Loading...
HomeMy WebLinkAbout028-1036-90-000 n 10 o : ■ n 2 ir 0 ` ' ° 2 £ 7 - I D ' 2 " ,� ; � ƒ . « : _ 0ƒ 7// o +ƒ C m q .[ e ee - :E- CD + _\ � � D = w ¥ , = a M « ) ° a Q = ° § i 5' CD t m© S I G @' R 2 ® P. e § 3 E E cn \ \ = g_ § § a © e E m % k 0 CL CD N § ® k � Q� ®; / 2 2 E 2 E r rr � / � � � 2 � ■ �. 2 [ 0 0 U) ■_. N ) \ CD n CD / 2 m § % ) ~ § . E 2 Q rr ƒ ƒ 0 § § ƒ � / 7 E ° { i i 0 } k \ — � ■ a � 0 � � z ) / w T q q § E § k $ § F cn 2 k 2 » I ± 0 § [ r- 0 % $ � # � � 2 Nt t � ) . � 2 � K 0 � ° § _ o § a 2 [ Wisconsin Department ofYCnmmerc PRIVATE SEWAGE SYSTEM County: St. Croix Safety and BuilcUng Divk ;ion INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 395121 0 GENERAL INFORMATION. Sr lan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 0't I }Z( Permit Holder's Name: Village X Township Parcel Tax No: City Sander, James Rush River Township 028- 1036 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: CD .Z) IC Ck A k" = CST v1A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 11 i l — tsm cv Benchmark Z� to Z ( 00 ,0 Dosing �-O Alt. BM •� q -sls�' Aeration Bldg. Sewer �3.b5' 9o•bo Holding St/Ht Inlet t 3.S2 t • �,� TANK SETBACK INFORMATION SdHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic y tb0 !� I _ DtBottom �1' ��„I Dosing r a Header /Man. E) ? 1 tyD Aeration Dist. Pipe ' e � o � • �i Holding Bot. System Z,D$07 -'S, Final Grade $ Ce PUMP /SIPHON INFORMATION # 6 Manufacturer /1([ _ Demand St Cover QJ(�! GPM Model Number A I , � � 25 A XS. TDH Lift � Friction p ! System Head SO TDH qO Ft Forcemain Length Dia. 2 u Dist. to Well X SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Tienehes PIT DIMENSIONS No. Of its Inside Di Liqui DIMENSIONS -t' • -z' 0 I l SETBACK SYSTEM TO —1 P/L BLDG WELL LAKE/STREAM LEAC Manufacturer. INFORMATION CFfAfll R Type Of System: ^ 1 s UNIT dP Number: DISTRIBUTION SYSTEM ,_ Header /Manifold Distribution t x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) a Length Dia Length `� � = Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ( Yes [� No Fe Yes [ No COMMENTS: (Inc a code discrepencies persons presQnt, gtc) Inspection #1: D / O Inspection #2: �4Ls�5 IsO ce�++w'��*'G * *�4 IaD•O� 9r9.b�� Location: 1982 10t vAViue aldwin, WI 54002 SE 1/4 SE 1/4 26 T28N R17W) NA Lot Parcel No: 26.28 17. 24 1 1.) Alt BM Description = 'C`�"j"'r `s��'Ar&"A' SAL 9 ��• (mil 2.) Bldg sewer length _t i 1 �Z Sa t"„p—w - amount Zcp-sti.. cover= u s C�►v�. �_ 10 Z5- J N +�W f 0.qA ou_A`� 3.) Contour - 3. ` -- - - - - - -- - -- fan revise fired? 12.1 e [] No o , other side f r additi al info ti t, � Date Insepctor's Signature Cart. N SAO 1 li uD. SAL_" `A),A_ A Safety and Buildings Division County _ 201 W. Washington Ave., P.O. Box 7162 iscvnsin Madison, WI 53707 - 7162 Site Address Department of Commerce I I V2 /0#- Sat"a _ Sanitary Permit Number Sa Permit A , _ � 9 �/ Z I In accord with Comm 83.21, Wis. Adm. Code, personal informado'n you,provtde ' ,a g ' ❑Check if Revision may be used for secondary purposes Privacy Law, s15.04�l)(1n7 — T — Application Information - Please Print All Information ` State Plan I. r D. Number Property Owner's Name 'Parcel Number J�ES 1- 1�.1 s � b �o3�. �� -o� Property Owner's Mailing Address Property Location Y7o c l rC =s m, l :�.. ��, ..t Y`'` � 1 A.56 ',4; S %lt'v T s N, R City, State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number H. Type of Building (check all that apply) 2 []city 1K 1 or 2 Family Dwelling - Number of Bedrooms 3 9 a k p ,r ❑Village ❑ Public /Commercial - Describe Use �ie,,� s SK 1►n.; {{c� ownshi p ❑ State Owned Nearest Road III. Type of Permit: (Check only one box online A (numbering scheme for internal use). Complete line B if applicable) A. 