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HomeMy WebLinkAbout006-1028-80-000Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Ness, Rand C Ion Townshi CST BM Elev: Insp. BM Elev: BM Description: .~" x>>~~ ~fJCJ /O ~~ C~.~n-zfL. Lis TANK INFORMATION ' ELEV`~4TION DATA TYPE MANUFACTURER CAPACITY Septic ~ w~ r z~~ Dosing ~Q Aeration f -n Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic / 43 ! /0~ ~ L. ~ Z ~ ~ "'-' Dosing /~43 J a!b$ ~ ~`f ' Z~r Aeration Holding PUMP/SIPHON INFORMATION j~ Manufacturer ~ ~ ~ o ~ GPM Model Number ~ ~ l ~, ~ , D~ TDH Lift ~ Friction Lo~ ss System Head 5 ~ ~ TDH~ .Z . , j . Forcemain Length, ., r Di ~ // Dist. to Well / ItT ~ SOIL ABSORPTION SYSTEM County: St. CroiX Sanitary Permit No: 453373 0 State Plan ID No: f Parcel Tax No: 006-10?~$-80-000 Section/Town/Range/Map No: 13.31.16.1946 STATION BS 2 HI /~ FS ELEV. Zi Benchmark Alt. BM / ~ . O~ / 6 Z - iv Bldg. Sewer Z.~ /QO . ~ SUHt Inlet 3 .'! g ioo , S Z SUHt Outlet ~ , `-~ ~~•3 Dt Inlet \ Dt Bottom ~. ~'S, 3 Header/Man. Z. ~o Jo ~ , $ Dist. Pipe Z. 47 /o ~ . 7fQ Bot. System 3 ~~ /6 ~ ~ ~ Final Grade St Cover Z ~. R= ~ /, ~~ /oZ : c~3 b,,,,~oa ! ~ 3 c!'S• 3 ~S BED/TRENCH Width j Length f No. Of Tre es ~ PIT DIMENSIONS ~ No. Of Pits ~ Inside Dia. Liquid D th ep DIMENSIONS S / 7i ~C U (, , \ l SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ INFORMATION CHAMBER OR Type Of S tem: ~ } ~ f f ~~~ /~ F3' UNIT Model Number: 0 J ~ ~ DISTRIBUTION SYSTEM Header/Manifold •7, / r I ~ . j c L Distribution 1 Pipe(s) I J ~/ , 5~ 4 i I ~ ~ •5 x Hole Size S~~Z~. x Hole Spacing ~ ~~ b4 V,en/t to A' IntakE• VQ.~ ~~ Length Dia Length D a Spacing Q SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ ~ ~ Bed/Trench Edges ~ Topsoil J ~~^. Yes ~ No Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~~/ ~ r (Inspection #2: / / I ~~ v (~ .35t-. metes & bounds Lot Location: 2146 St. Hwy 63 Deer Park/, WI 54007 (NE 1/4 SE 1/4 13 T31N R16W) ~ b Parcel No: 13.31.16.1946 1.) Alt BM Description = ~ I a, tiS ~-- O c~I~ S Q ~- 2.) Bldg sewer length = -amount of cover = Z~ ,3 i ` ,~'' ~s ~ w ~is~ti - I No i ~ ddit l ref ti h ' id f s __ -_ _ _ ~ ~,1 - i ~ ~ Z or a o e ot er s e U na orma on SBD-6710 (R.3/97) Date Insepctor ignat a Cert. No. Safety and Buildings Division County ` ~ 201 W. Washington Ave., P.O. Box 7162 J~ G Q~ (1~ ~~~ ons~n Madison, WI 53707 - 7162 Sanita Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 ~j~j~j Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide g~a ~ maybe used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) I. Application Information -Please Print All Informati ~„ ,_m 214'c~ ~ yJ't to 3 Pro er's Name o ~ ? o o ~y ~ 3 ~~i an1©`t 1~ ~ J U L ~ `t Parcel # Lot # Block # or~~ - l oze - ~C, r ozw perry Owner's Mailing Address (" (;{~OIX (;U~N'i 'Y v / ~~~ Property Location ~ ~ H l~'7 (o ~ ZONlNG UFFICE ,4~ ~ ~~ City, State Zip Code Phone Number ~°' Section -~_ P~ ~9' ~1~t32 ARK ~I 5~-C~C)"j 1 <<j,'Uo3-2~-~ (circle ne) E R T ~L N II. Type of Building (check all that apply) 1 - ~ ; _~ A ~~5 ri~ 1 or 2 Family Dwelling - Number of Bedrooms 4 Subdivision Name CSM Number ^ Public/Commercial -Describe Use ~ ~ Qf1 Wrt.4s q ^ State Owned- Describe Use l`S? ' u /-J~aZ ^City_^Village Township of~ys, p~ III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A. ^ New System ~ Replacement Svstem ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous P e rm it umber and Date Issued Before Expiration Plumber Owner N ,~, , ~ ~ ~ f - ~~p W~'LG /"t; ~ ~~ 7 IV. T e of POWTS S stem: Check all that a I ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ~, Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized [n-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) / V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rat ds Dispersal Area Re uire sf) ispersal Area Proposed (sf) System Elevation ~~ p ~~ I .v p,5 2~ ~~ /2oy ~~ /~'~/9 rut- 1 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank .~~ -~ ~ZS~• G'~~ ~+___ BU J Wt " ~ / Dosing Chamber -'~ ~,~ ..t~4 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation otthe POWTS shown on the attached plans. Plumber's Name (Print) ~on1 ~.->So~tL, lu tier's Si ature P PRS Number Business Phone Number 2~.~510 4 `~ ~ 5~ x,31-3U2v Plumber's Address (Street, City, State, Zip Code) _ lq~i t r.~tN A`/ TJAR`Ro~J ~.1- 54g - ~,,, VIII. ount /De artment Use Onl pproved ^ Disapproved Sanitary Permit Fee Sincludes Groundwater 0~~ Surcharge Fee) ~{- Dat Issu d Issuing Ag t S~ e. o Stamps) ~ ^ Owner Given Reason for Denial ~ ~ "`---hhh ~ b )~~ i i proval/Reasons for Disapproval ~~ ~ 1 Septic tank, effluent filter and ~- ~ j. SZ ~ ~,~,c~j Qp~ , ~ ~~ / ~ y dispersal cell must all be serviced /maintained as per management plan provided by plumber. 7~~~f /t-~~Yyt 'S-~ ~~ f ~~ x2 i 2. All setback requirements must be maintained ~ as er applicable code/ordinances. ~ Q-rwn.. ~ ~ . ~33 . Iv0 ~~1~~ ~l - ~~~ -~- 3 • 3 ~/L- naacn compte[e plans (to [ne county Dory) for pie system on paper not less than 81/2 x !3 inches in size \ .~.~.~- ~ ~- 74'' GN~ ~z~tvna! ,dc,-f~_ ~2/~~ Flo ,t? Q~tf-tiy~~ I'~~2'.ft~'~ln SBD-6398 (R. 01!03} ~~ ~~-~-- ~ -Q~ ' 0 SITS I'LA~T --~----Ott,`. 1 ___-_... ~--.._ _ ' 4'i~ S~Pa ~ ag ~ ~.3 ~~_ ~- ~ ~~ ~ PSZ D 2"scu ~ 'Bh1 P~~ ~ no r' sT( Pc.. ~" 303 ~ k (Nc• (~ kU Z I~ou`~ x~ 1~ ~,~~ wq~ . ~ w~sw t ~~ 40" v [3M Bench ;vlark EIa 100:UU ~ w~~~ ~~T "~" •tUm ~ IS A ~ ~. ~ tJ t"otz~e R. F~ntc..~ Posr~ ~. ~ocx ci }3 m L 7•p (~ a f CoR--,-~R. ~= t~Nc• ~ l~us"[ ~L. 1 G~2 ~7 ~'~, ~j~sprttc.TA~1K~ ~~M~ G1An~(3tsiLrjffWEf1Z. I'~tptNG Yo 'M,~esf Corr•~n82:3D ~Z.~. SKAw i•zav/~sagn~ c~~s~-T~a~, FbR. Stns ~Prtu+ Ewo Co~.r~P,q•.io ~o~- Ttipa W~~~c. A-/UO P"~~.T~. pi' MA'~t3R.IFi1.. UStaQ . S~w~ l.tN~ ~a,°"` No~s~ To 'Ci-aK T~ ~ (Y~suun : 5K 121; Ct3w Cow.r•-• B'Z•'3o~i1) C~ C~. INSuVASEFD ~a- ~~ 23.0 x 14o.l~oVd~R-D~w mc.m V~,51oh1 2.b 58~- IbG91 ., P(,ol ~or commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. commerce.state ,wi. us/s b www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary Apri127, 2004 CUST ID No.2265b4 RONALD E FRIEDELL FRIEDELL PLUMBING 1419 13TH AVE BARRON WI 54812 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/27/2006 SITE: ,Identification Numbers Transaction ID No. 992729 Site ID No. 682313 Randy Ness Please refer to both identification numbers, 2146 Hwy 63 above, in all correspondence with the: agency. Town of Cylon St Croix County NE1/4, SE1/4, 513, T31N, R16W P.Q; FOR: Description: Replacement mound, 4 bedroom residence ~~~,~~~ Object Type: POWTS Component Manual Regulated Object ID No.: 954509 Maintenance required; Replacement system; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1) OE~fME The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Dtv~,'~!-f s. 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. ~.~ GAS 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • 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 component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • The tank access openings shall be per Comm 84.25(7). • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. RONALD E FRIEDELL Page 2 4/27/04 • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Abandon failing system per COMM 83.33. 