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020-1359-09-000
/* . Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 {1)(m)]. Permit Holder's Name: ^ City ^ Village ^ T n of: LaCasse Homes, Hudson Township CST BM Elev.: ' Insp_ BM Elev.: ' BM Description: ~- ~ ' ~~ c~.~ ~~ s ~ ~~- ~- c g~ TANK INFORMATION u TYPE MANUFACTURER CAPACITY Septic l Dosing `~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Airlntake ROAD Septic ~ Zr' Zp ~ -- NA Dosing ) 2 r lC -~ ~r NA Aeration NA Holding PUMP! SIPHON INFORMATION _ \~;~ O` l Manufacturer ~~ Demand Mode{ Number (~.~j v (0~~~ GPM H Lift ,~ Lriction '~ Syste ~~ H DH (~.~Ft Forcemain Length ~~ (~ Dia. ~~ Dist. To Well ~- county: St. Croix Sanitary 74980 0 State Plan ID No.: _ ~3( (~M.S. /D.~ Parcel ax No.: 020-1359-09-000 C ELEVATION DATA ~ ~, . aa, [~. ~ r ~s.~ r_..r STATION BS FS ELEV. Benchmark ~ 6 rc~ Op ~ t Alt. BM < <,,i ~ (O ~ . 2S ~ Bldg. ewe 1'O rr y` a 2` ~ t St/Ht Inlet ~ ~3.gs f z~(s Stl Ht Outlet ~-"~ ----~-' Dt I n I et '-- ._.--- ~___---- Dt Bottom }. 3S g~ ~O ~ r Header /Man. ~ ~G ~ ~, f b r Dist. Pipe '~~ O ,16 r Bot. System S: `l( Final Grade ..s~ ; ~l 1-,Q. {Z~ ~' --g~ St cover N,o~ (.t1L~ 6(o.of . ~ p ~ v ~. ~ ~ ~ fed ~ SOIL AB50RPTION SYSTEM ED T' =r= Width e. r Length r No. Of2ramodlFS PIT No. Of Pits Inside Dia. Liquid Depth N 1 6 ~' DI EN I N SYSTEM TO PI L BLDG WELL LAKE /STREAM LEACHING Manu acturer• SETBACK INFORMATION Type O ( "~ `-'-' CHAMBER OR o e Num System: 3D DISTRIBUTION SYSTEM ro~.k4~~.~' y~'-~°e ~~..c~ Header / a ~ old tt ~ Distribution Pipe(s) r u ~ r 3 ~ /~ x Hole Size l U 3 x Hole Spacing rr Vent To Air Intake Dia. ~ length . eaJ Dia. Spacing ' Length 33 16 Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onty Depth Over Depth Over xx Depth Of xx SeededlSodded xx Mulched BedlTrenchCenter Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) U' ("'' ~ ~-n `-'f Inspection # 1: O f /Z(J y'DInsvection #2: ~ D_ l a`~ Job Location: 502 Green Mill Lane, Hudson, WI 54016 (SW 1/4 NW 114 16 T N R19W) - 1629192105 Parkwood Meadows - 1.) Alt BM Description =~ ,~~,.~'^°r,~"r~ Cam-( > ~ , 2.) Bldg sewer length = Zi-~ D ~ (~~ ~l r e ~ ~- ~,,,~, -amount of cover = ~. ~ ~ ~ ` J`~u"c 3.) contour = ~~~ ~ n ' ~~ ~{ ~~4-pi2-Q. f4 '- l ~ X.laRa.~A.' Plan revision required? ^ Yes ~, No Use other side for additional information. • ~ ~ D~t~- 0 r Inspector's Signature Cert. No. SBD-6710 (R.3197) +-~e.t ~~ ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _ ~ ~ E ~ p 2, hM`(, f' .Gn.¢__ 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 iseonsin personal information you provide may be used for secondan• purposes Madison. WI 53707-730.^ Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed fotTn to county if r state ownee Attach tom lete tans (to the county co only) for the s stem, on a er not less than 8-1 J2 x 11 inches in size. Counry --- ~ State Sanitary Permit Number ^ Check if revision to previous application Sta Plan, . D. ber ~ ~ ( . 3~-'f9~ rs 31`~ I. A lication Information -Please Print all Information :. ~ ~ '~ ' Location: Prop/erty Owner Name ,,,, ~ n ~r~ .ti ~'~; Prioprerty Location 1 h ~~~.