HomeMy WebLinkAbout020-1495-21-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ICounty. St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 641910
GENERAL INFORMATION State Plan ID No:
Personal Information you provide may be used for secondary purposes[Privacy Law.s.15.04(1)(m)I
Permit Holder's Name: City Village Township Parcel Tax No:
Urchins LLC I TOWN OF HUDSON 020-1495-21-000
CST BM Elev: Insp.BM Elev: / BM Description: /lt,: Section/Town/Range/Map No,
S O JQS'.5.0 Cam la.l o�• ese_ (,1.4,e,' brae-e 35.29.19.3208
TANK INFORMATION ELEVATION DATA $
TYPE f MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark t-tui.FFct.vrT— ‘ r
oav/ ' D 11 .Sc ' JOB,5b
Des Alt.BM
Aeratio�r Bldg.Sewer J3r....."41
Hold?) St/Ht Inlet b
St/-It Outlet r
TANK SETBACK INFORMATION
10
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic l / 61 ) (O f Dt Bottom
r
Dosi — Header/Man.
ne,a,r, B o� �--')
t►wAMIS) ,90 10
9.1 0
Ha�r C701rl ) 9.System i 4b 10V. Jo
nal Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover /� r
GPM — D. II -GO
Model Number
TDH Lift F< TDH
d Ft 1
Forcemain L./..,30e, We)I/
.SOIL ABIORPTION SYSTEM(p3) ". / �^
Width I Lr th No.Of reQches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 [j2
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manul$lyyapr/L�' }--
INFORMATION T System t CHAMBER OR ,{..��y Tr�a��i{'
^ 1 t to 3 r 1r� UNIT Model N e'L 1
DISTRIBUTION SYSTEM ``�Melxl 6c4-f/L) -��/ �'
Header/Manifold Distribution x Hole Size a Hole Spacing Vent to Air Intake
P' > 40
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
❑v Yes III No ® Yes ❑o No
COMMENTS:� � (Indu a code discxepencies,(peers(onns present, lc.) Inspection#1:5-8412� nq#2.S»
location:70BeMOJ TRL / "'- iV I� �Q'. r 'f
1.)Alt BM Description=p ! G) 5' ="" ^"'"'`A'A_1e"'"� t ; CSC 41
2.)Bldg sewer length="1 ! }) =J '$K+ .e�(p.� W t rx — I' 242=4-;
-amount of cover=cE2‘.N .4,0,.....iters .--? GASt,{— - J ca.
^�1 LL r , M S'r
7f)r.l__ y1/4 pu t IM $� Z.* r M. t•STD .w.�+'11i�2.-'w� tart�W:a/[ s a}p eYWt'
VV7�ii ` Q f .iwza 1oa d2. (0.52470)Plan revision Required? ❑� Yes X No _/Use other side for additional information. /f3/�r0 .Z
Date Insepct Signature / _ .,/_� .N
jI ( _"`7)6(et/
l _ __ is 1 1R>�w (�rp(ft 0144 4t-i f.t
SAN-adaa- - 081
a tti.c, s Industry Services Division County r�•
C �` ,,', 4822 Madison Yards Wa
: Madison,WI 53705 Sanitary Permit Number(to be filled i.1 by Co.)
