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HomeMy WebLinkAbout042-1079-40-300 0 c 0 3 n d °c F r d ° r° Ln M 0 x � FF N �" - 0 O Z O W O _°-' 3 `� e' 03 v Nth 0-4 a �� N Cl O 0 O 7 O R O O c A =r l a ' 3 y 0 a p 0 r. N C - {� V fnZD a ♦� m D W a o C a 0°a N L";� O 0 o °O v n p C4 w 3 �* Q � • T l�l z O 0 O O Or o o O . i a < z o o fn 0 fn 0 ° D 0 CD w m d O T SD m ro 3 of a n z n o K C co n x a Oc fD m Q o a CD 0 5.- CD n A O j d O 7 rr 3 w O O a 3 m w s CO) 0 CD m 0 0 A 0 0 N O U1 O y t0 O C M CL L o M CD CD QD Z CD CL 3 3 z !� z A f f '`. 0 0 y' O y (D 0 y C 7 3 O O f�D O ? c a v 0 Q° SD Q Z ' ° CD a 0.N fD � N j O CCDL O U) N 7 T ` ° d 0 0 ' n 7 N d 7 0. d C O C � o ° C , Warn z a CD c CD C (n O O O N 0. O fD N O. y w1y' C j D 7 O. CO 0 (p c O _ CD rn ' D A O OfD aC nO � O_ Q < O Cij CD z v', cnN m � m I. , a c a O 70c N 0 fD Y v 11 CD ;r CD CD o 1..1 V� O N ° O N O O CD 1 GI w d O O CD a0 1 CD �( O A V O ` ~ ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division 1 INSPECTION REPORT sanitary Permit No: 430001 0 GENERAL INFORM. ATIOM (ATTACH TO PERMIT) State Plan ID No: Personal information you providt maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Torntore, Anthony Warren Township 042 - 1079 -40 -300 CST B v: Insp. BM Elev: BM Description: Sectionlrown /Range /Map No: 00-6 / 0 6- d Pvc 29.29.18.451 A50 TANK INFORMATION I ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI ' FS ELEV. Septic Benchmark d� .oZ io�o pDo Dosing ZzU � Alt. BM 6 A-r- 1- Y4 I o o / P Aeration Bldg. Sewer _--- o3 Z / Holding S Ht Inlet 1.7 /f 06 TANK SETBACK INFORMATION St/Ht Outlet --, o f - TANK TO P L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ' 1 1032 7 -F� Septic S — D , i , Dt B ttom ' q - 73 Dosing ( / dr er an. �� 6 3 Aeration Dis� 2 .b . 100 6 Holding Bot. System 11 Z O PUMP /SIPHON INFORMATION �-� Final Gra 7� o/. Manufacturer U Dema Si v e - 4 Model Number I TDH Li Fricti Lom Systerp He� TDH Ft !! (o ' Forcemain Length I Dia. , Dist. to ell .I d T r A) yef SOIL ABSORPTION SYSTEM BEDITRENCH Width Lengt� No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth i -- -- — DIMENSIONS / 7 // / (02 CJ SETBACK SYSTEM TO JP/I BLDG WE LAKE /STREAM EACH Manufacturer: INFORMATION CH R OR Type stem: _ 1 � Model Number: Z O DISTRIBUTION SYSTEM Ya' Header/ Manifol Distribution x Hole Si e x Hole Spacing WMulched w Pi es / /� °I Length Dia Length � ia (.2S Spacing_ I / 2 "( SOIL COVER x Presure Systems Only x Moun At - Grade Systems Only Depth Over I Depth Over x r r,�y� " xx Seeded /Sodded BedlTrench Center ��,ry ,(i Bedfrrench Edges Topsoil P 9 Ej Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection # #1: / �L �/ — , - > Inspection #2: 1 l Location: 762 103rd St Roberts, WI 540 3 (SW 1/4 NW 1/4 29 T29N R18W) NA Lot 6 f Parcel No: 29.2 .18. 51A50 1.) Alt BM Description= 2.) Bldg sewer length = / 0 jW amount of of cover = ? ` (� L6AA.ce2 tit-lou- 'tv �,es Use other l s de for additional information. o -5 9_ - -_ - -I - - - - -i ! - -_L -- SBD -6710 (R.3/97) Date I Insepctor's Sig ature Cart. No. 1 r ♦ � r yr •.M�� � .., r Safety and Buildings Division county 201 W. Washington Ave,, P.O. ox 7082 ST. CROIX ?is�� Box Madi um, Wi 53707 - 7082 Sanitary Pe it Number (to be filled in by Co.) �3epartment of Commerce (608) 6546 C}` 0 00 Sanitary Permit Application State Plan I.D. Number T�s. lb In a000rd with Ccmtm 83.21. Wis. Ad<n. Code. penxt W information you provide _ 7 F S 5� may Ito used iar seotxWary purposes Pnvacy law, s D _04(1 )(m) t'rojed Address (if dilferent than mailing ad� Application Information - Please Print All Information `7 6 Z 3RD ST. tA�tter's Name Parcc # Lot fi } 6 Pdock ANTHONY & ERIN TORNTORE G� 042 - 1 79 3 Property Owixt's Mailing Addrm O L°eation Properly . 