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HomeMy WebLinkAbout026-1075-70-400 O N O $ v 0 j _ d c, O y � c �' O r: O 0 m° N °-4 CO rn N C • < 7 C O N S W N C O C\7 W CO (D GU N ( D CA 7 W O N N N CD a 0 o W c n o D A C R O 0 C N O CI v' v D Cl) a o ilO N ° O Z ° Pri W A o CD o r N n •� O C !�mily c 0 ! .. V �y CL O O O O '' �• c E < z 3 N N N D v v a ( (D Vj ? ',, A co m a o m ° a N V W CO N ° z c z z o o ° D D o oN m a _ _ • 0 o ca °_' CD Z cn A C CD N N Er (=D C 7 (n O b N N D7 3 C (n Z n . (n m U) - a1 N A z 7 (D N N N W O cQ mo m m o CL z a 1 ' 3 m w z (D W F 0 o a f Q I ! Q C T DJ C N C (n z a CD o o m o c� (o ( CD a v N o d D A m n c ni n N x fi a JA (V N � 19 110 (D 4 (n (D Op n O l . a •° CD o a ti V c �D o cS O# O � ro -, ts' L (D r�D V) a (D o - to cn rD �, 2 0 ��3 z 'o m o N o ry y rn rn ❑ W CD C) !' m '� f LnnilM I � 'o j �c � I0 rn �'. !� ICI m 7 Ln Ln a (D 0 { I I v �, Ln 0 = L 0 0 Ln Qj 7 N {Ii Ln O L N Z r (n (1 ro w' rn in � O LA n O (D o D < z o � � 2• 3 � m CL Q t� p U.) ,� r R CL � ro �. co ' µ Q Ln lfl ro c co C) � w o C5 v ko Q N US f7' _n rl v a iD o Dj C D �n W w z 0 0 N z D ? n (D co 3� M rn D N El ' L a o ❑ OR N f 1 Isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County- Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) SanitamPtermitNo.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). 370370 Permit Holder's Name: ❑ City Q Village -I Wwrtnf• ( State Plan ID No.: Bessac Ken Richmond Township S I IS* = ff3 22-3 CST BM Elev.:. Insp. BM Elev.: BM Description: II tt Parcel Tax Nn 1�•a' 1 •O Cnt e wt-t_. - � 026- 1075 -70 -400 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATI BS HI FS ELEV. Septic 6 - Bench 4 , p'Y co ' e Dosing A�'tl E gM 7) 1 DZ -$1 r Aeration Bldg. Sewer 3.36' Holding St /Ht Inlet ) Z( IT21R TANK SETBACK INFORMATION St/ Ht Outlet --�' TANK TO P / L WELL BLDG. Air i to ntake ROAD Dt Inlet ir Septic $?J r I NA Dt Bottom 1 q. 3 $82D r Dosing It ` 3 2 r NA Header / Man. `° .5--o 1 0 2 .65 r Aeration NA Dist. Pipe e2 •`FS Holding Bot. System G• 35 •`{o D .� r PUMP/ SIPHON INFORMATION _ Final Grade Manufacturer Demand St cover r �4 Model Number EPOS _;5k GPM �� 2t- ( I 0 0 d' TDH Lift ` 3. \O friction t •i V System Zr; TDH Zo ct%Ft ! HH Forcemain Length ' -s Dia. Ir Dist. To well SOIL ABSORPTION SYSTEM Width I Lengt r No. Of Tr nch s I PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manua SETBACK CHAMBE , INFORMATION TypeO r Moe er. System: - 31 '�^ $� OR T DISTRIBUTION SYSTEM Header I Mar<rfold M Distribution Pip es)p` u x Hole S ize x Hole Spacing Vent To Air Intake Length Dia. 2 Length 3��"'` Dia. Spacing_ 1 $ 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 [I Yes E] No ❑Yes Q No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: 11 / 0 UeD Inspection #2: 11 /o g c t Location: 1352 140th Street, New Richmond, WI 54017 (SE 1/4 NE 1/4 26 T30N R18W) - 26301 40 -Lot 4 1.) Alt BM Description= • S `FS 2.) Bldg sewer length p2a P I �r - amount of cover � *> `•(� � �� � � � � � ®� � l 8 �'� LA) 3.) contour= )0Ur 01 l n nn 6 `A 4,� , `f) F:,, j "^sc� Lx be- �- i8" � ca-. over �_ °° P°i Plan revision requlr4d? ❑ Yes No ( L Use other side for additional infor ation. 112- SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. -4� 135 Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 `W1 sconsin Personal information you provide may be used for second purposes p Madison, WI 53707 -7302 Department of Commerce completed f (Submit comrm to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the sy§jcmznpaper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Ch i rev prejv� application State Plan I. D. Number / 3 3 ZZ 13 I. Application Information - Please Print all Information ,r" ' , Location: Property Owner Name �,� `; °'�! Property Location �Q/V\ C /4, S T_j,N, J?(o Property Owner's Mailing Address '" v : f , i Lot Number Block Number G� J ST CRax C City, State . Zip Code hoill?FFlGF Subdivision Name or CSM Number �u,�ur a oa 6jIt4 - U - /V- - 33,26 II. Type of Building: (check one) ? cr ❑ City 1 or 2 Family Dwelling - No. of Bedrooms: J ❑ Village own of �Pllb11C /Commercial (describe use):_ � .` ❑ State -Owned Nearest RoV- s� / y0 Parcel I Numb s) .75— _ a O III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) L _ 3 . 3 S — A) I. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) , ❑ Non - pressurized In- ground Mound C K �S ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: Q, Z a P 0 5 C 3 3 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation �a / - o /0/r aj VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks /a — 1l 11 / ❑ ❑ ❑ ❑ / ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown W the attached plans. Plumber's a not Plumber's igna (no slam P PRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Cod /`D U Iv f� GU` S 5/�Gr IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Gro dwater Date Issued Issuing Agent Signature (No stamps) IM Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination - 3 Z S 0 v X. Conditions of Approval /Reasons for Disapproval: qY� `I %�7`C✓ �t ✓C S P p v�LCd�MQ %sZ e ✓' IY�anrl raC �Gc �� ✓5 Ir e' 10 *07fAl rcQV, S, SBD -6398 (R. 07/00) Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 14, 2000 CUST ID No.691727 ATTN.• POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 �< _ f 1101 CARMICHAEL RD RIVER FALLS WI 54022 ; �`� ✓ DSON WI 54016 RE: CONDITIONAL APPRO �l`� r,� Identification Numbers PLAN APPROVAL EXPIRES: /2002 Transaction ID No. 443223 SITE: �` � �D� �Qi� �` Site ID No. 200504 J' i KEN & LISA BESSAC - RESI�ow- E /NO . Please refer to both identification numbers; ST CROIX County, Town of RI 140I above, in all correspondence with,the agency. SETA, NEIA, S26, T30N, R18W c} �' Lot: 4, CSM V14, P3898 �---�/ FOR: Description: MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766837 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: a- On page 6, the minimum network supply pressure is 6.25 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sin1EPAGE /A DATE RECEIVED 10/06/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 , POW c' LA REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 45 - 1630 HRS PEPAGEL @COMMERCE.STATE.WLUS WiS1�Teode cc: KEN BESSAC Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 14, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ---� ZONING OFFICE 421 N MAIN STS } T� i f CROIX COUNTY SPIA PO BOX 74 rte,✓` 1 t6i, CARMICHAEL RD RIVER FALLS WI 54022 ; ` + •�1- , (`�' HUDSON WI 54016 RE: CONDITIONAL APPROVAL =' I . }- Identification Numbers PLAN APPROVAL EXPIRES: 10/14 C FY 2000 c� GEC A ansaction ID No. 443223 SITE: ,` COIN Y ID No. 200504 KEN & LISA BESSAC - RESIDENCk , . 