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Wiscorftin Department ofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488238 0 4 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: French, Ryan I Kinnickinnic, Town of 022 - 1035 -30 -030 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range /Map No: / 0� (2) VYs T 13.28.18.195A30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER �rqq CAPACITY STATION BS HI FS ELEV. • J Septic Benchmark G,►,�..7 /zoo 5. Jo5.3 Dosing / .,�.,p g Alt. BM C� 1 CoJV -• 7 Bldg. Se Over /SI 3 � •� Holding d.- � SUHt Inlet St/Ht Outlet ' t TANK SETBACK INFORMATION �- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �- Septic + / / Dt Bottom Za. �P� �a / ,� 1$.9 B� • X12 Dosing Header/Man. a /M nJ�Y' /a I S 4- Aeration Dist. Pipe 4 1 too s4 Holding Bot. System Final Grade PUMP /SIPHON INFORMATION 3. I G /at - 8B ok Manufacturer Demand S GPM � over G cv� 7. Model Number 2� � C -?,/. { 1 s• tpt U >V N.� 1 z.. TD H Lift Friction Loss System Head TDH Ft 14. 3.7y 2.5 Zo . _7 Forcemain Length / Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ! Length � / No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (' /� 2 �- -- 1 ---- SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of ystem: ,Z I i �� �,n _ UNIT Model Number: o J \ A DISTRIBUTION SYSTEM kat 7 icp If Header/Manifold •I Distribution I / �f x Hole Size , �� x Hole Spacing Vent to Air Intake Length Dia I Length ` Dia ' Spacing 7 IJ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over j IDepth Over xx Depth of xx Seeded /Sodded xx Mulched Bedrrrench Center / ren Bed(Tch Edges ` Topsoil �aEi tD t � J Yes 2 No Yes ]No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / 6 4 0 p Inspection #2: / I Location: 1464 Cty. Rd J River Fal , WI 54022 (SW 1/4 NE 1/4 13 T28N R18W) NA Lot 4 ��� ° wf to karceiNo: 13.28.18.195A30 1.) Alt BM Description = ` ` )u- G�w; A.S �-- q61-J 2.) Bldg sewer length - amount of cover = Ib i Plan revision Required? Yes �No Use other side for additional information. I � Date Insepctor's i ature Cert. No. SBD -6710 (R.3/97) I Oslo , �j I Safety and 13ui Division County / visconsin 201 W. Washington A R ox 7162 Madison, 537 162 Sanitary Permit Number (to be filled in by Co.) Department Of CO mmerce (60 )2- 151 Sanitary Permit lication State Plan I. D. Number R In accord with Comm, 83.21, Wis. Adm. Code, rsonal�Qjgesi�rr pro c 1 - 7 6 3 2-3 maybe used for secondary purposes Pr cy Project Address (if different than mailing address) (l. Application Information - Please Print All Inl'or ation JUN 1 4 2006 * �/ cA /_� ` Prop Ay Owner's Name CROI Parcel # e Lot # Block ST. N X COUNTY va-103 S Property wnWs Mailing Address P roperty location �P..® 5 0 3U City, 'ate Zip Code Phone Number Section O v / �� 78 1 ~ a? / Q .79 Section TQ N; R� F otw J j II. 'lope of Building (check all that apply) /D_ IKI or 2 Family Dwelling - Number of Bedrooms 3 13� "Y/ �D Subd Name- CCS�M�N—ummbler j F1 Public /Commercial - Describe Use 6 ;/ � //J Lshi S tate Owned - Describe Use ❑City_ ❑villa a �To e III. 'Type of Permit: (Check only one box on line A. Complete line B if applicable) A. t 4 New System ❑ Replacement System ❑ Tmatment /Ilolding Tank Replacement Only ❑ Other Modification to Existing System I t . ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued f Before Expiration Plumber Owner IV. Tvpe of PO TS System: Check all that app I FI 1+4on - Pressurized ln- Ground ArMound > 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized hi-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber rip Line ❑ Gravel- ipe ❑ Other (explain) I V. Dis rsal/Treatment Area Information• Y i Design Flow (gpd) i esi Scy pplieation Rate(gpdst) Ihspersal Area Require (s ispersal Area Pro osed " f) System Elevation , 3 : 7 I•o 400" /6oZ 6 / - � ob VI. Tank Info apacity in Total Number Manufacturer Prefab Site / Steel Fiber Plastic !!) Gallons Gallons of Units Concrete Constructed Glass I New Existing Tanks Tanks R � Septic or Holding Tank Cf� 4erobic Treatment Unit ! Dosing Chamber w � L r/ t 111 � C � ? VII.Responsibility Statement - I, the undersigned, assume res risibility for installation of the POWTS shown on the attached plans. Plumber'.UName (Pr Plu tier's Sign re MP /MPRS Number Business Phone Number Pi 7" asp s Plumber's ddress (St, , e, Zip Code) �lY7 Id 1 VIII. oun /De partmelfit Use On . pproved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is ing Agen Signal to s) Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: l� //'� �f� 1 Septic tank, effluent filter and (...