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HomeMy WebLinkAbout026-1130-30-000 i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix nd Building Divisio � INSPECTION REPORT Sanitary Permit No: 463126 0 ENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 'ersonal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Ken I Richmond Townshi 026- 1130 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: O Section/Town /Range /Map No: 9�' I S illift's IL 25.30.18.890 TANK INFORMATION ELEVATION DAT k5, TYPE MANUFACTURER CAPACITY STATION I FS ELEV. Septic / Benchmark ( 45 � 7 p f L►Ck� , 6 Dosing Alt. BM x� � / n � Sewer E J In ` f, � � Bidg. �D Holding SUHt Inlet S 35 TANK SETBACK INFORMATION St/Ht Outlet 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 1 Dt Bottom Dosing ) A) 2- ' Header /Man. I�Z • /C�l Aeration Dist. Pipe "0 Holding Bot. System f Final Grade r PUMP /SIPHON INFORMATION �j•� 162 — Manufacturer Demand St Cover GPM • e l %11�- A • 3 Model Number ^ ti r � Z 2 I t L ` v Q -y f TDH Lifj i Friction Lq�� System Hea TDH (0 F t � /�, 01 I � o Forcemain Len / Dia.� // Dist. to Well ^ SOIL ABSORPTION SYSTEM t' � BED/TRENCH lWidth 1 Length / No. Of L. Tr ches PIT DIMENSIONS No. Pits Inside D ia. Liquid Depth DIMENSIONS t-7 �� \ \ SETBACK SYSTEM T_0 P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHA Type S stem:,/` — UN OR Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing I VePto AiTnt e Pipe(s) �/ ! 1 f 5 11 I Length Dia�_ Length 9 O Dia Spacing \ Z I I- J-�' SOIL COVER x Pressure S ystems Only xx Mound Or At -Grade Systems Only Depth Over / Depth Over xx Depth of 1 xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil e � NO es ;�a No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: /(J d ` 1 )„Inspection #2: / / AjokJ OJC ' 6C Location: 1406 136th Ave. New Richmoon WI 54017 (SW 1/4 NW 1/4 25 T30N R18W) Red Pine Corner Lot 30 Parcel No: 25.30.18.890 1.) Alt BM Description = Sto L_ t _ & _ C-�� �5 �n� ,I b "- 2.) Bldg sewer length = 22 - amount of cover 3 an revision Required? 0 Yes >;<0 C Zb O i 9 other side for additional information. — -- " L Date Insepctor's ignatu Cart. No. -6710 (R.3/97) Safety and Buildings Division County t 201 W. Washi ve , ox 7162 J �seans�n 1 7 - 7 Sanitary Permit Number (to filled in by Co.) Department of Commerce 151 Sanitary Permit 'plieati OCT to P I.D. umber In accord with Comm 83.21, Wis. Adm. Code, personal infotmati vie � may be used for secondary purposes Privacy Law, s15.04 2T. CC oo Proj Address (if different than >i a ) � L Application Information — Please Print All Information FF�CE- /LI0 /3 � �\.�� _ 0 � Pro Owner's Name 1 Block # r) P/k r1PA n: 4W �- 6n oe U e"rcV1 C) - - perty Owner's Main Aiddn= Property Locate � e..N Lei✓ fl 1y _ � . � City, State Zip Code Phone Number "-� -fs"'� Section _ circ one T c/r/ N: R j r W / I gq e c Building (check all that apply) � / ��vV l 1 J " Srivision Number P=ubliaComm=ial. mily Dwelling -Number of Bedme 1 - Describe Vsc State Owned — Describe Use C1 n �U X 9O City_ Village wwnsbip of ) II[I. Permit: (Check only one box on line A. Complete line B U applicable) A System Replacement System TreatmentlHoldigg Tank Replacement Only Other Modification to Existing System List Previous Permit Number and Date Issued Before Expiration B • Permit Renewal Petmii Revision Change of Pe Owner Permit Transfer to New � /'a? lo ��� Pu IV. Type of POWTS System: (Check all that appl Non -- Pressurized In- Ground Mound Z 24 in. of suitable soil Mound < 24 in. of suitable so At Grade Single Pass Sand Filter Constructed Wetland Pressurized In- Ground Holding Tank Peat Filter Aerobic Treatment t Recirculating Sand Filter Recirculating Synthetic Media Filter Leachin g Chamber Drip Line Gmveldess Pipe Other (explain) V. DispersaVrreatment Area Information: 7':� 1 Now (gpd) Design Soil Application Rate(gpdsf) I Dispersal Area Required (s!) Dispersal Area Proposed (sf) evati < �Q VL Tank Info Capacity in Total Number Manufacturer Prefab N 611i . 0 r1kr *Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing 'ranks Tanks Septic or Holding Tank Aerobic Tteatamt Unit Dosing Chamber Ot VII. Responsibility Statement- I, the a ibility for Installation of the POVVIS shown on the attached phins. Plumber's (Print) Plumber's MP/MPRS Number Business Phones Number /=' � Plumbcr's Address (Street, Qty, State, Zip ) / /� ) 12 h �V l VIII• n /De artment Use Onl Appro Disapproved Sanitary Permit Fee (includes Groundwater Dates Issuing S. o Stamps) Owner Given Reason for Denial Surcharge Fee) ' 6 - V / GC S ofA for Di proval SYSTEM OWNER: (•d Se tic tank, efflu ter and VIA be maintained dispersal cell must all serviced /med as per mans ement plan rovid 2. All setback requirements must be maintained � 7 as per applicable code /ordinances. � / U�,i' Attach complete plans (to the County only) for the system on paper not less than 81/2 x tl inches in size PLOT PLAN PROJECT Oe Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW '1/4 NW 1 /4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 