HomeMy WebLinkAbout032-2127-30-000 apartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
uilding Division
INSPECTION REPORT Sanitary Permit No:
463189 0
kL 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:
Capra, Don Somerset Township 032 - 2127 -30 -000
CST BM Elev: Insp. BM Elev: BM Descrip i I Section/Town /Range /Map No:
/0 160-o 09.30.19.1135
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
/ G- ZZ
Septic Benchmark C]a O
Dosing Ww y 7 57) A lt. BM 2-�4!
Aeration _ / /„ _ Bldg. Sewer 3
- y 3. -7
Holding St/Ht Inlet ^Z 3
r� y
`� 1 ✓L St/Ht Outlet
TANK SET AC FORMATION (O.3 7
TANK TO /L WELL BLDG. ROAD Dt Inlet .11 � �1( Septic > ) ! Dt Bottom
Dosing + J Hea er an. J e
9 cry D z ion.
Aeration Dist. Pipe ( +' 2
l l a. p7
Holding Bot. Syste s 3 ( G(/ Z•-3
u
PUMP /SIPHON INFORMATION Final Grade
L `fl7
Manufacturer 6emand St Cover
Model Number
-3Z t
TDH Lift, FrictQn LQs Systeryt Head_ T[i •g �Ft_
Forcemain Le t Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS o. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLD WELL LAKE /STREAM AC G Manufacturer:
INFORMATION @1tA ER OR
Type O System: ) 7 N
IV Number:
DISTRI N SYSTEM 9 ' S -
Heade anifold Distribution / x Hole S e x Hole Spacing Vent to Air Intake�J�
/ I Pipe(s) /
►^�/ �i �.
Length Dia / Length Dia )acing ___ I g �Ci 0
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only (rz—
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx M � . [_ ulched
Bed /Trench Center Bed/Trench Edges Topsoil Yes r No Yes No
2
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / 2 / Inspection #2:i /
Location: 520 164th Avenue Somerset, WI 54025 (NW 1/4 SW 1/4 9 T30N R19W) Wagner te Parcel No: 09.
1.) Alt BM Description = (',Q1,�Q�- ?j -' `�S�;� 5 j
2.) Bldg sewer length
- amount of cover = >2 i
Plan revision Required? Yes I(P ".72
No 7
Use other side for additional information.
SBD -6710 (R.3197) Date Insepctor's Signatur Cert. No.
kk
Safety and Buildings Division County t
201 W. Washington Ave., P.O. Box 7162"
� Visconstn ( Madison, anitary Permit Number (to be filled in by Co.)
Depart of Com merce { (60 ) 266 C ED v/
Sanitary Per pon mit A lica on O late Plan I.D. Number
s
CT e 9 2004
lb
In accord with Co Kris. C personal infor. - 7� toVd
. tion y provi _
may be u f r n nvacy Law, sly. 4(1)( ro ect Address (if diffe than mailing ddress)
ROIXCOUNTY f�, Ave I. Application Information - Please Print All Information 5 d J "�
Property Owner's Na me Parcel # Lot M Block k
,�,() V �f 4�� 6 ? 2 -_ � 211 11 �
Property Owner's M ailing Address Property Location
`N •Section
City, State Zip Code Phone Number "= `t`� - 1
�v ' N .� �� � = ? i / T 3v N R �� t`i cle use) 1
II. Type of Building (check all that apply) — / %T
X 1 or 2 Family Dwelling - Number of Bedrooms L ,2w Subdivision Name CSM Number
❑ PubhelCommerc.ial - Describe Use _ _ mm _ _ -__ � 1' S
(� t � � /6 )_ d r ❑City_ ❑village Iktownship of
[]State Owned - Describe Use
III. Type of Permit: (Chec only one box on li A. Complete line B if applicable)
A. X New I ❑ Replacement System EJ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
B. ❑ Permit Renewal L7 Permit Revision ❑Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
{ Before Expiration I Plumber Owner
e fV. Type of POWTS System: (Check all that apply)
D Nan - Pressurized In- Ground )� Mound '> 24 in. of suitable soil_ [I Mound < 24 in. of suitable soil ❑ At -Grade [j Single Pass Sand Filter
❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank a Peat Filter ❑Aerobic Treatment Unit El Recirculating Sand Filter
❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line r ravel -less Pipe ❑ Other (explain)
V Dispersal/Treatment Area Information: _, �` �'
Design Flow (gpd} Design o 1 Application Rate(gpds Dispersal Area Required (st? tllalArea osed (so ' System Elevation
VI. Tank Info Capacity in Total Number anutacturer b Site Steel Fiber Plastic
Gallons Gallons of Units te Constructed Glass
New Existing � i.
