HomeMy WebLinkAbout040-1185-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
s 479208 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:
Fox, Richard I Troy, Town of 040 - 1185 -10 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No:
j� B m � L,�j 36.28.19.754 757
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic I �}$ Benchmark
A90 3, Z5 101 /
Alt. BM
Aesatiora Bldg. S wer
) 61(0`1
Holding St/Ht Inlet 1�
1
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
t
Septic /' S / AJ " 1'7 ' ' Dt Bottom
Dosing 4 A V ,1j� / // `
Header /Man. � .)I P
-
Aeration , (� Dist. Pipe Of I
Holding Bot. System n
Q..
/
PUMP /SIPHON INFORMATION Final Grade Ip. Z S 7
Manufacturer f Demand St Cover /r
L �� GPM
Model Number /� IK
(� `
TDH Li , � Friction Loss System Nd TDH I a Ft
7 0 , Th
Forcemain Length # Dia. it Dist. to Well
ZD Z AJ
SOIL ABSORPTION SYSTEM
BED/TRENCH Width r Length NT_ INo. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS Z (3 Z- t 1 _r 11_ --- --
1
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION � CHAMBER OR
Type Of System: • f`r (�7'�
16 AJ1� /\ Model Number:
' QJ c.� 4
�(l z8' �^i' UNIT `
DISTRIBUTION SYSTEM = 34 T* ,
Header /Manifold IDistribution x Hole Sizze x Hole Spacing Vent to Air Inta
Pipe(s) ` \\ 1/
Length �� Dia T Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 5
De th Over Depth Over xx Depth of d /Sod \ xx Mulc d
Bed/Trench Center 3 SS Bed/Trench Edges \ Topsoil
xx Seede
Yes U No Yes 11 No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /
Location: 53 West Woodrid a Drive River Falls, 15 022 (SE 1/4 NW 1/4 36 T28N R19W) Oak Ridge Acres Lot 3 Parcel No: 36.28.19.754 757
1. Alt BM Description = �
2.) Bldg sewer length = 1 q 7
- amount of cover = 1
Plan revision Required? Yes No 1 _ �,I L
Use other side for additional information. __
Date Insepctor's natur Cart. No.
SBD -6710 (R.3/97)
Safet d Buildings Division County C
201 W., W t n Ave., P.O. Box 7162
T Ma ison; 53707 -7 Sanitary Permit Number (to be filled in by Co.)
\ Vhsconsin (608) 26 151
Department of Commerce
Number
Sanitary Permit Application _
In accord with Comm 83,21, Wis. Adm. Code, personal information e •9 Pr� [ Addr ss (if different than mailing address)
may be used for secondary purposes Privacy Law, sl5.04(1)( }�
S U�
1. Application Information — Please Print All Indormation ZQN /N� OFC
Property Owner's Na me /;1 cel /l Lot H _? Block /f
�C
A-RD O
VJJ c4 0 - /1,3-9 _/0 o �, 9 -�s/�
Property Own is M ailing Address Property Location
/a, N � /a,Section
City, State e)
' r / Zip Code Phone Number ^� Q'
l U ` ►� l ` L c �( J �� Z Z T G O N R WEord
II. Type of Building (check all that apply) 0 ctl5 M C .5610^' JG ' Subdivision Name CSM Number
49 1 or 2 Family Dwelling - Number of Bedrooms ^^ nn
®.
❑ Public /Commercial - Describe Use I�GC)5A-- A.✓1
E f
El state Owned - Describe Use 7 iQ,c ��� J! l '7 i'r7 �.�� ❑CttY� ❑Village'Township of r( O
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A.
New System 11 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System
B. ❑ Permit Renewal El Permit Revision ❑ Change of ❑ Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of POWTS System: (Check all that a 1 )
Non - Pressurized I n- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter
❑ Conscructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter
❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. D is p ersal/Treatment Area Infor mation:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dis rsal Are ecl st) System Elevation
'l cr D (tip Lt.
VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Ta ng
Tanks 1 (� r! Tanks Tatilcs IatPXi Y",
Septic or Holding Tattle
Aerobic Treattnertt Unit
Dosing Chamber h l
VII. Responsibility Statement- I, the undersigned, assume respom ility for installation of the POWTS shown on the attached plans.
Plumber's Na me (Print) Plumber's Si gnature MP /Mumber Business Phone Number
R eo 6 �t2 N,-6p 0 a?- 6 ZK 2 K fz
Plumber's Addre s (Street, City, State, Ziipp� e)
VII Count Department Use Onl
K Approved Sanitary Permit Fee (includes Groundwater Date Issue Issuin gent Signatur No nips)
Surcharge Fee) ?� ,
❑ ven Reaso nial J 5 31 e,5
IX. Conditions of Approval /Reasons for Disapproval
SYST WNER:
lJ> Septic tank, effluent filter and
dispersal cell must all be service / mainta
as per management plan provided by plumber.
Z. AN setback requirements must be maintained
+M pK sPPk" coda / 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. 01/03)
P
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• 1889
Wisconsin Departrrlerlt of Commerce D Page 1 of 3
, 191!
Division of Safety and Buildings in accord nee with Comm 85, Wis. Adm. A.C.E. Soil & Site Evaluations
Ian on
Attach complete site r not less than 8% 11 inch in L2Pfin 40 County
P P Pape St. Cron(
include, but not limited to: vertical and horizontal refs ce point (BM), direction and
percent slope, scale or dimemsions, north arrow, and ocatio$McU RiMoo(got t road. Parcel I.D.
ZONING OFFICE 040 - 1185 -1 00
Please print all info Reviewed By Date
Personal irdamation you prWde may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ✓ �/ S
Property Owner Property Location
Rolling Hills Development, Inc. - Dick Fox Govt. Lot SE 19 NW 19 36 T 28 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
84 Woodridge Dr. West 3 1 1 Oak Ridge Acres
City State Zip Code Phone Number _j City _j Village ✓J Town Nearest Road
River Falls i WI 1 54022 715 - 425 - 2100 Troy Woodridge Acres Drive East
1+ New Construction Use: 601 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
J Replacement _j Public or commercial - Describe:
Parent material Glacial outwash Flood plain elevation, if applicable na
General comments
and recommendations: Install conventional POWTS using two trenches with combined E.I.S.A. = 642.86 sq. ft. at elevation of
93.50'.
Boring # Boring
Sol Pit Ground Surface elev. 99.59 ft. Depth to limiting factor >1 18" in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -9 1Oyr3/2 none sil 2fsbk ds cs 2fm 0.6 0.8
2 9 -18 1Oyr4/4 none sil 2fsbk dsh cs 2fm 0.6 0.8
3 18 -34 1 Oyr4/6 none gr Is Osg dsh cW 1fm 0.7 1.6
4 34 -77 1Oyr4/6 none s Dag dsk gW 1fm 0.7 1.6
5 77 -118 10yr516 none s 0 sg dl - 1fm 0.7 1.6
3. "
Boring # — I Boring
1/ Pit Ground Surface elev. 96.93 ft. Depth to limiting factor >98" in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
1 0 -16 10yr3/2 none sil 2fsbk ds cs 2fm 0.6 0.8
2 16 -27 1Oyr4/4 none sil 2fsbk dsh cs 2fm 0.6 0.8
3 27 -36 1 Oyr4/6 none gr Is Osg dsh cW Urn 0.7 1.6
4 36 -70 10yr4/6 none s & gr Osg dsk gW Urn 0.7 1.6
5 70 -98 1Oyr5/6 none s 0 sg dl - 1fm 0.7 1.6
�3 h
Effluent #1 = BOD ? 30 < 220 m and TSS >30 < 1 mg/L uent #2 = BOD < 30 mg/L and TSS <�0 mg/L
CST Name (Please Print) Signatur : CST Number
James K. Thompson M—, 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, WI 54020 2/32005 715 - 248 -7767
Property Owner Rolling Hills Development, Inc. - Parcel ID # 040- 1185 -10 -000 Page 2 of 3
3] Boring # Boring
601 Pit Ground Surface elev. 98.41 ft. Depth to limiting factor > 108" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -12 10yr3/2 none sil 2fsbk ds cs 1fmc 0.6 0.8
2 12 -15 10yr4/4 none sil 2fsbk dsh cs 1fmc 0.6 0.8
3 15 -21 10yr5/4 none sil 2fsbk dsh cw 1fmc 0.6 0.8
4 21 -31 10yr5/4 none gr sl 2msbk dsk cw 1f,m 0.5 1.0
5 31-48 10yr4/6 none grs 0 s dl gs 1m 0.7 1.6
6 48 -108 10yr5/6 none grs 0 sg dl - 1M 0.7 1.6
Horizons #2 & 3 contain approx. 10% gravel.