100.0' BEDROOM 3 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 IL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (D WELL *H,R.P. Same as Benchmark G� Alt.B.M. is top of survey iron @ 99.0' -�, Scale = 1/4" = 10' 100.5' �d Property Line ( not to scale) 100' B -2 99.51 Grading is to be done to divert run - 6% off away from Slope 0 system B 3 Huffcutt combo tank Area 15' below system is to remain undisturbed Tank is to be properly bedded and Well is to meet all Pro 3 provided with Property setbacks found in Bedroom lockdown covers Line ( not to Comm. 83 House with approved scale) warning labels 136th Ave o C� _ rn ° MUM F CO) ° ,- m p Z� rn ❑ m � ° rn X m � ;u X O V O x —I --� 55 > _ � m o 0 z m p M z D mm� rn ci) 0 c z -n rn X o CP O z ;a r z N ° Z c v �n r r � Z z 0 r C,* m co c . Z v_ X m m C _ Z o r m O m an CO) C an Z ° rn o m 0 v z c X c rn o X s? E TI v 1 c �� n« �a ?o,� zw Z O Op ■ o s �m �� o let i C/+ �e� a 3 8 fin .► j+ — .Y W y •C 2 _ Z C m o • 5 i t a n� p o` �__ o « Z o 1 T Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 It ■ TDD #: (608) 264 -8777 ��O �' www.commerce.wi.gov /sb/ epartment of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 15, 2004 CUST ID No.226900 ATTN: 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: 10/15/2006 Identification Numbers Transaction ID No. 1068764 SITE• Site ID No. 690806 Oerving Homes Please refer to both identification numbers, 136TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County SW1 /4, NW1 /4, S25, T30N, R18W Lot: 30, Subdivision: Red Pine Corner FOR: Description: Three Bedroom At -Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 986021 Maintenance required; 450 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade; System: At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution: Component Manual, SBD - 10573 -P (R.6/99); SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (01/81) 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. Coll di, 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. ARR The following conditions shall be met during construction or installation and prior to occupancy or use: DER RTMEUT �OF F7 General Approval Requirements: SEE CORRE • This system is to be constructed and located in accordance with the enclosed approved plans, the "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570- P (R.6/99), the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (01/81), and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • 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. f x SHAUN R BIRD Page 2 10/15/2004 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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. 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, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, 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 k PLOT PLAN PROJECT Oeverina Homes ADDRESS 838 Summer Pines Circle Hudson Wi 54016 SW '1/4 NW 1 /4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 100.0' BEDROOM 3 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 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑BOREHOLE O WELL *H. R. P. Same as Benchmark B. M. * Alt.B.M. is top of survey iron @ 99.0' Scale = 1 /4" = 10' 100.5' B-1 100' Property Line ( not to scale) B -2 99.5' Grading is to be done to divert run - 6% off away from Slope system B -3 Huffcutt combo tank Area 15' below system is to remain undisturbed Tank is to be properly bedded and Well is to meet all Pro 3 provided with Property setbacks found in Bedroom lockdown covers Line ( not to Comm. 83 House with approved scale) warning labels 136th Ave t 'S MANUAL 8, MANA GEMEKT PLAN Pact QOW�i�S OWNER SYSTEM SPECIFICATIONS -' f7C'r• al O NA FIt-E INFORMATION S Tank Ca � ❑ NA Tank man ufacxtrrer Owner 1 � Effluent F1 C3 NA Filter Manufacxuref �� Permit #. p NA DESIGN PpRAMEs p NA Effluent Filter Model der"' Tank Capacity �> <� ga l NA Number of Beds Pump. O - ❑ NA Number of Commercial Units allda Pump Tank Manufacturer Fsdmated flow ( at/d Pump Manufacturer L9� ❑ NA Eomated x 1.5) DOW, flow (POW i' da / Pump Mode{ ran R Pfetreatment Unit ❑ Peat Filter soli App Monthly average` r3 Sa�ravel Filter InfluenVEfQuent Quality �0 mg2 p Mlechanical Aeration ❑Wetland Oil & Grease (FOG) 13 Other. Fats,. ODS ;220 mg/L 0 Disinfection c� Bioem�i O)M; suspe Solids Demand (S ODs 5150 m /L Manufacturer 11 Total Mon average" Dispersal cell(s) ❑ In - ground (pressurized procreated Effluent Quality mon thly i - ter and ground (9rov�') p Mound en Demand (SODS) S30 mg1L tgrade B'iochemicai O Total 530 mgn- ine ❑Other Total Suspended Solids (TSS) 5104 ctu11 Dom' D Fecal Coliform (geometric mean) Vaw" t for domestic (non•oommeraap waste" Y inch diameter sePW tznic ernuent Maximum Effluent Particle Size .. Values typiaai for pretreated wastewa MAINTENANCE SWEDULE Service FreQue Y service Event p months s) (Maximum 3 yrs.