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HomeMy WebLinkAbout018-1086-12-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENEIfI.L INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village x Township Duran, David Hammond Townshi CST BM^Elev: 1•'i~~ Insp. BM Elev: ~~•~ BM Description: ~" G TANK INFORMATION TYPE MANUFACTURER CAPACITY eptic W ( / 000 osin ~~~ a Ov Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~- 5 ~ / / (O ~~ (fl - Dosing , ~Y~ ~ ~ ; ~ ~ ~" . n _ -- Holding / PUMP/SIPHON INFORMATION ~- S' 3 Manufacturer Demand GPM Model Number ~ I E Po.3~ TDH Lift Friction Loss System Head TDH Ft (~ , z z~ (- s= 3 Forcemain Length , Dia. Dist. to We ~ ~ s Z rr SOIL ABSORPTION SYSTEM DISTRIBUTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 399428 State Plan ID No: Parcel Tax No: 018-1086-12-000 STATION BS HI FS ELEV. Benchmark t;• y 7 ~ ~~~ Alt. BM ~~~3 ~ . S Bldg. Sewer ~~~.~ ~ Z•' SUHt Inlet 9~ 9~ S/ SUHt Outlet Dt Inlet Dt Bottom / 3.3 $„~_ }/ Header/Man. 2.~a 9 3 - Dist. Pipe 2, ~p y,3 p Bot. system Z rt, 3 -Z Final Grade B~Cover .~ a ~30 9 .3 ~Z q,o ~' .s"6 Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 3 , Z w Pipe(s) ~ I/ it ~ ~ i ~~ S (/ ~/ ~ ~ - Length Dia pac ng Length Dia SOIL COVER x PrPSCUra Svwtams [)nlv YY Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil Yes ~ No ~] Yes (] No ~' COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ~/ /~-/~ Inspection #2: ~ Z- / 3 / D q S Location: 883 162nd Street Hammond, WI 54015 (NW 1/4 NW 1/4 20 T29N R17W) Hammond aks 1Z- ~- Parcel No: 20:29.17.632 1.) Alt BM Description = ~/~ri,,.. o~ ~iw~ .f,`~~ ~~j`` 2.) Bldg sewer length = 45 (~. ~ S~~ V~ttrl~ ~ S(~.(~ - amount of coy ~ S !.+ ~.ft.. ~ Aa,3'(>D ~~j. • l0 5 , - G ,~ Ct/c°l~ off` ~' / / 3,` 3.) Contour = ~ ~~/ Plan revision Requl~ ]Yes No lZ ° ~ Use other side for additional information. ~ / Z- 3 -`~}/ ~ ~" SBD-6710 (R.3/97) Date " Insepctor's Signatu ~ ~ , CeS. No. Cvx~ ~i t~,lt„, ~o-vz~ S ~ Safety and Buildings Division County , '~ ,~ 201 W. Washington Ave., P.O. Box 7162 , • ~s`~a~S~~ Madison, WI 53707 - 7162 ____ Site Address De artment of Commerce ~ ~~ Sanitary Permit Application Pe R ~ ~ r 1a accord with Comm 83.21. Wis. Adm. Cade. persomi inforntatlon y ^ ~ ^ Cbeck if Revision ma 1>a treed for Privet Law sIS. ~ I 1 L ApplirxttIon Information - Phase Print All Ldormation Y` ": ~ State Plan 1.D. Number Property ~ s ` ~ ,. ~ '' `- 0' g ro~'G- / z - o 00 ~a ~ Property Owner's Marling Addr~esa n S X /_ ~ ~~ ~ / j i„ocation • ~ Ue c J 0 / e~S ~ ( S~ ~,I• S Q Tod N R ~ City, State Zap Cade Nt~b 1MlG ~. Ntun B \ ~ ~, `~ Subdivision Name CSM Number II. 'T`ype of Building (check all that apPiy) ~Ciry /( / / / 1 or 2 Family Dwelling -Number of Bedrooms ~ 0~ ~,r DL,a 5 ~w~ ; ~G~J _ QVillage ~ Public/Commerciai - Descn'be Uu ~ ^ State Owned Nearest Road ,d~~~ S~ III. Type of Permits (Check only one bolt on Hae A (ipanbering schttnie for interval use). Complete line B if applicable) A' i ~ New 2 ~ Replacement System 3 ^ Replacement of 6 ~ Addition to !tor County nge ` stem Tank Otil Bxis 3 stem B. ^ Chectc if sanitary Permit Previously lasued ~1°°h Nnmber Dase tssned IV. Type of Permit: (Check all that apply)(toarmb~ing sth,~m e is far itsternai use) ` 44 ~ Non -Pressurized In-0round 21~ Mound l y S u /UU ~J 4? 