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HomeMy WebLinkAbout030-2077-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 574336 0 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: Quantum Digital, Inc., c/o David Pressley St. Joseph, Town of 030-2077-20-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 0_ p l q U jf C MaF 4 26.30.20.655 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic J / /�� / Benchmark /00 C� Dosing /� , � � Alt. BM Aeration �(! �'► Bld er�T / —�e co 7 Holding St/ t Inlet S �/ 0. 2 q a TANK SETBACK INFORMATION S TANK TO I P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet VQ Septic 1 G-� H'tMLN4Cio �?� ��—Bottom 5 0 Dosing n Header an. Aeratio Dist. Pipe Ar• I 96� Holding 2 Bot_ - Final Grade PUMP/SIPHON INFORMATION –'— Q Manufacturer - Demand St Cover GPM r l S-er 2, O Model Number PC 00/� �•2 TDH Lift Fricti�•LQsEy Syste He H 1/ 3-S Ft 33 Forcemain Lengt�,) Dia. 2,4 Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT D NSIO S No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 1D - �� SETBACK SYSTEM TO P/L BLD WELL LAKE/STREA L ZBEOR Manufacturer: INFORMATION Typ/eVOf/�System: J �J, / /vl h" ��` �2� � ft/ Model Number: DIST >I�N SYSTEM .f ! WX Head r/Man' Distribution �� x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 'j 0, Z ,2 Length_Dia 12511• Length J $ Dia�• q Spacing 5 / SOIL COVER x Pressure Systems Only x y4ou4d Or At-Grade 1 Depth Over Depth Over x Depth f /j;, Seeded/Sodd Mul e Bedlrrench Center Bed/Trench Edges Topsoil / Yes No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / Inspection#2: Location: 143 136TH AV�udson WI 54016(NE 1/4 NW 1/4 26 T30N R20W) Dreschler Heights Lott 44BIk2 Parcel No: 26.30.20. 55 1.)Alt BM Description= I' d�41 Het- C,�� � n4Y-1T c, 2.)Bldg sewer length amount of cover e/JrIA U Use other is de for additional information,71Noq � �- �u��►-.. I 66 � Date Insepctoes Signat a Cert.No. SBD-6710(R.3/97) ST. CR O I , ,••'` C�NTY Land use Planning&Land Information 44 Resource Management Community Development Department Friday, August 15, 2014 c/o David Pressley Quantum Digital, Inc. 143 136TH AVE Hudson, WI 54016 Regarding septic inspection for c/o David Pressley Quantum Digital, Inc.. Location of Property in St. Croix County: Municipality: St. Joseph, Town of Subdivision or Plat: Dreschler Heights Certified Survey Map: i Lot: 14BIk2 Address: 143 136TH AVE Dear Applicant: A septic inspection of the above reference property was conducted on August 15,2014. This property is located in the NE 1/4 NW 1/4 of Section 26, T30N R20W, Dreschler Heights (Lot 14BIk2 ), St. Joseph, Town of, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 3 bedroom home. Additional Notes: abandon old system per SPS 383.33 - new Wieser 1000/600 combo tank to 6' x 75' mound w/system elevation 95.42'. Installed per approved mound design. If you have any questions regarding this, please contact our office at 715.386.4680. am Quinn Zoning Specialist cc: file Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, WI 54016 Fax 715.386.4686 www.sccwi.us/Cdd www.facebook.com/stcroixcountywi cdd co.saint-croix.wi.us n � 011 AL - 'Ell f lQ-1i&, p County 7, Ems+ I V D Industry Services Division < "A 1400 E Washington Ave Sanitary permit Number(to be filled in by Co.) y l [ P_O. BOX 7162 r k. r' Madison,WI 53707-7162 nUNTY�OMt�Lyl 'rl� A State Transaction Numher In accordance with SPS 383.21(2),Wis.Adm.Coda,submission ol't 's f a e governmental unit ?i 1� ©0 is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Ser%,iees. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. L Application Information—Please Print All Information Property Owner' Name Pan 1b36 •--20 77,20 `�v Property Owner's iMailing Address Property Location Govt.Lot Z 2-1k City,St a Zip Code Phone Number AIAL'a> Section circle o 775 ' '�— � T �a N_; t om, E,:& ) j Type of Building(check all that apply) 1 or 2 Family Dwelling-Number of Bedrooms Subdivision Name li'ISTI - - ❑Public/Commercial-Describe Use Joel; ❑ City of ❑State Owned-Describe Use ❑'Number umber Village of Town of III.T yDeoffermit: (Check o os o A Complete line B if applicable) A. El New System Replacement System ❑ Treatment/Holding'rank Replacement Only ❑ Other Modification to Existing System(explain) B ❑ Permit Renewal ❑ Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner of IV. of POWTS System/Com nent/Deirice: (Check all that apply) ❑Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound 2:24 in.of suitable soil Ivtound 224 im of suitable Soil ❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dis ersaUTreatment Area Information: Design Flow(gpd) Design Soil Application Dispersal Area Req i c st) Dispersal Area Pror sed(st) System Elevation Rate(gpds0 VL Tank Info ,,// C city in Gallons =' Total it Manufacturer ? M A OCONNELL Page 2 8/11/2014 A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 Fee Received$ 250.00 Balance Due $ 0.00 Pat4cl POWTS Plan Reviewer, tegrated Services WiSMART code:7633' (715)634-7810, Fax: (7151.634-5150,M-F 8:00 a.m.-4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300" series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. vt�RTbfp DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD o J '9P HAYWARD WI 54843 3 s Contact Through Relay P www.dsps.wi.gov/sb/ 19 0� www.wisconsin.gov '2�A�4Jt �o ss101i�ti5� Scott Walker,Governor Dave Ross,Secretary i August 11,2014 CUST ID No. 224263 ATTN.•POWTS Inspector KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/11/2016 Identification Numbers Transaction ID No.2440063 SITE: Site ID No. 804447 Quantum Digital Inc Please refer to both identification numbers, 143 136TH Ave L above,in all correspondence with the agency, Town of Saint Joseph St Croix County SE1/4,NWl/4, S26,T30N,R20W FOR: Object Type:POWTS Component Manual Regulated Object ID No.: 1495462 Maintenance required; Replacement system; 450 GPD Flow rate; System(s): Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12); Effluent Filter c0 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed DEPT and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. PROFS The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. DIVISION O No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: SEE Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition,the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the mound component manual are complied with.A copy of this information must be given to the owner upon completion of the project. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • The existing POWTS must be properly abandoned per s. SPS 383.33 Wis.Adm.Code. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Quantum Digitel INC Owner's Name: Quantum Digitel INC Owner's Address: 636 Commerce Drive I Legal Description: SE—NW—sec 26—T30N--R20W Township: St. Joseph County: St. Croix Subdivision Name: Dreshlsller Heights Lot Number: 1.5 IT Block Number: 2 jDffIONALLY ,APPROVED Parcel I.D. Number: 030-2077-30-000 E)F cAFETY AND SION RVI ES Plan Transaction No.: STRY RVICES - 1 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank COR--- R 0Y Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan L/ Page 9 Soil Evaluation lI Designer: Kim Oconnell License Number: 224263 Date: 07/13/14 Phone Number: 715-381-7917 Si 9 nature: - Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P(N.01/01, R. 11/12),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01, R. 10/12) Version 7.0(R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill(D)calculations assume a 300.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor(e.g. 1.5= 150%) fecal coliform of<=36 inches. 450.00 Design Flow(gpd) 3.20 Site Slope(%) 94.00 Contour Line Elevation (ft) 19.00 Depth to Limiting Factor(in) 0.40 In-situ Soil Application Rate(gpd/ft) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour(ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate(gpd/ft2) 1 I Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft 4 Number of Laterals of the highest point. 0.125 Orifice Diameter(in) 3.19 Estimated Orifice Spacing (ft)= 9.38 ft2/orifice �A 2.00 Forcemain Diameter(in) poo 25.00 Forcemain Length (ft) Does the forcemain drain back? Y -70 87.