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 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~ ,, --a> .....~_ Patricia L Sha orf ,~ POWTS Plan /Revie~er ,Integrated Services (715) 634-7810, Fax: (715) 634-5150 , M-f 7:45 am - 4:30 pm pshandorf@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Randy Ness Owner's Name: Randy Ness Owner's Address: 2146 Hwy 63 Deer Park 5400-1 (715) 263-2449 _egai Description: NE SE S13 T31N R16W Township: Cylon county: St Croix ~3ubdivision Name: 1_ot Number. I~arcel I.D. Number: Block Number: ~~,-~_s, 006-1028-80-000 DLO '~ Plan Transaction No.: ..lT 0 0M p ~i: E age 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Designer: Ron Friedell License Number: Cate: 04/17/04 Phone Number: Signature: 226564 RE~~'nNUt 5'~a (715)637-3020 Designed Pursuant to the Mound Component Manual for POWTS Version 2:0 SDg-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) Version 3.11 (R. 06/01) • Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 4.00 Site Slope (%) 99.52 Contour Line Elevation (ft) '~ 17.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpolftz) Distribution Cell Information 120.00 Dispersal Cell Length Along Contour (ft) 1.00 Dispersal Cell Design Loading Rate (gpolftz) 1 Influent Wastewater Qualify (1 or 2) I~ressure Disribution Information (c are) c Center or End Manifold 2.50 Lateral Spacing (ft) 4 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) 93.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 7.94 Vertical Lift (ft) 1.51 Friction Loss (ft) 14.00 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 .1.25.. x x x 2.00. x 3.00 x Treatment Tank Information 1254.00 .Septic Tank Capacity (gal) E+kaw Pre-Cast Manufacturer Note: Send fill (D) calculatlona assume a table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest int in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. .7.50 ft~/orifice Does the forcemain drain back? ~ Y~~ Enter Y or N 6.52 Forcemain Drainback (gal) 75.54 Sx Void Volume (gal) .82.07 Minimum Dose Volume (gal) 43.08 System Demand (gpm) Manifold Diameter Selection in. dia. o ti, p ons choice 1.25 x .50 x x x 3.00 Gallonsllnch Calculator (optional) Total Tank Capacity (gaf) Total Working Liquid Depth (in) gal/in (enter result in cell g49) [-ose Tank Information Stfluent Filter Informatfon 754.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 16.05 Dose Tank Volume (gallin) A100 filter Model Number Skew Pre-Cast Manufacturer Project: Randy Ness Page 2 of 8 Mound Plan View i- 1_ :~: : 1/10 B ~:~:~:~:~:~:~:~:~'~'~'~'~'~'~'~'~'~'~'~'.~:~Observation Pipe .~.~.:.•. :K:::~!=.`--t~~=:~;~:~:~:~:~:~:~:~:~:~:~:~:~:~~:~:~:/•~~•~:.. s...... , ..art :•:•:• •~:~:~:~: .1 1f1{L.y'1'•f,°~'{•~.: ~~r ~i:.'i1.:Jll~fL}}.~r°r°{}}1 j` }}lri.. L{{rL}L{151{{{~{{ {~1 1{1{\{{{{r•{}f}r. {~r,\:1}1: ~. • r r.r.}.r !}~{r.•::.::r:r`:lr.r.i}r rJ ~ 1{ F} n1r1{1~•{'{1{1r1 ti{1~'r.}~ 1r1:1{1r .. {1r!}Lr.r '. 1}1.1°1.1•~~ryry {1.1.1°1•}pt•: 1 °. r r.r :.{~.R:}:}.. }!}.}.?~ f} }.r.rlrlr.r.}.}. 1}!} }.3.r.r./ ; °}r.}`} .': i;i;1.{.51.:: :: :'.r. 1:1x`:::.::,•1}1}!•'.•1 11{11 {{1.1.1....1.1.1.1;1;1~1-1. 1.11 1{1.•,.•..1.1• .... 3:i:1r_:.1;;:::::3.1{1;Ci:.iL`i::: r•r /.r°~ }.F r•:.r.ra r°r r./ rw}. •~!~ r}}:}.r.r.:._; .; i' ..1!1!'. R1!1!151S11i1a1S _1!1t1°:S\!1!1•{:151!ti!151:}~}:1j} L:1,111 _11}:• ,1:_ ; ... B .u I ~- L Mound Component Dimensions 1849.43 (ft?) Basal Area Avaflabi~ __ 12.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.87 (ft) ------ ,,,.,, ,,,,,, ,,.. G • H ///,;////// ,,,,///,,,, j 1 /I/f/Ii/Ii/N/IN/ ` III////H/III// ..I//IIIH/I/I/II/I/III/I I//II///H/I/I///IIII I F Dispersal~Call 101.60 (ft) Lateral 101.10 (ft)--- .:. Invert :I;,. •.3 Dis rsa IC.11 Pe Q ~D~ °3' ~•E n ~~°°,~~ Elev do a ~~~r' ~l . .. ~ '~~.