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HomeMy WebLinkAbout038-1075-90-400 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479342 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information'you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Dulon, Brian I Star Prairie, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: loo r3n1 I CST 18.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 7 � Zlo /07 • Z (j /&::) Septic ` ,�S / Benchmark 7 /7 1 07, i7 /fib Dosing J �, Wi Alt. B ► t a / , 6 J ( 7 K "4 Bldg. Sewer /r• eat' � �7 Holding St/Ht Inlet 1�z5 9 z•9 7 G TANK SETBACK INFORMATION St/Ht Outlet l•� t qZ°'S TANK TO WELL j B DG. Vent to Air Intake ROAD Dt Inlet �] IZ• Zq Septic f 0 IB ! r— Dt Bottom • 6 Dosing ^ A ^ , 1 ' 5 t ' Header /Man. , /ice ` 'T Aeration Dist. Pipe .�j 93 gyp) 33 Holding Bot. System (p.59 /10 cP at Final Grade PUMP /SIPHON INFORMATION r9 3 Manufacturer (2 • � GP and St Cover , q� b� eJ7 1 Model Number t o0 � $ Z - 7 c� 4 of TDH Lift Friction Loss System ad� TDI - 7 F1 ) -z• 71 2.5 ► [._ Forcemain Length Dia. Dist. to well T. 2- � -- >0 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type ystem: ^ , / UNIT Model Number: /„ k DISTRIBUTION SYSTEM Z Header /Manifgld i Distribution I �i x Hole Size Or x Hole.+S�pacing / / To Air take 9 / I Pip 9s) 73. 4 cJ �l . F� G Length Dia Len th Dia Z Spacing SOIL COVER x Pressure Systems Only Xx Mound Or t - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /S ded xx Mulr ed Bed/Trench Center 1 Bed/Trench Edges Topsoil 1 �k- • Yes ] No `'� Yes 7,N,] COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / /4/ / 0 -5 V Inspection #2: Sl.od- (�,- co�� Location: 857 220th Aven a tar Prai 5J026 (N 1/4 NE 1!4 18 T31N R18W) NA Lot 4 u sa� 15 Parcel No: 18.31.18. 1.) Alt BM Description = 2.) Bldg sewer length = � /� GDS - amount of cover = 0 � 3 � > � Z I � / Cam, Plan revision Reqred? Yes Use other side for additional information. o __ I Date Insepctor Signat Cert. No. SBD -6710 (R.3/97) COMPOSITE CURVE` STA -RITE' CAPACITY LITRES PER MINUTE 0 50 100 150 200 250 300 350 400 450 500 550 90 26 i t 24 80 22 70 F�9\ 20 10 , i A 18 60 1 14L ., 1 6 e. L 50 r 14 L S F CC = n ° 12 r F 40 cti Sp . ,, � yA °• 1 {'' 10 4 30 8 A 4 t 10 � Y 2 a. s C: O p 25 60 75 100 125 , 150 CAPACITY GALLONS PER MINUTE I I NOTE; Please see page 11 for ST E. P F"': r r;es Performance curves, 20 Safety and Buildings Division County 201 W. Washington Ave., P.Q. Box 7162 t� r fisconsin Madison, WI 53707 - 71 b2 Sanitary Permit Number to b� lea in by Co.) ' De artment of Commerce (GOS) 266 -3131 PIW4.D. N , Sanitary Permit Applica C�'` ELVER In accord with Comm 83.21, Wis. Adm. Code, personal informal n you �blidd' /1 - 3 - 1 purposes Privacy Uw, 915.0 1 m Proj ct Address if different than mailin u ( g address) It may be used for second IX m) IP Y �'Y P Y 1. Application Information - Please Print All Informati n '1 /) Property Owner's Name ZONING OFFICE Parce Lot B Property Owners Mid ling Address Property Location ,, Section -- Ity, S to Zip Code Phone Number a( T 'r/ N; R�8 orQ'y7 I f Type of Building (check all that apply) 1 or 2 Family Dwelling, Number of Bedrooms CS Numlk ❑ Public/Commercial'- Describe Use 13 State Owned - Describe Use ❑City' ❑ inage orshtp of , i "', 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' 0 New System ❑ Replacement System ❑ 'f reauncni/I folding Tank Replacement Only ❑ Other Modification to Existing sytteln B. ❑ Permit Renewal ❑ Permit Revision 0 Change of ❑ Permit Transfer to New List Previous Permit NumbarxW Date Before Expiration Plumber Owner tl IV, Type of POWTS System: Check all that apply) X = zJ• o /• S Nun - Pressurized In - Ground ❑Mound ? 