HomeMy WebLinkAbout010-1007-95-100-115 - Vq- or7il
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal Information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]
Permit Holders Name City Village Township
DuWayne & Deanna Richert TOWN OF EMERALD
CST BM Elev Insp./ Elev BM Description AM
7
15
TANK INFORMATION
Owl A. I l ELEVATION DATA
TYPE
MANUFACTURER
CAPACITY
Septic
(~J ;P-tsr-
100 0
Dosing
(050
Awatilow
I SZ-S
Holding
TANK SETBACK INFORMATION
TANK TO
A/L1
/
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
�ZTS %
f, `
"- t
._-
—_
Dosing
7 Z51
J
Aeration
Holding
PUMP/SIPHON INFORMATION tM ,4. Zy. 7
Manufacturer Demand
GPM a
a„ s
Model Number
19F51
5 8
TDH
Lit
Fric(I•on L
System He�d5
TQS t
,3
/ 7
Forcemai�nn
Len th
d
Dia.
Z '
Dist ttoPWell
I AA
SOIL ABSORPTION SYSTEM
STATION
BS
HI
FS
ELEV.
Benchmark
All BM
)• 3
loL1Z3
Bldg Se er
JOO. 2I
St/Ht Inlet
.7
SUHt Outlet
Dt Inlet
Dt Bottom
Header/Man.
7.7�
IoZ.Bp
Dist. Pipe
Bot. System
Z. t ZFinal
GradeSt
Cgoyer
V73
A
lal. J>a
BEDFI RENCH
DIMENSIONS
Width
Length
50
{{
1 z la Arr-a, GS
PIT DIMENSIOl
Of Pits
Inside Dia,
Liquid Depth
SETBACK
SYSTEM TO
P/L
BLDG
WELL
LAKE/S
Ma ufact er
INFORMATION
C MBE R
UN
Type Of Systerrl:
V 1'tf71
—J
/d
7`
f'"
NkL
JREEACHIN
Mo umber
DISTRIBUTION SYSTEM
Header/Manifold
3 '
Length Dia
Distribution
Pipe(s) / 7 r
Length Dial
„
I �-
Spacing
x Hole Size I , I
—
x Hole Spacing --7
20 L `
Vent to Air Intake
'( YIA
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only a J v
/` Depth Over xx Depth of xx Seeded7Sodded xx u ched
e ren ter 7) a f1 (A �j Bed/Trench Edges Topsoil Z r r rj u y O
l/ 6 LJ �F} Ves No Jt Yes No
COMMENTS: (Include code dlscrepencies, persons present, etc) Inspection #1:
I
Location: 1750 250TH ST ff p lnay 1 ( 11. C4l4 c t,
1.) Alt BM Description =fur (Ovcr-
}Io O 1
2.) Bldg sewer length - � (n
- amount of cover =
#2.
1vfiivm)
el
Plan revision Required? [Yes Fyn. No O Z I Z
Use other side for additional informatidn' I I/::y:_ ✓M N
SBD-6710 (R.3197) Date Insepctors Ignature Can No fli (�) 31l
/ "will i-2n 5 I — 4_ n
SY
1.'
2.
iiY (
Safety and Buildings Division
Coun y
S{ . eYGi.x
Sanitary Permit Number (to be filled in by Co.)
'
201 W. Washington Ave., P.O. Box 7162
Madison, WI 53707-7162
63�i3�f
ermit Application U
State Transaction Number
e
In accords CAM' is Adm. Code, submission of this form to the appropriate mental unit
O $ 2 (D ZO%2-C
Project Address (if different than mailing address)
is required nor to obtaining a sanitary permit. Note Apphcation forms for state-owned POWTS are s tied to
the Department of Safety and Professional Servics Personal information you provide may be used for secondary
,I
`7^
purposes inaccordance with the PrivacyLaw, s, 15.04 1)(m), Stats.
I _l.J� C'O 'C C-t--
-TT,e.JU J
I. Application Information - Please Print All Information
Property Owner's Name
Parcel q
uw � L�r K1E-
Olc�%a7-QS-/60
Property 0wri Mailing Address
Property location
/ 75 o 250' Z s
Govt Lot
SC- Y., 5C— A, Section -�
City, State
Zip Code Phone
Number
LU (
54013
7f7�-'� -Q ls.�%
T_10 N. R�IE one
11. Type of Building (check all that apply)
Subdivision Name
—
�-I or 2 Family Dwelling- Number of Be¢rooms�
Cp,S ff11AA++A�/++�K-- B1ockH
of
❑PubbeJCommercial- Describe Use
❑ State Owned - Describe Use CSM
Ifni❑City
y' village of ,J
C-4"#
Number V zt� P 5'-r ,.S
Y�*'
/{Ea own of
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A
Ncw Sys[em
❑ Replacement System
❑ Treatment/Holding Tank Replacement Only
❑ Other Modification to Existing System (explain)
B.
