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HomeMy WebLinkAbout038-1239-15-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Divisiuni INSPECTION REPORT Sanitary Permit No: 463337 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)j. Permit Holder's Name: City Village X Township Parcel Tax No: r Crowder, Joe Star Prairie, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (Y` �,� ( 17.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. g , a /p 1 9 Septic ` Benchmark z ,55 ld, ors Dosing �'�\ Alt.� / Bldg. r 1Z -9 CT5, Z)$ Holding SUHt Inlet I J3. / �3 p 4I ` 1 �1�_ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet A a Septic 3 Of 1 5�l Dt Bottom Dosing ► 11 Header /Man. -7.1-7 /6a g Aeration T Dist. Pipe 7 -3 /p0 <<o Holding BnLSyetWr 7. 9 PUMP /SIPHON INFORMATION Flmei -Grade bJ /OI '(- •74" Manufacturer Demand Stover e^ n J Model Number 4� 35 TDH Lift Friction Loss System Head TDH t 9 .93 5,'3 3 - tS 8 . q Forcemain Leny h I Dia. Z 11 Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. O 6�A PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Q — 7 SETBACK SYSTEM O TO / P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR I I Type System: w / /l/ ' A 1� UNIT Model Number: �8v1� � DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size �j // x Hole Spacing / Ve io Air Intake / Pipe(s) J O 3 Length Dia Z 1 1-ength ' 7 � Dia j Spacing Z' •• SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of eeded /Sodded T xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil es No es No � 1 COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 7 / / 05 , Inspection #2: Location: 2186 94th Stmet Star Prairie, WI 54026 (NE 1/4 NW 1/4 17 T31N R18W) Squaw Lake Estates Lot Parcel No: 17.31.18. f Ga0-t"-�,,, 1 lae,� ,� + d-> ..E fstle. � is 1.) Alt BM Description i = ` + ✓� �"e�5 �� ���'�' r � r l� 2.) Bldg sewer length = 10 b epf / - amount of cover = r 5 cl� W �6 c j e —' " Qr 5� Sn,`( Plan revision Required? Yes i 1<No Use other side for additional information. Date Insepctor ignatur Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County � , A � Nvio 20 1 W. Washington Ave., P.O. Box 7162 ,� svn s�n Madison, WI 53707 - 716 nitary Permit Number (to filled in by Co.) (608) 266 -31 d Department of Commerce \ b3 3 3 S to Plan I.D. Number Sanitary Perm 'one X47 . is 1 p _ In accord with Comm 83.21, Wis. Adm. Code, n 1 o ion you provide �j, � �.1 t .i / 1 2 / / 4 - / ewn� . /& + may be used for secondary purposes Privacy 1 xmjl, ✓ Pro „ t Address (if different than mailing address) I. Application Information - Please Print All Information . Property Owner's Name Parcel # Lot q Block # Property Owner's Mailing Address Property L ocati , y N� /., N/ Section City, State Zip Code Phone Number ' ( E o one) fj Co T N; R�QE o� II. Type of Bui ng (check all that apply) QA 5 Subdivision Name CSM Number A - , or 2 Family Dwelling - Number of Bedrooms ❑ Public/Commercial - Describe Use __ ❑ State Owned - Describe Use ❑City Village ownship of� III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal El Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 1 1 ` r \,% it IV. Type of POWTS System: Check all that app I ❑ Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil X Mound < 24 in. of suitable soil CA 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 Chamber ❑ Drip Line ❑ Gravel -less Pipe Other (explain) V. Dispersal/Treatment Area Information: - O `- Design flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation ) pp D LpDb 600 , 3 V . Tank info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass - l 00 New Existing Tanks Tanks Septic or Holding Tank p 00 / Aerobic Treatment Unit Dosing Chamber go ors VII. Responsibility Statement- I, the