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HomeMy WebLinkAbout026-1290-17-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538851 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: Marek, Todd R. Richmond, Town of 026-1290-17-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: A ~7 M GST 22.30.18.1470 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ~A CAPACITY STATION BS HI FS ELEV. Septic Benchmark Jos yap (,J~ esu. 1• ~ Zoo 5.6 Dosing Alt. BM Lavw~ a boo Aer2t+eft • I o ' a K. 5z5 Bldg. Sewer cl , 7 Holding St/Ht Inlet y` TANK SETBACK INFORMATION St/Ht Outlet 1 TANK TO /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet e Septic S y A -V Dt Bottom / 2 Sc o~ d C) Dosing 54 j A1d' ~i1J^ /19 /g, Header/Man. SJ,~J~ 9c~• s3 Aeration Dist. Pipe 5 y cl S3 Lj Holding Bot. System g$ Final Grade bb s PUMP/SIPHON INFORMATION L', q7 Manufacturer An Demand St Cover h a v( d/~ GPM Atqe 6,j Model Number P16 Lf 1 QA.f o J r TDH Lift $ D Friction Loss System Head' TDH 5- / t T Forcemain Length / Dia. J1 Dist. to Well AA J \ ZO Z - SOIL ABSORPTION SYSTEM BEDITRENCH Width i Length NPIT DIMENSIONS No. Of Pits Inside Dia. Liquid D=\th DIMENSIONS /6 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: / m- 1 UNIT Model Number: _ DISTRIBUTION SYSTEM to Air Intake Header/Manifold Distribution i/ Ix Hole Size x Hole Spacing IT \ ~ Pipe(s) 2 - SOIL Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only G a Y.... Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Z 23 Bed/Trench Edges Topsoil I P4-• es N No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: g / Z-7/ 1/ Inspection #2: / / Location: 1411 129th Street New Richmond, WI 54017 (SE 1/4 SE 1/4 22 T30N R18W) Lundy'sNorth of 17 arcel If: 22.30.18.1470 1.) Alt BM Description = Ez 66j&b / +1161 ~O 2.) Bldg sewer length = 3b / w LG(e, JS p~a``~ - amount of cover = / ^ n J 7 1 60-1 Plan revision Required? ❑ Yes •No Z-1 I 3 1 Use other side for additional information.- - Date Insepctor' ignature Cert. No. iBD-6710 (R.3/97) commerCe.wi.gov Sa and uildings Division n jr 20 ~shingt Ave., P.O. Box e 71 ll n PP` adtson, W X 707-7162 nary Pe it Number (to be filled in by Co.) sco toiepartmentof Commerceu $ $ 5' A Sanitary ermit Aj ~ a'oState Transaction Number In accordance with s. Comm. 83.21(2), Wis. Ad Code, sr~sio oft nJpFt ppropriate governmental q4 unit is required prior to obtaining a sanitary p it. N Ap~Alii a or state-owned POWTS are Project ddress(ifdifferentthanmailingaddress) submitted to the Department of Commerce. Pei nal into afian vide may be used for secondary purposes in accordance with the Privacy Law, s. IS.0 1)(m), L Application Information - Please Print All f Property Owner's Name rylow-) Parcel # -11~7 o 0 Z ~o Z -000 Property Owner's Mai I ing Address Q Property Location gofJ Z ~v Govt. Lot r City, State Zip Code Phone Number S ' e Section one) N~W ~ I iLfaNt6 w/ { 7 T Rcircle E ore II. Type of Building (check all that apply) Lot # Q N; 4 C, All or 2 Family Dwelling - Number of Bedrooms Subdivision Name _ A Bloc L, u . 04t- ❑ Public/Commercial - Describe Use ( 424 ❑ City of I IF CSM Number ❑ Village of ❑ State Owned -Describe Use / Town of X O6 av III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. XNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued / B. Permit Renewal ❑ Permit Revision Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) v v ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ILAt-Grade ❑ Mound > 24 in. ofsuitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/rreat nt Area Information: Desi n D Flow (gpd) Design Soil Applic to n Rate(gp ) Dispersal Area Required (sDispersal Area Proposed Sym Elevation ! Vt. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ns'~, o 0 New Tanks Existing Tanks w C Ea v ` a U ~ y ai 'w C7 ri. Septic or Holding Tank ®•t~ 2~ / - Z N Dosing Chamber V V 1 ~ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation ofthe POWTS shown on the attached plans. Plumb is Name (Print) Plumb pr's Signature MP/PVARRB'Number Business Phone Number Plumbe ' Address (Street, City, State, Zip Code) VIII• Count /De epartment Use Only Approved Permit Fee DWL tId Issuing ant Signature $ rven Reaso n for enial ~Z~ # IX. Conditirpeasons for Disapproval n 1 Septic tank, effluent filter and ~,✓+l~.., f J s n~ l~~ .dispersal cell must all tx sK&. main tf'G~ t /M a I ~~tO/l as per, management plan provided by plumber! Z - se> ck requirements must be m m~lintai / . i Attach to complete plans for the system and submit o the County only on r 81/2 x 11 Inches in si(e [Ne SBD-6398 (R. 01/07) Valid thru 01/09 t ~ d Todd Marek PO box228 E New Richmond, WI z° S 1/2, SE 1/4, S 22, T 30 N, R 18 W E Richmond Township St. Croix County 0 Lundy's North lot #17 1 v) Scale 1" = 40' X40.0"- I CU BM = 100.3' top 1/2" pipe I 1.98 Acres o a Weiser 1200/800 tank I d' ~o 6'~ 1 131 d- ~ T97.5' 0 0 I 1 well B3 98.8' ~ I N Q o„ 1 B2; oOS G I O I co I O I 94 I BM Driveway sOV~h \O~`\re COPS Atgrade system required with added B4 Page 8 of 8 ~vti' TM~ y Safety and Buildings o~ 1, s 3824 N CREEKSIDE LA 0 HOLMEN WI 54636 S F Contact Through Relay www.commerce.wi.gov/sb/ oA www.wisconsin.gov ~oSSI_N P Sw~ Scott Walker, Governor Dave Ross, Secretary September 21, 2011 CUST ID No. 226497 ATTN.• POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/21/2013 SITE: Todd Marek Identification Numbers 29TH St & 146TH Ave Transaction ID No. 1997446 Town of Richmond Site ID No. 771908 St Croix County Please refer to both identification numbers, S1/2, SE1/4, S22, T30N, R18W above, in all correspondence with the agency. Lot: 17, Subdivision: Lundys FOR: Description: Four Bedroom At-grade System / 6% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1335669 Maintenance required; 600 GPD Flow rate; 47 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854 (N.03/07), 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 P :IVATE and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.'. " No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, f stats. FEE k;y; The following conditions shall be met during construction or installation and prior to occupancy or use: DIVIS10H OF SA'3 Reminders • 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. CC~Frr,~ • 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 ROGER D NELSON Page 2 9/21/2011 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 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jeny.swi-Tn@wisconsin.gov RESIDENTIAL AT-GRADE DESIGN Pressurized - Sloping Site INDEX AND TITLE SHEET Project Marek lot 17 Owner Todd Marek Address PO Box 228 New Richmond, WI 54017 We are not using goring # 1 for this design. Legal Description S V2, SE 1/41 S 22, T 30 N, R 18 W Township Richmond County St. Criox~CE SYSTEN,,' Subdivision Name Lundy's North Lot No. 17 Parcel ID Number 026-1290-17-6W f, fix. Plan Transaction Number r` A D Bla'9l.Olti b Index sheet Page 1 Calculations Page 2 At-grade drawings Page3 i~e~ ° R E c f V E U Laterals and dose tank Page 4 v SEP 0 6 2611 Specifications Page 5 Management & contingency plan Page 6 Pump curve & specifications Page 7 Designer Roger Nelson License Number MP226497 Signature Phone Number 715-821-4444 Date 09/01/11 Designed pursuant to: At-grade Component Manual for POWTS SBD-10570-P (RAW), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-107WP (N. 01/01) version 5.0 (1 OM) Page 1 of 7 PRESSURIZED AT-GRADE DESIGN At-grade Design Worksheet - Sloping Site Flows and Site Data Entry. (r or c) ; r Residential or commercial? 