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HomeMy WebLinkAbout042-1101-95-000 140 th Street 0 I 3 rF f0 O " 3 3 °C7 i0 P (� `+ NORTH r - v v 'a Ul P 7 7 z 0 P i O r � � 2 N 43 I'y " / x o Af L l t `O� Q ° � •�� ' qF 0 ca m Y R V ^ y V ni ro O _ Q N 3 iL1 z , 111 ND cF o co co m o c) < mo rn I co I 3 ° s tJ td td � m 0 x c rp C4 cc D �3 3 0 O:3 Z� -- p _C4 t- +F--+r-i O � __ :5 !T! t� f x ' 0 Zdd� 111 _Q� ---1 E�it�ZZ _ 3 `< O p C7 tJ 1 M � r0 - n C4M -0 Ul o -3 O r0 Ln rD m�� m N 3 Z L7 tj Cil r - 0 CO ::c ro m CD 0 Gl � C11 c �E7 i0 0 rp = 3 -1 5 O W D � t < bd 0 Ln W n m < - Ln r ° F ` rp �l � c tj tj Cn F - 1 = a, C ) I'D 1--A W C) �I W ff Ul I low Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr IX :safety acid Building Division , INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 514875 0 GENERAL INFORMATION 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: Kasa , Lawrence Warren, Town of 042 -1 01 -95 -000 CST BM Elev: Insp. BM Elev: 1BMP_Qswtion: Section/Town /Range /Map No: (w. ' 36. 9.18.5626 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. e J,A Septic Benchmark Ser 2 lOd4 -1,09 Dosing 0 2 LS Alt. BM 9, 3 b 9'Yy q7 f OM � D a -!! Aeration Bldg. Sewer Yt SoL 7, �3 2 Holding St/Ht Inlet St/Ht Outlet TANK SETB INFORMATION TANK TO P/L WELL BLDG. Vent Air Intake ROAD Dt Inlet Sept is Z y ' Dt Bottom A 212d I2 33 s. 6 Dosiny �,� y 0' ? Z y I p Header /Man. qf� y 2.92 , 7 7 Aeration Dist. Pipe 7k. y Holding Bot. System 1 ' Final Grade 9f , o. 7 PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number r / /i►tti�/a of ,7. 7 Zw C cn�7�./ � I �. TDH Lift J Friction Loss System Head 2 TDH / F t ' 2 eu s �� 2 li,Ci 1 1, -73 I J 7D Forcemain Length Dia. it Dist. to well SOIL ABSORPTION SYSTEM 1 � - 2 sib 7, 11 'YJ BEDITRENCH Width Length i No. Of Trenches PI DIMENSIONS No. Pits Inside Dia. Liquid Depth DIMENSIONS V 7` • S /V14 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREA LEACHI Manufacturer: INFORMATION OR Type Of System: V0 t � � 108 r.. I�� Model Number: DISTRIBUTION SYSTEM Header /Manifold y Distribution fl ( x Hole Size x Hole Spacing Vent to Air Intake 3 % ' Pipe(s) '7 � ' M , L/7 L I •s Length Dia Length `Dia Spacing // I 1 SOIL COVER x Pressure Systems Only xx Mound Or At - G rade Sys tems Only bs A ipit he ` Depth Over Depth Over xx Depth of , xx Seeded /Sodded xx Mulched Bed/Trench Center Bed /Trench Edges Topsoil kd� tn� Yes No Yes No A got I COMMENTS: ( Include code discrepencies persons present, etc.) Inspection 2 Z / 8 Inspection #2* 5 / 2 � 4 3 / oy � Location: 651 140th Street Roberts, WI 54023 (SW 1/4 NW 1/4 36 T29N R18W) metes & bou�5d�ot Parcel No: 36.29 18.562B 1.) Alt BM Description = 4 , jjq ,2� - , 1 �• sJ �j l F f P� vu 4* 6 k,40 -') A44 r ' 2.) Bldg sewer length = '7 y 2 , 2 , �L : l - amount of cover = l� bt Plan revision Required? Yes I;;'•'� G \ q ' r� � Use other side for additional information. Date Insepctor's Sig ture Cert. No. SBD -6710 (R.3/97) Safe B ings 'vision County _ - �� 201 W. Washingtot .O. 7 162 3 Cy\0 p N (609) M B 53707 - COns,� Sanitary Permit Number (to be filled in by Co.) Department of Commerce 4 4 Tr 7 5 State Plan I.D. Number Sanitary Permit Ap lic N 731 In accord with Comm 83.21, Wis. Adm. Code, perso al information you pro. t _ ire l U may be used for secondary