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HomeMy WebLinkAbout032-2103-50-000 Wisconsin Department of Commerce a PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division I _ * INSPECTION REPORT Sanitary Permit No 05085 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 ( ^)(m)]. Permit Holders Name: city Village X Township Parcel Tax No: En fer, Ronald I Somerset Townshi 032 - 2103 -50 -000 CST BM Elev: Insp. BM Elev: BM Descripti TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. tN- O'er l Septic :� d Benchmark Dosing &7 Alt. BM 'wu - �. r C S Aeration —�Q �` /�{�►' Bldg. Sewer Holding St/Ht Net !d l0 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic a SJ c�Gi ` �7 Dosing V , " ' Header /Man. 2 l O l 7 - g Aeration d Dist. Pipe k Cy o Holding _ Bot. Systen4 N u� r Final Grade PUMP /SIPHON INFORMATIO `/c . _rove Manufacturer /'� - Dem6ndF St Cover GPM Model Number 0 S C p k TDH Lift d Friction Lo System Head TD F_ 3 �Ft S ,} ForcemaVA Length Dia. �, Dist. to Well SOIL ABSORPTION SYSTEM , BED/TRENCH Width Cl r Leng No.l f Trenches PIT DII710 No. Of Pits _ Inside D a. Liquid Depth DIMENSIONS i / Q � OI L — SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM L C NG Manufacturer: INFORMATION Type Of System: / CHA ER OR IT Model Number: Mm," rA maw/ DISTRID ON SYSTEM Heade Manifold Distribution / x Hole Size /� I x Hole Spacing rV�� Air Intake o r Pipe(s) Length Dia 2 Lengt Dia ! Spacing d F 2 O SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only [De pth Over Depth Over xx Depth of �T xx Seeded /Sodded xx Mulched Be reach Center 7i Bed/Trench Edges Topsoil ✓� ]Yes !- No - Yes # No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1 / Inspect :� Location: 1509 Hidden Valley Circle Somerset, WI 54025 (SE 1/4 SE 1/414 T30N R20 ree n Ac a Ctry Estates L Parcel No: 14.30.20.978 1.) Alt BM Description = 1l/�(( ` .. > �1 5ati.d 0' D`� tr F1�� –� owr �'jZ'(5� ` `l Tjkt ✓d So 1 Bldg sewer length = �/ i ikIt b 69t& Y 614J yLC►�3�'ta r amount of cover t 1- .}�,,"�y Jl` IU�(t.�. )ntour= '8 ✓ '� I � QL{f-s -I F 5 mf i-cVUS�i2d aad - q'' - f nature -r - --1 !l o e No de f additio&� lfor i a atlo , 97) Date Insepctor's Cart. No. eA D v -fZ l Py -- P u M 1 I /vs - u / v=,5?, 1 in a� CA rkw L D f- ,--t AJA --� - - - 1 - t(D i::tkSp��d �j k- F9 o p k- 0k -sv0d ' f bu4 n0Cove onC'4g A n GUA? 1 A C"t r i 9' / °�7 �'Z ✓ � � � �'y� � `_mss � � Z /11 All P-" O/ro , 5 L' w w"5F0 W -G*wr) �/1 u'Y�� tl Gf J1 OU �O�'t/,� ? i , I ' Safety and Buildings Division County 201 W. Washington Ave.. P.O. Box 7162 V- v6consln Madison, WI 53707 - 7162 Site Address Oe artment of Commerce 5_� S -E� O// + 3 Sani Sanitary Permit Application Permit N �� mber ss GY In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 11 Check . Revision may be used for secondary purposes Privacy Law, s15. 1 m I. Application Information - Please Print All Information State Plan I.D. Number ZS O (p ( T - "Ms . property is N Parcel Number q. 36 . ZO . q N d - 1c,3 Property Owner's Mailing Address MAI I Property Location S- IX COUNTY -5C 54 -5F 54; S 1 4 - 1 T , R ®E City, State Zip Cod ZO 1W019 Lot ber Block Number Subdivision Name CSM Number H. Type of Building (ch that apply) OCity X 1 or 2 Family Dwelling - Number of Bedrooms �^ QO ' []village ❑ Public/Commercial� Use ZS /ffownship ❑ State Owned Nearest S MUA.