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HomeMy WebLinkAbout034-1032-80-000 Wisconsin Department of Commerce y Safety and Buildings Divisi -pn PRIVATE SEWAGE SYSTEM Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar ' Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ City :1 Vill e, ❑ f: S ate Plan ID No.: Nueske, Darwin y S�prmg4 ownshi �3 }55l = r- fo 1 CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: o1 dD .� Irte i t e�a�e CST- $#!r 1 034 - 1032 -80 -000 y TANK INFORMATION ELEVATION DATA `j}o SID S +. TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 7 �. (�Sv Benchmark Ol) C7 Dosi Y1� W e `� Iry � p'9 Alt. BM 2 , (. Z I'D Z .,j6 Aeration Bldg. Sewer 10 , - f Y Holding St /Ht Inlet (S CJD Qp.14 TANK 4ETBACK INFORMATION St/ Ht Outlet 1f. q'I C5 - qg TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake O /• 6 x Septic `S ` + o`{ I oZ q S NA Dt Bottom j • gS ` Dosing 1 o r 4 Z / NA Header/ Man. Aeration NA Dist. Pipe c{. Ef0 0 (, pg Holding Bot. System T °I crp s ` PUMP/ SIPHON INFORMATION I Final Grad �, W 6- a 2` J Manufacturer S C �z Demand St cover + l ,S Model Number S p (��� GPM q F6 H Lift 17,•30 Friction .Z% System6.� TDH 3 o% �. S m ead Forcemain Le Dia. 3 // I Dist. To Well SOIL .A 13SORM66 SY EM E Width ength / PIT No. Of Pits Inside Dia. Liquid Depth DI MENSIONS o ! 5 1 DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHI ufacturer: SETBACK INFORMATION TypeO /I f � f � ! ! C HA C NIT Mo r System: ox,.,�b� DISTRIBUTION SYSTEM Header / Man fold Distribution Pipes) i ll I i� r x Hole Size x Hole Spac ing Vent To To A� e Length Dia. Z Length 3 �O' R. ia. 'Z Spacing f �S 7 2 SOIL COVER x Pressure Systems On xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center Bed / Trench Edges I Nsoil I ❑ Yes No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc. (_`) s ection #1. o G 16S7 1 Inspection #2 Location: 970 310th Street, Glenwood City, WI 40 3 (SE 1/4 A 15 T28N R15W) - 152915228B $ ' 1.) Alt BM Description= uxa!Lb 061( �.^QJ..•* a-- re-, ctt► � OKA) s 2.) Bldg sewer length = ;1. 9, 1 L 1 - amoJnt of cove = 14 + 5,�, «re�� (( q 3.) contour =/q Q , q !) 1 �,,,, ` � �Ur, p S'D . C�Qc `S � vwZ�4u�4rNNt..t� Plan rdvis otii requ i S� ❑Yes JK No Use other side for additional information. dl 3 SBD -6710 (R.3/97) Date L�, ��! Inspe o 's Si ) L 4 'I � Ce No. �- r ADDITIONAL COMMENTS AND SKETCH ` i SANITARY PERMIT NUMBER: 8 r E 7 gg t � a $ w L E 4 x m r , 3 ! t � � I . q�p 3]p Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. `�5coflS See reverse side for instructions for completing this application PO Box 7302 Personal information you provide may be used for secondan purposes Madison. WI 53707 -730^ Department of Commerce [Privacy Law. s. 15.04(1)(m)] (Submit completed form to county if r state owner Attach complete plans (to the county cop) only) for the system. on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Numb T -3 = ld s . I. Application Information - Please Print all Information Location: Property Owner wner Name � Property 'LoCcation � y r� `0j U-) / / V `5' r 1 1 /4�(,! 4t1 /4. S r y� N. R ' ? Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II Type of Building: (check one) _ ✓_ t- ❑ City I or 2 Family Dwelling -No. of Bedrooms:w S ' ❑village ❑ Public /Commerci (describe use): •`J �: ' Tow�n`of ❑ State -owned C %\A6y off' [aD . III Type of Permit: (Check only one box on line .qank £Jteck.Spton line B if appl� e) Nearest Road A) 1. ] New System 1 2. ❑ Replacement Replaggtt i 1 0(01. ddition to Parcel Tax Number(s) S stem z ling System Cl — r� Dfl�eJssued B) ❑ A Sanitary Permit was previously issued FFIC �S• �•� IV. Type of POWT System: (Check all that apply) t Z • • Non - pressurized In- ground ,Mound _g_' ❑ Sand Filter ❑ Constructe Wetland • Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line • At -grade , t ❑ Aerobic T eatment U)tt ❑ Recircula in , ❑ Ot er: c :S'F & D ao S8� aQ • Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /da /sq. ft.) (Min. /inch) Elevation 