1 C)t'11NG Please refer to both identification numbers, ST CROIX County, Town of RICHMOI' ST = '� G ' above, in all correspondence with the agency,, SETA, NEIA, S26, T30N, R18W Lot: 4, CSM V14, P3898 FOR: Description: MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766837 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: + On page 6, the minimum network supply pressure is 6.25 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely DATE RECEIVED 10/06/2000 �' FEE REQUIRED $ 175.00 P T E L FEE RECEIVED $ 175.00 AGEL , POW PLA REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WLUS WiSMART 0200 cc: KEN BESSAC RECEIVED TITLE SHEET OCT U 4 200, age \ of - 7 MOUND SYSTEM SAFETY & BLDGS. DIV. 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 tz. 6/ aq' C ta. 6 l 4 g� LOCATED IN THE SE 1/4 OF THE QF 1/4 OF SECTION Z6 T 30 N,R Lb W TOWN OF 1C1Ik M WQU ) S1 -CQ.p�X COUNTY, WISCONSIN. - kzr �1_- _ -o F- _ tsm IN V o L 1Q, TAG e - :S8R8 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 C4RREC�ION NEEDED PAGE 7 DISTRIBUTION PIPE LAYOUT SEE CORRESPONDENCE PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE of 7 PUMP PERFORMANCE CURVE PREPARED FOR CLO �Hv�� 13C0o ►"�QZL_ - 3oZ zi �1� s1 - - -- - PREPARED BY W FEE CGEE:ZEFZ SQ S L TEST 2 1 (a AND . DES X IBM Sl X (::E P.O. Box 74 421 N.rlain St. River Falls, WI 54022 #� Phone 715- 425 -0165 ���� , )V ' T Fax 715 -425 -6864 i► "'• c P O . W ARTrvR l o WEGEREIR • • o-e s r all : A iti °H EILSKORTII, y ' .. DlVISl T O W e�� f ........� � SAPS ANp ME c �� "� B !NG � sEE CO 'Es ,, j �' _ 3D - 00 4 C Z3 JOB NO. 00 - Z°L3 Mound System Management Plan p age Z of 7 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet 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 System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 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)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 p media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at - I,JS_386- L16, go or to the licensed plumber who installed ehe system. PLOT PLAN Scale 1 11 = S0 'Page 3 of 7 -- t'�PE.LO�'._CA�i.lV�1Z S't'ft►L� ZBc. US 8 • � Ao�o B ►��� 9S • 9 � l C _ CZ o 0 � IC'oi =� 0 1Y k i Q0 CA CT) t, tV ai G� Q' �a O Z00.0o � NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 10 /6 S ogallon capacity manufactured by by Z >a� �T—F Ly E,*j r 4. Bench mark • SEE Pc3 0Ut~ �. Divert surface water around system to prevent ponding at the uphill side. Page 3 - 7 Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand Topsoil - =H F G Elev. 10 D E . 3 � - b % Slope Distribution Cell of Force Main Plowed 2 to 2-2 " Aggregate From Pump Layer E 1 . 49 Ft. CROSS SECTION OF A MOUND SYSTEM F 0 -2) Ft. G O.S Ft. A 6 Ft. h (3 Ft. Linear Loading Rate= 6 D GPD /LN FT B - IS Ft. Design Loading Rate= p.1S.GPD /SQ FT I 1 � Ft. J c) Ft. K L O Ft. L CIS Ft. -ems-.. W Z 1� Ft. j - Observation Pipe A ---'�6 - ° W L _ -� -- - - -- - - - -__ Force Main Distribution Cell of %" to 2 s 2 i Pipe aggregate Observation Pipe (Anchor securely) PLAN DItW OF A MOUND SYSTEM Distribution Pipe Layout Pag S 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 lateral up with the use of long turn or 4f ° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valva,:threaded cap or • threaded plug. Provide access from final grade for the valve; threaded cap or threaded plug. T`t P1CT� L ��ZOSS _5- �ll1Ty PV C C P\1 C. Lateral Manhid Lateral x x x x X/2 V2 x x x x = Lateral Lenath — Lateral Length — P Distribution Une off MIA" • �LPrt�l V \� __— o- hr;u�t -��a C-- -- P 3 -7 Ft.. Hole