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HomeMy WebLinkAbout032-2174-20-000 sconsin Department of Commerce - PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463246 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: Parnell, Clint I Somerset Townshi CST SM Elev: Insp. BM Elev: BM Description: d� 154-.6 Section/Town /Range /Map No: 8 (3 > r,A G om, 27.31.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS H] FS ELEV. Septic Benchmark � Z•zZ. ldZ. /aa Alt. BM Dosing ` ' 6 00-k, � C r� I t J J S • 8 � Aeff+e" Bldg. Sewer F ZZa T lfZ• 9 S Holding St/Ht Inlet - CY.7q 9z- Y8 TANK SETBACK INFORMATION St/Ht Outlet lb I D 7,?. I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 13 -J7 $ 9• - 6� Septic �CJ' ZZ r Dt Bottom lqI � z.Z — '3Z . r5 Dosing / 76T -75' 75 / Header /Man. gcl Z Aeration Dist. Pipe 2tqtp �• Holding Bot. System 3, 5`� �8 • c��' � / PUMP /SIPHON INFORMATION Final Grade C& ✓�d Z � Manufacturer DeP and St Cover . �� 9 J • 0-7 o�v J �:j Model Number L'o—los �! �fn, J� 4A-7 '77• TDH Lift Friction Loss System Head TbH !� t Forcemain ILencth r Dia. � to Well 5b SOIL ABSORPTION SYSTEM BED /TRENCH Width i Length / No. Of en s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ! _ —7 C \__1 1 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type System: � 7 A .7 /60 t4 UNIT Model Number: ",� DISTRIBUTION SYSTEM N Header /Manifold I � IPDipstribution /2� 1 / II x Hole Size t l x Hole Spacing Vepttq Air Intake O l ` / r ` i F w Length Dia I /Z Length Dia ` Z Spacing q b �+ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Z 5 t Bed /Trench Edges Topsoil (` t + ' V _ • es No I No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: // Z 77 / / 0 5 Inspection #2: Location: 1967 57th Street Somerset, WI 54025 (NE 1/4 NE 1/4 27 T31 R1 9W) River Hawk Ridge Co�t20 arc No: 27.31.19. 1.) Alt BM Description = -�" (f ir tJe) 2.) Bldg sewer length = I Z2 - amount of cover = 7 Use revis e otherside for add tional in Yes o �� Re quired? formation. _ . - -- - - - Date Insepctors ignatur Cert. No. SBD -6710 (R.3l97) L ST CRO CO UNTY 0 PLANNING & ZONING Monday, September 17, 2007 Clint Parnell 1967 57th Street Y...' Somerset, WI 54025 k . xi y Code A dmin is tm Regarding septic inspection for Clint Parnell. . 715- 386 -4680 Location of Property in St. Croix County: Land Information & Planning `. Municipality: Somerset, Town of 715 - 386- 4674j` Subdivision or Plat: River Hawk Ridge Be at Pro Certified Survey Map: 7156 - 4677 Lot: 20 R;ycling Address: 1967 57th Street 5 386 - 4675 Dear Applicant: M<...: A septic inspection of the above reference property was conducted on June 27,2005. This property is located in the NE 1/4 NE 1/4 of Section 27, T31 N R1 9W, River Hawk Ridge (Lot 20 ), Somerset, Town of, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 3 bedroom home. fi: Additional Notes: Parcel numbers are not entered in GCS as of 3/23/05. Subdivision not totally approved yet. :> If you have any questions regarding this, please contact our office at 715.386.4680. K. Sincerely, R Yar gton Zoning Specialist cc: file A� .:.; ......:::.. .::.... :.: ,.. .. ,: .. ..... :. -. -. , ... .....,. ........ ..ttx: _ .sec' . t ..:..... a�., �f. >.. ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARM/CHA£L ROAD, HUDSON, Wi 54016 71538 &4686 FAX PZPCO. SAINT- CROIX. W. US W W W. CO. SAI NT- CROIX.WI . U S Safety and Buildings Division County Nviscons P.O. Box 7162 201 W. Washington Ave., Madison, WI 53707 - 7 Sanitary Permit Num er o be filled in by Co.) Dep artment of Commerce (608) 2( 151 Trp32 Sanitary Permit Application R jD.PtjA . Number In accord with Comm 83.21, Wis. Adm. Code, personal information yo provide 1 = ?k*.e- may be used for secondary purposes Privacy Law, s15.04(1)( (if d ifferent thane ling address) I. Application Information — Please Print All Information 6 T 5 ST 4 Property O is Name ZO/V/ C-01J/� arcel . Lot # Block # "4, J� ; / NG OFFj � Property Owner's NfAing Address lion L City, State Zip Code Phone Number y °° nL Y, Simon 7_ 14 )—r I S- trele o ) T. N; R�E or Vr II. Type of Building (check all that apply) pQ�- 1 or 2 Family Dwelling - Number of Bedrooms 1 Subdivision Name CSNtlVmnbef ❑ Public /Commercial - Describe Use ) ❑ State Owned - Describe Use ❑City_ ❑v lage Township of r III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. �4 New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B• ❑ Permit Renewal Permit Revision 11 Change of El Permit Transfer to New List Previous Permit Number and Date Issued ❑ Before Expiration Plumber Owner IV. Type of POWTS System: Check all that ap I ❑ Non - Pressurized In- Ground 0 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 ❑ Leaching Chatn r ❑ Drip Line ❑ G vel -less Pipe ❑ Othe- -inin) V. Dis ersaVrreatment Area Information: _ /,0 92 Design Flow (gpd) Design Soil Application Rate(gp J>ispersal Area Required (s ispersal Area Proposed (sf) stem Elevation .� Tank Info Capacity -in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units V l _ i _ oncrete Constructed Glass New Existing �t�+�C' Tanks Tanks Septic or Holding Tank _ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, ass me responsibility for installation of the POWTS shown on the attached plans. Plum is ame (Print }( Plumber's Sign a MP/MPRS Number Business Phone Number 3 ' P umber's Address (Street, City, S Zip C _ VIII. Coun /De artment Use Onl Approved oved Sanitary Permit F (includes Groundwater Date Issued Iss ing t Signature Stamps) Surcharge Fee) 35D, e en on for Denial IX. Conditions ppro val SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in sine SBD -6398 (R. 01/03) n� A c 19 rf ,,�.. ' •!k'R►"`"�'�!�' - ��- �...�c: -'�•• - Yom -"' '^'"'"^_::� -�- - -- '"�' -:•-- ,- .._., ..._>,.,,,..� iL a P O z : Safety and Buildings commercemi. ov 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 4 t isconsin www.w www.ce.wi.gov/s f Department of Commerce isconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary December 01, 2004 CUST ID No.224263 ATTIC• 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 PLAN APPROVAL EXPIRES: 12/01/2006 Identification Numbers Transaction ID No. 1086417 SITE: Site ID No. 692776 Clint Parnell Please refer to both identification numbers, 57TH St above, in all correspondence with the agency. Town of Somerset St Croix County NEIA, NE1/4, S27, T31N, R19W FOR: Description: New mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 994288 Maintenance required; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1) 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. P. w No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, ?' C()1? Ufa l i stats. The following conditions shall be met during construction or installation and prior to occupancy or use: TMFN General Approval Conditions: F s 4F • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. � SEE CC. • In the event this soil absorption system or any of its component parts malfunctions so as to create a heal hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • 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, Slats. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour er COMM 83.44(6)(a 2. r ) KIM A O CONNELL Page 2 12/1/2004 r f • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. • Insulate building sewer per COMM 82.30(11)(c). • Provide frost protection per COMM 83.43(8)(c). 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 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 shal vi e a copy of this letter to the owner and any others who are responsible for the installation, operation or mten ce of the POWTS. Sincerel , Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, Integ ervices WiSMART code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us I F cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: CLINT PARNELL Owner's Name: CLINT PARNELL Owner's Address: P. O. BOX 469 SOMERSET WI 54025 Legal Description: NE-- NE-- SEC27-- T31N - -R19W Township: SOMERSET County: ST. CROIX Subdivision Name: RIVER HAWK RIDGE Lot Number: 20 Block Number: Parcel I.D. Number: Plan Transaction No.: v.T.S. �i Page 1 Index and title Page 2 Data entry .1, Page 3 Mound drawings Co ERCE Page 4 Lateral and dose tank Tv a � 1LDti Page 5 System maintenance specifications _ Page 6 Management and contingency plan `Spn� dD NCE Page 7 Pump curve and specifications Page 8 PLOT PLAN t�� 7 Designer: KIM A 00019NELL License Number: 224263 Date: 11/16/Q4 Phone Number: 715 - 755 -3145 Signature: -Z Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 8 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 300.00 Estimated Wastewater Flow pd) Table 83 -44 -3 in -situ soil treatment for fecal (g coliform of - 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150 %) 450.00 Design Flow (gpd) 2.00 Site Slope ( %) 97.75 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 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) = 9.00 ft /orifice 2.00 Forcemain Diameter (in) 325.00 Forcemain Length (ft) Does the forcemain drain back? Y 86.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 53.01 Forcemain Drainback (gal) 12.50 Vertical Lift (ft) 67.38 5x Void Volume (gal) 3.14 Friction Loss (ft) 120.40 Minimum Dose Volume (gal) 22.14 Total Dynamic Head (ft) 20.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice 0.75 1.25 x X 1.00 1.50 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 49.00 Total Working Liquid Depth (in) WEEKS Manufacturer 20.41 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) lZabel Filter Manufacturer 21.76 Dose Tank Volume (gal /in) JAloo Filter Model Number WEEKS I Manufacturer Project: CLINT PARNEL L Page 2 of 8 Mound Plan View 1 1/10 B � J ... Observation Pipe 1: 1 ::: — O .• A B I 3 . . ....... :. . L Mound Component Dimensions A Al ft E 12.44 in H 1.00 ft K [ Ift ft B ft F 9.50 in z 7.43 ft L ft D in G 0.50 ft J 6.25 ft W 450.00 (ft 2 ) Dispersal Cell Area 1 1007.31 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.46 (ft) -i j F Dispersal cell 99.17 (ft) La atera 98.67 (ft) Invert Dispersal Cell .....[� :.:.:.:.:.:.:.: ......... ..,.........,.. E D 3 Elevation � :.:.:.:.:.:.:.:.:.:.:.. 97.75 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key a a T_ Dispersal Cell See lateral details on Topsoil Cap c 1.5 ft Page 4 for number, Q Subsoil Cap 0 2 s size and spacing of Q ASTM C33 Sand v F laterals. Laterals are ® Tilled Layer c 0.5 ft Typical Lateral equally spaced from R5 0 Aggregate o the distribution cell's } A centerline in the distribution cell (AxB). Project: CLINT PARNELL Page 3 of 8 J 9 End Connection Lateral Layout Diagram Laterals centered Dyer the A tz B dimension = Turn -up w1 ball valve or oleanoutplug P All laterals are identical IE X -- I Holes drilled on the bottom of the lateral S equally spaced Force main connection via tee or cross to manifold at any point. Laterals tic force main of PVC Sch 40 [per COMM Table 84.30-5) Number of L aterals 2 Orifice Diameter PO.