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HomeMy WebLinkAbout026-1124-04-000 Wisconsin Del1brtment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506102 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: Lorentz, Kevin & Michelle I Richmond, Town of 026- 1124 -04 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: r f 26.30.18.757 TANK INFORMATION ELEVATION DATA - 5 , TYPE MANUFACTURER g�; : ,7, CAPACITY STATION BS HI , FS ELEV. Septic _ Benchmark .- Dosing _ Alt. BM erat*n Bldg. Sewer 3 4 1 t l :� •� •'�:� + Holding St/Ht Inlet x; I ,,- e �c7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/� WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Y ' Dt Bottom / �7 r `� • Y Dosing " ! Header /Man. Aeration Dist. Pipe '�' ✓ `I= :' =' Holding Bot. System it • .' `�l • 7 5' ` PUMP /SIPHON INFORMATION Final Grade • ., J �y ' `' Manufacturer " Demand St Cover Z C K V f _ GPM • }. � .. x ., `7 Model Number $ `� `� y • , 7 l TDH Lift Friction Loss System HeadTDH Ft ,' •mfr;' 7y • �- ,. � " yr �• . _ .ter , 'j .. d Forcemain Length Dia. + Dist. to well r / • 7� `1' L SOIL ABSORPTION SYSTEM BED /TRENCH Width r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '} 7 i ,�. INFORMATION Type OESSystem: P/L BLDG ' WELL ' LAKE /STREAM CHAMBER OR Model Numbers f r DISTRIBUTION SYSTEM Header /Manifold , Distribution x Hole Size x Hole Spacing Vert to Air take �•, { Pipe(s) _.,_ Length Dia `!' Length Dia Spacing c.J.. ".., 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 �' A i Bed/Trench Edges Topsoil Yes No `,y Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1323 140th Avenue New Richmond, WI 54017 (NW 1/4 NW 1/4 26 T30N R1 8W) Sunrise Meadows Lot 4 Parcel No: 26.30.18.757 1.) Alt BM Description - " " 2.) Bldg sewer length - amount of cover = Plan revision Required? Yes '` I No `4 , ! "c1: T Use other side for additional information. L Date Insepctor's SignatVre Cert. No. SBD -6710 (R.3/97) l F_yry. d , Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 t 1 � Madison, WI 53707 -7162 Sanitary i N r� be filled in by Co.) Num fi ber —• lion State Ttaosa t cri Sanitary PP a Permit App �}- In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission oft lia jorm to the appropriate overnmental unit is requited prior to obtaining a sanitary permit. Note: Appiicat on fo�n�lP Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information 3m u prov% seco in accordance with the Privacy Law, a. 15,04(l m Stats. I 3 o 3 J 6"' A tJ I. Applicaditm Information - Please Print All Iaforma Property Ovvaer's Name � Parcel # L dp "ice () to It a�-ot- -ooh ST. GRGIX % Y Property Owner's Mailing Address Property Location 7 G � �O "Q N Govt. Lot • ✓' ^ Aciw.ate Zip Code Phone Number �W y,, 1V1f•-) y. Section W As. �..L 1 Y/ T � N ; R_ II. Type of Building (cheek all that apply) o k a.d Lot # Subdivision Name - ' - or 2 Family Dwelling - Number of Bedrooms - -- - cc __ - j, 1 o ! Block SLLY� rh I � ❑ Public/Commercial - Describe Use in oJ�Y� ��4 ✓� ❑ City of ❑State Owned - Describe Use CSM Number ❑ Village of Town of IC" `� h III. Type of Permit: (Cher only one box on line A. Complete line B if applicable) A ' ew System ❑ Replacement System ❑ TrestmentlHolding Tank Replacement Only [I Other Modification to Existing System (explain) R . ❑Permit Renewal ❑Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S tem/Com onent/Device: Check all that apply) tH on- PreV'�= ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound?: 24 in. of suitable soil 11 Mound < 24 in. of suitable soil o lding ispersal Component (explain) 11 Preueamtent Device (explain) V. D reatment Area Information: Des' Flow (g Design Soil Application Rat t) Dispersal Area Required ( Dispersal Area Proposed Caf) System Elevation O S . IQ VL Tank Info Ca acity in Total # of Manufacturer Gallons Gallons Units U C New Tanks Existing Tanks p 8 ' a U y rn u, t7 a Septic Holding Tank © C _Dosing- G7talnbet_, VII. Res nsibility Statement- 1, the undersigned, assume respo ibili r installation of the PO s n the atlas hed pleas 's Narne (Pri Pttygber's Si gna RS umber Business Phone Number Plumber's Address (Street, City, State, Zip Code) �� k VII OUR /De artment Use Onl Permit Fee Date Issued Issuing A e 5ignatture ppro ` ❑ prove S O tven Reason for ial " Z. / D 3 )5 67 UC. Condititt4tts gpt txv easons for Disapproval 11.. Septic tank, effluent tiger and dispersal cell must all be services / mainta111eQ as per management plan provided by plumber. 2. All setback requirements must be maintained - aS a system and minou to the County only on patter not less than 8 rn s 1 r inches in she SBD -6398 (R. 01/07) Valid thru 01/09 T �0 f v, G • �o� d�� z ti cw Yl »w'/ S a r07 a: 2 «w Q4ct Y ,QfdOn",Q cq�a ry . Rlc�v,&O s c1-0I K S�c17 �°T" A- S I` A, 6,1 �'P : f -y C v ecS 4f �. 7 z o o � � 3�Q Plot PL N w Yl f �wy � sa lo r 3ok) P, Cl 4 q � �t ©n � G`�' ti R icn Vv, o rl S Cres i sg. Yy\,Q�L .;.s L I 4f A� b �/ 13.1.3° � c�o�" ►�- v °e ld� /$o� �QASef�,�u 5 - 7�le ncl\;o � O a� �` / 'y � � �� o5� a v Px -DC&� 'r- -U7 v o D e r � f_ n d o , Sao I � Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor ai�dd Human Relations ngs Divisionof Safety & Buildings .f' 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 St. Croix not limited to vertical and horizontal reference int BM ,direction and /a of slope, scale or PARCEL I.D. # Po ( ) P dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION RE IEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Derrick Construction, Inc. GOVT. LOT NW 1 /4NW 1/4,S26 T 30 N,R 18 l(or) W PROPERTY OWNER':S MAILING ADDRESS IT # BLOCK # SUBD. yAMEOR C�,S�ul t na 1505 Hy. #65 `�� CITY, STATE ZIP CODE PHONE NUMBER [ ❑VILLAGE RrOWN NEAREST ROAD New Richmond, WI. 54017 (715)246 -2320 Richmond 140th. Ave. ] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate • 4 bed, gpd /ft - 5 trench, gpd /ft Absorption area required 1125 bed, ft 900 trench, ft Maximum design loading rate .4 bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 94.6 trenches ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 3.50 below surface grade 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 fors stem 12 S ❑ U EIS Z U [2 S ❑ U [Is ®U ❑ S FL U ❑ S fdJ SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botrldary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTw& ................. .................. ................. 1 0 -8 10yr2 /2 none 1 2msbk mfr cs 2f .5 .6 1 2 8 - 7.5yr4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 23-84 7.5yr4/6 none sl lcsbk mvfr na na .4 . elev. 9 8.1 ft. Depth to & limiting factor �! z +84" Remarks: Boring # 1 0 -11 10yr2 /2 none 1 2msbk mfr cs 2f .5 .6 2 11 -22 7.5ry4/4 none sicl 2msbk mfr 9W if 3 22 - 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 Ground elev. 4 48 -80 7.5ry4/6 none fs Osg mvfr .6 9 7.6 ft. i 4. r Depth to l Vt imiting factor +80" �� 9 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address. 