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HomeMy WebLinkAbout026-1124-02-000 er i c . � O � O fD M G �. CD CD i d fD A 3 .ot Z T m z ° A rn N C O < C 0 _ • o rn <D CD co 3 P ' O �1 C OD N O 3 Q N < CD ° ` o r � � S N CD -1 ch N CD O n L ! O A7 O. O O O w 7 N m O O p d c z D ID 29 Z D m fl ID (0 D a c 0 _ c< o N Oo o °o n r N O N O 6 N =r m D v v v = m car • O O O c O Z N C y N N CD N c T v C cn v 3 ',� m < y o CD 3 — a '',i o Z Z cn o D D C o CD r Z: CD O a �I � • CD F m CD CD O 1 o CD p Z n a 7 p C CD CD Z wo rn to co o. 3 z a 0 a 3 " z °° z CD � ! p 7 O 4 03 c z a 0 m CD CL CD � y � S m � � ^• Q A O C., I tv I � 0 V A A I o I; ( w a p C)o : CD Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 399680 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: Willow River Joint Venture I Richmond Township 026 - 1124 -02 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) --- i Length Dia Length Dia Spacing i 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: / / Inspection #2: / / Location: 1311 140th Avenue New Richmond, WI 54017 (NW 1/4 NW 1/4 26 T30N R18W) Sunrise Meadows Lot 2 Parcel No: 26.30.18.755 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = 3.) Contour = Plan revision Required? Yes 1,,vj No i Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County CQ rya ;-- 201 W. Washington Ave., P.O. Box 7162 nscvnsin Madison, WI 53707 - 7162 Site ddress I Department of Commerce Sanitary Permit Number Sanitary Permit Application It 8..! -7, 399 Ggp In accord with Comm 83.21, Wis. Adm. Code, personal informati y u}OVtde Check if Revision may be used for secondary purpose Privac Law, s15. 1 I. Application Information - Please Print All Information cry I \����E� Sla Plan I.D. Number Nam arcs Number • Property Owner' s e o r n T�� -, Property Owner's Mailing Address t.;t u rt f rty Location e.76- l 2 y v W 1 f -A !4; S a T36 N, R >rC City, State Zip Cade P t Number Block Number % sJ NA Su vision Name CSM Number U. Type of Building (check all that apply) ❑City Or, or 2 Family Dwelling - Number of Bedrooms 1 []Village ❑ Public /Commercial - Describe Use 'Township ❑ State Owned n Nearest Road 6 x. t t lNlllu .nom cJ-Q C, t � ` - O t (Z 11 S4.u� M. Type of Pe : (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A i New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑Addition to For County use System Tank Only Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 2)KMound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ pressurized I , 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispe rsaUTreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./ Days /Sq.Ft.) (Min./Inch) Elevation ( &CO (Qdc) 1161. ( 10 3. lo VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic of Holding Tank - 5 O A i ° X Dosing Chamber lfc olv - & I VII. Responsibility Statement- I, the undersigned, a responsibility U or installation of the POWTS shown on the attached plans. Plumber's Name PI =7�u ' MP/MPRS Number Business Phone Number o ec� -�.a �=dOS 3 `zls �y(o 5135 Plumber's Address (Street, City, State, Zip Code) I q Nom; 01 y VIII. Count /De artment Use Onl Sanitary ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) do ❑ Owner Given Initial Adverse S �� Determination 17X. Conditions of Approval/Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than Sin x 11 inches in size SBD -6398 (R. 05101) I" or�. (o 6611 �loT �. _w � � S 30 tiR� - - r �u vtilc,� P ,e � � � lr+ L �C SO,, -/YS LC) LC) S"{ 1 T��nn � C cro�vC ScC3E I " /m A B "Yn&rK To 6 poGfAitm Ei / oo 1 50 /7SZ) - f P�, p Sy �� io n CeM }k5 `Z ,L �el Pr " /dam l e ry G X N l� 0 4 b j f �n �3 Safety and Buildings 4003 N KINNEY COULEE RD A 1 \ LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 vsconsin www•commerce.state.wi.us/sb www.m(isconsin.gov Department of Commerce , Scott McCallum, Governor Philip Edw. Albert, Secretary January 17, 2002 CUST ID No.220537 A7TN.