466. Estimated wastewater flow (gpd) 600.0 Design wastewater flow (gpd) i 6.00 % Site slope rt~ 98.50 Contour elev. below lateral (ft) 47.00 Depth to limiting factor (in) in-situ soil application rate (gpd1ft^2) Distribution Cell Information (1 or 2) 11 Influent wastewater quality _ 10.O6 Linear loading rate gpd/ft 10.00 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 100.00 Aggregate length (ft) Pressure Distribution Data Entry (c or e) 'F e` Center or end lateral connection 1 Number of laterals 0.125 Oriflce diameter (in) e.g. 0.25 rata final - 2.00 Estimated orifice spacing caicuiation (ft) 2.00 Forcemain diameter (in) 2.14 Forcemain flow velocity (ft/sec) 25.00, Fonoemain length (ft) y or n Does forcemain drain back? 80.00 Pump tank elevation (ft) y or nt Are laterals at highest point? 6.5 System head (ft) x 1.3 NA 8.17 Vertical lift (ft) 4.1 Forcemain drainback (gal) 0.25 Friction loss (ft) 45.0 5x Lateral void volume (gal) 0.00 In-line Fitter Loss (ft) 49.1 Minimum dose volume (gal) ZL 14.92 Total dynamic head (ft) 21.0 System demand (gpm) Lateral Diameter Selection GalionsJinch Calculator (optional) Pipe diameter Design options Design a,oioe Total Tank Capacity (gal) Designer 1 in Total Working Liquid Depth (in) must select 125 in ~Gal/in (enter result in cell G46) one lateral 1.5 in x x diameter 2 in x Treatment Tank Information 3 in x s 12~ Septic tank capacity (gal) WreserW Manufacturer Effluent Filter Information Dose Tank Information ZPZ-510 cFilter manufacturer800.0 Dose tank capacity (gal) 5 Filter model number 22.2 Dose tank volume (gavin) Wieser maw l Manufacturer Project: Marek lot 17 Transaction Number Page 2 of 7 AT-GRADE PLAN VIEW 1/68 Observation pipes (2 typical) ° B 100-00 ft - 1/6 B 16.67 ft W C 12.00 ft ° D 5.00 ft E 2.00 ft ° L 110.00 ft B W 22.00 ft A x B 1000.00 ft12 - L T Cap Typical obs. pipe. Total aggregate cell A x B Slotted in the lower and anchored = Plowed area L x W 4 U securely. s^ AT-GRADE CROSS SECTION Svnthetic fabric cover 100.29 ft Finished grade Lateral elevation invert elev. 99.00 ft Observation pipe at aggregate toe E _ Surface contour 6 % Slope ft A and system 98.50 ► elevation D-+ = 12 in. topsoil and subsoil over aggregate and tapered to toes. Plowed layer below L x W ii in. aggregate below pipe(s), and 2 in. above pipe. Project. Marek lot 17 Transacbron Number: Page 3 of 7 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - End Connection P rHoles dkf0ed next to end cap l- x i Laterals & force main cA PVC Sch 40 ed on the bottom of the lateral (per COI%W Table 84.30-5) aced • =Turn-up wfba ll valve orcleanoutplug Lateral Specifications 0.125 Orifice diameter (in) End Lateral connection point x 1.96 Orifice spacing (fit) 1 Number laterals 51 Orificesilateral P 98.00 Lateral length (ft) 21.0 Lat. discharge rate (gpm) 1.50 Lateral diameter (in) 2.00 Forcemain diameter (in) 21.0 Sys. discharge rate (gpm) 25.00 Forc amain Length (ft) 14.92 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather-proof warning label and locking device juntion box Final grade disamnect Tank component is Aftemate~property vented outlet location 18" min. Electrical as per NEC 300 and s Approved outlet Comm 16.28 WAC joint Tank felt C Inches Gallons JA Provide 1/4" A 21.8 484.5 Alarm on weep hole or 8 2.0 44.4 antisiphon B C 2.2 49.1 Pump °R device. o D 14.0 222.0 90.83 ft C Totals 36.0 80016 Pump D 3" Bedding under tank 90.00 ft Goulds Pump manufacturer S. J. Electro Alarm manufacturer w 41 Pump model number 101 ttw Alarm model number i Project: Marek lot 17 Transaction Number. Page 4 of 7 At-arade System Maintenance and Oaeration Specifications Service Provider's Name Nelson PlumbinqPhone 795-821-4444 POWTS Regulator's Name St. Croix Coun Zoni Phone 715-386-4680 ~ System Flow and Load Pam Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 1000.0 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Ins and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Inspect for pondin~ and seepage once every 3 gears Miscellaneous Constriction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10570-P (R. 6/99). Lateral Turn-up Detail Finished • Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral 99.00 ft Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Marek lot 17 Transaction Number. Page 5 of 7 At-grade System Management Plan Pursuant to Comm 83.54, VWs. Adm. Code Ckneral This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBO-10570-P (R. 06/99), SSWMP Pub. 