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Home My WebLink About020-1359-03-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice maybe used for secondary purposes jPrivacy l..aw, s.15.04 (1)(m)]. Permit Holdei s Name: ^ City ^ Village ^ TdWn of: La Casse Homes, Hudson Township CST BM Elev.; Insp. BM Elev.: 8 Description: 6 ~ S TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Fr ~~ DU Dosing ~ ~_j (J eretlon Hold' TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. vent to Air Intake ROAD Septic ~ "~ ~ ,~" ~r ~ ~ NA Dosing ~' ~~ ± ~®~~ NA Aeration NA •Holding PUMP /SIPHON INFORMATION ELEVATION DATA County: St. Croix Sanitary Permit No.: 384102 State Plan ID No.: Parcel Tax No.: 020-1359-03-000 STATION BS HI FS ELEV. Benchmark y. 9 /6Y- q ~ a Alt. BM s n °s, ~ roe. Bldg. Sewer 2. r d D r ~~? /~ St/Ht Inlet A ~~ ~ 3 St/Ht Outlet ---~ Dt Inlet "'-' Dt Bottom n Z. a'S Z. 3 9 ~ Header/Man ~~ O.Z-QT r /, Dist. Pipe (~> Z • ~O p 2 , o, r Bot. System '' p2 , t, ~ Final Grade -~i i ~~ -ye I Z "-I- ~ --p0 St cover A • ~ ~ 1a 3 . Z ~ 1.9 - 8.z . ~~(~6-s of S,~~f o ~ .o' BED /TRENCH width r Len th/ .O f~F~enEhes PIT No.Of Pits Inside Dia_ Liquid Depth I E I N 0 A s DIM SYSTEM TO P/L BLDG WELL LAKE/STREAM N nu adurer: SETBACK INFORMATION Type o r I l -- CH ER Mo r System: ~ $O 1 z~ ~ UNIT DISTRIBUTION SYSTEM ~~6~~~ ~ s•~ ~- ~-~.> Header /Manifold ~~ l th ~Du Di Distribution Pipe(s) i z., u -~2~/ u x Hole Size ~O r$ u thoZ~ Di acin L n ~•0 S x Hole Spacing a~ V Vent To Air Intake ~-" a. eng g g p e a. SOIL COVER x Pressure Systems'Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Oepth Of xx Seeded /Sodded xx Mulcfied Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ o ^ Yes ^ No ~ ~ gCO;oM~~NTS' (I~nc~dg code disSrepancie• s,~per on resent,~t) ~~ ~,,,~'~cO ( ~,~,,,,°~ qS ~~ow%r~ w a.~ ~ ~'~ ~ ~„~ t `.fr~,,~ , ~ Inspection #1: 4 ~/ ~ Inspection #2: ~/ I P'/o r' Loca~on: 513 Mccutcheon Rd., Hudson, WI 54016 (SW 1/4 NW 1/4 16 T29N R19W) - 1629192099 Parkwood Meadows - Lot 3 ~ vuZr ~ Z 1.) Alt BM Description = ~ °~ ~ ~o-~.. 5~~•~ 3 2. Bld sewer len h = `'f'0• ,p (L ~ g ~ -amount ofcover = M y ~,Cl' a ;a ~~~( 3.) contour = 3.. ~ ~ - YS ~ /Q~;Y9 ( d y ~~~~ Plan revision required? ^ Yes ~ No ~ U~ th_ erysid f ra it' nal inforc~ ~9r ~ u~-- j ~j = D. •. p Inspector's Signature Cert. No. SOIL ABSORPTION SYSTEM 1. t/` ~ ~~ ^~ ~. --- dD" l~3 S[3 Wl~,(. Sanitary Permit Application • Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. PO Box 7302 iseonsin See reverse side for instructions for completing this application WI 53707-730'' Madison Department of Commerce personal information you provide may be used for secondan~ purposes [privacy Law, s. 15.04(1)(m)] , (Submit completed form to cou:tty if r state owner Attach com fete fans (to the county co ~ only) for the system. on a er not less than 8-1(2 x 1 l inches in size. Coun t er ^ Check if revision to pw~lacation State Sanitary P ~ iyNymb St a Plan 1. D. Number ~~ J~ I ~ O / I. A lication Information -Please Print all Information y`t ~ `~ Location: Property Owner Name ~ ,;> Property Location ~ t c I /4 /V~f4, S T , R or Owner's Mailing Address Proper ty ~ t Number Block umber ~ ^ ~ .