• POWTS Inspector ZONING OFFICE 'CALVIN W POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/17/2004 Ident N ers . Transaction ID .7014 9 SITE: Site ID No. 6403 Willow River Joint Venture Please refer to both identification numbers, Sunrise Meadows Lot 2 L above, in all correspondence with the agency. Town of Richmond St Croix County NW 1/4, NW 1/4, S26, T30N, R18W Lot: 2, FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 826766 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • 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 manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. t l!Q r • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption �d► WD area. chs. NR 811 & 812c FCQ ►�RC� • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. I Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal 1NG� are prohibited. NpCE • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. CALVIN W POWERS JR Page 2 1/17/02 i • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, 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. • 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. • 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. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • The changes made to this plan on 1/17/02 by this reviewer were acknowledged and approved by the system designer. NOTE: This.plan was submitted with design calculations included in each plan. To conserve paper and reduce mailing cost the calculation sheets have been removed. The manuals used for the design of this plan only requires that one set of calculations accompany the required three sets of plans. Calculation my also be delineated on the plan. See Comm 82.22(2)(a) 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/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer ti , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us I i TITLE SHEET PAGE/OF� MOUND SYSTEM FOR A_ BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- IVM-F and the Pressure Distribution Manual SBD - 195 =P S E E C0 RR ES PO ND E NCI E CRT-&" (CR - LOCATED IN THE UAW 1/ OF THE N 14 OF SECTION *?G ,T 30N, R4W, TOWN OF ► h m ovNa , ST. CROIX COUNTY, WISCONSIN. INDEX PAGE 1 OF 11 TITLE SHEET >?AC -A- W�� i SEE CORRESPOND[ N"' PAGE 6 OF 11 PLOT PLAN PAGE 7 OF 11 PLANVIEW CROSS SECTION PAGE 8 OF 11 DISTRIBUTION PIPE LAYOUT PAGE 9 OF 11 PUMP CHAMBER CROSS SECTION PAGE 10 OF 11 SYSTEM MANAGEMENT PLAN PAGE I 1 OF 11 PUMP CURVE 1 PREPARED F OR {''� W c �1aliy 2%v Q'- i 0' QY1LtN R PREgARED BY POWERS EXCAVATING INC. 1969 185 AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715 -246 -5135 Cond APPR DEWIRTMENTc fJf�d110F $AFfE SEE CORRES s 4 c,:� Rl v a r 4a :T� U �Z vt, e - N a> 4� to w l iq S' Q c. - r 3o U Q I� - Lv I � e �-c.., � (a s t�: c�. ,� c � •Y yS :�+.�.r�r�, s,,s�,.,. rY'1�c�...� o �; s �� c� ! f 'h rC1a► 1 tt -iav r, 14, r, } 1L a Pag Of r Synthetic Coy gyring AtTm- G33 Distribution Pipe Medium Sand G Topsoil --- F 3 i E ' % Slope Bed Of ; 2 Force Main Plowed Aggregate Layer D I Ft. Cross Section Of A Mound System Using E --L Ft. A Bed For The Absorption Area F . Ft. 6 , t Ft. A (_ Ft. H Ft. iyi23 Y i ?_�1'1 i r '� xh 2 K Ft. L 1/7,5 Ft. Ft. Position f q Ft. of Force Main Ft- Observation Pipe 8 t KA r .. - �. _._.`....._ _._.._._..