t�v JJ ��:"� r �N Ce? U Z- Ae�0969 410y-lb I�'�'"AZ e, )eO 2.) Bldg sewer length ' -' /y� 1-14,w � 1-14,w -� v' (.�� fn: - amount of cover �p� r� Y�� Lam' S / � G' = > //yy ��r llmm�r>1a -cam ,� a, �� 4 3. Contour = Ci "6 -_ l � -- - — — - -� Plan revision Required. Z Yes i No Use other side for additional information. �%(I -- - -'' Date Insep SBD -6710 (R.3/97) ctor's Si at, / vL � / � 03 h e � m Q sE �� V OW � proms l� DZZ— 1019 -- 10 O*m c Cv' {s79 o�l �1 r „ Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ;nsin Mad;atm, WI S370T - 7162,, De artment of Commerce 31e01A S - -* Saoiary — Numbe Sanitary Permit Application 't r In wooed wilt Comm 83.21. Wis. Adm. Code, personal information you provide ❑ Check if Revision % my be used for PriTACY Law siS. 1 m I. Application Iofat'mation - Pkase Prhrt AH Inf �� ,�� W Sate Plan I D Number - 7 70 Property 's Name Parcel Number /0 -Q�$ g (► 2002 --tom Properly Ownezfs Mailing Address Property Location .l /0 r9�� s C� ��' !� Sl . C Ix C Uu i °Y ml f)yL S :7 T° o N R ! O city, Sate Zip Code Lot Number Block Numbor S�o7, Subdiviains Name csM Number /G e7 i U. Type of Building (check all that apply) S A':' O C i ty �Jl or 2 Family Dwelling - Number of Bedrooms OVillage Public/Commerc Describe Use o qf6wns l" C, ❑ sate owned � r K a / 1�6 0� c K �` rt " �� o t 1 `FL N C �`' /�� `fs- ` l M. Type of Permit: (check o* one box on Hue A (numbering scheme for internal use). o tolete line B if applicable) A. I (*cw 2 0 Replacement system 3 0 Replacement of 6 Cl Addition to For CMR7 are stem Tank stem RELaft B. 0 Cbeci: if Sanitary Permit Previoasiy leashed Permit Number Date issued � IV. 'type of Permit: (Check all that apply)(numberhhg scheme is for i�ernal use) � _ (OD 44 0 Non -Press uized In- Ground 2Atound 47 0 Sand Filter 50 0 Constructed Wedaad 22 0 Prossurized la- Ground 410 Holding Tank 48 0 Single Pass 510 Drip Line 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 0 Recircukling 30 0 Other V. Area Intormation: �ers4 l/ Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rase Systednevation Final Grade Regtired Proposed Rax(Gais.1DayslSg.P0 OftAmh) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New F.swng Twh 'hole Septic or Hotdint T-ak VII. Responsibility Statement- I, the tmdexdgued, atmane rapowilift for in"latim of the POWTS shown on the attached plans. P� Name (Pr �, Plumber's MPWW Number Business Phone Number Plumber's Address (Street, City, Sale, Zip ) VIII. Corm /De ens use onl Approved 0 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse �� � f Determination EL Conditions of Approval/Reasous for Disapproval 46.N,w r Is Attach aow0de Wash (to the cwaa wb) for the -fates an paper net lee dl-a 814 a It Wien to do SBD -6398 (R. 05 /01) $ 2F : • r . S sr' a 6 : • : r •' .x...10' � ��. • -.... : lit �- ' gz yq MD : Gam ,... _... u}T .:, 8L a, SUB �� Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 \ Visconsin www.commerce.s i www.wiscon isconsin.gov n.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary October 03, 2002 IRIE C E," I V E D CUST ID No.242514 ATTN.