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HomeMy WebLinkAbout008-2007-06-000St. Croix County Planning and Zonin Wednesday, August 31, 2005 at 9:40:50 AM Detail Sanitary Information Page 1 ojl Computer #: 008-2007-06-000 Sub/Plat: Star View Acres Section: 19 Parcel #: 19.28.16.565 Lot: 6 TN/RNG: T28N R16W Municipality: Eau Galle, Town of CSM: 1/4 1/4: SW 1/4 SE 1/4 --_ _.~-- Owner: Nisen, fi ville, WI 54028 State Permit: 479403 ssued: 08/19/2005 POWTS Dispersal: Mound less than 24" suitable s Permit: New County Permit: 0 Installed: POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Not dete med NA Timm, Roger Signed Off: No vV-a~cW/~ ~~tw~E~l '~ ~ Z/3/ z ~ s~ ~~~ Money Owed $0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFOFI'.MA'~'bN ~ (ATTACH TO PERMIT) ' Personal information you provide rDay be used for secondary purposes IPrivacv Law, s.15.04 (1)(m)l. Permit Holder's Name: City Village X Township Nisen, Peter Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ',7 S ! / Dosing Go ~-~o a ~~ Aeration Holding TANK SETBACK INFORMATION -r TANK TO PiL WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~j / ~ 3 ~ / 3 ~ ~ Dosing I ~ t 1p s/ / ? ~ ~ V ?~ / V ,~ Aeration - Holding PUMP/SIPHON INFORMATION _ li Manufacturer ~ ~ Demand i OV GPM Model Number G ~ ~ r 25~ I TDH Lift /4. yZ Friction Loss Z . 7~ System Head ~ Z. 5 TDH Ft Z 3 , ~? Forcemain Length ~ Dia. ~ / Dist, to Well Z Z SI SOIL ~4BSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 479403 0 State Plan ID No: Parcel Tax No: 008-2007-06-000 Section(rown/Range/Map No: 19.28.16.565 STATION BS ~.I'7 HI Jd~.17 FS ELEV. 4'b Benchmark 7, ~ a~ /00• a Alt. BM `b-~ 9 ~• 51'3 Bldg. Sewer Y / 7 ~~ . 5 St/Ht Inlet ~ ~ ~~ ~•7 . 9 Z St/Ht Outlet 1 Dt Inlet ~. ~, Dt Bottom ~G' 75 1 c~ I ~ ~-Z D -l Header/Man. ~ ?~ I Q ~ 2 •~~ Dist. Pipe 1 ~ss3 /~~ • 3`-P Bot. System Z ~ 4Z (O l ~ ~ Final Grade D~`b3 /a3.3~ St Cover / V u (rd ~ ~ ~• .7 ~,' r v /~ BED/1'RENCH Width ~ Length ~ No. Of renche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ / / / SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. _~ 1NPORMATION CHAM NER OR Type Of S m: ~` ~ c~ ~~ ~ ~ / I / Model Number. `_ O U IIISTRIRUTION SYSTEM /IZ.l1-in Header/Manifold II Distribution ~ I ~ pipe(s) 1 x Hole Size ~ x Hole Spacing Vegt to Air Intake Length 1~ Dia 7 Length ~' 1 Dia } Z Spacing~_ ~ Ta SOIL COVER v Procenrn Cvc4amc C1nly xx Mnund Or At-Grade SVStemS OnIV Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulche Bed/Trench Center / ~ : 5 Bed/Trench Edges Topsoil , Yes (:._~ No "' es L'i No I ~~ OFc COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: i ( (~ / D S Inspection #2: / / Location: 212 215th Street W~(d~ville, WI 54028 (SW 1/4 SE 1/4 19 T28N//R16/W) Star View A res L t~6 Parcel o: 19.28.16.565 `~'~- C ~. ~-- God 5 0 ~~ ~ ~ Sa-~ cry 1.) Alt BM Description = ~ S y~ 2.) Bldg sewer length = (~ g / ~~~ Safety and Buil ision ' County ' Go ` . 7162 W. Washington 201 ~ a t ~ ~ ~~~0~~, - Madison, WI 537 Sanitary Permit Number (to be filled in by Co.) 1 Department of Commerce (608) 266-3151 !f -7 ~~ Sanitary Permit Application to Plan I.D. Number 2 ~~~ personal infortttati`~ 6~~~ In accord with Comm 83 Wis Adm Code 21 ~ / ~ . . , . , F may be used for secondary purposes Privacy Law, s I 04(I)(iM~ ~ " Pr t Addre (i different than mailing addre~ t~~-o ~k2i3/ 21 ~A I. Application Information -Please Print All Information ~ 'r ';t =' \1ii~ Property Owner's Name r h)UNT Parc # Lot # Block # G e ~.f,r ~ SR.h , ~,~NX~,~I~IC~ a ~-2s~~? -Ob - duo Property Owner's Mailing Address c L h ~ Property Location ~ ~' ~ ~ ~ `~ S~ '/. ~~ 'h, Section J~ City, State Zip Code Phone Number , _ t C ~ ~Y dUZ rcle C C/ G~ r J(Q T ~ N; R~~or~ Type of Building (check all that apply) t, II , . 3 ~~` ~5 ~ `~ w" Subdivision Name CSM Number 1 or 2 Family Dwelling -Number of Bedrooms f~ r ~T ~`~ V ~~ ~ ~ ^ Public/Commercial -Describe Use t Ge- C,I J ~ ^n t ^ State Owned -Describe Use ~'l ~Z-rJ l-t ~± ^Ciry_^Villagc~Township ofCG.C,t.