HomeMy WebLinkAbout018-1087-69-000Wisconsin 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)].
Permit Holder's Name:
Knoebel, Ja City Village X Township
Hammond Townshi
CST BM Elev:
f-a-e ~~ Ins BM lev:
p. ~~ S BM Des tion:
~/Yt ~
~ '"r y~s-~.~
TANK INFORMATION ,/Jp„ ,n,(/~~
TYPE ~~/ M NU A T-U
S PACIFY
)
Septic QV
Dosing
Aeration ~ /Z
~-°'`
Holding
r
TANK SETBACK INFORMATION
TANK TO P/L
tr~.¢S~ WELL BLDG.
t Vent to Air Intake ROAD
Septic ~~ / ' _ J / t
Dosing ~ /
2
Aeration
_, _ ~-
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Number ~~~~
3~-
TDH Lift
,~ ~3 Friction ss System Head
~ .as TDH Ft
a ~~ ~
Forcemain Len ~ - Dia. Z a~ Dist. to 6e1~ r
r ~J
SOIL ABSORP ION SYSTEM
ELEVATION DATA
county: St. Croix
Sanitary Permit No:
429987 0
State Plan ID No: ~/_ / 02~
Parcel Tax No: ~/ Y//n
018-1087-69-000
SectionlTown/Range/Map No:
20.29.17.
STATIO
23 ~ 3 BS
2.`iS- FS f ~ .
"I
Benchmark Ej
FJ~/Vl' ~ ` fib-
1
Alt. BM
ST
-GoY
~'S ~i`~f
Bldg. Sewer
SUHt Inlet ~ S ,1zS>~ ~ 7• ~J /
St/Ht Outlet
,~- ~-
Dt Inlet ~ .~~
Dt B torn/ d
Header/Man.
Dist~_ ~ ~ ; ~ .) 3 1. I ~ 9.3 3
Bot. System ~
dti`v?i ~
l - ~ ~
`fib'- S ~
Final Gr e / U•
~~
St Cover
I'l vl
ri ~
~f S/ C~
~.SS /
~~. .~ i
BED/TRENCH
DIMENSIONS Width
/ Length
•
/ ~ No. Of T enches
~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
~ `
'7 ~
SETBACK SYSTEM TO P/L LDG WELL
v
T LAKE/STREAM LAC G Manufacturer:
INFORMATION f
b CHA ER OR
Type Of System: /
~ +
~ /
IT Model Number:
J ~
S Yc~
i
DISTRIBUTION SYSTEM ~ - ~ ,~,Q,ti ~(,~_ ~ ~ ,~~~ ,,_,~ ~
Header/Manifold
2 ~
Length Dia Distribution / ,
Pipe(s) Dia_ Spacing~_
Length x Hole Size
' 8 // Hole Spacing /
~~/ t to A~irllntake
~ ~U~/
24
SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv ~~~ ~ h f3'ff7-'1 Piv~.d S
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center ed/Trench Edges Topsoil
Yes [ ~ No
[ ,Yes ~] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~~~ Inspectio #2: / /
Location: 1634 87th Ave Hammond, WI 54015 (SE 1/4 NW 1/4 20 T29N R17W) Hammond as s~n of 69 F~a~l0o: ~ .29 1 Q. Pvt.
1.) Alt BM Description = ~T ~ ~ ~~
2.) Bldg sewer length = i ~ f /r~2`~ U / " /" ~~~"-- ~2~
-amount of cover = ~ ~~~
~/
Plan revision Required? [ ,Yes x, No i ~~ ~~ r / ~ ~ I
I / ~ (Y
Use other side for additional information. ~ ~2~ ~ ~J ~ ___ __ liter
SBD-6710 (R.3/97) Date Insepcto ignature Cert. No.
~~~ w~
V'-
• v Safety tutd Buildings Division ~ County
`
~ 20l W. Washington Ave., P.O. Box 7082 ST • 7A C
~
seons~n
Madison, WI 53707 - 7082 _
Sanitary Perinit Number (to be filled is by Co.)
De artment of Commerce (608) 261-6546 '~02~ 9 g ~.
