Loading...
HomeMy WebLinkAbout040-1277-40-000 Wisconsin Department of Commerce. PRIVATE SEWAGE SYSTEM County: St. Croix Safety and BuiTing Division INSPECTION REPORT sanitary Permit No: . 405130 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: Troy Development Cor oration I Troy Township 040 - 1277 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: 103q-(> /O P wt csr o % t� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATI N BS HI FS ELEV. /�hi Septic Ben 2 . I A9 i ti d3 �`- Dosing Alt. BM r✓ �6b S r. Vi: o3 Aeration v Bldg. Sewer 4 4 3 31.3 Holding SVHt Inlet S•,3� � TANK SETBACK INFORMATION SUHt Outlet TANK TO s P/L WEL BLDG. Vent to Air Intake ROAD Dt Inlet / Septic / Dt Bottom 5 y RP 9 •/3 o 3 Z 5 Dosing � �V / � � / � Y►S$y HeedBr n. a 3 • Z �D .�' Aeration Dist. Pi l 3. Z� 3 - 7. 17 Holding Bot. System �. zts Of 3Q5 0332 �. Final Grade PUMP /SIPHON INFORMATION P Manufacturer Demand over !�S GPM bye. • �� o Model Number J C In d /v /o /• / .� /D3L. D TDH Lift Friction Los Syste Heat- TD H I Ft S l Forcemain Length Dia. p Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width { Length L No. Of r nc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / �1 J T SETBACK SYSTEM TO (J/ P/L G WELLT WE/STREAM L4CHINV Manufacturer: INFORMATION Type Of System: CH 7 _ � / / D Model Number: DISTRIBUTION SYSTEM CP�� Header /Manifold Distribution x Hole Size x Hole Sp ci Vent to Air Intake 3 Jo Length !� Di Length . Dia ` Spacing u SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed� cr' renc Edges Center Bed/Th Ed Topsoil J ' E] Yes No [7] Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #11 1 / / � 2 Insp ction #2: 7� 04 �, � Location: 401 Eagle Bluff Dr Hudson, WI 54016 (SE 1/4 SE 1/4 8 T28N R1 9W) EAGLE BLUFF of 1 Parcel No: 18.28.19.1546' a 1.) Alt BM Description = ' �'� �� Add�ZA� _ % Q't'r s'UGe�� rat W 2.) Bldg sewer length �d SGT aN�� — A 4� - amount of cover — U 3.) Contour /0 3 6, a Z Plan revision Required? ❑ Yes [ to I V tX Use other side for additional information. u x_YI/J -�• � � G�� Date Insepctor Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division Cry , 201 W. Washington Ave., P.O. Box 7162 �� �Yy t N visico�szn Madison, Wl 53747 - 7162 Site Address Department of Commerce —( -O Z .3731#S7 0 / 6wt 1.4— Pat LkF:F 2. Sanitary Permit Applications P N 1n accord with Comm 83.21, Wis. Adm. Code personal information you provide ❑ Check if Revision mma be used for sec s Privacy LAw, s15. 1 m I. Application Information - Plet� Print All Information State Plea I. D. Number s . /o. Property Owner's Name PareaI Number 0f . Z . . IM p� ®.: � - `� Property s Marling Property LACati °n C0UN -1Y A Ik; S T N. R City, State Zip Code P W O t Number Block N umber Subdivision Name CSM Number X alre hi � - _ II. Type of Building (check all that apply) V/ D-City ❑ 1 or 2 Family Dwelling - Number of Bedrooms s � ` OVA 0 Public/Co - Describe Use ❑State - -nod Cr" e't Ib , D Nearest Road "UL-\k L " x 1 eo "UL-\k �.Q gyp" s III. Type of Permit: (Check only one boa on line A (numbering scheme li e for internal use). Completne B U applicable) E. A. 1 New 2 0 Replacement System 3 ❑ Replacement of 6 0 Addition to For County tae Tank Om1 L ' system B. 11 Check if Sanitary Permit Previously Usued Permit Number Date Issued Type of Peraait: (Check all that apply)(numbering scheme IS for internal use 44 0 Noa - Pressurized In- Ground 21.XMound 47 ❑ SaW Filter SO ❑Constructed Wedand 22 0 Pressurized In•4roand 41 ❑ Holding Tank 48 ❑ Single Pass 51 0 Drip Line 45 0 At -Gra 46 0 Aerobic Treatment Unit 49 0 Recirculating 30 0 