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HomeMy WebLinkAbout032-2016-20-300 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430233 0 GENERAL INFORMATION (ATTACH TO PERMIT) $ta te Plan ID No: Personal information you provide may used for secondary purposes [Privacy Law, s.15.04 (1)(m)].- T Y+nNS• Permit Holder's Name: City Village X Township 'Parcel Tax No: - St. Croix Valley Cabine ry Somerset Township 032 - 2016 -20 -300 CST BM Elev: / Insp. BM Elev: BM Description: Section/Town /Range/Map No: p j .01 1 05:. C) C SI $;• Z ua 04.30.19.529C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. O Septic Benchmark / EA ,Q„ m LSD 3.3o pg.31 D$:o I Dosing (f Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet 13• ,Q' / St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , f J \ Dt Bottom / TC) �•�°°) °L 3 llo• � /•'�l Dosing t� rl Header /Man. / O�•�6 Aeration Dist. Pipe 6-00 (0-( 01 Holding Bot. System .20 i Final Grade PUMP /SIPHON INFORMATION 0 Manufacturer nd St Cover -� t� GPM A I�t— T• �OO 101) Oodel Number V \b � � �O D Lift /Friction Loss System d 1 TDH iFt �. 01 35 2 . 5D Forcemain Length % Dia. /t Dist. to Well O Z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of PIT DIMENSIONS No. Of its side Dia. L' DIMENSIONS ( S 61) ) SETBACK SYSTEM TO I P/L JBLDG WELL LAKE /STREAM LEACHING tuner: INFORMATION Type Of System: 1 CHAMBER OR ''ZO UNIT Model Number: DISTRIBUTION SYSTEM 4- 44* Q14. ­v 4- q n J• to Air Intake Header /Manifolr� (' Distribution t r i I x Hole Size x Hole Spacing Vent Lengt Di Length �' ea) Dia Spacing 3 • v 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 I No Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1c0 1�_ _ Inspection #2: T r t ,4Z Location: 536 170th Avenue Somerset, WI 54025 (SE 1/4 SW 1/4 4 T R1 9W) NA L 2 f n Parcel No: 04.30.19.529C 1.) Alt BM Description = 4, rl0•77 ID•T. ��" � / 2.) Bldg sewer length - amount of cover = � JJ ",�" 3 ) , Plan revision Required? Yes No ' ( z Use other side for additional informa Ifon. SBD -6710 (R.3/97) Date Insepctors Signature Cart. N { Safety and Buildings Division County 20l W. Washington Ave., P.O. Box 71621 TG ►'o X $'n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) V s�on (608) 266 -3151 �Q 3 Department of Commerce Sanitary Permit Application state Plan I.D. Number in accord with Comm 83.21, Wis. Adm. Code, personal information you provide 1.;:: 7 —, . may be used for secondary purposes Privacy Law, s15,040)(m) roject Address (if different than mailing address) I. Application Information - Please Print All Information :� 1 ; Property Owner's Na iris Parcel y Lot # Block k Property Owner M ailing Address G j �tU Property Location i��,i s OlP O • , ',v /q , 1 - �1�! ' -� �'C ,��5 ' s4,Section City, State Zip Code Phone Number i s L(�_ (circle o A a Q T N; R lQ Eow II. Type of Building (check all that apply) ,� Subdivision Name CSM Number 5 „�,M X 1 or 2 Family Dwelling -- Number of Bedrooms 3 ,p D Public /Commercial - Describe Use := 'gyp 7— a ❑ State Owned - Describe Use 5-1 ❑City_0Villagc0ownshlp of cv,•r�.r5l III. Type of Permit: (Check only one box o n line A. Complete line B if applicable) d A ' Al E New System C1 Replacement System ❑ Treatment/Holding Tank Replacement Only C1 Other Modification to Existing System B. F1 Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that a 1 ) ❑ Non - Pressurized In- Ground A Mound ? 