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014-1021-10-100
ENO 3~n C r~ o g 0 c `~1 ~ ~ m d ~ ° G m 1 1 3 " ~ ~ p I O u~ g ~ 7C u, Z o w l T o o ~ !r ~ c (p N j FBI N C > > ~ tD ~ N ~' V V ~p fl7 N N fl j 7 N f/1 (p fD O _a ~ 'S \ ` - ~ O 0 ~ n fD Q 7Y y fD ~ ~ I ~ ~ O 1 O 0 o A c m v c n ~ y '_. A~ hh 7 N I O O C ~ A ~ D ~ a ~ (T ~ N ~ O ~' n ~ c V ~ ~ ~ O c~ I ~ ~ rn rn Z1 ~ . a p L V ~` ~ V~ p C~ ~ o o n n r~ c .~~. ~ d r ~ ~ ~ ~ ?: !~1 ~ O m O O ~ i ~ $ $ $ $ ~~ l ~ ry~~ y N y o D _ `~ ~1 i c Q ~ ~ O O p i I O O p ~ N ~' ~ o V i ~ m , 3 ~ 3 ~ I I ~ .. .. ~ N A p O Z Z 3 O M =" N D D o C O N ~ ~ O 3 d I rn j o ~ ~ ~ N N ~+ ~ I C ~ S ~ ~ N ? N ~ rn ~ -~ ~ N ' p Z N ~ c ~ ~ .n. 6 A ~ 7 41 O W ~ ~ W oa ~ 3 ~ ~ Z _ ~ a ~ 3 ~ `~ ~ ~ ~! z F A W 7 I a ~ ~ I ~ y ~ O ~, a a `"' ~ o ~' I n ~ i ~ ~ fi I v ~ ~ ~ O ~' d O O O W b O A O A `~ ~ C ~ V ~ I O O ~ ti I ~ ~ ~ a ~ ~ ~~~~~~ ~3 3 VOL 19 PAGE 4849 KATALEEA' H. REGISTER OF DEfi~- REGEIVfiDxFOR ~tECORD 09/30/2004 02:00PM CERTIFIED SURVEY MAP THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG S-2295 ' I~j BEARINC,S REFERENCED TD TI-E SOUTH PAGES: 2 ~ ~~~ 1® LINE DF THE SWS/4 OF SECTION 9, 1 ~~A ASSUMED TO BEAR S87°47'13'1V. Z~- --1- ~~ ( PREYZOUSLY RECORDED AS 587°47'12 "W j 1 f*'{yz.., ~~PL~ ~~® ~~~ ~ ~ ~ g .~~i ~ SW CORNER, SECTION 9 ~ f° I1~ (ALUMINUM CAP FOLA~U ) WEST LITE of THE sWi/4 402.82' NOO°12'47 "W , ,q6' ~ -~ - - ---- A'"~ ---=--- ~'~ NOO° 12'47'W 924 A5' ' -, ~ . 1 .//- ~ ~ ~, s g ~ ~1 ~•_~ I ~ _ . ..:....................... ~ a b .. .. . . ... . .. . . .. .. .. ~ O o / ~ a• ...... ...... . N ... N ~ $ 4+ _,i m J ~ o ~~~ ~ ~ , ~~~. p ~ ~~~~~~ s~°' sag r~ ~~ O ~i~yI ~mm~ ~~~ ~~a N02°12'48'9Y~j ~ vaS~'r~g1 .ni"~ n O Ilq I33 3 ~ 33.00' ~ $ ~ ~SNT I`+ I v ~v~ ~"~ G7 fn 10 -~ g ~~ ~ w ~ a ~ ° ~ ~ I 33.00.: /~ S02° 12'4B'E 736.00' ON = ~ ~ c~i v 703.00' O H ~ rrl C'7 ~ d I \a°I ~ 434.00' 269.00' ~ I ~ ` ~~ 467.00' ~ a ~ r r ~;cA~ 'v b rq~r-+- IrTI -~ m 1~ I~ I a~~„~ ~.; LS m ~m~~~ ~ ~ ~ o a V~ ~ItQ4~ J ~N ~ ,~~i~~ n~ O a rn ~ ~s~ '~ ~ ~I~ ~ m~ r~ ~ ~~'i~g wN~N S I ~~~N ~~Ttl~l~l® ~ ~ ~O ~'' ~~~~~o~ IV r `~ I I •~~\\ J ~J~m~ 1~1~ ~IQ g N~ vV ~ t~~ii~ Ly p O 0 ~ _ N02 12'48"W 17.00' Qb ~<rizi 50 N~ ~g ~~ ~ ~~~~Q~ _ EAST LI/~ OF THE ~~ ~ <~ SWS/4 OF THE SWi/4 'o I5Q' _.. _ 686.00' 583.75' ruN ~ N00"30'03'W S00°30'03"E 1269.75' ~a ~~ 50.02' V~~~~~ ~~®_S ~. v 0 m~ ~~O o 1... n n7 ~~ ~~ • ~~ ~ Zorn iF o T°I ~C7 ''pp .a^~~MM. M.y 1 I 1 1 1 .Z T~ '' Z ID S~ ~ y~ ~ Q ~ ~$~~O~g~o~AN~ i~$J n ~~j -Ir2 (Y~ !~ Hmm .-. i ~ C ~~ Q CH --I .1 r H" ~ v ~n ~ ~ 1 ~rmn ~''1~ TT~~ T [A ~ ~ ~IXJ "'VVV ~ ~ ~ ~ 8......, v~ fff///I m ~ N n C!) ~ ~ m ~a ~ ~~. o .rrf~ ~~s,`-~ ~~iv ~ row ~~~ a Z < Z ,-- o ~~ ~ m ~. to V ~ ~ 5a~~ ~~ ~ ~ Q Vol 19 Page 4849 .~ W /* w~soonsin oe~artment ~ Commerce PRIVATE SEWAGE SYSTEM ~~ and eai °11AS1Of 1 INSPECTION REPORT GENERAL INFORMATmIaON~ ~~ ~ ~AC~HeS 4.P~EyRMIT)15 ~ (1xm,l Personal intorrnation you pmvice Pietmnk~p ~;Name: p City ~fires~~ wns~iip TANK INFORMATION TYPE MANUFACTURER Septic S Dosing C v TANK SETBACK INFORMATION TANKTO PIL WELL BLDG. vent to ROAD Air Intake Septic >/60 ~ 'Z ~ / Z •~°C NA ~ NA Dosing ?t ~ 3 NA ~1 ., b' ELEVATION DATA CAPACITY STATION BS i. ,i ~, Benchmark Z , PUMP /SIPHON INFORMATION Manufacturer L~ Model Number TDH Lift Friction 3 ~, S . t Forcemain Length~~y~ _Dia. Z `~ SOIL ABSORPTION SYSTEM BED /TRENCH Width J Lenc,~tl .~~0 Demand •D.' GPM TDH Dist. To well SETBACK SYSTEM TO P/L BLDG INFORMATION TypeO >/so` -~, p~- f..efnm • ..w ... ~. Sewer Ht inlet Dt Bottom Header /Man. oist. Pipe Bot. System Final Grade HI FS ELEV. l40 ~• ~. 1 /oZ•q G.3 9 .s-G ~ 2. .s/s 99. p 9.3 IP .~~ 9 ~• ,~' ld ld6 PIT No. Of Pits Inside Oia. Liquid DIME I M adurer: LAKE /STREAM LEACHI CRAM Mo e I er no IIT DISTRIBUTION SYSTEM x tloesize ^ x Holespacing Vent To Airlntake Header!(Ny~~ani o44 OistributionPipe(s~ ~ N ~ ( ~~ Z~//i d4tt kwatr~ r/ ~ T length ,~_ Dia. Z Length ~ Dia. L Spacing ~~ SOIL COVER x Pressure Systems Only xx ou~(3~ Gra~e~°ys~~f~nlY~k 3 " Oe th Over xx Depth Of xx Seeded J Sodded xx Mulched Depth Over p Topsoil p Yes ^ No ^ Yes ^ No Bed /Trench Center BedlTrenchEdges eC IOn 1: ~l ~ InS ection #2. ~ COMMENTS: (Include code discrepancies, persons present, 5 Z~o~ 18 220th Avenue Clear L ke, WI 54005 SW 114 SW 1/4 9 T31N R15W) - 093115139 -Lot 1 Location: 28 1.) Alt BM Description = ' bbh~o~, s~ s~c~1~-99 ~ ~' ~eds~ ~ w,trr~ ~oads o { ~or.o/ 2.) Bldg sewer length =36' brow w~~diw wrec~e~ ~pr ~e o`~ w -amou ~ t of cover =7yz ~' ~aCW `<~., ~~ ~ /~ 3.) contour =~ Z ~ ?(r , q ~ ,~ Sec C~ 9 ~~ ~ ~s« ;aScrC") ~~~~ ~f~ y~ wb well ~.~- ~'~ I~ Plan revision required? ^ Yes ~1 No Use other side for additional information. ~ ~ ~ ~ InSpecto~ S i nature cert No . ~Ir S80-6710 (R.3/9~ Oat ~ ~ .SrI (/ Lt/! l'~ •`~. r ~~ ~ ~1 ,(' 7 i 5 ~ 1 ~1 ~~ {'~i ~ 3~ s~ .r•, Safety & Buildings Division 2 ( ZZO ` 8 201 W. Washington Ave. i `~ Sanitary Permit Application Wis. Adm. Code ~ aceord with Comm 83.21 PO Box 7302 WI 53707-7302 Madison n scons , , Department of commerce Personal information you provide maybe used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.0 ""~~~., ,,~~~ state owned. Attach tom lete lans to the coon co onl fort ~ep~;' o'n er ndt h: than 8 -1/2 x 11 inches in size. County State Sa t Number ^ C ?1P~v~sro~to ous applicati ~' State Plan I. D. Number 641200 St Croix ,~ ~.; I. A lication Information -Please Print all Information - r ~ '`" Location: Property C+wner Name ~- ~ 1 y~y i Properly Location Jeremy Gale ~ ~; `~~ V~'t~ SW'/e, SWl/4, S9 T31 N, R15W Property C+wner's Mailing Address ~ ~F ~ O f Lot Number Block Number ~ 507 State Road 46 ,< i w City, State W1 A Zip Code 54001 P ne Nutitber- .. -,--;-~ ~. \. ~' 71~:26~.'179~ '`,~' :-'~ , Subdivision Name or CSM Number ~~• tS~ CS, ~ mery, , , P ~, {IQo II Type of Building: (check one) J as Fa/ Su.