Other V. t Area Information: Design plow (ice Dispersal Area Dispersal Area Soil Application Percolation Rate 'System Elevation Final Grade l� Requited Proposed Rate(Gals./Days/Sq.t.) (bun./Inch) 1411 64 1 � 4/, 0 I d- /03 -7 -A s - 103e 7S VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass Nan Baiatiog Tub Tams Septic at HoldnK Task D win Claitabor x a� l csc VII. PMR29aft Statement- I, uus undersigned, assume reapomdbility for !mdallation of the POWTS shown on the attached Ptambar's Name (Print) Phumber's Signature /MPRS Number Business Phone Number ,`l�iczr� ✓�c`iu,t, c ,2a7`!QD' ?156 - «I Plumber's Address (Street, City, Stare. Zip Code) - ;I VIII. County /De artment Use Onl RA.ppparnd ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) [� Owner Given Initial Adverse 3z S S \ Determination I "Ze0 DL Conditions of Approval/Reasons for Disapproval �--� �1t 5¢96vja�c.� - �- a�► � ° ° P °t'P t `' C&,Qb/ Attack complete plans (to the Cmay only) for the system an paper not less lion SO a U Inches In du SBD -6398 (R. 05101) r j PLOT PLAN Page S 3 of 7 Sc 1 y p w�-� Zo aE > so � �� NnUU�D �^✓D � - Z:S ` �zui� TA�,JbC � �T U S IV - OF- 11is- MOUND w1 ft _&- DoT �uti1— Fl v K J 7tk Li1vk/b S2AT1C z5' b • 7 a o \A J r �zv B. N a ti JJ Z ' G PS , / "T CO P h_t T' OR NO ✓ �� � a te, �.� 0 F ._`1 4.15 CpJ`1CP1 V L. H OW- J - - - -- Gti 0 -- - -- - 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 /$ pp gallon capacity manufactured by 4't Bench mark • _��. o 1 `� DiA I ftW PiPC vjz T�� �,JCE POS"r 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings t 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �sconsin www.commerce.s i www.wiscon isconsin.gov n.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary Aril 30 2002 �� A C CUST ID No.267341 AM. POWTS Inspector 4f4), O ARTHUR L WEGERER ZONING OFFICE �OCRO`Xc3 20O? WE BOX 74 SOIL TESTING & DESIGN SERV ICE 1101 R COUN EL RD NI � D FO O / V RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 04/30/2004 Transaction ID No. 730785 SITE: Site ID No. 644012 David & Mary Kaspar Please refer to both identification numbers, Eagle Bluff Dr above, in all correspondence with the agency. Town of Troy St Croix County SE1/4, SETA, S8, T28N, R19W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 849609 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /0l) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SB D- 10706 -P (N.01/0 1). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption �• area. chs. NR 811 & 812c ant�vnally A Sanitary Permit must be obtained from the county where this project is located in accordance with the PROVED requirements of Sec. 145.135 and 145.19, Wis. Stats. rM a 'TOFCOMMEROE Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the F FT BUIM11 county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat 11 1 RIE3PONLO) E� 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. c ARTHUR L WEGERER Page 2 4/30/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Z) V Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page 1 of 1 FOUND SYSTEM FOR A `I BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10691 -P and the Pressure Distribution Manual SBD - 10706 -P (N.01 101) (N.01 101) LOCATED IN THE SC — : 1/4 OF THE S E 1 /4 OF SECTION cS , T Z b N, R 19 W, TOWN OF ST. C�tK 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 �N_ PAGE 6 of 7 PUMPING T �. ChAPIBER CROSS SECTION ,g PAGE 7 of 7 PUMP PERFORMANCE CURVE � Y PREPARED FOR ��V �Q fl V'�1PC� -` � -►� T'A'R L PdZIrLSPU Vz LLftNe — L V�" _ELM U - - N PREPARED BY WE CBS M`R< EMR SO I L TEST 11 (3 AND. DES 2 G;V SERV 2 CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 liw�w Phone 715- 425 -0165 Fax 715 - 425 -6864 AW, )Q,. WECEHLA 0.015 P EI.Ls1Y0A T.. Wis. .