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HomeMy WebLinkAbout042-1088-50-200 i n v, p c -0 n r� �- C Ln c 5 G 3 A � 3 n 3 A. V 7! o c a. CD . O C N N N ICI C 1 Lj C 7 N CO N G) 0 N O PD p°p N Q Q ::r 4 � , n O w t7 w O R O CA � c C d y W N M 3 =r K) O CD 15' CD w !Y � A > (D (a D D '^ a a 0 m s 3 a co rn N CDW� O (D N C °W y ' O, t C o Cl y �i O o 3 fA N N w o N z D o Im 7 c�D CD O a W N o z 3 c z O o D a ' to (D I m o c 3 Lo m o a 3 m z m w -i to O N C A? n rt N ? G 0. fn -i w a (D m z C r: fn 3 m � �+! z cD w � I a a � 0 ww c o a CD N � A C. ti N p A O OD N DQ a 10 0 O N Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430100 0 GENERAL INFORMATION (ATTACH TO PERMIT) a& Plan ID No: Personal informatioji yot. r0ovide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. oP 43 s = rpMf . / . Permit Holder's Name: City Village X Township ' Parcel Tax No: Stout, Richard I Warren Townshi CST BM Elev: Insp. BM Elev: I BM Description: * Section/Town /Range /Map No: g O . ED C9_ a tM. Z # (u M 31.29.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W 5 Qwm, � Benchmark Z 1� �'qo Dosing f( Alt. BM 105'. 4 Aeration Bldg. Sewer ! l ob Holding St/Ht Inlet (p or St/Ht Outlet TANK SET ACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 4 5 + �5 + b ✓, Dt Bottom 35 1 _ qs , 7.1 Dosing �� , t s Header /Man. , A) 1 ' ► Aeration Dist. Pipe I . DS T r Holding Bot. System . too t fri OZ -O Z Final G +' PUM IPHON INFORMATION t�,; (k 111 0t MA INA 0) ;lI;iIP Manufacturer Demand St St Cover S GPM 3' • 1 U g O Model Number a-', CEO. 3- TDH Lift Fricti n Loss System Head', TDH Ft ,. J.0 1 (u , D I o Z Forcemain Length 50 1 Dia. Z it I Dist.toWell , t SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Tie an PIT DIMENSIONS No. Of Pits Inside Dia. 'd Depth � DIMENSIONS O SETBACK SYSTEM TO P/L 18LDG IWELL LAKE /STREAM LEACHING anufacturer: INFORMATION CHAMBER Type Of Sys, tgm: /� ZZ / } t — UNI M O umber: DISTRIBUTION SYSTEM P /c. Heade ani Distribution t x Hole Size x Hole Spacing Vent to Air Intake - Pipe(s)2 I.O 3 g 3 $0 Length Dia Length Dia Spacing 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 g p Yes i No 1 Yes _ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: /.0 Q / Inspection #2: / 4023 SE 1/ 5 ( 4 S 1 /4 31 T29N R1 - -�—... Location: Roberts WI E N '�� Parcel No: 31.29.18. �8,)I A Lo 1.) Alt BM Description = �jp� I S i� (Md • 6 t -W v 2.) Bldg sewer length = 14 - amount of cover = + 3) ?-a. A,- Plan revision Re Use other side for additional information. uired? Yes )[ No q E' t SBD -6710 (R.3/97) t S Insepctor's ignature Cert. No. (�.–�l Safety and Buildings Division County rJ' 201 W. Washington Ave., P.O. Box 7162 N visconsin Madison, Wl 53707 - 7162 Sanitary Permit Number (to be filled in by Co Dep artment of Commerce (608) 266 -3151 Y30 / 00 Sanitary Permit Applica ' n State t Plan I.D. Number In accord with Comm 83.21, Wits, Adm. Code, personal info ation Qovide may be used for secondary purposes Privacy Law, 5.04(1' "� �'`� t Project Address (if different than mailing address) I. Application Information - Please Print All Information J '` Q1_hden h Property Owner's Na me ;e (J!'i P Kc�1 q Block M `C a y cQ 7 - K 7 ' LLL�na( c .2 Property Owner's M ailing Address - Property xocatlqn 4 ,Sect im City, State Zip Code Phone Number T N; R � B ora+ II. Type of Building (check