Permit Renewal
❑ Permit Revision
❑ Change of Plumber
❑ Permit Transfer to New
List Previous Permit Number and Date Issued
I❑
Before Expiration
Owner
ff
IV. Type of POWTS S stem/Com onent/Device: Check all that a t
�1plr' "
❑ Non -Pressurized In -Ground ❑ Pressunzed In -Ground ❑ Al -Grade P"Mound > 24 in of suitable sod ❑ Mound < 24 m of suitable soil
❑ Holding Tank ❑ Other Dispersal Component xpl n) 01 etreamtent Device (explam)
V. Dispersal/Treatment Area Information•
eel
Design Flow (gpd) I
Design Sod Application R fist)
Dispersal Area Required (sf)
Dispersal Area Pro d is
System Elevation
j0U
&
5t5o {z
soo 30
VI. Tank Info
Capacity in
Gallons
Total
Gallons
d of
Units
Manufacturer
8
Vj/t10 r • �"
o
+-' 2
tin
tin
M
g V
New Tanks
Existing Tanks
a U
U
tin
rna
Sepmc or Holding Tank
&Cap
Dosing Chamber
61, 5-V
VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plum s Name (Print)
Plu 's Sign re
MP/MPRS Number
Business Phone Number
Plumber's Address (Street, City, Slate, Zip Code)
V1II. Coun fDe
artment Use Onl
Approved
❑ D ov
Permit Fee
S
Date Issued
9
gsu AAK�it Signature
❑ iv on for Denial
6�
30 I
IX. Conditions Appr IRteasrnsfm--Hisapproval 3 ��resSa tS �0 -, rLi.I
TEM OWNER -,/ /I
,T •jam ��,yk tOL B'� O�IJp
S pile tank, effluent filter and f0E1'ff��✓/ S1 �'"� 'iVT
d spersal cell must be serviced / maintained ,
a per management plan provided by plumber.' -S DS� �
A setback req uw rements must be maintained .�YT4 O'rt• t'tn'
as per applicable codemrnlnxifa06to compkle plans for the system and *sub to Couary on on paper sot less roan a is z i i es+a vac
f."
D
SBD-6398 (R- 1 V 11) f'�� Psi cQ.2 t9+►MRr
CHECK BOX AS PPPLICAB!-E.
CHECK BOX AS APPLICABLE.❑
SOIL EVALUATION
scale: 10
❑✓ SYSTEM PAGE 2 OF 6
SITE MAP I
4
60 so
PLOT PLAN
PROJECT NAME:
10'
DESIGN FLOW: 300 GPO
(10117b)
DuWayne Richert
/
Attach design low calculot ons for commerdal plans.
PROJECT ADDRESS: 1750 250th St, Emerald, WI
Pipe Material / ASTM Standard (Tables 384.303 & 384.30-5)
N
Sanllay Sewer. PVC I ASTM D3034
BM Symbol: -$n SM Elevamn: 100.0 FT
Force Main: PVC i ASTM D2665
BM oewdpbm grade 0 fenoepost with birdhouse
Nelmle nano q'
IMPORTANT:
Slope Gradient(%) 5 Well Symbol (n applicable): Q
dmNno an rrwi
Show ground elevation contours at suitable intervals.
of Tested Ana:
on tM swoons irr
PiL,
X \\
t�l.st`
�— YY.YI `
N�,— 1-3.-11,
� ia5.15�
2�
---- r IL-
�<�•%RI
�SPS
August 25, 2021
.d�]:1rlY1Gl:T_TWi .1lZ�S7_T
PLAN APPROVAL EXPIRES: 2023-08-26
Plan Review: PWTS-082102072-C
MICHAEL J MYERS
2943 130th Ave
Glenwood City WI 54013
SITE:
DuWayne Richert
1750 250th St
Town of Emerald
St. Croix County
SE, SE, S3, T30N, R16W
Total Amount: $250.00
DIVISION OF INDUSTRY SERVICES
2850 MIDWEST DR STE 104
ONALASKA WI 54650
Contact Through Relay
http://dsps.wi.gov/programWDefauft.aspx
www.wisconsin.gov
Conditionally
APPROVED
DEPT OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
SEE CORRESPONDENCE
Tony Evers - Governor
Dawn Crim - Secretary
FOR:
Description: Two Bedroom Mound System \ Sloping site
Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12), Pressure Distribution
Component Manual — Ver. 2.0, SBD-10706-P (N.01/01, R 10/12), 300 GPD, 44" depth to limiting
factor, Maintenance required, Effluent filter, New construction
The submittal described above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED.
