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HomeMy WebLinkAbout018-1086-32-000~(Visconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION 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 Lewis, Morris Hammond Townshi ST BM Elev: I Insp. BM Elev: ~ BM Description: 'ANK INFORMATION EL NATION DATA TYPE MANUFACTURER CAPACITY Septic ~l~ 1 O~ //_ V Dosing 1 ' ~~ `~ ~ ~ Aeration Holding TANK SEI~BACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ' [ ~\ ) 3 Dosing ~~ t.t U ~ Z ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~_L~O Demand GPM Model Number TDH Li1~•p Friction Los ~ •~ System ead co • sfl TDH Ft I •3 Forcemain Leng Dia. tt Dist. to Well ~~ SOIL ABSORPTION SYSTEM St. Croix NO: 429924 State Plan ID No: QSS~'1 ~ = T~cwlS . /.~ . Parcel Tax No: 018-1086-32-000 Section/Town/Range/Map No: 20.29.17.652 STATION BS HI FS ELEV. Benchmark OS Alt. BM . 20 0.2q ~ Bldg. Sewer b•2 / 0 .24 St/Ht Inlet ~ . Z , ~ / St/Ht Outlet Dt Inlet Dt Bottom ' f) ~~ 03. ~~ I Header/Man. 3,~s I ~~• Dist. Pipe ~ Io Bot. System '3 ~ Z (x.12 Final Grade q St Cover , Z, 0. 2 ' Ct~~/ • ~ I o9 • Z9 I BED/TRENCH Width ~ Length ~ No. Of Trenches PIT DIMENSIONS No. Of its Inside Dia. th DIMENSIONS ~ L'~. ~7 ! Z~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEA Manufacturer: INFORMATION C BER Type Of System: „ ,~`rA`v_w, _no[~J+ ~++ ~' I ~~ - UNIT I Number. t DISTRI~TION SYSTEM `~• la lb rx. ~ b¢~ . / S . ZO ~( S',Lb) c C~7 _ anifold tf t Distribution / ~ x Hole Size t ~ t x Hole Spacing t Vent to Air Intake ~O. 2 Z,f~. D P'pe(s)~~ c7 Z~ 2 I ' Q , D 2 _~ Length Dia Length is Spacing V SOIL COVER x Pressure Svstems 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 i~_) No D~/ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / 013 I pection _/ Location: 1616 86th Avenue.. 1H..ammondeW._I_54_015 .(SW 1/4 NW 1/4 20 T29N R17W) Hammond Oaks lot 2 Parcel No: 20.29.17.652 1.) Alt BM Description = ~t~•~ ~`~'~' S' ~l • ~,~~ f i 2.) Bldg sewer length = ~ 5 _ '' i p.~3 r -amount of cover = ~'i ~ ~~ fA~ ---- - -~ -- - '~1 -----~-- Plan revision Required? Yes No M Zit ,"7,d~ ~ ' ~ 't'7 ~N , Use other side for additio o i__ _ _i ___ ~ __ ~ ~ G t~- ,~ - ~-(~-_ -- --- - -- t-- ~--- - - SBD-6710 (R.3/97) -1 ~S ~.~ ~ Cfrt7LG~a Insepctor's Signature Cert. No. sate[y ana tsuuatngs litvt~tv,r ~ ~ I Zol w, Washington Ave., Y.O. Sox 7162 ~~~a~~~~ II Madison, WI 53707 - 7162 C (mss) 266-3151 ---__ . 7 CY4'~~ ~ c Sanitary Permit N~~r (to be filled in by Co.) 1 ~z ~ of ~ I De artment of Comrlerce Sanitary Permit Application 5 u: Pin LD. Number ~ ~~, In accord with Comm 83.21, Wis. Adm. Cade, personal infartnation ,you provide 0 ~ sj -. ~ ra!6b~~ "~lJ oect Address (if different than mailing address? may be used for secondary Purposes Privacy Law, s15 04(1)(m) _„_~, . - M- Print All Irlformatio ~ ' '.