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HomeMy WebLinkAbout040-1206-40-000 Wisc�nsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix S2feiy and SCilding Division ` - INSPECTION REPORT sanitary Permit No: 420757 0 GENERAL INFORMATION (ATTACH TO PERMIT) State PI ID N Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. ►�lCr•�S • �."� Permit Holder's Name: City Village X Township Parcel Tax No: Valkenbur , Eric & Sarah I Troy Township 040- 1206 -40 -000 CST BM Elev: Insp. BM Elev: I BM Description: Section/Town /Range /Map No: / 00. b CST 8 LU ( 1 16.28.19.968 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchry�l�� Dosing � �, << Alt. BM Aeration Bldg. Sewer f 1 0 - 35 q 3.35 Holding SVHt Inlet (, St/Ht Outlet TAN ETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ) [ � � \ Dt Bottom Dosing ) Header /Man. 2 •'fb O Aeration Dist. Pipe 7* So f 2- `F`j 2 - O x.20 Holding Bot. System 3-1 3. cry • � F inal Grade t 1 PUMP /SIPHON INFORMATION WZZ :U 4 Lx - J Manufacturer Demand t Cover GPM Model Number hA� A' ,1 • DH Lift Friction Loss System Head TD Ft 11 0q 4 . 24 3. 25 6.2fo 3• � 3 -ID ID orcemain Length t Dia. tr Dist. to well \D � 2 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tftffleher PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS G 1 b�l t - ) (_ i SETBACK SYSTEM TO 'r P/L BLDG I x �WEELL LAKE /STREAM LEACHING Manufa er: INFORMATION CHAMBEX OR Type Of System: r UNIT 'fri( J ••�• odel Number: DISTRIBUTION SYSTEM Header /Manifold Distribution / it x Hole Size x Hole Spacing Vent to Air Intake f N Pipe(s) I f �I 1 1-ength & Dia I Length S 3�. Dia �•O Spacing � - O 3 //6 3 6 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/Trench Center Bed/Trench Edges Topsoil L] Yes [] No Yes J No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: � / �5 - /� Location: 374 Southern Pacific R d Hudson 5 0 WI 4 16 (SE 1/4 N 6 8 ) G o W 1/4 1 T2 N R19W I ver ta141 ' Parcel No: 16.28.19.968 1.) Alt BM Description = y.T• t^'�d"` "' 2.) Bldg sewer length 1 - amount of over =„ � # � n Yes No�� '! Use other side for additional information. SBD -6710 (R.3/97) y1e Insepctors Signature Cert. No. Safety and Buildings Division County I vi s 201 W. Washington Ave., P.O. Box 7082 evn sin Madison, WI 53707 - 7082 Site dress Department of Commerce . h-orq ---- Y -� �, Sanitary Permit Number Sanitary Permit ppl o D n 2 In accord with Comm 83.21, Wis. Adm. Code, rsonal information you provide El if Revision may be used for secondary purposes Pr' ac Law, s15.04(1)(m) I. Application Information - Please Print All Inforn ation PkIR „ 5 2003 State Plan I.D. Number 7qY6 2 19 5. T ERI C, operty Owner's Na me ST. CF'',0i,X COUNTY Parcel Number (' n „ / Z ?NIP F F ZD J A ,V Property Owner's M ailing Address V Property Location /[ Z Z L• cn d ,- v" 5, 7 l y vela ; S T cVN, R / W City, State Zip Code Phone Number Lot Number Block Number n � �� �� �� j 1 �� Subdivision Name CSM Number j ( t� 6L 6 VM 5' X4.4 -! oAl II. Type of Building (Check all that apply.) J ❑ City X 1 or 2 Family Dwelling - Number of Bedrooms ❑ Village ❑ Public /Commercial - Describe Use _ - 11 State Owned ,tom,,., . 