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HomeMy WebLinkAbout032-2167-44-000Wsconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes jPnvacy Law. s 15 04 (lJim iI James & Katherine Reiter SST BM Elev I Ins p BM Elev. [tfi.a (CID rD TANK INFORMATION I TOWN OF SOMERSET o Doc I' n U,:2. TYPE wINy41N A TUR , Y�SE CAPACITY Septic W((t n 12 r90 Dosing u Aeralion Holdi TANK SETBACK INFORMATION TANK TO PIL WELL BLDG Vent to Air Intake ROAD Septic ( > 30 1 >30 41 / Dosing ,t sL t ( Aerali, Hole PUMP/SIPHON INFORMATION Manufacturer /IDoemand (� GPM Model Number ' -�(P OI', . E TDH Lifl p Friction Loss System Hear TDH f `eT•✓ 16 ,C1 '..rko G1151; 2. %-T5' Forcemain Length I Dia (/ r( Dist to ,Well s .7VIL AtSSVKtr I IVN SYSTEM ELEVATION DATA STATION BS HI FS ELEV. Benchmark ar It'Al r 100.0 All BM Bldg- Sewer �•� 8�(, SL St/Ht Inlet St/Hl Outlet 1, Dt Inlet Dt Bottom �.So 13.2 zc•� glace Header/Man. Dist Pipe Bot. System ,0 Final G ade if t Cor 5-,qf L}� tf t, I�, $0 9'f•90 , DIMENSNCHIONS DIMENSIONS Width /_ Length I � No Of Tmftenee Cy `I&:6-rA S PIT DIMENSIONS No Of is In is Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BBLDG WELL LAKE/STREAM LEA N CH BER O UNIT Manufacturer Type Of System _rJI D I S,F 1 2 � •v � � f / Number. vw I f\I rau I rv11 J r J I Cm Heatlerl ao Itl I yr[ Length ,, Dia tlogj,g6 I r/ q 7 rD I Pipets) Length p Dia Z 7 x Hole Sae _ (r 7C JK Hole gacingg t "( Vent to Air Intake Spacing j�. Depth Over Depth Over xx Depth of xx Seeded,Sodded xx Mulched Bed/Trench Center Bedlfrench Edges Topsoil Yes No Yes No IrVMMtN I b: (Include code discrepencies. persons present. etc.) Location: 653 196TH AVE 1.) Alt BM Description = 1 2.) Bldg sewer lenglh = 1s - amount of cover 3,ALL ow a&- n�cer.6« e: r Inspection #1. 5 �( Inspection # 0112O 73 � Plan revision Required? Yes % No �.J... Use other side for additional information. 5/1Dat�3 'K Insepctor's S gnature �FC; JI SBD-6710 (R.3f97) No �, j- . �-Ct� -- L,' v services ))ivisvon Cady 4822 Madam Yards way T JUL 2 S 2022 �'aP.o � I N'"'�r (w be sea o by cb ) soy I , Madison, W1 537I62 h V (O St. r ommun�t �i A.pp11C8t10II �' Stew Transaction Number m 1(21 Wis. Ada. code, arbmissio n of this form to lbe r- 07 22 D I —C RW� P to a aanaary. permit Note- Application forms for shoaowrc PO subln- is the Department of Safety and Pinksvaml Services Pisond information Project Address (ifdiffi thin oral address) purposes in acmdesx vrifn the Law, s. I5.00(i )(m). Stats. Ym P� a may be used for 7 , 1. APPG=dm Ia6rtnatim - Plnse Prot AG IaSorit atioa Property Owner s Pnrod t Property Owrcr-s Marl• Adder Property Location / Govt. Lot City, Sim tip Code Phone Number 14 --4 aL_y--�'4 Section T. N R E U. Type of Baa'Iding (ebeck all that apply) I or 2 Family Dwelling- Number L a / Subdivision Name 4 A) Block / D'nrelicAComvnrsml - Desunbe Use - - of t�fy�u - �� Use of CSMNumber _ V1'owo of ype of POWfS Perm(e (um& edlaw -New^ or-5miseerauat" aad other applicable M 6e A. Ckedt one box m Bate B. Complate roe C . ble A Syanrn �� �" ar Systero ❑Ddnv Modifieatim to � System (explain) Pretreatment Unit(ezplsir) B.LJ Tank ladmdu d Site Design Type (Cxpbm) (— ) C- Rernewal Before ❑RorrmmExpkanon of Plu mbef to sfer m New Permit Number and Date bstred / TV. DispersalfFireatumit Area and Tankate . - . Design Flow (gpd) Dealt. Soil Appl' ' Rate(gpdfd) pispersd Area Required (af) D Proposed (sf) Systran Elevation 7 Capacity in Total s of Mandfaconer Tanis Information Gallas Gallons Unia Mew Taakt Esaiy Tasks B spec or Fiol6aa Tak _ f> - - OoAa CLmbar Cl I V. RmpopsHWIlly Statement- L