~ ~~ Pl i ~ ~ ease on - I. Application Informat ) ~ ~ (o ~ b O b ~ ' ~ Property Owner's Na me ~ ~ ~ 1'~ ' [ Parcel ~ L~'(o]t ~ B;ock ~ b d Property Owner's M ailing Address - ' ~ . _~ .~._-a~.,.._.. Property Location ~ n a-S G - Y ,'e/ly /}o ~ S _.- ~ SCrI ~j,UaJ Sd,stctian ~!~' l) 3 City, State Zip Code Phone Number f ~~~ ~ ! (circle } / ~~ /7 E~ ~ ~I N; R Tv II, Type of Building (check all that apply) oo ~ 5"'b""' '' nn -- __ tmber of Bedrooms ~ S~!~ ~ '"` Dwellin - N mil 2 F ~1 Sdodivision Name t.sivt Number k ~ , y g a or _.~ Public/Commercial - Descrtb Use ^ Srate Owned - Describe U ~ = 109•~(p `~ D ~l~ ~ • 3 ~ = la.q iCity_^Village~Tawnship cf~a! 2 'i 4. 'O III. Type of Permit: {Check only one box on line A. Complete line B f applicable) .652 O1Q'- Orb - 3Z.- ~ 'A' I ,New System L Replacemeuz S}'stem I ^ TreatmenVHolding Tate. Replacemrrc Only ^ Other Modification to Existing System _ i S. ^ Permit Rectewal ~ ^ Permit Revision ^ Change of ^ Permit Transfer to New ist Previous Permii Number and Dace Issued ~ L I ~ ~ ~ Before Expiration Plumber Owner ~ i , IV Type of POWTS Systems {Check all that apply} ~ ~ ~ ,.- ^ Non -Pressurized ln-Ground Mound > 24 in• of sui[ab4e soil ^ Mouctd < 24 in. of suitable soli ^ At-Grade ^ Single Pass Sand Filter ^i Constructed Wetland ^ Pressurized In-Ground ^ Flolding Tank ^ Feat l~'ilter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ~ Recirculatin Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Ofl:er (explain) ~~ V. Die rsallTreaitnent Area Information: ~ Design Ficv+ (gpd) Design Soil Application Rate(gpdsf) Disperse! Area Required (sfj Dispersal Area F'roposecl(sf) System Blevatian ~ i s VI. Tank Info Capacity in Tatal .Number Manufacturer I ~ ~ f ~ Prefab Site I Steel Fiber I p(astiC Concrete Constructed ~ Glass I I ~ Uttits Gallons o Gallons ~ New Existing j TahKS I Tanks ~ - ~ Septic or Holdlag Tank /~~` ~ r ~s e i~ /X.. ~ r_ ~ f eatmem Unit T bi ~~- ~- ~ ~' r e ~ Aero ~~~ ~:. ~ Uasingt/hamber G,j`O ` / i GU ~~-St°d'' ~ VII.' Responsibility Statement- I, the undersigned, assume responsibility far ' ation of the POVi'TS shown uu the attached plans. Plumber's Na me (Print) Plumber's Si gnature [e4P12S Number Business Phone Number ~ Plumber's Addre ss (Street, Ciry, State, Zip Code) 1 = l ~~ ~~ ~ ~~ rte' i~ ` ,~,y'o~ ~ VIII. Catln~ll3e artment Use ©nl ~{ Approved l ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signatu a (No Stamps) , i ! ~ Surcharge Fee) CF ~ Sri- ~ _ ~R ,gyp. ~ ~ o „_~~ l 1^ Owner Given Reason for Denial ~ L IX. Conditions oP Approval/Reasons for Disapproval n ' ,q-lt " I~ Imo- ~ to ~ owl ~~~~ ~ s s/et,~-~ M s~e,~ . ~- 5peu~i~ ert~ - tnn a.o 5 y~~_____- tom- 6:~. - , A~ch~om~3eiF planr (to tJle County only) for the system on paper not less than 8U2 x ll inches n size SAD-4398 {R. Qlf~3) - - (~ f -- - , .~ f. ~~ ,. ,~'j~ B-`~ti~z 1~ O ~ ~ J. PLOT PLAN Scale 1"= ~~p Page 3 of 7 ~01_~ _ a~~~ ~".2~~.Lz:.:loo, o 'ate '~L "r.:a- DoT _c,oc~v~2 3~f4-Z_NZ.tpl.