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HomeMy WebLinkAbout020-1359-04-000Q c N ~ a ~ O. aC ti ~r h O O N h ~4 c `~+J •A~ N .~ 0 •~ ~yO 7 `iV .a c LL ' ~ v ~ ~ `' Z N ~ ~ w ~ E 0 ~ v = E o ~ z ~- ~ a m ~- F ~ ' ! o N C C9 N o z 'a ~' B w ~ ~ ~ ~ '3 ~ F- ~- N N O i E o "v N C 7 I '' co ~ Z Z o ; o ti .. ~ ~ ~ L O .,,. O A. 16 .+ 3 , ' a y o d °' ` = o a N ~ N d v -o F - F - O ' a a a ! ~ Q o U 7 O y ~ ~ U ~ 0 0 O ~ I O 0 0 3 J o ' O N ~ ~ ~ ~ 1 N N ! ~ O ~ O O t > ~ ~ 7 +~+ V~yl C M r ~ C N ~ ~ W N -p 0~ 3 2 ~' J O ~'. M ~ +~r C. r+ m .~ ~ a . a ~ d ~ ~ ~ ° ~ w° O va c mv w °o 3 0 Q ~ O C O ~ _ O E O N O N C .~ Q N ~ Q C V L ~ ~. ~ 'O N L - C N 7 ._ a ~Y cc O N N N O O ~ C d ~ -o3=v ~ ~ c ~~o.- a~NE ~ oo~a~ o v 3 ° a ~ ~~ao c •° m a O 7 ` ~ O 'p UOLL d c~i~33 C N E a~ U .C A m n F ~ _~ _O CL ~ .~ a ~ ,,, } O Z '«= `-' O ~ ~ ~ Q n O yII O p~ C m ~ aUi c c N C ~ C 7 O N ~ ~ ~ y C (0 N ~ (7 i o II U w 0 .Z M C O .~ U O Z N 0 °o {q N U O .'W N O Z ~~ E d ~ N ~ o , ~ O 'O N ~ ~ C ~ "O O i I `~1?isca/sin Department of Commerce pR1VATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Lawa~s.15.04 (il(m)1. ~a~~a"ssee~~~m~~, ^ city ^ ~i.~s~r~°1"8vifnship CST BM Elev.:- 0o Insp. BM Elev.: U Q BM Description: ~ o~ 5~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~1,~~f~~ ~`c5e(> I2~ Dosing ~ ~-~4~ . ~ ~ H TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic ~ 5-v ~ ~ 38' / NA Dosing ?S•~ ~ ~~ `~ .~, ~`~' NA Ae A Holdin ' PUMP /SIPHON INFORMATION Manufacturer ~~S ~ Demand C ti~ Model Number ~ps ~~~GPM DH Lift `Z,~ Lrictio •~~ System~.L TDHZ~•o t p " Fii Forcemain Length ~~~ Dia. z '~ Dist. To Well ~~ SOIL ABSORPTION SYSTEM ELEVATION DATA ~~ a~ 8~ count~t. Croix Sanitar~8~~t~lo.: State Plan ID No.: Parcel ~"-°F359-04-000 l to • 0~9 ~ !R 'fit O`t~ STATION BS HI FS ELEV. Benchmark % ~ ~d ~ 1 U0 ' 2.9~ (02..8`{1 Bldg. Sewer ~ ~~ ~-Z ~ ~ g Z ~ St! Ht Inlet ~~ (2.38 q3 z~ ' St/ Ht Outlet ~" _~ Dt Inlet -----~ Dt Bottom '(o - 3 3 .3 I Header! Man. A fZ ~02,.,~L' Dist. Pi a p •Lo { p • `{`~ r Bot. System A ' ~' I b (. g"j' F' ~'U~ [Zr+ ~ _~~ .~- ~,.~- l '' rz.~ ` R2~ 8~i BED /TRENCH WidtFy, ~ ` Lengjh r f ~o. O s P I ~ No. Of Pits Inside Dia. Liquid Depth DIMEN I N ~ ~ tp ~ D L anufacturer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM INFORMATION Typeo r ~ C BER umber: System: ~ ~- ? ~ ~ OR UNIT DISTRIBUTION SYSTEM ~~~"'PjL ~- -~-~- Header /Manifold ~~ ( 2 Distribution Pipe(s) r ~r rt 3 x Hole Size k 3 x Hole Spacing rr Vent To Air Intake "_' Length ~ o Dia. ~ Dia. 1_ Spacing ~ Length (P ~ ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil InS ectl0 #<'0 Yes / ^ pvo In ~tl~n #~:NO / per ~QMMENTS: (Include code discrepancies, persons present, etc.) ~5 ~/r~/6%'~ ~ ~ °~'~ Location: 509 McCutcheon Road, Hudson, WI 54016 (SW 1/4 SE 1/416 T29N R19W) -1629192100 J Parkwood Meadows -Lot 4 ~ ~ ) ' S°N-P' 1.) Alt BM Description = ~®"(! '7"'~ini0in~~~Q ~~~~`')" ~''' 2.) Bldg sewer length = w 38.0 ©' -amount of co erg >~fZ" ~`t c~"~ .~.`"~~ a~` ~ "°"~ 3.) con/tour = ~1. ~j;` . ~'Si = /a / O 9 %,lln0 ho45P (w/c'l~P7C Qf jd/DGJr~i..^f ( ~,® Q!