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HomeMy WebLinkAbout040-1275-40-000 ,Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety ant Building Division 0 INSPE CTION Permit No: CTION REPORT SPE 405001 0 GENERAL INFORMATION (ATTACH TO PERMIT) Stalr ID No:.( ,L Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2,T4 m T'l 0 %T . t D •'fir Permit Holder's Name: Village X Township Pa Tax No: City Ba umann, Kenneth Troy Township 040 - 1275 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: 1to,;b LCV 3 k , f W_ f = � TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Iz / Benchmark 3 ,1 0 03. O l oo •o r Dosing ( Alt. BM Aeration Bldg. Sewer $ ' 10 f q'S,0 Holding St/Ht Inlet 23- - 90' TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic f _ — Dt Bottom 13.13 g9 .9-7 r Dosing tt It -r Header /Man. L� S C•�s ol• 3 Aeration Dist. Pipe / Holding Bot. System 2. (00 I 100 . Final Grade PUMP /SIPHON INFORMATIONS Manufacturer Demand St 90"e t� GPM nIQ (`� 1 • '0 Model Number A Lift Friction Loss System Head TDH Ft �0 0• -b2 3•ZS Forcemain Length Dia. « Dist. to Well 3 2' SOIL ABSORPTION SYSTEM Width r Length No. Of Txaw.4as PIT DIMENSIONS No. Of Pit >P111r Liquid on IMENSIONS /_ 1&0 1 q � L SETBACK SYSTEM TO P1L BLDG D WELL LAKE /STREAM LE Manufacturer. INFORMATION AMBER O Type Of System: UNIT 111el Number: DISTRIBUTION SYSTEM Header /Manifold `� Distribution x Hole Size x Hole Spacing Vent to Air Intake I Pipe(s) I 1 3 k ?L Length .0 Di a Length ��•� Dia �Z Spacing 36 SOIL COVER 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 Yes No Imil Yes No COM M NT: ( dQ, (I Indu coc d d cre pencies, persons present, etc.) Inspection #1: / ( y - Inspection #2: _ 4-- 1 ---- T L c i i 517 - West Ri C� River Falls, WI 54022 ( W � 1/4 N ��IlVV 1/4 21 T28N R1 9W) West op idge Acr � , 44 r Par el No: 21.28.19.1530 t+�+, {► riw„ g ¢i`C - fih..l� , Q ►ae l2 �e: l �,twer a t� 1.) Alt BM Description = r J / 2.) Bldg sewer length 55 - amount of cover = 3.6 {�_(�iD ;,tO 3.) Contour = �� •So I n revise equire j Yes Use other side for additional informa Ifon. Date Insepctor s Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave.. P.O. Box 7162 ]- Visconsin n Madison, WI 53707 - 7162 Site Address Department of Commerce - 7 4 Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision m be used for secondary purposes Privacy Law, sl5. 1 in I. Application Information - Please Print All Information State Plan I� Number l.' I Property Owner's Name RE E Parcel Number S3 Prope Mailing Address APR 0 9 ? 0 0 2 Property Locat ` ✓ - z L 5i INA; S z l T zo N, R City, State Zip Code P Lot Number Block Numbe ZONING OFFICE Subdivision Name CSM Number 6 2 - rP6ir- Es II. Type of Building (check all that apply) Q6 eb "^� ❑City ❑ 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - DeSCribf Use t Township ❑ State Owned ,�A .. - n w te X t earest Road 1•`��' " M. Type of Permit: (Check only one box on line A (n x umschemee for internal use). Complete line B if applicable) A. For County use 1 W, Nev 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to system Tank Only stem Date B. 11 Check if Sanitary Permit Previously Issued Permit Number Issued IV. Type of Permit: (Check all that apply)(m mbering scheme is for internal use) - 44 ❑ Non - Pressurized In- Ground 21 %Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 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. Dism rsalPlteatme Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate( Gals. /Days /Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total I Number Manufacturer Prefab site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank •ZQ� C—j Dosing Chamber VII. Responsibility Statement- I, the undersigned, assumeAesponsibility for instaDation of the POWTS shown on the attached plans. zPhunis 's Name (Print) ( Plumber's Signature Wa &W& Number Business Phone Number �dN ' Address (Street, City, State, Zip VIII. Count / - e artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issu' Agent Signature (No Stamps) Approved 11 Disapproved Surcharge Fee) L..7 o t�0 El Given Initial Adverse `` Determination !� IX. Conditions f roval/Reasons for isap v t ��`�� &a p-, cpl� �°�.0 Caec" h+i+L wlt�►�6 14� '1-0 XL i dad:tL complete a em paper RaVIessWangla x 11 Inches In size SB -6398 (R. 05/01) PLOT PLAN _ Scale 1 "= y p r Page 3 of 7 LoT '3 UT —vL ' \b0 .9' otv °1 ti'ls if l 31c� 1�t fl��l C Pal w! LAN e aas ao DoT eor- �.Pf�T � \ - 6 >-.-,I., $.-z. \ t1 l3b`DC - 2- PUC � t t q.15 '✓ `3 .tz �-KZ NZ . X9.5 �'��L3D11an of CtLL r'1_ X00. S © s� o' o F "► E 0 q 'i ICU e Lo C 1p ?J i, p 6T NG ?V C �?1 PC : Wl LAIT[- - - a l�Lvt AJG Y1—DOI DR/U — g —� DOTES: 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 [80p gallon capacity manufactured by L ' s / FiL 4. Bench mark • S 5. Divert surface water around system to prevent ponding at the uphill side. � �. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 i Mff TDD #: (608) 264 -8777 sconsin www•commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary February 28, 2002 CUST ID No.267341 ATTIC• 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 PLAN APPROVAL EXPIRES: 02/28/2004 Identificati e Transaction ID N 710274 SITE: Site ID No. 64156 Kenneth Baumann Please refer to both t entification numbers, West Ridge Circle above, in all correspondence with the agency. Town of Troy St Croix County NW1 /4, NW1 /4, S21, T28N, R19W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 830841 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: • 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). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • 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 ditivn ROVE6 Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required �TEY C04W R C • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. �-5 Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal 'ONDEpE are prohibited. ARTHUR L WEGERER Page 2 2/28/02 • 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). In addition, 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. • 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 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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 A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us I TITLE SHEET Page 1 of '7 BOUND SYSTEM FOR A L4 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manua - P 1 _ SBD 10691 P and the Pressure Distribution Manual SB - - D 10706 P (N.01 101) > (N.01 101) LOCATED IN THE S LAJ 1/4 OF THE M W 1/4 OF SECTION ZI ,T 2-8 N,R 1� W, TOWN OF �c.� , S`�-, CM W COUNTY, WISCONSIN. 1E?ST' 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 IQ 9 F �U hJ ET N L3 PN> Iti —_ z `v:kz—)Z f L S , w l SLozZ c!' lG PREPARED BY WE CBS EF =<EFR S I L . TEST S t ca AND. - DES = Get S�RV S CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 eo�e'ee ®ntN Phone 715- 425 -0165 Fax 715- 425 -6$64 C_ 9' 'i P ELLSIYQR14.. WIS. t+7 ' �� V n ...