. 1 a 1�22 P.O.Box7 .2 `\ 4e 14 I q I 0
``Ty 1 MPR Madiso Box 7 is.. -
d•1 $ State Transaction Number
�, Sanitarq� `. plicatitf �•
In accordance with SPS 383.21(2)y,Wial,�dwr. ,submission of this form tot ...top'ate governmental unit
is required prior to obtain jfit)'permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) /
the Department of Safety and Professional Services.Personal information you provide may be used for secondary O� ��/fit ✓
purposes in accordance with the Privacy Law,s.15.04(tXm),n�u
1.•Applicafon Information-Please Print All information Parcel N Lt o( r�
I
Propertykt ced sNa 1-- � [C Oa2o— lki Is AI ' °°o
A`'MGL_/• `� Property Location
pent'Owner's Mailing Address �� � `
I3s10 Af , - TrCt,� Go ,_ �3}s
city.Ste Zip�CJoddee Phone Number ��. 1� ,� Section Gsy
- �A 11 .. ''? Is'1U� (y /j //��
k fB r` , WL Lotg T2is N R IQ Eorny
'ill.Type of Building(check all that apply) (� Subdivision Name
lylIor2 Family Dwelling-Number ofBedrooms s'I 5w�m,, Praise, lord Addt1
'•f'� Block N
Oublicicommeroisl-Describe Use City of
r'lctete Owned-Describe Use CSM NumberVillage of J
L,f' own of I'`(A•bfon,
Ilk-Type of POWTS Permit:(Check i "New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if
aPPliCaalJe). .: ._ . . h •
A. ,} �iVpt-ew System 'l-pccPlacement System ❑Other Modification to Existing System(explain) ❑Additional Pretreatment Unit(explain)
B' 'Holding Tank MUln-Ground t rade ❑Mound (,,, Individual Site Design Other Type(explain)
'�j(conventional) �44 � Li r„a.,... l�,p�-
- i'p}Evious Permit Number and Date Issued
C. 0 Renewal Before ❑Revision hange of Plumber ransfer to New Owner
Expiration 3 s X T� t . A[I,t,es f.' hi Ow
1V:•Dlspersalffteatnn Area and Tank lnformat - 1`
D ign Flow(gpd) ign Soil Application Rate( I Dispersal�Required(s Di I Area Pm O System Elevation .J
S 99 I I 33[ 110.b/► 5i'. 0
Total #of Manufacturer o
Capacity in _
Gallons Gallons Units Jig ) - cg , 0
Tank Information (� _ " 44
New Tanks Existing Tanks [�+ �/ 1 /- u , N 4,V y
Septic or Holding Tank I r,f4\ ;if
�1/.;Tr `r{/` '�f ��_
Dosing Clamber 1100
1 v�Yr1v tj]f'j(, I ( u CD O '—
V.Responilbility Statement-I,the undersigned,assume respom • installation of the POWTS shown on the attached plans.
Plumber's Sigtre� ) MP/MPRS Number Business Phone Number
Plumberausd AAA " j / / I22�gv� I -� 15- �- tis►1
Pummber's Address(Stint,City.State,Zip Code) p
14132 \ 0 , 11! Neu) J2►v111. vM(M d . (A)T Ho
11
VI:County/Department Use Only
p( Permit Fee Dal Issued Issuing Age gnatui��
}{l ApprovedI O Disapproved f C 13�21 Z4-
O Owner Given Reason for Denial 7iJ • OD I
Conditions of ApprovaUReasons for Disapproval 3 14t K )- a�u �(,j'� ,�,e r�S
c:ctfMOWNER: n 1 T `
,iic is,w.einuern finer and •.,..wd N r l vw, im.l/S� firs.
Yb V 1r� �4;ki I-k►tit n z:e. /At t..,
,ap..rsal cell must Id...igLYl +�"" "'-
e ba k, het planmpen provided by ttIl eery,
pea, BW✓�► .
