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HomeMy WebLinkAbout018-1087-60-000~~t of Commerce PRIVATE SEWAGE SYSTEM vision INSPECTION REPORT tNFORMATION (ATTACH TO PERMIT) ,nation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. per's Name: City Village X Township nbaum, Ro er Hammond Townshi sM Elev: ' Insp. BM Elev: ' BM Description: s-~ ,~-~ ~l ~ /DU io ~ ~ - - tANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing / '' ~ V'~/ ~ ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD b ~ Septic x / .(- U i 2 ~ ~ ~ Dosing Z' Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demand ~~ GPM Model Number ~ ~'\ i L I ~ TDH Lift Friction Loss System Head TDH Ft ~p.rl 3 . . S • 1 Forcemain Le th / Dia. ~ r Dist. to We11 d v cs; rJ ~ avt~ ~-tsa~tcr t t~rv a r a i cm BEDITRENCH Width Length No. Of Trenches DIMENSIONS / / ! V f ~ ~ ~~ SETBACK SYSTEM TO t vv P/L BLDG V INFORMATION T e Of YP Y e~l Uvr' lY ~~' ~~j DISTRIBUTION SYSTEM TidO n~ >M.~~ „~ d County: St. CrOIX Sanitary Permit No: 405172 0 State Plan ID No: Parcel Tax No: 018-1087-60-000 STATION BS HI FS ELEV. Benchmark !r b / `l , + • ~ lDC ~. ~ ~ a~ Alt. Bo o~ -~~.. '~ 33 1 d 2 •l 3 Bldg. Sewer ~t3-v SUHt Inlet . ?2 X12-e St/Ht Outlet Dt Inlet ~ Dt Bottom (3. ! ~~ Header/Man. Dist. Pipe~pTs 0 • v 0 `7 8. 7 Bo ~ y$stem a S (~/, ~/ 3 0 G~ p / 0~ U Final Gfad~S~ ~ ~q• st Cover •D~ ~ 7~ -7 v~~ OR Inside Dia. ~~ n ~( ra..,0 C~ Header/Manif / Length~_ Dia ~ // Distribution ?i / ?~ p Pi ems~}} i L~figth~_ Dia f ~ Spacing ~ x Hole Size ((// ~ O , x Hole Spacing L/ ~f [.~ v Vent to Air Intak b'~al-/!~ SOIL COVER x Pressure Systems Only xx Mound Or dt-Grade Systems Only ~~ ..d-:,0.. _ /~Aa ~ .~P,w Depth Over ~ Depth Over xx Depth of xx SeededlSodded ~- xx Mulched ~ BedlTrench Cente~ ~ ~'Jo~"- Bed/Trench Edges Topsoil ~' r Yes o -~ Yes No ~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: y /~p/ U~Z~ Inspection #2:~/ /~'~.~-~ Location: 1628 86th Ave Hammond, WI 54015 (SE 1/4 NW 1/4 20 T29N R77W) HammondOaks~t~0- - ~~ Parc/ell No: 20.2. . 80 t.)AItBMDescription-rpQ~~+ ~JQ/~,, ~ rto G~A~~(~~ 5<<~ir~"ry ~0'n~ p~u.rdv-1g 2.) Bldg sewer length ~ t J _J -amount of cover = r, r ~ 3.} Contour = Gj -, _ O~/ _l _ _ - -- - I _- , __ Plan revision Required? ~~ Yes ., No ~` ~ ~ G~'(/jrl/j" ~ l! ~'~~~ Use other side for additional information. _ F' ~D _____ _ __' _ ~_1__. .. _ _ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) " Safety and Buildings Division C~tY ~~ ~ ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 Uw /~ ~COOSIO Madison, WI 53707 - 7162 ¢ ~ to A` D¢ artment of Commerce -2 y/ 5~ S/7d c~ c~ i ~2 ~J v Sanitary Permit Application Sanitar,, Pe t Number ~ ~ ~Z In accord with Comm 83.21, Wis. Adm. Code, personal infonnadon you provide ^ Check if Revision ma be used for seco sea Priv Law, s15. 1 m _ I. Application Information -Please Print All Information Sta umber Property Owner's Name 8~~ ~ ' ®~ • l~ ~T. ~Q„~~ - A~,~ ~ z~ - z~- - 6 ea Property Owner's Mailing Address oc Property L ation 2cv~ ~ 1 D 6E ~ ( / A ' ~(~ ~ ~~ Nti/' e Q T ~;s N. R[ ~ City, State Zip Code Phone Number Lot Number /' O Block Number ~~ ~ ~~~ ~ ~ ~~~ c~-~tl/~. C. ~~ Subdivision Name C~7o~i~btr e~ o II. Type of Building (check all that apply) 1 200 ^C;ty ~1.or 2 Family Dwelling -Number of Bedrooms ^Village ST. CROIX COU Y ^ Public/Co rcial -Describe Use n_ ~~0 ~~ ~Lownshi p