r
F—I Boring # Boring D
_J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
❑Boring # J Poring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff# * EM
* 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.
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page L of Z
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner X Septic Tank Capacity a l 13 NA
Permit # Septic Tank Manufacturer El NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model 13 NA
Number of Public Facility Units ❑ NA Pump Tank Capacity al ❑ NA
Estimated flow (average) g al/day
ZZ Pump Tank Manufacturer �J- 13 NA
Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer Gl L ❑ NA
Soil Application Rate * gal/day /ft2 Pump Model ❑ NA
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD,,) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD 530 mg /L IN In- Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
* Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
9L year(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
❑ year(s)
Clean effluent filter At least once every: ❑ month(s) ❑ NA
�. ❑ year(s)
Inspect pump, pump controls & alarm At least once every: ❑ ye ar(s) ❑ m ) ❑ NA
Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA
❑ year(s)
Other: ❑ month(s) At least once every: ❑ year(s) ❑ NA
Other ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
GMW (4/01)
Page Z of Z
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
13 A suitable replacement area is not available due to setbac k and /or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< < WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name &A �Lf d Name
Phone Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name C�O
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.540), (2) & (3), Wisconsin Administrative Code.
CONVENTIONAL SYSTEM CROSS SECTION
NO SCALE
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ELEVATION T) c l 3, IN SITU SOIL
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QUICK 4 STANDARD ]NFILTRATOR DIMENSIONS:
HEIGHT 12"
LAYING LENGTH 40"
WIDTH 34"
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer L&a
I r - /- - I t f J.--Ald
Mailing Address
Property Address 3 (tiJ 05'5 f' O 0 (n 6 fe ( V &
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number 0 62
LEGAL DESCRIPTION
Property Location I /., ' /., Sec. T�N -R W, Town of o
Subdivision C Lot # _.
Certified Survey Map # . Volume Page #
Warranty Deed # Volume , Page #
Spec house ❑ yes �no Lot lines identifiable ❑ 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, restrictedplumber 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 of thef4oee year expiration date.
S16NATURE OF APPLI 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 prope cn ed above, by virtue of a warranty deed recorded in Register of Deeds Office.
G _ i
SIGNATURE OF APPL! 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
Combination Sep•rtic� Tank arid
PUMP CHAM CRO SECTION AIJD SP ECIFICATIO MS
VELIT CAP WCATHE? PRG'�i`"
R I C tT Q� 11 // -- JuuCTIC Box
G (f l �� ✓ 1C.1, VCtjT PIPC APPROVEC LOS C1K_L
FROM DOOR.,
dwDow OR FRD5H 2
A� IUTAKE A w L roJDUIT
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PROVIDE
A I R T HI H T S E A L_
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APPROVED JOWIT A
W�C.T. PIPCDRPl1 Tank construction I ✓ =..L. 'il'i >R';vC
shall comply with I I I ALRAt
I� 33.15 and 83.20 j iI
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PUMP J
� OF
g� C 0ajc F(UrE
ELC�L• (J / Pc Or- 1<
FZ15EfZ EXIT PERM 7LD OIJLU IF TAIJF( MA)JUFAC.TJRCW HAS SUCH AP"F, 0 VA, I_
— L .