� CAU) III. Type of Perna . (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A ❑Replacement of 1 For County New 2 ❑Replacement System 3 6 stem Tank Onl B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) * . 44 ❑ Non - Pressurized In- Ground 219Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' rsaU'I�'eatme t Area Informatio . Design Flow (gpd) ' rsal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days /Sq.F0 (Min./Inch) Elevation vno ySC� J D l 67 /Oq' 3 VI. Tank Info Capacity in Total I Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septdc or Holding Tank Dosing Chamber -- VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe s Sigma Number Business Phone Number )?fioe 0357 a 6 8 - 6 Plumber's Address (Street, Ci State, VIII. Corm /De artment Use Onl Sanitary Permit Fee (includes Gro water Date Issued Issuing Agent Signature (No Stamps) Approved Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse 325 Determination EK. Conditions of Approval/Reasons for Disapproval / n u - ccs� -t`eus Attach complete plans (to the County only) for the system on paper not leas than 81/2 x 11 Inches in sae SBD -6398 (R. 05101) k , ? a Ticket Number �- 47193 MEN, Our Job Number ~ - W 3716 U.S. HWY 10 MAIDEN ROCK, WI 54750 Customer Number (715) 647 -2311 800 -325 -8456 FAX: (715) 647 -5181 , PORTAGE 800 -362 -7220 FOND DU LAC 800 -641 -5937 Sold To: Dr af e "very Driver Address Disp Insp""y Deliver To: - Time Departed Beg. Mileag Address C Time R�e1urne4, i E Mileage. '* M Address Set Hours # of�oads Quantity Description , Weight Amount 4-loo ' u t~ K 130 �` vG ,r Delivery Terms of Sale:. Cash on delivery unless other arra ement have Sales Tax been made. A finance charge of up to 1 %* /o per mont is an annual rate of up to 18% will be added to accounts 30 days past due. Total Materials Recd - Comments From: Rock El Menomonie ❑ Spooner ❑ Portage By Date ❑ Other ❑ Fond du Lac DELIVERY TICKET �"� ,� � ar �" � r _ . � �. :�: ._ _ . C� -- _. _ . . - }'. ,� a . _ , , r li � _ �' ... . _ � ... f q _ F ' ti _ > ' ' � _ Y _ � , ,. ,. .. ,� } .- -. l '..,. -.. ,;� .., � , >.. ;.,�_. a r _ - .T'. .... -. _ .4, _ ""`ice -(?!'. _ _ ;� + """l�gea - -. _" � r:.1y... ?Y"'_. -.� +i yk c � . .. � . w . _. _ �.,� 21 - 7 �;' , :' .,f;: , �. , i -i', ,. -. �, . _.. ,. , �: r � '� '�'` {. ._ __ _ ., ti t� i � ,, _ :.. i r . �,, . }�� - _ .,, _ ;:, � -. `� � ,� .. . sa.Fi3 PLOT PLAN ' •/ Scale 1 "_ X10' •Page 3 of 'DO ry r (�D " pft - cr" 0 IZ j I L 1713�U2g `(}113 q Z o v a✓ (A a N 396 ) s, NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1. J650 gallon capacity manufactured by �t 4. Bench mark , Lam 100,0' OK) LoT 0 O1-Tk Ipc;- S`r�F �. Divert surface water around system to prevent ponding at the uphill side. L Safety and Buildings y - 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �sconsin www.commerc i www.wis .wisconsonsin.gov n.gov Department of Commerce Scott McCallum; Governor Philip Edw. Albert, Secretary April 23, 2002 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/23/2004 identification Numbers Transaction ID No. 728906 SITE: Site ID No. 643663 Ron Engfer - Hidden Valley Circle Please refer to both identification numbers, St. Croix County, Town of Somerset above, in all co dencewith`the agenc SE 1 /4, SE I A, S14, T30N, R20W REc f I VED Subdivision: Green Acres Estates - lot 16 FOR: APR Description: Proposed Three Bedroom Mound System i- 2002 Object Type: POWT System Regulated Object ID No.: 848478 ST. CROIX COUNTY ZONIN The submittal described above has been reviewed for conformance with applicable Wisconsm 6Codes 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R 6/99). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • 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. • Comm 83.22(7) - 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. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. Raw T nditlotZ an. ARTHUR L WEGERER Page 2 4123102 Owner Responsibilities Continued: The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to s shall be submitted at intervals appropriate for the the county for maintenance tracking purposes. Report component(s) utilized in the POWTS. 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. py of this letter to the owner and any others who are responsible for the The above left addressee shall provide a co installation, operation or maintenance of the POWTS. ��- Sincerely, ` Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services WiSMART code: 7633 (608) -789 -7892, Mon. - Fri. 7:30 am to 4:15 pm j swim @commerce. state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page of MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P c2. b /9.q� C . /99) LOCATED IN THE S L 1 /4 OF THE SE 1/4 OF SECTION ) y ,T 3 0 N,R 2,0 W, TOWN OF SO EV.S - x- COUNTY, WISCONSIN. , Lo r _t b OF GCLIFI e.V_e5 L -S INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN � PAGE 3 of 7 PLOT PLAN 9-a PAGE 4 of 7 PLAN VIEW-CROSS SECTION . PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT ao T `% PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR Rom EL) 6 �� _ Z865 woob y'NV S L? S PREPARED BY WEGERER SDI 1_ . TESTING AND . DES I Gt I SEFR CE P .O . Box 74 421 N.Main St . River Falls , WI 54022 Phone 715-425-0165 /44\ • cCFax 715-425-6864 •'O"N�`�0/� wEHc3EHEA VJEGE D915► • ELLSWQHTN, t 1144 . rs. IROVED �'�►;�slcr �' ' vasse DEPARTMENT OF COMMERCE ©fV►SID F S D BUILDIN 14 1 �+ Z SEE CORRE ONDENCE JOB NO . 1 )1----2 • • Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,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 filter shall be assessed at least once every 3 years by inspection. Th utlet filter)shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce,Safety and Buildings Division. • 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS,and 30 mg/L FOG. Influent 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis.Adm.Code,and shall maintained in accordance with its' component manual[SBD-10572-P (R. 6/99)]and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media,and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at 11 S — 3 $ 6- Y680 sT- 0__•M 1.x The system installer at - Z- - 6ctet 5 U T Gf1]Z p The tank manufacturer at ��� —3ZS- 81qS(, 1/QLeSeTa The effluent filter manufacturer at $OO— 3-ILLZ Z-Pc\3t'_Z The pump manufacturer at 6130- iJz_o = LINE' 60V LO S PLOT PLAN Scale 1"_(-) 0' Page : of DO N r coMpprer azZ BM ti- - l- L1U0. 39 ` L oT LLNE —/ ,- ' ZS 1 :' i� 5 �� 111111i:' l��e b �oS- �� ` ee 9 3 cA��, of tio''•3 UJ N �� ° ,i J-� -6.. s�vc5 Q' c( - O 4 ; \.. .