HomeMy WebLinkAbout018-1086-39-000/*
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety'and Buildings Division
- ~ INSPECTION REPORT
GENERAL~INFORMATION (ATTACH TO PERMIT)
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I.
Permit Holder's Name: ^ City ^ Village ^ To of:
Jacobs, Steve & Ann Hammon~~I'ownship
CST BM Elev.:- Insp. BM Elev.: 8M Description:
Twuv rwre~n~~wTrnw~ ON DATA
TYPE MANUFACTURER CAPACITY
Septic -a.~. ~p 6~
Dosing ~•et,~-' ~-S p
Aeration
Holding
TANK SETBACK INFORMATION.
TANK TO P/L WELL BLDG. vent to
Air Intake ROAD
Septic ~ yam/ ~;'~~ ~,~ ~ NA
Dosing ~ cr ~ I `L~r ~l "•`~D r NA
Aeration NA
Holding
PUMP /SIPHON INFORMATION_ _ ,.
~~~
i/.
Manufacturer (.'s~,~,Q~Ls ~`>~,~ errand
Model Number (,~~j3 ~~ ~ ,~~ GPM
TDH Lift ~~ Lriction 0,~ System`, TDH ~~•'~ Ft
~Forcemai n Length 3 ~. r Dia. h2 'r Dist. To We.
SOIL ABSORPTION SYSTEM
ELEVATI
County:
St. Croix
Sanitary3P~~r~8 Flo.:
State Plan ID33No11:
`f39~$Z
Parcel Tax No.:
018-1086-39-000
STATION BS HI FS ELEV.
Benchmark j, (00 I)I,roo QQ. )
Alt. BM 3,c~ o$.r r
Bldg. Sewer 6•~° o . D r
St / Ht Inlet '~ $. (ap ~ 03 ,p'
St/Ht Outlet's 9.,Oa ~aZ•~~
Dt Inlet '~ ~D.Zo )~~,ypr
Dt Bottom i3'~ 9~.~~
Header! Man. ~~~ ~ ey-q)~
Dist. Pipe ~`f°~ o~{. 93~
Bot. System ~,.•{} ~~-(.13r
Final Grade S ~„
St cover
B TREhlel~ Width ,
~ len th i
~S Of T
'
~~~
` PIT No. Of Pits Inside Depth
N I N I
t D M N I N
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC G anuacturer:
SETBACK
INFORMATION
Type O . - n
~+
? 3 ~
-- CRAM
O IT
Mo a Num er.
System: P/tA~ir 3 l
DISTRIBUTION SYSTEM • r/~ .~.~d_..-,~..,,,. ,>!s, I. ~-_.K P~i ~ v
Header / Man o d r<
Z
~ Distribution Pipes ~r /~
~
~ Hol Siz~
It x Hole Spacing
~ Vent To Air Intake
• O Dia.
Length O
Dia. 2. Spacing
Length3 $ oZ ~ .._-
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over h Over
Dept xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center a
Bed /Trench Edges ~ Topsoil ^ Yes ^ No ^ Yes ^ No
/",
COMMENTS: (Include code disSrepancies, persons present, etc.) ~"'tO`'r ~~r ~
Inspection #1: ~/ Zg/4 I Inspection #2: cj/0~
Location: 880 162nd Street, Hammond, WI 54015 (NV~' I/4 NW 1/4 ~ ammond Oaks -Lo
1.) Alt BM Description = t~.+oLl~.~* ~~/ 5~~~. -f'~. 5~ •.e ~ p~ ~~.p,,,,
2.) Bldg sewer length = 2`1 r, ~ ~ ~ ~.o.r•~-(..bp.,.~„„ ~t'~+
-amount of cover - ~ I g • r v
3.) contour = (~ . jQ• ~5~~ 6'O °~ fit' = toq•to) 4 ~ ~p,~ (~l~w~.~
`f~ ~~,~'a,.,~r~k,,•Y.. ~- 12 + Ssc~ C,ot.~Y! c'~f/ If's~t.~.~ .22- ~ I ~ t f
Pl~n'revis~ion ~quired~ ^ Yes 'R], No C~{ c
Use o er 'de f r additional i f rm tlQn. t ~Su'
~ ~ to Inspector's Signatu Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
I
E
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I
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S~ ~ `
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` Sanitary Permit Application Safety & Buildings Division
`
~
~- In accord with Comm 83.21, Wis. Adm. Code 20I W. Washington Ave.
PO Box 7302
,
`~s~onsin See reverse side for instructions for completing this application WI 53707-7302
Madison
aepartrnent of Commerce personal information you provide may be used for secondary purposes
[Privacy Law, s. 15.04(I)(m ,
(Submit completed form to county if not
state owned.
Attach com lete tans to the count co onl for the s ds 8-12 x 11 inches in size.
