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HomeMy WebLinkAbout032-2145-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 569551 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Olson, Brett&JaCI n I Somerset, Town of 032-2145-60-000 CST BM Elev: Insp.BM Elev: BM Description: / kI..) Sectionfrown/Range/Map No: /Db ir� <_jf5r- '"' 13.30.19.1268 TANK INFORMATION A ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I , n. 1 i / /� Benchmark ,g' l o' / 6 r e ��.�.. z s C.� �v a`/ F P6(-J16 C Alt.BM /� 16 7 . Aeration Bldg.Sewer 2. 162 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 7.7 /61. /5 TANK TO P/4 WELL BLDG. Vent to r Intake ROAD Dt Inlet ` dp7f` b be Septic 7L 1 ( Dt Bottom /V Zd Dosing Header/Man. Aeration Dist. Pipe P. /Dd /-0,cP 7 ,Z Holding Bot.System 9.35 Z i 1.go 9-.25 PUMP/SIPHON INFORMATION Final Grade • 3 b Z. Manufacturer Demand n St Cover Model Number !�- T Lift Friction Loss Syste d TDH Ft Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM �Z-• BEDITRENCH Width Length/ f No.OfTre^nches PIT DIMENSIONS No.Of Pits Inside Dia. r uid Depth DIMENSIONS 96_4_ +�_ SETBACK SYSTEM TO APO/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: 67 Zb A)A— /, 1A UNIT Model Number: GdAo ate- /`/ L DISTRIBUTION SYSTEM ZZ k. L Header/Manifld if DisVibution x Hole Size Ix Hole Spacing Vent to Air Intake Pipe(s) `� �. �— ` At. '1 Length If Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth o T Seeded/Sodded xx Mulched BedlTrench Center 3. S Bedrrrench Edges \ Topsoil Yes No Yes 0 No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: / / Location: 860 156th Ave New Richmond,WI 54017(W 1/2 NE 1/4 13 T30N R1 9W) Nathan Hills Lot 6 � Parcel No: 13.30.19.1268 1.)Alt BM Description= �r Go Jam-- G�w:ov 16viC a /\� 2.)Bldg sewer length= / -amount of cover Plan revision Required? ❑ Yes Use other side for additional information. SBD-6710(R.3/97) Date Insepctor's Signatu Cert.No. Sjb � b l Y 7�f Loak 3 a Ioo ' a u- Tv r 15-4 lr-x f _ �/3 County Ez Safety and Buildings Division Sr, 201 W.Washington Ave., P.O.BOX 7162 Sanitary Permit Number(to be filled in by Co.) K Madison,WI 53707-7162 �O sioisnti V I anitary Permit Application State Transaction Number In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit A- is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing addressj�v the Department of Safety and Professional Servies. Personal information you provid ay be used for secondary Y purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. D 6-(0 I. Application Information,—Pl ase Print All Information Property Owner's Name.+- q V\- --%,f # ,8 qpR Property Owner's Mailing Address .OM ,R 4 Property Location ty MV / 9/x C / Govt.Lot City,State Zip Code Phone Numbe O ,1,� , AM /<, Section 5 7�� _ lrcle one) / T_ N; R�Eor� H.Type of Building(check all that apply) � Lot# 1 or 2 Family Dwelling—Number of Bedrooms Subdivision Name / / Qk (},� - Block# N //!��S ❑Public/Commercial—Describe Use ❑Ci ty of ❑State Owned—Describe Use r CSM Number ❑Village of 7— {J G��S l.