HomeMy WebLinkAbout016-1025-10-050•`
Wisconsin Department o~ommerce PRIVATE SEWAGE SYSTEM
Safety and Building Divisron
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may 6e used for secondary purposes [Privacy Law, s.15.04 {1){m)).
Permit Holder's Name: City Village X Township
Olson, Dan & Sand Glenwood Townshi
CST BM Elev: Insp. BM Elev: BM Descdption:
i vc~ , ~, v ~~ i ~ r~ -t+_ l
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic ~ ~~' ~
t,~- ~ un.~,~j ~a ~ ~
J c~
Dosing ._
~ y,y
CJ~ N'~/^
~ C-~ ii
Aeration
Holding
TANK SET~ACK INFORMATION
TANK TO ~. P/L WELL BLDG. Vent to Air Intake ROAD
Septic i j~ `~' "T
o r. .,~ ~f (7 ~3 i'I ~-r .~.
Dosing "-~ .
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer ~-
~ Demand
S ~ ~ GPM
Model Number
~~ >
..7 4
TDH Lift . Friction Loss System Head TDH Ft
-F_~~ ~/.Z_ ~.Ci~
Forcemain Length Dia. Dist. to Wel~, r t-
county: St. Croix
Sanitary Permit No:
430475 0
State Plan ID No:
Parcel Tax No:
Section/Town/Range/Map No:
12.30.15.
ELEVATION DATA
STATION BS HI FS ELEV.
Benchmark ~ 9 ~V ~ Y ; uo ~-0
Alt. BM
Bldg. Sewer
SUHt Inlet
)• y 5 48. , t j
`7
SUHt Outlet
Dtlnlet
\_
Dt Bottom I / ~- ~~. 3$
Header/Man. 7.N
Dist. Pipe
Bot. System is ( _.~ (g`
U ~ ,7
Final Grade
St Cover
~.~t~
X03- 2 /
-ti h-~~~~ ~-~ ~ 94.zs
SOIL ABSORPTION SYSTEM /U ,,eQ,f~ ~,(/1/
BED/TRENCH Width Length No. Of Trenches PIT DIM NSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~ t ~ .Z ~ ~- __
SETBACK
INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING
CHAMBER OR Manufacturer:
nE: taYa v~
~
Type Of System: `
1
i a ,~7
- /~-• ~~~~ ,,~ ~, r
~
---_._. UNIT
~ Model Number:
`
u ate..-
c.c> .
A -- ~ ..it cvr,.. v r 7
DISTRIBUTION SYSTEM I ,. ~aDM ~inrtrnfl,<Pn. U.r.~, ~-
Header/Manifold Distribution
~ x Hole Size x Hole Spacing Vent to Air Intake
s \
Length_~Z Dia ~ ~
pe{)
Length ...r Dia Spacing
~ 7
3 ~ ~~
SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv
Depth Over ~ ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bedfrrench Center .._. / ~
~ BedlTrench Edges Topsoil ..._.
~ Yes L] No
~ Yes i No
i?o~' ~ ~ -
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: l r /~/ O 3 Inspection #2: ! /__
Location: 3265 170th Avenue Glenwood City, WI 54013 (NE 1/4 NE 1/4 12 T30N R15W) NA Lot 1 Parcel No: 12.30.15.
1 J Alt BM Description = S.T_ ('G -«'~ ~~ 5 ~`'}~ '"~ ~~ `~ `' ~ ' a '~ ~ o ~
~.~ L5 r /~ c;.~
2.) Bldg sewer length = '-'`~ L~ w7'ypc~+.e 72e be ~j.e~~.,,~- - ~ /~~ 3 ~sr
-amount of cover = -~ 7 '
- __
t --T ---• - _ --
Use other s de foruadditional informat' n I No - y { v J ` -J J~j~~' ~
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SBD-6710 {R.3/97) Date Insepctor's Signature Cert
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Safety and Buildings Division
Washington Ave., P.O. Box 7162
201 W C~tY
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Madison, Wl 53707 - 7162
` Sanitary Petatit Number (to be filled in by Co.)
(608) 266-3151
,~~Oi~~tt~ (..~ '3v
Department of Commerce
Sanitary Permit Application ~ State PIanLD.Nµm~
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In accord with Comm 83.21, Wts. Adm. Code, personal
~ y ~ „sed for secondary ptapoaes privacy law, s 15.04(1 xm) e~ Address tf di8'erent mailing address)
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1. Application lnformatlon -Please Print All Information ~' ~ r"a ~-: y.' - ~
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Property Owner's Name
Paroel N Blak ~
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Property Owtxs's Melting Address PropeRy location ~
`('~ r ,.