0 Sand Filler 50 ^ Conswcted WeNand 22 ~ pressurized in Ground 41 ~ Holding Tank 48 ~ Single Pass 51 ~ Drip Lire 45 ~ At-Grade 46 ~ Aerobic Traata~ Unot 49 ^ 30 l~ Other V. Area Infornssti on: Z" S C 3 3 Desipt Flow (Spd1 Dispersal Area DLtperaal Ares Sot1 Appiicat~a Pai~on Rare Sysieaa Bfevatioa Find Grade Required Proposed Rate(Ga1a./Daya/Sq.Pt.) {Min.iinch) Elevation ~s'D ~ ~~ ~ v- ~~s'O ~ ~~ v ~ ~~ ~, 9~i Yb r 9~, ~a VI. Tank Info Capacity in .Total Nnmber Mamtficmrer Prefab Site Steel Fiber plastic Gallons Galt~s of Tanks Concrete Conatnrcted Glass 1Qsw Taslo i S Septic ar HoidtnQ Tank _ ~~ D ~ X' I>~ ~~ VII. ~atau4ent- I, the msdersdgnedc asst~e for POWTS sitr+wn on tine attached ptsass. Phtmber'a Name (Prior) ~ MP Numb ~~ Business Phone Nttorber ~as° 9rSd' e ~ Phupbar's Adfd~re.,ss (Street, City. S Cjode) ,p ~ /' ~/~/ VIII. Coon TJse . App~d ~ ~ ~ Pee (includes Grantdovaser Date lss~ Iestriog Agear Sigaamre (No Stumps) ~ owner Given !airier Adverse . ) ~ 3 Z~©Q l U ~ 6' / , Destrminadon ., ~ IS. Conditions of ApproraUReasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. Affect campiete film rte the Coant7 eoy) for the tiratam oo papa not Im rim Sltl:11 ineha tb else SBD-6398 (R. 05!01) ~isconsin Department of Commerce Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 5318&2439 TDD #: (608) 264-8777 www. comma rce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary September 07, 2001 CUST ID No.691727 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 ~ 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/07/2003 Identification Numbers Transaction ID No. 673664 SITE: Site ID No. 635509 DAVID DURAN Please refer to both identification numbers, 162ND ST above, in all correspondence with the agency. - TOWN OF HAMMOND, 54002 ST CROIX COUNTY NW1/4, NW1/4, S20, T29N, R17W LOT: 12, SUBDIVISION: HAMMOND OAKS FOR: OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810464 DISCRIPTION: 450 GPD MOUND SYSTEM. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintenance information must be given to the owner of the tank explaining that required. Access to the filter for cleaning must be provided per Comm 84 pro~u~ • A Sanitary Permit must be obtained from the county where this project requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements fo~n the designated county official in accordance with the provisions of Sec. 145.20(2)( filter is shall be made with ARTHUR L WEGERER Page 2 9/7/01 ' 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 penmits 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. Sincerely, ~/ ~ THOMAS J PERK S POWTS PLAN REVIEWER, INTEGRATED SERVICES (262)521-5064 , 7:30-4:00 TPERKINS@COMMERCE.STATE. WLUS FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 TITLE SHEET FOUND SYSTEM FOR A 3 BEDROOr1 PESIDENCE Page 1 of ~ This plan has been prepared in accordance with the Mound Component P4anual SBD-10572-P and the Pressure Distribution I•Ianual SBD-10573-P cc~. b/Qq~ cry. ~~~Q~ LOCATED II~t THE Nw 1 /4 OF THE Nw 1 /4 OF SECTION ZO , T ~-°! N, R l7 td, TO~n1iJ OF ~}-Y~-h~ h~jplvl5 ~ S~-_ C..