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Parcel #: 040 - 1159 -10 -000 10/20/2006 01:54 PM
PAGE 1 OF 1
Alt. Parcel #: 25.28.20.621A 040 - TOWN OF TROY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
BRYAN L & MARY E EVANS O - EVANS, BRYAN L & MARY E
287 PLAINVIEW DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 3.290 Plat: 3636 -CSM 13/3636
SEC 25 T28N R20W NE NE BEING LOT 4 CSM Block/Condo Bldg: LOT 4
13/3636 287 PLAINVIEW DR OR 192 DELANDER
DR Tract(s): (Sec- Twn -Rng 401/4 1601/4)
25- 28N -20W
Notes: arcel History:
ry :
Date Doc # Vol /Page Type
05/11/2004 762191 2569/053 EZ -U
11/21/2003 747220 2460/576 WD
06111/2001 647948 1657/560 WD
07/23/1997 770/71
more...
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09106/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.290 90,000 242,500 332,500 NO
Totals for 2006:
General Property 3.290 90,000 242,500 332,500
Woodland 0.000 0 0
Totals for 2005:
General Property 3.290 90,000 242,500 332,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix
Safety and Building Division
k INSPECTION REPORT Sanitary Permit No: 453114 0
GENERAL INFORMATION (ATTACH Td-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.
Evans, Bryan & Mary Troy Township 040 - 1159 -10 -000
CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No
COO $1� Y:L 25.28.20.621A
TANK INFORMATION ELEVATI DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic t 2 �o ) - Benchmark o `�
Dosing Alt. BM
.
Aeration Bldg. Sewer
Holding St /Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL EBLDG, Vent to Air Intake ROAD Dt Inlet /
Septic O ` �) Dt Bottom I7
92 r
Dosing Header /Man.
Aeration Dist. Pipe
Holding Bot. System T_tz
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer
Demand St Cover
�rc m ct C. GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. 1 i Dist. to well
57 Z O
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 8( , 3
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacture
INFORMATION CHAMBER ORn
Type Of System: t / o t N UNIT Model Number �/ _ k
C T O i+ v� t. 1 �
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
� , Pipe(s)
._. - __ ----
Length f! Dia Z Length is Spacing ^_
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Be rench Center �� Bed/Trench Edges Topsoil Yes No Yes
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / t2 / Inspection #2:
Location: 287 Plainview Dr Unknown (NE 1/4 NE 1/4 25 T28N R20W) Beling Lot 4 Parcel No: 25.28.20.621A
1.) Alt BM Description = I - P
2.) Bldg sewer length �`Z. " ° p c�c 2 — -u e
- amount of cover= SU 3� Uhsc�r✓� /- ! n � <,f �S ��t��
formation.
Plan revision Required? Yes No
r in
y 2- �
Use other side for additional ' i G
SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No.
A .
Safety and Buildings Division County Wba 20 1 W. Washington Ave., P.O. Box 7162 permit Nt(t filled in by Co.) IScmisin Madl4+ln, Wl 3707 - 7162 ®
f Commerce tart / /
�(
rtment o FIVE Stn Plan I.D. 4 , L
Sanitary Permit Applica on
umber
In accord with Comm 83.21, Wis. Adm Code, personal info 'on yo e 1 2 2��
y Privacy Lsw, s15. lxm) " Address (if Brent than mailing address)
may be used for secondary purposes ? PI RhIAJ V JAA.) JAC :)_5 - 7,0
UNTLY'
1. Application luformatioo - Please Print All lnformatlon ZONING OFFICE I r ID — /A
Parcel q Lot p Block a
Properly Owner's Name / Prope 14 /
S rty Location 1
Properly Owneip Mailing Address
�S1 �o
Y �� �. N� Section 2 �'
Ci ,State Zip Code Phone Number n _SS ircle
�,5- • �g T �r Ni R
I1. Type Building (check all that apply) T S CISK Illumb
