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HomeMy WebLinkAbout018-1086-22-000- /* virieconsin pepartment of Corrrnerce Safety and Buildings Division ` GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal iMormation You provice may be used for secondary purposes [Pmacy law, x.15.04 (1xm)). oile"s~'~ ~1 one ame: ^ city ~amr~eond~l ownship CST BM Elev.: Insp. BM E ev.: BM Descriptio ~ ~ 5' TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ C 0 Dosing s~ ra lon ~~ ing TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic / '~' 7 ~'~ / lp ~- ~ - NA Dosing ± ~j ~ L ,S ~ -~ L ~ NA on - Holding PUMP /SIPHON INFORMATION Manufacturer ~ Model Number ~ p TDH Lift ~2.~ Friction SVSt Forcemain Length~"2Ls Dia. 2 r' SOIL ABSORPTION SYSTEM BED /TRENCH width ~ ~ Lengtt SETBACK SYSTEM TO INFORMATION Type Demand 21.3ZGPM ~ S~ TDH.3.yyFt Dist. To Well ELEVATION DATA STATION Benchmark ~ s -It. BM Bldg. Sewer St~f Ht Inlet °~~y~Croix ~ 38234 ~ ~~~ State Plan 10 No.: Parcel Tax No.: 018-1086-22-000 BS HI FS ELEV. z . ~~ p z.zZ~'d.o Dt Bottom ~ ~. ~ 2 (, -3d ~ , Header /Man. 3' Dist. Pipe 3.~/ Q ~~ S Bot. System ~ ~/ final Grade / rv0. VT. ~ r ncn r~ r >~s r D P/L BLDG WELL LAKE/STREW . 3 a ~"2 /,Z lo. O No. Of Pits Inside Oia. Liquid Depth anu adurer: AMB a Num er: OR UNIT _ DISTRIBUTION SYSTEM "0 ~'` `fie Header / Mani of ar Distribution Pipe(s) !! x Holl ize x Hole Spacing Vent To Air Intake / / ~ J/ T ~i Length 3 Dia. 2 Length ~y Oia. ~ Spacing ~ J .S SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, _ ection #1: / / /Inspection #2: ~ / 3D O~ / 4 S f~,,~,~ g5 Location: 852 162nd Street, Hammond, WI 54015 (SW /4 NW 1/4 20 T29N~R17~) - 202917642 Hammond Oaks -Lot 22 -S~~ ~0 ~t^^~~vc'-'~'y~t-5 ~~ r cr,~ I Y~- C~(p1 1.) Alt BM Description = ~o ~~ a~~~ G ~)w w~i'( ~. ,~~~ /~ °l' '7 2.) Bldg sewer length = ~~' ` -amount of cover = ~ 3~ " ~)~~I,I~~r ~a.~ d~` ~~ cry ~~ y Flo ~~~ ~ ~'ocP 3.) cont-our.=S~~/S'~+~~~,~~,0 5~rair9l~ d~,e ~ S row wr~s~-gTS~~o~Ts ~~ Pla/'f~evi~siori'l'equ ri ~e`d'f"D~^ Yes ~ No 'b~ Use other side for additional information. Da Inspector s ature Cert No SBO-6710 (R.3/97) !' Safety and Buildings Division 2 -, County ~- J _ ~ ` ~ ~ ~ ~ 01 W. Washington Ave., P.O. Box 7162 ( (f C ~sconsln Madison, WI 53707 - 7162 Site Address Department of Commerce .# ~Z ~ ~ z, ~ ~ Sanitary Permit Applicatlo __ Sanitary Permit Number ~ 2 ~ In accord with Comm 83.21, Wis. Adm. Code, personal info o '~ pro~ideJ ~ ^ Check if Revision ma be used for seco ses Privac Law, . / .~ I. Application Information -Please Print All Information ~ ~ ~ .:~ ,, Star Plan I. .Number E~ i Property Owner's Name p Parcel Number . . (p t~t~ ,,, ~ Q F, coati ' ~. , o ~g- o ~ ~~~~o Property Owner' Ma g Address -- + 'f V ~ ~ l!~ 1 ~GO ~ IGE ~ ~"': ~ ~ ~ ~ ~~ ~ ~ ~ Property Location ~~ .~ G F .~.