HomeMy WebLinkAbout032-2127-80-000 Wisconsir. Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
.Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 30422 0
GENERAL INFORMATION 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:
Giossi, Todd Somerset Township 032 - 2127 -80 -000
CST SM Elev: Insp. BM Elev: BM Des ription: Sectionlrown /Range /Map No:
jJ0 d 09.30.19.1140
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
D 2•
Septic i / Benchmar
Dosing Alt. BM
s� C,,6 ?71
Aeration Bldg. Sewer
akla p,fl 1Z,
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
b
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic a. r
/� l � � Dt Bottom ltd f �f• •3 $ ,
Dosing Ve, Head an. p
Aeration Dist. Pipe 17 /
Holding Bot. System
PUMP /SIPHON INFORMATION Final Grade
Manufacturer Demand St Cover r !�✓ / �S y. 7 S 7 a
S GPM
Model Number l /
2 1 l ,�
J C 20 y SS_
TDH Lift Friction L ss System ead TDH Ft
Forcemain Length Dia. 1 Dist. to Well
2
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSI No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS �S ��
SETBACK SYSTEM TO P /Ls BLDG WELL LAKE /STREAM Lt4CHINV Manufacturer:
INFORMATION Type Of System: CHA OR
�� ?� y e-r Model Number:
DISTR ON SYSTEM PAS 'a Wald
Head Manifold Distribution x Hole Siz x Hole Spacing Vent to A Intake
S Pipe(s)
Length Dia / Length Dia Spacing z /
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 I j 9 P I J �l Yes �I No / (?,j Yes ', No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Z/ 3 Inspection #2: ` r' / / / 03
Location: 1641 54th Street Somerset, WI 54025 (NE 1/4 SE 1/4 9 T30N R199W) Estates Lot 12' Parcel No: 09.30. 9.1140
1.) Alt BM Description = S T � � 9 / # 6 z f ,-) aJ 1 ��1 e�-t' 6�w• 4 �
2.) Bldg sewer length = `9 ���_ / O & f� T° NBC` - / 0'_ �Z 0
- amount of cover I beu-, , ``�_ I/ _apkva vJ Z�� S �Q
6 9 >dy -`lei -`Q'�, at Q V(�y , Vold
Plan revision Required? Yes
SBD - 6710 (R.3/97) — -- J — — —
Use other side for additional information.
Date Insepctor's Si at Cart. No.
r t, y 1 r l,r_!y
Scale 1 "= L. W - Page 3 0
SOT \1
a f Ll
/ Lv�
a � D k-A- ,
a _
L� ZZ AP i C.ov�Q
l /
ALT a z'r
i o \ X2.13
7�t"! s wn�ss`fa
e iTOti' OF �� r
�T L1jvL
w Zt - NO t3� > SO ' 1-�,-j M Uv►..D F)Y� ? ZS ' 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 \)u0 6SUgallon capacity manufactured by
' \Z C0KJCtZ7197 (c iLt touU JbSO - MR)w /, 000 ZA Fig` k
4. Bench mark S oz 1°rDUV E
5. Divert surface water around system to prevent ponding at the uphill side.
~ Safety and Buildings Division County
iseoinsin 201 W. Washington Ave., 1 ,U. Box 7162
Madison, WI 53707 - 7162 Sanitary Perm' Number (to be filled in by Co.)
De artment of Commerce (608) 266 -3151 3� Z
Sanitary Permit Application State Plan I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide �r�r• 9 3 C ��
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address)
I. Application Information - Please Print All Informatf
DECEIVED /lv 7 ST.