purposes Privac Law, slp4((1)(fi)���� Project Address (if different than mailing address) I. Application Information - Please Print All Informatio / � � 1 /� ST. CROIX COUNTY e t Property Owner's Name / Par cel # Lot # Block # (� rn dk. V d0.. t l WreriC 0] 'S -000 Property Owner's Mailing Address Property Location J 11 * 6 Flee 5 w , IUI Section - � (, 2 � City, State Zip Code / Phone Number /� h, A 6 5 � 7 49- 7V V (circle II. Type of Building (check all that apply) T N; Ror ;kIor2 Family Dwelling - Number of Bedrooms 1 � Subdivision Name CSM Number _ ❑ Public /Commercial - Describe Use 01 01f) ❑ State Owned - Describe Use .i - ❑City_ ❑Village Township ofq III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System ).Re lacement System y p y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. El Permit Renewal 11 Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that apply) O -'r 1, , ❑ Non - Pressurized In- Ground $Mound > 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 ❑ Other (explain) 1 D. 47 V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate( sf) Dispersal Are Required (s Diapers I Area Propo d (st) S stem Elevation i e . �{ � rb 25 1300 • • V1. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks 5 ���bt 1 Septic or Holding Tank O(t Aerobic Treatment Unit vv Dosing Chamber VII. Responsibility Statement I , the undersigned, assn res o ibili for installation of the POWTS shown on the attached plans. Plumber's Name (Prim Plu ber's Sign MP/MPRS Number Business Phone Number race Ieh 8 q zi5� 0 7 zs�as Plumber's Address (Street, City, State, Zi o a de) C 61A/011(rL � or Vlll. Count /De artment Us Onl Approved =isapprov Sanitary Permit Fee (includes Groundwater Date Issued Issuing ent Signat re ( tam Surcharge Fee) / ff�� aD L / t D ry CiC� � J ✓ y IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: 3� S ,� �a 642, 1. Septic tank, effluent filter and U dispersal cell must all be services / maintained G as per management plan provided by plumber. Q� 2. All setback requirements must be maintained as per applicable code / ordinances. 4 Attach complete plans (to the County only) for the system on paper not less than 81t2 11 inches in size I I SBD -6398 R. 01/03 tj O O t � t r0 N - �O m m GJ �0 to MLA IU R �'C P P Co to N W O O r ^ F-� C/) a O 41, t f 3 O_ Q W Cd � O '- n l r- 3 M I V r O 0 � P v -o E -- Ow � h tA 5 F T O 9 rD ru C+ Gd 3 N o �C � i♦ w fo Apparent Lot Line 3 - 'l m s : n 0 PCOPY I i I Awqq AM �`4 r O N H u � O N N au4 ::�o l ua.A�oddd m 0 , ,o 3 ON 0 PQ +' '- N pq u -P C O � d d M -- 3 0- 1- nn� > .a l V LJ 3 d to � Pq ii u © 4 o � N Oi Oi CJ � O) c3 (L (.. � e e N Lr)- Ln L pq ON 1%0 0J CD cu CIN J Q) V / 0 i O O A CGUV1 M Ca Soil and Site Evaluation Page 1 of 4 County_ St. Croix Parcell III # A llcant Inforr�'latio Possib 042 - . 