24 in. of suitable soi A Mound < 24 in. of suitable-soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank 11 Peat Filter ❑ Aerobic Treatment Unit ' 0 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Aron Proposed (sf)N 4 ,System Elevation . � /•OSw^ Q e7 r .,, °? SSA VI. Tank Info Capacity in Total Number Manufacturer Prefab ~r Site ':Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Now Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber X — VII. Iles to sibili Statement- 1, the undersigned, assume responsibility for lostallstion of the POWTS shown on the attached 0111. Nlurn r' ame i Numbe S' ur MP/MPRS Number Business Phone Number c _ 5 Plumber's Adfiress (Str , Ctty State, Zip Code) 42L Vill. Coun /De art ant Use Onl ,�• Sanitary Permit Fee includes Groundwater Date Issued 19sutng Agent Signal ue (No Stamps) A roved ❑ Di roved . ! •O•L PP Suroharge Fee) `! ❑ e nial IX. Conditions o rev al 3) -4t( S L n S _p _ SYSTEM OWNER: `° h 1 Septic tank, effluent filter and dispersal cell must all be serviced I 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 an paper not leas than $1/2 x I1 inches in siu SBD -6398 (R. 01/03) I I 1 v A I 1 { I , r� , ri �� I I , y rr 1 � � I S I I • -. 1 r , A 1 I s' _ 1 r ? l 3 .a .E.13 I v, Y ^3 1 i� , 4 I "T IU . i f OC) Safety and Buildings commerceml. ov 10541 N RANCH ROAD g HAYWARD WI 54843 TDD #: (608) 264 -8777 mmer isconsin www.wisconsin.gov isco n sin.gov , Department of Commerce iscosin.go Jim Doyle, Governor Mary P. Burke, Secretary July 20, 2005 CUST ID No. 224263 ATTN: POWTS Inspector KIM A O CONNELL ZONING OFFICE K.O. CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/20/2007 Identification Numbers Transaction ID No. 1153717 SITE: Brian Dulon Site ID No. 701689 Town of Star Prairie, St Croix County Please refer to both identification numbers, NW 1/4, NE 1/4, S18, T3 IN, RI 8W above, in all correspondence with the agency. FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1029208 Maintenance required; 450 GPD Flow Rate System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), and Pressure Distribution Component Manual - Version 2.0" SBD - 10706 -P (N.0 1 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.O1 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)". 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. KIM A O CONNELL Page 2 7/20/2005 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 4 Balance Due $ 0.00 Leroy G. nsky, Wa water Spe list Integrated Services Bureau WiSMART code: 7633 (715)726 -2544 Voice Ijansky@commerce.state.wi.us MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: BRIAN DULON Owner's Name: BRAIN DULON Owner's Address: 1203 CTY RD V HUDSON WI 54016 Legal Description: NW-- NE-- SEC18-- T31N - -R18W Township: STAR PRAIRIE County: ST CROIX Subdivision Name: CSM 762286 VOL 18 PG 4746 Lot Number: 4 Block Number: Parcel I.D. Number: Plan Transaction