Loading...
HomeMy WebLinkAbout030-2100-30-000 r - Ai sconsih Department of Commerce PRIVATE SEWAGE SYSTEM County- Safety and Buildings Division INSPECTION REPORT St. Cro GENERAL INFORMATION (ATTACH TO PERMIT) SanitarjtUrm1tNo.: Personal information you provice may be used for secondary purposes (Privacy Law, s.16.04 (1)(m)]. Permit Holder's Nam_ e: [I City ❑ Village _LI T.9wrtor State Plan ID No.: `1tMZJ = T•+x.K.10A CST BM Elev.:• r Insp. BM Elev.: BM Description: Parcel Tax Nn TANK INFORMATION ELEVATION DATA • �a • tq + 8i8 TYPE MANUFACTURER CAPACITY ST TION BS HI FS ELEV. Septic t 0100 Ben mar C Q ps;S Dosing LO Qpp 2. IC4 •S" t Aeration Bldg. Sewer / voz. Holding St/ Ht Inlet 11- q?-SD' T ETBACK INFORMATION St/ Ht Outlet ' l , 14-29 TANKTO P/L WELL BLDG. Ae lntake ROAD Dt Inlet Septic > ( o o .-J `�' / — NA Dt Bottom Dosing x.60 �S r I Zo NA Header / Man. ( 0 2) 'N r Aeration NA Dist. Pipe Holding Bot. System , ZK� vPUMP .� /SIPHON INFORMATION Final Grad ;(( 1„ ( ei owe J14V.4, ©� r ; l TDH; l acturer Demand 3 -( OL 4 >, 001 Number 0 $ � GPM �'j Lift - fit' Fr iction..., System TDH % ct,`�Ft M 6 /Zylo �.g Forcemain Length �$ / Dia. 2 " Dist. To Well S $ r SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length 1 N T enc s PIT No. f Pits I e Dia. Liquid Dept D IMENSIONS •5 `i c. DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM LEAC G -Manufacturer: INFORMATION TypeO �m �Zl C R UN T Numb System: �_ DISTRIB TION SYSTEM ` Header / ani of u Distribution Pipe(s) / t x Hole Size x Hole Spacing Vent To Air Intake ��••�' I tt Length Q!i Dia. Length Dia. Spacing 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 discrepancies, persons present, etc.) Inspection #1: 1)(P/� Inspection #2: �/ Location: 408 126th venue, Hudson, WT 54016 (SW 1/4 NW 1 /4 32 T30N R19W) - 323019818 Ridge Meadow - Lot 3 1.) Alt BM Description ='T�r t T4ED w Qh-� L,-Q& 2.) Bldg sewer length = t r a r - amount of cover (A) 3.) contour = k02. ° t • .1' s o* 2• Sa .vf " = t oy. S'� I� . j� (�,kr-Q�+ - raves ❑� � an revision required es o �/ t U oth VRV19 a for additional information. T S � A too Date Inspector's Signature Cert. No. SD -6717) 1 . ;. ,,, .. � .. '� � .. � Zl I �-$-� 1 "- d �� Zr �, .� Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 `�scons Personal information you provide may be u — fie o dary purposes Madison, WI 53707 - 7302 Department of Commerce r. (Submit completed form to county if not [Privacy Law, s. 15 �( J_ r'r �. state owned.) Attach complete plans (to the county copy only) fo a stem, on4japer not gs t an 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ +f reviM s app ' for State Plan 1. D. Number T- o = , I. Application Information - Please Print all Information + Location: Property Owner Name �.� ; " t Property Location ST CRIOIX '' 1/4 /4, 9MT.3O ,N, P/ (o Property Owner's Mailing Address T ; : Lot Number Block Number L City, State Zip Code Phone Nblnler Subdivision Name orA6914 Number II. Type of Rfiilding: (check one) ❑ City 1 or 2 Family Dwelling -No. of Bedrooms: ✓ fer ❑ Village ❑Public /Commercial (describe use):_ 1 2Nba A&MIZ Town of ❑ State -Owned —f 7 Nearest R � ' ' •,s' E.D P aL a y�iF -- _ o III. Type of Permit: (Check only one box o line A. Check box on line B if applicable) Z . 3 l g - c/'/ A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to ystem System Tank Only Existing System 1B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System (Check all that apply) • Non - pressurized In- ground Mound (� X j/2 , 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: r 6 5jrAr SAC AV O4. 