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~ ~., ~~~r, se~ion ~ ~
City, State
n ~ " ~
~~OD dC Vt/~ Zip Code
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circle o e)
T,y~ N; R~E or~
11. Type of Building (check all t at apply) ~~ umbe=
Subdivision Name CSM N
! or 2 Fatttily Dwelling -Number of Bodrootns ~• ~
, /
, / l~ . , LS ~ 1 ~ (~
V 'I O~ /
^ PublidCommercial -Describe Use
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1 Q ^City_ Village ship of
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^ State Owned -Describe Use G1
111. Type of Permit: (Check only one bo>< on line A. Complete line B if applicable)
A' New System ^ Replacement System ^ 7'tratmendHolding Tank Replacement Only
4 ^ Other Modification to Existing System
list Previous Permit Ntnnber and Date issued
B. ~ ^ Permit R®ewal ^ Permit Revisim - ^ Change of ^ Permit Transfer to New
Before Expiration Pltnttber Owner
1V. T e o[ POVfTS S stem: Check all that a 1
Non -Pressurized ln-Ground ^ Mound >_ 24 in of suitable soil ^ Mound < 24 m. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^
Con ed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Rxircttlating Sand Filter ^
Reciroula ' S thetic Media Filter Chamber line ^ Grav l- Yi ^ ( ~)
V. Dis ens 'reatmeat Area Information: h '
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dts ea Proposed (sf) System Elevation
,cftp , ~ ADD q33 ~ s -
V1. Tank info Capacity in Tonal Number Mattuf tuner Prefab Site Steel Fiber Plastic
~ Concrete Constructed Glass
~
~ ~d
Gallons Gallons of Units j/(f/~~
Ncw Existing / _Ip`/r
~v/
Tanlta Tanka lT
Septic ~~~ 9 D ~ / ~~lt
Aerobic Tmatmctu Unit ~
During Chamber
Vll. Responslblll Statement- 1, the under n assum slbW for Instalbttlon of the POWTS shown on the attached lens.
Pho
MP/MPR3 Number B, cin
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Plumbc~ys+Natne (Print) Plutnber
Pltunber's Address (Street, City, State, Zip C y~
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Vlll Count /De artment Use Oul
Sanitary Peruuj~ Fee (includes Groundwater ~Z~s O is
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1X. Cond(tions of ApprovaUReasons for Disapprove! 7j ~0 G~XlL ~ ~ f
EM OWNER; n p tr'~
eptic tank, effluent filter and Com `~''' •03•~ /~ _ ~~~ pJDO ~~ /~~~ ~y~,~ ~~,~~~ ~l
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requirements must be maintaine ~~ ~ ,~~c,~
per applicable code/ordinances./',r,.,,t,,,,., 4~ t1.Z _ / /~~ ~~
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IJUMBER OF DOSES:
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DOSC VOLUME PEk 0 ~~
l1AalUFACTURCR: S `~ ~7~`'-~'~~ .
IAICLUOIAJG 6AGKFLOW: ~ GA~~ONS
noo~L uuv~ti[R: ~ ~ ° ~ ~' ``' CAPACITIES; ~- ~
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SWITCH TtlPC; ~I"~QJv~+v "' D~ I NCHES OR =_'~ (,A~~O,~~
IJOTE; PUMP AWD ALARM ARC TO DL
M1IJIMUM DISCHARGE RATC 3G G/M INSTALLED 0-J SE PARATC CIKC;. ~`'~
:RTICA~ DIFFERCIJCf DCTWCCU PUMP OF/ AUD DIJTRIDUT101J PIPE.. _,.~ FEET
• r,lulnuM uETWORK SUPPLY PRCCs;uRE . , ,_,_ FCET
• __.L~_ FCET O F F O R C C MA I W X . 9 F~ ~,~
loo/LFRICT101J FACTOR..1_,__ FEET
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-'• TOTAL D~UAMIC - /3"•~~
HEAP
.L_ FEE T
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TER1JAl., DIME1U5101JG 0/ TA1JK: 1-E-.IGTN ;WIDTH 2
~ LIQUID OE PT H
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SOIL SURVEY
volume; strongly acid; abrupt wavy
boundary.
IIIC--34 to 60 inches; very pale brown (10YR
7/3) sand; single grained; loose; medium
acid.
The solum ranges from 23 to 39 inches in thickness.
In most places the silty mantle is 15 to 30 inches thick.
The A horizon is black, very dark brown, or dark brown
silt loam or loam 10 to 20 inches thick.
The IIB horizon is 5 to 15 percent pebbles and
cobblestones. The C horizon is sand weathered from
sandstone and is underlain by weakly cemented sand-
stone at a depth of more than 5 feet. The B horizon is
slightly acid to strongly acid, and the C horizon is
medium acid.
Nickin soils are near Arland, Jewett, and Pillot soils.
Their B horizon contains less silt and their C horizon
contains less gravel than the B and C horizons of Pillot
soils. They have an A horizon that is thicker and a C
horizon that contains less sand and clay than these
horizons in Jewett soils. They have thicker, darker
colored A horizon than Arland soils.
NcB Nickin silt loam, 2 to 6 percent slopes. Most
areas of this soil are on ridges of ground moraines that
are underlain by sand weathered from sandstone bed-
rock. Most areas are oblong or irregular in shape and
range from 10 to 60 acres in size.
This soil has a profile similar to the one described
as representative of the series, but the surface layer is
slightly thicker and darker colored, the silty mantle is
thicker, and the subsoil is slightly thicker.
Included with this soil in mapping are some areas
where the surface layer is fine sandy loam, a few small
areas of Arland and Jewett soils, and areas of mod-
erately well drained Nickin soils in drainageways. Also
included are a few small areas where the soil is under-
lain by limestone bedrock at a depth of about 5 to 6
feet, a few small areas where clayey bands are in the
sandstone residuum, and a few areas where slopes are
less than 2 percent or more than 6 percent.
Runoff is slow, and the hazard of erosion is slight.
