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HomeMy WebLinkAbout004-1012-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: S t. Croix Safety and Building Division - INSPECTION REPORT Sanitary Permit No: 405147 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: Bunnell, Gloria Cady Township 004- 1012 -80 -000 CST BM El : � Insp. BM Elev: BM Description: z m ,3 rndklkd TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATIO BS HI FS 03 1{ off: Septic Benchmark Dosing (O S� t. BM .�-� �. � �D T.• � a a � a Combo Aeration �� Bldg. Sewer C�j luo / 6 v Holding S t Inlet TANK SETBACK INFORMATION f 2 o o(� SVHt Outle TANK TO P/L WELL BLDG, Vent to Air Intake ROAD Dt Inlet Septi �) I ���� �1 Dt Bottom Dosin Z / �i He /� �Y 6 /Z Z 2 Aeration Dist. ipe I Z.20 Holding Bot. S stem ilr- U �i 2.3 1 PUMP /SIPHON INFORMTION Final rre Manufacturer _ Demand St Co 3 � l GIP IM Model Number /q- 0 TDH Lift 3 FrictionJ.o / Syste Heel TDH Ft `jj `gyp Forcemain L t X I bia. {� Dist. to Well, t SOIL ABSORPTION SYSTEM BEDrrRENCH Width Length No. Of T has PIT DIMENS_ IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (P / s / �C � SETBACK SYSTEM TO P/L JBLDG JIVELL LAKE /STREAM P�N� Manufacturer: Type Of yttem: ! O0' { / CHL� _Q INFORMATION r y � (2 A ✓ UNIT Model Number: DISTRIBUTION SYSTEM ✓ Header /Manifold �J Distribution x Hole Size x Hole Spacing Vent to Air Intake ( Length_ Dia y `l Lengt Dia I M Spacing { ) /I _! ,r (� j SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Ste►'✓ 1 7 Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched r Bed/Trench Center _ Irx�� Bed/Trench Edges Topsoil Yes L] No � Yes COMMENTS (Include � code discrepencies, persons present, etc.) Inspectio ` 1: � ( / 2 D l � v inspection #2: � / 2 2 f �Z Location: 2741 60th ve � on, WI 54027 (NE 1/4 NW 1/4 6 T28N R15W) NA Lot ^ Parcel No: 09.2871L85 1.) Alt BM Description = 6^k lx+ 2.) Bldg sewer length = 32 /S('�{. "q V - h� - amount of cover 3.) Contour 1 Plan revision Required? L] Yes V Use other side for additional information. 1 20 (�iw.� SBD -6710 (R.3/97) Date Insepctor's Signatu Cert. No. .c S•� s 04/23/02 02 TIM: 10:38 FAX 5 38 t 4(186 ST C CO ZONING Q 002 Safety acid Buildings Division C ty 201 W. Washington Ave., P.O. Box 7162 3c • C t &r FN# is � onsin Madison. WI 53707 — 7162 Site Address Department of Commerce -0 z_ S3/ r! �-� W1 6 Sanitary Permit Application Sanitary Pe Number In accord with Comm 83.21. Wis. Adm. Code. personal information you provide ❑ Check if vu �� may be used for I. Application Information — Please Print All Informati RECEIVED state Plan . N beo, Property Owner's Name Parcel Number 610 6 le. JUN 0 4 200 (any —/ / -S0- 0 0 0 Property Owner's Mailing Address Property Lo , ST. ZONI �G COUNTY li T ��N, R �S E City, State Zip Code P ne Lot Number Block Number Subdivision Name CSM Number ol.� �/t t±s =G�y 3�� t) ftc qs II.1�cpe of Boil ' (check all that apply) ✓� []City - -___.. 0 I or 2 Family Dwelling — Number of Bedrooms _ J _ QV� U Public /Corm&^ — scribe •o Wownship / CCW Nearest Road 0 state t a E p.b t " S ( p t 4 k 4 M. Type of Permit (Cb4!Sk only one box on line A (numbering scheme for internal use).. Complete line B if applicable) A For County use I D New 2 Reptacement Sysxm 3 ❑ Rtplatxment of 6 ❑ Addition to stem rank 0 B. 0 Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply) (gumbering scheme is for internal cue) 14��a0 44 0 Non — Pressurized In- Ground 21 ound 47 0 Sand Filter 50 ❑ Constructed