~w r~Q III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New S tem ys ^ Replacement System ^ Treatment/Holding 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 IV. T e of POWTS S stem: Check all that a 1 ' ^ 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 In-Ground ^ Holding Tank ^ Pcat Filter ^ Aerobic Treatment Unit ^ Recirculati Sand Filter ^ ,~ t Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) 5 L, V. Dis ersaUT'reatment Area Information: Design Flow (gpd) Design Soil Application te(gpdsfl Dispersal Arca Required (.~ spersal a Proposed (s ystcm E{evation VI. Tank Info Capacity in Total Number Manu acturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~~ ~ ~~ ~`~~` f , ~-i Aerobic Treatment Unit Dosing Chamber ~ -r irlt /.t,c~iS VII. Responsibility Statement- I, the undersigned, assume respo ibilrty for installation of the POWTS shown on the attached plans. Plum 's Name (Print) ~-, ~ Plumb 's Signature Number ^ MP/MPRS~ 1 ~ Number usiness Ph on e B /1 I/ C~ ~ ~.rV" ~ J 7 ~G~~~L I ' ~ J ` ' /~~~/ ~~i~~~L~ Plumber's Ad ress (Street, City, State, Zip,[Cjodc) /~ ~ Q/~~ VIII. Coun /De artment Use Onl pproved ^ Disa roved Sanitary Pcrtnit Fce (includes Groundwater Date Issued Issuin A ent Signature o Stam Surcharge Fce) 7 ^ caner en Reason for enial L IX. Conditions of ApprovaUReasons for Disapproval SYSTEM t)VVNER: 1. 'Septic tank, effluent filter and dispersal cell must all be services /maintained " as per management plan provided by plumber. 2. AQ se~ack requirements must be maintained as per applicable code /ordinances. , Attaeh compkk plain (to the County only) for the system on paper not kss than 81R x I1 inches in size r i~ 71 SBD-6398 (R. 01/03) ~{ 1 d ~ 3 ~ ~ ~ ~ d ~, ~ ~ ~ ~}' f } rJ r I 9 ~ J --~ 3 .--r ~ ~~ ., ~_TT[//' - '~~( ~ ~X .. :.N~ 0 V ~~ ~ ~ -~ a ~ ~ 1 y ~ ~ ~ ~ _~ ~ ~ -_~ ~ o K ~ ~ ~~ ~T , \~ ~~ a \~~ ~ ~ ~ s ' - ~_ ~~ _, c~, ~, .~ i ~ S ~o s .9 ~ _~ d "~ I yy Ci o ~"~~ z i ~ J oc w ~ ` O ~ Q ~~ ~ a c ' i w ~ . • z'a ~ W ~ • Q ~ ~~o W ~c~ N 0 9 9 /~ 9 ~, ~ ! ~ ~ ~ ~ ~ i 9 ~~~ C'~ Y _/~ r p .-~- ~y --h '~ d ~ `.}' t ~~~ d d j 2 J' J 0 _g u f S( (~ 9 N 3 3 J ~ ~ ~ ~~ ~ a ~ ~ ~~~ s~ Su ~ i . a ~ - - ... ~~~ /~ J~v r ~ sue/ J y S ,~,~ ~ L ~ ~. ~ ~o ,~ r~ 9 y ~3 s ,~ + S ~~ d J ~ _~ o ~ ~ ~ ~ ~~ s _ ~~ ~ ~~~ M `~ A 7d ~I Off ~ 1 ~~ ~ ~~ \ ~ c( ~ s /Y' `\ } a 0 v ~ ~ y~y v / J ~ 3 ~ ~ -~ ; s d ~ ~ - `~ ~ ~ ~ -~ l fl C/~ ~J J --~ 3 ~ ~ 0 S s C' . ~ 0 ~, ~ e ~ (~ ~ , ~ . .~ s •~ Z ~ ; ~ , ~ h ~ I " ` .~ * \ w ~ • w 1 9 ~ ~ ~~ ~ `~ f ~ ,~ ~ ~ 9 ~( 0 ' _ ,`~^ ~~ ;, o,~ ~ ~~ ~~ 0 ~~ ~ ~ ~? ~ ~ j s of _° a .~- y ~ ~f ~~ ~~ ~ ~ J ~_~ d o ~ ~ ,~ J ~ ~~ ~d v ~ ~~ ,~ ~ ~ ., ~~ o ~~ s ~ ~ W ~ ~^ ~~ Z ~ W ~ st O Q < 4. C W W W N ~ ~. o Q ~ ~ O W .-. ~~ ~ ~ D -~ ~- =- ,~ V ~ /~ 11 0 8 :. 9 6 N n t 9 ~~ ~~ 3 ,~, S ~ O ~.~ d ~ ~ o J; _~ ~,~ ~~ '~~ ~ ~~~~ M ~' f ~ Y-~ ~ ~ S 7 d ~ ~ 3 ~ ~~ ~ ~ .~ -~ ~ ~ ~ -~ ~ ~~ ~~ o ~ ~F ~o 6.J--~ ~/ r~~ ~ ~~ I ~ o ~ F a ~~ 0 ~1 ~~ ~~ /~ h \ ~( cal S `\ \_ \~ commerce.wi.gov i ^ ~iscansin 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 August 09, 2005 CUST ID No. 226524 ROGER L TIMM TIMM EXCAVATING 3128 20TH AVE WILSON WI 54027 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08109/2007 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1162883 SITE: Site ID No. 702686 Pete Nisen Please refer to both. identification numbers, 215TH Ave above, in all cones ondence with the a~enc . • Town of Eau Galle St Croix County SW1/4, SE1/4, 519, T28N, R16W, Lot: 6, Subdivision: Star View Acres FOR: Description: 3 Bedroom Design Object Type: POWTS Component Manual Regulated Object ID No.: 1032653 Maintenance required; 15 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/Ol), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Zabel A-100 of Orenco FT-0822 Biofilter 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: Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private, Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). 