• POWTS Inspector � r .r �� ,, , TODD C FEATHERSTONE ZONING OFFICE GI T 0 7 2002 2002 FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA T. C l)I OFFIC 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2004 Identification Numbers Transaction Ill No. 791390 SITE: Site ID No. 650773 Troy Dixen Please refer to both identification numbers, Cth Ss above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NE1 /4, SETA, S7, T28N, R18W FOR: Object Type: POWT System Regulated Object ID No.: 871565 MOUND/ DWELLING 600 GPD 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or'the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of 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 Robert Kanter POWTS Plan Reviewer, Integrated Services WiSMART'code: 7633 (608)261-7735, Monday- Friday 8:OOAM - 4:45PM rkanter@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 II I II e SafetyPO BOX 7 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary October 03, 2002 CUST ID No.242514 ATTN.• PO If Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2004 Identification Numbers Transaction ID No. 791390 SITE: Site ID No. 650773 Troy Dixen Please refer to both identification numbers, Cth Ss above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NEIA, SETA, S7, T28N, R18W FOR: Object Type: POWT System Regulated Object ID No.: 871565 MOUND/ DWELLING 600 GPD 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. cf7 it A copy of the approved plans, specifications and this letter shall be on -site during construction and open to t " inspection by authorized representatives of the Department, which may include local inspectors. All permits required b the state or the local municipality shall be obtained prior to commencement of ° q Y P tY P C construction /installation/operation. DtV .*S ,`,N'0 Cl In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions shou conditions arise making them necessary for code compliance. Asper 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 Robert Kanter POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (608)261-7735, Monday -Friday 8:OOAM - 4:45PM rkanter @commerce. state. wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DIXON Owner's Name: TROY DIXON Owner's Address: P.O. BOX 424 SEP o 9 Zpa2 HUDSON WI 54016 SMq 7Y DN, Legal Description: NE 1/4 SE1 /4 S7 T28N R18W Township: KINNICKINNIC County: ST. CROIX Subdivision Name: PROPOSED CSM Lot Number: 4 Block Number: N/A Parcel I.D. Number: PENDING Plan Transaction No.: • <`( F�li y Page 1 Index and title Page 2 Data entry Page 3 Mound drawings t co.W ><cE Page 4 Lateral and dose tank Y A OILDINGS Page 5 System maintenance specifications Page 6 Management and contingency plan �� r, � , � RC` Page 7 Pump curve and specifications Page 8 SOIL TEST 3 PAGES Page 9 SITE PLAN Designer: TODD FEATHERSTON License Number: 242514 Date: 09/04/02 Phone Number: 715 - 381 -1704 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (05/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 % coliform of - 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) 99.00 Contour Line Elevation (ft) 19.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 6.67 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) E Center or End Manifold 6.67 3.33 Lateral Spacing (ft) °j ti If N above, enter the elevation ft 3.33 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 10.00 ft /orifice orcemain Diameter (in) 2�0 - 50.00 F6 rcemain Length (ft) Does the (orcemain drain back? Y Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 8.16 Forcemain Drainback (gal) (� 5 11.08 Vertical Lift (ft) 81.16 5x Void Volume (gal) L( 0 0.68 Friction Loss (ft) 89.31 Minimum Dose Volume (gal) 18.26 Total Dynamic Head (ft) 24.72 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. op tions choice 0.75 1.25 x 1.00 1.50 x 1.25 2.00 =X . 