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At -Grade El Single Pass Sand Filter ❑ Constructed Witland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treannent Unit ❑ Recirculating Sand Filter 4 ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Othe (expla r� V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Applicatio ! / Rate(ggpdsf • ) ,� Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation ooQ - ��j Q ' 0 �V �j d / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit { Dosing Chamber VII. Responsibility Statement I, th6 undersigned, assume responsibility for instanation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature /MPRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code) O 7d 6 --d VIII. Count / De artment Use Onl tX Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued sui Agent Signamr (No Stamps) Surcharge Fee) I g, ❑ Owner Given Reason for Denial I IX. Conditions of Approval/R or Disapprovl Ql Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 Inches in size SBD -6398 (R. 01/03) i / PLOT PLAN Scale I"= I-) Page of ,�' ° RAT• ��1 '1 CIZ) ' °/o - ' V �0o 4 P C qa •b A Z8 (Jo VvW ti Z - COVE L$• � s ofd S • `itii1� P'S`2� x.11 J ~ J >. ZS 2 2, p, w. LINE ��'— � 1UP ol= -2." PVC P1P� __ -- -- -- ._ _ - - - - _�$ Ow T>P 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 1 000 /bS ogallon capacity manufactured by "JIQM��z COv eV-�- CtJLp t000lbSi� -►�rz� � �? —�8oc� Z�$ ��Y . 4. Bench mark S SQr pt80V� 5. Divert surface water around system to prevent ponding at the uphill side. 1 ' Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 *hsconsin www.commerc . ns Department of Commerce wwwonsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 31, 2003 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/31/2005 Transaction ID No. 894289 SITE• Site ID No. 662758 Please refer to both identification numbers St Croix Valley Cabinetry Ple a , 170TH Ave above,, in all correspondence with the agency.. Town of Somerset St Croix County SE1 /4, SWl /4, S4, T30N, R19W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 914000 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Condh and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in �� q chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. DEFARTMENTI The following conditions shall be met during construction or installation and prior to occupancy or use: OF " General Approval Requirements: c SEE CORREJ • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P i Systems (R.6/99) and the Pressure Distribution Component Manual for Private Onsite Wastewater Treatment S y SBD - 10573 -P (R.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. I • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTHUR L WEGERER Page 2 7/31/03 Owner Responsibilities: • 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). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer Il , Integrated Services WiSMART code: 763.3 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 RE Y UL � TITLE SHEET Page 1 of Ell & D" MOUND SYSTEM Sp G A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P C Cz. 6 fgg� C 2. 6 t4R� LOCATED IN THE S E 1/4 OF THE w 1/4 OF SECTION Y ,T 3 10 N,R � W, TOWN OF SZ�' itT S CU IX COUNTY, WISCONSIN. Lt3T Z ©t= CiRM U0 ,t6, Le V3Z _ 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 sT• e �LX � �LL� CP�3t t:1 �Z.