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016-1045-80-000
Wisconsin DepartmentrtCommerce PRIVATE SEWAGE SYSTEM Safety and uilding D, :pion Z' INSPECTION REPORT +uEW =RtiL°l1UFOh2MATION r ~ (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Tuttle, Wa ne Glenwood Townshi :ST BM Elev: Insp. BM Elev: BM Description: i Uv. c:vG TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic .~ t S-~Y /' U o C Dosing C,c,rv./1.~~ w ~~ Aeration Zcr~7 Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ C~ G/ '~~C°.(-i' ~ ,~~ ~-----. Dosing ~ ~ ~'ll~U .,,,_ /~~,' ~ 7 ~~~ ' J '~1 Aeration ---~.___ -___ Holding PUMP/SIPHON INFORMATION Manufacturer / Demandb . ~ ~~ ~ C.:S ~..~ ._ ~ GPM Model Number ~~ / / ~~ '3 TDH Lif Friction Loss System Head TDH Ft Forcemain Length Dia. ,~ Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 43 State Plan ID No: Parcel Tax No: 016-1045-80-000 Section/Town/Range/Map No: 20.30.15.330 STATION BS HI FS ELEV. Benchmark ~/ I ~ IcEi,l Alt. BM Bldg. Sewer -- G /~ •G 9~ ,[ O'/ SUHt Inlet /~~l 93.3Z St/Ht Outlet ~\ Dt Inlet ~. Dt Bottom ~ ~7 `' ~ g ~, 9~ Header/Man. 7.5 3 /o /. Gb Dist. Pipe 1,'~3 /D/. G. Bof. System ~ ~ ~ ~ _ g.cv /00.93 Final Grade D G ~~ ems„ ~~,:~. -.-- ~. 5 9~. S~ ;~. ~~. BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS „_. ~. --- SETBACK SYSTEM TO P/L .BLDG. WELL LAKE/STREAM LEACHING Manufacturer;~__ INFORMATION ~' CHAMBER OR Type Of System: ~f^,, ~ G~ ~ -,- / `~V ~ . ~ ~O U s 1 UNIT . Model Number. O wr1 ~` ~V .. . ~, DISTRIBUTION SYSTEM _-- Header/Manifold. ~ Distribution x Hole Size x Hole Spacing ~,.. Vent to Air Intake 2 '~ ~ ~ngth 3 i Dia_ Length ~ ~-1~ Dia ~ (/~~- Spacing ~ t/~ '~~ " ~ ~ AIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Over Depth Over xx Depth of xx SeededlSodded xx Mulched ench Center ~, ~ Bed/Trench Edges ~ , ~ Topsoil ~. ~ 'i Yes ~ _~ No 'Yes No ENTS: (Include code discr pencies, persons pr sent, etc.) Inspection #1: i~ / ~~ / c .~ Inspection #2:~_/~/~ ~ AS p+'~ ~ w ^'~1s-~~ ~ Co n F t l •w . d a n ~7 Icy` .2862 County Road G Glenwood City, WI 54013 (SW 1/4 SE 1/4 20 T30N R15W) 80(a~cres Lot ~/ Parce/l No: 20.30.15.330 L 3) ~< -5 \ -• ~-.vi C' ci '~ e.s I- p ~•-(- 1/G~e~2L ' n .f. S ;cription = TG P ~ ~c,~-2 rR^~~ over = •-~- .7 ` Gk .-- O I-- -~ ~ -- ___ -. _ _ ---- ---- , - r ~ _ _ _ gyred? i __ Yes i a. No / 12~ 3 I dditional informaf n. __ ~ _i __ __ Date Insepctor's Signature Cert. No. Safety and Buildings Division Couny ,~ { ~ ' 201 W. Washington Ave., P.O. Box 7162 S "~, 2 x` i l~ cO~s1~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 Sanitary Permit Application State Pian 1 D Number ~~~~~~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(I)(m) __. ~ ~„ _ _ _ .. ~._. Project Address (if different than mailing address) ' L Application Information -Please Print All Informat n ~ k'•- ! I ~~ ~''~'~ / ~xv~TG~lirt-G-e- ~ Property Owner's Na me ~ ~ ~ ~ ~ ~ Parcel N Lot b E31uck ~ I ~ ~ _ f Pro rt Ow is M as lin Addres~ ~~~ ; Pe y S O l ~ ~ / y`~ ~~O ~ t~de~ -~ P L i roperty ocat on r y~ ~~ ~ ~ ! / C-'~' ~ Ste ~ ~'v~Q~ ~ City, State Zip Code Phone Number ~ , /<, Section Z O . C~V ~~C~~-~L~-tCJt~1~ ~ t t C,(~1 ~ d ,~f cucle 2 l ~3 ~ ~ II. `T'ype of Building (check all t at apply) t T O N; R~j E o W ~ ~ ~~~~v..~. 1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name CSM Number i ~ Public/Commerc al -Describe Use I . State Owned _ M escribe Use ~~C~~~"^"'~ ~~Y 4~ ~YLrTdw~/ `, .5~ ^Ci y__ iVillage Township of III. Type of Permit: (Check only one box on line A. Comple a line B if applicable) A. ,~~~ls~°i ~~ ~ Replacement System ^ TreatmenVHolding Tank Replacement Only _-_1 ^ Other Modification to Existing System ~. ^ Permit Renewal ~ , _~ permit Revision !Change of ^ Permit Transfer to New --~ List Previous Permi[ Number and Date Issued ~ Betore Expiration ~ ~'"" Plumber Owner I IV. ~l~vpe of YtJ~V'1'S Svstem: (Check all that apply) - ' E~ Non -Pressurized [n-Ground ~ Mound > 24 in. of suitable soil ^ Mound < 24 in. of sui[able soil ^ At-Grade ^ Single Pass Sand Fitter n Constructed Wetland I_j Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter -_~ Recirculating Syn[hetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dispersal/Treatment Area Information: Design Flow tglhll i Dcsikpl~oil Applicau Ratet pdst) ( Dispersal Area Rey it s Dispersal Area Prop sed (s0 System Elevation ~ ~ . fi"' ~ ~5"'"~'~r, ~ 6 ~ /~v ~ 1( ~S~ /1125' ~~ ~~ ~r.