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Home My WebLink About008-1082-90-100n Department of Currimerce PRIVATE SEWAGE SYSTEM d Building Qivision ~ INSPECTION REPORT RAL INFORMATION (ATTACH TO PERMIT) information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. older's Name: City Village X Township o, Geor a Eau Galle Townshi Ele~ ~I Insp. BM Elev: ' BM Description: ELEVATION DATA IN FORMATION MANUFACTURER CAPACITY w ~.s~-rz.. tzs~ ~v ~~~ ~ ~ n `SETBACK INFORMATION O P/L WELL BLDG. Vent to Air Intake ROAD N~Z~ ~ ~~ n f ~/SIPHON INFORMATION • acturer ~ A ~ Number ' ` ~E,Po Sf l ~.. Lift t Friction Loss Syst m Head o•~e9 lain Length t Dia. « Dist. to Well p Z ABSORPTION SYSTEM tENCH Width Length No. ISIONS ~~ I Csb LACK SYSTEM TO P/L NATION Tvoe Of System: _ 2D • '/""~ eman P `0 ~~ S •9~ Ft County: St. CfOIX Sanitary Permit No: 405033 0 State Plan ID No: c r ~-'t-t~,~s !a Parcel Tax No: STATION BS HI FS ELEV. Benchmark S. ~ •7 Alt. BM Bldg. Sewer f~ • Z pq 2,~t SUHt Inlet ~ 4~ ~0t SUHt Outlet Dt Inlet Dt Botto CQ) I~~ S~ f. ~ Header/Man. 2 I ~ eo •63 Dist. Pipe ~, 2 • (,5` e CO • S8 Bot. System a;3J . ~4 99~ / 7 t Fi I`G~radt+Vl~l q~, ~2~ SOS. St Cover FjI.W~' t Lam) ~ loz~; a,. 9 ' • ~"~'~ ~- r+ehes PIT DIMENSIONS : Of Pits Inside r+~ ~G WELL LAKE/STREAM LEACHI G Manu1 CHAMBER 1~' ~~~ UNIT ~IBUTION SYSTEM Manifold ~ Distribution ~ t 1 ~ x Hole Si I, x Hole Spacing t f Vent to Air Intake 3.0 ~ Pipe(s) _-_ tl~.) I 'r 3~ ~ ~ Q '~ -" Dia Length ~"~ "" is /`~ Spacing v COVER x Pressure Systems Only zx Mound Or At-Grade Systems OnIY ever Depth Over xx Depth of xx Seeded/Sodded xx Mulched nch Center BedlTrench Edges Topsoil ~j Yes '~] No ~ Yes ICI No ~-) MEN (I Clyde code 'crepe cQ ids, persons present, etc.) Inspection #'N ~~ /~~ Inspection #2: )8 / gin. 1 8 222nd St Ba dwin, WI 54002 (SE 1/4 NE 1/4 29 T28N R18W) NA Lot 1 Parcel No: 9.28.18. 3M Description = ~ sewer length = mount of cow _ C 0' Stour = .vision Re uired? i .,' Yes ~ No &'I ~~ t L., ~ __ q ier side for additional informati~ ~~_ _ _ - - --- ~0 0.3/97 ate Ins tor' nature Cert. No .`. Safety and Buildings Division ~ County 201 w. Washington Ave., P.O. Box 7162 ~.. C.pp /~ `~C~~S,~ Madison, WI 53707 - 7162 Site Address ~~ De artment of Commerce -.z ~ Dl/ ~{Z J 8 222 . Sanitary Permit Ap licatlon s~~y Permit Number `~ ~0 3 3 m accord with eotnm 83.21. wis. Adm. Code, ix iof a-~setis ^ Check if Revision ms be used for Priv Law, pplkation Information -Please Print AII W ~ State Plan I.D. r ~9 S ciy Owner's Name + \_ Parcel N ~~~ r ~U 8Z - p~_ l O d e~ ~ ~ ~'~ Z ~ -t~"t'^-~ ~Sfi. ~~I'~C ~U11FUlf`~' D '~3 cty Owner's Address Property Location ~J/ ~L ,State `Cade Phone Number Lot N Block Number I ~ w ~ D ~ /~Id~ ~ iii ~ ~ ~ I t~ l Subdivision Name CSM Number !