/ ~h~- r ~~ Plan revision required? ^ Yes ~ No Use other side for additional information. .L9 ZO'D ~ ~ .S SBD-6710 (R.3/97) ~ ate ~, r Inspector's Signature Cert. No. ' Sanitary Permit Application Safety & Buildings Division ~ In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. ~ ~ `~ . See reverse side for instructions for completing this application PO Box 7302 SCOn.~In Personal information you provide maybe used for secondary pu oses ~ Madison, WI 53707-7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on cat ;ens than 8 - x 1 l inches in size. C ~ y„_, ~ St3 Sa~~itary Permit Number ^ Check if revisio ' s application State 1 I. D. Number ~ ~ ' b y I. Application Information -Please Print all Information -~, ~;:..• ~ ,_ , Loca ion: Property Owner Name t~ i Property Location / x ~ /~^ Yl ~ ~-~ C7~~- /v,y2,, ~ + k~A~• ~ 4 l~:::. ~ .~'~-1 1/4~'~W /4> S ~Ta 9,N, R~~or Property Owner's Mailing Address 4 ~- ~-~ ;~ COUN? ° Lot Numb, r Block Number l ,j ~ ~ ~- ~ ~, " ZL7PtMdGC+f~dC City, State Zip Code Phone Numbe "`~~ ulid' isio Name or CSM Number II. Type of Building: (check one) ~ ^ City 1 or 2 Family Dwelling - No. of Bedrooms :~ ^ Village own of ^ Public/Commercial (describe use):_ ^ State-Owned Neazest Road ~ Ocel Ta s umber() ~ / • 29 / j z /6p III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground ~ Mound ~~ ~ K ~ ~ ~~ ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line . ^ At-grade ^ Aerobic Treatment Unit Reci ulating ^ Other: V. DispersaVTreatment Area Information: Ge = p • 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. yste Elevation 7. Final Grade f~ / Required ('`} Proposed Rate (Gals./day/sq. ft . ) (Min./inch) t ~ Elevation C ' / , , ~ ~ ~ ~ / j ~ ,t , C% i L/ CJ v ~ / l VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks iasU -- ~a~~ ~.~. ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS show n the attached plans. Plumber's Name (print) Plumber' ignatu (nos M RS No. Business Phone Number ~Y ~~~ a~ v~~ 7 rs) ago ~~~~..~ Plumbefr's Address (St~reetJ, City, Sta ,Zip Co e) j ~ ' / ~ ~ - / "' t~ - C~--~ ~ ~d / IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) [Approved _ ^ Owner Given Initial Adverse Surcharge F ) ~ ~ / Determination 3Z~" a U S / ~ X. Conditions of Approval (Reasons for Disapproval: / / GhN vGow~- (M.cP~<tng ~P t° i`ryt<t~"lc~•~- O h,~t~ /~1CC(~C esl?r~6~7~ k~a5/ ~TrOP~~"G~ ~ ~S ~~~ ~ ` /GYc , / / I ~ / / /~, , ~I fl~ (t, ~e~11~0oH•.• p°ld.t/~ UDT 2S~Cfe~ GL 7b7`R f ~'~ 7 ~trvr~5 SBD-6398 (R 07/00) "~ ~. isconsin Department of Commerce May 08, 2001 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 r ~Q~ V- . `~~ ~.., „~ OA F , / _..l y; n ~ ,.. ~ ~. ~. .~ ~itlG~ ~~~~ RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIItF.S: 05/08/2003 SITE: SITE ID: 628616, La Casse Custom Homes St. Croix County, Town of Hudson SW1/4, NW1/4, 516, T29N, R19W Subdivision: Parkwood Meadows -lot 4 FOR: Description: Four Bedroom Mound System Object Type: POWTS System Regulated Object No.: 788687 Identification Numbers Transaction ID No. 638041 Site ID No. 628616 Please refer to bath identification numbers, above, in all cones ondence with the a enc The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • In the event this soil absorptior. system or aay 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 manual, and section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 5tats. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary •,~ ,~TTN.• POWTS Inspector ~3 .-BONING OFFICE °' ~5T CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 r ARTHUR L WEGERER Page 2 5/8/01 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim@commerce.state.wi.us DATE RECEIVED 04/12/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ~. TITLE SHEET FOUND SYSTEi~1 FOR A ~ BEDROOr1 RESIDENCE Page ~ of -7 This plan has been prepared in accordance Faith the Mound Component Manual SBD-10691-P and the Pressure Distribution Planual SBD-10706-P (N.O1/O1) (N.01/O1) LOCATED Ii~1 THE SW 1/4 OF THE ~1W 1/4 OF SECTION l6 ,T Z9 N,R l~ 6d, TOWi1 OF ~~SC~1V , ST'. C.QU~( COUNTY, WISCONSIN. ----- - ~~..~fi.: - -_._~l :_ T-~c1z:Ycwci~iD--y~:~s INDEX PAGE 1 of 7 PAGE 2 Of 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE SHEET SYSTEIi I•IA~dAGEi1ENT PLAiv PLOT PLAN PLAN VIE[d-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUI.IPI1`ZG CHAI.IBER CROSS SECTION PUIwIP PERFORI•iAiQCE CURVE PREPARED FOR ~~~~ • _- __ ~~- cry-ss~ c~s~vr~ r'r""~~~~TY ~ BLD~B D~iCp __ty-u~~_s o ice: ~ Lvt S: ~CSo1,Co== PREPARED BY L~JEGEFCER SCI I L .TESTS !VG AND . - DES = G~1 SERV ~ CE P.O. Box 74 421 Id.~fain St. River Falls, ~dI 54022 Phone 715-425-0165 Fax 715-425-6864 n .•~M......~~y ~~ ~ ARTNUR t ~~ WE>ERER [A915 P i ~ILSWORiN. '!. I . w~-~~~ j:K ~- $-4~ JOB N0. ~ !`-~~ ~'~ Mound System Management Plan page Z of . , - Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank - The septuc tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and 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; !f 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. Pump Tank , The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shalt be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent 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 tie heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L 8005, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specfied 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 testis 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. Ge- Herat . This system shall tie 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 maybe 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 watertightness 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 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 locatlon by increasing basal area 'rf toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning •Affice at ')ZS-386- ~16~1~ S1'^, C6ZU[X The system installer at - ~ • The tank manufacturer at 8 Q~ .. 3 ZS - 8 ~-IS ~ w 1 ~ t~Z The effluent filter manufacturer at BtJp ~ ZL[.. S-~~.