County State Sanitary Pe it Number ^ Chec f i'aYision to preps app ioA State Plan I. D. Number
I. A lication Information -Please Print all Information ~'~' ` ' 1- cation:
Property Owner Name ~ n ~ i ... ',., ~ ,
~ ~ 000 1
n Tii;.~ l .. ~
~~
' Perty 1 ~ on ,
~
z9
y
st
L
/~ ~ ,! C~GD S I/4 I/4 S
T
N,R >! or
Property Owner's Mailing Address v~i~N.y t Number Block Number
x /~ ZUNIMG OFFICE '~
D
'•• ~~
~
/J ~
City, State Zip Code Pfione~ u ~~ ~ Subdivision Name or CSM Number
~a ri~ ~~~ 5S 0 '~ (~~ ~~~55 f'/~~n D a S
II Type of Building: (check one) ~ ~
07~ I or 2 Family Dwelling - No. of Bedrooms: aS ~ ~ -' S ~-bcv. ~~lt'.d Pl~r 5 ^ City
^~Iage
^ PublidCommercial (describe use): `" ' "`4n °f ~ y~fjyl~~~
^ State-owned
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road
z~~60
w ~
`~/~
A) 1. [HNew System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel ax Numbers
~
' ~
S stem Tank Onl Existin S stem I' 000
-
O /$ - /D~
g)
^ A Sanita Permit was reviousl issued Permit Number
'10• ~. I-l bS`1
IV. Type of POWT System: (Check all that apply) 1` // ,
~
) ^ Sand Filter ^ Constructed Wetland
^ Non-pressurized In-ground lB'Mound~ K ~~'
^ Pressurized In-ground ^ Holding ank ^ Single Pass ^ Drip Line
^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other:
V Dis ersal/TreatmentRrea Information: S 3 D 3
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate .System Elevation 7. Final Grade
Re
q
u
fired Proposed /daylsq. ft.)
Rate (Gal
s. (Min./inch) Elevation
G',/(/
/ ~~ ~ '~
(/
l
/ ~D ~ /
~O / L~
~
a / A / i' V /O~ ~ 8V ~ /O~y~O
VI Tank Capacity in Total # of I.4anufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing Crete structed
Tanks Tanks
~tL
Se 7 , ~ /000 /ago o ~ ~ '
c15P. r.3 ^ ^ ^ ^
~~
VII R ponsibility Statement
I, the undersi ed, assume res onsibili for installation of the POWTS shown on the attached lans.
Plumbers Name (print)
~
v
l Plumber's Signature (no stamps): MP/MPRS No.
~ Business Phone Number
3378'
s
I
d ~r-
~ ~' -~ ~
z z OS l -.
7~
~-6~'
,~
U
.
vc ~ , .
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Plumbers Address (Street, City, State, Zip Code) I ~ /
~"~
~~D~v
~
~ ~
~
,
`^~
nom
1
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Gl~ J
Q
VIII County/Department Use Only
^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
Approved ^ Owner Given Initial Adverse Surcharge Fee)
~ 3 Z
S
Q U
Determination .
, z 0o V
IX. Conditions of Approva/l~/Rneasoyns for Disapproval: ~/ / / / I ~ J
~ 1vl,lA S f' //~t 4,~ ~ ~ `~ d 7 r/ s / ~ C 3 3 e ~l ~r~ 'f'~Iti~ l~ I i ~VI ~~7"i i~ J ta,C~o r ~~ S 3 2," /c~,6~ L i~dk ~ C6Wt~JOvi
~~Kk~l' r/ / / / /
~ w~u..5~` N"CCT a~ll/ GiP.~a~~ca`/C sc~ba~lc s oln ~0 f, ihG(Gc.d~~'^9 ~~c~~ c./~ s ~j s]~r~c c~li, r~ s o~.
re~'y~ 6U~Jw9 /ors tY~.SP w~.w1~- ~c ~ 33 ~ ~'P.•v- Lr~~ rig c .
e .~ ~ F-~ vw~- ~1 r 6rJ t Y ~ ~ i v, e .
SBD-b398 (R. 07J00)
isconsin ~°
Department of Commerce l -•
October 19, 2000
CUST ID No.220853
DALE E HUDSON
1416 220TH ST
EMERALD WI 54012
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/19/2002
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
SITE:
Site ID: 200179, Steve & Ann Jacobs
St. Croix County, Town of Hammond
NW1/4, NW1/4, 320, T29N, R17W
FOR:
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 765732
Identifica ' ers
Transaction ID N .439782
Site ID No. 2001
-> Please refer to both identification numbers,
above, in all corres 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 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 Wastewater Systems" SBD-10572-P
(R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems"
SBD-10573-P (R.6/99).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the
owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the
mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• An effluent filter is required. 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.