1 ,./� � f p � �`I'ownshi d r !vim d&; • � til � e0j,4rv&L C (1 S Nearest Road AA VJ 0 •5 wf '` 5 &U 4 H III. Type of Permit: (Check only one ox on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 1 New 3 :1 Replacement of 6 ❑ Addition to stem 2 ❑Replacement System Tank Only Existing System For County use B ' ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of POWT System: (Check all that apply. Numbering is for internal use.) 44 ❑ Non - Pressurized In- Ground 21 Mound H sat 1 47 11 Sand Filter 50 11 Constructed Wetland � Z� 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other V. Dispersal/Treatment Area Information: G/R - aAj_4__ t Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required &�4/ Proposed Rate(Gals, /Days /Sq.Ft) (Min /Inch) Elevation 67 514 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks New Existing �/� a 0 Concrete Constructed Glass Tanks Tanks �( M 77 /�i/_ Septic or Holding Tank / 1 zwo L Dosing Chamber VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum s Na me (Print) / Plumber Signature MP /NJ?%* Business Phone Number Plumber's Addre ss (Street, City, State, Zip C94) 27 VIII. ount /De artment Use Onl LJ Disapproved Date Issued I mg gent Signature o tamps) Approved ❑ Owner Given Initial Adverse Sanitary Permit Fee (ipcludes Groundwater Determination Surcharge Fee) Z tj 3/2 G o 3 IX. Conditions of Approval /Reasons for Disapproval O a V I ) �i��% ' 1 ' '2rLr � `.f dv' G%V2 p'n- /2�1h t' &iw.l.t Crn� . P.3. SL � �' 3 • .�5� � fc'd� -„. CoaCe ?j am L. _� tta com 1 e Pla tot e o nt 09y) e s e paper 1 1 inchej - nisi �— D 2) AAt v�^" SBD -6398 (R. 05101) PLOT PLAN • •Page 3 of 7 Scale 1 "= SO ' IrOT 126 'AS q�4 �� J kP L.o't l y vz)0'0 oN 1/(,4 btR_ Sift Pt PE. -- C' O� 1 k LoT Vs a r i Sv6sL'PSM N it l p 0 q S S \s C • X20 99 s , Z81 9 10() \ 83 Z% B 1� 4 9 s 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 /00� gallon capacity manufactured by 4. Bench markS SZiEF- i'n30VE 5. Divert surface'wate.r around system to prevent ponding at the uphill side. ° 1 ,.,' Safety and Buildings - P 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 20OZ www.commerce.statemi.us /sb /sconsn www.wisconsin.gov Department of Commerce y j(;i a ,' ;i(;' Scott McCallum, Governor Philip Edw. Albert, Secretary October 10, 2002 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA p PO BOX 74 1101 CARMICHAEL RD � RIVER FALLS WI 54022 HUDSON WI 54016 . 73o �s �— CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/10/2004 Identification Numbers Transaction ID No. 794628 SITE: Site ID No. 651479 Eric & Sarah Van Valkenbur Please refer to both identification numbers, g above, in all correspondence with the agency. - 3T 4-- Southern Pacific Rd Town of Troy St Croix County SE 1 /4, N W 1 /4, S16, T28N, R 19 W FOR: Description: Four Bedroom Mound System V Object Type: POWT System Regulated Object ID No.: 873954 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 C OIZdid chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. AP The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTAAENT 0 Of AFET General Approval Requirements: SEE CORRE: • 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 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • 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 • 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 Sec. 145.20(2)(d), Wis. Stat • 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. I ARTHUR L WEGERER Page 2 10/10/02 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/instal lation /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 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 - 7 ROUND SYSTEM FOR A ��-- 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 S 1/4 OF THE NW 1/4 OF SECTION 16 ,T 2 -8 N,R 19 W, TOWN OF ST'. (1 COUNTY, WISCONSIN. Lot' l� OF GLo STfM 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 