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HomeMy WebLinkAbout026-1142-52-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division R INSPECTION REPORT Sanitary Permit No: 429990 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: Gwiazda, Regina I Richmond Township 026- 1142 -52 -000 CST BM Elev: Insp. BM Elev: BM D cription Section/Town /Range /Map No: / OD • a 06.0 (� /� «A w Cd�jjr�Qiv c.._ c� 25.30.18.1036 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t � / Benchmark - v �• /�` Q Dosing w /_�' AIL. - DIVI Aeration �(f ` 0 Bldg. Se er ks 35 Holding St/Ht Inlet g' o 3.7 (o St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ` J v1 f Dt Bottom Dosing Hea r /Man. 3.7 / / Aeration Dist. Pipe 3 / o/. D Holding Bot. System c�. S SOD Final Grade PUMP /SIPHON IN ✓10 0 O — �S `I`� -'e, - / 07- 3 Manufacturer / D an St Cover 14 rte DZ•D GGo GPM T f I lly . A Model Number q P 0 3 0 ` ( 4vw,-- S 4 _(q - b TDH Lift Friction Loss System Head / TD�H • 6 �Ft i t * Forcemain Length Dia. Dist. to Well _ SOIL ABSO PTION SYSTEM BEDITRENCH Width Length No. Of r nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I ( ct SETBACK SYSTEM TO P/L &,q] jBL9P JWFLL LAKE /STREAM LEACHIN Manufacturer: INFORMATION MB OR Type ,Qf System: / 1 �A Aw T Model Number: u /VYl DISTRIBUTION SYSTEM ,� 3 S rv�l'G 2 ✓ Header /Manifold Distributi on 1.� Tole Size I x Hole Spacin Vent to Ai Intl ake r g / I P 9 ( 2 � t/ G,thiHJ Len th Dia th Dia S acin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over .r Depth th Over xx Depth of xx Seeded /Sodded h0%-O S Icheyl Bed/Trench Center I Bed/Trench Edges Topsoil r�� F Yes , Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:__ / 2� / {- Inspection #2:9/ 0 Location: 1375 141st St New Richmond, WI 54017 (NE 1/4 NW )/4 5 T30N R18W) Red Pin orne�r Lot! 2 i ,P,arcel No* 25 330.1 8.103 1.) Alt BM Description 2.) Bldg sewer length = � � Le-4 .� f�L �y -��f� � W4D - amount of cover Plan revision Required? I Yes IiYNo r I 62 _ _ ___- - - -__— - - __ -`- - - -_ -_- - -_- - - -- - - -- Use other side for addition inf matron. I ' 1 7 - U al or L - -l- - -- - - - -�> - -- - - SBD -6710 (R.3/97) Date Insepctors Signature Cert. No. Safety and B ildings Division County •�- 8 *1sc6ns1n t 201 W. Washington Ave- P.O. Box 7162 Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 - 3151 Z Q Plan Nu T.D. Num ` Sanitary Permit Application State /\ In accord with Conan 83.21, Wis. Adm. Code, personal information you provide �5 q3+t ' T> So � /b 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 Infor t Property Owner's Na me Parcel # Lot # Block M Property tier's M ailing Address L Property Location 1 ���� G ST. CROIX COUNTY — t__ ik , ,��✓ a ,Section a � 1 City, State Zip r r (circle ) II. Type of Building (check all that apply) o� T u N; R l� B o> � p1M Subdivision Name CSM Number %I or 2 Family Dwelling - Number of Bj4rooms ❑ PubliclCommercial - Describe Use Cep o� qu El State Owned - Describe Use r X �-S t yN �QQ "h =1 0 GZ_ tr ❑aty_❑village ❑Township of f A POA- III. Ty pe of Permit: (Check only one box on line A. Complete line B if applicable) — J IfZ — Z - CCU . / 36 A. ANew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System H. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Tya of POWTS System: Check all t hat apply) ❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soil El 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 ❑ Recirculat Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (exp lain) V. Dispersal/Treatment Area Information: r Design Flow (gpd) Design Soil Applicatir Disp Area Required (sf) Dispersal Area Proposed (sf) System EIevation , VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic I Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank lei Aerobic Treatment Unit L Dosing Chamber r CsC r VII: Responsibility Statement- I, th4vandeusigted, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature r PMPRS Number Business Phone Number S' - 4 Xr Plumber's Addre ss (Street, City, State, Zip Code) S �J VIII. Count Department Use Onl Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature o Stamps) Surcharge Fee) 1,-32S- A A I � . d I ❑ Owner Given Reason for Denial V p � IX. Conditions of Approval/Reasons for Disapproval _ s S A -- I •S —� e,� (tea, u . t�t Qs � i�a � �a'-� , (�' .�iv,su,,•,� .,rtit.�.�' � .,d:��.r� -�c�l v`^� t�'' � III Attach comple a plaosito the County oqly for j sys � t y em o paper of less than 3112 x Il inches in size SBD -6398 (R. 01/ CJ ��' PLOT PLAN / Scale 1 " =Sp Page 3 of 7 -� L00.0' O1V Top OF- 1`` PVC P OF l wC V V-Xt F-41 LOT t_1jvF % ph-T `— "1 q 1 0 DF 2'1PVC .->V- G� too l� 1ME u,u 6 PnZ- SV 66 �T3TL� � � , 93 1 y 1 sr S T. NO 1• Elevations shown are existing ground elevations unless 2• Install 4" observation ic tank o bservation r 1 pipes with a 3. Sept s otherwise noted. caps. �b� Sly gallon ca l approved manufactu edrbyuired) . Lv�� Cll>t1C��— wLp )ouo 6So r� 2 w - l8oa 4 • Bench mark S 4 Zpn3�L �iu�1Y2 5. Divert surface water �around system to prevent ponding at the uDhi 11 _ a,Ao_ 5 . Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 1 \ *6consin www.commerc .wis ons Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary RECEIVED May 06 2003 MAY 0 9 2003 CUST 11) No.220254 ST. CROIX COUNTY ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Id IN. Numbers PLAN APPROVAL EXPIRES: 05/06/2005 Transaction ID No. 864878 SITE: Site ID No. 658682 Regina Gwiazda Residence Please refer to both identification numbers, 141 ST St above, in all correspondence with the agency. Town of Richmond, 54017 St Croix County NE1 /4, NW1 /4, S25, T30N, R18W Lot: 52, Subdivision: Red Pine Corner FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 901896 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • 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- 10572 -P (R.6/99) 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 Wonazzy area. chs. NR 811 & 812c ZOVED • 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. Y OF COMMERCE T �11• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the ESPONDEN E esignated 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. ARTHUR L WEGERER Page 2 5/6/03 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible P onsible 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 J 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 TITLE SHEET Page of MOUND SYSTEM FOR A 3 BEDROOM_RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD 10573 -P C 2. b / qq� C iz. 614 n � LOCATED IN THE 1uL 1/4 OF THE Nw 1/4 OF SECTION ZS , T 3 0 N, R I S W, TOWN OF R N (3, jb ) Sj _ CR_0IK COUNTY, WISCONSIN. LbT SZ OF P l1V E CMKA - INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PU14PING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR hE61N11 Gw1 P-Z b 1� - . �OZ 3v c�r_2LD 6G CTr lt�vp S Kj Lv PREPARED BY WEGEE;ZEFZ SQ I L. .TEST = hiG AND. DES I GN SERVICE P.O. Box 74 421 N.Main St. River Falls, WI 54022 pt Phone 715- 425 -0165 Fax 715 - 425 -6864 p,•:.�A � t wc:c,Z.;a 1 P915 P K1.S'VOHTH COW w. RECEIVED .... �.. DEF RTMEN MAY - 5 2003 �oo� �3� fail L SAFETY & BLOGS DIV. SEE CORR -JOB NO. Mound System Management Plan p age Z of Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet 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 filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. 