P Na me
i
� R Parcel q Lot Block a
10 0: t72 - a I J
- COLD
Owner's M at ing Address * '
Property Location
City, State Zip Code Phone Number - `'A •_:Q5L'A Section
(circle o t�
II. Type of Building (check all that apply) T .�O N; R !9 E or &/
I or 2 Family Dwelling - Number of Bedrooms s7 ( ;3 3 f3 j2. u r( Subdivision Name CSM Number
Public /Commercial - Describe Use L �- • �� yST
L State Owned - Describe Use
' �- c ❑City N ❑Villagei'ownshipof $ mn,C
III. T of Permit: mit: (Check only one box on lfne A. Complete line B if applicable)
A ' )t New S ❑ Replacement System ❑ Treatment/ Holding Tank Replacement Only ❑ Other Modification to Existing System
i
B • ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of PO_WTS System: (Check all that apply)
❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soil Q Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter
❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holdin Tank []'Peat Filter ❑ Aerobic erobic Treatment Unit ❑ Recirculatin g Sand Fitter i
❑ Recirc n
ulacing Synthetic Media Filter ❑ Leaching Chamber u Drip Line ❑ Gravel - less Pi ❑ Other (explain)
V. Dis ff rsal /Treatment
Area Information:
a-a. _ ►'' - t Sot S
Design Flow (gpd) Design $ it Ap icatiott Rate( sf) Dis rsal Area Requ' ed (sf) Dispersal Area Proposed (sf) S stem Elevation
lr'i5 - D � 0 �-� l l �,'� , �t 00 `1�S?� 13 S0 �- d
VI. Tank Info a acity in Total Number , QMa�nuuffacturer / efab Site Steel Fiber Plastic
Gallons Gallons of Units �� n, � C Crete Constructed Glass
New Existing ! C.iCJ
Tanks Tanks I
Septic or Holding Tank
eL 5 c
Aerobic Treatment Unit
Dosing Chamber
r _ 1 5 e
V II. Respons ibility Statement- I, the undersigned, assume responsibility for in tallation of the P OW'I'S shown on the attached plai
Plumber's Na me (Print) Plumber's Si gnature f MPRS Number Business Phone Number
Plumber's Addre ss (Street, City, State, Zip Code)
VII --
Count /Department Use Qnl
Approved ❑ Disapproved Sanitary Permit Fee (includes Grou� j
water Dat Is ued
Surcharge Fee) 3 S o
al-uing A e nt S' a Stamps)
i Owne Given Re ason for Denial Y6a pro/R s f r Disa Septic tank, a ten 1 te Fervi 8
dispersal cell must all be c e main alned bow a/� /�0�° MU'u�rl��� 2�
as per management plan provided by plumber. �` Cris,.
� All setback requirements must be maintained
�2.
as per applicable code /ordinances.
g3. q3
3
Attach comple ans (to the County only) for the systenion Aper RA less than 81/2 x es to size
i
SBD -6398 (R. 01/03)
r
Safety and Buildings
RECEIVED MADISON W) 53707-7162
TDD #. (609) 264-9777
isconsin 1 � 5 comme te.wi.
2003 w�w�,t.w;sconsin.gov
Department of Commerce ST CROIx
ZUNI COUNTY' .Slim flvyle, Governor
NG OFF/CE Cory L. iVetttes, Secretary
September 10, 2003
CUST ID No.691727 ATTN. POPVTS Inspeetor
ARTHUR L WEGERER ZONING OFFICE
WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS Wl 54922 HUDSON WI 54016
CONDITIONAL APPROVAL _ _ .......... ... _ .
PLAN APPROVAL EXPIRES: 09/10/2005 Ielenttcatxonfi3iunlrs
Transaction ID No. 918342
SITE: Site ID No. 665029
Todd GIossl I Plea. §e refer to both tden€i ^$ttnrtn ttbers;
54TH St ai boveLt a31 co riespotrdertce: wit the agen
Tom of SameEC�t
St Croix County
NE1 /4, SE1 /4, S9, T30N, R19W
Lot: 12, Subdivision: Wagner Estates
FOR:
ObjecAType: POW'T System Regulated Object ID No.: 92fl739
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONTALL Y APPkDVED. 712e owner, as defined in
chapter 10i.01(1 `N sconsin Statutes, is responsible for compliance with ail code requirements.
The followm co s . a , or to occu nc y '.
g ndtfiions .hall be met. dunn� construction nz instal' lation and pn pa y or use
Asa Address
• Patrsu�_ filt r�rnrl»ct a�arc�val stipulations maintenance infonnatinr� m»st her i�Pn to tha o�n�ner of
I 'M PO`Nlys is Tequiied The access opening used
to service the inter shall terminate at or above lin shed grade with a watertight cover.
• (honer Responsibilities:
• Comm 83.52(1 - The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance kvith this chapter and the approved tanagement: plan under s_
Comm 83.44!1).
• Comm 83. 52("' ) - A P01h1TS that is not maintained in accordance u.ith the approved management plan or as
requited undea s. Comm 83.54 {4} shall be coi a human health hazard. In the event this soil -absorption
system or any of its component parts mairiinctions so as to create a health hazard, the property owner must
follow the contingenev plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report per (;omm 83.55, that is acceptable to
the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the
components) vfi zed in the P(. WFS.
