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HomeMy WebLinkAbout040-1001-50-000 Wisconsin Department of Comme'ce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building DivAon INSPECTION REPORT sanitary Permit No 405164 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: Knott, Gordon I Troy Township 040- 1001 -50 -000 CST SM Elev: Insp. BM Elev: Description: to& �a I BM a s TANK INFORMATION 9LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (�; s w u'' a � C) z. IS" 6 z .( O Dosing Alt. BM LP6 oa. Aeration Bldg. Sewer 0.9/ Holding 01—It Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD D Septic Dt Bottom Dosing Header /Man. 16Z 3/ Ae Dist. Pipe 3 t`eZ. �. olding Bot. System I, 3v 0 tO . Final Grade PUMP /SIPHON INFORMATION S Manufacturer Dema d St Cover S GPM Model Number o 3 �- (6 z• o oa. /tea TDH Lift Friction Loss System Head TDH Ft z, U 1 2y Forcemain L th / Dia. Dist. to Well Y o Z' SOIL ABSORPTION SYSTEM BEDITRENCH Width t Length No. Of Trenches PI. IMENSIONS No. Of Pits Inside Dia. DIMENSIONS / 0' Z / SETBACK SYSTEM TO P/L BLDG ELL LAKE /STREAM LEACHI anufacturer. INFORMATION CHAMBE Type Of System: + ' IT a f � Model Number: DISTRIBUTION SYSTEM Header /Mani Len fold Distribution x Hole Size x Hole Spacing Vent to Air Intake i r Pipes) 7 j I I t i �/ I ' 2 // Length 3 Dia Z gth J Dia Spacing K y ' SOIL COVER x Pressure Systems Only xx M ound Or At -Grade Systems Only Depth Over Depth Over xx Depth of eded /Sodded xx Mulched xx Se Bed/Trench Center Bed/Trench Edges Topsoil [pp] Yes � No [j Yes Elk, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /J / Z / 0 Z Inspection #2: .7 f 0;-1 Location: 747 Tower Rd Hudson, WI 54016 (NE 1 SW 1/4 4 T28N R19W) NA Lot '7 7 (�^� Parcel No: 01.2'S.�J.Oi 1.) Alt BM Description =� 0 � �i c) Y r 3 1- aw, Oe_C'G 2.) Bldg sewer length = 30 �\ Le e - amount of cover = > q ` J � p � l e,,( S 3.) Contour= L. (. S S 6 1 sy 5 __sue 1-4- __ _fi Age- Plan Re qu ired? / Use other i s de for additional n n. No SO - -- SBD -6710 (R.3/97) Date I sepctor's Sign Cert. No. t� Safety and Buildings Division County ) ' Ol W. Washington Ave., P.O. Box 7162 1 UO i N *Iicnnsin Madison, WI 53707 - 7162 Site Address Department of Commerce 1P -r S —a Z Ski S�9 4q �c Sanitary Permit Application Sanitar Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide /74 ❑Check if Revision mqy be used for purposes Privacy Law, sl5. I m I. Application %formmation - Please Print All Informatio R� �!V ED State Plan I.D. Number r TV 8 Property is N Parcel Num o Yo - ', L � 1 u 2002 0/• 24. 1 cf I / o' Property' Owner's l Ma / ding Address j' N C Y Prope Location CROIX SZON� OoFICE 14 -'� f : S Oc Tt� J N. R City, State Zip Code Phone Number Lot Number Block Number c _J Subdivision Name CSM Number U. Type of Building (check all that apply) �yr� pe,r 5 t ' OCity 1 or 2 Family Dwelling - Number of Bedrooms Ovilln e 0 Public/Commercial � =Use h,^ 0 State ' so Ntare V ) ek - Pal, III. Type of 't: (Check only one box on fine A (numberitrg scheme for interasi use). Complete line B if applicable) A. I ia New 2 0 Replacement System 3 0 Replacement of 6 0 Addition to For County use stem Tank Only Existing §ystcm B. 0 Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 0 Non - Pressurized In -Ground 2QR Mound 47 0 Sand Filter 50 0 Constructed Wetland 22 0 Pressurized In Ground 410 Holding Tank 48 0 