undersigned, assume responsibility for' tattation of the POWTS shown on the attached plans. Ptu be 's Name (Print) r Plumber' ignat PRS Number Business Phone Number W I R"510-35 14 / lumber's Address (Street, City, State, Zip Vlll. County/ e artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuin A Signature (No Stat s) Approved ❑ Disapproved Surcharge Fee) ❑Owner Given Reason for Denial zs jA 0 4- IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER; /- t 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 size SBD -6398 (R. 01 /03) / t _ yo 3$� 93 ` c 1 y S T r r � o too Io° ID MN Safety and Buildings 10541 N RANCH ROAD commerce HAYWARD WI 54843 TDD #: (608) 264 -8777 iscon www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary March 01, 2005 CUST ID No.220357 ATTN: POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/01/2007 Identification Numbers Transaction ID No. 1112194 SITE: Site ID No. 695057 Joe & Melissa Crowder Please refer to both identification numbers, 94TH St above, in all correspondence with the agency. Town of Star Prairie St Croix County NEIA, NW1 /4, S17, T31N, R18W FOR: Description: New mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1005461 Maintenance required; 600 GPD Flow rate; 27 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 Co and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in r' t chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.' C� RTt.1E� No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, VAS ON of SA stats. The following conditions shall be met during construction or installation and prior to occupancy or use: SpF OR General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. 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) • 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 per COMM 83.44(6)(a)2. • 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. BRADY J UTGARD Page 2 .3/1/2005 • Maintain well and waterline set backs per COMM 83.43(8)(i). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. 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 shall provide a copy of this letter to the owner and any others who are responsible for the installation, operat' n or > >aintenance of the POWTS. Sincer Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 atricia POWTS Plan R viewer ntegr ed Services WiSMART code: 7633 (715)634- 7810, Fax: ( 15) 63 -5150, M -f 7:45 am - 4:30 pm pshandorf @commerce. tate. us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 F i MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE ,Project Name: CROWDER Owner's Name: CROWDER Owner's Address: 741 A SPIRAL BLVD. HASTINGS, MN 55033 Legal Description: NE 1/4 MW 1/4 S 17 T 31 NR 18 W Township: STAR PRAIRIE County: ST. CROIX Subdivision Name: SQUAW LAKE ESTATES Lot Number: 15 Block Number: N/A •T•S' t�) `10 Parcel I.D. Number: N/A Plan Transaction No.: r of co cE E -`l A ll0►N Page 1 Index and title Page 2 Data entry Page 3 Mound drawings �ESPnN Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN Page 9 soil test Designer: BRADY UTGARD License Number: 220357 Date: 02/14/05 Phone Number: 715 - 268 -6995 Signature: Designed Pursuant to the Mound Component Qanual for POWTS Version 2.0 SDB- 10691 -P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 9 p.2 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) ;`' R Residential or Comm Design Note: Sand fill (D) calculations assume a 40 0.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-su soil treatment for fecal 1.50 j Peaking Factor (e.g. 1.5 = 150 %) cdffonn inches. 