�YCh � A AW_4_ �.d4l dispersal cell must all be serviced / maintained ` y/ (� b7z-G"'X� as per management plan provided by plumber. 2. All setback requirements must be maintained I as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x t ] inches in size SBD -6398 (R. 01/03) Lcrr c I o •ham a t <, 1 k �� ® a�'�M•w- � ' � .�9�_�'����tt,:31y_"Dc�c_.Pi1?� ��.r��t � J Pvc %Jt !Q �3u 1 p 6 S�2TSf} LLl/ � C e ' - a• �ptlnwL �t�t��j �bxc;•owi �� � T CJTuu A Mr a l %--V-Arn.r AM N - C f .. '��e. a IX Co C u "A PLANNING &. ZONING EROSION & SEDIMENT CONTROL PLAN Site location: 1464 Cty. Rd. J, Lot 4 CSM #641394, Town of Kinnickinnic Owner(s): Ryan French Parcel ID # 13.28.19.195A30 Code Adminis 715 -386 -4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land Informatio addition,Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715- 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.html) Real Property 715 - 386 -4677. The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 -386- 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Surface drainage is northeasterly toward Parker Creek, but construction is planned >500 feet from 100 year flood contour per CSM. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow diverted runoff to be directed onto neighboring property or into surface water conveyances. Contain runoff by installing temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches and retention basins). Temporary Diversions specification sheet is available from county. 4. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, and/or erosion control matting) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. ST. CRO /X COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD, HUDSON, W1 54016 715386 FAA PZPCO.SAINT- CROIX, WI. US WWW.CO.SAINT- CROIX. WWS r Page Two — ESC Plan Acknowledgement Form 5. Stabi ize exposed soils (septic system included) with seed and mulch immediately after installation - do not wait r final stabilization and/or landscaping of entire site to establish permanent cover on the site. When late - seas weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until vege j n can be established. Erosion control matting can be applied any time of year and, if installed properly, will pro protection even if seed germination is delayed. The owner rd during site construction will be responsible for compliance with state and county code requiremen ecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding er & sediment control product installation. PLAN PREPA BY: QUIN PESC #1622, WI SOIL EROSION INSPECTOR #665054 Owner ac wled ement of ESC Plan requirements: /x12006 (Please n and return original ESC form to Planning & oning Dept. A copy is attached to the owner's permit and ma' nance agreement, which is given to the plumber at time of permit issuance.) 7 _79 �s ST. CROIX COUNTY GOVERNMENT CENTER 1 1 CARMICHAEL ROAD, HUDSON, W1 54016 715386.4686 FAA PZ 9C0. SAINT- CR01X. 4M. US W W W .CO. SAI NT -CROI X. W I. U S 01"r b cwix c0 PLANNING &. ZONING -atf ^-f•* ev; nx. ✓2ssr v,wt .rnrz�arw ws� _ EROSION & SEDIMENT CONTROL PLAN Site location: 1464 Cry. Rd J, Lot 4 CSM #641394, Town of Kinnickinnic Owner(s): Ryan French Parcel ID # 13.28.19.195A30 Code Administ 715 - 386 -4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land Informatio addition,Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715- 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.html) Real Property 715 - 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing - construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling following activities will be required in order to maintain compliance with the plan: 715 -386- 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. Surface drainage is northeasterly toward Parker Creek, but construction is planned >500 feet from 100 year flood contour per CSM. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow diverted runoff to be directed onto neighboring property or into surface water conveyances. Contain runoff by installing temporary diversions graded ALONG CONTOUR between construction areas and any potential receiving waters (includes drainage ditches and retention basins). Temporary Diversions specification sheet is available from county. 