Sanitar
Permit A
licati State Plan I.D. Number
y
pp
on
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~°~'4'(Q~=-~MM-Sa C~i~~ ~D .'#"
~Y be used for secondary purposes Privacy Law, s15.04(1xm) jest Address
(ifdiffer
e
nt tha
n ma
i
ling address)
I. Application Iaiormation -Please Print All Iaformatio c
~
/
J
1
J
~6 3 y ~ (Te/' ~1`U 1_° ,(~/h
k
Property Owner's Name / /
~~
~
MAY 1 4 2003 Parcel # Lot # Bloc
#
Q
~~e
hD~p~°l - 8?6~~~
Property Owner' MailiaB
~
ST. CROIX COUNTY P Location
roP~Y
d ~ ZONING OFFICE ~/~
~4
~
~ '
Ci ,State Zip Code Phone Number /'+ Sectia-
/~~ "^~
~ ~~~ ~ tuck o e)
T ~ N
~
~
II. of Building (check all that apply)
S w ,~,•; ; R
,E o
~ ~
,
bdi
S
i
i
N
b
CS
~1 or 2 Family Dwelling - Number of edrooms , _
~
~ v
u
s
on
M Nu~mr
erg
ame ,, ~,
~
~~
~
~
^ Public~Commaciai -Describe Use C~M~r = 9 }- bo
„~ Q
~
l ~/
v'
N~ ~
n
^ State Owaod - Dearnbe Uae ~ K ~$" ~ Cary is ^City ^Vilkge ~S]'fovmship of J
- . O ~ a..
IIL T ype of Permit: (Check only one box on line A. Complete line B ifapplicable) -
w.
~, New Syatetn
^ Replacement System
^ Treatment/Holding Tank Rephvxment Only
^ Other Modification to Existing System
B• ^ Permit Renewal ^ Permit Revisiat
^ Chrage of
^ Permit Transfer to New List Previous Permit Number anti Date Issued
Before Expiration Plumber Owner
liV. of POWTS S rem: Check all that a
^ Non -Pressurized In-Ground ~ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^
Constructed Wetland ^ Pressurizod In-Ground ^ Hokiing Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Saal Filter ^
Recirculstin S thetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain
V. Dis reatr nent Area Inforrn
atioa:
Dtsiga ~ Design Soil Ap~~on Rate(gpdsf)
~ Dispersal Area Required (st)
[
J
, Dispersal Area~~posed (af,
!/ Systan E~e~h6
(
mil
C./ '
(J
j j ~
/
VI. Tank Info Capacity is Total Number Manufacturer Prefab Site Steei Fiber Plastic
Galkms Gallons of Units Coacretc Conshvcted Glass
New Existing
Tacks Tacks
Septic err Itoldirg Tads ~ dUv t ~ S l.J
Aerobic Teeatment Unit
Dosing Cbassber
VII. Responsibility Statement- I, the undersig ed, ttuuroe respoaaibility for tastrllation o[ the POWTS ahovra on the attached plans.
's Name (Print) Plum igaature
~
l
~ MPlMPRS Number
~ ~ Business Phone Number
~~~-9
~s'~
. x
as ,
Pittmber's Address (Street, City, late, Zi Cock)
a~
a ID ~i
~J
~
~ l
; .
d
~y
S
VIII. Coua /De artment Use Oat
,
~APProved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Iss 'rig t Signature Stamps)
^ Owner Given Reason for Denial Surcharge Fce) r
S-~°~~" r ~
l ;z
IX. CoadiUoas otApprovaUReasoaa for Disapprov~al`
r n n - /~
~ ~,Q~y~
nswce comparoe pees teo raK c:atrty arty) for tre system ~ ilrs :~ size
CfD pJtt'
SBD-6398 (R. 08/02) 1t
. v~ ~~T J(
NOTES • ~ J .
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation ipes with approved caps..( Z required).
3. Septic tank to be Ivv p $pgallon capacity manufactured by
• _~ 1 E~~12 C~~G~.~_ ~ ~ q -t Fi oo ?x'13 ~ ~ ~'1 ~.T1.~2 (w~~ looo /6 s o _ r-s ~~
4 . $ench mark S; S ~~ Pr8 ny ~ ~ .
~~. Divert surface water around system to prevent ponding at the uphill side.