~v ~ h~-n 1 S ' ^ Crty ^ Village 1 or 2 Family Dwelling - No. of Bedrooms: 3 X Town of Forest ^ PublicJCommercial(describe use): ^ State-owned e of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road ~ „ III T Q yp C h A) 1. X New System 2. Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tau Number(s) _ -O a ~ S stem Tank Onl Existin S tem B) Permit Number Date Issued ~ ~ 3 ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) '+E ~~ ^ Sand Filter ^ Constructed Wetland ^ Non-pressurized In-ground x Mound ~ 1 \ ^ Holding Tank ^ Single Pass ^ Drip Line In-gr ~ ~ ~ ^ Pressurized~ ^ Other: ^ Recirculatin ' C . J g t ^ At-grade l~s~ J ^ Aerobic Treat nt U 6 I x ~ ~. (~ ~ n!1 `` n a n 1. S r t t Y 1 V Disperse reatment Area Information: 1. Design Flow (gpd) 2.DispersalArea 3.Dispersal Area 5. Soil Application S.PenVolation Rate 6. System Elevation 7. Final Grade Elevation Required Proposed Rate(Gals./day/sq. ft.) (Min./inch) 450 450 ft2 N/A 1.0/.5 in situ N/A 99.3 101.09 VI Tank Capacity in Gallons Total # of Manufacturer Prefab Site Steel fiber- l Piastic Gallons Tanks Con- Con- ass g Information New Existing Crete strutted Tanks Tanks ^ ^ ^ ^ x Septic 1000 1000 1 Skaw Precast ^ ^ ^ ^ x Pump Chambers 642 642 •~-- Skaw Precast VII Responsibility Statement I, the undersi ed, assume res nsibili for installation of the POWTS shown on the attached Tans. Business Phone Number Plumber's Name (print) Plumbers Signature (no stamps): MP/MPRS No. Thomas D. Gustrtm ~ 227618 (715) 658-1344 Plumber's Address (Street, City, State, Zip Code) N13450 937' St New Auburn, WI 54757 VIII County/Department Use Only c. /~~ ..M....~c. ____~~__.-a..- Tnku iro..~ rCC111~4 A2Cnt .llQnatnt~i I1`1~ Jae.+iW~ 'ly~Appmved LJ llisapproved Jamwy rcillLl i w ~.I....l,a.w ^ Owner Given Initial Adverse Surcl~rge Fee) ~ Determination S IX. Conditions of Approval /Reasons for Dil 'sapp~roval: n n ~~~~ ~ _ (11 ~- l~.ls~~ 1- b~ ~ ~ VIAGti~ ~ 2~,t,v~avt ~ ~CS~t~~n0~xr ~ ~~ / ~ \a I...N uo tw 1 ~ vu~wa~" -e-t~A..utl~~ }o g Dd D I 1 I I I i t i 1 I 1 1 1 1 1 1 1 I 1 1 1 ~ 1 1 ~ I II = I ~ I 1~ I 1 c I ~ I 1 - 1 11 I 1 1 i 1 1 i 1 1 1 I L 1 I 1 I 1 1 i 1 I 1 1 1 I I • 1 I i i ~ ~ I 1 1 ~c ~~ A = N on ' ~~~ ~3 ~o Q ~ n ° no 'o $ag°'2 s ~ ° ~ m ~ s w A 2 D m I ~' N ~ 0 -.. W ~ ~ _ W I ~ .,.... ~ ~ i ~ D _. 1 1 1 ~ 1 1 1 Q Q1 ~ 1 1 1 1 ~ fD N N ~ I 1 1 I 1 .-' 1 ~ ~ (O CO ^ 1 1 1 I W ~ D 6~~ I 1 ~ ,--r~0 ~ 1 1 1 N O ~ _ 1 1 r o~ 1 1 i ~ ~ ~o D ~ 1 1 I ; 1 N ~ ~ ~ ~ (n n0 1 1 - 1 _ ~ O --i n(n _ N U~ ~ n 1 1 1 i ~'1 O -D S 1 1 O ~ W ~? O ~ ~ fD O 1 1 ~ 1 3 O _ O o (N A '> ~ ~ ~ ~ i I o 1 i 1 ~. 1 a~ W ~ t l ado~s 1 / 1 ~ ~ ' N ~ ~ 1 ^ I I 1 1 ~ W 1 ~ N 1 11 ~~ I I G! 11 1 1 i 1 c!I r-1 m cn ~ 1 1 n r r O p 1 1 r,-1 m _ r ~ I I o 1 1 I-' C C 7 1 1 r^ a 1 1 11 ~ 0 ~ ~ 1 1 1 1 1 1 i ' o cn 1 I 1 ~ IV O ~ 1 1 1 ~ _ 1 1 1 I O = ~ W 1 1 1 1 1 6~ W 1 1 1 z Z m 1 ~ 1 1 O ~ ~ _ 1 1 1 1 1 1 n 1 1 1 ~ ~ T~ 1 1 ~ - ~ S 1 1 1 1 1 1 O ~ - f7 ~ fTl 1 1 1 4 1 1 1 1 ~ 3 1 ~ (D O ~ V p7 O a ~ m (D ~ _ On W <o 1 C7 n n (D O O O O N ~ > O ~ O O 2 ~ ~ ~ a ~`~~ f~°~ / ---- =- O C (D ~ c7 D °° dpW fold C ~ ~ O O _~ N d cn 0 0 C r R 3 ~ .~ 'tC 1 el ~.~j ~'~ ~ME to ~' i '/ ~~' ~ 1 isconsin ~ ~ .~J Department of Commerce ~ ~~~ c~'~ 6 ~~~ ~ (~GdFF~ ~tCF' May 08, 2001 CUST ID No.679647 TOM GUSTUM GUSTUM SEPTIC SERVICE N13450 937TH ST NEW AUBURN WI 54757 RE: CONDITIONAL APPROVAL Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 264-8777 www.commercestate.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 PLAN APPROVAL EXPIRES: 05/08/2003 Identification Numbers Transaction ID No. 641200 Site ID No. 629482 SITE: Please refer to both identification numbers, SITE ID: 629482, JEREMY GALE above, in all correspondence with the agency. ST CROIX COUNTY, TOWN OF FOREST; COUNTY HWY Q, FOREST 54012 SW1/4, SW1/4, S9, T31N, R15W FOR: OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 791662 DISCRIPTION: 450 GALLONS PER DAY MOUND SYSTEM. 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: • 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 Waste Treatment Systems" SBD- 10691-P (N O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N O1/Ol). • 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 mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintenance information must be given to the owner of the tank explaining that periodic cle ng o~th~~ter is required. Access to the filter for cleaning must be provided per Comm 84 product approv io~ ~ ~ ~ e,` '~ ~.. • A Sanitary Permit must be obtained from the county where this project is locate accod'~. it requirements of Sec. 145.135 and 145.19, Wis. Stats. S~ F '~- • Inspection of the private sewage system installation is required. Arrangements for insp~5 shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wi : 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. TOM GUSTUM Page 2 5/S/O1 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 slats 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. Sin rely, ~ ~~~~ THOMAS J PERKINS POWTS PLAN REVIEWER ,INTEGRATED SERVICES (262) 521-5064, FAX: (262) 537-3623 , 7:30-4:00 TPERKINS@COMMERCE.STATE. WLUS DATE RECEIVED 05/01/2001 FEE REQUIRED $ 175.00. FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WSMART code: 7633 cc: TOM GUSTUM GUSTUM SEPTIC SERVICE ,+ ' Mound System ~, ~ ~ Cover Page Project Name Owner's Name Jeremy Gale Mound Jeremy Gale Owners Address 507 State Rd. 46 Amery, WI 54001 ph: 715-26&7792 Legal Description ~ ~ '/., ~ ~ '/. Sec~~ T 31 N, R 15 w ~ Township Forest county saint Croix -~ Subdivision Lot# Parcel ID# ~E~EO~'ED ~ D. i2~1 ~ Table of Contents N ~~ Z 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank Calculations 5 Management and Contingency Plan 6 Plot Map 7 Pump Curve Specifications total # of pages: 7 Designer Name: License #: Date: Ph. #: Signature: APR ? 