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Wisconsin Department of Commerce JUIL tVALUA l JUN Ktl'UK I Page of • Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County . Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference paint (BM), direction and Parcel I.D. percent slope, scale or dimensions. north arrow. and location and distance to nearest road. Please print all information. Reviewed by Date Personal inbmabon you provide rrray be used tar secondary pugxms (INWacY Law. s. 1 rs04 (1) (m)). rt Owner I y Location Property ' �._s E �`` � I �= �'; I Lot �^ 1/4 1/4 'S, f T e N Rle E (or& Property Owners Mailing Address of # Block #1 Subd. Name or CSM# ct v3 City State Zip Code ! Phone Number City ❑ VOW QTown Nearest Road lit ti (J'New C instnlckm Use: 113"Residenbal / Number of bedrooms 3 Code derived design Dow rate ,� c D GPD 0 Replacement ❑ Public or commercial - Describe: Parent material ?Z LL Flood Plain elevation it applicable .f� /!ri .. 1t. General comments = and recommendations: W AAPP *V AAZA 7d r¢440k i roc.Z10 P .rrOVF cL�f'�,e 1 lass /, Borg � ❑ Boring 7.� ®y�D [ pli Ground surface elev. f�/ 65' tL Depth to turuting factor Y9 in. Sry Application Rate Horizon Depth Dominant Caton Redox Description Texture Structure Consistence Boundary Roots GPDJW in. Munsell Qu. Sz. cant color Gr. Sz Sh. 'Eff#t 'Eff#2 — � Av p t/we O I/,- F—I Boring # ❑ tag ❑ pit Ground surface etev. R Depth to Writing fader in Sad Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& in. Mknsell CkL Sz Conn Color Gr. Sz. Sh. 'Eff#1 'Eff#2 • Effluent 01 = BOD > 30 < 220 vnWt and TSS >30 _< 150 mWL t_#2 = BOD, ! 30 i gll. and TSS < 30 m811 - PT Npne (Please Print} CST Number Address Fogerty Plumbing & Perk TiA ting Date Evatuabon Caid'� Telephone Number � � � 7is = s - 9�t 28288 McKenzie o — II ti a � S i v VoN 00 OOD n �oo� � Ir 81676 SgFt / 1.88 Acres 96094 SgFt 2.21 Acres 389 SgFt / / I I / -- 84507 Sg6t I � 50 Acres / -' // / /// 1.94 Acres je 40 9 b CV Ile 84271 SqFt yg .� / / • '1' /g'y QQ ti zl� 77915 SgFt y o$ / 1.79 Acres loe • 73889 SgFt -'�• j, / ► / 1.70 Acres / • /. k Q / �� 69266 SgFt lb '0 /'� O Nlk 1.59 Acres s�F "I'l A 33 - E 79566 SgFt .� "4y'� / ► mFe0 / / 1.83 Acres 0, 700. 7 00. Ir LO i 80333 SgFt \ 1.84 Acres 8 '9 \ , •' i • �/ s \ ►� �sx t Ilk PAGEaOF_' NAME ALP- �,a LOT# y3 LEGAL DESCRIPTION - LO f k[ W X S 1 T 3a N.R. E.(orX�) SCALE: I"= �G - -- --- - - - ----, BM I ELEVATION BM 1 DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION j a p y c- SYSTEM ELEVATION q:71 Q ALTERNATE ELEVATION N / CONTOUR. ELEVATION 7 30 • 3% y Ck � q J' 0 SIGNATURE DATE is, �•j c d � County Sa J wW 201 W_ W=Wngt= Ave., P.O. Boar 7162 *!scos*sM . W 53707 -7t62 s niuff y >emakNomAw(so be Ma in by co.) Department of Commerce (6M 266 - 3151 2, Sanitary Permit Application Sw IMM W. W A In mwd vn& Comm x321. Whr Adw code, petaoni afatmaGon ym pdr,dde may be ow d ow xmmdwy parposes PdVMT - !! hujal Address f¢ fbfm address) L APPNXRUM 10faMartioa — Please Pfiimt Aa 1 PropaWowner's Na me A PR 2 Paod 1 Lot Block It zd O.�"tl.E/rs,rt� ST.CROIX NT1" property owner's M =Twig Ad&= ZONING OFFICE Rah Lacatrao U. wAiz A 44-,C- / _ 1 A . 6 A,Scction s y aty, Steno Tip Code Pboae: Noatfier rctt o 6 7 is- 7Lv- � (� N T 36 N; R, E - U TRw of B611114mg (cbwk oR mac affil►) dame cSM rrwmba (t7 1 or a Family DwRiaa — r of Hedrooaas 3 7W 3 8 e O PWidComm=W - Dewribe tlae O slaws Owned - Desale use Ly sa� GE'LG� i �-1 � -tS -�- -�� �y � � III. Thw of ftwit: (Cb=t a* aae Iboat an Nw A. Complete Nme R 1f gVACMW A. & sy stm O RWbwweat Sysfern O T=* Replaoea cw oaty O 0dw Mammalian to Edswe System B. O Pen=h Reoewat _' O petaret RevW= ❑ Gwgge of O Pamir Tva� to New List Pteriaas Pr it Number and nape Issued Bef re Em iraom N PbwAw owner - rv. of POWTS Sygem (cbetk aN mac - B'rion - Preswrmed ft.Q d - O Mowd > 24 im of sable son O Mo and < 24 hL of =&*k will O Ac Wde O Sa ioe pass S;w d 1Per O eon wwod WedwA O Primed In4m=d O HoWmg Tank O pmt MW O Aerobic Tramcar unit O Rawda6ng Smd Fiber O Rt==WaMXSyv&cfic Media Fiber % O DdP Lae O G Pipe O tfer (ems) V. Area Informs 3 - i 7 3` � l� Raw (ice � Sad (st) Dhpaa l Area Propwed (sQ 5yskm Ekvados c- C a_ y ,x Y y Sa Z - x - - 3 3 5' Cs VI. Tank Info Catty is T Psebb Sine Steel Fier Plastic Galloas Gam of uaft Cmcrefe Construcood Glass tietr Fxbft Taafs Talks G sepia dM ✓ Aerobic Them me pair °odig Chwober — and evezar ✓ VII- RespoodU j Sit- L dw wwknign4 ar<saeme far iaslamtion of the POVIM sbawa an the auseW plam Plambrr's Na = OWW Si Mofte SRS Norabrr Buskns Pboae Ntwobw //per 7/3 = �.�5 = Q�O� Pbmber'a AWc ss (sweet. csri. Cok), ,C ,�I.0 ,G1' /_ yon - 3✓® Fogerty Pknnbklg & Pwk Testes s — 37 AWma t "Woo 1 1180 1 saalbry P . , Fie (ocloft Gtanndwow o hood S" ) Smdmrge Foe) 2r9 p O owner Gives Reason for DMW UL conItiofas of far Insappmvid nzct. f 7 �rsal STEM QAIVN R: �' /yt 1 e he tank a p ffiuent filter and cell Must dispersal us all be serviced !maintained as per management plan provided by plumber. I.v7 Sf/sjol 4t-�_ • ?. All setback requirements must be maintained Sd Mat cnWkft then to do coway owW ibr an ohm m pow not =12 s 11 iachn bm awe f. L n A- �,�� - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPOR Sanitary Permit No: (ATTACH TO PERMIT) 453162 0 GENERAL INFORMATION > State Plan ID No Personal information you provide may be used for secondary purposes (Privacy yaw 45.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: , Oranzo Oevering Homes I Richmond Township 026 - 1147 -43 -000 CST B lev: fnsp. BM Elev: J BMDescr'p } ion: Section /Town /Range /Map No: /0 U � -D /10 j N ip 1,,,.,, 24.30.18.1101 TANk INFORMATION ELEVA10ON DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS - ELEV. L . 