the ®dasilX4 asanne reWwpbft fee hsulatien of the POWM aimm on tie atlatbW p1aaL PI ( 7 .s MP/MPRS Nmba Busioca PlAnc Ntmber PI t Address (Snort C- Stair_ s If VL Co. rtnkeat the on Ig Approved O D /yed Permit Fee iLdc Issued Agora Sigmtme fidNtlrR�p for Denial:s SYSTEM OWNER:A 7ef°rDifaPPcoval �` 1 l ( C&a IM �SP>Afpav )_ 1. Septic tank, effluent filter and t� V j -t ���P414- dispersal cell must t an provided as per management plan provided by y plumber. t-& r wp 14 P maintained f r 2. All setback requirements must be maintained � P as applicable codelordinances. h � Ol►h�Qf- per � - T /n ira.A n he V r F%,o.r{ ^^ 6l L a Ardti b eeapleie p6m rw me., IQ 11 iodks In _she (L0�)�"�- •�. c�;�-s� ,,,�,.-�-fie..-u.d� ,�.��(,� 1 SfTEADDRESS. 653196TH AVENUE SOMERSET,W154025 LEGAL DESCRIPTION: LOT 44, PINE CLIFF SECOND ADOMON T, /%f.4 i, ,COPY MINIMUM BUILDING SETBACKS ROADWAY =100 FEET REAR YARD = 25 FEET SIDE YARD =10 FEET 66jc w / l&t- -doe& It I STORMWATER `ONDINGAREA July 20, 2022 CONDITIONAL. APPROVAL. PLAN APPROVAL. EXPIRES: 2024-07-20 Plan Review: PWTS-072201595-C KIM A OCONNELL 504 3rd Ave E Osceola WI 54020 SITE: Rdter 19hth Ave Town of SOMERSET St. Croix County Total Amount: $250.00 FOR: DescripBon: 600 GPD (4 Bedrooms — New Construction) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay httpl/dsps.wi.gov/prograffmhridurtry-servicas www.vAscortsin.gov Tony Even - Governor Dawn Crlm - Secretary Ccndlu•••ly APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P (N.01/01, R 10112) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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 or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall he cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (1 1)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resbdng to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). 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. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operalion. In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, ,/ uvr 7/1144W�t" eeaf POWTS Plan Reviewer Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: Ilnl.\;II1lICr�l'L'�I !/ 11 I111111]II1.:;U\ Cell: 608-516-6134 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owners Name: Owner's Address: Reiter CondWa" y James & Katherine Reiter APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES 1992, Nighthawk DR Y INDUSTRY SERVICES Somerset WI 54025 ^^RESPONDENCE Legal Description: SW-NE-sec26-T31N-R19W Township: Somerset County: St Croix Subdivision Name: Pinecliff 2nd Add Lot Number: 44 Block Number: Parcel I.D. Number: 032-2167-44-000 Plan Transaction No Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 ATT soil evauabon Designer Kim A Oconnell License Number: 224263 Date: 07/10/22 Phone Number: 715-381-7917 Signature - Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101, R. 10112) Version 7.0 (R. 11/12) Pagel of 9 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ft2) R 400.00 1.50i 600.00 4.50 97.00 28.00 0.40 Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) (C or E) Pressure Disribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) In -line Filter Loss (ft) Total Dynamic Head (ft) E 3.00 2 0.156 4.00 1.50 215.00 82.00 4.55 15.50 13.83 0.00 33.88 Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 _ 1.50 x x 2.00 x 3.00 1 x Note: Sand fill (D) calculations assume a Table 383-4 -3 m-sau soil treatment for fecal cohForm of <- 36 inches. 