HomeMy WebLinkAbout004-1054-40-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 538893 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:
Timm, Roger & Bonnie Cady, Town of Do'~-!d 5 41 - ~d- /
CST BM Elev:
1)60 1 /8 Insp. BM Elev: BM Description: Section/Town/Range/Map No:
M ` GS 23.28.15. ? V B
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER ~S CAPACITY STATION BS HI FS ELEV.
Septic r Zo,, 3 Benchmark 7.64 167 /a
V4 a
Dosing GG~ 649 Alt. BM ✓ 53 97. 7/
Altrstivrf Bldg. Sewer
F"I o o / S3.d~
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO 4. P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic / I rn Dt Bottom dAl
/lJH'" 0 7
Dosing ( ,f4- 3 / y 3Q / Header/Man. l -75
7.
Aeration Dist. Pipe O
Holding Bot. System 7'b4 PUMP/SIPHON INFORMATION Final Grade 3.7Z /to • /Z
r
Manufacturer Demand St Cover . 3 +
60 -A GPM ~ ~K GO X17 7(
Model Number ^ ~
f/
TDH Liftz~ FSystem Hgad ~DH D t
/y/ _
Forcemain Le ,r ia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width :~ength No. Of Trenches PIT DIM SEN IONS No. Of Pi~ Inside Diaa. Liquid Depth
DIMENSIONS 6 3 h.G
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactu / -
tYs-'\
INFORMATION CHAMBER OR P,,,
Type Of System: UNIT
'ZI W Model Number:4 s v S
DISTRIBUTION SYSTEM /S /Sf/.S 5~S ~sf~
Header/Manifol Distribution x Hole Size x Hole Spacing V jPo Air Intake
Ir tL Pipe(s) \
Length Dia T Length DiaSpacing
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 ►L Bed/Trench Edges Topsoil \ Yes Z] No Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 3130 20th Ave Wils n, WI 54027 (SE 1/4 SW 1/4 23 T28N R1 5W) NA Lot 1 Parcel No: 23.28.15.
1.) Alt BM Description =
a
2.) Bldg sewer length = 36
- amount of cover =
S o ~ a~Q,
Plan revision Required? ❑ Yes 1 !I b 3
7T i ~Z I I~ _ Co
Use other side for additional information. L_-___~__ -
Date Insepctor's ignature Cert. No.
SBD-6710 (R.3/97)
commerce.wl.D \Safety and Buildings Division
y 201 ashington Ave., P.O. B lp i jj
' s' V D adison, WI 53707-716 Sanitary Permit Number (to be filled in by Co.)
Department O Commerce ^ t ^F1
Sa ita era~' Cation State Transaction Number
In accordance with s. Comm. 83. (2), Wisj>4 stun of this form to the appropriate governmental
unit is required prior to obtainin a _sat ~i2r 'Note: Application forms for state-owned POWTS are 4roject Address (if different than mailing address)
submitted to the Department of rr P el erssonal information you provide may be used for secondary,
upurposes in accordance with the Priv 'Law, s,15.04 1)(m , Slats. ¢h A4.le
I. Application Information - Please P ' II Information
Property Owner's Name Parc #
f~- n
/LPL It
✓ / 1n 1r) ,
Property 0 net's Mailing Address] p Property Location
Z h ' " t• Govt. Lot
City, S to Zip Code Phone Number Y,, d~ Secttiion, one)-,
h13 214 ~ 0 7/,J~'_272 - J? Zf~ T -4s N R (crrcl~ l°'~C1
II. Type of Building (check all that apply) Lot #
~1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name
all- n~q Block
❑ Public/Commercial - Describe Use r
/q ❑ City of
❑ State Owned - Describe Use CSM Number a ❑ Village of
i5>~r5 ti5 c s ~y~6~~ P Town of
3
III. Type of Permit: (Check onl one box on line A. Complete line B if applicable)
A. New System
❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner ZAPI&4_11 9f
IV. TyjM of POWTS System/Component/Device: Check all that apply) e
Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil G r
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/Treat ent Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
5 CIt30 r (P
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units o g
New Tanks Existing Tanks ° c v
w v t7) ti n ~ ice. C7 a.
