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HomeMy WebLinkAbout018-1098-35-000Wisconsin Department of Commerce ~ F~ZIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL I ORM.IIATION (ATTACH TO PERMIT) Personal informati~ you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Larson, Ron Hammond Townshi CST BM Elev: t ~ 9~ Insp. BM Elev: ~ BM Description: ~ ~' ~, . .~ Z .~. CsT ~w~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 5 ~~ /~ ! Dosing 1~ ~ ~ ~ ~.~/f» . « Aeration Holding TANK S ETBACK IN FORMAT ION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ t ~ ~ J , D ~ _ Dosing ~ 4. 4 ^• aZ Aeration Holding PUMP/SI~ON INFORMATION ~,_ Manuf rer ~ Demand ~ GPM (Y~I Model Number ~~S `-t~. ~~•~!~ TDH Li ~ Friction Loss System Head TDH Ft ~ 2 ~9 ~ Ib•~°1 r . Forcemain Length ~ I .~ Dia. ~~ z Dist. to Well t > 5~ inn A~Qn~~Tlnhl CVQTCIIA ELEVATION DATA c°unty: St. Croix Sanitary Permit No: 429921 0 State Plan ID No: Z 3~ ~ Tra,KS . it~ ~ Parcel Tax No: 018-1098-35-000 SectionfrownlRange/Map No: 30.29.17.842 STATION BS HI FS ELEV. Benchmar Z~ Z.-D~ .~o$' ~~ ~"C Alt. BM Bldg. Sewer I •~5' fI n~•~• 7 SUHt Inlet •~ z.2s St/Ht Outlet Dt Inlet Dt Bottom ~O. b • ~ 1 Header/Man. ~ b•Y , Dist. Pipe -3,'3p 7~ • 3S `~ Bot. System . ~ .~ qS ro' Fi wee ~ ~ -Cr' -- St Cover ~ ~ r.y J~ (~,~ , / 7 ~~~ ~~•~' ____-____ ___ .._._ _._ ._._. w^~- ~ i - BED/TRENCH DIMENSIONS Width ~ ~ Length / •~•~ ~ (D "- o. Of Tr nches / 4NL444 N~K L~AAAA~~~~~~ ~ ~P PI IMENSIONS No. Of Pits Inside Dia. Liquid D th SETBACK INFORMATION SYSTEM TO PlL L D G B WELL LAKE/STREAM LEACHIN CHAMBER acturer: Type Of System: ('1 5 ~ ((tl ~ ~S` ~ .,_~.. 0 Model UI, I KIE:SU I IVN JYJ I E=M - ""~h ~,~(!,l Header/Manifold ~~ Distribution ~ ~~ i x Hole Size ~~ x Hole Spacing +~ Vent to Air Intake p Z ~' Di Pipes 3 ~ ~ • ~ 3'U ` `~ Length a Length Dia Spacing G. SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil _ Yes L~ No ~] Yes ' ~ No O MF~N~S` (~ludeeed rep cies, persons present, etc.) Inspectiont / Inspe 'on #2: -7~ / ca on: 1505 73rd Avenue Haminonl 54015 NW 1/4 SW 1/4 30 T29N R17W E~PaI~^~s Lo 5 ~~~- Parcel No: 30.29.17.842 ~ ) 1.) Alt BM Description = ~•T' ~A"'~ ~~' . . (O ~ 2.) Bldg sewer length = •~ '~t ~ t - amount of cover = 't~kt{. ~p1 ~~tA~/• $~S~srw~ ~• .,par ____ _ Plan revision Required? I Yes No ~ ~ ~ ' Use other side for additional information.' ~' ""~ ' ~t _ _ i SBD-6710 (R.3/97) I p ata, ~ (~ epctor's Signature Cert. No. S ' i ~C~ ., G I G ~ ~Safbty and 13uiiJings Division County y ~ w 201 W. Washington Ave., P.O. 13ax 7152 ~ ~ o r't ~~~gl~ Madison, WI 53707 - 7162 Sanitary Permit N tuber (to a fi!!ed in by CoJ De axtment of Commerce (~8) 266-3151 Z ~~ }~} Sanitary Permit Application State Plaa I.D. Number 3 ~ 853 ~ i m accord with Comm 83.21, Wis. Adm. Code, personal information you provide - ; II may be used for secondary purposes Privacy Law, s35.04(1}(m) g addrt;ss) m ai~ in Pm)`~'ect Address {if different than / ~ ~ ~ /SOS ~~ /LIJ• F"J1/G I. Application Information -Please Print All Information roperty Owner's Na the ED Parcel N Lo N Block ~ ~ ~ 3,~ ~ D/~- ~fl9~ 3~- Property Owner's M ailing Address 4 Z00~ ~ Property Location ~~..