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Permit Holder's Name: City Village x Township Schurtz, Eric Forest Townshi CST BM Elev: Insp. BM Elev: BM Description r l too • J cn , o ' o-sT- rw [ c1 C\/ATIAAI 11ATA AIVK IIVrVKMAI IV1V TYPE MANUFACTURER CAPACITY Septic ~~ 5~~ ~ ~~ I Zp-D 18~?U Dosing ~ ~t < , < l Aeration Holding TANK SETBACK INFORMATION TANK TO p/L WELL BLDG. Vent to Air Intake ROAD Septic } !~ ~ `~` ~~ r Dosing lc ~c u ^- O1 Aeration Holding PUMP/SIPHON INFORMATION Manufacturer /7 e„ ' Demand l; ~" GPM Model Number ~ ~~ ~ o ~3 TDH Lift ~,~ Friction boss Syste ~ Head TDHB s Ft . . ~U Sb 11 Forcemain Length D[ Dia. ~ 1 Dist. to Well SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 405048 0 State Ian ID No: a-3698 =-tei+Ns.~D~ Parcel Tax No: 014-1067-30-100 STATION BS HI FS ELEV. Benchmark / ~d ~~. ~YTO.O Alt. BM ~ ~~ Bldg. Sewer g . ~-~ a,` • 9Q / ll SUHt Inlet d q 3~ 1 q ~• ~ / St/Ht Outlet Dt Inlet Dt Bottom ~ ~ 3,~b ~2.2-q ~ Header/Man. ~ I~; ~~ r o2.gfi Dist. Pipe ~, S, `f r 02 •~ l Bot. System ~ (o- (( f o2 ° Q / ~-O Final Grade W ~ (t ~e.. a~' lZ -1- ~ St Cover A~ C~c~ ~ n-~ ~~s3a) ~`f 59~ ~-3~ os ~ ~. ~' ~1 3~ o~f•S9 B Width Length No. Of ~f~enehes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ , / 1 ( 6 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER anufacturer: INFORMATION UNI Type Of System: 1 / Mo umber: } (lJt' J ~ nICT~IC11T1AAI CVCTCIIA / 1 . _ ~ D PA~w ~\/~ L / (! /. Ll U Header/Manifold - - Distribution ,/ 1 x Hole Size bt t x Hole Spacing / Vent to Air Intake ~ t( 2 ~ Pipe(s) 33 ~ acin 3 ' ~ '~ S h ~~'Di (~ V t ,`. , Dia Length p g a Lengt ~r\u r~r\veo __ ..________ e..._._.Y_ n.-~.. ..., ee.....,n r~r n*-r~r~nn xvcrams unrv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ^ Yes s;,', No -~ °:,<I Yes ~ No C~~IVIME T~:~~ lude c e di cr~pgnci~, persons present, etc.) Inspection # ~ 1 il< ~~ RF- ~"~ t 2 + ~ ~ ( Inspection #2: -'-r- /~ Parcel No: 31.31.15.494A10 bca L tion: 2666 County Highway S Emer d, WI 54013 (SW 1/4 SE 1/4 3 Lot 1 T31N R15W) N 1.) Alt BM Description = / 2.) Bldg sewer length = Z~ - amount of cover = r p ~ r ) Contour = (0(.60 ~Si1~T' ~ 6.0 3 ~ ~ ~- ~o~' 60 ) . Plan revision Re ulred . ti No l nlf ~ j `~'~~T ~ ` - ~~ 1 ~_-~ ' ~^~T~I ~~~ I' orma o t r side for addit ona Use o he - - Date Insepc or's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County ~ i~eonsin Madison, WI 53707 - 7162 Site Address Department of Commerce S - 7 -a L A~~ ~ ~ GT .s Sanitary Permit Application sanitary Permit~~Numl')•e~ In accord with Comm 83.21, Wis. Adm. Code, perso~i information you provide ^ ~ if R vision ma be used for seco ses Priva I. Application Information -Please Print All Information State Plan I.D. Number ~ x-2,'3 (o'~ ~ C'~'wus . lp . Property Owner's Name ' APR 1 ~ Z002 Parcel Number !