1865 WISCONSIN STREET ` 1 S 3 xT SeCtNr 29 City, State , Code Phone U nrcle RIVER FA LLS, WI 54022 715 -4 5 -234 �,� T 9N ; R 1 80 or IL Type of Building (check all that apply) ✓ 14 1 or 2 Family Dwelling -Number oi' pAxhuonts 4 Subdivision Name CS Number ❑ 1 — 13esrtiltn: C�9C ❑ State Owned - Describe 1 tSc W� C k1, 4e�2. City_❑Vitlage L'1`Ebwnship of WARREN 1I1. Type ol"Permit: (C heck only rune box on line A. Complete lice B if applicable) A- N� ❑ Rzplaoattuad System ❑ Trea(metl/lioldiog Tank Replaoment Only ❑ Other Modification to E)dsfmg System 8. F1 Permit xwewal ❑ Yemnd Keviston ❑ Change of ❑ Permit Trarsfer to New List Previous Perrllrt Number and Dale issued Before Expiration Plumber Owner IV. T e of POWT'S S tem: Check all that i ❑ Non Pressurized In -Ouund N Mmind> 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Crack ❑ Single Pass Sand Filter _ Constructed Wetland ❑ Press rimd 1n4;round U 1l oldmg Tattle ❑ Peat Filter H Aerobic Treatment Unit ❑ Recirculating Sand Fifter ❑ Rmimdtating Synt Media Finer n [ kichi ng Chamber ❑ lhip i.ine 11 Gr -less Pipe ❑ (lifter (explain) V. DispersaYfreatment. AreaInfornmation• Dry __ Design Flow (gpd) Design Soil Application R D Required (sf) Dispersal Area Pruposed (st) System Elevation 600 .O , 3 S o f t rt sf 600 4 600 9:Q�' d - — ... ................ - ..._ VI. Tank Info t ' in I Ntunb r Mamtfactnret Prefab Site Steel Fiber Plastic Gallons Gallons of I inits #, W 4-19 Q y�� Concrete Constructed Giese NT'm TwArs Tu rks Tanks Septic orlioldirg Twk X 1250 1 WIESER X Aerobic Treaf amt Unit rt '�'"e` hwnhc X 1000 1 WIESER X VII. Responsibility Statewnt- i, die mWersigned, aasraoe respo rsibay for b mtWhAlor of the POWTS shone ee the othiched Flown. Plumber's Name (Print) Plu IMP /MPRS Number liuvir s 1'Isnne Number TODD FEATHERSTONE 242514 715 - 381 -1704 Plumber's Address (Street, City, State tp C`.udo) 368 T WER ROAD HUDSON, WI 54016 v Darr the artfinerrt Use Onl kj/ ApPr0,,W ❑Disapproved 1 8anitary Permit Fee (includes Groundwater y is suing Signature tamps) < wT Surcharge Fee) 1'30 S r tf` ✓ / 2 3 �' ❑ (An Given Reason for Denial _ _ IX, Conditions of ApprovallReasons for Disa�p /D 6, 3 r Gn - Attacn C614Vc plant (to the Cauaty only) for the ay�em frH thus Bill ; Y inches in !�'l(«t.�L �,av�'d� -c.k__ nt,�•t.� �..` Cam. B 3• �(3�J Il I - PLOT PLAN -Page of � scale 1 "= SO' t)D rJUT c�M �s , ,er o ►z - 7S 11- 4�d , 13. '1 o10 �5 b 2b � B -I gp'OF Z��PVC F,tr -�. 'An W / bd' � M N J� ? C D y -� x S U66 � _ t-o eftnu C 0 P Y NOTES: 1. Elevations shown are existing ground elevations unless,otherwise noted. 2. Install 4" observation pipes with approved caps. �( 'L_ required). 