Loading...
HomeMy WebLinkAbout032-2112-40-000 WkoAsi;OepartmentofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Satbty and Building Division INSPECTION REPORT Sanitary Permit No: 463043 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Frendt, James I Somerset Township 032 - 2112 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 1 1 160 G r(\ t C 11.30.19.1043 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark c,l�, s FW 3. 5 /63,16 as Dosing l z ( Alt. BM `"'n ,r� Z r , � '3d . 3 o a�• 7 Aeration c 1 Bldg. ewer & Z s Holding St/Ht Inlet yly TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet d �a.9z Septic —7166 ` I/� 2— 3' / Dt Bottom 711 Dosing —7 / /vein 1-71/ 21 Header /Man. � s 3 (o Aeration /� Dist. Pipe 135 `d Holding Bot. System 48. (o � PUMP /SIPHON INFORMATION Final Grade I Z - 76 Manufacturer � GPM nd St Cover a v1 Model Number 3S TDH I Liftg /'T -1 Friction Loss System ead TT t VT Forcemain Lllh, I Dia. Dist. to Well t ^ T SOIL ABSORPTION SYSTEM h BED/TRENCH Width Length Z! No. Of Trenches PIT DIMENSIONS No. Of Pit s Inside Diq� Liquid epth DIMENSIONS 7 ` fa'�, SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System: p / r CHAMBER OR to �� � 1 P UNIT Model Number,, `� DISTRIBUTION SYSTEM W Ca� Cah G Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake f � Pipe(s) �/ Ir Lengt Dia Length Dia \ Spacing ? SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only fZ - 6 E Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / / _ Bed/Trench Edges �� Topsoil N__1 Topsoil [ , No Yes f No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1629 70th Street New Richmond, WI 54017 (NW 1/4 SW 1/4 11 T30N R19W) Pine Meadows Lott 4 Parcel No: 11.30.19.1043 1.) Alt BM Description = �jv` ►�'6 Jv�o 'j 2k s up � - t 2.) Bldg sewer length - amount of cover = ( - - --------- SBD -6710 (R.3l97) - - - - - - -- l -- _ - -- Plan revision Required? �_ Yes No L � Use other side for additional information. �� � . l Date In pctor's ature Cert. No. Safety and Buildings Division County NvisConsin 201 W. Washi 08 gton 266 -315 Madiso WI ED anitary Permit ur (to be filled in by Co.) 1 mbe ? Q /� Department of Commerce / �/ .J Sanitary Permit Applic do 3 2004 , "State Plan LD. Num / ber /J In accord with Comm 83.21, Wis. Adm. Code, personal inf atio F 00 rovide /" /1 may be used for secondary purposes Privacy Law, 15.04(qw 7 CN Project Address (i afferent than mailing address) ING OFFICE I. Application Information — Please Print All Information Property Owner's Name Parcel # Lot # lock # n Property Owner's Mailing Address Property Locauon ' /._!TA) / <, Section �w City, State Zip Code Phone Number (circle ) 11. Type of Building (check all t at apply) � .f �� N; R�E or�' Subdivision Name CSM Number 1 or 2 Family Dwelling — Number of Bedrooms ❑ Public /Commercial — Describe Use ❑ State Owned — Describe Use �I ST. C r�(� Z 3 ❑City ❑VillagaTownship of I11. Type of Permit: (Check only one box on 1' a A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System 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 POWTS System: Check all that appl Ia No — Pressurized In- G r o und ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑,, " Recirculating Synthetic Media Filter VLeachingChamber ❑ Drip Lie ❑ Gra I -less Pipe Other (expla n) , , _ �_ / /- &X.