� C ► d Subdivision Nam � & ;t- r � I f 3
9012 Family Dwelling - Number of Bedrooms �LJ�
❑ PubUc /Commercial - Describe Use �2LS IN 21 �CQ OCity_OVillage�Township oC K0
C3 state Owned - Describe Use
3 Df57 `
Ill. Type of Permit: (Check only one box on line A. Complete line B if 11 pllcable)
A O Other Modification to Existing System
cw S s um O Replacement System O 'Dleatsneat/Holding Twill Replacement Only
list Previous Permit Number and Dete issued
B. O Permit Renewal C] permit Revision C1 Change of O Permit Transfer to New
Before Expiration Plumber Owner
lV. T e of POWTS System; Check all that apply)
❑
on - Press urized hi- Gro und O Mound ? 24 in of suitable soil O Mound < 24 m. of suitable soil O At -Grade [D Si Pass Sand Filter
Constructed Wetland O Pressunz la-C>round ❑ Holding Tank O Peat F Deli Line Gravel -less Pi liter O Aerobic TO t Urlit Recirculating Sand Filter ❑
Recirculating S thetic Media Fllta
V. Dls ersa men m
l/1'reatt Area inforation: �n l Ar ro POa ed ( S st Y em Elevation
Design Flow (gpd Design Soil Application Rate(gpdsf) Dispersal Area uired (sf) isp w e � rsa � P y � N,
✓ '� I f�l/V a 1
is
I W Total Number Manufacturer Prefab Site Steel Fiber Plastic
Vi. Tanklnfo �l�s Gallows of Units Concrete Constructed Glass
New Existing
Tanks Tanks
scpiic of n
Acrcbic Trescmc- Unii
Dwing Chamber S � �" 0 t
V11. Res nsibill Statement - 1, the under ass re ns1bW for l p /M. PRS of the Number 1'OWI3 shown on the Bttncattach Phone Nurnba Z
Plumber's Name (Print 3S — Z
PI Si MPlMRS )
_1 11 f/
Plumber's Address (Street, City State, Zip C
Vill. unt /De artment Use s)
Sanitary Permit Fee (includes Groundwa Date Issued suing Age e
proved ❑Disapproved Surcharge Fee) � � �—/� � �j23 6
O Owner Given Reason for Denial J V
IX. Conditions of Approval/Reasons for Disapproval
YSTEM OWNER: ��� Yu � �� G&r
1 !ep an , e went filter and
dispersal cell must all be serviced 1 maintained
as per management plan provided by plumber.
2. All setback requirements must be m intained
as per applicable code /ordinances. 3
Attach complete plans (to the County only) or.tbe system oo paper not ka than alt2 x t loebes In size
SBD -6398 (R. 01/03)
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FRi'?M .ERT I F I ED SID I L TEST I NG FAX NO. 715 233 1x7398 Jun. 7.4 2002 05:52Af^
x
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^00r-L ►.11.4A6ER: \ e ( l-� �.a CAPACITIES: A. dl.2. W CNCS ph
SWITCH T�PL' as 1A)CxfS ,f.R 14TAd
r h1A1 UFAGTURC1t: IVIr (L Ca � 1 !- 'Lp4t$ OH +�
s " -OGEE 1JUMCi1f,: � ✓� 3 ' 0 �_—• Dw {= Iu - HES GR
SwiTCH T ypE; ` ^,.� uppC: PUAP k�JO ALARM .ARC 7C dC
M1l:IMlJf'1 DISCHA1t" RATE GrM (1JSTALl EO Ot: SEPn�ArE C K�_
V- Z7,T)CA,' DITFLXr,.4C[ KTWEEW PUMA' OFF AUO 016TR141LITIOW PtPC.. ACCT
�- r, uir.UM ><i[TWastS{ SUPPL. j PAr&SUR£ . . . . . 0 F'CCT nn
+ r CET OF FORCC 1''1AIP1 X ��� f fpd��FKICTIO►1 FACTO%. I FELT
TQTAL 01UAAkIr- NCAu t FEE7
IQT7RQA'., DIME1.1410A1fi OF TAUK: LEA.iC�TN 't ;41i01'N - -` a `r ; LIC}'wID pEPY -1 l 4
Performance EIIM' Wholesale Products Page: 6350 -1
Data Section: Performance Data
Dated: January 2001
RPM: 1660 Discharge: 1 -1 /Z" Soli
12 40
9 30
LA-
,.. z
6 20
o SkF'30
- 3 10
0 0
Capacity -U.S. G.P.M. 10 20 30 40 50
Liters/Second 0 1 2 3
_ The curves reflect maximum performance characteristics without exceeding full load (Nameplate) horsepower. All pumps have
a service factor of 1.2. Operation is recommended in the bounded area with operational point within the curve limit. Performance
curves are based on actual tests with clear water at 70° F. and 1280 feet site elevation.