101 -95 -000 PP Reviewe � � ns, D� Property Uwner 651-442—?005 Pr- _rty l_OCgt _ Amanda b Lawrence Kasay G. Lo SW 1/ s 36T29 AR. 18 v NWW CM Property owners mtmw addreaa MAY 0 5 2008 c' nn 651 140th street citY state zip code ST. CROIX COUNTY Y ❑ Village O'Town Nsorest Roan Roberts Wisconsin 54023 ZONING OFFICE �,,/ Q r r 2 n 70th ❑New Construction Use Resldentla_l. /# of bedrooms 3 Code derived daily flow 450 ® Replacement ❑ Public or comerclal = / _ • / /- J� Parent Material / ^ � �Q /lt' '(X�1 ,�1/G(/jZzl; X11 Jc� General Comments ❑ ❑i wing Boring 13 pit Ground Surface Elevation 96.7 Depth to,lWting Factor Shc Appucatlon Rate Horizon Depth Munsell Redox Description Texture Structure rAnJdKt&nce Dols,&" Roots fipb/sc f Effi12 Inches Color A. s, C aerr a+ 4. A EffA1 1 0 -10 10YR 3/2 --- - - - - -- sit 3 of abk m fr gs 2 f 0.6 0,8 2 10-24 10YR 4/ --- - - - - -- sit 2 f abk m fr gw 1 f 0.6 Ole 3 24 -33 7.5YR 4/4 --- - - - - -- is 0 d l gs 1 f 0.7 1.6 4 33 -42 2.5Y 6/6 e2d 5Y /R6 /8 s 0 dl as 0.7 1.6 Remarksi - - -- ❑ Boring Boring # pit Ground Surface Elevation 901 Depth to Limiting Factor 31 mt AWIcatia, Rate lounderY Depth Munsell Redo x Description Texture Structure mince Roots BrD/ ft Horizon Inches Color ev b: - o"t 00 0% ML N Efft1 EME 1 0 -9 10YR 2/2 --- - - - - -- sit 3 of abk m fr cs 3vf 0,6 0.8 2 9 -19 10YR 3!2 --- - - - --- sit 3 f dbk m fr cs 2vf 0.6 0.8 3 19 -31 MYR 4/3 --- - - - - -- l 2 m abk m fr cs ivf 0.6 0.8 4 31 -37 10YR 4/6 e2d 5YR 5! 1 is sg d t es ivf 0.7 1.6 5 31-50 2,5YR 6/6 c2d 5YR5/8 s o dt 0.7 1.6 Rerlarksi CST Name / Signature Bruce Allen Webster cry 2W address d a t e CSTA it N3659 Cnty Rd C Ellsworth Wis 54011 220499 cstr15501902 r property owner Amanda & Lawrence Kasay Page Z of 4 p Baring Baring # 2 e ta Rate * te a ® pit Ground Surface Elevation 95.5 Depth to tWtlnp Factor SoK APPS GPD /s ft Redax Lescrlptbn Texture Structure Coylstance #aerery. Roots Eff� Depth Munmell O am W Eff#1 Morhzon Inches Wor a' °f lym` °or 2 f 0.6 0.$ --------- sit 3 of ab ro fr gs 1 0 -9 IOYR 3/2 _______ -- sl 2 f abk n of cs 1 0,6 0.8 2 9-17 10YR 3/3 - --" °" St 2fabk Mvfr 3 17 -22 10YR 5/3 cs 1 0.6 1.0 S 0 sg cs 1 f 0.7 1.6 4 22 -2 IGYR 7/2 - - - - -- 0 S9 cs 1 f 0,7 1.6 5 28 -40 10YR 7/2 --- - - - - -- S _ -- i �eMented and Is llnl ;��^ Pnrtpr Remarks j Bonne Horine # C1 pit Ground Surface 97.3 42 tan Rate Elevation Depth to lgdtb+p Factor Sot Gps ft tan Texture Structure Manse loeaary . R°°ts Effsg Depth t1��e11 Redax Descrb b. tr. A Eff#1 Horizon inches war `"` °`� 3 of ab Mfr gs 2 f 0.6 4. sil 1 0 -12 10YR 3!2 - -- -_ - - -- �s __�__ sR 2 f ab r► R�` cg 2 12-3 10YR 4/3 _ _ - - - - - -- 0 59 is 4 36=42 JOYR 7/6 �i'' s 5 0.7 1.6 42 -50 10YR 7/2 c2d 5YR5 /8 S 0 sg Remarks ❑ Boring Boring # ❑ pit Ground Surface Elevation Depth to Uniting factor, sat Application Rate GPD/ ft t Rem` Texture structure mm"Uts" savide'y Rtot` EffK EFM Horizon 'Depth inches Color v fa #eA or. Remarks, z property . owner Amanda & Lawrence Kasay of 4 Page 2 Boring a Boring # Factor Soil Appl Ra lMtion te ® ing pit Ground Surface Elevation 95.5 Depth to [Wt 28 GPD /s ft Hur!sell Redax Description Texture' Structure cowb tare Da r� hry. Rants EffAl Ef R Horizon Depth ar. ft Sh Inches G"` DO— -- s1l 3 of 06b Mfr gs 2 f 0.6 0.9 1 0 -9 lOYR 3/2 - --- - -- 0,6 0.8 sl 2 f abk t1 of cs 1 2 4 -17 lOYR 3/3 --- --- -- _ - 3 17 -22 lOYR 5/3 - - ----- sl 2fabk rivfr cs 1 0.6 1.0 4 22 -2 lOYR 7/2 --- - - - - -- s 0 sg cs 1 f 0.7 1.6 sg cs' 1 f 0.7 1,6 5 28 -40 10YR 7/2 --- - --- -- s 4 Rerlarks horizon 5 is weaklvsented 'r !!