7 .. , S~"~~~ i `( ix 2LDGS. L~1V. Tom Gustum n~~n~ !l, ~~ ,,~,'' ~s J ~,.~' o~g~1 _ ~/~ v ~` 0 9y° ~~F•pc~'V Mound System Design Methods Used Diy ~~yc per "Mound Component Manual For Private Onsite Wasbe~aber Treatrnent Systems" (Version 2.0) SBD-10691-P (N.01I01) ~~`~ ~ par "Pressure Distri6sasion C<xnponant rrwoual for Private Onsite Wastewater Treatrner~t Systems" (Version 2.0) SBD-10706-P (N 01!01) ~~. Mound System Mound Sizing Calculations Project Name: Jeremy Gale Mound Site Conditions Private Dwelling or Commercial: p (P or C) % Slope: 11 % # of Bedrooms 3 Depth to limiting factor: 18 in. Absorbtion rate of fill material: 1 gal/ft2/day Absorbtion rate of in-situ soil: 0.5 gal/ft2/day Effluent quality Eff#1 ~ Max BOD effluent value: 220 mg/I Max TSS effluent value: 150 mg/l Design of Entire Fill Cell depth at upslope edge (D): Cell depth at downslope edge (E): Distribution cell depth (F): Cover thickness over edge (G): Cover thickness over center (H): End slope width (1n: Fill length (L): Upsiope width (J): Downslope width (Toe) (I): Fill Width (VV): P~e2d 7 18.0 in. 26.0 in. 9.5 in. 6 in. 12 in. 10.9 ft. 96.8 ft. 6.3 ft. 15.5 ft. 27.8 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal/day Basal area required: 900 ftZ Distribution ce11 width (A): 6.00 ft Basal area available: 1613 ft2 Distribution cell length (B): 75.0 ft Area of Distribution Cell: 450.0 ft2 Observation Pipes Contour Elevation of Mound: 97.8 ft Location from end of cell m: 12.5 ft System Elevation of Mound: 99.3 ft Final Grade of Mound: 101.09 ft Mound Plan View observation Pipes ~~~~ ~ K~ o Dtstnbtrkron Cell B ILK I Tilled Area-Fill Material Final Grade Syl'IthetlG F81brIC Distribution Gelb System Elevation Goner Mate Fill Material L Mound Cross Section I~ nvert J bsenration Pipe ~~ r G ~-F ~~ 1 3 Tilled Area Slope u ~'~Forcemain~`"System Contour Notes: FiN material to consist of ASTM C33 Sand Distritxrtion cell aggregate to comply with Comm 84.30(67(1) Synthetic Fabric covering on cell per Comm 84.30(6)(8) D~tribution Cell to have minimum 6' aggregate below lateral and 2" above. Mound System r~3of ~ Pressure Distribution Calculations Project Name: Jeremy Gale Mound Lateral Layout LateraUManifold Design Lateral elevation: 99.8 ft Lateral diameter. 1'/~ ~ In. Rows of Laterals: 2 ~ Lateral spacing (S): ~ft Manifold type: Center ~ Lateral to cell edge: 1.5 ft Orifice diameter. o.18s • In. Lateral discharge rate: 12.52 gpm # of Laterals: 4 System discharge rate: 50.07 gpm Distal Pressure: 2,5 ft Manifold diameter: 2 ~ In. Lateral Length: 37 ft Manifold length: 3 ft Orifice Spacing/Distribution Forcemain Friction Loss Orifice spacing (~: 24.00 Inches Forcemain length: 30 ft Orifices per lateral: 1 g Forcemain diameter. 2 ~ In. Avg. ft2/Orifice: 5.92 ft2 Friction loss in forcemain: 1.501 ft Lateral Side View Manifold Lateral ~ Lateral x x x x x x x x x x x x rZ 2 Lateral Length Lateral Length Lateral Plan View ~~ Lateral Length ~- ~ Turn-up w}baU valve or cleana~rt plug o ~ S a ° Orifices on bottom of pyC laterals and forcemarr to comply w~h lateral eguaAy spaced specifications per Comm $4.30[2neJ Forcemair- corrrection via tee or cross to marrfold at any point Clean Out Detail Observation Pipes Clean-out plug final Grade or ball vah+e Watertight cap ar plug Lawn Sprinkler Box lot Nave: Goset CoAar 6° Minimum "~' ~ used ~' Long SLreep 90 ~ place of 3!8" bar oriwo -05's 3J8° Bar Lateral Mound System Pump Tank Diagram Page 4 of 7 Dosage Volume Does forcemain drain back to tank? Lateral void volume: 15.6 gal ft Dosage to absorbtion Cell: 78.2 gal Forcemain volume: 5.2 gal Total dosage: 83.4 gal Total Dynamic Head Are laterals highest point? if not, enter highest elevation: 0 ft System head (distal x 1.3) 3.3 ft Vertical Lift ("D" to lateral) 6.80 ft Friction loss in forcemain: 1.50 ft Total dynamic head (TDH): 11.55 ft Watertight Locking Cover ~ lnch ~ blaming Label Minimum Finished Grade Pump must be capable of: 50.1 GPM ~ and head pressure of: 11.6 ft Alternate Outlet Location Elect. per Camm ~ s.zs and Dose Tank Levels NEG 300 In. Gal Weep Hole A A Reserve 19.9 328.0 ar Anti- e B Pump off to Alarm 2.0 32.9 Siphon Device C Total Dosage 5.1 83.4 C D Effluent depth for pump 12.0 197.6 Total Capacity: 39.0 642.0 D Pump tank manufacturer: Pump tank size/mode(: Pump tank gaUnch: Tank bottom elevation (inside) Septic tank manufacturer: Septic tank size/model: Septic, Pump and Dose Tank Project: Jeremy Gale Mound Tank Information Skaw Precast 642 16.47 92 Skaw Precast 1000 Pump and Filter Pump Manufacturer: Hydromati Pump Model: Shef40 Effluent Fitter: Zabel A100 Note: Access opening of sufliaent size to be provided to slow removal of filter. Opening to temrnate at or above grade. Mound System Management Plan pursuant to Comm 83.54 W. A C. page 5 of 7 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 surtace discharge, trued 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 chemicaUbiological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed 8~ cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank 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 acxordance 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 113 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. PumplDose Tank If an effluent filter has been installed in the pumpldose tank, it must be removed 8~ cleaned as necessary, with provisions to keep solids from passing to the mound cromponent during removal. The pump, f{oat switches and alarms must be inspected at {east 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 notfied 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 mowing/maintenance (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 outftested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Pertormance 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 tce 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. I Plnt Ann ail .III N Z M H c ~ R a ~ aQ $ o~ s~ ~ £ff1 Z`~$ ° O r Y ; ~ u ~IOQFb~ ~ s N // O 1 o ~ o`l 1 "' i~~e ~ p W-) W I ~ 1 o = 0 0 , 1 I 0 0 O to U U U p ~ OJ 1 I - I ~. I I~ a0 _ a> 1 ~ m ^ CO ~ ~ O 1 I N D7 ~ 61 ..