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HomeMy WebLinkAbout032-1065-50-156 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572887 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: Macanda Properties, LLC Somerset, Town of 032-1065-50-156 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: / M CS 24.31.19.3251326 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER //,'.,-7:5 CAPACITY STATION BS HI FS ELEV. Septic 4 Benchmark Dosing ~ 4 Alt. BM ~cSO P,4 71 9 3 , c n Bldg. Sewer F ~ a /~O, Z7 ~ zo'' 17 -7 q ~i6 . Holding St/10 Inlet -Y 9.83 ~ZS.~ -r J47 / / TANK SETBACK INFORMATION C, fu St/Ht Outlet TANK TO P/L WELL BLDG. Ven toAi I take ROAD Dt Inlet 5 Septic Dt B,ttom LN ~ 2- 8i1 --T Dosing Z-7 Header/Man. 3n I(" ~,p, Z 87.35 Aeration Dist. Pipe Holding Bot. System 1Z Z7 7(0-35 PUMP/SIPHON INFORMATION Final Grade $ 60. Manufacturer Demand St CQter ~j J GPM Y.u c~/ Model Number V 4 / q TDH Lift Friction Loss System Head TDH /3 . l z. Lt(., f}-- S, 5 Forcemain 1 Length / ia. r ( Dist. to Well ✓6 b7 z SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION f System: r CHAMBER OR ynt"; ( Typa Q r ~/06 / ~l M ~,yv UNIT Model N mber~ all- DISTRIBUTION SYSTEM JIe XZ = 3Z h&J-- ke Header/Manifol~ f / Distribution ` x Hole Size x Hole Spacing Vro Air I 41 C Pipe(s) \ \ u Length J Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only m xx Mulched Over Depth over xx psoi Dep of xx Seeded/Sodded Yes No Depth l Bed/Trench Center Bed/Trench Edges \ To \ gs No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:,j./ Inspection #2: Location: 708 205th Ave Somerset, WI 54025 (SW 1/4 NW 1/4 24 T31 N R1 9W) NA/I Lot 1ll- Y4~JZ. " ~7 Parcel No: 24.31.19.325826 1.) Alt SM Description = ` ' t Jam- ~ ~ ^6 Lac {~~5 O ✓ _ 2.) Bldg sewer length = 75 h.~ 4z 5 /4o ,J52, etc, " - amount of cover = % tQ Sts `I 5 7,11 ~a 5 ~e a ~5 c c. r Plan revision Required? ❑ Yes No - - Use other side for additional information. Y SBD-6710 (R.3/97) Date Insepct 's Sign re Cert. No. County Industry Services Division f ° > c t 1400 E Washington Ave Sanitary pew Nunmber(to be filled in by Co_) P.O. Box 7162 r" Niadi son WI 53707-7162 57 t Ropy ~~Q State Transaction Number ' 7 ( I is Adm. Code_ submission ofthte torn, to the appropriate arc submitted trait N A In accordance with 9i•-i -otvnt d POW TS S arc to is required prior to obtaining a samtan` permit. Note. Application forms for state Project <kddress (if different than nmilittg address) ~ the Department of Safety and Professional Services. Personal information you provide may be used for secondary L 1 u ores in accordance tvith the Privacti Laty, s. 15.04(1 gym). Sta[s. l y ~S~}~ t r ~7 D V 1. A lication Information -Please Print Ali Information Parcel Property Ow YS Haute 1 Property Location / _ Property Ot er•s 3lailing Address . 3 2 S 0ut°t. Lot Zip Code Phone lumber Section City, State i (circle o" Lor("% - T-31 N R_ZQ 11. Type of Building (check all that apply) Lot Subdivision ~Tan1a,~U ~i~ i I or 2 Family Dwelling -Number of Bedrooms Block F1 PubliciCommercial -Describe Use ` ❑ City of ❑ State Owned- Describe Use Ov ❑ -village of C51I Number / ✓ Toti~n of _Z_0 n e_ III. T!vp Chec i only one box n tine A. Complete line B if applicable) Repleemen~ S`•stam Treatment1HoidingTank- Replacement Only Outer iklodification to Existing System (explain) New m i ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit -Number and Date Issued B. Before Expiration lunibc! Owner IV Corn onenUl)e~-ice: (Check all wit apply) Non-Pressurized In-Ground ❑ I ssurized In-Ground ❑ at-Gradc ❑ mound _ 24 in of suitable soil ❑ Xlound < 24 in. of suitable soil Tank ersal Component (explain) ❑ Pretreatment Device (explain) ldin~ V. Dis ersal/TreatmenY Area Information: Design,Flow (gpd) Design Soil Application Dispersal Area Required (st) Dispersal Area proposed (s Systetrt Elevation Rate(gpdst) ~Sf Capacih' ii} ° VL ank Info Gallons Total = of _ d Manufacturer Z2 7A Gallons units .