~!~: ~tR i ~ ~~~1 ~. ...2.1~~ ~.7 ~. City, State Zip Code ~ Poe umber Ubdivision Name or CSM Number ?7 ( T I ype of Building: (check one) ~ - as '~,~ ~ " ~' ~ ~ ^ City ^ Villa e 1-~ ~ 1 or 2 Famil Dwellin No. of Bedrooms: 4 "'""'"" >~ Y g - 1rv.+~A- ~'•°''_-. g "own of ^ Public/Commercial (describe use): ^ State-owned III Type of Perr.:it: (Check. only ene bex on line A. Check box on line B if applicable) N rest toad A) I. New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Onlv Existin S stem B) Permit Number Date Issued ~" ~ - ~-I ^ A Sanita Permit was reviousl issued IV. Type of POWT System: (Check all that apply) X SD -~ t ~o , a-g , r ~o ~ ~ ^Non-pressurized In-ground ound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground Holding Tank ^ Single Pass ^ Drip Line ^ At-grade / ~ a ^ Aerobic Treatment nit ^ Recircufati ^ ther: toy. •s' ~ ~ ~ V Dis ersalJTreatment Area Information: 1. Design Ftow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ s r ~ ~ ~ f jQSO ~ ^ ^ ^ ^ VII Responsibility Statement I, the undersi mod, assume res onsibilit fer irstal!ation of the POWTS sho the attached tans. Plumber's Name (print) Plumb s Signal a (nos ): PRS No. Business Phone Number p~C~7G~ ®?v~o3s? ~sa~~~~-~' Plu ber'S Address (Street, City, State, Zip Cy l/(/dti G(.t ~~ ~ ~d VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater t Signature (No stamps) g A g en n Date Issued Issui ,Approved ^ Owner Given Initial Adverse Surc g e F S ~ l ) - ~ ' Determination 2 e • S ~ K~ ][X. Conditions of Approval /Re sons for Disapproval: _ - _ ~ ml~J ~ ~.r- ~ 3 -Qe~''oe^^,. rc srGQo,.~[-~, t,rt~¢a.a12 ~.w ~,~- ~-{~tc u.p'~s~U °'[Q ins ~~"' s~ c` 'R~ s ~ /~ ~ ~ l ( _ . , .v~ , o ~ ~SaJ~. ~ ~ v~ ~!!'+'~ ' 1e ~~. / ~ wl~ ...` ~O- ,OGE3W'~t9'NS A~IA 1 ! ~ ` 7 w _ ( 1 ~1 ~-. , - A ._ ,,I / T 1 v~ 1(' f iflt 1 /'1 1 t 1 [ V ~- • /1 . Ilv )V / I ~e l~ P'P _~:B~W1.~"++~w` ' ). ~~,..,k_ ,Qlf-ttx.1~7C-_ ~-- fir' I~v~+~~t,a~ ~ ~l~-^~w ~ ~ ~ - -- - ~ _• . .. A .~-- ~ n ~ ` SBD-6398 (R. 07/00) ~ ~ iscons~n Department of Commerce October 09, 2000 CUST ID No.691727 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2002 Identification Numbers Transaction ID No. 438055 Site ID No. 186709 SITE: Please refer to both identification numbers, Site ID: 186709, RICHARD LA CASSE above, in all comes ondence with the a enc . ST CROIX County, Town of HUDSON; MC CUTCHEON RD, HUDSON 54016 SW1/4, NW1/4, S16, T29N, R19W Lot: 3, Subdivision: PARKWOOD MEADOWS FOR: NEW MOUND, 450 GPD Object Type: POWT System Regulated Object ID No.: 646893 The submittal described above has been reviewed for conformance with applicable` Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 2. The maintenance plan for this system must be given to the owner of the POWTS. 3. The aggregate cell shall be level. 4. Holes must be drilled with sharp bit and all burrs and foreign matter removed before installation. 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. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. ~~ Sincerely, PATRICIA L SHAN~~F~;'pb~TS~4N REVIEWER Integrated Services ,- ~' (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE.STATE. WLUS DATE RECEIVED 09/18/2000 FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: RICHARD LA CASSE ~ . `~ ~ ~ ~scons~n Department of Commerce October 09, 2000 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/0! ~;, ZONING OFFICE CROIX COUNTY SPIA ~'~~ ~ i`~Ti.CARMICHAEL RD `f~~. '~~" ~4 .. ~.: I {, 1 I.IYiU { `,/ ,~ " , SITE: Site ID: 186709, RICHARD LA CASSE~`", ST CROIX County, Town of HUDSON; MC~ SW1/4, NW1/4, 516, T29N, R19W Lot: 3, Subdivision: PARKWOOD MEADOWS FOR: NEW MOUND, 450 GPD Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 wuvw.commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN: POWTS INSPECTOR r? ~ ' 1 ~' 2i~~t~ sr coax courv~ zcxY,rr~ oF~ ~cF Z Object Type: POWT System Regulated Object ID No.: 646893 ~.~ : ~, Fe, C() ~1 ~9 k '` The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes" and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in p< chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 2. The maintenance plan for this system must be given to the owner of the POWTS. 3. The aggregate cell shall be level. 4. Holes must be drilled with sharp bit and all burrs and foreign matter removed before installation. 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. Inquiries concerning this co~esp6n~e~e may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, TRICIA L SHAND , POWTS PLA VIEWER Integrated Services ~ (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE. STATE. WLUS '~~ WI 54016 ti Identification Numbers Transaction ID No. 438055 ' eiID No. 186709 ~ ase refer to both identification numbers, " ove, in alI comes ondence;with the a enc . SON 54016 DATE RECEIVED 09/18/2000 FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 WiSMART code: 7633 S'=~ cc: RICHARD LA CASSE ~> • TITLE SHEET Page ~ l of 7 FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-10572-P and the Pressure Distribution Planual SBD-10573-P ~ ~. ~~4a~ c~Z. ~~4q~ LOCATED IN THE Sal 1 /4 OF THE NW 1 /4 OF SECTION ~~ , T, ~-°! N, R l9 tii, TOWid OF ~~~Sp~l ST• °L~j 1.X• COUNTY, WISCONSIN. Lo T ~ V F ~~pr-bZtzwoo L` h~1 ~~'f~POw S INDEX PAGE l of 7 TITLE SHEET PAGE 2 Of 7 SYSTEI`i r1AI~TAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.IPING CHA2~IBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI4ANCE CURVE ~, .~. PREPARED FOR ~1~1~r~~ ~~~ ~~x~ ,: ~Z[Ctt1A~bZ-D L~ cis s~ __. __ _ ~~ ~0~'J:N1~_it E G: SZt r-t~ CuT~f ~To-V ~..c~~ __ . ~}-r~so~v L w 1 s ~o l6 ,~r::~~i~c~ ~ ~~S ~. PREPARED BY k1EGEF~ER SOIL .TESTING AlYD . ~ - 33ES I GN SERV = CE P.0. Box 74 421 N.Afain St. River Falls, LdI 54022 Phone 715-425-0165 Fax 715-425-6864 `1~N-5_=P~-r_C~1 :1S 14 iZ~v tS t n -v_::ol=: _t ~Z~v_i~-~ 4~`t L'~1~ 1~_.U ~'~-- --~l:.:Anti1-- - n-?u ~-- Z.`--2:3.-7-5-Z--- JOB N0. 