~ y~ 7 v of Building (check an that apply) ~ 4~ ~ S e "^"` -~-~ ^City . or 2 Family Dwelling - Number of Bedrooms ~ ^Village~` _ _ - Use btic/Commerc' p- Desc~n'be ~- ~ o~~p ~ ~~ `~,• ~ d ~+T^'rO"`r ' O N wne rtate eares~} ,~ Type of (Check only one box on tine A (numbering scheme for internal use). Complete line B iP applicable) I ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to FOr County use m Tack Ont ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued ,Type of Permit: (Check ap that appiy)(aumbering scheme is for internal ttse) ^ Non Pressurized In-Ground 21~Mound 47 ^ Sand Filter 50 ^ Constructed wetland ] pressurized In-Ground 41 ^ Hokliog Tank 48 0 Single Pass 51 ^ Drip Line ] At-Grade 46 ^ Aembie TreaUnent Unit 49 ^ Recirculating 30 ^ Other Ares Informat ion: sign Flaw (gpd) Dispersal Area Dispersal Area So~7 Application Percolation Rate System Elevation Fine[ Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (A9it~.Mch) Elevation ~ e ~ ~aD d D~ /' ~ ~', ~ ~~~. ~~~ d Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Taulcc Concrete Constructed Glass Naar F.ziatin; Tanks Talcs ie or Hoelic~ Talc x _ ~ p ,r^ l.!' ~ Cf1a~r ,` V [. Statement- I, the ~ deacons ~ for POWTS sbown on the attached piat-s. ~~. s Name (Print) ~~ ] 's Sigmt-tm,(~ MP r~Numb~ejr~. J Bus£in~ess PhoncQN.u/m?ber ~ ~ ~ ~ W 1? L( Cam` d Y 70 ^ 7 7 ( S osber's Address (Street, City, ,Zip Code) l,~-~ ~ e ~c ~ ~ ~5~~~~ a. me Use Approved ^ Disapproved ~~Y Permit Fee (incltxlea Gmnndwater Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given briCal Adverse . Surcharge Fee) ` ~-- . Determioation 3L S.. Zt~ . Contiitiotas of Approval/Reasons for Disapproval y~ec.~ aoo the County ~) far the s~tam m paper not !sateen tii/2:11 L~~ tU-6398 (R.05l01) p H d tz1 CJ] H L=J t=i W fD ~ (D '.7 F-~ !11 c '.J' r b G1 fC .. ~ ~ w ' ~ w w w ~ ~ ~ ~ o ~ n rr w .~ ~ n x ~ =w ~-n ~ x w ~ o cn n •' rr Q. ~' m n ocno ~ o' n ~ w co C c-r ~~ ~ n w n ~ ~o.w w to ~ w o ~j ~ ~'rJ w ~ i b ~ ~ ~ -r c R. o fD F,. O pq fn ~ ~ ~ w o0 ~~ ~ ~ ---~ N• o0 ~ ~ ~ ~ ~ o b b r wrtm 'b ~ o --~ ~ we m ~ K ~ C c ~c a w m ,-r ~ p~N~ ~ wwo' b ~ ~ ~ o -1, r-, . ~ w a a ~ ..p w c-r ~. ova n M uwi m v, w R. ~* --s o ~ q n ] rr ~ r . ~' ~ m (D N. ry . b o a~ o+ ~. w r• N ~ f-+ o ~• a a co r r L) ~~0 ~, a ~' 0 ~ ~~ `~ ~~ ~/ ~,, ~ _ '/ ,, r ~,. ~/~ w w o~ ~~ ~~ ~~~ 0 G ~~ o ~~ w N 1 ~~ V1 0 N g a ~1 g d c 9 /~~ ~.. rISC011S/11 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 wrww.wisconsin.gov Scott McCallum,-Gov Philip Edw. Albert, Seci February 25, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/25/2004 SITE: George Dinzeo - 222ND St St. Croix County, Town of Eau Galle SE1/4, NE1/4, S30, T28N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 830432 "~r''~ ILU ~~.