~-2 ~4~d.f~ pY~~''G ST. C ~ !t.~'~.Section :~~ City, State 'Zip Code ~ ICE (circle ) E or~V ~ Z v N; Rf ~ T ~ Type of $tulding (check all that apply) ~ II , ,,, ,_ __,_~ , . ^ 1 or 2 Family Dwelling -Number of Bedrooms CSM Number Subdivision Name ~llllt/1'1d G~/G~~ c~~ ~`~ ~2~ ~ ^ PubliclCommercial -Describe Use / ,l 1~1 c1,1ra /a~ .Cr'cY~S . ~,,, " " p ^ State Owned -Describe Use _ ~h ~13~,v o wc~ /.3• S ~ ^City_L7Village~fownship of III. Type of Permit: (Check only one box on line A. Complete line $ if applicable) A' New System ~ ~J Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System H. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer a. New List Prtvious Permit Number and Date Issued Before Expiration Plumber Owner IV. T of POWTS S stem: (Check all that a ) r~ 3" Mound < 2 in. of sui hr sot t-Grade ^ Single Pass Sarni Filter ^ Non -Pressurized In-Ground ~ Mound > Z4 fn. of suitable sail ` ^ Constructed 4~etland ^ Pressurized In-Ground ^ Holding Tank Peat Filter .4erobic Treatment Unit ^ Recirculating Sand Filter ~ ^ Recircula ' Sytuhetic Media Filter ^ Leaching Chamber ^ Dtip Line ^ Gravel-less Pie ^ Other (explain) ~~ V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf} f Dispersal Area Proposed (sf) System Elevation ~'~~ , 3G GDo GOrJ (~63 ~~ VI. Tank Info Capacity in J'J Total ~ Number Manufacturer Prefab Site Steel ` Fiber f Gi ' Plastic Gallons I Gallons ~ of Units I ~ ~~ ~ ~ ~~ Concrete Constructed ass New Tanks Existing Tanks ' ( i ~ ~I A ` i! r Septic or Holding Tank I ~ Y Aerobic Treatment Uni: Dosing Chamber ~ cS C VII.' ResponsibWty Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. lumber's Na me {Print) Plumber's Si gnature PRS Number Business Phone Number s. ~ ~~Y~Q 7is ~8c--311 Plumber's Addre ss (Street, City, State, Zip Code} ~ SC ~ G~ VIII. oust /De artment Use Onl I Approved ~ ^ Disapproved Sanitary Permit Pee (includes Groundwater Sttrchar a Fee) ~ ~ g ~ ~ D;t Issued L`j l ' g A ent Sigtta o Stamps) `- ~ 2~ ~ ' ' ^Owner Given Reason for Denial ~~ , 2 S 0 {~/ /Y- ~ A Conditions of AppravaUR ons far Disapproval ~~~ J ~ g'3 •t{3-/~ /12a~ ~0-~~ y«~ ~I~ s-f~r-t d~.ac ~~S ,~t' ~' i ~ ~' ~ y ~ L~ 8 ,~aa~ ~~ yU ~,oo~za ~dh~~-~.~~"' ~ ~ ~ ' ' ~`tc ~-~- ~ ~aLc~T.~ ~ ~~~ ~ ~d n~,a.~vh~~t.f~ ,,a~~--tom,-~ p~-~,G~.~d~ ,,•^- ~ ~'~~~ r ~ ~ ~, s 1p1;~plete pl s (tn the tint ool) r he system on~ r noE t alt a ~//~W~s !z!,-s~ze„~/ ; SBD-6398 (R. O1/03} ~ ~ -~'YG(~(//y • PLO`i' PLAN ,' Scale 1 "_ ~ ' ~ 3 ~~ ~Vf. i v ~ LD 6 • SE~T'Bprek ~ ~ y 8~2w1 ~'~ ~~ ~ OD ~-=----- i tittilM~ • g.l I Eck 1.__ 6o'or- ~'`iGy B. 3 ~o ~ 9 ~~~ <`ty4~ ~~ J ~s'oFy ~QV e 3.Z ,~o ~~. ~ Page 3 of ~ 8M~ I _~- i3h +~•- ~ 'S.. ~~~ o~~, .\ ` ~\` ~' ~'~ o ~. ~.