� a _.. `. s A F - „ 8 }� Distribution Of Z 2 Pipe. Aggregate 1 . Observgtion Pipe efACl+o Srccv Plan View Of Mound Using A Bed For The Absorption Area D i9 cributi0a Pipe Layout P4 _9 of Place the holes at the bottom of the distribution pipes at equal spaciaa. Remove all burrs from the pipe and holes. Eased the eod o!'etrh literal , rp ** t* one of land mom or 43 fimg to apai n Mm, �c lager orraw M VA& Tame tin a& sfdo W& a am at dwoodod F 4ao0 &MR Md pntde fordo vNIM dMi , o' r m per. * taiil Yi Y P G uMrN ---- - R saw. P --C.L Ft. dole Diameter Inch S -3 ft. Lateral - Inch(es) x . g Inches Mtnifold _ Indies Force lltin " — Incbes of holes /Pipe Invert Elevation or Laterals Ft. SEPTIC TANK &•'PUMP C AMBER CROSS SECTION AND SPECIFICATIONS 4" Cl VENT PIPE 12 MIN. ABOVE GRADES WEATHER PROOF 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE W/ PADLOCK S " CI RISER 6" MIN. WARNING LABEL ---- -- ABOVE GRADE ---- -- —_ ,4 1 MIN. 18" VI N [ 14 LET 'WATER TIGHT SEALS GAS + ' TIGHTi 411 A SEAL APPROVED — -- ALM JOINTS W/ CI 3I PIPE B i PIPE 3' ONTO 3 OL ODTO (�/ —�— ; 4 ON S SOIL C � 4 SOIL PUMP OFF E�.EV . FT. --- 0F'� RISER EXIT D PERMITTED ONLY IF. TANK . . MANUFACTURER HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: W I, .S e.y NUMBER DOSES PER DAY: � T5 � � �:. • TANK SIZES SEPTIC J�� GAL. 0 E VOLUME INCLUDING �^� DOSE GAL. , `� FLOWBACK: GAL. I 3J Y 96 _3 ALARM MANUFACTURER: 4 L CAPACITIES: A INCHES GAL. MODEL NUMBER: /a/ ticJ i' 3 '..7y SWITCH TYPE: F(nc�# �� J ` , B = 2 INCHES = GAL. 1 ! _ ? //. 7' �Y PUMP MANUFACTURER: �' - 5 } C = 13vlo INCHES = MODEL NUMBER U) E ©34 SWITCH TYPE: D = INCHES = GAL REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR 16. 23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . /-, - 6 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . .%. . .5 FEET + -0 1 0 0 FEET FORCEMAIN X_FT /100 FT. FRICTION FACTOR . j. FEET TOTAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH j C. j1 Mound System Management P lan Page .1 Of IL Pursuant to Comm 83.54, this. Adm. Coda Sander Taedt conlentt of du The to* Sh" he � by an CalY10010 swv ca � under s- 2@1.4a, Stem The tw* stand be dop+oaed of in acrordsnc with "R 1 13, w1s. Adm. Cade. The opetatag condition of to se0ft w* and outlet Star shark be aeeeteed at WW at" every 3 by' ha •"the collet oust Shell bee cW*Vd an neeses>•ry to OUR" ""0 Vic. The t11Urr carlridpe s xx" not be removed ursea p am race to nstain sobda in" to that m a y slouplt off the when removed tarn lie ww*"ar. d the MMs� +s ea+ipW "M an aWm. the tithe stall be ser wic ed if the dwm is acted pontintou*. InIS p+illsnt f *W" mW uedk xft tjW Pam or o n aksrrn The for k shall tame its contents removed **w 00 vok me eye sib and ttr� In t tan he k **X*ds "l3 Vw liquid YOMM of the tank. Now of the W* are not emoted at die W* of a bisr"W sss noinlenance p VON advrse the owner of whits the nett service to bepett med to ntaw"On less dhan maxdmexn scant and dudpe eacu VU11aw + in the tank. The aedlMort of err dterrnirAt sddilives b eMsr+os sepMc tiaatk � s� aid mar, tf such products are used 9W shad be approved br septic W* use by the Sulldiegs Division- EWMLIM The rttp ) tank *W be at *W once every 3 treats. AM sv rs, atperna. and ptunRs *hall be to " proper oParatlpn. if an eMuo t MV is boWW within the teak it shall be inaWtad and serviced as necessary• No tress or S ruW should be pla A o p the mXmx . Pko*np may be Brace SRVAW the mound's 08nMew. and an nmnd A M be seceded and rtl khed as r+ecrr ► b prevent eroeit>A ttnd to t tierce MW *&Won cif the (Blest then for mom) on the mound is not ne n awded since sal coRtpttctia►r+ May hMW ova wal=e *Wm die wound anti SriOw COT44C*W in we's'Io" vA po - All iw penes . Gold"*~ uratsaedo" (Qdober-Februerv) diolale that ti-4 mound be hWYPy Mulched for host POW:bDn- tn!kmd qua ft W to the Mound system ray rot succeed no n 919 8=.1510 