1.50 x 3.00 2.00 x 3.00 x X Gallons /Inch Calculator (optional) Treatment Tank Information 1250.00 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) 50.00 Total Working Liquid Depth (in) WEISER Manufacturer 25.00 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 1000.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 27.83 Dose Tank Volume (gal /in) JAII 00 Filter Model Number WEISER Manufacturer Project: DIXON Page 2 of 9 Mound Plan View Observation Pipe 3 l ❑ K T 5 A C? ❑. W l . :..::. .: B . I 3 :: ::::::::::::::::::::::::::::... L Mound Component Dimensions A 6.67 ft E 21.80 in H 1.00 ft K Nift ft B 90.00 ft F 9.50 in z 11.37 ft L ft D 17.00 in G 0.50 ft J 6.89 ft W 600.00 (ft Dispersal Cell Area 1 1623.48 (ft Area Available 6.67 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.21 (ft) - -► ft 100.92 Lateral F Dispersal Cell ( ) �I_ 100.42 (ft Invert Dispersal Cell .:::.: ❑........... Elevation ' E D M3 : is4` �: �:': �: �%" i•%7) s) i� :�:�:� :�i•J!)Jr ?? ?rJJJ %) %l: r: :•r ? ?Jr:: JJ!l J: Jr • '') % % % ?i• %%i,% %),) %.; + % %: ?% "'%%% i,%%?. r: r:... r%%?%%?! i,%), %ii,i % % % % %? ? ? %.� %i, % %i, %r%% % %i, r:• rrif J.> r..,r % %r J :• Jrl.,• :,•,.- 1) %rr % J %i :.!rr.!:•Jl: :vi•i•i•i•:• 4 i•i•: •:?? r •? :: '•:• :. ?:, ., rrr?, i) %•: JJii :•i%�% %i. :• .• ffG.... �..__ ........ _ ... ' "J.�l, f, .::ff ? ?)i %%% •.•.)' i')%% i' i' i'% %). % % %i)))J % %)))i' ?.i'.!.!,r,'f .:�( /).:�.: .: .; ?i. i.:.:.:... ,.. .. 99.00 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key o. T — Dispersal Cell See lateral details on [] Topsoil Cap c °- 1.5 ft ' Page 4 for number, size, Subsoil Ca H c ❑: and spacing of laterals. © P . © ❑ R Laterals are equally ASTIVI Sand FA] r ???? Tilled Layer C H : <3 3 0.5 ft Typical Lateral :? F spaced from the 5:; distribution cell's ❑ 5 ❑ eat A 99 9 r e 0 :` `' . : >; ; •. : . i , : .e: �'':'',, �:`. • .... centerline in the — A distribution cell (AxB). Page 9 Project: DIXON Pa g r End Connection Lateral Layout Diagram Laterals centered over the A 6 6 dimension = Turn -up wlbell valve or al on P .I All laterals areidentiGal IFX- -'tlPl °gi Uilgram gereateral s Force main conneetion via tee or cross to manifold at any point. Laterals Id Faroe main of PVC Sch 40 (per COMM Table 84.30 -5' Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 88.45 ft Orifices per Lateral 30 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 ft /orifice Lateral Flow Rate 12.36 gpm Manifold Length 3.33 ft System Flow Rate 24.72 gpm Manifold Diameter 2.00 in Total Dynamic Head ft Forcemain Velocity 2.52 ft/sec "16 Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -0 Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented iz Alternate outlet location Forcemain diameter WEISER Manufacturer _ 2 in. Capacityl 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 20.72 576.73 C B 2.00 55.66 Pump off elevation (ft) C 3.21 89.31 —f 89.83 D 10.00 278.30 D Total 1 35.931 1000.00 Do� elevation (ft) 3' Bedding under tank. F789.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number LVL -1 Pump Manufacturer ZOELAR Pump Model Number 152 Pump Must Deliver 24.72 gpm at 18. l Project: DIXON 0 I \ Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXC INC Phone 1- 715 - 381 -1704 POWTS Regulator's Name ST CROIX CO ZONING Phone 175 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for pond ing and seepag once eve 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail - Finished .• ............. ............... Grade 6 -8" Diameter Lawn Threaded Cleanout ....... Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: DIXON Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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 fitter 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 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. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg /L FOG, and 10" cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: DIXON Page 6 of 9 r ^, r)"NAVIC PEAO /CAr HEAD CAPACITY CURVE P •1 M '%LJ I I F_JW \l n \` :/EWATER \G MODEL 15 2/153 - - - - -- i W ' I r Mclvrti Gnl. L le's Gal. i L'te 153 1.5 69 75' 77 291 12 40 152 3.1 6_ 23: /0 265 11.6 53 20 1 61 23' _ 6 I 44 167 57 19/ 30 a - 7 -6 34 129 42 Is- 8— _ - o 9.' 23 8/ 33 125 20 1 42 4 I. ...k V alve: S'?.0 F:. (1l.fim) 4 .0 Ft. ('3.9rn) 10- o�.eor 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 c 1/4 FLOW PER MINUTE I 3 2)/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS -� w i • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm, I } • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level tloat switches are available for variable level long and short cycle controls, • Sealed CWk -Box available for outdoor installations, See FM1420. • Over 130 °F. (54•C.) special quotation required. i 1W133 Series 152!153 MODELS - _ _ Control s election Model I VoWPh Made -- Amps . Slooplax Dupe_ _N152 115 1 Non 8.5 1 __.2cr,.3 E1N152 115 1 Auto B5 Included 2 or 3 E152 '230 1 Non _ 4.3 1 2 or 3 t sss - I BE152 ' 230 1 _Auto 4.3 _ Included 2 or 3 N 153 : 115 1 Non 10.5 1 2or3 8N153 115 1 Auto ' 10.5 Included _ 29-3 SELECTION GUIDE 153 E 1 Non 1 5.3 Included I 2 or 3 1. S410 piggy variable level float switch 1X double piggyback variable level float BE153 230_ S Auto switch. Railer o FMQ477. G CAUTION 1 2. See FW712 r oorred model of Electrical Akemator E•Rak. All Inoldiallon of controls, protection devices end wiring ehoold be done by a quelled 3. Variable level ontrd switch 10-0225 used as a control activator, Ilce= e1ectricise, All slectrlcel end sail ty codes should be followed Including the most Specify duplex (3) record National Electric Cade (NEC) and the Occupational Sd* and Nsehh Act (0®NA). or (4) W sy em. RESERVE POWERED DESI 3N For unusual conditions a reserve safety factor Is engineered into ttv design of every Zoeller pump. Ma 40256 T1) P.C. 803f 1634 t or TO, 3 6 0 on . KY S RG Jkar+ufacdwere of . . � ldP T0: 34? G1rre Rtur R L OUW4b, KY 40211 -1061 z6f!/y )Uamw S J H PUMP !D er.cam ( 779-2731.1 9 29-P t UP 1+rlpJrlvww.sodJ FAX (502) 774 -3624 0 Copyright 2000 Zoeller Co. AN rights res 7 Oi -Asion of Satety and Buildings - -- in accordance with Comm 65, Wis. • Adm. Cade —j i • C.1 At1aC.'t Complete site plan, on paper na„t less than t: 1/2 x 11 Inches in size. Plan must County t y include, but not limited to: vertical and tiorizortal reference point (SM), drecfion and parcel W. percent slope, Scale or dimensions, north arrow, and location and distance to nearest road. ,Please print all infarmation. Revieoved by Date Per orial information you provide stay be used for secandary purposes (Privacy Low, s. 15.04 (1 (m)X Pmperty Owner Property Location e r-Z Ge-A.S.ai- IM Se 114 S - 7 i N R E (o;- Property Owner's Mailing Address Lot # Block # Subd. name or CSM# City State Zp Code Phone Numoer (3 ml C] vitiage _V, Town Nearest Road `3 r- P PTU L -A N SSaZ S 6 f z-y Z3 - 3 4$? 