Most areas of this soil are cultivated. The soil is
moderately well suited to corn, oats, and alfalfa. It is
frequently used for corn. Controlling erosion and main-
taining soil structure are important factors of good
management. Capability unit IIe-2 ; not assigned to a
woodland group.
NeC2 Nickin silt loam, 6 to 12 percent slopes,
eroded. This soil is on ridges and foot slopes of ground
moraines and is underlain by sand weathered from
sandstone bedrock. Most areas are oblong or elongated
and range from 5 to 20 acres in size. This soil has the
profile described as representative of the series.
Included with this soil in mapping are some areas
where the surface layer is fine sandy loam, and a few
small areas of Arland and Jewett soils. Also included
are a few areas where the soil is underlain by limestone
bedrock at a depth of about 5 or 6 feet, a few areas
where clayey bands are in the sandstone residuum, and
a few areas where slopes are less than 6 percent or
more than 12 percent.
Runoff is medium, and the hazard of erosion is
moderate.
Most areas of this soil are cultivated. The soil is
suited to oats, alfalfa, and a limited amount of corn,
Controlling erosion is an important factor of good
management. Capability unit IIIe-2 ; not assigned to a
woodland group.
NnD2-Nickin loam, 12 to 20 percent elopes, eroded.
This soil is on foot slopes and knolls of sandstone
uplands. Most areas are elongated or round and range
from 5 to 30 acres in size.
This soil has a profile similar to the one described as
representative of the series, but the surface layer is
slightly thinner and lighter colored, and the silty mantle
and subsoil are thinner.
Included with this soil in mapping are small areas on
knolls and small convex areas where the soil is severely
eroded, a few areas where the surface layer is sandy
loam, and a few small areas of soils that are underlain
by limestone bedrock at a depth of more than 5 feet.
Also included are a few small areas where slopes are
less than 12 percent or more than 20 percent.
Runoff is rapid, and the hazard of erosion is severe.
Most areas of this soil are used for pasture or hay-
land. Some areas are wooded. This soil is poorly suited
to row crops but is moderately well suited to hay and
pasture. Controlling erosion is an important factor of
good management. Capability unit IVe~-2 ; not assigned
to a woodland group.
Onamia Series
The Onamia series consists of gently sloping to steep,
well drained soils on outwash plains and areas of pitted
outwash plains. These are loamy soils underlain by sand
and gravel. Native vegetation was mainly white pine,
sugar maple, and red oak.
In a representative profile the surface layer is about
5 inches of dark grayish brown loam. The subsurface
layer is about 2 inches of brown loam. The subsoil is
about 25 inches thick. It is brown, friable loam in the
upper part and brown, very friable sandy loam in the
lower part. The substratum, to a depth of about 60
inches, is strong brown sand and gravel.
Available water capacity is moderate, and perme-
ability is moderate in the subsoil and rapid in the sand
and gravel. Natural fertility is medium.
Most of the gently sloping to sloping soils are in corn,
oats, and alfalfa. Moderately steep and steep soils are
in pasture and woods.
Representative profile of Onamia loam, from an area
of Onamia-Antigo complex, 6 to 12 percent slopes,
eroded, 300 yards east and 100 yards south of north-
west corner of SEl/~, sec. 15, T. 30 N., R. 19 W.:
Ap-0 to 5 inches; dark grayish brown (10YR
4/2) loam, high silt content; weak medi-
um subangular blocky structure parting
to weak medium granules ; friable ; com-
mon roots ; slightly acid ; abrupt smooth
boundary.
A&B-5 to 7 inches; brown (10YR 5/3) loam, high
silt content (A2) ;moderate medium platy
structure; brown (7.5YR 4/4) loam
tongues (Bt) extend into this horizon;
weak subangular blocky structure; fri-
able ; common roots ;medium acid ; abrupt
smooth boundary.
B21t-7 to 12 inches; brown (7.5YR 4/4) loam,
high silt content; moderate medium sub-
~~.~~:#'s~ PttI Tt~.3i ~`.~ Fi6 38$ ~!8$d 53' to ~~NL}3fi
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of 7/
FILE INFORMATION
Owner
Permit ~ 2
r1CCIBIU DARAIUFTCRC 7
Number of Bedrooms ~ ^ NA
Number of Public Facility Units ~NA
Estimated flow (average) ~pp al/day
Design flow (peak(, (Estimated x 1.5) ~ al/day
Soil Application Rate ~.l~ al/da lft2
Standard Influent/Effluent Quality Monthly average'
Fats, Oil & Grease IFOG) 530 mg/L
Biochemical Oxygen Demand (BOD51 5220 mg/L ^ NA
Total Suspended Solids (TSS) 5150 mg/L
Pretreated Effluent Quality Monthly average
Biochemical Oxygen Demand IBOD51 <_30 mg/L
Total Suspended Solids (TSS) 530 mg/L ®NA
Fecal Coliform (geometric mean) <_10° cfu/100Fn1
Maximum Effluent Particle Size Y8 in dia. ^ NA
Other: ^ NA
"Values typical for domestic wastewater and septic tank effluent.
