HomeMy WebLinkAbout040-1054-20-050
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
538835 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Fe ereisen, James E. Troy, Town of 040-1054-20-050
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
/ 6D O /a0 • tl+ Al, 13.28.19.203A05
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
/7-" 0 w. io o ~d
Septic Benchmark 0,6 '1419 /00. 0
z
Dosing 7 rn Alt. BM
Aeration , v Bldg. r t7tf
&0
89• l~
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L • EL L11 BL G. Vent to Air Intake ROAD Dt In et /3 + ?
W ~
Septic ~I OD I l oo Dt Bottom g o 4+ 5 (7.3 92-3N
Dosing I Os • Header an. y/ GQ
/I
4ff/( 60
Aeration Di war
0
Holding Bot. S
~ - o~ . 3S Qk
0 1 _ Final Grade
PUMP/SIPHON INFORMATION J
Manufacturer ~Vrvr
and St Cov r
3 92 7~
Model Number sv i r
- Ive 9 4,36 9
TDH Lift , Friction ss System Hea T Ft
D~Ij I /
l 2s~ I
Forcemain
Length'/ Dia. Zp Dist. to Well (1V1
I I I t4i r6 W- 214_, QM*,,knjej22
SOIL ABSORPTION SYSTEM WtA~ wt 4-
BED/TRENCH Width , Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 100 __1 /
SETBACK SYSTEM TO P/LS BLDG WELL LAKE/STREAM LEACHING Manufactur r:
®r CHAMB T
INFORMATION Tyne 0 System:
> Model Number:
Sri
DISTRIBUTION SYSTEM PO A/
Head anifo h Distribution t +-Vf x Hole Size Vent to Air Intake
3f Pipe(s) /
Length Dia Length CV)
bia Spacing_
SOIL COVER x Pressure Systems Only oun Or At-Grade Systems Only .
Depth Over Depth Over xx Depth of ] a xx Sepde /Sodded xx Mulched s
Bed/Trench Center Bed/Trench Edges Topsoil ~J (iy
D
Yes ❑ N Yes No
Efl
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /_Lp Inspection / d/ i/>>
Location: 316 Cty Rd U River Falls, WI 54022 (SE 1/4 SW 1/113 T28N R19W) NA Lot 2 6(J~J/ p (o 7lj Parcel No: 13.28.19.203A05~~~
1.) Alt BM Description 0yk b~_-~
2.) Bldg sewer length
- amount of cover =
,yz 1 Gem eq
Plan revision Required? ❑ Yes No
Use other side for additional information. J
SBD-6710 (R.3/97) Date Insepctor's Sign ure Cert. No.
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
538835 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Fe ereisen, James E. Troy, Town of 040-1054-20-050
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
13.28.19.203A05
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
SVHt Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Bot. System
PUMP/SIPHON INFORMATION Final Grade
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
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 ❑ Yes g No 0 Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 316 Cty Rd U River Falls, WI 54022 (SE 1/4 SW 1/4 13 T28N R1 9W) NA Lot 2 Parcel No: 13.28.19.203A05
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? [7m] Yes E9 No
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
CO a Safety and Buildings Division County
'
1 W. Washington Ave., P.O. Box 7162 ~ ; J a r-0
' c n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.)
Itmpart-mr at of MR. Z Q 1q i
Sault m ppllCatlOri State Transaction Number
In accordance with s. Co nPON Sion of this form to the appropriate governmental "1 D l~
unit is required prior to ammg a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing dress) I
submitted to the Department of Commerce. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law., s. 15.04 l m , Stats. icy Jhh. I. 3/
~ v
((J C.GG
I. Application Information - Please Prin nformatlon 111111
Property Owner's Name I oPa
rcel # 26 JQ~h r h V
LLA
TLJ 5 O
Property Owner's Mailing A ress Property Location
3 `t Govt. Lot _1__ ~r Z03 A r b
City, State Zip Code Phone Number n y, S Y., Section
91 C1ra (~S Shis 4as-SSa► / (circle on
~ AE orWv
II. Type of Building (check all that apply) T N; R
1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name
Blo ~ ~O+M4.. O
❑ Public/Commercial -Describe Use
❑ City of al
❑ State Owned - Describe Use CSM Number I ❑ Village of
/ N Town of
'Po K / OdA. ( POU 1 ///.~aaar7
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. New ❑ Replacement S System System y El Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS S stem/Com onent/Device: Check all that apply) A f
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in. of suitable soil ❑ Mound < 24 in. f Sul ble soil /
El Holding Tank El Other Dispersal Component (explain) _ Pretreatment Device (explain) 1-11- 4= Z
V. Dis ersal/Trea ent Area Information:
Design Flow (gpd) Design Soil Appl c ion Rate(gpdsf) Dispersal Area Require As Dispersal Area Prop d st) System Elevation
(PO Q j q
Manufacturer
VI. Tank Info Capacity in Total # of
Gallons Gallons Units ^ 0 H
New Tanks Existing Tanks
'v
N (~'1 w U r y vS 'w C7 n.
