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004-1018-10-000
v ~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ~ Safetyartd Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 Grafenstein, Ja Cad ,Town of CST BM Elev: Insp. BM Elev: BM Description: ~ oc~ ~~ ~ t L5 ~ TANK INFORMATION n TYPE MANUFACTURER ~ ti~5 CAPACITY Septic (~J ' '~'^" ~ ~ 1 / ooa Dosing ; l ~ tla~ ge~5~ r'~ l~- Holding TANK SETBACK INFORMATION TANK TO P/L~ . WELL BLDG. vent to Air Intake ROAD Septic ~ Z / 7J~' ~4 / g~ ' Dosing ~ 3 ~ ,~ 5 ~ $~} / ~~ / Aeration Holding PUMP/SIPHON INFORMATION .~] , Manufacturer / ~ Demand ~ ~ a v GPM Model Number w ~~ ~ ~ Zc~, TDH Lift Friction Loss System Head TDH Ft 17.SZ 3. a5 (c.5ts Z . ~7 Forcemain Length Dia. ,/ Dist. to well ~ 225 Z 7S S(lll ~RS(~RPTInN SYSTEM County: St. Croix Sanitary Permit No: 499184 0 State Plan ID No: Parcel Tax No: 004-1018-10-000 Section/Town/Range/Map No: 08.28.15.1228 ELEVATION DATA STATION BS HI FS ELEV. Benchmark 3•~5 ~O~ ,n /a,a Alt. B ~ Godcti $ , tP 9 S. ~ 5 Bldg. Sewer x,3.55 sa • z SUHt Inlet ~~a rt $7.~ SUHt Outlet Dt Inlet ~ ~. Dt Bottom /~ ~ '7 ~ c~. O 5 Header/Man. ,' 7g /O/` y7 Dist. Pipe I ,7 $ ~~ ~ y 9 ~ Bot. System Final Grade a •7$ ivz.~~ St C,Qver Y~ ~.o~ w g, (~ r/ S • / S Co~.~-o~r ~, ~s 9~ .~ BEDRRENCH Width / Length ~ No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS s 9~ 'Ve. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: CHAMBER OR ~ INFORMATION e Of T stem: ~ ~ yp y 1S ZZZ i ~ 2ZZ UNIT Model Number: ~~ o~ IIISTRIRIITI(~N SYSTEM •~ Sn.~. Header/Manifold/ r~ Distribution ! ( !~ /~ 3~ ~ ~5 I /S L x Hole Size // \l x Hole Spacin/g~ ,, 3 Ve/I'~to Air Intake '//~ ~ Length 3a Dia Z Spacing Dia ength ' g V d~°'1. C/lli (`(1\/C {? . n__........., c....a........ n.. i.. ..., ee......d flr A4_2r~rln C~~tamc [lnly Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center / • r_ ^~ Bed/Trench Edges \ Topsoil 1 ~ es No Yes ] No ~~ ~•GS dt., COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / ~,,,/~/~~~ob'''' Insp tion #2: / / Location: 445 County Ro d NN Unknown (NW 1/4 SW 1/4 8 T28N R15W) NA Lot C~' ~ ~"l arcel No: 08.28.15.1226 ,~.~ Ol,r~ Tawk.~S 1.) Alt BM Description = `~ / t COJ~- ,~,~ ~ ~~~ A ~ PIo ~..~ ~~ ?.) Bldg sewer length = gy a,p I- ~IJ - amount of cover = /~~ ~ - __ _ _-- _ - `, ision Required? ', Yes ,' No ~O 3o N - ' ~~ 3L.~~~ _ __ \ r side for additional information. _ ___ ~ ~p_ _ _. _ _- _ - - - - it Date Insep or's Si ture Cert. No. !R.3/97) . Safety and Buildings Division County ? ~ ~ `' `~ ~ r - r ' 201 W. Washington Ave., P.O. Box 7162 ~ • - ~ ~ ,~CO~~ `~ Madison, WI 53707 - 7162 Sanitary Permit Nmnber (m be filled in by Co.) De artment of Commerce (~) 266-3151 c~ q r g ~/ Sanitar Permit A licatio State Plan I.D. Number y pp n In accord with Comm 83.21. Wis. Adm. Code, personal information you e ~ 3 ~ ~ C'~(ls^ _ ? / r~-5' 7 may be ttsed for secondary purposes Privacy Law, s15.04(lxm) jest Address (if different than - ) I. Application Information -Please Print All Info tion CiE`v S /~~ ~- Property Owner's Na me ~ Parcel ~ Lot y Biock A! Property Owner s M ailing Address COUN-(Y ~~ ~ CRO Property Locatio n ~ ~ ~~~~ ~~~ ~~ { ~~~ ~~ ~~ ~~~ City,Sta ~ l Zip Code `_ umber ~ S4,Section ~'~ i..f t ~, , $ ~. ~ . ~ ~ 5 ~/ `' -;j -~r~ 7 /~ ~' - (., ~ 3 " j Gc_ir~~(e one) ~~ 1 S~ /~ II. Type of Building (check all that apply) ~ D I T N; R Fi'orW ~ t ~ Subdivision Name CSM Number 1 or 2 Family Dwelling -Number of Bedrooms (~ `4C.Q, .. ^ AtbliclCommercial -Describe Use D State Owned -Describe Use ~'~f n J -- ~ - ~ /: DCity_^Vitlage ~ownship of L i'~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ^ New S stem y ~•Reptace~nt System ' ^ TreatmrndHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner / TV. T of POWTS S stem: (Check all that a i) D a ~ T ~ ^ Non -Pressurized In-Ground ~ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Sing1e Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment I7nit ^ Recirculatng Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber D Drip Line ^ Gravel-less Pipe i/ ^ Other (explain) ~ ~' V. Dis rsaUTreatment Area Information: /. tb 7 ' Design Ftow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Pro posed (sf) System Elevation / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Units Concrete Constructed Glass ~ / ~ /~ ~ ~~ ~ ~ Tanks oaks t./ 4/.