~ ~
~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
Jim Doyle, Governor
Cory L. Nettles, Secretary
May 06, 2003
CUST ID No.220254
MAY 0 9 2003
ST. CROIX COUNTY ~ ATTN.• POWTSlnspector
ZONING OFFICE
ARTHUR L WEGERER
WEGERER SOIL TESTING & DESIGN SERVICE
PO BOX 74
RIVER FALLS WI 54022
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/06/2005
SITE:
Jay & Stacey Knoebel Residence
~~
'lam ~~ -.~-~ a,..Q- ~_ l
~ ~s ~~-~
S'~.Q_ ~ i~E ~
~~~~5 S
~~ ..~.~~
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
Identification Numbers
Transaction ID No. 864628
Site ID No. 658605
Please referto both identification numbers,
above; in all correspondence with the agency.>
No.: 901714
nformance with applicable Wisconsin Administrative Codes
:TIONALLY APPROVED. The owner, as defined in
~r compliance with all code requirements.
m or installation and prior to occupancy or use:
rdance with the enclosed approved plans and with the
;tewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1)
'or Private Onsite Wastewater Treatment Systems
.d in the area 15 feet down slope of the component area.
ther similar activities that impact the treatment and dispersal
~t)'~/0~ ~ ~ ~WTS tank, and a minimum of 50 feet from the absorption
where this project is located in accordance with the
ts.
is required. Arrangements for inspection shall be made with the
ovisions of Sec. 145.20(2)(d), Wis. Stat
ifications and this letter shall be on-site during construction
> of the Department, which may include local inspectors.
ARTHUR L WEGERER Page 2 5/6/03
Owner Responsibilities:
• 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
construction/installation/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
TITLE SKEET Page ~ of ~
,, .
i~OUND SYSTEM
FOR
A 3 BEDROOr1 RESIDENCE
This plan has been prepared in accordance «ith the Mound Component
Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P
~~- blg9~ Cam. blq~~
LOCATED ICI THE. S~ 1 /4 OF THE NW 1 /4 OF SECTION Z~ , T ~-~ N, R 17 tJ,
T06JiJ OF ~`I`~`N10M`~ s'r_ eCzAtJC COUNTY, WiSCOPdSIN.
_ _LtiT 6 °l oF_ ~}flr~l W1o-.~ o t~i~s ! s~ 1~,-7 D__,
INDEX
PAGE 1 of 7 TITLE SHEET
PAGE 2 Of 7 SYSTEP4 IIA1dAGEi~ENT PLAN
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEtJ-CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUMPING CHAP~IBER CROSS SECTION
PAGE 7 of 7 PU1~iP PERFORI•IANCE CURVE
PREPARED FOR
Coed
ppp~
D~A~~
N OF
SEE C~EtE
PREPARED BY
WEGEE~ER S~ I L .TESTS !VG
Atm . .
DES I G~V SIERV 2 CE
P.O. Box 74 421 Id.ilain St.
River Falls, WI 54022
Phone 715-425-0165
Fax 715-425-6864
'RECEIVEa
-111"A 1 N ~1„1®~
SAFEfiY & BLDGS DIV.
~'~C''"',".. v~.
""-
~~ ~
v.ec,~~ea
~~,~~
. e
r..
JL Rr ~ V i ..s iti ~ ~~
S ~ ~ -u3
JOB N0. ~ 3 - 6}
Mound System Management Plan page Z. of 7
Pursuant to Comm 83.54, Wis. Adm. Code
Septic Tank • -
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The, operating condition of the septic tank aad
outlet filter Shall be assessed at least once eve 3 ears b ins ection. The outlet filter shall be cleaned a~ necessary to
ensure ~ner_ oT ~?#ion.. 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 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 for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative sun`ace 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.
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)J acid 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, W is. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access
openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed
unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shalt
be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition.
If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions about the operation or maintenance of this system should be directed to:
The County Zoning-0ffice at ~ ~S--3$b= ;~~~~u SZ"_ `LtZpl~(
`fihe systea installer at ' ~, ~S _~ZS _ °I-9.SEi 1.~1f~h~~ _
The. tank manufacturer at ~ `d qO=3Z-S _ g ~(S6 ~ I ~S NCI?