This system Is to be constructed and located in accordance with the enclosed approved plans and with
any component manual(s) referenced above. 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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• A sanitary permit must be obtained from the county where this project is located in accordance with
the requirements of Sec. 145.19, Wis. Slats.
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8
inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If
it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed.
If the site is too wet to prepare, do not proceed until it dries.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be
made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis.
Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the
tank explaining that periodic cleaning of the filter is required.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also
receive a copy of the appropriate operation and maintenance manual(s) and be responsible for
ensuring that POWTS is operated and maintained in accordance with this chapter and the approved
management plan under s. SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a
health hazard, the property owner must follow the contingency plan as described in the approved
plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the
component(s) utilized in the POWTS.
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.
In granting this approval the Division of Industry Services reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats
101,12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe
building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at
the address on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the
owner and any others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely,
Gerard M Swim
POWTS Plan Reviewer, Division of Industry Services
(608)789-7892 — voice 1(608)785-9330 — fax
ferry swim(aDwigov
PAGE 1 OF 6
Remarks:
Mound Plan
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10691-P (N.01/01, R. 10/12) & Version 2.0, SBD-10706-P (N.01/01, R. 10112)
Pg 1 of 6 Index & Cover Page
Pg 2 of 6 Plot Plan
Pg 3 of 6 Mound Cross -Section & Plan View
Pg 4 of 6 Distribution Network Specifications
Pg 5 of 6 Pump Tank Specifications
Pg 6 of 6 Management Plan
Pump Curve POWTS Application for Review
Soil Evaluation Report & Site MaD
Project Name / Description
DuWayne Richert
Owner Name(s): DuWayne Richert
Owner Address: 1750 250th St, Emerald, WI
Phone: 715 _338 _0637
Zip: 54013
Project Address: Same
Govt. Lot: SE 1/4 of SE 1 /4, Section 3 T 30 N-R 16 E ❑ or W ✓❑
Township: Emerald County: St. Croix
Project Parcel ID #:
Designer Information
Designer Name: Michael Myers
Designer Address: 2943 130th Ave, Glenwood City, WI
Phone: 715 -265 -4115
E-mail: mcmyers@centurytel.net
License Number: 267985 Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
Zip: 54013
SEE CORRESPONDENCE
Signature: 12� f �t x� w Date:
Original signature re iced on each submitted copy.
CHECK BOX 4PFJCAb'_E, CHECK SOX AS APPJCQLE.
❑ SOIL EVALUATION Scale: 1°=40' 80 ❑✓ SYSTEM PAGE 2 OF 6
SITE MAP ° a° 50
PLOT PLAN
PROJECT NAME: DeslGn FLaN 300
,' C It grid, 10' GPD
DuWayne Richert / Attach design flow calculations for commercial plans.
?RO.IECTADDRESS 1750250th St, Emerald, WI Pipe Material; ASTM Standard (Tables 384,30-36 384.30-5)
00.0 N Sandary Sewer PVC ASTMD3034
am Sym9o1' +� aM Elevation' FT
aM Deecnptwo grade fencepost with birdhouse Fmce Maus PVC ASTM 02665
Sloe Gradient (°,FI �rG!ca•e rc^,� rt IMPORTANT:
of Tested Area, 5 Well Symcd ;d appllcaolel O -a.o-; a- Show ground elevation contours at suitable intervals,
a Pe aopopme IM
Y �r�
a
hI
� dr � •
' td•.sa �d.r<
`v
..y1P
k
J- - C /L- -
W = 20.2 it
r
r r p
fabric)over distribution pipe. and covered with
approved synthetic
ASTM C-33 SAND FILL
Plowed Surface
SINGLE -CELL
MOUND DISPERSAL AREA
MEMIN. 6.0" OF TOPSOIL COVER
min. 1.0 It
r--O 1-- O
Surface Contour
Elevation = 101.14 it
(Show forre main, manifold and flush valve locations on plan view )
5 % Slone
�D= 10 it
E = 13.6 it
System Elevation = 101.97 it
Lateral Invert Elevation = 102.65 it
CROSS SECTION VIEW
(No Scale)
PLAN VIEW
(No Scale)
1 112 " 0 Schdl 40 f 1�
PVC I ateral = 5.6 it 8.33 ft
(typical) 1 I ! (types)
Observat" C I
L_--- — — — — — —------------ — ---J
I a = 50 it I I�
1= 8.6 it K= 8.4 it
Ovpicag)
Bend as necessary to fellow contour
DOWNSLOPE TOE
L = 66.8 it
Prohibit disturbance and vehicular teak
within 15 feet of downslope toe.