3. Septic tank to be \Zpp gp gallon capacity manufactured by �\S�Z C2JC40 w�� -i Z�oo ZN � RJR _ 4. Bench marks St�� - ( I d�pU�-: 5. Divert surface water around system to prevent ponding at the uphill side. i I EIVED Safet and Buildin �� 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 s Q3 20Q2 TDD #: (608) 264 -8777 iscons#n www.commerce.state.wi.us /sb S CO UNTY www.wisconsin.gov Department of Commerce OFFICE Scott McCallum, Governor Philip Edw. Albert, Secr September 16, 2002 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS W1 54022 HUDSON WI 54016 CONDITIONAL APPROVAL I PLAN APPROVAL EXPIRES: 09/16/2004 Identification Numbers Transaction ID No. 785852 SITE: Site ID No. 650059 Erin Toenjes / Anthony Torntore Please refer to both identification numbers, 103RD St above, in all correspondence with the agency. Town of Warren St Croix County SW 1/4, NW1 /4, S29, T29N, R18W FOR: Description: Four Bedoom Mound System Object Type: POWT System Regulated Object ID No.: 869323 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01/01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption � tl �nal�y area. chs. NR 811 & 812c ZOA ! J� • Sanitary Permit must be obtained from the county where this project is located in accordance with the v requirements of See. 145.135 and 145.19, Wis. Stats. r OF COMMERCE 7EY D11 DINGS Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the _-eM designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat :SPONDE14C • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTHUR L WEGERER Page 2 9/16/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi. us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 I i i Mound System Management Plan page Z of `7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessa to ensure proper operation. The filter cartridge should not be removed unless provisions are made o o i s in the tank that may hen removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspecte at least once every 3 years V I switches, ala4�d pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual (SBD- 10572 -P (R. 6199)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment_ shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at — I l S - 8'b. -� b$ ST• C2O The system installer at The tank manufacturer at Z.S The effluent filter manufacturer at �DO - �Zl - Sly Zt Th e pump manufacturer at gZQ_ LL GcwLpS TITLE SHEET Page of FOUND SYSTEM FOR A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 -P and the Pressure Distribution Manual SBD- 10573 -P C CZ. 6 / cv9. Cna.614 LOCATED IN THE Sw 1/4 OF THE NW 1/4 OF SECTION Z ,T Z9 N,R 1$ W, TOWN OF W r -Z may g�'_ C� l�( COUNTY, WISCONSIN. Z) F- C S r! - INDEX Fj PAGE 1 of 7 TITLE SHEET J'9/c 9 ��' •�((,, "/ PAGE 2 0f 7 SYSTEM MANAGEMENT PLAN G �9 �'® PAGE 3 of 7 PLOT PLAN VIEW-CROSS PAGE 4 of 7 PLAN SECTION PAGE 5 of 7 DISTRIBUTION PIPELAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION y� PAGE 7 of 7 PUMP PERFORMANCE CURVE / `j PREPARED FOR lz ! U C F c , 1,j 1 S b Z Z PREPARED BY WEGEE�ER SOIL .TEST = NG AND. 33ES I GN SE ICE P.O. Box 74 421 N.Main St. sM�� River Falls, WI 54022 ® off Phone 715- 425 -0165 ��CJR►v�' Fax 715- 425 -6864 ` .•••" " " "••.. � < 1 �r gATWS WEGEREa 6915 P RLSWOFTw. Co WIS. J APP 00 I G 1' DE RTMEh at N Of � g _Zg - oZ SEE CORRt JOB• NO.