~ - - ~/ ~ ~ t - Property Owner's Mailing Address ~ , , l s~ ST. CROIX COUNTY ZONING OFFICE Property Location 5 (~ ifs !i R ~E S ~ ~ N / (N ` ~ , ~~ City, State Zip Code Pho~ Number Lot Number Block Number n~ r bdiviswn Name CSM Number ~ ~~e~ ~ a~~ - ~is3 ~(g II. Type oP Binding (check all that apply) ~ s ~ swb ~^ i or 2 Family Dwelling -Number of Bedrooms ~"^~"~- ~~~ '' ^ Public/Comme ial -Describe Use /~To~~P ^ State Owned ~~°u'1 ~ 1~l G u ` ~ `~ u ` ~ Nearest Road D = ©•s s ~ ~- 6 X row 9 S III. Type of permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition w For Coumy use stem Tank ON stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued N. Type oP Permit: (Check all that apply)(nttmbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21~ Moues 47 ^ SaM Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Lim 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Rtcitculatiag 30 ^ Odter V. tment Area Informati on: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate scam Elevation Final Grade Required Proposed Rate(Gals./Days/ (Min./Inch) Elevation VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New P.xisting Tadrs Tanks ~ Septic or Holding Tank /~ ~ ~ /a ~p l ` Dosing Chamber DD r- ~Q VII. Responsibtlfty Statement- I, the undersigned, assts respoasibilib for on of the POWTS shown oa the attached phms. Pl (Print) P Si RS Number Business Phom Number ~ ~ ~~~35 7 his -d~S-- Gars Phrmber's Address ( trees, City, rate, Zip e) I ~^ .coin /De artment Use Onl ]~ Approved ^ Disapproved ~~' Petmut Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) / e Fee) ~ ^ Owner Given Initial Adverse 32~` ~ ' ~~ ~ Determination lX. Conditio'n~1~sll of Appro~~Qr DisaPP ~ ~~~~~ ~ - ,," ~ ' LeA~m/ Qu~~~O~r(.c~S a~(~ ~ ~ SA-~e a ~3 P'0'` ~ ~ ,~ ~,~ vim- ~'"t°~t=' sad"- p-~,. ~ feu _ Attach eaaeplde plans (to tha Comb aab) for the system m psptr not less tLaa tin x u dnchn da: du SBD-6398 (R. OS/Ol) .'Od ~5 -'/ ~i I PLOT PLAN /~ Scale 1"=y~ ' l Page 3 of 7 _ g8 r~ 8,,~ ~ ~ ~ , ~ o N u r co ~~ ~ rye.-r C .;g. ~.\ n~2(~ Ol3lV\Z.$ SS ~OF ?.NI?U N ~ ~ ~~S ~~~ P `~ ~ \ ~\ S `~ o\\ \ oZ & ~ \ \`a.~ 8-3 ~ ~` 'o~ y''PVe ~~ tie 1~,.~ y,z," ~a ~\o `o \ CAr~t~vrz. ~. lp ~, p crt ~ ~3o~tt-prq OF CAL ~ ~'''~ ' `OZ ~. ~ ot. s' 1 ~ - G~~ X SU GG~-~ WLt(. ~p~~yJ , ~ ~ N I _ _ !-} S NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( 2 required). 3. Septic tank to be 1Z8p g~dgallon capacity manufactured by w t ~s Liz. co,v c~-z - ~.,, / ~ - 1 g u o Z~~. Fi ~r ~ 4. $ench mark ~ L0o_o' orv 1~p of 1jy'' ~2,~3-g.~t-~. 5. Divert surface water around system to prevent ponding at the uphill side. ~- 4 . ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary April 15, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/15/2004 A7TN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Eric & Carole Schurtz Cth S Town of Forest St Croix County SW1/4, SE1/4, S31, T31N, R15W FOR: Object Type: POWT System Regulated Object ID No.: 847300 Transaction ID No. 723698 Site ID No. 643286 please refer to both identification numbers, s APR 2 6 2002 TC 7n. RO/k e.,, .. The submittal described above has been reviewed for conformance with applicable Wisconsin Administ~~ and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). Per manual cited above, 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. The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c 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. Stat Comm 83.22(7) 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. ARTHUR L WEGERER Page 2 4/15/02 Owner Responsbblities: • 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). • 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 83.55 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. 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. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POW T S. Sincerely, ,~ ~t~ ;. ~~~ ~_ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky , Wastewater Specialist, (715) 726-2544 TITLE SHEET FOUND SYSTEM FOR A ~ BEDROOM RESIDENCE Page ~ of 1 This plan has been prepared in accordance faith the Mound Component I4anual SBD-1057 P and the Pressure Distribution P~Ianual SBD-10573-P C CZ. 6! q9~ C R. b t 4 4 LOCATED IN THE S~J 1 /4 OF THE S~, 1 /4 OF SECTION 3~ , T ~) N, R 1 S 6J, TOWi1 OF ~j [Z.~~- , ST• e~-~7 tx COUNTY, WISCONSIN. PAGE 1 of 7 PAGE 2 0 f 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 INDEX TITLE SHEET ~~ .9A SYSTE~1 rIAIdAGEMENT PLAN F ~ `~ PLOT PLAN "I~ `l,~ ~j~ PLAN VIEW-CROSS SECTION ~ ~~ O DISTRIBUTION PIPE LAYOUT ~! ~~ PUI4PING CHAriBER CROSS SECTION ~/f PUMP PERFORI.IANCE CURVE PREPARED FOR O,~ • _~ y.Z w. 6 ~ s~n~~'r 7'~l ~ ~,LCt~ wl oly~ , 1iU l S~ti L7 PREPARED BY WEGEl~ER St3 S L .TEST = NG AND . DES S GN SE:Ri1 S CE P.O. Box- 74 421 Id.iiain St. River Falls, tdI 54022 ~e~~~ta6tN Phone 715-425-0165 ~ 0a~ ~~ Fax 715-425-6864 ~` ""' "•••.~~ ~R*r-,R ~' ~tiE'~EkEa S (Nf15 P f EL1SW'QR;w {Ii7! ~~ ~- ~~ r~ ...,, r+'~ ~.. r ~''• .~~ ~'~'1CN ._ ~I-10 -02. JOB N0. ~Z- 6Z Mound System Management Plan Page '~ of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank ' The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter shall be cleaned as necessary to ensure roper operation. The filter cartridge should not be removed unless provisions are made to retain.solids in the tank that ay slough o e i tec 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. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, andpumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System 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 8005, 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 far effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. -_~ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at 1. ~-5,- 3~ (~-_ 680 ST_ C~ lX ' The system installer at ~ l S- ~ Z(~ 8 - (o ~.q S hT 6A12..D The tank manufacturer at 800 -~~~..5-$'~!S(-, LVL~~IZ The effluent filter manufacturer at •~UC~ - Z.Zf ~ S7 C.