� i! -! ±Inn fnrtOr s ❑ Boring 41 Boring a pit 97.3 Sal Appptut!on Rate Ground Surface Elevation Depth to lb+lth8 Factor 42 goats GPD /s ft Muhsell Redox Description 10YR 3/2 ---'-- ion Texture Structure C �nesry EffAi EffR2 Horizon Depth &, am Inches WQr 9 1 f °i'� orR 1 0 -12 - -- sll 3 o f ah C 2 12 3 10YR 4/3 sil 2 € ab — - - -- __ ___ a rov r c _ - -- _e�za_ s 0 Sg CS F OJ 1.6 4 36=42 10YR 7/b 0,7 1.6 g 42 -50 10YR 7/2 c2d 5YR5/8 s 0 g9 Remarks _ _ ❑ Bork+D . ,. self Rnte ❑ pit Ground Surface- Elevation Depth to W+ltln8'Fnctnr, Application Raets fiPD/ ft bepth Muhs4lell Redrn� DeAvlPtlo^ Texture structure 0 laiwidarY EfM Effs2 Horizon :, inches Color Cmt � � Remarks, a r F- aWn Vn VusJoddV cg Oi Oi LL- o Ln 0 C3 o, N a %D a > u u w E ok W ° o o C4- '+- ` O 0 R N a' o, �C5 m s � S HINON O u o, a, aull 1-0 }ua,wddy CY) n un °' c� ON i, � o N c sue' ` W u O O Ln a d ('') -- EL r-: nn > -a m W 3 � pq O sf' o r-I v J O 0 O ' (T) N N Oi O) O) C J d CL d G Ln Ld 0% u) CV) .o w m ,^ a, W J^. W W m J W r V I L I O O A Safety and Buildings commerce.wi. OV 3824 N CREEKSIDE LA g HOLMEN WI 54636 TDD #: (608) 264 -8777 isconsin www•commerisco gn.gov Department of Commerce www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary May 06, 2008 CUST ID No. 220499 ATTN: POWTS Inspector BRUCE A WEBSTER ZONING OFFICE WEBSTER PLUMBING & ELECTRIC ST CROIX COUNTY SPIA N3659 CTY RD C 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/06/2010 Identification Numbers Transaction ID No. 1534245 SITE: Site ID No. 737080 Amanda & Lawrence Kasay Please refer to both identification numbers, 70 Street above, in all correspondence with the agency. Town of Warren St Croix County SWIA, NWI /4, S36, T29N, R18W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1181399 Maintenance required; Replacement system; 450 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual- Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction orinstallation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The changes made in red to this plan on 5/06/2008 by this reviewer were acknowledged and approvedby the system designer. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component aret. co ftP*t1 Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. APPRI ANT C • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the S EE CORRE requirements of Sec. 145.135 and 145.19, Wis. Stats. BRUCE A WEBSTER Page 2 5/6/2008 • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A cpa 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 wth 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. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz �CYG POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. Mound Plans f or Amanda & Lawrence Kasay RB,CEIVED t;tAY 5 20 SAf� & BUi�DINGS Located in SW of NW sec 36 T 29 N R 18 W Town f o Warren St Croix county 651 140th street owners phone 651 -442 -7005 Parcel 042- 1101 -95 -000 Limiting factor 28' Page 1 Title Page Page 2 Plot Plan Page 3 Plot Plan Page 4 Cross Section & Plan View Page 5 Dist Pipe Detail Page 6 Tank Detail Page 7 Pump Curve Page 8 Pump /Septic Chamber Specs Page 9 Maintenece Plan Page 10 Maintenence Plan Design Criteria Pressure Dist Manual (►l Version2,0' ®�J SBD 10760 P(N,O1 /O1) 9� Mound Comp Manual A Version 2,0' ( 2 I SBD - 10691- P(N,01 /01) 1 7th Ave Torn of W e St Crclx Ccun Section 36 as "" °'" bi Ite Are o) L C4 W.711Y ant lo a section LW +31 NED a FCQMMERCE '~ =LOINGS JPONDEN a v r � a a. CL 4 F aWl Vn V cb ^' 9 m D O -P t CI M 0 d O a a ° a N W E �� f% O o w p O CU