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HomeMy WebLinkAbout004-1000-45-000 o m ° M p u o m o � 0 ^l rn f r; m At cy N I a� 1 CL @ I � I o m z a o 00 I 0 00 Z N r 3 m LL c — N O ' N � O U Q O � a M C l0 0 O z CD W d m FN Z O O z d u w o I in F - (D z E -L, c I • O � Q m 0 z z — c z v N (V t m CL d W d i U m Q m a E U 0 v)mm _ 3 _ Lo m - *i m 0 0 0 a o z FL a m Y N o y a� N J U Q) rn rn r ^�l ° r o o N 0 O co 1 LO " N ,s. to w r. �I N 7 O c+) ° o t p O ff. LO m C N N N Q 0 0 7r �' t 3 Y cA c N m N N O w 0 F - m N (� `3 c\ rZ C c0 >' N N c0 (O • ?, O N m O N t7 N O N U C) o U 1 Z> rm o cn Y UJ � I m .a y a ' _ a . 0 �e� CL d U d y C o m 3 o A U a 2 1 0 va t. Parcel #: 004- 1000 -45 -000 03/27/2007 11:25 AM PA 1 OF 1 Alt. Parcel #: 01.28.15.413 004 - TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MERRIMACK, JOHN W & JODI E JOHN W & JODI E MERRIMACK 3298 53RD AVE KNAPP WI 54749 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 1 T28N R15W E1/2 SE NE Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 01- 28N -15W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1198/458 WD 07/23/1997 748/472 07/23/1997 612/415 07/23/1997 422/634 2007 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/17/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 28,000 128,800 156,800 NO AGRICULTURAL G4 11.000 2,000 0 2,000 NO AGRICULTURAL FOREST G5M 7.000 10,500 0 10,500 NO Totals for 2007: General Property 20.000 40,500 128,800 169,300 Woodland 0.000 0 0 Totals for 2006: General Property 20.000 40,500 128,800 169,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04117/2001 Batch M 568 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 CROIX COUNTY ZONING U, I '1V [:NT q �� AS Owner �lol1 n 6412 mo �. Address 50 City /State u.nryra Legal Description: �! Fie,, Lot - Block - Subdivision/CSM 1t - D-) 'V+ -N- S6 Sec. T2 N -R �. -�-, _Z W, Town of C ----- SIN # SEPTIC TANK -- DOSE CLAMBER -- HOLDING TANK INFORMATION: � PQ8G4Sk / Tank manufacturer i jt, j Size ST/P 1 22 / 63 Setback from: House 20 Well _ Pump manufacturer zo- p� Model 0 98 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: Width — 4 - Length /� Number of Trenches _ [� Setback from: Souse /7YU - Well 15"0 . P/L /vv Vent to fresh air intake ELEVATIONS Description of benchmark 7�� e tan Elevation p. v Description of alternate benchmark Elevation Building Sewer ST/HT Inlet - ST Outlet - PC Inlet - PC Bottom 7-51 - Header/Manifold Top of ST/PC Manhole Cover 1 17 Distribution Lines Bottom of System Final Grade ( } /0% 0 ( } ( } Date of installation / 1 number f 3a 0 asv State plan number Plumber's sig atulle �16 License number S0" 7- 5 - Datc /17! O v Ins P ccto I compktc plot plan K i NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW q i f � -d a F N i INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ' Safety And Buildings Division CountT. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitay2pbVi T : Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 33 UU 4 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: ERRIMACK , JOHN CADY III S21 - TmwS . !Q A) CST BM Elev.; Insp. BM Elev.: BM Description: Parcel o.' cJO, , �� • � :T r q 1Mq0 =cst ��l bt�-x.001 5 -000 TANK INFORMATION ELEVATION DATA A9800442 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. n � Septic u� �Y�c K� �"D b S� Benchmar $ Ofl , a r Dosing Aeration Bldg. Sewer `( --? 