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Wisconsin Department of Com tierce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division � INSPECTION REPORT Sanitary Permit No: _ ) 479499 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [P-ivacyLatw, 6.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Country View Ridge LLC Richmond, Town of — CST BM Elev: Insp. BM Elev: BM Description: -C Sectionlrown /Range/Map No: / 13 G 07.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. /OD,75 Septic , c� ��-- / Benchmark 3 , 5 1 Dosing Alt. BM `T cS 3.1 '5'7, Co5 � Bldg. Sewer � 4 -72 - -- 6 s Holding St/Ht Inlet 9 oS TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/4 WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic g t „) — 4f � / Dt Bottom �V /5•Z. 85.55 Dosing q 1/ . 4 �/ Header /Man. '7 3S Aeration Dist. Pipe 5 1 5 clg 3 Z , y 3� Holding Bot. System 3 Final Grade c Z PUMP /SIPHON INFORMATION ' 7 Manufacturer + Demand St Cover (?� � GPM Model Number 3 q 7 TDH Lift Friction Loss System Head TDH t 1 0 L x 1 Ig b Forcemain Length l 1 37Z i t I Dist.to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No O rench PIT DIMENSIONS No. Of P Inside Dia. � -- Liquid Depth DIMENSIONS /6 7 h e � SETBACK SYSTEM TO CJ 1ph BLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of S tem: ZL{ I 13 z ' � ^ ,ILVI— ,f I UNIT Model Number. �— DISTRIBUTION SYSTEM �J /(J Header /Manifold IDistribution / / x Hole Size f I x Hole Spacing V nt to Air Intake 1 \ Pipe(s) �/g 7 5 Z 1 1 1 1 hti a-c Length_ Dia °1 Length LL77 Dia !� Spacing SOIL COVER x Pressure Systems Only xx Mound Or t - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center ( Bed/Trench Edges Topsoil ` Yes 1 No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: U / { I C "I Inspection #2: / i Location: New Richmond, WI 54017 (NW 1J4 SE 1/4 7 T30N R1 8W) Country View Ridge Lot 9 / ��t Parcel No: 07.30.18. 1.) Alt BM Description 2.) Bldg sewer length = S Z4 - amount of cover P 1 Z Yes Use other revis s de for additional in n." o Date Insepctor' Signatu Cart. No. SBD -6710 (R.3197) r a Safety an d Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 — 7162 Sanitary Permit Number (to be filler In by Co.) VVisconsin (608) 2 151 4 7 Department of Commerce State p1anI.D.Number Sanitary Permit Application I Zo 9 (0 In accord with Comm 83.21, Wis. Adm. Code, personal informatio / pro 1 ect Address (if different than mailing address) may be used for secondary Purposes Privacy Law, s15� 4 1 xm) � r 1 n � ��" j� I. Application Information — Please Print All Information ~ RE EIVED P e' LDX Block/! Property owner's Name /�./1�C.G L� ` `� NOV 0 2005 Section Zip Code Ph Property 'on Property Owner's Mail' Address I _ City, State �.QAOW COUNTY ZONING OFFICE (-rcl e ) T3 -a; R ;r, of Building (check all that apply) r� b ( ' 1 - Subdivision Name C M Numbe e Family Dwelling - Number of Bedrooms S� I ❑ Public /Commercial - Describe Use � ❑City ❑Village wnship of / ❑ State Owned - Describe Use III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal rmit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS S stem: (Check all that apply) El Non - Pressurized In- Ground 11 Mound >- 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil -Grade C] Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Tr ent Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leachin g Chamber ❑ Drip Line [I Gravel-less Pipe [I other (explain) V. Dis ersaVrreatment Area Information: Dis rsal Area proposed (sf) System Elevation Design Flow (gpd) Design Soil Application I;ate(gpdsf) Dis ersal Area 12equiretl (sf) � / Site Steel Fiber Plastic Capacity in Total Numbe Manufacturer Prcfab VI. Tank Info Concrete Constructed Glass Gallons Gallons of Units New F�dsting �✓ W ¢� Tanks Tanks Septic or Holding Tank Aerobic Tmatment Umi Dosing Chamber VII. Responsibility Statement 1, the unde i ed, assume responsibility for installation of the POWTS shown on the attached plans. plumller's Name (Print PI s Signature MP/IvIPRS Number Business Plone�� fka, 72-6 Y ov ' Plumber's Address (Street, ity, S Zi Code) VIII. Coun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date ssue lssuin t Si a Stem s Approved ❑ �,enRa, Surcharge Fee) 6c) QS ❑ enial IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: fik and IC1"1 s of ° t-'�= v''` t. 'Septic tank, effluent er d'tn l dispersal cell must all be services / maintained as per management plan provided by pltxrlber. fdj 2. AN 80bwk requirements must be mainta r*d I s• pwappk*ft cads / ordhmtces. 4 ) Owt fe s ,ns, erg ,)ce - Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 inches w sox \,, 1r- \ (OJE JIM SBD -6398 (R.. 01/03) °"'be� , o f .'Ml i ' :7�,.. -+f 1� dE !w. �+ +aSnrs,�r'r � Ie.�r�+ F, +tr�.ns,aa�yr KJ6tlI�N WA .S iSlJtlifllD�O tb0� MQ M Wisconsin Department of Commerce UATION REPORT Page of Division of Safety and Buildings d in accorda �Vith Co:(Bgl), 1/tf C e r Attach complete site plan on paper not less than 8 /2 x 1 ' ze. Plan must County Cr �f X include, but not limited to: vertical and horizontal re rence=i and Parcel I.D. percent slope, scale or dimensions, north arrow, a location ancarest oad. ' C Review by Date p Personal information you provide may be used for secondary Please rint all inf rma r� OUNT p t � 15.04 v (' (m)). D Property Owner ) // Property Location jX - e m— ZJ U _/ h. / Z d Govt. Lot Alb) 1/4 , /4 S T 3 N R/3 E (o W Property rs Mailing AddrKs Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ C. ❑ illage 049 Neares R oad New Construction Use: tSdSesidenfial / Number of bedrooms J Code derived design flow rate J f) GPD ❑ Replacement ❑ Public or mmeraal - D scribe: Parent material 4--y ,� r � Flood Plain elevation if applicable and recom rtdaa `-� dons: 5 S� f- 47 Boring # ring M Pit Ground surface elev. ft. Depth to limiting factor —� —� in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Str ucture Consistence Boundary Roots GPD/If in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 »Ef#2 0 `i 31 Z - 5 rrn S , _4 s, s6 W1 Boring # Bo t Ground surface elev. ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu_ Sz. Cont- Color Gr_ Sz. Sh. 'Etf#1 `Eff#2 v0 1 o Y - /Z 3 / a rr, F c s /, O I L o I F' • Y • 7 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 ` Effluent #2 = BOD _< 30 mg/L and TSS < 30 nVL CST flame (Please Print) Si 06re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 S- 0 -T -- - 715 - 246 -4516 Property Owner _ Parcel ID # Page of Boring # Boring �% Pit Ground surface elev. a ft. Depth to limiting factor in. Soil Appl ication Rate 3 sistence Bounds Roots GPD/fF dox Description Texture Structure Horizon Depth Dominant Color Re Con rY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 2 3 (� F Bor ing # Bori E] pi Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture St ruc t ure Consistence Boundary Roots GPD/(f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Etf#2 F Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit - Sop A pp l icatim Rate Horizon Depth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef(#1 'Eff#2 Effluent #1 = BOD_ > 30 220 rng1L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg& 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. SO"330 (8.6/00) I Soil Test Plot Plan Project Name Country View Ridge LLC Shau ird Address P.O. Box 176 New Richmond Wi 54017 C YK4 #226900 Lot 7 Subdivision Country View Ridge Date 1/20/05 NW 1/4 SE 1/4S 7 T 30 N /R W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron/Nail System Elevation 96. *HRpSame as Benchmark 243' Property Line 50' * B.M. Scale is 1" = 40' unless otherwise 96.5 noted B -1 94.5' 50' 130' B -3 7% Slope B -2 5' 399' Property Line Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 i ■ TDD #: (608) 264 - 8777' i sco n s i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 31, 2005 CUST ID No. 226900 ATTIC• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/31/2007 Identification Numbers Transaction ID No. 1209699 SITE: Site ID No. 704926 Country View Ridge LLC Please refer to both identification numbers, 165 Street above, in all correspondence with the agenc Town of Richmond St Croix County NW 1/4, SE1A, S7, T3 ON, R18W Lot: 9, Subdivision: Country View Ridge FOR: Description: Three Bedroom At -Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1041249 Revision; Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System: At -grade Component Manual, SBD- 10570 -P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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. 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 publication SBD - 10570-P (R. 6/99) "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD- 10573 -P(R. 6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods COnrht of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01181) ". WAk • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the Component area. , ,DE RTMENT Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and N 0 IFTI dispersal are prohibited. c2' ' " SEE CORRE • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. r SHAUN R BIRD Page 2 10/31/2005 • Inspection of the POWTS 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. Stat • Comm 7 83.22 A co of the a pproved plans, specifications and this letter shall be on -site durin construction (1 Qy LP d p s, � and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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. All pen required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11, Integrated Services W SMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 i Cover Page g Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 10 /20/05 Owner:Country View Ridge LLC Location:NW1 /4 SE1 /4 S7 T30 N,R18W Lot 9 Country View Ridge Hammond type: System e: At -Grade Y Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS 01 /81 Page# 1. Cover Page RECEIVED 2. At -Grade Plot Plan OCT 2 4 2005 3. At -Grade Cross SecVFE y & bUILUIi IGS 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contige cy plan a1NGS 9 -11. Soil test AP Shaun Bird -f cor' -fr Signature N License number 2269 'PONDEN PLOT PLAN PROJECT Countrvview ridae LLC ADDRESS P.O. box 176 New Richmond Wi 54017 NW 1/4 SE 1 /4S 7 /T 30 N/R 18 . W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 96.0 3 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark B. M. Property Line Grading is to be done to divert run -off away from system 94.5' 96' ` B- Please note: previous approved design was done on lot 9, but the lot numbers change from when the soil test was done, so everything was wrong for Lot 9, 7% Slope this is the "real" lot nine! B -3 Area 15' below system i to remain undisturbed Well is to meet all setbacks 2 found in Comm. 83 Huffcutt combo tank Tank is to be Pro 3 bedroom properly bedded house and provided with lockdown covers with approved warning labels Property Line 165th Ave L > r J j B ?:5 > r 1 .'T u" -- UPS" 1. k tltsrR nu - rtmwi Lwrf — iLAL " w EA STAgttt ZED O$��[RTtbri 1i�Ei.i i 1 o - >5 1 1 1/6 E3 -�--- i (!2 B