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HomeMy WebLinkAbout008-1056-30-000~* ~' WisFonsin Dgpartment of Commerce PRIVATE SEWAGE SYSTEM Saf2~ty and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, x(15.04 (1)(mll. I~FW6I~'~ry ^ city ^ vL~ ®a1t~TQSwnshi CST BM Elev.:- Insp. BM Elev.: BM Description: 1i~ TANK INFORMATION ~ TYPE MANUFACTURER CAPACITY Septic ~ ~O11 Dosing ~~ 0 Hol •ng TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic y ~ / S g. ~' - NA Dosing y~ ~ $~ ~ ~ ' ~ 3 ~ NA A A Holding PUMP /SIPHON INFORMATION Manufacturer ~ ~ S Demand Model Number w ~~~,'1.GPM TDH Lift I q, ~~ Lriction ystem S TDHJ .23 Ft Forcemain Length}L~ 'Dia. 2," Dist. To Well SOIL ABSORPTION SYSTEM ELEVAf10N DATA n iu No.: STATION BS HI FS ELEV. Benchmark ~ Bldg. Sewer ~, ~ ~Z ~~ S / Ht Inlet ~ /2• ~~• St Ht Outlet A 2.3 4 ~U Dt Inlet '~ ~ 3.5 d ~~ , (~ Dt Bottom b¢ ~ ~Y.t 6,15 ~ ~ , Z~ ~ O Header /Man. 7' U Z 9 ~' Dist. Pipe ~' ~(. IZ qd , lob Bot. System y S~~ 9 ~- zs Final Grade 1 z . y~ ~y. ~~ 9 , d ,D Pv ~ ll, lp ~'3- os, BED /TRENCH Width Length , No. Of Trenche ~ PIT No. Of Pits Inside Dia. Li uid Depth DIMEN I N ~ / (fib ra, D ME SYSTEM TO P/ L BLDG WELL LAKE /STREAM LE Manufacturer. SETBACK INFORMATION ` p y ~~ ~ - HAMBER OR UNIT Mo e tem: Sys / p UO DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) ~ ~ „ ~ x Hole Size x Hole Spacing Vent To Air Intake Length ~ ~ Dia. 2 ~~ Length ~ Dia. I /2 Spacing -~ I~ Z Y+~ 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 B d /T h C t B d /T h Ed T I ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection 1: ~' /ZS7 d/ Inspection #2: I /~ Q l Location: 2125 30th Avienue, B Idwin, WI 54002 (SW 1/4 NE.1/4 19 T28N R16W) - 192816279 1.) Alt BM Description =~rrp e~ ~`~ S ~~ ~e~( ~ ,~'~ 2.) Bldg sewer length = I P' -amount of cover = ~ /P`' ~ ~ `~~ ~6 ~°~ G~~ ~ 5~~~-~l~ 3.) contour = ~,, a,~= q y ~ yr I ~) v-Ofi~ ~,0, S~ -tve.,,, (l~~t~U•-~ ~j ,l 7~`~~ 4c~'.~ma~°.Y WQ5 1~~~l~Tc.~ I'~ ~lc~~C Plan revision required? ^ Yes (~] No Use other side for additional information. q Z k SBD-6710 (R.3/97) Date Inspector' ign ture Cert. No. all (,v~rp~ e rent en er a rent ges opsoi Q~ ,~ t ~ v i' ... ~ -, ~-- ~ n ,d.. ra Lt L~ ~JV . t J.L~1 _ _ Sanftary Permit Application safay & Buitdinp p;vis;on In accord with Comm 83.21, Wis. Adm. Code 20I W Washington Ave. ~ Box 7302 ` ~s'~ ~~S'~~ See reverse side for instructions for w this application f u °Sa Madison, WI 53707-7302 - Oepartment Qf ~orriirierce o[ s arY P ~P Personal information you ~ovide l '~ [Privacy ~)) .- (Submit cotnpkkd form to county if not : state owned. Attach com lete laps to the coon 1 r the 'not" s than 8 -IR x I 1 inches in size. County ~, .~~' /.2~~1> State Permit Number previous appl ; 'on ~ ~. State Plan . D. Number / (o A lication Information -Please Print sit Informer oa- -, ?~ Location: I . Property Owner Name _.. ~ t, ~ "' GF~i Poopa'ty Location "~' ` S W T " i E ~ : v ~ ~ . or N, R l l/4, S t/4 ~^ ~~ ~-. , n N~ SL" l!/ property thvrte~'s Maii' Address Lot Number Block Number /' r / C ~f ~ ~ ~ / ~ ~ 7~ l~% J~' .Pfione Numbu Subdivision Name or CSM Number City, State Z.rp Code II. a of Buildin check one [~ """` ~ C'ty ~yp g; ( ) ` r - GV5 ~ ~,av~ri. ^ }tillage .. 1 or 2 Family Dwelling - No. of Bedrooms : ~~- (- Town of ~' ~ ~~ ~ { (r ' j l /E' ^ publidCommercial(describe use):_ ^ State-0wned Nearest Road 30 `~A,it?