SYSTEM SPECIFIGA 1 was
Septic Tank Capacity ~~Q al ^ NA
Septic Tank Manufacturer i~G~`~ O NA
Effluent Filter Manufacturer i~j~L~ ^ NA
Effluent Filter Model ~- 0 ^ NA
Pump Tank Capacity (!~ al ^ NA
Pump Tank Manufacturer fy,,,r,~" ^ NA
Pump Manufacturer ^ NA
Pump Model ~`~~ ~D ^ NA
Pretreatment Unit
^ Sand/Gravel Filter
^ Mechanical Aeration
^ Disinfection
^ Peat Filter
^ Wetland
^ Other: f~'NA
Dispersal Cellls)
~'(n-Ground (gravity)
^ At-Grade
^ Drip-Line
^ In-Ground (pressue
^ Mound
^ Other: ^ NA
Other: ^ NA
Other: ^ NA
Other: ^ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tankls(
At least once every:
~~3 ^ month(s) (Maximum 3 years)
earls) ^ NA
Pump out contents of tankls) When combined sludge and scum equals one-third IY31 of tank volume ^ NA
Inspect dispersal Cellls)
At least once every: ^
O~-3 ^ month(s) (Maximum 3 years)
ear(s) ^ NA
' ^ month(s) ~~Q /~ ^ NA
Clean effluent filter At least once every: ~ ,~ year(s)
Inspect pump, pump controls & alarm
At least once every:
a-' ^ monthlsl
year(s) ^ N~
' ^ monthlsl ~~
Flush laterals and pressure test At least once every: ^ year(s)
Other:
At least once every: ^ month(s)
^ year(s) g~
/- ~
Other. ^ N/
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certification
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tai
inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leak
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfac
The dispersal Cellls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondi
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires t
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third IY,1 or more of the tank volume, the ent
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 11
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatme
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal celllsl• If high concentrations are detected have the contents
of the tankls) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at4he infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal celllsl in one large dose, overloading the cellls) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measrres havDe been,. /or.must be tpaken, to provide a code compliant
replacement system: /y, ~~ f~~~~ /yD D~ ~ d ~"~L 1~0 ~~"' ~ ~ 1 ,ea y/,~ C~i
A suitable replacement area has been/evaluated and may be utilized for the location of a replacertTent soil absorption
e rep acement area should be protected from disturbance and compaction and should n•t be infringed u'on by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
,~ / JQhe si a snot be valuated to ' ntify a suitab placement a a. on fai a of t e PO soil and site
/V ~.~e~Valu n ust b erfor ed to cafe suitable place nt are If no rep ent area i vailable a ank
may insta a s a last re o replace e f' d POWTS.
^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
•,\w,T,e~~1 w~ AA~IAILwITC
POWTS INSTALLER
Name ~~i fl/d Z PLI~~ ji
Phone r,~ 3 ., t~L
POWTS MAINTAINER
Name
Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name S~ ~ ~ 2iyl
Phone Phone (~ 3 f' ~- ~~
This document was drafted in compliance with chapter Comm 83.221211b)11)Idl&lf) and 83.54111, (2) & (31, Wisconsin Administrative Code.
/A
735043
J 2 3 5 8 ~' S 6 0 KATHLEEN H. MALSH
STATE BAR OF WISCONSIN FORM 7 - 2000 REGISTER OF DEEDS
Document Number TRUSTEE'S DEED ST. CROIx CO. ~ MI
RECEIVED FOR RECORD
Jerry B. Stoner and Karen M. Stoner, trustees, or their successors in
trust 08! 12J 2003 10 : 00A11
as Trustee of Jerry B. and Karen M. Stoner Living Trust, dated
February 8, 2000, and any amendments thereto
for a valuable consideration conveys, without warranty to Daniel Olson and
Sandra Olson, husband and wife
Grantee, the following described rea} estate in St. Croix
County, State of W isconsin (if more space is needed, please attach addendum):
Part of the Northeast Quarter of the Northeast Quarter (NE 1/4 of NE
1/4) of Section Twelve (12), Township Thirty (30) North, Range Fifteen
(15) West, Town of Glenwood, St. Croix County, Wisconsin, more
particularly described as follows:
Lot One (1) of Certified Survey Map filed June 27, 2003, in Volume 17,
Page 4554, as Document No. 727784, office of the Register of Deeds for St.
Croix County, Wisconsin.
Subject to terms and conditions of
Declaration Establishing Protective
Covenants of even date.
this / S [~ ~gti1o~S.~ ~ , 2003
• Jerry ne
Trustee
Signature(s)
authenticated this
TRUSTEES DEED
EXEMPT #
REC FEE: 11.00
TRANS FEE: 60.00
COPY FEE:
CC FEE:
PAGES: 1
Recording Area
Name and Return Address
Thomas A. McCormack
PO Box 2120
Baldwin, WI 54002
L-
016-1025-10 .~~(7~'" C~~ % ~•~
Pazcel Identifi ion Number (PIN)
This is not homestead property.
1ri19 (.snot)
t Karen M. Stoner
Trustee
AUTHENTICATION
day of ,
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stats.)
THLS INSTRUMENT WAS DRAFTED BY
Thomas A. McCormack
Baldwin, WI54002
(Signatures may be authenticated or acknowledged. Both aze not necessary.)
ACKNOWLEDGMENT
STATE OF WISCONSIN )
ss.