Single Pass 510 Drip Line 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 0 Recirculating 30 0 Other V. D t Area I nformation: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate Sy Final Grade Required Proposed Rate(Ga1s.1Days1Sq.FQ (Min. Elevation - y vz � /, "t2 6 0 /1 /�,# VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New I Exiting Tanks Tanks Septic or Holding Tank Dosing Chunber ,7 h V.Q. Statement I, the undersigned, assume responsibility for POWTS shown on the attar ed phuns. is Name (Print) � Signature MP Num t b - e � r �. l Business Phone Number Plumber's Address (Street, City. Statil. Zip Code) j i6c j' 1 e b�- �- duo? VM. garb. ent Use Approved 0 Disapproved Permit Fee (includes Groundwater Date lssaed Issuing Agent Siguatum (No Stamps) Surcharge Fee) _ a v ❑Owner Given Initial Adverse - ' 3 2 -5 . - 1 � , < Determination IB. Crnditions of Approval/Reasons for pproval � '� flla nt::�r�ro� �• Zdo �p- °�f'P P`'t"uf •y�2t°"`` °° a�J""'"- ��, Z°"Z, Attac6 iwoplete phis On tM County only) nor the on paper mot less than SW z n locbes in du SBD-63 8 .OS 01 9 (R 1 ) r .. — ' PLOT PLAN Scale 1 •Page 3 of 7 jf p, s. J J 2 9 \SO'OF ZO'oF I ti b \ 10 0, �� \ ),J OT 004 Pfttr o fz g.Z 9d r Zb` EL qQ $�`�►� oF- eet,�, �, 105' ' Or- GAS F L JDQ . l3►"L tt 2 toy, g S " ov `N1� car` PVC PIPE S0' F grim M0o-b t-)v 2 , ZS 'r4ky 'ir�k. NOTES: I. Elevations shown are existing ground elevations unless otzerwise noted. 2. Install 4" observation pipes with approved caps. Z t PP P � required). 3. Septic is tank to be 1ppu , O gallon capacity manufactured b Imo.) lt�mloZ. C, C " 62 4. Bench mark oUE 5. Divert surface water around system to prevent pondin at the uphill phill side. Safety and Buildings �-' 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Visconsin www.commerce.s i www.wiscon isconsin.gov n.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary May 31, 2002 CUST ID No.267341 ATTN.• POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identifi 7 5 4 Numbers PLAN APPROVAL EXPIRES: 05/31/2004 Transaction ID No. 754508 SITE: Site ID No. 645458 Gloria Knott Please refer to both identification numbers, Tower Rd above, in all correspondence with the agency. Town of Troy St Croix County RECEIVED NE1 /4, SW1 /4, S2, T28N, R19W FOR: Description: Proposed Three Bedroom Mound System JUN 0 4 2002 Object Type: POWT System Regulated Object ID No.: 854042 ST. CROix CQUNTY The submittal described above has been reviewed for conformance with applicab iscbbg lA�la tive odes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R 6/99). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). P.O •WT• Conditionally 1 • - ARTHUR L WEGERER Page 2 5/31/02 Owner Responsibilities Continued: • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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 Balance Due $ 0.00 eerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4 :15 pm W SMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 i TITLE SHEET Page of ROUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD - 10573 -P C2. 