• 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. Stats.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
`'~~ ~ _. ~_ ~ l \ ~ Safety and Buildings
~~~ ,-- ~~ ~ ~ 4003 N KINNEY COULEE RD
~~ -./ ;,
~ ~;`; ' LACROSSE WI 54601-1831
REc~~~~EL' TDD #: (608) 264-8777
~,~,,~ www.commerce.state.wi.us/SB
2 .~ ~~~a Tommy G. Thompson, Governor
~ ST CgpIX ~ Brenda J. Blanchard, Secretary
,' zoN~rdoa~lc~~,
8
~~ ATTN.• POWTS INSPECTOR
*~ DALE E HUDSON Page 2 10/19/00
Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely,
•
Gerard M. Swim
POWTS Plan Reviewer -Integrated Services
(608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM
j swim@commerce. state. wi.us
DATE RECEIVED 09/30/2000
FEE REQUIltED $ 175.00
FEE RECEIVED $ 175.00
BALANCE DUE $ 0.00
WiSMART code: 7633
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
Project Steve & Ann Jacobs 3 bedroom residential mound
Owner Steve & Ann Jacobs
Address P.O. Box 13
Lakeland, MN 55043
Legal Description NW1/4NW1/4, Sec. 20, T.29N., R.17W. W,'~.$.
' ditionaily
Township Hammond County St. Croix CQi1 ~D
Subdivision Name Hamond Oaks Lot No. 39 RO~
TMENT Of COMMERCE
pEPAR ET 1lDlNGS ~
Parcel 1D Number 018-1086-39-000 plvtis~GNOF
Plan Transaction Number SEA CpRRESP ,NCE
Index and title sheet Page 1
Mound calculations Page 2
Mound drawings Page 3
Pres. dist. talcs. and laterals Page 4
TDH and pump tank drawing Page 5
Pump specifications Page 6
Site plan Page 7
Turn-up detail Page 8
POWTS management plan Page 9
Attachment: Soil evaluation report Page 10
Designer Dale song 1~ / ~ ~
Signature ~ G ' !V t~Gl~/'"'
License Number
Phone No.
220853
715-6843378
Date 9/19/00
~~
~~~
SF ~r''~~~~~
~~~ P ~ , ~_
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~~ / L' ,~w,9 ~ 4 ~.
~/ ~3 ~~1,
Page 1 of 10
MOUND SYSTEM DESIGN
Complete red boxes as necessary.
Residential or commercial? r ~ ~(r or c)
750 gpd maximum design flow.
Slope 4
Design flow rate .450, gpd
Depth to limiting factor 32 in
In situ soil infiltration rate 0.4 9Pd/~
Contour line elevation 103.3 ft
Use standard fill depths? x OR Design depth? ®in
Place X in box to use standard depths (24 and A+4 in clusive) OR specify design fi{V depth.
Orifice density 6.25 Orifices per ft`
Center or end manifold c ~° or e> Orifice diameter 0.125 in o.1zs, o.1se, o.1ss, o.z19, o.2s,
0.281, or 0.313 inch only.
Lateral spacing 3.00 ft Use 0 lateral spacing for trenches.
Estimated orifice space 2.00 ft Not a final calculation.
Number of laterals 4 Pump tank elevation 96 ft Outside bottom of tank.
Forcemain length 95.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only.
2.067 in Actual I.D.
SYSTEM SOLUTIONS
Design flow rate 450 gpd
Absorption cell
Application rate & area 1.0 gl~ 450.0 ft`
Linear loading rate (LLR) 6.00 gpd/ft
Design width (A) 6.00 ft
Cell length (B) 75.0 ft
Depth of cell (F) 10.0 in
Sand filter
'
''~~
Upslope fill depth (D) ~ #d
' in w
Downslope fill depth (E) ` 5~ in
Basal area required (gpd/infiltration rate) 1125.0 ftz
Supporting components
Topsoil depth 3.0 in
Subsoil depth at center 9.0 in
Subsoil depth at cell wall 3.0 in
End slope toe length (K) 6.86 ft
Up slope toe length (J) 5.10 ft
Down slope toe length (I) 9.00 ft
Total mound length (L) 88.72 ft
Total mound width (W) 20.10 ft
Project: Steve & Ann Jacobs 3 bedroom residential mound
Transaction Number:
DIAMETER CONVERSIONS
1 /8 = 0.125 1 /4 = 0.250
5/32 = 0.156 9/32 = 0.281
3116=0.188 5/16=0.313
~r32 = o.21s
~~
~~ ~
~~t-~~~~
Lr
4
Basal adjustment made.
Page 2 of 10
r C!LD?S PL13G & HTG Fax :715-t~zs~--: ~ < '~ Oct i ~ ' Uu 1 i ~ 52 F'U3
f~'RE8SU~E L~I'~'3~IU°'~"~~'~~~ ,~AI.CUtP..ATf+~N~
DlapMal cell
~ ~°niith t8) Q ~ tt
afiaAf specff(aotlOne
Numt~r lat4rels ~ ~"~-
l~atarAi lenptit (P) 37.t~fl
drlllOe dlamet~ t3, i ~~ °~' ~ ~
l.At. dia, rate .~._,~,.,_.,
ay. dls. rite , ,
[,tibl~l dl~metar p~ e~~+'. ;,4.t>. ^.a~a aisa.as
l~tace X It7 red
'X" one cholt;e t~,r~ ~n~'"'~".`.~ bvx o:r cho~cr~
Irom ftre vptkans t 9~;°`s°"`~'" : `~ ~ "~ dlemeter.