7.5e), / eo to z, 3s' VI Tank Capacity in Total 4 of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks , S L - 1 0 T7G A) 6�u m,o 77w,4 oGro ) vv fnx' C� � /ye- VII Responsibility Statement I, the undersigred, assume responsibility for installation of the POWTS sh wM the attached plans. Plumber's ame (print) Plumber' ignat a (nos amps): P PRS No. Business Phone Number L e /D� vZZy 7 .5 Plum ces Address (Street, City State, Zip C ) VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) MApproved ❑ Owner Given Initial Adverse rcharge Fee) Determination t 3a5 •db ° " IX. Conditions of Approval /Reasons for Disap roval: �. SBD -6398 (R. 07/00) Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 s TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi . us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 22, 2000 CUST ID No.227618 ATTN.• POWTS INSPECTOR ZONING OFFICE ;.TOM GUSTUM ST CROIX COUNTY SPIA N13450 937TH ST 1101 CARMICHAEL RD NEW AUBURN WI 54757 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/22/2002 Transaction ID D .43 Ide N d_ 4 3 ers 755 Site ID No. 19945 SITE: Please refer to both identification numbers, Site ID: 199456, DARWIN NUESKE above, in all correspondence with the agency. ST CROIX County, Town of SPRINGFIELD; 310TH ST SE 1/4, NE 1/4, S15, T28N, RI 5W FOR: Description: MOUND SYSTEM FOR DARWIN NUESKE Object Type: POWT System Regulated Object ID No.: 763522 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. The following conditions shall be met during installation: • The well shall be located at least 25 feet from the tanks and at least 50 feet from the mound. • The aggregate used in the distribution cell shall comply with Comm 84.30 (6)(i). • The synthetic fabric used to cover the aggregate cell shall comply with Comm 84.30 (6)(g). • An access opening of sufficient size to allow removal of the filter must be provided over the outlet "tee" baffle of which this product is installed. This access opening must terminate at or above grade. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 09/18/2000 r FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 KEI A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524-3633, M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WiSMAkT code:. f3�, cc: DARWIN NUESKE Mound System pg 1 of 8 Cover Page Owner's Name Darwin and Kelly Nueske Owners Address 407 N. 8th St River Falls, WI 54022 Legal Description SE% NE% S15 T29NR15W Township Springfield County St. Croix Subdivision Lot# Parcel ID 034 - 1032 -50 Table of Contents F �j►� pg. 1 Cover page 2 Mound Sizing Calculations co D. N 3 Pressure Distribution Layout and Dynamics GUSMM tZ 4 Dose Tank Calculations 1201 f 5 Mound System Drawings 6 Management and Contingency Plan 7 Plot Map 8 Pump Curve Specifications S P.©.W.T.S. Conditionally total # of pages: ® A Designer Name: Thomas D. Gustum DEPARTMENT OF COMMERCE License #: 012ol IVISION OF SAFETY AND BUILDINGS Date: 9/14/00 Ph. #: (715) 658 -1344 E CORRESPONDENCE Signature: 431 �'� 7EP I Mound Sizing Calculations page 2 of 8 Site Conditions Private Dwelling or Commercial p (enter P or C) Slope 3% # of Bedrooms, 1 or 2 family dwelling only 5 Depth to limiting factor 29 inches Absorbtion rate of fill material 1 gal /ft^2/day In Situ Soil absorbtion rate 0.4 gai/ft^2/day Max BOD effluent value 40 mg /I Max TSS effluent value 40 mg /I Design Wastewater Flow Daily Wastewater Flow Private Dwelling 750 gal/day a y 909 Y Design of the Distribution Cell Bottom area of Distribution Cell: 750 Ft "2 Distribution Cell Width (A) loft Distribution Cell Length (B) 75 ft Contour Elevation of Moundl 100 ft Des i n of Entire Fill Depth at upslope edge of cell (D) 7 Inches Depth at downslope edge of cell (E) 10.6 Inches Distribution Cell Depth for Aggregate (F) 9.5 Inches Cover Thickness at Distribution Cell Center (H) 12 Inches Cover Thickness at Distribution Cell Edges (G) 6 Inches End Slope Width (I) 7.6 Feet Fill Length (L) 90.2 Feet Upslope Width (J) 