�rac V. Dis ersaVTreatment Area Information: (,{x Design Flow (gpd) esign Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) Syst 1 __w2 i VI. Tank Info Capacity in Total Number Manufacturer Prefab a er 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, the undersigned responsibility for installation of the POWTS shown on the attached plans. Plumber' Nam (Print/ Plum is n e . MP/MPRS Number Business Phone Number Plumbers Address Street, Ci , State, Zip Code) V VIII. oun /De artment Use Onl Sanitary Permit Fee (includes Ground ter Date ssued ssuing Agen ignature ps) Approved El Disapproved Surcharge Fee) � / El Owner jj lT i� Owner Given Reason for Denial A_ M _ / Yo IX. Conditions of Approval/Reasons for Disapproval 3 j °i S STEM OWNER: /1�!GLd�G . / quo SyS 1 ep Ic r and an c, effluent filter dispersal cell must all be service malntai�e SL VZ N`h as per management plan pmided-by- a1a111abEr 2. All setback requirements must be maintained �p 0 as per applicable code /ordinances. a Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) n'1 O o - a x, S4 M L� `3 u y 3 a -7 4 Na, Z � ^ 1 ,22� ST. CROIX COUNTY SEPTIC TANK MAIINTAINOCE AGREEMENT AND nn OWNERSHIP CERTIFICATE FORM OwnerBuyer jl y v, " � Mailing Address 101)4 b Zd &M �/Jffii,S•G �ro�lt/, /y' U /S'r Property Address (D aq t ��, `an req uffe¢ from Pla�W Dept � far new caohudim) /V C/ City /Stat� Parcel Identification Number D Z " 17 - - �� LEGAL DESCRIPTION Property Location 10 Sec. / H T� lv KR /LW, TOWn Of Subdivision Lot# i Certified Survey Map# volume Page �'"�►^ V�/ ` /��"" " , 57D9�� , Volume �"< Page 5 ((JJ -u�tG Spec house yes -X.—no Lot lines identifiable yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result 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 & treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form. signed by the owner and by a mastetplumber, joumeyrnan 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 fid) of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards .sef forth, herein, as set by th Department of Commerce and use the Department of Natural Resources, State of Wisconsin Certification stating that your septic system has been maintained must be completed and returned to th t. Croix County Zoning Office within 10 days of the three year expiration date. � Y SIG ATURE OF ApjfLicAxr DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (ow) knowledge I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Off►ce. a SVNATURF OF APPLICANT DATE **"** Any mfonnawn that is mweprwmtad may rmuh in the sanitary permit bong revakedby the Zang Depwane a""' " Include with this application a stamped warranty deed from the Rogow of Deeds o im a copy of the cetifisd sevey mW if refamcu ignode itt the warrmty deed 6 'd 89E17- Lirz(91L) Aoeew 1a2ud eL1 :ii trD DE 2nd POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page - ,L of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity sl O NA Permit # Septic Tank Manufaoturer ,� #r ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ' - C1 NA Number of Bedrooms ❑ NA Effluent Filter Model d O NA Number of Public Facility Units A NA Pump Tank Capacity gal ❑ NA Estimated flow (average) al /da Pump Tank Manufacturer O NA Design flow (peak), (Estimated x 1.5) al /da Pump Manufacturer O NA Soil Application Rate Z gal/day/ft' Pump Model O NA Standard Influent /Effluent Quality Mont ge' Pretreatment Unit ONA 0 mg /L 0 Sand /Gravel Filter E3 Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 mg/ O Disinfection 0 Other: Pretreated Effluent Quality M average Dispersal Cells) O NA Biochemical Oxygen Demand (BOD 530 mg /L fb In- Ground (gra ft) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA O - ra e ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 O Drip -Line ❑ Other; Maximum Effluent Particle Size Y in dia. ❑ NA Other: O NA Other: O NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: O NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: month ls " (Maximum 3.yows) ❑ NA � eara.. Pump out contents of tank(s) When combined sludge and scum equals one -third (4) of tank