~y idc~ . S~ /' ' VI. Tank Info ~pttCapacit~n ~ Total Number 1 ~A4anufacturer ~refab Site •Steel Fiber plastic Gallons Vew Existin Gallons i of Units I ~ ~~ ,} ~ ~ ~''( oncrete Constructed Glass ~~i g ~--- __ ~ yanks Tanks 1 ..- ~ i ~ -- -; -t- ~ ~C )L1C ur f u ~ _ d _~,h i i- - - -r~- - -- ~ ~ ~ , r _ -, \troliu' 1Ra,mc~ii gnu i ~ -- /~ ~ (~ ~ ~ ~ _ __,_~ - _ _ !- --r-- Dosing Chamber ,~ !^ -~~ ~ F __ I VII. Responsibility Statement- I, the wtdersigned, assume responsibility For ' tallation of the POWTS shown on the attached plans. ~ Plun~ib~ar'a ;A'a me ~Prinq Plumber's Si nature P NIPRS Number Business Phone Nutl:brr ~~~ ~ /~u ergs <~U t*~1~o l t7 ~ ~ z ~~ / I ~ 7/~-' l' S/'.~ 2 ~ z ~ ~~~ ~ Pim~ilxr's Addre ss (Sweet, Q'iry, State, Zil~od~)~ ~~ J ~ 1 __ _ ,C t .5~~ 5~ ,~ a ~l ~ ~3~yc ~'vt i ~-c. ~.~ t.~_ t Sam/ ~~-__ _ . t VIII^ punt ~/De artment Use Ontv _ _ ~... >r` Approved _.',! Disapproved Sanitary Permit Fee (includes Groundwater Date sued 1_ Surcharge Feej ~j~ J~ ~1~~~ ~~ nee Given Reason for Denial -O~V --- - I ~ 1 ~7 IC ,' ~1~1~~~~ for Disapproval -.-/ dispersal ceA must all be servi ed /maintained ~ ~~1~L~1 Q3t S- as per management plan provided by plumber !/ v// /~ 3> ~~ ~ ~~ AN setback requirements must be maintained C / as per applicable code/ordinances. ~;6-1.tit„-~ ~3•y3--/ S ~l~is~ir~a-,,1~-~u-a-e-. h~,c.,~-.,.~ ~ e ~ e-~ AtCtch complete plans (to the County only) for the syste n paper not less than 81/2 x 11 inches in size SBD-6398 (R. 01/03) ~~ ~~ X3.3 3 ~0 R~Qq~~ t Cua~/c~trg q , ~t / 9q y~ ~4~° ing Agent signature (Ij~r~,tamps) r >/ ~ ~ -scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 14, 2003 CUST ID No.224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 STATE ROAD 64 BOYCEVILLE WI 54725 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/14/2005 SITE: Wayne & Cynthia Tuttle -Dwelling 2862 CTY Rd G Town of Glenwood, 54013 St Croix County SW1/4, SE1/4, 520, T30N, R15W FOR: Description: New Mound System / 450 gpd Object Type: POWT System Regulated Object ID No.: 925309 Identification Numbers Transaction lD No. 928844 Site ID No. 663097 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. The soil test plot plan does not show all of the loft li~n~es~or provide the parcel size as specified in s. Comm 85.40(3)(a)4., Wis. Adm. Code. ~ ~ B _ U ~ p~ .J- ~ ~,,Qi~,,,~~~Lc~^303oL{ 2. On page 6, all of the lot lines or the parcel size were not shown as specified in the approved mound system component manual. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal)ation/operation. CD, AP DEPq O1VIS1 .~ SEE COJ In granting this approval the Division of Safety & $uildings 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 maybe 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 POWTS. ~~, r,-v~ ~., ~v., ,:~c.--~ , ~~uance t7ue $ 0.00 eter E Pagel Private Sewage Pla / eviewer ,Integrated Services (608)266-2889 , M - F, 0630 - 1500 Hrs WiSMART code: 763:3 pepagel(a~commerce_crarP .~,; „~ ,i . , 'R" ~/.~ d tf ~ ~ 4 Mound System ~ s a s Pressure Distribution Calculations Project Name: Tuttle-Mound Lateral Layout Lateral/Manifold Design Lateral elevation: 101.1 ft Lateral diameter. 1~fz ~ In, Rows of Laterals: z ~ Lateral spacing (S): 3 ft Manifold type: Center ~ Latest to cell edge: 1 ft Orifice diameter: , a.izs ; ~ In. Lateral discharge rate: 7.83 gpm # of Laterals: 4 System discharge rate: 31.31 gpm Distal Pressure: 5 ft Manifold diameter: !L~ In. Lateral Length: 44.5 ft Manifold length: 3 ft Orifice Spacing/Distribution Forcemain Friction Loss ~' Orifce spacing (X): 28.86 Inches Forremain length: 75 ft Orifices per lateral: 1 g Forcemain diameter. 2 ~ In. Avg. ft2/Orifice: 5.92 ft2 Friction loss in forcemain: 1.573 ft Lateral Side View M anifald ~ Lateral ~ ~ Lateral v x x x x x~ x x' x x x x x 2 2 stare Lengt Lateral Length Lateral Plan View Lateral Length ~ ~ Turn-up wlbaN valve or cleanout plug 0 0 c c Orifices on bottom of PVG laterals and forcemain to comply with lateral equally spaced specifications per Camm 84.30(2)(e) Forcemain correction via tee at cross to manifold at any point Clean Out Detail Observation Pipes Gean-out plug Final Grade ror ball valve Water tight cap or plug r Lawn Sprinkler Box .Slat Nye: Closet Cdar 5" h/linimum rr'~' ~'''s~'" Long Sweep 90 place of 3./8" 17a: or two 45's--,... L 3/6" Bar Lateral Mound System Page 4 d 8 Septic, Pump and Dose Tank Project: Tuttle-Mound Tank Information Pump tank manufacturer: Weser Concrete