~ ~ ~ ~~'~2 ~ , ~'0+10~ .~~ Identificat' Transaction ID N .709645 Site ID No. 64141 Please refer to both identification numbers, above, in all corres 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 owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • 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). • 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. Slats. • 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/instal lation/operation. Owner Responsibilities • The owner must designate a POWTS installer, POWTS Maintainer and Septage Servicing Operator all possessing valid credentials before the sanitary permit can be issued. • Any activities noted in the approved management for this design relating to evaluation and monitoring of mechanical POWTS components after the initial installation of the POWTS, must be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. ATTN.• POWTS Inspector." ZONING OFFICE ST CROIX COUNTY SPI. 1101 CARMICHAEL RD HUDSON WI 54016 P.O.W.T.S. Conditionally ARTHUR L WEGERER Page 2 2!25/02 Owner Responsibilities Continued: • A copy of this letter including instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~,/ /2/ t, ` Gerard M. Swim PO WTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 TITLE SHEET Page ~ of ~ FOUND SYSTEM FOR A ~ BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P Ctz. bla9.~ Ctn. 614g~ LOCATED IN THE S ~ 1 /4 OF THE N~, 1 /4 OF SECTION 30 ,T Z~ N, R 16 6d, TOLdid OF ~h~-U C-~ Qc'LL,C , ST- C_~~X COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE. 2 Of 7 SYSTEPI MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAP~iBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI•fANCE CURVE PREPARED FOR G~12G E ~l_~1_Z ~ __- r'~ ~ p ~~.wOOD, ~ YV s s 1 lq - F EB 2 2 2002 c & BL.pGS Dt1l AFB PREPARED BY WEGEE~ER SOIL .TESTING AND . . DES 2 GN STERV = CE P.O. Box 74 421 Id.ifain St. River Falls, [dI 54022 Phone 715-425-0165 Fax 715-425-6864 DEPARTMENT OF COMMERCE DIVISION O SAFETY A BUILDINGS SEE CORRES ONDENCE ~ • ~ 1 Y+ WE~:£:HEA } Gd75 P Et.L.SWpRT!+, ~ :: ~~ .cN.•c sie ~.S'.j G Ir ~`' _.f~ __~~~ 2 - Z.0-OZ JOB N0. dZ-Z.~7 Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th utlet filter hall be cleaned as necessar to ensure r rnpo.~+;o~, The filtercartridge should not be removed unless provisions are ma a to retain solids in t e tank that m~lough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank; If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pum- ° Tank . The pump (dosing) tank shall be inspected at least once every 3 years. Ali switches, alarms, and pumps.shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from 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 installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal ceU. . Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual (S8D-10572-P (R. 6/99)J grid local or state rules pertaining to system maintenance and maintenance reporting, -~ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, `~; is. ^,~;-. Cede ~.vhe; ~ t`e tanRS are no icnger used as FCbVTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at ~ 1S - 3~ ~ _ ~ (~ ICJ S1^ CIUJ 1X The system installer at The tank manufacturer at The effluent filter manufacturer at ~'~- ZZ~ ~_ S"71~Z, Zp~ The pump manufacturer at - ~,~ t1 U, ~ n i I rJ ~ ~n r ,,, ., ~u.r `,,, V-i ,~ W N H 7., p d tld Cn H L=J t+7 C "~ r b m fD .. ~ ~ ct r-r C ry r• w w c-r l7 t-+ rr w ~ • ~ ~ r* O ~ n r1 w ~~ n x ~ _~ ~ ~ x w o cn f1 •' rr Cr' p' m (J ocno ~ o' n ~ w w c m ~~ ~ n ` w IA ~ co ~ ~ ! w u, ~ ~ ~ b ~ t1. o m N. 0 oou,p ~ w o0 ~ ~~ ~ ~ ~ N•oo ~ ~ ~ ~ ~ w b Q rr ~j . o b b r w n m ~v ~ o H ~. ~~ c `C a w ~ ~ ~ --~• ~* ~ wwo ~b ~ o ~~ w ~ ~ w G a ~ ..~ ~• rt N ~ ~ M~ w ~ w a rt y o '~ G fD (D I-~• ti ~ fn fD N• b O (1. U] 7 ... (p N. N ~ ~-' O ~ ~ rt co a a r m (~ DoT' L1 0 ~ ~J o -~ ~' 0 ~ ~~ w ~~~ b ~~ ~ ~/ , - ;`, s, ~ W ,' ~' r ~ _ ,~ ~ ~ ,v'_ ~~ ~~ \/ ' ~ ti°. o D [~ p9 ~~ GfJ_ bo n~ ~~ ;TI ,~ ~ o ~ ~ ,~ ~~~ ~o ~ o~~ za G ~ ~ o~°- cg ~ ~~ ~~ ~ ~ o ~ ~ N F r C ~ n 1 r Z L O_ Paae ~ Ot' 7 Approved Synthetic Covering, AST~i C33 Medium. Sand ~ Topsoil --~ ~''' __II > `- 3 E .. i ~ "S °!° Slope Distribution Cell of - i~~ tr. z to 22 Aggregate istribution Fipe ~,,... G 0 - b Force Main From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rate= 6 --o GpD/Iu*i FT Design Loading Rate=o.3GPD/SQ FT L ~~ Position of Force Main L A Plowed Layer 0 Z-O~Ft. E Z•3Ft. F ~ . 8 Ft . G o• S Ft. ,O B l0O Ft. , I 1 ~ Ft. J ~ Ft. . K ti Z Ft , L ~Z~ Ft. W Zo} Ft. , ~ -Observation Pipe 8 1 ~ K- ~ _----__._'.---- I-~_'---- -_--~ ~AcCtss - ' _ BoX ~~6 $ ~ --, _ ~ - ~- T- ` - - =- --------1 `~' ~Distribufiion ~ ~ ~~ 1 „ . CeII of z to 2x Pipe aggregate . Observation• Pipe (Anchor securely) PLAN VIETd OF A MOUND SYSTEI4 Distribution Pipe Layout p~Qe S of ~ .~ Place the holes at the bottoa of the distribution pipes at'equal spacing. Remove all burrs from the pipe and holes. Extend the end of each late:zi up with the Lse of long turn or 4f ° $ttnQ to a point withia slx ~- inches of the fnai Q*ade. Tezminate the cads of the Iate.~aIs with a valve,:threaded can or . threaded pIu~. Provide aces from fnaI grade for the vaIge; threaded c, p or threaded pIuQ. " i~ F-1 cr L LZps s s~~..;10 N FVC - F~~~ PVC Later~f ~ ~- Manitold ,- Laterl ~~ ~ ~+~ z z x x L3terat Length - Lateral Length - P P L~-N V \ c.J _. _ P ---~+ o- _ ~"1">>"1.11FJ~ G- . 