Septic or Holding Tank 1 a C) o `-4
Dosing Chamber 4-44`1 , q
VII. Responsibility Statement- 1, the undersigned, assume Jresponsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumb 's Signature MP/MPRS Number Business Phone Number
r I rase OSS~ ~S~ ~9~ 9~f
Plumber's Address (Street, City, State, Zip Code)
VI 1Y. Coun /De artment Use Only
Approved Permit Fee Date I ued Issuing A Signature
iven Reason for Denial $ ~25" ,I
IX. Condit' aso s for Disapproval
1. Septic ank, e'MUent t~iiter and 3, GOd~ ~f'1.~ 0~~ rt S
dispersal cell must all be services I maintained v t / )
as per management plan provided by plumber. Core. 1t % t..~J / f-'[n,~'S
2,A Ks►likibaclt regU'Pinents must be maintained
40 prr npoW* cods / o►dKtances. a
Attach to complete plans for the system and submit to he County only on paper not less than 81/2 x 11 inches in size
SBD-6398 (R. 02/09) Valid thru 02/11
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7~ HOLMEN WI 54636
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Contact Through Relay
F www.commerce.wi.gov/sb/
www.wisconsin.gov
A ~
N
~o sSION Scott Walker, Governor
Dave Ross, Secretary
August 22, 2011
CUST ID No. 220554 ATTN.• POWTS Inspector
CARL P HEISE ZONING OFFICE
TOTAL EXCAVATING ST CROIX COUNTY SPIA
W9905 710TH AVE 1101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/22/2013 Identification Numbers
Transaction ID No. 1981186
SITE: Site ID No. 770397
Jason Feyereisen Please refer to both identification numbers,
County Road U above, in all correspondence with the agency.
Town of Troy
St Croix County
SETA, SW1/4, S13, T28N, R19W
FOR:
Description: Four Bedroom Mound System / 5% slope
Object Type: POWTS Component Manual Regulated Object ID No.: 1329022
Maintenance required; 600 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System(s):
Mound Component Manual - Version 2.0, SBD-10691-P (N.01101), Pressure Distribution Component Manual - Version
2.0, SBD-10706-P (N.01/01); Effluent Filter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed) Y, iVATi
and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. ,,.y
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code E
requirements. •
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06
stats.+ z,
Cilt.~iit
The following conditions shall be met during construction or installation and prior to occupancy or use: s..
Reminders
• A sanitary permit must be obtained from the county where this project is located in accordance with the Ss'C(Jf
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(2)(d), Wis. Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided
per Comm 84 product approval conditions.
• The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or
soil compaction is prohibited in this area.
• 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.
Note: Distance from last orifice to the end of cell/access box in all laterals shall be at least 15".
CARL P HEISE Page 2 8/22/2011
Owner Responsibilities:
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS
occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1).
• A POWTS that is not maintained in accordance with the approved management plan or as required under s.
Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its
component parts malfunctions so as to create a health hazard, the property owner must follow the contingency
plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized
in the POWTS.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 250.00
- Fee Received $ 250.00
Balance Due $ 0.00
erard M Swim
POWTS Plan Reviewer, Integrated Services
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633
jerry.swim@wisconsin.gov
Total Excavating,
N8618 1090th River Falls, WI 54022 Tel (715)426-1777 Fax (715)425-7314
TITLE SHEET
MOUND SYSTEM
FOR
BEDROOM RESIDENCE
LOCATED IN THE Sr, 1/4 OF THE Sf~1/4 OF SECTION, TQE N, RI C1 W
TOWN OF TfO Y S?. C"01 r5 COUNTY, WISCONSIN.