5.2 Feet Toe ( Downslope Width) (1) 15 Feet Toe Adjusted to Increase Basal Area Fill Width (W) 30.2 Feet Basal Area Basal Area Required 1875 ft "2 Basal Area Available for Sloping Sitel 1875 ft ^2 Available Basal Area Adjusted Observation Pipes Location from end of distribution cell (Z)J 12.5 Feet A f Pressure Distribution Calculations page 3 of 8 Lateral Layout Lateral Elevation 101.08 ft # of lsl (c or Center or end manifold (c ore) c Distal Pressure Requirement 5 ft Orifice diameted 0.125 in Lateral Length 37-e" 3G Orifice Spacing /Distribution Est. Orifice Spacing in Inches 21 in Est. Orifice Spacing in feet 1.75 ft Available Orifice Choices: Actual Orifice Spacing in Inches ,, 21.69 in Fractional 1/8 3/16 1/4 Actual Orifice Spacing in Feet 1.80 ft Decimal 0.125 0.188 0.250 Orifices per Lateral 21 Square feet per orifice 5.95 ft ^2 Lateral /Manifold Design Lateral Diameter 1.5 in Lateral Discharge Rate 8.6504 gpm Manifold length 8 ft Manifold Diameter in System Discharge Rate 51.903 gpm Lateral Spacing ft Lateral to Distribution Cell Edge 1 ft Force main Friction Loss Forcemain Length 7 ft Forcemain Diameter 3 in Friction Loss from Forcemain 0.521 ft Center Manifold Lateral Side View Lateral Manifold Lateral x x x x x x x 11 x 11 x x x x 2 Z Lalsral LsngLh Lalsral Lsnglh 6 Lateral Center Manifold Plan View Fora# main aonn#ation uis too or oross to manifold at any point. L*rals are identical *- s I P s 0 - Tur -up rrf ball valveor 14X— +j+1112 I e+a3l Lai a i ls a farce mainof PVC Soh s4 olennoutplug per COMM Table 8430.5 Hobs drilled on the bottom 4the lateral. Septic, Pump and Dose Tank Calculations page 4 of 8 Total Dynamic Head Calcs. Are laterals highest point in pressure system? y If not, list the highest elevation 0 Abj . System Head ist x 1.3) ft 6 • S Vertical Lift (pump off to lateral) 8.92 ft Friction Loss in the Forcemain 0.521 ft Total Dynamic Head (TDH) ft /9. yy/ Dosage Volume Calcs. Does forcemain drain back to tank? y Lateral Void Volume 23.47 gal Lateral Void Volume x 5 117.33 Manifold Volume 1.30 gal Forcemain Volume 26.87 gal Total Dosage: 145.50 gal Tank In Tank Manufacturer i west recast Tank Capacity 1000 gal Tank Gallons per Inch Water Level gal /in Bottom of Tank Elevatio Pump Manufacturer /Model Hydromatic Shef40 M u b aci uir . _ Septic Tank Capacity Chosen: 1650 Septic Tank Manufacturer: IMidwest. Precast Pump Tank Diagram Watarh* locknq cower I Inch � with warn label Mh�um Fn&hed Grade AI tarn to '( Clakled Inch allons LoeaEion 4lectrical per A= 294 Corm 1628 and B= 2.0 51.9 oresman NBC 0 req. C= 5.6 145.5 D= 10.0 259.7 Weep hide h — Total - 1000.0 or Antr5phon 3y pewice -V <<ti {' C za 6 /C) C) q i. /63 p q . 33 r. 9q / Selected pump requires a minimum operating rating of: 12 -Wfeet of head pressure at 52 GPM I Mound System Drawings page 5 of 8 Mound Plan View 1 06ervahon Piper, Z J A= 10 Ft. ' 6= 75 Ft. 1= 15 Ft. 1 d J= 5.2 Ft. K= 7.6 Ft. L= 90.2 Ft. c K W= 30.2 Ft. Z= 12.5 Ft. I filled Areal Trill Material L_ Mound Cross Section View Cover Material Penal Grade 54nthetic Fabric QbservaWm Pipe II`trlbution D= 71n. G Cell E= 10.6 In. Z� y c,,4a� F= 9.5 In. 1 d G= 6In. Pill Material 0 :; a . a�• I" H= 12 In. �RS T,An C - 4 3 1'Illed Area - force Main 549tem Final Grade: 102.38 ft Contour Lateral Invert: 101.08 ft Slope= 3% Bottom of Distribution Cell: 100.58 ft System Elevation: 100 ft Lateral Cleanout Detail Clean out plug Final tirade or ball valve Lawn 's pri nkler Pox Lateral Lonq Sweep 90 or two -W r, Pe 6 Mound System Management Plan 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. 