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HomeMy WebLinkAbout010-1012-90-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Quilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes IPrivacv Law, s.15.04 (1)(m)l. Permit Holder's Name: City Village X Township Halverson, Jon/Deb Emerald Townshi CST BM Elev: Insp. BM Elev: BM Description; ~ ° ~ • 30 r ~ °~ • 3 c7 ~ CST Ciuti~ 2 ~~ v`~. w. '~^c.~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic SK+~ l~ ~® Dosing y _ ~~ ~i r Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r >sb I wceo ~ (9 Dosing i, u `t Zfl r Aeration _---- Holding ~ ___ _ ..--~. "_ PUMP/SIPHON INFORMATION Manufacturer II Demand t~'`~dR.owtN-TIE GPM , Model Number S (~ O TOH Lift Friction Loss System Head TDH Ft Z- }2. to • S'O Forcemain Length , Dia. ,~ Dist. to Well r 130 2 ~tQo SOIL ABSORPTION SYSTEM ELEVATION DATA County: $t. CroiX Sanitary Permit No: 384141 0 Sta a Plan ID No: o'~-`t3~- ~-T .Id.~ Parcel Tax No: 010-1012-90-000 Sectionlrown/Range/Map No: 05.30.16.78A STATION BS HI FS ELEV. Benchmar ~ 0.Or (07.39 ~D•{•3Dl Alt. BM Bldg. Sewer ~ 5'.~(b D(.g t SUHt Inlet CQ f ~•g~ )~ . ' SUHt Outlet Dt Inlet Dt Bottom Q Header/Man. Dist. Pipe , ~.ro !o/.~,f ~ Bot. System Fin I Grade w a( Gyt. a*- l2 - St Cover ~ o3•'3Dr $y~~Z ~. `fS lob. /0-'30 RENC Width Length Ple.-Of.3'se+aehes PIT DIMENSIONS o. Of Pits Inside Dia. Li th DIM NS `~ ~ I ~~, \ t.rh- ~1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ufacturer. INFORMATION CHAMBER O Type O~fiSystem: n ~ ~ r ~~ t "` b ~ t -'~ UNIT / deLttumber. c ' V \s,~+•~o ~ ~ ( DISTRIBUTION SYSTEM Header/Maprfolct~ Distribution r rr x Hole Size x Hole Spacing Vent to Air Intake ~-° 1 1t z ~ Pipe(s) 1\\ rr r 0 ~°' ~ 2 ~^/ ~ I l1 /g / Z~ b~" ~~ Length Dia Length Dia Spacing ~ r~s • 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 BedlTrench Center BedlTrench Edges Topsoil Yes 0 No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~/ /~, Inspectio #2e:~0 `f~! zo / o I Location: 2226 170th Street New Richmond WI 54017 SE 1/4 SW 1/4 5 T30N R16W NA of 1 S ~) Parc~~o: Ob.30.16.78A ( ) 1.) Alt BM Description = T ~ w~Q.Q 2.) Bldg sewer length = 3 i ~ _ n 1 -amount of cover = ? E 1 3.) Contour = (ab • 30~~ 5~+~~-0 >x.~i-(-t~ = (d~.3 o I Plan revision Required? ~ Yes ~ No Ib~ Z I o f ~ ~ ~ ~,^ZG~ Use other side for additional information. _ SBD-6710 (R.3/97) le ~~ _ Q _ _ 0 _ ~S Insepctors Signature Cert. No. ~~~ Ste, fib ~ 9~ 22 Z ~ l .~ . vE Safety 14t Buildings Division 201 w. washingtonAve. ~ ~ Sanita Permit A I{cation ~'Y PP ~ PO Box 7302 r j~~~~ In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707-7302 i r~,. r,,,,,, ,,, , „f , •,,,,,,,,,a,,.,. Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)j state owned. Attach com l ete lans to the coon co onl for the s stem, on a r not less than 8 -1/2 x 11 inches in size. County - s-~: Cr of State Sanitary it Number ^ Check if revision to previous application g State Pl I. D. Number ~ ~~ 3 7 S, a I. A lication Information -Please Print all Information Loca n: ~ Property Owner Name -~f Property Location ~'.