,~:~,:~::n,
NAanFllotd d111Meter Pip! t;;l ts,~c+, ~ ; .~~..~ oo,~an on~w
~«w~...__,.A.
'~C" one Ghoice d ~:~~ ..~,' ~~ ~ ~`~ ..~ Puce X in rad
hem fh® options t tr,2 ~ ~..._._ ~ .._, box of ohat3en
plevkYed. 29n ~~.Y,,~~ R dldmtter
~ ~ m ~;
.. ~ ..
DintdAution system r:°°~' ~~t~1~3}
f't~e+s tmrrttet lateral dlagtam by oflok{np In one o4 the dravsinl~~ et t4ry°~',i_ z ~~ dtiag~it~~ tf~a dltotgram Into lhls prs~.
Mw a~ tn~l n oonnrotion ~ e~. oc aorlt eo n+a+ifold aK any ~,
~ ~Turwyup+rFbNtlwJwe~ ~~
+m~woeautPtuO
MoIAS dtMwO on thtt bottom of tn~ t~tHat•
I.ator~l ~anpth (~)
lster~ll ap~cJng (3}
4~tttce >1Rpu1nQ (X}
Manltad I+angth
Orlfloe ~ameter
talteral dlunet~
Forcemain diameter
itilontio N
w~~ -,,._,,,~_ .1~C.
n:" :' 4: ° rawiE k ~c~rr aee8ln or fs`,+G 6d+ as
a ,.,~ ~~~,r~lt9'~e~4.30-5
~__._
R,
~~~
i1~1 ,
a. 4 .
.~.<
lir~j~t: E1t~8 ~ Mr- Jacobs S bACitbtant reelde~tta! I'r~~~ra~ P~t~e a o0 10
"SranSon iilumbar:
ti~~~! DTS PLBG & HTG Fax :715 6d4-~~~~ Qct i9 '00 11:32 P02
MOUND P'~~i ~'d . ~~
-...-~....--.•,~."... ~. ... -_,,~, a~awrvaMtcn piper (lypieply
1Ib ; .,,,, ::~ `~.-~~ -~ A `~ 6.00 tt
~ ~:?~;~ ,~~:: •. :;,~.~: ,~.•..,,~ ~ $ s 76.0 tt
:~:.:: ~~;~ .~.~_~ ,~ ~ 6.60 R
VY ~ ~ ~ ~---_. _ ~ (. 6.04 R
I >e ~e ~ 7.38 n
1/~~ ~ .l30 tt
tYP• vbe. plpe
~ (a!~chand eecurdy)
I =down eivpe dtmdn~lan ~ ~.!~ ~;~ ~:l! {~)
~ " up tlop~ dimentsion ~ ~ ~,,"trn~ci .,~ ~t.'clhi} ~W
K =end slope dimension Q..
11111J~~~ ~rl'aa<tl mw- z~r
top80fl Q ~ ~" ~~~4~"' rria~ ~ ~ B.A 1~
I~"~ir~!
ir~ve~:~ 1(M.30 ft- ----~ ~ '~"`-ti y~,~, F = 1Q.9 in
elm. •- - '•.,, C3 ~ t3.Q in
. T . .A51'M C'" . ~ H ~ 13.0 in
Q Sand ~°~f ''~ ~~`~,
1~~. U3.3C contour ~ `" `'~°`
•'
D " upslc~e flN depth ploa~i 2ey~r
t= : dOVVt'IWAps till depth ~~: ~twtet~clan oen metk® w;N c~il4f
F ~ ebeo~ptiOQ odl depth ~f a~ra~aska Acx) gllga wait iat®r>ata
G`i 90 lrt~l • I depth et c7B~l `.°~'~~ ~Dct~ei aar~om+~ Axe m~a. The cell
H ^ aubww011 ~- tbpe0i) depth s9 oe~t ~ri~' rruodia is,c~r~ wiHt ~aglextifa fatpt~-
T~+eg~g EiAi' f1+tlt~; __
~sten9 Ind tan to anm,~ Wtth stenderde >is epee ~-; ,~, ~w ~,~ .::••~~~ne5rttt ~Aanual _ - - -
~'i'O~~t: ~ttsve & Ann ,}sccbe 3 bedroom resideantiai r~:<w~::~
'~~neectien Number: ~e~ 3 OT 1 q
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 6.50 ft ~
Vertical lift 6.83 ft lp0
~~ Are laterals the highest point in the
re
"x' H
? Y
Friction loss 0.53 ft l e
es
system
. L_-J
Total dynamic head 13.86 ft If no, what is the highest elevation
Dose Volume downstream of pump?