w P lad. 5Z5 A
Septic or Holding Tank
Dosing Chamber 4
Ole
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumb 's Name (Print) Plumb 's Signature MP/MPRS Number Business Phone Number
_ - - 1. -77L
Plumber' Address (Street, City, State, Zip Code)
3/ o? ~ Xh /Son l CJ~ r~o~
VIII ",County epartment Use Only
pp Permit Fee Date issued Issuing A t Signature
M41 A roved
~CU,~ $
iven Reason for Denial 175 ' IX. Condit#easons for Disapproval
1. Septic tank, effluent ff ter and
dispersal cell must all be services / maintained
as per management plan provided by.plualb@r.
2 Aq. setback rettuiremerits must be maintain
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD-6398 (R. 02/09)'
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name:
Owner's Name:G
Owner's Address:
Legal Description: UJ
Township:
County:
Lot Number:
Parcel ID Number:
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing & Cross-Section
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber: )ot/s°l License Number:
Date: 2Z.--// Phone Number
772
Signature
Designed pursuant to t Z In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01).
Page 1
~~1J~ ~r✓ey /~~d
~L tr~,B
l
Soil Absorption System Cross Section
d ,
4" Schedule 40 Final Grade
PVC Vent Pipe
With Vent Cap ft
c, ft
System Elevation
ft ft
Soil Absorption System Plan View
ti 0~ft
I MEM
ft Leaching Trench 1
Vent Or Observation Pipe Chambers
4" Dia.
Trench 2 Header
Leachina Chamber Specifications
F urer And Model h ry 11 4~,Y L~
sq ft per chamber Soil Application Rate gpd/sq ft
w_ Soil Application Rate - ac7 EISA Chambers
3 rows of ~a chambers each.
Page of
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PL-525 Effluent Filter
Maintenance Instructions:
1. Locate the outlet of the septic tank.
2. Remove tank cover and pump tank if necessary.
3. Do not use plumbing when filter is removed.
4. Pull PL-525 out of the housing.
5. Hose off filter over the septic tank. Make sure all solids fall back
into septic tank.
6. Insert the filter cartridge back into the housing making sure the
filter is properly aligned and completely inserted.
7. Replace septic tank cover. PL-525 Installation: Ideal for residential
and commercial waste flows up to 10,000 Gallons Per Day (GPD).
System Management
Management of this system is critical. As a condition of approval of these plans this system management section must be
reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If
problems develop with the adsorption system or any other system components, the installing plumber, Roger Timm, 715-772-3214, or
the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance.
General
Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which
flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of
contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to
settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as
water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type
of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health.
1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure
adherence to contaminant load design criteria.
2. Install water-saving appliances whenever and wherever possible.
3. Repair even small water leaks as soon as possible.
4. Never pour grease or oil down any drain or stool.
5. Garbage disposals are not recommended; if you must have one, use it sparingly
6. No paper products other than tissue should go into the system.
7. No chemicals should go into the system.
8. Avoid surge flows of water; try to spread laundry throughout the week.
9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans.
10, If septic or dose tanks are no longer used, they must be properly abandoned.
11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and
heavy mulching may be required to maintain a functional system at start-up.
12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the
upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should
be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system.
Maintenance
I The septic tank must be inspected every three years by a properly licensed person.
If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids
volume equals one third of the tank volume.
When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed
into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the
filter should be made every 6 months until a minimum time sequence is determined.
4 Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell.
Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption
cell
If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany
their specifications.
6 The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the
pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows
reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than
one or two days should pass before any necessary repairs can be made.
Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system.
8 Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system.
9 Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth.
10 Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system
area.
1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or
insufficient oxygen.
Contingency Plan
Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring
may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54
(2) Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing,
and/or installation of additional treatment components or conversion to a holding tank may be necessary.
Page 8 of 8
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address 1G!~
Property Address 3 ® A
(Verification required from Planning & Zoning Department for new construction.)