�-� —7:3 4- 7.15 C—L�^10�r .Town of III.Type of Permit: (Check orby one box on line A. Complete line B if applicable) 2e>%.f- x A. Ilk New System ❑Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) B• El Permit Renewal El Permit Revision El Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner -:Z:/bI 4 hm 0v:Ck IV.Type of POWTS System/ om onent/Device: Check all that apply) -^I-Al./' (Jg KNon-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil C"dLv • 2 ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dispersal/Treat nt Area Information: Design Flow(gpd) esign Soil Application Rate(gp Dispersal Area Required(sf) Dispersal Area Proposed(s System Elevation S0 ,9 �� ?0 a4-$-l VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units a o v New Tanks Existing Tanks w °a & w lo,lr 5z 5 ° c-. U � � � iw C7 a Septic or Holding Tank D©t:./ �- Dosing Chamber ` �Dp -4-1 VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plum) a(Print) .�/ Plumber' ign tur MP/MPRS Number Business Phone Number Plumber's Address(Street,City,State,Zip Code) X6%t t1,13 VIII.Count /De artment Use Only Approved pprove Permit Fee Date sued Issuing t Signature O even Rea�for enia l $ ! 3� / Q5 IX.Condi$ftT4FbQpVNE1llKReasons for Disapproval 1.'Septic tank,eff ubnt filter and 3> �(�� �a j� b Ir T'D ►ti dispersal cetl•must all be servlces/maintained as per management plan provided by plwrbg. 2,, At in, Avowft must be]mainfik d ss per eppNeet>ne awe 7 dt�nn`rai. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398(R. 11/11) CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: _ 1 Owner's Address: 60 Legal Description: Township: SUY� County: S Subdivision Name: Lot Number: (� Parcel ID Number: d o? ` p`?�y.5 _ 60 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing &Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat ��Attachments: Soil Test& House Plans U Designer/Plumber: 1// m&/ License Number: a707 d ,2�S Date: Phone Number 715- 760 O Signature Designed pursuant to the In ound Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P(N.01/01). Page 1 �o CC)) Q I l �`s i . �- ft 3 ..;.Yfr �4X am AbogmMiM Y!� ` 7A f .. Or 3bsenmdon Land" Trerurh 1 Ownbm rry L Manufacturer And Yodel ♦� I�/� 4� + EISA Rating sq ft Per dumber Sod APPAc ation Rate "71 9pd Destgi��F hate + EiSA a, r f 2 rum of dhambera each. k � Sao Page,. .of, t�, 3 I I— 48^ —! (EFFECTIVE LENGTH) 12" - 34" I ! } I - _ } 13 8"INVERT 8"INVERT f-_ 5.3"INVERT 18-2" 33" _ OUICK4 PLUS -----ALL.-IN-ONE PERISCOPE----� (.560"SWIVEL I 12.7"INVERT 6„ QUIGK4 PLUS _ ALL-IN-ONE 12 I i ENDCAP I 5 11 I 1 !I Quick4 Plus Standard Chamber Specifications xii) 34" x53" x12 1' (86cmx 135 cmx31cm) >- , Invest: HHeight ..... ......... . 0.6', 5.3„, 8.0". 1 93. 1:1 ........... ........ ........... ............. .... 48" (122 cm) .5 c , , 8.4 <.I 18.5 c �._.Ei crr l (1 r� Y� m, 9 9 ,!_'riA',OR YS EMS,INC.STANDARD LIMITED WARRANTY I 'W!"t INFILTRATOR .. . - Will, .n4 -. . !” P?�'USitiL,, I'�a,. (�O;ai1 • r (I L, e ic`i i(:u t (lOO fAX 800.221.4436 www.infiltratorsystems.com O s 0 «O p M cn � co i O t 0 t_ ,j Z ao Z w c= x ° w LLJ W z z cn w LU x F- J ? 5 U °- � w V z c=n «s m xp m � O � w E— C]f � zw o C) w ® 0 v � F=! m � o O =DLn = Ocfl Ln Z UMI ~ tw- J � Q POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity �Q QQ gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ,�d,� NA Number of Bedrooms ❑ NA Effluent Filter Model 0 L.