Reset Page
DISTRIBUTION NETWORK SPECIFICATIONS
FLUSH VALVE DETAIL
(No Scale)
Orifice in — — Valve Box
Center of Threaded Cap (insulation optional)
for Head Testing
(optional) \
I I \
Ball Valve ) \
(optional) \
Orifices equally spaced
(check a) OR b) below)
a) 0 along bottom of lateral
b) n along top of lateral
with every ___ th hole
facing down
(No Scale)
Lateral Spacing
S= 3
Shield orifices for
graveness applications
_� = - ( cacerar Lengm lrl = 4y n
Flush Valve
Assembly
(typical - see detail)
LATERAL INVERT ELEVATION = 102.65
(typical)
- %= y-
Last Orifice
(riser pipes
optional)
2 'O Slh'dl 40
PVC Manifold
2 -O Schd140
PVC Force Main
(slope to pump tank
r for drain -back)
Laterals to be level
First Orifice
(typical)
-'�--Schdl40 PVC Lateral 11/2 in
(typical)
Number of Orifices per Lateral = 30
Orifices equally spaced
along bottom of lateral
(typical) Orifice Spacing (x) = 20.28 in
(typical)
OBSERVATION PIPE DETAIL
(No Scale)
Screw -Type or ,�-�, y Finished Grade
Slip Cap (hose) +• (mulched $ seeded)
4.0 PVC Pipe —
Top of pipe to teminate
at or above finished grade
(4) 114 '112- x 6- Slots
@ A apart
Anchoring Device
-�— Topsoil Cover
(min. 1 foot)
Infiltration
�._ Surface
Orifice Discharge Rate = .412 gpm
Number of Laterals = 2
Lateral Discharge Rate = 6.18 gpm
TOTAL DISCHARGE RATE _ 12.36 GPM
Orifice Diameter= •125 In
(typical) First Orifice
(typical)
I— x END MANIFOLD
Check (typical) Wj CONNECTION
applicable box. Manifold
First Orifice (riser pipe optional) D
(typical)
- -�-xn- xn- x-�----� m
(tylNcail) (tyvical)
Manifold CENTER MANIFOLD n
(riser pipeoptlonal) CONNECTION 0)
PAGE 5OF6
SEPTIC / PUMP TANK SPECIFICATIONS
4'9 Vent
(No Scale)
Papa
>10't 'mm
BuJding Ek Mcam musl mm*win
12' MI^ a 2 0 fl aooae SPS 316 and NEC 300
EmOshed Flood Ebvalwr .n
Weatnerproo' Eend anear as nas necessary.
(ryptsp Juncwr Box
Vporo�ed Approved Locking Manhole
IMPORTANT: u+th Warning Lahsl Attamad
Anchor tank(s) as necessary ` (rypoal)
pursuant to SPS 383.43 —Caotlotl
P 8{)(g) a• nun. o• ao n above
Esuonsned Fkwd Elevatwn
I T/ ;rydcap
Finlsned Grace
CAPACITIES @ 17 gaUn
Depth (in) FVolume (gal) L
A 1 20.9 354.7
B 2.0 34 A
[C] 5.4 91.3
D 10 170 e
I iC)
*Pump Tank Liquid Level = 38.2 in ' Pump rp
Force Main Diameter = 2 in
Force Main Length = 80 ft
Force Main Void Volume = 13.9 gal
Avugrl Seal
Quick
Dmm'nect f
1 Er Mn.
(typical)
1
weep
\
`Approved Joints with
Mole
Approved Rpe 3 n orto
Sole Ground
(rywrary
Alarm
3' Approved Bedding Maledal Bonsai- Tons
[C] Total Dose Volume (TDV) = 65.7 gal/dose
(5X total lateral void volume <_ TDV < 0.2X design flow)
+ (force main drainback volume)
MIN. PUMP DISCHARGE RATE = 24.7 gpm
PUMP -OFF
ELEVATION = 91.8 ft
INSIDE BOTTOM
ELEVATION = 91 ft
Vertical Head = 10.97 ft
+ Min. Supply Head =� 5 ft
+ FM Friction Loss = 1.08 ft
+ Fitting Loss" = 1.95 ft
'(min. supply head x 0.3)
= TOTAL DYNAMIC HEAD = 20.5 ft
PUMP TANK:
SEPTIC TANK(S):
Volume = 650 gal
Total Volume =
1000 gal
ManufactureWieser Conctrete
Manufacturer(s):
Wieser Concrete
Pump Manufacturer: Goulds
Pump Model: iP( Q�lseeaaad
Install approved effluent
filter at the septic tank outlet
ed WTp�Ne l
immediately upstream
of the pump tank inlet.
