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HomeMy WebLinkAbout006-1017-50-002Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and 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 Fouks, Scott C Ion Townshi CST BM Elev: Insp. BM Elev: BM Description: ~v0 ~ a ~v d~ 6 -~ _ tam ~l TANK INFORMATION ELEVATION DAT county: St. Croix Sanitary Permit No: 420701 0 State Plan ID No: ~~ S7 ?v Parcel Tax No: 006-1017-50-002 Section/Town/Range/Map No: 08.31.16.1120 STATION BS HI FS ELEV. Benchmark Z.u /I Z.v / d ~ .v Alt. BM 5T-Gb Bldg. Sew r~~ ~ .'3 /b/. 7 St/Ht Inlet I ~` SL 0 ~ SUHt Outlet Dt Inlet Dt Bottom / y Z ~; ~a ea er an. ~ ~5~. •. (oC..o Z.. Dist. Pipe 112. ~-'S1 1,•: SOS" •9 ~ 1 Bot. S~~ m~ o //j,S~ ~~3 ~o5-.Z~ ~ Fina Grade ~ w,u ~ u ~z+ St er (0•~7 /dS~ Z3 v ~o .~ tM~ 1~ ~2•Sq (I2.s~j l~.n` TYPE MANUFACTURER CAPACITY Septic ~ / ~~ Dosing / ~/~ ~j (/ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ _ ~ _ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Model Number /-~ TDH Lift Friction Loss Sys $,~ ,z~ [i.s3 rcemain Length) Dia. /1~ "' ~3 2li SOIL ABSORPTI SYSTEM ~ ~0~ Demand GPM 3 ~. ~(~ Head TDH Ft c..ro I s •3 :. to Well ~ ~~ BED/TRENCH Width ~ Length No. f iseNehee~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ S ~ t/ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM EACHIN anufacturer: INFORMATION S C B OR Typ~ f ys~~ , ~~ > ~~ i Mode er: DISTRIBUTION SYSTEM /`~,~~-} ~~-) r /~, Header/Manifold 1 ~~ ~ ~ Distribution ~ - Pipe(s) 1 / l 0 3 x Hole Size ~ I w ~ / `~` ole Spacing ~ K Vent to Air Intake ~,.~_ Length '~ Dia ' Length 3 Dia Spacing '~ ~ ~ SOIL COVER x Pressure Systems Onlv xx Mound Or At-Gr~°~s7Fe~'' ~ Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlrrench Center Bed/Trench Edges Topsoil (~ Yes [~ No ~ Yes (~ No CO~nMENTS: (Inclutde~co-de di crepencies, persons prese t, tc.) Inspection #1: ~ ~ ~~ ~.,~a.r~rr: zloz z2znd ve De r Park, WI 5400 (NW 1/4 SE 1/4 8 T31N R16W) NA Lot / r ~y 1.) Alt BM Description = -~~Q.• 2.) Bldg sewer length = 2 d ~ ~.~,~,~ ~~• - amount of cover = ~- Plan revision Required? !] Yes ~No ~~.• I ~ 1 i , 19~ i~ Use other side for additional informatibn. "~ ~ __ ___ a Insepctor's Signature 'I /~ Inspection~J ~~ ~[,~ ~ Pare o: 08.31.1 2~~- `~ SBD-6710 (R.3/97) G,(i~,~~/ ~ ~Q 5~ 1' ` i J Cert. No. .. ..a....y ~. „u,..,...g~ ,~..w,~.. zoi w. wash;tigton ave,, r.o. sax 7162 .,.. ., 5 ~ - G2,0 ('~ `' %SCO~"ISIII ~ ~ 1Vladison, wI s3~or-7i6a site ~ ~; De artm~nt of omrnerce . a. 15~ ~a-~ Sanitary Permit Application ~ SaniCsry Peanit Number _ >a accord with Comm $3.21. Win. Adm. Code. pwrwnal information yon provide ^ Qteck if Revision 7 ~ ~ 7Z0 / be treed for L Application Information -Please Print All info on State Plan I.D. Number TT ~D. ~ Jar 77(.J is Name FEB 2 0 2003 Parcel Nwnber ~(D ~. f o (~ -~`Q- DO Pmpetty Owner's MatTmst Addtes~ ! ST. CROIX COUNTY , . ~ Property Loc~oa r ~ 7 ~ f? ZONI G FiCE l ~ tin ~. ~'~ ~r~ ~/ Cit.,. Sf , ~4 • S ~ T ~ N R ~ B City, Stara Zip Code Phone Number Lot Number Block Numb .J ~ ~ ~ ~~ ~~ Subdivision Name ~ CSM Number ~ ~~, II. Type