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 Systern No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L 6005, 150 mg /L TSS, and 30 mg /L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] avid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at 1 S — 3 86 - 6 bo S- ] X The system installer at 1 L S— & 6 The tank manufacturer at �(�� -3 2S _ $ S 6 1 -11Q!5Q'1Z The effluent filter manufacturer at S� Z Z ,E The pump manufacturer at q t G g PLOT PLAN / Scale 1 " =S0 ' Page 3 of 7 : -Qz.. WO. 0' oN Top of 1 "_PV PIPS' - - a. ` B, )S 'W hjP OF 1" w Q- Pt PE _- �0( �'`'IU Vh �j `� f✓� �-- tuNi S 1 \zU c7 Oki r-L, . t r�a . Z ° o . ��N"�`" U � Est" o v'� .v � o� y � X30 e rL. t �-- \5 , a mil` �S p �) q Z'l D V C io ar 3 ooR- *Q, WtE W \TLS 0 NOTES: T. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation i es wi th approved caps. ( Z required). 3. Septic tank to be 1 p p p D 0 AS 0 allon ca a cit g manufac tured by .y tiv� 'COG?- E1I - �w�p luuo /6So MIt- w/ft -180 ZA-aEt. FivTLJI2 4. Bench mark Ste' V4$0� 5. Divert surface water around system to prevent ponding at the uphill side. Pace 4 1 of 7 Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand Topsoil ��H —=_ G F Elev. 1p p " o 3 E . b Y % Slope Distribution Cell of Force Main Plowed 2" to 2- " Aggregate From Pump Layer p 1,0 Ft. E 1•Z Ft. CROSS SECTION OF A MOUND SYSTEM F O . Ft. C -5 Ft. A Ft. b Ft. Linear Loading Rate= 6 0 GPD/IIN FT B — ]S Ft. Design Loading Rate= o.38GPD /SQ FT I k3 Ft. J - 7 Ft. K_ Ft. L Ft. -Cnrrc M- W C Ft. �} - Observation Pipe ._____--- --- ---- - - - - -- -- �---- ---- - - -- -- -- -- Sa x W �_ �__-- -- - -- --- - - - - -- - -- .1 Force Main Distribution Cell of z" to 2k" ' Pipe aggregate Observation . Pipe (Anchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout P2oe 5 of Place the holes at the bottom of the distribution pipes at•equal spacing. Remove all burrs from the pipe and 'holes. Extend the end of each late -a1 up with the use of Iong turn or 45 ° fitting to a point within s ix inches of the final grade, Te.- urinate the ends of the Iate.-als with a valve,:threaded caa or threaded plug. Provide aces from final grade for the valve; threaded cap or threaded plug. �t F N cr L L�SJS S _s' � �1g% FVC F�JC PVC Lateral Manifold Lateral x x x z x!2 x!2 x x I x x Laterae Length —�F Lateral Length — P Distribution Line PoRt: r F}iry r�Q9 V 4� P 3 7 Ft. Hole Diameter 1 /6 Inch` 5 3 Ft. Lateral 1 Inches) X Z inches Manifold Inches Force Main " Inches # of holes /pipe , Invert Elevation of -Laterals IWS Ft. x y = 3t.t 6 GP►l . • Combination Septic;Tank and PLIMP CHAMBER CROSS SECTION AND SPECI ' PAGE OF •VEUT CAP WEATHER PROOF JUIJCTIOU BOX . •i'C.I. VENT PIPE APPROVED LOCKIUG 110 ' FROM 0008, MANHOLE COVER W11 i U.t$p���U P 1P4r W AJDOW OR FRESH wA42 tJl►JG LRgEL ''J/PnVZnQWranp ALP, IUTAKE cor�Du�T ZL 98 7 IB Mlu. UJLET PROVIDE • ' AtRTIGHT SEAL I I eat roc i II I Approved ZreFt� �' I I I Approved joint w/ F}�l�pp I III joint w/ PVC pipe ALARM PVC pipe a . I 1 1 • . I I C I I ou ILLY ° lD .� IFT. I __J PUMP � OFF D COUCRETE Z_ eo . q, p . 