7. � Holcling St /Ht Inlet F. (g -fig, G TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. ventto ROAD Air Intake Septic (ap ' NA Dt Bottom ((, 7 Dosing y 16t - 3 4, �r NA Header / Man. 7 Aeration NA Dist. Pipe .LZ •62 Holding Bot. System PUMP / SIPHON INFORMATION Final Grade ,(( 18 __ Manufacturer Dem and-3} J? Model Number ` 'y�'� GPM , TDH Lift 1.0' L oss riction I �( System TDH ,� �1 Ft Forcemain Length Dia. 2 Dist. To well SOIL ABSORPTION SYSTEM RE& ENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DI EN I 4 `o I 1 DIMENSIONS - SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI nufacturer: INFORMATION Type O , J CHA R Mo r: System: � too 71317 -7 S r O NIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) It x Hole Size x Hole Spacing Vent To Air Intake Length —� Dia. / Length gz.D Dia. Spacing —� ( y 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 ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) C-5) (o. zz 1 0 •i 0,2 LOCATION: CADY 1.28.15 NE, SE 3298 NORSEMAN ROAD Plan revision required? [ ❑ No Use other side for additional information. FED 2- ? Vw 0 1 E SBD- 6710(R.3/97) inspector's Signature Cert.No. x -1- ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' E --� Safety and ofBuii Building Water Divisi SANITARY PERMIT APPLICATION Bureau of Buildin Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County-, , than 81/2 x 11 inches in size. ; c ° • See reverse side for instructions for completing this application State sanitary Permit Number The information you provide may be used by other government agency programs I] Check it revision t�re s ap cation (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location J l�_ 1/4 1/4, S T48 , N, R o (or) W 1 Property Owner's Mailing Address Lot Number. Block Number Cl c J N - O t , State Zip Code P G hone Numbe Subdivision Name or CSM Number �, � 5q - 7 - .O ( 7/5 ) � AJ k- I ll. TYPE OF BUILDING: (check one) E] State Owned El Cit FN�e7aest Road C1 Villae Public W 1 or 2 Family Dwelling - No. of bedrooms — 3 Town OF �J III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) / 1 ❑Apartment/ Condo 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. ❑ New 2. Replacement 3_ ❑ Replacement of 4 E] Reconnection of 5. E] Repair of an System A 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 M Mound 30 ❑ Specify Type 41 []Holding Tank 12 []Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 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. /inch) Elevatio w 16 6� 7 / Feet rte?. Feet Capacit VII. I NFORMATION in gallo Total # of Manufacturer's a Prefab. ion steel Fiber- Plastic Exper. 1 �7 New Existin Gallons Tanks Concrete strutted glass App. Tanks Tanks 1 Septic Tank o HaWing Tank c , — /'?c ❑ ❑ ❑ ❑ I ❑ I ZI Lift Pump Tank /Siphon Chamhe .50 6.So ❑ ❑ ❑ ❑ L1 VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installati n of the onsite ge system shown on the attached plans. Plu er's Name: (Print) Plum r' n u V40 stamps) MP/ Busines Phone Number: Plumber's Address (Street, City, State, Zip C e): - IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) KA roved su"har `ee) pp ❑ Owner Given Initial 2gD !� Adverse Determination X. CO DITIONS OF APPROVAL / REASONS FUR DISAPPROVAL: SBD -6398 (R. 05194) DISTRIBUTION: Original to county, One copy To: Safety & Ruitdings Division, Owner, Plumber INSTRUCTIONS , 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code 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 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and moiling address. 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. 1 VIII. Responsibility statement. Installing plumber isto fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must 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 oT 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; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of 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. SAFETY AND BUILDINGS DIVISION 2226 Rose Street CON LaCrosse, Wisconsin 54603 isconsin G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary Transaction ID No. 119529 Date: 8/13/98 John Merrimack NE,SE,1,28,15W Mound System Town of Cady, St. Croix County Private sewage system plans identified by the above noted Transaction ID have been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters Comm 50 -64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. The following conditions shall be met during construction or ` installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. • The proposed well must be a minimum of 25 feet from the tank and a minimum of 50 feet from the system area. The existing privy must be properly abandoned. 