~b k ~ ~ ,, \ ~3 - ~Z. / ~ ~l o `o~ BoTToh or- S rDtti6'.: - W ALL-~'o-l3 F 7 ~5 0' FR.u~! l~1(}(7r1~.___R.,~-- _C .. ~ ~ ~ ~~ • ~~~ ~ ~ ~~~ \~ ~o rvo'i' Go~P~°-~ OR t71STl~R-8 `~1'iS Rv'Z-~~"~ ~o'- ~~ `~ ~ ~i ~ y ~,' ~ a.3_ ~~ ~~ ~ , ~_~~~~ ~~o?~ u2 L ~~ yb - 3 \~ ` s F d 3b{ bF ~ V C ~. o __ ~ .~ ~D G. S l'TG3 ~ 1, l w t SO' ~0 ~~.~9 - --- - .- . ~ ~ -rot- R~~~ NOTES • __ - 1. Elevations shown are existing ground elevations unless othe 2. Install 4" observation rwise noted. pipes with approved caps. ( '~ required). 3. Septic tank to be lpno/(, So gallon capacity manufactured by ~v~ y ~Z CUv @.~Z~~ w ~- j god Z ~~ ~~ n. 4. bench mark; S ., ~ r4rt3 nv 5. Divert surface water around system to prevent ponding at the u hil r 1 site. s ~ ~scons~n Department of Commerce RECEwED APR ~ ~ 200? ST. CRO(~~ COUN~i~Y ZONING OFF_ I~OE 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 Jim Doyle, Governor Cory L. Nettles, Secretary Apri109, 2003 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/09/2005 SITE: Morris Lewis Residence 1616 86TH Ave Town of Hammond, 54002 St Croix County SW1/4, NW1/4, S20, T29N, R17W Lot: 32, Subdivision: Hammond Oaks FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 898204 Identification Numbers Transaction ID No. 855178 Site ID No. 657507 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 CO~J 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: DE 12TMI General Approval Requirements: N pp • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE COF "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • Per manual cited 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 POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTFIUR L WEGERER Owner Responsibilities: Page 2 4/9/03 • 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 83.52(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. • 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 c onstruction/insta Nation/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, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 4• TITLE SHEET Page ti of -1 ~ ' FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-10691-P and the Pressure Distribution I•Ianual SBD-10706-P (N.O1/O1) (N.Ol/O1) LOCATED Ii~t THE Svill /4 OF THE lyw 1 /4 OF SECTION ZO , T Z9' N, R 17 W, TOWid OF ~~-~y+,~yvlpyU~ ~ ~j~--, ~° ~ ~X COUNTY, WISCOPdSIid. LoT 3 Z o ~ ~-~-Wl~o1~ O ~S INDEX PAGE 1 of 7 TITLE SHE,:,T PAGE 2 0 f 7 SYS T EIS I•IAI~AGEi~ENT PLAN PAGE 3 of 7 FLOT FLAN PAGE 4 of 7 PLAN VIE[1-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI4PING CHAt1BER CROSS SECTION PAGE 7 of 7 PUMP PERFORI4ANCE CURVE PREPARED FOR ~`~~ZZ~LS Lk~tS- ----- ~EGElVE~ ~,5~° ~ ~~~~,~D s's~ s' ~~ ~~~ ~~~. PREPARED BY WEGERER SL7 I L .TEST = hIG AND . DES 2 Gfii S~RV = CE P.O. Box' 74 421 Id.Ilain St. River Falls, [•]I 54022 Phone 715-425-0165 Fax 715-425-6864 ona~, ~VEp COMMERCE AND ~ SPONDENC aPry iyi t WEGERE.