~.~ a _ .. .n.w.1..cAAX.l.IJ\).111131~_1~1~~C3 ~.R.l.l.l .1.Z.Jl..l .l. ~n~.l.L .1 _ 4.0 % Site Slope. Shadinig Key $. [1] _ Topsoil Cap ~ c © //rr/r/// ~cubsoil Cap p ~ f~STM C33 Sand ® ~ Z ~ 1'ilied Layer c ~ Q {! ~,l;:r f~ggregate ~ o A 5.00 ft B 120.00 ft D 19.00 in E 21.40 in F 9.25 in G 0.50 ft H 1.00 ft r 10.41 ft J 7.65 ft -~ -~+ _I -i K 10.36 ft L 140.73 ft W 23.06 ft 600.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate ~- Dispersal Ceil 1.5 ft ti:1f};.!}L~!}.(~;l~rs!'unr}'l~l~i 1 !. t1 {1. 2r.. •~~{15 M131.1~t}1~ l~rl{{j{~ 11!]4 0.5 ft {; ~~ Typil~lll Lateral :{f}i:1, I {1~i{1''r1~{iji{1{1~a}i~lrill}Li}T1~}L#' ~ ~_" A 99.52 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and sparing of laterals. F Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Randy Ness Page 3 of 8 Center Connection Lateral Layout Daigram Project: Foroe maln oonnection via tee or cross to manifold at any point I P •+ Turn-up wrbsll valve or I.f- x olssnoutpluQ Holes driNed on the bottom of the lateral. Laterals xe identio al _ x - ..~ Laterals fsc foror main of PVC Sch 40 per GOMM Table 84.30-5 Number of Laterals 4 Orifit~ Diameter Lateral Diameter 1.25 in Orifice Spacing (X) Lateral Length (P) 59.28 ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate 10.77 gpm - Mslnifold Length System Flow Rate 43.08 gpm Manifold Diameter Total Dynamic Head 14.00 ft Forremain Velocity Dose Tank Irrfoirmation Electrical as per NEC 300 and ~------~' Comm 16.28 WAC _,. Tank component is property vented Skaw Pre-Cast Ca c' 754.00 Volume .16.05 Manufacturer Gallons ~- gal/inch /'` [)imension Inches Gallons A 31.86 511.43 B 2.00 32.10 C 5.11 82.07 D 8.00 128.40 Total _ 46.98 754.00 0.156 in 7.50 ft`/oril 2.50 ft 1.50 in 4.40 ft/sec Locking cover with warning label and locking device and sealed watertight 41n. min. E-- ARemate outlet location Forcemain diameter ~ 2 in. Weep hole or antF tsiphon device Pum off elevation ft) 93.67 D~ tank elevation (ft) 93.00 Alarm Manuafacturer S J Electro 4J ~~ Alamn Model Ntamber 101 W ~- Pump Manufacturer Goulds Pump Model Number PE51 Pump Must Deliver 43.08 gpm at 14.00 ft TDH Randy Ness F~age 4 of 8 ~GgULDS PUMPS A FE APPLICATIONS Specially designed forthe -- following uses: • Mound Systems • Efliuent/Dosing Systems • Low Pressure Pipe Systems • Basement braining • Heavy Duty Sump) bewatering METERS ~_ V ~d 0 0 0 4 35 30 ~~ ia t5 to 5 0 SPECIFICATIONS, .Pump -General: • Discharge: t'h" NPT • Temperature:104°F (40°C) maximum, continuous when fully submerged. • Solids handling: Y4" maximum sphere. • Automatic models indllde a float switch. • Manual models available. • Pumping range: see performance chart or curve. PE31 Pump: • Maximum capacity: 50 GPM • Maximum head: 25' TDN PE41 Pump: • Maximum capaaty: 60 GPM • Maximum head: 29' TDN PE51 Pump: • Maximum capacity: 70 GPM • Maximum head: 3T TbH Submersible Eifluerrt Pump PE MOTOR General: • Single phase + 60 Hertz + 115 volts • Built-fit themlal overload pro- tedian wilt ~Itomatic reset. + Class 8 insullation. + Uil-filled design. • High strength carbon steel 'shaft. PE31 Motor. •, .3~ NP, 3000 RPM • 12.0 Maximum amps • Shaded pole design PE41 Motor: • .4b HP, 3400 RPM ~ 7.5 Maximum amps +~ PSC design PEST Motor. • .50 HP, 3400 RPM 9.5 Maximum amps + PSt design ' _{'. ..~ ._.1 .. .. , ..f _.? ...~ . .. ~ ..i 1 .. f , .. _._ .. . .:.( -4 t..... --• a..... : :: . ~ i _. MODEt3: PE31. PE41. PE51 8 1f . .. ... . ... ..~ :.3 ..1 ... i ~ -.i .., -- ... . ..