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HomeMy WebLinkAbout040-1181-95-000 o I 3 0 O 4 o 0 ,0 0 4>vto c ey E dt~OL ! cc C C III N Im C L N -O w1 ! j •N C O ~ N ty. U N L E S O C d a C p a X C p p m L ~ O C C O C_ N O N °p 'O p Z Y U C C y U C LL C c4 N X- OUp 3 o N c 3~ N O O C C O O Q= t~ Y U L M Z 3 N rn O b Z U li O p E E Z N N y 0 N U --o M M I•- fQ 'I L m y CL a N y ` p C N p w V N O` E p N H r ! N N aO a 2 E o c 'n f6 Ei O .S N hw `o y nE Eo C O N Y C 0 0 0 • C L O h t 47 V V N O N LO t= o Z Z Z Z O p d N C. d y O N u~i G G a a O t0 ~ F ~ O 2 o i3 3 3 3 a • l m m N O O N > ►i to J U °o °o j > N CO O} 0 a Z ti~ U O N N N cli (D E 0 a 00 ~O ) r C co Q n in 0 m !mil C O '.3 c, CO H C ° E 7 p 00 O ~G+ N O N U d ! a) M U it N C C m w N N N N Q 60 pj p 1' N C C C 5 O l0 t, C 7 F- !I N4~ N y W 2 vV co 0 CO LO U) c (D iC w.l O N ` O. W p N O C R U C, F- ce) Z it v ~ I ~ •2 L: a~ • a 5 . m r~ E r A ca~ 00)00 Wisconsin e#. - e ,pf Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety,ano Building Division INSPECTION REPORT Sanitary Permit No: 399550 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Lopez, James Troy Township 040-1181-95-000 CST BM Elev: Insp. BM Elev: BM Description: (Q 31-7e) 1 _5F TANK INFORMATION ELEV ION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark s Uo S, 30 Dosing Alt. BM n Bldg. Sewer Hold in Ht Inlet i TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / Dt Bottom t Dosing 7 S! 3 S Header/Man. ZQ v Dist. Pipe X v' Hol ' t 10124 Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand'-/ 'i GPM Model Number h'I 3, ~1 t I-AOX, S~z /o z / o TDH Lift Friction oss ystem Head TT Ft S 4.:5 3. 2- S" ITT Forcemain Length Dia. Dist to Well -F Z Ji Z ~v SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tr nches PIT DIMENSIONS No. Of Pits Inside D' Liquid Depth DIMENSIONS Y5 s SETBACK SYSTEM TO (J P/L BLDG WELL LAKE/STREAM NG Manufacturer: INFORMATION CHAMBER Type Of System: _ S- UNIT el Number: DISTRIBUTION SYSTEM Se,2 Z0 (3 Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Dia Z ri Pipe(s) Dia Z d/ Spacing Y is Length ~ 3, 5 / 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 Bed/Trench Center Bed/Trench Edges Topsoil (j Yes No Yes [W No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:1L Inspection #2: / 2 /O-L Location: 68 Oak Ridge Drive River Falls, WI 54022 (SE 1/4 NW 1/4 36 T28N R19W) Danate Park LBI "A I £ Parcel No: 36.28.19.732 r~ Y~ IZ~Y~e( (,~det5 461c ~o ~rorw. dew SW W;rr•s 6, 1.) Alt BM Description = i aces C67 f f a 2.) Bldg sewer length=, Q ihs a~~~ _1 4)cve. r-of S)-egrri~/ Sei( W'11 g G✓tf,,~r~~ - amount of cover AM.ct! P(" ~ w+cr fA:cc 0-l•pee red JtC&kj 3.) Contour= btr w cll 41 plaverr_1 a` Plan revision Required? ❑ Yes No Use other side for additional informal n. J Ve, 1/6 SBD-6710 (R.3 Date Insepctor's igna re Cert. No. x 0 13 - ~itti -04 ~ ~ 141 ' Pt ~ ° dyk PLOT PLAN Scale 1 Zp Page Z of 7 a►14Fl = EL 111o.b' Cr" $"HlGtl, 31yrblA. PVC PlP~ N S1ZL~ ? -po37 '^.c:"`-•':X'~ r A►"1 1~ Z - LPL _ 1b3.7' k h ti ~ 4 if _ _ _ Sp'FWH Mou~'A)vD > ZS, TA - N e4 H-o )Lt J~ ~ r S'oFy"PVC S N %M*-L VQ~ NIIINC-F \114 o 0S X03 , , / i a pi,lt*~ • 06 bs' OgL B y 4Cr-~ a t-~9$5 tJ~~ `S' _ oAtt 12tp6~ De_ ~I - RI~NQStpE P1 -IUD- - NOTES: - 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation 3. Septic tank be pipes with approved caps. ( Z. required). 