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HomeMy WebLinkAbout018-1186-30-000Wisconsin Department of Commerce PRIVATE SE AGE SYSTEM Safety and Building Division INSPECTI N REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name: City Village X Township 4nderson, Pete Hammond Townshi ST BM Elev: I Insp. BM Elev: BM Description: ANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing ~ K Aeration Holding TANK SETBACK INFORMATION i~ PUMP/SIPHON INFORMATION ~ !'~ - Gp~ b odel N l`7 ~~ ?3~ • b 1. H Lift ~~.~ Friction ~s~t System Hea~ ~ TDH`~,,~ Ft Forcemain Length t Dia. t~ Dist. to well -~ tin 2 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic '2~t ~~ t - Dosing ~ ~ i; t w ~ ~ / Aeration Holding SOIL ABSORPTION SYSTEM ~G RENC Width ~ Leng1 DIME NS '2 - INFORMATION r11STRIRIITInN SYSTEM t No. Of Tr nches ~- (a P/L BLDG • t 2.o F '` Jag County: St. CfOIX Sanitary Permit No: 405036 0 State Plan ID No: 1 • (~ Parcel Tax No: 018-1186-30-000 STATION BS HI FS ELEV. Benchmark .~ / ~ 1~ '~ Alt. BM D~ ~/ ` 10 •Ob i Bldg. Sewer b ~ 3 $ ~ O(. t SUHt Inlet ^ ~ T ~ /C7E~ • ~Z St/Ht Outlet Dt Inlet Dt Bottom „.~ ~~~~~ Header/Man. s, 3(~ 1o2•`fl Dist. Pipe ?a / Ol Bot. System 6. ~ 01. ~3' Final Grade St Cover '1~(c~ (-~. ~ 1 Of Pits Header/Manifold, tl ' ,~ Length~_ Dia ~ Distribution ~ / Pipe(s) `"~ ~~ Length is Spacing x Hole Size,~~ t ~ x Hole Spacing 2 ~ tr Vent to Air Intake -~ Still CnVER v D~ncm~rn S~ie4cmc nnly YY Mnund Or At.Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil r^%j Yes ~ No (~ Yes ~.-] No O~NTS: (Include cc~~qq~~e dis reFyRnc~es, ersons present, etc.) Inspection #1' / Zo ~~'' Inspection #2: ~_ Location: 1608 86th Avenue Hammond, WI 54015 (SW 1/4 NW 1/4 20 T29N R17W) Hammond Oaks Lot 30 Parcel No: 20.29.17.650 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = 3.) Contour = , i / ---- ~ --~ Z $o i ~ Gt~l~ ~'~kLt~ 4/" 1 P n revision quired~ Yes 1~ No ,~_ .~~ ~ ~ ~' ~~ Use other side for additional information.` } W 1 ~ ~ ,__ _ _ / __ __. -_ ~ I-- Date Insepctor's Signature Cert. No.~ SBD-6710 (R.3/97) 0~!23f0L TUE 10:38 FAQ iL5 386 4686 ST CRii CO ZONING 0002 ` Safety and Bttilding5 Ltvtston 2dl w. Washington Ave., r.o. Box 7162 C nAty St 'C~ o ~' l ` ~~~~n~l~ Madison, WI 53707 - 7162 Site Arddress De artment of Commerce tf -Z(r-O Z ( (~ © ~ ~ L~ Sanitary Permit Application Sanitary Pcrmtt~ ~u'mCber N[ b ]n accord witlt Conan 83.21. Wis. Adm. Code. persoml infortmtioa you provide 7 ~ (] Cbak if Rerisian be ttsal [or Ptiva law, s15. 1 m I. Application Information -Please Print All Information Stan Plan I. . Numb r Property t?waer's Natae J ,,AA~^ Parcel Number ~// ~,__ d dtzss Property Owtter'a Mailing A P mperty location • ~• f ~ j '(~C~ S~~ ~ ~ C / h y ~yi (~f:S .