of Building (check all that aPPIY) t ~ rhQyy,Q S~ h ~~' ~ ^City l i or 2 Family Dwelling -Number of Bedrooms ^Village ^ Public/Commercial -Describe Use ~ ~ 'Townshi p ^ State Owned /"~~ld w~~p ~X7S~ C:IxC C{ /'LdZ(.:~-- `-~~ lN1 ~~6~2 Neatest III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) `~' 1 ^ New 2 ~ Replacement System 3 ^ Replacement of 6 ^ 'Addition to For County use .. .. ' stem Tank Onl Exis ' stem B. ^ Chxk if Sanitary Penovt Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that appiy)(numbering scheme is for internal use) "~ ~ ~ t' ~~ ~ ~ ~'~' C' 1 j2 ~ k / ~ ~~ " t ~ ~ 44 `^ Non -Pressurized In-Ground 21Q~ Mound _~ Z 1!'-~ 47 ^ Sand Filter 50 onstructed Wedarx! ~x! S ~/i1 ' ~ i Nl' ~ 22 C! Pressurized In-Ground 41 ^ Holding Tank S~ 1 F 48 ^ Single Pass 51 ^ Drip Line C +~ ~_,X (S lei 1? ~ J ~ 1 ~: l ~ ~f' ~e 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Reci 30 ^ Other Y. D' tment Area Informat ion: Skq I+'Wi. Oa rb- sGc( Design Flow (gpd) Disposal Area Dispersal Area Soil Application Perco don Rate System Elevation / Final Grade l i ,/ Required Proposed Rate(Gals./DayslSq.Ft.), ~ s~34 or l Oj f~ (Min.Mch) evat E on ~ . . , ~} ~ j VI. TaNc Info Capacity in Gallons .Total Gallons Number of Tanks Man ac r ~/~et-~~.C~~ 1 ~ °i~ Prefab Concrete Site Constructed Steel Fiber Glass plastic New I.xisdoY ~ - 00 ~ Tanks Tanks ~~ Septic or HoidiuY Teak ~ :.+~ ~ Dosing t:damber VII. iuty Statement- I, the uatleraigrted, assume tesponsibWty for o[ the PowTS shown on the attached plans. Phnnber's Name (Print) PI 's Signature r r ~ Business Phone Number ~ L ~ •~ . a~ ~ ~ . ifitmber's Address (Street, City, ,Zip ) ~ C l~ ~~ ' ~ ~~~ ~ ~ ~r • ~ / G <G( ~ un /De artment Use Onl ~ ~ ~~~~ Sanitary' Permit Fee (includes Groundwater Issued Signature tamps) ^ Owner Given Initial Adverse . Sutrhazge Fee' ~ ~ 3 ~ ~a ~ ~~ ~~~ IS. Conditions of ApprovalJRessons for Disapproval 3 ~ f~ 6fI nl1~ O IJ ~~ /~~"Z' ~ rr~ m _ t~~. 3'3 7b Y ~x~5~,~~, :~~~ ~ ~~ ~ Sys ~ , w~~~.~- . ~ r ~ ~ ~en~ d'.3~SZ. ~~ ~ .~o ~/-fn-.,daz,vs.~t ~ Q ~ j ~ 3 /j?a,~-Yt set-bac:~vv a~ Cry.. 3. 3-l f/ N~ ~'1' ~- ~r~ /~7 ~a-e nu~a.~ ~/~ i ~~' ~~~~ ~~ ©G(rn~/t~ r ~'~-~v~J /1Ll.G~ /I W~ (~ ~V ~4) cat t>te system oa p.par not tee tu.n srri z as tacaer~e ~s ~ / _ ~ 4, !~~ SBD-6398 (R. 05,(01) `;~/~~ ' , , ,.. .~? : ~ U rnac~. rLU'r rL~y Scale 1"=~ Q' 3 $02w1 ~`bw-~ Zo'nF y~pvc Page ~ of ~ 12.0 ~ U~ Z~ 1~U C F_ -.,,1 C~ru~ju2 eZ. i0 ' ,os.o• -- . ts'S'~ ~,~~ ~~ ~ ~~3 3 i p{p, b 4~ $.~ r ~J ~~ - A I PtOpCC~SS W Z~5 2 zzL~ ~ , • ~ ! ~_ t,~~. )"1D~1~ ~iE C1z~ ~~ ~ti" -Uu ~j> ~ too 2.l ~ _ _ -~ ~5, i 8- z ~ i ('~ = 3 b ~ apc~c ~ ~ ~_ 3tiM i) ~i ~ _ jq ( I ~ ~ 3-3 ~ ,S' ~ oo rvC7T e0~ PST c~1Z D ~ S`rvRa 'ni-1 S ~1't~~ PnT' 13M 12...O,w. Viva ~~y ti--t i lv LAGC~-J t`~2. --- - - . ~~j.::LS~ ~ ~u G 1`eCtv1-c. ~ 1`fc1.A~zS '10 ~~.M°t'BA~v~o~L~ -1~--PL~`2 CUl~£. ~~~STtkJ(i w~~- lS ? SO' Fj2f1H<r )"'lUlAy~ .~~ ~Z~-' Yl~f1Y~~.~1~ _ ~.- ~. t.oo .o' orv T~P.or- ~ '_~vC .p~ PE' _ -.-- ---- - --- - -- /~Ci'~sT \~R%UP~`t'`,l- Club 1S > -S' ~t2DM -^,1o~r~-~:_ NOTES: 1. Elevations shown are .existing ground elevations unless otherwise noted. 