6.00 Cell Width (ft) Are the laterals the highest�nt in the distribution L_ network? Enter Y or N If N above, enter the elevation (ft) of the highest point (ft) = r fe/orifice Treatment Tank Information 1200.001 Septic Tank Capacity (gal) Wile I Manufacturer Does the Forcemain drain back? Enter Y or N Forcemain Drainback (gal) 5x Void Volume (gal) A Minimum Dose Volume (gal) System Demand (gpm) Manifold Diameter Selection in. dia. I op lions choice 1.25 x 1.50 x x 2.00 3.00 Gallonsflnch Calculator (optional) 1200.00 Total Tank Capacity (gal) 36.001 Total Working Liquid Depth (in) 33.33 gaVn (enter result in cell 1349) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) Pol lok Filter Manufacturer 22.241 Dose Tank Volume (gallin) PL-525 Filter Model Number Wieser Manufacturer Project Reiter Page 2 of 9 Mound Plan and Cross Section Views _T L Mound Component Dimensions Down slo a toe extension made. A 6.00 ft E 11.24 in H 1.00 ft K 7.78 ft B 100.00 ft F 9.50 in t 9.00 ft L 115.56 ft D 8.00in G 0.50ft J 5.18ft W 20.18ft 600.00 (itz) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate Finished Grade 97.67 (ft)-- 1111 F Dispersal Cell / Elevation 1500.00 (ft) Basal Area Available 10,00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area 4.5 % Site Slope IH 98.17 (ft) Lateral Invert .00 (ft) Contour Elevation Geotextile Fabric Cover Shading Key o $ T Dispersal Cell See lateral details on 10 ®Topsoil Cap c 1.5 ft Page 4 for ❑number, of laterals. Subsoil Cap = and spacing Laterals are equally ASTM C33 Sand 21 r F spaced from the TYP"I Lateral Tilled Layer c o O ft t t distribution cell's © Aggregate o centerline in the A distribution cell (AxB). Project Reiter Page 3 of 9 End Connection Lateral Layout Diagram • - Turn -up W ball vdve or olsan out plug Aa lMefals sre ideruwal IEX—�I Molos dnled on thebottom of thelxvfal 'Waft spaced Face maim C00"C ton wa toe Of doss to r"Woold at atw Dolfrl. Laterals &forcemein Sch 40 PVC per SPS Table 384.30-6 Number of Laterals 1 Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 in ft ft gpm gpm ft 1.50 98.40 3.00 13.46 26.93 33.88 Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity 0.156 in ft ft ft in 4.10 25 12.00 3.00 1.50 L.. 4.89JfU Dose Tank Information Electrical as per NEC 300 and -% SPS 316 300 WAG , Tank component is property vented Wieser Manufacturer Capacityl 1300.001 Gallons Volume 1 22.24 gal/inch Dimension Inches Gallons A 20.02 445.35 B 3.00 65.72 C 4.95 110.01 D 8.00 177.92 Total 35.97 800.00 fi A B C D Alarm Manuafacturer SJE Rhombus -Tank Alert Alarm Model Number 101-01H Pump Manufacturer lGoulds Pump Model Number IWE05H Pump Must Deliver 26.93 gpm at 33.88 ft TDH Project Reiter Locking cover with warning label and locking device and sealed watertight 4 In. min. f-- Aftemate outlet location Forcemain diameter --7 1.5 in. Weep hole or enti- siphon device pump off elevation (ft 82.67 Dose tank elevation (ft) 82.00 Note: Switches containing mercury may not be used in this system. Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name I Phone POWTS Regulator's Name I St Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliforrn >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 ears Test once every 3 years Should test month Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished I ........ Grade v1 Threaded Cleanout 6-8" Diameter Lawn Plug or Ball Valve Sprinkler Valve Box Distribution ZI _i Long Sweep 90 or Two 45 Degree Bends Same Diame er as Lateral Project: Reiter Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Cade, and shall maintained in accordance with its' componerd manuals [SBD-10691-P (NV 101, R. 11/12), SSWMP Publication 9.6 (01181). and Pressure Distribution Component Manual Vet. 2.0 SBD- 10706-P (N. 01/01. R. 10112)) 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. r used as Septic and pump tank abandonment shall be in accordance with SPS 383.33. Wis. Adm. Code when the tanks are no tinge POWTS components Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundsa A s openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed d, detective. 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. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under a. 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filler cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the finer when removed from its endosure. if the fi� o equipped impending awn he filler shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge Pe n9 ous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds shalma liquid the owner of tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel 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, 4 such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity proper operation If an effluent filter is installed within the tank @ shall be inspected and serviced as necessary. Mound and Pressure Distribution System 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 sod 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 as protection from freezing. TSS, and 30 mglL FOG for septic tank effluent or 30 Influent quality into the mound system may not exceed 220 mg1/L SODS. 50 m9/L mg/L BoDs, 30 mg/L TSS, to mg/L FOG, and 10• cfu/100 mL for highly treated effluent. 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 and of each lateral, and 4 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 it orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent requiring dingadditioPornal. dlingmore freqleveuent shall be reneged to the owner, and any levels above 6 inches considered as an impending hydraulic 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(s) shall be immediately repaired or replaced with a component of the same or equal performance. rge wastewater to the ground surface, it will be repaired or If the mound component fails to accept wastewater or begins to discha replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper oPeratirg condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider Pretreatment Units The Information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system_ Project: Reiter Page 6 of 9 METERS �g`g 10 I� FEET 30 PEST PE 2GPM moHEB: PF3t, Psnt. PTst HP:.33. Q..50 — �— — o I i i25 PE31 V i 20 L I [ Q � 15 O ( 10 � ( I 5 0 00 W 20 h0 40 50 60 70 GPM 80 t CAPACR �� MGOULDS PUMPS Submersible Effluent Pump WE Series - PROSUW4CE AVAILABLE FOR RESIDENTIAL �. APPLN MONS. APPUCA)IMS SpecifiraRy designed for the following uses: - Homes • Farms - Trailer courts • Motels - Schools • Hospitals Industry • Effluent systems SPECIFICATIONS Pump • Sob& handling apabrTiuies: Yam matdmum. • Discharge size: 2' NPE • Capacities: up to 140 GPM. • Total heads: up to 126 feet TDH. • 1e04-F (40-Q continuous 140•F (6WQ umem ittern. • See order numbers on reverse side for specOk HP, voltage, phase and RPWs available. FEATURES ■ Impeller: Cast iron, semi - open. rwrt-cbg with pump - out vanes for meduanial seal protection. Balanced for smooth operation. Silicon bronze impeberavailable as an option. ■ Cass: cast iron volute type for ma*num efficiency. 