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HomeMy WebLinkAbout018-1086-17-000/ vYieoonsin oepeuln>ent of C«m~erce safegr and BuNdirgs Division GENE:i~{L fNFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMI'i~ Wlaonel NMOnlfafiOn you provloe may tie uses for seo0ndary PwP~s [ Law. x15.04 (1xm)). Permit Holder's Name: rty V~ age own oi: Hammond Townshi M Insp. BM E v.: 8M Oesaiptan: .S Z ~ ~. ~Z ~7 ~ ~ ~ e ,( IAIVR IIVI-VKMAI IVIV TYPE MANUFACTURER CAPACITY Septic '' -- II tN `; c 116 0 ~~ ~ S~ Aeration TANK SETBACK INFORMATION TANK TO P / L WELL BLOC. ~ f"~~ke ROAD ~c ,.~3 ' ~ z z ~~ NA ~~ .~ ~ ~ .3~e~ '~ Yb~ NA PUMP /SIPHON INFORMATION a ~~Ii ~ ~ Marw#adurer o X Demand Model Number ~ ~ 3 ~ ~ GPM TDH Lift ~ Friction ~ ~ S em Si TOH2Q 33 Ft Forcemain Length '1 ~' S' Oia. 2 '' Gist. To Well SOILABSORPTION SYSTEM ounty: St. Croix SanRary Permit No.: 384185 fate n 10 No.: ~`f ~6 `f Parc Tax No» STATION 85 HI FS ELEV. Benchmark I+: .3i loz.8~{ `~'8-s"L rs n 0. oZ 61 dg. Sewer .~ gM ~;'/• B , ~ Q, S S ~S ,, / Ht Inlet ~, za. 9S y• ~ ~ Ot bottom ,~ . 0 2, Header/Man. . ~ ~~` /~sf Z Dist. Pipe , ~' ~, ~" 7 ~f'~. ~/ 9' Bot. System ~ ~~ };, , ~ ~ Final Grade q~l ~ ~ ~~~ C.S~ U .02, l~. S~ e ((5Cp{~c, ;F, ti or r a . 8ED EN wi th ~ Le h ~ No. Tre PI No.Of Pits Inside Oia. id Depth ~ d SETBACK SYSTEM TO P/L BLDG WELL LAKE/STR LEA n adurer: INFORMATION ype ~ ~ ~ s ' --- ~ ER OR UNIT M um r. System: . ~ DISTRIBUTION SYSTEM He er / Man o i ~ Z I Distribution Pipe(s) ~ (/ ~ , ~ I x Holg Si~ ~ ~ ~ 1 / x H ~ upacing ~ Vent To Air Intake lengtfi _~ Oia Lengtfi ~ Oia ~ Spacing / ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xz Seeded /Sodded xx Mulched eed /Trench Center Bed /Trench Edges Topzoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) '° ~~_ ,_ ( ~wa ~ Ins3e~ c~ t'~io #1~~511~~01 Inspection #2: s //d'/o / Location: 861 162nd Street, Hammond, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) - 202917637 Hammond Oaks -Lot 17 y ~ vac ~ ~r~- C~ 5 1.) Alt BM Description = ~ o~ ~^^~~'"' ~;~ na Lunl/ ~- ~;r.a,( 2.) Bldg sewer length = 2R~ r -amount of coves = i.,~-z~ !p, o ` ~ t~ = loZ • g `f ~) ~.~ hPad~r Caw.. ~~ ~'l~ o~~~~ ~'°~ 3 ~egtYlie~?~ ~(j Yes ~ No '~ Use other side for additional inform lion. ~' rte- 580.6710 (R.919~ Oat ~ lure CM. No. ELEVATION DATA ~ ~~ y ~~~- ~ ~z ~s=t~ ~ I~ 6~ 45'y` ~~ ~y 9 ~-~ z 4. ~ .~ i b Z Sanitary Permit Application Safety & Buildings Division + In accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application 201 W. Washington Ave. PO Box 7302 isconsin . ` Madison WI 53707-7302 Department of Commerce Personal information you provide may be u fqr set:opdacy pil~pgses ~ [Privacy Law, s. 15A04(,1)(th)] , (Submit completed form to County if not ``:-" state owned. ) Attach complete plans (to the county copy only) for a system ,on t less thane -1/2 x 11 inches in size. Coun State Sani Permit Number ^ Check revisi ;N; wus application 