Tanks
Septic or H olding Tank
Aerobic Treamient Unit X -7
Dosing Chamber
VII. Respon sibility Statement I , the unders assume responsibility f or ' Uatlon of t PO WTS shown on the a ttached plans.
Plumber's Si nature P' PRS Number Bss Phone Number
Plumber's Na me (Print) g
av 9 �' 9 O
[ Plumber's Addre ss (Street, City, State, Zip Code)
VIII Count /De artment Use MY _,_
Sanitary Perinit Fee (includes Groundwater Date Issued I uing Age Sign lure Stamps)
Approved ❑ Disapproved Surcharge Fee) �l �n (/q,
I ❑ Owner Given Reason for Denial — (� '� -�- —
IX. Conditions of Approval /Reasons for Disap WRval e
1 Fdisp acell t filter and
all be serviced i m aintained Y120 `
anagement Ian rovided
tback requirements must be maintained
r applicable code /ordinances. Attaeh complete plans (to the County only) for the system nn paper not less than 81f2 x 11 inches in size
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Proposed moueid at 2-1.s / /S."" ,
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Pro posed
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b Safety and Buildings
commerce.wi. OV 4003 N KINNEY COULEE RD
g LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
isconsin www.commerce. o
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
October 21, 2004
CUST ID No.227990 ATTN: Alex
WILLIAM C SCHUMAKER ZONING OFFICE
SCHUMAKER PLUMBING ST CROIX COUNTY SPIA
1070 SCOTT RD 1101 CARMICHAEL RD
HUDSON WI 54016 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/21/2006 Identification Numbers
Transaction ID No. 1071640
SITE: Site ID No. 691371
Don Capra Please refer to both identification numbers,
520 64TH Ave above, in all correspondence with the agency.
Town of Somerset
St Croix County
NW1 /4, SWIA, S9, T30N, R19W
Lot: 7, Subdivision: Wagner Estates
FOR:
Description: New 4BR Design
Object Type: POWTS Component Manual Regulated Object ID No.: 987954
Maintenance required; 40 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component
Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706-
P (N.01 /01); Zabel A -100 Biofilter
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.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats. P.0
The following conditions shall be met during construction or installation and prior to occupancy or use: colttdil
Pay attention to elevation and horizontal limits for Tank Servicing AL Reminders EPAR1MEN
D �
• This system is to be constructed and located in accordance with the approved plans and with the "Pressure owtSaN Of
Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P
(N.01 /01). � S:c
FC
• This system is to be constructed and located in accordance with the approved plans, and the "Mound Component
Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01).
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.
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 stars 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
i
WILLIAM C SCHUMAKER Page 2 10/21/2004
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
Ln l "-" - - ��
Balanc e Due $ 0.00
enms R
Wastewater Specialist, Integrated Services WiSMART code: 7633
(608)785 -9336,
dsorenson@commerce.state.wi.us
1
1
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Don Capra 4 bedroom residential mound
Owner's Name: Don Capra
Owner's Address: 5740 Regis Drive
Fridley, MN 55432
Prop. Add.: 520 64th Ave.
Legal Description: NW1 /4SW1/4, Sec. 9, T.30N., R. 19W.
Township: Somerset
County: St. Croix
Subdivision Name: Wagner Estates
Lot Number: 7 Block Number:
Parcel I.D. Number: 032 - 2127 -30 -000 nally
Plan Transaction No.: Q Y1 I (o 4 0
LD
Page 1 Index and title
Page 2 Data entry
DECEIVED Page 3 Mound drawings E
Page 4 Lateral and dose tank �
OCT 15 2004 Page 5 System maintenance specifications 2Eg
Page 6 Management and contingency plan
SAFETY & BLDGS DIV. Page 7 Pump curve and specifications
Page 8 Site plan
Page 9 Soil evaluation report
Designer: Bill Schumaker License Number: 227990
Date: 10/08/04 Phone Number: (715) 386 -3121
Signature: Lc%cl
Designed Pursuant to the
Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)
Version 3.0 (03/01/01) Page 1 of 9
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) Rj Residential or Commercial Design Note: Sand fill (D) calculations assume a
_._._�
400.00; Estimated Wastewater Flow (gpd) Table 83-44-3 in -situ soil treatment for f
-- - -; coliform of <= 36 inches.