Dose is > 6.15 times lateral volume Forcemain drain
Lateral void volume 25.4 gal back to tank? ("X' one)
Minimum dose 156.2 gal Yes
Drain back 6.1 gal No
Dose volume 162.3 gal
Typical Pump Chamber Layout
In combination with state approved treatme nt tank.
approved manhole cover with
weather proof
-~ warning label and locking device
grade levels junction box grade levels
disconnect -_
_
attemate ~
`~Y
4" vent pipe 300 and
elect [~
~" ~:~ E- outlet
Com 16 28 W \ \ ~ ~ location 18" min.
wall of pump
chamber or
combination tank
A
alarm on
pump on B
pump 97.3 ft C
off elev.
D
3 " of bedding under tank
Tank manufacturer Weiser concrete 75v gat.
Pump tank capacity 20.28 gal/in
Pump tank volume 750.36 gal
Pump manufacturer Goulds
Pump model number 3871 EPO4 o A
'~
c B
Alarm manufacturer Levelarm ~ C
Alarm model number DLV ~ D
Project: Steve & Ann Jacobs 3 bedroom residential mound
Transaction Number:
~- approved
~ outlet joint
Provide 1J4" weep hde or anti-
siphon device as necessary
Grade levels
-pump tank manhole = 4"
minimum above finished grade
- vent = 12" minimum
above finisned grade
96~ft Pump tank elevation
at bottom of tank
Inches Gallons
15.0 304.1
2 40.6
8.0 162.3
12 243.4
Page 5 of 10
Pump Specifications
;~~ H P
Up to 40 GPM
Discharge size 1'/<" NPT
Solids:'/a" maximum
Motor
Singe phase: 115V
Materials of Construction
Brass/thermoplastic
Features antl Benefits
•Top suction eliminates
impeller clogging.
• Corrosion resistant
construction.
•Float actuated switch.
I
/~&i~T!
.~ , ~~' o.
T~
_ ~
r MFIf R$ fFCT
25
' MODEL DVP03
p 6 2U
a
= 5
U 15
~ a
Z
„o
0
Q 2
0 5
~i
0 5 t0 t5 20 25 30 35
0 2 4 6 8
CAPACITY
a0 U.S,GPM
METERS FEET
Pump Specifications
°/la and '/2 HP
Up to 60 GPM
Maximum head to 32'
Discharge size 1'/="NPT
Solids:'/°" maximum
Motor
All motors feature ball
bearing construction.
Single phase: 115V
Materials of Construction
Cast iron
Thermoplastic
Stainless steel
MODEL: 3871
EPOS
EP04~
i_ I
50 U S LiiA
CAPACITY Z9 (/~p/M, Mi/r. Sk/~/O~y
FeaturesFeatures an[i `B-enetits
• EP04 impeller- semi-open design
uvith pump out vanes to protect
mechanical seal.
• EP05 impeller -enclosed design
for improved performance.
• Rugged glass-filled thermoplastic
casing and base tlesigr~ provides
superior strength and corrosion
resistance.
• Cast iron motor housing for
efficient heat transfer, strength,
and durability.
• Corrosion resistant threaded
stainless steel shaft.
•Available for automatic and
manual operation.
• CSA listed models available.
All Models are designed (or continuous operation and feature stainless steel hardware.
PQ . Cv 0 ~' /O
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• Prop. -~E.a~e-
^ .Soi( ~sa~'Ya~ia
~'~
Scale: / '= s!O'
v ~o' vo'
Proposed
3 bcdc-~gm
d.`..xNi n~/ W`pJ~ ~
~~ c
3~p..3o3y
~ buy l ~~
~-- Proposed -, od' s • k ~'~
d.
$ ~ ~~
o ~
AsT~rl 303'1 P./~. ~
Q,F~'luen~ /ine.
/'~J~_Pro~oSed 7S0 ~a.P.
f-um~ Cho-mbu.
Prop<is¢.d rvti ercnd at Zo•! X gEI7.Z
~~cyL~X95'a6sor~;oY+cell• Cblwr
,Z" ln~eraLs a~E 34 ~/6'r~/ %B '
pr;~yCes Q t zS ~~SiOetc; ~.
^
~ /so. ~~ '
~-
~i0 o{'j/'on /off
Sda.~. ,4sSu,mld ele/ _ /CY~.OD.~
1~, ~,rrt, : 7oi0 o~;~or
/o~S~• E/e~' = /oR1f
~a . 7a-F JO
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
The mound septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in
accordance with component manual SBD-10572-P (11,6/99). All local and/or state rules pertaining to system maintenance
and maintenance reporting shall be complied with.