(~T.G ~N.R ~ E ( 1 City, State Zip Code Phone Ntunber fot Nu~ r Block Number Subdivision Natne CSM Number I ~1` ~ `~ l~ ~~s' lJt ` ~._ U~ ~ ~~5" s y2l -131;2 I-~.~~r ~ c d OA-~S II. Type of $uildiag (check all that aPP1Y) ~ t~a.t ^Ciry 1 ~G Tor 2 Family Dwelling -Number of Balrooms _ ^Village , _" ribe Use es c D U Public/Co-~c~al - _ _ o~~p .~ ~ ~/y[ u 71 d ,, ~ ~ ~ ^ Stan owned ~ C~'r ~ (~D • ~'O "~°~ a A R 3 C. ~- 3 x ~}retits~ _ ~ ~ 02 Nearest Road ~ ~ ~ UL-' - III. Type of Permit: (Check Daly one Lox on line A (alrmbe ' sch L'c7~ C plete line B ff applit~tbie) A' 1 cw 2 ^ Replacement System 3 ^ Replatxtnent of 6 fl OFFI EEor Co ttse seem 93utlc Oal S stem B. ^ Check if Sanitary Pamir Previotuly Issued Permit Number Date Issued tim'bering scheme is for interval ease)-~ Pl y)(n IV. Type of Permit: (Check aU that aP , ~~ /~ 44 ^ Non -Pressurir~d LrGround 2111J~ICioutrd 47 ^ Sand Filter SO ^ Consnucted Wedattrl 22 ^ Presnuized In-Gmtmd 41 ^ Holding TaAk 48 ^ Siogle Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treaanent U " d9 ^ Reci g 30 0 Otber _ _ _ V. rsal/7~'eatment Area Infortation: • "S _-- -- Design ~w (gpd) ~rsal ~ `~ ! >ak: ,K~i ~ 1 { So ApplicatioA l F Perc~atioA Rate ~h) (M~ System Elevation Fatal Grade Elevation ~ ed Q pro ~J"4 c) Sq. Rate(GaIs.IDays - Ll~l~ 33~7~, 3.~G ?~ , ~3 ~~~. ~ 1~3,~ VI. Tank Info Capacity in Gallons Total Gallons Number of Tanks Manufachtrer Prefab Cotxreu Site Constructed Steel Fiber Glass Plastic New Existing Tanks 7anRs Septic or }folding T~ (,/~ - ~ (: Ui.,J ( (~ i ~ C ,S ~- ~C _ Dosing Chamber v ~J It t t VII. Responsibility Statement- I, the ed, assume 17Ry tar installation of the POWTS shorn on the attached plans. Pltmtber's Name (Punt) Plum SigAatttre ' ! IolP/MPRS Number Business Pbonc Number Plujmber's Addre,~ss/(Stre~etj, ~C ,State. Zip ode/) VID. Coon /De ent Use On! Sanitary Permit Fet (includes Groundwater pmved d ^ Disa A -- Date ]slued issuing Agent SigAature (No Stamps) p pprove Surcharge Fee) ^ Owner Given Italia] Adverse 2 ~~- ~ /- 7 J Z . Detertnination _ I7CAA. -1C1onditions f ApprovaUReasoaslfo-r Disapp v ~ ~ ~ ~~~y ~y ~ -~p S L~ l~ ~ ~ l~ °'^'~v' ~ - ` 4r '-~ r ~ ~ r~ J n' 0 ~ ~ ' 1 /'1'l~ ~~ ~ ~I~S 102 .e - _ 1b' i Attach t6ci~atu J~ottgl for we 4p ~--~- Q ~~ nnA- n SBB-b39 5/Ol) - _~ ~,,tiD oto~ e.~.t -~-1~{.l ~a.~ ~~ PLOT PLAN Scale 1"= 30' `S3,°l~' ~~ ~ S%~ DO U oT CowtPY~-Q.T o'R / ~ / ~,~, i ~ A i ~ / / 0\ ~' i ~ ~-_ i ~ / ~ ~ '' / ~ i~ / /~ ~~ / / ~ / i ~/ / A~.' \~~~ o/ / i ~ ~ ~~ o ~ ' \ i i ~~ 3• ~ ~ ~~ ~~ ~ ~ ~ ~~ ~, l( p A~s<° (~~J loS' of Z'~ P~ e F. w-. 0 r ZU~c~F y``p~C ~ F3D 2h-j G Pt'1'Z ~ ~ ~ ~,~ ~ S v GG~ST~ w~~ L° c~~"noN ~S3..a 3~ Page 3 of ~ Bw1 !