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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 430250 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes IPrivacy Law, s.15.04 (1)(m)].
Permit Holder's Name: Village X Township Parcel Tax No:
City
f Tunnicliff, Richard Richmond Township 026- 1142 -49 -000
CST BM Elev: Insp. BM Elev: BM De C '' pUon: Section/Town /Range /Map No:
lo /b2:, X Z 25.30.18.1033
TANK INFORMATION ELEVATION DATA
TYPE / MANUFACTURER CAPACITY STATION BS HI FS �Z .3
(/� 1, 1 r
Septic Benchmark [ 3 . (, 105. 10 Z . 3
Dosing FSt/Ht
Aeration Sewer'
Holding Inlet
b• � S
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent t take ROAD Dt Inlet
Septic / Dt Bottom
A 2q Dosing eade an. U 3.3� /r 3•
Aeration T5ist. Pipe o per, 3 , YZA D3 •51
Holding Bot. P ti<vt� v 0 3 . D
o•
Final Grade I
PUMP /SIPHON INFORMATION
Manufacturer GP and St Cover
Model Number l
TDH Lift F ' t' Syst m Head TDH Ft
a.3d 5 Cor�TL / v o l
Forcemain Length �/_ Dia. Dist. to FVVI
SOIL ABSORPTION SYSTEM
BED /TRENCH Width / Length No. Of Trenches PIT DIMEN NS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS � /
SETBACK SYSTEM TO P/L N BLDG WEL LAKE /STREAM L CHI Manufacturer:
INFORMATION CHAM OR
Ty e f System: t
D ► � NI Model Number:
Ty � V
DISTRIBUTION SYSTEM ah
Header/M nif d Distribution h x Hole ize x Role Spacing Vent t Air IIntaak �
Pipe(s) /n r �Q/�(f+
L � 6 Dia ' w o Spacin i
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 [. -' Yes No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / 3 Inspection 01 b 3
Location: 1365 141st Street New Richmond, WI 54017 (NE 1/4 NW 1/4 25 T30N R W) R d Pin�Corr 49 Parcel N :
2"3
8. 33
1.) Alt BM Description = JT '
2.) Bldg sewer length = ?q S h4 -
- amount of cover - �` I aJ AA).,f Awe
Plan revision Required? Yes No
Use other side for additional information.
q ,
's Si ature Cert. o.
SBD -6710 (R.3/97) Date Insepctor
,^^'r�G/ ��,,/��i_
Safety and Buildings Division County
` Mir 201 W. Washington Ave., P.O. Box 7082 5T. r ,
isconsin Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (608) 261 -6546 �302-5D
Sanitary Permit Applikation
personal i - sta te Plan LD.
In accord with Comm 83.21, Wis. Adm. Code, formation you provide ( t t" ' ` T fauS• 14 .
may be used for secondary purposes Privacy La, s 15.04(1 xm) Project Address (if different than mailing address)
I. Application Information - Please Print All Information
E 14
Pro Own 's Na Parcel # t # Block #
7 - _ y am.
Property Owner's Mailing Address Property Location
City, State Zip Cod / rt
Phone Number =� 1/4, � �' Section
61.,e s O 0 a l S- 6 S 9� circle one)
T N; R / or W
II. Type of Building (check all that apply) � �/ t�vti
�J or 2 Family Dwelling - Number of Bedrooms y l Subdivi ' n Name CSM Number
❑ Public/Commercial - Describe Use c Vt �-
❑ State Owned - Describe Use N.`6 t K ❑City ❑Villa o ship of
LL* ` o,
III. Type of Permit: (Check only one box on line A. Complete line B if applicable) _ 49 -. , /p 33
A. kTNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of POWTS System: Check all that app
❑ Non - Pressurized In -Ground k Mound > 24 in. of suitable ii ❑ 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 A lication Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (so System Elevation
IoDC'�
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units / _ r4 - ( 1 Concrete Constructed Glass
New Existing / I
Tanks Tanks
Septic or Holding Tank / /0?00
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assum esponsibility for i allation of the POWTS shown on the attached plans.