~ ~ - ~ l L ~ ~'k if; S (~ T~% N, City, State Zip Code ' ,,,Pbon umber ~.i '.. * ' , Lot Number n Block Number h (~ { . ~ ~ ~ ! ~ ' ~ ~ J ~ ~ Subdivision Name CSM Number A I ~ U ~ (,~, S 1 ~e C S II. Type of Building (check all that apply) ^Ciry ~ '~] 1 or 2 Family Dwelling -Number of Bedrooms ^Village ^ Public/Commerc' ^-Des_'cr_ibe~ U-se ' ~ ~ D '~ITownship ~ D ^ State Owned ' ~ l • N R d n oa eares-tl III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin S stem B• ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 2~ Mound 47 ^ Sand Filter 50 ^ Constructed Weiland 22 ^ Pressurized In-Ground 41 ^ Bolding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersaUTreatment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals.lDays/Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~/ /~ _ f~r~L~` J ~ ~ 5 t,l ~ 1 J ,` Dosing Chamber r% ,.1 VII. Responsibility Statement- I, the tmdersigaed, assume responsibility for ,POWYS shown on the attached plans. Plum is Name (~P->rint) ' Pl 'Signature ` RS Num ~ Business Phone Number Plumber's Address (Street, City, Sta , Zi Code) ~ VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Age Signature Stamps) ^ Owner Given Initial Adverse . Surcharge Fee) Qp ~ 325 Determination . ly~p.,) lx. Conditions of Ap roy easons for D' ppro "(~:s a,~,,,Qt~ ~ 5c 5~"s t9~-.~ieie~ e~t1 a, 3 ~~ ~~ ~ - ~.~~.¢. eti~cQa~ ~ ~yoe+µS car ~t~¢stc LNa.~a+e.Qd? ~~- *~- 4rt ~ ~ vtelt- lS ,Si~x- '~ ~~ ~~ fug- ~.u~''....a.~W ,~6! ~¢,~,noln.Tlt. i S pir-c.~x~a~~d~'4.v~O~ NQ,t SBD=6398 ~,, ~- (R. 05!01) ~w~ttaew+R-w S . _ PLOT PLAN '~ Scale 1 "= 50' .• _ ~, 8 6 ~ Av E . Page 3 of ~ w~ ~~ x~ ~ ~F p ~ a'~-c d~ ~ -o~u ~ S' ~r z`~ p ~ e F. ~, . ~- -. ~ `~ 5 S ' ~' ~^- Do Uo-r N 8.~ ~ _ - - N P3~/ --"17 ~oi~1r1 ~ 0 ~ - `~ *~ eL. loo.d' av ~~ os s ~owfP~ 02 ~tSl~.p ~ ~~ ~t~V a6-o' ~F cam- I Lt..~ q~_p i ~/z" ST~L PIpF. 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 toyu I6So gallon capacity manufactured by ~~L~~Z L°-0~1 C~~~ ~2u~Ve~S k/~MUI~~t.. /~- 1$OQ Z-°~~t Fl LTL~'R. 4. $ench mark ~ S'CE'. ~ouE ~'-~ 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings 401 PILOT CT STE C r-F , ~f.~,~ WAUKESHA WI 53188-2439 ~ ~ ~''~~ ~ i ~~; TDD #: (608) 264-8777 ~scons~n ~~ ~ ~~; www•commerce.state.wi.ustsb ~~• ~~~ www.wisconsin.gov Department of Commerce `:~ ~~ ~^: i r ~' Scott McCallum, Governor Brenda J. Blanchard, Secretary r ~;' ~~ , , ~~,~ June 04, 2001 ,' - v '' ~~° ,~ .. 1 CUST ID No.691727 `~ .~ ~ %` _ _. ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/04/2003 SITE: DUANE AND ANITA VOILES ST CROIX COUNTY, TOWN OF HAMMOND LOT 22 HAMMOND OAKS FOR: Identification Numbers Transaction ID No. 649077 Site ID No. 630578 Please refer to both identification numbers, above, in all correspondence with the agency'. OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 794873 DISCRIPTION: 450 GALLONS PER DAY 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- 10691-P (N O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N O1/O1). • 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 periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. A~ • Inspection of the private sewage system installation is required. Arrangements for inspoh~\j~e~e with the designated county official in accordance with the provisions of Sec. 145.20(2) ~ ~' rrrrrr"'''~+' / ~A ~~~~y ~Tiyj,. IFS ,;~, A copy of the approved plans, specifications and this letter shall be on-site during c ion an~open to inspection by authorized representatives of the Department, which may include local inset, .'All permits required by the state or the local municipality shall be obtained prior to commencement of ')j' construction/installation/operation. ARTHUR L WEGERER Page 2 6/4/01 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, / rp I`J~ THOMAS J PERKINS POWTS PLAN REVIEWER ,INTEGRATED SERVICES (262) 521-5064, FAX: (262) 537-3623 , 7:30-4:00 TPERKINS@COMMERCE.STATE. WLUS FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: ARTfIUR L WEGERER , WEGERER SOIL TESTING & DESIGN SERVICE r TITLE SHEET FOUND SYSTEM FOR ' A 3 BEDROOlv1 RESIDENCE Page 1 of ~7 This plan has been prepared in accordance ~oith the Mound Component Manual SBD-10691-P and the Pressure Distribution Manual SBD-10706-P (N.O1/O1) (N.O1/O1) LOCATED ICI THE SI.J 1 /4 OF THE NW 1 /4 OF SECTION z-O , T ~-~ N,R ~`7 td, TOWid OF 1~-~~r~.~ty~ , S`I^_ ~°_Cc.~lx COUi`iTY, WISCOPdSIN. __. DoT ~ ?:Z .- o F= 1-~-f"1~~~1~ _ O~kS"~ ------- INDEX PAGE 1 of 7 PAGE 2 Of 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE SHEET SYSTEi1 I°Ir1NAGEiIEi1T PLAi~ PLOT PLAN PLAN VIEW-CROSS SECTION RECEIVED DISTRIBUTION PIPE LAYOUT PUI.IPING CHAMBER CROSS SECTION MAY ~. 1 2001 PUMP PERFORI•iAidCE CURVE SAFETY & BLDGS. DIV. PREPARED FOR 7v . ;1~ F;._ __~yvD _ I~ N LTA =-S7b=L~~S _ _-_3 0 0 \ ~-~- l G ~= RED G ~, ZOr~ _. _._ - 2 l V ~Z 1=,Pc t.~S , Lv ( 5 ~C o L Z" - PREPARED BY WEGERER SO ~ L . TESTS hiG AND . ' i7ES = G~V S~RV 2 CE P.O. Box 74 421 Id.~lain St. River Falls, GJI 54022 Phone 715-425-0165 Fax 715-425-6864 JOB N0. Mound System Management Plan page 2 of ~' 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 iri 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 pen`onned 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 far vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. influent quality into the mound system may not exceed 220 mg/L 8005, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test:when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked 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 ]arid local or state rules pertaining to system maintenance and maintenance reporting. Si3p-lOhq,l-P ~tvo1/ol~ 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 shalt be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv 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. !f the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at ,, 1.S - 3~b ~ ~ 680 ST_ L° ~~x The system installer at -l. lS- ~( ZS - X0158 LI.JPf1~1 ~ They tank manufacturer at $UO - 3ZS_ $~.S6 1^J1NS~1'Z The effluent filter manufacturer at ~UQ.2..Z(_ S-7 C1~, Z~~~Z The pump manufacturer at 630,$'20-t(.