~ . ... .. ~ ...5 ...~ .. ...~ ... T :; Hp: 93, .40, .50 • ..i . .. .. . -- ... ... ...} ..jj ...1 .. . •- .. .. . ... -_ .. i •• ... .. .. ... - .. ~ ... ~ ~ ` t . i ~ ~ . ~ . . ... ._ ... ..i ...~ .. _.. .. .. .. 2 C~ ~ l .. .. • .. .. ... _ .. ... _ . ... . ... .. .. . . . . . r . , ~ -~ .. ... :I i :a ... :: ... :: ... - .. .. : ~ ... _.' ~-i i t FT - -- j ~I -.a -- :~ -- .L . ~ : -- - - -- - _ _ ..~ .. . 1 T .. _ _ - - _ _ = ~ - - - -- i - : - -- - - - ,~ ~: ~ _ - - : --i ~:: _. . - - i . ... .. , ., ~ n -- ~- ~ n - M 5 0 6 0 7 0 G P M - 8' 0 5 10 15 m3/h CAPAGTY ®2002 Goulds Pumps -- FtATURES ^ Corrosbn resistant consWction. ^ Cast iron body. ^ Themnoplastic impeller and cover. ^ Upper sleeve and lower heavy duty ball bearing construction. ^ Motor is pemlanendy lubricated for extended service life. ^ Powered for continuous operation. ^ All ratings are within the working limits of the motor. ^ Quick disconnect power co-d, 20' standard length. heavy duty 16x3 S1TW with NEMA 5-15P, three prong. 115 voh grounding plug. ^ Complete unit is heavy duty, portable and compact. ^ Mechanical seal is carbon, eerami4 BUNA and stainless ^ $~IesS Sleet fasterler5. AGENCY LISTINGS s~• ~S Tested to lq. 778 and cSA u21o8 standards ey canadarr Edon couMk P+rnps B ISO soot Goulds Pumps ITT In~~~etrioc ~g ~ Mound System Maintenance and Oaeration Specifications Service Provider's Name Fnedell Plumbing Phone 715 637-3020 POWTS Regulator's Name St Croix County Zoning~ Phone 715 386-4680 stem Flow and Load Parameters Design Flow ~ Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow.-Average 400 gpd Maximum (30D5 220 mg/L Septic Tank Capacity .1254 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins act and/or serviaa once eve 3 ears Should ins t and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins t for ndin and see a e once eve 3 ears Mfsceilaneous Corf$tr~ctlon and_Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are sNCUred In as shown in the mound com~ohent manual 2. bispersal cell aggregate conforms to Comm 84.30 (6)(i),11Vis. 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 Detall Finished ........... • • ~ . .,~. .............. . trade ~ ,.r,. ~~~ 6-8" Diameter Lawn _ Threaded Cleanout Sprinkler Valve Box ~ Plug or Ball Valve :;, Ctistribu#ion Lateral _-~ Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Randy Ness Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code sneral This system shall be operated in accordance with Comm $2-84 Wis. Adm. Code, and shalt maintained in accordance with its' component manuals (SBD-10691-P (N.Ot/01) and SSWMP Publication 9.6 (01/81)) end local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases maybe present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm $3.33, Wis. Adm. Code when the tanks aro 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 $-Inches in diameter shall be secured by an effective lolling device to prevent accidental or unauthorized entry into a tank or component. Septic tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stets. 