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 (N. 01101)] 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 quid 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, defectnve, or subiect to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under 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 ftser 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 fitter 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 lass than maximum sc urn 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. Pump Tank The pump (dosing) tank shah be inspected at least once every 3 years. Alt switches, alarrns, 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. Ate and Pressure l)lstributlon Svstsm No trees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade 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 at-grade 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) dltats that the at- grade be heavily mulched as protection from freezing. Influent quality into the at-grade system may not exceed 220 mWL BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 f mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 ml. for highly treated effluent. Influent flow may not exceed maximum design 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 pertomnned it should be compared to the initial test when the system was installed to determine if onfloe clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal call. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding level shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. comfluency Pier If the septic tank or any of its components become dellectine the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the at-grade component fads 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 9 toe leakage ooc urs or by renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the none and telephone number of your local POWTS regulator and service provider. Project., Marek tot 17 Transaction Number Page 6 of 7 GOULDS PUMPS Submersible Effluent Pump PE Marron FAQ Ptar t - General: GlfhN'at: a Corrosion seslst m • Discharge: l'h" NPT • sin* Phase construction. • Tempenfte:104OF (WQ • 60 FWU N Cast ;son body. maldmunn, r»minuass where • 115 volts a Therm"histiic impeller and • SA-in dxnnal amr1oad pro- cover. • Soles handling: 'h" Wcdon with a lornak reset. ■ Upper sleeve and tower maxim sphere. • ama htsraatloa. heavy duty bast bearing • Automatic models include a • 064W des*. conslatxdon. APP ICAT1aMlS float * High strength carbon steel ■ #LA-o~2o/•r"hs~p(er~m~a~n~eraly,, Spoaaliy designed for the • Manual ~S avalaMe. ig Ribdcated • extended following uses: • Pumping range: see K31 Morton: service life, • Mound glows performance dart or am. • 33 HP, 3000 RPM ■ Powered for cortirrxws • EfhmVDo*q Systems PE31 Pump: • 12.0 fdmum amps owatsan. LOW Pressure Pipe system • Maximum capaW. 