4. If sediment cannot be contained on owner's property with temporary diversions and vegetative buffers, then installation of approved sediment control products (straw wattles, silt fence, and/or erosion control matting) will be required. The POWTS inspector and/or building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. ST. CRO /X COUNTY GOVERNMENT CENTER 1 10 CARM/CHAEL ROAD HUDSON, Wi 54016 715386 -4686 FAA RZOCO.SAWT- CROIX. W1. US WW W.CO.SAINT- CROIX. WI.US Page Two — ESC Plan Acknowledgement Form 5. Stabilize exposed soils (septic system included) with seed and mulch immediately after installation - do not wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. When late- W seasop weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until veget 'on can be established. Erosion control matting can be applied any time of year and, if installed properly, will prole protection even if seed germination is delayed. a' The owner ord during site construction will be responsible for compliance with state and county code requiremen ecified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding ero & sediment control product installation. PLAN PREPA ; D BY: QUIN CPESC #1622, WI SOIL EROSION INSPECTOR #665054 , Owner ack oowled ement of ESC Plan r equirements: _/_/2006 (Please An and return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and ma' nance agreement, which is given to the plumber at time of permit issuance.) I ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, Wl 54016 715- 3864686FAA PZC° CO. SAINT CROIX. W1. US W W W. C O. SAI NTC ROI X. W I. U S Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 i TDD #: (608) 264 -8777 i sco n s i n www•w www.commer isco sin.go / Department of Commerce isconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 01, 2006 CUST ID No. 225094 A7TlN: PAM MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/01/2008 Identification Numbers Transaction ID No. 1276323 SITE: Site ID No. 713558 Ryan French Please refer to both identification numbers, Cth J above, in all correspondence with the agency, Town of Kinnickinnic St Croix County SW 1/4, NE 1/4, S13, T28N, RI 8W Lot: 4, FOR: Description: 4 Bedroom Design Object Type: POWTS Component Manual Regulated Object ID No.: 1078221 Maintenance required; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Zabel A -100 or Orenco FT0822 -14BA Biofilter �Q The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes �,�� and � Wisconsin Statutes The submittal has been CONDITIONALLY APPROVED is �a8 b „„ 4 �I 7l r t yrtan 1 : ttcl'os prored..I and aZACateCl 1�" onetl comp� _ cecl Torre; Q ` 0 The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. V The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD - 10706 -P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" S13D- 10691- P(N.01 /01). 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 /instal lation/operation. � I � i MICHAEL P ROGERS Page 2 6/1/2006 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 Dennis R Sorenson Wastewater Specialist, Integrated Services WSMART "code: 7633 (608)785 -9336, dsorenson @commerce.state.wi.us Ryan French - Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) 1 '7 U �- Location: Lot 4, Geissinger CSM SW '/4, NE '/4, Sec. 13, T 28 N, R 18 W Town: Kinnickinnic County: St. Croix Date: June 5, 2006 Owner: Ryan French Address: POB 350 Roberts, WI 54023 Plumber: Mike Rogers Signature: 1 y4vill License: MP 225094 , jilo nallY Attachments: SBD -10577 - Plan Approval Application LW SBD -8330 Page 1: cover a tclo" Of SNT AND BUtCD1�DS 2: design criteria & calculations = 3: plot plan es ENCE 4: system cross section SS E G pRRESPON D 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management pECENED page 1 of 8 MAY 2 S 2006 SAFETY & BUILDINGS f i 1 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load Design Calculations LLi2 = ,_, 7 - /44 IWI In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water in. Depth to bedrock 7 If in. Cross slope at system 2 % Force main length l ` a ft. of in. ' � t Manifold/header length ft. of 1 '` 4 in. Drain -back < < gallons Lateral length @ `µ'O • o ft. of +Y 4 in. Lateral elevation ft. @ bottom of lateral Lateral hole size �I b in. @ 4 r o in. ft.) Spacing � L holes /lateral holes total Lateral volume 2 ` gallons Total lateral discharge rate 3z- gallons /minute @ 2 IS ft. head Network pressure compensation losses Elevation difference Friction loss t ft. @ z``' gallons /minute Total dynamic head ft. Pump /s*On 4 gpm @ Z ft. of head Manufacturer oe' Model # Z Dose volume gallons Lift/si >on tank `-� �• a.v �'� �� �� °^� "�� gallons Septic tank gallons Effluent filter w` A Measurement pump on and off b in. Height alarm from tank bottom in. Reserve capacity gallons specs.calcs.res Page - of i 0 OIt'E` l\ o' 2" puc- sJ, SwmA4t UN A Ql(lra i ` e C�CU P Cal .r AXzM- l 4L V F. sT a �C Z �o ti I� ll ,4 i O • � ` � V C• c �. a�c7- O b 1 a.M v e. 