volume O NA Inspect dispersal cell(s) At least once every; 13 month(s) (Maximum 3 years) ❑ NA 3 10 year(s) Clean affluent filter �� t least once every: 0 earls)(s) O NA Insp pump, pump controls & alarm At least once eve 13 month(s) O NA p p every: 12 ears) O month(s) .. ; � - 1d NA Flush laterals and pressure test At least once every: O year(s) Other: At least once every: C month(s) O NA O year(s) Other: (] NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications; Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. OMW 14/0': Page of,_ START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chomicais that may impede the treatment process and /or damage the dispersal collie). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal collie) in one large dose, overloading the collie) and may result In the backup or surface discharge ul effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorinU power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of t►iv POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicide#;,Moat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings Sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; I :> a :" . >. A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area, Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWT echnology a holding tank may be installed as a t r sort to replac a failed POWTS. - e ite as of been a lua d to identif a suitabl repla ant ar . Upon ure the PO oil and situ evtio u t be pe rmed t locate suitable replac ant area. If cement are vailable a ho ' . g tank may be i talle as ast resort t ce the failed POWTS. _ ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN, DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES.' DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS IN TALLEA POWTS MAINTAINER Name Name Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.64(1), (2) & (3), Wisconsin Administrative Code, PAGE OF PUMP CHtMBER CR055 S AND SPECIFIC ` V E WT CAP f 4 " vE14T PIPE � WEATHERPROOF___ APPROVED LOCKING JUAICTIOM 90X I Mt WHOLE COvCR WIT" 1 — zS FROM DOOR, W LABEL WINDOW OR FRESH 12 MIU. �KNING I AIR IMTAKE I— i,RADE — - � � I e• r, I u. COQ JIT — ---- -_ —_ -- lb'!'IIN. — - - - -- - -- \ ��� ---- - - - - -- PROVIDE I - - -- -� IL1LE T AIRi! .IiT SEAL _ � I I APPROVED JOIIJT A I II I APPROVED JWI - / I I I / W/ ' PIPE EXTENDIM6 3' I I ALARM EXTE1JOIUG 3' OQT0 SOLID SOIL I II ONTO SOLID SO',. n I I II OIJ C 1 CLEV. FT. PUMP - -� b OFF r 0 COUCR[T[ DLOCK RISER EXIT PERMITTED OIJLy IF TAWI( MAUUFAC.TURCR NAS SUCH APPROVAL 3 A DEDGING uv TYt►JK SEPTIC f SPCCIF,CATIOUS DOSE TAU tMAWUFACTURER: 1� k2 _ - -- W -n OF GOSCS: PER DAy TAW SIZE: ��� G ALL D►JS DOSC VOLUME / IMC1_UDIIJC, 15ACKFLOW: ALARM MAUUFACTUKER: J/' / MODEL 1JUMlSCR: - ,J�F ,) 1A CArACITIES: A 1►JCNES OR GALLOU! SWITCH TJPc: I>JCHEs oR 4 ? GALLOW p PUMP MAUUFACTURCR: C = SnL1 INCHES RG A ALL0U M D _ S O EL 1JUM51 - ` �`1 I � ( — D A INCHES OR LZ �cU� GALLOIJ!:. SWITCH TYPE: �alliey S 1 kJ O T F_ PUMP AWD ALARM ARE TO DC MIMIMUM DISCHAKGE RATE GPM INSTALLED OW SEP CIRCUITS VERTICAL DIFFEREN OETWEEIJ PUMP OFF AUD DISTRIEUTIOW PIPE., FEET + r',11JIMLIM NETWORK SUPPLY PRESSURE . . . . . . . . FCET FTC p 3,L¢ FECT /R� FEET OF FORCE MAIN X ,,? � /oo rr.FRIC i Iut.l FLC70R. _ �p TOTAL 0'31JAMIC. HEAD FEET WTERUAL DIMEIJ510►Jt OF TAWK: LELIGTH _ -- jir(IDj ti _ jLIQUID DEPTH ,IGIJED: - -- _ _ LtCEn1SE IJUM3CK' SATE: NGOULDS PUMPS Submersible Effluent Pump MODEL 3 88 5 WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously stainless steel. Threaded • Capacitor start motors for without damage when fully Specifically designed for the design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with ■ Bearings: Upper and • Homes damage on accidental reverse automatic reset. lower heavy duty ball bearing • Farms rotation. • S1TOW or STOW severe duty construction. • Trailer courts oil and water resistant power • Motels ■Fasteners: series P ■ Power Cable: Severe duty • Schools stainless steel. • cords. rated, oil and water resistant. • Hospitals ■ Capable of running dry /3 and h HP models have Epoxy seal on motor end • Industry without damage to NEMA three prong grounding plugs. provides secondary moisture • Effluent systems components. • HP /4 3 and larger units have barrier in case of outer jacket prevent oil and to a ■ Designed for continuous bare lead cord ends. dam p SPECIFICATIONS operation when fully Three submerged. wicking. Standard cord is hase (60 Hz): 20. P Optional lengths are available. •Class 10 overload protection Pump ■ 0 -ring: Assures positive • Solids handling bilities: MOTORS must be provided in 9 ca P separately ordered starter sealing against contaminants 3 /a" maximum. ■ Fully submerged in high- unit. and oil leakage. • Discharge size: 2" NPT. grade turbine oil for lubrication g STOW power cords all have • Capacities: up to 140 GPM. and e AGENCY LISTINGS • Total heads: u to 128 feet efficient heat transfer. bare lead cord ends. P Tested to UL 778 and TDH. ■ Class B insulation on ■ Designed for Continuous ® CSA22.2108Standards •Temperature: 1 /3 -1 1 /2 HP models. Operation: Pump ratings are By Canadian s tandards 104 (40°C) continuous ■ Class F insulation on 2 HP within the motor manufacturer's CM us File #L 1 3 8 sa9 models. File #u38 140OF (60°C) intermittent. recommended working limits Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP METERS FEET voltage, phase and RPM's 40 130 - available. -- - - -- ____ __ ___ ____ _ -_' -__ ___ _- __ __- _ -_ ___ __ __ ___ ___ ___ SERIES: S 120— t SIZE: 750 ' /4" SOLIDS RPM: 3500 & 35 __ ___ -------- _- __ 1 110 FEATURES + - - - -; —►s -i 30 100 - - - '- FT + ■ Impeller: Cast iron, semi- 90 o - _ -- - -; - -- -- -------- + open, non -clog with pump -out w 25 80 } - } i - -- - -- - - -- - -- 1- - -- - -- vanes for mechanical seal - -- - -- - - -- -- i - -- - -__ ____ _ i _._ _ -__ .__ ____ ___ ___- protection. Balanced for a 20 70 0 H --} - - + -T - - - a - + - + } - - smooth operation. Silicon Z 60 bronze impeller available as 1 s so w ±- - - - _i- -- - - -' -t -_ _- _- - _ -; - -- _- _ -_ _ -- -- -- -_ an option. ao ° + - - -- - - -- -- -- + - -- - -' - +- - - ■ Casing: Cast iron volute type 10 30 - - -- -_ - t - - - - for maximum efficiency. - -- --------- i - -- -r 2 NPT discharge. 5 20 -- - - -- - -- -- - -' - - - - -- -- - - -� -- - - - - -- ■ Mechanical Seal: SILICON 10 f __ _ _ __ ___ _ -- 0 10 -� - + CARBIDE VS. SILICON ° ° 20 30 + ao so 60 70 80 90 { CARBIDE sealing faces. 100 110 120 130 140 150 160 GPM Stainless steel metal parts, 0 5 10 15 20 25 30 35 m3 /hr BUNA -N elastomers. CAPACITY Goulds Pumps © 2003 Goulds Pumps Effective July, 2003 www.goulds.com ITT Industries B3885 <& [qGOULDS PUMPS Submersible COMPONENTS Effluent Pump 7�►. Item No. Description MOD 1 Impeller 2 Casingf 3 Mechanical Seal s 5 WE S 4 Motor Shaft i 5 Motor € 4 6 Ball Bearings 8 3 7 Power Cable 8 Casing 0-Ring< 1 2 MODELS PERFORMANCE RATINGS (gallons per minute) Order No. HP Volts Phase Max. Amp. RPM Solids WC (Ibs.) Order WE03L WE03M WE05H WE07H WE10H WE1SH WE05HH WEISHH WE20H WE0311 L 115 10.7 No. WE0318L 208 6.8 HP '/a '/a /2 % 1 1'/2 '/: 1'h 2 WE0312L 230 4.9 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 WE0311 M 115 10.7 1750 56 5 86 - - - - - - - - WE0318M 208 1 6.8 10 70 63 78 - - - 58 - - WE0312M_j 230 4.9 15 52 50 70 90 - - 53 - - WE0511H 115 14.5 20 27 35 60 83 98 123 49 