1x,4 rJM 1 C �rL.1 Ki 1 C Cam=, S S E, New Construction Use: Ej Residential i dumper of bedrooms 1 4 Code derived design, flow rate b o o GPJ ❑ Replacement ❑ Public or commercial - Describe: Parent material -- L _1 t 'C. `j `L LL Flood Rain elevation If applicabW General comments and recommendations M tV kp W/ 1 PQ I kU N 1'1 o f .sPMJ'2�) Ft LL 0 sodng # ❑ Baring 7 © P'st Ground surface elev. C• C• tt_ Depth to ilmiling factor in• Sod Application Rate Horizon Depth Dom(nant Color Redox Description Texture Structure Consistence Boundary Roots GPD1f'V in. Munseil ; -< Qu. Sz. ConL Color Gr. Sz. Sh. *Efwf *E(f#2 0-b 1 0-1 23 tz < - sit Z.�-_-Sb I M ' /%s z `� k m` r e-S 3 13 - I ,5vP-3 t3 L le-sok VYy ' - !, S �f 23 -3Y I- S 'e R�t!`- o; El Boring Pit Ground suttees elev- 0 1 r7 IL Ccpth to lisnliing faCar 1 9 in. SoB Application Rate 'Horizon Depth Dominant Cater Redox mscdpf3on Tvdue Structure Consistence Boundary Roots GPQ* {} In. � / }�• j 1 M .� unsel l Qu. S& Conn color �1 t G Sz, sh, �1 *Etf#1 'Et�2 C_ Z -12 101 1L.34 sit Z. 36 mA- 3 3 q -qO - )•Sy(.Y! +T- I"StIrL 518 L -sic) Lc.•s l+n Effluent #'i = $OD - x'30 - C=0 W TSS X30 < 150 �- • �t #2 . 800,:! 30 ff9t. and M a 30 W& CST >I Z= Mwi Prtrtt) t 1--SQ _$ CST �t Arthur L �Weg�rer . ' 220254' - Wegere Soil Testing. & Design ServiCa()3fAE'*tttaaonCMducted seiephcneNtmW 421 14. Hain St. River Falls, WI 54022 715- 425 --OI65 s Property Ow �- �C �r � Parcel iD # !� !�klD1 G page �- of Boring D �S] Boring $ J@ pit Ground surface elev. � � � ft. {Depth to Wilting factor ��� in. SoUpiAlcallon Rate Horizon Depth Dominant Color Redox Description Texture Shudixe Consistence Boundary Roots GPDIfta In. Munsell Qu. Sz. Cont. Color Gr. Si. Sh. 'Eff #t •Ewff#2 l3 — g t•Q`'; tZ. 3 f -- Sl Z`�' S}�� �n' -- C� 1 „ S - $ • c- '6 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to tirnitfng factor In. Soli Application Rafe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary RooiS GPDIft° In. Munsell W. Sz. Cont. Color Gr. Sz. Sh. - "Eff#1 'Eff#2 v` D BorEnp Boring # Ground surface elev. ft. Depth to 1kniting factor in. D pit Soil ApplicalJon state Hortxon Depth Dominant Color Redox Desrxiption Texture 51rurture Consistence Boundary Roots GPOM In. Munsell Qu. Sz. Cont. Color Car. Sz- Sh. 'Etf#1 *0#2 i ' Effhtent #11* BOD > 30 < 220 rnWL and TSS >30 < 150 mok • • Eft[aent #2 = 800, 30 mg/t- and TSS < 30 nv& ' V ne Departrnent of Commerce is an t;cltsal opporWWty service provider and employer. if you need assistance to access services or aced material in an alternate format, pieasa contact the department at 60 - 266-3151 or TTY 6138 - 264 - $777. - Scale 1' 50' L107 1 pr , f t yra.3 �� pt. ' .. o+�, L S-VZ -C) 715- 425 --0165 224254 CST Signature Date Telephone Igo. CST No. Job NO. a t t - g RR 1 V� 1 Y� , i. C L� G ' : : ' PID . : ............: - • . ' . ' . - _i.�l.i : sVE7 .w.!r+.+ CON © T&---- � . - ......- .- -..... .- ... � .. �hrt�aX�nrc MPR.4V1f #4 ... s _ AVA - '' Wiscgpsin Department of Commerce SOIL EVALUATION REPORT page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and t orizontal reference point (BM), direction and Parcel I.D. � tivD11U 6 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location UUUIII • T =V? Z Geu"QL. IJF 1/4 S E 1/4 S T Z-$ N R l?Z E (or nW Property Owner's Mailing Address Lot # Block # IS ubd. Name or CSM# .Qs X ZC1 Z Y — I i�ZO City State Zip Code Phone Number ❑ City ❑ Village Z Town Nearest Road sT. t'cvL M Sso� ( 61 - 2 Z3 -10 8 - 7 �- l ).M tC`z" ! 