2- NPT discharge. ■ Mecharaal Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces_ Stainless steel metal parts, BUN" elastomers- ■ Shaft conosiorFreOstaK stainless steel. Threaded design. Lodou t on all models to guard against component damage an anode Cal reverse mtatiom ■ Fasteners: 300 series stainless steel. In Capable of running dry without damage to components. ■ Designed for continuous opetration when fully - sutunnVed MOTM ■ Fully submerged in high-grade turbine oil for lubrication and efficient heat han*E in Class B insulation on 'h-1'h HP models. ■ Class F insulation on 2 HP models. afters FEET s no twFiaee too. .. . so Ise-- Single phase (60 Hz): •CapadbrSW motors for mat im mh startiig torque. • Burin overload with automatic resit • Sfl or STOW severe duty Oil and water resistant power cor& -'A -1 HP models have NEMA three prong gang Plugs- • 1'h HP and Larger units have bare lead cord ends. Three phase (60 H4- - Class 10 overload protemon must be provided In separately ordered starter unit. - STOW power cords all have bare lead cord ends. III Designed fa Con nuns Opmation: Pump ratings am withinthe motor mainulacturees mcommehded woridng bats, on be operaW mmbrarou* wihat damage when fully 2"ileged. ■ Bearings_ Upper and lower heavy dray ball bearing ■ Fewer Cable: Severe duty mted, d and water resswrrt. Epmg seal ao nmw end provides secondary rrroabne barrier in Case of otaa jadoet damage and to prevent a6 wdddug. Stardad cord is 2U. Opimnal lengths are available ■ O-rig: Assures positive seating against mriaminants and od laaloge. AGENCY LISTVOGS GPMTE,Wd to nmw. An.2 csruu rstsssm* IVdwi awddc Aneddi. , NoOLJO6a eua� rr.rp , k MOM 019ha.d sn 30 20. - 00 - 20 30 ' 40 so W t* an en tin 1-90 t2o in wo tso 160GM s 10 15 20 25 30 35 d16r CAFAM Goulds Pumps ITTIrldustr'ies wwRgo�/rkmw SITEADORESS: 653196TH AVENUE SOMERSET, WI54025 LEGAL DESCRIPTfON: LOT 44, PINE CUFF SECOND ADDITION MINIMUM BUILDING SETBACKS ROADWAY=100 FEET REAR YARD a 25 FEET SIDE YARD =10 FEET 8< )r-)1 Ate. 4�- Q-P --N,. / P 4-s /'L so 1 5 CAA 11 ILI 1�` 1\VII\V P%nL.M� ` J Era) APPLICATH M FOR REVIEW MONE Paso st kdwffmbm f� Paide nb be � br secondary pwpmm Pdvary lass Ismoxm� skftj Private Onsite Wastewater Treatment Systems DWieion of kedtsky Servbes ❑ F'ktis b be E-'ed R aide MWWOW User reams bdiv r For Pbn sftw duck ar webails d htou-wi-aov IJ I aim ledaurei code Wisatiwea in T Serval carfte leave bean deleaaaad tsetse adhoriry to review plane in feu of Diridon of kedustry services For a arrant fat of tieese ""I" aced %W daailsea M deeds our webaia at Mblldsas vri �., 1. p'�t i6rasaas - Fat i r iaouar idwsasae�, /7 A l4wtea � jl TfiC Umfa4 Nter" a anata"dw iedialad riewsomed) amity -IS ❑ C4 ❑ VMN 13Torn d 2 Alirplrrgaesravi�agplaaa¢ (�d[aiartappl» ❑ Utf c slaaner 1, 2 (rids rnm*mvr Ruptesw Party wpick Lip yd Me1 Phim b arebsreer 1. 2 (dais ntnberr 'Wm b otaforrrer rasnbar boo bolds. Cosiardlwe of aaNissssst as a rWAa TYaaaaeaas Q Pravbsa RaWd Trans. Q Eaftmbd CeaytI III Dar: Asat8wsd R 4ssr_ tii to yorar dice of tJsis ladrar La Qoaaq Braaaa t3ay N WM roe � r dW fo w-dMrluft ptaaa as, assOar dike r saerid as waaas- 4 bdw beawaraed *am Chet htjp- wLWvIwnMdavaiaklsrwlawdate � Ow few Wm i onindka t� Am check bass rho avow e'naap Ytawraa dwiaot agar or rgswdi pace i b ease b FkA. �77 kdwoaaes (Qeaaowsr 1) pSPS waabgr Cargwy Address rtma_ �r W ems) P11011111 r"fWI*bW Earl adisaa a y w (aces codsu C�aet it appicaEla Qorrwr Zvi ayourr gmusem ewarnamfo ri be aaaipead b a rsvisws altar raasipl at a D9t 1lahreKkWiWka Area DM 28b '-cheat Dr Sls 1e4 Qetlmks, VA 54M 609485.6334 Fax 60&7ti G= Ersak $ched_-o `eH Maier Checks Pasha b= Division of key Serving OR ❑ Check boat to kwoke des7r�ner and sign below SBD-10517 (R 