~~ O O s' + ~ , ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edvrt, Secretary March 27, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/27/2004 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Pete Anderson 86TH Ave Town of Hammond St Croix County SW1/4, NWI/4, S20, T29N, R17W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 834132 ~~` ~'~ ~i~°~~, ~~~4j \~~ Identific on b rs Transaction ID .71991 Site ID No. 64244 Please refer to both identification numbers, above, in all cones ondence with the a enc . 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: General Approval Requirements: • 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 Wastewater Systems" SBD-10572-P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any PO WTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c 1t~hv~ally ~~O • 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. ~ CQMrM(ER~CE • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the - ` r, ~L1/2tAlGS designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat :. ~~ `' l P~DENCE• Zomm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTHUR L WEGERER Owner Responsbblities: Page 2 3/27/02 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/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. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~,i r ~~ Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us WiSMART code: 7633 TITLE SHEET Page 1 of ~ This plan has been P4anual SBD-1057 P C CZ _ b ! qq~ LOCATED ICI THE SW TOWid OF L~y~y,, FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE prepared in accordance Faith the Mound Component and the Pressure Distribution tlanual SBD-10573-P c ~. ~ l~g~ 1 /4 OF THE NW 1 /4 OF SECTION Z~ , T ~-`~ N, R 17 W, 1C~1ti1~ ST• C~Z-ply( COUNTY, WISCONSIN. Lat_ 30 of t~1~1w1oty~ _~~t-cs-=-_ INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEPI rIAIQAGEi•1ENT PLAid PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAP~IBER CROSS-SECTION PAGE 7 of 7 PUMP PERFORI•IANCE CURVE ~Fc PREPARED FOR ~7 ~~~ F,~ F '~s F® PFTE _ ~~1~ ~=50~! - - .p lr~~~ i; PREPARED BY k1EGEF~ER SL3 I L . TEST S NG AND . DES I G~i SIERi1 = CE P.0. Box 74 421 IZ.~Iain St. River Falls, [dI 54022 Phone 715-425-0165 Fax 715-425-6864 Cc APB N OFk SEE CORi ti• ~^- ~~ ~, ~ ~' ~., ~~~ "•~ AHTf~.I~:. ~. D-975 P ELLSY+UR f ~~~ tii ~~~'......«t 4L. 3 _ Z!-oZ JOB N0. UZ•'S3 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. erating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. T outlet shall be cleaned as necessary to ensure proper .The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may s pug 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. Fumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, andpumps 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 S tem 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. 