Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-1288-50-000
C1 N O I 3 a 0 d _1 n 4 �k r o 3 v v w o ° o m III o N • °' o k m y ccn a�D p p m CD o tD ? c° � O ^ N 0 7 CA = p N O 0 N w CD v cn z m ca D N a C :3 W n CD r_ CL 0 CD p - 00 o �°°i O CD I o ° p o n r CO) N z m O O O O � cn z ° m 2 NS ch (A �� y O a• '0 e D o m 'o y CD ° m m (D v a CD 3 m o ° 3 (D y Q M z v C) O a c O > O CL O CD O C CD m O 3 3 co -0 O a C N CD z z o m A Z m rn D m �' N s. C" A 0 Z A X f► 3 m N z CD w av n O j s s. °_ CD c° z c CL ? o So ° O° y I CL CD C a O Tf OE 71 CD N CND fi ° c Z 3 60 ti N '° O N I O - I p A I ti b o I ° a ao o �0 a o . O m e CD T n :,g 07 O t!i L? O co N p N (D '' "", D —I N N N CL NO O Er 9 7 W N O CD D m c rn m c^ z D A CD G D W a ° W cn 'I V CO i N 0 0 0 N C O ? A Ch 0 6 41 0 0 0 0 2 �• .- z v_ 0 m V-T �3 :3 CD d 'O G Ili N CD (Q C)1 a !r CD N (D C 3 z .r z .. N D D o c m O O � N �• � A ll�ll cD O c 3 W O z CD p C 'p Z m 0) w N fD ! ' z 7 O y Z W W N C 0 C z 3 A z O A W O 7 Q � a � 2 fl T ' O n 7 p o co 3 cu 0 z O v CL O O c CD CD a o as 3 y a 0 m o Ln °° CD a M 'DA y N O co 'D C: �^ 6 'OO N -1 � O o CD no 0 0 O o m �-' I Vlfisconsip,Departr' ntofCommerce SOIL EVALUATION REPORT Page 1 of 2 Division Sa#ety and Buildings I in accordance with Comm 85,1Nis. Adm. Code County St Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest. road Ptease print alt information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). PropertyOwner Property Location Mann Valley Contracting Govt Lot In) 1/4 n 1/4 s31 T Q 8 N R � E W Property Owner's.Mailing Address. Lot.,# Block # Subd Name. or TWW 144 Dry Run Road S — c� S 1 " I -e _ C�(X0 City State- Zip-Code Phone-Number icy [3Y1lage s; Town Nearest Road River Falls Wi 54022- C ) Troly c T 1 E] New Construction U - Residential / Number of bedrooms- Code derived design flow rate- 1 4 0 GPD Reptacetttent Public orc omme I - Parent material I� A ' 1 ` ' 'tbod, in elevation if applicable 1� ft. General comments and recommendations: m r =a A Gf G 1 Boring # 13 Boring COUNTY Pit Groundsuriace.elev. icing - factor in. Rate Horizon - Depth. Dominant Color - RedoxDescrlp nurture Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Coke Gr. Sz. Sh. `Ett#1- 'Eff#2 p -In 3 2 S l� .2,fn Mete Cif 2 ,5 2 10 19 0 Yr 4A S 1 1 If 156K Mpf 0-LJ I 'S i ii r 5;14 C a d TS f a C.� �1 M i CLj S -Q- 1 L5 1•s CW -- S Os , 1 , Z Boring. Boring-,# Boring 1 L` 1 t� Pit Ground .surface ..) -elev. ft. Depth to Gmiting.factar. in. Soil. Application Rate. Horizon Depth Dominant Color Redcuc_Description. Texture. Structure Consistence.. Boundary Roots GPD/fF 2 -n m:_:.. lylunssll _ -s2u Sz _Coot Color _ . Gr. 3h.. - 'F$#.1 . •Eff#2 till r B -z3 64/ iF IS 3 J3 -3(p 1 upt (.13 C I-S 7.5 2- 6 Si L2 " Effluent #1 BOD-> 30 -s 220- rrx�/L and TSS ->30 -g 150 rrxl/L " Effluent #2 = 30 mg/L and TSS <_ 30 ffxA CST Name (Please Print) - Signature CST Number o 73 7 Address Date Evaluation Conducted Telephone Number c Property Owner Parcet ID # Page % of J # 'Z ft. Boring n M pit Ground surface elev. `Z2i..