3r19) �wpiaae�ekayBaloa(C�asaoor2) pgltg Fiat 1 � �/ � � �sMsssr liasber (seas Cody Cleect iappicable or aparlj rdaatsalb oore�in.aov- r pkars sa bairg auaeiaed w paps oley CM be bt+ed in each appfeable compto wd tal�ey( eases nay ows 2331 San We Place Green Bay, em 543D4 92A492-SM Fax 62D492-MM Ea�e�t TOTAL AMOUNT DUE S 1 (% PAr Code 7= 5. POWTS IUMITTAL (ohsok all that apply- Incomplete forms may reauk in oroaessina dsl.vs1 ONIW ❑ Aerobic Treatment Unit(s) ❑ Chlorfnalor ❑ Tank Rapiso@ment Only IiOLACIMINT ❑ Commerotel system ❑ UV Disinfection Unit [] Add Muart Filter sYSTIM TYPI(B) NOTE: submit separtb shoats for each system If submitting could* @yatems on 1M same site Inter Fes ❑ Revision to previously approved plan "8.00 D Mlecellan@ous Review (Le, replsameW of s septic tank, addition of an aRaient11hor or pretreatment device to an existing eyetem, ato,) 1s0/hr ® Componsrtt Manual Design All treatment com previously approved At -Grade Component Manual - Ver. 2.0, SBO.10664 (NA3/07, R. 1112) Wotswatsr Flow In under a. SPS 384.10 (2) r ( In -ground Component Manual - Ver, 2.0, SBD-10706-P (N,01/01, R 10/12) Mound Component Manual - Ver, 2.0, 980-10091-P (N,01/01, R 10112) Gallon Par day Design weaieweter flow of the proposed syelom; Pressure DlsMbullon Component Manual - Ver. 2.0, SBD-10700-P 04.01101, R 10/12) /Irr 1,000 gpd or less $250.00 � Od»r - PIGSae specify GPD 1,001- 2,000 gpd $ 326.00 00 — 11.000 400 ❑ 80 Bored Individual She Design' One or mom treatment components are not previously approved under s. BPS 384.10 (2) or (3): At Grade (IndlMdwl sic dssl0nldevlation from oomponent Non-Pressurtzed In -ground Design memals and use of components without product Pressurizedlrt-ground Wastewater Flow In approval); Mound Drfpolne Gelons Per dell Design wastewater now of the g proposed system: Constructed Wetlands ' GPD 1,000 gpd or Was $460.00 Documentation must be provided to support treatment and dispersal claims. In a @operate 1,001- 2,000 gpd $800.00 stslemenl, provide rationale for the project and attach supporting documents (code sections, toot 2,001 - 5,000 gpd $750.00 reports, tsohnicsl paten, reseeroh articles, etc.) treater them 5,000 gpd "W.00 Plus $0.08 for each gallon over 6000 gpd State-owned fsciftles: Design Folding punks previously approved under a. BPS ❑ Holding Tank Component Manuel, Ver. 2.0, ODD-10886-P (N,03/07, R1H2)• Wastewater ow In 364.10 ed 3s Ion wastewater flow of the Gallons Per day ' Non -state owned Commercial and Rasldsntial Holding tanks that completely utilize this manual 6D00 gpd or less 100.00 and have an estimated daily flow of ism than 3000 gallons per day mum be submitted to the 6,001-10„000 ppd $150.00 apprgxisle governmental unit for review Instead of the Department. (see BPS 383.32 ften GPD greater than 10,000 god $=.0o ❑ Holding Tank Indh4dual Wo Design', (I.@. site constructed, eb day holding capacity, Co- Holding tanks Including sit@ construolsd tanks NOT mingled wasww teer, eta.) Design WuteeMr Flow In r previously approved under, a. BPS 384.10 (2) a (3). pin" eFeaM — Gallons day Dnlgn wastewater flow of the proposed system: ' Dooumertta6on must be provided to support the redwais for the project. In a separate statement, 6,001 god 1300.00 _ pl@@se Include all code sections, teal repoft aehrial papers, research articles, etc.) ,0 0 g 6,001-10,000 tied 130D.OD Gpp greater ow 10,000 gpd W0.00 ❑ BOB Saturation Detsrminatlon itspot (using observation plow) ❑ Intsrpretlw Determination $U0.00 ❑ BxpsrkmsnW System (One tims additional fee). Submit Ise for Individual system as per appropriate