~ bo ~voT C~MpRe7- ~ cC 'S• ~+z ~-s1v~z~ 4y6 , 7l•t. - S MZIsA ~ J ~ tid - ~rZ..IOO,o'Urv I ~~L" PUC PtPE' I ~ w~. ~ ~, a~ tiU 21~- O F H•v ~ s~ . isconsin Department of Commerce RECEIVED APR 0 4 2003 ST. CROIX COUNTY ZONING OFFICE 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 Apri101, 2003 OUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DES[GN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/01/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Ron Larson Residence 73RD Ave & 150TH St Town of Hammond, 54002 St Croix County NW1/4, SW1/4, S30, T29N, R17W Lot: 35, Subdivision: Emerald Acres FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 897198 ~/2~11z/ Identification Numbers Transaction ID No. 853237 Site ID No. 657239 Please refer to both identification numbers, above, in all comes ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in C,O~I chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ~~~' The following conditions shalt be met during construction or installation and prior to occupancy or use: DEPARTME ~~ General Approval Requirements: SEE CORF • 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). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be liven to the owner of the tank explainine that periodic cleaning of the filter is required • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ARTHUR L WEGERER Page 2 4/1/03 • 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 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 -eft 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, c~~ ~ ~~- 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 SHEET Page ~ of ~ FOUND SYSTEM FOR A ~ BEDROOr1 RESIDENCE This plan has been prepared in accordance with t Manual SBD-1057 P and the Pressure Distribution CCZ. blg9.~ LOCATED IN THE 1~1w 1 /4 OF THE SW 1 i4 OF SECTION TOWi1 OF 1`~y`~1~ OYV~ , j`C"- C~~ Lx ----Lbw 3:S OFF---E~tiLb- --~1~~`S-- INDEX he Mound Component Manual SBD-10573-P CtZ. b14q~ 30,T Z~ N,R l7 W, _ COUNTY, WISCONSIN. PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM rIAI'dAGEi~ENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEtd-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.4PING CHAi1BER CROSS SECTION PAGE 7 of 7 PUriP PERFORI.IANCE CURVE PREPARED FOR c~~~V~D __ _ _ _ ~ -s __ !ZA N_ _ PciZ. ~N _ - __-- N1A~ 3 1 Z~~3 _ 1 ZS Z ~ uw~r~-1 ~1 ~ 2..~,v~ ~-~~T~' ~LDC DIV.. _ -v~w tzt~.~-~u>v~, ~v~ s-~o t7 _ PREPARED BY WEGERER SOIL . T EST S N G AND . . . DES = Gfi: ~'ERV S CE P.O. Box 74 421 IZ.ifain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 -~n~ y ~~~~ ~~MME~ ~d !k~ PONDEN E T'~ '~ `"~ ~' r,RTR;,q i WEGEHEA D-973 P ~ :I~ E~L:;WORTN r 1) 1 WAS • f 3 -Z~-o3 ;- JOB NO . 03 -Zb Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Page Z- of ' Sego-c Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. 