\'' ,i ri ,� o v �/ N n. \nN ,Q%U Jsr s iCic `,QZ.L i SE > S ' C=i'u0h1 OU►:A) 96, S� NOTES : 1 . Elevations shown are existing ground elevations unless otherwise noted. 2 . Install 4" observation pipes with approved caps . ( Z required) . 3 . Septic tank to be 1,0o0 /650 gallon capacity manufactured by 1.. ._)\. 1Z C-01JCA-z_ w/ -- [goo Z. FiLTtztR • 4 . Bench mark •_ L2U. Lc 0.o' CK �,�T Coz►v�iZ 5 . Divert surface water around system to prevent ponding at the uphill side. Page L Of - 7 Approved Synthetic Covering ASTi'i C33 Di stributio n Pipe p�►. Medium Sand Topsoil -- _ - - i= E lev. 10 Z - 0 E 3 - b Z % Slope Distribution Cell of Force Main Flowed z" to 2- " Aggregate From Pump Layer E 0.43 Ft. CROSS SECTION OF A MOUND SYSTEM F b Ft G O,S Ft. A cl F N 1 -0 R. Linear Loading Rate= C '1 ") GPD /LN FT Design Loading Rate =0,39 GPD /SQ FT j I �- - Ft. ,] 6 Ft. K 8 Ft. e Position L Ft. , of W 2- Ft. Force Main L I - Observation Pipe -------- - - - - -- - -- - - -- � ------- -a'r�° W t--- T - -- _ - -- - - -- Distribution to 2i" tj Cell of z Pipe aggregate Observation Pipe (aachbr secarelY) PLAN VIEW OF A MOUND SYSTEM L pv C F\J y Pv C Lateral Manifold Lateral x x x x x12 I x!2 x x x x Lateral Length — Lateral Length — p Distribution Line P -� PrCC pox — -o Y1r', S i 0-- > >vC 1 ri �N P Z y Ft. Hole Diameter 1 / Inch - S 3 Ft, Lateral 1 Inches) X 2 3 Inches Manifold " L Inches Force Main " Z Inches # of holes /pipe 1 1 Invert Elevation of.Laterals -S Ft. 3t - q8 6p),i - = Combination Sept,-c;Tank and PUMP CHAMBER CROSS SECTION! AND SPECIFICATIONS . PAGE 8 OF ^VELIT CAP.. WEATHER PROOF 1 .lU1JCTIOK! 8C1X 9.C-Z- VEtJT PIPE a APPROVED LOCKIJ(, 1 10 ` FROM 000R, • IMA1J}f\ oLEcovE ,rt •/IKJDOW OR FRESH2 III wARt.)l IJ6 LP.6EL- ltJ Sp 1Q1J IP •"JPrt L�6a�-enp ALL IKJTAKE >r► �cosaputr a t , • FIINLSJ� 6"•�w. • l0 S t i ,,, I • Y'/WJ. G R1t D I ..r 7lCl 1 J 7— • L� * 1 18'/�1111. 16'nIN. � , -- - A j . . d . L :lARTwiTPROV IILET IDE r SEAL I' - e�r�rLCiK .Y 1 Approved lzfl8tk.1 -.A III Approved joint w/ _ ��pD ��I joint w/ PVC pipe _ ALARM PVC pipe •6 I Il - I ), OIJ C I I LLEV�-1-OOFT __J PUMP OFF D \, I COUCRETE - CI U 1 1' bL OCK--Ir • t ff 111 I RISER EXIT PERMITTED ONLY IF TAKIK MAKJUFAGTURER HAS SUCH APPROVAL 3"APPRc:.F^_ 6ED01 N4 SPECIFICA_TI Oki S - SEPTIC F � • DOSE TAu,(S MANUFACTURER: LA-3\Q73 (2C-3k-)L°-tse-- TL IJL aIMEiER OF DOSES: `k' _/ t,p� PER Dd,� TA1JK :,iZE : `V- / 6SO GALLONS DC5E VOLUME z ALARM MAUUFACTURCR: S-S`ZL- '�1 C� sLi,s7 S IAJCLUDIWG 6ACK Pl. OW: 1,D Z GALLONS MODEL NUMBER: C) \ -IW CAPACITIES: A= Lg 30� INCHES OR CALLOUS SWITCH TPE: -C ZZ`_U2(- - 8= Z IUCHES'OR V GsALLOK,J5 PUMP MANUFACTURER: G O U LD S C= I1.1CHES OR \'O Z GALLONS MODEL NUMBER: �_YD S 0= Z INCHES OR zy GALLOWS SWITCH TPE: L1ZeV L( IJOTE: PUMP AUD ALARM ARE TO 6Cg10 MIIJIMUM DISCHARGE RATE J ` �� GPM INSTALLED OJ1 SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP o F Au0 DI l l�. SO i l STRIBUTION PIPE., FEET ÷ MINIMUM NETWORK SUPPLY PRESSURE - SOFEET (S-0K1. 