ZO N I p /T r rt ^ State Owne ~ 1 ~ • ~ Ne rest Road ~ ~ ~) ~ n r {'~ I GJN~.1C. ~ ` 0 . '~ of rmit: (Check only one box on line A (numbering scheme for internal use). III. Typ e Complete Gne B if applicable) A' ~ ( 1 I~1 New 2 ^ Replacerrient System 3 ^ Replacement of 6 ^ Addition to Foc County use. S stem Tank Onl Existin S stem • B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued lV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) _ _ 44 ^ Non -Pressurized In-Ground 21~Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Bolding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V, Dis ersaUTreatm nt Area Informat ion: esign Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate ystem Elevation Final Grade ~ C Reed os ed p Pro~ Rate(Ga1s./Days/Sq.Ft.) (Nlin.lInch) ' ~ ~ Eleva ti on~ j~ / ~/ ~(~J ~ `~ "1- / ~j~ j ~ C/ ~ CJ / ~~ ~ / t ~ / ~ /V C/ c ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Zt~ _ i _ f~Qi.!~/~ W G 7 Dosing Chamber ,t,,,~` r~ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of We POWTS shown on the attached plans. Plum 's Name (Print) ~ Plumber's Signature MP/1vfi~R6 Number Business Phone Number ~~~, /~,ll~{d 2Z~ 7 ~73- Plumber's Ad/dress (S/treet, Cxiyty~, State, Zip Cod ~ `~ ~ 1..(..~7 ~(.~` "2 GC> VIII. Coun /De artment Use Onl Approved ^ Disapproved ~tarY Permit Fee (i~ludes Grouffiwater h S Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse . urc arg~ee) _ fp ,~ Z S r / Determination . 2 17f. Conditions of ApprovaUReasons for Disapproval f1 ~ ~ ~ttiat~ rl~s . Attach complete plaru (to th County ody) for em on paper not lea thaa 81/2 z 11 IncLa}n size «.~ Ste- lt;-~S ~ri= ~ l~` lw~ :•. a~~.«t' k-ca~''~''^~ `~~iur. ~aGs+tY'h, ~~... SBD-5398'~R~fS/bl) ~~ ~< ,~~ ~,,,.. ¢t PLOT PLAN ~/~ ~ y O ~• Page 3 of 7 Scale 1" -' V Do NU7- CUMPALT orL O>s}vRJ3 `RF19 F'rWFA l ~.t. LUU•0` oN `NP OF Gov s~k~ • 131"1 t'F 2, - C~2._ 011.10 GRUUM~ ~T1-2~1. 19fi ~f t`7-~UW Sl'fi l-US Wz a a~ X15 C.O w.llpufZ . ~l-1, p ~ ~ of aYtC.. 29' ISZ.. °1-1.1' ~5 • J I ~~ I I~ ~ I II s ~t, i , J L q5 4 ,z II it I I = it '° (I I ~ ~s ~- ~3~ a,A~' S10F2,4PVC F.1y, ZO' O F v'1 Pvc u 6DWy ~+o-V1e 6~ wT lS w~i,L to 6E 3ov`R} LoT 61 UR ht'UI~SET• -_-_ 350` l~ 16Z h S~'. _ g _ 67Th 11V~, _ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2, Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be \2~o/9op gall capacity manufactuy~ by w~~s~tz Cu>JCCz~ w/ i4-~ ~~BFL PI~Tl~2 (/ 4. Bench mark 5 •, SNF /j-~pVE 5. Divert surface water around system to prevent ponding at the uphill side. a ~ ~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 Edw. Albert, Secretary May 31, 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: 05/31/2004 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Roger Karshbaum 86TH Ave Town of Hammond St Croix County SE1/4, NW1/4, S20, T29N, R17W Subdivision: Hammond Oaks -lot 60 of ls` Addition FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 854041 REC IE V ED ,UN 0 ~ 2002 ~T. CROIX COUN TY ZONING Oe 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 Conditions: • 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). • 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. • 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. Owner Responsibilities: • Comm 83.52(1)(a) -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). Identiflc rs Transaction ID o. 754499 Site ID No. 64545 Please refer to both identification numbers, above, in all cartes ndence with`the a enc . I? O.W. S L`pnditioytull - -- - -~' L ARTHUR L WEGERER Page 2 5/31/02 Owner Responsibilities Continued: • 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. [n 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 slats 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, !