MVt TSS. and 30 mg/L FOG. kcfi<neret SOW meY not WCOW maMkvn design flow inc vo pwrn* for on On. 1. The p 4*Witxftn is P with a Pow St da end d each leterai, and it is recomm ended tllil Bradt sya last w en comp t ree gushed of a>rxttrtnuitiied solids m least to �iae�rntine has W4 04" +: 'a cocrpo� b the MW h tice tenl i+afaaeed 10 ntiai ton equal distribtrtlawh within She dopw" COW Obasrvation ope s Within the dispersed cal slgii< be dtoed0d ref etrWt PWIW l• PWK*V'a be► reported to to evince. and any ieva above 4 kwtess considered as son intpertdtnp hrydraulia fakwe3 �• weer* twquent mortMbrMhG Ban" te I%W System " be operated in accordance he ck Comm 82-M Wis. Adm. Coda. and m r nteirtfaHnsd a with dc o nip xwt manwt jMD- 10572 -P (Ft 8ftj and twat Or settle n*w owlak 11 � and � reportln0. No one Should ever arNtr a ssptla or pump funk since C100 9001110 rah► be taw that coLtd Cause dsWt. Septic and WM ank p t +wnt shall be in ecoordanos vrrlh Comm 83.33, Wb. Arse. Code when the to are no W*W used es POWTS oonqMWMft- SWW or pu 119 tank m evote eielarn, access Mears and covers *wAd be for wabr and soundnees. Access opariings used treat Saevloe and ae nard is Sealed we0srl $ t trpor "axnpksbon of service. Any open kV desnad %maounhd. defective. Of SuI12JI10 b 1 1111tme nittst be rsplacad. Eajeosed aoDees ope trop tip Pan S'indtesin diameter shell be secured by an sfsec ive t device to pww4 aoadenkwl or unan,Retwfted entry eft a tank or norn00n0d. CS4l31i1'i:_aomm Pure if the Septic tank ter any of M corapowetits beew a dehcstve on tank or c wnporent shad be ceparred or mpfaaxd to tueap o» "*earn in jw*sw operating aondiden- tf the doses tank. VWM. pump cO *044 siarcn yr rNarted WrkV becomes defective the defective wmponent immadla l* mired or replaced with a compoftnt of the same or egwr MdOrtreart w If the MUM compo ant ftft to awal% WSSWV&W or io &dnW w strr to the Wound fsce. it vA be rttpaired or replaced in Its' present localon tor toy beeWV uses area I Moe 0=0x oas or by aemovktp b N dMed a wpllon and dapenael medic, and el piping. and rMOW* i said conhpOnSits s: deemed nac aaWY 10 b*V de sYaseM lnlo WOW opera*V conWAon. Questions on the operation or maintenance of this system should be directed to the County Zoning office at vbeco or to the licensed plumber who installed the system. --� Goulds' 14 11 Effluent Pump • `1 3885 APPLICATIONS • Overload protection must smooth operation. Si {lean can be operated continuously Specifically designed for the be provided in starter unit, bronze Impeller available as without damage. following uses: • Shaft: threaded, 400 series an option. -� Y stainless steel. •Bearings•. Upper and • Homes s Casing: Cast Iron volute lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. construction. • • Trailer courts upper and lower. • Power cord: 20 foot T NPT discharge adaptable ■ Power Cable: Severe duty • Motels standard length (optional for slide rail systems. rated, oil and water resistant. • Schools lengths available). ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals Single phase: CARBIDE VS. SILICON provides secondary moisture Indust • % and % HP —16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil With 115 V or 230 V three BUNA -N elastomers. wicking. SPECIFICATIONS prong plug. •'/. -1% HP —14/3 STO with ■ Shak COrTOslon- resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. '/; maximum. • Yr1'A HP —14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor. Fully submerged in SP 'a"' stanl{ardsAtsnctaGtm TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat UL abora� carbide -rotary seat/silicon FEATURES transfer. carbide- stationary seat, 300 ■ Designed for Continuous series stainless steel metal •Impeller. Cast iron, semi- Operation: Pump ratings are open, non -clog with pump - parts, BUNA -N elastomers. within the motor manufacturer's out vanes for mechanical seal • Temperature: protection. Balanced for recommended working limits, 104 (40 continuous 140 °F (60 °C) intermittent. • Fasteners: 300 series "' stainless steel. SERIES: 3885 • Capable of running dry. 80 WE1 SIZE V SOUDS wi damage to - sGPM components. 