3g IgS = to Plan I. D. Number ~ ~ ~ ~ 4 ~f ~~~ s ~ I. Application Information -Please Print all Information ~- _ ~~ ~ - ocation: Property Owner Name ~~ ,C; ~;' Property Location c:D~ Ftic.E ~GO~ ~51-~-h/4 /(/ 1/4, S T oZ ,N, ~(or W Property Owner's 'ling Address ~ ~„~ , Lot Number Block Number v, ~.J. S. ..s~:: City, State Zip Code Phone Number °~' Subdivision Name or CSM Number , II. Type of Building: (check one) _„R, r,Q,~, ^ city 1 or 2 Family Dwelling - No. of Bedrooms : ~~' ~ • ^ Village ,"Town of ^ Public/Commercial (describe use):_ ^ State-Owned Nearest Road ~ _ J , , 1 q ~[ C~ U 2 3 X ~S i+P,1A.~ CXJ~.S 7 ` P~ a ax N )~ v ~ ©0 III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) a O . 3 A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System $) PermitNumber Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ~ -' 1~ ^ Non-pressurized In-groundMound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-gr e ~ k K ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Disp rsallTreatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ~ 5-D Required 3?S Proposed 3 7~ Rate (Gals./day/sq. ft.) ~ (Min./inch) / l 8 Elevation ~ VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks C/~d - ~G P ^ ^ ^ ^ ~~ F - wS0 ~ ~ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS show the attached plans. Plumber's Name (print) ~~Y l~7`~~ Plumber' ignature (no slam P RS No. Business Phone Number ~- 6 ~s Sao ~s ~~s aL Plumber's//Address (Street, City, State, Zi®p,C~e~) /~~ ~ /~ IX. County/Department Use Only / ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ^ Owner Given Initial Adverse Surc ge Fee) 2 Z ~ Determination . • X. Conditions of Approval /Reasons for Disapproval: G~ ~~ I f ,~~ `~~~~~ /4(~ S~~-~5 rv ,,.x.S~ be. tntiau,w~~ -~ a-° (~'~ n I -~ n /~ a n ~,,,~ ~ ~ ~ 1 - - w.. t-~u`ai[ Ct~nl-- Vv~s~ ~`t~'~ ~o ~ ~ aEt l ~ ~ a~C.~ ~ ~al~LJh. o.~ v~~S I -Q.~t. . ~'(AMl1-( l S `~ bX~ 1tiY ~ ~ ~ `S c:~-~^va~/ tMa.l.yr~~l..t.~~~ Sao ~.vti w. i~.-..-o-v~.~.v~.Fr.~nD~a..1 troll , ~ - SBD-6398 (R. 07/00) 9 .~r w ~" w J ol~ ..9 N I ~, .D III Z ~x s~s~~~ro ~,~.t.. Lt1 ~=R'RU1'~1 ~~ PLOT PLAN '" Scale 1 "_ ~ p' ' loT Lth1 ~ ~D ~Z,~ 1~`M~ 10' of ~l'~PUC Z~10 3 o rZOrq o~ fl~`~ ~'~- . °L~ .o ' 9 Page .3 of ~7 ps , 9 `~~ ~ ; ~s' 8. z ~ 1 ~ 1 ~ ~ ~ 1 ~ 1 ~~ ~` ~ 1 ~ ~ ~ ~ ~ o C JG - ~ --~' ~ ~~ - ~, , e \ ti 1 ~ 11~ 1 i ~ ~ 1~ ~ i ~ 1 s. DO tJOT CAwIP CSC.. O197'U7'2, Tl{-tS t~ZLs'A . ~ 1~ S . 4t ' 9 L DoT- UWE 8w1i*/ t-~o .o .~ _ ~ ~ 9~ 6 h ~F3M'IZF't---ZY:_ lUO.o~.-old.-~lz,4r:6. PT tJE -LOT `L.i1(W~ _ _ - ----- _ _. ~/ tsrf~Z--L'L~-. g 8, s z. • per, - ~!z" STk~t. Pl pE ..o ~ ~ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2.' Install 4" observation pipes with approved caps. ( ~ required). 