(Z ZPCl3~, The pump manufacturer at -~ ` 630 - ~j ZO _lL~~,h1 Geu LD S - e~ SS ~nF 2"~v N 9~ r~ ~~ ~ ;sy ~~. °` ~ ~\ ro~ ' e-3 ys'o~- y''pve ~~~ w'll }.J y. Z" CO U L''tt ~~o e ~ [3D2w1 1~`4'O 1^~1 ~, 6 ~'~ ~~;\ ~~~ ie ti \ CON~1v2 ~1. LO \. p' 3o`t~p.r1 p'F C.~2L t~~Z-ru~~,~y _ "fir e .T, ~} ." S ~r \ NOTES: 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 tZgp /BUngallon capacity manufactured by w ~ ~S LIZ Cdr c~z -~ w / K-} - ~ g u o z~3~. Fr ~T- ~ 4. $ench mark • ~ lbo.v' orv 'ibp of ~ry'~ lZl3-g.~.R. 5. Divert surface water around system to prevent ponding at the uphill side. PLOT PLP.N /~ Scale 1"=yD ' X Su GG~`C~ L~Lt(. ~~ m N Page 3 of 7 ~, ~b Nor cn~i~~-~.r n~Z b1gCv«13 \\ `~ \ ~ ZV Approved S~:'~.hetic Covering ASTM C33 Medium Sand Topsoil 3 I ~ ~ _~_ ~' Page y • Of 7 istributian Fipe rG ~~ ``L'*,,,~.Elev. 101. S ~ D „~ . b Slope Distribution Cell of ~ ~ Force Moin 2" to 2 Z" Aggregate From Pump CROSS SECTION OF A MOUND SYSTEK Linear Loading Rate=~ •`ts GPD/LN FT Desicn Loading Rate=p.~3GPD/SQ FT Observotion Pipe (aachor securely) A q - Ft. e 6 ~ Ft. I l Z Ft. J S Ft. K ~ Ft. L ~~ Ft. w Z ~ Ft. -observation Pipe= Flawed Layer D 0.5 Fi . E 1=b~FFt. F ~ - ~ Ft. G o•5 Ft. t' t•oFt. K A ~----X6.8---- --------- -------------- ------ W ~ __ _ ~, Force Main L_ T_--_ ------_-----__----! Z~~ ~~;~ . Distribution - - ~ 1 „ ~ ~~ Pipe Cell of z to 2 z ~ aggregate ''' 'j'on b~ ~ • L - ~t 8 --r .-.. . _._ __..------- . PLAi~ VIE?~1 OF A MOUND SYSTEt4 Distribution Pipe Layout Page ~ of 1 Place the holes at the bottom of the distribution pipes . at equal spacing. Remove alI burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 4f ° fitting to a point within six inches of the final made. Terminate the ends of the laterals with a valve,~threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. pv c. Fv c Later) - Manifold ~~ C ~ ~ r-Later) x z x x 'Lateral Length - Lateral Length - p ~ L'PrN V ~ ~ o- _ ' p o-- -- i a-- _ ~q P 3 ~ Ft. ~ ~ Hole Diameter ~ f $ Inch • -- S 3 Ft. ~ ~ Lateral 1 ~ Inches) X Z`F Inches Manifold Z• Inches • - " Force Main " ~ Inc(ies ~ of holes/pipe L `l Invert Elevation of.Latera1s102• o Ft. ti-~ ~ o• ~.l = 6. q7 x 6 = ~l l .vZ ~ ~~ t}c~c _bfljs - -o PVc ~=oQ~ n~ --~i .. - Combination Septic Tank and ' PUMP CHAMBER CRO55 SECTIOIJ ARID SPECIFICATI0~15 ' PAGE ~ OF ~,.~sp~'G10U PIPE '~ /t~rtcL~ s eta ~cp Fl R.11S1{fl G~~~ 18'nw. A~IUTAKE t ~ .. ~ ... ~ 6`riw. ~ / . ~. l O Z. ~ ~ ~ ~ :;, .~ ~ 11JLET ~L I 8+~~u APProved ZflB+~. ~~t joint ta/ 1~-L8 b0 PVC pipe LLEY.