[.Z Z,P~~, The pump manufacturer at __6 3y _ g~__~8 ~~---~ay-L-ys _---- ~' ~. .. Y ~ rr r,m n7 TI.T Scale 1 "= S 0' ~. M c eure~o-v ~-o~ `-1 so' ~ a~ t~~ Page '~ of 7 - 3 -~ ~'~ - Approved Synthetic Covering` AST~i C33 .I Medium Sand ~ Topsoil • _11 E 3 ~ „ .3 % Slope ~. Distribution Cell of z" to 22" Aggregate ~ Distribution Fipe I~ --• a F -Elev. D Force Main From Pump GROSS SECTION OF A MOUND SYSTEM A _~ Ft. Page ~ Of 7 Flowe d Layer D b-b~ Ft. E o-g`f Ft. F o- 8 Ft. G O . S Ft . H 1.0 Ft. ~~e Position L g3 Ft. of Force Main W Z~ Ft. - - L ~ ~ -Observation Pipe - -- ~ - --~---- -- - ( K ~--~r- --------- -------- ------------= ----~ A a-~---- ~ ------ --------- -- ----------- ------- w e-,l+~--~--~_ ----- ------- -----------------i_ ~ ~~~ Distribution ~ ~ ~ ~ ~~ ~ ~- Cell of ~ to 2 2 Pipe aggregate • • Observction Pipe ta~~o= S~~iY~ Linear Loading ~ Rate=B•R6 GPD/LN FT B 61 Ft Design Loading, Rate=p.y3GPDJSQ FT j \ Z Ft. J (~ Ft. K_~_Ft. ' ' - PLAii oIETr3 OF A MOUND SYSTE:~ ~'{ Distribution Pipe Layout S of ', Page 6 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and 'voles. Extend the end of each lateral up with the use of long turn or 4f ° f fling to a point within six inches of the final grade. Terminate the ends of the laterals with a valve;'threaded cap or . threaded plug. Provide access from final grade for the valve, threaded can or threaded plug, T ~-t P 1 Ct~ L. ~ZsJS S. S~t.`[10 N Svc. Fvc Laierai Manifold ~~ C ~ r--Lateral x x x x xf2 x!2 x x x 'Lateral Length - Lateral Length P !~- L'PrN V ~ E~ _ ' P a,... _ a- __ i o-- PrCC~s ~pX -o --0 -o P 3-~ Ft. - -Hole Diameter ~J2 ~, Inch .- -- . ~ ~ Ft. - - Lateral " 1 •.Inch~es) X r Inches ~ Manifold Inches - ~ Force Main " ;_ Inches ~ of holes/pipe 11 - ~~ Invert Elevation of.Laterals~~l°17Ft. . ~txo•bb=.2.6x6_ u-3.S6 GPD '_~ '_ ~ _. Combination Sept~.c~•Tank Arid . ~~ PUMP CHAMBER CRO55 SECTIaiJ AIUO SPECIFICATIOAIS' PAGE ~ OF 1 . ` . _. . • -VE1JT CAP ~ . WEATHER PLCOOf • ~uucTlou eox . '1 C.I. VEIJT PIPC ti APPROVED LOCKING ~ 1Q' FROM OOOR, lK1;3JHOLE COVER cvi"M :iIUDOW OR FRCSH 1 wA(2tiJl>JG 1..PrgE(~, u.'sPt;G1o>J PtpE\ ALR IuTAKE ~ cor..~c~tr ''v/FZ'LSZn6It~ZR'P \- ' (^l N LSI{~ • G Rip ~ 11JLET L . ," f Approved joint w/ PDC pipe `~ f ~. Mlu. ~ I `_ _ ~ 18' ~'IIU. \\`` --.. - ~ 1 +-~ .. PROVIDE L , . _ •~ ;~ , ~ AIRTIGHT SEAL ( I { I ~+iFFL.~S ~ { I I z~~ ~ t~~ .. A ~ ~ I I I A-- 1800 i { I b ALARM .I IL . I i i I ou C •{ i g2.83 FY CLEY I . PUMP -~ '-~ , OFF D CouCRETE ~Lt'V ~~Z.-CO' !' ~ BLOCK Approved joint w/ PVC pipe ~- RISCR EXIT PERMITjED OiJLy IF TAIJK MAIJUFAGTURlFR HAS SUGH APPROVAL~3NApFSM+fD BEDt? t rte SEPTIC E ~ SPEC.IFICATIOf~1S DOSE Tf.-.l-cS MAslUF1~CTURLR: Lt.l1~~Z ~>uC ~ IJUr1BER OF DOSES: S'~ TAf.IK SIZC : l Zoo ~ ~Ol~ GAL.LOAIS DOSE VOLUME PER t3A~ r ALARM MAI3UFACTUR.C.R: - S~S•~~`fRfl SL[~3`(C1~j S -uCLUDIUG 6ACxrLOw: - `23'b GALLONS 1"10DEL 1.IUMSER: 1~~ ~~ CAPACITIES: A. ZO ~LLZ.O IAICHCS OR GALLOys SWITCH T~PC: _ h~2.L°CI~Z~ 8 = Z IucHES oR U 1. Z G~LLOUg PttMP MAIJUFACT,URCR: ~Ot~~'SjS C= ~ IIJCHESOR IZ3-~o G LO MODEL fJUMHEit: 3 S~ J ' N~~OS _ D= 1 b AL NS IAlCHES OR ~o6'D GAlL0IJ 5 SWITCH TYPE: ~~~U~-Y WOTE: PUxP auo ALARM ASR To a$~~g S T ALLED OAI SEPARATE CIRCUITS Ml-JIMUM DISCKAR6E RATE ~3- Sb GpM IN ~ ~ ~ VEKTICI,L DtFFEfiEtJCE DETWCEU PUMP OFF AlJO..DISTRIBUT1oN PIPE.. =- ~~ FEET + MIi.ItMUM f`lETWORK SUPPLY PRESSURE . - ~'`~^S'FE ET ~ S t ~~ . •~- S~ FEET OF FORCE MA-!J X 3'~$ F~ t•a~ FRIC7lou FALTO _ x, . oF~ R_, FEET TOTAL OyiJAMIC. HEAD = I~"33 FEET As per manufacturer ZO, bU gal/in. Liquid depth 3~ ~~ . t !