3. Septic tank to be 1000 X650 gallon capacity manufactured by Y"1~~1ti1~t~TRaU y~?.e~As3T, /eve. w/ ZP'c13~- E~~U~uT ~ ~.I~'iZ_ 4 . $ench mark ~ = S~~ ~t3oye; ~. Divert surface water around system to prevent ponding at the uphill side. iscons-n Department of Commerce Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 www. com me rce. state.wi. us1S B Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 16, 2000 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL. " ^ ,t PLAN APPROVAL EXPIRES: l~l/IE612t102 ~~ ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 .., - SITE: Site ID: 201803, RICK LEWALLEN ST CROIX County, Town df H~MMONIs7^ `}~O~IVb' ~T SW1/4, NW1/4, S20, T29N,`~t17W °=~ ~ ~`" ' FOR: ~ :~~=,:c;. , Description: MOUND SYSTEM'~~I: ~I,G~,-l:,F.~AL~.:EN Object Type: POWT System . Regutated.(~bje~t.Il~ No.: 770385 Identification Numbers Transaction ID No. 447644 Site ID No. 201803 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 installation: • An access opening of sufficient size to allow removal of the filter must be provided over the outlet "tee" baffle of which this product is installed. This access opening must terminate at or above grade. 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/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, . ` /1 KEIT A WILKINSON , POWTS PLAN REVIEWER Integrated Services (715) 524-3630, FAX: (715) 524-3633 , M-F 7 AM - 3:45 PM KW ILKINSON@COMMERCE.STATE. WLUS DATE RECEIVED 11/01/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: RICK LEWALLEN Mound System Management Plan _ page Z- of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. 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 GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system 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)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be___.__ directed to the County Zoning office at 7.15_386-~6g~ or to the licensed plumber who installed the system. . / PLOT PLAN Scale 1 "_ ~ p' 2 °iO ~ LOT L « ~ W J 3- o ~ N j, .D a~ ~'M~ ~~ s~6~~~ro w~u. ~ ~%h'r10-v lo' of y'' Pv c ~ v 2 L.,Z.. ~l l. u' ~ 3u1"tpM of Lo~~sr p ~ L 9 ~ ~~t' ~5' 8~ Z 1 1 ~ 1 11 11 1 R°~O ~• 11 ~ 1 f( ~ ~ 1 .~'~ e ' ' 1 ,,, , A 11 11 s.~ i ~ ~ D O 1.lpT- C,pk1 P ~ ~ OZ ~L3TU72, 1 ni'ts r~Z~sa . ~ 1~ s . ~ ~-. ~ 1 s6 9, 9 L 2,q0 _~ LoT UfJ~ fJ /g w~~=c-_ -~ . t ~ o . o a~, ~ r, a . q~-~ tii ~ coT e-t+(c.~.1~i2 __ - - / 13~~Z-_~_._ ~$,SZ•_pn~ ~/z" ST~Z'~L PIPE ..o l 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 1DOp 16S0 gallon capacity manufactured by Y"1~~1~1~t~ R~ ~~~r, ~Ne w~ Z~13~- E~ LU~1vT ~ ~Z-~'cz 4 . $ench mark ~ - S~Z ~t3ov~ ~. Divert surface water around system to prevent ponding at the uphill side. Page .3 of ~ 81^1 ~l .o - Page-~ 4f 7 ' Approved Synthetic Covering ~- ASTi~ C33 - Medium. Sand Distribution Pipe Topsoil ~ - ` H ' -~a ---- ----- - ---- g .3 E ~ ~~~ ~. „~~ ~ , - _ ~ - ,~ - q °l°-Slope ~ - Dis tri bution Ce? 1 of Force Main Plowed Z" to 2 i". 