3) + 6S FEET OF FORCE MAIN X Zs lq FXoFLFK1CTIou FACTOR.. l-141 FEET 36,4147_ _ TOTAL D JAMIC HEAD = \'8'41 FEET 1 - •7.;5/ As per manufacturer lam- 0 gal/in. Liquid depth 38 11 Goulds iE °� Submersible .E� Effluent Pump j u 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment ma • Heavy duty sump • EPO4 Single phase: 0.4 HP, ma nual include Mechanical points. • Water transfer 115 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in overload with automatic reset. preset at the factory. rated oil and water resistant. ■Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 , FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING /a maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SA• Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic c e enclo ncloseed d design for end in 7" or "AC ".) improved performance. p rotary/ceramic-stationary, three ron r p - _ p g g oundmg plug BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 Capable of running � � , dry without damage to s 30 components. Pump: EP05 a • Solids handling capability: c 2s i 7 a _ to maximum. W • Capacities: up to 60 GPM. 6 20 • + ! ! Total heads: up to 31 feet. ( t,� Z • Discharge size. 1 NPT. a - I - • Mechanical seal: carbon- c 5 15 I �� rotary/ceramic- stationary, _j 4 ! BUNA -N elastomers. E P05'- • Temperature: 3 10 ' 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 5 I 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 ml/h CAPACITY m 1995 Goulds Pumps, Inc. Effective May, 1995 B3871 A _ ,��!lar CVVC I +JV'Wt Ilri11UI VuUV V GI 116.u0;!f •'` "' `� 4 f SOIL AND SITE EVALUATION REPOF T Page 1 of 3 nhxJon et Satsty ll 6uifdfngs in accord'vYrlh 1 IJi R W.M.Wis. Adm. Cods . • Atteoh oampiete sitie plait on wipw ratlsssthsn 8112 x Itirches In size. Plan must }naiUcfe, txt St. Croix ncrt knit to var" ard.66f4cr'w relereaee ors csm), dlreadan and % of slops, scale or PARCEL 1.04 i Ainwrtsiar*d. north craw, wW location snd that heeto nearest road. pa-ding APPLICANT 14FORMAT'ION- •PLEASE, PRINT ALC INFORMATION FE111ttMEO PY DATE P1 RtYVWNffi: /. PROPERTY LOCATION T e= t Ttts33mw � u r 40 M Lai St 114 35 4!4,514 T 30 .N.R20 , 4 ( 0r) W PROP OWWR'$1M}UNG ADbRM LOT a 1 BL= i f SU IN NAMS OA CSM X SeC Rd. i6 na p re Acs Ct r$t Adsirz. cly STATE ZIPCOOE PHMMJMBER AUAGE KA NR I NEAREST ROM H=1 ban, W1. 54082 01S)S49 -6497 Scxo,esaet: _ Hidden Valle Cr. New Comftd n UNJ ReWdeppel l Number of oedrmtns 3 j ] zd55 to lxistIng buRdinQ -- 1 ! R�am� (y Pula11c or a►mmerrlal Cede derived 4* How 450 Spd Rewmnwnded design ice rrg rate .4 bed, %0 .5 tre,ran, 9p' Abwpkr, area nMsred 373_ bed. e - 375 trench, "Z t x m rm design loafing rata 4 _ EIS, gpdAta . 5 trerrcrl, 6pdrs Re -KW kM a e WWBdorr(s) 107.40 it (ax retelmd la S4 plan benc hm ark} Addtbw8I /sib cwmk mdor* USt.esr el. based c a eantour Line of 91 . xD -6.40' °aunt maters( g ill drri & good pl�inelerraGorr, i applcabte rra _ Z b1 tw �s ❑s IMu Lq L7U p a c a u>:ss>ra rS.�aa l M s� C� u s t ► SOIL DESCRIPTION REP014T 806ng0 Hartzon Depth Dominant Color tt Tuturs Structure :or�sr&frerxs 8a�rxfey Roots _ GPOlft in. Murhselt. t]u. ae! Cant Color Gr. Sz_ Sh. - • Red 7!g� 1 1 Q Il T�Q 3 3 i> k mfr cs I 7_f .5 , 6,�, —27 I dd Gr � o yr und 3 27 -38 IgrgL4 ;?pZ5yrV6 g ictj lg&bk M g r 1 06. I - 438 3 4, d7.5 r5 6 s?. 1cabY De p 5 4 540 5 4 n tmiifng Remaft: Bornfi # ~•� ---�- 1 0-11 mf ff S— nme ejel 2 mfr 1 if ! .5 Grawrd 3 27- � 5 4 ripm � � rLa nz ' Depth b i rrON 1115 n Remarks• CsTxarr-- pleaseAiat Ga y L. Ses1e1 Phone ?IS•216.62D0 A s: 12 Qe$k. Am N w .t 540I7 Zd WcTO:bO MOE 20 'aaH 00,LS9VFST4 'ON Xdd 9NIiUi1FJ3X3 TIMIN W aA I VViisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 - Labor "and Aumnln Relations