--+ O 1 O f ~ ~ ~ ~ ~ O- 1 1 1 W U ~ 1 ~ _ ~ N 1 1 1 1 O .` ~ O -- 1 ~ ~ ~ 1 1 1 = I 1 1 1 1 Y ~ ~ . ~ i 1 I U I 1 1 1 _ ~ Q _ _- I 1 1 1 ~ 1'~] CO m p Z p Z I ~ 1 1 1 1 1 m O, ~ I I _ i O I t ~ ~ l I ~ 1 ~ O N I 1 1 1 1 1 UJ O ~ ~ 1 ,--~ ~ I I- O O II I I I ~ d I C w I ll7 1 O I ~ ~ J ~ > J 1 1 1 I I O ~ - O J W J Q U I I 1 I I (n W W (n I ~ M 9 II 11 ~ ~ N pp I ~ I II I ~i ~ (Y] CT ~ I i ^ ~ ~ _ 1 I 1 1 ~ CV I ~ I ~ Slope 1 1% m m ~ ~ -O I ~ ~ ~ , cs ~ c ct ~ Y ~ j I I I j ~ Oo ~ o~ U i ~ i 3 i °- d' i 1 S ~ . t C7 o O o ff I I ~ L~ I ' O V] i> ~ O N 1 1 j OU I 4 0 d `- U 1 1 I ~ I 1 f 1 1 N s= I 1 I I p~ 0 1 N 1 1 I _ ~-. + I I ~ i j I ~~ Q~ I m I ~ ^ m Ol -O I I I I to 1 V] 1 I ~ ; I 1~ ." X -N I N I I ~ (D O I r Q 1 1 11 1 1 `- 1 1 1 1 ~ ~ 1 p 1 m ...V~ 1 t "' I O I Imo) I N """ p 1 a I I ~ I I I I ~ _.. _.. I 1 1 -~ i ~, m ~ P ., ~ ., f 7 u I v - ~ .-. - r ,_,_, d ~~ Pa /Motor Unii Submersible Manuel Models SHEF40Mt SHEF40M2 Autonwtk Models SHEF40A1 SHEF40A2 Hor wer A/10 Fu6 food s 12 6.5 Motor T Shaded Pok (4 Pok) R.PJN. 1550 Phase 18 Volt 115 230 Hertz 60 T afore 120° F Max. Fluid T NEMA De A lasdotba Class A Disdrar Size 1 1/2" NPT Sands Nandll 3/4" W 28 Ibs. Power Cord .18/3, SJ11N, 20' std. (30' optionap M~IteriQls of Construction Haase Stateless Steel QII Dlelectrk OB Motor Caft Iran Cast Iron 5`ah Steel Merlimskd Shoff Sad Soul Faces: Carbon/Cerondc Sect Body: AeotBzed Steel Sprig Stabdess Steal g bws• Baaa-N I astir U Bronze Skeva lower Bear Row Bab Bear Bottom Plate P ester Coated Steel fast s Stayrless Steel legs Engineered Therrnoplastk Per"Fermance Data 40 - 30 ~ 20 ~ ~~ 10 0 10 20 30 40 SO 60 70 GPM Total Head (feet) 10 14 17 21 25 28 30 35 (m) 3.0 4.3 5.Z 6.1 7.6 8.5 8.8 10.7 GPM (US GPM) 70 60 50 40 30 20 10 O (liters sec) 4.4 3.8 3.4 2.5 1.9 1.3 .63 0 Dimensional Data ~-~/s•. (se.a2) 3-7/9' (98.42) 11-3/8' (288.92) 1. All dimensions in inches. (Metric for international use). 2. Component dimensions moy vary t 1/8 inch. 3. Not for construction purpose DISC N~ E unless certified. SWITCH 4. Dimensions and weights are approximate. 5. We reserve the right to make rev~ions to our product and their specifications without notice. _~ 3-5/8' :.,-_ ©1998 Hydromatic" Pumps, Ashland, Ohio. All Rights Reserved. ~~ HYDROMATIC ® -Your Authorized local Distributor- ~~ -. p -~ ~ ~ 1840 Baney Road Ashland, Ohio 44805 Tel: 419-289-3042 Fax: 419-281-4087 Web SRe: www.peni9irpump.com ' X11 sri~~, .~ "" SALES OFFICES IN ALL MAJOR CFFIES AND COUNTRIES ~ ~T a '( Refer ro "Pumps' in the yellow pages of your phone directory far your 1x91 Distributor s ~ ~ ~~ C J""' ~,~ ~ Item#: W-02-6680 1198 5M ~M~ntN ~, R * '' SAFETY WARNING -Risk of electric shock. This pump is supplied with agrounding conductorand/orgrounding type attachment plug. To reduce the risk of electric shock, be certain that it is connected to a properly grounded grounding type receptacle. Your 115V effluent pump is equipped with a 3-prong electrical plug. The third prong is to ground the pump to prevent possible electrical shock hazard. Do not remove the third prong from the plug. A separate branch circuit is recommended. Do not use an extension cord. When a pump is in a basin, etc. do not touch motor, pipes or water until unit is unplugged or shut off. If your installation has water or moisture present, do not touch wet area until all power has been turned off. If shut-off box is not accessible, call the electric company to shut off service to the house, or call your local fire department for instructions. Failure to follow this warning can result in fatal electrical shock. The flexible PVC jacketed cord assembly mounted to the pump must not be modified in any way, with the exception of shortening the cord to fit into a control panel. Any splice between the pump and the control panel must be made within a junction box and mounted outside ofthe basin, and comply with the National Electrical Code. Do not use the power cord for lifting the pump. The pump motor is equipped with an automatic resetting thermal projector and may restart unexpectedly. Projector tipping is an indication of motor overloading as a result of operating the pump at low heads (low discharge restriction), excessively high or low voltage, inadeq uate wiring, incorrect motor connections, or a defective motor or pump. EL^W- LITERS/MINUTE 80 160 240 320 w w Q Q w EL^W- GALLONS/MINUTE SAFETY GUIDELINES 1. Read all instructions and safety guidelines thoroughly. Failure to follow the guidelines and the instructions could result in serious bodily injury and/or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR EXPLOSIVE FLUIDS SUCH AS GASOLINE, FUEL OIL, KEROSENE, ETC. DO NOT USE IN EXPLOSIVE ATMOSPHERES OR HAZARDOUS LOCATIONS AS CLASSIFIED BY NEC, ANSI/NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL INJURY AND/OR PROPERTY DAMAGE. 