2agre ;ate From Pump Layer Undisturbed D 1.O Ft. . Soil - E Z. i,ZFt. Cross-section of a Hound system using F O-~ Ft - 2 cells for the absorption area . . .. G d-5 Ft. A 3 Ft. y 1- u Ft. B ~ S Ft. ~ ~ S Ft . ~. Linear Loading Rate= 3.0 GPD/LN FT I ~~ Ft. Design Loading Rate= p ,Z GPD/SQ FT `'~~ J 6 Ft . o • ~ S LOw~'R e.~i-l. K 1 ~ Ft. L q-] Ft. - ~- -- - W~-Ft. ~ - L J 1/ $~ . $ K A ;a-~-- _ ~ - - - - - - -- - - - e~-ss _ -_- --- - ~ - -- ~--s~c - ~ b ~ ~ - - - - - _-_- - - C servation _ -- ~ _ (Anc.~ioi Ssecurely) ( ._ _ _ .--. __ . ~ i'?'N~'\?s ~' ' " , '-I`.- o-= -_ _- - ~ - l' Force t ~ ~~PUS~ w - _ _ = _- _ _ - ~ _ - _T MQin E1~0 Distribution - Cell of '~" Pipe to- 2'~" . .. ~ aggregate - - ', Plan view of a mound system usi~a~ - • 2 cells for the. absorption area _ - Distribution Pipe Layout Paoe 5 of '7 Place the holes at the bottom of the distribution pipes at equal spacing. Re>aove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Ion; 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 ar • threaded plug. Provide access from final grade for the vaIye; threaded cap or threadd pIuQ. " -~=,cc~,ss sow T`t P.1 Cif L Z•ZOS S SaL.~1~ iy PVC FvC ~v c Lateral Manifold Laterl x x ,~ xT x~ x!Z (xfZ ( x ~ x j z ~ x ~ . :Lateral Length - Y Lateral LPnath~ 'P ~~.~?rN V \~ ..-- o- - P Mt`;lJ1F~`~ S O- ~ i}~ s~X - -o ~~ ~'+~~ ---0 P 37. Ft. S 1.5 Ft, X Z+/ Inches Noi a Diameter ~~ `b Inch ~~ ~-~ ' Lateral ~ I~-InchEes) Manifold Z Inches Force Main " ~~ Inches , ~,- ' # of holes/pipe w. lq ~, Invert Elevation of.Laterals 98. S Ft. t°~Ko.~t) =?•7X4= 3t_c 6 6t~ . _ _. ~ - Combination Sept,3c,_Tank and • PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE ,(, . OF u~ 3P ~G1o>v PIPE K.1lHt(ZZ1 s qi' Grp ~, LZ:. -~-1 D.~ i 18•nw. - 11JLET A ro / PP ved joint w/ PVC pine A.IR IAITAKE ~ ~ cot~p~1T .• __i fl _ I _ -/ ~ ~ \ ; +-~ •PROVIOE I ---- •~ ~~~ AIRTIGHT SEAL I I I ~ i ~ ` e ~~ ~s I ~ I ~~ z~~. ~~~ -~A~ ~ ~ I APProved ~ CI joint w/ I I AL~,RM ~ PVC pipe a I i~ I r • ~ I ou c •I I 1,~-~ S CLEY fY I . PUMP-~ "~ OFF D C061CRETE LsZ.t'V . '71 - 00 ~ ~ BLOLK ti. ~- RISER EXIT PERMITTED Ot.JLy IF TAIJK MAiJUFACTURF.R HAS SUCH APPROVAL~3~APF'Ro•.Fp BEDDtH4 SEPTIC f ~ SPEC.IFICATIOI\IS DOSE Tf.1.1~C MA-JUFACTURCR: M•L~ ~~~-~ ~~3T IJUMESEA OF DOSES' ~' Z' PER D AB TAAJK :,IZC : ~ OOC) I (~ SO GALLOAIS DOSE VOLUME r - 5.5 • ~-~-~R-D S`~'LSST~~"(.S INCLl7DiA1G OAGKFLDW: ALARlh MA-JUFACTURCR: ~'~ b ( ALtON - , S MODEL uuMBER: ~'~ ~ ~~ CAPACITIES: ~l=-'-L_IAICHCS OR 32'3 GALLpyS SWITCH TyPC: ~L~~~~-~'/ $ = Z IfSCH£S'OR ~~ G(~ILOUS PUMP MAIJUFAGTURER: - GOV L-~~~ C: S IULHES OR ~ 3 6 GALLOIlS MODEL NUMBER: 3885 • 1~JEo5 H , !]