abase System type) Expartmsnt Number _ $400.00 Priority Review (enter some amount a normal revew fee listed above) i Inter Total (rounded to One neereat dollah SBD-10577 (R 3/10) ST_ CRO LINTY SANITARY SYSTEM File#: t ,""""" officeOWNERSHIP/ADDRESS FORM CreffW RO21se y cnrand z�zort Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer James & Katherin Reiter Mailing Address 1992 Nighthawk Drive City/State/Zip Somerset, WI 54025 Phone Number (required)715-563-2615 Email Address (required)kreiterl @gmail.com Parcel Identification Number 032-2167-44-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW 1�4 , NE 1�4 , Sec. 26 T 31 N R19 W, Town of Somerset Subdivision Plat: Pine Cliff 2nd Addition Lot # 44 . Certified Survey Map # Volume . Page # Warranty Deed # (before 2006)Volume . Page # Number of bedrooms Spec house 0 yes 0 no Lot lines identifiable 0 yes 0 no OFFICE USE ONLY New Property Address (Verification of new address required from Community Development Department for new construction.) 1 / (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form 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. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax www.sccwl.00v rP6o -3 SITE ADDRESS: rr7iitF E%/"Ex' 653196THAVENUE SOMERSET, WI54025 LEGAL DESCRIPTION: LOT 44, PINE CUFF s �l - ✓� SEr_� _ T3/N �P/%n/ SECOND ADDITION MINIMUM BUILDING SETBACKS ROADWAY =100 FEET REAR YARD = 25 FEET SIDE YARD =10 FEET � sb. v j L \ \ STORMWATER�\ PONDING AREA USE sq; FOR BIDDING ONLY NOT FOR CONSTRUCTION RM MZVATION uc - I' -a wart ELEVATION IAW - 1-o 90 rO01®OOkr-FOIAOAMN 9.I I.0 mIIIG6MI//ING su-ion I wv.��..-... �...,...o�,.�. Lowm Wm rwm iwIgo 90'OVRID COMC. 1'OIAIMTlp1 FOR BIDDING ONLY )N5TRUCTION 02-1101 �.r.r.�.�rry......�.n vim.. a... MAIN LrOnM N IM'- P-C `�..• r..... a �.. w..�.�...,u 9-1 to Cfa/NG O MNN ILYR r Y FOR BIDDING ONLY )NSTRUCTION /72-101 � ' 3 Q FOR BIDDING ONLY NOT FOR CONSTRUCTION /)) Ipi t[l I Q v J i1o®r.rf u. t I� tl ----\— i = --�— P ----36 — 35 A W A= 70Cf LBD-0pa 13e= a R. Z LW-0lVa 0G R. b34 / LDJ-WD I3 gyfi 110 0fJ[S A MUO 74 R. • ' JJJ , .......... .... w•e'T �"T\ f' 1 c i 39 M AOQ 2QW MAID XL r s — 45 1 100 AcP= < r p 1 1 a r d I MAN SG �74 to � �t' is Acm I g WAN R R. v rig rm - xWm Win ACRES 42 h// v A MAN SG R. / 340 0L1E3 p0 18( nD Leo- R .n nV rrnv srAu N99'21'89'W 1309.46 i Doc7,t 73446-fl ow��oc�o�ca mmusms uvnc>< ------------ i s aoaoc care � i w�rr G�Ar�e� N Y f k ]IN COrEA YCid r SCALE MF x�� J U L 2 8 WK EVAUmTm REPORT to e000elrroeeM W33W YMc Aden Cade mar AM* OWWAft aft OWn an Pr+f W OWfib lit 4 AW mmt bxkift bit nd tiebd bc..r9 end .b1e Paod lA sorb or dnNerions, eraAi amnk sd eed dYf�ee b neaet reed. PleeeePrbl'l1*an--W' L =by idaarodoe tr ead for t i Rmpw�vOrw Praperlylarafon ' OWt.lat / X X 3 T OIerefe 6V Aditm Lot! 0odct SujrL NlCkw Shale ree l � aP Phone tWnmer ❑ CRY ❑ Vow OToesr lMCondshrckn Lm�w���f afbebmes Cade defiled deeiprt�oerq�b�['C (�D ❑���Pwbkor merair-Dmba Pa ogeiW ��� Fbad Pion eb�oa rappbr�ls /t General oonerrre and reaoeeeerr bsom l il Borioi E� v Gmudwebiv.2a, R ❑ ❑ MR ZQ E W W f 1 Neoeat Reed,/�J iF= pes( �S OaplbleAniv y�-) hl ©®® • � � WAM Nwm tforbg f H Barip Pt Grorerd uefeoe eMr..l4.% R Dew b tieti� finer l��l k �� �fkpN G1obr Rsdoec Dsoipfon Too"Remss iCarmelw guM�y Rem Qa. Az Cori cdw ar gZ 31i FA Hl t.