1 J ~ZC~ ht',"Ja ;}C-C-~~s 5oX - -o --a P ~~°) Ft. ~ ~ Hole Diameter ~~~ Inch-- -~~~ S 3 Ft. - ~ Lateral " ~1~ Inches) X Z~ InchPS Manifo]d Z • Inches ~~ ~ Force Main " Z Inches _ • ~ ofi holes/pipe Z S ~ • - Invert Elevation of.LateraTs-00. S Ft. . t a ~-- • ~~ ~ ~ PUMP CHAMBER CROSS SECTIOIJ AivD SPE[IFICATIONS' PAGE 6,: OF 7 •. . `I~C.L VENT PIPC ~ IO' FROM DOOR, WINDOW OR FRCSH AIR IluTAKE ~-v>:uT cAP .- WEATHER PROOF JUIJCTION 80X 12'MIU. GRADE a4 ~ f 8'MIA1. . 11ULE•T APPROVED JOIrv7~ LLEV. ~--15 FT: 7 P.PPROVED LOCKING MANHOLE COVER WITH WARNING LABEL - I • - I i Co-JDUIT ~-- \\~ ~~~ `I' M11J. 18' MI IJ. -T•-----~---- PROVtOE ~ AIRTIGHT SEAL I III I III I ICI I 1 I I I II ALARJA .) II I I I J OAJ . I. I I PUMP--~ r ~ f'i` t OFF ~ COAJCRETE 81.OtK V APPROYED .lOIUTS ~• RISER EXIT PERMITTED OA1Ly IF TAWK MAIJUFAGTURCR HAS SUCH APPROVAL~3~•AAPS2oVED 8a<OD t tv4 SPECIFICATIOI~IS DOSE , T~.u1K~ MA-IUFAtTUR1rR: w l~~ ~>~CQ.~fr UUMOER OF DOSES: S • ~ PER OAy TAI-IK 5121`: ~ S~ GALLOAIS OOSC VOLUME Z _ ALARJ~1 __MA>yttFACTIJR>`R: - S •S' ~-~Y'IZO S`"!S`~ti'~j S IINCLUDiiJ6 6ACKfLDW: ~~ Zt•7 ~ GALLONS MOOCL AIUMBCR: -~Ol ~W CAPACITIES: A-___ ~-U WCHESOR ~~~5'~'GALLOUS ~• SWITCH TyPC: ~~U~Z-~f g a_? IWCH£S OR ~1D ~~' G~-LLOf-!S Pi1N-P MALIUFAGTURt;R: -- G O~J Lp S C: ~ _tuCHES OR 1z' ~' ~ CALLOUS MODEL IJUMSER: - ~D S O s ~_ I HES OR 1 Z•' S GALLOAIS SWITCH TYPE: ~~R4' uOTE: PUMP ANO ALAi~ RC 70 DC~~~ MIUIMUM OISCH/4RGE RATE ~~ ~-O FPM INSTAILEO OA1 SEPARATG CIRWITS , VERTICAL OIFFEREAICE BETWGCU PUMP OFF Au0_OISTRIbUTIOtJ PIPE.. ~'~ S FEET /~ + MIUIMUM NETWORK SuPPLy PRESSURE , , , , , , , , , , , 6•SO.-FirET 1'.0x1. 3~• + ~'~ FEET OF FORCE MA11~1 X 3'~ 6 F~p F~FRICTIOU FK70R. ~- 6q FEET _ - -• TOTAL Dy1,lAMIC HEAD.- _ ~ ~~•~ •FEET ~ --- • As per : ~Ianufac turer Zp . Z Q gal /in. Liquid depth 3 7~ ~` , - - • •, - Goulds Submersible Effluent Pump i~E ~ o~= 7 C 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS ~ ' Pump: EP04 • Solids handling capability: 3/a' maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size:l'/i" NPT. • Mechanical seal: carbon- . rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/; maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet • Discharge size:l'r~' NP • Mechanical seal: car • Temperature: 104°F (40°C) 140°F (60°C) • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard Length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,l6/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 10~ 9 ~ 3i 8 2 o ~ a w x s 2i 1; a 3 1( 2 1 04 10 1995 Goulds Pumps, Inc. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 Impeller: Thermo- plasticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplas- ticcover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "F' or "AC".) ! ~ I~ +~ i ~ I i ~ y ,~ ;~ -s c , ~~ ~.'