A copy of the approved plarns, specifications and this letter shall be on -.site during constniction and open to
iflspection by authored iep�esentatives of the Bepa•#m�emt, �vhiclt may include local inspectors. A R permits
ARnRTR L WEGERER Page 2 9/10103
required by the state or the local municipality shall be obtained prior to commencement of
construction /irlstallation/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 budding, strujzl .a e, or concponfmt.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this )etterhead.
Die above left addressee shall projride a copy of this letter to the owner and any others u are responsible for the
installation, Operation aT maintenance of the Put"T 'S.
S]T1CL'T213, Fee RzquiTed � 1 ?5.40 - -�
Fee Received S 1 71.00
BL hence Due S 0.00
4
Duane R StZin�T '� it
IN'asfewater Specialist, Integrated Senrices ml= code::' r_38 i
(608)235 -0608 , W 7:1> -4:00 pru I
dsteirlera ?commerce.state.vei.us �, -- --
cc: Leroy G 1ansky, Wastewater Specialist, ('15! 726 -2544
I
TITLE SHEET Page of - 7
POUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
This plan has been prepared in accordance with the Mound Component
Manual SBD -105 7P and the Pressure Distribution Manual SBD- 10573 -P
Ccz, blg9 ,.' C Z. 61419
LOCATED I'T THE hJ L 1 /4 OF THE Si.y 1/4 OF SECTION � , T 30 N, R 1 � W,
TOWN .OF (� 5 -"• C-V-JJlX COUNTY, WISCONSIN.
1_ ZT 1 Z O F Lv r- G >LJ N1Z
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
3 b S - Z 6 `M ST , rvO 1ZT 1�
s c evej b) 1� so Z3 RECEI VEQ
AUG 2 lU�a
� SAF ETY
• ►'�� �I ? tiv U PREPARED BY BO D I V.
o Q , O WEGEF:;. FEE R SOIL. .TESTING
• ®CjQ 2 AND.
° 4 DES I GN SERV I CE
Q a LU
P.O. Box 74 421 N . riain . S t .
0 River Falls, WI 54022
q Lu Phone 715- 425 -0165 pia
c Fax 715 - 425 -6864 ��C C, ,NS /,
CO
r ART" Q .
WEGEAEW
D915 •
KISWOAT.
es.
JOB NO. 03 -13 3
Mound System Management Plan page of 7
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.
—mp 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 m
shall be seeded and m l ound. Plantings may be made around the mound's perimeter, and the mound
u ched as necessary to prevent erosion and to provide some protection from frost penetration. Traffi
(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 flo
not exceed maximum design flow specified in the permit for this installation. w may
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 ke
system in proper operating condition. ep the
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 at go Ste- �C t01)(
The system installer at 1 � Zr. Setfy►IZ
The tank manufacturer at b
U 3Z
The effluent fil ter ter manufacturer at QU Z
The pump manufacturer at ['j� g G DUDS
PLOT PLAN
Scale i "= UO' Page 3 of
L SS o'F- L4 c
P
QILl' L'1 - 2 PVC F.M_ AQ
C*"1 > ftct orz-
/ ot s�lzL3
/ Ttit i rnziN
su iI� 't.0E- da L
FetJO�- POST,
1-c�T L! yvL
> S O ' Ysu� Y1 Uv tiD D ? ZS_' _FIZ -fit J . -T')jk-� - - - —
NOTES:
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation ipes with approved caps. z
3. Se PP P � required).
Septic tank to b
p e ��0� 6 SU g capacity t m
_.� g p i y anufactured by
cy� wLl� 1023 30 - MR�wI�► lYoO zr� - �3�z- FiL`fW,
4. Bench mark
S. Divert surface water around system to prevent ponding at the uphill side.
Pace Of /
Approved Synthetic Covering
ASTM C33 Distribution Pipe
Medium. Sand
Topsoil ` H F G Elev. B
E ;; 0
3
b
'Fz> % Slope
Distribution Cell of Force Main Plowed
z" to 2- Aggregate From Pump Layer
D 1.O Ft.
E Ft.
CROSS SECTION OF A MOUND SYSTEM = F C `� Ft.
G D Ft.
A 6 Ft. y 1.0 Ft.
Linear Loading Rate= 6 ' Q GPD /LN FT B Ft.