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 Deparment, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. QO G° .:. 5 s ~-~.~;, ~,c ~o s., s ~ ~ ~; o~ ~ .. Y., f~ iI 3 r ee.k `t~ w.4.~re ,,~~ (~" ~osl o ~... ~ Z" , 1 ~~ ~a,,,, 102,25 / o ~ ~ ~X s...,, ~ 1 ,~ \ M 1 ~•• b i..bco~1 ~0 3ew~ ~ J l e ~. q_,a.V ~ S' 9~ d ~~,. w X 5 2 ~~ ' 4, i ,~ . l~ to ~ ~ ~j- ~ ~ .-~~l ~ o '______~3 ~ ~~ • ,. _ ~ . X i ~' 1 J Q„'~ ~.. .~ Z ~~ Ron~r Mn~N wEarNERPao,,s= ~~1NCT~Ch i 1 Grade, elev. ~~~°'~, 4" PVC sch 40, 3' onto solid ground ~c1SY,E.T 3Z~NT'J r}LL P i /'G c~w+E~T,o-~.S C~e~. ~ ~F~ , ~- -~ t Zr. I ~ n. ~, 4 PVC Bch 40 vent r ~g r SEPr~c ~ _ SPECIFI~CAT IOIJS ~~' oos[ ~, ~~ ~ TnuK: M~~UF~.CTURCR; per day IJUM6CR OF OOS[S: ` ` T^~.1K SIZC : ~ ~}" -~C~ GI~Ll.O-JS _ • .DOSC VOLUME S ( ~ ~ S , ~~ ~c.Y~ A~~Rh /'~/wuFACTURCQ; } ~ o r IIJCLUOIIJG OACKFLObd gallons nODCt_ uu~fR: ~ ~ ° ~ ~~ `~' CAPACITIES ~ _ ~~i, o IuCNES CR ~1~~¢ t ~wiTCH TyP[; ~~`~`` ~``~' gallons Z ~3.SZ allons g ~ IUCHES Oa 9 PUMP /~^1JUFACTURCR: ~O`'` S Ca b~~_IUCaES CR ~BO,S(o gallons Moc~~ -JUMDCR', ~4~~5' - Lvl?c~ 3M ~.. ~ So ~ ~ `~ ~MQ~ "`v . D ~ gallons iNC HES o~ _ " ~wiTC H TtiPC; IJOTE_ PUMP A-JO A~AR11 AR6 To eE MI1J11'1UY'~ DISCM/1RCsC RATC,_ Z r` G ~M WSTAI.LEO 0-J SEP~RAxE circuits vEar~C~~` o~iFER[rvCf OfTW[CU PUMP OF- AUO OIJTRIDUTIOU PIPE,. 1~'Z~/ FECT t ^'.~~iMUM uCTWORK SUPPI.y PRfisURE z •s ~-or'~-s ~ w ~ f fT + z'lS FCET OF PORCC MAIIJ X 1'~~ fT ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 2 ~ / ---- ~o r~FRICTIOU F~,cTOR. -.~'~ FEET Z S _ -' TOTAL Dyl.lAl'11C HEAP .-, = ~,2, ~ _!\ ,..._ F F. E T --- . IuTER-.1A~ DI~"1CWb10AJL •Of TA1.1K. LE1JC.7H ~~~` - ~ ;W;O H *~? I 3~ T ,LIQUID pC P T H 1~aG.E 6 a~ ---~ Bulletin CL2.1A F'or Homes Farms Trailer courts t Motels ~' Schools Hospitals industry Effluent Systems anywhere effluent or drainage must be disposed of quickly, quietly and efficiently. July 8, 1983 ~~~~} Model 3885 (Supersedes Model 3870) Submersible Effluent Pumps - __ ~..~i ~ ~=~ ,- = - Solids Handling Ca~_-` ~,. ~t,:. - s:_. _ ~., ~ - Semi-Open Impeller -a~ ~: _ .. __.-_ ';ac.~- Casing Heavy-Duty Solids Handling Dependable Capability to 3/a" 'h, '/~ H.P. 60 Hz Single Phase 115, 230 Volt. '/2, 3/4, 1, 1'/2 H.P. 60 Hz Single Phase 230 Volt. Three Phase 208-230, 460 Volt. r w w LL O Q w U_ Q Z } D J Q r O r O ~~ Slainless Steel Fasteners Series ~~ s~.a nle=~ s;e-=' ' ~ ' _ _ - - resistance Mechanical Seal Maximum Temperature 160`'F. Capable of Running Dry ~Nithou', damage to ccmaonents Motor Specifications Motor Fully Submerged tivn 01 beer'^^y: ~~ _ __ _. ~-_ -~. Bearings Stainless Steel Shaft Senes 30i s. ~^~~ess =.-- '~~r r`_ _. . resrs~ :nee =_._ _ _ '-_: Single Phase Units Three Pn2;.. U~..,.. Power Cord aa_ Single Phase Units SJTO wi;n ~-prong c~~„"~:•~._' GOfd. SPECIFICATIONS ARE SUBJECT Tv C~aNGE WITHOUT NOTICE. ~GOULDS PUMPS.INC. SENECA _q~ 5 ~~`~, ,r ~+ _ -_ o-1S2 ~ O ~ ------, V 0 10 20 30 40 50 60 70 80 90 100 110 120 GALLONS PER MINUTE ,~,.~,..,.., - y.-- _ ~~~~~~~ iL SPORT Department of Cpmmer a J U L 2 0 •2cdrd ce h C m. Adm. Code Division ofSafetvandB ildinaca-..,-,r,~.~(,l-.~,.~T,. \~~~~~/// ~~ #2273 Page 1 of 3 Certified Soil Testing, LLC v~..,,.v,,.vvv,v. P , County Attach complete site plan o a~er~~~tlQ~f~~ 11 in es in size. Plan must i l d t it b t li d t i ti BM di d St. Croix nc u u no e, m e o: v onz n a nt ( on an ), rec percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 008-2007-06-000 Please pr/nt all information. eviewed B ~ D a te Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~I ~~ ~~ ~,, CCv~~I' v ! ~ V ^ 7 Property Owner Property Location Nisen. Pete G SW1/4, SE1/4, S19, T28N, R16W Property Owner's Mailing Address Lot # Block # S 212 215th Ave. Star View Acres City State Zip Code Phone Number ~~_ City r] Village I~ Town Nearest Road Baldwin WI 54002 Eau Galle 215Th St. ~;! New Construction Use: ®Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ^ Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA ft. General comments install 4' x 112.5' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.75' sand fill and recommendations: L / Sv ~e ~ .lit ~~~,,4-~ .