~e%v TanF:s Existing Tanks ' a CJ r c ✓1 w i~ Septic or Holding Tank ❑ ❑ ❑ ❑ Dosing Chamber VII. Resp sibitity Statement- I, the undersigned, assume res ousibilit ' r installation of the PONN"FS shown on the attached plans. P}umber's Si 1tP: \IPRS Number Business Phone Number Plumb Name r ~ Plumber's Address (Street.. City. State, Zip Code) z).(f ? t= V ountvfQe artment Use Only Pemtit Fez I- Iss Issuing cat Signa c Approved Disapprove , C6 er Given Reason for Denial 5 J IX. CondjVM "EflfReasons for Disapproval 3~ ~ ~ ,Q(~2rJ t. Septic tank, effluent filter and dispersal cell must all be services / maintained I n as per management plan provided by plumber. (~a p~ 5~.~ ~p o r?C C0.tt 2. All setback requirements must be taintained r t as per applicable, code / ordinan roe the spsfen: and submit to the County onh• on paper not less than 8 112 x 11 inches in size plans :lttactt to complete =~~>>l ssa Bas 'n'om i/ ff r,.vgdt; S fc,,, rl,Fme 71-41 c ~ i CONVENTIONAL COMPONENT DESIGN Residential application INDEX AND TITLE PAGE Page Index end Tale Project Page Plot €'f an Name. Page 3 Sysfem 1zing & dross ~Gci on , Owner s ? ge 4 Filter spe£.s Name- Page 5 ivlalnterianre irrfoiTi~ation Owner's pp f Pg fialagerent Plan" Address: page . bbtib Tani Waih ena ce i=t~tm ~ c ~~j X11„ S Sd ` _ p +v g CISIVA Of Plat fittchiri nt Soil Test Legal Description: s`z d ZtL A/i~ ~f ~ 1 ~ Subdivision:' - Lot # Town: f County: Parcel ID# Q 3 2- b (a S - s Designer/Plumber: J / License # 22Z. 5 Signature: - - Date-. Comments nnciannrl morctinnt to tha In_(:miinrl Cnil Ahcnrntinn Cmmnnnant Manual fnr PC)WTS \/Prrinn ?-n 33s :35" ~ ~ - i i ~ - i r ` \ 1 1 Soil kbsomtion 16-tem Cross Ser i®n Final Grade Sf© X v~D' lec~oN = l--- - 4' Schedule 40 ` PVC Vent Pipe j~~~~a~ ~a d~ t s .C ~C?Ed~Eo L,~„ ,~6 With Vent Cap -ft sr c ~'~ss ~ry~ Leaching Chamber System Elevation ri "Z ft Soil A6soMt on SVsftin Plan eve ft Leach ng Trench 7 rt Vent Or Observation Pipe Chambers 4° nia_ Trench 2 Header LeachirEO Chamber Spscifica iGm L'r Manufacturer And Model EISA Rating _ sq ft per charnber Soil Application Rate , 7 gpd/--A fit Snit Application Rate EISA = Chambers gpd Design Flow Z rows of 2l- chambers each. Page of FmortliaasulFitnstdre3urzz~(K f ~ AII4f~si¢iP~Ey~aYf= ~ ~ &iGasin:ztyFtacaas ~y~~ I~~~°x~.~,~~'{~i~ iI`t~~'~~~ilfl~~ ~ ~ t r~ ~ t ii tt, Cee~iiei'fiiEer ~ P,a~ r n1,~t~ ~ ,1Z~. loll +r ti~~r+ ~ ~ I '-1 , t }I i'sF r~~~i~~; t( ~t 4t~`~'t~~i, tYlEE'F OJJ@DinG 11~~-'ai~'%~ {lr~Y~z~~~Et~( i : - ~t - 't _ ~ ~r - 3 - _ ~ - } n . + ; y , + ~ ~ ~ i ~ ~ ~ ~t ~ 3 _ 1 t U, _ T Y._ ~ ~ ~ S S F ti - ~ Sy F _ _ _ _ x.ry~ J~ 31i.1. t ~ L _ f~Ot~ _ Fzs _ ~'ir ~i f v~ - } _ _ ....,o~~ a ~~',..s.~,.~_,..,F~_._~. Step 'I : F S~ 3: (A) Locafe the outlet of the septic tank A} Before instaiiation, place the {A) Glue tine triter housing an the i (B) Remove tank cover and pump lank lifer housing on to fhe oufie~ pipe. outlei pipe. it nec~ss-ary. {sj ttrfake sure tkiat itie housing {Bj insert ttie (liter cartridge in the is positioned sa thefilter can be housing, snaking sure #fis fifEer ramaved from the tank ~r t~ridge is pr►~geriY aligned acid maintenance and service,. campietefy inser€eci in the housing. - _ /h~~d `CF ' t ' t 1~~" t 'F P~ ~ r A 1 `Si ~h3i~~'~~af,iri~t~rnfil~~~r~'~`r~;~ {1.1. ~,s~; r t... t. _ _ _ _ - ~ t _ 1 ~ _ _ ~ _ 1 - _ _ + ~ - _ 7 7 s i ~ ~ z ~ ~'g f `~i c ^ 5 kF :t F -i 'yf3~5 y r " _ ' _ ~ s ~L S ~ y F ~ f jT--= _ _ _ _ ~ p w Step Sfe~ 2: Step 3: iQacate the outlet of the septic tank. {A) remove tank cover and pump {A) insert fi'ie frtter' cartridge back s~ ci necessary. inft3 ifie the housing making sure ~ -„its , : c:irtrfA " itte triter' is properfy aFighed ~ {B) Pisit ttre triter out ai'the housing. ~ tits and complefefy inserted_ {G) Hose ofritte films' cr►~ei-tite sep~c tank B R ace se tic i~rek covet _ ? _ U:`?E'Rf3SbE§'~:.~~~1.