Filter Manufacturer:
Polylok
Controls/Alarm Manufacturer: SJE Rhombus
Controls/Alarm Model: PSP120V6H150P17A
Filter Model:
525
Float switches containing mercury are prohibited
PAGE 6OF6
Mound Management Plan
IMPORTANT:
The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be
considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore,
all inspection and maintenance activities shall be performed by a registered POWTS Maintalner in accordance with SPS
383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow =
rill
gpd; BODs <_ 220 mgL''; TSS 5150 rrI FOG <_ 30 mgL`
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
c age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e.. pumps, valves, switches, floats, etc.)
c material fatigue (i.e_ leaks, breaks, corrosion, etc.)
c solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution i drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
c extent of ponding in distribution cell prior to dosing
o dosing irregularities (i.e., pump recycling, float switch settings, etc.)
c electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
I distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Slats, when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
o Distribution laterals shall be flushed once every 3 years or when necessary.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Northland Plumbing Inc
Phone: 715-265-4115
Local government unit: St. Croix County Zoning Phone: 715-386-4660
Local government unit address: 1101 Carmichael Rd, Hudson, WI Zip. 54016
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be
re -constructed within the originally approved area after removal of all failed components.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc, Admin. Code
'OULDS PUMPS
APPLICATIONS
Scec a y des gned for;He
'o ow,ng uses:
• Vound Systems
• Effluent/Dosing Systems
• Low Pressure Pipe Systems
"� • ?ase•nentDraining
• Heavy Duty Sumo/
De:vate^ng
,'E'E Is -EET
40
PE5`
35�
OL !---
30 `PE
<
25
z 20
r
SPECIFICATIONS
Pump -General:
• D'scha,ge: 1 A P P'
• 'emperature: 1C40F (40°C)
maximum, continuous when
fu4y submerged.
• Solids handling: '/1"
maximum sphere
• Automatic mode's include a
`cat sw'ch.
• Vanual ^odels avar.ab'e.
• P;.mc'ng •ange: see
oer`ormance chart or curve
PE31 Pump:
• Maximum capacty: 53 G°V
• Maximum head: 25: TDI
PE41 Pump:
• Maximum capacity: 61 GPV
• Vax;mum head 29' TDH
PE51 Pump:
• Maximum capa, ry. 70 G P V
• Maximum head. 37' TDH
5
c�
0
Z 2004 ',7' Whin TKhnatogry,'mc
E•'Mve June 2C-04
BPE31'4'
Submersible
Effluent Pump
PE
MOTOR
General:
• 4^g e erase
• EC Here
• 1' S a-c 230 vo°.s
• Eu: •:r ther^ai overtoac oro-
tec:cn vr:^ automa'i< reset
• C ass 3 ,"s- 2'. o^
•:•fileccesgr
• - g^ 5:•e-gt- ca'co^ stee
S^ZH.
PE31 Motor
• 33 ' P 3000 RPV
15:c:s
• Snadec c^O e ces gr
PE41 Motor:
• .40 HP. 3400 RPr:
• 115 a^d 230 volts
• PSC desgn
PE51 Motor:
5C -° 34C_. pp",
' � a' U. vc :s
• csC cesgr
33 4C
FEATURES
■ C0•'c5'c" res'S•Z"
cclsruct c-,
■ Cas' 'o- cocv
■'-e• oc asuc moe' e• a^c
cove,.
■ unoe• s'eeve and lo'we'
heavy d :y oa' oear rig
cols: X..'o
' o'cr s pe' 2ne'•-y
.;b^ca'ed �o• exte^ded
sev.ce'i`e.
■ powe•eo �0' cc^truous
cDe'atior.
■ AI' raDres are W
vc'K ngJ rn;' G. t,e mG:o'
■ cK c scor^en cover
cord, 20' standard'ength,
`,eavy duty 16,13 Si Tlv with
"S o' 230 vo'c c•ourc no
■ Crro e:e s bear
eo^zc'e a^c xTeacr
■ Vec"rmcal sea is aruc-
ce•arr-c, 3"AA and s:a:r!ess
stee:.
■ sta n'ess steel 425:ene's
AGENCY LISTINGS
e's
Tested to UL 778 and
CSA 22.2 108 Standards
ay Cariedbn Standards Qssooatior.
F4 #L438549
Gou ds Pv'^pf is ISO 90V Registered.