No.: 115371 P.O.W.Ti .S. Page 1 Index and title Page 2 Data entry Conditionally Page 3 Mound drawings P PtOV" E rLJ% Page 4 Lateral and dose tank Page 5 System maintenance specifications DEPARTMENT OF COMMERCE Page 6 Management and contingency plan DIV SION OF SAFETY AN BUILDINGS page 7 Pump curve and specifications age 8 PLOT PLAN c r: RRES ND NC Designer: KIM A OCONNELL License Number: 224263 Date: 07/10/0 Phone Number: 715 - 755 -3145 Signature: ' Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ sod treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of - 36 inches. 450.00 Design Flow (gpd) 10.00 Site Slope ( %) 98.60 Contour Line Elevation (ft) 15.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest po int in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.00 ft /orifice 2.00 Forcemain Diameter (in) 260.00 Forcemain Length ft f main drain back? Y a n Does the force main ( ) 84.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 42.41 Forcemain Drainback (gal) 16.18 Vertical Lift (ft) 67.38 5x Void Volume (gal) 2.51 Friction Loss (ft) 109.79 Minimum Dose Volume (gal) 25.20 Total Dynamic Head (ft) 20.60 System Demand (gpm) Lateral Diameter Selection Manifold Diamete Selection in. dia. options choice in. dia. options choice 0.75 1.25 x X 1.00 1.50 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 1 52.001 Total Working Liquid Depth (in) WEEKS I Manufacturer 19.23 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800. 001 Dose Tank Capacity (gal) lZabel Filter Manufacturer 21.761 Dose Tank Volume (gal /in) JA100 Filter Model Number WEEKS Manufacturer Project: BRIAN DULON Page 2 of 8 Mound Plan View 1/10 B J ... Observation Pipe 3 T= � K C A W - I ............... ....:.... B .. ......................... I 3 :. L _ Mound Component Dimensions A M21.00 ft E 28.20 in H 1.00 ft K Aft ft B ft F 9.50 in z 15.61 ft L ft D in G 0.50 ft J 7.02 ft W 450.00 (ft Dispersal Cell Area 1620.54 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.14 (ft) --- ; ♦ H ,,,,,,,,,, G •1 F Disperses Cell 100.85 (ft) L ateral 100.35 (ft) -► - Invert Dispersal Cell Elevation D � : ..........::::.. 98.60 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on Topsoil Cap c 1.5 ft Page 4 for number, , I Subsoil Cap b size, and spacing of ASTM C33 Sand F laterals. Laterals are Typical Lateral Tilled Layer 0.5 ft equally spaced from © Aggregate o _l____ the distribution cell's }---- A -- 0 centerline in the distribution cell (AxB). Project: BRIAN DULON Page 3 of 8 Lacerais censeree over me n ac es rnmension • = Turn -up Wboll valve or oleanoutplug .I P All laterals are identioal 1<-X--+l Holes drilled on the bottom of the lateral equallg spaced S Force main connection via tee or cross to manifold at .any point. Laterals & force main of PVC Soh 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.06 ft Lateral Length (P) 73.44 ft Orifices per Lateral 25 Lateral Spacing (S) 3.00 ft Orifice Density 9.00 ft /orifice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft System Flow Rate 20.60 gpm Manifold Diameter 1.25 in Total Dynamic Head 25.20 ft Forcemain Velocity 2.10 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --*► Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter WEEKS Manufacturer �_ 2 in. Ca acit 800.00 Gallons Volume 21.76 