A vi. I_ ' {• CELL of A66KE.G.47E. vJ - 2---i— jtf -b SYm Tf#Ent- Fabric � Di Lateral STRa Observation Caper Well � � s ��� j L A `IE2 Pt.av�tED t -- 2 > 5 t t • > A - _ Dian View and dress Sec Lion of Wisconsin At - grada Unit with a Single Absorption Area on a Sloping Site Page Of Distribution Pipe VetAil for Lateral lietwrork A� ce ss a TuRM -uP (Utter owrs) - PVC Force Main PVC 'Distribution Pipe P * Last Hole Should Be Next To I iA"- UP P Ft., Hole Dia:*eter 1 2 1nch X Inches Lateral Diameter 2— Inch Y 9 Inches Force Main Diameter 2— Inches Of Holes /Pipe / invert Elevation Of Laterals �� S' Ft. Signed: License der: Date: T ANK PUMP .CHAMBER CROSS SECTION AND SPECIFICATIONS SEPTIC T 6iE3tTHEfLPROD� yet L VENT PIPE I2" i�IN. ,BOV£ GRADE � JUNCT F APPROVED z Mom DOOM �tINI30#� o R WITH CONDUIT 1'f FAD L CK F. i FitESI -AIR INTAKE rr r WJ PADflC3C F. r7' WAMING L&BEL FIiI }= GRADE �L" NIi_ T s INLET ; GAS- , WATER TIGHT SEALS TIGHT \,/ ppwm SEAL • JOINTS WIT LM APPRDVO PIPE APPOVED $ N 3 O S PIPE 31 �; StR.IB SOIL 13m S(XID j a FT. - FF SOIL PUMP flFF ELEV D 3s* AppROVED BMDING UNDER TANK I CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE _ f'1� NUMB D£15C5 F£It i3P�Y = T ANK HAbrjfACTi3RER: "f TANK SI SEPTIC /lv� GAL. DOSE r�E F LOW GAL - p LOL7$AC3C: DOSE Z� GAL- _ _ r , -, �I INcaEs 1- �' &AI.. °���'�� CAPItCITIES: A - ..._ -_- Auml m^NUFACIVRER U 8 = 2 INCHES = GAL. MODEL I� M8ER -- � SWITCH TYPE: r � {/ " C = �' - INCHES = GAL_ PUMP JFAclvRER s ;MCIiES MOnEL gUtlbEx : � SW ITCH TYPE: l i5, z3 WA C GPM - AL w�� NG As PER ILHR REgITiRE� �ygSCNARGE KATE � V FEET vERTICAL DIFFERENCE �3ETWEEK PUMP of F - AI�B- BISTRI�TIC3i� PIPE ` . ��� LET + MINI3I'. NET opx SUPPLY PRESSURE - FEET f � FEET FORCEMAI,N X FT110D .£�3TALIDYN3 DYNAMIC FEET j ; W DT - 7 D IAMETER _ t- L �?iM£NSIOI $ O RUMP 'TANK -. Li 7 11 INTERXA 4/ ' � � SIGNED. LICENSE NUMBER' DATE = y p TOTAL DYNF,1OiC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 152/153 u MODEL 352 153 i 50 — feet 1 Miters Gai. Lifers Gal. Liters 753 5 1.5 69 261 77 291 10 3.1 i 61 231 70 1 265 12 40 k 15 4.6 53 201 61 231 Ei i 20 6.1 I 4€ i 167 52 197 30 25 7.6 34 129 42 159 z 8 30 9.1 23 E7 33 125 I i 35 10.7 4 -- — 22 I 85 < ?0 -- 4 Lock Volve 38.0 Ft. I. 5M) 44.0 Ft. (13.4.) 1 D masse 0 20 40 60 E0 100 GALLONS i LITERS }-►— 6 1/s —..� 0 $0 160 24 0 320 - 3 27/32 FLOW PER MINUTE 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS ,' I • Timed dosing panels available. 3 2ri32 • Electrical alternators, for duplex systems, are available and supplied with j f an alarm. �~ • Variable level control switches are available for controlling single phase ? systems. I • Double piggyback variable level float switches are available for variable level long and short cycle controls. ! I • Sealed Qwik43ox available for•outdoor installations. See FM1420, Over 130 *F. (54T.) special quotation required. 152t153'tieries' '' 1/g '�' i I I 152M53 MODELS Control Selection Model I Volts-Ph Made !un Sim a� Ou !es N152 1 115 1 1 Non 8.5 1 2or3 W621 115 1 1 Aim 1 8.5 1 included I 2 or 3 E152 230 1 Nan 4.3 1 2 or 3 RE152 230 1 Auto 4.3 Inducted 2 or 3 Nisi 115 1 Non 1015 1 2 or 3 SN153 115 1 Auto 10.5 Included 2 or 3 SELECTION GUIDE E153 230 1 Non 5.3 1 I 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float SF-153 230 1 Aura 5.3 jacuded 2 or3 switch. Refer to FM0477. .� CAtJ4taN 2 See FMO712 for correct model of ElracIIical Alternator E-Pak Au installation of controls, protection devices and wiling should be done by a qualified 3. Variable level control switch 104225 used as a control activator, specify duplex (3) licensed electrician. AO eleddo and safety codes should be followed Including the most. recent Natiodal 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. XAL TO: P.O. BOX 1 5347 j , Louisville, KY 40256 - 0347 SHIP 10- 3649 Cane Run Road F rff, Louisville, KY 40211- 1961http llwww.medar corn / A& 1P (502J 1'8 (800) 928-PUMP r J! v FAxisu2) 774 9 Copyright 2000 Zoeller Co. All rights reserved. pWTS OWNER'S MANUAL & MANAGEMENT PLAN P SYSTEM SpEGIFICATIONS ,�,�� ErLE Il't EORMAT109 Septic Tanis Cap�ty Ar al ❑ NA Owner v e J Septic Tank Mangy _ NA pe(TTgt# Effluent f=ilter M0nufau*trn „Ej�. Q IYA �quent r&r�Model — 0 NA � D�Stts'N P� � • C1 NA o Na Ni betaf Bedco O-'S Pump Tank CapadtY Number of Comrr+erC'W Units c�"Z 21(d Pump Tank Manuttrer 1QA J - av . PUMP t itariufa // ❑ NA 13 VA Deswn f .ow (pew. (� x f.a7 ,5--- acid Pump Model 6-,/ Soll Appacagon Rabe P —mbtrneni u nit e ravel p Peat Filter lrtflcrerrt/�� Quarrty Monthly sveracl p SandlC3 Aeration E3 Wetland Fes, 0 & Grease (FOG) s30 mg p Median II Other. B10d1elriir�l pin Demand (BODs) 5220 mgA C] Disinfek Tots[ � Sorlds (TSlS) 5150 m /L ► er t Qua�Y Monthly average" 1persal StBVltY3 ❑ in-ground (pressurized) Pry Yuen ODD �i0 mglt_ rude ❑ Mound Biochemical o Demand CB S30 mglL ❑Other_ Total Suspended SODds (� ) -<I 0 ` cf�rl100m 13 n e Fecal Corifocrn (geometric mean) vahres=YP� for damesdr- 3� inchdiameter �txnker�luent Maximum Effluent ParWe Size Values types roc preueatea wastewatu- .. MAINMNMCE SCHEDULE Service Frequency Service Event ❑months s) (Ma rimusr 3 yrs.) At least once every of tank volume Inspec c ondition of tank(s) uais one - third (y,J When combined sludge and scum e4 Maximum 3 yrs -) Pump out contents of tank(s) –' p m onths r(s) { At least once every � .