06 BLOCK • RISER EXIT PERMITTED OJJLy IF TAWK MAWUFACTURER HAS SUCH APPROVAL -1 "APPRo•.F: SEDO I NI{ SEPTIC f ��� loop SPECIFICATIOUS DOSE l6 so M R TAWKS MAIJUFACTURC w L L1Z Ca>jc_ � IJUMbER OF DOSES: S � ' 00 16 SCE PER D+'w TAWK 51ZC: GALLOAJS DOSE VOLUME z \ ALARM MAUUFACTURCR: Ste' - 89 TE M3 IMCLUOIIJ 6ACKFLOW: 1 l� GALtON,� MOQE:L ►JUMSER: lot �it� CAPACITIES: A= Lb IUCHESOR 3D � GALLMI5 SWITCH T7PC: mn Y _ Z � / PUMP PkAUUFACTURER: C,OU L-t S 8 - IIJCHES OR ---- F-- G�LLpUS C =- IIJLHES OR Z�q GALLOUS MODEL DUMBER: �pD S _ SWITCH TYPE: YL1N- R_CCI�y D 3� 'N,��LO - G 4 CALLOUS DOTE: PUMP AMD ALARM ARE TO bE MIMIMUM DISCHARGE RATE 1.."0 INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF A DISTRIBUTIOW PIPE.. Sg FEET I�•�O� + MIUIMUM METWORK SUPPLY PRESSURE • -�._ FEET + 1 FEET OF FORCE MAID X ? S�J 100fCFKICTIOU FACTOR -L1 [ FEET Z � TOTAL DyUAMIC. HEAD = FEET , As per manufacturer 1 gal /in. Liquid depth 3 Goulds Submersible Effluent Pump � u 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 Motor: and tic cover with integral handle • Farms manual operation. Automatic 'and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 230 V, Hz 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in ovv erload with automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • Solids handling c automatic reset. ■ EPO4 Impeller: Thermo - g p �� plastic Semi -open design 3 /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. - Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding 0 EP05 Impeller: Thermo- • Discharge size: 1 NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC ". rotary/ceramic - stationary, three prong grounding plug improved performance. ) 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 components. Pump: EP05 s - --- : —1 Fr ; • Solids handling capability: 0 25 * I maximum. w z — - - —= -- — • Capacities: up to 60 GPM. _ j • Total heads: up to 31 feet. 6 20 i • Z • Discharge size: 11h'NPT. z • Mechanical seal: carbon- c 5 15 rotary/ceramic - stationary, a 4 I BUNA -N elastomers. - • Temperature 3- 10 3i f 6 1041(40 °C) continuous ! 140 °F (60 °C) intermittent. 2_. -- 5 ! 1 ! l 0 00 10 20 30 40 SO GPM 0 -2 4 6 S 10 12 jW- h CAPACITY ©1995 Goulds Pumps. Inc. � Iocc r FROM 5 d huind ker P 1 umb i r FAX 1.40. : 7153863121 Mar. 27 2003 W : 16PN Pd n — , o Wsconsir 0apartment o'Co""'ce SOIL EVAWAT{ON R1=l� P i of and Bu ding , Adm. Code Ci`^s'a' f Saf � 1 dance vith Comm 85, Ws acc>'r County Crn ix Attach complete site $tan on paper not N ss than 8 112 x 11 ltrM"n size ��r�t Parnel 1.4. e 1 n q inrJude, 4vt not limited to: vertical and he izonld refeott � 4r�' s ante to neat road. per :a -.t slope, s or dimensions, n art f Reviewed by Date Please pritl 1tlfc mafJon. \ s Arincf lira SS tN { (m)). 9.;Sq ;nlpnnaUpn ycW ixg-do m lie uy ay 5 � L artyLocatiCn P or D nY P+K+er 114 NW 114 S 2 5 T 3 0 N R 1 ?� >E { «1 W Oakwood. Lard bevels a men lrr t« NE property Dopers t"4 g Address o M Block ft St bd. NarrR n t CSMC 1 6i 1 Hy. 10 NT . S' CA W �" 2 na Red P;.ne Corner State p f.'.oc 1 p, r w CRY 'Jpllage [jtTc' n Nearest Road 4 r < ' Richmond 1 40th. St_ . S r1n Lake Pa Kt .55 432) 6127 4, 9 •- Code derived design flaw rat GpC Ferodzliont- untierw StrvGipn Use: � Resider pal � N ant . C] Public a cemmeniai • Nscriba' at d7" - Flocd Plain elevation V appricaola ments aGtxps= mound @ el. 100.15', based on contour line of el. 95 ,15' Boring 0 fl Bonrg Ground yrface eiev. tt. Depth to limiting factor 3 6 IR Sod cation Rate 2- Pit Honzon Depth Datrinant Color Redox Ce viplion extwe Structuro Consistence 8ouncary Roots P4fff in, Munsett Qu Sz r'-At. color Gr. Sz. Sh. 't:lHl' 10192 -12 10yr2 none L 2msbk mfr qw .2C 5 .8 1 2 2 -21 7.5 r4/9 none 51 2msbk mvfr w 1m .� a 3 i -s5 7.5yr4/ none ms Os mi na 7 4 56 -50 10yr7/31 fractured lz eston r na HL_ r 7 1 2 I Pit GrovrH suYfaca etev. &, 99.35 F CgA to long factor 57 in. Fii.e �! ® Wxizor- (7epot Comirpant Cotorj Redox Description Texture Stn,ctwe Consistence Qeyndiry Roots GPO/t' In Munsell I ou. Sz. cont. color Gr, SL Sh •Etf#1 �Effa2 i -14 1 2/2 r1Qne L 2�bk , I 2 4 -35 75. 