1.50 Peaking Factor (e.g. 1.5 = 150 %)
600.00 Design Flow (gpd)
12.00; Site Slope ( %)
101.00i Contour Line Elevation (ft)
40.00 Depth to Limiting Factor (in)
0.50; In -situ Soil Application Rate (gpd /ft
Distribution Cell Information
100.001 Dispersal Cell Length Along Contour (ft) = F 6,00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd /ft
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network? Enter Y or N
(c or e) c Center or End Manifold
3.00 Lateral Spacing (ft) If N above, enter the elevation (ft)
41 Number of Laterals of the highest point.
�j 0.125j Orifice Diameter (in) (e.g. 0.25)
2.50j Estimated Orifice Spacing (ft) = 7.50 ft /orifice
.00 Forcemain Diameter (in)
175.00i orcemain Length (ft) Does the forcemain drain back? Y
. O Pump Tank Elevation (ft) Enter Y or N
6.50 System Head (ft) x 1.3 28.55 Forcemain Drainback (gal)
16.25 Vertical Lift (ft) 40.24 5x Void Volume (gal)
4.04 Friction Loss (ft) 68.78 Minimum Dose Volume (gal)
26.79 Total Dynamic Head (ft) 32.95 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. op tions I choice
0.75 - -- 1. 5 x
1.00 x C x O
1.25 x
1.50 x 3.00
2.00 x _
3.00 x
Gallons /Inch Calculator (optional)
Treatment Tank Information 750.36, Total Tank Capacity (gal)
1250 00; Septic Tank Capacity (gal) 37.001 Total Working Liquid Depth (in)
Wieser Manufacturer 20.28 gal /in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
750.361 Dose Tank Capacity (gal) 'Zabel Filter Manufacturer
20.28', Dose Tank Volume (gal /in) A100 Filter Model Number
Wieser Manufacturer
Project: Don Capra 4 bedroom residential mound Page 2 of 9
Mound Plan View
1/1 0 B •'•'•'•'•'•'• ;: 30 .:. J
Observation Pipe
FK
5 A
W ..I • . i
B . . .
. �. . . . . . . I
L� .
..................................... —{--
L
Mound Component Dimensions
A 6.00 ft E 14.64 in H 1.00 ft K Aft ft
B 100.00 ft F 9.00
]in z 11.58 ft L ft
D 6.00 in G 0.50 ft J 3.86 ft W
600.00 (ft Dispersal Cell Area 1757.81 (ft Basal Area Available
6.00 (gpd /ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 103.25 (ft) -�
* H
t .rrrr�irrr 2 G
rrrrrrrr.. • j
.rrrrirr rfr {r.,.
F ; ::: ; : Dispersal Cell 102.00 (ft) Lateral
101.50 ::::;. Invert
Dispersal Cell E:
Elevation D :: : : : :: :: ::::. ; .
• J J, !, ,J
.' ' !,' J '
!. J, - A ' - J _- - -- 1 - - J 1 l I ! J J 1 J - I J 1 J J , - J J '` J • J ,J, 'J
- ' J - J -- J -- J � 1 =�_-� =- J '- J - J : I - , _ ,. -- 1 ' J -- I - J ' J -- .. :_- - •-- � - - 1 ..,_- � J . �_- .,_-J .- _J. - -J ,_- .• J.. !, J .
1 J J J I J J J 1. J J I J•__ __ .. ..
` - - - 101.00 (ft) Contour Elevation
12.0 % Site Slope
Geotextile Fabric Cover
Shading Key Dispersal Cell See lateral details on
10 Topsoil Cap o °• 1.5 ft Page 4 for number,
c
0 rrrrr Subsoil Cap " c :;. " size, and spacing of
ASTM C33 Sand Z : ' F laterals. Laterals are
® .'.'.-,".'Typic Tilled Layer H 0.5 ft Lateral equally spaced from
R5 0 Aggregate o ;: the distribution cell's
A * centerline in the
distribution cell (AxB).