µ s• y-r AR 08%01 Z — Z of SEE COR, JOB NO. Z -3 S Mound System Management Plan P age Z. of 7 Pursuant to Comm 83.54, Wis. Adm. Code • Sectic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th ou et ilte shall be cleaned as nece to ensure pro per operation. The filter cartridge should not be removed unless provisions are made to re ain solids in the.tank that may slough o ff th 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 t ank exceeds 1/3 the liquid 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. Pumo 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) ry) d date that the mound be heavily mu y c ed 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 eve 18 months. When en a pressure test is erf ar P p ormed it should be compared ed to the initial test when the sy st em y em was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Obser�aUcn pipes within the dispersal cell snail 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 dditional more frequent 9 q ent monitoring. General This system shall be operated p ated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accord component manual - � once with its and local or state rules pertaining to system maintenance and maintenance reporting. S$ qI — Fa D -Yip 6 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 - 1 LS — 386 — L16Sri g�-- CM \X The system installer at The tank manufacturer at g00 —�ZS_=BLIS�o Iwl.�S�'fZ The effluent filter manufacturer at S? C'�^, Z�!, - S-, q - 6-nip--m — - t u r - - -- - - - The — p an —ufac- ' ture- r PLOT PLAN Scale 1 "= H p' Page 3 of 7 UT YiqQq 3Lc�` �Lp �► C PSI wZ LPN s aas b0 1Jp ZZ oR ��Slv�B �-� 1 ! S • -T)i"ls 1 � 1 w �L� `to $ E — s�� PURI 1 ' a•z • 1 1� � 11 s�la � 1 1 1 1 s �s �- •1-zz 'l a D�M OF C mil. L. tFL ti00. S O OPT s g. © GRAM Ll abmm X .� N IZCIev ON r� G� 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 180o gallon capacity manufactured by L GUyvCz w R t oo zp FiL-r� 4. Bench mark • Ste- A�py Divert rt ' surface ac e water around system to prevent ponding at the uphill side. Paae Or Approved Synthetic Covering AS T1 C33 Distribution Pipe Medium. Sand Topsoil - - H _ s r F Elev 3 E b S % Slope Distribution Cell of Force Main Plowed 2" to 2 " Aggregate From Pump Layer 0 E 1 -3 Ft. CROSS SECTION OF A MOUND SYSTEM F Ft. G 0,S Ft. A Ft. Linear Loading Rate= b O GPD/LN FT B 100 Ft Design Loading Rate= 0. FT I 10 Ft. J fo Ft. K q Ft. �e Position L 1 ) Ft. OT Force Main W Z-� Ft. L ' i I ,} - Observation Pipe i3 I � K C�-(- --------------- - - - - -- --------- - - - - -- - - -- Sox W �___� _ - - -- ------- - - - - -- } Distribution %---- Cell of %" z to 2 i Pipe aggregate Observation Pipe (Anchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of 7 C. 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-al up with the use of Iong turn or 45* fitting to a point withia six inches of the final grade. Terminate the ends of the laterals with a valve,.threaded can or • threaded plug. Provide access from final grade for the valve; threaded dan or threaded plus. -sF.tcr L L�Ss FV C F�JC PV C Later) Manifold Uteri X X x z x2 1 x2 x x x x Lateral Lenoth —' Lateral Length — P Oist6bu6 Line S V F q•SFt Hole Diameter 3 //b Inch S 3 Ft. Lateral " l l t Z Inches) X 3 ( a Inches Manifold Inches Force Main " Z Inches i of holes /pipe 1 Invert Elevation of- Laterals 101 -0 Ft. - Combination Sept.4c; and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE >fj OF �. -VELDT CAP � WEATHER PROOr JUIJCTIOIJ BOX . Y'C.Z. VENT PIPC APPROVED LOCKING 1 FROM DOOR. MANHOLE COVER tAJIV -hMDOW OR FRESH wARtuILJG Lt+�6El.