Conditions of Service:
GPM: TDH: IF' 14YDROMATIC
Wisconsin'Department of Indus SOIL AND SITE EVALUATION REPORT Page of 3
I a�'Human Relations
Rivision of Safety &Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY-
Attach complete site plan on paper. not less than 81/2 x 11 inches in size. Plan must include, but j C� 0
not limited to vertical and horizontal refer4di-. and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location abt 6 r a '� � R IEWE BY DATE
APPLICANT INFORMATION -PLEAALL�NFOR'MIt�FI
PR ERTJ NER: ; ;_. , ` PROPERTY LOCATION _
N Uq On LOT ► v' E 1/4 Nt, 1 /4,S Z'§ T 2$ N,R Z 6 E (or) W
PROPQRTY OW MAILING ADDRE '� pf' � OT # BLOCK # SUB MME OR CSM #
C , STATE, � P PHO CITY []VILLAGE &TOWN N
NiVIE, hIL6 �f ( G F i'� - 1a6y A /NVrEW
New Construction Usekj Residenti Idu o� s K (] Addition to existing building
j J Replacement (J Public or Comm '
Code derived daily flow gpd Recommended design loading rate _ bed, gpd$ .5 trench, gpd/ft
Absorption area required bed, ft nch, 11 Maximum design loading rate S bed, gpd /ft trench, gpd/ft
Recommended infiltration surface elevation(s] i 1G d 3 4 R 3 ft (as referred to site plan benchmark)
Additional design/ site consideration 4L U A7 ►p �i#3t 7,c.-PC_SM 4 IP1 , L
Parent material 6LAe_ A 1- Ti LL Flood plain elevation, if applicable r J A it
S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING
U= Unsuitable fors stem 10 S ❑ U XS ❑ U WS ❑ U EIS ❑ U XS Q U [IS Jv U
SaiL-.&V_ $9 - E E _ !h/�`R-j SOIL DESCRIPTION REPORT PfA-. PILLb"r
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trtd1
-sit 1 n� sb ,-Y- s v� 6.2 d
Ground 34 1`s /b Y R 3 + AS I S4 rJ 0.7 61
elev.
/e ft -/ AY+_ M.5 SG .7 0 .
Depth to
limiting
Remarks:
,Boring #
L 3 _ S•L 1 � sbK n►�r s �� � 2 0 ,3
6Z
Ground 4 / - o y� S SG m Gt,J .7 30
elev. Y 07
AL ft.
Depth to . D
limiting A 't AW
> '/.
fac --
Remarks:
CST Name.—Please Print �Y \ Phone:
:N6 405
A ddress: P0 &X q rk 14 &SON L 1
Signature: Date: /6 n CST Number: -7s7
VU
PROPERTYOWNER SOIL DESCRIPTION REPORT Page? of 3
PARCEL I.D. # t
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft
Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rer&
3 3 / Tsbx s
1 /D m r rs ! a 3
Ground 9 1 4 Ms SG m ,
3 B _ S 1 cs — 7
/p ft 3 3 C SG D `d
Depth to J9 7- 96 16Y44M M:5 Ski ,7
limiting
factor
Remarks:
Boring #
A iovin / L / rnsbK 4r �S ►� 0.4 as
- -3Z /D R S,t'_ /n,sbk mcr CS
In
Ground 72 0 3 SG Cs
elev nil p ,�
1O 5 •f; ft.