~ ~~~ ~(,~ ~t/Q'1~ goring # '~i Boring Pit Ground surface elev. 99.3 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Colar Redox Description Texture , Structure Consisten Boundary Roots GPD/f#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh': •Eff#1 •Eft#2 1 0-3 7.5YR 3/2 - sil 2 m gr ds gs lm .6 .8 2 3-9 7 YR 3/2 - sil 1 m sbk mvfr cs lm .4 ~ .6 3 9-22 lOYR 4/3 - sicl 1 m-c sbk mfr cs im .2 .3 4 22-27 10YR 4/3 f2d 7.5YR 4/6,5/3 sicl 1 m-c sbk mfr gs lm .2 .3 5 27-47 10YR 4/4 f2p 7.5YR 4/6,5/3 scl 0 m mfr - - 0 0 occsional gy si coats on peds; very occasional sbk parting to 1 f pl in H3; thin vertical inclusions lOYR 6/3 fs below 27" ^ Boring # '- 'Boring f~ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture.. Structur® Consisten Boundary Roots GPD/ft' in. tVlunsell Qu. Sz. ConL Color Gr. Sz. Sh. •Eff#1 •Ett#2 i this pit a supplement to 3/6/02 Wegerer report & is ~ center of proposed mound site; design w/ 21" sand per his B-2 Effluent #1 = BODS> 30 < 220 mg/L and TSS 0 < 150 /L • Effluen0# = BOD < 30 mglL and TSS < 30 mglL CST Name (Please Print) Signa r CST Number Henry F. Grote , 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 7/11/2005 715-233-0398 SBD-87)0 (R.07/001 r ti ~ u ~ ~ 3 1 d ~ 3 ~ ~ ~ cS ~ ~ ~/I ~ ~ ~ s ~ l/~ J ( ~ ~ J --~ 3 /r ~ 9 0 v ~\ ~ a '~ ~\~ 0 s ~ ~ ~ ~-+• p -~- ~ --b S'o ;; d j .~- ~ ~ ~]yq ~~J X R ~d ~ 3 2 S J i~t \ \ s s p _ S c_'._ '~ `Clfi fl .~ ~ ~ 2' S I a j t v I ~~ i f ~ j ~ sr ~ I6 9 N ~~~ ~~ ~ I ~ ~~~ [ ,., ~, I ~ ~ i ~ , i f /^ + .9~ /~ ~J 9 ~ ~ ~~~ .c z ~° ~ ~ ~ ~ ~ ~ ~_ ~° ~ 9 C'~ ~ ~ -j d~ 3 d -~ -~ 1 ~~ ~~ a 2~ ~ J ~ ,~ ~~ ~ ~~ c~ ~f ~ ~I} /r~ a ~ f ~ ^, ~ ~~ ~ ~ 9 ~r •~ ~~ ~ 1 ~~ s- ~~~ /, ~o ' S"' o ~~ ~ ,/ ~`~ J ~vJ S ~~ ~ ~ ° r'~ ~ ...a ^'o \~ .,b ~ l~ S~ \\ ~ ~o C'~ ~ S \\ ~\ \`' PLOT PLAPd Scale 1'=~~Q' `-'7 Pa;e 3 of 3 . ~1.,~T S ~-OT LI1VE I ~ 1~0' o~ cn, °~ ~I-I ~cp ~A 0 1 . n ~ ~~ / q tJ / o~ ~ B1r1lk- • ~~ / ~ ~ 3Z ~ ~ / O ~ Yo , CLN'TUvTZ. ~- . 10 ~ _ S E-~, ~p `_-, ~, ~'~i ~~ Lor ~ ;/ 4 / ~r ~ ~- ~ - . c~-.100:0': vii., 1 l ~~TfttC 31 `Dt p - ~ S ~ _B~ :wlT~f. 4r~-NZ- ~ ~,~~. S~ r~ ~ t K k t ~ ~ t -- . .t__-. .l . 3_ (o_U2. 715-425-0165 220254 Q 1 _Z~ _-_- . (;QT Cionature - o -..,_ n~^.~° m i t, •. 1=l=r~l~nc „o. CST ido. Job 1~0. i Wisconsin Department of Commerce SOIL EVALUATION REPORT ~.. Division of Safety and Buildings _ Page I of ~ t in accordance with Comm 85, Wis. Adm. Code K • Attach complete site plan on paper not less than 8 112 x 11 ~ County. S-}-_ C 2O 1 x inGude, but not limited to: vertical and horizontal reference int percent slope, scale or dimensions, north an'ow, and locatio and distance to nearest road. Parcel I.D. Ply ! ft.16 Please print all informatio APR 1 8 2002 Revie d by , Date Personal information you provide may be used for secondary purpo s (Privacy Law, s. 15.04 (1) (m)). Property Owner ~ ~ ~~ 4 C~r2.ls 1'CV S! L L ~~ _ ZONI ~ ~ cation ~avt<-6ot- 1/4 S~, 1!4 S ~ ~ T ~ $ N R I (O E (or W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# ~ `l ~ 1~~ 3 S G - PR.t1PLl SEA`3TWR `ll~ t`~CS~ ~ City State Zip Code Phone Number ^ City ^ Village Town 2t V ~ ~-- ® Nearest Road `-~S wI s~ozZ (~>~, uzb-t~~~ EP~v ~~LL~ i z.o-~-9-V~, New Construction Use:, Residential / Number of bedrooms -~- Code derived design flow rate (~ ~ ~ ^ Replacement GPD ^ Pub{ic or commercial -Describe: Parent material _ G ~..1~"e,l, Y~L ~ I Flood Plain elevation if applicable General comments - ft. and recommendations: I" 1 p l~ 1vD ~~ 9 ~x b .7 ~ D ~S11z1 ~3V `TI t)Kl C~ (r , C'~`COll1;C.. ~f1SV . 1Dp. S' Boring # ^ Boring ® Pit Ground surface elev. ~.• 3 ft. Depth to limiting factor~_ m. Horizon Depth Dominant Color Redox Description Texture in• Munsell Qu. Sz. Cont. Coior p- 10~.~31z - sil Z q.