No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic
and pump tank abandonment shall be in accordance with Cotnm83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components. Septic or pump tank manholes 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 failwe 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
Septic Tank
The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The
septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The
contents of the septic tank shall be disposed of in accordance with TJR 1 13, Wis. Adm. Code, by an individual certified to
service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment,
maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge
accumulation in the tank. The outlet filter shall be cleaned as necessary to enswe proper operation. The filter cartridge
should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed
from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of
biological or chemical additives to enhance septic tank performance is generally not required. 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 two 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 System
Trees or shrubs should not be planted directly on the mound. Plantings may be made around the mound's perimeter. The
mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic
(other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the
infiltrative surface within the mound and will promote frost penetration dwing cold weather months. Cold weather
installations (October-February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow
may not exceed maximum design flow specified in the permit for the installation.
The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of
accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the
initial test taken at the time of system installation to determine 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. Levels above 4 inches indicate an impending hydraulic failwe requiring additional, more frequent monitoring.
Contineency 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 become 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. Tce leakage will be eliminated by increasing the basal area of the system. Excessive
ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and
replacing said components as deemed necessary to bring the system into proper operating condition.
Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector.
Pg. 9 Of 10
,~
Wisconsin Department of Industry,
Labor and Human Relations
Division of Safety and Buildings
SOIL AND
in accordance;
\i .~,
Attach complete site plan on paper not less than 8 1/2 x 11 inches i fs' Plan ~~~It~r
include, but not limited to: vertical and horizontal reference point ( M~¢irection an
ercent slo a scale or dimensions, north arrow, and location and c~isiance tp ttiearest r ad
P p ~ .. ~ L~ rr 1. ') ~ ~~~~
APPLICANT INFORMATION -Please print a(l fnfor afion. c~~uNTv
~` 5.~)OFFICE
Personal Informal'an you provide may be used for secondary purposes (Privacy ~:~,
Property Owner ~ V M Q ~ e~ L>A~ ~ C d 1bpe y~~ at of
V ~ SD t't'~ ~~ 1') ~~ /J Lot # o Biock~
Property Owner's Mailing Address
33~- MiluNl~SoTA sT:. ~'~15T lyo~ ~~ 3q
City State Zip Code Phorie Number ~ ^
Sr• Pnv~ , l~l ~. i SS/o I -- ceS! ~z22.5555 ^ pity
TION ~
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eddy f~ ~(.9'I ~lnfe~t/~ I L~'~ ~b
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If ~MMOND ~/4'~j _ .
Nearest Road W Y l Z '
[}'(lew Construction Use: L7Hesidential /Number of bedrooms 3 Addition to existing building
^ Replacement ^ Public or commercial -Describe:
Code derived daily flow ~ gpd Recommended design loading rate bed, gpd/fib "trench, gpd/ft2
Absorption area required ~ 7S bed, ft2 ~ /~ trench, ft2 Maximum design loading rate bed, gpd/ft2 ' ~ trench, gpd/ft2
Recommended Infiltration surface elevation(s) S~ ~ ft (as referred to site plan benchmark)
Additional design/site considerations N~ ,/ ft
Parent material ~D es'S D (lF~Z ~FNS~- T//~f' Flood plain elevation, if applicable ---~
S = Suitable for system Conventi~onal/ rM~oun~ In-Ground Press AT-Grade System in Fili H^oldS g C
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CST Name (Please Print) RmB~RT' NL~R~G~T Signature
Date
Address ,n i r_ ~ d t e G C
Telephone N~ .~
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CST Number
2Z1~~7S
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UN $1 ~~ ~ ~'~~ SOIL DESCRIPTION REPORT
PROPERTY OWNER •
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PARCEL LD.M
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Page Z of
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Wisconsin Department of Industry, SOIL AND SI UATION
Labor and Human Relations ~ 1
in accordanc ,w,it ~.--IL is.
Division of Safely and Buildings
,''~ p
Attach complete site plan on paper not less than i3 1/2 x 11 inches i sips` Plan iw~ ~','~ ~?