St. Croix County ) _
Personally came before me this ! S ~ day of
Sy'~ 200 the above named
Jerrv B. Stoner and Karen M. Stoner
to me known
~ Thomas A. ' !lre~a~'c~~`~"
•
Notary Public,
My Commis '(~~fl
'Names of persons signing in any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN
TRUSTEE'S DEED FORM No. 7 - 2000
the foregoing
expiration date:
~)
INFO-PRO (800)655.2021 www.intoproforms.com
LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02
REAL ESTATE TOWN OF GLENWOOD
COMPUTER NUMBER 016-1025-10-000 Parcel Number 12.30.15.189A
OWNER NAME: First JERRY B & KAREN M TRUST Last STONER
PROPERTY ADD RESS: Hse # 1/2 PD --Street Name-- Type SD Apartment
3277 170TH AVE
SECTION 12 TOWN 30N RA 5W '/.160 '/.40
Line escriptlon Line Description-
TOTAL ACREAGE 36.000 PLA LOT BLK
01 SEC 1 15
02 40 RDS OF W 42 RDS OF N 16
03 16 R
04 ~- 18
05 19
06 20
07 21
08 22
09 23
10 24
11 25
12 26
13 27
14 28
F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit
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~wiscons~arlDepartmentotCommerce SOIL AND SITE EVALUATION
Derision of Safety and~Buildings Page / of
Bureau of `Integrated services in accordance with s. ILHR 83.D9; ~js. Adm. Code
.- , ~~_
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. a ,rriys# ~ °Gn
include, but not limited to: vertical and horizontal reference point (BM), dir ~~~and ,~ 3l~\s ~ ~ ~ l w
percent slope, scale or dimensions, north arrow, and location and distan ear ~rc+~l~:` `"~ p~rcel , D
F -a
APPLICANT INFORMATION -Please print all informati A.~; ~,, r` , eviewr Date
Personal information you provide may be used for secondary purposes (Privacy la s. 15,04 (1)~m'}). .. a / ~~, (T]
. ~'
Property Owner ~ Property Lo .~
~~ ~,`' ~ ~e~it. Lot ~...~~. " ~ 1/4,S T3Ur ,N,R ~J!_' ~ W
Property Owner's Mailing Address L3f~#,_ Bfgdc .Name r CSM#
City State Zip Code Phone Number.. ^ City ^ Village ~ Town Near~e7st Road
Ok,N/, k/ (~ls' )0~2~' D/O GLL° l.~dc~ /!? 1`~1 U
r
(~ New Construction Use: ~ Residential / Number of bedrooms ~ Addition to existing wilding
^ Re lacement ^ Public or commercial -Describe:
P
Code derived daily flow -~ gpd Recommended design loading rate J;J bed, gpd/ft2 ~ ~ trench, gpd/ft2
Absorption area required .9~ D bed, ft2 .~~ trench, ft2 ~ Maximum design loading rate bed, gpd/fl2_~_trench, gpd/ft2
Recommended infiltration surface elevation(s) /T~~ ft (as referred to site plan benchm/ark) (~ -~~ °7d ~~
Additional design/site considerations Se~L SU121~ /il/U~ T'$S Acv ~CZ o~c ~r uG~~ /VGGZ
Parent material ~ ~ ~ L `s Flo plain elevation, if applicable ~~~ ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
u = unsuitable for system f~ s ^ u ®s ^ u f~ s ^ u ®s ^ u ^ s ~ u ^ s ~ u
SOIL DESCRIPTION REPORT
Horizon Depth Dominant Color Mottles Structure i
t
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CST Name (Please Print) Signature ~ Telephone No.
Date CST Number
Address „
~~~~ ,~~~,, r ~~ ~l~ti ~ von! e~7`~ ~,`' ~~ai ~ y.~/'8~oa ~~
PROPERTY OWNER Uff~!PT~ ~ONE'1~ SOIL DESCRIPTION REPORT
PARCEL I.D.# ~O " ~f~ ~`, j"'~- - O
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Remarks:
SBD-8330 (R. 07/96)
~PRDP%ERTY 9W!`1FR ~~TS7~0/V~%? SOIL DESCRIPTION REPORT
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CERTIFIED SURVEY MAP
LOCATED IN PART OF THE NE 1 /4 OF THE NE 1 /4 OF SECTION 12, TOWNSHIP
30N, RANGE 15W, TOWN OF GLENWOOD, ST. CROIX COUNTY, WISCONSIN.
Prepared for: Owner: Drafted b
:
Danie & Sandra Olson _
i "• i r-f i f? ' ' ~- ' i r~, ~'•" ~' ~
,_;,•~, :...-_;._i~ ___,~~
- Jerr Stoner
y
"Q" X
Bradte J. Bo len
Y
i
B
hl
S
863 310th St. N 1825 Co.Rd. urvey
ng
o
en
Glenwood, City, WI. 54013
-
°
'
" Downing, WI. 54734
' 1215 Henryy St. 4
WI
54 21
tt
~~ - -S 89
15
- - .-_._
49
E 2598.89 .
Presco
,
~ 3.
THE NORTH LINE OF THE NE 1 /4 SECTION
1299.45' ""- "'
1266.45'
70T ~° ~ ~f"~E ~0 j_ ~~
12
~ 3.5. R.
--- ---- ? 33' ' ~` 43' S
4 pISF~-~ EO SS 3~
\ ~ CS TRAVE ~ / ~F,~c~;;i ~
N O _ yM°~ I / ~~~_~~.1F.
66' ROADWAY EASEMENT-
RECORDED AS DOC.