~ i 0.015 P ELLSvY0R7H. Y+~~~ 4~i_~ ~~~ ! C r `~' _.~ JOB N0. D 3 -~ Mound System Management Plan page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code - ~` I 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. T erating condition of the septic tank and otjtlet filter shall be assessed at least onn,~P,VPrv '~ va~r~ h~, •^~p~ction. Th outlet felt shall be cleaned as necessary to nsure proper operation. The filter cartridge should not be removed unless provisions are ma a to retain so i s in t e tank that may s pug o e i er 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 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 fer vegetative rnainten2nce) 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 BODS, 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. Ge- Herat . This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual and local or state rules pertaining to system maintenance and maintenance reporting. -~3g ~ ~ ll~ boll; 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 forservice and assessment shalt 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. Contin enc 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 wastewafer or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing 6asaf area 'rf 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 -0ffice at _ ~ ~S -.3 ~~ ~: ~,~ ~D ~S-~, ~~~ . The system installer at _ 1(.~j - 3 g'6- 3 lZ~ ~' ~1r`~i1~YZ Z The tank manufacturer at ~00= 3.'ZS_d'~156 w~~f?lZ The effluent filter manufacturer at $-QO - Z Z~ - Slt-~,Z- Zt~'~3t~, The pump manufacturer at _ - -. _ _._~_3~__g Zt3- t{ _ ~,~ULDS __ __. a wt ~kZ !~ D J; X01 ~ ~ \~S~ ~ ~ E3w1a+ 3 yb\ ___--s vt-i W ~'Z ~~~ F Page 3 of ~ ~_ - ~ - - ?~ _ __! - t~~1t~3_ LzJt~.o 'o~ Bul1~--~ or- rDtn~6. _. _:: W ~t L `tU - 3 E -> _ S o' FR41 w1 w1 c}Urv1~ _ .( ~ ~ ~ 0~ ~G~ \~ s' \ ~ \~ ~~ - t_,v ~IJT ~~Q~'A-~ ~~ t~ t.STI~R~ `tbt'I.S A~v'~`'Q ~ .o'~ ~~ ~~ ~ \ ~5 ~ i \ /'6 ~\ ~~' ~/ ~ \~~ ~~' ~ 0 d yb ~ ' v Z ~y_ ~~ ~~ ~~o : Z"'~ cor-~ ~F G~ / ,.30-~~ ~~.%-~ / . ~„ ~ 3b` DF ~ rPV t' 0. Gpc~- . ~ 3 ~3UR:W1 ~E ;~ ~b G . S ~'TL3 ~ tr t W S0~ 1'1.1Cj ' ~ .. 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 tnno/6So gallon capacity manufactured by yv ~ ~ ~,Z CcJt~ e.~u`'1~ w / t4- t god Z-~6~c.. ~=-s ~~~ 4. $ench mark; S ~ ~ri3nUL S. Divert surface water around system to prevent ponding at the uphill-side. PLOT PLAN Scale 1"= ~?p' ., Page ~~Of ~ P_Pproved Synthetic Covering ~STi~ C33 Mediur•~. Sand Distribution Pi H ~ Topsoil ~• " ' ~~ ,3 E " i~ ~' / ~~ y %• Slope ~ ~ Distribution Cell of Force Main 2" to 2 i". 2agregate From Pump Undisturbed Soi( Plowed Layer D o-~3 Ft. E 1.~ ~ Ft. Cross-section of a mound system using F O,g Ft- . 2 cells for the absorption area G o.5 Ft. A ~ Ft. N t~ 0 Ft. B S! Ft . C ZO Ft- Linear Loading Rate= 3. q GPD/LN FT I ~ ~ Ft. Design Loading Rate= O- Z.GPD/SQ FT J ,6 F t. K 1 ~ Ft. Force Main ~ L ~ ~ Ft. W L} (~ Ft - L i I ~ f/ B-~ - K ~ - - --- - i~cc~-ss __..