PliurkerANa me nt umber's store PRS Number Business Phone Number W 1� d 3��_ 8- Z,,�
rgbyr's Address (Street, City, State, Zi Code)
VIII. County/Department Use On
10 Approved ❑ Disapproved Sanitary Permit Fee includes Groundwater Date Issued Isspi gent Signature (No mps)
Surcharge Fee)
❑ Owner Given Reason for Denial
IX. Conditions of Approval/Reasons for Disapproval
• - t
MALIAN v1AAA� 4-Q- 6L �
Alt� SA act �V�
6u tN\�
Attack complete plans (to the County only) for the system on paper not less than 81R x 11 Inches In size
SBD -6398 .08/02
r
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Safety and Buildings
10541N RANCH ROAD
HAYWARD WI 54843
isconsin
www.cornrnerce.state.wi.us/sb
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
Co ry L. Nettles, Secretary
May 30, 2003
CUST ID No.220357 ATTN: POWTS'Inspector
ZONING OFFICE
BRADY J UTGARD ST CROIX COUNTY SPIA
110 KELLER AVE N APT 112 1101 CARMICHAEL RD
AMERY WI 54001 -1034 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05 /30/2005 Identification Numbers
Transaction ID No. 866442
SITE: Site ID No. 658991
Richard Tunnicliff Please refer to both identification numbers,'
Lot 49 Red Pine above, in all correspondence with the
Town of Richmond
agency,
St Croix County
NEIA, NWI /4, S25, T30N, R18W
FOR: New mound, 600 GPD
Object Type: POWT System Regulated Object ID No.: 902945
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' (D 3 a
in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. m�
The following conditions shall be met during construction or installation and prior to occupancy or use: '',� n�.yT
General Approval Conditions: /
OF SA
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD -10691- �S , - , L
( N.01 /01) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil
Absorption Systems."
• 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 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 er Mound Component Manual.
P P
• Surface water drainage shall be diverted away from the system area per Mound Component Manual.
BRADY J UTGARD Page 2 ` 5/30/03
• 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.
• Provide frost protection per COMM 83.43(8)(c).
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 /instaIlation/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 slats 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 Sthandorf 1"
POWTS Plan Revieder ,.Integrated Services WiSMART code: 7633
(715) 634 -7810, Fax: (715) 634 -5150 , M -f 7:45 am - 4:30 put
psliandorf(i ?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 TUNNICLIFF
Owner's Name: RICHARD TUNNICLIFF
Owner's Address: 1030 FRANKLIN BALDWIN WI
Legal Description: NE 1/4 NW 1/4 S25 T30 NR18 W
Township: RICHMOND
County: ST. CROIX
Subdivision Name: RED PINE CORNER
Lot Number: 49 Block Number:
Parcel I.D. Number: � •a'
Plan Transaction No.:
Page 1 Index and title of MMERCE 8
Page 2 Data entry
Page 3 Mound drawings -- -'
Page 4 Lateral and dose tank ES �NDE
Page 5 System maintenance specifications
Page 6 Management and contingency plan
Page 7 Pump curve and specifications
Page 8 SOI TE T %n t q I,-
e
Designer: BRADY UTGARD License Number: 220357
Date: 05/12/ Phone Number: 715 - 268 -6995
Signature:
Designed 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
400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ sal treatment for fecal
1.50 Peaking Factor (e.g. 1.5 = 150 %) carform of - 36 inches.
600.00 Design Flow (gpd)
2.00 Site Slope ( %)
102.10 Contour Line Elevation (ft)
40.00 Depth to Limiting Factor (in)
0.40 In -situ Soil Application Rate (gpd /ft
Distribution Cell Information ' �
67.001 Dispersal Cell Length Along Contour (ft) = 8.96 Cell Width (ft)
1.001 Dispersal Cell Design Loading Rate (gpd /ft
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint
in the distribution Y
Pressure Disribution Information network? Enter Y or N
(c or e) c Center or End Manifold
2.99 Lateral Spacing (ft) If N above, enter the elevation ft
6 Number of Laterals of the highest point.
0.188 Orifice Diameter (in) (e.g. 0.25)
3.00 Estimated Orifice Spacing (ft) = 9.10 ft /orifice
2.00 Forcemain Diameter (in)
.N1 120.00 Forcemain Length (ft) Does the forcemain drain back? Y
94.00 Pump Tank Elevation (ft) Enter Y or N
3.25 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal)
8.1 ertical Lift (ft) 40.08 5x Void Volume (gal)
X13 .58 Friction Loss (ft) 59.65 Minimum Dose Volume (gal)
15.93 Total Dynamic Head (ft) 43.25 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25
1.00 x X 1.50
1.25 x 2.00 x x
1.50 x 3.00
2.00 x
3.00 x
Gallons /Inch Calculator (optional)
Treatment Tank Information 600.00 Total Tank Capacity (gal)
1200.001 Septic Tank Capacity (gal) 1 50.001 Total Working Liquid Depth (in)
WEASER I Manufacturer 12.00 gal /in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
800. Dose Tank Capacity (gal) Zabel Filter Manufacturer
21.00 Dose Tank Volume (gal /in) A100 Filter Model Number
WEASER I Manufacturer
Project: RICHARD TUNNICLIFF Page 2 of 8
Mound Plan View
1/�-- 1 =--1 Observation Pipe 3Q' J
K J1JtiJ�r•.• ti ti ti ti ti ••.••, ti.•„ti, ti ti ,, L , ti ,. .• ., —+
J J J•j. f.f•f. f: f.,.,1., J ,. J , f ,, J , J, ,,J,,•, : J j�
• i • • ••,� •:�:,•,,J,J l�F��•J•, •J: ;. f. J•.IJ�j•J�J•J•J •. �. J, J• A
�''.'��,''. �5 �. f. J L f. J 'L f".•ti : J� •:J� J�J� J� :J :�J: :J:
W B Y
— I
c
L
Mound Component Dimensions
Aft , Down slo a toe extension made.
A E 8.15 in H 100ft K 7.02ft
B F 9.QQin T 1R4:1ft I R1nAft
D G ft
0.50 J 4.95 ft W 27.34 ft
N 8.96 (ft2) Dispersal Cell Area L 1500.00 (ft 2 ) Basal Area Available
I(gPd/ft) Linear Loading Rate 6.70 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade , 104.35 (ft) —►
H
1 frirrrrrii 2 rrrrirri.. G S
F ::::
rr�i�r
::: .........
102.60 (ft)-0 — Dispersal Cell 103.10 (ft) Lateral
Dispersal Cell Invert
Elevation E D
4 4
2.0 %Site Slope 102.10 (ft) Contour Elevation
Shading Key ° y-- Geotextile Fabric Cover
I Dispersal Cell See lateral details on
Q -Topsoil Cap � a 1.5 ft Page 4 for
rrrri ° _ ,� •J J�J •:'•' :.r.;.:; :• g number, size,
Subsoil Cap .•5'J {j {•• and spacin
• N ASTM C33 Sand ` '� r' J5 P g of laterals.
' ti" ' � ti Laterals are equally f '�' F
® Tilled Layer c 0.5 ft '• Typical Lateral spaced from the
05 ryr1J� Aggregate et c distribution cell's
centerline in the
— A —� distribution cell (AxB).
Project: RICHARD TUNNICLIFF Page 3 of 8
Center Connection Lateral ram Layout Dai
Y 9
Farce mai n connection via tee or cross to manifold at any point. Laterals are identical
S
P S
y
• = Turn - p vdbsl I valve or IE- y � ( H12 I st2 +l Laterals & force main of PVC Sch 40
of ea nowt plu g per COMM Table 84.30 -5
Holes drilled on the bottom of the lateral. ,
Number of Laterals 6 Orifice Diameter 0.188 in
Lateral Diameter 1.00 in Orifice Spacing (X)
Lateral Length (P) 32.76 ft Orifices per Lateral 11
Lateral Spacing (S) 2.99 ft Orifice Density 9.10 ft /orifice
Lateral Flow Rate 7.21 gpm Manifold Length 5.97 ft
System Flow Rate 43.25 gpm Manifold Diameter 2.00 in
Total Dynamic Head 15.93 ft Forcemain Velocity 4.42 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 MForcemain Alternate outlet
location
diameter
WEASER Manufacturer r 2 in.