~LIJ 1~( COUNTY, WISCONSIN. INDEX PAGE • 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEt1 I-It~~'dAGEi~ENT PLAid PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIE~l-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI•IPING CHAMBER CROSS SECTION PAGE 7 of 7 PUI~IP PERFORI.IANCE CURVE PREPARED FOR ARV 1 ~J _ _ _l~l:~ t2:.1~-7~1 _ _ _ _ _------- ~Q87 ~ L1ZS~ j9--U~,~._7V,--- _ _ _C R. Y S ~-L ~ r~ rv s s u 2,~ _ _ PREPARED BY LzIEGEF~ER SL7 I L .TESTING AND . . DESIGN SERV = CE P.O. Box 74 421 Id.lfain St. River Falls, GJI 54022 Phone 715-425-0165 Fax 715-425-6864 Q~G~~v~o1 • ' ~ ~oo PVG' ~ B~OGS.p~V SPF~~~ &. +•• ART. KJO ~ r W[ijf RER • O-B7$ p •9,~,~eG .ooh 8' ~oi~'~ -0 ~ o~ tick JOB 110. ~ ~-Z1I Mound System Management Plan page Z of 1 Pursuant to Comm 83.54, Wis. Adm. Code • Septic Tank TheThe sepU~c tatank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of-the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should.be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150.mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occuned and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General - This system 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 far watertightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed ' unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan . - Ifthe 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 orfrthis system should be directed to: The County ZoningOffice at 1. ~ S - 3 ~'6 - .~6 a0 ST'- ~(2.Q~( • The system installer at '~ [5 _ L.[. L$_ ClgsB wt~G The. tank manufacturer at i~`ptJ ~ 32-$_ ~'~ S 6 ~V>-es~R The effluent ,filter manufacturer at ~`OtJ- ZZI~ S'2 ~ Z,, Z,fj~~ The pump manufacturer at _ "" - 63q- $Zp ~~1~ 8 CiOU~,DS ' ~ PLOT PLAN Scale 1 "= y~ ~ 'Page 3of '~ f 11 ~~ ~~ o a~ ~~~ I 6~ S ~3~2h1 ~-'"lE. a~ v~2 ~ °12 ~0 1vpT COwt~~?9-eT oR -~ o ls7v~.t3 `rms ,~,~, ~` . 65~oC- --_ `~ -~ q2 ZkPVC F:w1_ n~ ~ ~ 8 ' 1 ~ i apV~ ~_ h MAN ' ~~'°=-1 - N - ti8, $J1Z,~ °lS 0 ~hhUV~ EL, 9y. ' gV~~-1 OF LZ. qS_'~C~ ~ WT C.1NN aw- ~ 1 ~_-= -2?: ~i00. ~ p `-0~- -~/z-``- ~ ~ A;_ t~~1.. 8 +~riZ CST e~ Y~v~1Z . _ ~-~~--~1"-~9_t_so`-~ w~ovwp r~ w~ l_~r Zs' ~+~e1M Tft'tv~. NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1b00 /(DSO gallon capacity manufactured by tiv ~~s ~~ C~u c.,rZ-c'~1~- w / fir-- ~$oo Z~~1, r~ ~.~ 4 . $ench markg ; S ~ ~uv la Ll~ ~. Divert surface water around system to prevent ponding at the uphill side. a Approved Synthetic Coverinc ~l 3 dSTM C33 Distribution Fipe Medium. Sand ~ _ _ Topsoil S j'!z % Slope Distribution Cell of ' - 2" to 22" Aggregate H 0 e Farce Main From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rate= y . S GPD/LN FT Design Loading Rate= p .Z.GPD/SQ FT -~T ' --~ ~-fi-~t-- .. L A ~I•S Ft. B ~~ b Ft. I \g Ft. J C~ Ft . . K ~_Ft. L \ 18 Ft. W Z$.SFt. Pace ~ Of 7 G .