~ t , ~ '1 u S rt 5 (1 Z~ ! Pazcel Tax Number(s) n ~>.P-/C'~~ ~ jC - L~c~ 2 o~L K C ~ III. T e of P rmit: Check onl one box on line A. Check box on line B if a licable 6. ^ Addition to 5 • A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. Existin S stem S stem S stem Tank Onl Permit Number Date Issued B) ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply) ,.,/~ ^ Sand Filter ^ Constructed Wetland d ^ Non_pressurized In-ground c' riO~ ^ Sin le Pass ^ Drip Line ^ Pressurized In-ground ^ Holding Tank g ^ At- de ^ Aerobic Treatment Unit ^ Recirculat ^ Other: V. Dis ersalJTreatment Area Information: Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade 1 / Elevation . Requited Proposed Rate (GalsJday/sq. ft.) (Minlinch) ~ ~ •55 ~~ 96 o ~ , - ~,~a ~„ ~,~ ~~» ~ ~ VII. Tank Capacity in Total # of Manufacturer Prefab Con- Site Con- Steel Fiber- glass Plastic Information Gallons Gallons Tanks d Crete strutte New Existing . Tanks Tanks ^ ^ ^ ^ // ~~ /'tsr.~n ^ ^ ^ ^ VIII. Responsibility Statement I, the undetsi ed, assume re nsibili for installation of the POWTS shown on the attached lans. Business Phone Number Plumbers Name (print)/ / Plumber's Signature (no stamps)/: MP/MPRS No. _ ? / Plumbers Address (Street, City, State, Zip Code) ~ ~ ~ ? ~ . /l/ ~ ~ ' ` ' r"~.~ L ~ ~ , ~7 t. ~J; rte." % 1. C~ r' % %.%a ; IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued mg Agent i (No stamps) Approved ^ Owner Given Initial Adverse Surc e F3 ~ •. 2 2~ ( `- 'LS l Determination ' ~- D InJ=~ X. Conditionn's of(Approval /Reaasons for Disapproval: ~~ ~,.~~~µ, ' __ " ~, ~ ~ ~ ~v-r J.~_ ttitiu ~" l ba.- ~ ~'~~ S~'Dd-r-~S 011QS ~ S ~S t ~i i s /In~lct,i ~-au ~eOC as ~/ w~a.c i/i~/S ~ct9~~•'^'t e.~dLct~~s . ~ - • J ~. ~ p*a.,4~e. 3sy'` Tr<e LTne Pro poseo' well ~~ c ProFbsed '~ bdrnt. ('eS~d¢.+oa~ pro posed l,,?so qe0. Sep'ti'c-~.AK w~ ~abt ~ rl/6v o4 ff~ F'/,E~ ~ /ea~nc/a/ xa,~ ~ iDr9'~• swryhEyy See. /9, T. c~ Fau Cx//e, 5~. C~oiX Cey c.J/. Pi{ • E/eda-E;on O lp' yo` r. 't G~4de 0.~ bu;lda~ S,"te= BB.93 vn fou~0{~S(p+f~C~N~ w "rl. s.r. ,.~. 3o3v p,/,e. eC<'heegf /:Rt N E/t ~ = 9_S. 78. v v v P~oposcd 7so 9•~ 2,"Sc.~i. f~oP.d.e, ~orC¢ wta;a f~ o_ 9 L ~ o_ .` V` ~` ~ '~- ~ ~ (fro poster /-toknd a{ ts/,t X //9.i ~ (p'X~~~46sorp~ilA~GC/~. r~z"/a1e/'a:LS a-E y9 o'Cac./~ wrt 6 ~`, DI ~~ `- ~"or7Fi~-G e~o~+lir~5 a:E 1S~~pac 'o - ~ I ~~ ~~~ ` `^ ~ ~ ~ ~ ~ ~ h ~-.- ~ _ • ~ -, -.., ., ` _ _ -3z Fence Fost. ~ssccned ~, g3~ '. - ~ _~o+ ., • ,~ ~ ~ ~scons~n Department of Commerce October 19, 2000 OUST ID No.220853 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/SB Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN.• POWTS INSPECTOR ~'~~ •>^, / ~. i ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD ~IUDSON WI 54016 DALE E HUDSON 1416 220TH ST EMERALD WI 54012 RE: CONDITIONAL PLAN APPROVAL E~ ~~ RfCE~VEO --( D C T ,? :t ZpCC ~~, ST CROiX OFFICE /C / ~`~~~' 1/ SITE: ~~ • 9 y Site ID: 200681, Randal Ramberg St. Croix County, Town of Eau Galle NW1/4, NE1/4, S19, T28N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: Identification Numbers Transaction ID No. 443836 Site ID No. 200681 Please refer to both identification numbers, above, in all comes ondence with the a en 767331 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED.' The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • An effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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. DALE E HUDSON Page 2 10/19/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~ ~~ Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM j swim commerce. state.wi.us DATE RECEIVED 10/10/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ,~ ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/SB Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 19, 2000 CUST ID No.220853 DALE E HUDSON 1416 220TH ST EMERALD WI 54012 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIItES: 10/19/2002 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 200681, Randal Ramberg St. Croix County, Town of Eau Galle NW1/4, NE1/4, 519, T28N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 767331 :Identification