Ca aci 800.00 Gallons
Volume 21.00 gal /inch A
Weep hole or anti -
Dimension Inches Gallons B siphon device
A 21.25 446.35 C
B 2.00 42.00 Pump off e levation (ft)
C 2.84 59.65 95.00
D 12.00 252.00 D
Total 1 38.101 800.00
11 4 Dose tank elevation (ft)
3" Bedding under tank. 94.00
Alarm Manuafacturer I LEVEL
Alarm Model Number DLV
Pump Manufacturer IGOULDS
Pump Model Number EP0 _�—
Pump Must Deliver 43.25 gpm at 15.93 ft TDH
Project: RICHARD TUNNICLIFF Page 4 of 8
Mound System Maintenance and Operation Specifications
Service Provider's Name UTGARD PLUMBING Phone 715 - 268 -6995
POWTS Regulator's Name ST. CROIX ZONING Phone 715- 386 -4680
System Flow and Load Parameters
Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 600.32 ft Maximum FOG 30 mg/L
Type of Wastewater 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 months
Pressure System Laterals should be flushed and eressure tested every 1.5 ears
Mound[_ Inspect for ndin 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 requifCzments 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 TUN14ICLIFF Page 5 of 8
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
This system hall be
2-84 Wis. Adm. Code, and shall maintained in accordance with its' component
ent
ter operated in accordance with Comm 8
manuals [SBD- 10691 -P (N.01 101) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance an
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
Code. The operating condition of the septic tank and outlet fitter shall be assessed at
nce with NR 113 Wis. Adm. Cod open ng
shall be disposed of in accordance ,
least once every 3 years by inspection.
The outlet filter 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 fitter when removed from its enclosure. If the finer is equipped with an alarm, the filter
shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge floras 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. Colo 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L
BOD5, 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, lt 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 relat
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 TUNNICLIFF Page 6 of 8
i
7o gulds
Submersible
Effluent Pump
3871 EPO4
EP05
APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron
Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer,
following uses: • Capable of running lubrication and efficient strength, and durability.
• Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas-
• Homes components. Available for automatic and tic cover with integral handle
• Farms Motor: manual operation. Automatic and float switch attachment
• Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points.
• Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty
• Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant.
automatic reset. ■ Bearings: Upper and lower
SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing
115 V, 60 Hz, 1550 RPM, construction.
Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo-
- Solids handling capability: automatic reset. plastic Semi -open design
1 /4 " maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING
• Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP- Canadian standards Association
• Total heads: up to 24 feet. with three prong grounding
a size: l'/2 "NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo -
• Discharge plastic enclosed design for (CSA listed model numbers
r • Mechanical seal: carbon- length, 16/3 SJTW with improved performance. end in "F" or "AC ".)
rotary/ceramic - stationary, three prong grounding plug
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104 °F (40 °C) continuous superior strength and
140 °F (60 °C) intermittent. corrosion resistance.
• Fasteners: 300 series METERS FEET
stainless steel. 10
• Capable of running
dry without damage to s 30 Y.
components.
__.
Pump: EP05 s -
• Solids handling capability: c z 25
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• Capacities: up to 60 GPM. X s 20
• Total heads: up to 31 feet.
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• Discharge size: 1Y2" NPT. z 5-
- - - -- - - -- - -- - -- - - - - - - - --
• Mechanical seal: carbon- c 15
rotary/ceramic - stationary, a a
BUNA -N elastomers. o - - - - - -- -- -, - - -- - .-
• Temperature: 3 10
104 °F (40 °C) continuous
140 °F (60 0 C) intermittent. 2 :._ __.
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WtsoonsinDepartmeatofCommerce SOIL EVALUATION REPORT Page 1 _of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County ve
Attach complete site plan paper not less than in size. Plan must
include, but not t(mited to: vertical and horiz re �@ ! , dir>ar:tion and parcel I.D.
percent slope, scale or dlrneasions, north lBlCatfoRatt disl ce to nearest road. pending
Please P� r (-4 t!07160 .fin. ! � Reviewed by Dale
Personal Inlormalioo you provide may be s for smor, iivacy Law, 15.04 (1) (m)).