90 136 WE0518H 208 8.1 25 - - 48 76 94 117 45 87 133 WE0512H 230 7.3 30 - - 35 67 88 110 40 83 130 WE0538H 200 4.9 35 - - 20 57 82 103 35 80 126 WE0532H 230 3.3 ° 40 - - - 45 74 95 30 77 121 WE0534H 460 3 1.7 LL 45 - - - 35 64 86 25 74 116 WE0537H 575 1.4 v 50 - - - 25 53 77 - 70 110 WE0511 HH +/' 115 14.5 60 ) 55 - - - - 40 67 - 66 103 WE0518HH 208 1 8.1 60 - - - - 30 56 - 63 96 WE0512HH 230 7.3 F 65 - - - - 20 45 - 58 89 WE0538HH 00 4.9 70 - - - - - 35 - 55 81 WE0532HH 230 3.6 75 - - - - - 25 - 51 74 WE0534HH 460 3 1.8 80 - - - - - - - 47 66 WE0537HH 575 1.5 90 - - I - - - - I - 1 37 1 49 WE0718H 208 11.0 11001 - - - - - - - 28 1 30 WE0712H 230 1 10.0 WE0738H 200 6.2 WE0732H 3/° 230 5.4 DIMENSIONS WE0734H 460 3 2.7 3 /°" (All dimensions are in inches. Do not use for construction purposes.) WE0737H 575 2.2 70 WE1018H 208 14.0 _ WE1012H 230 1 12.5 3500 WE1038H 200 8.1 WE1032H 1 230 3 7.0 ; WE1034H 460 3.5 V ATION1 . WE1037H 575 2.8 16" WE1518H 208 1 17.5 2" NPT WE1512H 230 15.7 WE1538H 200 10.6 WE1532H 230 9.2 WE1534H 460 3 4.6 3/ <" WE1537H 575 3.7 -� 11/: 80 KICK -BACK WE1518HH 208 17.5 WE1512HH 230 1 15.7 WE1538HH 200 10.6 WE1532HH 230 9.2 WE1534HH 460 3 4.6 WE1537HH 575 3.7 WE2012H 230 1 18.0 WE2038H 200 12.0 WE203 HH 2 230 11.6 83 WE2034H 460 3 5.8 WE203 HH 575 4.7 Goulds Pumps and the ITT Engineered Blocks Symbol are Goulds Pumps registered trademarks and tradenames of ITT Industries. PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. <& ITT Industries Wisconsip Department of commerce OIL AND SITE EVALUATION Division of safety and Buildings g Page of Bureau of Integrated Services $ with S. ILHR 83.09, Wis. Adm. Code � � n Attach complete site'plan od ess th� inches., O's4e. Plan must County include, but not limited to: verb horizon reference point (SM) 0irection and percent slope, scale or dimensio rth a nd dista a to nearest road. .""? 191 Pa<c ST CROM APPLICANT INFORMATI �; (ease p�DiMMl info �. on. Re 'wed Date E [/ Personal information you provide may be w, s. 15.04 (1) (m)). / 7 Q Property Owner Z Property Location . /Dc/3 x £ Govt. Lot , 1/4 1 /4,S T ,N,R //7/ ) (or Al Property Owner's Mailing Address Lot # Block# Subd. Name or M# City State Zip Code Phone Number ❑ City ❑ village ® Town Nearest Road New Construction Use: ® Residential / Number of bedrooms ` Addition to existing building m Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd* —J— tench, gp l* Absorption area required bed, ft 2 - ,Z:5� ­ trench, ft Maximum design loading rate bed, gpd/ft gpd41 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material .c� Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ® S El [Z S El ®S ❑ U 1 ® S ❑ U I ❑ S ® U ❑ S [9 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Ou. Sz. Copt. Color Gr. Sz. Sh. Bed ' Trench Ground 3 elev Depth to limiting 2 a ; factor fain. Remarks: Boring # Ll O Ground g� • q 3 ft. / —7 cab r / Depth to , limiting fact Min. Rem ks: CST Name (Pea Prin Signature Telephone No. --- �LMA Address � Date CST N Y �� L� Z— PROPERTY OWNER �7 SOIL DESC�iIP ION REPORT Page PARCEL I.D.# / Borin # Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench LIE' 4� s / Ground _ elev. ( I L Depth to limiting factor � A0 in. Remarks: Boring # E l J � Ground elev. Depth to limiting 9Y. g -2 3 2 0 factor Remarks: o a Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD /ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # - =h v y, Ground el / ft. Depth to limiting factor Z/ in. Remarks: Boring # [3 Ground elev. ft. , Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) 1 • . • ..I Do rninant Color Mottles Munsell Ou. Sz. Cont. Color Dominant Color Mottles Munsell • 1 O u. Sz. Cont. Color :� 1 1 f -- ems` 9 7� 3 I I 4 ' e I 7 f ya' S/ � o �= i s� i B� � Jy 00 x 58 ROAD EXT -�e- 096 " 322 i N X � v cn W N XO 00 cD W N O _ I o 435' 13 � 06.53 EAST LINE OF THE N W I /4 OF W ►,� J PLAT i a � o , Aim Sid /Ar / /.I •, /V -G ia: a'ItZ ILV VVV ,YVVf y �•a�I Jy. ywVk� V.v !r'V41V '.V ".