~ ~ •83 FT. cot~purl T I I ~ ~r' xlu. ` _ _ ~ 18' M11,l. ~ ~~ l ~ ~~l PROVIDE I ~j""AIRTI6HT SEAL I II~ I I I -.A I III I III I II AL~,RM o II II I I I i ou C 'I I I I PUMP -~ --~ ` OFF 0 C0IJCRETE l' ' 6LOCK Approved joint w/ PVC pipe ~- RISER EXIT PERMITTED OIJLy IF TA1JK MAUUFACTURER HAS SUCH APPROVAL 3~~ApPRa.ED ~8t:001 N4 . SEPTIC F SPECIFICATIC)tJ5 • DOSE w~.~~~Z e.~>ve TAI.IKS MA-IUFACTURER: ~~ IJUMBEA OF POSES: S'Z ~ PER DA.. TAkIK SIZC : 1Z~ O f X00 CALLOUS DOSE VOLUME r ALARI"1 MAUUFACTURCR: S^S' ~,1~T~ZD SI'?'STI~~ I-~CLUDIIJG 6AGKfLDW: ~ l~-3 • b (,ALLON: MODEL -Jt1MBER: LQ ~ ~Tw CAPACITIES: A - Z b IAICHES OR I z ~O SWITCH TyPC: __ ~ ~~°UZY .Z ~-- CALLOUS PUMP MAtlUFALTURCR: ~U~- 8 = _ IUCF{ES'pR ~ 1'ZGI-LLOAIS DS C: 6 INCHES OR ~Z3''OGALLOUS MODEL IJUMBER: ~~ S D = l O INCHES OR ~ 6' D GALLOAIS SWITCH TYPE: _ ~~Z~Z~1 IJOTE: PU11P A1J0 ALARM AAE TO D~E~ $ M1IJIMUM DISCHARGE •RATE ~~-$~ GPM INSTALLED OA1 SEPARl~TE CIRCUITS yERTICAL DIFFEREIJCE DETWCEU PUMP OFF AIJO..DISTRI8UTI0-J PIPE.. $' l~ FEE7 ~-• MII.11htUM NETWORK SUPpLy PRESSURE . . , . , 6_SO FLET CS•OX~•3~ + SS FEET OF FORCE MAItJ X 3~F~ofr.FRIC71ou FACTOR, l'~•~ FEET TOTAL Dy1JAMIC HEAD = l FEET As per >~lanufacturer Z-0.60 gal/in. Liquid depth 38~`' . ..__ • . ;- • •VEiJ7 CAP ~ WEATHER PROOF .IUAlCTI01,1 DOX . ti C.I. VEIJT PIPE ~ ~tPPROVED LOCKIfUG ~ lO' FROM OOOR. ~MAIJNOLE COVER avl"nl :JIIJDOW OR FRCSH ~ wARIJlIJG l.A6EC.. ., 1 .. • APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/4"maximum. --~ • Capacities: up to 55 GPM. ~ ; • Total heads: up to 24 feet. - ~ ' • Discharge size: l'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/a"maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'rz' NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. •Temperature: - 104°F (40°C) continuous 140°F (60°C) intermittent. \~ • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz,1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERS II FEET 10F 9F sc 0 a w x U a z } 0 J FQ- 0 8 2° s 2c 5 4 3 z 1 0 1: 1C 00 ~u zu su 40 50 GPM ~ ~ ~ ~ ~ ~ ~ 0 2 4 6 8 10 12 m~/h CAPACITY Goulds ~E ~ °`~ ~ Submersible Effluent Pump ~ ~ r~ u 3871 EP05 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 Impeller: Thermo- plastic enclaseddesign for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplas- ticcover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SA• Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) ~ ~ ~ ~ - i ~~~ r,5 GP~1: I ~ {~ ~- - I ~ -- SFr ~,: i ~ I. 6 ~6~ ~ i I ~ ~ ~ '- i I I 41~~Z _ - .Ei?04 - EP05- ' ; I ~ ~ ~ I ~' m 1995 Goulds Pumps, Inc. Effective May, 1995 RZR71 isoonsin Department of Commerr~ Division of Safety and Buildings SOIL AND SITE EVALUATION in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must ' County inGude, but not limited to: vertical and horizontal ref nt (BM), direction and St. Croix percent slope, scale or dimensions, north ana~r d~lrft~i distance to nearest road. } ~ # -30 - io---d Parcel LD ~ ~ `" APPLICANT INFORMATION ft(eAeee~ rint ll inf ati ` . 