The effluent filter manufacturer at ~'UO- ZZ[ -$"701.2, Z.P~13~
The pump manufacturer at ~3lJ - Y ?~ _ yg~$ 6OUL.D S
TT ~m TT ~..
Scale 1 "_ yp '
Page ~ of ~
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`~`~ r}t fluff
3So'~ ~
6c~ `~ g7-,
NOTES : ._.
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation ipes with approved caps..( Z required).
3. Septic tank to be 1yUp ~6SOgallon capacity manufactured by
;`:
_w1 ~~ CU~Ct'Z.~- i,,~ ~R =l~Up Z~3~~ F~ ~ (w~~ tooolbsn r-~ ~~
4. $ench mark S: S A'8oV
5. Divert surface water around system to prevent ponding at the uphill side.
PaoE ~ Ot
Approved Synthetic Covering
ASTiK C33
Medium. Sand
Topsoil
~/Z % Slope
Distribution Cell of
' 2" to 2 Z" Aggregate
Linear Loading Rate= 6-d GPD/LN FT
Design Loading Rate=O . ~~.GPD/SQ FT
3J ~ ~
istribution Fipe
F
'o
e
Force Main
From Pump
CROSS SECTION OF A MOUND SYSTEM
~~~ Position
o.
Force Mein
~.. L
A 6 Ft.
B `1S Ft.
I \ O Ft.
~~ 1 O F ~ .
K 9 Ft.
L ~ 3 Ft.
w Z 6 Ft.
G ~
,Elev. q8- ~
Flowed
Layer
D ~.O Ft.
E 1.03Ft.
• F ~- ~ Ft.
C 6- 5 Ft.
F 1. O Ft.
. ~} ~ -Observation Pipe
C~-~-•--------------------- --------------- ------ 8oX
A ~`~6 ~ -~
W t_.__=~_~ _ --_--- -------------- ~
---
~Oistribution ~--Cell of %" :~~
z to 22
Pipe ~ aggregate
-.
. Observation Pipe
(kschbr securely)
• ~ -
PLAN VIEW OF A MOUND SYSTE:4
.~ Distribution Pipe Layout pave S of -]
Place the holes at the bottom of the distribution pipes
. at~equal spacing. Remove all burrs from the pipe and "voles.
Extend the end of each late.~al up with the use of long turn or 4~ ° fit1;nQ to a point w~tbin six
inches of the final made, Te*minate the ends of the late.'als with a valve,:threade3 caD or
. threaded plug. Provide aces from final made for the vaIye; thrreaded caa or threaded pIuQ.
FVC ~ F~JC PVC
Laterl-l ~- Maniiofd ~ I..atert
~Lti'rN v~c~~
P --~+
a. _
~- --
hY;1J1F~~.=
!^OQ=~ T1t';tl.~
•'iC~~S SpX
- -o
--a
P 3 7 Ft. - - Noie Diameter ~ ~~ Inch ~~ ~----
S ,3 Ft. ~ Lateral " ~ 1 Inches)
X ~_ InchPS Manifold ~• Inches
- Force Main " ~ Inches
.a
Hof holes/pipe ~q
Invert Elevation of.LateraTs ~ q•j Ft.
1 quo •~lt- ~.-~q x~ ~ 3~, l 6 SPt~ -
... .__
_ - Combination Sept~.c~.Tank and -
. PUMP CHAMBER CRO55 SECTION AND SPECIFICATIONS ' PAGE ..~ OF ~
.._.,.
` •VEIJT Cf,P ~• WEATHER PROOF
- JUUCTi01J 90X .
ti C.I. VEIJT PIPC . ~IPPROVED LDCKIIJG
~ 10' FROM OOOR~ M~l1JHOLE COVER'Nt~li
:/~A100W OR FRCSH ~ wAR.tJ1t.JG LP.6EC...
~3P~Q>J ~ tPE A.!R IIJTAKE t ~ cor~,0utr l
' ~
' Fi ni tSNt~ 6• Hw . ' ~ p1S ~ ~ ~ - Y' hli?`!.
G RfiD E
' `- - ~ 18' I~lI1J.
IS'/'~Il~1. ~ ----------
~~~ ..
