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HomeMy WebLinkAbout040-1175-40-000 n ff! 0 II n C O t7 O O O O O 0 A A `•^ :V • C W (n Q (D Cn m O CD OD co Ln 1 O N rt tD D O N O v O. N o No `(D X 0 a 7 a, CD 0 0 v rn W Cfl W e (O O N W O 7 fn n! O p N C O y (D cs V' m CL a V N O CD O N a O a m'ry rn w w 0) m O 0 n o c N o o a e+l Lrl N O A O Z z a N D O cn cl o v � T n� ;f W O t A CL �.< Z O ': .-. N N O O W N O N �m U"1 a 3 CD O < O< Cl .00-. W 'd Z CD .+ G > a C!1 N j O C) (D O G =ham (7 ( N 3 ,p 0 N Z O x Z N ` o cn S o ? A N o a D ^ , (n �U 0(2 N W O D 7 X O (D W CD V N 3 0 2 Ln (D In �.. O < (n �O D z O O S O O w ICI t - 'CUMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 -962 - 5227 6 j ST. CROIX ZONING REPORT NO.t 15185/01 PAID 1 ST. CROIX COUNTY REPORT DATES 12/19/91 COURTHOUSE DATE RECEIVEM 12/17/91 HUDSON, WI 54016 ATTNS THOMAS C. NELSON } OWNERS Al Kosa LOCATIONS 262 N. Cove Rd., Hudson COLLECTORS J. Thompson SOURCE OF SAMPLES Outside tap COLIFORMS 0 /100 mL INTERPRETATIONS Bacteriologically SAFE NITRATE -NS 3 ppm Above 10 pps exceeds the recommended Public Drinking Water Standard. CoLiform Bacteria /100 mL Nitrate- Nitrogen, mg/L. LAB TECHNICIANS Pam Gane WI Approved Lab No. 19 < Means "LESS THAN" Detectable Level Approved by: ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386 -4680 The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING -------------------------------- FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING -------------------------------- FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION --------------------- FEE:$ 25.00 PROPERTY OWNERS NAME: (�Q ° �y 3� (v' 5d . 1 b PROPERTY OWNERS ADDRESS _kA CITY: Legal Description 1/4, . 1/4, Sec. , T N -R W Town of �/� d u4dz�J , Lot: No . , Subdivision FIRE NO. LOCK BOX NO. Color of house Realty sign? Firm: PLEASE INCLUDE, IF AT NLL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone No. 2L a REPORT TO BE SENT TO:_�� CLOSING DATE: Signatur p f1 J i� , ;in Department of Commerce Buildings Divisiop PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT St. Croix ,--NERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal informatidn you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 363899 Permit Holder's Name: ❑ City C] Village E] jown of: State Plan ID No.: osa Alex 'I'ro Townshi CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: e O� ao 040- 1175 -40 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 01- a Z a G 0 Benchmark 3 Dosing �r "� Alt. BM ration Bldg. Sewer g. FTolding t Ht Inlet 4 TANK SETBACK INFORMATION Ht Outlet TANK TO P/ L WELL I BLDG. vent to ROAD Dt Inlet p Air Intake Z - y 10. S Septic f y' NA Dt Bottom �' s Dosing 7ro 2 -� NA Header / Man. A Dist. Pipe HolsiiAg Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer (o it ��� Demand St cover �, r s Model Number PLI) GPM 1 / ; v r 1 ' TDH Lift Friction 2 System TDH . 2 Ft hc;f� nit S l 6 3• 0 / 6 m ea d n Forcemain Length t r Dia. Z r' Dist. To Well SOIL AB PTION SYSTEM BED / RE CH Widti� Length No. Of Trench PIT No. Of Pits Inside Dia. Liquid Depth DIM 1 es S �/ DIMENSION Ian cturer. SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING / INFORMATION Type Of f AMB Model Number: System: S (00 �� 7 Z00 r IT j l, "r DISTRIBUTION SYSTEM Header /Manifold � Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. V4 Spacing W SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Y s ❑ No I I El Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1. / /S 0 nsnection #2: 6 /G / ac Location: 262 Cove Road, Hudson, WI 54016 (24 T28N R20W) - 24.28.20.679B680 St. Croix Cove #3 - Lot 23 s�.sr�uk 1.) Alt BM Description= 2.) Bldg sewer length = I Z r - amount of cover = > /e" f« a // e s -,w loo Q(I�t Le" &, // rMalH 7� 4i�. /� �� O Caves✓ A'5 Plan revision required? ❑ Yes [P No / Use other side for additional information. G G O d to G y, SBD -6710 (R.3/97) Da a Inspector' nature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: y ID { �c W�E o+ e ®_ e I z 4 � t M � s a r E . s E e E 0 e f e f E e t t t a , E - e i x e e . 