600.00 Design Flow (gpd) 18.00 Site Slope ( %) 98.55 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/fe) Distribution Celt Information 057 057 0� Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00j Dispersal Cell Design Loading Rate (gpdhf) 11 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) C1 Center or End Manifold 4.00 Lateral Spacing (ft) if N above, enter the ele_ vati_o_ n_(ft) 4 1 Number of Laterals of the highest point. T 0.188 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 10.00 fe /orifice 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? Y 87.00 Pump Tank Elevation (ft) Enter Y or N A 3.25 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 12.05 Vertical Lift (ft) 46.75 5x Void Volume (gal) 4.48 Friction Loss (ft) 69.59 Minimum Dose Volume (gal) 19.78 Total Dynamic Head (ft) 39.32 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 ; 1.25 1.00 I 1.50 x _ 1.25 x i X i 2.00 x X 1.50 x 3.00 _ 2.00 x i 1 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200.00! Septic Tan Capacity (gal) 35.97 Total Working Liquid Depth (in) ? W.IESER � I Manufacturer 22.24 gal/in (enter result in cell B49) Dose Tank Information Effluent Filt Inform ation 800.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 22.24 Dose Tan Volume (gal/in) 1A100 ; Filter Model Number WIESER Manufacturer Project: JOE CROWDER Page 2 of 9 � l p.3 Mound Plan View t Observation Plpe Q ' _ J K :. . T _ � 4 .Q A 0 w .. .F ... : .................................... L Mound Component Dimensions A 8.00 ft E 26.28 in H Aft ft K 9.72 ft B 75.00 ft F 9.25 in 1 ft L 94.45 ft D 9.00 in G 0.50 ft J W 34.51 ft 600.00 (ft) Dispersal Cell Area 2292.80 (ft Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.07 (ft) ► rtr rn.. G H � .rririiiir y nir /1rf . :r /rrr /r r r rlr� F Dispersal cep — 99.80 (ft) Lateral 99.30 (ft) —► Invert Dispersal Cell Elevation D } • : : : • : �. 1 ' S , l 1. 'i,VJ ti . K {, K•,{ ` •.` .•..7. "S ` A " 1 98.55 (ft) Contour Elevation 18.0 % Site Slope Geotextile Fabric Cover Shading Key c T Dispersal Cell See lateral details on Topsoil Cap 0 a 1.5 ft Page 4 for number, size, © rim Su Cap ,; =, " ";; °' `'' " ` :6 '` r =.` and spacing of laterals. © ASTM C33 Sand m 2 , :Q:`,'. F Laterals are equally ` :'' ` Tilled Layer e m 0.5 ft Typical Lateral ;::r, spaced from the sr. Aggregate a c 5r] distribution cell's A centerline l the distribution cel (Ax8). Project: JOE CROWDER Page 3 of 9 p.4 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are iderift al 1 P S 0- Turn -up valbal I valve or X �W2 I e12 +1 Laterals & force main of PVC Sch 40 cleanoutpluo per comM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 4.00 ft Orifice Density 10.00 ft /orifice Lateral Flow Rate 9.83 gpm Manifold Length 4.00 ft System Flow Rate I 39.32 gpm Manifold Diameter 2.00 in Total Dynamic Head 19.78 ft Forcemain Velocity 4.02 1 ft/sec Dose Tank Information Locking cow with warning l ater and locking device and sealed watertight Electrical as per NEC 300 and - -► Comm 16.28 WAC Disconnect 4 in. min. -- 11-- Tank component is properly vented Alternate outlet location Forcemain diameter WIESER Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 galrnch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.84 485.77 B 2.00 44.48 C Pump off e levation (ft) C 3.13 69.59 87.75 D 9.001 200.16 D Total 35-971 800.00 D ose tank elevation (ft) 3" Bedding under tank. 87.00 Alarm Manuafacturer j LEVEL Alarm Model Number # DLV Pump Manufacturer GOULDS Pump Model Number i EP05 j Pump Must Deliver 39.3 gpm at 19.78 ft TDH Project: JOE CROWDER Page 4 of 9 j . Mound System Maintenance and Operation Specifications Service Provider's Name UTGA PLUMBIN 715 - 268 -6995 POWTS Regulator's Name ST. CROIX ZONING Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow- Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/ , Soil Absorption Component Size 600 f 2 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 every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ......... • • • • • 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: CROWDER Page 5 of 9 c 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 rulers 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. Famed 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 commporent. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet fitter 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 biennial assessment, maintenance personnel shall advise the owner of when the rod 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& FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flaw 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 ordered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components became 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 perfomrarrce. If the mound component fans 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 biologic* 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 5 of this plan for the nacre and telephone number of your local POWTS regulator and service provider. Project: CROWDER Page 6 of 9 P. bout s �. submersibie . . '' ► Effluent Pum o d 7 EPO4 38 7 1 EP05 APPI_ICATIGNS • Fasteners: 300 series ° Fully submerged in high o Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heal transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. m Motor Cover: Thermoplas- • Homes components. tic cover with integral handle • Farms Motor. man Available l o far automatic and and float switch attachment • EPO4 Single manual o peration- Automatic • Heavy duty sump n9 phase: 0.4 HP, models include Mechanical points. i 15 or 230 V, 60 Hz, 1550 Float Switch assembled and y • Water transfer Power • Dewatering Cable: Severe dui RPM, built in overload with rated oil and water resistant. automatic reset preset at the factory. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM. FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 tmpelfer. Thermo • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING '14" maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 1613 SJTO mechanical seal protection. sp Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot lag' en close d "' (CSA listed model numbers th • Mechanical seal: carbon- length, SJTW with plastic enc design fo r , g improved performance. end in ' F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Bugged • Temperature: thermoplastic design provides 104•F (40 °C) continuous superior strength and 140•F (60 intermittent. corrosion resistance. • Fasteners: 300 series mt =Tess Er stainless steel. 10 • Capable of running dry without damage to s 30 �-*--5GPM components. Pump: EP05 s \ '4 —zSFr • Solids handling capability: 0 25 '/4" maximum. w 7 • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size: 1'h" NPT. z 5 • Mechanical seal: carbon- D.- 15 rotary /ceramic- stationary, -j 4- BUNA -N elastomers. epos a • Temperature: '- 3 10 104•F (40 continuous EPO4 1400F (60•C) intermittent. 2 5 � 1 9. OL 00 10 20 30 40 s0 GPM P 49 -ekc 7o 0 4 6 8 ID 12 m�ih / CAPACITY yo 0�- q6 T t �i BM ion � G- Feb 02 05 05:39p LISA HNN KROLL 715 - 246 -2444 p.1 ' 1270 SOIL EVALUATION REPORT Page I of 3 sin M�= Tan Schmitt t of Safety and Buildings in accordance with Comm 85, Wis. Adm, Code county Attach compete site Pion on paper not less than 8% x 11 inches in W. Plan must St_ Crobc include, but not limited to: vertical and t,orizorrgl reference Point (13M}. direction Parcel I.D. Percent slope. scale or dirnemsions, north avow. and location and distance to nearest road. Please print all inforrrlatforr. Reviewed BY Date Personal idamaWn You Provide may be used for secondary pumoses (ftvwy Lq* s. 15.04 (1) (m))• Property Owner Property location Grand Pro es, LP Govt - Lot NE 19 NW 19 S t 7 T 31 N R 18 W CSW Property Ownefa Mailing Address Lot 8 Block ft SUM Name or S quaw 712 Rivard Streeet, Suite 300 15 Squaw Lake Estates State Zip Code Phone Number J City i Village ✓ Town Nearest Road City 94Th St. Somerset WI 1 540251 715 247 - 5900 S1,ar Prairie I tf New Constriction Use: ✓J Residential J Number of bedrooms 3 Code derived des now fate 450 GPD J Replacement J Public or commercial - Describe: / r 1 Flood plain elevation, if applicable _ na Parerlt material Glacial Tie - General comments and recommendations: Area is suitable for a mound system. System elevation is 99.30' based off of contour line establish 98.55'. Slope is 18 %. Depth to limiting factor is 27 ". I I Boring a "-J i^g Depth to limiting factor 27 �. Sal APPlicalfon Rate Pit l I ✓J Pit Ground Surface: elev. 99.32 ff. Ram Ha esc izon Depth Dominant Color Redox Description Texture Structure Boundary •Efl 1 t�'1 - 1 0 -7 10yr3/4 none sl 2mgr mvfr cw 2f .6 ` 1.0 2 7 -16 10yr5/3 none Is lmsbk mvfr gw 1f 7 1.6 3 16-27 10yr5 /4 none sl 2msbk mfr 9w g 1.0 4 27 - 7.5yr4/6 m i l d 10 /I sl 1msbk mfi gw - .4 .7 cl f 7.5yr6/6 ri Om mvfi - .2 .6 5 52 -72 7.5yr4/4 7.5 yrbP- L I Boring 0 L.j Boring 27 in. Soil Application Rate i/ Pit Ground Surface elev. 99.19 ft. Depth to limiting tailor Horizon Depth Dominant Color RedoxDescriptia+ Texture 5tnxture Consistence 8auxiarY Roots I ' 'Etf111 'Eft/2 1 0 -9 10yr3l4 none sl 2mgr mvfr cw 2f 6 1.0 2 9-19 10yr513 none sl 2msbk mfr gw 1f 6 1.0 3 19-27 1 Oyr4 /4 none sl 1 msbk � 9w 4 7 4 27 -70 7.5yr4/4 cl j I /3 8 sl Om mvn - 2 .6 Effluent #1 = BOD s' 30 < 220 mglL and TSS >30 < 150 mg/L • Effluent alr2 =BOO < 30 .... and TSS <.,30 M9& CST Name (Phase Print) SigneRxe: � CST Number Thomas S. Schmitt 227429 Address LIM Schmitt Date Evaluation Conducted Telephone Number 72nd St., New Richmond. Wi 6 017 �o-C) 715-247-2941 • PiaMly omm ! P� ,, LP Parcel lot Page 2 of 3 504 0 Pa Ground Strrfne emv. 93.55 1t. Depth to Wift factor 29 in. Sol AppYcation Rafe Horgan Depth Dominant Color Redo Dmripton Tmdure Structure Conwelence Boundary • Ro* Gpnm . EfM1 *1102 1 0 10yt3/3 none is lmsbk mvfr gw 2f .7 1.6 2 11 -16 1Oyr4/4 none sl 2msbk mfr 9W if .6 1.0 3 16-29 1004/3 none sl 2mebk mfr' gw 8 1.0 4 29.18 - 7.5yr418 ad 10yr5 /6 sl 2msbk mfr OW .8• 1.0 5 4 &59 7.5yr4/4 n0 5 n 9 ai Om tttv6 --"- 2 8 Ground vraler at Yrs iirlerfftge Of hor?non 4 ti 5 Boring ft. Do* to linnlrlirrg %cla (r, PR Ground Surtaoeekv. Soil Appiwtion Rate Horizon Depth DominaM Color Redz Drrsaipiarc Tmrhne Struck" Cansiatenoe ft"*ry Rook F-1 "Efttft 'Eff�2 e A9 Ph Gfanid Suurtace elay. ft. Dq* to MftV fatXor in. r .W A W i cal i on Rak H*= Dapth Dominant color Rader Oeaaiption Texture S uclire Corrsislence Botmfry Roots `EflAt'I `EttR2 Effluent 111 = BOD ? 30 < 220 mWL and TSS >30 c 150 mglL ' Etfkbnl 02 = 800 <_30 mg& and TSS < mglL The DCPSMMt of Comroerot: is an cquai opportunity service ptavidt r and eatployer. ff you mad wsi U cc to access cervices or nccd matcrW in an ahernaee format please eoMct the 4cowftorit at 608 - 2663151 or TTY 608 - 264.9777. ,Y r � 7 • - Conducted For: Re£ No. d 70 Conducted by: Schmitt Soil and Site Evaluations -.... Name: Grand Properties, LP_ - Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. - SuitelO0 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, WI. 54017 Phone: 715-247-2941 Subd.Name: Squaw Lake Estates Lot No.: 0 � ~ Legal Description: !Yrl 4 Nu1 114 S17 T31N R18W Township o£ Star Prairie, St. Croix County Bench Mark EL I OO.00' Top of 2" pvc pipe Alternate Bench Mark EL W 6 F Top of 2" pvc pipe Slope= '& 1c Contour Line EL 7JI, S Contour Line Length & Scale V= 40' ' �' 6� 1 9B j RAI `^ S N. 5L V cid lull This sal report was done to tulfiN a zor*V mq*errwnt No permiana t tot markers were in at the time the lest was cmducled. -The amain wtach it was done mayor may not be suitable ioryour use. or in the location shown. -- _... _ Page 3 o ''Conducted by: - ' - Conducted For. Rs£ No: d 70 Schmitt Soil and Site Evaluations Name: Grand Properties, LP. Thomas 3. Schmitt, CST 227429 - Address: 712 Rivard St. -Suite100 1595 72nd St. City, State, Zip: Somerset, Wl. 54025 New Richmond, Wl. 54017 Phone: 715- 247 -2941 Subd.Name: Squaw Lake Estates Lot No.: Legal Description: AS-1 /4 N41 114 S17 T31N R18W Township of Star Prairie, St. Croix County Bench Mark EL 100.00' Top of 2" pvc pipe Alternate Bench Mark EL W 6 F Top of 2" pvc pipe Slope = __/S4 Contour Luce EL , S Contour Line Length �?S �r Scale I"= 40' � ��' � � 6� – � go t P4 i Ca ` 'A 56V . This sal report was done to fulfill a zoning requirement No permanent lot markers were in at the time ftHe test was conducted. The area in which it was done may or may not be suable thr.your use. or in the location shown. -- .. 1270 Wisconsin Department of Commerce SOIL E�t&LUATION REPORT Page 1 of 3 Division of Safety and Buildings Tom Schmitt in accordance with Corm 85, tt* A`cj�Jpd� = "; Attach complete site plan on paper not less than 8% x 11 inches in s*- Plan must County St. Croix include, but not limited to: vertical and horizontal refereroe point (BM directiokT and: Parcel I.D. percent slope, scale or dimemsions, north arrow, and location an Z , 05'o ' to tieaeest Mad, Please print all infnnnation. R By Date Personal information you provide may be used for secondary purposes ( (1) o � Property Owner Property L66atl Grand Properties, LP Govt. Lot NE 19 NW 1/4 S 17 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 15 Squaw Lake Estates City State Zip Code Phone Number J City Village 01 Town Nearest Road Somerset WI 54025 715 - 247 - 5900 Star Prairie I 94Th St 16 New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 99.30' based off of contour line established at 98.55'. Slope is 18 %. Depth to limiting factor is 27 ". Boring # ;.j Boring SM Pit Ground Surface elev. 99.32 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots /fF •Eff`#1 'Eff#2 1 0 -7 1Oyr3/4 none sl 2mgr mvfr cw 2f .6 1.0 2 7 -16 1Oyr5/3 none Is 1msbk mvfr gw 1f .7 1.6 3 16-27 1Oyr5/4 none sl 2msbk mfr gw --- .6 1.0 4 27 -52 7.5yr4/6 m i d 1 /1 /6 sl 1 ms mfi gw — 4 7 5 52 -72 7.5yr4/4 ° 5x sl Om mvfi -- — .2 .6 Boring # .::j Boring 16 Pit Ground Surface elev. 99.19 ft. Depth to limiting factor ��in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz 'Eff ll 'Eff#2 1 0 -9 1Oyr3/4 none sl 2mgr mvfr cw 2f .6 1.0 2 9-19 1Oyr5/3 none sl 2msbk mfr gw 1f .6 1.0 3 19-27 1 Oyr4 /4 none sl 1 msbk mfi gw --- .4 .7 4 27 -70 7.5yr4/4 01 10 1 /3 sl Om mvfi -- --- .2 .6 ' Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = SOD <30 mg/L and TSS < X mg/L CST Nam (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 3a — 0 715- 247 -2941 r Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 F31 Boring # _ j Boring 16 Pit Ground Surface elev. 93.55 ft. Depth to limiting factor 29 in. Sal Apple Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots *Eff#1 *Eff#2 1 0-11 10yr3/3 none Is 1 msbk mvfr 9W 2f .7 1.6 2 11 -16 10yr4/4 none sl 2msbk mfr gw if .6 1.0 3 16 -29 10yr4/3 none sl 2msbk mfr gw — . 