•G /IVC� -. VOL. SRPACf5 7 STATY DAR pP w1SCp�tSltr roRM t 1 — t9e2 ,�!^•lQ�QG7 lJl!`!D �0[ViiIACT ,aIa1Wga tart l'orCttrret 1300ur tr4T 140. t�e, AO�na s 14 Rt�DISY � OFFICE ST. arR�IX CO., Yell uc d ContraCt. W and bet -ton —�.61. JAN 0 T 9998 whether one or MM) And �„ ;. A. 5..r. � �� CtygeMsrr", whedww won nw..), VP ., wits an A s to tasty larm,^ .r. veRm ebs t!TT14 s fait pe Tt b rt l ►seta ce — W�ea TerTer W , the rents. V OW. �Asur ti al,r) elthee aPliltrTOt Inunrow ( .011 called c Property rc n.A sA..CC vg gi#g •. row ArtC ADt40 DATA AMC AM flk7w» to ooResis KR1STINA OGLAND 1'.0. S 35 6c O�fanO Hash - on, WE 54016 Fen FEE � wuwaew Lot 4, Plat Pf A3.esa 10110519150 In it*ve 70" in of mxnt3raayt� 6t. txolile L7�iXy, NLsCCf9,'i ehw �� hamclneod ptT+pcsgt w WU purchaser sycca she Pet perry and to i?ay to *sidter al _., matt -a V � — • she wan, of 4 —. in ghr• rvllowtn; mennar !sl Sy�Q+Q� to the esewtbn of tttls G Area end ibl tic balsetas al l r ,73a Aft" A m _. w,gitlt.r .vuh Intacer fr.sl date hrrlenf on the batence outuAr1d1115 float Ilmn, W here at the was of __n& *1L_L1XX_ PeRCns per eruyunt unfit Prit rr rZA11, ar rollowr. QptlssAaI W rung out tho 2rfi3 t7ety of t)febru"7 1998, and Ca the Zed dsp 4t exh and ewa.Y M=th thgX" term etquo). tte� Y lasksJ.lr'rlerlt>a of principal mod' i terw to Labe amount of $242.41. pntoVtdsd, however, ehp t+tuAe wtoandtttgllslanvsslu)! Ae potd in tvll em ar yefwsthe _�. doyof �i9 La L• 35CM (des magnify daft[). RollaMnt, any default to poyrne,t. b.stAGt VhaTl zerue n die nrtc of , $- 1 & Per sm"40 an elx et[r:+t e.na.nt in default ltrhteh Aft; ier.hrde, w[tAtma ho sari o, dsin"ucrt infertiat and. open aeetletltte of MANOp, the el"t►re peineipel bolonet), runcMaaer, unless tagsaxscd y,%fmdo., aAe+aaA to Per rwg.wtmy ua vfw,dre srretwa sallk•ernt to Par straw "ably taeldpead A,vwal 1 mop, q—'A UN W112111.5, ihr artd tit PUdd htuvtssatat Pnr+lutsu wlleft des. To s etaent rec -slved by Vender Vknduc Specs W 6P* paym— to two abllljetl_,, wA due. Sige% awe cAA tetattred. b, Ills lrittdar for payrnox or axes. asocameart: ssd inaon snot will be 4e00"ed taste OR "Geeaw k osi of seetatee aLtoimt, bet thal nvt bear ftiteftlt ttnlfas ahesnNs RVATtEd bj law, tisyment► shall be apptkd ileac nv immix an the unpaid balaf+ee at the rite aperiR.d and cbetf W Pttete[p11. At+y " M um »'w 'C Prepaid withovs promium of {ss UPM pgtnl;ipA at my tlmll� In the Nenc of any pn9rimatit, this contras dealt asst sae ttsatad as In Qrfautl witfl reaprct to pay Itt sV Inng is , .ht unpTM batanet of pg1164ml, And hw ," ¢r1d Kt F49A ewe Vacsulnf 4 0 64 CM Teem frond, to Month Mall be tAC.eed ar un.palr palnetpa!) is Isti'Raa the arxoetr[ [hoe OW Illgizu :dntis ravuld Mn Aeon %old tlso monthly Pry.rcnts, been madt• as Rex slrse,A.d alcove: roosOIA tl shoe monthly ppymmus shalt he Continued eft she ew eft or efttilt of err p+ueaeds of ndwrance or SondrrriPMA 1, the aandemtmD premle M1 -mi-A thereeffer eitduded Hetefrrses. lyrtj,a�eT ftitas 111as Pa rotmecr is agt:aC�td artth [As title oa ahoa+t try the tkk sysAettce >tttlarue[ed tp tr'retKSCr Ev rren,llq[ims exeept: Wane rbret[Atee adtcf/ 40 port, the .W ed future ..Ile eviderIm. if otk w rm Is in the fosne or Ww abarAct, it dvfl be rcrAW-A * Vardor tenefl tltr Fnll pwt:llasR pace Is pill. PrreiSScr Iha Ise enikkd tip take pebeleton. of [he PrePRrer Oft . r-.rtaawtae 'FTATe DAP Of aW ~09111" Low N"ca h[ s+I ►N -a•.