1554 200th. Aoe. New Richmond, WI 54017 Signature: Date: 5 -12 -99 CST Number: m02298 1 PROPERTYOWNER Derrick Const., Inc. SOIL DESCRIPTION REPORT Page B of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -9 10yr3 /3 none sl 2msbk mfr gw 2f .5 .6 2 9 -22 7.5ry4/6 none sl 2mgr mvfr gw if .5 .6 Ground 3 22-80 7.5yr4/4 none sl lcsbk mfr na na .4 .5 elev. 9 5..2 ft. Depth to limiting & 1 factor +80 9S9 Remarks: 9 Boring # 1 0 -8 10yr4 /4 none 1 2msbk mfr gw 2f . .6 2 8 -12 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 12-39 7.5ry4/6 none sl 2mgr mvfr gw na .5 .6 Ground elev. 4 39 80 7.5ry4/4 none sl lcsbk mfr na na .4 .5 92.9 ft. — Depth to - -- limiting factor +80" Remarks: Boring # 1 0 -12 10yr3 /3 none sl 2msbk mfr cs 2f .5 .6 5 2 12 -2 10yr4 /4 none sl lcsbk fmr gw if .4 .5 3 29-65 5yr4/4 none sl lcsbk mfr 9w if .4 .5 Ground elev. 4 65-80 7.5yr4/6 none fs Osg mvfr na na .5 .6 9 2-h ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r PROPERTYOWWER Derrick Const., Inc. SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourtclay Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -9 10yr3 /3 none sl 2msbk mfr gw 2f .5 .6 3 2 9 -22 7.5ry4/6 none sl 2mgr mvfr gw if .5 .6 Ground 3 22-80 7.5yr4/4 none sl lcsbk mfr na na .4 .5 elev. 9 5-9_ ft. Depth to A limiting .� factor +80 9S9 Remarks: Boring # 1 0 -8 10yr4 /4 none 1 2msbk mfr gw 2f .5 .6 4 '> 2 8 -12 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 12-39 7.5ry4/6 none sl 2mgr mvfr gw na .5 .6 Ground elev. 4 39-80 7.5ry4/4 none sl lcsbk mfr na na .4 .5 9 2.9 ft. Depth to limiting factor +80" Remarks: Boring # 1 0 -12 10yr3 /3 none sl 2msbk mfr cs 2f .5 .6 5 s 2 12-29 10yr4 /4 none sl lcsbk fmr gw if .4 .5 3 29-65 5yr4/4 none sl lcsbk mfr gw if .4 .5 Ground elev. 4 65 -8 7.5yr4/6 none fs Osg mvfr na na .5 .6 9 _ h ft. Depth to limiting factor + 8011 Remarks: Boring # Ground elev. i ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) 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 #4- Derrick's Plat 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 were not established at the time the test was conducted. N 1 BM.= top of 2 pvc pipe C el. 100.00' Alt. BM.= nail in Elm tree @ el. 97.70' l v P7A 3 �1 3� r eo r1 S� Gary L. 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NA WA ,i #W0 tl 7@N 1vOi7VV, eipv sat s *v, ' I SSC YQ =e Atli ' � W-49 tent to tk O*t d oepetng 16" aescrpciea taew —11,vi t71.. 's4B�1 Ao" VXX k FU q�i. pf; •hil\ SC91a1sK4119t/lat77- 1 � ONPLAIT O l,ANX OWD BY OTH£R� a w arw� p G T HUNBfB SS• 65•.968.1999 y I aas y x -t Aug aau Alk M'rY�:•a h, G r �t rory an axarornu 140TH AVENUE mm AN ft" —- vc" — — I . -\ -- -- — - - - - -- _ — — — —' � — S89'3632"E 263626 " — — — _ t(e mat u" ra r4s DE TATEO 70 THE WC -- . IT IF KK Ilk T .. .... — — �rmt -— o t i ,IHgr 4 Q r y4 t 1 ` t u st .g h i w F M i t t' Q i � A .19;742'25 4 592 AmS tg94.AxYdS 4S'76 A1;pFS e 5S 1LF4S 1t�. ftNiY C ! k . NiAN g FY FfR,.M7 .",4 M1111 Sr. FT, O'42s`1 Sa ,1 � ��.• t.'�+ Sil F• "tl ti I a t" LOT # u .. 4 5324 "V 263113' M...wantvrt- fi7,fn K h sleep jxso,:e µµ C' o tin 'rs NPU77111 LAW OFHD BY OTURS At wr 1 nrrtbt r tx t to Vkv n. we, ♦ �� wtmw um. 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CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer J��y/ N C, t 1 -e - r- Zr Mailing Address s�E S7 hF !�T lq U ®SC f �tCl � f 5 V o / T , Property Address / V 0 774 4 (V required f Planning & Zoning Department for new construction.) City /State Cam/ /�C.tL�,r?ot� t /Parcel Identification Number 0 ® < �O LEGAL DESCRIPTION Property Location _ Ya , NW t , Sec. ' , T 3 Iii R `X W, Town of / (l C-4-1 Al 6 Subdivision 5 u &/ SE' �'- CS Yet, , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # / S g , Volume G , Page # L 2 ­0 Spec house veo Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. $3.