-5 lnsped dispersal cell(s) C3 months S) At least once every Clean effluent tilter � C3 mo s) Q HA t�nbra� atartz; At least once every S) 0 IAA inspect pump, PAP ❑ months Flush laterals and Pressure test least onor3 every othw- At least once every Q rssonths ©year(s) CI [VA otlbr_ At least Once every Q months II years) O "NTENANCE INSTRUCTIONS one of the fallowing licenses or wspee�ons cif tanks and dispersal dells shall b� mad by an individual car rying one for POVV� S Maintainer; SepbeBe cec�. Master Plumber. Master Plumber Restricted Sewer, . !nips missing o r broken S pperaror. Tank inspections must include a visual of 0or t i l n of the ge a n d �m for any UP hardwa� Iderift 9M cracks or leaks, measure -the volume of combined sfudg to chests th effluent levels or porArUV of effluent on the ground surisce- The dispersal c ieii(s) shat! i e.nv►s�Y � n PO of SMUW' on the in the ob n Piles and t o check for any ponding of effluent an the g tank volu lion of the local negulatery authorrtY- gro ScsfdOe may indreaW a failing c3ond�n and requires the Immediafe notifica When file combined accumulation of sludge and scrim in any folic equals one4hirld (Y,j or more of the me, the n contents of the tank shall be removed by a Septage Serving OperatDr and of bz aecordan� vrith NR e fire 113, Wisconsin Administra&e Code_ t cornponents; and MnY The Ser+ khq of effluent filters, � s or less shall hanical or pressurized POWTS components, ed b a POVNTS Maintainer. oiherrnatnDenance or monitoring at intemis of 12 month o pletiatl of airy service event A S& ACe repot shat► be provided to the local regulatory authority %*hrn 10 d ayS START UP AND OPERA71ON produc pain 9 ts or other For new oo MMM5on, prior to use of the POW7'S check.treatmelt tank(s) for the P canoenbratduc ails ctter t* that may impede the treatment process and/or damage the dispersal cell(s). If high deWCWd have the contents of the tank(s) removed by ' a septage servfcing operator prior to use. , S n up shalt not occur when �orl "conditions are frozen at the infiltrative surface_ p tanks may flit l power normal highwater tenets. When poer is restored the e=ess gw outages pum +it be discbar+ged too the d� eetr(s) in one large dose. overloadng ray the Celi(s) and n result in the of groat To avoid this situation have the contents of the PEOnp tank removed by a SepRaSe Ser�riarr3 OPer- p�.tfl m5lor'tnG power to the effluent pump ar cantaa a Plurnbez or POWTS Mah'taher m assist ntarlU* operd&V ire p�P ° Q 1 _' f° restore normal revels vriffiin 4fie pump tank arref fardcs and dlspersaf tiffs. Do not drive or park over. or of letwise dlstultr or ootttpaGL Do not drive or park Yehides t h e a= rsrUM 15 feet down slope of X W mound or at -grade soil absorption area_ Redcrdion or errminadon of file following from the wastewater strz am may improve the perfrorma = and prolong ft t� of the POWT& antiblo�c�, baby wipes' cigarette butts; condoms cotton swabs; degreasem; dental floss; drapers; dim; tat 1bwxh.36on draft (SWAP PUMP) Watw_ fruit and vegetable peeringss game; grease; herbidderr, rrreat saaps; avdxcatrons; a* oikong products; pesticides; smvlwy napkiris. tampons; "and water softener brine. brine. vvhen the POWTS fags and/or is permanently -taken out of service the fbllowtng steps shalt tye taken to Insure that the system is propedy acrd safety abandoned in COMPUance with ch_ Comm 83.33, WscoTsin Adnikdstative Code: • Art pIpfng to tanks and pits shaft be disconnected and the abandoned pipe openbgs seated- • . The contents of aII tanks and pits shall be removed and properly disposed of by a Septage Servicing aperatos After permping, all tanks itnd pits shag be excavated and removed or their covers removed and the void space SW y fth soli, ,gravel vranother inert solid material. CONTINGENCY PLAN it the POYYTS faits and cannot be repaired the farrowing measures have been, or must be taken, to provide a code compliant fepb umment system: 0 A suitable replacement 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 e)dsbng and proposed structure. lot Fines and yells- Failure to protect the replacement area wilt 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 tune - Cl A suitable replacement area is not available due to setback and/or soil iimitabons_ sarrin9 advances in PowrS alogy a holding tank may be installed as a last resort to replace the tallied POWTS_ site has not been evaluated to identify a suitable replacement area Upon failure of the POWTS a sod -and site evaluation must be perfiosrned to locate a suitable replacement area. if no replacement area is available a oldumg tank may be installed as a last resort to replace the failed POWTS- Mound and at- grade sort absorption systems may be reconstructed in place following removal of the biomat at surfam Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTAMCES_ DEATH MAY RESULT RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE ADDITIONAL COUNWAT S POWTS INSTALLER POWTS MAINTAINER wame . cC t 1 l Name c j c�w�✓ ( i J SEPTAGE SERVICIN OPERATOR MP LOCAL REGULATORY AUTHORf IY Name r Agency 1 , Phone Phone ca This d= was draded by the stalls of the Q( l.atce, MaMuette and Waushaaa County Zonkrg Mid Sanx - itim 29=1M 'this doamxrtt meets the rnuumvm nvammm cs of aL Carrun 83 ZX2)(b)(1Xd)Xff} aM 83- Sa(1 }. (2) 9 (3). LYiswasin Admlr Oz Code Use of this document 6M not guarantee Ore performance of the POWrS_ Gcwtwtr Safety and Buildings Division County 201 W. Washinaton Ave ., p t Number (to be filled in by Co.) jo Madison, WI 5370 - 71 )&08 6-3 6 -3 � a Department of Commerce an 1. Ntun I Sanitary Permit A lication 119 / on y u p ide Addre (if di Brent than mailing address) In accord with Comm 83.21, Wis. Adm. Dees privacy Law, s1�.04(1)(m) may be used for secondary pmp vrt 1. Appl►cltion Information - Please Pri nt All Information t # Block # parcel # Property Owner's Na e r 1 �� , --- w U t `�`.