~t[~ -~pV~-DS -- --- PLOT PLAN Scale 1 "= SO .• _ ~. 86 TN AVE. _~ Page 3 of ~ SUGGLST~~ w~~ ~~~ x ~ ~~ ~ ~ Ps p~ 'h~.c d~ ~ ~e.iu ~ S' ar z~ pie F. -~. ,- ~ a3 N a.l =-i-`= - - N ~'c17 ~- ciS ~ ~g.Z C'ON~l1V2c~ ~~`~-C~ ~o~~vr1 I 0 "t ~ eL loo_o' av . ~I ~~ ~ s ~-a~fpA-~T o2 ~~SI~tB ~ pti.~~ ~t~V, ab.o' ~F e-~c. I ~,L~U q`t_p ~ ~/Z" ST~L Pl PE _ - -- - _ 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 to~u 1 bSo gallon capacity manufactured by l~y~l~S~ (°-D).1 C~~ ptzr,~veTS w~M~D~t. ~ 1800 Z-~~ F~ ~-~~ 4. $ench mark ~ Ste, ~ovE ~-~~ 5. Divert surface water around system to prevent ponding at the uphill side. . Page ~ Of 7 • Approved Synthetic Covering ASTM C33 Medium. Sand Topsoil _~ I ~ E 3 - - ,/.~ Slope Distribution Cell of %" to 2Z" Aggregate z istribution Fipe D G ,Elev. - j ._ e Force Main Plowed From Pump Loyer CROSS SECTION OF A MOUND SYSTEM Linear Loading -Rate= 6.O GPD/LN FT Design Loading Rate= p,3.GPD/SQ FT . or- -Fe rE~,o•-;-~r- .. L c A 6 Ft. B -1. S Ft. I 1 ~ Ft. J ~, Ft . K l0 Ft. L °l ~ Ft. W Z ~o Ft . p 'l,Q©Ft. E l • 48 Ft. F a.$ Ft. G o, 5 Ft. h 1-O Ft. . ~} ~ -Observation Pipe __ H ~ K- °~`.~_ . ------------------ --------------- ------- ~ Bo~s A ~-'ib g _ ~ _ _ -- W ~~-__~_ --- ------ --------------------- ~ Force I Distribution ~-- Cell of i" to 2~" ' Pipe aggregate . Observation Pipe • (aar~sbr securely) ~ - in PLAN VIEr~T OF A MOUND SYSTEi~ Distribution Pipe Layout Page 5 of ~ Place the holes at the bottom of the distribution pipes . at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long tum 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 aces from final grade for the vaIye; threaded cap or threaded plus. " -Lcc`ss sox_ T `i P.1 Ct~ L ~,Z.OS S 5 ~-'i10 -y wr v~~^ -.. ,. ~ P o- _ 4- -- h t't'1.)1 Fc7 ~ ~~ r1 Ri~7 _ ~~~~ r~CCFys Sox - -o ---0 P 3 6• S Ft. ~ Hole Diameter 1 / ~ Inch ~~ ~--- S 3_ Ft. C 3b``~ Lateral " ~ ~ . InchEes) X 3 S Inches Manifold ~ Inches -- ~ Force Main " ~ Inches - ~: ~. # of holes/pipe l3 Invert Elevation of.Laterals °l~-~ Ft. ' ~ `~'KU.y.~=S.33 X~I= Zt.32 GPM • ~ ~. _. ~ ~ - Combination Sept.~c~•Tank and • PLf•MP CHAMBER CROSS SECTION AND SPECIFICATIONS ' ~ PAGE ,~7 OF ~ • ._ ~ . ~- WEATHER PKOOf •VE-J7 CAP JtlUCT1013 80X . ' ti C.I. VENT PIPC ~ APPROVED LOCKING ~ lO' FROM OOOR. MAIJHOLE COYER ~I'M :~INOOW OR FRCSH ~ wARr.~IIJG L.1+~6EL.. ~3P~C110U PIPE Z . COt~DuLT wlH1czSlsetT- r•+tp ~ A~IIJTAKE t .. ~ _ ;~ I - - -- , Fl N L^> G!v"CDE ~ ~ IB'MW. i ~-- `~` . . - - ~ -- - .- ~ j ~ 11JLET i ;~ PROVIDE - I - --- . _ •• ~^~ AIRTIGHT SEAL I I f 84rrTrL~S ~ I III APProved 2>'s8~.. ~`-~ --A~ I III APProved joint w/ ~-~•8~o I III ALARM PVCnpipe PVC pipe -I II D I I • - I I Ou C 'I I . i • tLE~r~3~r3 Ft . PUMP ~ '-~ - ` OFF . D COIJCRETE _ ~T1.