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HomeMy WebLinkAbout030-2114-70-000 I a ° o 0 o ~ ~ I 0. 0 ~ •3 o I ~v o a N O o I O N 2 C (0 O O N O N O Z o N a c Z r c 7 ip 'O O LL c a> u, O Q. N Q C C ~ N ~j Z E O> Z = O ~ v Cl) Z d m (n co c ,U) o o z d .n .0. o I avi Z d c c N N a I E ~~ww o o ~J 0 a I • N O O_ N -o = I (tl O O Q Q O 4 Z Z N z I w M N N ° L 1~ 07 O d O co It (X I w LO LO (D H d N L 2 0 c c a E U N h~ N N N WSJ ~ N I C F- F- F- ~ _a o I O O O Z o •N % n m m m *i a c g rn o O N 0) ° I m U 7 ~ ~ Q N L O } w N 0 0 Z 04 o E O O N 04 Cf) . ' n M r 'w 6) ,p d Q m c U) ai a o o E o0 3 o Cl) ao o E y O 0 W E °O oo 7- E 'O N N r ^ O L +..i y cfl 7 U` 3 N O 'O C I~ O O C Cl) • A M c0 LO C3 O N U O M (A J M O - Z Y (n Q R w rf~\ ~ T I, w £ I V m md a S EL ` a Y • c~ a s .2 y y c E i C C 7 OinU A 0am T Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division County INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. 353276 Permit Holder's Name: ❑ City ❑ Village ❑ TAwn o : ate Plan ID No.: T,andsted es Town o St. Joseph 28`y , ,__119 CST BM Elev.: t Insp. BM Elev.: BM Description: / Parcel Tax No.: ci I C1 3 • Std C >-r gv,,, z 030-2114-70-000 TANK INFORMATION ELEVATION DATA 0, 44 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic LW. Benchmark 3. 3 } Sa r Dosing Q Alt. BM (•uo I•' Aeration Bldg. Sewer •SZ • 35- Holding St/ Ht Inlet 6 qs &1' TANK SETBACK INFORMATION St/ Ht Outlet S, yo °I S. `{-"r TANK TO P / L WELL BLDG. Ae Intake ROAD Dt Inlet 57 f$ qs• 21 I Septic NA Dt Bottom q .f) g~ Dosing > IUD / }Z ' L' > /5 ' NA Header / Man. Aeration NA Dist. Pipe S 1fl 7-7- 3 ~ Holding Bot. System Ll ~O' °8 174. 9 PUMP / SIPHON INFORMATION Final Grad 4 6-0- 'r ) Manufacturer Demand St cover Model Number GPM V3. • S8 V1.ZE ~ D 9 TDH Lift Friction,•$, S stem2 TDH 10 3~t ,2 °f -Sa Forcemain Length ;L Dia. 2 K Dist. To Well SOIL ABSORPTION SYSTEM B EN FF- Width [ Leng '(jh 2 r N~O~f i ench 3 PIT No. Of Pits Inside Dia. Liquid Depth (DIMENSIONS SETBACK SYSTEM TO ?(L L I, LAKE/STREAM LEACHIN Ma cturer: INFORMATION TypeO (J / CHAMB M Num er: System: M 3 z OR UNIT DISTRIBUTION SYSTEM Header/Manifold q Distribution Pipe(s) u / x Hole Size x Hole Spacing Vent To Air Intake I Length 3-.01 Dia. Z- Length Dia. Spacing , i 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 ❑ Yes ❑ Yes ❑ No ° 1z!?°--- COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: //Z/ Inspection Location: 342 127th Avenue, Hudson, WI 5401 (SWI//4 1/4 1 T30N R19W - 31.1 30.19.944 LZ 1.) Alt BM Description 2.) Bldg sewer length = [ { -amount of cov = > `f $ 4 3.) contour - 5 YA- sa- Pla revision required? ❑ Yes 10,No Use other side for additional information. Fes' °si a CIS ~P SBD-6710 (R.3/97) 'te C1 ~S - Inspector's Signature Cert. No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e E C f 9 I 41 ' o e 3 qz Safety and Buildings Division VLonsin SANITARY PERMIT APPLICATION P o B. W shington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707-7302 • Attach