// l 'a1 ~ ~/ /'SD ~ ~ ~ 1/4.~(.t~ 1/4, S s T36 ,N, R~bUto~' Property Owner's Mailing Address Lot Number Block Number 5!y Sic oV,d~ SE City, State 7..ip Code Phone Number ub ivision Name or CSM Number ' [ v~ Sy~S IS a35- o M~5~883s V`c3P3sz ~ ~ , II Type of Building: (check one) w5 (w~. y~'^'~ \ 3 v L*°'`""`F ) ^ City ^ m o S ,i~ 1 or 2 Family Dwelling - No. of Bedrooms: ^ Public/Commercial (describe use): ~_ f To ~ ~.I,`, _ ~,~ f ^ State-owned ~ III Type of Permit: (Check only one box on line A. Check box on line B if applicabie) Nearest Road ` 7~ ~ /q v C~ A) 1. '-~New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Onl Existin S stem O (0 - 012 - 0 - ~ B) Permit Number (] . /~ ~ ~ D ~ Date Issued 3 D .5 ~ ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply) "~' ~ ~ t~ ' ^ Non-pressurized In-ground ,~MOUnd ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- r '~ „ ^ Aerobi Treatment U 't ^ Recirculating ^ her: V Dis ersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6 System Elevation 7. Final Grade Requved Proposed Rate (Ga1s.Jdaylsq. ft.) (Min./inch) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass Crete structed New Existing Tanks Tanks Jt T't ~ (CSCri l~n ( ~u b ~`~ ~ ! ~S'~'~ rc ~as~ ~ ^ ^ ^ VII Responsibility Statement the undersi ned, assume res onsibility for installation of the POWTS shown on the attached Tans. I , Plumber's Name (print) Plumber's Signature (ra stamps): RS No. Business Phone Number ~~- ~z 7~ ~~ -ors=~s~s~ -~ 3 ~y ~~~ ~~ ~ ,~ o ~ w. . Plumber's Address (Street, City, State,.Zip Code) N l 3 ~ ,~~ q ~ ~''~ S~ /U~ w ~~ d ~ ~~ ~, S`~y ~s-7 Vlll CountylDepartment Ube Only ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Si store (No stamps) Approved ^ Owner Given Initial Adverse Surge Fee) ~ ~ ~ ~ ( \ Determination 5 ' IX. Conditions of Approval !Reasons for D~sappr C p ,~ ~ ~ C , flan ~,v ~ ~ ~~¢ ~"~ , l . ,, , ~ t4-ll ~~-- ~w~l ,,.,. E C ~ ~~ rr n _ n (~ ~Laeb ~c..~ J - """ . ~ I n n .~ 0 ~ I ~ .,~~ ~. ~.-t`_ I.~~nw /`lJnn..~.(/~trri~~l '`- S cis O O £ i a x a w O v 2 ~ Y a ~ J U ~ Q N F- m ~.- C o ._ a = ~ 0 o z I I O z o o ~ ~ o 0 O O O II '~ ~~ m w J ~ ~ Q O ~ ~ U cn w w cn II II II .. ~- CV ~ ~ 07 CO t ~I ~I I ~~4 ~n ~~ b\ cn a a _o v cn '"~ o ~ ~ t a t ~ ___ V ~ (Jl ~- U C!] i ___ ¢ o d d _L O Q -_ m -_ Z- P Q W ~ ~~ N S ~O S y O Q C W ~ 2~ =N~~~ c~y~u\j ~~~I~fA - N ~Q '~ ~n ~~ I~ I~ i cc, ~ r_ ~~ o ~ V n ~>_ ~ C Y x -~' O C ti -- O ca O p ..~ C7 ~~ • vL~f a i p c~ m Pi°a 100 r ~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce. state.wi. us/S B Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary January 18, 2001 CUST ID No.227618 THOMAS GUSTUM N13450 937TH ST NEW AUBURN WI 54757 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 01/18/2003 Transaction ID No. 607937 SITE: Site ID No. 625616 JON HALVORSON -RESIDENCE Please refer to both identification numbers, ST CROIX COUNTY, TOWN OF EMERALD; 170TH AVE above, in all correspondence. with the agency. SE1/4, SW1/4, S5, T30N, R16W FOR: DESCRIPTION: NEW MOUND SYSTEM / 450 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 777682 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: 1. On page 5, as specified in the approved "Mound Component Manual for Septic tank Effluent for Private Onsite Wastewater Systems", [SBD-10572-P (R.6/99)], there shall be six inches of aggregate under the distribution pipes and two inches of aggregate over the distribution pipes. 