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A /, a _f, r / A;? B 2.00 43.52 C Pump off e levation (ft) C / i 84.67 D 8.00 174.08 D Total 36.76 800.00 lz � Dose tank elevation (ft) , - / ---- 3F' -- Bedding un er tank. I 84.00 Alarm Manuafacturer JSJ ELECTRO Alarm Model Number I HW 100 Pump Manufacturer IGOULDS Pump Model Number WE0511 H Pump Must Deliver 1 20.60 gpm at 25.20 ft TDH Project: BRIAN DULON Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name KIM_ A OCONNELL Phone 715 - 755 -3145 POWTS Regulator's Name ST CROIX COUNTY Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Coliforml >10E4 1 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 ev2a 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ondin and seepage once eve 3 ears 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 Tum -up Detail Finished .. ��••�........, •..........1..• 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: BRIAN DULON Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Ms. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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 finer 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 fitter 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 fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. if an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem 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 BOD5, 150 mg/L TSS, and 30 mg/L 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 flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency 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 components) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Paga,<of this plan for the name and telephone number of your local POWTS regulator and service provider. i Project: BRIAN DULON Page 6 of 8 GOULDS PUMPS Submersible"' - Effluent Pump MODEL 3885 WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion- resistant, Single phase (60 Hz): can be operated continuously stainless steel. Threaded 9 Capacitor start motors for without damage.,when fully Specifically designed for the design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with ■ Bearings: Upper and • Homes damage on accidental reverse automatic reset. lower heavy duty ball bearing • Farms rotation. • SJTOW or STOW severe duty construction • Trailer courts oil and water resistant p ower • Motels ■Fasteners: 300 series p ■ Power Cable Severe 'duty • Schools stainless steel. cords. ' rated, oil and water resistant. N three • Hospitals ■ Capable of running dry and models have Epoxy seal on motor end • Industry without damage to EMA t prong grounding plugs. provides secondary moisture • Effluent systems components. • % HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage,and to prevent oil SPECIFICATIONS operation when fully wickingoStandard cord is 20. submerged. phase (60 Hz): ,, •+ optional len hs are available. ed. p Pump g •Class 10 overload protection m 0 -ring: Assures positive • Solids handling bilities: MOTORS must be provided in 9 ca P sealing against contaminants 1 /4" maximum. separately ordered starter. and oil leakage.. • Discharge size: 2" NPT. ■ Fully submerged in high- unit. g • Capacities: up to 140 GPM, grade turbine oil for lubrication • STOW power cords all have AGENCY LISTINGS . bare lead cord ends. •Total