00- Z~ Z ~- ~b -too . ,~ Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The ut et i r shall be cleaned as necessary to ensure proper o 'on. The filter cartridge should not be removed unless pr ions are made to retain solids in the tank that may s oug off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if. the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Puma 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 vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)j 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 Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same ar equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. ' - -. Questions on the operation or maintenance of this system should be directed to the County Zoning office at~lS-396-y6~nor to the licensed plumber who installed the system. ,~ • ~ PLOT PLAN ~ Page 3 of 7 Scale 1"= SO ' _ _ _. _ ~~_ ~.. -"~ C Cv Tc>:t~D t~l R.o crap 6~ ~~ ~ ~ ~ ~l ~~ 2oP~p loi• ,~~ ..~ 1.o i. 9 Page ~ Of ~ Approved Synthetic Covering _ AST~i C33 Distribution Pipe Medium Sand ~ _ .T ,~ Topsoil -___~~_-~ F Elev. ~~~. 3 ~ u i,. b ~1~. °I° Slope Distribution Cell of ~ ~ Force Main Flowed Z" to 2 z" Aggregate From Pump Layer 0 0.5 Ft. E o.~ZFt. CROSS SECTION OF A MOUND SYSTEM F a•8 Ft. G o- 5 Ft. A ~' Ft. ~ N 1•~ Ft. Linear Loading Rate= `~.t~ GPD/IN FT Design Loading Rate=p.~{'IGPD/SQ FT rt~te Position o. Force Mai n .- L a-~----------------------~ A o--(---- ~6.g---- --------- .-~ g 5o Ft. . I to Ft. J 1o Ft. K `a Ft . ~ ~ b_ Ft. W Z.~ Ft. ~ -observation Pipe K ~ --- - ~~ W L---~--- _ ----__ ------_-~---- ~ . Distribution ~ ~ ~ :° to 2i" Pipe Cell of z ~ aggregate • Observation Pipe {Aachbr securely) Fefee`.p~an ~cc~s so ;~ ' • •• PLAN VIET~ OF A MOUND SYSTE~4 . ~' Distribution Pipe Layout Page 5 of 1 Place the holes at the bottom of the distribution pipes . at equal spacing, ?temove all burrs from the pipe and holes, Extend the end of each lateral up with the use of long turn or 4f ° fitting to a point within six . inches of the final ~.ade. Terminate the ends of the laterals with a valv~,:threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plus, / - T `i P.1 C'(~ L .. ~,~S S .. SnL'T10 N pvc ~ FbC ~vC Lateral Manifold Lateral ~S X 1 X I _X ~ X~ ~ J!~ I Y I tr I I .. 'Lateral Length -~ ~ Lateral Length p tom- L'E'rN V ~ E~ -- 'p a- -- o-. _ `-- ~cc~.s _soX - -o --~ ~q F Z ~ Ft. ~ . • Hot a Diameter ~~8 Inch ~- -- S 3 Ft, ~ ~ Lateral ) ~ Inches) X Z3 Inches Manifold " Z• Inches ~" Force Main" ~ Inches ~ of holes/pipe 13 ~ ~ ,. ` Invert Elevation of.Laterals ~D2.~{ Ft. • _ ,~ _. , - Combination Sept~.c~•Tank and • • ~ PLI'MP CHAM6ER CRO55 SECTION AND SPECIFICATIONS ' PAGE ~ OF ? ..__ ~. WEATHER PlZ00>< • -VE-JT CAP • ' JUUCTI01.! 80X . '1 C.I. VE?JT PIPE ~ ~IPPROVED LOCKIll1G ~ lO' FROM ODOR. MAIJHQLE COVER cvllx :JIA100W OR FRESH ~ wA(tlJII.1G Lt+.6EL,. u>>3P~io>J PtPF A•,(R IAITAKE ~ ctx,cu~r ` •w/r~ncZnscH-gyp >, ~ , .. •• 6a.T . _ __ ~ -- • ' ~. 