�.• , c� ry ... 4: s AF a ��� i% ,g 1 G ��, 1�) DEPAR �t�F SEE CC JOB NO. O Z 83 Mound System Management Plan page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The o erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte shall be cleaned as necessary t o ensure groper operatiov 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 113 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. Pum° 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 S tem 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 u ' q ality into the mound system may not exceed 220 mg /L BODS, 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. Ge neral This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code and shall maintained in accordance with its' component manual - and local or state rules pertaining to reporting. P g s stem maintenance Y and maintenance -s$D �- ') 0 b q 1 - 'P No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, um u P P, Pump controls alarm rm or related wiring bec omes immediately repaired or replaced with a component of the same or equal performan e e defective component shall be 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 1S - 3 a 6 L4 8 8 0 The system installer at — 1LS — 3 gb_ 3 1 Z C I S H `lNn is 1rz tzz The tank manufacturer at OD' 8 T �Z.S qS The effluent filter manufacturer at S Z, The pump manufacturer at -- ' PLOT PLAN H 0 7 ' Scale 1 "= Pale of �w 10 aE ? so Fu;,, w��u►� �r�D zs fizuwt 1,A��c ��x�� UPSl.pP' S I D E 0E- '1 MOUV Zs 4V N 3 z ' No 5� � 10 j `a te � / D\s'tv�Zt3 `f IS )�'t�sA 7 Peiz e of - t)X 17 oPv n F _Tw+ LS COh e-" L J` 1 lvCv, _ -- -- 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\Z b0fgOa gallon capacity manufactured by w / �4-18o0 zrgt�, 4. Bench mark _LSL� . ip34.0 ` Orel i DMA 1 R Ikj Pc PC wl, �L c, pu3T 5. Divert surface water around system to prevent ponding at the uphill side. i Pace 4 Of 7 Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand L H _ G Topsoil F Eiev -1037. Z S 3 E 0 I e lQ % Slope Distribution Cell of Force Main Plowed 2 to 2k" Aggregate From Pump Layer D \.ZS Ft. E S -�>S Ft. CROSS SECTION OF A MOUND SYSTEM F O - Ft. G b -S Ft. A Ft. H t. Ft. Linear Loading Rate = 6 GPD /LN FT B 1©e Ft Design Loading Rate= 6-3GPD /SQ FT Ft. K l0 Ft. Position L \z0 Ft.i�/ OT — Force Main \� W - 26 Ft. I �} k - Observation Pipe 7. K f- � ----------- - - - - -- --------- - - - - -- - - - -- Sax A � ' /b o - I - -t W� -- - - - - -- ---------------- - - - - -� Distribution \-- Cell of %" z to 2 Pipe aggregate I Observation' Pipe (anchbr securely) PLAN VIEW OF A MOUND SYSTEM ' Distribution Pipe Layout Page S of Place the holes at the bottom of the distribution a t e ual Spacing. in pipes q Rem ave a_1 burrs from the pipe and holes. Extend the end of eac late � , :ai up with the use of long turn ' _ or 4� fit LnQ � to a point within s i x inches of th e final P*ade. ,. Terminate the ends of the late.-aIs with a valve threaded can or • threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug 7 `t F cr, L CZOS s - F\) C. F�J� Lateral Manifold Lateral X x x x x/2 x!Z x x x x Lateral Length — Lateral Length — P Distribution Line • P -- i - � ;rC�s six ht;],l1F�u 0�— __ I P Ll q. S F Hole Diameter lj b Inch - S S Ft Lateral Inches) X 3 6 Inchps Manifold 2 Inches Force Main " Inches # of holes /pipe 1 1 Invert Elevation of. Laterals lC -I SFt. 8 8 6Pk . Combination Sepi'c: and • PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE OF �. VEUT CAP WEATHER PROOF JUIJCTIOIJ BOX ti C.Z. VENT PIPE i APPROVED LOCKiMG 110' FROM DOOR, MANHOLE COVER wIV .iwoow OR FRE5H wAfttJ1UG t_f�gEL . �8P 1oID P tPE ALP, t NJTAKE co�,twlT wlHttznr.41 • rnp , ' 6 `.