all that apply) a� 5 �� �— ❑ 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name 4_ C5M Number ❑ Public/Commercial - Describe Use C9m ❑ State Owned - Describe U e. Q�S k $V *- / ICD '�City_❑VillageZ'Lwnship o f�0 11 i 4, III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS S stem: (Check all that a 1 ) ❑ Non - Pressurized In- Ground JWmound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ ther (explain) V. Dispersal/Treatment Area Information: tiP = / ' , 6rU a V o sEs Design Flow (gpd) Design Soil Application ne(gpdsf) Dispersal Area Required (sf) Dispersal Area Pro sed (s System Elevation TAY VI Tank Info Capacity in Total Number ' ,Maanuuffactuu�rer Prefab Site Steel Fiber Plastic Gallons Gallons of Units /ice" /-L /�� Concrete Constructed Glass New Existing f Tanks Tanks Septic or Holding Tank �� ® e Aerobic Treatment Unit Dosing Chamber G VII. Responsibility Statement- I, the undersigned, assume responsibility for Wgailation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature P MPRS Number Business Phone Number Sc lkvKS ev l.J� �- 0��7�� �lS- .��6 -3 /mil Plumber's Addre ss (Street, City, State, Zip Code) D ;V spa 77" VIII. ount /De artment Use Onl pproved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued suing A t Signa Stamps) (P 23 Q Sri El Owner Given Reason for Denial I Surcharge Fee) * 32, IX. Conditions of Approval/R for Disapproval & at& �� A_�� (s�2 ,e f Imo' SD t>�G S dlPirt, Attach complete plans #6 the County only) for the system on Pa not less than 81/14 11 inches mrsize SBD -6398 X 01/03) f Scale 1 Page 3 of 7 S13_l3' 'DU "i o r C 0 2 1 3 1p b ? 3 1 • am tf ' 3,3 �� , 3� , • t3Y1 �� S / 7 y, � V R IS �01c� 0� vCr �• tDZ, �6 .� �3DR►"1 HU M'c 1So •p IptS. S � 1 - 0` Ow NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be N gallon capacity manufactured by rwLP 10�D� b so w/ t} t'do0 ZAg TL R L`t' L''R . 4. Bench mark % SL pn3U �. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings * &consin 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www•commerc . Wis i www.wiconsonsin.gov n.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary May 21, 2003 C D No.220254 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 WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL W '- 13 0 00 PLAN APPROVAL EXPIRES: 05/21/2005 Identification Numbers Transaction ID No. 867635 SITE: Site ID No. 659178 Richard Stout — Lot 2 Please refer to both identification numbers, 100' Street above, in all correspondence with the agency. Town of Warren St Croix County SETA, SETA, S31, T29N, R18W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 903643 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: Conditions of Approval: • This system is to be constructed and located in accordance with the enclosed approved plans. • 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. o • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the fil er is required. Access to t e i ter or c eamng mus a provided pro uct approval conditions. • 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. Stats. • 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. p.0.y 7 ' . t� :y M 111 �.