3. During normal operation the pump is immersed in water. Also, during rain storms, water may be present in the surrounding area of the pump. Caution must be used to prevent bodily injury when working near the pump: a. The plug must be removed from the receptacle prior to touching, servicing or repairing the pump. b. To minimize possible fatal electrical shock hazard, extreme care should be used when changing fuses. Do not stand in water while changing fuses or insert your finger into the fuse socket. 4. Do not run the pump in a dry basin. If the pump is run in a dry basin, the surface temperature of the pump will rise to a high level. This high level could cause skin burns if the pump is touched and will cause serious damage to your pump. 5. Do not oil the motor. The pump housing is sealed. A high grade dielectric oil devoid of water has been put into the motor housing at the factory. Use of other oil could cause serious electric shock and/or permanent damage to the pump. Is. 0 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum 12. s ~ motor heat transfer and lifetime lubrication of the ~ bearings. Use of any other lubricant could cause lo. o ~ damage and void the warranty. This lubricant is ~ non-toxic; however, if it escapes the motor ~ s -~ housing, it should be removed from the surface Q quickly by placing newspapers or other absorbent Q material on the water surface to soak it up, so s. o = aquatic life is undisturbed. 2. s 7. In any installation where property damage and/or personal injury might result from an inoperative or o leaking pump due to power outages, discharge line blockage, or any other reason, a backup system(s) and/or alarm should be used. PUMP PERF~^RMANCE CURVE 115V 60HZ irS~G 3 0 20 40 60 80 100 INSTALLATION Pump must be installed in a suitable gas tight basin which REMOTE FLOAT SWITCH is at least 18" in diameter and 24" deep, and vented in LEVEL CONTROL accordance with local plumbing codes. Pump features a 1%" female NPT discharge. NOTE: DO NOT OVERTIGHTEN DISCHARGE PIPE INTO PUMP VOLUTE DISCHARGE. Pump can be installed with ABS, PVC, polyethylene or galvanized steel pipe. Proper adapters are required to connect plastic pipe to pump. Pump must be placed on a hard level surface. Never place pump directly on clay, earth or gravel surtaces. A check valve must be used in the discharge line to prevent back flow of liquid into the basin. The check valve should be a free flow valve that will easily pass solids. CAUTION: For best performance of check valves, when handling solids install in a horizontal position or at angle of no more than 45°. Do not install check valve in a vertical position as solids may settle in valve and prevent opening on start-up. When a check valve is used drill a 3/16" hole in the discharge pipe approximately 1" to 2" above the pump discharge connection and below check valve to prevent air locking of the pump. WIRING Check local electrical and building codes before installation. The installation must be in accordance with their regulations as well as the most recent National Electrical Code (NEC). To conform to the National Electrical Code all pumps must be wired with 14 AWG or larger wire. For runs to 250 feet 14 AWG wire is sufficient. For longer runs consult a qualified electrician or the factory. Pump should be connected or wired to its own circuit with no other outlets or equipment in the circuit line. Fuses and circuit breaker should be of ample capacity in the electrical circuit. See chart below. H.P. VOLTAGE FUSE OR CIRCUIT BREAKER AMPS 4/10 115 20 4/10 230 15 4 The RFS series pumps are equipped with a remote float switch level control. This level control is sealed in a polypropylene float cylinder. For automatic operation, the pump must be plugged or wired into a remote float switch. Pump will run continuously if plugged directly into an electrical outlet. When the level rises in the basin, the cylinder floats up with the level. When the cylinder position is at an angle of about 45 degrees, the switch activates and starts the pump motor. As the level draws down, the cylinder floats down and when it is again at an angle of about 45 degrees, the switch deactivates, and the pump motor stops. NOTE: BE CERTAIN PUMP IS SECURE IN BASIN AND CYLINDER FLOATS UNOBSTRUCTED WITHOUT TOUCHING THE BASIN WALLS OR PLUMBING. REMOTE FLOAT SWITCH INSTALLATION The float switch consists of four parts: a) switch; b) cord clamp; c) clamp screw. d) cable tie NOTE: If screw is lost, use a #10-16 X 1/2" long tapping screw, longer screws can crack the cover. 2. Attach cord clamp to pump cover as shown in the switch instruction manual packaged with the switch. The clamp and pump handle must be positioned as shown to allow free operation of float. Be sure to locate pump and switch power cords away from switch float. 3. A 2/" tether length is recommended. When a tether length of 2/" is used, a minimum basin diameter of 18" is recommended. The tether length is measured as shown in illustration at right. 4. After desired tether length is established hand tighten clamp screw. 5. TESTING: Without water in basin plug pump power cord into switch in-line-plug. Plug switch into outlet. Lift float and watch for pump to operate. Do not run pump for more than 5 seconds. OPERATION TESTING PUMP OPERATION RFS SERIES SEWAGE EJECTOR PUMPS 1. These pumps are equipped with a remote float switch. DO NOT REMOVE MOTOR HOUSING COVER. WARRANTY IS VOID IF MOTOR HOUSING COVER, IMPELLER OR SEALS HAVE BEEN REMOVED. ANY REPAIR ON MOTOR MUST BE DONE BY AN AUTHORIZED LITTLE GIANT SERVICE CENTER. 2. These pumps are installed in a basin with a sealed cover, so switch operation cannot be observed. The sump cover usually will have a spare hole that is plugged with a rubber plug. This plug can be removed and switch operation can be observed. 