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HomeMy WebLinkAbout020-1359-05-000Wisconsin Departneht of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 La Casse, Richard Hudson Townshi CST BM Elev: ( 00 • D Insp. BM Elev: l C~ • ~ ~ BM Description: ~~ ~~~''~ e C.S~I~'g INt TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ cad ~ Dosing ~ Lt Aeration Holding TANK SETBACK INFORMATION TANK TO P!L WELL BLDG. Vent to Air Intake ROAD Septic j ~ / ~ ~ ~ ~ „~'` Dosing t, ~ J ~,~ ~ ~ „ ~% . S ~ ... Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demand GPM `~ odel Number ~©~ 2~,~`P ~ 7 I• H Lift Friction Loss System Head TDH Ft Forcemain Length 2Dl Dia. z ~~ Dist. to Well v ./ SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 408279 0 State Plan ID No: ~~~ Parcel Tax No: 020-1359-05-000 STATION BS HI FS ELEV. Be chmariys„ 9 ~ ~ ~ S. 5 /o s . 00.0 Alt. BM 6 ~ q~ 1~ 4~ • Sz' Bldg. Sewer t1 IZ •?ti3 Z. Z~ SUHt Inlet ~~ 13,oQ DD QO•bZ~ 7 SUHt Outlet Dt Inlet Dt Bottom /~~) / ( r ,~.,, ~• YS g~ •OS,-,~ Header/Man. ~j 7">C~ ~ IBb .s"p Dist. Pipe p . o ~~ •S'o /~ •YS~ Bot. System~~fa> ~~~ [ 4•~ Final Grade S'a2 St Cover ~~ f7 !~•~or ~,~~ b. `~ 91- v !'O i _/ v ~ ~ /~ C ~ . Sfl ~~ ~• ~ Icsu . o BEDITRENCH Width Length ~ No. Of TfepsFies PIT DIMENSIONS No. f Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~- s ,[ /4~/'~,ls r !( SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEA NG ufacturer: INFORMATION CHAMBE Type Of System: ` ~~ UNIT ode! Number: DISTRIBUTION SYSTEM ~4+'be. `' • Header/Manifold . ~ Length 3 ~1 Dia ~ Distribution ~ Pipe(s) ~ 1 ~~ Length 3~ ~/ Dia Sip Spacing ~ Hole Size i1 ~ x Hole Spacing #~ Vent to Air Intake ~. SOIL COVER x Pressure Systems Only xx Mound Or At-trade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No [~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspectio~/~j#1:~/ ~~/~~ Inspection #2: flq/ / ~~ Loc 'on: 05 McC tche ad udson, DWI 16 W 1/4 NW 11416 T29N R19V1~ Parkw e~dows Lot,S 'Parcel No: 1 .19.2101 '~ 1.) Alt BM Description +~ C,>it.. • y ~ ~~ ~ /.S 2.) Bldg sewer length = ,~ C~.a ~ - amount of cover = 3. Contour = ~ D . ~ 1. ~~ Pan revision equired? I Yes ~No e th si~,for addition ~ r~t' - 710 R.3/97)~ _ I~ ~ IL- i a o . /3 ~ Z Date I epctor' i ature ~ ! / S~ Cert. No. G,(~{iyyr~. (0 (~ ' Safety and Buildings Division Cry s~ ~ 201 W. Washington Ave., P.O. Box 7162 . ~ ,~"'COn~I~ Ma 'son, WI 53707 - 7162 Site Address De artment of Commerce go ,y'~ j7 ~~.~ Sanitary Permit Ap lication Sanitary P`rn~'i`QN'~'b`r ' ~~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide • ^ Check if Revision ma be used for seco ses Priva Law, slg. 1 m i. Application Information -Please Print All Information ~ Stan Plan I.D. Numb Property Owner's Nam Parcel Number Property Owner's Mailing Address Prop~e/rty Locad~/o~~~nj~ q J City, State Zip Cade Pho bet Lot Nr Block Number ST. CRO!?; a~'~~;* ; ~ Su ision Na a CSM Number ` ~`(/~ /` ~ ~ b II. Type of Building (check all that aPPIY) ~ a-S ~ S -~ ^City ~1 or 2 Family Dwelling -Number of Bedrooms ~~ge ^ Public/Comme ial -Describe Use wnship ^ State Owned ~ja.,,~~a+..r ~ 99. (~ ~ ~ " ~ A u ' Nearest Road - o ~S c~1~ b Wle~-r x~S III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to ' For Cou~y use stem Tank Onl S stem Exis $. ^ Check if Sanitary