Wedand 22 0 Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ SiiWe Pass 51 0 Drip Line 45 0 At - Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 11 Other V_ Di rsai/Treatrnent Area Information: I Design Flow (gpd) Dispersal. Area Dispersal Area Sod Application Percolation Rate i o0tystem Elevation Final Grade Required Proposed Rate( Gals. /Days/Sq.Ft.) (Min./Inch) Elevation �A �'v s�� v i 1 /f L `? ! / �� J VI. Tank Info Capacity in Total Number Manufacutrer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tattles r ' � Septic or Holding Tank 1 0 (70 W C + $ c' 1 Z I)osing Chamber 5 (J 1 VII. Responsibility Statement I, the undersigned, assume rtspobilhy for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P! • s signa RS Number Business Phone Number Plumber's Address (Street, City, State. Zip ode) 1 /3 Vffl. partmerit Use Onl Approved 11 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued issuing Agem Signature (No Stamps) Surcharge Fee ❑ Owner Given Initial Adverse 3 7— Determination J e.W lX. Conditions o;v r '-- or Din pRs al r aid R AA COIL At�tad�t,�c�omp � t+lmu (to the Cotmt�_ oal!�) the sJst¢a on papa' nN lass Wio In size �� _ , Jw, N/�hk�, SDD�!(� �/O_,r1�JC, 'Fit ALA _ ` _..p seJICIt4a SBD -6398 (R. 0�jol) �r�TTT �""� gpa..P,t c �1S PLOT PLAN r / Scale 1"= Sr Page 3 of 7 3�� OY= ! 4� S IDIN6 /7 � 7'= _:L11vE:_� uF qO f►c Pfl1Zca_ -!S ? 3ao :. WET of j"lUVxA l � pP� � Z-C1 5' Z4 8.1 o J I tH k 1 pp 1�oT eon tiP T 3 eMM -4— E o WELL NOTES • 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with a p p roved 3. Septic tank to be 1t / b S O gallon caacty manufacturedrb�uired) . W �; s �° UI�J e�2 — w / y , bk fL A t u 0 Z'\1 FL Tgg 4. Bench mark ' S S � � 0 E `---� • 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings 4003 N KINNEY COULEE RD �© LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce FF\G Scott McCallum, Governor `sop 0 Brenda J. Blanchard, Secretary June 11, 2001, / J��" CUST ID No.691727 ATTN. POWTS Inspector ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identific 6 4 9 Numbers PLAN APPROVAL EXPIRES: 06/11/2003 Transaction ID No. 649892 SITE• Site ID No. 630878 GLORIA BUNNELL Please refer to both, identification numbers, 2741 60TH AVE above, in all correspondence with the agency. TOWN OF CADY, 54027 ST CROIX COUNTY NEIA, NW1 /4, S6, T28N, R15W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 795820 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Access to the filter for cleaning must be provided per Comm 84.25 (7) and (8),Wis. Adm. Code product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. ARTHUR L WEGERER Page 2 6/11/01 • Comm 83.52 Responsibilities. 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). In addition, 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. • Comm 83.52(2) 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 1700 BALANCE DUE $ 0..00 Charles L Bratz POWTS Plan reviewer II- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi.us TITLE SHEET Page of - 1 FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P C �z. b / -L j C t`. 