'T. o y �... t l 11 � `� u � o �+. o + < e � Y `� �•i� CiQ- Qv G. % 40 �b—IL li 4 �vC �'t� a r �` S � � Q G S c� 40 �.. �1l+, �� \ � -4 n..• � S i �� 1. > \ `�- f y� � ^ » „� \ � Z• } , x J G. W "i � 'Y 4. 1 CJV�� C�,�.I.- � � ' r ' TVA 1` WEATHERPR LOCKING �GOvfiR .3vNCT1oN 6ca Gc%4n'N bud A rs/BEX . QUICK DI4CAM►IIGT -- 4" Pvc 5 T 40 F'91�- 3' oNTb �{ NOisTuRBED Sol L 2 4 I C M4Ku01E Lr YE ' - - I O C1aSKET1�ITJ _� WFLE i AL 3' ow-To PII (► 4 �� sZ \ .,.� z ) j . .JL � - � u-p � DN ^ � ,{ G � u ►+o ocrr PtW C LVJ ecocK SEPTIC E _ SPEC, IFI U ,. DOSE TAW)(S MAWUFACTURCR: Qk (JLIMbER OF DOSES: b PER TAWK SIZE: GALLOWS DOSE VOLUME �t z ALARM MNWUFACTURCR' S� ���� INCLUDING 5ACKfI.OW: G���OtiS h00CL 1JUMDER: tO � �``' CAPACITIES. A= ` -0•O IUCNCS OR GALLOuS swITCH Ty►[; � .— g . Z IucHES OR 2 C.ALt.0�5 PUMP MAWU FACT UKCR: + 0eA ow C ■ b ` o INCHES OR a- GAL.OU5 MODEL WUMDER; D C1.0 INCHES OR g uA...''i+J; SWITCH TYPE; � ^ {DOTE: PUMP AWD ALARM ARE TO DL MIWIMUM DISCHA RAT" 3�_GrM INSTALLED OW 5EPARATE CIRCL17S i VERTICAL DIFFEKEWCE DETWECU PU" OFF AWD 013TRIDUTIOW PIPE.. FEET I + MIQIMUM IJETWORK SUPPLY PRfLLUKE . . . . . . . . . . . 2' FLIT + t k o FEET OF fORCL MAIN X 2 �FYoytFRICTIOW FACYOK. 2 ' 4 FEET TOTAL Dyf.IAMIC HEAD = ` a `� ¢ FEET \. -L u n 1 IIJTERIJAL DIME1J8101Ji Of TA►UK' LELIC.TH ;WIDTH q ; LIQUID DEPTH ` t�C R II -- j PUMP PERFORMANCE CURVE MODEL 151/1521153 TOTAL DYNAMIC HEAD/FLOW 1 5o PER MINUTE 14 45 153 EFFLUENT AND DEWATERING 12 40 MODEL 151 152 153 x 10 35 152 Feet Meters Gal. Liters Gal. Liters GaL Liters s 5 1.5 50 189 69 261 77 291 z 8 151 10 3.0 45 170 61 231 1 70 265 0 2 15 4.6 38 144 53 201 1 61 231 0 20 6.1 1 29 110 44 167 1 52 197 r g 201 25 7.6 16 61 34 129 1 42 159 15 30 9.1 23 87 1 33 125 4 35 10.7 - 22 85 0 40 12.2 - - 11 42 Shut -off Head: 30 ft. (9.tm) 38 fl. 2 (11.6m) 44 a. (13.4m) 5 0 014&)68 GALLONS 10 20 30 40 50 80 70 80 90 100 LITERS 0 40 80 120 160 260 240 2811 320 360 FLOW PER MINUTE 014509A Model 151 Models 152 / 153 %" - ' ONSULT FACTORY FOR 7-6 7/32 SPECIAL APPLICATIONS 3 7/6 _—� a 5/8 3 27/32 I 1 • Tim dosing ed panels P • Electrical alternators, for duplex systems, are available and 3 7/e supplied with an alarm. • Variable level control switches are available for controlling ® 3 7/8 single phase systems. • Double piggyback variable level float switches are available T for variable level Ion and short c ycle controls. g y • Sealed Qwik -Box available for outdoor installations. See FM 1420. • Over 130 °F. (54 °CJ special quotation required. II 11 !I/16 12 1/8 151M,21153 Series ___ 15111521163 MODELS Control Selection Model Volts-Ph I Mode Amp Sim lex Du lex 4 3/8 N151 115 1 Non 6.0 1 2 or 3 BN 151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E 152 230 1 Non 4.3 1 2 or 3 BE 152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN 153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE 53 230 1 Auto 5.3 Inducted 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. v CAUTION 2. See FMO712 for correct model of Electrical Alternator E -Pak. ru flsiallauon of controls, protection devices and wiring should be done by a qualified ed electrician. All eletrical and safety codes should be followed including the most 3. Variable level control switch 10-0225 used as a control activator, specify duplex 13i c rasc scant National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. iuAU To: P.o. sox 1x347 Louisville, KY 40256.0347 O . SHIP T0: 3649 Cane Run Road Manufacturers o(. Louisville, KY 40211.1961 /7 p�7 PUMP !O. (502) 778.2731.1(800) 928-PUMP // ?Y / S vCE ilc! w http✓ /wwwzoeller.com FAX (502) 774.3624 ® Copyright 2003 Zoeller Co. All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715 -235- 1 132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. I General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which 1 flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off, final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department of Commerce SOIL EVALUATION REPORT 1 3 ` Division of Safety and Buildings Page of 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 !S-T , C �Lo L X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. �� G f 4SA -3 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pu / p 3S - - 0 3 D Please print all information Re ed b Date Personal inforrnation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). -31 31 6.3 Property Owner Property Location GC-Q -V RA -to &0dL 6Ej s S L G N� r-,G -l.ot Sw 1 /4h 1/4 S l3 T Z8 N R 18 E (or)(@ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 363 Pt- s >��T r= 3v i;lv uE L4 _ ) cal City State Zip Code Phone Number [] City ❑ Village ® Town Nearest Ro [Zlue;L FfttL I WI svoZZ ( LS) 1425 -aLZtj `R.lQtv 0 \'Lll`.1Q ® New Construction Use: ® Residential / Number of bedrooms 9 Code derived design flow rate b 0O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _ 4 S LIN Q1'L. - n L.L Flood Plain elevation if applicable General comments and recommendations: V-'1.wv.