{Z,L ft. Depth to limiting factor S U in. Soil A Rate Horizon Depth Dominant Color Description Texture $tructure Consistence Boundary Ro9ts GPOIT in. Munsell Qu. Sz. Cont, Color Gr, Sz, $h. *Eff#1 *lrfW- / o -5 loyr4lZ, si l ams6k ew -L i s o Yr y(13 ass k Npr 5, 3 3 ,s I/ A46 A0 rs C2d 7,.s er re Ct.j F-1 Boring #. OBoring O-Pit laround surfaeeetev: ft: Depth . limiting factor in. £oii Applicabon Rate , Horizon Depth Dominant,Color Redox Description Texturle Stricture Consistence Boundary Roots " GPD/fi; in. Munsell Qu. Sz: Cont. Color Gr. Sz. Sh. *Eff#1- *Eff#2 Boring # poring Spit, Ground surface eiev: ft. Depth to limiting factor in: Sod C Application Rate Horizon Depth . Dominant Colo Redox Description Texture Structure Consistence Boundary : Roots GPD/fF in: Munsell Qu. Sr. Cont: Color Gr. Sz. SK *EW *Eff#2 * Effluent #1= BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, :j 30 mg/L and TSS < 30 mg& The Department of Commerce is an equal: opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please .contact the department at 60. &266 -3151 or TTY 60& -264 -8777. SBD433OTc9 (R.07 /W) �s �A n w V L1 n jam, s e 3 f i I g N R 19 � :S �,. A 14 o, N loo 6 rn aI g 2 , H 3 (�2 9 0 u IA f i jql , QA � a Qrof C z -7 3�7 Wisconsin Department ojCommerce PRIVATE SEWAGE SYSTEM County: St. Croix + Safety and Building Division Sanitary Permit No: INSPECTION REPORT 430659 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: Mark Anthony Homes, Inc. I Troy Township 040- 1288 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /v .�: .�_ •C -G -4- - 31.28.19.1640 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,� Benchmark 3 c.. i U 5. Dosing -- Alt. BM Aeration Bldg. Sewer 9` Holding St/Ht Inlet St/Ht Outlet TANK SETBACK WFORMATION �- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , ;"� i _ Dt Bottom >sv /s.j 9 a. 3 3 Dosing � !�;., r Header /Man. ( I ,Aeration Dist. Pipe Holdingr Bot. System 7, 4- Final Grade PUMP /SIPHON INFORM -,- Manufacturer A � y S P � and t Cover 6 Model Number J" TDH Lift Friction Loss q_ System Head T l� �7 Ft 1 1.17 - `3 _ ZS� Forcemain Length Dia. a Dist. to Well SOIL ABSORPTION SYSTEM - s . z" BED /TRENCH Width ` Length No. Of Trenches PIT DIMENSIONS N . Of Pits side Dia. Depth DIMENSIONS - 1 0 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEA IN anufacturer: INFORMATION CHAMBE R Type Of System: `] :_ .- ` l UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Dis x Hole Size x Hole Spacing Vent to Air Intake () it Lengt Dia Dt Le gth `I Dia ��- Spacin (f _ 3 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over � Depth Over xx Depth of xx Seeded /Sodded Tx Mulched Bed/Trench Center �,` Bed /Trench Edges t Topsoil i I Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Inspection #2: S / yQ Location: 378 Indigo Trail Hudson, WI 54016 (NW 1/4 NE 1/4 31 T28N R19W) East Meadows Lot 5 Parcel No: 31.28.19.1640 = 5. r- C c .� a, �� r r �/` /,-,� ., 1 Y k e,)< M 1.) Alt BM Description 2 = �` 7 c,—k- ,s hVi C kEkl ^-t 4 .) Bldg sewer length J/L c S - amount of cover Plan revis No Use others de for additional information. P g I SBD -6710 (R.3/97) Date nse ctors Si nature Cery 1 [q GOULDS PUMPS Submersible Effluent Pump PE P SPECIFICATIONS MOTOR FEATURES Pump — General: General: ■ Corrosion resistant • Discharge: 1 1 /2" NPT • Single phase construction. • Temperature: 104 °F (40 °C) • 60 Hertz ■ Cast iron body. maximum, continuous when • 115 and 230 volts ■ Thermoplastic impeller and fully submerged. • Built -in thermal overload pro- cover. • Solids handling: 1/2° tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil- filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available. shaft. lubricated for extended following uses: • Pumping range: see PE31 Motor: service life. •Mound Systems performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous • Effluent/Dosing S ystems PE31 