. _5~. ~L k 1 I ~ :~~- .~ I I F ~ I , ~`~ Lgy . ' ~. ~ ~- . 1 .•.. ' ~t1..0 , . I ~ _ EP05' ~ ~ i cu w 4u 5u ~ GPM ~__ () 2 4 6 8 10 12 m~/h CAPACITY Effective May, 1995 ooo~~ .Q _ ~sq~o y, a ~' O Hain Departm~t of Commerce SOIL EVALUATION REPORT Pag@ 1 ~ 3 ,`Mort of Safety and Buildings in acx:ordance with Comm 85, Wis. Adm. Code County St. Croix ttach comp)@te site plan on paper not less than 81/2 x 11 inches in size. Plan must ude, but not limited to: vertical and horizortta! reference paint (BM), direction and p~ !,p• rent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. R awed by Date y p y ry p rposes (Prlva Law, s. 15.04 t m. Personal infonnaflon ou rovfde ma be used for seconda u cy () ( }) \ ~ L <;. .r Owner Properly Location 1~-f ~ Daniel and Jan Dellinger j W ~, Lot SE 1!4 NE 1!4 S 30 T 28 N R 16 Owner's Mailing Address lot # 81odc # Subd. Name or CSM# 170 222nd Street 1 - Dellinger State Zip Code Phone Number ity ®Villa ^ Town Nearest Road Baldwin WI 54002 ( 7~ 5-684-4340 222nd Street New Construction Use Residential ! Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement ~ Pubflc or commercial -Describe: t malaria! C~lanial till Flood Ptafn elevation if ap ft. Mound site with depth restriction t 12" recommendations: MAR 1 2 2002 © Boring ' "_ZONING OFFICE Boring # „~ Yit v,vw,u aunawarov. »./.+ n. uoyur w unnmy ~auvi - m. 5011 ICatiOn Rat@ rizon Depth Dominant Color Redox Description Texture Stnrcture Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 1 0-8 10yr3/3 - ail 2msbk mfr cs 2F .5 .8 2 8'14 1 4/4 - ail 2msbk mfr cs if ,g .8 3 14-18 10yr4/6 c2d7.5yr5/6 sit lmsbk mfr cs - .2 .3 4 14-52 10yr4/6 "'~p~'S~'`~~6 cl lcsbk ~ - - .2 .3 Boring # ®Borng 97.60 14~ ,,,J 1`W.! h't[ ~aruu~n, aui~aw nmv. _ u. vnpui w nnnur~ racaw rrr. Soil lication Rat@ orizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlfP in. Munseil Qu. Sz. Cont. Color Gr. Sz. 3h. "Eff#1 'Eff#2 1 0-8 10yr3/3 - sit 2msbk mfr cs 2f .5 .8 2 8-14 1 4/4, - ail 2m's'lik mfr cs if .5 .8 3 14-48 10yr4/6 - sit lmsbk mfr - - .2 .3 * Effluent #1 = BOD > 30 < 220 mglL end TSS >30 < 150 mgll 'Effluent #2 = BO < 30 mgll and TSS < 30 mgll ST Name (Please Print) Signatu ~,., CST Number Thomas C Nelson 227387 -ddress Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 2/g/02 715-246-2454 nTT n•~wnTMMn\ .. Owner -~~ger - Boring # r-, Boring ~^^Q ~ ~ I Parcel lD # 95.25 38 2 3 Page of _ Prt •~,~u,,.,,,,,,~~,~y. ,,. vo}+u1 tV I,,,,IUIIIJ N7liW1 ,~ ,~~. Soil tcatton Rate zon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Mur-sell Qu. Sz. Cont. Color Gr. Sz. Sh. `Etf#1 `Eff#2 1 0-9 10yr3/3 - sil 2msbk mfr cs 2f .S .8 2 9-20 1 4/4 - sil 2msbk mfr cs if .5 .8 3 20-38 