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 Addition to For County use System Tank Only Existin System B. ❑ Check, if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply) (numbering scheme is for internal use) / i 44 El Non - Pressurized In- Ground 2� (� Mound X -?/. 2� 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 3o ❑ Other V. Dispersal/Treatment Area Information: - . s� - ' S TA 3 Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) // 0 _?� _<-- 'Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or, - Holding .Tank — Dosing Chamber VII. Responsibility Statement- I, the unde ed, assume r1oponsibility for installation of the POWTS shown on the attached plans. Plumber's a (Print) Pl is Si [ure MP /MPRS Number Business Phone Number f /9, 71=x= Plumber's Address (Street, City, State, jo i� Cs VIII. County Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge F ❑Owner Given Initial Adverse . Determination Z . © o I Z 6,dz� IX. Conditions of Approval/Reasons Di fo sapproval 7 c Gk� ('p~7 (a pprouc4 512 -q0l // / Stf'dr'Ccd .�«.,�� Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 05101) Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.state.wi.us /sb Visconsin ,� �_A_ # ' , y www.wisconsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary June 11, 2001 + - CUST ID No. 139462 CC A POWTS Inspector : '/ZONING OFFICE TODD L SINZ ST CROIX COUNTY SPIA E5609 708TH AVE { 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2003 Ide N hers Transaction ID D N .64972 SITE: Site ID No. 630803 James & Mary Sanders -10` Avenue Please refer to both identification numbers, St. Croix County, Town of Rush River above, in all correspondence with the agency. SETA, SETA, S26, T28N, R17W FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 795569 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with.. A copy of this information must be given to the owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. 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. TODD L SINZ Page 2 6 /11 /01 . Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, �. FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services 608- 789 -7892 Mon - Fri 7:15 AM to 4:30 PM WiSMART code: 7633 jswini@commerce.state.wi.us < Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #. (608) 264 -8777 *Lsconsin www•commerce. Ascon www.wisconsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary June 11, 2001 CUST ID No. 139462 S Inspector ZONING OFFICE TODD L SINZ ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2003 Identification Numbers Transaction ID No. 649721 SITE• Site ID No. 630803 James & Mary Sanders -10` Avenue Please refer to both identification numbers, St. Croix County, Town of Rush River above, in all correspondence with the agency. SETA, SETA, S26, T28N, R17W FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 795569 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with.. A copy of this information must be given to the owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. 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. r TODD L SINZ Page 2 6/11/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, C .