PU14PING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVES SEP 2 6 2002 SAFETY & BLOGS DIV. �1 ` CO MMERCE PREPARED BY ON ILDIMGS LWECE�ER S0 1 L_. . TEST I "G _ PONDEN AND. DES = (SM S�F?V S CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 �s Phone 715- 425 -0165 Fax 715 -425 -6864 '"...... , ij► ARF'tlq, ' ,� WEGEHEA y PbiS t ELLS WORTk . p r �SIG;��' 9 --Lq o*z JOB NO. 0 Z- 2_1 l� -Mound System Management Plan Page Z- of - 7 Pursuant to Comm 83.54, Wis. Adm. Code The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the 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 8005, 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 and local or state rules pertaining to system maintenance and maintenance reporting. sip `gip b9 l - 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 seated 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 nto a tank k 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 at �`6_ L 4 6 90 s`I 0_« 1X' The system installer at The tank manufacturer at The effluent -- filter- manufacturer at q •Z.ev j�! The pump - manufacturer at = GaULi�s- PLOT PLAN ' Scale 1 "= SO ' •Page 3 of LOT l3 G� L.oT 1 y �,tr _ Z j 1 v b r QZ 0. J I It L Q P ` bR SL l Pe J -- �. 7M � 'C` LoT � 0� r I i rj rn p�hjp�_ q�s S C o2 X20' o F I 13 p 2 99 8 8 3 ��z oio ,j ` s • � � qq s NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" obpervation pipes with approved caps. ( Z required). 3. Septic tank to be /Bp0 gallon capacity manufactured by vJ f 19 L ZL p- 4. Bench marks :. S �9t30VF. 5. Divert surface water around system to prevent ponding at the uphill side. Page q- Of Approved Synthetic Covering ASTH C33 - Distribution Pipe Medium Sand H _W t G Topsoil - -- F Flee. X00. O 3 E ` „ 3 i loo Slope Distribution Cell of Force Main Plowed z" to 2 Aagreaat4 From Pump Layer D c� F' E o•gz Ft. CROSS SECTION OF A MOUND SYSTEM F Ft. G S Ft. ,+p( A Ft. H 1.0 Ft. 6� Linear Loading Rat q B 6 Ft . • • Design Loading Rate =p.39 GPD /SQ FT I ly Ft, i S Ft. K L 3 Ft. - w Z a Ft. L I - Observation Pipe s- -- - - - - -- - - - - -- --------- - - - = -- - - - -� A----- - - - - -- -- - - - - -- ------- - - - - -- --- - -- o---� — /b$- - - - - -- - -- - - -- --------------------- --�- -o Force Main W _ E� �T 0??0% t--- � : Distr ibuti Z on to 2 Cell of z z Pipe ag gregate Observation. Pipe (Anchbr sec=e17 ) PLAN VIEW OF A MOUND SYSTEMM Distribution Pipe Layout pale S 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 lateral up with the use of long turn or 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve, cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. FVC F�1C t7VC Lateral Manifold Lateral X x x x x/2 x/2 x x x x Lateral Lenoth — Lateral Length — p Distribution Line V1 ftt-3 • P —� ffC.C sox — —o hYS111FJ�o S o -- I P 31 S Ft. Hole Diameter 311 Inch - S 3 Ft. Lateral Inches) X 3 Inches Manifold ? Inches Force Main " Z Inches of holes /pipe 11 Invert Elevation of-Laterals l0o•S Ft.'/ - Combination Septa c: Tank and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE b OF 7 NEWT CAP WEATHER PROOF JU►JCTION BOX . ti C.I. VENT PIPE .APPROVED LOCK1MG 1 10' FROM DOOR. AANHOLE COVER PJIV .hmoow OR FRESH � wARtJlUG l.P.gEL . 