Design Loading Rate= 0 /SQ FT j Z Ft.
J - 7 Ft.
K K) Ft .
e Position L " S Ft.
of
Farce Main —�� W Z S Ft.
I
J - Qbservation Pipe
W .-�_ �_ - -- -- - - - - -- --------------- - - - - -- �, Distribuiio -. n `--- Cell of %"
z to 2 , 2 "
1
Pipe aggregate ,
Observation Pipe
(Anchbr securely)
PLAN DIEM OF A MOUND SYSTEM
Distribution Pipe Layout Page S of
.o
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° fitdng to a point within six
inches of the final grade. Terminate the ends of the late.-als with a valve cap or
• threaded plug. Provide access from final grade for the valve; threaded dap or threaded plug.
T `-t F'. � cr L �z�s s .s�`i19 ►y
FVC - F�J� PVC
Lateral Man* Id Lateral
X z x x xa x!Q z x I z I x
Lateral Length — Lateral Lenwh —
Oistribu6 Line
_—
F I � 7c.G�s snX
hr;1J1���
J
P 3 Ft, Hole Diameter Inch
S 3 Ft. '
Lateral 1 Inches)
X ? inches Manifold " 1 ) Z Inches
Force Main " Z Indies
# of holes /pipe l
Invert Elevation of. Laterals 98 • S .Ft.
. 1° , \2.- x k
Combination Sept,�c�Tank and
PLfMP CHAMBER CROS5 SECTION AMD SPECIFICATIONS' PAGE g OF
NEWT CAP � I WEATHER PROOF
JUIJCTION 80X
ti C.Z. VEIJT PIPC % APPROVED LOCKIIJ6
10' FROM DOOR, MAWHOLE COVER w1V
w
� ARrJIU t.
P
�i101J � lPE
:IIAIDOW OR FRESH G NBEL. ,
.w /HtcZTlsltT'rr+tP ALP, INTAKE
COUpu1T
i+ I
FINLS)j� 6`•^w. 'l0 f I `f
18 AW.
• G 1 �D E
-- - - - - --
18'K1A1. - - - - - --
IAILET PROVIDE
AIRTIGHT SEAL I III V
.q, I I
Approved zPaIEL H\ , V � A ' I i�I Approved
joint w/ I i I joint w/
PVC �—t$00 I II AL&KA PVC e
Pipe i
P pipe
a I II
I 1
( ow
I I
LLE.Y. o OfT 1
OFF
0
COUCRETE
Q 0 ,gyp C3 DLOCK
- RISER EXIT PERMITTED OIJLy IF TAWK MAIJUFACTURCR HAS SUCH APPROVAL 3 "APPRfl+tD
�BEDOIN4 .
SEPTIC F SPECIFICATIOUS
OOSE /
TA IJ K MAI'•IUFACTURCR: ��K- -�Z�'�� '1JUMgER OF DOSES: b
. bvLP 1bu0 0_ PE R B
DA
TAIJK :,IZE. I6S � R
GALLOIJS DOSE VOLUME r
ALARM MAIJUFA S ' � ` Q-0 S I ICLUOIMG 6ACKFLOW
MODEL )DUMBER: 1W V +W CAPACITIES: A
SWITCH TyPC:
�-)kZcuj � I OR GALLOIIS
8 -
PUMP z. 1►JCHES'OR - ' G�LLOI,IS
MODEL MP MAIJUFACTURCR; GduL - S C: b IIJ[+IESOR ' GALtO
—
E) \Z WCHE4 OR 20� GALLOWS
SWITCH TUPE: yvX b�T
IJOTE: PUMP AIJD ALARM ARE TO 6E
31 .1
MI1JtMUM DISCHARGE RATE GP INTAlLEO OIJ SEPARATE CIRCU
M S S
VERTICAL DIFFERENCE BETWEEIJ PUMP OFF AUD..D15TRI5UTIOQ PIPE'. FEET l
+ MIIJIMUM IJETWORK SUPPLY PRESSURE . ; . , , , , , �•SO FCET CS - UKI, 3 ,
f Zo FEET OF FORCE MAIN FTy O L1Z
ML ioo FLFRICTIO►I FACTOR FEET
TOTAL OtIMAMIC. HEAD ZFEET
As per Manufacturer l`L,O gal /in. Liquid depth 3 `S '6'
Goulds -r�G op
Submersible
Effluent Pump
3871 EPO4
3
1
EP05
5
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. Available for automatic and tic cover with integral handle
• Farms Motor: and float switch attachment
• • EPO4 Single phase: 0.4 HP
Heavy duty sump g P , manual operation. Automatic Points.
