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HomeMy WebLinkAbout032-2167-43-000 Wisconsin De of Commerce County r ei' PRIVATE SEWAGE SYSTEM St. C roix o SaS,7ty and Building Division INSPECTION REPORT Sanitary Permit No: 463168 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: Pinecliff Partnership Somerset Township 032 - 2167 -43 -000 CST BM Elev: Insp. BM Elev: BM Descri tion: Lrk SectionlTown/Range /Map No: /* " r.�t �. 26.31.19.1423 TANK INFORMATION ELEVA ION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 5(0 �/)() • 51c d a Septic Uj^ ^ �� S Z 1 7 j ,l Benc ark ^� � l �� Dosing t1 Z L�l� Alt. BM 6 17-7 I �DD •l� Aeration Bldg. Sewer 17. qz .71 Holding St/Ht Inlet g/ C l - Z l� •la SVHt Outlet TANK SETBACK INFORMATION K . `I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet v 1 Septic , i / DtBottom _K g Zz"a Dosing Header /Man. �(o 3 q`7 Aeration Dist. Pipe Holding Bot. System d , � PUMP /SIPHON INFORMATION Final Grade � 6 �( Manufacturer Demand St Cover �y of GPM IZ - 5 7 O r Z3 Model Number � � � Z °-, l� / TDH Lift Friction Loss System Head TDH F (o /8'bu I T9 w . 1:> 2_(O. a Forcemain Length i Dia. it Dist. to Well i SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. k;T PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /Cc SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT 7 Sb 7 / 00 11 _ Model Number: DISTRIBUTION SYSTEM Header /Manifold li Distribution Tle Size I x Hole Spacing Vent to Air Intake I Length Dia P ipe(s) ength I o ` Dia r iZ Spacing I 41 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only `A Depth Over / Depth Over xx Depth of xx Seeded /Sodded es o No xx Mulched Bed/Trench Center �' / Bed/Trench Edges ` Topsoil ` No s COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Inspection #2: Location: 655 196th Ave. Somerset, WI 54025 (SE 1/4 NW 1/4 26 T31 R19W) Pinecliff 2nd Addition L 43 Parcel.lo: 26.31.19.1Q3 1.) Alt BM Description= 2.) Bldg sewer length - amount of cover = i S . C D Plan revision Required? 0 Yes No Use other side for additional information. __ __ Date Insepctor's Si nature Cart. No. SBD -6710 (R.3/97) " Safety and Buildings Division County / N 201 W. Washington Ave., P.O. Box 7162 Nv isconsin Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)266 -31 ) /_ Sanitary Permit Application � State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provi O /Q 7 may be used for secondary purposes Privacy La x, s15,0 (1)(m) ject Address (if different than mailing address) I. Application Information — Please Print All Information / I Pr erty O er's Name OCT 2 7 2004 Parcel #� Lo y, j Block # 3 - /Pr" e32 rope Owner's ai mg Address ti/� N,h . Property Location /T ZONING OFFICE 7 / [� City, S to Zip Code Phone Number Section (circle T N; R�E I. Type of Building (check all that apply) 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name C ° " " El Public /Commercial — Describe Use y� / I I A ❑State Owned — Describe Use u ?� 5 ❑City_ ❑Village Township of 1II. Type of Permit: (Check only one box on line A. Complete line B if applicable) A New System ❑ R System y p y ❑ Treatment/Holding Tank Replacement Only 11 Other Modification to Existing System B. 11 Permit Renewal El Permit Revision ❑Change of [I Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ❑ Non — Pressurized In- Ground X Mound >24 in. o f su it ab le soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ � Constructed Wetland 11 Pressurized In- Ground El Holding Tank ❑ Peat Filter El Aerobic Treatment Unit El Recirculating Sandyter , LJ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel- ss Pipe Other (explain) V. Dis ersaVrreatment Area Information: S Design Flow (gpd) Design �S t1 Applicatio Rate(gpdsf) Dispersal Area Requ ed (sf) Dispersal Area Pro osed (sf) stem Elevation 4 o (d"o ✓- VI. Tank Info Capacity to Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank // /Ay — \� Aerobic Treatment Unit k/ k W►"'�y// ` / J l� ' Dosing Chamber VII. Respo ibility Statement- I, the undersigned, ass- responsibility for installation of the POWTS