INDEX
PAGE 10F 7 TITLE SHEET
PAGE 2 OF 7 SYSTEM MANAGEMENT PLAN
PAGE 3 OF 7 PLOT PLAN
PAGE 4 OF 7 PLAN VIEW - CROSS SECTION i
PAGE 5 OF 7 DISTRIBUTION PIPE LAYOUT Y
PAGE 6 OF 7 PUMPING CHAMBER CROSS SECTION
PAGE 7 OF 7 PUMP PERFORMANCE CURVE
PREPARED FOR
TK U
EIJlCrg)b
~r z
z.
PREPARED BY
Carl Heise 1
CST/MPRS 220554
W9905 710th Ave.
River Falls, WI 54022
Cell 651-492-8594
Fax 715-425-7314
This plan has been prepared in accordance with the SBS Manual Cz FLO~j Y+I~awri~
PY'6.53 o,- re Ai sf c 6mo o n e qi V6 Z
Mound System Management Plan
Pursuant to Comm 83,54, Wis. Adm. Code
Septic Tank
The septic tank shalt be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of
the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise
the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in
the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required.
However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October-February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg/L 8005, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual [SBO-10572-P (R. 6199)) and local or state rules pertaining to system maintenance and maintenance
reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and
pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access
openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed
unsound, defective, or subject to failure. must be replaced. Exposed access openings greater than 8-inches in diameter shall
be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector.
1
1
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Riven FALL,& Q(. GLW Z Z
-S~~SuJ, 13~TZ~ N~R19u%
Tlo TRoy
ST LKo~X Coin t
p~ q nt ' !
Approved Barrier Cover
Fill Material
Distribution Cell
Cap_
3~~y Area
Slope
Figure 3. Detailed cross-section of a mound
Lrcss Seclicn of A Wound Snttrr+ tJsinc F
A Bed F'ar Tht Absor9t10n Arta G r]
A Ft. ~ca
S IDO Ft.
J 5 25 Ft.
Alternate PositiCn L
of K 20 Ft.
Force gain
L ~ 1
~ O b s e r v tt t i a ra Pipe--~
A 1
Force
1
_ ° ~:s r:r
Distribution ed Of V. 2
2
Pipe Drain Rock
I ~N
4 Ob,suvction Pipe Permanent. Marker
Pi pe or Rods
Ptnri Yitx fli.~lound Utrt A @d for The Absorption 'brio
i ~ .Y,M..•'r~7 T~ 3..,MaLlr+-5~ ~tik.',~:~°:3-.e,~.._as.: v-~....Y:~ ~.-try rz~"~."~.Y.... . -.lM."-..~ ~ 4 .~L ..:.~'.CCr, L~.,.:'~i:~.~.`.s+.s4r...
L-111L BQiLLERS i1Ji:. 715iG + 4
Distribution Pipe Layout p$e of
Place the holes at the bottom of the distribution pipes
at equal spacing. Remove all burrs from the Pipe and holes.
Fxtcnd the end of each lateral up with the use of long turn or 450 fitting to a point within six
inches of the Seal grade, Terminate the ends of the laterals with a valve,hLtaded cap or
threaded plug. Provide access from final grade for the valye; threaded cap or threaded plug.
'~~Cr~sg SOS .
'C`c P 1CSq 1. C2J~ S 5'~t.~p
lalew Mutifol~ Lit raw
Y Y X r!Z x, X X , X
: ~tlral : h - l.rtthl Ctngth - P
+st:i on 'n1
SEE CORRESPONDENCE ptwN
a' rT_s
A W, k gtrep,4L5 hnv\FJ4
as _ ,
i~ Ftece ntv.
P_11), 5 Ft~S~, ~ Hole Diameter inch
S-3-_Ft . Lateral
i ~2- inch(es)
X,2 i Inches manifold "
2. inches
Force Main " Z inches
#of holes/pipe
Invert Elevation of Laterals Sj, j Ft.
X ~i(o ` l~3 g X4si 44 G.P.M.
PUMP CHAMBER CROSS SECTION Page. ` of •7•
Vent Cap
T Weather Proof 4
.Junction Box Approved locking manhole
cover w/ warning label
12" MIN
i Final
i Grade /141 T4, MIN
All
I j 18' MIN
Conduit % Q
18" MIN . 1 - - - -
`u
11
inlet i - -
t III ~ f
f ! t 1 1
Approved rr c~ Provide
A Airtight Seal I 11 . Approved
i t Joints .