~~ r'~-~'v~- -~`~ r ~ ~~F t ~1 I/4 /4, S / i T p~ ,N. R Or W Property Owner's Mailing Address ~ ,~ d - ~,~ ~ Lot Number Block Number l'~, C ~ ~ --~ . City, Statepe Zip Code ne Num6~ ~ Sub ivisio Name or CSA4 Number G~dL~- ~- ~ ~01~ II Type of Building: (check one) ~ ~ ^Ciry I or 2 Family Dwelling - No. of Bedrooms: ~/ 4 /. ~r'~'' ^ Village ^ Public/Commercial (describe use): ' -~ ~ ,,. ~' Town of ^ State-owned III Type of Permit: (Ct:eck only one bex on line A. Check box on line B if applicable) Nearest oad ,i1 A) I. ~ New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to P el Tax N Q ~ S stem Tank Onl Existin S stem P it Number Date Issued B) ^ A Sanita Permit was reviousl issued erm p' 7ifj ,.. l 3iS9 ~~ ~ ~ L • ~./'~• 2l D IV. Type of POWT System: (Check all that apply) ~ `[~ ^Non-pressurized In-ground Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- ade t Treatm t Unit Ae ro / ,1 O Recirculating ^ Other: ~~~ q •~ q ~ ~ 1C ~}~ -n•$ J V Dis ersaUTreatment Area Informatt 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required sed Prop Rate (Gals./day/sq.ft.) (Min./inch) Elevation f /~'/~ ~ /~1/S o /c~ ~ ~ ~/~ ~/ X l ~ VI Tank .~.. ~-- Capacity in Total # of Manufacturer Prefab - Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks ^ ^ ^ ^ raoa ~- app ~ VII Responsibility Statement I the undersi .ed, assume res onsibili fer installation of the POWTS sho _ n the attached laps. Plu be (print) Plumber's nat no P PRS No. Business Phone Number ~~ ~ aZG 3 S ~~1~ o~ ° - Plumbet''s Address (Street, Ciry, State, Zip Code) ~~~ ~ ~' VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) '® Approved ^ Owner Given Initial Adverse Sur~iarge Fee) ,_ Determination ,~ 3aS.et~ q` O -2t~D IX. Conditions of Approval/Reasons for Disapproval: Yin r ~~'- UTa~••,~air~ S•Q,~-tc-- '~~ ~~ as ~-~.~ S f~ SP.e.~t `~ ~tS; SBD-6398 (R. 07/00) ' , , . ' ,~~01~~1 Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. comme rce. state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary. September 09, 2000 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROV. PLAN APPROVAL EXPIRES: 0 ATTN: POWTS INSPECTOR "" ;'`~~.~, ZONING OFFICE "', ~ ,~~~~ 1---- ~--~ -~. ~ ~~.~' CROIX COUNTY SPIA 1~1~ CARMICHAEL RD ,•,~ r~~~,^~~~,E(l ~_~~ ~ `~~ ~!`~ 2 y T ~aa ~~UO ~x I~IJL~SON WI 54016 .J, .~ SITE: '~ ~.' ~ '~~ ~rFr~C RICHARD LA CASSE - RESIDENCE`' ' ~%''1'-;-p ~"^ ~'= 5T CROIX County, Town of HUDSON SW1/4, NWl/4, 516, T29N, R19W Lot: 9, Subdivision: PARKWOOD MEADOWS FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 759446 Transaction ID o. 431439 Site ID No. 198117 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. 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 may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely ; DATE RECEIVED 08/24/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 ET R PAGEL , OW PLA REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889 , M - F, 0 45 - 1630 HRS PEPAGEL@COMMERCE.STATE.WLUS WiSMART code: 7633 cc: RICHARD LA CASSE S TITLE SHEET Page= 1 of 7 FOUND SYSTEM FOR A ~ BEDROOr1 RESIDENCE This plan has been prepared in accordance frith the Mound Component Manual SBD-10572-P and the Pressure Distribution Manual SBD-10573-P LOCATED IN THE SYJ 1 /4 OF THE Nw 1 /4 OF SECTION ~ b , T. ZR N, R ~9 6d, TOWi1 OF 1.