2. On page 7, all of the lot lines or parcel size was not shown as specified in the approved mound system component manual. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. r THOMAS GUSTUM Page 2 1/18/01 Sincerely,.,: t//~~-.;~~ ~ ~ ~` ~' P$TER E PAGEL,.-, POWTS PLAN R~VIEWER II ,INTEGRATED SERVICES (608)266-2889 , M - F, 0745 - 1630 HRS PEPAGEL@COMMERCE. STATE. WI.US cc: JON HALVORSON DATE RECEIVED 01/11/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633: ~~~~ 4 1 / .-QN 1 G E~?1 Mound System Cover Page Owner's Name Jon Halvorson Owners Address 1514 Second Ave. SE Menomonie, WI 54751 1.715.235.2509 Legal Description SE'/4, SW'/., S5, T30N, R16W Township Emerald County St. Croix Subdivision Lot# ParcellD 010-1012-90 ~ QF....~/S~ Table of Contents ~ pg. ~ 1 Cover page 1110MASD. ~N, 2 Mound Sizing Calculations ~'~ 3 Pressure Distribution Layout and Dynamics 4 Dose Tank Calculations d Mound System Drawings N ~ Q~Q 6 Management and Contingency Plan ~~~CGE C~ lot Map C~R~~C~\~SQ~~O~~ 8 Pump Curare Specifications S~~ Cp~~ total # of pages: Designer Name: Tom Gustum License #: D1201 Date: 1/9/2001 Ph. #: 715.658.1344 Signature: J~G~ pg 1 of 8 •O. C wTs ~ll~ltl p j2~,~f APp ~ '' vet CCRRE~ ~~793? Mound Sizing Calculations Si te Conditio ns Private Dwelling or Commercial (P or C) p Slope 6 # of Bedrooms, 1 or 2 family dwelling only 3 Depth to limiting factor 32 inches Absorbtion rate of fill material 1 gal/ft^: In Situ Soil absorbtion rate 0.5 gal/ft^: Max BOD effluent value 220 mg/I Max TSS effluent value 150 mg/I Design Wastewater Flow Design Flow -Private Dwelling 450 gal/day Design of the Distribution Cell Bottom area of Distribution Cell: 450 Ft^2 Distribution Cell Width (A) 6 ft Distribution Cell Length (B) 75 ft Ground Contour Elevation of Mound 100.8 ft Desi n of Entire Fill Depth at upslope edge of cell (D) 6 Inches Depth at downslope edge of cell (E) 10.4 Inches Distribution Cell Depth for Aggregate (F) 9.5 Inches Cover Thickness at Distribution Cell Center (H) 12 Inches Cover Thickness at Distribution Cell Edges (G) 6 Inches End Slope Width (In 7.5 Feet Fill Length (L) 90 Feet Upslope Width (J) 4.6 Feet Toe (Downslope Width) (1) 7.9 Feet Fill Width (W) 18.5 Feet Basal Area Basal Area Required 900 ft"2 Basal Area Available for Sloping Site 1042.5 ft^2 page 2 of 8 Observation Pipes Location from each end of distribution cell (Z) 12.5 Feet Pressure Distribution Calculations page 3 of 8 Lateral Layout Lateral Elevation 101.8 ft # of laterals Center or end manifold (c ore) c Distal Pressure Requirement 5 ft Orifice diameter 0.125 in Lateral Length 36.50 ft Orifice Spacing/Distributior Est. Orifice Spacing in Inches 23 in Est. Orifice Spacing in feet 1.9167 ft Actual Orifice Spacing in Inches 23.67 in