~ Gerard M Swim POWTS Plan Reviewer ,Integrated Services (608)789-7892 ,Mon -Fri, 7: l S am - 4:00 pm jswim@com merce.state. wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (71S) 726-2544 ___ _~. TITLE SHEET FOUND SYSTEM FOR A L~. BEDROOM RESIDENCE Page ~ of ~ This plan has been prepared in accordance faith the Mound Component P4anual SBD-105 7 P and the Pressure Distribution Manual SBD-10573-P CCZ_ blgq C1Z. bl4q~ LOCATED IN THE SL 1 /4 OF THE NW 1 /4 OF SECTION ~ , T Z°1 N, R 11 6,T, TOT~Ti1 OF l~wv~lu~.-~ ~ ST'. CR..C~ `k COUNTY, WISCONSIN. LuT ~v of 1-4->g~wiUivD pr~~s 1 sr-,fib-. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEIi riAI~TAGEi~ENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEt~-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI4PING CHAPiBER CROSS SECTION PAGE 7 of 7 PUriP PERFORI•iANCE CURVE RECEIVED PREPARED FOR MAY 2 4 2007 Ro G ~~a _~C~1-tz;s 1~-~ +~=v ~i--- SAFETY & BLDGS DIV, ~c~~ ~ w>. s~ ~ L? PREPARED BY WEGEF~EFZ SO S L - TEST ~ NG AND . DES 2 Gi~i SERV = CE P.O. Box 74 421 Id.~fain St. River Falls, tdI 54022 Phone 715-425-0165 Fax 715-425-6864 ~.~- r r~~ 1l't C~ DEPARTMENT OF COMMERCE OIViSiON OF FET~Y~AN Bt11t ~-;!~S ~~ I% " If~.w.. ...~.~ ~' . ~~'~ narr!U~ ~ r WEiiEP,ER o-v~s r EILSWORio., L~SIG:~~ S-Z3r0 T JOB N0. ~Z-~~ ` 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, Slats. 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. Th outlet fill shall be cleaned as necessa to ensure ro er o eration. The filter cartridge should not be removed unless provisions are made to retain so i sin the tank that may slough 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 System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] 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 for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaency Plan 1f 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 ~~-3~'~i- ~Lh8O S''i L°.1ZU1.X The system installer at ~-1LS -Z~3-1(,~ ~ yU~,gyyV The tank manufacturer at $pp _.3ZS_ $~(.S(~ -tiLLS~tZ The effluent filter manufacturer at ~t) ~Z~[. SZI.[.z, Zt'rR~2: The pump manufacturer at --- ~ ~ 19, -~~'- >.t~,y Y~I~i~S ' ~ •~ / PLOT PLAN • ~ Scale 1 "= y D '. v~ ~ b vJ Ur e-t~~tPR~~' o~ ~ts1vR R 'ft~-tS A i~SA - Page 3 of 7 l ~,t, 10U.0` 0~1 `CUP OF GIZJ~~ `3T~tk.L• • - i31'"1 if - 2.. - L'~-- ~I~• ll~ G i2.UUM~ ~1.~1. YET ~1 ~-t_C)W S 7~-1L }t-2 ' ~~ ~ q5 CU ~`tpV2 ~ . ~t-t, b ~ ul1-u--t o~ ~L, l ~S, I ~~ ~ ~~ ~I 5°~0 ~ i~ /~ I is .Z ~ I (i _~_ II ~ II ~_ ~s ~_ ~3, a.3 • ~ 8+~~-I S gS~oF-Z4~vC F.ry. _ ~+' ~5 ~-d'o~ • 4'~ Pvc ~~ g1~R-y ~1~1~ 6 P~ J q wT L°I U~ ~11~S~ . 3S0 `~- ~ 16Z, h S'T`. _ ~ ~ 6 `tli- ~ v ~, J J LbT b 1 Pane ~ Of ~ Approved Synthetic Covering AST>K C33 Medium. Sand Topsoil •L -Ji ~ E 3 i ~ S °J° Slope Distribution Cell of Z" to 22" Aggregate istribution Fipe :: I D e Force Main From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rzte= 6-~GpD/LN FT Design Lozding Rate= v_3?GPD/SQ FT ,A-a-~n~+n v~~ on -~A-i"E?