6/89)j 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 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. Continoencv 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 about the operation or maintenance of this system should be directed to: The County Zoning Office at ~-ls- 3g 6- ~/6~ 0: S`i--, ~° \Ta)_L~( - The system. installer at The tank manufacturer at ~l~U-'~~--5'~~~~3~s6 y~Z(.r~~ The effluent filter manufacturer at g'00- ZZ/-. S7cL2 Z,~ ~ The pump manufacturer at (~ 30 -`c~Z-0_ L~ GC)VLI~S • PLOT PLAN •Page 3 of ~ ` Scale 1"= 30' ~°1 / /` --- -- - i ~ / a~ 3 ' ~ // . o~ ~i ~/ ~~ / Y\~ /~ /~/ a`/~ o/ ice/ ~/ ~\~ ~ '// i 3• ~ \ ~ o ~~ ~ ~ ~ ~~ ^~ Y'`°~ ~ ~os`oF z,`~ aye F. wt. ~~~ l,~ ,~ Zo ~ C) F y ~` P ~ ~ Page ~ Of ` Approved Synthetic Covering ~STi~ C33 Mediun. Sand Topsoil.. .. . ,: - ' `-----_~ _ ,3 E .3 %-Slope Distribution Cell of Z" to 2 Z't g^gregate Undisturbed Soi( ` Distribution Fip i~ ~' ~~ Force Main From Pump t jG ~~F ~ Elev'.l l7 ~.7 .~p~ ~~ Plowed Loyer D 1.O Ft. E l•Sy Ft. Cross-section of a mound system using F ~_~ Ft. - 2 cells for the absorption area - . G o,S Ft. P_ 3 Ft. H 1, p Ft. B ~ S Ft. C ~SFt. Linear Loading Rate= 3.0 GPD/LN FT I ~ Z Ft - Design Loading Rate= p.ZCPD/SQ FT J 7 FL _ L. T-- I W i ~. K ~~ Ft. Force Mai n L ~l`l~ Ft. ~ w 3-1 Ft. ~ I ~ J/ ~~ a ~ t ~ i K A.~ _____- - ,~ ___ -( bservatio~ I ___- - -_ - - _ - ' 1- -pox C (Anc~orssecarely) ( - --- ' _ _ _ ,~ -._ O-_._ _ _ _ -_ _ _ _ O _ _ _.I-,~G~{pb,~ ~ Distribution Pipe 1 tt CeII of ~ ~n to- 2 Z aggregate " Plan view of a mound system usi~„s~ 2 cells for the a'sorption area Distribution Pipe Layout Pace 5 of ~ Place the holes at the botto>3 of the distribution pipes at'equal spacing. Remove alI burrs from the pipe and holes. Extend the end of esch lateral up with the tse of long turn or 4f' fir.:ng to a Foint within six inches of the final eTade. Te.~inate the eads of the latezais with a vaIve,.threrde3 caa or • threaded plug. Provide acoess from final fade for the valve; tilrre: ded cap or threaded plus. ~~:~.CC~.SS Ta~~_ T~F1cr-, L LZOSS s`~`.~~N FVC - F~J~ ~vC Lateri ~ ~- Martiiotd ~ Laterl P -~+ ~, _ ~- -- r r-u ~ ~-~ ~.: ~ &c_C,~s sflX - -o - --~ P 31. Ft. ~ Hole Diameter ~~`~i Inch- -••- S ~ S Ft, ~ ~ Lateral " ~ I InchEes) X Z y Inches Manifold 2 Inches -~ - Force Main " 2 Inches ~: . # of holes/pipe 1q . Invert Elevation of.Lateralslo2.Z Ft. • • . , . _. •• ~ - Combination Sept,3c~.Tank and l PLI~MP CHAMBER CROSS SECTION AA]d SPECIFICATIOIJS ' PAGE C~ OF 7. u~ sP ~o>J P lPE '~!i'rt.tz-T1sttT-~tP ' F! IU L^>~ G~DE 18•111A1. ~ . 