50 GPM • Shaded pole design ■ Ali ratings are within the • Basement Draining • Mai moat head: 2S' MH K41 Motor. ~ wo warlddr dnc} lso limits ft of of power the er mow. • Fiearvy 0* Stns tPE+11 Phmnp: • .40 HP, 3400 RPM card, 20 standard lenglft. Dante" • Ma)dmum capacry: 60 GPM • 7.5 Maxtrrxxe amps cmd duty SAW with • Maximum head 29' TDH ' NEMA 5-1 SP, fta prong. PE51 Forms PE51 Motor' 115 volt cgrourdrng Plug. • Maximum cape* TO GPM • .50 HP, 3400 RPM ■ Complete unit Is heavy duty, • Maximum head: 37' TDH • 15 MWd ttun amps portable and compact. • PSC design ■ Mechanical seal is carbon, FEET tutet~tgs 40- ceramic, RM and usinless 4000&t FBI. PF41. poi • Stainless sleet f erhers. ~ - 33, A1.50 35 } AGBKY LISflN(i5i 30 - 25 71 CM lu. 5 2a + } t.i . r- { y } Tiatad to UL 7M and CSA 222 108 Shmdm& Fb AM" i a e N 1S0 711 10 ..}~....-a--l.. f 1 t.._ L} i t a 4 } T j. y__ _l 1.41 F} 00 10 2 30 40 50 60, 70 GPM 80 pQgG. 7oT O 0 5 10 i's now Goods Amps CAPAOTY O 2CW GmAds ftmp• NSCOM r r,bw. zW2 ITT Industries <&) aPE31/41 601 P-1 Todd Marek s PO box228 New Richmond, WI z° S1/2, SE 1/4, S 22, T 30 N, R 18 W E Richmond Township St. Croix County j Lundy's North lot #17 1 Scale 1" = 40' K-- 4o, o° - I 0 BM = 100.3 top 1/2 pipe -a 4- 1.98 Acres o 3 Weiser 1200/800 tank 6,0 ~131 co 0 97.5' co 1 well B3 o 98.8' Q I o B2 00 I 3o I G I O ❑ j BM B4 Driveway 26,1 Atgrade system required with added B4 Page 8 of 8 H N1Y4 V119gsMMA y WNWINK: sr/sa~ 11 i'PLAT or kwrl0y hf i I ;OT 30 % 127 31 1 AMR \ a ut/~~-__ ,w O SOT i . cwt sn rr~ 'LoTwia Loris - aa:~.' a w. I LoT iT N ~ I ' ~I Ill LOT 18 LIS ♦ 1~ 012= A ct SL LOT to f i I Nil i i I III i b ~ ~ LOT 20 ' 1 I ~ ~ ~ coa~0'et~' j r ! i LOT 2i f ♦ I ! - i r A, I J L zoo • ta,~sr eo prA ♦ Q_ ~I i........ti..° , 00 ~ ♦ I I o w z rr , - - -a aim' ~ L- a ( n 11 a by i ~ g V / 1186*31'11W 938.9 ~~w • z c • - 7----___~; ' It _ id ~;QT--~\' t>K taY '-LOT; CV1 e• 3ouio JNIN15'Z_ I Aw or Z Isv oT+ I ~ :~vnc►~ xi~H~ ~s I f .~7stt • I li,~~~w_s o 500Z Z 7, 8~ 5 v _ W fw too arle~r 1 o~>s aH~s 1 OR 2 6A 989b-98£-96L 6uiuoZ/ueld A;uno:) xiojJ IS Wd tiZ Zo LlOZ-6Z-6nd (11111 Illil 1181 Illll Illlillill 111111 IlII llfl 914945 STATE BAR OF WISCONSIN FORM 1 - 2000 I BETH PABST WARRANTY DEED Jl REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between The Riverbank, Grantor, and Todd Marek 04/21/2010 02:30PM Construction, Inc., a Wisconsin corporation, Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT : described real estate in St. Croix County, State of Wisconsin (the REC FEE: 11.00 "Property"): TRANS FEE: 102.00 PAGES: 1 Lots 15 and 17, Lundy's North Addition to the Town of Richmond, St. Croix County, Wisconsin. Recording Area Name and Return Address: St. Croix County Abstract and Title Co., Inc. 219 S. Knowles Ave. New Richmond, WI 54017 SST7249 Together with all appurtenant rights, title and interests. Parcel Identification Number (PIN) 026-1290-15-000 (lot 15) 026-1290-17-000 (lot 17) This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants, and conditions of record. Dated thisIo*4 of April, 2010 The erb \S • B : D las S. W nvee esident * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY- )Ss. Authenticated this Personally came before me this.,-),d'$ay of April, 2010 the above named The Riverbank by Douglas S. Wynveen, * President to me known to be the person(s) who executed the TITLE: MEMBER STATE BAR OF WISCONSIN foregoing instrument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) * hn nl of THIS INSTRUMENT WAS DRAFTED BY Nota bli@, State of Vf4seebnsin My commission is permanent. (If not, state expiration date: Robert L. Lober Loberg Law Office yfw (Signatures may be authenticated or acknowledged. Both are not necessary.) ••N••~"~'•~u,,, ytAAlV 'Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN }N"-2M 4r to 46- Ilk 1 of 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer -40 P Mailing Address ®l~ ~jQk Z Z Q 16c W A4g c~ ib ( j Q ( 7 Property Address 4~ I OL (Verification required from Planning & Zoning Department for new construction.) City/State k/f,--w PbG o'z4o .ill l) Parcel Identification Number Z';) Z & - /Z,2'49 /,7- 0 o p LEGAL DESCRIPTION Property Location , S '/4 , Sec. Z-; T _j~LN R l D W, Town of PC ICg m O .1m) Subdivision l~ IUJ,4 S AJ d OL°~ ' Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 7 Volume , Page # Spec house es 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 of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE 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. 