1 f 3 a �. c K z , F - 3 e t E 3 ° e ' .a .�. .,.. —, a ., ....., �.. ., ........ , 3 n ! a e f 3 d Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue V'Isconsin P O Box 7162 Department of Commgrce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7162 • Attach complete plans (to the county copy only) for the system, on paper not less County �� than 81/2 x 11 inches in size. c • See reverse side for instructions for completing this application State sanitary Permit Numb Personal information you provide may be used for secondary purposes ❑ Check it revision to � J * s apps scion [Privacy Law, s. 15.04 (1) (m)). State Plan Review Transaction Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Property o n r Name Propert,ica ra, S 6? T, N, R a E (or) W IIL% 21 D �e Propert wne 's Maifin Lot Number Block Number Citu S tat , , ZI� (ptf { } um es '' , Subdivision N IDr C�¢11 P6 j X r 77 ��//�� per!! ��" • 11. TYPE OF BUILDING: (check one) ❑ State Owned o It �-- Near st Road 0 vilrage r � /� r� Public 1 or 2 Famil Dwellin - No. of bedrooms Town OF V G f�- r III. BUILDING USE (if building type is public, check all that appl Parcel Tax Numbe [`i 1 ) n/1 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify 1V. TYPE OF PERMIT: (Ch el y e box on line A. Check box on line B, if applicable) A) 1. ❑ New Replacement 3. E] Replacementof 4_ E] Reconnection of 5, ❑ Repair of an ------ S tem _ System __�__ ------Tank Only - __ Existing System _ Exi sti12q YYstem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 [TSeepage Trench 22 ❑ In- Ground Pressure < < 42 ❑ Pit Privy 13 [] Seepage Pit �d ' t C4 T `� II S Y x 4 [] Vault Privy 14 ❑ �f- J `< System -in -Fill p I IUA V1. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade � Requ ed/�s ft.) Pro ose (sq �.) (Gals/day q. ft.) (Min. /inch) /� E) vation 7 Z t s 9 � (1 c �/ Feet � , Feet Capacit VII. I NFORMATION in gallo Total # of Manufacturer's Name Prefab. con steel Fiber- plastic Exper. New Existin Gallons Tanks Concrete structed glass App. Tanks Tanks y Septic Tank m olding Tank ❑ ❑ ❑ ❑ ❑ Pump Tank hon Chamber ❑ 1 ❑ V NSIBILITY STATEMENT I, the undersigned, assume responsibility for'nstallation of the onsite sew3z&4y61vm shown on the attached plans. Plum ©Name: (Prink Plum s gnature: (No t m s) W Business P oNu b r:� WNW J /j 12 Plumber's A dre s tr y , Stat ,e): /\ IX. COUNTY / DEPARTMENT USE ONLY U ❑ Disapproved Sanitary` Permit Fee (Includes Groundwater Date Issued Issui ge Si n ture (No Stamps) � Approved ❑ Owner Given Initial �� ab Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: �bed .fit L = U►a ad c(>�xs p,�o(ce- `Z� SBD -6398 (R.12/99) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be instal led. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A.. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 2. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and . holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber isto fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information_ ---------------------------------------------------------------------=------------------------------ GROUNDWATER SURCHARGE 1983 Wisconsin act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. i r ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner S Property Addr � A 9 Co City/State 3 6A D Legal Description: 6 1)f t Block Subdivision/CSM # GOU � e lt ol , K ) T -R I W, Town of 7/-ol, PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer yktV U Size ST/PC/ 5* Setback from: House e* ( Well �4 P/L Pump manufacturer &v Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: bk11). I(eh i Width Length 3' ° > Number of Trenches YP � Setback from: House e O Well P/L S Vent to fresh air intake ELEVATIONS Description of benchmark b Va e Elevation D� d Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines O O ( ) Bottom of System O O ( ) Final Grade (} O ( ) Date of installation l S ermit number State plan number Plumber's signature M aw � 6 L License number �°j 0 T Date Inspector Complete plot plan � r_ f NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. uw e PLAN VIE y Rows 3'x3k� Nl �.P, ��►�� rr� 3► 0 3'�c3b,� a � - S• t 8•Yh. A/ ;4 3 , 6 5S o P1444, INDICATE NORTH ARROW '�' °t BIp a9b To IN ID 01A. I o — A7 .� A F r W �t "� "r�Sk.Zv�iSr�►1��� s ;, Oi Ys s t . b i k r c r JJ ' rJ � -� •c .1 �, . r s+x: � F,i S,7� l..� v _ .:g � j. 7 �� �X vq w Ty } W,is&nsinDeNrtmentofIndustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relation Divis'nm of Safety B, Buildings in accord with ILHR 83.05, Wis. Adm. Code • COUNTY sT• c�.��x Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # � dimensioned, north arrow, and Iocation and distance to nearest road. o � O - \ZS -y.0 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION WED B TE A N 0 z 2 PROPERTY OWNER: PROPERTY LOCATION ')fit)" S A� GOVT. LOT Z 114 -- 114,S ZL/ T 1.8 ,N,R Z,0 E( PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Z 6 Z z 3+ — Sr• Z_'cw tK c-Ou tz-: su?UtvtSr ivv CITY, STATE ZIP CODE PHONE NUMBER CITY VILLAGE OWN NEAREST ROAD b8Dtti1 LIJI S Ul16 12..( RokD (] New Construction Use 1>4 Residential / Number of bedrooms 3 [ ] AdditiQn to existing building Replacement [ j Public or commercial describe Code derived daily flow \ASO gpd Recommended design loading rate 0 - S bed, gpd/ft2 = trs chh,,y� Absorption area required 0 O bed, ft 2 trench, ft Maximum design loading rate o - S bed, gpd/ft (A trench, gpd/ft r Recommended infiltration surface elevation(s) G. 8 - o ft (as referred to site plan benchmark) Oy+ 151 Additional design / site considerations b U S L pvM p \".%z�G' p . S OZ >y U`T DrJ C Parent material o u 'N R S NA Flood plain elevation, if applicable T-3. f\ • ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT - GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem 2 S O U IR ❑ U ®S I] U R) S❑ U ®S 11U [is ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwidary Roots GPD /ft in. Munsell Chu. Sz. Cont Color Gr. Sz. Sh. g� rettdi +: ?vti sn .x Z 1b `t 2- 3! (o — S p S vt.. S Ground 3 qi -DIY - IVL21% _ L 2.�s' bk yn4�- a - S _ 0.5 0•(� elev. S o S � ,� \ O ft yy -12 ".S 11 o - 9/ - _ o._S -b 4 s 1 \ sett -owe rnv Depth to Prime," limiting factor Remarks: Boring # Z 0. Z -?.. \Z �.O 3 !� S b 3 � �'rt � ac. o. o•� 3 \z -t3 1�ti�Z ZIZ yn fit" 0"S - - o.z Ground elev. t3 -3y V 1 - 1 \Z 3! 3 — s S bk ho v �1- a " S 1 on•8 ft. Depth to S 3y - S3 Z,S`ttZ 31y S limiting S3 q to `1tZ Y! — S O S� rr1 t I b•7 0 -$. �. factor Remarks: TY "u CST Name:— Please Print Phone: Arthur L. We erer 715 -42 Me Soil Testing & Design Service -P.O. Box 74 River Falls,W 0 Signature; Date CST Number: �� Z6t L ��q M00576 ",_:: " °: ..,...eye! - r:. �Sk_... _..._.._.: .. _._.. 3 +r".3. PROPERTY OWNER �US� SOIL DESCRIPTION REPORT Page Zg 3 PARCEL I.D. pL4 0 - S - 4'3 .+ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed JTrench 1 S b 1c 0,,S o• S u_ L 3 Ground St Z'F �'bk M,, ,, (— elev, q lS -SO S9 - w� Depth to S so-°V t�`t 2 '3/L s9 : U-9 limiting fa to y w �U S Z30 1VlvG �J S v6 1 - 3 - 1 ( Tall 111) S ClZ_ Remarks: Boring,# Lo 1 (S Nt, o 0, v Ground OF S J ` :y elev. o. S \s' S @ 1 ft. Depth to limiting factor Remarks: Boring # `� 1 "''tyxii� C Ground elev. ft. Depth to limiting factor Remarks: Boring # .., Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) PLOT PLAN Page of 3 SCALE 1 "= gyp' ,,, .,_ tx t 1n x, 6 ss� ,, e ye �3E O �1 -i Q7L . to . o' on" arwc �ic� �n xl"_` It OoR e" Sv' 5 0 Z ., D.Z Fl J t �i�1 • Bow pv'� q Z,4 o QB��BiQ.eW ; Zy 8.! S , ��N Lam.• L o3y 3 ,.- � ( 715 ) 425 -0165 M 00576 CST Signature Date Signed Telephone No. CST # PAC,f GF PUMP CHAMBER CROSS SECTIOIJ AMD SPECIFICATIOKJS VENT CAP `f "C.I. VENT PIPE WEATHERPROOF APPROVED LOCKIAIG 25' FROM DOOR, JUNCTION BOX MAMHOLE COVER � WINDOW OR FRESH I2 "MIN. AIR JUTAKE GRADE-- I 1 `1" MIIJ. I COIJDUIT ` -- 11� _ INLET PROVIDE ( - - - -- 'T" AIRTIGHT SEAL *� A I I I I 1 I I I I ALARM I *APPROVED I I ON JOINTS WITH I CLEV. FT. APPROVED PIPE 3' ONTO PUMP —� OFF D SOLID SOIL CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TAWK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOIJS DOSE ^ TAMKS MAWUFACTURER: G>^W�S�rJ IJUMBER OF DOSES: PER D" TANK SIZE: 15/0 ^�- GALLONS DOSE VOLUME ALARM MAMUF'ACTURER: �.�1 _ ��C tri) INCLUDIAIG 6ACKFLOW. / GALLONS MODEL NUMBER: - �h��C u CAPACITIES: A= I OR 300 GALLONS SWITCH TYPE: vt t, 5= o� INCHES OR a� GALLONS t PUMP MANUFACTURER: L4 CtAICHES OR CALLOUS I MODEL MUMBEK* D= nir INCHES OR �1 �r GALL0� j SWITCH TYPE: &Y NOTE: PUMP AMD ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. Y FEET + MIKI IMUM NETWORK SUPPLY PRESSURE FFT + '! _ FEET OF FORCE MAIN X ^ .� FU 100 FLFRlCT10N FACTOR. < TOTAL OtIMMIC HEAD = FEET INTERNAL DIMENSIONS OF TANK: LENCsTN ;WIDTH ;LIQUID DEPTH SIGUE D : LICEOSE NUMBER: DATE: Y�'1F Ft�' FAR fi�JC�. GURU 6 o r Goulds Effluent Pump 4 � 0' _ 4J 11 ( = 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. dry without damage to heat transfer. ■ Motor Cover: Thermo las- • Homes components. systems components. tic cover with integral handle A for automatic and • Farms Motor: and float switch attachment • EPO4 Single hose HP, manual operation. Automatic • Heavy duty sump 115 or 230 V 60 e: : 0 0.4 . H0 mode i nclude Mechanical points. • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 3 /4" maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Total heads: up to 24 feet. with three prong grounding SP Canadian Standards Association • • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in T" 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 to stainless steel. j • Capable of running i dry without damage to s 30 GPM i I a —4• 5 components. Pump: EP05 $ I ' - '�- Fr • Solids handling capability: c 25 3 /4" maximum. 4 z W. • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size: 1 NPT. z s • Mechanical seal: carbon- 4 15 - - i— rotar y /cera mic-stationary , � BUNA -N elastomers. 0 4 3S. • Temperature: ~ 3 10 ! _ 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 ( I EPO4 — 1 i " - 0 00 E lo 20 30 40 50 GPM 0 2 4 6 8 10 12 m °/ CAPACITY Q �IM O 1995 Goulds Pumps, Inc. FH­.;, t Aa , oor • Goulds iprs1= 6 OF Submersible Effluent Pump y .