~ctC~ t e r Septic or Holding Tank ~ ~ ~« G l,~' ~ f „J~ ~ S~ t ~ L ~~ Aerobic Treatment Unit Dosing Chamber ~" y ,~ l t ii • VII: Responsibility Statement- I; the rrndersign , ;assume nsibility for installation of the POWTS shown on the attached plans. Plumber's Na the (Print) r c . ~ ' Plumber's gnature .MPJ141PRS Number .- . ,_ : ~ Ste( 15 ~ ~ Business Phone Number ~G ~y-/ ~ / t - ~ ~ ~~ , . d.~ ~ . , c ) S Plumber's Addre ss (Street, ity, State. Zip e) _ VIII. Coun /De artment Use Onl Approved ^ D' S~tarY Permit Fee (includes Groundwater Date su Iss ' gent Si o S ) ^ Surcharge Fee) J~!, ~~ ~ ~ ~{.{ t/v ~ z~ iven Reason for vial IX. Conditions of ApprovaUReasons for Disapproval 3~ /, ~ ~ ~ ~ SYSTEitdl OWNERR V ~ ~ (~ ~ n„ , 4~dr /f'~- t . Septic tank, effluent. finer and l I dispersal cell must all be se,~j>res / rnitintalned G O as per management plan provided by plumber. \ 2. AN setback requirements must be maintained' ~) Co ~ ;1,,,~ o ,ti,,5 ~ ,~. JJ /~ _ (~ 6'~--~ M~ C tk.~, ~..Q,~ } ~ e'~; n ~. w ~ per applicable code / ordinances. tCG ~ t l • n ,,' Y Ir~ d-Gw . ~ SBD-6398 (R. 01/03) Attach complete pleas (to the County only) for the system oa paper mt less than 81/2 x 11 inches is size J NT ~J c;" 3 ~R ~Q~,S~ Q r`i v -~ w °+-~ .~~.~( t-t YGt~C n S ~ `° t ~ 4~+.s- c+y Ra N N w',~ sp•,, w ~s~. syea~ NW'~~,S~`/~~S S,TzB,R~sw t~c,rce l ~ Ooy_Ip~Q -~o- ao~ f c~ c~ h ~.~ C ~- ~~ C b k gt~ a~ ~~ ~.l~~a' ~,:[~ d~:FES~~avw`rY ~~Sr~r.~ ~~ „-''~ q-.2-G4 %t~;'~ s `~U~ O, r /~ t ,~~~ ~~ .1 ~~' ~~~ t~~ .~- ~ ~ ~ _y _ q 8.85 ~ .,,~~,, ` QA,`7 D ,~~ r C. p ,^ ~OKY ~ ~ ,~ Q M~-~ - f Do • a O L TbP o-F' ~'la PVC. ~- g r,~ Z ~' 8. bs E ~ y pl Li-t - aa. 8s - B-3 - qq. $ 5 ~ou~ d ~ ~r ~~a5 ~ 2s~~3 ~ ~ ~ ~, ~ ~a ~ ~ ~ 1 ~~ N ~ ~ _~ ~ ~~ jl } ~ ~ ,y ~ ~~~1~ 9 NT Z Z f~ ~J 3 ~cz. ~o,~s~ D r•, ~ ~ w ~.~ . ~ ~ -roe o-P ~~-~ Pv~ ® B ,^,~~ 2 5 8.65' E L S,S W L3-1 - aq_ Ss' .~ B-3 - 9q. ~ s ~~y ~Ya~cns~"e~•~ 4`-s_ c+y Ra N N W ~~ ~ Soti~ W i SG. S4 802 7 NW~~~~SvJt~`rjs g,T28~Rt5w l7~cce t ~- Ooy_~o,~ _,n_ ao~ ~~wh a~ ~ ~-~~ C v ~ gt~ G~ S~ ~~~~ ~ ~.~ ! ~ QGft E5` G04a~c?t~j fc9~135[ ~. C' ~"° e s~ ~ n q - ~ x-~~ 1~t9~~s b~°U~ 1 ~ ~~ G_ r v ~` `C~ .1n ~ ~~ ~0 0 ~ g-y _ 9.8.85 ' ~G ` X13 ~~, C o ,,~ ~- o,,,,r -- G q. 7 O ~' ..~ r ~3~d- ~X~~ " ~ ~ ~ ~~ ~ ~ ~ ~ ~: tv N ~ o - F 1 G~ ~e~~e ~~ ~ / ~ W I ` ~ ~ ~' ~' p ~ ~ ~ ~. ` ~ ~~ .~ v .,~ 9 commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary September 19, 2006 CUST ID No. 223475 JOE STANG STANG PLUMBING & ELECTRIC PO BOX 263 WOODVILLE WI 54028 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/19/2008 Identification Numbers. Transaction ID No. 132204.6 SITE. Site ID No. 718371 Jay & Marna Grafenstein Please refer to both identification numbers, 445 CTH NN above,..in all coires ondence with the a enc . Town of Cady St Croix County NW1/4, SW1/4, S8, T28N, R15W FOR: Description: Three Bedroom Replacement Mound System ' Object Type: POWTS Component Manual Regulated Object ID No.: 1097948. Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution. Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be located and constructed in accordance with the enclosed approved plans and with the component manual(s) referenced above. • 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 POWTS 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • 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 tank filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and o en to ins ection b authorized re r 'ves of the De artment which ma include local ins ecp tors. ,. . ~,',~ • .'