,• AlEI setback epplicible tents must be mg lMNtM1 // l /10. l �,A ^ �
n p!r yppllcable tntlblbtlllfl!(M - ITC_ 5.N S ✓L. Qi l C wt. 5 t^ g` 3
I lY
Attach to complete plans for system andte submit 1 the County o y on paper less than l l(Inchu In size
SBD-6398(R.03/21) rJtA( (/�7% y
vere Nes_ Xra_evu 6r-
System PLOT PLAN
PROJECT Urchins LLC ADDRESS 1353 Awatukee Trail
SE 1/4 NW 1/4S 27 /T 29 N/R 19 OWN Hudson COUNTY STCROIX
SYSTEM ELEVATION 110.0/108.0 5.5' below pra /18/22 BEDROOM 3
CONVENTIONAL )00( CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 931 k of chambers 46
BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 1o0' Filter Lifetime Filter
❑ BOREHOLE O WELL •H.R.P. same as benchmark
RECEIVED
Scale = 1/4" = 10 MAY 13 2022
372' Property Line
ST.CROIX COUNTY COD
•
20'
3 bedroom
house
70'
ST
opo Vent
177' Pro y Line
>6" Quick4 Standard
of Cover Leaching Chamber 2-3'X 94' cells with >3' spaci g
with 20.0 ft2 of Area B-3
6.6ftA2/pair of end caps 116' ti 45
4' Long 40'
Grade at System Elevation Vents
112'
0'
B-2
108' 04 sqy
B-1 15'
20%Slope 50'
Mojo Trail
•.M.B 41
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 03/18/22
Owner: Urchi rLLC -
Location: 1/4 NW1/4 S T29 N,R19W 708 Mojo Trail Hudson
System type: In-ground absorbtion system(conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Pressure Distribution Manual (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-5. Maintanance and Contingency Plan
6. Filter Specifications She-
7. Dose Tank Cross Sect,
8. Pump Curve
Signature Ii
License number 4'6.00
System PLOT PLAN
pROJECT Urchins LLC ADDRESS 1353 Awatukee Trail
/-v4/�r- 1/4 NW 1/4S ,aqt f/T 29 N/R 19 W TOWN Hudson COUNTY ST CROIX
SYSTEM ELEVATION 110.0/108.0 6' below grade 3/18/22 BEDROOM 3
DATE
CONVENTIONAL CONVENTIONAL LIFT Xxx HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE630 Gallons DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 931 # of chambers 46
,`, BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H,R,P, same as benchmark
Scale = 1 /4" = 10'
372' Property Line
A Vent
>6" Quick4 Standard
of Cover 4' Lor 12
Leaching Chamber
with 20.0 ft2 of Area
6.6ft^2/pair of end caps
JGrade at System Elevation
34"
"
r
3 be m
�� YYhouse , - p6 37 • 1
50'
177' Property Line
2-3'X 94' cells with > 3' spacing
Huffcutt combo tank B-3
116' 45'
40'
Vents
112'
0'
B-2
108' 041I 90'
B-1 15'
20% Slope 50'
Mojo Trail
`.M.8 1
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
6.6ft^2 pair of end plates To be >1' above grade
/ Finish grade elevation
Typical Installation 116.0'
OVent i Grade Vent
A- -
3' 4" 3' i
4*---30/34 Septic Tank •
5' Long 1 5' 5' Long
36" Grade at System Elevation Grade at System Elevation
-
Spacing 5'
2-3' X 94' Cells
Same on other end Observation tubeNent
At end of cell
A
B
23 chambers per cell
System elevations:
A_110.0'
B 108.0'
Pile#:
S r C R STY SANITARY SYSTEM Office Use Only
OWNERSHIP/ADDRESS FORMCreatipd t
Community Development Department will utilize this information to provide the property owner with
information regarding operation and maintenance of your newlor 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 /-CLLes L•
Mailing Address / 3' 3 ez Y`t �� 1>Qr j
City/State/Zip „ i C.f J! ,>yf9/ 6
Phone Number(required) 7/- 76D —07:VI
Email Address (required) hr1c m ue at 1101�!(lrl rIAA)
Parcel Identification Number f771)" !'tic-V z-1 - 6:;40
(found on the property tax bill)
•
Property Location ,W1/4 , *a, Sec.P T e N R 7 W, Town of j,,,,tJ
J�
Subdivision Plat su twit-C!�' ]^'P!i,[A,.„t > /re. •2411 / , Lot#
Certified Survey Map# ''� .5�-7� Volume . Page#
Warranty Deed# (7 1b)' — • (before 2006)Volume , Page #
Number of bedrooms 3 Spec hour s 0 no Lot lines identifiably]yes 0 no
New Property Address 2lJ J7v D 1l I
DD (Verification of riew address wt�uired from Community Development Department for new construction.)
3 , � zi�
(staff Initials) (Date)
This form must be submitted with all Private Onsite Water Treatment System(POWTS) applications.