#� ARTHUR L WEGERER Page 2 5/21/03 Owner Responsibilities: • Comm 83.52(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. g Y P PP p • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 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 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 -79 ig'q 3 3� cc: Leroy Jansk , Wastewater Specialist, 715 Y Y P ( ) 726 -2544 TITLE SHEET Page of MOUND SYSTEM FOR A 3 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 CR. b /9q� C tz. 614 q LOCATED IN THE S L 1/4 OF THE 1/4 OF SECTION 3 ,T - a1 N,R lg W TOWN OF \AJ' ,, J aZ � S�-. Q- �Lo L,( COUNTY, WISCONSIN. - ._ - - -- INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED Q - `3 S3 Ar-wA- Vr—'� . - M - Pal L MAY 14 2003 SAFETY & BLDGS DIV, . PREPARED BY W FEE CCEF;tEFZ SO I L- . TEST I P4 CS AND. DES 2 G;V SEFRV I CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715- 425 -0165 Fax 715- 425 -6864 AAT�r{ i YVF.:C:EkFA eti swokra S. ivic_rc�k on L S' d G K iVISiQN SAFETY AND '-; D GS S - SSE GORRLSPONNDDNGE JOB NO. Mound System Management Plan - Page of Pursuant to Comm 83.54, Wis. Adm. Code Z Seotic 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 necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 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 inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S stem 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 BODS, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state riles pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency 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 The system installer at I�NQEK) ' The tank manufacturer at v�� 3 ZS ���s 6 �U tQ The effluent filter manufacturer at The pump manufacturer at F�3O— �i q ? GOVIrDs PLOT PLAN Scale 1 " =y, CJ ' Page 3 of 7 S13_l3' 0 - uMP►fe -T" 0 2 VC 0� 1S0 •p - G TVM" O . Z Yn % svUh* 117 C W N" A le __- _ - -- NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 10jgj gallon capacity manufactured by D - 4. Bench mark S SL„ Ut�ti �. Divert surface water around system to prevent ponding at the uphill side. Page + Or 1 Approved Synthetic Covering ASTH C33 Distribution Pipe Medium Sand H = =W I Topsoil F p E —p 3 , n � b Slope Distribution Cell of Force Main Flowed 2" to 2 2" Aggregate From Pump Layer D 1 Ft. E Z- ZS Ft. CROSS SECTION OF A MOUND SYSTENf F Ft. G o. S Ft. A C�_ Ft. H Ft. Linear Loading Rate= Cl . o _ P ILL'S £T 8 -.�SZ F . • Design Loading Rate D_3bC_p ESQ FT j 5 Ft. J 9 Ft. K \Z Ft. - A+tem= - 'e Position L Z t Ft. o. Force Main w 3 3 Ft. 1 • I 1 - Observation Pipe -------------------- (--------- - - = - -- - - - -� Ac-� -- 8 - -- --- W - - - - -- - - - - -- -------- - - - - -- --- - -- o- -- 6;� - - -- - - - - - -- Pi pe _ Dbution Cell of 2" to 2 istri Ppe aggregate Observation. Pipe (Mchbr secarely) PLATT VIEW Or A MOUND SYSTEN Distribution Pipe Layout Page of 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 fitting to a point within s i x threaded inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or . plug. Provide access from final grade for the valve, threaded cap or threaded plug. T`iP.1 L PVC Lateral M nifoId LatPVC eral x x x x X12 x!Z x x x x Lateral Length — Lateral Length —"p Distribution Line — —o rr �� S o -- ��uC `� 1hRtty P 7 Ft. Hole Diameter F S Inch S .3 Ft. Lateral a I Inches) X Z3 Inches Manifold " Z Inches Force Main "_ Inches # of holes /pipe 13 Invert Elevation of.Laterals -S Ft. . = Combination Sept,3c: and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS' PAGE b OF 7 -VEIJT