-z.l l~~(z3l6 - si ~ 3 zt-~I -~s~a-Yl~ ~FtB.,._s~~ sls si~l a Boring # ^ Boring ® Pit Ground surface elev. ~ ~ ~ _ S ~ Soil Appliptlon Rate Structure Consistence Boundary Roots GPD/ftz Gr. Sz. Sh. Z`~-sbk Z~ s b k ~~~ ~ w~`fl- ~s erg, - - 'Eff#1 , s . s 'Eff# 2 a $ - 8 1.esbk vn~F~ - • z, .3 nPnth }n limifinn hrfn. \ Horizon Depth Dominant Color R d Soil Application Rate in. Munsell e ox Description Q S C Texture Structure Consistence Boundary Roots GPD/ft2 } Z 3 ~ - ~' ~-l.S lU`-~, R- 312.. lpY2316 u. z. ont. Color ~ sz i sl l Gr. Sz. Sh. Z`Fsb Z`(~Sbk w~`~t- ~-}-- eS ~ ~~ - 'Eff#1 , S S 'Eft#2 ,g , ~ 1 s 30 ~ s~t1z my ~(~ ~ • S~ 2 S/8 s icy LcS bk ~ yn`~F - . z. . ~ 'Effluen t #1 = BOD. > 30 < rzn min ~.,,r rsc »~ ~ , ~ „ __~ - - - - -- _ --- ...,.- "„~~~~...~ - ovuy ~ su mgrs and TSS < 30 m CST Name (Please Print) - ~ / Signa a CST Number Arthur L. Wegerer 'l. ~ ~~ -~' ~ 220254 Address 4d e g e r e r S o i l T e s t i n; & Design S e r V i C e Date Evaluation Conducted Telephone Number 421 ~d. %iain St. diver calls, [7I 54022 3-~-UZ 715-425-0165 -,~ r { '« Property Owner t'C, U S 1 L ~ ~ _ Parcel 101E ~A~l ~ G P 2 3 goring # ^ Boring ~ age - of Pit Ground surface elev. b • l7 ft, Depth to limiting factor 1 6 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft= in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 o- 16Kt~-~Lz - Sil 2~sblz rn`~- CS _ •S ,8 Z 4 _~ to~2t2- ~1 ~ - s i I Z~~ b~ m~- ~ - • s • g 3 16-39 ~S`~-~G l~F ~-S~25L£s Sicl L~Sbk vn~f~ - .-z ,~ ^ Boring # ^ Boring ^ Pit Ground surface elev. il. Uepllr to limiliny factor in. Soil Application Ra Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/If= in. Mansell Qu. Sz: Cont. Color Gr. Sz. Sli. Eff#1 Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Ra Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 ~ •Eff#2 'Effluent #1 = 8ODa > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODa < 30 mg/L and TSS < 30 mg/I. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material itt an alternate format, please contact life departmettt at G08-2GG-3151 or TTY G08-2G4-8777. SODb)30 (R.6/00) ~ - PLOT PLAPd "` r Scale 1'=~~Q' WT LitiE v. ~ ~~ ar 8r1 #l ~~ ~.~~' ;. i ~.~ , , ~ r ~ 8~~-2 ,~ / • ~ ~, , ~z © ~ j / / ar O i Yoh ~S. ~•3~ j O p. ~./ Or 30 , C~[q~Q ~ • tp b _ 5 ~ Ems, !v ~_ ~. ~~ v ~, / ~.UT S t_oT~ 6 Page 3 of 3 ;~ / / ~ 3ti~ ~ t ~ L'2,. I00 ~ • vim, l l `~`I`P~t-C~ 3l~ "D~ p_ Rte: _=e~K -wh- ~~ . -_ 4r~'f4 2 _ ~ ~ ~ ~ . S ~ ii '1 t k K K t .~ t - _ _ . _ / ...-- - ~, 3_ (~_U2. 715-425-0165 220254 o~-Z~-~ -o-• ~.~ 1=~eY~~o.-~e ~~o. CSTrro. Job PZO. i ~ ~ a s.t 'M' ~ ~~- - ~" . • k =5 PIC F,t ~ 17+70 ~ ~ .. N ' ~ :. . /, I 6 I ~ ~ ~,~ ~ ~ ~ ~ ~ ~, r` ~~ ' 0° ~ i TEM R ~ i UL-0 SAC i a ~ i EME i a ~ ~i I I ~~ ~; '' LOT 5 ~~~ ao , 4.02 ACRES ~ (4.OZ ACRES) ~ Di ~i ~; I a, ~; ~~ ~ ~ B-z ~' ~ 1190 I !Q~ I • B-1 I B-3 I ; 9'46"E 3T3.TT .1 86°ZS' 6-58.83' °36'4 "W r U ~ • '. -1 w -2 1190 / / L T 6 B-3 a.as cR ~ ,~ / / . 3.65 CRE) y~' ~ • / / ~ .' • ~ ~ B-2 2 • ~ -3 • ~ 1d 3.06 ACR • ~ (3.06 ACRES) B_ 1210 ---- -- -~ / ~ B-3 • ~ .AS MEN ~ • • - - - _ B- _ __ B _ ~- System Management Management of this system is critical.• As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Timm Excavating, 7 ] 5-772- 3214, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to senle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant toad design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 795205 `\ U, 2804P 289 State Bar of Wisconsin Form 1 - 2003 KATHLEEN H. IiALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. NI Document Number Document Name THIS DEED, made between Hrian Heutmaker and Tamara R. ~ Heutmaker, husband and wife ("Grantor," whether one or more}, i and Peter J. Nisen a s i ng I e person ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Properly") (if more space is needed, please attach addendum): Lot 6, Star View Acres, Town of Eau Galle, St. Croix County, Wisconsin. RECEIVED FOR RECORD 05/17/2005 01:30P)M YARRA)iTY DEED E%E1~T # REC FEE: 11.00 TRAtIS FEE: 162.