} At least once every - y of tank volume Inspect condition of tank(s) When combined sludge and scum equals one -this )' (M�imum 3 yrs.) Pump out contents of tank(s) [3 months At least once every inspect dispers O811(s) E3 months . r(s) al At Feast once every � ear(sj O NA Clean effluent filter ❑ months controls g alarm At least once every i inspect pmp, pump IS) O NA u ❑months At (east once every Flush laterals and pressure test a s O NA [3 months O Ye r( ) At least once every COW. At months C1 year(s) O NA At least once every Other n one of the following licenses or MAINTENANCE INSTRUCTIONS S Inspector. POWTS Maintainer, Septage ,cells shall be made by an individu�al g Inspections of tanks and dispe Restricted Sews to iden5fy any m'rssing or broken certiflcatiorw. Master Plumber. Master Plumber Inspection of the tank(s ) for any back up Servldng Operator• Tank inspections must include a visual ins pew to check the effluent levels aks, measure the volume of combined sludge and scum and to hardware, lde n any picks or le * round surface- The dispersal cells) shall be visually ins The ponding of effluent on the or poeding of effluent on the g for any ponding of effluent on #W ground surface- utata in the observation P ry authority. ipeS and to check alias the immediate notification of the local reg condition and req uires of the tank volume NR ground surface may indicate a failing and sewn in any tank equals One-third %) or more of in accorriance with When the combined accumulation of sludge a Septage Servicing Operator and disposed entire contents of the tank shall be remO1/ed by fetreat�ment components. and any 113, Wisconsin Administrative Code• a certified POWTS Maintainer. The servicing try ervice event o of effluent filters, mechanical o� Z months ooess sha ll be performed n � p n s ther maintenance or monitoring at intervals of completion of a y A se report shall -be provided to the local regu authority within 10 days presence of painting products or other START UP AND OPERATION �e p trabons are For new construction, prior to use of the POW1- s a�� trdamage g tfie d spersai ce ll(s). if high concen chemicals that may impede the treatment P roce ss by a septage servicing operator prior to use. detected have the contents of the ta nx(s) - • Page of_ { conditions are frozen at the infil power is restored the e Vvhen s System start up shall not occur when 50 above normal tfighwater levels. the oeti(s) and may result in the r outages PUMP �� a d1 � During �e ad to tf►e dispersal cell(s) in one large dose. ovetioad o urn tank removed a Waste w1H be dtschar9e effl��L To avoid this situation h ave me c onte nts a plumber or POWYS Maintainer to back or surface discham rior.ta restonng power to the effluent pu P tank e Servicing operamr P S to restore normsl levers within the pump Setsi ng the Pump cones (fc over, or otherwise disturb or compact, • assist in manually op over tanks and dispersal cells. Do not drive or pa Do not drive or park vehicles mound or at -grade soil absorption area. the area within 15 feet dawn slope of any improve the performance and prolong the life Of the fo{{awing frnrn the wastewater stream may P degrease: dental floss; diapers; Reduction or el'urtination c butts; condoms; cotton swabs; • herbicides; meat of the POWTS: antibiotics; -baby P�� water, fruit and vegetable peelings; gasoline; g disinfedanffi: foundation drain {sump Pump •des: sanitary napkins; tampons water softener brine. scraps: medians; otl; Painting products: p es tici des; ABANDONSMENT taken out of service the following steps shaft ho taken to insure that the When the POWYS falls and! a t i pliance with ch_ Comm 83.33, Wisconsin AdministraWe Cade: system is property and safety ope nings sealed. All piping to tanks and pits shall -be disconnected and the abandoned Of by Septage Servicing Operator. The contents of an tanks and pits shall be removed and property . all tanks and pits shall be excavated . and removed or their covers removed and the void space After P um in P g er inert solid material• gravel or anoth filed with soli, 9 ra CONTINGENCY PLAN aired the following measures have been, or must be taken, to Provide a code If the POVYTS fails and cannot be rep nt soil compliant replacement system: ble re IaoemenCarea has been evaluated and may be utilized for the location compaction a rep an disturbance and d should not 0 A surta . P nt area should be protected from absorption system. The rep lacement from existing and proposed structure. tot tines and wells. Failure to be infringed upon by required setbacks ble p otect the replacement area will result 1 s m ' Barri advances in need ust comply with the rules n � at that time - a su►�POWTS replacement area_ Replacement system 0 A suitable replacement area is not avai a last e bac tto replace a � � PO1NTS technology a holding tank may b as uitabte p carne ea. U n ilune o OVYtS a soil d no n bed entify ant a if no cement area is available The as a. t r a i e re P ,h") site lu tion u be - tlon ems may be reconstructed in place following removal of the biomat at ly nd and at -grade Soil absorP s with the rules in effect at that time_ the infiltrative surface- R� of such systems must comp <cWAl2NtNG» TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. SEPTIC, PUMP AND OTHER TREATMENT CIRCUMSTANCES. DEATH MAY DO NOT ENTEf� A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDtrR ANY E. SON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR [MPOSSIBL . RESULT , RESCUE OF A PER ADDITIONAL COMMENTS POWTS MAINTAINER POVIrTS INSTALLER Name .'Qaj• Name f.