�w. I Y�MIL1. F N LSH.© t-7L_ Go E 18' hU U. IMLET i PROVIDE I - - -- • - •• �� �j' AIRTILHT SEAL Approved z�a�. �� A ( Approved joint w/ Y� -lsoo I( I joint w/ PVC pipe ALARM PVC pipe - � I ( ( ow C 1 1 \)30.8 8 I CLEV. fT. __J PUMP 1 OFF D C ul-tN , 1 030 - O Q pt ocK ti - RISER EXIT PERMITTED OQLy IF TAIDK MALWACTURER HAS SUCH APPROVAL -1 3NAA � ED --- ...LLLBEDO I N4 SEPTIC E SPEC.IFICATIOUS DOSE TANKS MAQUFACTURCR: V ` k ' � "Q0-« 1JUMBER OF DOSES: S' 7 L/ PER DAw TAIJK :,IZE : 1 1 52 L 5C7d GALLOWS D05C VOLUME r ALARM /'MAUU FACT URC.R: S -J . Z TIC S�iS j.S I .UCLUDIAIG OACKfLDW: - 1t3 GALLONC, MODEL /DUMBER: 1 C CAPACITIES: A= Z� IMCHCS OK q 1 � �Z��� GALL011S SWITCH T�PC' PUMP MAIJUFACTURER: GOULI�S 5= t / 17 INCHES OR L <<' Z G(�LLOUS C IIJ CHESOR 3 � GALLOUS MODEL NUMBER: — V D iO I ' z 'INCHES OR Z 3 ALLOMS 5WITCH TYPE: �1LZCCJR �NNTf�'L -= 4 MOTE: PUMP ARID A LAR M y • - MARE TO BE MIN IMUM DISCHARGE - RATE Z �$ GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AU0..D15TRIBUTIOIJ PIPE.. 6 a-7 FEET + I'111DIMUM NETWORK SUPPLY PRESSURE , ; , , , , , , • , • (�•SO FEET <S - 1 3x1. 3� + ` FEET OF FORCE MAIN X F joFLFRtCTIOU FACTOR_. 2' Zb FEET . 0r7 TOTAL OtIWAMIC HEAD = �' 6 3 As per manufacturer ZO- b0 gal /in. Liquid depth 38 ti Goulds °� Submersible Effluent Pump I - u 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 23 V, Hz 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in ovv erload with automatic reset. preset at the factory. rated oil and water resistant. • 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 w ith construction. • Solids handling capability: automatic reset. ■ EPO4 Impeller: Thermo- 3 /4 ° maximum. • Power cord: 10 foot plastic Semi -open design AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for • Total heads: up to 24 feet. with three prong grounding mechanical seal protection. So. Canadian Standards Association • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for (CSA listed model numbers • rotary/ceramic- stationary, three prong grounding plug improved performance. end in "F' or "AC".) BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10- i • Capable of running i I �? 7 dry without damage to s so '� " components. Pump: EP05 6 - —�.__+ , F . ,r • 3 25 Y i Solids handling capability: ° /4" maximum. w 7 - - -- - — • Capacities: up to 60 GPM. s 20 i • Total heads: up to 31 feet. • Discharge size: lV NPT. z 5 I — ! • Mechanical seal: carbon- } rotary/ceramic-stationar ° 15 1 BUN 4 ��F - Nelastomers. -- k EPOS =— • Temperature: 3 10 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 — 5 I Z ?. 8 1 / 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m CAPACITY 01995 Goulds Pumps, Inc. Effective May, 1995 83871 - rr�rr �cr.um.��?r F` amt.Eiinq FAY NO. 7L5386.s:t�- (ICr. 23 2002 »: EOAhI P2 1'cPtSPFAR SCIL F- VALJAi1 0% REFORr L of 3 wwsQ � CatattMlt a Cartxa+rRS �r ---- ohaan ►ee �, now= * I wol bnw QL VMa, sera Coo I �G 5T. CMIX r . �medraaaoaodawanvraw .nc{ rtxszlneeaolnae�F�s+ueat }.-. +�- ••- •-- •,�...�.••- ,...• —.,.•• i,r+arsouaxxun111ai ••ia�aartv�e�en�rra ••pe•aaMtcieQaeli��eraoe I rrer tAl Ooiesftffa�►�nQwa+awc a 1wwl�estiraarresdrn+ctevatl�. pllrurrwfrrta+f � nrefelorf: Ra""""'s W air i� • �rrlo�t111tArrNw�.•+ Ma..r �v..... ....r+...+r�a.