~_Elev. d1S-y.~ Plowed Layer D l O~_ E \ . ZSFt. F b•a Ft. G p.5 Ft. h 1. O Ft. _r > I -Observation Pipe fl - ~--- K ~--------- ----- ---~ ~Q~~~g ~--------------------- --------------- ----- Box . A ~--'i6 ~ -~_ --- ~ _ -~ W .~__T+_ - ---_- ------------ J Force M -- ~-- . ~Oistribution `-- Cell of 1 " to 2' " ~ ~ Pipe aggregate , Observation Pipe (]lachor securely) J PLAN DIET OF A MOUND SYSTEfi4 Distribution Pipe Layout page 5 of 7 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 Iong turn or 4~ ° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or • threaded plug. Provide access from final grade for the vaIye; threaded cap or threaded plug. " 1-~-`~C~.SS BOx_ Tit P.1 cr L LZ.OS S s~~-~1~ rv PVC F~J: PV C Laterl ~ ~ Maniioid r- Laterl z x X xll xll X x x X Latera( Length - ~ Lateral Length - P Oisiribution lane P ~ ~r ~c six lht;l]\Fc'~: S ~~ ~+~~ a- __ ---0 ~~~'~ P 49 Ft, ~ ~ Hole Diameter lJ$ Inch•~ ~-~~~" 5 ~ Ft. ~ Lateral 111~F InchEes) X Z~ inchps Manifold Z Inches ~- ~ ~ Force Main " 2 Incfies Hof holes/pipe ZS ~ ~~ Invert Elevation of. Laterals 9S 9bFt. Z S X, p ,V) = 10. ZS ~c ~[ = ~l l . 0 61>wj _. ~ - Combination Sept,3.c~•Tank and ~ • J PLI~MP CHAMBER CRO55 SECTION ANO SPECIFICATIONS ' PAGE ,~j OF u - . __ . •VEIJT Cf,P ~, WEATHER Pi000F ' ,l000TiON 90X . • y~C.I. VEAIT PIPC ~ APPROVED LOCKit.1G ~ lO' FROM DOOR. M~l1JHOLE COVER rvt"f1{ %%IAl00W OR FRESH ~ wAR.rJ1UG L.1~$EL. ~3P~1p-~1 PIpE ~ A.JR UJTAKE ~ cojapu~T -- ~w/r'ncZllsttT'trsP ~, c . .. .. ~ _ i~ • Ft i~ tg t ~-- ~' ~`~ 11.1LET i ;; ~PROVIOE I - -- ''` ~'j"A~RTIGHT SEAL I III ~ • ' Vin, I( v e~~~~ i I I APProved zt18~t u~~ ° ~ I III APProved joint w/ f~\~p0 I III joint w/ PVC pipe ALARx PVC pipe a II II • . I I • I I ou c •I I gZ.o~ I I CLOY. f'C ~T" __~ I PUMP ~ pFF D C OAICRETE ~ BLOCK tTL~V . 8~6. oo ti: • RISER EXIT PERMiTfED OIJLy IF TA1JK MAUUFACTUR!`R HAS SUGH APPROVAL~3NADPQotiEp 6>:DO t iv 4 SEPTIC f ~ SPECIFICAT1~f~1S . DOSE TAUKS MA-JUFACTURCR: ~''ul~''St~'{Z due-1ZG-''S~ AJUMl3EA OF DOSES' ~I•~lZ PER DAB TA1JK 51ZC : - ~DOO ` 6 SO GALLOAIS DCSC VOLUME r ALARt'1 MAI.IUFACTURCR: S -S . ~-~.C) S~'LS`E;~.g IAICLUDIAJ6 6ACKTLOW: ~ tiOZ GALLONS P10DEL 1JUMBER: ~O I ~l~ CAPACITJES: A- `~ 11JCHCS OR 30~ GAILOrJs SWITCH TyPC: -_ ~~-~~~ZT g= ~ INCMES'OR 3 r Ci~-LLOIJS PUMP MAl`1UFACTURCA: GOVL,pS C= 6 IuCtIES OR 1D Z- GALL01.15 MODEL IJUMISER: 3 $ Z I ~O S p = ~ Z IucHES OR b~?A CALLOUS SWITCH TYPE: _ ~~ CUR1Y' I uOTE: PUMP AUD ALA ~`~L. RM AAC TO 6E MIWIMUM DISCHARGE RATE ~ I-Q CpJ,~ INSTALLED OA! SEPARATE CIRCUITS VERTICAL DIFFERENCF DETWCEU PUMP Off AUO..DISTRIBUTIO-.I PIPE., g'9 (OFEET t MII.IIMUM AIETWORK SUPPLY PRESSURE , .... , .. 