City/State ` 5Y Z Parcel Identification Number
LEGAL DESCRIPTION ~j
Property Location v4 , '/4 , Sec. vR 3 , T o N RAW, Town of _ezL~
Subdivision Plat: , Lot #
Certified Survey Map # ~IyA6 3 , Volume , Page # ;W Z
Warranty Deed # 4 -191 M (before 2007)Volume Page #
Spec house ❑ yes,;Kno 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 yarranty deed recorded in Register of Deeds Office.
Number of bedrooms 3 J/
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. 09/07)
- Il
11 TM19 .SrAC6. RasBRVBO FUR RHCOROtNO
' 1-2a DATA
DOCUMENT NO. STATE; 2.4R OF WISCONSIN It'tJRikt
WARRANTY DEED I __I
478939
'Vol 934PAG-E
- - %-E
v m a7C.A >t\L`+sv L S,0FFj-
This Deed, made tletwe n gn3Y co', W
tZose K. Timm, a sing-Le person, by `Ioyd Timm r -
-
Recd for Record
and A dAn Timm, attori ey. Fart i ,
- Gr tw !I F tB 0 7 1992
and,_ Ro-ger__L Timm-_ and- Bonnie M Timlr, husbana -8:50 R ;u
.and wife,, -as point tenants
1 I
_ - - er of Da
Grantee, i~ Kegist Deeds '
Witnesseth, That the said Grantor, for s valuable consideration.._._-
i ,
RETURN To
eonv , to grantee the following described real estate in - ---S01X ff Bank of Spring Valley
County, State of Wisconsin: ;j PO -Bov 1.59.
Spring Vall ey_-~__ :
Tax Parcel No: i±
The East One-Half of Southwest c)uarte'.L v>_ ....-c_ 23. `L'os..--h-2-0 No= • -
Range 15 West.
This deed is given in satisfaction of that land contract dated
November 23,`1983 and recorded November 29, 1983 in Volume 577,' -
r~aae 429, as document number 389415.
.
!L
This . 3 . homestead property. +
:i (in) (.1s not) t~
Together with all and singular the he edit~ments an a pu tenan S thereunt elon in -
Rose Timm , by Floyd- Timm analirrden Timm, a~ orY eIs-in-fact*
i .4nd. - .
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
? *but not Floyd Timm and Arden Timm in their individual capacities
other than as attorneys-in-fact
and will warrant and defend the same.
Dated this ..23rd........ day of .......D~ er. 19--9.1 .
(SEAL)
FloytTimm Arden Timm
i
. (S1:AL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
1
Signature(s) G1 P 1o_Y d Timm and STATE 07' WISCONSIN
-
AY' de 11 T i i'u .
4
_ , r:;,-..._ 1•• __h_e__i.ore u. n: ..le y this d ( cl ay of
t}il$ _ •j 1J l.Cii iii c ~
1 }__..a~ - ~•+n,a
, 19 the above named
Robert F. Wall - - -
T1TT=1:: NTNT%TT', T•,i, STAT:•, I1,AR C) V wlyt.vNS1
„t.
..w. . ,1 `=.1
- to nx. L11.,.:,, 1... "••`-nl %N-ho executed the
!';;1-;•r.!.i1,lr Itl':f'.r11m:!1jt :1 ill! .1cki... iYiodgc the
Robcri: F. "a'Ll
N„{-,,, i'nbh, (County, l ip..
t1,• .I.nil,•nii,:,i..,. , ]!::!1, M., (•.1111111ission is pel-111R11t•11i. (ir nut, stal". expirarinn
z..r l'IC It.1H q:' P'1v(. YY:\~1\ i-r,•u~~~n L::~::! 13l-~..L t', tnr.