~-jv~Sot~ ST- e-~Z.oUc COUNTY, WISCONSIN. INDEX P.O.W.T.S. Co~rdi 'ovally a~~v~i SEE CORRE ~~1 X139 PAGE 1 of 7 PAGE 2 Of 7 PAGE 3 of 7 PAGE 4 o f 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE-SHEET SYSTE~1 PIANAGEMENT PLAN PLOT PLAN PLAN VIEW-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUI•IPING CHAP•1BER CROSS SECTION PUMP PERFORI.IANCE CURVE PREPARED FOR . ~~1-r1~ cure-~-~~J _ -~.c» =-~v~soyv ~ w ~=-=s~ot6 PREPARED BY WEGEF~ER Sa = L . TEST S NG AND . . - DES 2 G;V S~RV = CE P.0. Box 74 421 N.riain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 ~~c;~i~~ AUG 2 3 2000 SAFETY & BiLDGS. DIV ~- ~,~~rC~Jq~s~~ ~ ~;~' ~ ~ j ARTVUA ~ WEGEaEA ~' i~~~~~~~~ 08f5- /~~W'~K- Danl. ~~- ~'S I G 1~ ~' .~t` $ ,Zp.Ao JOB N0. U~-Z3~ 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, Slats. 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 fitter 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 Svstem 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 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 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 shat{ be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6199)] 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 or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged 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 `IlS 38b-~l68~ or to the licensed plumber who installed the system. PLOT PLAN Scale 1"= 5p' fi~T' ~r1 N a r ~J 3 ~ 3.10 -q,0.? Page 3 of -7 ~-, , ~ "'~s ~ ~s I I III ~ bu tior ~-a~^-~PA-~T- uR I Id i ~ D~ ~lv~'Z~ ~?{ZiS ~ f~" f44 ` ~ (I I ~ ~ i ~) $~tOl°! ~ l0°1o t I ~ ,~ i IIi, ~ 1~1~~ I a,Z z~ _~ ~ O~ ~. ~3~ c ~~. K ~v --_ CZ- :.~~o_: ---- 1D` or- y'~n 1, ~ J N ~ ~1~~~~ l~ ~ G'P~ 3 ~i U fZ.~`~ >~ ti tL ~,~1C v ~~S-C'~1'2: 1~-~P~U~ACTU1~~2;'T1}~ f~e.Tu~Prt. SLs?TtC -. - ~-~tic ~-+~t~ F1 a.t `ry i S 1 Z.~ `~ G ~- . 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 12.UO/goo gallon capacity manufactured by Nit ~ p w~~'~ ~PCL~sT• w / zt'~ ~... ~~T~2~_ 4 . $ e n c h m a r kS~~~~,t LU 0.0' Orin ?J~' 1.4T 5T'i^~ 1z~~ -~t-}~T Bpi ~z . X16 _ $ ' ~ rv r,J Lur srn~- , 5. Divert surface water around system to prevent ponding at the uphill side. r'1 r Page ~ Of ~ Approved Synthetic Covering AST~i C33 _•) Medium Sond ~ Topsoil . ~ ~ lG _ •~ 3 istribution Pipe -~G F Elev. IDO.Z 0 ©. % Slope Distribution Cell of ~ ~ Force Main ~" to 2~" Aggregate From Pump CROSS SECTION OF A MOUND SYSTEa • Linear Loading Rate=a~~ GPD/LN FT Design Loading Rate=d-33 GPDf SQ FT C .. L • G ~ -Observation Pipe $ ( K o-~---------------------- ------ _ ----=--- _ ---- • A c--~------------ --------- -------------o ------- lb_.g _ __ _ ~ Force MQin • ~Qistribution - :~~ to 2i" .Ce11 of z • Pipe aggregate • Observation Pipe (!-achi~r securely) --f .... _._ ..._..