1. Design Flow (gpd) 1 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) ^r, y )�F Elevation 3 y�-y yS o o ✓ , Z M. 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 ❑ ❑ ❑ ❑ I C T / �fJ — r, ��' S ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the P TS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stain MP /MPRS No. Business Phone Number D . An�l= / 2 / O 1 7 15 - - 63s = 6 Plumbers Address (Street, City, State, Zip Code 1 cwt t /--r/s /- Y© IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No starups) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination 3 Z D0 A C-9 X. Conditions of Approval /Reasons for Disapproval: �'l �Gr IT/ ✓P SPl"V(�CCC��/h Qiil �Gf•he� fr /� / l4n Q h !� fZt _1 (4 re/5 r SBD -6_x98 (R. 07/00) Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 s TDD #: (608) 264 -8777 Irsconsin www.commerce.state.wi.us /SB Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 08, 2000 CUST ID No.691727 �� i ` ATTN: PO WTS INSPECTOR ARTHUR L WEGERER r 4 �YjbNING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 c, Y. '�'•'�• (^ `�����aT'` 11�O1,iCARMICHAELRD � RIVER FALLS WI 54022 �� . ZD;;a'JWF� . OSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/08/2002 -- Identification Numbers Transaction ID No. 447211 Site ID No. 201635 SITE: Please refer to both identification numbers, DELTA CONSTRUCTION - RESIDENCE above, in all correspondence with the,agency ST CROIX County, Town of SAINT JOSEPH; 126TH AVE SWIA, NW1 /4, S32, T30N, R19W Lot: 3, Subdivision: RIDGE MEADOW FOR: Description: NEW MOUND SYSTEM / 416 GPD Object Type: POWT System Regulated Object ID No.: 769960 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. 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. 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 10/30/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 E PAGE , P AN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US W de .3'. cc: DELTA CONSTRUCTION INC FOGERTY PLUMBING & PERK TESTING r Safety and Buildings PO BOX 7162 4 V isconsin MADISON WI 53707 -7162 TDD #: (608) 264 -8777 www.comrnerce.state.wi.us /SB Department Of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 08, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST / ST CROIX COUNTY SPIA PO BOX 74 1401 ' CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/08/2002 '; P, x y. Identification Numbers K Transaction ID No. 447211 N C� bite ID No. 201635 SITE• Please refer to both identification numbers, i DELTA CONSTRUCTION - RESIDENCE ` ,' above, in all correspondence with the ;agency. ST CROIX County, Town of SAINT JOSEP; T2fr1I -�VR SWl /4, NW1 /4, S32, T30N, R19W Lot: 3, Subdivision: RIDGE MEADOW FOR: Description: NEW MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 769960 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. 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 10/30/2000 f FEE REQUIRED $ 175.00 H FEE RECEIVED $ 175.00 P E BAGEL , POWT LA REVIEWER 11 BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 45 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US W.JSMART'c�, cc: DELTA CONSTRUCTION INC FOGERTY PLUMBING & PERK TESTING TITLE SHEET Page of MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P CCZ. Iri/q _� CR. 6144 LOCATED IN THE Sw 1/4 OF THE I,)Lk) 1/4 OF SECTION 3 Z , T 1 -k3 N, R 19 W, TOWN OF ST . sb S�?tH , COUNTY, WISCONSIN. -_ LoT_3_ ©F IZ M�Pc -_. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW - CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR ��T►1 c��vs� _ _ ��� �, 5 2000 Zob Z ST2ZEr _ �w , w 1 sqolb _ Sf'�FEN g�5LOGS�pk PREPARED BY WEGEF:ZEF? !0 C3 I L . TEST I M AND . DES = GtV S1 ICE P.O. Box 74 421 N.Main St. River Falls, WI 54022 roe ® �oees�Ne Phone 715 - 425 -0165 Fax 715-425-6864 ,�D� ,...••••••..,,, viy A ,' APTW-JP. ' " • 0 + . C VE.C.c NER /Ll pally LsW(RTM. A Pa O D/VIS! F FE T ND 'j' ! ��� NG ��. 7 z ON NC JOB NO. p0 - 31 Mound System Management Plan Page 7 - of Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution 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 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 - qS -32)6, c16bd or to the licensed plumber who installed the system. PLOT PLAN Scale 1 "= S0 ' Page 3 of 8 U1�r1 O F E�,L, U '� I _j { L 4 b ), 3 Fs'lS � - IO pr Z LSTU+ ZB 1 / M IL s l' % 1 0 pv 0 I- 3 x w`-.L w er�wr� V R_ L)UC - - - -- ►j 1 G t� tLS 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 1p 00 gallon capacity manufactured by * \ �S CU u CIZ w /ZPL SEt Ft Cite_ - � , uwtP )mv►Z hi 3 ma E 900 c.. w �S Trajk _ 4. 'Bench marks = S� P,$oup- 5. Divert surface water around system to prevent ponding at the uphill side. Page 4 0f Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand Topsoil -" = H = =W G -�� ,- F Elev. 0 D E " 1'• b L/ % Slope Distribution Cell of Force Main Plowed 2" to 2 Aggregate From Pump Layer 0 Ft. E 0 •� � Ft. CROSS SECTION OF A MOUND SYSTEM F b Ft. C O. S Ft. A_ Ft. h lP O Ft. Linear Loading Rate= t1 :0 GPD /LN FT B S Ft. Design Loading Rate= o - • Z. GPD /SQ FT I 1 , Ft. J 6 Ft. K `� Ft. A4 terrrete- Position L 1IB .S Ft. of Force Main W Zoo Ft. l I ( - Observation Pipe 0-�- --- - - - - -- - -------- -- - - -- BoX A ��/6 B o - W .-� - -- - - - - -- -- - - - = -- -- - - - - -_ -- - -- - Distribution \— Cell of i to 2 %" z Pipe aggregate Observation Pipe (Anchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Price S of '7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 ° fitting to a point within six inches of the final grade. Terniinate the ends of the laterals with a vaive,:threaded cap or threade Q e dl . p lug. Provide access from final grade for the valve, threaded cap or threaded . Ius P _ L C\4ZS S _S 1_7 pvC FvC 'pvC FRI Later! Manifold Lateral x x x x x!Z 1 x!I if x x x Lateral Length — Lateral Length — P Oistnbution Line o- — p "� ` - � FtczS sflx S � ' t nth P m 5 Ft. Hole Diameter * 1 /8 Ch'" - S _ F Lateral " ' .Inch (es) X Z4 Inches Manifold " Inches Force Main " "' 'Inches # of holes /pipe 2 Invert Elevation of ) Ft. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS PAGE OF f r YE1JT CAP 4"C.Z VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE 10FROM 000R• JUQCTIOLI BOX COVER WITH WARNING LABEL ' It�MIU. WINDOW OR FRESH I AIR IIJTAKE I GRADE q d$ 4 MIW. CONDUIT - 11� ILILET PROVIDE _- . T AIRTIGHT SEAL 1 II v APPROVED JOIMT A Tank construction shall comply I I APPROYED JOIiJ with COMM 83.15 and COMM 83.20 I III I III ALARIA . I 1 I I ow C I i -- 1.2 CLEV. �._ F7 PUMP —�, --j OFF 0 E--ej• 90 0o COLICRETE OLOCK �- RISER EXIT PERMI?fED OiJLy IF TANK MAIJUFAGTURER 3' APPW9t> HAS SUCH APPROVAL gg 5PECIFICAT10KJS DOSE TAIJKS MANUFACTURER: W cuio NUMBER OF 005£S: y 3 PER DA4 TANK 51ZE : - 8 0 O GALLONS DOSE VOLUME t 1t�- I ALARM - ._MMIU R FACTUCR: 5 -- �`�7R0 S`1S`T�Y S IAICLNOIIJCP OAtKFLOW: GALLONS MODEL NUMBER: `01 Nw CAPACITIES: A= 1 � IWCHE5 OR L 4uq - ? GALLONS - SWITCH TYPE: �� °�� B c Z _ IWCH£S OR 3 q O GfLLOW5 PUMP Mmum- TURCR: 6 O u ILICHES OR l ��' I GALLOWS MODEL NU)ABEIL: 1% d S D s Z I`N�CpHES OR_ - Z 3 \t. GALLOWS SWITCH TYPE: "�' w MOTE: PUMP AWD ALARM AR TO 551 9 9 MI WIMUM DISCHARGE RATE INSTALLED OIJ 5EPARATC CIRCUITS VERTICAL DI FFEREIJCE BETWEEU PUMP OFF AuD.DISTRIBUTIOLI PIPE.. - FEET t MILI IMUM . NETWORK SUPPLY PRESSURE .. .. ..... .. . � • I FEET t - 7 0 FEET O F FORC M X - F YortFRICTIOW FACTOR. � FEET TOTAL DyUAMIC. HEAD As per manufacturer • 1.q. S1 gal /in. Liquid depth M7 T_> TO)TL ffXJCE GV`*�V �' c = 7 Goulds Submersible Effluent Puy !,r 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 dry without damage to heat transfer. ■ Motor Cover: Thermo las- • Homes systems components. tic cover with integral handle Available for automatic and • Farms Motor: and float switch attachment p • EPO4 Si p hase: 0.4 HP, manual operation. Automatic oints. Heavy duty sump g p models include Mechanical • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■Bearings: Upper and lower RP 115 V, 60 Hz, 1550 RPM, SPECIFICATIONS • EP05 Single phase: , FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo - construction. • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 3 /4 " maximum. • Power cord: 10 foot with pump out vanes for �.-- • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. CO- Canadian Standards Association '.btal heads: up to 24 feet. with three prong grounding EP05 Impeller: Thermo- ` ' �- Discharge size: 1 NPT. plug. Optional 20 foot plastic enclosed design for (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with end in "F" or "AC ".) rotary /ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and .140 °F (60 °C) intermittent. corrosion resistance. Fasteners: 300 series METERS FEET stainless steel 10 I ! _ • Capable of running rV dry without damage to s 30 r I � —� � r SGPM components. j Pump: EP05 $ • Solids handling capability: a 25 k" 3 /4" maximum. - a 7 lu • Capacities: up to 60 GPM. .D. • Total heads: up to 31 feet. 1 I Discharge size: l /2 " NPT. Z 5 • Mechanical seal: carbon >_ 15 rotary/ceramic stationary, a 4 I BUNA- Pos N elastomers. o Temperature: 3 1 o 104 °F (40 °C) continuous AA 140 °F (60 0 C) intermittent. 2 5 1 ` •4Z 0 0 _ 0 10 20 30 40 50 GPM _ L 0 2 4 6 8 10 12 nn/h CAPACITY © 1995 Gauldc Pumne Inc Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County % Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. A1490 .. —4w Please a rint l of aflon... Reviewed by Date p �.frrt V � Personal information you provide may be us fdY bfc6dea purpgses (PriYgcy Law, s. 15.04 (1) (m)). z Pro a Owner Property Location P ��' Govt. Lot �&V 1/4 /4 S ,Z T o N R E (oQV Property Owner's Mailing Lot # Block # Subd. Name or CSM# City State Zi e Phgfe City ❑ Village Town Nearest Road CR --1 --11111UU=r1CF New Construction Use Reside er of bedr Code derived design flow rate GPD ❑ Replacement ❑ Public or e I (its e Parent material Flood Plain elevation if applicable ft. General comments and recommendations: f GI�ESJ`��� m��' _ 7&- Boring # Fi�] ❑ Boring /03•Z Pit Ground surface elev. _ ! O ft. Depth to limiting factor .3.Z 'in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 201 z -3 z sG M -- r a Boring # ❑ Boring /d 3• �t •�� Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 5 L ,2F —S s L 14A, AF YJ — • Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mgA- ' Effluent #2 = OD < 30 mg/L and TSS <_ 30 mg/L CST Name Please Print) fl— Signatures CST Number �;- 2s / 0 a Address Date Evaluation C6nducted Telephone Number Zh P fllC it/2�,�' .ci,�e m /D- f ?