shown on the attached plans. Plu� a t) Plumber's i MP/MPRS Number Business Phone Number J P u er's dd ss (Street, City, S te, Zip ode) VIII. un /De artment Use Onl pproved 11 Disapproved Sanitary Permit Fee (inc udes Groundwater Da Issued Issuing Age t Si ature ps) Surcharge Fee) d� — ( O El Owner Given Reason for Denial (� d IX. Conditions of A proval/Reasons for isapproval SYSTEM OWNED: ep Ic tank, effluent filter and dispersal cell must all be serviced/ maintain-0 tJ as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ ordinances. v+t G Attach complete plans (to the County only) for the system on paper not less than 812 x I I inches in size SBD -6398 (R. 01/03) . : 1 I - 0'3 Ilk I I I I I I I i II i I ! , I I I - - I I I i I I � i I : j I I I � � I I I I I I wl I I r � I I - _ I 1 -_ I I - -� • I ! I �.__ i 4 kp I I I I I I i I , - 1 I " t l I - Safety and Buildings 10541N RANCH ROAD Commercemi.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 i s c o n s i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary I October 22, 2004 CUST ID No.224263 ATTN.- POWTS Inspector KIM A O CONNELL ZONING OFFICE K.O. CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers P LAN APPROVAL EXPIRES: 10/22/2006 Transaction No. 1068780 SITE: Site ID No. 690811 Mike Hartman Please refer to both identification numbers, 62ND St above, in all correspondence with the agency. Town of Somerset St Croix County SE1 /4, NW1 /4, S26, T31N, R19W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 986040 Maintenance required; 600 GPD Flow rate; 29 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". 6 • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may result in enforcement action under s. 145. 10, Stats. A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this responsibility eview shall relieve the designer ner of the for designing a sa fe building, structure or component. KIM A O CONNELL Page 2 10/22/2004 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincel , Fee Required $ 175.00 / Fee Received $ 175.00 ' Balance Due $ 0.00 Thomas E Devereaux Plumbing / POWTS Reviewer II , Integrated Services WiSMART code: 7633 (715)634-3026, 7:15 am - 4:00 pm Mon. - Fri. tevereaux @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: MIKE HARTMAN HARTMAN HOMES Owner's Name: MIKE HARTM AN Owner's Address: 755 RYAN DRIVE HUDSON WI 54016 Legal Description: SE-- NW-- SEC26 - -T31 N - -R19W Township: SOMERSET County: ST. CROIX Subdivision Name: PINECLIFF 2ND ADD Lot Number: 43 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title e Page 2 Data entry �t Page 3 Mound drawings) Page 4 Lateral and dose tank . 4� Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN Designer: KIM A OCON ELL License Number: 224263 Date: 10/03/04 Phone Number: 715 - 755 -3145 i Signature. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Pagel of 8 I ' Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking coliform of - 36 inches. Factor e. . 1.5 = 150%) 9 ( 9 600.00 Design Flow (gpd) 10.00 Site Slope ( %) 95.50 Contour Line Elevation (ft) 29.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6760 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.09 ft /orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? L � 86.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) q� 9.92 Vertical Lift (ft) 90.43 5x Void Volume (gal) Jr 1.94 Friction Loss (ft) 110.01 Minimum Dose Volume (gal) Zb O 183-6 Total Dynamic Head (ft) 27.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x X 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 1260.00 Total Tank Capacity (gal) 1260.001 Septic Tank Capacity (gal) 1 52.001 Total Working Liquid Depth (in) WEEKS IManufacturer 1 24.23 gal /in (enter result in cell B49) Dose Tank Information Effluent Filt Inf ormation 800.001 Dose Tank Capacity (gal) JZabel _ Filter Manufacturer 21.761 Dose Tank Volume (gal /in) JA1 00 Filter Model Number WEEKS IManufacturer Project: MIKE HARTMAN HARTMAN HOMES Page 2 of 8 I Mound Plan View 1/10 B J Observation Pipe ;. .... _ 3 K a n W I 1 _ .: ... --� I :•.