� w/ 6 tau n 0 Al 0 �'" liry l" l ? " D om. S 61, (-t LL . Boring # ❑ Boring _.. ® pit Ground surface elev. 1l�tJ u ft Depth to limiting factor 3 3 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. •E •Eff#2 J 6 =1Z I o K R�1 s i l Z`Fsbk z lZ -zy - 1�zVlq - L - �-36VL m .5 16 3 zq n,bk M u 33. -q L�`11�- Sl CL� S`tV2 5!>; Boring # ❑Boring�e� >' El Ground surface elev. 4 4 3 fL Depth to limiting fact r $ ra. El Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Wndary. - =Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0 -11 lu-m 3l 11 - Cb`t ` 3t6 cS 3 ZS - 35 l -'s 4 R S 1� s 1 I `a sti k 6►1'FI e S — 4 vi - A ils , q 5 1 � rn u �t-� _ 3. S . i 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) SignaDire CST Number Arthur 'L. Wegerer 00 -Z�S -. , 22025 4 Address W e g e r e r Soil Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 715 -425 -0165 t P wfNG Property Owner 6 S S I /,.1 G i`' iz Parcel ID # Page 2 of 3 Boring # ❑ Boring 8 5 ® Pit Ground surface eiev. ft. Depth to limiting factor 3 3 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 St I Z`Fs6PL V'j cs if • S - . `u 2 13 -Z6 !0`72 3!3 — St I ZM 910k h-2-F>- eGV 3 Z6 -33 1DHR 3!(, — Sr) 1eSbh )n - fl , - C- _ . Z •3 y 33 -S Z 10'1 R Sl6 t . S Li IZ S! . EE F-1 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 F-1 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. SBD -9330 (RAW) • i }?� 1 nj G Property Owner 6 S S 1 h 1 [> L-"2 Parcel ID # Page Z of 3 ❑ Boring # Boring 8 5 ® Pit Ground surface elev. ft. Depth to limiting factor .3 3 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 > 0 -�3 totirz s�z — S - I cs Z 1 —2 6 ! O `? 2 3l3 — St � Z1✓1 s bk m�Fr- e lv _ . S _ 6 y 33 -S l Sl — 1 , 34 k - slb F -1 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 /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 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 /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 i " Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 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. SBD4330 R.6W t Wisconsin Department of Commerce SOIL EVALUATION REPORT 3 • Division of Safety and Buildings Page of in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must S-T • C �Lci Lx include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. C JQ G percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal infomtation you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). Property Owner Property Location G�XCJI�5GO RkA> GAI G S S 1 G tFrZ JGeYLot Sk1 1/4 1/4 S T Z.8 N R 18 E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number . ❑ City ... ❑ Village ® Town Nearest Road CZlUeiL l-'PrLLS i LWI I SVoZZ ( LS) 4 4ZS - SLZtD �ctltJrutC \tlfvQ 10 CTt+� M IQ New Construction Use: ® Residential / Number of bedrooms y Code derived design flow rate b Oy GPD ❑ Replacement ❑ Public or commercial - Describe: Paren0i terial 6 X.Pret NIL Z1 LL Flood Plain elevation if applicable K3. F\ ft. General comments and recommendations: *'Lo�v�D w� (,' KLp o �LSTZl13u Tl U �1 @tTLt_ y .l t N 1 Mil U K4 Z. S ft 1 =1 LL • - M Boring # . ❑ Boring _. ... _ .... ® pit Ground surface elev. 1 �D C7 fL Depth to limiting factor 3 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. I Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F 6_tZ tort - li_�il z z tz_zy - 1,5 - 1V:VIy - L 2- - �-sbl�-L m FI. c, - . s �a 3 z��3 3 1 13 pt a y /6 - ' l C _ �b� u -Fc� c S - . 'q 33 -�E Lti�t� -Sl6 cl� �•S" o� rA _ ,q `b E Boring # ❑ Boring ® Pit Ground surface elev. 9 9 . 3 ft. Depth to limiting factor Z S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 — l1' LU /Z — 5l1 + . fig.._. 11 -2 Lo`t 8316 — S Zmsbk y,,1.F� cS _ .. 3 is_3s to�c(Z3! ct�. S!b 3J \ Cshk eS — .'Z . 