61 LOCATED IN THE 1/4 OF THE NW 1/4 OF SECTION 6 ,T Z 8 N,R )S W, TOWN OF S'i C_?WM COUNTY, WISCONSIN. INDEX x PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI•iPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR C 0 I_oTL I R - L�- ,� 9yz Fo z��11 60`ri AVM , �i j' . Aso, PREPARED BY WECCEF:ZEF:;_- SOIL . TEST I P4 C3 AND . DES I CC>ht SiEF:ZV I CE P.O. Box 74 421 N.Main St. �� ® e��� River Falls, WI 54022 Phone 715- 425- 0165�€�yr Fax 715- 425 -6864 : *Z' ART4;! Ip WEGEREq = D -P1S P E"SWORTH, WAS. ROVED ) "S S I G 14 00044100 SIG�ti 01� fAl11�t�CE s -ai JOB NO. ��7 Mound System Management Plan P age Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic c _Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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 113 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 S tem 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 BODS, 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 [SBD 10572 - (R. 6/99)] arid 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 about the operation or maintenance of this system should be directed to: The County Zoning -Office at I�N- ST. - C - M Ix The system•installer at B — 60 $_Z_Z G 6 S`TtVQC The\ tank manufacturer at 0 328 - g , [s6 INL��'12 The effluent filter manufacturer at 9 - ZZZ.I.-- PU r"i P The pump manufacturer at 0 L) - 0 1 Z. e - - - PLOT PLAN Scale 1 "= Page 3 of 7 Z Q.) 6 0`t* Ave Brut l - LL` IOo:p'biv 3�M oF- HtusZ- SiwAle Pfr IVr;-;- Bv� N-Z _ ��-. 1 D8 CtJv Lb "'C'PrLI, 31y "Dt►9. Pv C PI Pt w / LAT2}. -.- -- izF zzsT= =L1pt` - OF q0 flt Pynlc& - _? 3oo -wZgT of mwj 41 t_ p �{�ST l'1ik i'Ptit.J`ri.a `TU L';C Ptt;1J�jO�I /�S PLC: - ODE__— 0 l � � �P� 1 zas' or— z" Puc F". - ' '� N 6 Qzo/ J `a S I i -4 �1 Re-T 3 BDR.1� o rJO eo � >3.Z o�Z i�lSlvb't.t.3 �iol�. TFh h11 21, � O i o � � M1 DF- e_ tL WILL NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1 0ou / b S o gallon capacity manufactured by e�2� w/ w)obtrL A [ uo z40\�ETL Fi LT*_rR 4. Bench marks ; SAC A'$ourz 5. Divert surface water around system to prevent ponding at the uphill side. ASTH C33 Distribution Pipe Medium. Sand Topsoil '" _ y = G ,• F Elev. . 3 E D / x ` b 6 i IZ % Slope Distribution Cell of Force Main Plowed Z" to 2- Aggregate From Pump Layer 0 O.6Z Ft. E 1.0 Ft. CROSS SECTION OF A MOUND SYSTEM F 0 .�6 Ft. G o- S Ft. • A Ft. H )- 0 Ft. Linear Loading Rate= 6 • t GPD /LN FT B - 1S Ft. Design Loading Rate= 6.38GPD /SQ FT j O Ft. J S Ft. K Ft. � L c l Ft. W �_ Ft. q - Observation Pipe K 8 r - - - - - - -- - - - -- - --� ��c��s BOX L__j - - - = -- -- - - - = -- ---------------- - - - - -� Force Main Di t t. stribu i `.— � - � ton Cell of t . . � 0 2 ' Pipe aggregate Observation Pipe (Aachbr securely) PLAN VIEW OF A MOUND SYSTEM :�cuL%vim ail Uurrs ILUM Lae pipe ana noses. Extend the end of each lateral up with the use of long turn or 45 ° fitting to a point within I six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or • threadd plug. Provide access from final grade for the valve; threaded cap or threaded plug. _ cC,Ccgs pox_ 7\- FF 1 Cl L CZOS S \j C. FVC LL Late ral Manifold l X x x x X/2 x x x x x Lateral Lenath - Lateral Length - P Distribution Line IT P -i}cZ s SA __0 s w� r•, R ,�, G- -- P Ft. Hole Diameter Inch - S Ft. Lateral ) Inch(es) X ?Y_ Inches Manifold Z— Inches Force Main " ? Inches # of holes /pipe 19 Invert Elevation of -Laterals 11Z.1 Ft. ALARM MANUFACTURCR: IMCLUDING BAGKfLOW: — '� S3 6 ALLOhI,S MODEL HUMBER: )�)) V)w CAPACITIES: A= - IVCHES OR 304 GALLOUS SWITCH ThPE: _ M 8 = Z 1)jcmrS'OR 3 T G�LLONS PUMP MAIJUFACTURER: ZukFLU!. t CU , C: IUCHES OR GA LLOIJS MODEL MUMBEM D IMCHES OR tS GALLOAIS SWITCH TYPE: — ���lcoR - 4' DOTE: PUMP AMD ALARM AR TO 5E 16 MIMIMUM DISCHARGE RATE �)`� GPM INSTALLE W SEPA TE CIRCUITS VERTICAL DIFFERENCE DETWEE)J PUMP OFF AUD..DISTRIBUTION PIPE.. 1'1 FEE -I- Mtu1MUM NETWORK SUPPLY PRESSURE . 