111dd 6S0 gallon capacity manufactured by l v t X12 CO~13 C LQI-E• 1.,i 19- l80 0 g z~ F-L L2 4. Bench markS ~ ABoVE Divert surface water around system to prevent ponding at the uphill side. v E CJGc k eis Dr i ✓ l 7 7 Sanitary Permit Applicati6fi Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ®~sconsin Personal information you provide may be used for Madison WI 53707-7302 Department of Commerce Y secondary purposes [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8-1/2 x 11 inches in size. Countyf,~ f~O State S?i~ ~NNuumber ❑ Check if revision to previous application State Plan I. D. Number ~ C~ v (O 0 I. Application Information - Please Print all Information Location: Property Owner Name Property Location Q hl / s ecG hl, 1/4 W 1/4, s 34T4,N, R` Property Owner's Mailing Address Lot Number Block Number /r10 $ RECEIVED \ City, State Zip Code Phone.Nymber r Subdivision Name or CSM Number R1Vf lb WT CL Y 0 z ,Z ( ) Don afe Pork II. Type of Building: (check one) OOUKry ❑ city JK 1 or 2 Family Dwelling -No. of Bedrooms 20N►NG01CE ❑ Village "~►1( ❑ Public/Commercial (describe use):J~Town of ❑ State-Owned rrD e Nearest oad k a Or 4b t Parcel Tax Number(s) - -ho I Dy -l-~I o III. Type of Permit: (Check only one box on line A. Check b line B if applicable) e A) 1. New 2. ❑ Replacement 3. ❑ Replacemen 4. 5. 6. Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply ❑ Non-pressurized In-ground M ❑ Sand Filter ❑ Constructed Wetland 1: ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 100.'5 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation YA V5 _ 115TU ~3`b /,0 /()/,0 /02,d VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks Sap f L /&o c /boo /000 ❑ (~VQISev u (f ~ 6d C m fa n k ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. ~mber's Name (print) m is sgnatur (no stamps): MP7j4FK9 Ne. Business Phone Number Lt. I C c C ~a5 / 71 s , ~v Plumbers Address (Street, City, State, Zip Code) N ST 1?1(jerA? s IV IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date issued Issy►'ng Agent Signature (No stamps) 'Approved ❑ Owner Given Initial Adverse Surcharge Fee) cam/ 11 r Z O Determination . Sea of Approval /Reasons for Disappr val: < / U d6 #44- LA45A Fw -e Gun 1 f I/Lt 7e w „ t >f' iAJ;>. b 0. G(LS 100,tc~~cq P2rwt,t~ 3 l ~e k6At~._`15 rv.~-~a~e W .~61.'I t mw iy?k 4u~ ~ ST e GA v e ~+A (lea/ Ins a v ~J5 ° eoc~~IGs- ~Z ~Ce'~ .~~ati,..