Permit Previously Issued Permit Nwnber Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) ~ 44 ^ Non -Pressurized In-Ground 2~ Mouad 47 ^ Sand Filter g0 ^ Constructed Wetland 22 ^ pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass gl ^ Drip Line 4S ^ At{,zade 46 ^ Aerobic Treatment Unit 49 ^ Reti=culating 30 ^ Otiter V. D tment Area Informati on: Design Flow (gpd) Dispersal Area Dispersa! Area Soil Application Percolation Rate System Elevation Final Grade tio El Required Proposed Rate(Gals./Daysl ) (Min.lInch) ` eva n ~~O /~ ~V ~ V R ~ J ~ ~~ ~ - VI. Tank Info Capacity in .Total Number cturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Consttvcted Glass New ExistinY Tanks Tanks Septic or Hokli~ Tank Io ~ a .~ O~ ~ Dosing chamber S - D X VII. Responsibt7tty Statement- I, the uadersigtted, assume respo ility fo tion of the POWTS shown on the attached plans. Plumber's Name (Print) ~ uT~~ Plumbe ' Si ~ RS Number ~a ors > Business Pho~ Number 7~s' aGg-6~s1 Phtmber's Address (Street, C'ty, State, e) _ V ~~ ~ ~~ VIII. Coun /De artment Use Onl Approved ^ Disapproved ~~Y Permit Fee (includes G water Surchar e Fee) Date Issued Issuing Agent Signature tNo Stamps) g ~ ^ Owner Given Initial Adverse ' ~~/_ Deoetmination IIC. Condt'tigpg of pprovaUReasons for isapprov ~ , , ~ Q . , un.~• y L~,~~/!1 /1 -~ r' ~`~~y ,~~?~,).~tA4,it,~ . _ tMU,~, t~v~ ~ tlt~lQQQ -~+'~'^ e"'~ ` -"~ ~. ~a ~ ~ ~ °~ - ` Attach rnm (w me c;unnty onty/ rye system oa paper ~.,e~ ~..... oy~ ~ •• ..n..W •u •~ S S~eu 'c 'eKt~ SBD-6398 (R, OS/Ol) • ✓ PLOT PLAN Page 3 of 7 , Scale 1"=S p' u h'1 c L°u)e.tteoK) IZD 12.0 A-D Zoo' • t n SuG6t*5r o x w ELL t-O 'milU1.1 313D12►y 1+ory N --to' of y4Pve iSS IOF 2"PUC F," 1 . Lo1. Lor 3 onuM OF &ELL • \S�1 EL. 99`S ' 1 , � 1 c7i )....)or pq-e-r 21 Izgo 1 ovt U 1 S7\ ,s• 1 cicl Lur S • -- � 1U�p'cy„ lop , f1LT.8W - Lat °1�.$p ` o'N) Lor cuctJvelt. STAk. fur 6i11.Jt'tt. STPEg LOT- ? Lor 10 NOTES : 1 . Elevations shown are existing ground elevations unless otherwise noted. 2 . Install 4" observation pipes with approved caps . ( Z. required) . 3 . Septic tank to be 1.0g0l6sc gallon capacity manufactured by W zsz t`1ester - 1800 Zm- e- Ft(-T R 4 . Bench marker 5 . Divert surface water around system to prevent ponding at the uphill side . iscons%n Department of Commerce REeE~~~® Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: {608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary v v~ ~ 2 2002 July 12, 2002 Z~NROG oF~uNTy SCE CUST ID No.267341 N.~ POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/12/2004 SITE: Richard La Casse Mc Cutcheon Rd Town of Hudson St Croix County SW1/4, NWl/4, 516, T29N, R19W FOR: Object Type: POWT System Regulated Object ID No.: 861581 Description: 450 gpd design wastewater flow mound system. Identificatio ers Transaction ][D No 68182 Site ID No. 647910 Please refer to both identification numbers, above, in all correspondence with the agency. 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- ] 0572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintenance information must be given to the owner of the tank explaining that periodic typg of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product g~ di~y tls. o~~" • A Sanitary Permit must be obtained from the county where this proiect4clocate ' '~cw`1~i the requirements of Sec. 145.135 and 145.19, Wis. Stats. '~ • Inspection of the private sewage system installation is required. Arrangement sp~t~n shall be made with the designated county official in accordance with the provisions of Sec. 145.20( is. Stats. 