complete plans (to the county copy only) for the system, on paper not less County S T e~&I y than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N 2-92- l7 Property Owner Name _ Property Location /l7©5,r& ~.tES /~,PESr IJ>F/ 00~v- $W/4 IV10/4, S j~ T 3f7 , N, R I<J E (or V1r PropertOwner's Mailing dress C~D / r./t~ it~IC~S6 Lot Number 2•~ Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number vl~s~.,~ s ybl (71-5 ) 3 9cp trr r wGt r~-~ ~a-~L~= II. PE F B LDING: (check one) ❑ State Owned /k ❑ its/ Nearest Road Village ST~ TOE EP 12, /f V-e- Public 1 or 2 Family Dwelling - No. of bedrooms ❑Town OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 07 1 C 1,/ -70 1 ❑ Apartment/ Condo 3 1. 3o . L 4 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ~(l New 2 E] Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an stem System Tank Only Existing System _-_----_Existing System _ B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 130 ❑ Specify T pe 410 Holding Tank 12 ❑ Seepage Trench 22 9n-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit Z 43 ❑ Vault Privy 14 ❑ System-In-Fill~~'~ VI. ABSORPTION SYSTEM INFORMATION: S J so~~57 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./ifn ) 76'-70 Elevation (_P 6-6 1 5'0-& Sd Z / Feet 9/mod Feet Capacity VII. TANK in gallons Total # of Prefab Site . Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or#otdir.g;FaMc 1.2&V IZQ~ ❑ ❑ ❑ ❑ Lift Pump Tank /SiplIa.,fhert;►ber /87) a 10av l o%v~ L~ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Sign lure: (No Stamps) f41P/MPRSW No.: Business Phone Number: ?4V I 'Ro 131P7- ~116? / Z 3 75 7/5- Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa tary Permit Fee (Includes Groundwater ate Issued Is ui Agent Sig ture (No Stamps) Surcharge Fee) 19. pJQApproved ❑Owner Given Initial / Adverse Determi nation3,c 7 • 1Z ' ' t ~rCON ITIONSOF APP OV / REASONS FO~ DISAPPROVAL: Y ctekle_ I 3D-6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrativetodp will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever ' necessary, usually every 2 to 3 years. 6. if you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: 1. Property owner's name ahd.m6i3ing•a4dress. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone,nuM4,pr Plumber mint sign application form. IX. County/ Department Use Only:_ X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; el on differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of,standards. I Safety and Buildings PO BOX 7162 T MADISON WI 53707-7162 - TDD (608) 264-8777 *hscons►n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary December 10, 1999 CUST ID No.226375 ATTN: POWTS INSPECTOR ZONING OFFICE ROBERT W ULBRICHT ST CROIX COUNTY SPIA 655 ONEIL RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/10/2001 Identification Numbers Transaction ID No. 282971 Site ID No. 185160 SITE: Please refer to both identification numbers, Site ID: 185160 above, in all correspondence with the agency. ST CROIX County, Town