•�-. .......................... ............................ ............................... L � Mound Component Dimensions A 6.00 ft E 14.20 in H 1.00 ft K Aft ft B 100.00 ft F 9.50 in I 10.61 ft L ft D 7.00 in G 0.50 ft J 4.33 ft W 600.00 (ft Dispersal Cell Area !1660.71 (ft 2 ) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.88 (ft) --► ♦ H F Dispersal Cell " 96.58 (ft) Lateral atera 96.08 ft —� ---- () ► Invert Dispersal Cell ....[] ............... ...... . E D 3 Elevation :::�:.:• :.:.:.:.:.:.:.:.:•. 95.50 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key b T Dispersal Cell See lateral details on [] Topsoil Cap .a 1.5 ft Page 4 for number, Subsoil Cap a r + =t size, and spacing of ASTM C33 Sand ` © 'o F laterals. Laterals are ®0 Tilled Layer c 0.5 ft Typical Lateral equally spaced from 5Q Aggregate o Q the distribution cell's A centerline in the distribution cell (AxB). Project: MIKE HARTMAN HARTMAN HOMES Page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the A' &B dimension = Turn -u p iW be I I valve or of ea n out pi uy P .I All laterals are identical I<- x �I H61 es dfilled on the bottom of the lateral S equally spaced FUroe TTrain QiDnnFCtiOn Vi3te2 Or rsf055`tomattliOld at �nypOlnt. Laterals &Force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.08 ft Lateral Length (P) 98.56 ft Orifices per Lateral 33 Lateral Spacing (S) 3.00 ft Orifice Density 9.09 ft /orifice Lateral Flow Rate 13:59 gpm Manifold Length 3.00 ft System Flow Rate 27.19 gpm Manifold Diameter 1.50 in Total Dynamic�Head 18.36 ft Forcemain Velocity 2.78 ft/sec Dose- Tank I nforma tio n- Locking cover with warning label and locking device and sealed watertight Disconnect Electrical as per NEC 300 and ----► Comm 16.28 WAC 4 in. min. Tank component is properly vented f-- Aftemate outlet location Forcemain diameter WEEKS Manufacturer 2 in. Ca acit 800.00 Gallons Volume 21.76 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.07 458.49 B 2.00 43.52 C P ump off e levation (ft) — C 5.69 123.91 86.67 D 8.00 174.08 D Total 1 36.761 800.00 D ose tank elevation (ft 3" Bedding und er tank. 1 86.00 Alarm Manuafacturer JSJ ELECTRO _ Alarm Model Number I HW 100 �– Pump Manufacturer IGOULDS Pump Model Number WE0311 L Pump Must Deliver 27.19 gpm at 18.36 ft TDH Project: MIKE HARTMAN HARTMAN HOMES Page 4 of 8 I Mound System Maintenance and Operation Specifications Service Provider's Name KIM A OCONNELL Phone 715 - 755 -3145 POWTS Regulator's Name ST.CROIX COUNTY ZONING Phone 715 - 386 -4680 System Flow and Load Parameters Design flow - Peak 600 gpd - Maximum - Influent - Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic. Tank. Capacity 1260 gal. Maximum.TSS 1.50- mg/L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic, Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals and p ressure tested 1.5 ears - Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure - and other disturbed areas will be seeded - and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished . ............. .� 000000000.00000 Grade \ 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: MIKE HARTMAN HARTMAN HOMES Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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..outletfilter.shall. be. assessed.. at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are shall o besern serviced the larm -tank -that is activated continuously. Intermittent filter alarms may indicate urge flows or n mpending continuous the filter may 9 e us alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If,the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: MIKE HARTMAN HARTMAN HOMES Page 6 of 8 T i ts ]. i r _ \ I i i I iii .