6.50 FEET S "Ux t. + °[S FEET OF FORCE MAIM X Z• 09 F % 6- 11 loo rLFRtCTIOU FACTOR_. FEET 2! TOTAL D!JUAMIC HEAD = 3 ___ 09 FEE As per manufacturer x gal /in. Liquid depth 1 " ' w W T OTAL DYNAMIC HEAD/CAPACITY SingleSeal HEAD CAPACITY CURVE PER MINUTE MODELS "140/4140" EFFLUENT AND DEWATERING 37/a 6 1 / 4 Weight 53 lbs. 4 5/8 Ft. Meters Gal. Ltrs. 14 45 5 1.52 91 344 3 7/8 o 10 3.05 84 318 + 72 40 15 4.57 76 288 ° o 140,414 0 20 5.10 68 257 1 1/2 - 11 1/2 NPr 35 25 7.62 59 223 10 3Z• ^ 30 9.14 49 In 30 7 35 10.67 38 144 4.,1 40 12.19 21 79 8 25 45 '13.72 5 19 w L .�6 LoCk Valve: 46• 12 5/8 x 6_20 U 4 5/16 0 15 J 4 SK1524A 0 2 5 e. • - �- J 7/8 M - 11 ffica 1- 4 s/e 0 U.S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 o - LITERS 3 7/8 o 80 160 240 320 400 + 0 FLOW PER MINUTE o 010940 1 1/2 - 11 1/2 NPr CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied 1613/32 _ V with an alarm. • Mechanical alternators, forduplex systems, are available with orwithout alarms. -� • Control alarm systems are available for 1 phase pumps used in simplex 4 5/16 system. See FM0732. a_ SK1524B Variable level control switches are available for controlling single phase Systems. • Double piggyback variable level float switches are available for variable SELECTION GUIDE level long cycle controls. 1. Single piggyback variable level float switch or double piggyback variable level • Sealed Qwik - Box available for outdoor installations. See FM1420. float switch. Refer to FMO447. • Over 130 (54 special quotation required. 2. Mechanical alternator M -Pak 10 -0072 or 10 -0075. • Refer to FMO806 for 200° F. applications. 3. See FM0712 for correct model of Electrical Alternator E•Pak. 4. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) or (4) float system. 5. Four (4) hale J -Pak, junction box, for water tight connection or wired -in simplex 140 Series - 53 lbs. 4140 Series - 73 lbs. or 2 pump operation, 10 -0002. 14014140"' MODELS Control Selection Model Model Volts -Ph Mode Amps Simplex Duplex N140 7 N4140 115 1 Non 15.0 1 it 1 & 5 2 or 3 & 4 CAUTION E140 E4140 230 1 Non 7.5 1 or 1 &5 2 or 3 & 4 8N140 BN4140 115 1 Non 15.0 1 or 1 &5 2 or 3 & a All installation of controls, protection devices and wiring should be done by BE140 BE4140 230 1 Non 7.5 1 or 1 &5 0­0 & 4 a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the ' DoAloseal p x wsareavalablewllhopfiorW= 6 luresenmrs. SeWFalildmtorightavallableinNEMA1orNEMA4X Occupational Safety and Health Act (OSHA). control Panels. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louiswlle KY 40256-0347 Manulacfurers of. . Q SHIP TO: 3649 Cane Run Road Louis h, KY 40211 -1961 Q�rurr PuM S,vcE /94 9 (502)778.2731.1(800)926 PUMP FAX(502)774 -3624 'Misconsin Department of Commerce SOIL EVALUATION REPORT Page � of 3 Division of Safety and Buildings in accordance with Comm 85,,Wis. Adm. Code County Ste C Attach complete site plan on paper not Idss than 8 1/2 x 11 inches irtsize. Pla ust . Tu-� 1X include, but not limited to: vertical and horizontal re " `n' pt�(89GI), dired iN"" Parcel I.D. percent slope, scale or dimensions, north arrow, a lion a d dis n$e td earest i!o`aa. Please print all info on.o o r 1e d Date � Personal information you provide may be used for seconds pJ+�ses (Privacy lSaAO f5.04 (1�.