3. Plug power cord and remote float switch power cord into a grounded receptacle with voltage consistent with pump voltage as indicated on pump nameplate. 4. Run water into basin until pump starts. 5. Be sure gate valve in discharge line is open 6. Allow pump to operate th rough several on-off cycles MANUAL SEWAGE EJECTOR PUMPS The pump cord forthese pumps can be plugged directly into a properly grounded receptacle with voltage consistentwith pump nameplate for continuous pump operation. CAUTION: This type of operation should be used only for emergency use or when a large volume of water is to be pumped. Pump must not be allowed to run dry. If pump is run dry, it may damage pump and void the warranty. MAINTENANCE AND SERVICE If pump does not operate properly, consult the Trouble Shooting Chart. If trouble can not be located with these steps shown, consult your pump dealer or take pump to a Little Giant authorized service center. CAUTION: When working on pump or switch, always unplug pump power cord in addition to removing fuse or shutting off circuit breaker before working on pump. CLEANING IMPELLER AND VOLUTE 1. Remove screws that hold the volute halves together 2. Remove lower volute and clean impeller and volute passage. Do not use strong solvents on impeller. 3. Be sure impeller turns freely after cleaning. 4. Install eleven screws and tighten (See Volute Screw Installation). 5. WARNING: DO NOT REMOVE IMPELLER. REMOVAL OF IMPELLER REQUIRES SPECIAL TOOLS AND IS TO BE DONE ONLY BY AN AUTHORIZED SERVICE CENTER. VOLUTE O-RING SEAL REPLACEMENT 1. Remove eleven screws that hold the volute together. 2. Remove lower volute. 3. Remove O-ring from upper volute. 4. Place new O-ring in groove in upper volute. 5. Install lower volute on pump. Make sure that the volute halves are mated together. Be sure not to damage the impeller seal. 6. Install eleven screws and tighten (See Volute Screw Installation). 7. Make sure the impeller turns freely. IMPELLER WEAR RING SEAL REPLACEMENT 1. Remove eleven screws that hold the volute halves together. 2. Remove lowervolute, which contains U-cup seal. 3. Inspect impeller wear ring for signs of wear or grooving. Ifwear ring is badly grooved, take pump to a Little Giant authorized service center for repairs. 4. Note: The orientation of the U-cup seal. Remove U-cup seal from lower volute. 5. Place new U-cup seal in lower volute. 6. Install lower volute on pump. Make sure that O-ring is still located in the groove of the upper volute. Make sure the volute halves are mated together. Be sure notto damage the impellerseal. 7. Install eleven screws and tighten (See Volute Screw Installation). 8. Make sure the impeller turns freely. AGPLVflPSTIHPFE SpiEW5A55HOMlNNiItl1TEN/PPLVPEMRMINGSOIflNS ASUSIMLIBE SINE NOTTOCNOSSIIWEAOpIOVEMPGHIENIHESQiEVS. O. VOLUTE SCREW INSTAWTION 5 TROUBLE SHOOTING INFORMATION PROBLEM PROBABLE CAUSES CORRECTIVE ACTION Pum not lu ed in. Plu in um . Pump does not turn on. N t B f bl t h i i Circuit breaker shutoff or fuse removed. Tum on circuit breaker or re lace fuse. o e: e ore rou e s oot ng automat c con- trol, check to see that pump operates on man- Accumulation of trash on menu float switch. Clean float. ual control. To do this, unplug from in-line float switch lu Plu um ower c rd int ll Remote float switch obstruction. Check Float ath and rovide Gearance. p g. g p p p o o wa outlet. If pump works, proceed to check switch, if not, fault is in pump or power supply. Defective switch. Disconnect switch, check w/ohmmeter. O n-infinitive resistance, closed-zero. Defective motor. Have um serviced. Remote float switch obstruction. Check float ath and rovide Gearance. ump will not shut off. Pump is air locked. Shut power off for approximately 1 minute, then restart. Re- peat several times to clear air from pump. If system includes a check valve, a 3/16" hole should be drilled in discharge pipe a roximatel 2"above dischar a connections. Li uid inflow matches um ca aci Lar er um re wired. Defective switch. Disconnect switch, check w/ohmmeter, Open-infinitive resistance closed-zero. Loose connection in level control wirin Check control wirin . Check valve installed backwards. Check flow indicating arrow on check w/ohmmeter, O n-infinitive resistance closed-zero. Check valve stuck or lu ed. Remove check valve and ins ct for ro r o ration. Pump runs but does not discharge liquid. Lift too hi h for um . Check ratin table. Inlet to im eller lu ed. Pull um and Gean. Pum is air locked. See corrective action above. Lift too hi h for um Check rated um rtormance. Pump does not deliver rated capacity. Low voltage, speed too slow. Check for proper supply voltage to make certain tt corresponds to name late volts e. Im eller or discha e i is clo ed. Pull um and Gean. Check i e for scale or corrosion. Im eller wear due to abrasives. Re lace wom im eller. No check valve in long discharge pipe allowing liquid to drain back into basin. Install a check valve in dischar a line. 9 Pump cycles continually. Check valve leakin Ins ect check valve for correct o ration. Basin too small for inflow. Install larger basin. REPAIR ~ O ~ M ~ ~ r N ~O NO UO (n0 W Z NOT DESCRIPTION Q V o o o ~ o ~ v ~ _Q ~ ~ 2 2 U U O O LLI W O O 1 108101 Handle 1 2 109019 O-Ring, NITRILE 1 3 109034 Volute, Lower, Assy. 1 • (includes 928101). 4 928101 Seal, U-cup, NITRILE 1 5 902505 Screw, Tapping, " 11 • 10x16x3/4 6 902516 Screw, Tapping, 10x24x1/2" 1 7 927027 Clamp, Loop, 1/4", Nylon 1 8 950307 Switch, Non-Mercury, 115V 1 8 950302 Switch, Non-Mercury, 230V 1 9 950905 Tyrap (not shown) 1 ~~~ ~. Wisconsin Department of Commerce Division of Safety and Buildings d SOIL EVALUATION ,., .