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft)x 1.3 4.08 Forcemain Drainback(gal) 7.75 Vertical Lift(ft) 67.53 5x Void Volume(gal) 0.22 Friction Loss(ft) 71.61 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 19.77 System Demand (gpm) 14.47 Total Dynamic Head (ft) ` Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 x 1.25 x x 1.00 x 1.50 1.25 x 2.00 1.50 x x L 3.00 2.00 x 3.00 x Gallons/inch Calculator(optional) Treatment Tank Information 1000.00 Total Tank Capacity(gal) 1000.001 eptic Tank Capacity(gal) 36.00 Total Working Liquid Depth(in) Wieser Manufacturer 27.78 gal/in(enter result in cell B49) Dose Tank Information Effluent Filter Information 600.001 Dose Tank Capacity(gal) Ploylock I Filter Manufacturer 16.761 Dose Tank Volume(gal/in) PL 525 Filter Model Number Weiser Manufacturer Project: Quantum Digitel INC Page 2 of 9 Mound Plan and Cross Section Views _ t 1/10 B ; :•:•:•:. . . . . . . . . . . . ...:.:.:.:.:.: . J 3 U Observation Pipe K C A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W . . . . . . . . I . . . . . . . . . . . ............... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . B I L Mound Component Dimensions A 6.00 ft E 19.30 in H 1.00 ft K Efift ft B 75.00 ft F 9.50 in 1 9.63 ft L ft D 17.00 in G 0.50 ft J 7.41 ft W 450.00 (fe) Dispersal Cell Area 1171.88 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 97.21 (ft) --► ♦ H ,....,...... ....,,.,.,.. G l I F Dispersal Cell 95.92 (ft) Lateral 95.42 (ft)—► — Invert Dispersal Cell ::::: :: Elevation D . . 94.00 (ft)Contour Elevation 3.2 %Site Slope Geotextile Fabric Cover Shading Key a' - Dispersal Cell See lateral details on Q® Topsoil Cap ° 1.5 ft � Page 4 for number,size, 2� �•���f�• Subsoil Cap and spacing of laterals. ASTM C33 Sand 1d i° :° Laterals are equally 'o t F spaced from the Tilled Layer Typical Lateral 0 Y 0. ft distribution cell's Aggregate centerline in the _A distribution cell(Ax6). Project: Quantum Digitel INC Page 3 of 9 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at ang point. Laterals are identical I P � •=Turn-upw/ballvalveor IE-X�IFxf2 I xt2-)l Laterals&forcemain Sch 40 PVC cleanoutplug per SPS Table 384.30-6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.20 ft Lateral Length(P) 36.80 ft Orifices per Lateral 12 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 If/orifice Lateral Flow Rate 4.94 gpm Manifold Length 3.00 ft System Flow Rate 19.77 gpm Manifold Diameter 1.25 in Total Dynamic Head 14.47 ft Forcemain Velocity 2.02 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -�' SPS 316.300 WAC Disconnect 4 in.min. Tank component is properly vented Aftemate outlet location Forcemain diameter Weiser Manufacturer �_ 2 in. Ca aci 600.00 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.53 360.79 B 2.00 33.52 C P= ump off elevation(ft) C 4.27 71.61 88.17 D 8.00 134.08 D Total 1 35.801 600.00 Dose tank elevation(ft) T Bedding under tank. 1 87.50 Alarm Manuafacturer SJ Electro Note: Switches Alarm Model Number 101 HW containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model Number PE 51 Pump Must Deliver 1 19.77 gpm at 1-4-4-71 ft TD Project: Quantum Digitel INC Page 4 of Mound System Maintenance and Operation Specifications Service Provider's Name �- Kim Oconnell Phone 715-381-7917 POWTS Regulator's Name ST. Croix CTY Zoning � Phone 715-386=4686 System Flow and Load Parameters Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. requirements it 3. All gravity and pressure piping materials conform to the r equ e in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. n 5. The mound structure and other disturbed areas will be seeded and mulched to p revent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •..••......... ••••••••••••••• Grade . . . . Threaded Cleanout 6-8 Diameter Lawn . . Plug r Ball Valve P S rinkler Valve Box . . . . . . . . . . . g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution Longg Sweep 90 or Two e 45 D ree Bends Same Diameter as Lateral Project: Quantum Digitel INC Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its'component manuals[SBD-10691-P(N,01/01,R. 11/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD- 10706-P(N.01/01,R. 10/12)]and 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 SPS 383.33,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. 