6 /gq C P. 6 lqq� LOCATED IN THE 1/4 OF THE S 1/4 OF SECTION Z ,T Z N,R 1 9 W, TOWN OF f , S`1 (ZSL0 COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVEQ MAY 2 4 2002 w l s w ZZ SAFETY & BUGS DIVa PREPARED BY WEGERER SL:7 I L TESTING AND . DES I Gi! SEF2V ICE P.O. Box 74 421 N.11ain St. River Falls, WI 54022 +o�t+NNp a' � ► Phone 715- 425 -0165 �� '.HIV Fax 715 -425 - 6864$x,,. AHTc. i i WEBEhEq 3 6915 P i ELLSWOR'fN, l DEPARTMEN {Or. CND " "'r-1 S *IS, OF GORR SP ENCE JOB NO., �Z - -lZ�] Mound System Management Plan Page Z of y c Pursuant to Comm 83.54, Wis. Adm. Code Seofic 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 sloth off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [S8D- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at The system installer at lS — LLZS -- S$ The tank manufacturer at �`�� `��$ _ ��$(� t-IJ Liz 5%E The effluent filter manufacturer at $110 — Z-Z-1 - S Z^sk� 'L The pump manufacturer at a Z0= 48�$ Gout✓flS PLOT PLAN -Page 3 of - 1 Scale 1 "= L,(3 ' 9L TV wf=5z 1?o pri_ , ) _ O. SS M i * 'tu w r J J 2 9 & 3 SO OF Zo'OF \ 100 �� \ �- �Y::) o NOT 0040Pf Olz 9� Zb o c�r11+ -1 eL . vw,o c)►v - �ZP or— GpvS 1P t PQ �antt'Z _ L-TZ- IM, BS ' Ow l 0F = PVC PIPE w kE-L _Tlz� %Q 7 S()' PIZOM M (Yvn b OnA_�) � Z S ' r-jZt 1 TYJIj k NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be AS gallon capacity manufactured by V--DLeS O�-' C4AJ CV_ LL. Ft LI VO / to LOO D, ZA ►3 Z 4 . Bench mark S S Yacl3oUE 5. Divert surface water around system to prevent ponding at the uphill side. Page LtOr ? Approved Synthetic Covering ASTMS C33 Distribution Fipe Medium. Sand Topsoil r.H — W F Elev. 3 E . i pf b 3 % Slope Distribution Cell of Force Main Flowed Z" to 2 Aggregate From Pump Layer D Z�Q Ft. E Ft. CROSS SECTION OF A MOUND SYSTEM F 0 Ft. G O- S Ft. A Ft. N 1- b Ft. Linear Loading Rate= • GPD /LN FT B S Ft. Design Loading Rate= p,33GPD /SQ FT I 1 Z Ft, J 8 Ft. K 1 Z Ft . kl ata -Ros itt.io n L q9 Ft. s-� -t-; r ,. W Z C� Ft. L ' I �} - Observation Pipe t 3 - ----------- ------ - - - - -- --------- - - - - -- - - - - -- Sax A 11 6 W - -- --- T - - - - -- -- - - - - -- ----------------- - - - - -L Force in �Distrib ion `-- Cell of %" z to 2 z Pipe aggregate Observation* Pipe (Anchor securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout pdce 5 of 7 Place the holes at the bottom of the distribution pipes at'equal spacing. Remove all burrs from the pipe and holes. Extend the end of each late -21 up with the Lse of long turn or 45 ° fittng to a point within six inches of the final grade. Te :jnL=te the ends of the late.-ais with a valve, threaded can or • threaded plug. Provide access from final glade for the valve; threaded '*AID or tbm�ded plug. Cr,L LASS FVC Lateral Manifold Lateral x x x X/2 x11 z x z x L3terai Length —� Latent Length — P Distribution line G— —_ r P Ft. Hole Diameter x/ Inch - S 3 Ft. Lateral Inches) X Z_ Inchas Manifold Z• Inches Farce Main " Z Indies l of holes /pipe 1Q Invert Elevation of.Laterals - Ft. i Combination Segt4c and P UMP CHAMBER CROS5 SECTION AND SPECIFICAT'IONS' PAGE 6 OF VEIJT CAP WEATHER PROOF ,JUUCTIOU Box . ti C.Z. VCMT PIPC I .APPROVED LOCKIMG 110' FROM GOOK, P AMJHOLE COVER wl'M .iINDOW OR FRESH wARtJI►JG Lt�gEl,. u�sP 1osJ �tPE ALP, S coiaeu~r '*� 11�tRT16 41 Gt'P � S F RJ L SEFa> /'111.1. G � i 11.1LET PROVIDE — — , AIRTIGHT SEAL Approved z��- A ifI Approved joint w/ joint w/ PVC pine ALMA PVC pipe ' � I I 6 ` i Ou C I ALE . FI 7 - -� PU MP � OFF D COQCRETE C Ca gLOCx ti RISER EXIT PERMITTED O ULy IF TAWK MAIrUFACTURF.R HAS SUCH APPROVAL 3 "APPS2oYFD .. 