Actual Orifice Spacing in Feet 1.97 ft Orifices per Lateral 19 Square feet per orifice 5.92 ft^2 Lateral/Manifold Design Lateral Diameter 1.5 in Lateral Discharge Rate 7.8266 gpm Manifold Length 3 ft Manifold Diameter~in System Discharge Rate 31.307 gpm Lateral SpacingC~ft Lateral to Distribution Cell Edge 1.5 ft Force main Friction Loss Forcemain Length 60 ft Forcemain Diameter 2 in Friction Loss from Forcemain 1.259 ft Available Orifice Choices: Fractional 1/8 3/16 1/4 Decimal 0.125 0.188 0.250 Center Manifold Lateral Side View Lateral ~Manlfold 4 Lateral Center Manifold Plan View Farce main connection Vie tee or cross to manifold at any point. La Loral l.enci Llr r7rif ices on bo6Lan of ~~ ?C -~ ~E xr2~ srz ~l lateral rqually spaced S ~~ LaLsrals & I'AY0n1aM of SicN~10 i~VC Or turn-up w/ baAYalYs or clsanonl plug Lateral Laterals are identic al Septic, Pump and Dose Tank Calculations page 4 of 8 Total Dynamic Head Calcs. Are laterals highest point in pressure system? y If not, list the highest elevation 0 Distal head + network losses(distal x 1.3) 6.5 ft Vertical Lift (pump off to lateral) 7.97 ft Friction Loss in the Forcemain 1.259 ft Total Dynamic Head (TDH) 15.73 ft Volume Calcs. Does forcemain drain back to tank? y Lateral Void Volume 15.43 gal Lateral Void Volume x 5 77.16 Manifold Volume 0.49 gal Forcemain Volume 10.45 gal Total Dosage: 87.62 gal Tank Information Tank Manufacturer aw recas Tank Capacity 600 gal Tank Gallons per Inch Water Level 16.47 gal/in Bottom of Tank Elevation (inside) 93 ft Pump Manufacturer/Model Hydromatic Shef Minimum Septic Tank Rating: 450 gpd Septic Tank Capacity Chosen: 1000 Septic Tank Manufacturer: Skaw Precast Effluent Filter: Zabel A100 Pump Tank Diagram Ulatertaghdlocknq cower ~ Inch with warnnq label ~hM1nrrum'r ~ ~n~hed Allerna le / Cutlet Lacatran ~lectrr<al per Coma 16.28 and esmah ~ NBC °J`~© teat. Jeep Mde n ar AntxSphon I~evr~ 6 G Access opening of sufficient size to be provided to allow removal of finer. Opening to terminate at or above grade. Inches Gallons A= B= C= D= Total= 19.1 314.7 2.0 32.9 5.3 87.6 10.0 164.7 36.4 600.0 Selected pump requires a minimum operating rating of: 15.73 feet of head pressure at 31 GPM Mound System Drawings page 5 of 8 Mound Plan View w A= 6 Ft. B= 75 Ft. 1= 7.9 Ft. J= 4.6 Ft. K= 7.5 Ft. L= 90 Ft. W= 18.5 Ft. Z= 12.5 Ft. I ~ 1 Mound Cross Section View (Typical) Final Grede Qbservation Pipe G D= 6 In. Synthetic Fabric N E= 10.4 In. :Distribution Celle F= 5 In 9 System Elevation ~ ,4 ;, ~ 0~.~ F G= . . 6 In e 1 . '~ Lateral Cover Material D 3 H= 12 In. Fiil Material Imiert Tilted Area -Slope ~Forcerrrain System: Contour. Final Grade: 103.09 ft Lateral Invert: 101.80 ft Slope= 6 % System Elevation: 101.30 ft Fill mffierial consisting of ASTM A33 Sand System Contour: 100.80 ft Distribution gregffie o comply with Comm $a.3o(6)(q Synthetic Fabric covering cell per Comm 84.30(6)(8) ~0 Lateral Cleanout Detail ~~~- ~~L~' Clean-out plug ~~G~\ ~Q~~Q ~Inal Grade or ball valve ~0~ `O~~S S~~' Lawn `'~Sprlnkler 13ox Lang sweep a- tvvo ~~ ~ y Mound System Management Plan