014-1067-49-AA6-- ,. p o~ m on. D Personal information you provide may be u~dfoS second~Qse (Privacy laar, s. 15.04 (1) (m)). viewed By ate - a0 a - .~ Property Owner ~ '' `., Property Location Ellen Alexander ,~r ~ L S 4~~ r , Z, .. ,, , ' Govt. Lot SW 1/4 SE 1/4 S 31 T 31 N,R 15 W Property Owners Mailing Address ~- - _ Lot # Block # Subd. Name or CSM# s~ -/ 2468 Coun Rd. S 4~~ ~ ~'~'` ~ ~ City Staff, ZIp,CotRtl~er .,,; `k" ^ City ^ Village ®Town Nearest Road Emerald WI '`•..5401.2. 715-265-4'84` Forest County Hwy. "S" ^ New Construction ^ Res'idenf"~I 1 Nu ' of bedrooms 4 ^Addition to existing building Use: ^ Replacement ^ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd/ftz .6 trench, gpd/ft2 Basal area required 1200 bed, ftz 1000 trench, ft~ Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpdfftz Recommended infiltration surface elevation(s) 102.22' at 12" above 101.22' contour ~ ft (as referred to site plan benchmark) Additional design I site considerations Parent material Glacial till. Flood ain elevation, if a livable NA ft S=Suitable fOr system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®U ®S ^ U ^ S ®U ^ S ®U ^ S ®U ^ S ® u Boring# 1 Ground elev 99.41' ft Depth to limiting factor 31" 2 Ground elev 99.28' ft Depth to limiting factor 3li" 501E DESCRIPTION REPORT H Depth Dominant Color Mottles T t Structure Consisten Bounda Roots GPD/ftz onzon in. Munsell Qu. Sz. Cont. Color ex ure ~ ~ ~ ry Bed ;Trench 1 0-10 10yr4/2 None sl 2fsbk mfr as 2f,lm 0.5 0.6 2 10-24 10yr5/4 None sl 2msbk mfr cs 2f&m 0.5 ~ 0.6 3 24-31 7.Syr4/4 None sl 2msbk dsh cs lm 0.5 ~ 0.6 4 31-43 7.Syr4/4 f2d7.5yr5/8 sl 2msbk dsh cw - 0.5 0.6 5 43-68 Syr3/4 f2d7.5yr5/8 scl Om dh - - NP 0.2 Remarks: 1 0-11 10yr4/2 None sl 2fsbk mfr as 2f,lm 0.5 ~ 0.6 2 11-22 10yr4/4 None sl 2msbk mfr cs 2f&m 0.5 ~ 0.6 3 22-36 7.Syr4/4 None sl 2msbk dsh cs lm 0.5 ~ 0.6 4 36-50 7.Syr4/4 f2d7.5yr5/8 sl lcsbk dsh cw - ~ -~B:Cr, 5 50-81 Syr3l4 f2d7.5yr5/8 scl Om dh - - NP 0.2 Remarks: CST Name (Please Print) Signatulw` Telephone No. James K. Thompson S. 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake bane, Osceola, 54020 12/22/99 3602 1147 r I RTY OWNER: Ellen Alexander ~ PARCEL I.D.# 014-1067-40-000 3 Ground elev 102.37 Depth to limiting factor 30" SOIL DESCRIPTION REPORT 1147 Page 2 of 3 AC.E. Soil & Site Evaluations H ri ~~ Daninant Cola ~~~ T t Structure sistence Bounda Roots GPDff~ zon o in. Munsell Qu. Sz. Cont. Cola ure ex Gr. Sz. Sh. ry Bed ~ Trench 1 0-10 10yr4/2 None si 2fsbk mfr as 2f,lm 0.5 ~ 0.6 2 10-26 10yr5/4 None sl 2msbk mfr cs 2f&m 0.5 ~ 0.6 3 26-30 7.Syr4/4 None sl 2msbk dsh cs lm 0.5 0.6 t 4 30-54 7.Syr4/4 f2d7.5yr5/8 sl 2msbk dsh cw - 0.5 0.6 5 ' 54-78 Syr3/4 f2d7.5yr5/8 scl Om dh - - NP ~ 0.2 Kemancs: Ground elev Depth to limiting factor Ground etev Depth to limiting factor Ground elev Depth to limiting factor ~ ~le~a-ue~ yso' ~s ,T 0 ,f I _g7o ~ yso - 8l wtc.