9 m i n e �- -- )a') Septic Ben mark Dosing Alt. BM Aeration Bldg. Sewer ,� 99.53 Holding St /Ht Inlet r 77, 87 TANK SETBACK INFORMATION SUHt Outlet 4 1 79 S� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ' - 77 Septic ��) f 1 /Jr(�f Dt Bottom 7Z- 1 -51 7 -3 �Z Dosing (, 7S6 / f J Header /Man. Z • J& Jul . LS Aeration 7 Dist. Pipe AV , ZSJ Holding Bot, System 6P S 99.5 z •`i /�. �� �/ j Final Gra PUMP /SIPHON INFORMATION /66 • ZS ,,� Manufacturer DemYnd St Cover r � �} ti nv S GPM Z •24 �6Z Model Number o 34-4Q, & r 16p, a TDH Lift Friction Loss System Head TDH Ft Forcemain Length 1 Dia. / Dist. to well > 3 SORPTION SYSTEM G� BED/TR H Width - Length / No. Of TLenche PIT DIMENSIONS No. Of Pits Inside DJa. Liq Y Depth SIONS /�. �V i jJ � `��►� SETBACK SYSTEM TO `1 t BLLDG IWELL LAKE /STREAM LEACHING Manufacturer• INFORMATION CHAMBER OR Type ystem: Zt I / UNIT Model Number: aJ DISTRIBUTION SYSTEM C 9� S�•,Q�Gh Q� Header /Manifold ��, Distrib PO I / x Hole Size , x Hole Spacing Vent to Ai Int e Length . Dia L 1Z Spacing � ' 15 dd Q SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx es COMMENTS: (I nclude Mulched Bed/Trench Center Bed/Trench Edges Topsoil _✓ 7z \ Yes No 4 No In code discrepancies, cles i n ' , persons present, etc. ) Insp ection p ! i ( � / jq / Inspection #2: / � p ection #1: � p Plate aK . Location: 1413 146th Unknown (NE 114 NW 1/4 24 T30N R18W) ichmond Me ows Let 43-- LL Pa c ,/,&30.18.1101 1.) Alt BM Description = ` �'° C�- S e J e,1.c, I ` `a� � f71 2.) Bldg sewer length = P�,a. ^— a_ - amount of cover o, Plan revision Required? Yes bed ti7 Use other side for additional Information. No SBD -6710 (R.3l97) Date Insepctor's gnature Cert. No. Page 8 of 8 Site Plan For: Richard Nelson Lot 43 of Richmond Meadows Sub. SW1 /4 -NW1 /4 Sec. 24 T30N -R18W 146th Ave Richmond Tnsp. - St. Croix Co. 0 20 40 Graphic Soak (7 1 Inch - 40 & Proposed 3 Bedroom Home BM #1 0o�^�� BM #2 Proposed 4 "Astor 3034 ^. PVC Pipe 0� Proposed Weeks Proposed 2" Concrete 1000 gal. Septic Sch.40 Force Main w /Zabel A -100 Filter 4% Proposed Weeks Concrete 800 gal. Dose Tank ,�!� Proposed 4.5x100'Mound Cell 0 w/a System Elevation of 9 7.80' 97.50' 97.00' �b� 4 ,x Top of 1" PV� HRP = Same 1.93 Acre Parcel ASSUMED ELEV. = 100 BM #2 = Top of I "PVC Pipe Elev. = 99.40' COPY Wisconsin DF;partment of Commerce SOIL EVALUATION REPORT Page of 3 Divisivn of Safety and Buildings in accordance with Comm 85, Wts, Adm. Code County ! Attach complete site plan on paper not less than 8 112 x 11 Inches in size. Plan must U/ ' irtciude, but not Flmited W. vertical and horizontal reference point (BM), direction and Parcel 1_D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 006 7-'1f 3 -' GXZ Please print all information. R by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 16.04 (1)(m# Property Owner Property Location GovL Lot 114 N 114 S 2� T 50 N R (p E (or)9J Property Owner's ailing Ad ress Lot # Block # Sub'- or CSM# . x 22 3 I rV_) 5 City State Zip Code Phone Number C] City 0 Village ®.Town Neareqt Road _b Qy LK I MM 135 ( S m . New Construction Use: jjp Residential 1 Number of bedrooms Code derived design flow rate yso C10 GPD ❑ Replacement rr ❑ Public or commercial - Describe: Parent material — � 1 _ Flood Pla in elevation If appli�cab�lee ft. General comments s y 5 f e vn e l -P- V 9 Q w/ P• s _ _ and recommendations: Cc n -k u lr 4 eU 7 7. 3o O � 2 002 2 4- r- -l2 �d zo a { Boring # ❑ Boring ® Pit Ground surface elev. (] l �. q0ft Depth to limiting factor _ in_ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Elf #1 'Eff#2 F _1 Boring.# El Boring F I& pit Ground surface elev. ' 7 /. �(� fL Depth to limiting factor in. Sa'I AppllcaUon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft' - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 z I Z- l a Iff � s� �( C 3 R - T f TIM C2 e - ) . .5 4 r y q 5L -- ' Effluent #1 = BOO > 30 < 220 mgtL and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 fngll. and TSS < 30 rng/L CST Name (Please + Print) Signature CST Number c� �G kU v v 2-1 3 Address Date Evaluation Conducted Telephone Number S SGT 7 is- 7 -Yu�� SBD -81 (R07100) I - d 96ZSSE9S I L I 9N I awn Aid3903 dot? : GO i3O Le -idd rL— parcel l0 # Page � of Property Owner 3 Bom,g o Boring 1n � � / . e�oR. e limiting factor �_ Soil /�►pPliApplication R t Ground surface etev. Dpth to ,._. -- Texture Structure Consistence BourrdarY Roots GPDlttz Hor�zoa DeP� DW*wA Color Red= Description► 'EMI 'Eff# Qu- Sz Conl Color Gr. SZ Sh in C t o -ti Si cl s c — .'� 3 �O C t L ❑ Boring ;n Boring # ❑ e n De to 6mitmg factor soa ApplitaBon to Texture Structure Consistence Boundary Roots GPDftIZ Hogbm Depth D Gotor Reckm D� •EM 'Et in. Mansell au. Sz. Cont. Color Gr. Sz Sh. Q Boring # ❑ Boring Ground s eWv ft. Depth to urniting factor in. Sod Apptica ❑ Pit flu. Roots GPDlftr Texture Structure Consistence Boundary Hiot¢on Depth D m>tnam Color flu. S7- Cont- Cd or Gr. Sz Sh. 'Etf#1 '► f2 i Munsetl Coal ol • Effluent #1 = 801.7 > 30 < 220 mglt and TSS >30 < 150 mg/l Effluent #2 = BOD < 30 mg/l_ and TSS < 30 mgN- is an equal opportunity service provider as e 26If6- -31 need assistance t�8777 servic or The Department of Commerce need material in an alternate format, please contact the departing Sao "O OL97 ) z • d 99eSSE9S T L l 9N I awn Aid3903 d6Z : 60 10 LZ add • - x PAGE LOF NAME /� �`=� LS2T y L . , A3 _ 5C.�1 X V W Y , S 7- T SCALE. 1 ., _ 4(0 - BM 1 ELEVATION BM I DESCRIPTION -1ko r BM 2 ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION ALTERNATE ELEVATION CONTOUR ELEVATION �z _ 4 SIGNATURE ATE y — o� C - d 9BZSSC9STLT AwN�awnid AiN390� d b0 LZ -add Safety and Buildings Division C ty W. Washington Ave., P.O. Box 7162 �' a►� iseonsin Madison, W1 53707 - 7162 Sanitary Permit Number (to be filled in by go ZOl W Department of Commerce (608) 266-3151 1 / g .3 Z Sanitary Permit Application UPAID State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide mr/D may be used for secondary purposes Privac Law, s15.04(1)(m) Project Address (if different than mailing address) ar I. Application Information - Please Print All Info 'on" Property Owner's Na me M ,� `� Parcel N Lot # Block # lv3 - Property Owner's M ailing Address ` Property Location 363 SCl6WAWAE X- 000 1A, ✓w/ 'k,Section City State Zip Code Phone Number [Tu vt/1' .5 �l r'O �._ p o (circle o ) _ H. Type of Building (check all that apply) T 3 4 N; R4�E - iI or 2 Family Dwelling - Number of Bedrooms 3 ` L r_ _ �'�G�tiy. Subdivision Name CSM Number ❑ Public /Commercial - Describe Use 40— ❑ State Owned - Describe Use �w�,yb (Nti �, ��'�( C/ ❑City_Willage []Township of ,er�I,C,R�j� III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A- ieNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal t Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner , z P� vy IV. Type of POWTS System: k all that a ❑ Non Pressurized In- Ground L Wmoud > 24 in. of suitable soi ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area oposed (so Sys . Y YXV VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Plastic Gallons Gallons of Units LJf��L Concrete Constructed Glass New Existing Tanks Tanks .7. / r4orX V //0 Septic or4tok ing4ank Dosing Chamber — mv 1 P AW w // VII. Responsibility Statement- I, the undersigned, assume respon' i slity for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plum 's Si cure MP/MPRS Number Business Phone Number 71f— Plumber's Addre ss (Street, City, stdie, Zip Code), fl _ t - / o:; Fogerty Plumbing & Perk Testing < s — O —17.? 7 VIII. Co C1 ApprovedS ¢14r a� &M01 Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial / IX. Conditions of Approval/Reasons for Disapproval G' TEM 0 R: 1 eptic tank, effluent fliter and f - ` dispersal cell mus' e!! r, s ry cod / maintained _ as per management elan provided by plumber. 7� //D u 2. All setback rei; air: inu�;t,, must tea maintained J as per applicaoie cone /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size Safety and Buildings 10541 N RANCH ROAD commerce HAYWARD WI 54843 TDD #: (608) 264 -8777 i �� www.commercestate.wi.us /sb � e of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 12, 2004 CUST ID No.224059 ATTN: POWTS Inspector ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/12/2006 Identification Numbers i Transaction ID No. 996040 SITE• Site ID No. 683056 Oevering Homes Please refer to both identification numbers, 146TH St above, in all correspondence with the agency. Town of Richmond St Croix County SW1 /4,'NW1/4, S24, T30N, R18W Lot: 43 FOR: Description: New mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 956663 Maintenance required; 450 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101) p.O •VV The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes COYLdi - I and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Aki. t � chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. PA NIENS No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, SAFE scats. -� The following conditions shall be met during construction or installation and prior to occupancy or use: SEE CpRRF General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • 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 component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • The tank access openings shall be per Comm 84.25(7). • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. i KEITH E STONER Page 2 5/12/04 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources fc well setbacks and exceptions to the setbacks. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. S' ly, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, at Services WiSMART, Coder: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Richard Nelson Mound Owner's Name: Richard Nelson Owner's Address: P.O. Box 10622 White Bear Lake MN 55110 651 - 748 -0488 Legal Description: SW1 /4 -NW1 /4 Sec. 24 T30N -R18W Township: Richmond County: St. Croix Subdivision Name: Richmond Meadows Lot Number: 43 Block Number: NA Parcel I.D. Number: 026- 1147 -43 -000' Plan Transaction No.:` Page 1 Index and title F, �MM Nrs Page 2 Data entry aNO Page 3 Mound drawings Page 4 Lateral and dose tank S ��CE Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications ,r Page 8 Plot Plan !/►v Designer: Keith E. Stoner . ,NSCONSjN tnse Number: Designer# 1575 -007 Date: 04/28/04 .••''�••''••., P4a6 Number: (715) 653 -2324 KEITH E. STONER Signature: . 1575 Siren, esic,;., a d'at'to the` Mound Component Manual fo�D6- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of I�,� lbution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 % coliform of - 36 inches. 450.00 Design Flow (gpd) 2. 97.30 Co==Ele vati�(�) ,E►� `' e 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.00 1 Dispersal Cell Length Along Contour (ft) = 4.50 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution I Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 2.25 Lateral 9( ) Sp acing ft If N above, enter the elevation (ft) P 4 Number of Laterals of the highest point. 5/ 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 7.03 ft /orifice 2.00 Forcemain Diameter (in) '31 25.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 4.08 Forcemain Drainback (gal) 8.30 Vertical Lift (ft) 62.81 5x Void Volume (gal) 0.63 Friction Loss (ft) 66.89 Minimum Dose Volume (gal) 13.48 Total Dynamic Head (ft) 34.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weeks C oncret e IManufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 805.121 Dose Tank Capacity (gal) JZabel Filter Manufacturer 21.761 Dose Tank Volume (gal /in) IA100 Filter Model Number Weeks Concrete Manufacturer Project: Richard Nelson Mound Page 2 of 8 Mound Plan View t 1/10 B • Observation Pipe '�' : J FK f. -� A W : . � t. . I L Mound Component Dimensions Down slop toe extension made. A 4.50 ft E 7.08 in H 1.00 ft K 6.95 ft B 100.00 ft F 9.25 in 1 6.75 ft L 113.90 ft D 6.00 in G 0.50 ft J 5.01 ft W 16.26 ft 450.00 (ft) Dispersal Cell Area 1 1125.00 (ft) Basal Area Available 4.50 (gpd /ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.57 (ft) --� 2 S F ::' 98.30 (ft) Lateral Dispersal Cell 97.80 (ft) — Invert Dispersal Cell .D t Elevation E 1 1 i' i i -i ; _ _ . - - 97.30 (ft) Contour Elevation 2.0 %Site Slope Geotextile Fabric Cover Shading Key c. T Dispersal Cell See lateral details on 10 _ Topsoil Cap °L 1.5 ft �a�.