~ { ' • # ,, .~ ~ -- ~!'CGE ~ o ;= ~ Goulds ~u~~~~~ib~~ ~f~~~e~~ P~~~p 3871 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high _.. ^ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems .dry without damage to heat transfer. ^ Motor Cover: Thermo las- P • Homes ~ • Farms components. Motor: Available far automatic and tic cover with integral handle and float switch attachment • Hea "du sum vy tY P • EP04 Single hose: 0.4 HP, ~ manual operation. Automatic models include Mechanical points. _ • Water transfer • 115 or 230 , 60 Hz, 1550 RPM built in overload with Float Switch assembled and ^ Power Cable: Severe du tY Dewatenn g ; ;.;. - , - automatic'reset. " " ° preset at the factory. •rated oil and water resistant. SPEClPICATIONS •EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM,- FEATURES ^ Bearings: Upper and lower heavy duty ball,bearing - ,. Pump EP04 . ti built in overload with ^ EP04 Impellee Thermo- `construction SoUds handNng capability =, ,automatic reset. p{astic Semi-open design -- "'3/4' maximum ; ' ~ ° ~ • Power cord:l0 foot with pump out va nes for AGENCY LISTING . • Capacities up to 55 GPM. + ~ standard length,l6(3 SJTO p mechanical seal rotection. C SP• Canadian Standards nssoci aUon .otal heads: up to 24 feet. -~ ~ ~ ~~ Discharge s¢e:1'/2" NPT. ~ with three prong grounding plug. Optional 20 foot ^ EP051mpe11er: Thermo- (CSA listed model numbers ; `~ • Mechanical seal: carbon- , - length,l6/3 SJTW with plastic enclosed design for improved performance . end in "F" or "AC".) rotary/ceramic stationary, three prong grounding plug . - BUNG-N elastomers. ~ ; (standard on EP05}. ^ Casing and Base: .Rugged - . :Temperature: '. thermoplastic, design provides ~~ ~~ -=- 104°F,(40°C) continuous superior strength and 140°F (60°C) intermittent. - corrosion resistance. ' • Fasteners: 300 series ME~'ERS FEET stainless~steel.' jo - .. ~r • Capable of running w~ ~, ,dry without damage to s so ~ ...~ ~ ~~ ~` .- :components ,. . ,..: . . ~ Pump: EP05 ,. $ , 25 • Solids handling capability: 0 314 maximum ~~ , ~ = t_ 7 w - Capacities:.up to 60 GPM. ~ ". • Total heads• up to 31 feet. s ~ - _ ~ ,_ __ ._ _ • Dischar e NPT 1'% g size: ., , z° z s . :_.. ~ , • Mechanical seal carbon= , } 1 s - . , _ rotary/ceramic=stationary, ~ Q 4 t~ ,: BUNA N elastomers ~ ! • Temperature . . ' ~ a i o ' _ s ~~ 104°F, 40°C continuous ~ ( ) - _ ~ r ~ ~~ - ° t 140 F.(60°C) intermittent 2 L - 1 4 S tl ~ _ j o - '0 .,.w ..t ` `\Y ... t '~ ' ,, ~~{'@ ASr~C,_ er'''a . : ~ - ` 0 10 20 30 -GPM 44 50 , . ;; ~~,' ;..~°"~ h: *~qt>:~ '~~v= ~' `~'" ~, `'' 2 °," _ _4 ~~". ""6 °Kr~~8~~ 10 , 12~~;m~~h: , ,- - CAPACrfY ~ ~- y,,,., '_~~ ~ ~:, ~~ ~. ~.- ®1995 Goulds Pumps. Inc. Effective Mav.1995 r~~ P~z.FO~~c~. ~v~.v~. ~.. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations ' Division of Safetv & 8uildinas _ _~ ...:.~ 11 1 1~ ., ~ ..,:_ w ~..., n_,~_ 111 QVVVIV ••Illl ILI it l VV.V V, •.I.a. ..v...• vvvv COUNTY Plan must include but er not less than 8 1!2 x 11 inches in size Attach com lan on a lete site St. CroiX , p p p p . not limited to vertical and horizontal reference point (BM), d' tion and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distanc n ~ st ro 020-1029-00 APPLICANT INFORMATION-PLEASE P ~' INFORM T1Q~1 ~, . R VIEWED a DATE - 7 .r ,.