pursuant to Comm 83.54 W. A. C. page 6 of 8 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical/biological "treatments" is not required or recommended. !f such additiv are used, make sure they area artment of Commerce, Safety and Buildings Div. uent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing a sep is unng remova . ore an o e u ank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent filter has been installed in the pump/dose tank, it must be removed & Leaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at feast every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowinglmaintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. 0 0 6 _ ~ _ a a w O v Z ~ ~ a J ~ U i Q N ~ CO ._ ~ o - S - ~ Q o _ ~ ~ ~ z I I O ~ a c~ z o o _ ~ 0 0 ~_ Z O 0 o II ~ ~ m w ~~. _. ~ > _ O ~ w ~ U Cn w w ~ II ^ II II ~- N ~ ~ CO CO ti ~~~ Pia m Q m _ Z 0 co H ~ ~ v ~i W `SSSn~' a ;y ~~.QCQ WAS ~ N E G'S O ~ ~ ~ ~ _ a N +3+ N Q ~ ~ r~ aui~ .(}aado~ ~ ~i u-~ ~ ~ m o~ ------------- --- -o ~-- ~oJ~ Gan o G~ ~ cn g$. n `~ o v cn '"~ o ~ _ o~ a ~a Goy _ ~~~ cn --- ----- ----- -------- G pn rn ~ 1 N Cj ~ ~ ~ O 01 ~ m ~ O ~ m 6'U C ~ l o ~~ ~ ~ o ~, ~ ~ 3 \ Q .y. U ~ o ~n :n o o ~ ~ f~ L Li C y Q ~ cn "~ -° o o m o a N 6~ cop °"-' 2r7S p C7 (~ o p.. o -n o ~ 8 cn o N ~- V r m m ~ aui~ }~adoad o <~ m~ a~ 0 cD r~ ~~~~ P~~ C ~ ~-~ ~~-~ ~~-s .~ P Performance Data a w*• ~~ F P Motor Ualt Submerslbk Maneal Models SNEF40M1 SNEF40M2 Aetomatk Models SHEF40A1 SHEF40A2 Har wer 4/10 Fu6 Load 12 6.5 Motor i Shaded Pole (4 Pole) R.P.M. 1550 ~~ 10 Voh 115 230 .Herz: b0 T 120° F Max. Flail Tom . NEMA De a p Irasrdalloa Class A Disdmr 51ze 1 1/2" NPT SoBds H 3/4" VI- 2816x. Power Cord 1B/3, SJTW, 20' std. (30' optiead) Materiels of .Construction ;, Handle Stahdess Steel I.ub-• ~ Dielectrk OR Motor Hou Cast Iron P six Cast Iron Shaft Steel IMtlraalcal Shaft seal Seol Fans: Corbon/teramk Seal Body: Anodized steel Spring: Sfairdess Steel Belbws: Bona-N I oiler tin red Therm slit U Bronze Sleere lower Bsar S Row Bab Boo Bottom Plate Pol estw Coated Steel Fasteeers Stainless Steel legs Engineered Thermoplosfk .. 40 F4 • 30 ~ 20 10 0 10 20 30 40 50 60 10 GPM Total Hood (feet) 10 14 17 21 25 Z8 30 35 (m) 3.0 4.3 5.Z 6.1 7.6 8.5 8.8 10.7 GPM (US 6PM) 70 60 50 40 30 20 10 0 (liter sec) 4.4 3.8 3.4 Z.5 1.9 1.3 .63 0 Dimensional Data (ae.a2> ~--s (t2~ a-~~e• (99.x21 ~-~~e• (9e.a21 1. All dimensions in inches. (Metric for international use). 2. Component dimensions may vary t 1/8 inch. 3. Not for construeion purpose unless certified. 4. Dimensions and weights are approximate. 5. We reserve the right to make revisions to our product and their specifications without notice. to-~ts• (2se.~s1 ~- 3-5/8' 2' (50.8) (92.07) ' I' ^ ©1998 Hydromatic® Pumps, Ashland, Ohio. All Rights Reserved. ~~+~ NYDROMATIC® -YourAuthorizedLocalDistriburor- ~:. .. ., P $ ~ 8 1840 Baney Road Ilshland, Ohio 44805 Tel: 419.289-3042 Fax: 419-281.4087 t" ~'` Web site: www.pentairpump.com din srr~~ ~ , .u•+. ~ SALES OFFICES IN All MAJOR CITIES AND COUNTRIES ~ ~ a` ~ a3. ~ Refer to "Pumps" in the yellow pages of your phone directory for your local Distributor $ w ~ J""" ;~ Item#: W-02-6680 1198 5M ~d~ow~ncN~t~ `" ^" • ~-~ §': ~~. 