---- - ----1 I i 4 _ I I I I I i A I I � I L I I � I !: i _ i � I I I i i i_ : i V PUMPS Submersible Effluent Pump i MODEL 3 88 5 WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded • Capacitor start motors for without damage when fully following uses: design. Locknut on all models maximum starting torque. submerged. to guard against component • Built -in overload with Homes ■Bearings: Upper and Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing rotation. • SJTOW or STOW severe duty construction. • Trailer courts oil and water resistant power • Motels ■Fasteners: 300 series p ■ Power Cable: Severe duty •Schools stainless steel. cords. •'h and 1 12 HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry NEMA three prong Epoxy seal on motor end • Industry without damage to provides secondary moisture • Effluent systems components. grounding plugs. • 3 /4 HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIFICATIONS operation when full Three phase (60 Hz): wicking. Standard cord is 20', ' Pump ubmerged. • Class 10 overload protection Optional lengths are available. • Solids handling capabilities: MOTORS must be provided. in ■ O -ring: Assures positive separately ordered starter sealing against contaminants 3 /a" maximum. ■ Fully submerged in high- uni y and oil leakage. •Discharge size: 2" NPT. grade turbine oil for lubrication • Capacities: up to 140 GPM. g STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 feet and efficient heat transfer, bare lead cord ends. Tested to UL 778 and TDH. ■ Class B insulation on ■ Designed for Continuous csA221 108standards • Temperature: '/3 - 1'/i HP models. Operation: Pump ratings are CM ® By cana" Standards 104 °F (40 °C) continuous ■ Class F insulation on 2 HP within the motor manufacturer's usi° ssa9 1401(60°C) intermittent. models. recommended working limits, Ille • See order numbers on Goulds Pumps is I50 9001 Registered. reverse side for specific HP, MUL1 reti voltage, phase and RPM's 40-- 130 _ available. 120 E ' " ( i - _ _r.,- T _ _ sl zEEi;� SOLIDS ^ .... _. ......... ... . RPM: 3500 & FEATURES 110 _ -- - -- - - -- - - -- - . —�, S GPM ..__......_..... —. . 30 100 w 2 N... _ ■ Impeller: Cast iron, semi- 90 __ -_ -_ _..... -___ . _ _ _ -._ -__- s Fr open, non -clog with pump -out ° a zs - - -- -- 80 vanes for mechanical seal protection. Balanced for 20 70 . -. n y. smooth operation. Silicon 60 - - -- - - - -- - -- - - - bronze impeller available as a 1 5 50 _ -- . an option. 40 -- -- - - - -- -.- ---- _. _.. _... ■ Casing: Cast iron volute type 10 - _I for maximum efficiency. 30 ..__ 2" NPT discharge. s 20 . - -- -- .... `� _._ - - -- - - - r -- -- -- -- T - - ■ Mechanical Seal: SILICON 10 _ 0 10 30 40 50 60 70 80 90 100 110 120.130 .140 150 160 GPM CARBIDE VS. SILICON o 0 CARBIDE sealing faces. L Stainless steel metal parts, 0 5 10 15 20 25 30 35 m /hr BUNA -N elastomers. CAPACITY Goulds Pumps 20U3 Goulds Pumps Effective July, 2003 www.goulds.com ITT Industries 83885 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Re ewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner °` �= Property Location Govt. Lot 1/4 1/4 T ' N R E�orip e � A Property Own is Mailing Address tot # Bloc # Subd. Name or CSM# � zal City State Zip Code Phone Number ❑ City ❑ Village 10 Town Nearest Road New Construction Use Residential / Number of bedrooms Code derived design flow rate ��Y) GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: ��u� y / 1 Boring # Boring � Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 cJ Q 13 s� z2 s Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 _2 AIZ > C� E 3 ,.� r > 1` / d7 l t J 64 * Efflu nt #1 = BOD > 30 < 20 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name PI se Pr'nt) j Signat a CST Number f i Address ate Evalu on Conducted Telephone Number SBD -8330 (R07 /00) Property Owner .