3 4 33- 'l - I.s4k VI $ Sl �rn rn U'� T7 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) Signa re CST Number Arthur •L. + Wegerer 00 -Z 6 ' 220254 Address W egerer Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Lfain St. River Falls, WI 54022 A 715 -425 -0165 PLOT PLATT Page 3 of 3 Scale 1'= so' CDT t_1/vE wl�fr mi. 101.9., G, J O J J J J P CQ" PPmT- VMS rtm" r j / k 6,�L 0 SL� $Pr�'�c WV � J; 5� co�cz �z , 9q.i s o r I s `06 tooa-s " I Mme, r O-T �k- S S ,,p 715- 425 -0165 220254 0o -��[S - CST Signature Date Telephone ITo. CST ATo. Job PTO. 1 PLOT PLAN Page 3 of 3 �. Scale 1'= 50' LaT Uh►E - - - -- - J 0 J /J J J Q g Z Z g \ bo Nor COM PPM -- \ �� - - - - \ \ - - - - - - • - U 1 �� t �.p lu 6 SL�1"$Prelt 1V � 0 I (A co Irtou2 (- , Ctq, z • zro r I • ° o a �- too.ZS L Mew r Y b? ' *• ro _S_0 715- 425 -0165 220254 CST Signature Date Telephone No. CST No. Job•NO. N S T. CROIX COUNTY rJ Z !! ,� Nlannin7 7 —;" " r.-. A a Cmromittee �� 3 d G�bl� // `f IJAR 2 7 2001 a�Z v ova 01 2 00 If not recoruud w1m.11 :W days of 1 approval date approval shall be (/ 6 MpR 2 null and void O ���yp1.� � � /� � � �` `' 01. A. 0 9 9 s Certified Survey Map' `' Gregory and Gail Geissinger Part of the Southwest 1Ia of the Northeast 114 of Section 13, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. ' N0R7N 114 CORNER Of SECT /ON 13, OWNER'S ADDRESS: 2 r28N, R /BW, l / "IRON P /PE $83 PLEASANT AVE. • FOUND/ #IVERFALLS, W/ 84022 M VN A rrE L ANDS l Z S 89•/9'/8 "E /53/.70' N L /NE SW 114 NE 114 III I 3r 71 /B• /6.31' I _ I I� JOO YEAR S70RN FLOOD 2' O x971 ELEV47 /ON / YYP /CAC/ b j BUILD /N6 SETBACK L/NE V / ,f� 3 i h I \ 2 W ` j /00 YEAR S7ORN FLOOD cON70uR(7YP/cAJ.J a — I. � 2 I N 89.47'38 "W 207.26' b PR /VA7E DRIVEWAY EASENENY �• ��`�_ �� .� 1 O � O m� 24 / • o Note: An erosion control plan will be required by the a It� / '\ a St Croix County Zoning Office prior to construction e q I I DRIVEWAY o on these lots !� b l Z N 89.47' 38 "W 260. /8- L JNE cNAR Y 4 ►� N I w l L/- N00'I2'I7 "W 23.00' O OI L2- S88.47'43 "W J4.0 1' N. N " d L3- N88•20'48 "W 43.94' N !sl KINNICKINNIC PLAT eSM -ta ✓LrrTS T -28 -N • R -18 -W 1 (Landowners) Soe Page 112 For Additional Ne■ses. 10 WARREN PAGE 32 r r p 1100 60th AVE 1300 1400 fi0th AVE 1500 8 L;. t tr 1 �fl 20 &M23 a V u mo sMa Lenestr I Gloria Hunter v Ki Farm Inc tr N O F w ; r ciu oq .. 0 s [ ]193 r a� TOWER R 98 �J9 40 1 - stsear i z p r = 7 tr YYQ F • �° r a f p Heinbuch a u 40 Ison a• �r 5 w i Trust 59 r R& r Tnour C-ow ] a l l ,I�kr ° 70 s ao�K �_ 7 1 4 a tl p ie _ - M, va.�a a — 9� m E — s2 — i120 7 118 N 1 v •u w • °: L , Plnfkl •K � . dames w - & Ekshle� a• ,� •, O„ Fick tr Arn & HOC I.EE !u� to o• maJ R xa, > vae y aac _ 5 / ■o. su LE r ` COII I F1 ■ R 157 HOC' M� N lee Reek r..W Marvin 1 65 ""` ' 160 Trust ••• n I ■-a I = 1 4 rl . 180 ., �- ac w J1 ¢ N■ 107 a jjyy 160 h 4• 266 104 ° tr ('j rust Mork ` M� w • r i • i..� pbwft&we ..r ❑2 STEEPLE DR I p & 20 4 PLtU AAME arw p 7 Q�q _ 53J�110 h'!'. 'ra- .o A� a �� J � ss y� � � r O1 _ q . — _ 159 i Robot! ■ l ener • f tr' s_ H. r .�", _ y n ug -11 Inc n� v 3 L Em6oltr ® I 100 F 117 1 °w a i r 9 r 1 ' imertr t�1�i� u ° 1s4 186 = I f 4113 • J i TOY p N P w a . W •!! ir '°fi0 tr F& Jeffrey WOK 40 Kkudc- $ r ro R w +d all 7 W Esc &Nancy J*xn It a 4 ( F Trust Donald w `� wOS � • ` r zit I QQ Ji oOw Gloria _ X12 BUR 1p1Sl - Cf �� iKIMlIQ 208 — i - s _ 154 1 f _39�I -}. s3 _ _ U .o od�y oac m - Ilw 4i z i, Er E J ' J Tertu x¢ tr Glenn & 7 8 Abet I ¢ Highs g Cr Domn •� j is I tw i0 ctbmdorf t 80 3 � ! w Faller I 803LL1 y t V Partners 1140001 mr soave tr ¢ 140 F—b DdC! . 40 4 yy LIP 120 7 176 ���1 OM(Dq ■ DoM tr • _ ..-`if in ri 57 n.ae. R �7 & ! ! E� I [3ee■w100e !W 7 M � Jr tr 40 tid Wym y � ea & 169 18 1 O U.& 1 V • tr "`� ° n+.. I.aora " .tr °� ,' r R - - — ker. — s�+u t� Aatr Andrea y am p D � M �' g ri • 1 y 40 • r f .w �! w fs OR w Falb e N Q J l I . ¢ s a tr r 1 I Trust ®W7pta]ed[ . ri•.f �� 9 ,' d it - t~ii ..1 t r y � q - 27 tr Sodas ..' a •.Mraw Mae "'a .� a Its y 315 tr 6e&41,� It v Walk & n: b - 7 2 = y � ° , ors Roe pro Sste�on Vernon P 1 Peal seek ¢ ttitr Avon r 63 7ltrt 8 u r�� >s _ e-r t+=1� 104 — 31 6_ X10 - — r ' , lee` ° �ry40 r• s _ Peal - >4 s HALO W Gerald z Mobile a Home Coutt & Carol 33 - 40 i tr son 4o Md ` o ::: .o l • m ;oh, Ow O ! • awes! & Alice s ce.y Do n Haman 0'01k M • ! M 110 - avast Vo a 35 Ralph saes 12 ■ TOM a F s Tt1ed ,o Iestr � G1> b I tl D. Ifs r , Near L5 E . • 05 & Raft to ioo�.. cY � Robey 1ter LN PMCE CO. rRve_ e / 1 u C _1 Kinnickinnic J River Land Rick McMonagle Tr E J Trust Executive Director J 715 -425 -5738 phone 219 N. Main St. L j 715- 425 -5771 fax PO Box 87 KinniRLT @pressentercom River Falls, WI 54022 j CanseFvbt natural resawres and scenic beauty in the Kbutickumw watershed �J SEPTIC TANK MAr AGREENMNT -AM OWNERSHIP CERTIFICATION FORM - .,j.j - 