-Ci1e~,-r- L A ~ Ft. g 1 ~o ,,~ I ~ ~ Ft. J ~ Ft. • K ~ Ft. L alb Ft. W Z3 Ft. G Eiev. ~`1..~ Flowed Layer p y ,~ Ft . E \- ~Ft. F 0-~ Ft. ~o•SFt. H \~0 Ft. . ~} -Observation Pipe _ 8 ~ K- (- ------ ----- ---I ~Aectss -------------- ------------- O ----- 3oX A ~~~6 _$ - _~.-_~ W ~~ -J' "' - --' Force I Distribution ~-- Cell of %" :~~ z to 2 z Pipe ~ ~ aggregate . Observation Pipe (2-ac~br securely) PLAN VIES OF A MOUND SYSTE:4 Distribution Pipe Layout Pale S of `1 Place the holes at the bottom of the distribution pipes at~equal spacing. Remove aII burrs from the pipe and holes. Fxtead the end of each late-aI uD with the use of long turn or 4f ° ftrL:nQ to a point within six ~~ inches of the final o*ade, Terminate the ends of the late.-aIs with a vaIva,.threaded c~ or . threaded p1tL. Provide aces from final grade for the valve; threaded cap or thre: ded plus. - ~ ~t ~.1 cr, L LAS s _s--, ;Zg FVC ~ F~J~ PVC Laterl 1Nsniiold Laterl x x ~ x ~ x ~x~ ~~ ~ x j x ~ x ~ x ~ ~ . L3terai Lertath -~ ,j_ Lateri~Lenath - P 7 P -----~+ c- _ G- -- I -`'~r"J1FJ~= ~°~' ,`'rC~'=`c 54X -~ '-~ P ~°~ Ft. ~ - Hole Diameter t/S Inci~~ ---~ S 3 Ft. ~ ~ Lateral ~ 1 <<~ IncfiEes) X ~ Inchps Manifold ~- Inches -- ~ ~ Force Main " Z Inches - # of holes/pipe Z S - Invert Elevation of.Laterais gB~Z Ft. , ~-5~~~ ~. ill = lb.ZSx ~ _ ~l i. [) Gary _ .. _. .~ - Combination Sept,3.c~.Tank and • PL1~MP CHAMBER CRO55 SECTIOIJ ANO SPECIFICATIOIJS ' PAGE ~ OF . - . _. . -VEUT CAP ~ . WEATHER PKOOF • JUIJCT101.! 80X . 'i~C.I. VElJT PIPC ~ APPROVED LOCKIh1G ~ 1Q' FROM DOOR. MAIJHOLE COYER wl'M :lll,)DOW OR FRESH ~ wARtlll.lG ~.f4gEt_. uJ3P~o1J PIPE R IIJTAKE 3: cor.,cutT w !tl-t.tZr s ttT- Grp ' Fl IU LS!}© G QfiD E r IS"I'llA.l. IAILET Approved joint w/ PVC pipe • •• ~ t ~ I {,`.mow. ~.. ' ~ Y"HI1J. G!. -1 f I +-~ ~ PROVIDE I ., ~~'' "' ~7""AlRT16HT SEAL I III I i -- e ~~~~, I i I z~8~ ~ 1~ ~ -. A I I I . I III ~1-~0o I II a ~I II ALARx I I I i ou c 'I I . .~3 F LLEY. T I - J PUMP-~ - OFf • ti 0 COIJCRETE ~, p`8. Oa'~ ~ 1' ~ BLOCK V Approved joint w/ PVC pipe ~- RISCR EXIT PERI'tiIlTED OIJLy IF TAUK MA>rUFACTURi`R HAS SUCH APPROVAL~3NAp~EL BED+~!>v4 SEPTIC F ~ SPEGIFICATIOt\JS DOSE T/.IJKS MA>,.IUFACTURCR: ~~~~~ C-~C~7~' IJU.MBER OF DOSES:. S` I PER DA: TAit1iC :,IZ1<:- ~.Z-L11~ ~ X00 GALLOkIS DOSE VOLUME r • ALARYI LD MAUUFACTURCR: _ S S~L~-~~~ S~2S`I~Ig I~CLUDiAJG 6ACKF W: ~ `33'~ GALLONS pp /"tODEL 1J11MBER: ly ~ ~~ CAPACITIES: A. l0 11JCHES OR ~I.!)b •3 GALLOyy SWITCH T~PC: ~ ~~°U~Z-~ g = Z IuCHES'GR ~ ~- 5 G(~LLOUS PUMP MAIJUFACTURCR: ~~ ~'a.S C= . b IUCHES OR `33'4 GALLONS MDDEL uUMHER: ti'"~E4'O D= ~'~ INCHES OR Zzz_y GALLOA7 5 SWITCH TYPE: - ~ ~~Z~ 1JOTE: PUMP AUD ALARM AR T 6CD• 6 MIAlIMUM DISCHARGE RATE ~1-O CpM INSTALLED O AI SEPARATE CIRCUITS yERTICIIL DIFFEREWCF DETWCEU PUMP Off AIJD..DISTRIBUTIO-J PIPE.. ~" 37 FEET I~ I ~ + Mlu1MLIM uETWORK SuPPLy PRESSURE , , , C~•SO FE.ET~S-0~1.3~ -i- Q~ FEET OF FORCE MAIM X3`~G F~ FRICTIOU FACTOR 3 ' Z9 .. o Fr. FEET TOTAL Dy1.lAMIC HEAD = ~~' I'b FEET As per manufacturer Z Z, Z.~ gal/in. Liquid depth 3l~ 1~ ~6E~OF-~ ME40 Series r~ 4/10 HP Effluent and Drain Water Pumps Pertormance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE O 50 100 150 200 250 300 350 40 35 W 30 W H Z5 W 20 J ~ 15 F~- 10 5 0 12 10 N W F- W 8 E Z H 6 2 J 4 Fa- O H 2 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE ~~~~. 