18' /~Up. i ~-- 18'1'SIAI. Z; ---------- ~~ -- - - ~ ~ l UULET i ;'~ PROVIDE I - --- . •~ ;h AtRTIGFiT SEAL I i i B gFFt_CS i '\/ APProved zfl8~. ~~~ -'~~ i ~~( Approved I Iii joint w/ PVCnpipe ALARM PVC pipe o I II . I • ~ ( I ou ~ •I I 1 LLEY. g~ AFL __~ PUMP -~ OFF D COIJCRETE ' RISER EXIT PERMITTED OIJLy IF TAiJK MAIJUFACTLIRER HAS SUCH APFROVAL~3~/lAPRo'r6D BEDS t rV4 SEPTIC f ~ SPEC-IFICATIOI~IS 005E TA1.lK MAr<1UFACTURCR: ~'LbL~.I~`f~"~ZN ~~`~T -JUMESEA OF DOSES: 4 ~ TAI~JK :,IZE : _ ~~ ~y ~ ~ S O GALLOAIS DOSE VOL;1lY,E PER pA~ r ' ALARM MAUUFACTURCR: S'S' ~-~~Q S`~1STL}`~g IAICLUDIAl6 bAGXfLOW: l ~ ~ GAttOht: MODEL -JUMBER: 1,~~ ~l.y CAPAUTIES: A= ~~ 3Z3 INCHES OR GALLOy SWITCH TyPE• ~ ~--~ti2-Y " 8 = Z S INCHES OR 3~ G~+LLOA3g HUMP MAIJUFACTURER: Goy~~ _ C= ~ ~~~' MODEL IJUMHER: ~ ~~' i ~ ~~ S ~ INCHES OR GALLOIlS ~ S ~ S W 17C H TyPE: ~ ~ZL°U~ZLf 0= INCHES OR GALLOAJS 1~Tt"sC-= ~, ~ uOTE: PUP'lP AND ALA , RM ARE 70 6C M!lJIMUM DISCHARGE RATE 31- q8 Gp/~ INSTALLED OA1 SEPARATE CIRCUITS VERTICAL DtFFEREtJCE DfrTWCE1J PUMP OFF A-JD..DISTRIHLITIOIJ PIPE.. ~~-FEET + KIIJIMtUM -~JETWCaRK SUPPLY PRESSURE , . , ~ 6 ~ ZSFLET -i- 1~ 5 FE E7 OF FORCE MAIIJ X ~' ~q F~ FRICTIO-1 FACTOR ~ ~• ~ 3 , o f .. FEET TOTAL Oy1JAM{C. HEAD = Z"~"~-3FEET As per manufacturer 1-7-U gal/in. Liquid depth 38" `' • •.~ .~. ~- ,, , .. w~ ~E~o~ 7 Goulds ~~~3~~~~~~~ ~ ~ ~4J LJ 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a° maximum. r-. ~ , .• Capacities: up to 55 GPM. ;'''~! ~. otal heads: up to 24 feet. ` '~~ Discharge size: l'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/"maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. ~' ' ~ ~__ • Fasteners: 300 series stainless steel. • Capable of running .dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug {standard on EP05). METERS II FEET i0t- si o ~ a _~ U 6 } 5 0 ..1 4 Fa- ~O 3 2E 11 o~ • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller: Thermo- plasticenclosed design for improved pertormance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- ticcover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated ail and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) i ~ 30 ~ ! I I ~, . j i I ~ -~~5 GPM .; 25 i ~ . ~ ._ _ _:..~-zs Fr ~-;- 2M-~3 20 i ~ `` I ss 15 P 5 10 ` I r . ~'• E 0 4 ,~,, EP04 5 ~ ~._.~, f I 00 10 20 ~ 30 1 i 40 50 GPM 0 2 4 6 8 10 12 m~lh CAPACITY Wisconsin Department of Industry, $ O I C. AND SITE E V A, L U A T I O N REPORT Page?- of 3 Labor and Human,Relations r)ivicinn ofSafaty & Ruildiru~s w~.- n_~_ ' - - 111 CiVVV14 ••Ill~ Il.l 11 ~ VV.VV, ..IJ• ~~~~~~• vvVV COUNTY but Plan must include er not les than 8 112 x 11 inches in size Attach c l lan on a m te it St. Croix , . p p o p e s e p s not limited to vertical and horizontal reference point (BM}, direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distant a~ t 020-1029-00 APPLICANT INFORMATION-PLEASE P ~~ R VIEWED BY DATE ~~ 3 -I~-2e~i PROPERTY OWNER: n ~~~ ROPERTY LOCATION ~~~~ LaCasse Custom Homes, In _~pvT. LOT ~ va ~ va,s 16 T 29 ,N,R 19 ~or) W PROPERTY OWNER':S MAILING ADDRESS ~ 1 ~ :~(~T # BLOCK # SUBD. NAME OR CSM # ~ 'f 521 McCutcheon Rd. ' `3 na Parkwood Meadows PHON r CITY, STATE ZIP CO ~ CITY ^VILtAGE ]TOWN NEAREST ROAD Hudson, WI . 54016 ~NtN -5405;<:;,~ -: Hudson Meadowood Ln. [x] New Construction Use [x] Residential mgepo~yedre~om3.