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 and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated 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. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for h i n commended since soil compaction may hinder aeration of the infiltrative surface within the vegetative maintenance)on the mound s of re p y mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5,30 mg/L TSS,10 mg/L FOG,and 104 cfu/100 mL for highly treated effluent. 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 dogging 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 6 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring. Continency 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(s)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 absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. /I ",/ C � 9 [QGOULDS PUMPS Submersible Effluent Pump PE IF40Ea7 PUMP SPECIFICATIONS MOTOR FEATURES Pump—General: General: ■Corrosion resistant • Discharge: 1'h°NPT • Single phase construction. • Temperature:104°F(40°C) • 60 Hem ■Cast iron body. maximum,continuous when • 115 volts ■Thermoplastic impeller and fully submerged. • Built-in thermal overload pro- cover. • Solids handling:'W tection with automatic reset. ■Upper sleeve and lower maximum sphere. • Class S insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■Motor is permanently • Manual models available. shaft. lubricated for extended Specially designed for the . Pumping range:see PE31 Motor service life. following uses: -performance chart or curve. • .33 HP,3000 RPM ■Powered for continuous • Mound Systems o ration. PE31 Pum 12.0 Maximum amps pe • Effluent/Dosing Systems p' • Shaded pole design ■All ratings are within the T • Low Pressure Pipe Systems • Maximum capacity: GPM • P g n working limits of the motor. • Basement Draining • Maximum head:25' DH PE41 Motor ■Quick disconnect power • Heavy Duty Sump/ PE41 Pump: • .40 HP,3400 RPM cord,20'standard length, Dewatering • Maximum rapacity:60 GPM • 7.5 Maximum amps heavy duty 16/3 S1TW with • PSC design • Maximum head:29 TDH 9 NEMA 5-15P three ron , P 9 PE51 Pump: PE51 Motor. 115 volt grounding plug. • Maximum capacity:70 GPM • .50 HP,3400 RPM ■Complete unit is heavy duty, • Maximum head:37'TDH • 9.5 Maximum amps portable and compact • PSC design n ■Mech anical seal is carbon, METERS FEET ceramic,BONA and stainless 40 F-7-77, ' 1 M0pE15:PE31,PE41,PE511 Steel. H P:.33..40..50 PE51 . ■Stainless steel fasteners. , 10 _: � —► 2 GPM AGENCY LISTINGS ----------- j 30 PC1 1 FT � t 25 E31 11 C�p IUD S V ° ' 1 s Tested to UL 778 and zo -z I CSA 22.2108 Standards By Canadian Standards Assoda&n 15§ - — Me#L.R38549 _ i - Goulds Pumps is ISO 9001 Registered. 10 a a , 5 _ } f _ __ __ �» — - _ w __ 0 0 0 10 _.r_ V 3040 50 60 70 GPM 80 0 5 1 0 15 m3/h Goulds Pumps CAPACITY ale c CO u R _ a � JOQ i I i i �� J r Property Owner`•-� It a�-—Fq✓!tl �/ / i%rj( Parcel ID# O77— _b Page of FTI l # 0 S J&pd Ground surface elev. 7 ft Depth to funi M factor <Z N'L Rate Horizon Depth Dominant Color Redox Description Texture Structure Boundary Roots tR 2 in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. MI -1 3N2 ?/z AIX T7 /M J,4 T �► c w �c p, .7r Z q 2 t!lc /ypr c w /n7 �� D 3 rrl? y G 29. 75-M % SG ^flk- At lr - c ti /.r' 6 y `s` rY� i �Za �sy,��'a sL z ^ak /'0 4� i � ! I � t • i � I Boring# Boring pit Ground surface elev. fL Depth to limiting factor in. a Soso Application l.ata i irrizflr i t Depth D73 -i:8an Color!, "2dvsn icSC.s-l rsys.l TrJdilc s :iriCsic sttiZd aiy r n ra .. Ru+r°.