(m � 3/1 6 Property Owner Property lion G LZ2l A 8U b Z-L tvE 1/a NWua s (, T 2� N R IS E w Property Owner's Mailing Address - - ' of # Block # L9 ubd. Name or CSM# Z2 ` b O - r14 R UE - — — 0 6c�i'po City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road "-�1 LS O)v by I St{ 0 Z. C1 S) 8 9B -301 C A D`T 1 6 O Tt+ /Y E- ❑ New Construction Use: & Residential / Number of bedrooms 3 Code derived design flow rate U.SO GPD ® Replacement ❑ Public or commercial - Describe: Parent material GX-'�Ttyr (— ` A�-.L Flood Plain elevation if applicable K) General comments and recommendations: Y"14vY�1p l" JA ky S' tJl---Tlz Blj J►KJ ►"-� I >`, l �^ -tiLiw� $" 01= S Pc Flt-. p� 017 3 Boring # ❑ Boring ® pit Ground surface elev. L `3 , ft. Depth to limiting factor Z g in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHF in. Munsell Qu. Sz. Cont. Color G Sz. Sh. 'Eff#1 I •Eff#2 0 -9 uo 'i ri_31z. - si1 z`9sbk ►►2'F� �S 1�' ,S ,e Z 9 -18 2.`Rsbk lg z� �•s�►z.�y - 1 s 1 es bk k \)`P►- I zg -y3 �•S y � � .SLiz Sja tS o�, m 'F►- ctv - s ,� S 1 43 SO '2 .S L/)Z 3-1 r, 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 o -b w\ R-3 LZ — s i l Zs b m `F�- �S l� . S - b $-1 1012 31(o — s i 1 Z ���h m `Fl �)v 1 • s 8 3 tit - Loy 1 - s 1 d-Sblc m v 1 - . L4 , b - � .s - ig3 ) `PLC � .S LY 2 S!6 z\ oK, ' 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) ig lure CST Number Arthur L.`'Wegerer Kr OL' 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation conducted Telephone Number 421 N. 1.1ain St. River Falls, 14I 54022 S- V -0I 715 -425 -0165 Property Owner Parcel ID # 00 1 LZ —a� P age Z- of 3 F�l Boring # Boring ® Pit Ground surface eiev. ft. Depth to limiting factor Z9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 0 -6 Loti f3 Lz — S i 1 Z 5b�Z K-A- e S - . b Z 8 - 19 811 z`Psbk mom- 0- -S .-a Lc�btZ t- Z X4 -511 S Yr2- 3L3 `FL �.SL12SLf5 %I OVII-A . w��' c� - - - -:s -S S y1-(4 lomtiz 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 • 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 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. saD4330 (Xu100) ' PLOT PLAN Page 3 of 3 Scale 1'= SO ' Z�(4) 6 0`rte AQe 8i^1�+Z g�.lbg3' Lb "TRtC, 31y�Di►�.PuC hIPE �E 5r= L E DF q0 fte PfAW -LL _ Is ? 340 WET OF UVwA- L �D 4`. J al l ° Gi i � l � � 1 DO 'NOT' eo)-Npft�T 3 BD2F� g.Z 0\ "?- OtS1vvLa }NOME _1S'� Ti1S I'ri� JJ o� cAS,Zou� 1)l,p• o X i oV- e-I"LL wTu el. Nit. 6� ' S -1$-OJ 715- 425 -0165 220254 Ol 7 CST Signature Date Telephone No. CST No. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 ( Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not fdss than 8 1/2 x 11 inches in size. Plan must County S 'r- C LX Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). Property Owner Property Location S L0�2 l'l B ��`) �--L Govt:-tet— NE 1/4 NW 1 /4 S T ?-8 N R I S E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# z- 60 `r+ PwF-- _ — — city State Zip Code Phone Number ED City ❑ Village ® Town Nearest Road IAJ 0Z7 I (71S C.RD`T 60 T!+ PrV ❑ New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate y 50 GPD ® Replacement ❑ Public or commercial - Describe: Parent material G. — P`e Vrn4 -- -1 L Flood Plain elevation if applicable 1U� General comments and recommendations: Wl �vlup t^ )� 6 'KZS • tJI�TRL Burr 0111 CeLL e.orv�UvVZ N.1�V . Lt 1.O 1 Boring # [] Boring Q pit Ground surface elev. L l 3 , o ft, Depth to limiting factor Z 8 in. Soil Application 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 Z 9 -18 IU�rZ31` — sib Z't�sbk m`Ft -• �Lv v� -s •� � ti� z� �•s�l�3ry - t s les bk m �`flr- cs - . �. �. Z . � - � •S Y� 3!y �.