~, ~(~I`~ t`a e ~ f~tl ~' ~~~~ r~~;~~s:<srn~Nr of cor~rtre~E~n~.~~~ JOE STANG Owner Responsibilities: Page 2 9/19/2006 • 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. • Comm 83.52(1)(a} -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). • 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. 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 maybe 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, c rd M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j erry. swim@wisc onsin. gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 S. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Ap~~lication ~ INDEX AND TITLE PAGE y, Project Name: Grafenstein Replacement Mound ~ Owner's Name: Jay ~ Mama L. Grafenstein _C r Owner's Address: 445 Cty Rd. NN ~ Z ,~ Wilson, Wisc, 54027 ~ Legal Description: NW1/4, SW1/4, S8, T28N, R15W Township: Cady County: St. Croix Subdivision Name: Lot Number. Black Number: Parcel I.D. Number. 004-1018-10-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and do:-e tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Evaluation Report ~1b ~i.2 t.LFI'1 {,. I' •.. . ..~ Designer. Joe S n License Number: 223475 Version 4.01 (R. 09/04) Date: 09/1 06 Phone Number: (715) 684-5166 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 ~SDB-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) Page 1 of 9 m -n .a. N 0 0 rn m rn G m Q Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 2.00 Site Slope (%) 99.70 Contour Line Elevation (ft) 16.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) (c or e) 3.b5 2 ~1 ?~~ Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information e Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 200.00 Forcemain Length (ft) 85.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 16.12 Vertical Lift (ft) 2.71 Friction Loss (ft) 25.33 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. ~o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.00 Septic Tank Capacity (gal) Wieser Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal col'rform of <= 3g inches. 5.00 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. C 7.50 ftz/orifice Does the forcemain drain back? Y Enter Y or N 32.62 Forcemain Drainback (gal} 81.16 5x Void Volume (gal) 113.78 Minimum Dose Volume (gal) 24.72 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2'..00 3.00 Gallons/Inch Calculator (optional) ti50.00 Total Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) 17.11 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 17.00 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Manufacturer Project: Grafenstein Replacement Mound Page 2 of 9 Mound Plan View 1- 1_ ..ll 1/•1..0 --B-- ' 'Observation Pipe 'Q' TAT. K . ~. L..1 ~ . . . .t. •l.• ~B ~. -t Jj T A I I I L Mound Component Dimensions A 5.00 ft E 21.20 in H 1.00 ft K 10.53 ft B 90.00 ft F 9.50 in z 9.76 ft L 111.05 ft D 20.00 in G 0.50 ft J 8.37 ft W 23.13 ft 450.00 (ft2) Dispersal Cell Area ~ 328.46 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.16 (ft) ~I H I F . ~ : ~ : ~ ~~~~~~~~~~ 101.87 (ft) Lateral Dispersal Cell 101.37 (ft)-- - Invert Dispersal Cell 3~ ~ ~ ~ ~ ~ ~ Elevation E ~ ' D ' : ~: . ;~ ~. •~ 1 s . J J a ' J ' J ' l .1 ' 1. .iw ~t, ~{ J, 5, ~i i. i i. JI, { .J, i w J ~ `J i • i ~i '~: `~i i i. i, i, i ~ J. •, ••._vJ ~ ~i' -i ~_-J. ~i i. .i i i i i 4 i i. +1. J. . _. .J ~.~ _ ._.. .. ~ __ ~-. -. "-. -. ~.1, 1 J! d { J J~ J J ~ J J J J ~l J J J { {'~1,~ ,,i,~! _ l,_ l I~ l J ~'~t J J J J J ;1, ! 1_ .1'_ 1. J, 1. J { J, J, J J_ J J :J J 1{ J J J J~It~J _. 3 d A! J~ J ,{ J. J!! i J~. -.. 