� V 8D Y COM MERCC �D DINGS ;Pp VL) PREPARED BY WaCGEF:ZEF: SO I L TEST S NG AND. DES 2 GN SEF�V = CE P.O. Box 74 421 N.iIain St. River Falls, WI 54022 Phone 715- 425 -0165 Fax 715- 425- 6864O��CNS �• Ap*HUN � Y' l WEGENt"N D416 EiWYVORTN. IG '9 $ � -03 JOB NO. 3 _1 Z Mound System Management Plan p age Z of Pursuant to Comm 83.54, Wis. Adm. Code ` Septic Tank he septic an shall be maintained by an individual certified to service septic t under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. C ehe o erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. te r ha be cleaned as necessary to ensu4rc, er oo i9Q n, 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. Pum° 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 8005, 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. Continoencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning-office at The system installer at 1 �S _ 3 �-(� _ 3 Zf Ste' "- Lj R The tank manufacturer at The effluent filter manufacturer at OCR — ZZ.[ -- S Z .Z The pump manufacturer at 3D ` PLOT PLAN Scale 1 ' Page of ® cl0 -S OCI ' 9 7 p ry o � CuMP� `n M2U iy J O - 2 2. �..�. LWE 1 hY 0 1=_2" p P1Pc - - - - T SL 1 Ow - T�POF - Z f�VC P( - -- - - -- 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 1 000 AS Ogallon capacity manufactured by wl l�Z CUh►�t?- -�— w� i000 /6S1� -M2 w +� -L8o� Z^� Flom` - L2 . 4. Bench mark S S� i'BOU� 5. Divert surface water around system to prevent ponding at the uphill side. Pace L) Of Approved Synthetic Covering ASTH C33 Distribution Pipe Medium. Sand Topsoil twH = __ a — J I - F Elev. 3 E „ D , I e S % Slope Distribution Cell of Force Main, Plowed 2" to 2- Aggregate From Pump Layer Ft. E Ft. CROSS SECTION OF A MOUND SYSTEM F 0_8 Ft. G & S Ft. A Ft. H 1 0 Ft. Linear Loading Rate= C.OGPD /LN FT B S Ft. Design Loading Rate= 6 3.GPD /SQ FT I Ft. J `a Ft. K Ft. 'on L q – 1 Ft. I 7j + - Observation Pipe B ' K Jr r A t fi W __�_ - -- -- - - - - -- ----------------- - - - - -� Force Main ----- . - - - - -- 1 ESL PST �,Distribuion Ce ll of 1 .. to 2k , „ l �lUp -� Pipe aggregate Observation' Pipe (anchbr securely) PLAN VIEW 'OF A MOUND SYSTEM Distribution Pipe Layout Paoe 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 Iateal up with the use of Iona tumor 45' fitting to a point within six inches of the final arade. Ternunate the ends of the late.-aIs with a valve, :threaded caa or • threaded plug. Provide access from final grade for the valve; threaded cap or threaded plus. goy T�F �cr L CZOs s .5 FV C F�JC PVC Laterl Manifold Laterl x x x x x2 x!2 x x x x Lateral Length j Lateral Length — P Distribution Line IT X P 3 "7 Ft. Hole Diameter 1/o Inch-, S 3 Ft. Lateral Inches) X 1 Y in ches Manifold ( 11 7 — Inches Force Main Z Indies 'w. # of holes /pipe l Invert Elevation of- Laterals 101.(D _Ft. N°IX0 9 Y 31<l6 GP, - Combination Sept' c:Tank and PLfMP CHAMBER CROSS SECTION AMD SPECIFICATIO ' PAGE OF -] -VEU7 CAP WEATHER PROOF .IUIXTIOU 90X . - i - C.I. VCMT PIPC APPROVED LOCKIAIG 110' FROM - 0 - 0 - OR OOR. M �INHO LE COVER tQ1V 3 p�C510U RIPE : wDow OR FRESH wARNl1JG LP.OEL. w lR-tcLTl s wr d4rP A4_PIUTAK E corap� � r Ft io tSF}p GkE ) IAIL PROVIDE `'' AIRTIGHT SEAL I I I \ ApprB�t Hw I ICI Approved join I I I joint w/ ALARM PVC pipe PVC p a I t I C I I LLEY 1 00 FT I PUMP - -J1 OFF 0 COUCRETE _ Q,Q� BLOCK RISER EXIT PERMITTED OQLy IF TAIJK MA>JLIFACTURER HAS SUCH APPROVAL _1 3NAPPRorFp ' BEDO c iv 4 SEPTIC f SPEC.IFICATIOUS OOSE TAW MALIUFACTURCK: �� 0-0>y�ZQ 1JUlM5EA OF DOSES: S- W LP W PER DA.. . TA1JK .,IZC : A SO- k11 �,ALLOWS DOSE VOLUME I \ ALARM tAAUUFACTURER: I 5 ACKTLOW: t O GALLOWS