� � . s �,� s /s3 1 S ov>,, m v �1- Ct-v - • s • 7 5 L13 so - SY)zy� �, cl csb�c 33 �r Boring # ❑ Boring ® pit Ground surface elev. 14•S fL Depth to limiting factor _ in. Soil Applipbon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0 -6 - Z % -17 1012316 `F��h m •F;- ery 1\ s , $ L6- 2-5211A `RR �•scyr,- SY6 s1 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, 130 mg/L and TSS < 30 mg/L CST Name (Please Print) i furs x �� ¢ r�_•tR �<::r �/ •CST Number Arthur L: . - tJegerer- 1 ' 7 220254 Address We g e r e r Soil Testing & Design Service Date Evaluation conducted Telephone Number 421 N. Main St. River Falls, WI 54022 S- M -01 715- 425 -0165 Property Owner �y ring Parcel ID # 0 0 `i — � —S� page Z ' of F�l 3 Boring # Bo ring ® pit Ground surface eiev. 0 ft. Depth to limiting factor 219 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 sb17, m-pf- sl) Z `936 k m - P>~ cw 1v�F lc-s b V m 0-S 2q -ill S WZ 313 `FL — L S k 2 SL6 % S L41-(4 l o `2sl F1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Boring # ❑ Boring F El Pit Ground surface elev. fL Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 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. SBD -8330 (R6100) PLOT PLAN Page 3 of Scale 1'= SO ' Z� 1 4 I 6 0 `n•F Ave , 8i^�ttf-Z fit. 1083' Qlv Lp " 'IYrt�, 31y "Dtl4.t�v l'lPE w /t.A72'f - . -- :qD - ffC - -P'MCEL - - -IS -? 344'- WET OF mUUwA O ' 0 � t B .1 zj, N_ a � ' Ta z 0o n�oT eur,�geT 3 eva.M aZ o�Z o�STbZ.�3 }4uME, z r � ,ZnviZ wj, 0 gd X10 CtLL wil 715- 425 -0165 220254 CST Signature Date Telephone Ilo. CST No. Job No. AND OVINE , CERTIFICATION FORM Malling Addrcss p Address (Veri required f Planning Department for new constructiOnj so-odo 0 ltyl& tatf Parcel Identification Number --- 6 � — b� c LEGAL D_E_SC�R1PT10N jj lW�,. ,, Sec. p Loz-adoD j �2,VN_Rjfw, Town olk Lot # Subdivision Lk UAIL Pwc-JO S Certified Survey MOP VoiUme Page 0 votume to Page V — - W Deed #' V L lines identiriable Y':r SYS'T'EM NLUNFE NANCE OW"! tes propermaintem,11-- i eofyoarseptic syst could resuit in ils Pfe" la"Uc s irua the and maiateume h�t YOU Put sys'l— scpt tal every three V�Cars Or soo"er, if U eedtdbv a comists of Pualpil"MI out I'le -Z,. call affect &- fimctioa of The septic taut- as a treatment stage in t wf' d" ertifIcatiar for m, n sued by the owner and ley - Owner agrees to subrnit to St _ C Z DepwrUneRl 8 c th- On-sitz. w astowatcr disposal SYsienl set The property f tLaL rnaster,Djumb jou _ n11 3 lj , i th- fu a , nanp l um b er , r estrictedplurnber or a licensed purn erve teak or, n, ly), the 'c' tion and Pjffnjji , (if 0 i-S in proper operating condition and/or (2) after insp , em with the staudar& , ments and agree U a the plivatt i (� y ye -tMent of Nad to the Stural kesou CroN COT IntY rces, State OFW i"Clors- ua d ers i g ned have rea the a b oy c require the Depu set by tlic, Departs Of Commerce and d a - st, farld" herciu. as n T - Ctqm --t. 7-,Qnj119 office w'tl"u p fi c systern has been maintained must be comPlete d s , j a�jn & that your jays of fire three year e _ r i r 2don datc 2- DATE APPLICAN97 to tht best of MY Ov R cERTIFICAVO x l ..... ;jr ( the ovvnerts,' OWNE - 1 � I ( cert that all statements or this fore- a[ - t . u �_ tilt proper d d 7 vi - u-c Of a "t-'t anty deed r ecnrded in Regiszz'r y _, le, i _� _ia DATE IG ,� A �zj �oFAPRJCAW -Y Perlyli- revoked by dic 7 Departnent ***_**4 Any infbjT=ti0Tq that this - represented rray resu i the sanitar this applicat a stamped wa r r anty deed frorr, the RctgbltcT of De-ed-% office Include Ntith auanty the w c opy o f t h e c ertified survcY IrMP fore >w , .. r ..t., <,., ;. .. . ..,...:tr:. •,.. >' k� �� ,'�I ..,_.