99.70 (ft) Contour Elevation Shading Key Q Topsoil Cap ©'~'"' Subsoil Cap ASTM C33 Sand ~~`~:`~~~`~~ Tilled Layer Q ~ Aggregate 2.0 % Site Slope ~ c. ~ Dispersal Cell c ~~ 1.5 ft , . ca m 0.5 ft Typical Lateral ~ F a ~ c *---- A -* Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: Grafenstein Replacement Mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension ~ =Turn-up rwitball valve or cleanoutplug P All laterals are identical ~E X->I Holes drilled on the bottom of the lateral ~ equally spaced Force main connection via [ee or cross to manifold at .any pain[. Laterals & force main of PVC Sch 40 [per CON1M Table 81.30-5J Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 1.50 in 88.45 ft 2.50 ft 12.36 gpm 24.72 gpm 25.33 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Fon~emain Velocity 0.125 in 3.05 ft 30 7.50 ftz/orifice 2.50 ft 1.50 in 2.52 ft/sec Dose Tank Infarmation Locking cover with warning label and locking device and ~_ sealed watertight Electrical as per NEC 300 and -->1 Comm 16.28 WAC ~ 4 in. min. Disconnect ~- ~_ Tank component is properly vented Wieser Ca aci 650.00 Volume 17.00 Manufacturer Gallons gal/inch Dimension Inches Gallons A 20.54 349.22 B 2.00 34.00 C 6.69 113.78 D 9.00 153.00 Total 38.24 650.00 3" Bedd -r A B C D Alarm Manuafacturer SJE-Rhombus Controls Alarm Model Number Tank Alert 1 Pump Manufacturer Goulds Pump Model Number 3871 EP05 Pump Must Deliver 24.72 gpm at C 25.33 ft TDH F- ARemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device Pump off elevation (ft) 85.75 Do• se tank elevation (ft) 85.00 Project: Grafenstein Replacement Mound Page 4 of 9 ~~iQULDS PtAY1P5 -..~: ~ - h1~ Pr ~ w ..... ,_ ~~ • l •~ .~ • ~~ f~~ ~~ ~ epts~ 6PY. •T~dies~epb3tieR •Oi~dseges~ i~F~'t~'[ ' Metbaeioi seat sasbess- 794'F(~'gmeAiwosss ulrFlw"4i~alsent •tffileae~3®9sesies ataiakecsled - • ~ da~gem ~SSi~~1~ •f1~5a2301~W ~ APB, bsitis ae~la~iwi6 .~v~~~; 115Ya2~i~5r1i~ 1$0 iit~, belt is s>reslo®d rr~ aulosea~c~et. •Aoweraos~ 14fod stan~aid k~s~,16r3 - SllfWwtb~nxpiong ~,1W3 ~~ ~es lei. Series erd ~r bearydy be~e0dng mss- ~~ ~~ #~B~M . ,-__ _ . ! - ~ . _ - _~ s__ ~ _ ~ eM - _ _ ~ _. ~_ ~ y - ~- -~ ~ - e~ - - ~___ ~ = -- ems ~ -- --- ~ _ ... - - - - _ - - f = = a ~ - i -- ---, - O 2 m 0 3a 4 16 8 ~ 90 ~ 1B 71 ~ ~, p4q E. oaoesssrwrs.rs.~. FBacOrelw~.'c~eos sags i~ ~~ ~~~ ~~~ ~~ ~~~ ~~~ ~~~.~ ~~~ ~~ f ~r ea ~ ` 5 ~s ~ ~ 3 10 ti5'~ - ~ off' ~t cardsPl.nps ~j tiT IndusVies ' ~_ ~ SOIL EVALUATION REPORT ~ 1 ~ 4 . WieooreinDeparYr-wntoEComasroe division. of Satety ~d Baildirrgs in aooordarroe wAtr Comm 85. tlitis. Adm. code ~- St Croix Attach oomple6s site parr ~ paper rat less than 812 x 11 irrdres ~ s®e. P~ must hxdude, bcd rmt tio: vertical and iNxiaor~ nsietanoe port {~. direction and Pan~ei LD. 004-1018-10-000 percerrtsiope, sc~e ordirr~oraz north arrow. ~d location and woe io nean3st road. Pda~se prhrt a19f >~liarn~Fovu Reviewed by Dale Peraonai infonraeon you provkle amy be usedior secondary purposes (Prkacr Law. a 15.04 (~) {m)1• Lor~liorr ®. i'ropenyowner Pnrpercy Jay & Mares L. G=afr~ein Govt Lot NW 1/4 SW 114 S 8 T ~ N R 15 E (ar) W PropertyOwrres'sMaiingAddiess Lat# t3lodtfF SubdNameOrCSNfp 445 aY Rd. NN Cdy State Zip code Phone Number YMage arprt Nearest Road Wilson Wisc. 54027 ( -115-698-3283 ~-.9~ i Cty Rd. NN -~~. New C.onsaudi0rr lJse~ ResidetNial / Numbw of bedrooms 3 Code dertrred design fbw rate t~D Q Replaoerrrerrt ~ PtrtrBc or cormrer~ai - Desai~ Parent rrraterial Loess over t.rrormd Mopes Flood Pl~r elevation ~ appira~le }~{~ R Ger>~ conrrrerds Monad System and COatoiu (a~ 99.70 a Q pg Ground surface etev. 99.85 R Deptir b tiirri'arg factor 16 in. ~~ Soi Rate Horizon Depth t)0mirant Redox Description Teodrrrs Strrrchae Corrsistet~oe Boundary Raots ar. tkr. Sz Cont. Color Gr. Sz Sh. 