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 113 full of sludge. ]/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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe amlare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number drooms: q 3 1 / , 'U 7 If SIGNATURE OF APPLICASV DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) EZ1203H - ob9vve9 ;- � '• • evove9e :•': 9V VeV VV VVVVVVV VVVVV VV 9 PP •• t' •'�:,:. :.,:, i .v } •.. T9Ve9t 12 ... 4 ... 2 09.V , .:Y' .., v9T VVV V V .'�` 411 099. "r v99 2 'T ovv 494 4.625" VWvV v WV v 1 n 1/2 Circ. = 18.84" VV# VVV VVe VV9 W VVV49VP V Vw'►�99�vv9vevvVVSV9 V V v ♦9e9Vt VVVVVVVV eV.t9 V9 V.. 9 .b9bVVP V9V V999 VV•VVVVV 9V997V ♦.. BOttntn 36 12 -1/2" DIA. (typ.) Void Volume SQiI Interface Area In, 19 a 59 Ft Void Coefficient in Aggregate given at 57.4%. Sidewall (2 Sidewalls) 2 t 18.84in = 3.14 O.D. of 4" pipe = 4.625 inches 12in Fit a 2.00 Void volume per linear ft. = 3.14 • rr 2.3125; Ift = 0.117 ft' Bottom l l215 Total Sot !interface Area 5.14 SQ.FT O.D. of cen[er'cylittderlT2.5 inches Void volume in aggregate of center cylinder = 3.14 • (( 6.25in 3.14' � •.574 =..422 W ( `t2;lft) _ ( 2.J 125in 12in /ft ) O.D. of outside cylinders= 12 inches Projected Trench Area Void volume in outside cylinders - 2. 3. 1 6in 574 = .901 f l Sidewalt Height = 12 in. 0 2 = 2.00 Sq.Ft. �I2inlft� •' Bottom = 36 in. = 3.00 Sq.Ft. Void volume at bottom between cylinders m tab, • 6iA 3.1 6tn 1 l (12unrft 12 inlft� - � 12in ! ft f �l =0.215 ft' Projected Trench Area - 5.00Sq.Ft. Void volume at outside bottom comers (112 of void volume between cylinders) 0115 12 = 0.108 W Total void volume = 0.117 + 0.422 + 0.901 + 0.215 + 0.108 = 1.763 cubic ft Ift Gallons per ft = 1.763 X 7.48 = 13.2 eallons Per linear ft. 3 to" Xl�� .So EPS Aggregate Trench System EZ1203H ow Ring - Industrial Group 65 Industrial Park Rd. Oakland, TM ZW60 z . gYx SG1tE ME tout: ¢t2034-va1 SMMT. t of 1 11 -27 -01 4" CI VENT PIPE 12" MIN. ABOVE GRADE S WEATHER PROOF >_ 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR Ii3TAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK S WARNING LABEL 4 " MIN. 1Q" IN 14LET i s 1 ' . "WATER TIGHT SEALS GAS- �ISEA n f 4 „ Pp 1 [, �i A APPROVED PIPE PI $�5 "�" JOINTS W/ CI IPE 3z ONTO B PIPE 3' ONTO SOLID T SOLID SOI L 3OIL PUMP OFF ELEV . ��'� FT. .. AA RISER EXIT D PERMITTED ONLY IF. TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS b� aps,•� SEPTIC / DOSE � TANK MANUFACTURER: 1 j l ©,Q Q y- ( / � am bp NUMBER *DOSES PER DAY: .S TANK SIZES SEPTIC % GYM GAL. DOSE VOLUME INCLUDING DOSE d0 GAL. F LOWBAC K: l , 37 GAL. ALARM MANUFACTURER: 5'P CAPACITIES: A = INCHES = 4 / /3 , y GAL. MODEL NUMBER ob �s� -rdQr I [� B - 2 . INCHES = l yS SWITCH TYPE: � F PUMP MANUFACTURER: _ \A 3 _5 INCHES = `O� GAL. MODEL NUMBER: w / D = d INCHES = 3 GAL. SWITCH TYPE: �c -t- REQUIRED DISCHARGE RATE GPM PUMPS ALARM WIRING AS PER ILHR 16. 23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . : FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . ... . . . . . FEET + ../M FEET FORCEMAIN X 3 , 1 � FT/ 10 0 FT. FRICTION FACTOR . . S FEET TOTAL DYNAMIC HEAD A 5- FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH EO - o?a ° o( �/✓� [QGOULDS PUMPS Submersible Effluent Pump F M OD EL • t WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion- resistant, Single phase (50 Hz): can be operated continuously Specifically designed for the stainless steel Threaded Capacitor start motors for wit damage when fully following uses: design. Locknut on all models maximum starting torque. submerged. • Homes to guard against component • Built-in overload with m Bearings: Upper and • Fame damage on accidental reverse automatic reset lower heavy duty ball bearing Trailer courts rotation. • STTOW or STOW