Pump: • 115 volts operation. Shaded p ole design ■ All ratings are within the • Low Pressure Pipe Systems •Maximum capacity: 53 GPM p g P Y • Basement Draining •Maximum head: 25' TDH PE41 Motor: working limits of the motor. ■Quick disconnect power • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM length, len Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts heavy duty 16/3 cord, 20' standard S len with • Maximum head: 29' TDH • PSC design 115 or 230 volt grounding PE51 Pump: PE51 Motor: plug. • Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty, • Maximum head: 37' TDH • 115 and 230 volts portable and compact. • PSC design ■ Mechanical seal is carbon, METERS FEET ceramic, BUNA and stainless 40 . PE51 MODELS: PE31, PE41 PE51 € steel. HP: .33,.40 ■ Stainless steel fasteners. 35 10 - 2 GPM AGENCY LISTINGS 30 PE41 1 FT o } Q A�1, 25 _ C� us v a 20 Tested to UL 778 and } CSA 22.2108 Standards 0 J By Canadian Standards Association r 15 File #LR38549 O Goulds Pumps is ISO 9001 Registered. 10 _ , . _. 5 0 0 10 20 30 40 5 60 70 GPM 80 0 1 5 10 1 15 m 3 /h Goulds Pumps CAPACITY © 2004 ITT Water Technology, Inc. IiIF Effective June, 2004 <X> ITT Industries [qGOULDS PUMPS Submersible Effluent Pump 10 PE PERFORMANCE RATINGS DIMENSIONS PE31 PES1 (All dimensions are in inches. Do not use for construction purposes.) Total Head Total Head (feet of water) GPM (feet of water) GPM 5 52 10 67 i 10 42 15 59 6 ' 4 15 29 20 50 20 16 25 39 2.2 25 1 0 30 26 - - - -- 9.6 - - -- -- 3 PE41 5 8 Total Head GPM (feet of water) 8 61 10 57 15 46 20 33 25 16 15.4 0 0 12.0 t1'h" NPT DISCHARGE .f 3.1 .6 ' PUMP INFORMATION Minimum Minimum Maximum Shipping Order No. HP Volts Amps Circuit Phase Float Switch Cord Discharge Basin Solids Weight Breaker Style Length Connection Diameter Size Ibs/k PE31 M 0.33 12 Manual / No Switch PE31 P1 115 20 Piggyback Float Switch PE41 M 10 Manual / No Switch PE41 P1 Piggyback Float Switch PE42M 0.4 Manual / No Switch PE42P1 230 5 15 1 Piggyback Float Switch 20' 1.5" 18" 5" 31/14.1 PE51M 115 13 20 Manual / No Switch PE51 P1 Piggyback Float Switch PE52M 0 5 230 6.5 15 1 Manual / No Switch PE52P1 I Piggyback Float Switch Goulds Pumps is a brand of ITT Water Technology Inc. — a subsidiary of ITT Industries, Inc. Goulds Pu I'll pS Goulds Pumps and the ITT Engineered Blocks Symbol are registered trademarks and tradenames of ITT Industries. PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. ITT Industries i Goulds Submersible Effluent Pump 1 1 3885 �MnM r `r /J APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. following ses: • Shaft: threaded, 400 series an option. g stainless steel. ■Bearings: Upper and • Homes ■ Casing:,Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum effiC;nn i. ccr;struction. • Trailer courts upper and lower. 2' NPT discharge adaptable • Motels • Power cord: 20 foot for slide rail systems. • Power Cable: Severe duty • Schools standard length (optional rated, oil and water resistant. lengths available). ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals CARBIDE VS. SILICON provides • Industry '" Single phase: p secondary moisture • Effluent systems •'' /a and %2 HP -16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket with 115 V or 230 V three Stainless steel metal parts, damage and to prevent oil prong plug. BUNA -N elastomers. wicking. SPECIFICATIONS • % - 1'/2 HP -14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. 