-C'► -a- Sa -~ivx~ `SJG~ -a4__F,,0,,... R~vt- (,the, SBD-6398 (R. 07/00) } Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD (608) 264-8777 iscons n www.commerce.state.Wi.uS/sb www.wiscon isconsin.gov .gov Department of Commerce Scott Mccallum, Governor Philip Edw. Albert, Acting Secretary iv October 18, 2001 5_~,►C~ Y j CUST ID No.691727 A77N,.,,Oowts Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 10/18/2003 Transaction ID No. 680096 Site ID No. 637410 SITE: Please refer to both identification numbers, James & Becky Lopez above, in all correspondence with the agency. Riverside Dr Town of Troy St Croix County SE1/4, NW 1/4, S36, T28N, R19W FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object ID No.: 816203 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 Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/01). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. A ARTHUR L WEGERER Page 2 10/18/01 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, 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. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operat ion. 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. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz Powts Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: James Lopez TITLE SHEET Page of '7 FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-10691-P and the Pressure Distribution Manual SBD-10706-P (N.01101) (N.01101) LOCATED IN THE SF_ 1/4 OF THE NW 1/4 OF SECTION 2,6 , T Z ~1 N, R )9 W, TOWN OF - ~y sT- C~ei Lk COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM 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 CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED s.~-►^~1 ~ . ~ tv~--13 ~c1~.~ L✓o~cz ~ ~ ; ~ ~ 20 01 2UGS DIV. PREPARED BY WaCGEF:;~ SF., SL31 L TEST' S r4 (S AND. DES 3: CSI%t SE=-:RW I CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864'~~a r ti~ Conditionally APPROVED DEPy1MENT OF COMMERCE LSPONDF-N 10 _3-01 JOB NO. OJ- Z~6 Mound System Management Plan f Pursuant to Comm 83.54, Wis. Adm. Code Page Z- of -7 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 operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain.solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated 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. EUMg Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S stem 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 BOD5, 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 test is 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 cell. 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 shalt be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual R-~ and local or state rules pertaining to system maintenance and maintenance reporting. S$D_~06R1-PCWol/61~ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about. the operation or maintenance of this system should be directed to: The County Zoning Office at US _ 1% b- Lj 6 90 -sr. 0-M LX The system installer at The tank manufacturer at 3ZSIAJIeStDt The effluent filter manufacturer at ?,~00 The pump manufacturer at - 4 Vol - Z$g- L 1 Ll ytiJ ul ( 1ZS PLOT PLAN Scale -Page of 7 Rw1t~ l = L'_L lu U . b' a~ $"N 16H, 3 A/ Dj A • PV C PI P(~ ti'e'd S~~- --►~0 37 Av-11~Z- 13-M_! 7 k . W QL.L T t3 L S 0 F►ZU 'i ri-I u~n!t~ " i 1w D 7 ZS ' f='HZOr-1 _ S J ~ Ctv M. ~ 6 P'C\Z t o\- r X03 I _ M t S'oFy ~pvC • ~ ~oZ~ 8.41 ~c,' ~ tz ojgo i' Q F bolo i c~A \5 \ ~q o COAT -~qSS -Vo i i Y NOTES: I 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be Mut) bS0 gallon capacity manufactured by 4. Bench marks SEE!