~U ~ ~ ~.OO I •. DLOLK Y •~- RISER EXIT PERM1TfED O-.1Ly IF TA1JK MANUFACTURCR HAS SUCH APPROVAL~3NAAPQoti~p 13fcp17 i N4 SEPTIC F ~ SPEC.IFICATIOt\1S DOSE T/.AIK MA-IUFACTURCR: wl'~~ ~UeR-~ l,1UMgEA OF DOSES: ~' ~'~6 PER pAy ` ~ TA1JK SIZE; lUUt~ ~6S(~ GALLOIJS DOSC VOLUME r _ ALARYI 1''LAUUFACTUFZCR:_ S'S-~ZE~O S`4S'TL1'"1S INCLUDIAlG OACKfL01,1: ~ 1'L~ _GALLONS MODEL IJUMBER: lb~ 1~1~ CAPACITIES: A= !~ 1NCNCSOR 306 GALLOAIS SWITCH T~PC: _ ~L~.C~~,y $ _ ~ IIJCHES'OR 3~ G(~LLOUS PUMP MAtJUFAGTURCR: _ GC1y~... C= .~ lUCHES OR 11 GALLOUs MODEL l,IUMBER: 3 0 $S W ~S 1-# •., _ D= 1;1 IniCHES OR 1~~ GALl0A15 i SW17CH TYPE: ~ R-~ IJOTE: PU/1P AND ALARM ARE TO bt~,° MIA1lMUM DISCHARGE RATE Z l• 3 Z ~pM INSTAlLEO OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWLEI~I PUMP OFF AUO,.OISTRIBUTIO-J PIPE..2'3' b7 FEET ~•- MtLI1FtUM AIETWORK SUPPLY PRESSURE ~ ~ ~ ~ ~ ~ ~ ~ b~ s0'FE.ET ~ S.O~~.'3> ~- Z~ S FEET OF FORCE MAIN X ~- ~` _F%o FLFRICTIOU FAC70R.. ~ ` ~3 FEET TOTAL Oy1JAMIC HEAD = '3...~' 3~ FEET As per rlanufacturer l1-p gal/in. Liquid depth 3g ~' ~v'r'tP PE1Z-~O~f`'~ 1~~v CE C U~.UC ~ ~ -1 ar- ~ u0L!IOS ~~]~3~'l'1~~~~7~ E ~~ 3885 APPLICATIONS Spegifically designed for the following uses: • .Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems .SPECIFICATIONS • Overload protection must - be provided in starter unit. • Shaft: threaded, 400 series stainless steel. • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase: •'/s and'/z HP -16/3 SJTO with 115 V or 230 V three prong plug. • 3/-1'/ HP 14/3 ST ' ..Pump 4 z - 0 with bare leads. • Solids handling capabilities: Three phase: ' %4" maximum. •'/z-1'/z HP -14/4 STO • Discharge size: 2"NPT. with bare leads. On CSA • Capacities: up to 128 GPM. listed models - 20 foot • Total heads: up to 123 feet length SJTW and STW ' TDH. are standard. • Mechanical seal: silicon carbide-rotary seat/silicon FEATURES carbide-stationary seat, 300 ; series stainless steel metal ^ Impeller: Cast iron, semi- parts, BUNA-N elastomers. open, non-clog with pump- • Temperature: out vanes for mechanical seal :..:104°F (40°C) continuous protection. Balanced for 140°F (60°C) intermittent. • Fasteners: 300 series nnETEas FEET 'stainless steel. • Capable of running dry without damage to components. Motor - Single phase: • '/a HP,115 V, 20G V, 230 V, 60 Hz, 1750 RPM; %z HP, -115 V, 60 Hz, 3500 RPM; ''/z HP -1 ~ HP, 230 V, 60 Hz, 3500 RPM. F • Buift-in overload with automatic reset. • Class B insulation. `~ Three~phase: ~'%z HP -1'/z HP 200/230/ 460 V, 60 Hz, 3500 RPM. • Class B insulation. ©1995 Goulds Pumps, Inc. 25 20 0 W 2 U a 15 z O J a 0 10 5 0 smooth operation. Silicon bronze impeller available as an option. ^ Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rail systems. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ^ Shaft: Corrosion-resistant ..stainless steel. Threaded design. Lockout on three phase models to guard against component tiamage on accidental reverse rotation. ^ Motor: Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, 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 ~t Undervmters Laboratories ~V - ' ~ I SERIES: 3885 ' ' I SIZE:'/'SOLIDS tiq 1AlEi i ~ RPM: VARIOUS --+- - -- ° -~~5 GPM - ^_ F 70 VI1E1011 ~ i SFT ~- ! i I so ; ~ ~ i i l ~~ i i i i I WEO7H ' ~ - -_--~ _.