`� Pro do p owner's Mailing Ad s ` ;�jy s ection J— I�e�✓ tj�' -' Zip Code Phone Number c�rcl on City, state hh n �� N ;� check all that a ly) \/ r S Subdivision Name CSMNumber II. Type of Building ( 4v+ S , Vim or 2 Family Dwelling- Number of Bedr ms !G n ❑ Pub1lcJCommerciai - Describe Use I]City Ovillaga owttship of�/ 13 State Owned - Describe Use omplete line i Iicable III. T of Permit: (Check only one box on a A. Cdin T� Rcplacerltent Only El Other Modification to Existing Sy stem yttem A. 0 Replacement System ❑ Treattnent/Iiol S List Previous Permit Number and Date Issued ❑ Permit'>iiinsfer to New Change of B. PermitRe�newat <] permit Revision pi her Owner Before Expiration = o /Z eck all that a 1 Single Pass Sand Filter IV. T e of POW rS S stem' 4 in. of suitable soil At Grade suitable so Mound ❑ In Ground d > 24 in. of suta ❑ Z 0 Non - pressurized - 0 Aerobic Treatment Unit ❑ Recirculating Sand Filter urized ]n- Ground 0 Holding Tank ❑Peat Filler l�n) Constructed Weiland ❑ I'� 0 Crravel -less Pipe (3 other (exP ber 0 Drip - e Recirculating Synthetic Media Filter C] Leaching CI'an' ea Pro V. Dis e sed (sf) System Elevation � Required (sf) rsaVrrestment Area Information: Dispersal Reg Dispersal As !� ' Design Flow (gpd) Design S °t;App� canon Rate(gpdsf) S F'ber Plastic Prefab site class ufacrtrrer oncrete c Constructed Capacity in Total Number r ` / o � VI. Tank Info Gallons Gallons of Uni New Existing Tanks Tanks f peptic or Holding Tank Aerobic Treann- Unit Dosing Cbwnbet L S shown on the attacbed Plans. e responsibility for installation of the T Business Phone Number VII. Responsibility Statement 1 the undersigned, Mp/MPR,S Number plumber's Si a .�C Plu ame Plumber's Address (Street, City, State, Zip includes Groundwater Date Issued wAg eat Signatnrc o Stamps) VIII. Coun !De arttnent Use On Sanitary Permit F C Approved 0 Disapproved Surcharge Fee) �sl 2� 2 r Denial 1 21 "'�,t3 � S � ,� @� `f'e- 3 -C_ 1X. Conditions PProv SYSTEM OWNER: 1 Septic tank, effluent filhee serviced / rrieintain�d „p„ — ° �'1 �p dispersal cell must all provided by plumber. as per management plan p n must be maintained 2. All setback requirements � c 2S applicable code/ordinances `� �' f as per app /rdinances• ' ' � r x � to stye ! � �}' to the County only) for the system o aper not less _ / o Attach complete plans ( � �Q.J -(ll� � �p � SBD -6398 (R. 01103) ( P� J s vv� KdC�-- r..- 01 7 PLOT PLAN PROJECT Country View Ridae LLC ADDRESS P.O. Box 176 New Richmond Wi 54017 NW 41/4 SE 1 /4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 100.7 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of Survey Iron /Nail ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL H. R. P. Same as Benchmark + Ja Q t' B. M. * 426' Property Line p y kale = 1 /4 = 10 Ex 97th 1 St. Huffcutt Combo ink[ 1 "' B - Pro 3 Bedroom House Well is to meet all Grading is to done to g tbacks found in Comm. divert run -off away from system B' % Slope Area 15' below system is to remain undisturbed qB-2 Tank is to be properly bedded and provided with roperty Line 100' 98' Iockdown covers 99 with approved warning labels OPI G U 2656P 061 774312 �?? STATE BAR OF WISCONSIN FORM 1 - 1999 KATHLEEN H. VALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., NI This Deed, made between Gerald A. Kieckhoefer, Jr. and David RECEIVED FOR RECORD J. Kieckhoefer Grantor, and Country View 09/14/2004 10:20AN Ridge. LLC Grantee. NARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXEWT 0 the following described real estate in St. Croix County, State of Wisconsin (the "Property ") (if more space is needed, please attach addendum): REC FEE: 13.00 TRANS FEE: 1410.60 See attached Exhibit A COPY FEE: CC FEE: PAGES: 2 Recording Area Name and Return Address��� U A 26- 1025-40-000 Together with all appurtenant rights, title and interests. 026 - 102430 -000; 026- 1024-40 - 000; 026- 1025 -3 Parcel Identification Number (PIN) not ho (is) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this 2r4 day of 2004 * Gerald A. Kieckhoefer, Jr. / * David J. Ki ckhoefer * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gerald A. Kieckhoefer, Jr. and David J. STATE OF ) Kieckhoefer ) ss. County ) authenticated this U da of 2004 Personally came before me this _ day of the above named * Kristin Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing • authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Kristin Ogland, Estreen & Ogland * 304 Locust Street, Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) + Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WE STATE BAR OF WISCONSIN 800-655 -2021 WARRANTY DEED FORM No. 1 -1999 r U 2656 P 062 Exhibit A Located in part of the SE % of the NE ' /., the NE '/ f the SE '/<, the W/ Y, of the SE % and the SW % of the NE % of Section 7, Township 30 North�Ran a 18 VI/ of St. Croix, State of Wisconsin described as follbws:l 9 est Town of Richmond, County Commencing at the East quarter corner of said Secti n 7, this also being the Point of Beginning; Thence S00 °37'10 0 E along the East line of the SE'/ of said Section 7 a distance of 880.99 Thence S89 ° 18'S5"W on the northerly line of a Ce ed Survey Map recorded in Volume 73 Page 3752 a distance of 610.00 feet; Thence 800 ° 37'10"E on the westerly line of said Certffled Su Map 428,42 feet (Record 428.50 feet); Thence S89 °�18'52"W along the south fine of the N YY 5E of said Section 7 a distance of 1146,36 feet Thence N00 °33'$3"W 1384,45 feet; Then '/ N88 °57'22 "E 1048.00 feet, Thence N51 0 00'00'E 25 .00 feet; Thence N88 ° 2235 "E 507.00 feet to a point an the East line ti the NE % of said Section ; Thence S00 °40'35bE along $fild East line of terminating. the NE % of said Section 7 a distance of 248. 