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 and ~butiet filter shall be assessed at least once eve 3 ears b inspection. The outlet filter shall be cleaned as necessa to •n The filter cartri ge should not be remove un ess provisions in a 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. Pum°_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 eresion 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 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 occur-ed 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 shalt 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 and local or state rues 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. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at _ ,~ ls_. ~~}'~ ~,~1.~ 680 ST- C~~X ' :The system installer at The tank manufacturer at The effluent filter manufacturer at $0~- ZZ~ ~ . S-1 ~Z Z~/~<sZ, .The pump manufacturer at - ___ ---------bap-i:3Zt?-=-~$ ~ --_ __ 60~~..~S _ _ _. 1- ~~ PLO`i' PLAN .Scale 1 "= ~ ' ~.. ~ 3_~~ ~VE• ~~06 •s~'3Ft-ek L~ti ~-g ~.-~. y BU2w1 ~ OD ~----~. 1-i~ME I • g.l _ ~ECti ~--- ~ ~ ~~ Page 3 of ~ 8M~ I Zo,~ o r- 9 ~~ \ i v c - . ~,. /Gy s. s ~. ~-o ~. ~ ~ ~,,~ ~ ~,~ 9~ s %'S ~~ ~~~ ~ ~~~n "T ~s'oFy pV C z 13-~1 tk- 2 ~,o ~. e >, ~~\. ~, , ,~~ ~~ ~ gy I~~o~ ~/ v 1 ~? ~ Page ~ Of ~ P_ppror, e^'_ 517;+.~.1'let1C CO~i erzAC\ dSTi~i C33 .l Medium Sand ~ I Topsail -~ ~L - _J ~ ~- - Distribution Fip ~ ~ X5,1 jG ~ ~ F1 ev. q D 1 e ~ ~ ~, g . °a Slope ~ ~. Distribution Cell of ~ ~ Force Main %" to 2 Z" Aggregate From Fump z CROSS SECTION OF A MOUND SYSTE;ii (QO3 ~ A ~ Ft. Linear Loadinc P.a tee= G .0 GPD/L'v FT Desicn Loadinc RatE=b.36GpD/cQ FT ~'e'*'Tic ~ ~ • ~ • n -e-r- ~or'c=-~F~- • L (~i3 67 Ft. . I ~~ Ft. J 6 Ft. ' K ~~ Ft. L ~3~ Ft. w 3 \ Ft. ~} -Observation Pipe ~ --- ~ K r--_--- - M - -_-__~- = - -_-=- -- :~ a o~~----- ---- ------- ------_----- _----- -. -B - - -- Flowed Lager D 1•i Ft. E t-~Z Ft. F o, 8 Ft:. G o• 5 Ft. H 1.0 F~. r. 6 ~ Force Main -" B ;~ o[~PU s lTt. ~Qistribution ~ ~~~ Pipe CeII of ~" to 2i" ' aggregate Observation. Pipe ~ '- Utacsbr seczsrely) r _.. _._ _._..____-- . ' ' ~ PLAi~ VIEW Or" A MOUND SYSTE:4 ~ ~• Distribution Pipe Layout 1'1 ~°S1J t W ~.D Place the holes at the bottom of the distribution pipes at equal spacing, Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 4~ ° fitting to a point within six .~ inches of the final glade, Terminate the ends of the laterals with a valve,:threaded cap or .threaded plug. Provide access fiom final grade for the valve, threaded can or threaded plug. - ~_ -~,cc`ss Bo~_ - T `-t P.1 CIS L . Z,ZflS S . _5'~C_710 T~j PVC FuC I Later(-~ ~ Manifold ~~ C ~--- Lateral ~L`PrN V \~ _-- a- _ P a- -- i o-- Page S of 1 t~CL~ ;S SOX - -o - --O PVC'-°~~ t~~ _ ~q ~ 'A p 33 Ft. ~ ~ Hole Diameter. ~/~ Inch ~~--- S 3 Ft, - - ~ Lateral ) ~ Inch4es) X Z~ inches Manifold Z • Inches -- ~ Force Main " 2 Inches _ - ~- # of holes/pipe 11 - ` Invert Elevation of.l.aterais°15.1 Ft. 11x-yl=~•q~x6= y~-8Z Gpw, Combination Sept~.c~.Tank acid PLI~MP