-- - ,; ~~,
IWLET ~'~ PROVIDE I ---
~,
.. •• ;,'~ AIRTIGHT SEAL I I I
,,
~ ~.~FL~ i (~ I ~~
APProved Z~~- ~~~ ~''~ I I I Approved
joint w/ R _lgop I III joint w/
PVC pipe I II ALP,KM PVC pipe
a. ~I II
i ,
~ I I ou
•I I
I PUKP -~ --~
OFF
D
- ~.tv11 . 83.pv ~ ~C08 OcKTE
~- RISER EXIT PERMITTED O/,1Ly IF TAUK MAUUFACTURC:R HAS SUGH APPROVAL~3NRP~q'~"
' BFDt~: N4
SEPTIC F - SPEC.IFICATIOt~IS
DOSE wt_~ loool6S0 MlZ _
TAUKS MAtJUFJ1CTUQC.R: ~~~~ C0~°U~~''- IJ S
UMBER OF DOSES;
•~ .,
PER DA.
TAUK :,IZC : 1 QUO ~ ~ S
~
~,rGAl.L01JS DOSE VOLUME r '
~i
ALAR1'1 MA1.IUFACTURCR: S •S • ~~-`z-t tw ,S~(-S~~~S ItUCLU011JG 6ACK/LDW: lOZ
GAttONS,
MODEL -JUMBER: lOl ~~ CAPACITIES: X. 1~ 3 Ob
IIJCHCS OR
~ ~~~
SWITCH T~PC: K-Y GALLpys
Z l`
8 =
'
3
HUMP MAIJUFACTURCR: GOU`-1~ S IAJCHES
OR
T GIILLOUS
. 6
~~~ ~
MODEL 1JUMBER: ,., _ C:
IUCHES OR l O Z
GALLOI.IS
D
1 Z
SWITCH TYPE: 1"')L~ZL°U1Z~ =
I HES OR ~ GALLOA75
3$ ~'~f,..
WOTE: PU/1P AUD ALARM ARC TO bt
MIIJIMUM DISCHARGE RATE 3 ~' 16 GpK INSTALLED OA! SEPARATE CIRCUITS
yERTICIIt_ D-FFERENCE DETWCEU PUMP Off AUO..DISTRIBUTIOIJ PIPE.. ~S.IC~ FEET
-I'- f'iti.tlMUM AIETWORK SUPPLY PRESSURE (~-SO
~
, ~ ~
-~ ~0 FEET OF FORCE MAItJ X Z^~R F~cF~FRICTtou FACroR_. .Ux1.3~
FCfT
1'~ ~' FEET 5
As per manufacturer
TOTAL OyWAMIC HERO = ~- ~ FEET
1-Z-o gal/in. Liquid depth 38rt
.:~ .
~4
Goulds
Submersible
Effluent Pump
~~E ~ C
MODEL
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/a' maximum.
-. . • Capacities: up to 55 GPM.
~_. • Total heads: up to 24 feet.
• Discharge size: l'/z"NPT.
• Mechanical seal: carbon-
., rotary/ceramic-stationary,
BUNA-N 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:
3/4 maximum.
• Capacities: up to 60-GPM.
• Total heads: up to 31 feet.
• Discharge s¢e:1'r~' 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.
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 SJT1N with
three prong grounding plug
(standard on EP05).
METERS FEET
10~
0
a
u,
x
U
a
z
O
J
H
0
9
a
7
s
5
4
3
1
0~
• 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-
tic cover 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
S P• Canadian Standards Association
(CSA listed model numbers
end in "F"or "AC".)
i ~ ~
i r{
I y t .~ ~: .
30 '~
i
l I ~ I 7, f
2s ~ '' _ ~ I y I
' - 23i, sib - i _ . _
- i-r------- ~ - ~ .--
20
j ~ 3~J
~ -
15 ~
I ~
_. - + '
,E ,POSE
l i
1o
5
00 10 20 30 40 50 '': ~ GPM
L ~ ~ ~ ~_
0 2 4 6 8 10 12 m'/h
CAPACITY
m t995 Goulds Pumps, Inc. cWOr~;vo 4~a~ , ccc
Wisconsin Department of Commerce SOIL AND SITE EVALUATION
-•Division'of Safety and Buildings in accord wfth Comm 83.05, Wis. Adm. Code
Page 1 of 3
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 arrow, and location and,distance to nearest road. parcel I
D
#
~ i
APPLICANT INFORMATION - p/
°
I
t'81l`~igfi
`a~
-~
` .