• .a _ Page 4 for number, size, Subsoil Cap w c 4 �, ;; and spacing of laterals. o'4' a Laterals are equally ASTM C33 Sand o:. F Tilled Layer d 0.5 ft Typical Lateral spaced from the c a v 0 55 Q Aggregate ] distribution cell's „ . -� centerline in the A * distribution cell (AxB). Project: Richard Nelson Mound Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical i P s •= Turn -up wlball value or IE- X— _IExt2 I x12 +1 Laterals & Force main of PVC Sch 40 clean out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 5 ' Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) ft Orifice Density 7.03 ft /orifice Lateral Flow Rate 8.62 gpm Manifold Length 2.25 ft System Flow Rate 34.46 gpm Manifold Diameter 1.25 in Total Dynamic Head 13.48 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and �— sealed watertight [ : Electrical as per NEC 300 and —► Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented Alternate outlet location Forcemain diameter Weeks Concrete Manufacturer 2 in. Cap acityl 805.12 Gallons Volume 21.76 gal /inch A _ Weep hole or anti - Dimension Inches Gallons B siphon device A 19.93 433.59 C B 2.00 43.52 P ump off elevation (ft) C 3.07 66.89 90.00 D 12.00 261.12 D Total 1 37.001 805.12 Doe tank elevation (ft) 3" Bedding un -r tank. 89.00 Alarm Manuafacturer IS. J. Electro Alarm Model Number 1101 -01H Pump Manufacturer JGoulds Pump Model Number 1#3871 EPO4 Pump Must Deliver 1 34.46 gpm at 13.48 ft TDH Project: Richard Nelson Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri County Sanitation Phone (715) 386 -0114 POWTS Regulator's Name St. Croix Coun Zonin Office Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl inspect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • ............. ............... Grade \ 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve . Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Richard Nelson Mound Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fiter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Richard Nelson Mound Page 6 of 8 Page 7 of 8 XGOU L DS PUMPS Submersible Effluent Pump � EPO4 3 871 -. - EPOS APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction, following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Canadian Farms manual operation. Auto- resistance. Siandarch • Heavy duty sump matic models include 0 Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mechanical Float Switch for efficient heat transfer, in "C" or "F ".) • Dewatering assembled and preset at the strength, and durability. factory. Galls is ISO 9001 %9IsWBd. SPECIFICATIONS ■Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 14 " maximum. ■ EPO4 Impeller: Thermoplas- x P o wer Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 '12" NPT. seal protection. • Mechanical seal: carbon - rotarylcera mic- stationary, BUNA -N elastomers. • Temperature: 104 (40 continuous METERS FEET 140°F (60°C) intermittent. 10 • Fasteners: 300 series stainless steel. 9 - 30 5 GPM • Capable of running dry without damage to 8 zs components. 25 a 7 W Motor: 6 20 • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 5 RPM, built in overload with >. 15 automatic reset. a q EP05 • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with P automatic reset. 2 • Power cord: 10 foot s standard length, 1613 S1TOW with three prong grounding plug. Optional 20 ° ° 0 10 20 3o qo so o foot length, 1613 S1TW with three prong grounding plug 0 2 q 6 B 10 12 m' /h (standard on EP05). CAPACITY Go ul d s Pumps C 2001 Goulds Pumps <& ITT Industries Effective May, 2001 83871 Page 8 of 8 Site Plan For: Richard Nelson Lot 43 of Richmond Meadows Sub. SWl /4 -NW1 /4 Sec. 24 T30N -R18W 146th Ave. Richmond Tnsp. - St. Croix Co. o so 40 G-phia (F-0 i inch - 40 R Proposed 3 Bedroom Home BM #1 BM #2 Proposed 4 "Asim 3034 PVC Pipe i Proposed Weeks Proposed 2" Concrete 1000 gal. Septic Sch.40 Force Main w /Zabel A -100 Filter 4% Proposed Weeks Concrete 800 gal. Dose Tank Proposed 4.5x100'Mound Cell w/ a System Elevation of 97.80' 97.50' 97.00' B #1 Top of 1" PVC Pipe HRP = Same 1.93 Acre Parcel ASSUMED ELEV. = 100 BM# 2 = Top of I "PVC Pipe. Elev. = 99.40' I r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page � of 3 Division of Safety and Buildings in accordance with Comm 85, Wis.' Adm. Code County r U/ Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must J 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. 006 � - - 1 f 3 ---6uZ Please print all information R w by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - f 11 d Property Owner Property Location,/ C Govt. Lot 6 W 114 Nkk)1 /4 S 2 T Jv N R E (or)@ Property Owner's ailing Address Lot # Block # Subd. ame or CSM# &x. Z2 3 p s City State Zip Code Phone Number E] City ❑ Village ®.Town Nearest Road Effi 51 0 ) - ? m � �. R New Construction Use: IP Residential /Number of bedrooms 3 – Code derived design flow rate CJ O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material �! Flood Pla elevation if applicable J QyFn ft. General comments s y5 f e y✓1 e� e 1j 9 7�- y0 w` a• �-� `� and recommendations: 0Ov1 U e, 2U 3d –/7S I 2 2002 // t� 6 u Lb T �/Z -,da W . CR c ZON F Boring # ❑ Boring (� pit Ground surface elev. % Depth to limiting facto 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 51 c 2 I ; r - ) 5 s I c S 1. Fz-1 Boring # E] Boring L � 7 �/ Ej , pit Ground surface elev. / (l ft. Depth to limiting factor 3 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 Z 3 Z S' I 2 rr) �r- c s �' J 2 1 2 - 2 lb- Sic I Z C c y SL zmk — 5 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) ignature CST Number S�Iw Address // Date Evaluation Conducted Telephone Number Z l/ �� �`� S ti S� �✓/ YDZs �/— ©a- -e--/7 -YOoB" S13D -83 (1107/00) 11 l Parcel ID # Page of Property Owner FN Boring # ❑ Boring �j + Pit Ground surface elev. l 7 Ud it. Depth to limiting factor _ in. Soil ApF ation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G ) /ftz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eif#1 'Eff#2 1 Q _ 1 2 1y -33 td - — 51 cl 7rns