� - Of Property Owner ��� ©/� ` Parcel ID # d3 "' /00•- j0 �� Page of P Boring # El Boring p� b)= Pit Ground surface elev. ft. Depth to limiting factor 2 9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 I "Eff#2 Znr L ZA' JI ,Z. A LIEZ - N ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 do E] Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F ❑ Pit Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 Effluent #1 = SOD, > 30 220 mg/L and TSS >30 150 mg /L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6/00) I � r Fogerty Plumbing #221180 l'/s 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -96 �B -4 -o0 1 /"" Ij' —LevG /997 � nrouvo i g /3 x y 7 srrE; aM i -ssuwAr ism ,Sc?• AW vsp 97-r 9'6 y z7� *07"a': ti'gI 'Wev"AIL) Tv 4V44? rOdJ.- tile YMX — 1 i } - - -- - I , : ; I 1_ } I o , i : , t j , i I I O ' I , I I i 1 ` , I I ; I I i i , I _ i i k ns Department of Industr SOIL AND SITE EVALUATION REPORT Page 3 andJluman Relations Division of Safety & 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 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. 3 _,21ev - 3 0 - ug 0 APPLICANT INFORMATION - PLEASE PRINT ALL'04f9RMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION a i i'l" ED GOVT. LOT 1/4 ,vV 1/4,S 2 T N,R E (of& PROPERTY WNER`S MAILING D • SS � Y 9 � n LOT BLOCK# SUBD. NAMEOR- 6SAA-# CITY, STATE IP CODE ST ` -"NE BE ` ❑CITY []VILLAGE [MOWN NEAREST ROAD V] New Construction Use [/ " "i ! NUTWJ �ie ms S/ [ ]Addition to existing building j ] Replacement [ ] Pu rrinil#b dasdribe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) -yrmte ID ft (as referred to site plan benchmark) Additional design / site considerations Parent material L, C. Flood plain-elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S m U 0S ❑ U [IS ❑ U ❑ S m U ❑ S m U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trertdt Ground 3 _ s L / — , o -E) elev. /QZS ft. Depth to limiting factor 27 Remarksz- v k ; 2 A � d cm Boring # Ground 3 - SL e- — . o elev. ld .S - ft. Depth to 09 m m u limiting factor z4 17 Remarks: CST Name: - Please Print E• S Address: D 8 D 2 O Signature: Date: CST Number: 'I v 7 r PROPERTY OWNER SOIL DESCRIPTION REPORT Page. PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench kna F:' Ground 3 S y S O o elev, ft. Depth to limiting f3? .� Remarks: Boring # Ground L elev. ft. Depth to ' v v 1,6 limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # <w' IN Ground ATE: elev. � J B PT Depth to limiting JIPB SP factor Remarks: SBD- 8330(8.05/92) f r o a 0 D DAVE DOGE M PUMMIG i lkensed Perk Tester 6 Pk~ .T .. X3233 #32e9 Road ROBE�WIMN "M Y�3o�r 7 N 1 2, x moo' I 6� i 1 k l o- s \�� 3 #y X I _ I CoT # L i Lor +r 3 J,/ i9 /2ES 4 - ILIY{� S� Lel Coie,v6/t s(7,evF�o�s LmT �o/wF es ;W 4v7 L T/17E .1 - --- a �1 _ ddb + OIiJ; a if1 F3J�C3 i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /l,tper _1 L7:�- au d Mailing Address �D� f �,,lJfdN . �yplli Property Address Yee (Verification required from Planning Department for new construction) City /State Parcel Identification Number ero - .21M — -e=' " LEGAL DESCRIPTION Property Location .% '/,, 64/ '/., Sec. T Xa N -R Of W, Town of - Subdivision _AtAC' IA5Vjpe c,�-1 , Lot # .3 Certified Survey Map # �- , Volume - , Page # '-- Warranty Deed # .55-3 �10 , Volume / :Z/-7 , Page # Spec house ❑ yes l no Lot lines identifiable yes ❑ no SYSTEM MAI Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification statin that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the thre year expiration date. J J , l l V SIGNA F 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 roperty desc ' d a ve, by virtue of warranty deed recorded in Register of Deeds Office. J SIGNATURt Ot 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 WARRANTY DEED __ - -- DOCUMENT NO. 3�i2 tfiG!