--- • PLAi~ VIETrl Or^ A MOUND SYSTEM -- • A °- Ft. e 6~ Ft. I ~_ Ft. J q Ft. • K ~_ Ft. ~ g5 Ft. ~( Z~ Ft. Flowed Layer 0o•SFt. E a~sFt. F o-`~ Ft. & o- s Ft. H ~, n Ft. r Distribution Pipe Layout Page J of ~ Place the holes at the bottom of the distribution pipes - at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 4~ ° fitting to a point within six ~~ inches of the final grade. Terminate the ends of the laterals with a valv~;'threaded cap or threaded plug, provide access from f nal grade for the valve, threaded can or threaded plug. ~ _-; cc`ss so~_ - !~- L'PrN ~J~~ .- a- _ P a- -- o__ - -a ---0 ~q P 33 Ft. ~ ~ ~Nole Diameter 3~lbInch "= -' S 3 Ft, - - Lateral 1<<~ Inch4es) . X 2.~ Inches Manifold 3 Inches • ~ Force Main " ~ Indies - ~ of holes/pipe l`~ Invert Elevation of.Laterals~~~•7 Ft. -- . .. _. •~ Combination Sept~.c~.Tank and ' PL1~MP CHAMBER CROSS SECTION ARID SPECIF'ICATIOkIS ' PAGE ~ OF 7. . __ . -VEU7 CAP ~ WEATHER PROOf JUIJC7101J 90X . y C.I. VE1JT PiPC ~ APPROVED LOCKWG ~ lO' FROM ODOR, MAIJHOLE COVER avl~t %i~IJ00W OR FRCSN ~ wA(7.t~ItJG LPvgEt_, u~3P~cS1orJ C'tpE ALR IuTAKE ~ cor..~Cu~r ~w~NtR-~sttl-r.Kp ~, t .. •• 6ii j.y~ . ~ . _ j I - ' h".mow. 1 i `f~Hll~1. ' ~ -- ~ ~ -e• Mlu. j ~ ~-- Ia`r~l~t. ~` ---------- ~: • __ ~-; ~PROVtDE I UJLE T `' ~~~ AiRTiGH7 SEAL I ~ I ( -_ _a ' ;~, e~a~~~s I ~ ~ ~l ~ Approved z~g~- ~~~ '-A~ ICI APProved joint w/ ~ ~~I joint w/ PVC _I II ALKRM PVC pipe pipe b I t I 01J G 'I I ~ G -~S t LLEY. FT. pUMP-` '-~ OFP D COUCRETE . ~Z~ B~S,Oo ~ BtOCK 5 - RISER EXIT PERMIT(ED OI.JLy IF TAUK MA-JUFACTUREK HAS SUCH APPROVAL~3~AP~~~~ REDOt~G SEPTIC F ~ SPECIFICATI~I.IS DOSE TA-JK MA~lUFACTURCR: ~~~~~~~~~ ~'~~ IJUMBER OF DOSES: S `~ PER OAS TAAIK :,rZC : 1~u /8~u GALLO-JS DOSC VOLUME t AL~tR1''1 MAIJUFACTURER: S`J• Z~~ s~"LS~7"'[S luct_uol_ur; bACK!'LOW: 16~'`f GA~tonl: !'MODEL -JUMBCR: 1.0~ IC~-W CAPACITIES: Ac ~'~ -uCHCS OK VD• ~ GALLOys SWITCH TAPE: - ~ ~~U2-y g . Z IAICHES'OR ~Z' ~ G{~110U5 PUMP MAIJUFACTURCR: ~~y~1>S Cs .~ IUCHES OR ti6g'~ GAI_LOUS MODEL FJUMBER: 3$as ~~~ 1~ ~ D= ~ tNGHESOR_ 1$Q.5 GALLOAiS SWITCH TYPE: ~~-~~aY UDTE: PUMP AUO ALARM`AR TOO bCO~~ MIAlIMUM OlSCKARGE RATE 6~'3Z CpM INSTALLED OA.1 SEPARATE CIRCUITS VERTIC~IL DIFFEREIJCE DETWCEU PUMP OFF AIJO,.DISTRIBUTIO-J PIPE., t3•°ISFEET t K11JlhtUM IsETWORSC SUPPLY PRESSURE . - , 3'~ FE.ET ~- ~3 ~ FEET OF FORCE r'1AlIJ X ~'~ F~o F~FRICTIOU FACTOR..I' S6 FEET TOTAL Oy1JAMIC HERO ~$` ~b FEET As per Lzanufacturer Zl-o S gal/in. Liquid depth 3g ~' . --~--- ,~ ~~f~~~n~ ~~~~ ~~ ~ ~%- ~ ,~ 3885 APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Efitluent systems SPECIFICATIONS Pump • Solids handling capabilities: 3l4 maximum. • Discharge size: 2"NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide-rotary seat/silicon carbide-stationary seat, 300 series stainless steel metal parts, 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 Single phase: • % HP,115 V, 200 V, 230 V, 60 Hz, 1750 RPM;'/x HP, 115 V, 60 Hz, 3500 RPM; %i HP -1'/z HP, 230 V, 60 Hz, 3500 RPM. • Built-in overload with automatic reset. • Class B insulation. Three~phase: •'/z HP -1'/2 HP 200/230/ 460 V, 60 Hz, 3500 