MODEL WUMBER: �� l `rte CAPACITIES: A= � � IAICHCS OR 3 � � GALLOys SWITCH TSFC: �Z-� 8 = IWCHES'OR 3 � C. � LLOLJ5 PUMP MA1.IUFACTURCR: G OU �,� " MODEL R1UM6ER: C- 6 IUCi4ES OR 1bZ. GA LLO US �O �" _ SWITCH TYPE: 1l �ZC -UCL D 3211-01 -e , OR �'� GALLOIJS - MOTE: PUMP AMD LARM ARE TO MINIMUM DISCKARGE 'RATE 3 1 - « GPM INSTALLED DW 5EPARAT1 CIRCUITS VERTICAL DIFFERENCE 5ETWCEI,1 PUMP OFF AUO..D15TR18UT10►J PIPE„ I o'6 0 FEE7 + KIIJIMUM METWORK SUPPLY PRESSURE , ; , , , , , . , 6•sO �•�, FEET -� >L L 3' + FEET OF FORCE MAIN X z ' 0I) F% 1 88 IOOFLFRICTIOAI FACTOR FEET TOTAL pyNAMIC HEAD =_ cy g FEET As per manufacturer 1`1.0 gal /in. Liquid depth 3S'' Goulds _°i Submersible -� Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical ri points. • Water-transfer nsfer 115 or 230 15 Float Switch assembled and ■ Power Cable: Severe duty • Dewateng RPM, built in ovv erloto ad with automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload w ith construction. • Solids handling capability: automatic reset. ■ EPO4 Impeller. design plastic Semi -open design 3 /a' maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. • Total heads: up to 24 feet. with three prong grounding p Co. Canadian Standards Association • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- CSA listed el numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for e „ F" or model . . rotary/ceramic - stationary, three prong grounding plug Improved performance. end in 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 j • Capable of running dry without damage to 9 30 components. I , Pump: EP05 e J=AR • Solids handling capability: 25 3 /a' maximum. W z • Capacities: up to 60 GPM. _ lic • Total heads: up to 31 feet. 6 20 � • Discharge s¢e:1'/z'NPT. Z 5 Q � . i — • Mechanical seal: carbon- o is rotary/ceramic - stationary, _j BONA -N elastomers. 0 4 ( - ' • Temperature: 3 1 0 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 — 5 1 0- 0 0 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m -/h CAPACITY ®1995 Goulds Pumps, Inc. 1164 U Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete stie plan on paper not less than 8 %x 11 indm in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to Parcel I.D. Please print all information. AID a wed By D %e g o Personal information you provide may be used k0wondary wpom (RWq law, s. t i!1(MU- _ I 1 3 Property Owner Propbrty Location St. Croix Valley Cabinetry Govt. Lot SE 114 SW 1/4 S 4 T 30 N R 19 W Property Owner's Mailing Address Lot fl Block # Subd. Name or CSM# 886 Dorwin Road 2 CSM City State Zip a Phone Number City Village ✓ Town Nearest Road Hudson WI I 54NO --° 715 - 38647365 Somerset 170Th AVE. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent matetiai Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 101.0' based off contour line established at 99.58'. Slope is 7 %. FZI Boring # Boring ✓ Pit Ground Surface elev. 99.26 ft. Depth to limiting factor 24 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture CorrAlence Boundary Roots GPDlfl= in. Mundt Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 «Eff#2 1 0-7 10yr3/3 none sl 2mgr mfr cs 2f .5 .9 2 7 -10 7.5yr4/4 none sl 1msbk mfr gw 1f .4 .6 3 10-24 7.5yr4/4 none sl 2 pl mfr gw --- 0.0 0.3 4 24 -42 8.5yr4/6 mld 1 /1 8 sf Oma mfi -- -- .3 .5 I I Fil Boring # Boring if Pit Ground Surface elev. 100.43 ft. Depth to limiting factor 22 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOKe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 .E 1 0-10 10yr3/2 none sl 2msbk mfr cs 21F .5 .9 2 10-22 1Oyr4/4 none sl 2ttrik mfr gw 1f .5 .9 3 22 -35 1Oyr4/4 m2d 10 /1 /8 scl Oma mfi gw - -- 0 0 4 35-64 7.5yr4/4 m1 Sl0 X2/8 grsl Oma mfr — ----- .3 .5 I ` Effluent #1 = SOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD S30 mg/L and TSS S mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 14- 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 7/11/03 715 - 247 -2941 I e Property Owner 5t• Croix Vdlle Cabinetry Parcel ID # Page 2 of 3 D B # Poring ✓ Pit Ground Surface elev. 99.58 ft. Depth to limiting factor � Application Rate Horizon Depth rd Color Redox tkecriptan Texture Stricture Consistence Boundary Roots QPDM in. Mut Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-16 10yr313 none 1 2mgr mfr Cs 2f .5 .8 2 16-29 10yr4/3 none I 2fsbk mfr gw 1 f .5 .8 3 29-37 1Oyr4/4 m2d 10yr6/6 sl 2msbk mfi w ----- 10yr6/2 5 9 g 4 37-61 7.5yr4/6 m3p 10yr618 sil 1 msbk mfr — -- -- .2 .3 J 7 Boring # Boring ✓Pit Ground Surface elev. 9$.53 ft. Depth to limiting factor 19 in. Sol Application Rate Horizon Depth Dominant Color Redox Descriptiort Texture Structure Consistence Boundary Roots in. Munsell Qu. St, Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none sl 2mgr mfr Cs 2f .5 .9 2 7-19 10yr4/4 none sl 2msbk mfr gw if .5 .9 3 19-28 10yr5/3 m35 1 2 /8 sit 1fsbk mfr gw .2 .3 4 28-48 7.5yr416 m3p 5 /> sl Oma mfi gw -� .3 .5 5 46-61 10yr5/4 m 5yr6/1 sl 1 msbk mfr — ---- .4 .6 { Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. SW Application �B on Depth Dondpant Color Redox Description Texture Structure Consistence Boundary Roots QMM in. Murlsell Qu. Sz. Cord. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOO s > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 7S mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or ..s.+ r mat..iol in an oltc *+. fwM.* nlaucp nnntart 0— APno AnQ_')Af-21 G1 — rrV 6/UL79A_2'7 77 14 o _ 1 16 y � 171 — ly , 1� 171 I�rea. afou d t5 �/ /t/o f u S � wwd l yo �� A0041 tt & "' PEE ®,PQ on tas f' Pia�oP.• -��/ /1 L , / vim r oo ' 578e .e � f' /� o ,Q �4 7 °l T ,1 .St " ��^o� t/cEll��/ � 6��e�ry ��L�, "r �v : oi• -�c� S J • sc Linr.'TT 1pff J ,(19�w� - / C57 - P 1 .d 7 410 7 /S ��f U s D�� C/✓ f- J_ l Q/ 7d 7 h U S 0 i �/J� 5 y T 3o1V AP? k1 K71 P) d 9`7 - a9 el/ Q � • av i '47 ' +� Z AL m ■■ Z r its , I n J. Z W � u +t t Q W o k �� z Z z SOty°42'44"E ' o o -=� x O ! � w 3 o X64. ' r- Z �x -- x m 0 - a� d 1. O '' n IL IL 2 , Q !• 3 pl 00 \� Zm Z �Z z oa° O O Q n D C X29.64' `Z 3 S E" Y [°4 ( DO O �= Z m j Zi Z ;.a �m t aF So �•on ■ IWE� ogo > o�z z U� IL tu AD o I 091 Z N r � *' M O N' N R l e d e z a o n N t t�--i O _ Z z w u+ W y �_ 1 )F- p -P a _ 1 9 1� O�C � 1 L e �• o N ' Y tyS� s pat$ " z z z Z Z Z z o m Z Z � � , C O J � :J J J .; Om . s p: i I f 030 N 1 0 s a N ^; N CD o a 0 z CD d Z Z� � w� • ao4Wg �2 Vol �4 �� > M ?lV38 cc o.L a3Pwwv 'f NOM33S 30 ya i /LMS 3H1 10 3mn HLf10S 3Hl Q 01 3� 3W X138 v/l MS 3Hl ML a rl t!