~=_== _- - ---~ox_ - C bse.•votio~ (dn c'~or Ssecvre2y] (.- _ -.-- -- • / Distribution ~ 3 n 1 pipe Cell of ~ to~ 2•~ . aggregate Plan view of a mound system usir~s~ 2 cells for the. absorption area G ;~ Elev"- X10 •Z. ~~ l o • Distribution Pipe Layout pave S or ~ .o Place the holes at the bottom of the distribution pipes . at~equal spacing. Remove all burrs from the pipe and holes. Extend tine end of each Iate~I up with the use of Ion` turn or 4f ° fitrng to a point withia six ~~ inches of the final made. Te.-minzte the ends of the Iate.-aIs with a valve; ~threzde3 caa or • threaded plu;. Provide access from final grade for the vaIye; threaded eap or threaded plus- Tit ~ l cr, L ~z~s s s`.;Zo ~y -' ~ L FVC ~ F`JC PVC Laterl ~ ~ Manifold r- Lateri '~ I x I x xlZ x!2 x x ~ s x Lateral Length -~ _ ~ Lateral Length - P ~ Lt~-t~ V ~ c~ _ P --~+ a- - ~-- -- ~~.~ hr,-UZF-~u i Y~R-~ ?'lt';11.~ P Z ~ Ft. S Zo Ft. X ~~ InchPs . . ;sCG-~s SoX - -o - -~i ' Hole Diameter ~~~ Inch~~ ~•~~~ Lateral " ~ 1 .InchEes) Manifold. 2• Inches Force Main " Z Inches - >~ of hole~~pipe 1 ~ - - Invert Elevation of.Laterals~l~•~3Ft. .Combination Sep.t,3.c~.Tank and PUMP CHAMBER CROSS SECTIOtJ ARID SPECIFICATIOUS ' PAGE .._ VEiJT CAP ~' WEATHER PROOF ~- ~UIJCTIO-J 90X . ua sP ~o>J P -aE wlrrczraetr ~ ~, .. ~ Approved/ joint w/ PVC pipe ti C.Z. VE1JT PIPC ~ lO ~ FROM OOOR, :iiAlDOW OR FRESH A~IUT~IKE --i .~ OF •'lPPROVED LOCKIAIG MAIJHQLE COVER ivl~l"l wAR.NI-JG 1.t~6EL.. RISER EXIT PERMIT(ED OIJLy IF TA1JK MAI~UFACTUR{~R Hq5 SUCH APPROVAL 3"ApFQo~tp • ~6FDt~ I NtR SEPTIC f DOSE TA~.1K ALARA'- PUMP SPECIFICAT101~15 MAtJUFACTURCR:w~~~~ ~UL°-R'~`?"~~ I~UMgE S ~~ TA1JK SIZL: l~C)O `6S0 R OF DOSES: PER DAB GAL.LOIJS MAUUFAC:TURCR: S•S-~Z•TTC_U S~S`~1~`a, OCSC VOLUME r IAJC.LUpI1JG 6ACKFLOW:_ ~S (,I-LLON,~, /"tODE.L 1JUM6ER: `~1 M"~ CAPACITIES: A. ~~ 3Z3 IuCHES OR GALLO SWITCH TyPC:__ ~~~JU(ZL/ ^~ g= ` AIS '-~~~~// ItJCHES'OR = L CEO V `Qg MAfJUFACTURCR: C= ~ . G{~LLO1J5 gs wC ~ MODEL IJUMDER: _ ~~ ~ ~ D 1 Z ' HES OR GtiLLOU„ ~ Z SWITCH TYPE: - ~~~--~Z-~'( = ~i GALLOIJS I~AIjCH~ES-~O,R T ¢ ~ WOTE: PUMP ~ b `~ M!-JIMUM DISCHARGE RATE ~-Z~ ~ ~ GpM AIJO A CA INSTALLED OAJ RM ARC TO b C SEPARATE CIRCUITS VERTIC>tiL DIFFEREIJCE DETWCEU PUMP Off Au0..DISTR,8UT10-J PIPE.. q'?3 FEET t MILIIMUM LIETWORK SUPPLY PRESSURE , . , ~ , ~- S O FLET CS,p x l~ ~~ 'f' ~S FEET OF FORCE MAIN X ~-~; F~oFLFRICTIOIJFACTOR.. 0~~, FEET TOTAL DyWAMIC HEAD =_ 6_~ FEET As per >~anufacturer ~~-D gal/in. Liquid depth 3 $-~ ~. . .~ .'-.I _~, r Goulds ~E ~10~ Submersible Effluent Pump ~~ 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/4 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 elastomers. • 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 capability: 3/' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. Discharge size: i'rz' NPT. • Mechanical seal: carbon- . rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. 