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 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 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 biolog~al or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shell be approved for septic tank use by the Department of Commerce. Pumu tank The pump (dosing) tank shall be inspected at least once every 3 years. Ail switches, alarms, and pumps shat) be tested to verify proper operation. If an effluent filer Is installed within the tank it shall be inspected and servk:ed as necessary. Mound and Pressure blstrtbudon Svstem No trees or shrubs should lie planted on the mound. Plantings maybe 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 Instailakions (October-February) dilate that the mound be heavily mulched as protection from freezing. ' ` Influent quality Into the mound system may not exceed 220 mg/L BODd, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODE, 30 mg/L TSS, 10 mg/L FOG, and 10' cfu/100 mL for highty treated effluent.. Influent flow may not exceed maximum design flow spedfied 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 lateml be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it ahouki be compared to the initial test when the system was installed to determine if orifice clogging has occurred and ff orifice deening 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 8 inches considered es an impending hydraulic failure requiring edditlonal, mbro frequent monitoring. Contink~encv Plan If the septic tank or any of fts 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 immediatey repaired or roplaced with a component of the same or squat performance. If the mound component faits to accept wastewater or begins td discharge wastewater to the ground surface, it will be repaired or replaced M its' preesent location by increasing basal area M toe leakage occurs or by removing biologically clogged 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 POWT3 regulator and service provider. Project: Randy Ness ~ Page 6 of 8 SITE PLAN f ~.. ~. ,- - ~ m ~ 4't~ St,~Pa ~ ag' - _3 ---- __ ~_~n .,. ~~ ~_ \ ~_._.__ _._.._ __.. _._ _. _ _ _ L ~~. ~ ~9 55 o0 gz I~ou~ ~~ . ~~; w~~. ~ [3M bench ;vfark EG 100.UU ~` W~~L L~r?'aN •am ~ IJ a t i. t ~ C~'e ~ F~~ t~osr~ ~L taaur t3rnL• Top d~ "CoR--~-vR- ~'~Nc.~ ~us"f I;1. I[~2 qt~7 _~f ~'PC. 5~~~,Tjy,11~1 ~JM~ C,k1Ar~n(3lsiLljffWE3R.. (~t~tNG To M6esf L.OMM cJ~•30 ~! SKAw 1•z.«a/-t 5a any ~;~+s..~ T~a~. ~R. 5~3~ t P~-rc.H Fw c Cony r~P,q~. t o F'o~. Tti p ~s W~ ~~t, A- WO Fi~.7'~t` c~F MAi~k.li1~,, US~O . ~ ~ ~6r~~R- LINE ~~°^'` NoJS~ •TO 'PI-aK •Tv B6 (Y~~uun . 5X IZ~ Ccaw g~.•3o`ii~ qq .Lg5uVA7~D ~R. ~''''`^'` ~~ V mc..m v ~c~.sto~J 2.0 ~13r~- IOG9 ~ . P(,ui ~ol DR,~~ A ~~~~ ~ -.- _. 2's~~ ~o Bm Pvc, sT ~ PC. 4.." 3034 ` k pvc. x~ b1 /, Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings 111 QVl•VIUGIII•G YYllll VVI11111 VJ, YYIJ. /"IV 111. VVUG County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ease rmt a m ormation Rev' wed Date P rsonal inf mati rowde ma ~ used for sewn a u ~-~i6 94 1) (m)) ~ "~ /~ O y ry p , . ~ . e or on you p Property Owner ropert Location q ~ _ ~, Govt. L t 1/4 1/4 S~~ T N` R (or Property Own s Mal ing Address `-~ t-~ + of # Bloc # Subd. Name or CSM# I y State Zip Code Ph a Number ~ ~;' '^ Ci ^ Village ~ Town Nearest Road ^ New Construction Use: ~ Residential / Number of bedrooms Code derived design flow rate L~ (~L' GPD Replacement ^ Public or commercial -Describe: Parent material R4~nta~1 Flood Plain elevation if applicable ~ ft. General comments J ' and recommendations: ~O~d~6yK ~~~ ~~ ~~'~`~ ^ Boring # ^ Boring ® Pit Ground surface elev.~csu3- ft. Depth to limiting factor ~~ 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 .t t~ - S 6K 1 :- y5' - _ ._ ~ i J T !/ ^ Boring Boring # ® Pit Ground surface elev. '~~<,7 ft. Depth to limiting factor ~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ` /U / 3 ~~-- 7 _ I ~ J/ ' tttlUent ii1 = t3UU5 > 3U < "LLU mg/L ano I JS >3U < 15U mg/L ' tttlUenl 7FZ = tiUUS < 3U mg/L ano I JJ < 3U mg/L CST Narrle (P ase Printer ' ~ SignaJkrre ,~ CST Number Address ~~ Conducted Telephone Number /oo) Property Owner "~ Parcel I D # !!"»f)/ ~- /fig - ,~Q - oj9~ Page ~ of -~ ^ boring Boring # ~ Pit Ground surface elev. -~'1~-~l~ ft. Depth to limiting factor _~_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. C t. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I - ~ N J~ s - 6 f ~? - i) ^ 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/ftz 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 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 (R.07/00) ~_ f ~~~~ ' /J~~ ,{/ass ,c%E/5~- s6/~- s,~e /~ -7'~~~t/- ~c°j~ c~ -- - - ~ y/ Jn6rc.Jp ,~~.~ ~`I 1 -- , --°~ r' - - ~.~~ ~, - 3L 60 p.~ 98 ,/ ` G~OAJ~r.P~•JF ay~ •~-~ 99s~ ~,-, l-~? ~~~8 ~' ~„~ ~ ~. ~.r6~1~~ f/outk' ~~.JK ~"~,.,s~...ig S~ ys~~, ~%J~ti,,,~ J~.~f.~ w'E /I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~An3 ~`( ~~~~ - Mailing Address 2,1410 I-1-,.3~ (ate ~~~VL. 1`7-~IZ.~c. I,JT ~4oc~~ Property Address 2•l 4 (a 1-~ ~~ b3 Dr~r; rt. ~+~~.~ (Verification required from Planning Department for new construction) City/State T~~erz PA a.~. Parcel Identification Number c9oe, -- 1 G`z ~ ~ ~-- ~~ LIIGAL DESCRIPTION Property Location ~ %,, ~_ u/,, Sec. ~ -3 . T,~_N• R l ~o W, To-,am of C.`{ n( Subdivision Y~~ ~` 6Qt~~ • '~{ ~ G~~2`Lot # Certified Survey Map # , Voltune .Page # Warranty Deed # ~ ?J 0 0 ~ ~ .Volume ~ / L,L_, Page # 3 Spec house ^ yes ~ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Impiroper arse and maintenanceof your septic system earld ruxalt in its prumatuu+efarTuru: to handle wastes. Proper maintenance consists of pumping oat the septic tank every throe years or sooner, if needod by a licensed pumper. What yon put into the system can aBoct the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. (~oix Zoning Department a certification form, signed by the owner and by a masterphnrbec, journeyman plumber, rrstcictedplnmber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection rind pumping (if nocessary), the septic tank is less than I/3 full of sludge. Uwe, rho urndcrsigned have read !ha above r>rquirements and agree to uoaintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerrx and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained mast be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT / / DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (o»r) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT / / DATE «««««« Any infonauation that is mis-represented may result is the sanitary permit being rovoked by the Zoning Department. «««««. «r Inclada with this application: a stamped warranty dead from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF CYLON COMPUTER NUMBER 006-1028-80-000 Parcel Number 13.31.16.1946 OWNER NAME: First RANDY L & PHYLLIS A Last NESS PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 2146 HWY 63 SECTION 13 TOWN 31N RANGE 16W'/<160 '/440 Line Description Line Description TOTAL ACREAGE 3 410 PLAT LOT BLK 01 SEC 13 T31N R16W 3.41A IN 15 02 NE SE COM INT N LN & CL HWY 16 03 63, TH W 420 FT, TH S 325' 17 04 THE 494' TO CL HWY 63, NLY 18 05 ALG CL TO POB 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit •''.w. bOCUMENT NO. ,~ 4ass2o STATE BAIT OF WISCONSIN FORK 1-1991 WARRANTY DEED b~~ 814 ~a~;6'33 This Deed, mace between ....-Den,r)is-_J..•-Anderson, ----...a..siaglia..man.r ....... ..................................-.......... ................................................................................................. Grantor, and.......Rand}~.-.L... Noss...aad..Phyll.is.. A.....I~lasa.•. .- --....._... ---~••~husband-and..wife,...as. suruix.or.ahip...mrs.:it.al..