7.Syr4/6 - is 2msbk mfr cs - •~ 1.2 4 38-50 7.Syr4/6 c2d5yr5/8 cl lcsbk ~} _ .2 .3 ~ 7 Boring # ~ BO~~ 93.95 ~~ ~'J't vivu„u au,~aw v,VV. ,t. VC~JU, tV N,Illulia IGIi{VI y ~ 111. ~O'i ~^ ~e M zon Dapth Dominant COlor Redox Dascription Texture StRlChrre Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `E11#1 `EtT#2 1 p_6 10yr3/3 - sil 2msbk mfr cs 2f .5 .8 2 6-12 sil 2msbk mfr cs if .5 .8 3 12-48 7.5 4/6 - cl lcsbk mfr _ - .2 .3 Boring # ~ Boring /':mi,n,i mnf,ann nluv p r1n..~{. 1.. Ii..~.iN.... i....~... 1.. ~ ~J Yli - - - - -- - -~_.- -- -._.._..~ .__._. Soil ication Rate xizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Efr#1 `Eff#2 ` Etlluent #i =GODS > 30 a 220 mglL and TSS >30: 150 mg/l. * Effluent #2 = BODE < 30 mg/L and TSS c 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-$777. iD.8330Teec (R07Po0) S~'~y,n ~'ly, ~ o~ I Sec 3b I ~~3N, ~ I~~J 30'3 ~S ~~~ ~e t ~~ = 56~ B` _ ~P v~~Qnc~k+t ib© ~~ Q_p o ~ Cac~ ~~~~ c~g.S~ ~~ ~/"5 h0~ ~c.S ~Q, lSo n 1 ,~ b d l~ ~~.~ 3 v? ST CROIX COUNTY SePTIC TANK MAINTLNANCI; AGRL'L~ML~NT AND OWNL'RSi{IP CLR'1'IFICATION FORM ~ncr/13uycr _ ~ ~ ~ d'l~ ~ ~~ flung Address ~puty Address ~ S ~~ (Vuification rrquic~cd from Pt:aaiag Dcpactmcnt for new coast Y~~~ 1~~ d_~~~~ ~~~d~~ -~-~--- ttficatloa Ncuabcr GAL AI~;.SCRX~'TXON S~ i /ll~~ paty Location /, /<, Sx. ~ To~" N g~d W, Town of ~~ f.~G! ~~C/(`' division Lot # .t~ficd Stuvep Map # ~ / Volarmc ~_ p c # ~ ~ ~ . treaty Dced # _ ~ ~ Volume ~ ~ ~ ~3 2a~c # ti.~xoase O yes ~ no Lot Iin~es id~mtifiabl~ ~ yes ~. no ~~~~ofl'~rup&cspsbeatooaldnxaltiaiapcfa~ac~ef~ohaadle~aasfa's.Propermaia~caanoe ~,,oaof'tfe~~~~~~~ifieoodedbytt~asodpc~ ~W6atY~cP.at.imbot6csyrtem r-t~ t0t0 ~tiD Sr. ~ ~Q°~ ~ ~ foan„ sigmod. 6Y tic ooa?ucx amd ~y: ., ---.-. --__ -r-- --------------~---- ~---- "~~P~Pi~C¢{y).~c up66ctaaTcis icsslbaa i!3#aIl of'si~°'c. ~ ~nco~d the abome aad~aoe m aim sewage I s~,.~ 6~ t~ndat~is I~a~q,~tsnee6ya~Dqu~ma~tofsadmenc R;~ofFrz9ooasin. ~#'fi~aa ~~ ~~amstbcooarpktodsa~ircimoo~odtA~cSttkoixCocmty?~oaiugOffvoewixhin30 year c~tioa date, f ~~ ~~ ATE i tom) ~Y that sIt oa thu foau arc tcvc to tluc best of my (ocnj loaowlodgc, I (arc) am (arc) the owner(s) of cifiy jdc~~ od abovr, by vi~c of a waaxuty flood px ~, of Dcods O ffc~ OF ~/ ~?y DATE tigY informabioa that is mis-crprescatod,nay cruet is t6c saaiduy permit bang tctrokcd by the Zoains Dcpartmcxit. •••• •• Mth this apptieattoa: a :oampod anrcan(y flood fivaa the «' of Doods otlioe a Dopy of the eectifod tutvcY mep if trfa~caoc is wade in the araaanty decd _ u. ie~oP ~3~ ' e I STATE BAR OF WISCONSIN FORM 2 -1999 Document Number WARRANTY DEED this Deed, made between Daniel A. Dellinger and Jan D. nger, husband and wife tor, and George E. Di.nzen III and RosheJ.l M. zeo Husband an WZ e ee. Grantor, for a valuable consideration, conveys to Grantee the ving described real estate in St. Croix County, of Wisconsin (if more space is needed, please attach addendum): Rewrding Area .ttached Exhibit "A". 