+...,a,laMtt � �: PbosM C�AA2�E$ � . COGS FROMI, ww os ee i CCNTZNZNM DSVMODlS3:HT t:t 1tP09 *OM c9Kt= -- 114 v+ ii r29 N R19 91"W f � 11 f�Q�lLt A Mn ll�P i�Gtsi ` b1�l�rc3'� 800 AB A - 9 T . ST] . 104 t 4 ! I OGLE SLUFF r-M ca toj=MV ter iZVftqP 'flu+ na.rrlePlem SLA:ri'& f MM 55449 t 7' i3: 757 -7566 "_"44Y r r^.BGLS BLUFF DR Q rlsear+.mr $S Ftarpr+owrlaelt wale 4 ceorarrmre newran 690 No Q Q a+sooecr rMMW laer+f ll� �. - a1iLi. r��� F<ac. a.e rw�x� t xs • . v . A . tsr c�.asmr+wsr tw rrawiartawforle eer.+o 70 P2 ly 80n A pM'a starter el h ,, 1046C 1 n_ ceeet ss cireNC%+q fso0r pot= 0eN1 R%dM cam aon ! 1aac�t vanrar+a1 Eaww>teY Roos 1 MIN +L neuRfr Cu. Cr c4K Coot 1 Cle 3. SfL ' ! 9De 1 •�!YL o - b LOYR 4rZ } 9•»1 ZE - . ar: ?s 0.5 0.8 ( .v 3vt -t D1 6 IOXR 3/6 ! - s1� ( Zw bk Ids ' tw ( ?vf -¢o 0.5 (Q.8 1 a2 23_34 !QY8 4/ I _ 1, ( 23 i a cv i Zt •Ce U.5 0.7 a2 34_46 10YA k 6 1 1 � � 1 0.2 o..t 0.4 o. _C L 4 � Y 5 ir, I 1 CI. I 131r 1.1 a i �V t ,f IL (70 LUBR arb i !-W r E?Z7 Swim `�. i I I t I ate c"Waseeaaftm ow. 10 "sZ.9 IL Owp;murc>IOltrfsseCr 2 1 ^ sat HOMM omit Ca1rrl.rKcam Rae =Da mmam 7e0ttta i � camm"rrosl '� M ra ti c,z x cz,% -cat i Gn 2L Stt sil I Zf- clrfr cx 3vt 0.5 0'8 � 0 LdYB 312 ' 2 10 61L — I ail 2abk (da 1 c+ 2vf 0.5 0.6 i ( i s ' Elkltrtt as4 8�. r �Q t +�L Y1� ; sa . a t � "n ' tF70uM Q a AOO, c 3.7 CM M CS avaas+r Lp!!EN P" Slawtss C.9t'�s101f • fir? r� 2Zv452 ..r� Ja1lSES D, tIU LIN '7tiDFtt £liGI1�BRYEtG C .. � � rwu�rtux+ �a+aut+•u iactonar `` °001i01 •�3A1fY !1 -t. -99 1 113 '.PEST uALNTY ST., RIVEZ FALLS Wt 54022 j_2_t10 } :q- 4q - -_- - 715- 423 ^TFi3i ,•d a�.ab_�F, a�mc�sn0 VAtgdd paMta^ 20 Ez .:old w at ltoon dept rt ient of Comn+eres SOIL EVALUATION REPORT Page 1 at 3 omston of Safety and 8uddiriigs in aoo0rdariee wifft Comm 85. `M& Adm. Coda! Qy ST. CRO IX Attaeh 00MOlab sib piOn on pa0er not leer titan 8 112 x 11 inches in sae. Plan must induds but not linnted Ur vertical and hcrmOntm n"mmum Point (SM). direction and Pitirtel I.D. percent slope, scale or dimensions. ncM artvw. and locaam and diadnea to nearest road. Plemm print all iislb madon. R by Dab pwommkwommOnym Omit* m"beU -0 for sommmvmmiitm4p mmLaw.S.15.04 L ` Z_ PromNOwnw CHARLES S. COOK Prop"Lacanon I g CONTINENTAL DEVELOPMENT CORPORATION Govt. Lot -- v4 -- v 4 S 16 r28 N R19 qr"W property Owner Me" A ddrssst Lot # ahx: t # 1 Suter Nam or CSW 11800 ABERDEEN ST. NE STE 100 14 -- EAGLE BLUFF ciy Stab 230 Code Phone Number Q Cily Village (3 Town Nearest Road BLAINE MN 55449 TROY r EAGLE BLUFF DR. ® Now Consaucttdn Use ® Ra@Wm tal / NwMw of bedtoottfs 4 deogn flow rate 600 GPO ❑ Replacement Q Patric or commercal - oescnbae T / Parent material Loess Do nm i to .<_ �.,' Rooal>R1ain eiov��on applicable N.A. tt General oornmenes and r I 4 T F , ZDNINWV Q Bonn9 ' '� .� 70 P26 # ® Pit Ground surfaceelev. 1040. 1 �� i ' 0@pth_So -in actor in. I� Sod A bat Rate Horizon Depth Dorrnnart Color Redox osemption Texture --L trtTc Ure Consistence Boundary Roots GPO/fP .n. Mun3M Qu. oz. corx. Color A Gr. Sz. Sh. A 0 -6 10YR 4/2 -- sil 2f r mvfr cw 3vf -f 0.5 0.8 B1 6 -23 j lOYR 3/6 1 sil I 2msbk Ids cw 12vf -co 0.5 0.8 B2 23 -34 10YR 4/6 -- is Osg I ds cw 2f -co 0.5 0.7 B2 34-461 10YR 4/6 qscl ifahk 0.2 0.3 0.4 0.6 C 46 -70 10YR 5/6 -- R 70 LOYR 8/6 1 ltnst -- -- -- lvf P27 scrim # Baring t O --� Pit G ro und sumacs elev. 1032.9 tt: apttt o lirnifktg fat�or 2 n � . Sad Applielition ROD Hermon 1 Depth Darttrwit Color Redou 0 a ci ptlon raxkm Stnnmm Conemommi Boutdary Roots GFIMV in. Munsm Qu. Sz Cont..Colar Gr. Sr- Sh: '1 • a A 0 -6 10YR 3/2 -- sil 2fgr mvfr cw 3vf -m 0.5 0.8 B 6 -21 10YR 4/4 -- sil 2sbk ds cw 2vf - 0.5 0.8 R 1 21 z a 10YR 8/6 I t -- -- -- lvf -m -- Effluent #1 = 800, > 30 < 720 mcyL and TSS >30 <_ 150 mg1L ' Effluent #2 = 8013 30 mglL and TSS < 30 mg/L CST Name (Pleats Print) s4naaue � CST Number JAMES D. FILKINS /�/•c'! 