^ A ♦ � "`��` --�- FEE REQUIRED $ 175.00 !u FEE RECEIVED $ 175.00 - -- BALANCE DUE $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services 608 - 789 -7892 Mon - Fri 7:15 AM to 4:30 PM \ViSMART code: 7633 j swim@commerce. state. wi. us James & Mary Sander - Mound i Transaction # 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) Location: SE 1/4, SE 1/4, Sec. 26, T 28 N, R 17 W Town: Rush River County: St. Croix Date: May 28, 2001 � a Owner: James & Mary Sander Z0 01 Address: 870 fifth Ave. �ts elk, Bal win, WI 5 02 �: Plumber: T d Sinz Signature: License # P 39462 Attachments: 6748 -Plan Approval Application SBD -8330 P W.T.S. page 1: cover Conditionally 2: design criteria & calculations RAVED 3: plot plan A K E ps 0f COMMERCE 4: system cross section vVISION Of 5: plan view, lateral detail 6: pump tank exit detail SPO. ENCE SEE CORRE 7: pump curve 8: system management page 1 of 8 - ;,� . �. , :. e ...� f� •� .... -� �5 a ,� 1• y -' gqI ): a K' .Z! 'Alit if�lFd4t � px�`.h i j �� �.S y Fw a�i_: -, aR.,.,� .�,. .` �- I . 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 Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL 3 Bedrooms x 100 gal/bedroom/day x 1.5 �� gallons/day hydraulic load Design Calculations In situ designed loading rate O • gallons/sq. ft. per day Depth to estimated high ground water in. Depth to bedrock ? 4 4- in. Cross slope at system % Force main length ft. of Z in. Manifold/header length ft. of Z- in. Drain -back gallons Lateral length 2 @ R °,c:, ft. of V"L in. Lateral elevation 1 V\•z!!r ft. @ bottom of lateral Lateral hole size �l� b in. @ 60, o in. ( s' ° ft.) Spacing \ 9 holes /lateral I V holes total Lateral volume V6 6 gallons i Total lateral discharge rate Z s"• gallons /minute @ Z ft. head Network pressure compensation losses i ft. Elevation difference ft. ((0 Friction loss ft. @ 2�� gallons /minute I Total dynamic head 4• •`Z b ft. Pump /siP�on Sb gpm @ ft. of head Manufacturer `'" Model # S Dose volume r L q Z- gallons Lift/sipWon tank �� �-� a mow" . (o M gallons Septic tank gallons Effluent filter Measurement pump on and off in. Height alarm from tank bottom 4 Z in. Reserve capacity 4' i 4 gallons specs.calcs of Page �- • S L' -S�? -tV - zit -�•�w S' x � I . Z • HOC \t `+ � �"►/ 0. 4 •� cAa+• S +w zs�'4- 1 (q4.L)� c t iii '� �ti —t ff O oft.0) S 1 � 7- • � ? C- I (' 1 �O dGM W �a `� �c��J d• Y V� V�fti?o -l�cro Z V I IYL 61 � Z•,9.. �3 ac ..Qa n Q �..y .e.. j �� 8.1� co ....�,o �-s^�� '�1.� 8 � S 4��ae�t Jta�y.ab\ ry �• ~� O I i (� 0. V . qp. 3 Cs p / � 1.2,5' 1,t -� i � r ` S e..< i r - I g,3 �1 0�...; `V't'tdr.► \� � �j,�e.► d� •� Nec.�, b� l I II I t l NVhN�1 ~ }.� ♦4'R � frU„y�{ � YSK� �bW�.. a ' j r.ta.a��( �� V ��vt �o• xeC o� \n,:v�i�,� Ci Q C— u IL r�j /' �1:•:. . ,.;..� ..rf. r7?:..:a .,r W'!AY?!n ..M1Y•lKV7$Y,!A51 from . .. .. .. .. ....... .. .... ... • _ • . y .w:..r.ay..0 - ... ".i.1Y W' Y • --� `^ .. .. .... ..r D . A ' W E J►TN E RPROOF GOVfiR JUNCT►o►+ LQcKING + 1 8� lvA�t'N A.4466X. Qt►CK o ►�co���GT --� Cr "� nontleati—A -eon 44 Fvc �`�� ► 1 7711 77�7�1 4 0 GI P6 3' Pvc no NDISTURUD Soil_ 24`' I.D. �iI 4 VE o 01ri Ia t 4's H ur A" 9'- QIN Q17yti.Q '' siaT 3u"r.5 BAFFLES 4 0 1 AL 3' OWT L PIM 4 Zaa ON ' L44>:+Tw[t- .►•wEGT10KS � �•./ �.i.`.Q, 4a -��-o � GaoUKO Ow v Ow 4g NAP D L � CoAlC,RtTc . Irv. 6coCK SEPTIC f _ SPECIFI DOSE � TAW MA►JUFACTURER. WMBER OF DOSES: PER OA4 TAWK SIZE; �� GALLOWS DOSE VOLUME ALARM /KIWUFACTURCR: S d �c.