.
~s~
~
p>
n~
-ctn.
p/
\
)
Personal information you provide may be used for se~rt8l~iypurposes (PrivacylaMr,.~ 15.04 (1) (m)). ~
,~ awed By Date ~~
~J~
Property Owner -" ?^ ~ `~• ;`~ ,Property Location
Humbird Land Corporation /r. ~ 60 .Lot n/a SE 1/4 NW 1/4 S 20 T 29 N,R 17 W
Property Owners Mailing Address ~~ _ - "^
332 Minnesota Stre_e_t, East 1404 r ,, r '~ dot
"'- // Block #
U~~ n/a __ Subd. Name or CSM# jst-
^ Hammond Oaks Zl'iH Addition
City State `dip Code Phon~hlu~sR~ ~~ City ^ Village Town Nearest Road
Saint Paul MN 55.101 65,h. ~ .:'~ Hammond ~ 160Th Street
f~ddr ms 3 ^Addition to existing building
^ New Construction
e
r Q
~ Residehtial 1 Numb
`'
~~
~
Use:
^ Replacement ^ Public orZ:emrn~[plal.aesEribe
Code Derived. daily flow 450 gpd Recommended design loading rate .5 mod, gpd/fF .6 trench, gpd/ft~
Absorption area required 900 bed, ftz 750 trench, ff? Maximum design loading rate .5 bed, gpolftz .6 trench, gpdtftZ
Recommended infiltration surface elevation(s) along 97.65' contour ft (as referred to site plan benchmark)
Additional design /site considerations l3M 2 = 97.5'
Parent material ground moraines, sandstone Fkxxl lain elevation, if a liable 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
SOIL DESCRIPTION REPORT
Boring#
1
Ground
elev
o~ ~~ a
Depth to
limiting
factor
2
Ground
elev
o~ ~~ #
Depth to
limiting
factor
H Depth Dominant Color Mottles
T
t Structure
onzon in. Munsell Qu. Sz. Cont. Color ex
ure Gr. Sz. Sh.
1 0-10 10yr3/2 none sil 2msbk mvfr as 2f,lm 0.5 ~ 0.6
2 10-19 10yr2/2 none sil 2msbk muff cw if 0.5 0.6
3 19-24 10yr4/4 none sil 2msbk mvfr cw - 0.5 0.6
4 24-29 7.Syr4/6 none sil 2msbk muff
---- cw - 0.5 0.6
5 29- 5 7.5 4!6
yr c2-3d 10 7/2 --
7.Syr5 8
sil ----
2msbk
mfr - -
0.5 0.6
Remarks:
1 0-8 10yr3/2 none sil 2msbk mvfr as 2f,lm 0.5 0.6
2 8-11 7.Syr4/4 none gr. sit 2msbk mvfr cw if 0.5 0.6
3 11-14 7.Syr4/6 none gr. sl 2msbk mvfr cw - 0.5 0.6
4 14-24 Syr4/4 none gr. sl 2msbk mfr cw - 0.5 0.6
5 2 5 Syr4/4 none WB m mvf~ - - n.p. ~~ n.p.
Remarks:
CST Name (Please Print) Signature: ~ ~ ~ ~ry~'-' Telephone No.
Tom Gustum ,,.eSi~f.~lwy~7 715-658-1344
Address Gustum Septic Service Date CST Number Ref #
N13450 937th St., New Auburn, WI 54757 3/1/00 227618 1190
~ c,aQ.2 .~'s~b S I ?~ ~,
/ftz i
Consisten Boundary Roots Bed Trench
)..
.,
...