Division of Safety & Buildings in accord with ILHR 83.05 WI COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. a� ust i clude, but St. Croix not limited to vertical and horizontal reference point (BM), direction and ° op RCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. CO C,•. pending APPLICANT INFORMATION PLEASE PRINT ALL INFORMAT '�mg6 I ED BY DAT ESDD PROPERTY OWNER: - ')FROPERTUW , AT10N o Leroy Urhammer W. LOT s�tY S 4,514 T 30 N,R20 xE (or) W PROPERTY OWNERS MAILING ADDRESS L CK # S AME OR CSM # 1501 Scout Camp Rd. 6r Acre Ct Es. First Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CI OWN NEAREST ROAD Houlton, WI. 54082 (715)549 -6497 Somerset I Hidden Valley Cr. [:] New Construction Use [x] Residential/ Number of bedrooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd /ft . 5 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) 107.40 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 106.40' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ❑ S IN U ®S ❑ U ❑ S f3 ❑ S K7 U ❑ S [2 ❑ S CR SOIL DESCRIPTION REPORT N ,.>UL r jh 6 , & - T ( , 2 = ---> E�;'. , Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends .................. .._...1'' 1 0 -11 10 r3/3 none sil 2msbk mfr cs 2f .5 .6 • S 11 -27 10 r5 4 none sicl 2msbk mfr •`� Ground 3 27 -38 10 r5/4 2 7.5 r5 6 sicl lcsbk mfr Cfw if .2 .3 AW. it, 4 38 -45 5 r4/4 2d7 5 r 5 6 sl lcsbk mfr QW na .4 .5 Depth to 5 45 -60 5 r4 4 none scl m na na na n .2 limiting factor 27" Remarks: Boring # s 1 0 -11 10 r3 3 none sil 2 msbk '.........::::: 2 11 -27 10 r5 4 none sicl 2csbk mfr gy if .4 .5 Ground 3 27 -50 5 r4 4 none scl m na na na n .2 elev. 1 06 . 4 ft. Depth to limiting factor 27" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 2000. Ave. N w 4ichmond, WI 54017 Signature: - Date: 10-24-96 CST Number: mO2298 PROPERTY OWNER Leroy Urhammer SOIL DESCRIPTION REPORT Page *)f_ PARCELI.D.# pending �v &. Lot #16 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -13 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 .s 2 13 -32 10 r4 4 none sicl 2msbk mfr 9w if .4 .5 Ground 3 32 -50 5 r4 4 none scl m na na na n .2 — elev. 105. $t. Depth to limiting factor 32" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ................. G ...... . elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r � r STEEL'S SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 SE4SE4 S14- T30N -R20W New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #16 -Green Acre Cty. Es. First Addn. N ✓1 " =40 ' 1/61.= top of NW lot stake el. 100' r 0� 3 a' r 2� 6 Slo � v ,z l N 4 ary L. Steel 10 -24 -96 ST CROIX COUNTY Y. SEPTIC TANK MAUgMANCB AGREEMENT AND OWWNBRSHIP CERTIFICATION FORM Owner/Buyer 9 Mailing Address Property Address (Verification required from Planning Department for new cSh traction) W City /State Parcel Identification Number oil 3 ~-O cc LEGAL DESCRIPTION Property Location 1 /4, ' /a, Sec. T _C�1 -R W, Town of S Subdivision Iq Lot # Certified Survey Map # . Volume . Page # Warranty Deed # 7 7 �,� , Volume I O r n Page # CJ Spec house ❑ yes 4 no Lot lines identifiable o yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastorplumber, journeymanplumber, restrictedplumber or a li pumper verifying that (1) the on-site wastewaterdisposal 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 