'E>~1 '~ 1 0-9 10YR2/2 - sil lmsbk n>i r:w 3m 0.4c 0.6 2 9-19 IOYR3/1 - ~ 2msbk ~ cw 2f 0 6 0.8 3 19-38 7.SYR5l1 c2dsYR5/8 scl 2masic mfr cw lvf 0.4 0.6 ~9 # ~ P~ Grormd surface elev. 97.45 ~ ~h tv irrr~ep 12 in. Horiaorr Darr>inarrt t~adox Desaiptiorr Texha~s Strucaure Corroe Botrrrdary in. A Au. Sz Cora. Color Gr. Sz Sh. Sol Rate Roofs GPDiAP ~ I 0-12 lOYR?Jl - sil lmsbk ml as 3m 0.4c 0.6 2 IZ-22 10YR3/3 2t7.5jttt5/6 sil 2msbk ml cw 2g 0.6 0.8 3 ~~ lOYRS/1 c2d5YRS~s ~ 2msbk m¢ cw 1~ 0.4 0.6 lki = 80D > 30 < 220 mgA_ acrd TSS >30 < i50 mgl!_ CST Marne (Please PrinQ 1'ha®oas W Gedattts ' Ef~rrerrt ~ = BtXI < 30 rr~gA. and TSS < 30 rrgR CST Number 962178 ~~ Stang Plumising &Elec~ric P.O. Box 263 WoodvOk, Wises 54028 Date Evatuadon Conducted 9!1/2006 TelephoneNumber- 715-684-51 fib -- P _ ~....,. a...~.~.,,.,,n ~9~ q o ~ Properly 0wrrer jay ~ 1~ >+ ~ ~ ~ ~ 0041018-10-000 p~ Z ~ 4 3 t3oring ~ ~9 # 0 P8 Ground surface elev. 99.85 R ~ ~ ~8 tabor lb in. Soi Role tion a D R d Texdire Strucdae Catrrce Bourrdr~r Roots Gt r Florizorr Depth ~. Dorr~k Mures ~r mt es e Qu. SY. Gant. Color ~ S~ ~ 'F~#'1 1 0-9 lOYR?Jl - sit lmsbk mt cw 3m o.4c 0.6 2 9-IS 10YR3/2 ~ Za~bl< ml cvr if 0.6 0.8 3 16 38 10YR5/3 c2d5YR5/8 scl 2msbk mfr ~ lvf 0.4 0.6 4 Bor'Ug ~~ # P8 Grorrod surface elev. 98.85 tk ~ ~ ~~ factor ~ ~, Soi Rate Fiorizan Depth Dorr~nad Redox Desalplion Texbune StrucAse Consis~arrce Boturda~- Rods GP DrR ir. Munsed Qu. Sz. Conk Color Gr. Sz. Sh. '~1 `t~2 1 0-8 IOYR2R -- ~ lmsbk ml cw 3m 0.4c 0.6 2 8-20 ~ ~~ mi cw if 0.6 0.8 3 20~i0 10YR5/3 c2d5YR5/8 sci 2msbk mfr cw lvf 0,4 O.b ~ Ground surface elev. tt. Depth >p trnriig factor ir. ~ ~~~ Soi Rafe Hor~Orr Depth Dominant Raclaoc Des~on Texdae ~dwa Corroe Barmdary (tools in. Murree! Qu. Sz Cork Color Gr. Sc. Str. 't~'1 ~ 'Ef~2 ' E1Nuentil= HODs> 30 < 220 mglL and T5S >30 _< i50 rn01L. • EIIMrerd#,t = BODd _ 30 mplL and T5S _ 30 nglL The Dot of Ca Is ~ tai oppolt~ty aecvice ptrnridor and employe. If yon >ieed aloe to soooss sen-icxs ~ Hood mata~l m an ahamle formrd; pkasoe oonlad the d d 6~-~66-3151 of TTY 608-2648777. .• Y NT Z r z ~, L~ 1- ~~ _ _ J Nq ti -1 - aa-. g 5 ~, S-Z -~7. 7~ ~ s-3 - aq. 9 5 yp 8 -y ... q 8.85 ~ o n ka..i.r - a~~l O 35~' ~-~ ~~^re ~YO~• Z.-: n ~ S~~,1 e G~ ~ ~ ~ ~~ ff _ ~1 ~ ~ ~ C l l W ~_ s P~ Q ' ~ ~ I o r~ ,~ ~~ ~ ~ ~. 4ys c+7 Ra N N w',\ soY,, w,sc. s ~aa7 t~~,~ce l ~ Ooy_io~~ -so- ao~ CS T ~ ct 6oZ ~ 7 '~ ~~ '-' •t. Croix County Land Information Online Panoel C~u~ar Non~ber: N/A County Home Search Seard~ Results seams-~r ^+ Keturn ~ o bearCtf McEnot7s N ''~-_' Generate Mailin tabeis Grid 004-1018-20-000 TOWN OF LADY ]AY & MARNA L GRAFB~IS7'E[~1 445 CTY RD NN, - ~-- -- +i SCtlei'= Imo'°.... . _ }~. Crab ttpJ/72.21.230.17$/websitelLRPortal/main.asp 9/StZ006 Page 1 of 1 PyOw~: N/A Tax Record Documents Map r ~... ~ , ~ , .-.1 , '.i v i-:~ Tows... ~~ ~ I ~. WPsoortsinDepartrrterdof SOIL EVALUATION REPORT Pale 1 of 4 Division ~safeti- arxf Bu4d'rrgs _....-~''' wit t~orr.rr ~, ,~. „~,~ ..~ ~Y St. Croix Phan must 11 i i ¢ 812 u t l th n s e. an x n res ess Attach corr~lete she plan on paper no include, but not tenrted to: vertical and horf¢oni~ ralarenoe point (~, direction and Paroel I.D. 004-1018-10-000 pervert slope. scale or d'errensions, north arrow, and location and distance to nearest road. Please prfi7t alI inf+wma>hion. R ~' ~e ~r~n ra, rr~a,, ~ u~a ram rwm~ (~ Law, $. is.oa (~) (m». 9 l9 b (P PropettY Owner Property Lorabart a Jay & Marna L. Grafenstein Govt. tot Nw 1t4 SW i/4 8 T 28 N R 15 Property Owner's Ma4ing Address Lot ~ Bbdc ~ Subd. Name or CSM~ 445 Cty Rd. NN Cdy Stafie Z~ Code Phone Number ~ VtlNage own Neatest Road Wilson Wisc. 54027 i -1~I5-698-32$3 CtyRdNN Q New Constnxtion l)se~ Residential / Number of bedrooms 3 Replaoerrterrt Q Public or corrurrercial -Describe: Parent material Loess over General corrrrrertts and recormrrendations: S E P 1 5 2006 IX COUNTY Code derived design flotiN rate Flood phain ~atpn ~ appGpble Mound system canto @ x'70 --, 450 ~ w GPD R ~ ~ ~9 0 pti Ground surfaoe elev. 99.85 ft. Depth to 9 factor 16 `~ b. Sol Rate FlorQOn Deplfi Dom~rarrt Redox Description Texture Stnrcture Cor~sienve Boundary Roots GP DH~ in. MtutseN Qu. Sz Cont. Cobr Gr. Sz Sh. 