Pump tank size/model: i w~ooo~- 165o-MR ~ ~ Pump tank gaUinch: 17 Actual Pump Tank Volume: 646 gal Tank bottom elevation (inside): gg ft Septic tank size/model: wiooo/sso-MR •l Pump and Filter Pump Manufacturer. Little Giant Pump Model: 9EH Effluent Filter. Zabel A100 Note: Acxess opening of sufC-cient size to be provided to allow removal of frlter. Opening to terminate at or above grade. Pump Tank Diagram Watertight Locking Cover 41nch W-th Werning Label tvtinimum Pmish Grade Attemate Outlet Location Elect. per Comm 16.28 and t. NEC 300 or Anti- V Siphon B Device C D Pump must be capable of: and head pressure of: Dosage Volume Foncemain drains back to tank? OQ Yes O No Lateral void volume: 18.8 gal Dosage to absorbtion Cell: 90.0 gal Forcemain volume: 13.1 gal Total dosage: 103.1 gal Total Dynamic Head Are laterals highest point? y if not, enter highest elevation: 0 ft System head (distal x 1.3) 6.50 ft Vertical Lift ("D" to lateral) 12.08 ft~ Friction loss in forcemain: 1.57 ft Pressure loss from filter. ~ft Total dynamic head (TDH): 20.15 ft Dose Tank Levels In. Gal A Reserve 17.9 304.9 B Pump off to Alarm 2.0 34.0 C Total Dosage 6.1 103.1 D Effluent depth for pump 12.0 204.0 Total Capacity: 38.0 646.0 FLW- LITERS/F~ 31.3 GPM 20.2 Feet W W6 S to Vl 7.$ H Z $ ~ t z.s 0 Y t MOUnd Svstem MananE+meant D~~., _.._.._~._ ______ .... _..... _ SEH PUMP PERFORMANCE CURVE iisv 6uHz ~~Vi f ~ ~~ ~ ' r ~~, y~ td°' t ~ ti° p~° ; ~ ,( -1 ~ r ~1~~. ~ ~ ' l t ...-...$~• ~ ~ Q; r t ~ ~ ~ ~ 1 i ~ ( r ~ i ~ + ~ ~ / f 3 ~ ~ r ~ Ll ~ ~~/ZTo 1 >~'~~ B 9Lo~ ~ 1 ~ ~ ~ i ~ , ~ ~ t 1 t { ~ ~ , i ~ ~;,, ~ , ,. 1 ~ , .~; ,n ~ ~ ~ ~ ` ~. ~ ~~ \ ,. Zao ~} t,.} ~YN~ TkTrLG Srt `/~S~`/q~. sZa -r3o Nfi is~/ 5T Cltatk ~ouNT`~ ~~~woo, r~,~NS~n ~O~R~~r1 °~ N~~~Fo sc~t.~ t"= ~'ta' SEF CpR~~'SPpNDFNC s z - ~t. 5a' $IUl# ( ~ loO,a~ SLq.$ IJ~1~R CoRl~l cR1t~ g-f,(..#'2 = (OS. t~-~ T"e~ c~ C'a-rCR~7E-~G~la~ of Ct6~~N CeUBR ... _~,._ ~'~Rl~ C ~ l l~ a $rjoa.v' j~o?~D ,~~ 3 ~~uSE ~ A1~~'~s~~1f y ~~, „s. `--~ ~; ~. ~~ ~~~ ~~~~~~ ~sr"52 s ~ ~ ~ l ~ c7 z ~~~ ~ ~ C~~ ~ ~7a ~- 3 W K r~ ~~ ~~0~ ~~ ~n v `~, t; 6~~ __...(~~~r~ r-~w~( G 1 '~ 4 co r h ~~ ~° ~o ~o ~ ~ ti~ ~ ti ~ gl 9 s8' 1 9 ri ~ ° I i of ^ ~~ i, i ~ 6~ y~ '~' Q9~ B Pao p osc d 7 5a go.R, t,a, ¢.s:e.~ w t l~ 75th- m Q P cc m~ c-~a,,, R~ ~+ ~.~,°~~2 0 n crib r- E/e/a~ion IV TpoF'Concre,-Ee Slab. Proposed mound a.~ 23.10/ ~X /Of! SS'w/ 5' x 90'0!, S,Ovsu-/ ec/~ T~ ~) (rif~a./s at 11~" X 88. SS" ~/ f'p "or'; ~'u5 5pacec/ at .2.53; abo.,dontd C;S~r+ /E.. 6. ,:TvP oc' C%s-ER.r'n CAS' EIeU:z /oS./7; ^E--~c~rn p h~o c~sc o F~c: s~x~ eFl'luenb /~^c. E'i.5fig9~ / i To b e ~ // rttn~ou¢d Proposed 3 4~t-0t r~w.,, in {"l S;c~trcl 1~ S/ ~~ Ste. S!0 P, / C. bu ~%d. r~ 5e ~~: Prp posed /~ ax7~s~v q~ LJi e SR/ ~ I,tCX~/Sd0- M Q Corr+ b. no.~~,r. t~+ K ~' bl u.s~.d a 5 fit: c. ~.. K. yube- .4- ~Qo ems' Puy ~ ~','I der at o u.t l~- ~ o l' 2 =~ C l,a.n be-r. prop. /~~c/nea~tst,ro~oo. /ire ~WY ~.G n p.8~~9 ,r Safety atxi $ui[dinaa Division Cauoty _ ~ 201 R-. Washia~on Ave_, P.O_ Hott 7082 ~'~" . Gr~o ~ _ ~~`j~~~,~ IKadison. LVI 33701- 7082 Sssurary emit dumber o be 611rd in by Co.) De artmentof Commerce (6os)~l.~sa6 ~3~ o Samitary permit A licati S""` "~` LD''''"°'"" pp on m accord with cometf 83.21, Wle-~pn. coda oasno.t ior«ma[ion yo. provide ~~`7 ~~ ~Y ~ ure6 for sacasdary puepora Priwoy Lsw, s15.0~(IXret) Project Addrass (i f diifermt tbsa mailing address} I. /ipplioatioa [nlorsuotor -Plea:e Frint All Iafocmaq ~ ~ ~~~~='~l ~t.,~j~'' i~~~~ n~(f~,~,~ Y t3`aC. hopdty Osraer's Neeno - " ~/ Pt~tscl p Loc p Bieck N ~~ ~'' f ~ ~~ ` / '' ~J%'? u- ~ l i'i o ~ 6 -/~ .5-~ ~ 0- DUI .3 30 PtoRotty O oa' w MwiGos rasa A dd Prvpercy locatioe /~ p ~ y - / g ~0 G~ G. lam/ ~ ~" , _, S~ v S i ~~ y ~ ., .ee on a Ci ty , Start Zip Cobs ...__ a _., / ~ '? ~ 1 C9 E h. ODU Wig ~~~I ,J ~/~ ~~ ~ ~ -7-~~~ T J? ~.. R i~u:,leAo~ / J E a x ~ II. hype of BWId1ag ( k ttt t~sa apptY) ®/! or Z Family Dweltias - Ntraobar of 13 ~ 'visico Name CSM Numbs Q PablitliCAtnateseial - beeen~o Use ~ • /V~ ^ sore owa.d - Dasen'be the 9a ` ~ ~ ! 2 ~ -ty bvin:oe [9~.wrs[,:p or ~ e w wAO d !>Z. lype o[ FYrsoit: (Chock on os>e box oo llne A, ompkte 1lne B of applicable} ;' ` .. ~. .rr ,.