$ � v�susf i f i p t t , L3 Borirlg 89nng# `' Ground surface eiev. ft. Depth to H;°niting factor in. Soil AD location,Rate � l=it i-irsii�nrs Den?h :tans} n'Co lri Reedox ir'escr3P[.inn. J Te)dure i Structure ans-istenCe �.sC3undary i boot Gpolft 2--- } . l l j i 3 t 1 f ti f Effluent#1=BOD $>30<220 mglL and TSS>30<150 Mg/L `Effluent#/2=BOD s<30 mg/L and TSS<30 ntg/L The Dept.of Safety and Professional Services is an equal opportunity service provider and employer. If You need assistance to access services or need material in an alternate format contact the department at 608-266-3151 or TTY through Relay. O"330(Rf i;i t.) PAID WIS. a4 s,onal Services SOIL EVALUATION REPORT paw of 3 Divis y � ' in accordance with SPS 385,Wis. Adm. code 01 Attach c om not loss than 8112 x 11 inches in size.Plan must include,but n Wverdical and horizontal reference point MW,direction and Parcel i.D. 000 percent slope or dimensions,north arrow,and location and distance to nearest road. 6- Z 077 30-000 0y Please print all information., vie+nred by Date Personal m6nnnation you provkle may be used ror secondary purposes(Privacy Law.s.15.04(1)(m)). /i{�iW►+� 7 /S' Property Owner LropeL,ty Location /,/ / Q U dtil '`Z >� Y f'�l l•+ c Ots/i 1/4/Y X1/4 S 2b T Y6 N R Z0 Property Owners Maillg Address Block# Subd Name or CSW��6 Co,r► epee Z D�estir1*- He,' 4rj CRY state zip Code Phone dumber r Elvsage Orown Nearest MUM H"J-(&.f It,,Z- 5-Yol6 ( Sf• cr©S4/9 1�11 3 /36 r4 acv e ion Use:❑ Residential/Number of bedrooms 3 Code derived design flow rate 5-0 GPD ®Replacement ❑ Public or commercial-Desatw. me �� G f!�.4l Flood Plain elevation if applicable A iL General comments 5,tse i'+• 44 m /y _L C1, G i'1c and recommendations: Boring# . ./� (��-�� "���i"Gc•Qyr�u,2.�^.-�.rl cam► FTI ❑ Bo� ( ® Pit Ground surface elev. ! ' R. Depth to limiting factor Z j� in Soil Rate Horizon Depth Dominant Color Redox Description Texture Structure tence Roots GPD/ft z in. Munsell Qu.Sz. Cont.Color Gr.Sz Sh. 0-6 10/� � Sc / ns'6ot M 06- c w �l C- 0,Y 0.7 2 G-Z V Pit s/� / JL 2r�r�k �P� c w /,., 3 2Y- l S yR y I'a l-7�1 M( y/y Cz?) G �.E lVc�'� — -- O . 6 1, 0 s W 8 syR'Y Gam'&7'C SG A- rho,- — — 0, 9 60 Boring# ❑ Boring q F2-1 ® Pit Ground surface elev. 7 ft. Depth to knifing factor < (4 in. soy Rate Horizon Depth Dominant Color Redox Description Texture Structure Roots GPM : in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 4- 17 y� �? �/ S� Z nslk i-1 P- c w / 6 o 3 If—32 S';rf `vy C29 7, .q IZ 2. ^s-JA- /'40 cry It-, D,G 1, 0 Z- 70 S'YR 4, C 2 P 7 s rot l fc 2 ,,.r o Effluent#1=SOD >30<220 mg/L and TSS>30 <150 mg1L 'Effluent#2=SOD <30 mg/L and TSS <30 mglL Cl Name('Please Fria Signatu- CST Nurnt;er t trrr�� e, vl/"`j Z 3l/�7A/ � Address Date Evaluation Conducted Telephone Numer b �q� 7/f- 2Y7 �24� OWNER Page 3 of 3 Name o-at -rc-0 n-r T)ig:I-t Brian Parnell Address 6 36 eo-ce. nr CST 231314 /-/,w- J-sn Date Zo/,v Benchmark 1 Toe Ga. e oo �, /_L, s � Benchmark 2 Soil Boring _' Suitable Area 1" = 40' Scale up- _ I � i t , _ I I { s i i I i G _ I I i I I i s , I I i I � I j � I i �I •-r---r--I �j—t i 1 I ( I i i I I — • 1 I i I 1 c --p • i ' I 1 � I ! I i i I I � ' i ! , , I I t I , I I I i I , I I I I I i - — -- - - - �-- I ST.CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer1 Mailing Address Property Address (Verification required from Planning&Zoning Department for pew construction.) � 0 30 -020 7 -J-e--600 City/State' C LL71 Parcel Identification Number - LEGAL DESCRIPTION Property Location, _'/Q, 1/a,Sec.,- ,T N Rye'W,Town of Subdivision - -�,�T�� �Y �t_: f� C, 2 Certified Survey Map#Q j ,Volume ,Page# Warranty Deed# / �/ ,Volume ,Page# Spec house yes no Lot Imes identifiable �/no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance . responsibilities are specified in§Comm.83.52(1)and in Chapter 12-St Croix County Sanitary Ordinance. The property owner agrees to submit to St Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Commerce and the Department of Natural Resources,State of Wisconsin. Certification stating that your septic system has been maintained must be completed and retumed to the St Croix County PLarrning& Zoning Department w=ithin 30 days of the three year expiration date. l/we certify that all statements on this form are true to the best of my/our knowledge. Uwe amlare time owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Number ooms 00 ATURE OF APPLICANTS) -71Y--3 DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department*** dude vdth this application a recorded warranty deed from time Register of Deeds Office and a copy of the certified survey map if °nce is made in the warranty deed �-. CIS;'0! 