0 feet to the Point of Beginning and there 1 • i r I . ' s , Safety and Buildings _\ 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsi n `S l a w`n�w•commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerc L 1 im Doyle, Governor L�t�� (>Q Ma P. Burke, Secretary September 22, 2005 f CUST ID No. 226900 ATTN. P Ins f ector SHAL T R BIRD ZONING OFVVECE BIRD P"BING, INC ST CROIX;.COUNTY SPIA 1008 192 NFL AVE 1101 CAR' MICHAEL RD NEW RICHM ID WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPES• 09/22/2007 Identification Numbers Transaction ID No. 1198166 SITE• - Site ID No. 704926 Country View Ridge LLC «'?�, Please refer to both identification numbers, 97TH St above, in all correspondence with the agency. Town of Richmond' St Croix County' ",� NW1 /4, SE1/4, S7, T30N, R18W Lot: 9, Subdivision: Country View Ridge FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual :., Regulat Object ID No.: 1041249 Maintenance required; 450 GPD Flow rate; 24 in Soil um depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 691 -P (N.01 /01), Pressure Distribution Component Manual - Version .0, SBD - 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal lias been CONDITIONALLY A ROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statute$`is responsible for compliance wi all code requirements. 'gr Coil No person may engage in or work atfumbing in the state unless licensed to so by the Department per s.145.06, stats. P The following conditions s /Ib t during construction or installation and prior occupancy or use: DEPARTMENT Reminders C / of Fr a • This system is to be d and located in accordance with the enclosed appro d plans and with the SEE CORRE "Mound Component r Private Onsite Wastewater Systems VERSION 2.0" D- 10691 -P (N.01 /O1) and the "Pressure DiComponent Manual for Private Onsite Wastewater Trea nt Systems VERSION 2.0" SBD(N.01/01). • Per manual cited abo , activities are allowed in the area 15 feet down slope of the comp nent area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • This pressure distribution system is designed with a minim distal pressure of 3.0 feet and a network pressure compensation of 3.9 feet. • The well must be a minim of 25 feet from any POWTS tank, and a minim of 50 feet from the absorption area. chs. NR 811 & 812c • 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 POWTS 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. Stat • Comm 83.22(7) A cony of the approved plans specifications and this letter shall be on site during construction and open to ms ection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1), • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, [75.00 ee Required $ 1 ' C ee Received $ 175.00 alance Due $ 0.00 Charles L Bratz POWTS Reviewer 11, Integrated Services WiSMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi, us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 • PLOT PLAN PROJECT Country View Ridae LLC ADDRESS P.O. Box 176 New Richmond Wi 54017 NW 1114 SE 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 100.7' 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none IL BENCHMARK V.R.P. Top of Survey Iron /Nail ASSUME ELEVATION 100 , Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark B. M. * 426' Property Line p Y Scale = 1/4" = 10' 97th St. Huffcutt Combo Tank B -1 Pro 3 Bedroom House Well is to meet all setbacks found in Comm. Grading is to done to 83 divert run -off away from system B-3 9% Slope Area 15' below system is to remain undisturbed i B-2 Tank is to be properly bedded and provided with roperty Line 100' 98' lockdown covers 99 7 ' with approved warning labels I i r 'Resigner No r Date Non -Woven Filter Fabric 4" Observation Pipe Perforated �DisiribuliOn. Pipe Below Filter Fabric ; ASTK C -33 Sand Topsoil ` ` � _ o-- slope fled Of Force Main ` \_Fl owe d From Pump Layer Drain Rock E CrcSS Section Of A W-0 nd 'Slfsttm Us F Q� A Bed For The Absorption Area G A ft. 6 j Ft. Ft. J Ft. K Ft.. _. L 7�, Ft. r` W Ft. L 4'Observotion Pipe— "!\ �— E ---------- w l + K r A� Force Moin -------- - - - - -. --------------- - - - - -- Fram PUMP Bed J i2 o Distribution Of Pipe Droin RocK LL I 4 Pipe = �C� Permanent Morker z / •� P i Pe ar Rods Pion View Of Mound Using A Bed For The Absorption Area PAG E� OF_ PerfesateG Q�Ce Detaii EE " d (Perforated i� P P:pc c am- ao �e L� H Locate y Qn 8otrom. o Are £Realty StsQSee C�t�cy /1 1�t�Q1r I jl `' } PVC ForCe Moir �Fl"T 'AaLZ aitxT Yo CartnsC}'�' PVC / Manifold Pipe �G- s� % al's (3i5lriflyl+yn (1 Pipe 1 �i5lribution Pipe Loyouf P <_� Ft -� 0 X Inches 1 Inches Hole Diameter SN, Inch Signed: Lateral " 2 Inches) License Humber: Manifold , Inches_ Date: Farce Main - L Inches of holes/pipe b Invert Elevation of Laterals,,'. 52 t< TANK € FJMP CHAMBER 5£C�`�CN AND SP£CIF ICATit}rt5 SEPTIC TA us= G VENT i�IPE I2=' MIN. ABOVE GRADE � i�EATt!£�PR4fTf JUNCTION BOX APPROVED s _ rRom DOOR. dI flOS 4�t W ITH CONDUIT 1`SPi�iPADL PADL FR d.IR INTAKE W/ �AD3Ax � F f � �: • a WARNING LABEL FjN ; GRADE t L b 7f�' I .... ...^. MIN- , .