3 /.' maximum. •'/2 - 1'/2 HP -14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in SA Canadian Standards Association TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat Underwriters Laboratories carbide -rotary seat/silicon FEATURES transfer. carbide - stationary seat, 300 ■Designed for Continuous series stainless steel metal • Impeller: Cast iron, semi - open, non - clog with pump Operation: Pump ratings are • parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's Temperature: 104 °F (40 °C) continuous Protection. Balanced for recommended working limits, 140 °F (60 °C) intermittent. • Fasteners: 300 series METERS FEET stainless steel 90 _'__ f - i i ._y_ � SERIES: 3885 i • Capable of running dry 25- so i i i SIZE: 'r: souos WE1511 _ RPM: VARIOUS without damage to — - SGPM —�— components. 70 ! WE10H I 5 Motor o 20 w 60. Single phase: WE07H • '/ HP, 115 V, 200 V, 230 V, 9 50!-- ' 60 Hz, 1750 RPM;'' /2 HP, z 115 V, 60 Hz, 3500 RPM; ao WEOSH i ' /HP- 1' /2HP,'23OV, F _ — - 60 Hz, 3500 RPM. 0 10 30 ,— ; ' -- - i • Built -in overload with VNE03L — I 20 - - automatic reset. 5 ' • Class B insulation. Three phase: 10 - � • %2 HP - 1'/2 HP 200/230/ 0 ° 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 80 1 90 100 110 120 130GPM • Class B insulation. I 0 10 20 30 m /h CAPACITY ® 1995 Goulds Pumps, fnc. Effective May, 1995 Safety and Buildings Division County iscon Washing r 6.6 P.O. Box 7162 sin Madison, 1 201 W. vFn tutary Perini[ Number ed in by Co.) Department of Commerce (60 Sanitary Permit Applica on JAN 1 2004 ate Plan I.11. Nuntber � >r- 6 g z 7 In accord with Comm 83.21, Wis. Adnt. Code, personal infor [ion you provide j t�K S• _ niay be used for secondary purposes Privacy Law, sl O4(1)�W' CRUIX roject Address (if different than mailing address) Z QN �IVTY' I. Application Information► - Please Print All Informatiou Property Owner's Na me Parcel H Lot k Block n ALv"6W -- Property Owner's M ailing Address Pro Location Loeat / io ) u City, tate O D Vv �, I�/ � '�,Sectiott 3( > Zip Code Phane Number A A d I/V 5 7 � `7 U ircle one) II. Type of Building (check all that apply) a , � T C N; R Ol 1 or 2 Fancily Dwelling - Number of Bedrooms _ _ Subdivision Nance CSM Nuutbet ❑Public /Commercial - Desciib se ❑ State Owned O I� s g x S� ( ❑Cit _l�Villa c - - -- - 1 tribe U y g v'rownship of�Q — — III. Type of Permit: (Check only o tte box oil line A. omplete line B if applicable) 0 A. � New System ❑ Replacement System El Treatment / Hold ing Tattle Replacement Only ❑ Other Modification to Existing System B - ❑ Permit Renewal ❑ Permit Revision ❑ PermiC Transfer to New of Change List Previous Perini[ Number and Date lssued ❑ Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that ap ly) - - - - -- -- - - -- ❑ Non - Pressurized In- Ground K Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Ac -Grade — Single Pass Sand Filter ❑ Consn ucted Wetland ❑ Pressurized hi- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Fi lter _❑ Lea ching namber ❑ Drip Line ❑ Grav (less Pipe U Odter (explain) V. Dispersal/Treatment Area Information: --------- - - - - -- Design Plow (gpd) esign Soil Fjg lica Rate(gptsf) Dispersal Area Required (sf) Disp rsal Area Proposed (sf) System Elevation V 3 d 7-,J VI. lank Info Capacity in Total Number Manufacturer - Yrefab Site Steel fiber Plastic Ga llons Gallons of Units Concrete Consu'ueted New Existing Glass Tanks Ta Septic m I lolling "rank Aerobic Treauuent Unit /\ F - Dosing Chamber ��� - IL V1I. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POW`1'S Plumber's Na shown on the attached plans. me (Print) Plumber's Si gnattue MP / M�3LS Number > Business 1 hone Number 2 Z� �9 Plumber's Addre ss (Street, City, State, Zip nde) VIII. County /De artment Use O Approved ❑ Disapproved Sanitary Permit Pee (includes Groundwater Date Issued I: suit Agent Signature o Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 3 � I�. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER,, Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. Ol/03) ' PLOT PL; -- Page of • r, � Scale 1 tt = �0 8��1 -} 10 6, 0 'ON - 1 "TT L; 3Iq ":�if) "PE w / L-11 TH wZ.0 I �WYE_� "fYA KiTPVIry Nl. S'0F 0 - 0U � c�v� - 1Z y �3LG .:S_Nf? _._ »sv wn`10►�1 OF `V._L' VIT tz.± J :w Pti( CUQ—�w 6 - 1 s 1zSzsr—u Mwt�v�� i U) /Ji 1 Z , o bU 3,JUT C L)� z a D (n y ' n-ri s A-tz,� 1 NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be N I(oSQ gallon capacity manufactured by w�Zj�Z COJ (\AZ Cw U> koDD /6SO - M2� ►VIP:- -WOO ZA F1LTNrr . 4. Bench mark = SQr� "0 VE 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 TDD #: (608) 264 -8777 iscons n www vvww. commerce. . wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary December 30, 2003 CUST ID No.267341 ATTN POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1 101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/30/2005 Identification Numbers Transaction ID No. 956827 SITE: Site ID No. 669653 Dean & Mary Grunstrom Please refer to both identification numbers, Indigo Trail above, in all correspondence with the agency. Town of Troy St Croix County NW 1/4, NEI /4, S31, T28N, RI 9W Lot: 5, Subdivision: East Meadow FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 936943 Maintenance required; 450 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD- 10572 -P (R.6/99), Pressure Distribution Component Manual, SBD - 10573 -P (R.6/99); Biofilter Cone The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes APPI and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in DEPARTMEN chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. NOF No person may engage in or work at plumbing in the state unless licensed to do by the department per s. 145.06. SEE CORK 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 Septic Tank Effluent for Private Onsite Wastewater Systems" SBD - 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • 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 ARTHUR L WEGERER Pa-e 2 12/30/03 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site durin�,T construction and open to inspection by authorized representatives of the Department, which may include local inspectors. 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 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pin Monday - Friday cbratz @commerce. state.wi. us cc: Leroy G Jansky, Wastewater Specialist, (7 15) 726 -2544 TITLE SHEET ��C Pa of s�F 29 «�� MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE O �V This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P C Ez - b l 9q � K - NvL pnl C 2. l' 1 9 j LOCATED IN THE tyyJ 1/4 OF THE NE 1/4 OF SECTION 3� ,T - 29 N,R W, TOWN OF �_ `-� COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM NAvAGEMENT 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 ��0. �3Uk 101Y ® VE PREPARED BY T C04 fMERCE BIN WEGEF: !E3 C3 I L . TEST I NG � AND - Spolm Ve DES I G;V 3E I CE P.O. Box 74 421 N. %Ma St. River Falls, WI 54022 Phone 715 - 425 -0165' Fax 715- 425 -6864 .; ., , 0 0 � 1`7 --�� JOB NO. N ound y is em �"�lanagement Plan Pursuant to Comm 83.54, Wis. Adm. Code Page Z of 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. T rating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The utlet filter hall 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 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. 