#000000, IN VOL. 00,
fG. 00
66' DRIVEWAY &
UTILITY EASEMENT
\ RECORDED AS
DOC. #000000, IN
VOL. 0, PG. 00 -
~G~ G~.
Fs~QI~
of
R=133.00'
D=63°31' 28"
L=147.46'
C=140.02'
C6=S 31 °57' 20" E
TAN. IN=S 00°11' 36" E
TAN. OUT=S 63°43' 04" E
::::,
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OF P/L
,.. C: FOUND ALUMMUM
ST CROOC COUNTY
%'•}~ti-i= ~ ~ MONUMENT AT TI#
~i j ~ o E ~` °- NE COR. 12-30-15
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THE SOUTH LINE OF THE NORTH 264.00'
OF THE NE 1/4 OF THE NE 1/4
~--FENCE COR.
IS 6.5' S
& 3.7' W
-}- OF SET IP
1 ~-
~ ~•._ \\\
~.=1] ~ 0.87' ; - 0 x
C=105.28' L ~~~
\~ TAN. NHS 00°11' 36" E ' ao o
'• ~ ~ TAN. OUT=S 63°43' 04" E
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~ AREA INCLUDING ~`~°oo~ ~~'
ROAD R.O.W. uo,F
=226515 sq.ft. F-
(5.20 ACRES)
AREA EXCLUDING vti
ROAD R.O.W.
=217802 sq.ft. `
(5.00 ACRES)
°n~OO°
0v~~v
2I /I ~ ~ N ~ 0]
L=343 83
CAS 48°26' 47" E
TAN. NHS 63°43' 04" E
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72784 ~
VOL ~ ~ PAGE 4554
KATHLEER H. M71LSH
REGISTER OF DEEDS
ST. CROIX CO. MI
RECEIYED FOR ~ECORD
06/27/2003 01:45PN
CERTIFIED SURVEY NAP
u~r_ FEE• 1'~_ AA
CERTIFIED SURVEY MA GES~EE26.-00
LOCATED IN PART OF THE NE 1 /4 OF THE NE 1 /4 OF SECTION 12, TOWNSHIP
30N, RANGE 15W, TOWN OF GLENWOOD, ST. CROIX COUNTY, WISCONSIN.
Prepared for• NpLATTED LANDS Owner:
Doniel & Sandra Olson ~--_____--- Jerryy Stoner ~~ ~~
863 310th St. N1825 Co.Rd. Q
Glenwood, City, WI. 54013 Downing, WI. 54734
,~~"'- - -S 89°15' 49" E 2598.90' - - ---
-- THE NORTH LINE OF THE NE 1/4 SECTION
1299.45' - - - - - - -
ie 1266.45'
~ o\ ~ c~+t~'~~~
NV~~ AS
N22~
02SN
~~~~
°a`~o
66' ROADWAY EASEMENT
RECORDED AS DOC.
#721809, IN VOL. 2244,
PG. 319
66' DRIVEWAY &
UTILITY EASEMENT
RECORDED A
X721810; IN
. 2244,~-
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L=147.46' _
C=140.02'
CB=S 31 °5T 20" E
TAN. IN=S 00° 11' 36" E
TAN. OUT=S 63°43' 04" E
N~
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FENCE LINE IS -~-~
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Drafted bX:
Bradley J. Bo len
Bohlen Surveying
1215 Henry St. #4
Prescott, WI. 54021
~`
~~~
12 _
V
FOUND ALUMNHIM
{'~ ST. CROIX COUNTY
/i' d ~° MONUMENT AT TFE
i p~ ~~ ~~! ~~ ~ NE COR. ,2-30-,5
L 1~ f/f
rte, V'~ ~
~tit~~ ~ i ,.~ d ~ ~a
FENCE LNVE ~ e ~~~ `
~ IS 4.5' W `~
r OF P/L ;
' $ I THE SOUTH LINE OF THE NORTH 264.00'
S o OF THE NE 1/4 OF THE NE 1/4 ~N O
- ----- ----------•-- -... -- - ------•--•- -••------• e ~
-- ------------- ~ s.
~ ~gi
FENCE COR.
~ ~ & 3.7' W ~ 100.00• ~
0~3°31' 28" ~ ~
OF SET IP L=110.87' ~ °.~ o
= 3' Cr105.28' ~~~ ~~
\ CBsS 31°57' 20" E .%g~;.~ ~
~ TAN. NsS 00° 11' 36" E ~¢ o ~ ~ o~
'\ ~~~ TAN. OUTS 63°43' 04" E ~'~ ~
~~.~~
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~ L=343.83' ~~s ~ ~ ~~
\\\ \\\ t~S9°~6' 47" E
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~ ~~ °° \TAN. NsS 63 43 04 E
o~~~ ~s ~, ~\ TAN. OUTS 33° 10' 30"
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AREA INCLUDWG ~ooA \ W ~ N
ROAD R.O.W. ~°,F \ a O
=226515 sq.ft. F ~ \ ~ e N
(5.20 ACRES) o ~ ~ ~~ _
AREA EXCLUDING ~9y~s~~, . ° °•o \ g ~. -
ROAD R.O.W. ? x`0`06= ~ \ ~~~~~~~
=217802 s .ft. `~~aannmintaam~~~~~ °o~ ~ S \
(5.00 ACRES) `~~~~~GJCON$~~~~~4~~~~~,~,~~,~~' ~,~ ~~ ~ ~~~~ ~~
BRADLEY J. ~~ °_
=~f BOHLEN ~ ~s~:F \ a.\\
~ 5.2375 , _ ~"
NOR7HFlELD. ~ ~\ _ \
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Y
FOREST PAGE 72 See Page 112 For Additional Names.