70 V E1 5Ft 2a Motor 60 Single phase: _ s • % HP, 115 V. 200 V. 230 V. t5 50 60 Hz, 1750 RPM; % HP, Z 115 V. 60 Hz, 3500 RPM; o 40 HP -1%HP, 230 V, 60 Hz, 3500 RPM. to • Built -in overload with w automatic reset. s • Class B insulation. : y o Three phase: • % HP —1% HP 200/230/ CIL 0 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 eo 90 too Ito 120 130GPM • Class 8 insulation. o 10 2 0 30 meth CAPACITY ®1995 Goulds Pumps Effective May. 1995 83885 LnbarandHurnanAedAons �'�• VVS�. s� »v v � a. �. s rsa.va� r wvww a...r w.a .� or sxay a &ddnp in accord with ILHR 83.05> WIS. Adm. Code Attach carnflete ante plan on p epw not hm than 8112 x 11 inches in size. Plan must inckxie, but to 8mmw to vai " and bwborrtal reference point (SK direcWn and % of slom. scale or PARCEL ID. 9 dimensioned; north arrow, and location and ddanoe to rwareat ward. APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION BY DATE PROPERTY O WNEFL PROPEfl1Y LOCffM Derrick Otacsartrtactias Lac. kraut• LOT NK V4 NK 1/4.S 26T 30 ,NA 18 Ada! W PROPERTY OWNERS tfODUN 3 ADDRESS LOT s ROCK s Sl1BD. NME OR CSII ae 1505 2 na Derrick's Plat CITY, STATE ZIP CODE PHONE NUMBER ILLAtiE grow NEAREST It= Nov Ricbmand, WI. 54027 ( 713 246 -2320 1 Ricbmand 140th. Ave. J New Co wttudon Use bc) RNidNM l Nwnber Ot 0edroDms a J J AdOm ID era bq broiling L I J l Pabib at card desce Code derived dally tlaw 600 M d Tw Arnmended deegn laedirrg rata .. bed, !1! a 5 tt+� WW AWwpft area d_ ._bet 1 � 1renc�n, 0[ Me *wn design tale _.4 __ bed. M►�'_ .i_�+. ! Reoonnrended iron su seie ation(sy 101.10 R (as mbm)d to se plan WwWa 4 Additional do* 1 oft owisid8raBarB b aga d em Cggjt.,air t i np of ail _ 1 M :1Q � Parent ntaleriai glacial t drift . Roal plant +devalm, 8 appirsibfe na tt S = Boilable for taouNO rr catouNOV AT-WAN swsTa�t w Fx1 HoLar+a r u = ie ❑ 121) w ©u ❑S tau fIS ❑ D flu OS Gnu SOIL DESCRIPTION -REPORT Depth Dominant Color Ma" Texture Stticture C.oraisience Butobry Roots GPD Boring 8 Horizon in. Munsell W. Sz. Coat Color Gr. Sz. Sh. Bed TWO 1 r . 2M .5 .6 2 12 -24 7.5yr4/4 nacre sicl 2msbk mfr 9w if .4 .5 1 Groff 3 24-38 7.5yr4/4 nwe si lcssbk mfr gw if .4 .5 L t1 4 38-55 5yr4/4 r,2d 7.5yr5/6 scl lcsbk mfr na na .2 }.3 Depth b n9 factor 38" Remarks: Boring 8 1 0-12 10yr2/2 none 1 larsbk mfr 2f .4 .5 2 2 12 -20 10yr4/4 none sicl lmsbk Mfr Bw if .2 .3 3 20-42 7.5yr4/4 nMe sl lesbk nfr gw if .4 =.5 Grtxnd na .4 ' .5 alev. 4 42 -55 7.5yr4/4 d 7.5yr5/8 si lc sbk mfr gar 1 5 55-75 10yr5 /4 none ifs M mefi na na np np Depth to fate Remarks: CST Name:-4%m Print Guy L. Steel Phone 715- 246 -6200 Addrm: 1554 200th. Avs.. New k Al 54017 Signature: Dee: 5 - 14-99 CST Numbs: wA2296 7 Derric t. Inc. 2 3 PROPEATYi�IER � Gt7ns � SOIL DESCRIPTION REPORT Page_pf PAXEL LOA - � * Horizon Depr6 Dominant Color Males TexWre SlruGture Oarlswll = Rom GPD in. Mures ou. SL Cam Cow Gu Sz. Sh. Bed larch 0 1 , 1 0-12 10yr2/2 none 1 2msbk r cQW 2 12 -20 7.5yr4/4 nine sicl 2csbk mfr g+r 1m .4 .5 Ground 3 20-60 7.5yr4/6 none al bosbk mfr gv if .4 .5 1 0 0 0 . 