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. Sincerely, e erardM. Q Swim Integrated Services POWTS Plan Reviewer (608)- 785 -9348, Mon. — Fri. 7:15AM to 4:OOPM jswim@commerce.state.wi.us SBO- 5524 -E (R. 2198) MOUND SYSTEM DESIGN Residential Application 9 �c� ���� INDEX AND TITLE SHEET ` ?� � � `998 GAS Project Merrimack Owner John Merrimack Address N2447 Cty Rd. D Elmwood,Wl 54740 Legal Description NE,SE,1,28,15W onally Township Cady County St. Croix 0 dit Subdivision a n N me N.A. Lit N�. N.A. Va „ Parcel ID Number N.A �pN SAFL Y N pE NGE Plan Transaction Number 119529 CQ �RE`�P i SEE Index and title sheet Page 1 Mound calculations Page 2 Mound drawings e 3 Page 9 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump information (aft of 6) Page 6 Site plan Page 7 Soil test (a,b&c of 8) Page 8 Designer loretta/Ja k A. Bo an License Number MP 5875 Signatures `.. -��'`� Phone No. (715)235 - 4634 Dat August 11,1998 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). SBD-10462 -E (R.05/98) Page 1 of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? r (r or c) (y or n) y Replacement system? Creviced bedrock site? n (y or n) Slope 6 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 16 in 40.6 cm In situ soil infiltration rate 0.5 gpd /ft 20.4 Lpd /m Contour line elevation 96.5 ft 29.41 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold (c or a) Hole diameter 0.25 in 0. 0. , 281, or 0.3 13 inch only. 0.25, 281 or 0.33 inc only. Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 3.70 ft Not a final calculation. Number of laterals 1 Pump tank elevation 94 ft Outside bottom of tank. Forcemain length 200.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5/32=0.156 9/32=0.281 Estimated daily flow 3/16 = 0.188 5/16=0.313 450 gpd 1703 Lpd 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpd/ft' 375.0 ft 34.84 m2 Linear loading rate (LLR) 4.79 gpd /ft 59.4 Lpd /m Design width (A) 4.00 ft 1.22 m Cell length (B) 94.0 ft 28.65 m Depth of cell (F) 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 20.0 in 50.8 1cm Downslope fill depth (E) 22.9 in 58.2 1cm Basal area required (gpd /infiltration rate) 900.0 ft 83.61 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (In 12.36 ft 3.77 m Up slope toe length (J) 8.90 ft 2.71 m Down slope toe length (1) 13.70 ft 4.18 m Total mound length (L) 118.72 ft 36.19 m Total mound width (W) 26.60 ft 8.11 m Project: Merrimack Transaction Number 119529 Page 2 of 8 III` ' MOUND PLAN VIEW observation pipes (typical) �J 26.6 ft A A= 4.00 ft 1.22m 8.11 m B = 94.0 ft 28.65 m W B J 8.90 ft 2.71 m I K I = 13.70 ft 4.18m K = 12.36 ft =m _ 1 118.72 ft 36.19 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension (::D = plowed area (LxW K = end slope dimension 1W ti (152 mm) T MOUND CROSS SECTION D = 20.0 in 50.8 cm lateral topsoil c subsoil cap E = 22.9 in 58.2 cm invert 98.67 Ift F= 1 0.0 in 25.4 cm elev. 30.07 m JF G = 12.0 in 30.5 cm ASTM C33 H 18.0 in 45.7 cm D "Sand Fill E Sys. 98.17 y `� elev. .92 m 96.50 ft contour 29.41 m elev. 6 % --� slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Merrimack Transaction Number: 119529 Page 3 of 8 i i PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 4 1.22 m Length (B) 94.0 d ft 28.65 m Lateral specifications Number laterals 1 Holes /lateral 25 holes Lateral length (P) 92.00 ft 28.04 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 29.13 gpm 1.84 Us Sys. dis. rate 29.13 gpm 1.84 Us Hole spacing pq 46 in 116.8 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) Place X in red X" one choice 1 1/4 in (32 mm) box of chosen from the options 1 1/2 in (40 mm) diameter. provided. 