� D ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity Q d gal ❑ NA Estimated flow (average) 0 gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) �j a gal/day Pump Manufacturer ❑ NA Soil Application Rate P gal/day/ftz Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) :530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :9150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) 530 mg/L KIn-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) _:30 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5101 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Er Inspect condition of tank(s) At least once every: / 3 ❑ yea�lsl(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(g) Clean effluent filter At least once every: months)d years) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA year(s) Flush laterals and pressure test At least once every: ' ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of:512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page 7, of y START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or:must be taken, to provide a code compliant replace ent system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T N alua ' 110 - t WOO.be ' e ai e . ?P D1415 77;✓11 X62-A16W Ca�vST7Xe �p tank ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone 7/J~^ 7, Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY / Name Name mot. C�( bU& ZUR�t'� Phone Phone p— (A D This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) &(3), Wisconsin Administrative Code. $`a x" r s tVL WVMTY MMOMME AGRE04ONT AND t' tUMCATION FCHM =I M&' A9 Aadren ^t6D Ptoperty Aeidr+ass l+�aa ngwivW ka Musiog�k Depn imm Jfr saw cols R.> C, fStatc Paroel' 'Ott Number CD 3,p? —421 �. r14 C1 A Property Location _ ..� Ki S#c; f "�T 0 N R_/jW,TOWS,of Subd:vtsten Plate verfirad Survey Volume e ,Page# Warranty Deed# � 1 �J �Q- `�j" (bet)xe 2007)Yotumo pap# Spoa bm w n Yes,ALW Un lusos ifi h4ify"049 S t4f;1+1&MTzfq&M&M QJ M ATION r: im,trop¢r axe Md MaInawma of Yw svit 6 to w,"mule is its POMB W ttMih"m*atl&a r at snnaattca 0XV44tt erpompi"Od dMtf C*Mk*u Y*w Y""or steamer,if aetitd by p boom*Purrs- ten xyxtam c"efFeatlerfawe*ata+f ttlttt saber lrrtcrrha IrNOrletrt pia the rrt�ta dbpoat ryt�oea�. Oawar euint� '' 1 a"*;cxsibib+;zrs we xpoc i isd in 1� $3.52(l)aed 1R•CMl�itc l2-St.Crorx COMP S4nihry t)rdlptllsce ThcPrwP"*wMavMI&StAwIhtG S# crow C !c zodift DwarIMM a ceeetf+osttoa. Jwntr and by a pry► . te+tbtr,m iced ova 1;cine d pwnW verif*%ttew 4 t)tfte erstMr ` vast water rt+rywsst w is Prow 4petalittd=ndkiw"or iZ)ithr:nspe tion and pumpittg(if necessa•y t.ft 4,00C "45 _Si rhQ++ ),—I fill•)f Sktd*e IA we.the wadrdsideeod 1est+t ttteet,des absvr MKpMemsmas Md WM to naftal o St prtvae nw"p 4ilpa"i sy f�1Y �taadardg Ct€ordL bft*iA,a =by d o D*wu a t of Coo m m ad dw Dgwan oNwaat Raw aw 5 of Mi pw►�It; Ccruiica u r..sta MI*0 YOW sepeie 11► !x`Int beta atainifia i t situ tee ct mplehed oeed Tamaw"to tita tat Crce z<Coo0*v i%*;4! Letouts Depa"Mttt within 30 of*w Iltrae yeti enpi 06"talc. Vw certify tbx A swaa m o as limp asa tote 1t.ffit bat of eblrloiir icy. i/+re attNses tree owoeetr,}ot�t ` , lovtoy descrsbei dmvc by vtteae of a tierce taG{N oo in Resister of:lads Office. Nuenbot of bedr Dome - SIGN _ OF APPL.IC: ) _____. lam►1'� / ' •"•�av nto,mat•ttn that itc ansusprhaerised leapt tt itt thts'ttaeuttery Permit baud revdtad by the PL#Aa g&Zoning Uspiiftglu. �•'� inctttils wren this splsiscatst►tt a recarckd warrettty eked from the -Itq;iAct of Dols officC am's Copy o€the cerulic;il hutvelly 7q it •uf"eac+e.is+umlt+#s rite way awry .