1 222952 Address OGDEN ENGINEERING COMPANY oa Evaluation Conducted Telephone Number 11 -22 -99 L13 WEST WALNUT ST., RIVER FALLS, WI 54022 3 -7 -00 3 -8 -00 715- 425 -7631 Aropnty owner 'CHARLES S. CO OK Parcel 10 0 page 2 0 3 FP 5 4 Barnq >x ❑ 8onng Q Pit Gnxurdsurfaos 1037.3 Oepm to lNrrlllflg fa�tor 3T_ i n Sod RM Harmon Deem oomwo c color Red= 0eeatpoart Texlum Shucstmar Conetraoe i Boundary ROM GPCM in. mtuuw OtL SL cam Color Gr. SZ. Sh. IMe '13fNlz A 0 -5 10YR 3/2 -- sil 2fgr mvfr cw 3vf —m 0.5 0.8 B1 5 -23 10YR 4/3 -- sil 2msbk nfr cw 2f —co 0.5 0.8 B2 23 -35 7.5YR 4/6 -- sl lcabk nf r cw if 0.4 0.6 R 35 -38 10YR 8/6 -- lmst -- -- if -- -- t�- P 6 2 BorK,q Q Barrrg Q Pit Ground surface, elev. 1034.0 ft. 0apm to iintttfng factor 24 'n• Sod Applica Rate Horrmn Oepm oormnant Color Room Descritown Texture Structure Conststenoe Boundary Roots GFICIM .n. Munsed Qu. Sz Cont. Color Gr. Sz Sh. 'Effit t A 0 -9 10YR 4/2 -- sil 2fgr mvfr aw 3vf —m 0.5 0.8 B 9 -24 10YR 4/6 -- sil 2sbk Ids cw 2vf —m 0.5 0.8 R 24 -26 10YR 8/6 -- lmst -- -- -- lvf —m -- -- F7 Bonng 0 ❑ Bon ❑ Pit Ground surface el ev. rt. Oepth to litnttirlq factor in. Sod Application Rate Harmon Depm Oomtrlant Color Reoox Desorption Texture StrucWe Conststenoe Boundary Roots GPON n. Munsaa Qu. Zz. Cont. Color Gr. Sz Sh. Ettfrt I 'ERp2 Effluent #1 = 800, > 30< 220 mglL and TSS >30 < 150 mg1L ' Effluent #2 = 800,_ 30 nnyL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need matenal in an alternate format. please contact the department at 60 &266 -3151 or TTY 608 - 264 -8777. '; BW ))01 R.071001 MUM Ij UP . SITE PLAN SCALE. lit . = 40' 14 0 + ,r��y / h � B 26 P62 -� 8 —P27 ; l NOTE: Bench marks are ground elevation at base of 4' wooden lath near each boring location. OGDEN ENGINEERING CO. JA D. FILKINS, 222952 Civil Engineers & Land Surveyors / 113 V.. Walnut St. River Falls. WI 54022 DA : / �` �' ©� (715) 425 -7631 ST CROIX COUNTY SEPTIC TANK b AINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 2 Z)g !D,d - fi;2/1 Mailing Address #- Property Address � (0 / LQ Qa�� (Verification requiQ from Planning ,ent for new coast moron) City/State 60)Se , Parcel Identification Number, ��� ` 77 q ` 0 Q 0 LEGAL DESCRIPTION Property Location 6: — V4 _ %4, Sec. . T N -RR_W, Town of 7 fro Subdivision Lot # Certified Survey Map # Volume Page # Warranty Deed # ,� Volume Page # Spec house 0 yes ❑ no Lot lines identifiable yes ❑ no SYSTEM MA3fNTT<;NANCE Improper use and mamtenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance eon 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 dw owner and by a madwpiumber, journeymanplumber, restricte dplumber 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. Yv% dw undersigaod have read the above requirements and agree to maintain the private sewage disposal system with the standards set I'oedi, herein, as set by the Deparboent of Commerce and the Department of Natural Rrsouroes, State of Wisconsin. Certification staff d at 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. SI(if ITJRE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best offlmy (our) knowledge. I (we) am (are) the owner(s) of die property described above, by virtue of a warranty deed recorded in Register of Deeds Office. e 2 ate f 6 � (0 S104AITM OF APPLICANT DATE 1 Any information that is mis- gmsented may result in the sanitary permit being revoked