2. Install 4" observation ipes with approved caps. ( Z required). 3. Septic tank to be 1'00o bsogallon capacity manufactured by w ~ l~ ~Z CCJ~y c 2u~n~-- tom,, / 1~ _ I ~ yo Z.r1~3 ~'!. ~ ~`r~t 4. $ench marks . Ste- ~-t33ov~, _ 5. Divert surface water around system to prevent ponding at the uphill side. isconsin Department of Commerce RECE D FEB r ? ?JU3 ST CR z~NIN ~X CCi~;r,, G p~F~~F ; Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary February 10, 2003 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/10/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Scott Fouks W2152 222nd Ave Town of Cylon St Croix County FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 890972 =~5`olD ~ / Identification Numbers Transaction ID No. 835770 Site ID No. 655624 Please refer to both identification numbers,. above, in all correspondence with the agency. 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • 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). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. .The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption ~onal~- area. chs. NR 811 & 812 ~UVED • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance fiO~COAAMERCE information must be given to the owner of the tank ex~lai~}'ng at periodic cleaning of the filter is required ~~~~~~ ~ 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. ~SPONO NCE • 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. Stat ARTHUR L WEGERER Page 2 2/10/03 • Comm 83.22(7) 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. Owner Responsibilities: /~ Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and 9~ maintenance of the PO WTS 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. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for -naintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POVb'TS. 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. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible Tor the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us 'ASS- ~J330 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code; 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715} 726-2544 <' TITLE SHEET Page ~ of FOUND SYSTEM FOR A 3 BEDROOri RESIDENCE This plan has been pre Manual SBD-1057P and C CZ. b 19.9. LOCATED IPl THE ~~ 1 /4 TOLdid 0 F L,~-{ L,p N pared in accordance ~oith the Mound Component the Pressure Distribution rlanual SBD-10573-P C tZ_ b t~4) OF THE S~ 1 /4 OF SECTION ~ , T 3 ~ N, R 1 (~ 6d, S`~`-C(ZC) !~C COUNTY, WISCONSIN. PAGE 1 of 7 PAGE 2 Of 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 INDEX ~~ ~F `~~ ~<i c~ G~ ~ O T I 0 N ~~® ~~0~ ~~ ~ll__ PREPARED FOR ,f~ TITLE SHEET SYSTEi~i rIA1AGEi~ENT PL_Ai3 PLOT PLAN PLAN VIE~l-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUi~iPING CHA2~IBER CROSS SE PUriP PERFORMANCE CURVE S C ~ T _T ~x~tiz. S __ -- - ~z t v ~Z Fw-c.. ~S , ~ ~ 5 ~{ o Z Z PREPARED BY WEGEF~ER SO ~ L .TEST = NG AND . . 