~ PTSOVe 5. Divert surface water around system to prevent ponding at the uphill side. { Page + Of Approved Synthetic Covering _ ASTH C33 Distribution Pipe Medium Sand IG Topsoil = F Ei ev. L01, p ~I p. 3 E ' b CG. % Slope Distribution Cell of Force Main Plowed z" to 2 z" Aggregate From Pump Layer 03-S Ft'. E 2.1. Ft. CROSS SECTION OF A MOUND SYSTEM F O,$ Ft. G 0•S Ft. A tp Ft. F. k.O Ft. Linear Loading Rate=fib-0 GPD/LN FT 8 US Ft. Design Loading Rate=O-33GPD/SQ FT I 7L 0 Ft. J L4 Ft. K \1O Ft. A+temwte Position L Ft. of W 3 Ft. Force Main i L I i -Observation Pipe 8 I - I K 7 -f- 01- -1 o- Distribution to 212 Pipe Cell of z aggregate Observation Pipe (anchbr securely) r PLAN VIEW OF A MOUND SYSTEM ' Distribution Pipe Layout Pace S of -7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 ° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valvp,:threaded cap or threaded plug. Provide access from final grade for the valve, threaded cap or threaded plus. 7`11-NCISL SS._5'~"~-'Rl1N pv C Fu C ~v C Lateral Manifold Lateral x x x x x12 X(2 x x x x Lateral Lenath - Lateral Length - P Distribution Line - P LPrN V ~ C,J - o- - , P ~ ` ~ Prcc.R}s sflx - -o S 1°uC ~'OACt Y'1H1N i P Z~ Ft. Hole Diameter 3llb Inch g 3.3 3 Ft; Lateral Inch(es) X Z4 Inches Manifold Z Inches Force Main " Z Inches I of holes/pipe Invert Elevation of Laterals 101-JS Ft. L~Xo.66 -Z6x 6 = Lui. SG 6 PI"! Combination Se tic: Tank and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE L . OF VEU7 CAP ~f WEATNEK F)tOor JUIJCTIOU 5OX . ti C.I. VCNT APPROVE.D LOCKIMG lO' FROM MANHOLE COVER PJIV .ilu00W OR FwA(irJIIJG LP.gEC.• tsP1oW PIPE AL►uTAKE c°s''pv~T 4H" +111*%vz:T16 t~ e4rP I ti 6r.nw. i I Yr. m1m. F=1 K.3ISWD LS-7 IrV , ~ p3 f i G 9-,Tv i- PROVIDE I IAILET AIXTI&HT SEAL I I • 81yrrLC I III 17 z8~ u~ A I III Approved Approved joint w/ joint w/ 'CA -"800 I I I ALARM PVC pipe PVC pipe s ~I II I 1 ou C 1 I CLEY '00 FT. PUMP --J OFF D CouCRETE - . 92. o O BLOCK y RISER EXIT PERMITTED OuLy IF TAUK MAI1UFACTURER. HAS SUCH APPJkOVAL 3"AAPR~ee ' 86D0 t 1v4 SEPTIC F SPEGIFICATIOUS , DOSE QUMBER OF DOSES: S'y P E R DA"w TAIJKS MA~.IUFACTURCR: TAWK !dZE : 1000 Aso GALLOUS D05C VOLUME r ALARM MAUUFACTURCR: s z, nom SYS`f$~1S INCLUDIAIG 6ACKFLOW: gs GALLONS MODEL WWABER: ~~l lbw CAPACITIES: A= INCNES OR ~Z3 GALLONS SWITCH TYPE: CU~y $ = Z IWCHES'OR 3q G{~LL0115 PUMP "MUFACTURER: ~ S C= IUCHES OR $S GALLONS MODEL hJUMBER: M Nz=- 141Z~ D. NZ INCHES OR'Z(~b GALLOAIS SWITCH TYPE: ~ ~Z7 MOTE: PUAP AND ALAKM~A~R `TO 6E MWIMUM DISCKARGE RATE 113-5k GPM INSTALLED '0W SEPARATC CIRCUITS VERTICAL DIFFEFLENCE OETWEEU PUMP OFF AUO..015TRIBUTIOU PIPE., Ed-SO FEET + M1uIMUM'METWORK SUPPLY PRESSURE . ; . , `3' `CET lG-SKI + FEET OF FORCE MAIN X F 00 fr.FKICTIOU FACTOR.. 