heads: up to 128 feet and efficient heat transfer . �_.Tes»edwutneane TDH. ■ Class B insulation on ■ Designed for Continuous' CA = . CSA22.21ossw Wards • Temperature: '/3 -1 /I HP models. Operation: Pump ratings are r By cm" sun6rls 104 °F (40 °C) continuous ■ Class F insulation on 2 HP within the motor manufacturer's us nssoaauont. I" Ale #LR38549 140 °F (60'C) intermittent. models. recommended working limits, GouldrPu psistso90 t • See order numbers on reverse side for specific HP, METERS FEET voltage, phase and RPM's 40 30 available. : SOLIDS 120 M: 3500 It 35� . . . 110 FEATURES w z H - _ —► 5 GPM - — 30� 100 t "_. __ 1__. _- el Impeller: Cast iron, semi- 90 E H � 7 " r r _ ;open, non -clog with pump -ow = 25 'r sc - - ....... - varies for mechanical seal " I . __ -_ protection. Balanced for v I - ' 20 F 70 ._ �A H allluotn operation. Silicon 60 " bronze impeller available as 15 so .w an option. ° I ao " m Casing: Cast iron volute type 10 - 30 .. for maximum efficiency, i _ .-- - .... __.._. 2" NPT discharge. 5 _- ---- _ -r — m Mechanical Seal: SILICON ' 10 20 0 _ CARBIDE VS. SILICON °` ° 30 40 50 60 70 80 90 :100_110 120_ °,1¢0 150 160GPM CARBIDE sealing faces. 1 l , E Stainless steel metal parts, 01 5 10 1s 20 25 30 35 m3ft BUNA -N elastomers, CAPACITY I Goulds Pumps Goulds Ef fecti v e Pumps I Industries Effecti 2003 wvv.youfds.tom o3d85 r . 1 11T I t Aoudo X) : r ' � , I V � :, t • 1 77 — oo i I r i f t r t �..._.._ ._� 1364 ` erce Wisconsin Department of Co SOI� EVALUATION REPORT Page I of 3 m Division of Safety and Building irt;adco&tl with Oomm 85, Wis. Adm. Code Steel Soil Service County i ' Attach complete site plan paper not less than 8/= x 11 inches in ¢e. Plan must St. Croix include, but not limited to: rtical and horizontal reference point (B ), direction and percent slope, scale or di msions, rkdh arrow, and 16cation and tance to nearest road. Parcel I.D. pending Please print all information. e ' wed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Vogel, Brian Govt. Lot na NW 1/4 NE 1/4 S 18 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1705 Victoria Rd. So. 4 na CSM Pending City State Zip Code Phone Number I City _j Village 01 Town Nearest Road Saint Paul MN 1 55118 1 651 -452 4523 Star Prairie 16 New Construction Use: *M Residential / Number of bedrooms Code derived design flow rate GPD Replacement I Public or commercial - Describe: Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 9 used oreddhie is line elevation 98.608. 1 eo . 3S N ,..L H . IMF• 21.0 ' (�. �S r )� Boring l tactor Boring # _ g Pit Ground Surface elev�Pit Ground Surface elev. 99.50 ft. Depth to limiting 56 m• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/2 none sit 2msbk mfr es 1f .5 .8 (o 2 11 -24 10yr4/4 none sici 2msbk mfr gw na .4 .6 3 24 -32 7.5yr4/4 none scl 2msbk dfr gw na .4 .6 c 4 32 -56 7.5yr4/4 none sl \ - 2msbk mfr gw na .5 .9 ( 5 56 -96 5yr4/4 none scl om mfr na na .0 .0 Boring # I Boring e Pit Ground Surface elev. 99.50 ft. Depth to limiting factor Tin. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -7 10yr3/2 none sit 2msbk mfr cs 1f .5 .8 f 2 7 - 15 10yr4/4 none sicl 2msbk dfr gw na .4 .6 . 