675975 REGISTER OF DEAfiDS ST. CROIX CO. , MI RECEIVED FOR RECORD 04-11-2002 8:25 AM NARRANTY DEEP EXEMPT ik REC FEE: 13.00 TRANS FEE: 171.00 COPY FEE CERT COPY FEE: PAGES: 2 Name and Retu ~~ TITLE INC. BUITE 200 1900 SILVER W fE ppy~p Fl~ ~ N M s-lose-9o-000 Parcel Identification Number (PIN) This is not homestead property. Ofi) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. this -_._c.Z__-day of tit ~ p j-j ~ ~ 2002 AUTHENTICATION refs) icated this day of MEMBER STATE BAR OF WISCONSIN not, thorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY y Kristine Ogland WI 16 s may be authenticated or acknowledged. Both are not necessary.) f persons signing in any cap WARRANTY DEED p~ ~ ~0.~-s~~. • >lonisl A il..ll:...... ~ Jan STATE OF'Vf~1 GMENT ss. County ) Personally came before me this s~' day of ~~~ t ~ , 2002 the above named Daniel A. Dellinger and Jsne D. Dellinger, husband and wife to me known to be the person(s) who executed the foregoing instrument and acknowledged th same. • Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: must be typed or printed below their signature. STATE BAR OF WISCONSIN FORM No. 2 -1999 PATRI(rI1IW~,.i>a,l Flbl ,~i company, Fond du sec, vin ~ NOTARY PUBLIC -MINNESOTA eoo~ss-zo2~ My Comm. Expires Jan. 31, 2005 ~~ U 1870P `i3S r ,~, ', f:. r `.i' e' ~. t' ~. _F 'N!, ~i r i F. ~`` EXHIBIT A fit. f .a:-: . F , Certiiicd Suivcy Map Illed March 2b, 2002 in Vol. 1G, Nab, 4270, ])UCUment No. 674849, located in rail of the Southwest Quaricr of the N~rthwes! Quarter ~f Section ns i}~ ~ on , . kstngc ]b West, town ol']"sau GaUc, St. Croix County, Wisconsin. ~~, k LEGEND O Denotea 1 inch by 24 inch iron pipe monument set, (1-1/4 inch O.D.), weighing 1.62 lbs. per Iineol foot. • Denotes Section Comer Monument found, as noted. ~1 Denotes soil boring locution -- per soil evaluation report by others. CERTIFIED SURVEY MAP RECEIVED FOR RECORD d in part of the SW 1/4 of the NW 1/4 of Section 29, Township 3-28-2002 3:00 Pri ~th, Range 16 West, Town of Eau Golle, St. Croix County, Vrisconsi _______ __ ____ Owner : Daniel A. and Jan D. Dullinger ~' o VL St O v D ~ ~ ~ 3 `~. ep C r il] D3 7m Z APp~O 1 \ "'~n,n,s ~ CROIX ~ E~ ~ I~ - MAR ~~ p~~soOn+mltta~ i~ 674649 VOL 16 PAGE 4270 KATHLEEN H. MALSti REGISTER OF DEEDS ST. CROIX CO. , WI a~ - - ~aat - ~ _ ,N it naf ~+ ..~ ~~`j t i t Y I tr~~ Gov-a'f'wdafUe kntnrn 30 •~~` ~ l' ! l~, ~d `.,5 i~ . dProv, null gn Void AI..L.4 L. ~. 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