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 [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaency 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 �S —3�tj _�, aC7 S'T _ e \2k)] X The system installer at _ 1 S — Z� 3 _ ( 4 QLVV k) dV The tank manufacturer at �u _3 Z5`_ �� s6 w The effluent filter manufacturer at 6%� The pump manufacturer at PLOT PLAN Scale 1 "= SO' Page of w 1 t_,fA`rti - N I I W ; I� JI ;F I i `UCi�1UN 5 .o lR� �1S T`I�' ����b 3,UT r) j Ot j' �V 111 8. 3 J IJ� 71115 1�1�ia� L NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Insta " 11 4 observation 3. Septic tank tobe �� / 6SU e gallon capaccity manufactu edrbpuired) . �EI� n I ETe Cw l�> � ODD ASO -Mrz� 900 Z 3�St- F��TNn . 4. Bench mark g _ S� �3v Ve 5. Divert surface water around system to prevent ponding at the uphill side. Face G A_pproti e - Sy-nt eti c Covering aSTM C33 Districuticn Pipe Medium Sand Tcpscil � o-� �- =�.' jG S - —J I � — I t� gl .100• 3 E p I e � J-Z. °a Slope Distribution Cell of Force Main Plowed z to 2- " A ffgregate From Pump Leer D o S Ft'. E 1, Ig Ft. CROSS SECTION OF A MOUND SYSTEM F Ft. G 5 Ft. A ° 1 Ft. Linear Loading Rate= °1- 0 GPD /ily FT E Sp Ft. ` Design Loading Rate= b.y3GPD /SQ FT I Z Ft. J S Ft. K Ft- . �� a posi L 6 6 Ft. a. Force Main W Z 6 Ft. '• i I �} -Observation Pipe- -= - - -� / K Ac-�- T - - - - -- --- - - - - -- -------- - - - - -- - -- - - -. . W _Y6 - - -! -- - - - - - -- ------------------ - - --�- -- - ------- - - ---! QCs S Q Distribution � Cell of to 2 2" Pipe aggregate Observation. Pipe (.�a�or secarely) PLAN VIER OF A MOUND SYSTEM Distribution Pipe Layout Pa &.e 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 Iona turn or 45 ° firL na to a point within s i x inches of the final pade. Terminate the ends of the laterals with a valve,.threaded cap or threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. Tit P 1 L CZOS S PVC PVC Lateral Pv C Manifold Lateral X x x x x!Z x/2 X x x I x L3teraf Length - Lateral Length - p Distribution Line • � � �cc::5s box S I O- - _ � O �� V C 1-ott� Y1 q7 N P Z y Ft. Hole Diameter3 Inch 5 3 Ft. Lateral I Inches) X Z3 Inches Manifold Z Inches Force Main " Inches of holes /pipe > 3 Invert Elevation of -Laterals X01.0 Ft. 6Pw1 Combination Sept,i c: and PLFMP CHAMBER CR055 SECTION AMD SPECIFICATIONS' PAGE OF J •VCKIT CAP WEATHER PROOF JUIJCTIOJJ 8OX `1'C.Z. VEMT PIPE APPROVED LOCKING IO' FROM DOOR. MJJHOLE COVER kl '1 :iwoow OR FRESH 1.tJ 8 9�CZ10r.1 (� IPA � _ `JJF-rl -r al- AJR IJJTAKE cor.�pu�r f r► k 0 2. - J- - -T f., Alm. 18 ________ 1JJLET '" PROVIDE AiRTIGHT SEAL I Approved Z�JB� �� A ��� Approved joint w/ joint w/ PVC pipe a .� II ALARA PVC pipe C Ow ! I CLEY. J __ PUMP OfF COWCRETE 0 eLOCK RIS EXIT PERMI7rED OIJLy IF TAI.IK MAAJUFACTUR!