1 • 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). METERS FEET 10~ 91 8 o , a W x U 6 } 5 0 J 4 F O 3 21 1~ 01 • 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- plasticenclosed 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. AGENCY LISTING SP• CanadianSfandabsAssociation (CSA listed model numbers end in "F"or "AC".) 0 i { I ~ I i ~ ~~~ I v' ~ '-~~'~R4 f-~5 , i ---- ' i -- - i I ---~--,~' ~l ~ ~ I ~ _:.s` _ ~ a 25 ~ __ ' ~ --- , ~ 20 I ! ~ ~ - - ! i b y f --- 15 ~ _. .. ~ i a , --j-- .EPOS; , 1U ! ~ ~z- ~i6 3 ~ 00 .. 10 20 3 0 4n sn • r_ou ~, U 2 4 6 8 10 12 nt'/h CAPACITY ~ 1995 Goulds Pumcs. Inc. r ~* Page / of ~. Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~' Labor and Human Relations -- Division of Safety and Buildings in accordant ~ IL~-TR 83.09, Wis. `~ ~ ~ .ST C/PO/•X.. Attach complete site plan on paper not less than 8 1/2 x 11 inches a FI mutt, oun include, but not limited to: vertical and horizontal reference point BWI};`directi~in attd ° ~ "'~ ~~\ percent slope, scale or dimensions, north arrow, and location a distance to neare3t toad. pa el LD. # O .. ~d SQ • E ~ ~.3m-.. "~ I d/ APPLICANT INFORMATION -Please print all information. ~ _ "' R8 sewed by Date Personal information you provide may be used for secondary purposes (Pri~t~cx Law, s. 15.04 (t)"(V^fi)~. LO Property Owner !1 l L7p L~Il9 ~ ~ d Property Location`, ,I ~ ~ V Q i `' ~ ~~~ `Goyt;;tpt' 1/4 /V~1/4,S Z~ . T'~ / ,N,R / 7 ! (or) W V Sd ~~ v~ ~ ~ ~ ~ ~ ~ ock# Subd. Name or CSM# Property Owner's Mailing Address 332- hiUN~5oT~4 5T >E~sr Iyo~ 3i i'FMMOND ~~'~~ City State Zip Code Phone Number Nearest Road ~ ~ ~- '222. • 5555 ~ city ~ Village Town ~ (~ d ST• PAUL- ~ NN. 5Slo i ((oSl ) ['Flew Construction Use: [fit-residential / Number of bedrooms ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~0 9Pd Recommended design loading rate • ~' bed, gpd/ft2 ~ trenct-, 9Pd~ Absorption area required 31 S-bed, ft2 3 7 trench, ft 2 Maximum design loading rate • 2" bed, gpd/fl2~trench, gpd/ft2 Recommended infiltration surface elevation(s) ~u ~ ft (as referre to site plan benchmark) ~- ttevvp SST. /P~'c~v<~~v Additional design/site considerations ~"~'f T ~ NI /~•- ft DlJtF~2 QFNS'Lr' 7'/~~f Flood plain elevation, if applicable Parent material /DE'S S Suitable for system Conventi~onal/ Moun In-Ground Pres~sur AT-Grad~e-, ,/ System in Fill Ods 9 C U = Unsuitable for system ^ S l.~ U S ~ U ~ S ~ " ~ S ~° ~ S BOfing # Horizon Depth Dominant Color in. Munsell ~ ~ o•~ ~~Ys2 3l ~ ~_ •l~e /6 ~(2 Ground elev. ~ p~~ft. SOIL DESCRIPTION REPORT Mottles Texture Structure Qu. Sz. Cont. Color Gr. Sz. Sh. .._. G / S k s/L /f sh ~--- i` ~ , c1 S/G L I •f S ~o ye4~Z Consistence Boundary Roots Bed , Tre ., a~ - t''' ~. _ i ~, '_ • L ' (96/80 '») OEEB-M413S :S~JEUlBd .ui ~oloel 6u13!w!I of 43daa r ;~ ~J/~ $ ~ i~O L ~~~ SOIL DESCRIPTION REPORT PROPERTY OWNER ~- ~AMMo~~ r9,4 ~S S ~gfl • PARCEL I.D.