CAP WEATHER PROOF JUIJCTIO►J BOX . ti C.I. VENT PIPC APPROVED LOCKUJG 110' FROM DOOR, MANHOLE COVER A-IM .h000W OR FRESH wA(ilJ11JG LABEL,. sP 101J PIPE ALR IIJTAKE S Oo&jDu1T s F1 ivtStFp 6 .,w. S I 'i'HIU. GwtpE 11JLET i" PROVIDE I _ __— •• AIRTIGHT SEAL I I I Approved Fic r�ft � Approved point if/ � — IB I joint w/ PVC pipe I it ALARA PVC pipe es "I II I I C I i ou CLEV. b o, T I PUMP --J ` OFF D COUCRETE EziF0 C` Z_Op' BLOCK RISER EXIT PERMITTED OIJLy IF TAWK MAiJUFACTURZIt HAS SULH APPROVAL 3 "ApPQo.E �8r<p0 t rv4 SEPTIC F SPECIFICATIOQS DOSE TAki!I MALIUFACTU;Lr6R: , 'tM rJC2�7 - iJUMB OF DOSES: L-) S PER D,+,� TAMK W0 "1Z ALLOWS DOSE VOLUME r ALARM MAUUFACTURCR: S- ':S7 LJZTJW S`1S`l tS I.NCLUDING OACKFL GALLON$ MODEL HUMBER: LO S �4k CAPACITIES: A= U 3D IIJCHCS OR GALLOUg SWITCH T'IPE: CV�Z�_ 8 = IIJCHES OR . — G L— � LLOUS PUMP MAMUFACTURCR: pOL L,S Ca b IUC1iES OR lZ)Z GALLOIJS MODEL IJUMHER: ��� � ,., 0 - 1Z INCHES OR _ GALLOws SWITCH TYPE: 1JOTE: PUl1P AN -RM gR�TOb MIMIMUM DISCKARGE RAT - GPM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE 15ETWEELJ PUMP OFF AUO.- DISTRIBUTIOIJ piPE.. k so FEET + mWIMUM NETWORK SUPPLY PRESSURE . ; , . , . . G- Sp FEET S_px �,3 �S FEET OF FORCE MA11J X " ' I _ F � • ' D 33 FEET loo FLFRICT101.1 FACTOR.._ TOTAL 0y)JAMIC. kEAD'` _ �b "33 -FEET As per manufacturer l`1.0 gal /in. Liquid depth 3g • Gouldsc °� Submersible = Effluent Pump EPO4 EP05 I 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. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. Available for automatic and Motor: tic cover with integral handle • Farms manual operation. Automatic 'and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 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 w ith construction. ■ EPO41mpeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design /a' maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian Standards Association j • Total heads: up to 24 feet. with three prong grounding _ • Discharge size: 1 NPT. plug. Optional 20 foot EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with pl astic enclosed 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 I j • Capable of running dry without damage to s 30 components. ; Pump: EP05 s • Solids handling capability: c 25 i 3 i i.. /4 maximum. w � _— T- - - - - -- � ! � - -- � • Capacities: up to 60 GPM. • Total heads: up to 31 feet. 6 20 • Discharge size: llh' NPT. • Mechanical seal: carbon- 0 5 i rotary/ceramic - stationary, _j BUNA -N elastome 4 ! ! EPOS'. ---� -- o s •Temperature s 10 i 3V. 9 } 104 °F (40 °C) continuous W I 1401(60 °C) intermittent. 2 – 5 ` a 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 W-h CAPACrrY ©1995 Goufds Pumps. Inc. r SOlL EVALUATION REPORT Page / of --� Wwl onsiri Department of Gomnietce Eivision 4f Safety and Butdings in aoco►daiiioe with Comm 85, Wis. Adm. Code Cournl)r Attach complete site Plan on Paper not few than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and todwritai reference point (BM), direction and Parcel ID. percentsiope, scale or dimensions, north arrow, and location and distance to nearest road. Date Please print 8N iNAWN1ia0011- R , by Personae i fon soon you Pie may L . s. 15.04 (1) (m)). Z 3 3 property Owner property Location P G c� Govt. Lot � 1l4 5 6 114 S 3 I T Zq N R�� E (or) W Property Owners Mang Address dres[s Lot # Block # Subd. Name a CSM# 4 C -e 'Q. r an State Zip W . ❑ city ❑ village [gTown Nearest Road n ZONING OFFICE � /I�el� r��' � .