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 06 ft Lateral Length (P) 73.44 ft Orifices per Lateral 2 Lateral Spacing (S) 3.00 ft Orifice Density 9.00 W /orifice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft System Flow Rate 20.60 gpm Manifold Diameter 1.25 in Total Dynamic Head 22.14 ft Forcemain Velocity 2.10 ft/sec Dose Tank Information Locking cover with warring label and locking device and sealed watertight Electrical as per NEC 300 and ----♦ 4 in. min. Comm 16.28 WAC Disconnect E---- Attemate outlet Tank component is property vented location Forcemain diameter WEEKS Manufacturer 2 In. Capacity Cap aci!y 800.00 Gallons �— Volume 21.76 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 22.14 481.80 C B 2.00 43.52 Pum off elevation 8 C 4.62 100.60 _t 86.67 D 8.00 174.081 D Total 36.76 800.00 Dose tank elevation (ft) 3" Bedding und tank. 86.00 Alarm Manuafacturer SJ ELECTRO Alarm Model Number I HW 100 Pump Manufacturer GOULDS Pump Model Number WE0511 H — � Deliv 20.60 m at 22.14 ft TDH Must Del 9P Pump M o Project: CLINT PARNELL Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name + KIM A OCONNELL Phone r715-386-4680 5 - 755 -3145 POWTS Regulator's Name ST.CROIX COUNTY ZONING Phone System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 year s 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 ..,........� ..............9 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: CLINT PARNELL 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 Co fnm 83.33, Wis. Adm. Code when the tanks are no longer usgd 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 gpening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-4nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the finer is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L 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 clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: CLINT PARNELL Page 6 of 8 A rof NGOULDS PUMPS Submersible Effluent Pump MODEL .. WE Seri 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. • SJTOW or STOW severe duty construction. • Trailer courts oil and water resistant power • Motels ■Fasteners: series p ■ Power Cable: Severe duty stainless steel. cords. • Schools • '/3 and 1 /2 HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry Epoxy seal on motor end • Industry without damage to NEMA three prong grounding plugs. provides secondary moisture • Effluent systems components. • % HP and larger units have barrier in case of outer jacket ■ Designed for continuous damage and to prevent oil g bare lead cord ends. wicking. Standard cord is 20'. Pum SPECIFICATIONS operation when fully Three phase (60 Hz): g submerged. Optional lengths are available. p •Class 10 overload protection • Solids handling ■ 0 -ring: Assures positive • capabilities: MOTORS must be p rovided rovided in p sealing against contaminants 3 /d' maximum. separately ordered starter • Discharge size: 2" NPT. ■ Fully submerged in high- unit. and oil leakage. • Capacities: up to 140 GPM. grade turbine oil for lubrication • STOW power cords all have and efficient heat transfer . AGENCY LISTINGS • Total heads: u to 128 feet . bare lead cord ends. p Tested to UL 778 and TDH. ■ Class B insulation on ■ Designed for Continuous CSA 22.2 108 Standards •Temperature: '/3 - 1'/2 HP models. Operation: Pump ratings are By Canadian Standards 104 °F (40 °C) continuous ■ Class F insulation on 2 HP within the motor manufacturer's CM us �e #UUa549 140 °F (60 °C) intermittent. models. recommended working limits Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP METERS FEET 40 - 3 i - - SERIES: WE voltage, phase an RPM's 130 available. 