• Watertr nsfer 115 , 230 V, v Hz models include Mechanical
, 1550 Float Switch assembled and ■ Power Cable: Severe duty
• Dewatering RPM, built in overload 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 with construction.
• Solids handling capability: automatic reset. ■ EPO4 Impeller. Thermo -
3 /a' maximum. • Power cord: 10 foot Plastic Semi -open design AGENCY LISTING
with pump out vanes for
• Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP• Canadian standards Association
_ • Total heads: up to 24 feet. with three prong grounding _
• Discharge size: 1 /z' NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo-
• Mechanical seal: carbon- length, 16/3 SJTW with
plastic enclosed design for (CSA listed model numbers rotary/ceramic - stationary, three prong grounding plug improved performance. end in "F' or "AC".)
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104 °F (40 0 ,C) continuous superior strength and
140 °F (60 °C) intermittent. corrosion resistance.
• Fasteners: 300 series METERS FEET
stainless steel. 10 ;
• Capable of running i i
d without dam
dry age to 9 g0
components.
Pump: EP05 e -- - - - - -- -- �_ t_
j FT-
• 2 i
Solids handling capability: 0 5
s m. 7
max a
LU
• Capacities: up to 60 GPM. s 20 j ! j
• Total heads: up to 31 feet. 9 „
• Discharge size: 1 NPT. z 5
• Mechanical seal: carbon- �-
rotary/ceramic- stationary, ° 4 15 I Ll �)
BUNA -N elastomers. - -- - -- EPO5'
• Temperature: 3 10
104 °F (40 °C) continuous I 1
140 °F (60 °C) intermittent. 2 i —
5
1
0 00 10 20 30 40 50
GPM
0 2 4 6 8 10 12 rtP/h
CAPACITY
T' 1995 Goulds Pumas. Inr,.
Wisc6min Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3
','Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code
A.C.E. Soil &Site Evaluations
Attach complete site plan on paper not less than 8' /z 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 dimensions, north arrow, and I stance to nearest road. Parcel I.D.#
2 -20 5 ID#9.30.19.606
APPLICANT INFORMATION - PI A atii tfoh / viewed . Date
Personal information you provide may be used for ¢Aiy purposel (Privacy Law, - '.,15.04 (1) (m)). 63
i
Property Owner Property Location
Gay len Schilling, Bu er: Gre 7 —ion Govt. Lot NE 1/4 SW 1/4 S 9 T 30 N,R 19 W
Property Owner's Mailing Address t' _ Lot# Block #— Subd. Name or CSM#
498 150th Aven 12 Plat Of Wagner Estates
City �tate. qde phomAumber ❑ City ❑ Village ❑Town Nearest Road
Somerset , '1t� �9 =-�3 Somerset 50Th Street
❑ New Construction ❑ Res fiat / Ngt*r'of ms 4 ❑Addition to existing building
Use:
❑ Replacement ❑ Public or co escribe
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, gpd/ft
Recommended infiltration surface elevation(s) 98.0' at 12" above 97.0' contour. ft (as referred to site plan benchmark)
Additional design / site considerations
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 ❑ S ®al ®S ❑ u ❑ S❑ U ❑ S M u ❑ S M U F] S® u
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD/ft2
Borin Horizon Texture Consisten Boundary Roots
9# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 1 0 -10 10yr3/3 None sil 2fsbk mvfr as 2f 0.5 0.6
2 10 -17 1Oyr4/4 None sl 2msbk mfr cs if 0.5 0.6
Groun 3 17 -28 7.5yr4/4 None sl 2msbk mfi cw if 0 0.6
elev
95.47' 4 28 -4 8 7.5yr4/4 m2d7.5yr5/8 sil Om mvfi - - NP 0.2
Depth to
limiting
factor
>28"
Remarks: _ -------------------- - - -� — _
Z 1 0 -10 10yr3/3 None A 2fsbk mvfr as 2f 0.5 0.6
2 10 -25 IOyr3 /4 None gr. sl 2msbk mfr cs if 0.5 0.6
Ground 3 25 -3 4/4 None A 2msbk mfr cw if 0.5 0.6
elev
95.92'ft 4 31 -37 7.5yr4/4 m2d7.5yr5/8 A lcsbk mfi aw - 0.4 0.5
Depth to 5 37 -54 10yr5/6 mlp7.5yr5 /8 sil Om mfr - - NP 0.2
limiting
factor
31"
Remarks:
CST Name (Please Print) Signat Telephone No.