of SAINT JOSEPH SW1/4, NW1/4, S31, T30N, R19W Lot: 27, Subdivision: WHITE EAGLE LANSTED HOMES INC WHITE EAGLE TR FOR: Description: NEW MOUND DWELLING 600 GPD Object Type: POWT System Regulated Object ID No.: 640874 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: • 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/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. S' erely, DATE RECEIVED 12/09/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 AMES B QUINLAN, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, JQUINLAN@COMMERCE.STATE.WI.US WiSMART code: 7633 cc: LANSTED HOMES INC c, A . ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715-3$6-8185 Private Sewage Consultants C W PROJECT INDEX ~C 8 1999 c v & BLDG& DIV, DILHR Plan I.D. # Date Dec.511999 _ i Buyers: Lansted Homes" ~c..__...___.._..._..__.. _ Owner/ sellers: Preservation Dev. Co. LLC Phone 651-225-4653 Address 369 E. Kellogg Blvd. St. Paul, Minn. 55101 Legal Description Lot 27 of major plat ,White Eagle Subdivision" - PIN 030-2114-70-000. SW1/4, NW1/4, Sec.31, T30N, R19W Town of St. Joseph County St. Croix C.S.T. Robert Ulbricht Cst 226375 Installer Local Authority/ Supervision St. Croix County Zoning Dept. PROJECT DESCRIPTION New construction, for a 4 bedroom model home (Landstead Homes Inc.). Estimated daily wasteflow: 600 gals. Soils are very permiable (.4/.5 gpd/ft2) but seasonally saturated at 29" as evidenced by mottling during an on-site soil investigation with St. Croix County Zoning Dept. A mound system, using 12" sand fill is proposed, designed to be as long and narrow as permitted by the small lot and designated homesite. For ultimate pretreatment and clafification of final effluent, the 1200 gal. precast septic tank (Midwestern Precast Co. Menomonie, Wis.) shall be fitted with a Zabel filter, and with an approved above ground locking manhole cover for servicing ease. * Buyers: Lansted Homes Inc- P 4 1 •~2'?~`~ s ~iudson, Wis. 54016 715-386-1111. CondltiOl?*A t~ APPROVED .1 DEPARTMENT OF COMMERCE IVISION,OF SAFETY AN", UILDiNGS plHn►r,,,r~ ✓ .C~ .tom :.f..ii~-'~ _ C(1T ~5 ` Sl y SEE CORRESPONDENCE Pg. 1 PLOT PLAN VIEWS >a 8f_ W' I I "HT ®q A Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS I1• I1 ~P+1.W1 Pg.3 PIPE LATERAL LAYOUT ~~►44~ G14 ' 'r/tl/tpllllll{ Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS 1111s design for installation is based entirely on measurements, elevation landscape conditions (slopes etc.) and soil suitabilit s' 711e accuracy of his specs, as reported, shall remain thesole dresponsibilit of the CS'I'M. y p Any use of this POWTS design ty any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the Forkmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (wet/frozen soils) by any such parties or persons. ~ "1 jovvp ToP of L-© T Z NO 1-&97- c'eAv-4- Ulbricht b Aseoctate$a Consultants Private SeWa~ 855 O'NO Rd• Lo ~ L /NE Hudsn, is. 54016 U) rS T L4 ~y 40 T pr°P s ~c. too, . ~ to 0 o~~d~ o belo~iho ~ow~ ~ , - o tae $io~~b~to i1~so~Qbo'oSy Z2 / o N ay ~~.h4 y 1 11PA~ O T•oTA~ 2 01, 'gy o FORCE . / -+A~•~ PPE.CAs r • SLprtc T- t I 6)O Z y I Tit'; s ~ rGL ~S M dvA-ID S Y S 7- E~~v,f rio,v vice. - P~ z o~ 5 CROSS SeCTIoAJ of MouAjD - wi rti GeD Ott -0 F T'o ~.p - 'DIST Ri(3uTln~ Ajjec-SATE G , rl~i ck,s FS s pip to G- ` of T'°P so( L. s /STEM t; IEVA rioa u Vui FORM TOE ,I, it H 416- 70 f I-I'Aj E 3 lit F RATip ' ~l M,it~. • , ~9 _ uu FoRM ORCE' t~ °70 51 F- rM A W Gtr=(W-10-3 ()"MR 7 REP fs 70 -T> 1. D Fr. ELE VAT'I o►-~5 E, 1~ Fr. INVERT' of 2 )AT.ERA(S 4? 7. zo F . ~Gv FT- Top OF R oGk Cj 5Co G - n FT• 3,P H "-G FT • Top IATERA IS PLA W VIEW of Mou-~jD ~ Wi rH BE D EmD FORCE;: MAW A 'f• b Fr. - . I (3 _7 2- F T- K ~2 Fr F a - - _ r w I -----y 1 F K rl a T ~S Fr w 3o fr l Be r of To 2n PVC. CAPPED A99tpE5hTE 0135E R VATI o,v Pipes PERMA,j ENT MARKERS REG?uiRED BASAL hRkA TAI 1,-JhSrE Fioco C APAci Tr Fri PRopoSEV BASAa AReN (A z -7 y 17 i S w ~~8 y SQ. FT. 3 o f 5 - D%5TR1 f3uT1 oA.3 P►pE N e Tw oR k LAyour j oT'tj vo1V,4fF OF \ n R OLQ \\nvE I-A 0 IJ _ p Fr g \ .3.0 F r x y~ F n RcE M /4 i /v 35 Fr. 0 2 Pvc Y y_ Iucfje5 f VRRI A(3LE TOTAL, V(9(D Ubly)je 5"75 6A15, H ©IE Dt*AmETE`R % INGH~S L. hT E RA 1. ~I 2, _ INS k}ES MAWFOLp 2 _ 1 >J C h} e5 Fopce MAIN 11 • Iu01{ES °f Ho(ES pi pE I-OVERT ELEL)AT1'DK3 of LATERMS 97.2- 0 'DE T^iL- t---"E-"' p cAP (~E R Fc~ R A'TE ~ P` P~ • RrMouE- Ail eDRI►l (3uRRS Y HOIES IoCATEd o,J BoTTOM 6'gOAiiy SPACE L) 1 VISTRi 13uT1oN 'DtSChARGE RATE• FOR Etch LA-r F-Rq L, a~ R o T- i &AL~MI'A5. TOTAL. 17(STRiBOTIoO V5cNflR&E7 FATE FOR NET WOR K q;-. 12 I GArL~I''11•,V. ~ a•~ WNi MUM ER ) . PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS Pi41E g of 5 -VENT CAP 4"C.I. VUJT PIPE WEATNER PROOF APPROVED LOCKING JUNCTION BOX MAIJHOLE COVER P-5' FROM DOOR, W~ p1,f,(,01,p(i- IA13,cl WIUDOW OR FRESH 12 MIU. AIR I►JTAKE I PAPr f%r b 1-fIrA/ GRADE I I 4" MIIJ. g(9' COIJDUIT y a\\\ /'r IM n _ PROVIDE I . IULET J- -T AIRTIGHT SEAL nn I I APPROVED JOINT A hI V K I III APPROVED JOINTS IN 0►A I III w/c.2-. PIPE W /C.1. PIPE CXTEtJDII)G 3' _ ~ I II ALARM EXTEIJOING 3 ` I II ONTO SOLID SOIL OIJTO SOLID SOIL B 1 /1D 1 1 6 "3 I i ow 5a c y ELEV. FT. __J ~s~- ~ PUMP OFF 3 awo D , g ~ ~lo,PE eF OP' r! p01~~ l~ I BLOCK S~tiN cc m vAfiD,J RIStR EXIT PERMITTED OUL4 IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E r€eA-l SPEC.)FICATIOI~1S DOSE /wc-a c- 'T- a.IV 2'  TAWKS MAMUFACTURER: f V, NUMBER OF DOSES: ~/D 1'LK UAL TAWK SIZE : ~ GALLOMS DOSE VOLUME S LUME 10 ALARM MAA)UFACTUKER: .6,T LLELrR CI INCLUDIMG BACKFLOW: GALLOMS MODEL HUMBER: flW CAPACITIES: A= IAICRES OR W GALLOAIS SWITCH TYPE: ri- qA-r- B= Z INCHES OR - GALLOAIS PUMP MANLIFACTURER: ME S J C= 12 IAICHES OR 3/0 CALLOUS MODEL HUMBER: Q//~ e ~ D=~' INCHES OR Z7 O GALLOIJS SWITCH TYPE: ~~/JC,/ 64C,"~ 1047 MOTE: PUMP AMD ALARM ARE TO BE MIAIIMUM DISCHARGE RATE -115 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEIZU PUMP OFF AND DISTRIBUTION PIPE.. 7 FEET ~AA.)k SPECS MIIJIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . Z•5 FEET EA~~+. p~" P + 35 FEET OF FORCE MAIN X 3,22 F>'/').FtFRIC71oN FACTOR.. FEET (~jUn'S Z5 TOTAL D9MAMIC. HEAD = I L30 FEET Q f I, JJ O (P f IUTERIJAL DIME"SIOIJS OF TAIJK: LENGTH ;WIDTH / ;LIQUID DEPTH '7s M E40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 U) W 30 <L W H 25 1 8 Z l}1 20 6 Q ~ 15 Q 0 _ 4 0 f- IO - - - - H 2 5 i 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY dALLONS PER MINUTE F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3326 7/91 Printed in U.S.A. i I ME40 SERIES 4/10 HP Effluent and Drain Water Pumps POWER & FLOAT CORDS PLUG DDMNSIONS Quick-connect, watertight Replaces switch assembly fittings are interchange- for manual operation. able, replaceable from 1 06' NPr aFp (38.Imm) pump exterior. ' Discharge MECHANICAL FLOAT d F, 'y, tr SWITCH Mercury-free, 901 angle operation. ; 5.66 - (144mm) 11.68 (296.5mm) _..a 'IN" MOTOR HOUSING Cast iron for efficient heat transfer. J OVERLOAD SWITCH Built-in to protect against overload conditions. 4/10 HP MOTOR 1600 rpm, 60 Hz, 115 or - 230V, single phase. Oil- cooled and lubricated. a ~ ROTARY SHAFT SERI. i 'Z `e~a Cm i" 1 Z Carbon ceramic faces. r PERFORMANCE CURVE CAPACITY LITERS PER MINUTE 1 O 50 100 150 200 250 300 350 40 " !2 VOLUTE/II~I1pELLER SEAL 35 RING 1 Maintains high efficiency 30 and reduces recirculation, e replaceable. » zs ENCLOSED TWO VANE 20 6 IMPELLER High efficiency, passes HIGH EFFICIENCY ABS o 's 3/" spherical solids, with VOLUTE a S o stainless steel wear ring. Corrosion resistant. Passes 'i" spherical solids. 1W 5 2 THRUST WASHER, SLEEVE NPT discharge. BEARINGS o '41~ 0 Entlcmce smooth operation 0 10 20 30 40 so 50 70 80 90 100 and extend pump life. CAPACITY GALLONS PER MINUTE K3319 5/92 F. E Ash. Myers, A Pentair Company Printed in U.S.A. mwrv 1101 Myers Parkway Ashland, Ohio 44805-1923 419/289-1144 FAX: 419/289-6658, TLX: 98-7443 e&1ApA X PIPES V+1-7Va 3>~ V . (~D . L.L. c 3& ST, PAUL_ M,a &SI • az.s• Y4,53 Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page of Division of Safety and Buildings in accordance with s. IL}iA83f. 09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. ,Flan ftmt County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distarybe to nearest` road Parcel _I. # O 3 O 2// Zf 70 00 0 APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s.'15.04 (1) (m 2 ^ zo Property Qw,er+ Cab Pr lt~ft @4PibQR. -l G/ G>fiN~r~~ ~rES " " $ "e -A&I Govt. Lot S~ y'1/4~(~t/4,S 31 T y~ N,R P / E (or) W Property Owner's Mailing Address f n# 61ock~ 36bd. Name or CSM# y31 2md_ 57-- ~~ifE E /E- sa~~ City State Zip Code Phone Number Nearest Road C (jp.SO~ K//, SVt91& (Ifs )3Yo • ~1~~ ❑ City V' lage Town /GL!