6.SOFE:ET ~S,pkL3~ -~ ~'S FEET OF FORCE MA-N X 3'~~ F~o FLFRICTIOU FACTOR.. Z'u FEET TOTAL Oyf.IAMIC HE:AO = ~~'~ I FEET As per manufacturer x-1.0 gal/in. Liquid depth 38 `. ~E ~ o~>= ~ Goulds ~~~~~E~~ ~~~~ ~~, ;~ 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: - >4 3/a" maximum..- • Capacities: up to 55 GPM. _ `, ~ ".ptal heads: up to 24 feet. \ ~-Discharge size: l'/i NPT. --- • Mechanical seal: carbon- rotary/ceramic-stationary, ' BUNA-N elastomers. • 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). • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series METERS stainless steel. 10' • Capable of running dry. without damage to _ s ..components. Pump: EP05 ~ $ • Solids handling capability: c - 3/"maximum: W . 7 Capacities:'up to 60 GPM. ~ s Tota(heads: up to 31 feet. ~ Discharge size: l ~"NPT. z s Mechanical seal: carbon- c rotary/ceramic-statiohary, BUN s ~ 4 :... A-N ela tomers .' . em e a o T p r ture: '~~_~~:104°F (40°C) continuous ~'~ - - s - V~140°F (60°C) intermittent. 2 --~ ~:s~_ -- - 1 (( '~r _~ rah°~ .ir.:~ . ©1995 Goulds Pumps, Inc. FEET :.~ • 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 enclosed design 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- tic cover 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 SP• Canadian Standards Association (CSA listed model numbers end in "P' or "AC".) i I ; ' .F~ ,,:. ~ h ~ ~~ - ~o ' i ~ ~ _ ,5 i i ;r_ 20 5 ~ - .. ~l Q 5 o - :- , s .~; .: „ ~~ 00 .. _ 10 . ; . _ _ ~ 20 ,..30 40 ... ~= 50 , . "~- GPM* `~ ~ ~ ~ ~ ~ ~ ~ 0 2 4 6 8 10 12 m~/h CAPACITY -_ ,ya.,v• ,~.~~. Effective May, 1995 ~. Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~ ~ Labor and Human Relations Page of _ Division of Safety and Buildings in accordance with ~ 8 3.~,J(V~ .._._. ., - ~t Attach complete site plan on paper not less than 8 1/2 x 11 inches in size a~llnus t ,~"~ '' ° ~~., ~ ?"' /~a~ /~ ~5 ~ C" include, but not limited to: vertical and horizontal reference point (BM), eotitin and : '" , ~ ~ percent slope, scale or dimensions, north arrow, and location and dista cei'tti neares road' '' parcel'CII. # O "' APPLICANT INFORMATION -Please prinf all informs '~h _ ~;~;~ Reviewed Date Personal iniormatlon you provide maybe used for secondary purposes (Privacy La s~ 15.04 (1) (rrt)~". ~' " ~'-' rv~. Property Owner ~ ~ ~,, R I ep 4~1N o c a ~` -Property Location S .~V T ~ ~ GoN4t~ ~ ~ ~ 1 ~f(/i/4 ~N,R ~ ( E (or tN V ~ ~if~ ~'~ ~i~ 1 ~ ~~ ~ , Property Owner's Mailing Address Lot 81ce1efa Subd. Name or CSM# 33Z- h i uN~SoT~ sT: ~~15 T ~ yo c{ ~ L ~M,HOwD o~,E-j' Gity 5T• State u~- 1'~ N . Zip Code Phone Number 5S/ o ~ (~S/ )~ 22. ' S5S5 ^ C-ty ~ ~ Nearest Road w ~ ~.• ^ Village L7 Town a~.~ l (/ b []"(Vew Construction Use: [~sidential /Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~_ gPd 2 3 S 2 Recommended design loading rate Z bed, gpd/ft2 •• ~ trench, gpd/ft2 Absorption area required 31,~bed, ft 1 trench, ft Maximum design loading rate • bed, gpolit~ trench, gpd/ft2 Recommended infiltration surface elevation(s) S~ 3 ft (as referred to site plan be~n•~chmark) Additional design/site considerations 'T i~E/v T 7 f ~ M ~v''~D ~F' a V !