~'° ~ Make sure all sords t=af(back info the ~ P ~,t€~~P,~t ~~~1~}Ifi~~ ~~iw~r;,.' Sapfi;C~gkf POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _5' -of FILE INFORMAT O SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model _ r S ❑ NA Number of Public Facility Units jFf NA Pump Tank Capacity r gal ❑ NA Estimated flow (average) gal/day Pump Tank Manufacturer G - ❑ NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer _ Q NA Soil Application Rate gal/day/ft2 Pump Model L ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit aNA Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) :5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <_150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) <_30 mg/L .d In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L d NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size %e 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 Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 0 year(s) 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 [A year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA ❑ year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) (s) Ed NA Flush laterals and pressure test At least once every: ❑ 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. GMW (4/01) Page Z of 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 replacement 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. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 Phone a• SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name i Phone Phone 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. L ST. CROLK COUNTY SEPTIC TANK ?~ZALNTER?~IvCE AGREEMENT AN-D OWNERSHIP CERTIFICATION FORM Owner.Buver I L / ,/1 _ a Z JMailing Address hc)k 7 ._G t . ✓f"t % 11 Proper 7 Address ( Verification required from Planning & Zoning artment for new construction) Ci /State Parcel Identification Number O S 2- IN-05- 5D -I S (.p LEGAL DESCRIPTION Property Location Ohl 1/4 1/4 N R_2~_W, Town of Subdi-,-ision Plat: r may, , Lot # Certified Survey Map # Volume . Page T Warranty Deed # (before 2007)Volume , Page 4 Spec house i yesy no Lot lines identifiablq/es 0 no SYSTEM MAINTENANCE A_ND 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 §SPS. 383.52(l) 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; S 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 Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 1/we certify that all statements on4s form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above; by virtue of a wiirrann, deed recorded in Register of Deeds Office. Number of bedrooms I IATLTRE OF APPLI _ ) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer - Pump Manufacturer Tank Model Number Pump Model Number l Total Tank Capacity Alarm Manufacturer Max. Bury Depth Alarm Model Number Switch Type - Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number - Elevation Head Distal Pressure - Network Loss Minimum Pump Performance Required Force Main Loss . GPM @ Ft TDH Total Outlet Manhole Min. 4" Above Grade With Locking Device. Inlet Manhole Manhole Min. 4" Above Grade < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof Junction Box Finished Grade a . ® Depth of Cover Vent Min. 12" Disconnect Ft Above Grade Means With Vent Cap i S S{{ S S{ S t i< i < S< S i{{ K t K S S t t t t t S S} J>> 7 Y) J J) Y > } a= Outlet Outlet Filter -`i Inlet Inlet Baffle ;}s II { S S { K < { t A }i Switch Settings and Reserve Capacity ,/433 { tt { Tank Volume = GPI y{ Weep t tt t Dimension Inches Volume Gal. B Hole >S> S>{ yS > (reserve) A 34 1 7, { ~ t'S 't (alarm) B 2 Off Elevation C >s >t SLS (dose) C Ft 00. -4 1- 4 Bottom (dead) D { > { D J` Elevation Total Ft { >S t~~ r Y s s s r s} a} r s r s s a} s r r Y a>} Y r a s} s s J>> } S{ i; i S S{ S{_{{{{{{ S t{ i i t i{ t{{ i S i{< Sat i i t i{>{ i t t iaS taS>< i i i i S i S t S y > Y } } Y > ! 3 ! } Y S Y S } Y Y > } > > ! ! ! y } y Y Y ! ] } Y Y } } ! ! 