~,~/ [ ]Addition to existing building [ ]Replacement [ ] Public or commera escr~be--''"~~ Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation{s) 102.40 ft (as referred to site plan benchmark) Additional design /site considerations ~ system el . based on contour line of el . 101.40' Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ^ S [~ U MOUND ®S ^ U IN-GROUND PRESSURE ^ S CCU AT-GRADE ^ S ~1 U SYSTEM IN FILL ^ S ~] U HOLDING TANK ^ S ~U U =Unsuitable for s stem SOIL DESCRIPTION REPORT Boring # .................. ................. .................. ................. .................. 1 Ground elev. 101.4 ft. Depth to limiting factor 35" -~ Boring # 2 Ground 1 ~~v. 4ft. Depth to limiting factor 3-~ Depth Dominant Color Mottles T xture Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color e Gr. Sz. Sh. y Bed Trench 1 0-15 10 r 2 2 none 1 2msbk mfr 2f .5~ .6 2 15-23 10 r 4 4 none sl 3 23-35 7.5yr 4/4 none is osg mvfr gw if .7 .8 4 35-55 l0yr 5/4 c2p7.5yr 5/8 cos/si M na na na n .2 1 Remarks: 1 0-16 l0yr 2/2 none 1 2msbk mfr gw 2f .5 .6 2 16-28 10 r 4/4 none s1 2msbk mfr if .5~ .6 2 28-36 7.5 r 4 4 none is Os mvfr if .7 .8 3 36-60 l0yr 5/4 c2p7.5yr 5/8 cos/si M na na na np .2 Remarks: PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT PARCEL LD. # 020-1029-00 Boring # 3 `:` Ground elev. 101.3 ft. Depth to limiting factor 30" --f- Boring # Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Page ? of 3 1 ` Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-10 10 r 2 2 none sl 2msbk mfr 2f .5 .6 2 10-30 7.5yr 4/4 none is Osg mvfr gw if .7 .8 3 30-60 l0yr 5/4 c2p7.5yr 5/8 cos/si M na na na np .2 Remarks: Remarks: Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: - STEEL'S SOIL SERVICE Gary L. Steel Inc. 1554 200th Ave. CSTM2298 LaCasse Custom Homes, New Richmond WI 54017 SWgNW4 S16-T29N-R19W ' MPRSW-3254 town of Hudson.. (715) 246-6200 lot #3-Parkwood Meadows This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. '=40' top of SW lot stake C el. 100.00' i ~.= top of SE lot stake C el. 100.60' ~• Gam" Gary L. Steel 7-13-99 . S`t' C1tOIIX COUNTY • SI?P`rIC `DANK MAIN"rLNANCL AGRi?i?MLNT AND OWNLRSIIIP CL~Itr1rICATION FORM Owner/Buyer _~~~.Q s~ J-~rr7,~.t,~ ~A/ ~. Moiling Address ~ 7~ ~ ~c~ y {~ Property Address (Verification rcyuircd flour Planning Department for new construclio City/State ~~~ S~~ Parcel ]dcnti(ication Number f~~/(7 ~' 9 - ~ LEGAL DESC1tIP'I'ION Properly Location Jam'/,, Ar w '/,, Scc. ~_, 'I'J~_N-IZ~_W, 'I'owa of ~`J~"' SuUdivision ~,~.'~~~~d_~Q.Rrl~sfb,.t Lot # ~ Certified Survey Map // Vuluu~c Page # Wurt•auty Deed # -=,;~ J-(~ ~ ~ 7 ,Volume -~- ,~v.~., Page tE Spec house ~ yes ^ no Lot lines idcutitiablc ~cs O no SYSTL+'M MAINTENANCE L~rrproperuse and mainteuauceof your septic system could result in its premature failure to handle wastes. Propermaiuleuaace consists of pumping out the septic teak every three years or sooner, if uecdcd by a liccused puurpcr. What you put into We system can affect the function of the septic tack as a Ucatmcnt stage in the waste disposal system. Tire properly owner agrees to submit to St. Croix Zonurg Uepartureut a cerii(icalion form, signed by We owner and by a nrasterpiumber, jounreyrnau