~ ~~ L • Parent material /DEcS DVS Q~NS~ T/~~f' Flood plain elevation, if applicable Nf ~ ft S = Suitable for system Convention _Mo~ In-Ground Pres~e AT-Grade System in Fill/ Holding Tank u = unsuitable for system ^ s u i~ s ^ u ^ s C~ u ^ s u ^ S Ld'[~ ^ S Boring # i ~~ Ground ~j elev. 1 ~' ' '" Depth to limiting factor ~in. Boring # Ground ~j elev. i ~~ft. Depth to limiting SOIL DESCRI PTION RE PORT r~ H ri th D ant Color i D Mottles Structure R t GPD/fl2 zon o ep in. n om Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary s oo Bed ,Trench S/GL - s Y~2 , Remarks: ~ , z ~-. f v~. - . i ~ . M ~~ _ '~ ~ , ~~ - - :,~ Remarks: CST Name (Please Print) RDQ~~1^ ~L4R~ CST Signature ~~~U " ^ \ i eiepnone rvo. ~~s• 3gG • ~- ~ s Date LS t rvumoer Address ~ ~•4 3 7 5 ~v.z~ i4~9 Private Sewaae Consultants '~~ ~V~1 $) ~~ L ~'~~ SOIL DESCRIPTION REPORT PROPERTY OWNER ~{ PARCEL I.D.# GO_T' J Z.. ' ` AHf''r O~v17 ~~ ~.S S ~ g '~ • Boring # 3 Ground elev. !d `~L2n. Depth to limiting factor in. 2~- Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft Depth to limiting factor in. Boring # Ground elev. ft. a Page ~" of Horizon Depth Dominant Color Mottles Te ture Structure Consistence Bounda Roots 2 in. Munsell Kau. Sz. Cont. Color x Gr. Sz. Sh. ry Bed ,Trench r •1 s - / ~ ~ .~~ / i wi' ~ ~' L o y 4! Z s ? •~ ~o c z NoT s C L D, ~ - - ~ ~ ~N Remarks: S ~v Y/~ 5~f to Remarks: Horizon Depth Dominant Color .Mottles T Structure i C t B d Ro ts GPD/ftz in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ence ons s oun ary o Bed ,Trench Remarks: Depth to limiting iactor , 'n' Remarks: SBDW-8330 (R. 08/95) Ulbricht ~ Ass a Consultants private Sewag 655 O'Nell Rd. Hudson, Wis. 5x016 ( <o r it ) N p , LOT ~ ~ w-.¢.-. G ~ ~ /Z. 8~3- ,~ __ ~ ,, ~~~~ ~ ~~ ~ ~ ~a~ or t0 ~-~.5~ G ~~~~~~ __.. _ _. _ .-- c _. ~~ .. -~.i~ o~~ . ~~' ~ ~--- ...~_QQ~_ ~ 11`x, -- __._~-_ ~r --~-_ (~~ ~ ~' ~, Ll,~, ~' S'yyG ~r o v w~ S y S T~ ~/.w . w;~Z~-- ~~. ~~ S f~ w v Vii'// ~ S. ~G ' ,_ 11< ST CRO[X COUNTY Owncr/Duycr Mailing Address Proputy Address SePT[C TANK MAINTL~NANCe AGR$L~ML'NT AND O~NN~RSIi[P CL~RTIFICATION FORM (Vccificatioa rcquiced Gom Piaaaiag Dcpxcimcat for ncvrr c~tcudson) '~-~ C -~- (~ity/Statc ~` ~ 1?, ~y~~Pamcl Idcutificatiou Numbar ~ l ~ ~~~~ ~ "/~.^bbl~ Ii~GAI<. AESCRI~ Propaiy Location ~ %, ~ /~ Sc~ a~ _ T ` N~t~W~ Town of w~~~4~. a _ Subdivision Lot # " r-~ ~`er(i~cd Sutvep Map ~ Volume . Wage (€ Wur~taty Dtod # ~ ~~ ~°~v Volume hie ~ ~ SPo~.~aase Q yes l~ rw Lot Lines id~ifiablc ~ yes ~. no ~Y5'L~a4tA'I1~T~',LNi4N(~ y~~mtmocnsaoeafyuar=~~iaits .: o al' ~ ~ ar~ameto L~,eraste's.P,eo~rm:~aoe caa'affOd~Sc~ ~~~~aif~nodcdbystP~:~y,~apatimboQresys~ 'aalc~rs..:~tctrgesaQrea~edsFo~i,.ly~~, .. . T~'~~cswu~tostao~o~c~~~I-Y~o~raccsnd~y: a~ isiapc+opcc°coasndta{z~,~Cr,wdpa(~,~tt~`~`~d .~ ~t~,vataB,~ab~,~,~a~~~.~e~a~ ~i'~°'~,~acby~n~'ma~ncofx~t;sa~ofw i~ ~``~~~&~toB,cst:t~+oucCamtyz~agv~i~ocw~3o days~al'~c ~ ~ date. SI ZURB OF AT'PLLC~lINT ~ ~ ~~ ~ DATE ~ ~~T~CA.