RPM. • Class B insulation. ®1995 Goulds Pumps, Inc. • Overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available}. Single phase: •'/a and'/z HP -16/3 SJTO with 115 V or 230 V three prong plug. • 3/4-1'/z HP -14/3 STO with bare leads. Three phase: • YZ-1 Yz HP -14/4 STO with bare leads. On CSA listed models - 20 foot length SJTW and STW are standard. FEATURES ^ Impeller: Cast iron, semi- open, non-clog with pump- out vanes for mechanical seal protection. Balanced for METERS FEET O Q W S _U a Z 0 0 P~'i`~P PE1Z-FOa-~~-1'}ycE Cu~.~E uouias ~1~~~~~~~~~ smooth operation. Silicon bronze impeller available as an option. ^ Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rai! systems. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ^ Shaft: Corrosion-resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ^ Motor: Fully submerged in high-grade turbine oit for lubrication and efficient heat transfer. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, ~L,~ ~,~ .~ caPactTv can be operated continuously without damage. ^ Bearings: Upper and lower heavy duty ball bearing construction. t Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent ail wicking. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian Standards Association ~~ Underwriters Laboratories 1 GPM m3/h Effective May, 1995 ' WiscorisinDepartmentoflndustry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations Division of Safety & Buildings __~ -.-:.~ ~, , ~r, ., „~.,- .~_~_ Page 1 of 3 „..,.,.,.,..........~.....,.,.,, ...,....,.......,..., COUNTY but Attach com lan on Plan must include lete site aper not less than 8 1/2 x 11 inches in size St. Croix , p p p . not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to ne oad. 020-1029-00 o ` ~ APPLICANT INFORMATION-PLEASE PRI ~1~ ~I~~J~iM,AfiFQ N R VIEWED BY DATE . \ -I~-- PROPERTY OWNER: n ~ n~, ~ ROPERTY LOCATION LaCasse Custom Homes, Inc. ~ a~~'~l~° ° t;~VT. LOT SW 1/4 NW 1/4,S16 T 29 ,N,R19 ~(or~ W PROPERTY OWNER':S MAILING ADDRESS ~~p® L T # BLOCK # SUBD. NAME OR CSM # 521 McCutcheon Rd. c~ 1 ~-9~ na Parkwood Meadows PHONE~J,t1 CITY, STATE ZIP COD ,,, ITY OVILLAGE (K]fOWN NEAREST ROAD _ , Hudson, WI. 54016 ~-f-',:(7 405 ,,' , Hudson Meadowood Ln. [ ~ New Construction Use [xJ Residential iriber..of bedroon~~ ."~. [ ]Addition to existing building Re lacement Public or Comm ~ ~ L I J P [ J ~ rd~s~rib~ S' Code derived daily flow 600 gpd Recommended design loading rate ~-~' bed, gpolft2 --~" trench, gpolft2 Absorption area required 500 bed, ft2 50~trench ft2 Maximum design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration stJrface elevation(s) 100.70 ft (as referred to site~plan benchmark) Additional design /site considerations system el . based on contour line of 99.70' Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system U =Unsuitable for s stem CONVENTIONAL ^ S ~] U MOUND C~ S ^ U IN-GROUND PRESSURE ^ S ~7 U AT-GRADE O S ~U SYSTEM IN FILL ^ S ®U HOLDING TANK ^ S ~J SOIL DESCRIPTION REPORT Boring # 1 Ground elev. 99.7 ft. Depth to limiting factor Boring # 2 Ground elev. 99.7 ft. Depth to limiting factor 