1101 Myers Parkway, Ashland, Ohio 44805-1923 4191289-1144 FAX 419/289-6658 Tetex 98-7443 K3326 7/91 Printed in U.S.A. Wiscons(nDepartmentofCommerce SOIL AND SITE EVALUATION Divisio fegrand Buildings in accord with Comm 83.05, Wis. Adm. Code Page I of 3 Gustum Septic Service Attach'corr>Metesire plan on paper not less than 8'/= x 11 inches in size. Plan must County irrchide, but nd limited to: vertical and horizontal reference point (BM), direction and St. CfOiX pereent slope, scale a dimentsions, north arrow, and location and distance to nearest road. parcel I.D.# RMATION APPLICANT INFO - Please print all information. 04 (t) (m)). 15 ou provide may be used for secondary purposes (Privacy l aw s nal information P r Reviewed By Date . . , . y e so ~~o l Property Owner Humbird Land Co oration ~~~ ~ ~~ Property Location Govt Lot a/a SE l/4 NW 1/4 S 20 T 29 N,R 17 W _ Property Owner's Mailing Address Lot # Block # ~ Subd. Name or CSM# , r ddi i ~ 332 Minnesota Street, East 1404 • 1 ~ _ a _ t on A _ Hammond Oaks 2 __ __ _ _ City State Zip Code PhoneNumt>er ^ City ^ Village Town Nearest Road Saint Paul MN 55101 651-222-5555 Hammond ~ 160Th Street ®Residential I Number of bedrooms 3 ^Addiiion to existing building ® New Construction Use: ^ Replacement ^ Public or commeraal describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpolft' •6 ~~~ 9P~ Absomtion area required 900 bed, ft' 750 trench, ft= Maximum design boding rate .5 bed, gpolft= .6 trench, gpolft= Recommended infiltration surface elevation(s) along 96.8' contour ft (as referred to site plan benchmark) Additional design /site considerations BM 2 = 97.1' Parent material Around moraines Flood lain elevation, if a liable n~a ft S=Suitable for system Conventional I Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system n s~ u f~ 1 S l l u '• IIS [> l u I I S [• l u I l s[• l u I I S fr) • u SOIL DESCRIPTION K<=F'UK 1 Boring# 1 Ground elev 97. t' ft Depth to limiting `actor 31' 2 Ground elev 95.8' ft Depth to limiting factor 28' Depth Dominant Color Mottles Structure C i t B d Roots GPD/ft~ Honzon in. Munsell Clu. Sz. Cont. Color Texture ~ ~ ~ en ons s oun ary B 1 0-8 10yr3/2 none sil 2msbk mvfr as lf,lm 0.5 0.6 2 8-I1 7.Syr4/4 none sil 2msbk mvfr cw if 0.5 0.6 3 11-18 7.Syr4/6 none gr. sl 2msbk -mvfr cw - 0.5 0.6 4 18-31 7.Syr4/6 none gr. is 1 msbk mvfr cw - 0.7 0.8 5 31-40 7.5 r4/6 y c2-3d 10 7R 7.Syr5 8 gr. scl 2msbk mfi _ ~ _ 0.4 ~ 0.5 Remarks: 1 0-13 (Oyr3/2 none sil 2msbk mvfr as 2f,lm 0.5 0.6 2 3 13-20 20-24 10yr3/4 10yr4/4 none none ; sil sil 2msbk 2msbk _ mvfr _mvfr cw cw Im _ _ 0.5 0.6 0.5 _: 0.6 4 24-28 7.Syr4/4 none gr. sil 2msbk mfr cw - 0.5 ~ 0.6 5 28-35 7.Syr4/6 c2~ S loyr7/2 gr. scl 2msbk mfi - - - 0.4 0.5 Remarks: CST Name (Please Print) Signature: ~ Telephone No. Tom Gustum ~ _ ___ 715-658-1344 _ ~ CST Number Ref # 'Address Gustum Septic Service Date N13450 937th St, New Aubum, WI 54757 3/1/00 227618 1182 Wisconsin D'epartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Gustum Septic Service Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point BM), direction and St. CroiX percent slope, scale or dimEmsions, north arrvuv, and I ~ to nearest road. Parcel I.D.