C'.NAMB£R CROSS SECTION AND SPECIFICATIOfJS ' PAGE ._ . ;- VElJ7 CAP ~ WEATHER Pit00F .._ l- JUIJCT101J 80X . t~3P~ou ~tPE~ w /RttZ~ s ttT• r+rP Ft iv tSH~ A rov / PP ed joint ta/ PVC pipe ti C.Z. VE1J7 PIPC ~ ],~' FROM DOOR. %liAJ00W OR FRESH A~IIJTAKE --1 b OF 7 ~IPPROVED LC)CK11.IG MA>JHOLE COYER cvt~ll wARtJlsJG LA.gi:C.. RISCR EXIT PERMI~ED C)IJLy IF TAUK MA1rUFACTURER ttAS SUCH A P P R O V A L ~3N AAAQo~.Fp 8>:p0 t rv4 SEPTIC f DOSE TA -J KS ALJ~RM PUMP SPECIFtCATfOtJS MA-JUFI-CTURCR:~~'~~~ eL~)~~~ u1,{MBEA OF DOSES: y•~S l 2-00 L S OD PER DAB TA1JK :,IZC : GALLOAIS DCSC VOLUME Z • MAUUFACTURCR: S'S' ~-~•TiZO S~1ST~1''1.S IAtCLU01uG 6AtKFLOW: - ~ ~ 3 3 •~ 6ALt.0Al;. MODEL 1.tUM8ER: l ~ ~ ~~J CxPACITlES: A= 1 ~ IAICHCS OR x,00.3 Wl L-TL CaJ G~-t.LOU S SWITCH TyPt: -- 2~ $ _ _ Z IIJCHES OR y ~• S G c1vL~ ~ r,~,uous MA-JUFACTURCR: 6 MODEL IJUMHER: ~Q D'S SWITCH TYPE: ~ ~Z~1Z-y MI-JIMUM DISCHARGE RATE LI1'8Z GPM C: WCtIES OR 13 3'yGAlL01J5 0 = l ~ INCHES OR 22"Z' ~ GALLOi`IS 1JOTE: PUMP AUD ALAM}A ~ TO bC ~ 6 INSTALLED OAI SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP OFF AI,ID..DISTRIBUTIO-J PIPE., '~•7 FEET. ~- KI-JIMUM i~IETWORK SUPPLY PRESSURE ~ ~ ~ ~ (~-SO FEET ~S • OX. ~. 3~ ~' ~~ FEET OF FORCE MA-tJ X 3~F~cF~FR1C71ou FACTOR.. 2.15 FEET TOTAL Oy1JAMIC HEAD. _ ~~'q? FEET As per Manufacturer Z2 .ZSI gal./in. Liquid depth 3 6 y .-. ~, • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. EP05 Single phase: 0.5 HP, 115 V, 60 Hz,1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Watertransfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a' maximum. - -~ ~~ • Capacities; up to 55 GPM. } • Total heads: up to 24 feet. v`. ~ • Discharge size: l'/i 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 size:l'r~' NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. J ®1995 Goulds Pumps. Inc. METERS FEET 10~ s ~~ 8 o ~ a w x v 6 } s '~ 4 H 0 ~' 3 2i 0~ Goulds ~E ~ °~ Submersible Effluent Pump i i ~~ u 3871 EP05 • Fully submerged in high grade turbine oil far lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 Impeller: Thermo- plasticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplas- ticcover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing. construction. . AGENCY LISTING SP• Canadian standards Association (CSA listed model numbers end in "F"or "AC".) 3o ~ I i ~ ~ 3 A y5 i ~ i I I T~ 'a . ~p~.~M i 25 ' ._ 1~ ~ ~~: T . ~ i i , , .._ ; 20 ~ ~ l ~ t~: 15 1 _ ~' f ~~ .2 10 .i EPO S 5 I . ~. OO 10 '. 20' 30 40 50 'GPM 1 1 .~ ~ , 0 2 a s s 10 12 mom CAPACITY L~. Z ~~~ _,~ N ~~~f -~~' -~- ~,~~~~~fi L a~~~ 8~" ~3M s~ ~~ ~, z ~-- 8 s/~un~v ~Sa~-~rr~~~ ,7~~5~~ ~n ~~,~ ~ 1, 2 ~ _ ~ s~ ~`' ~ ~ ~ ~a'~~ ~a.Sys-~iw. ~s s~~'Y~ ~25~ ~, ~'Gltio - a~ ~ ~ ~z o~ Yb6 ~-- .