=INCHES OR ~~ SWITCH TYPE: ~~Z~~-~'I IJOTE: PUMP AUD ALA MARE T O bC ~ GALLOAJS MIAlIMUM DISCKARGE RATE 3~• ~~ GpM INSTALLED OAl SEPARATE CIRCUITS VERTICAL DIFFEitENCE DETWGEl,i PUMP OfF AUO,.DtSTR1gUT10-J PiPE.. ~D'~S FEET f KII.IIMUM NETWORK SUPPLY PRESSURE , ~ ~ C~• SO FEET (S ~. O x ~~ ~ f ~ 8 ~ FE E7 OF FORCE 1"UIItJ X ~• OQ F~o FCFRiCTIOU FACTOR.. . . ~'~~' FEET TOTAL OyNAMIC HEAD = 31' 0 ~ FEET As per manufacturer ~`~-y galJin. Liquid depth 3~" ._ ~- WEATHER PROOF • -VE1.17 CAP • . JUlJCTIOIJ bOX . ti C.I. VENT PIPE ~ .lPPROVED LOCKING ~ lO ~ FROM OOOR. MAIJHOLE COVER ~~ :IIAIOOW OR FRESH ~ wARNI>,1G L.AgEL, 80 1~t` ~ o~- 7 MODEL 3885 . ~ APPLICATIONS • Overload protection must smooth operation. Silicon Specifically designed for the ~ be provided in starter unit. bronze impeller available as following uses: Shaft: threaded, 400 series an option. • Homes stainless steel. ^ Casing: Cast iron volute • Farms • Bearings: ball bearings . _ type for maximum efficiency. • Trailer courts :upper and lower. 2" NPT discharge adaptable • Motels • Power cord: 20 foot for slide rail systems. • Schools • standard length (optional .lengths available) ^ Mechanical Seal: SILICON ,Hospitals • Industry . Single phase: CARBIDE VS. SILICON • Effluent systems •'/.a and'/z HP -16/3 SJTO CARBIDE sealing faces. Stainless steel metal parts with 115 V or 230 V three prong plug. , BUNA-N elastomers. SPECIFICATIONS • 3/a-1'/2 HP -14/3 STO with ^ Shaft: Corrosion-resistant Pump bare leads. stainless steel. Threaded • Solids handling capabilities: Three phase: design. Locknut on three 3/4" maximum. •''/z-1 Yz HP -14/4 STO phase models to guard • Discharge size: 2°NPT. with bare leads. On CSA against component damage • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. • Total heads: up to 123 feet. length SJTW and STW ^ Motor: Fully submerged in TDH. are standard. -high-grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat carbide-rotary seat/silicon FEATURES transfer. carbide-stationary seat, 300 series stainless steel metal `~ Impeller: Cast iron, semi- ^ Designed for Continuous parts, BUNA-N elastomers. ...open, non-clog with pump- Operation: Pump ratings are within the motor manufacturer's • Tem erature: p out vanes for_mechanical seal :Protection Balanced for ._ recommended working limits, 104°F (40°C) continuous . 140°F (60°C) Intermittent. • Fasteners' 300 series MEreRS FEET ' r 90 stainless steel • Capable of running dry as without damage to components. Motor ° 2a Single phase:. a ~ _ •'/ HP,115 V, 200 V, 230 V ~ , 60 Hz 1750 RPM; %i HP ,15 z , , 115 V, 60 Hz, 3500 RPM; 'o HP-1%z HP, 230 V, o 60 Hz, 3500 RPM. ,~0 F • Built-in overload with - automatic reset. • Class Binsulation. - 5 Three~phase . ~• • %2 HP -1'/z HP 200/230/ o 460 V, 60 Hz;'3500 RPM. • Class B insulation ~ ; - ®1995 Goulds Pumps, Inc. 70 sa 50 40 30 ~~yr'tP PE1Z-FOR-~~}vCE Cy~.~E uouias can be operated continuously without damage. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian Standards Association U~ Underwriters Laboratories 20 10 SERIES: 3885 I SIZE:'/.'SOLIDS RPM: VARIOUS -5 GPM -- ~ I t pi ,,~ ~~ F i O t t i i t-t ~ t~~ ~ i~ i ~ 0 10 20 30 40 50 60 70 80 - 90 100 110 120 130GPM ~ , , , 0 10 20 30 m3/h CAPACITY Effective May, 1995 . ~ ~~' Wisconsin Department of Industry, Labor and Human Relations Division of Safety and Buildings SOIL AND SITE EVALUATION in accordance with s: It_HA 83.U9„Wis. ,., Page / of Z Attach complete site plan on paper not less than 8 1/2 x 11 inches in size:' Plan must ,g,- ~.oun~~ S~ G, Av', r include, but not limited to: vertical and horizontal reference point (BM), direction and ~~!") ~ /~ I` percent slope, scale or dimensions, north arrow, and location and distance to nearest road: - ' parcel I. # O "' ' d~ _..., APPLICANT INFORMATION -Please print all information. eviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)}~ 21 '; Z Property Owner ~ ~ M a t eo L>q~ D c a C~~r Property "oca io~~`) ~~ ~~) ~j (~ ~ ~O ~'ll~ ~J'4 1 ~ ~Q ~ Govt. Lot ~W 1 ~W i/4,S Zf7 T.~. ! ,N,R ~ ~ ~C (or) W Property:Owner's Mailing Address Lot ii -. ~ Subd. Name"or CSM#' 332_ M i UN~S oT~ s~` - E~15 T ~ yo ~ 17 .~MMOwI~ o~4°~f" City State Zip Code Phone Number ~ Nearest Road kJ . ~ Z. ST~ t) ~- !'d N . 5S/ 4 ~ ((o.s~ )222 ' SSSS ^ City ^ village L'7 Town aµ~Q l !~ b ~~'New Construction Use: ~rsesidential / Number of bedrooms 3 Addition to existing building ^ Replacement ~' ^ Public or commercial -Describe: d/ftz h t 2 n re _~,_._ Code derived daily flow ~~ gpd Recommended design loading rate ~_bed, gpd/ft nc , gp Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/it2 ~ trench, gpd/ft2 . 3 nded infiltration surface elevation(s) su R ft as referred to site plan benchmark) ( ecomme Irv ~~'V ~~ ~ i ~~ ~~ ~ u ~ ~~~~ ~'~u~ ~ ~ (~ Additional design/site consider ~D E'Tr's ations ~ iJ+i~ Q~A~SLC' T~ ~~f ,,// _ Flood plain elevation, if applicable ~__,_~1"' Parent material S = Suitable for system Conven_ti_o_,na/l ~M,ou/nd ^ D In-Ground rP-ress~ AT-Grad~e~ System,in F,ill~ ^ S u ~ ^ S '-' " ^ S r-=' ~ Holding Tank ^ S U U = Unsuitable for system ^ S l'S U I~ 5 'S `t~ SOIL DESCR IPTION REPORT Structure t R G D/ft2 BOring # Horizon Depth i Dominant Color Munsell Mottles Cont. Color Sz Qu Texture Gr. Sz. Sh. Consistence Boundary s oo Bed ,Trench t , n. o~~ ioye 3~3 . . -- c, ids k aQs~ w , , q ; . s - 3 , z ,~ to ~ 31 -- S«. tf shy aQv cw - . 2. ; . 3 Ground ~ .~ /o!~ ~ SiL /f sti,~ dk ~s t ~ • Z; • elev. ft. 1 7,S' L z kv f SGL, D .~ ` - >v ' N . IDimpihno ~ ~ S ~d /C ~~ ` ~ 0 ~~4~ s ~ ~ ~' ~ ~ ~ • I ~ . l r Lt / ~, ;~ V~1 $ I ~O L ~'VL~ SOIL DESCRIPTION REPORT page 2- of PROPERTY OWNER / ~f c PARCEL LD.# L ~ r (~ ! / ~ }'I f'(O N~ 6i4 ~ ~ `~ ~ ~ ~ • Boring # 3 i Ground elev. ~jl~•~ft. 1 / Depth to limiting factor m. l C Mottles Structure t R 2 Horizon Depth in. or o Dominant Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench •l goy 3 .- Sig /f•S!~ Li. G'S . Z. 3 i© G ~_ si ~ .~ fs y N ~ -- sy~e. ~ ; Remarks: Boring # Ground elev. n. Depth to limiting factor __in. Remarks: Boring # Ground elev. n. Depth to limiting factor fn. Boring # Ground elev. ft. Depth to limiting factor ttl M Structure GPD/ft2 Horizon De th p in. Dominant. Color Munsell es o Qu. Sz: Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench LOT' / ND , L D T ~- / r GoTl7 M 'fau~0 ~ Sv I~'u~ ~/o~p'S ~/~ '' l"1 T 1J ~ LOT GOh'N~ I,P v . _ /00.0 ' ,r ~' ~,C.G- ~j (r , Cc ~ M o vti~ S yST~~ w~~ ~~ -i .sf~iv p -~i~/~ ~ w7. C~ 2 y~~ Hz r p~ . 