4 4 none 1� 3 5--57 7.5 4 / 6 re-M f 4 7 -70 10 7 3 fract=2 i:r n I � _ m Effluent q i =T00 30 : 22o ngl: and T$$ X30 1$0 rngll e t i12 = B rrpglL end TSS < 30 Mgt f' Name (Please Pfint) signoture CST fJpurpber Gary L. Steel GZ298 Address to Eva Gan Co U . Tetep 8 - 2001 715 - 24E - 6200 � Number L 1554 200th. Av Now Richmond, W1. 54017 Wisconsin Department of SOIL EVALUATION REPORT Page —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 8 112 x 11 inches in size. Plan must S t Croix include, but not limited to: vertical and horizontal refe t (BM), direction and Parcel I.D. ° 7 ' f ° ^ I /�Z - $Z -act • I 36 � percent slope, scale or dimensions, north arro nd oq�tibn �h�tiistance to nearest road. pending �'� �' Re 'wed by Date Please print hgSomaffon. Personal information you provide may be us ftr�onda Ra es (Privacy Lsw,N 15.04 (1) (m)). M IQ 3 L LAP, )AA ptt Property Owner "' r P_ perty Location .. ° Oakwood Land Develovmen If „ c .Lot NE 1/4 NW 1/4 S 2 5 T 30 N R18 NE(or)w Property Owner's Mailing Address -60 # Block # Subd. Name or CSM# 1 61 1 HY . #10 NE . S I �cxx 2 na Red Pine Corner City State Zip Code PhT&� City El Village [Icfown Nearest Road Spring Lake Par MN' 55432 6127 96 Richmond 140th. St. [$ New Construction Use: ® Residential / Num6drbth 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material g 1 a i a 1 d r i f t Flood Plain elevation if applicable n a ft• General comments and recommendations: mound @ el. 100.15', based on contour line of el. 99.15' Boring # E] Boring 99.35 3 6 F 1 ® pit Ground surface elev. ft. Depth to limiting facto 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 1 -12 10yr2/2 none L 2msbk mfr gw 2c .5 .8 2 2 -21 7.5yr4/4 none sl 2msbk mvfr qw 1m 3 1 -36 7.5yr4/6 none ms Osg ml Crw Ina 7 1 4 6 -50 10 r7/3 fractured limestone na na ma— nn nn ❑Boring # Boring 99.35 ® Pit Ground surface elev. ft. Depth to limiting factor 5 _�� 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 1 -14 10 2/2 none L 2msbk mfr Ow 2c 2 4 -35 75. 4/4 none is Os 3 5 -57 7.5 4 6 none 4 7 -70 10 7 3 fractured limestone na na na na nn Inn " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L e t #2 = BO < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature . CST Number Gary L. Steel 02298 Address Eval lion Co du Telephone Number ate 1554 200th. Ave., New Richmond, WI. 54017 8 -7 -2001 715 - 246 -6200 f Property Owner OakWOOd Land DeV • Parcel ID # pending Page 2 of 3 F Boring # ❑ Boring 3 ® Pit Ground surface elev. 97.85 ft. Depth to limiting factor 2 7 - in. mil 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 1 0 -12 10yr2/2 none L 2msbk mfr gw 2f .5 .8 2 12 -18 10 4/4 none sil 1f .5 .8 3 18 -27 7.5yr4/4 none scl 2msbk mfr na na 4 4 27 -40 10yr7/3 none fractured limestone na na n F-1 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 # F] Boring 1:1 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 'Eff#2 Effluent #1 = BOD > 30 1220 mg/L and TSS >30:< 150 mgA- ' Effluent #2 = BOD 130 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. ssD -8330 (R6I00) STEEL'S SOIL SERVICE Gary L. Steel Oakwood Land Dev. 1554.200th Ave. New Richmond, WI 54017 MPRSW 3254 NE4NW4 S25 T30N - R18W � 715 � town of Richmond 246 - 6200 lot #52 -Red Pine Corner This soil evaluation was 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 Meru not established at the time the test ran conducted. N 1 " =40' BM.= top of 1" pvc pipe @ el. 100.00' alt. BM.