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Narne and Retum Address Title One Premier Group, Inc. 706 19th Street South Hudson, WI 54016 008-2007-06-000 Pazcel identification Number (P[N) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Roadways, Easements and Restrictions of Record. Dated ..7 (SEAL) (SEAL) *Hrian Heu aker *Tamara R. Heu ker (SEAL} (SEAL) ~ * AUTHENTICATI ~P~~,EE al, BG ACKNOWLEDGMENT Signature(s) yt~ STATE OF WISCONSIN ) (YQ > ss. St. Croix COUNTY )Q authenticated on ~O ~ '~ personally came before me on .5' J~J `D.S~ N~ PUeL1~+ ~ the above-named Brian Heutmaker and * ~ '~J Tamara R. Heutmaker TITLE: MEMBER STATE BAR OF GQ to me known to he the person(s) who executed the (If not, ~S foregoing instrument and acknowledged the same. authorized by Wis. Stat. § 706,06) - TIiIS INSTRUMENT DRAFTED BY: *Meri ee J. Bune Michael H . Forecki, Attorney at Law Notary Public, State of Wisconsin Eau Claire, WI 54701 My Commission (is permanent) (expires: 11/20/2005 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2003 tType name below signatures. Anomey Michael H Forecki 7452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701-7928 Phone. (715) 835-7029 Fax: (715) 875-4112 TS875I27.ZFX Merilee J. Bune Produced wdh ZipFormTM by RE FormsNet, LLC 16025 Frflaen Mile Roatl. Clinton Township, Michigan 48035, (B00) 383.9805 www.ziWorm.com ~~ Z '3 ~~ ~I ~~ ?.1 ~i ~~ ( N S86°28'12"E 385.97' / ~~ ~ / ~ ~ ~~ ~••~ ~---- 5 N86°28~ 4j 2.65' - -- " '- - - ' ~ ~~ _ ~ _ _ ". _ 340.10' -~_ - iri ._ 1 ~ 6 6' 9 '~9~,, 30' DRAINAC3E EASEMENT 1 ~ ' 1 b .- ~ I DoT ~ I ' 3.528 ACRES ~ `"QT '~ r (153,679 SQ. FT.) 3,348 ACRES I ~ ~ I (145821 SQ. FT.) to ' I (V ~ N ~ M.F.F.E = 1196.5 ~ ~ I I I ~ H AVENUE 7'29"E) S1/4 COR. ~' SW1/4 _ SEC. 19 . ~ 5y5 ~O~~22p .~ / , .. Z ~ , f I ~ ~~ i .~_ •i • i~ ~ 33, 33' H.W.E. = 1194.5 ~~~' 6 6' ~~--------! S88°06'14"E 340.26' ~" ~ r"!!~bENUE S86°28'24"E 713.06' - -"-- - ~° \~ -'--- (N85_49'27"W 713.18 SpUTM UtVE OF THE 3E1/4 d ~4 ~ MGIG°~dLQ44GD ~,LQ[-~D~ ~ Ot~M[~D o ~ 04aL~1~3 ~ r - S86°06'14"E 306.x' w'~~~. i S86°28'12"E 373.94' N86°28'12"W ~ ~ ~3~6'42"W ~ sss.o2 2s.7r •--~--._ _~ LOT 6 3.592 ACRES , ' ~ ' (156,449 SQ. FT.) / ~ p~~ 3 O`Nner/Buyer ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . ANO . OWNERSHIP CERTIFICATION FORM ~~ N ~s~r, Mailing Address ~~ Y~ Property Address W a ~ a. ~~ `}'p1 (Verification required from Planning Department for new City/State _ ~ ~~ Parcel Identification Number t~~ - Z~~ - o~-o0.' LEGAL DESCRIPTION S ~ ._. Properly Location ~~ ~ %., ~ '/,, Sec. ~, T ~ N-R~W, Town of ~-~ ~~ll-P . Subdivision ~~~ I~d `~ ~~~' Lot # Certified Survey Map # .Volume .Page # Warranty Deed # ~~2y~ Volume _ ~~_, Page # Spec house (] yes ~ no Lot lines identifiable ~ yes ~ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days a three year piration date. 46/ao l ~ SIGNATURE PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the r pe desc ' above, by virtue of a warranty deed recorded in Register of Deeds Office. ~/~/o~ SIGNA F APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. *****` ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Parcel #: 008-2007-06-000 os/1s/2oo5 04:00 PM PAGE 1 OF 1 Alt. Parcel #: 19.28.16.565 ~ 008 -TOWN OF EAU GALLE Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-owner O -NISEN, PETER J PETER J NISEN 3944 WESTLEY WAY EL SOBRANTE CA 94803 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 212 215TH ST OR SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 3.592 Piat: 2504-STAR VIEW ACRES 1/8 008/03 SEC 19 T28N R16W PT SW SE STAR VIEW Block/Condo Bldg: LOT 006 ACRES LOT 6 (3.592AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-28N-16W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 05/17/2005 795205 2804/289 WD 05/12/2004 762363 2570/218 WD 02/26/2003 711301 9/50 PLAT 9f1(1~ CI IMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations' Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.592 28,300 0 28,300 NO Totals for 2005: General Property 3.592 28,300 0 28,300 Woodland 0.000 0 0 Totals for 2004: General Property 3.592 28,300 0 