New System:Include with this form a recordied 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 Govemment Center 715-245-4250 Fax
cdd@sccwi.gov 1101 Carmichael Road, Hudson,WI 54016 www.sccwLgov
POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page of
ILE INFORMATION' 1IF
G I / SYSTEM SPECIFICATIONS
AEI Wr1 Jk t -J N Ir l / Septic Tank Capacity l � gal 0 NA
Permit Septic Tank Manufacturer H ` r - 0 NA
ESIGN PARAMETERS Effluent Filter Manufacturerle_; —G t (/ o NA
Number of Bedrooms 0 NA Effluent Filter Model v4 k k 0 NA
i Number of Public Facility Units QNA Pump Tank Capacity lg-2)v gal 0 NA
I Estimated flow(average) ___� �r al/day Pump Tank Manufacturer }1 uc 0 NA
i Design flow(peak),(Estimated x 1.5) t l ✓ ) gaUday Pump Manufacturer Li',met ❑ NA
!Soil Application Rate S gaUday/ft2 Pump Model .--7V 5-2 ❑ NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit
Fats;011 &Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter 0 Peat Filter
Biochemical Oxygen Demand (BODE) 5220 mg/L Cl NA 0 Mechanical Aeration 0 Wetland
Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection 0 Other.
1 Pretreated Effluent Quality Monthly average Dispersal Cell(s) LI NA
Biochemical Oxygen Demand (BODE) 530 mg/L In-Ground(gravity) 0 In-Ground(pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑At-Grade 0 Mound
Fecal Coliform(geometric mean) 5104 cfu/100m1 0 Drip-Line 0 Other:
:Maximum Effluent Particle Size Ifs in dia. ❑ NA Other. 0 NA
70ther Q NA Other: ❑ NA
I Other. ❑ MA
'Values typical for domestic wastewater and septic tank effluent ,,_
IIIAINTENANCE SCHEDULE
r Service Event Service Frequency
-+ 0 month(s)
Inspect condition of tank(s) At least once every: 3jyear(s) (Maximum 3 years) 0 NA
!Pump out contents of tank(s) When combined sludge and scum equals one-third())of tank volume 0 NA
Inspect dispersal cell(s) Al least once every: 3 50year(s)❑ month(s) (Maximum 3 years) 0 NA
Clean effluent filter Al least once every: 1 . ❑ month(s)
'j 0 NA year(s)
0 month(s) 0 NA
!napect pump,pump controls&alarm At least once every: S_a,year(s)
0 month(s) 0 NA
I=lush laterals and pressure test At least once every: ❑year(s) _
17ther. s)
At least once every_ p ears) ❑ lip
Y (
13ther ❑ N' j
i
MAINTENANCE INSTRUCTIONS
!Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master
Plumber;Master Plumber Restricted Sewer; POWTS Inspector: POWTS Maintainer;Septage Servicing Operator. Tank inspections muss
include a visual Inspection of the tank(s)to Identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
combined sludge and scum and to check for any back up or pending of affluent on the ground surface. The dispersal cell(s) shall be
visually inspected to check the effluent levels in the observation pipes and to check for any pending of effluent on the ground surface.
The ponding of effluent on the ground surface may indicate a failing conditjo'r and requires the immediate notification of the local
regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third ()5) or more of the tank volume, the entire contents of
!tie tank shall be removed by a Septage Servicing Operator and disposer) of in accordance with chapter NR 113, Wisconsin
Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
and any servicing at intervals of 512 months,shall be performed h;a certified POINTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of cot ipietion of any service event.