- u�B p�oL) PIPE 1pnc ALP � coL.,Culr w 1sN-r ewp s , ` ti I r-1 N L$J}© i I `( AIM. JAM LET � PROVIDE AIRTIGHT SEAL ( I ( I ( I 8 At-r�C I Approved zfkFt Fwr. A I ICI Approved joint w/ _��� I ( I joint w/ PVC pip I ( I ALARM PVC pipe Is I II . I I - C I I oLJ i I CLEV 1-93 FT I PUMP - -J OFF p C OLJCRETE (N -CL-Z. 60 I BLOCK RISER EXIT PERMITTED OIJ L;U IF TA MAFACTURE.R HAS OVAL S SUCH APPROVAL 3 +gyp " �8r<DD I EDOIN N 4 SEPTIC f SPECIFICATIOUS DOSE TALJKS MALJ UFACTURCR: LVtEStETZ CQJ%JeRE• IJUMBER OF DOSES. S. PER OA,. w TAMK SIZE: lZ-gO 800 GALLOQS DOSE VOLUME r ALARM h4AUUFAC7URER: S •S . M S sTt� ntg IIJCLUOIJJG 6ACULOW: _= 13 � � GALLONS MODEL WUMBER: —� O I CAPACITIES: A= 1a ! lZ ILJCHES OR 2 1-1 GALLOys SWITCH T:JPC: — m�Z � r 8 c Z IuCHES'OR qt-,Z G(�LLOUS (JUMP t ( J ULC� C= � 1 L 133. � UCHES OR GALLOlJS MODEL IJUMHER: D s INCHES OR ZU6' g GALLOAJS SWITCH TYPE: MOTE: PU11P AND ALARM A TO t $ MI)JIMUM DISCHARGE "RATE � GPM INSTALLED OAI SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP OFF AUO..DISTRIBUTIOLI PIPE .'. _I FEET f MIUIMUM IkJETWORK SUPPLY PRESSURE .Sxl.3� + L3 O FEET OF FORCE MAIN )( L4 FT FEET • ' S• 3Z teo FLFKICTIOLI FACTOR FEET TOTAL OyIJAMIC. HEAD = L 6 —� Y FEET As .per manufacturer Z.O. 61p gal /in Liquid depth 3�'' •- 4 Goulds iE °� ± Submersible Effluent Pump Le 38 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 RPM, points. • Water transfer FIN, 230 V, Hz, Float Switch assembled and ■ Power Cable: Severe duty • Dewatering , built in overload with automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 , FEATURES ■Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo - construction. • Solids handling capability: automatic reset. 3 /4' maximum. • Power cord: 10 foot plastic Semi -open design AGENCY LISTING standard length, with pump out vanes for • Capacities: up to 55 GPM. gth,16 /3 SJTO mechanical seal rotection. • Total heads: up to 24 feet. with three prong grounding p • Canadian Standards Association • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- G' (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F or "AC ". rotary/ceramic - stationary, three prong grounding plug improved performance. ) 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 • Capable of running dry without damage to s 30 components. I I f I I Pump: EP05 • Solids handling capability: 0 25 - 3 /' maximum. a I i j • Capacities: up to 60 GPM. _ • Total heads: up to 31 feet. ( 6 20-- • Discharge size: l'rri' NPT. a -- • Mechanical seal: carbon- e 5 15 i �� '•�� rotary/ceramic - stationary, Q 4 I �- BUNA -N elastomers. o -— fP05` •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 mslh. CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 83871 ivision of Safety 3 f3uik5ngs in accord with ILHR 83.05, Wis. Adm. Code FPAS Attach complete site plan on'paper not less than 81/2 x 11 inches in size. Plan must include, but ST, not limited to vertical and horizontal reference point (84, direction and % of slope, scale or E D. % dimensioned, north arrow, and location and distance to nearest road. ' ��•.Ol>vG APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEtiYWdT DATE PROPERTY OWNER PROPERTY LOCATION /J W —N W f Zj lap" M PI NIV -, - &Q 1I4 1JI,V 1I4,S Z.1 T Z$ ,N,R 19 E (of W PROPERTY OWNER'.