Depth to
limiting /DD,
factor
Remarks:
Boring #
E l
Ground
elev. /DY�2 C 1 1��
/p1a_ ft.
t ,
Depth to
limiting
factor
6a lb,"IAA T
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
,p W
FOR
its
r .'s
wo
ME
mm-MA
�, p ��1� mom �
rou Offl ��Mmmfflm
OWN
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I
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N AaSS 1 B Lt< - rd BE -KEPT AW M Y R
I SpL,T1� sYStl
B�Z At Pass/ @ LC
p e w
� 32' .. �frJGN�►'I+��X -• 1 � 1 SON ...� -f. .LoT CaRn/t�
E Lam/ = IDD .od
LoT 5
Wisconsin Department of Industry SOIL AND SITE EVALUATION R E P O R) rage i of -�
Labor and Human Relations
DivisionptSafety a Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY -
Attach complete site plan on p per.not less than 81/2 x 11 inches in size. Plari must include, but
not limited to vertical and horizontai reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance a e o // S ; - /d ' 0 0
REVIEWED BY DATE
APPLICANT INFORMATION - PLEASE P tI1Xl
PR ERN WNER: OPERTY LOCATION _
NUN r� i ' l iEO _G vT. LOT pia N� tia,s ZS T 2� N.R Z 0 E (or) w
PROPF�FtTY OWNER'S MAILI ADDRESS n # BLOCK# SUED. NAME OR CSM a
185 CSM
C� ,STAY L � W i P CO '.`,, PHONESJCII X f] ITY ❑VILLAGE JVOWN N REST ROAD
(
J. ) COON '� A/ tj'J t FLJ
New Construction Use Residenti of bedroom (J Addition to existing building
j J Replacement ( J Public or com 'aGtf s
Code derived daily flow gpd Recommended design loading rate bed, gpd/ft french, gpd/ft
Absorption area required bed, ft nch, ft Maxichum design fbading rate bed, gpd /ft _trench, gpd/ft
Recommended infiltration surface elevation(s) r 4 3 Q R 3 ft (as referred to site plan benchmark) ;
Additional design/ site considerations- Aj-u bo V � CSM 4PNOV.4L
-
Parent material 46to c1AI- ?i LL' Flood plain elevation, if applicable ft
S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT-GRADE SYSTEM IN FILL I HOLDING K
U- Unsuitable fors stem 10 S 1 U X" ❑ U 1 0 S ❑ U 9 S ❑ U I NI S U I ❑ S 4 U
ESE MME-R SOIL DESCRIPTION REPORT N- R L L.b -
Depth ominant Color Modes Structure GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence BoLx>Lary Roots Bed Tench
`.. _ b 3 / L 1 M -SLY, tr s i
3.
Ground . t' f`s /(1 e 3 4 � rbt5 s /►n 0
elev. _
it� - � /aY�4 M.S
Depth to
limiting
facto
Remarks:
Boring # /)
4 r
Ground
$Z -83 y — S SG rn - c,� - 7 o
elev. - /Q YR /h SG M
AL ft.
Depth to
limiting
/r --
Remarks:
CST Name : — Please Print d Phone:
ross: P O. Sax 9 U 1 50 NLi l
Signature: Date: /� CST NumbeZ
OU
PROPERTYOWNER P -1, SOIL DESCRIPTION REPORT rayC "oi l
PARCEL LD:
D h Do inant�Color- .._ Mottles• Structure GPD /ft
Boring # Horizon in Nlunseli Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence B Roots Bed m
3
3 " "� I M sb A o .5
-ZI I0 —' SQL I m sb r l .z-'a3
Ground 97 Z /773 /616U MS
ele
16 It 8 3 3 CS SG cs - p.7 : fi g
Depth to
Hating
> fC o
Remarks:
Boring ,#
al lrn bK rh�Y^ c� 1 0. 0 .s
Ground' b
elev
ft
Depth to
limiting
for
Remarks:
Boring # ;.