Project: Don Capra 4 bedroom residential mound Page 3 of 9
Center Connection Lateral Layout Daigram
Force main connection via tee or cross to manifold at any point. Laterals are identical
–
S
I P -Ml-
0= Turn -up +m' ba II valve or IE X- ---->IFx12 Fx02->l L aterals & force main of PVC Sch 40
cleanoutplug per COMM Table 84.30.5
Holes drilled on the bottom of the lateral.
Number of Laterals 4 Orifice Diameter 0.125 in
Lateral Diameter 1.00 in Orifice Spacing (X) 2.53 ft
Lateral Length (P) 49.34 ft Orifices per Lateral 20
Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice
Lateral Flow Rate 8.24 gpm Manifold Length 3.00 ft
System Flow Rate 32.95 gpm Manifold Diameter 1.50 in
Total Dynamic Head 26.79 ft Forcemain Velocity 3.37 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
Comm 16.28 WAC 4 in. min.
Disconnect ------
Tank component is properly vented < Altemate outlet
location
Forcemain diameter
Wieser Manufacturer 2 in.
Capacityl 750.36 Gallons
Volume 20.28 gal /inch A
Weep hole or anti -
Dimension Inches Gallons B siphon device
A 19.80 401.57 C
B 2.00 40.56 Pump off e levation (ft)
C 6.20 125.71 1 85.75
D 9.00 182.52 D
7T — ot a F 37.00F q q
Doe tank elevation (ft)
T Bedding un er tank. 85.00
Alarm Manuafacturer LevelArm
Alarm Model Number DVL
Pump Manufacturer Goulds
Pump Model Number 3885 WE05H
Pump Must Deliver 32.95 gpm at 26.79 ft TDH
Project: Don Capra 4 bedroom residential mound Page 4 of 9
Mound System Maintenance and Operation Specifications
Service Provider's Name Bill Schumaker Phone (715)386 -3121
POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715)386 -4680
System Flow and Load Parameters
Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L
Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L
Soil Absorption Component Size 600 ft 2 Maximum FOG 30 mg /L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL
Service Frequency
Septic and Pump Tank Inspect and /or service once every 3 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once every 3 years
Alarm Should test monthl
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn-up Detail
Finished 435 Grade 6 -8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution Lateral g Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Don Capra 4 bedroom residential mound Page 5 of 9
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) 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.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank
shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at
least once every 3 years by inspection.
The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are
made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter
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.
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
as protection from freezing.
Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG for septic tank effluent or
30 mg /L BOD5, 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
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(s) 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 absorption and dispersal media, and related
piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Don Capra 4 bedroom residential mound Page 6 of 9
GOULDS PUMPS Submersible
Effluent F ume
3885
4 flUfMi YUW
PROSURANCE AVAILABLE FOR hESIDENTIAL
APPLICATIONS.
APPLICATIONS ■ Shaft: Corrosion - resistant Single phase: u Bearings: Upper ,.na
stainless steel. Threaded • Built -in overload with lower heavy duty bail bearu!c:
;ovvi
ng a, uses: designed for the design. Locknut on three phase automatic reset. constructiur. .
I�owi models to guard against • All single phase models ,l
•
Homes g g g p ■Power Cclble: �� c re :_ ,
component damage on feature capacitor start rated, oil i:nd eater re � slst': _
• Farms accidental reverse rotation, motors for maximum
• Trailer courts Epoxy sea! un I lcror c 1-c: 0 Fasteners: 300 series starting torque provides secondary Iroisu_(
• Schools stainless steel. •' /3 and 1 /2 HP - 16/3 SJTOW barrier in case of uuter jac�.e:
• -lospitals ■ Capable of running dry with 115, 208 and 230 Volt damage and to plev i, oi�
•Industry without damage to three prong plug. wicking. S�andarc cc I j i�
• - ffluent systems components. • 3 /4 -2 HP- 14/3 STOW with Optional I(rgths L11
bare leads.