8010464 Tx:4007990 STATE BAR OF WISCONSIN FORM 1 -2000 925125 WARRANTY DEED BETH PABST Document Number REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Ethel M. Eggar, a single person, Grantor, RECEIVED FOR RECORD and Quantum Digital,Inc.,a Minnesota corporation,Grantee. 10/21/2010 10:49 AM Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT #• N/A described real estate in St. Croix County, State of Wisconsin (the REC FEE: 30.00 "Property"): TRANS FEE: 300.00 Lot 13,Block 2,EXCEPT the West half thereof, and all of Lots 14 15 and PAGES: 1 16, all in Block 2 of the Plat of Drechsler Heights,Town of St. osep , St. Croix County,Wisconsin. Recording Area Name and Return Address: Land Title Inc. 1900 Silver Lake Road#200 New Brighton,MN 55112-1789 J'}- a-e4'6 1 3'f} . Together with all appurtenant rights,title and interests. 030-2077-10-000;030-2077-20-000; 030-2077-30-000;030-2077-V-000 Parcel Identification Number(PIN) This is homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Easements,Restrictions,Reservations,Roadways and Rights of Way,if any,of Record. Dated this 17th day of September,2010. + * Ethel M.Eggar * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) tEt$�, STATE OF WISCONSIN ) 0,� ST.CROIX COUNTY. )ss. authenticated this 17th day of September,201 a8L% Personally came before me this 17th day of September, 2 2010 the abo e named Ethel M.Eggar, a single person,to me * known a pers (s) who executed the foregoing TITLE:MEMBER STATE BAR OF WISCONS in§tru a tan knowledg the same. (If not, authorized by§706.06,Wis.Stats.) mi L, schow THIS INSTRUMENT WAS DRAFTED BY Notary Public,St Wisc nsin My commission is permanent. (If not,state expiration date: 8/14/2011 ) Larry Mountain,Attorney, 1900 Silver Lake Rd#200 New Brighton,MN 55112 (Signatures maybe authenticated or acknowledged. Both are not necessary.) "Names of persons signing in any capacity must be typed or printed below their signature 1 of 1 WARRANTY DEED STATE BAR OF WISCONSIN FORM No.1-2000 Parcel #: 030-2077-20-000 07/15/20P E 1 PM ' PAGE 1 OF 1 Alt. Parcel M 26.30.20.655 030-TOWN OF SAINT JOSEPH Current OX 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 0-QUANTUM DIGITAL INC QUANTUM DIGITAL INC 636 COMMERCE DR HUDSON WI 54016 Property'Address es): '=Primary * 143 136TH AVE Districts: SC=School SP=Special Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC s; Legal Description: Acres: 0.400 SEC 26 T30N R20W LOT 14 BLK 2 PLAT DRECHSLER HGHTS Parcel History: Date Doc# Vol/Page Type 10/21/2010 925125 WD Plat: *=Primary Tract: (S-T-R 40%16o,/4) Block/Condo Bldg: *03-045-DRECHSLER HEIGHTS 030-57 26-30N-20W 2 LOT 14 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/11/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.400 29,300 t 62,800 92,100 NO Totals for 2014: General Property 0.400 29,300 62,800 92,100 Woodland 0.000 0 0 Totals for 2013: General Property 0.400 29,300 62,800 92,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 11/21/2012 Batch#: 12-08 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 030-2077-30-000 07/15/20 P AGE E I OF F 1 P 1 Alt. Parcel#: 26.30.20.656 030-TOWN OF SAINT JOSEPH Current ❑X 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 O-QUANTUM DIGITAL INC QUANTUM DIGITAL INC 636 COMMERCE DR HUDSON WI 54016 Property Address(es): *=Primary Districts: SC=School SP=Special Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC Notes: Legal Description(LOT Acres: 0.400 SEC 26 T30N R20 15 B K 2 PLAT DRECHSLER HG Parcel History: Date Doc# Vol/Page Type 10/21/2010 925125 WD 07/23/1997 415/577 Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *03-045-DRECHSLER HEIGHTS 030-57 26-30N-20W 2 LOT 15 2014 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/11/2011 Description Class Acres Land brov Total State Reason RESIDENTIAL G1 0.400 4,600 4,600 NO Totals for 2014: General Property 0.400 4,600 0 4,600 Woodland 0.000 0 0 Totals for 2013: General Property 0.400 4,600 0 4,600 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 e Y 30 a At .--`-,&wo if .7-arf«OA'" ® AWrd ,voCl '!t'aPs —s V-A' 44 �WWPWV 1 + � O 93W j ` *irk+- •"... !�,�,/�� -...,ter — ► � F ' .' 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