by the Zoning Dopartrnmt:'` « * « « � Include with this application: a stamped warranty deed fmm the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I VOL 1589PA 489 ` STATE BAR OF WISCONSIN FORM 1 - 1996 6.35938 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between GARY W. FEYEREISEN AKA GAR 02 -21 -2001 10:30 AM FEY EREISEN AND RONDI A FE YEREISEN AKA RONDI FEYEREISEN, HUSB AND AND WIFE WARRANTY DEED — EXEMPT I Grantor, ! CERT.COPY FEE: and T ROY DEVELOPMENT CORPORATION COPY FEE: -- TRANSFER FEE: 761.70 - -- RECORDING FEE: 12.00 PAGES: 2 Grantee. I; Grantor, for a valuable consideration, conveys to Grantee the following U described real estate in ST. r.ROIX ^ County, State of Wisconsin it (the 'Property"): Recording Area Name and Return Address 0 DEVELOPMENT CORPORATION 1 O1 CENTERAL AVENUE 1)230 BAINE, MN 55304 SEE ATTACHED LEGAL DESCRIPTION it 040 - 1037 -70 -000 Parcel identification Number (PIN) This IS NOT homestead property. (is not) i i l ji, I I; �I Together with all appurtenant rights. title and interests. Grantor warrants that the title to the Property is good, indefeasible In fee simple and free and clear of encumbrances except a Dated this 28TH day of DECEMBER 2000 j I (SEAL) (SEAL) G GAR W. FEYER SEN i (SEAL) z a"'�� _ (SEAL) V I� RONDI A. FEYEREISEN AUTHENTICATION ACKNOWLEDGMENT (I Signature(s) �>� 4It•It7,��CIRstJtN !I State of Wisconsin, t' A 09 NQRt ss. � County. �± authenticated this Z Personally came before me this day of the above named I: w I TITLE: MEMBE TATE BAR q Aw• ✓� CAR► — to l (If not me known to be the person who executed the foregoing ! authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. Ij THIS INSTRUMENT WAS DRAFTED BY HEYWOOD & CARI, S.C., S AMU EL R. CARI , Notary Public, State of Wisconsin 204 LOCUST STR BOX 1 HUDSON, WI 54016 i My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not ) necessary.) Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Berk Co., inc. WARRANTY DEED FORM No. I - 1998 Milwaukee, Wis. I• Va1.1589oAr; 490 A parcel of IVnd iden$ified as Lot 1 on the Certified Survey Map filed with the Register of Deeds, St. Croix County, Wisconsin on May 3, 1993, Doc. No. 498385, Vol. 9, Page 2613 and further described as follows: Located in part of the SW % of the SE Y4 of Section 8, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin: Commencing at the S % of said Section 8; thence N88 0 32'41 "E, along the South line of the SE % of said Section, 1242.53 feet; thence NO3 0 17'15 "W, 1.81 feet to the point of beginning; thence continuing NO3 °17'15 "W, 503.31 feet; thence S89 0 05'13 "W, 214.18 feet; thence S19 1 20'44 "W, 456.43 feet; thence N89 0 38'59 "W, 280.00 feet to the point of curvature of a 233.00 foot radius curve, concave Southerly, whose central angle measures 28 0 23'39 ", whose chord bears S76 0 09'11.5 "W and measures 114.29 feet; thence Westerly along the arc of said curve, 115.47 feet to the Easterly right of way of the town road (Townsvalley Road) being a point on a 610.62 foot radius curve, concave Westerly , whose central angle measures 6 0 11'50 ", whose chord bears S27 °05'31 "E and measures 66.01 feet; thence Southerly along the arc of said curve and said Easterly right -of -way, 66.05 feet to the point of curvature of a 167.00 foot radius curve concave Southerly whose central angle measures 28 0 46'14 ", whose chord bears N75 0 57'54 "E and measures 82.98 feet; thence Easterly along the arc of said curve, 83.86 feet to the point of tangency; thence S89 0 38'59 "E, 674.62 feet to the point of beginning. The right is also granted for use