James K. Thompson �715 - 248 -7767
Address A-C.E. Soil & Site Evaluations CST Number Ref #
340 Paulson Lake Lane, Osceola 54020 5/8/00 3602 1231
i
PROPERTY OWNER: Gayleri Schilling, Buyer: CttegJohnso SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL' LDJ 032 - 2034 -95 ID#9.30.19.606 A.C.E. Soil & Site Evaluations
Depth Dominant Color Mottles Structure GPD/ftz
Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. nsistence Boundary Roots
Bed Trench
3 1 0 -10 10yr3 /3 None A 2fsbk mvfr as 2f 0.5 0.6
2 10 -18 10yr4 /4 None A 2msbk mfr cs if 0.5 0.6
Ground
elev 3 18 -33 10yr4 /4 None sicl 3msbk mfr cw if 0.4 0.5
97.60 ft 4 33 -40 None sicl 3fsbk mfi aw - 0.4 0.5
Depth to 5 40 -55 10yr5 /6 m1p7.5yr5 /8 sil Om mfr - - NP 0.2
limiting
factor
40'
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
Ground
elev
I
Depth to
limiting
factor
Remarks:
. �• 30{'.3
posh -
E /ev-
Saga MarL. Xai /in Cedar tree .
s(ssu,ned eleµ = /a� ev: ■ SoilO6'serva. P.4
� Eleda -�'ur�
-�- f'cneG /;ham
• a�o�0. S�
e 63 Lot /1, Ala -t e -o,X - k),2fnO t
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61 9 7.0 Lc n�occ r
tv (q
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Z
70.33'
ST CROIX COUN'T'Y
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address j��'G� �3C7� S ��/� � l`� -[ sG a .(/d �'Q ` ,-&I vr Sa 7
Property Address
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number 0 3 2- 21 y _ > - 0 0c)
LEGAL DESCRIPTION
Property Location .4/4 '/4, 57 - ' /,, Sec. , T 2O N -R Town of
Subdivision hle I- 5r Lot # 11
Certified Survey Map # Volume , Page #
Warranty Deed # 3 , Volume 32 , Page # 5 O
Spec house ❑ yes f` no Lot lines identifiable Oyes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zonin g 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.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year e piration date.
A
SIGNATURE OFZPPLICANT 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 owners) of
the property describe above, by virtue of a warranty deed recorded in Register of Deeds Office.
15� 2 , L / o`
-
SIGNATURE OF APPLICANT DATE
'••••• Any information that is mis- represepted'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
U 2322P 510 �3ii¢,s
l�
STATE BAR OF WlSCONMN FORM 2 - 1999 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
This Deed, made between Paul R. Kreutzfeldt and Shelli R. RECEIVED FOR RECORD
Kreutzfeldt, husband and wife, 07/21/2003 09:40AN
WARRANTY DEED
EXEMPT it
Grantor, and Todd A. Giossi and Julie L. Giossi, husband and wife, REC FEE: 11.00
TRANS FEE: 201.00
COPY FEE:
CC FEE:
Grantee.
PAGES: 1
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
0Lo Estates, Town of Somerset, St. Croix County, Wisconsin. Name and Ret rn Ad ress
RRI9TINA OGLAND
ESTREEN & OGLAND
304 Locust
V Hudson, WI 54016
032 - 2127 -80 -000 _
Parcel Identification Number (PIN)
This is not homestead property.
%) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this day of July 2003
* * a . Kreutzfeldt
* * Shelli R. Kreutzfetdt
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Paul R. Kreutzfeldt and Shelli R. Kreutzfeldt, STATE OF WISCONSIN )
husband and wife, ) ss.
II County )
authenticated this l(/ day of July 2003
4� Personally came before me this day of
- the above named
* Kristina Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN —
(If not, to me known to be the person(s) who executed the foregoing
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. Roth are not necessary.) •)
* Names of persons signing in any capacity must be typed or printed below their signature. information ProfeasionaVS company, Fond du Lac, WI
STATE BAR OF WISCONSIN 600-655 -2021
WARRANTY DEED FORM No. 2 - 1999
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