■ Designed for continuous Three phase: S 0 -ring: Assu e:;
SP ECIFICATIONS operation when fully • Overload protection must sealing ag.1 nst cont,; n:r_1r f
submerged. be provided in starter unit and oil lea:<aye
Pump
• Iolios handling capabilities: •'/z -2 HP -14/4 STOW with
MOTORS bare leads. AGENCY LISTINGS
maximun. - - -- - -
• Discharge Designed for Continuous
arge size: 2" NPT. ■ Fully submerged in high- Operation: for s
• Capacities: up to 140 GPM. grade turbine oil for lubrication p p ratings are 1 «reu r3,r 776
•Total heads: up to 128 feet and efficient heat transfer, within the motor manufacturers csA 22 2 1 ) sr.,�. :_r ..
TAN recommended working limits, ByCanitdianStanaa «a
r ■ Class B insulation. can be operated continuous) c us � `` "
•
Temperature: p y raear.R :y
104`F ;40 _ continuous without damage when fully
submerged, comas Puml's is ISO lsuo l Itry�
1=b0 (60 °C) intermittent. g
• See order numbers on
METERS FEET
everse side for specific HP, 40 130
roltage, phase and RPM's
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Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 8'/ County x 11 inches in size Plan must 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 nearest road. Parcel I.D.
032 - 2035 -10 I D #9.30.19.607
Please print all information. Reviewed By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s 15.04 (1) (m))
Property Owner Property Location
Gayle Schilling, Buyer: Greg Johnson Govt. Lot NW 114 SW 1/4 S 9 T 30 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
498 150th Avenue 7 Plat Of Wagner Estates
City State Zip Code Phone Nu r City _� Village ✓� Town Nearest Road
Somerset WI 54025 715 - 549 - 6173 Somerset 50Th Street
✓_ New Construction Use: yj Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement
or commercial - Describe:
Parent material Glacial till Flood plain elevation, if applicable na
General comments
and recommendations: County soil verification needed prior to submittal to Dept. of Comm. for At Grade plan approval.
FT] Boring # __ Boring
Pit Ground Surface elev. 99.04 ft. Depth to limiting factor >84 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 -6 1Oyr3/3 None sl 2fsbk mvfr as 2fm 0.5 0.6
2 6 -141 7.5yr4/4 None gr. sl 2msbk mfr cs 1fm 1 0.5 0.6
3 14 -29 7.5yr4/6 None sl 2msbk mfr 9W if 0.5 0.6
4 29 -45 i 5yr4/4 None gr. sl 1 csbk mfr gvv - 0.4 0.5
5 45 -84 j 7.5yr4/4 none sl Om mvfi 0.3 0.4
i
❑ Boring # Boring
_ Pit Ground Surface elev. 99.23 ft. Depth to limiting factor 40" 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 -9 1Oyr3/2 None sl 2fcr mvfr as 2f 0.5 0.6
2 T 9 -28 1 Oyr4 /4 None Is Osg ml cs 1f 0.7 0.8
3 28 -40 1.5yr4/4 None sl 2msbk mfr cW 1f 0.5 0.6
4 40-76 7.5yr4/4 2mf7.5yr5/8 sl Om mfi 0.3 0.4
I I i
I
Effluent #1 = BOD 5 > 30 < 220 mg /L and S >30 < 150 /L Effl t #2 = BOD < 30 mg /L and TSS <30 mg /L
CST Name (Please Print) ature: CST Number
Jam K. Thompson r► 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, 54020 5/8/2000 715 - 248 -7767
Property Owner Gaylen Schilling, Buyer: Greg Parcel ID # 032 - 2 035 - 10 ID #9.30.19.607 Page 2 of __3
73 # ! Boring — —
Pit Ground Surface elev. 101.48 ft. Depth to limiting factor 49" in. Soil Application Rate
Horizon l Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD/fII
in Munsell Qu Sz. Cont. Color Gr. Sz. Sh 'Eff#1 'Eff#2
1 0 - 11 1Oyr3/3 None sI 2fcr mvfr as 2f 0.5 i 0.6
2 11 -37 1Oyr4/4 1 None Is Osg ml cs 1f 0.7 0.8
3 3749 7.5 r4/4 None sl 2msbk mfr cw 1f 0.5 0 6
4 49 -76 7.5yr4/4 2mf7.5yr5/8 sl Om mfi — _ 0.3 0.4
I
I � I
❑Boring # -.I Boring --
_ - Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate i
Horizon Depth Dominant Color Redox Description I Texture Structure Consistence Boundary Roots / z
in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
' I
I
;
I
❑ Boring # Boring —
__, Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth I Dominant Color Redox Description I Texture Structure Consistence Boundary Roots GPD /f1 2 __
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh 'Eff#1 'Eff#2
�— — — -- -
- --- - - - - -- - - - - - — -- -- - - - ._. - - - - -- - - -- ; - - - - --
I I
Effluent #1 = BOD 5> 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.