# L Page 2 of Boring # Horizon De th p Dominant Color Mottles Texture Color Cont Sz Q Structure Gr. Sz. Sh. Consistence Boundary Roots Bed , Trencl in. Munsell . . u. S 4 G ~ l fS ~ S C S . / 7 3 i v •~ io Y/2 3 . ~ ~ i ~0 3/ ~. -- ~ ~ sh c s - z ~ 8 . _ L 3 0 /~ ~ /C ' / Sti ~ a~ w Ground . 2 /D , ~ . O L S /p /L. Depth to 7-~~ limiting factor ~in. Boring # Ground elev. tt. Depth to limiting Tactor in. Boring.# Ground elev. tt. Depth to limiting 'factor in. Boring # Ground elev. ft. r, _ _..,..~.,,. Remarks: Remarks: -~ LoT 1 ~~ ~ o r 3 y) ~g ~ No . c o T' ~ , --~ .,~ / ~o u ,up So,~vEyo~'s ~~`, ~~3 Jl~ W LOT ~ D 1° ~1 ?~ ~'~~C~,= /O(.~~, ~ ~ ©T_ .~ Z ~yb ~, 3 ~ ?0 3 ~ ~- , -Fa v.c,1J ~, i, f3 . ~ ~ ~ CLOT' 33 ) ~s<~M ~ S~:hum~tkw_r- F1uml:,iriq (7wncrBttytr ,~,_, l~ialin,~ Address prcpeuty Arldraes F=+:* h-l0. ?i~'~?~~1~1 AF*-. :i.a 2~[9i ~6:31P~~1 F'1 s~r c:Ka~x c~c~u~T~~ SI~i~TIC 'I'A?tik ~A:~`T~tiA'JCE AGft~F:1~11v;~1T Ak'D or~luRSxiN c~RrlFxcaria~~ FoitM > is ~-,~ N F~c- -. --~._ /l~C ~L~.~c~ ~ ir-W- L' C" ~ _ ~/ ~-i. ~t r ~ tVerifioatinri required Prom Plauniag DepettxroAt far dew ~~L Ss-~ ~5 ~.~ +Citi~~St~te ~,~~~ o h`j parcel Ideati~catton Ntsmi~o T ~Z t~'`_ ~ ~-Porh+' Lacatida~.~.`... '~~ ~ ~v'Ji, sec, ~ _~ 1' ~,. ~ ,N•R 17 W, Town cu`,~'S`~ rn ~,~ Subdivician ~~ Certiiit~ $urve Nit # ~- Y P , ~olurne ~...., Pag+~ # ,~, ~,. "V~6'~rxso Did # 1 `~ ~t31 Spoc Itnu~ ~ yes ©xZt+ Let iinei;r ideti;i~a~?~r :~ yea :r :~ ~roP~ uu~ eedmaits~aatteeof your atgtic systa~s ceutd raault in its J3ten3a:tsre fa-i:ure to lu+ad?e w aetas< <'rope: maia~ra*~au:e aoasxats oFgg Dart the t~epSa tatNc evaty tfisoe yeetb ar soaaer> if neadrd by a Iiceosed put~~ar, Whet you dui istxa the s}~steca Cary ail9eeot thm l~nctiog of ther sepeic teat u a ~.tasatm~amc tract is the wasr 3i;pc~sa: systm:tz. Yho yQ'O,porty owrnetr agraee to submit to 5t. C:totx Zot» ~+partatsat 8 Cetsificsttua ~~sm> sigr;Y~ by tha c~wr~r ~ p~~ marter plw~bac, jattirtteyrnaa~lts~b~, renceedpl:z~r ara liccanfd pu:aper vsrify9ag tkat ~ ])the t~s:-gird uv,~atawasardi~pasai sy«it~ is in r Qpeea~ tarrdldoa aandior t2) after uz$pectio~n attdpum~riag (if nacearary3, the sels!ie tatak la less tIa>tm t/3 felt of 6lud~e. i~wo, tho titnderair~ned have road tbo sbave xequisrat~ts sad a~t.a tc raasintaist the privs~ aawega disposal eyste.^ evic`~ {ue stanalares set tbt'l~s, }~~ ae let by use Dopattaxa~t of Cottuttar~ ;at}!3 the Dtpar~t of ltiittlral Aea06tircca, Stei9r of Wiawr~,,in. Cersiticar:~~ aestigg char ygvt ~a ayeSeoi 1~ bees t~t+~saed meat be comp<eted and saaxnad, to the ~:, r,.`tatx Corry Zotwtg ~fr~ce within ,~c days of rile wee yax aspi~eio dnte. ~i ; ~~~~i ~ 3 Sl 'TC~ t~+ APPtdCA~l~"l' ~T~ ~--- '~i''rE'~~t Cam. nrrr..