Goulds Pumps
CAPQCIry
ITT Industries
V-1/
VJs -)eo: or Swet)' anc Orcressionai Seti:zes SOI_ =VALUA T ION RRPOR T -
ana
.�i10.5iG, of Sa%e;v dnG Bll,ld'nDs _ --
ur, accordacc- vn:r S?S 395 /Vis Aom Code
count' �7<
A!;a_n „dmp:ete site aar on paper not less than E 1'2 x t' i,^.cries in size. Plan must L
nc!aGe but no: ilm.tec tc ve'Ida! anc nonzontai rer=_rer::e can; +E;W a.rect:on a•r
cant s;DDe scale r dlmersi_ls ''e^.r a -•ow ar-,c lxatio- arc dista^ce ;o ^ea,es' 'cac a l0 't Oc'7- 95-lop
Please print all information. ReV1eVeo Dy Date
`ormanor you orowoe may ce uaea tv seconca� ou•.^ses ;Pr, a:.. _as s 1_ r4 .1 i +,ml+
P'Dpwly Owner rrooery Loat;on
_ . Sb vaSE,+a s 3 '30 IN = l(e =io- ^.
a"c_-9-v Own • s tdailm- Address ` Blo-! # $tlCC
/75-u 254 t 3/-
r/o
S:a e by Code Pro^.e NumDer pry ❑Vd;age Tow Nearest Roac
J�asire(p/ k I SY/ur3 ! (jt5 ,33��4� 7+1.a(C r.•:..+skrp 2So/LSf
New Constrnchon use Res Dental Yarnoar of oeo"do^-s 2- Ccoe de•nca dil-m- fbw -ate 24'e
GPD I
Neolacemer: aubacor commerc;a! - Des--,ce
Par n: matena4/d c /i:i-/ 7
/7 // ,Dod Plam elevat on aDDI!caole
3ene. al comments
anc reco.mmencianors
/ Eor.rc t � Eton_
o,t Grnul- sirface ele\ /43 /5 Dent- ,C Ilrnibno `actor :-
',, Horizon : Decth
In-
p
j Dominant CoforRedox Demnot:cr
Hansel' Cu Sz Cor t. Cola
Texture
Structjre
G,. Sz. Sh.
Consistence
Boundary
Roos
Gap/ft '
/
a-9
/area/z
s/l
2'A jA iiii
dl
e"
2
!9-/8
/o74511
/o7RG//e�
S6
Gts,
inr�.
�S
/�
5'6
5
4
l//- 44
/d 4W &p
I. i
/�s(g '76wR
s 3C.
�s�k Ihe.jci' [ S'
o.o
I I i
r
Z �rr3 tr a::ing
_� P,,• ^vrD.:nD sur`ace elea (d/. /y r, Cep:- to Lm: g rarer' _5'2_ r----
-irzcn ' Cat•, , Dom'ran; Ccld, Reeox Cesc•+o::c^I -eav re S:"., c?ure tic,-siste^w '5oundarJ Roos I G'C+f;
1`7
i im,nseli
i �u sz -on, _mT
Sr. Sz S:
' 'Er:' •✓~ft#2 '
%/-Z I lD`/R'`�2/
'I
S/ /
2n•SbK
05
L' 5-
6 Y9 6/8
S6
Os�
/n�G/
cS
/F
Sb
56
c/
Y/- /7 y P Y9 'YE
S
Gsq
C 5
— '7
/• G
ti
17-52 is Ie 5/8
-7 "(
ri `7.2 i;'�r'r�s...ir Si.
� </L
-
-
(, i51-G?/o?e % i � 5'c /f��k- i i"��i I c. S— � o• c/ �• � I
ENwen'. c• = SOC > 3- ' 22:. -na+L ano 735 >3: ' ,5C m91 EHja^d *2 = K: D < 3c m_erL and SS 3^ Tor —_
;!�T NamCjatease int S� n
2� y
-/A mate -e o one Number
_': ai.,auon ..CrIC1JG'e; 19 h
kr��C77/5"2&5 Y//5
P-ooem 'Owner y. /�c.�.oY�" Parc>: ID#
3 { 3onnc 7-1Boring—
�. pi. Grouna suiace elev. /a/• /Y t
O/O 16,0 y'`r/eu
Dept to lunitmc `actor
?age
Z or J�
SoiAnpliaatio^ Rate
Horizon. ; Deptr i Dominant Dolor! Redox Descriohon
ir.. Munser Oc. Sz Con;. Corr
I Texture
I Structure
Gr. Sz. Sri
-ons:Slen z
3cundary
.
i Rio s GPJ'h '
>'
2ms6k
if
2
''(/-2/ (oY,¢•s/Y '
! s,/
2.rr6.�
�s
c s
/�'
; , �
! ,�
..5- ' S
y
;3/-6 -7 (o m-4'/y
l
lnri%,
CS
I
1 i
'
I
i
8orir ! i Bcncg p.36
a Ground su�ace °:_v. AP f
Dept^ to lim:Sng :actor 2� -
Soil AooDcaaon Rate
n.r zor. Depth !Janiran'. Co:or; Redcz Descripbc=
M. P.lunsalCu. Sz Con: Cola:
-exUra_
S:-uc:u,e
Gr, Sz.