28,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 . y w~sconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page I of 3 . - to accordance with Comm 85, Wis. Adm. Code • ~-- Attach complete site plan on paper not less than 8 1/2 x 11 inches in size: Plan mutt 'County, inGude, but not limited to: vertical and horizontal reference point (BM), direction and S~' C ~-~ 1 x percent slope, scale or dimensions, north avow, and location and distance to nearest road. Parcel I.D. PQv~ I ~ 6 Please prinf all information. Reviewed 6y , Personal information you provide may be used for seconds ( ~, Date ry purposes Priva law, s. 15.04 (1) (m)). Property Owner I C ~2l s 1~v Property Lccation ~J! L `~~ Property Owner's Mailing Address ~v~' S w 1/4 S~, 1/4 S ~ ~' T G~ N R I ~ Ll l ~y , i , 3 S Lot % Block # Subd. Name or CSM~ ~ E (or~ sty State Zip Code Phone Number C~ I ~~pU ~pgT~ V ~~ ~'~ ~-LV~- r- ^City ^ Vil{age ®Town Nearest Road `fl CSI W) S~0 ZZ ('~l~ uZ(~-11-7 ~~ GprL,l,~ I Zp -i~t- New Construction ~ ~ " Use: ~ Residential / Number of bedrooms ~ ~ Code derived design flow rate ~ 0 0 Replacement [] Public or commercial -Describe: GPD Parent material G L,~l'i~-t_ ~ I General comments Flood Plain elevation if applicable _ ~ ~ ft. and recommendations: t"1pl~1vD ~/~ rKb7 r 1~`S1~.L13V`T1t,AJ CAL, t"'11 ~v ~ N7 V Z. L ~. C~hl`CpI~~L ~ZCSV , t~O, S' a Boring # ^ Boring . ® Pit Ground surface elev. ~.• 3 ft, Depth to limiting factor __.____~ in. Horizon Depth Dominant Color Redox Descri lion Soil Application Rate P Texture Structure Consistence Boundary Roots G?D/ftz in. Munsell Qu. Sz. Cont. Coior Gr. Sz. Sh. 'Ef;R1 •Eff~2 o - b0`~R- 31 z - - s~ 1 2`~'s1 k~ wf.~~- cs s l S Z~ s b~ ~n.'Pr- ems, _ , s - 8 3 Z.~-u -~.s~.rZYlb ~t8.,..s~~ S1~ si~l I ~sbk I ~n~F~ - • Z- • 3 I Borin ~ g _ l Z Boring # ®Pit Ground surface elev. (-` ft, Depth to limiting factor ~ S i Horizon Depth in Dominant Color M Redox Descri lion P Texture n. Structure Consistence Bounda R t Soil Application Rate 2 • unsell Qu. Sz. Cont Color Gr Sz Sh I ry oo s GP D/ft I O - ~' lb`'l iL 31'2.. '- S ! ~ . . . `F5 b 1-~ Z Wt`F1-- o 'Eff1 'Eff#2 ~ ~-LS lDY2316 - s!I . Z`Fsbk) S L wrf- - _ , S ,8 ` 1 e ~' - .s , v S-3o ~ I I ~~ ~~,~ - I .i. .~ 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mglL ST Name (Please Print) - arthur L, tde~erer signs e ddress ~' ~~egerer Soil Testin; & Design Service 421 ~d. l~iain St. River Falls, (•1I~54022 ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L ~~_~ _ /_ C~ Evaluation Conducted 3-~-U~ CST Number 220254 Telephone Number 715-[~~5-n1 „~ ~i Property Owner ~' V S 1 L Boring # ^ Boring P(t Groun Horizon Depth Dominant Color in• Munsell 0 - tb~ttz jGz ~- 4 -1 !O`ZR- 31 ~ 3 16 -3q ~ S ~~ ~~6 Parcel ID # ) ~ G page Z of 3 i surface elev. ~ ~(1 • l7 tt, Depth to limiting factor ~b in. So(I Applfcation Ra Redox Description Texture Structure Consistence Boundary Roots GPp/fl2 Qu. Sz. Cont. Color ~ Gr. Sz. Sh. •Efl#1 •Eff#2 Sit 2 5b m`fi- CS _ , S ,8 -' s~ I Z'F~b-~ ecJ - . s . ~ L~F ~ •s'-12 sL8 sic! ~~ sbk Vn`Ftr - , i. , 3 ^ Boring # ^ Boring ^ pit Ground surface elev. fl. Uoptii to lirrriliny factor / irr, Horizon Deplti Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil Application Rate tn. Munsell Qu. Sz. Cont. Color ~' GPD/ft Gr. Sz. Sh' •Eff#1 •Eff#2 ^ goring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor In, Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil Application Ra In. Munsell Qu. Sz. Cont. Color ry GPD/ft Gr. Sz. Sh. •Eff#1 ~ •Eff#2 • Effluent #1 = 8ODa > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = - BODa < 30 mg/L and TSS < 30 mg/L The Department of Conunerce is an equal opportunity service provider and employer. If you need assistance to access services or need material nt att alternate format, please contact tltc department at G08-2GG-3151 or TTY G08-2G4-8777. L6D~6JJ0(R.N00) . , ,~ y PLOT PLAP1 Scale 1' _ ~~Q' ~bo~ ~-1~T L ttuF, _ ~~ o ~ ~ ~-t ~8 0~ ~,~b~l 3 / e~ ~.