��� 104CLUOIN6 5ACKFLOW: a � GALLONS MODEL WU/M*EK: ° I CAPACITIES: A= Z } '� WCHES OR � GALLOWS SWITCH TyPLS �` "O 1' 8= Z IAI CHES OR 2q •�{ C.A LLOWS c k PUMP MA►JUFACTURE - �_ „'"' C ■ �� �" IWLHES OR Z LALLouS A MODEL ►JUMPER: 1Ff DO � ftwMES OR egR GALLOtiS SWITCH TYPE: `� " MOTE: PUMP AWD ALARM ARE TO 6E. MINIMUM DISCHARGE KATE� INSTALLED OW SEPARATE CIKCLIT; VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AUD 013TRIbUTIOIJ PIPE.. FEET + MINIMUM NETWORK SUPPLY PRftSiURE .... ... , . .. FEET + -- EL FEET OF FORCC MAIN X a t Ir Tv onFRICTIOIJ FACTOR. I FEET '— TOTAL DtIWAMIC. HEAD = FEET .. \ ��►► �� 2 as WTERAJAL DIMEW61OWS OF TAWK: LEW&TH ;WiDTH 2 ' ;LIQUID DEPTH �'1 — � E Deta 41 performance Data 40 30 1i Pump Characte s MOW NaMb 9001111 U9401M! Aesenerk Mahb WHOM SW46A2 10 p 4410 Fd ww 19 U 111" She" hde 0 hw 0 M.Px 1330 10 20 M 0 50 60 7Q PWN it u l Wow 113 1 230 TOW Fred 1 ) 10 17 21 1 23 28 30 33 ire (FMI 14. 14.3 6.1 0.7 120 Max. fw 60 SO 40 30 20 10 0 NirAA Doolp A 1 lewd" QW A is« 11 1fPr Dimensional Data 5016 NOWN 1 ' !0 &L 1 ' 1 r (+daze 1. All dimnafons in We. (Netrk for Power Cad IS /3, M A • nil iltarrl0liolal use]. t �? 1 Y. CooNd &on ions MR Materials o Constr uction `ror t 1Ji indl. 3. Not for UNWI dioe purpose Allow unless reHifled. r P a rton 4, flsnenshms and neiyhis ere rippr01"lle. 20h Slow t re Sad hWa Caw.�ce , 5. We reserve o o the ob t0 r<0he Sltal9 Seal Sad &*. 404SW Sad risiOMS o ut pro nal end lhok Sttsteieu Sad spedfloatioes without notice. T 1"W"S Sao t•Fe 1t�faeerel V1ese�lk .�. 1998 my= Pumps, Ashland,Ohio. All Rlghn Reserved. MYDROMATI - - Your Authorised locol Distribi for - 1840 lonsy Rood Ashland, ONo 41803 BI: 419.289-3042 fox: 419.131-4067 Web Silo: www.peddrpump.tom 1 SHIES OfPIClS IN ALL MAJOR Qfiti AND WIMIRIB C 9- a Refer to "Pumps' in lbo ydow pales of goer phone dlrenory for your lol Obtrhulot I 1 Rem41: W-02.6680 1198 SM ml v O i ` 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, T.L. Sinz Plumbing, 715- 235 -2644, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which 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 pump tank or compartment to allow a dose to be accumulated, a pump and controls, 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 septicxank 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. 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 pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner 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, pump 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 i ORIGINAL 1282 SO Wisconsin Department of Commerce SOIL EVALUATION REPORT Page t of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 26.28.17.224 Please print all information. iewe By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z D ropey Uwner Property L Sander, James & Mary Govt Lot SE 19 SE 1/4 S 26 28 N R 17 W roperty wne s at ng Address Lot # Block # Subd. Name or CSM 870 Fifth Ave. City State Zip Code Phone um er Cit Village a Town Nearest Road Baldwin WI 54002 1 715 - 684 -4993 Rush River Teeth Ave. New Construction Use: Residential / Number of.bedrooms 3 Code derived design flow r • , GPQr Replacement Public or commercial - Describe: �! Parent material t Flood plain elevationfiplicable @, General comments and recommendations: install 5'x 91.2' rock unit mound on 99.5 as upslope edge of rock w/ 1.25' sa 51 �Pp Boring # y7, Boring \ � . a Pit Ground Surface elev. 97.5 ft. Depth to limiting factor _ � in'. SoitApphcaben ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -7 7.5YR 2.5/2 - Is 1 f gr mvfr cs 2f1 m .7 ✓ 1.2 2 7 -30 10YR 3/3 - Is 1 m sbk mvfr cs 1 m .7 ✓ 1.2 ✓ 3 30 -42 10YR 3/3 - Is 1 m sbk mvfr cs 1 m .7 1.2 ✓ 4 42 -44 10YR 5/4 c3p 7.5YR 5/8 scl 0 m mfr - - NP ✓ NP ✓ nzon 3 is at to capacity; perched water ta e observed a Boring # a Boring a Pit Ground Surface elev. 99.0 ft. Depth to limiting factor 30 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. 