13 B, 4 /a 5,c AstK mi, C d.3
Ground p - 7 - L ,Q 4/3 t
Ski -
elev. g� 7 6 N P N�
Depth to
limiting I __
fac
Z
Remarks: I
Boring #
1�3
Ground
elev.
Depth to
limiting
fa cto r
Remarks:
SBD- 8330(R.OSN2)
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POWTS OWNER'S MANUAL at MANAGEMENT PLAN Page � of
FILE INFORMATION I SYSTEM SPECIFICATIONS
Owner B 03 Septic Tank Capacity 14ro gal ❑ NA
Pennit # 1 3 1 Septic Tank Manufacturer 4ikur ❑ NA
DESIGN PARAMETERS Effluent F ilter Manufacturer Z"Ll— ❑ NA
Number of Bedrooms ❑ NA_ Effluent Filter Model A— I Do ❑ NA
Number of Commercial Units V�.� Pump Tank Capacity gal ❑ NA
Estimated flow (average) 0O gal /day Pump Tank Manufacturer ff120�"' ❑ NA
Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer ma ❑ NA
Soil Application Rate ! gal /day /ft' Pump Model 30 ❑ NA
Influent/ Effluent Quality Monthly average* Pretreatment Unit 9_to
Fats, Oil 8z Grease (FOG) :_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) :5220 mg /L ❑ Mechanical Aeration ❑ Wetland
:_150 mg /L ❑ Disinfection ❑ Other:
Total Suspended Solids (TSS) Manufacturer
Pretreated Effluent Quality ❑ NA Monthly average ** Dispersal Cell(s)
Biochemical Oxygen Demand (BODs) 530 mg/L Mn- ground (gravity) ❑ In- ground (pressurized)
Total Suspended Solids (TSS) :_30 mg /L ❑ At -grade ❑ Mound
Fecal Coliform (geometric mean) :_10 cfv /100m1 ❑ Drip -line ❑ Other:
Maximum Effluent Particle Size A inch diameter
* Values typical for domestic (non - commercial) wastewater and septic
tank effluent.
* * Values typical for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every 3 ❑ months 4'year(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one -third ()6) of tank volume
Inspect dispersal cell(s) At least once every a N . 7 ❑ months Ayear(s) (Maximum 3 yrs.)
it 10
Clean effluent filter At least once every ❑ months W years) 104
Inspect pump, pump controls az:alarm At least once every ❑ months k year(s) ❑ NA
Flush laterals and pressure test At least once every ❑ months ❑ year(s) ❑ NA
Other: At least once every ❑ months ❑ year(s) ❑ NA
Other: At least once every ❑ months ❑ year(s) ❑ 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 (%) 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 ch. NR 113, Wisconsin
Administrative Code.
The servicing of efflugnt filters, mechanical or pressurized POWTS components, pretreatement com ol,enp, ; and any other
maintenance or monitoring at intervals of 12 months or less shall be performed by a certified PO S- Maintainer.
A service report stp11,4e provided to the local regulatory authority within 10 days of co edon of any service event.
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
..F «tie tnnWc1'rhmnvarf by n cantwa carv irinsr nnPratnr nrinr to rnca.
Page of
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 eMuent 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 mad improve the performance and prolong the life of the
POWTS:..andbiotics; 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.
ABAN DONEMENT
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 ch. Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
o e
• The contents of all tanks and pits shall be removed and properly disposed of b y a S ptage Servicing O p erator.
• 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.
❑ A suitable replacement area is not available due to setback 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
IMMVURI.E.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name
L. SINZ PLUMBLNA INC. Name • • MBING, INC, ' 56 09 /08t Phone Phone MEN
MFUMOXiM 505t _=j 1 5451
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Agency 5;T Cr'OI Ic & Zot (N
Phnna Phone 7f.S 2 4004
STATE BAR OF WISCONSIN FORM 2 - 1999
Document Number WARRANTY DEED
This Deed made between Michael C. Gutting and Melissa J.