~ 3 - ~-- 2641 PROPERTY OWNER: n C~/~~® ` ~ OPERTY LOCATION ' LaCasse Custom Homes, INc ` j' -G VT. LOT SW 1/4 NW 1/4,S 16 T 29 ,N,R lg f(or) W . PROPERTY OWNER':S MAILING ADDRESS ~ ' ~' ~ , -L # B K # SUP C 99~ 521 McCutcheon Rd. ~r~ g J na Meadows arkwood CITY, STATE ZIP COD '''~ PH NE ~ i CITY VILLAGE WN NEAREST ROAD Hudson, WI. 54016 '.~(i1~1Na 05 Hudson Meadowood Ln. [~] New Construction Use [~ J Residential / ~~f ~ w4~~ [ J Addition to existing building - - ; (]Replacement ( J Public or commercia Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 500 b~, ft2 500 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.80 '~ ft (as referred to site plan benchmark) r Additional design /site considerations tX~ system el . based on contour line of el . 100.80' Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL O S [~ U MOUND ®S ^ U IN-GROUND PRESSURE ^ S ~U AT-GRADE ^ S ~U SYSTEM IN FILL ^ S CCU HOLDING TANK ^ S CCU U =Unsuitable fors stem-~ SOIL DESCRIPTION REPORT Boring # .................. ................. .................. 1 s ti:::'+:~:::;::;iFi':i'+ Ground elev. 100.9ft. Depth to limiting factor 40 ~ Boring # 2 Ground gO~a.,~ Depth to limiting fa-~ Depth Dominant Color Mottles T r t Structure Consistence Bounda Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex u e Gr. Sz. Sh. ry Bed Trerxi~ 1 0-15 10 r 2/2 none 1 2msbk mfr gw 2f .5 (.6 2 15-40 10 r 4/4 none sl 2msbk mfr gw if .5 .6 3 40-55 l0yr 4/4 c2p7.5yr 5/8 sil M na gw if np .2 4 55-70 7.5yr 4/4 c2p7.5yr 5/8 cos/si M na na na np .2 Remarks: 1 0-8 10 r 2 2 none 1 2msbk mfr 2f .5 .6 2 8-20 10 r 4/4 none sil 2msbk mfr 9w if .5 .6 3 20-30 10 r 4 4 none sl 2msbk mfr if .5' .6 4 30 4 l0 r 4/4 c2 7.5 r 5/8 sil m na caw na np .2 5 44-70 7.5 r 4/6 none cos Os ml na na .7 .8 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Ave New Richmon WI 54017 Signature: Date: 7_13-99 CST Number: m02298 PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT PARCEL I.D. ~ 020-1029-00 Boring # 3< Ground elev. 101.4ft. Depth to limiting factor 2~ Boring # Ground elev. ft. Depth to limiting factor Boring # .................. Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Page ? of 3 . Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxf2ry Roots GPD/ft in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Ti2rxb 1 0-12 l0yr 3/3 none 1 2msbk mfr gw 2f .5 .6 2 12-28 10 r 4 4 none sil 2msbk mfr gw if .5 .6 3 28-65 10 r 4/4 c2 7.5 r 5/8 cos/si M na na na np .2 Remarks: Remarks: Remarks: Remarks: SBD-8330(8.05/92) . ~. STEEL'S SOIL SERVICE Gary L. Steel LaCAsse Custom Homes. , Inc. 1554 200th Ave. CSTM2298 SW4NW4 S16-T29N-R19W New Richmond, WI 54017 MPRSW-3254 town of Hudson (715) 246-6200 lot #4-Packwood 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 SE lot stake C el. 100.00' t. BM.= top of mid-lot survey stake C e1. 99.60' __...~ (3~~ ~~'~~ o.~- mod, ~~ ~1a ~/ ~~~~ ~~ ~6G ~ L ~~ ~g, I ~,, 2~'~ 'j2' Gary L. Steel ?