1 04 10YR 3/3 - sl 2 m gr mvfr cs 1 f/m .5 .9 2 - 4 -24 7.5YR 4/4 - sl 2 m sbk mvfr cs 1M .5 .9 3 24 -30 10YR 5/4 - fs 0 sg ml cs if .5 9 i 4 30 -44 10YR 5/4 c3p 7.5YR 5/8 fs 0 sg ml - - .5 9 ,� Effluent #1 = BOD 30 < 220 mg /L and TSS >30 50 mg /L • E uent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST N ame ease rin igna ur : Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/5/2001 715 - 233 -0398 Property Owner Sander, James & Mary Parcel ID # 26.28.17.224 Page 2 Of 3 T FT] g Boring Boring # � Pit Ground Surface elev. 9919 ft. Depth to limiting factor - 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 1 0 - 10YR 3/2 _ sl 3 m gr mvfr Cs 1f /m .5 .9 ✓ 2 5 -13 10YR 4/3 - sl 2 m sbk mvfr Cw 1 m .5 ✓ .9 ✓ 3 13 -24 7.5YR 4/4 _ sl 2 m sbk mvfr Cs IM .5 ✓ .9 ✓ 4 24 -27 7.5YR 4/4 f2d 10YR 6/2 sl 2 m sbk mvfr Cs 1M .5 .9-/ c2p 7.5YR 5/8 5 27 -33 10YR 4/6 10YR 6/2 SC l 0 m mfr - - NP, NP ✓ F�l Boring # ■ Boring Pit Ground Surface elev. 99.0 ft. Depth to limiting factor 2 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -6 10YR 3/2 _ sl 3 m gr mvfr Cs 1f /m .5 ✓ .9--1 2 6 -12 10YR 4/3 _ sl 2 m sbk mvfr CA! IM .5 .9 ✓ 3 12 -21 7.5YR 4/4 _ sl 2 m sbk mvfr Cs 1M .5 v , .9 ✓ 4 21 -30 7.5YR 4/4 f2d 10YR 6/2 sl 2 m sbk mvfr - 1M .5 ✓ 91/ F-1 Boring # M 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 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. * 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 -8330 (R.07 /00) certified Soil Testing f q } 'SL?�S13 - Z•1..� -Y -taw Z,.SL 13«1 1l –� —� 12-4 ` � J c,L. ( "• JJ 1T•3 (aaa5 � V4. `' - , C t Y,'�) �.9 4-:0 (I we.e � C4tt'c) ►3r+ e1 Qa, �" a (" Na �3 Saba I ��4�w I 07/05 /2001 08:29 FAX 17152352592 TLSINULUMBING Q02 08. U: 0o FRI 18:31 FA.1 715 j8& .18118 ST M CO ViN ING ST CROIX COUNTY SEPTIC TANK MAngTLNAN(M AGRBF- � AND O WNERSW CERTIFICATION FORM Mailipg Address �7� , � / � �L�)/A A Property Address t !e . (Verf icatinn requirrd fFVnr PLnairtg f3ep=tMent (*r new i;aastruetios) city/state Parcel Identification Number MAL OP1 toes. off' p rcre -4( PmpeM '/+s, Sea T Town of , tiU� �!/ Nbdivisiou - Lot # Cartined Survey Map ft V OW= Page it Worraaty Deed H 5�2 7IK , 'Volume I/211 Page #k 3S$ Spge house p _yes 0 no Lot tines identifiable 11 yU El no S N NGE ypo mycr use stuff maintenuccof yatsr se pti c " coaid rcroslt in its pmwature failum to luadlc ttiastcs. Properalaiasetsaux C omb" of ptunpisag out the septic m* evtq tbxee yearn or anon;,', if headed by a licensed pumper- WMt you put into the system cm affect the fi=fion of the septic tank as a treatment stage isi the waste disPotal system. The property ot»uer agmes to submit to S Croix Zodur, bepgrtracat s cert1f)e&tiou form. signed by the owner and by a mastetp l=W= . 