36 i8 ~o , i~ 1, ~ ; . s~ ~ ~ ~ t8 ~ ~--- ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP C'~RTIFICATION FORM OwnerBuyer ~Gt C ~.. Ql~~ Mailing Address ~~ Property Address fi't' ~ f "t ~inwbr~l ~. ~~_ (Verification required from Planning Department for new City/State ~~,,b~y,~~ Parcel Identification Number Dt8 "~~~6 •17`.~ LEGAL DESCRIPTION Property Location ~,~'/,, _/y~ ~/,, Sec..~0 .• T_~N-R~_W, Town of Subdivision TIC-I~d ~S Lot # ~. Certified Survey Map # Volume .Page # Warranty Deed # C~ ~-«~7 ~ Volume S Page # 2 3 Spec house yes ^ no Lot lines identifiable yes ^ no t(+c~l SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage is the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or alicensed pumperverifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin_ Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 3/ °l/°~ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. thenprop~e~rty described above, by virtue of a warranty deed recorded in Register of Deeds Office. `~ Q SIGNATURE OF APPLICANT I (we) am (are) the owner(s) of 3 ~q Via) DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~~,~-1547PAGE 23 STATE BAR OF WISCONSIN FORM 2 - 1998 63OS73 WARRANTY DEED Y,ATHLEEN H. WALSH Document Number kEGISTER OF DEEDS CkOIX CO ST . ., WI This Deed, made between Humbird Land Corporation a , Minnesota Corporation RECEIVED FOR RECORD - 10-02-2000 10:00 AM YARRANTY DEED Grantor, and Ricky Lewallen sad Melissa Lewallen, husband sad wife EXEMPT II CERT COPY FEE: PY FEE : GO TRANSFER fEE: 74.70 RECORDING FEE: 10.00 Grantee. PAGES; 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croia County, State of Wisconsin' Lot 17 ar:unond Oaks Subdivision in the Tovm of Hammond, . C of y, Wisconsin. /O~ and Retum Address 018-1086-17-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subject to eazements,restrictions,covenants and rights of way of record, if any, The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of Lille, [o the consideration expressed herein, that being the sum of $ 24,900.00. Dated this 25th day of September 2000 M AUTHENTICATION Signature(s) authenticated this ~ day of , TITLE: MEMBER STATF. BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. S[ats.) fi THIS INS RUMENT W S DR ~ED/~~ (Signattues may be authenticated or acknowledged. Both are not necessary.) Humbird Land Corporation s by President r Austin J. $aillon ACKNOWLEDGMENT STATE OF WISCONSIN } ss. Ramsey County. ) Personally came before me this 25th day of September , 2000 the above named Austin J. Baillan to me known to be the person~s~wha executed [he foregoing instrument and acknow edg the §' • ~~~~ D~ PAUL A. BAILLON ~JGGG~~~'^~, Mr