Property owner Location
Oakwood Land Develop efit; ���� ,' vt. Lot NE 1/4 NW 114 s 25 T 30 N R 18 Au (or) W
Property Owner's Malting Address L t # I Bloch # Sutd Name or CSM#
1611 HY. #10 NE. 49 na Red Pine Corner
City State p Code f'trrxte ❑ city Q vdiase ® Town Nearest Road
Spring Lake ark r. 5543 612 ,780 - 496.,' giChmond 140th. st.
0( Nev< Construction use; CkResldentia4 J Slumber of bedrooms _ 4 Code derived design flow rate 600 GPD
Q Replacement ❑ Public or commercial - Desrxibs:
Parent material gl acial drift Flood Plain elevation if applicable i3a R.
General comnents
and recommendations:
mound @ el. 103.10, based on contour limen -ce of el. 102.10
❑Boring
1
Pit Ground surface elev. ft. Depth to limiting factor 4_ in.
t.3o
5011 Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff
in. Munsell Qu. Sz. Cont. Color _ Gr. Sz Sh. •EtI#1 1 0#2
1 10 3 2msbk mfr qW 2m
2 16 -34 10yr4/4 fit sil 2asbk mfr qw tm
3 34 -40 75.Yr4/4 none sl 2csbk mfr 9W if .5 .9
4 40•45 7 5 4 4 scl lcsbk mf r gw na .2 .3
5 45 -60 10yr7/3 none fra na na I np n
l 2 ! Boring # ❑ Boring 102.30
II II ® Pit Ground surface etev, ft. Depth to limiting factor � in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
1 0 -12 10 2/2 none 2c .5 .8
2 12 -19 70yr4/4 none sil 2mbk Mfr CW 1m .5
3� 19 -32 10yr4/4 none sil na .0 2
4 32 -48 7,5 4/4 none
Effluent #i - 606 > 30:5 220 r,,,; L and TSS >30= 150 rag1L ' f! nt #2 = < 30 me and TSS _f W mgJL
CST Namz (1 4ea a Prnti Signature . CST Number
Cary L. Steel - 42298
Address ate Evaluation d�cted ,,\ Telephone Number
1554 20ft -h. five.. T3Pw R if-3 - fnr,ineq rtiT J:;-2nT7 S.�i,?f)f)? 715- 246 -6200
Property Owner OakWood and DQV Parcel 1D # pendi.ng Pays 2 of 3
3 Bomg # ❑ "066 101 . f
® Pit Ground suxtace elev, fl. Depth to limiting factor 48 in.
Solt Application Rate
Honzon I Redox Description Texture Structure Consistence sounaaq Roots GPDIif
in. Munsel Qu. 8z. Cont. Odor Gr. Sz. Sh. •t tf#1 - >:N2
1 0 -12 1 2mfabk mfr qw 2c S 8
2 12 -33 10yr4/4 none sil 2msbk mfr 1m .5 .8
3 33 -44 75•ry4/ none I sl I 2esbk mfr qw If .5 .9
4 44 -48 7.5yr4/ none scl 2tttsbk mfr rta 4
5 48 -60 10yr7/3 none fra tuned Iij jestorle na
Boring # C3 Boring
❑ Pit Ground surface elev, ft. Depot to limiting factor in, Sod Ap Rate
Horizon Depth Danwnant Redox Description Texture Structre Const tense Sotw4ary Roots GPOM
ki. MWLWD Qu. Sz Corti, color Gr. U &L •Ef1#1 •EW2
F-I Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to Am" Wor in.
Sod ADDUcawn Rate
Horzon Depth Dominant c4oia RedoxDwAr"on Texture Structure Ccnslstence Sour4my Roots GP
in. Mur+sedf Qu. Sz corn color Gr. Sz. Sh. •Eff #1 •Eff#2
Effluent #1 = BOO, > 30 < 220 y� TSS >
r� 30 _ 150 mg1L ' Effluent 02 = BOD 130 rrgll. and TSS 130 rtgll
The Department orCommerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an ahmate foattA please contact the department at 608- 266 -315J or TTY 608 - 264 -8777.
ssw�ao c�csoot
Z00 'd WeSb:80 801ti1 /b0 OOGSSt7_ST4 9NIlHA"OX3 170}JN
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
j GSTM2298 Oakwood Land Dev• New Richmond, .WI 54017
MPRSW -3254 �fS2215oN-R18w (715) 246 -6200
lot #49 -Red Pine Cornea
This soil evaluation was c=XUL -tsd to satisfy a zoning requirement, it may or say
not be aultable for yvut use. The location of the test may or way not be as shown
ae peneWarit lot linee xero not es'tabliWad at the time the test vas cmxWcted.