-13-99 ~~ ~6~' `~ S'1' C1tOIX COUNTY SLI''I'IC 'TANK MAIN'Ci?NANCL AGRLLML~N'1' ANll UWNI?ItSIlll' C1?It'1'I1~1CA'1'ION I~OItM Owner/Buyer L A-~91 ~ rYt~7~ ~ ~~ ~ Moiling Address ~ ~.~3 C.c~~'c.h:-~y tZc~ ~ /~,~.f <~,.,r ~,~ Proparty Address ~• ©~{ -gym G G (Verificaliou required lions l'launin{; Ucpatlntcnl for new consln[c City/Stole __ t1 ~ ~. ~ ~"_ irV ~ 1';treat Iclcnlilic;tliun Nutuher LrGAL DESCRII''1'ION Properly Loealiou S 1~. '/,, _.~ Cc3 '/,, Sec. ~, 'I' Z ~t 1~1-1t. l ~ W, '1'owtti of _ ~~u d ~~ Subdivision ~iR~^ Kwv~ 'V--t ~^~'~ Lot /! `-r~ CerliCed Survey Mnp If ~ , Voluute 'f~ , 1'abe i'~ ~~ WnrrAUcy viced i'F lCt ~J ~ © ~ 7 , Volulttc ~~,5_~~ 1'ttt;c ~~ ~ ~~ Spec house O yes t!1 lio I_ol lines iclcnlilial~lc 1?f yes CI no SYS'1'1!,M MAIN'1'I!,NANCI~~ [tnproper use and maintenanccof your septic systcu[ could result iu its ptcn[atare faihuc to handle wastes. Proper ntaiutettance consists of pumping out the septic took every three yeo[s or sooner, if necrled by a licensed pumper. What you put into the system eau a[T'ect Ute fiutctiou of the septic tank as a treatment stage in the waste disposal syslent. The property owner agrees to submit to St. Croix Zoning Dcpatlntcut a certi(icalion forth, signed by Use owner and by a ntastprpluwber, joutneyrnau plumber, restricted plumber or a licensed pumper verifying that (i) the on-site wastewaterdisposal system is iu prapcr opcrathtg coudiliots and/or (2) otter inspection and pumping (if ncccssa[y), the scplic lack is less than 1/3 full of sludge. Uwc, the undersigned have read the above requiicments and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Deparhucut of Natural Resources, State of Wisconsht. Certification slating that your septic system has been ntainlaincd must be con[plcted and returned to the St. Croix County Zouhtg Office within 30 days of tlto duce year c Iratiott dale. SI NAT'UR)? O APPLICANT' I)A'i'Lt OWN1;R CI~R'rI1~tCATION I (we) certify that all slalcutculs un this loon arc Uuc to the hest of my (nor) knowledge. 1 (wc) aat (are) the owttet(s) of the property describe above, by virtue of a warranty decd recanted in ltcgistcr of Dccds O(Tice. ~, . ~ ~ SIGNATURLt ~ APPLICANT' UATLr *'**** Any information that Is utis-represented Wray [csull iu t1-c sanitary pcnnit being revoked by the Zonhtg Department. ****** ** Include with this applicAtion: a stamped warranty decd front ll[c Register of Deeds office a copy oC the cetlified survey map if reference is made its the warranty deed ~~ FEB-14-O1 WED 05:08 PM EAGLE VALLEY BANK NA FAX N0, X15 483 3114 w B~ 1r~a~. ~"~'~ i=t~ttss q=9nNn Dunknrr Aseudfuriae+ t9% pOCl1M~NT N0. vita ~.~)rl~)Pa~~li~ SATJ5FAC7'JC1N OF REAL ESTATE MORTGAGE: - BY LENpER The ttndersignod Lender certifies that the fall~nring Is fully paid and satisfied; Mo(tgag®oxecUtad by LaCasse om {n ,~ Ihr , to Lender end recorded in the office of the Register of Deeds of-.... Wit.: CI^oiX County. Doe. Wls., as No.~ 1937 (Reei) (Hecdrds) (image) In (Vol.)~„62 _.._of (Mortg's), nn (page) _ 501, coverii7g the Taal estate described below: Lo~l;s 1; 3 through 11. inclusive, 13 fihrough 30; lnr.lusive and 32 and 33; all in the Plat of Parkwood Meadows in file Town of I~ludson, St. Croix Cpounty, WI hated _ Nnv@f11~2e.r~~2QQQ_4 ^ If checked here, real estate descriptlan continues or apt-ears on attached sheet. STATE OF W15CQN$IN County at_~ `---~'~k---~~----------- ThJs instrument was acknowledged before me on__._Novemt~er 2, 2000 6y..