85D0 SEPTIC E SPEGIFICATIOMS DosC TA UKS MA VQ L"S� co-ki tJUFI►CTURCR: AIt1M9EA OF DOSES: ��� PER DA. TAMK SIZE: IOJQQ ASO GALLOW DOSE VOLUME r ALARM MAUUFACTURCR: Sks I�� I 6AGKIFLOW: 1 �� GALLON: MODEL WUMBEFR: 1 y 1 "tAJ CAPACITIES: A= l g WCHES OK 3 Q GALL01j5 SWITCH T!WE: B = z IIJCH ES'OR 3 r Gy LLOU$ HUMP MAMUFACTUREK: Gbuu:l S IUCHES OR 13 CALLOUS MODEL NUMBEM 1= ?o S D. , ItUC HES OR 1 � GALLOUS SWITCH TYPE: M gu M OTE: PUMP A1J 01�LARM ARE L 6 4 MIWIMUM DISCHARGE RATE 1 �0 GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFEK.ENCE OETWEEU PUMP OFF Au0..DI5TR15UTIOQ PIPE.. FEET + MIkIIMUM METWORK SUPPLY PRESSURE , , � - S oEET lS� Z.O FT 3. ( S •U x V. 3, �- FEET OF FORCE MAIN X �0FIFRICTIOU FACTOR 6 - FEET TOTAL O!JUAMIC HEAD = Z S -8 FEET As per manufacturer \,71.0 gal /in. Liquid depth 3g ti Goulds Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. Effluent dry without damage to heat transfer. ■ Motor Cover. Thermo las- • Homes systems components. tic cover with integral handle • Farms Motor: Available for automatic and and float switch attachment p Single • EPO4 Sin phase: 0.4 HP, manual operation. Automatic • Heavy duty sump g 1550 models include Mechanical points. • Water transfer 115 , 230 V, 60 Hz, Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with automatic reset. preset at the factory. rated oil and water resistant. ■Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, , SPECIFICATIONS • EP05 Single phase: 0.5 FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 1 /a maximum. • Power cord: 10 foot with pump out vanes for * Capacities: u to 55 GPM. standard length, 16/3 SJTO p 1 mechanical seal rotection. • Total heads: up to 24 feet. with three prong grounding p SP' Canadian Standards Association � ■ EP05 Impeller: Thermo- • Discharge size: 1 NPT. plug. Optional 20 foot plastic enclosed design for (GSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with g end in "F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N I t tan ■ Casing and Base: Rugged e as omers. (s tandard on EP05). g • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10- j • Capable of running dry without damage to s 30 � t i components. 1 ( *� �- Pump: EP05 $ i i z S• 01 - -j dsFr_ • Solids handling capability: c 25 %' maximum. a 7 Ir W- --- ; -- • Capacities: up to 60 GPM. •Total heads: up to 31 feet. U 6 20 � � 3ti l � ; •• • Discharge size: VR NPT. • Mechanical seal: carbon- } 5 5 1 O 1 rotary/ceramic-stationary, _j ry 4 a BUNA -N elast omers. - - - EPOS =- • Temperatu ° 3 1 o i 104 OF (40 continuous I I 140 °F (60 °C) intermittent. 2 - EPO4 – — 5 1 I 0 00 10 20 30 40 50 GPM L 'L L L 0 2 4 6 8 10 12 MI/h CAPACrrY 01995 Goulds Pumps, Inc. Effective May, 1995 B3871 05/22/2002 10:49 7152462801 TOM NELSON PAGE 01 'N►anw+sanDwft .t SOIL EVALUATION REPORT Dlvtslon6i8m* &n hV9 In accordance with Comm 85, YYta. Adtn• Gads - Au11rh tompttft she R�M an paper not W" than 9112 x t i inches in size. pUri must CWtF St. Croix tNCLIrse, tuft mt lbnW to: vertical and hoftntal rmfa nn:o poll( (W), dirvOWn w d NOW 110, parrsnt slope, t txtfbnenstone NO WmV0, Ind loaatlan and dleterme to m omatlaw. !,. Please Am 6th 1j"fe scan. Renewed by beta j' P*mr t 1* mmd" you P rib' to am for k8m"Gly mup0ses (privacy Lax. a 14,04 (?) (m)). rprrrowr~er L� t 1T Np`�- PmDpOftyLocatim Sw Cx YBoti tCatltt GwVt Lot NZ 113 . g 2 T 28 N A 19 L ary i'rttperiy Gene's AdIne A='a Lot w ar 743 Tower Road 1 _ Sip p am mjf1 m own higarsst gees M ' WI I 54(116 42$ -SP43 & 42(3 -$W4 'xo�ver 4oafl New t:011titR 'krlrtSR UttaG PAW4etfdltl / Nunitrer be*m=_ 3 Coda dewrad aWAM flaw *e 454 «p © merlt Rmplsme Pubflo or oommemlal - tJwritra: } Perommemai _ — rihania1 rill tloorJ Plain 9lsvatlan N appttcrtl)e -- {t, NA General =nm.