plumber, restricted plumber or a licensed pumper verifying that (1) the on-site waslewaterd.isposai system is in proper operating condition and/or (2) aAer inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set Uy the Deparhneut of Cunuuerce and the I)epartnrcut of Natural Resources, State of Wisconsin. Certification stating that your septic system has been nraintaiued must be completed and returned to the St. Croix County Zoning Office within 30 days tine yc cxpiraliou date. l i/o ~C~l . A APPLICANT' DA'T'E OWNER CERTIrICA'I'ION I (we) certi y that all atatenreuls on this farm arc true to the best of my (our) knowledge. I (we) am (are) lire owner(s) of t , perry d scr' ed above, by virtue of a warranty deed recorded iu Register of Deeds Office. ~~ ~m S GNATUR OP APPLICANT llATE ****** Any information that is mis-represented uray result in the sanitary permit being revoked by the Zoning Deparlrnent. ****** ** Iuctude whir thts application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed _ , ~ IiOL 140~PACE61~ STATE BAR OF W1SCONSIN FORM S - ]982 ~~ PERSONAL REPRESENTATIVE'S DEED DOCUMENT NO. ~I 1lbwaid LaVenture as Personal Representative of the estate of Atuta LaVentttre ("Decedent"), for a valuable consideration conveys, without warranty, to LeCasse Glrstmt Hrntes, Inc., a Wiscons2n rpora[>`on Grantee, the following described real estate in St. C2roiX County, State of Wisconsin (hereinafter called the "Propeny"): ~~~ s9sz i~ KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.t WI RECELyER FOR RECDRR OP-19-1999 11:30 RM EX~EiI~P~ REPRESEN~RTIV CERT COY FEE: COPY FEE: TRRNSFER FEE: RECORDING FEE; 10.00 PRGES: 1 THIS SPACE RESERVED FOR RECORDING DATA IE AND RETURN ADDRESS Heywood 6 Cari, S.C. Box 125 Hudson, WI 54016 SW ~ of NW ~ of Section 16, Township 29N, Range 19W, St. Croix Clnmty !~ _:_ ::.. Wiscatsin. - - 020-1029--00 THIS PROPERTY IS IN THE WELL ADVISORY AREA. ~ - 1 ATION NUMBER (I ,/ li F is is ~ n partial satisfaction of a Fartd Contract dated February 18, 1999, Recordod in Vol. ~ ~ Y >~ L(~f ,, i :! Personal Representative by this deed does convey to Grantee all of the estate and interest in the Propeny which the Decedent had immedia[ely prior to Decedent's death, and all of the estace and interest in the Property which [he Personal Representative has since acquired. I Dated this 18111 day oC February 19 99 `~ r (SEAL) ~~~~ ~ I~~ (SEAL) Howard I"aVenture Personal Representative Personal Reprsentative AUTHENTICATION Signature(s) HDward- LaVentttre i authe ,cared this 18 ay of February , 19 ~ Settuel 4. Carl \LE: MEMBER STATE B OF WISCONSIN 'ttF++ec,-- authorized by 5706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY Ileywood 6 Cari, $. C. Bnx 125 Hudson, WI 54016 (Signatures may be authemicated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT i; State-of Wisconsin, 55. County. ~ Personally came before me this day of ~~ 19_, the above named i !'. ! to me known to be the person who executed the foregoing i! inswment and acknowledge the same. I' I Notary Public, County, Wis. !i My commission is permanen[. (If not, state expiration date: 19 .) 