# ~- APPLICANT INFORMATION - Pleas `3t~s-/nformatfoh~`~. PPrgonal information you provide maybe used for n gj/purpgses (+cY Law S 19,OA (1) (m)). ~ iewed By to roperty Owner °°`-'-' ~ ~-' Dope' Location `I~umbird Land Corporation ~ ., Gdvt C t n/a SE 1/4 NW 1/4 S 20 T 29 N,R 17 W Property Owner's Mailing Address ~*~ L~av( Lqt#~ Block # Subd. Name or CSM# isF- 332 Minnesota Street, East 14_0.4 "~ "'=L'Gh ~x,"° LO n/a Hammond Oaks;~tFb Addition City State Zip Code Pho~s~}} FF ty ^ Village Town Nearest Road Saint Paul MN 55101 651- 2 - 5~.•~"' ''` Hammond ~ 160Th St1t'et ^ New Construction Use: ^ Residential hNuhl~et of ms 3 ^Addition to existing building ^ Replacement ^ Public or commeraa describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/ftz .6 trench, gpolft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate .5 bed, gpd/ftz .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) along 96.8' contour ft (as referred to site plan benchmark) Additional design /site considerations BM 2 = 97.1' Parent material Found moraines Flood lain elevation, if a livable n~a ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®U ~ S ^ U ^ S ®U ^ S ®U ^ S ®U ^ S ® U . ~ /'..do Boring# 1 Ground elev 97.1' ft Depth to limiting factor 31" ~- 2 Ground elev 95.8' ft Depth to limiting factor 28' _~ H i Deptil Dominant Color Mottles T Structure Consisten Bounda Roots or zon in. Munsell Qu. Sz. Cont. Coke exture Gr. Sz. Sh. ry 1 0-8 10yr3/2 none sil 2msbk mvfr as lf,lm 0.5 0.6 2 8-I1 7.Syr4/4 none sil 2msbk mvfr cw if 0.5 0.6 3 11-18 7.Syr4/6 none gr. sl 2msbk mvfr cw - 0.5 0.6 4 18-31 7.Syr4/6 none gr.ls lmsbk mvfr cw - 0.7 0.8 5 31-40 7.5 4/6 Yt' c2-3d 10 /2 7.5 /8 gt. scl 2msbk mfi - - 0.4 ~ 0.5 ._.~~ Remarks: 1 0-13 10yr3/2 none sil 2msbk mvfr as 2f,lm 0.5 0.6 2 13-20 10yr3/4 none sil 2msbk mvfr cw lm 0.5 0.6 3 20-24 10yr4/4 none sil 2msbk mvfr cw - 0.5 0.6 4 24-28 7.Syr4/4 none gr. sil 2msbk mfr cw - 0.5 0.6 5 28- 5 7.5 4/6 Yl' c2-3p 10yr7/2 7.Syr5/8 gr. scl Zmsbk mfi - - 0.4 0.5 s Remarks: CST Name (Please Print) Signature: ~~ ~_ Telephone No. Tom Gustum ~i~~~,,,i ~I~.~.,., 71558-1344 Address Gustum Septic Service Date CST Number Ref # N13450 937th St., New Auburn, WI 54757 3/1/00 227618 1182 r ~ ed Trench B # .~ •S' ~S. ~~ PROPERTY OWNER: Humbird~.andcoryorario~____._____ SOIL DESCRIPTION REPORT PARCEL LD.# 3 .~~. Ground ' elev 97.1' R Depth to limiting factor 31' ~ a2 Page 2__ of 3 , t.,~cnn.. C...a:n c~.,:..a Horizon Depth Dominant Color Mottles Texture Structure sistence Boundary Roots ~~~ . in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ~ Trench 1 0-10 10yr3/2 none ~ sil 2msbk mvfr as 2f,lm 0.5 ~ 0.6 .2 1q-~5 7.Syr4~4 none sil 2msbk mvfr cw If 0.5 i 0.6 3 15-24 . , 7.Syr4/6 none gr. sl 2msbk mvfr cw - 0.5 0.6 4 24-31 7.Syr4/6 none gr. Is 1 msbk mvfr cw - 0.7 0.8 5 31-39 7.Syr4/6 ~7Syr5/8 ~ gr. scl 2msbk - mfi - - 0.4 0.5 ~~ --- Remarks: r~ Ground elev ----- .> '° Remarks: ,. . Ground slay vaNui w limiting factor '~ . ~t ~~, .. .; w _,~: Ground elev S" .~ .~j" .~ Depth to limiting factor r, o, ~ ~ -- I i . w~ P Property Line ~~ 8~S6 ~noFuo~ ~ ~ ~ N g•gg ono;uo~ 1~L6 ~no~uo ~ ' ~ ~ J ~ ~ O ~ O ~ O O d ~ ~ C O 0 a C CP Property Line ~ ~ ~ ~ N ~ ~ -~~ m ~~ ~~ ~~ r„ ~, m r~ ~ ~ o ~ < r m v z co ~ m ~ n ~ Io ~ z o ~ ~ o ~ ~ o ~ z 0 0 - ~ z ~ ~ ~ r~ o I D I ~ ~ O D ~ ~ ~ O-~ ~ ~ ~ _ v7 O ^ C p~ (n U! ~•r z O~ D C ~ ~ o n ~ ~ ~ ~ ~ ~ n ~ ~ r Z7 _ ~ < m O Z ~l o - (n ~` N ~ -~ ~~~ cnoyWx z ~ n m c ~ ~N~ ~ ~l d ~ Q ? ~ Z N ~ rC - < . ~ O p, - ~1 (~ o~.=~yo ~ D ~°-omv ~ ~ r-i o m 1 ~ _ ~ ~ ~ - ~ m n ~ ~Z~~B~ty~S LZ: s 71e~~~,~~.