1 1 4 60--84 5'yr4/4 now scl M NA NA na .2 i .3 Dow to f Remarks: Boring etev. U— DeW to — - ladar - - Remarks: Boring Grouro etev. h. 0"% 10 - - -- - . - bm Remarks: Boring # Grand dev. E DqM ID 4raor '-r ' Remarks: S8D433M.05ffiZ STEEL'S SOIL SERVICE Gary L Steel Derrick Construction, Inc. 1554 200th Ave. CSTM2298 M0404 M-- Tw"18w New Richmond, Wt 54017 MPRSW -3254 �� .plat (715) 246 -6200 This soil evaluation vas conducted to satisfy a zoning requivmwit, it may or may not be suitable for your use. The location of the test may or may not be as ahoMn as pe m u mt lot lines vere not establieW at the time the test vas conducted. N 1"=40' BK.= top of 1" pvc pipe 0. el. 100 -00' Alt. 13M.= top of in pvc Pipe 0 ei. 104.20 {rl� 91* OP 83' Q•Z • 60 ee I k" AO r � /0+ G Mary L, Steel 5 -14 -99 Wi ,artmentof Ind ustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 La rain Relations Divisi o 5at & Buildings• in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but S not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION rRY IEWEQBYE PROPERTY OWNER: PROPERTY LOCATION Derrick Construction Inc. GOVT. LOT NW 1/4 NW 1/4 26 T 30 N,R 18 )(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CS M # 1505 Hy. #65 2 1 na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE JgOWN NEAREST ROA New Richmond, WI. 54017 (71$ 246 -2320 Richmond I 140th. Ave. ] New Construction Use [x] Residential/ Number of bedrooms 4 [ j Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 600 g pd Recommended design loading rate • 4 bed, gpd /ft - 5 trench, gpd/ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate A bed, gpd /ft . 5 trench, gpd /ft Recommended infiltration surface elevation(s) 101.10 ft (as referred to site plan benchmark) Additional design/ site considerations system el based on contour line of el 100 Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ❑ S ER ® S ❑ U ❑ S CRu f] S ❑ U EIS E U ❑ S CC SOIL DESCRIPTION REPORT IUD(., Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerldi .................. ................. 1 2m r mfr. 2m .5 I.6 •S 1 0-12 10yr2/2 none 2 12 -24 7.5yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 24 -38 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 , elev. 10 ft. 4 38- 5 5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 .3 Depth to limiting factor 38 Remarks: Boring # 1 0 -12 10yr2/2 none 1 lmsbk mfr gw 2f .4 .5 2 12 -20 10yr4 /4 none sici lmsbk mfr gw if .2 .3 3 20 -42 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 �! Ground ,.. I elev. 4 42 -55 7.5yr4/4 c2d 7.5yr5/8 sl lc sbk mfr i,'` •5 1 r 5 55 -75 10yr5 /4 none lfs M mef na 14 Depth to r 4.1 VC tj limiting factor Y tq S ST NTy ZCiVJNG Remarks: C �, OF F I CLc CST Name: -- Please Print Gary L. Steel Phone: 715-246-6200 15 -246 -6200 \ Address: 1554 200th. Aw., New Ri0m9nd, WI 54017 Signature: Date: 5 - 14 -99 CST Number: m02298 PROPERTYOWNER Derrick Const., Inc. SOIL DESCRIPTION REPORT P ap PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourdaly Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. .................. 1 0 -12 10yr2 /2 none 1 2msbk mfr yw 2m .5 .6 S 3 2 12 -20 7.5yr4/4 none sicl 2csbk mfr 9w lm .4 .5 Ground 3 20 -60 7.5yr4/6 none sl lmsbk mfr 9w if .4 .5 elev. 1 4 60 -84 5 -yr4 /4 none scl M NA NA na .2 : r3 g z e Depth to limiting factor Remarks: Boring # 13 ................. Ground elev. ft. — Depth to — limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ................. Ground elev. i ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) I • STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, Inc. 1554 200th Ave. CSTM2298 NW4NW4 S26- T30N - New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #2- Derrick's Plat This soil evaluation was conducted to satisfy a zoning requirement, it mayor 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 was conducted. �pMl.= 1 =40' top of 1 pvc pipe @ el. 100.00' /Alt. BM.