( i. !. I 40 E , WEO H i 1 I 30 ~- L7 i ~ ` ~ I i ~ i I 20 VItE031_-i _._.t I ; 1 s 's ' ' ~ i I ~ ] +E 1 E - t0 l IZt.3`Z i I I 0 ' i ' u ~u zu 3u 40 SO 6u 70 SO 90 100 110 120 130GPM 0 10 cAPnctrv 20 m3/h Effective Mav. 1995 Wisconsin Department of Industry, SOIL AND SIT LUATION Labor and Human Relations ~~",,~~~~~~ Page ~ of Z Division of Safety and Buildings in accordant I~'1'6,1Lr'1 83~Q9,,1NIS• ~. w ~. ,~ ~ , Attach complete site plan on paper not less than 8 1/2 x 11 inches g1~hz~ Plan °re r~~ "' ' ~' ~ C~ ~~ s?; C~Q/ '~~ ° ~-• M);;direction aM1 t limited to: vertical and horizontal reference point ( d b t l t no e, u inc u scale or dimensions, north arrow, and location and pisfance ~ nearest road. percent slope P rte LD. # O • , E ~ts . _ _ !~l /d ' SO ~ ,:HLi: APPLICANT INFORMATION -Please,print all infor Lion. ~ >>~,y,y evi ed b v Date Personal information you provide may be used for secondary purposes (Privac LsWv;s,, f~1;A~y..irQKFICE ,.^ `~ ~ Z Property Owner ~ ~ fH R ~ ep 4.qN ~ ~ b ~ :.. ~ ; Rropert~~geftti n ~J ll~t 1/4,uw1/4,S ~ T~"` ,N;R l t (or) W l {O ~.J V ~ S'O N'~J t3~4 f Property Owner's Mailing Address 332- h ii UN~SoTA Sr• E~tS T I'•ro ~ Lot # zZ Block# Subd. Name or CSM# ~-~.HOwD o~',f's' City State Zip Code Phone Number ~JT• P}11~L- I MN. ~ ~si14 ~ ~ (~S~ )z22 •SSS,s Nearest Road w ~ Z ^ City ~ ^ Village Town ~ ((/d ['New Construction Use: L7hesidential / Number of bedrooms 3 Addition to existing building ^ Replacement ~• ^ Public or commercial -Describe: ~,/ Code derived daily flow yJ ~ gpd C Recommended design loading rate ~ -I bed, gpd/flz~trench, gpd/ft2 Absorption area required ~7.-bed, ft2~ % trench, ft 2 Maximum design loading rate ~._bed, gpd/ft2%..~_trench, gpdfft2 Recommended infiltration surface elevation(s) ~u ~ tt (as referred to site plan benchmark) Additional design/site considerations N/ ,/ tt Parent material ~o Ess o ~t~p Q~NS~ T/ ~~f Flood plain elevation, if applicable T S = Suitable for system Conventional M_o~ In-Ground,P~ress~ AT-Grade System in Fil/l Holding Tank ~,~ QS ^ U ^ S L•s u ^ S U ^ S 1~"U ^ S u U = Unsuitable for system ^ S Lam! C ...~.~u .'fcAAOT Boring # Ground elev. gG,t~ft. Depth to limiting factor ~~in. Boring ~' ~. •7VIL YV•. v~n~ - - Structur GPD/ft2 Horizon Depth i Dominant Color Mottles Munsell Qu. Sz. Cont. Color Texture e Gr. Sz. Sh. Consistence Boundary Rooms ged ,Trench n. o• 8 /b Elie 3! 3 -- L /fShK aCSG~. ~S !f :. S ~ S- goy h -F~f Mots SGG ~~ C S - , Z ; . 