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 ARTHUR L WEGERER Page 2 7/l2/02 required by the state or the local municipality shall be obtained prior to commencement of _ _ - construction/installation/operation. In granting this approval the Division of 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 may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Thomas J/ Perkins POWTS Plan Reviewer ,Integrated Services WjSMAR`[' code: 7633 (262)521-5064 , 7:30-4:00 tperkins@commerce.state.wi.us cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 TITLE SKEET Page ~ of ~ FOUND SYSTEM FOR A 3 BEDROOr1 RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P cc~, blgq~ CR. ~14~~ LOCATED IN THE S~ 1 /4 OF THE -.]w 1 /4 OF SECTION L b , T 2.°i N, R 19 W, TOWi1 OF t`~V~ Sc~1~ S~-_ C~Z-GlX COUNTY, WISCONSIN. LOT .S 0 ~ .1~ ~V`~k1•v001~. Y?~ N``~ U~J S- INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM rIAidAGEi~IENT PLAi1 PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIE~~I-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI4PING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI.IANCE CURVE PREPARED FOR I~,LC~Ps-1Z~ LYE Ct~3S~---__- --- _ ~--'~ ~'-R-4S~ CuSh11^~1 L`~'l~1"1~~ LIVC. S -2 3 Cc~ utiv`~ lz-O~YCj N 1-1 y __ 1-~~~SOyv, ~1 s~.ot6 PREPARED BY WEGEE~ER SOIL .TESTING AND . . 37ES 2 GN S~RV 2 CE P.O. Box 74 421 Id.ilain St. River Falls, [dI 54022 Phone 715-425-0165 Fax 715-425-6864: ~1 ~ +" t AATNU4 ~.. 1 WEGEf~C+ } 811SW~iTu `';O ~~W~ cF JOB NO. ~Z-fib! .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. rating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte shall be cleaned as necessary to ensure ro er o .The filter cartridge should not be removed unless provisions are made to retain.solids in the tank that may sloug 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. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for 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 instaAations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 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 shalt 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 [S8D-10572-P (R. 6/99)] arid 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. f=xposed 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. Continoencv 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 faits 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 about the operation or maintenance of tah4_is s(y'stem should be directed to: The County Zoning Office at ~, ~S -30 •U - `L 6 8Q S~"_ C(,?.VUC - The system installer at The tank manufacturer at boa=.~zs-~~isb w~~sL~ The effluent filter manufacturer at • ~-~U - ~Z~ ` •5~4Z Z~I3~- The pump manufacturer at --- ~ ~` (~ 3 0 - ~?~- ~ ~~~'~ GOy~~S - - • • Z PLOT PLAN Page 3 of 7 , Scale 1"=S o' • � S uF r iC�'VTCNt'01J IZp. �lrI. l2-or -D /4'1 iJ U1 0 o N SvG6QtTLS-D x \J L(__ w e,f,'f1 u►., .1 t3Ujz�y -to' or Lill PVC 1 SS 10 F Z"PVC F. . Loy G, Lt r y coKttoYrR �*t. ��' , ol-n.1.1 of \S�\ EL 99.