reye ..•
treatment tank(s) for the presence of painting products or other chemicals thF1t
START UP AND OPERATION reel cell(s). if high concentrations are detected have the contents of the
For new construction, priorto use of the r damagea wile dispersal e the treatment process and/or
may Impel
tank(s)removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.power is restored the excess wasteweaof etfi will bp
er levels. When theor ex es wastewater
r to the
D
discharged
power outages pump tanks may fillr ebove normal ding the result in the backup
m tank removed by a Septage Servicing Operator prior o restoring
normal I levee
discharged to the dispersal cell(s)in one large dose,overloading cell(s)and may the pump
To avoid this situation contact
have lue contentsr of the pump
ls
effluent pump or rA^tad a Plumber or POWTS Maintainer to assist in manually operating or otherwise disturb or compact,the area within
within the pump tank. Do
Do not drive or parts vehicles over tanks and dispersal cells.an�not drive or park over, prolong life of the POWTS:
15 feet down slope of any mound or at-grade soil absorption erfortnanoe
the wastewater stream may improve the p diapers:and disinfectants;the IW foundation O drain
grease; herbicides;sdental meat scraps; medinfe tan oil; ;palnUngfound iond ran
Reduction or elimination of the following from
cigarette bulls; condoms; cotton swabs; degreasers; s;
(sump
antibiotics; baby wipes; gasoline; 9
(sump pump) water; fruit and vegetabled peelings;
brine.
pesticides;sanitary napkins;tampons; is propeilY
compliance
ABANDONMENTWhen the POVirTS fails taken out of service the following steps shall be taken to insure that the system
and safely abandoned In ncomp is entry
with chapter Comm 133.33,Wisconsin Administrative
sealed
• Ali piping to tanks and pits shall be disconnected and the abandoned pipe openings Servicing Operator.• The contents of all tanks and pits shall be removed and properly disposed of by a Sep ge
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with snit,
gravel or another inert solid material. e a code compliant
PLAN measures have been, or must be taken, to provide If the POWTS falls and cannot be repaired the following
be utilized for the location of a replacement soil absorption system.
replacement
suitableupon by requem.
protected from disturbance and compaction and should not be infringed In the need
❑ A suitable replacement area has been evaluated and may the replacement area
Theliled
replacementfrom
area should be I resultwith the ruled in
fortbanes from existingds and proposedo structure,hlot linesand wells. Failurea to
a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply
effect at that time.
❑ A suitable replacement area is not available due to
setlace aackktheaand/oOWTS.or soil limitations. Barring advances in POWTS techno o9V a
holding tank may be installed as a last resort to rep
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be Installed)as
a last resort to replace the failed POWTS.❑ Mound and al-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
GEN.
NOT
<<WARNING>>
SEPTENTEIR, PUMP C,AND OTHER OTHERTREATMENT MAY
UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT,RESCUE OF A
ENTER A FROM PUMP, OR OTHER TREATMENT
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE_ —
ADDITiONAL COMMENTS ,—
POWTS MAINTAINER
POWTS INSTALLER Name �..1..�-� s
•Name � � IMIIIIIIIII Phone 1 —Z� - � �7 •Phone
LOCAL REGULATORY AUTHORITY
SEPTAGE SERVICING OPERATOR PUMPER Name II
Name
Phone
Phone — 5 I l `�J in Administrativ Cods.
This documentwas drafted nA..In, ance with chapter SPS 383.22(2)(b)(t)(d)3(t)and 383.54(1),(2)&(3),W1scons
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Septic-Dose Tank Cross Section And Pump Performance Specifications
Tank Manufacturer ! -- T — -- Pump Manufacturer I-i 1
Tank Model Number : I Q 1/(p vO Pump Model Number 5 p -- y
Total Tank Capacity i I Q/ (j- I Alarm Manufacturer JeLtz✓' `F c0,1
Max. Bury Depth 424 _ Alarm Model Number pL v pp
Switch Type /Nlc ChaA ,t f,(d,
:[Filter Manufacturer 1-i 'rrit ' Total Dynamic Head(TDH)- Feet
Filter Model Number . l/4 1 Elevation Head w
Distal Pressure - _
Network Loss r
Minimum Pump Performance Required Force Main Loss , 5
GPM: @ /D , 7 Ft TDH Total /01 C —_ -
Outlet Manhole Min.4"Above Grade With
Looking Device. Inlet Manhole Manhole Min.4"Above Grade
<6"Below('trade Sealed Watertight U Securely Haunted With Locking Device
Weather-proof l
a.I 1 Junction Box •
— — — — Finished Grade ''
. r .