-S; MAILING ADDRESS. L1� � - blvLStoiv ST- LOTr BLOCKr SUBD.NAMEORCSM: CITY, STATE Po91� p ZIP CODE P NONE NUMBER QCITY []VILLA GE ,MOWN ' NEAREST ROAD lztl��Z — 1L..tS,l.0l SVoZZC6lZ) qb6 -i?�zS • moos® K New Construction Use Residential / Number of bedrooms y [ J Replacement [ J Additi to existing building [ J Public or commercial describe Code derived daily ffow gpd Recommended design loading rate - bed 2 ,3S Absorption area r urred St�o 2 g g ' 9P trench, gpd/n2 e9 bed, ft SO o trench, ft Maximum design loading rate • S bed, gpolft . b trench, gpolft Recommended infiltration surface elevation(s) x.00. S Additional design /site considerations 1t \ w! S ' , It (as referred to site plan benchmark) Parent material pu >(_ `T�'t�Je It . Y- 9t.�ttluM 1" OF- -9 D FLL 61� I p,-t . I...p egg b - yZ • • Flccd plain elevation, if aeoGcable fJfJ, ft $ = Suitable for system CONVENTIONAL UND PI-GIOUNI PRESSURE S oEE Sys U= Unsuitable for stem ❑ S ®U I MO g Q U ❑ S ®U I I Q S !IN I yMWG TANK [IS QU SOIL DESCRIPTION REPORT Boring # - Horizon) Depth I Dominant Color I Motties Structure fn. Munsell Qu. Sz Corn Color (Texture I Consistence Ear>*dy I Roots BPD /ft Gr. Sz. Sh. I I rEStd1 � . ; ..: - e S •s Z Z ZS lD . BIZ 3Lo r unit- �-S I — • S • 6 Ground 3 2 S Z 7 •S �t rz 3 LEI - 1 e_Sbk •C elev. S 1 S `n—.3 Depth to I -3 limiting I factor I I 3Z I Remarks: Boring # 0-10 L D `-t 5i 3 Lz, I - . S 1 � � Z`�s bk hti`F,- �S _ •S € - 6 Z Ib -z� - sl 1 2-�sbk Yt2`� eS — • S ` . � Ground 3 -S7. Z S�te3J �_s` sis elev. it - Depth to limiting factor Remarks: Ke ge5rer Please Print Arthur L. We erer Phone: 715- 425 -0165 Soil Westin &Design Service -P.O. Box 74 River.Falls,WI.54022 - k' Date: S -S� CST Number 220254 Witisconsin Department ofIndustry. SOIL AND SITE EVALUATION REPORT Page L 4 and Human Relations g _ of 3 Divisnon of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code � COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST, CA'Z-b r not limited to vertical and horizontal reference point (Bfv1), direction and % of slope, scale or PARCEL I.D. # 5 �0.1p1 W6 dimensioned, north arrow, and location and distanear st road, ' APPLICANT INFORMATION- PLEASE F INFORMATION IEWEDBY DATE R \ -. PROPERTY OWNER: PROPERTY LOCATION N t3h4> f S W 1/4 MW 1/4,S Z l T 18 ,N,R 19 E (oe W PROPERTY OWNER %S MAILING ADDRESS. L ± L0 # BLOCK# SUED. NAME OR CSM # ti11 w - b LULSI ST� r c ..., , — �09�� P CITY, STATE ZIP CODE PHONE OCITY []VILLAGE ,MOWN ' NEAREST ROAD >.a -oPoS� 1 K New Construction Use M Residential / Number of bedrooms L / [ J AddibQn to existing building L J Replacement [ J Public or commercial describe Code derived daily flow bbo gpd Recommended design loading rate — bed, gpd/ft - trench, gpd /ft Absorption area required SM bed, ft S6 trench, ft - Maximum design loading rate -S bed, gpd /ft - trench, gpd1ft Recommended infiltration surface elevations) %u0 • S ft (as referred to site plan benchmark) Additional design /site considerations t'lovh�j w�S'x�on� `TT65Jt' q , MPULNUwt L of d Ftf_L Parent material � — QaS cw�E z 61 t_L Flood plain elevation, if applicable Nr- ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN RLL HOLDING TANK U = Unsuitable for sy stem ❑ S U t� S ❑ U ❑ S ®U I ❑ S Eau ❑ S ®U I ❑ S IO SOIL DESCRIPTION REPORT ; Depth Dominant Color Mottles Structure GNMw& Boring # Horizon Texture Consistence Botrtdary Roots 3 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. B S' Z \. z.3 w Lip - 316 — s>> z- `E'�bk vni�- �S — •S Ground 3 2.S 2 7 -S �t a - 3 1Y — S 1 e_5 bk c S _ ' `� .S . elev. ROi13 ff. 