*,e4: tR£Y "MS) -7 i -, 995103 BETH PABST REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 - 2000 ST. CROIX CO., WI Document Number WARRANTY DEED RECEIVED FOR RECORD 04/28/2014 08:00 AM THIS DEED, made between Sandra C. White a/k/a Sandra W. EXEMPT # NA White, f/k/a Sandra W. Johnson, a single person, Grantor, REC FEE: 30.00 and Brett Aaron Olson and Jaclyn Micheffe Olson husband TRANS FEE: 163.50 and wl e, rantee. PAGES: 3 Grantor for a valuable consideration, conveys and warrants to **The above recording information Grantee the following described real estate in St. Croix County, verifies that this document has Wisconsin: been electronically recorded &returned to the submitter SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF Recording Area Name and Return Address: Edina Realty Title, Inc. 400 South Second Street, Suite 115 Hudson, WI 54016 1095663 Exceptions to warranties: 032-2145-60-000 Easements, restrictions and rights-of-way of record, if any. Parcel Identification Number(PIN) This is homestead property. Dated this April 16, 2014 aL2ffd4 e�Ayt-t�- Sandra C. Whl a a/k/a Sandra W. White, f/k/a Sandra W. Johnson WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 St. Croix County 995203 Page 1 of 3 AUTHENTICATION ACKNOWLEDGMENT 1 Signature(s) STATE OF LOS n Stile N r COUNTY OF authenticated this April 16, 2014 14_ _ Personally came before me this * the above Sandra C. White a/k/a Sandra W. White, TITLE: MEMBER STATE BAR OF WISCONSIN f/k/a Sandra W. Johnson, a single person to me (If not, known to be the person or persons who executed the authorized by§706.06, Wis. Stats.) foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Martin D. Henschel 6800 France Avenue South, Suite 410 Cheri Brown Edina, MN 55435 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. My commission is permanent. (if not, state the Both are not necessary.) expiration date: 03/01/2015) *Names of persons signing in any capacity must be typed or printed below their signature. N ��R�WN BL�C S qR TATE OF C �NSJN WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 St. Croix County 995203 Page 2 of 3 Exhibit A Legal Description Lot 6, Plat of Nathan Hills in the Town of Somerset, St. Croix County, Wisconsin. WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 St. Croix County 995203 Page 3 of 3 � t ul 1 214 , J IMF Lm VN a � J t a � r f �;� ,,, "`1 .., rt � :•� its "4 ;w �" — �,. p: •n t� - ;' � } r i 3 Ln 3 y Z VI \/ Ul • 1 •�S-'CA� A A COMBINATION SEPTIC/DOSE CHAMBER TANK&PUMP SPECIFICATIONS PER COMM 84.25 CODE CHANGES 2/1/2004 Access Opening,not top of cover, Access Opening,not tap of cover, must extend to a point no greater must*dead at least than 6"Below Finished Grade C Above Finished Glade . Cover vuith W A?N Lochin9 Device 1TV 84X HPPKAv6►CAF - (typical) Finished Grade N Min. 23" >3b �� Access Opening 0�. jM5U1� Min. 23"Access Opening Pik 2 "pYG ��c�iyil�aJ 11 Ouh:t Effluent Filter Gv/7�/if�'1�✓G SY.EK'9 Union AAPeoYf!A PIP6- 3 P1; Met Baffle -S271-/1a -SbI[-- i � I Pu p 3",5and or raw-!Ttiuo undtf- 4Ank u,iA e n�e-2-laver S-. m Qdgps Compar eat Septic/Pump,Tank ✓ -fo Gvte� /�` e n outside ula O C � �9 ) SPECIFICATIONS e TANK MFR: DOSES PER DAY: TANK SIZE: SEPTIC /000 GAL. DOSE VOLUME: 7 J GAL. DOSE &00 GAL. '(INCLUDES FLOWBACK& <20% OF DWF) ALARM MFR: CAPACITIES: A= 32 CHES = 30t,>5 GAL. MODEL# Switch tYpe: B = 2_INCHES = PUMP MFR: C = J �i Ya�NCHES =_ GAL. MODEL#: O SWITCH TYPE: D = ..S INCHES = s` ,/bGAL. �$ REQUIRED DISCHARGE RATE GPM PUMP&ALARM WIRING PER COMM 83.43(8)(e) VERTICAL DIFFERENCE BETWEEN PUMP OFF & DISTRIBUTION PIPE (LIFT) _ '� _FT. MINIMUM NETWORK SUPPLY PRESSURE (DISTAL& NETWORK PRESSURE) _ + FT. FT. OF