iy CD w C l a i L S N S HibON Cross section H Page 4 of 10 of Mound �' G Lateral discharge e 96.61' A re ate F 2 c)!5,44 1 t ,� co n-to - _ 3 E s°^a Plowed Layer F Turnups at end �y Ce o laterals with 8 f Slope a� threaded Plug Plan View of Mound L J K A O For a Main O F 0 t °mo 0 A= 6 D= 0,67 B =76.5 E= 1.15 K= 9 F= 0,8 Ovarhe" -Am L= 94,5 G= 0.5 �. �. out nMffW J= 5 H= 1.0 I =11 W =22 Up Slope Corr 0,81 Min supply Pressure Down Slope Corr 1.32 Min Dose Vold Volume 9,56N5 = 47.8 Backf low 150 X 0.163 245 Max dose 450 / 5 + 24.5 = 114.5 Amanda Lawrence Kasay Page 5 of 10 a c �0 P ado► a a a Matt ° G Pv or S X f X 2 Last Hole Near 7 `/ Y Turnup P = 37' 4" S 3, 40 1-/-&' holes X 47 inches @ &gPm Per h ©l 6' Hole Diameter 1/8" 11 - W - Lateral Diameter 1 1/4" rate re _ Manifold Diameter' inchl� Force Main 2 inch Holes per Lateral 10 Invert Ele Laterals 96.61' Vert Lift 96,61 -80 =16,61 Void Volume 0,064 )K37,33 )K4 =9,56 Min Dose Vold Volume 9.56W5 = 47.8 Amanda Lawrence Kasay Page 6 of 10 Combo 1000 Septic A�ved ` * manhole cover tth rarnb,e label req 650 gal Pump n1m 4' above a roun d - Cover rltWn 6' TT of erode rnrntrfe label req a. a, a) LI E 4- d d J A d 0) 1000 gal septic o LO ump off elev 80,00 —� Manufacturer Weiser Doses /Day 5,24 Sire 1000/650 Combo Gallons /Dose 86 gal Alarm Manufacturer Level Arm Backf Low Volume 24.5 Model #_ , DLV Total Dose 110.5 gal S - witch Type Steel Ball Pump Manufacturer Gould Model # EP05 A= 20,5 = 348,5ga1 Min Discharge -lZI( GPM B= 2 = 34 gat Verticle Lif t 16,61 C= 6.5' = 110.5 gal 0 153 g al Min Supply Pressure &,& Tot 38" 646 al Friction Loss }2 2,A g Simtex Filter Loss 0.5 Total Dyno mic Head 5 2�2- Force Main Dia 2,0 Manufacture Tank Specks included in Plans Amanda Lawrence Kasay NGOULDS PUMPS Submersible Effluent pump I MODEL 3871 EPO4 & EP05 Series .. -.._- ... . APPLICATIONS • Fu1ly submerged in high ■ EP05 Impeller: Ther moplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Spftifically citsigned for the lubrication and efficient improved performance. curlaUuction. following uses: heat transfer. w Casing and Base: Rugged • Effluent systems thermoplaStit design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion ( tw.~ St..d n s Aw.,1 -t1«, • Farms manual operation. Auto- resista \L File# UR38549 • Heavy duty sump matic models include . iron oou�s soot _ • Water transfer Mechanical Float Switch Motor Housing; Cast For efficient heat transfer, Dewaterinq assembled and preset at the factory. strength, and durability, SPECIFICATIONS ■ Motor Cover Thermoplastic FEATURES cover with integral handle and Solids handling capability: float switch attachment points. Y." maxinitinl. t EPO4 Impeller: Thermoplas- m Power Cable: Severe duty • Capacities: up to 60 GPM. tic scmiapen design with rated oil and water resistant. • Total heads; up to 31 feet. pump out vanes for mechanical • niuhargP size: 1'12" NPT. seal protec.tion. • Mechanical seal: carbon - rotarykeramic- stationary, BUNA -N elastomers. Temperature: 1044 (4010) C00tinuou5 METERS FEET 1401E (601C) intermittent. id Fasteners: 300 series stainless steel. 3 30 Capable of running dry without damage to a curnpottents. 