�� Parcel ID # Page <---;_, of ❑ Boring / y3 Boring # IIC�II 1CI Pit Ground surface elev. J Z� ft. Depth to limiting factor —22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 - 4 7 < c 1 s J 71 , F-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) i ,� ,�,�,✓ �/ /�,,�,�� � Nom:• � ,'� � /�.., i��� . i ml /oo o / of sere / � y j 9w Rte 30' 3 r P D y I ST. CROIX COUNTY SEPTIC TANK MAINTAIWA. NCE AGREEMENT AND OWNERSH M CER'IrMCATE FORM OwaerBuyer Mailing Address 7 1 7y Property Address �(Jw G Ur (Verifrcauce required from Ptamffig DePaknat for new crostuctim) City /State G� Parcel Identification Number LEGAL DESCRIPTION Property Location 5,E '/4, AJ& 4 4 Sec. �6 TV— N- R --[-C . Town of Subdi ' ' 7 r1'1� Lot# I p# 3 Volume — j_, Page warranty Deed# Volume Page 1 3 Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENAPICE 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 a 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 masterplumber, 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. I/we, 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 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 the St. Croix County Zoning Office within 10 days of the three year expiration date. Ile- 21S SIGNATURE OF APPLICANT 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 owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds ice. SIGNATURE OF APPLICANT DATE **suss Any u►formauen that a misrepresented may rawk in the sastary permit being revokedby the Zming Depz=MM* "" " Include with this applicatim a atanWed warranty deed from the Register of Deeds office a copy ofthe cu tdod sarveymap &refucum sarade is the wa moty deed • 4 4:48 PM Parcel #. 032 - 2167 -43 -000 10i28i200 0 PAGE 1 OF 1 Alt. Parcel #: 26.31.19.1423 032 - TOWN OF SOMERSET Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): " = Current Owner PINECLIFF PARTNERSHIP PINECLIFF PARTNERSHIP 744 RYAN DR HUDSON WI 54016 SC = School SP = Special Property Address " = Primary Districts: o P o P rty es : Type Dist # Description ' 655 196TH AVE SC 5432 SCH D OF SOMERSET SP 1700 W ITC Legal Description: Acres: 3.000 Plat: 2312 -PINE CLIFF 2ND 31/48 032/03 SEC 26 T31 N R19W PT SW NE PINE CLIFF 2ND Block/Condo Bldg: LOT 43 LOT 43 (3.000AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 26-31N-19W SW NE Notes: Parcel History: Date Doc # Vol /Page Type 08/12/2003 734954 9/79 PLAT 2004 SUMMARY Bill M Fair Market Value: Assessed with: 20,600 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 57,000 0 57,000 NO Totals for 2004: General Property 3.000 57,000 0 57,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i �*>�r ry . y' � gl State Bar (if Wisconsin Form — 1982 - .r..,.,,, L / J WARRANTY DEED��$�f� J Oil ST. CRON Co., ► DOCUMENT NO, f?OC'd f" '-.JL r , t MAY 91995 Geo T. P a/k /a Geode Pennock, at 11:00 A.r.) .±U-' A . conveys and warrants to Pin li f Partners I THIS $ 'AC E R5SERVED FOR RECORDING DATA — NAVE �AND FI URN ADDRESS the following described real estate in St . Co ix County, State of Wisconsin: (Parcel Identification Number) y WI /2 of NW? /4; SEl /4 of NW1 /4; NEl /4 of SWl /4; all that part of NW1 /4 of SW1 /4 lying Ely of Apple River and that part of SE1 /4 of SW1 /4 lying Ely of Apple River; all in Section 26• and all that part of NE1 /4 of SE1 /4 lying Ely of the Apple River of Section 27; All in Township 31 North, Range 19 West, St. Croix County, Wisconsin. 3 1 - This is not _ homestead property. I e(is not) Exception to warranties: Easements, restrictions and rights -of -way of record, �I if any. Dated this 6 day of Ma y 1 (SEAL) �� (SEAL) George Pennock, aAk /a GeorgQ._P � (SEAL) (SEAL) a I 3± AUTHENTICATION ACKNOWLEDGMENT � r` �l T. Pennock a/k/ _ STATE OF WISCONSIN t � M a y 95 — _ County. A$a. d fs s. day of y , 19� Personally came before me this day of 19— the above named i and � TI ' .. MB R STATE BAR OF WISCONSIN (If nod'" i authorized by §706.06, Wis. Stalls.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland , At torne y at Law Notary Public County, Wis. g (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: j necessary.) ' 19 .1 *Names of rums nin in an ca it SMwld bet I� � 8 [' Y Pu Y � YMd or printed below their �ilnalurp5. `WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. FORM No. 2 — 111182 Milwaukee, Wis. w? ORKWAY EASEMEW L130- 657.0 44 k 3X0 ACRES 5a , MAN SM FT. n 240.00 MAN S4 �• F � /� • `BO 477.70 y N80 'S9 5270.37' 4.,-: NOW21'5i 1309.46 D �- 73 4 swum ------ - - - - -- -� VLcom amolk" rs .Qaei.A ft /'Y �' it 1K: Ra■ord�i� Awn �[ 31/4 COAN k SECTION M d 00�}Or QATE r2ncarloo2 .t; w • S'd diS :EO t0 62 des