�- EPO4 EP05 APPLICATIONS • Fasteners: 300 series • =erged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. ne 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- components. tic cover with inte ral handle •Homes - Alrailable for automatic and __ r g - - - - -- � • Farms -- Motor. and float switch attachment • EPO4 Single phase: 0.4 HP, manual operation. Automatic points • Heavy duty sump 1550 models include Mechanical • Water transfer 115 or 230 V, 60 Hz, Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz,1550 RPM, construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- Solids handling capability: automatic reset. 1 /4' maximum. • Power cord: 10 foot Plastic Semi -open design AGENCY LISTING Capacities: u • to 55 GPM. standard length, SJTO with pump out vanes for p g mechanical seal protection. CO- CanadianstandadsAnniallon �� • Total heads: up to 24 feet. with three prong grounding • Discharge size: l' /z" NPT. plug. Optional 20 foot ■ EP05 enclosed Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic encllosed 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 ..a► � siaPna components. Pump: EP05 s ' 2 , • Solids handling capability: a � 25 �l4 maximum. • Capacities: up to 60 GPM. 6 20 • Total heads: up to 31 feet. -- • Discharge size: 1' i" NPT. z • Mechamcal seal: carbon 0 1 s —_ ___ _ _ ____ `_ _._ _ __ 3� ►D rotary/ceramic- stationary, 4 BUNA -N elastomers. o • Temperature: 3 10 9 104°F (40 °C) continuous 140 °F (60 intermittent. 2 - -__ __ -_ - __- -_ -_�_ t__.. ___. _ _.__ __EPO4 5 1 1 _t 0 0 0 10 20 30 40 50 GPM L L 0 2 4 6 8 10 12 mllh CAPACITY MAY -26 -2000 15:11 tAORIJESCO INC SVC. 8008742:371 P.02/04 500 SPHERE HEIGHT FROM OUT SIDE APPROX BOTTOM GALLONS 3 1 --- 4 7 5 13 6 20 7 28 8 36 9 45 10 54 11 64 12 74 13 85 14 96 15 108 16 120 17 133 18 145 1 Gf(t lZ`� T'v�"'�P7u G e4 ��> 12. 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L W Gn t'7 N T fT I'll I v Li rLI R3 N •" N L 4 ti CU N N in m N � I tr I L d LN A N N ... %D t i i - WIS Dra t ODS13r dOl l F, : � i T T MAY -26 -2000 15:11 tIORWESCO Ih Svc. 8008742371 P.01/04 [IORWESCO l� c� ot) cr�� FAX OVER SHEET '* CUSTOMIR SERVICE FAX NUMBER: 1 -500 -874 -2371 DATE: 5 1P b /°o PACES (includes cover): COMPANY; ;2 0 FROM: DOREY T E'YER Direct Dial Phone: 952. 446 -8812 -- 877- 446 -8812 00 N Y -Y COMMENTS:`. TLA G NORWESCO, INC 4365 Steiner Street • P. 0. Box 439 5t. 80n1faclus, MN 55375-0439 + Te1952 -446 -1945 • F2x 952- 446 -8808 JUN -05 -2000 09:55 NORWESCO INC SVC. 8008742371 P.02/15 . 4Y"" Irr . SAFETY & BUILDINGS DIVISION ' ' L 201 E. Washingcan Avenue P.O. Box 7969 Madison, Wimansin 53707 State of Wisconsin NORWESCO, INC. FLUIDS SYSTEMS DIVISION ANASTASIA G. REVEZOULIS 4365 STEINER ST. ST BONIFACIUS MN 55375 Dear Ms. Revezoulis: Re: Approval of Prefabricated Sewage Treatment Tanks in Wisconsin This letter is being written in response to a statement made to the department that Nowesco may not know what types of prefabricated sewage tanks are required to receive plumbing product approval in the State of Wisconsin. Current requirements per Table 84.10, of the Wisconsin Uniform Plumbing Code require plumbing product approval of septic, bolding sedimentation, grease interceptor, and two compartment tanks, such as septic /pump tanks. As you may already know, dosing chambers or pump tanks do not require a State of Wisconsin plumbing product approval. Pump tanks or dosing chamber are reviewed by a private sewage plan reviewer who checks the tanks design in accordance with the requirements of Chapters ILHR 83 and 84 of the Wisconsin Administrative Code. If Nowesco were ever interested in submitting a two compartment tank to be used as a septic /pump tank, I am sure there would be quite a few interested installers as I receive inquires about this on a regular basis during the construction season. If you have any questions please give me a call. Sincerely, Daniel P.'Jensen Product Review Safety and