Numbers. Transaction ID No. 443836 Site ID No. 200681 Please refer to both identification numbers, above, in all comes ondence with the:.a enc .., The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • An effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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. DALE E HUDSON Page 2 10/19/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~~ ~ Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM j swim commerce. state.wi.us DATE RECEIVED 10/10/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Owner Address Randal Ramberg 4 bedroom residential mound Randal Ramberg -- ~~ 7D 77(}th Str~?t Baldwin, WI 54002 5W Legal Description -NW1/4NE1/4, Sec. 19, T.28N., R.16W. .w.-r S. Township EauGalle County St. Croix C(~YltlitiOlZally Subdivision Name Lot No. ~ ~ ~ ~O~E ARTMENT Of COMMERCE Parcel ID Number 008-1056-30-000, ID#19.28.16.279 oiv~s-oN saF YA BUILDIN6S~ /~..__~~1'.1~ Plan Transaction Number - SEE GORRESI~NDEfVCE Index and title sheet Mound calculations Mound drawings Pres. dist. talcs. and laterals TDH and pump tank drawing Puma specifications _ Site plan ~Tum-up detail POWTS management plan Attachment: Soil evaluation report Designer Dale Hudson ~ l/ Signature ~ ~. l7" Date 9/28/00 Page 1 Page 2 Page 3 Page 4 ~ ~ 1'~ ~ ~ 11' ~ t9 Page 5 t~ V LJ Page 6 ~~ (,; i~ _: ~ ~Q~~ Page 7 `Page 8~+~~c~ Page 9 G Page 10 License Number Phone No. & BLDGS Di~'e 220853 715-684-3378 Page 1 of 10 MOUND SYSTEM DESIGN Complete red boxes as necessary. Residential or commercial? ~~(r or c) 750 gpd maximum design flow. Slope 5 Design flow rate 600 gpd Depth to limiting factor 21 in In situ soil infiltration rate 0.5 9Pd/~ Contour line elevation 94.8 ft Use standard fill depths? x OR Design depth? C~in Place X in box to use standard depths (24 and A+4 inclusive) OR specify design fill depth. Orifice density 6.00 Orifices Per ff 0.125, 0.156, 0.188, 0219, 0.25, Center or end manifold c tc or e> Orifice diameter 0.125 in o.za1, or 0.313 inch only. Lateral spacing 3.00 ft Use o lateral spacing for trenches. Estimated orifice space 2.00 ft Not a final calculation. Number of laterals 4 Pump tank elevation 81 ft Outside bottom of tank. Forcemain length 165.0 ft Forcemain diameter 2.0 in 1.s, 2, 3 or a inch only. 2.067 in Actual I.D. DIAMETEK GUNVtKSiUrva 1 /8 = 0.125 1l4 = 0.250 SYSTEM SOLUTIONS 5/32 = 0.156 9/32 = 0.281 Design flow rate 600 gpd 3/1s = 0.188 5116 = 0.313 7/32 = 0.219 Absorption cell Application rate 8~ area Linear loading rate (LLR) Design width (A) Cell length (B) Depth of cell (F) Sand fi{ter Upslope fill depth (D) Downslope fi11 depth (E) 1.0 9th 600.0 ~ 6.00 gpd/ft 6.00 ft 100.0 ft 9.5 in Basal area required (gpd/infiltration rate) Supporting components Topsoil depth Subsoil depth at center Subsoil depth at cell wall End slope toe length (K) Up slope tce length (J) Down slope toe length (I) Total mound length (L) Total mound width (W) 15.0 in 18.6 in 1200.0 ftz 3.0 in 9.0 in 3.0 in 9.58 ft 7.30 ft 10.90 ft 119.16 ft 24.20 ft Project: Randal Ramberg 4 bedroom residential mound Transaction Number: Page 2 of 10 MOUND PLAN VIEW 24.2 ft I W I =down slope dimension J = up slope dimension K =end slope dimension -bsenration pipes (typical) =absorption cell (Ax6) =plowed area (LxW) A = 6.00 ft B = 100.0 ft J = 7.30 ft I = 10.90 ft K = 9.58 ft 1/6B = 16.67 ft typ. obs. pipe (anchored securely) s~ MOUND CROSS SECTION D = 15.0 in topsoil ~ H subsoil cap E = 18.6 in lateral F - 9.5 in invert 96.55 ft ______ . • elev. ---- -- ::::::::::::::::: ~F G - 6.0 in T .. ASTiw cis H = 12.0 in y Sand Fill y sys. 96.05 ft ~ elev. 94.80 ft contour 5%~~ slope D = upslope fill depth plowed layer E = downSlope fill depth Note: Absorption ceN media v~il- consist F = absorption Cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across AxB media. The cell H =subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes• System installation to comply with standards as specified in Mound Component Manu SBD-10572 P (R 6/99) Project: Randal Ramberg 4 bedroom residential mound Transaction Number: Page 3 of 10 ~ _ 119.16 ft PRESSURE DISTRIBUTION CALCULATIONS Dispersal cell Width (A) 6 ft Length (B) 100.0 ft Lateral specifications Number laterals 4 Orifice/lateral 25 holes Lateral length (P) 49.00 ft Orifice diameter 0.125 in Lat. dis. rate 10.30 gpm Sys. dis. rate 41.20 gpm Orifice spacing (X) 24 in Lateral diameter Pipe diameter Design options Design choice Designer must '7C" one choice from the options provided. Manifold diameter crab '~C" one choice from the options provided. 1 in X 1 1/4 in 7( 1 1/2 in X X 2 in X 3 in X Pirva rliarrrafx nesian ootlons Desifln choke 1 in x 1 114 in x 1 1/2 in x 2 in x X 3 in x 4 in x Place X in red box of chosen diameter. 'lace X in red pox of chosen diameter Distribution system contains: 4 Lateral(s) LATERAL DIAGRAM -CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Force mai n connection Ufa tee or cross to manifold at any point. P Laterals are identical ~ =Turn-up ~m'ball valve or (f- X-~IFKJ2 ~ x231 Laterals & Force main of PYC Sch 40 cleanoutplug per COMM Table 84.30-5 Holes drilled on the bottom of the lateral. .~ Lateral length (P) 49.00 ft Lateral spacing (S) 3.00 ft Orifice spacing (X) 24 in Manifold length 3.00 ft Orifice diameter 0.125 in Lateral diameter 1.50 in Forcemain diameter 2.00 _ in Project: Randal Ramberg 4 bedroom residential mound Transaction Number: Page 4 of 10 TDH and Pump Tank Drawing Total Dynamic Head Operational head 6.50 ft Vertical lift 14.65 ft Friction loss 4.60 ft Total dynamic head 25.75 ft ~ Dose Volume Dose is > 5.9 times lateral volume Lateral void volume 20.7 gal Minimum dose 122.1 gal Drain back 28.7 gal Dose volume 150.8 gal grade levels Are laterals the highest point in the system? Yes "x' here. 1_..~~ If no, what is the highest elev~ion downstream of pump? C~ Forcemain drain back to tank? ("X' one) x Yes No Typical Pump Chamber Layout In combination with state approved treatment tank. approved manhoe cover wtth weather proof n . /'~- warning label and locking device junction box 4" vent pipe ~ I electric as per NEC 300 and Comm 16.28 WAC wall of pump chamber a combination tank A alarm on pump on B pump 81.9 ft C off elev. D grade levels disconnect 3 " of bedding under tank Tank manufacturer Weiser Concrete 750 gal Pump tank capacity 20.28 gal/in Pump tank volume 750.36 gal Pump manufacturer Goulds Pump model number 3885 WEO5H o A c B Alarm manufacturer Levelarm °~ 1= C Alarm model number DLV D D Project: Randal Ramberg 4 bedroom residential mound Transaction Number: attemate outlet location 18" min. Lam- aPPr~ ~ outlet joint Provide 1 /4" weep hde or antF siphon device as necessary Grade levels - pump tank manhole = 4" minimum atxyue finished grade - vent = 12" minimum ._ above finished grade 81.0 ft Pump tank elevation at bottom of tank Inches Gallons 20.1 406.9 2 40.6 7.4 150.8 7.5 152.1 Page 5 of 10 :~V MI Il H\ fffl ~ i , 1p ~~ hhp " I „U ~IIH O l~ a 90 \\ _ 'r' U ~ i HO ~~ Q ~ Z n, I 'N~ Y I r~U a I .1 ~ HI I . 'slv.! ~u--- ., i o ~o u ~~_ I xo ~~aa J so so xo - eo vo ioo iio izo~ ioo -ino us.c!'r.+ .i 'en_CGPACITY,. •_~ n,.