3 ~ ~ ~~ ~__. _ .. ~_ ~_~._~,_.~.~ ,. ~., ., .. - _ ~ ,..._.,...... ~.,,~.. ~ .. .:__ ~.,.»..._~ .. ~.. _ .. .... _ ....~.. _. ,~ .. m _ , ...,.. ~.-.y. ,,„...a- .~.... ~. tASsrconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R T LaboF and Hu~tfan Relations C1:.......... ..1C.,ie... E Quil.i:nn ~_~ Page ~ of ~_ ' - I11 Q1iVV1V 11YIlll ILI II ~ VJ•VN, •IIJ. /~V~~~. vvVV /~ iJOU NTY but must include Pla 8 1/2 iric ie i i th l i St. Croix , ns ze. n 4 s ess an te plan on paper not Attach complete s not limited to vertical and horizontal reference poin ~ ir~cfion and b/a Qf slope, scale or PARCEL LD. # dimensioned, north arrow, and location and dist ~-neares~road. `. OIO-1012--90 ~° ~1TI0M '~ APPLICANT INFORMATION-PLEASE P ~T ALL~NF~?fl REVI ED BY DATE ~ I~ , ~ ' PROPERTY OWNER: I - ; ` ~ ~ ~' f 1 ~ ~ PA ERTY LOCATION ~ ~; ~~'~~ ' ~ John Halverson ;GdVT• LOT Sg 1/4SyJ 1/4,S 5 T 30 ,N,R 16 f(or) W PROPERTY OWNER':S MAILING ADDRESS - ' ' " ~ ~x ' ~"tOT'# BLOCK # SUED. NAME OR CSM # ~. ~~>I~-~;1Y 1514 Second Ave. SE. na csm endin P1~ONE U ,; ~~, CITY, STATE ZIP CODE `. ` CITY ^VILLAGE [SOWN NEAREST ROAD ~ Menomonie, WI. 54751 (~. 3,),23.- '', '~ [ ~ New Construction Use [x] Residential / Numt~er of be rooms 3 [ ]Addition to existing building (]Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate . 4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate • 4 bed, gpd/ft2 •5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.80 ft (as referred to site plan benchmark) Additional design /site considerations system el based on contour line of el. 100.80' Parent material glacial drift Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ^ S CCU MOUND ®S ^ U IN-GROUND PRESSURE ^ S C$U AT-GRADE ^ S fl U SYSTEM IN FILL ^ S CCU HOLDING TANK ^ S CCU U =Unsuitable fors stem SOIL DESCRIPTION REPORT Boring # .................. ................. .................. ................. .................. 1 Ground elev. 101.7 ft. Depth to limiting factor II Boring # 2 !> Ground elev. 10~ .9 ft. Depth to limiting factor II• Depth Dominant Color Mottles T Structure nsistence C Botxxia Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. o ry Bed Trer~ 1 0-12 10yr3/3 none sil 2csbk mfr cs 2f .5 .6 2 12-20 10yr5/4 none sic 2msbk mgr gw if .4 .5 3 20-33 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 4 33-60 5yr4/4 c2p 7.5yr5/8 scl lcsbk 1 mfr na na .2 .3 Remarks: 1 0-13 10yr3/3 none sil 2msbk mfr cs 2f .5 .6 2 13-24 10yr4/4 none sic 2msbk mfr gw if .4 ~ .5 3 24-34 7.5yr4/4 none sl lcsbk mfr yw na .4 .5 4 34-60 5yr4/4 c2p 7.5yr5/6 scl lcsbk mfr na na .2 ~ .3 Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200th. A .New Richm d WI 54 17 Signature: Date: 7-30-98 CST Number: m02298 PROPERTY OWNER John Halverson SOIL DESCRIPTION REPORT Page? ofd PARCEL LD. # 010-1012-90 ` " •` Boring # := 3 Ground elev. 98.5 ft. Depth to limiting factor ~2,_' i H Depth Dominant Color Mottles Texture Structure Consistence Bax>dary Roots GPD/ft