11J L E T Approved joint w/ PVC pipe ALR I1JT/lKE -~ 6"~w. . ~~lpy~ -, z+~~. u~~ 1~ - l`~np CLEY.a~`U~fT. ~°L-3 pp f ~ . coiaDu~T i ~ ~__ ~ ~~ ~ `~~ ' ~ ~ ' PROVIDE I AIRTIGHT SEAL I -. f, 6 -f. c ~I f PUMP -~ I --~ r D CO-JCRETE 1 ' BLOCK Y' xlu. ~ ~ ~ 18'Mlu. l~ I~ ~I Approved ~~ joint w/. ALARM PVC pipe ou OFF ~- RISER EXIT PERM1TrED OIJLy IF TA1JK MA>rUFACTURER HAS SUGFI APPROVAL~3,•A?PQotigp B~DDcN4 SEPTIC F SPEC.IFICATIOt~1S DOSE T/ti-JKS MA~IUFACTURCR:~~~~/~Z C°L)l.Je ~~ 1~(„MiiEA OF DOSES: S' 3 PER 0,+,~ TA1JK :,IZL : 1l~ULl ~ 6 S O GALLOIJS DOSE VOLUME z ALARM MAIJUFACTUKCR: s `S• ~~`}'jZQ S~S~1"'1S IAICLLJDIUG 6AtKfLOW: ~ l0 2 GAttoN' MODEL 1.lUMBER: `O~ ~ CAPACITIES: A. l~ UJCHESOR ~ O ~ GALL0~1s SWITCH TyPC: ~~U~-~ 8 - /~ IWCHES'OR ~ G~LLOUS PUMP MAt,JUFACTURi<R: GC~uLDS C = 6 INCHES OR l ~ Z GALL01~l5 MODEL fJUMBER: APO S D= \Z I~NICHES OR ~ GALLOIJS SWITCH TYPE: _ ~ L 2~-U1Zi-/ uoTE: PUnP AUD ALARM Rc TO DE~~ MIUIMUM DISCHARGE RATE 3 1 • ~ ~° ~pM INSTAlLEO OAJ SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP OFf AUO..DISTRISLJTIO-.1 P-PE.. Q__ZD FEET + KIIJIMUM IJETWORK SUPPLY PRESSURE . ; ~ ~ ~ ~ , ~ , 6.50 ~FCE.T ~.p ~c1.3~ ~- 10 S FEET OF FORCE MAIIJ X Z'D9 F~oftFRICTIO-! FAC7oR.. ~~ ~ FEET TOTAL Dy1JAMIG HEAD = ~ 6' ~9 FEET As per manufacturer 1-1_p gal/in. Liquid depth 38 " • - :' : ' . -VEU7 CAP ~' WEATHER PROOF _ ~uucrlou »ox . ti C.I. VE1JT P(PC ~ ~tPPROVEp LOCKIIIIG ~ lO' FROM OOOR. ~M~l3JHOLE COVER yvi~'1 '+/~A1DOW OR FRESH 1 wA(iNluG t_.I~6EL., Goulds ~ ~~ ~ °~ Submersible Effluent Pump ~~ EP04 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a° maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size: l'/z" NPT. • Mechanical seal: carbon- _ rotary/ceramic-stationary, BUNA-N efastomers. • Temperature: ` 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capabilr 3/"maximum. • Capacities: up to 60 GPI • Total heads: up to 31 feE • Discharge size: l'fz' NPl • Mechanical seal: carbon rotary/ceramic-stationar BUNA-N elastomers. • Temperature: 104°F (40°C) continuou 140°F (60°C) intermitter • 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). MFTFRC FFFT • 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- ticcover 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. SP• Canadian Standards Association (CSA listed model numbers end in "F' or "AC".) AGENCY LISTING -... .,.. aar~n ~ , i ~ , ~ ~ 0 2 4 6 8 10 12 m~/h CAPACITY ®1995 Goulds Pumps, Inc. Ef(ecpve May, 1995 83871 . , ~ ~ '* ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~' .. Page / of - Labor and Human Relations ~w(~ 83 pg~ V11i9. Division of Safety and Buildings in accordance with,.g;°9y ~. j County ST L~t°0i~~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size ,~la'h.must '' - } include, but not limited to: vertical and horizontal reference point (BM), di ection and ' percent slope, scale or dimensions, north arrow, and location and distan~e~t0 ~ear,est road. Parcel I.D. #+ O ~' '-:~a ~ ~~ ' ~d APPLICANT INFORMATION -Please print all information '' Rev~evyed Personal information you provide maybe used for secondary purposes (Privacy Laws 15.04 (1)'(r+yy: ' ... + r'( ~ - ` ~,,,i ~ o~ Property Owner f} U N a f L7p /.119 ~ ~ b C~O roperty 1 v ' ~ S'DN'~ ~~ I t t0~7 Go~Lc Property Owner's Mailing Address Lot # 33Z HiluN~soTA sT: E~1sT ~yo~ 30 City State Zip Code Phone Number Sr. Pnu~- ~ /H~. i SSIo I (~Sl )Z~Z •5555 ^ city Nu~1/4,S 20 T2 . Name or CSM# • yv • UV • SQ • Q'a Date l~z/~/9s ,N,R ~ 7 .f(or) W ff ~FM.tiowD o~9-~f' ~,-,~ Neareest Road w -^ -Village . ~L"J ~ o`^m i qv~~C. (~/ (~ ["Flew Construction Use: ~tesidential /Number of bedrooms 3 Addition to existing building ^ Replacement ^ Public or commercial -Describe: ~ Recommended design loading rate ' Z bed, gpd/fl2 • ~ trench, gpd/ft2 Code derived daily flow ~_ 9Pd Absorption area required 31 S bed, ft2 3 r/ trench, ft2 Maximum design loading rate . Zrr _bed, gpd/fly • / trench, gpd/ft2 Recommended infiltration surface elevation(s) s~ ~ tt (as referred to site plan benchmark) .~E SID u•~O SST. let t~ t~ i 12C''D Additional design/site considerations ~~~ ~^+ Y ~ / ,f n Parent material ~~ F>;s ~ f!~ D~NSF ~~ Flood plain elevation, if applicable ! ~i_ Conventional Mo In-Ground Press AT-Grade System in Fill Holding T. S = Suitable for system ,., /~ ~ ~ ~ ~ S ~ ~ s ~ ^ S ~' ^ s G U = Unsuitable for system ^ S Ud'U SOring # Horizon Depth Dominant Color in. Munsell ~ ~ 0•~3 ioYR 3 ; Ground elev. /oo •~-ft. SOIL DESCRIPTION REPORT Mottles Texture Structure Qu. Sz. Cont. Color Gr. Sz. Sh. L ~ S ~~ ~2~ Sig S s~ c. z~ ~IcL /fs Consistence Boundary Roots ~S C S d~. ~s ~s~ cs - .,~.~!_ _ Bed ,Trench . ~ , •S ~.. ~ . 3 .s ~ ~ . Z.. 3 (ssreo 'a) osea-nnaes s~aeulad •w • ~o3oef „~ ~ , . • ~~. IJH $ I ~~ `~'~v SOIL DESCRIPTION REPORT Page ~" of 3 PROPERTY OWNER Go T' 3 o ffAMho~a ~~ ~S S °g~ PARCEL I.D.S Structure 2 Horizon Depth in Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench . y : S ~ 2. ~ • , is ~oY2 3l ~o Y ! a O - -. G2~. h /oy~e ~lZ L.. ,S! L, SQL SGL fS tiEC ! fsh /f ~ h _ ae5 a2 ~ ~v~ ~~~, CS c s ~'S ~~ ~. -- ~ . . Z; . 3 • z ; ~ 3 ,r , ~•s Ramarks~ Boring # Ground elev. tt. Depth to limiting ,actor in. Boring # Ground elev. N. Depth to Remarks: Horizon Depth Dominant Color in. Munsell Remarks: Mottles Structure Consistensel Boundary I Roots "` Texture Gr. Sz. Sh. Bed , Qu.. Sz. Cont. Color ~o ~4 ~ -, r ' No, to T Lr'~v~. X53 _ _ G- ~ E ~ o~? s L~Q. ,a~r yaw ro LPN-~... ~'lov ~ ~G , yD ~ (d ~~ La r cv~~. o~ ~~Q~~ -ia~. 3 _------- 1 ~ ~ ~ • ~,' q1 3~ ~n 3 ~7a 0~ I G~. ~l _-- ~. ______ T ~~arx ~r s~~TZC TANK Mr.AZN'rBt~rArie~. At~r~F~r~ A~ O~Ti+t~RS~iII' Cg,RTIFICATIt?I~ Ft?Rivf a.~Tr~rratay~z I'~ ~ e, RECE VET APR 2 3 2002 ~T. CROIX COUNTY ~~~u~~ adar~~s Prof~erty Address ~ v y ~~ ~ v~ {G°cai~txttion zequired from Planning Degattment for stew ~.zly,'Stale ,~~ ` y ~/~ j' ~ I ~S ~/ i Parcel Ideuti~cation Number ~' Y ~ " ~ ®~j~ " j~ . -~t~ ~.,~~AX.. I)ESCRIPI'ItJt~ ,SW ~ -~/ _ ~ ~ T~N-R ~~~, Town ~f ~~/zt bv1 ~1 o r~ r~ ~£ta~}C7C1~ Loc3t10t1 ~~, ~ ~4, SeC. , ~j ~ ~ j s ~ ~ ~ 3 ~ ,Lot. # :~ ~' ~u ~~~~~~~ _ ~~ ~ .