~,J ~., wwGi "'gym' Pump Specifications Features and Benefits '/: Hp 'Glass filled, thermoplastic vortex Up to 75 GPM impeller with stainless steel Maximum head to 18' insert and pump out vanes for Discharge size 2" NPT mechanical seal protection. Solids: 2" maximum • Rugged glass-filled thermoplastic casing and base design provides Motor superior strength and corrosion All motors feature ball resistance. bearing construction. Single phase: 115V 'Cast iron motor housing for efficient heat transfer, strength Materials of Construction and durability. Cast iron Thermoplastic • Corrosion resistant threaded Stainless steel stainless steel shaft. .Available in automatic and manual models. •CSA listed models available. Pump Specifications 'i. through 1'/~ HP Up to 130 GPM Maximum head to 123' Discharge size 2" NPT Solids.'/~" maximum Motor All motors feature ball bearing construction. Available in Single and Three Phase 115, 200, 230, 460, and 575V. All single phase models have capacitor start motors Materials of Construction C,ist iris! SLrinles~~, ~lcel Features and Benefits 'All models feature silicon carbide mechanical seal faces for superior abrasive resistance and extra long life. • Cast iron semi-open non-clog impeller with pump-out vanes for mechanical seal protection. • Rugged cast iron volute type casing adaptable for slide rail systems. • Corrosion resistant threaded stainless steel shaft. • Motor is fully submerged in high quality oil for lubrication and efficient heat transfer. • Optional silicon bronze impeller available. •CSA listed models available. u~ Underwriters Laboratories All Models are designed for continuous operation and feature stainless steel hardware. ~ ~ °~'~° . . 33= SwYyhEyy `Jee, /9 T. o~ Eau C~//~., 5~. Cro;X c0.~ c..~/ ;-. 3sy'` ^ So; l O~serda~on P;{ • Eledaf;on O gyp' yo' i. ,t Trte LTne Propose~/wel1~'~ o Pro(~sed ~ bdrM, res;d¢.~ce~ lr 2.0 cE' d ;q. S.T, w~(. 3o3ypt/. c. bu:b/.~sewcr Pro poses/ /,Zso 9e.o. ~a be ~ ,~/Od oa f{tF F'/f c r- ~o' rad e A~ bu~ldshd Site= 88.93' ~/o'of'y''sc.(. ~l0 P.d.~. r n F ou t o~'St~E%c ~6a.~~C'• ;f `1(. s.T; ,K. 3o3v ode. 2Ff'/aegf /:gee v ti ~lf..B. ~ a'/in fre¢. E/e~ 9.5.7g. • ~~ o_ py ~ O, ` 1~' \ ,\ ~ ~ ~ 'o - ~ ~ P~oposcd 7so 9~ p u ^'-io c,d...., ter, 2"Sc/i. {lOP.d.e.~orG¢ntc-;h 1 /b p~S•CL~ /-'LOK/Iv A~ 27•Z X //9IG I ~ (o'X/L~O'p.Is3or~oy~~l//.~Okr l~Zu/ader'a;Ls a-E y~0'4ac./iw~~ c _ ,~• D~ ` ~ ~l"or~Flae s~o~9i~5 ~ 2V~nc:~. ` v ~~ ~ • ~ ~~ ~ ~ ~ ~ ~• ~e ~ ~ \ y ~., '~, Force fJos~..4sst.~,nre/ `~ ,. ` _ _ -3z ~~ ~~ $3 ~ ~aF/o ~ ~~~ r ACCe55 Box Threaded Plug lateral ~- Manifold \\~ Orific e\\\\ s ~f/ Lateral turn-up detail Pg. 8 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10572-P (R.6/99). AJI local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes 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 failwe 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. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed l/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to enswe 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required. 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 two 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 System Trees or shrubs should not be planted directly on the mound. Plantings may be made around the mound's perimeter. The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the infiltrative swface within the mound and will promote frost penetration dwing cold weather months. Cold weather installations (October-February} dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installatit3_n; The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine 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. Levels above 4 inches indicate an impending hydraulic failwe requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring become 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 dischazge wastewater to the ground swface, it will be repaired or replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector. Pg. 9 Of l0 x Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ,..a~.,..e ,.a-a r•.,.,,.,, sty ~nr~ nrirr, rrvia 1310 page 1 of 3 A.C.E. Sal & Site Evaluations - County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizont pant (BM), direction and D Parcel I percent slope, scale or dimemsions, no ,an Ioc distance to nearest road. r p ~' . . 