..,
.~
PROPERTY OWNER: Humbgd Land C~ration_ ____ SOIL DESCRIPTION REPORT
PARCEL LD.#
3
Ground
elev
97.5' ft
Depth to
limiting
factor
31'
Ground
elev
Horizon ~~ Dominant Color ~~~ Texture Structure sistence Boundary Roots ~
in. Munsell Qu. Sz. Cont Color Gr. Sz Sh. Bed ~ Trench
1
2
3 0-13
13-19
19-24 10yr3/2
10yr4/4
7.Syr4/4 none
none
none sil
sil
gr. sil 2msbk
2msbk
2msbk mvfr
mvfr
mvfr as
cw
cw 2f,lm
If
- 0.5 0.6
0.5 0.6
0.5 0.6
4 24-31 7.Syr4/6 none gr. sil 2msbk mfr cw - 0.5 0.6
5
3 -38
Syr4/4 c2-3d 10yr7/2
7.Syr5/g
sil
2msbk
mfi
-
-
0.5 0.6
Remarks:
limiting
factor
Ground
elev
Depth tp
limiting
factor
Ground
elev
Depth to
limiting
tailor
Remarks:
~~~ Page __?___ of 3
Gus[um Sept3r 3ervice.b
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ST CROIX COUNTY
SePT[C TANK MAINTL~NIWCB AGttL~L+MeNT
AND
OV1lNBRSIiCP CLRTIFICATION FORM
~ 1 / /'
Ownar/C3uyer =~,~~ ~(,~ ~^ ~ ~ /~i~ x ~/~ ~ 1
r~~ ddr 1~~~`, ~-~'Y~ ~
` ,' w"~~ ~ (~/
~ddress ~ ~~ l~ • ~~_~
~h~r ~ 0 2 2
(Vuificatioa rcgceierd from Puaourg Deputmeat far new coastruetioa)
(~itylStatc ~ Partxt Idtutification Numbs- _~ /~ J~~ ~ ~ Q46
X~GAL DESCR~2XON
P~ropaty I,vcation ~~ %, ~ <, Soc. _v~(~ . T al N R~~' Towa of a
Sabdivision
Lot #~
~ettitied Survey Map ~
. Voltmac .Page #
Wi~atp Deed # ~ U ~ Volumc c~~ ~ .
-r~c#
Spay. a Ya ~`~° Lot tiacs id~iSablc Q yes D. no
'~t~iaVtA'rN`i;~y~~ur~
oc~ DOE]''D'~~CSy~Ocaiooaldaesaltnti~sP~.ua~mttohandlevrast~c's.P,cnper~d~xn~
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. ctmkas_i~ge3n~ef~a,~, .. .
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ma~staptao~cy, siguod 6y8re~sad~y s
isioapeopQaP~g ~ ~_~ sbd ~, ~(~Qreoa~Ec~sysbcai
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~3~e='^tau.lns'6caca~6eoom~idodmdrebmaaodtodc ~St~6eofW
~1~ 1~oC yCaeadat~ ,.. Z.oaia~g415oe 30
SI(~tAlUBK ~ ! 2I o ~
DATE
. Y (wethtnt tIt t~eots oa tbis forat sac tcae to the b«t of sty (~ ~movvLodgc. I (w+e) sat (are) the cama(s) of
by vicuna of flood iuooidod is of Dooas per,
~~~ F
DATE
~"`~` ~Y ~a~tiou that is mis-ttod,may t~sttlt in Qrc staihty gamic 6~g ~,~ by ~ ~~ ~,- ••••••
ss Ia~ttde Mth this a(1p(l~(pQ a tdtmped p dppd fio0i tha
a of the of Doody otGae
SPY ocdiCod cntvcy sup if crfatxtoc is txtadc is the wattanty dcod
NORTH 1/4
sECnoN zo
STEEL MARY
UNPLATTED LAND
- - - - - - NORTH LINE SE1/4-NW- 1/4 LINE OF SEC. 20 S 89'43'29 W 1312.89
2!634' 169.Ie' 16600' 86 132.00' 152.00' 132.00'
-- 622.58 -- ~ , -- 624.31' --
LOT 14 _
e LOT 69
~ LOT 70
~1
~
pOT
c
I
~ OT 72
8
~
m 1.00 Acra
s`a 43769 sq. ft
~ 1.06 Ades
ft
157 i
r
A
s
~ 45918 sq~ft';i
4 n I~ ~•00 Acres
^r 4 38 sq. ft ~ LOT 73 ~ LOT 74
Z y~ ,4 46
sq. . , ~ 100 Acrea ~ 1.00 Acres
- - - m fi ~ `; g
"` "~~' 43650 sq. ft 43661 sq. tt
o
''
~'
° b I ix I 6
o oa,
LOT 68 t i
N
9 I
o I
LOT 15 m 43
sgeft I ~
m ~
®56_13
' II
16a0d
J I 15200'
L~.~__-__ tS2.00'
_ _ 132.00'
__ _
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\ ® _ _
- - - - ~ i se9`aYOa'~ 2t6t5 TOWN ROAD Y.• sMVSOS~s e24.tr
~
r P _
~
o ~ SM'4Y0lti 2te.29' '009 4.14'
` - - - - -
OT 16 OI m
LOT 67 ® ' 1 3{.29' 1~2.00~ ~ ~ 227.35' \ `~, -- Sy6.76' -
\
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1
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43594 aq. ft _ _ l
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ENT
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1.5
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HIGH WATER ~' \
819
'~ 4!