`1t HAS SUCH APPROVAL 3"APF'J��g, ffffff SEDO I ur, SEPTIC E SPECIFICATIOUS DOSE TAWKS MALI U FACT U R.0 w � L�-'�- CON WUp,gER OF DOSES: L A. S PER DAB TAMK 5IZL : I O O GALLOAIS DOSE VOLUME z ALARM MAAJUFACTURCR: S :• - IIJCLUDIAJG OACKFLOW: �Z (,ALt011: MODEL WUMBER: 4LU CAPACITIES: A. 30� - - � �Ci�� l OR GALLOy; SWITCH T ,JPE: `� B = Z IAJCHES'OR 3� G{�LLOUS PUMP t L L �25 C= 6 INCHES OR Z WILLOAlS MODEL- 1\1UMHER: t} 'p cu` \Z " INCHES OR Lug( GALLOIJS 0= SWITCH 'TyPE: 3� �j`'('fTL 6 1 f NOTE: PUMP AIJD ALARM ARE TO K MIU MUM DISCKARGE RATE 11(4 M INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEE►J PUMP OFF AUO..DI57R18UTIOAJ pIPE.. •DD FEET ��A 7 -!- MIJJIMUM ).JETWORK SUpPLy PRESSURE � ' � S FCE7 6Z 'I' l s FEET OF FORCE MAIJJ X 2 � F oFr.FA1C7toAJ FACTOR.. FEET TOTAL OtWAMIC. HEAD -O FEET •O� �As per nanufacturer gal /in. Liquid depth r . ME40 Series !S 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 W 30 L H H 25 8 E Z uj p ►QQ, = 20 6 W J S H 15 J O Q ~ 1 t1 oy 4 H 0 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex W7443 K3326 7/91 Printed in U.S.A. Wisconsin Department of Com rce RECEIVES SO L EVALUATION REPORT ,D ivision of Safety and Buildings Page of 3 jA Na "a ith Co m 85, Wis. Adm. Code Attach complete site plan on p per not less than 8 1/2 x 11 inc es in size. Plan must County include, but not limited to: verti I a4�?ck jp"toIQ &dt06 poi (BM), direction and parcel J.D. percent slope, scale or dimen ons, ncLT0lsrl� 3WC§ffd @i!cation a d distance to nearest road. Please print all information. evie ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). lb 1 Property Owner L I�l P Z c.( rQ UN ST r�J f� Property Location _IJ E fl Vu M 'i Z K Ati I I c 11�,� Govt -L=t )�1,) 1/4 -100 1/4 S I T z S N R I � E (o Wl Property Owner's Mailing Address Lot # 1 Block # Subd. Name or CSM# S i i r y State Zip Code Phone Number City Village (0 Town Nearest Road j 1\ soV� wt I 5 I ( - ) IS ) 386- ) Lo`-r 1 k1D1C0 — 1 L ® New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate _ SL GPD Replacement ❑ Public or commercial - Describe: r� Parent material r Flood Plain elevation if applicable N I 1 ft General comments and recommendations: 1GUKjlJD `1 L ,. r I Boring # ❑ Boring ® Pit Ground surface elev. �� 0 ft. Depth to limiting factor Sin Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z )y -Z 6 �. s X 11`2 s cSbk T\r es 1 �. z I � >u10 6 7.SvJ23ly C1 7Sy2S i j a Boring # ❑ Boring l/ ® Pit Ground surface elev. l d T ft, Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 p-I0 I f?-- 11 - L Z ` 'sblZ ''rI.U'� 0 1-j Z� . S .�s Z �0 -1q 10 -1 R 3/ Y L Z,rns6�r m Cw 1 104 jz- L/!6 — G' `s �csb Y 5 L -6 10.1 iZ S) i( Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L _ CST Name (Please Print) Sig lure r � CST Number Arthur L . liege re �. C 3 - Z � b 220254 Address Wegerer Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N-. Hain St. River Falls, WI 54022 1Z -Z� 3 715 -425 -0165 r Property Owner G�U �5�� Parcel ID # Page_ Z l oft 1 3 Boring # ❑ Boring Cr I Pit Ground surface elev. C r b ft. Depth to limiting factor --In. 1 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary < Roots "" GPD /ft= ' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 —1 S )O`11R -Z l2 L Z`FS�k YY) , - ' ' •; Z \s -Z8 1C�`ZfL — s ( ZhgsW y,7 3 A? MT CS S 68 13.1 rZSIIG - S 0 S9 . 1i F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 7_1 I ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ` GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 T I -J • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD•8330 (R.6(00) PLOT PLAN Paae 3 of � Scale 1' =50 L) tyE LU V L J � J J � J 7'• (n' �✓`' pU DoT 0 / / s.3 0 (z tJ IT 7vYtt% ff sz t Z6 o - CTN , i= " ) N 1 Go T �Pn L 715 2202 CST Signature Date Telephone I-To. CST No. Job NO. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIiIP CERTIFICATION FORM Owner/Buyer A�✓/vPi, r ,ir✓L' Mailing Address P 0 , lie �L /02 � /�JSn.�/ (v ILL property Address P (Verification required from Planning Department for new construction) �D City /State Parcel Identification Number - ovD � /b�) LEGAL DESCRIPTION Property Location /U R) %4, %4, Sec. T_ 5 N -R_JLW, Town of � Subdivision �h 4' c>_`� Lot # `� Certified Survey Map # . Volume _. Page # Warranty Deed # l 2 8 '�-3 I . Volume b� Page # Spec house ❑ yes 7 no Lot lines identifiable M 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 masterplumber, 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 113 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 three year expiration date. e� A G� DATE L / L 1 SIdATUliE OF APPLICANT 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 d cubed hove, b e of a warranty deed recorded in Register of Deeds Office. Py A OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary perniit 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 I 1 1907P 033 STATE 13AR OF WISCONSIN FORM 2 -1999 Document Number WARRANTY DEED KATHLEEN H. YALSH REGISTER OF DEEDS ST. CROIX CO„ MI This Deed, made between Mann Valley Contracting, Inc., RECEIVED FOR RECORD 06 -10 -2002 8:45 AM Grantor, and Mark Anthony Homes, Inc., WARRANTY DEED EHENPT t REC FEE: 11.00 — TRANS FEE: 242.40 _ _ —_ - - -- — COPY FEE: Grange. CERT COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the PAGES: 1 following described real estate in St. Croix _ County, Sta+� of Wisconsin (if more space is . needed, please attach addendum): I u : 5 Recording Area Name and Return Address for 5 East Meadow, St. Croix County, Wisconsin. 1 l�Cty -U Lc)cA f or 5) 3 �5a Y n n oc � c IJIC7J 040- 1288 -50 -000 _ Parcel Identification Number (PIN) This is not homestead property. Pf1 (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this �y day of May 2002 Msnn alley Contracting, Inc. AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN j �+ ) ss. C.,/bl}C County ) authenticated this day of _ Personally came before me this ;?yt; day of May 2002 the above named Mann Valley Contracting, Inc., by ies TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by Q 706.06, Wis. Stats.) 1 ; THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Notary Publi , State f Wise nsin Hudson,Wl 16 My C rr� ion ' eJtnanent. (if not, 4 to expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary) (� ) " Narnes of persons signing in any capacity must be typed or printed below their signature. kdnnabon Pmfworab c ampry. rand Cu is. VA STATE BAR OF WISCONSIN a03s52o2t WARRANTY DEED FORM No. 2 -1999 f1Jt.. rD LANDS �- ' w= ow " 5891 , 180.87 .,.... , .....,,1 33,1 a STa M• WATER POND � H.W.L. --= 824.0 � co � � t C4 - LOT 5 2.80' ACRES ► cf) (109,225 SO. FT.) yowl ipp M \489 T 663:00' �• 1 r\ r\ 40 vo 7 A O ui u, T f SOM G�nr-dNn f i �lS?'S �� 1Y1a5LA�00N ' 9Z "LbE gg CD j O 1 b /L3N 3F{! A0 b /LMN S� ci r I _ � � 31i1 30 3Nfl� � ��� ^• c*� I a Q 11 I r I u -r co {y I `� .t I cv OD w r '3 F- ? ©� .9Z - 6 bS 3.6 LD&=S $ 1 3: . i L'88Z M..6 LAZo00N 0= �► ~tea �; I I m a b'rT,� � - - -- , Vbj LLJ A o �! 1 I z �� z ` C ' � i Z T 1 I� M o d i m 1 I - CD 1 CO >� a; I a 1r �T m a: I � 1 l o rn _ o },. Q CO I W o Z~Z ( hT I zc � N° I fQ Q _I U r H D x .� = r Lj Lj 7cou Z F (/1 Ilse .99 6o b c l ° e to co Z2 c co W ZL�t COI ' 55 218-80 0 U'� t v S ` -- i L,00N I "! % o so Lq cm 0 r � Q