ii ll II
II ~I~~l~~II~IIIII~II~III~IIIIII
8 Tx34027715 9
942638
BETH PABST
REGISTER OF DEEDS
CERTI FI EO S V RVEY MAP ST. CROIX CO., WI
RECEIVED FOR RECORD
LOCATED IN PART OF THE SE1/4 OF THE SW1/4 10/06/2011 2:06 PM
OF SECTION 23, T28N, RI 5W, TOWN OF CADY, EXEMPT
ST. CROIX COUNTY, WISCONSIN. REC FEE: 30.00
PAGES: 2
OWNER SURVEYOR
ROGER TIMM MICHAEL J. ERICKSON
848 WILLOW RIVER DRIVE
HUDSON, WI 54016
LEGEND rd. J
COUNTY SECTION CORNER MONUMENT s
(AS NOTED) 841111111111
i fWasm
1" O.D. X 18" IRON PIPE SET WEIGHING S VA
1.13 LBS. PER LINEAR FOOT NI/4 CORNER
SECTION 23
X -X EXISTING FENCELINE (2.25" O.D. IRON PIPE FOUND)
A, SOIL TEST HOLES
SCALE IN FEET 1" = 100'
100 O 100
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I 33' ACCESS EASEMENT INTENDED N
G c' I AS ACCESS TO LOT 1. SEE
Z I EASEMENT DESCFIPTION:
FENCE LINE IS 3'± WEST
N89°46'02"E 102$.53' O C AND SOUTH OF LOT LINE
1312.41' _
} C° S89°46'02"W 1027.42' SOUTH LINE OF THE SW1/4
__--N o ' S1/4CORNER
20TH AVE I S89 46 02'W 285.00 SECTION 23
S89°46'02"W 2339.83'
SW CORNER (ALUMINUM CAP FOUND)
SECTION 23 ~f ~f pU~1 ~~p (L~e ~V Dp
(S.M. NAIL FOUND) - - -
ACCESS EASEMENT DESCRIPTION:
AN EASEMENT FOR THE PURPOSE OF INGRESS AND EGRESS LOCATED OVER THE SOUTH 33' OF THE SOUTHEAST
QUARTER OF THE SOUTHWEST QUARTER OF SECTION 23, T28N,R15W, TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN
FURTHER DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTH QUARTER CORNER OF SAID SECTION 23; THENCE S89°46'02"W 285.00' ALONG THE SOUTH
LINE OF THE SOUTHWEST QUARTER TO THE POINT OF BEGINNING; THENCE CONTINUING S89°46'02"W 1027.42' ALONG
SAID SOUTH LINE TO THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER; THENCE
NO0°36'24" V1/ 33.00' ALONG SAID WEST LINE; THENCE N89°46'02"E 1028.53' TO THE WEST LINE OF LOT 1 AS SHOWN;
THENCE S01°19'05"W 33.01' TO SAID SOUTH LINE OF THE SOUTHWEST QUARTER AND THE POINT OF BEGINNING.
THIS INSTRUMENT DRAFTED BY:
MICHAEL.ERICKSON DATE 8-26-11 SHEET 1 OF 2 SHEETS
1 of 2
Vol 25 Page 5797
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SEPTIC i ~ SPEC- iFI'GATIOfJ$
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TAUKS MAWUFACTURCR: QLVAbER OF DOSES: PER DPI
TAWK SIZE GALLOWS DOS[ VOLUME
ALAR011 M-WUFACTURGR: S~ F1~ai.~o IMCLUDIIJG 5ACKFL.0`W: /*Ir~'1' C~.~OtiS
M'100CL ►JUMDCR: 10~ 1iw
CAPACITIES: A= WCHC5 Oa DO C.AL13~.S
SWITCH Ty/[; - r•'°'`~"`, ~~"~t° a IWCHES OR
6 z 33 51_1,,LLo ~_s
BUMF M1AIJUFACTURCR: I lG C ■ 7' 7 IQ CHE S OR _1511
MODEL ►JUMCER: 0
D■ INCHES OR A,
SWITCH TYPE;
WOTE: PUMP AW ALARM ARC TO pL
MIAJIh1um DISCHAR" RATE GPM ,rINSTALLED Ou 5EPARATE CIRC.. 7S
vCRTICAL DIFFERCWCC bETWECU PUMP OFF AQ0 0I3TRIbUTIOAJ PIPE.. FEET
* -kj1muM AJETWORK SUPPLY I•RfSSUKC . . . . , , a
T✓ FCCT
t_ FEET OF FORCC MAIN X F~IoortFKICTIOU FACtOR. 77 FEET
TOTAL DyWAMIC. HEAD = 77 FEET
IJTERQAL. DIMLW6tOWJ OF TA►JK. LENCvYH ;WIDTH ;LIQUID DEPTH
RGOULDS PUMPS Submersible
Effluent Pump
MODEL 3871
AMM
EP04 & EP05
_ Series
APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermo- ■ Bearings: Upper and lower
Specifically designed for the grade turbine oil for plastic enclosed design for heavy duty ball bearing con-
following uses: lubrication and efficient improved performance. struction.