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 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 net 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 conpaction 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/LTSS, 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 peformed 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 maintence 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 tee 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. Questions on the operation or maintence of this system should be directed to your designer, installer or county zoning or health inspector. r C Property Line FLOT IM A - P c CI) r -- n � Slope 3% o z CD N r 0 3 0 CT) o O CL EL W N m O • t�/1 D (D rt o 3 0 55 l o o C o v � c o ° p z C - ) C� ° 7 TJ a O N O 0 0 0 _ _ G p O O n C � 0 0 ° O v c� � W Property Line ° rn a cr ^: o CD a CN Cf) G) C 4�. o 0 o_ r iv n - 0 0) 0 Q0): -I 1S 4101 M a 0 �, W; co f o_m K 'O Vl N 52 C ID N Q O N C7 N N ___________ _ ______ ________________ C -0 _ - -- is 4101 i V OR z v o � rn �'� 7 (S Cj.K&P CUJZ -V L S BEZIViLA 7 S P 8 5 En gineering - • i 3 Performance Data M «tom} 5Yr . Riq� S 40 SHEF4 30 :t. Purni $ ' Charracteristics 3 , Pump/Motor Unit Submersible 20 t Manual Models SHEF40M1 1 SHEF40M2 l Automatic Models SHEF4OA1 1 SHEF40A2 Horsepower 4/10 Full Load Amps 12 1 6.5 Motor Type Shaded Pole (4 Pole) R.P.M. 1550 10 20 30 40 50 60 10 M1, Phase 10 GPM '5 Voltage 115 1 230 Total Head (feet) 10 14 17 21 25 28 30 35 Hertz 60 (m) 3.0 4.3 5.2 6.1 7.6 8.5 8.8 10.7 Temperature 120° F Max. Fluid NEMA Design A GPM (US GPM) 70 60 50 40 30 20 10 0 liters /sere 4.4 3.8 3.2 2.5 1.9 1.3 .63 0 g ( f insulation Class A Discharge Size 1 1/2" NPT Solids Handling 3/4" Dlmenslona� Data weight 281bs. 3-718• 6-5/8' (168.27) 1. All dimensions in inches. (Metric for s Power Cord 18/3, SJTVII, 20' std (se.a2) 5 . (127) international use). (30' optional) �x 3 -7/6 2. (omponent dimensions may ►1�H1Struction (s8.a21 vary t 1/8 inch. { Hwrdle Stainless Steel 1 3. Not for construction purpose rk; 3-7/8" DISCHARGE lubricat 00 Dielectric ON (9e.42) 1 -1/2" NPT unless certified. " , Motor Housing Cast Iron —� SWITCH �" 4. Dimensions and weights are Pum Co ' Cast Iron approximate. Shah Steel mocha aiud Seal Faces: Carbon /Ceramic 5. We reserve the ri to make Shaft Seal Seal Body: Anodized steel revisions to our product and their Spring: Stainless Steel specifications without notice. Bellows: Buna -N Engineered Thermo lostic u` 11 -3/8' U Bronze Shreve Beari (zess2) 10 -311 (258.76) Lower Bowing Sinale Row Ball Bearin Bottom Plate Polyester Coated Steel —� , 3 -5/8• Fasteners Stainless Steel (92.07) - legs Engineered Thermoplastic F. aF 0 1998 Hydromatic' Pumps, Ashland, Ohio All Rights Reserved. Fir HYDROMATIC ® Your Authorized Local Distributor– fY R 1840 Boney Road Ashland, Ohio 44805 Tel: 419- 289 -3042 Fax: 419.281 -4081 Web Site: www.pentoirpump.com v �ylvsrsr�,, c�� •• °'• SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES �`� � Refer to "Pumps" in the yellow pages of your phone directory for your local Distributor a ✓� � � " Item #: W -02 -6680 1198 5M Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264 -8777 isconsin www.commerce.state. Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 22, 2000 CUST ID No.227618 ATTN: POWTS INSPECTOR ZONING OFFICE TOM GUSTUM i �b CROIX COUNTY SPIA N13450 937TH ST -1101 CARMICHAEL RD NEW AUBURN WI 54757 `f- IUPSON WI 54016 ~ r 04 } RE: CONDITIONAL APPROV Identification Numbers PLAN APPROVAL EXPIRES: 09/ZZA2 `— r Transaction ID No. 437559 Site ID No. 199456 SITE: Please refer to both identification numbers, Site ID: 199456, DARWIN NUESKE °` above, in all correspondence with the agency. ST CROIX County, Town of SPRINGFIELD; 310TH ST SE1 /4, NE1 /4, S15, T28N, R15W FOR: Description: MOUND SYSTEM FOR DARWIN NUESKE Object Type: POWT System Regulated Object ID No.: 763522 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. The following conditions shall be met during installation: • The well shall be located at least 25 feet from the tanks and at least 50 feet from the mound. • The aggregate used in the distribution cell shall comply with Comm 84.30 (6)(i). • The synthetic fabric used to cover the aggregate cell shall comply with Comm 84.30 (6)(g). • An access opening of sufficient size to allow removal of the filter must be provided over the outlet "tee" baffle of which this product is installed. This access opening must terminate at or above grade. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 09/18/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 AREITA WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524 -3633 , M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE. WI.US WiSMART code: 7633 cc: DARWIN NUESKE Wisconsin tiepartment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 i d� s �n must include, but rraix not limited to vertical and horizontal reference point n`and" %pope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dista earest,d. 034 APPLICANT INFO RMATION- PLEASE PR LL Ik�N1116 ON ' ��a� R VIEWED BY DATE PROPERTY OWNER: pla P TY LOCATION r G . OT SE 1 /4NE 1/4,S15 T 29 API 15 ,&or) W Mary Priar/Marlinttin Kir Thlioz M. 44Z C; PROP RTY OWNER':S MAILING ADDRESS CO BLOCK # I SUBD. NAME OR CSM # 9825 Harr Ave. ZCft+i�+ � na csm endi CITY, STATE ZIP CODE P ON BER ITY ❑VILLAGE ®TOWN NEAREST ROAD Harrison, Ohio 45030 (51 S rin field 310 h. �c] New Construction Use [Y� Residential / Number of bedrooms 3 [ ] Addition to existing building j ] 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 ._ bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) 101.00 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of el. 100.00' Parent material sandstone uplands Flood plain elevation, if applicable na ft S = Suitable tot system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S El U 0 S ❑ U ❑ S 1K] U 1 ❑ S ® U ❑ S Kl U ❑ S au SOIL DESCRIPTION REPORT - Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -13 10yr3 /2 none 1 2msbk mfr gw 2f .5 .6 +)� ................. 2 13 -18 10yr5 /3 none sil 2msbk mfr gw if .5 .6 .S- Ground 3 18 -229 10yr4 /6 none sicl lcsbk mfr gw if .2 .3 elev. 4 29 -54 10yr6 /4 c2p 7.5yr5/8 sandstone residumn na na np :np 1 00.4 ft. Depth to limiting factor 29" Remarks: Boring # . 1 0 -13 10yr3 /2 none 1 2msbk mfr cs 2f .5 .6 2 13 -22 10yr5 /3 none sicl 2msbk mfr gw if .4 .5 .� 3 2 -41 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 .2 Ground elev. 4 1 -60 10yr5 /6 sandstone res iduum na na na na np np i - ft. Depth to limiting factor LL Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200 ve. New Rich nd WI 54017 Signature: Date: 8 -28 -97 CST Number: m02298 PROPERTY OWNER Prior /Kircbheiner SOIL DESCRIPTION REPORT Page ? of 3 PARCEL I.D. # 034 - 1032 -50 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -11 10yr3/3 none 1 2msbk mfr cs 2f .5 .6 3 .g 2 11 - 10yr4 /3 none sicl 2csbk mfr gw if .4 .5 Ground 3 18 -33 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 2. elev. 4 33 -50 10yr6 /4 b2p 7.5yr5/8 sands one resid um na na np np 9 9.2 ft. Depth to limiting fact�� " Remarks: Boring # : Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEELS SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Prior /Kirchheiner New Richmond, WI 54017 MPRSW 3254 SE4NE4 S15- T29N -R15w (715) 246 -6200 town of Springfield lot #5 -csm J e3 M � 40' V 535 BM.= nail in Oak tree @ el. 100 �p P5 .r.S " 5+ V1 51 ©pL Lty%A, s4, bw 1yl Ott 4 10„ �1 t ��o�+ .8 37' La 5 M V. Z Poo. 43 V ol. Gary L. Steel 8 -28 -97 l AND OWNERSHIP CER'riFICATION FORM Owner/Buyer — �_D,9wj1 -' ,....'� � ��L✓ Mining Address 6 s? 1-c Property Address - 97/) /) a 2 es (Verification required from Plantuul Department for new constuctian) ° citylstata 0 3 % -14;" 7 C Parcel Idell4fic4on Nutnbor LZGAL bEui Prop&V Looation s� V4, Seca ; T eN-R-� zw, Town of. Subdivision , Lot # - - . C ertified Survey Map # S o!� ��� � _ Vow,,,. � , Page # Warranty Deed # < %' JQ Volume .L - Page # Spot house 0 yes Z no Lot linas identifiable .0 yes 13 no NAMMV US bapteper us sad mtf nteAwa of ycur septic system coWd res& In 13 Fre"MM AUlasc to handle wastes. ?rqw rnau tenucc consists of jutmpins out the septic tank Mry *M yearn or Wont, if seeded by a 1Wowd pumper. What you put into *a systow re r� ts s e w° -c lhe warts doWu s ��p�, Y r y C L 'crp4we .