Gutting, husband and wife Grantor,
and Bryan L. Evans and Mary E. Evans, husband and wife / l
Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in St. Croix County, State of Wisconsin / r,
(if more space is needed, please attach addendum):
Part of the NE ' /4of NE 1 /4of Section 25, Township 28 North, Range 20
West, Town of Troy, St. Croix County, Wisconsin described as follows:
Lot 4 of Certified Survey Map filed May 3, 1999 in Vol. 13, page 3636, (�
Doc. o. W2421.
Recording Area
Name and Return Address
C I - u�
040- 1159 -10
Parcel Identification Number (PIN)
This homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this day of November 2003
* * Michael C. Gutti
* * M lissa J. Gutt' g
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF U J4— )
ss.
County )
authenticated this da�t.$f�'
��a Personally came before me this day of
N 1 November , 2003 the above named
*
Michael C. Gutting and Melissa J. Gutting, husband and wife
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Slats.) ins ient and ck ledged the same
THIS INSTRUMENT WAS DRAFTED BY
" // IVv�'J"L-f Y/
Attorney Kristina Ogland * ('C.t Vl
Hudson, WI 54016 Notary Pub c, State of
My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.)
* Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI
STATE BAR OF WISCONSIN 800- 655 -2021
WARRANTY DEED FORM No. 2 -1999
Received: 10/15/03 11:16AM; HEARTH AND HOME DESIGN CENTER; Page 3
10/15:'2303 11:32 _ ? = > N0.990 9003
i
C ER T I F Z D S'UR V Y MA P o
Located in the NE1/4 of the NEl /4 of Section 25, Township Z8 North Rang
West. Town of St. Croix County, Wisconsin.
North =li6e, of the NE 1 /4
_ -- -� b
0.7. 9- rp ctr: WLL,4GE - -
'"� °r.. "+ 5.87 379.01 PLA!NVIEW OR/VE
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AL
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N 11; CORNER M Q 7 "W 309A
SBG 23 -28 -20 $ 97'07 -E 378.97 _ — — — — r� — m CORNER
pRomsek? SEC. 2S -2B 30
100' O,rivewAT I
.....
• IL ® - - -.... -�.... Idrive is ZO 2 feet
�.,.� ,. - - -- - •�=- `_�! "- '..i,vit - -_�ucR. », (from the ce nteYli ae
3,Z 9 a, pf Delaader Drive
143, 408.squarq feet,{ e)_ an d 401 feet from
w iacludfng r - - W. : 4 he centerline of the
n h
130,900 square feet (3:01 ad) • - Z . i ' 6rivuway to the west.
excluding r -o-W- tn j
n v I This map is a sub-
division of Lot Z -of
' that Gsu recorded
�i • `- /O°' din Vol. 6. page 1777.
1
Cu
i jo -W
S 87'07'46'E
I01 a , 378.50•
1
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I47.213 square feet (3.38 ac)
y , Legend
1 � , ail jt
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Uj; I . � I 1 • . indicates
iron pipe fud.
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�, P1 .ro°se m I j 1 wei gghadg 1.6 8
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WIN
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�iWeek ,,o SURVEj�d�`, N 87'07'46 - W 377.97' ` I I
i
LLC_S.M_ _.VOL. 6•- _PG._ 1777_ -
--�-
i Beariags referenced to the North line of the NE1/4
of Section Z5, previously recorded as K87 07 46 '161.
SCALE 1N FEET I' =loo'
O lCl7 200
i 498261?
This instrument drafted by'
Pump runs but delivers only Motor runs for short time then 3. Pump impeller may be
small amount of water. stops. Then after short partially clogged causing
1. Pump may be air locked. Start period starts again. Indicates motor to run slow,
and stop several times by tripping overload caused by resulting in motor overload.
plugging and unplugging cord. symptom shown. Clear impeller.
Check vent hole in pump case 1. Inlet in pump base may be 4. Defective motor stator: return
for plugging. clogged. Remove pump and to Authorized HYDROMATIC
2. Pump head may be too clean out openings. Service Center.
high. Pump cannot deliver 2. Impeller or volute openings
water over 24' vertical lift. may be plugged or partially
Horizontal distance does not plugged. Remove pump and
affect pumping, except loss clean out.
due to friction through
discharge pipe.