SEPTIC F SPEC.IFICATICKJS
DOSE
TAQK MAQUFACTURCR: - 7i C"..:.)1 CL'( ,T'C_ QU4* OF DOSiS:� _..PE
TA>,IK SI.wE : J �✓ y � GAl L01�1:i DOSE VOLUME
j.S, (� IKJCI- QL)0.1G OA�GICFLO / /
A LA R h1 !'lA�l U F AC. T U R I, R : �••� � _ � `-LS 1'
('10DV L 4JUMBER: Hw _ CAPACITIES: A=
5W ITCH - %PC: Iv1 �1ZeU(Z -
PUMP PIAQUFACTURCR: 5 �O - p
C� � � IIJLF'i: OR JSrsnl!_L?1._
MODEL lJUMBRR'. P �q _ D. _I�ICII 0R _hO. 1
5WITCH iJVrE: P UMP AfJD ALAkr :,E TO 5G
MIAI1MUP1 D15CKARGE RATE_.._-,, CPM INSTALLED OQ 5E-i'>SRATL
VLKTIChL DIFFERENCE DLTWGEQ PUMP off AIJD..DI5TRIbU'fIOIJ PIPE E
r ET
- t- M1i.JIMUM ►JE.TWORK SUPPLY PRE
SSURE . . . . , , . . , . . / FEET
f FCEl OF FORCC /141IJ X • ! 2 I� ofr.FRICTIOW FALTOR_.. L -0-1 rCET
TOTAL. DyQAMIC HEAD :_ � �! � f E E:T
Pump chamber DIAMETER —
I LIT ERA1Al_ ED IMLk)s10PJ� OF TAQK: LENGTH ����101 H _Y r,; L.IQUI0 I j:p1 I - _....,w.._......
BOTTOM AREA �u _ 23.1= ____ GAL/ 1. II
APR -12 -2005 16:28 FERGUSON ENT HUDSON 715 386 6144 P.01
CIGOULDS PUMPS Submersible
Effluent Pump
PE
��+T PUMP
6�-
SPECIFICAMONS MOTOR FEATURES
Pump — General; General: ■ Corrosion resistant
• discharge: t'fe" NPT • Single phase construction.
• Temperature: 104 °F (40 0 +7 • 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: 'h" tection with automatic reset. ■ Upper sleeve and lower
maximum sphere, • Class B insulation. heavy duty ball bearing
APPLICATIONS • Automatic models include a • oil - filled design. construction.
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 Systems PE31 Pump: • 115 volts operation.
• low Pressure Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the
• Basement Draining • Maximum head: 25' TDH PE41 Motor working limits of the motor.
•Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM ■Quick disconnect power
Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts cord, 20' standard length,
• Maximum head: 29' TDH • PSC design heavy duty 16/3 SJTW with
PE51 Pump; PE51 Motor.
115 or 230 volt grounding
plug
• Maximum capaoty: l • . 0 HP, 3400 RPM ■ Complete unit is heavy duty,
• Maximum head: DH • 115 and 230 volts
• PSC design portable and compact.
METERS FEET g ■ Mechanical seal is carbon,
40 1 r - 1 �� ceramic, BUNA and stainless
PE j MODE : PE31 Pf41, PE , steel.
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35 I I 1 ! HR ,33..4o, so ■ Stainless steel fasteners.