%c4 70 slY New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow god Recommended design loading rate ' bed, gpd/ft2 • trench, gpd/ft2 Absorption area required bed, n2 trench, ft2 Maximum design loading rate • t bed, gpd/ft2 J trench, gpd/ft2 G •3 Recommended infiltration surface elevation(s) 5ce- Pd ft (as referred to site plan benchmark) Additional design/site considerations A•V w / z0-v/AA6 - Parent material Flood plain elevation, if applicable ft S _ Suitable for system Conventional Moun In-Ground Pres re AT-Grade System in Fill Holding Tank S U - Unsuitable for system ❑ S L~ U ❑ U El S U ❑ S El ❑SLJU S L'~ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 9 Texture Consistence Boundary Roots • in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 0-49 140YR31S z- • /Q /vYX 3/ SL SAC A" die w • ; . S Ground /e 7~ .S/~. aMl ,f// /JN 7 I~ G•~fj . s ; • 4, `TS• elev.o n. SYR 1(/fi( S7~itT7F~ED $L U~ ,Q AN Z. - 2 • 3 Depth to limiting fi 2 /~'IO~S ,y ; fac or C . 04F _j_ W 02q L] Remarks: 6;et13,f st Boring # AP !5 A~ /70- 2- p•2 10M 3/1( 01 LS /f s w • s /a R Y/f CSC f Ground J /L Z Ary / T C$• S . lf' -7 gar' e1ft . s 01 ~Zl1C Ls /.rsr+ ,e ~ Ile . 7 ; . r f 'I "e - Depth to p y limiting factor yin. Remarks: ST Name (Please Print) / Signature Tele hone No. i(oBFiE'T' Zl/ i 7l S, IF(; • P051.S ~ • ~ Date CST Number Address (//fV/ ~~ya . 2. C b 7 ( y Private Sewage Consultants 655 O'Neil Rd. ?f` 00Ao11NtZ 7e2~4a Hudson, Wis. 54016 ~dc/ 7 7 PROPERTY OWNER 1'4NP57E'P • SOIL DESCRIPTION REPORT Page 2" of PARCEL I.D.# /-P T 2-~ 40 11 60'-~ Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 i o•~ io ye 31 - 5*1 !she * of .w / jr . (f • S V. /M /olvie-4-y Ground 3 /tqO AX ? / SG L SAe •$-t 1/ 79-2 c S - . s elev. 9 .q ft. D /o s A-Kj Of • s 69 .e _ 7 .0 Depth to limiting ~jfactor , Remarks: Boring # / o•/- 10Y4 .3 SG lfsh t, A" 0704w i70` . K •s 2-- 1 •2a /a 313 SL- !fshw , 4 of s 3 Ate. y ioY~ 4 w"P°G errr SG z-f she st, fR a,~e CO, Ground /O l4 • J r S A r . 7 • Q elev. 510 log(,- 3,gge-p -MAJ -d E-5: G 6- C Depth to limiting -e~ SL factor Tin. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # p•/(( 10YX 313 $G /70Cs 4 AK W f • C( . S Ground ~Q Y S S . (p elev. Depth to limiting factor J f-g -in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08195) {av~o ?'op of L© T 27 5011ve 114741-9 XP Ulbdchi b Associates Consuitants private sewage 655 O'Neil Rd. 16 ST LOT G Hudson.7rWis 01 *2-, -Ce3~'5 F Gl9 l It W sV 0 GOT ADO _ o r Z2 z~ r L~ y5, 70 ' I 6)o T~ -"t s i gf' ~r<<y f P 0 0 AJ D S' y S 7T 70 3of3 - 11/17/99 WED 13:43 FAX 715 386 4686 ST CRX CO ZONING 10002 r ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer MAV fl: Le- -~;76 h (j-R*jd --J14 A o,"%'I r5 /n L, Mailing Address 431 2nd 5f He 4o n j,.- j// 5'10110 Property Address 3-l A (I' I+UP OA) W(- S a~ (Verification required from Planning Department for new construction) City/State 4494.e2ig.rN M Parcel Identification Number 0',Q 21 70 000 LEGAL DESCRIPTION Property Location Stt/ _ Al Sec. 3 I . T 30 N-R_!O__W, Town of Subdivision ki A Ae soil le , Lot # 2 Certified Survey Map # N ©(l1 , Volume ..Page # ~1~37~ S Warranty Deed # 6 0 3 71, , Volume l f -Z M , Page # 4P Spec house i yes ❑ no Lot lines identifiable It yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or a licensedpumper verifying that (1) 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 Zoning Office within 30 days f the three year expiration date. hj~ SI NATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. #SINA4TURE OF APPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed oi.1429PAGE 61 60S76S KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 3. 