25 Motor: _ . • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz. 1550 a RPM, built in overload with > - ' 1s automatic reset. c a ...._... __ . - Epos • V05 Single phase: 0.5 HP, o 115 V 6f 230V, fill Hi. 1550 `' 3 , 10 RPM, built in overload with EPO4 automatic reset; 2 • Power cord: 10 foot standard length. 1613 1 __.._.... . SJTW with three prong ndin n� tional 20 0 9 riding Cl p 0 0... 10 20 30 _ 40 50 GPM foot length, 1613 SM with _ three prong grounding plug o 2 a s a 10 1 M - 1h (standard on EP05). COACM Goulds PUMPS r 2003 Gaulds Pumps ITT industries Effective July. 2003 93971 LLJ LIj W EkE z > Lh Ln w > w u VI ce cl� c� z D 0 F= < r 0 2F LJ 2 OU -j Lj I-t c, lz�l L: " u c FLFL-q < 0 C) L � i C) L�, -) Lj - o 3t N 1,7 w W VI O C, M W CL -L u) < CA < T Z -j 1 0 ::� � 5 (-�, (A -j E < uj LIj < C o LJ Z < -1 < z < 7 ul _j 0 z < Z 0 V) z L; z 0 T W w z LL < Lj 0 Lc W LL EL 0 m LAJ W - H �,,, b-0— i Management Plan Page 9 of 10 Owner Amanda & Lawrence Kasay Permit # ---------- Parcel # 042- 1101 -95 - 000 System Specs Tax ID # __________ Septic Capacity 1000 gallon Design Parameters Manufacturer Weisers Pump Tank Cap 650 Gat # of bedrooms 3 Manufacturer Weiser Estimated Flow 300 gal Effluent Filter Symtex Peak Flow 450 gal /day Model 100 Soil Application Rate Pump Manufacturer Gould 1.0 gal /day /sq f t Model # EP05 Ef luent Quality B ❑D ?30 <220mg /L Max Particle Size 1/8' Start Up Prior to use of POWTS check treatment tanks for presense of paint or chemicals that may Design Criteria damage dispercement cell Pressure Dist Manual If high concentrations Version2,0' are detected have tank SBD- 10760- P(N,01 /01) pumped prior to use, Mound Comp Manual' Version 2,0' SBD - 10691- P(N.01 /01) Maintenance Monitoring Schedule Inspect Tanks Every 3 Years Pump Tanks when sludge = 1/3 tank Inspect dispercement Cells every 3 years Clean Symtex Filter every 13 months Inspect pumps controls & alarm every 3 years Flush laterals every 3 years Amanda Lawrence Kasay , Mdy "06' 08 10:56a, Betty Ann Webster 17155943080 p2 Ma nageiment Pla n Page 10 o _10 Operations The property owner is responsible for the operations and maintenenceof the POWTS and submIsslons of required reports. The quantity and quality of the wastewater stream affect the performance and longevity of your POWTS. The lnstaillation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater voluMn. The brine or waste from water softenners and other water treatment devicesshould discharge to ground surface whenever possible. This system is designed to handle domestic strength wastewater, food grease and oil discharging into this system should be kept to a minimum or avoided, Non biodegradable product such as tampons, clgareete butts dental floss,sanitary napkins should not be disposed of into the P ❑WTS. Toilet paper is the only paper that should be disposed into any POWTS, FOG Fats, oils, and grease must be kept below 30 mg per Liter, keeping grease, oil, and fats out of system will prolong the systems fife, Suspended solid must be kept below 150 mg per liter, Abandament If system is abandoned it Must be abanded in compliance with CoM 83,33 of the Wisconsin Building Code Inspections Should be conducted by a licensed plumber, POWTS malntaner, or Septic system service operater. Tank inspections Include visual inspection of tank and system for leaks or surface discharge. When sludge fills 1/3 of the septic it shall be removed by a licensed