'S'1 2- S18 Depth W limiting factor Remarks: Boring # o —to L��t�Z�cZ — sll Z`F�bk K1I- c-s — -S •6 -5 E � I b— 27. ) � `Z 2 �� b — sl 1 Z�sb YvL`�• eS — • 5 � - � . �" Ground elev. CQa. ft Depth to Z _ limiting factor Z1 Remarks: CST Name.— Please Print Phone: Arthur L. We erer 715- 425 -0165 eg4er Soil & Design Service -P.O. Box 74 River .Falls,WI 54022 Signature: Date: CST Number. . 00 -118- 4 S —S-co 220254 PnOPERTYOWNER t_ Sal PARCEL 11.1). p SOIL DESCRIPTION REPORT Page of 1 NG Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft In. Munsell Qu. Sz. Cont. Color Texture Consistence Roots Gr. Sz. Sh. Bour><kry Bed Trench Kr• +::i:XGf:� •,+ �.: p_lD _� 1p`� VZ 3 ! Z - S 1 2 rI 3 `� sb m _ 1p 2 Lo `i 1Z 31b Ground 3 s 'fp- 0_ elev. ft. �— Depth to limiting factor „ Remarks: Boring # 'i't'sc:•�ttrr? Ground elev. it. Depth to — limiting factor f i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: 3oring # ;round ;lev. It. )epth to imiling actor Remarks: _ •rl n•r •rnrr ..r •. .. s PLOT PLAN Page - of 3 'SCALE 1 "= L)D ' Low 3 31.q° btfl - PN e I-XI Ib b8 g.3 zS oR a�ST7St8 ` --' Z g , 1 1 1 1 1 1 O �� � S �' � �. \ . ZS . CAi.I�U� -►'1Z � . X 19..5 %bnbn of ZiZVA1CLA S`� B�►.� - 1 - ,ti0� nN 6"rriGt{,31�'piq.� I..007F�1p TJ V'G S�Z.N 0 'RcLuNG *IZ tOAj o¢4up. s -S -00 (715 ) 425 -0165 CST Signature Date Signed Telephone No. CST # 01/04/1995 23:06 7152737753 NELSON PLUMBING PAGE 01 ST CROIX COUNTY SEPTIC TANK MANVTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buy � "� � ow �.._ __._..... Mailing Address tJ e (4 i�"Vv -r F,w 113 Property Addrml 1je. 11 (Verification required from Vlanning Department for now coagtruction) _ _ . n r � CitylState �l ve �- 1 d1Y Parcel Identification Number 0 L l 0 a 7-S – y0 --. D Oo LEGAL D ''T1ON Progeny Location ' /., Sec. ., T.N -RJ-I—W, Town of 0 Subdivision ►�e Ctard0ed Survey Map # . Volume , Page # .� Warranty Deed 0 lam" OP �ae� ,Volume , Page # Spec house d yet Zno Lot lines identifiable R yes ❑ no SYSTEM MAIPMAM ItnPraperuWandma your septicsystom could „result in its prcmatutefailuretohandlt %.,;i3tm consists of puatpiag out the septic tank every tbm years or sooner, if needed by a licensed p- imper. %A 1, :t yov •u' can &Met the fautioa of On septic tank as a treatment stage in the waste disposal system. The property owner agmes to submit to St. Croix Zoning Department a certification foram, sil r. id by Master plumber, joumeymstn plumber, reMrictedpjumbcr or a licensed pumper verifying that (l) the on -sit, is in proper operatinS condition and/or (1) after inspection and pumping (if necessary), the septic tank is ' : ;s tha; ! /' Uwe, the undersigned have read the above requinmenu and agree to maintain the private sewage dispos .! systc 'At '.:iSarci, set forth, herein, as set by the Departm nt of Commerce and the Department of Natural Resources, State stating that your septic System bas been Mintained must be completed and returned to the St. Croix Cou 01:. , ,, i L; .:.1,:: ? i days of the three year eatpiration date. SIGNATURE OP APPLICANT )A•l•l D I (we) cerdly that aU statements on this form are true to the best of my (our) knowledge. I (r am 7 the ropefty described above, by virtue of a warranty deed recorded in Register of Deeds Office. 3 3 ja 7/o 9 SIGNATURE OF APPLICANT '' A 11 ...