~ ra~~sota aa! ~.~~J7r^,u=~ ta~c-,~ ~1 ST CROI.X COUNTY SEPTIC TANK MAINTENAAICE ACiTI.EEMENT A~TD OWNERSHIP CERTIFICATION k'ORM UwnerlBuyer 20~ ~zZ'L= "+' ~~ a ~ T-+..~ ~f''~_~i~,2~- _~__.. _.. :~ailin~ Address (~,p. ~ .-~,~-(~, ~ 111.L:.. ~ `,1 ~ ~s'2~ ~~-.S Gtr 1 Property Address ~~' _L.C2~~ ,~~~;1/1?OnJ-~ ,~,~ ~ a ~ c3~~~~,9irtivto..rJ (Verif3catian rr~uuad ft4rn I' ~' ~ ~~ ~°v~on)_,.~ ._____ ZS 8G CitylState~ ~ ot= ~~4ynNic~il Parse cntt Icahvn Ntunber 20.29• /7• L'~o_ .o/Syo~-Go i.EGA~. DESe>rRIP'T'IiUzY / / Frogerty Location 5 ~ t., ll j ~ ',j`, Sec. ~d , T 2`~ N-R~W~ Trawn oaf ~~/N~Ib~ Subdivision ~dY1 N ~ 6~(G-•~ ___, ! # ~J~ Certified Sun+ey Map # Volume , }'a.~e # . ___. Warr~ty Deed # ~a~ O /COI __, volume l ~v73 ._, rage #~ , , `~/ ~. Spec house ~ yes D nu Lot 1islc~ identifiablti ~ y°es ~"~ nu 5"Y~STEM Ml~IN7'ENAN~CE Imprapexvar.azldmai~benanceofyoursepcicsystermcquldresultiuits»romaturefailuretc~handl~ eats>, ':~ ..,...•.~.~~au COL31StS O~plimpttl~ oust tI]e 3P.ptiC tank CVery three years tli sg6nl:r, rf Herded by a licensed pursiper. K .: y~~~ ~~ >,:;::r~ can affcrt the f~taction of the septic tank as a treatment stage im the wa8iz disposal system, The property owztrr agrees to submit to St. Gzoix Zoning Dcpart.IIter~t a certification fa:rzi, ail .d h_. ~ ... ~ '' ~, .~ rrtaster plumber, jpumoyman plumber, re$trictedplramber or a licensed ptuttperverifying tlmt (1) Chc on-site Este ~ : ~.. ; ~ ; ~. , ;. .. , is in proper operating condition atidlor (2) after inspection and. putttping (i£ necessary), the serFtic tar~l: is ,s t3r:, ':. ., ,. :,i;;.. L`we, the urndersigned have read the abnvc rcquiraments aad agree to rttai~o,ta~in tfse private scu•agc cispos .! •:vsu• : •~ ~ :~.iari art forth, hierein, as set by the Dtpartutruent of Gommercc and the Drpat'knent uFNatutal Resnuz~es, State ~'r.s ~,. ~ .:; ~r:~,~<. stating that yvux septic aystrfrri ,hex bean maintained must be completed and zct!.rrzted in the. St. C:rtix Gou ur ; ' ' ~~ . ~ : , .;;,~:: days d three y expiration data. ~_L' "...~ ~. b SI ' ATURE OF APIALICAN'T ~A'l J OWNER ~RRTr~'TC'~s~~rUN Y {w•e} certify that all statements on this form arc true to the best of my your) 1:ta:~w.Jedka, i (~ am ,>~~• ' • ~~ ~.+:,. •,1 ~~'~ the pr tty ccibed above, by vinuc of a warranty decd zecordrd in Rcgistpz of 3~eed5 rJfiicc. 5i 'A OF APPT.ICANT r; "~**' Auy information that is tzus~ • * • ~ + • etc+cRedttvry result in the sanitary pcrrrrit beirxg revoked `vy the ' :un~ ~; '"* Iuctutte Nitt1 ihtt appllCZtUoq. a startrptd warranty deed from tht Rcgistcz of C7eeds ofi`ce a copy oP the certiftd survey trap if reference is mare is tfw- warm ~ • dGe: STATE >~A'R l~ WISCUN~NF6i. 1998 WARRANTY DEED This Deed, made between liumbird Land Corporation, a Minnesota Corporation cirantor, arld Koger L. Kirshbaum and Judith A. Kirshbaum, husband and wife, as enants n eolmaon Grantee. Grantor, for a valuable consideratioq conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: - ~++~++""`iantlnnn~nalr~~F~[ Addiu_'on Subdivi~joq Town of Hammond, St. Croix County, Wisconsin. ~!rJOZ Q~ K.R'fHLEEH H. WRLSH kEGISTER DF DEEDS ST. CkOIX CO.~ WI RECEIVED fOR RECORD 07-03-2001 10:00 AM WARRANTY DEED EXENRi N CERT COPY fEE: COPY FEE: TRAN5fER FEE: 70.20 PAGE5DIN6 fEE: 1 .00 a~ t ...Aa yam,, • ..:~-. r Name and Return Addreaa /' " "e;}'~.