120 vEtgwi# SIZE 3 /4' SOLIDS 35 — _ - 00 & f FEAT 11 oi WEzd�, t FEATU —► S GPM R 35 - 30 1008_ t _ ■ Impeller: Cast iron, semi- 90 WEI 1 open, non clog with pump out w 25 80 q E vanes for mechanical seal - - i -- protection. Balanced for 20 70 P H _ i _._ smooth operation. Silicon ; 60; - bronze impeller available as 15 50 # WEO_. an option. ° ao - - i ■ Casing: Cast iron volute type 10 30 l for maximum efficiency. t_ _ __ _- 2" NPT discharge. 5 20 f __ . _ _ _ _ -- q Y ■ Mechanical Seal: SILICON 10 i CARBIDE VS. SILICON o L 0 "1_1 CARBIDE sealing faces. 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM Stainless steel metal parts, 0 5 10 15 20 25 30 35 m3 /hr BUNA -N elastomers. CAPACITY Goulds Pumps © 2003 Goulds Pumps ITT Industries Effective July, 2003 www.goulds.com B3885 NGOULDS PUMPS Submersible COMPONENTS "�-.. Effluent Pump 7 Item No. Description MODEL 3885 • 1 Impeller 2 Casing 3 Mechanical Seal 5 5 WE S 4 Motor Shaft 5 Motor 4 6 Ball Bearings a 3 7 Power Cable 8 Casing C -Ring 1 2 P®" MODELS PERFORMANCE RATINGS (gallons per minute) Order No. HP Volts Phase Max. Amp. RPM Solids Wt. (lbs.) Order WE03L WE03M WEOSH WE07H WEtOH WE15H WEOSHH WE15HH WE20H WE0311L 115 10.7 NU WE0318L 208 6.8 HP ' /3 1 /3 ' /2 ' A 1 1'/2 ' /2 1 2 WE0312L '/3 230 4.9 1750 56 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 WE0311 M 115 10.7 5 86 - - - - - - - - WE0318M 208 1 6.8 10 70 63 78 - - - 58 - - WE0312M 1 230 4.9 15 52 50 70 90 - - 53 - - WE0511H 115 14.5 20 27 35 60 83 98 123 49 90 136 WED518H 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 /2 575 1.4 60 50 - - - 25 53 77 - 70 110 WED511 HH 115 14.5 = 55 - - - - 40 67 - 66 103 WE0518HH 208 1 8.1 60 - - - - 30 56 - 63 96 WE0512HH 230 7.3 0 65 - - - - 20 45 - 58 89 • WE0538HH 200 4.9 70 - - - - - 35 - 55 81 WE0532HH 230 3 3.6 75 - - - - - 25 - 51 74 WE0534HH 460 1.8 80 - - - - - - - 47 66 WE0537HH 575 1.5 90 - - - - - - - 37 49 WE0718H 208 1 11.0 1001 - - - - - - 28 1 30 WE0712H 230 10.0 WE0738H 200 6.2 DIMENSIONS WE0732H /' [460 230 3 5.4 WE0734H 2.7 /o" (All dimensions are in inches. Do not use for construction purposes.) WE0737H 575 2.2 70 WE1018H 208 1 14.0 WE1012H 230 12.5 3500 WE1038H 1 200 8.1 WE1032H 230 7.0 3 WE1034H 460 3 3.5 RO ATION I� 5/4 WE1037H 575 2.8 WE1518H 208 1 17.5 16" 2" NPT WE1512H 230 15.7 WE1538H 200 10.6 WE1532H 230 9.2 WE1534H 460 3 4.6 WE1537H 1 575 3.7 80 KICK -BACK WE1518HH 208 1 17.5 WE1512HH 230 15.7 WE1538HH 200 10.6 WE1532HH 230 3 9.2 WE1534HH 460 4.6 WE1537HH 575 3.7 WE2012H 230 1 18.0 WE2038H 200 12.0 WE2032H 2 230 3 11.6 83 WE2034H 460 5.8 WE2037H 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 wtil� � Wisconsin Department of CommE _(�I,., t EVALUATION REPORT Page of Division of Safety and Buildings C QV ccorrance E w Comr�185, Wis. Adm. Code County C � v 1 Attach complete site plan on p 0-gg 8�;1/ 1 inche$ in size. Plan must include, but not limited to: verti ta4 r�Tepoint (BM), direction and Parcel I.D. percent slope, scale or dimensrow, and location and distance to nearest road. l�I viewed Date Plea ll C Ation. Personal information you provide maybe used for secondary pupoies - �rivacy Law, s. 15.14 (1) (m)). �/� 6 Property Owner Property Location / o r'1'i � i 1le Govt. Lot N 1/4 N 1/4 S) 7 T 3 1 N R I ■ (or)&) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 0 2 20- R1'0eF /� u w,� R,4 City State Zip Code Phone Number ❑ City ❑ Village (Town Nearest Road 6 rat S 02s c 7 /s) 2 Y7 -32 0 e `jx , [New Construction Use: Residential /Number of bedrooms __4 Code derived design flow rate Od GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable Z1- ry ft. General comments ' J and recommendations: , /ua�1Z i �� - l•s—�a a Boring # E] Boring C� // , S/ Pit Ground surface elev. /0, ft. Depth to limiting factor < 7 U 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 0--8 Idrl 14 SL 6 0„ 2 e- l Y /orb y� SG rn�sn �� C- c 0" o e 3 !y 2 75 4 27- Y4 /orb /v /V S sdk �"2 G u s — 0,-7 / - .9, S y6 Yo S7/ %' /"�,; 0. F2-1 Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor < 7 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 l 0 -12 /0 a l z A S o 0 5 6), 2- 12 -20 10- c t 0 ,. �" a, 9 3 2 /Orly % NA 56 2,►Wlc r77 lva 0 1 5 C), 33- 0 L I y 2 - 7 y ���' % �i3p 2, 5 r/'s /� SQL �n C� >�r>7 J0- i C) O D , SLv` 1. S Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Address Date Evaluation Conducted Telephone Number So 1 e/J c r wy Z — O� 71 z �� �2 D 3 SBD -8330 (R07 100) 07L Property Owner - ra - h Y/e Parcel ID # Page 2 of 3 ❑ Boring # ❑ Boring S 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 f3k lid 0,5 a, 9 F-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 'Eff#2 Boring # ❑ Boring F El 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.07100) I 3 OWNEF Nance 12?Plf /t CSt, Address Date Bench aaark 1 L, 16040-0 /y/t/ f C01- (/�2— 0 2, 0 - 5- r � BenC1i111aT : r PD1 �C3� A W � C�TG Soil Eoril a S u112bie Ara 91 ZS - 7.3 5 1 ' = 40 'Scale - r s I I 1 i ! ; • � I I i ; I � i I I I i 1 j I , I 1 I I i t I i , 1 I i ( , 1 1 , I i ( i eik I I i -- I I i f I � I - ____- — ! � I +, i I � ! I i +�j r•�Q2 f`0��6r� 7—, / ! X65, 6 . N.B.A./C.B.A. . Q� \ 120,90 SQ. FT. I \,2.78 ACRES, 3 / / LOT 2I / N.B.A. /C.B.A. / / m / / -,130, 768 sq. ft. 126,888 S / X3.00 acres N 2 .91 ACREIS ° 0 0 m / J C LOT 20 0 •P l - 053 sq. ft. N \ o 3.01 acres N \ — m' oj -- - - 08 �0 9 / POSSIBLE TOWN -- I I I OAD E YTEkS / ON -�� N.B.A. /C.B.A. • \. , \ / / 0 0 0� 124.646 SQ. FT \ I f p A , o \\ 2.86 ACRES \ \ I1 �6 I / � o N \ \ 9 /om \ \ LOT 15 \ \ \ J 136, 298 s ft. \\ \ \ 3.13 acres \ N.B.A. /C.B.A. �0 h6.823 SQ. FT. ry p \ r \ \ \ 2.68 ORES - �i•�. �i- -- i LOT 16 --�• -862 � `� � �'� \\ 132, 096 sq. ft. \ `'' �'-'-' O l \ J. 03 acres 0 \ i °i I � ID \� 1 \ � �� � z ��� \ \ \� -i'/ I 1 -6 �n \ \ -01 Im `\ I OT )bpd HOE LNZ STL T TZ:LT b00Z'LO AQN T <.1 tA1) COUNTY ;I J'TIC TANK MA1NTFNANCE ACRtE:I.,MEN7' A 1 ,0 OWNERSHIP (; FORM Uwnec')33uy�r � h urn Y— '}'e— rPificatioi-i�fr4— quired fr6m Planning �e � t part rent for now consrmction) Parcel I(entifit ation Number PropetTy Locuti,)n Sec. Z. r ,N`��W, Town of _S er•S -f' Subdivision _4 ��erlr(ie(1 Sur�cti' �Iap I — �� p W0 7� �'o1LrnC BOO ,) Jae # Spec house N yes ❑ no _ .ot lines identifiable yes Q no S YSTEIV J AI AI f'T EN.4N r Im r'o j rnam(cnancror your se tic s p per usr ar�� consists of purnp,n, s„ P ysrcm c, uld rosin in its prcmature failure. to can arl cr (he iu tclior, of the se rtic t }` SCr three tuniile wa;(:1. I rvper marAtenatace J years yr sc oncr, it', ceded by a licensed pumper, vy 'hat you put into the system p s t, treamlow stage n the wa disposal system. '.fie pro orry. er agrees t owno submit to