FORCEMAIN x g 26e FT./100 FT. FRICTION FACTOR . . . . . . _ +- � —FT. TOTAL DYNAMIC HEAD (TDH) _ 1,573R FT. INTERNAL TANK DIMENSIONS: LENGTH ; WIDTH ; LIQUID DEPTH_ MP/MPRS SIGNATURE: LICENSE NUMBER: O�oZQ.3S7 pFr t k x05 Sere k . u � ANftt[AtIWVS '>c!'f?S lrnpltlec:Thernro s- _t and borer =s; Eic MdUW design for R� � followiN designed bt tfuty�eabearing f0ibwinquses: ;� ;. +rtgrawedPMtxmance. �tWn. •E6luent systems '� ''�' ■Casing and Amc Rugged ` Homes • Farms thannopld k des�n Provides AGIA"LIST114G • Heavy duty sump ca�+©siw► dos OANOdarive • Water transfer ` pi File PUM" ' a mew Nftsi".Cm l)ewate ring W effid heat trm*.� C'arrt ki"is ISO*41 rko""W fit• strertglti #rid durabdtry. SttEt1l;tCATIpNS • TY 6ioo Cow; ► ttw*sk f EASolids diddling Cap ky: 1 attd 141 rnutimum. ivuitctt attacttmea�[ppinrs. COKities:up to 60 W. ac � �ls�rer Cable 5cv TOW 466:up to 31 W. read of and water reign. Dixharge size:1 v NPT. •Meosriica seal-carbon- mah� rtltdryJfNanitC-stali4fla/y, OUNA•N efastomers. t 10OF WO corttinum 140`F (fi0't~1 interilliIttM, _ .. . 'Fasteners:300 series Sk#iftitSS Capable of running fir...__... . dry without dam#"to + a Moo i components a 99 zs� �-----z ._ez Motar: z � EP04 Single Phase:0.4 HP, 115 or 230 V.60 Hz, 1550 RPM,built in ovedoad with > s EPOS reset. •EPRS Single phase.0.5 HP. o ; i . ✓ 115 V or 230V,60 Ht, 1550 0 i &ros RPM.built in G"toad with 3 10S - autornatic reset, •Power cord: to foot s, standard length, 1613 r S)TW with three prong 9M"N Plug.Opborw 20 0 f0 OC-th. +o 16/3 SJTW with 20 30 yD s0 GPM three Prsng grounding plug !standard on f:PtlS). 0 z e 6 e 10 i 2 m�n CAWITY Goulds Pumps L 1403 6ovlds PvTof - llsfiy�ivh.7043 1� 3 ITT Industries aMT: t des Wi&cousin Department of Commerce SOIL EVALUATION REPORT Page 1 of 014[dn of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County ,-'" Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size.Plan must :f ! Include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.O. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. please print all Information. R: iewe Date ,{ Personal Information you provide may be used for seconda purposes(Privacy Law,s.15.04(1)(m)). �� 6 Property Owner Property Location IF)C N-N T, "'!` Govt:Lot 1 12. 114 S j T ?j N R E(or W Property Owner's Will Address Lo Block# Subd.Name or CSM# g � -- -h,q 1 s' City tatR op Code Phone Number []City ❑\Allege Town Nearest Road New Construction Use` &Residentiai/Number of bedrooms Code derived design flow rate GPD ❑ eplacement t//❑ Publi or commercial-Describe: 1`1 Parent material &7 L _ _do Flood Plain elevation If appl General commentsJ� and recommendations: Boring Boring# ❑ A Pit Ground surface slev, ft. Depth to limiting factor . l °�� oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun s GPD/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1.2-X < G �/� , a�L •3 V1, 22 s ogre ' Boring# Boring ;--W 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/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 G' s k-<, 1 �j2 Effluent#1 =BODO>30<220 mg/L and TSS 0_ Fn., g/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L CST Name(Ple se Print) .a T Number eV')v Address Date Evaluation Conducted Telephone Number 17 71 5BD-8330(RO7/00) •0 r Z ,3 Property Owner. Parcel ID# Paw of no 9' # ❑ Boring � Pit Ground sutiace elev./ ''7R, depth to limiting tactor /QQ_-_in, timison Depth Dominant Color Redox Soil Rate deacxtption