----h----- -- Raphwentent System ^ 7r ldiog Tank Repleatttent Only ~ Otba to Existing Synem ~. ~ Permit liena+ral 0 Permit itevisioo ^ Clrulgt o ^Permit Transfer to New ~ Pte ~+a ~~ Plumber Owner = IY e! POVIR'S S s Cheek ell that a 1 [~ AR Wn -Pl~sttti>'sd 4rC3rouod ~ Mound;r 21 id efstriwbk soil ouod <v~, ofsvitsbk soil ^ At-Caade )~ Singe Pass Ssod Filter [] Caosautaed We3laad Q Prsssarised 1a11round O tioldlag Tsr~k''~ ^ Pot Flies Aerobic Ttmraent Unit ^ Recireslariog Sand Filler ^ Rtcirwhtiaa Syatbetie Mad'p Filter ^ 1.aeahia6 CLambar l~ Dri Lana ^ Govd-lo ^ Other ( lain V. Die eatrrtmt roa Inforrn:tion; ~, Daipt Ploy (mod) iDpiRa Shc Applicanoa Rat Dtcpersst Aral Aequ'wd (sn D Aso Proposed (s0 Sysxm Ekvation y~o • 5 v .x` ~~O .mod /O(> - 5'8 VL'I'suk 1!ero ~ryio Cisilont Tool . Geri of Unix Mmafacewer Pselisb Coocrste Sits Constructed Steel rba Class Plastic Neer Turin ~~i~ ie or Hoidng Teak ~ ~D ~ / Y Aaebia 7reangpr Usk ~~ ~a es t~emboir ~$ r ~ [./ YII. Res nslb Stabrmont- !, the nadahlRned. assume nspoaslhll[ty ter tacnlladon of the POWYS sirowa oa the scncksd plat+r. Plumber's Alaos (Friar) Plumber's Sigosture MPIMPR5 Nurotrd Business Phona Numba~ a)t ~~ T~ur~sa)^~ a~ ~ . ~ Z~o~~`'.3 7/5-~ -33'7 Plumber's Addet~ (Skeet. City. Stttte, Zip C ~z~ a,rY.. 5-.~, ~1~~,',--.- t.J,' , ~y~~ Z, Vlli. Coua !D rtrrtent Use Oal Approved ^ Dirlapproved Seainry Perseit Foe {includes Grotradwetar Dote Brued ing ent Signature (N tamps} Sureberge Fee) ~t ~~ ~ - ^ Owner given Reason im l)eniol X14 . I X. Coadition~ o[ApprovaVAearonslor Disapproval / . SYSTEM OWNER: U Septic tank, effluent filter and 1 . dispersal cell must all be serviced /maintained as per management plan provided by plumber. ack re uirements must be maintained as per applicablgteo818a~f1[ Cweryny)rarrMept~wpywwe4.atruurt:lttwitatrsise .12n ni ~ ~d1C lu"' ,tc.,~(,~st,~ . sBV-6~9s (~. osroa~ Y f _jr ,M r 4 ~ ~ ~~v ~~ ho r e~ ..~ Rs8/ t 1 ~~. ~~ n n ,~ n ~~~' 4. s6' ~~~ ~~ ~~ `. ~~ `~` 9 SB \ 'Bz Proposed 750 9o..Q, I I w~ ~s.e..- w L P 7st7- m Q P tc n,/o c-~ a,,. . ~~ '~ v+ ~a c a ~n e~~b ^ So:l ¢dalua~o~ p-`E • L/le/a~io~ I~ ~po~'~'pnC!'e,'~2 Slab. ProPoSe~ mound a.~ .23.l0/ ~X /OFl. S-s`~w/ S' z 90'ol,'s,ocrsa./ ec/~ Two (t) Lr~-fua,/s at I yz." x 88. SS'' r.•~/ j'p "or%~,'u5 Spacec/ a f Z. 53; abandoned C:s-berm Elegy. /OS./7; -~"5G/i. ~/O P./.c~~-~c~rnp h,octist o r_ E~C;s~•; 2.F.`/u¢n~ /r'/nc. ~~ ` E'jSfiil q~ r ~ro b e a.1e// / rttrwavea Proposed 3 6~.d mow.,-, ro ('cS~c~tnGt S~ „S~. s~o P, d. ~. bu:/d :~~ se ~e,~; P~aPOSCd 1, ~/S~ 9°~ Wie$e/W I,tGr~/SOO-M~P Abel .4~ ic+~ e~{' lug ~ ~'~`/ der a.t O u-t l e~ o f 2 ~ C t,a.n ber u~ h ~' isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary August 13, 2003 CUST ID No.220853 DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. PO BOX 78 BALDWIN WI 54002 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/13/2005 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Wayne Tuttle 2862 CTH G Town of Glenwood St Croix County SW1/4, SE1/4, S20, T30N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 914995 Identification Numbers Transaction 1D No. 895954 Site ID No. 663097 Please refer to both identification numbers; above, in all correspondence with the agency. 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, the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (1V.01/O1) and the "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • 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 state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Pernut 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. • 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. ti. ~d DALE E HUDSON Page 2 8/13/03 Y + ~ l Owner Responsibilities: • Comm 83.52(1)(a) -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. 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4: I S pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMA1~.T code: 7633 1~ ~ ~ ~ K MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Wayne Tuttle 3 bedroom residential mound Owner's Name: Wayne Tuttle Owner's Address: 2862 Co. Hwy. G Glenwood City, WI 54013 Site Address: Same Legal Description: SW1/4SE1/4, Sec. Z0, T.30N., R.15W. Township: Glenwood County: St. Croix Subdivision Name: Lot Number. Block Number. Parcel I.D. Number: 016-1045-80-000 Plan Transaction No.: Page 1 RECEIVED Page 3 Page 4 .~ ~;~ 2 ~ l.U~ ~.' Page 5 Page 6 SAFETY & 6LDGS D(VPage 7 Page 8 Page 9 Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Site Plan Soil Evaluation Report Designer: Dale Hudson License Number: Date: 07/22/03 Phone Number: Signature: ~ ~,~,~ 220853 715-684-3378 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Desi n ~f Prei,~tr' ion Networks for ST-SAS (01/81) €~~~,a~rrt~t;Nr a}~ r ~~ .