�i- G e =r�i5 r WSJ C ptvperty Off "I to subu* bo Sit, C WX xoai:t,s Depubtt s icatina b`orco, risaed by the ovmex aW by masterPlambet,,jawt'oeYnuup bar. rastxictadpluaa�beraaUacocdpupervorif * tUt( t) ! fieou- ttewsstewaurdbsposaisyst4w Is in PfilpOt operating oot►did a "or M dlior wpeotiott Fwd p (teaces "YN the septic tank is less than 1/3 AM of 446. Y", the M&MdPed 8sv0 Mad fire above requiremasts end apse is aaaMUTA the pdvste sewage &spossi system with the standards sot > M at by ft Departuat of CommeM surd tip De~ of Nshw Ram State of Wwonsin, Cartificat= rtaatfi sapdc iva been maiumWed rAw be coogsieted sod rommd to dw St. Croix County Zoo* write widtia X days due yeas emaratim eev 81MATURR OF APPLICANT DATE, - C,�BlItTIFIir ON nit atahmancs on this f*M an true to the best dray (out) Wawiedgc. I (we) am (ere) the owtwr(s) of the , by vifte of a wa:rwsrty deed recce in Roguter of Deeds otfitre. S10 Off APPLICANT PATE 04*0 * Any kdomution that is tnis- rsp tnay result iu th sanitary Pomit Wag revoked b the Zoning Delertmwc • ° � "" • «" iinotuds with tots appliestiott; s stsmped wsttsttty deed born tbo Registar of Deals office s copy Of tine 04niCted map if reference is rude in th warran deed I 144tua 593 �y ebalc,4%z01 STATE BAR OF WISCONSIN FORM 2. 1"S KATHLEEN H. WALSH kEGISTER OF DEEDS ST. CROIX CO., WI This Deed, [Wade between Janet Ehlers, a married Person RECEIVED FOR RECORD 07 -14 -1999 6:30 All _ Grantor, conveys and warrants to Darwin Nuesk e aud Kelly Nueske. OARRANTT DEED husband and wife EXEMPT k CERT COPY FEE: COPT FEE: TRANSFER FEE: 04.00 RECORDING FEE: 12.00 Grantee. DARES: 2 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property "): Recordinx Area Name and Retum Address RIVER FALL OX 89*M BANIC R1H331< FALJA WI 5402>< r 034 - 1032 -50; 034. 1032 -70; 034- 1032 -80 Parcel Identification Number ty. /n This is not homestead property. (See Attached Exhibit "A ") �34 Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any _ L Dated this day of July, 1999. / '+ Jatte (ffiflers s � AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF OHIO ) ) as. authenticated this _ day of /�`9 ortJ County ) Personally came before me this �) d day ' of July, 1999, the above named Janet Ehlers, a married Person, TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be (If trot, the person(s) who executed the foregoing instrument and authorized by § 706.06, Wis. Slats.) acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin Ogland + Hudson, WI 54016 Notary Public, State of 11UQ@esia OHZ (Signatures may be authenticated or acknowled ed. Both are not M Commission i5 n 8 Y 8 Y permanent. (If trol, state, te; ' necessary.) GIORIn 'i1CKtiR VETTER�, f ;Irtsry Iubhc, State of Ohio' �,',;• 4 , ram., .... "Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE RAR OF WISCONSIN FORM No. 2. IM INFORMATION PROFESSIONALS COMPANY FOND OU LAC, WI 8004M&2121 y - • �. t4 41PACF 594 - ' r EXHIBIT A" A part of Lot 5 of a Certified Smvey Map, Document Number 567617, racmded in Vchuns 12, page 3375 of Said N* m in the Register of Deeds Office in St. Croix County, Wwonsin, located in Part of the South Half of the Northeast Quarter of Section 15, Township 29 North, Ramps 15 Went, described as follows; Commencing at the Bast Quarter caner of Said Section 15; thence: along the as tiara of the Nord t d Quarter of said Section 15, raced to the hearings shown on said Certified Survey MAP, North 00 degrees 4S minutes 13 seconds Went a distance of 1008.05 fat to the Point of beginniog of the Parcel to be deacdbed; thence, in part along the north tine of Lot 1 of a Certifed Survey MAP recorded is Volume 2, page 434 in said County. North 89 degrees 57 mim,"s 10 seconds West a distance of 645.10 fast thence North 00 degrees 45 minutes 13 seconds West a distance of 305.34 feet to the exterior boundary of said Lot 5; thence, along last said exterior boundary, South 89 degrees 49 minutes 43 seconds Bast a distance of 177.14 foot, thence along the exterior boundary of said Lot S, this