1J ®, New Construction Use: ® Residential / Number of bedrooms _ Code derived design w rate 00 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if `licable General comments and recommendations: M V� V 1 I /v 1 k U w) 1--) O F= S F I LL, a Boring # ❑ Boring /L 9 ® pit Ground surface elev. Q q- 7 ft. Depth to limiting factor . 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 l o -b Zon231 — s i 2�Sbk ►� `Fl^ 4L' Z 8 -13 loYlZ3�C -- s ►'� Z`P-sb k mI Z" S 3 ti3 z3 n.SY lZ3d3 y z3 - 3y - 7 -s -1 fZ o `F!`� � .S V 2 3,/8 � � I l cs b t� `F i- — • z - 3 a Boring # ❑ Boring ® pit Ground surface elev. q a 7 ft. Depth to limiting factor 1 9 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 I -9 1b`1231z. s� 1 Z'psb wb`F1 CS _ .S : 4 8 - 2 -lq l air 1Z -3/6 - si l Z. 'Psbk m T-1. 3 1 2'10 �.SVIY/ �P 1 - �.SKr�- s/8 L -9icl LC-sb iT lnfl,- Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatyre CST Number Arthur L:• Wegerer 220254'* Ad dress Wegerer Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, WI 54022 L/-'Z 6 _ p� 715 -425 -0165 Property Owner _ L �� AZT Z Parcel ID # 1 tU G Page Z of 3 Boring # ❑ Boring q ® Pit Ground surface elev. 9 0 ft. Depth to limiting factor �T I' 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 O -8 Lpy tZ 31 S t `J Z Tsb�K- 'M+, cs 1 --S . 2i . Z g -Lk( !0 3 16 - S I Z`FSbk Yn cS - -S - 1 6 3 1L4 z8 S YrL 9 13 - • L ), c.s b►z m v J�- g _ - %4 . l mot• ❑ 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 1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F Boring # ❑ Boring El Pit Ground surface elev. fL Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = SOD, < 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. saau30(R6100) r 3 tOT PLAN Page 3 of 3 • Scale 1'= SO' Lo -- t{ i o J � e.z a � b / TI pqL" i 0 rr�ve� oQ t K l IZ4�J pt PJZ� 715 - 425 - 0165 220254 0l-S9_$ CST Signature Date Telephone P1o. CST No. Job NO. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer c i2 Mailing Address Property Address S 5 (Verification required from Planning bepantnent for now consiructiom) Cit3atate ! Parcel Identification Numbs LEGAL DFS02nQ — N Property Location /,� :, �I < <, Sec. 7 . T RW, Town of tewfc.4, . -i s C Subdivision Lot # GerWed Survey Map # - ( Z a- . volume l s , page # 11 3 Wan=ty Deed It (a 2-2*2 . volume /? tq Page # Spec house 0 yes 0 no Lot lines identifiable Cl yes ❑. no = EVPW raseamd eofyaasepticgdemcodddremitimitsp etohaadle=steLFWpac consists ofpamping out dee septic tanks emy dnoe yips or soak if teeedod by a Iioeased MUM. Nhat YM rat into do rizo . can affoet does fin of to septic tOk as. a UWt UOUt urge is Me ntube disposd Aysaam The r owner agree: to sabrait In SL t� Zhuiag befit z =WM is afarm, deed by &* .am= = and by. a barplumbe�joumcymauphmmber us uictedpbmgworalioeowdpungmvuifying *9(I)*eon- siteRrsdcaratw is in proper operating condition and/or (2) after inspoctiaa and pampiag.(if necessary). dee septie-tank is I= d= U3 W of stodge. Uwe„ the aadenignod have read the above requirements and agree to maintain die pdvat: sewvago disposal system wide $re sbndatds set faade, herein, as set by do Department of 0 mmem and do Department of I&twd Resourcm State of Wisoonsia.. Cutififtfm stafmg dint year septic system has mainuiwd=nt be eosnpt000dand reauned to dw SL emk Camaty Zoning Office wefts 30 days of die Icy S104ATM DATE O_ WNER CERTIFIC M I (are) cartefy dtiat alt stated dais foam are safe is the best of my (m) knowledge. I (sae) am (are) dw owners) of die ptapecty di f a warranty deed recorded in tteg9ster of Deeds Office. r op DATE Aqy 'mpresentedmaY revoked the Zoning t4aitmen<. ass «as ss « +at information dial is rais result in flee sanitary peunet being by •" Include with this application: a stamped warranty deed fiam the Register of Deeds office a copy of the certified survey mtp if reference is made in dse warranty deed - ------ - - - - -- JI 1 4 1 25W 666 II 1 7 1 1 fill Ey > - - - -- - r —jr- ail fit! If A I ................... . ................ . . . ... ............ . .. if JIM 1, IN I 4 11 I J YI I t I -------------- -------------- - /----- - - - - -- - - - - - - - - - - -- P ill r - f( 7 191 i� Olt STATE BAR OF WISCONSIN FORM 1— 1998 6 8 2 2 a 2 WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., MI Document Number RECEIVED FOR RECORD This Deed, made between Lenertz Farms. Inc.. a Wisconsin Corporation, single , Grantor, and Troy D. Dixen and 06 -20 -2002 12:15 Ph Starla J. Dixen, husband and wife , Grantee. NRRRRNTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT tt described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANS FEE: 125.70 COPY FEE: CERT COPY FEE: PAGES: 1 Recordin2 Area Name and Return Address i t at' Bank ew Richmond c• ?0 x 89� Ne R hmo d, I 540 022 1019 10 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) in Certified Map filed in Vol. 1�, Page 410a as Do cument No 647127 L ocated In part of the Northeast ' /. of the Southeast' /4 of Section 7, Township 28 N, Range 18 West town of Kinnickinnlc, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 10th day of June, 2002. L) (SEAL) L s , a WiscT Corporation (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) 'mac A. WIL State of Wisconsin, NOTARY PUBLIC ) ss. authenticate ay o TO QF V I$ S!" St. Croix County _ Personally came before me this 10th day of June , 2002 the above named Lenertz Farms. Inc. a Wisconsin Corporation. by Frederick J. Lenertz. President. to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who executed the foregoing instrument (If not, and acknowledge the same. authorized by §706.06, Wis. Slats) THIS INSTRUMENT WAS DRAFTED BY l �� Coldwell Banker Burnet Nota ub ic, State of Wisconsin 1301 Coulee Road Hu W i 54016 My commission is permanent. (If not, state expiration date: 25034 U(7 ) {Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 —1998 Milwaukee, Wis. _ COULLL 1p EAST JUN O / S88 ° 11'66 "E o� �/4 u NE �O�ah J Z Wi /4 CO� E1 A SEC.7 y E 287.16' EC.7 o 6 5 C. w o ' w .... . ....� 1 i q i V I I SCALE IN FEET V = 200' y LOT 1 y ( _ 9.733 ACRES (162,600 200 200 SO. FT.) INC. F:VW i N 3.131 ACRES (138,372 33 M Is SO. FT.) EXC .FVW I 200.05' _.•. �-- -� p i 88°5151 "E 286 o C 1@1 IzS l�3 to g 388'6 1 x20.14' ; 33.1 ( I � w4 ° I • I I ° en i nib LOT 2 _0 � I� I� �� QI a& ''! . 32 M ACRES SO. Fr) ) IINd FV-yN� c" tti 91 v :4 3.074 ACRES (133.908 .• I I I 130.03' SO. FT.) EXC. Fvw ° I ° S8 °5i'S1" 88 C 620.14' o, -% I I 4.90' ' I . 33.24 S88 al vii 0501 T ^ � I of ' N -i 1 z; 1: -t o v O '0 Z o 3.955 � 4, ►- ► i 0 � `S y SO. FT.) INC. RAV c c O 3 .753 ACRES (163.477 t O y y K T d M& £t o ^ rn ry N SQ. FT) EXC, RIW r V S88•51'81`E 660.17' 33.3 • W � oN w 331 LOT 4 =� So FT,V M V 616-76 33. i m W ` SO rti t_. LIN OF I r7E vvv . , LEGEND NEi /4 OF THE SE1/4 1 + h 1 i / FOUND ALUMINUM COUNTY MIfPdQ® [�pp@g SECTION CORNER MONUMENT QO LW(�Jf [p SE COR. FOUND 2' IRON PIPE SEC., O SET 1' X 24' IRON PIPE, WEIGHING 1.68 LBS. PER LINEAR FOOT ' .. ' ........ ' .... ROADWAY SETBACK LINE (100' FROM RAN) EXISTING FENCE THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6000-06 DATE. 02/20/2001 REVISED 04/1W Vol. 15 P11" 4103 ^k 4 P � r. M1 k� }�a