�' 400LS- Wk Yoi - (p New Construction Use: Residential I Number of bedrooms 33 ` - Code derived design flow rate GPD 0 R ❑ Public or commercial - Describe: ft. Parent material -_ f r n r 1 _- Flood Plain elevation t applicable y/ General comments SysIe n el-e U. /C)/ 8-C) and recommendations: n � r e\ eV t Uv - C-) a Bori ng # [� pi Ground surface elev. / ft Depth to g factor _ l �. Sol Amftadon Rate Horizon Depth Dormnant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/i in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etfikl * Effll2 la yr /� ezQ ,n ❑ Boring ggqq a Boring # pit Ground surface elev. ffLZO - ft. Depth to limiting factor m• Sol Application Rate Horizon. Depth Dominant �U#1 Color Redox Description Texture Structure Consistan� Boundary *Eff#2 in. Munsell Qu. Sz. Cant Color Gr. Sz. Sh. �0 3/z -51 �,,� i� �+r f U � , s lS o` z 7 Sic ( b l • Elfluent #1 SOD > 30 220 mglL and TSS >30 1150 rncyL ' Effluent #2 = BOD < 30 mgli -and TSS <_ 30 mg/L CST Number CST N (Please Print ; /.�, ,; �ngnature i _... Q q rasa 9�4 m Soh �•�^ Date Evaluation Conducted T8lephone Number 4,0 PAGE 3 OF 3 NAME: 5k u-E LOT #_LEGAL DESCRIPTION:_1 /4_1 /4,S_T E(I)W SCALE: 1 "= �� f 'b. 10 \ ELEVATION: (4o d BM 1 DESCRIPTION: a IOu C�v BM 2 ELEVATION: 9 O BM 2 DESCRIPTION: Q o ' f yc- Q, D C m. - o —� . SYSTEM ELEVATION: /�l• 9 L�Cbn4.ar L�� 'I QCOJ .ap SYSTEMTYPE: /ylOu"Ic a i 0° n Ia,.S� g- � -3 �! -- DATE: SIG ATURE: l Properly Owner _ y -� Parcel ID It _ �� Z - Page of 3 Boring # , pit oMg Groux! sorters elev. O0 R Depth to �8 factor -`--- -- in. Soil Rate Horizon Depth DomkMd Color Rsdox Description Textrtrs Structure Consistence Botmdary► Roots GPDltF In. MtsrseN Qu. W- Cont. Cow Gr. Sz. Sh. 'Eft#1 'Eff#2 19 M , 56 W✓ F-I Boring # El Borin [] ptr iGrorsrd „surface elev. Depth to N"nV9 factor Sol Application Rate Horizon Depth Dominant Cola Redox Description Texture Sbuchn Consistence Bocatdary Roots GPDIIP in. Munsell Qu. Sz. Cont. OWN Gr. Sz. Sh. 'E'Iffl1 "Ef 2 E # Q Boring ❑ Pit Ground surface elev. R Depth to limiting factor in. Sol AppliceNT Rate Horizon Depth Dominant Color Redox Description Texture Structxe Consistence Boundary Roots GPD in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. - Owl "EW * EM►ent #1 = BODS> 3():S 220 mgll and TSS >30:S 150 mgrL ” Ef Iluent 22 = BOD < 30 mgfL and TSS <_ 30 mglL The Department of Commerce is an equal opportunity service provider. and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SB"30(R"M) 1 • ' y ti ST. CROIX COUNTY WISCONSIN �`',„ _ �•..' ` ZONING DEPARTMENT loo ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715)386 -4680 Fax (715)386 -4686 M emo to 'e From: Jon Sonnentag Date: 5/7/2003 Re: Soil on -site (SE ' /< SE' /. Sec 31 Town of Warren — Richard Stout) On April 23, 2003 a soil on -site was completed due to a report of marginal soils. Adam Schumaker, Pam Quinn, and Leroy Jansky were present. Adam Schumaker completed the original soil reports on March 6, 2003 This on -site was required as part of the review for a proposed subdivision. . It was determined that the proposed sites were questionable. Therefore, additional soil tests would be completed. On May 6, 2003 Adam Schumaker completed additional soil reports These reports are acceptable and will effectively eliminate the soil reports completed on March 6, 2003. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ � _ of _ J Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County � }} Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must t rU r X- include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all W"V E D Reviewed by Date Personal information you provide may be uso d for secondary purposes (Privacy Law s. 15.04 (1) (m)). Property Owner � y Property Location I ��; ��C V 1I M ���� Govt. Lot S 11 1/4 S �( T �� N R E (or)� Property Owner'sMaili Address T .CRuIXCOUNTv Lot# Block# ubd.NameorCSM# 1 P at -- IRONING OFFICE 2 – City St Zip Code Phone um r ❑ City /� 4 Village [grown Nearest Road td' n l.�)t 5 -1otLo gyre r- X40 S7 , ® New Construction use: [R idential I Number of bedrooms _ _ _ e derived design flow rate _7,1 GPD ❑ Replacement El Pu or commercial - Describe: ______ __________________ - -__ __- -_ - - -_ Parent material % ( i � od Plain elevation if applicable General comments � 11q, - and recommendations: t U ('0 -IV Jr Boring # Boring y / ® pit Ground surface elev. / �� _ ft. Depth to limiting factor _ G in. Sol Application Rate Horizon Depth Dominant Color Redox Descd ion Texture Structure Consistence Boundary Roots GPDIft? in. Munsell Qu. Sz. Cqf Color Gr. Sz. Sh. 'Eff #1 •Eff#2 ICS �31 v 5 Boring # Boring 0 Pit Ground surface elev. �:�_ ft. Depth to limiting factor Soil Application Rate Horizon Depth Doll ant Color Redox Description Texture Structure Consistence Bounder? Roots GPDff in. flunsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 � `I 2 L 3 2 - _ t) Z m c, rY4 - ! v 5 Z IZ -1 IC�)f - tlq .ScI 2-m C 5 1vf Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = POD 5 : S 30 mg/L and TSS < 30 mg /L CST Name (Please Print) Siggature CST Number ............... O Address Date Evaluation Conducted Telephone Number � 11 2 3 Property Owner Parcel ID # -------------- - - - - -- Page Boring # ❑ Boring d ® pit Ground surface elev. 1' �_ -_ ft. Depth to limiting factor _ I _� -- in. Soil A ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 O - l �Z - s 2)7,G�k mfr^ , v f 5 g 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff #2 F] Boring F-1 Boring # Ground surface elev. ___ —_____ ft. Depth to limiting factor _ —_ - -- in. F-1 Pit Soil Applica tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff #2 Effluent #1 = BOD > 30 220 mg /L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 /00) I Loo Z PAGE _aOF_ NAM 5� y T LOT# LEGAL DESCRIPTION SF X �F-X ,S T 21,N,R, It EWr* SCALE: 1"= b: BM 1 ELEVATION ICY BM 1 DESCRIPTION 0l �y ��e e( !- o cI BM 2 ELEVATION 16) BM 2 DESCRIPTION �o F O - Se c- 3 I SYSTEM ELEVATION SYSTEM TYPE M o u AcL &,s Le tv-� _ CONTOUR ELEVATION q:7, do `�,�. c i na Ya --n Z 1 Poo SIGNATURE - DATE c� ►Niesasin �ot+a+ti+� of conane+va SOIL EVALUATION REPORT Oivitgior, c+s 9atetY and au8fir+grt M 0000 ftm wRh Comm 85, Wis. Adm. Cade F mAct earvgi em Sim ptan on paper not +ass *-, a 112 x 11 inatwo I" size. Won mu Include, but not �sd la: "*W and tbdwftl rielbrwles Mkt (5M), *edion and D. parcmtsime, scale or *nor**=, norm v o loww, and ioc wn and 4la me to rwamat toad. Revfee id by Date -}l f'le�sa prlht aN brlbnaallon. t'srioaM aua rou paride swf e+ + .s+6 .aV )fM! nY