~...,.,.,r~nro wirh f`nmm AF Wic Aram C: Elf ~.Q R 1390 )RT ~ ~,~~~ page 1 of 3 ~l ~~' 7 ~ 4 ~Cw"~ _ r~yX Gustum Septic Service ' County ~'qY /: x 11 inches in size. Plan must Attach complete site plan on paper not less than 8 .Croix , include, but not limited to: vertical and horizontal reference point (BM), direction and prcel " percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. ~, Please print all information. ~ „mod ~,~ ~ •° D to Personal inforrnaation you provide may be used for secondary purposes (Privacy l.aw, s. 15.04 (1) (m)). Wy,Q~~l Property Owner Properly Location Gale, Jerem Govt. l.ot n!a SW 1M SW 1/4 S 9 T 31 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 507 State Road 46 n/a n/a N/A City State Zip Code Phone Number J City ~ Village ~/ Town Nearest Road Amery ~ WI 54001 715-268-7292 Forest County Road Q I~ New Construction Uce: 1/ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement -j Public or commercial -Describe: Parent material ground moraines Flood plain elevation, if applicable n/a General comments and recommendations: Part of proposed 5 acre parcel. Recommend mound system along 97.8' contour. I 7 I Boring # -~ Boring /I Pit Ground Surface elev. 96.1 ft. Depth to limiting factor 19~ in. Sal Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP *Eff#1 D/ft' 'Eff#2 1 0-6 10yr3/2 none sil 2msbk mvfr as 2f,2m 0.5 0.8 2 6-12 10yr4/3 none gr. sil 2msbk mvfr cw 2m,1co 0.5 0.8 3 12-19 10yr4/4 none gr. sil 2msbk mvfr cw 1m,1co 0.5 0.8 4 19-35 5yr4/4 c2 ~ S~~g /1 gr. scl 2msbk mfr - - 0.4 0.6 g Borin 2 Borin # ~ Pit g Ground Surface elev. 98.3 ft. Depth to limitino factor 18,E in. Soil Application Rate C l ri tion R D d Texture Structure Consistence Boundary Roots GP D/ft4 Horizon Depth in. or Dominant o Munsell p ox esc e Du. Sz. Cont. Color Gr. Sz. 5h. 'Eff#1 'Eff#2 1 0-4 10yr3/2 none sil 2msbk mvfr as 3f,2m 0.5 0.8 2 4-7 10yr3/4 none sil 2msbk mvfr cvv 2m,2co 0.5 0.8 3 7-13 10yr4/4 none sil 2msbk mvfr cw 2m,1co 0.5 0.8 4 13-18 10yr4/4 none gr. sil 2msbk mvfr cw 1 m 0.5 0.8 5 18- 5yr4/4 c2-3d 10 7/1 7.Syr5/8 r. scl g 2msbk mfr - - 0.4 0.6 ' Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/L and 155 «u mgrs CST Name (Please Print) Signature: CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St., New Aubum, WI 54757 4/19/01 715-658-1344 Property Owner Gale, Jeremy Parcel ID # Page 2 of 3 Boring # J Boring 1~ Pit Ground Surface elev. 96.1 ft. Depth to limiting factor 21 Soil A pplication Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence dory Roots in. MunseN pu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eft#2 1 0-4 10yr3/2 none sil 2msbk mvfr as 2f,2m 0.5 0.8 2 4-10 10yr3/4 -none gr. sil 2msbk mvfr cw 2m,1co 0.5 0.8 3 10-21 10yr4/4 none gr. sil 2msbk mvfr cw 1 m,1 co 0.5 0.8 4 21- 5yr4/4 c2-3p 10yr7/1 7.5 5/8 r. scl g 2msbk mfr - - 0.4 0.6 ^ Boring # -~ Boring ~ Pit Ground Surtace elev. ft. Depth to limiting factor in. Sal ~~~ ~~ Horizon Depth Dominant Cobr Redox Desai~ion Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # -1 Boring -J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil application Rate Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots n. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L mg/L and TSS < 30 mg/l s - _ * Effluent #2 = BODS < 30 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 departrnent at 608-266-3151 or TTY 608-264-8777. J UI -P csl -- ~~ l .. I I I I I o I .~,_, N rt I C~ o I -~ I ~ ~ I ? I _ OJ 1 O 1 II ~ 1 I n I 1 i i n I I I ~ I ~ I ~ N I 1 I I I I ~ ~ 1 I W I ~ ~ . j I I 1 I I I _ I I 1 I I i I I I ,~ I I 1 1 r I C7 I I 1 I 1 1 I ~ ~ I I I d~ I I i II _ I I I V I I I I I ~ 1 I I I ~ 1 I I I I ~ ~ I - t\ I I I p \ I I I I - co w ~ l l adolS ~ ~ ^ I I ~' ~ ;~ I III ~ ~ ^ ' 1 I , W I I W II II II II 1 1 w I I I 1 - I Cn fTl f"rl (~ I I I I C7 r ~ O I 1 1 I n ITl ITI I I I ~ ~ G C ~ II i I I m I I ~ I ~ I 1 1 II O O -I II 1 1 I -' O (n I I I 1 ~ ~ N O ~ 1 1 1 1 I .~ _ - _ I 1 I O ~ 1 11 11 I I I = W 1 1 I I z z 07 67 1 I it I ~ ~ ~ 1 1 1 I - ?> - 1 I I I n I 1 1 I - - 1 1 1 I ~ ~ ~ I 1 1 I S 1 1 I I - ~ 1 1 1 I o -_ O 1 I I ~ C7 fTl II 11 1 I ~ I I I I o 1 1 I o cO ~ ~ I Q ~ ~ ~ W ' m ~ ~ W I I (D ~ C7 I ~ ~ (7 1 - 0 0 0 I ~ ~ 7 7 I o I o 0 0 ~ S ~ C C I ~ ~ ~ ~ I -p I a ~`? 0 I ~p N` 3 N ~ m ~ n c..l 0 w ~~~~~ o ~,~ ti~ ~T~° ~° n~ °~g~Q m w_ Z ~ ~ to \ r `- C 0 C • ~ O ~ -a 0 o_ CTI O O ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM QwnerBuyer ~ / Mailing Address 2~ 1 S6 ~m `~` J~U e C~~G Q Property Address ~~ 1 ~ ~ "1i` (Verification required from Planning Departmen ew City/State ~~c-ar ~°~~~ ~ ~ j Parcel Identification Number LEGAL DESCRIPTION Property Location Subdivision Lot # -r- .~.~ Certified Survey Map # ,Volume ~ S , .Page # ~ ~ ~ ~ Warranty Deed # ~ `~ ~ 3 B ,Volume / 6 ~Z ,Page # ~ ~ Spec house ^ yes ^ no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 caa affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewater disposal 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 aad agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification st:~g that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office wit1~ 30 days of the three year xpiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLiCAlV 1. 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 is the warranty deed ~ ~ i/4, ~ '/., Sec. ~ , T~N-R ~ 5 W, Town of '~~ ~~ 1 ~5~PAGE 563 ~ , ~. , I! STATE BAR OF WISCONSIN FORM 3 - 1998 li ~ 6.