--... _......pcopect.Y. ......................................................................... .... . ................................................................................................ Grsntee, Witnesseth. That the said Crantor, for a valuable consideration...... conveys to Grantee the following described real estate in ....-....St.... CR G.iX.... County, State of Wisconsin: TNI• llaCa R[s[RV[O /OA R{GOROINO Daia REGISTER'S OFFICE ST. CROIX CO., W~ Rse'd For Reeerd JUN 2 7 1988 at 10:20 A M ~ ~~~ Rphler of Oeeda R[TURN TO See attached description 1'RANO F E This ........... 1 s............ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And,.........- LdIItO.L ............................................. warrants that the ~itle is .................................... .... .................. good, indefeasible in tee simple and free and clear of encumbrances e~ccept and will warrant and defend the same. i Dated this ...... ......... 2Q~............._........ day of ....... \ .--- ~ ...--\--....~L/'/.~.-~•-~ .V---r-i •1~.~1,,!~.~.!.i:.::........ (SEAL) ~, Dennis JL Anderson - ----• ..............................................................(SEAL) AIITHSNTICATION sigaatare(a) of Dennis J. Anderson eau enticated is .20.tklda of....~I ...... , 19$$. .. .. ~, ~ ~, -- - .. ~ . Jc+aFxle M. Wagner ~.Se ~L 1f~1Q~1T~li~l~iRxgd~cWii;9C5~idlddcxxX ;:, ' _...-No-tar. eublic ............... O~._, sntbos ed by ~ ?06.08, Wis. state.) . _~ ~., • June ....-- --•--......, 19..88.. ..........._.....--- - - .._...- • ... .........._....- .......(SEAL) .... . ............................................................ (SEAL) ACHNOWLEDC;rMENT STATE OF WISCONSIN as. .......- • ------- ------------ ----------County. Personally came before me this ................day of ............... 19......_. the above named ................................... to me known to he the person ............ who executed the foregoing instrument and acknowledge the same. TH19 INSTRUMENT WA4 DRAFTED BV BAKKEr NORMAN & SCHUMACHER, S. C:-•••••••-•---• -------- --••----•--• -•--•---- -- - ..............••--r..... . - •1200 Heritage ••t5ri:ve""----""•"'---""--"•~ • •-•-•-••--NeW•-RiEhlnon3~---WI.--5A012.......... Notary Fublic ....:........:............ .............County, Wis. (Signatures may be authenticated or acknowledged. Both 'trlp Commission Is permanent. (fP not, state expiration are not necessary.) date: ................. . 19_..._..) 'Names or peraoM siltnint=io -ny capacity ehnu;d ba typed or printrd 6nlow thrir ei[nata rrn. WARRANT! D68D BTATF. BAla OF wf3COY31N Wi+ron.in [.real Ulank Co. Inu FORV Ns, i-198f biilwsaker. Wb. x•.~ a • ~,, .. ao 814 ~a,~f3~ Part of the Nocth one-hal! of the Southeast quarter (N 1/2 of SE 1/4) of Section Thirteen (13j, Township Thfrty-one (3I) North, Range Sixteen (16j West, described as follows: Commencing on the North line of said North one-half of the Southeast quarter (N 1/2 of S6 1/4) at the centerline of U.S. Highway "63"; thence West on the centerline of the Town Road 420 feet; thence South 325 feet; thence Bast 494 feet to the centerline of U.S. Highway "63"; thence Northerly on said centecline to the place of beginning. Grantor also grants to grantees all rights contained in the well easement set forth in the deeds recorded in Yolume 492 of Records on Page 627 as Document No. 313893 and recorded in Volume 535 of Records on Page 628 as Document No. 332408, provided that grantees fulfill their requirement for payment set forth therein. The above described property is subject to the driveway easement set forth in the deeds referred to above.