c 3 tU UP k Boring ❑Boring ❑ # ❑ ft. Depth to limiting factor in• pit Ground surface elev. SAiI App ation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GI /11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ ❑ Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil Appli tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GF ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 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 sery ,s or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. seo-aaao (P.07100) i PAGEaOF_ NAME LOT# 11 /3 LEGAL DESCRIPTION 3W XVWX ,S Z T - -3o ,N,R, / Sr E(orX� SCALE: 1 "= yo 1 - - - -- BM 1 ELEVATION BM 1 DESCRIPTION BM 2 ELEVATION 0 BM 2 DESCRIPTION SYSTEM ELEVATION 6 ALTERNATE ELEVATION N i CONTOUR ELEVATION F 7, 30 i i i GP � 2 I 1- q� o� J' a SIGNATURE DATE �5! /S— co ,1 2 / J Safety and Buildings Division Camty N vi sconsin 201 W. Washington Ave., P.O. Box 7162 mr Madison, WI 53707 - 7162 Sank ary Permit Number (to be filled in by Co.) Department of Commerce (609)266-3151 1 ��3/ '2 Sanitary Permit Application Sow Plan I.D. Number In accord wNh Coo= 83.21, Wss. Man. Code. p� you �� / I IA may be used for secondary purposes Privacy Project Address (Ndithrent dean mailing address) IVFr L Application Information - Please Print All bfwmatiW Property - Owner's Na me A PR d Parcel f rP aorxw ze) o.tv��s. 07 i; Property Owner's M ailing Address Z 0 F F! C F Property Location F 3a�iir. u W /o — / I o City, state Zip cote Phone Number acct .� Z 760 - I B ( II. Type of Bwwmg (check all that apply) T 3O R _E 1 or 2 Fanvly Dwelling - Namber of Bedrooms - �(/ ylp 3 Be- Name CsM Number @7 ❑ PuMidCommereial - Describe Use �� itr✓ S ' ❑ Stem owned -Describe U.-.,- D GEL (S ( IV t 5 - T C ❑City ❑village Wowrabip of M. Type of Permit: (Check only one on liners A. Complete line B if applicab A 9 'Nt w S ystem ❑ Repiaexmem Systems ❑ TreatmeadIiolding Tank Only ❑ ifieation to Heisting S B. ❑ Permit Renewal ❑ Pexmit Revision ❑ f Transfer In New list Before E*ration Pbambtx Owner IV. Type of POWTS em: (Check all that ) - RNon - Presstuized Ia- Groand ❑ Mamd > 24 in of so�Me ❑ Mound < in. of suable mil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland (I Pressurized in Ground ❑ H Tank ❑ Pear Filter Aerobic Trr aornatt unit ❑ Rexireaalatirag Sand Filter ❑ Recirculating symhetic Media Fidler �Leadt g ❑ Drip Lice ❑ Graveldess ❑ other (explain) V. reatment Area InfWraU iion: Design Flow (gpd) Design Sob Application Dispersal Area Rexpaire d (sf) Dispersal Proposed (sf) 3ystern Elevation C yea 2. Z _ 3 .2 l e - 3 o c - a.s' �x a VI. Tank Info Capacity in I T Maim Site Steel Fiber Plastic Gallons of Units Conammed Glass New Existrog Tanks Teaks -- °Ok — Aerobic Treatment Unix O/r1 d Daft Chamber VII. Responsibility - I, the trade sig ma, samaze for instaHatiOn of the POWTS shown on the attached per. Plumbear•'s Na me (Prim) Si gmmee MPIMM Number F7/ saaess Phone Number � = <3s� - prop Pmmbees Addre ss (Street, City. *Cod, V a - 2/D Fogerty Plumbing der Perk Testes Gf /_ .c s 37 him Im Approv Sanitary Permit Fee, cmdudes Cuamdwmer Date Issued A Sigtm we !. ) ❑ owner Given R. for Denial �) I7G Conditions of ApprowM easons for Ikea proval � � a � S STEM 01E'N R: eptic tank, effluent filter and o 3'SZ /J�, f dispersal cell must all be serviced / maintained / �� ' as per management plan provided by plumber. T� Sf/S� -d4 All setback requirements must be maintained _ /> Attach 101P1ete Ptaas (a due Comfy eaW for the an paper ant jess ffisn am x li iuches� in sin Q ffL Fogerty Plumbing #4 28288 McKenzie Rd. Spooner, WI 54801 a (715) 635 -9609 p,14sr • Q _ 2 �®D S�-rl,LscK LZsvE A #Z = 0%4r' Aa- ' i j W o = Fmuy4 CoT CpeNC/c Rod _ II I W = wi > sue' ' ;, w4 c �000 s-W. u� Tests 1 1A'; 7m0 911'1- VaT 0-g-VO. h - Y s y S r • : c - - ff.-7- .p r7-.r' L ,C- 2- '7 dr73 L C-3 �, -. J �. >'/AO!/A//� _ +9E -,roc• a7.r7 - I I C -'( 93_ .S L D 7� �.�T tic �sE. �.wd�• c S 9�x0 I "�> I i I ��c�/�,�" �if ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT 1 / N / / N N N ■ rnrr ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to File From: Pam Quinn Date: 4/14/2004 Re. Soil On -site Determinations for Lots 32, 37 &@ Richmond Meadows Subd. On April 8, 2004 on -site determinations of soil conditions at the above lots was performed to evaluate conflicting soil reports submitted by Adam Schumaker and Shaun Bird. At 11:00 a.m. the weather /lighting conditions were acceptable, with temp. 50 °F, clear and. These determinations were requested by the property owner, Orenzo Oevering and the plumber /permit applicant, Dave Fogerty, who were present during the test pit excavations. Additional test pits were located next to borings on the original soil reports to better compare soil conditions in the tested areas. On lot 32 (see attached description) the soil profile contained massive sandy loams at approximately 36 inches below grade, which does not conflict with the soil tester's recommendation for using an at -grade system. What it did reveal, however, is that both Adam and Shaun likely misinterpreted the structure of the sandy loams: Adam called the sandy loam horizon a "2msbk" and Shaun uses "lmgr ". There apparently has been a misunderstanding between "structure" caused by handling samples of the soil during texturing versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand texture, parted easily into "crumbs" that appeared at first to be subangular or granular in shape. However, these were not true peds that broke apart along planes of weakness , but fragments created by handling. The soil when observed in the horizon did not have distinct units of structure and should have been reported as "massive ". Two test pits were evaluated on Lot 37, since the sanitary permit has already been issued. Due to the current house and well location, additional tested area will be required to meet setbacks to the POWTS. A pit closest to Shaun's B2 did have a sandy horizon as reported, but only to a depth of 60 ", then underlain