3 .So /o S' c2 ~. mots SlGL ~ s~K ~i ~ - . z ; • 3 ., ___ _ , L- (56/80 'd) OEEB-MQ9S :s~~eutab .w ~oZoel ~* C1 VH $ ~ ~~ ~ ~~~ SOIL DESCRIPTION REPORT page ~ of 3 PROPERTY OWNER PARCEL I.D.ft `iO ~ ~ Z ff AM M o ~~ ~~ ~ s S ~ g ~ • Boring # 3 Ground elev. ` gy.,~tt. Depth to limiting factor Z`~ in. l C Mottles Structure R t 2 Horizon De th P in. o or Dominant Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench -~ ~o y 313 -- L ~•fshX S~. c5 ~-~ . `~ ', S z • ~o .._._~ c M o tS GL ~ --' - . Z ~ •3 ~ c~ y z ' Remarks: Remarks: Boring # Ground elev. n. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. ryBoring # Ground elev. ft. ttl M Structure GPD/ft2 Horizon De th p in. Dominant Color Muhsell es o Qu. Si. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench Remarks: Depth to .~ ~' ~ pa ~ m~ m r ~- ~~ ~ M o ~' ~qt (` ~ a3aH ~ I ~e•m3 ~ ~ ~~o$ ~. , ~au>; ~ ~L1 r~o= ' 7' /47 /5~.3 l~ ~ o0 o ~ ~ ~~ ~~~ ~ .~• ~-- ~ ~ ' h ,, ,~ ~ ~, ~'~ v =- ~ --__. °~° ~ ~° ~ ~ ~~ 4 ~ .. ~ _` ~2~ ~j., '~ ~ ~ ~ • ~- 2 ~ '~ ~ 7 J ~ ~ I -yry, ~ 7 1 ~-1 1 s.~n~ ~' ~ , _ ~ _ ~ ~, ~ I° l ST CRO[X COUNTY SEPTIC TANK MA[NTLNANCB AGtLLeMeNT AND OWNBItStitP C~RT[FICATION FORM OwncdIIuycc ...~ 71 F ~~~ (f ~,~ ~ ~ S Mailing Address 3~%~~y l~ ~ " ' , ~~L~ (~ n ~1 Property Address C3 J ~` `' J ~ oa ~ ' (' (Yuificatioa rcquictd from Pl:aaiag Dcpadmcat for new coastiuctioa) City/Statc ,~ c ~ V' // S /~i ~ Parrcl Identification I~Iumbcr ("' ~D ~ d ' c~~ d~ X,EGAL U~CIZXPTXON Property Location ~ ~ %, /~/ ~ y, Ste, v~y , T ~ N R,~~~,~, Town of ~ • Subdivision Lot#-~~ . C,erfifed Sacvey ~p # Volume .rage # _ Warranty Deed # ~ °~ ~ ~ Volume rage # 1 ~ . spoc.iioase ~ yes ^ no Lot Lines identifiable ~ yes ^. no ~YSTP.I~•~~A~]N'~:N~S:NCE ~~Ia~opcrasesad~y,~~ldremUtmrtsp ... tol~ndlewastc's.Propae eaa ~~odffic.f~mcbioa of tibe~~~ ~ ~ ~ ~ if ncvd~cd bq a Yiocascdpamp~ • W1z~t yun pat.iaGo tfbe system . rcptzctaak:s.:tc~.~at5esauteduposaT<ey~sGcm, .. - . T~ Y owner to u~bmnt~to st ~ TAaiag Dot ~ a foot, sig~sod by ~ oarn~x au3 ~ : .~'Pt~odplca~aorsTiQCasodPQ~~Y~'~(1) 6beoa~sitcarastcaPazcrdisposaispstem oP~aad/or(2) a$cri,a~poctioaandp~mg.Cifaco~Y),H~c sc~ank~is icxs:~aa II3 ~aII ofstudgc. ~ ~' ~4~ °~ by ~ D~rtmcatof Oomnr..me and tfre Deputmemt of Na~aa(g S`tat~e of Wi9ooasinr Ica ~Y'~'~~ry~bas'bocamaiatain~odmttst6coosnpl~d~od:ndretumodto~cSLQviz•CocmtYZoniog0ffioewidia30 dayx•of th,c thzvc yr~ar oa ~, St~TV~o APPU~ ~ ,a-~~~~ ~ DATE OWNER G"EX2~~CATXON I (we) oatify that aII statements oa this foams arc trnc to the best of my (our) fcnowlodge. I (we) am (arc) the own«(s) of ~ Pr'~Y ~ trc„ by viztue of a warranty flood t~ocded in i~cgistcr of Docds Of$cc. L ~ ia3iG~ SiGNATIJRB OF APPI,LCANT DATE sss~s~ ~ inforrmatioa that is mis ed~Y t+~dt is the sanitary pcxmit being tetroked by the Zoaiag DepnrtmcaL ••ss.. " rndnde Frith flits appGcatioa: a stampod wamnty flood from the R~cgistcr of Doodc ollioc a Dopy of the occtifod cutvcy map if acfcncacc is tnadc in the warranty flood uannrm \umt+or ~~~~ 1snoF~~.170 ti'1'.4'1'C 6:\R Uf w'ISCO\ti1X POR~f 2 - 1978 WARRANTY DEED 640295 KATHLEEN H. WALSH kEGISTEk OF DEEDS $T !