2' 3 ~ FEET TOTAL OtIWAMIC. HEAD = 1 FEET As per manufacturer ~`1.D gal/in. Liquid depth 3~~ AGE of 7 / M E40 Series MYWW 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 L j 30 M W W W W Z 25 8 E Z 20 6 O J SW Fa- 15 J ~Z .ly 4 O 10 H 5 y3.S6 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3326 7/91 Printed in U.S.A. Wisconjin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code S~- C tZ~ 1 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and Iocakm-an"iciance to nearest road. 140 - l F31 9.s Please print all infv~ ,don. ewed b Date Personal information you provide may be used for sE'odhd ry purposes4iwvacy Lavr, s'1 4 (1) (m)). Property Owner P~ooW Location 1/ SE 1/4 MU) 1/4 S 31o T Z$ N R Z E (or W 6t (S Property Owner's Mailing Address Lot #1 Block # Subd. Name or CSM# ! 1 ZO 1~ 1 r~l E IZ LD 6 E 't 1Z l L) ST c RoY • r _ E I~l A-~~ ~I~('c (rc City State Zip Code hone Nu ING eji-FtCE !i'q ity ❑ Village 0 Town Nearest Road I j 1 S Ll01:?- ( 1 .~LZS. ter' T ~-t 1~1 v ~s~2 s t DL D . r, Ia New Construction Use: Residential / Number of be7rooms Code derived design flow rate L4 -S C) GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material y PnZ~~S Flood Plain elevation if applicable 1U Jlc~ ft. General comments and recommendations: M liU x t"Jl 1 b (AS' F~'$sp}2(~`I-I LV j C Z,L F-1 Boring # ❑ Boring Pit Ground surface elev. tel. 14 ft. Depth to limiting factor Q in. - - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 a-9 to~~~cz - ,s`11 z~sbk g _ CW 1~ .5 .e 2 -3 L o ` i IZ 3L6 - 5I 1 Sb ►2 h1~Y CS - . S .5 3 33 -q y. s 1z. vjj s 1 L ~s h m Ft- e S . , b 4q-JOY JoLt1Z-613 5L - - - .o - ~ ? 0°1 L~rH `rv>vN h~~ S K F Boring # t❑ Boring t~ pit Ground surface elev. 44- 0 fL Depth to limiting factor Ski In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0-'q lo` t ~Z31 Z - s► I z.'~S b k S C t.u 2; t~!-Z~ l~~ttz~16 S~1 Zmsbk 3 zz-33 ~o-trz )4 - si I Lcs~~k o~~ cs - Z .3 3- sda . S Ylz V/b s l l sbk wt.~t- c S - - 6 S S$ -)3 loLli2b3 - LsBR - _ _ v - ? 40°1 vw, Ls ~~TS Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa re CST Number Arthur L.' Wegerer 00-30) 2202'54 Address Wegerer Soil Testing & . Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, WI 54022 10- L I-00 715-425-0165 Property Owner C ~U ~JD Parcel ID # .S Page Z of 5 Boring # ❑ Boring Pit Ground surface elev. q 4- O ft. Depth to limiting factor L) In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 C-9 1o~tz31Z ~i( z`Psb►z ~s Ck, 1~ • S Z -IL 1o`t2313 Uns b~x s~ cs - -S .8 3 36-~f 8 L/ (/A S 1 '61Z 1v1~ CS . ~Z . (o -6b 1~~-t1Z 8l, ~S~-lR. SA .6 Boring C esuc_VLS © Boring # ❑ Pit Ground surface elev. LO Z , ~ ft. Depth to limiting factor ~ S 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 3 u-Sz. io4P-2s) - L 1 mSblz - . y . 6 s z _sg 10 tZ y/6 _ slS o rv~-Ft- - - 3 • s Boring SD1L ~~~~L 51 Boring # Pit Ground surface elev. dt S • S ft. Depth to limiting factor ? In. ❑ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z 9-2-9 toLi e 6A - s17 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, 130 mg/L and TSS < 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 608-264-8777. . SDD-8330 (X6100) PLOT PLAIT Page 3 of 3 Scale 1'=Z0' t=~cE -B- '4-1 - 1EL W b . b' av $"H16H, 31(j*-D! A . PVC t Ptz NLS'IIVZ Sl1L~._ Fiajc~ -Pajr Y v r vow X03 cn ~.3 q8 0.b 6wlt~l • 8•z y a1, l?L CA e5 Oar, ~ ,1 , ~ . CSAT NZ, _ 'I 715-425-0165 2202 O 1 -U 54 OO_3p CST Signature Date Telephone No. CST No. Job NO. y" ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~TC~ M e:5 A n d-B e c t!