by a massive sandy loam. Unfortunately, the boundary between the sands and sandy loam horizon was very irregular, with tongues of sandy loam much closer to grade than 60 ". The recommended loading rate for this site would need to be lowered to adjust for varying pore space at system elevation. i Lot 43 had conflicting reports, where Shaun's tested area (near the front of the lot) reported conditions allowing a conventional system and Adam's (closer to the rear of the lot) reported mottling at 32" with a mound system recommendation. Additional test pit B4 was excavated next to Shaun's B3 (see attached description) and massive sandy loams were encountered at 17 inches below grade. Weathered cobbles (break into smaller pieces upon disturbance) and oxidized iron deposits around individual gravel /cobbles were observed in the pit wall, but no mottling was identified to 68 ". Shaun's B3 description of sandy loam with "2mgr" structure starting at 18 ", then sandy loam "lmgr" from 36- 110 ". Again, I think there was a misinterpretation of texture after a sample had been handled. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on -site verifications for any lots with thi potential misinterpretation on the reports. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon was described on the soil report as "lmgr" with firm consistence. The zoning department will have a note placed on all soil reports with this type of description as requiring a design using the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. 3 ,moo 4/3 Property Owner � ��, "(� Parcel ID # Page of F Boring 31 ❑ Boring ✓`—" 9 in. # Pit Ground surface elev. [ S Z ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 8�w All 2 Boring # Vp i' It nn y o y Gr ur`d ssGrtace elev. ft. Depth to limiting¢aoin- Soil lication Rate o Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •EfW i -q <0 V 3 — s l 2 ►� r n, es y i s - s u Le Fo ' re �a n� Q T _ sk! I a Za le Boring # ❑ Boring ft. Depth to limiting factor elev. in. a ❑Pit Ground surface Sal icatiorr Rat e Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD EfF#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. •Eft#1 / , n 4X ji I I /. D > 30 < 220 and TSS >30 1150 mglL ` Effluen 1- O _ B • Effluent # � E The Department of Commerce is an equal opportunity service provider and employee need material in an alternate format, please contact the department at 608 b seae330 pt.woo) Soil TestPlot Plan ,project Name Richard Nelson Shaun dd Address P.O. Box 10622 White Bear Lake Mn 55110 C #226900 Lot 43 Subdivision Richmond Meadows Date 7/1/03 NE 1/4 NW 1/4S 24 T 30 N /R18 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Power Box System Elevation 93.3/92.9 *HRpSame as Benchmark Alt. BM Top of Telephone Box @ 100.0; Scale is 1" = 40' Alt . unless otherwise M. noted 146th AV 10' B.M. 97' 50' B -1 96' 45' 30' B -2 80' 365' 95' Property 9' B -3 7% �a- Slope 9A Dry —S�TZ �✓�� wsconsin Department ofCommerce SOIL EVALUATION REPORT Page _4 A �IM Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel percent slope, scale or dimensions, north arrow, and- (ocatio an d distance to nearest road. Please print all iniorma nC E x e 5 � viewed by Da (\ I Personal information you provide may be used for sec¢ndary purposes (Privacy Law, s. 15.04 fit) (mp. O Property Owner Prope Location �' � Q ovt. of 1! /4 T V N R E (o . W Property Owner's Mailing Address ,r < <�'� ��'U Vr L lock Subd. Name or CSM# FF ICE City State Zip Code Phone / Number ;t El village Town Nearest Road ./ ot ew Consfudion Us esidential / Number of Code derived design flow rate —�� GPO ❑ Replacement or commercial - Descn e: _ _ - -- Parent material s Flo Plain elevation if appli • cab)e _��� ft• General comments /�� ✓ �� � / 3 �� J ./ and recomme ndations: �L�,f��� / /� - EP Boring Se t jZjAjC,1 9 BotirV # � Pit Ground surface elev. ` � / g 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. 'Eff#1 'Eff#2 3. ,� ---- s 4 --F l , 7�ji,,YIY 17 /►�✓ ® Boring # Boring 7 Pit Ground surface elev� Z� 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. 'Eff #1 'E 3 Effluent #1 = BOD > 30 1 220 nvA and TSS >30 ` Effluent #2 = BOD < 30 mg/1, and TSS < 30 mg/L CST NaM (Please Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 "' `—) v 715 - 246 -4516 t Property Owner ^ Parcel ID # Page of Boring # ❑ Boring Pit Ground surface elev. Z ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 0 F-1 Boring # E] Boring 11 pit Ground surface elev. ft. Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I `Eff#2 I II I F-1 Boring # El Boring 11 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I `Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30:5 150 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 (R.6I00) Soil Test Plot Plan Project Name Richard Nelson Shaun Vd Address P.O. Box 10622 White Bear Lake Mn 55110 C M #226900 Lot 43 Subdivision Richmond Meadows Date 7/1/03 NE 1 /4 N W 1 /4S 24 T 30 N /13 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Power Box System Elevation 93. 3/92.9 *HRPSame as Benchmark Alt. BM Top of Telephone Box @ 100.0; Scale is 1" = 40' Alt. unless otherwise ' noted 146th Av 10' B.M. 97' 50' B -1 96' 45' 30' B -2 365' 95' Property I Line r� I ' 90 B -3 7% Slope • irk ; .� ®�:'a ®��87► � - , lads "I opmrr TWA v l� , pfambtng Foger'hl #221180 y3 28288 McKenzie Rd. Spooner, W 54801 LmT (715) 635 -9 i Cross Section of an Inground Component Cell Using Leaching Chambers ObservationNent Pipes Finished Grade = 7 _ .__Finished Grade = �G Slope % Original Grade Original Grade = ��• Top of Shell= System Elev. a Treatment and Dispersal Zone Limiting Factor ObservationNent pipes to be constructed and capped with approved materials for the particular use. 'd o OQ pq I nd e it II p- 74 CD CD • _ _ .__"_ � Fes+ 1• rA CD CD c '• tai ; ' a CD �. tr1 y CD CFQ go h � R rA w �y (r !y ! n N O II II ; F, °o OD o0 # � N CD 01- n N CD 00 c 00OF 9: . 