1998 REGISTER OF DEEDS ST. CROIX CO., WI Number QUIT CLAIM DEED RECEIVED FOR RECORD White Eagle GC LLC 05"25-1999 4:00 PK quit-claims to QUIT CLAIM DEED Preservation Development, LLC EXEMPT D 10 the following CERT COPY FEE: FEE- described real estate in St. Croix County, State of Wisconsin: TTRRAANWER'FEE: RECORDING FEE: 10.00 PAGES: 1 Recording Area Name and Return Address E RT Parcel Identification Number (PIN) This [S not homestead property. 30-1087-95-000 30-1088-50-000 and Outlot 4 30-1088-40-000 Lots I - 39{ EXCEPTING THEREFROM Lot 28, Plat of White Eagle, 30-1090-95-000 30-1090-90-000 30-1091-10-000 30-1091-20-000 30-1091-60-000 30-1091-30-000 30-2069-60-000 30-2069-30-000 30-2070-40-000 30-2072-60-000 30-1090-70-000 30-1090-50-100 Dated this 25'M day of May, 1999 White Eagle GC LLC • • William . Bl k s s AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )SS. County of Yr 0004114) authenticated this _ day of , 19_ Personally came before me this I y of May, 1999, the above named White Ea' --L W11umn R Block _ ' to me known to be the person(s) who TITLE: MEMBER STATE BAR OF WISCONSIN executed the foregoing instrument and acknowledge the saute. (If not, eA 1Wr - authorized by § 706.06, Wis. Slats.) S, [a N /Y k c THIS INSTRUMENT WAS DRAFTED BY Attorney Kristiwa Ogland Notary Public , State of Wisconsin My Commission is permanent. (If not, slate expiration date: Hudson, WI 54016 (Signatures may be authenticated or acknowledge. Both are not necessary) *Names of persons signing in any capacity should be typed or printed below their signatures QUrt CLAIM D® s-rATR BAR OF WISCONSm FORM No. 7 -19" INFORMATION PROFESSIONALS COMPANY FOND DU MAC. WI SOD-655-2071 yV opsinDepartmenroelndustryOIt AND .SITE EVALUATION REPOiT' Pie " ` La and Humare Re1atibns Division of sa%ty'& suildngs accord with, MR 83 05, Ws. Adm Code couNnr ST, C.6Zo1X Attach'complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, W not limited to vertical and horizontal reference point (BM), direction and % of slope,'scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. _ b)Q C. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R IEMDBY DATE PROPERTY OWNER: C / o 'UN N S C\A Prr+ PROPERTY LOCATION PRrLS~L~o~ ~~.OP~vT ~o2P• Sw 1/4Nw t/4,S31 T 30 N,R tq E( W PROPERTY OWNERS MAILING ADDRESS ~ ` LOT # BLOCK # SUED. NAME OR CSM # D Tz aP o S~ ~ 6 9 h~E1-10 C. BLVD , ) Z W!} ITS kn : CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE RrOWN NEAREST ROAD ST, \>fNL, MN SS tol (6s1)°ll0 - GOI.