or zon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-10 10yr3/3 none sil 2csbk mfr cs 2f .5 .6 2 10-2 10yr5/4 none sic 2msbk mfr gw if .4 .5 3 20-3 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 4 32-6 7.5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 .3 Remarks: SBD-8330(8.05/92) _, STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. John Halverson New Richmond, WI 54017 MP SW-3254 SE4SW4 s5-T3oN-x16w (715) 246-6200 town of Emerald N 1"=40' BM.= top of 2" pvc pipe C el. 100' Alt. BM.= nail in Oak tree C el. 107.30' Gary L. Steel 7-30-98 ST CROIX COUN'T'Y ' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~,~ ~ ~( a n(~ r'~ ~ S ~ (~ cno -^~ o n ~~p ~ ~ ~ S~/ >,S! Properly Address ~~ ~r~, (Verification required from Planning Department for new City/State Qgc~lX,.Sh +M o ~ ~Cc~.~ Parcel Identification Number C~ l O - l D l ~ -~!©`IOO LEGAL DESCRIPTION property Location ~_ %., ~~Z `/., Sec. ,~, T~0 N-R~_W, Town of ~ m Q~'a Subdivision ~ .Lot # ~. Certified Survey Map # s~g.~ 3 ,Volume ~ 3 ,.Page # 3Saa Warranty Deed # C~~ 4 a1 ,Volume ~ S Page # Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SzYSTEM b'IAAINTENANCE 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 properly owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCrplumber, journeymanplumber, restrictedplumber or a licensedpumperverifyingthat (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 flit 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 da of the three year expiration date. / ~/ SI ATURE OF APPLICANT DATE OWNER CERTIFICATION I we certify that all statements on this form are true to the best of my our knowledge. I ~e am are the owner(s) of the property descn'bcd above, by virtue of a warranty decd recorded in Register of Deeds Office. SIGNATURE OF 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 ~a 1 ` 1 STATE BAR OF WISCONSIN FORM 3 - 1998 QUIT CLAIM DEEDD Document Number ~0,.1,553PAGE 4~~ This Deed, made between ~~ (~ ~ I (~,Ly~ ~ _,l/EJ f~f~:C" ~L~~~l i i1 ~ ~ ~ -~~~. ~ and Grantor, 632421 I:ATHLEEM H. WALSH kEGISTEk OF DEEDS ST, CkOIX CO., WI RECEIVED FOR RECORD 10-~5-000 3:30 PM QUIT CLAIM DEED EXEMPT N 8 CERT COPY FEE: COPY FEE: 2.04 TRANSFER FEE: RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor quit claims to Grantee the following described real estate in S ~'• ~ ~.~~' .County, State of Wisconsin: S c ~~~ o -~ ~-I~e, 5 w ~~y p~ SeC~~ot`1 5 , T3 on, R-1~~, Town o~ erne-~-c,id, S~-, Croy C ou -1~-~ , w ,~co~s~ n off- ~~~~-~~-e~ ~Ui've.~ I voi ~ i3 ~ac~. 3~aq T 5$~35~ ~ r -^--^- ~ ~~ ~e~. ~ o ~-~ 5 , ~ aa8 Recording Area Name and Return Ad ress (Jeb G~VOrSO~I 1 IS~y aid Glue 5~ (1'\ e n0 '('(\0 ~ l e ~ w i ~ r~o -~oia - Qo -~~o Parcel Identification Number (PIN) This ~~~ homestead property. ~~~ (is) (is not) Together with all appurtenant rights, title and interests. Dated this /r~ day of ~r.