- PLOT PLAN ' -Page of � scale OrV awt �F 2 � •D D JvoT c 0� �q.ey- D►L o tib,,y o ssv �2q a. eo►��v�Z � q 9 . o ' �\ �� ' \ q 2b� 8v tr 1 S M o f ,a � • D Pace Ll Or" Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand Topsoil ":' -H = tG ,- F Elev. o D, C) 0 I e 7 % Slope Distribution Cell of Force Main Plowed z to 2- A;gregate From Pump Layer D �4 Ft. E 1.4 Z Ft. CROSS SECTION OF A MOUND SYSTEM F d -`6 Ft. C D -6 Ft. A Ft. H Ft. Linear Loading Rate= l,.Q LNN B ) 00 Ft. Design Loading Rate p.3GpD /SQ FT � I I Ft. K Ft. L W Z Ft. I } - Observation Pipe 6 K a'f" ------- - -- - -- --------- - - - - -- - - - - -- SOX W ----- - T- - -. - -- - - - - - -- --------------- - - - - -- Fcrce Main Distribution Cell o oFPOS TD f x to 2 I 2 Pipe aggregate Observation Pipe (►nchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout pane S of Place the holes at the bottom of the distribution pipes at* equal spacing. Remove all burrs from the pipe and holes. Extend the end of each late. al up with the use of long turn or 45* f r nQ to a point within sip inches of the final cmde. Te. the ends of the Iaterals with a valve,: threaded cau or • ceded plug. Provide access from final ode for the valve; threaded cap or threaded plug. Later! Manifold Laterl x x x xQ X(2 1 x x x x Lateral Lertath -F Lateral Length — P Distribution 4:ne P � � 7cc :mss sflx c i NR crx P Ft. Hole Diameter J AS Inch S 3 Ft. Lateral Inches) X Inches Manifold Z Inches Force Main " Z Inches lof holes /pipe ZS Invert Elevation of. Laterals IOd.S Ft. _ - Combination Septic Tank and PUMP CHAMBER CROSS SECTIOM ACID SPECIFICATIONS ' PAGE OF 7 -VEUT CAP WEATHER PROOF JUJJCTIOIJ 50X . ti C.Z. VEIUT PIK APPROVED LOCKIKIG 110' FROM DOOR. MAIJHOLE COVER INIV '.ilUDOW OR FRESH wp+RtJIIJG �-l4gEC - u`� PIPg Cor.�putT wlrl�tZ.rstli -rnp A,P IuTAKE t ' FIIV 6`+nW.• .._ . i • � L H i 'i�UJ. s H•© i� i WLET �" PROVIDE •• '' AIRTIGHT SEAL I I e��lc I I I Approved r-, A I I Approved joint c1 / - \$pp I III joint w/ PVC pipe a _ II ALARM PVC pipe I I. C 7 I i ou CLEY. —. � I I I OFF 0 - • C0IJCRETE C) 3 . �O' 5LOCK t - RISER EXIT PERMIT(ED OQLy IF TAWK MAI,IUFACTURE:R HAS SUGH APPROVAL 3 "AAPRat<c - 6><p0 t H 4 SEPTIC f SPECIFICATICKIS 005E TA Li KS MAL U F ACT URE:R: � �Z CU w (- - 1 . z k El � 1JUM15ER OF DOSES: ` Z° PER DA-w TAMK 51ZE: _ 1 lzrJ l 9 OD CALLOUS DOSE VOLUME r ALARM PSAUUFAC7URGR; INCLUDING OACKfLOW: \ SS , - 7 CALLOWC, MODEL WUMBER: Q1 �4L J CAPACITIES: A= ' WCHES OR Z 3 6ALL045 5WITCH TYPE: N�ZC --UTZ- IIJCHES'OR y `I' G�LL0115 PUMP MAIJUFACTURER: G L-DS ' 0 IV IUCHES OR \-S S '� GALLOWS MODEL NUMBER: p= Q INCHES OR I! 3- GALLOAI 5 SWITCH TYPE: �O�t- $0 O. - 7 �'1 �(Z�°_.;JlZL/ I IJOTE: PUMP AMD ALARM ARE TO b M11JlMUM DISCHARGE RATE � GPn INSTALLE RATC CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AUD..DISTRIBUTIOU PIPE., b' 1 ' FEE+ MIIJIMUM METWORK SUPPLY PRESSURE -32 FLE )I 3) 2O M FEET OF FORCE IM Y, 3 6FT -7 J o FCFRICTIO►J FACTOR.. FEET -F TOTAL Dy1JAMIC HEAD = 16-07, FEET As per manufacturer gal /in. Liquid depth a • Goulds�� Submersible --� Effluent Pump 101 0 _ 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- • Effluent systems components. p • Homes Available for automatic and tic cover with integral handle • Farms Motor: manual operation. Automatic 'and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, 115 or 230 V models include Mechanical points. • Water transfer 6 0 Hz ' 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with automatic reset preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • Solids handling capability: automatic reset ■ EPO4 Impeller: Thermo - 3 /4" maximum. • Power