~- SG'~ ~ ~ ~( t3 3 c,r~ Imo. ~ ~-'~--~° ~~~, l~ ~~ ~~z' U~~~ s ,~~,--~ 'w~is`c:onsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ~~ ~~ Page ~ of ' County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~(~ Q~ Property Owner Property Location ~ ~i ~ Govt. Lot 1/4 S 1/4 S 3oT 2~ N R `"~ E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1 2e irr. ' City State Zip Code Phone Number _ ^ City ^ Village ®Town Nearest Road ~,. New Construction Use: ~ Residential / Number of bedrooms ~ Code derived design flow rate ~IS~ f L. ~b GPD ^ Replacement ^ Public or commercial -Describe: Parent material ~1 ~~ Flood Plain elevatiah if applicable : -• ~ ~ ~ ~ ~`~..~_ ft. General comments - ~- \` and recommendations: StaS-I~m 21Qvt1~Ot7 ; q ~ . pb - ~,- ~. ^ Borin # ^ Boring 441I\\ ~ ' O ~~~ ~ / -. ~~~ g ~~• OU ft. De th to limitin factor i in. N r ~ ® Pit Ground surface elev. p g ~ iNG Soil,.A ication ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ~ 3oUndary Roots= \ `•; GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. . . ff#1 *Eff#2 1 0-~ i0 r3~ Z s ~ ~ Zt~ii C ~- cs ~v . 5 . S 2 ~U-I r41~• - s~c1 k ~ ~S - •y -~ ~ ~G ~ c y t ^ Boring # ^ Boring ® Pit Ground surface elev. ~y. 30 ft. Depth to limiting factor Z4" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 2 t - Z~I' l - iC, c - . ~- c (~ -- ~ ~ tl~-~h `_ _--- ____ c~ 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST~ anme (Please Pr' t) i nature CST Number ~`~'a ~ ~l2 c~r~2~i~-Pry .-~~~~ X53 j o P Address Date Evaluation Conducted Telephone Number z li 3 ~G%~-~ s~,,,~.e~s-~-~~ c..~ ~• ~'-5'~zs- ~ 2 - ~ ~ -~i fzis~z~~~-~c~a SBD-8330 (R07/00) '~• • f~ Property Owner ~~~~ A ~ ~ ~ ~ Parcel ID # Page ~ of ^ Boring f~Ri~~~,Zt~ po~v'~ Boring # c~ Pit Ground surface elev. ~• W ft. Depth to limiting factor ~'7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ 0-i3 ~~ ____ 5~ I rr1~~ ~5 Iv . 5 . $ 2 t3- ~l -- -~~ 2 k m ~ ~~ - .~ - 3 4-4~ I ~Sl -- ra li e -- - - N'P N'>p ^ Boring Boring # ® Pit Ground surface elev. yd ~ G U ft. Depth to limiting factor ~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff# 2 I O-~~ R/ / ~ s~,/ j'j'l-~r ~ s' /U-F~ ~ o O z ~~-a3 ~ y~ ~~~ ~ ~ ~ . ~ 3 a3-3 / C iF - s r ~ ~ ~ b/ ~~ - - - `~ - ~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) '~,~, . n Property Owner ~-~Q P rcel ID # Page ~ of ~_ ^ Boring ~9 ;~b~t~ ~r-/~ Bonng # y 1 ~ Pit Ground surface elev. ~• W ~ ft. ~JDepth to IimiGng factor c3~ in Horizon Depth Dominant Color Redox Description Texture Structure , Consistence Boundary Roots Soil Appliaition Ra z in. Munself Qu. Sz. Cont. Color Gr. Sz Sh GPD/ft ' 0-~ 31 . . S~I rr1~~ e I Eff#1 'Eff#2 2 ~3 - ~! -- ~ 5 v . 5 . $ c,l 2 k m r c S . c-1 - ° © Bonng # ^ Boring ® Pit Ground surface elev. y ~ G O ft, Depth to limiting factor in. Horizon Deptl~ Dominant Color Redo D i Soit Appliption Ra x escr ption Texture Structure Consistence Bounda Roots ry GPD/ftz in. Munself Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 f z ~%~3 yi ; 3 a3-3 ~ ~ ~ fF S ~ ~ .