�onsis;ence
ounaa-�
!Roes
I Lf
?✓
I/a-2u/dy,2siy i
s//
�2/xs6�
I ds
es
sr./
2ms,6/�
'tnVq
Cl
! 14 It 0/9 I
3 �'
OSy
j -h �'/
c jr
-
15, b : 5
_ l�
Yy-52/49%e.
cs
-7
4-7 7y /aY/L �/g I7 SY� 8�
sG
1Fr6k : lh��y
! c S
-
E7.0 z) u
5oring # (✓' Bonn@
__ J � Pit ;;round sur'ace stet'. y�
'?. 'aatr ?c iirc:nn3 factor 5 �
ir.
—
Sc::.Aooka;ic^ Ratn
;ior¢on Deaf.^.
m
JominantCoiori RedorDescnpt1or
Munsel! i 0,. Sz cnt Coro'
'ax�re
Sr..ct,.re
Sz. Sir
Corns?ends !3ourcwr
j
I Rocs GPJ,:'
'c!`K+ '�'f42
/
ID -13
d!
Z
1/3-24 (de 2S/Y
s,l 2ms6K
ds
e s
;(�r
3
b
z3 `l��/e r� /�
j
s
o s
�n v�,,
�. 5.
/ F
5S�
y� s� m r����,
s
cisf
•� /
s -
-
?
j�5-Y,���f1dsP s+
5e
i"'Af6K i
AW—ol I
C5
_�
a �
lar?
I
EM,eni r.' = BOO I > 30 = 220 M:91; and "SS >30 11 5C mg!_ ' Esluent F2 = 3GD < 3' mg'L and TSS <30 r,.g''L
'f ne Dent. of Safen and Professional Services 9s an equa' opportunity service provider and empioger. 1 y ou need assistance to
access services er need rnatcriai in ac alternate forma: eu,tcuc; t c department a. 608-266-- 1_ ! or Tl Y th.ousF. Rolm
CHECK ROX AS A-RJCASLS
CHECK BOX AS APPUCA6_E.
F✓
SOIL EVALUATION
Scale: " 40'
SYSTEM PAGE 2 OF
SITE MAP
PLOT PLAN
PROJECT NAME:
DESIGN FLOW GPD
('G If grid; ' tpr
DuWayne Richert
Attach design flow, calculations for commerdal plans.
PROJECT ADDRESS:
1750 250th St, Emerald, WI
Pioe Material.; ASTM Standard (Taoles 384.30-3 & 384.30-5)
MIA.$yTEd: $.
amElevahm' 100.o
N
R
Saneary Sewwer:
FV ce Matt /
But Deccnplwn:
grade @fencepost with birdhouse
'
Shoe Gradient (hi
5% w«w Syrnba (iraPPicabie): p
1^ewe row oy
da,.tn an arrow
IMPORTANT:
Show ground elevation contours at suitable intervals.
ul Tested Area:
�. RA. e�rapra aY.
I''�
82
1o5./S`
` (cc 3a'
Y3
C�i yr/x L �>
SF%y SE% S3 -r?vti/ Iz 16
%wWlaL[ra" AJKr1�
--------------
v
u
T�
- --
i
ST. CR . UNTY SANITARY SYSTEM Filece
Office Use Only
OWNERSHIP/ADDRESS FORM Cre tcd 212021
Community Development Department will utilize this information to provide the property owner with
information regarding operation and maintenance of your new or replacement sanitary system! This
information will be provided as part of our ongoing efforts to protect public health, your well, groundwater,
surface water, property values, and county resources. Once approved, this completed form and educational
information will be sent to you by email. If you would like to view your issued sanitary permit online, you can
do so by using the property Files Scanned weblink.
OWNER/BUYER INFORMATION
Owner/Buyer
Mailing Address / 7So
City/State/Zip E~,,w//f u1/ -ya/3
Phone Number (required) 7IF 338- 64,?7
Email Address
Parcel Identification Number /do7— y§ —
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
Property Location SEY4 ,SE 1/4 , Sec. .3T 30N R16W, Town of F_irurycl0/
Subdivision Plat:
Certified Survey Map #.
Warranty Deed #
Number of bedrooms
Lot # 6.
Volume 2 c( , Page # SZD q
06 (before 2006)Volume Page #
2 Spec house 0 yesAfno Lot lines identifiableAryes O no
OFFICE USE ONLY
New Property Address 2 So S+• (C 60
(Verification of new address required from Community Deve opment Departme
44- 2Q
(St ff Initials) I (Date)
for new construction.)
This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications.
New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified
survey map if reference is made in the warranty deed.