33ES ~ ~~i j~RV 7E CE Cony APPS ~, ~~ ~ cow P. 0. Box 7 4 4 21 I~d . i i a i n S t. ®t,~toaooetq~ "'~ River Falls, WI 54022 pp@~,~~~, Phone 715 - 4 2 5 - 016 5 4 ~~ ~ ,,,......,,,~~,,~, Fax 715-425-6864 ~-~:•`°~ '~.~ ~ WkGLHEA }~ ~ D.uiS F - EI.LSYrUR7H ) n: nW15. /~ f "`." _ ~' ~.~ ~~ 1 tr ~: ~'~ z- 6 -03 JOB NO .. 03-~ ~ Mound System Management Plan page Z of ~ Pursuant to Comm 83,54, Wis. Adm. Code 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 1/3 the liquid volume of the tank; If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank . The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S stem 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 ;rust penetration. Traffic (ether 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 GODS, 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 testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occun'ed 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-P (R. 6/99)] grid 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 dosin tank um p g ' 9 , p p, pum controls, alarm or related wirin 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 ~ LS - 38 6 _ L(~ 8 tJ S`1- C(~1X The system installer at 1 LS - LI Z S - ~ 9S8 pn,J G The tank manufacturer at ~Lb-3ZS _ $~S6 L~.ll~~ The effluent filter manufacturer at _ ~UU-Z-Z-[ _ S7CjZ, Z+~13tZ. The pump manufacturer at ~ 30- 8 ~D- 4~' CUV L,US ~r nm nr r,., Scale 1"=l~ ~' 3 6b2w1 1`b-~E Zo'oF y'~ pve PcCOU Cc~S S WZ~S2 ZZZ C~ru~V2 ~_ 10 ' i 130`-p ~"1 Ot= -~ toS.n~ t~ ~ ~ ~~ ~~ D6~~ ~ ~i I ~ A ~ - t l- ~~X`ST- ~o~ ~tk ~~F Page 3 of ~ J ~~ ~ ~~ Z~ Z~U ~ ~-. {~ f l00 Zl ' -~ `S,' l3- z ~ ~'3 b y a~'k ~ ~- 3tiN i I II i ii 9 ( `rift S ~tz.~~ ~ ~ B-3 ~ e ~ ~.-t- 3M ,s, k z~ ~ j5i goo 2-.U,w. V~v~, ~~~! ~ i 1v v ~~GOU-~ 17iZ. -- - k~-1S~ ~ ~.., G ~`~i'v1-t. 1''K1.~I~.S ~ ~'r Y't'B ~/~0-`1 ~~ -1~3 -? Ls(L C°d~ ~ . r/~~ST~~G w ~lr l S ? So' ~~.f1H-t Y~1UUN~~ ~p -?ZS , 1=11 _'~`~y~~ - _ _ _.__. 1~TL. 1.00 ~~ Oti 1'~P Of= : 1 ~ ~vC _pI.PN~ _ :._ V ~v CP~i7-SST ~~R-U P~-`f ^~f .: Ll u ~ 1 S > S ' Ft2D~1 h-1 U~ 1~5 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 1'00 /bsogallon capacity manufactured by w ~ L~ ~1Z CGS c - ~ -..~ / ~ - - ~ v~ Zrfi3 fit, 1`-r ~~Z _ 4. $ench marks = Ste- ~4-l3ov~, ~. Divert surface water around system to prevent ponding at the uphill side. Face ~ Or 7 Approved Synthetic Covering ASTM C33 Medium. San`'d Topsoil a 3 J i > ~•• istribution Fipe j~ F Elev. D ., I e \ % Slope • Distribution Cell of Force Main ~„ z to 2 Z" Aggregate From Pump • CROSS SECTION OF A t10UND SYSTEK Linear Loading ate= ~,,~ GpD L~~1 FT / eszgn oa incr a c=p_Z,~GrD/SQ FT ~ ~~ a ~ Flowed Layer D ~•o Ft. E 1•~~ Ft. • F ~ Ft. ~c~-S Ft. A ~ Ft. H 1. 0 Ft. B ~ S ds--(~ Ft . I ~S I Ft. ~~ J (~ Ft . K l p Ft. Alternate Position L ~t S Ft. OT Force Main W Z 7 Ft. .. ~ ~ ~ - - I I ~} ~ ~ -Observation Pipe ~ I ~ K ---``._----------- ------1 ~Qcctss _ @ox A ~'~6 $ ~ _ O - - W -~ -~------ -----=-- --------------------- ~ Force Ma _'_-- -- - ~- ------- J Distribution ~- Ce '-~~ , „ . II of z to 2'z Pipe a;gregate Observations Pipe (~~cr securely) PLAN VIE~rT OF A MOUND SYSTEI4 Distribution Pipe Layout page S of 7 Place the holes at the bottom of the distribution pipes . at'equal spacing. Remove aII burrs from the pipe and holes. Extend the end of each Iate-aI up with tine use of lon` trsn or 4f ° ftt-ung to a point witbia six ~~ inches of the f naI ~*ade• Te.