1 ,• ' Nama u[ persons signing in any rapacity should be q~ped or primed hclosv their signawres. STATE BAR OF WISCONSIN Wisconsin Laps Bla+ut Co.. Inc. ~1 PERSONAL R[PRESFNTATIVE•5 DEED Form No. S - 1982 AMMaiisOe, Wla• ., PARKWOOD MEADOWS i SW 1 /4 ~SECTIO .~.~. ; 0 - ~ - _ '~ W 400.00' . ! ......... .•.. !:~•... .. •.l.~ 2~ ~ 1 o p .- N t0 1 0 3 EXISTING °o ,~ HOUSE ~ 3 `° '~ ~ O p 3 ;~ 2 0 o p .319 A o~ °D ~ ~ 2.319 ACRES °o ~ ~ 'o y, 0,996 F. ~. • ~ ~, 100,996 S:F. z . , ` 2.5fl~€ F.Cc~FS y ' s ? 09.075 :..l= . z o p i ~ p N 1261.40' n 200.00' . _,~pp,00~ 216.00' tp ~ ~ r d o p O pZ z ~O ~ ,d, ~ ~ ~ O 11 s " 12 g ° 0 13 2.565 ACRES z 2.508 ACRES 109 228 S F z 2.505 ACRES 109 126 S F 111,738 S.F. . . . , . . LANE _ y`~ ~6~ L _i ~i \1~ - - ti C-_ 19.73' --21 ~ ~ ~~216.00' 'C3 ~ , ~ S 89°53' 29" E 451.73' i~ i -~- - i- -~- - - - - '~ C~ ~ r N 89°53' 29" W 400.03' "~ ~ ~~_ ~ I _ , u~ _ 20.0 ~6 , o .~ '_' I 50' --^ 20' _ u~ ~~ 50 33,33, W W 3 .o ~NM M~ ~~M ~ 4 ~ ~ °p'o (~N om' :°,'0 2.755 ACRF~ ~ ~ OF THE NW 1/4, T~#E IOW 1/4 OF THE SW N 16, T29N, R19W, 'SOWN OF HUDSON, ST. JORTH L~ OF THE SW 1/4 OF THE NW 1/4 =j, - - - - _ ~ -s-- -- - - -=i--McCUTC~EON _io-n- _ - - .f1~~ ~~ ~M ROAD ~ 1/4, CROIX NOTES: i. ALL LINEAR MEASUREMENTS MADE TO THE NEAREST ONE OF A FOOT AND ALL ANGULA MEASUREMENTS HAVE BEEN M NEAREST FIVE SECONDS AND TO THE VALUES SHOMM. 2. OWNER AND SUBD IVIDER: RICHARD LACASSE LACASSE CUSTOM HOMES, IN' ~2 r a'~CU fCHEON ROP,D r HUDSON, WI 54016 3 z W 3. OUTLOT i TO BE DEEDED TO ~ ADJOINING PROPERTY OWNER O ~~ M ~ z tV ~ ~ ~ N Q ---I n W S oI Wr W ~ I -- O M Q I HIGH W <O p J o ~ H ° ~ a 0-~ 2 o N W ~ ~ LO_~ 2 EASEMENT FOR TEMPORARY 3 CUL-DE-SAC, R=80' (TO 8E ~- AUTOMATICALLY VACATED q. UPON STREET EXTENSION). 0 rn 5 N ~ 6 - 7 8 14 15 ~~ N~~ w ~^= NW CORNER SECTION 16 LOT 9 T29N, R19W PAgI~.V1~V~ . (BERNTSEN CAP) ~.SIAIE~ FIRST . ADDITION r ----, McCUTCHE_ON__ ROAQ ---- ~ 1 w~ I i I LOT 2 NW I ' C.S_M_ ~~ I VOL. 5 _ ~ 3 PAGE 1254f DOC. ~ _ I ' 382793_ ~ --~~ LOT 4 ~ ~~.S_M.. y. yi.. VOL. 1 _ ~ ' PAGE 184 ~ DOC. ~ _ 329_8_97 = IZ LOT 3 ~ ~ C.S.M. I~ ' I°° ~~ VOL. 1 N '' PAGE 1841N , DOC. ~ _ 13 M 329897_ _ I °' N LOT 2 ~°'' C.S_M; ~8 Z PAGE_184i DOC. ~ _ I 329897_ I LOT 2 I C.S_M_ I VOL. _4 _ I PAGE 106 DOC. ~ _ I 370960_ I I ' B~GINN NG~ 1,33' 33' LOCATED I N TI- THE SW 1/4 OF UNPLATTED LANDS " ~i ,~ - " a~ S 89°46' 00" E 1236.60' 9.77 ~ 174.62' -'t0~ ~ "'~~" ;~ 214.39' o ~ o o~ ~ - _ o (-" DRAINAGE o . " '.° ' EASEMENT o N 89°4E ..... .~„ , ~.... ~ ...................... .............. ~ S 89°46' 00"~ E ~ ~ ... ~............. 774,88' I ~ ' ~ ~~ o ~ g 6 ~ ~ 5 ~ M 4 2.838 ACRES 2.319 ACRES $ a, 2.319 ACRE! I 12 i 529 S.F. ` 100.996 SF. Z ern, 100.996 S.F 1 I M rh y 1 1~~ I 3 N 89°4s' 00" N 89°46' 00" W ~ 75.15' .... ; ~ ~ 2.099 ACRES '•~ ~°~ 91,438 S.F. 1 ' g~ss9b • .~ 3 N 89°46' 00"; W 397.75' ^•~ 0 4' ^;~ 195.01' DRAINAGE ~i. 5' EASEMENT ~g ,, ~ ••~ Z g ~~'• 2.101 ACRES `,°~G,~: 91,519 SF. ~ 25, ~. r . 100 i I • - --f - o- ~ GREEN tv11LL 9 2450 ACRES `' 10 2.985 ACRES 130,035 S.F. I ~` ~~~N G ~- a . ~ ~~ 1os,71s s.F. ~' ~,