�$T w CST Addreee i Iti Bob T dwh� ohmfflhmr ` L - F3-1�s ❑� Pit Ground a wmm alev.9—zg. R Depth tD VA.Ift p frJor in 1 Al s.. &max 9a.e. ❑ Barirp • ❑ &r19 ❑ PR Grarrrd surf" dev. _ R Depth b l imiN (actor _ ire H=m I Depth I Dwwat CoW I %da De"i im I Te3d" I Gr.. I = ❑ Pd Ground eurtaoe elev. , IL Depth b rom tailor _ it • EBMsQ st = BOO, > 30 5 220 nV& and TSS > 30s 150 nxjk • Eftwt 92 = BOO. > 30 % 220 mg& end TSS > 30 s 150 mglL SCC ArcGIS Web Map 8/18/2022, 10:24:52 AM 1:2.257 0 0.01 0.03 0.05 mi Site Address Points Lot and Units Park General Common Element ® DrainageEasement Outlot Lot Tax Parcels 0 0.02 0.04 0.08 km Public ROW Unit Limited Common Element Subdivision/CSM Boundaries WDNR, SCC COO. SCC COD end SCC Mghwvy Dept, SCC COD. FEMk scc coo Web App&Idw for ArcGIS SCC COD 1 Wow SCC COO I SCC COO wd SCC P ghway 0e01 FEMA. SCC Coo I COO wW NPS I Neeor d GwwpwIW4rft0g a AYwwy (NGA): Delis Sub Unwwsky. Earl 1 I IM&A"Em 5[.CA01XcouNN N0.644769 STATE ANITAY PERMIT 4pS3 19aik R� ) NE AL PREVIOUS NO. � OWNER::IMAft i ft I PLUMBER wt 06M1"Ll LIC.# 2L4263 TOWN OF SET SEC,TN AND/OR LOT y aw t S PERMIT EXPIRES M BLOCK IU _ SUBDIVISION •.nwr R��v��.n��`�� ai 1 (a) The pol*tilFNWe sanitary permit is to allow nst�n of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and maybe renewed fora specified period. (d) Changed regulations will not Impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c.168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permlt, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER - DATE UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20) Contract Date 19 M" �Q, Tank Owner(s) Name(s) a , `k We acknowledge the installati Provide legal descripi L o r q4 _Rio e is contract is made between the and IPu septic/holding tank(s) oil 026- 1. The owner agrees to file a copy of this contract with the local governmental unit (St. Croix County Community Development Department) to document maintenance by a certified septage servicing operator as required in SPS 383.52(t)(c)2. Wis. Adm. Code and the approved Component Manual, 2. The owner agrees to have the septic/holding tank(s) serviced by the undersigned pumper and guarantees to permit the pumper to have access and to enter, upon the property for the purpose of servicing the septic/holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the septic/holding tank(s) with the pumping equipment, The owner further agrees to pay the pumper for all charges incurred in servicing the septic/holding tank(s) as mutually agreed upon by the owner and pumper, The pumper agrees to submit to the local governmental unit (St, Croix County) a report for the servicing of the septic/holding tank(s) on a monthly basis. The pumper further agrees to include the following in the monthly report: a. The name and address of the person responsible for servicing the septic/holding tank; b. The name of the owner of the septic/holding tank; c. The location of the property on which the septic/holding tank is installed; d. The sanitary permit number issued for the septic/holding tank (if known); e. The dates on which the septic/holding tank was serviced; f. The volune in gallons of the contents pumped from the septic/holding tank for each servicing; g. The disposal sites to which the contents from the septic/holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract, In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the local governmental unit named above within ten (10) business days from the date of change to this service contract. Uwner(s) Name(s) (Print) Ta w) e5 ,e fir Pumper's Name (Print) 19m, �s 44,W V Pumper's Registration Number Ow is Signature(s) Pumper's Signature \���tt�ltttr��i TA R Subscribed and sworn to me on this date: Today's Date To" �. e► Notary Public Signature Commission Expiration / OF 1A/Is(, .,\,