~ s~-. ~U st`p 4tZ.Q1~as RD. P9 New Construction UseN Residential If Number of bedrooms • 1 [ ] Addition e4'sli, ' • 'ng j ] Replacement (j Public or commercial describe Code derived daily flow q S_0 gpd Recommended design loading rate _bed, gpd/ft2 trench, gpdtft2 Absorption area required "n'5 bed, ft211-5 trench, ft2 Maximum design loading rate • s bed, gpd$ • b trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/ site considerations S EL-_ Nts or Phi e Z C Movr~ w !8 ~j7~ 8~~ Parent material G L P~-_t M T ~L Flood plain elevation, if applicable N A It S = Suitable for system CONVENTIONAL OUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ®U g S ❑ U ❑ S O U ❑ S U ❑ S ®U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench ~r ~_k:.:.vvvvv\\ 1 fi ] C)-9 vi-I V_ l Z Sy Z. S b h 1'F 4- S S 6 t \vti t 4. Z q-Z 1otitZ3/ - st 1 Z-sbk Ground 3 Zo-3 S `91i:)/ y - sl 1 c~- a`aM gnu elev. 1- way °118.2 ft. 4 ~Q 2 S `-I !Z 31 - s] c ~ Depth to limiting factor 3S Remarks: Boring # Z Z -3y L R- 3/L si l Z ~51~k Wt`s- cW 5: •1.}PHA`itx 3 3y-So 1 U`tIZ 3J 'fvil -S 11 S15 Si 1 1 k Yn t,k, Z- 3 Ground - elev. y Sb-6y y - S 1 1 e S'ol t Yn v `E t- S q16•) ft Depth to t Irr- limiting r . factor Remarks: T Name:-Please Print Phone: e ' Arthur L. We erer 715-42 7- 1:65... egerer Soil Testing & Design Service-P.O. Box 74 River Falls,W 4'OZ2 ` Signature: Date: CST Numbw. LZk4l q8- 1Z3- Z ~ zl S Z`c~ M00576 PROPERTY OWNER PT6-~ MUnOXJ . Oo2pSOIL DESCRIPTION REPORT Pagt3 of--7B PARCELI.D. ~'~Ol>`1Q Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boti day Roots GPD7ft { In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed_ rc • o-tO tio~l~z BIZ 3 - s~ Z s b \M. e5 ~ • s L Ground 3 3Z_1~3 7. S`t IZ 3!y - L s 1 c-S b1z elev ft. t Depth to limiting factor 2 63" s Remarks: Boring # _ 13 Ground elev. ' ft. 3 Depth to limiting - factor Remarks: Boring # Grounds Y~IU kn7 S`t 5 Sv t LL On/L~f t~1) Q elev. ft C j f- ~ S L YZ 0 O- . Depth to l limiting factor Remarks: Boring # _ UaJ 4v n`1j~ r> 6 S h U~V - f Ground ©1- LG ! elev. ft. Depth to limiting factor Remarks: SBD-8330(A.05/92) , a: p~TL Page' 3 of SCALE I"= 65, . a~z. . q\lo j~ S o 8.` 8.3 °oN`t~vvr. 916.5. 6 ~ti Qc>t. p~ L3~o • - 'El.. '~'ll6.3' Ot-3 9MG11, 3114 ~ U1A • JU Play w/ NoT~s l o~SE -M BE WT (EsT ZS' Ft2o M Movtvb. Z. w~.L k k S t Scl' K a 3. Op w oT cc1 IVI A-tT O \z- b ~S Tuza 1I uutiD FYI OR Z S ' DOwN S~upF a~ `T7Y>r H 0 t C~ u~ 22 Zb (715 ) 425-0165 1400576 CST Signature Date Signed Telephone No. CST # U - u v 0~,.$0~ \ \ OAS., A, Q f° O L4 U) m O \ o 0 Z a, T o w \ Nw OcD O• -w Cl) v W \ O cD n t° O OC~3 Cis \ m Z O m 2 MN rn \ N Z cn . \ O O CID N cn olp ~ N \ 0 % Z rN+ \ U \ I OO V' C- 46 co \ r o O o A w c N 3 A ~ ~ ANC N C+ 0--% - COD w w p \ vii i A N (T \ o D N N \ 00 N c~ A 00 \ \ ~3 ? f N 33' \ \ W f N ~ N ~ w ~ ~ ~ 9 1►.5Z N oo 3 blS w w 7.1 s~ OD O N Z OD Ul OM -n a' c Der N tea, Pi > O O N JO \ V3 F 1 s$ Off.` ~ \ Q O \ O 0 NS7.33. L"OD \ D ? \ £ 232, ,c~ \ ? Ul N N 0-) rn C,,• ti~ 2¢ , _ \ to y A cv- -N4727'16 00 M:q 00 114.01' ti \,r -0co 00, NSF, \\~~C68 ~~i0~