also being the wear line of that property described in a Deed reworded in Volume 535, Page 555 in said County, South 00 degrees 45 mint 13 seconds East a distance of 200.00 feet; rhesus, ato% the mouth line of said property in said Deed. South 89 degrees 49 whales 43 seconds East a distance of 467.99 feet to the asst fine of the Northeast Quarter of said Secton 15; thence, along last said sat tine, South 00 de> Von 45 mimRes 13 seconds Fast a distance of 103.94 feet to the point of begmnin& Together with an easement for the: Placement of a mew=s system (including All associated components such as .dramfieK tanb, etc.) located an the following described property. The Fast 275 feet of the North 307 feat of the property dacabed as follows: A part of Lot 5 of a Certified Survey Map, Dowmrn< Number 567617, recorded in Volume 12, page 3375 of amid Maps in the Register ofDook Office in St. Crone County, fiscousiPo b'sted in Pan of the South Half of the Northeast Quarter of Scion 15, Township 29 North, Range 15 West, desoibed as follows; Commencing at the Bast Quarter corner of said Saxion 15; thence, along the east line of the Northeast Quarter of said Section 15, rcOwenced to the hearings shown on said CertdSed 3urvry Map, North 00 degree 45 minutes 13 seconds West a distance of 742.06 fed to the �pont of of the pucet to be described; thence, along the exterior North boundary deg(= 56 minutes 27 seconds Weft a distance of 1307.46 theomoe North 00 degrees 40 atimrtes 18 seconds Weft a didamooa of 246.55 feet to aderm boundary of said Lgt 5; thence, along last said boundary, North 00 degrees 44 mierutam 54 Seoonas West a distance of 325.94 feet; thence, along last said exterior bdundwy. South 89 degrees 49 minutes 43 seconds Past a distance of 662.00 feel thence South 00 degrees 45 minutes 13 seconds Bast a distance of 305.34 £oat; thence South 89 degrees 57 minutes 10 Woods Beat a distance of 176.77 feet to the westerly line of Lot 1 of a Certified Survey Map recorded in Volume 2, page 434 in Said may: ". along last said westerly line. South 00 degrees 43 minutes 31 seconds East a distaox of 200.02 feet; tbcaoe; along the mouth line of lest Said Lot 1, South 89 degrees 57 minutes 22 seconds East a distance of 468.43 feet to the east lino of the Northeast Quarter of Said Sec uon 15; they along last said east tits@, South 00 degrees 45 minutes 13 seconds Fast a distance of66.00 fed to the Point ofbegirming. Pant of the SE ye, of the NE %, Section 15, Town 29 Nort1S Range 15 Weal, described as follows: Commencing at the East r/. corner of said Section 15, thence North 00°00'58" Wart, 1312.27 fact to the print of bo muing thence North 89°03'54" West 468.00 feet; thence South 00°00'58" East 200.00 feet; dMos south WO3'54° East 468.00 feet; then= North 00°00'58" West 200.00 feet to the point of beginning, < A1 D 0% 9 1997 < Wftq C 104 Of 5:6,761-7 C01W CERTIFIED SURVEY MAP Located in part of the Sou west Quarter of the Northeast Quarter and part lof the Southeast Quar e Northeast Quarter of Sectif 15, Township 29 North, Range 15 West, Town o(" Springfield, St. Croix County. Wisconsin, this being Lot 1 of Certified Survey Map Volume 1 page 290 Document Number 335055 as recorded in the St. Croix County Register of Deeds Office. UNPLATTED LANDS EAST LINE OF, Centerline 310th St. 310TH STREET THE NE 114 - - - - - - - - M-N 00'45'13 W 2623.97'-- - - - - -- R=S 00*00 E �OT4!!�13!E ---742-06�--- 1511.9V---- _ 103.94' --199.99' 6 . .. . .. - ff Row L2 ff Ro T- _n— -A ROW LO: q q co ..... C4 t--j PIC V) 04 LQ to LO to (j 'N L ON 3:p Ck a. U) W ! w (0(0 O W `t 0) L() M rs 31 6 1 Lul to Pr) ' k 0 L * O 00 2 1 -t 01 l-51 ") C0 L0 to U)l N lzi z j V) C:) l o - ci 0- W -j 11 11 W , -1 W, -) 10, S " \,r\ I t J W � 2 11 0i IA A - C4 1 Z l,- I I I >I II 0 01 0 L -i >1 I I to SW45 Enj 200.W\ M r-S-W43'31*-E 0 i ICA 200.02' z 9 W -1 1 z t F =SOO'00'5ErE [L j - �- < 200.02' all - WI tr) W Z to n W to M ' i r- E C-4 00 zi `1- U-j 04 8 U, (n, 0 a Z 7 EL 01 L F- OD Z: OD 11 CX of 5 0 En < P LLS LLI Li � Lj Z z 0 1 V) IX Lul C) M 2 4- 1 1 z 0 cn 0 e) U) tn Ld 1'- 0 L) r, ) W (n X �E (n LLJ V) Lj LJ to 000) to -j L) 0 C) 0 LLJ L 1c) 0 b) D < W LL , Go X z :E C4 0 0 Q� 11 1< 0 N 4D LLI F= U) (Y 'z I X ' et N " IN U U) W N 04 <' X W) ar < Ld T �i U) < , UD :1 (n (n W CD L' - 0 o Z U) LL V) C-) < W to W 0 4v E INE OF 7 M WEST L7HIE C: :5 6 114 OF THE NE 114 z ST L SE 41; R N 0 28- N- + .2 0. 