� � 18" = s INLET f z WATER TIGHT SEALS - �" TIGHT* _ �Qpi�fED fi A SEAL JOINTS WITH f 3 L1 Elk # _ ; ALM A3 01M PIPE APPROVED - � - � , N SOLID SOIL PIPE 3= C ' _ om SOLID FT - -+— or SOIL PUMP OFF El.EY - � L__ —_ D 3a ApPROYF_D BLVDING UNDER TANK �. CONCRETE PAD SPECIFICATI I i'48ER D(3SES ?£R DAY; SEpTZC � DOSE ��� .. TANY MAYJ£AC U ER: 3345E V owmr, ZNCLUDIHC �j �{�� GALS F�BACIC: GAL - TANK SIZES: SEPTZC _ � GAL- DOSE M U c S . J CRPACITi IE5 = A - _ �j �� GAL. AIA mANUrAC*lURER:- g = 2 INCHES -- — 140DEL W149iR: L. SWITCH TYPE; �/ � C = � NICHES = pump �FACIURER s > ��L _ —1-- INCH = l �� , � MODEL llunBER : rtJi � i E J �� ,, ..1 is SWITCH TYPF -= 3'ER I LE1It 15.23 WA( �Ca pUMp £ ALAP-14 'JI}ZIMG AS R.WIRED DISCHARGE MATE �— FEET Z$ T IIISgU PIPE - - VERTICAL DIFFERENCE 33rWE3 14 PUMP C3FF AND - - _F ET + MINIMUM KL -rWORK SUPPLY PRESSURETjI{3i3 - FRICTION FACTOR - - ► s F`££T FflRCF,MAI1 X �flT�,L Yt�i ":IC HEAD FEET MINIMUM { DIAMETER LENGTH / -- FNTERNAL DIKENSIONS Of g33�#? T��K= LI 11D 4A = LICENSE 5 IGNED: TOTAL DYNAMIC 'r'EAD /CAPACITY • PEEL MINUTE HEAD CA°ACITY CURVE EFFLUENT A.ND DEWATERING r„ MODE. 152 MocEL , 153 50 Feet ! Meters Goi. Liters Got. Liters 5 1.5 6a 261 77 291 153 10 � 3.1 1 61 231 70 265 12 40 152 15 4.6 1 53 201 61 231 °¢ 20 6.1 44 i67 52 197 W T 30 25 7.6 34 129 42 154 z 8 30 9.1 23 37 33 i 125 1 o -- _ - 22 85 0 90 40 i 12.2 42 - r 4 Lock VONve: 38.0 ft. 01.6m)144.0 ft. ( 1 3. 4 m )i � Gti50a 1a 1 D 2C 40 60 t?0 100 GALLONS --- LITERS 0 SO 160 ?�r0 320 FLOW PER MINUTE 3 27,/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS ! + • Timed dosing panels available. 3 27 /32 ! •Electrical alternators, for duplex systems, are available and supplied with an alarm. I • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. t ' • Sealed Qwik - Box available for outdoor installations. See FM 1420. • Over 130 °F. (54 °C.) special quotation required. I ! . 72 157J153 Series ' ! 15?1i53 pApp>�1 -S Control Selection Modell Volts Ph mode Amps Sim le: Pu lez -152 115 1 Non 8 -5 1 2 or 3 I at 152 115 1 Aum 8.5 Included 2or3 E152 730 1 Non 4.3 1 2or3 ' 8E152 230 7 Auk 4.3 Included 2or3 -153 115 1 Non toy 1 2or3 SELECTION GUIDE ON1531 115 1 Auto 10.5 Included 2 or 3 E163 ?30 1 Nor, s3 1 I 2 or 3 1. Single piggyback variable level float switch or double piggybackvariable level That 8E153 2� 1 Aura 5.3 Included 2 or 3 switch. Refer t0 FMO477. s1. cAUnoN 2. See FM0712 for correct model of Electrical Alternator E - Pak All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most. or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.o, BOX 16347 Louisville, KY 40236-0347 j SHIP T0: 3649 Cane Run Road D Louisville, KY 40211 -1961 JaU'T rPuuas swa smf LW (502) 778 - 2731.1(800) 928•PUH1P httPrllwww=e(1er.com FAX {502)77b -3624 © Copyright 2000 Zoeller Co. All rights reserved. page or PLAN NER'S MANUAL & MANAGENC� T noNS QOWTS 01N SYSTEM SPECIFfCA septic Tank Capacity at D NA F[LE jNFoR1MlATiOP[ �i ��i fG �C 0 NA o ©u �'l� Septic Tank Mang P went Filter (Vianufacturer ❑ NA . FiterMod� 0 NA eat O'ESftaN P� 5 [J NA u 0 [Va Tank Capac'W Ntanber of Bedr000is � pump . � units ant lfacturer Number Commercial I at(d Pump TSriK M . -r, Q NA Ww (aYeMge) d Pi mp M anu a�ier Estxttta�d ai! I / — 2— Q E�stima� x t 5) J tVlodel /� � R flow 0 ( avd tip P Ram _ p�b,aatment Unit Son aPP t° Monthly average O Sand/GrBvel FUW 0 Peat Filter mfluen�fttuem Quality S30 mg/L- p Mechanical Aeration D Wetland D ether_ Fats,. OR & Grease � G) m 1L isinfeCtion Demand BODs) 5�0 g d D Dema ( rer BiocFlcmi�i din Solids {I"SS) 5150 Mg 1I- Manui`aCtu Total SusPe rear Cer[(s) ressurized) Monthly average Dispe - gro nd (p Efuent Quardy E3 In- ground (gravltY) Moun Pr+ 530 mQ rade Biochemic mean} oxygen Demand (130 s) 530 mgr- �� -ne Q the Total Suspended Solids {e 400mi 0 Feral Cordorrn (g eometric vafnes typical for domestic y inch d iameter V v particle Size re sted wasre�t Maximum Effluen . .� Value typ ical. for P MA-IN SCHEDULE Service Frequency Service Event ❑months r(s) (Maximum 3 yrs•) At least once every eq uals one -third (X) of ink volume Inspect cOndibon of tank(s) When combined sludge and scorn to r(s) (Maximum 3 yrs.) p out contents of tank c _3 s) 0 mo ump nths At least once every ar(s) Inspect dispersal cell(s) At least once every C3 mondss �p months s) ❑ NA Clean e ffluent fitter p t least once every �- controls S alarm �`�` t3 months s) DNA m inspect 1ximp. pup At least once every Flush laterals and Pure test At least once every D months 0 years) DNA °ti' Once every Q months II year(s) [3 NA At react ce-r or te n of the following ricenses or MAIMI E E I MANCNSTRUCTION i Cans shali be made by an individual Carrying one Inspe ctor pbW-S Maintainer. Septage lnspeewns of tanxe and disvessa ResWcWd Sewer, POYYTS Inspe s identity any Miss or bretcen ex+Aitscations Master Plumber, Master Pturtttaer on at the tank(s) m and to check for any back up in., must include a visual In.' com bined sludge and t levels scum Ser+� Opem tior. Tank In aks, measure the volume of combine check the eftluen hardware` iderift arty cracks npund surface - The disper� cell the s) shall be visually m P Of of "'t on the or ponding of effluent on the g ndin of effluent on ground s a tace - and to Check for any po imme notificsr6on of the local regulaflory � in the observation pipes a farTing �and'riion and requires the Imme or more Of the tank volume. the i ground surface may a and scrum in any tank eQLlW one - third (* d di of in 0111ance with Ch. NR When the combined accumulation by �mulation of sludg a Septage Servicing Operator an entire COMenfs o f th tank S t c omponents : and anY 113, Wisconsin Adminisira Code onents, pretrea4men pOWTS Maintainer. The Servicing of effluent fitters, mechanical or p POYI�TS comp per formed by a caerbfied other � of 12 months or less shall be maintenance or monitoring at intetva w Rhin 10 days Of cz7mPi�on of any servicae Brent. A sa report shalt be provi to the local regulatory authority nce of painting products or other START" Up AND OPERATION treatment tanks) for the P� are eo For MW nstrUCWn. Prior to use of the pOWTS check . cells if high Concwtrabons and/or damage the dispersal { ?