~V G Ogg e Mailing Address / y O S F sfe r S+ e r FJa 1 t L)Z ; y aa d nS~~~~ A Property Address r` 2 IS, 101 (Verification required from Tanning Department for new construction) k'~Tx City/State % v e.r Ca 1 ~ S, 0-T. Parcel Identification Number Q4 O - I 1 S 1-14 - Oo c~ LEGAL DESCRIPTION Property Location '/a, V,, sec. 36 . T a$ N-R_2W, Town of Subdivision ])a r a+ 2- ?a r . Lot # Certified Survey Map # Volume . Page # Warranty Deed # 7 2 , Volume l ( , Page # 3 ~3 Spec house ❑ yes ;4 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 can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. IGNA ANT " U 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office. /O la-lol I/ P 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 vol.1611PAU 303, Ja 11 STATE BAR OF WISCONSIN FORM I - 1999 7IS312 Document Number WARRANTY DEED KATHLEEN H. WALSH kEGISHR OF DEEDS This Deed, made between Steven G. Cudd and ST. C:ROIX CO., WI Gail L. Cudd, husband and wife RECEIVED FOR RECORD 04-02-2001 9:45 AM Grantor, and James J. and Becky L. Lopez, husband and WARRANTY DEED EXEMPT A wife as survivorship marital property CERT COPY FEE: COPY FEE: Grantee. TRANSFER FEE: 139.80 Grantor, for a valuable consideration, cones to Grantee the followin RECORDING FEE: 10.00 Y g PAGES:.. 1 described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): Lot 16, Danate Park in Town of Troy. Recording Area Name and Return Address ATTN: Mortgage Dept. First National E1,. River Falls PO Box 166 River Falls, WI 54022 040-1181-95-000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this 29th day of March 2001. ~ ~ "Steven G. Cudd J62 0 UR * `Gail L. Cudd AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) Ss. Pierce _ County. ) authenticated this day of Personally came before me this _ 29th day of March 2001 the above named Steven Cudd and w 1 L Cudd TITLE: MEMBER STATE BAR OF WISCONSIN Husband & Wife (If not, i \et own to be the person s who executed mstrtunenI and kno Nle ed the same. authorized by §706.06, Wis. Slats.) p~at~ ~1 f g 'An THIS INSTRUMENT WAS DRAFTED BY y, s e Terke sen Michael H. Forecki, Attorney Nota(y P Wlic, State of Wisconsin Eau Claire, Wisconsin My o mission is oermManaent. If not,un expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) y , .ii ) WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-1999 'Names of persons signing in any capacity must be typed or printed below their signature. Produced- LpFone dy RE Fom,sNel, LLC ISMS F, teen Mile Road. 0"m Township MidNigan 46016. (900) 383-9805 Anomey Mid,ael H Forecki 1930 B,ackea Ave, Eau Claire WI54701J627 Pht'(715)875-1029 Fors: (715)835.4112 05174655. UP i "to i Seem 4mw 13 a / t V 4 Y = JIO DJK we / •S3»•,. ,ca,.. q s• .101 ••3p p n011 16 _It (n a 1 •O a,, x 'Jew is p s . , ~ ~ 3 ~ aJrs w JMI6 ;assn' n1• ~ ! a ~ 1; s 46 "'w Tk * C A~ 1 M~ A ~ pr ♦ ! " ~ ~ J>ti"pp A P.7 0 4 ~S M ~f+` • i + /,_t • a 2 hi X 'Ji Tuts' 1`-" t+f ~ .e ~~a 1 k'f a/1 ~fK 1~R .nom. ,fR'~ ~ ,el s~ ~ u.0~ N rEf't~ 00 46 isaoo z ON a~ POW ic, +►rr w ft*&* 'tee g 5/° t r av. • 3 04 fp, A vo o+ t $ cf 468. /r A +r4 S ~d' qio Cl *WOW w /o "j,. 