279 ID#19 28 16 008-1056-30-000 ~ t ; ~ ` . . . , ~ aria .., Please p q>k~a~.lr-fo ~, , v~ •~ gy ate (PSivACY , s. 15.04 (1) (m)). Personal i~ormatan you provide y ed for ~ pu 3 2~ g ~ v Property Owrter ~,~ `; ~ . Property Location ' Randal Ramberg / r- ~ Govt. Lot 5W 1/4 NE 1/4 S 19 T 28 N R 16 ~ Property Owner's Mailing Add `s ~, < u I ~ ' ~ ,_ Lot # Block # Subd. Narr~ or CSMfI 517A 220th Street ~ ~: ~ ~ ST ~ROIX ~ ~~ City - t~G Zip Z~ iN * 'tb •~...~ ~ City ~ Vllage Town Nearest Road Baldwin I i~ 02 715- ~ Eau Galle 30Th Ave. 3~ New Construction Use: R - ' I / Nun ~ of bedrooms _ 4 Code derived design flow rate 600 GPD R~lacer~nt ,,;;] Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: System elev. = 96.0' at 15" above 94.75' contour. Additional sand fill needed to compensate for 3" contour irregularity at center of proposed mound contour. Boring # -..1 Boring w' Pit Ground Surface elev. 93.89 ft. Depth to limiting factor 24" in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ndary Roots GP DIft~ 1 ~ 0-12 10yr3/3 none sil 2fsbk ds as 2f,im 0.5 0.8 2 12-16 10yr4/4 none sil 2msbk ds cs 2f,im 0.5 0.8 3 16-24 10yr4/6 none sl 2msbk dsh cw if 0.5 0.9 4 24-31 10yr4/6 f2d7.5yr5/8 sl 2msbk dsh cw - 0.5 0.9 5 31-49 10yr4/4 m2p5 Syr 8 scl 2msbk dh - - 0.4 0.6 Boring # ~ Boring ~ Pit Ground Surface elev... 94.52 ft. Depth to limiting factor 21 ~~ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIftZ 1 0-11 10yr3/3 none sil 2fsbk ds as 2f,im 0.5 0.8 2 1i-16 10yr4/4 none sil 2msbk ds cs 2f,im 0.5 , ~ 3 16-21 10yr4/6 none sl 2msbk dsh cw if 0.5 0.9 4 21-36 10yr4/6 f2d7.5yr5 8 sl imsbk dsh cw - 0.2 0.3 5 36-52 10yr4/4 m2p5yr5/8 scl Om dh - - 0.0 * Effluent #1 = BOD ~ 30 < 220 mglL and TSS 30 < 150 mg/L * Eff t #2 = BODS <30 mg/L and TSS <~0 mg/L CST Narr>e (Please Print) Sig ure: CST Number James K. Thom son ~ ~ DateDate E~ valuation Conducted T6elephone Number Address A.C.E. Soil & Site Evaluatior~ Osceola, Wi 54020 9/23/00 715-248-7767 property Owner Randal Ramberg Parcel ID # 008-1056-30-000, ID#19.28.16.279 Page 2 -of 3 Boring # Bonng Pit Ground Surface elev. 96.09' ft. Depth to limiting factor 22" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ .__ __ GPDIfl= _ __ __ *Eff#1 *Eff#2 1 0-12 __ 10yr3/3 none sil 2fsbk ds as 2f,im 0.5 0.8 2 12-17 10yr4/4 none sil 2msbk ds cs 2f,im 0.5 0.8 3 17-22 ~ 10yr4J6 __ _ none sl 2msbk dsh I j cw if 0.5 0.9 4 22-39 10yr4/6 f2d7.5yr5/8 si imsbk dsh cw - 0.2 0.3 5 39-47 10yr4/4 m2 5yr5/8 i sci icsbk dh - ~ - 0.2 0.3 __ - L _ ---- ~ __ l__ ~ ; _ ~ _ i ; _ _ I _ ^ Boring # ~-~ Boring Pit Ground Surface elev. _ ___ ______ ft. Depth to limting factor _---- - --- in. ~ ~cabon Rate Horizon Depth Domin~t Cola Redox Description Texture Structure Consistence Boundary Roots _ _GPDLft'_ _ _ _ `Eff#1 `Eff#2 i __ I __ -- - I ----- ---~ ~ - ~ ^ Boring # ~ Boring ,_;.f Pit Ground Surface elev. ft. Depth to limiting factor _ ______ _____ in• Soil Application Rate Horizon Depth Dominant Color ~ Redox Description Texture Structure Consistence Boundary Roots GPDIftT "Eff#1 'Eff#2 ~ ii i i * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. ff 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. "' O 33= ~ 3D ~~e ~ w 5wyyrlEyS; See. /9, T, op Fau Cam.//~, 5~. Cro;X Co,~ ~i w 3sy ~` T~{e C.tne ^ so; i o~~~a~;a~ P.t • ~/ed0.t~Ion ,/ ~ ~cc,,(~: / ~ y0 't o so' yo' /TS ~ Co rad ¢ A~E bu~ld;hq Site= SB.93' El~~ = 9.s ~g: 1.n ~~~¢ *~ V i+ ~~ :~ ~_ s ~ o_ '~ '° - ~ ,~ ~ `~ ~~ ~~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ p ~~~ ~~ `. ~. ~ ~ ~ ~~ ~ ~ at ~h : ~rPof~? ~. ; 9y,~ ~. ~'~~ Fcnce post. Assc~..z..or ~~` -, --- '3z ~, _.