= top of .1" pvc pipe @ el. 98.35' t C� r _ 0 \ �d, Gary L. Steel 8 -7 -2001 l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ����- ``lJt Z Q� GL Mailing Address l GJ Property Address WS 7 '5 (Verification required from Planning Department for new construction) City/State Parcel Identification Number oZfo - 11 - S C M ( . /0 3( . LEGAL DESCRIPTION Property Location '/4, o &Z 4 '/4, Sec. 2S . T J�Q -R,irW, Town of Subdivision — 4e d / 4�B tr./ y Lot # Certified Survey Map # , Volume — . Page # Warranty Deed Volume 2Z1 n , Page # SI `f Spec house ❑ yes ;,,no Lot lines identifiable Byes ❑ 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 septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. 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 wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of three year a iration date. SIGNAXCTRE OF APPLICAW 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 property described above, by irtue of a warranty deed recorded in Register of Deeds Office. �3 / / eY SIGNAeJR.E OF APPLICANT DATE 0000 Any information that is mis- represented'may result in the sanitary permit being revoked by the Zoning Department. 0000 " 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 2 2 10 P 5 14 71 7847 I( STATE 6AR 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 Inc., a 04/21/2003 09:06AN Corporation Grantor, and Regina C. Gwiazda. a single person WARRANTY DEED Grantee. EXElPT f Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of REC FEE: 11 Wisconsin (the "Property"): COPY SFEE: 1133..77 0 CC FEE: PAGES: 1 Recording Area Name and Return Address The First National Bank PO Box 89 New Richmond, WI 54017 026 1142 52 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) of 52, ed Pine Corner 1st Addition. 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 Dated this 1 st day of April 2003. (SEAL) (SEAL) Oakwood LaYmMevelopment Inc. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ) as. St. Croix County authenticates t�' Ng-y" W ATZ)NA _ NOTARY PUE:.1C Personally came before me this day of April 2003 the above named STA'T ur Greaory J. Peterson. as Vice President to me known to be the person wh xecuted the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN in trum and acknowledg the sam . (if not, authorized by §706.06, Wis. Slats) Lt) 4 '- THIS INSTRUMENT WAS DRAFTED BY Notary Public, Statb of Wisconsin Coldwell Banker Burnet 1301 Coulee Road My commission is perms ent. (if not, state expiration date: Hudson, WI 54016 11 �5 IOL� 3 -29445 1 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons sig ning in any cap acity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 -1998 Milwaukee, Wis. w w w w w I • w i • ammo- �► w OF w : w w UARTE-R AND PART OF THE NORTHEAST QUARTER OF THE NORTHWEST G AND PART OF 'THE' SOUTHWEST QUARTER OF THE NORTHWEST QUARTER D, ST CROIX COUNTY, WISCONSIN. THE NW 11 �` NORTH 114 CORNER SEC77ON 25 -30 -18 S89'55'01 "E 1435.70' , - (FOUND ALUM /NUM ' �\ COUNTY MONUMENT) I \ � \ MISTER'S l• I cp \ \ Q \ \ 3T, CROIX C 1 N I \O \ : foal*, cxivcd for r� p 1 .t O GD 1 W \ " ` `\ \. NI Lo \ i 1- 0 o Io 0 i V) 1 0 N O /I ` `SO\ \gyp \2 /� O 9 T \\ `\ C / 00,\ \ �` /- / / :gip / �p �`q c I / � T IS! Q9 LOT 9 I � o - o � , / ' ` - - - - - -- I ` �o / �O LOT 53 , \ �` "� 66,000 SO. FT. ` 1.52 ACRES \°�;' ' / S89'55'01 "E 29( 4i 1 193.12' ?° O OO, �Op SB �- LOT 51 YJ 9• \ ; I ti `.` y �� 66,665 SO. FT. 0 90 ,'�° •• 'LOT 52 ��^ 1.5J ACRE 3 0 O'• I \ D SO+ ` / 68,642 SO. FT. •� S49 "E O' ' .\� `\ \ _/ 66.00' -- ti 58 ACRES 10 o N 1 w • 9• � . � P 89'55 0 I ?00, � \ O� h ryCP •� I \ � s 's :` \ \ /� p� `' o LOT 50 65,404 SO. FT. ��O • • 1 ` 9 11 \ 16 1.50 AOKS LOT 54 \, 66.000 SO. FT ► \ T. '. \ . •, "f > >r"