7 ] ] ! > Y Y Y Y } Y } ] Y ] > } ] ! GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC. 02/05 LJ Page of 4/0 0 RGOULDS PUMPS Submersible Effluent Pump r PE 171"" EFFLUENT PUMP SPECIFICATIONS MOTOR FEATURES ' General: ■ Corrosion resistant Pump - General: • Discharge: 11/2" NPT • Single phase construction. • Temperature: 1040F (400C) • 60 Hertz ■ Cast iron body. f maximum, continuous when • 115 volts ■ Thermoplastic impeller and fully submerged. • Built-in thermal overload pro- cover. • Solids handling: Y2" tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available. shaft. lubricated for extended service life. following uses: Pumping range: see PE31 Motor: • Mound Systems performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous • Effluent/Dosing Systems PE31 Pump: • 12.0 Maximum amps operation. Low Pressure Pipe Systems • Maximum capacity: 50 GPM • Shaded pole design ■ All ratings are within the • • Basement Draining • Maximum head: 25' TDH PE41 Motor: working limits of the motor. ■ Quick disconnect power • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM cord, 20' standard length, Dewatering • Maximum capacity: 60 GPM • 7.5 Maximum amps heavy duty 16/3 S1TW with • Maximum head: 29' TDH • PSC design NEMA 5-15P, three prong, 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 ■ Mechanical seal is carbon, METERS FEET ceramic, BUNA and stainless 40 PE51 MODELS: PE31, PE41, PE51 steel. HP: .33,.40,.50 ■ Stainless steel fasteners. 35 10 2 GPM AGENCY LISTINGS 30 ...PE41 - 1 FT . o ® Q u, 25: PE31 u5 C~p a zo Tested to UL 778 and z CSA 22.2108 Standards - By Canadian Standards Association Q 15 File #LR38549 O 1 Goulds Pumps is ISO 9001 Registered. 10 5 { 1 0 10 20 30 40 50 60 70 GPM 80 0 5 10 15 m3/h Goulds Pumps CAPACITY /~k. Wis. Dept. of Safety and Professional Serv' es SOI L- EVALUATLON--RE~ORT Page of Z Division of Safety and Buildings 'in accordance with SPS 385' Wis. Adm. Code i ' County Attach complete site plan on paper not I6ss than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and hoiYiontal 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. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). D Property Ow r Property Location I - Govt. Lot 1/4 11/4 S N R E (or Propejty Own s Mailing Addr s L # Block Subd. Name orCSN )I All; Z &44' City State Zip Code Phone Number t3-City ❑ Village ®Town Nearest R 06d New Construction Use: M Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _z Flood Plain elevation if applicable ft. General comments ~ and recommendations: Boring F Boring # ® pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft Z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 r~ - 'IV ~ a G _ZZ vl~ -j 17? 1 Boring # ❑ Boring ® Pit Ground surface elev. ft. Depth to limiting factor- in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 ff#2 -If in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 i td/ i' - - ~ b EffluenJ41 =POD > 39:< 20 mg/L and TSS >30 < 150 mg/L went #2 = B 5 < 30 mg/L and TSS < 30 mg/L CST Name SOledse Pri Signature % CST Number Address Date Evaluation Conducted Telephone Number ;7W 7r SBD-8330 (RI 1/11) 1 Property Owner Parcel ID # Page. :::--N of Boring # E] [Z ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horton Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 77 'Z' G'» n , ❑ Boring ❑ Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 F] Boring 1-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 -lfff#2 Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/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. SBD-8330 (RI 1/11) Property Owner Parcel ID # Page of 171 [Z Boring # Boring pit Ground surface elev. /,M ft. Depth to limiting factor 11!~-5-_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 7 4/7 AIZI Z/ l9 ha F ❑ Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/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. SBD-8330 (RI1/I1) `7'•%/~ G'Vi9-,G~i~i~' -`•w'~~-/~lu~~~- S~C.'~?~-7"-7i~✓-~i~I'c~ Tx.3~~.~ e 335. ~ ~ - ~ ~ 1~~~ 17 A '/~1 S Jrt//Sf~° ~a s #c -4V SOIL PROFILE DESCRIPTION Owner: CST: --7 System Elev. Proposed: ft Syst. Range ft to ft Ld Rate: # Elevation: 4OI. C) #-:3 Elevation: `&'V• # Z Elevation: o Boring o Boring o Boring Pit Pit Pit GoZ lov b~ ls 32 s