cord: 10 foot plastic with pummp p out t vanes for pen design AGENCY LISTING - • 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 Associa6on • • Discharge size: 1 1 /2' 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 "F" or "AC ".) rotzry/ceram ic-statio nary, 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 30t '``' components. ( _ ' r � Pump: EP05 a • Solids handling capability: 0 25 i 3 /4" maximum. a z j ui -� — -- - - -- • Capacities: up to 60 GPM. z s 20 i 7 • Total heads: up to 31 feet. � • Discharge size: 1V NPT. • Mechanical seal: carbon- c 5 15 )6. 0 Z 1 rotary/ceramic- stationary, 4 BUNA -N ela stomers. • Temperature: 3 10 ! i 104 °F(40°C)continuous I i 140 °F (60 °C) intermittent. 2 -- 5 0 0 00 10 20 30 40 50 GPM 0 2 4 6 a 10 12 mlm CAPACITY ®1995 Goulds Purtips, Inc. Effective May, 1995 83871 �, -�� d�Z' /o�9 y0 o�S� d�fl.�o7y•so. o ya • i o . �o • oev Wisconsin Department of Commerce SOIL EVALUATION REPORT / livision of Safety and Buhdings Page ( of - in accordance with Comm 85, Wis. Adm. Code _ Attach complete site plan on paper riot less than 8 1/2 x 11 Inches In size. Plan must County J �� O�•� Include, but not limited lo: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 0 -3dv nl information Please print b all in Revl Dale Persoa Inforatin you provide may e used for sec ndary R" �J�VED, S. 15. 4 (m)). �f Property Owner ©N �No� ' / P�s' o,� Prop rly Location �} JUN 1 0 200 Govl Lot SE 114 i1Jlv S Z9 T 2� N R ld (or) W Property Owner's Mailing Address Lot Block # FSubd. Name or CSM# '73 �0 7.. ST. ST. CROIX COUNT /�Ei1�Q /� �T CSjt7 City Stale Zip Code P one 11"M ity ❑ Village to Town Nearest Road Ro48R1 s I WI. yoz3 ( 76 73 • 33sZ w�4ll�it°E•t.J /03 ,QV sT`• [f New Construction Use: ;4 Residential/ Number of bedrooms Code derived design flow rate _�p GPD ❑ Replacement ❑ Public or commercial,- Describe: Parent material OA Flood Plain elevation if applicable fl. General comments d and recommendations: • �j tt:� TES T� s!� / f�D� �7 Ifl Od Boring # ❑ Boring S . s . Pit Ground surface elev. 7 fl. Depth to limiting factor 2� in. Soil Application Rate Horizon beplh Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /R' In. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. •Eff#1 •Eff#2 / o• k /-6 Y/? — Z- fSA& 1W � ��✓ 3 �- s �- �• �3 io y�P 3/ — �. / shy Im-ffl? C5; z y 3 ,3 •l �s Y R Sig /fs� � �'S Y y s/Z- Z.�+ �,� /• ` •,j(p 7• s�/? �� cQ lyo Ts S G L /S/J� /+n • Q.,L — . 2. .3 3 1 6 0 er r 4 Z Boring # ❑ Boring '77' �• d Grounds su Pit u ace el v e R. Depth to limiting factor � In Soil Application Role Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 /o y /fs*e< c 3 >c y Z • �o Sl L LFSh /w,7 cw z S . • 7 7•S / �P SiL f Sb,� �, �,P c s / 7a s /v Effluent #1 =BOD > 30 220 mglL and TSS CST Name (Please >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L Print — Signature / Ro6ER ( Zl I32ic�, T CST Number 4 3 2 Z. 7 5 Address Dale Evaluation Conducted Telephone Number Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 ORI GINAL. N mow ijv0>�'o•) Property Owner Parcel ID # ❑ g Page 2, of Porin ® Poring # R . Pit Ground surface elev. ft. Depth to limiting factor a Z in. Horizon beplh 'Dominant Color Redox Description Texture Structure Consistence Boundary oots Soil Application Rate rY GPD /fl: In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 / d• 40 y� _T ` ifs b,� A,& es 1 3f , y 3 •� 7Sye - ic. ifshk cs f 3 . ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 '042 r Boring # ❑ Boring ❑ Pit Ground surface elev. fl. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure- Consistence Boundary Roots GPD /fh In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = POD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L 1 he Department of Commerce is an equal opportunity service provider 4nd 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. I SDbR7]0 (R 6/f10� rr O 4 N n y I � o • N d Z � D 1 Ln Q 0 0 SNP° - a • l o � J C Safety and Buildings � 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �sconsin www•commercestate.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor ( Philip Edw. Albert, Secretary A September 16, 2002 CUST ID No.267341 ATTN: PO KITS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN ST CROIX COUNTY SPIA SERVICE PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09116/2004 Identification Numbers Transaction ID No. 785852 SITE: Site ID No. 650059 Erin Toen'es / Anthony rntore I 1 P refe id Y ...ease er to bot de ca tion 103RD St numbers, above, in all Town of Warren correspondence with the agency. St Croix County SW1 /4, NW1 /4, S29, T29N, R18W FOR: Description: Four Bedoom Mound System Object Type: POWT System Regulated Object ID No.: 869323 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01101). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. 1 ARTHUR L WEGERER Page 2 9/16/02 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. 1 ARTHUR L WEGERER Page 3 9/16/02 s Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday WiSMART code: 7633 cbratz @commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer hi U Lam Mailing Address Rt�'� t Property Address 7 to ,u� " h ky .r4 (Verification required from Planning Department for new construction) City/State ?kt✓J-'�, 1AJ Parcel Identification Number D - 079 410- 30:::,) LEGAL DESCRIMON Property Location J1.0 %,, Alw t /,, Sec. a 9 . T -R W, Town of 1A Subdivision . Lot # �. Certified Survey Map # . Volume //. . . Page # Warranty Deed # t 0 �l ''� �,�3- 3 . Volame o) o o -3" . Page # -_[ e 6s Spec house O yes IA no Lot lines identifiable t yes O no SYSTEM MAINTENANCE Ianpropex use and maiatenaooeof Your septic system could rGsah in its I faffure to bandle waster. Ptopermakftiance consists of pumping out the septic tank every three yearn or sooner if needed by a licensed pumper. What you put into Ore system can affect the fimcxion of the septic tank as a tr taicat stage is the waste disposal systenn. The property owner agrees to submit do St C vix Zoning Department a certification form, signed by the owner and by a masterpinmber. joa® eymanPlumbez, tes tioctedphnnheroraticeosodpampervrx ;fyi ng that (1) $re on -site wastewatecdisposalsystarr is in proper operating condition and/or (2) aiterinspe ction and pumping (if necessuy� the septic tank is less than 113 full of sludge. Uwa, the mnder4gaod have read the above tequircuients ad agree to maintain the private sewage disposal system with the standards s forth, herein, as sex by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certi4catim stating that year septic system has been maintained mast be completed and returned to the St. Croix County Zoning Office within 30 der of the