~ "~ Page 1 of 9 Ver510n 3.0 (03/01/01) lv~SiGti OF 5AfE7YgryU B(ll~L t1~S ::t, t; CpRRES NCB-,~~~r_ .' .' Mound and Pressure Distribution Component Design Design Worksheet Site Infor mation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 12.00 Site Slope (°~) 99.58 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Note: Sand fill (D) cafcutations aswme a Table 83-44-3 in-s~u soil tr~tment for fecal coliform of <= 36 inches. Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest int Pressure Disribution Information (core) a Center or End Manifold 2.50 Lateral Spacing (ft} 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) 88.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 12.08 Vertical Lift (ft} 0.66 Friction Loss (ft) 19.24 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o ions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Tr+eabnent Tank Information 1500.00 Septic Tank Capacity (gal) Wieser Combination Manufacturer Dose Tank Information 760.50 Dose Tank Capacity (gal) 20.28 Dose Tank Volume (galrn} Wieser WLP750-MR Manufacturer in the distribution Y network? Enter Y or N If N above, enter the elevation (ft of the highest point. 6.25 ft2/orifice Does the forcemain drain back? Y Enter Y or N 5.71 Forcemain Drainback (gal) 81.25 5x Void Volume (gal} 86.96 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. o ions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) 760.50 Total Tank Capacity (gal) 37.50 Totat Working Liquid Depth (in) 20.28 galrn (enter result in cell 649) Effluent Filter Information Zabel Filter Manufacturer A100 Filter Model Number Project: Wayne Tuttle 3 bedroom residential mound Page 2 of 9 ~' Mound Plan View i- 1_ ------------------------------------- 1/10 B :. • observation Pipe '0. . ~~~' r;r•r•r• r•r•r•r•r•r•• r•r•r•• r• r•r•r•r•r•r•r•r•r• r• . L•'L• ti•ti•L 1•'L•ti••.~•.~ .5 ti•L•'.••.~1•ti~ti•ti••• '.•ti•ti••••'•• .ti,ti,•• ' J•r•r•~•r•r•r•r•r•r•r•r•:•~ r•r•r•r•r•r,r•r•r,r.;.r ~; r•r• . . r:iL j•.~jl./~•.~'L•••', j'.~:~•.Iti Jti~!•r•r.r.r.' L~.:.. j'L.:.~L.:~ti~:~1~ti~:r:~. ~ti~•.~• . . _ ....~..................................... Lf. 1 -~ L Mound Component Dimensions A 5.00 ft E 19.20 in B 90.00 ft F 9.50 in D 12.00 in G 0.50 ft 450.00 (ft2} Dispersal Cell Area 5.00 (gpd/ft) Linear loading Rate 1669.92 (ft2) Basal Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.37 (ft) . /1/!F/ F 100.58 (ft)~- - :: Dispersal Cell [~ Elevation Shading Key 1~ _ Topsoil Cap © „~}{ Subsoil Cap ' • ~ • ASTM C33 Sand ® Tilled Layer r':r r~ Aggregate ~I H pis~i ceii - 101.08 (ft) Lateral Invert :D ;~ 1 l 12.0 96 Site Slope ~. c °• 1.5 ft M ~ ~~ '~ o 0.5 ft __`__ H 1.00 ft K 9.28 ft z 13.55 ft L 108.55 ft J 5.06 ft W 23.61 ft Dispersal Cell '.••.•ti•••.•L• •.• ~ :.r.r., •• •r•r•r•r•. •r ti•• ti•ti•tir ti• ti . .•ti;ti ti;ti;ti•ti; r;; F typical Lateral :tit} r•. •• •r•r•. •r•r•. .ti.•,.ti.•,.ti.ti.•..ti. rj . A --~ (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). -T _} -~ -1 Project: Wayne Tuttle 3 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals cantarad owr tM Aq taterafs are tderittcal ~- X-;I Holes drilled on the bottom of the lateral etltwlg spaced Force maim connection ula [ee or cross to manifold at .any pofrtt. Laterals & foroe maer of PYC Sah 40 [per CON6kA Table 84.30-5] Number of Laterals 2 Orifrce Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (~ 2.53 ft Lateral Length (P} 88.55 ft Orifices per Lateral 36 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft~/orifice Lateral Flow Rate 14.83 gpm Manifold Length 2.50 ft System Flow Rate 29.66 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.24 ft Forcemain Velocity 3.03 ft/sec Dose Tank Information Locking cover with roaming label and locking device and sealed watertight Electrica{ as per NEC 300 and -- Comm 1 t328 WAC ~ 4 in. min. • =Turn-up w~b~lt valve ar oleanoutplug Tank component is properly vented Wieser Combination Ca cit 760.50 Volume 20.28 Manufacturer Gallons gal/inch -~ A B C D Dimension Inches Gallons A 19.01 385.44 B 2.00 40.56 C 4.49 91.14 D 12.00 243.36 Total 37.50 760.50 E-- Alternate outlet location Forcemain d~meter ~ 2 in. Weep hole or artti- siphon device 89.00 tank elevation (tt) 88.