• Effluent systems heat transfer. ■ Casing and Base: Rugged
• Homes Available for automatic and thermoplastic design provides AGENCY LISTING
• Farms superior strength and corrosion
manual operation. Automatic Op Canadian Standards
• Heavy duty sump resistance. • Association
• Water transfer models include Mechanical
Float Switch assembled and ■ Motor Housing: Cast iron for us File # LR38549
• Dewatering preset at the factory. efficient heat transfer, strength,
and durability. Goulds Pumps is ISO 9001 Registered.
SPECIFICATIONS FEATURES ■ Motor Cover: Thermoplastic
• Solids handling capability: E EP04 Impeller. Thermo- cover with integral handle and
'W' maximum. float switch attachment points.
• Capacities: up to 60 GPM. plastic semi-open design with 0 Power Cable: Severe duty
• Total heads: up to 31 feet. pump out vanes for mechanical rated oil and water resistant.
• Discharge size: 1 1/2° NPT. seal protection.
• Mechanical seal: carbon-
rotary/ceramic-stationary,
BUNA-N elastomers.
• Temperature:
METERS FEET
1040 F (400 C) continuous 10-
1400 F (600 C) intermittent. +
• Fasteners: 300 series 9- 30, -►~5GPM
stainless steel.
Capable of running 8 z.s rr
dry without damage to 25;
components. a 7
W_
.ti
6 2017
Motor:
• EP04 Single phase: 0.4 HP a 5-
115 or 230 V, 60 Hz, 1550 Z 8 15
RPM, built in overload with Q a _ - - ~
automatic reset o EPOS
• EP05 Single phase: 0.5 HP 3 10-- - --x------
115 V or 230V, 60 Hz, 1550 I EP04
RPM, built in overload with 2
automatic reset. 1 sr -
• Power cord: 10 foot j
standard length, 16/3 i
0 0 - - - -
S1TW with three prong o 10 20 30 40 so GPM
grounding plug. Optional 20 ,
foot length, 16/3 S1TW with 0 2 4 6 8 10 12 m'/h
three prong grounding plug
(standard on EP05). CAPACITY
Goulds Pumps
02005117 Water Technology, Inc. ITT Industries
Effective January, 2005
83871
CEIVED
Wisconsin Department of Commerce 1 SOIL EVA UATION REPORT Page 1 of 3
Division of Safety and Buildings ce wi Comm 85, Wis. Adm. Code
SEP a 7TIm ounty Attach complete site plan paper npt i4tft 11 inch in size. Plan must St. CTO1X /1 U
Include but not limited to: e c ~a~cr rlCoi t (BM), direction and ar 1 I.D. ew
Percent slope, scale or dim ced to nearest road.
Please print all information R sewed Datep
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15. (
Property Owner Property Location
Roger Timm Govt. Lot SE SW v< s 23 T 28 N R 15 w
Property Owner's Mailing Address t # Block # Subd. Name r CSM#
3128 20th Ave. q~
City State Zip Code Phone ❑ City ❑ Village 0 Town Nearest Road
Wilson WI 54027 715-308-0289 Cady - 20th Ave
0 New Construction Use: 0 Residential / Number of Bedrooms____3_ Code derived design flow rate 450 GPD
❑ Replacement ❑ Public or Commercial - Describe:
Parent Material Loess over Till Flood Plain elevation if applicable N/A ft.
General comments and recommendations: I recommend a soil application rate of 0.5GPD/ft2 , even if the system is
installed more than three feet above FS layers.