--r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer v Mailing Address _S~i ~ ~ ~~~~~~ ~7-> ~,~~~-~~v,'v~, ~~' ~ ~~~~1 Property Address ~+ ~ ~S 3 D ~ (Verification required from Planning Department for new - City/State .$GI ~ W ~' ~-- , /.!/~c.. ~, Parcel Identification Number o~ _~ -~ i~~ ~ -mil ! -' l~!~C7 X,EGAL DESCRIPTION Property Location ~ h~ ,, /~L- C ;, Ste, ~ T ~ ; N-R ~~ W, Town of ~~ ~~ ~ ~ ~=~ f, . Subdivision Certified Sarvey Map # ~- Volume ~- P e # Lot # Warranty Deed # _ 60 9_3 ~d Volume ~~ Page # ~9 7 Spec house ^ yes ltd no Lot lines identifiable [t~ yes ^ no SYSTEM:MAINT~NANCE Improper use and maiatenaaceof your septic systemcould result iiz its prr~ratuciefar~ure to handle wastes. Pinpermaiatenan~x ooasists of panpiag oat ~e septic tank every.three Y~ ~ if neodcd a licensed - Y P~ into ~ can affed.thc frmction of the ~ .. P~ What ou septic tank-as a treatment stage m the waste disposalsystem, Tb~e property owner agnoes to submit to St. Ck+oix Zoning Dc~artmeat a .ocrtificatioa form, signed by the oWncc and by a ~~P-]Ply ~stridadplumlxtor i liccasedpumpervaifring fat (1) the on~ita wastewaterdisposal system is is proper operating coaditioaand/or (2) after inspecti~ and pumping (rf nom,). g~ septic-tank is Iess .tlran lr3 #'ull of sludge. . Uwe, the ~ have read the above roquircmcats and agrtic to maiaiain the private sewage disposal system with the standards ,set Earth. herein, -as set by the Dcpartimcni of Commerce and the Department of Natural R,esourecs; State of Wisconsin... Certification ~~$ that Your septic system has been maintained mast be oompletod and rchrmod to the St. Q+oix.Covnty Zoning Offix wiihia 30 ~3's ~ year ira daft. 03 / d6! O/ SIGNATURE OF APPLI DATE OWNER-CERTIFICATION I we) certify that all statcmcats on this form an true to the best of my (our) knowledge. I (wc) am (are) the owner(s) of ~ a e y virtue of ty flood recorded in Register of Deeds Oifice. IGNA OF APPY;I ~3 /OBI ©/ DATE sss««« pay infomratioa that is mis-rcpnscntod may result in the sanitary pemut being t+evoked by the Zoning Department. ss«sss «s Include with this application: a stamped warranty decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd /o ' STATE BAR OF WISCONSIN FORM 1 - 1982 DOCUMENT NO. ~ YOI~~R~~PAGD1t71 ~:. _ This D4 dd, madebctwcen Donald W. Berkseth and Shelby J. Berkseth, a/~/a Shelby Ber net , us and and wife and eac nterownrgt Grantor, a Randal A Rambe and Tamara K. Berkseth-Ramberg, hus s survivorshi marltal ro ert Gtantce, WltneSSeth, Thu the said Grullor, for a valuable otxlritktatiort._ the receipt of which is hereby acknowledged _ conveys to Gnnta the following dcscrfbcd ral estate In SC. Croix County, Stale of Wiscassin: North Nalf of Northwest Fractional Quarter <N} of NW Fract'1 }) except the West 30 acres; Southwest Quarter of Northeast Quarter (SW} of NE}); East Half of North Half of Southwest Fractional Quarter (E} of N} of SW Eract'1 }); Northwest Quarter of Southeast Quarter (NW}_ of SE}) and East Half of South Half of Northwest /// Fractional Quarter (E} of S} of NW Fract'1 }); All in Section Nineteen (19), Township Range Sixteen (16) West. ' 609346 KATHLEEN H. WALSH kEGISTER OF DEEDS ST. CkOI% CO. ~ IdI RECEIVED FOR RECORD 08-26-1999 10:30 AN iIARRAIfTI' DEED EXElDT A CERT COPY FEEL COPY FEES TRAIISFER FEE: 240.00 RECORDIRO FEE: 10.00 PAGES: 1 rlas ssMCE aESEavEO rorl aECOat>tNO oAu {NAME AND RETl1RN AIxIRESS tAUF.~ RLI~1I~ ~ ~ ~_^- '1' _ _ _ 008-1056-50-000; OU$-1057-40-OU pARCEt b North. 