~ ~ ~ . , ~ , _ _ , ~, 6 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft, Horizon Depth Dominant Color Red D i in. Munsell ox escr ption Qu. Sz. Cont. Color Texture `Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L Depth to limiting factor in. Soil Application Ra Structure Consistence Boundary Roots GPD/ftz Gr. Sz. Sh. 'Eff#1 ~ 'Eff#2 ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) ~~~ °t ~ . PAGE~OF~ NA MF. S~~ T.OT# ~ ~ r-F~AT_. DESCRIPTION ~/~/ ~ Sv ~ ,S 3o T z g ,~,B. ~ '~ E(or~/ .~ PAGE~OF~ NAME. S~U ~ LOT# 3~ T F(JAL DESCRIPTION ~~/ ~ Sv ~ ,S 3o T a 4 ,N,B,, ~ ~ $(or~/ SCALE:I"= ~G BM 1 ELEVATION /GG • O BM 1 DESCRIPTION ~~ o ~ ~l /Jdc ~P~ BM 2 ELEVATION ~~• G ~ BM 2 DESCRIPTION ~,/ v -~ ~z ~v~ ~_~_ SYSTEM ELEVATION 9~~ a o ALTERNATE ELEVATION ili/~- CONTOUR ELEVATION 4' 3• a y ~~ a~ o~ ,~ ,~ ~\ .~ ,~ ~~ D p~,~ ..,_ r ~, ~`°Qw ~G ~',,,,,Z S, ~ ,. ~ ~ ~ bo 83 0 ~ P I ~~0 5=/l -~~ z Ti TR ~i~~- ~ ~ ~ DA - ~.i .„~ 8~'~ rv 8~ v ~yoa 2 ~~ FRC~1`1 ScH,aun~ker P?umbinq ` r`A~; ND, i 7153863121 Apr, 03 2003 12~~1 Pl S'C CRUIX CO~~'7~~ ~~p'TIC TA1~'K yiAINTENANCE AGREEytENT AA'D ow;~sxip c~c~rc~rio~v pow ^~II~I 1Iq I~W~~~~ ray ~~ 7 ~ ~ t~ ~ J i~ ~ l~ rT~ ~w : ~ (Y1e~~tlaa rpuiad !~ Drprttipait for tKw ~a.,l.•:^.~ ~.-•.. - ~ ~ Parwl Idmsti4o~cion Ntt~er D/ d - 9 ' 3 S~C~, y ~~~ r41 M~~I IiYlr~~l /11ordzjaa2 Q~d- 3~i~/ZUa-3~ /1<ce~d ~l/3/x.1 P:o~rey Lodsticas ~ ~"~ Y., ~ '/~ Sec. D T 2 9 N-31., ~..W, Towa Of ~ °~r"'~`~'^J` 3abdirridon G ,"'• c ~""~~ ~~ ~ ~ ~ ~ Lat. ~! ~.. Certl~ Ssnr~y ~ M VohcmO ~ P~ ~ SpOC ~70tYM Q ~ ~ 1f0 LOL ~1t~ttSiii~blr ~~ Q r10 ~opetaar eod eu~reemcsalyoet septic eS'~ could rrdtl: iDJ ia1 phmapua + w Ladls w7et••. peoper amdaerpaaes ooa~iett ef~ aut the trpdo tak wwY ttm~ Yule Ot eooear. it aMdtd by • tx~w•d pipet. WMr 7ar- put amco rbr +~° eau ~ lbmotloa of Ai• Npdo ~ u • mat ~ is !hr wNta dl~o~c! ~ 'T,~ p~o~~eety 4wars ~/hra to to 6c Crobc Zoat~ Depr~nK • onliifestioa Cim~ ~d by for owe;ar ~d by • met.arpltitlirie, lr~ry,ass}D~brr, ~Onias+d ~~ ar • lfasmea pnooyrc yr ~ ~ 3I tabs ~ ~ ~= or r~M is is p~ ~~ o4odidoa ~ a ~ ~ i~'p°`ti°'°.ed p~iay (It a+awary). ~ t~ imd~•r•f~ad 6•w swd d~ abavo ngvire~a and •~ to ms6s~ toe pei~-ea aawje diepaal eY~ ~ for raux~sde ~i~t ~ a•0'~ ~m~saed mad w oe~letr~AWta•d m tla~c Caw~q- ~R Office wu~ a dy. off' for o~ yNar repiritlaa drN. 9IG:vA 0~ A!? CAM ~ iw) deems {~ sll wand ra t~ir fo~t:n ;~,e m die bra ai any (our)laorvladp. I (rw} un (atr) ~e oa~i(sj of ~ d~eribrd slww~ by v(ttvr o: • waereary dNQ ceootded in ~ls~er or flrrd+r Oldo•. ,. ~~_ ~, ~ G-. ~- Dw ~s.ws ~ coq tb~ is eais~~ may :uule iii the iusivty ~iit besets rovokM Dy ~ zea~y Drpt~t. •`•••` ~+ r4elais RIi11 ttW sPplk~gra: a +o~d .rama~r dw! 17rs~- rD. Re~bt of Drtdl 0~+ w copy of tine catiGed Y e~tltp is niter it mtd• la tId w~~r derd ~J . 2 2 1 'i P 0 1 8 STATE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED Document Number __ _.., i _ _ _ __ _ _. This Deed, made between RICHARD O STOUT and ~TANET P TOUT, husband and wif , Grantor, and R(~NAT.TI .T CARSON and JLLL N CARSON-, husband and i~u f~e-, Grantee. ii Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. CrOlX County, State of Wisconsin: Lot 35, Plat of Emerald Acres, Town of Hammond, St. Croix County, Wisconsin. 