2 in (50 mm) X x 3 in (75 mm) X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) - w....� "X" one choice 1 1/4 in (32 mm) None required. from the options 1 1/2 in (40 mm) No choice necessary. provided. 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) I t7771 Distribution system contains: 1 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension end cap P Last hole dlrilled next to end cap k- X Laterals & force main of PVC Sch 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30 -5) equally spaced . =permanent end marker Inch-pounds Metric Lateral length (P) 92.00 ft 28.04 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 46 in 116.8 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 2.00 in 50 mm Forcemain diameter 2.00 in 50 mm Project: Merrimack Transaction Number: 119529 Page 4 of 8 i TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 5.40 ft 1.65 m Are laterals the highest point in the Friction loss 2.94 ft 0.90 m system? Yes ")C' here. Total dynamic head 10.84 ft 3.30 m If no what is the highest elevation Dose Volume downstream of pump? F 100 Dose is > 10 times lateral volume Forcemain drain Lateral void volume 16.0 gal 60.6 L back to tank? (x" " one) Minimum dose 160.0 gal 605.7 L Yes Drain back 0 gal 0.0 L x No Dose volume 160.0 gal 605.7 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning label and locking device grade levels junction box — � rade levels disconnect g alternate 4" vent pipe _4. electric as per NEC 300 and F outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump L — approved chamber or outlet joint combination tank A Provide 1 /4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 94.6 ft C - pump tank manhole = 4" (10 cm) off elev. 28.8 m minimum above finished grade D - vent = 12" (30.5 cm) minimum above finished grade 94.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 28.7 m bottom of tank Tank manufacturer Midwestern Precast Inc. Pump tank capacity 16.8 gal /in Pump tank volume 650 gal Pump manufacturer Izoeller Inches Gallons Pump model number 198 A 23.2 389.2 B 2 33.6 Alarm manufacturer JSJ. Electro 5 Alarm model number IS-J1 Di 4 1 Project: Merrimack Transaction Number: 119529 Page 5 of 8 f Effluent and Dewatering Pumps MODEL "42" w Non -automatic v/'� 6'480' a • 115V- iPH -6amps ®• Pumps down to within 1/8' of base R i CAST IRON SERIES F UL listed 8', 3 -wire power cord and L/LAL "/i plug • Corrosion resistant F-Automadc UTILI UMP 011 -filled motor Vol Phase/60 Cycle P • Rotary shaft seal • 011 - Filled Hermetically sealed for • Thermal overload protected . Passes 3/8'solids (spher • t W NPT vertical discharge with a • 1 VV NPT Discharge garden hose adapter . Rugged cast Iron or housing. Compact design will fit in a 6' • Efficient heat sl or Heat dissipation ning • Engineered moplastic motor cover& base CAPACITY • Non- C Vortex Impeller Engineered CAPACTTY H UNRSAYIIN G filled HEAD UNRS IN Feet Me Gal. Ltrs. tomatic Reset thermal overload Feet Meters Gal. Ltrs. 5 1.52 15 57 protected 314 1.06 29.5 112 UL Listed 9', 3 -wire cord and plug 10 3.05 b 51.3 s Carbon & Ceramic Rotary Seal 5 1 S2 29 110 15 4.57 8.5 32.3 • Watertightneoprene seal between motor 10 3.05 25: 95 15 4 20 6.10 2 7.6 and cover .57 18 66 • Stainless Steel Screws (No sheet metal 20 6.10 7 26.5 Lock Valve: 21' parts) Lock Valve: 22' "53 AST IRO Ews * / 57" CAST IRON SERIES 995 ' BRONZE SERIES * / 11 59" BRONZE SERIES • Automatic or Non- Automatic. - • .3 H.P.,1 Ph.,115V or 230V. • Non - clogging vortex impeller design. CAPACITY • Passes % inch solids (sphere). HEAD UNITSIMIN • %" NPT discharge. Feet Meters Gal. Ltrs. • float operated, submersible (NEMA 6) 2 pole mechanical 5 1.52 43 163 switch. V .3.05 34 . 