Buildings Division Department of Commerce (608) 267 -5265/ Fx (608) 267 -'9566 S6D -bS9� (R. a�AYi JUN -05 -2000 09:55 NORWESCO INC SUC. 8008742371 P.03f15 SAFETY & BUILDINGS DIVISION 201 E_ Waahinoon Avenue P.U. Box 7868 Madison, Wisconsin $3707 State of Wisconsin NORWESCO, INC. FLUID SYSTEMS DIVISION ANASTASIA G. REVE20ULIS 4365 STEINER ST. ST BONIFACIUS MN 55375 Re: Description: SEWAGE TANKS, POLYETHYLENE Manufacturer: NORWESCO, -INC. Product Name: SEPTIC Model Number(s): 1000 Product File No: 960252 The specifications and /or plans for this plumbing product have been reviewed and determined to be in compliance with chapters ILHR 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an alternate approval to s. ILHR 83.15 (2) r� based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of June 2001. This approval supercedes the approval issued on May 29. 1991, under product file number 900404. This approval letter shall be incorporated with your previously approved plans and /or specifications approved under product file number 900404. .. This alternate — approval is contingent upon compliance with the following stipulation(s): -- This tank must be designed to withstand the pressures to which it will be subjected. -- The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing.the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of,the department. -- This product may only be used as a septic tank. -- Installation and servicing of this product must be in accordance with the manufacturer's instructions. A copy of the manufacturer's installation and servicing instructions must be given to the owner of the tank. The inlet, outlet and tees must be schedule 40 PVC conforming to ASTM standard D2665 or D1785. -- The tees must be located between the end wail of the tank and center line of the manhole on the same end of the tank. san.naa.ca.oa9. JUN -05 -2000 09:55 NORWESCO INC SVC. 8008742371 P.04r15 SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue �. P.Q. Sox 7969 Madison, Wisconsin 53707 State of Wisconsin PAGE 2 June 5, 1996 -- The tees must conform to s. ZLHR 83.15(2)(f) of the Wis. Admin. Code. -- The manhole riser on this product must terminate below grade within six inches of finished grade. -- The manufacturer's manhole lid and eight inch pipe riser must be installed on one of the manholes to provide a inspection opening as required by s. ZLHR 83.15(2)(1) of the Wis. Admin. Code. The Department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. inc erely, Daniel P. Jensen Plumbing Product Reviewer Products, Research and Support Section (608) 267 -5265 DJ: __.. Sp0 -667 1R. O�i{) • JUN -05 -2000 09.55 NORWESCO INC SUC. 8008742371 423 1 P,05/15 { Qwi 0 v� -� 10 ' Z oir I (l 2 V W W r�� O tn LU I LI Li 0 7- , � Z to Ly ND �g\r 4 � � ii r - Ago cc kt z J v+ r •-, l =1^� j z l� I i I i i % cc LLA .4 LIJ tj s w? • , -(P Orsp ! l W L • f FL S , w _ cel _mn ir L rn 6 11 4, t� JUN -05 -2000 09:56 NORWESCO INC SVC. 8008742371 P.06/15 CL l W: tr - 1—mm CT. a vi `s M rl� .. =W7 I - x� 4 C ixv - L n u. LU rc v u I 1 � Q c to H ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Q �( _44 Mailing Address b co ; Property Address (Verification re oi- quired from PIanning Department for new construction) / 7 City /State !