08/05) r r R JAN 0 3 2.005 ECEIVED ~DcIEP 1 Q Wisconsin Department o! C trner(SF. CROIX COUNTY S IL EVALUATION REPORT Page of Division of Safety andBuildi s ZONI F'CE mm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. ewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7 d6 Property Owner Property Location y-i~ Govt. Lot 1/4J~1/4 S 007r. ~ N R I E (4 Property Owner's Mailing Addr ss 4/1 Lot # Block # . Name cSM# :s S -7 City State Zip Code Phone Number ❑ city ❑ Villa a Towrf" Nearest Road New Construction Use Residential / Number of bedrooms Code derived design flow rate ~Q GPD ❑ Replacement ❑ Public o/r commeraa Describe: Parent material i:aZ-7 t/ Flood Plain elevation if applicable /lid. ft. comments General an lions: s ~i~-Gyv C~~ r / / q' R S G46 d~a,~l`a 1 -Al © Boring # Boring Pit Ground surface elev. 7 ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 (9-1 L) 16ve- 4 C) Boring # F1 Boring Pit Ground surface elev. _ s-ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -5-- f z' - rtNV- lo 42 v Ni19 . 5- u Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = GOD < 30 mg/L and TSS < 30 nVL CST Name (Please Print) lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conduc ed Telephone Number 1008 192nd Ave, New Richmond, WI 54017 -r1 715-246-4516 l Property Owner Parcel 1D # a Page of 3 Boring # D onng Pit Ground surface elev. ft, Depth to limiting factor in. Horfzon th ication Rate Depth Dominant Redox Description Texture Structure Consistence; Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 / 3 .O -2 i i - 16 Pit Ground surface elev. V ft. Depth to limiting factor in. Horizon Soil Aj)plFcR;n- Rate Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cart. Color Gr. Sz. Sh. •Eff#1 •Efi#2 J 6-1z /b4p 3 5~. C~ Iz-zg rS~! - GL os 94 i F-1 Boring # Boring 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/fF In. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD5 > 30 1220 mg/L and TSS >30 1150 mg/L • Effluent #2 = BOD5 < 30 mg/L and TSS < 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. seo-eaw (Lfi=) a . Soil Test Plot Plan Project Name Environmental Holdings LLP Shau ird Address 706 19th St. Hudson Wi 54016 M #226900 Lot 17 Subdivision Lundy's North Date 12/1/04 S 1/2 SE 1/4S 22 T 30 N/R18 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 99.4 *HRPSame as Benchmark Alternate Benchmark Top of 1/2" Pipe @ 100.3' Sc le is 1" = 40' unl ss otherwise no d 418' Property Line 6% Slope B-197.5' 65' 30' Please note: soil test may not be suitable for 30' 1.p owners desired 5 building location, Soil B-2 test was done to 150' satisfy zoning requirements, please B-3 verify system location ,D before excavating. B.M. */A1t.B.M. 247' Property Line TFE SEi/4 CONSOL CH PMC8• ON IM K4P IS 2ULWr 10 M CQWaY AM TONOW Mtn DES r. ~ m i~ a UMN i°r 6CK401M.01t DE%UXWN6 FAFM 0 CCR. 3EG 22 - n0 Ydl!ltplr t#cY wmm tl01AEEftR LOT 31 SEWN MAIM Im i LOT 32 LOT 33 aF r wen > - - - _.i....... - 0.10 r SdoYTf7J'M ~2ftAi', ARE (4.5M ) I Il TO ME DEEDED rO+,l a , AD.gR611C F„ r 0, N• al LOT 15 LOT 16 ; 0~-- 1-82 ACRES 216 ACRES ?RQS' 3 ° MOW so. Fr.) sax~~ N~ I - ~ I LOT 17 196 ACRES N N i c6 i I I , SC FT.) ~I N F'i Ui I I .71 04; c DSE,s a 4w I j j ~ N89'46'04'E 353.65' AUftUE MGM \ LOT 18 I I I 2.13 ACRES \ MAW SC; FT.) I t16d76r3tCE 42- 1 i LOT 31 IM ACRES (1D SM 50. FVI, I I j I I LOT 19 1.7b ACRES qxo 'c (73AM SM FL) = ioT zo .(9Ds17" SIX I ~ ~ o (t1llE - LOT 21 • / ' 2.67 ACRES / (124AM SO. FT.) LOT 22 22t ACRES 6n1 umm lop