33" ~~ Depth Dominant Color Mottles Texture Structure Consistence BoLmdal Roots GPDJft Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed Trench 1 0-12 10 r 2 2 none 1 2msbk mfr 2f .5 4 .6 2 12-26 10 r 4/4 none sl 2msbk mfr if .5 .6 3 26-38 10 r 4 4 none is Os mvfr if .7 .8 4 38 0 10 r 5 4 c2 7. r sil n a Remarks: 1 0-10 10 r 2/2 none 1 2msbk mfr 2f .5 .6 2 10-20 10 r 4/4 none sicl 2msbk mfr 2f .4 3 20-33 10 r 4 4 none sl 2msbk mfr if .5 .6 4 33-60 10 r 5 4 c2 7.5 r 5 8 cos si M na na na n .2 Remarks: CST Name:--Please Print Galt' L. Steel Phone: 715-246-6200 Address: 1554 200th. v New Richmond I 54017 Signature: Date: '7_13-99 CST Number: m02298 PROPERTY OWNER LaCasse Custom Homes S O 1 L DESCRIPTION REPORT Page ? ot,y 3 PARCEL I.D. # 020-1029-00 Boring # 3 Ground 99e1~~ ft. Depth to limiting factor 32" '~ Depth Dominant Color Mottles Texture Structure Consistence Ba ~ Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. . y Bed Trerxh 1 0-11 10 r 2 2 none 1 2msbk mfr 2f .5 .b 2 11-20 10 r 4 4 none sl 2msbk mfr if .5 .6 3 20-32 7.5 r 4/4 none is Os mvfr gw if .7 .8 4 32-60 10 r 5 4 c2 7.5 r 5 8 ms sil M na na na n .2 Remarks: Boring # Ground elev. f t. D h t o ept limiting f r t ac o Remarks: Boring # Ground elev. f t. b th t ep o limiting factor Remarks: Boring # Ground elev. f t. D th t o ep limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel LaCasse Custom Homes, Inca. 1554 200th Ave. CSTM2298 SW4NW4 SI6-T29N-R19W New Richmond, WI 54017 MPRSW-3254 town of Hudson (715) 246-6200 lot #9-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 ar may not be as shown as permanent lot lines were not established. at the time the test was conducted. vi "=40' ~M -- top of NE lot stake C el. 100.00' .~P,1 ~ BM.= top of NW lot stake C el. 96.80' ~, ~ Gary L. Steel ?-13-99 S'1' CItOIX COUNTY SL~1''I'IC 'TANK Iv1A1N'I'L~NANCL~ AGRL~L~MLN'I' AND OWNLRSIiIP CL~RTIFICATION 1~OItM Or~mer/Buyer C.,4 G.~-5~.~_ ,~,lni~rrut,a ~ n, c, Mailing Address `.3 Z I inn C.G ,-~;,f ,~~, ~ ~d Properly Address ~'~ ~L G,r..:. ~. ,rr,t, ~ c, ~. ,,~ ~t~,-~~ (Verification tcquircd frou- 1'lanuiug UcpatUucut for new constntction) ., City/Slide ~~~.t.~ -_ _., I'arccl Idcntitication Number ~a~ _Jd ~y - 0 d LEGAL DESCRIPTION l Properly Location ~ 1A1 '/,, ~_ '/,, Scc. ~, `I'~_N-K~W, 'I'owa of ~7 Subdivision ~~~1t^1C t, r~,,,d, ~,~,~~/,~9 ~ , Lol II ,.~. Certlfed Survey Map # Volttntc Page II WArrauty Deed # ~~ ~`~ ~ ,Volume ~~ I'agc !I Spec house ^ yes [ Lul lines itlentiliahlc dyes ^ no SYSTEM MAINTENANCE Ltrproper use and maiulenarrce of your septic syslent cauW result in its preurature failure to Dandle wastes. Proper maintenance consists of putttpiug out lire septic teak every three years or sooner, if needed by a liccused pumper. What you put into the system can affect lire function of the septic teak as a treatment stage in the waste disposal system. `['he property owner agrees to subutit to St. Croix Zoning lleparUnent a certification form, signed by We owner and by a utastprplumber, joumeyrnanplumber, restricted plutttber or a liccused puarpcr verifying