3. Inlet in pump base may be
clogged. Remove pump and
clean out openings.
4. Impeller or volute openings 20 1
may be plugged or partially
plugged. Remove pump and
clean out. 19 -2
5. Pump impeller may be 18
partially clogged causing 17 3
motor to run slow, resulting 16
in motor overload. 4 •
Clear impeller. 15 5
6
Fuse blows or circuit breaker 14
trips when pump starts.
1. Inlet in pump base may be
clogged. Remove pump and 1213 6
clean out openings. '
23 22 21 10 9
2. Impeller or volute openings 7
may be plugged or partially
plugged. Remove pump and SHEF30 Performance Curve
clean out.
3. Pump impeller may be 9 30 i
partially clogged causing i
motor to run slow, resulting
in motor overload.
Clear impeller. 6 20
4. Fuse size or circuit breaker is g o
too small.
0
5. Defective motor stator: return 3 10
to Authorized HYDROMATIC
Service Center for verification. •
0 0
Capacity-U.S. G.P.M. 0 10 20 30 40 50
LUerVS%ond 0 1 2 3
4
12. Use pump submerged for does not start each time when
pumping waterlike liquids Pump plugged into the piggyback
j . (temperature to 120° F). • • _ • • • switch with the float raised up
to a start position, replace the
CAUTION• Do not pump complete piggyback switch
Servicing should be assembly and retest with
flammable liquids, strong performed only by an new assembly.
chemicals or salt water. authorized HYDROMATIC
1 Service Center. 7. If all symptoms check OK,
l i motor winding may be open;
r 13.In applications where the take to Authorized Service
pump may sit idle for months WARNING• Always disconnect Center for check.
at a time, it is recommended the pump from power source
that the pump(s) be cycled before handling or making any
every few months to insure the adjustments. Always wear Pump runs but does not
system is working deliver water,
pumping y g rubber boots when there is
properly when needed. water on the floor and you must 1. Check valve may be installed
14. An audible alarm, such as unplug the pump or make any backwards. Arrow on valve
the Hydromatic Q -Alert for adjustments. points in direction of flow.
high water conditions, should 2. Discharge shutoff valve, if
be installed for additional NOTE: Automatic thermal used, may be closed.
protection against high um 3. P be air locked. Start
water conditions. overload protects the sealed -in- P may
oil motor. Running dry may and stop several times by
overheat the motor and activate plugging and unplugging cord.
NOTE: The Q Alert alarm the overload protector until the Check vent hole in pump case
panel is for indoor use only. unit cools. for plugging.
• For applications and product 4. Pump head may be too high.
information, contact your Pump does not run or just hums. Pump cannot deliver water
HYDROMATIC Distributor. 1. Line circuit breaker may be over 24' vertical lift.
off, or fuse may be blown Horizontal distance does not
Your pump warranty is void... or loose. affect pumping, except for
2. Water level in sump may be friction loss through the pipe.
'I If... power cord has been cut. um
too low to activate automatic 5. Inlet in pump base may be
If... pump has been used to switch. See installation for clogged. Remove pump and
pump mud, cement, tar, proper on/off levels. clean out openings.
abrasives or chemicals. s 6. Impeller or volute openings
3. Pump and/or switch cord plug P P g
If... pump has been used for may not be making contact may be plugged or partially
pumping of hot water in receptacle. plugged. Remove pump and
(above 120° F). clean out.
4. If pump is using the series
If... pump has been dismantled (piggyback) cord plug, the two
by other than authorized plugs may not be plugged Pump runs and pumps out
HYDROMATIC Service
Center or Distributor. together tightly. sump but does not stop.
5. Float may be stuck. Be sure 1. Float is stuck in up position.
float operates freely in basin. Be sure float is not hung up
6. If the unit is being operated by and operates freely in basin.
the optional float control 2. Switch contacts may be stuck,
switch, unplug the pump from replace switch.
the "piggyback" receptacle and
• plug the pump directly into the
power source. If the pump
starts each time it is plugged
directly into the receptacle and
3