>rr~nw i (wed erg that •11 tf~purasa on thiu tbrtn are true to tha 2xdc of my (our) lr~+uwlotige. i (wc) am tare} t~~c owT~r~s ~ ~f cbe giapexty deaoeibed above, 6y vi.-tuz oP a warrs~sty decd r,eo,~rrd~d ;u ~rgirter of Ae~ds ~:fia~. r ~~ 7lJ ,u, : ~ ~ ~ /~',- ~3 stv og ~p~sc.~svz> x~A.r~ '"•"""* +~Y itsforraatian that u ~is•reptesanted staf result ~ t$8 a~ozitary pernit b4ir;~ rovel;ed by the Z:ani!~ ~eps.rat~cai:. •~*"y~ +~ ynaludo~ with tl~ia .ppltaatloa: u atarnpeu wertaaty dsod Pram tiu ~a~iste* ~f weds a~~e a copy eg the oetti&rd survey map ii ~efaraarra it made iu tha wartt~tY load ~~ u 2issP its STATE BAR OF WISCONSIN FORM Z - 1998 WARRANTY DEED This Deed, made between Hammond Land, LLC, a Minnesota Limited Liability Company _ -_ Grantor, arld Morris L. Lewis Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix _ County, State oC Wisconsin: Lot 3 Hammond Oaks Subdivision,Town of Hammond, St. Croix County, sconsm 7 1 4 9 3 1 KATHLEEN H. MALSN REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 03/28/2003 09:30A11 MARRANTY DEED EXElIPT t: REC FEE: 11.00 TRANS FEE: 95.70 COPY FEE: CC FEE: PAGES: 1 Name and Retutn Address Olg-1086-32-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subject to notes, easements,restrictions,covenants and rights of way of record, if arty, including but not limited to those for drainage,water retention,ponding,and or utilities as may be shown on the plat of Hammond Oaks Subdivision recorded in Vol. 8 of Plats, page 2, St. Croix County, Wisconsin. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed herein that being the sum of 531,900.00. Dated this 25th _ _ day of March , 2003 Hammond Land, LLC r W AUTHENTICATION Signature(s) authenticated this day oC , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) TH1S INSTRUMENT WAS DRAFTED BY Paul A. Baillon, Attorney at Law (Signatures may be authenticated or acknowledged. Both are not necessary. ) • by ~ fj~. ~ohL/~D7GPresideot . Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey County.) Personally came before me this 25th day of March , 2003 the above named Austin J. Baillon to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. ~..,A A./.~~,.,,,,,,~.~.,,~,,..,..,v,M,,,,,Y~.: • Paul A. BaillOn ~~:'v noTAer •~c_:c-rn,wNastilA . , ... aussiavrlceJaE51~1.-zooe Notary Public, State of Wisc~ns "' ,. My Commission is petmanefif.' n , s to expuauon date: January 31 2005 ) \~ 'Names of persons signing in any capacity should be typed or printed below Choir signatures STATE BAR OF W 19CONSIN WARRANTY DEED FORM No.3 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800433-2021 35.61'. 2.93 ~ 122.39' w w w w i 159.~6' OL. 2621 N89'~5' 2 3"E N 89'45' 23"E 86th AVE. ~, _ _ - - --~ - S89'45 08 W 1312.26' I ' UNPLATTED~LANDS ~~~~~'~ EAST-WEST 1 /4 LINE OF SE( Marion Standaert Subject: 429924 - Schumaker plowing Location: Hammond Start: Tue 8/5/2003 9:00 AM End: Tue 8/5/2003 10:00 AM Recurrence: (none) ~~