`1 S ' a Z 1 •- \ qN `1 C6 _.3 'Do )Or `01'1PRc-r Zllzc10 2 ,` O1 UlS7Lv2 \ 1S lyyA / a9 Lor S • lop ' Lur uRJu _ S - — Loy- 6oluV EN _ \ui- 1 Ufr l0 NOTES : 1 . Elevations shown are existing ground elevations unless otherwise noted . 2 . Install 4" observation pipes with approved caps . ( Z required) . 3 . Septic tank to be 1,v o/bsc gallon capacity manufactured by W S COL) C2L- I--)/ - 180o ZtiaL (-TOR 4 . Bench mark s - 5 Pil3O\) • 5 . Divert surface water around system to prevent ponding at the uphill side. PdQE ~ ~T Approved Sy..theti c Covering ASTM C33 Medium Sand Topsoil Jt 3 istribution Fipe F D I ~ ~ f Z/o Slope _ Distribution Cell of ' %" to 2 Z" Aggregate z e Force Moin From Pump CROSS SECTION OF A iyiOUND SYSTEii Linear .Loading Rate= ~-~ GPB/LI3 FT Design Loading Rate=Q;3~GPD/SQ FT ion -Fe-rr~ e--P4¢-;,~- G .. L A ~ Ft. 13 -l S Ft . I ~ ~ Ft. J C~ Ft . K S Ft. L ~~'- FFt. WI ~-Zft. G Elev. ~q:~S Flowed foyer D ~ •-15 Ft. E O~ROFt. F o. ~ Ft. G 0• S Ft. . ~. F' 1, o F • • ~} -Observation Pipe _. fi _ _ ~ K - °~`~ ---- _ - -- --- ---- ------ -----~ ~ go ~s A i --'i6 t ~ - ° _ _ -~ W .~__~__ - ---_--- -------------- ~ Force I - ~--- Distribution ~-- CeII of %" :~~ 2 to 2z Pipe ~ aggregate . Observation Pipe (anchor securely) I PLAN VIET~T OF A MOUND SYSTEI4 in s , Distribution Pipe Layout Place the holes at tL~e botton of the distribution pipes . at'equal spacing, pemove aI1 burrs from the pipe and 'Holes. Extend the end of each laxeraI up with the use of IonQ turn or 4f ° $tIInQ to a paint within s..~ iaches of the final made. Te.~inate the ends of the Iate.~zIs with a vaIve,:threrded c: n or . threaded plug. Provide aces from final ~•zde for the valve; threaded cap or threaded pIuQ. " "•=.cc`.ss a~~ ~- -_,. ~ ~tF.~cr, L LZ~ss s`.~1~? rvC ~ F~a~ ~vC Laterl ~ ~ Manifold ~ L.aterl z ~ x!Z ~LA"N V\c~ _._ P o- - rrr,~.~~F-~~ G- -- P 3~ Ft. S 3 Ft. X ~ I~nchps F~ltt= r, rTt,u ~. x Pale S Oi ;;C~ ,=^tis 5flX - -o --~ Hole Diameter ~/~ Inch _._. Lateral ~ 1 InchEes) Manifold Z• Inches • Force Main " 2 Indies - ~ of holes/pipe 19 - Invert Elevation of.Lateralsl0b.?SFt. ~-°LX~_~l! _ ~-~'~ x ~L = 3l•!6 car-, • . 1 ..~.~_~.__.__.... . .. _ - Combination Sept,~c~.Tank and PUMP CHAMBER CKO55 SECTION! AND SPECIFICATIONS ' PAGE ~ OF ~. .._ - -VEUT CAP ~~. WEATHER PROOF JuIJCTiOU BOX . ti C.I. VEA1T PIPC ~ .IPPROVED LOCKIAJG ~ lO' FROM OOOR, MAuHOLE COYER wi'Tli :111uDOW OR FRESH ~ wAAtJ1t.3G LABEL, ,,~~~ ~a~P~ \ P.IR_IIJTAKE t ~ coraDutT ' ~__ IB•Mlu. i ~; .. - ~ _.. - ~~~ IAILET +" PROVIDE I - ., ~'` ''"AIRTIGHT SEAL ( III . ~n~ I I a ~~~c I I Approved Z~~- ~~~ "'~ ~ ~~I Approved joint w/ ~-lav0 I III joint w/ ALN,RM PVC pipe PVC pipe -I II d I i I I ou c •I I B~.$3 I I CLOY. FT '""'j~ __~ I PUMP-~' OfF D COUCRETf LSL.~'V..~ ~-Ob ~ ~~ ~ e~ocK ~- R-SER EXIT PERMITTED O-JL~ IF TA-JK MA)JUFACTURER HAS SUCH APPROVAL~3NAAPR~ED Br<p+D i N~ SEPTIC F ~ SPEC.IFICATIOt~1S DOSE TA-JKS UU L ~ LZ e01•.J C~ MAaIUFACTURCR: ~~- A!L'MBER OF DOSES: y • ~ TAUK SIZE : _ 11~U 0 ~ 6S0 GALLOIJS DCSi< VOLUME PER 0.r~ r ALARM MAUUFACTURLR: S•S..EI,. ( S~STr'1'`1s ItucLU01AIG 6ACKrLOw: 13 ~ GAIION: MODEL LILIMBER: ~0~ ~w GIPACITIES: A= ~~ IIJCHE50R 3d b CALLOUS SWITCH TyPC: _ ~~~2-~( g = Z l/ INCHES'OR 3 r G{1LL0-15 PUMP MAIJUFAGTURCR: ,~OULDS ° C. = d tUCk1ES OR l ~ ~ MODEL 