~ ~ ~ U t ~et'tified Survey 1~7[ap ~ ~, Vtiittme ___r____~ Page ## (~ <7 ~ G~ ~ r~ ,Volume ~~- Page ## ~' `ar><-aut}r Deed # ,~,_____.~ Iaause t~ yes C~ no Lot lines identifiaE~le Q yes C7 n4 ~YS'Y'EM lVIAIL~i'AEiad.A.~~ .improper use and mainteuanceof year xeptic system could remit in its pre-nature Failure to handic grasses. Propez ISIaIAtCn3ric[ cattsixts of ptrtnping out the septic taarlK every three years ar sooaeer, if needcdby a ~iicensed ptu, jar. it; hat you put into the system rtur affect ~e fauction of tlae septic m~ as a tteatmeAt stage in dac vrt:ste disp+~sal s}~stcrr. The pzopczty owner agrees to submit to St, Croix Zoning Degartutent a ce~cafioa form, sighed by the ©wner and by a an lumber, ICSft1CCCd.~lltll'3~.b°r OF a hccnscd UllIIIlTer gCilfy2n~ tit ~ I }the on-site wastewaferdisposalsyslem mastet'plurabcr, jo~trcyrn p is in propeF operating condition andlor (?~ after inspeciiou sad gutrrptng ~tf t}e~essazy}, tine septic tank i, less than 11~ full of sludge. Ilwc, file undersigned have read the atxrve zequimmcats and. agree to maurtatrt the pnvate sew age S~°~ of ~°7iscansin. ~Certifrcatio set fortis, hezein, as set by the DepartFStenf of Cotnnterce laid tlra I3egart3nent of l~Tatural Resources, :~~fiaiing drat yatrr septic s}~xtem has been maintainsd must be camplcted and retvrn:,d to the St. CFOit Cotmty Zoning Office within s~ days of dre three year expiration date. ~~ r 0 -y%~~~ ~~ DATE ~IGNA,~T.TRE ©F ApPLI~CA2~T +O~ItiIER ~:~R.'T'IFT4CATI~I~ ~,~ .; ~trt are the oSVacr~s) ~3t 1(we} certify chat ey s~v'rttree of a graFFanotS' deed card d in Regi i ~r cf I3eecir C}jff~ee. I ('•' _ ( ) tisc property dcscr~itsed abav , ~~~ ~~~ ~' - DACE V 54GNATURE OF APPLiCANr ~~~a«a Any isrfamtation drat is tabs-represent~d may result in t:ac sanitar-~~ esermit being revoked by the ?oning DcnsFtment, «'~'~*~* '~~ iuciude t~~tia this Rpglzcataotx: ~ ~ ~~f ~c ce~rt~i~ed survey ap f~rc;erc II eDis made iuo the •vsc:ani}~ d e,d U 1873P 281 • STATE BAR OF W ISCONSiN FORM 2 • 1998 WARRANTY DEED Document Number This Deed, made between Hammond Land, LLC, a Minnesota Limited Liability Company Grantor, and Peter M. Mderson and John C. Meyer Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: of ammond mks Subdivision,Town of Hammond, St. Croix County, Wisconsin Ea764 1 8 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO.r NI RECEIVED FOR RECORD 04-16-2002 8:20 A?I EXEMPpT i ~ D ,RECEIVE REC FEE: il. TRANS FEE: 74. CfiRT COPY FEE: `3 Z~02 PAGES: 1 APR 2 ST. GROIX COUNTY __ .