~RDIX CQ WI . ., This Deed, made between Hurobird Land Corporation, a _ RECEIVED FOR RECORD Minnesota Corporation - -- - 03-13-?001 8:30 AM -.. ___. _._-- __-- -- YARRAHTY DEED Grmtor, and DUANE VOILES AND ANITA M. VOILES, HUSBAND E%E!fPT N AND WIFE `_t __- _._ ... .. --- ----- CERT COPY FEE: ------- ....._"~ _ .._. COPY FeE: __ ___._ __----_ _ _- - TRAi1SfER fEE: 7.70 ___- urroRDING FEE: 10.00 Grantee. -- - ---- PAGES. 1 Grantor, for a valuable consideration, come_vs and warrants to Grantee the Collowing described real estate in St. Croix County, State oC Wisconsin: OT 2 HAMh40ND OAKS SUBDI VISION,TOWN OF HAMMOND ~Qvw >~a u~l»jn n~•: ~~ ~~~~~, ~I~~LC~Gty -~`~~'Z (118- I O}{O-22-00U I'arecl Idntlil icatiun Sumb¢r (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subjccl to casements,restriclions,covenantsand rights of way of record, if any. The warantics of this decd, either cxpresscd or implied are limited by the grantor to the grantee, or am•one in the ct>itin of title, Io the considernion cxpresscd herein, that being the sum of 524.9UU.(tt). Dated this Signxture(s) 6th day of MARCH 2O0i AUTHENTICATION authenticated this day oC TITLE: MEMBER S"fA'CG f3Alt Of WISCONSIN ([f not, authorved by § 7(lG UG, W n tiwts. ) tlti Iw r )xtr.xr w, ur//~I~~'rt~':I)~~pnr ~~~~~ . (Signatures may be authenticated or ackn6wledged. Both are not ntYCtiyary. ) Humhird Land Corporation . by ~~' _ President .Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) Ramsey Count • ) ss. _ y) Personally came before me this 6TH day of MARCH , 2001 dte shove Warned Austin J. Baillon to me known to VL the Ixrson(s) who executed the tixugomg instrument and acknowled a thV . . ~~c.,.PA•~_ ~,,,? PAULA. eAILLON • ~ urcoowwlsslonrxF'Ir~s~>"zoos Paul A B upon Notary Public, StateoC Wiscon. My Cotmmsston is permanent. (lCnut, sWtc expiration dote: January 31 20115 'Names of persoac signing in any capacity should he typed or printed hcloW' their signatures 57AYL 8.11[ Oh' {Y ISCO~\'Yf\' W'A 88A\rY UBED YO H.\I 10.3 - 1')9tl INF'ON MAI'ION Y80F'F'tiSII~NAI,ti C:tIMYA\Y rONn n111.AC:, W'1 K(K).Ii55._U_1 0 G O a~ N 3 M o>, ao ;~z ~e' ~ U'~. U'~ - _ _ ---- o 0 O~ LOT 18 N 47,746 SQ. FT. M 1.10 ACRES ;~ o~ - - - - - ~ t as ~a' -~ ~o r~ N -_- - -~ LOT 19 48174 SQ. F3. 1.11 ACRES I ' I ' I' -----~ 165.75' - - -~-- - ~O a ' ;.. LOT 20 .°o ~ a° 0 43,931 SQ.FT. Qo~' ~ N 1.01 ACRES ~9 I N n1 i ',.y~j. I 0 A9V~ w W N~6~ LOT 21 0 M ~ ~ ~ 43,655 SQ.FT. N ` 1.00 ACRES ~ b~ ~ I 00 °0 I N Z z , ~----- - - I ~ i SO'23'21 "E 302.03' o 0 - - - ~ SO'23'21 "E 302.03' tO 1~ ^l l , I ' 33 33 JOINT r---- -- -- -- -- ' Of M ~ M pf N . `° LOT 22 N ( 49211 S0. FT. 1.13 ACRES SO'23'2t "E 302.04' I LOT 23 ~ v 43,776 SQ. FT. ~ I ~ 1.01 ACRES ' SO'23'21"E 302.05' ~, LOT 24 I ~, I 46 496 S0. FT. , 1 07 ACRES ~' ~ 1 . N JOI T ~ , SO'23'21 "E 302.06' I 1 ~ ~ LOT 25 I 46,498 SQ. FT. ' 1.07 ACRES ~' SO'23'2t "E 302.08' I LOT 26 N -43561-SO.--FT.---- --____:~ N I 1.00 ACRES 1~ ~ 1/11~IT 0 N U w N 0 W z_ J r 3 I a w NI ~I ZI J I -~ I IW- I N Q Mai ~Z~ ~~ 3 O to ao (~ NI A N~i