+!i�.� r / ,�� �,r Phone 7):; �7 '� '.r/ Phone ��� ' 7� LOCAL REGULATORY AUTHORfIY SEPTAGE SERVICING OPERATOR PUMPER �! z Agency Name Phone Phone San it ation endue, This document meets zo nin g and S a9 Thus documem was dialled by the staffs of the Glean Lake, Marquette and Waushara County 20 Q document does not the minimum requirem®nts of ch. Comm 83.22(2)rbXt)(dMd.(0 and 83.56(1). (2) & (3). Wisconsin AdmiNsVaem Cede Use of this GMW (2101) guarantee the performance of the POWTS. f k e + Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 010/05/04 Owner:Oevering Homes Location:SW 1/4NW1/4 S25 T30 N,R18W Lot 30 Red Pine Corner Richmond System type: At -Grade 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 2. At -Grade Plot Plan 3. At -Grade Cross Section a ©malty 4. Pipe Cross Section /Pipe Layout R ECEIVED OCT - 6 2004 OFCd V� 5. Pump Chamber Cross Section `Y c �RC� 6. Pump Curve SAFETY & BLDGS DIV. " _ aPpNp� 7 -8. Maintance and Contigency plan 9 -11. Soil test Shaun Bird Signature jk License number 6900 f a B 2-5 PYc F ou.LMA1 N > 5' / M - ,TURhI- UPS T - ii / /• r - t- brsr^t urecrt L^TIL T A S r AI MI ZED aa6zxN( ^rtars WELL 5' � 1/6 B i 1 /68 _ 1/2 B l0 8 = Ft. L " ---- fit • CELL o f ri - 2 /Z Af=Got f-ca wm Vj=Z_ 72� Ft. Fit P ePzvrm b Sy%j ToEnL Fabric r Distribution Lateral S Obser vation----,,,, tICMLb Obser vatio Soil Cover We If , n • , Ar f.b L.a`lE2 >5 ' - Z : 5 e6 % 5 L OPE plan View and Cross Section of Wisconsin At -grade Unit with a Single Absorption Area on a Sloping Site S,Ibwo.Tu RE Page Of Distribution Pipe DetAil For Lateral ltetwork hCre sf TuRN - uP (CL ERNOUT) - PVC Force Main PVC 'Distribution Pipe P * Last Hole Should Be Next To tuRN• �P __ r `�J — Note Diamete Inch x Inches Lateral Diameter ' Inch(es) Y - Inches force Main Diameter ._ Inches # Of Hales /Pipe �J Invert Elevation Of Laterals -� Ft• Signed: License Number: Date: ' kND S?ECjf ICATIONS MBF.R SEPTIC TANK ?+JMP C {�R CRASS SLCT' £A�RPR�D NCTiON BOX APFRQVED ,. MZN.4A GRADE W J� t MM14IDLE COMER » VENT PIPE 1�INg04� WITki CONDUIT W f PADLOCK 6 FROM coop., I WARNING LABEL D FREsli AIR ZHTAKE ' . ' 0A � r n ` -� . s y .r.4 - _ s, a t8u �► „�• 1 s INLET MAS- 1 fD T IGHT , joIfRS WITH WATER TIGHT SEA LS SEA It APPRQrED PtFE ON 3s Oil F3L1ER B t N S SOIL S 1 APpADYfiI °c ' T a OFF P� 3soLlo - qa- 3 FT- SOIL pUl4P flFF ELEY - D FRO YED SEDDING 'JtZDE K TAN CONCRETE PAD SPrCIFZCA'Z Ht3t+iHEg DQSES P£R DAY = .- . ----�_ SEPTIC f DOSE ; ME INcLuDING 7, GAL - T ANK MANUFAC'I11RER : GAL- i>OSE X 0.31 F LQy�gpCK: 34 7, ,/CALL - TA1iK SIZES 1. SEPTIC GAL- �!' Ifi1CHES .�..- .--- -- DOSE CApACITIE = p' s GAL - 8 INCHES �{pt+NFAC1f3itF.R;� t— q. _> GAL. ALARn MODELF1�8ER= �C,l�*�- �' ? INCHE H TYPE: C XTC D = INCi;£S -- pfJtSP 1'id'liiUFAC?CtR£R= w �� r PER =LHR sw T 15.23 WAC lIODEL 1+1U!'[8£R = �,� M �TZRI isG AS YPE= PunP `'' GPM FEET ON OTPE EET DISCHARGE RATE -- DISTRIBUTZ - • C I REQL3TRE pUMp OFF AND - g E£T DIFFE $ETW£PRESSURE - gR ;CTiON FACTOR j �.. FEET VERTICAL BZFFER X FT110 #�YNAI`IC HEAD + MINIMUM NE1'wORK Si3PPLY FEET FORCEIN TOTAL DIANETL . WIUTN pU' LENGTH-- •°'r_,_ . INTERNAL D1MENS I O NS LIQUID ��. LICEN :f88 TOTAL DY A- MiCHEAD /CAPACITY EFFLUENT AND DrwATERING HEAD CAPAC►7Y CURVE 1 MODEL 152/153 i MOLEL 152 153 Ln W Fee Meters Go! . L Gol. Liers 50 1.5 69 261 77 291 5 153 10 3.1 61 231 70 255 12 40 15 4.6 53 201 61 231 152 I ZG 6.1 f 44 7 52 137 1 _ 30 5 7 -6 34 129 1 42 ► 1 '- �_ sd B 30 9.1 2 87 I 33 i c 10.7 22 T? s 20 40 12.2 -- -- 11 .2 i 0 LCCk VDvc' 138.0 '.. (17 6 m)�44 . 0 4 m+50s 10 ; 0 20 40 s0 e0 1 00 GALLONS LITERS 0 BO 160 240 320 - 3 27/32 ` 4 5/8—i FLOW PER MINUTE I CONSULT FACTORY FOR SPECIAL APPLICATIONS ® �° 3 27/ -2 • Timed dosing panels available. i • Electrical alternators, for duplex systems, are available and supplied with an alarm. I • Variable level control switches are available for controlling single phase systems. --r • Double piggyback variable level float switches are available for variable —r-- - � i I i► level long and short cycle controls. I r • Sealed Qwik -Box available for outdoor installations. See FM1420. i • Over 130 °F. (54 °C,) special quotation required. i 12 1/8 1 VJ153 Series' Can Sel on U I 15211 � t � n Ieodel Yons -Ph IDode Amos Du le: ` 8.5 1 2o 3 ' N152 _ 1151 Non � BN152 115 2 or 3 1 Auto 4.3 Included 2 or 3 i E152 230 1 Non 2 or 3 BE152 230 1 Auto 4.5 included 2 or 3 N153 t 5 1 2 or 3 SELECTION GUIDE BN753 115 1 Auto 10.5 included 2 or 3 E153 230 1 Non 5.3 back variable level float switch or double piggyback variable level float 1 1. Single piggy 8 E 153 290 1 Auto 5.3 included 