3 O d0 w RI ir i 4; &4 p ! Vj p - 4.16 ° • • _ f � a. �Y • Cl CD UQ lo o n CD CL s r, F ,Y v r CD O 0 aq 5 . C� � I c�u o W. . rn V O II II i as w ►, w T3 N If cn 000 OQ N a °° Fogerty Plumbing PAr t GF #221180 28288 McKenzie Rd. PU f"%P CHAMP,GR CROS SECTIOIJ A.MU SPECIFICAT10k!S Spooner, WI 54801 (715) 635 -9609 VCUT CAP - •�E!UT PIPE WEATHERPROOF APPROVED LOCKIKIG JUNCTIOM BOX MAWHOLE COVER Z5' rRO"V DOOR. WMIU. WINDOW OR FRESH AIR INTAKE I GRADE I Y MIM. - � iB•rrlu. COAIDUIT -- ---- - - - - -- f8 \� PROVIDE 1 — -- ffULET AIRTIGHT SEAL 'kN1 *� I I� A 11 I + ALARM b ( NI- *APPROVED Ow. C JOINTS WITH. • - LLEV. FT. APPROVED PIPE - __� 3' ONTO PUMP —� oF� D SOLID SOIL _ 3 CONCRETE BLOCK RISER EXIT PERMITI OWLy IF TAUK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE • - Li//rw�� (DUMBER OF DOSES: Z PER DAJ TAIJKS MANUFACTURER: TAWK SIZE: �� GALLOWS DOSE VOLUME j GALL ALARM MANUFACTURER: S 10 INCLUDIN BACKFLOW: Bier -mow ii yr MODEL WUMBER: / '-0/Iq CAPACITIES: A= _ INCHES Or. t/2G.D GALL SWITCH TYPE: x-e—"R B= Z INCHES OR .- 7f, 9' GALL PUMP MAMUFACTURER: C--puL /) C = / INCHES OR 2 VI l GALL MODEL UUMBEK* � y D y INCHES OR .SILy GALL SWITCH TYPE: nr/�CGt.//wl MOTE: PUMP AND ALARM ARE T6 BE � INSTALLED OM SEPARATE CIRCUITS MIAIIMUM DISCHARGE RATE GPM 7S3 VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. Z FEET c�3 ��T• + MIIJIMUM AIETWORK SUPPLY PFIESSUR .. . . . . . . . Wi t/ ' FEET + 70 FEET OF FORCE MAIM X Oar 100FzFRICTION FACTOR.. 1* I FEET - = TOTAL Dy1JAMIC HEAD = a iL FEET I11TC9f \IAI 111 Mr I,IC. I^LIC f1F T\►IK: 1 1-LIf TLI •1./111TW .'I temin nFPTM I 3� MODEL 3871 • ' • • 14 • 1 Su bmersible Effluent Pump Gi1LDS 4 mp. pecfif�orts � 4 `p METERS rEEr UpO 40 PM _ �� a m Discharge size 1' /: .1V:PT `" 9 Moon 3M 30 Solids: W ma)d 6 ` m . 2s Motor t Single phase:115V r Ca Materials of Cciastruction _ _ ° 20 B — s rassithermo P ., EP•5 Features and Benefits 4- 0 *Top suction eliminates 3 10 impeller clogging. 2- �a • Corrosion resistant s construction. • Float actuated switch. ° 46 10 +° so Saar a a 18 12 OEMFW ' Mooa ovl� Pump Specifications Features and Benefits a 'h and Y, HP • EPO4 impeller- semi -open design a Up to 60 GPM with pump out vanes to protect 9 . 15 Maximum head to 32' mechanical seal. C 3- Discharge size 1' /:' NPT • EPM impeller - enclosed design 42- Solids:' /: ma)dmum for improved performance. s Motor • Rugged glass -filled thermoplastic ' All motors feature casing a ° re ball Q and base design provides a s ,° ,$ a ss as a a •SIAM bearing construction. superior strength and corrosion Sin gle phase: 115V resistance. • 2 GFNM • • Materials of Construction ' Cast iron motor housing for Cast iron efficient heat transfer, strength, Thermo and durability. Stainless steel • Corrosion resistant threaded stainless steel shaft. • Available for automatic and manual operation. • CSA listed models available. All Models are designed for caon6nuous operation and feature stainless steel hardware. i net 30 03 09:990 FOCCOTY PLUMBING i9lcFia�,tssv� r" ST CROIX COUNTY SEPTIC TAM MAINMANM AGREBMM4T ' AND OWNERS W CMTMCATION FORM Owner/Buyer �. . Matleag Address �' Property Address . t I Z (Varificatim ngWnd ft= for aerie ao+rhaction City/SWe pm=j Ides" atiou Numb" d '� // Y 7 -a-04 t �i ,DFSC ON _ I /D/ Pm mv, Sew , - T.d N B,z' W, Town of Sabdlivisian �r��iYtO�l,� .L't/`�',�D �S ___� • Lot # �.�,.-'— . CeTaw Surrey Map g . Volvme . Page # warranty Deed # 7 Volume Wage # _ Spec hoax 0 yes WDO Lot lb" idei>f cable ayes U no imew RYSTSM ll[/1>tl!1"pENAWCS - - igaaper+ �wi4ew■ osai' �oar�6craaiisaiAtiaibpearNauaJa�eatal�iewa�a . omaids ofpaoj+id art Snook teak gvay a as pews ar weae; m ms&d by a umma pmmvm mm yw pt iaa dte ap01ae eas amt on fsmwma of do aepde oat as a *ealmwsarra L On mm d pmd wpum 'fbe rvpalp as�ax adraes it wlrrk M �. C1ais Zaai� D�arOtaaaf a aaw6o doi isti aipl by is ow sw umd bra �plavie�iaan�r�t� .4,�taldetei�aca - +1�•c(htleaaw�ewreewde��Wpmta� isaopacpmi�pei ee■il$e`sas ar( MtsiureliisniP■mlktC+� ►� sokIs!swimU39Aofd8 6 Yap, bc+ endessipeilancsesitkes6nssta *irassbaadswass■dabbbtrimmam wdeavow nyom .rib*AdM ds* - s etfaw benes kw wtbl ieDq. at cadm dim z��it7ow ae�csysrsbbasbesnMiaiiiasdtlMrd *eanit�iads�mwdtstltt:St t�CaMar�►Zaip O(6eswidda30 19 YM awimsm+11AL DA _. O.cERTIFICATION I (*e) � frt a/ aMiesaabw tiia Lana oar laia tis ie bat a[ asp � lossiale�p. X (argil s� (sacj ttw a�01C� be aia�ia; >,j► siitae ati waisary iaed aeeaiisd is �ojialsr a[Deoi Oiiroe. - pssw � itJarwaGsa aNN is �� resMk 1a r10 �Q 1 �d rlt7�GEd � ..�N� •• Ltdade With dilr applicdloa; a sg"ad waera ft deed fits 69 VnIdW of Deeds *0k* a "M of tt►e ce titiae Am" ,rnp if r ate is nit& in em .Mn.ndr decal POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa A- of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity a l 13 NA Permit # 53 Septic Tank Manufacturer �- 0 NA DESIGN PARAMETERS I Effluent Filter Manufacturer z _` O NA Number of Bedrooms 3 0 NA Effluent Filter Model '0 _ Bd 0 NA Number of Public Facility Units XNA Pump Tank Capacity al NA Estimated flow (average) P ump d g al/day Tank Manufacturer � Q NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer Ll (: NA V. sy Soil Application Rate gaUdaylft2 Pump Model �* 0 )3 .NA Standard Influent/Effluent Quality Monthly average; Pretreatment Unit G Fats, Oil & Grease (FOG) 530 mg/L 0 Sand /Gravel Filter 0 Peat Filter — Biochemical Oxygen Demand (BOD 5220 mg/L 0 NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) :5150 mg/L 0 Disinfection 0 Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA Biochemical Oxygen Demand (BOD 530 mg/L A In -Ground (gravity) 13 In -Ground (pressurized) Total Suspended Solids (TSS) 530 mgA• M ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :51W cfuf 100m1 0 Drip -line 0 Other- Maximum Effluent Particle Size a ' die. G NA other: 0 NA Other: 0 NA Other 0 NA "Values typical for domestic wastewater and septic tank effhrerit. Other: 0 NA MAINTENANCE SCHELE �� DU 3 Service Event Service Frequency Inspect condition of tank(s) At least once every: 0 moinths)(s) (Maximum 3 years) 0 NA Pump out contents of tank(s) When combined sludge and scrum equals one -third (Y of tank volume 0 NA Inspect dispersal cell(s) At least once every: 3 0 yams) s) (Maximum 3 years) 0 NA Clean effluent filter At least once every: 0 month(s) 0 NA 1 Z years) _ Inspect pump, pump controls & alarm At least once every: 0 month(s) ANA 1] years) Flush- laterals and pressure test At least once every: O month E3 year(s) l a.NA rls) Other: At least once every: 0 month(s) = CI NA 0 year(s) Other: Q NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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 back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a 5eptage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. a • Page L of :3 HKY UI? AND OPERATION 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. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cellist and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; asoline; water; fruit and vegetable peelings; grease; herbicides; meat scraps; medications; oil; g 9 foundation drain (sump pump) e , 9 painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is property and safely abandoned in compliance with chapter 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 another inert solid material. CONTINGENCY PLAN If the POINTS fails re i and cannot be aired the following measures have been, or.must be taken, to provide a code compliant a P replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption area should be protected from disturbance and compaction and should not be infringed upon by system. The replacement ar Pr protect required setbacks from existing and proposed structure, tot Lines and wells. Failure t o prof the replacement area will suitable w soil grid site evaluation to establish a replacement area. Replacement systems must result in the need for a ne comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS lace the failed POWTS. i technology a holding tank may be installed a last resort t P Aelua e s not e n evalua to ide ify a uitabl replace ant are . Up failure a PO S soil and site i e p rform to a suitab a lacement a no repla e t area ailable holding tank may b as a l4stWsort to replace the failed POWTS. • 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 time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN.: NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. #221180 - - -- 282815 M Rd. S000rler W A8G - � POWTS INSTALLER -�v POUMTS MAIM TAINER (715) 635 -9609 Name K I �tl Nine Phone S .- -7 3(,�, Phone — -lre SEPTAGE SERVICING OPERA1r6q (PUMPER) LOCAL REGULATORY AUTHORITY Name Namb X 7 1 f tilt ( x CO_ Ty b%,) Phone Ph6he �' 6" This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. U 2424P 574 74aQ WARRANTY DEED IM s n of. VA LM 02011 CO.. n I RECEIVED FOR RECORD 19101/2M 10:30AII This Deed, made between, VARRAM DEED HILLVALE DEVELOPMENT PARTNER MP, Olm ! A Minnesota Limited Liability Partnership RE:C FEE; it.@@ TRAYS FEE: 752.70 GRANTOR and, CO C CO FEE. OEVERING HOMES, INC. PAGES: 1 GRANTEE, TIiS SPACE RESER1fED FOR RECORONG DATA NAM AND RETURN ADDRESS WITNESSETH, That the said Grantbr(s), for a valuable RVAT consideration conveys to Grantee(s) the following 03A - I 1000 described real estate in ST CROIX County, _ State of Wisconsin: PIN 026 - 1147 - 4- 000;0261147 -16- LOTS 14,16,43,32,33,34,35,36 AND 37, PLAT OF 000;026- 1t400 026- 1147 -33- RICHMOND MEADOWS IN THE TOWN OF RICHMOND, x :0261147- 34+000 ;026 - 1147 -35- ST. CROIX COUNTY, WISCONSIN. 000 ;026 - 1147 - 36 ;026 1147 - 37- 000;026 -1147- 35-000 This is not homestead property. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restriction so record. Dated this 1 sT day of October, 2003 RICHARD NELSON (SEAL) ACKNOWLEDGMENT AUTHENTICATION State of WISCONSIN ) )SS. s4nuore(s) County, ST. CROIX ) Personally aeo October t ", 2003 the above namRe;,p, be known to r owa who h- TM E: MEMBER STATE BAR OF W(SOONSIN hclotowledged the same. CY L. RN THIS INSTRUMENT WAS DRAFTED BY: Publie, RIVER VALLEY ABSTRACT 1200 HOSFORD STREET #201 y ��O° permanent. (if not, stage expiration HUDSON w134016 Tracy L. T� :12ro7J03 N PUbliC State of Wisconsin 10 U, I 0 o p W Z. W r �J O Xp ( O x Ix ix O �C i O.. "L ,OS ,05 r. I Nx c0 I � N 1 : a � L ap N w. , Ix b i w a N U go • �l h o ti o O n 1 o' ON , I ,000a I - O� { al ca � I A ' -rd 0006- f l as civ ?/t k TG2 /V/O u/vo +z Q a PAM TOTAL DYNAMIC HEAO/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 w w MODEL 152 153 MLE 50 Feet Meters Gal. Liters G01. Liters 153 5 1.5 69 261 77 291 12 40 152 1 10 3.1 61 231 70 265 0 15 4.6 53 201 61 231 M 20 61 44 167 52 197 30 Q 8 25 7.6 34 129 42 159 0 30 9.1 23 87 33 125 Q 20 35 10.7 -- -- 22 85 40 12.2 -- -- 11 42 4 10 Lock Valve: 38.0 Ft. (11.6,) 44.0 Ft. (13.4m) 014508 0 20 40 60 80 100 GALLONS LITERS 1 0 80 1 240 320 6 1/4 3 27/32 4 5/8 FLOW PER MINUTE e CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 e - a • Timed dosing panels available. c0 3 z7/3z • Electrical alternators, for duplex systems, are available and supplied with 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 outdoor installations. See FM1420. • Over 130T. (54°C.) special quotation required. i 1521153 Series 1 2 1/8 1521153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex 8 115 1 Non 8.5 1 2 or 3 BN 152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 sxzoea BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 53 1 2 or 3 1. Single variable level float switch or double p ig gy back variable level float BE 153 230 1 Auto 5.3 Included 2 or 3 g p ig gy back p ggy switch. Refer to FMO477. A CAUTION 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 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent 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. MAIL TO: P.O. BOX 15347 i Z Louisville, KY 40256-0347 Manufacturers of. . SHIP T0: 3649 Cane Run Road �7 rya ® ® FAX (502) Louisville, KY 40211 -1961 QUr1L/TY S NCE ���J�7 http:Ow ww.zoeffer. corn I )LUIUM9 49 {502) 778 - (502) ( 800) 4-3 928 PUMP 77 624 0 Copyright 2001 Zoeller Co. All rights reserved.