severe duty construction. •Motels ■ Fasteners: 300 series oil and water resistant • Schools stainless steel. power cords. ■Power Cable: Severe duty •'f� —1 HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry Epoxy seal on motor end • Industry prong � without damage to NEMA three provides secondary moisture • Effluent systems components. grounding plugs. barrier in case of outer jacket a and to prevent oil ■ Designed for continuous • 1'A HP and larger units have damage P� , SPECIFICATIONS operation when fully bare lead cord ends. wicking. Standard cord is 20. submerged. Three phase (60 Hz): Optional lengths are available. Pump r9 . • Class 10 overload protection • Solids handling capabilities: MOTORS must be provided in ■ 0 -ring: Assures positive M maximum. sealing against contaminants separately ordered starter • Discharge size: 2" NPT. ■ Fully submerged in unit, and oil leakage. • Capacities: up to 140 GPM. high -grade turbine oil for . STOW power cords all have AGENCY USTINGS • Total heads: up to 128 feet lubrication and efficient heat bare lead cord ends. • TDH. transfer. CQUOS Tested to m. n8 and ■ Desig tinu ned for Conous csA 2L2 108 standards Temperature: ■ Class B insulation on •y cana" st n"* 104°F (40°C) continuous W1 HP models. 'motor n re� As y See See o rder er nu bens ers rtt on models. intermittent. ■ Class F insulation on 2 HP recommended working limits, Gotdds P� D01 Is X90 9 • o numb reverse side for specific HP voltage, phase and RPM•s " tom o FM available. 130 SERIES: WE 120 s¢/,• E:' souus 35 - RFM• 3500 & 0 .� A _. FEATURES 11 1 1750 - �.( -5 GPM `,� ■ Impeller: Cast i ron, Sefil- 3 10o SFr open, non -dog with pump - 90 out vanes for mechanical 25 80 j seal protection. Balanced for 70 smooth operation. Silicon 20 bronze impeller available as o 60 an option. 4 i s- so ■ Casing: Cast iron volute 40 — type for maximum effidency. 10 3 ON * NPT discharge. 20 - ■ Mechanical Seal: SILICON 5 - CARBIDE VS. SILICON 10 CARBIDE sealing faces. 0- 00 10 20 30 50 60 70 80 90 100 110 120 130 140 150 160 GPM Stainless steel metal parts, 1 1, 1 1 1 1 1 1 1 1 . BUNA 0 5 10 15 20 25 30 35 mslhr -N ela m sto ers CAPAaW Goulds Pumps 0 20M rrrw awTectn>ology, Inc. ITT Industries Effective December, 2 004 — gouldw— 83s•s POWTS OWNWS UMUAL & UAAaG T PLAN ME . - • m w -- - ow It '1tti Permit .seAC T" Capadty Is Optic QNA Tank P Q Wk Of Bewoorns �n jo � - El f31A Nc bar NA Of Pubbc �'. t F w Model f3 Faye Units EW*nafed flow (averse) Q NA PUMP Tank y 00 Q NA 00 gaVday Ptrntp - Tank Usnuf*ctmrs� Design flow (loc). tEs*narted x 1.5) Pkmrp- Men�ufacuuer SON AppNostion Rate O NA ' /ttg PUR P Model 9tandaM 1entlEffkaenr ,. Q NA Fats. oa & Grease (FOG) S30 nVI1- o 0 NA fiemical Oxygen Dom ►d if3pD Ssnd/Or AW Ff w a Peat Rker s) 5224 rng/1- O NA. 0 Mechanical ,Aaratiom - p WeNand 1fiat�reeRedTEffhrertS 5140 � 13 �t D Outer ical Oxygan t131 iv s3o E3 NA NA TO suspended solids r S.S) Sip ice) [ In -tad. iP�) Q NA A17 t 0 Mound Fecal � t.mean) . 511D' efuElflOrrd O Dftq ine D Qtlter: Maximum Pew Y in �- f3 NA Qdw other: - offmt Q NA •Vsk tvpicat for dommUc ste"r~ cad font effluent- oeler. f3 NA [] NA .; asenrw.:l�,t cordon of torikM At Isis once ewwy: El .i°+rmp;out of:tw*fs) ) 3 years O NA "On combined sludge and adan equeb are -third iY) Of tank vo>vrrs QNA InsPect oeft) Clean efamm f At e+rety; Q awn 3 yo ) Q. NA At 1111m once every; mondtfs), hmpwt f3 NA .