~ 2900 DLlIYN CO.
ey ~ S 2 300 ~ 3100 180th AVE 3200 ~~
2
f- ~ a ~ ' ~ P~aWusClua f N e AK 21 ~ ~ 1 2 oseph i
W 103 63 3 ~~ .-~ Wanda 2 f l
t Law1'erlCe $ 5 ~+- 3 4 vl 5 0 6 Emma 4 O 4 Ohn 3 30
~ SChl1g E ' Michael N 00 Hitch $[ ~,'~ 5 ~ g f aCkelen 4 5 8 ~~ g 4 5 I
fo 108 & Sarah ~ a 128 Pitt ~ ~ a ~ tis I F Jeffrey s
17 h s ~ Cassellius s e ~ 'a o b 136 101 ~ & Enid
~~ 3~s fo s3QP5 a ~~ ~ to s e ~~' s Bahn9 b a >•~
4 '° 1
274 LI I 151 175th AVE 80 ~ 394
BUSH 234 r ~ X I
LAKE i' 17 Ernest Harold ~ P e ° ~ I
'~ ' Richa ~ June ~ David ' ~ ~ p RFFk
Marcella 5 o Clarence a Severson V,
108 pin ~'~M g p°n lacc~keleen e ~ ~ ~a Tmst ~ Gabower I '~~ '" ~oCaml
217 ~
4 146 `.atx., 80 92 100 1 170th AVE •°y rf'`"~°m'` ~ ~ ~P0 170t Adams
~~ a vas o ~° _ _ _ _ 2581 _ AVE _ 182
Imi Shn6usl, V 10 $ $ rpo otb N ~ ~ Q'~' ~ _ ~ _ ' ~ m ~ ,°
Frank °~"~` +o n~f,aem 67 Mach 8o kQ ,.~ oaJ ~ Robert ~ ~ ° Dam ~
Warner Thomas ~ .q William John o&~ 10 ~ ~ & Melodee 80 ~~ ~ J
~~ ~ ~ Meyer Marko ~ e '* Forrest sq ~ ~°,o, ~
,David a 20 65 ~~ ~ 6 152 Npy 165th ~~~~
wat~ ~o o~_ es & ~ ~~ ~ ' ~ A 1 ~ Jel Peter & Dact ~ , AV z 160 .~ y
''~ 40 200 .c~ 1~~"so Bontes ~' L ~aW~ ~~~ 3 Wayne °o Sheila 23 g L I
Bt Torleta Newcombe 151 f~ ~~$ ~derson I
h O < ~ Earl ~ Yoder
David & 3 ~ ~ X
Wag ~ EeL 35 A N 1O~ a RUTSON I
80 K 11 i s ~ 40 80 °' ~ 160 Nteman Theresa
2 I~ 77 226 Hoffman 79 lm.m RD
^ ~,~ 160th AVE JacE 20 g o c 1 2 n ss ~ 159
1 ,.. Larson F N soo a 2 1 a L f ac
38 H Richard j&D 20 ~" ,,,, oo Herbert Gmrozy w,e~ z f~a ~,. aAllae alas 4 a ~ fo I
ac Grace F- groom ~ ~ -~ & Rose Depth cOOOQ"° e.ma, '~ • 4 >~ N'~- Paul 8c
Ober- ~ t E }};~ "u n b ~' 7 Mms so .,. p AH
F nl.1lQ O $tone20 tl ~ ~3 ~i pK N a'C7 ~ i•llrc Harold ~ ~~ 37 ;6 1 s0~ 35 39 9 13 Sweet I
!LITTON v ~ K N KeD 20 a ~ O ~ L p ~ v %~~ O~0 Robert Dyesley ~ I GIYgOiy laE =o
3 16o g~ ~ a ~S ae bo Palewicz rume ~,,,- gt Lys ~ I
fS? 110 r 70 i°,~ 2 e,... ~ B 74 Jac 9m
o~p M 20 James jr 1 0 ~ ~ ~ 39 so arranger D 35 m 85 I
80 v & Dona ^ ~ ~, £ 97 Wayne s'
o o John Weyer 80 b ua as o Dak & Kula Peterson 4' O 9y
Timothy 3A Moe ~~ Mtcnaei 3 Y '~o M Obermiller 40 Fred& 9098 O ~'
,sz~a ~~~ ~> Roust
David a F~ _a d
Anderson W (7 a Donna a Jody AVE "a Q1 ~+ Pale- Tber~a ~
SOth AVE 120 140 xa'°ei ~ Graes40 st f at~l wta NoH- Barbara
Drinlmlan '* C
3 l0 4D 1l)D IDi° 79 119 1150th AVE 217 Z
w>~ s N Ellison .. - - ss Z
°$ eel ao.~rn- Rf dt Susan '"' s n
~n of C Mau earl o ~ s, <~ Anderson ~o H °l0 10 60 Hems on s Lam ~ 2U 4U ~ w N D ce O
Konder Clifford etux
77 ~~~3 ~ er a u~iao~ ~ Laberee ~ e Y a ~ C C
12
M $ e t 121 4U ~ 143 Z 145th AVE 133 78 a°° ~~ ~'
a a Wynt~il3a ~ ~~ ~ ~ ~ Thomas ~ ^ sDavid so me 117 v o
~~ 198 = ~~ ~,, &Linda ~ ~,°, GLEN OD 'S irk X
~_+ A uvr~ Weber o m x
G~ Val°~ 12 d! N N L ~a ~ ~'7 W(tlie M ~fy V 1 1 1 S DOdTiO V V! ~
_ U +o ~~'~ Ha»son 124 ~~~^A^A^A777VVVYYY SlcoW phi~e ~ ~
G Joseph s 13 Sebroeder ~
Hatfaen 4 ~ ~ ~ ~ r 20 38 _ _ _ _ 120 Z
2
. ~ ~ ~ 15 ~ u D, M e . iar David
-~ " ~ 8 Priscilla John & ~ r Is b Schroeder o
~ 'weer . _ ~.f A ~ ~ ~ on- 'Rose \ 58 78 z