1JUMDER: ~oS ~ ~~ GALL0115 Z~17 0= INCHESOR GALLOiJS SWITCH TYPE: _ ~~Z..e-CJ~Z-Y uOTE: Pl1riP AUO ALARM RE T0~[ 6 MIlJIMUM DISCKARGE RATE ~l.llo GpM INSTALLED OAI SEPARATC CIRCUITS VERTICAL DIFFERENCE DETWCEI,I PUMP OFf At,10..D15TR1BUTID-J P1Pti=.,~S'4~- FEET + KIUIMUM uETWORK SUPPLY PRESSURE , 6'S~ FCET • • • ' • . ~S ~ ~L 3~ + ASS FEET OF FORCE MA-iJ X Z'~~F j 3 ~-~ T10 C FR F - • A1 IC A Ioo Ft TOR.. FEET TOTAL Oy1JAMIC HEAD = ~' S• I ~ FEET As per Lzanufacturer 1~.0 gal/in. Liquid depth 38~~' Goulds ~E`1 °~ Submersible Effluent Pump ~~ EP04 P E 05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duly sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a" maximum. ~-1 • Capacities: up to 55-GPM. :, ..' ; • Total heads: up to 24 feet. • Discharge size:)'/i"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) 3/0" maximum. • Capacities: up to 60 G • Total heads: up to 31 fee . • Discharge size:l'r~' NPT. • Mechanical seal: carbon- i 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, 1 i 5 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 FEET 10~ 9 3( ly 2; x s 2c 5 C 1° ~ 4 H 0 3 1C 2 °o , 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. ^ EP051mpelter: Thermo- plastic enclosed design for improved performance. ^ 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 oil 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 ~,- P ,. E L I T 7 ~.. ~ 1 -- ~ -- ~ I - -- - ~ - - i ~ - , ~ _) EP05 - ' ~ ; - i EPOa _. s I ! i 1U :SU 4a so GPM 0 2 4 6 8 10 12 trN/h CAPACITY ®1995 Goulds Pumps, Inc. Effecdve May, 1995 Wisconsin Department of,lndustry, SOIL AND SITE EVALUATION R E P O R T Labor and Human Relations nivicion of Safety & Fiuildinas •_ _ ____~ ...~.~ ~~ ~ ~., ..., ...-' ,..:_ w ~.- n_~_ Page 1 of 3 couNTY but Plan must include Attach com lan on a er not less than 81/2 x 11 inches in size lete site St. Croix , p p p . p not limited to vertical and horizontal reference point (B ~-aqd % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distan a n~a~~'sl.rbadi-;~`" ~ 020-1029-00 `~ ~' ~ LL I FQ~MATION, APPLICANT INFORMATION-PLEASE P R VIEWED BY DATE ~ -26~D ~ 3- I PROPERTY OWNER: ~ ~ `'``•-E L PERTY LOCATION LaCasse Custom Homes, Inc. ~ ~ ./~// `: GO .LOT SW 1/4 NW 1/4,S 16 T 29 ,N,R lg ~(or) W PROPERTY OWNER':S MAILING ADDRESS '' ~~; 3r ~ ~s99 O 1~ # BLOCK# SUBD. NAME OR CSM # ROtX 521 McCutcheon Rd. na Parkwood Meadows CITY, STATE ZIP CODE ~ ; ; , , Of~6 ~ ~ ITY (]VILLAGE ~FOWN NEAREST ROAD Hudson, WI. 54016 `~"(: ~i,5 3 -5, ~ Hudson Meadowood Ln ..- [~ New Construction Use [~ J Residential I Num "- ~f tlrnotn 4 [ J Addition to existing building [ J Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpd/ft2 •6trench, 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) 100.30 ft (as referred to site plan benc~lmark) Additional design /site considerations i~K system el . based on contour line of el . 