008-1056-30-000 i is not homestead property. This (is nod Together with all and singular the hcreditaments and appurtenances thereunto belonging; AiIU --`-_--- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no exceptions and will warrant and defend the same. Dated thts 17th day of August 19 99 t . Donald W. Berkseth (SEAL) ~ (SEAL) .Shelby Berkseth, a/k/a Shelby Berkseth AUTHENTICATION ACKNOWLEDGMENT ~,, ald W. Berkseth and Shelby J. State of Wisconsin, rks , a/k/a Shelby Berkseth County t ~~ yo Au uat , 19 99 Personally acne before ttx this QaY of t , 19_, the above named Robert R. Gavic ' I'rTLE: MEMBER SPATE BAR OF WISCONSIN (U aa, who executed the autltocized by !706.06, Wts. StatsJ tD me known to be the penal ~8°ic'g inanunca and acknowledge the sture. THIS INSTRUMENT WAS pRAFTED BV Robert R. Gavic Spring Valley, WI 54767 Notary Public, County, Nom. (Signatures may be authenticated or ackttowledgcd. Bah rrc not My commission is perttanent. (If not, stare expiration dace: 19 .) • Nuxa of pu,ons siywnt ~^ any nPatl~y ,bouW by gpcd a prlMed betty rk4 sigatures. WpeonaM laaY last Co.. Me. STATE 0Aa OF WISCONSIN , yyy WAaRANTY DEED Fora No. 1 - 19x1 ~~~) d" ~. P'~ BOLDT's L7VLiJ 1 i~ V,Ll! 1 PLUMBING & HEATING INC. "Serving You Over 45 Years" 820 Main Street Baldwin, WI 54002 (715) 684-3378 Fax (715) 684-3144 SUBCONTRACTOR PROJECT AGREEMENT THIS SUBCONTRACTOR PROJECT AGREEMENT (the "Agreement") is entered into on this ~'~ day of S~,o"T'' , 20Q~, by and between BOLDT's PLUMBING & HEATING OF BALDWIN, WI, (the "Contractor°) and Sc ~ ~. ,~,.d lIa y~~ a ~~ ~ ~ v ~ ~~ ~lud ~,~ •rJ /,~_,` ~3'~lD~L' (the "Subcontractor). Recitals: WHEREAS, Contractor and Subcontractor have already entered into a General Subcontractor Agreement in which they set forth the general expectations and obligations between themselves; and WHEREAS, the parties intend that this Agreement will supplement and be a part of any General Subcontractor Agreement. they entered into; and WITNESS: Contractor and Subcontractor, in consideration of the agreements contained herein, hereby agree as follows: 1. Submission of Information: Subcontractor certifies that it has proper and adequate liability and workman's compensation insurance and can supply a written copy on request. The subcontractor also has written safety plans in force. 2. Project: The general terms of this Project are outlined as follows: PROJECT NAME: rP~..,,.~1~ 1Qi~~~ ~~ iti ~ ... ~ OWNER: mp/~! ~ ~ b~ ~~ PROJECT ADDRESS: ~~1~ ~'D7~ s1` ~u/~w,',y ^w . ` 3. Scope of Work: The following is the scope of work to be completed by Subcontractor under this Agreement: * See Page Two Supply and install a sanitary sewer system as per state approved design provided by Boldt's Plumbing & Heating, including: * Tanks, Pumps & Filters * All piping from house to tanks and from tank to system bed " All piping for system bed * All excavating, rock and fill 4. Inspections. Subcontractor shall arrange all inspections with the proper authorities and fulfiN any corrections required by said inspector. 5. Warrantee: Subcontractor will hold all warrantees on installed work and Contractor will hold no liability for work performed or materials provided by Subcontractor. 6. Payment and Lien Waivers. Subcontractor shall collect all money owed to him from the Property Owner listed on page one and will be responsible for any lien waivers. Contractor will not be responsible for collection of any payments. 7. Miscellaneous. This Agreement shall be binding upon and shall inure to the benefit of Contractor and Subcontractor and their respective successors. By signing this Agreement, the parties represent and warrant that they are authorized to enter into this Agreement on behalf of their respective entity. IN WITNESS WHEREOF, Contractor and Subcontractor enter into this Agreement as of the date set forth below. CONTRACTOR: BOLDT'S PLUMBING & HEATING, INC. BALDWIN, WI ~, Its: G '~ L.C ~, .>~~C (Title) SUBCONTRACTOR: BY: ~ - Its: ~rc r (Title)