m i ~ ~ / ~ ~ \
.
g'~' _ LEYA710N 1079.00 _ \ / ~ 6
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- - - ~nl o - ~
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g ~ LOT 65
+ I
,; LOT 6 v ~, ~
I ~;r`I?L t3aor \\dP
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•
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LOT 66
1
00 A . 1.01 Acres
~
43918 sq. it
'" ~ 1.03 Acre§
45017 sq. ft 'n.
~ I I
I _ - 9sts
~ 7~ _ - tsta
_ •;. S>~r
u N667YUt as-i.• - ~2e7~1
\ \ tp
u.
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cres
43672 sq. fl
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LOT 17 pl
zl N _
o ~ ,6
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~ I LOT 77 ~ ~' ~
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~ 12.33 Adea '"
1
17
ft $
'
- - - ~
-¢I M
- y,0y
Ne9'4S'O6'E 295.39'
165.20'
161.99' JOINT ~ ~ ORA6{A0E
,
013
aq.
30
b EASEMENT
'
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N69'{S'06'E J27.19'
~
~ /
3y
~
~ W 14636' . I 0{ C; LOT 76
/
'
LOT 63 I
~ /
~ R
e
~
N iu 1.03 Acres ~
64923 sq. ft
1SI
~ 1.92 Ades
/
I
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; /
LOT 18 r ; u s 83873 sq.
t 8
~
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I I ~~ wr
N ~ LOT 61 •{ . % .
LOT 60 H
u /
L
~
- - - - - - u
"'
4 1.11 Ades
8227
ft 1.09 Ades
~ 47414 aq. ft ~ k,
~ ®® \ ~'s /
t6.6t' ~
/ =1
- sq. ~ t6.6t' 1 ® _
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~/ / /
" 1 19 Acres /
It
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~ ~ 9 q
~~ 2
- - /
/
/
q.
. qb,
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LOT i9 ~ Y /
~/ ~~-yR~ !
--- --- -- Q
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150.70' _ _ O
_ _ 1{7.01'
- 115_/3'
,
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t
-
- - - - - >tews'2>ti na14'
a > ? TOWN ROAD 3 _ - y;?'' 0 / ~ \ . ! ® ~
\
_ _
~- - - - -fi6~-- -- li6.oo'-- - -liaeo' / ~ ~-- /
- - - ~
- - - -
ti - - - ~ l0T Bi ~ .
1.99 Ades
86682 s
ft
\ LOT 20 LOT 85 ~ lOT 84 a
u l0T 83 lOT 82 q.
LOT 80
N 1.01 Acres
44091 sq. ft m 1.01 Ades
44090 aq. fl 1.07 Ades 1.60 Acres
~ 46793 sq. ft 69827 sq. ft 2.95 Ade
128412 sq.
LOT 21 ~
ie
o '
\ n m -
7312.26' N 8`45'08' E
Y V SOUTH LINE SE1/4-NW-1 /4 LINE OF SEC. 20 N 89'45~08~ E 1312.25'
wEST lj4 coR. UNPLATTED LAND
SEC. 20. T29N, R17W
FOUND RAllROAD SPIKE
SOUTN 1
SECTION
FOUND I
COUNTY