Diameter < /8 Inch S Ft. Lateral X Inches Manifold u _7_ Inches Force Main ° , Inches # of holes /Pipe lq w Invert Elevation of Laterals M.Z SFt. I Combination Septic; and PL1-MP CHAMBER CROSS SECTION AMD SPECIFICATIOMS ' PAGE l'j OF 7. WEATHER PROOF ' -VEIJ7 CAP . . JUUCTIOU BOX . ti C.I. VEMT PI APPROVED LOCKING 1 10' FROM DOOR. MAIJHOLE COVER AJIV :i1000W OR FRCSH wARtJIIJG LPt6EL. u�3P�G1oIJ PIPE qIR INTAKE � co,ac�Ir w /H-t1R -n c � a rP s Vj �T •— 6`+�w. j I Y�HILI. ItJLET z PROVIDE I — __— . •• ;n � AIRTIGHT SEAL Approved Z>�8� uw a III Approved joint ia/ i II I joint w/ PVC pipe ALARM PVC pipe a I I( I 1 C i LLEV. FT I PUMP --j ` OFF D COUCKETE h-- . gZ • BLOCK ti RISER EXIT PERMITTED OWLy IF TAW MAIJUFACTURI`R HAS SUCH APPROVAL 3~Ap . BFDfl � H4 SEPTIC F SPECIFICATIOIJS DOSE / TA W KS MALIUFACTURER: IJUMBER OF DOSES: LI • 6 PER DAy C TAWK 51Z: LOVU 1 65u GALLOQS D05E VOLUME r ALARM MAIJUFACTURCR: MCL. 6ACKIrLOW: ll GALLONS . MODEL NUMBER: Q� CAPACITIES: A= ZO (IJCHES OR 3 y,z WL G ALLOAI S SWITCH T�Pf: � $ = Z IAICHES'OR 3� G p LLOtJS PUMP tKAIJU FACTURE R: GOV L\.-) U5 S C, 7 LAT CHES OR 11 GA LLO US MODEL NUMBER: S Q D = —L J``t}T�'l00C HES OR � 5 � GALLOAIS SWITCH TYPE: Y'�N+ZCu z-`T IJOTE: PUMP AND ALARM� AR TO 5 MIMI MUM DISCHARGE RATE GPM INSTALLED 6A1 SEPARATE CIRCUITS VERTICAL DIFFER DETWEEIJ PUMP OFF AUD- 015TRIBUTIOIJ PIPE FEET f MINIMUM NETWORK SUPPLY PRESSURE , 3 - 'CORRECTION NEEDED + \ZS FEET .OF FORCE MAIN Y, �•`O9 FY FACTOR.. FEET SEE CORRESPONDENCE TOTAL HEAD — Z3.3 6 _FEET As per Manufacturer 1`1.p gal /in Liquid depth 38 +r Goulds 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. tic cover with integral handle Motor: Available for automatic and Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer RP , 230 V, v Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty t h factory. • Dewaterin RPM, built in overload with preset at the g automatic reset. 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 ■ EPO4 Impeller: Thermo - construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 /4 " maximum. • Power cord: 10 foot AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for otal heads: up to 24 feet. with three prong grounding mechanical seal protection. Co. Canadian Standards Association - t Discharge size: l' /z "NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (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 1401(60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 •Capable of running ri$ dry without damage to s 30 i ! ; _► = `nSGPM components. Pump: EP05 8 I I a t-z • Solids handling capability: c 25 3 /" maximum. a • Capacities: up to 60 GPM. _ • Total heads: u to 31 feet. p � u �. O. • Discharge size : l' /z NPT. • Mechanical seal: carbon- I rotary/ceramic - stations '"�► c ry, 15 _. BUNA -N elastomers. o a ( EPOS • Temperature: 3 10 104 °F (40 °C) continuous 1407 (60 °C) intermittent. 2 ; EP O4 5 0 00 10 20 30 40 50 GPM } L 0 2 4 6 8 10 12 m /h CAPACITY ©1995 Goulds Pumps, Inc. ,ems„ , oac W°sconAa Department of Commerce SOIL AND SITE EVALUATION 'lr av Safety and Buildings Page of Buiaau of Integrated Services in accordance w4h s. ILHR 83.09,'M. Adm. Code �` rr 0ounty Attach complete site plan on paper not less than 8 1/2 x 11 inches irysize, Plan r ` include, but not limited to: vertical and horizontal reference point (13M). direction and percent slope, scale or dimensions, north arrow, and location and