~ %o o ~ ~ .S/~~C ~ Y•~' ~~ bw : Ass urn c. d - -~ -, • ~~ ~%!ao'~ ~ 83 ~ ~~ ~ Gradt a..t ~n{3-a..Q bci;td;Kq S~~e = ro~1G~~ :% ~7~ 2l': E//~r~ ~C~rQnde~' ss/oi,Z ,~-oCQ t~or~ ~B.S~~~cs Atvrt ar/ess ; n ScvY1l5E`~t~ .Scc.,3/, T,31K., Q /sc.9., T. mod' ~msf, S ~ . ~~oT,~ Co., cJ~, Ac(,. ~ oiy- io~7- pro-cam ~,~,20 . '~ ~~ ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP C;~RTIFICATION FORM OwnerBuyer Mailing Address ~~~ ~~ `e ~~ ~ ~,,~~~,~ .C~/~~L•-r~~~~J /.C~/ S~/~ Property Address (Verification required from~P.fanning Department for new City/State ~~~ ~~ Lt ~ ~ Parcel Identification Number O / ~ - ~j 6 7 LEGAL DESCRIPTION Property Location (,~~ %., y., Sec. _~/~ T~~N-R~~W, Town of Subdivision Certified Survey Map # /~1,~ ~~j 7 ~iu~~vume ,Page # Lot # ~. Warranty Deed # ld a ~~v ~ Volume / <s/) ,Page # / ~~ Spec house ^ yes ~ no Lot Lines identifiable es ^ no ~ c~~ ;~ y SYSTEM MAINTENANCE 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 propertyowner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, 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 xpiration date. --~ G7. ~ i2/a2 SIGNATURE OF APPLICANT ~- DATE OWNER CERTIFICATION I (we) certify that all statements on this form are tnie 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. .- ~ ~/ ~, ~ ~ `? /2/CjZ. SIGNATURE OF LICANT 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 ~~t.1517P~t;E 144 This Deed, made between Elien M. Alexander, a single person, Grantor, and Eric Schurtz and Carole Schurtz, husband and wife as survivorship marital property, Grantee. Witnesseth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: Er~44tD1 KATHLEEN H. WALSH kEGISTEk OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 06-07-i'000 10:30 RN IIARRRNTY DEED EXENPT N CERT COPY FEE: COPY FEE: TRANSFER FEE: IOD.00 RECORDING FEE: 10.00 PAGES: i tG Name and Retum Address First National Bank of New Richmond PO BOx C New Richmond, WI 54017 014(Paru~ IdenifRca~ioe au nber467-50 Lot Two (2) ~f Certified Survey Map filed March 1, 2000, Volume 14, page 3` 817~Document No. 61 located in otdtteast Quarter (SE'/.) of Section Thirty one (31), Towns~l ip hirty-one (31) North, Range Fifteen (15) West. Thls is not homestead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except all easements, restrictions and rights of way of record and will warrant and defend the same. Dated this Z?rr~ay of May, 2000. AUTHENTICATION Ellen M. Alexander this Z?n~ay of May 2000 •Ellen M. Alexander ACKNOWLEDGMENT STATE OF WISCONSIN COUNTY Personally came before me this ~ day of May, 2000, the above named _ io me kncwn to