11 ~ I 111
1 I I Alarm
/ a 1 1
11 I C Pump ; I On
E3 2r {t
ELEV• ft o /j ELEV, fc
1 Concrete Block r~
V approved bedding material under tank
SPECIFICATIONS
Note: Pump and alarm are on separate Number of Doses: Per Day
circuits as per ILHR 16.~ Wis. Adm. Code Gallons•Per Day of Doses: 126 Gallons
Volume of Backflow: 2.45 Gallons
Tank Manufacturer: - E 5Sfk oft y0p Total Dose Volume: I ZZ. 4S Gallons
Tank Size: r ~d Gallons
Alarm Manufacturer: ,;T R1 C Ma Capacities: A 22,4 inches or 406 Gallons
Model Number: j of ~U/ B 2_ inches or 2,S,_9 Z- Gallons
C ~P~ inches or 12Z,4 Gallons
Pump Manufacturer: ZOEUr-k' D d.7 inches or 191, Z• Gallons
Model Number: 52 Total........ =.4?- inches or 74P qg Gallons
Minimum Discharge Rate: . GPM
Vertical Difference Between Pump Off and Distribution.Pipe Ft.
Minimum Required Supply Pressure: +,La5Ft.
Ft. of Force Main xt:~.o~ Friction Factor/100 Ft + -41 Ft.
Total Dynamic Head = 0. Ft.
Internal Pump Tank Dimensions: Length Width Depth to inlet
Signature: License Number Date
rS
TOTAL DYNAMIC HEAD/CAPACITY
HEAD CAPACITY CURVE PER MINUTE
EFFLUENT AND DEWATERING
MODEL 152/153
J MODEL 152 153
50
Feet Meters Gal, Liters Gal. Liters
153 5 1.5 69 261 77 291
12 40 152 10 3.1 61 231 70 265
0 15 4.6 53 201 61 231
a
= 20 6.1 44 167 52 197
30
z 8 - 25 7.6 34 129 42 159
r 30 9.1. 23 87 33 125
0
a 20 35 10.7 22 85
40 12.2 11 42
a -
10 ,r Lock Volve: 38.0 ft. (11.6m) 44,0 Ft. (13.4m)
o+.soe
0
20 40 60 80 100
GALLONS
LITERS 0 80 160 240 320 6 1/4
3 27/32 4 5/8
FLOW PER MINUTE
CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32
Timed dosing panels available. ® 3 27/32
Electrical alternators, for duplex systems, are available and supplied with
an alarm.
Variable level control switches are available for controlling single phase 1
systems.
Double piggyback variable level float switches are available for variable
level long and short cycle controls.
Sealed Qwik•Box available for outdoor installations. See FM1420.
Over 130'F. (54'C.) special quotation required.
1
152/153 Series 12 1/8
1521153 MOOELS Control Sdecdon
Node1 i volts-Ph Mode Am Sim ex Duplex
s 1/e
N152 : 115 1 Non 8.5 1 2 or 3 IL I-Y
BN 152 ! 115 1 Auto 8.5 Ind ded 2 or 3 -L sbos~
E 151 : 230 1 Non 4.3 1 2 or 3
BE 152 i 230 1 AtAo 4.3 Included 2 or 3
N153 : 115 1 Non 10.5 1 2 or3
8N153 115 1 Auto 10.5 Included 2 or 3 SELECTION GUIDE
E 153 130 1 Non 5.3 1 2.0 1. Single piggyback variable level Pout switch or double pi9gybxJr variable level float
BE 153. 230 1 Auto 5.3 Included 2 or7
switch. Refer to FM0477.
a CAUTION 2. See FM0712 for correct model of Electrical AMemata E-121.
All installation of controls. protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex
(3)
l-censed electrician. All electrical and safety codes should be followed Including the most
recent National Electric Code (NEC) and the Occupational Safety and Moab Ad (OSHA). or (4) float system.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
"L TO: P.O.80X 18347
L, PIL0411A :Y3, 40158.0347 Ibrlufapun rt SNP IP TO T0: 3849 49 Carty Run Rod
Loijisv*, KY 40211.1901 Caw" Srcf aff
!O. (502) FAX (502) 774-3624
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C Copyright 2001 Zoeller Co. All rights reserved.