distance tg1n6West,,ro�d. Parcel I " -,D. # J. APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information ou provide may be used for secondary (Privacy Y P Y ry purposes Privac Law, s. 15.04 i m, Propertyner Property Location S ` 4 c S6 f\ Govt. Lot S., 1/4 N t-1 /4,S T 3 (D,N,R W Property Owner's Majing Address Lot # I Block# Subd. Name or CSM# 13 - i o� d CO5 �4 _' City State Zip Code Phone Number ❑ City Village 10 Town Nearest Road 1V 5Vo lll (_7/ S) to '�) o New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ,,// Public or commercial - Describe: Code derived daily flow 45 gpd Recommended design loading rate / bed, gpd /ft trench, gpd /ft Absorption area required 375 bed, ft 32 5 trench, ft Maximum design loading rate / 3 bed, gpd /ft /_Y trench, gpd /ft Recommended infiltration surface elevation(s) f.U42 + S ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system I Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S ®U 1 9 S ❑ U ❑ S Z U ❑ S EA U ❑ S Z U ❑ S 4u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Trench /6 r �IoZ r { r s6k Y�'1V fit- e w �� 5 ✓, a a - aa / Ouy. SAO sl m sb k, rnu c� ' ;l, Ground 3 i as •315 7.5 r S s rn � r C� r 3 ✓ i elev. R9', 3 ft. �o Ll �� a� -S�l� /� !, .S � � / S 5 /5 ! � r m J �s"� �o — � > ✓, �' Depth to limiting �{ factor. _in. Remarks: Boring # o -ro l 6 ,- � -- sr 1 � - s,b� rn � �r � � i � , s ✓', a o� 0 � • D r 5 — Sr/ � � s,b tj - 7Y G�.J � �' ,�.1 Ground elev. /n- , ft. Depth to limiting fa ` inZ Remarks: CST =(Please t) Si gnature Telephone No. Address Date CST Number 19 too S: "/� u N S` c o - oo b 53 0 - ' �� Page DESCRIPTION REPORT 4 ' PROPERTY OWNER bf PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. , Tre m r a — s,� a 0 1 Ground 3 51 Ir C,_) ' � � ✓, . elev. /eft. OC L `D r 5 rr)43 r 7 ✓ Depth to limiting factor in. ' Remarks: Boring # .........._ Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # I ' Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Q a 3 Tvv E vc u-oS;,Ov- P -3 ca s`�y �- dlo l aSo r S DD I LN �Zol7 _' f �-° 0 537 , 11" IT �s _ao qo 4 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP C`RTIFICATION FORM Owner/Buyer /�.Q4l". Mailing Address 1 3L-11 & � 6 Property Address 135 0 t 7 (Verification required from Planning Department for new construction) City/State Parcel Identification Number Co? e- — LEGAL DESCRIPTION Property Location /,, AN /,, Sec., T 3 ( f� 4-R W. Town of Subdivision Lot #. Certified Survey Map # �� , Volume >> Page # Warranty Deed # ��., C y Volume 1 5 5 -3 , Page # A n - Spec house d yes V no Lot lines identifiable ❑ yes A 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ° b /23 /O" SIGNATURE OF APPLICANT DATE OWNER CEATMCATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. —)�z &U."M Q 23 /OCR SIGNATURE OF APPLICANT 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 VOL 1553PAGE102 STATE BAR OF WISCONSIN FORM 1 - 1998 6322434 WARRANTY DEED REGIST H. DE REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Richard A. Ferguson and Judith A. RECEIVED FOR RECORD Ferguson, husband and wife 10 -23 -2400 4:00 PM WARRANTY DEED Grantor, and Kenneth W. Bessac and Lisa J. Bessac, husband and wife as EXEMPT N CERT COPY FEE: survivorship marital property COPY FEE: TRANSFER FEE: 90.00 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): Recordinst Area Name and Return Address Lot Four of Certified Survey Map filed July 19, 2000 in Volume 