bo the person(s) who executed the foregoing instrument and acknowledge the same. ~~'~~~ ~ Robert J. Richardson type a print name TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) signature type or print name Notary Public County, WI My commission is permanent. (If not, state expiration date' TFtIS INSTRUMENT WAS DRAFTED BY ROBERT J. RICHARDSON Attorney at Law 'Names of persons signing in any capacity should be typed a Spring Valley, WI 54767 printedbebwtherrsignatures. (Signatures nwy be authentkaled or acknowledged. Both are not necessary.) Inlorm~tlo~ Frofsssioruls Company FaM du Lac, Wisconsin a00-a+5~2021 A Fe'LED ~~aa a ~ 2oao ((ATHLEENH.YJALSII ~Croul ,( `_-- ___ CERTIFIED SUR VEY MAP Located in the SE'/. of the SE'/., the SW '/a of the SE '/,, the NW '/. of the SE %, and the NE '/, of the SE Ya of Section 31, T31N, R15W, Town of Forest, St. Croix County, Wisconsin. OWNER / SUBDIVIDER ELLENALEXANDER 2468 C.T.H. "S" EMERALD, WI.54012 LEGEND '~' INDICATES SECTION CORNER MONUMENT. (AS NOTED ) • INDICATES I" X 24"IRON PIPE WEIGHING 1.13 LBS. LIN. FT. SET, -~•- IIdDICATES FENCE. ;,;;°,F INDICATES PERC TEST AREA. N1/4 CORNER, SECTION 31, T31 N,R15W, (P.K. NAIL FOUND ) w Z 7 v z o w W ~ ~~ v Bearings referenced to the North- SouU-'/, Section line, assumed N00°22'37"E. LINE AS z LOT1 a3s,s~ so. Fr. ~~ - (10.088 ACRES ) ~ Z~ A INCL. R.-0:W. Q m . 420.971 SO. FT. ~l~ ~ (9.664ACRES) ~ EXCL. R.A.-W. WI ~ ~I ~ ......~,i ~j g ~ t ,~.. ....... too e~ NOTE: The North 33' of the South 66' ofthese parcels are subject. to a telephone company easement as described in Volume 449, Page 635 in the St. Croix County Register of Deeds. , O Scale 1" = 300' SE CORNER, SECTION 31, T31N,R15W, (P.K. NAIL SET ) UNPL 4TTED ~c4NpS THIS INSTRUMENT GRAFTED BY: JOSEPH W.GRANBERG GENERAL NOTICE STATEMENT " Each parcel shown on this map is subjoct to State, County and Township laws, rules and regulations ( i.e. wetlands, minimum lots size, access to pazcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate Town Board for advice. ~ N O a~ ~ ~~ ~3 O~ 2 `~' O$ ~z _ a ~ ~; j ~ M a 3 IIN :"+. iii LOTS 663,409 SO. FT. ( 16.000ACRES ) INCL. R.-0: W. 661,231 SO. FT. ( 14.960 ACRES ) EXCL. R: O: W. .Z • ~~ ~ 'm ~ iG I~ ~ ~~ ''~ ~ LOT 2 ~ ~ -- -- - - ~ m 534,248 SO. FT. (12.266 ACRES) c ~ INCL. R.-0:W. ro ~; w SOB,662 S0. FT. (11.700 ACRES ) "' ~ ~ EXCL. R:O;W. . . g , g DIN. SET9ACK LINE. ...... .. .? . . N 43 56' W 1,343.87' _ Q F -__~ S1l4CORNER,SECTION31, pQUNTYTRUNK T31 N,R15W, (FROM 71ES ) UNPLATTED LANDS 45.01' ~ 89' 43' 66' E 1 _66.00_ _ HICsHWAY 'S' SOUTH LINE OF THE SE1/4 ~"~gCO NSA fir,,....... ~ .~ ti SCALE IN FEET I'~=300' 0' 75' 150' 300' 600 900 PREPARED BY: GRANBERGSURVEYING 1239 C.T.H. "E" New Richmond, WI. 54017 Phone (715) 246-7529 Job No. 99-051 i JOSEPH W. * ~ _GRANBERG SHEET 1 OF 2 Vo1.14 Page 3817