___ -,.,LnNG OFFICE Name and Retum Address 018-1086-30-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions la warranties: Subject to notes, easements,restrictions,covenants and rights of way of record, if any, including but not limited to those for drdinage,water retemion,ponding,and or utilities as may be shown on the plat of Hammord 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 $24,900.00. Dated this 8th day of AprU 2002 . a AUTHENTICATION Signature(s) authenticated this _ day of r TITLE: MEMBER STATE BAR OF WiSCONSUd (If not, authorized by § 706.06, Wis. Slats.) THIS WSTRUMENT WA3 DRAFTED BY Paul A. BaiUon, Attorney at Law __ (Signatures may be authenticated or acknowledged. Both are not rtecessaryJ Hammond Land, LLC . by ~. President ~- . _. .Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ram_scy County. ) Personally came bet"ore me this 8th day of April , 2002 the above named Austin J. Baillon to me known to be the person(s) who executed the Foregoing instrument and acknowledge the same. ~~. ~ /•"^ PAUL A.BAILuON •PaulA.Baillon •,s'[ .;.;uy,r.r~~., cnrA Notary Public, State of Wisc irk '•"col.^,any~.• •. ~xPlars wl•snos My Commission is permanel a January 31 2005 ) 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED 9TAT~E R~111RNo.3'199a a1N INFORMATION PROFESSIONALS COMPANY FOND DU LAC, K7 aW.655•"021 • 64' 16 ,4 . ° o 16 N LOT 17 o N FT. 0 ~ 47,745 SQ. FT. 3 . :RES ~ 1.10 ACRES "' ;~ °i M a o ~ ~ ~ _164.64' - - w w - - ~ c~ 164.64' 0 0 0 N LOT 18 3 47,746 SQ. FT. M 1.10 ACRES----~ ~ ~ ~~F - - - - ~ 164.64' - -- --r=- ~ z -toot - - 150.21' ~ - - 170.21' - - - - o pct=-- - --} 20.00' 20' DRAT AGE EASEMENT °'~ I - - - - - - - I ; - - - ~ ~ ~ 6 , ° I r ~ I ~ LOT 33 j o N OT ~ N 2$0; I 144,500 SQ. FT. ` I I LOT 35 3 34 L 1 X 1.02 ACRES ~ 5,561 SQ.FT. N 49,361 SQ.FT. Ig I ,p6~, ~ ~ .00 ocres ~ ;~ 1.13 acres ~ ~ N ~ 2 ~ ~ LLI I , i N j LOT 32 ~ N' Q I I I ` 44,777 SQ. FT. I I = .~ ~ ~_____ ____ i ~ I 1.03 ACRES ` ~ 150.21' _ 170.21' ~ ~ °D n I I 51 256 ;~ J INT _ ~--- ----~--~-`~ 50'23'21"E 290.00' ' ~+---20' DRAINAGE EASEMENT ~ I I i / LOT 54 ~ I ~ I ~ " ~ M / 53751 S FT 0. T 1 LO 3 ~~ ~i 6e ~ 1.23 ACRES M ~' I I 44,640 SQ. FT. I ~ I rn I N ~~9 ~ 1.02 ACRES ~ ~ w A~ A~~ ~ • ~ fh N W .y ~ ~ 3 50'23'21"E 290.00' ~ ;t N a LOT 55 ~ 43561 SD.FT. N N . ~ u LOT 30 I ~, °; ~ rn I z ~ 1.00 ACRES ~ 0 44,640 SQ. FT. ~ I Z ~' ~' ~ ~' 1.02 ACRES 505'42' 42"E 299.98' ~~ LOT 56 43,603 SQ.FT. ~ 1.00 ACRES ~_ '23'21~"E 290.00' ~ LOT 29 I 44,271 SQ. FT.. ~ 1.0?_ ACRES 166.49' i j bb UU I ~ 302. C ;~ LOT "°o I °a 1~ I 43,931 LOT 19 I ~ rn N 1.01 A~ i N N ~ 48174 SQ. F 9 I w w I ~ Nti6~0 N 4 '" I N ' in ~ ~ 00 ~ ~ - --~ I Z Z ~ ~ L-- - - - ~as ~s ~l I ~.~w 50'23'21 "E 50'23'21 "E ~-- -- _ _ M o~ N ' ~ 492 I 1. -- -~ ~. I ~M °i ~` -~-----I - ' I 50'23'21" L~ 43,77 1.01 ' I 50'23'21 "E ~, I LO 46,496 I 1.07 J01 T 50'23'21 "E I I ~ LO I I ~ '~ I 46,498 ' ~ I 1.07 ~ SO'2: 1 "' ~ ~ LC N' I ~ 43561 33' 133' , N I 1.00