� u+; ^ ±+ �.�c .'�1:5:. ° rr a.s.,. .. .. �.., r ^I'..�i'4 'F - 1 r ...,;. DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1 -19M ii THIS SPACE REaERYED eOR RECORDINti DATA i WARRANTY DEED t f v Mar hTa Delsen- ma husb be t ween and. d w f andkeach inn he . ir !� � •a Rw - own -ri hi ' r MAY 2 T 1994 •- •--- -- •-- -- --•- •- -- --- - - - --- ... Grantor S ' . i{ �s ;! .and._. !oria J.... Euanell .......................... •--- .....------------- - -.... ........_.._. .� V A. i+.......... . .... ................................................... i.. ....... ......................... ...... .. .............. .. .... ........................... --- - - - - -- I! R *r�Ord e .................................................. .................•---- -....---- --•---......_..... Grantee, , � s I � i t Witnesseth That the said Grantor, for a valuable consideration ..... . �, conveys to Grantee the following described real estate in SL.._ CrgJA RETURN To to ! County, State of Wisconsin: I The )rtheast Quarter of the Northwest Quarter (NE} of NW}) of Section Six (6), Township Ta:Psrcel No: ................................... f j Twenty -eight (28) North, Range Fifteen (15) West, EXCEPT THE North 35.1 acres thereof. j I Y t •� � vP n� - This ..1.5._!1Q.r .............. homestead property. r: (is) (is not) t.•. 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 en.umbrances except all easements, restrictions and rights of way of record } , i and will warrant and defend the same. � • ` . Dated this 2 3 Ma ' day of - y----•-- • .... ............ h ................................................ ..................(SEAL) !V (SEAL) ! + .-Hanley.. -Ter-kel serx. ........ (SEAL) all'1- : i ---•- -•• .. ...... ....... (SEAL) �w • ••----- •-- - - - - -- ------ ---------- ----------- •------------- - - - - -- • .. Marie- T erkel s ea....•-- •••---- •- ••- -• -• -- ...... A AUTHENTICATION ACHNOWLSDCii1[ENT signature(a) - Hanley_ Terkelsen_ and �.. .--- _-- .. -___ STATE OF WISCONSIN Mar_i�.T. rhg[sea. ...... nty. ---•------------------------- �- - -- ? ----------------------------------- Cou a ,. authe ' a ._ � . y o ___ - - - -_. May...... - -.. 94 Personally came before ms this ................ of . -----° .... ......... .. °- -•--- ._.._....._.. UP ....... the show named ------------------------•----------............-- -•--- •- •--......-- --•-...... - -• 5 • - lc ardson . TITLE: MEMBER STATE BAR OF WISCONSIN 06.0 8, . Wis Stats ---... to me known to be the person ............ Who executed the {e '' authorized by 706.0 ) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY f ........................ ......................... ....................•.......... +. RQE. ERT. J.._. �ICtJAR .QSQH-------------------- - - - - -- Attorne at aw '--------- - -_ - -- •---•-- •- •- ••---- • ....... ............. j --- Spring.. Yallety.- -Wl_ -. 4.7-4.7----------- - - - - -- Notary Public ------------------------------------ County Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: ......... ....... ......... ..... ................. ......... 19 •Names of Verson/ signing in any capacity should be typed or priated below their signatures. y. i! WARRANTY DEED STATE EAIR OF WISCONSIN Wisconsin Lua1 Blank Co, Inc. FORK Ne► 1— 1052 Milwaukee, Wis. •• . �