�. •fin. W41) t'rthrl�aCT - tndlTiewd s..a 6vgen,e rent M.. to . t �'d `,{oeew ta2ud eGT =TT b0 06 2nd YOl vtrrelraer t'rWrt.faear- whin � P ������ uw datattad teonl a P°Y due *if raaaa and [p koop ahe P aaa fl6lStrM! k.t•.d on thr pJa Pt ahwrtns saeh y y[nmu. partya aason vlrn,fon atTtrmot tq 1t said no Qellmr W Venda At r h shall d % v the "Povera-nu on the p.operr, InanmA oat Ida. I 'd NL S et tiM7lyda rN. Mttr(fr/ '�Y^o+t'+kR, wllhaa[ Crt�Mwr>n T , aka! or dam Oeeaai by ills!, tn R ndtc tfa bus "" War , drat shall M r R. Ilan T ine"nem f �? Gov 1K PCt ter J> negwr tv.araaJe pr nn em room , thdra ttw 8 fslrror'tn1� Wrdor, in [M wm WS N/i vinetf fiat. TSta Il,ilti rfr j 4vnq+n thr at#ndaCd ds bet@' --u underemsc,' tr.Lw. AtRTtoaeraTnyfl khe ilwr ore nil of all use 1n 4wrr of the Ktadnrlf i"NO + ar„0 ppaayy .tire Rattum ter eWnringrbr /ro ihaU'se r pt q rm; otflerw!st a and M[wrbr. Pant dcpraJlttd, wtrA xanden Ou � i►�i Mr writs+[;, the UNAr Pt+ •h t � A[haser aht 1 �ry danla A fifer ae+d enlar o[IwrM'IN or" r In wnnn ohil le OP0 ass,- nOtiat or I— r- ura+.rnnce ati ra h rr,ea �ed• /faavrdrd rpm ur.dvr derma the 1lararOlIdn w wpoir tv be teenOmtaPt<y k 'Ms. [ bo rppltr4 to tworadnn nr repair W rho Proprrty hlrcA+va orvenanta nai [v COMM" watts rtar J�Iv,o wasne M $R ca11anu ed on dot svparsY, fmp•- 1 in ca UIN."' s &FI 1upo1� o Ireup [he f We' ty rf" fre.n ►lets■ 94F~ to Use lira of fhtr Contrast, and I* rrMply ralth ill 1awi. Of�dttlilr aid rcap+lat,t+rr>, sli�tlyd Ch prvPrr"tK '"+idtrr slat In case the puet'hlala rtes with masses( and either .n a am curt arW 1rr 'Pit manner .},love pv m one y s !Hall ire crafty paid and aU cyndtt{fs small he fully perfnrI fAO apecMtd,Vendor w1U on dtrylsnl, e,cecs,s enA dc)Port +0 the Wsrhrte►. a K4trot11y i7etd, In fCt almpla, d 1R n alyd otlex C sl illtatt star gra rod K , , vr 14rs or nrvmMan e. c cy rata tlrr, pet or defaul er cd, In and r,.c.. o a lttk taryere r)tiaa circa is o nc� twektd on N rn t o-ttY ar a defauk M tha n[ rf ■ perlvd - ,6Q -_ APYa laltootin: stir aperJAed due date or In am taint ula derault � n)' p n hc11ra1 m tnantfx let tit - Kwlrfmu tar <onGm+e# fora p rrka 4o f- 6(I- d.�►ldfortrils,rtSer iKSW�anavrirryutherobtiaorJonofvaritaeer old rhhclt, s#adlnL lasattoc ondcr aprtuaet alY4 9 'wr b)f %t- for (:111tw ra panevpalfy or maPkA byQrriTi.d m hash, wtd„ay and Ygn�e be W k.nrrtedisarb dtsr and Payable to reFT, at %rertdtt r%DINI an acrd wl tlwsX cork hMltttth I4swchaver K t +fuJ) Mtn have she fills -tns rtgl,a► itsd temrdlt: fswrble t w an 4MIMrn. na provldrd lb bw or In aquitr G) Ytn,ler . het oprlon. sa wl "k dils Cam= acrd p[ttshavrts pvr�dd� �' as.) In add+tgn sir +tract '+corer tAt ravp.rty heck dlktxdt satire "++n t x1111+ Sale and Inem . a dta oc fail aunt aft amwe rmperly and ttturolldln IfaGtnes. tR web any rgaity of Tedeknprloa a s Aa CarldhJorted k Ir1J1[Ifatldrlr with Yetis•. thrman "M IN dst, d dt4�h N tu! mr ,n AaYmanc ter tfre cnrJre rrto'srrr w ftmhaaaww a tfrttc on mc4 dart and sett:. aracn-n r five Isueundcr (in which w tlltAl !k £arfc:rad as Ilqudated dorm for lsduor CW Peyote ry d /tnrl[aatr lids ►a Rr eafn ., fir or m ATI this C ontact 7' Ct0 vendor acrd as tr:nksl d1.a nc �Y ■tr fw , elk rf W the e Irr nwveandksg kolacwr, wi+1L Inerlas 1>� � or*nsnnl of tires Conr taret to own C 30 1 trrttr Cl therc�ats at the rase is slat sa'Mr tall �,1•kners on f� effect w.rw en star drra d dthkult a d a udteta rsi he[• artrounes due h. 1 i fah *ad PgrCAaknr' Mall be habie 1M a • 4t1)dew : o ', a wfor r Irt which t h 4M( Oumhomr, ?� ow awl Po 16" thereof, OF [r w "! r f l If ) Rtxdw i+rr at l ft .odor moY t�t silos Contrsol at an ar ,� .amuse wry for iJ+s tltlle ut7pMrJ ha-2 trtreriv fire en;alt.JSte tnta 4lFvrchaatr i/tsrl�rliftnrtrr dttd ( - ) VMAdar a This r.,attract A a clwad on thte In a kwo- ., appointed f.4 q*lm any an,x, wwe+ e!' 