Parcel 040-1054-20-050 09/01/2011 09:49 AM
PAGE 1 OF 1
Alt. Parcel M 13.28.19.203A-05 040 - TOWN OF TROY
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
06/14/2005 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
0 - FEYEREISEN, JAMES E & ROBIN H
JAMES E & ROBIN H FEYEREISEN
336 CTY RD U
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4893 SCH DIST RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 13 T28N R19W 35 AC SE SW EXC CSM Block/Condo Bldg:
1297 & EXC PT TO HWY 2821/620
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-28N-19W SE SW
Notes: Parcel History:
Date Doc # Vol/Page Type
06/14/2005 797545 2821/620 HWY
07/23/1997 785/453
2011 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 11/09/2009
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 26.000 4,800 0 4,800 NO
UNDEVELOPED G5 1.000 100 0 100 NO
AGRICULTURAL FOREST G5M 7.000 28,000 0 28,000 NO
Totals for 2011:
General Property 34.000 32,900 0 32,900
Woodland 0.000 0 0
Totals for 2010:
General Property 34.000 32,900 0 32,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address ,
ells .S~
Property Address/ (p
(Verification required Planning & Zoning Department for new construction.)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location 1/4, '/4 , Sec. , T 2-S N R l W, Town of r
Subdivision Plat: , Lot #
Certified Survey Map # Volume , Page #
Warranty Deed # (before 2007)Volume , Page #
Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (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 Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue o a warranty deed recorded in Register of Deeds Office.
ber of drooms
SIG ATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 09/07)
COUNTY SECTION CORNER
® MONUMENT, ALUMINUM CAP, FOUND. \ DANIEL P. KUGEL -2684 J{hE3.-
% \ REGISTERED LAND SURVEYOR
• 1 1/4" IRON PIPE, FOUND. OGDEN ENGINEERING COMPANY
1234 SOUTH WASSON LANE
1 1/4" x 18" RON PIPE WEIGHING \ 0-1 ~ RIVER FALLS, WISCONSIN 54022
0 1.68 LBS./LINEAR FOOT SET. \ \
DATE: JULY 25, 2011
BUILDING SETBACK LINE.
PROPOSED 12' WIDE UTILITY EASEMENT. \ \ \ etsc O
(R-) PREVIOUSLY RECORDED INFORMATION. \ \
® SOIL BORING PERFORMED BY CARL \ DANIEL P,
HEISE N JUL,, 2011. \ KUGEL
\ 3-2684
RIVER,FALLO
.000
CR. UR
O/
LOT 2
%
\ G 3.819 ACRES ® ~s:
166,352 S.F. ® ;O
INCLUDING C.T.H. "U"
\ a ` RIGHT-OF-WAY
\ y \ 3.511 ACRES \ \
% 152,923 S.F.
jr EXCLUDING C.T H. "U" % ® \
`RIGHT-OF-WAY
\ ~N p~ \ \ %
%
w o c1` "a1 01'VI c~ \
0 59 °5p
3:: 00 5
in cn;e
o O5\ \.\lolzy~Q POINT OF
ffi LL. KS wm BEGINNING
w o o
°
CZO~' \ LOT, 1
c 40
U W \ \ VOL. _l,_PA GE 297
mcono¢
SCALE I N FEET \ OWNERS SUBDIVIDERS
o ; M \ JAMES do ROBIN FEYEREISEN
o : m \ 336 CTY RD U
00 , eq RIVER FALLS, WISCONSIN 544
0 60 120 240 Z: \
\
\
SECTION 13 S 89°49' 09" W SE(
T28N, R 19W 1945.11' \ 682.27, T21
- - - N 89°49' 09" E 2627.37' - - SOUTH LINE OF THE SW l14
THIS INSTRUMENT DRAFTED BY DANIEL P. KUGEL PAGI
66UMENT 4ZE, lu 31"A'.Y`EL Bf R of WISCONSIN FORM 11-198n -rm1a eeA.e Rcscnveo *oR R3COROlti4 DATA,
- . I WARRAR7Y DEED I
REGISXERS OFFICE
I Sr.-COOIX C0, WI& ~
~'i21$ Decd;=made . hctrrez;n HR-P-01-d---F
t
and Violet elan ]{aster, husband and = !1 ay off. 7xIlY v A.D. 1987
t h
vtzfe, and each In eir own Grantor, t
t :45 Bdu (
and .James E. Feyereisen and Robin H. Feyerelsen 'Ar
y'.
lIi••!
j.' jiapC-ri y - - - j
v~ I
Grantee,
- t/ 4
--Witnesat7th, That the raid G, antor, for a v:1111abie consideration_.____
- - - - R~T~R~~R FAILS STATE BANK
conveys to Grantee the following described real estate in ___St..M_Cr-o3 X-----_.__
DST.