� * * * * ** Any intbrmation that is this- repmentedmay result in the sanitary permit being revoked by the nin6 : ref :a. " Sneluda with thta oppReatiou; a stamped warranty tided from the Register of Deeds office a copy of the certified survey map if reference is trade in the warm dar� ! V01. 1599nGE 121 STATE BAR OF WISCONSIN FORM 2.1999 t115,4110 122 Document Number WARRANTY DEED K ATHL E EN EGISTER OF DEEDS ST. cROIx co., wI This Deed, made between E. W. Hom Inc., a Wisconsi RECEIVED FOR RECORD Corporation, _ - 03 -09 -2001 9:30 AN VARRANTY DEED llF Grantor, and Kennet Bau and Kel_.:Bauman E0NPT M n, 4 .COY FEE; husband an wife, fe, COPY FEE: TRANSFER FEE: 233.40 -- RECORDING FEE: 10.00 - - -- - - -- - - -- PAGES. I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Cro ix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot )4,%st Return Ridge Acres, Town of Kinnickinnic, St. Croix County, Name and Retu Address Wisk KRISTINA OGLAND ATTORNEY Xi LAW P.O. BOX *59 HUDSON, WI 54016 Pt of 040-1083-50-000 Parcel Identification Number (PIN) This is not homestead property. 01) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dared this _ day of March y, • - E. W. Homes, In -- • M _ � ark B. Sylla, Pre ' ent - - -- - — - - -- , -.... _.. _. o . . Hrr. AUTHIENTICATION ACKNOWLEDGMENT Sign . W. Homes, Inc., a Wisconsin Corporation, by STATE OF WISCONSIN ) Mark B. Sylla, President, ) ss. - — County ) authenticatedthi day of March 2001 Personally came before me this day of the above named • Kristina Ogland - -' -- TITLE: MEMBER STATE BAR OF WISCONSIN to the known to be the person(s) who executed the foregoing (If not, - -__ - -- authorized by Q 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY • ___ — Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 5401 —_ —_ 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. folormauon Professionals company. Food du Lac wn STATE BAR OF WISCONSIN eoo655-2021 WARRANTY DEED FORM No. 2. 1999 WEST RIDGE LOCATED IN PART OF THE NW1 /4 OF THE NW1 /4, PART OF THE SE7 /4 OF THE NW1 /4 OF SECTION 21, T28N, R7 9W, TOWN O BEING PART OF LOT 1 OF CERTIFIED SURVEY MAP RE t UDGM 777 &AD= 6004 2 N1/4 CORNER --------------- P®. (N 86" 4531• E 486.12) SECTION 21 - - - ---- NW CORNER 1 N W4W41'E A sECTlOr1 4944'E 496.08 MORfM ,y� _._ 21w.1z FA9O.O/f ran iMYE1 �Y -------- ----------- - DESCFAMIMMOVOL IN m �NOOb60 'Et .068' FROM I CI4 (Si.Q4.M06.4, 9 `._(978 �; IRON IVE AT CORNER LOCATION SKETCH r' +F -------- • - - - - -- C2 C4 F MUM 1 - - - - -- ai 6�4l a DN. � 1 o 06 1 fZ COL1,Lm Ro 1 O c � i i d s m- f LOT 3 SECTION 21, T28N, R1 ENV 12AIACRRS i 562,306 SCt FT. — r 8 EXCLUDING ROAD o - -- EASEMENT _604 11.16 ALES 60799 SO. FT. p � IN 86'451 P E 5647 ®; 1 NOOW41'E 666.76' ; 29 ; 1 N88".i0'32E 265: 9,. LOT 2 i 4.68ACAES ZX71VVfl N'Y b i- - - - - -- SWSV4zE �463ez -- - - - -0�— R► W Fo FxLe�.LL�L� ®mno � .�' , 7 j ----- •.�� ;� p 453.62 44.e0` � 1 Z � . . ...............1.............. \ { LOT 4 "7 ACRES \ . ------ - - - - -- 266210 SO. FT. • . EOCLUDINC ROAD EASEMENT .. ACRES Z ; x85.0 6.Op SO. FT. i i ; S NWSW42'W 544L77' 9; R3 6IM a @. &M. _VOL 146 m WI /4 CORNER SECTION 21 I "LL I , M E40 Series M� 4110 HP Effluent an Drain Water Pumps Performance Curve MOOEL ME40 EFFLUENT PUMP CAPACITY LI TERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 to 30 Z 25 g a Z j 20 6 O 4 1 10 O F- 5 .2 0 20 30 40 50 so 70 eo 90 100 0 CAPACITY TLLONS PER MINUTE L '% F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289-1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7191 Printed in U.S.A.