Texture Structure Consistence Boundary Roots Gp0/ff in. Muneell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 't:ff#2 E Boring# 13 Q Pit Ground a dace siev. ft. Depth to Ifmiting factor In. Sol 140im Depth .Dominant Redox Description Texture Structure Consistence Bounder Roots GP" Rate in• Munew Cu.Sz. Cont Color Car.Sz.Sh. •E"!!t 'Effk2 n Boring# ❑ Boring {---� ❑ Pit Ground surface elev. ft. Depth to limning factor irt. Morison Sol Rate Depth Dorrdnara Redox Description Texture Skuc#ure Corisretence Boundary Roots GPM in Mansell tilt.Sz Cant Color Gr.Sz.Sh. 'EW 'ENk2 Ei9fuatt#i■BODO a 30=220 nWL and TSB>30=iso mgt. 'Effluent 02=800s,j 30 mg1L and TSS 130 mWL The Department of Cornmarca is an equal opportunity service provider and employer. If you need assistance to access SMICOS or need material in an alternate format, please contact the department at 608-266-31$1 or TTY 608-264.8777. 1eD•Id�OtR.MODy ` Soil Test Plot Plan Project Name Brian Boardman Sha Address 824 East 11th St. New Richmond Wi 54017 C #226900 Lot 6 Subdivision Nathan Hills Date /13/01 W 1/2 NE 1/4S 13 T 30 N/R19 W Township Somerset Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Oak Tree System Elevation 92.8 *HRPSame as Benchmark Alt. BM Top of Nail in Maple Tree @ 98.8' i Prz own Road 100' B-2 2% 20, Slope Alt. 90' B-3 B.M. .M. 0' 35' 30' J Soil Test was done to B- 30 fullfill zoning requirement,test may not 96' 97, be suitable for desired builind location a J HILLS --tit � y f the Northeast Quarter and the Southwest Quarter rnship 30 North.Range 19 West, Tam of Somerset e V '80ARDMAN MATES' rATW 7-7- L oT 1/ � I ---14/E34--- �\9O \ — -----7tlAW----- -- �2 .2Z S00,00 W ® EAST UNE OF THE SW 1/4 OF THE NE 1/4 SECTION 13 Wom • I KW.L O N6646VWE N60'1828•E I y� 3J' =S.xBsa Fl.'). AX AMES 9PS4'36'E 7,(' N1f 31'46'E rl 1^44117 54 fT �' ~ Z Ntt6'033•E i 15 WO yew[ i /I66Y9'36'E 17•E �lil � '14'E Mi7Y 1 I 786.62' O. i W j 74AT$a ' LOTS X3 \FF ' a Fr.FF.E W7.1 tww p I g4• •�QD',ec�q� sss '� .® ' LOT 2 T� .desire$at Fr. �X 70 A0W 074 \� T I \ NOGr0733'E d \ LOT f 402 AQM I �, ► 4/v ,� 1 i IAo d KIKL H.W.L. NORTH—SOUTH(QUARTER LINE - ,�� 632.7T WOWWOW I j I33�J,' LOT7 Ic 9 e ' NEW00EY eSTONEWOW core LOT 4 I LOT s Parcel #: 032-2145-60-000 06/30/2011 01:44 PM PAGE 1 OF 1 Alt. Parcel M 13.30.19.1268 032-TOWN OF-SOMERSET Current 1X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner SANDRA W WHITE O-WHITE, SANDRA W 738 LUND ST HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): '= Primary Type Dist# Description '860 156TH AVE SC 3962 SCH DIST NEW RICHMOND SP 1700 WITC Legal Description: Acres: 4.130 Plat: 08-059-NATHAN HILLS 2001 SEC 13 T30N R19W W1/2W NE1/4 LOT 6 Block/Condo Bldg: LOT 6 NATHAN HILLS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-19W NE Notes: Parcel History: Date Doc# Vol/Page Type 04/27/2004 760792 2558/90 QC 01/03/2002 667020 1805/494 WD 08/10/2001 653522 1697/389 QC 08/06/1998 584507 1346/198 QC more... 2011 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.130 54,500 0 54,500 NO Totals for 2011: General Property 4.130 54,500 0 54,500 Woodland 0.000 0 0 Totals for 2010: General Property 4.130 54,500 0 54,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 .O-ZL D-ZE gilO•Z L 02 co Ni m .........i� ... ................... 9.s 49L e Elm F1 X ............... ........................................X LU LU Z 0 z Lij cn j! 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