2 or 3 switch. Refer to FM0477. Aur1oN 2. See FM0712 for correct model of Electrical Alternator E -Pak. All inetegetion of controls, protection devices and wiring should be dace by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed slech1don. AO electrical and esfety codes should be followed including the most. Of (4) float system. recent National Electric Code (NEC) and the Occupational Safery and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. kWL To. P.O. BOX 16347 Louisville, KY 40256 -0347 Manufacturersof.. SHY 70, 3449 Cane Run Road �p ® Louisville, KY 40211 -1961 QucurrALW SN C E /9,99 m _ (502) 778.2731.1(800) 928 -PUMP http;/ /www.zosllercom �°UMP M. FAX (502) 774.3624 C Copyright 2000 Zoeller Co. All rights reserved. Property Owner _ Parcel ID # Page of © Boring # ❑ onng it Ground surface elev. l �' ft. Depth to limiting factor in. Soil Apphication 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 31/ -- m Z Z- - 4 m L ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. rEffff#1 lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eff#2 F-1 Ong # E] Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Ef1#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 services or need material in an alternate format, P lease contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SB0.8330 (8.6/00) Soil Test PloJTu Project Name Oevering Homes Bird Address 838 Summer Pines Circle Hudson Wi 54016 //6TM #226900 Lot 30 Subdivision Red Pine Corner Date 10/5/04 S W 1/4 N W 1/4S 25 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 Steel Fence Post System Elevation 100.0' *HRpSame as Benchmark B. M. .B.M. is top of survey iron @ 99.0' Scale = 1/4" — 10' 100.5' B-1 Property Line ( not to scale) 100' B -2 99.5' 6% Slope ❑ B -3 Area 15' below system is to remain undisturbed Property Line ( not to scale) 136th Ave Wisconsin Department of Commerce County: Safety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT sanitary Permit No: 4 4 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Ken Richmond Township 026- 1130 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 25.30.18.890 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head T DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No L Yes R No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1406 136th Ave. New Richmond, WI 54017 (SW 1/4 NW 1/4 25 T30N R18W) Red Pine Corner Lot 30 Parcel No: 25.30.18.890 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover Plan revision Required? [] Yes E-] No I J Use other side for additional information. Date Insepctors Signature Cart. No. SBD -6710 (R.3197) L < Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 X11 e/r10-JrX i,ScOi�S,n Madison, WI 53707 -1162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 v Sanitary Permit Application S tate Plan 1. D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you pr ide , O� D may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Wormati n Property Owner's Na me Parcel # Lot // Block q Property Owner's M ailing Address Property Location 'A, Ook 1 A,Section ,,- City, State Zip Code Phone Number Gtr S�D /� �_ `O _ (circle one) H. Type of wilding (check all that apply) T -?,9 N; R E o� AP (� Q� �� Subdivision Name CSM Number U14 or 2 Family Dwelling - Number of Bedrooms ❑ Public /Commercial - Describe Use I A45 I-I ❑ State Owned - Describe Use l ❑City_ ❑Village WTownship of M. Type of Permit: (Check At one box on line A. Complete line B if pplicable) A. Ik �Syste�m ❑Replac�nt ys tem ❑ Treatment/Holding �( iik Replacement Only ❑ Other Modification to L S tem 10 A B. ❑ Permit Renewal ❑ Permit Revisio ❑ Change of ❑ Permit Transfer to New PnA s Perm' Nu to Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that a ) Non - Pressurized In- Ground Mound > 24 in. of \Ho* il El Mound < 24 in. of suitable soil rade 11 Single Pass Sand Filter 1. El Constructed Wetland ❑ Pressurized In- Ground El T El Peat Filter El Aerobic Treatment Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter El Leaching Cha Drip Line ❑ Gravel -less Pipe ❑ Other (explain) / V. Dispersal/Treatment Area Information: AL Z - Design Flow (gpd) Design Soil Application Rate(gpdsl, I D' rs rea Requiry 60 Dispersal Area Pro Wed (st) I System Elevation VI. Tank Info Capacity in Total Num anufacturer Pr6fab ite Steel Fi r Plastic Gallons Gallons of U Concrete Constructed Glass New Existing Tanks Tanks Septic or4lolding Tank - � i v Dosing Chamber - VII. Responsibility Statement- I, the'irndersign , assrime responsibility for iost.HtionV the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber'I - MfYMPRS Nu r Business Phone Number _ Fogerty Plumbing — Plumb,�8M6 t ate, Zip Code Spooner, WI 54801 6si- - av v VIII. o - se Onl - V A9 c L Approved ❑Disapproved Sanitary Permit Fee (includes Grouttdw ter D )Issued Issuing Ag t Signature ps) Surcharge Fee) ❑ Owner Given Reason for Denial 1Qf. Co�`� f Ap lror Disa �sh�2ccvL¢ fG67�tlUir/>c - P mb YSTEM OWNEIh: O ' zct:e-OYt. / ct 1 Septic tank, a uent filter and dispersal cell must all be serviced ! maintained as per mans ement Ian rovidea by plumber. 