1jjjg A dj eo jr 3S ' ofaex- era j CVtrifioafion requLred frora Planning Deparmicar far stew construction) erA 4 U--5 4 Parcel Mcniffication Number L '0� -cy Location, W. V, N-6- IA S ec. T��S Jq,R_Z&_W, Town of ,. pa S'uoa1:VUiaa 'Ci Survey MAP Volume 1,5:: page # 'Warx-ranty Deed # A2y 3212 Volume rage # SpL* house 0 yes no Lot linO6 identifiable yes [J no SYSTE 1% P6W7--S-- 4ADn die cw per mo brVoperuse; aud m6uwmanceof your septic M= could result in its Prerutue failure to baD& Proper ==8 C=1M o out &e se ptic tank every three years or sooner, if needed by g licensed pumper- V& you put into the system jj the function o f th se pti o mnk as a trtamvAd stage in the waste disposal system The property owner agrees to submit to St. Croix Zoning Department 8 co ra o gti= form, SiPO4 by the OWWC and by P uLuxorplumber.jouraeym=l)lumber, restricted plumber or a licensed pumper verifying that (1) the ou - s it e wasre wuterdisposal system is iA proper opmting condidon and/or (72) after inspection and pumDing (if necessary), the septic tank is loss than W fun of sludge. a the private sewage disposal s with the sundatm Ywc !he; Uadersigrie-dbave =ad the above requirements and agree to m ---t -forth, havin. as -vAby the Deparmumt of Comwwe and the Deparmww of Natural Resources, Surd Of Wisconsin. Carcificatioc, ga mg that your septic syst= has been tnauilameA must be. completed and rewmeA to The St. Croix COU94 ZOU4 Office W'Xlut -30 d: 11% ZrSOLO � expization date. I det- — 21dX-&TUU OF APPLICANT DATE 0, CERTIFICATION I (WO certify that all statemouYs on this to= ge try,; xo the best of my (our) knowledge. I (we) am (are) the O%YW(s) Of tb." r eity&A ibbeAdabove, by virtue of a v/arraAty deed recorded in Register Of Deeds Offwa- A-/—& _h*- '210N.MMU OF APPLICANT DATE AXU%9V* AAy inforro3tion, that is =i3-rtprCi6rAE6d may result in the sanitary permit baing revoked by the Zouiug Departinanc. 1hclude with this application; a starnptd wartuary deed from the Register of Deeds office a co o f the cer tif ie d survey map if re f er en c e is nia& in, the warranty dead EO/EO 3E)Vd E)NIown Sd3908 L980SEZSIL 80:Z1 90eZ/90/90 f r POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Biirooms 160gpd/bcdroom E Effluent Filter Model El NA Number of Commercial Units ©NA Pump Tank Capacity gal E3 NA Estimated flow (average)* �!'v4� g aUday Pump Tank Manufacturer p NA Design flow, (peak), estimated x 1.5* gaUday Pump Manufacturer ❑ NA Pum Soil Application Rate O d P Model Z ❑ NA Pretreatment Unit Iu uen#/EflIuent Quality (NA ❑) Monthly Average ** ❑ Sand/Gravel Filter � Fats. Oil &Grease (F ❑ Peat Filter Biochemical Oxygen Demand (BBODs) 30 mg/L ❑Mechanical Aeration ❑Wetland Total Suspended Solids (TSS) 5 220 mg/L ❑ Disinfection ❑ Other: 250 mgt Manufacturer: Model: �Preireated Efflunt all * ** Dispersal Cell(s) e Qu ty ❑ Monthly Average ❑ In- (gravity) Biochemical Oxygen Demand (BODs) 5 30 mgt [3 In- ground (pressurized) Total Suspended Solids (TSS) ❑ At-grade > 2 4 "Sa 1 Fecal Colifonn (geometric mean) 30 mg/L ❑Drip -line ❑ Other. <jp+ _ ❑ Leaching Chamber Manufacturer Maximum Effluent Para 1/8 inch diameter Model Approval Stipulation *Wastewater Flow Ve calculations- Soil Application Rate 2Area Req. (Other than bedroom Absorption Area Credit per unit ft Minimum Number of Chambers Q Ag gregate Design Flow/Loading Rate= min Values typical for n - commercial wastewater Materials: all materials must comply with !At . Code and septic tank effluent. COMM84 and be installed per manufacturfications ** *Values typical for pretreated wastewater, and approval letters. DESIGN CRITERIA 0 "Wisconsin At -grade Soil Absorption System, Siting, Design T Construction Manual" (Converse et.al.1990) M "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 D "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 0 "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD — 10570 —P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD — 10567. —P (8..6/99) "In Ground Absorption Component Manual" ❑ SBD — 10705 —P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD — 10628 —P (N.6199) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6199) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 572 —P (R.6/99) 'Mound 'Component Manual" igMBD - 10691 —P (N.01 101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 —P (R6/V39) "Single Pass Sand Filter Component Manual" p SBD - 10657—P (R.6199) "Drip -line Effluent Disposal Component Manual" 0 SBD - 10573 —P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 — (N.01 "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units C❑ MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition — of tank(s) At Ieast once every ❑ months ar(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months $year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months E-1 inspect pum , pump controls & alarm At least once every ❑ months -S years) ❑ NA Flush laterals and pressure test At least once every X ❑ months -e year(s ) ❑ NA Valves At least once every p months a year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Page of START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should he discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. C3 'Valves Valves shall be operated in the following manner: WAlarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). J( Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRI 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. 'Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of f Mound, At- Grade, In- Ground pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: El A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. d A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. r Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that tame. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT RESCUE OF A PERSON FROM TIM, INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INST ' POWTS TAINER Name �l 7 Name p [✓� Phone S-� // / c?c2 I Phone �. SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY At ORTTV Name Agency S k c Phone Phone — K: \WPDATAIEHIPOWTS OWNER'S MANUAL.doe Page of Parcel #: 022 - 1035 -30 -030 06/20/2006 09:53 AM PAGE 1 OF 1 Alt. Parcel M 13.28.18.195A -30 022 - TOWN OF KINNICKINNIC Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - FRENCH, RYAN W RYAN W FRENCH 661 250TH ST WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " PLEASANT AVE 'SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.843 Plat: 4054 -CSM 15/4054 SEC 13 T28N R18W SW NE BEING LOT 4 CSM Block/Condo Bldg: LOT 4 15/4054 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -18W SW NE Notes: Parcel History: Date Doc # Vol /Page Type 05/04/2006 824332 WD 06/20/2001 648872 1664/360 WD 07/23/1997 941/139 07/23/1997 876/515 more... 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.843 50,000 156,000 206,000 NO Totals for 2006: General Property 2.843 50,000 156,000 206,000 Woodland 0.000 0 0 Totals for 2005: General Property 2.843 50,000 0 50,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 _ bI 624332 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO. WI RECEIVED FOR RECORD This Deed, made between Thomas M. Gray and Susan K Gray, 05/04/2006 09:00AK husband and wife Grantor, and Ryan French rantee**R ah W. French Grantor, for a valuable consideration, conveys AKarrants to Grantee WARRANTY DEED £Xt]1P( # the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): REC FEE: 11.00 LOT FOUR (4) OF CERTIFIED SURVEY MAP IN VOLUME FIFTEEN TRANS FF 182.70 COPY (15) OF CERTIFIED SURVEY MAPS, PAGE 4054, AS DOCUMENT CC FEE: NUMBER 641394, FILED IN ST. CROIX COUNTY REGISTER OF PAGES: 1 DEEDS OFFICE ON MARCH 27, 2001, BEING LOCATED IN THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER (SW 1/4 OF NE 1/4) OF SECTION THIRTEEN (13), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC. Together with and subject to joint driveway easement as shown on said Certified Survey Map. Subject to C.T.H. " J " right of Recording Area way. Name and Return Address k Fr�.v,eh Wwivill W+ 5�bz<� 022 - 1035-30-030 (9 G -6 3- Parcel Identification Number (PIN) This h_n_oj homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, and rights of way of record, if any. Dated this 3 ra day of May. * * Thomas Gra * * Susan K. Gra AUTHENTICATION ACKNOWLEDGMENT Sip-nature(s) STATE OF WISCONSIN ) )Ss. Pierce County. ) authenticated this day of Personally came before me this 3r day of May . 2006 the above named Thomas M. Gray and Susan K. Gray * TITLE: MEMBER STATE BAR OF WISCONSIN (If not CHARlFf1E A. LARSI>fl to me known to be the verson(s) who executed the foret oina authorized by 4706.06, Wis. Slats.) Notary Public insttvrryent-and acknowl ed the e. a tp { i sconsin THIS INSTRUMENT WAS DRAFTEIS�Y U' Joseph D. Boles - Attorney at Law River Falls, WI 54022 Notary Public, State of W I My Commission is an t. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both arc not necessary.) oI Lo q/&1 ) Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655.2021 www.infoprofonns.com STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 1 Of 1