include, but not limited to: vertical and horizontal reference point ( NI); fiirection and ' ~ ;
percent slope, scale or dimensions, north arrow, and location and nce t~ nearest r ad pal
i ~- ~> ~.~-><
APPLICANT INFORMATION -Please print all infornka~ion. , ; ;.: ~~aTY -~
yy~~,,~~c.,~~lc~
Personal information you provide may be used for secondary purposes (Privacy~w~s:,~5.hr//~
Property Owner ~ () N{ a l [gyp /. X1119 ~ ~ b , ~alae i ~ a o
t.! ~ ~d ~~ ~~ t `'a ~ - Lot # 01 Blockf
Property Owrier's Mailing Address
333... hiluN~SoTAI ST: E~15T .Iyo~I 3q
City State Zip Code Phone Number ^ Ciy
St• Pnv~ i 1~>u. SS~o I (roSl )zaZ •5555
ST: G~vi'JL
.D. # O
~~ R • gay
Page / of
• ,S'p • d'a
Date
I ~ ~ ~29
1/4 /V~(/1/4,S ~,Q T 29 ,N,R_ !' E(or) W
~ubd. Name or CSM#
~MMOND ~~"~j
Nearest Road w ~ ~-
9e . ~-,~"'n , !Cod
[residential / Number of bedrooms 3 Addition to existing building
[rNew Construction Use:
^ Replacement ^ Public or commercial -Describe:
Q Recommended design loading rate bed, gpd/fl2 ' ~ trench, gpd/fl2
Code derived daily flow ~_ 9Pd 2 ~ ~ C 2 -~-
Absorption area required ~_bed, ft ! trench, ft Maximum design loading rate bed, gpd/ft~ ' ~ trench, gpd/ft2
Recommended infiltration surface elevation(s) Su ~ ft (as referred to site plan benchmark)
Additional design/site considerations N/~,-, ft
Parent material IDE'~S ~Vr~ OFN,S~' ?'~//S Flood plain elevation, if applicable
Conventional Moun¢ In-Ground Press AT-Grade System in Fill H~oldS g TanU
S Suitable for system ~ ,--,` ~ U ~ S ~ S ^ S
t! Unsuitable for system ^ S LJds
SOIL DESCRIPTION REPORT
Structure GPD/f12
BOfing # Horizon Depth Dominant Color Mottles Texture Consistence Boundary Roots ged ,Trench
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh.
i / •!! ~o y~e 3 if 3 --- ~. i fsh~ S !v C S ~ f . `t ~ . s
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Remarks:
Ground l ~/
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Depth to
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CST Name (Please Print) Rp13~{zT' ~~t3R~ctiT Signature
~~s • 3 gG ~ ~$i g s
Date ~~
Address Q G~-. Z. 9 ~ Q 4 y ~ ~, l.0 3 7 5
i~
N uM $) ~~ L ~'~~ SOIL DESCRIPTION REPORT
PROPERTY OWNER ~~ ~ ~ S ~ ~ {~
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Mottles Structure
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Boring #
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~~
Page Z of
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' ~ ~ ST CROIX COUNTY
SEPTIC TANK MAIN~ANCE AGREEMENT
- OWNERSHIP CERTIFICATION FORM
Owner/Buyer Steve Jacobs
Mailing Address P.O. Box 13, Lakeland, MN 55043
Property Address ~~O (r.Z`"`I S~~tc+ ~rr-.~.~ l~,L
(Vcrificatioa rcquircd from Planning Department for acar construction)
City/State Hammond , W I parcel Identi&eation Number 018 -10 8 6- 3 9- 0 0 0
X.EGAL DESCI2IPITON
Property Location Nw ;, Nw y., Ste, 2 0 _ T 2 9 N_R 17 W, Town of Hammond
Subdivision Hammond Oaks Lot # 39
Certified Survey Map # Volume .Page #
Warranty Deed # ~z 9~ ~ ~ Volume ~~ Z Page # ~~~
Spec house ^ yes ^ no
Lot Imes identifiable. [9'yes ^. no
SYSTEM 1~ZAIl~'ENANCE
Icruseandmaiuzeaanoeofyoursc~csYstemcouldresaltmitspmmatarc~unetohandlewastes.Propermaiateaaace
consists of pamping oat the septic tank every three years oc it'aeeded by a licensed pumper. What yon pat into the system
-can affoct~the S~tioa of the septictank-u. a U~at stage in ~,e Este di_sposalsystcm. ~ .
Tl~ propafiy~ owacr agnxs to sulunit to St. tic "Zo~ag Department a .oatificatioa focal, signed by the owner and ~t a
P7phunbet; reshictodplumberori paarpccvrrifying drat (1) the oa~aite ~vastewatcrdisposal system
u m proper operating condition aadlor (2) altar inspection and p~piag.Cif noccssary), the septictank~is Less .than 1/3 dull of sludge.
. Uw+ey the +od have read the above nogcciremeats and agree to maintain t~nc private sewage disposal system wide the sian+dards
set forth, hcctiin,'as set by tine Department of Commence and the Department of AIatural
Resounds; State of Wisconsin.- Cutificatioa
stating flat your c has Boca ma_ sataiaed mmt be o~pletcd and returned to the St. C~oix.Coaaty Zoning Office widua 30
days of tine lion date.
10~~%~U4
APPLICANT DATE
I tall statcmcnts on this form are true to tlnc best of my (our)lmowledge. I (we) am (are) the ownu(s) of
the bona, by virtue of a warranty dcod rxorded is Itegistcr of Deeds Office.
. ..
SIGMA ~ OF APPLICANT DATE
«««««« ~y informntioa that is mis-c+epresentod may result is tho saai t ««««««
tart' pecmi bring nwokod by the Zoning Department.
«« Include with this appticatioa: a stamped warranty dad from the Regislcx of Deeds oflircx
a copy of the certified survey map if reference is made in the warranty deed
t 154?PA<< 38? `~o
UI:.