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV _ Pump Manufacturer Goulds Pump Model Number 3885 WEO3L Pump Must Deliver 29.66 gpm at 19.24 ft TDH Project: Wayne Tuttle 3 bedroom residential mound Page 4 of 9 t d ~ Mound Svstem Maintenance and Operation Saecifircations Service Provider's Name Boldt's Plumbin -Dale Hudson Phone 715-684-3378 POWTS Regulator's Name St„ Croix County Zoning Phone 715-386-4680 Svstem Flow and Load Parameters Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1500 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ct and/or service once eve 3 ears Should in d and clean at least once eve 3 ears Test once eve 3 ears Should test monthl Laterals should be flushed and ressure tested eve 1.5 ears Ins C< for ndin and see a once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished •...........•. ............... Grade 6-8" Diameter Lawn -~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Wayne Tuttle 3 bedroom residential mound Page 5 of 9 Wisconsin DeparlmeM of Commerce f)ivieion ~ Safdv and Buildinos SOIL EVALUATION REPORT :_ ___--~___-..ice n~~~ OG \Al:w Anl~ 1668 page 1 of 3 A.C.E. Soil & Site Evaluations ID ~°"~' Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must PA St. CrOD( include, but not limited to: vertical and horizontal reference point (BM), direction and D parcel I percent slope, scale or ~memsior>s, north arrow, and location and distance to nearest roa . . . 016-1045-80-000 Please print all information. 'ewes By Date Personal ~orrriarion you provide may be used far secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ . 0 S Property Owner Property Location Wayne & Cynthia Tuttle Govt. Loi SW 1/4 SE 1/4 S 20 T 30 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2862 Cty Hwy. G City State Zip Code Phone Number _] City _J Village ~ Town Nearest Road Glenwood City ~ WI ~ .54013 715-265-4255 Glenwood Co. Hwy. G f+ New Construction U~~ 1/ Residential ! Number of bedrooms 3 Code derived design flow rate sf Replacement _;_j Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 100.58' at 12" above 99.58' contour. 450 GPD na Boring # J Bonng /~ Pit Ground Surface elev. 98.98 ft. Depth to limiting factor 34" in. Soil Application Rate Horizon Depth in. Domir~nt Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'Eff#1 D/ft' 'Eff#2 1 0-10 10yr3/3 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 10-21 10yr4/4 none sil 2fsbk mfr cw 1fm 0.5 0.8 3 21-34 7.5yr4/6 none sl 2msbk mfr cw 2f,1m 0.5 0.9 4 34-50 7.5yr4/6 f2f7.5yr5/8 sl 2med~ mfi - - 0.4 0.6 ~.---- 1/ Pit Ground Surtace elev. 99.58 ft. pepth to limiting factor 34° in. Soil Application Rate a ~~ # ~~ ri H th D Dominant Cotor Redox Description Texture Structure Consistence Boundary Roots GP D/ftz zon o ep in. Munsel- C!u. Sz. Cont. Cobr Gr. Sz. Sh. *Et(#1 'Eff#2 1 0-9 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 9-17 10yr5/4 none sil 2fsbk mfr cw 1fm 0.5 0.8 3 17-24 7.5yr4/6 none sl 2msbk mfr cw 1fm 0.5 0.9 4 24-36 7.5yr4/6 f2fT.5yr5/8 sl 2msbk mfi gw - 0.5 0.9 5 36-50 7.5yr4/6 m2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 ~3 ' Effluent #1 = BOD ~ 30 <_ 220 mglL and TSS < 150 m nt #2 = BOD < 30 mglL and TSS <~0 mg/L CST Name (Please Print) Sig ure: / CST Number James K. Thompson ~~ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osceola WI 54020 7/16!2003 715-248-7767 ~ ' ., .. ~ ~ ~i 3 a . ~ o t ~~'± B ^ 99. .t ~j dl dI 99. s6' ~~ ~ r 99.SB~ 6~ ~e~ ~ /6G8 --~C_orn crib ^ So:l ¢/alua~o„ p~`E. 1 • ale/a~,o~ IV a v d e-x.~,r+~iarK; TpoF'Conc~e,{e5/ab. ASSl.cm2o! cfeN = /cTO~~~ .~- ~o~bandontd C;S~h E/erl: = /oS /7 ^ ~--~c~rnp ho ~.cs c. Esc; S~ ~ e ~ 1~uSe ~;~t;.,, we ~~ - ~a~e prop /,'~%ea~eJE,o~ao. /~~ t~ ~,G ,~ ~WY . 3 a r'3 ,~~o'T . ~ ., , ~ ~ Mound System Management Plan • Ptirsuant~to Comm 83.54, Wis. Adm. Code f3ener I This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and nrainter~rce reporting. IVo one should ever errter a septic or pump tank sksce dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in arxordarx~ with Comm 83.33. Wis. Adm. Code when the tanks are no kmger 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 faikue must be replaced- F~grOSed acxess openings greater than 8-inches in diarr~er shall be secured by an effective bddng device to prevent accidental or unauthorized entry into a tank or canporrent. Seatic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septa 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 krspection. The outlet f~er shah be cloned as ray to ensure proper operation. The filter cartridge shoukJ 