'Etf#r'I 'Eitli2 1 0-9 10YR2/2 - sil lmsbk ml cw 3m 0.4c 0.6 2 9-19 10YR3/1 - sil 2msbk ml cw 2f 0.6 0.8 3 19-38 7.SYR5/1 ~zasYxS~s scl Zmask mfr cw lvf 0.4 0.6 ~k Bonng # Q p Ground surface elev. 97.45 R ~ 9 favor 12 '~ 6t . Sol Rate Horizon Depth Dominant Redox Description Texture Stnrdure Consistence Boundary Roots GP DRF in. Murrseli Qu. Sz Cont Cobr Gr. Sz Sh. 'EtT#1 `Etr#2 1 0-12 lOYR?J1 - sit lmsbk ml as 3m 0:4c 0.6 2 l2"~ 10YR3/3 ~~•~/6 sil 2msbk ml cv~+ 2f 0.6 0.8 3 22 36 10YR5/1 ~~RS18 scl 2msbk mfr cw 1~ 0.4 0.6 u~a+c~n ar ~ - ovu ~ .n7 ~ LLtJ mgiL ana i ~ ~JU < 750 RK~1rL " E1flUef~ #Z = BOD < 90 mgr. end TSS < ~ rngll. CST Name (Pl~se Pnnt? Sgnature /, . ~ CSTNunber Thomas W. Gedatus W , 962178 Address Date Evaluation Conducted Telephone Number- Stang Plumbing &Electric P.O. Box Z63 Woodville, Wisc. 54028 9/7/20(16 715-6845166 !\I1T d,~fATMMVN P~~ ~~ Jay 8c Marna L. Grafenstien paroei ID # 004-1018-10-000 Page 2 ~ 4 3 Boring ./ ~9 # ~ p~ Ground surface elev. 99.85 ~ ~ ~ ~g for 16 ~ Sal Rate Hor¢on Depth Dominant Color Redox Descx~ion Texture Stnxiure Consistence Boundary Roots GPDNP in. MunseN Qu. Sz. Corrt. Cobr Gr. Sz Sh. 'Eti#'I 'Efi#2 1 0-9 IOYR?Jl - sil lmsbk ml cw 3m 0.4c 0.6 2 9-lb 10Y~~ - sil ~~ ~ cw if 0.6 0.8 3 16-38 10YR5/3 c2d5YR5/8 scl 2msblc mfr cw lvf 0.4 0.6 ~g 4 ~9 # p~ Gr+ound surface elev. 98.85 ft. Depth to Ong factor 20 / in. Sol Ram Hotizar Depth Dominanrt Color Redox Desrption Texture Stnx:dtre Consistence Boundary Roots GP D/IF ~. MunseN t2u. Sz Cont. Color Gr. Sz. Sh. "Efi#t 'Efi#2 1 0-8 10YR2/Z - sil lmsbk ml cw 3m 0.4c 0.6 2 8-20 sil Zmsbk ml cw if 0.6 0.8 3 20-40 10Y1i5/3 c2d5YR5/8 sc1 2msbk mfr cW lvf 0.4 0.6 ~9 # ~ Ground surface elev. R. Depth to tim'ting factor n. Pit Sod Rate Horizon Depth Dominant Cobr Redox Description Texture Stnxture Consistence Boundary Roots t in. Murese~ Qu. Sz Cont. Color Gr. Sz Sh. 'Eti#'I 'EtTl~1 EfiJenl ~ = 80D, ~ 30 < 220 ~ ~Id 1'SS >30 < 750 ~ * (~flUBtlt 1!2 = BOD, <'~ ~ And 7SS < 3'0 trtyll. 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 dot at 608-2b6-3151 ~ TTY b08-2b4-8777. ~-xc3orer pc.m~vol '~ N~ Z Z ~} ~J 4ys ~+7 Rd N N W ~~ SaV,~ W ~5~. Sy(jo~7 3 ,~~ I~~rce 1 ~- Ooy_-o~,~ -~o- aoD ,~, o ~S ~ ~"~, b ~ 45 w . C~ ~ ~n.-4-•r.s __a cs T ~ gba ~ 7 ~ Sco.,1 ~ '" + 0 40' 1 ~ Ci-- - a+a. 8s _ ~ ~ $-2 -~~. 7~ - G, .~ B-3 - gq. 8 s ~ g_y _9,8.85 Q ~ ~ ~ ~c ~e ~- c e Ado f - ~--- ;~ o ~ ~~ ~,,- s~ Pc t7 ~ ' ~ ~ ~ 3 ~/' ` 4 P~g~ 3~~~ 3T. CROIX COUNTY SEPTIC TANK MAIlV'I'ErTANCE A AND O CERTIFICATION FORM `~is~- ~~y ~t . (Vn iegirired fsnmu Phmsiing dE Zoning Deptircment for new c~o~acdas,.) ~Y~ J _ ~ : / -~' ~ `~ ~./ ~ Parcxl ficsition Number ~ c ~ ~{ ~ (G /~ - lG _ c c c- LEGAI, DESCRIPTION ~~ ~~ ,-- Prop~ty Location t~ ~ %s , ~ ~~ %s ,Sec. ~ , T ~N R ~ ~ W, Tows of Subriivis~on _ ,Lot # Cert[fled Sarvey Map~# ,Volume , Pale # wsrrswty Deed # :.~ .~ ~ _ ( 3 ~ ~ , vohm~e ~ ~ 3 Page # .~„~1~ ~ ~ ~ L~ lies yes m ~ ~ ~ ~ ' ' L~ ~ ~.~____+ ~~_ _~ ~ Improper use mud maim~e of year septic system could result is its pm+e fa~ue m handle wades. Proper main66rmnce coa~sists of ping o~ the septic tart every three years or soak if needed, by a ]used P~Pa What 3"ou P~ iatio fire systrrn wa affia~ the f of flee septa tsudc as a stage in the waste disposal sy~cm. Qwnea' mce re$poasrbilities are is §Coaan. 