COMMISSION ExGIRES~3i 700, ' Paul A. Baillon --^ Notary Public, State of Wisconsin My Commission is permanent, (If not, state expiration date: January 31 __ 2005 ) •Names of person signing in any capacity should be typed or printed below their signatures WARRANTY DEED 9rATE BAR OF W ISCONSIN FOAM No. 3 - 1998 INFORMATION PROFESSIONALS COMPANY FONU UU LAC, wl 8W-655-?021 o~/ NOTES: I ' Y PLAT 0 F' 9N" T 4 R ~ ALL BUIl01NC5 TO BE CONSTRUCTED IN PROXIMITY „, A ,... ~' MAT T R T2 7W SEC. 20, R FND. ALUM. CNTY MONUMENT H HICH WA EASEMENTS SHALL HAVE E O F F R R T NOT LESS o ~ / ~ ~ ~ INISHED ION LOO O WINDOW WELL ELEVA S S U B D ! VI S I 0 N h~/ ~~~/ THAN TWDc2) FEET ABOVE THE HIGH WATER ELEV. SHOWN ' ~ n ~ rj 20% v~ % Qj Q ~~ ALL R-O-W WITHIN THE PLAT BOUNDARY SHALL BE ~ m n ~ ~ ~/ 2 / DEDICATED TO THE PUBLIC ~Z 2~ ~ O~ ~ / am _ J/ B~~INCS REFERENCED TO THEN TH LINE ~ ' ~ a ' ' h / i 4 THE N 1/4 OF SEC. 20 ASSUMED AR N 41 E ` ~~ 0 / \ r' ~,r 2j~ 4O% 1 a ~ O/ - - ~. V Y 0 '` J~ ' zD ~ I ® 3 ~ L :} '_ ' ~ L 5 r LOT ~ ~' T 18 ='~,~T 19 5~ S0. F . ~ 438 X50. F . t-AERE~ 7 -SO ~~ SO. F . ' _ ~ 7,745 S _ 4 ~ Q• I_~, ~ L 1 ~ r.~, ~ o A 0 1 09 S ~ 1 ACRES 1. CR 4 ,7 O O T .:, a pp e i ` 109 ~~ ~ ® INSTAL ERO ON T 1. E / Q `/ 2r ~ / ~/ 2. h i ~/ / / 02 4. ~ Q ~ ,~ r b o• °' / g ti ~, J / Q-/ , W ~ ~r w ' IN T~ ~, ~ \ 0 0 A E a/ 3~/ '~ ® o - - ® o ® - ® , - - ~ OT 0 = ®L T 2 vii - ~ T ~ 44 0 ~ ;~ LOT ,. L . ~ 1. Y' ~;..,.;.. /;~ 5 ® . p 1 .F . s 3 X 1 1 F ~ ,~ r ~ Sd'or wJ ~ . •~ Fr. ~ V ~ I I 0 I ~.. n•~ %'_. . .~.a /F ~ ~~ 4 4 .4 7 ~ I J ~ .:, ~ , ' 0 '° R S n ~ So.zr - 1 • - _:t - ~ ® Off/ ~, I , ~ I ~ ~ LO ,. . ~ _ T Q~~ g 1 RES / ; 0 _ ~ ` . N ® S 111 0 ~ e/i i 6 ~ Na .in o I ;Y T O / ~ ~ I ~.. C -290: ~ ~p2~j/ `' ' - ~ n _ Ne i. A E r ~ ~' o. '''D 1 07 A R ~ suaaNc 49 4raw'a w s - L a 0 g--, ,• I o 0 ^ r e g1g ~\o3A I ~; 4 SSO F 4,47 0. ® n O ~3 I - N V/ \ O ~' V -- I T 5 s1 L ~ 8, 2s ; L 1.19 S ~ 10 F.® 1. ~ ~~ 4. 71 F > ~ 1 F. 0 A N ~ E ~ I ~ ~ I 7 a e • ) ~~. ~.- L ~ \ ~ ~ ~ ~ ~,_~~ ~ ) \ ~ J ~ . ~ ~ r• ~ ~ ~ ~ ~ ~ .d `NEST 1/4 CDR. RI7W ~ SEC 20 T29N ~ p~ntG '~a ps APPROVING AUTHORITY . . DEDICATED TO FND. RAILROAD SPIKE I ` ST. CROIX PLANNING, ZONING, AND PARKS COMMISSION THE PueLlc TOWN OF HAMMOND ;GINEER SURVEYOR VILLAGE OF HAMMOND 1.. HUMPHREY LYLE ELLIOTT LOCATED IN PART OF THE NW1/4-NW1/4 AND THE SW1/4-NW1/4 2EY ENGINEERING P.0. BOX 594 OBJECTING AUTHORITY SECTION 20. TOWNSHIP 29 NORTH. RANGE 17 WEST IN STREET HUDSON, WI 54016 DEPARTMENT OF ADMINISTRATION TOWN OF HAMMOND. ST. CROIX COUNTY. WISCONSIN ~E, WI 54028 DEPARTMENT OF COMMERCE DEPARTMENT OF TRANSPORTATION v Wt~1 ~,o~iew r raaccr: = CeA.-{~,~l1wes y te~2S sHCEr ao: H AM M ON D OAKS Maws ara~ SaAwa aw z RFK SUBDIVISION n Street $ngineen ~ 262 Lnd Surveyors TOWN OF HAMMOND ~ ~~ = i a+ca¢o er; RLH e, to 54028 Comtruction Yaaagen OwC illE: 177-001 :-606-9445 Paz: 715-890-3441 SEPTIC, SOIL BORINGS, & WELL ~ a~MaEa: , 77-00.