-minzie the earls of the Iate.•aIs with a valve, thr~zde3 c~ or • threaded plug. Provide access from final made for the valve; threaded can or threade3 plus. " i `-t P.1 CT?, (_ LZflS S _St`'i1~ 1~7 FVC F~~~ PVC Latert-, C'- Mart6atd ~ ~aterl ~L.PrN V\~.,J .._ ~ ~ F --- ?'1 f'il \ F~ ~: ;}c~;.ss sflx - -a FOR c r+r-~~ ~- -- ---~ 1 ~ 2c~ n ~;w P _ Ft, ~ HoT a Diameter t f ~ Inch ~~ ~ "-- S 3 Ft. ~ ~ Lateral ~ I Inches) X ~`~ Inchps Manifold ~_ Inches -' ~ ~ Force Main " ~ Inches - ~ of holes/pipe ~ ~ - Invert Elevation of.LateraTs~~S-S Ft. ' lq:.X-~-ill =~.-~q,c-c~= 31.16. ~,~-.., • 1 _.-.~. ~._. _.~_.... ,.. _ - Combination ~6ept.~.c~ Tank and • • P~ CHAMBER CROSS SECTIOtJ AA1D SPECIFICATIOUS ' PAGE ..~~ OF 7 _ •- ~ • . ;' • -VE-.IT CAP ~ WEATHER PROOF _ .lU1JCTIOf`! 80X 'i~C.Z. VE1~1T PIPC ~ APPROVED LOCKIklG ~ lO' FROM OOOR, M713Jy0LE COVER svl~'1 :/tIUDOW OR FKl:SH ~ t'"A(tfJttJG L~6EL. u.7gp~1o-J PIPE A~IUT~IKE ~ cor,,c~~r '''vIPI'1CL~6tfi~'Z'fTQ ~ .. ~ _ 4 !`7 I . t - / ' FlNlsr}© 6 ~w• ~. _Lb 3 + ~ I ~t'xlu. • G RfiD E I `__ ~ 18'Mlu, !b'KII~I. ~ ~ ---------- \~~ . ~ _ -- - ~ ~ l UJLET i" PROVIDE ~ - ___ .., `~'' ~j'A1RT7i.HT SEAL I III • ~°~ I ~ ~C I I I APProved ~~- ~~~ '~~' I ICI Approved joint w/ !~-100 I I I joint w/ I I ~ ALARM PVC pipe PDC pipe 6 I II I r ~ _ i ( ou I I _ CLEY.gs-Ub FT. I PuKP -~ --~ OFF 0 • CoucRETE y: RISER EXIT PERPSITfED O-JLJ IF TA-JK MAUUFACTURER HAS SUCH APPROVAL 3"APPS2o~,F~ ~SFDD s>v4 . SEPTIC F ~ SPEGIFICATIOt~1S DOSE T~.UK MAUUFACTURCR:VL1l.'~~1Z- CU~1C tJUMBER OF DOSES: 5.~6 ~ P E, R pA., TAIJf( ,lZC: IUOtJ ~6 SO GALLON'S -DOSE VOLLtME z ' ALARM MAUUFACTURt`R: S S _~1..~Z`[~() S~j$,"]~1~.5 IAtCLUDIUG 6ACKFLCW: - L ~ Z 6J1Li_Oht,S MODEL 1.lUM8ER: ~~~ ~ltiJ CAPACITIES: A= I ~ 3 c' IAlCHCS OR b6 GALLpNS SWITCH TyPC: ~l~Ze-fJ~Z7 8= _ Z IUCHES'OR 3~ G(~t.L0A15 E'uMP MAIJUFACTUREit: GaU ~-p 3 / C= b 11JCHE5 OR 1 b Z GAI_l.pll5 MODEL 1JUMHER: EPD S _ ~ _ ~ Z INCHES OR ZO ~ GALLOIJS SWITCH TYPE: 1^-'1 ~~ uOTE: PUMP AND ALA M ARC~TO bC~~ MIUIMUM DtSCKARGE •RATE 3I. L6 OpM INSTALLED OtJ SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP OFF Au O..DISTR16UT10-J PIPE.. ~~ ~ S~ FEET f KIUIMUM NETWORK SUPPLY PRESSURE , ~ .. .50 FEET ~S-Oxl. 3, ~' ~~ FEET OF FORCE I"1AlIJ X ~-OCT F j ~r~) ioo FzFRICT1o1,1 FACTOR.. ~ FEET TUTAL Oy1,1AMIC HE:AO = ~ 'S1 FEET As per manufacturer 1~ • C7 gal/i.n. Liquid depth 38 ~ . ~, _~; r Goulds ~c ~_°~ ~ Submersible Effluent Pump ~~ 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: ~/a° maximum. ,- --~ • Capacities: up to 55 GPM. ;~ j • Total heads: up to 24 feet. • Discharge size: l'/i"NPT. • Mechanical seal: carbon- ., rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/'maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'r~` NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 10~ a C 3i 0 a w x U a z 0 J H 0 s 2: 6 2c 5 4 3 