the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic tern has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days a three y expiration date.. �'& (� � / �0 2� SIGNATURE OF AP 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 rty desc=bove, tu e of a warranty deed recorded in Register of Deeds Office. Z/ / SIGNATURE OF ANT DATE ** * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * "" «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 1883P 260 STATE BAR OF WISCONSIN FORM I -2000 6 -7 .7 '3 2 - 7 WARRANTY DEED Document Number REGISTER OF DEEDS This Deed, made between Christian P. selleck and ST. CROIX CO., YI Charlene A. selleck, husband and wife RECEIVED FOR RECORD Grantor, 05 -02 -2002 11:30 Ah and Ronald J. Encifer and Tamm J. En fer 4RRANTY NEED husban an wife as survivorship marital property EXErPTM REC FEE: 11.00 Grantee. TRANS FEE: 299.70 Grantor, for a valuable consideration, conveys to Grantee the following COPY FEE: CT described real estate in St. Croix County, State of PAGES: FI (the "Property (if more space is needed, please attach addendum): Lot 16 Gr Acre Countsy Estates_ First Addition, Township of Somerset Recording Area Name and Return Address River Valley Abstract 6 Title, Inc. 1200 Hosford Street - Suite 201 Hudson, Wisconsin 54016 032 - 2103 -50 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this 30th day of April 2002 " Christian P. Se * Charlene A. Sellock RUTH �T v . ,• 1j1tt ACKNOWLEDGMENT O'< < /C, t b STATE OF WISCONSIN ) Signature(s) 2 O ) ss. Cr 'X County. ) authenticated this ---- ay * Personally came before me this 30th day of s r T A ii the above named Christian P Selleck and r • �) l O r,:• Charlene A Selleck TITLE: MEMBER STATE ?1$• S`CONS (If not, to me known to be the person s who executed authorized by §706.06, Wis. Stats.) the for g i "t ;V acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * Ka Palm Michael H. Forecki, Attorney Notary Public, State of Wisconsin Eau Claire Wisconsin My Commission is permanent. (If not, state expiration date: ( Signatures may be authenticated or acknowledged. Both arc not necess December 12 2 "Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 homey Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701.4627 Phone: (715) 835 -3029 Fax: (715) 835-4112 Michael H. Forecki T6787163.ZFX Produced with TupFormr by RE Fa Net, LLC 18025 Fifteen Mile Road, CIIMOn Townshp, M cniaan 49035, (900) 383.980.5 i LV 1 I `t Ni �I JI 1'• WATER 2 EL ,M 1 / •. 16 � �•' 9t7.7� 1d \ ® ASA`�' ® NI J' LOT i ,� : a • ,D 3.00 ACRES w 130.723 30. FT. 1: i� 3.00 ACRES 1!1 130.721 SO. FT �j 1 2.81 ACRES EXC. ESMT. 1 122,614 S0. TT. bl s78•i'�'se'w � � 50.00' �/. . ow J I ,• + 4 5.6 i � / / � �• 5.00 AGIE6 / .•• *. ACRES RX 1110.7!, 2.7 60. FT. � a1 + !' �?► �� 11 C. EJW. 7 ! / / •• LV , �v 9570 w + � � Itt.440 SO. FT. ` ;?� NI Mt o I 3.00 ACRES ♦ 1 • l sT. 1 1 I 130.723 S0. ., ® � 1 3. • N40. 31 W t Z t vi 1 E 8 1 ` 399,66 NTZ 09 2 g ' � 9 r � M M LOT 18 \ N89.48'48 - E 3.25 ACRES O +120 1 66.00' 141,651 SO. FT. 00 N 00• ((' 12, W CU M OE SAC 384869 SO FTC. ESMT. 3000 EASEMENT �• 628.91' SE CORNER OF SECTION 14 1'48 1407.01' OF .INE OF THE SEI /4 OF SECTION 14 — TOP ALUMINUM CAP EL • 956.116 I LOT LOT 2 C.S M. IN VOL. 11. PG. 3042 C.S.M. IN - -- — — — — -- - -- — -- — — VO�. PG. 247 I 'I OF 2 SHEETS