N t
7 =40
BM,= tog of NE lot stake, @ el. 100.00'
alt. BM.= to of 1" vc i
P p pipe @ el. 102.30 '
�1a3 s
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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
Attach complete site plan on paper not less than i in size. Plan must St Croix
include, but not limited to: vertical and horizo re re �� p direction and Parcel I.D.
percent slope, scale or dimensions, north + thlrr!' st ce to nearest road. pending
Please pri t�a ma�bn. ` viewed by Date
y
Personal information you provide maybe sed fnr secon nvacy Lgw, 15.04 (1) (m)).
Property Owner i P perty Location
Oakwood Land Development'; r! ^ ?4��j� vt. Lot va NW ua s 25 T 30 N R 18 (or) w
Property Owner's Mailing Address ST DFOX t # Block # Subd. Name or CSM#
1611 HY. #10 NE. CCkWM 49 na Red Pine Corner
City State zip Code Phone Number ❑ City ❑ Village (N Town Nearest Road
Spring Lake ark MN. 5543'f' 612 ) ,780 96 Richmond 140th. St.
a New Construction Use: aResidential / Number of bedrooms 4 Code derived design flow rate 600 - GPD
❑ Replacement , ❑ Public or commercial - Describe:
Parent material gl acial drift Flood Plain elevation if applicable na — ft.
General comments
and recommendations:
mound @ el. 103.10', based on contour liiilarP- of el. 102.10'
F Boring
Boring # 102.10
[� pit Ground surtace elev. ft. Depth to limiting factor in. Soil A lication 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
1 10 3 3 none T. 2msbk mfr qw 2m 5
2 16 -34 10yr4/4 none sil 2msbk mfr qw 1m 4
3 34 -40 75.Yr4/4 none sl 2csbk mfr gW if .5 .9
4 40 -45 7.5 4 4 c2d 7-S3:MS/6 scl 1csbk mf r 9W na .2 •3
5 45 -60 10yr7/3 none fractured limestone na na np n
❑ Boring # Boring 102.30
® Pit Ground surface elev. ft. Depth to limiting factor 48 in.
2 Soil A plication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffF
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -12 10 2/2 none
2c .5 .8
2 12 -19 10yr4/4 none sil 2msbk .5 8
3 19 -32 10yr4/4 none sil M na qW .0 •2
4 32 -48 7.5 4/4 none
Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L nt #2 = BO 5 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature . CST Number
Gary L. Steel 02298
Address ate Evaluation Co ducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 8 -3 -2001 715 - 246 -6200
Property Owner Oakwood Land DeV _ Parcel ID # pending Page 2 of 3
3] Boring # ❑ Boring
3 ® pit Ground surface elev. 101.30 ft. Depth to limiting factor 48 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#2
1 0 -12 1 2msbk mfr 2c .8
2 12 -33 10yr4/4 none sil 2msbk mfr 1m .5 8
3 33 -44 75.rY4/4 none S1 2csbk mfr qw 1f .5 .9
4 44 -48 7.5yr4/4 none scl 2msbk mfr qw na .4 6
5 48 -60 10yr7/3 none fractured litestone na na
E Boring # C1 Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ligtion 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
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 (R6100)
Property Owner Oakwood Lan DeV Parcel ID # pending Page 2 of 3
ng # E] Boring F ® pit Ground surface elev. 101 .30 ft. Depth to limiting factor 48 in.
�' Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Coot Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -12 1 2msbk mfr qw 2c .5 8
2 12 -33 10yr4/4 none sil 2msbk mfr qw 1m .5 .8
3 33 -44 75.ry4/ none sl 2csbk mfr qw 1f .5 .9
4 44 -48 7.5yr4/ none scl 2msbk mfr qw na .4 6
5 48 -60 10 7 3
yr / none fractured limestone na na np 13P
E Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # E] Boring
El pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Odor 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 mglL and TSS >30 < 150 mgA- ' Effluent #2 = BOD, < 30 mglL and TSS 130 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777.