2 1 0 1C 00 •• ~~ w 4u ~U 'GPM ~ ~ ~ i ~ i ~ 0 2 4 6 8 ~ 10 12 m'Itt ®1995 Goulds Pumps, Inc. CAPACITY • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller: Thermo- plasticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- ticcover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian StandardsAssociatian (CSA listed model numbers end in "F"or "AC".) I ~ ! i ? ' ~ 7~ ~ i i j I i 1 ~ ~ .S i -- ~ ~ ~ _.. ' ~' ~ ~ -EP05' I ( _ l _ g,~ Effective May, 1995 838'1 Wisconsin Department of Industry, SOIL AND .SITE E a/ A L U AT I O N REPORT Page 1 of 3 Labor and Human Relations ^^ ^ ~ g'. 3 ~ ~ (Q i 1 e1 C. !~ivisinfiof`Safw.rRRllilrlinnc _____~._...~ 11 .Ir. ~..:_ w~.- n_~_ • a . 111 GiVVVIV ..~•~~ X4.1111 VV.VVf .~v• •.v.... vvvv - COUNTY must nclWde buf 8 1/2 x 11 inches in size Ptara° ch com lan on a er not less tha Att it l t St. CrO1X ,. p , p . a p e p n e e s not limited to vertical and horizontal reference point (BM), direction and %~d#~s'iope, scale or PARCEL I.D. # ~V, / dimensioned, north arrow, and location and distance to nearest road. ~ r .N~~ 006-1017-50-002 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMA~I,bN~ r r •Lri';`~~ I ED DATE ,^~, 0 PROPERTY OWNER: PROPER LOCA,T~N Scott Fouks ~ GOVT.~b•C '"~~~4 SE }'/4,S 8 T 31 ,N,R 16 $~or)W PROPERTY OWNER':S MAILING ADDRESS '' Lddlyty K # SUBD,NAME OR CSM # 120 N. St. E. ;` ,.na '~IC~ n CITY, STATE CODE PHONE NUMBER 5400 I QTY--QVILLAGE -,~fiI~IVN t ~` NEAREST ROAD . Deer Park, W t 71~ 269-5215 ~ J - ~ 222nd. Ave. (]New Construction Use [ ~ Residential I Number of bedrooms 3 [ ]Addition to existing building jx] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 105.30 ft (as referred to site plan benchmark) Additional design /site considerations system el . based on contour line of el . 104.30' Parent material glacial drift Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ^ S ®U MOUND CAS ^ U IN-GROUND PRESSURE ^ S ®U AT-GRADE ^ S ®U SYSTEM IN FILL ^ S ®U HOLDING TANK ^ S ® U U =Unsuitable fors stem SOIL DESCRIPTION REPORT Boring # 1 € Ground elev. 106.{{ Depth to limiting for 26" Boring # 2 Ground elev. 101.x, Depth to limiting fa~~~ Depth Dominant Color Mottles re T t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex u Gr. Sz. Sh. y Bed Trendt 1 0-11 10yr3/3 none sil 2msbk mfr cs 2f .5 .6 2 11-26 10yr4/4 none sil 2msbk mfr c3.w if .5 .6 3 26-48 7.5yr4/4 c2d 7.5yr5/6 sicl 2msbk mfr na na .4 .5 Remarks: 1 0-15 10yr3/ 3 none 1 2msbk mfr cs 2f .5 i.6 2 15-49 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 49-80 7.5ry4/6 c2d 7.5yr5/8 sl M ~na na na .3 .4 Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200th. New R' m nd WI 54 17 Signature: Date: 9-2 - CST Number: m02298 PROPERTY OWNER Scott Fouks SOIL DESCRIPTION REPORT PARCEL I.D. # 006-1017-50-002 Boring # .................. ................. .................. ................. 3 <'' Ground elev. 101.3 ft. Depth to limiting factor 40" Boring # .................. ................. .................. ................. .................. ................. .................. Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Boring # .................. ................. .................. ................. .................. ................. .................. Ground elev. ft. Depth to limiting factor Page ? of 3 ~ . M Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-16 10yr3/3 NONE 1 2msbk mfr cs . 2 16-40 10yr4/4 none sil 2msbk mfr yw if .5 .6 3 40-65 7.Syr4/6 c2d 7.5yr5/8 sl M na na na .3 .4 Remarks: Remarks: Remarks: Remarks: SBD-8330(8.05/92) . - ~ r STEEL'S SOIL SERVICE Gary L. Steel Scott Fouks 1554 200th Ave. CSTM2298 Nw4sE4 s8-T31N-R16w New Richmond, WI 54017 MPRSW-3254 town of Cylon (715) 246-6200 N 1"=40' BM.= top of 1" pvc pipe C el. 100.00' Alt. BM.= top of 1" pvc pipe C` el. 100.10' ~zz ,~ ,~~ Gary L. Stee 9-21-99 ST CROIX COUNTY Owncr/r3uycr ~j Mailing y~ nO Lot 1iaes idf~tifia~i yes ~. no won ---------- ,~ Lot # ~____, Cextifiod Satvey Map # Volmmc _ Page # Wacisuty Doed # ~_ o ~ ~ ~ Volrufic ~~ p ~~ Spc~ boric D ^ SL'I'T[C TAt1K MAINTCNANCL AGfteG+ML~NT AND awNeRSrirr p~-~v ao6-/o1~-70-G l,.i s,~ f~S ~A-rh ~ ~ L1~~A- 31.16, l 13g ~ S o, S ' /moo ,c/ReT~-( ~T , .~ r?o ,~ ~3 Property Address (!.(.,~ ,~ ~S~ ~ 1 ~ ~`~ a ~~~, f '~ ~~ , , ~ e t~ (Venttcatton rcquiedd frrxn Pla„aiog t foe new ~ !'' ~ 11''1 coast:uctioa) S t ~~ O ~~ ~ ~ t Parcxi Identification Num !lD - p -i X.FGAL D~CRri~'rr(rnt d • 3/ • / Co . ~~ Z C ~°.- """ ~ 1"~k~s l e K A~.1 nsGr Pmpcrty Location ~ <, S C Yti Soc. ~ . T•~C N R~W, Town of ~ D /~ ~s s -.rte,... oc ~~~ra~sy~cmaoa~da~nltmittper~adn, 'lumetabaadZerAru6~s.Aropec aasffACt.Q~cSso~omr.efttye ~~~3~acs~ooacyif~o~kdUy-~todPm~,c~ :WbftyoaP.at.mfattresystcm ap~ctmkss.:~..~Qre~e~y~ca~, .. - nr~s6oc ~ Ito t~tt+o St Cbo6c~fAam4, stood 698re by: ~ P~ ov~cc,md is1°'sR'D~°P~naadlac(~a&er- ~adpa~~~,~ ~6reas<as6e~dupos~tisysOcm a~;ess tbm 113 •~odl of ~r$ge. .~ ~~~stnc,acadtbaabosne ao4l ~~~~ ~ ~oeto~atfreP~e~agcdis~tsysbem~ri&Qies~odatds ~' ofoa~,eoxsadWcD~ut,n~ofNs~mra[$~oo~~,oe~~Pmooasin.. (kc6~¢at~ioa ~~I~t~~,m~;~ac~c~~amos~~~cro~.~~o d~of~tb~y~a~ ~~~.5 DATE O'er ~CATXOI~t I ~~) eco0ity' dwt aII an tLis foaa arc txac to t6c best of my (onx} k~aaovl~od,~ I (we) anx (arc) the ownct(s) of ~ ~sa~od above, by ~rictr~c of a ~ rvxmagr dead nooocdod in ILcgistRx of.Doody Ul,~ 7U8$ of ~lIPPCit;~ANT _ ~ ~'/U 5 DA1E stasss ~ ~~ ~ ~s-r~entodmayrault is titiesmituypwuut baag rcvatced by the Zoaiag ~-'ss"• ss L~dadc Mth thts a~sticattoa: a tCcntpod v~rattsntjr d,~ 6~t t~ a copy of tl~ occtiftod of Doody oa`~ ~e3' ~+P ~ refixcnoe is aaadc in ttre ancraaty decd r c.~..- ~, ... ,S ~ ~•' ~ STATE BAR OF 1~JISLONS! N FORtiI : - 19H2 QUIT CLAIM DEED DocurltENr NO. C ii r i s~ n.~__1,~_Fo i t k s _~____ --~ yun-claims to _SCOtt j_._~~.LtiSS--_. ~l of her intecest in the following described real estate. in S~ Croix County, State of Wisconsin: See attached This conveyance is given pursuant to divorce judgment granted in Polk County on August 19, 1998. r ~ ~ Y This ~5 N ~T homestead property. v~ (isgno~ 1 day of ~c71't'~~ , A.D., 14 9& Dated thts ~~ ~~,,//~~ aK17 (SEAL) Christints~,L Fouks ' (SEAL) AUTHENTICATION Signatu {) C r' tina Fou .. uthenticatedthis 19th day of Augu t 1998 . Hendrik W. Van Dyk TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. 