2. setback requirements must be male alned as per applicable code /ordinances Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size l r Page 8 of 8 Site Plan For:Oevering Homes LLC Lot 30 of the Red Pine Comer Sub. SW 1 /4 -NW1 /4 Sec. 30 T30N -R18W Town of Richmond - St. Croix Co. #1 BM U 25 5° aaphb soak (F-0 101.00' 1 inch - 50 tt 103.00' Propised 5'x 90'Mound Cell w/a She Elev. of 103.00' 10 .00' ° Proposed 2 "Sch. 40 Fake Main Proposed weer Concrete 750 gak Chamber • Proposed 4 "Assn 3034 Gravity Conveyance Pipe #2 BM LO Acre Parcel Proposed Wieser Concrete 1000 gal. Septic Tank -� w/a Zabel A -100 Filter Building Setback Line of 100' \ \ Proposed 3 B Home ABM = Top of N.W. Lot Iron * BRP -Same ASSUMED ELEV. = 100 BM #2 =Top Off N.E. Lot Iron Elev. = 107.10' Town Rd to 140th St. Approx. 320' Note: Maintain well and waterline setbacks per Comm 83.43(8)(s) ` Safety and Buildings t commerce.wi. OV 10541N RANCH ROAD g HAYWARD WI 54843 TDD #: (608) 264 -8777 omm isconsin www.c www.vAsconsin.gov Department of Commerce www.wisconsin.gov Jim Doyle, Governor C ory L. Nettles, Secretary September 13, 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: 09/13/2006 Identification Numbers. Transaction ID No. 105 6 SITE: Site ID No. 688919 Oevering Homes Lot 30 Please refer to both identifitation numbers, 140TH St above; in all correspondence with the agency. Town of Richmond St Croix County SW1 /4, NW1 /4, S25, T30N, R18W Lot: 30, Subdivision: Red Pine Comer Subdiv FOR: Description: New mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 978288 Q 0 Vr• Maintenance required; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; dtitti' System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101) Cnn' The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes p� 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. SP No person may engage m or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. SEE GO The following conditions shall be met during construction or installation and prior to occupancy or use: 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. i Key Item(s) • 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. KEITH E STONER Page 2 9/1/04 • 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 for well setbacks and exceptions to the setbacks. A co of the approved plans, specifications and this letter shall be on -site during construction and open to PY PP P P g P inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L S =do w, POWTS Plan Re wer , Inte ted Services V�iS1VIAR7 i 7 (715) 634 -7810, Fa . 1 4 -5150 , M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Oeverin 9 Homes LLC Lot 30 Mound Owner's Name: Oevering Homes LLC Owner's Address: 838 Summer Pines Circle Hudson WI 54016 (715) 760 -0001 Legal Description: SW1 /4 -NW1 /4 Sec. 25 T30N - R18W Township: Richmond County: St. Croix Subdivision Name: Red Pine Corner Lot Number: 30 Block Number: NA Oft Parcel I.D. Number: c�. oMM o�Gg Plan Transaction No.: F o pN08 Page 1 Index and title �' N ENG� Page 2 Data entry i�R�SPO Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications / v Page 6 Management and contingency plan ` Page 7 Pump curve and specifications Page 8 Plot Plan 4P ,�o ° WISCo. t Designer: Designer: Kept E. StorW o�''F : _ License Number: Designer# 1575 -007 Date: 08)22/0 S;rRrs _ = Phone Number: (715) 653 -2324 Signature: 'o ���� 1111"&s fined Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 r 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) 2.00 Site Slope ( %) 102.50 Contour Line Elevation (ft) t / 30.00 Depth to Limiting Factor (in) ✓ 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 90.001 Dispersal Cell Length Along Contour (ft) = 5.00 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 Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevati (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.25 Estimated Orifice Spacing (ft) = 5.63 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y 94.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 8.67 Vertical Lift (ft) 81.23 5x Void Volume (gal) 1.14 Friction Loss (ft) 86.12 Minimum Dose Volume (gal) 14.35 Total Dynamic Head (ft) 43.08 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 1 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete IManufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.361 Dose Tank Capacity (gal) JZabel Filter Manufacturer 20.281 Dose Tank Volume (gal /in) IA100 Filter Model Number Wieser Concrete Manufacturer Project: Oevering Homes LLC Lot 30 Mound Page 2 of 8 Mound Plan View ...... ........................... .... T 1/10 B . .Q. J Observation Pipe K ..t A W : B L�F. I L Mound Component Dimensions Down slop toe extension made. A 5.00 ft E 7.20 in H ft K 7.03 ft B 90.00 ft F 9.50 in 1 EAft ft L 104.05 ft D 6.00 in G 0.50 ft J ft W 17.57 450.00 (ft) Dispersal Cell Area 1125.00 (ft) Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.79 (ft) -� G ♦ H I F 103.50 (ft) Lateral Dispersal Cell 03.00 Invert Dispersal Cell .D t Elevation E • 4 i. i. .'