1,J \ AIR INTAKE t cor�eu�T Fi N ISHp I � UJLET PROVIDE AIRTIGHT SEAL I III V I Approved zRB- r-wlrc� A �±I Approved joint w/ I II I joint w/ PVC pip - II AL&RM PVC pipe I I O N C I I �� -1-3 I CLE f T. __J 7 PUMP -� OFF D - CONCKETE �L�I , $�,oD pLocK 5 FCISER EXIT PERMITTED OQLy IF TAW MAUUFACTURER HAS SUCH APPROVAL 3��AAPf2�ep �Bt<DD t ry 4 SEPTIC f SPEC,IFICATIOUS oosE TA w� \ Cv�UZ� S.3 ►,IKS MA>IUFACTURCR: WUMBER OF DOSES: PER DA: TAMK SIZC. 1"2-130 1 800 GALLOAIS D05C VOLUME t ALARM MAUUFACTURCR: S S A �)J RO SQL S IS 1WCLUDIIJG 6ACKFLOW 13 3 - �L GALLON: MODEL LIUMBER: lo t 1tw CAPACITIES: A= I N CHES OK ' 420-3 GALLOUs SWITCH TYPE: 8 = � IlJCHES'OR L` • s G�LLOUS HUMP MAIJUFACTURLR: GO v L-DS WCHES OR X CALLOUS MODEL MUMBER: �P�S ✓ 1 ZzZ . D= o � INCHES OR GALLOIJS SWITCH TYPE: ��YR-= EjUO.�o tJOTE: PUMP AND ALARM ARE TO 5L MWIMUM DISCHARGE RATE INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEU PUMP OFF AIJO..015TIZIBUTIOW PIPE.. FEET + MWIMUM NETWORK SUPPLY PRESSURE FCET + Z 'O FEET OF FORCE MAIN X �'�� oFLFRICTIOrJ FACTOR.. �� / FEET TOTAL DtfWAMIC. HEAD = S 5 FEET ,/ As per manufacturer Z 2 . 2� gal /in. Liquid depth 3 `� Goulds i E - 7 Submersible -� Effluent Pump l 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in hi ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil fo for efficient heat transfer, following uses: • Capable of running lubrication and Acient strength, and durability. • Effluent systems dry without damage to heat transfer ■ Motor Cover. A Thermoplas- components. tic cover with integral handle float switch attachment •Homes vailab or automatic and • Farms otor: ' 04 Single man operation. Automatic p oints. • Heavy duty sump g phase: 0. 550 , m els include Mechanical • Water transfer 11 r 230 V, 60 Hz, oat Switch assembled and ■ Power Cable: Severe duty • Dewaterin RPM, ilt in overload with preset at the factory. 9 .rated oil and water resistant. automati set. SPECIFICATIONS • EP05 Single e: 0.5 ■Bearings: Upper and lower heavy duty ball bearing FEATURES 115 V, 60 Hz,1 RP Pump: EPO4 built in overload wit ■ EPO4 Impeller. Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 /4' maximum. • Power cord:1 oot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard le h, 16/3 SJTO mechanical seal p rotection. CO- Canadian Standards Am! l • Total heads: up to 24 feet. with thre rong grounding _ • Discharge size: 1 /z NPT. plug. 0 ional 20 foot 5 Impeller: Thermo- (CSA listed model nu b • Mechanical seal: carbon- leng ,16/3 SJTW with plastic (used design for �►` _ rotary/ceramic - stationary, thr a prong grounding plug improved p rmance. end in F or C'.) BUNA -N elastomers. tandard on EP05). ■ Casing and Ba : Rugged , • Temperature: thermoplastic design ovides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. (/ Y • Fasteners: 300 series METERS FEET V stainless steel. 10 • Capable of running dry without damage s 30 F` components. I I Pump: EP05 8 j - -.r —_T , _'. ' • Solids handlin capability: a 25 ` 3 14 • maximu w z... —r- - -- • Capacities: p to 60 GPM. _ I • 6 20 Total hea : up to 31 feet S $ • Dischar size: Vh7 NPT. i z • Mecha cal seal carbon- c 15 rotary / ramic- stationary, _j 4 BUNA -N elastomers. • Temperature: 3 10 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 5 _. 