129 • Automatic reset thermal overload protection. � 19 72 • Stainless steel screws and switch arm. • alve: 19.25' • Engineered, glass filled Impeller with metal insert.' • * Bronze motor and pun p houshrg, awiMh sea • Glass filled polypropylene base.* • Models 55 and 59 have stainless steel handle & guard. "•eroezemotcraed punphousing, switch cm hoop aeAWN 53 Series SC-4425 and inpslbr 55 Series SB -4415 57 Series SC-2225 C © Canad Standards AND �M® SO Sarin SB -1115 l `too available ap "98 " CAST IRON SERIES • Automatic o Non - Automatic. CAPACITY • % H.P., 1 Ph.,TiTv or 230V. HEAD UNRS/IY11N Non - clogging vortex impeller design. AM , ® Feet Meters Gal. Ltrs. • Passes 14 inch solids (sphere). W n 5 1.52 0' 3.05 72 72 273 • I %' NPT discharge. she i _ • Float operated, submersible (NEMA 6) 2 pole mechanical 1 4.57 i ll . 231 231 switch. 20 s.10 25 95 4 170 • Automatic reset thermal overload protection. • Stainless steel screws, guard, handle and arm and switch Lock Valve: 23' assm. • Watertight neoprene 'T7' ring between motor and pump housing. CID Canadian Standards © Assoc approval available C ON9B, nona utomatic, available packaged with a piggyback mercury float switch. 1 HEAD /CAPACITY CURVE TOTAL DYNAMIC NEADWACITY PER MINUTE EFFLUENT and DEWATERING EFFLUENT AND DEWATERING WARNING: Model 185 should not be subjected to ' less than 30 feet TDH. N 11 32 1 TOTAL DYNAMIC RUKA►ACITYPER MINUTE EFFLUENTAND DEWATERINO loo 53-M 30 SERES 37 so 177 -178 161 163 Its in In 188 ! 28 — Fr. Ni : ";Ike, Oet titri:: 04L lb.:: OeL fA ►:: oet;Uri ea tri' Bl Lae? Del >h OeL Ida': tb S 143> 4 ;tq' 72 :104 1W 106 461:: h 711 h <Itt as 163 1►7 133 $ 26 10 a>h: 34 ;121 0l '271: 71 701:: 100 778:: 81 271' 61 ::271 38 :z29? 14 .360: 131 St2' es 13 tat 18 >7Z u It11 -. N 2ti.: n :Mt: 4 73'F:: se :.127 .: :: 31 7td:; 1 e; 14 24 20 'tt0: 23 C 36 t$U e2 ;:210: 31 377: 4 >.221 x :220:: 176 111:. 410 b2o�: 75 1s 6 ;:;s0 74 :266:: s7 ltt: 4 ::lP7; 31 121 46,4:: 133 ;W: 22 146 70 tGtt tS 346:: u t1a: 38 711: 4 7S0? 121 '477: 127 4) >. 46 t7.}: 4 :172: 33 ::W 73 :2q:_ A ,120.:: lies : 116 :pi. zo as so 14+71 21 e4: 33 137 $1 :tit. x 27l: x ..22tli: M 'ABt; too 37Y. I 60 492P 13 67 4 .4 76 t�l g 1e eo j 77 M� 70 Iom 1e A!.> u 1411 m 71l:: To x1s: o ss w 247t 14 '::37 u iz6> 21 #A: $4 314: 1aD 304 a 4<:: ,� 4s 111 ss 0 —40— Led Vd4E +823' q' 29 SS' 8C or 73' 113' of IIr 12 fl !3 10 18 e � i 6 161 • \\ t3 N lee 10 2 3 HEAD /CAPACITY CURVE 13 IIIYYY��� Q " ° 57'3 M o 1 o ao SEWAGE and DEWATERING o z � w 7o eo so /ao 1w 1zo !o uo 1so 160 �� ea 140 240 320 400 460 360 64 WARNING: Model 293 should not be subjected to "°"" °�" "" "'"E less than 15 feet TDH. 1 `) �+ TOTAL DY NAMIC SEWAGE AND DEWATERING MINUTE 4 aEAIEa xz m 267 298 212 zu nz 21 m m 409• R. M. Gal Ln Gal In GY Ln Gat Ln Gal Ln Gal Los Gal In Gal: Ln Ln Gal In Gel In s 5ii D0 1If; 124 1A4; 124 >IA4:: 1124 >'�61. t3o ' < tao z:il61' 710 ::a Q: 196 <: �3 22s : l32> 100 aS : 3osi... 60 zt. sa.... 38r IM 37. . sN >;169' 156 ><sess tz4 < :,.:: tet ::::414::: 2 05 35 'J 22.5 ;; so ;:,:409:; 50 >i 50 :;11Rs 63 :;:294;:: 135 IQ1;:i 130 ',( 165 ;< g tas :<30R 300 s to as :i: to &1 .;fi6.: t }: as ;.9d3 112 > tso 6ga.. 164 ,:64; 250 :: >tf6,;; 27 2S ' i::Z:Js.#i i ::,.' ?::- ii: ii iE!i: y `i �:. ''E: : `'i 'i�'';: :_: 76 ; i i:i W ;i : ?S, 106 ::::16'.1;: 136 i my 153 4:: 200 70 90 , Y14. i 'a : �k9. 47 , 1.13. DO 3111 121 �Ga.:. 140 :;;lid}' 160 40 s < : >tsi : s0 < <;1a>r<: 94 ss 115 �.: 60 Js"..:* > s".. :* ti �� ;; 59 16 y 70 31184 26 � Y y( 1 ' es Lo&VaM to 213 21J 21 26 3s 42 SO 77 40 ss t7 40 c Y to 0 30- 293 e 2s a � 2n2 s 4 +o 2 267 797 s 66 6 . n 794 79S 1q 0 V.S. oftle"s 10 ]0 SO 60 70 40 90 100 110 170. 