6 1.0 4 2-48 7.5yr4/6 c2d 10yr5/6 sl 2msbk mfr --- 1 /2 9W .6 1.0 5 48 -59 7.5yr4/4 ' /8 sl Om mvfi — .2 .6 Ground water at the interface of horizon 4 & 5 F-I Boring # _ j Boring _ I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff *Eff#1 *Eff#2 F Boring # Boring j Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPDff *Eff#1 *EflW2 " Effluent #1 = BOD 5 30 < 220 mg/- 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. Page 3 of 3 -Conducted by: Conducted For: Ref No. 70 A' Schmitt Soil and Site Evaluations Name: Grand Properties, LP. Thomas I Schmitt, CST 227429 Address: 712 Rivard St. Suite100 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, WI. 54017 Phone: 715 -247 -2941 Subd.Name: Squaw Lake Estates 7 - D y Lot No.: Legal Description: /Y� 114 W114 S17 T31N R18W Township of Star Prairie, St. Croix County nch M L 1 00.00 ' Top of 2" pvc pipe ernate Bench El. 9�6 Top of 2" pvc pipe Slope= Contour Line EL 9,6, S S Contour Line Length 2C Scale 1" = 40 I 4- � qj q6 v l This sad report was done tD fulfill a zoning requirement. No permanent lot markers were in at the time the test was conducted. The area in which it was done may or may not be subOle far your use, or in the location shown. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ... __ Q� 5 A - 4 I 1 ssa- C k�' to Met Mailing Address 77 I Property Address (Verification required from Planning Department for new construction)_ w City/State 5 .g� &'e� Parcel Identification Number LEGAL DESCRIPTION top Property Location /U y. f� I Sec. ��, T�N -R�W, Town of S , / Subdivision L u a. Ltd t aXe e S` z rr-S Lot # Certified Survey a # Y P Volume , Page # Warranty Deed # - Z,3 6 3 :5 7 Volume 2 7 Page # Spec house ❑ yes, no Lot lines identifiable 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 masterplumber, journeyman plumber, restrictedplumber or a licensed 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. Uwe, 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 system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year ex * lion date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro erty described abovg, by virtue of a warranty deed recorded in Register of Deeds Office. x C SIGNATURE OF APPL CANT 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 •�` / i � � S2 J' /� 51 � .S 5 �i ti� i co , g5 •g3 h V • r' o'V� _ ~ tom ° II • 1 .'� N� C C4 -4 2� N i 6* ^ CID O N I �o �o� h1 • tS h 4 0 �� y 9 . 1� ` o OC y o o� 4t ... ., • ,33 "E ° C J ,� 39 o f E 00 ter, O - % N 8�.2 ,` r 1 25' g \ 01 09 it '`° O ° if 5 M u S �`� 6 S•� s 0 0, - M„Z *,9O.00S �• 1 09'9Z QO y O ° ON o' �I h CJ 00 • CLl N M it .00'091 i ` _: • 3 „99,£Z. LON IV�. C LLJ Go 3 N to � �i \ 00 N i � \� z � ,90 .LVN� 2 O `\ 00 ' C%4 N' W ,9L'£5Z 3.Z *,90.00 N_ - y79`61 • \ i M 0 �U*W&So3 (DManlJC �o ' t N 1 ij L o� ,Z5 3..Zi Ac•n. I ++ U. 2756P 075 - 7 8a__3Ei - 7 State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. KI Document Number Document Name RECEIVED FOR RECORD 02/28/2005 10:30AN WARRANTY DEED THIS DEED, made between Grand Properties, LP ;r - ( "Grantor," whether one or more), and Joe A. Crowder and Melissa M. Crowder, husband and wife REC FEE: 11.00 ( "Grantee," whether one or more). TRANS FEE: 224.70 COPY FEE: CC FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee the following PAGES: 1 described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is l Name and Return Address ease attach addendum): Lot 15, quaw Lake Estates. St. Croix County, Wisconsin Estreen & Ogland 304 Locust Street Hudson, WI 54016 t�� l Part Of: 038 - 1071 -50 -000 Parcel Identification Number (PN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated 0 4- 2 Grand Pr rties, LP (SEAL) (SEAL) * *B Michael J. ermain (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Grand Properties, LP By: Michael J. Germain STATE OF ) authenticated on 2 ) ss. COUNTY ) *Kristine O land Personally came before me on , TITLE: MEMBER STATt BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Oeland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. INFO -PRO'" Legal Forms 800 - 655 -2021 www.intoproforms.com