WI Vent Min. 12" ' Disconnect
Above Grade Means
c� • With Vent Cap ,
Outlet Filter —. , �- }�
Inlet ; ,
, ,t_ inlet Base I --1r------- S__- ---F—�
A r:
: : Switch Settings and Reserve Capacity :::'
•
.; _ Tank Volume = /� GPI I t— :;:; Weep
:''•• Dimension: Inches Volume I T Gal. I B Hole
(reserve) A. 2 Pi.47 1 s
(y7
(alarm) B 2 -j 0 :;:: C ff Elevation C
r01 . I(�I. O Ft • .•.
(dose) C q`7.`� :: ► - --
'• Bottom
(dead) D I35 .. �,:,
•':' 1... D .:. Elevation
:': _ Total �g 6 3 D '
:: �t :a i I00•� Ft
GENERAL INSTALLATION: The septic/dose tank ifi bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum d of bury as specified by the manufacturer may not
be exceeded without prior approval. Manhole covers exposed grade have an effective locking device(padlock)
installed. Piping at the Wet and outlet is of approved materi connected to the tank with watertight fittings, and
laid on stable soil to prevent settling or sagging. The force rii
is sleeved with 4"Sch. 40 PVC to bridge the tank
• excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.2ti.
02/05 Ll Page of!
250-SERIES
(---.
1/3 hp Sump/Effluent Pumps for Professionals!
ALL MODELS FEATURE: MOTOR SPECIFICATIONS:
• Rugged 1/3 hp motor,oil filled with 1/3 hp 115V 5.2 amps 60Hz
thermal overload protection. Thermally Protected&Permanently Lubricated
• 1/2"solids handling. (PSC)Permanent Split Capacitor Maximum Fluid Temperature:140°F
• 1-1/2"discharge.
• Hermetically sealed motor and switch cavities, DIMENSIONAL DATA:
and permanently lubricated bearings.
Weight:Model 257:20 lbs.
• Liberty's UNI-BODY casting-a solid,one- Height:10.5"
piece housing that eliminates the lower motor
seal ring found on other pumps. Major Width:9.6"(manual model 250)
• Epoxy powder coat finish PERFORMANCE CURVE
•Vortex style impeller for superior PERFORMANCE CURVE
solids-handling. Made of high temperature 25
engineering polymer.
• Fasteners-all non-corrosive stainless steel. 20 5
•416 stainless steel rotor shaft. f. ci
c 15 5 =
250-series Cord Lengths A si
Model 10' 25'(-2) 35'(-3) 50'(-5) - to 3
s
250 Standard Optional Optional Optional I- 5 2 a
251 Standard Optional Optional Optional
253 Standard Optional Optional N/A 0 0
257 Standard Optional N/A N/A 0 10 20 30 40 50
U.S. Gallons Per Minute
10'cord length standard on all models.For optional lengths, I I I I I
add"-2,-3 or-5"suffix to model number.
Example:for model 250 with 35'cord,order 250-3 38 r8 rs t Per Minute
EFFLUENT MODELS SUMP
Gr f !!-
pia _... i �+i
rir, 1'pl1[
Rill
6.'11 -tili )
c(11111111;:ii II `If II li' NI Niff
Model 250 Model 251 Model 253 Model 257 VMF
Manual,no switch. Quick-disconnect Wide-angle float with VMF switch,magnetically
wide-angle float, series(piggy-back) operated vertical float-
mercury-free. plug,allows manual operates in a 10" ,----•
operation of pump. diameter sump.
CP • Dual safety certification for
IIIIf1E SA SCertified the United States and Canada
Specifications are subject to change without notice.
Liberty Pumps• 7000 Apple Tree Avenue •Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839
www.libertypumps.com Copyright®Liberty Pumps.Inc.2017
All rights reserved. LLIT2500-R5/17
Wan.