- ctremiCals that may impede the tr2st kie5 t p �; a septage servicing operator prior to use_ detected Have the contents of the tan () _ ., -.. Page At 'conditions are frozen at the infiltrative surface- System start up shall not occur when is Test0fed the e may fill above nomtal highwater lev �fie els, n P� During t?cw �� Pump �� oeit(s) in one large dose, overioading the �(s) and may result in the wastewaterva be discharged to the dlsper- bagmp or surface crt schaMe of effluent To avoid this sifrration have the contents of the pump tank removed by a O p b j; resWd g power to the effluent pump ar contact a Plum or t'OWTS Maintainer th assisiln oPeraf+ngp con trots to restore normal levels within the pumP tank. not drive or park vehicles over farliss sal cells. Do not drive or park over. or Olhef*ise distiurb or compact and disper QO of mound or at -grade soil absorption area- the =B within 15 feet down slope any from the wastewater stream may improve #fie performance and prolong the Gfe Reduction or etirnination of the following Cg s buds; condoms, cotton swabs; degr�m; dertW floss; diapers; of the POWIS: an6blo6Cs: baby N O W venter, fruit and vegetable peefi igs= gasoline; 9Mase; herbicides; meat d nts; tat: foundation diatn {silmp pump des; sanita ry napkins; tampons and water softener brine. soaps rriedicaDMA; oil; gain8ng products; pe5�` ABANOOI*MENT steps shaft tw taken to Insure that the W hen the POWt"S falls and/or i5 pprrrtanentiy -taken out of service the foltawrrx� abandoned in compliance wfth ch_ Gomm 83.33, Wisconsin Adrninishafive Code: system is properly and n safely ks and pfts shaft'be disconnected and the abandoned Pipe openings seated_ All piping to ta The contents of air ranks and pits shall be removed and property disposed of by a SePtage Servicing Operator. • After pumping, all tanks and Pits shalt be excavated and removed or tfieir covers removed'and thO v $"d space filled wah soft, gravel cr another inert solid material. cormmGE.NCY PLAN e a code if the POWTS fails and cannot be repaired the following measures have been, or must be taken. m provid comprsant reptaoment system p A suitable mplaoement'anya has been evaluated and may be utilized for the location of a replacement soil abso�fion system_ The replacement area should be protected from disturbance and compaction and should not be infringed upon try required setbacks from existing and proposed structure, lot arses and wells_ Failure to protect the replacement area wrfp result in the need for a near soft and site °evaluation to establish a suitable replacement area- Replacement systems must comply with the rules in effect at that time. Q 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 repiaoe the failed POWrS- � site has not been evaluated to identify a suitable replacement area Upon failure of the POWYS a soa and sevaluation must be performed to locate a suitable replacement area- If no replacement area is available a 1ding tank may be installed as a last resort to replace the farted PpWf S_ following removal of the biomat at and at- grade soli absorption systems may be reconstructed in place tfie irt8ts�ratfire srsrface. Res�onstsuons of such systems must Comply with the rules in effect at that time_ cdYARNIN©> SEPTIC, PUMP AND OTHER TRFATM� TA NKS MAY CONTAIN LETHAL GASSES AND10R INSUFFI EAT1 OXYGEN 13o NOT ENTER A SEPTIC, PUMP Olt OTHR E 77ZEATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL. COMMENTS POWTS INSTALLER POINTS MAINTAINER Name L qvw �4, Nary a- t,►v - � i � � ) Phone 1 J = .L �- �� �o Phone SFPTAGE SERVICING: OPERATOR MPE LOCAL REGULATORY AUTHORITY Name f a9encY t v�r J Phone f al j Poona �� � O This mcusnent was Cralisd by the staffs of the Green Lake, &tarquette and Waushara County Zoning and Sanflaition - 111s dt>s mods use minimum requiMMnts of ch- Comm 83- 22)Ch?ttXd)&(0 and 83_`sd(T). (2) & (3), Wisconsin Adrn NsU2&e Cedc_ Use of this document d09S not guarantee ft performance of the POV%rrS. GMw(�i1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address b c� ✓`�i ` ��" Property Address (Verifi ation required from ng & Zoning Department f n w construction.) City /State Parcel Identification Nu er LEGAL DESCRIPTION O Property Location La= '/a , '/a , Sec. , T v N W, Town of / Subdivision �a" 'y ,Lot # _z Certified Su Map # , Volume - , Page # - - Warra ty Deed # - q:7 � 3 Z , Volume , Page # 0(0 Spec house yes )no Lot lines identifia a yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ' z A del SIGNATURE OF APPLICANT(S) DATE * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) 0 2 o A. . . � /ƒ 2 z E � \# n f o o ° § « E ; E ( E % \ ƒ $ G 2 • ° - ® © ° c o . . C a) \ CD ) « $ e § %_ § ( R $ a \ 2 O g ( % E E CL K § A ' D K © % \ / § / % § 3 \ _ $ g lot ( ® / ) § / \ \ a g o CO) a« �. M M M E �. z 0 00 z & 2 § 2 0 / R \ ■ ■ ■ c { ° / ° / \ % L / z i D & z z c e > > o w S / § { o � "w. 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