99.30' Parent material outwash _ Flood plain elevation, if applicable na ft S =Suitable for system U =Unsuitable for s stem CONVENTIONAL ^ S C~ U MOUND ®S ^ U IN-GROUND PRESSURE ^ S CCU AT-GRADE ~ S CCU SYSTEM IN FILL ^ S CCU HOLDING TANK ^ S [~U SOIL DESCRIRTION REPORT Boring # 1 Ground elev. 99.5 ft. Depth to limiting factor 27" Boring # 2 Ground elev. 99.5 ft. Depth to limiting f~C~o[ Depth Dominant Color Mottles T re t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Du. Sz. Cont. Color ex u Gr. Sz. Sh. y Bed Trertdi 1 0-10 10 r 2 2 none 1 2msbk mfr 2f .5 1 .6 2 10-27 10 r 4 4 none sil 2msbk mfr if .5 .6 3 27-41 10 r 4 4 c2 7.5 r 5 8 sil M na if n .2 4 41-84 7.5 r 4/4 none cos Os ml na na .7 `: .8 Remarks: 1 0-11 l0yr 2/2 none 1 2msbk ,mfr gw 2f .5 ~.6 2 11-23 10 r 4 4 none sil 2msbk mfr if .5 ': .6 3 23-34 7.5 r 4 4 none is Os mvfr if .7 .8 4 34-50 10 r 4 4 c2d7.5 r 5 8 sil M na na n .2 5 50-84 7.5 r 4 4 n Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200th. New hm nd WI 54017 Signature: ~ ~n~ Date: 7_13_99 CST Number: m02298 PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 020-1029-00 Boring # 3 Ground elev. 98 . fit. Depth to limiting factor 27" Boring # .................. ................. Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor H i Depth Dominant Color Mottles Texture Structure Consistence Botx>dar Roots GPD/ft or zon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed Trerxh 1 0-15 10 r 2 2 none 1 2msbk mfr 2f .5 .6 2 15-27 10 r 4/4 none sil 2msbk mfr gw if .5 .6 3 27-39 10 r 4/4 c2 7.5 r 5/8 sil M na gw if n .2 4 39-84 7.5 r 4/4 none cos Os ml na na .7 .8 Remarks: Remarks: Remarks: Remarks: •~ - - STEEL'S SOIL SERVICE Gary L. Steel LaCAsse Custom Homes, In.c 1554 200th Ave. CSTM2298 SW~NW4 S16-T29N-R19W New Richmond, WI 54017 MPRSW-3254 town of xudson (715) 246-6200 lot #5-Parkwood Meadows Zhis 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 Cel. 100.00' .~,lt. BM.= top of mid-lot survey stake C el. 97..50' ~~~~ Gary L. Steel 7-13-99 h8f ~l0 S'1' C1tUlX CUUN'1'1' Owner/Buyer Mailing Address !'roparty Address $U'; (Vetificaliou tcqui+ccl liuut 1'lanuing Ucpa+Uucnt for new amsln+clioi+) City/State ~I~t~.~.t ~~___ 1';acct Idcntilicatic+n Niinil+cr ~~-=~ ~~~ =~-~- ~ 020 - 13 5`1- 0~"-ovp~~ 210 (, LI,GAL I)IJSCRII 'L'ION Properly Location ~~ '/,, ~2 +/,, 5cc. ~~ '1'~~N-1t~W, 'I'otvn oT ~~~!`-~{/~_R r SuUdivision =y-I~Y`~"~~~t:~~~$.e~~eC>L~1 y 1_crt /! ~_. Certified Survey 111-alt # ~Vnt•rAnty llced t'i ,~~~~~ ~ [ ~ , Vnluntc ~~, Pttgc # _~s2..~=-t---. Spec Iwusc ^ yes {~tJ no Lt+l lines i+lcnliii;tl+lc -L~!"ycs U no SYS'1'LM MAIN'1'I~NANCI+~ Unproper use and maintenanccuf you+ scl+lic syslcn+ could tcsnU iu i1s lucn+alu+e lailwc lu handle wastes. I'roperntah+leuance cousisls of putnplug out the acplic lank evc+y th~cc yca+s ur souucr, if uecdcel Uy a licc++scd p+uuper. What you put into the systeut eau a[Ioct the function of the septic leak as a t+eaUucnt stage in the waste disposal system. "I'I+c property owner agrees to subn+it la St. Croix 7.oning t)cpatlu+ent a cetliticalion form, signed by the owner and by a n+ast~r l+luutber, journeyman plun+bcr, tcsUictcd plun+bcr or a licensed pun+per vet ifying That (1) the on-site waslewaterdtsposal system IS 11t prUpCC Operating CUIIdItiUlt And/UC (2) atiCr IIISpCCll011 alld plllnping (if IICCCSSaty), the acplic tank is less than I/3 full of sludge. 1/wc, the nudcrslgned have read the above tcq++i+cn+crUs and agree to u+aiutaiu the private sewage dispose{ system with the standards set forth, herein, as set by Il+c Ucpatlu+cnt of Cunuuercc aucl the Ucpatln+ent of Natural Resources, State of Wisconsin. Certification stating that your septic sysleut has been u-aintaiucd nn+st be cotnplctcd and tcluu+cd in the Sl. Croix County ZonLtg Office within 30 days of the tl+ree y ar expiration date. / Z1y Z,- S A'I'URII ~ AI'['LICAN'1' UA'1'Lt 01'YNI~R CI!;R'I'II~ ICA'I'10 I (we) certify That all slatcn+cuts on This tu++u a+c Uue to the I,cst of my (our) knowledge. 