ptDDatgrf.ot�tlon C p Gmt. Lot 1(4 ) E> 114 S 1 T �. N p E (a') w p Ma ++9 AelOrsse Lott good # 9ubd I Mw er C SW f ctJ cr -e e r RTMn Nearest Road �t:e StsIR :L�jNiNG FFf^,E Ciro, (� rp Gt.12 s'r Now Cass►ur+daRr t7se: Rse9deMlal ► Num6sr of taedROer+,s . cod. &wivod desipo 4 w Rabe p❑mrdma0ariel - -- Fload Pfelnelerralbn N" M Genarel mnments f�. an i pig Ground surlwa slag. 7 c ZVI t De4ttt m * - In. 3d Rats Hat6�n� oapik • oox*mt Cola► Redox Dow*don Tsxhn MMKf ,►s CwnlsM r,ce BaundeH Roots kr M u,9sll Au. SZ coa Color Gr. Sz. sh. •Ei 1 'EiD2 0-f 0 lof 1'31 S,"r .ns5k m (vl Cl L✓ J ® pR Grour+d surface atay. l ( zQ _ R. t7epth to fmNFn6 _ �— _ poi A f ion Rata Horir . D4pdv Dont�mrtt Color Redmt Oeaerlptbn TwLtudum Cansic w= boundary Roata GPORP o�, ae Sk in. frtta+sell Ciu Sz. Cent. Color Gr, :ts. Sh. •EM81 I 'f !Atl2 I fu /y 3 ' r < • �Iquent I2 ' BOI 7,_0wo -w d US 130 mpA. Boom #1 WD so _ no we%«Rae US as _ life mgll = Numbsr per,, , f r � Sipetaaue i " Al ,_rl_•r•+ � IRS L+ Date EYelva�On :armed T+efepnor+e MwAW wwn n �w..•w -�. T00(2j 94I407 00 IH:! ?5 9S9fi i RC 9% -tYd LS :SO 2HL 00:80/50 FROM Schumaker Plumbinq FAX NO. : 7153863121 Jun. 10 2003 02:20PM P2 ST CROIX CUGN7y ` SE PTIC TANK MAINTENANCE AGREEMENT AND OWNE.R4HIP CERTIFICATION FORM Owaar/B or UdUAS Add.., PropatY A4dzeu (Verillalt{ea ttquatvd from Planning Department for new construction; City /state Parcel Ideaticcadm Numbs Property Locetlon t�4, S /., Sec.. ► T N•R. or Town of rt-< !� ,d Subdivirioll Lot # Certltied Survey Mlrp # VOIUMO Warranty Deed page, # Spec how , ;t we no Lot lines idQndf able yeti 0 ao Imapover van sa -- iameaanoeof your septic sysu= Could xesmlt is its promummtom+ Endure to bandle wastes. Proper maintenance eoszsists Of PANOV art lift eaptic tank every t'.mm years or comer, if toed by a li censed gtmmper. What you pit tutu the sys can a>f 0 the &Inotion of the septic !stmt as a Veatztsent stage in the wapx disposal rystam. The property owner agrees to submit to St Croix Zoning Daparmunr a 0Wfflmesdcsl form, signed by tbo owner sad by a mrJSaterptnsabar, jalraeyatanlplunmbet; mstriatedplum' er or a licenaedpumpervedlylq that (1) the W dte wutmterdispasat system is it proper opem:stima; 0itian andlor (2) after impaction sod Pumping 01 mtecemasry), the Septic tw* is less than 113 full of sludge. Lwe, the wmdMigud bsve read tkr above requ taroants and agree to mmintsin the privets sewmtgc disposal Mt= with the standards met faerh, herein, a w by t 10spartmeat of Comtmrtmerce sad the Dapartzmt of Natural Rssot=as. State of Wisconsin. Certification slat9 that Yo'm' 1010a syptsm bims been maintainedmW be completed acid retwned to dw fit. Crdx c Zama 0fllce withiA 30 ys of the tin" you em �piraaon date. 44 6/o 1GNATU1R27 OF "PLICANT DATE 0 9M =nn=0 I (we) Wrlify that 40 s tstvients omx this fatx, are true to the best of m (cur) lmowlmtdge. i (we) am (are) the o uamer (s) of the ProPorty depeAW by viftw of a w9rranty deed recorded in Regi ster of Dads Office. mrt >f (5 z 1GNAnW OF APPLICANT ANT DATE 'ms's * ** Any immfattmtmatiotn that is mamis- repYeeumted taay result in ibe ssnitsm y p ut. being revoked by the Z otAA e p De artmermt. + Include with ebb appliestion! a stamped warranty dead hems tha Vgostor at Deeds efflze a copy of flu petrified survey map if refereaae is Made is time wa=ty deed V 1975P 613 