° a O FROM : Schumaker Piumbinq FAX NO. : 7153063121 Aug. 12 2003 10:09AM P1 ST CROIX COUNT' SEPTIC TANK MAINTENANCE AGREEMENT AND 0 ERSHIP CERTIFICATION FORM Owner/Buyer S- ,�., A LI ` Mailing ess Agar Ptvperty Address . _ 1 - 7 C)*" 24 (VerifIC00n mquEired from Planning Depaament for now cownction) City /State Parcel fdenacation Number LEGAL WJMEZM Pra� lw.ocatian Sec., T..N•R,1Vi', Town of S0 rr. C' s e� Subdivision L rrz Lot # Certified Survey yfap # _(0 U 9 ' 7 Volume / 6 Page # 13 _ . /lam ti 7 zo `('3 Z3�fo Warranty Deed -�—a-7 Volume wf , Page # SPw b0 yes no Lot lines id=!itiable 0 yes C, no Improper use and =UAtr=aeof your "ptic system could result in its premature failure to haad!e wastes. proper maintenance *01151st: of PJMP4 oral the sop& tank ev ery three ye ars or sooner, if neWcd by a licensed pamper. What you 71t into the system "a atfact the fmcti*n of tke septic tank as a treatow stag$ in the wasx disposal system. T'w properly owner agrees to submit to St. Qoix Zaaing Department a eettification form, signed by the owner end by a mesterplysnber, J0UMsy2n0aP1 =her, restrictedplumber or a lice=edpumperverifyiag that (1) the on -site w&st*w ::erdisposal systems is to proper pperatistg condition sndlor (2) after inspection and pumping (if necessary), the septic tj*k is less than 1/3 full of sludge. the tindersigssed have zead the above rests Ud. agree to maintain the tae standards with set fsu�, het�eitt, as taot t he, � vate sewn 1 system wi � Y by Department of Commaree and the Depart= of Natural Aesotu+ccs, Stete, of Wisconsin. Certificat or stWAS drat Year septic system hss been auiatained mw be oomp3oted and ret aped to the St. Croix cotuity Zoning OfSa R7thia 3G da a throe year on dale. NA�'tJRY+ 4F APPLY '�"T Jl/ � DATB U'VVIYER ,�,CI�R,�R�CA I (we) certify that all statepaesits On this force are tsve to the best of say (our) ]mowledge. I (we) am (are) the owners) of the deacribod abov vutwe of a warranty deed recorded in Register of Deeds Office. ' Pr kQ8i3W1C9i APPLICZ), -r Q. l?AT *ess «* Any is:fornaatioa that is m"& repreaeated may seattI1 in the sanitary pessnit being revoked by the zoning Department, "•t " +� include w" tbfa applieatton: a staz aped wsmtaty deed boas the Register of Deeds offies 2 copy of the certified szVtY trap if reference is made in the warranty deed V 2 3 16 P 13 3 73 1431 • STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Kevin C. Erlitz and Ann M. Erlitz, husband and wife, 07/16/2003 09:40AN WARRANTY DEED EXEMPT # Grant �,and St. Croix Valley Cabinetry, Inc. REC FEE: 11.00 TRANS FEE: 112.50 COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area That part of SEl /4 S} d part of SW 1/4 SW 1/4 Sec. 4- T30N -R19W Name and Return Address described as follo�L of Certified Survey Map recorded in Volume 16 K,,'.'l r-,T1�, of Certified Survey Maps, page 4327 as Document No. 682987, St. Cro ix A j �•.� :,1 �- 1 -AND County, Wisconsin. ►7' LAIN tit 5 4 016 Pt 032-2016-10-000 & 032 - 2016 - 20-000 _ Parcel Identification Number (PIN) This is not homestead property. 01i) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this ±� day of July 2003 >r ' + + in C. Erlitz + + Ann M. Erlitz AUTHENTICATION ACKNOWLEDGMENT Signature(s) Kevin C. Erlitz and Ann M. Erlitz, husband and STATE OF WISCONSIN ) wife, ss. County ) authenticated t 's day of July 2003 Personally came before me this day of the above named + Kristine O land TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) -) • Names of persons signing in any capacity must be typed or printed below their signature. Wormanon Pmhsaionals c ompan y, Fond du Lac, VW1 STATE BAR OF WISCONSIN 8004W202 WARRANTY DEED FORM No. 2- 1999 LZ£tr OBBd 91 IOA S133HS Z 30 l 133HS ° fY o l O Z zooz- c6�£ -s£ -ss #soa ! SW4z44• m lL Z O � } II W N EZ MGJp 44 D w U NORTH- UTH r Q t Mp- 3.O�!....C�D.... � � 1/4 LINE � � r U. W Z o° ? 