~D~r^ , ~~_. (SEAL) • (SEAL) AUTHENTICATION Signature(s) authenticated this day of (SEAL) (SEAL) ACKNOWLEDGMENT State of Wisconsin, ss. ~'~ ~+`C'DI 1C Coun~ Lr Personally came before me this o7571~ day of OG7~0 ~°~" , o?04Q_, the above named !,~ uc-r~l 3~~~. ,~ r v F~ L`~ ~ oc~ o s 1998 - S S S3St3 t(pTHIEEN H.WALSH Register of Deeds Z St Croix Co., WI ~. ~ ~ Ir CERTIFIED SUR VEY MAP Located in the SEl/4 of the SW l /4 of Section 5, T30N; R16W, Town of Emerald, St. Croix County, Wisconsin. W m Z a w O -~ m w z w 'z VI N 100' roadway setback line ............................. OWNERS: WILLIAM & DARLENE DEMAR 1721 220'H Street New Richmond, WI. 54017 Bearings referenced to the South line of the SW1/4 of Section 5, assumed S89~32'36"E . g !Ti ~~ y I A V ~ ,. Jt.; Ir ID J !O ~:ht: )!~ .. ~ !~ ..:, .~,rt~.,.r:,,. ~ , ~ . .rr, ,.,, I' not •ar t~tti•K~ rtpr~n•., +t ~+qtr •rpprpvA! shalt tW SW Comer of t,t,u >+ra+ •rovj S1/4 Comer Section 5, Section 5 T30N, R16W ( PK nail set from ties )- S 89° 32' 3E3" E 190.00 - - (Bemtsen Alum. cap ) 1352.3T ~ ~ ~ N 89° 32' 36" W 190.00 ~ 1147.05%~~`~c,`~''r se~'32'3r3"E ~ 17th AVENUE s8g'32'3s"E South line of the SW1/4 UNPLATTED LANDS ~~ -ys~=." .LC: SCALE IN FEET 1" = 100' , ~ ' JOS E * PA- 0' S0' 100' 200' 300' * y t ~- GRg~ti9b N W RICHMON11.y~ ~, W I t ~ ,, M~~• w \\ • ~ ~Q~ ~' 26' i~ c a~ w UIVPLATTED LANDS S 89° 32' 3t3" E 190.00 LOT1 93,391 Square feet ( 2.144 acres ) including R.-O.-W. 87,121 square feet ( 2.000 acres ) Excluding R.-O.-W. L~! ~ Zt ~~ ~ ~ ~~ W t N ~t v ! ~ ~ N ~! O t 8 jt z t 9„~„0., w, CERTIFIED SUR YEY MAP Located in the SE1/4 of the SW1/4 of Section 5, T30N, R16W, Town of Emerald, St. Croix County, Wisconsin. DES[:'RII'/ IvN: A parcel of land located in the SE1/4 of the SW 1/4 of Section 5, T30N, R16W, Town of Emerald, St. Croix County, Wisconsin, further described as follows: Commencing.at the SW Comer of Section S; thence S89°32'36"E 1352.37' along the South line of the SW 1/4 of said Section 5 to the point of beginning (bearings referenced to the South line of the SW1/4 of Section 5, assumed S89°32'36"E ); thence N00° 27'24"E 491.53'; thence 589°32'36"E 190.00'; thence SO(P27'24"W 491.53' to the South line of the SW 1/4 of said Section 5; thence N89°32'36"W 190.00' along the South line of the SW1/4 of said Section 5 to the point of beginning, containing 93,391 square feet (2.144 acres) more or less and being subject to all easements, restrictions and covenants of record. SURVEYOR'S CERTIFICATE I, Joseph W. Granberg, Registered Wisconsin Land Surveyor, hereby certify that by the direction of the owners, William & Darlene Demar, I have surveyed and mapped the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes, the Town of Emerald Subdivision Ordinance and the St. Croix County Subdivision Ordinance and that this map and .description are a true and correct representation thereof NOTE: Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i. e., wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Otlice and the appropriate Town Board for advice. This instrument drafted by: Joseph W. Granberg Dated Aug 22, 1998. GR.4NBERG SURVEYING 1239 C.T.H. "E" New Richmond, WI. 54017 Phone (715) 246-7529 Job No. 98-031 ~'~'~ ~C UNS . ;, ~ J~)SEPF! W ~~ ;NNr (iRANBE :a ~JFW RICE{ OIJf ~( .: .~CQ' sur~4 ,_ ~~ OS ~$