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FROM :SCHUMAKER PLUMBING FAX NO. :7153863121 Oct. 27 2004 02:22PM P1
Sir C RO= COUNTY
SEPTIC TANK MAMTENANCS AGREEMENT
AND
OWNBRSIV CERTMCATION FORM
Owner/Buyer
za,�,W-
Mailing AddrGSS , 61 ; 5 J _/y� �✓' J ^.�
Property Address 'mil Aye InM
(Verification roWked from Planning Department for sew con ruction}
City/State Parcel Identification Number nZ - J X —3o -,boo
LEGAL D"C RUIN
Property Location , %s, 5)'✓ t/., Sec. T YL N•R2LW, Town of
Subdivision W A& Jqe R Ec,' ma t) _ _ -- - . Lot # .
Cerdfled Survey Map # . Volume _ . Pap #
Wnrrnaty Dad # � (P 1 3 1 , volume 1, Page # _..¢ 6
Spec house P yes 0 no Lot lines identifiable X yes O no
Improper use and maiatenanee of your gapac aymm could result in its premawn faibm to handle W4"es• popper maul m""
consuls of pumping 0% the septic tank every three years or sooner. it needed by a licensed pun4w. What you put into the system
can affect the ftwdon of the septic tank as a treatment stage in the waste disposal system.
The p vpeM owner agrees to submit to St. CSrm Zoning D%)wttnent a cert004011 form, sued by the *w= and by a
masterphtmbe4 journeyman pbumber, reswcWpWmber or a Notated pumper veidoV that (1) the ott-aits w=W"tetdLVosal systeea
is in proper operating condition and /or (2) after imspoation sad pumping (if zty) the septic fade is team than in tltn of Budge.
Ywe, the mdtxa pe d have tread the above mquhtsueals grad av" to Maintain Nth mz W ft `�'� o � °
ad fath, bate set by the Depa U=W of Commerce and the DgWt1 xAt hL C within Ou
stating septic system has most compl and returned to the St. Croix County Zoning
days o e tioadate.
to r¢
TUitB C.AIaT DATE
ii s =i4
OWNER CE�tTIFICATiOI�I
c et * that all scat is this form are true to the of my (o'ur) (we) ate (are) the (s) of
the hod e, by v' a war =ty d recorded Register of Deeds Office.
lD , 2 �
SI T13RB OF LICANT D ATE
y,,,,�,.� t. Miti►r+R
Mai.wM A" iu3form dots that is mis't+�resaatod eta result in the aaaiquy permit beu►a rWOked by the Zoaia$ D�
+• Indude with ebbs applieatloa: a stamped warranty deed from the Ragistar of Deeds otfim
a copy of the eertiW auwsy map if mfbeenoe is made hu &g warranty d"d
OCT -27 -04 WED 0246 PM 8 FAX NO. 6517460655 P. 01
FkO111 : KHLm1AKEIR PL1J1 SIN11 FAX NO. ; 715 S6:5121 Oct. 27 2004 02:22PM P1
ST CROIX COMM
SRMC TANK MANT&NAN AGREBMBW
AND
OWNERSHIP CMTMCATION FORM
CwnerMuyer
A 1 �1.