County, State of Wisconsin 124 SEC-ON
1A11-
---The Southwest CJu r±a, lSTptg N of
So.+ vlo m>^ _
a1 ~ri~~-te:✓11 ~1. 111010xxsnip ~nre tar
_e i }l.t -28 Z. NcD1 th _ `RanpP Ni:na..t~aAr1- f l O 1 [niec E a ,Tax Parcel No-! ii -
- - - , E~
f Sept'; Parcel deed t.o Arthur E. Neuman in Vol. "575":- page 306,
#349182; parcel 'deed- to Terry A. Risen and Mary L. Roen, in. Vol;. 11553"
page 432, #339833:
T and ALSO EXCEPT: the-parcel- described-
cs follows='; Commencing- at the .-West 1/4 'cor`ner of said -Section 13,
the
_AI PoINT OF BEGINNING OF THE PARCEL TO BE HEREIN DESCRIBED: rMENCE 11 890-90' 00•• E (recorded gearing on the East/hTest a./4 line of said ,Section
13 a -
distance of 820.91', therice Easterly on, the Northerly R. O.-W. of a, town
road on a curve concave to the South,..,-having_..a,.,r.adi.l)ts. of 238.()0.'.-.;: --whose
crord tiears S 6 056.29"E 88,28 thence S 35058'2$"W
33.00' to the cen-
terline of a town road; thence Southeasterly on the centarlirie of said
--town road on a curve concave to the` South, having a radius of `205.00'
v~nvse chord bears S 46t30'4611E thence S 90 0 53 39 Q 00 E on said cen
terline 110.001:; thence Southeasterly on said centerline on a curve con-
cave to the 'North, having.- aradius ,of. 607, 00,' , whose _chor.d bars S 55~0
-11 rv wv.~ L 771.1o: T.rience UUuf)U LLGY'cv j' 77~i ~F • 12"`'3"1 d +cyl- @ 15
✓ c.. i g c,a. c.tl~ lil j
thence S`89`53113 W 1289.31' on" the South line of the Southwest-1/4 of
This ~ - - - homestead= property. '
; (continued on. reverse side)
(is) (is not)',
I Together with all and singular:. the hereditaments and appurtenances thereunto belonging; '
And -
-
warrants that the title is-good ; indefeasible in fee simple and free and clear of encumbrances except
county and°-municipal zoning ordirlarrces, unrecorded bu3.lding restricts 1
}I and easements forl,publ`se utllities, conveyance to. St. Croix County for.,h &4way
`:purposes 'in' Vol. '345", page 572, #293289, -
and will Warrant and defend .the same.
Dated th s 17th
>9.81...
_ day of -------s•TL--lly
(SEAL)
f
- _ __~Iarc Von.._Kust@r...........
I
o-J, 1J f
_.(SEAL) (SEAL)
Violet Von Kuster,
- -
li AUTHENTICATI-ON ACKNOWLEDGMENT
Signature (x) fl ld E., _Van__Kuster_ STATE OF WISCONSIN
andV olet Von_ Kuster e. '
County.
authenticated this __.____day of___J A!-Y_ 19___8.7 Pgrsonally c u a before me t Is '.a 7tt~__;-__day of
duly 137 the above rained
I~ f3arola Von Kuster and - -
1tlQ11V) iiL[t t~ Baxkla Y1C1@Z VUYl 1SLXSCer '
- ~l TITLEi MEMBER STATE BAR OF WISCONSIN 11
(If not -
f b I
Y § 70I I Wis. S* _atsJ -
i silthorizea to me known to be tY,~ person b who exeruted the
f.....g:.i..r, ..,o ''~ca iu cwwieuge the same
THIS 1t4STRUMENT WAS DRAFTED BY,
IlI~ Na_nc,Y _Mur?^3z._.fax=k1.~-}---Atty_•------.._--•--
I~ River Falls, WI. ~402P "----D--vid:A.__G--_- - ;
Notary Public - Pierce
(Signatures may, be authenticated or acknowledged. Both My Commission is permanent. ([f not, sTq ite~Iptratltan
j3' are not necessary.)