s0 DeamitL k ~ oC ~ ~ a ao 00 ~ I McCutchin ~ li°'~ & was a
i5th A E ~ "s i4 Patrkia s~
80 f 140 e, Fwv scmo eQ
lr 1 O BLUE w a4 O C JO h lames do ~1 \ 170 ~ ~ so
fsm so Tone~e 4 FfK & Gloria ~ losepe ~~ 1~ ~~
o ~
118
~ ~ ~~ ` waker Ioi- \ Dra:ler 60
219 0 .~ ~ ~ ~i,l 12 ~ ~ ~F~ David a E
~ 3 ~ alypf
Butte ~ f.era s9 fo 130th AV Q s G ctemvo,d ab so _ 119 1
~ 80 32 °an sl 00° ~ ~ DBtoulie ~ N mouse ~ David & f P " h. ai
fs IS ^ >:f F~e- = 83 rx ass Ho[[man 62 sw- fsu ~ E
mnar Dean
n- ~ ~ Le-°!a9 & .11 ~ buTg Tlmotby 130th AVE ~ a ~• .~ zs
~ 40 ~ o Soleere 80 ~ u ~ 40 115 °d° sa `~ Y GIMrnn~ 71 Dean ~ <'~ ~ S tty & I
ffa ae a A 3 , ,o Teigen 120 l0 66 Teigen
lseverly r. vt $ ftaK
Amn.. r x i Doeald a
w .80 $ 80 ~~ a'`m' L Terrance , tp 1 ~rt ~
Iw>tac ~ wx ~ A ~ °u~~„ tiila s a & Kr stl 1 rosbY I i~ w ~ C
o ~ DaNei Qt M 1 0 ~ David a ~ '^ Teigen Jj r 79 40 282 w C
~a Katherine k
4t 5' Tuttle 80 ~~ ~r: M ~~ ~a "'ac 1 6 ~ Crosb ~ M~o°a ~ac n0
DD 19 "r° C
40 163 ¢ 80 ! 40 1~ ro ~w~s fs ~ C
HAGAN RD RUSTIC RD #3
SPRIlYGFIELD PAGE 42
~^ ~ w w^ ....~. _ _ _ _ _ ~ 12~1CC~ T !1l~YL~DC~
Pump runs but delivers only
small amount of water.
1. Pump may be air locked. Start
and stop several times by
plugging and unplugging cord.
Check vent hole in pump case
for plugging.
2. Pump head may be too
high. Pump cannot deliver
water over 24' vertical lift.
Horizontal distance does not
affect pumping, except loss
due to friction through
discharge pipe.
3. Inlet in pump base may be
clogged. Remove pump and
clean out openings.
4. Impeller or volute openings
may be plugged or partially
plugged. Remove pump and
clean out.
5. Pump impeller may be
partially clogged causing
motor to run slow, resulting
in motor overload.
Clear impeller.
Fuse blows or circuit breaker
trips when pump starts.
1. Inlet in pump base may be
clogged. Remove pump and
clean out openings.
2. Impeller or volute openings
may be plugged or partially
plugged. Remove pump and
clean out.
3. Pump impeller may be
partially clogged causing
motor to run slow, resulting
in motor overload.
Clear impeller.
4. Fuse size or circuit breaker is
too small.
5. Defective motor stator: return
to Authorized HYDROMATIC
Service Center for verification.
Motor runs for short time then
stops. Then after short
period starts again. Indicates
tripping overload caused by
symptom shown.
1. Inlet in pump base may be
clogged. Remove pump and
clean out openings.
2. Impeller or volute openings
may be plugged or partially
plugged. Remove pump and
clean out.
12'
3. Pump impeller may be
partially clogged causing
motor to run slow,
resulting in motor overload.
Clear impeller.
4. Defective motor stator: return
to Authorized HYDROMATIC
Service Center.
9 30
6 20
z
z
0
3 ~ 10
i
0 0
(opacity-U.S. G.P.M. 0 10 20 0 40 50
~ i ~
Liters/Second 0 1 2 3
4
SHEF30 Performance Curve
Pump Installation and Service Manual
~]'1~)-'~I~
SHEF30
Submersible Pump/Effluent Pump
SA
NOTE! To the installer: Please make sure you provide
this manual to the owner of the pumping equipment or to
the responsible party who maintains the system.
I~ HYDROMATIC~
Pentair Pump Group