1 =p lumbu, itstrictedplambec Ora licensed pumper vwi tysoR that (1) the on -site wastnwatw dispow system is in p ro p er dOperating pp:►dlQBtr and/or (2) af'tu inspection - and pumping (i necassaty), tha septic tank is less than 113 ft:il of s ltsdgc 11wo, the aadewe pad gave rend the above requirements &nd agrmc to maintain the private sevmge disposal SYSteaa with tha RAW& wt EotlX hcmiv. as set by the Dcpattmw1 of Commerce and the 'laepaftzw of Natual Reseurczf+ 5`tatc of WiWO"fn, t:crocatton wttmg A&I your septic em has been maintained must be completed and rcturaed tq the St Croix Canmty Zo ning Office within 3 0 dsya c tlsrxe year a tion date. 5 OF APPLICANT bA'IB oy m OR 7lFICATION Fn I (WC) certify that all statements oo this form are quc to tba best of ray {car) ds of (we) am (arc.} the aaset(s) of tha descnbc+3 e, by vine of a .+at=rY decd rerorded in Register of Uco t]t'fice. 7 1 �Z, o �SI ATLW- OF APPLICANT DATI3 dr# 21* A infotatttiou that is mia•rcpresented may result in dw sanitary permit being rev okrA by the Zenjug Depltfin ss�s•� at include with utls upptic ation: a stumped warranty deal from thq Register of pads office a co py of the ett'dtied st>rtrcy snap if reference is made iri the wa=rty dead I .. r DOC',0MENT NO. i WARRANTY DEED T HIS SPACE RESERVED FOR RECORDING DATA 967 ? STATE BAR OF WISCONSIN FORM 2 — 1982 Y +�•• `C VOL 11. 4PA 058 CE"U ------------------------------------------------------------------------------------------------ JUN 2 1995 _Eerris_Sabby- , - - a_ single -- person - - - - -- ------ - - - - -- ' 9:30 A. - - -- -- - - -- - -- - - - -- - - - -- - - -- _ _ / x conveys and warrants to _. STaMa__W_.._SandeIi'._SSId_ 'y-_B S. @-ic, yam., . _husband_ _ and_ _ wife.,. _ -as. _su.rczivorship_ _marital - pr - - - - - - - -- - - - -- -- - - - - -- - -- - -- - -- - -- ----------------------- - - - - - -- -- - -- - - - - -- - - - - - -- - -- - - -- - - - -- - ----- - - - - -- - - - -- - -- - - - - -- - - - - -- --- - - - - -- -- --------------------------------------------------------- - - -- - - - -- - - - -- ---------- RETURN TO 1 G . _ -__ 1 the following described real estate in ._. _ - St.___Qr0iX ------------- County, State of Wisconsin: ( ` S , of SE4 f Section 26- 28 -17, subject to easements, ht o ys and privileges of record. This deed is signed by the vendor in satisfaction of the terms of the contract by and between the vendor and James W. Sander, said contract recorded with the Office of the Register of Deeds, St. Croix County, I; Wisconsin, on 5 -24- 1990, in 871 -400, #458894. l Z 5/ II dZp /l��� - Qd -and Ho < I This -------- 1S__110t------- homestead property. (is) (is not) Exception to warranties: li ii Dated - ----- ---- - --- -- - - - - - - - - 1 - 3----- - -- -- -- day of ------ ------- --------- - - - - -- Mary---- -- -- -- -- ----------------- 19- 95 - - -- 1 --------- - - - - -- ---- - - - - -- -------------------------------- - - - - -- (SEAL) - -- pp_ _ - -- -- - - - - -- -- - - -- ----- - - - - -- (SEAL) --------- ---------------------------------------------- - - - - -- * _Ferrie_5abb - - - -- ---- ------ - -- --- ------- -- --------- --- ----- --- --- - - -( SEAL) --------------------- --------------------- -- - - - - -- (SEAL) �I AUTHENTICATION ACKNOWLEDGMENT �1 Signature (s) ---- - - - - -- - - - - -- ----------- - - - - -- -------- - - - - -- --- - - - - -- STATE OF A'")DQ0 ALABAMA ss , - ---- -- -- - -- -- County. r N• ' ►. j authenticated this -------- day of___________________________ 19______ Personally came before me this. ___day of may- {) -- - -- big-PS - -- the above named ------------------------------------------------------ ------ ------ ------ - - - - -- -'`' *------------------------ - - - - -- ----------------------------------------- - - - - -- -------- Ferris__SZbby - - - - - -- ------------------------------- 't °ITLE: MEMBER STATE BAR OF WISCONSIN (If not- ----------- --- -- - - -- - authorized by § 706.06, Wis. Stats.) to me known to be the person , _^� ted the foregoing instrument and acknowledge ttg THIS INSTRUMENT WAS DRAFTED BY .