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Z Z 0 (� Z Z Z Z Z Z N O N 1 �i m 3 0 N OH Z W N 0 U U U y H m c� q a o N �{ g JCm yN Cl) LL c�J m o c o 0: CJ o �^�� C�! �� ¢ ZZ (Z rL (n t ¢ N (b, J OLL QO ¢0 ¢d w I .L t.Z£.88N NV38 d 6H g c Ol 03YVnssv '4 N01103S 30 o W " ' " Z, p 4 /LMS 3Hl 30 3NIl H1nOS 3H1 ; Q Ol 030N383A38 3NV SDNIMV38 4/l MS3H1d0 m f• Z ytz �o 3NIl l — pp ' a a: D I - t..s ...___�- t _ _ . U - L n J_ -_____ z 9, Q Q Q ~ M j'S2J2JC°1'l@ HAN O Z(ry `� Z e n W 1.0 7 cgnv 333 dd00 v r °D § � o 00 •£ T :33d 038 --- ------ --- - -- °- z - - z dVN Anans a3IdId830 �Q m� O ¢ m C\j co Rd 00 -C zooz -e -90 Om 8 °� 6 080038 80d 03A 13038 (n o Z S (1.•.t) n, U-Imm SOD)OOYI jowp Sa33a ZOOZ 8 Z Nnr HS1VA 'H M331HIVM SelBwwOD s4idd pur uww( WIU MId LZ£b 3 0Y4 "'gr10A &INnooXIOMO'iS L @ 6 @ 9 Q3,AOHddV zo � / 1096 SOIL EVALUATI EPORT �,�, Wisconsin Department of Commerce � Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85 Wi Rd Co A- f 1 Tom Schmitt Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must i " `' unty St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction an _j . pe rcent slope, scale or dimemsions, north arrow, and location and distance to nea t r d. JA Please print all information. B Date Personal information ou vide may be used for second y ( ; Y Pm y secon purposes (Privac Law, s. 15.04 Property Owner Prope Sb Erlitz, Kevin $ Ann . L t 1 /4 S 4 T 30 NR 19 W Property Owner's Mailing Ad ress of # Block ubd. Name or CSM# Ito f , t ac.( 685 North Bay Rd. 2 na CSM Pending City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 54025 j 715 - 247 - 3778 Somerset 1 170Th Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a mound system, system elevation to be based on contour line established at elevation 98.87'. Area is on a 7% slope. ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.47 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sl 2mgr mfr gw 1f .5 .9 2 10 -17 10yr4/3 none sl 2msbk mfr gw 1f .5 .9 3 17 -23 10yr4/4 none sl 2msbk mfr cs - - -- .5 .9 4 23 -52 7.5yr4/4 m 2 dd 5yy�6/8 scl 1 msbk mfr cs - - - - -- 2 3 5 52 -71 5yr4/4 m 10y 6r /2/6 sl 1msbk mfr - - -- - 4 6 Fi] Boring # Boring ✓ Pit Ground Surface elev. 98.47 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sl 2mgr mfr cs 1f .5 .9 2 8 -13 7.5yr4/4 none sl 2msbk mfr cw 1f .5 .9 3 13 -19 7.5yr4/6 none ms Osg ml cw - -- - .7 1.2 4 19-43 7.5yr4/4 1T 10yr6 /2/8 sl 1 msbk mfr cs - - - - -- .4 .6 5 43 -76 10yr4/6 m 10yr6/2/6 sl Oma mfr - - -- - - - - -- .3 .5 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD,: s mg /L and TSS < 30 mg /L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 1/3/02 715 -549 -6651 P roperty Owner Erlitz, Kevin & Ann Parcel ID # Page 2 of 3 I• $ I Boring # Boring �_� of Pit Ground Surface elev. 97.13 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10yr3/3 none sl 2mgr mfr cw 1f .5 .9 2 14 -19 10yr3 /4 none sl 2msbk mfr cw 1f .5 .9 3 19 -25 10yr4/4 none sl 2msbk mfr cw - - - -- .5 .9 4 25 -46 7.5yr4/4 m2d 5yr4/6 scl 2fsbk mfr cw - - - - -- 4 6 1 r6/2 5 46 - 5 r4/4 m2d 5yr5/6 sl 1 msbk mfr - - -- - - - - -- .4 .6 y 7.5 r6/2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD 7S 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 nn 4 'n on .11­ tP f rm.t -1.o ­f­+ th. d--t-f of AAR_')AA-41 Q - T17V AnR_ ')AA_2'7'7'7 f • f 1 . M e Td e& -110— Gja5 G,; W 3.$3 r , _ o ��Y4 ire, 1"��a; ®f es Aaly / j��� 14e i., e 7 e Tc°S TG✓a�/' a)-, ��vc f 31 Iry Ali- '' << qul / t wat �` bvti r I 3? ,x33 70' Ave sZn- �E,r ;l CAL S -96