13p 140 s0 +60 17p1601 700 21 270 2 710 750 260 770 e0 290 700 7I0 3 0 lb H 360 370 360 ]a0 400 41( lRERS a 160 710 320 400 440 660 640 770 400 850 900 lua 1170 +700 +780 1360 1446 1s10 FLOW PER WMM John Merrimack SITE PLAN SE,SE,1,28,15W F Cady township 3 St. Croix county C19 a, � � 5 � o g° SEE CUC7��ESPUI�i�Ei�ICE o� N a j r • c• ti • 3 ° LEGEND 0- borings BM: 100.' top of iron pipe painted orange Scale 1" -40' except where indicated o v UIr System Elev. 98.17 on contour 96.50' �e C s. C /1/oits� man Rd . C W isconsic Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page �° of Division of Safety and Buildings in accordance with,s -tL- -1 1 Wis. County Attach complete site plan on paper not less than 8 1/2 x 11 inches iR.sl�d Plan myst y include, but not limited to: vertical and horizontal reference point (BM)/direcfiQri dw percent slope, scale or dimensions, north arrow, and location and�tance to hf£ B�C�fd. cel I.D. # APPLICANT INFORMATION - Please print all in ttatirr f +' ewed by Date Personal information y secondary � �, you provide ma be used for seconds purposes (P 'v8 "�1.aw, s. 15. � i` , Property Owner 7 fiTckca n, o "RP / �K ' j �• Go_vt. Loi�• ;' / 1/4_S[= 1/4,S Ta ,N,R IS , (ore roperty Owner's Mailing Address L,Bt - # Subd. Name or CSM# City State Zip Code Phone Number Nearest Road Cl 1C'C� 6_4 � 5 ) -�/ �$ El city ❑ V' ag ® Town ❑ New Construction Use: ® Residential / Number of bedrooms Addition to existing building A/ A ® Replacement ❑ Public or commercial - Describe: ti' ., . Code derived daily flow gpd /' Recommended design loading rate _y: L bed, gpd/fl �:S trench, gpd/ft Absorption area required 9nV bed, ft 7S trench, ft Maximum design loading rate 91 bed, gpd/ft b trench, gpd/ft Recommended infiltration surface elevation(s) ,' 0 ' S 3 if (as referred to site plan benchmark) a-n cc w 96.14 Additional design/site considerations „ • - Parent material Cw.h I .Siw /0 * Flood plain elevation, if applicable A[/J • ft S = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system EIS ®U EMS ❑ u ❑ s H u 1 0S ®u I ❑ S I ❑ S 0 u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 13 _17 Ground L E C r elev. Depth to limiting factor in. Remarks: Boring # s 0 Y 3. � Y -q, Ground ' ii0 /C �' 6 T' j :/ S . 1 6 S/ _S, 3 elev. 9�ft• , Depth to limiting factor . � �c'" �n. Remarks: L) 8 -i0- t-e CST Name (Please Print) Signature T(le hon 235 -46 ess : Ms. loretta A. larra -� ' c `— Address Business: Date CST Number Bowman Plumbing Inc., 2819 Menomonie, 54751 /0 - , /998 CSTM 3719 j ems- PROPERTY OWNER A), SOIL DESCRIPTION REPORT Page of PARCEL J.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench - 3 9-16 ct�k ( t S Ground y? j4 elev. �J o c .-s' Depth to limiting factor j n. Remarks: Boring # S (Z-5 o Y Ground elev. 9 66 ft. Depth to limiting factor �XAK in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft� In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # w 3 4 P is 11 � L F -16 C Y P, '/6 1 v a�� Horizon Ground 2t .2 V 1 4 5'lk j! elev. Depth to limiting factor 1-6L Remarks: Boring # 13 Ground elev. --ft. Depth to limiting factor in. Remarks:, R13 .3 SBDW-8330 (R. 08/95) Page 3 of 3 A SOIL AND SITE EVALUATION REPORT I Bowman Plumbing, g� N John Merrimack Master Plumber No. 5875 ' NE,SE,1,28,15W Cadey township 2819 Knapp Street St. Croix county Menomonie, WI 54751 (715) 235 -4634 FAX (715) 235 -3650 loretta larrabee CSTM 3719 LEGEND 9 X- borings 3 borings dug with back s hoe I A s Scale 1 " -40' except ``, 1 r where indicated X . BM: 100' top of iron pipe painted orange a NO ILHR 83.10 problems tea' 1 e C.v UI n U � u f� • NC?IZ5 C n1�hl �BVI� ems` 8 8 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER /BUYER `Iehll ADDRESS /I��1L/' FIRE NUMBER CITY /STATE ZIP sq z* PROPERTY LOCATION: .igL- 1/4, S� 1/4, SECTIO T -R 1,_ TOWN OF (� ;l , St. Croix County, SUBDIVISION &A , LOT NUMBER 11.4 . 