• ~ STATE BAR OF WISCONSIN FORM ] - 1998 6298+48
WARRANTY DEED KATHLEEN H. WALSH
REGTSTEk OF DEEDS
' Document Number ST. CROIX CO., WI
This Deed, made between Humbird Lsnd Corporation, a RECEIVED FOR RECDRO
Minnesota Corporation
-
34 AN
-2040 9
:
09-14
YARRANTY DEED
__ --... - ---
Grantor, and STEVEN L. JACOBS AND ANN JACOBS,HUSBAND AND EXEMPT M
CERT COPY FEE:
WIFE COPY FEE:
_ _ TRANSFER FEE: 71,70
-- RECORDING fEE: 10.00
-~--- - - FADE5: 1
Grantee.
Grantor, for a valuable consideration, conveys and warrants to
Grantee the following described real estate in St. Croiz
County, State of Wisconsin:
Recordin Area
Nsme and Relum Address
LOT 39 HAMMOIVD OAKS, ST.CROIX COUNTY,WISCONSIN
9 3 ~
~~}~- ~~ _l0
OIS-108(~-- 3q
parcel Identification Number (PIN)
This ~ ant homestead property.
(is) (is not)
Exceptions to warranties: Subject to easements,restrictions,covenants and rights of way of record, if arty.
The warranties of this deed, either expressed or implied are limited by the gramor to the
grantee, or arryone in the chain of title, to the consideration expressed herein, that being the sum of 523,900.00.
Dated this 7th day of SEPTEMBER
AUTHENTICATION
Signature(s)
authenticated this -day of
2000
Humbird Laud Corporation
by President
+ Austin d. Bailbu
ACKNOWLEDGMENT
STATE OF WISCONSIN )
ss.
Ramsey County. )
Personally came before me this 7TH day oC
SEPTEMBER , 2000 the above named
Austiu J. Baillon
r
TITLE: MEMAER STATE AAR OF WISCONSIN
(ICrwt, _
authorized by § 706.06, Wis. S1a14.)
THIS INSTRUMENT W.AS DRAFTED nY
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
to me known to be the person(s) who executed the foregoing
instrument and acknowledge the same.
~~ PAULA. BAILLON
' Paul A. Bailloa " ` IgrARY PUBl1GI1MV SOTA
No[ary Public, State of Wiscons ~10N ~~s'-sl-a°os
My Cornmission is permanent.
January 31 2005 .)
'Names of pe[sone aigniag is any capacity should be typed or printed below their signatures
aTAT¢ tAR O¢ WIaCON91N
WARRANTY a¢ED FOlibr No.1 • 199a
INFORMATION PROFESSIONALS COMPANY FOND DU 1.AC, Wf 9ob655.2021
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• 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:
•'/3 and % HP -16/3 SJTO
with 115 V or 230 V three
prong plug.
• 3/a-1'/z HP -14/3 STO with
bare leads.
Three phase:
•''/z-1'/z HP -14/4 STO
with bare leads. On CSA
listed models - 20 foot
length SJTW and STW
are standard.
3885
APPLICATIONS
Specifically designed for the
following uses:
• Homes
• Farms
• Trailer courts
• Motels
• Schools
• Hospitals
• Industry "
• Effluent systems
SPECIFICATIONS
Pump
• Solids handling capabilities:
3/4' maximum.
• Discharge size: 2"NPT.
• Capacities: up to 128 GPM.
• Total heads: up to 123 feet
TDH.
• Mechanical seal: silicon
carbide-rotary seat/silicon
carbide-stationary seat, 300
series stainless steel metal
parts, 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.
Motor
Single phase:
• '/ HP,115 V, 200 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.
• Built-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, fnc.
FEATURES
^ Impeller: Cast iron, semi-
open, non-clog with pump-
out vanes for mechanical seal
protection. Balanced for
METERS FEET
r 9oi
25 r 80
70
Goulds ~~~ 6 °~ 6
Submersible
Effluent Pump
~~ r
l.`~J
smooth operation. Silicon
bronze impeller available as
an option.
^ Casing: Cast iron volute
t~jpe for maximum sfficienc,.
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. Locknut on three
phase models to guard
against component damage
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,
-Y~5 GPM
s Fr
can be operated continuously
without damage.
^ Bearings: Upper and
lower heavy duty ball bearing
corstruction.
^ Power Cable: Severe duty
rated, oil and water resistant.
Epoxy seal on motor end
provides secondary moisture
barrier in case of outerjacket
damage and to prevent oil
wicking.
^ O-ring: Assures positive
sealing against contaminants
and oil leakage.
AGENCY LISTINGS
SA Canadian Standards Association
U~ Underwriters Laboratories
SERIES: 3885
SIZE: %' SOLIDS
RPM: VARIOUS
20
a so
W
2
v 50
~ 15
a
Z
0 40
a
a 10 30
`~ lj.'~ 5 0
ol_ o ~ ~ ~ ~ + I ~
0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM
0 ` 10 20 30 m~1h
3~ • 3 ~ ~ cnPaciTv
P "'"
' Effective May, 1995