30 •P I �— - 2 C,PM 'AGENCY LISTINGS
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20 i .. l . ; .. f I . I I Tested to UL 778 and
C5A 221 Standards
0 BY Canadian Sind&& Assodabon
E- 1 I j. I I ::i.. I r- � . I mo— I i I rile #116"
10 ^" 1
-' Goulds Pinups IS ISO 9001 Registered,
�- OL 00 ' I 10.1
20 30 40 50 60 70 GPM 80
0 5 1 0 15 m Goulds Pumps
® 2004 17T Water Technology, Inr- CAPACITY
Eff ective 2004 4�`Y ITT Industries
Parcel #: 040- 1185 -10 -000 05/31/2005 02:35 PM
PAGE 1 OF 1
Alt. Parcel #: 36.28.19.754 -757 040 - TOWN OF TROY
Current I X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): " = Current Owner
ROLLING HILLS DEV INC, %DICK FOX
%DICK FOX ROLLING HILLS DEV INC
84 WOODRIDGE DR W
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): " = Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 1.800 Plat: 2237 -OAK RIDGE ACRES
SEC 36 T28N R19W LOTS 1 THRU 4 OAK RIDGE Block/Condo Bldg: LOT 1 -4
ACS
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
36- 28N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.800 11,800 0 11,800 NO
Totals for 2005:
General Property 1.800 11,800 0 11,800
Woodland 0.000 0 0
Totals for 2004:
General Property 1.800 11,800 0 11,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
DOCUMENT NO. n ODIT CLAIM DEED
4 33 ,
uu 74 STATE OF WISCONSIN —FORM 11
IM 8VAO4 RBii{RIIA4 - IN 114601801` D11Tk
REGISTERS OFFICE
TIIIR I N'lr'L , Made this 31st day of March ST. CROIX CO.. WIS.
A. D., 19 , between Garal d Rrcnm arid. Saladra Brown. Rufsband aA
Wife as Joint Tenants Recd for Record this_ 1,9th
day of__sT_tI-ne----- -A.D.19 -b7
at A. Mc
arti- of the first part, and
Rolling Hills Development, Incorporates , a Wisconsin
CorT>mration Regl or f As
s part _2L_ of the second part. R E T D WN .T 0
W f t n e a a e t h, That the said part ies of the first part, for and in consideration
of the sum of --- One Dollar and Other Valuable Consideration
to them in hand paid by the said part the second part, the receipt whereof is hereby
confessed and acknowledged, ha Te_ given, granted, bargained, sold, remised, released, and quit - claimed, and by these presents do — give,
grant, bargain, sell, remise, release and quit -claim unto the said I6oi or9
part �_ of the second part, and to and asstgna forever, the
following described real estate, situated in the County of St and State of Wisconsin, to - wit:
Part of Southeast Quarter of Northwest Quarter (SE04) of Section 36 - 2&- 19,de:scribed
as follows
Commence at West � corner of said Section 36; thence NCP05 W 33.00 feet to Berth
line of County Trunk Highway "Mt'; th nce S W53 East on said North line 1387.20
feet to place of beginning; thence NO 07 East 200.00 feet; thence 3 89 East
100.00 feet; thence SO West 200.00 feet to said North line; thence N 89 West
on said North lisle 100.00 feet to place of beginning.
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To Have and To Hold the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise
thereunto appertaining, and all the estate, right, title, interest and claim whatsoever of the said part JOB- of the first part, either in law or j
equity, either in possession or expectancy of, to the only prop use, benefit and behoof of the said I
pe part �_ of the second part, its
e LLC4Se33Ore and assigns forever.
In Witness Whereof, the said part i" of the first part ha Ve hereunto sett hand 5 '' and seal 8 thi 31st
day of March , A. D., 1967
SIGNED AND SEALED IN PRESENCE OF � �Q /� M
(SEAL)
_'V' L Gerald BrOft
Charles E. White a / SEAL
Sandra Brown
v _ (SEAL)
Kenneth S. White —
(SEAL)
STATE OF WISCONSIN, 1
PEE } ss.
County. JJJ
Personally came before me, this 31st day of March A. D., 99 67
the above named Cerald Brown and Sandra Brown, husband and wife
to me known to he the person who executec(-th��cetolgg inst acknowledged the same.
CAI Charles E. White
1— s
This instrument drafted by ' Notary Public
Pie rC a County, Wis.
RA1.ph' S. ��eF1I1 1t�tOL74e� A �t
p Y'w My Commission ( ) (Is) �1°.�TMt3 t •12
(sectlon ftft, (1) of the wf*conala SRattitN instruments to be recorded *lull have Plainly printed of � doteon tta
name* of the grant"*, S*atitaaa. wltnen*t and
QUIT CLAIM DEED—STATE OF WISCdNEN, V0VtM NO. 31