pumper, The effluent filter should be cleaned twice yearly, w Contingency plan. Mounds and at -grade may be reconstructed by removal of biomat at the Infiltration area. POWTS INSTALLER Bruce Webster phone 594 -3060 Septic Pumper Johnson Sanitation Ellsworth POWTS Maintaner Johnson Sanitation Ellsworth Regulating Authority St Croix County Zoning Office Amanda Lawrence Kasny ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 0) CLI0 0L cusau Mailing Address Property Address W (Verification required from Planning & Zoning Department for new construction.) City /State R. l SL Parcel Identification Number Ian' `,�" 50 LEGAL DESCRIPTION Property Location 5 W '/4, I U '/4 , Sec. , T R { W, Town of (� Subdivision Plat: G� , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 23 2 ® (before 2007)Volume , Page # Spec house yes no Lot lines identifiable' ! yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I /we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 4� 511510s SIGNp. URE APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) - 1 Ifl1ll ifi1111f1111111 f 1111 !1111 IIII Ilflll IIII 1111 State Bar of Wisconsin Form 6 * g 7 1 0 2 0 1 SPECIAL WARRANTY DEED �� i ar�n Document Number Document Name KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Deutsche Bank National Trust Company as trustee 03/17/2008 01:50PM under the Pooling and Servicine Agreement dated as of February 1, 2005, GSAMP WARRANTY DEED Trust 2005 -NC1 EXEMPT r ("Grantor," whether one or more), and REC FEE: 11.00 Lawrence Kasay and Amanda Kasay, husband and wife TRANS FEE: 168.00 PAGES: 1 ( "Grantee," whether one or more) Recording Area Grantor for a valuable consideration, conveys to Grantee the following described real Name and Return Address estate, together with the rents, profits, fixtures and other appurtenant interests, in St Croix County, State of Wisconsin ( "Property ") (if more space is needed, please attach DaV9d J. �stf eel! addendum): 304 Locust Street The South 218 feet of the West 423 feet of the SWI /4NW1 /4 Sec. 36- T29N -RI8W, Hudson, WI 5401 St. Croix County, Wisconsin. 042 - 1101 -95 -000 Parcel Identification Number (PIN) This Is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances arising by, through, or under Grantor, except: Dated Deutsche Bank National Trust Company as trustee under the Pooling and Servicing Agreement dated as ofFebruary 1, 2005, GSAMP Trust 2005 - NC I (SEAL) �,.�� (SEAL) * * Rltlhwd WBliams vice Prestoem (SEAL) LITTON LOAN �WCM, LP (SEAL) * * ATTAfiNEY -P&MOT AUTHENTICATION ACKNOWLEDGMENT Si gn ature(s) authenticated on STATE OF ) ss. k A ma t 5 COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on 0_ (if not, the above -named Deutschc Bank National Trust t omany as authorized by Wis. Stat, § 706.06) trustee under the Pooling and Servicing Agreement dated as of February 1.2005; GSAMP Trust 2005 -NCI THIS INSTRUMENT DRAFTED BY: Rkhwd VVAWM to me known to be the person(s) who executed the foregoing Attorney Kristina Ogland instrument and acknowledged the same. Hudson, WI 54016 THERESA W. EPSMN * Thy Es MYCOMM0300NOPM8 Notary Public, State of a O — S AtKiLW27,2MI My Commission (is permanent) (expires: L (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. SPECIAL WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 6 -2003 1 Of 1