.k d + i . { 102.50 (ft) Contour Elevation 2.0 %Site Slope Geotextile Fabric Cover Shading Key EL Dispersal Cell See lateral details on 10 _ Topsoil Cap c a 1.5 ft a , Page 4 for number, size, { { { }{ Subsoil Cap 2 { and spacing of laterals. © ASTM C33 Sand :o F Laterals are equally Tilled Layer d as 0.5 ft Typical Lateral spaced from the aaf�tt distribution cell's 0 0 Aggregate 0 centerline in the — A — "♦ distribution cell (AxB). Project: Oevering Homes LLC Lot 30 Mound Page 3 of 8 L Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical ri I P 5 •= Turn -up mn'ball valve or Imo � IEx12 I x1231 Laterals &force main of PVC Sch 40 cleanoutplug per COMM Table 84.30.5 Hales drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.27 ft Lateral Length (P) 44.27 ft Orifices per Lateral 20 Lateral Spacing (S) 2.50 ft Orifice Density 5.63 ft /orifice Lateral Flow Rate 10.77 gpm Manifold Length 2.50 ft System Flow Rate 43.08 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.35 ft Forcemain Velocity 4.40 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Comm Disconnect Electrical as per NEC 300 and --► 16.28 WAC 4 in. min. Tank component is properly vented E— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacityl 750.36 Gallons Volume 20.28 gal/inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 20.75 420.88 B 2.00 40.56 C P ump off elevation (ft) C 4.25 86.12 94.83 D 10.00 202.80 D Total 1 37.001 750.36 il D� ose tank elevation (ft) 3" Bedding uncTer tank. 1 94.00 Alarm Manuafacturer IS. J. Electro Alarm Model Number I 101 -0 1H Pump Manufacturer JG oulds Pump Model Number 1#3871 EP05 Pump Must Deliver 1 43.08 gpm at 14.35 ft TDH Project: Oevering Homes LLC Lot 30 Mound Page 4 of 8 -- I Page 7 of 8 nGbuLDS PUMPS Submersible Effluent Pump EPO4 3871 EP05 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 ses: 9 heat transfer. ■Casing and Base. Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- Canadian Standards Asociation • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C" or 7".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic Gmft ftrp is ISO 9001 RK FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 /4 maximum. ■ EPO4 Impeller: Thermoplas- ■ Power 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 - rotary/ceramic - stationary, BUNA -N elastomers. • Temperature: 104°F (40`C) continuous 140°F (60 Intermittent. METERS FEET • Fasteners: 300 series 10 stainless steel. 9 30 -- sGPM • Capable of running dry without damage to s 2.s rr components. 25 °a 7 Motor: _ • EPO4 Single phase: 0.4 HP, v e 20 115 or 230 V, 60 Hz, 1550 5 RPM, built in overload with o 15 automatic reset. a 4 • EP05 Single phase: 0.5 HP, o EPOS 115 V or 230V, 60 Hz, 1550 ~ 3 10 RPM, built in overload with El automatic reset. 2 • Power cord: 10 foot s standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 ° 0 0 10 20 30 40 so GPM foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). 0 2 4 6 s 10 12 m CAPACITY Goulds Pumps ® 2001 Goulds Pumps ITT Industries Effective May, 2001 83871 Page 8 of 8 Site Plan ForDevering Homes LLC Lot 30 of the Red Pine Comer Sub. SW 1 /4 -NWl /4 Sec. 30 T30N -R18W Town of Richmond - St. Croix Co. #1 BM U 25 50 araphlo seals (Pbet) 101.00' 1 inoh - 5o tt 103.00' Propsed Yx 90'Mound Cell w/a System Elev. of 103.00' 10 .00' • � Proposed 2 "Sch. 40 Force Main Proposed leser Concrete 750 gal. Chamber Proposed 4 "Astor 3034 �C1 Gravity Conveyance Pipe #2 A BM 1.61 Acre Parcel Proposed Wieser Concrete 1000 gal. Septic Tank w/a T.abel A -100 Filter Building Setback Line of 100' \ \ Proposed 3 Bedroo Home A BM = Top of N.W. Lot Iron * HRP —Same ASSUMED ELEV. = 100 #2 BM =Top off. E. Lot Iron Elev. = 107.10' Town Rd. to 140th St. Approx. 320' Note: Maintain well and waterline setbacks per Comm 83.43(8)(1) r V r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. CRoix Attach complete site plan on paper not less than 8 1 /2X- t11riphes in size. Plan must include, but not limited to: vertical and horizont "ference poinf(Bfyl), direction and Parcel I.D. /- percent slope, scale or dimensions, north ag4*j and location and dis*ce to nearest road. pending O Z -11 -0 r 3 d Please pfi af>)14ormA*;on.� `�'.: ;�,.� few � Date Personal information you provide may be I `.fv secon �� Privacy Law',s115.04 (1) (m)). �7 G Property Owner r— — ' -Pr perty Location i E$ 6 Lot 1 /4 NW 1 /4 S T N R jj (or) W Property Owner's Mailing Address `�� SY Cs�� # Block # Subd. Name or CSM# 1611 Hwy. #10 N.E. na I Red Pine Corner City State Zip Cod ; hone er ❑ City ❑ Village ® Town Nearest Road Spring Lake P k, .55432 r 013 ,T78049�6,` Richmond i 140th. Sr ER New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable a ft. General comments and recommendations: mound @ el. 103.50' based on contour line of el.. 102.50' ❑ Boring # r Boring 103.30 33 1 Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 '1 0-14 10yr 24 none L 2msbk_ 2 4 -23 10vr 4/4 none na na 0 - __j Boring # Boring 