- : PwnP soMmis & aiarrn At least Qnce every: f3 aeonth fs) i1 ) - ❑ yA. Flush laterals and pressufe test At Wait cnce swery: f3 marth (s) Ogcsr: © s) UMA Ato�ae _Q� MANTMANCE 111iSTRUCTfQNS Q NA WMadons of Mssmer Plumber. by an uP cr P09KMV of effluent on the - i dual c Mme eirryuig ons of the fogoaving or � won ku*We a visual � of the tanlcfs" ' P"n Maintainer S"""- B ' Tank nroaecrre the of connbinect tip► Wy or broken hardware, identify any cracks or looks. The . cads) Shell be end acwn and to check for any hack . stn oce. Of effkrem an 010 y a4 check" a e ent lerais in th�� and * ohmic ar date of The � On ft ground aurfaae may irk a faigng motion and: the WbconSin When the cofwd*n d lion of _.code. - arrd sctsn. .my tank equals one-third - iY) or more Of tank of the tan shop be remove d by bY, s � -Operator and disposed .of ; accordance ahap{+er +rtR 113,, : ; . AN other . befit not Wnitgd to the �.of sent Bars, megrenicat or utdis, and any seryidg st inUrv of 512 mom, shop be r pied by a mdfled POWTS Ms -oo�neMS' A swvhw report Shan be provrded to the 1o4s1 may. s!dl f! widrin 10 days of cmnp"an of any service event. START UP AND OPERATM For new upon. Wjor tD use of the POWT$ Page 4of that impede the check treaunent tankW for the P�rnce of . Of the tank(*) removed f �° ' a 0 �+e`�s by a sl. tf ( dons detected have the contents 9 error too use. System start up shall not occur when soV we, Inman at the its surface. d to d COMB) -in tut �e.� w� Power is restored the ww waMr will be efEuent. To avok( this sttuadon have the the COMB) And � t in the - backup or. 010a ce discharge of Power to the effkmnt pump m tit a Pkumbar or POWTS ta removed by a Sa man p Op�r Prior to restoring restore name levels within the pump tank. to amt urn manually op�sting the (lump controls to Do not drive or Pwk vehicles over tanks and dispersal calls. Do not drive or wob 15 feet down slope of any mound a pa►k over, or o disturb compact, the area at - gntde . alaforptiOn� , Reduction or urination of the f0%mNlhg from the wastewater = may improve the performance and POWTS_ �; baby ; cigarette bnt ir. condoms,- cotton ; �: Ir g the fife of the ictuudation dram (sump, Pump) water f and dente % dam: didnfactants; fat±. Painting : pesticides; s �' ° peeks: 98.80 w.- tom. herbkkNW, meat stems; medications; oil, nnP1�: twnpow and water sottanw.brl ne. ABANDONMENT When the POWTS fart and/or is Pwmansndy taiosn out of service the ft§Dyb* steps OWN be taken to amwe that the system is Waperly and safely abandoned in cOmPlilance with chaPter Comm 83.33, Wtsconsla Admiral Code: e AN Piping to tanks and pits shell be disconnected and the abandoned pipe openings sealed. e The contents of all tanks and pits shall be removed and . . Properly disposed a# by a 9eptage Operator. • After pumping, all tanks and Pita shah be wmavated and reproved or their cowers removed and the void 80111. grovel or another inert solid anaterad. space filed with CONTINGEUCY PLAN If the POWTS fails and cannot be repaired the followkV mores have been, or must be taken, .to provide a made oompkent replacer, system: A suitable placement area has been evaluated and may be utilized for the location of a replacemant "il abooMpon system. The replacement area should be protected from disdabanoe OW n and aid * � upon by req ed setbacks from adating and Pnktmeed uUm -tunk lot Ines and walk. Fame to Protect VW went area win result in the need for a new SM and site evsltUdon,40 establish b sudtabte raegtfacerrneat ate. Rephi ai ism comply With the rules* in 'affect at that tine. systems. must O A stye nWkxxwmmt area is not availlable due to setback- and/or soil lirutatiauns. Banging advances in POWTS technology a holding tank may be installed as a last resort to replace the felled POWTS. E3 The site has not been evaluated._ to Identify a susta�ble nPlaoement area. Upon faslaue of the