1 (wc) am (are) the owner(s) of the rly describe 1 above, by virtue of a wananly decd tccu+dcd in Itcuistcr of 1)eccls Oilice. SI 'I'[IRLt 'PWCA ~ /•t,2/l~.Z' UAT)? '+`"+* Any information U+at is u+is-represented n+ay result in tl-c sanitary pcnnil being revoked by the Zoning Departttteut. **~*** SLI''I'IC 'l'A1JIC MAIN'1'LNANCL AGItI?LMLN'1' AND OWN1?1tSIlll' CI?lt'1'II~ICA'1'ION .I~O1LM '• Ltclude with Ihls applteatlou: a stamped wauanty decd from tl+c Itcgislcr of Uecds ofticc a copy of the cetlilied survey n+ap if tcfcrcncc is utade In the wanauty deed r poi 1404PacE619 ' STATE BAR OF WISCONSIN FORM 3 - 1982 I PERSONAL REPRESENTATIVE'S DEED DOCUMENT NO. ... _. ._--.. _............_--- -.__...._._L___....__ ............._,_._--------. .. ..,--~-------_--- --- ----- I Hbwai^d LaVertture II ' as Personal Representative of the estate of !~' Atma LaVentttre i ("Decedent"), i': for a valuable consideration conveys, withou[ warranty, to IaCasse Custan Hanes, Inc., a Wisconsin rporat2on Grantee, the Following described real estate in St. Croix County, State of Wisconsin (hereinafter called [he "Property"): SW '~ of NW ~. of Section 16, Township 29N, Range 19W, St. Croix County Wisconsin. THIS PROPERTY IS IN THE WII.L ADVISORY AREA. (~~ 598117 KRTHLEEN H. WALSH REGISTER OF DEEDS ST. GROIX CO., WI RECEIVER FOR.REC-RR OZ-19-1999 11:30 AK EP~ER5pW1M REPRESE~ATIV CERT fAPY FEE: COPY FEE: TRANSFER FEE: RECDRDIN6 FEEL 10.00 PAGES: 1 a ff THIS SPACE RESERVED FOR RECORDING DATA -.. 'NAME AND RETVRN ADCRESS ii f1QyFpOd S CBri, S.C. ;~ ;I Box 125 Hudson, wl 54016 ':i -- 02a"1029-00 t ATION NUMBER P ~ is ~ n,partial satisfaction of a land Contract dated Febzvaty 18, 1999, Recorded in Vol. ~ ~a`t c.f~ l~ Personal Representative by this deed does convey to Grantee all of the estate and interes[ in [he Properly which the Decedent had immediately prior to Decedent's death, and ail of the estate and interest in the Property which the Personal Representative has since acquired. Dated this 1jY1}f day of February Personal Representative AUTHENTICATLON Signature(s) ~~ ~~~ (SEAL) au[he ,cared this 18 ay of Febrtary , 19 ~ Sattuel B. Cari TLE: MEMBER STATE B OF WISCONSIN ~tf'aet?-•----~~ authorized by 8706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY lleywood 6 Cari, S. C. Box 125 Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary) ' Namcs of persons signing in my apacily should be typed or printed below their signawres. STATE BAR OF WISCONSIN PERSONAL R[PRESFNTA'r[VE'S DEED Form No. S - 1982 19 ~ ~^ct,,.~-~C~ Q~ tom. i~ (SEAL) „ Howard IaVenttlre Personal Reprtsmtative ACKNOWLEDGMENT State of~ Wisconsin; ss. County. Personally came before me this day of 19„ the above named to me known to be the person who executed the foregoing instrument and acknowledge the same. Notary Public, County, Wis. My commission is permanent. (If not, state expiration date: 19 ) - '-fl WisCa sn LeBal Blank Co., lnc. Milwaukee, Wis. 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