of Road Easement Outlot 1 on the same map. A parcel of land located in part of the SW % of the SE % and in part of the SE % of the SE % of Section 8, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin further described as follows: Commencing at the S Y4 comer of said Section 8; thence N88 0 32'41 "E, along the South line of the SE % of said Section, 453.48 feet to a point on a 577.62 foot radius curve, concave Westerly, whose central angle measures 05 0 29'41 ", whose chord bears N27 °33'56.5 "W and measures 55.37 feet, said curve also being the centerline of a town road; thence Northerly, along the arc of said curve and centerline, 55.39 feet to the point of beginning; thence Northerly along said centerline, being the arc of a 577.62 foot radius curve concave Westerly whose central angles measures 07 0 55'24 ", whose chord bears N34 0 16'29 "W and measures 79.81 feet; a distance of 79.88 feet; thence N38 0 14'11 "W, along said centerline, 464.03 feet to the point of curvature of a 475.00 foot radius curve, concave Easterly, whose central angles measures 22 1 43'57 ", whose chord bears N26 0 52'12.5 "W and measures 187.23 feet; thence Northerly along the arc of said curve and centerline, 188.46 feet to the North line of the S % of the S % of the SE %; thence N88 0 33'56 "E, along said North line, 2625.69 feet to the East line of the SE V4*, thence S00 °53'01 "E, along said East line, 656.63 feet to the Southeast comer of said Section 8; thence S88 1 32'41 "W, along the South line of said SE Y4; 1404.47 feet; thence NO3 °17'15 "W, along the East line of Lot 1 and Outlot 1 of Certified Survey Map recorded in Vol. 9, Page 2613 at the St. Croix County Register of Deeds Office, 505.12 feet; thence S89 "W, along the North line of said Lot, 214.18 feet; thence S19 0 20'44 "W, along the West line of said Lot, 456.43 feet; thence N89 0 38'59 "W, along the North line of said Outlot 1, 280.00 feet to the point of curvature of a 233.00 foot radius curve, concave Southerly, whose central angle measures 28 0 23'39 ", whose chord bears S76 0 09'11.5 "W and measures 114.29 feet; thence Westerly along the arc of said curve and North line, 115.47 feet to the point of tangency; thence 861 0 57'22 "W, 33.02 feet to the point of beginning. Subject to right of way for the town road along the Westerly 33 feet and Subject to all other easements, restrictions and covenants of record. Together with an easement for ingress and egress over Outlot 1 of Certified Survey Map in Vol. 9, Certified Survey Maps, page 2613, Doc. No. 498385 EXCEPTED FROM THE ABOVE DESCRIBED PARCELS: LOT 1, PLAT OF EAGLE BLUFF IN THE TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. r 1 I W I� ` a0 cr �I ., , 00'0 Z oo so W 2a4 2 I ESN W O W W W W w / LLJ O 3 3 • s U - M W" -w C Z � a xg -8 U. 3 1` LL. '• 8 N MV39 01 031VWV 'A66 L S � � m #- Z o - i 103S 30 f/ t 3N 3H1 30 W o — W O J f - < J 341 Ol 030N3u3x1 S9mus Q a r� 1 � N a��e U - x H aD x a0 Z 1� �� //�� t tp tG r' V /< M N LL. � r•� Z 0 w M N m 4. o C7 o LA- O c ao Lli J a ^ J Z ~ C4 C4 Ol a- ��0) O cc I. 3S 3H1 30 3NIl 1SV3 U i 30 / 19 9 ' 9Z9 Z 3 ..9Z ,6 *.00 S bf f- _ _ G ,26'6961 4 Z -. ,9 L't �Z b t £ C U U Ot _ - O ^ - $ z In D: — ��-- • $ , ap r1 $ �i LLJ 00 bi —C27 — ;A t, 'L \'y V) O CF) W •• S C2 — ��, /�` • I ' O Li. O 1— c s'. V) 14- z ODr Ix U) La OD 40 its) Q �a 1 N , � 4 t D h0 z oo N4c W O �Vl r- N* Z0 N U t ` 4 q � ' r � b ♦3 �' U7 N < a0 �o .o cA� / W (n I.- �- Inc cVaD w z C4 in LL- U CO 1 vWi N N , a ; •0� �Ol �h c� ��Z O Z N JO I F- W - _ V 1 $ �''' "tt� 8 s �` ? ��~ 3 s LA w IV I 3 -00 N �7�f 1 A rn