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 Wlh CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 8 2 1003 tNfSOOnsit�D &C=nercF_- Page- = i of 3 ©iuisixm�g and - Building maccorclancewith Adir -£ode steet_S&SerAM Attach complete sitLptan orrp nottess thaws x tt in size. Planmust St. Croix include 5ut =not {united f , uertical-ard- -(BW din tLani� Percent sbpe,-sGale or dimerrisions h arrow, and location andAistance te- nearest : - Parcel 1.0r. p S!p — 12 —o0a Pteaseui `/E Persooatinformation you prowide may be d for se p rwacy s.1 04 (1) (m)l. � JoeL&�Cpann l V ✓ 6 20OZ G . Lot Location 19- t14 S 16 T- 28 NR 19 W Property- OwneftA400gAddress- - Block # Subd- Name - Cc PaBox 37- ST. CROIX COUNTY 14 G S'faf� o n Z ONING OFFICE City State Z City V3ltage » Town Nearest Road Barronett Wl 54813 Troy Souftlerrt Pasik Rd New Censtrwtion- . Use Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Reptaoement Pubir—ex nerciat- Describe: Parem ouhvmth Flood plain elevation, if gVkable na General comments anct recommenclations. System Elevaborr 98.W# Based ortcontour fine ekvatiort 97 -6&ft Recommerid mound idesign OS�Sa.wd l( ' _ / Pot Ground Surface-elev. 99.50 ft_ Depth to limiting factor 96 in. Soil Application Rate lieri'er - Depth DbMWA G40E- Peseaptim T -extum Stwetle-_ Q**BWW;e` 8ewridary Roots GPD/ftz *Eti#1 •Ef##2 1 4 t0yr3/3 noire st 2msbk nwfr- cs 1 c .5 .9 2 4 -2t} 10yr3/4 none- fs mvfr gar- tc- , 4 c .6 3 28 -58 10ryr5/4 none fs) mvfr 9w na .4 .6 4° 58=98 T.5yr4/4 none ms sg ml na na- .7 1.2 Wet-"6' $# Pit Ground Surface -elev. 98.50 ft. 64 in: llepth t limdingfactor .Soil Application Rate Horizon Depth Dominant Color Redm Descapfiar Strachm Consisterim Boundary Roots GPD /ft' "Eff#1 *Eff#2 1 0 117yr3f3 none sf 2Msbk mvfr cs 2c .5 .9 2 443a toyr314= none- fs rrr& 9w: 1 c -4 .6 3 33 64 done fs �omn� mvfr gJar_ na .4 .6 4 64-95 T.5yr:4 4 _ c _ 2d _ 7.3W5M fs ll om mvfr na na .4 .6 what =70° * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOO 5 -S 30 mg/L and TSS <JO mg/L CST - - CST-Number- DavidJ Steel 248956 Address DaterEvatuation Conducted - Telephone - Number 1-564 CR GG, i�lear#�iehrrrond W 1 54047 -- 5/14/2002.- 175-246 -5085 Property Owner Joel & Joanne Schultz Parcel ID # Page 2 of 3 eoF;rg # t — t Fit Ground Surface elev. 99.50 ft. Depth to limiting factor $0 in. Sod qPMication Rate Honzor- Depth - DominantColor RedwDesenptbn-- Texture- Stricture Consistence Boundary- Roots GPD/ft' EfXI *Eff#2 0�6 11ryr3/3 none sl 2msbk mvfr cs 2c .5 .9 2 S=Im 1Oyr3t4 now fs- ( mvfr 9w 2c 4 5 3 30-65 1 -GW614 _ crone f&- orff} mvfr 9w- na- 4- .6 4 65- w 7.5wG4 c2>j7-�5yr5/6 ms sue- mvfr na_ na _7 1.2 wet at 6Y F-I Boring # Pit- Ground Sur#aeelev. fL Depth-to limiting factor in. Sal Application Rate Efaizm Depth Dominant Color R Description Texture Structure Consistence Boundary Roots GPD/ft' * €ff#1 Efl#2 Boring # Boring Pit Ground- Surface fL Depth to li nding_factor in Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD71t=" EMM *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD mg/L and TSS <-30 mg/L The Dg3mtment sf Commem i& an equaLopporhmtyaervwe pmvider-mdemployeL lUymneed assistance toaceess services or S'TEEL SOIL SERVICE David J. Steel 1564 Cty Rd GG CST- POWTSM New Richmond, Wl 54017 Lie. 9 248956 (715) 246 -5085 (715) 246 -6200 G T e I °� �OC JLhu �fZ S -ec 16 Esk �q•3o �65 Pe oaf 325,23 {S' Coa f o N r A � kt n ���ln 8`n , Sawlti �o� �rn io � 7 .,•nt. x3' 3q' ��/ { �� �o nc, �Itv� 5 = f3 � ioa' /eve �� on 00 To 141"544ez 9y• 5, • = .4 /f jam /oo' —° £/1 ✓� ��'on f33 : % o d'P 1 X I" .St - cel l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer So -y � V Q r) Uq_I k ey, � rq Mailing Address l q Z Z O - V� Pj d &rP 3 G AM A O - 7� Property Address 3 `� S ULYI e r n OL b 1 C lz o ( "ASm W 15C . D /(o (Verification required from Planning Department for new construction) City /State �&&o n. W i 5 tM 5 /'n Parcel Identification Number 0 0 - / a 2„ - V U - U Q O LEGAL DESCRIPTION Property Locatio /,, N W / <, Sec. S1(o , T 2 8 1 V N - /9 W, Town of Try Subdivision tS �C) vt+ S- J1 0 Y\ , Lot # / 4 / . Certified Survey Map # , Volume , Page # Warranty Deed # akk , Volume , Page # JO/ Spec house ❑ yes R( Lot lines identifiable 2 / yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o 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. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 3111 03 SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 0 1 9 0 1 ►`' 2 0 1 • �p� 1 STATE BAR OF WISCONSIN FORM 2 - 1999 6 8 4 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between _ Joel L. Schultz and Joan T Schultz, RECEIVED FOR RECORD husba and wife, 05 -31 -2002 8:30 AM -- WARRANTY HEED Grantor, and E ric V Sarah P. VanValkenb EXEMPT # husband and wife, REC FEE: 13.00 TRANS FEE: 219.00 COPY FEE: Grantee. CERT COPY FEE: � Grantor, for a valuable consideration, conveys to Grantee the PAGES: 2 following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area (See Attached Exhibit "A ") Name and Return Address 040 - 1206 -40 -000 Parcel Identification Number (PIN) This is not homestead property. CK) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. 4. —rte/ V •. Dated this 3 i day of May 2002 4 C3 . el Schultz •'••.. .•• ���� * *J ne T. Schultz AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) _ ) ss. St. Croix County ) authenticated this day of Personally came before me this day of May 2002 the above named Joel L. Schultz a nd J oanne T. Schultz, husband and wife, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrume= and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Atto Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is en anent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) O c t . ?Q , QOO's , .) * Names of persons signing in any capacity must be typed or printed below their signature. InformaBon Professionals company, Fond du tk Wi STATE BAR OF WISCONSIN e00- 655 -IJ21 WARRANTY DEED FORM No. 2 - 1999 V u! u) ' O N 2.02 ACRES N a I o • I � N N1 Z _234.89_ ._ _ — _ 220.( I o b _c 6 6' _ _ �- N 89 ° 09'40 "W� 4 00.0 4 — V — �4 -'?`I' N89 ° 09'40 "W I LL a. N O I 18 - N 2040-38%4 � . 9 12 15 l9 2.24 ACRES 0 0 d z 0 0 13 Z �� N 2.25 ACRES � h0 . L--20' N89°09'4d'W 441.94 �� \� \ �9 :��` 1 E z \ �� 02 2.01 A O I N89 'W 239.46' X 6 6 , cli I 10 W a : O o A l i ` sz c' Z ( (q N Z SF / ,F �St . /S QL o00 -� 2.56 ACRES M � ?!s'' •C BS . a) 1 0° �•s6, 3 � 2.44 ACRES 9 O A� S6 I w Fes— 20 O ti� 246" C l c 00 G �'� o 9 250.00 250.00 p`L N P N 88 24 54 W 500.00 ti C uN?�- ,ti UNPLATTED LANDS 0 N� N NOTE: LOTS CONSTRUCT a j y � ' SERVE THE �`� i THEIR CON ��• ROAD RIGHT • JAMES T. SHOWN ON SWANSON s•�s2 JAMES T. SWANSON S -1482 FOR T h RIVER FA" REGISTERED, LAND SURVEYOR SINGLE DRI WI& RIGHT -OF- Q_ OGDEN ENGINEERING CO. <'lN O SUR`I - 123 E. ELM ST j RIVER FALLS, WI 54022 NpptM DATED THIS 16 7,2 DAY OF AUGUST, 1979 REVISED THIS 18TH DAY OF SEPTEMBER 1979 I ME40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 U) W 30 tL H 25 8 E Z t 20 6 J = H 15 J 0 4 0 10 5 ` 2 O 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY BALLONS PER MINUTE F. E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U,$.A. /1? r 0 J 2 k 2 £ m 4 { B\ g 0 CA \ ° co m J�6 § � � — E @ � / § £ � .. @ a) S -04 w ^ 2 0 § � § o e 3 R Iz 2 E � 0 0 0 § � O z -0 n £ c ca ca Ch # ƒ 0 ma 9 E % / $i20 k CD � � 2 E z = e , o > 0 W c � R G � E q 3 C. k k En C G 0 . ■ T m § & E § 2 z 7 2 7 � % k . � � . � $ § � \ c 0 % � $ � � � J � � \ . � > � ¥ � % � � k o @ m § f ?