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 septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and ( 2 ) after inspection and pumping ( if necessary), the septic tank is less than 1/3 full of sludge and SCUM. I /We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Of ficer within 30 days of the three year expiration 51a e SIGNED: DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 Y S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies Will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor,(spec house), then a second form should be retained and completed when the property` is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------------ Owner of ro ert \J r' i P P Y �/� �'° I�/,l G Location of property_/ _1/4 ,x_114, Section Township 0- w Mailing address AJaYl- % C t l 5g7 Address of site 30M5 Subdivision name Al. rd- Lot no. A/. % . Other homes on property? yes ✓ No Previous owner of property V GUuv CIi^ S Total size of parcel 7 Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house)? Yes +/ o Volume and Page Number as recorded with the Register of Deeds. ------------------------------------------------------------------------ INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. applicant Co- applicant K Date of Signature Date of Signature I I = ^� STATE' ',R OF WISCONSIN FORM 1 - 1982 ' 549060 ' WARRANTY DEED DOCUMENT NO. VOL r98 PAA i 58 This Deed made between Hi -Way Farms, Inc. , a REGISTER'S OFFICE Wisconsin Corporation, ST. CROIX CO., WI Grantor, Rec'dfaReead and John W. Merrimack and Jodi E. Merrimack, hus and SEP 4 1995 and wife as survivorship marital property at 10:15 A M -�K -R JAI, Grantee, Register of Deeds Witnesseth That the said Grantor, for a valuable considerati conveys to Grantee the following described real estate in St. Cro x THIS SPACE RESERVED FOR RECORDING DATA County State of Wisconsin: NAME AND RETURN ADDRESS WESTCONSIN CREDIT UNION •� s P.O. Box 160 i' / ®� v N !b ©o '�5 Merafrlalie, WI 54751 10 t 4 13 - -- _ - - - -- _ - - - -- - Ei of NEi of SEi and E} of SEJ of NEJ of Section 1, 004- 1000 - & 004 1001 - 7 0 Township 28 North, Range 15 West, St. Croix County, PARCEL IDENTIFICATION NUMBER Wisconsin. $ 24!R 4!R This Jz ppt _ homestead property. ( (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Srantnrc warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements, Township and Zoning ordinances; Recorded Building and use Restrictions and Covenants and real estate taxes levied in year of closing. and will warrant and defend the same. Dated this 28th day of August ,19 96 Hi -Way Farms, Inc., a Wisconsin Corp. (SEAL) BY o <�_ 41 M C�� (SEAL) BYt Gerald E. McClelland, Pre ent (SEAL) BY: C (SEAL) * BY: J. Mc C lelland, Sec. - Trea surer AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. DUNN County. authenticated this day of , 19 Personally came before me this 28t day of August 19 9 6 '14be Hi -Way Farms, Inc., a Wiscala "' t * Corporation, BY: Gerald E. McTIeliand ' TITLE: MEMBER STATE BAR OF WISCONSIN and Verna J. McClellan (if not, v d authorized by §706.06, Wis. Stats.) to me known to be the person s whi efecutq he foregoing instrument and acknowled the a THIS INSTRUMENT WAS DRAFTED BYr�t�'•. MUZA & MUZA LAW OFFICE "��`�.• NICHOLS RASSBACH 541 Broadway, P.O. Box 408 - Menomonie, W! — 5475 Notary Public, County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) JUNE 20, , 19 WARRANTY Names of persons signing in any capacity should by typed or printed beloW their signatures. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. DEED Form No. 1 — 1982 Milwaukee, Wis. r 1 P' O , S� i I ill I� � P I —® a �K•yr, I