83.52(1) and m Chapter 12 - St. tkonc Caaaty Smeltery Ordi~ce. The property owner agrees tQ sabmh is St Ckvnc C;aaaty Plsmning & Zonmrg Departmeart a cos fiorm, sigaed by the owner aad by a master phnurber, l~Y~ Pte. P or a licensed ptmnpeu verifying ~ (1) the ou-she wastewater disposal system is in proper apeaatmg c and/or (2) aRer inspection and pomQmg (if y~, the septic talc is less thin 1/3 fitll of shdge. I/we, the wed have read ~e shave ~ and egret to the private sew~e disposal syst+~ with the sdadmods set Eordr, haenr,.as set by the Deparimaa of Casmrwrce mud the Dq~artmaat of Na~sl Re.somtxs, State of Wisooosio. Cos statit~ that you septic system has been most be completed andretnmod ~ the St Ckog Caanty Pbm~iug & Zoaring wi8mt 34 clays of the three year pcpnation date. . Ifsr~e certify drat all on ~ Eorrn era trsx m 8ta best of my/om lnaovledge. Ifom am/sc~e tare o~wna(s) afthe paropaly daybed abavey'by virtue of a warraaty deed recorded in Reg~u of Deeds Office. N of bedrooms ~~ , S OF APPLICANT(S) ~~~ ~ DATE 1#eAny mfo~tian that is miarepceee~ad may result in the smoitary Permit big revolood by the Phamiag dt Zoaiog Depatmmt "" Inchrda with this application a recorded v~y dead from the Rix of Deeds Cl~a mud a dopy of the c~rtifiod $arvey- mep if r ~ mach in fire vva~dy deed. Mound System Maintenance and Oueration Saecifications Service Provider's Name Joe Stan Phone 1-715-684-5166 POWTS Regulator's Name St. Croix Coun Zonin Phone 1-715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mglL Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for pondin and seepa a once eve 3 ears Miscellaneous Construction 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 mound 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 mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ...~~......... ............... Grade 6-8" Diameter Lawn _•. Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Grafenstein Replacement Mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Se~tlc 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be Leaned 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 enGosure. ff the fitter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or art impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generaly not required. However, ff such products are used they shall be approved for septic tank use by the Department of Commerce. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to veriy proper operation. If an effluent fitter is installed within the tank tt shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plarrtings 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. Colo weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. 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 tt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed tt should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice Leaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal Dell shall be chedked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Corrtin~ncv 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(s) 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, lt will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically Dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Grafenstein Replacement Mound Page 6 of 9 i~ i Sase Bar of Wisconsin Form 2 - 1952 ~~ 9~ ~ I WAxRANTY DEED oocuMENT NQ. VQa~• 1133 _ plc, /~/.t William Dupholm and Gerlinde Dueholm ~b~ do - e, o~ ,~,,,,rr,npm Ja Gra enstein std Marna L. _ ~afenstein, hus wi e, ~6 S t!e fotlowios dacn'btd real estate in St. GroiX {ii ~y ~~ °f Wisconsin: '~1 ~ ~j...r~ :; ~3~ s~ sr~.f ~ ~~,, ~; i R.,~'c lv,- F,~._: ~ ~ L ~ i X995 ~~ .~ 10:45 A. ;:J P~~~'erct:.