3 _5-47 7.5yr4/4 none sel om dfi gw na .0 .0 4 47 -74 7.5yr4/4 none sl /cos 2msbk mfr cs na .5 .9 5 74 -96 5yr4/4 none scl om mfr na na .0 .0 At 72" layers of 10yr3/1 cos 3-6" wide appear. * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 15 mg /L * Effluent #2 = BOD < mg /L and TSS < mg/L CST Name (Please Print) S' n CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, W154017 10/16/2003 715 -246 -5085 I Property Owner Vogel, Brian Parcel ID # pending Page 2 of 3 .3 ] F Boring # Boring gi Pit Ground Surface elev. 95.10 ft. Depth to limiting factor 35 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sil 2msbk mfr cs 2f .5 .8 2 9 -35 10yr4/4 none sicl 2msbk dfr cs 1f .4 .6 . 3 3A -60 5yr4/4 c2d7.5yr5/6 scl om dfr na na .0 .0 F-1 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑Boring # Boring �J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM Brian Vogel New Richmond,WI 54017 Lic. #248956 NWl /4,NE1/4,S18,T31N,R18W Bus .(715) 246 -6200 Town of Star Prairie, St. Croix Co. Fax.(715) 246 -9372 Lot 4 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend 1" = 40' Benchmark Ele. 100.00Ft ,jop of 1/2" pvc pipe • — Alt Benchmark Ele. 1 01.30 Ft Top of 1/2" pvc pipe ❑ = Borings Boring Elevations B 1 = 99.50Ft B2 = 99.5017t IU B3 = 95.1OR 1 z i B4 = OO.00Ft V �D S �o� o �3' o� tStli F� K 9 Ilk 3� �7 t� v r 7 6 2 2 8 6 VOL 18 PAGE 4746 XATIIEMN H. WALSH REGISTER OF DEEDS ST. CROIX FOR . I?E CERTIFIED SURVEY MAP 05/ 12/2004 09t25AH LOCATED IN PART OF THE NW1 /4 OF THE NE1 /4 OF SECTION 18, T31 N, R1 8W, CERTIFIED SURVEY MAP TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN, INCLUDING LOT 4, LOT REC FEEt 13.00 3, AND PART OF LOT 2 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 1, COPY FEEL 3.00 PAGE 197, AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. SURVEYOR: ��]G°��44CD �aD� PREPARED FOR: DOUGLAS J. ZAHLER _ _ BRIAN VOGEL S & N LAND SURVEYING, INC. S88 °39'08 "E 2633.53' 1705 VICTORIA RD. SO. 2920 ENLOE STREET 220th AV. MENDOTA HEIGHTS, MN 55118 HUDSON, WI 54016 NORTH LINE OF THE NE1 /4 — — — (EAST) N /4 co R. 888 °39'08 "E 857.8 NE co R. SEC. 18 �{ 331.4T� i 460.36 o, , SEC. 18 °j SOW3908 "E 8 58.07 F$ °' 1775.70' 331 4T 33.00 1 1 y33.00 361.58' 99.02 t 1" IRON PIPE FOUND a � . 60 PROPOSE i 8 8 f3 $ fa'' S13 °02'58 "W 3.35' FROM SET I - IRON PIPE ® EXISTING 50' S0' = DRIVEWAY OWNER: / EXISTING LOT 1 KEITH VOGEL A ; HOUSE 861 220TH AVE, i' WELL' SOMERSET, WI 54025 5.038 ACRES � : � �' • 2 _ $ (219 R/W FT SEPTIC. W 4. INC. N ACRES $ VENT EXISTING EXISTING czo6,s16 so. Fr.> LOT 2 GARAGE m � 9 EXC. R/W 6.978 ACRES I Z (303,946 SO. FT.) g m M N N $ ^ 1 629 AC 6. ACRES I m m O �' (2 SO. FT.) .i EXC. R/W I m m m _ I a 'a i� 589 °17'32 "E 331.45' 114.95' 350.06' N (� O Z �+ 66.00' I W I 66.00 S89 °1 7'32 "E 465.01' m m r of SOO °42 'W NOO°42'28 "E r t o O N 33.00�_� +'� - 33.00' I fi O z m 66.00' i S89°17`32"E 0 Qf v so L . �% ® (v of wiso, (261,606 SO. FT.) INC. RIW ® $ DOUGLAS J. t % 5.980 ACRES LOT 3 09 ZAHLER Z (260,517 SO. FT.) 8.109 ACRES 5-2145 EXC. R/W _ H ® (353.242 SO. FT.) g INC. R/W $ 75' 8.084 ACRES ® ® `\(SETBACK (352,153 SO. FT.) NAVIGABLE EXC R/W WETLrpND � 364AT / \� 502.79' _ N88 °42'42 "W \ 867.26' SOUTH LINE OF THE NW1 /4 OF THE NEi /4 y UHUDj&U L Do LEGEND - - -- - FOUND ALUMINUM COUNTY SECTION APPROVE CORNER MONUMENT ST. CROIX COUNTY 0 FOUND 1" OUTSIDE DIAMETER IRON PIPE Plannb 9 Zm*j9 aM Pwks CommitMe O SET 1' OUTSIDE DIAMETER BY 