POWTS a soil and site evaluation must be Performed to loom a quit" reph oemsnt a►ea. If no � area is available a holding tank may be installed as a lest sesridrt_tq e failed POWTS. E Mound and at -grade "N sbeorpdm systems may be recouetuuOted in Place wag ranx" of to bWM at the "Itrative surface. Recansdu of such slrsterns must comply with the riles in effect at that dine. < <WARMINA> > SEp!W POMP AND OTHER TWAIIIIIEW TANKS MAY CONTAIN LETHAL. A�/aR A INISLI�lIT OXYGEN. DO NOT > TtC. Pt�P OR OTTER 71EATl T TAQNC IAMDFR AMY Cp1CUMSTANCES- DEATH MAY' RESULT. SUE OF A PERSON FWM THE WTEIWR OF A TANK WAY IIE DST OR MWOSSMILE. ADINTIIWNAL COMMENTS ALLER POAAfiS ROOM N ,. Pfrone L - 7 Phone itiPTA#� tlPERATOR f LOt ,Al. �BULATORY AUTHORITY Manrne N81rie c `7 "lone Phone S 3K6 1,1(oF0 his doc unM was drafted in W n ftwe with Conran e3 =(2HbJ(I JIM&M and W.5 n), M a /3i, VftwtWn Admtnisor rm code. it START UP AND OPERATW ' For new construction, Prior to use of the PO Pie of Mat may e'rpede the WTS check treatment tank(s) for the Presence of Fa entpng trot Ftor esa andbr daM"N Of the tank(s) ceA(s1. i h � ar' t;tneKnicats removed.by a d. servi prior ntrations are detected have the contents System prior to use. start Up shall not occu when gob conditions Mrs. frozen at the I nt trative surface. Dunng Rower outages pump tanks may 'N abo ve normal Of � to the dbgxwx ai ceii(a) _in one f loadh M r' levels. When Power a restored the excess -was retar will be sfflerent. To "aid this situation have ,ant Of �° ' the ca and backup and _ may r�it'n the or. surface c ary)e effluent PUMP or contact a a e Operator Prior to restoring Power to the Phrrr or POWTS tamer to assist in manually operating the purnP rocs tc Motors normal levels within the Pwnp tk. Do not drive or park vehicles over tanks and d isposal within 15 feet down Soo of Vii UO not drive or park over, or otherwi� disturb or compact, the area Pe arty mermd or at -grade mg. absorption area, Reduction or elimination of the following from the Wastewater sheen may ire the POWTS: �iotics; baby wipes; ckwette bons. cond and Prolong the We of the ration drain (sump . swabs; . dental floss; diapers; dialhi4a ant , fat;. water fsrr€t and vegetable .peelings; gMWW.- Wes; homicides ;: trteaEt scraps; medications, oil; Pig products; Pesticides; sanitary napidi s. and water softener- brine. ABANDONWNWT When the POWTS fads .and /or )s perrrranetrdy **an out of service the followfg be tom to ire that the system is proPwly and safely abandoned in compliance with clnaptar Comm 83.33, Wisconsin AdMiniM • AN P1g to tanks and pits shy be discorntscted and the abandoned pipe openings seated. • The contents of all tanks and Pits shall be removed and p ro p er l y disposed at by a Septa" Servicing Operator. • After Pumping, all tanks and Pits shah be excavated and removed or their comers removed and the void space filled with MR, grave) or another Inert solid rmateriM. CONi'iINGENICY PLAN It the POWTS fails and cannot be repai the fallowing +moment System. measures have been, or .must be taken..to provide a code Como" . . A sultable (ephKmvM area i es been evaluated and may be utilized for the 1 000tio n of a _ replacement Mg systems. The replacement area stwuld be required setbacks from �Dteer� *penc�t►e6ance and. and shouldaatl� k*%jed upon-by g ed Pr'�ed allucture, lot lines and wed. Fame to protect 'h nmt area will rastrit in the need for a now a* and aft. tiara to n a -replacernew area. i�iMcgnnent systems comply with the rules in effenct at that time. . must ❑ A suitable replacement area is not evadable Clue. to setback andfor sod limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evahlaPed. to identify a suitable raplecamernt area. Upon failure of the POWTS a soil and site evasion must be Permed to locate a suotable replao�em " area. If no replacement area is avad�rle a holding tank may be installed as a lest rMSM40 rePlece the failed POWTS. ❑ Mound and "rade soil absorption systems may be reconstructed in Piece fig removal of the biomat at the Infiltrative surface. %constructions of such systems must comply with the rules in effect at that time. < <WAMNM> > SMFM. M40 OTHER TREA'rSfl0 , TANKS MAy CONTAIN LEYHI GASSES AIIIQ/OR ' M I �T OXY6M1. DO NOT ER A SiPM, PUMP OR OTHER TjWN lf'"Wff TANK lAI� ANY DANCES. DEATH MAY Rl =$ULT. RESCUE OF T VNMN FROM THE SIIT>9iIpR A TANK it11AY D4'tJLT OR OMPOSSIBLE. ADDIITWMAL C 'M 1.0 _ ALLQt PO�YiI'IS - Name Phase Phone WWFAM SBt{f 0 P>EP11kTOR ) LOCAL fast ATORY AUTHOWIM— Name Nana �, �i t rA fi Phorne Phone S Lb W doc�ennent was drafted in wnh ConrWen 83.=(2)(b)(1 Nd) &(f) and 83.54{1 1, (2) A 13).1Meconstn Administrative Code. 53" 96" 41" w r a-� a t VI � o . f � 44" 1 / F > 39' m r'n -f 3c a z cai C' 0 m Y" X o ZQ rn z a o Z $ o g a rn m �o o� "s. 02_9 o > o v n D o o n op = fn a Z Z Z 47D *�1 o Vp O A n D O D r O �0�--- o V N C Z^ ¢ W� V rn D ^V1 N r a $� c Q °z r- 2 � o � WLP1200 /800 —MR � �eE,ETE , 4 �'� REV NO. DATE B SWt � z SEP nC MANUAL t VIG US WMM WJM ROCK, iR 54730 DATE: JAWARY 2001 ° REV. JAN. 2005 800 -- 325 --8456 F'Kfi:WJnp Uw29`i6P12Q KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED made between Willow River Joint Venture, a RECEIVED FOR RECORD Wisconsin partnership, ( "Grantor") and Kevin G. Lorentz and 12/19/2005 03: 45PH Michelle L. Lorentz, husband and wife, as survivorship marital property ( "Grantee "), WITNESSETH, that the said Grantor, for valuable WARRANTY DEED consideration conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: -EXEMPT REC FEE: 11,00 TRANS FEE: 118.50 COPY FEE: Recordin Area CC FEE: Lot Four (4), Plat of Sunrise Meadows in the Town of Richmond, Name and Retu St. Croix County, Wisconsin Willow River Joint Venture PO Box 445 [New Richmond, WI 54097 026- 1124-04 -000 (Parcel identification Number) This is not homestead property Grantor, Willow River Joint Venture, a Wisconsin partnership, is an affiliate of Derrick Homes, LLC, a Wisconsin Limited Liability Company. Grantor develops land and Derrick Homes, LLC is a home construction contractor. Grantor agrees to sell this lot to Grantee on the condition that Derrick Homes, LLC will be the builder of the home for Grantee. If Grantee desires to sell the lot to another purchaser before constructing a home upon this lot, Grantee gives Grantor the right of first refusal to re- purchase the lot for the same price as Grantee paid Grantor for it when Grantee bought it from Grantor. S Dated this 17th day of November 20.U. f *n. s AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this 17th day of November 209_5, authenticated this _ day of 20 _ the above named Michael R. Stevens and Ronald L. Derri as partners of Willow River Joint Venture, a signature sconsin artnership to n n to be the persons who executed the for g Instrument and acknowledge the type or print name same. TITLE: MEMBER STATE BAR OF WISCONSIN MA J. RUTLED(iE (If not, signature authorized by ' 706.06, Wis. Stats.) type or print name m I I N ry Pu� Notary Public St. Croix County, Wisconsin. SUft C f W aconsin THIS INSTRUMENT WAS DRAFTED BY My Commission Expires: July 27th 2008. , Willow River Joint Venture *Names of persons signing in any capacity should be typed or PO Box 445 printed below their signatures. New Richmond, WI 54017