•~?31 S ! QUIT CLAIM DEED ;~ rATHLEEN N. waLSH j i kEGISTEk OF DEEDS ~ S T. C R O I X C 0., W I Document Number 1 r ,'; ~'~ RECEIVED FOR RECORD j This Deed, made between Leh h * • ~~ 06-04-2041 3:15 PM I, !,; I~. h, QUIT CLAIM DEED j! ; ,Grantor, ; EXEMPT N 8 CERT COPY FEE: ~ , -e r~ ww C ~ ~~ COPY FEE: TRANSFER FEE: ;, ' RECORDING FEE: 10.00 I~ PAGES: 1 ;i " Grantee. 'i! //!! Gra}~or quit claims " ~ I ~ to Grantee the following described real estate in i : f Wi S a , I d I ~ n scons tate o .County, ~~~ ,~,~.~ ~k ~~~ ono I ~GtJ M ~' ~~.. ~ CsM Vof uwl,e )S ~A f 1 d ~ ~ l~~ '' ~oCa~eG j v~ ~' ~ 6 T~ ~ 1 '"' Together with all appurtenant rights, title and interests. ad ~ ~ l~~ I.~ Recording Area Name and Return Address ji ~hn (9a~e '.I sow ~ ~~ 12~ -~, _. Parcel IdentificaAti'on Number (PIN) ;, This SS `' homestead property. ~~ (is) (is not) ~ Dated this (+~ day of ~J /t 'e Z ~ ~ 1 (SEAL) ,4/ ~ i? (SEAL) ~i AUTHENTICATION ACKNOWLEDGMENT ',~ Signature(s) State of Wisconsin, ss. II ~'~ ~~ ~~ ~/ Coun authenticated this day of Personally came before me this ~ ~~ day of ~~~ 1~,IP~ ,~' DD~ ,the above named ~~~ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, me known to be the person authori2ed by §706.06, Wis. Stats.) instrument and acknowledge the same. •~'.. k THIS INSTRUMENT WAS DRAFTED BY ~ J y +'Q ~~' ~m ~' .; ~ , y~ a~ nay be authenticated or acknowledged. Both are n t~~~l . S~ P (SEAL) (SEAL) to who executed the foregoing ~G r t7 ~ vvo~ •~ - ~ State of Wisconsin ~ is permanent. (If not, state expiration date: ~~/ ~ ~~ •) ._ .u signing in any capacity must be typed or printed below their signature. ; STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., inc. ,i ,~M DEED FORM No. 3 - 1998 Milwaukee, Wis. !, JUN'01-2001 13:50 FROM:A&E LAND SURVEYING 715-246-3830 , r ~"~. '~ ~~ ~~7040 UNP~ATT,~O LANDS_OE OWNER CERTIFIED SURVEY Loaatad 1n Part of the Southwest Quarter of the Southwest Quarter of Seotlon 0, Range 15 Weet, Town of Foreet, St. CroIX County, Wleconeln. Prepared for and dt the raquo>st of. OWNER: ~~,,yy~~n Gnls X07 State Trunk Highway '46' Amery, WI 54001 pr4R.d by: Ty R. Oodp~ Ner47'1 x•~ 467.Op' ,~ ~~ ~r i -~ i i i i~ 'a tZ t~ icy ~o I Im z ~~iNt3 X88 JQ~ `,. \``__ ~ .. LOT 1 T0:715 263 2102 P.001~001 ~~ , ~ • ". , . ~rt F11.ED h MAY 3 1 2041- o~ ~p~~e~o~'' S Sl,crooccolM MAP ~'Tn-t~ Township 31 North. APPROVED ST. CROIX COUNTY Planning Zoning and parka Committee MAY 2 9 zov~ TOTAI. AREA: 21 B,OB9 SQ. FT. 5.01 ACRt=S AREA EXC. R-O--W: 202,13s SQ. FT. 4.84 ACRES ,~ ~~ I~ ~~ I~ ~z ~o ui i ~~ i Nl37'47'1 ?'E . ..... ........ ................... .....................~~:89~~`..`. _ _ ~~ ~ 502'12'48"Ea__ i ~~ _._. _ - 17,p0 `. ,f ~ S87'47'12'W 435.11' ^ ~ ,_ _, - - r.. -~~' ,NST47'12,"E.~ Sa7'4T12 W 4a47.CQ' ~ ~ ,'~ nret3r G~1-E7P sECnav s-.~-f5 NAt4/Q~fl/~n _ ANDS '~c~'" ~~-rs UNPLATi'~„D_.~ __-- (fgwvv ~tta~ev~au L10ptNTY UQNIJI/E71ITJ apps 81~detee spprova~she~ ba null and veld V Q ~ 9.01 u~tttNntaruunru~,,4~ ~~~~~1~SCONSjN'~'~ • •* *~ n DGE c S•2484 . CLfrAR LAICE~~?' '•.~ WI ~: ~ e„_. ~ NOTE; The parcel shown on th(s mqp le subject to State, County and Township laws, rules and regulations (I.e. we lands, minimum lot size, access to parcel, etc,), t3etore purchaeing or devsloptng any parcel, contact khe St, CrolK County 2ontng Office and the opprapriate Town Qoord for advice. l,ECF.~: Seotlon Carner Monument of Record • Set 1' x 24' Iron Plpe welghing ....... • . 1.13 pounds per Ilnaar toot •Buliding Setback Llne (aS' from Centerline) JOB {~ WI057SU27 -~porend by. -,` J Consu/ei~g Group, inc. (715) 248- 4318 rrd Street, P.O. Box 32S ' WI x4017 _ ~ . ~ . - =N8T4712'E~-2QT1.tA _-- _ _ - -~- ~ ..._ ~• - - - - - ~. S10u1-,- l'/~ ,~ ~ ,~ NoRTM GRAPHIC SCALE SCALE IN FEET: 1 Ii,eh ~ 1p0 feet e{:ARINGS ARE REFERENCED TO THE SOUTH LINE OF THE SW 1/4 OF SECTION 9, TOWNSHIP 31 N., RANGE 15 W. WHICH IS ASSUMED TO BEAR N87.47'12'E. VOI.Ui~ 1 S PAGX 4100 MAY=31-2001 09:48 FROM:A&E LAND SURVEYING 715 246 4319 T0:715 263 2102 P.004~004 C~RTIFIEI~ SURVEY MAP Located in part of the Southwest Quorter of the Southwest Ouorter of Ssctlon 9, Township 31 North, Range 15 West, Town of Forest, St. Croix County, Wisconsin. 5ITRVEYOR'S CERTip'YCATE: T, Ty R. Dodge, a Registered Wisconsin Land Surveyor, do hereby certify that by the direction of Lynn Qale, I have surveyed, divided and mapped a parcel of land located in part of the Southwest Quarter of the Southwest Quarter of Section 9, Township 31 North, Range 15 West, Town of Forest, St, Croix County, Wisconsin, described as follows: Commencing at the Southwest Corner of said Section 9; thanes, on an assumed bearing along the south line of the Southwest Quarter of said Section 9, North 87 degrees 47 minutes 12 seconds East a distance of. 669.30 feet to the point of beginning of the parcel to be described; thence North 02 degrees 12 minutes 48 seconds West a distance of X67.00 feet; thence North 87 degrees 47 minutes 12 seconds East a distanco of 467.00 feet; thence South 02 degrees 12 minutes 48 seconds East a distance of 467.00 feet to said south line of the Southwest Quarter; thence, along last said south ling, South 87 degrees 47 minutes 12 seconds West a distance of 467.00 feet to the point of beginning. Containing 218,089 square feet (5.01 acres). Subject to C.T.H. "Q" alan~ the roost southerly line ofthe above described property. Also subject to all easements, restrictions, and covenants of record I also certify that this map is a correct representation to scale of the exterior boundaries surveyed and described, that I have complied with the previsions of Chapter 236.34 of the Wisconsin State Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Forest in surveying and mapping the same. Ty R. Dodge--Registered Wisconsin Land. Surveyor Na. 2484 Data JEO Consulting Group, Inc. P.o. aox 3zs New Riehmottd, W.l 54017