that (1) the ou-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 by the DeparUnent of Cununerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic stem has been maintained roust be completed and returned to lire St. Croix County ZotringhOffice within 30 da Qre tltrce ar pira ion date. i~'Y~oB S ATU OF APPLICAN'C UA'I'E OWNER CERTII+ICATiON I (wc) certify that all stalenrculs on this form arc true to t{re best of ury (our) knowledge. tl rly des ib about, by virtue of a warranty decd recorded in Register of I)ceds Ofticc. SI ATURE F PLICANT I (wc) am (are) the owner(s) of 4 / /y/ tec~ llATE *'*•** Any infonnalion that is mis-represented utay result in the sanitary pcnnit being revoked by Qte Zouiug Department. ****** ** Include with th(s application: a stamped warranty deed from t(re Register of Deeds office a copy of the ccttified survey map if referatce is made in the watxanty deed got 1404PACffi19 ~~ ~ {I STATE BAR OF W15CON51N FORM S - 1982 59S 1 17 li PERSONAL REPRESENTATIVE'S DEED ~ i, KA7H4EEN H. WRLSH REGI5TER OF DEEDS ' ST. CRDIX CD., WI DOCUMENT NO. ~, -_ :. - __::.... _ _ _.. -_:._-, 11 RECEIYE~ Fat REC~tQ libwaid IaVenture ;i OP-19-1999 11:30 RN PERSONRL REARESEIETRTTV as Personal Representative of the estate of EXEMPT 1 17 Anna LaVenture CERT COPY FEE: COPY FEE: TRRMSFER FEE: ("Decedem"), ~ RECDRDINfi FEE: 70.00 fur a valuable consideration conveys, without warranty, to '~ PRGESi 1 LBCasse Custtm Hares, Inc., a Wisconsin rpora[aon ~ I' Grantee, ;j the following described real estate in St. Croix ~un,y I( THIS SPACE RESERVED FOR RECORDIND DATA State of Wisconsin (hereinafter called the "Properly"): ~i NAME ANO RETURN ADDRESS ' ~ Heywood & Cari, S.C. ~ ; Box 125 Hudson, WL 54016 SW ~ of tiW'~ of Section 16, 'township 29N, Range 19W, St. Croix Ctnulty ! I --- : _ Wisconsin. _ _ - 02o-1029-00 THIS P1tOPERTY IS IN THE WET.L ADVISORY AREA. _ t ATION NUMBER 711is is(i~n~rtisl satisfaction of a Ittrtd Contract dated February 18, 1999, Recorded in Vol. ~ ~~ Page `a' Personal Representative by this deed does convey to Grantee all of the cstate and interest in the Properly which the Decedent had immediately prior to Decedenth death, and all of the estate and interest in the Properly which [he Personal Representative has since acquired. Dated this 1$Df day of February (SEAL) Personal Representative AUTHENTICATION Signa[ute(s) ~~ ~~~ authe ,cared this , 18 ay of February Iq 99 - _,..~~ Satnlel Il. Cori TLE: MEMBER STATE B OF Wl5GON51N authorized by >i706.06, Wis. Stars.) TNIS INSTRUMENT WAS DRAFTED BY }lywood 5 Call, S. C. Bmc 125 Hodson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary) 19 ~ . ~..~.~~ p( it J~ (SEAL) . Howard LaVenttue Pcrsonal Reprexntative ACKNOWLEDGMENT State of Wisconsin, ss. Cottnty. Personally came before me this day of l9_, 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 dace: 19 .) ' Names uE persons signing in any opacity should be ry~ped or printed below their sianawres. STATE BAR OF Wl5CON51N PERSONAL REPRESF.NTA'ftVE'S DEED Form No. 5 - 19a2 W1sCOn61n lapat DI3Mt CO.. Inc. Mitweukeo, Wia. , .~