St, Croix Zoning Dep artment a certification form, signed by the owner and b a is in r pc:r , j ope ti n ; matl pl umber, rcsrric(ed plumber or a lk ensed put spar verifying that (1) the on•site wsstewatordis osal s st i5 in prohcr r�perat,na, :onditiun a)d %nr � y (2) after inspection and )um in rf necessar ll y P 8 � � ry), the septic tank is Jess than 113 full oCsludgr. Uwe, private sawage dispvs the undo 1, a d h;,ve read the abov e rcquircr;tcrtts and t(g oe (c) Hint vain the ul system with the standards S01 torthe un;l as set cs' (hc Uepsrunent of Commerce and th�. Jae atMrn; stacing that >our septic system has beer. be completed ani returned to the Sr. Cr oiftice wiilun : P nt oJ Jtesources, State of Wisconsin. Certircation ys of the truee vent c�ptrdrion dote, x County Zoning O 0 da A 71_E ar APPLICANT Otis' ER DA TB I (wc) cenrry that all st;(ICrner.ts on It's ('61"m src true :o the best of the propzrry dcscrib l eci abov b my (our) krwwtedge, i (we) am (are) the owners) of Y virrue or u v lrranty decd rocs rdod in Register of Deeds Office, S 10 NATLJRE OF APPL1C', - r � � � Y « * +•�« DATE ar,y information that is mis- re}�resenitrJ may result in t ra sanitary lOermit being revoked by the Zoning Dopurtment, 00 9— •' Include with this applicatign a stampcc; warranty deed fro n the Regi . tor of Deeds o a copy of (tic ma c certified surve,, ffico p if ref trence is made in the warranty decd NVos: 417 4TL I 'VV,l 17'9T 1007, I' • tl U ?689 P 028 778897 STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO. , WI RECEIVED FOR RECORD Document Number 11/04/2004 08:00AN This Deed, made between Pro r siv st as, L imited Liability Comoanv Grantor, and rnell WARRANTY DEED Grantee. EXEIP7 it Grantor, for a valuable consideration conveys o ran ee the following REC FEE: 11.00 described real estate in St. Croix County State of TRANS FEE: 174.60 Wisconsin (the "Property "): COPY FEE: CC FEE: PAGES: I Recordina Area Name and Return Address Parcel Identification Number (PIN) This 11 not homestead property. (is) (is not) Lot , River Hawk Ridge, Town of Somerset, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warra�ts that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except r Dated this day of ll< s2004 (SEAL) (SEAL) Dave Dalton, Attorney In Fact Progressive Estates, LLC (SEAL_) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, I ^v ��NATZINA } ss. - —,-UF3L1C St. Croix County authenticated A cated this yc3F Ca� lJ � came before me this day of the above named Dave Dalton as Attomev In Fact of Progressive Estates LLC. a LiMited Liabi Com to me known to be the TITLE: MEMBER STATE BAR OF WISCONSIN person . who executed the foregoing Instrument and (If not, ackn dge the same. authorized by §706.06, Wis. Stats) WA\t THIS INSTRUMENT WAS DRAFTED BY Coldweli Banker Burnet No Public, Stat kof Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission is Oprmapent. (It not, state expiration date: 4- 46726 (Signatures may be authenticated or acknowledged. Both are not necessary.) i Names of persons slRnjg2 in anX cop city must be typed or ErInted below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 — 1995 Milwaukee, Wis. LA LOT 22 LOT 24 1 ( 1.�0, 892 sq. ft. 132, 591 sq. ft. � I ,3.00 acres J. 04 acres g u Ln <V OU TL 0 25 sq. ft. acres b O h0► •Q / b b Lo/ z � r 1,.30, 788 sq. ft. N o j • •'3.00 acres O c w z •. Cr1 m p LOT 20 \ ue° ` \ z 131, 053 sq. ft. IQ s o \ 6 J. 01 acres F \�0 cm� S 0 —S 87 0 50'00" W I \ �� C18 • 110. S it Cl - oo • C11 �r `~ LOT 15 s s' 3.13E acres rn fl tj w Al . _