•~1 WESTCONSIN CREDIT UNION (~ PO sox 308 RIVER FALLS WI 54022 20.29.17.680 ~~~ ~~r~y-- Ci(! ~ ETA Parcel ldentifiealion Number (PlN) This ~ not 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 grantor to the grantee, or anyone in the chain of title, to the consideration expressed hereiq that being the sum of $ 23,310.00. Dated this 18th day of June AUTHENTICATION Signature(s) authenticated this ~,_ day of TITLE: MEMBER STATE BAR OF WISCONSIN ([f not, authorized by § 706.06, Wis. Stats.) / THIS 1NST UMENT S DRAFTED B/Y/ -V _ (Signatures may authenticated or acknowledged. Both are not necessary.) E3i1~ Humbird Land Corporation ' by ~~o,ffrt ~' ~. ' ~ President • Austin J. Baillon ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Ramsey County. ) Personally came before me this 18th day of June , 2001 the above named Austin J. Baillon to me known to be the person(s) who executed the foregoing instrument and ackneeo,w~ledge ti ~G.~~~ • ~p~' ~, PAULA. BAILLOI Paul A. Balllon ~ '~~~'~N`~M~SS~EXPIgES t-71.2005 Notary Public, State of Wisconsm My Commission is permanent. (If not, state expiration date: January 31 2005 _.) 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED 9TAT6 BAR OF W ISCONa1N FORM No. s . tf9a INFORMATION PROFESSIONALS COMPANY FOND DU LAC, W1 800fi55-202t F0. S1EEl. 1AARKi NI/4 CAR SEG UNPLATTEO LANG Naarn UNE SEi 4-Nw-t < ~wE of - ~ `; ~ ~ ~ w,pp TT ts2m n >~, 26L31 rt IN.I6 rt i i I . ~ : LOT 69 ~ lOT 70 LOT 7~ 1 L T 72 s ~ ~ w ti ;, ,~; 1.05 Aar t. Aces a lOT 74 LOT 43769 ~ k 106 Acres ~ 45918 sa. k i sy, k ~ LOT 73 '4 46157 sQ. k ~ ~ ~ tA0 /fares " 1.00 Acres 1.11 / 43650 bq. k v 43661 q. k V 48339 ~ ~ ~ ~ K ~ 1 ,~.~ ~ lOT 68 ~ ~ i ~ a 3 t.oo Acres / ~ ~ ~ - J ' I Y 17 u1u7. ~ ~ 43729~k 117----- --- -- ~ ~ ~ ~ --uoco-frJ 1 1-tszso-fr--- - r~tmTt-- ixasvf--- - -T ~ ~ % rt sbb'~s'ob"r 216a ~ 1057 ROCK LANE seovsrob~r ~° ~ j . ~ _ _~ - - - 1 S69'iY061r 1162! R S66Y3'O6'~s 621N R E ~ ~Q_ (Typo ~ --ifiOiR- ~---227,611--- ` ~-----7YL7LR-L----. Z~ ` ~ i NI : LoT s7 ~ `_ _,~i _ _(TYP•) , t r ~~~ r ~~,_ - - ~oT~, Si ~ 4tis~94.~a k / ~ 1 '• w.~to7s ~ ~ 4,+~ '6at~~t..\k ~I f7 ` LOT 65 LOT 6~ ~ I 1 ~~ ~~~?~ ~- -- ~~~ Y I ~ S lO7 66 13752 sae ft a50 7 aq. k ~ 1 I 11es7S1s~[ 2'% R ~{ "ir ~a ~* <I 1.01 Aces ' _ •1 ~~ ~~4 ts2a of s4o36 sa k 1 z ?~ • of to ~ 1 M I lOT 77 ~ ~~~` Zoe °o I j ~ 1 ~ ~ . ~ ~ ~ k _ ~ LOT 78 ~~, "4? _ ~1 ~ u >:oslR.es~lsb6'c ~ tss.21 rt u1.66 rt ~ F ~~ <1 j 1 ~ ~ ~ 1.92 Agra / p ~ _~ • tas.70 R MA1 rt L Mer43'obt szzn si S 3 ~ t 6]873 s4 k r/ ~~ ~ ,~ ~ to § LOT 63 1.03 Aces ( ~ ~ to i I g ~/ a `• • j x a 44923 W- k I ~ 1 i I ~ w 1 1 .) 1Y ulun (.OT 7! u ~ • ~IR)17 ~ LOT 60 ~ LOT 61 ~ L 2.6e ~fe 1 116775 W- . 1.11 goes 1.09 /ores 1 ~ ~ ~ _ / / {8227 sq. k Y {7414 aQ. k LOT 62 ~ -- ~~ / sie7a b~q. nn / ~ ~ ~ _ ~M / / ~ -~sc7o-rr--- ~-~M.art-- -ttaaf~--~~ i ~ sbs'ISYri asu i7 ~ ~ ~ ~ ~ ~ RAD. (TYf - -~.OST""ROL1C CAfTE~ ~ ~~ ~ ~ ~ ~ ~~ sbra'n'~r 4ua rt -~.66ots-- -a2assa- ~~--' / _~.6aa-- ~~ i \ _-- -__ ---~~ L0T81 ~-~~ 1.99 Aaea lOT 85 LOT 84 L1. l0T 83 lOT 82 86682 ~ k LOT 80 t.Ot Aces ~ 1.01 Acres ^ 1.07 Aera 1.60 Acres 2.95 Acres 4{091 sq. k 4{090 aq. k ~ 46614 p. k 69827 sq. 11 126412 sq. k 0 P N 89'45'08' E 1312.26 FT ~ tas.t2 R Ssu7 ~ 1as.ao R .14614 R 1o.eo Fr 116.00 fT ~_ ~ ~~ Bourn UNE SEt/<-Nw-t/4 UNE aF BEG zo N 89'45'08' E 1312.25 FT wt/4 COR. UNPLATTEO LAND SEC. 20 -- f0. PK NAH I~UNTtt llE 51/4 CAR