~~Y'.~~Iodd &, laean W._.ELles (Nmnes orperson(s)) as_~.~n i or c4 Pres i dent ice f?reS ~ pt; ~•~••+« !+f'P~ O~Aultwrlly,'o,d., afflpeL truYloa, eic. rl any ~, '~'-i'$ y_ (NR1Yld ar porly _ r"` .. waa ,a atary public, Wlsconslri ~' ~.,,,,,~" My Commission (Ex(~Ires) (Is) June 2, 2002 1 a ...Va.J }~I3ank.-!~l ""-.µ . __~ k F LENDER By. 7~.. .. Tiile S?-11~~,.Ce Pr~~ident *._Robert D• Todd - W 7 --~- hocordlnn kea P, Ol ~-~~~'~~ KATHLEEN }~1. WALSH I.ErraTE~ of n~~na ST.. GkrJIX Gp., WI RECEIVED FOR RECORD 1l-Ob-Pdd0 lQrOl} RN SATISFACTIOFI I~>cenar a cfRr COPY FEE: COPY FEE: TRA:"ISFEk FEE: PA6~6DING FEE: 10.40 Nwne and RMum ~darosa Eagle Valley Bank, N.A. J'.0. 6ox 749 St. Croix Falls, WI 54024 020-128-$0, 020-1029-00 020-1029-3 Parcel IdenGfior Nu. ~ 2U^ 1029 -40 Vice ~ w. Fries .'f~rstri,!ment was drafted by; - ~~ Dean W. Fries (TYP R f kINTJ `~- *7ype nr print name signed above. ~~ ,r ` ~ JT -. ~.. X~ NCO ,9 ~.: ~ ~ ICI/\ ~ j~,`~ ~ /y ~~~f ,~ :.~ ,~ I X~ ~ ~ I ~~ \ ~ V~ 11 w ~ , 3~', 4 ~ ~ \ + 1 1:. FL BOT~f ~c ~ 0,50 o GRAb~ ~, - ~,g 11 ~ ~ I f - .,_.., 910' ~ ~ j r. \„ 7. -n X ~~ N w ~ I~ ~i N \ '1 #I;,1 cnXJ s 1141 \ r ~ 4 ,~ 1 ~ ~ ~. ~ ~ "~ +~..J I ~~ ~, T ~. ~ III' c , ~ 908 / ~ , ~;.r:, NEON ROA~~~ i ~" ~ ~ ~~_~ : - . ~ ~ ' w= J EX1S71h'G ta'~ cMCF_. I -- - ~ - ~ ~ ;r~~ooo.12 (sou i H ~ I p' p~ ~ ~ ~ `- - - - _ _ , ~ _ ~F L ~)U~=908.20 (NC1~2T y,_ ~ ~ ~ ti~ p~ ph .~~ ~ , X06- ~ _ - ~ ~ ~ ~ OVE'~?FLOW ROADWf,Y=9U .' { NW CORNER LOT 9 T29N`CR19W ~A,gK V~U.~ . (BERNTSEN CAP) E. F R IE~ _I ST ADDITION ---- . 1 McCUTCHEON ~~~ ~~ ~ ~ i r I OT 2 Z a ;'S.-M-- ~~ t OL. 5 AGE_1 _ 25~ ;~C. ~ I 82793 _ ~ - ~v LOT 4 C.S_M_ I VOL. 1 _ ~ ' PAGE 184 ~ DOC. ~ _ to , 329897 = I~ LOT 3 C.S_M~ I~ ' ao VOL. 1 I~ I ~o PAGE_1841", DQC. ~ _ 13 3_298_97___ IM LOT 2 ice' ° C.S~M~ _ . 18 VOL. 1 _ iz, PAGE_ 184.1 DOC. ~ _ I 329897 I ^~ LOT 2 I C.S.M. I VOL. 4 I PAGE 10fi~ n17~ ~ , LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 16, UNPLATTED LANDS ~ NORTH LINE -~~ _ S 89°46' 00" E 1236.60' ~!1 C; V U 1 ~~ V I V ~.77tW ~ 174.62' -'26~ ~ ~ ~bb~" ~ ~ ~0 ~ ~ , 214.39' o :-:M O O: N O O _ ~~° ~- g DRAINAGE ~ ^ - - ' ' - - - ~ - - ' ' : EASEMENT ~ N 89°4s oo .... .. w 400.00' ,,,, ... . . N ~ o a ~ o 3 3 °o 0 a 00, ~ O 10f1 ~ M 3 6 ° ~ 5 ~ 0 M 4 ~ ~ 3 E"' 2.836 ACRES ° 2.319 ACRES ~ v, 2.319 ACRES' g 2.319 ACRES ~ n 123,529 S.F. 100,996 S.F. z rn 100,996 S.F. Z 100,996 S.F. ~ e O M M O 100' ~ Z N 89°46' 00" W I 1261.40' N 89°46' 00" W , 75.15' ..,N ~ 2.099 ACRES ''~ ~Op~ 91,438 S.F. ~~ ~~ ~S '~ s% , ~ ~3 •2 2.3 t o. N 89°46' 00": W 397.75' ' ~~? ro ~, . •~ 195.01' ~ ~ '~ ~ fi:~, `° DRAINAGE ~r 5' ~ 5' ~ ~ 1 1 S ~' EASEMENT '~~~ '- 1 Q ° o ;g Q ~- 2.565 ACRES Z 2.5~ c ~, ~ •..•x r J ~ 3 2.985 ACRES Z 111.738 S.F. 10~ 130,035 S.F. •" ~ ~~'.. 2.101 ACRES '~ c~°~Q6%1: s 1,51 s s.F. h ~ ~ ,~6. .- 0 ••'• N~ 9°46' 00" W 398.10' 'O MALL LANE 373.10' Z w\ ~- 25.00 . I ~~\y 19.73' ~2' - ~ _._ __' - ---~ I ~ - c3 ~I '100' ,-