�-C Parcel Identification Number LEGAL DESCRIPTION Go Property Location ' /., ' /4, Secs, T N W, Town of Subdivision - C r� l ` �� G). , Lot # 3 Certified Survey Map # Volume . Page # Warranty Deed # _ `J / Volume ` Page # %' �/ ) g �— Spec house ❑ yes ❑ no Lot lines identifiable yes ❑ no SYSTEM 11ZAINTENANCE Improper use and maintenance of ours tics stem could result in its ma Y septic Y 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 D e p artment a certification fo si g n ed b the owner and b g � �, � Y Y 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 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be coin leted and returned to the St. Croix County Zoning Office within 30 P n' g days of a three y ;expiration date. eo SIGNA Of APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p pe des d above, by virtue of a warranty deed recorded in Register of Deeds Office. J4 /LAM SINATURE OF APPLIC NT 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 ObCUMENT NO. d WARRANTY OEEO—Ry CwWatlon VDL 421 PAc E498 STATE OF WISCONSIN —FORM 2 283 691 THIS SPACE RE1®IYaD FOR RECORDING DATA THIS INDENTURE, Made this ....... _ 15t h...... day of ......... Mar . .............................._ A. D., 19 .x...., between ... Armstrong - U;k1lx. ....Inc " - innesota �.gpor�;?at.�..Qn a_y,.orzec, to,,.do business, n.,.Wsconsin _ .....................................••--•---................................_........................... ......................._....... i[Zfe X XOfyIBlg6X 'itle8}E7dlfiif�CQSXi[XdCl�C] info $2GX0[E[�foBQCiK&3QXibE0d1>� located at.. Austin, -. IinnesOt. a.""„................. •.,_ .... XWWwNeWparty of the first part and A1ex $-? ... xosa.... .......... ............ ........................ .. ...................... .. ................ . ......... ............... . ...... .................. .......................... ... .. . ........... .... ............................................... -.. part.- Y.... ... of the second part, RETYRN To W i t n e s s e t h, That the said party of the first p art, for and in consideration of the sum of ... One _..Doilar other . ... good - ... and_.. valuable........... consideration .................... ............. . ................. ..... ...... ...---- --•• -•- ----- ....to it paid by the said partY ........ of the second part, the receipt whereof is hereby °•- confessed and acknowledged, has given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents does give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said party- ....of the second part,.b $..heirs and assigns forever, the following described real estate situated in the County of ........... St.• .... CrOAX_ ........ and State of Wisconsin, to-wit: i Lot Twenty -three (23) and part of Lot Twenty -two (22) described as a strip of land Ten (10) feet wide adjacent to the northeasterly line of Lot Twenty -three (23), all in St. Croix Cave Subdivision, Town of Troy, Township Twenty -eight (28) North, Range Twenty (20) ' West; subject to the mortgage to Washington Federal Savings & Loan Assn, recorded in Vol. 407, pages 133 and 134; and subject to restrictions and protective covenants of record and declaration of Winford, Inc. recorded in Vol. 339, page 325 in the office of the + Register of Deeds in and for St. Croix County and the conditions contained therein. j i (IF NECESSARY, CO NTINUE DESCRIPTION ON REVERSE SIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said art • of the first art, either in law ore equity, either in p } p y y, possession or expectancy j of, in and to the above bargained premises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the hereditaments and appurtenances, unto the said par(Y. ....... ..of the second part, and to.,.... and assigns FOREVER. Andthe said ..............A.S ma r. Q.n ... Realty- a ..... I SIC.., ................. ....... ........... ....... ....... ....................... ..._.. ....... ... _ ... ............. ................ _.. ............ ." .......... ................. •- ..... .............. .... ------------ ................. ........... ...................................................... ................ . ........ ......... ........................ party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with the said party ........ .of the second part ....................... ...11a..a_....heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the �+ same are free and clear from all encumbrances whatever......... ....................... .-...-°-•-•_......................................................................... °-- -..--- -------- -•- °- I! -------- ---- ...._ ..................................................-_-......----.............._.....................----.........-----••---."...-"--•--.....""".--_------•-----..-. ......--------- ..------- - ---• -- -- ".- ------- ..--- - - -- -- ..... '� . . . . .. ------ ......._.._--------...-•---.............••---••-.-._..................°-----------•--•----•----..........._..... .... ............_..._...... ....,.• • ----------------------- ..............••-- °°....... ........ .................._._.. and that the above bargained premises in the quiet and peaceable possession of the said party.--- ....of the second part....h7.,15heirs and assigns, f against all and every person or persons lawfully claiming the whole or any part thereof, it will forever WARRANT AND DEFEND. i In Witneas Whereof, the said......... ..� r I►lS.t. .01]g_...Re.al"ty..,. .... Inc­... ........... ­­­ .......... ........................ ...... ............................... party of the first part, has caused these presents to be signed by.... -. ....... ............................... its President, and � countersigned by.­ .......... ­ ...... I ......... ...Ax'171S.tX.f.TDg its Secretary, at ...... ..Rudson .............- ........ ' Wisconsin, and its corporate seal to be hereunto affixed, this.....1..5tth ... ..dav of ...... ....Ma. cli ..................... A. D., 19..66..... SIGNED AND SEALED IN PRESENCE OF ARMSTRONG REALTY INC. �7 orporate Name o. i n dent " " " " "'" Darrell Armstron g .............._.... .-- •- •-- •-- .......... COUNTERSIGNED• < 4 Vivian Truen CoRp ry - ------- ------- - - - - -- 4 ` �-- - - - --- C r . ........ ...._ „Ma rga re t...A rmstron t r on STATE OF WISCONSIN, Cb . $g ' ° ................. .• St --- °- Croix -................----- °-------- Coun J Personally came before me, this ...... [ ...... -day of ..- -- °..... -1 A. D., 19-. .. .......... ....................................... _ ..... ...... --.......... I Darrell . .. . Armstrong ..... ... ............. President, and, ....................... _ ... MaI�a of the above J _ ..................• .. •... . •....... . named Corporation, to me known to be the persons who executed the foregoing instrument, and to me known to be such .. ......................President and ... ............................... ......Secretary of said Corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of said Corporation, by its authority. e r / Hu h F. Gwin NOTAaY �, .._...--"--.... ...._--�a_....- -.....- ....._..- ...._..-... ........ (, fy s6Alt• '1 This instrument drafted by J , Notary PubUc......... -St. Croix .County, Wis. .::._._ _ I ....---------- H11g} l... E .... ! ^ i3111.I1.._. ............ .. .__. .,;. M y Commission (S4i7fe1G) .,._. ..... ._.. i w l (Secdon 59.S1 (1) of the Wisconsin Ststa” provides t at;il la.tr,u..ts to be recorded shall have plflnly prhatad or typewrltteo thereon the names of the arantors, grantees, witnesses and notary).. WARRANTY DEED —STATE OF WISCONSIN. 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