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O 1082852
BETH PABST
REGISTER OF DEEDS
State Bar of Wisconsin Form 1-2003 ST. CROIX CO.,WI
WARRANTY DEED RECEIVED FOR RECORD
06/11/2019 10:44 AM
EXEMPT*:
Document Number Document Name REC FEE 30.00
TRANS FEE 2,719.20
THIS DEED,made between Robert W. Waxon end Christine A. Waxon,husband PAGES: 2
and wife **The above recording information
("Grantor,"whether one or more),
verifies that this document has
and Urchins,LLC,a Wisconsin Limited Liability Company been electronically recorded
&returned to the submitter
("Grantee,"whether one or more).
Grantor, for a valuable consideration,conveys to Grantee the following described real
estate, together with the rents, profits, fixtures and other appurtenant interests, in
St.Croix County, State of Wisconsin ("Property")(if more space is Recording Area
needed, please attach addendum): Name and Return Address
See Attached Legal Description Results Title, Inc.
11200 W 78th Street
Eden Prairie,MN 55344
See Attached Parcel ID Numbers
Parcel Identification Number(PIN)
This IS NOT homcstcad property.
(is)(is not)
Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except:
covenants,restrictions and easements of record,if any
Dated May 31,2019
(SEAL (SEAL)
*Robert W. Waxon
(SEAL) (SEAL)
Christine A. ax
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
r )ss.
authenticated on BRIDGET K. DELONG . St.Croix COUNTY )
NOTARY PUBLIC
STATE OF WISCONSIN Personally came before me on M y 31,2019
•
the above-named Robert W.Waxon and Christine A. Waxon,
TITLE: MEMBER STATE BAR OF WISCONSIN husband and wife
(If not, to me known to be the person(s) who axe uted the foregoing
authorized by Wis. Stat.§706.06) instrument acknnoow ged(�t/he'sa e.
THIS INSTRUMENT DRAFTED BY: �V( } Ii
StacyLashinski,N1114119 * (e5n'dale L f-Gr4-;j v
2677 Bunker Lake Blvd,Andover,MN 55304 Notary Pubb1lic, State of Wisconsin I
My Commission(is-permanent)(expires: IL 15 a I
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO.1-2003
•Type name below signatures.
St. Croix County 1082852 Page 1 of 2
Legal Description
Lot Two (2) of Certified Survey Map recorded in Volume 29 of Certified
Survey Maps on page 6614 as Document No. 1077822, located in the
Northwest Quarter (NW1/4) of Section Thirty-five (35), in the North Half of
the Northeast Quarter (N1/2 NE1/4) of Section Thirty-five (35) and in the
Southeast Quarter of the Southwest Quarter (SE1/4 SW1/4) of Section
Twenty-six (26), all in Township Twenty-nine (29) North, Range Nineteen
(19) West, Town of Hudson, St. Croix County, Wisconsin.
Parcel ID Numbers:
Part of: 020-1106-10-000
020-1106-20-000
020-1106-80-000
020-1106-90-000
020-1107-10-000
020-1107.30-000
020-1072-40-000
St. Croix County 1082852 Page 2 of 2
I /' 0 '"/ .s. /
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• Soil Test Plot Plan
Project Name Urchins LLC Shau
Address
1353 Awatukee Trail
Hudson Wi 54016 #226900
Lot 34 Subdivision Summer Prairie 3rd Add Date 6/15/21
1/4 S 27/35 T 29 N/R19 W Township Hudson
111 Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of survey iron
System Elevation TBD •HRpSame as Benchmark
Scale = 1 /4" = 10' 372' Property Linc
A
177' Property Line
B-3
116' _ 45'
0'
112'
B-2
108' ❑411 90' ■
B-1 15'
20% Slope 50'
Mojo Trail
B.M.'
a
REcEMED
-j-1}[TI -e--- s-i--_ 0? 1-3 s'A
DMsi n n De a r� SOIL EVALUATION REPORT oa M� �rPage_a_
Division of Safety a Bufldk �G 3 2021 0 1
In wah Comm 85,Wis. Adm. Code .c /!
County /' G ► ,
Attach complete s e plan aepfpti ikili !2 11 inches N size.Plan must
include,but not li point(BM),direction and Percent). 0 20-14 9 S-21-00o
percent slope,scat ,north arrow,and location and distance to nearest road.