$TEfi. FAC ,'•• G ST. CRCi. , .3 in4() A Rkm 4 R �.J This Deed made between THE McKINNON FAMILY TRUST, I. D 17 1996 Grantor and DELTA CONSTRUCTION, INC., a Wisconsin at 10:00 A.PrI corporation, Grantee, - Y ou.., o 0W. Witnesseth, That the said Grantor, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: (SEE ATTACHED LEGAL DESCRIPTION) RETURN TO: Barry C. Lundeen Post Office Box 469 Hudson, WI 54016 S� Taz WO FEE This is not homester I property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And The McKinnon Family Trust warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. Dated this 11 th day of December, 1996. SM27ON FAMILY TRUST � (SEAL) ,r. -•..- � e. .: ., wx- '.� a :..! .ir �ibx �i{FF. :• — f ^, a •. ,. v , Y • I s� VOL 121.3Pa�E6 . A Parcel or laud located in part of tho SW1/4 of the NW1 /6 and the 881/4 of the MIA of section 32, T3011, R19N, Town of St. Joseph, St. Crp� Wisconsin; described as follows: Cq Cosmenci at the 791/4 corner of said Section 32; thence 1101 alp, the west lime pf the 1AI1/4 of-said section, 773.29 feet to a point an tva northerly right - - May of the town road (126th Avenue) being the hsesino3�; thence conti:wia 1`01 - 04 "8, along said west line, 531.04 feet; thence 589006/12x5, g ong the north line, of the SNl /4 of the 11111/4 of said section, 249.99 feet; thence 901 0 N, 265.02 feet; thence $89 523.05 feet to a point on an 80.00 foot radius curve, COUC Ms northeaesterly- whose central =919. measures 64 whose chord byre *68 aad measures 84,97 foot j thence northeasterly, along the arc of said curve, 89.58 feet; theme 853"32 378.69 feet; thence *26 357.04 foot; thence 854 272.54 feet to the point of curvature a 196.22 loot radius curve, concave southwesterly, whose central le measures 32 whose chord bears 837 - 18.5.8 and des tithe o toot; thence s rc southeasterly, along the a of said curve, 121.53 fast tawgency; thence 821 19 8, 50.00 feet to the point at curvature a 367.00 foot radius curve, concave westerly, whose central aaB1e m8aiures 47 whose Chord bears 802 sad measures 295.16 fast; k thence southerly, 61009 the arc Of said curve, 303.87 feet to the pmt of t�'�y; thence S25OS2/03'N, 150.no feet to the northerly right-ol -MW oc said town zVed (126th 1►ve=e) ; thence 7964 0 01, along said right - of -MW. 185-00 feet to the point of curvature of a 507.89 foot rsdius curve. Concave southerly, whose Central angle measures 37 whose chart! ' bears 1182 and measur*a 326.51 feet; thence westerly, along ths: arc Of said curve and said right - of - way, 332.41 feet to the point of taupeoort theme 878 along said right -of -way, 345.00 feet to the point of curvature of a 43S - 00 foot radius curve, Concave northerly, whose centrwl eagle Masures 42 wbose chard bears 1.80 . S "N and measures 326.12 feet; thence westerly, along the arc of said curve and said right - of -way, 333.54 toot to the point of tangency; thence *59 aloe® my said right- of -t, 471.12 feet.to the pQUL at -IN how nn a. parcel coataii 19.14 Acres (833,606 8q. 8t,) and is sWect to al l easeaeats of rocozd. 3 I- �= ..'• �' �"`'! u� ;.�r���'+� +:.�at±�' : �'.t�r,�f:rg s,ar► •_ r.�. �, . wh. .�- ..�..:_ ► 6 6� OD In t r �� d" �, � ►► ��' a 1 1 a n ► N 1 OD �h too. ~ ►- -I M N Zi r► 1 'N 0 co I �� �� co N01 "E 539.71' ► N 0 ., - -I M wN 0 p O � 0 MN JMM I I I © U') � I 1 1 I NOI o 48 04 E 544.10 I I �y w w N U. �t _ x d- w N / m p � Q M Q // p O M 41 oo N 0 N