SBD4330 (86100)
r
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200 #h Ave.
CSTM2298 Oakwood Land R New Richmond, WI 54017
MPRSW -3254 �4�4 s25- T3oN - 18 w 18 (715) 246 -6200
town of Richmond
lot #49 -Red Pine Corner
We soil evaluation vas conducted to satisfy a zoning requirement, it may or may
not be suitable for your 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 vas conducted.
N
r 1 " =40'
BM.= top of NE lot stake. @ el. 100.00
i alt. BM.= top of 1" pvc pipe @ el. 102.30'
�� 3
410`
2� g �
`19D
v
�
Gary L. Steel
8 -3 -2001
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP Ciz"RTIFICATION FORM
Owner/Buyer
Mailing Address / 0 30 r 4k'n �' /�,i 5 7` ,6'a ��r�•�,: l✓ i S` f Ue� �
Property Address ` 5—'
(Verification required from Planning Department for new construction)
City/State Iv�'w c {std Parcel Identification Number 60 �" /U '- /0--0
LEGAL DESCRIPTION
Property Location Y,, /y A y,, Sec. T- DN -RZ�EW, Town of !e ' '
Subdivision 1 ' ss e- Cr"-7 e- "C:L' Lot #
Certified Survey Map # Volume . Page #
Warranty Deed # ' 171 1 Volume S Page #
Spec house ❑ yes % no Lot lines identifiable I yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the tic tank eve three ears o
�P r sooner, if seeded
every Y by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property-owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above req q nts aad agree to maintain the rivate sewage disposal system with the P g sP Y standards
set forth, herein, as set by the Department of Commerce and the Department o
p f Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three Vnrirzft e,
1 2 2 / U
SIGNATURE OF APP ICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the prope es virtue of a warranty deed recorded in Register of Deeds Office.
IGNATURE OF LICANT DATE
Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.******
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
J ,226.5 P . 625 -7 ER4 -7 1
KATHLEEN H. WALSH
STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS
Document Number WARRANTY DEED ST. CROIK CO., MI
RECEIVED FOR RECORD
This Deed, made between O akwood Land Development, Inc., 06/06/2003 08:50AK
WARRANTY DEED
EXEMPT #
Grantor, and Richard G. Tunnicliff and Mary Tunnicliff, REC FEE: 11.00
+( uSha✓t ,,[ter TRANS FEE:
COPY FEE:
CC FEE:
PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
Name and Return Address
Lot 49 Red Pine Corner 1st Addition. EAGLE VALLEY BANK, NA
This deed is given in fulfillment of that certain Land Contract between the 1301 Coulee Rd
parties hereto dated January 4, 2002, recorded February 18, 2002, as Doc. PO BOX 70
No. 671355. Hudson, WI 54016
026 - 1073 -10 -000
Parcel Identification Number (PIN)
This is n homestead property.
(K) (is not)
Exceptions to warranties: Easements, restrictions and right -of -way of record, if any.
Dated this day of May , 2003
Oakwood Land Development, Inc.
'weA
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
) ss.
1 County )
authenticated this day of
Personally came before me this day of
May 2003 the above named
Oakwood Land Development, Inc. by
n 0 ,
TITLE: MEMBER STATE BAR OF W)6 y� y �,, its V l'C e5i(le
to me known to be the person(s) who executed the foregoing
(If not, `� % -� �T in ru it t ac led a same.
authorized by § 706.06, Wis. Stat vE,o
THIS INSTRUMENT WAS
Attorney K ristina Ogland % N;• V 13 = Notary Public, State of Wisconsin
Hudson, WI 54016 � Q ' `:� c My Commission is permanent. (If not, state exppu4ion date:
(Signatures may be authenticated or acknowledg�dy�oth�p
* Names of persons signing in any capacity must be typed -3 rinte below their signature. Information Proraseionais company, Fond du Lac, w1
2 j - - 3 �f ,P STATE BAR OF WISCONSIN 800- 655 -2021
WARRANTY DEED FORM No. 2 - 1999
I (
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S a N d l 4 3 1 d l d N n
S00'33'59 "W 562.47' I
` 200.01 154.99 207.47
DRAINAGE EASEMENT
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