= top of 1 pvc pipe @ el. 104.20' S3 r * C? 5 5 e� a =� AO f' IC 5 Gary L. Steel 5 -14 -99 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND I OWNERSHIP CERTIFICATION FORM Owner/Buyer M l LN p E-=L- 'V� . Mailing Address Po o K 4 d' �•�tiv �2t c s-� ti.o �! 1 S 4d i' i Property Address t75 L 14<3 T;+ (Verification required from Planning Department for new construction) ��- City/State 'tiv 1 4t Ntewkb , W 1 Parcel Identification Number b "Z-t t'Z-4 - Q 2 - o o v LEGAL DESCRIPTION Property Location Kw %,, l.lW 1 /,, Sec. 'I t . T iC N -R ti W, Town of t I+ f V- 0 PL- 1 0 Subdivision `5u "a, S E rIAc a wr S Lot # Certified Survey Map # �— . Volume , Page # Warranty Deed # _ j oQb -?Q 0 Volume 1 , Page # S Spec house>(yes 0 no Lot lines identifiableyes 0 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 fimction 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, journeymanpl*ber, 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 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 0& three year expiration ckat o SIdR,kTURE OF APPLICANT 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 pro described above, by vi a of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICAN 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 l II l� STATE BAR OF WISCONSIN FORM 1 - 1982 60040 WARRANTY DE EE� D QE� KATHLEEN H. WALSH DOCUMENT NO. VOL 1414PACR, REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD This Deed made between 03 -30 -1999 3:45 PM Richard A. Gillis and Janet L. Gillis, Husband and Wife, and each in their own ri.ht WARRANTY DEED EXEMPT N Grantor, CERT COPY FEE: and Willow River Joint Venture, a Wisconsin COPY FEE: Partnership TRANSFER FEE: 300.00 RECORDING FEE: 10.00 PAGES: i Grantee, Witnesseth That the said Grantor, for a valuable considerati $1.00 and other valuable consideration conveys to Grantee the following described real estate in St. Croix THIS SPACE RESERVED FOR RECORDING DATA County, State of Wisconsin: NAME AND RETURN ADDRESS Willow River Joint Venture P.O. Box A New Richmond, WI 54017 The North One —Half of the North One —Half 026 - 1075 -90 of the Northwest One— Fourth, PARCEL IDENTIFICATION NUMBER (N N -z of NWq) of Section 26, T20N, R18W This is not homestead property. Im (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Richard A. Gillis and Janet L. Gillis warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no exceptions and will warrant and defend the same. Dated this 30th day of March 1 1 9 99 (SEAL) ' (SEAL) Richard A. Gillis (SEAL) a n e t L Gillis (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, Ss. •siM Z961 — i ' ON EU Q33Q )uNvduvm out '•00 >JueIg Je6e uisuoosiM NISNOJSIm 30 HVfl 31VIS - saameu?is nays molaq pamud to pad6t Aq pinoys ,(noedv Xue ui BuiuBis suosiad jo saweN C 6 6 61 '/6Z/OT (;(.lessaoau :alep uopeiidxa awls lou ;l) •luauewiad si uoissiutuloo Aw lou ale grog 'paSpalmou-loe to paleopuaglne aq Am sainitaaiS) •stM 'AlunoD X t O 3 0 S ollgnd 6.1eloN .L TTaput'I *V X-TTX SbM S rl s aqi a pajtAou-loe 1u wnilsut d 1 3 aql n;)p a o °' uosiad aql aq of umoux aw of (slelg sib `9o'90G§ X4 P azuogine IOU 3I) NISNODSIM 30 SVH 31VIS 213flWEM :R - 111.1 as TTTTO "I 4auRf .TTTS •V P .aatIDig paweu a i 1 40112W •}o Xep 14,406 slgI aw al ;)q aweo Alleuoszad 6i ` 3o Aep sigl paieopuagme i(luno:) X I O S ,,) ' la q SUNRISE MEADOWS NORTH 140th Avenue 346' 320' 320' 320' 320' 320' 320' 320' La 1 2 3 4 5 6 7 8 3 N t � 4.93 ac 4.59 ac 4.59 ac 4.60 ac 4.60 ac 4.60 ac 4.60 ac 4.61 ac *New Richmond ❑ DERRICK OFFICE Highway G N 140th Avenue SUNRISE MEADOWS A 12 Roberta 65 I -94 (715) 246 -2320 1505 Hwy. 65 DERRICK P.O. Box A New Richmond Wisconsin ipCONSTRUCTIO