~'~ -; TNta SPACE RESERVED fOR RECOROlNO DATA l o°~ NAME ANO RETURN ADORE3a EQUITY TITLE SERVICES X00 SQUTh SECOND STREET MUD.SON, Wi 54418 Qp~, /O~~ -/D (Parcel Identi[icatiaa Number) West 560 feet of the North 400 feet of the NWl/4 of the SW1/4 of Section 8, Township 28 North, Range 15 West, St. Croix County, Wisconsin. Tltia is botaestead property. (~) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. D.tea lei: ~._ say of July ,1995 . (SEAL) ~i~ DI~fOLII (SEAL) (SEAL) `- ~~~"--~ (SEAL) • Gerlirtde Dueholm AUTHENTICATION Sisaature(s) a.teentitxted Ibis day of ,19 TITLE: MEMBER STATE BAR OF WISCONSIN (1[ Rot. authorized by §706.06. Wis. Sets.) THIS INSTRUMENT WA3 DRAiTEO 8Y Kristine OQland Attorney at Law (Sisnatures may be auteeatiated or actnowh:dfed. Bole arc sot accessary.) ACKNOWLEDGMENT STATE OF WISCONSIN St. Croix county. i~ Personally came before me leis day of J-l~~i , 192 tee above named William Dueholm and Gerlinde Dueholnl. husband and wife, to me itnown to be the executed the .. .~. Notary Poblic County, Wis. My commission ~ptrmlyleat. (If ant, state expiratio date: . L , {9~`.~ .l •Naases of persons si,nins in any ~ypacey should be typed a printed Reber Itteir si,natmes. tYARRA.NTY DEED STATE aAR OF wISCON3IN Wisconsin Leyal 191ank Co.. Inc - - _ - FORM Na 2 - Hat Milwaukee. Wes ~GOUTAS PUMPS APw.lu-no>rs Spedfi~lly designed for the following uses: • Homes • farms • Trailer courts • Motels • Shcools • Waspitals • Industry • C~iluent systems SPKIFICAYIONS Pump • Solids handling capabil'iti'es: ~/," maximum. • Discharge size: 2" NPT. • Capacities: up to 1a0 GPM. • Total heads: up to 128 feet TDH. • Temperature: 104°F (~0°Q mm]nuous 140°P (60°Q irrtermitterR. • See order numbers on reverse side for spec HP, volt8ge, phase and RPM's available. t3~AT11Rlr5 M impeller: Cast rron, seta open, non-dog with pump` out vanes for mechanical seal protection. Balanced fo smooth opetation. SEcon bronze impeller available a an option. ^ Casing: Case iron volua type for ma>imum effiden 2" NPT 6ischarge. ^ Mechanical seal: SILT CARBIDE V5. SItJCON CARBIDE sealing faces. Stainless steel metal parts. BUNArN elastomers. 'o y0 m ao a0 so by io au •.. ~.,,, ..,, .~_ .__ ., --- .6oGPtw1 0 5 10 15 Zo 75 30 ~ ~~ a s' s ~ ~•an Goulds Pumps ~JEaSN GP,~ O 200` nT VMYter Ted~ndopy. Inc. ~~gauldsaom EtretlNe De~nber, Z00a 83885 .,a-T - ~ r. o ~ a V zea =ai ^ shaft corrosion-nsisrarR. stainless soeel. Threaded design. Laclorut on all models to guard against componerrt damage on acaderrtal n:versK rotation. ^ Fasteners: 300 series stainless steel ^ Capable of running dry wirrhout damage to componerAs. ^ Designed for continuous opnrdtion when fully submerged. MOYORS ^ FtIUy submerged in high-grade turbine oil for lubrication and effident heat transfeG ^ Class a insulation on '/,-1'!~ HP models. ^ Class f insulation on 2 ifP modeb. Submersible Effluent Pump WE Series PleosuRANe~ avAlusu: FoR iRFSIDENnAL APPUUnoNS. Single phase (so Hz1e • CapaciWr start molars far maximum srarting wrque. • Buih-in overload with automatic reset. • SITOW or STOW severe duty oil and wear resistant pourer cards. • YS -1 HP models have NEMA three prang grounding plugs. • 1'k HP and larger units have ban: lead card ends. Three phase (60 Hzj: • Class 10 overload protecpon must be provided in separa~ely ordered starter unit. • STOW power cords all have bare lead cord ends. fOr GOrrlirNr016 Pump ratings are YVlthin the momr rnarruFacGlrers recommended worlefrg ~rrlits, can be opetaoed mn>ynuousy submerged. wlarl ~ ^ Baarirrg~ upper and lower heavy dory ball bearing construction. ^ Poner cable: Severe dory rand, oil and water rmistarrt. Epaory seal on motor end provides secondary rrroisan: bonier in o3se of outer jaddet damage and m prere-IC oil wicking. Standard cord rt 20'. Opponal lengths ate available. ^ O-ring: Atwtes positlve scaling against wrrrnminarrts and a1 leal®ge. A6E^CY LISTINGS ~~° lAlOelfau7'18s10 d1xa:.21099~1k 3bi~eer~x~s ~~ C US qle ~y ~ rc tso soot rwjiraved. °~ 130 r ~ ~ ' ' • 3Si0 ss ,zo - ; ~~ -I ~'- _ 110 ' r ~ ~ 6pN i . 30 100 -~ i { ' .T 5R -'~ 1 _ _ ~ 90 _ 3- --i -~- _ ¢~ 70 I - Z0 60 ~ r ~ ~ ~ -; ~ ,~ ~ ~ ~ 1$ ~ f - - •'~ ; d?7. 1 ~ -- ; ~ ,. - ~-f N ~ "~` •~ ~ ' ~ -~ ' -' 1u ,~... ~~ ~ _ •-- ~ . r ., n ~ "~ .w • ew ~ ~n ~ ~fl 7 h 5 cy CO 4f1 1 ITT Industries 9Z:iT 96-8Z-0T