~ ~ ~ o~ o .a ~j~ j / r I ~s• ~.3 i OQ. •~/ 30 L`thT[pv[z ~L . lO b , s % E'~, lp ~_ ;~' ~~ v V~ 3'Z or Yoe ~ ~, o -T ~ '~, (r }~U~n~ ~~ _. ~ Pave 3 of 3 ~~.o~- S Lor 6 /~ 0 / ~ 3t")~t =:::.EZ=a00:~Q~:Or~, ll`'?'~-C~ 3/~"DiA, iZ~._e~ -y~lT~_ i .__------- ~, ~_ (~_U~2. 715-425-0165 220254 CJ 1 _Z~} _ (~ (,•CT Ci on~tllT'E D~~~ T,,, ~. •r Job i~0. 1~~2~,~,one ~~o. CST i1o. ~GOULDS PUMPS Submersible Effluent Pump EP04 & EP05 Series APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 3/d' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z" 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 or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 S1TW with three prong grounding plug. Optional 20 foot length, 16/3 S1TW with three prong grounding plug (standard on EP05). ©2003 Goulds Pumps Effective July, 2003 83871 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic semi-open design with pump out vanes for mechanical seal protection. METERS 10 9 a °a ~ W x v 6 5 O a a 0 ~ 3 z 1 0 FEET 3( 2~ 2( 1~ 1( s 00 o z ^EP05 Impeller: Thermoplas- ticenclosed 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: Thermoplastic cover 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 Canadian Standards Auoaation S ~ ~ Fle # LR38549 Goulds Pumps is I50 9001 Registered. i i --- --- - ------- ------- i--------- ----- ~ i -------- - -- r --~ 5 GPM LL~~11 L2.5 cr -- --- I -- ---- --------- ------- i ~-------- ------ --------- ------------ ------- ------ +---- - ---EP0 5 ~--- -------- ---------- -------- ~ ------._- 1 ---------~ ~ ----------- ------- ------ I ---EP0 ~ 4 ----- - ----- ------ -- I ----------- -----------~ ---------_. -.--------f ------- --------- ----- --------- -------- 10 20 30 4 6 8 cAPaclTv 40 50 GPM 10 12 m3/h J Goulds Pumps 4~J ITT Industries ~~GOULDS PUMPS io e 6 9 5 4 3 1 2 Submersible Effluent Pump .. EP04 & EP05 Series COMPONENTS DIMENSIONS Item No. Description 1 Impeller 2 Base 3 Pump Casing 4 Mechanical Seal 5 Ball Bearings 6 0-Rings 7 Power Cord 8 Oil Filled Motor g Motor Housing/ Stator Assembly 10 Motor Cover PERFORMANCE RATINGS Total Head (ft of w t r) Gallons Per Minute . a e EP04 EP05 5 53 - 10 46 62 15 36 55 20 21 46 25 0 33 30 - 11 MODEL INFORMATION 11 6" MINIMUM WATER LEVEL WHEN) SUPPLIED WITH FLOAT SWITCH APT Minimum Float Switch Cord Discharge Minimum Minimum Minimum Maximum Shipping Order No. HP Volts Amps Circuit Phase Style Length Connection On Off Basin Solids Weight Breaker Level Level Diameter Size Ibs/k EP0411 Plu / No Switch 10' 1'/i' Manual Manual 15" 20 / 9.1 EP0411A Pig back/Wide-Angle 10' 1'/i' 12" 6" 15" 21/9.5 EP0411 F 4 115 12 20 plu / No Switch 20' 1'/:° Manual Manual 15" 20 / 9.1 EP0411AC Piggyback/ Wide-Angle 20' 1'/:" 12" 6" 15" 21 / 9.5 EP0412 1 Plug / No Switch 10' 1'/:" Manual Manual 15" '/9" 20 / 9.1 EP0412F 230 6 10 Plug / No Switch 20' 1'h" Manual Manual 15" 20 / 9.1 EP0511 F Plug / No Switch 10' 1'/:" Manual Manual 15'` 22 / 10 EP0511AC .5 115 13 20 piggyback/Wide-Angle 20' 1'/z' 12" 6" 15" 23 / 10.4 EP0512F 230 6.5 10 Plu / No Switch 20' 1'/:" Manual Manual 15" 22 / 10 Goulds Pumps and the ITT Engineered Blocks Symbol are registered trademarks and tradenames of ITT Industries. wvuw.goulds.com PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. (All dimensions are in inches. Do not use for construction purposes.) Goulds Pumps ITT Industries 08/19/05 FRI 13:19 FAX 715 386 4686 m d ~~ ~_ w ~r 0 v °m 0 m O D D ~n O Z z rn r O -~ Q Z n 0 z J~ 1 ^C J -~ 0 Z O Z r D Z m m Z rn m m v m 0 m m Ac . _ rn v c z 0 n rn I~ Yom' ~~ ~ ~ (/~ -•~ .z~rno v ~ o ,,.. z %~ .-00 o ~' -r ~ Z .. r 00 r" . ~ m~ ~ c v ~ 0 z r c 00 rn r n N ~~ O S a' ~ ~ ~ v v r ~ 0 ~~ ~ s~ o m ~ ~~ ~ ~ a ~n m _ y '° d m ~ d~ ~ a3'~ ~~m° ~~~~ n ~ , n m ~ ss ~ W ~i F. ~ 'Z ~ 7 ~ 7 -Ow N 1~ ~~~~ y ~d^md A N a~~ ~~~~ N aw~'°'~ y `~'^ ~ ° ~' ~ . . o'~m~ 3 aW~n~ o ~ ~ ~ ~ y, ~ ~ a H O Y 1 .~~ ~ O' ~ W R d ~ 2 1 p' ? y a ~ y 7~ ~ L/J > > ~ ~. -.~ °~ ~ ~ m~ ~' ~d d w rz"w ~. -~ ~ o N 0 N N ~ ~. ~, , • ~~ O Z m D rn y D Z ND N~ N~ ~m ~~ ~~ X001 n s i~ 0 Z w 8 3 ~~ 0 .~ r~ W^ '1"'~ O W r