three year expiration date. q tv D� SM& UME 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(:) of property described above, by virtue of a warranty deed recorded in Register of Deeds Office. v ATURE OF APPLICANT DATE ssssts sssss Any iaformatioa that is mis- rcprescnted may result in Ou sanitary permit being revoked by the Zoning Depart ss Include with this application: a stamped warranty deed fi+om the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 2a0 7P ass 6936 - 73 DOCUMENT NUMBER KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Donald D. Anderson and Edie R. Anderson, husband and wife, Grantor, 10 11 :30 AM cocrveys and warrants to Anthony C. Torntore and Erin C. Torntore, flRYAV iY L/tf:J h iGA husband and wife as survivorship marital property, Grantee, the `RRAA 1o11owing described real estate in St. Croix County, State of wisconsir.: REC FEE: 11.00 TRANS FEE: 165.00 A parcel of :.aiw located in the Sw;c of the NW4 and the SEh of the 9W4 COPY FEE: un 29, Township 29 North, Range 18 west, more fully described CERT COPY FEE: Lor 6 of czrtified Survey Map recorded August 19, 2002 in Vol. 16 PAGES: 1 �,• �», Document No. 687457. The Grantee, its successors and assigns nereby agree to share iu the maintenance of the joint driveway easement as shown on said Certified NAM }, FItUMMO Survey Map on a 50/50 pro-rata basis with adjoining property owner. First National Bank PO BOX 166 River Falls, Wi 54022 042- 1079 - 40 - 000; 042- 1079 -50 - Parcel Identification Nor— This is not homestead property. Exception to warranties: All easements, restrictions and rigFts -of -way of record, if any. r I d—f� C C <-r- Dated this clay cf 4i�• 2002' (SEAL) �!� (SEAL) - U. �d,. Anderson U. Andecsoil (SEAL) (SEAL) AUTHENTICATION ACMONLEDC24NT S.gnature(s) _ STATE OF WISCONSIN ) � ss. _LiL.�� COUNTY authenticated this day of , 2002 Personally came before me this 7 of September., 2002 the above named Donald D. Anderson and Edie R. Anderson to me known to be the persons(s) who executed the foregoing instrument and acknowledge the same. 'N �n Printed or Tvoetl7 ,� 1 PJ L(�� / T7.E: !4GMSER STATE SAP OF WISCONST'+ L °i �ncurel ' f nuL, .� .. :N� " ­ Tv co' ,: i:: •', e(: ';`' R -_ _. Or,.. .'N 15. :tat$.. - THIS INSTRUMENT WA9 DRAFTED N� j County, %.' is. Stuart J. Krueger My Commiss to BY: otary Pub t. (It not, expiration date: ) Roc11i, Beskar, Boles a Erue,o r, S.C. P.O. Box 138 River Falls, WI 54022 • 'b u d fE o f • an..,., l _' row /V [N atu� ,� 68 - 7457 A444r.4 ley.?- <079. 5 - O ?S- `Y" - 16 PAGE 4355 KATHLEEN H. WALSH REGISTER OF DEEDS q. - ' - D L 4 S ST. CROIX CO., MI Il S �` yD RECEIVED FOR RECORD 08 -19 -2002 10:30 A THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG CERTIFIED SURVEY MAP REC FEE: 13.00 COPY FEE: 3.00 UNPLATTED LANDS_ PAGES: 2 o S00 44 '01 "E 305.13' 64 7 . 73 S00 °44'01'- 1692.94' WEST LINE OF THE NWi /4 xx 0 xm � >Zm -n M 4 � M x I <I n ' 2 � Z � � �p � m 0 M �to rU o.- n D C ni fiZ � 3 R M m ® $ Tl mlr" ooiii -i �1 °IT-Il -1 �: -A Q O mzz o I � J _ �.� �,•. �; Gn I r a j A -� • � a M 'Tl F. Q p ' . CJ� O -- I (!) D r ►+ F► - cn "• m ° n A D n ° i D I-n q o r o c.� x ►-� N -� � z g an H cn Fn M cn N Ri { cn m In, o f J o m v � m r o D H z -n M rii,. m D A ° b t' O C - ) 1-4 m Z m M M po ►' m o 0 I m 8 r'. 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