date: 452 8 _89. .yg...~-
pIAA: e&LeS
Namea 62- persons signing in anal capacity should be typed or printed.below-their signatures."Dwy Pjwk gbft of W=~ -
STATE BAIL OF W:SCONSIN
FORM No. I. 1982 Stack No. 13001
of said Section 13 , to the Sao„+r, Hes ~ corner-Of Sal= _-SjeFct!on_I1
!'ne vT =unc ~ GZI uTiK?~ ~~i T,a ~TI~
00004 - 44-W 26- - J 17.40- - on ti1$ Wes u- I
4, sixb'ec
POINT OF. BEGINNING, CONTAINING 75.20 acres, more or less, being
to easeiwx)..t.. -over -Northerly portions of said parcel for -town road -purposes
as said roadway 4,j now laid and traveled and also tieing subject to
RECEIVED
Wisconsin Department if Commerce SOIL EVALUATION REPORT Page Of
Division of Safety and ildings
i dance 'th Comm 85, Wis. Adm. Cod
Attach c
omplete site Ian of I ss than 8 1 /2 11 inches in size. Plan must
JUL 2 6 M.D.
r
include, but not limig(refere ce point (BM), direction and \
percent slope, scale 16M1 %8r"lA ft>~F§ "1o ation and distance to nearest road. Z )
Please print all information. Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Loca 'o
F re' Govt. Lot 1/4 ,QV 1/4 S T,~? N R 4 E(or)@
Property Owner's Mailing Address Lot # Block # Subd. Nan-m(-or oCSW /V 0 t
3' T -nod
City a Zip Coe Phone Number C] City ❑ village R] To Nearest Road
` ( ) - SSB Co
W New Construction Use: ® Residential /Number of bedrooms Z-'4 Code derived design flow rate 450 ` 00 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material T;1~ Flood Plain elevation if applicable I VA
ft.
General comments r _
and recommendations: CPA Cdj7f6WYG(9e•Q
r
Nye GSM -
Boring #
F-11 Boring
® pit Ground surface elev. q5° 0 ft. Depth to limiting factor 60 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fti
in. Munsell Qu. Sz. Cont. Color Gr S . Sh. `Eff#1 `Eff#2
0-/0 11D K -4/Z 6;; 1 -Fr - o.4 D.
d 02 TSbk 1Jr e- S
3 - ioY6 sl s rnfr S - 0,4 0.17
14 ~D_ p r o 4 o. "2
5 Z a ~ S c o -
2 Boring # E] Boring
0 pit Ground surface elev. 95, p ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'EfX2
7-- D R-414 wnl y- r- 5
3 - 10 ve, s/4 „fr e ,4
o-70 o 4/L- c 24 b r -c► - 0A c~
~ro oak
rrr rnerv
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) CST Number
r
Address 4 Date Evaluation Conducted Telephone Number
QOS /0~ ~1 0 cr k [AT 46 Z-L " IT-
~rnr~ o+^+n mn^+inna
I
}
Property Owner oArnes /"GVttr~PlSrGM Parcel ID# e4 Page _ I of J
F3-1 Boring # E] Boring
pit Ground surface elev. - 817 2 ft. Depth to limiting factor 3_ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 C>-JO 0 mi/s 1 A 0 4
2 - j r S 0' 0'0
3- for 4 cza s-; atsA r4 cs 6,4 6.6
-48 to 4 c Zd s to rn,` D
~~q rot~► ~,ra m ~S
R] iq Boring # A Boring
FrA
pit Ground surface elev., ft. Depth to limiting factor- in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
I -NO lore, - if YAJr as 0A 0-lo
2 -z f m S a p.0
3 z- 10Y C to YR 7- S1
r C.S a i
4 51 -651 1 o ye g -S.-T", -r Y O 1.
Boring # ~ Boring
IN pit Ground surface elev, ft. Depth to limiting factor- in.
F-51
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tti
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *002
0-10 1yo? i/p S - f -Fsk ,
> Z 10 t 4 - r
32' { 8 C 2 I 52 f r S 1-6
Sn~ ~d a ° 7 1 f s y -
* Effluent #1 = BOD5 > 30 1220 mg/L and TSS >30 1150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS 5 30 mg/L
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.
SBD-8330 (R09/00)
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