1 Bormg # 0 ElBPoit Ground Surface Elevation 102.3 ft. Depth to Limiting factor >85 in.
Soil ADDlication 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 0-8 10YR3/2 - SIL 2-m-gr mfr cs 3f 0.6 0.8
2 8-22 10YR3/3 - GRS 0-sg ml cS 2f 0.7 1.6
3 22-30 10YR5/6 - S 0-sg ml CAN if 0.7 1.6
4 30-76 10YR5/6 - S 0-sg ml cS - 0.7 1.6
4A* 30-76 10YR4/4 - S 0-m mvfr gs - 0.7 1.6
5 76-85+ 10YR4/4 - FS 0-sg mfr - - 0.5 1.0
❑ Boring *Bans present in horizon 4.
Boring # OPit Ground Surface Elevation 102.7 ft. Depth to Limiting factor 40 in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-4 10YR3/2 - SL 3-f-gr mfr cs 3f 0.6 1.0
2 4-9 10YR3/3 - SL 2-f-pl mfr cS 2f 0.0 0.2
3 9-19 10YR4/3 - SL 2-m-bk mfi gs 1 f 0.6 1.0
4 19-40 10YR5/6 - S 0-Sg fl ab if 0.7 1.6
5 40-60+ 10YR5/8 7.5YR4/6 & 10YR7/2 c-2-d S w/ pockets 0-M 0.0 0.0
* Effluent # 1= BOD5> 30 220 mg/L and TSS > 30!5 150 mg/L * Effluent #2 = BOD5 30 mg/l, and TSS < 30 mg/L
CST Name (Please Print) Si CST Number
Mark Iverson a~ 46672
Address Date Evaluation Conducted Telephone Number
P.O. Box 155 Hammond, WI 54015 August 28, 2011 715-796-5664
Property Owner Roger Timm Parcel ID# New Page -2 -of 3
a Boring
Boring #
OPlt Ground Surface Elevation 101.8 ft. Depth to Limiting factor >76" in.
Soil li tion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E1f#1 `Eff#2
1 0-9 10YR3/4 - S 0-sg ml gs 3f 0.7 1.6
2 9-76+ 10YR5/6 - S 0-sg ml cw 2f to 30" 0.7 1.6
2A 9-76+ 7.5YR5/6 - S 0-m mfr - 2f to 30° 0.7 1.6
❑ Boring * Bands in horizon 2
Boring # OPit Ground Surface Elevation 103.4 ft. Depth to Limiting factor >78 in.
Soil ADDlication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *E02
1 0-4 10YR3/2 - SL 2-m-gr mfr Cs 3f 0.6 1.0
2 4-15 10YR3/4 - SL 2-m-pi mfr Cs if 0.0 0.2
3 15-19 10YR3/4 - SL 2-m-bk mfr cs 1f 0.6 1.0
4 19-26 10YR5/6 - S 0-sg ml Cw if 0.7 1.6
5 26-69 10YR5/8 - S 0-sg ml aw - 0.7 1.6
` 5A'° 26-69 10YR4/6 - S 0-m mfr aw - 0.7 1.6
6 69-78+ 10YR4/6 - FS 0-m mfr I - - 0.5 1.0
Bands in horizon 5 5, 1
O Boring
5 Boring # Opit Groun ft. Depth to Limiting far in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fiz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efl#1 'Eff#2
" Effluent # 1 = BODS> 30:S 220 mg/L and TSS > 30:s 150 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.
Page 3 of 3 0 ft. 24 ft. 40 ft. 80 ft.
N
The north and west property lines had not been -v
estiblished at the time the soil test was completed.
m
r
(D
O10,
'a
B-2
102.7 B-4 a
103.4 -
M
O
,70 B-1 O
1021 102.3
Proposed
Garage
707• o\° co
B-3
101.8 p
r-
Proposed
House
SE corner of SW
corner of Sec. 23~
BMV2 - Top of survey marker
90.8'
Property Line
Elevation = Bench Mark = Boring Location & Elevation
B aton
Owner: Roger Timm Site Information: Completed By: Mark Iverson, PSS #197
3128 20th Ave. SE1/4, SW1/4, S23, T28N, R15W 680 Larcom Street
Wilson, WI 54027 Town of Cady Hammond, WI 54015
St. Croix County 715-796-5664
Phone: 715-308-0289 CST# 46672