6902t5 C STATE BAR OF WISCONSIN FORM 1 —1998 KATHLEEN H. YALSH WARRANTY DEED RE OF DEED S . Document Number RECEIVED FOR RECORD This Deed, made between Frederick G, Lenertz AKA Frederick G. 09 -16 -2002 10:15 AN Lenertz SR.. single . Grantor, and Richard 0. Stout and WARRANTY DEED Janet P. Stout, husband and wife , Grantee. EXEMPT N Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property'): COPYSFEE: 1200.00 PAGES: FEE: Recording Area Name and Return Address Richard O. Stout Janet P. Stout X 85th Street Roberts, WI 54023 V. OF SE Y4 OF SECTION 31, TOWNSHIP 29 NORTH, RANGE 18 WEST, ST. CROIX COUNTY.WTSCONSIN EXCEPT THE NORTH 30 ACRES THEREOF AND 042 - 1088 - 50 1088 - 30 - 000 ALL OF SW % OF SE % OF SECTION 31, TOWNSHIP 29 NORTH Parcel Identltication Number (PIN) This is not homestead property. RANGE 18 WEST, ST. CROIX COUNTY, WISCONSIN. (Is) (Is not) Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 13 day of August , 2002. (SEAL) (SEAL) a Fr Brick G. Lenertz (SEAL) (SEAL). * t AUTHENTICATION ACKNOWLEDGMENT Signatures) w�3` State of Wisconsin, as. * 1SC+0N St. Croix County authenticated thl�wo _ Personally game before me this 1�th, day of August 2= the above named Frederick G Lenertz AKA Frederick Q. Lenertz SR.. Sincle to me known to be the person who TITLE: MEMBER STATE BAR OF WISCONSIN executed the foregoing Ins mant and acknowledge the me. (If not, authorized by §706.06, Wis. Slats) �Q THIS INSTRUMENT WAS DRAFTED BY z Cotdwell Banker Burnet Notary Public, State of YVisconsin 1301 Coulee Road Hudson, WI 54016 My commissio Is perma�e (. (if not, state expiration date: 2 U�{ ) (Signatures i gnatures may be authenticate4 or acknowledged. Both are not necessary.) " Names of persons signing in any cap acity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 -1998 Milwaukee, Wis. 725624! VOL 17 PAGE 4540 KATH= H. WALSH REGISTER OF DEEDS ST. CROIX CO. WI = RECEIVED FOR hECORD z MG']pdGJ44CD � Gv1DD 0 06/12/2003 12:05PM N00 0'22"E 303 .58' � CERTIFIED SURVEY MAP D REC FEE: 13.00 r - COPY FEE: 3.00 M m o Z z o D * ST m '4�� � BEARINGS ARE REFERENCED TO THE v EAST LINE OF THE SE1 /4 OF SECTION r1 C N C O� 31, ASSUME[py3� 22 "W COUNTY ��' M N y O Play ^ks Committee 0 0 J .J 12 2003 0 at ooi , ,n days of A :at)w cva�<�h: �opAW shall be ,r ni I vo +d O 1/' u' co w Z N N O o _ N -1 JJ r 1 ( - n (n - n rr O O O QO (n c: O 0O cn N (n --A 0 _I Z Z (n O (J) ;rte n, co O G) o> XG)- 0 oD m 1 s 0 10 �L-M -� m �� ZOO O 0C Z m ice ' n N m 1: a) �,, �' me N iJ Omo m �0 i� w i� �Z om> 3 00 � `� ° Z Z z m I� ° m 0 p Gy m m z D U) (n i m A O W I ��n O D O v W I Z_ M i« O �. c� G v M CA o I Cn .p I� m ? o n j CTl t0 = I Q 1 Z 1 M 2 °' m -' -0 M J O° n 0 ip m i 0 i 33 � I W I Q ROADWAY SETBACK x O W 70 - n I.. 0OD -I � ` ` � I w� o E£ �� I � C rq cn I O� I � 0 = 1.6't D I I Z m F{ m w I D I I A J A (n N CO cn V7 O) (n N 66' � Q N W N r y < O N O i RIGHT -OF -WAY A (r� Cco cw° co III - XMZM -a 0OZc C 0W A M La ° mNm n ZmZ(1) Z �� g OTC �00� ��� D 1.3'± QT D� A�� O m .` m _ ... ...` r °gym °� v I•'1 i y ' J rn�� .. rn$ O M —" I t ° w z r U) �� iv w EAST LINE OF w M o co NI THE SE-1/4— I o �� ( •• o I �� to O (�j i 82.31' i't 219.00' t k7 n n p I / S00 °1 0'22 "W U w w N w 0) '` � 87.69' �� i 301.31' 213.55' w C) 2289.85' �� v N w °' S00 °10'22 "W 301.24' w 100th St. rn S00' f 0'22 "lI 2591.09' Vol. 17 Page 4540