018-1098-35-000 Parcel Identification Number (PIN) ~EC~~ ~ homestead property. L ~i~~s not) ~~'~~ ~ ~ zoo3 ST C,tC~I?: c::VU . , ZU! ,iV~=:OFFICE= Exceptions to warranties: easements, restrictions, rights-of-way and covenants of record. i i ~ Dated this 21st day of Apr i I 2 0 0 3 l u C ~ C~ c~~~~..~ ~- f ~ ~--- (SEAL) / - (SEAL) * Ri e-hare] O_ Smut ~ .Tanat P _ Strn~t .; '' AUTHENTICATION Signature(s) (SEAL) authenticated this day of !~ TITLE: MEMBER STATE BAR OF WISCONSIN ? 1 8c52 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. ~ MI RECEIVED FOR RECORD 04/22/2003 08:00AM MARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 128.70 COPY FEE: 2.00 CC FEE: PAGES: 1 Recording Area 'Name and Return Address I CvCX~ ~''~~r~l~' ACKNOWLEDGMENT (SEAL) State of Wisconsin, ss. , St. Croix County. Personally came before me this 21st day of Apr i 1 2 0 0 3 ,the above named Richard O. Stout and Janet P. Stout to J ~219y P 088 MORTGAGE DOCUMENT NUMBER NAME & RETURN ADDRESS Billings Loan Hub P.O. Box 31557 Billings, MT 59107 Loan # 7271279408 7 1 5 8 2 7 RATHLEEIi H. IiALSH REGISTER OF DEEDS ST. CROIx CO., MI RECEIVED FOR RECORD 04/03/2003 09:30AI! t10RTGAGE EXEl~T # REC FEE: 39.00 TRAKS FEE: COPY FEE: CC FEE: PAGES• IS 3~ PARCEL IDENTIFIER NUMBER y o~ L 3 S' ~~~ ~~ ~~Z%~ 018.1098.35.000 pC 7 e Above This Lille For Recording Data #: 20030442900106 ACCOUNT #: 7271279408 1~ DEFI1~iITIONS Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11, 13, 18, 20 and 21. Certain rules regarding the usage of words used in this document are also provided in Section 16. (A) "Security Instrument" means this document, which is dated March 11, 2003 together with all Riders to this document. (B) "Borrower" is RONALD J. CARSON AND JILL N. CARSON, HUSBAND AND WIFE Borrower is the mortgagor under this Security Instrument. WISCONSIN-Single Family-Fantle Mae/Freddle Mac UNIFORM INSTRUMENT ~i~(wn (mss) Psee 1 of 1S ~~ ~~ i~~iiii~ i ~ ~ :" ~ ~ , OD I~ o ~~ I~ (~ ~~ `-"' 6 m Z ~_ Z m m w ~ err` a ~k<` ~ ~~ k ~: ~~ , t ~~, p-~~' ,s, CJ J V~ ~~ ~ z ~~~ N~~~ ~' 0 T W ~~~ m aC~O W ~W~ pZ~ z J ~ ~_ .. - .. ~ - .. ' 193.37 236. S C1 N89°44'S6"E 478.04' W - - - w TOWN ' - W S89°44'S6"W 479.39' 1 198.21' 250.46' 3' ~ ~~~~~~~~~~ ~~~ i ~ ~~~~~~~~~~. ~ I 3 ~ MII~ F~E = 1004.00 O g C ~ I ~ e' s ~~ ~ ~~ ~ 34 N I ~ ~ ~ ! 2.60 ACRES ~ I m 2.6 A ES ~ , ~ 108,900 so Fr w a 108,900 S d ~ 30° ~N n1 ~ MIN FFE = 1004.1 V I i O ~ I I I :1 -~j H.W.L. = 1002. ~ ~. _ I _ -~_ ', I I 33.00 i - --- ~ 1 ~~., dR~ _ ~ N f O +~ C 0 J a M[~p~44C~D ~,Q[~D~ .i - - - SW CORNER SECTION 30 ~~ of '",S~o Z yP DOUGLAS J. SZ ZAHLER S-2145 'GX~ -v DoG~ 684'8g~ RFAiSTER'S OFF1C~ sr.cROnc co.wts~ -~ faz this /O e~ of JG AD- ,~~• at o'cIocn h~ Roooa~t3 in Vohm~e ~