103.30 30 2 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. I Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 bk 2 4 -30 10vr 4/4 none 3 0 -65 5yr 4/4 f2 7.5 5 6 — S&I 2msbk ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ffluent #2 = B < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Date Evalua Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -=4 -2000 715 - 246 -6200 4 � 1 t t Property Owner Oakunod Tanta Tlav Parcel ID # Pendinq Page 2 of _3 Boring # ❑ Boring 3 pit Ground surface elev. 1 50 ft Depth to limiting factor 43 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2msbk 2msbk mfr QW 1 3 29 -43 7.5 4 mfr qW na 4 43 -65 5yr 4/4 none E Boring # Boring ❑ E] pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 F-1 Boring # ❑ E] Pit Boring Ground surface Bleu. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W 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 services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (RAM) 1 STEEL'S SOIL SERVICE Gary Steel 1554 200th Ave. �' Oakwood Land Development CSTM2298 SW''NW' S25- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #30 =Red Pine Corner This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for ycqr use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted.. N 1 " =40' BM.= top of NW lot take @ 'l. 100.00' Alt. BM.= top of lot S e @ el. 107.10' , o` a d o / X j o� 3 @ I, Z3 r Gary L. Steel 11 -4 -2000 1 6 •+ net 30 02 091290 FOGERTY PLUMVINC igicaa���tlay r -- ST Cam COUNTY SEPTIC TAM MAWBNANCE AGREEMM4T AND OWNERSHIP CUTMCATIO14 FORM OwnerlBuyer •t - Maifmg Addrtm XlY Sel� �""� .� { i 4/ d m P,► Adams (V trgatted fwM Fbon tts DIP40M Ida) -- - C'tty /State pwof Ida>tiification Number 0. — // ? D — ✓ - LEGAL DB OUMM l Property Location &_) _ %+. &&L �/, Se- ?-S . T Eb N -RL � ._W, Town of Subdivieiau �'.4V cgicrrZ - --"-' i,tit # - :76 y-- - CerdW Survey Map # . Volume . Page # Warraaty Deed# _ 7S'�Q�� . Volume Page # o3Z Spec bonse D yes Cd"no Lot lanes idenWmble IT yes O no bmp*er.oc r>�I...mecrnc.ep�C e�isaiciaibpe •NNmtN .raper eaar3 I of prey so an apek taedr shay 6M yeast: tr a>er� Y arsdd 6y a iiowwd p.itpe� Nliae ]� t� ialo � ;� eft atfem fe f0awma of fire aereie stet w a tenMtwaM ~ to do MM dtaperd sl.feaa. _ '!'6e ptopeeg owaersµeee r ntiatt�M>S. � 7asi� D��aatssaM�fioaliaefiarti ai�ei 1r1►ie mnert�ed ig► a �piastieyiweiga�pi�■ ie�se�eleiplrbereeaiM+ awiyw+ p. r. �e�jis +�e(1�lleafsie�aale�serdbpots� isdpinpei6pmMigori�aeaad�(?� aMi�ia�ael 'iMai�i��farceraallM�s wpda�tie laiiw 1/3 5i afsladeR. �. �dndeaei�dtaneteadlbea6o .ate.+g:■�d.�.■i. Asa.. iaDiniepa�ese�wse�I�ed1 +7�a�t.nid a�e:ai.ar� - setfo��eet: �. araet6yieD�etsyQr. e�niieDepr�ulto[? Itl�ew t #sae■ieee.S�MSaf�iroaea�. Ga�aana teatie6dtity�eepiCS�MeieMs6eearfiaiMamdieae�iMOiad: is dwaLCaiRcs Wit zMakROdirewtIOda30 A7*lL1LJtlttl' DAIM- _T OW►1NiiCYt CRR'1MCATIOn I (wd�!► rcaltsdetaabas its lrsna taE esi. t. fishers dws �>ti>rmle�e. I ('we? trM (� � �� tik tir�w, >� .itw of a w=@ y Awd ■esei&d it ltsgi W of Dee& OBiea - * *04*6 Any atfattotira Got is A rp P wfedeoty wM* in 4&ibq► pwA bei% tew4wd by fte Z ft � - O ** •• Inelndc With Ih& rpplic dOW. a M*Med wana*y deed fi ft ItaIIWw of Dee& offem s mw of the ooetitiea s�nw map if referenee is nw& in the waneny deed 1 U. 2523P 032 7 Z5 61420^D4 STATE BAR OF WISCONSIN FORM 1 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Document Number RECEIVED FOR RECORD This Deed, made between Oakwood Land Development, a 03/08/2004 12: 30PH Corporation Grantor, and,kEh� -;A� Otucr� �, Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to G�antee the following described real estate in St. Croix County State of Wisconsin (the "Property"): REC FEE: 11.00 TRANS FEE: 101.70 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address O ring Homes, LLC X Re n Comer NewR�ich�77tt++o WI 54017 - 755 - 0 _ S I zU 026113030000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot 30, Red Pine Comer, Town of New Richmond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except '_�c Dated this day of (SEAL) (SEAL) Oakwood Lan ve (SEAL) (SEAL) » AUTHENTICATION ACKNOWLEDGMENT Signatures) State of Wisconsin, Z= St. Croix County authenticated this day of Pe ,,�� s o pnally cam! =Me me this day of a'LI \U(� the above named SCONS' •���� Greaory J. Peterson as Vice President of Oakwood Land ,u,a« `� Development, a Corporation to me known to be the person TITLE: MEMBER STATE BAR OF WISCONSIN who executed the foregoing instrument and (If not, acknowI g�-the sa authorized by §706.06, Wis. Stats) i THIS INSTRUMENT WAS DRAFTED BY Coldwell Banker Burnet Notary Public, State of Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission is permanent. (If not, state expiration date: (Sigma 1 ?` /, o�� G�acl� (Signatures may be authenticated or acknowledged. Both are not necessary.) ` Names of persons signing in any capacity must be typed or printed below their si nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. 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