Please print all information. Reviewed by DateDate 7,,/
.anal hdormsbon you provide may be used for secondary purposes(Privacy Law,a.15.04(1)(m)). gH / / ( 10/[-L� Z r
Property Owner Property Location s a, /�
�YS�M(n5 4 6 1., Got Lot 1/4 /4 S T 29 N R 19 E(¢�WJ
Property Owners Ma1Nrp Lot of Block uY Subd.Name or CMS
`/
�' a ifQ�rJ �� 1 �f u.►< r heftL..i1L 34
/5ilefg
5 3 �,d,! 0�'ny ❑Village own Nearest Road
"r11."A-, I(v; I✓71lhl ( ) .4.Le• _I 44 10 %/u.'
New Construction Use Resldentlal I Number of bedrooms 3— 6 Cods derived design lbw rate �/.>i7 --d9e" GPD
❑Replacement ❑/ IG or coma ercial-Describe:
------.--- �_--
Parent material,c//�j/4 �LSO�� L1 t .Q C&s'v.c. Flood?lainLAn if applicable /VIA ft.
General comments v}�.f t -f 501( yt cv- P S /d-2 ® J "' •
and recommendations:
/ /
01
System Type ce�--"�Li t 1 t iifr System Elevation ��
ryhrurt SPn'c.0
1 Boring#jring
pit Ground surface sieve /nZ' Depth to hmiting factor //L' in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure re Consistence Boundary Roots GPM'
In. Mussel Ou.Sz Cont.Color Gr.Sz.Sh. fir, 'EAp1 'Effs2
I 0'10 JO .3/L -5/ /yl V .C j r7 ^� , 6 4 2
7- Jo-to /�Y -5/In . s .41/ ,w 1-F - -7 / -6
Pit Ground surface elev. f(� m/ i Depth to limiting factor /1 gin. Soil Application
Horizon Depth/he ld leant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
in. Munel Ou.Sz Cont.Color Gr.Sz Sh. 'Ef#1
I o -y /b 3/1 s/ n G ,-- . A
Z 7--Y dy,-O --- �Vi-,4,7-i;./1 i../ 1-f- - „'7
f'/ y
,.-3 7g b i-Vd S t?.s' ,i / wi Ni i < !� /L �i
r �
6 Gtlsr...)
•Effluent in -BOO->30 5 220 mg&and TSS>30<_150 'E if. - BOD,<30 mg&end TSS<30 RA
CST Name(Please Print) S - lir CST Number
Bird Plumbing, Inc. Shaun Bird / 226900
Address a: , valuation Conducted Telephone Number
o
1432 120th St, New Richmond, WI 54017 /j"-- z/ 715-246-4516
- /
Property Owner Parcel ID# Page of
3 Boning# ° Boring
ark Ground surface elev.Jj t'.2 ft. Depth to limiting factor /J n n• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Sbucare Consistence Boundary Roots GPD If
In. Mussel Qu.Sz. Cont.Color Gr.Sz Sit. *SW 'Eff#2
2 4 1._/ y, y �— _J -ram gf c/ Pic- /. L-2
3 yd-1lLf , / -> ,� 0.5r2 ,, / //v.f/ /�1,1 - -7 /I 6
C) 110 ,
4
/0 8
Boring# El Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Son Application Rate
Horizon Depth Doniwtt Color Redox Description Texture Structure Consistence Boundary Roots GPOJff
in. Mutsea Qu.Sz Cont Color Gr.Sz Sh. 'Etf#1 'Eff#2
0 Boring
Boring# ❑ pit Ground surface elev. ft. Depth to Mnitlng factor h. Scg Application Rate
Horizon -tenth Dominant Color Redox Description. Texans Structure Consistence Boundary Roots GPDRf
at Mtnsea Qu.Sz Cont Color Gr.Sz Sh. 'Eflfil •Eft#2
'Effluent#1 -BOD1>30<220 mgnl-and TSS>30<150 mgrL 'Effluent#2=BOO,_30 mg&and TSS 5 30 mgrl-
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777.
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