25 00p/ % } 1 + 0 4~ ti~~~ fy~ j •i~,r' f. :r. 446 kk/ Ci+y o i Y PUG. tlTti ~00 wag v. 'ci u OQ / ~f{eao/v+ion ` A K z 3 .n•tie •'s ` % Rdso/vcd• +1 i ~FJ M S - j v^ J'o of Troy, V¢rnor 29 jt. M $ A ( w ~i owners, bs app h ~ = v~ Z _ .r 1'/~' I hcrcby t¢rf'1fy ' * L J* QI A~ ufion 4dopfcd YY ~OrO '4~ 46e9•!J't T4r00 Occ Moef al q ^7cafing ycld byi f;M 'J• •e tss Sr ~]Nep for o,01 00 4. ~~'~I p0 ~ ll ✓una 1961 879.0 O r V r fl a $ r 469 pprox high 8746.1 * C a V 46 ` fyj /ow d72.1 30 i y UnpIQ tsd Lands pY100~~~ • Ji J' • Qoirlf o baylnn/n~ is e► _ /fiiO.if ! enA 41.7 t+ W _ _ tAelK M o°~O Nt.iT '~J- /r'-7/- °f~ ~~•ICYNFLe~Ss~3fE=2sQ /2 Wisconsin Department of Commerce SOIL EVALUATION REPORT t )ivistbn drsafety and Buildings page of 3 in accordance with Comm 85, WIS. Adm. Code Attach, complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S~ C include, but not limited to: vertical and horizontal reference point (BM), direction and r 1 x percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. IJ Ll0 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner P~ Property Location S V ~lV G R 1l. CUED 6ev Let et 1/4 NW 1/4 S 1)o T Z$ N R Z9 E (or W 11M# Property Owners Mng Address Lot # 7[01Village . Name or C, ~1 Zp ~-~DGE D1z.1~E I b City State zip Code Phone Number., ~ ~Lu ~Z ~ ❑ City ®Town•• Nearest Road 1 SL, o2.Z ( -2 IS) ~ZS_Z-2 S7 1'Z.~viEzStD c- DV2. [L New Construction Use: 0 Residential I Number of bedrooms 3 Code derived design flow rate 1'n C] Replacement ❑ Public or commercial - Describe: GPD - Parent material ~j PnZ~~g Flood Plain elevation if applicable General comments ft. and recommendations: r'l 13U 1\-'-*,> Wl 1 p ' )c S R(1,5:b1-7 UJv C42-LL S~ cpqX El Boring # ❑ Boring ® Pit Ground surface elev. C1 ft Depth to Ilmiting factor U~ in Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary `Roots °'Soil' ication Rate in. Munsell Qu. Sz. • Cont Color GPDlftz • Gr. Sz. Sh. •Eff#1 'Eff#2 a -9 to`1 cL ~t 2 - ~ _ s~1 zsbk g cw .5 -8 2 =3 l owl. lZ 3L6 _ .I I Z~sb ~ rv1~ cg _ s 1 lcsb m~- ~S . y .b t4q-by 10`1I1- 613 ? O 01 Lim, 7U xl G 1-t Hsu T Boring # ❑ Boring pit Ground surface elev. qq. O fL Depth to limiting factor S8 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate In.- Munsell' Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 ~ •Eff#2 o_ty L04~Z31Z _ s!1 z~sbk toL1I-L 16 - s~J Zii sbk sh.. - S b. . 3 Z2-~3 l072 jL6 Si I - t~sl3k dl, CS L 31- se -I S YlL V/6 S S$ -)3 10 Li f2 6 !3 - LSB 2 o!&- um ~ -Zmkw V- mu, olOvIr \_1 Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 m CST Name (Please Print) - s _ 9/L and TSS < 30 mg/L . Sigma re CST Number Arthur U'- Wegerer ,-'220254 Address W e g e r e r S o i l Testing & .Design Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 l~- L_3=00 715-425-0165 •