Community Development Department— Land Use Division
715-386-4680 St. Croix County Government Center 715-245-4250 Fax
cddCc1)sccwl gov 1101 Carmichael Road, Hudson, WI 54016 sccwi aov
ti
I,D^�IL
CST-aoa i— 31y�
W-s Dept of Safety and Profc sional SerweA SOIL EvAtOPage t of�
Division of Safety and Buildin f J C I
in accordance with SPS 385, Ws. Adm. Code
• r County
Attach complete site plan o papgfiil@�CIdrLS..tjb@Iiir�k:hh in has in size. Plan must
include but not limited to: v omit (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow. and location and distance to nearest road d /0 - 6 S- /OO
Please print al! information. Reviewed by Date
cantonal information you crovioe may be uses to, secondary purposes (Pnvacy Law. S. 15.04 (1) (m))
V30
Property Owner Property Location
i \ -
lJ"W R,c �,- f GovL Lot S I M S E 114 S S T ,�� N R E (or
Property Owrlars Mailing Address Lot//# Block # Subd. Name o
/ -7 2 5J'`A d it,,- (O ANIIIIIINW?
City State Zip Code Prone Number ❑ City ❑ Village I[PTown Nearest Road
New Construction Use. Residential f Number of bedrooms 2- Code derived design flow rate 3a0 GPD
Replacement ❑ Public or commercial - Describe
Parent material 9/ C!m/ -/7 // Flood Plain elevation if applicable ft
General comments
and recommendations
nBoring
/
I
Boring
#
Pit Ground surface elev /03 15 ft Depth to limiting factor in.
Soil Application Rate
Horizon
Depth
in,
Dommant Color
Munsell
Redox Description
Ou. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
onststence
oundary
Roots
GPD/fl t
ff#1
ff#2
/
o-9
/0Y41/7-
siI
2nt 6
all
ES
/
t&
-'8
2
q-/r3
Io7� 5�Y
S.
2Ars6.�
ds
-t S
/r�
6e
S
3
/8.4'/
/o7K�/8
4Ds5
U5
/AVIP,
6.7
/
5"4
, 5
y
yl-Y
/eYX(-/g
M l
S
—
7
/ 4
5
yy lot'
/iy,2 S/S
1 7641KCf'8 :P/d3i d j
sC
/ ASsA
/net,'
� S
—
(51,0
0.0
,>60I40 <9v
Boring # Boring
I ® pit Ground surface elev /�/ �/ ft. Depth to limiting factor
Solt Aonl�t7
Horizon
Depth
m,
Dominant Color
Munsell
Redox Descnphon
Qu. Sz Cont Color
Texture
Structure
Gr. Sz Sh
onsistence
oundary
Roots
'
GPDfft '
ff#1
ff#2
D-/i
/dYlL3�Y
2M56/T
d
0,
/I-Z`f
ID K5/
Sit
2.r5:6K
015
d
3 t
2y'y/
/eYR ('/g
S6
Os
m��i
rS
/F'
„s
, 56
'Y/-Y7
/orR/-s
s
a
mot"
cs
—
7
/.G
S
'I 52
/n 711. 579
7.5ye 1- ;7,ff
SG
m f 6 A
O.
42 G7
/ore �/p
so
/fs�/5
ryu<�
c S
—
ar
o, o
' Effluent #1 . BOD � > 30 < 220 mg1L and TSS >30 < 150 mg/L ' Effluent #2 = BOU , < 3C mdrL and t ss < 30 marl -
CST
Numbe
C5T Nam�^jPlease ' �'7 pn//I Jyfe �� Z !a 7/��'rs.
Address -/ Date Evaluation Conducted Telephone Number
7 10- 2o- '7i5--2�5 Y// 5
► 'ram
NO, 633934
STATE SANIT XRY PERMIT
UqPR.4V9FE�RfR�MEAL PRC\90ryS V0.
1_ Rimrip'l:4
PLUMBER
TOWN OFF
SEC ,T
11
N, R
0
EXPIRES
LIC.#
14JBDIVISION
CHAPTER 145.135 RiWISCONSIN STATUTES
(a) The purpose of the sanitary permit is to allow installation
of the private sewage system described in the permit.
(b) The approval of the sanitary permit is based on
regulations in force on the date of approval.
(c) The sanitary permit is valid and may be renewed for a
specified period.
(it) Changed regulations will not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will be based on
regulations in force at the time renewal is sought, and that
changed regulations may impede renewal.
(f) The sanitary permit is transferable.
History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of
the permit, please contact the county authority.
ISSUING OFFICER — DATE
RENEWED BEFORE THAT DATE
POST IN PLAIN VIEW
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
SBD-06499 (RI1/20)