'n 7 faux Y Miu sv . der (A i+em rJL j oho . ehr Ph s seed any ctt>,1 er du+tttj tiv ndCn ors ryyeenr aOW""S or Ocelots of Vendor. fm . - oud" of snY-f rtk -; n aY.sedan tinder b fit) ut• (Iv) .bear. ! air i t ufvsawh#4 f -'sued M lutpthr and off tugs acrd racpar„rs includrna ktaw.nal* taltorn i 01 i } dor I es Ar rarefy b e b any r awo hq Wde et jW Mien abated w gat) to the owns: rm ptvh,MWd Iya 1Lp d vendor Ir+eTrrred rat mfePr a any reakaQy hnrouR4st Swhtther and shall fir Included In aft by lalw a+rd a xPenaes of 11411 aul0rnae dhall be added to prfnetpal sand paid by Pi&ml oarr, or Incurmd. y Judamerke. Upon the eoer x"crnw. I sir dketa; the pendvacy of any acaton of faroelotwkv of this not IR ca—act, /utshnew rertat to flee e twcety" of die Pnlpeay, v,rltading hetsetteed inferrst. +D CO;fck Clog rrAts lane +4aP ++Knt to ..d such .ens #. segues and I-A" wham db reflected abaft be held ands end pm P / the rrn 4urtnd the prs,dgn..ye/ 044A aW11an pttrehartc shill grit or c art le t sr polle detect. 'trio "I M Ira<f tx by Wa, fan , Ottrey Y e d 4s &M <: uR ohm, gvaafTle 'n`ereJe M.1ht PMp< aso Y hoyerla nidko and" ups r.Irre fear[ or an .deer. way) vrlrhaur the n (S1 tpc°'afu .m aft e P4sc 46 t order N►s Gant to Arsepa Id to full or a p ` atnaern of Vhfrdar knie,tr either the evxtrfand as aea+rlty - sr m nnJelm4ne" W (Tatateat eph "d I$ a pltdsr a sat 9"n ettr of PWThtiWed interest u.ndt 4 �i btdsr[cc /tlta kart•. IA the �6Vetn of Ony "4211 trinkirr, dale w Con f +ht1 e.mr. ' c e n t ire tVtRiardTg belarrar I M: u. ds s Ci shall bceorne inrmtdkatei due s wfthoat %Lwj R �� C +Ule enkltrr % 4hall R' pa. ltse xus.A,,... t*:aS 'tr�Jr . Y nQ payJllifR In fall, at 1�IrfldetT� Optipt'1 riti*t+nAi rltlrkr. 1 3 n ty[dtlruxbL by /Ilrehawr� er undt[r any note jLcu d rhh fgv °vtaauC'"S fy:frtst the R,tFe -.y vn the dw-ca thta eons. ce tcrF. ter am Gtnt�ca. / ttxhazr trey rttake such prlyt.n. nu dtrtt l mo d a+.tehaeer Mai ti, �ymrnt or 1t.e -mown[ [hen due under [Lit OPM& dered in u fraode on Is Con MU, lY Nt Mentlpe�ea tf vtnnit+r rakT, kv A10 fv rod aU pagR crest ao tnrdt by rknehakr. afktlt Ira �knlfOr rrrsyy wi,rs any AefLtab w.tlgrrt4 nar�rg c cJrcr aatb2mucrrt erg o. r AllterTtao rt hmCoaeroctrikt111srb Ja+ d. Tat ritvIpuKitatr. and ftmf aser. (if net p r of trta J "i�Y upon and souls w the ttt.rl>,s of tier hats. lglif rcprn rcnraovea,:znuessora aced a�pts � �n,kdor Subfe,a Ptaprtuy send siV•'ta • Joist In r>Y mmullton 0 •' w #Advr roc a vxtv4W4 conowwwWn Io1Ra brrrtn to rrtnat t oaftcWrAd n� In s he l) 1 sire dad 19 be mask to IV NuInwnt hNnt+f,) A. >'�7set ls1�SU sitSleD�f : tSaAf ) _ (sLTAtJ taw AvinifNkTIGATIU111 AC KIVOWt1 DGhi r 10, . _ � state of WISC Ofa91p„ � ~ �09itr+LlWt..E � s•• or at carnnq J JI 19 8 Peru nat)y eaaw bafent mi this-. da•. 4,r O �'"" _ T .lit . sire nbrn•r mta7rd 71,T1.p; ►�E>olg7rRl EAR Of VASCpNiJ1iV ��• autitottoad by ryga .'Ira' ) As RW tnsoum so be the Pen do Wtim t trod sloe furemns 7M I S INETOOMFrer WAS ON *-rW aY uUmment and Wiv Tmetlat the -mv. Attlrr xfwy lcr. ist_im Og avid. — - l4stt�an NJ 54016_ G+htr+u,.A ntay ee autlrtntrexM -v tKaay PuWte. _ -� Oo�, Wks. ateneasa.g) " t5utA ire not My commlao"" )t psrvtattent. for Woe. pars ewp"no., dstr ,S9 ` tewsr� d r . s . s a r� .e „y +aeer.H.ru M +rM «trw.r Dct,w.ttrrr aatuPtrn. . •.V f,Ano epN TRACT _ p /agrrd .a•t tarsewn - star rktr ar vyrwwa.. Rrrn Vo. / i _ a9rx aow� Wan S`d BBE�- Gbz(SiGI �{�eeW ia�ud eLl :11 fro OE 2nd - - --------------- - 14. �. 9s FYGK� �QD i Z'd BBEfr- GbZ(STG) -,{aeeW 192ud e9T =TT to OE 2nd