� 1 _ •. �� Ito P _ P.O.__ Box__ 1471-- Balc�ivn,__Wisco_nsn_54002_ *---------------- - - - - -- -- - - - -- '- - - -:- "� • � 4, � � -� -- Notary Public --------- - - - -- - ' -- '• „k ( Signatures may be authenticated or acknowledged. Both My Commission is permanent. �Ifj� fi to ex qn are not necessary.) ��,/, date- ------------ •------- - - - - -- 7 f, " a •�4�;' •` *, *Names of persons signing in any capacity should be typed or printed below their signatures. Legal Blank Co., Inc. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Le 9 FORM No. 2 — 1982 Milwaukee, Wisconsin I NI ,r I IIr, I at d�Y +M m ^ ^ OF ^ u; I x w V, a Ai n *t I� d , i �IIII N I YN I l l ulh� r , � � "ry,Ntil?r ��� I +i " �XI. � w ry s >u F I I �I, API " u 4 t� I y P Vi a� ti l � I NI FtN� F'.i5 a �. s ry �• �I b m � 6 1 k w ,1 0.1 W � Ft" 'r y b 4Y�� Vas i a,1 r N I 300 0 300 600 Feet i I I SE 1/4 SE 1/4 Sec 26 T28N R1 7W « r a , x � lit A d . . _ is •� , I+ � F w i$ ss if . t s'Artr.,r , y eta r z..� x y-' e yµ > x t M < t LU I , te �. • -. r- � ..7�"� 1 { :� ;. � ,3 fi a °. "' — - . ,,� A �? s 4r p* i t r r > r l T ye t i u ' S" , Pik. •� , � � � �Rf Ilk i p NL iL vallm Ir 4V Ar fin yam - eax. � ' r ,.<�r �`s �°• w t Affifw ). !• A:A G ,., w _ , ` f Vii ,'� w - _4 4 .a • � � -. _ . s - 4, ; 1 ii s Y t 4 . Lt lit At i?°N:1WC HCA� /('aF'A.^.IIY Hk.AI) CAPACITY CURVE IrN Mimi! MODEL 152/1 .51 - ,y � 50 rage! Mt.icIx (:al. 1.iterU 103 n 1.5 80 261 1 ' I 40 61 14 16.7 19% 8 .',C 4 ht lLi.�:rj 20 40 60 80 100 (;ALLUNS LIItH$ 0 80 160 240 120 ° "OW PER MINME .1 27/5: CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timer dosing panels available. . • Electrical alternators, tot duplex systems, are available and supplied with \ k an alarm �_•.. •Variable level control switches are available for controlling single phase , systems. , • Double piggyback variable level float switches are available for variable _ level long and short cycle controls. • Sealed Qwik -Box available for wtdoor installations. See FM1420. • Over 130 "F. (54 °C.) special quotation required, 15211 seises ! L. �oE1.s C aaleceoa i Medal Yodb Ph 1bde. m e al !ex DuPMa ; ' J 1 BN152 115,.,_ 1 9 included 2or3 ` E152 230 t MG» 4.3 1 1ur3 t 4 9E162 230 1 .. Auto 4..�_' Inck,de : 1 or 3 iw 1116 7 Non 1 203 ON153 115 1 Auto 110,5 loak,dod 2 a 3 SELECTION GUIDE E153 230 1 Non fi3 1 2or3 1. SkV* Piggyback vw Ww laval float wAch or double piggyback verwbile love float SE153 230 1 Aula I ed 2or3 svAtch. Refer to FMO477. o CA N 2. Sea FL40712 for correct model of Electrical AAemator E -Nk. Ali au taddeuo n W 0onaoe3, proledlon devkas end Wring Should >x cone 4y a dueemeo 3, variable level control switch 10-0225 used as a control activator, spWly duplex (3) licensed eeeetAcdan. Al Cortrical and %*rely codes should be followed Including the most Or (4) Aoat system. mcwd Nations Eueofe Code (NEC) and the Occupational Softly and Hs&M Act (08HA) RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is angir*ered Into the design of every Zoeller pump. OWL T0: P.O. BOO( 16347 Lauratdle, KY 402557347 Aeamdadkrcro o(, , O SW T0: 3649 Crry Rot RM Laukv9L.KY40211.1964 df[ /lr PGw�rSvcE /999 P 10 M !O_ /5021 nu v� • 1184 MAW FAX (60'1) 774. 3824 *Copyright 2000 Zoeller Co. All rights reserved.