18" LONG IRON MAY 1 2 2004 PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT ............... BUILDING SETBACK LINE (AS SHOWN) It not rscordsd wtdUn 30 days Of FEET ( ) RECORDED BEARING AND /OR DISTANCE SCALE IN �val 1 approv shax be lots At � 66' WIDE JOINT DRIVEWAY EASEMENT FOR LOTS 3 AND 4 200 O 200 EXISTING FENCE THIS INSTRUMENT DRAFTED BY: WILLIAM KANE ® SOIL BORING JOB N -0 1 DATE. 10128/2003 REVISED: 05 /11/04 SHEET 1 OF 2 SHEETS Vol 18 Page 4746 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer � 60.1 0 y 101 Mailing Address 12 0 j C y IQ ,� V 5 Lf o Property Address 01 1-57 [�__�—�� � � ;Verification required from Planning Department for new construction)_ JL City /State _Stagy p ru. re Parcel Identification Number 03K - 1075 ° 90' 000 LE GAL DESCRIPTION Property Location %v ry '' /., !Y_ E ''A, Sec. , T N - 129 W, Town of S'T ety - Pretri"e . Subdivision —, Lot # Certified Survey Map # 6�2 � Volume , Page # y1 y46 Warranty Deed # Z.L Volut>l , Page # Spec house O yes �O no Lot lines identifiable hd yes 13 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper iaintenance 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system rs in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1'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 system has been maintained must be completed and returned to the St, Croix County Zoning Office within 30 days of the three year expiration 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, 1 (we) am (are) the owners) of the property de�s above, by virtue of a warranty deed recorded in Register of Deeds Office. X� SIGNATURE OF APPLICANT 7 /5/ 05 1\ DATE Any information that is mis- rcpresented 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 Ll t/muse A L;.,� o') LV v r' 0 "Jul. S. 2005' 8:52AV " " 4 ' FOUR SEASONS TITLE r5I No. 0526 P. 2- 63 - - - 786-.1 ®r �,• 2 7 4 1 P 3 3 STATE BAR OF WISCONSIN FORM 1 - 1998 X ATHLMM H. WALSH WARRANTY DEED MMIS7n OF DESl)s ST. citclu co.. WI Document Number 'RECEIVED Ft7R RECORD This D eed, made b Keith G. Vogel , Grantor, and 02/61/2 MB e3446pn Hr A I II rIv% , Grantee. WARRANTY DgSD Grantor, for a valuable consideration conveys to Grantee the following EXEMPT li described real estate In _ t. C roix County S of Wisconsin (the "Propert)"); � REC FE s Sl d - 11. N �E• TRAKB FEES 213_ 00 copir FEE; cc I 1 of of certlfied survey mag recorded in of cert1f d survey maps on p Qge_, 474g— document no 762266 being located Recordlrt Area in Part oche no hw 'sue quarter cE the I++enn etumAdtlress northeast quuarter (nwl / 4 of Me l/4) section eighteen (18) township thirty one (31) FOt�r north, range eighteen (18) west, star �* ;; , 71te Prairie township, at croix county wisconaln, ,k, 206 2nd Stet Hudson 'W1 540 rzS Z Parcel Identlricatlon Number (PIN) OSS• I67ar- ,$Q. Q O v This > homsat71k rop la la not) Together with all appurtenant rights, title and interests. pp Grantor warrants that the title to the Properties good, Indefeasible In simple fee and free and of r o4noumbrs. ces except Dated thls Odmy of pecernber 2004 (SEAL) (SEAL) -;DiAd ran _ e , (SEAL) (SEAL.) w AUTHENTICATION ACKNOWLEDGMENT Signatu �� TZI nr a State of Wisconsin, NOTARY PUBLIC _ �� .. NSIN St. Croix County authenticated this dpy of , P.rponelly came before me thl day of Ag2M er , 2004 