~Ot~I I (arc) °a~Y Bone all satt~ on ttus fomc ac hac to ~c best of ury (one baoaviodge, I (wc) am (src) Brc owaeQs) of by vic~ac or a ~ax~,r,~j, d~a rooocdoa is iugister of Doody os~. ~~~ , S[GNATURS OF ApP~iGlbiT DA1E ssssss ~' iafocaiation Butt is mss-te~cortod array t,~t is Bu anihry pcxmit being tetrolc,~d by tic Zoaia~ Dc~ttment-'`+•••• •~ Iadudc with thLs a~ticitUoa: a stxmpod vrractxat~r flood Srom du Ragistar of Doody otY'noc a Dopy of the ccrti(tod cucvcy mep if tCfa+caoc is mAdo is tiuc wamnnty dcod 4uL' 1714PAGE 01 STATE DAR OF W 1SCONSiN FORM 2 • 1998 ` ~ WARRANTY DEED This Deed, made between Humbird Land Corporation, a Minnesota Corporation Grantor, and David Duran Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, Statc of Wisconsin: Lot 12 Hammond Oaks Subdivision,Town ofHammond, St. Croix County, Wisconsin 655920 KATHLEEN H. WALSH kEGI5TEk OF DEEDS 5T. CkOIX CO., WI RECEIVED FOR RECORD 09-04-2001 2:35 PM WARRANTY DEED EXEMPT Y CERT COPY FEE: COPY FEE: TRANSFER FEE: 69.70 RECORDING FEE: 10.00 PAGES: 1 Name and Return Address EAGLE VALLEY BANK, N.A- 1301 Coulee Rd Unit 2 u,,.•t~nn Wi 54016 018-1086-12-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties' Subject to notes, easements,restrictions,covenants and rights of way of record, if any, including but not limited [o those for drainage,water retention,ponding,and or utilities as Wray be shown on the plat of Hammond Oaks Subdivision recorded in Vol. 8 of Plats, page 2, St. Croix County, Wisconsin. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed herein, that being the sum of $ 22,900.00. Dated this 28th day of August 2001 Humbird Land Corporation AUTHENTICATION Signature(s) authenticated this day of , "I7TLE MEMBER STATE BAR OF WISCONSIN (If not, _ authorized by § 706.06, Wis. Sta[s.) THIS INSTRUMENT WAS DRAFTED BY Paul A. Baillon, Attorney at Law ____ (Signatures may be authenticated or acknowledged. Both ere not necessary.) . bv~~Ln"~- 4/. >E~sf.6'~bJ9 President . Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey _ County. ) Personally came before me this 28th day of August , 2001 the above named Austin J. Baillon to me known to be the person(s) who executed the foregoing instrum nt and acknowledge the same. • ^ PAULA. BAILLON ' Paul A_Baillon *~," Notary Public, State of i n wY CotaausSlON ExRNE8 l41•ta06 My Commission is pe ^ January 31 _ . , 2005 ) i~ 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED arwT¢ BAR OF wtsCONaIN FORM No. 2 - 1998 INFOAMATfON PROFESSIONALS COMPANY FO\'D DU LAC, N'l %Ix~•l.55-'.n.l ~'23"W 290.00' w r . ~ j ~ ~ ~ ^ ~~ _ -1 5'23"W 290.00' i ~~ ~I N 'I ~' W r ~ j ~ O I o~ 7 N ~ ij O G5'23"W 290.00' J I N T -' W r (1~ Op ~ O ON ~ fD ~ ~ ~ '45'23"W 290.0( (~ r O °o rn ~ D ~ to T1 X5'23"W 290.00' i ~~ o, N i i 0 N ' .' O ~ N , tV W W i N N -! ~ I ~ ~ 0 N I V (.11 w w w o w ~ W ~ ~ r ~ ~ O N v ,Q ~ ~ >'23"W 290.00' ~ I I W , i ~ O U ~ W O ~ N' ~l ' 5'23"w 290.00' J INT A . 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