* Sort Woo �wom showing zoom o f m � Lion with water wt it* the boss holes at about 24 Snehc+ , Weatber trod r�cOmnlmndet3artt3: heat bw vey eat prior to the chute or this ta>Gtaltg. Tag taken in plowed f eld mealittg to roots. Pe t3rounasurtace elev _ tt Depth to umkkV tactcr.. 14 tn. Htviahbn Dbpftl Darrsnant Cobs ftdort t7eeAM11 Texttue sln m Cdrlrletenne Gould" Racal ,4 In. MUm G1L 6L Camt. Celer or. t3t:. ft I a7 -8 loyr313 - cal 2msbk mfr ow 2 8 -14 - oI Zta's1,k n;fr aw - A .6 3 14.38 1 e2d7Jyr cI 1=bk tali I .2 ,3 � I z 0 ©1 ® alt game eurtc,caalev. 14(}.93 19 Oeptfl to amov ulor . WARpkiWn liari,.on D60 Dornim Cdltn Reddlt pmaou4n fo us sttuch m C%vatence wry Roots GPM PRob t tn, MUnemll Cu. 8L Cent. Cbtor I 4.7 1 10ya 3 sit 2msbk mm ow - 3 .8 7'13 - 10WC6 • 0 1 2msbk mft our ,4 , 6 3 13.38 10yrW6 of i ME - - .1 13 lAIt1®ru 1th SOD a 30 2Z0 MWI. and T" -m 11 so ' mmrd t/2 XJM 5 30 N& tend Ttit3 < 30 mg& COT Name (Pftm Pr" S1p1,at � � CST Ntrritatt' o 'Fht>m" C. Net ';x387 Teleph" 1432124th Salts,(, New RWmcmd, W1 511 5142 715. 246.2454 r�T O.Ml.TMN.11 r �3/ f 9 J ' Wisconsin Department of Commerce SOIL EVALUATION REPORT �^—�'- c� L Page 1 of 3 Division of Safety and Buildings In accordance with Comm 86, Wis. Adm. Code$ Amy St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan mustM Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date ! Personal information you provide may be used for a Law, s. 15.44 (1) (m)). -- , t .: J�" A Property Owner rope Location Gordon Knott Gov t NE 1/4 SE 1/4 S 2 T 28 N R 19 E(r))W Property Owner's Mailing Address J U N 1 4 2 O of # Block # Subd. Name or C" 743 Tower Road 1 - Knott City State Code ale 6l"01X COUN" Village • Town Nearest Road New Richmond i Wl 1 54016 ( - &PO& ME Tower Road t New Construction Useo 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 ft. General comments Bore holes were showing zones of saturation with water weeping into the bore holes at about 20 inches. Weather and recommendations: has been very wet prior to the time of this testing. Test taken in plowed field revealing no Toots. i Boring # [] Boring Pit Ground surface elev. _ 98.2 ft. Depth to limiting 14 in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Lure Consistence Boundary Roots GPD/ff '. in. Munseil Qu. Sz, Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 " 1 0 -8 10yr3 /3 - sil 2msbk mfr cw - .5 .8 2 8-14 1 4/6 - cl 2msbk mfr cw - .4 •6 w 3 14-38 10yr4 /6 c2d7.5yr cl lmsbk Mill _ _ ,2 ,3 ti Ong # . Boring 100.95 13 FE Ei Pit Ground surface elev. ft. Depth to limiting factor Soil Amkaftn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -7 10yr3 /3 - sil 2msbk mfr cw - .5 .8 2 7 =13 1 4/6 cl 2msbk mfr ew - .4 .6 3 13 -38 10yr-4 /6 cl lmsbk mfi _ .2 .3 ` Effluent #1 = BOD > 30:s 220 mg/L and TS$ >30 < 150 mg/L ' Effluent #2 = BOD 34 m _ and TSS <_ 30 mg/L CST Name (Please Print) Signature CST Number Thomas C. Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, Wl 5/15/02 715 -246 -2454 PTT P�IPTMIPP D Property Owner Parcel ID. # Page 2 of 3 B" ; F T I Boring # E � E.' Plt Ground surface slay. 98.80 ft. Depth to Nmfting factor In, Soll Application _ Rate Horizon Depth Dominant Color Redox Description. Texture Structure Cartalstenee. Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `01#1 `01#2 1 0. 7 10yr3/2 - sil 2msbk mfr cw - .5 .8 2 7=I3 1 5f4 - c) 2msbk mfr cw - .4 .6 3 13 -36 10yr5/4 c2d7.5yr c1 Imsbk mfi - - .2 ,3 nxrham.s e: # .�� �►. Pit Ground surface ciao. C _ -N01S fay Sag Application Rata Horizon Depth Dominant Color Redox Texkm SbWutim Cmsistenov BMVM Roots _ GPDff In. Munsell Qu. Sz. Cant.. cow Gr. Sz. Sh. F-1 ®�� # Boring Pit Ground surface slay. _ r _ ft. Depth to &nnitirtg factor in. sou Applicatibn Rye Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 Effluent #1 = SOD, > 30 220 mgk and TSS >30 150 mg& ' Effluent #2 = BOD < 30 rrgR and TSS < 30 mgfL 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 - 2.66 -315L or. TTY 608 -264 -8277_ sere -s3 tx�rrrool • r • �.�� � 2 � C7 it � �1 o d (� t� - To w ie Q- v Q cl BPI I `Tap of 2 s P tpe ioo! em 2 1 O oT pvc ?.pt 100. 5 Ql 9$,25 a2 % 0o, cA!5 B3 fS$ 5 �rh b� f GO, a� fV 8 ob lea \ T o M YN.sz i so u ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION DORM 0 wncr/I3 u cr O Y Mailing Address � d c � Property Address (Verification rcquirrd from Planning Dcpartrucat for acw construction _ Tct,J-2 City/State _ Parcel Identification Number LggAL DESCRrp sw 4- z-- 29'IJ -19w� Propcfiy Location %, i — " Scc, / . T_f — N - R�_W, Town of 6 Subdivision Lot # - Certi.Ged Survey MaP # Volume Page {# Warranty Deed # _'�,! .2 �' ��, volume '— � Page # Spot lipase ❑yes ❑ no Lot lines identifiable. 10 yes ❑. no 0LS- TENi�gANG`E ��ofY��couldrrsaltinitsP tahandlcwastcs.Pmperma�aacc cn aff ofpm fe mVing oat iaa of a tank-= � � � cr sonarz; if needed by IK Yioeascd pip= What you pgUdo &c system stage in. the vrasbe, Z ba Ptopaty owner ag= to sulrak'to S`t. cem � a caff=doa four, signed by the owner and by a =-St 7o=cYvaaPt=bC4 rcsuicwPlumbaor -K Uo=cd P =pa vcr4iag tfi�t(1) the on�dta vrastcWatcrdisposal Cyst= Peer oPaating coaditiaa and/or (2) after =gxctioa and l��.C� ). ti ctaahc.is icss Bran 1/3 Full o f sl ac.. Y scP ad f the =&=Vxd b= dc abort and agree to a dLc p� witti � ttaadatds ocd4 betein, U set by the DgMbneat of COmmc= and the D Utareax of Nat =I R,csounocs State of W-isooasin.. Cati4cati0a tbat YO"r ccptic rf:StcMhUb0=MakU1ncd=st be oamPlded sad metmna to the St. Qoix.Co Zo ' Ofsec wWda 30 days of the am= ycar c xpjMtioa &t, 5' SIQIATURE OF APPLICANT / / 6 -� DATE OWNER. ART =CATItON Y (we) octtify tbat all rtatca>cafs oa thus faun are true to the best of my (our) lmowtcdgc. I (we) am (arc) the owncr(s) of tic PrOpaly d=rx'bcd above, by virtue of a wuraaty dccd recorded in Rcgistcr of Dceds Office. 4viuu APPLICANT / 4 / 6• �' DATE sss «ss Any information that is mis --cc aced may result in the sanitary Permit being revolted by flit Zoning Dcpartm cat. • • • • • • «« Iadudc vd(h tfr(s application: a ttnuiPod warranty dead from the Register of Deeds ofT'icc IL 00 oC the ccrtif PY red eurvcy map if rrCcreaoc is made in the wacrxnty decd 5�� rti State Bar of Wisconsin Form 3 — 1982 Ll QUIT CLAIM DEED - 'tit I" a DOCUMENT NO. OFFICE It te`t�J ivr �;�4t pl 'i Gord W Knott a /k /a Gordon Knott and j` App 29 1996 Marie K Knott a /k /a Marie Knott, husband I, a 9:30)1 and wife � uic- claims to The Gordon W Knott and Marie K. 9 1 • `t , t•t. ..7 Knott Revocabl Family Trust dated April_ r•..