14, Page 3898, f4en ae9bov Document number 626683. W 3s(oq (51 part of 026 -- 1075 - -70 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except recorded easements and rights of way. Dated this 6th day of October 2000 . Richard A. Ferguson 0 0 0 r J ith A-Ferguson AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Sipature(s) ) SS. St. Croix County. ) Personally came before me this 6th day of authenticated this day of October, 2000 the above named Richard A. Ferguson and Judith A. Ferguson TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the persons) who exec tad th foregoing (If riot, ins t and knowl dge the same authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY John D. Walsh * John D. Walsh Notary Public, State of Wisconsin necessary.) My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not November 25, 2001 ry.) JOHN D. WALSH 'Names of persons signing in any capacity should be typed or printed below their signatures Wisconsin Notary Public STATE BAR OF WISCONSIN My Commission Expires Nov. 25, 2001 WARRANTY DEED FORM Na 1 -1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, W18 NALD F. JOHNSON O �� AMERY, �VL 1 9 W 62b683 W18. H ''q,.; c ;SUR�;.�;�ERTI URVEY MAP Msaa� -J .:- Located in part of the Southeast Quarter �theast Quarter of Section 26, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: NORTHEAST CORNER Richard Ferguson OWNER: � SECAaV 26- .30 -18 1381 S.T.H. "65" \�\ COUNTY MONUMENT) New Richmond, WI 54017 � \ Drafted by. Ty R. Dodge I I i \ N \ t_ OT2 CERTIFIED SURVEY MAP PENDING I N 1 L ---- - - - - - -1- I °o 66' TO BE RETAINED BY PLATTER I I N UNPLATTED LANDS 133' o i S89'43'01 "E 313.00' 119, I f 281.31' / N 33' '! NO ACCESS TO F WV -#W 31.69' �� r' I \ a to C ° r - ..,Na> ` I C VI s'9 1 :a 1 I . LOT 3 ai E _ / TOTAL AREA: :$ I I 'n z E u `° ! 00 98,282 SQ. FT •� o o W in•_oa , 12 g c am ! '� 2.26 ACRES ;2 .t I d v N H E > ; I ''� AREA EXC. R - O - W: •J ,:� I O u U a 88,228 SQ. FT. I W p ow I o 2.03 ACRES *6 I I "0o° KI I 3 3 ti , - a w O I N ° i '2 $ o d d) av� Oa OI O .� I� tt T ° •, N N ° �I 00 . t to 1 S , o E v of 0� I I `V I 1n of toy " 01 S89'43'01 "E 313.00' 14j J� c p' u as Q W 280.65': o f o u d �� n ; 32.35' ;' a U 0 ( u, N I in �i FI C `� Q 4 I I . ° p 0 I T i I I a l ni U j m N O I ? z : to =' LOT 4 o I u — c I TOTAL AREA: I a . o 98,282 SQ. FT I �I APPROVED o x I �° 2.26 ACRES : ; C) 00 I ' ST. CROIX COUNTY E 3: ° o t AREA EXC. R - O - W :: _� I Planning Zoning and Parka Corn -i9v! z r 0 6 i Pn 88,022 SQ. FT. 2.02 ACRES I � I JUL 19 2000 1 WEST QUAR7FR CORNER 1 ! If not recorded within 30 days of SECTION 26 -30 -18 t` a pproval dab approval shall be (FD. PK NAIL) l 1 I j null and void I 33.00' I �� EAST QUARTL'R CORNER i89'43'01 "E 4925.83' 280.00' . A SECI7ON 26-30-18 , �— .. " (FOUND ALUM /NUM \ N89 43 01 W 313.00' COUNTY MONUMENT) EAST -WEST QUARTER LINE �� 33 , LEGEdQ; S89'43'01 "E 5238.83' I 4� County Section Corner Monument UNPLATTED LANDS of Record I 0 Set 1" x 24" Iron Pipe weighing I a minimum of 1.13 er ounds P P linear foot. JOB #99162 100 o 1 00 NO T� Prepared by. A & E GRAPHIC SCALE LAND SURVEYING do CIVIL ENGINEERING SCALE IN FEET: 1 inch = 100 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE EAST LINE OF THE 109 East Third Street, P.O. Box 325 NE 1/4 OF SECTION 26, TOWNSHIP 30 N., RANGE 18 W. New Richmond, WI 54017 WHICH IS ASSUMED TO BEAR 'S00'19'25 "W. Sheet 1 of 3 Vol.14 Page 3898