5[atsJ THIS INSTRUMENT WAS DRAFTED BY Hendrik W. Van Dyk VAN nYK~ Q'ROYLE & STT.F.R~ S.C. _ Post Office Box I27 (Signatures may be auu,?ntica!ed or acknowledged. Both are no[ necessary.) 006-1017-20 X06-1017-50; ]"'06- - 0~ 00 -10 -70 & 1.6-1000-60 6 1000_ ; ~~~,~~ .. •~~``;~~'i J i1~ r IAC is Auu Z 1 1,91l98 ~O' ~V ~ ~ i THIS SPACE RE; .D FCR RECORDING DATA NAME AND RETURN AOORESS VAN DYK, U' BUYLE & S ILF.P., S . C . Post Office Box 127 New Richmond, WI 54017 ACKNOWLEDGMENT State of Wisconsin, 55. _ County (SE ) i~E.\Li Personally came before me this day of _ , 19 ,the above named to me known [o be the person who executed the foregoing instrument and acknowledge the same. s Notary Public, _ County Wis. My commission is permanent. (tf no[, state expiration date: -, l9 .) • Names of persons signing in any cpxuy should be typed or printed below then signawra. STATE BAR OF WISCONSIN w'se°^a'^ Lagal Brank Co.. enc. QUIT CLAIM DEED Form No. l - 1982 MilwarAree. Wis. N i/2 of the SE i/4 and the W t/'~ of the SE '+ all in Section Eil;ht (8) Townshi ThirC -one (3I ~ y, Range 16W; EXCEE''f the S 20.1 acres o t ie NlJ 1/!+ of SE 1/4; nd EXCEPT part of the 5W 1~4 of the SE 1/4 in Volumr "S25 e 519• 7/2-~/l99 } an EXC T part o t e 1 4 o the SE i/4 describe n Lit One (l) of 7 Certified Survey Map dated 8/8/78, in Vulume "3'', page 67~; and EXCEPT part of the NE 1/4 of the escr e n o p ge All in Section Eight (8), Township Thirty-one (31j N, Range Sixteen (16) W. NW 1/4 of NW 1/4 and SE 1/4 of NW 1/4 of Section 8-31-16; AND all that part of SW 1/4 of NW 1/4 c,E Section 8-31-16 as described as follows: Lying North of the right of way of the Chicago, St. Paul, Minneapolis and Omaha Railway Company and East and tJorth of the following described !ine: Begin~iing at a point in the northerly line of said railroad right-of-way, said point being 244 feet East of the West line of said SW 1/4 of NW 1/4 and running '.Hence North on a line parallel to said W line of said SW 1/4 of NW l/4, 723 feet ~o the northerly line of an existing Street; thence West along said northerly line of said Street, 4i feet; thence North on a line parallel to said West line of the SW 1/4 of NW 1/4, 244 feet; thence West 200 feet ~o said W line of the SW 1/4 of SW 1/4; ALL in the Village of Deer Park EXCEPT part to Roland W. and Janice Thompson in Vol. "478", Page 475; and EXCEPT part to Roland M. anc Patricia Jo Thompson in Vol. "900", Paq~ 316; and EXCEPT parcels to Roland W. and Janice Thompson in Vol. "900'', Page 317 and Vol."1078", Page 284. St. Croix County, [disconsin. ~~ A.,. :. ,~ :', s 0 0 NII ~ I ~ .~ V" ~:~~1 ~~ 221 ~, o~ ~N<V /r~;-~ L ,~. ~~ 2197 .•• N N 0 0 °o ° N Polk/St. Croix Road .o ~ N ~ w 2~ ~ 2985 a. ~ 23 A 2375 ~ ~~, s _ 2~ 2 5th Abe ' s 215th T a s. ~~ N • //~~J` ~~ `X" N p1 N 1 wS 2 ,~ Trunk St. W. Hwy. Y C ~ ~ V) }; North St. W. ~ ~ North ~,v.~~83 .o Park c St. W . St. E. ~' Front ~ St. W . .~ c~a .._ .~ i I .. i „H.. Ave.