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 finer 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 liqub 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 creeds to be performed to mainta~ less than maotimrun scum and sludge accumulation in the tank. The addltion of biological or chemical addltives to enhance septic tank pertomrance is generaNy not required. However. if such products are used they shaft be approved for septic tank use by the Departrnent of Commerce. PUmD 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 fitter is installed within the tank lt shall be inspected and serviced as necessary. Mound and Pressure DistriMrtion System fdo trees or stxr~s should be panted on the mound. Plantings may be made around the mounds per'srreter, and the mound shall be seeded and mukhed as necessary to prevent erosion and in provide some prctection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter wilt promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mu~hed as protection from freezing. Influent qualdy into the mound system rr~y not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effk~ent or 30 mg/L BODE, 30 mglL TSS, 10 mgJL FOG, and 104 cfu/100 mL for ter treated effh~ent. Influerrt fbw may not eroceed m~dmum design flow specified h the permit for this installation. The pressure distribution system is provided wlth a flushing point at the end of each lateral, and lt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is pertormed lt should be compared to the initial test when the system was instal~d to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution wlthin the ~. Observation pipes witlikr the dispersal cea st>~ be decked for effluer ponding. Ponding levels shat be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. 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 condltion. ff the dosing tatUc, txarrp, prune controls, alarm or related wiring becomes defective the defective comporrerrt(s) shay be immediately repaired or replaced wlth a cbrtKronent of the same or equal pertomrance. ff the mound componen fails to accept wastewater or begins to discharge wastewater to the ground surface, lt will be repaired or replaced in its' present location by increasing basal area if tce leakage occurs or by removing biologically clogged absorption and dispersal media, and rested piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Wayne Tuttle 3 bedroom residential mound Page 6 of 9 4C': i. R~ ~ r'~'..4~,!. ~.~ '~' 1 ' ~, ., r ~. METEflS FEET MODEL: 3872 6 O 5 2 V 4 a a O 9 J 2 H 7A a 2 a 6 e ~o iz ii ~s ~mmr CAPACITY i 1 e A t Bump Specifications '/3 through 1'/z HP Up to 130 GPM Maximum head to 123' Discharge size 2"NPT Solids:'/<" maximum Motor All motors feature ball bearing construction. Available in Single and Three Phase 115, 200, 230, 460, and 575V. All single phase models have capacitor start motors. Materials of Construction Cast iron Stainless steel Features and Benefits •All models feature silicon carbide mechanical seal faces for superior abrasive resistance and extra long life. • Cast iron semi-open non-clog impeller with pump-out vanes for mechanical seal protection. •Rugged cast iron volute type casing adaptable for slide rail systems. • Corrosion resistant threaded stainless steel shaft. • Motor is fully submerged in high quality oil for lubrication and efficient heat transfer. • Optional silicon bronze impeller available. •CSA listed models available. u~ Underwriters Laboratories Pump Specifications '/: H P Up to 75 GPM Maximum head to 18' Discharge size 2" NPT Solids: 2" maximum Motor All motors feature ball bearing construction. Single phase: 115V Materials of Construction Cast iron Thermoplastic Stainless steel Features and Benefits •Glass filled, thermoplastic vortex impeller with stainless steel insert and pump out vanes for mechanical seal protection. •Rugged glass-filled thermoplastic casing and base design provides superior strength and corrosion resistance. •Cast iron motor housing for efficient heat transfer, strength and durability. •Corrosion resistant threaded stainless steel shaft. • Available in automatic and manual models. •CSA listed models available. All Models are designed for continuous operation and feature stainless steel hardware. ~, ~eF9 .,, , r , ~ OwnerBuycr ST CROIX COUNTY SEPTIC TANK MAINTEN;~IIt~~E AGREEMENT AND " OWNERSHIP CERTfFICATION FORM a n /~J/~~ Mailing Address ~ ~'6 ~ Co, ~u~y_ ~ Proputy Address .S'~e, (Verification rcquicrd from Planning Dcpattrncat for new coastructioa) City/State ~~~/l-GV oo~ ~,J., Parcel Identification Ntunber aid - /D`7'~ ~80 -- ODD LEGAL DESCRIPTION Property Location S ~ '/<, 5~ '/,, Sec. ~O , T 3U N-R /~W, Town of ~~en. ~'avdl Subdivision Lot # /~O ~~; j~p~ Certified Sarvey Map # Volume .Page # Warranty Deed # ~~ ~~ ~ ~ Volume _ ~~OZ .Page # ~9-~ Spec ~vouse ^ yes [i~ no Lot Iinas identifiable C~'yes ^. no SYSTT~I-~VIA.INT"~NANCE i~oapnoper use and mamtcaaaocof your septic sysGcmeould nesalt m its fa~lune to handle wastes. Proper aQaiabcaanec consists of pamping oat dbc septic task c~Y du+x yeas az soaneay if nonded by n .ficeasod pampa What yna pert into ttre system c~aaffect$ye- of d:e septic tank-as.a tneatm~tstag~e mt~ ~stefii~~ 1_syst,~. . _ Tb~e. pcupcxty- owns' agnxs to sabmit~to St (3cuiz Zoaiag Depat6meat z _oatificatioa fo~an, signed by the owncc and ~Y a p"ip t~icbodplvmbaa~c-s Fr~Ceasodpaarpcr~riag that (Ij ffi~e oa~ito arsstewztaduposat system is is proper opentiag condition and/or (2) aRer iaspxtica and paarpiag_(d'ney), ~ septic.taak~is less t'baa 1/3 -~nll of sludge. . ~ ~ ~ have read die above iequircme~s and agroe to maintain tine prnratc sewage disposal system with tha standards ~ fo~• . ~~ ~ by ~ Dcpatta~cat of Commence sad the Dcpactimr~t of Ilatnial ~$ that yoar septic system has notes maintainod mart be R,csounrcx; State of Wisconsin.. Catificatioa drys of the timoe year expiration daft.. °O~~ ~ rctarnod to the St. Qroac.Couaty Zoning Offix widiia 30 SI Tilltl? OF APPLICANT DATE OWNE~t- CE1tZT~'XCA7'XON I (we) oatify that all status oa this form an tnie to the best of my (our) knowtcdgc. I (wc) am (ant) the owncx(s) of the property descn'bod above, by virtue of a wuraaty flood nooondcd in .Register of Deeds Office. a i /8i o3 SI TURE OF APPLICANT DATE sss«ss ~, information that is mis od ma result is the rani m$ by ng pcpal~ ssssss -~ Y Lary pctzuit be' revoked the Zoai cat. s• Indude with this application: a stacnpod wacianty flood from the Register of Dcods office a copy of the rectified survey map if ncfcrcnce is made in the warranty decd a, ~,r~r ~ .. ~ }1 ~1`J ~ . ~~~ rat . - .4 ~'.A+E BAR ti;F r:l~'Cr~tJ4i'J c^r't~t :` - 1996 or,ClJr.:tENr rJO. WARRANT'S DEED ~'`~ "F5 7~ - i t 'f ;._ .. _A l tn_a _-_ T u t_t 1 z , ,raj "i ", .u cnnvey~ and .varran , to __-W~~ n ~___L, ~ f u t t-l e 3;.1~ _._-- .. __ _ MAF•~'nN?1' [rEED Cynthi,a_E._,-Tu_t.tl><,._has!~~ud_~rJd-triif~__~s.__._._.. EE'!,:'?a ' st.try_iv_or~h.ip._rn_ar.~..~;~1- ~,J:~perty_. ._._. _ :E+zf ~it'y fEE: _ _ _---- ---- ak5 E i ;, _ ._ _ r :,n -- - ._ ,, j ~ the tollowrny desrriber eat .__t~ ~~ .n 5 C .._ ~: CS7 1 X _ __ County. -- I '' ~ Stare of 6di,cons~n, -- -- -._ __-__ __ _ ._. -... _ ` c ~ L' F ~! C~ ' Francis k. Rivard ~ ' - ~ I~;U7 Wilson Street II The Nurth East (;uartel.• (NE 1/i) of tine ~ P.U. Bo i South West Quarter (SW '/4) and the West nontoni e, WI 54751 I Half (W 1/2) of the South East Quarter - - _ '! (SE 1/4) of Section 2U, Tok•nship 30 Nor h, _________ _ _ ' ~' + Range 15 West, St. Croix Caunty, 'disco sin c~l+e--' ~ ~ ~~ ~ ~-' ~.~_~~`~~U pj ~ ._._ _ P ~ t ~ II arce denr4cati i Num4er ( 1N ,r ~ !, This Deeu is given in fulfillment of a ~/ ~~. Land Contract between the Granto and j', ~: Grantee, said Contract dated Decmber 12, 1983, and recorded on Decetrber 2U, 1983 in Volume 679, Records, Page 242, Cucument #390055, Office of the Resister of Deeds fur St. Croix County. eA ,~~> ~S rt,is -i s not.----- -- ~,,rre;rea~1,,• .~E,.-~ ~) !'S nOt1 Ex~epNcr' ro 4"lar ~nhev r s.Jbject to easem_nts and ri;ht~-oE way, if any; municipal and county' zonin,7 ordinances / '--~ ~ ~: ~krledthw i ~,• ,,r ~ ~tr~< 1=~~-~~-e 'ti../ 1~a ~ j/ --- -. ._ rv --~---. ---- ---- -_. - . _ - _ _ - _ coq • .alma luttle - -- - __ _ _ _ __ __ ;i= •r~~_, At~THENT;CATIUN ~- _ _ ~i a 1 !~?'-t L1 'i (' Cr3n tUro SI ----^-1-_----_._.. ..--~_~~ ~ -l i -' t- - -~ ----- - - ~ - --- --__ -- - auth nhc~ted this ,~'~ Z day ,f _~ _ --- _ t ^ .'~ tom,..---- J l ~- L ~.t_ ~ --------- -- ~_ - -_ __ i TITLE MEMBER STATE BAR OF 'vV'SCG~JS!N Uf not, __- _- - - -- authonzed Uy § ?;6.06 4"iis. Slats + - --- iF!IS INSTRU7vlc"ti' W.AS [.~RAF'E!'? 5V _Eranci; X. Rivard ACKNOWLEDGMENT ------ -- C ur'n• Fr ._ra,;r 3i^r C./C P 're rFri _ _ - __ "~3r ~r rn me K~• ~:+°: •~ ~e !tie rerson ---. -- ~ • etacuted tie roq,U;rv7 ^;t...~er. -ir., arkncv;lo~~„ the ~an-~