Prop" Addrc= — -1
-Ays
(VerM0060 "M fmm plaax4a,d Depsrtmw f or ow construction
"r
city/state -�•� rm. ggE � Pabxel Identification Number -.'�
Lag" DESCIUD
Pmp5rty coq W y,, 5W %, Sw. _J, T,,'2N -R,& W, Town of d '~
Subdi wou lnjar.1`,"t R E G:C6= : � ___ -___, Lot #
Cordfled Survey Map 0 . Volume Page #
Won** Need. # _ —• Volume Paso #
Sped bouso 12 yea 0 no Lot lim identifiable K yes 0 no
ta+proper U50 end maintsnanoe Of Yarar tt *W eyWWM could r+e"i in itb pramaWo N k" w b64 wiwtvs. Proper 04'n�oaw"
0004 0 of pwaPW4 ant t k UVdc teak every thaeo Y ears ar aaeaer, it 216064 by a 1 1aft w Punper. V1* you put iato tisa *YOM
csa tdreot the AM" at do $optic tak a a tr"hwat et p in &0 wute disp ul syra,
TU merry owner sgrm to submit io Si. emix Zuniq DqWb=W a oartit'lea00% fOtm, tinned by dte awaer rand by a
outor phjMj et, jautaoymaa pttwtbeti, wWcW piaatber a; lioeased p=ps(vmitYlag OM ( t'Se 0*44 r was6swtterd�Pbaai eYttem
is in pwpar tgPt m iai coaditiou ss"r (3) saber taqwtim and p'wPMS Lit° walah, dm avdC w& Is low than In dtil of dndga.
UWg, the mds"4; ted have road the above r"utremenn and Agree to m.bntaia ihs pxbvats sowsg dirpoeU OMm wt* 69 naadsrde
Gem fix* orth. cat by the Dapatwow of Coramesoe and dw peparisaaat of x� to aao� ga►oo of wiseeas() es vA do
s 30
sbtd d attpdC ry+GOtp ! boa ta{nad manse be eompietad and Mtttrned to ft 8t Cmix Coeaty ZoQSiag dt co within 30
dsye a tlott data.
DATS
D'VVNI!:R�E'�TLF�� lm�owledee, 1 (wa} ' (=`e) the oww,aada) o[
1 (we) attity tbat atl ata tfi a>a U fona are sue to the beat of MY (0w)
tY�m p bad e, by v' a of a waRaary dead mmded in Aes opr of Dee& Mat.
et OF T.iCAN� T ra1►i�
wsrWrt
Any idurr fta dat is xcpraanbod may V0041t in Ow agasuy permit l owtC'mvaud by the ZOPI p ° *`�•• •
w s hdt% with lbls sppliaagoa: a atu Vod watr * deed Am gap QW � to 661 O �ry dead Copy of the "Wfi#d a wvey
U. 2669P 030 7'76131
KATHLEEN H. WALSH
STATE BAR OF WISCONSIN FORM 1 - 2000 REGISTER OF DEEDS
Document Number WARRANTY DEED ST. CROIX CO., WI
RECEIVED FOR RECORD
This Deed, made between _J-MAR BUILDERS, LLC
10/05/2004 09:45AM
WARRANTY DEED
EXEMPT #
Grantor, and DONALD J. CAPRA, a single person REC FEE: 11.00
TRANS FEE: 214.50
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 (the "Property") (if more space is needed, please attach addendum):
LOT 7, PLAT OF WAGNER ESTATES IN THE TOWN OF
SOMERSET. Recording Area
Name and Return Address r+^.
*hDWEST GU Wd n
2 O NE DRIVE, TE 101
WOO ,
032- 2127 -30-000 31-
Parcel Identification Number (PIN)
This is not homestead property.
Together with all appurtenant rights, title and interests. 00 (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Dated this day of 2004
/ J -MAR BUILLDERS, LLC
* *
by JAMES R. MART
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
K. T ) ss.
NoWly a- Minnesota ST. CROIX County )
My CanrNUton @xaws fan 31.2oos
authenticated this errs na y came before me this day of
, 2004 the above named
J -MAR BUILDERS, LLC, by JAMES R. MARTY
r
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to th rson ho executed the foregoing
authorized by § 706.06, Wis. Stats.) instrument. le the same.
THIS INSTRUMENT WAS DRAFTED BY
STUART J. KRUEGER blic of WISCONSIN
RODLI, BESKAR, BOLES & KRUEGER, S.C. y Commissi n is permanent. (If not, state expim,tion date:
(Signatures may be authenticated or acknowledged. Both am not necessary.)
* Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN INFO -PRO (800)855.2021 www.infoproforms.com
FORM No. 1- 2000
Wisconsin Vartment of Commerce SOIL AND SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
A.C.E. Soil &Site Evaluations
Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point BM , direction and St. Croix
percent slope, scale or dimemsions, north arrow, and I d' to nearest road. parcel I.D.#
1.` ! 7
APPLICANT INFORMATION - Pleas :a ' info atro�n, Rev' wed B Date
Personal information you provide maybe used for ry{ urpors (Pft►lacy Law, s. 4b. (1) (m)). y
Property Owner L J Prope Location
Gay len Schilling, Buyer: Greg Joh n M,, r Govt. Co� NW 1/4 SW 1/4 S 9 T 30 N,R 19 W
Property Owner's Mailing Address r " J Lot # i Block # Subd. Name or CSM#
498 150th Avenue 7 Plat Of Wagner Estates
City State Zip da �`Pho ❑ C` ❑ Village ❑Town Nearest Road
C
Somerset WI 5402 � "115 -549 6 73 Somerset 50Th street
❑ New Construction Use: E Residentia ` nibor ofb s 4 ❑Addition to existing building
❑ Replacement ❑ Public or commercia ascribe
Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpd/ft .6 trench, gpd/ft
Basal area required 1200 bed, ft 1000 trench, ft Maximum design loading rate .5 bed, gpd/ft .6 trench, gpd1ft
Recommended infiltration surface elevation(s) 101.01 ft (as referred to site plan benchmark)
Additional design / site considerations County soil verification needed prior to submittal to Dept. of Comm. for At Grade plan approval.
Parent material Glacial till Flood plain elevation, if applicable na ft
S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank
U= Unsuitable for system DS ❑ U ® S U El S® U N S❑ U ❑ S ®U ❑ U
SOIL DESCRIPTION REPORT l U �f
Depth Dominant Color Mottles Structure GPDIft
Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh.
Consistence Boundary Roots Bed Trench
1 1 0 -6 1Oyr3/3 None sl 2fsbk mvfr as 2ffrn 0.5 , !(O .6
2 6 -14 7.5yr4/4 None gr. sl 2m sbk mfr cs lfrn 0.6
Ground 3 14 -29 7.5yr4/6 None sl 2msbk mfr gw if 0.5 0.6
elev
99.04 It 4 29 -45 5yr4/4 None gr. sl lcsbk mfr gw - 0.4 0.5
Depth to 5 45 -84 7.5yr4/4 none sl Om mvfi - - 0.3 0.4
limiting
factor •
>84
Remarks:
2 1 0 - 10yr3 /2 None A 2fcr mvfr as 2f 0.5 0.6
2 9 - 28 1Oyr4 /4 None is Osg ml cs if 0.7 0.8
Ground 3 28 -40 7.5yr4/4 None A 2msbk mfr cw if 0.5 0.6
elev
99.23 ft 4 40 -76 7.5yr4/4 2mf7.5yr5/8 sl Om mfi - - 0.3 0.4
Depth to • v
limiting
factor
40"
Remarks:
CST Name (Please Print) Signal Telephone No.
James K. Thompson - 715- 248 -7767
Address A.C.E. Soil & Site Evaluations Date CST Number Ref #
340 Paulson Lake Lane, Osceola 54020 5/8/00 3602 1226
l _
PROPERTI OMEPt Gaylen Schilling, Buyer: Greg Johnso SOIL DESCRIPTION REPORT ,rzs Page 2 of 3
- PARCEL I.D.# 032 - 2035 -10 I13#9.30.19.607 A.C.E. Soil & Site Evaluations
Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 1 0 -11 10yr3/3 None S1 2fc mvfr as 2f 0.5 0.6
2 11 -37 10yr4 /4 No ne Is Osg ml cs if 0.7 0.8
Ground
elev 3 37 -49 7.5yr4/4 None S1 2msbk mfr cw 1 f 0.5 0.6
101.48 ft 4 49 -76 7.5yr4/4 2mf7.5yr5/8 A Om mfi - - 0.3 0.4
Depth to
limiting
factor
49"
Remarks: —
Ground
elev
Depth to
limiting _
factor
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
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