0 > b, 11 R=N 00*00'29' W S 0 0'42 5T E 739.80' ir (7 0 0 a 326.13' z 0 0 0 0 L. — K M W '54 in E .� I D -6 p M-N W44541� W a E 'j 325.9V E 0 �—EAST LINE OF THE SW am 14V-1 114 OF 7HE NE 114 on >S C (s 0 W 0 =3 - 0 a 0 0 b 9: (D U) C 6 f 01 16116. • %% in L L P 0 z ° ad CL.2 '4 z —0 i W W (1) > 41, i 0 0 V) - a :3 ?-� L Wi > 0 d) , L'Lj ZY) 0 t I j� W co • Ix I V) --j CL Z a_ vv E z b)l M z i W i 00 00 -" N c co 0 .'- i� � C �') 9 , L E ZI V) z -C 2 C 0 C Z) C 0 0)0 0 v 0 tL v 0 - < 0-0 -.2 E -0 C 0 zt 0 0 L- 0 L) C 0 0 0- W '0 L- 0 M C - 0 . M - N OU46'116r W 984-91' 2 M - 9 .2 0 0 Or C j D 0 < < R = N 00'00'28" W 990-00' N Q- E Q In X :3 0 1 (n c -T— V) PQ S -Z: C14 L INE 0.3: - 0 0 E �o 4 DIRECTION I DISTANCE 0- >' (j . - Z -k C L- 'a 'D Ll M=S 0954'09' E 104.01' ' gF __::3 0 FE Q. 4) 0 S) 0 R=S 00*00'58" E m Ca I , E C) (J 0 U Q U 0 Q) C 0 0 :3 !E C) 0 a L� LL- Mz_ M la� L2 M=S 00r41113" E 65.99' 1 C R=S 00'00'51r E 1 -7 1 00 0 N 0 1 0 0-1 "n C X 0 Prepared for and at the request of: zi C� Q- a. r-: DI JOB #97056 Gone Wolf 0 ) (Z) 1 0: W * L� Prepared by. CENTURY 21 z A & E 1237 Knowles Avenue All 54017 d h Ricmon, U, LAND SURVEYING & CIVIL ENGINEERING New -i -4319 OWNER: < Phone No. (715) 246 0 109 East Third Street, P.O. Box 325 Mary Pryor Moon LO 0 V) New Richmond, WI 54017 Drafted by. Kristi A. Eylandt z Sheet 1 of 2 VOLUME 12 PACE 3375 SHEF5 Submersible Effluent P umps I Details Pump Characteristics Performance Data Pump/Motor Unit Submersible 30 100 Manual Models (50) M1 M2 M3 M4 MS Automatic Models Al A2 - - - Horsepower 1/2 24 80 Full load Amps 15.0 17.6/7.1 1.6 1 1.2 Motor Type Capacitor Start R.P.M. 3450 W 18 tz SHEF100 60 Phase 0 10 30 tz _ Voltage 115 12*2301208-2301 460 1 575 Manual Models (100) 1 M2 I M3 M4 I M5 0 SHEF5 9 Automatic Models I A2 1 12 - 40 Horsepower 1 0 Full Load Amps 13.6/12.1 6.0JSJt 2.8 1 1.9 Motor Type Capacitor Start 1 30 6 20 R.P.M. 3450 Phase 0 10 1 30 Voltage 208 -230 208 -230 1460 1 57S 0 Q Hertz 60 Capacity -U.S. G.P.M. 0 20 40 60 80 100 Temperature 140OF Max Fluid Temp. NEMA Design L B liters /Second 0 2 I.90 4 f 6 Insulation Class B Discharge Size 2" NPT std. Solids Handling 3/4" Dimensional Data Unit Weight 58 lbs. (50) T65 lbs. (100) Power Cord 115V, 14/3, SJTW -A; 230V, lo, 16/3 SWT -A; 30, 16/4, STW-A, 411+6 6.Lfi All cords 20' std. with 30' opt. 1N Materials of Construction } +/+ a -9Hg D+SCNMOE 7 NP7 Handle Stainless Steel } ++ / +�— `OI°cNMOE r NPT Lubricating Oil Dielectric Oil Motor Housing Cast Iron ft tt All Pum Casing Cast Iron ascNencs vlre NOT INOLUOEO IIik PIK Shaft Stainless Steel Mechanical Seal Faces: Carbo /Ceramic r g„ ,„ 1Z -1N $ FLWT Shaft Seal Seal Body: Brass WTR Spring: Stainless Steel Bellows: Buna -N i Impeller Engineered Thermoplastic Upper Bearing Single Row Ball Bearing SHEF50 SHEF100 Lower Bearing Single Row Ball Bearin Bottom Plate Single Row Ball Bearing All dimensions in inches. Metric for international use. Component dimensions may vary t 1/8 inch. Fasteners Stainless Steel Dimensional data not for construction purpose unless certified. Dimensions and weights are approximate. On /Off level adjustable. We reserve the right to make revisions to our product and their specifications Legs Engineered Thermoplastic without notice. Four Authorized Local Distributor — �� HYDROMATIC�' Pentair Pump Group USA CANADA 1840 Baney Road Ashland, Ohio 44805 269 Trillium Drive Kitchener, Ontario, Canada N2G 4W5 Tel: 419 -289 -3042 Fax: 419 -281 -4087 www.hydromatic.com Tel: 519- 896 -2163 Fax: 519 -896 -6337 Item #: W -02 -6370 12/99 1 OM