• 1996, cordon W Knott and Marie K Knott rn-Trus tees the following described real estate in St. O ' x County, THIS sPACEHES RVED FOR RECORDING DATA State of Wisconsin: NAME AN R TURN ADDRESS Daviso - ack 200 East Elm St. River Falls, WI 54022 > > 040 - 1004 -60, 040 - 1001 -50 (Parcel Identification Number) The Ncrtheast Quarter of the Southwest Quarter (NE4 of SW4) of Section One, f Township Twenty eight North, Range Nineteen West (1- 28N -19W). All of the Southwest Quarter of Section Two, Township Twenty eight North, Range Nineteen West (2- 28N -19W) except a one acre parcel located in the Northwest corner of the Northwest Quarter of the Southwest Quarter of Section Two,- Township 28 North, Range 19 West. f All property described herein located in Town of Troy, St. Croix County, Wisconsin. FEE XEMPT This 18 homestead property. (is) ksxuft Dated this day of April ' 19 9 6 (SEAL) (SEAL) * G ordon W. Knott (SEAL) _ (SEAL) * _M arie K Knott AUTHENTICATION ACKNOWLEDGMENT Signature(s) Go rdon W. Knott and STATE OF WISCONSIN ss. Marie K. Knott County. authentilite his 7- 2 day of A r��1 19 96 Personally came before me this day of 19 the above named * Edward F. vlack TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY _ E dwa rd F. Vlack, DAVISON & VLACK 200 Last Elm S River Falls, WI 54022 Notary Public County Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) , 19 .) *Names of fersons signing in any capacity should he typed or printed below their signatures. QUIT CLA M DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 3 — 1982 Milwaukee, Wis. r , 1 0 e j 71 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE1 /4 OF THE SW1 /4 OF SECTION 2, T28N, R19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. UHPLLQ44C D LIM% OWGIOD o w 0 THIS 33 --------------------- - - - - -- - - N1/4 CORNER TOWER ROAD SECTION W1/4 CO RNER - - -- N01 °09'37' E1/4 CORNER SECTION 2 EAST WEST 114 LINE OF SECTION 2 _ 2587.33' SECTION 2 Nso °0000"E N90_ °00_' - T `" _ N9 _ —� —® 2262.82' o EXISTING CENTERLINE —� 2642,34' N co M co M I { 1 OSED NOTE: This parcel is created pursuant to Section PR�P RbPE 17.14 (1)(b), St. Croix County Zoning Ordinance, and may not be reconveyed by initial grantee in / compliance with this section. .,.......,. y .. .� ............................. ........ LEGEND x ® ALUMINUM COUNTY SECTION / CORNER MONUMENT FOUND 1" X 18" IRON PIPE SET WEIGHING rp� ` 1.68 LBS. PER LINEAR FOOT 1" STEEL SURVEY MARKER FOUND 100' ROADWAY SETBACK o SOIL BORING X FENCELINE C? r4 a I X � ; j LOT r a 0 N 9.00 ACRES INC. R/W W N iE 392,040 SQ. FT. @° I o o N �7 ~ N I LU /[ 1 �W W o OI a �I M oo Qo0) o M. N, 8.66 ACRES EXC. R/W CD u- u - J Q O 377,426 SO. FT. cc Z o ' W co O � LU �� O U! � Z Q W I Z W (/Q7 M W Q U Lei a co VV OWNER (o a � I N , O �I Q'' CCJJ O O GORDON KNOTT o�l 743 TOWER ROAD U HUDSON, WI 54016 Li u, 0; PREPARED FOR: ZI GLORIA KNOTT 632 GLEN PARK ROAD z _ ) RIVER FALLS, WI 54022 ° SURVEYOR = EDWIN C FLANUM I I cc NORTHLAND SURVEYING, INC. z P.0 BOX 14 ROBERTS. W1 54023 SCALE IN FEET 1" = 100' 0 100 200 FENCEL INE IS 1.5' +/ x FENCEL INE IS 1.5' +/ WEST OF LOT CORNER 3y WEST OF LOT CORNER S01 °09'37"E S90 0 00'00 "W 395.00' 1687 S1/4 CORNER ------ O � - - - - -- - 1�� Q� 0�� - - - -- SECTION 2 SHEET 1 OF 2 SHEETS --------------------------- - - - - -- -