the above named 9rlan .! Vogel single As Powgr of Attorr%sX for Keith C noel. single to me known to be the person who TITLE: , MEMBER STATE BAR OF WISCONSIN executed the foregoing Inatrumaht and acknowledge the (If not, s rne. authorized by §706.06, Wis. Stats) THIS INSTRUMENT WAS GRAFTED BY Coldwell Banker Burnet Notary Public, Stia of Wi onsin 1301 .Coulee Road Hudson, WI 54016' My commissl n Is permanent. (If not, state expiration date: 4 -52747 _ 1 , (signatures may be authenticated or acknowledged. — .i —T��� -) 'Both are not necessary.) ' Names of persons signing In any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Lego) Blank Co,'Inc. WARRANTY DEED FORM No. I - I 99 Mliwsukee. Wis. 2 7 6 2 2 8 6 ' VOL 18 PAGE 4746 KATHEEOF H. WALSH REGISTER OF DEEDS ST. CO RECE VED CERTIFIED SURVEY MAP 85/12/2884 89z25Al1 LOCATED IN PART OF THE NW1 /4 OF THE NE1 /4 OF SECTION 18, T31 N, R18W, CERTIFIED SURVEY MAP TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN, INCLUDING LOT 4, LOT REC FEE: 13.80 3, AND PART OF LOT 2 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 1, PAG FEE 3. 00 PAGE 197, AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. SURVEYOR: ��, G°���LDD p� PREPARED FOR: DOUGLAS J. ZAHLER – — — — — — — — — — — _ BRIAN VOGEL S & N LAND SURVEYING. INC. S88 °39'08 "E 2633.53' 1705 VICTORIA RD. SO. 2920 ENLOE STREET MENDOTA HEIGHTS, MN 55118 HUDSON, WI 54016 (EAST) 220th AV. NORTH LINE OF THE NE1 14 - - -- N114 COR. S81 '08"E 857.8 NE COR. SEC. 18 331.47 33 � i 3 g6p•3g F$ a, A SEC. 18 S88 °39'08 "E 8 58.07 1775.70' 331 33.00 361.58' 99.02 -® t 4 60 t 1' IRON PIPE FOUND PROPOSE e. f2 8 $ `?i 513 ° 02'58"W 3.35' �• ..DRIVEWAY FROM SET V IRON PIPE ® EXISTING 50- 50 DRIVEWAY OWNER: I / EXISTING VO LOT 1 HOUSE KEITH 0TH � AVE, A � � 861 220TH AV WELL SOMERSET, WI 54025 5.038 ACRES `Bz (21 INC. SO. FT.) SEPTIC c m INC. RM/ �': co VENT --A EXISTING 4.787 ACRES ; : LOT 2 GARAGE (208,518 SO. FT.) w 33 J r z z O EXC. R/W 6.978 ACRES (303.946 SO. FT.) H I CO Z A INC. R/W ra M -4m 6.629 ACRES 0 m m O A m (288,750 SO. FT.) j O T N EXC. R/W II I m m y Y■ A S88 °1 732 "E 331.45' + 114.95 350.06' m Q z �_ 66,00' 1- 1 66 89 °1732 E 465.01' $ f� m 0 m 03 S00 °42'26 "W NOO°42'26"E' I Q O m N 33.00_ a ! I r 33.00' i _ s S89°17'32'E 0 ® i alt LOT 4 Z y F Wj 6.006 ACRES O S CO (261,606 SO. FT.) INC. R/W ® $ y DOUGLAS J. 5.980 ACRES LOT 3 * ZAHLER Z (260,517 SO. FT.) 8.109 ACRES 5 -2145 EXC. R/W (353,242 SO. FT.) H S ® $ INC. R/W 8t 75' 8.084 ACRES ® ® SETBACK (352,153 SO. FT.) NAVIGABLE a • EXC. RIW WETUIkND 11.7'±• 364.47' F \� 502.79' 1 -- N88 0 42 1 42mW:' \\ :. 867.26' SOUTH LINE OF THE NW1 /4 OF THE NE1 /4 $ M[nv]G�dLa�LDD d oD� LEGEND FOUND ALUMINUM COUNTY SECTION APPROVED CORNER MONUMENT ST. CROIX COUNTY FOUND 1 "OUTSIDE DIAMETER IRON PIPE Planing 7,0*4 any P"*s comrni"e O SET V OUTSIDE DIAMETER BY 18' LONG IRON MAY 1 2 2004 PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT ............... BUILDING SETBACK LINE (AS SHOWN) If not rsoordsd within 30 days of ( ) RECORDED BEARING AND /OR DISTANCE SCALE IN T a1 114� ahaNbe 66' WIDE JOINT DRIVEWAY EASEMENT iiia FOR LOTS 3 AND 4 200 O 200 _ EXISTING FENCE THIS INSTRUMENT DRAFTED BY: WILLIAM KANE ® SOIL BORING JOB NO. 6351 -01 DATE: 10/28/2003 REVISED: 05/11/04 SHEET 1 OF 2 SHEETS Vol 18 Page 4746